scholarly journals Challenges Associated with Anti-epilepsy Medication and Use of Complementary or Alternative Medicines among People with Epilepsy in Rural Communities of Zimbabwe

2019 ◽  
Vol 6 (2) ◽  
pp. 77-84
Author(s):  
Ngonidzashe Mutanana
Keyword(s):  
Side Effects ◽  
Rural Communities ◽  
Healthcare Providers ◽  
Traditional Healers ◽  
Snowball Sampling ◽  
Blurred Vision ◽  
Complementary And Alternative Medicines ◽  
Alternative Medicines ◽  
Epilepsy Treatment ◽  
Complementary And Alternative

The main objective of this study was to analyze challenges associated with anti-epilepsy medication and use of complementary or alternative medicines among people with epilepsy in rural communities of Zimbabwe. The study opted for qualitative research because it is culturally specific and data collected is contextually rich. The target population was people with epilepsy and caregivers of children with epilepsy and using a snowball sampling technique, a sample of 15 people with epilepsy and 5 caregivers of children with epilepsy was selected. The study purposively selected 2 traditional healers, 2 faith healers and 2 psychiatric nurses to have their insight on complementary and alternative medicines in the community and data was collected using face-to-face in-depth interviews. Findings revealed that anti-epilepsy medication is associated with a number of challenges in rural communities, chief among them that people with epilepsy are not informed about the side-effects of anti-epilepsy medication such as stomach upset, dizziness, blurred vision and sexual dysfunction. As a plateau to these anti-epilepsy medication side-effects, they make use of traditional and spiritual medicines either as complementary or alternative to anti-epilepsy medication.  They are also facing challenges of Anti-Epilepsy Drugs shortages and long distances to health facilities and consequently, they opt for complementary or alternative medicines to sustain their livelihoods. The study recommends modern healthcare providers to supply people with epilepsy with adequate information on the side-effects of drugs. Healthcare providers must have enough information on complementary and alternative medicines. Traditional and faith healers must be accommodated in epilepsy treatment because of sociocultural aspects, and they too must be educated on the relevance of the modern healthcare system in epilepsy treatment. The study finally recommends a study on the multi-cultural approach of epilepsy management in Zimbabwe.  

Use of complementary and alternative medicines (CAM) among Malaysian cancer patients for the management of chemotherapy related side effects (CRSE)

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sharifah Nadia Syed Mohammad Salleh ◽  
Maryam Farooqui ◽  
Shubashini Gnanasan ◽  
Mahmathi Karuppannan
Keyword(s):  
Side Effects ◽  
Cancer Patients ◽  
Study Data ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Herbal Products ◽  
Complementary And Alternative Medicines ◽  
Alternative Medicines ◽  
Cam Use ◽  
Complementary And Alternative

Abstract Objectives Chemotherapy-related side effects (CRSE) are among the most distressing events cancer patients face. Some patients seek complementary and alternative medicines (CAM), increasing the risk of undesirable drug- CAM interactions. This study aims to identify the prevalence and type of CAM used for CRSE among cancer patients and patient’s disclosure of CAM use to their prescribers. Methods This was a questionnaire-based, cross-sectional study. Data was collected from cancer patients attending to three departments: surgical, medical and gynaecology at a local hospital in Malaysia. Ethical approval was obtained from the Medical Research Ethics Committee, Ministry of Health, Malaysia. Results A total of 273 patients were recruited. Prevalence of CAM used for CRSE management was 166 (60.8%). Of the CAM users, 144 (86.7%) were female, 102 (61.4%) were employed and 123 (74.1%) were married. Breast cancer patients were found to be the highest users of CAM (n=76; 45.8%). The top three CAM used by patients in managing CRSE were dietary supplements (n=166; 100%); herbal products (n=154; 92.8%) and traditional Malay therapy (n=147; 88.6%). About 83% (n=137) patients disclosed CAM use to their prescribers. Among these, 58 (42.3%) reported that their doctors encouraged the use, whereas 89 (65.0%) patients claimed their doctors disagreed the use of CAM. Conclusions Prescribers still have doubt in combining chemotherapy with CAM, hence patients use CAM discreetly. Increasing the awareness and understanding of CAM use are mandatory to distinguish its possible synergistic or adverse reactions with cancer patients.

scholarly journals Discovering the Use of Complementary and Alternative Medicine in Oncology Patients: A Systematic Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Fatmah Alsharif
Keyword(s):  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Cancer Patients ◽  
Healthcare Providers ◽  
Arab Countries ◽  
Complementary And Alternative Medicines ◽  
Complementary Medicines ◽  
Patients With Cancer ◽  
Alternative Medicines ◽  
Complementary And Alternative

