Assessment of packaging, labelling, and physicochemical quality of anti-typhoid herbal medicines in the Kumasi metropolis

Authors

  • Prince George Acquah Jnr Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Author
  • Mariam El Boakye-Gyasi Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Author
  • Nana Yaa Pokuaa Kwarteng Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Author
  • Abigail Afi Okutu Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Author
  • Frederick William Akuffo Owusu Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Author
  • Osei-Asibey Antwi Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Author

DOI:

https://doi.org/10.38159/gpj.x70mw426

Keywords:

Herbal drugs, Anti-typhoid, Labelling compliance, Quality control, Regulation

Abstract

Background: Many Ghanaians depend on herbal remedies to treat typhoid, a serious infection caused by Salmonella typhi, which remains highly prevalent in Ghana. This study aimed to assess the labelling, packaging and some physicochemical characteristics of herbal medicines marketed for typhoid in Kumasi Metropolis.

Methods: A market survey of the products was carried out at purposively selected pharmacies, OTC outlets, and herbal shops in the Kumasi Metropolis (Adum and Oforikrom). Ten liquid products (P1–P10) were selected according to strict inclusion and exclusion criteria and visually inspected. For brands present at multiple locations, outlets were selected using simple random sampling. Additionally, the pH, extract weight per dose (EWD), and relative density of each sample were measured and analysed using principal component analysis.

Results: Individual products contained between two herbs (P-2, P-3, P-6) and up to twelve different herbs (P-9). A significant proportion of the products (n = 7) lacked package inserts and secondary packaging. Eight (8) products lacked accompanying dosing devices, while all the products included the manufacturer’s address on the primary packaging. Other indications noted on packaging included abdominal pains (18.18%), appetite loss (9.10%), malaria (45%), jaundice (18.18%), and peptic ulcer (9.10%). The products exhibited a relative density range of 0.9998 to 1.006, with pH values between 5.0 and 7.02. The EWD varied from 0.05 g (P-3) to 0.96 g (P7).

Conclusion: Most products had intact primary packaging and contained basic identification and traceability information; however, important deficiencies were identified in dosing information, patient-use information, and packaging-related requirements. Nevertheless, regulatory authorities should conduct routine inspections of marketed products to ensure herbal products remain safe for consumption.

 

Downloads

Download data is not yet available.

Author Biography

  • Prince George Acquah Jnr, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

    Department of Pharmaceutics, PHD student

References

Acosta-Alonzo, C. B., Erovenko, I. V, Lancaster, A., Oh, H., Rychtář, J., & Taylor, D. (2020). High endemic levels of typhoid fever in rural areas of Ghana may stem from optimal voluntary vaccination behaviour. Proceedings of the Royal Society A: Mathematical, Physical and Engineering Sciences, 476(2241), 20200354. https://doi.org/10.1098/rspa.2020.0354

Agyeman-Duah, E., Quaidoo, E. Y., & Mills-Robertson, F. C. (2017). Microbial quality of herbal powders in Ghana. Edorium J Microbiol, 3, 10–17. https://doi.org/10.5348/M08-2017-7-OA-2

Ahmad Khan, M. S., & Ahmad, I. (2019). Herbal Medicine. In New Look to Phytomedicine (pp. 3–13). Elsevier. https://doi.org/10.1016/B978-0-12-814619-4.00001-X

Alamgir, A. N. M. (2017). Herbal Drugs: Their Collection, Preservation, and Preparation; Evaluation, Quality Control, and Standardization of Herbal Drugs. In Therapeutic Use of Medicinal Plants and Their Extracts: Volume 1: Pharmacognosy (pp. 453–495). Springer. https://doi.org/10.1007/978-3-319-63862-1_10

Amekyeh, H., Kumadoh, D., Adongo, D. W., Orman, E., Abubakar, S., Dwamena, A., & Aggrey, M. O. (2024). Evaluation of packaging, labels, and some physicochemical properties of herbal antimalarial products on the Ghanaian market. Heliyon, 10(5), e27032. https://doi.org/10.1016/j.heliyon.2024.e27032

Asase, A. (2023). Ghana’s herbal medicine industry: prospects, challenges and ways forward from a developing country perspective. Frontiers in Pharmacology, 14, 1267398. https://doi.org/10.3389/fphar.2023.1267398

Bayor, M. T., Kipo, S. L., & Ofori-Kwakye, K. (2010). The accuracy and quality of household spoons and enclosed dosing devices used in the administration of oral liquid medications in Ghana. International Journal of Pharmacy and Pharmaceutical Sciences, 2(SUPPL. 1), 150–153.

