natural Health Products

Question 1

Surprisingly these are considered NHPs

Answer 1

Toothpastes, antiperspirants, shampoos, facial products and mouthwashes

Question 2

NHPs includes

Answer 2

Vitamins and minerals, herbal remedies, homeopathic medicines, traditional meds, probiotics, amino acids and essential fatty acids

Question 3

NHPs are marketed for

Answer 3

Prevention or tx of an illness or condition
Reduction of health risks
Maintenance of good health

Question 4

Licensed products have these identification numbers

Answer 4

Natural product number (NPN) and Hemeopathic medicine number (DIN-HM)

Question 5

Risks with NHPs

Answer 5

Manufacturing problems, unproven claims, not enough info for people to make an informed choice, interaction with Rx drugsor other NHP, unwanted side effects

Question 6

Echinacea

Answer 6

Use: immune stimulant to prevent and treat colds and other resp infections, antimicrobial
AE: tongue numbness or tingling

Question 7

Feverfew

Answer 7

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

Question 8

Garlic

Answer 8

U: antihypertensive, antioxidant, reduces cholesterol, antimicrobial, cancer prevention
OE: increased risk of cleaning and halitosis

Question 9

Gingko biloba

Answer 9

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)

Question 10

Ginseng

Answer 10

U: vomiting, increases energy and alertness, treat CV problems
OE: increased risk of bleeding
Discontinue at least 24 hours prior to surgical procedures

Question 11

North American ginseng

Answer 11

U: prevention and tx of the common cold (reduces incidence and severity by about 6 days)

Question 12

Green tea

Answer 12

U: performance enhancer (caffeine), protect against CVD, cancer and liver disorders
OE: increased risk of gingival bleeding

Question 13

St. John’s Wort

Answer 13

U: mild - moderate depression, anxiety, fatigue related depression, insomnia, wound healing, bruises and first degree burns, antiinflammatory
OE: excessive salivation

Question 14

Yohimbe

Answer 14

U: aphrodisiac
OE: excessive salivation

Question 15

Herbal interactions with oral health care drugs classification

Answer 15

• pharmacodynamic - substances which have similar or opposite pharmacological or side/toxic effects
• pharmacokinetic - absorption, distribution, metabolism, or excretion

Question 16

Interaction with aspirin

Answer 16

Bromelian, cayenne, chamomile, feverfew, garlic, dong quai, ginkgo, ginseng, ginger

Increased risk of bleeding

Question 17

Interactions with acetaminophen

Answer 17

Garlic

Echinacea - risk of hepatotoxicity

Question 18

Interactions with corticosteroids

Answer 18

Aloe, cascara sagrada, ephedra, ginseng, licorice, rhubarb and senna

Reduced concentrations and actions of steroids and enhanced CV fxns, and blood glucose levels

Question 19

CNS depressant/sedative drugs interactions

Answer 19

Herbs, chamomile, valerian - additive or synergistic CNS depression
(Benzodiazepines, general anesthetics, opioids, barbiturates

St. John’s wort - increased CNS depression with benzodiazepines

Question 20

Herbal supplements that may be used in oral health care

Answer 20

Essential oil mouth rinse, oil of cloves, xylitol

Question 21

Where does xylitol come from

Answer 21

Birch bark, raspberries, plums and corn fiber

Question 22

These bacteria cannot metabolize xylitol

Answer 22

S. Mutans

Question 23

Antibacterial effects of xylitol

Answer 23

Inhibit the ability of microbes to adhere and grow in plaque