MSK 15

Question 1

What is Complimentary/ Alternative called (CAM)?

Answer 1

diverse group of Medical and Health care systems practices and products that are not presently considered part of conventional (alopathec)medicine.

Question 2

What is Integrative medicine?

Answer 2

medicine has some sort of clinical evidence and it is integrated with conventional medicine than it is called integrative medicine.

Question 3

Western view about alternative medicine

Answer 3

Marcia Angell feels that there should not be 2 types of medicine. Anything works they are one called medicine.

Question 4

World health organisation definition says?

Answer 4

Anything works in human body to prevent diagnose or treat patient based on their cultural believes and theories and believes called alternative medicine.

Question 5

What is the proportion of people use cam in developing countries according to WHO?

Answer 5

70-80%

Question 6

Why people do use CAM?

Answer 6

Easy accessibility
Cheaper
Less or no side effects
They are adhering with culture
This type of medicine is more natural
Some people can use Alternative meds whey they think antibiotics are not working anymore.
GPs provide less time, but Alternate doctors more

Question 7

Comparison between CAM (Complementary and alternative) vs OM (Orthodox medicine)?

Answer 7

CAM
Give more time to patient 
History taking not expensive
OM
Give less time to patient
History taking expensive

Question 8

Where we can get complementary and alternative medicine?

Answer 8

Online, Pharmacies, health food shop, independent practitioner.

Question 9

What is the One problem is during communication with CAM users is by their physician?

Answer 9

People do not often share or disclose their CAM use to their physician
Why? Research shows following patients’ response
My doctor never asked me that
And it was not important for my doctor to know
And My doctor will not understand
And my doctor disapproves.

Question 10

So, what does it relate to be a pharmacist?

Answer 10

So, as a pharmacist I need to know about the basics of CAM and relate them while treat the patient
We need to know which product they are using
We need to identify the risk and benefits for the use of our patient
Some medicine has side effect with CAM, or some CAM has same effect with conventional medicine which can be lethal for patient.
For example, warfarin has blood thinning effect, but ginger and garlic also have blood thinning effect.

Question 11

What is Rongoa?

Answer 11

Maori has holistic approach to their health care system. It includes plant-based remedies, physical therapies, and spiritual healing which is known as Rongoa.

Question 12

There are three main principals of Homoeopathic medicine?

Answer 12

1. Homeopath at first increase than slowly start decreasing
2. Dr therapeutic effects or potency based on their dilation effect. Higher the dilation higher the efficacy.
3. It is a holistic approach so They look not only the specific part of the disease but they also look for whole characteristics of the symptoms.

Question 13

Greek/Middle eastern medicine?

Answer 13

In Arabic or in Urdu called UNINI medicine
Holistic healing system based on teaching of Greek philosopher Hippocrates.
Who treat in this system called “Hakeem”

Question 14

What is the way of Unani medicine?

Answer 14

1. Regimental Cupping, Massage etc
2. Dietotherapy: By giving special diet
3. Pharmacotherapy: Drug from herbal or animal origin in raw form.

Question 15

What is the meaning of Ayurveda?

Answer 15

Ayus (life) Veda (Science/knowledge)

Knowledge of life

Question 16

What is the treatment with Ayurveda?

Answer 16

Panchakarma: they believe some undigested food may stuck and cause intoxication in the body so need to do massage or medial oil or laxative or vomiting or by diet changes
They use meditation, stretching, Yoga.
They use herbs, spices etc

Question 17

What is the meaning of Iridology?

Answer 17

By looking Irish of the eyes to identify the disease by the professionals

Question 18

What is the CAM regulations in NZ?

Answer 18

Has some weak regulations

Some are registered but most of them are exempt from requirements of the medicine act 1981.

Question 19

Pharmacist and CAM consultation?

Answer 19

• Try to extract as much as possible
• Family history
• Social history
• Medicine history
• Ask them any alternative medicine they are using or
• Ask them any herbs they are using
• Make sure you give all information about the medicine about possible interaction or other relevant advice about the medicine you give them in your pharmacy
• Only give them the medicine you know about and any contradiction may not occur
• And also ensure about the source of medicine
• Tell them to visit doctor instead of avoiding them so you can give them CAM but dr visit make them more confident about their situation.
• Respectful to their patient

Question 20

What is placebo effect?

Answer 20

You believe. You convince your mind that is you are taking a drug and it has good effect in your body
But to be honest there are no pharmacological effect on it.