Botanicals - Endocrine and GI System Flashcards

1
Q

Which botanical herb is:
Iodine, nutritive, anti-obesity, antirheumatic
Used for: iodine-defic hypothyroidism, goiter, obesity, RA
Side effects: may aggravate hyperthyroidism, long term ingestion may dec. iron absorption d/t binding properties, some products may contaminated with heavy metals that can cause renal failure, and acne has been reported w/use
C/I: may exacerbate or induce hyperthyroidism, pregnancy/lactation
Concurrent use of anticoagulants, anti platelet, and thrombolytic agents may result in inc. bleeding

A

Fucus vesiculosis

Bladderwrack, kelp

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2
Q

Which botanical herb is:
Hypolipidemic, anti-obesity
Used for: DM, metabolic syndrome, Wt loss, hypercholesterolemia
Side effects: aggravates reflux
C/I: GERD
It dec. insulin requirement, potentiates hypoglycemic drugs, and may potentiate atorvastatin

A

Gymnema sylvestre

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3
Q

Which botanical herb is:
Antigonadotropic, antithyrotropic, inhibits peripheral de-iodination of T4 to T3, normalizes overactive thyroid, blocks conversion of thyroxine to T3 in liver, interferes w/thyroxine production by inhibiting TSH, corrects irritability or irregularity of the heart, cardiac sedative, nervine, calms cough of nervous origin,
Used for: mild overactive thyroid, hyperthyroidism, nervousness, insomnia, PMS
C/I: hypothyroid and thyroid gland enlargement, infertility, pregnancy
May antagonize hypothyroid meds (Levothyroxine)

A

Lycopus virginicus

Bugleweed

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4
Q

Which botanical herb is:
Hypoglycemic effect, emmenagogue
Late onset DM, primarily non-insulin dependent DM (NIDDM or DM2)
Side effects: possible food intolerance
C/I: Pregnancy (emmenagogue/abortifacient), hypoglycemia, lactation
Concurrent use w/antidiabetic agents (inc. risk of hypoglycemia)
May potentiate cholesterol-lowering drugs

A
Momordica charantia
(Bitter melon)
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5
Q

Which botanical herb is:
Anti-parasitic, anthelminthic, astringent, antimicrobial, hypolipidemic,
Used for: intestinal parasites/worms, chronic constipation, dysentery, hemorrhoids, high cholesterol
Side effects: N&V, diarrhea, carcinogenic, mutagenic
C/I: pregnancy and long term use

A

Juglans nigra

Black walnut

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6
Q

Which botanical herb is:
An insect repellent, antimicrobial, anthelmintic, ulcer-protective, emmenagogue, bitter, astringent
Used for: intestinal worms/parasites, gingivitis, weak digestion, amenorrhea
Side effects: allergy to Asteraceae
C/I: Pregnancy, GI irritation

A

Tanacetum vulgare

Tansy

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7
Q

Which botanical herb is:
Astringent, antispasmodic, splenic tonic, hypotensive, sedative, expectorant,
Used for: fatty liver, hepatitis, splenomegaly, lymphadenopathy, bronchitis, asthma, cough, dysentery, GI bleeding, skin irritation/sores
May antagonize anticoagulants

A

Ceanothus americanus

New Jersey Tea

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8
Q

Which botanical herb is:

Used for: bleeding GI ulcers, hemorrhoids, wounds, heavy menstruation, metrorrhagia, dysmenorrhea

A

Geranium maculatum

American cranesbill

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9
Q

Which botanical herb is:
Astringent, styptic, anti-inflammatory, antiseptic
Topical use: varicosities, anal fissures, wounds, small burns, strains, WEEPING ECZEMA, HEMORRHOIDS
Douche use: leucorrhea, vaginal prolapse, post-partum uterine bleeding
Internal use: DIARRHEA, dysentery, rectal bleed, IBD, ulcers
Side effects: iron defic. anemia, malabsorption w/ long-term use
C/I: heart failure, large areas of skin damage, constipation, iron defic. anemia

A

Quercus rubra

Red oak

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10
Q

Which botanical herb is:
Alterative, diuretic, bitter, hypoglycemic
Used for: bitter stimulant for digestion and appetite as well as anorexia nervosa, skin conditions (dry, scaly patches like psoriasis, eczema, and dandruff)
Topical use: mastitis, OA, RA, sprains
Side effects: Nausea
C/I: allergy to Asteraceae
Additive hypoglycemic effect may require adjusting insulin

A
Arctium lappa
(Burdock)
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11
Q

Which botanical herb is:
Bitter, carminative, antimicrobial, antidepressant,
Used for: weak digestion, dyspepsia, stomach pain, colic, gas, roundworm/pinworm, mild depression, cold/flu
Side effect: continuous use (not advised), Thujone content in large doses can lead to vomiting, stomach cramps, HA, dizziness, and CNS disturbance
C/I: Hx of seizures, stomach/intestinal ulcers, pregnancy/lactation
Antagonistic effect w/ PPI
Administer separately from iron (1-2 hour spacing)

