Quality Control of Herbal Products in the Egyptian Market ...
Medicinal Plant Database for International Trade · Demands of Herbal Medicine Market in Different...
Transcript of Medicinal Plant Database for International Trade · Demands of Herbal Medicine Market in Different...
Medicinal Plant Database for Medicinal Plant Database for
International TradeInternational Trade
Assoc.Prof.Dr.Surapote Wongyai
College of Oriental Medicine, Rangsit University
Pratumthani 12000, Thailand
CPhi (Convention on Pharmaceutical Ingredients) South East
Asia 2019
“Research and development on innovative herbal products”
12th March 2019, Queen Sirikit National Convention Center,
Bangkok, Thailand 1
Topics
• Global trends of herbal medicinal products
(HMPs)
• Trade and Regulation of HMPs
• Medicinal plants database for trade
• Suggestion for south east asia
• Conclusion
2
Topic 1
Global trends of herbal medicinal
products (HMPs)
3
WHO's forecast is that the global market for
naturall products:
$3,000 billion by year 2006
$5,000 billion by year 2050
Herbal remedies would become increasingly
relevant as people seek to avail natural
remedies.
Natural Products Trend
55www.strategyr.com/blog/blog-post.asp?bcode=MCP-1081
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HMPs in Global Market (2017)
Group Value
(b$)
%
Herbal medicine 105.0 61.26
Herbal supplements 51.6 30.11
Phytocosmetics 14.8 8.63
Total 171.4 100.0
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Herbal Medicine and Supplements
Drives Market Growth
USA
Japan
Canada
8
Globa l Marke t and Re la ted I ssues o f HMPsGloba l Marke t and Re la ted I ssues o f HMPs
HMPs inHMPs in
Global MarketGlobal Market
HERBAL DRUGSHERBAL DRUGS
HERBAL DRUG PREP.HERBAL DRUG PREP.
HERBAL MED. PREP.HERBAL MED. PREP.
HOUSE HOLD REM.HOUSE HOLD REM.
HERBAL BEVERAGEHERBAL BEVERAGE
NUTRACEUTICALSNUTRACEUTICALS
FUNCTIONAL FOODSFUNCTIONAL FOODS
ESSENTIAL OILSESSENTIAL OILS
AROMATIC WATERSAROMATIC WATERS
FLAVOURSFLAVOURS
FRAGANCESFRAGANCES
PERFUMESPERFUMES
EXTRACTSEXTRACTS
PHYTOPHARMACEUTICALSPHYTOPHARMACEUTICALS
MODERN DRUGSMODERN DRUGS
CHEMICALS ANDCHEMICALS AND
INTERMEDIATEINTERMEDIATE
NOVEL STRUCTURESNOVEL STRUCTURES
LEADS FOR NEW DRUGSLEADS FOR NEW DRUGS
METABOLOMICSMETABOLOMICS
PHARMACEUTICAL AIDSPHARMACEUTICAL AIDS
GUMS GUMS
MUCILAGESMUCILAGES
EDIBLE DYESEDIBLE DYES
INSECT REPELLANTSINSECT REPELLANTS
INSECTICIDESINSECTICIDES
PESTICIDESPESTICIDES
Medicinal and Aromatic Plants, MAPs
Topic 2
Trade and Regulation of HMPs
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Status of Herbal Medicine
AfricaAfrica
EuropeEurope
AustraliaAustralia
AsiaAsia
South AmericaSouth America
North AmericaNorth America
Global Look of Herbal Medicine
Global Pharmaceutical Market, 2013 - 2017
1200 billion $
$105 billion(8.75%)
Herbal market
In terms of geography, the global herbal medicines market is divided among:
5% 10% 15%
Germany (28%)
Asia (19%)
Japan (17%)
France (13%)
Rest of Europe (12%)
North America (11%)
20% 25% 30%
2013
EU market covers 53%
Demands of Herbal Medicine Marketin Different Region
B JN, Shankar MB. Global market analysis of herbal drug formulations Int J Ayu Pharm Chem 2015:4 (1): 59-65.
