Complementary and Alternative Medicine in the context of HIV disease and HAART

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1 Complementary and Alternative Medicine in the context of HIV disease and HAART Canadian AIDS Treatment Information Exchange, 2006 Devan Nambiar Treatment Information Educator

2 CATIE Programs & Services Treatment Information Call Centre: Treatment Information Web Site: Library and Resource Centre Numerous FREE publications FREE Workshops on treatment topics delivered across Canada Fact sheets on HIV drugs, CAM therapies for HIV and HIV-related diseases Resources for specific populations with specific needs: women, Aboriginal people, IDUs Innovations, InfoCATIE

3 Publications: TU and PS

4 Publications Practical Guides Managing Your Health

5 Other Publications of Interest Fact sheets on HIV drugs, complementary therapies for HIV and HIV-related diseases Resources for specific populations with specific needs: women, Aboriginal people, IDUs Innovations, InfoCATIE

6 Objective of the workshop Understanding CAM and the terminology Complete Medical System and Wellness strategies CAM use by PHAs Resources

7 Many Terminologies of CAM Alternative medicine any therapy outside the western medical model CAM - complementary and alternative medicine CAHC -complementary and alternative healthcare (Health Canada preferred term) Integrative medicine -integrates traditional/conventional medicine and CAM Holistic Medicine Complementary Medicine

8 What is Complementary Medicine? Connect the physical, mental, spiritual, emotional and sexual dimensions of life Healing must occur on all levels and not just deal with symptom management. Attempt to address the root cause of illness instead of masking symptoms Places an emphasis on a preventative approach to healing and treating the cause/s of a disease state

9 Uses of Complementary Medicine

10

11 CAM/Wellness Strategies CAM is often derived from ancient traditional systems of healing such as Yoga (Ayurveda) and Acupuncture (Traditional Chinese Medicine).

12 Common CAM used by PHAs Vitamins and supplements Mind-body (meditations, spiritual practices, prayer) Massage Chiropractic care Herbals Research study: n= 104

13 Complete Medical Systems Ayurvedic Medicine Homeopathy Aboriginal Healing Traditions Naturopathic MedicineNaturopathy Traditional Chinese Medicine

14 Overview of Wellness Strategies Aromatherapy Colour Therapy Flower/Other Essences Herbal Therapies Iridology Juicing Massage Chiropractic and Osteopathic Manipulation Mind-Body Medicine Touch Therapies Unconventional Therapies (oxygen, hyperbaric oxygen, hydrogen peroxide, ozone, antioxidants)

15 Wellness Strategies Emotional Spiritual Physical YOU Sexual Mental A Sum of the Total Selves

16 Wellness in daily living Nutrition Boosting immune system Exercise Good sex Healthy relationships Meditation, centered, calmness Anti-stress

17 Managing Short and Long Term Side Effects Nausea, Bloating, Diarrhea Fever/chills Headaches Cardiovascular Disease (CVD) Bone loss Kidney health Glucose / insulin resistance Sleep Lipodystrophy/ lipoatrophy Peripheral neuropathy Nerve damage Hyperlactatemia

18 Herbals Ashvagandha African Potato Plant Astragulus Garlic Ginseng Jeevani Marijuana Milk Thistle Mushrooms St.John s Wort Sutherlandia Triphala

19 Contraindicated with HAART Echinacea and Cats Claw (can increase HIV replication) St.John s Wort (may decrease levels of PIs and NNRTIs) Milk thistle (may decrease or decrease levels of PIs) Sutherlandia and African Potato plant (decreased antihiv drugs in vitro)

20 Implementing CAM Strategies Doing research on CAM "Red Flags" to watch out for Choosing a CAM therapist Refer to CATIE s Practical Guide to Complementary Therapies for People Living with HIV

21 Websites on CAM

22 Websites on HIV/AIDS

23 Contact Us! us at Telephone:

24 Disclaimer Decisions about particular medical treatments should always be made in consultation with a qualified medical practitioner knowledgeable about HIV- related illness and treatment question. The Canadian AIDS Treatment Information Exchange (CATIE) in good faith provides information resources to help people living with HIV/AIDS who wish to manage their own health care in partnership with their care providers. Information accessed through or published or provided by CATIE, however is not to be considered medical advice. We do not recommend or advocate particular treatments and we urge users to consult as broad a range of sources as possible. We strongly urge users to consult with a qualified medical practitioner prior to undertaking any decision, use or action of a medical nature.

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