scholarly journals Regulation of herbal medicines in Brazil: advances and perspectives

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):  
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.


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>


2021 ◽  
Vol 10 (11) ◽  
pp. e340101119686
Author(s):  
José Martins Fernandes

This work presents the morphology of 16 medicinal species of Lamiales used in Alta Floresta, Mato Grosso, Brazil, as well comments about phytogeography, popular use in the municipality, the status of the species in the National Policy on Medicinal Plants and Phytotherapeutics, and examples of preclinical trials. The work was performed between March and September 2020, through botanical sample of the Lamiales species presented in the book " Plantas medicinais de Alta Floresta: com contribuição a etnobotânica", obtained in rural communities and urban neighborhoods in the municipality of Alta Floresta, State of Mato Grosso. The morphological study was carried out at the Laboratory of Plant Morphology, located at the University Campus of Alta Floresta, Universidade do Estado de Mato Grosso. In general, the species are native (56%) with wide distributions in Brazil. Most species have glandular trichomes (72%) on the leaves and/or flowers and have been shown to be efficient and/or promising (85.5%) in studies. However, only 37.5% of these studies were conducted by the Ministry of Health. None of the species are offered as a phytotherapeutic by the Unified Health System (SUS), although six are on the last National Report of Medicinal Plants of Interest published by SUS. Based on the information provided, it is evident that these species could be used in studies about new phytotherapeutics for SUS users.


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.


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.


Author(s):  
Mônica Jachetti Maciel ◽  
Claudete Rempel ◽  
Amanda Luisa Stroher ◽  
Patrícia Caye Bergmann ◽  
Diorge Jônatas Marmitt

Medicinal plants synthesize various secondary metabolites that can be used for therapeutic and antimicrobial purposes. In Brazil, the Unified Health System (SUS) offers several herbal medicines as an alternative in the treatment of various diseases. Considering the importance of these plants in the production of chemicals that expand therapeutic options and improve the health of SUS users, this review was carried out to quantitatively determine the antifungal activity of plants used as phytotherapeutics at RENAME. The selection of papers was performed at three distinct stages: examining and choosing titles related to antifungal action, reading the abstracts, and reading the whole selected articles. This review selected 22 studies of interest; 12 of them were conducted in Brazil and 10 were carried out in other countries. The papers chosen tested the growth inhibitory effect of plants against fungal species of agricultural and health importance, ranging from filamentous to yeast-like fungi, and Candida albicans was the most tested species. The growth of 39 fungal species were inhibited by some concentration of the extract used, with either an increase or decrease in antifungal activity depending on the extract used. The most frequently analyzed plant was the species Schinus terebinthifolius Raddi., studied in seven papers. The results found demonstrate the importance of analyzing medicinal plants and incorporating plant-based medicines in healthcare as an alternative source of treatment, highlighting the need for studies that evaluate the mechanisms action of their cytotoxicity and therapeutic effects in the human body.


PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_1) ◽  
pp. 240-246 ◽  
Author(s):  
Alan D. Woolf

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.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Qixin Zhang ◽  
Liling Zeng ◽  
Xiuyan Chen ◽  
Yuexiang Zhou ◽  
Baoying Gong ◽  
...  

Background. Hypertensive intracerebral haemorrhage (HICH), which is characterized by rapid change, high morbidity, and mortality, is extremely dangerous. Both medical and surgical treatments lack definitive evidence and remain controversial. A prospective RCT that we have conducted has shown that the usage of the herbal medicine ICH-012 within 6 h of the event may increase the risk of haematoma enlargement and gastrointestinal bleeding. However, the volume of haematoma remains stable after 6 h. Thus, we will increase the time window to the period from 6 to 72 h after onset to evaluate the safety and efficacy of ICH-012 treating ICH (ClinicalTrial.gov ID: NCT03354026). Methods/Design. The CRRICHTrial-II study, a prospective, double-blinded, controlled, multicentre RCT, includes three groups: A, B, and C. Group A patients were treated with 8 herbal medicines (with 2 herbal medicines of Hirudo and Tabanus as well as 6 other combined herbal medicines of Group B) and Group C were placebo. Patients should meet all the inclusion criteria: age between 18 and 80 and diagnosis of HICH by brain CT scan between 6 and 72 h from the onset. The CT scan will be taken at four critical time points: baseline, between 6 and 72h, 24h after onset, and between 10 and 14 days after onset. The drug intervention lasts 10 days, and there is a follow-up visit taken after 90 days. The haematoma enlargement after 24 h onset as demonstrated by CT is the primary outcome. Discussion. A large amount of data from high-quality RCTs is needed for the extensive clinical application of herbal medicine. The CRRICHTrial-II will evaluate the safety and effectiveness of ICH-012 in a safer time window between 6 and 72 h and investigate the possible mechanisms of action and direction of herbal medicine in the haematoma growth after HICH. Trial registration at ClinicalTrial.gov, ID: NCT03354026, is registered on 23rd Nov. 2017.


2014 ◽  
Vol 19 (12) ◽  
pp. 4699-4708 ◽  
Author(s):  
Lenz Alberto Alves Cabral ◽  
Zaida Aurora Sperli Geraldes Soler ◽  
José Carlos Lopes

The scope of this study is to contribute to the improvement of Occupational Health Surveillance in the Unified Health System (UHS), through the recognition and inclusion of a third type of work-related accident in the current Brazilian legislation classification: the dual causation accident. This classification aims at facilitating the establishment of a causal connection, thus broadening the understanding of the relationship between work process and the production of diseases. It also aims at improving legal rules to protect the health of workers. This approach, besides enabling the identification of sentinel events (starting point of surveillance activities), might contribute not only to a decrease in underreporting of work-related accidents, but also to the uniformity of concepts and the implementation of integrated actions of the National Social Security Institute (NISS), the UHS, the Ministry of Labor (MLE) and the Judiciary for the protection of workers. To propose a third type of occupational accident, a study of occupational accidents and causes of underreporting was conducted, with reference to the Brazilian labor legislation in the context of the National Policy on Occupational Health and the UHS.


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.


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