Mild reaction again....now what?

southernbubby

Tue, Nov 12 2019, 12:21 pm

Regarding the effectiveness of homeopathy, especially in preventing illness:

Homeopathy
Homeopathy is a "treatment" based on the use of highly diluted substances, which practitioners claim can cause the body to heal itself.

A 2010 House of Commons Science and Technology Committee report on homeopathy said that homeopathic remedies perform no better than placebos (dummy treatments).

The review also said that the principles on which homeopathy is based are "scientifically implausible".

This is also the view of the Chief Medical Officer, Professor Dame Sally Davies.

What is homeopathy?
Homeopathy is a complementary or alternative medicine (CAM). This means that homeopathy is different from treatments that are part of conventional Western medicine in important ways.

It's based on a series of ideas developed in the 1790s by a German doctor called Samuel Hahnemann.

A central principle of the "treatment" is that "like cures like" – that a substance that causes certain symptoms can also help to remove those symptoms.

A second central principle is based around a process of dilution and shaking called succussion.

Practitioners believe that the more a substance is diluted in this way, the greater its power to treat symptoms.

Many homeopathic remedies consist of substances that have been diluted many times in water until there's none, or almost none, of the original substance left.

Homeopathy is used to "treat" an extremely wide range of conditions, including physical conditions such as asthma and psychological conditions such as depression.

Does it work?
There's been extensive investigation of the effectiveness of homeopathy. There's no good-quality evidence that homeopathy is effective as a treatment for any health condition.

Is it available on the NHS?
Homeopathy isn't widely available on the NHS. In 2017, NHS England recommended that GPs and other prescribers should stop providing it.

This is because they found "no clear or robust evidence to support the use of homeopathy on the NHS (PDF, 607kb)".

Homeopathy is usually practised privately, and homeopathic remedies are available from pharmacies.

The price for a consultation with a homeopath can vary from around £30 to £125. Homeopathic tablets or other products usually cost around £4 to £10.

What should I expect if I try it?
When you first see a homeopath, they'll usually ask you about any specific health conditions, but also ask about your general wellbeing, emotional state, lifestyle and diet.

Based on this, the homeopath will decide on the course of treatment, which most often takes the form of homeopathic remedies given as a pill, capsule or tincture (solution).

Your homeopath may recommend that you attend one or more follow-up appointments so the remedy's effects on your health can be assessed.

When is it used?
Homeopathy is used for an extremely wide range of health conditions. Many practitioners believe it can help with any condition.

Among the most common conditions that people seek homeopathic treatment for are:

asthma
ear infections
hay fever
mental health conditions, such as depression, stress and anxiety
allergies, such as food allergies
dermatitis (an allergic skin condition)
arthritis
high blood pressure
There's no good-quality evidence that homeopathy is an effective treatment for these or any other health conditions.

Some practitioners also claim homeopathy can prevent malaria or other diseases. There's no evidence to support this, and no scientifically plausible way that homeopathy can prevent diseases.

The National Institute for Health and Care Excellence (NICE) advises the NHS on the proper use of treatments.

Currently, NICE doesn't recommend that homeopathy should be used in the treatment of any health condition.

What are the regulation issues?
There's no legal regulation of homeopathic practitioners in the UK. This means that anyone can practise as a homeopath, even if they have no qualifications or experience.

Voluntary regulation aims to protect patient safety, but it doesn't mean there's scientific evidence that a treatment is effective.

A number of professional associations can help you find a homeopath who will practise the treatment in a way that's acceptable to you.

The Society of Homeopaths and the Federation of Holistic Therapists both have a register of homeopathy practitioners, which you can search to find a practitioner near you. These registers are accredited by the Professional Standards Authority.

Is it safe?
Homeopathic remedies are generally safe, and the risk of a serious adverse side effect arising from taking these remedies is thought to be small.

Some homeopathic remedies may contain substances that aren't safe or interfere with the action of other medicines.

You should talk to your GP before stopping any treatment prescribed by a doctor, or avoiding procedures such as vaccination, in favour of homeopathy.

What can we conclude from the evidence?
There have been several reviews of the scientific evidence on the effectiveness of homeopathy.

The House of Commons Science and Technology Committee said there's no evidence that homeopathy is effective as a treatment for any health condition.

There's no evidence behind the idea that substances that cause certain symptoms can also help treat them.

Nor is there any evidence behind the idea that diluting and shaking substances in water can turn those substances into medicines.

The ideas that underpin homeopathy aren't accepted by mainstream science, and aren't consistent with long-accepted principles on the way the physical world works.

The Committee's 2010 report on homeopathy said the "like cures like" principle is "theoretically weak", and that this is the "settled view of medical science".

For example, many homeopathic remedies are diluted to such an extent that it's unlikely there's a single molecule of the original substance remaining in the final remedy. In cases like these, homeopathic remedies consist of nothing but water.

Some homeopaths believe that, as a result of the succussion process, the original substance leaves an "imprint" of itself on the water. But there's no known mechanism by which this can occur.

The 2010 report said: "We consider the notion that ultra-dilutions can maintain an imprint of substances previously dissolved in them to be scientifically implausible."

Some people who use homeopathy may see an improvement in their health condition as the result of a phenomenon known as the placebo effect.

If you choose health treatments that provide only a placebo effect, you may miss out on other treatments that have been proven to be more effective.

Page last reviewed: 2 March 2018
Next review due: 2 March 2021