I rattle when I walk in the morning after taking all my complementary medicine supplements.


(Tim Minchin explains his frustration at dealing with believers)

Not to mention that I reek of cat-breath from fish oil pills and of neem pounded into my scalp, and have the complexion of a ginko tree root.

Let’s face it, I’m not all that attractive but by my calculation I have fended off high blood pressure, rapid aging, flaky skin and quite possibly a number of varieties of leprosy.

I have considerable faith in complementary medicines, the type I select in a health store or online, and which are not usually prescribed or recommended by a doctor or a pharmacist.

Like most of the millions of Australians who do the same, it wasn’t long ago that I didn’t know whether echinacea was a disease or a cure.

The embrace of complementary medicines has been a swift and substantial step towards people helping themselves without adding to the burden of the formal health system. In most cases it has been a positive advance in preventative care.

It also has involved that reliance on faith I mentioned earlier.

There are plenty of reputable suppliers of these supplements, potions, pills and oils. Blackmores is one and we all know others seen on the shelves of chemists.

However, as the demand has become greater, the suppliers have become more numerous, and the quality of products has become more suspect in some areas. Many of them are not tested properly for safety, we have now learned.

They might get a once-over in a content appraisal but a minority are subjected to a vigorous analysis.

We shouldn’t believe that all complementary medicines are harmless and that the worst consequence of taking them is that they will not work. The scope of horrors is much broader.

If a complementary treatment is so effective it can make dramatic changes to your general health or shape, you have to consider the prospect it might also be powerful enough to rip the tripe out of your innards.

And if that additive has not been scientifically and independently tested, the possibility of a nasty outcome cannot be satisfactorily negated.

The Department of Health has revealed the the limited scope of testing by the Therapeutic Goods Administration. It’s the type of scrutiny which wouldn’t be acceptable during the “killer toys” check of showbags before the Easter Show.

This is one basic set of figures released by the department: Between mid-2009 and mid-2010 there were “desktop” reviews of 110 complementary medicines.

There were a further 22 medicines which didn’t even get this far. They were withdrawn by their companies after the TGA announced they would be reviewed.

Of those 110 which did go through the process, just 12 complied with regulations. Of the others, 57 required fixing, and 41 were cancelled by the TGA.

This batch of 110 was randomly selected and might not be representative of all 10,000 complementary medicines. And if we stick to a known and long-patronised supplier of well-established products we might easily overcome any risks of dodgy ingredients.

There are two factors which threaten that safety-first approach.

One is the extraordinary claims of some complementary medicines which will always lure those desperate for a solution to health woes, some long-term and painful.

They might or might not work, but in too many cases they could directly affect the functions of vital organs, such as the heart and kidneys.

Second, the range of suppliers is expanding as the market expands and many are based overseas where basic production standards are less than required here. And they can enter the country through internet transactions looking just like the real thing.

Dr Ken Harvey of La Trobe University was reported on Monday’s Health Report, on ABC Radio National, with an explanation for the light touch of the TGA scrutiny:

Well clearly I think there are two reasons. Firstly the complementary medicine industry is very reluctant to have anything happen because they are making good money doing what they’re doing.

And the second problem I think is the TGA. It’s a risk-based organisation, it can only put its limited resources where it thinks the big problems are and it would regard ripping off consumers as less of a problem than for example some prescription medicines which have really nasty side effects which can kill you.

However, not concentrating at all on the problem of complementary medicines has let the problem blow out.

I might say there’s one other problem that people have perceived and that is that the TGA is 100 per cent funded now by industry fees and again some people have unkindly suggested that if you’ve got an organisation 100 per cent funded by industry that it may be more reluctant to take measures that would impact on industry profitability and indeed on the TGA’s own finances.

Be careful of what makes you rattle.

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57 comments

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    • bec says:

      06:10am | 18/05/11

      “Storm” is awesome. As is Dara O’briain’s awesome standup routine on the subject: http://www.youtube.com/watch?v=YMvMb90hem8

      Remember going to the Woodford Folk Festival (yes, yes, I know, but drinking, reading and watching bands is a great way to spend a week of holidays) and getting a reasonably deep cut on the leg. When attended to by volunteers, they asked if I wanted to go to the standard first aid tent or the homeopathic first aid tent.

