Abstract
Background The use of herbal medicines and herbal dietary supplements in Serbia is very common and many patients consume herbal preparations with conventional drug therapy. Objective The aim of this survey was to evaluate the consumers’ awareness of herbal remedies and the safety of herbal dietary supplements, their attitude towards combining herbals and drugs, and the source of recommendations for their use. Setting The study included all consumers who bought herbal remedies and herbal dietary supplements in 15 pharmacies on the territory of Novi Sad during 2011 and who accepted to be interviewed. Methods Structured interviews using questionnaire, conducted by pharmacists. The questionnaire included 4 parts: socio-demographic characteristics of consumers, source of recommendations for the use of herbal products, attitude towards safety of herbal remedies and herbal dietary supplements use and their combination with regular drugs, as well as the question of purchased herbal products. Main outcome measure Consumers’ attitude towards the safety and use of herbal medicines and herbal dietary supplements measured by 9 items. Results The majority of interviewed participants were highly educated, aged 41–60 and they consumed herbal remedies on their own initiative or on recommendation of nonmedically educated person, without previous consultation with medical doctor or pharmacist. Out of all participants: 88.9 % did not consider it important to inform their physician or pharmacist about use of herbal remedies and herbal dietary supplements; 73.3 % found the use of herbal remedies harmless (where 9.4 % did not have any attitude towards that issue), while 40.3 % of participants regarded the combining of herbal and regular drugs unsafe. Conclusion There is a need for consumers’ education on reliable use of herbal medicines and herbal dietary supplements, in order to improve their awareness of the limits of herbal remedies safety and potential risks of their combination with drugs.
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References
Blumenthal M, Busse WR, Goldberg A, Gruenwald J, Hall T, Riggins CW, Rister RS, editors. The complete german commission e monographs. Austin: American Botanical Council; 1999. ISBN 0-9655555-0-X.
Barnes J. Quality, efficacy and safety of complementary medicines: fashions, facts and the future. Part I. Regulation and quality. Br J Clin Pharmacol. 2003;55(3):226–33.
Capasso F, Gaginella TS, Grandolini G, Izo AA, editors. Phytotherapy: a quick reference to herbal medicine. Berlin: Springer; 2003. ISBN 3-540-00052-6.
Wiancek DA, editor. Natural healing companion. Emmaus, PA: St. Martin’s Press; 2000. ISBN 157954245X.
World Health Organization. National policy on traditional medicine and regulation of herbal medicines. Report of WHO global survey. 2005. ISBN 92 4 159323 7.
Cavaliere C, Rea P, Lynch ME, Blumenthal M. Herbal supplement sales experience slight increase in 2008. HerbalGram. 2009;82:58–61.
Mason P, editor. Dietary supplements. 3rd ed. London: Pharmaceutical Press; 2007. ISBN 978 0 85369 653 7.
Herbal medicinal products in the European Union. Available at: http://www.aesgp.eu/media/cms_page_media/68/HerbalMedicines_EN.pdf.
Zakon o lekovima i medicinskim sredstvima. Službeni glasnik RS, 2010, br. 30 [in Serbian]. Available at: www.lat.rfzo.rs/download/zakon_lekovi-lat.pdf.
Cooperman T, Obermeyer W, Webb D, editors. ConsumerLab.com’s guide to buying vitamins and minerals: what’s really in the bottle? ConsumerLab.com. LLC; 2003. ISBN 0972969705.
Bozin B, Mimica-Dukic N, Bogavac M, Suvajdzic L, Simin N, Samojlik I, et al. Chemical composition, antioxidant and antibacterial properties of Achillea collina Becker ex Heimerl s.l. and A. pannonica Scheele essential oils. Molecules. 2008;13:2058–68.
Dickinson A, Boyon N, Shao A. Physicians and nurses use and recommend dietary supplements: report of a survey. Nutr J. 2009;8:29.
Howard N, Tsourounis C, Kapusnik-Uner J. Dietary supplement survey of pharmacists: personal and professional practices. J Altern Complement Med. 2001;7(6):667–80.
Williamson E, Driver S, Baxter K, editors. Stockley’s herbal medicines interactions. London: Pharmaceutical Press; 2009. ISBN 978 0 85369 760 2.
Yilmaz MB, Yontar OC, Turgut OO, Yilmaz A, Yalta K, Gul M, Tandogan I. Herbals in cardiovascular practice: are physicians neglecting anything? Int J Cardiol. 2007;122:48–51.
Kennedy J. Herb and supplement use in the US adult population. Clin Ther. 2005;27(11):1847–58.
De Smet PAGM. Health risks of herbal remedies: an update. Clin Pharmacol Ther. 2004;76(1):1–17.
Zaping H, Xiaoxia Y, Ho PCL, Chan SY, Heng PWS, Chan E, et al. Herb–drug interactions, a literature review. Drugs. 2005;65(9):1239–82.
Ambrose ET, Samuels S. Perception and use of herbals among students and their practitioners in a university setting. J Am Acad Nurse Prac. 2004;16(4):166–73.
Rivera JO, Hughes HW, Stuart AG. Herbals and asthma: use patterns among a border population. Ann Pharmacother. 2004;38(2):220–5.
Picking D, Younger N, Mitchell S, Delgoda R. The prevalence of herbal medicine home use and concomitant use with pharmaceutical medicines in Jamaica. J Ethnopharmacol. 2011;137:305–11.
Freymann H, Rennie T, Bates I, Nebel S, Heinrich M. Knowledge and use of complementary and alternative medicine among British undergraduate pharmacy students. Pharm World Sci. 2006;28:13–8.
Venn S, Meadows R, Arber S. Gender differences in approaches to self-management of poor sleep in later life. Soc Sci Med. 2013;79:117–23.
Chavez ML, Jordan MA, Chavez PI. Evidence-based drug–herbal interactions. Life Sci. 2006;78:2146–57.
Meisel C, Johne A, Roots I. Fatal intracerebral mass bleeding associated with Ginkgo biloba and ibuprofen. Atherosclerosis. 2003;167(2):367.
Acknowledgments
This research is part of the Project No. 114-451-2056/2011-01 which is financially supported by the Provincial Secretariat for Science and Technological Development of Vojvodina and ON 172058 which is financially supported by the Ministry of Science and Education of the Republic of Serbia.
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The present study received no external funding.
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Samojlik, I., Mijatović, V., Gavarić, N. et al. Consumers’ attitude towards the use and safety of herbal medicines and herbal dietary supplements in Serbia. Int J Clin Pharm 35, 835–840 (2013). https://doi.org/10.1007/s11096-013-9819-3
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DOI: https://doi.org/10.1007/s11096-013-9819-3