Pharm Chapter 24

Garlic Ginkgo biloba Feverfew

An increased risk of bleeding can occur when __________ is taken in conjunction with antiplatelet drugs or anticoagulants.

c. The purity and potency of these products are closely regulated.

Each of the following is a problem with herbal supplements EXCEPT one. Which is the EXCEPTION? a. Package labeling is often incomplete or inaccurate. b. Dosage is not standardized. c. The purity and potency of these products are closely regulated. d. The product may contain more than one active ingredient. e. Information about drug interactions with herbal supplements is lacking

b. It requires the manufacturer to prove that an herbal product is safe and effective.

Each of the following is true of the FDA Food Safety and Modernization Act of 2010 EXCEPT one. Which is the EXCEPTION? a. It provides the FDA with mandatory recall authority for all foods. b. It requires the manufacturer to prove that an herbal product is safe and effective. c. It expands the facility registration obligations. d. It requires the FDA to issue New Dietary Ingredients guidance.

Dietary Supplement and Education Act (DSHEA)

Herbal products in the United States are regulated by which governmental agency?

The first statement is true, the second is false.

Many consumers consider herbal products to be nontoxic or side effect free because they are often called "natural" remedies. Most herbal products cause no adverse effects and drug interactions.

The first statement is true, the second is false

Oil of cloves has been used in dentistry for many years as a topical analgesic for dental pain. Extensive clinical trials have confirmed its efficacy.

both over-the-counter drugs and dietary supplements.

The Adverse Events Reporting law requires reporting of "serious" adverse events for

The first statement is false, the second is true.

The FDA has performed much of the research and advanced the knowledge about herbal products and supplements. The German Federal Health Agency established the German Commission E to review and analyze world literature on plant-based products.

The first statement is true, the second is false

The FDA introduced Good Manufacturing Practice standards to ensure that dietary supplements are free of adulterants, contaminants, and impurities and that the labels accurately depict the contents of the package. This testing in mandatory and is enforced by the FDA.

Essential oil mouth rinse Triclosan

Which herbal supplement products have been proven effective in protecting against plaque and gingivitis?

d. B and C only

Which is the mechanism of action of xylitol for its antibacterial and cariostatic effects? a. Direct bactericidal effect on Streptococcus mutans b. Inhibition of the ability of S. mutans to adhere and multiply in plaque c. Inability to be metabolized by S. mutans as a nutrient source d. B and C only e. All of the above

e. Historically used in dentistry as a topical analgesic for dental pain.

Which is true of eugenol? a. Naturally occurring sweetener with an anticariogenic effect. b. Herbal-based product that significantly reduces plaque and gingivitis. c. Used in mouth rinses containing thymol, eucalyptol, and menthol. d. Extract of aloe vera plant leaf used to treat aphthous ulcers. e. Historically used in dentistry as a topical analgesic for dental pain.

e. All of the above are true.

Which statements are true about natural or herbal substances in the United States? a. Herbal products marketed as dietary supplements are not required to comply with safety and efficacy regulations imposed on drug products. b. Manufacturers cannot claim to cure conditions, but they can claim to improve structure or function. c. The Food and Drug Administration (FDA) can allow a qualified health claim if scientific evidence exists to support the claim. d. Because a prescription is not necessary for their use, most patients do not consider natural products or dietary supplements to be medicine. e. All of the above are true.