DOCSLIB.ORG

Drug and Nutraceutical Interplay Maureen Jennings, DPM, MS Masters in Nutrition Doctor of Podiatric Medicine LECTURE OUTLINE

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Drug and Nutraceutical Interplay Maureen Jennings, DPM, MS Masters in Nutrition Doctor of Podiatric Medicine LECTURE OUTLINE Drug and Nutraceutical Interplay Maureen Jennings, DPM, MS Masters in Nutrition Doctor of Podiatric Medicine LECTURE OUTLINE • REVIEW TODAY’S POPULAR NUTRACEUTICALS • REVIEW DRUG-DRUG INTERACTIONS • REVIEW DRUG-NUTRACEUTICAL INTERACTIONS • REVIEW POSSIBLE ADVERSE EFFECTS OF NUTRACEUTICAL/FOOD- DRUG INTERPLAY Geriatric Popular Nutraceuticals • GLUCOSAMINE- • GREEN TEA CHONDROITIN • MILK THISTLE • ECHINACEA • SAINT JOHN’S WORT • GARLIC • SAW PALMETTO • GINKGO BIBOLA • TUMERIC • GINSENG NUTRACEUTICALS AND THEIR POSSIBLE BENEFITS • GLUCOSAMINE-CONDROITIN: STRUCTURAL ELEMENTS OF CARTILAGE. EXPERTS DISAGREE ON HELP FOR OA. • ECHINACEA: TREATMENT FOR COMMON COLD, BRONCHITIS. CERTAIN PREPARATIONS SHOW SOME BENEFITS. • GARLIC: IMPROVE BLOOD PRESSURE , CHOLESTEROL LEVEL,BOOSTS THE IMMUNE SYSTEM. CONTAINS K+, CA++, B6,C AND FIBER • GINKGO BIBOLA: ANTIOXIDANT,FIGHTS INFLAMMATION, INCREASES BLOOD FLOW, DECREASE SYMPTOMS OF DEMENTIA,REDUCE ANXIETY. • GINSENG: BETTER MEMORY, INCREASE ENERGY,STIMULATES INSULIN PRODUCTION, HEADACHE RELIEF, REDUCE STRESS. NUTRACEUTICAL BENEFITS CONT’D GREEN TEA: POWERFUL ANTIOXIDANT, IMPROVES BRAIN FUNCTION, REDUCE BLOOD SUGAR, STABALIZE CHOLESTEROL LEVELSREDUCES BODY WEIGHT. MILK THISTLE: BOOST THE HEALTH OF THE LIVER AND FILTER HARMFUL TOXINS. ST JOHN’S WORT: DEPRESSION-INCREASES SEROTONIN. SAW PALMETTO: ENLARGED PROSTRATE, HAIR LOSS,LOW SPERM COUNT TUMERIC:CONTAINS CURCUMIN-POWERFUL ANTI-INFLAMMATORY, INCREASES ANTI-OXIDANT CAPACITY OF THE BODY, DEPRESSION REVIEW OF DRUG-DRUG INTERACTIONS • DRUG INTERACTION IS DEFINED AS ONE DRUG ALTERING THE INTENSITY OF THE PHARMACOLOGICAL EFFECT OF ANOTHER DRUG • THE ALTERATION CAN HAPPEN DURING DRUG ABSORPTION, METABOLISM OR EXCRETION PHARMACOKINETICS • ABSORPTION: ALTERATIONS IN GASTRIC pH , EMPTYING TIME • DISTRIBUTION: AFFECT THE DEVELOPMENT OF DRUG- PROTEIN COMPLEXES WHICH CAN INCREASE OR DECREASE FREE DRUG • METABOLISM: RESULT IN EITHER MORE OR LESS AVAILABLE DRUG DEPENDING ON WHICH METABOLIC PATHWAY IS TAKEN • ELIMINTION: ALTER THE GFR, TUBULAR SECRETION OR TUBULAR REABSORPTION NUTRACEUTICAL DRUG INTERACTIONS • ECHINACEA: MAY AFFECT CYP1A2 & CYP3A4 WHICH CAN AFFECT SOME ANTIPYSCHOTICS AND ANTI-DEPRESSANTS • GARLIC: WILL DECREASE THE CONCENTRATION OF DRUGS THAT USE THE P-GLYCOPROTEIN TRANSPORTER