The prevalence of polypharmacy among older adults living on the US side of the border was similar to national trends (estimates suggest that one-quarter to one-half of US adults aged >or=65 years take five or more medications). However, polypharmacy was less common in older adults living on the Mexican side of the border. Additionally, herb use was higher in older adults living on the US-Mexico border than has been reported in national surveys of US adults, which indicate that less than one-quarter of adults have used a herbal product within the previous 12 months. Furthermore, this study demonstrated that older adults living on the US side of the border consumed more herbs and nutritional supplements than their Mexican counterparts. In addition to describing product use patterns on the border, these findings suggest that almost half of the older adult participants were at risk for a potential drug-drug interaction, with approximately one-third having a potential interaction between their medications, herbs or nutritional supplements.

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The study objective was to compare the prevalence of herbal product use between El Paso, Texas, and Ciudad Juárez, Chihuahua, the largest U.S./México border population. 500 households on each side of the border were randomly selected following a strict procedure for household and participant selection. 1001 adult residents of selected households participated. Trained bi-lingual interviewers conducted semistructured interviews using a bi-lingual questionnaire. A chi-square test was used to compare populations when considering discrete variables and a t test was used for continuous variables. There was no significant difference in the overall prevalence of herbal product (HP) use between the El Paso (68%) and Ciudad Juárez samples (65%). El Paso residents used a greater number of HPs compared to Ciudad Juárez residents (P = 0.001). The most common HPs used in El Paso were chamomile, aloe vera, garlic, peppermint and lime. In Ciudad Juárez, they were chamomile, eucalyptus, garlic, linden tree flower and peppermint. In addition, intra-city variation in the use of HPs was observed. On both sides of the border, relatives were the most common source of advice regarding HP use, and most HPs were reportedly used in raw form. While participants in both groups believed that the HPs were effective and safe, a large number of HPs that could potentially be responsible for drug interactions, and side effects were identified. Very low disclosure rates to physicians were reported (33% in El Paso and 14% in Ciudad Juárez). A high prevalence of HP use was documented on both sides of the U.S./México border. Some significant variations in HP use were also identified. The possibilities of HP-related problems combined with low disclosure rates are of significant concern.

Mexico has a rich tradition in medicinal plant use within its diverse traditional healing practices. Many people have used medicinal herbs to treat a variety of diseases and ailments for many generations. Located in the northeast, Monterrey is Mexico's third largest city and one of the most industrialized cities in Latin America. In spite of widespread use of modern pharmaceuticals, and the availability of "scientific" or mainstream medicine in this city, many people still rely on traditional healers, as well as the use medicinal plants to combat illness. This study was undertaken in order to obtain information regarding the most popular medicinal plants used in Monterrey, as well as their uses, forms of application, and origin. Thirteen herbal providers voluntarily accepted to be interviewed within 2 of the city's largest popular herbal marketplaces. A questionnaire written in the Spanish language was provided to all interviewees, regarding their years in business, their source of information or expertise in recommending herbs, as well as the type of herbs employed for the treatment of various diseases or afflictions. Fifty-six medicinal plants belonging to 27 botanical families, mostly sold as crude herbs, were mentioned by the herbal providers as being the most commonly used to treat various ailments.