Markets Projected Demand (for 2015)
Europe US$ 70 Billion (50%)
North America US$ 25 Billion (17.86%)
China US$ 12 Billion (8.57%)
India US$ 3 Billion (2.14%)
Others US$ 30 Billion (21.43%)
Total US$ 140 Billion (100%)
Thailand US$ 0.29 Billion in 2014 (0.21%)
(2010, 1.82% of pharmaceutical
market in Government Hospital)
2015
CHINA + INDIA = > 25% Total World Exports Value
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www.strategyr.com/blog/blog-post.asp?bcode=MCP-1081
Europe
• Most elaborated and established regulation of
production and marketing of Herbal Medicinal
Products (HMPs)
• HMPs are classified as drugs
• HMPWG with in European Medicines Agency
(EMEA)
• Efforts to harmonize HMP in member states (MS)
• Over 180 elaborated monographs in EP
• Germany the leader
Asia
• Tremendous strength but weak
standards
• Strong traditions, Government
support and most variants
• From most developed and
elaborated to typical tribal use
North America
Canada• Herbal preparations are either classified as a drug or a food
under the federal Food and Drug Act
• Natural Health Products Directorate (NHPD) published by 2002.
• When implemented, all herb products will require the issuance of a product license
• Monographs will control the therapeutic claims
USA• Botanicals, dietary supplements controlled by DSHEA
• Drugs or supplement depending upon claim
• Inclusion of monographs in USP
• Office of Alternative Medicine, OAM (1992), now National Center for Complimentary and Alternative Medicine, NCCAM (1998) under NIH
United States Pharmacopoeia (USP)
Herbal Medicine Compendium
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HMC-East Asia Expert Panel
https://hmc.usp.org/
Australia
• Near monopoly to allopathic physicians
• Drugs are governed by TG Act of 1998
• TG Administration (TGA) is responsible for
implementation of the act
• Office of complimentary medicines within TGA
• Complimentary Medicines Evaluation
Committee of experts for advisory affairs
South America
• Vast resources, few regulations
• TM are common but no regulations and standards
• Homeopathy
Africa
• Use of MAPs is very
popular
• No regulations and
standards for TM
• TMPs associations,
registration & training
programs exist in some
countries
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PRESENTATION AND CONTENT OF THE REGISTRATION DOSSIER
MODULE 1
REGIONAL
ADMINISTRATIVE
INFORMATION
1.0
CTD TABLE OF CONTENTS
2.1
CTD INTRODUCTION
2.2
NON CLINICAL
OVERVIEW
2.4
CLINICAL
OVERVIEW
2.5
NONCLINICAL
SUMMARIES
2.6
CLINICAL
SUMMARY
2.7
QUALITY
OVERALL
SUMMARY
2.3
MODULE 3
QUALITY
3.0
MODULE 4
NONCLINICAL
STUDY REPORTS
4.0
MODULE 5
CLINICAL
STUDY REPORTS
5.0
DIAGRAMMATIC
REPRESENTATION
OF THE ORGANIZATION OF THE
CTD
MODULE 2
NOT PART OF THE CTD
CTD
COMMON TECHNICAL DOCUMENT
(CTD)
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WHO traditional medicine strategy: 2014-2023.World Health Organization 2013, Geneva.
WHO Traditional Medicine Strategy
New Era of Traditional Medicine (TM)…2019 – new option for good health
Promotion, Utilization
& Enlarge Scale of
Production-raw materials, extracts
-products
Traditional Medicine in Asia-theory and principle, well documented
-authentication based on clinical practices in
modern time by TM doctors in conjunction
with modern medicine assessment
-selected practices and TM formulations for
further R & D
Academic Medicine-evidence based
-mono agent and target concept-rational approach
Alternative Medicine-experience based
-multi agent and target effects-no rational concept required
Standardization
2727
USA
20167.44 b$
Increase
7.7% 2015-2016
Herbalgram
115(2017)56-65.
