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18 Cards in this Set

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Chaste Tree (Vitex)

Vitex agnus-castus


Modulates oestrogen activity


PMS:


use for 3 menstrural cycles until improvement


Menstrual cycle regulation:


Can correct irregularities, due to low pogesterone


Peri-menopause:


corresting the low progesterone levels


Interactions:


Dopamine agonists (competitevly binds D2), COC

Ginger

Zingiber officinale


N&V in Pregnancy:


up to 1g/day

Raspberry Leaf

Improve the labour length:


Not proven effective but safe to use


A/E:


GI upsets, due to high tannin levels


Interactions:


High tannin levels can reduce mineral absorption (seperate by 2 hrs)


C/I:


can worsen constipation, GI discomfort and PUP all common pregnancy Sx

What vitamin is counter-indicated for women trying to increase lactation?

High doses of B6 have shown to supress lactation.

What herb has the best data to support lactation?

Fenugreek

Black Cohosh

Cimicifuga racemosa


Menopause:


may releive Sx of hot flushes, night sweats and sleep disturbences, shown to be equivilent to HRT. SERM activity. Takes 4-6 weeks to take effect. Evidence for the MOST effective herb


Breast cancer:


May have effects on oestrogen-receptive cancer (SERM activity)


Precautions:


has been linked to hepatotoxicity, avoid in liver damage.

Soy Isoflavones


Menopausal symptoms


Especially hot flushes


>30mg/day


1 study comparable to eostrogens

Red Clover

Menopausal Sx


Small reduction in hot flushes


Poor level of evidence

Sage


Menopausal symptoms, after 8 weeks


Safe at therapeutic doses


Avoid:


Pregnancy and lactation

Panax (Korean) Ginseng


Sexual arousal in menopause


probably effective for all women


(Siberian Ginseng not for this indication)

Wild Yam


Contains compound that can produce progesterone, hormones and steroids BUT not biological active forms


Therefore, NOT effective

Damiana


Female Sexual dysfunction


good results in combination product

Shatavari

NO clinical evidence as


- aphrodisiac


- promote conception

Pygeum


Benign Prostatic Hyperplasia (BPH)


Reduction in nocturia


increased peak urine flow

Saw Plametto


Adjunct to prostate surgery


BPH


inhibits the enzyme 5α-reductases that inhibits the conversion of testosterone to dihydrotesostterone


possible improve urine outflow (mild cases)


Male pattern balding


topical or oral application increase hair growth.


A/E:


GI intolerance, best taken with food


Panax Ginseng


Erectile dysfunction


low libido


male infertility

Horney Goat Weed


NOT rated for sexual dysfunction


A/E:


N&V, dry mouth, fever, tachyarrhythmia. Can cause aggressiveness, irritability or respiratory arrest with long term use


Interactions:


May increase risk of bleeding, hormone therapies and MAOI

Tribulus

Increased libido and sexual function (men)


limited evidence


Increased sports performance


No increase in muscle mass after 5 weeks


A/E:


GI disturbances, Exceptionally high libido


CI:


androgen sensitive tumours


Pregnancy and breast feeding