010-111 · Question #244
Which has been substantiated in the scientific literature as a supplement that may be helpful for decreasing the duration of the common cold but has been shown to interact with drugs taken for…
The correct answer is A. Echinacea. Echinacea has clinical evidence supporting modest reductions in common cold duration and is known to interact with drugs metabolized via hepatic cytochrome P450 pathways, including some anxiolytics and statins.
Question
Which has been substantiated in the scientific literature as a supplement that may be helpful for decreasing the duration of the common cold but has been shown to interact with drugs taken for anxiety and high serum cholesterol?
Options
- AEchinacea
- BEphedra
- CSt. John's Wort
- DKava kava
How the community answered
(22 responses)- A82% (18)
- B5% (1)
- C5% (1)
- D9% (2)
Why each option
Echinacea has clinical evidence supporting modest reductions in common cold duration and is known to interact with drugs metabolized via hepatic cytochrome P450 pathways, including some anxiolytics and statins.
Multiple controlled trials have examined Echinacea's immunomodulatory properties, with some evidence for shortening cold duration. Echinacea can modulate cytochrome P450 enzyme activity, altering the metabolism of benzodiazepines and other anxiolytics used for anxiety as well as HMG-CoA reductase inhibitors - statins - used for high serum cholesterol, making it the supplement that satisfies both criteria in the question stem.
Ephedra is a CNS stimulant historically used for weight loss and athletic performance; it is not substantiated as a cold-duration remedy and was banned by the FDA in 2004 due to cardiovascular safety risks.
St. John's Wort is studied for mild-to-moderate depression, not for reducing common cold duration, and while it does have significant drug interactions via CYP3A4 induction, it does not match the cold-relief claim in the question stem.
Kava kava is used primarily for anxiety and relaxation and has no substantiated evidence for reducing cold duration; its primary safety concern is hepatotoxicity rather than interactions with cholesterol medications.
Concept tested: Echinacea supplement efficacy and drug interactions
Source: https://www.nccih.nih.gov/health/echinacea
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