      Homeopathic first aid. Spare me. The bitchface I gave them up on hearing that was reputed to be pretty fearful.

    • Rev says:

      07:52am | 18/05/11

      Good call Bec, “Storm” is great.
      I also enjoy “Mitsubishi Colt” - a wonderfully talented guy.

    • James Ricketson says:

      07:12am | 18/05/11

      As with any belief system it is highly unlikely that those who believe in the efficacy of homeopathy are going to let the facts stand in the way of said belief, but there have been meta-analyses of a vast number of homeopathic trials that have found that homeopathy performs no better than a placebo, lest anyone think that Tim M might be gilding the lilly a bit.

    • Bev says:

      07:57am | 18/05/11

      What always amuses me is that quite often the same people who deride and rubbish the christian faith (never any other faith) seem to be the ones rattling on about the power of crystals, other munbo jumbo or whatever is the latest offering from snake oil salesmen.  Me I don’t fall for either.

    • James In Footscray says:

      03:55pm | 18/05/11

      Couldn’t agree more Bev! Christianity and Hinduism and crystals and complementary medicine are all equally crazy.

    • Mahhrat says:

      08:02am | 18/05/11

      @!Malcom, do you know what they call a complementary medicine that has been scientifically proven to be effective?

      Medicine.

    • centurion48 says:

      08:08am | 18/05/11

      Save your money. A good diet and plenty of exercise will do more to keep you healthy than a kitchen full of pills and potions. Walk to the shop to do your shopping. Buy fresh food or grow your own at home. Heck, grow your own St John’s Wort or Horny Goatweed for all I care. At least you will know what you are injesting.
      If you reckon there is not enough time in the day to exercise or tend a garden or talk while you walk then you need to seriously reassess your lifestyle.
      If you are sick or injured then see a doctor. And just to round out the gratuitous advice, drink little or no alcohol and don’t smoke.
      You might not live longer but your quality of life will be vastly improved.

    • Johnno says:

      12:30pm | 18/05/11

      “Injesting” - is that a funny pill?

    • St. Michael says:

      03:31pm | 18/05/11

      It takes a lot of guts to injest.

    • duk dog says:

      08:17am | 18/05/11

      The Muslims should note that they are coming to a country that already has ‘Laws under the Crown’.

      We do not want their version , thank you .

    • The Original Oz says:

      09:33am | 18/05/11

      Hey duk dog - wrong article

    • Marty says:

      08:28am | 18/05/11

      South Park for all it’s crossing the line had a very funny episode where a homeopathic vendor moved to town and her name was Miss Information (for the very slow, say it very fast) *chuckles* with the whole town giving up conventional medicine with expected consequences.

    • The Traveller says:

      09:28am | 18/05/11

      As I travelled around the coastline of Australia, I was amazed at the number of bays that had been named information by their discoverers.

    • Jim says:

      08:35am | 18/05/11

      I feel like taking a motion sickness pill everytime Mal Farr adds another glowing chapter to The Chronicles of Julia

    • spravotchka says:

      09:10am | 18/05/11

      Thanks Centurion48 - but no amount of gardening or exercise cures severe mental illness. If I go to my doctor, she wants to put me on antipsychotics with horrific side effects. A small number of studies have shown that omega 3 from fish oil has a good success rate for stabilising mood, unlike omega 3 from flax which can actually aggravate symptoms. I choose option B, but living in an apartment limits the amount of space I can devote to farming salmon to extract the Omega 3.

    • braunman says:

      10:08am | 18/05/11

      @spravotchka

      You say that about exercise but that’s not entirely true. Just about any doctor or psychiatrist will tell you exercise should be a major part of recovery from mental illness. It helps with stress, depression, emotional control issues, all sorts of stuff. It’ll certainly do more for you than omega 3 pills.

      Exercise will help with more serious mental conditions, but it really depends on what it is. ALWAYS talk to a doctor or mental health specialist and NEVER rely solely on alternative medicine as your primary source of care.

    • Richard says:

      02:20pm | 18/05/11

      If you can get some 5-HTP (5 Hydroxy Tryptophan) spravotchka and try it out you will be amazed at how powerful a positive effect it has you your mood. Its a natural metabolite of the amino acid Tryptophan that your body itself produces, and I’ve tried it, its the goods for mood and sleep disorders.

