scholarly journals Diagnosis of Public Programs focused on Herbal Medicines in Brazil

2011 ◽  
Vol 6 (7) ◽  
pp. 1934578X1100600
Author(s):  
Ely Eduardo Saranz Camargo ◽  
Mary Anne Medeiros Bandeira ◽  
Anselmo Gomes de Oliveira

The present study is aimed to diagnose the current public programs focused on herbal medicines in Brazil by means of in loco visits to 10 programs selected by means of questionnaires sent to 124 municipalities that count on herbal medicine services. The main purpose of the implementation of program programs is related to the development of medicinal herbs. 70% of them are intended for the production of herbal medicines and 50% are aimed to ensure the access of the population to medicinal plants and or herbal medicines. The initiative of the implementation of these programs was related to the managers (60%). The difficulties in this implementation were due to the lack of funding (100%) of the programs. In 60% of the programs, the physicians did not adhere to herbal medicine services due to the lack of knowledge of the subject. Training courses were proposed (80%) to increase the adhesion of prescribers to the system. Some municipalities use information obtained from patients to assess the therapeutic efficiency of medicinal plants and herbal medicines. Of the programs underway, cultivation of medicinal plants was observed in 90% and 78% of them adopt quality control. In most programs, this control is not performed in accordance with the legal requirements. The programs focused on medicinal plants and herbal medicines implemented in Brazil face some chronic problems of infrastructure, management, operational capacity and self-sustainability, which can be directly related to the absence of a national policy on medicinal plants and herbal medicines.

2011 ◽  
Vol 47 (3) ◽  
pp. 467-473 ◽  
Author(s):  
Ana Cecília Bezerra Carvalho ◽  
João Paulo Silvério Perfeito ◽  
Leandro Viana Costa e Silva ◽  
Lívia Santos Ramalho ◽  
Robelma France de Oliveira Marques ◽  
...  

The National Policy of Integrative and Complementary Practices (PNPIC) in the Brazilian Unified Health System (SUS), and The National Policy of Medicinal Plants and Herbal Medicines (PNPMF) were launched in 2006. Based on these, the Brazilian Health Surveillance Agency (ANVISA) re-edited rules related to herbal medicines such as the Guideline to herbal medicine registration (RDC 14/10), the Good Manufacture Practices Guideline (RDC 17/10) and the List of references to assess the safety and efficacy of herbal medicines (IN 05/10). The requisites to prove herbal medicine's safety and efficacy were updated. Therefore, this review aims at presenting and commenting these new rules.


Author(s):  
Claudia Sarmento Gadelha ◽  
Vicente Maia Pinto Junior ◽  
Kevia Katiucia Santos Bezerra ◽  
Patricio Borges Maracajá ◽  
Débora S. S. Martins

