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Herbal medicinal products in the European Union - AESGP

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i) How does your country regulate <strong>in</strong>termediate <strong>products</strong> of herbal orig<strong>in</strong> that<br />

are <strong>in</strong>tended for fur<strong>the</strong>r process<strong>in</strong>g by an authorised manufacturer or for <strong>the</strong><br />

preparation of a magisterial or an offic<strong>in</strong>al formula?<br />

See answer to po<strong>in</strong>t IX.1.3 b) below.<br />

j) How does your country assess <strong>the</strong> safety and efficacy of plants which are not<br />

native to North America or Europe and have not been subjected to extensive or<br />

accessible scientific research (e.g. some of <strong>the</strong> Ch<strong>in</strong>ese or South American herbs)?<br />

Traditional herbal references must be submitted that support <strong>the</strong> <strong>in</strong>dication/<strong>the</strong>rapeutic use,<br />

part of <strong>the</strong> plant used, dosage for <strong>the</strong> part of <strong>the</strong> plant used, <strong>the</strong> dosage form and <strong>the</strong> daily and<br />

s<strong>in</strong>gle dose. Illogical comb<strong>in</strong>ations of herbs (e.g., comb<strong>in</strong>ations that conta<strong>in</strong> one <strong>in</strong>gredient<br />

used as a diuretic and a second <strong>in</strong>gredient used as a laxative) would be questionable.<br />

k) How many herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> are authorised <strong>in</strong> your country? What<br />

are <strong>the</strong> major <strong>in</strong>gredients and <strong>in</strong>dications?<br />

The Therapeutic Products Programme (TPP) has been issued Drug Identification Numbers<br />

for numerous herbal <strong>products</strong> for several years. The <strong>products</strong> are for OTC self-medicat<strong>in</strong>g,<br />

self-limit<strong>in</strong>g conditions.<br />

IX.1.3 Application of Good Manufactur<strong>in</strong>g Practices to herbal <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong><br />

a) Does your country apply Good Manufactur<strong>in</strong>g Practices requirements to<br />

herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong>?<br />

<strong>Herbal</strong> <strong>products</strong> mak<strong>in</strong>g no <strong>the</strong>rapeutic claims are classified as foods and are <strong>the</strong>refore<br />

subject to voluntary food guidel<strong>in</strong>es for good manufactur<strong>in</strong>g practices. <strong>Herbal</strong> <strong>products</strong><br />

mak<strong>in</strong>g <strong>the</strong>rapeutic claims are considered as drugs and are subject to <strong>the</strong> same good<br />

manufactur<strong>in</strong>g practices as o<strong>the</strong>r drug <strong>products</strong>. For <strong>the</strong> latter, <strong>the</strong> requirements are<br />

prescribed by Division 2, Part C of <strong>the</strong> Regulations to <strong>the</strong> Food and Drugs Act. Supplementary<br />

Guidel<strong>in</strong>es for <strong>the</strong> Manufacture of <strong>Herbal</strong> Medic<strong>in</strong>al Products [CAN 7], based on W H O<br />

guidel<strong>in</strong>es, have also been developed which provide fur<strong>the</strong>r guidance appropriate for <strong>the</strong>se<br />

<strong>products</strong>.<br />

b ) How does your country’s control of <strong>the</strong> start<strong>in</strong>g (raw) material of herbal<br />

<strong>medic<strong>in</strong>al</strong> <strong>products</strong> compare with <strong>the</strong> standards of <strong>the</strong> <strong>European</strong> Pharmacopoeia?<br />

The regulation of herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> as drug <strong>products</strong> is <strong>in</strong> its <strong>in</strong>fancy <strong>in</strong> Canada<br />

and regulations are still be<strong>in</strong>g developed for <strong>the</strong>se <strong>products</strong>. Currently, <strong>the</strong>re is only<br />

certification by <strong>the</strong> manufacturer that <strong>the</strong> raw materials have been tested and meet <strong>the</strong><br />

appropriate GMP standards. Drug manufacturers must ensure that raw materials meet<br />

appropriate standards. GMP standards for Active Pharmaceutical Ingredients, based on<br />

<strong>in</strong>ternational standards, are under consideration but may require regulatory changes.<br />

c ) Are GMP <strong>in</strong>spections carried out <strong>in</strong> your country and <strong>in</strong> third countries that<br />

are export<strong>in</strong>g herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> or raw material to Canada?<br />

GMP <strong>in</strong>spections can be carried out <strong>in</strong> third countries but this is not a common practice.<br />

Foreign sites must demonstrate GMP compliance. The importer is required to demonstrate<br />

that <strong>the</strong> site meets GMP standards equivalent to Canada’s. This can be demonstrated by<br />

corporate audits or <strong>in</strong>spections conducted by <strong>the</strong> foreign regulatory authority.<br />

Although manufacturers of natural health <strong>products</strong> are currently exempt from establishment<br />

licences, <strong>the</strong>y are required to have a GMP <strong>in</strong>spection prior to obta<strong>in</strong><strong>in</strong>g a Drug Identification<br />

Number.<br />

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