A
Artemesia absinthum
(Woodworm)
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12
Q

Which botanical herb is:
Bitter tonic, nervine tonic, carminative, emmenagogue
Used for: poor digestion (hypochlorhydria, dyspepsia, biliary insuffic. dyskinesia, anorexia, atonic constipation, gas), depression, amenorrhea
Side effects: Thujone - emmenagogue, abortifacient, convulsions
C/I: GERD, active peptic ulcer, gastritis, biliary OBSTXN, acute cholelithiasis, diarrhea, pregnancy/lactation, allergy to Asteraceae
Antagonistic effect w/ PPI
Potentiates hypoglycemic drugs

A

Artemisia vulgaris

Mugwort

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13
Q

Which botanical herb is:
Bitter, cholagogue, hepatotonic, sialogogue, antimicrobial, emennagogue
Used for: dyspeptic complaints, loss of appetite, and flatulence, stimulate bile secretion
Side effects: excess stomach acid, nausea
C/I: Presence of stomach or duodenal ulcers
Antagonistic effect w/ PPIs

A

Gentiana lutea

Yellow gentian

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14
Q

Which botanical herb is:
ASTRINGENT, CARMINATIVE, antibacterial (H. pylori), antimicrobial, vasodilator, diaphoretic, antispasmodic
Used for: loss of appetite, N&V, dyspepsia (indigestion)
Side effects: GI irritant, N&V
C/I: pregnancy, stomach/intestinal ulcers, acid reflux, prolonged use as essential oil is toxic

A

Cinnamomum zeylanicum

Cinnamon

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15
Q

Which botanical herb is:
Carminative, spasmolytic, anti-inflammatory, phytoestrogen, galactagogue
Used for: flatulence, colic, stimulation of digestion/appetite, calming effect of bronchitis, coughs, infant colic, non-ulcer dyspepsia, maldigestion, IBS, flatulence, catarrh of upper respiratory tract.
Side effects: cross sensitivity w/ celery, fresh plant = contact dermatitis, CNS toxicity (high doses)
C/I: Pregnancy, kiddos under 2, prolonged use

A

Foeniculum vulgare

Fennel

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16
Q

Which botanical herb is:
Spasmolytic, CARMINATIVE, anti-emetic, counter-irritant, antimicrobial, nervine
Topical use: myalgia, OA, RA, HA, strains/sprains
Internal use: cholelithiasis, infant colic, non-ulcer dyspepsia, flatus, maldigestion, IBS/IBD, N&V, smooth muscle spasm, viral URI
Side effects: avoid w/use of G6PD deficiency. Avoid prolonged use as an inhalant
C/I: pregnancy, GERD, occlusion of biliary ducts, GB inflammation, and severe liver damage. Do not apply to open wounds or faces of infants or small children (esp. nasal area d/t potential for asthma RXN)
Oil of this herb with use of calcium channel blockers may result in reduced effectiveness of CCBs.

A
Mentha piperita
(Peppermint)
17
Q

Which botanical herb is:
Antimicrobial, hypertensive, circulatory stimulant, antioxidant, carminative, oil improves circulation
Topical use: MYALGIA, neuralgia, arthritis
Internal use: dyspeptic complaints, loss of appetite
Side effects: at toxic dosage, may lead to coma, spasm, vomiting and death
C/I: Pregnancy, epilepsy
Potentiates: Doxorubicin and Vinblastine

A

Rosmarinus officinalis

Rosemary

18
Q

Which botanical herb is:
Warming, stimulating tonic, carminative, anti-emetic, rubefacient, diaphoretic, emmenagogue, anti-inflammatory
Used for: loss of appetite, motion sickness, dyspeptic complaints, RA (inhibits COX, LOX, and prostaglandins
Side effects: gas, bloating, and heartburn, dermatitis
C/I: To be safe, do not exceed 2 grams a day during pregnancy, presence of gallstones, hemorrhage (inhibits thromboxane synthesis)
Concurrent use with anticoagulants can increase risk of bleeding

A

Zingiber officinale

19
Q

Which botanical herb is:
Demulcent, emollient, vulnerary, anti-inflammatory
Used for inflammation of gastric mucosa, oral and pharyngeal irritation
C/I: profuse catarrh or congestion of mucous membranes in respiratory conditions
Should be administered at least 2 hours away from any other medications

A

Althaea officinalis

Marshmallow, Sweet weed

20
Q

Which botanical herb is:
Analgesic, sedative, anti-emetic, psychoactive, anti-inflammatory, hypotensive
Used for: appetite stimulant (Dronabinol) in the tx of AIDS related anorexia and anti-emetic for chemotherapy induced vomiting.
Side effects: dizziness, euphoria, laughing fits, paranoid RXN, somnolences, abN thinking
Caution is advised w/ concurrent use of CNS depressant drugs
Geriatric pts are more sensitive to CNS effects than younger pts, respiratory - long term smoking = chronic respiratory s/sxs
C/I: N&V d/t other reasons than chemo, pregnancy/lactation, PMHx or FHx of schizophrenia, DO NOT operate a motor vehicle w/in 8 hours of use
Concurrent use with Sildenafil can = cardio events, incl. MI, concurrent use of EtOH results in inc. intoxication.

