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Complementary and Alternative Therapies in HIV

Seeking health promotion and disease prevention
Conventional therapies have been exhausted
Conventional therapies are of indeterminate effectiveness or associated with significant side effects or risk
No conventional therapy known to relieve patients condition
The conventional approach is perceived to be emotionally or spiritually without benefit

Patterns Of Alternative Therapy Use In British Columbia

1019 participants receiving HIV/AIDS-related drug treatments from the provincial program
Invasive (dietary supplements and other) vs non-invasive (tactile and personal) Rx recorded

Thirty-four percent had ever used complementary therapies

53% dietary supps; 43% other Invasive

15% tactile; 30% other personal

Users morn likely to have AIDS, moderate or severe pain, more educational degrees, not currently on ARV Rx

Use of CAM by HIV + Women: Results

CAM use similar in HIV + and HIV - women

Users older, higher education and income, more frequent in whites
Spiritual practices, regular exercise,

Chinese herbs most frequent

70% users did not disclose to their health care provider

Traditional Medicine In Uganda Effectiveness of traditional herbal medicine for treatment of chronic diarrhea and Herpes Zoster compared to best medical therapy available, including acyclovir

387 CD and 272 HZ pts enrolled
HZ lesions healed at same rate whether under herbal or medical Rx, but fewer healer pts with post-herpetic neuralgia (11% vs 44%, p<0.0005)

CD responded significantly morn frequently to herbal then conventional Rx (73% vs 29%. p<0.0005); also faster response (NS)

CD4 cells declined equally in all groups

Meta-Survey Of Plant And Herb Material As Treatment For HIV

Chinese Herbs for Symptomatic H1V

Chinese Herbs for Symptomatic HIV

Source QITM

Main Components

Ailanthes (Chun Pi)

MARROW PLUS for Anemia

Marrow PlusTM

Main Components

Milletla (di Xue Teng)

CPCRA 022 Neuropathy Trial

Primary endpoint

    Change in pain from baseline to wk 6, wk14

Measured by daily pain diaries

            Faint .04

  Mild .74

  Barely strong 1.10

  Extremely Intense t.75

CPCRA 022 Neuropathy Study: Results of the Acupuncture Comparison