CONTEMPORARY

MEDS
 CO-ENZYME 10
 Has antioxidant and membrane
stabilizing properties
 Q10 is a free radical scavenger
 Protects cell membranes and DNA
from oxidative damage
 Found in all human cells
 Protects tissue from cellular
damage
 INDICATIONS

 Allergies
 Asthma
 Respiratory disease
 Alzheimers’ disease
 Schizophrenia
 Gives energy to the heart
especially in CHF
UNDESIRABLE EFFECTS

 Anorexia

 Nausea

 Diarrhea

 Epigastric discomfort
 SPECIFIC
INFORMATION:

 Oral antidiabetic agents

may decrease
effectiveness of Co-Q10
 Co-Q10 may decrease

response to warfarin
 INTERVENTIONS

 Cardiovascular assessment
should be ongoing
 Coenzyme Q10 is oil soluble

and is best absorbed when

taken with oily or fatty foods
such as fish
 EDUCATION

 Co-Q10 is perishable and

deteriorates in temperatures
above 115’F
 A liquid form or oil form is
preferable
 Vitamin E helps preserve Co-
enzyme
 FOODS HIGH IN
VITAMIN E

 Mackerel, salmon,
sardines
 Peanuts

 Spinach

 Beef
 EVALUATION

CLIENT WILL HAVE NO SIGNS OF:

 peripheral edema, hepato

splenomegaly, JVD, bibasilar

crackles
 client will have normal sinus

rhythm on ECG
 increased sense of well-being
 BRANDS

 ADELIR
 CO-Q10
 HEARTACIN
 INOKITON
 NEUQUINONE
 TAIDECANONE
 UBIQUINONE
 UDEKINONE
 ECHINACEA
 Stimulates phagocytosis
 increases mobility of leukocytes
 increases respiratory cellular
activity
 increased immunity
 antiseptic, antiviral, anti-
inflammatory
 has peripheral vasodilator property
 INDICATIONS

 Sore throat, colds, flu, low immune

status, CA
 Ointments used for burns, ulceration,
eczema, herpes simplex, psoriasis
 Reduces recurrence of Candida
Albicans
 Decreases growth of Trichomonas
Vaginalis
 WARNINGS

 EXTERNALLY: none
 INTERNALLY: TB, MS, HIV,
collagen diseases and
autoimmune diseases
 Alcoholics and with liver disease
 Pregnancy, breastfeeding
 children
UNDESIRABLE EFFECTS

 Allergies may occur if client is

allergic to plants in the daisy
family.
 OTHER SPECIFIC
INFORMATION

 Donot administer with

immunosupressants or
hepatotoxic drugs,
disulfiram and
metronidazole
 INTERVENTIONS

 Monitor WBC
 Vital signs

 breath sounds
 EDUCATION

 Instruct the client that herb

should not be used longer than
8 weeks ,10-14 days of therapy
is probably sufficient
 If illness does not resolve after
taking the herb, advise to notify
provider.
 EVALUATION

 WBCs will return to normal

range.Temperature will
return to normal range, and
client will have a decrease
in the symptoms for which
the herb was administered.
 BRANDS

 CONEFLOWER EXTRACT
 ECHINACEA
 ECHINACEA ANGUSTIFOLIA
 ECHINACEA FRESH FREEZE-
DRIED
 ECHINACEA GLYCERITE
 ECHINACEA PURPUREA
 EVENING PRIMROSE

 Its oil stems from essential

fatty acids that are crucial as
structural elements for cells as
precursors of synthesis of
prostaglandins
 Linoleic acid is not manfactured
by the body and must be
provided through diet
 The body relies on the
metabolic conversion of
lenoleic acid (LA) to gamma
lenoleic acid (GLA). A
deficiency in this process
results in diabetes , CA, CVD.
 This herb contains the highest
amount of GLA .
 INDICATIONS