SYSTEM (COLCHICINE,CRESTOR) • GINKGO: INHIBITS PLATELET AGGREGATION- INCREASE BLEEDING • GINSENG:INDUCES CYP3A4-DECREASE CALCIUM CHANNEL BLOCKERS,STATINS NUTRACEUTICAL-DRUG INTERACTION CONT’D • GREEN TEA: INCREASE ZOCOR DUE TO p-GLYCOPROTEIN INHIBITION. ALSO QUINOLONE AND SOME BETA BLOCKERS • MILK THISTLE: POTENTIAL TO DECREASE WARFARIN, PHENYTOIN AND DIAZEPAM – THEY ARE METABOLIZED BY CYP2C9 • ST JOHN’S WORT: INDUCES CYP3A4 AND P-GLYCOPROTEIN THEREFORE DECREASE THE EFFECTIVENESS OF WARFARIN, DIGOXIN, THEOPHYLLINE P-GLYCOPROTEIN NUTRACEUTICAL OVERDOSES POISON CONTROL 8OO- 222-1222 • GLUCOSAMINE-CHONDROITIN= NAUSEA, HEARTBURN, DIARRHEA, CONSTIPATION. USE AS DIRECTED-1,500MG • ECHINACEA=AVOID CAFFEINE- CAN LEAD TO HEADACHES, PALPATATIONS, JITTERINESS. USE AS DIRECTED. • GARLIC= ODOR, SKIN IRRITATION,HEADACHE, VMITING AND HEARTBURN. 300-1,500 MG AS TOLERATED. NUTRACEUTICAL OVERDOSE • GINKGO BIBOLA=DIARRHEA, N & V, LACK OF MUSCLE TONE, EASY BLEEDING. 80-480 MG/DAY • GINSENG= TACHYCARDIA, PALPITATIONS, HYPOGLYCEMIA. 1-2 GRAMS DAILY • GREEN TEA= CAFFEINE INTOLERANCE, DEPLETION OF MINERALS(FE), DEHYDRATION, ACID REFLUX. NO MORE THAN 3 CUPS PER DAY. • MILK THISTLE=ABDOMINAL BLOATING, DIARRHEA, GAS, LOSS OF APPETITE. LIVER: 160-800MG DAILY. DIABETES:200-230MG/D NUTRACEUTICAL OVERDOSE ST JOHN’S WORT= FEVER, HALLUCINATIONS, DIFFICULTY WALKING, RAPID HEART BEAT. 300 MG TID WITH MEALS SAW PALMETTO= INCREASED BLEEDING, DIARHEA, HEADACHE, FATIQUE. PROLONGED USE=LOWER LIBIDO. 160-320 MG DAILY. TUMERIC= ABDOMINAL PAINS, PROLONGED USE= STOMACH ULCERS. 500-2000 MG/DAY. Drug- Food Interaction • Can delay, decrease or enhance aBsorption of a drug • Food can prevent medicine from working the way it should • Food can cause side effects to Become worse or Better and/or cause new side effects • Drugs can also change the way the Body uses food EXAMPLES OF DRUG-FOOD INTERACTIONS • GREEN VEGETABLES, BANANAS = THEIR VITAMIN K ANATAGONIZES WARFARIN, ACE INHIBITORS (LISINOPRIL) • GRAPEFRUIT JUICE= CAN INCREASE THE POTENCY OF STATINS • COKE= CAN INCREASE THE PLASMA CONCENTRATION OF IBUPROFEN • LICORICE =CAUSES A DECREASE IN K+ AND NA RETENTION- NOT WITH ANTI-HYPERTENSIVES • CHEESE= CAN INTERACT WITH MONOAMINE OXIDASE INHIBITORS (FOR PARKINSON’S) AND INCREASE SIDE EFECTS OF HEADACHES AND PALPITATIONS. HerBal Supplements that Thin the Blood • Fish/Krill oil Turmeric • Garlic Caps Primrose Oil • Ginger Vitamin E • Ginkgo BiloBa Red Rice Yeast • Glucosamine-chondroitin Magnesium • St John’s Wort Milk Thistle RELIABLE SOURCES • PUBMED • NIH’S OFFICE OF DIETARY SUPPLEMENTS • HTTPS://ODS.OD.NIH.GOV.
