PULSE Magazine UK: When patients ask you about herbal or 'natural' treatments

10 August, 2019

We read the piece below and decided to share it because it illustrates the correct way for herbalists to proceed with all herbs - research and trial the herbs for evidence of how they work and any side effects or interactions with other medications - good for patients and prescribers and policy makers: READ PON

'PULSE Magazine for GPs in UK

Case-based: menopause

Menopause causes many symptoms that can have a severe impact on a patient's quality of life so it's no wonder that women often want to look in to all possible lines of treatment - including alternative or herbal therapies. Here are some important points to bear in mind when patients ask you about herbal or 'natural' treatments:

- Soy may help reduce hot flushes but it contains phytoestrogens, so should not be used by women with a history of breast cancer.

- Agnus castus is widely used to treat perimenopausal hormone fluctuation in Germany but there is limited evidence for its use in menopause.

- Dong quai is a herb found in China, Japan and Korea. There is no evidence for its benefit in relieving menopausal symptoms and it also interacts with warfarin.

- Kava kava is a plant originating from the Pacific Islands. It has been withdrawn from the UK due to concerns over its effects on the liver and any patient taking it from abroad should be advised to stop.

Read the full article online https://www.pulse-learning.co.uk/login/index.php

AFRICA CENTRE FOR CLINICAL GOVERNANCE RESEARCH & PATIENT SAFETY

@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

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Website: www.hriwestafrica.com email: jneana@yahoo.co.uk ; hriwestafrica@gmail.com

HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: www.hriwestafrica.com Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.

http://www.hifa.org/support/members/joseph-0

http://www.hifa.org/people/steering-group

Email: jneana AT yahoo.co.uk