Herbs

Question 1

What are the most common drug-herbal interaction?

Answer 1

• can increase the action of INSULIN and oral hypoglycemic agents
• can decrease action of ANTICONVULSANTS
• can increase the action of CNS DEPRESSANTS
• can increase the action of ANTIHYPERTENSIVES
• can increase ANTICOAGULANT EFFECTS
• can decrease ANTICOAGULANT EFFECT of warfarin

Question 2

Which herbal supplements increase the action of insulin and oral hypoglycemics?

Answer 2

Garlic
GInseng
Black Cohosh

Question 3

Which herbal supplements decrease the action of anticonvulsants?

Answer 3

Ginkgo

Echinacea

Question 4

Which herbal supplements increase the action of CNS depressants?

Answer 4

Ginseng
St Johns Wort
Valerian
Kava

Question 5

Which herbal supplements increase the action of antihypertensives?

Answer 5

Black Cohosh

Question 6

Which herbal supplements increase anticoagulant effects?

Answer 6

Garlic
Ginger
Ginkgo
Feverfew
Cranberry (on warfarin)
Glucosamine

Question 7

Which herbal supplements decrease anticoagulant effect of warfarin?

Answer 7

Ginseng
Coenzyme Q10
Green Tea (in high doses, not just a cup of tea..)
St Johns Wort
Soy (high doses)

Question 8

What is Ginkgo’s therapeutic use?

Answer 8

• improving memory and concentration

- other neuro conditions like depression

Question 9

Herb:

• improving memory and concentration
• other neuro conditions like depression

Answer 9

Ginkgo

Question 10

What is Glucosamine’s therapeutic use?

Answer 10

• osteoarthritis

- often given with chondroitin

Question 11

Herb:

• osteoarthritis
• often given with chondroitin

Answer 11

Glucosamine

Question 12

What is Kava’s therapeutic use?

Answer 12

-anxiety

Question 13

Herb:

-anxiety

Answer 13

Kava

Question 14

What is Probiotics’s therapeutic use?

Answer 14

• replenishes/replaces GI tract healthy bacteria

- used especially when a patient is on antibiotics

Question 15

Herb:

• replenishes/replaces GI tract healthy bacteria
• used especially when a patient is on antibiotics

Answer 15

Probiotics

Question 16

What is Saw Palmetto’s therapeutic use?

Answer 16

-treating the symptoms of BPH

Question 17

Herb:

-treating the symptoms of BPH

Answer 17

Saw Palmetto

Question 18

What is St John’s Wort’s therapeutic use?

Answer 18

-depression

Question 19

Herb:

-depression

Answer 19

St John’s Wort

Question 20

What is Black Cohosh’s therapeutic use?

Answer 20

• symptoms of menopause

- menstrual cramps/labour pains

Question 21

Herb:

• symptoms of menopause
• menstrual cramps/labour pains

Answer 21

Black Cohosh

Question 22

What is Coenzyme Q10’s therapeutic use?

Answer 22

• antioxidant
• CHF & myopathies, angina, dysrhythmias
• diabetes
• cancer
• boost energy

Question 23

Herb:

• antioxidant
• CHF & myopathies, angina, dysrhythmias
• diabetes
• cancer
• boost energy

Answer 23

Coenzyme Q10

Question 24

What is Cranberry’s therapeutic use?

Answer 24

-treatment and prevention of UTIs

Question 25

Herb: | -treatment and prevention of UTIs

Answer 25

Cranberry

Question 26

What is Echinacea's therapeutic use?

Answer 26

- antiviral - anti-inflammatory - immunostimulant

Question 27

Herb: - antiviral - anti-inflammatory - immunostimulant

Answer 27

Echinacea

Question 28

What is Garlic's therapeutic use?

Answer 28

-cardiovascular effects -reduce LDLs and raise HDLs reduce BP, suppress platelet aggregation, increate arterial elasticity, decrease formation of atherosclerotic plaque -antimicrobial & anticancer

Question 29

``` Herb: -cardiovascular effects -reduce LDLs and raise HDLs reduce BP, suppress platelet aggregation, increate arterial elasticity, decrease formation of atherosclerotic plaque -antimicrobial & anticancer ```

Answer 29

Garlic

Question 30

What is Ginger's therapeutic use?

Answer 30

-suppresses nausea and vomiting caused by morning sickness or motion sickness

Question 31

Herb: | -suppresses nausea and vomiting caused by morning sickness or motion sickness

Answer 31

Ginger

Question 32

Which herbs have a risk for affecting blood coagulation and should not be taken with blood thinners?

Answer 32

Cranberry (warfarin) Coenzyme Q10 (may antagonize effects of warfarin) Garlic (increases effects of anticoagulants) Ginger (increased bleeding risk with anticoagulants) Ginkgo (increased bleeding risk with anticoagulants) Glucosamine (risk of bleeding) St John's Wort (interacts with warfarin)

Question 33

Which herbs have an increased sedation effect if taken with other CNS depressants?

Answer 33

Kava (increased sedations) St John's Wort (intensification of serotonin effects if taken with other antidepressants; increases analgesic effect of morphine) Ginger (overdose can cause CNS depression)

Question 34

Which herbs may have a hypoglycemic effect and should not be taken by diabetics?

Answer 34

``` Black Cohosh (may potentiate hypoglycemic effect of oral agents and insulin) Garlic (hypoglycemia when used with diabetic patients) ```

Question 35

Which herbs interact with oral contraceptives?

Answer 35

St John's Wort | Black Cohosh

Question 36

Which herb can cause muscle paralysis in high doses?

Answer 36

Kava

Question 37

Which herb can cause photosensitivity and stinging in the hands?

Answer 37

St Johns Wort

Question 38

What herb should not be taken by people who have an allergy to plants in the daisy family (ie ragweed, marigolds)?

Answer 38

Echinacea

Question 39

Which herb can cause uterine stimulation, nausea, hypotension and liver toxicity?

Answer 39

Black Cohosh

Question 40

Which herb participates in production of ATP at the mitochondrial level?

Answer 40

CoQ10

Question 41

What are the oils in garlic that give it healthy benefits called?

Answer 41

Alliaceous oils - only present in raw garlic