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    CONTEMPORARY

    MEDS

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    CO-ENZYME 10

    Has antioxidant and membrane

    stabilizing properties

    Q10 is a free radical scavenger

    Protects cell membranes and

    DNA from oxidative damage

    Found in all human cells

    Protects tissue from cellular

    damage

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    INDICATIONS

    Allergies

    Asthma Respiratory disease

    Alzheimers disease

    Schizophrenia Gives energy to the heart

    especially in CHF

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    UNDESIRABLE EFFECTS

    Anorexia

    NauseaDiarrhea

    Epigastric discomfort

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    SPECIFIC

    INFORMATION:

    Oral antidiabetic agents

    may decreaseeffectiveness of Co-Q10

    Co-Q10 may decrease

    response to warfarin

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    INTERVENTIONS

    Cardiovascular assessment

    should be ongoing Coenzyme Q10 is oil soluble

    and is best absorbed when

    taken with oily or fatty foodssuch as fish

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    EDUCATION

    Co-Q10 is perishable and

    deteriorates in temperatures

    above 115F

    A liquid form or oil form is

    preferable

    Vitamin E helps preserve Co-

    enzyme

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    FOODS HIGH IN

    VITAMIN E

    Mackerel, salmon,

    sardinesPeanuts

    SpinachBeef

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    EVALUATION

    CLIENT WILL HAVE NO SIGNS OF:

    peripheral edema, hepatosplenomegaly, JVD, bibasilar

    crackles

    client will have normal sinus

    rhythm on ECG

    increased sense of well-being

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    BRANDS

    ADELIR

    CO-Q10

    HEARTACIN

    INOKITON

    NEUQUINONE

    TAIDECANONE

    UBIQUINONE

    UDEKINONE

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    ECHINACEA

    Stimulates phagocytosis

    increases mobility of leukocytes

    increases respiratory cellular

    activity

    increased immunity

    antiseptic, antiviral, anti-inflammatory

    has peripheral vasodilator property

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    INDICATIONS

    Sore throat, colds, flu, low immune

    status, CA

    Ointments used for burns, ulceration,eczema, herpes simplex, psoriasis

    Reduces recurrence of Candida

    Albicans Decreases growth of Trichomonas

    Vaginalis

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    WARNINGS

    EXTERNALLY: none

    INTERNALLY: TB, MS, HIV,

    collagen diseases and

    autoimmune diseases

    Alcoholics and with liver

    disease

    Pregnancy, breastfeeding

    children

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    UNDESIRABLE EFFECTS

    Allergies may occur if client is

    allergic to plants in the daisy

    family.

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    OTHER SPECIFIC

    INFORMATION

    Do not administer with

    immunosupressants orhepatotoxic drugs,

    disulfiram and

    metronidazole

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    INTERVENTIONS

    Monitor WBC

    Vital signs

    breath sounds

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    EDUCATION

    Instruct the client that herb

    should not be used longer than

    8 weeks ,10-14 days of therapy

    is probably sufficient

    If illness does not resolve after

    taking the herb, advise to notify

    provider.

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    EVALUATION

    WBCs will return to normal

    range.Temperature willreturn to normal range, and

    client will have a decrease

    in the symptoms for whichthe herb was administered.

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    BRANDS

    CONEFLOWER EXTRACT

    ECHINACEA

    ECHINACEA ANGUSTIFOLIA

    ECHINACEA FRESH FREEZE-

    DRIED ECHINACEA GLYCERITE

    ECHINACEA PURPUREA

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    EVENING PRIMROSE

    Its oil stems from essential

    fatty acids that are crucial as

    structural elements for cells as

    precursors of synthesis of

    prostaglandins

    Linoleic acid is not manfacturedby the body and must be

    provided through diet

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    The body relies on the

    metabolic conversion of

    lenoleic acid (LA) to gammalenoleic acid (GLA). A

    deficiency in this process

    results in diabetes , CA, CVD. This herb contains the highest

    amount of GLA .

