Pharmacology Flashcards
Hoodia
Cactus - South Africa lowers BP and appetite
Garcinia
S. Asia - Clearing the bowels
Piperine
Alkalooid - power of black pepper; CYP inhibitor, P-gp inhibitor
Supplements or Vitamin intake higher? Who takes them more?
Supplements more and women take them more
2 top reasons for supplements?
Weight loss and heart problems
Products manufactured under what?
Good Manufacturing Process
Standardized on supplement label means
Does not indicate product quality
Kava and Comfrey
hepatotoxic and teratogen
What can supplement and herb labels say?
Not that it cures but there is a connection with other bad health cause which this supplement can reduce the risk of that. Statements not approved by the FDA
When should surgery candidates stop taking supplements? and Why?
2 weeks prior to surgery and due to effects on platelet aggregation
Ephedra
Stimulates cardiovascular system
Kava-Kava Toxicity and weight loss?
Liver - sleep
Comfrey Toxicity and weight loss?
Liver - bone and muscle
Germander Toxicity and weight loss?
Liver - weight loss
Green Tea Toxicity and weight loss?
Liver - antioxidant
Chaparral Toxicity and weight loss?
Liver and Heart toxic - arteritis
Borage Toxicity and weight loss?
Liver and Heart toxic - rheumatoid artertitis
Senna Toxicity and weight loss?
Liver and Heart toxic - laxative
Licorice Toxicity and weight loss?
pseudo-hyperaldosteronism by glycyrhizzin - peptic ulcer and flavoring
Coumarin derivatives
Anise, Celery, Chamomile, Fenugreek, Red Clover
Salicylate derivatives
Meadowsweet, Poplar, Willowbark
Antiplatelet Action
Garlic, Ginkgo Biloba
Hypercoagulability
Capiscum
Bitter Orange, Echinacea, Ginkgo Biloba, Ginsend
CYP inhibitor
St. Johns Wort
CYP inducer
Echinacea and Ginseng
Antagonist of immunosuppresants like azathioprine, corticosteroids, cyclosporine, tacrolimus
Caffeine and Green Tea
Stimulants and additive effect with phentermine, psudoephedrine, nicotine
Red Clover
Estrogen like compounds causing breast and uterine cancer
Pomegranate juice
Tx Prostate Cancer, CYP inducer and increase rhabdomyolysis
Cranberry Juice
Prevents UTI by inhibiting E coli adherence. More effective in recurrent UTIs, females, children and using cranberry products more than twice daily
Vitamin C
Forma oxalate crystals tats precipitate in kidneys causing acute renal failure
Vitamin A
Birth defects, Liver damage, osteoporosis
Vitmin D
Heart Arrhythmia,
Vitamin E or K
Antagonize warfarin anticoagulant
Meta-analysis discovery on supplements?
Increase mortality
Omega fatty 3
positive effects on lipid levels, MI and Alzheimers disease
Coenzyme Q10 function
Healthy muscle, CV, reduce BP, lipid and increase exercise tolerance.
What vitamin is Vitamin K related to and its effect?
Coenzyme Q10 and is a coagulant to antagonize warfarin anticoagulant effects
Glucosamine function
Joint pain relief. Only sulfate form has biological effect.
Melatonin ( Ramelteon)
Metabolized by CYPs, works like serotonin so causes psychosis. Decreases sperm count
Beta-sitosterols function
REduce BPH so increase urine flow
Vitamin CoQ function
Reduce BP
Echinacea function
no therapeutic effect
Garlic function
Reduce cholesterol
Ginseng
Reduce LDL,cholesterol, blood sugar, boost immune, antimicrobials and response to flu vaccine
Malatonin
reduces jetlag
Folic acid
Mental health
Ginkgo biloba
Mental health, slows decline, works like donepezil ( AchE inhibitor)
SAMe - S-adenosyl-L-methionine
TCAs, boost SSRIs
Valerian
Sleep anxiety in children with ADHD
Omega 3 FA
Helps Antidepressants
St Johns Wort
Mild/moderate depression effective for children
Selenium in HIV patients
increase immune, good work on prostate, colorectal and lung cancers
Zinc
Decrease child diarrhea, decrease sicle cell symptoms, helps gastric ulcers,
Chromium interaction with concurrent medications
beta blockers, corticosteroids, inculin, NSAIDs may be enhanced or increase chromium absorption