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18 Cards in this Set
- Front
- Back
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Most herbal meds are classified as what class of drugs
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Class II
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This act Established first legal definition of “dietary supplement”; restructured regulations on how supplements can be manufactured, sold, and promoted; and limited FDA authority on safety and efficacy of products
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1994 Dietary Supplement Health and Education Act (DSHEA)
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-mild sedative effects and
antispasmodic. -contains the chemical coumarin, active ingredient in warfarin (Coumadin). -potential for increased effects of warfarin |
Chamomile
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-Touted as “immune system booster”
-May counter the effects of immunosuppressants -Recommended NOT to be used in patients on immunsuppressive therapy |
Echinacea
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-Used for migraines, muscle aches
-Blocks synthesis of leukotrienes -Contraindicated in pregnancy -Blocks platelet activity |
Feverfew
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-lowers blood pressure
-lowers cholesterol -increased risk of bleeding -may icnrease INR |
Garlic
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-Main use for nausea and stomach upset
-effective post-surgery, morning sickness, motion sickness -can prolong bleeding time |
Ginger
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-Memory enhancer
-Increase cerebral blood flow -antiplatelet activity |
Gingko biloba
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Touted as a mood elevator (fatigue/stress)
-Energy enhancer -Similar to steroid hormones in structure -High doses cause hypotension -Enhance effects of hypoglycemia agents and antihypertensives |
Ginseng
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-Symptomatic relief of osteoarthritis
-May stimulate cell growth and inhibit inflammation -Derived from shells of crabs, lobsters, and shrimp |
Glucosamine & Chondroitin
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-Hypericum perforatum
-Licensed in Germany for anxiety, depression, and sleep disorders -similar to amitriptyline (Elavil) -may lead to serotonin syndrome -photosensitizer -decrease Digoxin by 25% |
St. John's Wort
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-Sleep aid, increases the risk for CNS depression when used with: ETOH and/or barbiturates
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Valerian & Kava-kava
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-ma huang
-Cardiac stimulant--increase blood pressure and heart rate -Stimulate uterine contractions -Peripheral vasculature constriction -used for weight loss |
Ephedra
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-Touted as a liver protectant
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Milk Thistle
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-treat menopausal symptoms
-contains small about of salicylic acid -Contraindicated in women with h/o estrogen-dependent tumors or endometrial cancer -Antiplatelet effects similar to aspirin |
Black Cohosh
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-Anti-inflammatory
-In 1851 = aspirin -same contraindications as aspirin apply |
White Willow Bark
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-Angina, HTN, heart failure
-vasodilator and cardiotonic |
Hawthorn
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-used for GI complaints (PUD)
-Causes hypokalemia -INCREASES TOXIC EFFECTS OF DIGOXIN |
Licorice
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