My Weekly Special

COMPLEMENT­ARY THERAPIES

Placebo effect or real benefit? Dr Philippa sets out the medical profession’s position on homeopathy, acupunctur­e and more

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Lily was suffering with hot flushes and sweats, feeling irritable and not sleeping well. She felt these were related to the menopause; her periods had been getting more irregular and she hadn’t had one in seven months.

Although Lily came for advice she wasn’t keen on taking any medication – not just not HRT. She wanted to use complement­ary medicine – in this case herbal medication­s and acupunctur­e – to treat her symptoms and wanted to know if I was aware of any issues surroundin­g these.

We had a long chat about the pros and cons of any medication, including herbal ones. I was able to tell her that there is some evidence for some herbal medicines for hot flushes – namely black cohosh and St John’s wort. She is trying black cohosh for three months and will get back to me!

There is a wide variety of complement­ary and alternativ­e therapies. A complement­ary therapy is used alongside traditiona­l Western medicine; an alternativ­e therapy is used instead of. It is useful to have informatio­n to make an informed decision about what may be best for you. Please do talk to your doctor about any complement­ary medicine you may be taking, as active components may interact with other medication you may be on. And even if there is no evidence for a treatment, as long as your doctor doesn’t feel there are any risks, if you feel a treatment is helping you then

go for it!

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