Psychiatric Bulletin (2004) 28: 228. doi: 10.1192/pb.28.6.228
© 2004 The Royal College of Psychiatrists
Psychiatric Bulletin (2004) 28: 228
© 2004 The Royal College of Psychiatrists
Surely you take complementary and alternative medicines?
K. A. L. A. Kuruppuarachchi
Professor of Psychiatry, University of Kelaniya, Ragama, Sri Lanka
The article Surely you take complementary and alternative
medicines? (Psychiatric Bulletin, February 2004, 28,
36-39) has been read with much
interest. The content of the article is highly relevant to developing
countries as many patients seek complementary and alternative medicines for a
variety of illnesses, particularly for long-standing problems including
psychiatric disorders. Many patients and their relatives seem to go for
alternative therapies in addition to Western medicine. For instance, a study
done with regard to puerperal mental disorders in Sri Lanka demonstrated that
up to 80% of patients were seeking alternative or complementary medicines in
addition to conventional ones (further details available from the author upon
request).
It is noteworthy that many herbal preparations seem to contain cannabis,
and sometimes alcohol, in addition to the other chemicals. Certainly these
substances can precipitate psychiatric disorders or exacerbate existing
symptoms. The other important issue, as correctly mentioned in the article, is
their potential dangerous drug interactions with prescribed medicines.
Many patients appear to have a good rapport with traditional healers and
people who practise complementary and alternative medicine in our countries.
Hence, those of us who practise Western medicine must be aware of this
important issue and deal with it tactfully and effectively. Undergraduate and
post-graduate medical curricula must be strengthened with regard to this in
order to improve the awareness among doctors.