Medine.co.uk

Draft Community Herbal Monograph On Tilia Cordata Miller, Tilia Platyphyllos Scop., Tilia X Vulgaris Heyne Or Their Mixtures, Flos

o

EUROPEAN MEDICINES AGENCY

SCIENCE MEDICINES HEALTH

13 September 2011

EMA/HMPC/337066/2011

Committee on Herbal Medicinal Products (HMPC)

Community herbal monograph on Tilia cordata Miller, Tilia platyphyllos Scop., Tilia x vulgaris Heyne or their mixtures, flos

Draft

Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Tilia cordata Miller, Tila platyphyllos Scop., Tilia x vulgaris Heyne or their mixtures, flos; Tiliae flos; Lime flower


Discussion in Working Party on Community monographs and Community

May 2011

list (MLWP)

July 2011

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

13 September 2011

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

15 February 2012

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

Adoption by Committee on Herbal Medicinal Products (HMPC)

Keywords

BG (balgarski): .Buna, ^at

LT (lietuviq. kalba):

CS (cestina): Lipovy kvët

LV (latviesu valoda): Liepu ziedi

DA (dansk): Lindeblomst

MT (malti):

DE (Deutsch): Lindenblüten

NL (nederlands): Lindebloesem

EL (ellinika): AvOoç ^lÀÀùpaç

PL (polski): Kwiat lipy

EN (English): Lime flower

PT (portugues): Tilia, flor

ES (espanol): Tilo, flor de

RO (romånä): Floare de tei

ET (eesti keel): Pärnaöis

SK (slovencina): Lipovy kvet

FI (suomi):

SL (slovenscina): Cvet lipe

FR (français): Tilleul (fleur de)

SV (svenska): Lindblomma

HU (magyar): Harsfaviragzat

IS (íslenska):

IT (italiano): Tiglio fiore

NO (norsk): Lindeblomst


An agency of the European Union


7 Westferry Circus • Canary Wharf • London E14 4HB • United Kingdom Telephone +44 (0)20 7418 8400 Facsimile +44 (0)20 7523 7051 E-mail info@ema.europa.eu Website www.ema.europa.eu

© European Medicines Agency, 2011. Reproduction is authorised provided the source is acknowledged.

Community herbal monograph on Tilia cordata Miller, Tilia platyphyllos Scop., Tilia x vulgaris Heyne or their mixtures, flos

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

Tilia cordata Miller, Tilia platyphyllos Scop., Tilia x vulgaris Heyne, flos or their mixtures (Lime flower)

i)    Herbal substance Not applicable.

ii)    Herbal preparations

a)    Comminuted herbal substance

b)    Liquid extract (DER 1:1), extraction solvent ethanol 25% V/V

c)    Tincture (ratio of herbal substance to extraction solvent 1:5), extraction solvent ethanol 45% V/V

3. Pharmaceutical form

Well-established use

Traditional use

Comminuted herbal substance as herbal tea for oral use.

Herbal preparations in liquid dosage forms for oral 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.: 01/2008:0957).

4. Clinical particulars

4.1. Therapeutic indications

Well-established use

Traditional use

Indication 1)

Traditional herbal medicinal product used for the relief of symptoms of common cold.

Indication 2)

Traditional herbal medicinal product for the relief of mild symptoms of mental stress.

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 administration3

Well-established use

Traditional use

Posology

Adolescents, Adults and Elderly

a)    Comminuted herbal substance Single dose

Herbal tea: 1.5 g of the comminuted herbal substance in 150 ml of boiling water as a herbal infusion 2-4 times daily.

b)    Liquid extract

Single dose 2 ml 1-2 times daily Daily dose 2-4 ml

c)    Tincture

Single dose 1 ml 1-2 times daily Daily dose 1-2 ml

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

3 For guidance on herbal substance/herbal preparation administered as herbal tea or as infusion/decoction/macerate preparation, please refer to the HMPC 'Glossary on herbal teas' (EMA/HMPC/5829/2010 Rev.1).

Well-established use

Traditional use

Duration of use

Indication 1)

The therapy should start at first signs of common cold.

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)

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

Method of administration

Oral use.

4.3. Contraindications

Well-established use

Traditional use

Hypersensitivity to the active substance.

4.4. Special warnings and precautions for use

Well-established use

Traditional use

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

Indication 1)

If the symptoms worsen during the use of the medicinal product or if dyspnoea, high fever or purulent sputum occurs, a doctor or a qualified health care practitioner should be consulted immediately.

For tinctures and extracts containing ethanol, the appropriate labelling for ethanol, taken from the 'Guideline on excipients in the label and package leaflet of medicinal products for human use', must be included.

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 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 datai

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 genotoxicity have not been performed.

Tests on reproductive toxicity and carcinogenicity have not been performed.

6. Pharmaceutical particulars

Well-established use

Traditional use

Not applicable.

7. Date of compilation/last revision

13 September 2011

Community herbal monograph on Tilia cordata Miller, Tilia platyphyllos Scop., Tilia x vulgaris Heyne or their mixtures, flos

EMA/HMPC/337066/2011    Page 7/6