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5 Written questions

5 Matching questions

  1. Dental Related Herbal Remidies
  2. Ginger (Zingiber officinale)
  3. St John's Wort (Hypericum perforatum)
  4. Herds Important to Dental Surgery: Anticoagulants
  5. Kava (Piper methysticum) Side Effects
  1. a Nausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy
  2. b Clove oil
    Licorice root extract
    Evening primrose oil
    Aloe
    Coenzyme Q10
  3. c Uses: depression
    One of the most frequently used herbal supplements
  4. d Feverfew
    Garlic
    Ginger
    Ginkgo
    Ginseng
    Horse Chestnut
    Licorice
  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. 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. topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)
  3. headache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess

    Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids
  4. Several cases of hepatitis and liver failure
    Watch for symptoms - abdominal pain, jaundice, dark urine
    Headaches, stomach discomfort
  5. very few, mostly GI

5 True/False questions

  1. Aloe (Aloe vera or Aloe barbadenis)Gel is used topically in treatment of burns and wounds.

    There have been some work done using these as a mouth rinse. Be careful not to swallow, however, because it has a strong laxative effect

          

  2. Ginseng (American or Asian (Panax) ginseng)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

          

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

          

  4. Ginkgo (Ginkgo biloba) Side EffectsMay increase risk of bleeding - use caution with anticoagulants or NSAIDS, discontinue 2 weeks before surgery, risk of serotonin syndrome

          

  5. Why take herbal medicine?St. John's Wort
    Garlic
    Ginkgo
    Ginger
    Ginseng
    Glucosamine
    Echinacea
    Kava
    Valerian
    Black Cohosh