Use of medicinal herbs by patients with severe asthma managed at a Referral Center

Brazilian Journal of Pharmaceutical Sciences - Tập 47 Số 3 - Trang 643-649 - 2011
Tacila ́Pires Mega1, P Moura Santos2, Adelmir Souza‐Machado3, Lúcia de Araújo Beisl Costa Noblat1, Álvaro A. Cruz3
1Federal University of Bahia
2Federal University of Bahia; Program for the Control of Asthma in Bahia
3Program for the Control of Asthma in Bahia

Tóm tắt

Asthma is a chronic inflammatory disease of the airways that may lead to limitations in regular activities, to hospitalizations and a decrease in quality of life. Adherence to drug treatment is crucial for control of the disease. The use of medicinal herbs can reduce adherence to prescriptions, as the medication may be replaced by infusions or herbal products. The objective of this study was to evaluate the frequency of use of traditional herbal medicine among severe asthmatics in Salvador. Information on use of homemade remedies was obtained through application of a questionnaire during patient visits to a referral center. We also collected data on economic and social aspects as well as disease control. One hundred and forty-four (91,1%) out of one hundred and fifty-eight patients evaluated used herbal medicines, but only 26.5% attributed improvement of asthma symptoms to this alternative treatment and only 8 had substituted a prescribed medication by herbal medicines. There was a trend towards lower adherence to prescription drug treatment in this group of patients. Despite the high frequency of use of medicinal herbs in our sample, there was no improvement in the asthma treatment in this population compared to non-users. Adherence to conventional drug treatment was satisfactory and there was neither reduction in asthma control nor increase in hospitalizations among the users of medicinal plants.

Từ khóa


Tài liệu tham khảo

ABUHAMDAH S., 2008, Pharmacological profile of an essential oil derived from Melissa officinalis with anti-agitation properties: focus on ligand-gated channels, J. Pharm. Pharmacol., 60, 377, 10.1211/jpp.60.3.0014

AGRA M. F., 2008, Survey of medicinal plants used in the region Northeast of Brazil, Braz J. Pharmacogn., 18

ALMEIDA M. Z., 2003, 2

ASHER M. I., 2006, Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys, Lancet, 368, 733, 10.1016/S0140-6736(06)69283-0

BARNES J., 2003, Quality, efficacy and safety of complementary medicines: Fashins, facts and future: Part II: efficacy and safety, Br. J. Clin. Pharmacol., 55, 331, 10.1046/j.1365-2125.2003.01811.x

BLANC P. D., 1997, Use of herbal products, coffee or black tea, and over-the-counter medications as self-treatments among adults with asthma, J. Allergy Clin. Immunol., 100, 789, 10.1016/S0091-6749(97)70275-6

BLANC P. D., 2001, Alternatives teraphies among adults with reported diagnosis of asthma or rhinosinusitis: data from a population-based survey, Chest, 120, 1461, 10.1378/chest.120.5.1461

CARVAJAL-URUENA I., 2005, Geographic variation in the prevalence of asthma symptoms in Spanish children and adolescents: International Study of Asthma and Allergies in Childhood (ISAAC) Phase 3, Spain, Arch. Bronconeumol., 41, 659, 10.1016/S1579-2129(06)60333-9

CLEMENT Y. N., 2005, Medicinal herb use among asthmatic patients attending a specialty care facility in Trinidad, BMC Complement. Altern. Med., 5, 12

CORRÊA M. P., 1984

CRUZ G. L., 1995, 5

ERNST E., 1998, Complementary therapies for asthma: what patients use, J. Asthma,, 35, 667, 10.3109/02770909809048969

FRANCO R., 2007, Cost-effectiveness analysis of a state funded program for control of severe asthma, BMC Public Health (online), 7

2006

JOSE V. M., 2007, Study of association between use of complementary and alternative medicine and non-compliance with modern medicine in patients presenting to the emergency department, J. Postgrad. Med., 53, 96, 10.4103/0022-3859.32208

JUNIPER E. F., 1999, Development and validation of a questionnaire to measure asthma control, Eur. Respir. J., 14, 902, 10.1034/j.1399-3003.1999.14d29.x

LAINETTI R., 1979

LEITE M., 2008, Evaluation of the asthma control questionnaire validated for use in Brazil, J. Bras. Pneumol., 34, 756

MCKAY D. L., 2006, A review of the bioactivity and potential health benefits of chamomile tea (Matricaria recutita L.), Phytother. Res., 20, 519, 10.1002/ptr.1900

MOREIRA R. C. T., 2002, Abordagem etnobotância acerca do uso de plantas medicinais na Vila Cachoeira, Ihéus, Bahia, Brasil, Acta Farm. Bonaerense, 21, 205

NG T. P., 2003, The use of complementary and alternative medicine by asthma patients, QJM, 96, 747, 10.1093/qjmed/hcg121

PARTRIDGE M. R., 2003, The use of complementary medicine by those with asthma, Respir. Med., 97, 436, 10.1053/rmed.2002.1403

PINTO E. P. P., 2006, Conhecimento popular sobre plantas medicinais em comunidades rurais de mata atlântica- Itacaré, BA, Brasil, Acta Bot. Bras., 20, 751, 10.1590/S0102-33062006000400001

SANTOS P. M., 2008, Predictors of adherence to treatment in patients with severe asthma treated at a referral center in Bahia, Brazil, J. Bras. Pneumol., 12, 995

SHAW A., 2008, Predictors of complementary therapy use among asthma patients: results of a primary care survey, Health Soc. Care Community., 16, 155, 10.1111/j.1365-2524.2007.00738.x

SINGH V., 2002, Barriers in the management of asthma and attitudes towards complementary medicine, Respir. Med., 96, 835, 10.1053/rmed.2002.1368

SLADER C. A., 2006, Complementary and alternative medicine use in asthma: Who is using what?, Respirology, 11, 373, 10.1111/j.1440-1843.2006.00861.x

2006, IV Diretrizes Brasileiras para o manejo da Asma, J. Bras. Pneumol., 32, S447

SOLÉ D., 2006, Prevalence of symptoms of asthma, rhinitis, and atopic eczema among Brazilian children and adolescents identified by the International Study of Asthma and Allergies in Childhood (ISAAC)- Phase 3, J. Pediatr., 82, 341

SZELENYI I., 2002, Herbal remedies for asthma treatment: between myth and reality, Drugs Today, 38, 265, 10.1358/dot.2002.38.4.668337

TIRAPELLI C. R., 2007, Antispasmodic and relaxant effects of the hidroalcoholic extract of Pimpinella anisum (Apiaceae) on rat anococcygeus smooth muscle, J. Ethnopharmarcol., 110, 23, 10.1016/j.jep.2006.08.031

2007

YAN D. C., 2005, Prevalence and severity of symptoms of asthma, rhinitis, and eczema in 13- to 14-year-old children in Taipei, Taiwan, Ann. Allergy, Asthma Immun., 95, 579, 10.1016/S1081-1206(10)61022-8

Thông tin
Thông tin xuất bản

Brazilian Journal of Pharmaceutical Sciences

Tập 47 Số 3

643-649

Thông tin tác giả