      Its pretty hard to get (and quite $X’y) because most health food shops won’t sell it to you unless you’ve been specifically prescribed it by a naturopath, but some health food shops will sell it to you OTC. Its actually commonly used by ecstasy users as a pre-load compound (to enhance the effects of the drug) or else as a come-down aid (to limit the negative effects of ecstasy come down). But I wouldn’t recommend anyone to abuse it in that way. But as a simple complimentary medicine, I do recommend it.

      The thing is, I don’t need a scientific trial to confirm what I already know by empirical experience. Why should I ? What, I don’t trust my own perceptions and experiences? How ludicrous! They are the only things that are relevant to me in real life. I tried 5-HTP because other people told me that it worked for them, and rather than scoff and sneer condescend at them, I took on board their valuable advice, and thus my life has been enhanced. I don’t need some nerd in a labcoat to validate this for me~ I’m not afraid to think for myself.

    • braunman says:

      02:40pm | 18/05/11

      @Richard

      On your last paragraph wouls you agree with the summary that you’re saying you don’t need facts, only your opinion? That’s the whole reason we have science in the first place, in order to take subjective personal opinion out of the equation in order to determine if a medicine actually works or not. That’s all. Nothing evil about that.

      From reading your response you seem very antagonistic towards science in general. What is it about “nerds in lab coats” that you object to?

    • spravotchka says:

      06:28pm | 18/05/11

      @braunman For eg: http://www.biopsychiatry.com/omega3-bpd.htm
      Actually Omega 3 does more for me than exercise. Exercise, for a variety of reasons, can bring back past trauma for me - leading to panic attacks -so not everybody benefits equally from every treatment model, scientific, placebo-based or otherwise. Why do you assume I don’t “ALWAYS” talk to my doctor [same GP for >20 years]? If I can get by on something less drastic than antipsychotics, that works for me, why wouldn’t I use it?
      @Richard Thanks! I’ll look into it. Could do with some right now, in fact!

    • Kate says:

      08:14pm | 18/05/11

      I reckon do what works for you, but be careful if you do need to take prescription medication when mixing them with vitamins.
      For example, people often recommend St John’s Wort to people with anxiety or depression, but it’s not supposed to be taken in conjunction with antidepressant medication.

      I just take vitamin C during winter (when I remember) because I know I probably don’t get enough of it in my diet.

    • Jason Todd says:

      03:59am | 19/05/11

      RIchard, you make an interesting point, and a good point about this topic in general.
      Don’t need science to know that it works because it works in your experience? Great! Stick with it, but be aware that it may not work for everyone.
      Even if it doesn’t work, but you think it does, the placebo effect can be very powerful.

    • braunman says:

      09:45am | 19/05/11

      @spravotchka

      It would be interesting to know exactly what prevents you from exercising as it does depend on what caused that past trauma in the first place. Try and find something that doesn’t induce panic attacks and just ease into it. I also used to have issues preventing me from exercising (body image, depression ect) so what I did was go for a half-hour walk five days a week. Got me into the habit of getting out the house. Remember that while omega 3 works for you, there’s nothing saying you can’t take that AND exercise wink

    • Rachael says:

      11:23am | 18/05/11

      First year Psych students at Sydney Uni get the same first lecture every year.  The year co-ordinator injests an entire pack of homeopathic ‘sleeping pills’ over the course of the hour…then does it again twice more that day (there are 3 lectures per day).  His point is to prove that science is a rigorous discipline and to assert something, it must have met the scientific burden of proof which homeopathy, amongst many alternative treatments, has not. Of course nothing adverse happened to him. Not even a hint of drowsiness. 

      As a cancer patient, (2 years out of treatment), the number of people who would advocate alternative treatments to me was astonishing and often, quite offensive because it implied I didn’t have a grip on my own disease.  “Have you considered all your options?” was a question I got asked a lot.  I was recommended to try reiki, acupuncture, herbs, meditating the cancer away, vast quantities of supplements, juicing….the list is far too long to write here.  Of course none of the people making these suggestions had ever had cancer themselves.  Often they’d ‘read a book’.

      If I’d taken the alternative route there’s no doubt I’d be dead today.  Ten years ago, most women with my type of BC did not survive past 3 years and it’s only through scientific advancements that I’m here to tell the tale.