Load more

Recommended publications
  • The Effects of New Zealand Grown Ginseng Fractions on Cytokine Production from Human Monocytic THP-1 Cells
    molecules Article The Effects of New Zealand Grown Ginseng Fractions on Cytokine Production from Human Monocytic THP-1 Cells Wei Chen 1,2,3 , Prabhu Balan 2,3 and David G. Popovich 1,* 1 School of Food and Advanced Technology, Massey University, Palmerston North 4442, New Zealand; [email protected] 2 Riddet Institute, Massey University, Palmerston North 4442, New Zealand; [email protected] 3 Alpha-Massey Natural Nutraceutical Research Centre, Massey University, Palmerston North 4442, New Zealand * Correspondence: [email protected]; Tel.: +64-63569099 Abstract: Pro-inflammatory cytokines and anti-inflammatory cytokines are important mediators that regulate the inflammatory response in inflammation-related diseases. The aim of this study is to eval- uate different New Zealand (NZ)-grown ginseng fractions on the productions of pro-inflammatory and anti-inflammatory cytokines in human monocytic THP-1 cells. Four NZ-grown ginseng fractions, including total ginseng extract (TGE), non-ginsenoside fraction extract (NGE), high-polar ginsenoside fraction extract (HPG), and less-polar ginsenoside fraction extract (LPG), were prepared and the gin- senoside compositions of extracts were analyzed by HPLC using 19 ginsenoside reference standards. The THP-1 cells were pre-treated with different concentrations of TGE, NGE, HPG, and LPG, and were then stimulated with lipopolysaccharide (LPS). The levels of pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-α), interleukin-1 beta (IL-1β), interleukin-6 (IL-6), interleukin-8 (IL-8), and anti-inflammatory cytokines, such as interleukin-10 (IL-10), and transforming growth factor beta-1 (TGF-β1), were determined by enzyme-linked immunosorbent assay (ELISA).
    [Show full text]
  • Nutraceuticals and Their Health Benefits
    Available online at www.ijpab.com Swaroopa and Srinath Int. J. Pure App. Biosci. 5 (4): 1151-1155 (2017) ISSN: 2320 – 7051 DOI: http://dx.doi.org/10.18782/2320-7051.5407 ISSN: 2320 – 7051 Int. J. Pure App. Biosci. 5 (4): 1151-1155 (2017) Review Article Nutraceuticals and their Health Benefits Swaroopa G.1* and Srinath D.2 1&2Department of Foods & Nutrition, Post Graduate and Research Centre, Professor Jayashankar Telangana State Agricultural University, Hyderabad, Telangana-500030, India *Corresponding Author E-mail: [email protected] Received: 3.08.2017 | Revised: 11.08.2017 | Accepted: 12.08.2017 ABSTRACT Nutraceuticals are products derived from food sources that are purported to provide extra health benefits, in addition to the basic nutritional value found in foods. Nutraceutical are a food or part of food that provides health benefits including the intervention and treatment of a disease. Nutraceuticals improve the health status of individuals by modulating the body functions. Different types of those nutraceuticals are available in general viz., proteins, vitamins, minerals, and other pure food compounds like., dietary supplement, herbals, nutrients, medical foods, functional foods. Nutraceuticals have attracted considerable interest due to their potential nutritional, safety and therapeutic effects. Key words: Nutraceutical, Health, Food, Disease, Nutrition. INTRODUCTION foods, herbal products and processed foods The term nutraceutical was coined from such as cereals, soups, and beverages4,8&9. nutrition and pharmaceutical in 1989 by HISTORY OF NUTRACEUTICALS Stephen Defelice, founder and chairman of The concept of Nutraceuticals went back three foundation for innovation in medicine, an thousand years ago. Hippocrates (460-377 American organization which encourages B.C) stated „let food be thy medicine and medical health1, 2, 3&4.
