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29 Cards in this Set
- Front
- Back
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What regulates homeopathetic remedies?
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NOT regulated under DSHEA, minimally regulated by FDA, cause most products contain little or no active ingredients, therefore little oversight
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If a homeopathetic product is marketed for a severe condition such as CA, what happens?
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It must be an Rx
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What do dietary supplements and homeopathetic remedies have in common?
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the do not require proofs of safety/efficacy
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What is NOT required on homeopathetic labels??
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expiration date
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What is on homeopathetic OTC labels?
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ingredient list (latin names OK), instructions for safe use, at lesat one use (self limiting conditions), amt of dilution, expiration NOT required
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What does HPUS stand for?
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Homeopathic pharmacopoeia of the US=means drug was made in accordance to FDA standards
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Who/what regulates herbals (botanicals)?
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DSHEA regulates herbals in US
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What is German Commission E?
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German Commission E evaluates safety and efficacy of herbs through clinical trials and cases published in scientific lit. then publishes their own monographs periodically
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How does natural medicines databases evaluate herbs?
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rates the evidence and safety
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What herb (botanical) is possibly effective at treating menopausal symptoms?
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black cohosh
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What herb (botanical) is possibly effective at treating PMS and PMDD symptoms?
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chastetree berry
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What herb (botanical) is possibly effective at treating menopausal symptoms?
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soy
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What herb (botanical) is possibly ineffective at treating menopausal symptoms?
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red clover
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What is black cohosh otherwise known as?
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Cimicifuga racemosa
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What part of the black cohosh is used?
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rhizome/root
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when consuling a patient on black cohosh what shoudl you tell your pt?
sig of Remifenmin? |
case reports of liver damage, unsafe during pregnancy (uterine stimulation)
sig: 20 mg BID NMT 6 mths |
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What is chastetree berry otherwise known as?
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Vitex, chasteberry
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MOA of chasteberry?
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not exactly known, but may affect DOPA, ACh, and opoid receptors, may also have estrogen and progestin activity
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What should you warn your pts if they are going to take chasteberry?
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wt. gain, and irregular menstrual bleeding is possible
pregnancy/lactation UNSAFE, potentially can interact with o/C |
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Evidence of chastetree effectiveness for PMDD and PMS?
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comparable to fluoxetine for PMDD, overall possibly effective
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Evening primrose oil is possibly ineffective for what?
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PMS and menopausal symptoms
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What is evening primerose oil similiar to ?
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black current and borage seed oil
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MOA of evening primrose oil?
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potential anti-inflammatory effets therefore help with symptoms of pain and antiestrogenic effect
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Would you reccomend evening primrose oil?
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NO, trials inconsistent and contradictory
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Soy is otherwise known as?
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edamame, tofu
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what part of soy is used?
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bean
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what is the MOA of soy and red clover?
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SERM: selective estrogen-receptor modulator: estrogenic/antiestrogenic depending on if pre or postmenopausal
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what is soy possibly effective for? (5 things)
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1 menopausal symptoms
2 diabetes- postmenopausal W with type II 3 diabetic neuropathy (help with kidney disease) 4 hyperlipidemia 5 osteoporosis |
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what do the phytoestrogens interact with?
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warfarin, tamoxifen
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