title: Herbal remedies use by breast cancer patients in the West Bank of Palestine.
abstract: BACKGROUND
  Recent ethnopharmacological surveys showed that herbal remedies are the most preferred modality of complementary and alternative medicine (CAM). In Palestine as in many other countries, herbal remedies are widely used in the treatment of many diseases.
  
  
  OBJECTIVE
  The aim of this study was to investigate the use of herbal remedies by women living with breast cancer in the West Bank of Palestine.
  
  
  METHODS
  This study was a questionnaire based cross-sectional descriptive study on the use of herbal remedies by breast cancer patients in the West Bank. A questionnaire was distributed to 115 patients at outpatient cancer clinics in face to face interviews.
  
  
  RESULTS
  The study had a response rate of 89.6%. Of all respondents, 68% were herbal remedies users. Women with breast cancer used 46 plant species belonging to 32 families. Of these, Brassicaceae and Lamiaceae were the most prevalent. Ephedra alata was the most commonly used plant species in the treatment of breast cancer. Leaves and seeds were the most commonly used parts and decoction was the most commonly used method of preparation. Herbal remedies users were more likely to use herbal remedies instead of chemotherapy. The most commonly stated reason for using herbal remedies was the belief in boosting the patient's immune system to fight cancer.
  
  
  CONCLUSIONS
  The use of herbal remedies is prevalent in breast cancer patients in Palestine. The use of herbal remedies was associated with educational level, time since diagnosis, type of surgery use, and use of endocrine therapy. It was apparent that the majority of users were satisfied with herbal remedies use. Clinical trials and pharmacological tests are required to be established for the presence of side effects, toxicity and efficacy for these herbal remedies.
authors.affiliation: Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, Palestine. Electronic address: nidaljaradat@najah.edu.
authors.forename: Nidal Amin
authors.initials: NA
authors.lastname: Jaradat
authors.affiliation: Physiology, Pharmacology and Toxicology Division, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, Palestine.
authors.forename: Ramzi
authors.initials: R
authors.lastname: Shawahna
authors.affiliation: Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, Palestine.
authors.forename: Ahmad Mustafa
authors.initials: AM
authors.lastname: Eid
authors.affiliation: Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, Palestine.
authors.forename: Rowa
authors.initials: R
authors.lastname: Al-Ramahi
authors.affiliation: Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, Palestine.
authors.forename: Maes Kasem
authors.initials: MK
authors.lastname: Asma
authors.affiliation: Department of Pharmacy, Faculty of Medicine and Health Sciences, An-Najah National University, P.O. Box 7, Nablus, Palestine.
authors.forename: Abdel Naser
authors.initials: AN
authors.lastname: Zaid
mesh_terms: D000293:Adolescent; D000328:Adult; D018912:Arabs; D001943:Breast Neoplasms / Q000188:drug therapy*; D000529:Complementary Therapies / Q000379:methods; D003430:Cross-Sectional Studies; D020834:Ethnopharmacology / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D008517:Phytotherapy / Q000379:methods; D028321:Plant Preparations / Q000627:therapeutic use*; D010946:Plants, Medicinal; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D028321:Plant Preparations
keywords: Breast cancer; CAM; Ethnopharmacology; Herbal remedies; Palestine