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Recent advances in alternative therapies.

I Ziment1

  • 1Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA 91342, USA.

Current Opinion in Pulmonary Medicine
|December 23, 1999
PubMed
Summary

Complementary and alternative medicine (CAM) use in asthma is increasing. While some CAM therapies like acupuncture show potential benefits, many lack evidence and may pose risks.

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Area of Science:

  • Integrative medicine
  • Respiratory health
  • Evidence-based practice

Background:

  • Growing patient interest in complementary and alternative medicine (CAM) for asthma management.
  • CAM therapies are used alongside or instead of conventional allopathic treatments.
  • Need for critical evaluation of CAM efficacy and safety in asthma.

Purpose of the Study:

  • To review the evidence for various CAM therapies in asthma management.
  • To assess the potential benefits and risks associated with CAM use in asthma patients.
  • To inform patients and clinicians about the scientific basis of CAM for asthma.

Main Methods:

  • Review of double-blind controlled studies on CAM for asthma.
  • Analysis of evidence for acupuncture, homeopathy, herbal medicine, dietary adjustments, and psychological approaches.
  • Assessment of reported benefits and potential harms.

Main Results:

  • Acupuncture and homeopathic management show some evidence of benefit in asthma.
  • Herbal medicine often lacks specific efficacy beyond expectorant effects.
  • Dietary changes may help a subset of patients; psychological approaches can reduce anxiety.
  • Most CAM remedies have limited proven benefits, and some carry risks.

Conclusions:

  • While some CAM therapies demonstrate potential, robust evidence is often lacking for many asthma remedies.
  • Patients should be aware of the limited benefits and potential harms of certain CAM approaches.
  • Informed decision-making regarding CAM use in asthma requires careful consideration of scientific evidence.

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