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Alternative Medicine
Q: I've been reading your information on cats and arthritis and treatments; my 14 year old cat has been diagnosed thru xrays with arthritis in hind quarters; her back left leg limps badly and she just sits on the sofa all day long; her spirits aren't bad, but i'm concerned that she gets absolutely no exercise now. she is eating alright, but not great. she is finishing up a short term course of prednisone. my question is do you have any evidence, anecdotal or scientific, that homeopathic remedies have been help with this malady? the net search listed something called cats claw. thanks. A: I try to be open minded about alternative treatments but I simply can not accept the rationale behind homeopathic medicine. There have been a number of studies done on homeopathic medicine and despite proponent's claims that there are scientifically valid studies supporting the use of these treatments I have not been able to locate them, despite some effort. Homeopathy is based on a theory that you can protect an animal from disease by giving it extraordinarily dilute solutions of something that causes similar symptoms. Many of these preparations are so dilute that they are 1:1,000,000,000,000 or less dilutions. It is very unlikely that they have any of the original substance in them at all. This is explained away by a belief that the "essence" of the substance grows stronger with dilution. I just can't bring myself to give this much credibility. "Cat's claw" or Una de Gato, is a herb, I think. Herbal medicine is different than homeopathy. Herbs obviously can -- and often do --- have medicinal benefits. If the active ingredients are known I think it is much safer to give them in a form in which the dose is controlled. The amount of active ingredient in an herb varies a lot with variety and the growing conditions in which it was grown. An example of this was very clear when it was shown that cigarette manufacturers mixed lots of tobacco so carefully -- they wanted a consistent dosage of nicotine. If the active ingredients are not known or if it appears that a mixture of ingredients may be necessary then using the appropriate herb probably makes sense. It would be best to seek the help of a veterinarian versed in herbal medicine to help you make the right choices in treatment, though. Hope that helps. Mike Richards, DVM
Homeopathic Medicine - differing opinion Viewpoint : Dr. Mike, You should talk to Stephen Tobin, DVM ( well known homeopathic veterinarian)
Sincerely,
A: Sharon- You are assuming that I have not researched homeopathic medications.
This is an incorrect
If you can prove that homeopathic medications are effective you should do so. That would be a big step in validating this treatment methodology. Until someone does that there will always be a gulf between practitioners who believe in scientifically based medicine and practitioners of homeopathic medicine, whose manufacturers and practitioners are specifically exempted in the United States from having to prove the worth of their medications. This was and is a major stumbling block in the acceptance of homeopathic medications by veterinarians and physicians. While I personally do not believe that these medications will hold up under scrutiny in double-blind studies with good control standards you may believe they will. If so, prove it. There are a handful of studies dealing with homeopathic treatment of allergies that are suggestive of a positive effect although the margins of success are slim compared to the controls. To me, these studies seem to point out that doing nothing for allergies may be better than trying to treat them with antihistamines. This is a treatment modality that I do frequently employ -- doing nothing. Most of the time it works, given enough time. Anything I did that didn't cause harm would also work in that situation. I think it is best to do nothing when I want to do nothing, though. I do not buy the argument that scientific studies of homeopathy are too costly to undertake. I think that doing a limited study is well within reason for a private practitioner to fund and I am willing to bet that there are universities interested enough to provide help in design of the studies to ensure an objective viewpoint. I don't think that Lyme disease is a good example of a disease to study
the treatment effect on.
Mike Richards, DVM
Last edited 12/31/07
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