Continuing Pharmacy Education / CE Master List / Herbal/Drug Interactions in Cancer Care
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Herbal/Drug Interactions in Cancer Care

The Arthur E. Schwarting Symposium is an educational conference focused on pharmacy practice for pharmacists in many settings.

This year's sympoisum had an overall topic of pharmcogenesy which was a favorite area of Dean Schwarting's.  This presentation discusses how herbal medications can impact cancer treatment.

Learning Objectives

·       Describe various formulations of herbal products
·       Compare complimentary versus alternative medicine
·       Describe different mechanisms of pharmacokinetic and pharmacodynamic based herb drug interactions
·       Identify common herb / chemotherapy interactions
·       Name helpful resources for a pharmacist to investigate these interactions

Session Offered

Released:  April 28, 2022
Expires:  April 28, 2025

Course Fee

$15 Pharmacist

ACPE UAN Codes

 0009-0000-22-018-H01-P

Session Code

22SR18-CBA96

Accreditation Hours

1.0 hours of CE

Accreditation Statement

The University of Connecticut School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Pharmacists and Pharmacy Technicians are eligible to participate in this application-based activity and will receive 1.0 CE Hour  for completing the activity  (ACPE UAN 0009-0000-22-018-H01-P), passing the quiz with a grade of 70% or better, and completing an online evaluation. Statements of credit are available via the CPE Monitor online system and your participation will be recorded with CPE Monitor within 72 hours of submission.

Grant Funding

There is no grant funding for this activity.

Faculty

Rebecca Briana Shamilov, PharmD., BCOP
Senior Oncology Pharmacist
Education & Training, Smilow Cancer Center
New Haven, CT

Faculty Disclosure

Dr. Shamilov has no financial relationships with any ineligible company associated with these presentations.

Disclaimer

The material presented here does not necessarily reflect the views of The University of Connecticut School of Pharmacy or its co-sponsor affiliates. These materials may discuss uses and dosages for therapeutic products, processes, procedures and inferred diagnoses that have not been approved by the United States Food and Drug Administration. A qualified health care professional should be consulted before using any therapeutic product discussed. All readers and continuing education participants should verify all information and data before treating patients or employing any therapies described in this continuing education activity.

Content

Handouts

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Post Test Pharmacist

1. How does the medical community usually define complementary medicine?
A. Medicine used with standard treatment but not considered standard treatment by itself
B. Medicine used instead of standard medical treatment
C. Medicine at no cost –it’s complementary!

2. Which aspect of pharmacokinetics is St. John’s Wort known to alter in patients who are taking imatinib?
A. Absorption–by affecting gastric pH
B. Metabolism–by increasing drug clearance
C. Distribution–by competing with albumin binding sites

3. With respect to the gastrointestinal tract, how do orally administered herbs interact with prescription medication for cancer?
A. They may alter motility, gastric pH, and P-gycoprotein transport
B. They may alter motility, gastric pH, and CYP enzyme activity
C. They may alter the peritoneal space, sodium levels, and P-GP transport

4. Which of the following complementary medications used for hot flashes MAY be a problem in a woman taking tamoxifen?
A. St. John’s wort
B. Echinacea
C. Black cohash

5. Which of the following references contains monographs, an adverse effects checker and a tool to check interactions with hormone sensitive diseases such as breast cancer.?
A. Sloan Kettering Cancer Center’s About Herbs database
B. Natural Medicines Comprehensive Database
C. NIH’s Herbs at a Glance fact sheet