Midterm Flashcards
What do diaphoretics cause?
Increase in body temp d/t vasodilation
Enhances routes of elimination
Phytolacca
Aka: Poke
- Emetic
- softening and dissolving
- head, neck, breast lymphagogue= Strongest & Most Popular lymphagogue
What conditions is Phytolacca used for?
- mastitis*-topical wash off, toxic to baby
* Goiters/hypothyroid*-increases circulation through thyroid and imprvoes lymphatic flow
What is the dose for Phytolacca? What are toxicity symps?
Dose= 0.2-0.6 mL TID or 10-15 mL/wk MAX!!!
Toxicity= nausea, vomiting, diarrhea, cramps, HA
Stop use immediately!
Can cause WBC abnormalities= mitogenic action
Calendula officinalis
Aka: marigold
-good for skin, topical anti-inflammatory, stops itching, anti-fungal for kids
-mild lymphagogue
-styptic & vulnerary-stimulates granulation tissue
Safe for KIDS!!!
What constituent in Calendula causes the styptic/vulnerary actions?
Xanthophyls-stimulates granulation tissue
What condition is calendula great for?
Chronic/acute inflammatory skin lesions
-itching, burning, and swelling
Hydrastis canadensis
Aka: *goldenseal* Not a preventative, it is a Tx! -*mucous memb tonic*, bitter, cholagogue, anti-microbial etc. -EXTREMELY BITTER! -great for *sinusitis*
What constituents are in Hydrastis canadensis
- Alkaloids*
- Isoquinoline alkaloids
- Mainly Hydrastine
- Berberine= strong against E. Coli/parasites
Contraindication for Hydrastis canadensis?
G6PD Deficiency
Acute inflammatory conditions
Renal disease
How are Mahonia and Berberis different?
- Mahonia*= Does NOT have hydrastine!
- it has free radical scavenging and anti-lipoxygenase activity
Berberis/Mahonia
Aka: Oregon grape root
Main constituent= isoquninoline alkaloids…NOT hydrastine
Very similar to hydrastis just NOT a mucous memb tonic
Bitter
Use= sluggish GI system, resp/urinary
Usnea barbata
Aka: *old man's beard* A tree lichen MOA: usnic acid is an *antibiotic* esp *against gram (+)* Strep, Staph, Mycobacterium tb, etc. -Anti-tumor Use: Infections
Usnea main constituent?
Lichen acids—> Usnic acid
Polysaccharides- immunostimulatory
Usnea main used for?
Infectious conditions:
- UTI, URI, gastroenteritis, impetigo, strep pharyngitis, skin infections (including fungal)
- Topically & internally anti-fungal & antibiotic*
What is considered the strongest preparation for Usnea?
Tincture
Sambucus nigra
Parts used?
Aka: black elderberry
Parts used:
1. Fruit= Anti-viral & anti-inflammatory/antioxidant
2. Flowers= mild diaphoretic, anti-catarrhal, anti-viral
MOA: SNA-II neutralizes the activity of the hemagglutinin spikes found on the surface of several viruses, inhibits viral proliferation
-antimicrobial to both Gram +/- bacteria
-diaphoretic
Use= H1N1 flu
Caution= can cause skin rashes
Main constituent in Sambucus fruit?
Flavonoids- quercetin, rutin, anthocyanins
Hemagglutinin lectin Sambucus nigra agglutinin (SNA I-III)
Anthrocyanins= anti-rheumatic, cross links collagen, antioxidant, prevents enzymatic cleavage of collagen during inflammation, prevents inflammation (histamine, PGs, leuk), promotes mucopolysaccharides/collagen synthesis
Main constituent in Sambucus flower?
Triterpenes- Ursolic acid
Can you use the root, leaves, or bark of Sambucus?
NOT internally!
External use only!
-hemorrhoids, bites, wounds, stings etc.
Echinacea main constituents?
- Water-soluble polysaccharides*-immunostimulatory
- Alkylamides*-lipid based anti-inflammatory compounds
- isobutylamides*
- Polyaetylenes/polyenes*
- Caffeic/ferulic acid*
Echinacea MOA?
- Increased WBC activity (lymphocytes/macrophages)
- Inhibition of PGE2
- modulates endocannabinoid system by targeting CB2 receptor
- inhibits hyaluronidase-bacterial enzyme
- Antioxidant activity
Echinacea uses?
Infectious conditions: common cold
-lowers anxiety
Do NOT use in pt with altered Th1/Th2 balance
Echinacea drug i/a?
- inhibits CYP1A2 and modulates CYP3A* at hepatic and intestinal sites
- Immunosupressants (-)
- hepatotoxic drugs (-)
- econazole nitrate (+)- helps it for candidiasis
- 7-benzyloxyresorufin (-)
What type of echinacea uses the flower?
Echinacea purpurea
What type of echinacea uses the roots?
Echinacea augustifolia
Echinacea pallida
Astragalus membranaceus constituent?
- polysaccharides
- Triterpenoids (over 100)
- flavonoids
- isoflavones
Astragalus membranaceus
Anti-inflammatory, immmunoregulatory, cardioprotective, antioxidant, hepatoprotective, nephroprotective, antitumor, metabolic restorative
MOA:
-enhances the cytotoxicity and activity of NK cells
-protects against immunosuppression induced by chemotherapy
-Antiviral-inhibits adenovirus, Hep B
-metabolic activity
-CVionotropic so increases CO while decreasing BP
Uses:
-improves digestion
-tonifies qi- blood loss
Astragalus uses?
- Immune conditions*-common cold, flu, lung infections, URTs in kids.
- Renal*
- Hepatobiliary*- chronic viral hepatitis
- CV*-angina/arrythmias
- metabolic*
- anti-inflammatory*-inhibits NFkB