Natural Pdts & vitamins Flashcards
T/F? A dietary supplement manufacturer doesn’t have to prove a pdt’s safety and effectiveness before it is marketed?
T
T/F? Ginkgo biloba increases bleeding risk w/o any effect on INR?
T
Whys St. John’s wort called a broad spectrum inducer?
Can’t be used with many drugs e.g. OCPs, transplant drugs, warfarin, etc
SEs of St. John’s wort?
Photosensitivity
Serotonergic
SEs of some natural pdts e.g. Chaparral, Comfrey, Kava?
Hepatotoxicity
What’s principle behind homeopathy?
Based on “the law of similars” or the concept that “like is cured by like”
What are medical foods?
These are pdts that can also make health claims, since they are not FDA-approved drugs
What may result from Vit B12 (thiamine) deficiency?
Wernicke encephalopathy
Whys Vit. D given with calcium?
Vit. D is required for Calcium absorption
Why should doses of Calcium be divided?
Bcuz Calcium absorption is saturable
Which is preferred, Calcium supplement or dietary Calcium?
Dietary calcium
Advantage and disadvantage of Calcium citrate?
Has better absorption, can be taken with or w/o food (315mg Ca)
But, It’s a bigger pill to swallow
Calcium carbonate (Tums, Oscal) absorption? How it should be taken? Usual strength?
Acid-base dependent absorption
Should be taken with meals
500-600mg
Whats the NIH recommended intake for Vit D in people up to age 70yrs?
600 IU daily
Whats the NIH recommended intake for Vit D in people age 71+ yrs?
800 IU daily
What supplement is used in renal dx or short-term in adults with deficiency to replenish stores?
50,000 unit Vit. D2 supplement
What’s the preferred source of Vit. D?
Cholecalciferol or Vit. D3
What supplement should any woman planning to conceive (and all women of child-bearing age) be on?
Folic acid 400-800 mcg/day (0.4-0.8 mg/day)
T/F? Folic acid should be taken at least 1 month b4 pregnancy and continued for first 2-3 months of pregnancy?
T
What’s the max dose of Vit E per day?
Should not exceed 150 IU daily
When do babies require supplement?
Exclusively breastfed infants or babies drinking < 1litre of baby formula need 400 IU of Vit. D daily (Poly-Vi-Sol or generic)
At what age do babies need iron supplement?
4-6 months