A

Cannabis sativa

Marijuana

21
Q

Which botanical herb is:
Demulcent, emollient, laxative, antitussive, anodyne, anti-inflammatory, anti-thrombotic
Used for: constipation, GI irritation, nutritive (EFA’s, lignans), hormone imbalance, breast CA
C/I: Ileus (intestinal OBSTXN) of any origin, stricture of esophagus, acute inflammatory illnesses of the intestine, esophagus, and stomach
Take away from other medications

A

Linum usitatissimum

Linseed, flax

22
Q

Which botanical herb is:
Demulcent, astringent, anti-inflammatory
Used for: irritated and inflamed mucus membranes (lining of the throat and digestive tract)
External use: poultice to expedite healing of wounds, burns, swollen glands
Taking this herb with iron can affect iron absorption

A

Ulmus species

Ulmus rubra - Slippery Elm

23
Q

Which botanical herb is:
Inflammation and immune modulator, vulnerary, demulcent
Topical uses: BURNS, WOUNDS, frost bite, ulcerations, stretch marks, warts, varicose veins
Internal uses: GASTRITIS, IBD, peptic ulcer, interstitial or INFX cystitis
Side effects: may cause diarrhea and/or cramping
C/I: 3rd degree burns, deep/INFX’d wounds or wounds healing by 2nd intention
This herb has an additive hypoglycemic effect w/ glyburide

A

Aloe vera

24
Q

Which botanical herb is:
Laxative effects, cathartic
Used for constipation
Side effects: acute GI cramping, colic, harmless red urine/feces, pseudomelanosis coli, diarrhea, uterus reflex —> contraction, miscarriage
C/I: do not administered in the presence of intestinal OBSTXN, acute inflammatory intestinal dz or appendicitis
Avoid use with hypokalemic drugs

A

Cassia augustifolia

Senna

25
Q

Which botanical herb is:
Purgative (not used anymore d/t cytotoxicity), anti-tumor
Used for: warts (poultice, lotion, ointment), constipation, CA
Side effects: irritating to skin and mucous membranes
(Herb should NOT be taken internally = severe abd. pain, bloody-watery diarrhea, vomiting of liquid bile, dizziness, HA, spasms, collapse and death thru resp. failure
C/I: Pregnancy, gallstones, GI irritation

A
Podophyllum peltatum
(Mayapple, American mandrake)
26
Q

Which botanical herb is:
Laxative, cathartic, emetic, bitter
Used for constipation
Side effects: Acute GI cramping, colic, harmless red urine/feces, pseudomelanosis coli, diarrhea
C/I: Pregnancy/lactation, intestinal OBSTXN, children younger than 12. DO NOT use over 1-2 weeks
Avoid hypokalemic drugs

A

Rhamnus frangula

Rhamnus purshiana

27
Q

Which botanical herb is:
Raw parts of this plant are extremely TOXIC and poisonous
Laxative, purgative (BM in 3-5 hours after ingestion)
Internal use: constipation
External use: skin d/o’s, furuncles, carbuncles, abscesses
Side effects: internal consumption - acute GI cramping, colic, harmless red urine/feces, pseudomelanosis coli, diarrhea
Poisoning leads to disruption of the FXN of ribosomes which prevents protein synthesis.
Symptoms of poisoning: severe gastroenteritis w/ /bloody vomiting and diarrhea, kidney inflammation, loss of electrolytes, convulsions, death
Tx w/ IV diazepam, fluids and electrolyte substitution
C/I: Topically - large areas of broken skin
Internally - beyond 10 days, bulimia, intestinal OBSTXN, spastic constipation, acute GI inflammation, , unk abd pain, under 12, pregnant/lactating
Avoid hypokalemic drugs

A

Ricinis communis

Castor bean plant

28
Q

Which botanical herb is:
Laxative, hepatoprotective
Mild constipation, sluggish digestion, liver congestion
Traditionally used as a decoction for scurvy, skin eruptions, and as a “blood cleanser”.
Side effects: acute GI cramping, colic, harmless red urine/feces pseudomelanosis coli, diarrhea
C/I: GI irritation, Hx of kidney dz and oxalates
Avoid hypokalemic drugs

A
Rumex crispus
(Yellow dock)
29
Q

Which fungus can contaminate non-pharmaceutical cannabis?

A

Aspergillus

30
Q

How many castor beans would it take to kill an adult?

A

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