A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye

Betül Nur Yaşar; Zeynep Kaya; Aybeniz Yıldırım; Leyla Bitiş

doi:10.53445/batd.1714201

TR EN

Eczacı ve aktarların bitkisel ürünlere yönelik görüş ve bilgi düzeylerinin değerlendirildiği bir anket çalışması: Kayseri ili örneği, Türkiye

Abstract

Bu çalışma, Türkiye’nin Kayseri ilinde faaliyet gösteren 35 eczacı ve 14 aktarın bitki ve bitkisel ürün kullanımı hakkındaki bilgi düzeyi ve görüşlerini kesitsel saha çalışması kapsamında yüz yüze anket yöntemiyle değerlendirdi. Bulgularımız eczacıların bitkisel ürünler konusunda iyi düzeyde eğitim alıp yüksek bilgiye sahip olduğunu; aktarlarda ise bu alanda eğitim yeterliliğinin bulunmadığını gösterdi. Pandemi döneminde her iki grubun da bitkisel ürünlere olan taleplerinin arttığı ve en çok Sambucus nigra (kara mürver), Zingiber officinale (zencefil), Hypericum perforatum (sarı kantaron) ile Nigella sativa (çörek otu) kullandıkları belirlendi. Katılımcılar bu ürünleri öncelikle bağışıklık sistemini güçlendirme ve soğuk algınlığı tedavisinde tercih etti. Sonuçlara göre eczacılar, aktarlara kıyasla literatürle daha uyumlu bitkiler önerdi. Elde edilen sonuçlar, bitkisel ürünlerin güvenli kullanımında eczanelerin öncelikli tercih edilmesi ve aktar satışlarının otoritelerce denetlenmesi gerektiğini ortaya koydu; ayrıca halkın bilinçlendirilmesine ve bölgesel düzeyde kapsamlı araştırmalar yapılmasına ihtiyaç olduğu vurgulandı.

Keywords

Eczacılar, bitki preparatları, sörveyler ve anketler

A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye

Abstract

This study evaluated the knowledge level and opinions of 35 pharmacists and 14 herbalists operating in Kayseri province of Türkiye about the use of plants and herbal products through a face-to-face survey within the scope of a cross-sectional field study. Our findings showed that pharmacists were well educated and had high knowledge about herbal products, while herbalists did not have sufficient education in this area. It was determined that both groups’ demand for herbal products increased during the pandemic period and that they used Sambucus nigra (black elderberry), Zingiber officinale (ginger), Hypericum perforatum (St. John’s wort), and Nigella sativa (black cumin) the most. Participants primarily preferred these products for strengthening the immune system and treating colds. According to the results, pharmacists recommended plants that were more compatible with the literature compared to herbalists. The results obtained revealed that pharmacies should be the primary choice for the safe use of herbal products and that herbalist sales should be supervised by the authorities; it was also emphasized that public awareness and comprehensive research should be conducted at the regional level.

Keywords

Pharmacists, plant preparations, surveys and questionnaires

Supporting Institution

This study was conducted without any financial support from any institution or organization.

Ethical Statement

For the research, an institutional permit was obtained from the 12th Region Kayseri Chamber of Pharmacists, dated 01.06.2021 and numbered 2021/2425, and an ethics committee approval was obtained from the Marmara University Faculty of Health Sciences Non-Interventional Clinical Research Ethics Committee, dated 14.05.2021 and numbered "75".

Thanks

We thank the pharmacists and herbalists in Kayseri for their valuable contributions.

