Atorvastatin Interactions: Foods and Supplements to Watch For

Atorvastatin Interactions: Foods and Supplements to Watch For

Food, supplement, and medication interactions are more common—and more nuanced—than many clinicians realize. Everyday foods and supplements can quietly alter drug effectiveness or safety - and often go unrecognized in practice. Grapefruit juice, orange, juice, and green tea extract are just a few examples that may have more clinical significance than expected. In this episode, NatMed editors Jeff Langford, Andrea Stafford, and Kelly Daniels break down clinically relevant interactions using atorvastatin as a case study—and show how to apply a practical framework for identifying, interpreting, and managing these interactions at the point of care. Questions we answer in this episode: * Which common beverages, foods, and supplements interact with atorvastatin - and how do they affect the drug? * How do interactions differ between increased drug levels (toxicity risk) vs reduced drug effectiveness? * When should clinicians recommend avoidance vs timing adjustments vs monitoring? * How can clinicians identify interactions patients don’t think to mention in routine conversations? 🏷️ Our listeners can get 10% off a new or upgraded subscription with code natmed1026 at checkout [https://trchealthcare.com/product/natmed-pro/?trc_promo=natmed1026].  ****** NatMed / TRC Healthcare Editor Hosts:  * Jeff Langford PharmD, BCPS, BCCP (Managing Clinical Editor) * Andrea Stafford, PharmD (Assistant Editor) * Kelly Daniels, BA (News Editor & Associate Content Manager) Guest: * Cathi Dennehy, PharmD, FCSHP (Health Sciences Professor of Clinical Pharmacy, UCSF School of Pharmacy) ****** CE Information: This podcast is sourced from the NatMed June 2026 Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/nm/Newsletters/June2026]. To claim CE credit, subscribers should read the newsletter and click “Take the CE Quiz” link to take the quiz.  Claim Credit [https://learning.therapeuticresearch.com/course/view.php?idnumber=26-176] ****** The clinical resources mentioned during the podcast are part of a subscription to NatMed:  * 🌱 NatMed Pro [https://naturalmedicines.therapeuticresearch.com/Home/ND] * 💊 TRC Healthcare [https://trchealthcare.com/product/natmed-pro/] * Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/NewsletterBrowse] * Interaction Checker [https://naturalmedicines.therapeuticresearch.com/Tools/InteractionChecker] * Infographic [https://naturalmedicines.therapeuticresearch.com/-/media/Site/NatMed-Pro/Podcast-Ep106_Atorvastatin-Interactions.ashx] * Monograph: Grapefruit [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=946] * Monograph: Green Tea [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=960] * Monograph: Orange Juice [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=908] ****** Don’t miss out! Subscribe today to stay ahead with trusted, practical insights and tools.  ****** Send us Fan Mail [https://www.buzzsprout.com/2549833/fan_mail/new] Email us: ContactUs@trchealthcare.com [ContactUs@trchealthcare.com]  The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Natural Medicines: Evidence in Practice is a production of TRC Healthcare.

When Supplements Trend Faster Than the Evidence: Lessons from Sea Moss

When a patient pulls out a trending supplement like sea moss and asks, “Does this actually work?”—what do you say…especially when the evidence is limited? In this episode, NatMed editors Jeff Langford, Andrea Stafford, and Kelly Daniels use sea moss as a case study to walk through a practical, evidence-based approach to high-hype supplements.  Questions we answer: * What is sea moss—and why is it suddenly everywhere? * What does the evidence actually show (and where does it fall short)? * How should clinicians respond when patients ask about supplements with weak or uncertain evidence? We also cover: * Why dietary supplements are often harder to evaluate than Rx or OTC medications * Key safety considerations—including iodine exposure and thyroid risks * How product variability and lack of standardization impact clinical decisions * A simple framework for counseling patients without over- or under-endorsing trends 🏷️ Our listeners can get 10% off a new or upgraded subscription with code natmed1026 at checkout [https://trchealthcare.com/product/natmed-pro/?trc_promo=natmed1026].  ****** NatMed / TRC Healthcare Editor Hosts:  * Jeff Langford PharmD, BCPS, BCCP (Managing Clinical Editor) * Andrea Stafford, PharmD (Assistant Editor) * Kelly Daniels, BA (News Editor & Associate Content Manager) ****** CE Information: This podcast is sourced from the NatMed May 2026 Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/nm/Newsletters/May2026/]. To claim CE credit, subscribers should read the newsletter and click “Take the CE Quiz” link to take the quiz.  Claim Credit [https://learning.therapeuticresearch.com/course/view.php?idnumber=26-175] ****** The clinical resources mentioned during the podcast are part of a subscription to NatMed:  * 🌱 NatMed Pro [https://naturalmedicines.therapeuticresearch.com/Home/ND] * 💊 TRC Healthcare [https://trchealthcare.com/product/natmed-pro/] * Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/NewsletterBrowse] * Infographic [https://naturalmedicines.therapeuticresearch.com/-/media/Site/NatMed-Pro/Podcast-Ep-105_NatMed-Sea-Moss.ashx] * Monograph: Sea Moss [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=1691] * Monograph: Carrageenan [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=710] ****** Don’t miss out! Subscribe today to stay ahead with trusted, practical insights and tools.  Send us Fan Mail [https://www.buzzsprout.com/2549833/fan_mail/new] Email us: ContactUs@trchealthcare.com [ContactUs@trchealthcare.com]  The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Natural Medicines: Evidence in Practice is a production of TRC Healthcare.

