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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7316 p335
11 September 2004

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MHRA repeats warning on unsafe TCMs

Traditional Chinese medicine

Dangerous traditional Chinese medicines continue to be found

A warning that there can be no guarantee of the safety or quality of traditional Chinese medicines (TCMs) has been reissued by the Medicines and Healthcare products Regulatory Agency (PDF 160K).

The MHRA issued a similar warning three years ago (PJ, 6 October 2001, p452).

The warning is being circulated again in the light of clear evidence that problems with TCMs containing toxic, and often illegal, ingredients persist, with the ingredients not always being declared on labels.

The MHRA says: “There is no reliable way for the public to identify those TCMs which could be unsafe. In the light of this evidence we are unable to give the public any general assurances as to the safety of TCMs on the UK market. When buying TCMs people should always be aware of the possibility of low quality or illegal products. They should not take them if they are not labelled and [do not] include a list of ingredients in English. Even then, clear labelling is not in itself a guarantee of good quality standards.”

It explains that unlicensed products with potent and/or illegal ingredients can reach the UK market in a number of ways. These can include a lack of quality control and quality assurance in manufacturing, and in the international supply chain, a failure of concerned parties to check what is permitted in UK law, or intentionally criminal activity.

Safety and effectiveness of herbal medicines were among the topics covered in a session sponsored by the Royal Pharmaceutical Society “Can herbs improve your health?” at the British Association Festival of Science held in Exeter this week. Speakers included Peter Houghton, professor of pharmacognosy at King’s College London, who said that people taking herbal medicines in conjunction with conventional medicines could be at risk of unknown interactions.

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