Presentation on theme: "Page 1 Identifying Interactions Between Prescription and Herbal Medications Lorraine W. Bock, MSN, CRNP, CEN."— Presentation transcript:
Page 1 Identifying Interactions Between Prescription and Herbal Medications Lorraine W. Bock, MSN, CRNP, CEN
Page 2 Objectives: 1.) Appreciate the magnitude of use of non- prescription herbs, vitamins, and supplements in the United States today. 2.) Understand the use of common herbal medications and supplements available on the market. 3.) Recognize common pharmaceuticals that pose of risk of drug/herb interactions. At the completion of this program the learner will:
Page 3 How many of you are currently taking a non-prescription vitamin herb or supplement on a regular basis?
Page 4 Supplement Use in the US Nearly 20% of Americans use a vitamin, herb, or supplement daily Over 50% of Americans admit to using a vitamin, herb, or supplement in the last 30 days Over 17 billion dollars is spent annually by consumers on the purchase of vitamins, herbs, and supplements National Center for Complimentary and Alternative Medicine
Page 5 What are we talking about? Vitamins Minerals Herbs Botanicals Amino Acids “Natural Products” Any substance intended to be taken by mouth for the purpose of supplementing the diet,contains one or more of the substances listed, and is labeled as a dietary supplement.
Page 6 Most Commonly Used Vitamins, Herbs, & Supplements Multivitamin/Multimineral Fish Oils/Omega III/DHA Glucosamine/Glucosamine Chondroitin Echinacea Flaxseed Ginseng Vitamins – B-complex, E, & C Calcium
Page 7 Multivitamins/Multiminerals Used to provide the addition of a variety of vitamins and minerals to one’s diet. Supplement nutrition
Page 8 Interactions/Side Effects Avoid drinking milk to take MVI Avoid salt substitute products Avoid taking at the same time as anti- acids Take only one MVI product at a time May alter the effect of: diuretics, BP medications, tretinoin/isotretinoin, bactrim/sulfa drugs, & NSAIDS
Page 9 Fish Oils/Omega III/DHA Heart Health –Decrease lipid levels –Lower BP –Dilate blood vessels Brain & Nervous System Function Reduce Inflammation Cancer Prevention
Page 10 Interactions/Side Effects Worsen diabetic control Immune suppression May alter the effects of: NSAIDS, Plavix, Celebrex, Heparin/Lovenox, Coumadin, Xenical/Alli, Thrombolitics, BP medications
Page 14 Interactions/Side Effects May alter the effects of: corticosteriods, antibiotics, diabetes medications, chemotherapy drugs May worsen: MS, Immune Disorders, TB, Leukemia, Lupus, Collagen Diseases, Stomach Problems Do not use in: HIV, Organ Transplant Patients, Pregnancy
Page 15 Flaxseed Anti-inflammatory Colon Health –IBS, Crohn’s, Colitis Cancer Prevention –Breast Cancer Heart Health –Lower lipids –Lower BP
Page 16 Interactions/Side Effects May slow the absorption of all drugs May alter the effects of: blood thinners, diabetic medications, NSAIDS, Contraceptives, Hormone Replacement Therapies, Anti-hyperlipidemics
Page 18 Interactions/Side Effects May alter the effects of: diabetes medications, blood thinners, NSAIDS, Thrombolytics, CA++ channel blockers, antidepressants, antipsychotics, MAO Inhibitors, Opiate Pain medications Should not be combined with caffeine products
Page 40 Conclusion Over 50% of Americans will utilize vitamins, herbs, and supplements to treat a health concern in the next 30 days. Many of these natural therapies will interact either positively or negatively with another substance the person is taking. Knowing some of the more common interactions may help prevent or minimize health concerns related to drug-herb interations.
Page 41 Contact Information Lorraine W. Bock, MSN, CRNP, CEN Bock Family Healthcare 1773 West Trindle Road Carlisle PA (717) – office (717) – cell