中国药物警戒 ›› 2020, Vol. 17 ›› Issue (11): 785-789.
DOI: 10.19803/j.1672-8629.2020.11.08

• 法规与管理研究 • 上一篇    下一篇

我国遴选与转换中成药非处方药概况及思考

朱兰, 邵波, 夏东胜*   

  1. 国家药品监督管理局药品评价中心,北京 100022
  • 收稿日期:2020-11-10 修回日期:2020-11-10 出版日期:2020-11-15 发布日期:2020-11-10
  • 通讯作者: *夏东胜,女,主任药师,药品不良反应监测与评价。E-mail: xiadongsheng@cdr-adr.org.cn
  • 作者简介:朱兰,女,主管药师,药品不良反应监测与评价。
  • 基金资助:
    国家重点研发计划课题(2018YFC1707409):中药上市后临床安全性研究指南及药物警戒信息共享系统框架研究

Selection and Switch-to-OTC of Chinese Patent Medicines in China

ZHU Lan, Shao Bo, XIA Dongsheng*   

  1. Center for Drug Reevaluation, CFDA, Beijing 100022, China
  • Received:2020-11-10 Revised:2020-11-10 Online:2020-11-15 Published:2020-11-10

摘要: 目的 通过对我国遴选与转换非处方药中成药部分进行回顾,为新形势下中成药非处方药转换评价提供参考。方法 梳理我国处方药和非处方药分类管理相关法规及指导原则,回顾中成药非处方药遴选及转换工作,统计我国中成药非处方品种、通过转换评价品种和转出非处方药目录品种。结果 国家药品监督管理局公布的我国遴选与转换非处方药目录中,以药品通用名计,中成药共计3 900余个,包括1999~2004年通过遴选的中成药3 406个,2004~2019年通过转换评价的中成药535个。另外,有25个中成药从非处方药转换为处方药管理。结论 中成药非处方药转换评价中,药品上市许可持有人应按照法规及指导原则要求准备资料;转换为非处方药后,药品上市许可持有人应切实做好安全监测,建立有效的药品不良反应收集途径,加强药品不良反应数据分析评价,重视说明书中安全性内容的完善,切实承担起保障患者安全用药的主体责任。

关键词: 处方药和非处方药分类管理, 非处方药, 中成药, 处方药转换为非处方药, 非处方药转换为处方药

Abstract: Objective To review some of the Chinese patent medicines that have been selected or switched to over-the-counter (OTC) products in China so as to provide reference for the switch of prescription drugs to OTC (Rx-to-OTC) drugs in China. Methods Regulations on classification management of prescription and nonprescription drugs and the history of Rx-to-OTC switch were reviewed. Chinese patent medicines which were selected as and switched to OTC drugs were analyzed separately. Results On the basis of the list of generic drugs,there were more than 3 900 OTC Chinese patent medicines,including 3 406 medicines that had been selected as OTC drugs between 1999 and 2004,535 ones that had been switched to OTC,and 25 OTC Chinese patent medicines switched to prescription drugs in the same period. Conclusion The application materials should meet the requirements of regulations on Rx-to-OTC switch applications, After switch to OTC drugs,marketing authorization holders (MAHs) should ensure the safety of these drugs, find effective ways to collect adverse reaction(ADR)reports that should be analyzed to improve the safety instructions of the OTC label. MAHs should be responsible for drug safety for the sake of patients.

Key words: classification management of prescription and non-prescription drugs, OTC, Chinese patent medicines, Rx-to-OTC switch, OTC -to Rx - switch

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