Herbal Self-Medication at Primary Health Care Facilities in Trinidad

Clement, Y

doi:10.1089/acm.2008.0295

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…Physician awareness of concomitant herb-drug use and the percentage of physicians proactively asking patients are in line with two previous surveys in Jamaica (Delgoda et al, , 2010. Research in neighbouring Trinidad and Tobago (Clement et al, 2005;Clement, 2009), previously cited by Delgoda et al (2010) revealed a higher percentage of physicians asking their patients about their use of herbs. Physicians were found to be more accepting of herbal medicine use in their patients but exhibited poor knowledge of herbs leading to a gap in communication.…”

Section: Discussionsupporting

confidence: 88%

“…Physicians were found to be more accepting of herbal medicine use in their patients but exhibited poor knowledge of herbs leading to a gap in communication. The level of concomitant herb-drug use reported in primary care centres at 29% was close to that reported in our sub population of concomitant herb-drug users (25.9%) (Clement et al, 2005;Clement, 2009). …”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

The prevalence of herbal medicine home use and concomitant use with pharmaceutical medicines in Jamaica

Picking

Younger

Mitchell

et al. 2011

Journal of Ethnopharmacology

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

The prevalence of herbal medicine home use and concomitant use with pharmaceutical medicines in Jamaica

Picking

Younger

Mitchell

et al. 2011

Journal of Ethnopharmacology

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“…This pattern of prescriptions for antihypertensives had been previously observed in Mexico [7] and, taking into consideration the evolution in time, with some variation, is quite coincidental with that observed in other diverse countries such as Peru [11], Turkey [12], Portugal [13], Nigeria [14], Trinidad [15], Sweden [16] or Spain [17]. Thus, the current pattern of antihypertensive use in most of the countries would be that of a decline in the traditionally recommended medications, diuretics and beta-blockers, and an increase in newer medications such as ACEIs and ARBs; calcium-channel blockers would have a marginal role in this pattern.…”

Section: Discussionsupporting

confidence: 81%

Prescription patterns of antihypertensives in a community health centre in Mexico City: a drug utilization study

Alba-Leonel

Carvajal

Fierro

et al. 2016

Fundamemntal Clinical Pharma

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Hypertension is highly prevalent; in Mexico, the 2012 National Health and Nutrition Survey reported a prevalence of hypertension of 31.5% in the adult population. Pharmacological treatment is the commonest intervention and has been shown to reduce cardiovascular mortality and morbidity, and total mortality. Accordingly, the type and number of antihypertensives used and the outcome — in terms of blood pressure (BP) control — are important. Therefore, our purpose is to learn the pattern of antihypertensive drug prescription and explore the determinants of BP control in an urban population in Mexico. A retrospective cross‐sectional drug utilization study was conducted. Medical records from a community health centre were searched to identify those corresponding to patients diagnosed with hypertension; information upon antihypertensives used and control of the disease was carefully retrieved. A logistic regression model was built to know the main determinants of BP control. A sample of 345 clinical records of interest was identified. Most patients received antihypertensives (86.4%); the leading medications used were angiotensin‐converting enzyme inhibitors, 63.8%; beta‐blockers (26.5%), diuretics (19.8%), angiotensin‐receptor blockers (15.8%) and calcium‐channel blockers (6.4%). Only the age (≥55 years) and BMI (>30) of the patients, and the age of the doctors (≥55 years), had an important influence on BP control. Obesity is a particular and important determinant of uncontrolled hypertension; it is worth to act on body weight, on an individual basis. As lack of control has been also tied to elderly doctors, an education programme could be envisaged.

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“…The surveys by Clement and colleagues [ 10 – 12 ] focused on the complementary use of herbal remedies in patients with chronic diseases attending modern primary public healthcare facilities. Although some commonly cited plants such as Leonotis nepetifolia , Zingiber officinale , Cymbopogon citratus and Aloe vera were also found in our survey, the use of herbal remedies for culture-bound health issues such as “afterbirth”, “stoppage-of-water” and “womb infection” was notably absent.…”

Section: Discussionmentioning

confidence: 99%

“…Over the last decade, a survey by Lans used a small sample size of 30 persons across 13 sites [ 9 ]. During that period, and a group led by Clement [ 10 – 12 ] focused on complementary use of herbal remedies in a few hundred patients attending over 20 modern primary public healthcare facilities spread across the island, who were being managed with the chronic diseases namely, hypertension, diabetes mellitus and asthma.…”

Section: Introductionmentioning

confidence: 99%

An ethnobotanical survey of medicinal plants in Trinidad

Clement

Baksh-Comeau

Seaforth

2015

J Ethnobiology Ethnomedicine

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BackgroundAn ethnobotanical survey was conducted on the Caribbean island of Trinidad to identify medicinal plants commonly used in traditional medicine to treat a variety of medical conditions.MethodsA pilot survey was conducted to identify the top ten most common ailments where medicinal plants were used. The results of the foregoing study guided a wider national survey conducted between October 2007 and July 2008. A total of 450 households from 50 rural communities were interviewed using the TRAMIL (Traditional Medicine in the Islands) questionnaire for data collection. Details of plants, part(s) used, and remedy formulations were elicited from informants and voucher specimens collected for identification at the National Herbarium of Trinidad and Tobago. The TRAMIL methodology set a limit of a plant with 20 % or more citations for any particular ailment as having significant or popular use.ResultsAt the end of the survey 917 single plant remedies were identified. The majority of species were from the following families; Asteraceae, Lamiaceae, Leguminosae, Verbenaceae and Poaceae. Applying the TRAMIL 20 % citation of a plant for popular use as significant, Leonotis nepetifolia (for cough/common cold), Gomphrena globosa (for “stoppage-of-water”), Curcuma longa and Senna occidentalis (for “afterbirth”), Cymbopogon citratus and Neurolaena lobata (for fever), and Citrus limon (for kidney stones) qualified in our study. Those not reaching the TRAMIL 20 % significant (popular) use were Stachytarpheta jamaicensis (L.) Vahl, Senna alata (L.) Roxb.and Momordica charantia L. which were widely used as “‘cooling/cleanser’” in our survey.ConclusionsOur survey showed significant retention of traditional knowledge of medicinal plants in rural Trinidad. More interestingly, a large remnant of medico-cultural concepts such as “cooling/cleanser”, “afterbirth”, “stoppage-of-water” and “womb infection” persist in the rural population. Although the scientific literature show that some of the cited plants possessed antimicrobial, anti-inflammatory and related pharmacological activities in laboratory studies, these results must be taken with caution until clinical trials are conducted to establish safety and efficacy.

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Herbal Self-Medication at Primary Health Care Facilities in Trinidad

Cited by 7 publications

References 13 publications

The prevalence of herbal medicine home use and concomitant use with pharmaceutical medicines in Jamaica

The prevalence of herbal medicine home use and concomitant use with pharmaceutical medicines in Jamaica

Prescription patterns of antihypertensives in a community health centre in Mexico City: a drug utilization study

An ethnobotanical survey of medicinal plants in Trinidad

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