CAM
What are some reasons for CAM use?
-dissatisfaction with traditional medical therapies -"back to nature" mentality -less harmful -less expensive -patient control
When do you want to discontinue the 4Gs?
1-2 wks prior to surgery
What do you not use St. John's wort with?
antidepressants
What kind of properties do the 4 Gs have?
antiplatelet/anticoagulant properties
What can you not use echinacea with?
autoimmune disorders, corticosteroids, and immunosuppressants
What do you need to instruct the client to do before starting herbal medicine?
check with provider and ask about use of supplement and herbs
What is garlic used for?
decreased cholesterol
What is St. John's wort used for?
depression
What are herbs classified as?
dietary supplement
What are the 4 Gs?
garlic, ginger, ginseng, ginko
Most herbs are contraindicated with pregnancy, what is the herb that isnt?
ginger
What is echinacea used for?
immune system stimulant (flu, colds, URI)
What is ginko used for?
increase memory
What is ginseng used for?
increase stamina and concentration
What AEs does ginseng have?
insomnia and palpitations (use caution with CVD)
What is glucosamine and chondroitin used for?
joint pain
What are contraindications with melatonin?
liver disease, cerebrovascular disease, depression, neuro disorders
What is butterbur used for?
migraines
What is feverfew, riboflavin, and magnesium used for?
migraines
What is ginger used for?
motion sickness, N/V, improve appetite
What needs to be avoided when taking valerian root?
other CNS depressants
What are AEs of St. John's wort?
photosensitivity, GI upset, dizziness/confusion
What is fish oil/Omega 3 used for?
prevention of CAO and anti-inflammatory (lower BP, lower triglycerides, cholesterol, rheumatoid arthritis)
What is melatonin used in caution with?
renal impairment
What is black cohosh used for?
s/s of menopause, pre-menstrual syndrome, dysmenorrhea
What is melatonin used for?
sleep
What is valerian root used for?
sleep and decrease anxiety
What is coenzyme Q10 used for?
statin induced myalgia/myopathy
What kind of claims can you not make with herbs?
therapeutic claims
What is not recommended with black cohosh?
to use greater than 6 months
What can "natural" herbs contain?
toxic substances and can be contaminated
What may glucosamine and chondroitin increase the effect of?
warfarin
What can coenzyme 10 decrease the effect of?
warfarin/anticoagulants
What must CAM med containers be labeled with?
"does NOT evaluate the product for diagnosing, treating, or preventing disease