    [Show full text]
  • Solid Evidence of Ginseng-Warfarin Interaction
    www.nature.com/scientificreports OPEN Global deregulation of ginseng products may be a safety hazard to warfarin takers: solid evidence of Received: 24 October 2016 Accepted: 5 June 2017 ginseng-warfarin interaction Published: xx xx xxxx Haiyan Dong1,2, Ji Ma1,2, Tao Li1,2, Yingying Xiao1,2, Ning Zheng1,2, Jian Liu1,2, Yu Gao1,2, Jingwei Shao1,2 & Lee Jia1,2 Recent global deregulation of ginseng as the table food raises our concern about the possible ginseng- warfarin interaction that could be life-threatening to patients who take warfarin for preventing fatal strokes and thromboembolism while using ginseng products for bioenergy recovery. Here we show that quality-control ginsenosides, extracted from ginseng and containing its major active ingredients, produce dose- and time-dependent antagonism in rats against warfarin’s anti-coagulation assessed by INR and rat thrombosis model. The interactions between ginsenosides and warfarin on thrombosis, pharmacokinetics, activities of coagulation factors and liver cytochrome P450 isomers are determined by using thrombosis analyzer, UPLC/MS/MS, ELISA and real-time PCR, respectively. The antagonism correlates well with the related pharmacokinetic interaction showing that the blood plateaus of warfarin reached by one-week warfarin administration are significantly reduced after three-week co-administration of warfarin with ginsenosides while 7-hydroxywarfarin is increased. The one-week warfarin and three-week warfarin-ginsenosides regimen result in restoring the suppressed levels by warfarin of the coagulating factors II, VII and protein Z, and significantly enhance activities of P450 3A4 and 2C9 that metabolize warfarin. The present study, for the first time, provides the solid evidence to demonstrate the warfarin-ginsenoside interaction, and warns the warfarin users and regulation authorities of the dangerous interaction.
    [Show full text]
  • Vitamins & Dietary Supplements Market Trends Overview
    Vitamins & Dietary Supplements Market trends - Overview PwC Deals Contents 01. Nutraceuticals Market 3 02. Vitamins & Dietary Supplements Market - Historical trend 7 03. Vitamins & Dietary Supplements Market - Outlook trend 15 PwC | Vitamins & Dietary Supplements Market trends Overview 2 01. Nutraceuticals Market Nutraceutical, Cosmeceutical and Nutra-cosmetical markets are born as Nutraceuticals Market innovative and transversal segments to the Pharmaceutical, Nutrition and Vitamins & Dietary Supplements Market Personal Care, blurring the boundaries among traditional segments Historical trend Vitamins & Dietary Supplements Market Outlook trend • Healthcare (Nutrition and Pharmaceutical) and Cosmeceutical Nutraceutical Personal Care markets have evolved in recent • Nutraceutical products are usually years, extending the focus of their business to new • The products are usually made up of vitamins, herbs, oils and used for preventive purposes areas and addressing common consumer needs. extracts • They can be used as a Pharmaceutical support for • The expansion of the business, together with the • Companies can declare that the pharmacological treatments latest industry trends, has developed transversal products have medical • They do not require a properties if they possess and innovative market segments, focused on prescription offering health and wellness benefits using natural specific characteristics required by law • Companies can declare that the ingredients and resources (e.g. food, herbs, roots, Cosmetics/ products have medical
    [Show full text]
  • Panax Ginseng
    Cognitive Vitality Reports® are reports written by neuroscientists at the Alzheimer’s Drug Discovery Foundation (ADDF). These scientific reports include analysis of drugs, drugs-in- development, drug targets, supplements, nutraceuticals, food/drink, non-pharmacologic interventions, and risk factors. Neuroscientists evaluate the potential benefit (or harm) for brain health, as well as for age-related health concerns that can affect brain health (e.g., cardiovascular diseases, cancers, diabetes/metabolic syndrome). In addition, these reports include evaluation of safety data, from clinical trials if available, and from preclinical models. Panax ginseng Evidence Summary Some studies have shown that ginseng improves cognitive functions and decreases mortality and cancer risk in humans; safe when taken alone, but some drug interactions are known. Neuroprotective Benefit: Numerous studies have reported cognitive benefit with ginseng in healthy people as well as in dementia patients, but the evidence remains inconclusive due to the lack of large, long-term well-designed trials. Aging and related health concerns: Ginseng intake is associated with lower risks for mortality and cancers; also, some benefits seen in Asian people with ischemic heart disease, diabetes, hypertension, hypercholesteremia, and fatigue. Safety: Numerous meta-analyses have reported that ginseng is generally safe when taken alone; however, ginseng interacts with several medications. 