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    Critical Appraisal

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    HJ G
    Seven Leave Ginseng was found to contain undeclared corticosteroid and antihistamine drugs, violating several regulations. Eight cases of toxicity including liver failure and Cushing's syndrome were associated with its consumption. As an unregistered product containing substances that can harm health, Seven Leave Ginseng breaches the Sales of Drugs Act and Control of Drugs regulations. Pharmacists should educate the public to check product registration status and report any adverse effects.

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    Critical Appraisal

    Uploaded by

    HJ G
    73 views2 pages
    Seven Leave Ginseng was found to contain undeclared corticosteroid and antihistamine drugs, violating several regulations. Eight cases of toxicity including liver failure and Cushing's syndrome were associated with its consumption. As an unregistered product containing substances that can harm health, Seven Leave Ginseng breaches the Sales of Drugs Act and Control of Drugs regulations. Pharmacists should educate the public to check product registration status and report any adverse effects.

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    Critique on Unregistered Traditional Medicine

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    Seven Leave Ginseng was found to contain undeclared corticosteroid and antihistamine drugs, violating several regulations. Eight cases of toxicity including liver failure and Cushing's syndrome were associated with its consumption. As an unregistered product containing substances that can harm health, Seven Leave Ginseng breaches the Sales of Drugs Act and Control of Drugs regulations. Pharmacists should educate the public to check product registration status and report any adverse effects.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    73 views2 pages

    Critical Appraisal

    Uploaded by

    HJ G
    Seven Leave Ginseng was found to contain undeclared corticosteroid and antihistamine drugs, violating several regulations. Eight cases of toxicity including liver failure and Cushing's syndrome were associated with its consumption. As an unregistered product containing substances that can harm health, Seven Leave Ginseng breaches the Sales of Drugs Act and Control of Drugs regulations. Pharmacists should educate the public to check product registration status and report any adverse effects.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Group 25

    Tian Ma Tu Chung Seven Leave Ginseng is a Chinese traditional medicine indicated


    for treatment of inflammation and pain in the joints, back and muscles. It is also used for muscle
    relaxation, blood circulation invigoration and flatulence relief. This product is packaged in a
    bottle of 48 black round pills and distributed by Ving Hong Enterprise, of Perak, Malaysia. It
    was found unregistered after being reported with eight toxicity cases. Liver failure, Cushing’s
    syndrome with red round face (moon face) and weight gain with central obesity were the side
    effects associated with Seven Leaves Ginseng consumption.

    Seven Leave Ginsengs have been found to contain dexamethasone, a corticosteroid


    medicine controlled under the Poisons Act 1952 and chlorpheniramine, an over-the-counter
    antihistamine drug.
    According to Sales of Drug Act 1952, Seven Leave Ginseng violates Section 15(a) as
    it is mixed with dexamethasone and chlorpheniramine which diminish in any manner its
    beneficial properties as compared with such article in a pure and normal state and in an
    undeteriorated and sound condition or which in any other manner operates or may operate to
    the prejudice or disadvantage of the purchaser or consumer. This product also found to
    breach Section 15(d) as it contains substance which renders the drug injurious to health where
    the usage of such product results in severe adverse events. On top of that, possession and
    sales of this product is also considered offence under the Control of Drugs and Cosmetics
    Regulations 1984 as well, violating Regulation 7 (1A) (e) where the product is found to
    labelled with fake registration numbers.
    Pharmacist should educate the public to always refer to healthcare professionals
    before using any complementary medication such as herbal products. Next, pharmacists
    should also play their role in advising the consumers to always check on the registration
    number of the complementary product from the QUEST 3+ (Sistem Pendaftaran Produk dan
    Perlesenan) service provided by National Pharmaceutical Regulatory Agency (NPRA).
    Besides, pharmacist should also investigate and report such adverse events resulting from
    consumption of herbal products to related authority, MADRAC so that further action could
    be taken.
    References:
    1. Tian Ma Tu Chung Seven Leave Ginseng, Vall-Boon Tongkat Ali, and Pao Ni Kang -
    Recalls and safety alerts. (2018). Retrieved from http://healthycanadians.gc.ca/recall-alert-
    rappel-avis/hc-sc/2011/13870a-eng.php
    2. Health, D. (2018). Kenyataan Akhbar KPK 15 April 2016: Amaran Kepada Orang Awam
    Mengenai Pengambilan Produk Tidak Berdaftar Dong Mai Tan & Seven Leave Ginsengs.
    Retrieved from https://kpkesihatan.com/2016/04/15/kenyataan-akhbar-kpk-15-april-2016-
    amaran-kepada-orang-awam-mengenai-pengambilan-produk-tidak-berdaftar-dong-mai-tan-
    seven-leave-ginsengs/
    3. Do not consume traditional medicines Dong Mai Tan and seven leave ginsengs, says
    Health DG. (2018). Retrieved from http://www.thesundaily.my/news/1762828
    4. Dong Mai Tan, Seven Leave Ginseng not to be consumed. (2018). Retrieved from
    https://www.freemalaysiatoday.com/category/nation/2016/04/15/dong-mai-tan-seven-leave-
    ginseng-not-to-be-consumed/
    5. Sale Of Drugs Act 1952 (Revised - 1989) (2018). Retrieved from
    https://www.pharmacy.gov.my/v2/sites/default/files/document-upload/sales-drug-act-1952-
    act-368.pdf
    6. Control of Drugs and Cosmetics Regulations 1984 (2018). Retrieved from
    https://www.pharmacy.gov.my/v2/sites/default/files/document-upload/control-drugs-and-
    cosmetics-regulation-1984.pdf

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