This document outlines World Health Organization (WHO) and International Council for Harmonization (ICH) guidelines for evaluating herbal drugs. It discusses evaluating the quality, safety, efficacy and intended use of herbal medicines according to WHO guidelines. This includes assessing the botanical identity and constituents of plant materials, manufacturing processes, stability testing, safety, efficacy based on literature and traditional use, and providing product information for consumers. ICH guidelines on quality and safety are also used to assess drug substances. The overall aim is to help regulatory authorities and manufacturers properly evaluate herbal drugs.
Schedule T – Good Manufacturing Practice of Indian systems of medicine
Components of GMP (Schedule – T) and its objectives
Infrastructural requirements, working space, storage area, machinery and equipments,
standard operating procedures, health and hygiene, documentation and records.
INTRODUCTION
Components of GMP
GMP Provisions: Under Schedule-T are grouped
Location and surroundings
Factory Premises
Buildings
Water supply
Containers cleaning
Disposal of Waste
Requirements for the sterile products
store
Working space:
Space requirement for manufacturing of Unani medicine
Health & Hygiene
Machinery and Equipments
Machinery and equipments for maufacturing of ayurveda and siddha medicine
Documentation and Records
Regulations in India (ASU DTAB, ASU DCC), Regulation of
manufacture of ASU drugs - Schedule Z of Drugs & Cosmetics Act for ASU drugs.
Introduction
Regulatory Requirements
Key function of regulatory agencies
Regulation in India
DRUG TECHNICAL ADVISORY BOARD
Drugs Consultative committee-DCC
Schedule Z of Drugs & Cosmetics Act for ASU drugs.
Herbs, Herbal Drugs
Present Scope of Herbal Drug Industry
Scope of Herbal Drug Medicine and Industry
Indian Herbal Industry
International Scope of Herbal Medicines
World Wide Herbal Trade
Overview on plant based industries and research institutions in India
List of few herbal drug industries in India
List of few herbal research institution/ centres in India
General Introduction to Herbal Industry
Herbal drugs industry: Present scope and future prospects.
A brief account of plant based industries and institutions involved in work on medicinal and
aromatic plants in India.
Schedule T – Good Manufacturing Practice of Indian systems of medicine
Components of GMP (Schedule – T) and its objectives
Infrastructural requirements, working space, storage area, machinery and equipments,
standard operating procedures, health and hygiene, documentation and records.
INTRODUCTION
Components of GMP
GMP Provisions: Under Schedule-T are grouped
Location and surroundings
Factory Premises
Buildings
Water supply
Containers cleaning
Disposal of Waste
Requirements for the sterile products
store
Working space:
Space requirement for manufacturing of Unani medicine
Health & Hygiene
Machinery and Equipments
Machinery and equipments for maufacturing of ayurveda and siddha medicine
Documentation and Records
Regulations in India (ASU DTAB, ASU DCC), Regulation of
manufacture of ASU drugs - Schedule Z of Drugs & Cosmetics Act for ASU drugs.
Introduction
Regulatory Requirements
Key function of regulatory agencies
Regulation in India
DRUG TECHNICAL ADVISORY BOARD
Drugs Consultative committee-DCC
Schedule Z of Drugs & Cosmetics Act for ASU drugs.
Herbs, Herbal Drugs
Present Scope of Herbal Drug Industry
Scope of Herbal Drug Medicine and Industry
Indian Herbal Industry
International Scope of Herbal Medicines
World Wide Herbal Trade
Overview on plant based industries and research institutions in India
List of few herbal drug industries in India
List of few herbal research institution/ centres in India
General Introduction to Herbal Industry
Herbal drugs industry: Present scope and future prospects.
A brief account of plant based industries and institutions involved in work on medicinal and
aromatic plants in India.
Definition of drug interaction, potential of herb-drug interactions,significance of study of herb-drug interactions, reasons for their study, types according to ayurveda, effects & different ways of herb-drug interactions, their mechanism, hypericum, kava lava, ginkgo biloba, ginseng, garlic, pepper, ephedra.
