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Draft Community Herbal Monograph On Eucalyptus Globulus Labill., Eucalyptus Polybractea R.T. Baker And/Or Eucalyptus Smithii R.T. Baker, Aetheroleum

O

EUROPEAN MEDICINES AGENCY

SCIENCE MEDICINES HEALTH

15 June 2013

EMA/HMPC/307781/2012

Committee on Herbal Medicinal Products (HMPC)

Community herbal monograph on Eucalyptus globulus Labill., Eucalyptus polybractea R.T. Baker and/or Eucalyptus smithii R.T. Baker, aetheroleum

Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Eucalyptus globulus Labill., Eucalyptus polybractea R.T. Baker and/or Eucalyptus smithii R.T. Baker, aetheroleum; Eucalypti aetheroleum; Eucalyptus oil


Draft

Discussion in Working Party on Community monographs and Community list (MLWP)

May 2012 September 2012 November 2012 March 2013

Adoption by Committee on Herbal Medicinal Products (HMPC) for release for consultation

14 May 2013

End of consultation (deadline for comments). Comments should be provided using this template to hmpc.secretariat@ema.europa.eu

15 November 2013

Rediscussion in Working Party on Community monographs and Community list (MLWP)

Adoption by Committee on Herbal Medicinal Products (HMPC)

Keywords

An agency of the European Union


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© European Medicines Agency, 2013. Reproduction is authorised provided the source is acknowledged.

BG (bälgarski): EBKa^wnTOBO Macm

CS (cestina): blahovicnikova silice

DA (dansk): Eucalyptusolie

DE (Deutsch): Eukalyptusöl

EL (ellinika): eÀaio euKaÀùnTOu- ai0épio eÀaio

euKaÀùnTOu

EN (English): Eucalyptus oil

ES (espanol): Eucalipto, aceite esentcial de

ET (eesti keel): eukalüptiôli

FI (suomi): eukalyptusöljy

FR (français): Eucalyptus (huile essentielle d')

HU (magyar): Eukaliptuszolaj

IT (italiano): Eucalipto essenza


LT (lietuviq. kalba): Eukaliptq. eterinis aliejus LV (latviesu valoda): Eikalipta eteriska ejja MT (malti): Zejt tal-Ewkaliptus NL (nederlands): Eucalyptusolie PL (polski): Olejek eteryczny eukaliptusowy PT (portugues): Oleo essencial de eucalipto RO (romånä): ueli volatil de eucalipt SK (slovencina): Eukalyptova silica SL (slovenscina): etericno olje evkalipta SV (svenska): Eukalyptusolja IS (fslenska):

NO (norsk): Eukalyptusolje


Community herbal monograph on Eucalyptus globulus Labill., Eucalyptus polybractea R.T. Baker and Eucalyptus smithii R.T. Baker, aetheroleum

1.    Name of the medicinal product

To be specified for the individual finished product.

2.    Qualitative and quantitative composition1, 2

Well-established use

Traditional use

With regard to the registration application of Article 16d(1) of Directive 2001/83/EC as amended

Eucalyptus globulus Labill., Eucalyptus polybractea R.T. Baker and Eucalyptus smithii R.T. Baker, aetheroleum (Eucalyptus oil)

i)    Herbal substance Not applicable.

ii)    Herbal preparations Essential oil.

3. Pharmaceutical form

Well-established use

Traditional use

Herbal preparation in solid or liquid dosage forms for oral use.

Herbal preparations in liquid dosage forms for inhalation or as bath additives.

Herbal preparations in liquid or semi-solid dosage forms for cutaneous use.

The pharmaceutical form should be described by the European Pharmacopoeia full standard term.

1    The declaration of the active substance(s) for an individual finished product should be in accordance with relevant herbal quality guidance.

2    The material complies with the Ph. Eur. monograph (ref.: 07/2012:0390).

4. Clinical particulars

4.1. Therapeutic indications

Well-established use

Traditional use

Indication 1)

Traditional herbal medicinal product used for relief of cough associated with cold.

Indication 2)

Traditional herbal medicinal product for the symptomatic relief of localised muscle pain.

The product is a traditional herbal medicinal product for use in specified indications exclusively based upon long-standing use.

4.2. Posology and method of administration

Well-established use

Traditional use

Posology

Indication 1)

Oral use

Adolescents, adults and elderly

Single dose: 100-200 mg, 2 to 5 times a day

The use in children under 30 months of age is contraindicated (see section 4.3 'Contraindications').

The use in children under 12 years of age is not recommended (see section 4.4 'Special warnings and precautions for use').

Cutaneous use

Children between 4 and 12 years of age, adolescents, adults and elderly

Single dose for liquid dosage forms; a few drops on chest or back, 2 to 3 times a day

Single dose for semi-solid dosage forms (10% Eucalyptus oil):

apply a thin layer on chest and back, 2 to 3 times a day

The use in children under 30 months of age is contraindicated (see section 4.3

Well-established use

Traditional use

'Contraindications').

The use is not recommended in children between

2.5    and 4 years of age (see section 4.4 'Special warnings and precautions for use').

