Complementary and alternative medicine in chronic neurological pain

Mishra, Shrikant; Trikamji, Bhavesh; Togneri, Elizabeth

doi:10.4103/0970-5333.153594

Cited by 6 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Earlier studies which were not targeted to participants of any particular age group have shown the CAM usage in patients in general to be in the range of 30-40%. [1,18] But, those studies which have focused on elderly age group or have analyzed the CAM usage in patients of diseases such as osteoarthritis and diabetes, where the chances of a patient being elderly is more, have reported the prevalence in the range of 41% to 67%. [12,19] The higher use of CAM in the elderly age group can be understood to be due to the increase in the number of chronic diseases, most of which can only be controlled and not cured in the current therapeutic scenario.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of complementary and alternative medicines in Indian elderly patients

Sharma¹,

Dubey²,

Malhotra³

et al. 2017

Natl J Physiol Pharm Pharmacol

View full text Add to dashboard Cite

Background: Use of complementary and alternative medicine (CAM) is more common in elderly patients due to the prevalence of various age-related chronic medical conditions. The pharmacokinetics and pharmacodynamics change with age and are different in the elderly as compared to a young adult. Non-disclosure of CAM usage voluntarily by the patients, along with the practice of poly-pharmacy for various comorbidities and concurrent use of modern medicine with CAM, makes this age group particularly prone to adverse effects of drugs and the drug-drug interactions. Use of CAM assumes further importance in the context of Indian elderly, due to the widespread belief in traditional medicines and easy over-the-counter availability of many prescription drugs in India. Aims and Objective: The study was conducted to understand and analyze the knowledge, attitude, and perception of CAM usage specifically in elderly Indian patients, which to the best of our knowledge has yet not been assessed previously. Materials and Methods: It was a descriptive cross-sectional study assessing a representative sample of 325 elderly patients over the age of 60 years. Data collection was done after face-to-face interview-based survey administered on a semi-structured questionnaire. Results: The number of CAM users (65.5%) was significantly more than the non-users (P ≤ 0.05). In the age group between 60 and 69 years, 59% had used CAM, as compared to a significantly more number of 76% patients (P ≤ 0.05), in the age group above 70 years. The CAM practice in the elderly was not influenced significantly by gender, education, rural or urban background, and distance from the health-care facility of modern medicine system. CAM was the initial choice of therapy for 65.7% of the users. Ayurveda was the most popular practice (64.8%), followed by homeopathy (62.4%) with many patients using both the practices together. Use of CAM practices concomitantly with modern medicine was not considered unsafe by 56.8% of patients. The physicians of modern medicine did not ask 91.5% of elderly patients about CAM usage and 85.5% of patients did not volunteer any information on CAM usage unless asked for. Conclusions: The study suggests the need to acknowledge and explore the high prevalence of CAM usage with increasing age in the Indian elderly, both to identify the irrational usage of CAM alone or in combination with the modern medicine system and to facilitate the integration of rational CAM practices in the mainstream medicine.

show abstract

Section: Discussionmentioning

confidence: 99%

“…[1] Unani, Siddha, chiropractic, acupuncture, aromatherapy, herbal medicine, naturopathy, and similar examples of other CAM practices, alone or concomitantly with the modern medicine, is a common practice all over the world. Studies in the Western countries suggest that 35-60% of adults use some form of CAM and the usage is on the rise.…”

Section: Introductionmentioning

confidence: 99%

Use of complementary and alternative medicines in Indian elderly patients

Sharma¹,

Dubey²,

Malhotra³

et al. 2017

Natl J Physiol Pharm Pharmacol

View full text Add to dashboard Cite

show abstract

“…However, complementary and alternative medicine might be a novel solution because their great repertoire of techniques includes nonpharmacological remedies (massage, acupuncture, yoga, etc.) and the use of herbal medicine [5] to reduce opioid misuse, diminish avoidable costs, and improve health outcomes [78]. Therefore, herbal medicine is an important element of health systems in many developing and industrialized countries [79].…”

Section: Effects Of Medicinal Plants On Animal Models Of Painmentioning

confidence: 99%

“…However, patients do not inform the use of natural products to their physicians, which may lead to potential health problems caused by pharmacological interactions with other drugs prescribed. This represents a relevant issue in countries where the use of plants is common but not necessarily regulated [5]. In the search for new effective and safe alternatives to treat several processes of pain, natural resources have been a relevant option for current medicine.…”

Section: Introductionmentioning

confidence: 99%

Pharmaceutical and Botanical Management of Pain Associated with Psychopathology: A Narrative Review

Lozano¹,

Sánchez²,

Rodríguez³

et al. 2020

Behavioral Pharmacology - From Basic to Clinical Research

View full text Add to dashboard Cite

Generally, pain can be described as an unpleasant sensory or emotional experience associated with tissue damage. Chronic pain has become a public health problem because among 35 and 75% of the world population has shown the symptom. In particular, neuropathic pain has shown high comorbidity disorders such as anxiety and depression. Conventional therapies for treating pain include nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, tricyclic antidepressants, anticonvulsants, and opioids, which usually cause some side effects such as gastritis, headache, liver and kidney toxicity, and drug dependence. Conventional pharmaceuticals also tend to be expensive, and they cannot be easily afforded in developing countries, which have led to the use of natural products as an alternative treatment. In this chapter, we reviewed the current research of natural products for pain treatment. We also describe preclinical studies that assess the effect of some natural products on pain therapy, phytochemistry research, toxicity, adverse effects, and biosecurity. We also describe how conventional pain is managed and the possible use of compounds obtained from vegetable species for pain treatment.

show abstract

“…Até o momento, não existe evidência suficiente para recomendar ou não o uso da acupuntura no tratamento da dor neuropática crônica (Ju et al, 2017). (Pittler et al, 2008, Mishra et al, 2015. (Spiller et al, 1912) .…”

Section: Acupunturaunclassified

Utilização de potenciais evocados a laser para avaliação da dor neuropática crônica durante a estimulação do gânglio da raiz dorsal

Filho¹,

de²

View full text Add to dashboard Cite

Complementary and alternative medicine in chronic neurological pain

Cited by 6 publications

References 6 publications

Use of complementary and alternative medicines in Indian elderly patients

Use of complementary and alternative medicines in Indian elderly patients

Pharmaceutical and Botanical Management of Pain Associated with Psychopathology: A Narrative Review

Utilização de potenciais evocados a laser para avaliação da dor neuropática crônica durante a estimulação do gânglio da raiz dorsal

Contact Info

Product

Resources

About