Medication Review. Vitamins. Pharmacy Technician Training Systems Passassured, LLC

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1 Medication Review Vitamins Pharmacy Technician Training Systems Passassured, LLC

2 Medication Review, Vitamins PassAssured's Pharmacy Technician Training Program Click Here for Glossary Index! (Internet Access is Required for this Feature) Click Here to Print Topic Help File,.pdf (Internet Access is Required for this Feature) Definitions Fat - Soluble Vitamins Water - Soluble Vitamins Minerals Herbal Products Examples, uses and side effects Homeopathy Pass Assured, LLC, Pharmacy Technician Training Systems Copyright Pass Assured, LLC, Web Site - -o- PassAssured's Pharmacy Technician Training Program Medication Review - Vitamins

3 Click Here for Glossary Index! (Internet Access is Required for this Feature) Click Here to Print Topic Help File,.pdf (Internet Access is Required for this Feature) Medication Review, Vitamins Definitions Vitamin Essential food factors, chemicals in nature, present in certain food, can be synthesized Vitamins are necessary for normal body functions. Many vitamins are not produced in the body and must be obtained from a well balanced diet. Fat - Soluble Vitamins Accumulate and are stored in fat tissues Excess intake can result in toxicity since accumulation occurs in fat tissue. Examples and Uses: Vitamin A - Skin and vision Vitamin D (Drisdol) - Calcium regulation, bone formation Vitamin E - Reproduction and skin Vitamin K (Mephyton) - Blood clotting All others are water-soluble. Other agents - vitamin A used to treat acne Tretinoin (Retin-A)- Legend Drug Also used for wrinkles Isotretinoin (Accutane) - Legend Drug Water - Soluble Vitamins Soluble in water

4 Excess intake does not usually cause problems since excess amounts are readily excreted Examples and uses Thiamine (Vitamin B1) Energy production, growth and functioning of nerve tissue, memory and emotional stability Deficiency can cause beriberi. Riboflavin (Vitamin B2) Energy production Synthesis of fats and amino acids Pyridoxine (Vitamin B6) Role in multiplication of all cells especially red blood cells and the cells of immune system Needed to synthesize neurotransmitters Drug induced deficiency of this with: Isoniazid Hydralazine Oral contraceptives Cyanocobalamin (Vitamin B12) Important in carbohydrate and fat metabolism Necessary for normal growth and formation of healthy red blood cells Used to treat pernicious anemia Niacin/Nicotinic Acid Implant in energy producing reactions involving enzymes Large doses are used to treat elevated cholesterol Ascorbic acid (Vitamin C) Essential for tooth and bone formation, healthy gums, formation of collagen, resistance to infections, and wound healing Prevents scurvy

5 Large doses may cause kidney stones Folic Acid Used to treat megaloblastic anemia Minerals Substances necessary for normal body functions Calcium Essential for bone and tooth formation Activating and relaxing smooth muscle Nerve impulse transmission Fluoride Prevention of dental caries Examples: Luride Lozi-tabs, Phos-Flur Gel-Kam, PreviDent Poly-Vi-Flor, (Multivitamins with Fluoride). These products are Rx only. Iodine Used as germicides, antiseptics, and dyes Magnesium Needed for bone, protein, new cells, clotting blood, insulin function Phosphorus Blood has excess Potassium Important for water balance Regulating muscle contractions Protein and glycogen synthesis

6 Nerve transmission This electrolyte can become depleted with the use of diuretics, coffee, and alcohol. Sodium An essential element for all animal life (including human) and for some plant species Abundantly found in nature Most commonly table salt Iron Important for the formation of blood and oxygen transport Herbal Products Medications originated from plants Unlike prescription medication- can be sold without being tested to prove they are safe and effective Are used to treat a variety of conditions such as: asthma, eczema, premenstrual syndrome, rheumatoid arthritis, migraines, menopausal symptoms, chronic fatigue, irritable bowel syndrome Come in many dosage forms: pills, capsules, syrups, oils, teas, and tinctures Naturopathic physicians, pharmacists, medical doctors, herbalists, and chiropractors all may use herbs to treat illness Most herbal products are regulated as dietary supplements by the Food and Drug Administration. The FDA can remove a product from sale if it proves to be harmful. They may contain additives and contaminants that aren t listed on the label May interact with other drugs Should consult physician or pharmacist before taking FDA Regulations of Herbal Products U.S. Food and Drug Administration New Hampshire Avenue Silver Spring, MD INFO-FDA ( ) Completed dietary supplement products and dietary ingredients are regulated by the

