Top 5 Herb/Suppl

Question 1

Echinacea name

Answer 1

Echinacea Purpurea

Question 2

Echinacea part plant used

Answer 2

E. purpurea above ground

Question 3

Echinacea standardization

Answer 3

none

Question 4

Echinacea clinical indication (support)

Answer 4

treat common cold(poor–weak benefit when taken within 24hr of symptom onset)

Question 5

Echinacea SE

Answer 5

occasional bad taste with liquid extract; rare rash and allergic reaction

Question 6

Echinacea disease interxn

Answer 6

immune stimulation may be bad in auto-immune disorders or immunocompromised

Question 7

Echinacea drug interxn

Answer 7

immunosuppressant drugs

Question 8

Echinacea contraindications

Answer 8

pregnancy/lactation

Question 9

Garlic name

Answer 9

Allium Sativum

Question 10

Garlic plant part used

Answer 10

bulb

Question 11

Garlic standardization

Answer 11

Dried powdered tab or cap std 1.3% alliin or 0.6% allicin

Question 12

Garlic clinical indication, support

Answer 12

lowers total cholesterol (fair but small 4-6% reduction compared to Rx); does not affect LDL or HDL

Question 13

Garlic SE

Answer 13

common bad breath and body odor; rare upset stomach

Question 14

Garlic Disease Interxn

Answer 14

may worsen stomach irritation if upset stomach or ulcer; bleeding disorders bc anti-platelet effect; small reduction in blood pressure so antihypertensive pt should monitor BP; doesn’t affect diabetes

Question 15

Garlic Drug Interxn

Answer 15

reduces effect of saquinavir (HIV protease inhibitor); anti-platelet effects additive if taken with anticoagulant (coumadin) or anti-platelet (aspirin)

Question 16

Garlic Contraindication

Answer 16

pregnancy/lactation; caution pre/post-surgery or stomach ulcers

Question 17

Gingko plant name

Answer 17

Gingko biloba

Question 18

Gingko plant part used

Answer 18

leaf

Question 19

Gingko standardization

Answer 19

24% flavone glycosides, 6% terpene lactones

Question 20

Gingko clinical indication

Answer 20

improve mild to moderate Alzheimer’s dementia (fair); improves memory in healthy young or seniors without dementia (poor); improves walking distance by increasing peripheral circ with POAD (poor)

Question 21

Gingko SE

Answer 21

rare allergy, upset stomach, headache

Question 22

Gingko disease interxn

Answer 22

avoid bleeding disorders due to anti-platelet effects, avoid in epilepsy

Question 23

Gingko drug interxn

Answer 23

anti-platelete effects dditive with anticoagulant (coumadin) or anti-platelet (aspirin); anti-seizure meds

Question 24

Gingko C/I

Answer 24

pregnancy/lactation; children; caution pre/post-surgery

Question 25

St. John’s wort name

Answer 25

Hypericum perforatum

Question 26

St. John’s wort plant part

Answer 26

above ground

Question 27

St. John’s wort standardization

Answer 27

0.3% hypericin or 5% hyperforin

Question 28

St. John’s wort clinical indication

Answer 28

decrease mild to moderate depression (good); moderate to severe depression (fair)

Question 29

St. John’s wort SE

Answer 29

rareanxiety/agitation or mania, photosensitivity

Question 30

St. John’s wort disease interxn

Answer 30

avoid bipolar disorder, mania, or schizophrenia

Question 31

St. John’s wort drug interxn

Answer 31

increases metabolism of other drugs since cyt P540 inducer; avoid transplant med, cardiovascular med (coumadin0, birth control, cHIV meds; additive effect on anti-depressants may lead to seotonin syndrome and mania with other psychiatric meds

Question 32

St. John’s wort CI

Answer 32

pregnancy/lactation; children; do not use on sever depression taht may worsen without proper Rx; avoid if received anti-depressant Rx in the past; hyperforin can cross into breast milk to increase oclic, lethargy, and drosiness in infants

Question 33

Saw Palmetto name

Answer 33

Serenoa Repends

Question 34

Saw Palmetto plant part used

Answer 34

fruit or berries

Question 35

Saw Palmetto standardization

Answer 35

80-95% sterols and fatty acids

Question 36

Saw Palmetto clinical indication

Answer 36

can reduce symptoms of mild to mod BPH-benign prostatic hypertrophy (fair)

Question 37

Saw Palmetto SE

Answer 37

rare upset stomach

Question 38

Saw Palmetto Disease/Drug interxn

Answer 38

none

Question 39

Saw Palmetto CI

Answer 39

pregnancy/lactation; children; check PSA-prostate-spec antigen