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49 Cards in this Set

  • Front
  • Back

poorly designed studies of dietary supplements and herbal medications do not account for what

randomized errors


confounders


placebo effect

what is the difference between an OTC medcation and a dietary supplement

OTC is regulated


dietary supplements are not

what herbal medication is taken for benign prostatic hyperplasia

Saw Palmetto. it is recommended for prostate health

what herbal medication is taken for hepatitis

Milk Thistle

what herbal medication is taken for anti-cancer

Ginseng

what herbal medication is taken for cognitive function

Ginkgo

what herbal medication is taken for hypercholesterolemia

Garlic

what herbal medication is taken for common cold and flu

echinacea

what herbal medication is taken for depression

St. John's wart

can St. John's wart interact with other depressants

yes

coenzyme Q10 is generally prescribed in which group of patients

patients with myopathy such as a MI patient

is melatonin tablet the same melatonin produced by our pineal gland

No, so it can only be taken for a short period of time

what precaution would you need to take when you prescribe glucosamine to your patients

it has a cross allergy to shellfish

what are 2 "fairly reliable" resources for information on botanicals

-pharmacists letter/prescribers letter natural medicines comprehensive database




-natural standard

is the evidence adequate to produce clear conclusions

rarely

all statements regarding the positive benefits should be regarded as what

preliminary

and even conclusions regarding safety should be considered what

tentative at this time

dietary supplements place the burden of proof of efficacy and safety on whom

FDA

dietary supplements are considered what

food supplements

what has to be proven before the FDA can restrict or remove a supplement from the market

it must be proven harmful

what is the risk of products labeled as "natural"

they could be inert, toxic, may have been adulterated, misbranded, or contaiminated

is the contamination intentional or unintentional

could be both

why is it difficult and costly to study the potential drug interactions when combined with medications

because botanicals contain hundreds of active and inactive ingredients

most commonly used natural product

echinacea

from the 2013 study, people who took echinacea for 4 months had what

fever colds


few side effects

echinacea has what type of properties

anti-inflammatory


antiviral


antibacterial

what are the adverse drug reactions to echinacea

flu-like symptoms and rash

when should you avoid echinacea

with any type of immune disorder

garlic contains what organosulfur compounds

allicin or alliin

in-vitro, allicin compounds do what

inhibit HMG-CoA reductase

studies have showed small but significant reduction in what

total cholesterol and triglycerides

studies also show an enhancement of what with garlic

fibrinolytic activity

garlic can affect what in the cardiovascular system

blood vessel elasticity and blood pressure

what happens when you take too much garlic

it can be painful

adverse reactions to garlic

nausea


hypotension


allergy


bleeding


contact dermatitis

what type pf patients need additional monitoring for blood pressure

patients taking antiplatelet agents

what does gingko do

promote vasodilation, enhancing tissue perfusion

gingko should not be combined with what

antiplatelet or anticoagulation medications

adverse drug reaction for ginseng

vaginal bleeding


mastalgia


insomnia, nervousness


hypertension

precautions for ginseng

- psychiatric, estrogen or hypogylcemic medications


- warfarin

what is milk thistle

silybum marianum

what is derived from milk thistle

silymarin

what else has milk thistle been used for in the past

used to induce lactation in pregnant and postpartum women

adverse drug reactions to saw palmetto

nausea


diarrhea


fatigue


decreased libido

what is the risk with using St. john's wort when used with SSRI's

serotonin syndrome

3 types of purified nutritional supplements

Coenzyme Q10


Glucosamine


Melatonin

where is Coenzyme Q10 found

mitochondria

what is glucosamine used for

cartilage nutrient


used for pain associated with knee osteoarthritis

how does melatonin affect male and female reproductive function

inhibits ovulation




exogenous - decreased sperm quality




endogenous - enchanced sperm quality