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Rx NATURAL MEDICINES Flashcards

1
Q

RxPREP® 2014

What do natural products _NOT _ <strong>[3]</strong> have to do prior to being marketed?

A
  1. Be manufactured under Good Manufacturing Processes (GMPs)
  2. Prove SAFETY & EFFICACY of the drug
  3. Get FDA approval
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2
Q

RxPREP® 2014

_TRUE _<em>or</em> FALSE:

pharmacists will have easy access to sources that will check for any potential drug interactions/safety concerns related to natural products

A

TRUE

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3
Q

RxPREP®

What natural product DECREASES blood pressure?

A

arginine

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4
Q

RxPREP®

What natural product has drug interactions with practically EVERYTHING because it is a potent INDUCER of CYP enzymes?

A

St. John’s Wort

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5
Q

RxPREP®

What vitamin puts people at risk for CARDIOVASCULAR DISEASE if taken in EXCESS?

A

Vitamin E

[alpha] α-TOCOPHEROL

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6
Q

RxPREP®

What natural products <strong>[3]</strong> cause HEPATOTOXICITY?

A
  1. kava
  2. chaparral
  3. comfrey
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7
Q

RxPREP®

TRUE ***or*** FALSE:

do not give/take PROBIOTICS** &ANTIBIOTICS** together

A

TRUE

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8
Q

RxPREP®

if you take your ANTIBIOTICS in the MORNING and EVENING, when is it OK to take your PROBIOTICS?

A

in the middle of the day

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9
Q

RxPREP®

What INDICATIONS [2] is MELATONIN used for?

A
  1. Jet Lag
  2. Insomnia
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10
Q

RxPREP®

What natural product is used for the PREVENTION of PROSTATE CANCER?

A

lycopene

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11
Q

RxPREP® 2014

What natural products <strong>[8]</strong> can INCREASE risk of BLEEDING?

A

↵

  1. Dong Quai
  2. Vitamin E
  3. Feverfew
  4. Fish Oil <strong>[> 3 <em>gm/daily</em>]</strong>
  5. Ginger
  6. Ginseng
  7. Ginkgo Biloba
  8. Garlic
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12
Q

RxPREP®

What natural product is used for the treatment of PROSTATE ENLARGEMENT?

A

saw palmetto

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13
Q

RxPREP®

What natural products <strong>[4]</strong>** **are used for ANXIETY?

A
  1. chamomile tea
  2. **lemon balm **
  3. glutamine
  4. valerian root
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14
Q

RxPREP®

What natural product is sometimes used to help REDUCE the occurrence of CANKER SORES?

A

lysine

Aphthous Ulcers = Canker Sores

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15
Q

what are some natural products that can be used to treat APHTHOUS ULCERS?

A

lysine

Aphthous Ulcers = Canker Sores

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16
Q

RxPREP®

What natural products <strong>[3]</strong> help improve CHOLESTEROL?

A
  1. fish oils
  2. plant sterols
  3. red yeast rice
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17
Q

RxPREP®

What is a natural product used for both **DEPRESSION **<em>&</em> OSTEOARTHRITIS?

A

SAMe

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18
Q

RxPREP®

What natural product is a precursor to male sex hormones?

A

DHEA

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19
Q

RxPREP®

What is a natural product used for CONSTIPATION?

A

senna

stimulant laxative

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20
Q

RxPREP®

What are some natural products [4] that can be used to TREAT COLDS** &FLU**?

A
  1. elderberry
  2. echinacea
  3. vitamin C [<u><strong><em>ASCORBIC ACID</em></strong></u>]
  4. zinc lozenges
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21
Q

RxPREP®

What natural product has the FDA recommended AGAINST the use of as it causes ANOSMIA (loss of smell)?

A

ZICAM®

zinc nasal sprays

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22
Q

RxPREP®

What is another form of caffeine?

A

guarana

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23
Q

RxPREP®

True/False: Bitter Orange does not contain an ephedra-like substance

A

FALSE

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24
Q

RxPREP®

What natural products are used in treating menopausal symptoms?

