sage

Therapeutic Classification: anti-Alzheimers's agents, anti-infectives

Indications ⬆ ⬇

Complementary/Alternative Medicine: This monograph describes a natural or herbal product that is not subject to FDA guidelines for medicines. Patients and clinicians are advised to read package labels carefully to ensure safe and efficacious use.

REMS

Alzheimer's disease.
Herpes labialis.

Action ⬆ ⬇

Sage leaf and volatile oil contain active constituents that have antioxidant, CNS depressant, estrogenic, anti-inflammatory and anticholinesterase activity. It may also have hypoglycemic activity. Sage also contains camphor which can cause neurotoxicity and hepatotoxicity in high doses.

Therapeutic effects:

Improved cognitive function in Alzheimer's disease.

Pharmacokinetics ⬆ ⬇

Absorption: Unknown

Distribution: Unknown

Metabolism/Excretion: Unknown

Half-Life: Unknown

Time/Action Profile ⬆ ⬇

	ONSET	PEAK	DURATION
PO	unknown	unknown	unknown

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Hypersensitivity;
Pregnancy and lactation.

Use Cautiously in:

Seizure disorders;
Hypertension;
Diabetes

Adv. Reactions/Side Effects ⬆ ⬇

CV: hypertension

GI: abdominal pain, hepatotoxicity (high doses), nausea, vomiting

Neuro: agitation, dizziness, seizures (high doses)

Resp: wheezing

Interactions ⬆ ⬇

Natural-Drug Products:

Additive effects with hypoglycemic agentsand CNS depressants.
May interfere with the effectiveness of anticonvulsants..

Natural-Natural Products:

Additive effects with herbs that have hypoglycemic potential such as fenugreekgarlicginsengand psyllium..
Additive effects with herbs that have sedative properties such as 5–HTPkavaSt. John's wortvalerianand others.

Route/Dosage ⬆ ⬇

PO (Adults ): Alzheimer’s disease: 1 gram/day of extract.
(Adults ): Herpes labialis: apply cream with 23 mg/gram of sage extract every 2–4 hours while awake starting within 1 day of the first symptoms and continuing for 10 to 14 days.

Availability ⬆ ⬇

Extract: Cream 23 mg/gram sage extract in combination with rhubarb extract

Assessment ⬆ ⬇

Monitor BP periodically during therapy.
Alzheimer's disease: Assess memory and cognitive function periodically during therapy.
Herpes labialis: Assess lesions prior to and periodically during therapy.

Lab Test Considerations:

Monitor: blood glucose periodically during therapy.

Implementation ⬆ ⬇

PO: Administer as directed.
Apply to lesions every 2–4 hrs while awake.

Patient/Family Teaching ⬆ ⬇

Instruct patient how to take or administer sage.
Instruct patient to notify health care professional of all Rx or OTC medications, vitamins, or herbal products being taken and to consult with health care professional before taking other medications.
Advice female patient to avoid taking more than is in normal food intake. Notify health care professional if pregnancy is planned or suspected or if breastfeeding.

Evaluation/Desired Outcomes ⬆ ⬇

Improved cognitive function in patients with Alzheimer's disease.
Healing of lesions in herpes labialis.

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Pronunciation ⬇

Classifications ⬆ ⬇