Herbal Meds-Broken Down According to Use

Circulatory/Respiratory
Drugs HAWTHORN (Crataegus laevigata) Properties Dilates coronary vessels, increases heart rate, diuretic, antioxidant Therapeutic Uses Mild CHF Angina Hypertension CI/Caution Pregnancy Breastfeeding Children SE Headache Nausea Dizziness Palpitations Drug Interactions May potentiate: Antiarrhythmics Inotropes Betablockers Cardiac glycosides. Diabetes meds Proteinbound meds such as: Phenytoin Warfarin Amiodorone

HORSE CHESTNUT SEED EXTRACT

Inhibits elastase & Chronic venous insufficiency Oral: hyaluronidase which Varicose veins Diabetes Hypoglycemia break down collagen Hemorrhoids Pregnancy in capillary walls. Breastfeeding DO NOT USE raw or <18yo (Aesculus homemade preps as these hippocastanum) contain esculin which is toxic ECHINACEA Antiinflammatory; Oral: Allergy to plants in aster family including: activates macrophage Common cold (Echinacea Flu Sunflower cytotoxic activity purpurea) URI. Daisy against Chrysanthemum microorganisms & Topical: Ragweed. tumor cells. Boils Acne Autoimmune diseases HIV TB MS

Itching Nausea GI upset

Rash Immunosuppressant drugs Asthma Anaphylactic in allergic pts GI upset

GI/GU
Drugs ALOE VERA (Aloe barbadensis) Properties Anti inflammatory; increases collagen content of granulation tissue Therapeutic Uses Topical: Burns Diabetic ulcers Other skin lesions Insect repellant. CI/Cautions SE Drug Interactions Topical: Oral: Diarrhea from Contact allergy Abdominal cramping laxative effect may Diarrhea decrease absorption Oral: May decrease blood of other medications Pregnancy sugar Breastfeeding

Oral: Esophageal, gastric & intestinal irritation Ulcerative colitis Constipation Diabetes CRANBERRY Acidifies urine & UTI prevents E. coli Ulcer caused by H. pylori (Vaccinium bacteria adherence Dental plaque macrocarpon) to bladder wall. LICORICE Releases Gastric/ duodenal (nonH. pylori) ulcer endogenous Bronchitis (Glycyrrhiza glabra) as secretin which Sore throat Deglycyrrhizinated increases mucous Hepatitis extract (DGL) coating in GI tract.

None.

GI upset Diarrhea GI upset Diarrhea.

None

Pregnancy Breastfeeding

None as DGL

Musculoskeletal
Drugs ARNICA (Arnica montana) Properties Contains helenalin, a sesquiterpene lactone which is antiinflammatory & anticarcinogenic Therapeutic Uses CI/Cautions SE Drug Interactions Muscle sprain/strain DO NOT USE as ORAL preparation Contact dermatitis None as topical Contusion secondary to potential toxicity. Irritation preparation Hematoma Burning Osteoarthritis. Allergy to plants in the aster/daisy/ sunflower family. Do not use on broken or damaged skin Allergy Heartburn Gallstones Dermatitis Bleeding problems Anticoagulants Antiplatelet agents Some chemo meds

GINGER Contains phenolic & sesquiterpene N&V (Zingiber compounds which have antiemetic, anti Motion sickness Officinale) inflammatory, & antiplatelet properties, Osteoarthritis Low back pain & increase GI motility

Psych/Nervous
Drugs Properties Therapeutic Uses CI/Cautions SE ST. JOHNS Inhibits reuptake of Mild to moderate depression Pregnancy Photosensitivity WORT Anxiety 5HT, NE, & DA Breastfeeding Anxiety Sleep disorders Sunexposure Dry mouth (Hypericum Nerve pain related to herpes Dizziness perforatum) simplex virus. Headache GI upset Fatigue Sexual dysfunction Drug Interactions Cytochrome P450 meds Cyclosporine Digoxin Indinivir Irinotecan MAOIs Nefazadine OCPs Reserpine SSRIs Theophylline Triptans Other photosensitizers (tetracycline, thiazides, quinolones) Warfarin & anticoagulants Decreases Fe absorption CNS depressants (barbiturates, benzodiazepines) Ethanol

VALERIAN May have an affinity Insomnia for GABAa receptor Anxiety (Valeriana officinalis) Isovaltrate may be an agonist for adenosine A1 receptor.

Pregnancy Headache Breastfeeding Dizziness GI upset Morning after usage fatigue

Reproductive
Drugs Properties BLACK COHOSH May act as a partial agonist on 5-HT (Cimicifuga receptors racemosa) No known estrogenic properties Therapeutic Uses Menopausal symptoms: hot flashes night sweats vaginal dryness CI/Cautions Liver disease Pregnancy Breastfeeding SE Headache Dizziness GI upset Drug Interactions None

Irregular menses PMS Labor induction SAW PALMETTO Inhibits 5alpha Benign prostatic hyperplasia reductase and androgen Chronic pelvic pain in women (Serenoa repens) receptor in prostate; alpha 1adrenergic blocker; inhibits components of IGF1 signaling pathway; anti inflammatory

*NIH has a warning about hepatotoxicity (rare cases, uncertain if black cohosh is the cause) Hormones Pts w/ hormonedependent GI upset Breast tenderness cancers Hormonelike meds Decreased libido Pregnancy Adrenergic meds Finasteride. Breastfeeding Does not interfere w/ diagnosis of prostate cancer or effect PSA levels.