 Rheumatoid arthritis
 PMS

 Menopause

 diabetic neuropathy
 WARNINGS

 Pregnancy
 Breast CA

 Schizophrenia

 Clients taking epileptogenic

meds such as penothiazines

UNDESIRABLE EFFECTS

 Abdominal discomfort
 nausea

 headache

 rash

 immunosuppression may

occur after use of GLA > 1year

 OTHER SPECIFIC
INFORMATION

 Penothiazines may
increase risk of
seizures
 EDUCATION

 Instructwomen with
breast CA or clients
with seizure disorder
not to use this herb
 EVALUATION

 The clients symptoms

will improve based on
therapeutic reason for
taking the herb
 BRANDS

 EFAMOL
 EPOGRAM

 EVENING PRIMROSE OIL

 PRIMROSE POWER

 MEGA PRIMROSE OIL

 FEVERFEW

 Inhibits synthesis of
prostaglandins and
leukotrienes
 Inhibits secretion of

serotonin from platelet

granules
 INDICATIONS

 Migraine headaches
 Arthritis

 Fever

 Menstrual disorders
UNDESIRABLE EFFECTS

 Occasional mouth ulceration

 GI disturbances
 Dry ,sore tongue
 Swollen lips
 Abdominal pain
 Vomiting
 Diarrhea, flatulence
 POST FEVERFEW
SYNDROME

 Withdrawal syndrome
characterized by
moderate to severe pain
and joint and muscle
stiffness
 OTHER SPECIFIC
INFORMATION

Use caution with

anti-coagulants,
may increase
bleeding
 INTERVENTIONS

 Recommend avoiding
chewing the leaves
since they can cause
mouth ulcers
 EDUCATION

 Discuss proper oral hygiene due

to the risk of mouth ulcerations.
 Discuss the importance of
reporting undesirable effects to
provider
 Even feverfew is given for pain,
the user can still operate heavy
machinery
 Treatment for at least a
few months is
recommended .
 Instruct the client not to

withdraw the herb

abruptly.
 EVALUATION

 Clients temperature
will return to normal
range and pain
subside.
 BRANDS

 FEVERFEW

 FEVERFEW GLYC
 FEVERFEW POWER
 GARLIC

 Inhibits platelet agreggation

 Decreases lipids
 Has anti-tumor effects
 Lowers total serum cholesterol,
TG, and LDL
 Increases HDL
 Anti-microbial
 INDICATIONS

 Lowers high blood pressure

and serum lipid levels
 Aids in treatment of

arteriosclerosis
 Aids in treatment of yeast

infection, wounds, colds and

flu
 WARNINGS

 Hypersensitivity

 Pepticulcer or reflux
disease
 Pregnant women due to

oxytocic effects
UNDESIRABLE EFFECTS

 The entire body can smell of

garlic
 Diaphoresis
 Hypothyroidism
 irritation of the mouth,
esophagus or stomach
 Nausea and vomiting
 Chronic use may lead
to decreased
hemoglobin production
and lysis of RBCs
 OTHER SPECIFIC
INFORMATION

 Increases the risk of

bleeding
 INTERVENTIONS

 MonitorCBC if client
taking high-dose or long
term
 EDUCATION

 Odorless garlic supplements

are available
 Instruct client watch for

signs of bleeding (bleeding

gums, petechiae) if taking
with hemostatic agents
 EVALUATION

 The client will have a

decrease in BP, lipid
levels, or clinical
symptoms for which the
garlic was administered
 BRANDS

 GARLIC POWER
 GARLIQUE
 KWAI
 ODORLESS GARLIC TABLETS
 ONE A DAY GARLIC
 SAPEC
 GINKO BILOBA
 Produces arterial and venous
vasoasoactive changes that
increase the tissue perfusion
and cerebral blood flow
 stimulates prostaglandin
biosynthesis
 acts as anti-oxidant
 INDICATIONS

 Memory loss
 Early stages of Alzheimers’

disease
 Poor circulation to

extremeties
 Intermittent claudication
 WARNINGS

 Hypersensitivity
 Pregnancy
 Children
 Hemophilia or bleeding
disorders
 Clients taking anti-coagulants
and anti-platelet meds
UNDESIRABLE EFFECTS

