Medine.co.uk

Draft Community Herbal Monograph On Rosmarinus Officinalis L., Aetheroleum

European Medicines Agency Evaluation of Medicines for Human Use

London, 16 July 2009 Doc. Ref.: EMEA/HMPC/235453/2009

COMMITTEE ON HERBAL MEDICINAL PRODUCTS

(HMPC)


DRAFT

COMMUNITY HERBAL MONOGRAPH ON ROSMARINUS OFFICINALIS L.,

AETHEROLEUM


DISCUSSION IN WORKING PARTY ON COMMUNITY

May 2009

MONOGRAPHS AND COMMUNITY LIST (MLWP)

July 2009

ADOPTION BY HMPC FOR RELEASE FOR CONSULTATION

16 July 2009

END OF CONSULTATION (DEADLINE FOR COMMENTS)

15 December 2009

REDISCUSSION IN WORKING PARTY ON COMMUNITY MONOGRAPHS AND COMMUNITY LIST (MLWP)

ADOPTION BY HMPC

7 Westferry Circus, Canary Wharf, London, E14 4HB, UK Tel. (44-20) 74 18 84 00 Fax (44-20) 75 23 70 51 E-mail: mail@emea.europa.eu http://www.emea.europa.eu © European Medicines Agency, 2009. Reproduction is authorised provided the source is acknowledged

Comments should be provided using this template to hmpc.secretariat@emea.europa.eu Fax: +44 20 75 23 70 51


KEYWORDS


Herbal medicinal products; HMPC; Community herbal monograph; traditional use; Rosmarinus officinalis L.; Rosmarini aetheroleum; rosemary oil_


COMMUNITY HERBAL MONOGRAPH ON ROSMARINUS OFFICINALIS L.,

AETHEROLEUM


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 marketing authorisation

With regard to the registration application of Article

application of Article 10(a) of Directive

16d(1) of Directive 2001/83/EC as amended

2001/83/EC as amended

Rosmarinus officinalis L., aetheroleum (rosemary oil)

i) Herbal substance

Not applicable.

ii) Herbal preparations

Essential oil.

3. PHARMACEUTICAL FORM

Well-established use

Traditional use

Herbal preparation in liquid or semi-solid dosage forms for oral and cutaneous use and as a bath additive.

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

1    The material complies with the Eur. Ph. monograph (ref.: 01/2008: 1846)

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

4.1. Therapeutic indications

Well-established use

Traditional use Oral use

1. Traditional herbal medicinal product for symptomatic relief of dyspepsia and mild spasmodic disorders of the gastrointestinal tract.

Cutaneous use

2. As adjuvant in the relief of minor muscle and articular pain.

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, elderly Oral use Indication 1)

2 drops daily

Cutaneous use Indication 2)

6-10% in semi-solid and liquid dosage forms, 2-3 times daily

Use as bath additive: 10-27 mg per litre One bath every two to three days

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 2 weeks during

the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted (see section 4.4 ‘Special warnings and precautions for use’).

Indication 2)

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 (see section 4.4 ‘Special warnings and precautions for use’).

Method of administration

Oral use.

Cutaneous use.

Recommended bath temperature is 35 - 38 °C, for 10 to 20 minutes.

4.3. Contraindications


Well-established use

Traditional use

Hypersensitivity to the active substance.

Oral use

Obstruction of bile duct, cholangitis, liver disease, gallstones and any other biliary disorders that require medical supervision and advice.

Cutaneous use

Not to be used in bronchial asthma, whooping cough and pseudocroup.

Full hot baths are contraindicated in cases of large skin injuries and open wounds, acute skin diseases, high fever, severe infections, severe circulatory disturbances and cardiac failure.

4.4. Special warnings and precautions for use


Well-established use


Traditional use

The use in children and adolescents under 18 years of age is not recommended due to lack of adequate data and because medical advice should be sought.

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


Cutaneous use

In cases of hypertension, a full hot bath should be used with caution.

Articular pain accompanied by swelling of joint, redness or fever shoud be examined by a doctor.

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

Safety during pregnancy and lactation has not been established.

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

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

Hypersensitivity (contact dermatitis and asthma) has been reported. The frequency is not known.

If other adverse reactions not mentioned above 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.

5.1. 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

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

6. PHARMACEUTICAL PARTICULARS

Well-established use

Traditional use Not applicable.

7.    DATE OF COMPILATION/LAST REVISION

16 July 2009

© EMEA 2009 6/6