NR 509 Adv Pharm.docx - Emily subsequently returns to your...

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Emily subsequently returns to your clinic 5 months later, and decides to inform you that within the first 3 months after treatment, she struggled with a severe bout of depression. Instead of returning to your clinic to be prescribed, yet another pharmaceutical, she consulted her herbalist who told her about the anti-depressant, over-the-counter, herbal formulation, St. John’s Wort. She decided to begin taking St. John’s Wort in conjunction with her prescribed oral contraceptive medication, and she has now reappeared at your clinic because she is pregnant, and is distraught about how this occurred since she took her oral contraceptive compliantly since its prescription. Dr. Woodward and class, Many times, people take herbal remedies because they believe that herbs can provide positive results without serious side effects. A downside to herbal remedies is that plants produce a wide variety of chemicals that might have an effect that may be good or bad. Herbal remedies are not evaluated by the FDA and people don’t always
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