Natural Health care products Flashcards
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| 3388049819 | What is a natural health care product? | Natural health care products are those products found in nature that are extracted manufactured and sold for medical and health related uses, such as preventing disease | 0 | |
| 3388051151 | What do natural health care products include? | -Botanicals -Homeopathic medications -Vitamins and minerals -Probiotics -Plant isolates -Essential fatty acids -AA -Traditional medicines (Chinese medicines) | 1 | |
| 3388055819 | What types of drugs are excluded from NHP? | -Schedule C (radiopharmaceuticals) -Schedule D (biologics) however homeopathic and probiotics are NHP -Tobacco act -Controlled drug act (Marijuana, Khat, Doddea, etc..) | 2 | |
| 3388058500 | What are some other definitions that are commonly used to describe NHP? | Alternative, Complementary, CAM, Natural health care products, Dietary supplements (Americans call it this) | 3 | |
| 3388063585 | What is mind and body medicine? | -Yoga -Qi jong -Acupunture | 4 | |
| 3388064535 | In Canada who are the highest users of NHP? | BC and Alberta | 5 | |
| 3388064776 | What is the education level of people who use NPH? | University educated | 6 | |
| 3388065204 | Do the rich or poor use more NPH? | Rich those who make more the $66K | 7 | |
| 3388066154 | Do women or men use NPH more? | Women | 8 | |
| 3388068777 | How are NPH regulated?N | Regulated under the Natural health product directorate since 2004 | 9 | |
| 3388070404 | Is there a regulatory compromise for NHP? | These regulations have implemented quality and safety standards for manufacturers, while relaxing the standards for product efficiency claims If RCT are not done, manufacturers can make claims based on traditional uses | 10 | |
| 3388073385 | Are herbs drugs? When did they become | Yes, in 2004 under the food & drug act | 11 | |
| 3388095142 | How do we know if a NHP has a license? | -Look for NPN, or DIN-HM on label -Homeopathic meds are given DIN-HM b/c they are allowed to have materials restricted in NHP (ex arsenic) | 12 | |
| 3388096797 | If a pharmacy is going to sell NHP do they need to know everything about them? | Yes they need to know everything | 13 | |
| 3388097080 | Is it ethical for pharmacists to provide NHP? | -It is our obligation as a pharmacist -We must respect patients beliefs and autonomy -Safer for patients to buy them from us then online or in a health foods store -Many NHP have emerging evidence | 14 | |
| 3388098810 | But are there some NHP that could be "unethical", if so why? | Yes, there are some: -Some NHP's do not have significant studies to back them up -Many pharmacists do not have the education to counsel on NHP's -Almost 60% of patients do not ask pharmacists about the NHP's | 15 | |
| 3388104599 | What are the ethical tensions with NHP's? | -We want to allow patients to have choice (autonomy) but at the same time we want what is best for the patient (beneficence) -If pharmacies sell the NHP that means they are credible, but this is not always the case -Sell but do not have the knowledge | 16 | |
| 3388108277 | What are 3 points to follow that give a good framework for thinking critically about NHP's? | 1) Asses issues/problems (is the NHP necessary, what does the patient expect it to do?) 2) Analyze the NHP (Look for evidence of efficacy, safety, adherence, benefits vs risks) 3) Advise & recommend NHP | 17 | |
| 3388110422 | What are some challenges with NHP clinical trials? | - Inadequate identification of NHP in study - Pooling of data from different dosage forms - Small sample sizes - Short studied - Insufficient info on blinding | 18 | |
| 3388114052 | What is CONSORT for herbal medicine? | Guidelines to help improve clinical trial standards CONSOlidate Standards of Reporting Trials | 19 | |
| 3388115062 | What are the main points of CONSORT? | -Use Latin binomial for NHP -Provide the product name - Tell us what part of the plant is used | 20 | |
| 3388116390 | What are 4 reasons that a NHP could cause a patient harm? | 1) Lack of quality (Purity) (using wrong plant, or part of the plant, can have heavy metals, or microorganisms) Lack of quality (potency) (may have too much or little of the dose in the NHP) 2) Inappropriate use 3) Allergic reaction 4) NHP interactions | 21 | |
| 3388118665 | What NHP reacts the most with Rx? What Rx drugs interact the most with NHP? | St.johns wart Anti-coagulants (warfarin) | 22 | |
| 3388120057 | Why must we make sure to explain adherence to our patients with regards to NHP's? | -Cost -Many NHP's take 2-3 months to cause benefit - Try to give patients higher doses, b/c many NHP's require frequent doses | 23 | |
| 3388121284 | What are the three types of NHP interactions? | 1) Pharmacokinetic: Involves the P450 system -St.Johns wart can induce P450- Major 2) Pharmacodynamic: -These affects can be synergistic or antagonistic 3) NHP-NHP interactions: -Herbs that are: Sedative, anticoagulants, NHP-Condition interactions: -Ginseng + diabetes (Ginseng will reduce blood sugar levels) -SJW + Bipolar depression | 24 |