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drug safety

Just as an aside from this, it is my feeling that if more people were to take responsibility for their own health a little more, this could reduce the number of visits to doctors generally and with it the amount of medication being prescribed.

I think that Health promotion and preventative medicine needs to come to the fore more than it is at present.
 
The MHRA has issued a press release recently on the poor quality and safety safety of Chinese herbal medicines.

We have today issued a press release advising the public of our continuing concerns about the poor safety and quality of some traditional Chinese medicines (TCMs) on the UK market. A letter has also been sent to the herbal sector informing them of our concerns and seeking their continuing co-operation over measures to address the situation. We have also produced a list of frequently asked questions and answers about the safety and quality of TCMs.
 
Originally posted by Sarah-I
Just as an aside from this, it is my feeling that if more people were to take responsibility for their own health a little more, this could reduce the number of visits to doctors generally and with it the amount of medication being prescribed.

I think that Health promotion and preventative medicine needs to come to the fore more than it is at present.
You are suggesting MORE medicines (to line the pockets of the "evil" pharmaceutical companies even more :p) so people should visit the doctor less often. According to you. Who will prescribe these medications? How will people know if they're allowed to use it? Who will they visit if they have adverse reactions?

Methinks taking LESS medication is the way to go, not making less doctor visits. And it seems that people taking their health into their own hands is what's causing a lot of the problems (yet most people will take their car to the mechanic instead of fixing it themselves if there's a suspected problem).
If less wannabe-doctors would fill people's heads with bogus advice and CAM bullsh*t, then perhaps more people would go and see a REAL doctor before their ailments got out of control and required serious medical intervention (and serious medical bills) to get everything back in working order.

But your point of view may differ from mine ...
 
Barbrae said:
Are you for herbal medicine?
absolutely
Oh dear, maybe I'm on Barb's back again? Didn't notice you complaining when I tried to get Bill off your back about the homooepathic sleeping pills thing, Barb - I shouldn't have bothered, really.

OK, you're in favour of herbal remedies. And homoeopathy, as we know. You also believe that homoeopathy should be regulated.

Now, think about it this way. The reason you can find all these big scary numbers about adverse reactions to real medicine is that real medicine is regulated. Adverse reactions must be reported and collated. (There's also Prester John's point about the reason some deaths get put down to an adverse reaction when that isn't really the case, also the point of the enormous numbers of patients being treated with real medicine compared to the small hobby that homoeopathy and herbalism consist of.)

If you don't regulate, you don't know. So you don't know what adverse reactions to herbal remedies might be going on, though from the cases highlighted on this thread I wouldn't be too confident about taking anything. And indeed, Barb, it was you yourself why cautioned the original poster in the homoeopathic pills thread to have a full resuscitation and ER team handy if he decided to take a whole bottle of these alleged "sleeping pills" - that doesn't sound like the advice of someone who has confidence to me.

Now we may speculate that there ain't much can go wrong from taking a true homoeopathic product. But that's because we don't believe that these products are capable of having any physiological effect on the body. If you believe they can, you must also believe that they are capable of having a harmful effect - and indeed we read all about aggravations and "healing crises" and unwanted proving effects in the replies on H'pathy. All subject to no reporting and no recirding and no statistics.

So, why are you so happy to consume and defend and promote these products when they aren't regulated in any way? How can you possibly know there isn't an even bigger can of worms there than there is for real medicine, on a case-for-case basis?

We're back here to the feather and the chain saw. A chain saw is dangerous, we all agree. But if you have to cut down a tree, you need to use it. There's not much point saying, chain saws are dangerous, here, use this nice safe feather. (If indeed homoeopathy is safe, something for which we have no evidence.)

Real medicine is, in the main, safe like a scalpel. You need to know what you're doing, and be very careful, and even then sometimes things just don't pan out the way you intended and sometimes real accidents happen. But the solution is to use the scalpel more safely, and only when it's necessary, not to ban scaplels.

Real medicine tries, with more and more testing and more and more regulation, to balance risk and benefit to come out as ahead of the game as it's possible to be. Nothing's perfect, but as several people have said, you have to look at the amount of good that has been done and the millions of people getting real benefit to set agaist the times when things do go wrong (which aren't nearly as often as you can interpret the statistics to imply).

