OTC/Herbal Supplements (EXAM V) Flashcards

1
Q

Prescription Drugs (Rx) vs Non-Prescription Drugs (OTC)

A

Rx is only available with a prescription view “more effective” by the public.
Rx misuse has higher potential for harm.
Rx regulated by FDA.

OTC is freely available to general public.
OTC is GRASE (Generally Recognized As Safe & Effective)

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2
Q

What is BTC?

A

Behind the counter.
Class requiring pharmacist consult (pseudoephedrine, insulin)

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3
Q

What drug was induced in the 1950s for morning sickness that caused tetratogenic effects on pregnant mothers?

What is it currently useful for?

A

Thalidomide

Currently useful for multiple myeloma.

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4
Q

What are the phases of clinical testing?

A

Investigation New Drug (IND) is filed with the FDA.

Phase 1 (20-100 healthy volunteers)
-Dosing, Safety, ADME

Phase 2 (100-200 patients)
-Double-blind, efficacy

Phase 3 (1000s patient)
-Market formulation, route

New Drug Application (NDA) 1-2 year for approval

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5
Q

Dietary supplements are controlled as __________.

What does this mean for regulation?

A

Food

Eliminates the need for proof of efficacy. FDA must prove the item is not safe.

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6
Q

What are the effects of Echinacea

A

Echinacea (E-ke-a-sha)- Stimulate immune system, anti-inflammatory

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7
Q

What herbal supplements will you take for memory, immune, analgesia?

A

Ginseng

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8
Q

What herbal supplement will you take for reduction in hepatotoxicity?

A

Milk Thistle

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9
Q

What herbal supplement will you take for BPH?

A

Saw Palmetto

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10
Q

What herbal supplement will you take anxiety, muscle relaxant, sedative?

A

Kava Kava

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11
Q

What herbal supplement will you take for BP, CA, GI Health?

A

Kombucha tea- yeast and bacteria

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12
Q

What herbal supplement will you take as a laxative and used for burns?

A

Aloe

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13
Q

What herbal supplement will you take for menstrual discomfort?

A

Black cohosh

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14
Q

What does GRASE stand for?

A

Generally Recognized As Safe & Effective

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15
Q

What are the effects of Garlic?

A

Garlic- HMG CoA Reductase Inhibitor- reduce cholesterol

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16
Q

What are the effects of Ginkgo?

A

Ginkgo- improved blood flow, free radical scavenger

17
Q

What are the effects of St. Johns wort?

A

St. John’s Wort- antidepressant, increase serotonin