Herbal Drug Technology (B.Pharm. 6th Semester)
Definition of herbs, herbal medicine, herbal medicinal product, herbal drug preparation
Source of herbs, Selection, identification and authentication of herbal materials,
Processing of herbal raw material
Herb drug and herb food interaction ppt by nitesh kumarNITESH KUMAR
HERB DRUG AND HERB FOOD INTERACTION IS AN IMPORTANT CHAPTER IN HERBLA DRUG TECHNOLOGY IN THE SYLLABUS OF B.PHARMACY 6TH SEM. IT GIVES A BETTER UNDERTANDING OF HERB FOOD INTERACTION AND RELATED DRUGS.
Definition of drug interaction, potential of herb-drug interactions,significance of study of herb-drug interactions, reasons for their study, types according to ayurveda, effects & different ways of herb-drug interactions, their mechanism, hypericum, kava lava, ginkgo biloba, ginseng, garlic, pepper, ephedra.
Herbal Drug Technology (B.Pharm. 6th Semester)
Definition of herbs, herbal medicine, herbal medicinal product, herbal drug preparation
Source of herbs, Selection, identification and authentication of herbal materials,
Processing of herbal raw material
Herb drug and herb food interaction ppt by nitesh kumarNITESH KUMAR
HERB DRUG AND HERB FOOD INTERACTION IS AN IMPORTANT CHAPTER IN HERBLA DRUG TECHNOLOGY IN THE SYLLABUS OF B.PHARMACY 6TH SEM. IT GIVES A BETTER UNDERTANDING OF HERB FOOD INTERACTION AND RELATED DRUGS.
Quality assurance (QA) is a way of preventing mistakes and defects in manufactured products and avoiding problems when delivering products or services to customers.
201 regulatory aspects of drug and cosmetics .pdfBhavikaAPatel
regulatory aspects of drug and cosmetics
1. Regulatory Requirements for Registration of Drugs & Post Approval Requirements in WHO through Prequalification Program
2. FDA ORGANIZATION CHART
3. Marketing Authorization of EU for APPLICATION PROCEDURES
4. Global Countries Classification
5. Organization and structure of EMA&EDQMActive substance Master files IMPD
6. DRUG MASTER FILE in USA
Toxicity and Regulations: Herbals vs
Conventional drugs, Efficacy of Herbal medicine products, Validation of herbal therapies, Pharmacodynamic and
Pharmacokinetic issues.
Physiology and chemistry of skin and pigmentation, hairs, scalp, lips and nail, Cleansing cream, Lotions, Face powders, Face packs, Lipsticks, Bath products, soaps and baby product,
Preparation and standardization of the following : Tonic, Bleaches, Dentifrices and Mouth washes & Tooth Pastes, Cosmetics for Nails.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Adulteration and Deterioration: Introduction, Types of
Adulteration/ Substitution of Herbal drugs, Causes and Measures
of Adulteration, Sampling Procedures, Determination of Foreign
Matter, DNA Finger printing techniques in identification of drugs of
natural origin, detection of heavy metals, pesticide residues, phytotoxin, microbial contamination in herbs and their
formulations.
Herbal/natural cosmetics, Classification &
Economic aspects. Regulatory Provisions relation to manufacture of cosmetics: -
License, GMP, offences & Penalties, Import & Export of
Herbal/natural cosmetics, Industries involved in the production of Herbal/natural cosmetics.
Content:
Pharmacovigilance of drugs of natural origin:
WHO and AYUSH guidelines for safety monitoring of natural medicine, Spontaneous reporting schemes for bio drug adverse reactions, bio drug-drug and bio drug-food interactions with suitable examples.
Patents: Indian and international patent laws, proposed
amendments as applicable to herbal/natural products and
process. Geographical indication, Copyright, Patentable subject
maters, novelty, non obviousness, utility, enablement and best
mode, procedure for Indian patent filing, patent processing, grant
of patents, rights of patents, cases of patents, opposition and
revocation of patents, patent search and literature, Controllers of
patents.
Monographs of herbal drugs: General parameters of
monographs of herbal drugs and comparative study in IP, USP,
Ayurvedic Pharmacopoeia, Siddha and Unani Pharmacopoeia,
American herbal pharmacopoeia, British herbal pharmacopoeia,
WHO guidelines in quality assessment of herbal drugs.