References

Aburas, W., & Alshammari, T. M. (2020). Pharmacists’ roles in emergency and disasters: COVID-19 as an example. Saudi Pharmaceutical Journal, 28(12), 1797-1816. https://doi.org/10.1016/j.jsps.2020.11.006
Adıgüzel, F., & Kızılaslan, N. (2016). İstanbul ilinde tıbbi, aromatik ve baharat bitkileri satışı yapan aktarların yapısal özellikleri ve mevzuat hakkındaki görüşleri. Anadolu Tarım Bilimleri Dergisi, 31(1), 40–59.
Akhondzadeh, S., Naghavi, H. R., Vazirian, M., Shayeganpour, A., Rashidi, H., & Khani, M. (2001). Passionflower in the treatment of generalized anxiety: A pilot double-blind randomized controlled trial with oxazepam. Journal of Clinical Pharmacy and Therapeutics, 26(5), 363–367. https://doi.org/10.1046/j.1365-2710.2001.00367.x
Akyön, Y. B., & Özel, Ç. A. (2023). Tıbbi ve Ekonomik Bitkiler Konusunun Öğretimine Yönelik Örnek Bir Uygulama. Journal of Individual Differences in Education, 5(2), 75-88.
Alasmari, S. A., Al-Abdulmutaali, F. M., Al-Rabah, F. A., & El-Nablaway, M. (2025). Awareness and Knowledge of Pharmacists Regarding Herbal Medication and the Attitude and Demographics of their Consumers. Cureus, 17(5), e84250.
Al-Kuraishy, H. M., Al-Fakhrany, O. M., Elekhnawy, E., Al-Gareeb, A. I., Alorabi, M., De Waard, M., Albogami, S. M., & Batiha, G. E. (2022). Traditional herbs against COVID-19: back to old weapons to combat the new pandemic. European journal of medical research, 27(1), 186. https://doi.org/10.1186/s40001-022-00818-5
Appel, K., Rose, T., Fiebich, B., Kammler, T., Hoffmann, C., & Weiss, G. (2011). Modulation of the γ-aminobutyric acid (GABA) system by Passiflora incarnata L. Phytotherapy research : PTR, 25(6), 838–843. https://doi.org/10.1002/ptr.3352
Asgary, S., & Pouramini, A. (2022). The pros and cons of using elderberry (Sambucus nigra) for prevention and treatment of COVID-19. Advanced Biomedical Research, 11(1), 96. https://doi.org/10.4103/abr.abr_146_21
Bent, S., & Ko, R. (2004). Commonly used herbal medicines in the United States: A review. The American Journal of Medicine, 116(7), 478–485. https://doi.org/10.1016/j.amjmed.2003.10.036
Brendler, T., Al-Harrasi, A., Bauer, R., Gafner, S., Hardy, M. L., Heinrich, M., Hosseinzadeh, H., Izzo, A. A., Michaelis, M., Nassiri-Asl, M., Panossian, A., Wasser, S. P., & Williamson, E. M. (2021). Botanical drugs and supplements affecting the immune response in the time of COVID-19: Implications for research and clinical practice. Phytotherapy research : PTR, 35(6), 3013–3031. https://doi.org/10.1002/ptr.7008

