Section A Health Supplements

References:

1)    New Product Development Requisition (NPDR)

2)    Innovator’s immediate label, outer carton & package insert

3)   Product Development Report (PDR)

4)   Martindale/AHFS/electronic Medicines Compendium (eMC) – www.medicines.org.uk

A1 - A3

A1 Active Ingredient

A1.1 Active Ingredient Name

A1.2 Salt Form

A1.3 Strength of Active Ingredient (Quantity unit/ dose)

A1.4 Strength Salt-Free

A1.5 Source of Active Ingredient (Animal – e.g. Bovine, Porcine, Ovine   or Others/ Plant/ Others)

A1.6 Form of Substance

A1.7 Remarks (if any)

A1.8 Status

 

·   Please refer to Part 1 : Product Validation (3) Active Ingredients

A2 Excipients

A2.1 Excipient name

A2.2 Strength of Excipient (Quantity unit/ dose)

A2.3 Function of excipient (e.g. absorbent, diluents, bulking agent,

         coating agent, anti-caking agent etc.)

A2.4 Source of excipient

A2.5 Remarks (if any)

 

·   Please refer to Part 1 : Product Validation (4) Excipients

A3 Dosage

A3.1 Dosage Form

A3.2 Dosage Form Description

A3.3 Source of Capsule Shell

A3.4 Certificate to verify the Source of Capsule Shell

A3.5 Colouring Agent used in capsule shell

A3.6 Certificate of Analysis of Capsule Shell

 

·   Please specify the form of product dosing such as: tablet, capsule, suspension, cream, ointment, granule or other dose form.
·   Please state the source of gelatin coating capsules used, for example: Porcine, Bovine or vegi cap.
·   Please submit certificate of analysis (COA) for capsule coating that state the source of gelatin.
·   Sources of bovine should be declared free from 'BSE / Mad cow disease & TSE'.
·   Please ensure the type of coloring agent used should be stated and is the only one allowed not prohibited.
·   Please refer to Appendix 8.3 Lists of Permitted and Restricted Colouring Agents in the DRGD for information change from time to time.

A4 : Product Description

Product Description

·   Please state, briefly on visual and physical characteristics of the product, including as in the following table (where applicable).

·   Shape, size, superficial markings for identification purposes, colour, odour, taste, consistency, type of tablet coating, type of capsule, etc.

·   When describing liquids, state clearly whether it is in the form of a solution (clear), suspension, emulsion, etc.

Category

Description

Tablet

Shape, size, colour, odour, taste, marking, embosss, type of tablet (e.g. coated, uncoated, film, sugar etc)

Capsule

Shape, size, colour, odour, taste, marking, embosss, coating, content of capsule, type of capsule (e.g. soft, hard, chewable etc)

Softgel

Size, liquid color, emboss, shape

Liquid

Clarity, type (e.g. suspension/ emulsion/ solution etc), taste, odour, color

Pill

colour, odour, taste, size etc

Powder/ Granules

colour, odour, taste, size etc

 

A5 : Pharmacodynamic

·   Please provide a concise and comprehensive summary of the pharmacological profile i.e. main and supplementary pharmacological effects (mechanism of action, actions other than the therapeutic effects).

 

  Note: If there is no information available for this section, please state as            ‘Not available’ (N/A).

A6 : Pharmacokinetics

·   Please provide a concise and comprehensive summary of the pharmacological profile i.e. relevant pharmacokinetics (absorption, plasma-protein binding, distribution, biotransformation, metabolism, excretion, etc);

 

Note: If there is no information available for this section, please state as            ‘Not available’ (N/A).

A7 : Indication

Health Supplements:

  • The following indications are allowed:

-          Used as a Health Supplement; or Vitamins and mineral supplements for pregnant and lactating women.

A8 : Recommended Dose

·   Please state the dose (normal dose, dose range) and dosage schedule (frequency, duration) appropriate for each indication.

·   Dosage for adults, and, children (where appropriate) shall be stated.

· Ensure that dosage recommendation is relevant and appropriate for the product.

A9 : Route of Administration

Please select route of administration from the drop-down list, e.g.  Oral, rectal, sublingual, topical etc.

A10 : Contraindication

·   Please state conditions for which or under which the product shall not be used.

·   Indicate clearly which conditions are :

-    absolutely contraindicated;

-    contraindicated but may be used under special circumstances and what precautions to be taken in such cases.

A11 : Warning and Precautions

Warning and Precautions

  • Please state briefly warnings and precautions, where necessary to ensure safe use of the product; (e.g. caution against giving to children and elderly; use in pregnancy and lactation; in infants; etc).

·   For products containing ingredients as specified below, please add the required statements:

  1. i) Animal part(s):

    - “This product contains animal part(s).”

  1. ii) Animal origin(s): Example: for active ingredients such as pearl, shell of oyster (Concha), pearl, etc.

