Nplex Ii Botanical Medicine Contraindications

Front 1

What influence does Salvia officinalis have on lactation?

Back 1

Inhibits lactation

Front 2

Relapse of which autoimmune disease may occur with the use of Medicago sativa (Alfalfa)?

Back 2

Systemic Lupus Erythematosis

Front 3

Name three contraindications for Astragulus membranaceus.

Back 3

Astragulus should be avoided in acute infections, inflammatory skin disorders and in patients with a history of organ transplants.

Front 4

Why should Harpagophytum procumbens (Devils Claw) be used cautiously in those with GERD or PUD?

Back 4

"Harpagophytum procumbens (Devils Claw) may increase stomach acidity.;
In patients using medication that lower stomach acid (ranitidine, esomeprazole) caution should be taken when using Harpagophytum procumbens as its bitter properties increase stomach acidity."

Front 5

Why is Ephedra sinica (ma huang) contraindicated in those with Diabetes?

Back 5

Ephedra may increase blood glucose levels

Front 6

Is Prunus serotina (black cherry) safe during pregnancy to treat a cough?

Back 6

No-teratogenic due to its cyanogenic glycosides

Front 7

Due to the high content of purines, Medicago sativa (Alfalfa) should be avoided in patients with?

Back 7

Gout

Front 8

Is Tussilago farfara (coltsfoot) indicated or contraindicated for a wet cough?

Back 8

Contraindicated for a wet cough

Front 9

Is Podophyllum peltatum (mayapple) safe during the first, second, or third trimester?

Back 9

None- this herb is teratogenic and feticidal.

Front 10

With internal use, what influence does Aloe vera have on blood glucose?

Back 10

"Aloe taken orally may lower blood glucose levels;
Caution is advised in patients with diabetes or hypoglycemia, and in those taking drugs, herbs, or supplements that affect blood sugar."

Front 11

What influence does Atropa belledonna (belladonna) have on urinary output?

Back 11

"It causes urinary retention;
Due to the urinary retention, Atropa belladona is contraindicated in those with BPH."

Front 12

Is Hydrastis canadensis safe during pregnancy?

Back 12

"Hydrastis canadensis is a uterine stimulant and should not be used during pregnancy and lactation.;
(until more research is available)"

Front 13

What aspect of the patient's history is most important to determine before the use of Rubus ideas (Raspberry)?

Back 13

"History of premature labor;
Rubus (Raspberry leaf) may induce labor. Rubus may relax and tonify smooth muscle tissue, reducing labor pain and post partum hemorrhage, and is generally considered safe in pregnancies where there is no history of premature labor."

Front 14

Combining Hypericum perforatum (St. Johns wort) with Antidepressants drugs may lead to Serotonin syndrome. How would this present clinically?

Back 14

Muscle rigidity, fever, confusion, increased blood pressure and heart rate.

Front 15

What influence dose Glycyrrhiza glabra (Licorice) have on Potassium status?

Back 15

"Glycyrrhiza glabra (Licorice) can cause Hypokalemia;
Glycyrrhiza is also contraindicated in those with hypertension."

Front 16

Is Gelsemium sempervirens (gelsemium) safe during pregnancy?

Back 16

"No- Gelsemium sempervirens (gelsemium) has a very narrow safety margin.;
Oral dose can be deadly when given during pregnancy or to children, the lethal dose is 500mg."

Front 17

Is Hamamelis virginiana (witch hazel) safe for internal use?

Back 17

"No- nausea, vomiting and hepatotoxicity may occur with internal use;
This herb should only be used topically or as a gargle only, it should not be taken internally due to risk of hepatotoxicity."

Front 18

At high doses what influence does Allium sativum (garlic) have on the GI mucosa?

Back 18

At high doses it may irritate the GI mucosa causing Diarrhea and burning of the mouth.

Front 19

Is Symphytum officinalis (Comfrey) safe for oral use?

Back 19

"No- this herb is toxic orally;
pyrrolizidine alkaloids are highly toxic"

Front 20

Is Mentha piperita indicated or contraindicatedin patients with GERD?

Back 20

"Peppermint oil may relax the lower esophageal sphincter and aggravate symptoms of GERD.;
Preliminary evidence has shown that a combination of peppermint oil and caraway oil may be beneñcial for dyspepsia (heartburn) symptoms. However, heartburn may be a side effect of taking oral peppermint oil. Therefore, caution should be taken in those with dyspepsia from any cause."

Front 21

Why is a high amount of Allium cepa (onion) contraindicated in certain types of Hypothyroidism?

Back 21

"The disulfides may reduce Iodine uptake;
The potential goitrogenic effects may occur with very high dose of raw onions. Cooked onions don’t have the goitrogenic effect."

Front 22

Which lipid-lowering botanical should not be used in patients who are on warfarin, insulin, or Thyroid hormone therapy?

Back 22

"Allium sativum (garlic);
Allium sativum can lower blood glucose. The disulfides may decrease Iodine uptake and may have antiplatelet activities."

Front 23

Is Convallaria majalis (lily-of-the-valley) safe during pregnancy?

Back 23

C. majalis is contraindicated in pregnancy

Front 24

Is Mentha piperita safe during pregnancy?

Back 24

"Controversial - while many regard the tea as safe, there are theoretical concerns with the volatile oil;
Peppermint oil and menthol should be avoided during pregnancy and breastfeeding due to insufficient information and potential for toxicity."

Front 25

Discontinuing Tanacetum parthenium (Feverfew) too quickly may cause what adverse effects?

Back 25

"Withdrawl syndrome characterized by rebound headache, anxiety, fatigue, muscle stiffness, and joint pain may occur;
Patients should be encouraged to come off the botanical slowly to avoid the withdrawal symptoms."

Front 26

Why is Medicago sativa (Alfalfa) contraindicated in estrogen sensitive cancers?

Back 26

"Phytoestrogen activity may negatively influence estrogen sensitive cancers.;
Alfalfa sprout extracts exhibit potent estrogenic activity in vitro, therefore care must be taken with estrogen sensitive cancers and alfalfa supplementation."

Front 27

Is Momordica charantia (Bitter Melon) an effective and safe treatment for Gestational Diabetes?

Back 27

"No-may be effective but is contraindicated in pregnancy;
It is recommended that bitter melon not be consumed during pregnancy because two proteins isolated from the fruit were shown to result in abortion in animal studies."

Front 28

Why is Momordica charantia contraindicated on those with glucose-6-phosphate dehydrogenase deficiency (G6PD Deficiency)?

Back 28

"Risk of developing favism;
Persons with a genetic erythrocytic deficiency of glucose 6-phosphate dehydrogenase are at risk of developing favism (the onset of fever, headache, abdominal pain, severe anemia, prostration, and coma) after the consumption of bitter melon."