Natural Products Flashcards

1
Q

What should the dose of CoQ10 be with statins?

A

50-100mg once with evening meals

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2
Q

Is there any major drug interaction with Kava?

A

Yes, warfarin

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3
Q

What is something you would recommend to use with St. John’s Wort?

A

Sunscreen + tapered withdrawal

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4
Q

Red Yeast Rice is a naturally occurring _______ analogue

A

lovastatin

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5
Q

What is Echinacea used for?

A

Treat & prevent colds/respiratory infections

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6
Q

What is Cinnamon used for?

A

Decrease blood glucose

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7
Q

Is there any major drug interaction with garlic?

A

Yes, warfarin

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8
Q

Is there any major drug interaction with CoQ10?

A

Nope

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9
Q

How often should you take fish oil?

A

Twice per week

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10
Q

Which natural product has an increased risk of hypoglycemia?

A

Ginger

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11
Q

What does garlic primarily affect?

A

Lowers…

LDL
TC
TG

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12
Q

What enzyme does Chondroitin inhibit?

A

Elastase

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13
Q

What is the limit of fish oil per day?

A

3g

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14
Q

Is there any major drug interaction with Green Tea?

A

Yes, warfain

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15
Q

What is Valerian used for?

A

Insomnia & anxiety

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16
Q

Who should avoid using Milk Thistle?

A

Pregnant and/or ragweed allergy

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17
Q

What is the FDA approved use of Melatonin?

A

Sleep problems in blind patients

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18
Q

What should you avoid with Kava?

A

Alcohol

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19
Q

What else could you use in combination w/ glucosamine?

A

Chondroitin (1200mg QD)

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20
Q

Is there any major drug interaction with fish oil?

A

Yes, warfarin

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21
Q

How long does St. John’s Wort take to work?

A

Few weeks

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22
Q

What is the dose on Ginger for pregnancy?

A

250mg qid

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23
Q

What drug will lower you CoQ10 levels?

A

Statins

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24
Q

To prevent the odor of garlic, how can you prevent it?

A

Enteric coated option

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25
Q

What is Ginkgo for?

A

Mental stuff (Alzheimers, mental decline, ADHD, etc) + acute mountain sickness

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26
Q

Which natural product is used as a ceremonial tranquilizing beverage?

A

Kava

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27
Q

What is the concern with St. John’s Wort?

A

Drug interactions w/ CYP enzymes (inducer)

28
Q

What is the dose on Alpha Lipoic Acid for diabetic neuropathy?

A

600mg TID on an empty stomach, 2 to 3 hrs from antacid use

29
Q

What is cranberry used for?

A

Prevent UTIs, not to treat

30
Q

Who should avoid using glucosamine?

A

Anyone w/ shellfish allergy

31
Q

What is Milk Thistle used for?

A

Protectant for exposure to alcohol or APAP

32
Q

What are the contraindication for Alpha Lipoic Acid?

A

Avoid in thyroid disorders (it interferes w/ conversion of T4 to T3)

33
Q

Does Melatonin make you sleepy?

A

Nope

34
Q

What exactly does Echinacea do?

A

Decrease mucin production

35
Q

Is there any major drug interaction with Ginseng?

A

Yes, warfarin, antiplatelet, MAOI, corticosteroids, stimulants, caffeine, imatinib, antipsychotics

36
Q

What is Asian type Ginseng (panax) used for?

A

Improve physical and mental stress, anemia, insomnia, etc

37
Q

What is St. John’s Wort used for?

A

Depression, pain, anxiety, OCD, menopause, PMS

38
Q

What is Green Tea used for?

A

Prevent CV disease, cancer, liver disorder

39
Q

Who should avoid using Echinacea?

A
  1. Asthma/atopy
  2. Ragweed allergy
  3. HIV, MS, or TB
  4. If you take Immunosuppressants (prednisone)
40
Q

What is the natural product?

A

A chemical compound/substance produced by a living organism (found in nature)

41
Q

What is Kava used for?

A

MILD anxiety & insomnia

42
Q

Where is resveratrol found in?

A

Grapes, wine, blueberries, pistachios

43
Q

Is there any major drug interaction with Ginkgo?

A

Yes, warfarin

44
Q

What is the AE of cranberry?

A

Concentrated tablets may increase risk of kidney stones

45
Q

What enzyme (garlic) converts odor free to one with an odor?

A

Allinase

46
Q

What is Ginger used for?

A

Antiemetic

47
Q

What is the main concern of taking fish oil?

A

Mercury content (100PPB being the upper limit)

Each fish oil may contain 1 to 2 PPB

48
Q

What does resveratrol do?

A

Lowers

lipids
BP
BG
HR

49
Q

What could you take for hot flashes?

A

Black Cohosh (40mg QD)

50
Q

What should the dose of CoQ10 be with heart issues?

A

100mg TID w/ meals

51
Q

How does Valerian work?

A

Interacts w/ GABA

52
Q

What are the possible uses of pygeum and saw palmetto?

A

Supposedly BPH, not enough studies though

53
Q

What is CoQ10 used for?

A
  1. Heart health
  2. Antioxidant
  3. Reduce statin AE
54
Q

What is the dose on Ginger for motion sickness?

A

500mg 30 minutes before travel, then 500 to 1000mg capsules every 4 hrs

55
Q

Is there any major drug interaction with Valerian

A

Nope

56
Q

What is Alpha Lipoic Acid used for?

A

Improvement in insulin sensitivity

57
Q

What are the benefits of fish oil?

A
  1. Decrease TG
  2. Decrease Pro-inflammatory cytokines
  3. Increase non-inflammatory cytokines
58
Q

What does red yeast rice primarily affect?

A

Lowers…

LDL
TC
TG

59
Q

What could you take for cartilage synthesis?

A

Glucosamine sulfate (1500mg QD)

60
Q

What evidence has been shown for Milk Thistle?

A

Limited, studies did not show improvement in liver enzymes

61
Q

What is the concern with Ginkgo?

A

Increase rate of nose + throat cancer in animals tested

62
Q

What should you avoid using if you’re taking DHEA?

A

If a product’s source is wild yam

63
Q

How does Kava work?

A

CNS depressant (modulates GABA and inhibits MAO receptors)

64
Q

What should the dose of CoQ10 be with migraine prevention?

A

100mg TID w/ meals

65
Q

Is there any major drug interaction with Ginger?

A

Yes, with anticoagulants