The Epistemological and Therapeutic Shift from Synthetic Pharmaceuticals to Phytomedicine and Alternative Therapies: A Comparative Analysis of Physiological Mechanisms, Clinical Efficacy, Environmental Impacts, and Molecular Pathways
Abstract
In this academic research, the authors focus on the paradigm shift in the whole world with the preferred use of synthetic pharmaceuticals substituted by phytomedicine and complementary/alternative medicine (CAM). By applying to a comparative evaluation and physiological-environmental review framework, the paper will analyse therapeutic efficacy, molecular and adverse effect profiles as well as ecological footprints of both medical paradigms. The evidence shows that although synthetic pharmaceuticals provide quick and acute solutions, it is linked with the high occurrence of adverse drug reactions (ADRs), ecopharmacovigilance potential and rising antimicrobial resistance (AMR). In contrast, botanical preparations have shown to be holistically therapeutic through the "entourage effect and multi-target network pharmacology, and possess reduced acute toxicity. Nevertheless, phytomedicines have difficulties with the batch-to-batch standardization and inconsistent regulations. The need to develop an "Integrative Medicine" paradigm, which combines the safety and multi-target synergy of botanical medicine with the rigours of analytical standards of modern clinical examination, is highlighted in this paperHR0057.
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Copyright (c) 2026 Mabroukh Salim Mohamed Omraan, Abduladim Sakeb, Loay A. Alchalaby, Safaa P. Bahnam (Author)

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