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Information on various herbal remedies, their uses, safety, side effects, and interactions with other drugs. Topics covered include ginkgo biloba, ginseng, st. John's wort, melatonin, valerian root, feverfew, ginger, probiotics, peppermint, aloe vera, oscillococcinum, and echinacea. It also includes information on dosages and counseling points.
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Treats: Peripheral artery diseaseSome evidence to treat: dementiaSafety: Eating the seeds is potentially fatalantidote: pyridoxine (b6)Side effects:Increased risk of bruising and bleeding TERM 2
DEFINITION 2 Uses: Type 2 diabetes, enhance immune SystemMay Increase bleedingmay cause insomnia TERM 3
DEFINITION 3 Mechanism: Works by increasing levels of 5-ht, NE, and DABest evidence: Mild-moderate depressionSome evidence: Anxiety, PMS, SAD, OCDActive components: Hypergorin, HypericinTakes 4-6 weeks to see effect TERM 4
DEFINITION 4 -Drugs that increase risk of serotonin syndrome-may increaqse the risk of suicidal and homicidal thoughtsCYP1A2, 2C9, 3A4, CYPs InducerInducer of PGP transporterDo not use in pregnancy & lactation TERM 5
DEFINITION 5 -Produced from pineal gland from tryptophanSynthesis and release are stimulated by darkness and supressed by lightBest evidence use: Jet LAgSome evidence: SleepDisorders
Dose: 3-10mg QHSTake 1-2 hours before bedtimeinteraction: Warfarin- may increase bleedingmay cause sleepwalking, vivid dreams, and nightmarestapering required after long- term use TERM 7
DEFINITION 7 Root determines activityUses: Anxiety, insomniaDose: 30- min before bed TERM 8
DEFINITION 8 interactions: drugs that cause sedationsCounseling points Do Not Drive Watch for withdrawal Hepatoxicity rarely causes sedation the following day chronic use may cause insomnia TERM 9
DEFINITION 9 Best Evidence- MigraineSide effects: Chewing Leaves can cause oral ulcers TERM 10
DEFINITION 10 avoid in patients allergic to ragweed, chrysanthemum, daises, marigoldstakes 4-8 weeks to start workingpost feverfew syndrome- anxiety, joint stiffness, rebound headaches, insomnia
-MAy decrease glucose-May cause allergic reactions-Topical use may cause dry skin-Oral use may cause cramping and diarrhea TERM 17
DEFINITION 17 use: Treatment & Prevention of the fluderived from wild duck heart and livercounseling: no known side effects due to lack of active ingredient -no proven efficacy TERM 18
DEFINITION 18 aka E. PurpureaAvoid in patients with allergies to ragweed, chrysanthemums, marigolds, daises-increase risk of rash in children-may cause nausea/vomiting TERM 19
DEFINITION 19 May increase bleedingMay decrease seizure thresholdCaution in patients allergic to urushiols TERM 20
DEFINITION 20 Uses: insomnia, anxietyExcess use causes liver damage
culturelle (lactobacillus)align (bifidobacterium)florastor (saccharomyces)activia (bifidobacterium)excessive gas