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    INDICATIONS

    Rheumatoid arthritis

    PMSMenopause

    diabetic neuropathy

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    WARNINGS

    Pregnancy

    Breast CA Schizophrenia

    Clients taking epileptogenic

    meds such as penothiazines

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    UNDESIRABLE EFFECTS

    Abdominal discomfort

    nausea headache

    rash

    immunosuppression may

    occur after use of GLA >

    1year

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    OTHER SPECIFIC

    INFORMATION

    Penothiazines may

    increase risk ofseizures

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    EDUCATION

    Instruct women with

    breast CA or clientswith seizure disorder

    not to use this herb

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    EVALUATION

    The clients symptoms

    will improve based ontherapeutic reason for

    taking the herb

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    BRANDS

    EFAMOL

    EPOGRAM EVENING PRIMROSE OIL

    PRIMROSE POWER

    MEGA PRIMROSE OIL

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    FEVERFEW

    Inhibits synthesis of

    prostaglandins and

    leukotrienes

    Inhibits secretion of

    serotonin from plateletgranules

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    INDICATIONS

    Migraine headaches

    ArthritisFever

    Menstrual disorders

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    UNDESIRABLE EFFECTS

    Occasional mouth ulceration

    GI disturbances

    Dry ,sore tongue

    Swollen lips

    Abdominal pain Vomiting

    Diarrhea, flatulence

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    POST FEVERFEW

    SYNDROME

    Withdrawal syndrome

    characterized bymoderate to severe pain

    and joint and muscle

    stiffness

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    OTHER SPECIFIC

    INFORMATION

    Use caution with

    anti-coagulants,may increase

    bleeding

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    INTERVENTIONS

    Recommend avoiding

    chewing the leavessince they can cause

    mouth ulcers

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    EDUCATION

    Discuss proper oral hygiene due

    to the risk of mouth ulcerations.

    Discuss the importance of

    reporting undesirable effects to

    provider

    Even feverfew is given for pain,

    the user can still operate heavy

    machinery

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    Treatment for at least a

    few months isrecommended .

    Instruct the client not to

    withdraw the herbabruptly.

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    EVALUATION

    Clients temperature

    will return to normalrange and pain

    subside.

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    BRANDS

    FEVERFEW

    FEVERFEW GLYCFEVERFEW POWER

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    GARLIC

    Inhibits platelet agreggation

    Decreases lipids

    Has anti-tumor effects

    Lowers total serum cholesterol,

    TG, and LDL

    Increases HDL

    Anti-microbial

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    INDICATIONS

    Lowers high blood pressure

    and serum lipid levels

    Aids in treatment of

    arteriosclerosis

    Aids in treatment of yeastinfection, wounds, colds and

    flu

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    WARNINGS

    Hypersensitivity

    Peptic ulcer or refluxdisease

    Pregnant women due to

    oxytocic effects

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    UNDESIRABLE EFFECTS

    The entire body can smell of

    garlic

    Diaphoresis

    Hypothyroidism

    irritation of the mouth,

    esophagus or stomach

    Nausea and vomiting

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    Chronic use may lead

    to decreasedhemoglobin production

    and lysis of RBCs

    OTHER SPECIFIC

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    OTHER SPECIFIC

    INFORMATION

    Increases the risk of

    bleeding

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    INTERVENTIONS

    Monitor CBC if client

    taking high-dose or longterm

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    EDUCATION

    Odorless garlic supplements

    are available

    Instruct client watch for

    signs of bleeding (bleeding

    gums, petechiae) if takingwith hemostatic agents

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    EVALUATION

    The client will have a

    decrease in BP, lipidlevels, or clinical

    symptoms for which the

    garlic was administered

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    BRANDS

    GARLIC POWER

    GARLIQUE

    KWAI

    ODORLESS GARLIC TABLETS

    ONE A DAY GARLIC SAPEC

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    GINKO BILOBA

    Produces arterial and venous

    vasoasoactive changes that

    increase the tissue perfusionand cerebral blood flow

    stimulates prostaglandin

    biosynthesis acts as anti-oxidant

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    INDICATIONS

    Memory loss

    Early stages of Alzheimersdisease

    Poor circulation to

    extremeties Intermittent claudication

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    WARNINGS

    Hypersensitivity

    Pregnancy

    Children

    Hemophilia or bleeding

    disorders

    Clients taking anti-coagulants

    and anti-platelet meds

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    UNDESIRABLE EFFECTS

    Mild GI upset in less than 1% of

    patients

    Long term use has been linked

    with rare occurrence of

    spontaneous subdural

    hematoma, intracerebral orintraoccular hemorrhage

    OTHER SPECIFIC

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    OTHER SPECIFIC

    INFORMATION

    Cigarette smoking or use of

    platelet agreggation

    inhibitors increases the risk

    of subarachnoid hemorrhage

    may interact with

    carebemazepine,

    phenobarbital and

    phenytoin.