1 Availability: OTC. No Dose: 200-400 mg/day Chemical formula: e.g., C42H72O14 pharmaceutical
    [Show full text]
  • Nutraceuticals: Transformation of Conventional Foods Into Health Promoters/Disease Preventers and Safety Considerations
    molecules Review Nutraceuticals: Transformation of Conventional Foods into Health Promoters/Disease Preventers and Safety Considerations Mudhi AlAli 1, Maream Alqubaisy 1, Mariam Nasser Aljaafari 1, Asma Obaid AlAli 1, Laila Baqais 1, Aidin Molouki 2, Aisha Abushelaibi 3, Kok-Song Lai 1 and Swee-Hua Erin Lim 1,* 1 Health Sciences Division, Abu Dhabi Women’s College, Higher Colleges of Technology, Abu Dhabi 41012, United Arab Emirates; [email protected] (M.A.); [email protected] (M.A.); [email protected] (M.N.A.); [email protected] (A.O.A.); [email protected] (L.B.); [email protected] (K.-S.L.) 2 Department of Avian Disease Research and Diagnostic, Razi Vaccine and Serum Research Institute, Agricultural Research Education and Extension Organization (AREEO), Karaj 31585-854, Iran; [email protected] 3 Dubai Colleges, Higher Colleges of Technology, Dubai 16062, United Arab Emirates; [email protected] * Correspondence: [email protected] or [email protected]; Tel.: +971-56-389-3757 Abstract: Nutraceuticals are essential food constituents that provide nutritional benefits as well as medicinal effects. The benefits of these foods are due to the presence of active compounds such as carotenoids, collagen hydrolysate, and dietary fibers. Nutraceuticals have been found to positively Citation: AlAli, M.; Alqubaisy, M.; affect cardiovascular and immune system health and have a role in infection and cancer prevention. Aljaafari, M.N.; AlAli, A.O.; Baqais, Nutraceuticals can be categorized into different classes based on their nature and mode of action. In L.; Molouki, A.; Abushelaibi, A.; Lai, this review, different classifications of nutraceuticals and their potential therapeutic activity, such K.-S.; Lim, S.-H.E.
    [Show full text]
  • Nutraceuticals: the Future of Intelligent Food
    Nutraceuticals: The future of intelligent food Where food and pharmaceuticals converge kpmg.com The term ‘nutraceuticals’ was coined in the late 1980s to describe food products that have a medicinal benefit. This fast-growing sector includes functional foods (such as vitamin-enriched products), nutritional supplements, sport drinks, and medically formulated foods. © 2015 KPMG International Cooperative (“KPMG International”), a Swiss entity. Member firms of the KPMG network of independent firms are affiliated with KPMG International. Nutraceuticals: The future of intelligent food | 1 Where food and pharmaceuticals converge Chris Stirling Willy Kruh Global Chair, Life Sciences Global Chair, Consumer Markets KPMG International KPMG International Background Achieving success Nutraceuticals is expected to play a central role in Technology is going to play a crucial role in success. preventative healthcare. The logic seems simple: an ageing Companies who thrive are likely to be those that place bold population gives rise to lifestyle-related diseases, whose bets and wait patiently for results. Product cycles are much impact can be lessened by making healthier choices longer in nutraceuticals than in food, and this should play to earlier in life. This leads to a sharper focus on measures, the strengths of pharma which is accustomed to long lead such as a health-promoting diet, to prevent people from times. The potential gains, though, will be considerable: ever getting ill. Healthcare research, both publicly and Future ‘superfoods’ could tackle the underlying causes of privately funded, will need to consider the implications: conditions such as diabetes, obesity and cardiovascular not just new ‘superfoods’, to take one example, but also disease, by linking diet to health.