Migraines: Counseling Patients on Natural Treatment Options

Migraines are complicated — and when patients are dealing with recurring symptoms, it’s no surprise many turn to natural medicines. From butterbur and CoQ10 to caffeine, these options are easy to find and frequently discussed, but the evidence and safety can vary widely depending on how they’re used. In this episode, NatMed editors Jeff Langford, PharmD, BCPS, BCCP; Andrea Stafford, PharmD; and Kelly Daniels break down the evidence behind common natural medicines for migraines and discuss how clinicians can help patients match the right option to the right goal… prevention versus acute treatment, while setting realistic expectations at the point of care. Questions we answer in this episode: * What should clinicians know about butterbur, including effectiveness, PA‑free labeling, product quality, and safety concerns?  * How long does coenzyme Q10 typically take to show benefit, and how should patients be counseled before starting it? * When can caffeine play a helpful role in migraine treatment — and when might it backfire? Throughout the episode, we discuss how dose, timing, and total intake can shape whether natural medicines work as expected — and why those details matter just as much as the ingredient itself. We also share practical counseling approaches pharmacists can use to keep conversations focused and useful when patients ask what’s worth trying for migraines, without defaulting to a one‑size‑fits‑all answer. 🏷️ Get 10% off a new or upgraded subscription with code natmed1026 at checkout [https://trchealthcare.com/product/natmed-pro/?trc_promo=natmed1026].  ****** NatMed / TRC Healthcare Editor Hosts:  * Jeff Langford PharmD, BCPS, BCCP (Managing Clinical Editor) * Andrea Stafford, PharmD (Assistant Editor) * Kelly Daniels, BA (News Editor & Associate Content Manager) ****** CE Information: This podcast is sourced from the NatMed April 2026 Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/nm/Newsletters/April2026/Managing-Migraines]. To claim CE credit, subscribers should read the newsletter and click “Take the CE Quiz” link to take the quiz.  Claim Credit [https://learning.therapeuticresearch.com/course/view.php?idnumber=26-174] ****** Clinical resources, part of a subscription to NatMed:  * 🌱 NatMed Pro [https://naturalmedicines.therapeuticresearch.com/Home/ND] * 💊 TRC Healthcare [https://trchealthcare.com/product/natmed-pro/] * Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/NewsletterBrowse] * Infographic [https://naturalmedicines.therapeuticresearch.com/-/media/Site/NatMed-Pro/Podcast-Ep-104_NatMed-Migraines.ashx] * Monograph: Butterbur [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=649] * Monograph: Coenzyme Q10 [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=938] * Monograph: Caffeine [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=979] * Effectiveness by Condition Tool: Migraine Headache [https://naturalmedicines.therapeuticresearch.com/Tools/EffectivenessByCondition?id=1385&title=Migraine+headache&type=Condition] Subscribe today! ****** Send us Fan Mail [https://www.buzzsprout.com/2549833/fan_mail/new] Email us: ContactUs@trchealthcare.com [ContactUs@trchealthcare.com]  The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Natural Medicines: Evidence in Practice is a production of TRC Healthcare.

