Dietary Supplements Fall 2012

Avoid in patients with a shellfish allergy important

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Avoid in patients with a shellfish allergy Important counseling points: Requires 4-6 weeks for benefits to be seen Not for PRN use, must use continuously  The sulfate salt is recommended Glucosamine/chondroitin
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Coenzyme found in the mitochondria of human  cells Fat-soluble Proposed uses: Cardiovascular disease CHF, angina, HTN Myopathy  Antioxidant Dose:  100-200mg daily Coenzyme Q10
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Efficacy: CHF: contradictory studies Post-MI: small studies have shown benefit Small studies have shown BP lowering effects Statin-induced myopathy: effectiveness has not been shown Safety profile:  GI: distress, nausea,   appetite CNS: headache, dizziness, irritability May decrease effect of warfarin Coenzyme Q10
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Natural does not always mean safe Ask about allergies, reason for use, other health  conditions/medications Contraindications Drug interactions Avoid recommending a product for a currently treated condition Self-care with dietary supplements should be for a limited  period of time Many products do not have long term  data Recommend products with a quality  seal Additional Counseling Points http://www.consumerreports.org/health/resources/images/natural-health/dietary-supplements-t  
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Questions?
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  • Fall '12
  • lipsh
  • safety profile, health care providers., Providers. Consumer Survey, Consumer Survey Report, Care Providers. Consumer

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