Attitudes, Knowledge and Practice of Herbal Remedy Use among the Population Visiting Pharmacies and Health Care Providers in Alexandria, Egypt: A Cross-Sectional Study

Main Article Content

Hoda Fathy
Raghda El-Hawy
Raghda Hassan

Abstract

Aims: To show the levels of awareness, attitude, practices and socioeconomic factors related to consuming herbal products among Alexandrian citizen visiting pharmacies. The findings of this study are meant also to show the practices and beliefs of healthcare providers regarding using herbal remedies in treatment, including advising patients, reporting adverse effects and possessing knowledge about specific herb-drug interactions.

Study Design:  people visiting pharmacies as well as pharmacists in their pharmacies and physicians in their clinics were invited to complete a questionnaire about their knowledge and personal experience in the consumption of herbal remedy. Anonymity was guaranteed. Questionnaire consists of three parts: demographic data, personal experience and a part concerning health care providers.

Place and Duration of Study: Study area is the city of Alexandria, Egypt from the 1st July through September 2018.

Methodology: This is a descriptive cross-sectional study that used a self-administered, questionnaire from 213 participants (153+ 60 health care providers HCPs).

Results: Almost half the respondents preferred to be treated with herbs because they believed that herbs are safe. But they are not the proper choice to cure chronic diseases. Only 25% of herb users recorded suffering from side effects. The most common source of information about herbs was via internet, followed by family and friends, television and other types of media. Herbal remedies were purchased mainly from outlets other than pharmacies. The willingness to buy such products was not affected by participants’ education level or their monthly income. The public didn’t feel it’s important to mention any herbal remedy they consume to their physician; similarly HCPs did not ask them. Generally, it was shown that HCPs have inadequate knowledge about herbs.

Conclusion: The prevalence of herb usage is moderate among the Alexandrian population. And it is imperative to educate HCPs about the benefits, risks and interactions of herbal supplements.

Keywords:
Alexandria, herbal medicines, herb-drug interactions, questionnaire.

Article Details

How to Cite
Fathy, H., El-Hawy, R., & Hassan, R. (2019). Attitudes, Knowledge and Practice of Herbal Remedy Use among the Population Visiting Pharmacies and Health Care Providers in Alexandria, Egypt: A Cross-Sectional Study. European Journal of Medicinal Plants, 30(2), 1-10. https://doi.org/10.9734/ejmp/2019/v30i230170
Section
Original Research Article

References

Ekor M. The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Front Pharmacol. 2014;4:177.
DOI: 10.3389/fphar.2013.00177

Al-Kindi RM, Al-Mushrafi M, Al-Rabaani M, Al-Zakwani I. Complementary and alternative medicine use among adults with diabetes in Muscat Region, Oman. Sultan Qaboos Univ Med J. 2011;11(1):62–68. DOI: org/10.15344/2456-8171/2016/106

WHO traditional medicine strategy 2014- 2023. Available:https://www.who.int/medicines/publications/traditional/trm_strategy14_23/en/

Mostafa N, Singab A. Prospective of Herbal Medicine in Egypt. Med Chem (Los Angeles). 2018;8:116-117.
DOI: 10.4172/2161-0444.1000502

Dietary supplement Health and Education Act 1994, Public Law 103-417,103rd congress page. Food and Drug Administration Website.
Available:http://www.fda.gov/opacom/laws/dshea.html. [Access date 05.03.2019]

The Egyptian Guidelines for Registration of Herbal Medicines; 2015.
Available:http://www.eda.mohp.gov.eg/images/News/F_53.pdf
[access date 05.06.2019]

The Egyptian Guidelines for Registration of Herbal Medicines; 2016. Available:http://www.eda.mohp.gov.eg/images/News/F_67.pdf
[Access date 05.06.2019]
Pharmaceutical country profile.
Available:https://www.who.int/medicines/areas/coordination/Egypt
_PSCPNarrativeQuestionnaire_27112011.pdf.
[access date 29.05.2019]

Farrell J, Ries N, Boon H. Pharmacists and Natural Health Products: A systematic analysis of professional responsibilities in Canada. Pharm Pract (Granada). 2008;6(1):33–42.
DOI: 10.4321/s1886-36552008000100006

Oshikoya K, Oreagba I, Ogunleye OO, Oluwa R, Senbanjo I, Olayemi S. Herbal medicines supplied by community pharmacies in Lagos, Nigeria: pharmacists' knowledge. Pharm Pract (Granada). 2013;11(4):219–227.
DOI: 10.4321/s1886-36552013000400007

Hutchinson S, Mitchell K, Hansford D, Stewart D. Community pharmacists' views and experiences of counter-prescribing in pregnancy. Int J Pharm Pract. 2001;9:15–21;
DOI:org/10.1111/j.2042-7174.2001.tb01024.x

