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Vol 273 No 7311 p175
7 August 2004

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UK to lead on some new European medicine laws

How to comment

Comments on the proposals can be sent to Michael Darbyshire, Review of EU Medicines Legislation — early implementation, MHRA, Room 16-158, Market Towers, 1 Nine Elms Lane, London SW8 5NQ (e-mail 2001Review@mhra.gsi.gov.uk) until 22 October.

Views on plans to implement some aspects of new European medicines legislation before their mandatory introduction are being sought by the Medicines and Healthcare products Regulatory Agency.

The MHRA wants to implement early a provision to encourage POM-to-P switching of medicines. It also wants early implementation of a requirement to test patient information leaflets (PILs) and any proposed changes to them on users and to strengthen the requirement for medicines manufacturers to tell the MHRA about new information that impacts on a medicine’s benefits and risks.

The MHRA says that these changes offer public health benefits and that by implementing them early the UK will be leading the way in Europe.

There will be separate consultation on implementing the remaining changes required by Europe by the end of October 2005.

To encourage POM-to-P switching, companies that justify their reclassification applications with new test or trial results will get a year’s data protection for their results. Currently, a first applicant’s marketing advantage can be as little as 90 days. The MHRA wants to see this change implemented in January 2005.

John Blenkinsopp, a POM-to-P switching consultant, said that the next three years would see a sea-change with respect to switching that will mean that pharmacists have to be out of their dispensaries and dealing with customers. There were four switch applications with the MHRA now and a further 11 on the cards. “The Government wants pharmacists in the front of house,” he said. “These are switches that could not move on to GSL. The value of the pharmacist’s interaction with patients cannot be usurped.”

Also in January 2005, the MHRA wants to introduce a new requirement for companies to tell it about any new information that might affect a marketing authorisation. This would include the results of any post-authorisation safety studies or clinical trials.

The third change to be implemented early — user testing of PILs — will not take place until April 2005. User testing is intended to ensure that patient information is clear and well understood.

David Pruce, director of practice and quality improvement for the Royal Pharmaceutical Society, said: “We support any proposals that would lead to improvements in the clarity and readability of PILs.”

On the proposal in relation to new information, Mr Pruce said: “These proposals aim to provide further safeguards and increase patient safety and this is welcome.”

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