Rx Integrative Solutions received Honorable Mention in the 2020 Cincinnati Better Business Bureau Torch Awards for Marketplace Ethics. Our team has been serving the community for over 20 years in whole-person health and wellness. We are very proud to receive this honor. Thank you!
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Lavender is one of many beautiful and fragrant herbs that attracts butterflies and bumble bees, and will repel moths, mosquitos, and flies from the garden. Lavender flowers (buds) can be used as a tea for their relaxing and calming effect (Basch).
There may be as many as 160 active constituents in lavender including linalool (a terpene), linalyl acetate, B-caryophyllene, B-myrcene, alpha-ocimene, B-ocimene, and terpinen-4-ol. Calcium, iron, and vitamin A are also found in lavender.
We’re still learning about lavender’s pharmacology from animals. In a study by Harada et al, adult male mice were tested using a linalool scent delivered in a light/dark box. Some of the mice in the study had the sense of smell (active group) and others did not (control group). The mice in the active group that were exposed to the linalool scent over 30 minutes experienced anxiolysis. The control group did not. The positive effect in the active group was negated by flumazenil, a medication that reverses the effects of benzodiazepine anxiolytics like Valium, Ativan, and others. The authors concluded that the linalool effect was mediated by GABA transmission via benzodiazepine-responsive GABA receptors.
Lavender may also work by modulating T-type calcium channels in the body, providing yet another possible therapeutic effect that deserves more research in humans. Calcium channels play a role in neuron excitability, neuroprotection, sensory processes, sleep, and pain (Alaoui, Ayaz, Kopecky).
Lavender side effects may include sun sensitivity, headache, and allergic reaction, among others.
If you are consuming lavender tea, taking lavender dietary supplements, or using topical lavender essential oil in aromatherapy, please be sure to first discuss the appropriateness of this herb/essential oil with your health care provider or pharmacist to determine if it is safe and right for your health goals. This includes a thorough review by your trusted healthcare professional of any drug/lavender interactions and potential side effects.
For more information please visit https://www.drugs.com/mtm/lavender.html and https://www.gardenmandy.com/types-of-lavender-plants/.
Recipe for Lavender Tea
Add the 1 Tbsp fresh, or 1-2 tsp dried, lavender flower buds to a teacup (mug).
Bring 8 oz – 10 oz water to a boil.
Pour the hot water over the lavender flower buds, steep for 5 minutes. Place a small plate or lid over the top of the cup to keep the steam inside, further infusing the tea.
Remove the plate (lid) from the cup and add honey or agave, sweetening to taste.
Drying Out Fresh Lavender Flowers
If you want to dry out fresh lavender flower buds from your garden, harvest the lavender just before it fully blooms, and cut the flowering stalks right above the leaves. Bind the stalks with the buds into bundles and hang them upside-down in a dark, cool, and dry place for 2 and 4 weeks. Lightly brush the stalks and the lavender buds should fall off, to be stored and used later for tea.
1. Alaoui. Modulation of T-type Ca2+ channels by lavender and rosemary extracts. PLoS One. 2017 Oct 26;12(10): e0186864.
2. Ayaz. Neuroprotective and anti-aging potentials of essential oils from aromatic and medicinal plants. Front Aging Neurosci 2017; 9:168.
3. Harada. Linalool odor-induced anxiolytic effects in mice. Frontiers in Behav Neurosci 2018;12: Article 241.
4. Kopecky. T-type calcium channel blockers as neuroprotective agents. Pflugers Arch 2014; 466 (4): 757-765.
5. Basch. Lavender (Lavandula angustifolia Miller). J Her Pharmacother 2004;4: 63-78.
Please see the article in Drug Topics March, 2019 by Frieda Wiley PharmD, Contributing Writer, including commentary by Cathy Rosenbaum PharmD.
https://www.drugtopics.com/sites/default/files/legacy/mm/digital/media/drtp0319_ezine.pdf (page 37)
Neti pots can be used to clean out mucus, allergens, and debris that build up on the nose and sinus cavity. They are safe if used correctly. A recent case report involving a woman who allegedly passed away from an amoeba acquired from unsterile water used in her neti pot over many months reminds us to do diligence when preparing saline water and cleaning pots to stay safe.
* Keep your neti pot clean regardless of whether it is made of plastic, ceramic, glass, or some other material.
* Use a safe water source for the saline solution you prepare for your pot (e.g., preferably sterile or distilled water).