Nutraceuticals: Current trends and future scope, Inorganic
mineral supplements, Vitamin supplements, Digestive enzymes,
Dietary fibres, Cereals and grains, Health drinks of natural origin,
Antioxidants, Polyunsaturated fatty acids, Herbs as functional
foods, Formulation and standardization of neutraceuticals,
Regulatory aspects, FSSAI guidelines,
Sources, name of marker
compounds and their chemical nature, medicinal uses and health
benefits of following
i) Spirulina ii) Soya bean iii) Ginseng iv) Garlic v) Broccoli VI)
Green and Herbal Tea vii) Flax seeds viii) Black cohosh ix)
Turmeric.
Unit 2. Regulatory requirements for setting herbal drug industry:
Content: Global marketing management.
Indian and International patent law as applicable herbal drugs and natural products.
Export - Import (EXIM) policy, TRIPS.
Quality assurance in herbal/natural drug products.
Concepts of TQM, GMP, GLP, ISO-9000.
INDUSTRIAL PHARMACOGNOSTICAL TECHNOLOGY
Herbal drug industry: Infrastructure of herbal drug industry
involved in production of standardized extracts and various
dosage forms. Current challenges in upgrading and
modernization of herbal formulations. Entrepreneurship
Development, Project selection, project report, technical
knowledge, Capital venture, plant design, layout and construction.
Pilot plant scale –up techniques, case studies of herbal extracts.
Formulation and production management of herbals.
Marine natural products: General methods of isolation and
purification, Study of Marine toxins, Recent advances in research
in marine drugs, Problems faced in research on marine drugs
such as taxonomical identification, chemical screening and their
solution.
Unit I: Plant Drug Cultivation
General introduction to the importance of
Pharmacognosy in herbal drug industry, Indian Council of
Agricultural Research, Current Good Agricultural Practices,
Current Good Cultivation Practices, Current Good Collection
Practices, Conservation of medicinal plants- Ex-situ and Insitu
conservation of medicinal plants.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Evaluation of Herbal Drugs unit 4
1. Unit 4 Evaluation of Herbal drug
• By
• Mrs. Poonam N. Chougule
• Assistant Professor and HOD of Pharmacognosy
department
• AMCP, Peth- Vadgaon.
2. Unit No. 4
Evaluation of Drugs -WHO & ICH guidelines for the
assessment of herbal drugs
Stability testing of herbal drugs.
Patenting and Regulatory requirements of natural
products:
a) Definition of the terms: Patent, IPR, Farmers right,
Breeder’s right, Bioprospecting and Biopiracy
b) Patenting aspects of Traditional Knowledge and
Natural Products. Case study of Curcuma & Neem.
Regulatory Issues - Regulations in India (ASU DTAB, ASU
DCC), Regulation of manufacture of ASU drugs -
Schedule Z of Drugs & Cosmetics Act for ASU drugs.
3. Evaluation of Drugs
WHO GUIDELINES IN QUALITY ASSESSMENT OF
HERBAL DRUGS
Presented by :
Mrs. Poonam N. Chougule
Assistant Professor and HOD Pharmacognosy department
4. Contents:
• Introduction
• Objective
• Assessment of Quality Safety Efficacy Intended use
• Product information for the consumer
• Utilization of guidelines
• Conclusion
5. Introduction:
• For the purpose of these guidelines “Herbal medicine”
should be regarded as :
• Finished, labeled medicinal products that ,contain active
ingredient aerial or underground parts of plants, or other
plant material or combinations there of whether in the
crude state or as plant preparations. Plant material
include juices, gums, fatty oils, essential oils and any
other substances of this nature.
• Herbal medicines may contain excipients in addition to
the active ingredients.
• Medicines containing plant material combined with
chemically isolated constituents of plants are not
considered to be herbal medicine.
6. • Exceptionally, in some countries herbal medicines may
also contain, by tradition, natural organic or inorganic
active ingredients which are not of plant origin.
• The past decade has seen a significant increase in the
use of herbal medicines .
• As a result of WHO’s promotion of traditional medicines,
countries have been seeking the assistance of WHO in
identifying safe and effective herbal medicines for use in
national health care system.
