Experiences with complementary remedies: preliminary results of a survey of community pharmacists

Objective

Complementary remedies are often considered to be free from adverse effects. This, however, is a misconception; adverse drug reactions (ADRs) can occur. As herbal and other remedies are widely sold in pharmacies and largely used on a self-treatment basis, community pharmacists are well-placed to assist in monitoring for problems with such remedies. A recent survey of herbal-remedy users showed that around 10% would consult their pharmacist for a suspected ADR to a herbal remedy.

The aim of the present survey was to ascertain community pharmacists’ experiences with complementary remedies. Specifically: does the public ask pharmacists for such remedies; what remedies do pharmacists recommend; do pharmacists routinely question patients about their use of complementary remedies; do pharmacists identify or receive reports of suspected ADRs or drug interactions associated with such remedies; is there is any difference in the action pharmacists would take upon receiving a report of an ADR to a herbal remedy and a similar ADR to a conventional over-the-counter medicine.

Materials and methods

A questionnaire was designed, piloted and amended. The questionnaire and a reply-paid envelope were posted, along with a booklet of stamps as an incentive, to all 1337 community pharmacists (as indicated on RPSGB members retention fee) in 6 UK regions in 1998. Non-responders received 2 follow-up mailings and, where possible, a follow-up telephone call between the 2nd and 3rd mailings.

Results and conclusion

Preliminary results will be presented at the symposium.