<p>A utilização de plantas medicinais como medicina alternativa é uma pratica milenar, no entanto, a inserção de fitoterápicos é recente, porém, tem sido incentivado a sua prescrição pelo SUS.  A Organização Mundial de Saúde,  leva em consideração a cultura e a biodiversidade existentes no Brasil, tendo em vista a complexidade que envolve a fitoterapia, a Política Nacional de Planta Medicinal e Fitoterápico. Esta pesquisa teve como principal objetivo avaliar o uso de fitoterápicos e de plantas medicinais na saúde básica do município de Sousa-PB. Para isso foram aplicados formulários com pacientes/usuários e profissionais de saúde (Médicos e Enfermeiros), a respeito do uso, indicações, contra indicações dentre outros. A pesquisa foi realizada entre os meses de julho a outubro de 2014. Em relação ao faixa etária 90% dos entrevistados possuem idade entre 22 e 59 anos, com relação à renda dos usuários 40% dos mesmos possuem uma renda de menos de R$ 1.000,00, já à indicação do uso de plantas medicinais 96,7% dos usuários utilizam por indicação popular. Em relação as plantas mais usadas pelos pacientes foram citadas: Quebra pedra 58 citações, Hortelã 44, Aroeira 38, Babosa 32, Alecrim do nordeste 16 e unha de gato 10 citações, 58,4% dos usuários acham excelente a ideia de plantas medicinais e fitoterápicos do SUS disponível para a comunidade, 90% dos profissionais de saúde consideram inserção da fitoterapia no SUS e principalmente nas UFS como avanço para a terapia comunitária, 88% dos profissionais de saúde relataram que os conhecimentos que possuem não são suficientes para uma orientação e/ou prescrição adequada e plantas medicinais ou de fitoterápicos, em relação a freqüência e recomendações que os profissionais de saúde prescrevem fitoterápicos foram antidepressivo, calmante com uma freqüência de 0,35, seguidos de tosse, gripe e sistema respiratório com 0,31 e mal estar gástrico com 0,21. Entretanto, de acordo com os dados encontrados na pesquisa, sugerem-se mais incentivos por partes do poder público, além, de capacitação aos profissionais de saúde para que os mesmos se sintam preparados para prescrever fitoterápicos.</p><p class="Default" align="center"><strong><em>Use of herbal and medicinal plants in different segments of society</em></strong><em></em></p><p><strong>Abstract</strong>:  The use of medicinal plants as alternative medicine is an ancient practice, however, the inclusion of herbal medicines is recent, however, has been encouraged their prescription by SUS. The World Health Organization, takes into account the culture and the existing biodiversity in Brazil, in view of the complexity involved in herbal medicine, the National Policy on Medicinal Plant and Herbal. This research aimed to evaluate the use of herbal and medicinal plants in the basic health of the municipality of Sousa-PB. To this were applied forms with patients / users and health professionals (doctors and nurses), regarding the use, indications, contraindications among others. The survey was conducted between the months of July to October 2014. In relation to the age group 90% of respondents have aged between 22 and 59, in relation to income users 40% of them have an income of less than R $ 1,000 , 00, as the indication of the use of medicinal plants 96.7% of users use a popular statement. Regarding the plants most used by patients were cited: Breaking stone 58 quotes, Mint 44, Aroeira 38, 32 Aloe, Rosemary Northeast 16 and cat's claw 10 citations. 58.4% of users find the excellent idea of SUS medicinal plants and herbal medicines available to the community, 90% of health professionals consider insertion of herbal medicine in the SUS and especially in the UFS as an advance for the community therapy, 88% of professionals Health reported that the knowledge they have are not enough for an orientation and / or proper prescription and medicinal herbal plants or in relation to frequency and recommendations that herbal prescribing health professionals were antidepressant, soothing with a frequency of 0.35, followed by cough, flu and respiratory system with 0.31 and 0.21 with gastric discomfort. However, according to the data found in the search, it is suggest more incentives for parts of the government, in addition, training for health professionals so that they feel prepared to prescribe herbal medicines.</p>


Author(s):  
Juan Arada ◽  
Zenon Perez

Introduction: The National Policy of Integrative and Complementary Practices (PNPIC), of the Ministry of Health, inserts the use of medicinal plants and herbal medicine in the Unified Health System (SUS) and was the recognized practice of herbal medicine by the dentist regulated in 2008. by the Federal Council of Dentistry. However, for dentistry, this therapeutic option is still little used. Objectives: The aim of this study was to review and systematize data from the scientific literature on products of plant origin indicated for dentistry, contributing to promote their use by dentists. Methodology: The Medline and BIREME indexing bases on the theme of phytotherapics in dentistry were searched. 230 articles were found and 15 were selected, based on the impact factor of the publications. Conclusions: The difficulties of the use of Phytotherapy in the clinical routine are related to several aspects, such as the lack of qualification of professionals, difficulty of access to phytotherapeutic plants, cost, among others. KEY WORDS: Medicinal Plants; Drug; Herbal Medicines; Oral Health.


