Dietary Tier 2

Which of the following products may have a fishy aftertaste as an adverse effect with use?

• Milk thistle

• Omega-3 fatty acids

• Aluminum acetate

• Zinc

Which of the following counseling statements is FALSE regarding butterbur?

• Use butterbur with caution in liver disease.

• Butterbur may cause flatulence and belching.

• Butterbur is effective in treating a migraine.

• Butterbur is considered a smooth muscle relaxant

A patient presents to your pharmacy and has a medication history containing garlic. She should be counseled that garlic may increase her risk of:

• Cancer

• Diarrhea

• Bleeding

• Heart attack

A common adverse effect of St. John’s wort is which of the following?

• Flushing

• GI upset

• Bleeding

• Photosensitivity

Prenatal vitamins should be taken in which of the following ways to decrease GI distress?

• Take with antacids.

• Take with 8 oz of water.

• Take with food.

• Take 2 hours apart from iron supplements.

What is the recommended dose of flaxseed oil for lipid-lowering effects?

• 50 mg daily

• 100 mg daily

• 400 mg daily

• 1000 mg daily

The dose of vitamin C needed to be effective for the prevention of colds is at least _____/day:

• 500 mg

• 1 g

• 1.5 g

• 2 g

Which of the following adverse effects should be warned to a patient during counseling of zinc supplementation?

• Constipation

• Taste disturbance

• Runny nose

• Erythema

Which of the following claims to improve memory but can also cause a drop in blood pressure as an adverse effect?

• Ginkgo biloba
• Black cohash

• Vitamin E

• Saw palmetto

Taking saw palmetto with food may help to do which of the following?

• Reduce upset stomach

• Improve absorption

• Minimize drug interactions

• Reduce urinary frequency