A patient calls inquiring about herbal treatment of hypercholesterolemia and other nonpharmaceutical measures to lower his cholesterol level. Which important concept(s) should be included in the response to this patient?
(Select all that apply.)
a. Maintain daily dose of black cohosh.
b. Drink one to four cups of green tea daily.
c. Ingest one fresh clove of garlic daily.
d. Maintain daily aspirin dose.
e. Avoid concurrent use of garlic with ginkgo, ginger, feverfew, and ginseng.
ANS: B, C, E
Green tea has been shown to lower cholesterol, triglycerides, and low-density lipoprotein (LDL) and to raise high-density lipoprotein (HDL); moderate consumption of one to four cups daily appears to provide therapeutic benefits. One fresh clove of garlic daily, or a daily dose of 8 mg of Allium, is the current dosage recommendation to treat hypercholesterolemia. Garlic reduces platelet aggregation and should be used with caution in patients receiving platelet inhibitors, anticoagulants, and herbal medicines (e.g., ginkgo, ginger, feverfew, ginseng). Black cohosh is used to reduce symptoms of premenstrual syndrome, dysmenorrhea, and menopause. Aspirin is not taken for control of hyperlipidemia; discontinuation of aspirin therapy for other indications should be only with the direction of the health care provider.
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