7 FDA under a different set of regulations than other products. The Dietary Supplement Health and Education Act of 1994(DSHEA) states that before a dietary supplement or dietary ingredient can be marketed, the manufacturer must ensure it is safe. Unsafe dietary supplements are the responsibility of the FDA after they reach the market. Registration or approval with the FDA is not usually needed to manufacture or sell dietary supplements. Product labeling must be truthful and not confusing. Dietary Supplement Current Good Manufacturing Practices must be used by all companies involved in the manufacturing or handling of dietary supplements. In the United States it is mandatory for the manufacturer, packer, or distributor listed on the label to report all adverse incidents connected with the use of dietary supplements to the FDA. Product information is the responsibility of the FDA. Dietary supplement advertising is regulated by the Federal Trade Commission. Examples, uses and side effects: Echinacea(Echinacea purpurea) Increases natural immunity Used to fight infections such as the common cold Side effects: nausea, stomach pain, diarrhea, sore throat, dry mouth, fever, unpleasant taste, numbness of the tongue, joint and muscle aches, insomnia People with autoimmune disorders or particular allergies should refer to a physician before using St. John s wort (Hypericum perforatum) Used for mild to moderate depression, anxiety Has fewer side effects than most prescription antidepressants Can cause skin sensitivity to sunlight Interacts with several medications, only take under guidance of health care professional Side effects include: stomach upset, fatigue, restlessness, constipation Ginkgo(Ginkgo biloba) Memory improvement Treats circulatory disorders May increase risk of bleeding Caution for people taking blood thinners, people with seizure disorders, and people with fertility issues Side effects include headache, dizziness, nausea, diarrhea, heart palpitations Kava kava(piper methysticum)

8 Uplifts mood Increases feelings of well-being and contentment Used to treat anxiety, stress, and insomnia May cause liver toxicity Do not drive or operate machinery Saw Palmetto(Serenoa repens) Reduces signs of an enlarged prostate Sometimes used for cough, cold, sore throat, and bronchitis Side effects nausea, vomiting, constipation, diarrhea, headache, and dizziness Ginseng May boost the immune system Lowers blood sugar levels Side effects: insomnia, nervousness, headaches, upset stomach, dizziness Valerian(Valeriana officinalis) Helps with sleep problems Interacts with psychiatric medications May cause sleepiness or over stimulate instead of sedating Ginger Used to treat stomach problems- morning sickness, motion sickness, gas, diarrhea, colic, upset stomach Other uses relief from arthritis, muscle ache, menstrual pain, upper respiratory infection, cough and bronchitis Side effects: diarrhea, heartburn, stomach pain Might slow blood clotting Evening Primrose Oil used for psoriasis, acne, and eczema Also used for osteoporosis, rheumatoid arthritis, multiple sclerosis, high cholesterol, heart disease, breast pain Side effects include: nausea, upset stomach, diarrhea, and headache Contraindicated in individuals with bleeding disorders, epilepsy, or schizophrenia Milk Thistle Used to treat liver problems : jaundice, hepatitis, cirrhosis, and gallbladder disorders

9 Lowers cholesterol Side effects: diarrhea, nausea, gas, bloating, upset stomach Homeopathy A method for treating illness that uses very minor quantities of substances that would in higher quantities produce symptoms of the sickness in healthy individuals This structure of therapeutics was established in 1796 by Samuel Hahnemann on the belief that like cures like. Homeopathic remedies: Cough: Aconite Belladonna Bryonia Phosphorus Drosera Hepar Sulph Cold Aconitum Allium Cepa Anas Barbariae Calcarea carb Natrum mur Anxiety Argentum Nitricum Arsenicum Album Calcarea Carbonica Gelsemium Cuts and Wounds Bellis Perennis Hemorrhoids Aesculus hippocastanum Hamamelis Burns, bites, stings Urtica Urens Ledum

10 Pass Assured, LLC, Pharmacy Technician Training Systems Copyright Pass Assured, LLC, Web Site - -o-

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