    [Show full text]
  • The Potential of Phytomelatonin As a Nutraceutical
    molecules Review The Potential of Phytomelatonin as a Nutraceutical Marino B. Arnao * ID and Josefa Hernández-Ruiz Department of Plant Biology (Plant Physiology), Faculty of Biology, University of Murcia, 30100 Murcia, Spain; [email protected] * Correspondence: [email protected] Received: 10 January 2018; Accepted: 18 January 2018; Published: 22 January 2018 Abstract: Phytomelatonin (plant melatonin) is chemically related to the amino acid tryptophan and has many diverse properties. Phytomelatonin is an interesting compound due to its outstanding actions at the cellular and physiological level, especially its protective effect in plants exposed to diverse stress situations, while its vegetable origin offers many opportunities because it is a natural compound. We present an overview of its origin, its action in plants in general (particularly in plant species with high levels of phytomelatonin), and its possibilities for use as a nutraceutical with particular attention paid to the beneficial effects that it may have in human health. The differences between synthetic melatonin and phytomelatonin, according to its origin and purity, are presented. Finally, the current market for phytomelatonin and its limits and potentials are discussed. Keywords: antioxidant; cancer; circadian rhythm; dietary/food supplements; free radicals; fruits; medicinal plants; melatonin; neurological diseases; nutraceutical; phytomelatonin; plant foodstuffs; sleep disorders 1. Introduction Melatonin (N-acetyl-5-methoxytryptamine) is a ubiquitous molecule in nature, with biological activities in unicellular organisms, fungi, plants, and animals. Melatonin is broadly known as a biological modulator of circadian rhythms, mood, sleep, body temperature, locomotor activity, food intake, retinal physiology, sexual behavior, and the immune system [1–7]. Moreover, melatonin is an excellent antioxidant at physiological concentrations [8–10].
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 9.259,430 B2 Rathmacher Et Al
    US00925943OB2 (12) United States Patent (10) Patent No.: US 9.259,430 B2 Rathmacher et al. (45) Date of Patent: *Feb. 16, 2016 (54) NUTRITIONAL INTERVENTION FOR (56) References Cited IMPROVING MUSCULAR FUNCTION AND STRENGTH U.S. PATENT DOCUMENTS 4,992.470 A 2f1991 Nissen (71) Applicant: Metabolic Technologies, Inc., Ames, IA 5,028,440 A 7, 1991 Nissen (US) 5,087.472 A 2f1992 Nissen 5,348,979 A 9, 1994 Nissen et al. 5,360,613 A 11/1994 Nissen (72) Inventors: John Rathmacher, Story City, IA (US); 6,031,000 A 2/2000 Nissen et al. John Fuller, Jr., Zearing, IA (US); 6,103,764 A 8, 2000 Nissen Shawn Baier, Polk City, IA (US); Steve 6,291525 B1 9, 2001 Nissen 8,815,280 B2 * 8/2014 Rathmacher et al. ......... 424/439 Nissen, Ames, IA (US); Naji Abumrad, 2004f0071825 A1 4/2004 Lockwood Nashville, IA (US) 2005/0215640 A1 9, 2005 Baxter et al. 2006, OOO3947 A1 1, 2006 Udell (73) Assignee: Metabolic Technologies, Inc., Ames, IA 2007/0142469 A1 6/2007 Thomas et al. (US) FOREIGN PATENT DOCUMENTS (*) Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 WO 2008024456 A2 2, 2008 U.S.C. 154(b) by 0 days. OTHER PUBLICATIONS This patent is Subject to a terminal dis McCarty et al. (“Toward a Core Nutraceutical Program for Cancer claimer. Management” in Integrative Cancer Therapies 5(2); 2006.* Krebs, H. A. & Lund, P. (1977) Aspects of the regulation of the metabolism of branched-chain amino acids. Advan.
    [Show full text]
  • Nutraceuticals and Nutritional Supplements for the Treatment of Bipolar Disorder: Protocol for a Systematic Review
    Open access Protocol BMJ Open: first published as 10.1136/bmjopen-2018-025640 on 4 April 2019. Downloaded from Nutraceuticals and nutritional supplements for the treatment of bipolar disorder: protocol for a systematic review Melanie M Ashton,1,2,3 Michael Berk,1,3,4,5,6 Chee H Ng,2 Malcolm Hopwood,4,7 Bianca Kavanagh, 1 Lana J Williams,1 Jerome Sarris,2,8 Olivia M Dean1,3,4 To cite: Ashton MM, Berk M, ABSTRACT Strengths and limitations of this study Ng CH, et al. Nutraceuticals Introduction First line pharmacological treatments for and nutritional supplements bipolar disorder (BD) can leave shortfalls in recovery ► This review will update and extend previously com- for the treatment of bipolar leading to patients seeking alternative and adjunctive disorder: protocol for a pleted systematic reviews of the effects of nutraceu- treatments such as nutraceuticals. This protocol for a systematic review. BMJ Open ticals in bipolar disorder (BD). systematic review and proposed meta-analysis aims 2019;9:e025640. doi:10.1136/ ► This review will employ rigorous screening and as- to answer the research question: in patients with BD, bmjopen-2018-025640 sessment of studies to be included allowing for only how does use of nutraceutical treatments compare with good quality, peer reviewed publications. ► Prepublication history and placebo in reducing depressive and mania symptoms? ► A strength of this review is the range of potential additional material for this Methods and analysis Clinical trials will be identified paper are available online. To nutraceutical agents to be assessed. through database searches using PubMed via PubMed, view these files, please visit ► A limitation of the review will be the inherent differ- EMBASE via embase.
