Pharmacists’ Knowledge, Attitudes and Practices Towards Herbal Remedies In West Bank, Palestine

Authors

  • Maher R Khdour Al-Quds University Faculty of Pharmacy P O BOX 20002 Abu Dies Jerusalem West Bank, Palestine
  • Manar Kurdi Al-Quds University Faculty of Pharmacy P O BOX 20002 Abu Dies Jerusalem
  • Hussein O Hallak Al-Quds University Faculty of Pharmacy P O BOX 20002 Abu Dies Jerusalem
  • Anan S. Jarab Al-Zaytoonah University of Jordan Faculty of Pharmacy Department of Pharmacy Amman Jordan
  • Mohammad Dweib Hebron University College of Pharmacy Hebron Palestine
  • Qusai N Al-Shahed Department of Pharmacy, Patient Friends Society/Al-Rahma PolyClinic, Nablus, Palestine.

DOI:

https://doi.org/10.3823/1974

Keywords:

Herbal Medicine, Atittude, Pharmacists, Herb-drug interaction, Palestine,

Abstract

Abstract

Background: There is an increasing trend towards consumption of complementary and alternative herbal products in many parts of the world.

Objectives: The purpose of this study was to investigate the knowledge and attitudes among

pharmacists in West Bank, Palestine towards the use of herbs.

Methods: Self-administered questionnaire was designed as the study instrument and distributed among 350 qualified pharmacists working in government and private pharmacies in West Bank, Palestine.

 

Results: The response rate was 82.9% (290/350). The mean age of the pharmacists was 32.9 (SD=6.5) years. The majority of the pharmacist 238 (82.1%) worked in the community pharmacies and their experience in practice ranged from 1 to 26 years. Product package instructions and product representative were the most consulted by the pharmacists (128; 44.2% and 73; 25.2% respectively). General health tonic preparations were the most widely dispensed drugs (142; 48.9%), followed by cough preparations (55; 19.0%) and slimming agents (64; 22.1%). The Majority of pharmacists (195; 67.2%) believed herbal remedies were effective; however, about fifty percent of the pharmacists had concern about their safety. The knowledge of respondents about the indications of herbal medicine was good, but their awareness of interactions, contraindications and adverse effects was inadequate. The majority of Pharmacists (255; 87.9%) believed that herbal product should undergo increased regulation and (215; 74.9%) believed that information available about herbal and natural product isn't adequate.

 

Conclusion: Many pharmacists in Palestine believed that herbal remedies were an effective alternative therapeutic option. Continuing education programs, for practicing pharmacists, in herbal medicine should be encouraged. This would enable pharmacists to provide competent, effective and holistic patient care.

Author Biography

Maher R Khdour, Al-Quds University Faculty of Pharmacy P O BOX 20002 Abu Dies Jerusalem West Bank, Palestine

Al-Quds University
Faculty of Pharmacy

References

Kwan, D., Hirschkorn, K., & Boon, H. U.S. Canadian pharmacists' attitudes, knowledge, and professional practice behaviors toward dietary supplements: A systematic review. BMC Complementary and Alternative Medicine. 2006; 6, 31, 1-10

Hasan MY, Das M, Behjat S. Alternative medicine and the medical profession: views of medical students and general practitioners. East Mediterr Health J. 2000 ;6(1):25-33.

Ali-Shtayeh MS, Yaniv Z, Mahajna J. Ethnobotanical survey in the Palestinian area: a classification of the healing potential of medicinal plants. J. of Ethnopharmacology. 2000; 73, 221 – 232

Khdour MR, Hallak HO. Societal perspectives on community pharmacy services in West Bank - Palestine. Pharmacy Practice. 2012; 10(1):17-24

Al Braik FA, Rutter PM, Brown D. A cross-sectional survey of herbal remedy taking by United Arab Emirate (UAE) citizens in Abu Dhabi. Pharmacoepidemiol Drug Saf. 2008; 17:725- 732.

Kanan S., Abu-Yousef I., Gunasekar C., Abdo N. and Narasimhan. Detection and Quantification of synthetic drugs in herbal slimming formula. Eur J Sci Res. 2009;34(3):348-357

Khdour M, Alayasa K, Al-Shahid Q et al. Physicians' perceptions, attitudes and expectations regarding the role of hospital-based pharmacists in the West Bank, Palestine. Int J Pharm Prac.3013; 21(3):178-84

Clauson KA, Mc-Queen CE, Sheild KM, Bryant RJ. Knowledge and attitudes of pharmacists in Missouri regarding natural products. Am J Pharm Educ.2003; 67:301-309

Khdour M, Anan S. Jarab, Heba O. Adas, et al. Identification of Drug-Related Problems: A Prospective Study in Two general Hospitals. Current Clinical Pharmacology. 2012; 7:276-281

Al-Awamy BH. Evaluation of commonly used tribal and traditional remedies in Saudi Arabia. 2001; Saudi Med J. 22(12):1065-8

Naidu S, Wilkinson JM. Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother. 2005;39:1456-61

Brown CM, Barner JC, Shah SJ. 2005 Community pharmacists’ actions when use complementry and alternative therapies with medications. J Am Pharm Assoc.2005; 45:41-7.

Bennett J, Brown CM. Use of herbal remedies by patients in a health maintenance organization. J Am Pharm Assoc.2000; 40:353-8.

Cockayne NL. Health professionals rarely record history of complementary and alternative medicines. British Journal of Clinical Pharmacology. 2005;59(2):254–258.

Coon JT and Ernst E. Panax ginseng: a systematic review of adverse effects and drug interactions. Drug Safety. 2002; 25(5):323–344.

Abahussain NA. Pharmacists’ attitudes and awareness towards the use and safety of herbs in Kuwait. Pharmacy Practice. 2007; 5(3):125–129.

Alkharfy, K.M. Community pharmacists' knowledge, attitudes and practices towards herbal remedies in Riyadh, Saudi Arabia. East Mediterr Health. 2010; 16(9): p. 988-93.

De-Smet PA. Herbal remedies. N Engl J Med.2002; 347:2046-55

Ajaji N, Taha AZ, Al-Subaie AG. Prevalence of utilization of native medicine among primary care consumers. Saudi MedJ. 1998; 19: 551-4.

Izzo AA . Cardiovascular pharmacotherapy and herbal medicines: the risk of drug interaction. International Journal of Cardiology. 2005; 98(1):1–14.

Zhou S. Interactions of herbs with cytochrome P450. Drug Metabolism Reviews, 2003; 35(1):35–98.

Zhou S . Herbal modulation of P-glycoprotein. Drug Metabolism Reviews. 2004; 36(1):57

Khdour MR, Hallak HO, Shaeen M, Jarab AS, Al-Shahed QN. Prevalence, awareness, treatment and control of hypertension in Palestinain population. Journal of Human Hypertenstion.2013; (1). 1-6

Clauson KA, Santamarina ML, Rutledge JC; Clinically relevant safety issues associated with St. John's wort product labels. BMC Complement Altern Med. 2008 Jul 17;8:42.

Mackowiak ED, Parikh A, Freely J. Herbal product edu-cation in United States pharmacy schools: core or elective pro-gram? Am J Pharm Educ. 2001; 65:1-6.

Scott CJ, Riedlinger J. Promoting education about complementary or alternative therapies. Am J Health-Syst Pharm. 1998; 55:2525-7.

Smith RE. AACP Chair Report of the 1997-98 Academic Affairs Committee. Am J Pharm Educ. 1999; 62:8S-13S.

Downloads

Published

2016-06-07

Issue

Section

Global Health & Health Policy