Evaluation of the use of phytotherapy in the management of thyroid disease and diabetes among healthcare professionals

Phytotherapy, based on the traditional use of medicinal plants, is attracting growing interest for the management of diabetes and thyroid disorders. This study aims to assess the knowledge and attitudes of Algerian healthcare professionals regarding the use of phytotherapy for these conditions. A survey was conducted via a paper and online questionnaire distributed among pharmacists, doctors, nurses, and other health professionals. Analysis reveals that most have basic training in phytotherapy, but few hold formal qualifications. Pharmacists appear more open to recommending medicinal plants for diabetes, whereas caution predominates regarding thyroid disorders. The most commonly cited plants include ashwagandha, lycopus, atriplex, lemon balm, and ginseng for thyroid health, and garlic, artemisia, chamomile, and fenugreek for diabetes. Nevertheless, medicinal plants are largely seen as complementary rather than substitutive to conventional treatments. Approximately 30% of users report side effects, mainly digestive disturbances and allergic reactions. Main contraindications involve pregnant women, breastfeeding women, and children. Although cross-effects between phytotherapy, diabetes, and thyroid disorders are biologically plausible, they are rarely recognised by professionals, highlighting the need for further research. This study emphasizes the necessity of medical supervision, enhanced education, and increased vigilance to ensure the safe integration of medicinal plants into clinical practice.