TreatmentIndicationFirst-line vs. adjunctiveComments
AcupunctureChronic low back painFirst-lineShould be performed by a licensed practitioner
Coenzyme Q10Heart failureAdjunctiveDosage is 100 mg three times per day
ExerciseAnxietyFirst-lineMay be helpful in patients with diagnosed anxiety disorders, those with chronic illness without diagnosed anxiety, and those with depression; aerobic exercise is best studied; 30 minutes three to five times per week seems to be most effective
Fish oilHypertriglyceridemiaFirst-lineLowers triglyceride levels, but unclear if it reduces cardiovascular events; dosage is 4 g of combined eicosapentaenoic acid/docosahexaenoic acid per day; may have minor gastrointestinal adverse effects; no significant medication interactions
Ginkgo bilobaDementiaFirst-lineUse extract standardized to 22% to 27% ginkgo flavonoids; typical dosage is 240 mg per day
Mind-body interventionsInsomniaFirst-lineCognitive behavior therapy is most effective; alternatives include meditation, hypnosis, yoga, and tai chi
ProbioticsPrevention of antibiotic-associated diarrheaFirst-lineStart within one to three days of starting antibiotics, and continue for one week after stopping; dosage is 5 to 10 billion colony-forming units per day for children, 10 to 20 billion colony-forming units per day for adults; multiple strains available; not clear which are most effective
St. John's wortDepressionFirst-lineUse in mild to moderate depression rather than severe depression; do not use in combination with selective serotonin reuptake inhibitors; significant potential for interactions; occasional gastrointestinal adverse effects