5 Written questions
5 Matching questions
- Why take herbal medicine?
- Glucosamine sulfate Side Effects
- St. John's Wort Drug Interactions
- Licorice root extract Side Effects
- Echinacea (purpura, angustifolia) Side Effects
- 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
- b Will produce exaggerated effects:
Antidepressants (SSRI's, TCA's or MAOI's)
Some opioids (tramadol, meperidine, dextromethorphan)
MDMA (ecstacy), LSD, psilocybin
- c Available without a prescription
Self-diagnosis and self-prescribing (control over disease + treatment)
Perceived to have fewer side effects, no lethal effects
Lack of health insurance
Other options have not worked
Strong advertising - enhanced immune function, easy weight loss, etc.
Perceived as "natural, safer, and healthier"
- d very few, mostly GI
- e Headache, muscle weakness, water retention, electrolyte imbalance, arrhythmias, heart failure
Limit use to no more than 6 weeks.
5 Multiple choice questions
- menopause symptoms, rheumatoid arthritis, induce labor
- sleep, reduces nervousness, stress, anxiety
- 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
- St. John's Wort
- Nausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy
5 True/False questions
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)
Ginkgo (Ginkgo biloba) Side Effects → Dementia, intermittent claudication, peripheral arterial insufficiency, sexual dysfunction
Clove Oil Side Effects → 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)
Valerian root (Valeriana officinalis) Side Effects → headache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess
Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids
Clove Oil → menopause symptoms, rheumatoid arthritis, induce labor