Herb-Drug Interactions: Worlds Intersect with the Patient at the Center
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Methyl Salicylate and Menthol | Memorial Sloan Kettering Cancer Center
PATIENT & CAREGIVER EDUCATION Methyl Salicylate and Menthol This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. Brand Names: US AMPlify Relief MM [OTC]; BenGay [OTC]; Calypxo HP [OTC]; Capasil [OTC]; Icy Hot [OTC]; Kwan Loong Pain Relieving [OTC]; Precise [OTC]; Salonpas Arthritis Pain [OTC]; Salonpas Jet Spray [OTC]; Salonpas Massage Foam [OTC]; Salonpas Pain Relief Patch [OTC]; Thera-Gesic Plus [OTC]; Thera-Gesic [OTC] What is this drug used for? It is used to ease muscle and joint aches and pain. What do I need to tell my doctor BEFORE I take this drug? If you have an allergy to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen. If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If your skin is damaged or has open wounds. Do not put on damaged skin or open wounds. If you are taking any other NSAID. If you are taking a salicylate drug like aspirin. If you are pregnant, plan to become pregnant, or get pregnant while taking this drug. This drug may cause harm to an unborn baby if taken at 20 weeks or later Methyl Salicylate and Menthol 1/7 in pregnancy. If you are between 20 to 30 weeks of pregnancy, only take this drug if your doctor has told you to. Do not take this drug if you are more than 30 weeks pregnant. -
Poison Prevention Packaging: a Guide for Healthcare Professionals
PPooiissoonn PPrreevveennttiioonn PPaacckkaaggiinngg:: AA GGuuiiddee FFoorr HHeeaalltthhccaarree PPrrooffeessssiioonnaallss REVISED 2005 CPSC 384 US. CONSUMER PRODUCT SAFETY COMMISSION, WASHINGTON, D.C. 20207 THIS BROCHURE BROUGHT TO YOU BY: U.S. CONSUMER PRODUCT SAFETY COMMISSION Washington, DC 20207 Web site: www.cpsc.gov Toll-free hotline: 1-800-638-2772 The U.S. Consumer Product Safety Commission (CPSC) is a federal agency that helps keep families and children safe in and around their homes. For more information, call the CPSC’s toll-free hotline at 1-800-638-2772 or visit its website at http://www.cpsc.gov. Poison Prevention Packaging: A Guide For Healthcare Professionals (revised 2005) Preface The U.S. Consumer Product Safety Commission (CPSC) administers the Poison Prevention Packaging Act of 1970 (PPPA), 15 U.S.C. §§ 1471-1476. The PPPA requires special (child-resistant and adult-friendly) packaging of a wide range of hazardous household products including most oral prescription drugs. Healthcare professionals are more directly involved with the regulations dealing with drug products than household chemical products. Over the years that the regulations have been in effect, there have been remarkable declines in reported deaths from ingestions by children of toxic household substances including medications. Despite this reduction in deaths, many children are poisoned or have "near-misses" with medicines and household chemicals each year. Annually, there are about 30 deaths of children under 5 years of age who are unintentionally poisoned. Data from the National Electronic Injury Surveillance System (a CPSC database of emergency room visits) indicate that in 2003, an estimated 78,000 children under 5 years of age were treated for poisonings in hospital emergency rooms in the United States. -
Clandestine Drug Lab General Cleanup Guidance
Clandestine Drug Lab General Cleanup Guidance DIVISION OF ENVIRONMENTAL HEALTH i Minnesota Department of Health (MDH) Division of Environmental Health Minnesota Pollution Control Agency (MPCA) Clandestine Drug Lab General Cleanup Guidance September 2010 VERSION, Clarification to Table 1 March 2013 FOR MORE INFORMATION, CONTACT: MINNESOTA DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH PO BOX 64975 ST. PAUL, MN 55164-0975 TEL: 651-201-4899 TOLL FREE: 888-657-3908 FAX: 651-201-4606 TDD: 651-201-5797 TO REQUEST THIS DOCUMENT IN ANOTHER FORMAT, SUCH AS LARGE PRINT, BRAILLE OR CASSETTE TAPE, CALL 651-201-4911; TDD 651-201-5797 OR TOLL-FREE THROUGH THE MN RELAY SERVICE, 1-800-627-3529.TABLE OF CONTENT ii TABLE OF CONTENTS Clandestine Drug Lab .................................................................................................................. i General Cleanup ..........................................................................................................................i Guidance ..................................................................................................................................i TABLE OF CONTENTS ............................................................................................................. iii ACKNOWLEDGEMENTS ........................................................................................................... v ACKNOWLEDGEMENTS ........................................................................................................... v I. INTRODUCTION .................................................................................................................. -
Pharmacokinetic Interactions of Drugs with St John's Wort
http://www.paper.edu.cn Pharmacokinetic interactions of Journal of Psychopharmacology 18(2) (2004) 262–276 © 2004 British Association drugs with St John’s wort for Psychopharmacology ISSN 0269-8811 SAGE Publications Ltd, London, Thousand Oaks, CA and New Delhi 10.1177/0269881104042632 Shufeng Zhou Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore. Eli Chan Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore. Shen-Quan Pan Department of Biological Sciences, Faculty of Science, National University of Singapore, Singapore. Min Huang Institute of Clinical Pharmacology, School of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou 510089, PR China. Edmund Jon Deoon Lee Department of Pharmacology, Faculty of Medicine, National University of Singapore, Singapore. Abstract There is a worldwide increasing use of herbs which are often cancer patients receiving irinotecan treatment. St John’s wort did not administered in combination with therapeutic drugs, raising the alter the pharmacokinetics of tolbutamide, but increased the incidence potential for herb–drug interactions. St John’s wort (Hypericum of hypoglycaemia. Several cases have been reported that St John’s wort perforatum) is one of the most commonly used herbal antidepressants. A decreased cyclosporine blood concentration leading to organ rejection. literature search was performed using Medline (via Pubmed), Biological St John’s wort caused breakthrough bleeding and unplanned pregnancies Abstracts, Cochrane Library, AMED, PsycINFO and Embase (all from their when used concomitantly with oral contraceptives. It also caused inception to September 2003) to identify known drug interaction with serotonin syndrome when coadministered with selective serotonin- St John’s wort. The available data indicate that St John’s wort is a reuptake inhibitors (e.g. -
CYP3A4 Mediated Pharmacokinetics Drug Interaction Potential of Maha
www.nature.com/scientificreports OPEN CYP3A4 mediated pharmacokinetics drug interaction potential of Maha‑Yogaraj Gugglu and E, Z guggulsterone Sarvesh Sabarathinam1, Satish Kumar Rajappan Chandra2 & Vijayakumar Thangavel Mahalingam1* Maha yogaraja guggulu (MYG) is a classical herbomineral polyherbal formulation being widely used since centuries. The aim of this study was to investigate the efect of MYG formulation and its major constituents E & Z guggulsterone on CYP3A4 mediated metabolism. In vitro inhibition of MYG and Guggulsterone isomers on CYP3A4 was evaluated by high throughput fuorometric assay. Eighteen Adult male Sprague–Dawley rats (200 ± 25 g body weight) were randomly divided into three groups. Group A, Group B and Group C were treated with placebo, MYG and Standard E & Z guggulsterone for 14 days respectively by oral route. On 15th day, midazolam (5 mg/kg) was administered orally to all rats in each group. Blood samples (0.3 mL) were collected from the retro orbital vein at 0.25, 0.5, 0.75, 1, 2, 4, 6, 12 and 24 h of each rat were collected. The fndings from the in vitro & in vivo study proposed that the MYG tablets and its guggulsterone isomers have drug interaction potential when consumed along with conventional drugs which are CYP3A4 substrates. In vivo pharmacokinetic drug interaction study of midazolam pointed out that the MYG tablets and guggulsterone isomers showed an inhibitory activity towards CYP3A4 which may have leads to clinically signifcant interactions. Te use of alternative medicine such as herbal medicines, phytonutrients, ayurvedic products and nutraceuticals used widely by the majority of the patients for their primary healthcare needs. -
