Herbal Medicine: Chaos in the Marketplace

by Tyler; Virginia M

• ISBN13: 9780789016195
• ISBN10: 0789016192
• Edition: 1st
• Format: Hardcover
• Copyright: 2002-12-03
• Publisher: Routledge

Summary

Herbal Medicine: Chaos in the Marketplace is a prize-winning critique of the regulation and business of herbal medicine in the United States. It is the first book that tells the story of how the present situation developed, looks at what it means for consumers, compares approaches taken in other industrialized countries such as Canada, Germany, France, and the United Kingdom, and recommends where we need to go from here. Convenient reference tables provide easy access to information. Visit the author's website at http://www.herbalchaos.com

Table of Contents

Foreword	xi
Varro E. Tyler
Preface	xv
Acknowledgments	xvii
PART I: INTRODUCTION
Overview	3	(6)
The Dilemma	4	(1)
Purpose of This Book	5	(4)
PART II: REVIEW OF REGULATIONS
United States	9	(54)
History of Regulation of Botanicals	9	(20)
Current Legal Classification of Botanicals	29	(8)
Current Regulation and Surveillance of Botanicals	37	(26)
Canada	63	(18)
Legal Classification	66	(3)
Proof of Safety and Efficacy	69	(5)
Manufacturing Standards	74	(2)
Labeling, Advertising, Distribution, and Retail Sale	76	(3)
Postmarket Safety and Surveillance	79	(2)
Germany	81	(8)
Legal Classification	81	(1)
Proof of Safety and Efficacy	81	(5)
Manufacturing Standards	86	(1)
Labeling, Advertising, Distribution, and Retail Sale	86	(1)
Postmarket Safety and Surveillance	87	(2)
France	89	(4)
Legal Classification	89	(1)
Proof of Safety and Efficacy	89	(2)
Manufacturing Standards	91	(1)
Labeling, Advertising, Distribution, and Retail Sale	91	(1)
Postmarket Safety and Surveillance	91	(2)
United Kingdom	93	(4)
Legal Classification	93	(1)
Proof of Safety and Efficacy	94	(1)
Manufacturing Standards	95	(1)
Labeling, Advertising, Distribution, and Retail Sale	95	(1)
Postmarket Safety and Surveillance	96	(1)
Summary of International Regulatory Review	97	(6)
PART III: ILLUSTRATIVE EXAMPLES
Examples with Potential Public Health Benefits	103	(10)
St. John's Wort and Moderate Depression	103	(5)
Ginkgo and Alzheimer's Disease	108	(1)
Echinacea and the Common Cold	109	(4)
Examples That Present Public Health Risks	113	(8)
Ephedra	113	(2)
Adulteration Case Report	115	(1)
Comfrey	116	(5)
PART IV: ANALYSIS OF CURRENT AND POTENTIAL IMPACT ON PUBLIC HEALTH
Safety	121	(6)
Absence of Premarket Approval	121	(3)
Postmarket Surveillance	124	(3)
Research	127	(6)
Patent Protection	127	(1)
Product-Specific Research by Manufacturers	128	(1)
Government Research Funding	129	(1)
Epidemiological Research	130	(3)
Clinical Practice, Managed Care, and Health Insurance	133	(4)
Education of Medical Professionals	133	(1)
Coordination of Treatment	134	(1)
Access to Botanical Treatment	135	(1)
Opportunities for Cost Savings	135	(2)
Consumer Interests	137	(8)
Consumers As a Political Force	137	(1)
Sorting Through the Morass	138	(7)
The Roles of Business, Media, and the Government	145	(10)
The Role of Business and Marketing	145	(1)
The Role of Media	146	(1)
The Role of the Federal Government	147	(8)
PART V: CONCLUSION
Summary and Recommendations	155	(6)
Summary of Findings	155	(2)
Recommendations	157	(4)
Appendix A. U.S. Dietary Supplement Health and Education Act of 1994	161	(14)
Appendix B. Recommendations of the Canadian Standing Committee on Health	175	(6)
Appendix C. Abbreviations and Acronyms	181	(2)
Notes	183	(20)
Index	203