Herbals And Homeopathics Flashcards
Define a herbal medicinal product
A medicinal product whose only active ingredients are herbal substances, herbal preparations or both
Define a herbal substance
A plant or part of a plant, algae, fungi or lichen or an unprocessed exudate of a plant, defined By the plant part used and botanical name of the plant, either fresh or dried, but otherwise unprocessed.
Define a herbal preparation
Any preparation obtained by subjecting herbal substances to processes such as extraction, distillation, expression, fractionation, purification, concentration or fermentation, and includes a comminuted or powdered herbal substance, a tincture, an extract, an essential oil, an expressed juice or a processed exudate
Define a traditional herbal product
A herbal medicinal product to which regulatiom 125 applies - its registration
“Traditional herbal registration” is a traditional herbal registration granted by the licencing authority (under these regulations)
Name the 4 types of herbal medicines
- Licenced herbal medicines (needs an MA, legal classification etc) example senna
- Registered traditional herbal medicines - hold traditional herbal registrations
- Unlicensed herbal products - not industrially produced, supplied to individuals following a face to face consultations
- Not medicines - don’t require MA or THR (food supplements or cosmetics)
Why are herbals related to pharmacy
The medicines act recognises pharmacists as suppliers of herbal medicines.
Who are the three types of people who can supply herbal remedies
Pharmacists
Dealers (people with herb shops)
Herbal practitioners
Detail the processes surrounding unlicensed herbal products
Herbal practitioners apply their knowledge to treat person seeking treatment
They accept legal liability for this
Its a mostly unregulated profession
They may practice from a counselling room or a shop
They can, in general, prescribe any herb
Conditions: they must have a one to one consultation and the patient must be present in person
What is the herbalist exemption
HMR restrictions on sale and supply don’t apply if
the herbal product or manufactured by a herbalist practitioner on the premises they occupy which can exclude the public and
the herbal medicinal product is for administration to the person after being requested by or on behalf of that person and in that persons presence
Which regulatory body oversees medicinal herbalists
There isn’t one
There are no restrictions on any herbs which can be prescribed
False, MHRA restricts the use of some herbs such as kava kava (risk of hepatoxicity) and the selection species (potentially veno- occlusive disease)
Where can some drugs which contain generally banned plants extracts (listed in part 1 of legislation) still be sold
Community pharmacies under the supervision of a pharmacist
Give examples of some herbs (anthelmintic and irritants) which can only be sold by pharmacists from registered pharmacies
Areca, Canadian hemp, embelia, male fern, strophathus
Give some examples of herbs found in part 2 of the legislation
They are alcaloids:
Aconite, adonis vernalis, belladonna herbs, conium leaf, ephedra, lobelia
What are the dangers surrounding aconite
Aconite is an extremely poisonous plant, toxic to the heart. It can cause serious and potentially fatal adverse reactions if consumed
Patients have experienced palpitations, shortness of breath, kidney problems, paraesthesia