Grapefruit Juice and Psychotropics: How to Avoid Potential Interactions
Savvy Psychopharmacology Grapefruit juice and psychotropics: How to avoid potential interactions Danielle L. Bishop, PharmD, BCPP s. H, age 42, was given a diagnosis she reports feeling much better during a fol- of bipolar disorder 10 years ago and low-up call and she makes an appointment Mhas been taking carbamazepine, to have her carbamazepine level rechecked 1,200 mg/d, and olanzapine, 10 mg/d, for the in a week. past 2 years. She has not experienced a mood episode while on this regimen, and her car- Although grapefruit products are high in bamazepine level was 9.2 μg/mL 6 months vitamins and low in calories, they can be Vicki L. Ellingrod, ago. The only adverse effect she experienced associated with potentially serious drug PharmD, FCCP was weight gain of approximately 10 lb. interactions. The interaction between Department Editor Ms. H takes a calcium supplement, but no grapefruit juice and the calcium channel other medications. blocker felodipine was discovered inad- Ms. H reports to her psychiatrist that, for vertently >20 years ago; since that time, the past few days, she has been feeling nau- possible interactions with >85 medica- seated, fatigued, and dizzy, but has contin- tions have been identified.1 Interactions ued taking her medications as prescribed. with grapefruit products are complicated Her carbamazepine level is found to be 13.1 μg/mL. Ms. H states she has not started Practice Points any new medications or supplements; her • In general, an entire grapefruit or 8 oz serum creatinine and liver function test of juice is enough to alter a susceptible results are within normal limits. -
Topical Analgesics: Expensive and Avoidable
TOPICAL ANALGESICS: EXPENSIVE AND AVOIDABLE FAST FOCUS Some very expensive topical creams and gels are creeping into the workers’ compensation Close management of custom compounds prescription files. Previously, the issue of custom compounds was highlighted and the has decreased their prevalence in workers’ attention to these prescriptions has resulted in a decrease in the number of prescriptions compensation. But private-label topicals and homeopathic products have filled the void. seen. However, the price of these compounds has increased significantly. Neither is FDA-approved. Both warrant close monitoring because of their high costs and In addition to the compounds that are still being prescribed, other topical products are lack of proven efficacy. increasingly seen in the workers’ compensation setting. In this article, a spotlight is turned on to expose more expensive topicals — private-label analgesics and homeopathic products. 24 | RxInformer FALL 2013 SUMMARY OF PRIMARY ISSUES Issue Custom Compounds Private-Label Analgesics Homeopathic Products NDCs Available FDA-approved Proven clinical benefit Prepared by compounding — — pharmacy for a specific patient Contain high levels of NSAIDs — — Contain 2-3x the FDA-approved concentration of methyl salicylate — and/or menthol Can cause skin burns — Prescribers unaware of compound ingredients Prescribers unaware of high costs Expiration dating required — — TOPICAL PRIVATE-LABEL PRODUCTS FINANCIAL CONCERNS There are private-label companies marketing products similar to inexpensive, over- When compared with comparable over-the- the-counter products, but with catchy names, inflated claims and prices. Private-label counter (OTC) preparations, the private-label topical compounds are products containing OTC ingredients such as high-potency products’ prices are stunning. -
Drug Interactions: What You Should Know
