A 25-year-old woman comes to your office asking for oral contraceptive refills. She stated that she was feeling depressed and heard about St. John’s wort used in depression which she started taking a week ago.
Q. How might concomitant administration of St. John’s wort affect the efficacy of drugs this patient is taking such as oral contraceptives? Discuss another example of a possible drug interaction that might occur with St. John’s wort?
The 25-year-old woman stated that her 4-year-old child has been coughing and sounds congested. She wants to know if echinacea might help her child.
Q. What is echinacea used for and how is it taken?
Q. Is it safe for this mother to give her child echinacea?
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