Herbal medicinal products in the European Union - AESGP
Herbal medicinal products in the European Union - AESGP
Herbal medicinal products in the European Union - AESGP
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Products referred to <strong>in</strong> Section 68, Paragraphs 1 and 3 of <strong>the</strong> Medic<strong>in</strong>es Act (1987/395) which,<br />
upon <strong>the</strong> entry <strong>in</strong>to force of <strong>the</strong> Adm<strong>in</strong>istrative Regulation 9/93 have an authorisation<br />
referred to <strong>in</strong> Section 69, Paragraph 1 of <strong>the</strong> Medic<strong>in</strong>es Law or a license for sale or o<strong>the</strong>r<br />
consumption granted under Section 10 (f) of <strong>the</strong> Pharmaceutical Preparations Law or which<br />
have been granted a license for a semi-<strong>medic<strong>in</strong>al</strong> purpose under <strong>the</strong> Decree on licenses for<br />
labell<strong>in</strong>g <strong>the</strong> purpose of a semi-<strong>medic<strong>in</strong>al</strong> product (1993/1046), should, under <strong>the</strong> transitional<br />
provisions of <strong>the</strong> law amend<strong>in</strong>g <strong>the</strong> Medic<strong>in</strong>es Law (1993/1046), have been taken to <strong>the</strong><br />
register as herbal remedies with a market<strong>in</strong>g authorisation upon <strong>the</strong> entry <strong>in</strong>to force of <strong>the</strong><br />
latter Act. Registration as herbal remedies also applies to homeopathic and anthroposophical<br />
<strong>products</strong> which, upon <strong>the</strong> entry <strong>in</strong>to force of <strong>the</strong> Adm<strong>in</strong>istrative Regulation 9/93, have a<br />
license referred to above and which do not meet <strong>the</strong> requirements of registration laid down<br />
<strong>in</strong> Section 21a, Paragraphs 1 and 2 of <strong>the</strong> Medic<strong>in</strong>es Law (1993/1046). The labell<strong>in</strong>g of <strong>the</strong>se<br />
preparations should have been made to comply with <strong>the</strong> above provisions and those conta<strong>in</strong>ed<br />
<strong>in</strong> <strong>the</strong> Adm<strong>in</strong>istrative Regulation 5/93 of NAM not later than 31 December 1995.<br />
Holders of <strong>the</strong> market<strong>in</strong>g authorisations should submit <strong>the</strong>ir applications for renewal of <strong>the</strong><br />
market<strong>in</strong>g authorisations <strong>in</strong> accordance with <strong>the</strong> follow<strong>in</strong>g group<strong>in</strong>gs:<br />
40<br />
Correspond<strong>in</strong>g licence<br />
Authorisation should be (have been)<br />
or approval granted <strong>in</strong><br />
submitted by<br />
1983 – 1985 31 December 1995<br />
1986 – 1987 31 December 1996<br />
1988 – 1989 31 December 1997<br />
1990 – 1991 31 December 1998<br />
1992 – 1993 31 December 1999<br />
Table 7: Renewal of market<strong>in</strong>g authorisations <strong>in</strong> F<strong>in</strong>land<br />
The applications for renewal need to comply with <strong>the</strong> exist<strong>in</strong>g rules for applications for<br />
market<strong>in</strong>g authorisations.<br />
France<br />
Bibliographic applications are accepted. However, none of <strong>the</strong>m has up to now led to a<br />
market<strong>in</strong>g authorisation as <strong>the</strong> dossiers were <strong>in</strong>sufficient.<br />
Germany<br />
Accord<strong>in</strong>g to Section 5 of <strong>the</strong> Guidel<strong>in</strong>es for Medic<strong>in</strong>es Test<strong>in</strong>g (“Arzneimittel-<br />
Prüfrichtl<strong>in</strong>ien”) [D 3], bibliographic data may be used as a reference for well-known<br />
substances. Acceptable data <strong>in</strong>clude pharmacological, toxicological and cl<strong>in</strong>ical studies,<br />
observational field studies, scientifically evaluated case reports and scientifically<br />
documented medical experience.<br />
Dur<strong>in</strong>g <strong>the</strong> review process between 1978 and 1994, monographs on active <strong>in</strong>gredients were as<br />
a first step compiled by Expert Commissions accord<strong>in</strong>g to Section 25 Paragraph 7 of <strong>the</strong><br />
German Medic<strong>in</strong>es Law. The objective of <strong>the</strong> procedure was to establish clear, a priori<br />
criteria for active <strong>in</strong>gredients and to make it clear to <strong>in</strong>dustry which <strong>products</strong> had a chance<br />
of be<strong>in</strong>g authorised. The review of herbal remedies was conducted by a multidiscipl<strong>in</strong>ary<br />
commission of experts, <strong>the</strong> so-called Commission E, consist<strong>in</strong>g of pharmacists,<br />
pharmacologists, toxicologists, cl<strong>in</strong>ical pharmacologists, biostatisticians, medical doctors<br />
from hospitals and general medical practitioners [D 2]. This Commission was responsible<br />
for <strong>the</strong> evaluation of more than 300 <strong>medic<strong>in</strong>al</strong> plants, and <strong>the</strong> results (i.e., <strong>the</strong> monographs)<br />
have been published <strong>in</strong> <strong>the</strong> Federal Gazette (“Bundesanzeiger”), beg<strong>in</strong>n<strong>in</strong>g <strong>in</strong> 1984. These<br />
monographs cover most of <strong>the</strong> <strong>in</strong>gredients of <strong>in</strong>dustrially prepared herbal <strong>medic<strong>in</strong>al</strong><br />
<strong>products</strong> on <strong>the</strong> market.<br />
The work of all review commissions, <strong>in</strong>clud<strong>in</strong>g Commission E, regard<strong>in</strong>g <strong>the</strong> evaluation of<br />
bibliographic data and <strong>the</strong> preparation of monographs was ended with <strong>the</strong> publication of <strong>the</strong><br />
5th Amendment of <strong>the</strong> Medic<strong>in</strong>es Law <strong>in</strong> August 1994. The ma<strong>in</strong> reason was that <strong>the</strong> most<br />
relevant active pr<strong>in</strong>ciples were covered by monographs and <strong>the</strong> rema<strong>in</strong><strong>in</strong>g <strong>products</strong> could be<br />
more economically assessed on a case-by-case basis. The commissions now serve as<br />
advisory boards to <strong>the</strong> Federal Institute for Drugs and Medical Devices (BfArM) <strong>in</strong> mak<strong>in</strong>g<br />
decisions on <strong>the</strong> registration of new medic<strong>in</strong>es and <strong>in</strong> <strong>the</strong> <strong>in</strong>dividual assessment of old<br />
<strong>medic<strong>in</strong>al</strong> <strong>products</strong>, as <strong>the</strong> second step of <strong>the</strong> review process.