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IOS 9 Exam 2
Complementary medicine:womens and mens health
| Question | Answer |
|---|---|
| Menopause complementary medicine treatments patient use | Black cohosh, phytoestrogens, yams, flaxseed, panax ginsing |
| Black cohosh (remifemin) | Believed to suppress LH, RCT showed benefit in reducing number of hot flashed and effect on vaginal epitheliem |
| Phytoestrogens 3 types | Coumestans, Ligans, Isoflavones (most) |
| Phytoestrogens MOA | have weak estrogenic effect at 16 weeks. RCT showed reduction in hot flashs severity and frequency |
| Natural hormone replacement | Plant based estrogens that are modified and placed in bio-identical proportions, may have improved tolerability |
| Yams for hormone replacement | Cannot eat enough |
| Flaxseed menopause | A phytoestrogen -Lignan, contains 3/6 ratio of omega fatty acids which may be beneficially for hot flashes |
| Panax ginsing for hot flashes | Estrogenic effects are controversal, caution they stimulated cancer cells, but have a mood enhancement component |
| PMS symptoms treatments | Calcium, chasteberry, Vitamins and Minerals (B6, Mg, Mb, Vit E) |
| Calcium for PMS | Likely to be effective 1-1.2 G QD assists with depressed mood, water retention, and pain |
| Chasteberry for PMS | Mastalgia (breat pain) edema, constipation, irritability, depressed mood, HA. Some suggest low progesterone and high estrogen response better |
| Vitamins and Minerals | Mg (migrane treatment), Mn +Ca, B6 (mood anxiety) Vit E (decrease anxiety- Max 100 IU) |
| Morning Sickness | Ginger, Pyidoxine (B6) |
| Ginger for morning sickness | Suggests eating it in food or tea, german commission contraindicated in pregancy due to lack of studies |
| Pyriodixine for morning sickeness | Only works on sever N/V 25mg Q8hrs |
| BPH treatments | Saw Palmetto, nettles, pumpkin seeds, Pygeum |
| Saw palmetto as BPH treatment | Considered a 5 alpha reductase inhibitor therefore decrease of DHT. 160mg BID standardized to 85-95% FA + steroid is the Key. Showed an increase in urinary frequency, and flow Caution in olfer men thought to mask prostrate cancer! |
| Erectile dysfunction | Nothing works well: yohimbine, Panax ginsing, L-arginine, DHEA |
| Soy interacts with | warfarin (decrease INR) and Tamoxifen (antagonize tumors) |
| Red clover interacts with | antiplatelets (increase bleeding) and anti-diabetics (decrease glucose) |
| Flaxseed interacts with | Antiplatelets (increase bleeding), Warfarin (decrease INR), anti-diabetics (decrease glucose) |
| Black cohosh interacts with | Doxatexel (increase), Doxorubicin (increase) and antesthesia (hypotension) |
| Dong Quai interacts with | Warfarin (increase INR), antibplatelets (increase bleeding risk) |
| Evening primrose interacts with | anethesia (seizures) and antiplatelets (increase bleeding) |
Created by:
liza001
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