2828
ขมิ้นชัน (Turmeric) ว่านหางจระเข้ (Aloe) น้้ามันมะพร้าว (Coconut Oil)
กระเทียม (Garlic)ส้มแขก (Garcinia)
หญ้าหวาน (Stevia)
อบเชย (Cinnamon)ขิง (Ginger)
1 4 13
14 19 32
3940
$47,654,008 (growth 32%)
2929
อิคินาเซีย (Echinacea) โสมจักรพรรดิ (Burdock, Gobo)
ใบมะกอก (Olive Leaf ) โสมอินเดีย (Ashwagandha)
9 35
28 8
$8,732,489 (growth 55.2%)
3030
( stress, male reprod.)
(Omega-3 fatty acids)
(constipation, IBS)
(decrease risk of prostate cancer)
(BPH, Prostate gland)
(hepatoprotective)
(UTI-E. coli, H. typhi)
(E. coli, P. aeruginosa)
(Detox, antioxidant)
(Anti-inflammation, Antioxidant)
(Obesity)
(Memory)
(Cholesterol)
(Anxiety)
(Medium chain fatty acid)
3131
(diabetes, loss of appetite)
(natural source of vitamins and Zn)
(Detox)
(Stress, Fatique)
(heart and blood vessels)
(Detox, Ca sources)(Decrease sugar level)
(Antiinflam., Nausea)
(beauty benefits)
(beauty benefits, HS)
(Anti-inflammation, Antioxidant)
(Sweetener)
(Anxiety)
(Hot flush)
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USA 20167.44 b$,
Increase 7.7% 2015-2016
www.herbalgram.org
Retail Sales of Herbal Supplements in US
Increase by 8.5% in 2017, Topping $8
Billion
USA 20178.0 b$,
Increase 8.5% 2016-2017
US Herbal Supplements
Topic 3
Medicinal plants database for trade
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Medicinal Plants Database for International Trade
A.General information
B.Scientific information
Medicinal Plants Database for Trade
A. General information:
1. Botanical name with authority and synonyms Family
2. Common characters and picture of plant and plant
part used
3. Common names in trade (local and foreign language)
4. HS code (Harmonized Commodity Description and
Coding System)
5. Use
6. Volume of production in the country
7. Volume of domestic consumption
8. Volume of export
Medicinal Plants Database for Trade
A. General information:
• Average price
• Trade points and contact addresses in the country:
market, industry, association, cooperative, etc.
• Nature of plant material: wild, cultivated, organic
• Areas of production in the country
• Nature of plant products: crude, semi-processed and
processed
• Any special regulations pertaining to trade and web
links to enforcing agencies
Medicinal Plants Database for Trade
A. General information:
• Cultivation including organic farming
• Pre- and post-harvest treatment
• Conservation Production of extracts: "ABI" (Active
botanical ingredient)
• Production of phyto-pharmaceuticals
• Production of herbal drugs
Medicinal Plants Database for Trade
B. Scientific information:
1. Ethno-botanical information
2. Pharmacological studies
3. Quality control including chromatographic fingerprint
profiling
4. Chemical information including known chemo-types
5. DNA finger-printing
6. Safety data
7. Contraindications
8. Interactions with other drugs
Medicinal Plants Database for Trade
B. Scientific information:
9. Dosage
10. Clinical trials
11. Registration status
12. People and projects and contact addresses
13. Monographs
14. Patents
15. Important publications
MEDICINAL PLANTS MONOGRAPHS ON DISEASES OF MEDICINAL PLANTS MONOGRAPHS ON DISEASES OF
PUBLIC HEALTH IMPORTANCEPUBLIC HEALTH IMPORTANCE
INTEGRATION OF KNOWLEDGE LEADSINTEGRATION OF KNOWLEDGE LEADS
MONOGRAPHS
MULTIDISCIPLINARY
RESEARCH DATADRUGSDISEASE
• PREVALENCE
• ETIOPATHOGENESIS
• SYMPTOMATOLOGY
• DIAGNOSIS
• PRINCIPLES OF TREATMENT/MANAGEMENT
• COMPLICATION IF
UNTREATED
• PROGNOSIS
• PRESENT STATUS &
LIMITATION
TRADILIONAL
MEDICINE
(TM)
DESCRIPTION
• PHARMACOLOGY
• TOXICOLOGY
• CLINICAL
• CHEMICAL
• PHARMACOGNOSY
• REFERENCES
• PHOTOGRAPHS
• INVESTIGATED, NOT MENTIONED IN TM
• MENTIONED IN TM - NOT INVESTIGATED
• FOLK LORE/ETHNOBOTANICAL TEXTS
Source Classification
CosIng lists numerous essential oils, although
CosIng: European Commission database with
these oils are not exclusively used in
aromatherapy. Essential oils for aromatherapy
information on the International Nomenclature
include:
of Cosmetic Ingredients (INCI) cosmetic
• Lavandula angustifolia herb oil (lavender)
substances and ingredients
• Pelargonium graveolens oil (rose geranium)
• Boswellia carterii gum oil (frankincense)
• 84776-65-8 (Lavender oil)
Chemical Abstract Service (CAS) Registry• 90082-51-2 and 8000-46-2 (Rose geranium oil)
Numbers• 89957-98-2 (Frankincense oil)
• 84787-70-2 and 8024-35-9 ( Sandalwood oil)
Classification of various essential oils for aromatherapy. These codes and
ingredient names are used to identify a product in documentation (as
listed in CosIng and with a CAS number) or in trade (through Harmonised
System codes, HS codes).
