Sweatman: Alternative Therapies

Question 1

natural drugs linked to liver damage

Answer 1

Kava

comfrey

Question 2

retail vs non-retail

Answer 2

non-retaile MUCH more likely to report adverse effects, interactions, warnings and recommendations to discuss with provider

and more often include citations from medical literature

Question 3

HERBALS affecting coagulation status

Answer 3

coumarin derivatives-> anise, celery, chamomile, fenugreek, red clover

natural sialcylates-> meadowsweet, poplar, willowbark

Antiplatelet action-> garlic, gingko biloba

hypercoagulability–> short lived fibrinolytic action
capiscum

Question 4

known prescription drug interactions

Answer 4

bitter orange-1a2
echinacea-1a2
gingko biloba-2d6
ginseng-2d6
St. Johns wort-3A4, 2C9

Question 5

antagonize immunosupressants like azathioprine, corticosteroids, cyclosporine, tacrolimus

Answer 5

echinacea

ginseng

Question 6

stimulant effects may oppose sedatives and produce additive actions with epi, phentamine, pseudoehpedrine, nictoine or amphetimine

Answer 6

caffeine and green tea

Question 7

estrogen like compounds
could increase risk of cancer in uterus

possible breast and other hormone sensitive cancers

Answer 7

red clover

Question 8

mean PSA doubling time increased

Answer 8

pomegranite juice

Question 9

cyp3a4 inhibitor, increases rhabdomyolysis with statins

Answer 9

pomegranate juice

Question 10

can cause pseudoaldosteronism

hypokalemia esp with diuretics and steroids, hypertnension, preterm labor

Answer 10

licorice root

-innapropriate stimulation of mineralocorticoid receptor by cortisol

DGL -fewer symptoms

Question 11

non-prescription stimulant laxative-FDA approved

Answer 11

senna

overuse may cause hypokalemia and dehydration

Question 12

overuse of senna

Answer 12

hypokalemia and dehydration

decrease absorption of other drugs-BC pills, estrogens, digoxin

Question 13

prevention of UTI or H pylori, prevent dental plaques

Answer 13

cranberry -MAY PREVENT E COLI FROM CLINGING TO THE WALLS

Question 14

vitamins easily absorbed but not stored in the body

Answer 14

water soluble-renally eliminated

these are the B vitamins

Question 15

fat soluble vitamins-absorbed with bile acids and are stored for use as needed

Answer 15

ADEK

Question 16

acute renal failure requiring dialysis

Answer 16

vitamin C

Question 17

birth defects, liver problems, osteoporosis

Answer 17

vitamin A

-exacerbated by ETOH and high cholesterol

Question 18

constiupation, weight loss, arryhtmia, calcium and phosphorous deposition in soft tissue

Answer 18

vitamin D

Question 19

antagonixe warfarin anticoagulant

Answer 19

Vitamin E and K

Question 20

omega 3 fatty acids

Answer 20

slight dec in BP, high intake required causing increase bleeding

increase HDL and INCrease LDL

dec risk fo second MI, and death from any cause

dec risk of Alzheimers, dec risk of CV disease, protection from cyclosporine toxicity, improvement in Rhematoid arthritis

Question 21

COq10,

Answer 21

antioxidant
lowers BP
increased HDL and dec heart disease
prevent statin induced myopathy
well tolerated

may reduce warfarin activity

Question 22

inneffective glucosamine

Answer 22

hydrochlorite

Question 23

glucosamine works for

Answer 23

joints

may increase INR

Question 24

melatonin made from

Answer 24

serotonin-tryptophan

Question 25

reset jet lag-body clock

Answer 25

melatonin

Question 26

cyp 1a2-interaction with nefedipine

Answer 26

melatonin

Question 27

dec fertility and decrease breast milk prodcution

Answer 27

melatonin

Question 28

dec BPH symptoms do not shrink prostate

Answer 28

beta sitosterols

Question 29

echinacea

Answer 29

no clear eveidence

Question 30

dec cholesterol

Answer 30

garlic

Question 31

may dec vertigo

Answer 31

gingko

Question 32

lowers ldld and bs sugar boost immune system enhance response to flu

Answer 32

gensing

Question 33

dec jet lag

Answer 33

melatonin

Question 34

few side effects than benzos, use for sleep/anxiety in ADHD children

Answer 34

valerian

Question 35

mild to moderate depression in children ossibly

Answer 35

st johns wort

Question 36

dec severity of childhood diarrhea in 3rd world inc healing of gastric ulcers dec symptoms of sickle cell anemia Acne, ADHD, Down syndrome, Herpes, high cholesterol, immune function, plaque, gingivitis

Answer 36

zinc

Question 37

beneficial with prostate colorectal and lung cancer

Answer 37

selenium-brazil nuts hiv-selenium defificiecy common

Question 38

Broccoli | Enhances insulin action, carbohydrate fat and protein metabolism

Answer 38

chromium-though no proven effects