Intro to Herbal Meds

Question 1

Echinacea

Answer 1

cold

Question 2

Ginkgo

Answer 2

reduce cognitive impairment

Question 3

Garlic (3)

Answer 3

athersclerosis
high cholesterol
HTN

Question 4

Ginseng

Answer 4

boost stamina, mental & physical performance

Question 5

Milk thistle

Answer 5

liver disease

Question 6

St. John’s worts

Answer 6

antidepressant

Question 7

Saw Palmetto

Answer 7

Benign prostatic hyperplasia (BPH)

Question 8

Glucosamine and Chondroitin

Answer 8

osteoarthritis

Question 9

Melatonin

Answer 9

sleep-wake cycle

Question 10

Butterbur

Answer 10

migraine

Question 11

Feverfew

Answer 11

migraine

Question 12

CoQ10 (3)

Answer 12

reduce statin-induced myopathy
migraine
neurodengenerative disease

Question 13

Fish oil

Answer 13

hypertriglyceridemia

CVD

Question 14

MOA for echinacea (3)

Answer 14

Immune modulating
Anti-inflammatory (inhibits COX)
Increase # of immunological blood cells

Question 15

MOA for ginkgo

Answer 15

increase serotonin receptor density

Question 16

MOA for garlic for tx of HTN

Answer 16

1) Inhibition of ACE –> decrease vasoconstriction
2) Increased NO bioavailability
3) Increased H2S production
- combo of 2 & 3 increases vasodilation

Question 17

MOA for St. John’s worts

Answer 17

inhibit reuptake of serotonin, DA, NE

Question 18

MOA for Saw Palmetto

Answer 18

1) inhibits 5alpha-reductase (converts tesosterone –> dihydrotestosterone)
2) blocks DHT from binding to androgen receptors

Question 19

Increased bleeding risk in pts on warfarin (6)

Answer 19

1) gingko
2) garlic
3) ginseng
4) glucosamine & chondroitin
5) feverfew
6) CoQ10

Question 20

Increase immune system activity

Answer 20

Echinacea

Ginseng

Question 21

Decrease reproductive system function

Answer 21

melatonin

Question 22

Induce mania in psychiatric patients

Answer 22

St. John’s wort

Ginseng

Question 23

Increase risk of seizures in seizure-prone individuals

Answer 23

Ginkgo