Better medicine labels - Therapeutic Goods Administration

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Better medicine labels New requirements under TGOs 91 and 92 Jenny Burnett Director, Scientific Operations Management Section Scientific Evaluation Branch Therapeutic Goods Administration Royal Australian Chemical Institute (RACI) Pharmaceutical Science Group Seminar 22 Nov 2016

Transcript of Better medicine labels - Therapeutic Goods Administration

Page 1: Better medicine labels - Therapeutic Goods Administration

Better medicine labels New requirements under TGOs 91 and 92

Jenny Burnett Director, Scientific Operations Management Section Scientific Evaluation Branch Therapeutic Goods Administration Royal Australian Chemical Institute (RACI) Pharmaceutical Science Group Seminar

22 Nov 2016

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Overview

• Why update the TGO 69?

• History and consultation

• Labelling Orders – changes and features

• Latest developments …

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Updating the labelling Order Responding to internal and external stakeholder needs:

• Medicine labels and QUM

• Addressing technical

inadequacies

• Clearer labelling requirements

• Need for international alignment

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Reform outcomes

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Consistent location of important health information

Ensure important information is not obscured

Reduce medication errors

Improve safety and quality use of medicines for consumers

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History and consultation

Pre 2014 2014 2015 2016 August 2016

Draft TGO 92: non-prescription

medicines

2001 – Re-drafting of TGO 69 commenced

2012- Public consultation on labelling and packaging

2013- Review of Evidence regarding key issues about labelling and packaging

Post ANZTPA - removal of ‘packaging’ requirements from scope of review

Post 2014 public consultation, TGO 79 was split into two separate orders: TGO 91 and 92.

Stakeholders who provided submissions in 2014 public consultation were invited to comment.

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Various reviews of labelling & packaging

Redraft of TGO 79

2014

pub

lic

cons

ulta

tion Draft TGO 91:

prescription medicines

2015

targ

eted

co

nsul

tatio

n

Draft TGOs 91 & 92

finalisation

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Two labelling Orders

When one

Becomes two

TGO 91 – For prescription and related medicines

TGO 92 – For non-prescription medicines

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Key features and changes to labelling requirements

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Implementation of the new requirements

TGO 91 and 92 are registered on the Federal Register of Legislation (FRL)

• Commencement date 31 August 2016

• Transition period ends 31 August 2020

TGO 69 has no effect from 1 September 2020

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4 year transition period

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Prescription Non-prescription

TGO 69 TGO 69 TGO 91 or or TGO 92

End of transition period

TGO 92 TGO 91

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Prominence of active ingredient

• Larger and clearer text

• Consistent location of information

• Easier identification of active ingredient name and quantity information

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Schedule 1 – Declarable substances

• The list has grown

– Crustacea – Fish – Eggs

– Soya – Milk – Tree nuts

• Prescription Medicines can use a label statement referring consumers to the CMI for declarable substances

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• Informing consumers!

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Declarable substances - testing implications

• ‘Substances’ NOT excipients

• Testing rationales20ppm cut off

• Some entries have been modified – Gluten now has a 20ppm cut off

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Key prescription medicine changes

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Medicine name to be on at least 3 sides of the carton

Mandatory 70x30mm space for dispensing labels

Small containers now 25mL capacity

Microgram and microlitre must be spelled out in full (no µ allowed except small and very small containers)

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Prescription medicine label

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Active ingredients immediately below medicine name AND larger text size

Statement identify substance from Schedule 1

Dedicated space for pharmacy label

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Key non-prescription medicine changes Display of Critical Health Information (CHI) for AUST R medicines

Use of ‘active moiety’ on main label instead of full ingredient name

• Small containers now 25mLcapacity

• New medium container size upto 60mL

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Changes to container sizes

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Non-prescription OTC medicine label

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Improved contrast between required information and background

Critical Health Information in tabulated format with headings in specified order

No additional information between medicine name and active ingredient

Active ingredients immediately below medicine name AND larger text size

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Non-prescription listed medicine label

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Country of origin

• No requirement under therapeutic goods legislation

• Commerce (Imports) Regulations 1940

• Australian Consumer Law – ‘substantial transformation’

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Now that it is out in the world…

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Further amendments – Multiple ‘declarable substance’

statements – Clarity and consistency in Na and K

statements – New name for re-made TGO 69 – More guidance

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Questions?

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