Çelik, T., Şentürk, M., & Aslantürk, Ö. S. (2019). Aydın il merkezinde faaliyet gösteren aktarların kişisel ve mesleki özelliklerinin belirlenmesi. Ordu Üniversitesi Bilim ve Teknoloji Dergisi, 9(2), 126-135.
Dağlıoğlu, N., & Akcan, R. (2012). High Dosage Sibutramine Detected In Chinese Herbal Drug. Nobel Medicus Journal, 8(1).
Dhawan, K., Dhawan, S., & Sharma, A. (2004). Passiflora: A review update. Journal of Ethnopharmacology, 94(1), 1–23. https://doi.org/10.1016/j.jep.2004.02.023
Dimpfel, W., Roeska, K., & Seilheimer, B. (2012). Effect of Neurexan on the pattern of EEG frequencies in rats. BMC complementary and alternative medicine, 12(1), 126. http://www.biomedcentral.com/1472-6882/12/126
Dişli, M., & Yeşilada, E. (2019). Türkiye’de bitkisel tıbbi ürünler (Türkiye’de bitkisel ürünlerin standardizasyonu, üretimi ve tağşiş). Journal of Biotechnology and Strategic Health Research, 3, 13–21. https://doi.org/10.34084/bshr.545498
Eken, G., Bozdoğan, M., Karataş, A., Kılıç, D. T., & Gem, E. (2005). Türkiye’nin önemli doğa alanları-Yeni koruma bölgelerinin seçiminde öncelikli alanlar. Korunan Doğa Alanları Sempozyumu, 8(10), 133-140.
Grundmann, O., Wähling, C., Staiger, C., & Butterweck, V. (2009). Anxiolytic effects of a passion flower (Passiflora incarnata L.) extract in the elevated plus maze in mice. Die Pharmazie-An International Journal of Pharmaceutical Sciences, 64(1), 63-64. https://doi.org/10.1691/ph.2009.8753
Harun, N. H., & Mohamad, M. F. (2022). The immunomodulatory effects of Zingiber officinale (ginger): A systematic review. Research Journal of Pharmacy and Technology, 15(8), 3776-3781. https://doi.org/10.52711/0974-360X.2022.00634
İslamoğlu, A. H., & Alnıaçık, Ü. (2014). Sosyal bilimlerde araştırma yöntemleri. İstanbul: Beta Yayınevi.
Kartoglu, U., & Pala, K. (2023). Evaluation of COVID-19 pandemic management in Türkiye. Frontiers in public health, 11, 1142471. https://doi.org/10.3389/fpubh.2023.1142471
Katonge, J. H. (2025). Exploring the role of traditional remedies, cultural practices, and belief interventions in combating COVID-19 in Dodoma City, Tanzania. Pharmacological Research-Natural Products, 7, 100225.
Kokaçya, M. H., Şahpolat, M., & Kurhan, F. (2014). Sibutramin içeren reçetesiz zayıflama ürününün indüklediği ilk manik hecme. Journal of Mood Disorders, 4(3), 126–129. https://doi.org/10.5455/jmood.20140108124953
Kolodziej, H. (2011). Antimicrobial, antiviral and immunomodulatory activity studies of Pelargonium sidoides (EPs® 7630) in the context of health promotion. Pharmaceuticals, 4(10), 1295–1314. https://doi.org/10.3390/ph4101295
Koross, H., & Maiyo, F. (2024). Impact of Knowledge, Attitudes, And Perceptions Regarding the Covid-19 Vaccine Among Students at A Tertiary Institution in Kenya. African Journal of Pharmacy and Alternative Medicine, 3(01), 72-84. https://doi.org/10.58460/ajpam.v3i01.71
Leblebici, S., Bahtiyar, S. D., & Özyurt, M. S. (2012). Kütahya aktarlarında satılan bazı tıbbi bitkilerin ağır metal miktarlarının incelenmesi. Journal of Science and Technology of Dumlupınar University, (029), 1–6.
Luo, H., Tang, Q. L., Shang, Y. X., Liang, S. B., Yang, M., Robinson, N., & Liu, J. P. (2020). Can Chinese medicine be used for prevention of corona virus disease 2019 (COVID-19)? A review of historical classics, research evidence and current prevention programs. Chinese journal of integrative medicine, 26(4), 243-250. https://doi.org/10.1007/s11655-020-3192-6
