Prevalence of homeopathy use by the general population worldwide: a systematic review

Relton, Clare; Cooper, Katy; Viksveen, Petter; Fibert, Philippa; Thomas, Kate

doi:10.1016/j.homp.2017.03.002

Cited by 60 publications

(46 citation statements)

References 47 publications

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“…Показательным в этом отношении является постановление Научного консультатив ного совета европейских академий наук (European Academies Science Advisory Council, EASAC), опу бликованное в 2017 г., в котором подчеркивается необходимость предъявления высоких требований к подтверждению эффективности и безопасности ГомЛП 5 . Публикации в специальной гомеопати ческой литературе содержат сведения о результа тах новых исследований по выяснению механизма биологического действия ГомЛП, их клинического применения по различным показаниям, а также экономической эффективности [1][2][3][4]. Это указы вает на развитие гомеопатии как самостоятельного направления современной медицины и на необхо димость совершенствования регуляторных и мето дических подходов для адекватной оценки терапев тической эффективности и безопасности ГомЛП.…”

Section: особенности регистрации и экспертизы гомеопатических лекарстunclassified

“…Bezopasnost' i risk farmakoterapii = Safety and Risk of Pharmacotherapy. 2019;7(4):200-215. https://doi.org/10.30895/2312-7821-2019-7-4-200-215 *Corresponding author: Rashid D. Subaev; Subaev@expmed.ru 1 Приказ Министерства здравоохранения Российской Федерации от 24 августа 2017 г. № 558н «Об утверждении Правил проведения экспертизы лекарственных средств для медицинского применения и особенности экспертизы отдельных видов лекарственных препаратов для медицинского применения (референтных лекарственных препаратов, воспроизведенных лекарственных препаратов, биологических лекарственных препаратов, биоаналоговых (биоподобных) лекарственных препаратов (биоаналогов), гомеопатических лекарственных препаратов, лекарственных растительных препаратов, комбинаций лекарственных препаратов), форм заключений комиссии экспертов».…”

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Justification of Safety of Homeopathic Medicines in a Registration Dossier

Сюбаев¹,

Енгалычева²,

Горячев³

2019

Bezopasnost' i risk farmakoterapii

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Regulatory approaches to assessing the safety of homeopathic medicines in the Russian Federation and abroad are formed in accordance with regulatory acts, national and international rules and guidelines. Scientific literature is particularly important for justification of safety of homeopathic medicines. The purpose of this study was to determine the requirements and procedure for presenting justification of homeopathic medicines safety in the registration dossier in accordance with the documents of the Eurasian Economic Union and the European Union. According to the current Russian and foreign regulatory approaches the safety may be justified by scientific literature data on homeopathic use and by substantiation of the dosage in the case of medicines that have long experience of safe use and those that are authorized under a simplified procedure based on a dossier with a product instruction that does not establish indications for use. In both cases, there is no need to provide the results of preclinical or clinical studies of the drug. This approach reflects specific features of homeopathic medicines. An objective criterion of the safety of homeopathic medicines is the assessment of the dosage of active substances, taking into account the «first safe dilution» of homeopathic substances. A formal safety justification using registration data for similar drugs or additional information on the use of these pharmaceutical substances in homeopathy is also possible, but may be insufficient. The completeness and proper documentation of bibliographic data are the main criteria for an appropriate rationale for the safety of homeopathic products.

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Section: особенности регистрации и экспертизы гомеопатических лекарстunclassified

unclassified

Justification of Safety of Homeopathic Medicines in a Registration Dossier

Сюбаев¹,

Енгалычева²,

Горячев³

2019

Bezopasnost' i risk farmakoterapii

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“…[1]). Proponents of homeopathy argue that the use of homeopathy has been stable over time and that it is used on a worldwide basis [2]. In fact, the historical record suggests otherwise: homeopathy was more prevalent in the early twentieth century than it is nowadays.…”

