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The Pharmaceutical Journal Vol 268 No 7192 p453-457
6 April 2002

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Medicines Control Agency consults on herbal and children’s medicines

The Medicines Control Agency is seeking comments on implementing the European Commission’s proposals for a directive on traditional herbal medicinal products. The MCA is also seeking comments on EC consultations about medicines for children.

The MCA says, in consultation letter MLX 283, that the proposed herbal medicines directive would require it to introduce a simplified registration procedure. Manufacturers would have to provide evidence of traditional use (for at least 30 years) of a product but there would be no requirement to present data on tests or trials relating to efficacy. Instead, the wording “the efficacy of the product has not been clinically proven but relies exclusively on long-term use and experience” would be used. A bibliographic review of safety data would be needed and registration could be refused if this was inadequate or the product was found harmful in normal conditions of use.

An agreed positive list of herbal substances with therapeutic indications, specified strength, route of administration and relevant safety information would be drawn up by a proposed Committee for Herbal Medicinal Products. Applicants seeking licences would be able to refer to this list rather than provide data on traditional use and safety. Quality of manufacture would still need to be demonstrated.

The European directive could be in force by the end of 2004. The MCA says that the current regulation of herbal medicines within the United Kingdom “fails to provide an adequate balance between protecting the consumer and providing consumer choice”. Most herbal medicines reach the market through an exemption to the Medicines Act 1968 and the Government, the MCA and the Committee on Safety of Medicines have concerns about the low quality and safety standards of some unlicensed preparations.

The MCA is minded to transpose the directive into UK law and repeal the existing exemption, saying that a scheme that officially recognises traditional medicines would increase consumer confidence, leading to increased sales.

Comments on the proposals can be sent to Alison Daykin, 16-132 Market Towers, 1 Nine Elms Lane, London SW8 5NQ (tel 020 7273 0404, e-mail alison.daykin@mca.gsi.gov.uk) by 21 June. A more detailed question and answer briefing on the directive is available on the MCA’s website (www.mca.gov.uk/ourwork/licensingmeds/herbal meds/qanda.pdf).

The MCA is also drawing attention to a recent European Commission document on medicines for children (PJ, 16 March, p349). The MCA is co-ordinating the UK Government’s response to this and says that it would like to see copies of any comments sent to the EC. These can be sent to Chris Bantock, European support unit manager, at the MCA (tel 020 7273 0395, e-mail chris.bantock@mca.gsi.gov.uk).

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