Alternative Medicine: Potential Interactions Between Warfarin and Herbals

Alternative Medicine: Potential Interactions Between Warfarin and Herbals
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ACPE Universal Program Number: 207-000-08-009-H01-P
Release Date: September 1, 2008
Expiration Date: September 1, 2011

Statement of Need
Pharmacists need to be advocates for the documentation of herbal products. Several drug interactions may be prevented by documentation of herbal medicinals. Understanding the documented and potential drug interactions between herbals and warfarin will equip pharmacists with the knowledge to provide advice for patients seeking alternative medicine. By counseling patients to notify their health care provider about current alternative medicine including herbals, serious drug interactions may be avoided.

Learning Objectives
Upon successful completion of this activity, the pharmacist should be able to:

Understand the current trends in the use of alternative medicines.

Identify herbals that are associated with an increased risk of bleeding when combined with warfarin.

Identify herbals that may increase the risk of thrombosis when combined with warfarin.

Understand the types of interactions associated with warfarin and herbal medicinals.

Counsel patients about the risk associated with specific herbals when taken in combination with warfarin.

Target Audience
The target audience for this activity is pharmacists.

Instructions for Participation
To receive a certificate of completion that indicates your eligibility for continuing education credit, you must:

Review the content of the activity.

Successfully complete the post-test (70% or higher).

You will have two (2) opportunities to successfully complete the activity.

Your statement of credit will be issued immediately upon successful completion of the post-test and submission of the evaluation.

Fee
There is no fee for this activity.

Accreditation
Pharmacists
ACPE logo NCPA is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program will provide 2.0 contact hours (.20 CEUs) of continuing pharmacy education credit under the number 207-000-08-009-H01-P.

Faculty
Angela R. Thomason, PharmD, is an assistant professor at the McWhorter School of Pharmacy, Samford University, Birmingham, Alabama. Jamie L. Gray, PharmD, is a community pharmacist employed by Wal-Mart Pharmacy.

Disclosure Declaration
It is the policy of the National Community Pharmacists Association (NCPA) to ensure independence, balance, objectivity, scientific rigor, and integrity in all of their continuing education activities.

The author, sponsor, and publisher of this continuing education activity have made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education program. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, precautions) and drug delivery systems are subject to change, however, the reader is advised to check the manufacturer's package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.

Approval of credit for this continuing education activity does not imply endorsement by NCPA of any product or manufacturer identified.

Any medications or treatment methods suggested in this CE activity should not be used by the practitioner without evaluation of their patient's condition(s) and possible contraindication(s) or danger(s) of use of any specific medication.

Software Requirement

PC Internet Explorer 5.5 or greater Firefox Windows 2000 SE or greater *Adobe Acrobat Reader	MAC Safari Firefox Internet Explorer is not supported on the Macintosh.
*REQUIRED TO VIEW PRINTABLE VERSION OF CE LESSON

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