Cardiovascular health

generally well tolerated

possible bleeding

do not give with chemo drugs

warfarin

anti-HTN- additive

stop 2 weeks prior to surgery

dyslipidemia

hyper-triglyceridemia

ADR's: GI upset, fishy belching, diarrhea, heartburn,nausea

do not give with: anticoagulants- increased risk of bleeding or contraceptives

Dyslipidemia

Adr's- diarrhea

do not give with anticoagulants and antiplatelets- increased bleeding

Cardio health

breath/body odor, GI upset, N/V/D, heart burn

do not give with HIV drugs (NNRTI's and PI's)

anticoagulants or antiplatelets- increased bleeding

Cardio health

generally well tolerated

do not give with warfarin- increased bleeding

For heart failure

ADR's: vertigo/dizziness/ agitation

do not give with Digoxin, CV meds, CNS depressants

menopausal sx

Adr's: GI upset

do not give with cisplatin

PMS

generally well tolerated

do not give with anticoagulants or phenothiazine (increased risk of seizure)

menopausal sx or CV health

very well tolerated

do not give with MAOI because soy contains tyramine

soy may have similar effects to estrogen?

BPH

mild GI intolerance

do not give with anticoagulants or hormone therapies

Lowers blood sugar

H/A, insomnia, mood changes

do not give with insulin- hypoglycemia risk or levothyroxine- reduces bioavailability

restores GI flora

Flatulence thay dissipates over time and stomach discomfort

Do not give with abx- decreases efficacy of acidophilus

N/V/motion sickness

generally well tolerated

do not give with anticoagulants

heartburn and live/gall bladder disturbances

generally well tolerated

do not give with 2C9 and 3A4 substrates- monitor

common cole prevention/immune booster

N/V/D

CYP 1A2 and 3A4

H/A and migraine prevention

post feverfew syndrome: nervousness, tension headache, insomnia, joint pain stiffness- need to taper off

do not give with anticoagulants and antiplatelets- stop prior to surgery

common cold and upper respiratory infections

generally well tolerated

phelbitis, chronic venous insufficiency

dizzy/nausea/H/A, pruitis, claf spasm

do not give with anticoagulants and antiplatelelts

UTI

very well tolerated

do not give with anticoagulants

caution with kidney stones

Finger nail infection and acne

mild skin irritation and burning

cognitive alertness

insomnia- generally very well tolerated

do not give with anticoagulants

memory improvement and dementia

generally well tolerated

do not give with anticoagulants

Cognitive alertness

GI upset

no majot interactions at normal doses

Anxiety and stress

GI upset/ dizzy and drowsy

additive sedation- benzos and alchohol

insomnia and jet lag

generally well tolerated

Addtive sedation with CNS depressants

depression

Gi upset @ high doses

Do not give with SSRI's and MAOI's -SS

Arthritis- pain prevention

generally well tolerated- glucosamine should be avoided in peoples with shell fish allergy

avoid in anticoagulant TX

Pain/arthritis

generally well tolerated

Sleep disorers- insomnia, dysomnia, anxiety associated restlessness

H/A, paradoxical insomnia and uneasiness

additive sedation with CNS depressants

Derpression- mild to moderate

Generally well tolerated

Avoid in antidepressants-SS

BC

Warfarin