The potential impact of the use of homeopathic and herbal remedies on monitoring the safety of prescription products

2005 ◽  
Vol 24 (5) ◽  
pp. 219-233 ◽  
Author(s):  
K N Woodward
Keyword(s):  
Herbal Medicine ◽  
Drug Interactions ◽  
Adverse Reactions ◽  
Conventional Medicine ◽  
Herbal Medicines ◽  
Adverse Event Reporting ◽  
Herbal Remedies ◽  
Extensive Literature ◽  
Conventional Drug ◽  
Potential Impact

The purpose of this paper is to explore the possibility that adverse reactions and drug interactions arising from the use of homeopathic and herbal medicines could lead to confusion when adverse reactions to conventional medicines are reported. An extensive literature review was conducted on the occurrence of adverse reactions and drug interactions following the use of homeopathic or herbal remedies, and the potential for these to confound adverse event reporting to conventional medicines considered. The survey demonstrates the potential for herbal remedies and homeopathic products, to produce adverse drug reactions or drug interactions, and shows the scope for potential for confusion with those arising from conventional medicines. There is a need for greater awareness that adverse reactions apparently due to a conventional medicine, might in reality be due to a herbal medicine or a drug interaction between a herbal medicine and a conventional drug, particularly when a health professional is unaware of the extent of a patient's selfmedication with alternative therapies.

scholarly journals Herbal Medicine for Pain Management: Efficacy and Drug Interactions

Pharmaceutics ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 251
Author(s):  
Behdad Jahromi ◽  
Iulia Pirvulescu ◽  
Kenneth D. Candido ◽  
Nebojsa Nick Knezevic
Keyword(s):  
Pain Management ◽  
Herbal Medicine ◽  
Drug Interactions ◽  
Synergistic Effects ◽  
Herbal Medicines ◽  
Scientific Data ◽  
Global Market ◽  
Complementary And Alternative Medicines ◽  
Alternative Medicines ◽  
Complementary And Alternative

Complementary and alternative medicines such as herbal medicines are not currently part of the conventional medical system. As the popularity of and global market for herbal medicine grows among all age groups, with supporting scientific data and clinical trials, specific alternative treatments such as herbal medicine can be reclassified as a practice of conventional medicine. One of the most common conditions for which adults use herbal medicine is pain. However, herbal medicines carry safety concerns and may impact the efficacy of conventional therapies. Unfortunately, mechanisms of action are poorly understood, and their use is unregulated and often underreported to medical professionals. This review aims to compile common and available herbal medicines which can be used as an alternative to or in combination with conventional pain management approaches. Efficacy and safety are assessed through clinical studies on pain relief. Ensuing herb–drug interactions such as cytochrome modulation, additive and synergistic effects, and contraindications are discussed. While self-management has been recognized as part of the overall treatment strategy for patients suffering from chronic pain, it is important for practitioners to be able to also optimize and integrate herbal medicine and, if warranted, other complementary and alternative medicines into their care.

Herbal Remedies and Children: Do They Work? Are They Harmful?

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_1) ◽  
pp. 240-246 ◽  
Author(s):  
Alan D. Woolf
Keyword(s):  
Primary Care ◽  
Herbal Medicine ◽  
Herbal Medicines ◽  
Good Health ◽  
Herbal Remedies ◽  
Herbal Products ◽  
Safety And Efficacy ◽  
Primary Care Clinicians

More parents are considering the use of herbal remedies to maintain their children’s good health and to treat their illnesses. They look to pediatricians and other primary care clinicians for advice concerning the safety and efficacy of herbal products for children. This article reviews principles for the clinician to keep in mind while investigating the literature on herbal medicine and addressing the use of herbal medicines with parents.

scholarly journals Use of herbal medicine during pregnancy and attitudes of pregnant women in Jos, Nigeria

2021 ◽  
Vol 18 (1) ◽  
pp. 64-73
Author(s):  
Dalen G. Dafam ◽  
Adama Denou ◽  
Agnes Idoko ◽  
Nanloh S. Jimam ◽  
Victoria A. Okwori ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Medicinal Plants ◽  
Pregnant Women ◽  
Conventional Medicine ◽  
Herbal Medicines ◽  
Herbal Preparations ◽  
Prevention And Treatment ◽  
Medicinal Properties ◽  
Antenatal Clinics ◽  
Structured Questionnaire

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

scholarly journals Pharmacists’ Knowledge, Perceptions, and Practices Regarding Herbal Medicine