A

Black cohosh, red clover, evening primrose and dong quai

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25
# RxPREP® True/False: Remifemin is more effective than estrogen for improving vasomotor symptoms
FALSE
26
# RxPREP® What term is used to describe the use of very small amounts of a disease to "cure" or "protect" a person from said disease based on law of similars (like cures like) and may be misused for advertising?
Homeopathic
27
# RxPREP® What natural products are used for migraine prophylaxis?
Feverfew, willow bark, butterbur, guarana, fish oils, magnesium, Co-Q10, and riboflavin
28
# RxPREP® What natural product is used for UTI prophylaxis?
Cranberry
29
# RxPREP® True/False: all bone density agents will require calcium/vitamin D supplementation to be effective
TRUE
30
# RxPREP® When is calcium supplementation the most essential?
During pregnancy, menopause, childhood and while using steroids
31
# RxPREP® How much calcium should a woman greater than 50 years old receive per day?
1,200 mg
32
# RxPREP® How much vitamin D should a woman receive until age 70?
600 IU (800 IU at age 71 or older)
33
# RxPREP® Why should pregnant women take folic acid?
To reduce the risk of birth defects
34
# RxPREP® What nutrients should a breast-fed baby receive?
1 mg/kg of iron from 4-6 months old until eating iron-rich foods
35
# RxPREP® What is the preferred vitamin D?
Cholecalciferol (D3)
36
# RxPREP® Which tablets are smaller: calcium carbonate or calcium citrate?
Calcium carbonate
37
# RxPREP® True/False: calcium has saturable absorption (i.e. the more taken, the less absorbed)
TRUE
38
# RxPREP® When should you take calcium carbonate?
With meals
39
# RxPREP® What vitamin is required for calcium absorption?
Vitamin D
40
# RxPREP® The deficiency of what vitamin causes Wernicke's encephalopathy?
Vitamin B1 (thiamine)
41
# RxPREP® What vitamin is used to reduce the risk of INH-induced peripheral neuropathy?
Vitamin B6 (pyridoxine)
42
# RxPREP® What OTC natural product has mild benefit for nausea?
Ginger
43
# RxPREP® What calcium formulation has acid-dependent absorption?
Calcium carbonate (Oscal)
44
# RxPREP® What calcium formulation can be taken with or without food?
Calcium citrate
45
# RxPREP® What is the generic for Estroven?
Black cohosh and soy
46
# RxPREP® What supplement is recommended for an infant needing iron and vitamin D intake?
Poly-Vi-Sol with Iron
47
# RxPREP® What natural product is used for a variety of skin conditions (including acne)?
Tea tree oil
48
# RxPREP® What vitamins need to be given with orlistat/bile acid sequestrants/CF lipase supplements?
Vitamins A, D, E and K (fat-soluble vitamins)
49
# RxPREP® What vitamin can metformin deplete?
Vitamin B12
50
# RxPREP® What is the name for Vitamin C deficiency?
Scurvy
51
# RxPREP® What are side effects related to St. John's Wort?
Photosensitivity and serotonin syndrome
52
# RxPREP® What supplement can help prevent prostate cancer?
Calcium
53
# RxPREP® What natural products help boost memory?
Ginkgo, huperzine A, and vitamin E
54
# RxPREP® What natural products help with GI distress?
Chamomile and peppermint
55
# RxPREP® What is an example of a probiotic?
Lactobacillus
56
# RxPREP® What natural products can help with heart failure?
Arginine, garlic, Co-Q10 and fish oils
57
# RxPREP® True/False: calcium and vitamin D intake still remains inadequate for the majority of adults and children
TRUE
58
# RxPREP® How many mg of elemental iron do most calcium citrate tablets have?
315 mg
59
# RxPREP® How many mg of elemental iron do most calcium carbonate tablets have?
500-600 mg
60
# RxPREP® When should start taking folic acid if trying to conceive a child?
One month prior to pregnancy
61
# RxPREP® What is the maximum daily dose of Vitamin E?
150 IU
62
# RxPREP® What should you take with an oral contraceptive due to menstruation bleeding loss?
Iron supplements (i.e. ferrous sulfate)
63
# RxPREP® What supplements should you give with most anticonvulsants?
Selenium, zinc, calcium and vitamin D
64
# RxPREP® What supplement should you give with folate antagonists?
Folic acid (duh)
65
# RxPREP® Patients with chronic alcoholism are likely to be deficient in what two vitamins?
Thiamine and folic acid
66
# RxPREP® What supplement must be given with EPO for it to work?
Iron
67
# RxPREP® Which natural product can cause mouth ulcerations?
Feverfew
68
# RxPREP® What is a side effect of eating too many apricot seeds?
Cyanide (seed) poisoning

Rx HERBALS (5 decks)

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