| Term 
 | Definition 
 
        | -Antihyperlipidemic(↓ cholesterol) -Antihypertensive
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -CHF (congestion Hear failure)
 -Statin associated
 muscle pain (data
 don’t support this) -Age related
 degeneration  (skin
 creams)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Antiplatelet blood thinner: asp (DC garlic 2
 weeks before)
 Hypoglycemics/Insulin
 -May induce P450 3A4 (CCB,
 chemo, antifungal, Losartan)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Antioxydant activity
 (protection
 against free
 radicaux)
 -Generation ofATP
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Very low - Incrase  liver
 enzyme if  > 300 mg
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Anticoagulant: ↓ warfain effect - Protective effect: HMG-CoA
 reductase and
 RYR(Red Yeast
 Rice)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Ubiquinol preferred
 -Found in
 livekidney,
 liver,
 pancreas and heart
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -High Triglycerides -Reduced risk of
 death from heart
 disease
 -Rheumatoid arthritis -Others: cancer,
 asthma, depression,
 high blood pressure
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Inti-inflam effects
 -Blood thinner effects
 -Vasodilation+ (↓ BP a liitle)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Loose stools, flatulence, belching -Nausea
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Contain monacolins
 (esp.
 monacolin K)-Same MAO
 as statin?
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Abdominal discomfort
 -May ↑ LFTs (liver
 fn test ) and CK
 (creatine kinase) +++ -Contraindication:
 Liver disfunctionn
 and pregnancy +++
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -HMG-CoA reductase
 inhibitors
 -P450 inhibitors(teheophylline,, cisapride,
 ketoconazole,
 itraconazole,
 fluconazole)
 ↑RYR level
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interact with Grape Fruit juice |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hypercholesterolemia -Intermittent
 Claudication (no datasupport)
 
 -MAO: ↓ platelet
 aggregation
 
 -↑walking distance
 
 -Improved lower
 extremity coldness
 and pain
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -No effect on LFT and no muscle effect
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Most popular
 cholesterol
 lowering
 internationally
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sufficient amts will↓ cholesterol absorptio in gut
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Need 1500mg to 3300mg to ↓ cholesterol
 level
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lab test interaction:Elevated levels of serum creatinine but
 normal kidney
 function
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Contraindications -Diuretics - Dehydration
 - Impaired kidney
 function
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interact with Ephedra and  Caffeine |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interact wit Nephrotoxic drugs (cyclosporine and NSAID?)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Weight loss 
 -Increased strength,
 energy, muscle mass
 
 - Improve sexual
 performance
 
 -DHEA levels
 decrease with age
 – Peak at mid-20’
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Contraindications: -History of hormone sensitive (cancer?):
 Breast, cervix,
 endometrial, prostate
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Precursor for> 50 hormones
 – Precursor for estrogen
 and
 testosterone
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Used to treat osteoarthritis
 
 -Studies show
 reduces pain and
 improves
 functionality in knee
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | MOA unknown other
 than enhances
 natural repair
 process of
 joints
 
 -A.E. similar to
 placebo
 
 -Mild GI problem
 -blood glucose lev(possible but
 – Required for  Unlikely)
 synthesis of
 tendons,
 ligaments,
 cartilage,
 synovial fluid,
 mucus
 membranes
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Increase blood glucose level ( soavoid in diabetic patients)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interact with -Antidiabetic drugs . Monitor since conflicting
 evidence
 Warfarin ↑ risk of bleeding
 -Caution in
 patients with
 shellfish allergy
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -May help cartilage from being broken  down
 - Inhibits leukocyte elastase
 - Stimulates chondrocytes to produce
 more cartilage
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Used in combination with other supplements for osteoarthritis and
 joint health
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Immune stimulant to -Stimulate reduce symptoms and   immune
 duration of colds and
 URIs
 -May provide benefit
 if taken prophyli
 response
 - ↑activity olymphocyteneutrophilsatcfor colds –conflicti  and natural evidence
 -May ↓severity and
 symptoms of URI if
 used immedi and
 continued for 7- 10 d
 Prophylaxis – has
 been used safely for
 up to 16 wks
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Side effect are -usually well tolerated
 – Allergic reactions - esp. those allergic to
 Plants
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ↓ immunostimulation effects if used > 8 w –recommend1 wk holiday
 after 8 weeks  treatment
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Stimule immune response, increase activity of lymphocyte and neutrophils and NKC |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Used as an “Adaptogen”: general tonic for well being
 -↑ resistance to
 biological, chemical,
 and physical stress
 
 -Improve general
 vitality
 • Mental and physical
 capacity for work
 -Available as as Asian, American and
 Siberian
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -CNS stimulant
 
 Vasoconstriction
 
 -Cardiac
 stimulation
 
 Sympathomimetic :
 - ↑ in BP
 –Mydriasis
 – Bronchial
 muscle
 relaxation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Use for weight loss -Enhance athletic performance
 
 - Unsafe when used orally: HTN, MI,
 Seizure, Stroke , Allcan occur with shortterm use in
 lower dose
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Dizziness 
 -Anxiety
 
