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Glossary of Herbal Meds

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Top seeling herbal
Ginko Biloba

(memory, claudication)
Interaction with Ginko
Anticoagulants

Bleeding risk
Use of Ginko
for memory impairment and intermittent claudication

Causes vasodilation and inhibits platelet activating factor
Interactions with Coumadin
Rule of G

Ginko
Ginger
Ginseng
Use for Ginseng
Ups performance and energy
Stress
Contraindications for Ginseng
hypertension
Inhibition of P450
Ginseng abuse syndrome
Used to treat stress and increase your performance and energy levels
Ginseng
Used to improve memory and maybe intermittent claudication
Ginko Biloba
Tx benign prostatic hyperplasia
Saw Palmetto
Use of Saw Palmetto
BPH
MOA of Saw Palmetto
Inhibit 5-alpha reductase decreasing DHT
Pennyroyal use
Abortifactant in 1950's
Toxicity of Pennyroyal
Like acetaminophen poisoning

Gi, hepatic dysfunction, renal dysfunction, seizure, hypoglycemia
Tx for Pennyroyal OD
GI decontamination
Charcoal
N-acetylcysteine
Use of Eucalyptus
Expectorant
Acute Ingestion of Eucalyptus
GI
Miosis
CNS Depression
Seizure
Characteristic breath odor
Urticaria
MOA St John's Wart
SSRI
SE of St John's Wart
Photosensitization
Cataracts
Drug Interactions with St. John's Wart
Increase cyclosporin A toxicity
Don't use with OCP
Don't use while pregnant

Many other drug interactions
MOA Ma huang
Like ephedra
Use for Yohimbine
Aphrodisiac
Impotence
MOA of Yohimbine
Alpha 2 inhibitor
Toxicity of Yohimbine
weakness, paresthesias
Chest pain, tremor
Hypertension, infarcts
Tx of Yohimbine toxicity
nitroprusside, esmolol
Clonidine
Trouble with Camomile
Rare hypersensitivity esp in those with allergy to ragweed, asters, chrysanthemums
Comfrey
Dangerous, liver necrosis, pulmonary injury and righ heart injury
Use of Kava Kava
Anxiolytic
MOA of Kava Kava
GABA agonist
Dopamine antagonist
Clinical effects of Kava Kava
Sedation (GABA)
Dystonia (Dopamine)
Kavaism (flaky, yellowish skin, hair loss, weight loss)
Use of valerian
Sedative
Anxiolytic
Antispasmodic
SE of Valerian
Sedation
Mydriasis
Tremor

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