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Community Pharmacists’ Views and Experiences with ADR Reporting for Complementary Medicines: A Qualitative Study in New Zealand

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  • Joanne Barnes

    (University of Auckland)

  • Rachael Butler

Abstract

Introduction Detecting signals of safety concerns associated with complementary medicines (CMs) relies on spontaneous reports submitted by health professionals and patients/consumers. Community pharmacists are well placed to identify and report suspected adverse drug reactions (ADRs) associated with CMs, but pharmacists submit few CMs ADR reports. Objectives The aim of this study was to explore New Zealand community pharmacists’ views and experiences with ADR reporting for CMs. Methods Qualitative, in-depth, semi-structured interviews were undertaken with 27 practising community pharmacists identified through purposive and convenience sampling. Data were analysed using a general inductive approach. Results Participants were familiar with systems for reporting ADRs, believed ADR reporting for CMs important, and that pharmacists should contribute. However, few submitted reports of CMs ADRs and none encouraged patients/consumers to do so. Participants explained this was because they had never been informed by patients about ADRs associated with CMs. Participants said they would report serious ADRs; time pressures, lack of certainty around causality, lack of awareness of mechanisms for reporting CMs ADRs, and lack of remuneration were deterrents to reporting. Participants were aware of intensive-monitoring studies for prescription medicines, understood the rationale for considering this approach for CMs and recognised there would be potential practical difficulties. Conclusions Participants used their knowledge of CMs safety concerns to minimise risk of harms to consumers from CMs use, but most had a passive approach to identifying and reporting ADRs for CMs. There is substantial potential for pharmacists to adopt proactive strategies in pharmacovigilance for CMs, particularly in recognising and reporting ADRs, and empowering CMs users to do the same.

Suggested Citation

  • Joanne Barnes & Rachael Butler, 2020. "Community Pharmacists’ Views and Experiences with ADR Reporting for Complementary Medicines: A Qualitative Study in New Zealand," Drug Safety, Springer, vol. 43(11), pages 1157-1170, November.
  • Handle: RePEc:spr:drugsa:v:43:y:2020:i:11:d:10.1007_s40264-020-00980-x
    DOI: 10.1007/s40264-020-00980-x
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    1. Bouldin, Alicia S. & Smith, Mickey C. & Garner, Dewey D. & Szeinbach, Sheryl L. & Frate, Dennis A. & Croom, Edward M., 1999. "Pharmacy and herbal medicine in the US," Social Science & Medicine, Elsevier, vol. 49(2), pages 279-289, July.
    2. Rike van Eekeren & Leàn Rolfes & Andries S. Koster & Lara Magro & Gurumurthy Parthasarathi & Hussain Al Ramimmy & Tim Schutte & Daisuke Tanaka & Eugène van Puijenbroek & Linda Härmark, 2018. "What Future Healthcare Professionals Need to Know About Pharmacovigilance: Introduction of the WHO PV Core Curriculum for University Teaching with Focus on Clinical Aspects," Drug Safety, Springer, vol. 41(11), pages 1003-1011, November.
    3. Yun Mi Yu & Euni Lee & Bon Sun Koo & Kyeong Hye Jeong & Kyung Hee Choi & Lee Kyung Kang & Mo Se Lee & Kwang Hoon Choi & Jung Mi Oh & Wan Gyoon Shin, 2016. "Predictive Factors of Spontaneous Reporting of Adverse Drug Reactions among Community Pharmacists," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-13, May.
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