Pharmacists’ attitudes and awareness towards the use and safety of herbs in Kuwait

  • Nada A. Abahussain
  • Eman A. Abahussain
  • Fawaz M. Al-Oumi
Keywords: Herbal Medicine, Pharmacy Continuing Education, Pharmacy Graduate Education, Attitude of Health Personnel, Kuwait


Objectives: The purpose of this study was to investigate the knowledge and attitudes among pharmacists in Kuwait towards the use of herbs.

Methods: Self-administered questionnaire was designed as the study instrument and distributed among 100 qualified pharmacists working in government and private pharmacies in Kuwait.

Results: The mean age was 34.2 (SD=7.5) years. About 51% of pharmacists reported they had used herbal therapy in their lifetime. The majority were interested in herbal information, and their herbal information came mainly from their previous classes during college. Although the pharmacists’ knowledge about uses of selected herbs was good, their awareness about side effects of those herbs was modest. About 31% of the pharmacists did not have enough information about potential interactions between herbs and conventional medicines.

Conclusion: Herbal information is needed for pharmacy students as part of the Pharmacy College curriculum. Continuing education programs for practising pharmacists about the safety of different herbal products should be established in Kuwait.


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1. Annual report of the Eastern Mediterranean Region 2005. WHO.

2. Traditional medicine. Fact sheet No 134. WHO, Geneva. 2003.

3. Al-Saeedi M, Elzubier AG, Bahnassi AA, Al-Dawood KM. Patterns of belief and use of traditional remedies by diabetic patients in Mecca. Saudi Arabia East Mediterr Health J 2003;9:99-107.

4. Barnes J. An introduction to herbal medicinal products . Pharm J 2002;268:804-6.

5. Vickers A, Zollman C. ABC of complementary medicine, herbal medicine. BMJ 1999;319:1050-3.

6. Dutta AP, Miederhoff PA, Pyles MA. Complementray and alternative medicine education: Students’ perspectives. Am J Pharm Educ 2003;67:345-9.

7. Naidu S, Wilkinson JM, Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother 2005; 39:1456-61.

8. Hasan MY, Das M, Behjat S. Alternative medicine and the medical profession: views of medical students and general practioners. East Mediterr Health J 2000; 6: 25-33.

9. Clauson KA, Mc-Queen CE, Sheild KM, Bryant PJ. Knowledge and attitudes of pharmacists in Missouri regarding natural products. Am J Pharm Educ.2003;67:301-9.

10. Churchill GA. "Marketing Research : Methodological Foundations". The Dryden Press (Seventh Edition, 1999). p. 501-507.

11. De-Smet PA. Herbal remedies. N Engl J Med 2002;347:2046-55.

12. Koh HL, Teo HH, Ng HL Pharmacists' patterns of use, knowledge, and attitudes toward complementary and alternative medicine. J Altern Complement Med 2003;9:51-63.

13. Welna EM, Hadsall RS, Schommer JC. Pharmacists’ personal use, professional practice behaviors, and perceptions regarding herbal and other natural products. J Am Pharm Assoc 2003;43:602-11.

14. Guidelines to promote proper use of alternative medicines. WHO Geneva 2004. Available at: (accessed Sep 28,2006).

15. Brown CM.Use of alternative therapies and their impact on compliance: perceptions of community pharmacists in Texas. J Am Pharm Assoc 1998; 38: 603-8.

16. Brown CM, Barner JC, Shah SJ. Community pharmacists’ actions when use complementry and alternative therapies with medications. J Am Pharm Assoc 2005; 45:41-7.

17. Bennett J, Brown CM. Use of herbal remedies by patients in a health maintenance organization. J Am Pharm Assoc 2000;40:353-8.

18. Ajaji N, Taha AZ, Al-Subaie AG. Prevalence of utilization of native medicine among primary care consumers. Saudi Med J 1998; 19: 551-4.

19. Al-Rowis NA. Herbal medicine in the treatement of diabetes mellitus. Saudi Med J 2002:23:1327-31.

20. Al-Awamy BH. Evaluation of commonly used tribal and traditional remedies in Saudi Arabia. Saudi Med J 2001;22(12):1065-8.

21. Chang ZG, Kennedy D, Holdford D, Small R. Pharmacists’ knowledge and attitudes toward herbal medicine. Ann Pharmacother 2000;34(6):710-5.

22. Wong SM, Cheng G, Chan TY. Use of herbal medicines by patients receiving warfarin. Drug safety.2003;26:585-88.

23. Williamson EM. Drug interactions between herbal and prescription medicines. Drug Safety. 2003; 26:1075-92.

24. Ramsay NA, Kenny MW, Davies G, Patel JP. Complimentary and alternative medcine use among patients starting warfarin. Br J Haematol. 2005;130(5),770-80.

25. Mackowiak ED, Parikh , Freely J. Herbal product education in united Statespharmacy schools: core or elective program?. Am J Pharm Educ 2001;65:1-6.

26. Shields KM. Natural products education in schools of pharmacy in the United States. Am J Pharm Educ 2003; 67:43-7.

27. Kouzi SA. Herbal remedies: the design of a new course in pharmacy. Am J Pharm Educ 1996;60:358-64.
How to Cite
Abahussain NA, Abahussain EA, Al-Oumi FM. Pharmacists’ attitudes and awareness towards the use and safety of herbs in Kuwait. Pharm Pract (Granada) [Internet]. 2007Sep.10 [cited 2020Jul.8];5(3):125-9. Available from:
Original Research