Natural alternatives (herbal)

Question 1

Herbal
St. John’s Wort

Treats depression/anxiety

Answer 1

• Interacts with SSRI
• Can cause sun sensitivity
• decreases effect of digoxin

Question 2

Herbal
Garlic

Lowers BP/cholesterol

Answer 2

• 1 clove equals 4 grams of garlic

- Interacts with Warfarin and Aspirin

Question 3

Herbal
Ginkgo Biloba

Improves memory

Answer 3

Thins the blood
Do not take with warfarin & aspirin.
Can interfere with seizure meds.

Question 4

Herbal
Ginseng

Increased physical stamina
Reduces tinnitus/ringing in ears

Answer 4

Can cause hypertension when mixed with caffeine

Increases risk for bleeding.

Question 5

Herbal
Echinacea

Prevents cold & flu has Immune-boosting function

Answer 5

Can cause liver toxicity in renal patients, not effective with HIV.

Question 6

Herbal
Ginger

Relieves nausea & vomiting

Answer 6

Do not take if history of DVT

Interacts with blood thinners

Question 7

Herbal
Black Cohosh

Treats menopausal symptoms

Answer 7

Can be used to treat hot flashes

Contraindicated in pregnancy, will cause premature labor.

Question 8

Herbal
Kava Kava

Treats insomnia, muscle pain

Answer 8

Decrease Parkinson’s disease meds.

Can increase risk of suicide in client with depression.

Question 9

Herbal
Saw Palmetto

Used for prostate health

Answer 9

Reduces absorption of iron.
*Risk for false positive prostate specific antigen test.
Will have a diuretic effect.

Question 10

Natural Alternatives

General client teaching

Answer 10

All herbal medications that start with the letter G thin the blood; do not give with warfarin, aspirin, heparin!

Question 11

Natural Alternatives

General client teaching

Answer 11

All herbal medications are contraindicated during pregnancy & lactation.

Herbal medications should be stopped 2 weeks before surgery due to possible interaction with anesthesia.