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October 19, 2020 08:31pm
By Sara Karlovitch, Assistant Editor
Five herbal and nutritional supplements of great interest to retail health clinicians.
Americans—millions of them—use complementary and alternative medications, and for good reason. Accumulating evidence indicates that several common primary care problems respond to complementary and alternative treatment approaches. For example, patients who have chronic low back pain are often surprised and delighted when they try acupuncture and find relief.
Interventions that address the mind while soothing the body can also help; for example, cognitive behavior therapy, yoga, tai chi, and music therapy can improve the quantity and quality of sleep. Exercise is a well-proven intervention for many maladies, and especially as an adjuvant treatment for anxiety.
Pharmacies carry a wide range of herbal and nutritional supplements, but many retail health clinicians have only a passing familiarity with these products. Which are the most useful? That question is answered by the authors of a continuing education unit published in the September 2016 issue ofAmerican Family Physician.
The authors cover 5 herbal and nutritional supplements of great interest to retail health clinicians:
The article provides pointers that are important in the counseling booth. For example, patients cannot self-treat heart failure with coenzyme Q10 alone—it is adjunctive therapy only. Ginkgo's rare adverse effects include headache and dizziness. St. John's wort is recommended at 300 mg 3 times a day; this can be an adherence challenge, and patients who take oral contraceptives, some antibiotics, protease inhibitors, certain immunosuppressive medications, and digoxin should avoid this cytochrome P450 enzyme inducer. With the use of probiotics, patients rarely experience and adverse effects.