DRUG INTERACTIONS: WHAT YOU SHOULD KNOW Council on Family Health Drug Interactions here are more opportunities today than ever before to learn about your health and to take Tbetter care of yourself. It is also more important than ever to know about the medicines you take. If you take several different medicines, see more than one doctor or have certain health conditions, you and your doctors need to be aware of all the medicines you take to avoid potential problems, such as drug interactions. Drug interactions may make your drug less effec- tive, cause unexpected side effects or increase the action of a particular drug. Some drug interactions can even be harmful to you. Reading the label every time you use a nonprescription or prescription drug and taking the time to learn about drug interactions may be critical to your health. You can reduce the risk of potentially harmful drug interactions and side effects with a little bit of knowledge and common sense. Drug interactions fall into three broad categories: ■ Drug-drug interactions occur when two or more drugs react with each other. This drug- drug interaction may cause you to experience an unexpected side effect. For example, mixing a drug you take to help you sleep (a sedative) and a drug you take for allergies (an antihistamine) can slow your reactions and make driving a car or operating machinery dangerous. ■ Drug-food/beverage interactions result from drugs reacting with foods or beverages. For example, mixing alcohol with some drugs may cause you to feel tired or slow your reactions. -
Experiment 22 Synthesis of Aspirin and Oil of Wintergreen
Experiment 22 Synthesis of Aspirin and Oil of Wintergreen GOALS: In this two-week experiment the important area of organic chemistry will be illustrated by the preparation and characterization of two compounds. The usefulness of functional groups will be illustrated as well as the use of NMR, IR, and melting point in characterizing a product. The analysis will be done next week in Experiment 23. INTRODUCTION: Synthesis and use of organic compounds is an extremely important area of modern chemistry. Approximately half of all chemists work with organic chemicals. In everyday life, many if not most of the chemicals you come in contact with are organic chemicals. Examples include drugs, synthetic fabrics, paints, plastics, etc. Synthesis of Aspirin and Methyl Salicylate. The two compounds we will be preparing, aspirin (acetylsalicylic acid) and oil of wintergreen (methyl salicylate), are both organic esters. An ester is a compound that is formed when an acid (containing the –COOH group) reacts with an alcohol (a compound containing an –OH group). O O + C O C + O Eqn 1 R O H 1 H R2 R O R H H 1 2 ester water acid alcohol Here R1 and R2 represent groups such as CH3– or CH3CH2–. The reaction type shown above may be called a condensation reaction because the small molecule H2O is eliminated from the reactants while the remaining bits of the reactants condense together to give the main product. This reaction may also be called an esterification, since the product of the reaction is an ester, a compound containing the CO2R group (see chapter 20 for definitions of acids, esters, and alcohols). -
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wjpls, 2019, Vol. 5, Issue 9, 168-177 Research Article ISSN 2454-2229 Ohieku et al. World Journal of Pharmaceutical World Journal and ofLife Pharmaceutical Sciences and Life Sciences WJPLS www.wjpls.org SJIF Impact Factor: 5.088 DIGOXIN INTERACTIONS WITH MEDICATIONS USED IN CONGESTIVE HEART FAILURES AND OTHER CO-MORBID DISEASES: AN IDENTIFICATION OF PATIENTS REQUIRING CONSTANT DRUG THERAPY MONITORING AND VIGILANCE *John David Ohieku and Muhammad Al-amin Usman Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, University of Maiduguri, PMB 1069, Maiduguri, Borno State, Nigeria. *Corresponding Author: John David Ohieku Department of Clinical Pharmacy and Pharmacy Administration, Faculty of Pharmacy, University of Maiduguri, PMB 1069, Maiduguri, Borno State, Nigeria. Article Received on 20/07/2019 Article Revised on 10/08/2019 Article Accepted on 01/09/2019 ABSTRACT Background: Digoxin has narrow therapeutic index and many drug combinations are capable of affecting both its pharmacokinetic and pharmacodynamics profile, which may lead to lethal outcomes. Objectives: The objectives were to assess potential interactions between digoxin and other medications and to evaluate its degree, clinical outcomes as well as identify patients that may require constant monitoring and vigilance. Methods: The cross- sectional and prospective study involves the evaluation of digoxin interaction with other medications using online drug interaction software checkers developed by Medscape.com, Drug.com, Drugbank.com and Epocrates. -
