Pharm Unit 1 CAM

Question 1

OTC drugs include the following (3):

Answer 1

2. Herbals. 2. Vitamins. 3. Nutritional Supplements.

Question 2

The major categories for self-care include (7)

Answer 2

1. Respiratory. 2. Feminine. 3. Pain. 4. Digestive. 5. Eye/ear/mouth. 6. Skin. 7. General well-being.

Question 3

These OTC meds interefere with absorption of tetracyclines, fluoroquinolones, biphosphanates & impair absorption of iron.

Answer 3

Antacids.

Question 4

This OTC meds alkalinize stomachic pH, reduce absorption of keoconazole, and increase renal clearance of Lithium and aspirin.

Answer 4

Sodium bicarbonate.

Question 5

These OTC meds interefere with antihypertensive effectiveness of beta-blockers, may also increase serum Lithium levels and interfere with the cardio-protection of low-dose aspirin.

Answer 5

Ibuprofen & Naproxen.

Question 6

When botanicals are recognized for medicinal effect.

Answer 6

Phytomedicine/Herbal medicine.

Question 7

OTC=

Answer 7

Over the counter.

Question 8

An botanical used in some Latino cultures to induce abortion. A therapeutic dose can also cause renal failure.

Answer 8

Anise tea.

Question 9

OTC meds are sold as dietary supplements (not drugs) in the US under this act:

Answer 9

1994 Dietary Supplement Health and Education Act.

Question 10

When taking OTC/herbal meds, the most common drug interaction concern is the potentiation of:

Answer 10

Coumadin (Anticoagulant effect).

Question 11

Common probiotics:

Answer 11

Lactobacillus and Saccharomyces.

Question 12

This herbal induces paralysis via blockade of Acetylcholine release.

Answer 12

Botulinum Toxin A (botox).

Question 13

A term used for excessive sweating.

Answer 13

Hyperhidrosis.

Question 14

This analgesic is derived from white willow bark and meadowsweet.

Answer 14

Aspirin.

Question 15

This opiate is derived from poppy.

Answer 15

Opium.

Question 16

This herb yielded the original hormonal components of the first tested oral contraceptives.

Answer 16

Dioscorea villosa (Mexican Yam).

Question 17

Two herbs used in Chemotherapy treatment in traditional medicine:

Answer 17

1. Vinca (periwinkle); vincristine and vinblastine. 2. Yew Tree (taxol).

Question 18

This herb is used as a cardiac tonic for heart failure and cardiac arrhythmias.

Answer 18

Foxglove (Digitalis).

Question 19

This is a naturally derived plant that depletes substance P from skin nerve endings to reduce pain and inflammation.

Answer 19

Chili (Cayenne) peppers–>Capsaicin.

Question 20

This is a commonly used herbal that has serious clinical implications. The active ingredient is hypericin which is used as an antidepressent. However, there is drug-drug concern of serotonin syndrome or induction of CYP3A4 biotransformation pathway.

Answer 20

St. John’s Wort.

Question 21

Two juices that may affect medications:

Answer 21

1. Grapefruit juice. 2. Pomegranate Juice.

Question 22

These crucial enzymes are found in both the Intestine and the Liver.

Answer 22

CYP enzymes.

Question 23

4 types of Food Reactions (allergies):

Answer 23

1. Food Hypersensitivity and Anaphalaxis (reaction to eggs). 2. Food Intolerance (gluten sensitivity). 3. Food Toxicity (poisoning from microbes). 4. Food Idiosyncrasy (MSG syndrome).

Question 24

An FDA act requiring food allergen labeling:

Answer 24

Food Allergen Labeling and Consumer Protection Act.

Question 25

Rapid edema (swelling) in deep layers of the skin.

Answer 25

Angioedema.

Question 26

High-pitched, wheezing sound.

Answer 26

Stidor.

Question 27

If you are allergic to one thing, there is a good chance you will be allergic to another related chemical.

Answer 27

Cross-reactivity.

Question 28

3 common food additives that can cause an allergic response:

Answer 28

1. Sulfites. 2. MSG (Monosodium Glutamate). 3. Food Dyes.