• In both developed and developing countries, consumers
and health care providers need to be supplied with up-
to-date and authoritative information on the beneficial
properties and possible harm full effects, of all herbal
medicines.
7. Objective
• To define basic criteria for the evaluation of quality,
safety and efficacy of herbal medicines and there by to
assist national regulatory authorities, scientific
organizations and manufacturers to under take an
assessment of the documentation or submission in
respect of such products.
• As a general rule in this assessment, traditional
experience means long term use as well as the
medical, historical and ethnological background of
those products shall be taken.
8. Assessment of Quality, Safety and Efficacy and
Intended use:
Pharmaceutical assessment:
• This part should cover all important aspects of the
quality assessment of herbal medicines. However, if
a pharmacopoeia monograph exists it should be
sufficient to make reference to this monograph. If no
such monograph is available, a monograph must be
supplied and should be set out in the same way as in
an official pharmacopoeia.
• All procedures should be in accordance with Good
Manufacturing Practices [GMP].
9. • Crude plant material : The botanical definition, including
genus, species and authority should be given to ensure
correct identification of a plant. A definition and
description of the part of the plant from which the
medicine is made [ eg; leaf, flower, root] has to be
provided as well as an indication as to whether fresh,
dried or traditionally processed material is used.
• The active and characteristics constituents should be
specified and if possible, content limits should be
defined. Foreign matter, impurities and microbial content
should be defined or limited. voucher specimen,
representing each lot of plant material processed, should
be authenticated by a qualified botanist and should be
store for at least a ten year period. A lot number should
be assigned and this should appear on the product label.
10. Plant Preparations:
• Plant preparation should include powdered plant
materials, extracts, tinctures, fatty or essential oils,
expressed juices and preparations whose production
involves a fractionation, purification or concentration
process. The manufacturing process should be described
in detail. If any other substance is added during the
manufacture, to adjust the plant preparation to a certain
level of active or characteristic constituents or for any
other purpose, the added substance should be mentioned
in the procedure description.
• A method for identification, and where possible assay of
plant preparation should be added. If the identification of
an active principle is not possible, It should be sufficient
to identify a characteristic substance or mixture of
substances to ensure consistent quality of preparation.
11. Finished products:
• If the identification of an active principle is not possible, it
should be sufficient to identify a characteristic substance or
mixture of substance (e.g. chromatographic fingerprinting) to
ensure consistent quality of the product.
• For important finished products, confirmation of regulatory
status in the country of the origin should be required; the
WHO certification scheme on the quality of the
pharmaceutical products moving in International Commerce
should be applied.
12. Stability:
• The physical and chemical stability of the product in the final
marketing container should be tested under defined storage
conditions and the shelf-life should be established.
• Safety assessment: This part should cover all the relevant
aspects of the safety assessment of a medicinal product has
been traditionally used without demonstrated harm no
specific restrictive regulatory action should be undertaken
unless new evidence demands a revised risk-benefit
assessment.
• Toxicological studies: If any toxicological studies are available,
they should be part of the assessment. If a toxicological risk is
known, toxicity data have to be submitted . Risk assessment,
whether it is independent of dose (eg, special danger
allergies), or whether it is a function of dose should be
documented.
13. • Assessment of Efficacy and Intended use: This part
should cover all the important aspects of efficacy
assessment . A review of the relevant literature should be
carried out and copies provided of the original articles or
proper references to them.
• Activity: The pharmacological and clinical effects of the
active ingredients and, if known , their constituents with
therapeutic activity should be specified or described.
• Evidence required to support indications: The indications
for the use of medicine should be specified. In the case of
traditional medicines, the requirements for proof of
efficacy shall depend on the kind of indication.
14. Combination products:
• As many herbal remedies consist of a combination of
several active ingredients, and as experience on the use
of traditional remedies is often based on the
combination of products, the assessment should
differentiation between old and new combinations
products. Identical requirements for the assessment of
old and new combinations would result in an appropriate
assessment of certain traditional medicines.
• In the case of traditionally used combination products,
the documentation of traditional use and experience
may serve for documentation of efficacy.
• In order to justify the efficacy of a new ingredient and its
positive effect on the total combination, clinical studies
may be required.