Pakkir Maideen, N. M., Balasubramanian, R., Gobinath, M., Rafiullah, M., & Muthusamy, S. (2023). Therapeutic Potentials of Black Seeds (Nigella sativa) in the Management of COVID-19-A Review of Clinical and In-silico Studies. Anti-Infective Agents, 21(1), 14-23. https://doi.org/10.2174/2211352520666220802150156
Rabaan, A. A., Al-Ahmed, S. H., Muhammad, J., Khan, A., Sule, A. A., Tirupathi, R., Mutair, A. A., Alhumaid, S., Al-Omari, A., Dhawan, M., Tiwari, R., Sharun, K., Mohapatra, R. K., Mitra, S., Bilal, M., Alyami, S. A., Emran, T. B., Moni, M. A., & Dhama, K. (2021). Role of Inflammatory Cytokines in COVID-19 Patients: A Review on Molecular Mechanisms, Immune Functions, Immunopathology and Immunomodulatory Drugs to Counter Cytokine Storm. Vaccines, 9(5), 436. https://doi.org/10.3390/vaccines9050436
Seadawy, M. G., Gad, A. F., Elhoseny, M. F., ELharty, B. E., Shamel, M. D., Elfiky, A. A., Ahmed, A., & Zekri, A. R. N. (2020). In vitro: natural compounds (Thymol, Carvacrol, Hesperidine, and Thymoquinone) against Sars-Cov2 strain isolated from Egyptian patients. bioRxiv, 2020-11. https://doi.org/10.1101/2020.11.07.367649
Setz, C., Rauch, P., Setz, M., Breitenberger, S., Plattner, S., & Schubert, U. (2025). Synergistic Antiviral Activity of European Black Elderberry Fruit Extract and Quinine Against SARS-CoV-2 and Influenza A Virusa. Nutrients, 17(7), 1205. https://doi.org/10.3390/nu17071205
Shpati, K. (2022). Phyto Antitussive Medicines Affect the Cough Treatment for Covid-19’s Children’s Patients. European Journal of Medicine and Natural Scinces Articles, 5.
Silveira, D., Prieto-Garcia, J. M., Boylan, F., Estrada, O., Fonseca-Bazzo, Y. M., Jamal, C. M., Magalhães, P. O., Pereira, E. O., Tomczyk, M., & Heinrich, M. (2020). COVID-19: Is There Evidence for the Use of Herbal Medicines as Adjuvant Symptomatic Therapy?. Frontiers in pharmacology, 11, 581840. https://doi.org/10.3389/fphar.2020.581840
T.C. Sağlık Bakanlığı. (2012, Şubat 13). Sibutramin içeren bitkisel ürünler hakkında basın açıklaması. https://www.saglik.gov.tr/TR,3245/sibutramin-iceren-bitkisel-urunler-hakkinda-basin-aciklamasi-13022012.html
Tavlı, Ö. F., Hazman, Ö., Büyükben, A., Yılmaz, F. N., Özbek Çelik, B., & Eroğlu Özkan, E. (2020). İstanbul aktarlarda satılan Hypericum perforatum örneklerinin farmakognozik açıdan incelenmesi. Journal of Faculty of Pharmacy of Ankara University, 44(2), 265–280. https://doi.org/10.33483/jfpau.686546
Uzun, M. B., Aykaç, G., & Özçelikay, G. (2014). Bitkisel Ürünlerin Yanlış Kullanımı ve Zararları. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, 4(3), 1-5.
Üsküdar Üniversitesi. (2019). Üsküdar Üniversitesi, zayıflama çayındaki “yasaklı maddeyi” tespit etti. https://uskudar.edu.tr/tr/icerik/3669/uskudar-universitesi-zayiflama-cayindaki-yasakli-maddeyi-tespit-etti
Verma, S., Twilley, D., Esmear, T., Oosthuizen, C. B., Reid, A. M., Nel, M., & Lall, N. (2020). Anti-SARS-CoV natural products with the potential to inhibit SARS-CoV-2 (COVID-19). Frontiers in Pharmacology, 11, 561334. https://doi.org/10.3389/fphar.2020.561334
World Health Organization (WHO). (2002). Traditional Medicine Strategy 2002–2005. WHO Press. https://apps.who.int/medicinedocs/pdf/s2297e/s2297e.pdf
World Health Organization. (2020a). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
World Health Organization. (2020b). Coronavirus disease (COVID-19) pandemic. https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Wu, X., Gu, L., Prior, R. L., & McKay, S. (2004). Characterization of anthocyanins and proanthocyanidins in some cultivars of Ribes, Aronia, and Sambucus and their antioxidant capacity. Journal of agricultural and food chemistry, 52(26), 7846-7856. https://doi.org/10.1021/jf0486850