 Mild GI upset in less than 1% of

patients
 Long term use has been linked
with rare occurrence of
spontaneous subdural
hematoma, intracerebral or
intraoccular hemorrhage
 OTHER SPECIFIC
INFORMATION
 Cigarette smoking or use of
platelet agreggation
inhibitors increases the risk
of subarachnoid hemorrhage
may interact with
carebemazepine,
phenobarbital and phenytoin.
 INTERVENTIONS

 Administration for at least 2

weeks recommended
 Children and adults taking

medicinal doses should be

seen by a qualified health
care provider
 EDUCATION

 Stay within recommended dosage

and duration. Advise not to take
aspirin or NSAIDs or alcohol; report
unusual bleeding or bruising.
 Keep out of reach from children due
to potential risk of seizures with
ingestion
 Avoid contact with the fruit pulp or
seed coats due to risk of dermatitis
 EVALUATION

 Substantial regression of
major symptoms of chronic
cerebral insufficiency
including vertigo, senility,
fatigue, lack of vigilance,
and poor circulation to the
limbs
 BRANDS
 BIOGINKO 24/6
 BIOGINKO 27/7
 GINCOSAN
 GINEXIN REMIND
 GINKAI
 GINKOBA
 GINKO PHYTOSOME
 GINSENG

 Supports and enhances adrenal

function , allowing for more
consistent energy and better
reaction to stress.
 Reduces cholesterol and TG,
decreases platelet adhesiveness
and coagulation
 Increases fibrinolysis
 Antiarrythmic effects
have also been
determined with ginseng
similar to Verapamil and
amiordarone
 INDICATIONS

 Improves stamina,
concentration and stress-
resistance; adjunct in radiation
and chemotherapy.
 Lowers blood glucose and
cholesterol levels
 Has anti-hypertensive effects
 WARNINGS

 Cardiovascular disease
 Hyper/hypotension
 Diabetes
 Steroid therapy
 Pregnancy
 Breastfeeding
UNDESIRABLE EFFECTS

 High doses can cause

jitters, headache,
hypertension, vaginal
bleeding, skin eruptions
and pruritus.
 OTHER SPECIFIC
INFORMATION
 Anti-diabetic agents should be
used cautiously due to ginsengs’
hypogycemic effect.
 MAO inhibitors given with
ginseng may result in tremors,
headache and mania.
 Herb may interfere with digoxin
effects
 INTERVENTIONS

 Monitor for “Ginseng Abuse

Syndrome” (nervousness,
insomnia, morning diarrhea)
 This will occur if tea or coffee
are taken with the herb.
 Monitor the diabetic client for
signs and symptoms of
hypoglycemia.
 EDUCATION

 Take 1 hour before eating.

 Vitamin C can interfere with
absorption.
 Avoid caffeine
 Take early in the day to reduce
over stimulation.
 Generally up to 3 months is
recommended
 EVALUATION

 Client
will experience an
increase in energy and an
improvement of
symptoms for which
ginseng was
administered.
 BRANDS

 BIOSTAR
 CIMEXON
 GINCOSAN
 GINSANA
 GINSATONIC
 NEO GINSANA
 KAVA - KAVA
 The limbic system is inhibited
by kavapyrones an effect
associated with suppression of
emotional excitability and mood
enhancement. Noted for
promoting relaxation without
loss of mental sharpness
 INDICATIONS

 Anxiety disorders
 Stress
 Insomnia
 Muscle spasms
 Backache
 Neckache
 Pain from TMJ
 WARNINGS

 Pregnant,breastfeeding
 Children< 12
 Use cautiously in clients with
renal disease, neutropenia or
thrombocytopenia.
 Do not use if diagnosed with
Parkinson’s disease
UNDESIRABLE EFFECTS

