|
Herbal Supplement
APHA class if known
|
Indications
|
Actions
|
Contraindications
|
Side effects
|
Interactions
|
Dosage
|
|
Echinacea
APHA class: 1
|
Treatment and prevention of
the common cold and flu
|
Immunostimulant
Enhances phagocytosis
|
Autoimmune or Chronic
illness
Allergy to flowers of the aster family
|
Minor gastrointestinal
irritation
Increased urination Mild
allergic reactions
|
Immune suppressants
i.e, Neoral
Prednisone
Imuran
Methotreaxate
|
As powder extract: 300mg
cap/TID
Alcohol tincture (1:5):
3-4ml TID
Juice: 2-3ml TID
Whole dried root: 102g TID
|
|
Goldenseal
|
Topical antibiotic for
wounds that are not healing well
Mouth sores and sore
throats
|
Strong activity against a
wide variety of bacteria and fungi
|
Pregnancy
|
Gastrointestinal distress
Increased nervousness
|
|
As cream, cover entire
surface of the wound
Tincture: swished or
gargled
Tea: .5-1g in a cup of
water
|
|
Kava Kava
APHA class: 2d
|
Mild to moderate anxiety
Insomnia
|
Anti-anxiety
Mild analgesic
Muscle relaxant
Anti-convulsant
|
Pregnancy
Nursing mothers
Endogenous Depression
|
Mild gastrointestinal
irritation
Drowsiness
Yellowish skin
discoloration, Balance disturbance
Skin rash
Enlargement of pupils
|
Benzodiazepine
Buspirone
Alcohol
Barbiturates
Anti-depressants
Anti-psychotics
|
Standardized
extract:140-240mg in 2-3 divided doses (30-70% kava-lactones)
|
|
Ginseng
APHA class: 2d
|
Tonic
Stimulant
Diuretic
Diabetic impotence
|
Physiologic effects
Lower blood pressure
Depress CNS activity
Stimulates immune system
|
Coagulopathy
Diabetes
Insomnia
Schizophrenia
Cardiac Disease
Hypertension
|
Bleeding
Hypotension
Hypoglycemia
Insomnia
|
Medications for:
Psychosis
Diabetes
MAO inhibitors
Stimulants
Coumadin
Caffeine
|
American: Root:
.25-.5po BID
Asian (Panax):
.6-3gm 1-3 times daily
|
|
Gingko Biloba
APHA class: 1
|
Dementia
Improve cognitive, sexual,
and GI functions
Dizziness / Tinnitus
|
CNS blood flow
Neuroprotective
Free Radical
capillary fragility
|
If the patient is on
anticoagulants
|
Anticoagulants
Spontaneous bleeding
|
Cyclosporin
SSRI's
MAO inhibitors
Thiazide diuretics Anticoagulant
properties may induce seizures, infertility
|
120-480mg/day in2 ? 3
 divided doses
|
|
Herbal Supplement
APHA class if known
|
Indications
|
Actions
|
Contraindications
|
Side effects
|
Interactions
|
Dosage
|
|
Saw Palmetto
APHA class: 1
|
Antiinflammatory
8 Urinary Flow
9 symptoms of BPH
|
Inhibits
dihydro-testosterone
Diurectic
Anti androgenic
|
Do not take while on
prescription BPH treatment
|
None
|
Caution with diuretics
|
160 mg BID
|
|
Pygeum Africanum
|
Symptoms of BPH
Anti inflammatory
Diuretic,
9 cholesterol
|
Anti poliferative effect on
fibroblast
|
None reported
|
Nausea and abdominal pain
|
None known
|
50 - 200 mg stand ext/day
|
|
Guarana
|
Stimulant headache
8 Energy
|
Sympathomimetic
Caffeine like activities
|
Cardiac problems
Renal disease
HTN or hyperthyroidism
|
8 Heart rate
HTN
Anxiety
Arrythmias
|
Avoid other stimulants
|
2x as strong as caffeine
|
|
Feverfew
APHA class: 2b
|
Migraine
Rheumatoid arthritis
|
Inhibits seretonin release
|
Aster family allergies
Avoid during pregnancies
|
GI upset 6-15%
1st week of use
|
Anticoagulants
(inhib cycloxygenase
|
50 mg - 1.2 gm/d
equivalent to 0.2 - 0.6
|
|
Hawthorne
|
Atherosclerosis
Arythmia
|
Improves cardiac output and
coronary blood flow
|
Do not use with other
inotropes
|
Mildly sedative
|
Digitalis
Fox Glove
|
160 - 900 mg/D
|
|
Black Cohosh
|
Menopause
Astringent
Diuretic
Expectorant
Vertigo
Tinnitus
|
Estrogen like action,
Oxytocic
Luteinizing hormone
suppression
Binds to estogen receptors
|
None known
|
Occasional GI upset
Nausea, Headache and
dizziness in high doses
|
None known
|
Extracts w/alcohol:
40-60% (v/v) corresponds to
40mg drug
|
|
Garlic
APHA class: 2c
|
Reduces levels of lipids in
blood
Prevents age-dependent
vascular changes
9 Cholesterol 10-12%
|
Antibacterial
Antimycotic
Lipid-lowering
Inhibition of platelet
aggregation
Prolongation of bleeding
time
Enhances fibrinolytic
activity
|
None known
|
GI upset
Allergic reactions
Odor may pervade breath and
skin
|
Anticoagulants
Hypoglycemics
|
4g fresh garlic
(minced bulb and prep is
taken orally)
|
|
Pulsatilla
|
Sedative, headaches
Fluid in the ears
|
Antispasmodic
Increases circulation
|
Avoid during pregnancy
|
|
|
|
|
Herbal Supplement
APHA class if known
|
Indications
|
Actions
|
Contraindications
|
Side effects
|
Interactions
|
Dosage
|
|
St. John's Wort
APHA class: 2d
|
Dizziness, Tinnitus
Mild to mod depression
Viral infections
Wound healing
|
Antidepressant
Weak MAOI
SSRI & DA agonist
|
Avoid in pregnancy
|
Photosensitivity
|
Anti-depressants
MAOI
Anti seizure meds
|
300 mg TID
|
|
Ma Haung
|
Asthma
Bronchial edema
(weight loss - not an
approved use)
Stimulant
|
Sympathomimetic Bronchodilator
|
Cardiac problems
Anxiety
Hypertension
Angle closure glaucoma
Pheochromocytoma
Thyrotoxicant
|
HTN, neurosis,insomnia,
palpitations, hyperglycemia
Death
|
Halothane
Cardiac glycosides
MAOI
Guanethedine
Oxytocin
|
15-30 mg total alkaloid
or
300 mg herb/d
|