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    INTERVENTIONS

    Administration for at least 2

    weeks recommended

    Children and adults taking

    medicinal doses should be

    seen by a qualified healthcare provider

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    EDUCATION

    Stay within recommended dosage

    and duration. Advise not to take

    aspirin or NSAIDs or alcohol; reportunusual bleeding or bruising.

    Keep out of reach from children due

    to potential risk of seizures with

    ingestion

    Avoid contact with the fruit pulp or

    seed coats due to risk of dermatitis

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    EVALUATION

    Substantial regression of

    major symptoms of chronic

    cerebral insufficiency

    including vertigo, senility,

    fatigue, lack of vigilance,

    and poor circulation to the

    limbs

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    BRANDS

    BIOGINKO 24/6

    BIOGINKO 27/7

    GINCOSAN

    GINEXIN REMIND

    GINKAI GINKOBA

    GINKO PHYTOSOME

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    GINSENG

    Supports and enhances adrenal

    function , allowing for more

    consistent energy and betterreaction to stress.

    Reduces cholesterol and TG,

    decreases plateletadhesiveness and coagulation

    Increases fibrinolysis

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    Antiarrythmic effects

    have also beendetermined with ginseng

    similar to Verapamil and

    amiordarone

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    INDICATIONS

    Improves stamina,

    concentration and stress-

    resistance; adjunct in radiationand chemotherapy.

    Lowers blood glucose and

    cholesterol levels Has anti-hypertensive effects

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    WARNINGS

    Cardiovascular disease

    Hyper/hypotension

    Diabetes

    Steroid therapy

    Pregnancy Breastfeeding

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    UNDESIRABLE EFFECTS

    High doses can cause

    jitters, headache,hypertension, vaginal

    bleeding, skin eruptions

    and pruritus.

    OTHER SPECIFIC

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    OTHER SPECIFIC

    INFORMATION

    Anti-diabetic agents should be

    used cautiously due to

    ginsengs hypogycemic effect.

    MAO inhibitors given with

    ginseng may result in tremors,

    headache and mania. Herb may interfere with digoxin

    effects

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    INTERVENTIONS

    Monitor for Ginseng Abuse

    Syndrome (nervousness,

    insomnia, morning diarrhea)

    This will occur if tea or coffee

    are taken with the herb.

    Monitor the diabetic client forsigns and symptoms of

    hypoglycemia.

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    EDUCATION

    Take 1 hour before eating.

    Vitamin C can interfere with

    absorption.

    Avoid caffeine

    Take early in the day to reduce

    over stimulation.

    Generally up to 3 months is

    recommended

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    EVALUATION

    Client will experience an

    increase in energy and animprovement of

    symptoms for which

    ginseng wasadministered.

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    BRANDS

    BIOSTAR

    CIMEXON

    GINCOSAN

    GINSANA

    GINSATONIC NEO GINSANA

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    KAVA - KAVA

    The limbic system is inhibited

    by kavapyrones an effect

    associated with suppression ofemotional excitability and mood

    enhancement. Noted for

    promoting relaxation withoutloss of mental sharpness

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    INDICATIONS

    Anxiety disorders

    Stress

    Insomnia

    Muscle spasms

    Backache Neckache

    Pain from TMJ

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    WARNINGS

    Pregnant,breastfeeding

    Children< 12

    Use cautiously in clients with

    renal disease, neutropenia or

    thrombocytopenia.

    Do not use if diagnosed with

    Parkinsons disease

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    UNDESIRABLE EFFECTS

    Mild GI disturbance

    Alterations in motor reflexes

    and judgement.

    Visual disturbances

    Dry discolored flaking skin

    Reddened eyes ( may be from

    cholesterol metabolism)

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    Dopamine antagonism

    Decreases patellar reflexes

    Pulmonary

    hypertension,shortness of

    breath

    decreased bilirubin

    levels,plasma proteins and urea

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    Long term use : decreased

    platelet and lymphocyte count

    OTHER SPECIFIC

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    OTHER SPECIFIC

    INFORMATION

    When taken with kava , these

    interaction can occur:

    ALPRAZOLAM may cause coma

    BENZODIAZEPINES,ALCOHOL

    and CNS DEPRESSANTS

    increases sedative effects

    LEVODOPA increases

    Parkinsonians symptoms

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    EDUCATION

    Warn against using medicines

    referred to in other specific

    information. Do not take for more than 3

    months without provider advice

    due to significant undesirableeffects.

