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5 Written questions

5 Matching questions

  1. Kava (Piper methysticum) Side Effects
  2. Evening Primrose Oil (Oenothera biennis)
  3. Ginger (Zingiber officinale) Side Effects
  4. Clove Oil
  5. Popular Herbal Remedies
  1. a Use: 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)
  2. b -Periodontitis: weak evidence
    -Eczema: modest benefits
    -Cardiovascular: limited data appears supportive
    -PMS: no likely effect
    -Menopause: no effect
    -Peripheral Neuropathy: benefited patients with well-controlled diabetes
  3. c CNS depression and arrhythmia at toxic doses
    Anti-platelet effects may increase bleeding (might want to stop taking it 2 weeks prior to dental procedure)
    -Generally safe
  4. d St. John's Wort
    Garlic
    Ginkgo
    Ginger
    Ginseng
    Glucosamine
    Echinacea
    Kava
    Valerian
    Black Cohosh
  5. e Sedation, euphoric, kava dermopathy (dry, flaking discolored skin), HEPATOTOXICITY

    ethanol, Parkinson's disease, CNS depressants
    Discontinue 24 hours prior to general anesthesia

5 Multiple choice questions

  1. very few, mostly GI
  2. Clove oil
    Licorice root extract
    Evening primrose oil
    Aloe
    Coenzyme Q10
  3. 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
  4. Treatment of early colds, or topically for psoriasis, eczema and burns
  5. Aloe LATEX or "drug aloe" comes from the glands in the leaf surface and has strong laxative properties, leading to side effects including severe abdominal cramping and fluid loss and is not recommended.

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. Herds Important to Dental Surgery: SedativesDiscontinue before anesthesia:
    Clove oil
    Ginger
    Chamomile
    Kava
    Passion Flower
    Valerian Root

          

  3. Glucosamine sulfateosteoarthritis, often in combo with chrondroitin

          

  4. Serotonin SyndromeSt. Johns Wort Combination increases risk of Serotonin Syndrome
    a.k.a. Serotonin toxicity, serotonin poisoning, serotonin storm:
    Sweating, tremor, confusion, agitation, coma, death
    Not idiosyncratic drug reaction

    Discontinue use 2 weeks prior to general anesthesia

          

  5. Black CohoshUse: 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)