Chang ZG, Kennedy DT, Holdford DA, Small RE. Pharmacists' knowledge and attitudes toward herbal medicine. Ann Pharmacother. 2000;34:710–715.
DOI: 10.1345/aph.19263

Sekhria K, Bhanwrab S, Nandhaa R. Herbal products: A survey of students’ perception and knowledge about their medicinal use. Int J Basic Clin Pharmacol. 2013;2:71-6.
DOI: 10.5455/2319-2003.ijbcp20130114

Griffin B., Citkovitz C. Survey: Preferences and Limitations of Herbal Medicine Use Among Patients at a Community Acupuncture Clinic. Acupunct Med. 2017; 29(1).
DOI: org/10.1089/acu.2016.1204

Ameade E., Amalba A., Helegbe G. Mohamed B. Herbal medicine: a survey on the knowledge and attitude of medical students in Tamale, Ghana model. PJMPR. 2015;3(1)1-8.
DOI: 10.1016/j.jtcme.2015.03.004

Fahmy SA, Abdu S, Abuelkhair M. Pharmacists’ attitude, perceptions and knowledge towards the use of herbal products in Abu Dhabi, United Arab Emirates. Pharm Pract (Granada). 2010; 8(2):109-115.
DOI: 10.4321/S1886-36552010000200005

Awad A. and Al-Shaye D. Public awareness, patterns of use and attitudes toward natural health products in Kuwait: a cross-sectional survey. BMC Complem Altern M. 2014;14:105.
DOI: 10.1186/1472-6882-14-105

Reddy GD, Reddy AG, Rao GS, Kumar MV. Pharmacokinetics interaction of Garlic and atorvastatin in dyslipidemic rats. Indian J. Pharmacol. 2012;44(2):246-252.
DOI: 10.4103/0253-7613.93860

Sim T, Sheriff J, Hattingh L, Tee L. The use of herbal medicines during breastfeeding: a population-based survey in Western Australia. BMC Complem Altern. 2013;13:317.
DOI.org/10.1186/1472-6882-13-317

Shinde P, Patil P. and Bairagi V. Herbs in pregnancy and lactation: a review appraisal. IJPSR, 2012; Vol. 3(9): 3001-3006.

DOI.org/10.13040/IJPSR.0975-8232
Available:WebMd.www.content.health.msn.com/content/drugs/2/4046
[Accessed March 10, 2019]

AlBraik A, Rutter M, Brown D. A cross-sectional survey of herbal remedy taking by United Arab Emirate (UAE) citizens in Abu Dhabi. Pharmacoepidemiol drug saf. 2008;(7): 725-32.
DOI: 10.1002/pds.1591

Kelak JA, Cheah WL, Safii R. Patient's decision to disclose the use of traditional and complementary medicine to medical doctor: A descriptive phenomenology study. Evid Based Complement Alternat Med. 2018:4735234.
DOI:.org/10.1155/2018/4735234

Wahner-Roedler DL, Vincent A, Elkin PL, Loehrer LL, Cha SS, Bauer BA. Physicians' attitudes toward complementary and alternative medicine and their knowledge of specific therapies: a survey at an academic medical center. Evid Based Complement Alternat Med. 2006;3(4):495–501.
DOI:10.1093/ecam/nel036

Sharma V, Holmes JH, Sarkar IN. Identifying Complementary and Alternative Medicine Usage Information from Internet Resources. A Systematic Review. Methods Inf Med. 2016;55(4):322–332.
DOI: 10.3414/ME15-01-0154

Patterson C, Arthur H. A complementary alternative medicine questionnaire for young adults. Integr Med Insights. 2009;4:1–11.
DOI: .org/10.4137/IMI.S2281.

Alwhaibi M, Sambamoorthi U. Sex Differences in the Use of Complementary and Alternative Medicine among Adults with Multiple Chronic Conditions. Evid Based Complement Alternat Med.2016:2067095.
DOI:10.1155/2016/2067095

Hijazi MA, Shatila H, El-Lakany A, et al. Beliefs. Practices and knowledge of community pharmacists regarding complementary and alternative medicine: national cross-sectional study in Lebanon. BMJ Open. 2019;9:e025074.

DOI: 10.1136/ bmjopen-2018-025074

Hilal M, Hilal S. Knowledge, attitude and utilization of herbal medicines by physicians in the Kingdom of Bahrain: A cross-sectional study. J Assoc Arab Univ Basic App Sci. 2017;24:325- 333.
DOI: .org/10.1016/j.jaubas.2016.11.001.

Harris IM, Kingston RL, Rodriguez R, et al. Attitudes towards complementary and alternative medicine among pharmacy faculty and students. Am J Pharm Educ. 2006;70:129.
DOI: 10.5688/aj7006129