Exploring complementary and alternative medicine practices among pharmacy students in Nigeria: A national survey
DOI:
https://doi.org/10.46542/pe.2026.261.96104Keywords:
Complementary and alternative medicine, Herbal medicine, Holistic healthcare, Nigerian pharmacy student, Pharmacy education, Self-help practiceAbstract
Background: Complementary and alternative medicine (CAM) is widely used in Nigeria, yet formal training on CAM within pharmacy education has only recently gained attention. Understanding pharmacy students’ use and perceptions of CAM is essential for effective curriculum integration. This study assessed CAM usage prevalence, patterns, and perceived effectiveness of commonly used CAM modalities among undergraduate pharmacy students in Nigeria.
Methods: A cross-sectional survey was conducted among undergraduate pharmacy students. Data were collected on demographic characteristics, use of herbal medicines and self-practices in the past 12 months and currently, and perceived helpfulness of commonly used CAM modalities. Descriptive statistics were used to summarise findings.
Results: Herbal medicine use was common (20.2%), with Moringa oleifera and Zingiber officinale (ginger) being the most frequently reported herbs. Self-practices such as prayer (79.5%), relaxation (56.9%), meditation (51.4%), and imagery (40.6%) were widely practised. Most users perceived both herbal medicines and self-practices as helpful, with over 90% reporting positive outcomes for commonly used modalities. Minimal differences were observed between past and current use patterns.
Conclusion: Pharmacy students in Nigeria view CAM modalities as beneficial, indicating cultural acceptance and personal involvement despite limited training. This underscores the need to incorporate evidence-based CAM education into the pharmacy curriculum to improve students' knowledge and counseling skills.
References
Ahwinahwi, U. S., & Chukwudi, K. (2016). Perception and use of Complementary and Alternative Medicine (CAM) among undergraduate students in a Nigerian University. Journal of Applied Pharmaceutical Science, 6(06), 096‒101.https://doi.org/10.7324/JAPS.2016.60617
Amira, O., & Okubadejo, N. (2007). Frequency of complementary and alternative medicine utilization in hypertensive patients attending an urban tertiary care centre in Nigeria. BMC Complementary and Alternative Medicine, 7, 30. https://doi.org/10.1186/1472-6882-7-30
Ezeome, E., & Anarado, A. (2007). Use of complementary and alternative medicine by cancer patients at the University of Nigeria Teaching Hospital, Enugu, Nigeria. BMC Complementary and Alternative Medicine, 7, 28. https://doi.org/10.1186/1472-6882-7-28
Frausing, K. P., Flammild, M. H., & Dahlgaard, J. (2025). Mind-body practices for mental health in higher education: Breathing, grounding, and consistency are essential for stress and anxiety management. Healthcare (Basel), 13(16), 2049. https://doi.org/10.3390/healthcare13162049
Ibrahim, A., & Lawal, B. K. (2022). Assessment of awareness, use, attitude and the perceived need for Complementary and Alternative Medicine (CAM) education among undergraduate pharmacy students. Nigerian Journal of Pharmaceutical Research, 18(2), 143‒155. https://doi.org/10.4314/njpr.v18i2.6
James, P. B., & Bah, A. J. (2014). Awareness, use, attitude and perceived need for Complementary and Alternative Medicine (CAM) education among undergraduate pharmacy students in Sierra Leone: A descriptive cross-sectional survey. BMC Complementary and Alternative, 14, 438. https://doi.org/10.1186/1472-6882-14-438
James, P. B., Wardle, J., Steel, A., & Adams, J. (2018). Traditional, complementary and alternative medicine use in Sub-Saharan Africa: A systematic review. BMJ Global Health, 3(5), e000895. https://doi.org/10.1136/bmjgh-2018-000895
Jamshed, S. Q., Khan, M. U., Ahmad, A., & Elkalmi, R. M. (2016). Knowledge, perceptions, and attitudes toward complementary and alternative medicines among pharmacy students of a Malaysian Public University. Journal of Pharmacy & Bioallied sciences, 8(1), 34–38. https://doi.org/10.4103/0975-7406.171686
Koraishy, F. M., Moeckel, G. W., & Geller, D. S. (2017). A case of severe nephrotoxicity associated with long-term dietary supplement use. Clinical Nephrology Case Studies, 5, 42–47. https://doi.org/10.5414/CNCS109180
Maiyegun, A. A., Akangoziri, M. D., Grema, B. A., Mutalub, Y. B., Ibrahim, F. B., & Ibraheem, A. S. (2024). Patterns of herbal medicine use in a general outpatient clinic in Nigeria- A cross-sectional study. medRxiv (Preprint). https://doi.org/10.1101/2024.01.30.24302041
Maiyegun, A. A., Mutalub, Y. B., Muhammad, A. A., & Akangoziri, M. D. (2022). Prevalence and determinants of herbal medicine use among adults attending the National health insurance clinic of Abubakar Tafawa Balewa university teaching hospital, Bauchi, Nigeria. Nigerian Journal of Medicine, 31, 417‒423. https://www.ajol.info/index.php/njm/article/view/230710/217824
Mba, O. J., Ajaghaku, A. A., Ogbonna, B. O., & Egba, S. I. (2025). The accessibility and usage patterns of herbal drug information among non-health professionals in Nigeria: A narrative review. Innovative Medicines & Omics, 2(2), 64–81. https://doi.org/10.36922/IMO025080012
Mpinga, E. K., Kandolo, T., Verloo, H., Bukonda, N. K., Kandala, N. B., & Chastonay, P. (2013). Traditional/alternative medicines and the right to health: Key elements for a convention on global health. Health and Human Rights Journal, 15(1), E44‒57.
