Complementary and Alternative Medicine (CAM)

what are herbs lower cholesterol

flaxseed and garlic

what drugs are associated with increased bleeding risk

Flaxseed, vitamin E, Ginger, Ginkgo Biloba, Ginsing, Grapeseed oil, Omega 3's

how long are supplements with an increased bleeding risk supposed to be held before surgery

2-3 weeks

what are interactions with st johns wort

• induces cytochrome P450 and P glycoprotein

  • accelerated elimination of many drugs

• intensifies SSRIs

  • possible serotonin syndrome

what cant be given with SSRIs

st johns wort

what supplement is very scary with anesthesia?

kava 

what can Kava cause

CNS depression and liver damage

what is important to know regarding dietary supplement labels

cannot claim to diagnose, prevent, cure, or treat any disease

what did DSHEA rule in 1994 about supplements

they are exempt from FDA scrutiny and do not need proof of safety or efficacy

what can ginger lower

blood sugar and pressure

who needs to be careful about taking ginger

diabetics and pts taking anticoagulants

what can kava help with

anxiety and insomnia

what is Ma Huang used for

weight loss

what are side effects of Ma Huang

irritability, anxiety, MI, arrhythmias, hypertension and death

what is St. John’s Wort used for

mild-moderate depression

what are side effects of St John’s Wort

Serotonin syndrome, photosensitivity, and drug interactions

what are side effects of Black Cohosh

abd cramping, rash, headache, dizziness, liver damage

what is ginger used for

motion sickness

what are side effects of ginger

heartburn, belching, bleeding, hypoglycemia

what is valerian root used for

sedative to help with insomnia

what are teachings regarding valerian root

avoid driving, ETOH, pregnancy and limit long term use

what are side effects of Ginkgo

increased bleeding, interactions with SSRIs and statins

what are side effects of Ginseng

hypertension, insomnia, bleeding

what are side effects of garlic

bleeding, GI upset, odor