A guide to what is a medicinal product
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GBAP306CEPD
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<strong>to</strong> be <strong>medicinal</strong> <strong>product</strong>s. Examples of non <strong>medicinal</strong> procedures include tat<strong>to</strong>os, and cosmetic<br />
procedures such as semi-permanent makeup.<br />
Weight loss <strong>product</strong>s<br />
Many supplement <strong>product</strong>s which make claims <strong>to</strong> reduce weight are not <strong>medicinal</strong> <strong>product</strong>s.<br />
However where the use <strong>is</strong> for a medical purpose, such as <strong>to</strong> treat clinical obesity, <strong>product</strong>s can fall<br />
within the definition of a <strong>medicinal</strong> <strong>product</strong> if: (a) they make <strong>medicinal</strong> claims; (b) if they modify<br />
physiological functions by acting pharmacologically, immunologically or metabolically.<br />
It <strong>is</strong> also possible that some ingested <strong>product</strong>s with claims <strong>to</strong> be medical treatments and which act<br />
by a physical action, such as by preventing fat being absorbed by the body or as bulking agents<br />
could be classified as medical devices.<br />
Nitrous oxide<br />
Nitrous oxide, also known as ‘laughing gas’ <strong>is</strong> a substance with a number of legitimate<br />
uses in medicine and catering. It <strong>is</strong> a medical gas (a <strong>medicinal</strong> <strong>product</strong>) and, when mixed<br />
with oxygen, it <strong>is</strong> used <strong>to</strong> treat analgesia and as an anaesthetic. Use as a <strong>medicinal</strong><br />
<strong>product</strong> typically involves large cylinders containing the gases which are admin<strong>is</strong>tered <strong>to</strong><br />
the patient using a face mask in a variety of settings such as hospitals, dental surgeries<br />
and by ambulance crews. Nitrous oxide <strong>is</strong> also an approved food additive (E942) when<br />
used as a propellant for whipped cream. Unless the <strong>product</strong>s used are clearly <strong>medicinal</strong><br />
the MHRA nitrous oxide, when used for recreational purposes <strong>is</strong> not a matter for the<br />
MHRA and the Home Office has <strong>is</strong>sued guidance <strong>to</strong> enforcement bodies <strong>to</strong> restrict supply<br />
for recreational purposes which can currently be found at the following link. (Also refer <strong>to</strong><br />
information about the Psychoactive Substances Act in Section 13, above.<br />
https://www.gov.uk/government/publications/guidance-on-restricting-the-supply-of-nitrous-oxide-for-recreational-use<br />
What <strong>to</strong> do if you are still unsure of the status of your <strong>product</strong><br />
Classification <strong>is</strong> carried out on a <strong>product</strong> by <strong>product</strong> bas<strong>is</strong>. If you have looked at all the literature in<br />
th<strong>is</strong> Guidance Note and on the website and you are still unsure, complete the advice request form<br />
which <strong>is</strong> available on the website at<br />
https://www.gov.uk/decide-if-your-<strong>product</strong>-<strong>is</strong>-a-medicine-or-a-medical-device<br />
under the sub-heading ‘Getting advice about your <strong>product</strong>’. When seeking advice from the Agency<br />
it <strong>is</strong> expected that enquirers have read and taken in<strong>to</strong> account the guidance contained in th<strong>is</strong><br />
document and also have some knowledge of the use and function of the ingredients contained in<br />
their <strong>product</strong>.<br />
Marketing author<strong>is</strong>ations<br />
Guidance on marketing author<strong>is</strong>ations <strong>is</strong> provided in the ”Notice <strong>to</strong> Applicants” (Volume II of the<br />
Rules Governing Medicinal Products in the European Community) and can be obtained using the<br />
link http://ec.europa.eu/health/documents/eudralex/index_en.htm.<br />
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