Dietary supplements, natural, and complementary medicine- Exam Questions and Correct Answers Latest Version

Dietary supplements, natural, and complementary medicine- Exam Questions and Correct Answers Latest Version What does complementary medicine refer to? - Answers Health practices, such as dietary supplements, acupuncture that are used with conventional medicine When is the term alternative medicine used? - Answers When conventional medicine is not used What does the DSHEA of 1994 require from the manufacturer regarding dietary supplements - Answers Products are safe before their marketed and drugs must be proven to be safe and effective before they can be sold Where can adverse events from supplements be reported to? - Answers FDA safety reporting portal What drug databases can be used to find information on supplements and natural - Answers Natural medicine database What can manufacturers not make claims about when it comes to supplements? - Answers They cannot say that supplements treat or cure conditions and can only talk about the relation to health What labels are required on a supplement bottle? - Answers FDA has not evaluated the claims What is the USP? - Answers United States pharmacopeia that establishes standards for dietary supplements What are the four areas of concern for supplements? - Answers Interactions, bleeding risks, hepatotoxicity, cardiotoxicity What is RDI and is it required on supplements? - Answers It is the recommended daily intake and it is not required as a label yet Which CYP 450 enzymes are induced by St. John's wart SJW - Answers 3A4, 2C 19, 2C9, 182, PGP therefore decreases level of other drugs What drugs should you not use SJW with - Answers It is implicated with serotonin syndrome therefore do not use with MAO inhibitors or SSRI or SNRI What is a side effect of SJW - Answers Photo sensitivity therefore patient Council on Sun protection What are the 5G's that are natural that increase bleeding risk - Answers Ginger, ginkgo, garlic, ginseng, glucosamine What are other natural products that increase risk of bleeding? - Answers Fish oil, willow bark, Dong quai What are supplements with the risk of liver toxicity? - Answers Black cohost, kava What are supplements with the risk of cardiac toxicity? - Answers Bitter orange, especially with stimulants yohimbe -> used to increase libido for sexual dysfn What happens when caffeine is taken excessively? - Answers Rise in blood pressure and increases heart rate Green tea helps lower LDL and triglycerides How does the FDA label food adjectives? - Answers Generally recognized as safe GRAS Common supplements for anxiety - Answers Valerian, passion, flower, KAVA, St. John's wart Common supplements for ADHD - Answers Omega-3 fatty acids Common supplements for cold, sores, canker sores - Answers L-lysine Common supplements for colds and flu - Answers echinacea, zinc, vitamin C Common supplements used for dementia/memory - Answers Jinko, vitamin E Common supplements used for depression - Answers St. John's wart, SAMe, valrian, 5-HTP Common supplements used for diabetes - Answers Alpha Lipo acid, chromium, cinnamon Common supplements used for dyslipidemia - Answers Red yeast, rice, omega-3 fatty acid Common supplements used for dyspepsia - Answers Calcium, magnesium Common supplements for energy/weight loss - Answers Green tea powder, bitter orange Synephrine, caffeine Common supplements used for erectile dysfunction - Answers Ginseng, L-arginine, Yohimbe Common supplements for heart health - Answers Call enzyme Q10, Hawthorne, omega-3 fatty acids Common supplements used for hypertension - Answers Omega-3 fatty acids, L-arginine, call enzyme Q 10, garlic Common supplements used for G.I. health - Answers Fibers, chamomile, probiotics Common supplements for inflammation - Answers Omega-3 fatty acids, flaxseed, oil, turmeric Common supplements for insomnia/sleep - Answers Melatonin taken QHS take 0.5-2 mg pre-flight for jetlag prevention, and 5 mg post flight valerian, chamomille Common supplements for liver disease - Answers milk thistle Common supplements for menopause - Answers Black cohost, evening, Primrose oil, soy, red clover Common supplements for migraine prophylax - Answers Feverfew, butterburr, magnesium, B2 riboflavin Common supplements for motion, sickness - Answers Ginger, peppermint Common supplements for osteoarthritis - Answers Glucosamine Chondroitin SAMe Turmeric Common supplements for osteoporosis - Answers Calcium Vitamin D Soy Common supplements for prostate health - Answers saw palmetto lycopene Common supplements for skin conditions - Answers tea tree oil Common supplements for UTIs - Answers Cranberry Safety issue with 5 - HTP - Answers serotonergic risk Safety issue with bitter orange shrine component - Answers Stimulant