I submit that it's illogical to say, I believe homoeopathy (and presumably herbal remedies) should be regulated, but then in the face of the fact that they aren't regulated, to continue to prefer them to real medicine where you can at least find out what the recorded adverse incidents actually are for anything you might be prescribed.

Rolfe.
 
Exearch,

Did you actually read my post properly? If you did, is it possible for you to read something and not make assumptions about its meaning? Obviously not, by the look of your post and that is a real shame.

To explain this statement and make it clear what I meant I am saying that health promotion and preventative medicine are all about educating the general population in a 'healthy' lifestyle.

This means eating a good and balanced all round diet with plenty of fruit and vegetables and not junk food all the time. Consuming moderate amounts of alcohol, not smoking and taking exercise at least three times a week for at least 30 mins at a time. Also, keeping well hydrated and watching weight.

Just doing these few simple things could prevent people having to take medication of any kind, whether this be OTC or prescriptions from a doctor.

Also, I am not a 'wanna be doctor' as you put it. I am however a fully qualified nurse and have worked in HDU and other areas for many years. We used to have a lot of coronary patients in HDU and it was very much part of my job to give them lifestyle advice during their recovery from various cardiac events. They received dietary and exercise advice from myself and all the other members of the team and much more on top.

So, what I am saying is that health promotion and preventative medicine is a good idea and could go a long way to helping people to help themselves.
 
I had to go back and find my original post that was excerpted to start this thread, as nobody seems to want to address the main point I was trying to make.
There are a few things which really intrigue me.
  • No agreement over whether the number of pills taken is important
  • No agreement as to whether there is a finite expiry date for homoeopathic remedies
  • No agreement as to whether things such as airport security scanners will inactivate the remedies
  • No agreement as to whether drinking coffee will inactivate homoeopathic treatment
  • No agreement on the reason for the prohibition on touching homoeopathic pills, or even whether this prohibition is justified
What really amazes me is the cavalier attitude of homoeopaths to these disagreements. It's common just to be told, well, I think one thing, but many homoeopaths believe something completely different, as if this was as trivial as whether one believes Jane Austen or Charlotte Bronte to be the better author. It's as if there's no real concept of truth or reality, and certainly no desire to pursue any search for truth or reality.
I've asked about these things several times, and Sarah in particular is inclined to reply to the effect that homoeopaths hold different opinions, isn't variety wonderful.

Well, no, not when it's a question of the correct dose rate for a medicine, and things like that.

When homoeopaths are aware that opinions differ within their community, why are they so complacent? Don't they want to know the truth? Don't they think it might be important to patient care to find out the truth?

How would they find out the truth anyway?

Rolfe.
 
http://medicines.mhra.gov.uk/ourwork/licensingmeds/herbalmeds/herbalsafety.htm

Some details from the MHRA reports:

May 2004: The Agency has recently become aware of a traditional Chinese medicine called Nu Bao. The product patient information leaflet lists human placenta (Placenta hominis), deer antler (Corna cervi pantotrichum) and donkey skin (Colla cori astini) as ingredients.

In March 2004 the Agency was made aware of a UK case of irreversible liver failure suspected to be caused by a product called 'Shubao - Slimming Capsules'. The patient required a liver transplant. This product was reportedly found in traditional Chinese medicine (TCM) outlets in the West Midlands. It is believed that the product is promoted as only containing botanical ingredients but it is suspected to illegally contain undeclared nitrosofenfluramine, a drug closely related to the prescription only medicine (POM), fenfluramine. Nitrosofenfluramine is known to be toxic to the liver.

A product known as Muhayogaraj Guggulu , supplied by an Ayurvedic (the traditional medicine system of India and Sri Lanka) outlet in London, was linked to lead poisoning in a patient in March 2004. The product reportedly contained lead, mercury and arsenic and was prescribed for rheumatoid arthritis

The problems associated with chinese herbal medicines seem to be quite extensive. More to the point of this thread, they are only being revealed when tragic incidents occur with a strong link to the medicine. More subtle problems may not be noticed.. This is surely one of the biggest problems with unregulated drugs being available. No one knows if what they contain, and what the harmful or even benefical effects really are.
 
