{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T11:36:23Z","timestamp":1787225783310,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T00:00:00Z","timestamp":1592265600000},"content-version":"vor","delay-in-days":167,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007941","name":"Addis Ababa University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007941","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evidence-Based Complementary and Alternative Medicine"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. The majority of the population in developing countries including Ethiopia still relies on traditional medicines (TMs). Patients with chronic illness like diabetes mellitus (DM) are dissatisfied with conventional medicines and thus are more likely to simultaneously use herbal medicines (HMs). However, such practice could result in potential herb\u2010drug interaction. This study aimed to identify the commonly used HMs among patients with DM and determine the magnitude of concomitant use of herbal and conventional antidiabetic medicines. <jats:italic>Method<\/jats:italic>. A health facility\u2010based cross\u2010sectional study design was employed using both quantitative and qualitative data collection methods to determine the magnitude of concomitant use. Patients with DM and prescribers from four public hospitals were the study population for the quantitative and qualitative study, respectively. Simple descriptive statistics were used to describe variables for the quantitative data, and content analysis had been conducted manually for qualitative data. <jats:italic>Result<\/jats:italic>. Out of 791 respondents, 409 (51.7%) used traditional medicine at least once in their life time, and 357 (45.1%) used traditional medicine in the last six months prior to data collection. A majority (288 (80.7%)) of the respondents used HMs after starting the conventional antidiabetic medicines within the last six months. <jats:italic>Moringa stenopetala<\/jats:italic>, <jats:italic>Thymus vulgaris<\/jats:italic>, <jats:italic>Trigonella foenum-graecum<\/jats:italic>, <jats:italic>Nigella sativa<\/jats:italic>, and <jats:italic>Allium sativum<\/jats:italic> were among the frequently mentioned HMs. Prescribers were requesting patients\u2019 HM use when they saw sign of liver toxicity and skin disease, and they were not documenting their history in the patient\u2019s chart. <jats:italic>Conclusion<\/jats:italic>. Concomitant use of herbal and conventional antidiabetic medicines was a common practice. Cognizant of its potentially serious herb\u2010drug interactions, efforts should be made to improve awareness and knowledge of healthcare providers about HM potential effects. Further studies on dose, frequency, duration, and modes of interaction are recommended.<\/jats:p>","DOI":"10.1155\/2020\/4871459","type":"journal-article","created":{"date-parts":[[2020,6,16]],"date-time":"2020-06-16T23:32:24Z","timestamp":1592350344000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Concomitant Use of Herbal and Conventional Medicines among Patients with Diabetes Mellitus in Public Hospitals of Addis Ababa, Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8198-2848","authenticated-orcid":false,"given":"Solomon Getnet","family":"Meshesha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariamawit Yonathan","family":"Yeshak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2079-2944","authenticated-orcid":false,"given":"Gebremedhin Beedemariam","family":"Gebretekle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zelalem","family":"Tilahun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8500-6708","authenticated-orcid":false,"given":"Teferi Gedif","family":"Fenta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,16]]},"reference":[{"key":"e_1_2_10_1_2","volume-title":"WHO Traditional Medicine Strategy: 2014\u20132023","author":"WHO","year":"2013"},{"key":"e_1_2_10_2_2","first-page":"181","article-title":"Use of complementary and alternative medicine among patients with chronic diseases","volume":"52","author":"Mollao\u011flu M.","year":"2014","journal-title":"Acta Clinica Croatica"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-299"},{"key":"e_1_2_10_4_2","first-page":"40","article-title":"Antidiabetic efficiency of moringaoleifera and solanumnigrum","volume":"6","author":"Sugunabai J.","year":"2014","journal-title":"International Journal of Pharmacy and Pharmaceutical Sciences"},{"key":"e_1_2_10_5_2","first-page":"21","article-title":"Challenges, constraints and opportunities of herbal medicine","volume":"2","author":"Thillaivanan S.","year":"2014","journal-title":"International Journal of Herbal Medicine"},{"key":"e_1_2_10_6_2","volume-title":"International Diabetic Federation Diabetes ATLAS","author":"IDF","year":"2015"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2009.10.007"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.3906\/sag-1410-60"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12906-015-0764-7"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/983792"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1208\/s12248-009-9146-8"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/659478"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2011.04135.x"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2012.00069"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601560"},{"key":"e_1_2_10_16_2","unstructured":"WHO World Health Organization-noncommunicable disease country profiles 2014 http:\/\/apps.who.int\/iris\/bitstream\/10665\/128038\/1\/9789241507509_eng.pdf."},{"key":"e_1_2_10_17_2","unstructured":"CSA Population projection of Ethiopia for all regions at woreda level from 2014\u20132017 2017 http:file:\/\/\/C:\/Users\/PC\/Downloads\/Population%20projection%20of%20Ethiopia%20for%20all%20Regions%20at%20wereda%20level%20from%202014%20-%202017%20(1).pdf."},{"key":"e_1_2_10_18_2","volume-title":"Annual Performance Report Submitted to City Administration of Addis Ababa","author":"AACAHB","year":"2016"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/104063870902100102"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.4314\/ejhd.v16i1.9823"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6882-13-38"},{"key":"e_1_2_10_22_2","unstructured":"OndichJ. 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