Knowledge, attitude and practice of traditional medicine-related adverse drug reaction (ADR) reporting among hospital pharmacists and traditional medicine practitioners in Thailand

Worakunphanich, Wiwan; Thongsombutpanitch, Fonthip; Nilsonthi, Sonthiporn; Youngkong, Sitaporn; Thavorncharoensap, Montarat

doi:10.29090/psa.2021.04.20.059

Cited by 3 publications

(2 citation statements)

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“…Consistent with previous studies [ 27 – 29 ], there was a misconception among Thai people that herbal medicines are safe and carry no risk. Similar to previous studies [ 29 , 30 ], pharmacists in our study expressed that herbal medicines might not be safe and that contamination might cause AEs [ 4 ]. This study found that most of participants were unaware of the patient reporting system.…”

Section: Discussionsupporting

confidence: 82%

“…Similar to a previous study, herbal medicine users were less likely to consult their doctor for AEs related to herbal medicines [ 42 ]. A previous study indicated that Thai traditional medicine doctors, who can prescribe and dispense herbal medicine in hospital, agreed that AE reporting related to herbal medicines was important and that could improve the safety of herbal medicines [ 30 ]. Thus, Thai traditional medicine doctors should be engaged in the safety monitoring of herbal medicines.…”

Section: Discussionmentioning

confidence: 99%

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Thai stakeholders’ awareness and perceptions of the patient adverse event reporting system for herbal medicines: a qualitative study

Worakunphanich

Suwankesawong²,

Youngkong

et al. 2023

Int J Clin Pharm

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Background In Thailand, the consumption of herbal medicines has been increasing. Adverse events (AEs) of herbal medicines have been identified through the spontaneous reporting system. However, the number of patients reporting AEs of herbal medicines remains limited. Aim To explore the awareness and perceptions about the patient reporting system and to explore attitudes towards safety of herbal medicines, experiences, and intention to report AEs of herbal medicines. Method Semi-structured in-depth interviews were conducted with stakeholders (patients, community pharmacists, village health volunteers, and consumers who had experienced submitting a complaint about health products to the Consumers Foundation). Additionally, a focus group discussion was held with stakeholders (academics, herbal medicine manufacturers, healthcare professionals, policy maker who was responsible for promoting the use of herbal medicines, pharmacovigilance staff, patient, and representative from patient organisations). The data were audio recorded, transcribed verbatim and analysed using thematic analysis. Results Fifty participants were interviewed and the focus group discussion included 12 participants. Patients had positive attitudes towards the safety of herbal medicines. Lack of awareness of the patient reporting system was identified. Nevertheless, all stakeholders acknowledged the importance of the safety monitoring of herbal medicines and indicated a willingness to report AEs via the patient reporting system in the future. A simple reporting system, a variety of reporting channels, the provision of feedback, and providing rewards would motivate patients to report AEs. Conclusion Although there is a lack of awareness, this provides a great opportunity to improve patient AE reporting system for herbal medicines in Thailand.

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