Section: Introductionmentioning

confidence: 99%

Against all odds—the persistent popularity of homeopathy

Cukaci

Freissmuth

Mann

et al. 2020

Wien Klin Wochenschr

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The use of homeopathy is remarkably popular. Popularity, however, is not an arbiter in a scientific discourse. In fact, the assumptions underlying homeopathy violate fundamental laws of nature. Homeopathy does not have any explanatory power and fails other criteria established for a scientific approach. Two large-scale efforts have recently documented that in spite of a plethora of clinical trials there is no evidence that homeopathic remedies have any therapeutic effect, which goes beyond that of a placebo. Relaxed regulations and lack of scientific literacy and of health education allow for continuous thriving of homeopathy. While the tide may be changing on the regulatory side, health education of the general public is presumably more important to support informed decision making by patients. Otherwise, the responsible patient, who is posited to decide on the medical choices, remains a convenient legal fiction.

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“…Efforts have been made to identify how homoeopathic remedies work, but no consistent evidence, regarding the mechanism of action, has been found (Becker‐Witt, Weißhuhn, Lüdtke, & Willich, ; Grimes, ). “Homoeopathy ” as a term has multiple meanings and it can refer to “the therapeutic system of homoeopathy, the principles of the therapeutic system of homoeopathy, homoeopathic medicines (also known as homoeopathic remedies), or treatment by a homeopath” (Relton, Cooper, Viksveen, Fibert, & Thomas, ). Homoeopathy is very popular worldwide (Dossett, Davis, Kaptchuk, & Yeh, ; Piolot et al, ; Relton et al, ), and an existing social phenomenon is the division between people who claim to benefit from homoeopathy and mainstream medicine (Kaptchuk & Miller, ).…”

Section: Introductionmentioning

confidence: 99%

Reinterpreting homoeopathy in the light of placebo effects to manage patients who seek homoeopathic care: A systematic review

Antonelli

Donelli²

2018

Health Soc Care Community

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Homoeopathy is widespread, and users claim to benefit from it. However, clear evidence of its efficacy over placebo is not available to date. As a consequence, a social separation between homoeopathy users and mainstream medicine exists, exposing these patients to many risks. Our primary objective is to assess homoeopathy efficacy by systematically reviewing existing systematic reviews and meta-analyses and to systematically review trials on open-label placebo (OLP) treatments. A secondary objective is to understand if homoeopathy as a whole may be considered as a placebo treatment. PubMed/Medline, Embase, Google Scholar, and Cochrane Library were systematically searched for systematic reviews and meta-analyses on homoeopathy efficacy, and 61 studies were included. Same databases plus Journal of Interdisciplinary Placebo Studies (JIPS) were also systematically searched for randomised controlled trials (RCTs) on OLP treatments, and 10 studies were included. Databases were searched up to 24 February 2018. Two authors independently screened all retrieved articles and selected studies eligible for inclusion. The quality of reviews of included studies was evaluated with a dedicated NIH tool in the first review, whereas the risk of bias of trials of included studies was assessed with the specific Cochrane tool in the second review.Qualitative syntheses show that homoeopathy efficacy can be considered comparable to placebo, and that OLP treatments may be effective in some health conditions. Placebo effects like placebo itself, treatment context, physician-patient relationship, and other nonspecific factors can define the idea of placebo treatments, which may be effective in some conditions. If homoeopathy efficacy is comparable to placebo, and if placebo treatments can be effective in some conditions, then homoeopathy as a whole may be considered as a placebo treatment. Reinterpreting homoeopathy as a placebo treatment would define limits and possibilities of this practice. This perspective shift suggests a strategy to manage patients who seek homoeopathic care and to reconcile them with mainstream medicine in a sustainable way. K E Y W O R D S complementary and alternative medicine, homoeopathy, open-label placebo, patientphysician relationship, placebo effects, placebo treatment

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Prevalence of homeopathy use by the general population worldwide: a systematic review

Cited by 60 publications

References 47 publications

Justification of Safety of Homeopathic Medicines in a Registration Dossier

Justification of Safety of Homeopathic Medicines in a Registration Dossier

Against all odds—the persistent popularity of homeopathy

Reinterpreting homoeopathy in the light of placebo effects to manage patients who seek homoeopathic care: A systematic review

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