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Herbal medicinal products in the European Union - AESGP

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The descriptions of <strong>the</strong> analytical data must be so detailed that it is possible for <strong>the</strong> Danish<br />

Medic<strong>in</strong>es Agency to perform controls. Methods of analysis that do not come from<br />

recognised pharmacopoeias must be validated, i.e. it must be shown that <strong>the</strong> method is<br />

suitable for <strong>the</strong> purpose.<br />

Modifications to <strong>the</strong> composition of a herbal <strong>medic<strong>in</strong>al</strong> product must be done <strong>in</strong> accordance<br />

with Order No. 49 of 1987 on <strong>the</strong> quality of <strong>medic<strong>in</strong>al</strong> <strong>products</strong>. Such changes could concern<br />

specifications for a <strong>medic<strong>in</strong>al</strong> product or a raw material which is not or only partly covered<br />

by a monograph <strong>in</strong>cluded <strong>in</strong> a valid pharmacopoeia. Modifications must be approved by <strong>the</strong><br />

Danish Medic<strong>in</strong>es Agency.<br />

F<strong>in</strong>land<br />

F<strong>in</strong>land accepts applications which make use of Article 4.8 (a) (ii) of Council Directive<br />

65/65/EEC as almost <strong>the</strong> only way to prove or support <strong>the</strong> safety and efficacy of herbal<br />

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

The requirements for <strong>the</strong> market<strong>in</strong>g authorisation of herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> are as<br />

follows:<br />

— compliance with <strong>the</strong> def<strong>in</strong>ition of herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> as laid down <strong>in</strong> <strong>the</strong><br />

Medic<strong>in</strong>es Law (see po<strong>in</strong>t VII.1.1.);<br />

— quality and manufactur<strong>in</strong>g <strong>in</strong> accordance with <strong>the</strong> requirements for normal<br />

<strong>medic<strong>in</strong>al</strong> <strong>products</strong>, tak<strong>in</strong>g <strong>in</strong>to account <strong>the</strong> special characteristics of herbal <strong>medic<strong>in</strong>al</strong><br />

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

— safety and efficacy <strong>in</strong> accordance with bibliographic data;<br />

— adequate expert reports; and<br />

— adequate labell<strong>in</strong>g with <strong>the</strong> term “herbal remedy.”<br />

In accordance with Council Directive 75/319/EEC, an expert report toge<strong>the</strong>r with appendices<br />

<strong>in</strong> tabular form and an optional written summary should be submitted on <strong>the</strong><br />

pharmaceutical and chemical particulars. With regard to pharmacological and toxicological<br />

particulars, a summary should be submitted based on <strong>the</strong> application material and briefly<br />

describ<strong>in</strong>g <strong>the</strong> ma<strong>in</strong> <strong>in</strong>dications of <strong>the</strong> <strong>products</strong> as well as o<strong>the</strong>r facts that <strong>the</strong> manufacturer<br />

considers to be of significance <strong>in</strong> <strong>the</strong> evaluation of <strong>the</strong> application. A critical evaluation of<br />

<strong>the</strong> pharmacological and toxicological data should be <strong>in</strong>cluded <strong>in</strong> <strong>the</strong> summary.<br />

The documentation on pharmaceutical and chemical particulars should be presented i n<br />

accordance with Council Directive 75/318/EEC, which is applicable to all <strong>medic<strong>in</strong>al</strong> <strong>products</strong>.<br />

The particulars on <strong>the</strong> quality and manufactur<strong>in</strong>g of herbal <strong>medic<strong>in</strong>al</strong> <strong>products</strong> should<br />

fur<strong>the</strong>r take <strong>in</strong>to account <strong>the</strong> EC Guidel<strong>in</strong>e “Quality of <strong>Herbal</strong> Remedies”. The raw<br />

materials must meet <strong>the</strong> requirements of <strong>the</strong> pharmacopoeia or, <strong>in</strong> <strong>the</strong> absence of such<br />

specifications, detailed quality requirements should be drafted <strong>in</strong> accordance with <strong>the</strong> model<br />

monographs of <strong>the</strong> <strong>European</strong> Pharmacopoeia. Quality requirements and analytical methods<br />

for <strong>in</strong>termediate and f<strong>in</strong>ished <strong>products</strong> must be presented. Analytical methods must be<br />

validated. If <strong>the</strong> product conta<strong>in</strong>s more than one herbal drug or herbal drug preparation,<br />

<strong>the</strong>se should be identified (e.g., by <strong>the</strong> th<strong>in</strong> layer chromatography f<strong>in</strong>gerpr<strong>in</strong>t method). The<br />

f<strong>in</strong>ished <strong>products</strong> should meet <strong>the</strong> requirements of <strong>the</strong> <strong>European</strong> Pharmacopoeia and <strong>the</strong><br />

F<strong>in</strong>nish and Swedish Standards for Medic<strong>in</strong>al Products. Shelf-life should be <strong>in</strong>dicated for<br />

<strong>the</strong> f<strong>in</strong>ished product based on appropriate stability tests. The tests should be conducted i n<br />

specified circumstances <strong>in</strong> <strong>the</strong> package <strong>in</strong>tended for sale.<br />

If <strong>the</strong> herbal <strong>medic<strong>in</strong>al</strong> product or its active <strong>in</strong>gredient has been used for a long time i n<br />

Europe or <strong>in</strong> countries close to Europe with regard to healthcare traditions, <strong>the</strong> safety and<br />

proposed <strong>in</strong>dication of <strong>the</strong> product can normally be expla<strong>in</strong>ed by <strong>in</strong>formation available i n<br />

<strong>the</strong> scientific literature. The application should also conta<strong>in</strong> a bibliography list<strong>in</strong>g of <strong>the</strong><br />

citations for <strong>the</strong> data that are appended or o<strong>the</strong>rwise referred to <strong>in</strong> <strong>the</strong> application.<br />

The proposals for <strong>the</strong> labell<strong>in</strong>g and package leaflet as well as <strong>the</strong> summary of product<br />

characteristics should be submitted to <strong>the</strong> National Agency for Medic<strong>in</strong>es (NAM) toge<strong>the</strong>r<br />

with <strong>the</strong> application. The label of a herbal <strong>medic<strong>in</strong>al</strong> product must clearly state that it is a<br />

herbal <strong>medic<strong>in</strong>al</strong> product [FIN 1].<br />

Renewals of market<strong>in</strong>g authorisation can be granted for a period of five years at a time. The<br />

application for renewal of a market<strong>in</strong>g authorisation with its appendices should be submitted<br />

to <strong>the</strong> NAM at least three months before <strong>the</strong> expiry of <strong>the</strong> market<strong>in</strong>g authorisation, i n<br />

accordance with Adm<strong>in</strong>istrative Regulation 4/93.<br />

39

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