2020 ◽  
Vol 80 (2) ◽  
pp. 410-423 ◽  
Author(s):  
J. C. Lima Melro ◽  
S. A. Fonseca ◽  
J. M. Silva Júnior ◽  
S. P. B. Franco ◽  
M. A. Souza ◽  
...  

Abstract This study aimed to assess diagnosis of Unique Health System (SUS) users profile with regard to herbal medicine. This is a cross-sectional study with observational data collection conducted in the city of Marechal Deodoro, through a semi-structured questionnaire with questions related to socioeconomic data, use, and knowledge of medicinal plants and herbal medicines and satisfaction with the use of medicinal herbs (MH) and interactions of phytotherapeutic drugs (PD). Among the topics, 86.89% of users used herbal medicines often, especially lemon balm (Melissa officinalis L.). It was also observed that the plants are generally used as a sedative (21.74%) and as tea (87.84%). 82.32% of respondents claim to have acquired the knowledge of herbal medicine through a family member and 85.36% make use of medicinal plants without having received any information on the use of MH and PD. 61% of the plants described that coincided with the form of use and therapeutic properties found in the literature. With regard to satisfaction by treatment with MH and PD, it was found that 56.67% are satisfied. Therefore, it is necessary to pay attention to this aspect of usage, in order to avoid possible drug interactions or adverse reactions resulting from the incorrect use.


2021 ◽  
Vol 18 (1) ◽  
pp. 64-73
Author(s):  
Dalen G. Dafam ◽  
Adama Denou ◽  
Agnes Idoko ◽  
Nanloh S. Jimam ◽  
Victoria A. Okwori ◽  
...  

Herbal medicines have been used for disease prevention and treatment for both humans and animals worldwide. The present study was designed to determine the herbs used during pregnancy in Jos and to evaluate attitudes of pregnant women. The survey was carried out in antenatal clinics. Information was obtained from pregnant women (17-60 years) through both informal, unstructured conversations and the use of structured questionnaire. Botanical data were focused on the name and part of the herbs or plant used during pregnancy including herbs, herbal preparations and finished products having medicinal properties. In total, 300 pregnant women were enrolled for this study. The respondents were farmers (33.3 %), housewives (26.7%) and students (23.3 %). The most commonly used herbs were, garlic (16.7 %), pawpaw (13.6 %), ginger (13.0 %) and Moringa (8.0 %). Among the parts, bulb was the most used (16.7 %) followed by fruits (14 %). The most common reasons for the use were: herbal medicine is more effective than conventional medicine for some medications (20 %) and more easily accessed than conventional medicine (20 %). Most of the women were advised by family (31.3 %) and believed herbs had fewer side effects. The findings revealed their knowledge on medicinal plants. The women used one or more herbal medicine during pregnancy. Keywords: Pregnant women; Herbal medicine; Medicinal plants; Jos; Nigeria


2019 ◽  
Vol 24 (4) ◽  
pp. 883
Author(s):  
Mangestuti Agil ◽  
Tutik Sri Wahyuni ◽  
Herra Studiawan ◽  
Rakhmawati Rakhmawati

