Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content ++ TERMS TO LEARN ++ Table Graphic Jump LocationFavorite Table | Download (.pdf) | Print Beriberi Syndrome associated with thiamine deficiency; symptoms include peripheral neuropathy with CHF (wet beriberi) or without CHF (dry beriberi). Cheilosis Noninflammatory condition of the lips; symptoms include chapping and fissuring. Glossitis Inflammation of the tongue. Megaloblastic Anemia Low blood count with a predominant number of megaloblasts in the bone marrow (enlarged cells); seen in patients with B12 deficiency. Papilledema Swelling around the optic nerve caused by pressure on the nerve by a tumor or increased intracranial pressure. Pellagra Syndrome associated with insufficient niacin; symptoms include dermatitis, diarrhea, dementia, and death. Torticollis Excessive tone in the muscles of the neck. Xerosis Dryness of the skin, conjunctiva, or mucous membranes. ++ I. HERBAL PREPARATIONS ++ HERBAL AND ALTERNATIVE REMEDIES: DRUG FACTS ++ Table Graphic Jump LocationFavorite Table | Download (.pdf) | Print Herb Clinical Uses Adverse Effects Drug Interactions and Precautions Clinical effects of these herbs are not based on evidence in all cases.Because herbal medications are not regulated by the FDA, their presence on the USMLE is negligible; however, they might be covered in a pharmacology course. Aloe Vera Topical treatment of burns and other inflammatory conditions of the skin Topical treatment of inflammatory conditions of the skin (ie, psorasis & eczema) Skin rash or irritation Topical use only recommended Oral form associated with renal failure, GI cancer and possibly fatal in high doses Multiple drug interactions with oral form Capsicum/Cayenne Gastroprotective agent against mucosal injury caused by aspirin Topical treatment of pain associated with neuralgia, RA, and OA Stinging or burning at application site Hypercoagulation Hypersensitivity reactions Avoid contact with eyes or genitalia Decreases bioavailability of aspirin and salicylic acid Limit use to 2 days every 2 weeks Cascara sagrada Treatment of constipation Arrhythmias Neuropathies Thiazide diuretics, antiarrhythmics, cardiac glycosides, and indomethacin Bowel obstruction, IBD, or abdominal pain of unknown origin Chondrotin Treatment of OA Intravesicular administration may relieve symptoms of interstital cystitis May worsen asthma symptoms May increase INR in patients on Coumadin Cranberry Prevention and treatment of UTIs Increases urinary oxalate excretion and the risk of oxalate stones Increases bleeding risks in patients on anticoagulants Echinacea Decreases duration and intensity of cold symptoms via anti-inflammatory and immunostimulating mechanisms Treatment of UTIs Treatment of wounds and burns Dizziness GI upset Headache Unpleasant taste Immunosuppressant medications Immunodeficiency syndromes, autoimmune disorders, or TB Should not be taken for more than 8 weeks Feverfew Decreases frequency and severity of migraine headaches Allergic dermatitis GI upset Rebound headaches Anticoagulants and antiplatelet drugs May inhibit platelet aggregation Garlic Treatment of hyperlipidemia Treatment of arteriosclerosis Treatment of hypertension Allergic reactions Fatigue GI upset Headache Anticoagulants and antiplatelet drugs May inhibit platelet aggregation Ginger Treatment of nausea and vomiting (eg, pregnancy, motion sickness) Stomach cramps Neurological (HA, irritation, dizziness) Reproductive (decreased sperm count, decreased libido, gynecomastia in men) Increases bleeding risks in patients on ... GET ACCESS TO THIS RESOURCE Sign In Username Please enter User Name Password Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth Get Free Access Through Your Institution Contact your institution's library to ask if they subscribe to McGraw-Hill Medical Products. What is MyAccess? Create a FREE MyAccess profile to: Use this site remotely Bookmark your favorite content Track your self-assessment progress and more! GET ACCESS TO THIS RESOURCE Subscription Options Pay Per View Timed Access to all of AccessPharmacy 24 Hour $34.95 (USD) Buy Now 48 Hour $54.95 (USD) Buy Now Best Value AccessPharmacy Full Site: One-Year Individual Subscription $595 USD Buy Now View All Subscription Options Pop-up div Successfully Displayed This div only appears when the trigger link is hovered over. Otherwise it is hidden from view. Please Wait