    [Show full text]
  • General Certificate of Conformity
    GENERAL CERTIFICATE OF CONFORMITY In compliance with 15 U.S.C. § 2063(g), NUTRACEUTICAL CORPORATION hereby certifies that the following products comply with the Consumer Protection Safety Act, as amended by the Consumer Protection Safety Improvement Act of 2008: 1. Product(s) covered by this certificate: Attached. 2. CPSC product safety regulations to which these product(s) are being certified: The Poison Packaging Prevention Act; 16 CFR § 1700.14(a)(13); 16 CFR § 1700.15. 3. The U.S. importer or domestic manufacturer certifying compliance of the product is: Nutraceutical Corporation, 1500 Kearns Blvd., Suite B-200, Park City, UT 84060. 4. Contact information for the individual maintaining records of test results: Brett Messer, 801-334-1548. 5. Date and place where the foregoing product(s) were manufactured: Ogden, Utah. 6. Date and place where the foregoing product(s) were tested for compliance with the regulation (s) cited above: Varies by product. Please contact Mr. Messer for more information. Please note that no third-party laboratory was relied upon for the issuance of this Certificate. DATED AS OF December 8, 2014. NUTRACEUTICAL CORPORATION Brand Code Name Size UPC All One 60001 Tablets for Travel 210ct 052534600010 All One 1600 Cardio E-Z 180ct 052534016002 All One 1626 Enzyme Plus 180ct 052534016262 All One 1570 TRC Minerals 75 120ct 052534015708 All One 1604 Vast Vitality 180ct 052534016040 Allvia 39793 Hair Nutrients 120ct 645951397931 Body Gold 2026 Ginkoba Memory 90ct 793190020261 Body Gold 2029 Ginkoba Memory One Per Day
    [Show full text]
  • Nutraceuticals: New Era of Medicine and Health
    Vol.3 Issue 1, January-March 2010 ISSN 0974-2441 Nutraceuticals: new era of medicine and health Manisha Pandey *, Rohit K Verma, Shubhini A Saraf Department of Pharmaceutics, Babu Banarasi Das National Institute of Technology and Management, Lucknow, Uttar Pradesh – 227105, India. ARTICLE Address for correspondence: Manisha Pandey, Department of Pharmaceutics, Babu Banarasi Das National Institute of Technology and Management, Lucknow, Uttar Pradesh – 227105, India. E-mail: [email protected] The concept of nutraceutical was stared from the survey in U.K., Germany and France which concluded that diet is rated more highly by consumers than exercise or hereditary factors for achieving good health. Nutraceutical is a term VIEW coined to describe substances which are not traditionally recognized nutrients but which have positive physiological effects on the human body. They do not easily fall into the legal category of food and drug and often inhabit a grey area RE between the two. Risk of toxicity or adverse effect of drugs led us to consider safer nutraceutical and functional food based approaches for the health management. This resulted in a world wide nutraceutical revolution. The nutraceutical RESEARCH ARTICLE RESEARCH revolution will lead us into a new era of medicine and health, in which the food industry will become a research- oriented one similar to the pharmaceutical industry. Keywords: Nutraceuticals, Medicine, Functional foods. INTRODUCTION was commonly used, but no regulatory The quality of life in terms of income, spending definition existed. Its meaning was modified by and lifestyle has improved with economic health ministry of Canada which defines development. However, it has also thrown up a nutraceutical as “a product isolated or purified major challenge in the form of `lifestyle from the food, generally sold in medicinal form diseases'.
    [Show full text]