Details

Primary Language

English

Subjects

Traditional, Complementary and Integrative Medicine (Other)

Journal Section

Research Article

Authors

Betül Nur Yaşar
0009-0005-1176-713X
Türkiye

Zeynep Kaya
Türkiye

Aybeniz Yıldırım
0000-0002-5801-4726
Türkiye

Leyla Bitiş ^*
0000-0003-1167-6666
Türkiye

Publication Date

August 30, 2025

Submission Date

June 4, 2025

Acceptance Date

July 1, 2025

Published in Issue

Year 2025 Volume: 6 Number: 2

DOI

https://doi.org/10.53445/batd.1714201

IZ

https://izlik.org/JA33FL88GE

APA

Yaşar, B. N., Kaya, Z., Yıldırım, A., & Bitiş, L. (2025). A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye. Journal of Integrative and Anatolian Medicine, 6(2), 96-106. https://doi.org/10.53445/batd.1714201

AMA

1.Yaşar BN, Kaya Z, Yıldırım A, Bitiş L. A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye. J. Integr. Anatol. Med. 2025;6(2):96-106. doi:10.53445/batd.1714201

Chicago

Yaşar, Betül Nur, Zeynep Kaya, Aybeniz Yıldırım, and Leyla Bitiş. 2025. “A Survey Study to Evaluate the Opinions and Knowledge Levels of Pharmacists and Herbalists on Herbal Products: The Example of Kayseri Province, Türkiye”. Journal of Integrative and Anatolian Medicine 6 (2): 96-106. https://doi.org/10.53445/batd.1714201.

EndNote

Yaşar BN, Kaya Z, Yıldırım A, Bitiş L (August 1, 2025) A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye. Journal of Integrative and Anatolian Medicine 6 2 96–106.

IEEE

[1]B. N. Yaşar, Z. Kaya, A. Yıldırım, and L. Bitiş, “A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye”, J. Integr. Anatol. Med., vol. 6, no. 2, pp. 96–106, Aug. 2025, doi: 10.53445/batd.1714201.

ISNAD

Yaşar, Betül Nur - Kaya, Zeynep - Yıldırım, Aybeniz - Bitiş, Leyla. “A Survey Study to Evaluate the Opinions and Knowledge Levels of Pharmacists and Herbalists on Herbal Products: The Example of Kayseri Province, Türkiye”. Journal of Integrative and Anatolian Medicine 6/2 (August 1, 2025): 96-106. https://doi.org/10.53445/batd.1714201.

JAMA

1.Yaşar BN, Kaya Z, Yıldırım A, Bitiş L. A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye. J. Integr. Anatol. Med. 2025;6:96–106.

MLA

Yaşar, Betül Nur, et al. “A Survey Study to Evaluate the Opinions and Knowledge Levels of Pharmacists and Herbalists on Herbal Products: The Example of Kayseri Province, Türkiye”. Journal of Integrative and Anatolian Medicine, vol. 6, no. 2, Aug. 2025, pp. 96-106, doi:10.53445/batd.1714201.

Vancouver

1.Betül Nur Yaşar, Zeynep Kaya, Aybeniz Yıldırım, Leyla Bitiş. A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye. J. Integr. Anatol. Med. 2025 Aug. 1;6(2):96-106. doi:10.53445/batd.1714201

J. Integr. Anatol. Med. (Abbreviated Title)

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e-ISSN: 2687-6345

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This work is licensed under Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).

Eczacı ve aktarların bitkisel ürünlere yönelik görüş ve bilgi düzeylerinin değerlendirildiği bir anket çalışması: Kayseri ili örneği, Türkiye

Abstract

Keywords

A survey study to evaluate the opinions and knowledge levels of pharmacists and herbalists on herbal products: The example of Kayseri province, Türkiye

Abstract

Keywords

Supporting Institution

Ethical Statement

Thanks

References

Details

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Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

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J. Integr. Anatol. Med. (Abbreviated Title)