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Received 18 May 1998; received in revised form 29 June 1998; accepted 17 August 1998
Abstract
Although it is among the ten largest pharmaceutical markets in the world and has the most diverse flora, few efforts
have been made in Brazil in order to assure legal rules, which are able to provide phytotherapeutical products with
efficacy, safety and constant quality. Only in the last 3 years has the Ministry of Health convened an expert
commission to evaluate the existent legal requirements for such products and to provide modern and effective
legislation. The results of this work and the consequences of its implementation are discussed in this article. © 1999
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52 P.R. Petro6ick et al. / Journal of Ethnopharmacology 66 (1999) 51–55
apeuticals based on traditional information and in technological development of new drugs and
formulations, and reached its production apex in products.
the forties. This decade also saw the establish- The thalidomide event, in the 1960s, resulted
ment of the foreign chemical and pharmaceuti- in directive n. 22, published by the Federal
cal industry in the country. From this moment Health Office for Pharmacy and Medicine
on, synthetic drugs from international pharma- (SNFMF) in 1967 (Brazil, 1967). This directive
ceutical laboratories have dominated the market. maintained the pharmacopoeial drug classifica-
Following the actual globalisation tendency, tion, mentioning them clearly in the document,
Brazil has also sought for alternative drug and advising the producers to annex copies of
sources. the corresponding phamacopoeial monographs
Nowadays, the Brazilian pharmaceutical in- to registration applications, so as to impart a
dustry has a U$9 billion market, and is, there- ‘scientific’ quality to these products.
fore, among the 10th largest in the world. Law 6360, from 1976 (CFF, 1996), was ap-
Around 30% of the marketed drugs registered plied for modern drug registration and evalua-
by the Federal Health Office are classified as tion, but no mention was made of
Phytopharmaceutical, representing 20 – 25% of phytopharmaceuticals, apart from the article
the local pharmaceutical market (Petrovick, which made their exemption from registration
1996). In addition Brazil exports considerable an official act. This was a terrible mistake since
quantities of medicinal plants, extracts and iso- from that moment on, pharmaceutical dosage
lated substances, reaching the value of U$22 forms containing pharmacopoeial vegetable raw
million per year (Sharapin, 1996). material mixed with other substances were also
Despite their importance, 70% of the phy- exempted from formal registration. Decree
topharmaceutical resources have not been suffi- 79094 in 1977 regulated Law 6360 (CFF, 1996),
ciently studied, in order to provide the necessary but made no mention of phytopharmaceuticals.
confirmation of their efficacy and safety, as ev- Directive n. 19 in 1981 (Brazil, 1981), published
ery medicine actually demands. For many years, by the Brazilian Drug Division (DIMED) of the
in fact, such products were marketed without Federal Health Agency (SVS), created addition-
clear legal registration rules by the Brazilian ally the expression ‘natural product’ to designate
Government. those medicines prepared from plants. A misun-
derstanding of this expression resulted in im-
proper advertisement in the media, such as, that
2. Historical background natural products ‘are harmless to the health be-
cause they come from nature’. Only in 1991, as
The legal requirements for registration and a consequence of its prohibition in Germany,
market authorisation of phytopharmaceuticals in was the plant Symphytum officinale, widely used
Brazil began with decree 19606 in 1931 (Bijos by the population for oral administration and
and Pilar, 1964a,b), which stated that such supported by TV-programs, banned from the
drugs were pharmacopoeial preparations, mainly Brazilian market (Brazil, 1992).
‘magistrally prepared drugs, easily processed’ It is interesting also to relate that two direc-
and therefore, exempted from legal registration. tives, n. 19 and 32 in 1986 (Brazil, 1986a,b),
Later, in 1946, decree 20397 (Bijos and Pilar, published by the Federal Health Agency-SVS,
1964a,b) expanded their class, allowing the ex- differentiated between plants used for nutritional
emption of products which demonstrated suffi- and therapeutic purposes. The first one would,
cient similarity to those pharmacopoeial from that moment on, be registered by the
phytopharmaceutical products. This shielded the Food Division of the SVS, and could not con-
national industry from competitive international tain any therapeutic claims in the secondary
pharmaceutical industries, which invested deeply packaging, labels and insert.
