Use of complementary and alternative medicine by patients with dermatological disorders in western part of India: a prospective study

Nayana J. Gohil


Background: This study was aimed in assessing the prevalence and pattern of CAM in patients with dermatological disorders.

Methods: This cross sectional study was carried out at outpatient department of Dermatology at tertiary care teaching hospital. Data was collected with help of questionnaire which contained sociodemographic details and details of use of CAM if any by the attending patients. Data was analysed for sociodemographic and clinical character, pattern of use of CAM, source of information and reasons for using CAM.

Results: Mean age of participants was 29.29±20.25 (Mean±SD) years and 102 (46.54%) users were women. Highly educated patients (49.25%) were the most frequently CAM users. Below 20 years (57.84%) youngsters were the frequent CAM users. About 45.19% patients were belonging to rural area of community. Acne vulgaris was the commonest condition for CAM use. Folk medicines (70.73%) were the most frequent used CAM. Advised by friends/relatives was the commonest source of information. About 80.49% patients had not informed to their physician about the use of CAM. None of the patients had knowledge of adverse effect of CAM.

Conclusions: Use of CAM is very common in dermatological disorders, youngsters and literate were the most common CAM users. Combined administration of herbs with prescription drugs may increase or decrease the pharmacological or toxicological effects of either compound.


Acne vulgaris, CAM, Dermatological disorders

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What Is Complementary and Alternative Medicine? Available at: D347_05-25-2012pdf. Accessed on 15 March 2016.

Kinsel JF, Straus SE. Complementary and alternative therapeutics. Rigorous research is need to support chains. Annu Rov Pharmacol Toxicol. 2003:43;463-84.

Sharma R, Kapoor B, Verma U. Drug utilization pattern during pregnancy in, northern India. Indian J Med Sci. 2006;60;277-88.

Goktay NJ, Bhatta HA, Dalvi SS, Kshrisagar NA. The use and safety of nonallopathic Indian medicines. Drug Sal. 2002;25:1005-19.

Bodeker G, Kronenberg F. A public health agenda for traditional, complementary, and alternative medicine. Am J Public Health. 2002;92(10):1582-91.

Shafiq N, Gupta M, Kumari S, Pandhi P. Prevalence and pattern of use of complementary and alternative medicines (CAM) in hypertensive patients of a tertiary care center in India. Int J Clin Pharmacol Ther. 2003;41(7):294-8.

Kumar D, Chandel JK, Bhardwaj AK, Raina SK, Sharma YK. Rationale of integration of complementary and alternative medicine (CAM) health facilities in non communicable disease (NCDS) surveillance, North India. J Community Med Health Educ. 2012;2:147-8.

Hu Z, Yang X, Ho PC, Chan SY, Heng PW, Chan E, et al. Herb- drug interactions: a literature review. Drugs. 2005;65(9):1239-82.

Collins SC, Dufresne RG Jr. Dietary supplements in the setting of Mohs Surgery. Dermatol Surg. 2002;28:447-52.

Simpson EL, Basco M, Hanifin J. A cross sectional survey of complementary and alternative medicine use in patients with atopic dermatitis. Am J Contact Dermatit. 2003:14:144-7.

Fleischer JA, Feldman SR, Rapp SR, Reboussin DM, Exum ML, Clark AR. Alternative therapies commonly used within a population of patients with psoriasis. Cutis. 1996;58(3):216-20.

Smith N, Shin DB, Brauer JA, Mao J, Gelfand JM. Use of complementary and alternative medicine among adults with skin disease. Results from a national survey. J Am Acad Dermatol. 2009:60(3):419-2.

Schafer T, Riehle A, Wichman HE, Ring J. Alternative medicine in allergies prevalence, patterns of use, and costs. Allergy. 2002;57(8):694-700.

Berg M, Ametz B. Characteristics of users and non users of alternative medicine in dermatological patients attending a university hospital clinic: a short report. Journal Altern Copliment Med. 1998;4(3)277-9

Chen YF, Chang JS. Complementary and alternative medicine, use among patients attending a hospital dermatology clinic in Taiwan. Int J Dermatol. 2003;42:616-21.

Ernst E. Prevalence of use of complementary and alternative medicine: a systemic review. Bull World Health Organ. 2000;78(2):252-7.

Eşer İ, Khorshid L, Demir Y, Denat Y. The use of complementary and alternative medicine in dermatology patients in western Turkey. J Hum Sci. 2010;7(1):384-400.

Wootton JC, Sparber A. Surveys of complementary and alternative medicines: part I. General trends and demographic groups. J Altern Complement Med. 2001;7:195-208.

Eisenberh DM, Devis RB, Ettner SI, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in United States, 1990-1997: results of flow-up national survey. JAMA. 1998;280:1569-75.

Jansen P. Alternative therapy for atopic dermatitis and psoriasis; patient reported motivation, information source and effect. Acta Derm Venereol. 1990;70(5):425-8.