* Use proper technique with your neti pot to get a good rinse. If you are unsure of how to use it, contact your favorite pharmacist for a quick demo.
The Center for Disease Control tells us to wash our neti pots after each use. Some of these pots are dishwasher safe, but not all. Please read the directions on the box.
Neti pots can be hand washed with dish soap and hot water and air dried. Don’t use hand towels that contain lint to dry them, as the lint can go up your nose and cause other issues.
If you think your neti pot is contaminated, you can use a chlorine bleach solution to cleanse it, but be careful to thoroughly rinse out any soap or bleach from the pot before you reuse it. This will prevent unwanted residue getting into your nostrils.
Don’t use tap water run through a Brita filter or any home filter unless you boil it for 3 to 5 minutes and then cool it down to room temperature first. Boiled water is storable for up to 24 hours.
For more information, please visit www.apha.us/CDCSafeNetiPots.
To schedule a one hour health & wellness consultation with Dr. Cathy Rosenbaum, please visit www.rxintegrativesolutions.com or email email@example.com. Be mind body spirit healthy.
Probiotic dietary supplements have become quite popular in recent years, touted for such conditions as general health (prevention), immune health (prevention), leaky gut, diabetes mellitus, and dysbiosis from antibiotic overuse, among others.
Probiotics are generally safe for a heathy person (Generally Recognized as Safe [GRAS] per the FDA classification). However, some live probiotic strains may negatively play on a weakened immune system in at-risk persons, allowing unwanted organisms to enter the body and cause pneumonia, endocarditis, or sepsis. Probiotic supplements are not for everyone!
Activia yogurt, Yakuit yogurt, Dannon Probiotic yogurt, kefir, kimchi, sauerkraut, tempeh, miso, and kombucha are examples of food sourced-probiotics. Culturelle and Align are popular probiotic dietary supplements. Florastor is a prescription medication. Examples of probiotic strains include, but are not limited to, bacteria (e.g. Lactobacillus, Lactococcus, Leuconostoc, Pediococcus, Bifidobacterium, Bacillus) and yeast (e.g., Saccharomyces).
It’s important to choose the right probiotic product for your health needs with the help of your pharmacist, who can thoroughly evaluate the product before recommending it to you. Product criteria:
- strain identification by genome sequencing
- transmissible antibiotic resistant gene profile
- toxicology in vitro and in vivo studies
- clinical studies on efficacy (how well does the product work)
- target population (healthy vs sick)
- product formulation and labeling (product purity, contaminants)
If probiotic manufacturers claim to treat/prevent disease, their probiotics should be studied and marketed as drugs, rather than as supplements, upholding FDA regulation. Probiotics are not drugs, not magic bullets, nor are they universally safe and effective.
The appropriate probiotic strain and formulation should be recommended by your healthcare professional based on your individual health needs.
For more information or to schedule an integrative health and wellness consultation with Dr. Cathy Rosenbaum, holistic clinical pharmacist, Certified Health Coach, Certified Dementia Practitioner, and Tai Chi Easy Practice Leader in Blue Ash OH, please visit www.rxintegrativesolutions.com.
–Dr. Cathy Rosenbaum
Kothari. Probiotic supplements might not be universally-effective and safe: A review. Biomed Pharmacother 2019;111:537-547.
Beverages like Red Bull, Rockstar, Monster Energy, 5-Hour Energy, Mountain Dew Kickstart, and Full Throttle are touted to increase energy, improve mental alertness, and enhance physical endurance. Some of these products are marketed as beverages while others are marketed as dietary supplements.
According to the Center for Disease Control and Prevention, between 2007 and 2011, the number of energy drink-associated emergency room visits doubled. In 2011, one in 10 of them resulted in a hospitalization. Some college students will unsafely consume energy drinks along with alcohol or other products/drugs (e.g., marijuana, OTC or prescription medications).
Ever looked at the nutrition label on the back of one of these products? They contain more than just caffeine and sugar, namely B vitamins, amino acids (taurine and carnitine), and other dietary supplements -> green tea extract, guarana, yohimbine, green coffee bean extract, bitter orange, glucuronolactone, ginkgo biloba, and ginseng. A single 16-oz bottle may contain up to 62 grams of added sugar, more than the maximum amount recommended in one day (15 teaspoonfuls – 250 calories).
