Continuing Medical Education
School of Medicine, UAB
   
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Online CME Courses
Herbal Drug-Drug Interactions in the Elderly Part I


Certified for 1 AMA PRA Category 1 Credit


Co-Sponsored by the University of Alabama School of Medicine
Division of Continuing Medical Education and
The Alabama Quality Assurance Foundation

Release Date: November 8, 2005
Expiration Date: November 8, 2008

TARGET AUDIENCE:
Primary care physicians

OBJECTIVES:
Upon completion of this CME activity, clinicians should be able to:
  • Understand the mechanism of action of important herbal preparations
  • Recognize major interactions between commonly-prescribed drugs and herbal medicines
  • Recognize the symptoms of herb-drug interactions
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SOURCE:
FACULTY:

William T. O'Byrne, MD
General Internist
Albuquerque, New Mexico

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DISCLOSURE:
Dr. O'Byrne has no commercial affiliations to disclose.
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CME PARTICIPATION:
To participate in this program for CME credit, please review the objectives before beginning the program. Take the course, complete the case questions and evaluation before November 8, 2008 to receive CME credit. Your certificate will then be available online. This process should take approximately 60 minutes.

ACCREDITATION:

The University of Alabama School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Alabama School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The boards of nursing in many states, including Alabama, recognize Category 1 continuing medical education courses as acceptable activities for the renewal of license to practice nursing.

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DISCLAIMER: 
Dosages, indications, and methods of use of any drug referred to in this online course may reflect the clinical experience of the authors, clinical literature, or other clinical resources. Therefore, please see the full prescribing information before using any product mentioned.

Case 1:

Mrs. C. is a 72 year-old female who presents to your office for advice. She reports that she has had trouble sleeping for the past 3 months. You know Mrs. C. well and recall that she also has hypertension, atrial fibrillation, and type 2 diabetes mellitus. She tells you that she began taking an herbal preparation on the advice of a friend, who is “very much into that sort of thing.” She wants to know if the herbal remedy is safe, but then appears reluctant to give further details until you impress upon her that doing so will help you advise her. She then says that the preparation is valerian. A further review of the patient’s history reveals that she takes fosinopril for hypertension, metformin for diabetes, and warfarin plus metoprolol for atrial fibrillation. You also note that she consumes at least 2 glasses of wine daily.

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Case 1, Question 1 of 7

1. You advise Mrs. C. that Valerian has the potential for serious interaction with:

A. Warfarin
B. Ace inhibitors
C. Ethanol
D. Beta-blockers



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