Prester John said:
[BThe problems associated with chinese herbal medicines seem to be quite extensive. More to the point of this thread, they are only being revealed when tragic incidents occur with a strong link to the medicine. More subtle problems may not be noticed.. This is surely one of the biggest problems with unregulated drugs being available. No one knows if what they contain, and what the harmful or even benefical effects really are. [/B]

Just by way of illustration, I went into a local Chinese medicine shop last week. It advertises in its window “effective treatments” for a long list of medical conditions, some potentially serious. I asked the proprietor for a treatment for psoriasis. He showed me a white plastic bottle labelled “psoriasis tablets”. There was nothing else on the bottle. I asked for some evidence that it was effective. He said that these were all Chinese medicines. As this was not an answer, I asked whether he had any clinical trial data. He said he did not. I asked whether he had any evidence of effectiveness from clinical trials for any of the many products in the shop. He said he did not. I asked what was in the psoriasis tablets. He said that all these medicines might contain as many as 30 different herbs, so he could not say. I asked whether he could tell me what any of the medicines contained. He said he could not.

I have reported the shop to Trading Standards and the Advertising Standards Authority.
 
Originally posted by Sarah-I
Exearch,

Did you actually read my post properly? If you did, is it possible for you to read something and not make assumptions about its meaning? Obviously not, by the look of your post and that is a real shame.

To explain this statement and make it clear what I meant I am saying that health promotion and preventative medicine are all about educating the general population in a 'healthy' lifestyle.

This means eating a good and balanced all round diet with plenty of fruit and vegetables and not junk food all the time. Consuming moderate amounts of alcohol, not smoking and taking exercise at least three times a week for at least 30 mins at a time. Also, keeping well hydrated and watching weight.

Just doing these few simple things could prevent people having to take medication of any kind, whether this be OTC or prescriptions from a doctor.
I stand by what I said:

Originally posted by Sarah-I
Just as an aside from this, it is my feeling that if more people were to take responsibility for their own health a little more, this could reduce the number of visits to doctors generally and with it the amount of medication being prescribed.

I think that Health promotion and preventative medicine needs to come to the fore more than it is at present.
Eating healthy and getting lots of exercise, to the best of my knowledge, has never hurt anyone's health, on the contrary. But that's just common sense really. Everyone already knows this.

I'm well aware of homeopathy's "constitutional remedies", which you are supposed to take when you are already healthy (how very much in conflict with Hahnemann's idea that like cures like, how can it cure anything if you're not sick?). I think it's just an easy way out for people who want to get healthy but don't want to exercise too much or skip a good fat burger or pizza too often.

I also think there's no real need to take supplemental vitamins if your diet is healthy (i.e. containing those vitamins already), so I'm assuming you're not talking about that either.

So what exactly is "preventative medicine", if not peddling more herbal remedies to people who aren't sick to begin with by claiming it not only cures them, but prevents them from getting sick?

Or are you suggesting that we should, ... *gasp* ... vaccinate?!!

Originally posted by Sarah-I
Also, I am not a 'wanna be doctor' as you put it. I am however a fully qualified nurse and have worked in HDU and other areas for many years. We used to have a lot of coronary patients in HDU and it was very much part of my job to give them lifestyle advice during their recovery from various cardiac events. They received dietary and exercise advice from myself and all the other members of the team and much more on top.

So, what I am saying is that health promotion and preventative medicine is a good idea and could go a long way to helping people to help themselves.
I never said that you were a wannabe doctor (if the shoe fits though ...), I was merely pointing out that all those practitioners of alternate medicine are really not doing their patients any service. Even if it is just placebo, in a lot of cases, something bad might be going on, and they are not qualified to spot it, even though their "patients" think they are qualified to make them healthier.

In other words, a homeopath is no more qualified to cure you than a construction worker or a garbageman, and the same goes for the medicines themselves:
At the moment, homeopathic remedies are no more guaranteed to cure your illnesses than wet concrete or rotten banana peels.
No testing of efficacy, safety, etc... All they have is some idiot's claim that it works!! :rolleyes:
 

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