The nurse is reviewing a patient's medication history and becomes concerned about the use of an herbal preparation. Which medication-herb interaction should the nurse discuss with the primary care provider?
a. Garlic and CO Q 10
b. St. John's wort and digoxin (Lanoxin)
c. Vitamin C and ampicillin (Amoxicillin)
d. Chamomile and hydrochlorothiazide (HCTZ)
ANS: B
B. St. John's wort can interact adversely with digoxin (Lanoxin). A. Garlic and Co Q 10 are both herbal supplements. C. Vitamin C is not documented as adversely affecting the action of ampicillin (Amoxicillin). D. Chamomile is not documented as adversely affecting the action of hydrochlorothiazide (HCTZ).
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