Medicines and Supplements Derived from Plants and Fungi: A List and Reasons for Their Use, Slides of Medicine

Download Medicines and Supplements Derived from Plants and Fungi: A List and Reasons for Their Use and more Slides Medicine in PDF only on Docsity! What medicines came from these plants and fungi? •Willow •Wintergreen berry •Rye mold •Bread mold •Madagascar periwinkle •Pacific yew •Belladonna •Foxglove •Wormwood spp. •Cassia spp. •Autumn crocus •Snakeroot (Rawulfia spp.) Docsity.com Top-selling Herbs • Garlic, ginko, ginseng, ginger, green tea extract • Echinacea • Saw palmetto • Cranberry, and other berry extracts like acai, bilberry, blueberry and blackberry • Soy isoflavones • Black cohosh • St. John’s wort • Mild thistle • Valerian • Red yeast rice • Guarana, mate • Castor oil • Senna • Hot pepper oil • Yohimbe, goat weed • Hawthorne • Ma huang (ephedra) • Kava-kava, betel, coca leaf, qat, marijuana Docsity.com Case • 57 year old man with PMH of hypertension, on 2 HTN meds at baseline, comes to the ED complaining of severe headache and nausea, diminished urination • Found to have bp of 235/140, ISTAT of 0.32, Cr 4.5 (baseline 1.1). Attempts to control bp with bolus IV labetalol and hydralazine not successful, finally simultaneous IV labetalol and NTG drips worked to get sbp down to 200’s, able to titrate off drips starting about 18h after admission, troponin declined, renal failure resolved by discharge. Docsity.com General principles • Herbs/supplements are poorly researched in general due primarily to funding issues • Many herbs and supplements have effects, therefore side-effects • Regulation is deliberately very light and poorly funded— and supplements are often deliberately spiked with illicit modern pharmaceuticals • Consider subscribing to FDA alerts, browsing websites, subscribing to PDA herb/supplement databases • Ask your pt’s what herbs/supplements they are taking!! Docsity.com