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Table 1 Problems and issues associated with the use of herbal medicines. Drawn from [7, 30]

From: The governance of traditional medicine and herbal remedies in the selected local markets of Western Kenya

Problem/challenge

Issues to be sorted out

 1. Quality and purity

Adulteration, plants misidentification, drug preparations and formulations

 2. Processing and harvesting

Poor harvesting practices and processing techniques, contamination

 3. Quality control

Standardization, poor manufacturing practices

 4. Administrative issues

Regulation and control, proper monitoring efforts

 5. Infrastructure

Processing techniques, trained personnel, product approval, post-market surveillance

 6. Pharmacovigilance

Adverse reactions, contraindications, drug interactions

 7. Clinical trials

Safety and efficacy

 8. IPR and biopiracy

Proper documentation of TK and folk knowledge

 9. Research and development

Mode of action of drugs

 10. Others

Unethical practices, quacks (incompetent TMPs), inadequate funds, poor marketing, knowledge sharing, biodiversity protection, conservation and protection of medicinal plants