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Nursing Pharmacology · NCLEX-RN

Nursing Pharmacology: Herbal Supplements and OTC Interactions

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

30 cards · basic cards · AI-written, checked twice. Edit anything.

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

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