Commercialism, choice and consumer protection: regulation of complementary medicines in Australia

Harvey, Ken J; Korczak, Viola S; Marron, Loretta J; Newgreen, David B

doi:10.5694/j.1326-5377.2008.tb01498.x

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Complementary and alternative medicines (CAMs) are being used increasingly in Australia, often in conjunction with conventional medicines.1 While the demand for CAMs is growing, the regulatory framework is weak. The electronic lodgement facility, introduced in 1996, has made it easier to place new CAMs on the Australian Register of Therapeutic Goods (ARTG). Concern about the regulation of CAMs has been growing among organisations such as CHOICE.2

1 School of Public Health, La Trobe University, Melbourne, VIC.
2 Choice (Australian Consumers’ Association), Sydney, NSW.
3 Brisbane, QLD
4 Melbourne, VIC.

Correspondence: k.harvey@medreach.com.au

Acknowledgements:

We are most grateful for the information provided by officers of the Therapeutic Goods Administration and the Therapeutic Goods Advertising Code Council.

Competing interests:

None identified.

1. MacLennan AH, Myers SP, Taylor, AW. The continuing use of complementary and alternative medicine in South Australia: costs and beliefs in 2004. Med J Aust 2006; 184: 27-31. <MJA full text>
2. CHOICE. Test: slimming pills. http://www.choice.com.au/viewArticle.aspx?id=105065&catId=100232&tid=100008 (accessed Nov 2007).
3. Therapeutic Goods Administration. The Therapeutic Goods Administration’s risk management approach to the regulation of therapeutic goods. Version 1. Canberra: Department of Health and Ageing, 2004. http://tga.gov.au/about/tgariskmnt.pdf (accessed Nov 2007).
4. Therapeutic Goods Administration. Listed complementary medicines. In: Australian regulatory guidelines for complementary medicines part II (ARGCM). Canberra: Department of Health and Ageing, 2005. http://www.tga.gov.au/docs/html/argcm.htm#argcmp2 (accessed Nov 2007).
5. McEwen J. What does TGA approval of medicines mean? Aust Prescriber 2004; 27: 156-158.
6. Expert Committee on Complementary Medicines in the Health System. Report to the Parliamentary Secretary to the Minister for Health and Ageing. Canberra: Commonwealth of Australia, 2003: 22, 115. www.tga.gov.au/docs/pdf/cmreport.pdf (accessed Nov 2007).
7. Therapeutic Goods Administration. Submission to the Productivity Commission Review of Cost Recovery by Commonwealth Agencies. Canberra: Department of Health and Ageing, 2000. http://www.pc.gov.au/__data/assets/pdf_file/0019/39250/sub094.pdf (accessed Nov 2007).
8. Therapeutic Goods Administration. Summary of fees and charges at 1 July 2007. Canberra: Department of Health and Ageing. http://www.tga.gov.au/fees/fees07.htm (accessed Nov 2007).
9. Therapeutic Goods Administration. Making a complaint about advertising. Canberra: Department of Health and Ageing, 2007. http://www.tga.gov.au/docs/html/advcomplaint.htm (accessed Nov 2007).
10. Pyne C. Therapeutics products endorsements by doctors to be banned [media release]. Canberra: Department of Health and Ageing, 2007; 7 Feb (CP08/07). http://www.health.gov.au/internet/ministers/publishing.nsf/content/mr-yr07-cp-pyn008.htm (accessed Nov 2007).
11. Ioannides-Demos LL, Proietto J, McNeill JJ. Pharmacotherapy for obesity. Drugs 2005; 65: 1391-1418.
12. Egger G, Cameron-Smith D, Stanton R. The effectiveness of popular, non-prescription weight loss supplements. Med J Aust 1999; 171: 604-608. <MJA full text>
13. Pittler MH, Ernst E. Complementary therapies for reducing body weight: a systematic review. Int J Obes 2005; 29: 1030-1038.
14. Adverse Drug Reactions Advisory Committee. Adverse reactions to complementary medicines. Aust Adverse Drug React Bull 2005; 24: 1. http://www.tga.gov.au/adr/aadrb/aadr0502.htm (accessed Nov 2007).
15. Pittler MH, Schmidt K, Ernst E. Adverse events of herbal food supplements for body weight reduction: systematic review. Obes Rev 2005; 6: 93-111.
16. Therapeutic Products Advertising Complaints. Complaints Resolution Panel determination. Complaint 4-1106 Xantrax. Sydney: Complaints Resolution Panel, 2007. http://www.tgacrp.com.au/index.cfm?pageID=13&special=complaint_single&complaintID=809 (accessed Nov 2007).
17. Therapeutic Products Advertising Complaints, Complaints Resolution Panel. Complaints register. Sydney: Complaints Resolution Panel, 2007. http://www.tgacrp.com.au/index.cfm?pageID=13 (accessed Nov 2007).
18. Therapeutic Goods Administration. Implementation of the government response to the recommendations of the expert committee on complementary medicine in the health system. Progress report. Canberra: Department of Health and Ageing, 2006. http://www.tga.gov.au/cm/cmreport3.pdf (accessed Nov 2007).
19. Therapeutic Goods Administration. Buying medicines: what’s on the label for me? Canberra: Department of Health and Ageing, 2007. http://www.tga.gov.au/docs/html/buymed.htm (accessed Nov 2007).
20. Pharmaceutical Society of Australia. Check the evidence before proclaiming a ‘miracle’ [media release]. Sydney: PSA, 2006. http://www.psa.org.au/site.php?id=235 (accessed Nov 2007).
21. Jiang B, Kronenberg F, Nuntanakorn P, et al. Evaluation of the botanical authenticity and phytochemical profile of black cohosh products by high-performance liquid chromatography with selected ion monitoring liquid chromatography-mass spectrometry. J Agric Food Chem 2006; 54: 3242-3253.
22. Kmietowicz Z. Repeal law that puts “FDA on the payroll of the industry”, says former NEJM editor. BMJ 2007; 334: 447. http://www.bmj.com/cgi/content/short/334/7591/447-a (accessed Nov 2007).
23. Hennessy S, Strom BL. PDUFA reauthorization — drug safety’s golden moment of opportunity? N Engl J Med 2007; 356: 1703-1704.

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Commercialism, choice and consumer protection: regulation of complementary medicines in Australia

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