S2E5: Supplements and Herbs

Question 1

NCCAM

Answer 1

national convention for complementary and alternative medicine

Question 2

Black cohosh risk

Answer 2

hepatotoxicity

Question 3

ephedra risk

Answer 3

CNS and CVS toxicity

Question 4

kava kava risk

Answer 4

possible hepatotoxicity

Question 5

echinacea use

Answer 5

immunomodulation, antiinflammatory

Question 6

garlic use

Answer 6

anticholinergic, antiplatelet, antioxidant, antiHTN, hypoglycemic, antineoplastic

Question 7

ginko use

Answer 7

increase tissue perfusion in PVD, improves cognitive impairment/dementia.
?Antiplatelet

Question 8

ginseng use

Answer 8

improves physical and mental performance, adaptogen

Question 9

milk thistle use

Answer 9

protects liver from toxins, antiinflammatory, ?CA tx.

Question 10

St. John’s Wort use

Answer 10

antidepressant, antiviral, anticarcinogen

Question 11

saw palmetto use

Answer 11

BPH

Question 12

coenzyme Q10

Answer 12

lower BP, decrease CP in stable angina. ?help statin-related myopathy

Question 13

glucosamine use

Answer 13

joint pain relief

Question 14

melatonin use

Answer 14

improve sleep

Question 15

garlic DI

Answer 15

antiplatelets

Question 16

ginko DI

Answer 16

antiplatelet, warfarin

Question 17

ginseng DI

Answer 17

psych meds, hypoglycemics, warfarin

Question 18

St. John’s Wort DI

Answer 18

anti-depressants, digoxin, hormonal contraception, warfarin, HAART, anticonvulsants

Question 19

Coenzyme Q10 DI

Answer 19

warfarin

Question 20

glucosamine DI

Answer 20

warfarin

Question 21

melatonin

Answer 21

+/- BP, ?interfere w ovulation/sperm motility, decreases breast lactation