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Innovative Medicines & Omics                                      Herbal drug among non-health professionals




                                        Keywords: Herbal medicine; Non-health professionals; Information accessibility; Usage
                                        patterns; Nigeria; Regulation



            1. Introduction                                    and Ethnobotanical Databases under the United States
                                                               Department of  Agriculture Data for  Agricultural Plants
            Herbal medicine has been an essential component of   enable comprehensive searches of plants, chemicals,
            traditional health care in Nigeria, with many individuals   bioactivities, and ethnobotany using scientific or common
            relying on plant-based remedies for various ailments.    names. 7
                                                          1
            Despite the growing accessibility of modern health-care
            services, herbal drugs remain a significant part of the   In  regions  where  there  is  a  high  burden  of  diseases,
            health-care landscape, particularly among non-health   whether communicable (malaria and tuberculosis) or
            professionals. This continued use of herbal medicine is   non-communicable (diabetes and hypertension), access
            often driven by affordability, cultural beliefs, accessibility,   to modern health-care facilities and medications may
            and the perception that herbal remedies are safer or more   be limited. Herbal medicine often provides an accessible
            natural than conventional pharmaceuticals.  Furthermore,   alternative, as many communities may have traditional
                                              2
                                                                                                             8
            in the absence of sufficient health-care infrastructure,   knowledge of local plants and their medicinal uses.
            especially in rural areas, many Nigerians turn to herbal   Some herbal treatments are believed to have preventive
            remedies for self-medication, disease prevention, and   properties, which can be appealing in areas with high
            long-term management of chronic conditions. 3      disease rates. Individuals may use herbal remedies to
                                                               strengthen their immune systems or manage symptoms of
              Nigeria has over 500 ethnic groups, each with unique
            traditions of healing that involve the use of local plants,   chronic diseases, thereby attempting to reduce their risk
                                                               of both communicable and non-communicable diseases.
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            animal products, and minerals for medicinal purposes.  For
                                                       4
            many Nigerians, particularly those in rural communities,   Non-health professionals – individuals who have not
            herbal medicine remains the first choice  for managing   received  formal  training  in medicine –  are  a significant
            common ailments such as malaria, coughs, fevers, and   demographic of herbal drug users in Nigeria. They typically
            even chronic diseases such as hypertension and diabetes. 3  obtain their knowledge of herbal remedies from various
                                                               informal sources, including traditional healers, family
              While herbal drugs are widely used, the sources of                                            10
            information about these remedies and their patterns of   members, local markets, and increasingly, the Internet.
                                                               However, the lack of formal education in pharmacology,
            usage  among  non-health  professionals are  not  always   toxicology, and health sciences may contribute to improper
            well-documented or scientifically supported. Much of the   usage, including incorrect dosages and unsafe combinations
            knowledge about herbal medicines is passed down through                               8
            generations in a largely informal, oral tradition.  In recent   of herbal drugs with conventional medicines.  Furthermore,
                                                  4
            years, however, the rise of digital platforms such as social   while herbal medicines are often believed to be “natural”
            media and online health blogs has made herbal drug   and  therefore  safer,  concerns  about  the  safety,  efficacy,
                                                               and quality control of these products persist. A significant
            information more accessible, although this information
            can sometimes be unregulated or unreliable.  The National   number of herbal medicines in Nigeria are produced without
                                               5
            Center for Complementary and Integrative Health is   standardized  guidelines  or  regulation,  raising  questions
                                                                                                      11,12
            a  United  States  governmental agency  that  provides   about their safety and potential for adverse effects.
            information on herbal products, dietary supplements, and   Given that many people are now using herbal medicine,
            complementary health approaches. In addition, PubMed   safety issues are also becoming a significant concern.
            is a database of scientific articles, including research on   Certain herbal medicines have been implicated in several
            herbal medicines, where studies on the efficacy and safety   critical adverse events relating to cardio-, neuro-, and
            of various herbs can be found.  The Herbal Medicine   nephrotoxicities as well as cancers. 13,14  Toxicity due to
                                       6
            Comprehensive  database  offers  detailed  monographs  on   herbal medicines may occur, and the severity may vary
            hundreds of herbal products and supplements, including   depending on the herb or herbal material, preparation, and
            effectiveness, interactions, and potential safety concerns.   user, ranging from minor to severe, and sometimes fatal.
            The American Herbalists Guild provides resources   Adulterations and  concomitant use of  herbal  medicines
            for herbal practitioners and those interested in herbal   with conventional medicines constitute another area
            medicine, including articles, webinars, and a directory of   of attention; thus, there is a need for strict regulation,
            clinical herbalists. Furthermore, Dr. Duke’s Phytochemical   enlightenment, and control. 15


            Volume 2 Issue 2 (2025)                         65                          doi: 10.36922/IMO025080012
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