2019 ◽  
Vol 10 (3) ◽  
pp. 15
Author(s):  
Catherine Santanello ◽  
Ashlyn Carr
Keyword(s):  
Side Effects ◽  
Herbal Medicine ◽  
Drug Interactions ◽  
Herbal Medicines ◽  
Community Pharmacists ◽  
Reliable Information ◽  
Medicine Use ◽  
Article Type ◽  
Knowledge Survey ◽  
The Impact

Introduction: With the increase of herbal medicine sales and a lack of reliable information available to consumers, it is important for pharmacists to be knowledgeable about these products and have the ability to effectively counsel on their uses and risks. The purpose of this study was to: 1) assess community pharmacists’ knowledge, perceptions, and practices regarding herbal medicines, 2) understand the impact pharmacists may have on their patients’ herbal medicine use, and 3) gauge what practices could be improved. Methods: An anonymous survey was distributed to community pharmacists through email, social media, and in-person at local pharmacies. The survey consisted of general background questions, questions assessing perceptions and practices regarding herbal medicine, and a ten-question true/false quiz to assess knowledge. Survey data was collected and assessed using Qualtrics and Excel. Results: Of the 127 community pharmacists who completed the survey, only 34% were confident in their ability to effectively counsel patients on herbal medicines. Approximately 50% of pharmacists reported never or rarely asking patients about herbal medicine use and 80% reported never or rarely documenting herbal medicine use. Only 25% of pharmacists reported that they always discuss side effects and 19% reported that they always discuss herb-drug interactions when patients are using herbal medicines. The average quiz score assessing knowledge of herbal medicines was 6.06 out of 10. Conclusions: It is important for community pharmacists to be knowledgeable about herbal medicines and prepared to educate patients to ensure safe medication use. Pharmacists need to acknowledge the use of herbal medicine in their patients and always discuss potential side effects and herb-drug interactions. It is also important that pharmacists know where they can find reliable information on herbal medicines and use evidence-based resources when possible.   Article Type: Student Project

scholarly journals Prevalence and Correlates of Herbal Medicine Use among Women Seeking Care for Infertility in Freetown, Sierra Leone

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Peter Bai James ◽  
Lexina Taidy-Leigh ◽  
Abdulai Jawo Bah ◽  
Joseph Sam Kanu ◽  
Jia Bainga Kangbai ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Traditional Medicine ◽  
Sierra Leone ◽  
Healthcare Providers ◽  
Herbal Medicines ◽  
Cross Sectional Study ◽  
Herbal Remedies ◽  
Medicine Use ◽  
Chi Square ◽  
Cross Sectional

In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38–11.76, p=0.011), primary education (AOR: 6.23, CL: 2.02–19.23, p=0.001) and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10–192.28, p=0.009) as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13–5.83, p=0.024) were more likely to use herbal medicines. Friends and family (n=57, 96.7%) were the main influencers of herbal medicine use. Only (n=12) 19.7% of users disclosed their status to their healthcare provider. Over half (n=32, 52.5%) could not remember the name of the herb they used. Luffa acutangula (n=29, 100%) was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use.

scholarly journals An Overview Knowledge and Usage of Herbal Medicines during The COVID-19 Pandemic by Students of Poltekkes Kemenkes Jakarta II

2021 ◽  
Vol 12 (2) ◽  
pp. 106-114
Author(s):  
Nanang Kurnia Achmadi ◽  
Yayan Setiawan ◽  
Aprilia Ayu Purwati
Keyword(s):  
Herbal Medicine ◽  
Global Health ◽  
Health Problem ◽  
Sampling Method ◽  
Univariate Analysis ◽  
Herbal Medicines ◽  
Herbal Remedies ◽  
Primary Data ◽  
Knowledge Usage ◽  
Global Health Problem

COVID-19 has now become a global health problem. In Indonesia, there are 828.026 confirmed cases as of January 10, 2021.(1) To deal with this current situation, prevention efforts are needed. One of them increases endurance by using herbal remedies. In addition to having been used for generations, several studies have shown that herbal medicines have the potential to increase endurance.The purpose of this study was to describe the knowledge and usage of herbal medicines during the COVID-19 pandemic.This study using the purposive sampling method with one hundred respondents. Data were collected based on primary data using a google form questionnaire with univariate analysis. On Preliminary results are Most of respondents had pretty good knowledge in forty eight point eight percent, and jamu on sixty nine point five percent as the herbal medicine of choice, when pharmacies to get herbal medicines. Moreover, the implications are the knowledge of using herbal medicine during the COVID-19 pandemic is good and Jamu is the most used herbal medicine based of the types. This research will be continued with more samples to better represent the conclusions.   Keywords: Knowledge, Usage, Herbal Medicines

scholarly journals Variation in spike initiation in some Piper longum germplasms of North East India

