Lecture 20 Flashcards
What are examples of therapeutic goods?
- band-aids
- Panadol
- Injection
- Vitamins
- Immune boosters
Define therapeutic goods
Any product used in healthcare to:
- treat/prevent/diagnose a
disease/aliment/defect/injury
- Influence/inhibit/modify a physiological
process
What are excluded therapeutic goods?
- those that technically meet the definition but declared by law not be be
e.g.
o Hair bleaches/dye/colourants
o Dental bleaches/whiteners
o Blood alcohol measurement devices
Examples of therapeutic goods gone wrong
- Thalidomide
- Vioxx
- Porcine Small Intestine Submucosa
- Metal on metal hip replacements
- poly implant protheses breast implants
Thalidomine
Drug for morning sickness that inhibited angiogenesis = lost limbs
- Fetus limbs not develops
- 1990s used as a potent antio-angiogenesis drug
Vioxx
$4.85bn legal claims
- Anti-inflammatory drug for rheumatoid arthritis
- Increases risk of CVD
Porcine Small Intestine Submucosa (SIS)
- Johnson & Johnson product
- Not acellular collagenous matrix
- contains porcine DNA
- possible implications in human implantation
- used for repair of rotator cuff tendon tear
What is the Aus Federal department responsible for in the health care system?
- health financing
- disease control & major health programs
- therapeutic goods regulation
What is the Aus State & Territory department responsible for in the health care system?
- Pharmacy regulation
- Hospitals
- Health services
What is the Aus Local/Municipality department responsible for in the health care system?
- Health inspectors
- Water quality
- Sanitation
- Food premises inspections
What are the 4 core pillars of therapeutic goods regulation?
- Quality
- Safety
- Efficacy
- Cost - effectiveness, reimbursement
What are the three major categories of therapeutic goods?
- Medicine
- Medical Devices
- Biologicals
Medicine
- used on humans
- generally pharmaceutical, immunological, chemical or metabolic effect on body
- over counter mild analgesics
- antibiotics
- blood & blood components
- vaccines
Medical Devices
- Used on humans
- Therapeutic benefits
- Generally have a physical benefit
- Wheelchair
- Pacemaker
Biologicals
- Used on humans
- Therapeutic benefits
- Made from or contain processed/manipulated human tissue
- Processed/maipulated cell therapy products
- Genetically modifies human cell and tissue products