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5 Written questions

5 Matching questions

  1. Why take herbal medicine?
  2. Glucosamine sulfate Side Effects
  3. St. John's Wort Drug Interactions
  4. Licorice root extract Side Effects
  5. Echinacea (purpura, angustifolia) Side Effects
  1. a Hypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB
  2. b Will produce exaggerated effects:

    Antidepressants (SSRI's, TCA's or MAOI's)
    Some opioids (tramadol, meperidine, dextromethorphan)
    Amphetamine, cocaine
    MDMA (ecstacy), LSD, psilocybin
    Triptans (migraine)
    Lithium
    Buspirone
  3. c Available without a prescription
    Cheaper
    Self-diagnosis and self-prescribing (control over disease + treatment)
    Perceived to have fewer side effects, no lethal effects
    Lack of health insurance
    Cultural influences
    Other options have not worked
    Strong advertising - enhanced immune function, easy weight loss, etc.
    Perceived as "natural, safer, and healthier"
  4. d very few, mostly GI
  5. e Headache, muscle weakness, water retention, electrolyte imbalance, arrhythmias, heart failure

    Limit use to no more than 6 weeks.

5 Multiple choice questions

  1. menopause symptoms, rheumatoid arthritis, induce labor
  2. sleep, reduces nervousness, stress, anxiety
  3. potential effects on coagulation, do not use in patients taking anti-coagulants, MAO-Is, antipsychotics and hypoglycemics. Not recommended in pregnancy. Risk of serotonin syndrome.

    Discontinue 7 days before general anesthesia
  4. St. John's Wort
    Garlic
    Ginkgo
    Ginger
    Ginseng
    Glucosamine
    Echinacea
    Kava
    Valerian
    Black Cohosh
  5. Nausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy

5 True/False questions

  1. Garlic (Allium sativum)Odor, nausea, mouth/esophageal ulceration


    Increases risk of bleeding - discontinue use 2-3 weeks before surgery, caution with anticoagulants or antithrombotics (Aspirin or NSAIDS)

          

  2. Ginkgo (Ginkgo biloba) Side EffectsDementia, intermittent claudication, peripheral arterial insufficiency, sexual dysfunction

          

  3. Clove Oil Side EffectsUse: topically for dental pain
    -Shown to have similar efficacy to benzocaine
    -Dip a cotton swab in the clove oil and apply it to the exposed part of the tooth
    -Avoid tongue due to unpleasant taste
    -Also used for flavoring, cough, sore throat, skin infections (acne, warts, scars)

          

  4. Valerian root (Valeriana officinalis) Side Effectsheadache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess

    Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids

          

  5. Clove Oilmenopause symptoms, rheumatoid arthritis, induce labor