LMCC/Complementary and Alternative Medicine

Epidemiology

 * Approximately 50-75% of Canadians use CAM at some point in their lives.
 * CAM use is highest in Western provinces and lowest in Atlantic provinces.
 * CAM is more likely to be used by younger patients, as well as those with higher education and higher income.
 * Examples of CAM: chiropractice, acupuncture, massage, naturopathy, homeopathy, Traditional Chinese Medicine, Ayurveda
 * Most commonly used for chronic diseases, such as back/neck problems, gynecological problems, anxiety, headaches, and digestive problems.
 * More than half of Canadians do not disclose CAM use to their physicians.

Herbal Products

 * Over 50% of Canadians use natural health products.
 * Most herbs have not yet been shown to be effective in clinical trials.
 * Many patients believe herbal products are inherently safe and are unaware of potential side effects and interactions with conventional medicines.
 * All natural health products must be regulated under the Natural Health Products Regulations; these products include herbal remedies, homeopathic medicines, vitamins, minerals, traditional medicines, probiotics, amino acids and essential fatty acids.
 * Questions to ask patients who may be taking herbal products:
 * Are you taking an herbal products, supplement or other natural remedy
 * Are you taking any prescription or non-prescription medications for the same purpose as the herbal product?
 * Are you allergic to any plant products?
 * Are you pregnant or breast-feeding?