Sources Classification
Harmonised System codes
(trade), HS codes
Essential oils:
• 3301.12 – Sweet and bitter orange
• 3301.13 – Lemon
• 3301.19 – Citrus fruit oils not elsewhere
specified
• 3301.24 – Peppermint
• 3301.25 – Other mint oils
• 3301.29 – Other essential oils
• 3301.30 – Resinoids
• 3301.90 – Oleoresins
HS Codes of Essential Oils in Trade
Essential Oil Profile
Material Safety Data Sheet
Specification Requriments
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Name of Oil
-Botanical
-Common
-Vendor
Extraction
-Method of Extraction
-Part of Plant Used
Safety Considerations Specific to This Oil
Significant properties
-Significant Chemical Constituents
-Actions
Essential Oil Profile
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Application
-Method of Application
-Dosage
Smell
-Describe
-Combines with?
Essential Oil Profile
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Phytochemistry and Standards
EO composition standards are described by a number of
bodies such as:
International Standards Organisation for Standardisation (ISO)
Research Institute for Fragrance Materials
International Fragrance Association
Association Francaise de Normalisation (AFNOR)
British Pharmacopoeia
The ISO and AFNOR standards are often accepted as
being the most reliable indicators of EO quality and
differentiate between the different grades of Eos.
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Essential Oil–Medicine Interactions
It is difficult to determine the interaction between
conventional herbal medicine and essential oil. Only very
small amounts of EOs are absorbed from topical
applications, which makes interactions unlikely; however,
topical application of both the EO and the medicine to
the same area may enhance the absorption of medicine.
The potential for interactions increases with internal use
(see Table 1).
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Essential Oil–Medicine Interactions
Essential oil Potential interaction/combined effect
Ylang ylang Increases dermal absorption of 5-fluorouracil
Eucalyptus globulus Enhances effects of streptomycin, isoniazid
Increases nicotine absorption
Roman chamomile Reduces the effects of phenobarbital when
administered subcutaneously (in rats) and inhaled.
Eucalyptol Reduces the effects of phenobarbital when
administered subcutaneously
(in rats) and inhaled.
Roman chamomile Products containing silver salts used in burns and
wound care.
Clove, fennel, coriander,
aniseed and EOs containing
cinnamaldehyde, trans-
anethole, estragole and
eugenol
Deplete liver glutathione in the presence of large doses
of paracetamol
Niaouli, ravensara, sweet
marjoram, geranium and oils
rich in terpineol
Increases absorption of topical prednisolone
48
Essential Oil–Medicine Interactions
Essenti al oil Potential interaction/combined effect
Limonene occurs in many EOs Increases absorption of indomethacin
Cedar wood Reduces effect of barbiturates,
May increase the risk of coagulation by reducing the
effectiveness of anti coagulants
Peppermint Affects 5-fluorouracil cancer treatment
Myristi cin (nutmeg) Inhibits monoamine oxidase inhibitor action
β-Asarone and d-pulegone Potentiate the toxic effect of medicines by depleting
liver P450 enzyme system
Eugenol, menthol, oil of
wintergreen and possibly white
birch especially if repeated
applicati ons are used during
the day.
