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International Journal of Clinical Pharmacy

, Volume 35, Issue 5, pp 835–840 | Cite as

Consumers’ attitude towards the use and safety of herbal medicines and herbal dietary supplements in Serbia

  • Isidora Samojlik
  • Vesna Mijatović
  • Neda Gavarić
  • Sonja Krstin
  • Biljana Božin
Research Article

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.

Keywords

Consumers’ attitude Herbal dietary supplements Herbal medicines Interactions Safety Serbia 

Notes

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.

Funding

The present study received no external funding.

Conflicts of interest

There are no conflicts of interest.

References

  1. 1.
    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.Google Scholar
  2. 2.
    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.PubMedCrossRefGoogle Scholar
  3. 3.
    Capasso F, Gaginella TS, Grandolini G, Izo AA, editors. Phytotherapy: a quick reference to herbal medicine. Berlin: Springer; 2003. ISBN 3-540-00052-6.Google Scholar
  4. 4.
    Wiancek DA, editor. Natural healing companion. Emmaus, PA: St. Martin’s Press; 2000. ISBN 157954245X.Google Scholar
  5. 5.
    World Health Organization. National policy on traditional medicine and regulation of herbal medicines. Report of WHO global survey. 2005. ISBN 92 4 159323 7.Google Scholar
  6. 6.
    Cavaliere C, Rea P, Lynch ME, Blumenthal M. Herbal supplement sales experience slight increase in 2008. HerbalGram. 2009;82:58–61.Google Scholar
  7. 7.
    Mason P, editor. Dietary supplements. 3rd ed. London: Pharmaceutical Press; 2007. ISBN 978 0 85369 653 7.Google Scholar
  8. 8.
    Herbal medicinal products in the European Union. Available at: http://www.aesgp.eu/media/cms_page_media/68/HerbalMedicines_EN.pdf.
  9. 9.
    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.
  10. 10.
    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.Google Scholar
  11. 11.
    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.PubMedCrossRefGoogle Scholar
  12. 12.
    Dickinson A, Boyon N, Shao A. Physicians and nurses use and recommend dietary supplements: report of a survey. Nutr J. 2009;8:29.PubMedCrossRefGoogle Scholar
  13. 13.
    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.PubMedCrossRefGoogle Scholar
  14. 14.
    Williamson E, Driver S, Baxter K, editors. Stockley’s herbal medicines interactions. London: Pharmaceutical Press; 2009. ISBN 978 0 85369 760 2.Google Scholar
  15. 15.
    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.PubMedCrossRefGoogle Scholar
  16. 16.
    Kennedy J. Herb and supplement use in the US adult population. Clin Ther. 2005;27(11):1847–58.PubMedCrossRefGoogle Scholar
  17. 17.
    De Smet PAGM. Health risks of herbal remedies: an update. Clin Pharmacol Ther. 2004;76(1):1–17.PubMedCrossRefGoogle Scholar
  18. 18.
    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.CrossRefGoogle Scholar
  19. 19.
    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.CrossRefGoogle Scholar
  20. 20.
    Rivera JO, Hughes HW, Stuart AG. Herbals and asthma: use patterns among a border population. Ann Pharmacother. 2004;38(2):220–5.PubMedCrossRefGoogle Scholar
  21. 21.
    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.PubMedCrossRefGoogle Scholar
  22. 22.
    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.PubMedCrossRefGoogle Scholar
  23. 23.
    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.PubMedCrossRefGoogle Scholar
  24. 24.
    Chavez ML, Jordan MA, Chavez PI. Evidence-based drug–herbal interactions. Life Sci. 2006;78:2146–57.PubMedCrossRefGoogle Scholar
  25. 25.
    Meisel C, Johne A, Roots I. Fatal intracerebral mass bleeding associated with Ginkgo biloba and ibuprofen. Atherosclerosis. 2003;167(2):367.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Isidora Samojlik
    • 1
  • Vesna Mijatović
    • 1
  • Neda Gavarić
    • 2
  • Sonja Krstin
    • 2
  • Biljana Božin
    • 2
  1. 1.Department of Pharmacology, Toxicology and Clinical Pharmacology, Faculty of MedicineUniversity of Novi SadNovi SadSerbia
  2. 2.Department of Pharmacy, Faculty of MedicineUniversity of Novi SadNovi SadSerbia

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