Dietary Supplements Fall 2012

Efficacy ◦ shown to reduce pain and joint stiffness

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Unformatted text preview: Efficacy: ◦ Shown to reduce pain and joint stiffness ◦ Modest pain relief over placebo Safety profile: ◦ GI: nausea, stomach upset, constipation, diarrhea Take with food ◦ Allergic skin reactions 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 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 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 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- 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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Efficacy ◦ Shown to reduce pain and joint stiffness ◦...

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