15. Product Information for the Consumer:
• The labeling of the products and the package insert should be
understandable to the consumer/patient. The package information should
cover all necessary information on the proper use of product.
• The following elements of information usually suffice:
• Name of the product
• Quantities list of active ingredient
• Dosage form
• Indications
• dosage(if appropriate, specified for children and the elderly)
• mode of administration
• duration of use
• major adverse effects, if any
• over dosage information
• contraindication, warnings, precautions and major drug indications
• use during pregnancy and lactation
• expiry date
• lot number
• holder of the marketing authorization.
16. • Identification of the active ingredient by the Latin botanical
name, in addition to the common name in the language of
preference of national regulatory authority is recommended.
• Promotion: Advertisements and other promotional activities
to health personnel and the lay public should be fully
consistent with the approved package information.
• Utilization of guidelines:
• WHO guidelines for the assessment of herbal medicines are
intended to facilitate the work to carried out by regulatory
authority, scientific bodies and industry in the development ,
and assessment and registration of such products.
• The effective regulation and control of herbal medicines
moving in international commerce also require close liaison
with appropriate national institutions that are able to
keep under regular review all aspects of their
production and use , as well as to conduct or sponsor
evaluative studies of their efficacy, toxicity, safety,
acceptability, cost and relative value compared with other
drugs used in modern medicine.
17. ICH guidelines for the assessment of drugs
• The following ICH (International Council for Harmonization)
guidelines are used to assess the drug substances
• Quality guidelines-
Harmonization achievements in the quality area include vital
milestones such as the conduct of stability studies, defining
relevant thresholds for impurities testing and a more flexible
approach to Pharmaceutical quality based on Good
Manufacturing Practices (GMP) risk management.
• Safety guidelines
• ICH has produced a comprehensive set of safety guidelines to
uncover potential risks like carcinogenicity, genotoxicity and
reprotoxicity. A recent breakthrough has been a non clinical
testing strategy for assessing the QT interval prolongation liable:
the single most important cause of drug travels in recent years.
18. • Efficacy guidelines - The work carried out by ICH
under the efficacy heading is concerned with the
design, conduct, safety and reporting of clinical trials .
It also covers novel types of medicines derived from
Biotechnological processes and the use of
Pharmacogenetics, Pharmacogenomics techniques to
produce better targeted medicines.
• Multi-disciplinary guidelines – Those are the cross
cutting topics which do not fit uniquely into one of
the quality, safety and efficacy categories. It includes
the ICH medical terminology, The Common Technical
Document (CTD) and development of Electronic
Standard for the Transfer of Regulatory Information
(ESTRI).
19. Stability testing of Herbal Drugs
• Introduction:
• The Herbal substances or herbal preparation in its
entirely is regarded as the active substance, a mere
determination of the stability of the constituents with
known therapeutic activity will not suffice.
• The stability of other substances present in the herbal
substance or in the herbal preparation, should be
demonstrated, eg. By means of appropriate fingerprint
chromatograms.
• It should also be demonstrated that their proportional
content remains comparable to the initial fingerprint.
20. Objectives of the Guidelines
• The guideline seeks to exemplify the core stability
data package for new drug substances and products,
but leaves sufficient flexibility to encompass the
variety of different practical situations, that may be
encountered due to specific scientific considerations
and characteristics of the materials being evaluated.
Alternative approaches can be used when there are
scientifically justifiable reasons.
21. General principles
• The purpose of stability testing is to provide evidence
on how the quality of a drug substance are drug
product varies with the time under the influence of
variety of environmental factors , such as
temperature, humidity, and light and to establish a
re-test period for the drug substance or a shelf life
for the drug product and recommended storage
conditions.
22. Parameters
• Stress Testing
• Selection Of Batches
• Container Closure System
• Specification Testing
• Frequency Storage Conditions
• General Use
• Stability Commitment
• Evaluation
• Statement Of Labeling
• Dosage Form
• Drug Product
• Drug Substances
• Excipient
• Expiry Date
• Formal Stability Studies Impermeable Containers
• Long Term Testing
• Specification For Shelf Life
23. Conclusion:
• All the Herbal based industries should meet
specification and requirements of herbal drugs and
formulations as per the WHO guidelines to attain the
quality, safety and efficacy.