Inhalation

Adolescents, adults and elderly

Single dose: up to 3-8 drops per 250 ml boiling water, 3 times a day

Children between 4 and 12 years of age

Single dose: up to 2-4 drops per 250 ml boiling water, 3 times a day

The use in children under 30 months of age is contraindicated (see section 4.3 'Contraindications').

The use in children between 2.5 and 4 years of age is not recommended (see section 4.4 'Special warnings and precautions for use').

Use as bath additive

Adolescents, adults and elderly

Single dose: 1.5-6 g essential oil/100 l water, 3 to 4 times a week

Children between 4 and 12 years of age

Single dose: 0.5-3 g essential oil/100 l water, 3 to 4 times a week

Recommended bath temperature is at 35-38°C for 10-20 minutes.

The use in children under 30 months of age is contraindicated (see section 4.3 'Contraindications').

The use is not recommended in children between

2.5    and 4 years of age (see section 4.4 'Special warnings and precautions for use').

Indication 2)

Cutaneous use

Children between 4 and 12 years of age, adolescents, adults and elderly

Single dose for liquid dosage forms: a few drops on the affected areas, 2 to 3 times a day

Single dose for semi-sold dosage forms (10% eucalyptus oil): apply a thin layer on affected areas, 2 to 3 times a day

The use in children under 30 months of age is contraindicated (see section 4.3 'Contraindications').

The use is not recommended in children between

2.5    and 4 years of age (see section 4.4 'Special warnings and precautions for use').

Use as bath additive

Children between 4 and 12 years of age, adolescents, adults and elderly

Single dose: 1.7-4 g essential oil/100 l water, 3 to 4 times a week

Recommended bath temperature is at 35-38°C for 10-20 minutes.

The use in children under 30 months of age is contraindicated (see section 4.3 'Contraindications').

The use is not recommended in children between

2.5    and 4 years of age (see section 4.4 'Special warnings and precautions for use').

Duration of use

Indication 1)

If the symptoms persist longer than 1 week during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.

Indication 2)

Use as bath additive

If the symptoms persist longer than 1 week during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.


Well-established use

Traditional use

Cutaneous use

If the symptoms persist longer than 2 weeks during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted.

Method of administration

Oral use (indication 1).

Cutaneous use (indications 1, 2).

Inhalation (indication 1).

Use as bath additive (indications 1, 2).

4.3. Contraindications

Well-established use

Traditional use

Hypersensitivity to Eucalyptus oil or 1,8-cineol.

Children with history of seizures (febrile or not).

Children under 30 months of age, because there is a risk that 1,8-cineole containing preparations, like other essential oil can induce laryngospasm.

Full hot baths are contraindicated in cases of large skin injuries and open wounds, acute skin diseases, high fever, severe infections, severe circulatory disturbances and cardiac failure.

4.4. Special warnings and precautions for use

Well-established use

Traditional use

The use in children between 2.5 and 4 years of age has not been established due to lack of adequate data.

Cutaneous use

Eye contact with unwashed hands after the application of eucalyptus oil may potentially cause irritation.

Eucalyptus oil should not be applied on broken or irritated skin.

Oral use

Well-established use

Traditional use

Eucalyptus oil should be used with caution in inflamed and ulcerated conditions of the gastrointestinal tract.

Indication 1)

When dyspnoea, fever or purulent sputum occurs, a doctor or a qualified health care practitioner should be consulted.

The oral use in children under 12 years of age has not been established due to lack of adequate data.

Indication 2)

When reddening or swelling of the aching parts occur a doctor or a qualified health care practitioner should be consulted.

4.5. Interactions with other medicinal products and other forms of interaction

Well-established use

Traditional use

None reported.

4.6. Fertility, pregnancy and lactation

Well-established use

Traditional use

Safety during pregnancy and lactation has not been established. In the absence of sufficient data, the use during pregnancy and lactation is not recommended.

No fertility data available.

4.7. Effects on ability to drive and use machines

Well-established use

Traditional use

No studies on the effect on the ability to drive and use machines have been performed.

4.8. Undesirable effects

Well-established use

Traditional use

None known.

If adverse reactions occur, a doctor or a qualified

Well-established use

Traditional use

health care practitioner should be consulted.

4.9. Overdose

Well-established use

Traditional use

No case of overdose has been reported.

5. Pharmacological properties

5.1. Pharmacodynamic properties

Well-established use

Traditional use

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended.

5.2. Pharmacokinetic properties

Well-established use

Traditional use

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended.

5.3. Preclinical safety data

Well-established use

Traditional use

Not required as per Article 16c(1)(a)(iii) of Directive 2001/83/EC as amended, unless necessary for the safe use of the product.

Adequate tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed.

6. Pharmaceutical particulars

Well-established use

Traditional use

Not applicable.

7. Date of compilation/last revision

15 June 2013

Community herbal monograph on Eucalyptus globulus Labill., Eucalyptus polybractea R.T. Baker and/or Eucalyptus

smithii R.T. Baker, aetheroleum

EMA/HMPC/307781/2012

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