 -Insomnia
 
 -HA
 
 -BP
 
 -Tachycardia
 
 -Flushing
 
 -Dry mouth
 
 -Chest tightness
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Used for weight loss 
 -Inhibits P450 3A4:( CCB,
 antifungals,
 antivirals, and many more)
 ↑level
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interact with Coffee, caffeine, ephedra |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Synephrine related to ephedrine => May similar
 cardiovascular effects as ephedrine
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Structure similar to synephrine -May have stimulant effects
 -May ↑ lipid metabolism
 - May ↑ norepinephrine-induced  lipolysis and thermogenesis
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Used for weight loss - High blood pressure
 - Type 2 diabetes
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Thought to effect glucose metabolism  and absorption
 - May inhibit fat accumulation
 - May have blood pressure lowering
 effect.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Depression -Menopausalsymptoms
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Hypercin and Hyperforin carry active ingredient
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Photosensitivity -GI distress
 -Dry mouth
 -Dizziness/confusion -Delayed
 hypersensitivity
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Potent P450 inducer: 1A2,
 2D6, 3A4
 -5-HT 1 agonist,
 antidepressant,
 SSR: can ↑ ser
 syndrome
 -OC, amitrip,
 Nortrip,
 barbuturin,
 cyclosporine,
 narcotic,
 nefazodone,
 NNRTIs, proteas
 inhib, Theophylin:↓ level
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Narrow therap window drugs: +Digoxin
 +Phennytoin
 +Warfarin
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Do not stop abruptly : widraw effect similar to antidepressant -Medical referral before recommend this for depression
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | HA and -Migraine prevention(not for migraine treatment )  -Have to wait 2 weeks (4 to 8 weeks) before  see effect
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Inhibit platelet aggregation- -inhibit Serotonin release -Inhibit vascular muscle contraction -Contain Serotonin
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -GI: nausea, pain abdom pain,diarrhea  -Mouth ulceration (for the chew one) -Tongue irritation
 (for the chew one)
 
 (nervousness, tension
 HA, insomnia, joint
 pain/stiffness,
 fatigue) => don’t stopabruptly
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Alternative to HRT to manage menopausal sx |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Upset stomach -HA
 -Weight gain
 -Vaginal spotting or bleeding
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -HRT -OC (oral contraception)
 -Hepatotox +++  (monitor liver fn)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Don’t give to people with hormone sensitive cancer -Will take 2-3 months ( 4 to 12 weeks ) to see the effect
 |  | 
        |  | 
        
        | Term 
 
        | EPO: Evening Primrose Oil |  | Definition 
 
        | -PMS -Mastalgia
 -Menopausal sx
 |  | 
        |  | 
        
        | Term 
 
        | EPO: Evening Primrose Oil |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Prevent UTIs -Treat UTIs
 -Urinary deodorizer(incontinence)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Does not have antibacterial pp -Interfere with  bacteria adhesion
 -Limit bacteria ability to proliferate  and to spread
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Caution with diabetic pts becoz of sugar content
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Treatment of rotavirus, acute diarrhea -Treatment/ prevention of antibiotic associate diarrhea  -Prevention of
 traveler’s diarrhea-Reduced IBS
 symptoms (Irrible balance Sx)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Reestablish gut flora and prevent presence of harmul bact -May stimulateimmune syst
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Bacteria dose measured as CFUs (Colony Forming Units) -Yeast dose measure in mg
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Promote healthy bowel -Helpful in relieving Sx of IBS (irritable bowel syndrome)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Prevention of : Antibiotic associated Sacchas boula diarrhea & traveler’s  (yeast)diarrhea -Treatment of: HIV-associated diarrhea & diarrhea in infant
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -May cause flatulence -Fungemia in severly compromised pts
 -Not for children < 2 yrs old
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Antifungal agent(because it is yeast) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Improve digestion -Improve overall
 immune health
 -Likely effective for retrovirus diarrhea and other acute diarrhea in infants
 -May be effective for prevention of
 antibiotic associated
 diarrhea.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Used for ulcerative colitis and IBS to ↓ abdominal pain and bloating |  | 
        |  | 
        
        | Term 
 
        | Garlic, Red Yeast Rice,  Polycosanol, Plant Stanaols/Sterol |  | Definition 
 
        | These agents lower cholesterol |  | 
        |  | 
        
        | Term 
 
        | DHEA:(Dehydroepiandrosterone),Ephedra, Bitter Orange,Raspberry ketones, Used for weight loss
 |  | Definition 
 
        | These agents are used for weight lost |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These drugs are used for depression |  | 
        |  | 
        
        | Term 
 
        | Garlic,Fish oil,Green Coffee Extract |  | Definition 
 
        | These agents are used for hypertension: |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These agent(s) is/are used to decrease cholesterol and hypertension: |  | 
        |  | 
        
        | Term 
 
        | EPO: Evening Primrose Oil, Black Cohosh, St. John’sWort |  | Definition 
 
        | These drugs assist in memopausal symptoms |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These herbal side effects are HA, Insomnia and Tachycardia |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These herbals are P450 inducers: |  | 
        |  | 
        
        | Term 
 
        | Bitter Orange,Red Yeast Rice |  | Definition 
 
        | These drugs are P450 inhibitors |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | This drug interact with HMG-CoA reductase inhibitors |  | 
        |  | 
        
        | Term 
 
        | Cranberry,EPO,Feverfew,Ginseng, Chondroitin sulfate,Fish oil,Garlic, Q-10
 |  | Definition 
 
        | This herbal supplement interact with anticoagulants |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | These agents generate ATP |  | 
        |  |