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Draft Community Herbal Monograph On Leonurus Cardiaca L., Herba

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EUROPEAN MEDICINES AGENCY

SCIENCE MEDICINES HEALTH

6 May 2010

EMA/HMPC/127428/2010

Committee on Herbal Medicinal Products (HMPC)

Community herbal monograph on Leonurus cardiaca L., herba

Draft

Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Leonurus cardiaca L., herba; Leonuri cardiacae herba, motherwort


BG (balgarski): fl^BO^CKa ycTa

CS (cestina): srdecníková naf

DA (dansk): Almindelig Hjertespand

DE (Deutsch): Herzgespannkraut

EL (elliniká): AeovTÔvoupoç o KapôiaKÔç

EN (English): Motherwort

ES (espanol): Agripalma

ET (eesti keel): Laane-sûdamerohi

FI (suomi): Nukula

FR (français): Agripaume

HU (magyar): szúrós gyöngyajak (szu'ro's

gyo'ngyajak)

IT (italiano): Cardiaca comune


LT (lietuviq kalba): Sukatzol LV (latviesu valoda): Mätere MT (malti):

NL (nederlands): Hartgespan PL (polski): Serdecznik pospolity PT (portugués):

RO (romana): Talpa gåstei SK (slovencina): Srdcovník obycajny SL (slovenscina): Deljenolistna srcnica SV (svenska): Hjärtstilla IS (íslenska):

NO (norsk): Lovehale


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

May 2010

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

6 May 2010

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

15 August 2010

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


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© European Medicines Agency, 2010. Reproduction is authorised provided the source is acknowledged.

Community herbal monograph on Leonurus cardiaca L., herba

1. Name of the medicinal product

To be specified for the individual finished product.

2. 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

Leonurus cardiaca L., herba (Motherwort)

i)    Herbal substance Not applicable.

ii)    Herbal preparations

a)    Comminuted herbal substance,

b)    Powdered herbal substance,

c)    Tincture (ratio of herbal substance to extraction solvent 1:5), extraction solvent ethanol 70% V/V,

d)    Tincture (ratio of herbal substance to extraction solvent 1:5), extraction solvent ethanol 45% V/V,

e)    Liquid extract (DER 1:1), extraction solvent ethanol 25% V/V.

3. Pharmaceutical form

Well-established use

Traditional use

Tinctures and liquid extract in liquid dosage forms for oral use.

Powdered herbal substance for oral use.

Comminuted herbal substance as herbal tea for oral use.

The pharmaceutical form should be described

1    The material complies with the Ph. Eur. monograph (ref.: 01/2008:1833)

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

Well-established use

Traditional use

by the European Pharmacopoeia full standard term.

4. Clinical particulars

4.1. Therapeutic indications

Well-established use

Traditional use

Traditional herbal medicinal product used to relieve symptoms of nervous tension.

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

4.2. Posology and method of administration

Well-established use

Traditional use

Posology

Adults and elderly

a)    Comminuted herbal substance for tea preparation:

single dose 1.5 to 4.5 g, daily dose 3 to 10 g.

b)    Powdered herbal substance:

single dose 150 mg, 1-3 times per day.

c)    Tincture 1:5, ethanol 70% V/V: single dose 0.5- 1.0 g, 3-4 times per day.

d)    Tincture 1:5, ethanol 45% V/V: single dose 2-6 ml, 3 times per day.

e)    Liquid extract :

single dose 2-4 ml, 3 times per day.

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

Method of administration

Well-established use

Traditional use

Oral use.

4.3. Contraindications

Well-established use

Traditional use

Hypersensitivity to the active substance. Not to be used in pregnancy.

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.

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

Tinctures, liquid extract: the appropriate labelling for ethanol, taken from the 'Guideline on excipients in the label and package leaflet of medicinal products for human use', must be included.

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

Well-established use

Traditional use

None reported.

4.6. Pregnancy and lactation

Well-established use

Traditional use

Contraindicated during pregnancy.

The safety during lactation has not been established.

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.

Well-established use

Traditional use

May impair ability to drive and use machines. Affected patients should not drive or operate machinery.

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.

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

6. Pharmaceutical particulars

Well-established use

Traditional use

Not applicable.

7. Date of compilation/last revision

6 May 2010

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Community herbal monograph on Leonurus cardiaca L., herba

EMA/HMPC/127428/2010