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The Pharmaceutical Journal
Vol 271 No 7276 p699
22 November 2003

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Medicines reclassification/switching (more)


Simvastatin could become a pharmacy medicine within the next six months

Simvastatin 10mg looks set to be reclassified as a pharmacy medicine called Zocor Heart-Pro

Simvastatin could be available over the counter within six months, the Health Secretary John Reid said earlier this week.

His announcement was made at the launch of a consultation by the Medicines and Healthcare products Regulatory Agency on a proposal to reclassify the drug from a prescription only to a pharmacy medicine.

Dr Reid said: “Giving people the chance to buy a preventive medicine that they would not otherwise be able to get must be right. The case for making statins over-the-counter needs to be looked at widely. But if generally agreed, this would be a far reaching move and one that we are keen to introduce.” He added that if the switch is successful, it would be a world first.

The move has been welcomed by the Royal Pharmaceutical Society. Dr Gill Hawksworth, President of the Society, said: “The Society will be working to support its members in this important step. This will ensure the public receives the maximum benefit from the safe use of these important medicines.” Other national pharmacy bodies to welcome the proposed switch include the National Pharmaceutical Association, PharmacyHealthLink and the Proprietary Association of Great Britain.

The launch of the consultation indicates that the Committee on Safety of Medicines deems that simvastatin is suitable for over-the-counter use. Professor Gordon Duff, chairman of the CSM, said: “The first consideration must always be patient safety and before a medicine can be made more widely available, it is assessed against strict criteria relating to its safety in the circumstances in which it will be used.”

The application for the proposed switch comes from Johnson & Johnson MSD, manufacturer of Zocor. The company wants all people who are likely to be at moderate risk of coronary heart disease to be able to buy its product (Zocor Heart-Pro) direct from pharmacies. The consultation document outlines how pharmacists will identify those people at moderate risk and sets out the rationale for reclassification.

The results of the consultation exercise will be presented to the Committee on Safety of Medicines for advice in early 2004. If the reclassification is approved Zocor Heart-Pro could be available in pharmacies in the spring.

The full consultation document (ARM 18) is available on the MHRA website (www.mhra.gov.uk). Comments should be sent to Amanda Lawrence, at the MHRA, to arrive by 16 January 2004.

News feature, p705

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