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Reporting natural health product related adverse drug reactions: is it the pharmacist's responsibility?

Objectives  Herbal medicines and other natural health products (NHPs) are sold in Canadian pharmacies as over‐the‐counter products, yet there is limited information on their safety and adverse effect profile. Signals of safety concerns associated with medicines can arise through analysis of reports of suspected adverse drug reactions (ADRs) submitted to national pharmacovigilance centres by health professionals, including pharmacists and the public. However, typically such systems experience substantial under‐reporting for NHPs. The objective of this paper is to explore pharmacists' experiences with and responses to receiving or identifying reports of suspected ADRs associated with NHPs from pharmacy customers.