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HERBS

Aloe
Bilberry
Black Cohash
Chamomile
Chaste Berry Tree
Dong Quai
Echinacea
Evening Primrose Oil
Feverfew
Garlic
Ginger
Gingko
Ginseng
Guarana
Hawthorn
Horse Chestnut
Kava-Kava
Ma Huang
Milk Thistle
Nettle
St. John's Wort
Saw Palmetto
Tea Tree Oil
Valerian
Yohimbe 

Feverfew                                            
(Tanacetum parthenium)

General Description:  A short bushy perennial that belongs to the sunflower family.  They bloom from July to October.

Part Used:  Leaves

Uses: 

migraine headaches

arthritis

menstrual pain

fever 

insect repellent

rheumatic disease 

Action:   A cyclooxygenase inhibitor; like aspirin. A degranulation inhibitor in platelets and leukocytes therefore decreasing effects of the selection of serotonin and histamin. Anti-inflammatory effect and prostaglandins inhibitor.

Dosage:  

25 mg freeze dried root 

125mg/day

Precautions/Adverse Reactions:    May cause GI upset , nervousness, indigestion, flatulence, diarrhea, nausea, mouth ulceration, loss of taste, and swelling of the lips, tongue, and mouth if you chew on the leaves.

Contraindications:  Can cause hypersensitivity if allergic to Compositae family of flowers.  Do not take if pregnant or  lactating in that it could produce uterine contractions. 

Nursing Considerations:

      Because feverfew encourages platelet aggregation, clotting times will not be accurate and prolong bleeding may occur.

        Patients must be monitored and informed of signs and  symptoms of increased  bleeding time.

      Keep frequent checks on Coumadin levels.

Because feverfew has anti-inflammatory effects:

      Concomitant use with  ASA, NSAID and Tylenol reduces the effectiveness of both. 

The efficacy of feverfew is dependent upon adequate levels of  parthenolide.  Two out of three products assayed in the U.S. showed no parthenolide at all.  The quality of these products is important when advising patients of all herbal use.  

(References);                                                       

Aloe ] Bilberry ] Black Cohash ] Chamomile ] Chaste Berry Tree ] Dong Quai ] Echinacea ] Evening Primrose Oil ] [ Feverfew ] Garlic ] Ginger ] Ginkgo ] Ginseng ] Guarana ] Hawthorn ] Horse Chestnut ] Kava-Kava ] Ma Huang ] Milk Thistle ] Nettle ] St. John's Wort ] Saw Palmetto ] Tea Tree Oil ] Valerian ] Yohimbe ]