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Nursing Pharmacology · NCLEX-RN · Healthcare and Nursing

Nursing Pharmacology: Herbal Supplements and OTC Interactions

Common herbal supplement and over-the-counter medication interactions with prescription drugs tested on NCLEX-RN.

About this set

30 basic cards for NCLEX-RN Nursing Pharmacology. Set 11 of 21 in Nursing Pharmacology. It opens with "Which herbal supplement induces liver CYP450 enzymes, reducing the" and "Combining St. John's Wort with an SSRI increases the risk of which condition?". Study it alongside the other NCLEX-RN sets below.

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Which herbal supplement induces liver CYP450 enzymes, reducing the effectiveness of warfarin?
Show answerSt. John's Wort
Combining St. John's Wort with an SSRI increases the risk of which condition?
Show answerSerotonin syndrome
St. John's Wort can reduce the effectiveness of which hormonal medication, raising the risk of breakthrough bleeding and unintended pregnancy?
Show answerOral contraceptives
St. John's Wort can lower blood levels of which immunosuppressant, increasing the risk of organ rejection in transplant patients?
Show answerCyclosporine
Which herbal supplement has antiplatelet activity that increases bleeding risk when combined with warfarin or aspirin?
Show answerGinkgo biloba
Which common food-derived supplement increases bleeding risk when taken with anticoagulants?
Show answerGarlic
Which herbal supplement, often used for nausea, has an antiplatelet effect that raises bleeding risk with anticoagulants?
Show answerGinger
Ginseng can have an additive effect with insulin or oral hypoglycemics, increasing the risk of which condition?
Show answerHypoglycemia
Which herbal supplement, used for migraine prevention, increases bleeding risk when combined with anticoagulants?
Show answerFeverfew
Which herbal supplement used for anxiety causes additive sedation when combined with benzodiazepines?
Show answerKava
Long-term or high-dose kava use carries a notable risk of which organ toxicity?
Show answerHepatotoxicity (liver damage)
Which herbal sleep aid potentiates the sedative effects of benzodiazepines and other CNS depressants?
Show answerValerian root
Echinacea should be avoided in patients taking which class of drugs, due to its immune-stimulating effect?
Show answerImmunosuppressants
Which herbal supplement can cause hypokalemia and hypertension, increasing the risk of digoxin toxicity?
Show answerLicorice root
Black cohosh, used for menopausal symptoms, carries a risk of which organ toxicity?
Show answerHepatotoxicity (liver damage)

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