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Utilization of herbal and nutritional compounds among older adults with bipolar disorder and with major depression

โœ Scribed by Daniel Keaton; Nathan Lamkin; Kristin A. Cassidy; William J. Meyer; Rosalinda V. Ignacio; Lakyntiew Aulakh; Frederic C. Blow; Martha Sajatovic

Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
77 KB
Volume
24
Category
Article
ISSN
0885-6230

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โœฆ Synopsis

Abstract

Objectives

Herbal and nutritional compounds (HNC) are widely used among geriatric populations with depression, however little data exists on HNC use in older populations with bipolar disorder. The goal of this study was to evaluate orallyโ€ ingested HNC use in individuals with bipolar disorder and with major depression.

Methods

This was a crossโ€sectional analysis of selfโ€reported factual knowledge of HNC, individual perspective on efficacy and safety of HNC, patterns of HNC use, and discussion of HNC with health care providers in 50 older adults with bipolar disorder and 50 older adults with major depression.

Results

In this sample, approximately 30% of older individuals with depression or bipolar disorder used orallyโ€ ingested HNC. Over 40% of older adults believed that HNC is FDAโ€regulated and 14โ€20% preferred to take HNC compared to physicianโ€prescribed psychotropic medications. Use of HNC was more common among older adults with bipolar disorder (44%) compared to older adults with major depression (16%, pโ€‰=โ€‰0.003). The majority of older adults with mood disorders (64%) had not discussed use of HNC with their treating physicians.

Conclusion

Orally ingested HNC was used by nearly one in three older adults with mood disorders, and was more common among those with bipolar disorder compared to those with major depression. Most individuals did not discuss HNC use with their physicians. Clinicians need to assess for HNC use, particularly with respect to potential drugโ€drug interactions. Copyright ยฉ 2009 John Wiley & Sons, Ltd.

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