Background. Patients with cancer pursue all possible opportunities of effective remedies. In Saudi Arabia, most patients have tried complementary medicine during their cancer treatment plan; however, some complementary medicines might pose a danger to health. In Arab countries, studies regarding the use of complementary medicines and the intentions behind using complementary medicines among cancer patients are inadequate and all but nonexistent. The aim of this review was to focus on demographic, prevalence, and reasons for complementary and alternative medicine use among patients with cancer. Methods. A rigorous literature search was conducted for articles published in the English language, using the search terms “complementary and alternative medicine,” “oncology,” “malignancy” AND “cancer patients” in five scientific databases, namely, Medical Literature On-Line (MEDLINE), PubMed, Web of Science, Psychology Information (PsycINFO), and Google Scholar, from 2010 to 2020. Results. Of the 13,160 studies returned from the search, only 12 were eligible and included in this review. The combined prevalence for using complementary and alternative medicines across all studies totaled 25%–80% of cancer patients for the treatment of their cancers. Natural products, including vitamins and minerals, herbal products, and relaxation, were the most common type of complementary and alternative medicines used. The reason for using complementary and alternative medicines was reported to be their helpfulness in recovering, healing, and improving health. Most of the studies mentioned that participants obtained their complementary and alternative medicines from multiple sources, including the media, family and friends, and physicians. Conclusion. The use of complementary and alternative medicines in cancer patients can be inferred as an attempt to investigate all possibilities, a manifestation of a coping style, or an illustration of unmet desires in the cancer management continuum. Anyhow, there should be adequate communication between healthcare providers and patients, which is crucial for establishing a trusting healthcare provider-patient relationship. Relevance to clinical practice. It is crucial that healthcare providers explore the use of complementary and alternative medicines with their cancer patients, as well as educating them about the possible usefulness of therapies based on the available evidence.

scholarly journals Complementary and Alternative Medicines for the Treatment of Hepatitis C: Perspectives of Users and CAM Practitioners

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Salamat Ali ◽  
Shahan Ullah ◽  
Vibhu Paudyal ◽  
Mashhood Ali ◽  
Muhammad Khalid Tipu ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Side Effects ◽  
Health Care Professionals ◽  
Herbal Medicines ◽  
Disease Status ◽  
Cross Sectional ◽  
Complementary And Alternative Medicines ◽  
Alternative Medicines ◽  
Lycopodium Clavatum ◽  
Complementary And Alternative

Background. Despite substantial progress in the treatment of hepatitis C through the use of direct-acting antivirals which have been shown to cure the disease, complementary and alternative medicines (CAM) are popular among patients as a substitute or complement of allopathic medicines. This study aimed to explore the perspectives of patients and CAM practitioners on the use of CAM for the treatment of hepatitis C in Pakistan. Methods. A cross-sectional design was adopted. Participants (CAM practitioners and patients) were recruited from the capital and two provinces: Khyber Pakhtunkhwa and Punjab of Pakistan. A survey using paper-based questionnaires, each specific for patients and CAM practitioners, was conducted to gather information pertaining to demography, disease status, treatment history, and participants’ perspectives (about the disease, reasons to switch to CAM, and referring source). Results. A total of 417 respondents (n = 284 patients, n = 133 practitioners) were recruited. Of the total patients, 170 (59.9%) had started CAM during the previous three months. There were 168 (59.2%) of the total patients who had used allopathic treatments for hepatitis C prior to their use of CAM. The confidence in CAM (24.6%), high cost (19%), and unbearable side effects (52.1%) of allopathic medicines were the main reasons to switch to CAM treatment. Majority (49.3%) of the patients were referred to CAM on the recommendations of relatives or care givers (17.3%) whereas only 9.5% were referred by health care professionals. Out of 133 practitioners, 48 (36.1%) were practicing herbal medicines. From practitioners’ perspectives, club-moss (Lycopodium clavatum) was the best treatment option for hepatitis C. The majority, 73 (54.9%), of the patients had chosen to use CAM because of the side effects of allopathic medicines. Patients who had previous “good experience” with CAM were the most common referral source (56.4%) for CAM use in hepatitis C. Conclusions. Patients’ beliefs in CAM, side effects of allopathic therapy, high cost of allopathic medicines, and referrals from previous CAM users are key factors in the switching of hepatitis C patients to CAM.

scholarly journals Surely you take complementary and alternative medicines?

2004 ◽  
Vol 28 (2) ◽  
pp. 36-39 ◽  
Author(s):  
Traolach Brugha ◽  
Hagen Rampes ◽  
Rachel Jenkins
Keyword(s):  
Side Effects ◽  
Drug Interactions ◽  
Complementary And Alternative Medicines ◽  
Substantial Growth ◽  
Alternative Medicines ◽  
Clinical Presentations ◽  
The Usa ◽  
The Subject ◽  
The Uk ◽  
Complementary And Alternative

A substantial proportion of our patients use or consider using complementary and alternative medicines (CAM) and other coping strategies. It is important that we acknowledge this, know something about the subject and are aware of current or potential developments in the field. These remedies might be harmless, beneficial or harmful and their side-effects might alter and confuse clinical presentations. We need to be vigilant of the potential for significant drug interactions between complementary and orthodox treatments. There is a substantial growth in complementary and alternative medical research in the USA, now beginning to follow in the UK. This will hopefully bring useful future progress.

Integration and awareness of complementary and alternative medicines with psychotherapy

2014 ◽  
Author(s):  
Kendal Cassidy ◽  
Anastasia Bacca ◽  
Phillip Birk ◽  
Kristie A. Morales ◽  
Travis Heath
Keyword(s):  
Complementary And Alternative Medicines ◽  
Alternative Medicines ◽  
Complementary And Alternative

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.

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