Fawad Ahmed, Ayaz Ayub, Hamid Hussain


Background: The prevalence of complementary and alternative medicine (CAM) use in some developed countries is on the rise as surveys conducted on large scale vouch for. This study was conducted with the aim to determine the frequency of complementary and alternative medicine (CAM) use among asthmatic patients at outpatient department of tertiary care hospitals in Peshawar, Khyber Pakhtunkhwa, Pakistan.  Methods: This cross-sectional study was conducted in outpatient department of two tertiary care hospitals. A face to face interview of 423 patients was conducted through a questionnaire. Non-probability consecutive sampling method was used to select the respondents. Stata version 12.1 (StataCorp), College Station, Texas) was used to carry out the statistical analysis. Results: Overall asthmatic patients in the study were 423, in which 232 (54.85%) patients reported as using CAM. There were 177 (41.84%) males and 246 (58.16%) females.  The CAM use was significantly more in older age patients, suffering from asthma for more than 5 years, severe persistent type of asthma, married, unemployed, rural and current smokers. Conclusion: The use of CAM reflects a high CAM use among asthmatic patients in Pakistan. Clinicians should be aware about their patient’s use of CAM.

Keywords: Complementary and alternative medicine; Asthma, patients; Pakistan

Full Text:



Adam J, Sibbritt D, Broom A, Loxton D, Pirotta M, Humphreys J, et al. A comparison of complementary and alternative medicine users and use across geographical areas: a national survey of 1427 women. BMC 2011;11(85):1156–62.

Ganasegeran K, Rajendran AK, Radman SA. Psycho-Socioeconomic Factors Affecting Complementary and alternative medicine use among selected rural communities in Malayasia: a crss-sectional study. PloS One 2014;9(11):e112124.

Ricotti V, Delanty N. Use of complementary and alternative medicine in epilepsy. Curr Neurol Neurosci Rep 2006;6(4):347–53.

Tonekaboni SH, Jaffery S, Khajeh A, Yaqhini O, Ghazavi A, Abdollah Gorji. Use of complementary and alternative medicine for epileptic children in Tehran: a cross sectional study. Iran J Child Neurol 2014;8(1):26–31.

Aburahma SK, Khader YS, Alzoubi K, Sawalha N. Complementary and alternative medicine use in a pediatric neurology clinic. Complement Ther Clin Pract 2010;16(3):117–20.

Bodeker G, Kronengburg F. A public health agenda for traditional complementary and alternative medicine. Am J Public Health 2002;92(10):1582–91.

Yekta Z, Zamani A, Mehdizade M, Farajzadegan Z. Pattern of complementary and alternative medicine use in urban population. J Res Health Sci 2007;7(1):24–31.

Limsatchapanich S, Sillabutra J, Nicharojana LO. Factors related to the use of complementary and alternative medicine among people living with HIV/AIDS in Bangkok, Thailand. Health Sci J 2013;7(4):436–46.

Abuduli M, Ezat WP, Aljunid S. Role of traditional and complementary medicine in universal health coverage. Malaysian J Public Health Med 2011;11(2):1–5.

Hawang JH, Han DW, Yoo EK, Kim WY. The utilization of complementary and alternative medicine among ethnic minorities in South Korea. BMC Complement Altern Med 2014;14:103–11.

Kemp JP. Clinician’s Manual on Pediatric Asthma. Science Press Incorporated; 2002.

Mokhtar N, Chan SC. Use of complementary medicine amongst asthmatic patients in primary care. Med J Malaysia 2006;61(1):125–7.

Alshagga MA, Al-Dubai SA, Muhamad Faiq SS, Yusuf AA. Use of complementary and alternative medicine among asthmatic patients in primary care clinics in Malaysia. Ann Thorac Med 2011;6(3):115–9.

Ng TP, Wong ML, Hong CY, Kon KH, Goh LG. The use of complementary and alternative medicine by asthma patients. QJM 2003;96(10):747–53.

Jonas WB. Researching alternative medicine. Nat Med 1997:3(8);824–7.

Sheihk SH, Malik F, James H, Abdul H. Trends in the use of Complementary and Alternative Medicine in Pakistan: a population-based survey. J Altern Complement Med 2009:15(5);545–50.

Blanc PD, Kuschner WG, Katz PP, Smith S, Yelin EH. Use of herbal products, coffee or black tea and over-the-counter medications as self-treatments among adults with asthma. J Allergy Clin Immunol 1997;100:789–91.

Blanc PD, Trupin L, Earnest G, Katz PP, Yelin EH, Eisner MD. Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis: data from a population-based survey. Chest 2001;120(5):1461–7.

Ernst E. Complementary therapies for asthma: what patients use. J Asthma 1998;35(8):667–71.

Lee GB, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam Pract 2004;21(6):654–60.

Chen W, Fitzjerald JM, Rousseau R, Lynd LD, Tan WC, Sadarsafavi M. Complementary and alternative asthma treatments and their association with asthma control: a population-based study. BMJ Open 2013;3(9):e003360.

Marino LA, Shen J. Characteristics of complementary and alternative medicine use among adults with current asthma, 2006. J Asthma 2010;47(5):521–5.

Blais L, Kettani FZ, Beauchesne MF, Lemière C, Perreault S, Forget A. New measure of adherence adjusted for prescription patterns: the case of adults with asthma treated with inhaled corticosteroid monotherapy. Ann Pharmacother 2011;45(3):335–41.

Roy A, Lurslurchachai L, Halm EA, Li XM, Leventhal H, Wisnivesky JP. Complementary and alternative medication use and adherence to inhaled corticosteroid among inner-city asthmatics. Ann Allergy Asthma Immunol 2010;104(2):132–8.


  • There are currently no refbacks.

Contact Number: +92-992-382571

email: [jamc] [@] []