contemporary meds
TRANSCRIPT
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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