Bekoe, E., Agyare, C., Sarkodie, J., & Dadebo, D. (2017). Herbal Medicines Used in the Treatment of Typhoid in the Ga East Municipality of Ghana. International Journal of TROPICAL DISEASE & Health, 23(4), 1–13. https://doi.org/10.9734/IJTDH/2017/31448

Chaliha, M., Cusack, A., Currie, M., Sultanbawa, Y., & Smyth, H. (2013). Effect of Packaging Materials and Storage on Major Volatile Compounds in Three Australian Native Herbs. Journal of Agricultural and Food Chemistry, 61(24), 5738–5745. https://doi.org/10.1021/jf400845t

Coleman, C. I., Limone, B., Sobieraj, D. M., Lee, S., Roberts, M. S., Kaur, R., & Alam, T. (2012). Dosing Frequency and Medication Adherence in Chronic Disease. Journal of Managed Care Pharmacy, 18(7), 527–539. https://doi.org/10.18553/jmcp.2012.18.7.527

Ekor, M. (2014). The growing use of herbal medicines: issues relating to adverse reactions and challenges in monitoring safety. Frontiers in Pharmacology, 4, 177. https://doi.org/10.3389/fphar.2013.00177

Govindaraghavan, S., & Sucher, N. J. (2015). Quality assessment of medicinal herbs and their extracts: Criteria and prerequisites for consistent safety and efficacy of herbal medicines. Epilepsy & Behavior, 52, 363–371. https://doi.org/10.1016/j.yebeh.2015.03.004

Guzenda, W., Jasińska-Stroschein, M., Wawrowska, A., Sierpniowska, O., Jędra, A., Przymuszała, P., Dąbrowiecki, P., Wiśniewska, P., & Waszyk-Nowaczyk, M. (2025). An assessment of written leaflets for enhancing patient education and counselling on asthma and chronic obstructive pulmonary disease in the implementation of a New Medicine Service in Poland. Scientific Reports, 15(1), 24962. https://doi.org/10.1038/s41598-025-11163-y

Iroha, I. R., Ilang, D. C., Ayogu, T. E., Oji, A. E., & Ugbo, E. C. (2010). Screening for anti-typhoid activity of some medicinal plants used in traditional medicine in Ebonyi state, Nigeria. African Journal of Pharmacy and Pharmacology, 4(12), 860–864. https://academicjournals.org/article/article1380726760_Iroha et al.pdf

Koffuor, G., Abruquah, A., Audu, R., Amoah, J., & Agwah, D. (2016). Patronage and perceived efficacy of herbal antityphoid preparations, and anti-salmonella activity of a herbal preparation used in Ghana. Journal of Applied Pharmaceutical Science, 6(3), 001–007. https://doi.org/10.7324/JAPS.2016.60301

Kumadoh, D., Amekyeh, H., Archer, M.-A., Kyene, M. O., Yeboah, G. N., Brew-Daniels, H., Adi-Dako, O., Osei-Asare, C., Adase, E., & Appiah, A. A. (2024). Determination of consistency in pH of some commercial herbal formulations in Ghana. Journal of Herbal Medicine, 45, 100876. https://doi.org/10.1016/j.hermed.2024.100876

Kumar, G. (2023). Pharmaceutical Drug Packaging and Traceability: A Comprehensive Review. Universal Journal of Pharmacy and Pharmacology, 2(1), 19–25. https://doi.org/10.31586/ujpp.2023.769

Kumari, R., & Kotecha, M. (2016). A review on the standardization of herbal medicines. International Journal of Pharma Sciences and Research, 7(2), 97–106. https://www.ijpsr.info/docs/IJPSR16-07-02-015.pdf

Mahmoud, A., Oluyemisi, A., Uwishema, O., Sun, J., Jobran, A. W., David, S., Wireko, A. A., Adanur, I., Dost, B., & Onyeaka, H. (2023). Recent advances in the diagnosis and management of typhoid fever in Africa: A review. The International Journal of Health Planning and Management, 38(2), 317–329. https://doi.org/10.1002/hpm.3599

Mubarak, K. (2020). An analysis of factors impacting consumer purchase intention on herbal products. SEUSL Journal of Marketing, 1(1), 41–52.