2019 ◽  
Vol 11 (3) ◽  
pp. 684-686
Author(s):  
Amrita Khound ◽  
D. Sharmah ◽  
P.C. Barua
Keyword(s):  
Significant Contribution ◽  
Adverse Reactions ◽  
Herbal Medicines ◽  
Herbal Remedies ◽  
Piper Longum ◽  
North East India ◽  
North East ◽  
Significant Difference ◽  
Check Variety ◽  
Spike Initiation

The risk of adverse reactions in herbal remedies is less and has become popular to be used traditionally for treating various diseases. The species associated with genus Piper are important medicinal plants used for preparation of herbal medicines. The present investigation was carried out in the Experimental farm, Department of Horticulture, Assam Agricultural University, Jorhat-13 during 2013-14 and 2014-15 to investigate the flowering variation of some Piper longum germplasms of North East  India. A total of 16 Piper longum germplasms including ‘Viswam’ as check variety were evaluated and experimental data revealed significant difference in spike initiation time among the germplasms with shortest spike initiation period (245.30 days) that recorded in germplasm PLJ-19 while the check var. recorded 287.40 days. Significant and shortest period for spike initiation to maturity was recorded in germplasm PLJ-19 (61.04days) followed by PLJ-01 (61.00days), PLJ-11 (61.38days) and check var. (70.03days).The number of flowering spike per plant ranges in between 58.53-113.73. The highest number of flowering spike per plant 113.73 was observed in germplasm PLJ-19 followed by PLJ-01 (109.40), PLJ-11 (104.11), PLJ-16 (100.33) and were found to be superior over check var.  (92.07). The present findings has a significant contribution in determination and identification of germplasm having shorter spike formation period with higher number of flowering spike as the variation in piperine content depends on both the characters also.

scholarly journals Possibility of potential herbal-drug interactions in elderly population

2016 ◽  
Vol 5 (3) ◽  
pp. 128-130
Author(s):  
Huda Kafeel ◽  
Keyword(s):  
Health Care ◽  
Drug Interactions ◽  
Health Care Professionals ◽  
Elderly Population ◽  
Conventional Medicine ◽  
Age Groups ◽  
Herbal Medicines ◽  
Daily Basis ◽  
Dynamic Interactions ◽  
Prefer Treatment

Medicines are variable in composition and quality, which may have an impact on their interaction profile still as a result of the reliability of reports regarding them. As such, the potential for herb-drug interactions increases in elderly population. For this instance we conducted a survey based study in which 208 patients were surveyed belonging to different areas of Karachi. These people were of different age groups ranging from 40-60 years old. They were asked to answer a face to face questionnaire based on the concurrent use of the conventional medicine and herbal drugs and their possible interaction based side effects. Our results sho ws that out of 208, 124(59.6%) volunteers prefer treatment with herbal and allopathic medicines, 138 (66.3%) use medications on daily basis while 70 (33.7%) don’t use on daily basis. And 56 volunteers were at high risk of potential herb-drug interaction, among them 32.7% have dynamic interactions and 21.2% have kinetic interactions in their medication regime. Out of 208 volunteers 89% were experiencing adverse effects (self reported). Since a significant number of herb-drug interactions were detected in elderly patients, it is suggested that health care professionals and consumers should be aware of the potential herb-drug interactions and health care professionals should question and advice their patients on their use of herbal medicines.

scholarly journals Comparison of Adherence to the Use of Herbal Medicine with Conventional Medicine in Hypertensive Patients at Lempake Public Health Center, Samarinda City

2018 ◽  
Vol 9 (2) ◽  
pp. 82-86
Author(s):  
Swandari Paramita ◽  
Evi Fitriany ◽  
M. Surya Tiyantara ◽  
Aditiya Setyorini ◽  
Trikortea E. Cahyasit
Keyword(s):  
Herbal Medicine ◽  
Health Center ◽  
Conventional Medicine ◽  
Community Health Center ◽  
Herbal Medicines ◽  
Health Science ◽  
Annona Muricata ◽  
Hypertensive Patients ◽  
Adherence Scale ◽  
The Mean