P.R. Petro6ick et al. / Journal of Ethnopharmacology 66 (1999) 51–55 53
The Health Ministry, influenced by earlier The legal requirements demand complete docu-
World Health Organisation directives from some mentation of efficacy, safety and constant defined
years before (WHO, 1991), in 1994 convened an quality as a condition for the registration of phy-
expert commission (Brazil, 1994) to evaluate the topharmaceutical products.
phytopharmaceutical situation in the country. In
October 1994, the Commission presented directive 4.3. Quality control guidelines
proposal n. 12,3 published by the SVS, to regulate
the phytopharmaceutical product registration. The directive specifies the quality characteristics
The premises of this proposal had been based on and some general assays for:
raw material, depending on whether it is a drug
the German (Keller, 1991) and French (Artiges,
1991) regulations as well as the WHO directives, or a preparation thereof (botanical and
and a determined period of time allowed the physico-chemical identification, foreign materi-
organised society to present suggestions and com- als, microbial and chemical contamination, and
ments. The revised proposal was incorporated quantitative analysis, etc);
intermediate process products have to present a
into directive n. 6, issued by SVS in 1995 (Brazil,
1995), which finally established the legal require- complete pharmaceutical and analytical docu-
ments for the phytopharmaceutical drug registra- mentation, proving the maintenance and assur-
tion in Brazil. ance of their quality;
for finished products quality control data and
assessment methods are requested, as well as
efficacy and safety test results in humans, in
4. Directive n. 6 conformity with the guidelines of directive 116
published by SVS (Brazil, 1996). Scientific doc-
This directive tries to adapt the internationally umentation from the literature may be submit-
accepted concept of drugs to phytopharmaceutical ted, instead of controlled clinical trials or
products, intending the modernisation and ade- animal tests, if they already exist for the pro-
quacy of definitions and quality requirements. posed preparation.
Brazil, 1996. Portaria SVS n. 116 from 08.08.96. Diário Oficial Petrovick, P.R., González Ortega, G., Bassani, V.L., 1997.
da República Federativa do Brasil, 14. Aug. (Proposal for From a medicinal plant to a pharmaceutical dosage form.
toxicity and efficacy assessment from phytotherpic prod- A (still) long way for the Brazilian medicinal plants. Ciên-
ucts). cia e Cultura 49 (5/6), 364 – 369.
CFF, 1996, Conselho Federal de Farmácia. A organização Sharapin, N., 1996. Normatização da Indústria Fitofarmacêu-
jurı́dica da Profissão Farmacêutica (coletânea), Brası́lia- tica. In: 1a Reunión de Coordinación Internacional. Pro-
DF. grama Iberoamericano de Ciencia y Tecnologı́a para el
Gottlieb, O.R., Mors, W.B., 1979. Planzenprophylaxe aus dem Desarrollo (CYTED). Red Iberoamericana de Productos
Tropenwald Brasiliens. Unesco Kurier 20 (7), 35–36. Fitofarmacéuticos (RIPROFITO), 28 sep – 01 oct., An-
Keller, K., 1991. Legal Requirements for the use of phy- tigua-Guatemala, p.42 – 44.
topharmaceutical drugs in the Federal Republic of Ger- WHO, 1991. Guidelines for the Assessment of Herbal
many. Journal of Ethnopharmacology 32, 225–229. Medicines, World Health Organisation, Geneva.
Petrovick, P.R., 1996. Normatização da Indústria Fitofarma- WHO, 1992. Guidelines for Good Clinical Practice (GCP) for
cêutica. In: 1a Reunión de Coordinación Internacional. trials on Pharmaceutical Products, World Health Organi-
Programa Iberoamericano de Ciencia y Tecnologı́a para el sation Drug Information 6 (4), 170 – 188.
Desarrollo (CYTED). Red Iberoamericana de Productos WHO, 1993. Regional Office for the Western Pacific, Research
Fitofarmacéuticos (RIPROFITO), Sep. 28–Oct. 01, An- Guidelines for Evaluating the Safety and Efficacy of
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