AbstrakBertani menjadi pencaharian warga Desa Wajik, Kecamatan Lamongan, Kabupaten Lamongan, Jawa Timur. Kawasan desa itu ditumbuhi berbagai tanaman, seperti mangga, delima, jambu biji. Kesuburan tanah belum digunakan secara optimal untuk bertanam tanaman obat, yaitu yang termasuk dalam Taman Obat Keluarga (TOGA). Beberapa tanaman obat untuk pagar, seperti beluntas, belum dimanfaatkan secara optimal. Ini karena pengetahuan tentang tanaman obat dan khasiatnya belum dipahami, sehingga belum diutamakan untuk mencapai keadaan sehat. Tujuan program pengabdian masyarakat ini adalah untuk mengoptimalkan pemanfaatan herbal untuk kesehatan. Penekanan diberikan pada peningkatan wawasan warga terhadap pemanfaatan herbal untuk kesehatan keluarga. Sasaran audiens adalah kadertim penggerak PKK desa yang berperan sentral dalam kesehatan keluarga. Kegiatan diselenggarakan melalui ceramah, pelatihan dan demonstrasi pembuatan ramuan tanaman obat, dan aplikasi aromaterapi. Pre dan post test dalam bentuk kuesioner tentang tanaman obat. Dari hasil tes diketahui pengetahuan peserta tentang tanaman obat dan khasiat cukup baik. Lebih dari 50% peserta belum mengetahui cara pengolahan pasca panen tanaman obat dan ramuan tanaman obat untuk kesehatan wanita. Kesimpulan program ini adalah terjadi peningkatan pemahaman peserta tentang tanaman obat untuk tujuan kesehatan.Kata kunci: Desa Wajik, Kesehatan, Optimalisasi, Tanaman obat.AbstractWajik Village is located in Lamongan Regency in East Java Province, and it has a population of almost 1700 people. Various plants such as mango, banana, pomegranate, and papaya trees grow well. Unfortunately, the Indonesian Government’s Program of TOGA, stands for Taman Obat keluarga (medicinal plant garden), meant to urges people to grow some beneficial medicinal plants in their own gardens was not successfully implemented. Eventhough some plants are found for hedges, such as betel, Pluchea indica plants, they are reluctant to apply them for maintenance of health. The purpose of the enlightenment programme aimed at enhancing the knowledge on medicinal plants in order to improve and maintain their health status. Participants of the program were cadres of PKK (Pembinaan Kesehatan) organization of the village. The program consisted of discussion, workshop and demonstration. Pre and post tests showed their understanding about medicinal plants and recipes, but did not understand post-harvest handling and some jamu products for women’s health. It wasconcluded, that the understanding of participants over the importance of herbal medicine and traditional medicine for health maintenance were low. It is concluded, that knowledge given during the program was able to enhance their understanding about herbal medicines for health.Keywords: Herbal medicines, Health, Optimization, Wajik Village.


