natural Health Products Flashcards
Surprisingly these are considered NHPs
Toothpastes, antiperspirants, shampoos, facial products and mouthwashes
NHPs includes
Vitamins and minerals, herbal remedies, homeopathic medicines, traditional meds, probiotics, amino acids and essential fatty acids
NHPs are marketed for
Prevention or tx of an illness or condition
Reduction of health risks
Maintenance of good health
Licensed products have these identification numbers
Natural product number (NPN) and Hemeopathic medicine number (DIN-HM)
Risks with NHPs
Manufacturing problems, unproven claims, not enough info for people to make an informed choice, interaction with Rx drugsor other NHP, unwanted side effects
Echinacea
Use: immune stimulant to prevent and treat colds and other resp infections, antimicrobial
AE: tongue numbness or tingling
Feverfew
U: antiinflammatory used in migraine headaches, fever, menstrual cramps, and arthritis
OE: increased risk of gingival bleeding, aphthous ulcers and irritation, swelling of the lips and tongue
Garlic
U: antihypertensive, antioxidant, reduces cholesterol, antimicrobial, cancer prevention
OE: increased risk of cleaning and halitosis
Gingko biloba
U: improve memory and brain fun, general cardiac health, antioxidant relieve stress and tinnitus
OE: increased risk of gingival bleeding
(Discontinue use at least 36 hours prior to surgery)
Ginseng
U: vomiting, increases energy and alertness, treat CV problems
OE: increased risk of bleeding
Discontinue at least 24 hours prior to surgical procedures
North American ginseng
U: prevention and tx of the common cold (reduces incidence and severity by about 6 days)
Green tea
U: performance enhancer (caffeine), protect against CVD, cancer and liver disorders
OE: increased risk of gingival bleeding
St. John’s Wort
U: mild - moderate depression, anxiety, fatigue related depression, insomnia, wound healing, bruises and first degree burns, antiinflammatory
OE: excessive salivation
Yohimbe
U: aphrodisiac
OE: excessive salivation
Herbal interactions with oral health care drugs classification
- pharmacodynamic - substances which have similar or opposite pharmacological or side/toxic effects
- pharmacokinetic - absorption, distribution, metabolism, or excretion
Interaction with aspirin
Bromelian, cayenne, chamomile, feverfew, garlic, dong quai, ginkgo, ginseng, ginger
Increased risk of bleeding
Interactions with acetaminophen
Garlic
Echinacea - risk of hepatotoxicity
Interactions with corticosteroids
Aloe, cascara sagrada, ephedra, ginseng, licorice, rhubarb and senna
Reduced concentrations and actions of steroids and enhanced CV fxns, and blood glucose levels
CNS depressant/sedative drugs interactions
Herbs, chamomile, valerian - additive or synergistic CNS depression
(Benzodiazepines, general anesthetics, opioids, barbiturates
St. John’s wort - increased CNS depression with benzodiazepines
Herbal supplements that may be used in oral health care
Essential oil mouth rinse, oil of cloves, xylitol
Where does xylitol come from
Birch bark, raspberries, plums and corn fiber
These bacteria cannot metabolize xylitol
S. Mutans
Antibacterial effects of xylitol
Inhibit the ability of microbes to adhere and grow in plaque
