Herbal Products

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Author:
Anonymous
ID:
82624
Filename:
Herbal Products
Updated:
2011-05-03 19:14:34
Tags:
Alternative Medicine
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Description:
Baker 4-18-2011
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  1. What are the 11 supplements that require tx modifications in clinical dentistry?
    • 1. Diet or Energy Supplements
    • 2. Echinacea
    • 3. Fish Oil (>3g/day)
    • 4. Garlic
    • 5. Ginger
    • 6. Ginkgo
    • 7. Ginseng
    • 8. Kava
    • 9. St. John's Wort
    • 10. Valerian
    • 11. Vit E (>4001.U.)
  2. What are the peri-surgical considerations w/:
    Diet/energy supplements (Ephedra-ma huang)
    Chronic Echinacea
    Kava
    St. John's Wort
    Valerian
    • Diet/energy supplements - Hypertension
    • Chronic echinacea - Chronic immune suppression; allergic rxn-dec. effectiveness to immunosuppressants
    • Kava - Potential to increase sedative effect of anesthetics; potential for addiction, tolerance, and withdrawal
    • St. John's Wort - Induction of cytochrome P450 enzymes -->drug intx (cyclosporine, warfarin, steroids, protease -, BZ, Ca channel blockers, etc)
    • Valerian - Potential to increase sedative efects of anesthetics, BZ-like acute withdrawal
  3. Surgical Considerations for the supplements that affect hemostasis: GARLIC
    Garlic: CS anticoag. esp @ high dose, PAI, FFI, discontinue atleast 7 day before surgery
  4. Surgical considerations for Vitamin E
    May be CS esp. @ high doses, can potentiate effect of warfarin or aspirin; 400UI/day inc. bleeding, discontinue use 3 day prior to surgery
  5. Surgical considerations for Fish oil
    May increase risk of bleeding
  6. Surgical Considerations for the supplements that affect hemostasis: GINGER
    Ginger: possible CS but >1g/day, PAI
  7. Surgical Considerations for the supplements that affect hemostasis: GINKGO
    Ginko: CS anticoag., PAI, discontinue atleast 36hrs before surgery
  8. Surgical Considerations for the supplements that affect hemostasis: GINSENG
    Ginseng: PAI, FFI, inc. bleeding, dec. anticoag effect of warfarin, discontinue atleast 7 days before surgery
  9. What are the peri-surgical considerations w/:
    Diet/energy supplements (Ephedra-ma huang)
    HYPERTENSION
  10. What are the peri-surgical considerations w/:
    Echinacea
    CHRONIC IMMUNE SUPPRESSION
  11. What are the peri-surgical considerations w/:
    4 G's
    BLEEDING
  12. What are the peri-surgical considerations w/:
    Kava
    SEDATION
  13. What are the peri-surgical considerations w/:
    St. John's Wort
    DRUG INTX
  14. What are the peri-surgical considerations w/:
    VALERIAN
    SEDATION
  15. Which herbal supplements cause - REVERSIBLE platelet effects & should be discontinued 3 days prior to surgery?
    GINKGO & VIT E
  16. Which herbal supplements cause - IRREVERSIBLE platelet effects and should be discontinued 7-10 days prior to surgery?
    GARLIC, GINSENG

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