OTC Herbs
Terms
undefined, object
copy deck
- Garlic + Invirase (saquinavir)
- Decrease effectiveness of invirase. Could lead to treatment failure or development of virus resistance
- Garlic + Diabetes medication
- Low blood sugar levels
- Ginkgo + Thiazide diuretics (HCTZ)
- Increase blood pressure
- Kava + Alcohol
- Excessive drowsiness or sleepiness
- Kava + Benzodiazepines (Ativan, valium) and barbiturates (phenobarbital)
- Excessive drowsiness or sleepiness
- St. John's wort + Digoxin
- Decresed digoxin effectiveness
- St. John's wort + warfarin
- Decrese warfarin effectiveness
- St. John's wort + oral contraceptives
- Decreased contraceptive effectiveness
- St. John's wort + Crixivan (Indinavir)
- Decreased effectiveness of Crixivan
- St. John's wort + cyclosporine
- Decresed inmunosuppresant activity
- St. John's wort + loperamide
- Confusion, disorientation, slurred speach
- St. John's wort + Statins (Lovastatin, Mevacor; Lipitor, atorvastatine; Zocor, simvastatina)
- Decreased statin activity, cholesterol levels could increase
- St. john's wart + antidepresants
- Excesive serotonin levels in brain could lead to serotonin syndrome (mental confusion, agitation, fever, high blood pressure, rapid heart rate, tremors)
- Valerian + Alcohol
- Excessive drowsiness or sleepiness
- Valerian + benzodiazepinas (ativan, valium), barbiturates (phenobarbital) and sedatives
- Excessive drowsiness or sleepiness
- Warfarin + St. John's wort or Coenzyme Q10
- Possible development of blood clots
- Warfarin + Dong quai, equinacea, feverfew, garlic and/or ginkgo biloba
- Possible increase of bleeding
- Black cohosh (cimicifuga racemosa) indication
- premenstrual symptoms, painful or difficult menstruation and hot flashes caused by menopause
- Echinasea uses
-
Internal: Supportive therapy of respiratory. Inmunostimulant
External: Local treatment of hard to heal superficial wounds and ulcers. Burns, rash, skin inflammation, poison Ivy and poison oaks - Echinasea shouldn't be used in
- pregnancy, lactation, children, allergics to sunflower or inmunosuppresed pat. may cause inmunosuppresion after 8 weeks of treatment
- Feverfew uses
- Profilaxis and prevention of migraine and headaches
- Garlic Indications
- Hypertension (its just an adjunt patients shouldn't abandon HBP therapy) anticoagulants and aterosclerosis
- Ginkgo biloba uses
- vertigo, tinnitus, weakened memory, Raynaud's Syndrome, and mood swings
- Ginger indication and dosage
- Nausea, vomit, dyspepsia and prophylaxis of symptom sotf travel sickness. 1 g 1 hour prior to travel and 1-2 caps q4h prn
- asian gingseng uses
- lack of energy, debility, lack of concentration, convalescence
- siberian ginseng uses
- fatigue, convalescence, difficulty of concentration
- Kava uses
- Insomnia, nervousness
- Saw palmetto
- micturition difficulties related with benign prostatic hyperplasia
- St. John's Wort Indications
- depression and anxiety
- Valerian Indications
- Restlessness and nervous disturbance of sleep
- Chondroitin sulfate indications
- Osteoarhtirtis and viscoelastic ophtalmic procedures (most ophthalmic intraocular surgeries including extracapsular cataract extraction (ECCE), phacoemulsification, IOL insertion and removal, corneal surgery, glaucoma surgery, trauma surgery, posterior segment surgery, ocular plastic surgery and muscle surgery)
- Coenzyme Q10 Indications
- CHF, hipertension, stable angina, arritmia, periodontal disease
- Glucosamine indication and dose
- osteoartritis. 500 mg tid
- Melatonin uses
- circadian rhythm sleep disorder in blind people with no light perception.
- Melatonin precaution
- may aggravate deppresion symptoms
- Garlic dose
- 0.6 - 1.2 g of a dry powder or 2 - 4 g of fresh garlic daily
- Ginkgo biloba dose
- 40 mg TID for 4-6 weeks
- Kava dose
- 200 mg divided in 3 doses
- Feverfew dose
- 125 mg qd
- Black cohosh (Remifenim) dose
- 20 mg bid
- Black Cohosh MOA
- It has estrogenic activity and the ability to mimic the body's own production of estrogen and occupy estrogen receptor
- Remifemin active ingredient
- Black Cohosh
- Black Cohosh contraindications and precaution
- CHF or heart disease because slows down heart rate. Precausion in patients with HBP meds because may cause hypotension
- Chamomille indication
- Antispamodic, digestive problems in general, sedative and antiinflammatory
- Chamomille MOA in inflammation
- Inhibits formation of leukotrienes through an antioxidant mechanism
- Chitosan uses
- May reduce obesity by reducing fat and lipid in the intestines by forming a complex.
- Chondroitin Dose
- 400 mg TID
- Chondroitin Cautions
- Bleeding or bruising, because it has a chemical structure similar to heparin
- Echinasea dose
- 325 - 650 mg tid
- Feverfew MOA
- Inhibits platelets aggregation and prostaglandines synthesis. Migraine headache suffers have stickier platelets.
- Melatonin Dose
- 3 mg qHS
- Garlic Cautions
- Bleeding and bruises in patients taking anticoagulants, NSAID's and aspirin
- When garlic should be suspended
- 2 eek prior surgery or dental procedure to aoid bleeding complications
- Gingko Biloba Cautions
- Inhibits Plalets aggregation factor, so caution in patiens taking aspirin, NSAID's or anticoagulants, because can increase bleeding clotting time and bruising
- Hawthorn Indication
- Dilate coronary blood vessels and increase coronary circulation. Can increase heart rate and nerve conductivity in the heart muscle
- Hawthorn + Digoxin
- contraindicated because it may potentiate digoxin action.
- Hawthorn cautions
- Because its antiplatelet action may cause brusing and bleeding
- St. John wort Dose
- 300 mg TID. May have a lag on effectiveness of 7 days
- St. John wort caution
- Skin hypersensitivity. Patients should avoid sun exposure and tanning beds
- coenzyme Q10 dose
- 100 mg qd