Herbal medicines supplied by community pharmacies in Lagos, Nigeria: pharmacists' knowledge.

Kazeem Adeola Oshikoya, Ibrahim A Oreagba, Olayinka O Ogunleye, Rashidat Oluwa, Idowu O Senbanjo, Sunday O Olayemi
Author Information
  1. Kazeem Adeola Oshikoya: Department of Pharmacology, College of Medicine, Lagos State University . Lagos ( Nigeria ). kazeemoshikoya@ymail.com.
  2. Ibrahim A Oreagba: Department of Pharmacology, College of Medicine, University of Lagos . Lagos ( Nigeria ).
  3. Olayinka O Ogunleye: Department of Pharmacology, College of Medicine, Lagos State University . Lagos ( Nigeria ).
  4. Rashidat Oluwa: Department of Pharmacology, College of Medicine, University of Lagos . Lagos ( Nigeria ).
  5. Idowu O Senbanjo: Department of Paediatric and Child Health, College of Medicine, Lagos State University . Lagos ( Nigeria ).
  6. Sunday O Olayemi: Department of Pharmacology, College of Medicine, University of Lagos . Lagos ( Nigeria ).

Abstract

BACKGROUND: The use of herbal medicines is on the increase globally and they are usually supplied in pharmacies as non-prescription medicines. Pharmacists are, therefore, responsible for educating and informing the consumers about rational use of herbal medicines.
OBJECTIVE: To evaluate the knowledge of pharmacists in Lagos, Nigeria with regards to the herbal medicines they supplied by their pharmacies.
METHODS: Pharmacists in charge of randomly selected 140 community pharmacies from 20 Local Government Areas in Lagos were required to fill out a self-administered questionnaire. We gathered information on their knowledge of the indications, adverse effects, potential drug-herb interactions and contraindications of the herbal medicines they supply in their pharmacies.
RESULTS: Of the 140 questionnaires distributed, 103 (72.9%) participants completed the questionnaire appropriately. The majority (74; 71.8%) of the participants were males and 36-50 years (56; 54.4%). The pharmacies supplied mostly Yoyo cleanser bitters® (101; 98.5%), ginseng (97; 98.5%), Jobelyn® (91; 88.3%), Ciklavit® (68; 66.6%), gingko (66; 64.1%), herbal tea (66; 64.1%), and Aloe vera (57; 55.3%). The pharmacists self-rated their knowledge of herbal medicines mostly as fair (39%) and good (42%), but they exhibited poor knowledge with regards to the indications, contraindications and safety profiles. Seventy participants consulted reference materials such as leaflet insert in the herbal medicines (56%) and internet (20%) before supplying herbal medicines. The information most frequently sought was herb-drug interactions (85%), contraindications (75%) and adverse effects (70%).
CONCLUSIONS: Community pharmacists need to be informed about the indications and safety profiles of herbal medicines.

Keywords

References

  1. PLoS One. 2013;8(4):e59978 [PMID: 23560064]
  2. Br J Anaesth. 2002 Nov;89(5):792-5 [PMID: 12393786]
  3. Med J Aust. 2004 Sep 6;181(5):275 [PMID: 15347279]
  4. Prog Neuropsychopharmacol Biol Psychiatry. 2002 Apr;26(3):539-45 [PMID: 11999905]
  5. J Gen Intern Med. 2005 Jul;20(7):657-61 [PMID: 16050865]
  6. Ann Pharmacother. 2000 Jun;34(6):710-5 [PMID: 10860130]
  7. Am J Health Syst Pharm. 2003 Jul 1;60(13):1352-7 [PMID: 12901038]
  8. Ann Pharmacother. 2005 Sep;39(9):1456-61 [PMID: 15972324]
  9. Pharmacotherapy. 2000 Jul;20(7):877-91 [PMID: 10907985]
  10. East Mediterr Health J. 2010 Sep;16(9):988-93 [PMID: 21218728]
  11. Am J Obstet Gynecol. 2001 Sep;185(3):754-7 [PMID: 11568810]
  12. J Altern Complement Med. 2003 Feb;9(1):51-63 [PMID: 12676035]
  13. Pharm Pract (Granada). 2010 Apr;8(2):109-15 [PMID: 25132878]
  14. BMC Complement Altern Med. 2008 Dec 29;8:66 [PMID: 19113999]
  15. Am J Pharm Educ. 2008 Apr 15;72(2):24 [PMID: 18483592]
  16. Pharm World Sci. 2006 Dec;28(6):366-73 [PMID: 17120131]
  17. BMC Complement Altern Med. 2008 Jan 28;8:2 [PMID: 18221569]
  18. Nutr J. 2005 May 31;4:19 [PMID: 15927053]
  19. Med J Aust. 2004 Sep 6;181(5):276-8 [PMID: 15347280]
  20. J Basic Clin Physiol Pharmacol. 2012;23(4):135-8 [PMID: 23072847]
  21. Phytother Res. 2011 Mar;25(3):381-6 [PMID: 20734324]
  22. Pharm Pract (Granada). 2007 Jul;5(3):125-9 [PMID: 25214928]
  23. J Herb Pharmacother. 2007;7(3-4):213-27 [PMID: 18928143]
  24. Psychiatr Clin North Am. 2013 Mar;36(1):73-83 [PMID: 23538078]
  25. BMC Complement Altern Med. 2011 Oct 28;11:103 [PMID: 22035220]
  26. Saudi Pharm J. 2013 Oct;21(4):351-60 [PMID: 24227954]
  27. Psychiatr Clin North Am. 2013 Mar;36(1):65-72 [PMID: 23538077]
  28. BMC Med. 2011 Aug 09;9:94 [PMID: 21827684]
  29. Evid Based Complement Alternat Med. 2012;2012:841315 [PMID: 23024696]
  30. J Am Pharm Assoc (2003). 2005 Nov-Dec;45(6):734-9 [PMID: 16381421]
  31. Oman Med J. 2011 Nov;26(6):451-3 [PMID: 22253959]
  32. J Altern Complement Med. 2004 Dec;10(6):1061-6 [PMID: 15674002]

Word Cloud

Created with Highcharts 10.0.0medicinesherbalpharmaciesknowledgesuppliedPharmacistspharmacistsLagosindicationscontraindicationsparticipants66useNigeriaregards140communityquestionnaireinformationadverseeffectsinteractionsmostly985%3%641%safetyprofilesHerbalBACKGROUND:increasegloballyusuallynon-prescriptionthereforeresponsibleeducatinginformingconsumersrationalOBJECTIVE:evaluateMETHODS:chargerandomlyselected20LocalGovernmentAreasrequiredfillself-administeredgatheredpotentialdrug-herbsupplyRESULTS:questionnairesdistributed103729%completedappropriatelymajority74718%males36-50years56544%Yoyocleanserbitters®101ginseng97Jobelyn®9188Ciklavit®686%gingkoteaAloevera5755self-ratedfair39%good42%exhibitedpoorSeventyconsultedreferencematerialsleafletinsert56%internet20%supplyingfrequentlysoughtherb-drug85%75%70%CONCLUSIONS:CommunityneedinformedNigeria:pharmacists'HealthKnowledgeAttitudesPracticeHerb-DrugInteractionsMedicinePharmaciesPhytotherapy

Similar Articles

Cited By