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Flashcards in Herbals Products Deck (44):
1

Dihydroepaindrosterone - DHEA

- Indication
- Risk

Indication
- Syn estrogen, progesterone, testosterone, and cortisol
- Slow the aging process, or the erectile dysfunction.

Risk:
- Hormone-sensitive cancers

2

Lysin or L-Lysin

- Indication

An essential amino acid. Human do not make their own. It's in meat, cheese, certain fish, nuts, and eggs

- Indication: Cold sores

3

Lutein

- Indication

- Helps keep the eyes safe from oxidative stress and the high-energy photons of blue light

4

St. John's Wort

- Indication
- Increase risk
- ADEs
- DDIs

- Indication: depression
- Increase risk of serotonin syndrome

ADEs
- insomnia, vivid dreams, restless leg syndrome,
- GI: diarrhea
- Fatigue, dry mouth, dizziness, HA

DDIs: Inducer of CYP450
- Birth control: decrease ethinyl estradiol
- Warfarin
- Decr cyclosporine
- CCB (diltiazem, verapamil)
- Antifungals: ketoconazole, itraconazole
- Chemo: etoposide, paclitaxel, vinblastine, vincristine, vindestine

5

SAM-e

- Indications

Depression
- Osteoarthritis

6

Symmetry
Serenity

- SE

Lithium orotate

SEs
- Cognitive, wt gain, risk for hypothyroidism. Polyuria, DM can occur

7

Glucosamine/Chondroitin

- Indication
- DM pt:
- Blood thinner taken pt
- CI

- Indication: osteoarthritis
- DM pt: increase insulin resistance => should be under close medical supervision
- Blood thinner taken pt: increase INR
- CI: allergic to shellfish

8

Kava Kava

- Indication
- ADEs
- Kava + EtOH

- Indication: anxiety disorder, stress, insomnia

ADEs
- Hepatotoxicity, liver failure
- GI, HA, dizziness, drowsiness
- Mouth numbness if chewed
- Allergic rxn

Kava + EtOH: CNS depression

9

Valerian

- Indication

- Indication: anxiety

10

Chamomile

- Allergy

Bedtime tea

- Allergy to ragweed will also be allergic to chamomile

11

Saw Palmetto

- Indication
- SE

- Indication: BPH
- SEs: mild GI, HA, decreased libido

12

Ephedra

- Indication:
- Ephedra action

Ma Huang

- Increase energy levels, build muscle mass, weight loss
- Ephedra action: FDA prohibits from selling to due risk of serious illness

ADEs: agitation, tremor, seizures, dizziness, n/v, increased HR and BP, arrhythmias, chest pain, kidney stones, heart attack, stroke, and death

13

Lean Systerm 7

Ephedra-free weight loss

- Bitter orange + caffeine

14

Ginseng

- Indication
- ADEs

Indication
- Fatigue
- Improve cognitive function
- Stimulate immune fxn

ADEs
- Insomnia, nervousness, tachycardia, HA, depression, GI
- May ppt hypoGlycemia
- May decrease INR

15

Ginkgo

- Indications
- Risk in elderly

Indication:
- Dementia, improve memory
- Asthma
- Sexual dysfunction, Alzheimers

- Risk in elderly: increase risk of stroke

16

Garlic

- Indication
- ADEs
- DDI
- Dose

Indication
- Prevention of atherosclerosis
- High blood pressure
- Immune system stimulation
- Tx of hyperlipidemia

ADEs
- GI, HA, dizziness, palpitation

- DDI: warfarin, and anti platelet drugs
- Dose: 4g/day

17

Echinacea

- Indication

Indication
- Used to treat respiratory track infection
- General immune system stimulation

18

Goldenseal

- Indication
- Avoid in

- Anti-inflammatory, antimicrobial, laxative, and used to induce contraction or greater tonicity of the uterus
- Some people take this to pass urine drug test
- Do not give it to pregnancy women => move the baby

19

Feverfew

- Indication

Used for
- Migraine prophylaxis
- Anti-inflammatory
- Anti-coagulant effects

20

Soy

- Indication

Decrease hot flashes
Decrease postmenopausal sx

21

Yohimbe

- Indication

To treat:
- Impotence
- Aphrodisiac
- for body building

22

Evening primrose oil

- Indication
- Avoid

- Used for: eczema, inflammation (premenopausal and postmenopausal syndrome)
- Do not give to pt with sz

