Herbals: Valerian, Kava-Kava, St. Johns Wort Flashcards Preview

Adv Pharm > Herbals: Valerian, Kava-Kava, St. Johns Wort > Flashcards

Flashcards in Herbals: Valerian, Kava-Kava, St. Johns Wort Deck (12):
1

Valerian use

sedative
mild anxiolytic
sleep aid

2

valerian anest concerns

increased sedative effects of anesthetics
avoid w/ barbs, opioids, benzos

3

valerian side effects

headache
excitability
ataxia
GI discomfort

4

valerian other info

withdrawal syndrome: delirium, cardiac abnormalities

5

kava-kava use

CNS depressant
sedative
anxiolytic

6

kava-kava anest concerns

increased sedative effects of anesthetics
hepatotoxicity (chronic use) - dry scaly skin, jaundice, photosensitivity

7

kava-kava side effects

headache
dizziness
decreased coordination/reflexes
GI discomfort

8

kava-kava other info

potential for addiction, tolerance, withdrawal

9

St. John's wort use

"Prozac alternative"
used to treat depression

10

St. John's wort anest concerns

increased sedative effects of anesthetics (additive)
interacts with MAOIs (serotonin syndrome - increased HR, sweating)
increased metabolism of drugs that use CYP450
increased clotting risk?

11

St. John's wort side effects

allergic reactions
headache
dizzy
restless
fatigue
GI upset
photosensitivity

12

St. John's wort other info

caution with:
Indinavir (HIV med)
cyclosporine
digoxin
CCB
BB
phenobarb
phenytoin
birth control pills
benzos
coumadin
alfentanil
lidocaine
steroids
NSAIDs