TY - CHAP M1 - Book, Section TI - Chapter 10. Herbal Medicines and Supplements A1 - Lo, Sansan S. A2 - Atchabahian, Arthur A2 - Gupta, Ruchir PY - 2013 T2 - The Anesthesia Guide AB - Preoperative assessment of potential herbal medicine use is important for preoperative instruction and understanding of perioperative risks and complicationsDietary supplements and alternative medicines are exempt from FDA regulation:Increasing usage, but are significantly underreported and often not addressedSignificant biological effects including:Direct effectsDrug interactions: pharmacodynamic and pharmacokineticEase of access without prescriptionsVariable manufacturing quality control standards (potency, contaminants)Limited clinical studiesOf note, this chapter does not include nonherbal supplements such as vitamins, minerals, amino acids, or hormonesMany herbal medications have cardiovascular, coagulation, and sedative effects that may be associated with perioperative complications including MI, strokes, bleeding, and transplant rejection SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=57260361 ER -