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Defining and supporting a professional role for pharmacists associated with traditional and complementary medicines: a cross-country survey of pharmacists

Affiliation
School of Pharmacy ,Faculty of Medicine and Health ,The University of Sydney ,Sydney ,NSW ,Australia
Harnett, Joanna E.;
Affiliation
Touro University California College of Pharmacy ,Vallejo ,CA ,United States
Desselle, Shane P.;
Affiliation
Departamento de Ciências da Saúde, Ambiente e Tecnologias, Universidade de Santiago ,Assomada ,Cabo Verde
Fernandes, Marcília Baticy;
Affiliation
School of Pharmacy, Nanjing Medical University ,Nanjing ,China
Yao, Dongning;
Affiliation
Department of Pharmacy, University of Split School of Medicine ,Split ,Croatia
Modun, Darko;
Affiliation
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik ,Jounieh ,Lebanon
Hallit, Souheil;
Affiliation
School of Pharmacy ,Lebanese International University ,Beirut ,Lebanon
Dabbous, Mariam;
Affiliation
Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Cawangan Selangor ,Selangor ,Malaysia
Wahab, Mohd Shahezwan Abd;
Affiliation
Universidade de Lisboa, Faculdade de Farmácia, Departamento de Farmácia Farmacologia e Tecnologias em Saúde ,Lisboa ,Portugal
Cavaco, Afonso Miguel;
Affiliation
Universidade de Lisboa, Faculdade de Farmácia, Departamento de Farmácia Farmacologia e Tecnologias em Saúde ,Lisboa ,Portugal
Magalhães, Maria;
Affiliation
Pharmacy Department, School of Allied Health Sciences, San Pedro College ,Davao City ,Philippines
Faller, Erwin Martinez;
Affiliation
Institute of Pharmacy, University of Makati ,Makati City ,Philippines
Flores, Jennifer M.;
Affiliation
School of Pharmacy ,Emilio Aguinaldo College ,Cavite City ,Philippines
Gabriel, Jacklyn Risia D. San;
Affiliation
Clinical and Hospital Pharmacy Department ,College of Pharmacy ,Taibah University ,Al-Madinah Al-Munawwarah ,Saudi Arabia
Othman, Noordin;
Affiliation
Faculty of Pharmaceutical Sciences, Chulalongkorn University ,Bangkok ,Thailand
Anantachoti, Puree;
Affiliation
Faculty of Pharmaceutical Sciences, Chulalongkorn University ,Bangkok ,Thailand
Sriboonruang, Tatta;
Affiliation
Faculty of Pharmaceutical Sciences, Chulalongkorn University ,Bangkok ,Thailand
Sriviriyanupap, Wanna;
Affiliation
Clinical and Hospital Pharmacy Department ,College of Pharmacy ,Taibah University ,Al-Madinah Al-Munawwarah ,Saudi Arabia
Alnezary, Faris;
Affiliation
Clinical and Hospital Pharmacy Department ,College of Pharmacy ,Taibah University ,Al-Madinah Al-Munawwarah ,Saudi Arabia
Alahmadi, Yaser;
Affiliation
Clinical and Hospital Pharmacy Department ,College of Pharmacy ,Taibah University ,Al-Madinah Al-Munawwarah ,Saudi Arabia
Fallatah, Saad Bakur;
Affiliation
Clinical and Hospital Pharmacy Department ,College of Pharmacy ,Taibah University ,Al-Madinah Al-Munawwarah ,Saudi Arabia
Fadil, Haifa Abdulrahman;
Affiliation
State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau ,Taipa ,Macao ,China
Ung, Carolina Oi Lam

Introduction: An estimated 80% of the world’s population use traditional and complementary medicine (T&CM) products as part of their healthcare, with many accessed through pharmacy. This cross-cultural study posed a set of professional practice responsibilities and actions to pharmacists related to T&CM products, with a view toward developing consensus, safeguarding, and promoting the health of the public. Methods : Data were collected from 2,810 pharmacists across nine countries during 2022 via a cross-sectional online survey reported in accordance with the guidelines of STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) and the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Results : Of the 2,810 participants from nine countries, 2,341 completed all sections of the survey. Of these, most agreed (69%) that T&CM product use was common in the community they served, but most did not have adequate training to support consumer needs. Over 75% acknowledged that there were known and unknown safety risks associated with T&CM use. Of 18 professional responsibilities posed, 92% agreed that pharmacists should be able to inform consumers about potential risks, including T&CM side effects and drug–herb interactions. The provision of accurate scientific information on the effectiveness of T&CM products, skills to guide consumers in making informed decisions, and communication with other healthcare professionals to support appropriate and safe T&CM product use were all ranked with high levels of agreement. In order to effectively fulfill these responsibilities, pharmacists agreed that regulatory reforms, development of T&CM education and training, and access to quality products supported by high-quality evidence were needed. Conclusion: General agreement from across nine countries on eighteen professional responsibilities and several stakeholder actions serve as a foundation for the discussion and development of international T&CM guidelines for pharmacists.

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License Holder: Copyright © 2023 Harnett, Desselle, Fernandes, Yao, Modun, Hallit, Dabbous, Wahab, Cavaco, Magalhães, Faller, Flores, Gabriel, Othman, Anantachoti, Sriboonruang, Sriviriyanupap, Alnezary, Alahmadi, Fallatah, Fadil and Ung.

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