Herb-Drug Interactions Summary
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Questions and Answers

What potential risk is associated with Gingko Biloba when taken with tricyclic antidepressants?

  • Decreased memory function
  • Increased risk of Serotonin Syndrome (correct)
  • Heightened risk of allergic reactions
  • Elevated blood pressure

Which herb is known to decrease insulin levels in diabetics?

  • Garlic
  • Ginseng
  • Black Licorice
  • Gingko Biloba (correct)

For which of the following interactions is garlic known to enhance the effect?

  • Hypoglycemic agents
  • Anticoagulants (correct)
  • NSAIDs
  • CNS depressants

What is a notable effect of using Kava Kava?

<p>Decreased stress and anxiety (D)</p> Signup and view all the answers

Which of the following is a significant risk of consuming large amounts of black licorice?

<p>Low potassium levels (B)</p> Signup and view all the answers

What effect does turmeric have on anticoagulants?

<p>Enhances their effect (D)</p> Signup and view all the answers

Which herb is contraindicated for patients taking finasteride due to its similar hormonal effects?

<p>Saw Palmetto (C)</p> Signup and view all the answers

What is a common effect of Feverfew when used as an herbal remedy?

<p>Decreased inflammation and migraines (C)</p> Signup and view all the answers

Which herb is known to moderately increase energy levels while decreasing blood sugar?

<p>Ginseng (C)</p> Signup and view all the answers

Melatonin is known to decrease the effects of which class of medications?

<p>Antidepressants (C)</p> Signup and view all the answers

Flashcards

Gingko Biloba & Anticoagulants

Gingko Biloba is a natural supplement used for cognitive function. However, its flavonoids can interact with anticoagulants, potentially increasing the risk of bleeding.

Ginseng & Blood Sugar Regulation

Ginseng is a herb known for its potential benefits like energy boost and stress reduction. It can impact blood sugar levels, interacting with insulin and oral hypoglycemic agents.

Ginkgo Biloba & Tricyclic Antidepressants

Ginkgo Biloba, an antioxidant, can enhance blood flow and memory. However, its interactions with tricyclic antidepressants could lead to Serotonin Syndrome.

Black Licorice & Potassium Levels

Black licorice, while regulating hormones, can negatively impact blood pressure and potassium levels if consumed excessively.

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Ginger & Anticoagulants

Ginger is a natural remedy for nausea and stomach discomfort. It may enhance the effects of anticoagulants, so caution is advised.

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Feverfew & Anticoagulants

Feverfew, used for migraine relief, can interact with commonly used anticoagulants and NSAIDs.

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Garlic & Anticoagulants

Garlic, known for its blood thinning properties, can enhance the effects of anticoagulants and boost immunity.

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Valerian & CNS Depressants

Valerian, a natural sleep aid, can interact with central nervous depressants like benzodiazepines, increasing their sedative effects.

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Kava Kava & CNS Medications

Kava kava, used for relaxation and stress relief, can interact with CNS depressants and stimulants, potentially causing adverse effects.

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St. John's Wort & CNS Depressants

St. John's Wort, commonly used for depression and anxiety, can interact with CNS depressants, potentially increasing their sedative effects.

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Study Notes

Herb-Drug Interactions Summary

  • Ginkgo Biloba: Flavonoids in Ginkgo can be dangerous for those taking anticoagulants. Natural remedies aren't always safer or less expensive than prescription medications; some have similar active chemical strength. Allergic reactions can occur with natural products, and they may not have fewer side effects. Ginkgo may reduce the need for some prescription drugs.

Ginkgo Biloba (Specific Interactions)

  • Effects: Increases blood flow and memory, but decreases blood pressure. Increases the risk of serotonin syndrome with tricyclic antidepressants. Increases the effects of anticoagulants and decreases insulin levels in diabetics.

Ginseng (Specific Interactions)

  • Effects: Decreases blood sugar, stress, blood pressure, and sexual function, but increases energy levels. Interactions with insulin and oral hypoglycemic agents can be increased with CNS depressants and anticoagulants. Morphine interactions are decreased.

Black Licorice (Specific Interactions)

  • Effects: Regulates hormones, decreasing stress and influencing fat. Large doses (greater than four weeks) may cause headaches, increased blood pressure, and reduced potassium (dangerous). Can increase the effect of digitalis, aspirin, steroids and exacerbate potassium depletion from laxatives.

Ginger (Specific Interactions)

  • Effects: Decreases nausea, irritable bowel syndrome (IBS), stomach issues, and inflammation. Increases the effect of anticoagulants.

Feverfew (Specific Interactions)

  • Effects: Decreases fever, inflammation, migraines/dizziness, nausea/vomiting, tinnitus, and blood pressure. Increases the effects of anticoagulants and NSAIDs.

Garlic (Specific Interactions)

  • Effects: Thins the blood. Increases the effect of anticoagulants and boosts immunity; decreases cholesterol levels.

Valerian (Specific Interactions)

  • Effects: Reduces anxiety and blood pressure; decreases sleep disorders. Increases the effects of CNS depressants (benzodiazepines, barbiturates, anticonvulsants, and sedatives).

Kava Kava (Specific Interactions)

  • Effects: Decreases stress/anxiety and convulsions, relaxes muscles, and helps with sleeping problems. Increases the effects of CNS depressants and Adderall, and 5-HTPs.

St. John's Wort (Specific Interactions)

  • Effects: Decreases depression, anxiety, and insomnia. Increases the effect of appetite and CNS depressants.

Melatonin (Specific Interactions)

  • Effects: Decreases insomnia and the antidepressant effects of desipramine and fluoxetine (Prozac). Calcium channel blockers (CCBs) may decrease melatonin levels.

Saw Palmetto (Specific Interactions)

  • Effects: Decreases benign prostatic hyperplasia (BPH), urinary retention, nocturia, and assists in initiating urination. Decreases iron absorption and oral contraceptive effectiveness. Has hormone-like effects, so avoid during pregnancy, lactation, and in hormone-sensitive cancers. Avoid with finasteride (Proscar) as they have similar effects.

Turmeric (Specific Interactions)

  • Effects: Decreases inflammation, tumors, infections, and stomach issues. Enhances effect of anticoagulants. Decreases PPIs and H2 blockers, which results in increased stomach acid.

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Description

This quiz explores the interactions between herbs like Ginkgo Biloba and Ginseng with various medications. It highlights the potential risks and effects on blood pressure, blood sugar, and more. Understanding these interactions is crucial for safe herbal remedy usage.

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