Complementary and Alternative Medicine (CAM) Latest Update Graded A

Complementary and Alternative Medicine (CAM) Latest Update Graded A Complementary used WITH standard medical care Alternative used IN PLACE OF standard medical care Examples of CAM include, but are not limited to: *Chiropractic *Therapeutic touch *Herbal and dietary supplements - Food items according to the FDA *Massage therapy *Yoga *Acupuncture *Ayurveda *Homeopathy - regulated as drug items * What type of CAM is regulated as a drug item Homeopathy Acupuncture *Practiced in traditional Chinese medicine *Based on the principle of chi (qi), vital life source *Chi flows through body in paths called meridians *When chi flow through body is blocked, disease arises *Acupuncture stimulates specific points with carefully placed needles to restore flow of chi and rid patient of disease * Ayurveda *Originated in India as part of traditional Hindu medicine *Holistic self-care approach, harmony outside of oneself as well *Balance of 3 Doshas *Each person has own particular blend from birth *Imbalance of Doshas can give rise to various diseases *Interventions include yoga, meditation, breathing exercises and herbal preparations. * Imbalance of Doshas can be from: Due to food, exercise, environment, etc. What are the 3 Doshas *Vata, *Pitta *Kapha * Vata Characteristics *Always agitated, *Never steady at one place *Very little sleep, eats poorly, digestive categories are not seller *Lean body frame, very active, lack of sleep, easily agitated, poor appetite, digestion issues, interrelated to cold *Move around quickly * Pitta Characteristics *Short tempered *Very cheerful *Very social *Quick digestion *Intolerant to hunger *Intolerant to heat * Kapha Characteristics *Calm and composed *Complacent nature *Firm judgements *Slow paced *Slow digestion *Sleeps deeply * Founder of Homeopathy Samuel Hanemann Word Homeopathy comes from *the greek wok "like disease" Basic tenets of Homeopathy *Law of similars *"Provings" *"Potentizations" * Law of similars *"like cures like" = "Similia similibus curentur" * "all medicines cure, without exception, those diseases whose symptoms most nearly resemble their own." * "Provings" homeopathic ingredient caused similar symptoms in healthy volunteer "Potentizations" Serial dilutions lead to increasingly potent remedies Homeopathic Preparations *1: Begin with natural products (minerals, plants, animal parts) *2: Pulverized *3: Added to and diluted with water-alcohol solutions *4: Potentized - usually beyond point at which any of starting product (Mother Tincture) would be expected to remain detectable *5: Diluted solution applied to sugar pill and allowed to dry * Concentration of 1C *99 parts ethanol + water to 1 part mother tincture *1:100 Concentration of 2C 1:10,000 Concentration of 3C 1:1,000,000 Homeopathic Labeling: X = diluted ten-foled Homeopathic Labeling: C = diluted 100-fold "remedy" means with homeopathic labeling Homeopathic treatment "Succussion" means with homeopathic labeling shaking Evidence against Homeopathic Efficacy *Some mall studies have found it to be effective however opponents have claimed they are biased *Larger studies have failed to show superiority of homeopathy to placebo *Studies have shown homeopathy equivalent to placebo * Is Homeopathy FDA regulated Yes it is FDA regulated Proponents usually boast the following regarding homeopathy: *It is safe, gentle and natural *Can be used in adults, children and animals because it is so safe *Affordable *It is FDA regulated * FDA regulation of Homeopathy *recognizes items listed in Homoeopathic Pharmacopoeia of the United States (HPUS) as drugs *Homeopathic remedies not exempt from any requirements related to approval, labeling, adulteration, and misbranding as established by FD&C Act * New homeopathic drugs subject to same premarket approval requirements and standards for safety and efficacy as all new drugs *FDA does NOT currently evaluate remedies for safety or efficacy * What does the FDA require on the homeopathic labels *Labeling of at least one indication (MUST be a condition that can resolve on own to be available OTC, remedies for serious conditions Rx only) *Lists of ingredients *Number of times a product has been diluted *Directions for use * What is the HPUS *Homoeopathic Pharmacopoeia of the United States *Determines which ingredients (and potency levels) monographed as official homeopathic ingredients -based on provings *Affects the naming, quality, and labeling of drug products. * Who produces the HPUS *Homeopathic Pharmacopoeia Convention of the United States (HPCUS) *This is a non-governmental organization What principle is acupuncture based on Restoring the flow of Chi Ayurveda aims to balance what The 3 Doshas (Vata, Pitta, Kapha)