Increases anti coagulant activity of anti coagulants and
aspirin, therefore, increases bleeding risk. When
applied in massage the force of the massage rather
than the essential oils may represent a risk of bruising
and bleeding.
Valerian Central nervous system depressant prolongs effects
and increases
the risk of prolonged sleep, drowsiness and falls. 49
Essential Oil–Medicine Interactions
Essenti al oil Potential interaction/combined effect
Primrose oil Interacts with promethazines, for example
chlorpromazine is
used to manage schizophrenia and can induce
seizures.
50
Conservation and Sustainable use for Health, Food
and Environment Security
Conservation and Sustainable use of Biological
diversity is of critical importance for meeting the
food, health and other needs of the growing
world population, for which purpose access to
and sharing of both genetic resources and
technologies are essential.
“UN Convention on
Biological diversity”
Material Safety Data Sheets
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Analytical information is compiled into material safety data
sheets (MDSs), which can be obtained from reputable
EO suppliers. More recently, researchers have begun to
investigate the peroxide value (POV) (an indicator of
oxidation) of EOs and fixed vegetable oil carrier oils.
POV is an indicator of the possibility an EO could cause
skin irritation or sensitivity
Material Safety Data Sheets
Section I : Product Identification
Section II : Physical Data
Section III : Fire, Explosion and Reactivity
Section IV : Protection Information
Section V : Occupational Exposure Limit
Section VI : Health Hazard Information
Section VII : Emergency and First Aid Information
Section VIII: Spills, Leaks and Disposal Procedures
Section IX : Handling and Shipping Procedures
53
Topic 4
Suggestion for south east asia
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MAPs - Global issues
• Standardization and quality control
• Cultivation and conservation
• Safety & efficacy assessment
• Trade regulation and harmonization
• Genuine interest to explore their potential
• Enlightenment of medical professionals to TM
• Public faith and medical bias: check
REGULATORY ISSUES
GOVT. POLICY/PLANS
ETHICAL CONSIDERATIONS
GGP, GHP, GMP, GLP, GCP
SAFETY ISSUES
STABILITY ISSUES CONTRAINDICATIONS
DRUG INTERACTIONS
REGISTRATION ISSUES
BIODIVERSITY ISSUES
SUSTAINABILITY
I.P.R. ISSUES
TRADE AND MARKETING
CONSUMPTION DATA
PRODUCTION DATA
R&D INVESTMENTS
TECHNOLOGICAL GAPS
LACK OF INFORMATION
NETWORK
MAPs Issues
HERBAL PRODUCTS
STANDARDIZATION
A CHALLENGE
VOLUME OF WORK
INVOLVED
1000 SINGLE PLANTS
635 FORMULATIONS
FLOODING OF
PROPRIETORY
PREPARATIONS
ABSENCE OF
RESEARCH DATA LACK OF INITIATIVES
BY MANUFACTURERS
COMPLEXITY AND INCONSISTANCY OF
FORMULATIONS
Regulatory
Aspects
Main Dependence on
Wild Sources Herbal
Pharmacopoeia?
Adulteration and
Substitution Constraints in
Quality Control
Lack of Public
Test – houses
No Certification of
Raw Material
Lack of safety
evaluation facility
Pharmacovigilance data
not collectedLack of Trained
Manpower
Poor investment in
R&D of Med. Plant
products
Constraints
“SWOT” ANALYSIS OF TRADE IN MAPS
IN SEA & PACIFIC REGIONS
Covers all agroclimatic zones, genetic and landscape diversity Land availability, both Farm as well as non-farm lands Traditional knowledge-long, well recognized, documented Low cost of labour, raw material, other inputs, trained manpower Good institutional infrastructure for R&D.
