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Traditional Medicine in Asia

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<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> <strong>in</strong> <strong>Asia</strong><br />

Different national statutes require<br />

different types of <strong>in</strong>formation and data to<br />

be submitted with applications for<br />

registration of herbal products. Some<br />

countries, <strong>in</strong>clud<strong>in</strong>g Turkey and the<br />

Philipp<strong>in</strong>es, require <strong>in</strong>formation on the<br />

registration status of the product <strong>in</strong> other<br />

countries, and <strong>in</strong> case of the latter, <strong>in</strong>formation<br />

on the manufactur<strong>in</strong>g operations<br />

and facilities.<br />

Manufacture, Import, Export,<br />

Sale and Dispens<strong>in</strong>g<br />

In most countries, the manufacture,<br />

import, export, dispens<strong>in</strong>g and sale of<br />

medic<strong>in</strong>al plants are not specifically<br />

regulated. Depend<strong>in</strong>g on the scope of the<br />

law these may be governed by provisions<br />

applicable to medic<strong>in</strong>al products <strong>in</strong><br />

general or, alternatively, this field of activity<br />

may rema<strong>in</strong> essentially laissez-faire.<br />

Hence, it is not usual to establish by law<br />

separate mechanisms to deal specifically<br />

with certa<strong>in</strong> aspects of medic<strong>in</strong>al plants.<br />

Regulatory competence <strong>in</strong> nearly all<br />

countries is vested <strong>in</strong> the national drug<br />

authority. France is among the few<br />

countries <strong>in</strong> which a separate authority<br />

has been established: the National<br />

Interprofessional Office has certa<strong>in</strong><br />

statutory powers and responsi-bilities with<br />

regard to plants, parts of plants, and the<br />

products of <strong>in</strong>itial process<strong>in</strong>g of these<br />

materials.<br />

200<br />

The extent to which<br />

elements of Good<br />

Manufactur<strong>in</strong>g Practices are<br />

applied to the manufacture<br />

of plant-based medic<strong>in</strong>al<br />

products is varied.<br />

Ch<strong>in</strong>a features prom<strong>in</strong>ently among<br />

countries that have issued regulations<br />

specific to traditional herbal medic<strong>in</strong>es.<br />

Detailed provisions have been promulgated<br />

on their preparation which specify<br />

standards and requirements to be<br />

ma<strong>in</strong>ta<strong>in</strong>ed <strong>in</strong> manufactur<strong>in</strong>g facilities and<br />

by personnel. In Indonesia, traditional<br />

medic<strong>in</strong>es can be manufactured only under<br />

a licence granted by the M<strong>in</strong>istry of Health.<br />

Hungary permits the market<strong>in</strong>g and<br />

process<strong>in</strong>g of only those medic<strong>in</strong>al plants<br />

that have been <strong>in</strong>spected by the Medic<strong>in</strong>al<br />

Plants Research Institute and for which a<br />

certificate of <strong>in</strong>spection has been granted.<br />

In S<strong>in</strong>gapore, the statutory requirements<br />

concern<strong>in</strong>g manufacture do not apply to<br />

products prepared exclusively by dry<strong>in</strong>g,<br />

crush<strong>in</strong>g or comm<strong>in</strong>ut<strong>in</strong>g plants or parts<br />

of plants.<br />

The extent to which elements of Good<br />

Manufactur<strong>in</strong>g Practices are applied to the<br />

manufacture of plant-based medic<strong>in</strong>al<br />

products is varied. Insofar as the European<br />

Community is concerned, guidel<strong>in</strong>es for the<br />

manufacture of herbal medic<strong>in</strong>al products<br />

were drafted <strong>in</strong> 1990 under the aegis of<br />

the Committee for Proprietary Medic<strong>in</strong>al<br />

Products.<br />

These guidel<strong>in</strong>es are <strong>in</strong>tended to<br />

supplement the EC text of good manufactur<strong>in</strong>g<br />

practices.<br />

Statutory provisions bear<strong>in</strong>g specifically<br />

on the import of medic<strong>in</strong>al plants are<br />

uncommon. Countries that require<br />

registration of herbal medic<strong>in</strong>al products<br />

generally have the power to regulate their<br />

import; any restrictions applied specifically<br />

to medic<strong>in</strong>al plants are usually set out only<br />

<strong>in</strong> regulations.<br />

A number of countries have recently<br />

reported that some imported herbal<br />

products have been found to conta<strong>in</strong> nonlabelled<br />

substances that are potentially<br />

harmful to health. Malaysia, for <strong>in</strong>stance,

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