Roy Krishna
Touro University, USA
Title: Complementary & Alternative Medicine-Use, Prevalence and Potential Interactions
Biography
Biography: Roy Krishna
Abstract
The use and popularity of complementary and alternative medicine (CAM) has sharply risen over the decades particularly in the United States. This includes herbal medications and practicing yoga, ayurvedic medicine, acupuncture and various others. It is postulated that there are several reasons including cost, perceived data, enhanced effects and non-regulated. Many medical schools are now introducing this into their curriculum to raise awareness.
CAM is not FDA approved and the complete active ingredients are unknown as is the pharmacokinetic disposition and mechanism of action. Literature speculates on the mechanism of action. Chronic use particularly in geriatric patients and with prescribed medications poses risks, side effects and potential interactions some of which are known. This may be exacerbated in patients with hepatic and renal compromise. Contraindications and use in pregnancy and pediatric patients is unclear.
Some potential concerns and side effects are the serotonin syndrome, induction of the CYP450 system, bleeding and gastrointestinal disorders and rhabdomylosis. This also extends to potential interactions with prescribed medication and attenuation of side effects.
This presentation focusses on commonly utilized herbal medications and potential side effects and interactions.