Note: the Letters 'F' and 'T' Following the Locators Refers to Figures and Tables
Index Note: The letters ‘f’ and ‘t’ following the locators refers to figures and tables cited in the text. A Acyl-lipid desaturas, 455 AA, see Arachidonic acid (AA) Adenophostin A, 71, 72t aa, see Amino acid (aa) Adenosine 5-diphosphoribose, 65, 789 AACOCF3, see Arachidonyl trifluoromethyl Adlea, 651 ketone (AACOCF3) ADP, 4t, 10, 155, 597, 598f, 599, 602, 669, α1A-adrenoceptor antagonist prazosin, 711t, 814–815, 890 553 ADPKD, see Autosomal dominant polycystic aa 723–928 fragment, 19 kidney disease (ADPKD) aa 839–873 fragment, 17, 19 ADPKD-causing mutations Aβ, see Amyloid β-peptide (Aβ) PKD1 ABC protein, see ATP-binding cassette protein L4224P, 17 (ABC transporter) R4227X, 17 Abeele, F. V., 715 TRPP2 Abbott Laboratories, 645 E837X, 17 ACA, see N-(p-amylcinnamoyl)anthranilic R742X, 17 acid (ACA) R807X, 17 Acetaldehyde, 68t, 69 R872X, 17 Acetic acid-induced nociceptive response, ADPR, see ADP-ribose (ADPR) 50 ADP-ribose (ADPR), 99, 112–113, 113f, Acetylcholine-secreting sympathetic neuron, 380–382, 464, 534–536, 535f, 179 537f, 538, 711t, 712–713, Acetylsalicylic acid, 49t, 55 717, 770, 784, 789, 816–820, Acrolein, 67t, 69, 867, 971–972 885 Acrosome reaction, 125, 130, 301, 325, β-Adrenergic agonists, 740 578, 881–882, 885, 888–889, α2 Adrenoreceptor, 49t, 55, 188 891–895 Adult polycystic kidney disease (ADPKD), Actinopterigy, 223 1023 Activation gate, 485–486 Aframomum daniellii (aframodial), 46t, 52 Leu681, amino acid residue, 485–486 Aframomum melegueta (Melegueta pepper), Tyr671, ion pathway, 486 45t, 51, 70 Acute myeloid leukaemia and myelodysplastic Agelenopsis aperta (American funnel web syndrome (AML/MDS), 949 spider), 48t, 54 Acylated phloroglucinol hyperforin, 71 Agonist-dependent vasorelaxation, 378 Acylation, 96 Ahern, G. -
Exposures Associated with Clandestine Methamphetamine Drug Laboratories in Australia
Rev Environ Health 2016; 31(3): 329–352 Jackie Wright*, John Edwards and Stewart Walker Exposures associated with clandestine methamphetamine drug laboratories in Australia DOI 10.1515/reveh-2016-0017 Received April 20, 2016; accepted June 7, 2016; previously published Introduction online July 18, 2016 Illicit drugs such as amphetamine-type stimulants (ATS) Abstract: The clandestine manufacture of methamphet- (1) are manufactured in Australia within clandestine amine in residential homes may represent significant laboratories that range from crude, makeshift operations hazards and exposures not only to those involved in the using simple processes to sophisticated operations. These manufacture of the drugs but also to others living in the laboratories use a range of chemical precursors to manu- home (including children), neighbours and first respond- facture or “cook” ATS that include methylamphetamine, ers to the premises. These hazards are associated with more commonly referred to as methamphetamine (“ice”) the nature and improper storage and use of precursor and 3,4-methylenedioxymethamphetamine (MDMA or chemicals, intermediate chemicals and wastes, gases and “ecstasy”). In Australia the primary ATS manufactured methamphetamine residues generated during manufac- in clandestine drug laboratories is methamphetamine ture and the drugs themselves. Many of these compounds (2), which is the primary focus of this review. Clandes- are persistent and result in exposures inside a home not tine laboratories are commonly located within residential only during manufacture but after the laboratory has been homes, units, hotel rooms, backyard sheds and cars, with seized or removed. Hence new occupants of buildings for- increasing numbers detected in Australia each year (744 merly used to manufacture methamphetamine may be laboratories detected in 2013–2014) (2).