Aging Skin: Choosing Treatments in a Hype‑Heavy Space

Anti‑aging products are everywhere — from retinol serums and glycolic acid peels to bee venom creams and hormone‑based supplements. But what actually works, and how should clinicians counsel patients when the evidence is mixed or limited? In this episode, NatMed editors Jeff Langford, PharmD, BCPS, BCCP; Andrea Stafford, PharmD; and Kelly Daniels break down the evidence behind common aging‑skin ingredients and discuss how pharmacists can help patients set realistic expectations while navigating a hype‑heavy space at the point of care. Questions we answer in this episode: * What aging‑skin treatments have evidence to support their use — and which ones deserve more skepticism? * How do topical vitamin A (retinoids) and glycolic acid compare in terms of effectiveness, tolerability, and safety? * How should clinicians interpret “insufficient evidence,” and how can that nuance be communicated clearly to patients? We also cover: * How study design, formulation, and safety considerations (including cancer risk with DHEA) affect how clinicians interpret aging‑skin evidence. * Why trendy ingredients like bee venom may sound compelling but lack strong clinical support. * Practical counseling tips pharmacists can use when patients ask, “What should I try first?” 🏷️ Our listeners can get 10% off a new or upgraded subscription with code natmed1026 at checkout [https://trchealthcare.com/product/natmed-pro/?trc_promo=natmed1026].  ****** NatMed / TRC Healthcare Editor Hosts:  * Jeff Langford PharmD, BCPS, BCCP (Managing Clinical Editor) * Andrea Stafford, PharmD (Assistant Editor) * Kelly Daniels, BA (News Editor & Associate Content Manager) ****** CE Information: This podcast is sourced from the NatMed March 2026 Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/nm/Newsletters/March2026/]. To claim CE credit, subscribers should read the newsletter and click “Take the CE Quiz” link to take the quiz.  Claim Credit [https://learning.therapeuticresearch.com/course/view.php?idnumber=26-173] ****** The clinical resources mentioned during the podcast are part of a subscription to NatMed:  * 🌱 NatMed Pro [https://naturalmedicines.therapeuticresearch.com/Home/ND] * 💊 TRC Healthcare [https://trchealthcare.com/product/natmed-pro/] * Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/NewsletterBrowse] * Infographic [https://naturalmedicines.therapeuticresearch.com/-/media/Site/NatMed-Pro/Podcast-Ep-103_NatMed-Aging-Skin.ashx] * Monograph: Vitamin A [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=964] * Monograph: Glycolic Acid [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=1685] * Monograph: DHEA [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=331] * Monograph: Bee Venom [https://naturalmedicines.therapeuticresearch.com/IngredientsTherapiesMonographs/Pro?id=972] ****** Don’t miss out! Subscribe today to stay ahead with trusted, practical insights and tools.  ****** Send us Fan Mail [https://www.buzzsprout.com/2549833/fan_mail/new] Email us: ContactUs@trchealthcare.com [ContactUs@trchealthcare.com]  The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Natural Medicines: Evidence in Practice is a production of TRC Healthcare.

Nootropics: Bacopa, Ginkgo, & Lion’s Mane

Brain support. Focus. Memory. “Nootropic.” Smart drugs… or smart marketing? Here’s what the studies actually suggest about benefits AND risks. In this episode, NatMed editors Jeff Langford and Andrea Stafford share point-of-care counseling: * What are “nootropics,” and how should clinicians define them for patients asking for memory/focus support?  * What does the human evidence look like for bacopa, ginkgo, and lion’s mane—and how does it differ in healthy adults vs people with cognitive impairment?  * What safety and interaction issues should trigger a “pause,” especially when patients bring multi‑ingredient brain blends? * How should pharmacists triage a “brain support” supplement request? We also cover bacopa: the bottom line on mixed benefit signals and tolerability (especially GI effects); ginkgo: the “3 Bs” interaction shortcut—bleeding, brain/neurotoxicity, blood glucose; and lion’s mane: why it’s popular, why benefit in healthy adults isn’t clear, and the key safety flags to keep on your radar. 🏷️ Our listeners can get 10% off a new or upgraded subscription with code natmed1026 at checkout [https://trchealthcare.com/product/natmed-pro/?trc_promo=natmed1026].  ****** NatMed / TRC Healthcare Editor Hosts:  * Jeff Langford PharmD, BCPS, BCCP (Managing Clinical Editor) * Andrea Stafford, PharmD (Assistant Editor) ****** CE Information: This podcast is sourced from the NatMed February 2026 Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/nm/Newsletters/February2026/]. To claim CE credit, subscribers should read the newsletter and click “Take the CE Quiz” link to take the quiz.  Claim Credit [https://learning.therapeuticresearch.com/course/view.php?idnumber=26-172] ****** The clinical resources mentioned during the podcast are part of a subscription to NatMed:  * 🌱 NatMed Pro [https://naturalmedicines.therapeuticresearch.com/Home/ND] * 💊 TRC Healthcare [https://trchealthcare.com/product/natmed-pro/] * Newsletter [https://naturalmedicines.therapeuticresearch.com/Content/NewsletterBrowse] * Monograph: Bacopa [https://naturalmedicines.therapeuticresearch.com/Data/ProMonographs/Bacopa] * Monograph: Ginkgo [https://naturalmedicines.therapeuticresearch.com/Data/ProMonographs/Ginkgo] * Monograph: Lion's Mane Mushroom [https://naturalmedicines.therapeuticresearch.com/Data/ProMonographs/Lions-Mane-Mushroom] ****** Don’t miss out! Subscribe today to stay ahead with trusted, practical insights and tools.  ****** Send us Fan Mail [https://www.buzzsprout.com/2549833/fan_mail/new] Email us: ContactUs@trchealthcare.com [ContactUs@trchealthcare.com]  The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Natural Medicines: Evidence in Practice is a production of TRC Healthcare.