Pattern of use of complementary/alternative medicine (CAM) in epileptic patients in a tertiary care hospital in India.
OBJECTIVE
Many patients use complementary/alternative medicine (CAM) for their health problems especially where long-term treatment is required. Epilepsy is the most prevalent neurological disorder requiring long-term treatment and compliance. The purpose of the study was to establish the pattern of use of CAM in epileptic patients.


METHODS
1000 patients with seizure disorder visiting the Neurology outpatient department were interviewed regarding use of complementary/alternative medicine (CAM) in the past. The pattern of use, persons who recommended CAM and the reasons for trying these therapies and sequence of seeking them was noted in these patients.


RESULTS
Overall 32% of patients had used CAM. Ayurvedic medicine was used most frequently, either alone (43%) or in combination (38%) with other CAM therapies followed by homeopathy (12.5%). Use of CAM was seen among all age groups and at all levels of education and was most frequent in the rural population (67%). Influence of family and friends (50%) was the most common reason for trying these therapies. Most patients (57%) sought CAM providers first before seeking the services of a medical doctor in our study.


CONCLUSIONS
As more and more patients use CAM, physicians should ask their patients whether they use these therapies and should discuss these practices with their patients in order to safeguard their health.
Tandon
M
M
Department of Pharmacology, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
Prabhakar
S
S
Pandhi
P
P
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000927:Anticonvulsants / Q000627:therapeutic use*; D000529:Complementary Therapies / Q000379:methods / Q000706:statistics & numerical data*; D004338:Drug Combinations; D017723:Drug Utilization Review / Q000379:methods / Q000706:statistics & numerical data; D004827:Epilepsy / Q000188:drug therapy*; D005260:Female; D006705:Homeopathy / Q000379:methods / Q000706:statistics & numerical data; D006764:Hospitals, Community; D006801:Humans; D007194:India; D008297:Male; D008515:Medicine, Ayurvedic; D008875:Middle Aged; D017891:Pharmacoepidemiology / Q000379:methods / Q000706:statistics & numerical data
D000927:Anticonvulsants; D004338:Drug Combinations