 Mild GI disturbance
 Alterations in motor reflexes
and judgement.
 Visual disturbances
 Dry discolored flaking skin
 Reddened eyes ( may be from
cholesterol metabolism)
 Dopamine antagonism
 Decreases patellar reflexes
 Pulmonary
hypertension,shortness of
breath
 decreased bilirubin
levels,plasma proteins and urea
 Long term use : decreased
platelet and lymphocyte count
 OTHER SPECIFIC
INFORMATION
 When taken with kava , these
interaction can occur:
 ALPRAZOLAM may cause coma
 BENZODIAZEPINES,ALCOHOL and
CNS DEPRESSANTS increases
sedative effects
 LEVODOPA increases
Parkinsonian’s symptoms
 EDUCATION

 Warn against using medicines

referred to in other specific
information.
 Do not take for more than 3
months without provider advice
due to significant undesirable
effects.
 Instruct client to take with food.
 EVALUATION

 Client will experience a

decrease in anxiety and
improvement in peaceful sleep.
 BRANDS
 AIGIN
 ANTARES
 ARDEYDYSTIN
 CEFKAVA
 KAVASEDON
 KAVASPORAL
 KAVATINO
 LAITAN
 MOSARO
 NERVONOCTON N
 POTTER’S ANTIGIAN TABLETS
 VIOCAVA
SAW PALMETTO BERRY:
SERENOA REPENS
 Lipidosterolic extract of S.
repens (LSER) appears to have
an inhibitory effect on the
binding of dihydrotestosterone
(DHT) to androgen receptors in
the prostate. LESR has anti
inflammatory effect
 INDICATIONS

 BPH, may function as mild

diuretic
 WARNINGS

 Pregnancy, breastfeeding and

women of child-bearing age.
 Use cautiously in clients with
medical problems other than
BPH due to lack of data
UNDESIRABLE EFFECTS

 Large amounts may cause

diarrhea.
 In rare case , stomach problems
and headaches may occur.
 May create false negative
prostate antigen results
 OTHER SPECIFIC
INFORMATION
 Increase side effects of
estrogen or birth control pills
 May decrease iron absorption
 INTERVENTIONS

 Obtain a baseline PSA before

starting the herb since it can
cause a false negative PSA.
 EDUCATION

 Instruct the client to take the herb

with AM and PM meal to decrease GI
effects.
 Client should use herb for BPH only
after a diagnosis has been and with
the management of the provider of
health care.
 Advise client to report any
undesirable effect
 EVALUATION

 Client will experience a

decrease in the symptoms for
which the herb was taken.
 BRANDS

 PREMIXON

 PROPALMEX

 STROGEN
 ST. JOHN’S WORT

 The exact mechanism has not

been determined.
 Inhibits the stress-induced
increase in corticotropin-
releasing hormone and cortisol.
 Increases the nocturnal melatonin
levels
 Anti-viral
 INDICATIONS

 Mild to moderate depression

,insomnia, anxiety and PMS
symptoms.
 Wound healing

 Insect bites
 WARNINGS

 Clients taking prescription

and anti-depressants
 Pregnant or breastfeeding

clients
 Children
UNDESIRABLE EFFECTS

 Photosensitivity in people with

fair skin
 Dizziness
 Constipation
 Dry mouth
 GI distress
 Restlessness
 OTHER SPECIFIC
INFORMATION
 Alcohol, narcotics, OTC cold
and flu medications,
sympathomimetics, tyramine
containing foods may increase
MAO inhibition activity.
 Paroxetine may increase
sedative-hypnotic effects with
the herb.
 Serotonin syndrome may occur
when used with SSRI’s or
tricyclic anti-depressants.
 Do not use with drugs that
cause photosensitivity
( sulfonamides,tetracyclines,ant
ipsychotics,etc. )
 INTERVENTIONS

 The clients depression

should be evaluated by a
health care provider.
 EDUCATION
 Use over a period of several
weeks or months to obtain the
desired effects.
 Should not be used at the same
time with prescribed anti
depressants.
 Avoid foods high in tyramine
 Teach to stay out of the sun
 EVALUATION

 Client’s
communication
and behavior will
indicate an
improvement of
depression.
 BRANDS

 HYPERCALM
 HYPERICUM
 KIRA
 MOOD SUPPORT
 ST.JOHN’S WORT
 NUTRI ZAC
 TENSION TAMER