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saw palmetto
OTHER NAMES:
American Dwarf Palm Tree, Cabbage Palm, Ju-Zhong, Palmier Nain, Sabal, Sabal Fructus, Saw Palmetto Berry, Serenoa repens
CLASSIFICATION(S):
Therapeutic: none assigned
COMMON USESBenign prostatic hypertrophy (BPH)
Prostate cancer (in combination with 7 other herbs as PC-SPES).
ACTION
Antiandrogenic, antiinflammatory and antiproliferative properties in prostate tissue result in improvement in BPH symptoms such as frequent urination, hesitancy, urgency and nocturia
Comparable in efficacy to finasteride but may be less effective than prazosin.
Therapeutic Effects:
PHARMACOKINETICS
Absorption: Unknown.
Distribution: Unknown.
Metabolism and Excretion: Unknown.
Half-life: Unknown.
CONTRAINDICATIONS AND PRECAUTIONS
Contraindicated in:
Pregnancy and lactation.
Use Cautiously in:
ADVERSE REACTIONS AND SIDE EFFECTS*
*CAPITALS indicate life threatening; underlines indicate most frequent.
CNS: dizziness.
GI: nausea, vomiting, constipation and diarrhea.
INTERACTIONSNatural Product–Drug:
Hormonal action may interfere with other hormonal therapies ( testosterone, hormonal contraceptives)
ROUTE AND COMMONLY USED DOSES
PO (Adults): Lipophilic extract (80–90% fatty acids)—160 mg twice daily or 320 my once daliy. Whole berries—1–2 grams daily. Liquid extract—0.6–1.5 ml daily. Tea (efficacy is questionable due to lipophilicity of active constituents)—1 cup three times daily. Tea is prepared by steeping 0.5–1 gram dried berry in 150 ml boiling water for 5–10 minutes.
AVAILABILITYLipophilic extract (80-90% fatty acids)OTC
Whole berriesOTC
Liquid extractOTC .
TIME/ACTION PROFILE
--------------------------------------------------------------------------------
ONSET PEAK DURATION
--------------------------------------------------------------------------------
PO 1–2 mos unknown 48 wk (longest studied treatment duration)
--------------------------------------------------------------------------------
NURSING IMPLICATIONS
ASSESSMENT
Assess patient for symptoms of benign prostatic hypertrophy (BPH) (urinary hesitancy, feeling of incomplete bladder emptying, interruption in urinary stream, impairment in size and force of urinary stream, terminal urinary dribbling, straining to start flow, dysuria, urgency) before and periodically throughout therapy.
Rectal exams prior to and periodically throughout therapy to assess prostate size are recommended.
POTENTIAL NURSING DIAGNOSES
Urinary elimination, impaired (Indications).
Knowledge, deficient, related to medication regimen (Patient/Family Teaching).
IMPLEMENTATION
Take on a full stomach to minimize GI effects.
PATIENT/FAMILY TEACHING
Advise patients to start therapy with this herbal supplement only after evaluation by a health care provider who will provide continued follow up care.
Inform patients that saw palmetto does not alter the size of the prostate but still should relieve the symptoms associated with BPH.
Tell patients that taking this herbal supplement with food should reduce the GI effects and make it easier to tolerate.
EVALUATION
Clinical response to therapy can be evaluated by:
Decrease in urinary symptoms of BPH.
OTHER NAMES:
American Dwarf Palm Tree, Cabbage Palm, Ju-Zhong, Palmier Nain, Sabal, Sabal Fructus, Saw Palmetto Berry, Serenoa repens
CLASSIFICATION(S):
Therapeutic: none assigned
COMMON USESBenign prostatic hypertrophy (BPH)
Prostate cancer (in combination with 7 other herbs as PC-SPES).
ACTION
Antiandrogenic, antiinflammatory and antiproliferative properties in prostate tissue result in improvement in BPH symptoms such as frequent urination, hesitancy, urgency and nocturia
Comparable in efficacy to finasteride but may be less effective than prazosin.
Therapeutic Effects:
PHARMACOKINETICS
Absorption: Unknown.
Distribution: Unknown.
Metabolism and Excretion: Unknown.
Half-life: Unknown.
CONTRAINDICATIONS AND PRECAUTIONS
Contraindicated in:
Pregnancy and lactation.
Use Cautiously in:
ADVERSE REACTIONS AND SIDE EFFECTS*
*CAPITALS indicate life threatening; underlines indicate most frequent.
CNS: dizziness.
GI: nausea, vomiting, constipation and diarrhea.
INTERACTIONSNatural Product–Drug:
Hormonal action may interfere with other hormonal therapies ( testosterone, hormonal contraceptives)
ROUTE AND COMMONLY USED DOSES
PO (Adults): Lipophilic extract (80–90% fatty acids)—160 mg twice daily or 320 my once daliy. Whole berries—1–2 grams daily. Liquid extract—0.6–1.5 ml daily. Tea (efficacy is questionable due to lipophilicity of active constituents)—1 cup three times daily. Tea is prepared by steeping 0.5–1 gram dried berry in 150 ml boiling water for 5–10 minutes.
AVAILABILITYLipophilic extract (80-90% fatty acids)OTC
Whole berriesOTC
Liquid extractOTC .
TIME/ACTION PROFILE
--------------------------------------------------------------------------------
ONSET PEAK DURATION
--------------------------------------------------------------------------------
PO 1–2 mos unknown 48 wk (longest studied treatment duration)
--------------------------------------------------------------------------------
NURSING IMPLICATIONS
ASSESSMENT
Assess patient for symptoms of benign prostatic hypertrophy (BPH) (urinary hesitancy, feeling of incomplete bladder emptying, interruption in urinary stream, impairment in size and force of urinary stream, terminal urinary dribbling, straining to start flow, dysuria, urgency) before and periodically throughout therapy.
Rectal exams prior to and periodically throughout therapy to assess prostate size are recommended.
POTENTIAL NURSING DIAGNOSES
Urinary elimination, impaired (Indications).
Knowledge, deficient, related to medication regimen (Patient/Family Teaching).
IMPLEMENTATION
Take on a full stomach to minimize GI effects.
PATIENT/FAMILY TEACHING
Advise patients to start therapy with this herbal supplement only after evaluation by a health care provider who will provide continued follow up care.
Inform patients that saw palmetto does not alter the size of the prostate but still should relieve the symptoms associated with BPH.
Tell patients that taking this herbal supplement with food should reduce the GI effects and make it easier to tolerate.
EVALUATION
Clinical response to therapy can be evaluated by:
Decrease in urinary symptoms of BPH.
If you want to continue a good sex life use the saw palmetto ed. I have and im 90, lol Damn women!
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