In smaller quantities, caffeine may boost energy and alertness. In larger quantities, caffeine can negatively affect the cardiovascular system. Taurine may boost metabolism. In theory, extra carnitine may impact fat burn. The body is typically not deficient in endogenous carnitine, so it’s a waste of your money. Guarana contains caffeine. Green tea extract contains caffeine and the antioxidant EGCG. Green coffee bean extract contains caffeine. Yohimbine and bitter orange are central nervous system stimulants.
Ginseng does not impact energy and may lower blood sugar in diabetics – diabetics should be careful with its use. Ginkgo biloba has not been clinical proven to improve energy. Water soluble B vitamins protect nerves but may not improve energy. Thankfully, they will be eliminated by the kidney if taken in excess.
Glucuronolactone, a component of connective tissue, is metabolized into glucuronic acid and is touted to ‘detoxify’ (what?) in the body, a nebulous claim that is unproven in humans. It has no impact on energy.
Possible side effects from energy drinks include, but are not limited to, rapid heartbeat, heart palpitations, heart attack, and headaches. Caffeine and other stimulants may also be associated with anxiety, sleep problems, digestive problems, and dehydration.
If you feel you need to consume energy drinks, a good health rule is to consume them in moderation and remember that there may be negative outcomes. Talk it over with your primary care physician. Be healthy, eat whole foods, get ample restorative sleep, and stay safe.
Higgins. Energy beverages: content and safety. May Clin Proc 2010:85:1033-1941.
Sankararaman. Impact of energy drinks on health and well-being. Current Nutrition Reports 2018;7:121-130.
Uliah. Energy drinks and myocardial infarction. Cureus 2018;10;e2658
Cathy Rosenbaum PharmD RPh MBA CHC 10/12/18©
Restless Leg Syndrome
By Cathy Rosenbaum PharmD MBA RPh CHC
Founder & CEO, Rx Integrative Solutions
Restless leg syndrome (RLS) was first described over 70 years ago. Symptoms can show up as achy or crawling sensations in the resting leg that oftentimes go away with leg movement. RLS can be caused by iron or folate deficiency, kidney problems, pregnancy, rheumatoid arthritis, fibromyalgia, thyroid issues, Parkinson’s disease, and depression, among others. A family history of RLS is common in individuals with idiopathic RLS. Individuals with RLS can have trouble getting a refreshing REM sleep. RLS is often misdiagnosed as a vascular problem in the veins, and that’s why it’s important to get an accurate diagnosis from your PCP first before treating the condition.
Factors that may make RLS symptoms worse include cold, heat, fatigue, and stress. RLS prescription medication treatments can include, but are not limited to, benzodiazepines, gabapentin, clonidine, propranolol, and narcotics, each of which have significant side effects. The use of opioids and benzodiazepines together (e.g., Valium, Ativan, Xanax, clonazepam) is not safe. For perspective, benzodiazepines as a medication class are best avoided in seniors due to drowsiness and increased risk of falls and dementia. Depending on the type of RLS diagnosed, non-prescription medication and/or non-invasive alternatives can be considered to treat symptoms.
Interestingly, there might be less iron in the brain of an RLS individual compared to non-RLS individuals. People with iron deficiency RLS respond well to iron supplementation. Improvement is most often seen in those with the lowest initial serum ferritin levels.
Pregnant women are more likely to develop RLS than non-pregnant women due to reduced folate levels in the former population. In most instances, symptoms are mild and resolve after delivery. Treatment involves folate supplementation, reassurance, and appropriate food intake.
Different medications can either cause or worsen RLS symptoms. Antidepressants like Prozac, Paxil, and Zoloft are three such culprits. One study showed that use of non-opioid analgesics is associated with an increased risk of RLS in individuals on long-term antidepressant therapy (Leutgeb. Eur J Med Res 2002;7:368-379).
Vitamin D and Magnesium Deficiency
Published literature (J Sleep Breath 2016) indicates that low vitamin D levels and/or low magnesium levels may be associated with RLS. Magnesium supplementation makes it easier for leg muscles to relax. Treatment with vitamin D or magnesium dietary supplements with the advice and consent of your PCP or pharmacist are two options to consider if you are suffering from these types of RLS.
For individuals with mild RLS symptoms, other holistic options include relaxation/stress management therapy, acupuncture, and abstaining from caffeine and caffeinated products, nicotine, and alcohol to help improve sleep, help reduce stress, and indirectly lessen symptoms.
If you are experiencing RLS-like symptoms and are concerned about what to do, the first step is to schedule an office visit with your PCP to get an accurate diagnosis. It is unwise and unsafe to self-diagnose and try various remedies without your PCP’s knowledge.