Medicine without any evidence Flashcards
CAM is brought up by the ___ the majority of the time
Patient
What is the primary source of CAM information?
Friends/Family/idiots
People with ____ illness are more likely to use CAM
psychiatric
__% of CAM users also take conventional pharmacology
67
CAM patients are ___ income, ____ educated, and feel like they’re in __ health
higher; well; poor
____-_ may create a pro-inflammatory state due to them not being in balance with omega-6
omega-3
What two disorders do Omega-3 have evidence for being helpful?
MDD; Bipolar
Omega 3 treats only the __ of bipolar disorder not the __
depression; mania
Too high doses for Omega 3s can lead to ___ cycling
mood
Folate deficiency is strongly associated with ___
depression
B12 deficiency is strongly associated with
peripheral neuropathy
SAMe may increase ___ in the brain and is effective in depression, as well as ____ disease
serotonin; parkinson’s
Biochemically SAMe functions as a _____ ____ doner
methyl group
SAMe also augments ___ treatment in depressed people
SSRI
Avoid SAMe in ___ disorder because of the mania
bipolar
Low vitamin ___ may be implicated in depression
D3
SJW and _____ don’t mix
SSRIs
SJW is a CYP3A4 ____ with __ amounts of hyperforin and may interact with a lot of drugs
inducer; high
Kva increases ___ transmission
GABA
Due to its ___ induction and coma potential if mixed with alcohol or benzos, we don’t recommend Kava
p450
___ tea inhibits GABA metabolizing enzymes and is used in anxiety
Chamomile
Ginkgo Biloba increases ___ blood flow and induces __ and may cause __ in old people, we don’t recommend for alzheimers
cerebral; anti-platelet activating factor
Only patients with both MCI and ___ symptoms have ginkgo biloba been shown to work
neuropsychiatric symptoms