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From the Medical Journal of Australia
January 2008

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

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

Abstract
  • Controls on the supply and promotion of complementary medicines in Australia are weak.
  • We used weight-loss products as an example to compare the regulation in Australia of listed complementary medicines and registered pharmaceutical products.
  • Complementary medicines are listed without evaluation for efficacy, while conventional pharmaceutical products are registered after evaluation for quality, safety and efficacy.
  • From 1996 to 2006, over 1000 “weight-loss” products were listed on the Australian Register of Therapeutic Goods; most contained multiple unevaluated ingredients (herbs, vitamins, minerals) of dubious efficacy. Over the same period, 10 conventional medicines were registered; each contained one evaluated ingredient of proven efficacy.
  • The number of listed weight-loss products (and complaints about their promotion) is increasing. These appear to be a direct consequence of the decision not to evaluate listed products for efficacy and the lower fees for listing a product, compared with registration.
  • Complaint procedures (now overloaded) are no substitute for adequate regulation at the time of market entry.
  • Regulatory reform of listed and homoeopathic products is required.

Read the full paper here.

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