Drug-Herb Interactions: St John's Wort
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Questions and Answers

What is the primary concern about St. John's Wort with regard to medications?

  • It only interacts with herbal supplements
  • It enhances the effects of medications
  • It has no impact on medications
  • It reduces the effects of medications (correct)
  • Which of the following medications is likely to be affected by St. John's Wort?

  • Antidepressants (correct)
  • Vitamin supplements
  • Blood pressure medications
  • Antibiotics
  • What is the mechanism by which St. John's Wort interacts with medications?

  • It only affects the absorption of medications
  • It has no effect on medication metabolism
  • It inhibits the metabolism of medications
  • It induces the metabolism of medications (correct)
  • What is the potential consequence of taking St. John's Wort with certain medications?

    <p>Increased risk of side effects</p> Signup and view all the answers

    Why is it important to consult a healthcare professional before taking St. John's Wort?

    <p>To monitor for potential interactions with medications</p> Signup and view all the answers

    How should St. John's Wort be approached in terms of medication?

    <p>The same way as prescribed pharmaceuticals</p> Signup and view all the answers

    What is the implication of St. John's Wort being an active medication?

    <p>It can interact with other medications</p> Signup and view all the answers

    Why is it important to approach St. John's Wort with caution?

    <p>Because it is a potent medication</p> Signup and view all the answers

    What does the classification of St. John's Wort as an active medication imply?

    <p>It should be used with caution</p> Signup and view all the answers

    What is the significance of St. John's Wort being treated like prescribed pharmaceuticals?

    <p>It should be used with caution and under guidance</p> Signup and view all the answers

    What is the effect of St. John's Wort on the efficacy of co-medications?

    <p>It reduces the efficacy of co-medications</p> Signup and view all the answers

    Which CYP450 isozymes are induced by St. John's Wort in a clinically relevant manner?

    <p>CYP3A4 and CYP2B6</p> Signup and view all the answers

    What type of interaction does St. John's Wort have with medications?

    <p>Pharmacokinetic interaction</p> Signup and view all the answers

    What is the effect of St. John's Wort on the metabolism of medications?

    <p>It increases the metabolism of medications</p> Signup and view all the answers

    Which of the following is a consequence of St. John's Wort's effect on CYP450 isozymes?

    <p>Reduced efficacy of medications</p> Signup and view all the answers

    Study Notes

    Drug-Herb Interactions

    • St. John's wort is a potent inducer of CYP3A4 and CYP2B6, as well as many other CYP450 isozymes.
    • This results in a clinically relevant reduction in the efficacy of co-medications due to pharmacokinetic interactions.
    • St. John's wort is an active medication and should be treated with the same caution as prescribed pharmaceuticals.

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    Description

    This quiz covers the pharmacokinetic interactions of St John's Wort, a potent inducer of CYP3A4 and CYP2B6, and its effects on co-medications. Test your knowledge of drug-herb interactions and their clinical relevance.

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