Muyumba, N. W., Mutombo, S. C., Sheridan, H., Nachtergael, A., & Duez, P. (2021). Quality control of herbal drugs and preparations: The methods of analysis, their relevance and applications. Talanta Open, 4, 100070. https://doi.org/10.1016/j.talo.2021.100070

Osei-Asare, C., Akuffo Owusu, F. W., Apenteng, J. A., Entsie, P., Adi-Dako, O., Kumadoh, D., Voado, A., Aloni, E., & Osei, Y. A. (2023). Evaluation of the microbial quality of commercial liquid herbal preparations on the Ghanaian market. INNOSC Theranostics and Pharmacological Sciences, 6(2), 0425. https://doi.org/10.36922/itps.0425

Osei-Asare, C., Owusu, F. W. A., Entsie, P., Annan, A. K., Gyamaa, R. A., & Amenuke, E. M. (2021). Formulation and in Vitro Evaluation of Oral Capsules from Liquid Herbal Antimalarials Marketed in Ghana. Journal of Tropical Medicine, 2021. https://doi.org/10.1155/2021/6694664

Popa, G. L., & Popa, M. I. (2021). Salmonella spp. infection – a continuous threat worldwide. GERMS, 11(1), 88–96. https://doi.org/10.18683/germs.2021.1244

Sa, B., Mukherjee, S., & Roy, S. K. (2019). Effect of polymer concentration and solution pH on viscosity affecting integrity of a polysaccharide coat of compression coated tablets. International Journal of Biological Macromolecules, 125, 922–930. https://doi.org/10.1016/j.ijbiomac.2018.12.101

Schiavetti, B., Wynendaele, E., Melotte, V., Van der Elst, J., De Spiegeleer, B., & Ravinetto, R. (2020). A simplified checklist for the visual inspection of finished pharmaceutical products: a way to empower frontline health workers in the fight against poor-quality medicines. Journal of Pharmaceutical Policy and Practice, 13(1), 9. https://doi.org/10.1186/s40545-020-00211-9

Sharif, G. (2024). The Role of Liquid Density in Pharmaceutical Formulation and Quality Control. 13(3), 23–25. https://doi.org/10.4172/2320-0812.13.3.009

Shruti, D. A., Sarala, N., & Bhuvana, K. (2016). Analysis of Package Inserts of Drugs Utilized in a Tertiary Care Hospital. Journal of Young Pharmacists, 8(3), 275–278. https://doi.org/10.5530/jyp.2016.3.18

Spink, J., Singh, J., & Singh, S. P. (2011). Review of Package Warning Labels and Their Effect on Consumer Behaviour with Insights to Future Anticounterfeit Strategy of Label and Communication Systems. Packaging Technology and Science, 24(8), 469–484. https://doi.org/10.1002/pts.947

Thakur, M. (2025). Importance of In-Process Quality Control for Product Safety and Integrity in Pharmaceutical Packaging. Current Pharmaceutical Research, 266–273. https://doi.org/https://doi.org/10.63785/

World Health Organization. (2023). Tool for visual inspection. 4. Accessed on October 01, 2026 at https://www.whpa.org/sites/default/files/2018-12/Toolkit_BeAware_Inspection.pdf.

Wrench, W., Van Dyk, L., Srinivas, S., & Dowse, R. (2019). Outcome of illustrated information leaflet on correct usage of asthma-metered dose inhaler. African Journal of Primary Health Care & Family Medicine, 11(1), 1–9. https://doi.org/10.4102/phcfm.v11i1.2079

Young, A., Tordoff, J., & Smith, A. (2018). Regulatory agencies’ recommendations for medicine information leaflets: Are they in line with research findings? Research in Social and Administrative Pharmacy, 14(2), 196–202. https://doi.org/10.1016/j.sapharm.2017.02.014

Zhang, J., Wider, B., Shang, H., Li, X., & Ernst, E. (2012). Quality of herbal medicines: Challenges and solutions. Complementary Therapies in Medicine, 20(1–2), 100–106. https://doi.org/10.1016/j.ctim.2011.09.004

Published

2026-10-03

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Issue

Section

Pharmaceutics

How to Cite

Acquah Jnr., P.G. (2026) “Assessment of packaging, labelling, and physicochemical quality of anti-typhoid herbal medicines in the Kumasi metropolis”, Ghana Pharmaceutical Journal, 26(1), pp. 1–13. doi:10.38159/gpj.x70mw426.