Economic
and Legal Frameworks
for Non-Prescription Medicines 2004 studied by AESGP
3.
PATIENT INFORMATION
The specifications for consumer
information through labelling (labels and package inserts)
are laid down in a couple of the PAL articles, some of
which read as follows:
On the immediate container or wrapper of a medicine,
the following particulars shall be indicated:
(1)
The
name and address of the manufacturer (or importer);
(2)
The name (For a medicine recognised
by Japanese Pharmacopoeia (JP), the name given
therein; for any of the other medicines, the generic
name, if applicable);
(3)
The manufacturing number or
code;
(4)
The quantity of the contents
in terms of weight, volume, number, and the like
(5)
For a medicine recognised by
JP, both the letters, "Japanese Pharmacopoeia,"
and the matters specified by JP to be entered on
the immediate container or wrapper;
(6)
For a medicine for which the
standards are specified under Article 42, Paragraph
1, storage, expiry date and other matters required
by the standards to be indicated on the immediate
container or wrapper.
(7)
For a medicine not recognised
by JP, the name (the generic name, if applicable)
and quantity of each active ingredient (for a medicine
containing unknown active ingredient, its nature
and an outline of its manufacturing process);
(8)
For a medicine designated as
a habit-forming medicine by the Minister of Health,
Labour and Welfare, the letters, "Caution: Habit
forming";
(9)
For a drug designated by the
Minister pursuant to the provisions of Article
49, Paragraph 1, the term "Caution: Use under prescription
by a physician, etc.";
(10)
The expiry date for a medicine
designated by the Minister of Health, Labour and
Welfare.
(11)
Matters specified by the MHLW
Ministerial Ordinance supplementary to those specified
in the preceding items.
If the immediate container
or wrapper of a medicine is packaged for retail and if
the preceding details are not easily legible through
the outer container or wrapper, the same details should
also be indicated on the outer container or wrapper.
On the insert enclosed with a medicine (package insert)
or on the container or wrapper of a medicine, the following
matters should be indicated:
(1)
Directions, dosage,
and other necessary precautions for use and handling;
(2)
For a medicine recognised by
JP or standards placed by the Minister according
to Article 42, the matters specified by JP or the
standards to be indicated on the package insert,
or container or wrapper;
(3)
Matters specified by the MHLW
Ministerial Ordinance supplementary to those specified
in the preceding items.
On the other hand, there are certain "Details not allowed
to be indicated" on the package insert, or container
or wrapper (including the inner package) of a medicine:
False or
misleading claims concerning the medicine;
Indications or effects
which are not approved;
Directions, dosage or
during of use which are dangerous to health and
hygiene;
In line with a report published
by the "Working Group for the Improvement of Package
Inserts" as part of the Welfare Science Study programme,
the Director-General of Pharmaceutical Affairs Bureau,
MHW on 12 August 1999 issued two Notices:
Notice by
the Director-General, Iyakuhatsu No. 983 "Guidelines
for Precautions for Use of Non-prescription Medicines"
and
Notice by the Director-General,
Iyakuhatsu No. 984 "Guidelines for Package Inserts
for Non-prescription Medicines.
These guidelines aimed to
ensure that the use of user-friendly terms easily understood
by the general public, the ordered placement of the important
instructions and warnings for the correct use of the
drugs are included after the product's brand name on
the Package Inserts, and the clear inscription of the
following data on the outer container or wrapper:
Information
on persons who should not take/use the drug
Information on areas on which the drug should not
be applied/used
Information on a person's capability to operate
machinery and/or drive a motor vehicle after taking
the drug.
The MHLW had urged the revision
of the labelling and package inserts by the end of March
2002. As of February 2002, almost all manufacturers had
revised their Precautions for Use.