Medine.co.uk

Draft Community Herbal Monograph On Fraxinus Excelsior L. And Fraxinus Angustifolia Vahl, Folium

o

EUROPEAN MEDICINES AGENCY

SCIENCE MEDICINES HEALTH

12 July 2011

EMA/HMPC/239271/2011

Committee on Herbal Medicinal Products (HMPC)

Community herbal monograph on Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

Draft

Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium; ash leaf


Discussion in Working Party on Community monographs and Community

March 2011

list (MLWP)

May 2011

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

12 July 2011

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

15 November 2011

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

Adoption by Committee on Herbal Medicinal Products (HMPC)

Keywords

BG (balgarski): flceH, nucr

LT (lietuviq. kalba):

CS (cestina): jasanovy list

LV (latviesu valoda): Osa lapas

DA (dansk): Askeblad

MT (malti):

DE (Deutsch): Eschenblätter

NL (nederlands): Es

EL (ellinika):

PL (polski): Lisc jesionu

EN (English): ash leaf

PT (portugues): Freixo, folha

ES (espanol): Fresno, hoja de

RO (romånä): frunzä de frasin

ET (eesti keel): saareleht

SK (slovencina): Jasenovy list

FI (suomi):

SL (slovenScina): list velikega jesena

FR (français): Frêne (feuille de)

SV (svenska): Askblad

HU (magyar): Körisfa levél

IS (íslenska):

IT (italiano): Frassino foglia

NO (norsk): Askeblad


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 Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

Name of the medicinal product

To be specified for the individual finished product.

1. Qualitative and quantitative composition1,2

Well-established use

Traditional use

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

Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium (ash leaf)

i)    Herbal substance Not applicable.

ii)    Herbal preparations Comminuted herbal substance

2. Pharmaceutical form

Well-established use

Traditional use

Comminuted herbal substance as herbal tea (decoction or infusion) for oral use.

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

3. Clinical particulars

3.1. Therapeutic indications

Well-established use

Traditional use

Indication 1)

Traditional herbal medicinal product used for relief of minor articular pain.

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

2    The material complies with the Ph. Eur. monograph (ref.: 01/2008:1600)._

Community herbal monograph on Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

Well-established use

Traditional use

Indication 2)

Traditional herbal medicinal product used to increase the amount of urine to achieve flushing of the urinary tract as an adjuvant in minor urinary complaints.

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

3.2. Posology and method of administration3

Well-established use

Traditional use

Posology

Adults and elderly Average daily dose:

Herbal tea: 20 g of comminuted herbal substance in 1000 ml of water as a decoction, divided in 2-3 single doses.

Herbal tea: 10-30 g of comminuted herbal substance in 1000 ml of boiling water as a herbal infusion, divided in 2-3 single doses.

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

Indication 1)

If the symptoms persist longer than 4 weeks during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.

Indication 2)

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.

3 For guidance on herbal substance/herbal preparation administered as herbal tea or as infusion/decoction/macerate preparation, please refer to the HMPC 'Glossary on herbal teas' (EMA/HMPC/5829/2010 Rev.1)._

Community herbal monograph on Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

3.3. Contraindications

Well-established use

Traditional use

Hypersensitivity to the active substance(s).

Condition where a reduced fluid intake is recommended (e.g. severe cardiac or renal disease).

3.4. 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.

If the symptoms worsen during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.

Indication 1)

Articular pain accompanied by swelling of joints, redness or fever should be examined by a doctor.

Indication 2)

If minor urinary tract complaints worsen and symptoms such as fever, dysuria, spasm, or blood in the urine occur during the use of medicinal product, a doctor or a qualified health care professional should be consulted.

To ensure an increase of the amount of urine, adequate fluid intake is required during treatment.

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

Well-established use

Traditional use

None reported.

3.6. 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.

Community herbal monograph on Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

Well-established use

Traditional use

No fertility data available.

3.7. 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.

3.8. Undesirable effects

Well-established use

Traditional use

None known.

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

3.9. Overdose

Well-established use

Traditional use

No case of overdose has been reported.

4. Pharmacological properties

4.1. Pharmacodynamic properties

Well-established use

Traditional use

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

4.2. Pharmacokinetic properties

Well-established use

Traditional use

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

Community herbal monograph on Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

EMA/HMPC/239271/2011

4.3. 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.

5. Pharmaceutical particulars

Well-established use

Traditional use

Not applicable.

6. Date of compilation/last revision

12 July 2011

Community herbal monograph on Fraxinus excelsior L. and Fraxinus angustifolia Vahl, folium

EMA/HMPC/239271/2011

Page 6/6