As a naturopathic doctor, my primary focus is helping people achieve better health through lifestyle changes and natural medicine. Diet, exercise, and holistic treatments form the foundation of my practice. However, there are times when I prescribe pharmaceutical medicines to support the healing process. The key is using them thoughtfully, as part of a broader, holistic plan. When combined with natural remedies, these medications can offer valuable support in promoting overall health and well-being.
Topical Diclofenac
Topical Diclofenac is an anti-inflammatory cream that can be applied directly to sore joints, tendons, or muscles. This option can reduce the need for systemic pain drugs like ibuprofen or acetaminophen, both of which can have side effects when used long-term. Diclofenac can be compounded to include medications for nerve pain, making it a versatile tool for managing discomfort while working on healing the underlying tissue.
Metformin
Metformin is a common blood sugar lowering medication that works by improving the body鈥檚 response to insulin. While diet and exercise are critical to managing blood sugar levels, Metformin can provide a significant boost for some patients. Beyond its role in diabetes management, emerging research suggests that Metformin may have broader health benefits, including potential roles in cancer prevention and cognitive health.
Vaginal Estrogen
For postmenopausal women, vaginal dryness is a common and often uncomfortable issue. While special moisturizers can offer some relief, topical or vaginal estrogen is the most effective way to treat this condition. Used in moderation, vaginal estrogen is considered very safe.
Bioidentical Hormone Replacement Therapy (BHRT)
In the right context, Bioidentical Hormone Replacement Therapy (BHRT) can be a safe and effective option for women experiencing menopausal symptoms. The understanding of hormone replacement has evolved significantly over the years. Current research suggests that BHRT, in the right person, in the right form, not only alleviates symptoms like hot flashes but may also offer benefits for long-term cognitive and bone health.
Enteric Coated Digestive Enzymes (Cotezym 20)
Prescription digestive enzymes, like Cotezym 20, can be very helpful for some individuals struggling with bloating, irritable bowel syndrome (IBS), or other digestive issues. These enzymes augment the enzymes the pancreas produces which break down food. What makes Cotezym 20 particularly useful is its enteric coating, which protects the enzymes from being destroyed by stomach acid, allowing them to work more effectively in the intestines where they鈥檙e needed. This targeted support can make a significant difference in digestive health for people who need it.
Rifaximin
As a naturopathic doctor, I generally avoid antibiotics unless necessary because of their impact on the intestinal microbiome, a key factor in overall health. However, Rifaximin is an exception. This antibiotic is used to treat certain cases of Irritable Bowel Syndrome, particularly those involving diarrhea caused by Small Intestine Bacterial Overgrowth (SIBO). Uniquely, Rifaximin primarily works only in the small intestine, preserving the microbiome in the large intestine. Plus, 97% is eliminated through the colon, meaning it poses minimal risk to the liver and kidneys, and doesn鈥檛 cause yeast infections or other common antibiotic side effects. As part of a comprehensive program it can be very helpful for people with IBS.
While pharmaceuticals like these are never my only treatment option, they can serve as valuable tools in a comprehensive health plan. When used wisely and alongside lifestyle changes and natural therapies, they can give patients the extra support they need to achieve their health goals. The beauty of a naturopathic approach is in finding the balance between all available options鈥攏atural and pharmaceutical鈥攚orking together for the best possible outcome.
Dr. Deidre Macdonald is a naturopathic physician practicing in downtown Courtenay since 1997. 250 897-0235.