23

Borage seed oil

- Indication
- May cause

Indication:
- Join pain and swelling of arthritis
- Atopic dermatitis
- Menopausal disorders

- May cause liver damage

24

Vit E

- Active form:
- Indication

- Most active form: alpha-tocopherol
- Act to protect your cells again the effects of free radicals

Neither Vit E or C reduced the risk of major CV events

25

Cranberry

Reduce recurrent urinary tract infection

26

Dong Quai

- Indication
- ADEs
- Safety concerns

- Female ginseng

Indication:
- Regulates menstrual cycles
- Help with painful menstruation/pelvic pain

- ADEs: bleeding, photosensitivity

Effects and safety concerns:
- Do no use in pt with bleeding disorders, excessive menstrual bleeding, diarrhea, bloating, during infection
- May contain estrogen-like comp'd => pregnant and nursing women do not take it
- Do not take if on warfarin

27

Black Cohost

- Indication
- ADEs
- C/I

Indication:
- Menopausal sx: hot flashes, sweating, HA, sleep disturbances, depressed mood

- ADEs: liver failure
- CI: pregnancy. may induce labor/miscarriage

28

Co10

- Indication

Indication
- Lower BP slightly
- Help with HF and other heart conditions
- Statin myalgia: reduce statin induce pain

29

Milk thistle

- Indication
- Avoid

Indication
- Liver problem
- Liver cirrhosis, hepatitis
- Gall bladder problem

Avoid:
- Breast cancer
- Endometriosis
- Hormone sensitive conditions: ovarian CA, uterine CAN, uterine fibroids

30

Red Yeast Rice Supplements

- Indication
- ADEs

Lower cholesterol (has lovastatin)

- ADEs: Hepatitis

31

Honey

- Indication

Indication
- Wound healing

Medical honey
- Pressure ulcers, surgical wounds, burns

- Provides moisture barrier which help keep the wound hydrated and promotes growth of healthy tissue
- Has some anti-bacterial and anti fungal activity

32

Herbal with clotting problems

- Glucosamin:
- Chondroitin:
- Evening primrose oil:
- Borage seed oil
- Vit E
- Cranberry juice
- Dong quai
- American ginseng
- Green tea
- CoQ10
- Goldenseal

- Glucosamin: increase INR
- Chndroitin: increase INR
- Evening primrose oil: 40% show increase risk of bleeding
- Borage seed oil: Same as above
- Vit E: dose > 1200 can increase bleed time
- Cranberry juice: Increase INR
- Dong quai: Increase INR
- American ginseng: Decrease INR
- Green tea: Decrease INR
- CoQ10: Decrease INR
- Goldenseal: Induces 3A$ and 2D6

33

3Gs and DEFF causing bleeding

- Garlic, ginger, ginkgo: don't take with anti platelet
- Dong Quai
- Vit E
- Fever few
- Fish oil

34

USP

USP has tested n verified to assure the following:
- What is on the label is in fact in the bottle
- Does not contain harmful levels of contaminant
- Supplement will break down and release ingredients into the body
- Has been made under good manufacturing practices

USP is enforceable by FDA

35

Zantrex - 3

Ephedra-Free Weight Loss

- Contain caffeine

36

Ajo

- Indication

Garlic

- Prevention of atherosclerosis, hyperLD, immune system stimulation

37

Nectar of the Gods

- Indication

Garlic

- Prevention of atherosclerosis, hyperLD, immune system stimulation

38

Stinking Rose

- Indication

Garlic

- Prevention of atherosclerosis, hyperLD, immune system stimulation

39

Poor Man's Treacle

- Indication

Garlic

- Prevention of atherosclerosis, hyperLD, immune system stimulation

40

American Cone Flower

- Indication

Echinacea

- Tx Res Tract infection and immune system stimulation
- Not for ppx

41

Black Susan

- Indication

Echinacea

- Tx Res Tract infection and immune system stimulation
- Not for ppx

42

Snakeroot

- Indication

Echinacea

- Tx Res Tract infection and immune system stimulation
- Not for ppx

43

Hedgehog

- Indication

Echinacea

- Tx Res Tract infection and immune system stimulation
- Not for ppx

44

Allium Sativum

- Indication

Garlic

- Prevention of atherosclerosis, hyperLD, immune system stimulation