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A guide to what is a medicinal product

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• the pharmacological, immunological or metabolic properties of the ingredient(s) and any<br />

significant effect(s) the <strong>product</strong> will have on physiological function in humans, or in the case<br />

of a <strong>product</strong> which sat<strong>is</strong>fies the definition of a traditional herbal <strong>medicinal</strong> <strong>product</strong> in<br />

Directive 2004/24/EC where the pharmacological, immunological or metabolic effects or<br />

efficacy are considered plausible on the bas<strong>is</strong> of long standing use and tradition<br />

• the composition of the <strong>product</strong><br />

• the manner in which the <strong>product</strong> <strong>is</strong> used<br />

• the <strong>product</strong> promotional literature, including testimonials and any literature <strong>is</strong>sued by a third<br />

party on behalf of the person who places the <strong>product</strong> on the market<br />

• the familiarity of the <strong>product</strong> <strong>to</strong> consumers and the extent of its d<strong>is</strong>tribution in the UK<br />

• the <strong>product</strong> form, (capsule, tablet, injection, etc.) and the way it <strong>is</strong> <strong>to</strong> be used<br />

• the presence of essentially similar licensed, reg<strong>is</strong>tered or exempt medicines on the UK<br />

market<br />

• the r<strong>is</strong>ks which use of the <strong>product</strong> may pose.<br />

7. Products that are not classified as medicines under the “functional” limb of the<br />

definition of a <strong>medicinal</strong> <strong>product</strong><br />

The MHRA only classifies fin<strong>is</strong>hed <strong>product</strong>s and not individual substances and ingredients. A<br />

<strong>product</strong> will not be classified as a medicine solely on the bas<strong>is</strong> that it may be unsafe for human<br />

use. A <strong>product</strong> must be intended for, or be capable of performing, a <strong>medicinal</strong> function before it can<br />

be classified as such.<br />

Products containing chemicals or substances that were primarily developed for non-<strong>medicinal</strong><br />

purposes, such as for industrial (e.g. chemical) processes or agricultural use, and which have no<br />

valid use in clinical practice are unlikely <strong>to</strong> fall within the function limb.<br />

The Judgment in the joined cases Markus D (C-358/13) and G. (C-181/14) concerns the<br />

classification of substances that are not intended <strong>to</strong> be consumed for a medical but for a<br />

recreational purpose. For <strong>product</strong>s <strong>to</strong> fall under the Directive 2001/83/EC the ECJ Judgment<br />

states:<br />

“…for the purpose of determining whether a <strong>product</strong> falls within the definition of a <strong>medicinal</strong><br />

<strong>product</strong> for the purposes of Directive 2001/83, the national authorities, acting under the superv<strong>is</strong>ion<br />

of the courts, must decide on a case-by-case bas<strong>is</strong>, taking account of all the character<strong>is</strong>tics of the<br />

<strong>product</strong>, in particular its composition, its pharmacological, immunological or metabolic properties,<br />

<strong>to</strong> the extent <strong>to</strong> which they can be establ<strong>is</strong>hed in the present state of scientific knowledge, the<br />

manner in which it <strong>is</strong> used, the extent of its d<strong>is</strong>tribution, its familiarity <strong>to</strong> consumers and the r<strong>is</strong>ks<br />

which its use may entail (the judgments in Upjohn, EU:C:1997:147, paragraph 23, and BIO<br />

Naturprodukte, C-27/08, EU:C:2009:278, paragraph 18)”;<br />

The Judgment concluded that “Article 1(2)(b) of Directive 2001/83 must be interpreted as not<br />

covering substances, such as those at <strong>is</strong>sue in the main proceedings, which produce effects that<br />

merely modify physiological functions but which are not such as <strong>to</strong> have any beneficial effects,<br />

either immediately or in the long term, on human health, are consumed solely <strong>to</strong> induce a state of<br />

in<strong>to</strong>xication and are, as such, harmful <strong>to</strong> human health.” [Emphas<strong>is</strong> underlined.]<br />

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