2020 ◽  
Vol 54 (1) ◽  
Author(s):  
Cecilia C. Maramba-Lazarte

There are several problems that continue to plague the Philippine health care system. The cost of branded drugs in the Philippines is 22 times more than international reference prices while generic drugs are 4 times more.1 Despite price reductions due to legislations such as the Cheaper Medicines Act of 2008, as well as the Generics Act of 1988, those in the lower-income brackets still cannot afford maintenance medicines for hypertension and diabetes as well as antibiotics.2 Access to medicines and care from physicians and other healthcare professionals is especially challenging for geographically isolated and disadvantaged areas wherein the people are physically or economically inaccessible. Filipino traditional medicine, of which herbal medicine plays a large role has been around for centuries and is wellaccepted in the rural areas. Validating the use of these traditional medicinal plants through research is essential in order to have an evidence-based practice of herbal medicine. The main areas of research can be defined as (1) herbal medicine quality and standardization, (2) preclinical pharmacological assessments and action mechanisms, and (3) clinical efficacy and safety assessments.3 These types of researches aimed at developing safe and efficacious, as well as low-cost Philippine herbal medicines, may well be a long-term solution to the obstacles to a healthy population cited above. Our Philippine medicinal plants are a valuable but often underappreciated resource with innumerable applications for non-communicable and communicable disease indications. Limited research in this field had long been ongoing in the Philippines. Support for this movement came with the passage of the Traditional and Alternative Medicine Act of 1997 which affirmed the commitment of the government towards the support and development of traditional medicine including herbal medicine.4 Another boost was the endorsement of the Department of Health of the Sampung Halamang Gamot in the 1990s.5 The World Health Organization has advocated the integration of Traditional Medicine within national health care systems and has urged governments to develop and implement national traditional medicine policies and programs especially with Universal Health Coverage.6 It was the National Integrated Research Program of the Philippines (NIRPROMP) who was at the forefront of this field and conducted the initial studies of these Ten Medicinal Plants.7 Many of them have been developed into modern formulations. These include Lagundi (Vitex negundo) tablet and syrup for cough and asthma, Sambong (Blumea balsamifera) tablet as a diuretic and treatment of urolithiasis, Tsaang gubat (Ehretia microphylla) tablet for gastrointestinal and biliary colic, Akapulco (Senna alata) lotion for cutaneous fungal infections, Yerba Buena (Mentha villosa) tablet as an analgesic, Ulasimang bato (Peperomia pellucida) tablet for the treatment of gout and hyperuricemia. Ampalaya (Momordica charantia) tablet was also developed as a glucose-lowering agent, but it is presently undergoing researches on the reformulated tablet.8 Several of the articles in this issue present evidence for the use of some of the mentioned medicinal plants. The NIRPROMP was the forerunner and is still an integral part of the Institute of Herbal Medicine. Lagundi and Sambong have been integrated into the clinical practice of physicians in the Philippines, even by specialists. They have both been scientific and commercial successes.9 Their production has contributed to the revenue and growth of the Philippine Pharmaceutical Industry, as well as improved the economic status of farmers cultivating these crops. Developing more herbal medicines needed for primary health care would decrease our dependence on the importation of medicines, and increase the accessibility of drugs even in geographically isolated areas. Bringing back the herbal medicine gardens to the barangays in the rural communities will also assist in empowering the population. The integration of herbal medicines into mainstream clinical practice will only be possible if the researches performed, both non-clinical and clinical, are as robust as those for synthetic medicine.     Cecilia C. Maramba-Lazarte, MD Director Institute of Herbal Medicine National Institutes of Health University of the Philippines Manila     REFERENCES 1. Paris J. Pharma Companies Offer to Cut Drug Prices [Internet] Rappler. 2019 25 October [cited 2020 Jan 15]. Available from https://www. rappler.com/nation/243372-pharmaceutical-companies-offer-cut-drug-prices. 2. Clarete RL, Llanto GM. 2017. Access to medicines in the Philippines: Overcoming the barriers [Internet]. Philippine Institute for Development Studies. 2017 [cited 2020 Jan 14]. Available from http://hdl.handle.net/11540/7967. 3. Zhang AL, Xue CC, Fong HH. Integration of Herbal Medicine into Evidence-Based Clinical Practice Current Status and Issues. In: Benzie IFF, Wachtel-Galor S, eds. Herbal Medicine: Biomolecular and Clinical Aspects, 2nd ed. Boca Raton (FL): CRC Press/Taylor & Francis; 2011. 4. Traditional and Alternative Medicine Act (TAMA) of 1997, Republic Act No. 8423, Approved: December 9, 1997. 5. World Health Organization. Report of the Working Group on Herbal Medicines Meeting, March 1997. 6. World Health Organization. WHO Traditional Medicine Strategy: 2014-2023. 7. Eusebio JE, Umali BE. Inventory, documentation and status of medicinal plants research in Philippines. In: Batugal PA, Kanniah J, Young LS, Oliver JT, editors. Medicinal plants research in Asia, Volume 1: The framework and project workplans. Selangor DE, Malaysia: International Plant Genetic Resource Institute-Regional office for Asia, the Pacific and Oceania (IPGRI-APO), Serdang; 2004. 8. Purificacion J, Maramba N. Research Proposal Phase 1 Clinical Trial: Safety and Efficacy of Lyophilized Momordica charantia (Ampalaya) leaf tablet among Normal Volunteer Subjects (2018 version). 9. From Herbal Folklore to Modern Medicine [Internet]. World Intellectual Property Organization. 2013 [cited 2020 Jan 14]. Available from https://www.wipo.int/ipadvantage/en/details.jsp?id=3661.


