Principles and Practice of Botanicals as an Integrative Therapy

by Anne Hume (Editor), Katherine Kelly Orr (Editor)

Overview

The purpose of this book is to focus on major considerations in the clinical use of botanicals as an integrated therapy in current health care. The book uses an organ system approach to presenting clinical evidence on the use of botanicals for common conditions. The chapters include brief sections on background and pharmacognosy, preparation and dosing, safety, evidence and clinical application. In addition, several chapters highlight pharmacokinetic and pharmacogenomic considerations with botanicals in precision medicine and their use in special populations. Finally, a summary on the editors' perspective of "challenges and opportunities" is provided, which discusses the practice of botanicals as integrative therapies and where they are heading in the future.

Product Details

ISBN-13:	9780367780166
Publisher:	CRC Press
Publication date:	03/31/2021
Series:	Clinical Pharmacognosy Series
Pages:	450
Product dimensions:	7.00(w) x 10.00(h) x (d)

About the Author

geriatrics, and interprofessional education/practice. She has been a faculty member in the Rhode Island Geriatric Education Center (RIGEC) funded by the U.S. Bureau of Health Professions since 1996. She is co-leader of the RIGEC interdisciplinary student team training program at Memorial Hospital. She works with family medicine and internal medicine residents on the Geriatrics and the Patient Center Medical Home (PCMH) rotations. Dr. Hume has published extensively and is a reviewer for many primary care, nursing, and pharmacy journals. She serves on the Editorial Board of the Annals of Pharmacotherapy and was on the Editorial Board of the Pharmacotherapy Self-Assessment Program (PSAP) between 2005 and 2012. Dr. Hume is an Associate Editor of the APhA Handbook of Nonprescription Drug Therapy. She also writes a monthly column on Integrative Medicine for Pharmacy Today. Dr. Hume is active in the American College of Clinical Pharmacy (ACCP) and in other professional organizations including the Society for Primary Care Policy Fellows. She is a past Chair of Ambulatory Care Practice and Research Network of ACCP.

Dr Kelly Orr, PharmD is a Clinical Associate Professor at the University of Rhode Island, College of Pharmacy. She serves as a course coordinator and lecturer for the 3-credit required Self Care 1 course and elective, Self Care 2. In regards to self care, Dr. Orr has published articles on evidenced based use of natural products, pediatric use of nonprescription drugs, emergency contraception, and virtual patients in self care teaching. Dr. Orr co-authored the Natural Products chapter for the APhA Handbook of Nonprescription Drugs, 16th, 17th, and 18th editions. In addition to self care responsibilities, Dr. Orr is coordinator and lecturer for the pulmonary therapeutics classes. Her teaching and practice interests are the areas of smoking cessation and asthma management, also obtaining the National Asthma Educator Certification (AE-C). Dr. Orr is the current past – chair of the AACP Self Care Therapeutics/Nonprescription Medicines SIG and a past member of the Nonprescription Medicines Academy Steering Committee. Along with membership in national pharmacy organizations, locally she is past-president of the Rhode Island Pharmacists’ Association. She is also appointed to the RI Board of Pharmacy.

Table of Contents

Global perspectives on botanicals in healthcare. Epidemiology of botanical use worldwide. Information resources, retrieval, sources and evaluation of clinical botanical literature. Pharmacokinetic and pharmacodynamic issues with botanical medicines. Principles of botanical-botanical and botanical-drug interactions. Evaluating adverse effects associated with botanicals. Botanical considerations in special populations. Effective communication about botanicals between patients and providers. Cardiovascular disease. Gastrointestinal disease. Endocrine diseases. Women's Health. Men's Health. Neurologic conditions. Psychiatric disorders. Infectious diseases. Dermatologic conditions. Rheumatologic diseases. Palliative care.

Editorial Reviews

Not only does this book emphasize pharmacognosy of botanicals, it sheds light on
some of the opportunities and challenges healthcare providers and patients face
with the growing interest in integrative medicine. I appreciate the strategies
it provides for finding and evaluating the quality of online resources and
medical apps. Considering the ubiquitous use of botanicals, busy clinicians
need high quality resources to better counsel their patients on any associated
benefits, risks, and adverse interactions.
-Amrit Devgun, ND, AAP(Northwestern Health Sciences University)

From the Publisher

Reviewer: Amrit Devgun, ND, AAP (Northwestern Health Sciences University)
Description: This book reviews clinical trial data on the usage and safety of botanicals for common health conditions. It uses an organ-system approach and provides a brief chapter summary on clinical application for each system. It also discusses a patient-care approach and the reliability of online resources on botanicals.
Purpose: In the era of patient-centered and evidence-based care, clinicians need to be knowledgeable in integrative therapies, especially in primary care, where clinicians work with diverse populations. This book is a resource for some commonly used botanicals, with mention of pharmacognosy and safety. It also reviews strategies for identifying high quality resources for scientific and medical purposes. It provides a framework that can guide communication between the healthcare provider and the patient, to encourage open dialogue and transparency about the use of CAM therapies.
Audience: This is a quick resource for healthcare providers in general, especially for those in primary care. Pharmacists also would find this a valuable resource in enhancing care of patients. Since botanicals and other nutraceuticals are increasingly being used for health maintenance, treatment of underlying conditions, or managing side effects from conventional therapies, it is essential to understand their possible interactions with pharmaceuticals as well as their consideration as adjunctive therapies.
Features: This book covers three main areas that every medical professional should consider in patient care. Not only does it provide background, dosing, pharmacognosy, safety, and clinical effectiveness of some commonly used botanicals, it also provides useful strategies to help sift through the plethora of information on the internet today for reliable sources. Although plentiful, much of the information on the internet is unregulated. First, the authors provide systematic approaches to analyze primary, secondary, and tertiary information. Second, the book briefly addresses some key issues in the safety of botanicals in various stages of disease within specific populations (e.g. cancer, geriatrics, liver and kidney disease) with significant comorbidities. Third, open communication between healthcare providers and patients is vital to help direct assessment of risks or benefits in using botanical supplementation. To facilitate that, the use of a mnemonic, SCHOLAR-MAC, is discussed as a framework for a detailed patient workup that might open up such a platform. Although the botanicals covered are limited in number, there are a couple of useful tables that summarize adverse interactions between botanicals and pharmaceuticals. The authors also include a chapter on the potential of cannabis, discussing global perspectives as well as issues faced by producers, providers, patients, and researchers.
Assessment: Not only does this book emphasize pharmacognosy of botanicals, it sheds light on some of the opportunities and challenges healthcare providers and patients face with the growing interest in integrative medicine. I appreciate the strategies it provides for finding and evaluating the quality of online resources and medical apps. Considering the ubiquitous use of botanicals, busy clinicians need high quality resources to better counsel their patients on any associated benefits, risks, and adverse interactions.

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