[Omeo33] Art 0169 - Homeopathy, 2004, 93 (4), 203-209

[Gino Santini]

A preliminary audit investigating remedy reactions including adverse  
events in routine homeopathic practice
E. Thompson, S. Barron and D. Spence

Homeopathic medicines are regarded as safe but practitioners report  
several types of healing or remedy reactions including aggravations,  
new symptoms and recurrence of old symptoms, some of which could be  
regarded as side effects or unwanted effects. Some remedy reactions  
may be regarded as adverse events.
Audit Questions: Do such reactions occur within our unit, and if so,  
how frequently? Do patients regard these events as “adverse”?
Methods: The audit was carried out in the Bristol Homeopathic Hospital  
Outpatient Department. All patients were given a questionnaire to  
complete when at their first follow-up consultation approx 6–10 weeks  
after their first appointment. One hundered and sixteen patients were  
sampled over a 2-month period.
Results: Reactions were frequent: 28 out of the 116 (24%) patients,  
experienced an aggravation. Thirteen patients (11%) reported an  
adverse event even though 5 of those were patients who also reported  
an aggravation followed by an overall improvement of their symptoms.  
Thirty-one patients described new symptoms (27%) and 21(18%), a return  
of old symptoms. Those experiencing the latter appeared to have better  
outcomes.
Conclusions: Remedy reactions are common in clinical practice; some  
patients experience them as adverse events. Systematically recording  
side effects would facilitate our understanding of these reactions and  
would enable standards to be set for audit of information and patient  
care.

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