    Instruct client to take with food.

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    EVALUATION

    Client will experience a

    decrease in anxiety and

    improvement in peaceful sleep.

    BRANDS

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    BRANDS

    AIGIN

    ANTARES

    ARDEYDYSTIN

    CEFKAVA

    KAVASEDON KAVASPORAL

    KAVATINO

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    LAITAN

    MOSARO

    NERVONOCTON N

    POTTERS ANTIGIAN TABLETS

    VIOCAVA

    SAW PALMETTO BERRY:

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    SAW PALMETTO BERRY:

    SERENOA REPENS

    Lipidosterolic extract of S.

    repens (LSER) appears to have

    an inhibitory effect on thebinding of dihydrotestosterone

    (DHT) to androgen receptors in

    the prostate. LESR has antiinflammatory effect

    INDICATIONS

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    INDICATIONS

    BPH, may function as mild

    diuretic

    WARNINGS

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    WARNINGS

    Pregnancy, breastfeeding and

    women of child-bearing age.

    Use cautiously in clients withmedical problems other than

    BPH due to lack of data

    UNDESIRABLE EFFECTS

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    UNDESIRABLE EFFECTS

    Large amounts may cause

    diarrhea.

    In rare case , stomach problemsand headaches may occur.

    May create false negative

    prostate antigen results

    OTHER SPECIFIC

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    OTHER SPECIFIC

    INFORMATION

    Increase side effects of

    estrogen or birth control pills

    May decrease iron absorption

    INTERVENTIONS

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    INTERVENTIONS

    Obtain a baseline PSA before

    starting the herb since it can

    cause a false negative PSA.

    EDUCATION

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    EDUCATION

    Instruct the client to take the herb

    with AM and PM meal to decrease GI

    effects. Client should use herb for BPH only

    after a diagnosis has been and with

    the management of the provider of

    health care.

    Advise client to report any

    undesirable effect

    EVALUATION

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    EVALUATION

    Client will experience a

    decrease in the symptoms for

    which the herb was taken.

    BRANDS

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    BRANDS

    PREMIXON

    PROPALMEXSTROGEN

    ST JOHNS WORT

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    ST. JOHNS WORT

    The exact mechanism has not

    been determined.

    Inhibits the stress-inducedincrease in corticotropin-

    releasing hormone and cortisol.

    Increases the nocturnalmelatonin levels

    Anti-viral

    INDICATIONS

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    INDICATIONS

    Mild to moderate depression

    ,insomnia, anxiety and PMS

    symptoms.

    Wound healing

    Insect bites

    WARNINGS

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    WARNINGS

    Clients taking prescription

    and anti-depressants

    Pregnant or breastfeeding

    clients

    Children

    UNDESIRABLE EFFECTS

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    UNDESIRABLE EFFECTS

    Photosensitivity in people with

    fair skin

    Dizziness

    Constipation

    Dry mouth

    GI distress

    Restlessness

    OTHER SPECIFIC

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    INFORMATION

    Alcohol, narcotics, OTC cold

    and flu medications,

    sympathomimetics, tyraminecontaining foods may increase

    MAO inhibition activity.

    Paroxetine may increasesedative-hypnotic effects with

    the herb.

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    Serotonin syndrome may occur

    when used with SSRIs or

    tricyclic anti-depressants. Do not use with drugs that

    cause photosensitivity (

    sulfonamides,tetracyclines,antipsychotics,etc. )

    INTERVENTIONS

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    INTERVENTIONS

    The clients depression

    should be evaluated by a

    health care provider.

    EDUCATION

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    EDUCATION

    Use over a period of several

    weeks or months to obtain the

    desired effects. Should not be used at the same

    time with prescribed anti

    depressants. Avoid foods high in tyramine

    Teach to stay out of the sun

    EVALUATION

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    EVALUATION

    Clients communication

    and behavior willindicate an

    improvement of

    depression.

    BRANDS

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    BRANDS

    HYPERCALM

    HYPERICUM

    KIRA

    MOOD SUPPORT

    ST.JOHNS WORT

    NUTRI ZAC

    TENSION TAMER