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speech 9 - Traditional medicines in Indonesia

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TRADITIONAL MEDICINES<br />

IN<br />

INDONESIA<br />

THE NATIONAL AGENCY<br />

OF DRUG AND FOOD CONTROL<br />

1


<strong>Traditional</strong> Medic<strong>in</strong>es<br />

<strong>Traditional</strong> Medic<strong>in</strong>es (TM) have been used<br />

by <strong>Indonesia</strong>n society s<strong>in</strong>ce ancient times<br />

and empirically passed on from generation<br />

to generation.<br />

TM have been used to ma<strong>in</strong>ta<strong>in</strong>, and<br />

promote the human health, prevention as<br />

well as to reduce symptomatic disorders<br />

and has made great contribution to health.<br />

The use of TM is still prom<strong>in</strong>ent and take<br />

an important role as an alternative to<br />

Conventional <strong>medic<strong>in</strong>es</strong>.<br />

2


TM cont’d<br />

The regulation of TM follow WHO<br />

Framework on key component of Drug<br />

Regulation with some adjustment to suit<br />

the country’s needs while on the other<br />

hand can still provide a control mechanism<br />

to protect the community from the risk of<br />

non compliance TM products.<br />

With<strong>in</strong> this regulatory framework, the<br />

essential regulatory elements among other<br />

are :<br />

3


TM cont’d<br />

Standardization of raw material and f<strong>in</strong>ished<br />

product<br />

GMP implementation<br />

Pre-market<strong>in</strong>g evaluation of quality, safety and<br />

efficacy of f<strong>in</strong>ished product as well as<br />

advertisement<br />

Post market<strong>in</strong>g control:<br />

Sampl<strong>in</strong>g<br />

Laboratory test<strong>in</strong>g<br />

Inspection of GMP implementation<br />

Monitor<strong>in</strong>g of adverse reaction, label<strong>in</strong>g,<br />

advertisement<br />

Public warn<strong>in</strong>g<br />

Product recall<br />

Law enforcement<br />

4


TECHNICAL REQUIREMENT FOR REGISTRATION<br />

•The TM must be registered to NADFC before<br />

marketed to evaluate quality, safety and efficacy<br />

except product produced by home <strong>in</strong>dustry, jamu<br />

pedler<br />

•The technical requirement for registration as follows<br />

:<br />

•Limit of contam<strong>in</strong>ant, heavy metal etc<br />

• Water content,<br />

•Stability data<br />

•Safety data/ Toxicity data if needed(If safety<br />

profile have not been established)<br />

•Claim or efficacy data<br />

•Product conta<strong>in</strong><strong>in</strong>g bov<strong>in</strong>e derived must be BSE<br />

free<br />

5


Label<strong>in</strong>g requirement :<br />

•Product Name<br />

•Composition<br />

•Indication or claim<br />

•Direction of use and dosage<br />

•Warn<strong>in</strong>g, Contra Indication and Side Effect (if any)<br />

•Name and address of manufacturer or importer<br />

•Label<strong>in</strong>g should be mentioned <strong>in</strong> <strong>Indonesia</strong>n<br />

Language beside other language(English etc<br />

• Specific label<strong>in</strong>g for product conta<strong>in</strong><strong>in</strong>g<br />

substances from porc<strong>in</strong>e orig<strong>in</strong><br />

•Registration licensed is valid for 5 years.<br />

•Applicant have to pay Registration Fee<br />

6


TIME LINE FOR REGISTRATION<br />

Based on risk of the product,time l<strong>in</strong>e for reg.<br />

is categories <strong>in</strong>to 3 l<strong>in</strong>es as follows:<br />

1.7-15 wd for low risk<br />

2.30-60 wd for medium risk<br />

3.90-120 wd for high risk<br />

7


PROHIBITED<br />

1. Adulteration(conta<strong>in</strong><strong>in</strong>g isolated chemical subtances)<br />

2. Narcotics & Psychotropics<br />

3. Suppositoria except for haemorrhoid<br />

4. Sterile preparation(<strong>in</strong>jection, eye prep.)<br />

5. Vacc<strong>in</strong>e<br />

6. Human part derived<br />

7. Intra vag<strong>in</strong>al prep<br />

8. Negative list substances<br />

9. Endanger species<br />

8


Classification of <strong>Indonesia</strong>n<br />

herbal <strong>medic<strong>in</strong>es</strong><br />

TM is classified <strong>in</strong>to three types namely :<br />

Jamu<br />

Standardized Herbal Medic<strong>in</strong>es<br />

Phytopharmaca<br />

9


CLASSIFICATION OF<br />

INDONESIAN TRADITIONAL<br />

MEDICINES (3 SCHEMES)<br />

Jamu<br />

(<strong>Indonesia</strong>n<br />

<strong>in</strong>digenous<br />

<strong>Traditional</strong><br />

Medic<strong>in</strong>es)<br />

Standardized<br />

of Herbal<br />

Medic<strong>in</strong>es<br />

Phytopharmaca<br />

(Scientific based<br />

evidence)<br />

10


CRITERIAS FOR THE JAMU,<br />

STANDARDIZED HERBAL MEDICINE,<br />

AND PHYTOPHARMACA<br />

Jamu is <strong>Indonesia</strong>n <strong>Traditional</strong> Medic<strong>in</strong>es that<br />

safety and efficacy based on empirical<br />

experiences and traditionally used.<br />

Standardized herbal <strong>medic<strong>in</strong>es</strong> are<br />

<strong>Indonesia</strong>n <strong>Traditional</strong> Medic<strong>in</strong>es<br />

which the safety and efficacy have<br />

been proven by pre cl<strong>in</strong>ical study.<br />

(Toxicity and Pharmacodynamic<br />

studies)<br />

Phytopharmaca is <strong>Indonesia</strong>n <strong>Traditional</strong><br />

Medic<strong>in</strong>es which the safety and efficacy have<br />

been proven by pre cl<strong>in</strong>ical and cl<strong>in</strong>ically studies<br />

11

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