Lack of brand equity Lack of well developed, transparent market mechanism within the regions –
distribution and trade channels Lack of market intelligence, infrastructure for information collection Inadequate linkages between cultivators, collectors, users, institutional
buyers Inadequate incentives for cultivation of MAPs Poor facilities for value addition/processing Need to follow guidelines (WHO) for standardization, Q.C., process etc. Packaging standards not of international norms Govt support not in parity with other exportable crops Cost of cultivation of MAPs much higher than prices of collected plants
STRENGTHS
WEAKNESSES
OPPORTUNITIES
Global interest in NATURALS: Drugs, Dyes, Nutraceuticals, Cosmetics,
fragrances
MAPs – a focus at policy making level of Govts, large corporate houses,
financial institutions and donors
Business environment increasingly integrating global economy
South, SEA and Pacific region national is itself a huge market
Recognition of MAPs as income generating/poverty alleviation opportunities
Increasing demand for organically produced MAPs and broad use of MAPs
THREATS
Over exploitation of scarce resources
Unequal sharing of benefits for cultivators/collectors – thus increasing
chances of unsustainable collection is disincentive for cultivation of MAPs
Adulteration and other unethical practices by middle men resulting in
negative brand equity
Absence of traceability
Fluctuating prices of MAPs at commodity level
Stringent regularity environment in some large global markets
The pharmaceutical industry
AUTHENTICATIONAUTHENTICATION
TAXON. IDENTIFICATIONTAXON. IDENTIFICATION
ADULTERATIONADULTERATION
SUBSTITUTIONSUBSTITUTION
REGIONAL NAMESREGIONAL NAMES
QUALITY CONTROLQUALITY CONTROL
FOREIGN MATTERFOREIGN MATTER
ASH CONTENTASH CONTENT
EXTRACTIVE VALUESEXTRACTIVE VALUES
MICROBIAL LOADMICROBIAL LOAD
HEAVY METALSHEAVY METALS
PESTICIDE RESIDUEPESTICIDE RESIDUE
INDISCRIMINATE COLLECTIONINDISCRIMINATE COLLECTION
GATHERING PRACTICESGATHERING PRACTICES
MAPs PROBLEMS
CULTIVATIONCULTIVATION
AGROPRACTICESAGROPRACTICES
HARVESTING PRACTICESHARVESTING PRACTICES
DRYING PROCESSESDRYING PROCESSES
PULVERIZING PROCESSESPULVERIZING PROCESSES
STORAGE PRACTICESSTORAGE PRACTICES
PACKAGINGPACKAGING
INCONSISTENCYINCONSISTENCY
ECOTYPICECOTYPIC
CHEMOTYPICCHEMOTYPIC
GENOTYPICGENOTYPIC
DIURNAL DIURNAL
ONTOGENETICONTOGENETIC
MAPs TECHNOLOGIESMAPs TECHNOLOGIES
INFORMATION TECHNOLOGY
AGROTECHNOLOGY
POST-HARVEST TECHNOLOGY
GRINDING AND PULVERIZING TECHNOLOGY
EXTRACTION TECHNOLOGIES
SEPARATION AND ISOLATION TECHNIQUES
FORMULATION TECHNOLOGIES
PACKAGING AND LABELLING TECHNOLOGIES
BIOEVALUATION TECHNIQUES
DRUG DESIGN AND MOLECULAR MODELING TECHNIQUE
ANALYTICAL AND QUANTITATIVE TECHNIQUES
CHROMATOGRAPHIC TECHNIQUES
SPECTROSCOPIC TECHNIQUES
BUSINESS STRATEGY: HERBAL EXTRACTS
Focus on high market share and market value segments
Ensure availability of quality raw material, prefer organically
grown plants following GAP, GHP as per WHO norms
Adopt suitably advanced economical extraction technology
Produce extracts meeting international requirements of quality
Build-up repository of reference marker compounds
Develop qualitative and quantitative assay procedures
Develop well-resolved chromatographic finger print profile
Use GMP approved premises for production
Develop national and international markets
Topic 5
Conclusion
64
Opportunities for Developing and
Emerging Countries
• Rich bioresources and TM knowledge
• Capacity to control raw material production
• Benefit from the emerging demand
• Needs to improve quality of TM
• Conserve and introduce cultivations
• Incorporate use of TM in primary health care
• Medicinal plants big database for trade
Thank you