Author(s):  
Arash Abdolmaleki ◽  
Muhammad Akram ◽  
Muhammad Muddasar Saeed ◽  
Asadollah Asadi ◽  
Mahan Kajkolah

Neurodegenerative disorders could be a most important health issue within the 21st century. In the recent past; there has been a growing interest in medicinal plants. Chemical fruits and vegetables are said to decrease the possibility of many chief ailments, together with cardiovascular and cancer disorders as well as neurodegenerative ailments. Hence, who eat more fruits and vegetables may be less threaten for developing certain diseases caused by neurological dysfunction. The present review provides an overview of the about 14 most important plants used for neurological disorders and explores their neurological protection for the development of new pharmacological potential drugs. The data sources including the publications on Google Scholar, PubMed, and Science Direct. Publications searched with no particular time restriction in order to get a holistic and comprehensive view of the research done on this topic so far. Therefore, we present a systematic approach for herbal medicine as neuroprotective agent. From ancient time the herbal medicines are used to cure neurological symptoms. While the exact pharmacology of these herbs has not yet been set on, some of them have anti-inflammatory or antioxidant properties on different peripheral systems. The significant variety of medicinal plants makes it an essential source of healthy compounds compared to current therapeutic agents. In this review, the importance of phytochemicals for the function of neurological protection and other related disorders, in particular, the process mechanism and therapeutic prospective will be emphasize.


Author(s):  
Linete Maria Menzenga Haraguchi ◽  
Adriana Sañudo ◽  
Eliana Rodrigues ◽  
Herbert Cervigni ◽  
Elisaldo Luiz de Araujo Carlini

Abstract: Introduction: Following the introduction in 2006 of the National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, the Municipal Secretariat for the Environment of the City Hall of Sao Paulo initiated the Medicinal Plants Course, later expanded to The Medicinal Plants and Herbal Medicines Course for the training of health professionals. This study aimed to evaluate the impact of the 2014 and 2015 edition of the course “Medicinal Plants and Herbal Medicines” on health professional practices. Methods: An exploratory and descriptive study was conducted with a qualitative-quantitative approach. The quantitative process (Phase I) consisted of a questionnaire being emailed to health professionals who were involved in the course, divided into seven categories: biomedical professional, dental surgeon, nurse, pharmacist, physiotherapist, physician and nutritionist; and, out of 165 questionnaires, 114 responses were received (69.1%). The Qualitative and Quantitative process (Phase II), comprised semi-structured, in-person individual interviews to obtain detailed information on Phytotherapy practices, with 73 health professionals being interviewed, before and after the training, comparing their practices afterwards. Results: The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea “meetings”, medicinal herb gardens and capacity training), regarding the use of herbal products, such as Matricaria chamomilla (chamomile), Maytenus ilicifolia (espinheira-santa), Valeriana officinalis (valeriana). An increase in the knowledge of Phytotherapy risks was also observed, although there was no increase in the reporting of adverse reactions. The study confirmed the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate school, as well as the technical training and continuing education for SUS health professionals. Conclusion: The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses. The results suggest the training promoted a positive impact on the Phytotherapy practice of the Public Health System professionals in São Paulo.


Author(s):  
Vinod Matole ◽  
Yogesh Thorat ◽  
Shrishail Ghurghure ◽  
Suyash Ingle ◽  
Avinash Birajdar ◽  
...  

Herbal medicine (also Herbalism) is the study of pharmacognosy and the use of medicinal plants. Plants have been the basis for medical treatments through most of human history, and such traditional medicine is still widely practiced today. Archaeological evidence indicates that the use of medicinal plants dates back to the Paleolithic age, approximately 60,000 years ago. Written evidence of herbal remedies dates back over 5,000 years to the Sumerians, who compiled lists of plants.


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