Diabetics’ Views Concerning the Safety and Efficacy of Herbal Medicines: A Qualitative Study

Main Article Content

Saud M. Alsanad

Abstract

Introduction: Diabetics have been known as potential to consume herbal and dietary supplements (HDS) to control their diabetes. HDS are taken widely despite limited scientific evidence of their safety and efficacy.

Methods: This qualitative study aimed to shed light on diabetic patients’ experiences and perceptions of HDS to identify any perceived benefit or harm.

Results: The findings provided two main themes concerning patients’ experiences of HDS use: Perceived beneficial experiences and perceived harm experiences. Most patients indicated experiencing benefits from HDS use.

Conclusion: It is essential to understand patients’ perceptions and appreciate their experiences in order to support them when choosing appropriate CAM treatments and avoid any harm resulting from their lack of knowledge or erroneous notions about such treatments. Many more pre-clinical and clinical studies are needed to examine the efficacy and safety of popular HDS.

Keywords:
Complementary and alternative medicine, herbal medicines, dietary supplements diabetes mellitus, Saudi Arabia.

Article Details

How to Cite
Alsanad, S. M. (2020). Diabetics’ Views Concerning the Safety and Efficacy of Herbal Medicines: A Qualitative Study. Journal of Pharmaceutical Research International, 32(2), 67-72. https://doi.org/10.9734/jpri/2020/v32i230406
Section
Original Research Article

References

Williamson EM, Driver S, Baxter K. Stockley's herbal medicines interactions: A guide to the interactions of herbal medicines, dietary supplements and nutraceuticals with conventional medicines. London; Chicago: Pharmaceutical Press; 2013.

Rankin-Box DF, Williamson EM. Complementary medicine: A guide for pharmacists. Elsevier Health Sciences; 2006.

National Center for Complementary and Integrative Health. Complementary, alternative or integrative health: What’s in a name? 2019.
Available:https://nccih.nih.gov/health/integrative-health
[Accessed 8/10/2019]

Amaeze OU, Aderemi-Williams RI, Ayo-Vaughan MA, Ogundemuren DA, Ogunmola DS, Anyika EN. Herbal medicine use among type 2 diabetes mellitus patients in Nigeria: Understanding the magnitude and predictors of use. International Journal of Clinical Pharmacy. 2018;40(3):580-8.

Modak M, Dixit P, Londhe J, Ghaskadbi S, Devasagayam TP. Recent advances in Indian herbal drug research guest editor: Thomas Paul Asir Devasagayam Indian herbs and herbal drugs used for the treatment of diabetes. Journal of Clinical Biochemistry and Nutrition. 2007;40(3): 163-73.

Harris PE, Cooper KL, Relton C, Thomas KJ. Prevalence of complementary and alternative medicine (CAM) use by the general population: A systematic review and update. International Journal of Clinical Practice. 2012;66(10):924-39.

Eardley S, Bishop FL, Prescott P, Cardini F, Brinkhaus B, Santos-Rey K, Vas J, von Ammon K, Hegyi G, Dragan S, Uehleke B. A systematic literature review of complementary and alternative medicine prevalence in EU. Complementary Medicine Research. 2012;19(2):18- 28.

Bunchorntavakul C, Reddy KR. Herbal and dietary supplement hepatotoxicity. Alimentary Pharmacology & Therapeutics. 2013;37(1):3-17.

Heinrich M, Barnes J, Gibbons S, Williamson EM. Fundamentals of pharmacognosy and phytotherapy; 2012.

Najm W, Lie D. Herbals used for diabetes, obesity and metabolic syndrome. Primary Care: Clinics in Office Practice. 2010;37(2):237-54.

Alrowais NA, Alyousefi NA. The prevalence extent of Complementary and Alternative Medicine (CAM) use among Saudis. Saudi Pharmaceutical Journal. 2017;25(3):306-18.

Medagama AB, Bandara R, Abeysekera RA, Imbulpitiya B, Pushpakumari T. Use of Complementary and Alternative Medicines (CAMs) among type 2 diabetes patients in Sri Lanka: A cross sectional survey. BMC Complementary and Alternative Medicine. 2014;14(1):1-5.

Sheikhrabori A, Dehghan M, Ghaedi F, Khademi GR. Complementary and alternative medicine usage and its determinant factors among diabetic patients: An Iranian case. Journal of Evidence-based Complementary & Alternative Medicine. 2017;22(3):449-54.

Hillson R. Herbs and diabetes. Practical Diabetes. 2019;36(5):159-60.

Moretti F, van Vliet L, Bensing J, Deledda G, Mazzi M, Rimondini M, Zimmermann C, Fletcher I. A standardized approach to qualitative content analysis of focus group discussions from different countries. Patient Education and Counseling. 2011;82(3):420-8.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-88.

Barnes J. Quality, efficacy and safety of complementary medicines: Fashions, facts and the future. Part I. Regulation and quality. British Journal of Clinical Pharmacology. 2003;55(3):226-33.

Al-Garni AM, Al-Raddadi RM, Al-Amri TA. Patterns and determinants of complementary and alternative medicine use among type 2 diabetic patients in a diabetic center in Saudi Arabia: Herbal alternative use in type 2 diabetes. Journal of Fundamental and Applied Sciences. 2017;9:1738-48.

Ernst E. How the public is being misled about complementary/alternative medicine. Journal of the Royal Society of Medicine. 2008;101(11):528-30.

Ajazuddin SS. Legal regulations of complementary and alternative medicines in different countries. Pharmacognosy Reviews. 2012;6(12):154.

Williamson EM. Interactions between herbal and conventional medicines. Expert Opinion on Drug Safety. 2005;4(2):355-78.

World Health Organization. WHO traditional medicine strategy 2014–2023. Geneva: World Health Organization; 2015.

Alsanad S, Aboushanab T, Khalil M, Alkhamees OA. A descriptive review of the prevalence and usage of traditional and complementary medicine among Saudi diabetic patients. Scientifica; 2018.