German, Hungarian, or common chamomile (Matricaria chamomilla, Matricaria recutita)
Roman, English, or common chamomile (Anthemis nobilis)Ther. class.
gastroinestinal anti inflammatoriessedative/hypnotics
The volatile oil of chamomile contains several compounds with anti-inflammatory and antispasmodic activity.
Relief of abdominal discomfort.
Metabolism and Excretion: Unknown.
Allergy to chamomile, ragweed, asters, chrysanthemums, and other members of the family Asteraceae/Compositae ;
OB: Pregnancy and lactation.Use Cautiously in:
Hormone sensitive cancers (may have estrogenic effects);
Surgery (discontinue 2 weeks prior to procedure).
Adverse Reactions/Side Effects
Derm: contact dermatitis.
Misc: ALLERGIC REACTIONS, INCLUDING ANAPHYLAXIS .
*CAPITALS indicates life-threatening.
*italic indicates most frequent.
Alcohol -containing preparations may interact with disulfiram and metronidazole .
Theoretically, large chamomile ingestions with anticoagulant and antiplatelet drugs may ↑ risk of bleeding.
May have additive effects with CNS depressants .
May interfere with oral contraceptives , estrogens , and tamoxifen .Natural Products-Natural Products
Theoretically, herbs with anticoagulant or antiplatelet properties may ↑ bleeding risk when combined with chamomile, including: anise
, asafoetida , bogbean , boldo , capsicum
, celery , clove , danshen , dong quai
, fenugreek , feverfew
, Panax ginseng , horse chestnut , horseradish , licorice , meadowsweet , prickly ash , onion , papain , passionflower , poplar , quassia , red clover , turmeric , wild carrot , wild lettuce , willow , and others.
PO (Adults): Capsules/tablets4001600 mg daily in divided doses; Tea23 heaping teaspoons dried flowers per cup of water as a compress or beverage as needed; Tincture (1:5 in alcohol)15 mL three to four times per day; Liquid extract14 mL up to tid; Gargle10 drops of fluid extract per glass of water as needed..
Assess patient for abdominal distention and auscultate for bowel sounds.
Evaluate sleep pattern and anxiety level prior to initiation of this herbal supplement.
Note size, location and character of affected skin prior to and after topical application.
Potential Nursing Diagnoses
: May be taken orally without regard to food intake.
As a sleep aide take just prior to retiring.
: As a topical application for skin irritation, apply to skin that has been cleansed with a mild nonalcohol-containing cleanser.
Inform patients that only a small amount of the volatile oil, the active ingredient in chamomile, is released when brewed to make a tea. However, long-term consumption of low concentrations of the volatile oil may have a cumulative therapeutic effect.
Instruct patients not to take other medications at the same time as the tea as it may inhibit absorption and decrease therapeutic effect of other agents.
Advise patients on anticoagulant therapy to avoid concomitant use as it may enhance the effect of anticoagulants increasing the potential for bleeding.
Warn pregnant women to avoid chamomile because of the potential abortifacient effect it may exert. Not recommended for use by breast-feeding women as safety has not been established.
: Teach patients using it topically to observe for allergic reactions and to immediately discontinue use if this develops.
Relief of abdominal spasm and pain associated with gas.
Improved digestion and decreased sense of fullness after eating.
Decrease in anxiety.
Improved ability to fall asleep.
Resolution of skin irritation or inflammation.
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