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DRUG REGISTRATION GUIDANCE DOCUMENT (DRGD) - BPFK

DRUG REGISTRATION GUIDANCE DOCUMENT (DRGD) - BPFK

DRUG REGISTRATION GUIDANCE DOCUMENT (DRGD) - BPFK

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Drug Registration Guidance Document (<strong>DRGD</strong>)For product containing Black Cohosh (Cimicifuga racemosa), please state:Warning:- Stop taking this product if signs and symptoms suggestive ofliver injury develop such as tiredness, loss of appetite, yellowingof the skin and eyes or severe upper stomach pain with nauseaand vomiting or dark urine and consult your doctor immediately.- Patients using herbal medicinal products shall tell their doctorabout it.For products containing Camphor:i) The following warning shall be stated on the label:WARNING:CAN CAUSE CONVULSIONCONTRAINDICATED IN INFANTS BELOW 2 YEARS OF AGE.CAUTION MUST BE EXERCISED WHEN OLDER CHILDREN ARETREATED.AVOID DIRECT APPLICATION INTO NOSTRILSPRECAUTION:It is dangerous to place any camphor – containing product into the nostrilof children. A small amount applied this way may cause immediatecollapse.- Avoid contact with the eyes.- Do not apply to wounds or damaged skin.ii) The following warning and precaution shall be stated on product leaflet:WARNING: “This product is contraindicated in infants under 2years of age. Caution must be exercised when older children aretreated”PRECAUTION: “It is dangerous to place any camphor containingproduct into the nostrils of children. A small amount applied thisway may cause immediate collapse”National Pharmaceutical Control Bureau (NPCB)First Edition, January 2013 Page | 279

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