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Flashcards in herbal Deck (22):
1

How can you tell a supplement from medicine

Supplement is more gentle, diluted, and has less ADE. multichemical, and consistent quality and purity
Medicine has an active constituent, toxicity, and ADE;s

2

What does the DSHEA legislation say

Allow structure and function statements
Permit FDA oversight in manufacturing process
Require ingredient list and amount
Applied to herbs, minerals, and vitamins

3

The DSHEA legislation does NOT

allow medical claims
Require safety and efficacy data
require standardization

4

What are the studied herbs

garlic
ginkgo biloba
Ginseng
Echinacea purpurea
milk thistle
st john's wort
black cohosh
saw palmetto
ephedra
feverfew
kavakava
valerian
marijuana

5

What herbs have a narrow margin of safety

Aconite
pheasant's eye
Pasque flower
arnica
bryony
ipecac
cinchona bark
lily of the valley
datura
foxglove
male fern
yellow jasmine
henbane
blueflag
mandrake
indian snakeroot
bloodroot
scotch broom
tansy ragwort
squill
false hellbore
european mistletoe

6

What herbs are potentially hepatotoxic

Chaparral
Comfrey
heliotrope
germander
pennyroyal
liferoot (also venoocclusive dz)

7

What herbs are potentially carcinogens

borage
calamus
coltsfoot
sassafras

8

Are herbs safe?

most are safe with mild and infrequent ADE
ADE can occur and manufacturers have no regulatory responsibility to ensure safety of their products

9

Do herbs ned to be regulated

legally, they do not need FDA approval
label claims are vague and confusing
products from different manufacturers vary considerably

10

You are about to start a patient on warfarin but he/she tells you that they eat garlic with every meal and bate in it (wtf). What should you tell them in regards to the garlic soap (topical) before starting them on warfarin

Reduce the use of topical garlic!

11

In what type of patient would a Ginkgo Biloba trial be appropriate

patient suffering from dementia

12

What is not an appropriate use of ginseng

lupus

13

why do many people use echinacea purpurea

to fight the common cold and URI's

14

what is a major contraindication for milk thistle

allergy to chamomile

15

what is a potential ADE of st john's wort

photosensitivity

16

what lab test should you order prior to administering black cohosh

LFT's

17

which herb can be used to treat BPH

saw palmetto

18

A 25-year-old female presents to the ED for evaluation after suffering a generalized tonic-clonic seizure. Seizure lasted 1 minute and was witnessed by her boyfriend. Patient did not lose bowel or bladder control during episode. She reports she is feeling better, but still feels like her heart is racing. Patient reports that for the past two weeks she has been taking a weight loss pill given to her by her friend in attempt to get ready for her upcoming pageant. What diet pill do you suspect the patient had been taking?

Ephedra (ma huang)

19

what is a common use for feverfew and what is a possible side effect seen with use

used for migraine prophylaxis
common ADE: allergic contact dermatitis

20

if a pt takes >250 mg of Kava per day (max daily dose), what is a serious ADE that can occur

Liver failure

21

Valerian root extracts are used to induce sleep and improve sleep quality. valerian may enhance the ADE of what drug

Benzodiazepines

22

Cannabidiol, an active chemical in marijuana, has been aproved by the FDA to treat what condition

specific seizure conditions in those 2+ y/o