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Herbal medicinal products in the European Union - AESGP

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18<br />

Medic<strong>in</strong>al <strong>products</strong><br />

(“Medicamentos”)<br />

Plant-based <strong>medic<strong>in</strong>al</strong> <strong>products</strong><br />

(“Fitofarmacos”)<br />

↓ ↓<br />

Pharmaceutical specialties<br />

Medic<strong>in</strong>al <strong>products</strong> which are not<br />

(“Especialidades farmacéuticas”)<br />

pharmaceutical specialties<br />

<strong>Herbal</strong> <strong>medic<strong>in</strong>al</strong> <strong>products</strong><br />

(“Especialidades farmacéuticas a base de<br />

plantas”)<br />

Phytotraditional <strong>medic<strong>in</strong>al</strong> <strong>products</strong><br />

(“Productos fitotradicionales”)<br />

Indication No <strong>in</strong>dication<br />

Authorisation Notification (except comb<strong>in</strong>ations)<br />

Table 3: Categories of plant-based <strong>medic<strong>in</strong>al</strong> <strong>products</strong> <strong>in</strong> Spa<strong>in</strong><br />

Accord<strong>in</strong>g to Article 8.6 of <strong>the</strong> draft Royal Decree, a pharmaceutical specialty (“especialidad<br />

farmacéutica”) is a “<strong>medic<strong>in</strong>al</strong> product with def<strong>in</strong>ed composition and <strong>in</strong>formation, of<br />

determ<strong>in</strong>ed pharmaceutical form and dosage, prepared for immediate <strong>medic<strong>in</strong>al</strong> use, ready<br />

and packaged for dispatch<strong>in</strong>g to <strong>the</strong> public, with uniform name, pack<strong>in</strong>g, packag<strong>in</strong>g and<br />

labell<strong>in</strong>g, which has been granted a health authorisation by <strong>the</strong> State’s Adm<strong>in</strong>istration and<br />

registered <strong>in</strong> <strong>the</strong> Pharmaceutical Specialties Register.”<br />

Note:<br />

Medic<strong>in</strong>al <strong>products</strong> which are not pharmaceutical specialties can be prefabricated <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong> (Article 8.7), magisterial formulas (Article 8.9) or offic<strong>in</strong>al preparations or<br />

formulas (Article 8.10).<br />

d) Summary: Def<strong>in</strong>ition of <strong>Herbal</strong> Medic<strong>in</strong>al Products<br />

In almost all Member States, herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> are considered as <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong>. As such, <strong>the</strong>y are <strong>in</strong> pr<strong>in</strong>ciple subject to <strong>the</strong> general regulations for <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong> as laid down <strong>in</strong> national Medic<strong>in</strong>es Law. A specific def<strong>in</strong>ition of herbal <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong> which is <strong>in</strong> l<strong>in</strong>e with <strong>the</strong> EC Guidel<strong>in</strong>e “Quality of <strong>Herbal</strong> Remedies” (“Quality of<br />

<strong>Herbal</strong> Medic<strong>in</strong>al Products”) and which <strong>in</strong>cludes plants, parts of plants and <strong>the</strong>ir<br />

preparations, mostly presented with <strong>the</strong>rapeutic or prophylactic claims is available <strong>in</strong> many<br />

cases. Different categories of <strong>products</strong> conta<strong>in</strong><strong>in</strong>g plant preparations are described e.g. i n<br />

Spa<strong>in</strong> accord<strong>in</strong>g to a legislative draft as “herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong>” and “phytotraditional<br />

<strong>products</strong>”. The latter are however not regarded as pharmaceutical specialties and are<br />

<strong>the</strong>refore not herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong>.<br />

VII.1.3 Classification of <strong>Herbal</strong> Preparations<br />

As <strong>in</strong>dicated above, Council Directive 65/65/EEC def<strong>in</strong>es <strong>the</strong> basic criteria for a <strong>medic<strong>in</strong>al</strong><br />

product. <strong>Herbal</strong> preparations are not considered <strong>medic<strong>in</strong>al</strong> <strong>products</strong> if <strong>the</strong>y are <strong>in</strong>tended to be<br />

used as food, cosmetics, etc. and are not <strong>in</strong>tended or presented for treat<strong>in</strong>g, prevent<strong>in</strong>g or<br />

diagnos<strong>in</strong>g diseases or restor<strong>in</strong>g, correct<strong>in</strong>g or modify<strong>in</strong>g physiological functions.<br />

However, <strong>the</strong> l<strong>in</strong>e dist<strong>in</strong>guish<strong>in</strong>g <strong>medic<strong>in</strong>al</strong> from non-<strong>medic<strong>in</strong>al</strong> <strong>products</strong>, <strong>in</strong> many cases<br />

such as <strong>in</strong> <strong>the</strong> case of herbal <strong>products</strong>, is not easy to draw. For this reason, <strong>in</strong> this study<br />

national authorities were asked: (a) which criteria for classification as a <strong>medic<strong>in</strong>al</strong> product<br />

(e.g., by function or presentation or both) are used; and (b) which <strong>products</strong> conta<strong>in</strong><strong>in</strong>g plants<br />

are not classified as <strong>medic<strong>in</strong>al</strong> <strong>products</strong>. <strong>Herbal</strong> preparations that are not <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong> do not require a market<strong>in</strong>g authorisation from <strong>the</strong> competent authority. In some<br />

cases, however, a notification has to be performed. Several examples of <strong>products</strong> are given<br />

that might fit <strong>in</strong>to both <strong>the</strong>se areas (c). Fur<strong>the</strong>rmore, <strong>in</strong> several Member States <strong>medic<strong>in</strong>al</strong><br />

<strong>products</strong> exist which are exempted from licens<strong>in</strong>g (d).

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