Latar belakang: Hipertensi adalah masalah kesehatan utama di dunia, termasuk Indonesia. Penggunaan obat bahan alam untuk hipertensi telah meningkat dalam dekade terakhir. Biaya penggunaan obat bahan alam dianggap lebih murah dengan efek samping yang lebih sedikit. Penelitian ini bertujuan untuk melihat tingkat kepatuhan penggunaan obat pada pasien hipertensi yang berobat ke Pusat Kesehatan Masyarakat (Puskesmas) di Kota Samarinda, Kalimantan Timur. Metode: Penelitian dilaksanakan di Puskesmas Lempake Kota Samarinda pada bulan Juli hingga Agustus 2017.Responden penelitian adalah 63 pasien hipertensi yang datang berobat dan memenuhi kriteria penelitian. Pasien hipertensi selanjutnya diwawancarai menggunakan kuesioner MMAS (Morisky Medication Adherence Scale). Hasil: Sebanyak 56% pasien hipertensi juga menggunakan obat bahan alam selain obat konvensional untukhipertensi. Daun sirsak (Annona muricata), daun salam (Syzygium polyanthum), dan buah mentimun (Cucumissativus) adalah bahan alam yang paling banyak digunakan oleh pasien hipertensi. Rerata tekanan darah sistolik(p=0,004; 95% CI -19,8 – -3,8) dan diastolik (p=0,038; 95% CI -9,6 – -0,29) untuk pengguna bahan alam lebihrendah jika dibandingkan dengan pengguna obat konvensional. Rerata MMAS untuk pengguna bahan alam lebih tinggi jika dibandingkan dengan pengguna obat konvensional (p=0,004; 95% CI 0,31 – 1,6). Hal ini menunjukkan bahwa pasien lebih patuh menggunakan obat bahan alam dibandingkan obat konvensional untuk hipertensi. Kesimpulan: Hasil penelitian menunjukkan perlunya edukasi pengobatan hipertensi ke komunitas, baik itu obat bahan alam maupun konvensional. Hasil penelitian juga menunjukkan kepatuhan yang lebih baik pada penggunaan obat bahan alam dibandingkan obat konvensional untuk hipertensi. Hal ini menunjukkan potensi menjanjikan penggunaan obat bahan alam untuk hipertensi di masa depan. (Health Science Journal of Indonesia 2018;9(2):82-6) Kata kunci: Kepatuhan, obat bahan alam, hipertensi, Puskesmas Lempake Kota Samarinda Abstract Background: Hypertension is major health problem worldwide, including Indonesia. The use of herbal medicines for hypertension has increased in the past decade. The price of herbal medicines considered cheaper with fewer side effects. This study tried to see the level of adherence to the use of medicine by hypertensive patients in community health center at Samarinda City, East Kalimantan. Methods: This study conducted at Lempake Community Health Center in Samarinda City from July until August2017. The subjects of this study are 63 hypertensive patients and meet the sample criteria set by the researchers. The study interviewing hypertensive patients with MMAS (Morisky Medication Adherence Scale) questionnaire. Results: The results showed 56% of hypertensive patients also use herbal other than conventional medicine. Soursop (Annona muricata) leaves, salam (Syzygium polyanthum) leaves, and cucumber (Cucumis sativus) fruit were the most frequent herbal medicines used by hypertensive patients. The mean blood pressure of herbal medicine users was significantly lower when compared with conventional medicine users for systolic (p=0.004; 95% CI -19.8 – -3.8) and diastolic blood pressure (p=0.038; 95% CI -9.6 – -0.29). The mean score of MMAS in herbal medicine users was significantly higher when compared with conventional medicine users (p=0.004; 95% CI 0.31 – 1.6). This suggests that patients are more adherent in using herbal than the conventional medicine for hypertension. Conclusion: The result of the study shows the need for herbal and conventional medicine education forhypertension in the community. The result also shows better patient adherence to herbal medicine compared to conventional medicine, as the promising future of herbal medicine for hypertension. (Health Science Journal of Indonesia 2018;9(2):82-6) Keywords: Adherence, herbal medicine, hypertension, Lempake Public Health Center Samarinda City    

A Brief Review on Herbal Medicines

2021 ◽  
pp. 101-102
Author(s):  
Vinod Matole ◽  
Yogesh Thorat ◽  
Shrishail Ghurghure ◽  
Suyash Ingle ◽  
Avinash Birajdar ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Medicinal Plants ◽  
Traditional Medicine ◽  
Herbal Medicines ◽  
Herbal Remedies ◽  
Human History ◽  
Archaeological Evidence ◽  
Medical Treatments

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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