    -“This product contains substance(s) from animal origin.”

   iii) Porcine:

    -“This product contains animal part(s) (porcine/ pig).”

  1. iv) Alcohol:

    - “This product contains alcohol.”

·   Some health supplements and traditional medicines required specific labelling requirement as listed in the 'Drug Registration Guidance Document' and the circular issued by the DCA.

 

Health Supplements:

  • Health supplement products with disease risk reduction claims (high) are encouraged to be dispensed under the supervision of pharmacists or medical practitioners. At such, the label and package insert of health supplement products with disease risk reduction claims (high) shall have the following statement:

“Please consult a doctor/ pharmacist before taking this product”.

  • Product with dosage form of soft gel with tail (twist and squeeze) shall include the statement:

‘Under parent supervision’ in the label.

Reference National Pharmacy Regulatory Agency (formally known as National Pharmaceutical Control Bureau):

Drug Registration Guidance Document (DRGD) - Appendix 9 Labelling Requirement & Appendix 5 under 2.7.2 Specific Labelling Statements/ Warning & Precautions.

 

A12 : Interaction with Other Medicaments

·   Please state interactions which are observed and/or for which there is potential clinical significance.

·   Interactions may occur with:

-    others medicinal products used;

-    other herbs/substance;

-    meals, or specific types of food.

 

Note: If there is no information available for this section, please state as            ‘Unknown’.

A13 : Pregnancy and Lactation

 

·   Please state any effect on pregnancy and lactation if applicable.

Reference National Pharmacy Regulatory Agency (formally known as National Pharmaceutical Control Bureau):

Drug Registration Guidance Document (DRGD) – Appendix 5 under 2.7.3 Table 10 & Table 11 List of Prohibited and Restricted Ingredients in Pregnancy.

 

A14 : Side Effects

·   Please state in order for severity and frequency, the side effects, adverse reactions, toxic effects, etc. (i.e. reactions, toxic effects, other than those desired therapeutically) including reactions such as allergy, hypersensitivity, drug dependence, addiction, carcinogenicity, tolerance, liver/ kidney toxicity etc.

·   Please indicate symptoms and sites of effects/ reactions:

1)  Reactions, whether minor or serious shall be stated.

2)  Severity, reversible, frequency of occurrence shall be indicated, wherever possible.

3) Clinical tests for detection of “sensitive” patients, measure for management of adverse reactions developed shall be described wherever possible.

 

Note: If there is no information available for this section, please state as             ‘Unknown’.

A15 : Symptoms & Treatment of Overdose
  • ·   Please state briefly symptoms of overdose/ poisoning, and where possible, recommended treatment and antidotes for overdose/ poisoning.

     

    Note: If there is no information available for this section, please state as             ‘Unknown’.

A16 : Effect on Ability to Drive and Use Machine
A17 : Preclinical Safety Data
A18 : Instructions For Use

Please state the instructions for use.

A19 : Storage Condition

·   Please state the recommended storage conditions (temperature, humidity, light etc.). To follow Zone IVB recommendation i.e. Store below 30oC. Protect from light and moisture.

·   Information includes storage condition before first opening, after reconstitution and/or after opening and for all the listed pack types shall also be provided, where applicable. Stability data to support such storage condition shall be submitted.

·   Please provide justification/supporting data, if had different storage condition (e.g. 25 oC, 2 - 8 oC).

 

Reference ASEAN Guidelines:

-    ASEAN Guideline on Stability Study and Shelf-Life of Health Supplements.

-    ASEAN Guideline on Stability Study and Shelf-Life of Traditional Medicines.

A20 : Shelf life
  • Shelf life for all the listed pack types shall be supported by stability data.
  • Information includes shelf life before first opening, after reconstitution and/or after opening where applicable shall also be provided. Stability data to support such shelf life shall be submitted.
  • Evidence is required to demonstrate that the product is stable which meets the finished product shelf life specifications throughout its proposed shelf-life and toxic decomposition products are not produced in significant amounts during this period; potency, sterility and efficacy of preservative, etc. are maintained.
  • Effective from 27 Nov 2014, a shelf life of 2 years will be approved for both local and imported products. Proposed shelf life exceeding this period will have to be supported by stability study data conducted in Malaysia under zone IVb conditions (30±2 °C, 75±5%). For further information, please refer to the circular Bil (27).dlm BPFK/PPP/06/04Jld.7 Tempoh Hayat Simpanan (Shelf-Life) Bagi Produk Tradisional dan Suplemen Kesihatan (27 November 2014).

 

Please refer to the ASEAN Guidelines on Stability Study and Shelf Life of Traditional Medicines and Health Supplements for further details.

A21 : Therapeutical Code/ATC Code (If any)

Please indicate WHO assigned ATC code for each distinct therapeutic indication proposed for a product, if such a code is available. Click button “click here to search” to search the code via database at http://www.whocc.no/atc_ddd_index/

A22 : Herbal Code (If any)
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