Dietary Supplements: Enough Already!

73 Pages·2015·4.01 MB·English

Dietary Supplements: 
Enough Already!
Top Ten Things to Know
Rhonda M. Cooper‐DeHoff, Pharm D, MS, FACC, FAHA
University of Florida
Associate Professor of Pharmacy and Medicine
Presenter Disclosure Statement
No conflicts or commercial 
relationships to disclose
Learning Objectives
After this lecture you will be able to:
 Understand current usage and expenditure 
patterns for dietary supplements
 Recall US regulations surrounding dietary 
supplements
 Recognize how dietary supplements may affect 
efficacy of and interact with prescription drugs
 Promote patient safety by counseling patients on 
issues pertaining to dietary supplement use
Audience Response
I take (have taken) herbal / dietary 
supplements
Audience Response
I recommend (have recommended) herbal/ 
dietary supplements to my patients
#1
Definition and Cost of 
Complimentary and 
Alternative Medicine 
(CAM)
Categories of CAM (NIH)
• Group of diverse medical and healthcare systems, 
Definition
practices and products that are not generally 
considered part of conventional medicine.
Manipulative  Alternative 
Biologically  Mind‐body  Energy 
and Body‐ Medical 
Based Techniques Medicine
Based  Systems
Approaches
Vitamins 
&  Spiritual Biofield Acupunct.
Minerals
Massage 
Natural  therapy
Magnetic  Chinese 
Products Meditative
field Medicine
•Plants  
(gingko)
Chiropract
medicine Relaxation  Reiki Ayurveda
Diets
1998
Expenditure on CAM 
Manipulative and 
Biologically  Mind‐body  Alternative 
Body‐Based  Energy Medicine
Based Techniques Medical Systems
Approaches
1.5% of 
$34 
total HCE 
Billion 
but 11% of 
OOP
OOP
NCAM 2007 survey, published in 2009
Expenditure on CAM 
Manipulative and 
Biologically  Mind‐body  Alternative 
Body‐Based  Energy Medicine
Based Techniques Medical Systems
Approaches
Vitamins & 
> 33% of 
Minerals $32 Billion 
OOP total OOP 
Natural  ($10 B Herbals) Rx Expense
Products
•Plants  (gingko)
NCAM has awarded more than $250 Million over 
the last decade 
NCAM 2007 survey, published in 2009
#2
Who is taking Dietary 
Supplements and 
Why