Herbal Meds
Terms
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- Top seeling herbal
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Ginko Biloba
(memory, claudication) - Interaction with Ginko
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Anticoagulants
Bleeding risk - Use of Ginko
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for memory impairment and intermittent claudication
Causes vasodilation and inhibits platelet activating factor - Interactions with Coumadin
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Rule of G
Ginko
Ginger
Ginseng - Use for Ginseng
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Ups performance and energy
Stress - Contraindications for Ginseng
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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
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Like acetaminophen poisoning
Gi, hepatic dysfunction, renal dysfunction, seizure, hypoglycemia - Tx for Pennyroyal OD
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GI decontamination
Charcoal
N-acetylcysteine - Use of Eucalyptus
- Expectorant
- Acute Ingestion of Eucalyptus
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GI
Miosis
CNS Depression
Seizure
Characteristic breath odor
Urticaria - MOA St John's Wart
- SSRI
- SE of St John's Wart
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Photosensitization
Cataracts - Drug Interactions with St. John's Wart
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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
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Aphrodisiac
Impotence - MOA of Yohimbine
- Alpha 2 inhibitor
- Toxicity of Yohimbine
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weakness, paresthesias
Chest pain, tremor
Hypertension, infarcts - Tx of Yohimbine toxicity
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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
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GABA agonist
Dopamine antagonist - Clinical effects of Kava Kava
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Sedation (GABA)
Dystonia (Dopamine)
Kavaism (flaky, yellowish skin, hair loss, weight loss) - Use of valerian
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Sedative
Anxiolytic
Antispasmodic - SE of Valerian
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Sedation
Mydriasis
Tremor