Naja, F., Abbas, N., Khaleel, S., Zeb, F., Osaili, T. A. H, Obaid, R. S., Faris, M. A., Radwan, H., Ismail, L. C., Hassan, H., Hashim, M., & AlZubaidi, H. (2024). Beyond pillbox: A national cross-sectional study on the attitudes, practices, and knowledge of community pharmacists regarding complementary and alternative medicine. BMC Complement Medicine and Therapies, 24, 107. https://doi.org/10.1186/s12906-024-04391-8
Naja, F., Ahmad, M., Shatila, H., Abu Shihab, K. H. N., Naalbandian, S., Saqan, R., AlZubaidi, H., & Hijazi, M. A. (2025). Role of community pharmacists in the safe and effective use of complementary and alternative medicine in the Middle East: A scoping review. PLoS One, 20(9), e0332932. https://doi.org/10.1371/journal.pone.0332932
NCCIH (National Centre for Complementary and Integrative Health). (2021). Complementary, alternative, or integrative health: What’s in a name? https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
NUC (National Universities Commission). (2023). Core Curriculum and Minimum Academic Standards (CCMAS) for Nigerian Universities. https://nuc-ccmas.ng/
Nwoko, C. C., & Udaya, E. C. O. (2022). Correlation between religious commitment and healthcare seeking behavior among the youth in Southeast Nigeria. International Journal of Advanced Research, 10(2), 727‒734. https://doi.org/10.21474/IJAR01/14263
Ogbera, A. O., Dada, O., Adeyeye, F., & Jewo, P.I. (2010). Complementary and alternative medicine use in diabetes mellitus. West African Journal of Medicine, 29(3), 158‒162. https://doi.org/10.4314/wajm.v29i3.68213
Omogbadegun, Z. O., & Adegboyega, M. A. (2013). Framework for overcoming barriers of complementary and alternative medicine acceptance into conventional healthcare system. International Journal of Medicinal Plants and Alternative Medicine, 1(7), 118‒136.
Onche, E. J., Oluwasanu, M. M., & John-Akinola, Y. O. (2024). Knowledge, perception, attitude, and practice of complementary and alternative medicine by health care workers in Garki hospital Abuja, Nigeria. BMC Complementary Medicine and Therapies, 24(1), 177. https://doi.org/10.1186/s12906-024-04429-x
Oreagba, I. A., Oshikoya, K. A., & Amachree, M. (2011). Herbal medicine use among urban residents in Lagos, Nigeria. BMC Complementary and Alternative Medicine, 11, 117. https://doi.org/10.1186/1472-6882-11-117
Owumi, B., Raji, S.O., & Aliyu, T.K. (2013). Religious belief and the utilization of traditional medicine among members of Pentecostal Churches in Emurin, Ogun State Nigeria. African Journal of Social Sciences, 3(4), 23‒34.
Patarathipakorn, O., Pawa, K., Sritipsukho, P., Tansuhaj, K., Bhamarapravatana, K., & Suwannarurk, K. (2025). Aanapanasati meditation and stress reduction among health science university students. Open Public Health Journal, 18, e18749445380247. http://dx.doi.org/10.2174/0118749445380247250225075656
Philips, C. A., Theruvath, A. H., Ravindran, R., & Augustine, P. (2024). Complementary and alternative medicines and liver disease. Hepatol Communications, 8(4), e0417. https://doi.org/10.1097/HC9.0000000000000417
Puffer, E. S., Watt, M. H., Sikkema, K. J., Ogwang-Odhiambo, R. A., & Broverman, S. A. (2012). The protective role of religious coping in adolescents' responses to poverty and sexual decision-making in rural Kenya. Journal of Research on Adolescence, 22(1), 1‒7. https://doi.org/10.1111/j.1532-7795.2011.00760.x
Quandt, S.A., Verhoef, M.J., Arcury, T.A., Lewith, G.T., Steinsbekk, A., Kristoffersen, A.E., Wahner-Roedler, D.L., & Fønnebø, V. (2009). Development of an International Questionnaire to Measure Use of Complementary and Alternative Medicine (I-CAM-Q). The Journal of Alternative and Complementary Medicine, 15(4), 331‒339. https://doi.org/10.1089/acm.2008.0521
Roseghini, R., Rosa, B. L. S., Vieira, L. G., & Daltro, M. R. (2024). Teaching integrative and complementary medicine in health undergraduate courses: Systematic review. International Journal of Complementary & Alternative Medicine, 17(4), 202‒208. https://doi.org/10.15406/ijcam.2024.17.00704
Saha, B.L., Seam, O.R., Islam, M., Das, A., Ahamed, S.K., Karmakar, P., Islam, F., & Kunduet, S.K. (2017). General perception and self-practice of complementary and alternative medicine (CAM) among undergraduate pharmacy students of Bangladesh. BMC Complementary and Alternative Medicine, 17, 314. https://doi.org/10.1186/s12906-017-1832-y
Sekgobela, T. (2025). Religion and spirituality as a source of resilience among social workers: A strength-based perspective. International Social Work, 0(0). https://doi.org/10.1177/00208728251383138
Tangkiatkumjai, M., Boardman, H., & Walker, D.M. (2020). Potential factors that influence usage of complementary and alternative medicine worldwide: A systematic review. BMC Complementary Medicine and Therapies, 20,363. https://doi.org/10.1186/s12906-020-03157-2.
Tiralongo, E., & Wallis, M. (2008). Integrating complementary and alternative medicine education into the pharmacy curriculum. American journal of pharmaceutical education, 72(4), 74. https://doi.org/10.5688/aj720474.
WHO (World Health Organization). (2004). WHO guidelines on safety monitoring of herbal medicines in pharmacovigilance systems. https://iris.who.int/handle/10665/43034