Supplements & Vitamins

Question 1

St. John’s Wort induces which CYP enzymes

Answer 1

3A4
2C19
2C9
1A2

Question 2

St. John’s Wort Concerns???

Answer 2

Serotonergic agent:
- do not use with MAOi or linezolid
- caution with other serotonergic drugs

Photosensitivity

Lowers seizure threshold: caution use with
- bupropion
- quinolones
- tramadol
- penicillin
- carbapenems

Sooooo many DDI

Question 3

Supplements that cause increased bleed risk

Answer 3

The 5 G’s
- Garlic
- Ginger
- Gingko
- Ginseng
- Glucosamine

Fish oils (high dose)
Vitamin E
Dong quai
Willow bark

Question 4

Supplements with risk of hepatotoxicity

Answer 4

Black cohosh
Kava

Question 5

Supplements with risk for cardiac toxicity

Answer 5

Bitter orange
Yohimbe
Caffeine

Question 6

Supplements used for: anxiety

Answer 6

valerian
passion flower
kava
St. John’s Wort

Question 7

Supplements used for: depression

Answer 7

St. John’s wort
SAMe
Valerian
5-HTP

Question 8

Supplements used for: ADHD

Answer 8

omega 3 fatty acids

Question 9

Supplements used for: cold sores

Answer 9

L-lysine

Question 10

Supplements used for: cold & flu

Answer 10

Echinacea
Zinc
Vitamin C

Question 11

Supplements used for: diabetes

Answer 11

alpha lipoic acid
chromium
cassia cinnamon

Question 12

Supplements used for: dyslipidemia

Answer 12

red yeast rice
omega 3 fatty acids

Question 13

Supplements used for: dyspepsia

Answer 13

calcium
magnesium

Question 14

Supplements used for: energy/weight loss

Answer 14

bitter orange
caffeine
Guarana

Question 15

Supplements used for: ED

Answer 15

ginseng
L-arginine
Yohimbe

Question 16

Supplements used for: HF

Answer 16

CoQ10
Hawthorn
Omega 3 fatty acids

Question 17

Supplements used for: HTN

Answer 17

CoQ10
L-arginine
omega 3 fatty acids
garlic

Question 18

Supplements used for: GI health

Answer 18

fiber
chamomile
probiotics

Question 19

Supplements used for: inflammation

Answer 19

omega 3 fatty acids
flax seeds/oil
turmeric

Question 20

Supplements used for: sleep

Answer 20

melatonin
valerian
chamomile

Question 21

Supplements used for: liver disease

Answer 21

milk thistle

Question 22

Supplements used for: menopause

Answer 22

Black cohosh
Dong quai
evening primrose oil
soy, red clover

Question 23

Supplements used for: migraine prevention

Answer 23

feverfew
butterbur
magnesium
Riboflavin (B2)

Question 24

Supplements used for: motion sickness

Answer 24

ginger
peppermint

Question 25

Supplements used for: osteoarthritis

Answer 25

glucosamine
chondroitin
SAMe
turmeric

Question 25

Supplements used for: osteoporosis

Answer 25

calcium
vitamin D
soy

Question 26

Supplements used for: prostate health

Answer 26

saw palmetto
lycopene

Question 27

Supplements used for: skin condtions

Answer 27

tea tree oil

Question 28

Supplements used for: UTI

Answer 28

cranberry

Question 29

Vitamin A

Answer 29

Retinol

Question 30

Vitamin B1

Answer 30

Thiamine

Question 31

Vitamin B2

Answer 31

Riboflavin

Question 32

Vitamin B3

Answer 32

Niacin

Question 33

Vitamin B6

Answer 33

Pyridoxine

Question 34

Vitamin B9

Answer 34

Folic acid

Question 35

Vitamin B12

Answer 35

Cobalamin

Question 36

Vitamin C

Answer 36

ascorbic acid

Question 37

Vitamin D2

Answer 37

ergocalciferol

Question 38

Vitamin D3

Answer 38

Cholecalciferol

Question 39

Vitamin E

Answer 39

Alpha-tocopherol