Medine.co.uk

Draft Community Herbal Monograph On Aesculus Hippocastanum L., Cortex

o

EUROPEAN MEDICINES AGENCY

SCIENCE MEDICINES HEALTH

13 September 2011

EMA/HMPC/354156/2011

Committee on Herbal Medicinal Products (HMPC)

Community herbal monograph on Aesculus hippocastanum L., cortex

Draft

Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Aesculus hippocastanum L., cortex; Hippocastani cortex; Horse chestnut bark


BG (balgarski): flwB KecTeH, Kopa CS (cestina): kura kastanu koñského DA (dansk): Hestekastanjebark DE (Deutsch): Rosskastanienrinde EL (elliniká): OÀoiôç innoKaoTavéaç EN (English): Horse chestnut bark ES (espanol): Castaño de Indias, corteza de ET (eesti keel): hobukastanikoor FI (suomi):

FR (français): Marronnier d'Inde (écorce de) HU (magyar):

IT (italiano): Ippocastano corteccia


LT (lietuviq. kalba):

LV (latviesu valoda): Zirgkastaga miza MT (malti):

NL (nederlands): Paardenkastanje

PL (polski): Kora kasztanowca

PT (portugues): Castanheiro-da-india, casca

RO (romana): scoar^ä de castan

SK (slovencina): List pagastanu

SL (slovenscina): skorja navadnega divjega

kostanja

SV (svenska): Hästkastanj, bark IS (fslenska):

NO (norsk): Hestekastanjebark_


Discussion in Working Party on Community monographs and Community list (MLWP)

May 2011 July 2011

Adoption by Committee on Herbal Medicinal Products (HMPC) for release for consultation

September 2011

End of consultation (deadline for comments). Comments should be provided using this template to hmpc.secretariat@ema.europa.eu

15 February 2012

Rediscussion in Working Party on Community monographs and Community list (MLWP)

Adoption by Committee on Herbal Medicinal Products (HMPC)

Keywords

An agency of the European Union


7 Westferry Circus • Canary Wharf • London E14 4HB • United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7523 7051 E-mail info@ema.europa.eu Website www.ema.europa.eu

© European Medicines Agency, 2011. Reproduction is authorised provided the source is acknowledged.

Community herbal monograph on Aesculus hippocastanum L., cortex

1.    Name of the medicinal product

To be specified for the individual finished product.

2.    Qualitative and quantitative composition1

Well-established use

Traditional use

With regard to the registration application of Article 16d(1) of Directive 2001/83/EC as amended

Aesculus hippocastanum L., cortex (horse chestnut bark)

i)    Herbal substance Not applicable.

ii)    Herbal preparations Powdered herbal substance

3. Pharmaceutical form

Well-established use

Traditional use

Herbal preparations in solid dosage forms for oral use.

The pharmaceutical form should be described by the European Pharmacopoeia full standard term.

4. Clinical particulars

4.1. Therapeutic indications

Well-established use

Traditional use

Indication 1)

Traditional herbal medicinal product for relief of symptoms of discomfort and heaviness of legs

Well-established use

Traditional use

related to minor venous circulatory disturbances. Indication 2)

Traditional herbal medicinal product for symptomatic relief of itching and burning associated with haemorrhoids, after serious conditions have been excluded by a medical doctor.

The product is a traditional herbal medicinal product for use in specified indications exclusively based upon long-standing use.

4.2. Posology and method of administration

Well-established use

Traditional use

Posology

Adults and elderly

Single dose: 275 mg, 3 to 6 times daily.

The use in children and adolescents under 18 years of age is not recommended (see section 4.4 'Special warnings and precautions for use').

Duration of use

If the symptoms persist longer than 2 weeks during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.

Method of administration

Oral use.

4.3. Contraindications

Well-established use

Traditional use

Hypersensitivity to the active substance.

4.4. Special warnings and precautions for use

Well-established use

Traditional use

The use in children and adolescents under 18 years of age has not been established due to lack of adequate data.

Well-established use

Traditional use

Indication 1)

If there is inflammation of the skin, thrombophlebitis, varicosis or subcutaneous induration, ulcers, sudden swelling of one or both legs, cardiac or renal insufficiency, a doctor should be consulted.

Indication 2)

If rectal bleeding occurs, a doctor should be consulted.

4.5. Interactions with other medicinal products and other forms of interaction

Well-established use

Traditional use

None reported.

4.6. Fertility, pregnancy and lactation

Well-established use

Traditional use

Safety during pregnancy and lactation has not been established. In the absence of sufficient data, the use during pregnancy and lactation is not recommended.

No fertility data available.

4.7. Effects on ability to drive and use machines

Well-established use

Traditional use

No studies on the effect on the ability to drive and use machines have been performed.

4.8. Undesirable effects

Well-established use

Traditional use

None known.

If adverse reactions occur, a doctor or a qualified health care practitioner should be consulted.

4.9. Overdose

Well-established use

Traditional use

No case of overdose has been reported.

5. Pharmacological properties

5.1. Pharmacodynamic properties

Well-established use

Traditional use

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended.

5.2. Pharmacokinetic properties

Well-established use

Traditional use

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended.

5.3. Preclinical safety data

Well-established use

Traditional use

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended, unless necessary for the safe use of the product.

Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed.

6. Pharmaceutical particulars

Well-established use

Traditional use

Not applicable.

7. Date of compilation/last revision

13 September 2011

Community herbal monograph on Aesculus hippocastanum L., cortex

EMA/HMPC/354156/2011

Page 5/5

1

The declaration of the active substance(s) for an individual finished product should be in accordance with relevant herbal quality guidance.