      Today I take Vitamin D supplements (strong scientific evidence to prove a link to cancer suppression, and on the advice of my oncologist) and magnesium for leg cramps.

      The rest of it?  If something has shown ‘strong evidence’ during a scientific clinical trial I’m prepared to entertain it until it’s proven one way or another.  But most alternative treatments are not anywhere close to that level of study. Echinachea has been disproven to have any effect at all, yet the companies still make and sell it and people still take it.  They’re nothing short of con men…at best, “faith healers”.

    • James In Footscray says:

      04:33pm | 18/05/11

      That’s an inspiring story Rachael! It’s great you got through. Bravo to real medicine.

      Does aternative medicine serve a social purpose? It’s as if people bond over this ‘shared knowledge’. I’ve heard people give each other advice about herbs and alternative treatments for hours. Which is all very harmless if you’re just talking about a cold.

    • Harquebus says:

      11:27am | 18/05/11

      Only stupid people use Flash Malcolm.

    • Macromedia says:

      12:38pm | 18/05/11

      Only stupid people don’t use flash
      Oh and Ipad users because they can’t.
      which are you?

    • nossy says:

      11:51am | 18/05/11

      I wonder does Tones Abbott take any “go faster” pills Malcolm - he seems very fit doesnt he which is good - I applaude him for that. During the Howard years old Tones was Howards Health Minister and looked the part - only thing is he never did anything in his portfolio to better public Health in Australia and now as Oppn. leader he has the bald faced cheek to criticise Labor re Health ! Still I do like the cut of his jib healthwise !

    • Justin says:

      12:01pm | 18/05/11

      There’s some pills I have been known to purchase online. They aren’t for any medical condition, but a herbal stimulant. The only thing they are meant to do is make me feel off my face. I approached these with the same superstition as this article looks at the other placebo like herbal remedies available, so I was shocked when they actually worked, really worked. Heavy limbs, spacy mind with a satisfied relaxed grin I couldn’t wipe off my face.

      Yes, they probably are having some seriously detrimental side effects, yes they probably are killing me faster than arsenic, but they make me feel shit hot and they are legal, so stuff anything else.

    • Joel B1 says:

      12:44pm | 18/05/11

      Sounds just like what we need for winter down here in Tassie. So don’t be coy, if it’s legal, drop a hint or two!

    • Justin says:

      12:55pm | 18/05/11

      Haha no worries Joel, if the punch will let me that is. My favorite ones I’ve found are called Hypnotic. A search for Hypnotic Party Pills in google should net you the results you seek.

    • Joel "spaced-out" B1 says:

      01:05pm | 18/05/11

      thx Justin aka Master Yoda,

      Might make over-wintering in Hobbit town just that bit more celestial.

    • Knemon says:

      02:55pm | 18/05/11

      Hey Justin - Any chance of giving me the link to your herbal stimulant grin

    • Elphaba says:

      07:00pm | 18/05/11

      Seriously?

      I find this very interesting given the fact that I’ve tried the illegal kind and they were awesome.  I didn’t know there was a herbal equivalent…

    • Terry Kelly says:

      12:36pm | 18/05/11

      Given the information you provide in your article I’m bemused as to why you have “considerable faith in complementary medicines”.  Why “faith”? This is your health and your hip pocket you’re talking about.
      Surley you’d want “evidence” before splashing out lots of money for stuff that is probably just a placebo.

    • Richard says:

      02:31pm | 18/05/11

      If I had been too scared to think for myself, if I had been afraid of being open-minded and independent, if I had listened the sneers and scoffs of biased bone-head skeptics, if I had waited until some nerdy white guy medical type in a labcoat validated everything before I tried it, I wouldn’t be experiencing even HALF of the health and well-being I currently enjoy.

      Fact is that conventional medicine only encompasses about 40% of the possibilities out there for your body. If you are willing to turn a blind eye to the other 60% of possibilities because they haven’t been sanctioned by the medical authorities yet, you’re a scared little mouse leading a worthless little existence. MAN-UP! Grow-up! Own yourself, don’t abdicate responsibility to a bunch of over-paid arrogant doctors and geeky research scientists with poor social skills.

