Natural Products Flashcards
What should the dose of CoQ10 be with statins?
50-100mg once with evening meals
Is there any major drug interaction with Kava?
Yes, warfarin
What is something you would recommend to use with St. John’s Wort?
Sunscreen + tapered withdrawal
Red Yeast Rice is a naturally occurring _______ analogue
lovastatin
What is Echinacea used for?
Treat & prevent colds/respiratory infections
What is Cinnamon used for?
Decrease blood glucose
Is there any major drug interaction with garlic?
Yes, warfarin
Is there any major drug interaction with CoQ10?
Nope
How often should you take fish oil?
Twice per week
Which natural product has an increased risk of hypoglycemia?
Ginger
What does garlic primarily affect?
Lowers…
LDL
TC
TG
What enzyme does Chondroitin inhibit?
Elastase
What is the limit of fish oil per day?
3g
Is there any major drug interaction with Green Tea?
Yes, warfain
What is Valerian used for?
Insomnia & anxiety
Who should avoid using Milk Thistle?
Pregnant and/or ragweed allergy
What is the FDA approved use of Melatonin?
Sleep problems in blind patients
What should you avoid with Kava?
Alcohol
What else could you use in combination w/ glucosamine?
Chondroitin (1200mg QD)
Is there any major drug interaction with fish oil?
Yes, warfarin
How long does St. John’s Wort take to work?
Few weeks
What is the dose on Ginger for pregnancy?
250mg qid
What drug will lower you CoQ10 levels?
Statins
To prevent the odor of garlic, how can you prevent it?
Enteric coated option
What is Ginkgo for?
Mental stuff (Alzheimers, mental decline, ADHD, etc) + acute mountain sickness
Which natural product is used as a ceremonial tranquilizing beverage?
Kava
What is the concern with St. John’s Wort?
Drug interactions w/ CYP enzymes (inducer)
What is the dose on Alpha Lipoic Acid for diabetic neuropathy?
600mg TID on an empty stomach, 2 to 3 hrs from antacid use
What is cranberry used for?
Prevent UTIs, not to treat
Who should avoid using glucosamine?
Anyone w/ shellfish allergy
What is Milk Thistle used for?
Protectant for exposure to alcohol or APAP
What are the contraindication for Alpha Lipoic Acid?
Avoid in thyroid disorders (it interferes w/ conversion of T4 to T3)
Does Melatonin make you sleepy?
Nope
What exactly does Echinacea do?
Decrease mucin production
Is there any major drug interaction with Ginseng?
Yes, warfarin, antiplatelet, MAOI, corticosteroids, stimulants, caffeine, imatinib, antipsychotics
What is Asian type Ginseng (panax) used for?
Improve physical and mental stress, anemia, insomnia, etc
What is St. John’s Wort used for?
Depression, pain, anxiety, OCD, menopause, PMS
What is Green Tea used for?
Prevent CV disease, cancer, liver disorder
Who should avoid using Echinacea?
- Asthma/atopy
- Ragweed allergy
- HIV, MS, or TB
- If you take Immunosuppressants (prednisone)
What is the natural product?
A chemical compound/substance produced by a living organism (found in nature)
What is Kava used for?
MILD anxiety & insomnia
Where is resveratrol found in?
Grapes, wine, blueberries, pistachios
Is there any major drug interaction with Ginkgo?
Yes, warfarin
What is the AE of cranberry?
Concentrated tablets may increase risk of kidney stones
What enzyme (garlic) converts odor free to one with an odor?
Allinase
What is Ginger used for?
Antiemetic
What is the main concern of taking fish oil?
Mercury content (100PPB being the upper limit)
Each fish oil may contain 1 to 2 PPB
What does resveratrol do?
Lowers
lipids
BP
BG
HR
What could you take for hot flashes?
Black Cohosh (40mg QD)
What should the dose of CoQ10 be with heart issues?
100mg TID w/ meals
How does Valerian work?
Interacts w/ GABA
What are the possible uses of pygeum and saw palmetto?
Supposedly BPH, not enough studies though
What is CoQ10 used for?
- Heart health
- Antioxidant
- Reduce statin AE
What is the dose on Ginger for motion sickness?
500mg 30 minutes before travel, then 500 to 1000mg capsules every 4 hrs
Is there any major drug interaction with Valerian
Nope
What is Alpha Lipoic Acid used for?
Improvement in insulin sensitivity
What are the benefits of fish oil?
- Decrease TG
- Decrease Pro-inflammatory cytokines
- Increase non-inflammatory cytokines
What does red yeast rice primarily affect?
Lowers…
LDL
TC
TG
What could you take for cartilage synthesis?
Glucosamine sulfate (1500mg QD)
What evidence has been shown for Milk Thistle?
Limited, studies did not show improvement in liver enzymes
What is the concern with Ginkgo?
Increase rate of nose + throat cancer in animals tested
What should you avoid using if you’re taking DHEA?
If a product’s source is wild yam
How does Kava work?
CNS depressant (modulates GABA and inhibits MAO receptors)
What should the dose of CoQ10 be with migraine prevention?
100mg TID w/ meals
Is there any major drug interaction with Ginger?
Yes, with anticoagulants