    • braunman says:

      02:50pm | 18/05/11

      @Richard,

      You really hate scientists don’t you? What happened? Did one of them burn down your home village when you were a child and you’ve dedicated your life to seeking vengence through kung-fu? I know it’s bad form to attack the person rather than their argument but from what it seems your main problem is that you just don’t trust mainstream science. Does that sound about right?

    • Tim the Toolman says:

      05:21pm | 18/05/11

      “Fact is that conventional medicine only encompasses about 40% of the possibilities out there for your body”

      What do people do this?  That’s not a fact, it’s just something you made up on the spot to back up your preconceived notions.

      “Own yourself, don’t abdicate responsibility to a bunch of over-paid arrogant doctors and geeky research scientists with poor social skills. “

      Yes…what would people who dedicate their life to understanding these subjects know that some random guy with an internet connection wouldn’t?  Now, I’m off to enter the an F1 Grand Prix, and I expect to win (despite a complete lack of training) and then I’m going to paint a picture that will make the Mona Lisa look like a two years old’s scribbling (also without training).  Who needs training, skill or knowledge when you can “MAN-UP”!

    • James In Footscray says:

      06:45pm | 18/05/11

      On Chinese TV I saw an interview with a doctor from the ‘Beijing Traditional Medicine Hospital Emergency Department’!

    • Fiona says:

      10:16pm | 18/05/11

      Well, I think for my particular type of tumour I’ll go with traditional well researched medicine (surgery) thanks.

    • Elphaba says:

      03:33pm | 18/05/11

      And that, is why people who peddle homeopathic remedies are f*cking dangerous.

      F*ck them and their voodoo, the sooner they are discredited the better.

    • iansand says:

      04:25pm | 18/05/11

      It’s OK, Elphaba.  The plutonium will be so diluted that it will not be dangerous.  Or helpful.

    • Elphaba says:

      04:38pm | 18/05/11

      Hehehe you mean one can’t expect a healthy green glow??

    • Likes Joining Dots says:

      06:59pm | 18/05/11

      I’d heard rumours that North Korea had the highest number of homoeopaths by population - now all the pieces of the puzzle are falling into place.

    • James In Footscray says:

      04:02pm | 18/05/11

      Alternative medicine you see on the shelf in chemists is ‘reputable’?!

      Why exactly? Because we’ve heard of the brand, and it has serious-looking packaging, and it’s in a shop?

      Haha, wow, what a sucker you are Malcolm! You couldn’t send some of your cash my way, could you?

    • Valerie Woodruffe says:

      08:23pm | 18/05/11

      They make me fart something wicked, it stinks the house, my hubby said our bed was more like a ‘hot dutch oven’ than a bed of lust so I gave up taking them

    • Ausfire says:

      02:02am | 19/05/11

      A recent study into echinacea and it’s affects on flus and colds had the same effect on the study group as the placebo.

      Isn’t the power of the mind (faith) a powerful thing!

    • Kate says:

      06:48pm | 19/05/11

      This doesn’t surprise me! I used to work with a girl who was a major devotee of all things natural medicine. Garlic, echinacea, vitamins, the works.
      She got about seven or eight colds per year and was constantly taking sick days from work. It was bloody annoying! I wanted to give her some Demazin!

    • Kelly says:

      10:45am | 19/05/11

      I’ve tried every kind of medicine known to man for my chronic sinus pain but have finally found success with Olive Leaf Extract. That’s all I can say. All I know is it’s far healthier and cheaper than what I’ve had to buy at the chemist.

    • Ken says:

      10:47am | 19/05/11

      Remember the name is complementary medicine. It doesn’t replace conventional medicine, it complements it. Here’s my suggestion for the best complementary medicine:

      Eat well - keep sugar and fat low, eat lean meat, and lots of vegetables
      Drink lots of water
      Sleep as much as you need, but at least 6 hours and not more than 10
      Move 5 minutes for every hour at your desk
      Exercise at a moderate intensity 3 times a week for 40 minutes
      Reduce stress, enjoy close relationships and laugh a lot

      If symptoms persist, see your doctor.  Those are the tried and true ways of complementing medicines - good health and good mood.

      That all said, the placebo effect is real, especially for many anxiety disorders and inflamatory issues, so if it works for you, and you’re happy to pay the money. Go for it.

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