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A28    SCIENCE
              Tuesday 19 december 2017

















            U.S. health officials to target high-risk alternative remedies



            By MATTHEW PERRONE                                                                     ty  or  effectiveness  before   administered  via  uncon-
             AP Health Writer                                                                      they  are  sold.  But  unlike   ventional routes such as in-
            WASHINGTON  (AP)  —  U.S.                                                              supplements,  homeopath-     jection or eye drops. Regu-
            health  officials  plan  to                                                            ic  medicines  can  state    lators can issue warning let-
            crack down on a growing                                                                that they are intended for   ters, seize products or pur-
            number of unproven alter-                                                              specific medical symptoms    sue criminal action against
            native  remedies,  focusing                                                            and  conditions,  similar  to   companies  that  disregard
            on  products  containing                                                               drugs.                       federal guidelines.
            dangerous ingredients that                                                             A handful of products in re-  The agency will take com-
            have  occasionally  been                                                               cent years have been sub-    ments on its proposal for 90
            linked to serious injury and                                                           ject  to  major  safety  prob-  days  before  beginning  to
            death.                                                                                 lems,  usually  involving  po-  finalize the plan.
            The  Food  and  Drug  Ad-                                                              tentially toxic ingredients.  Consumer advocates said
            ministration  on  Monday  is-                                                          Last year, the FDA warned    the FDA plan makes sense
            sued  a  new  proposal  for                                                            consumers  about  the  risks   for products that are most-
            regulating    homeopath-                                                               of  teething  tablets  mar-  ly  harmless,  but  can  be
            ic  medicines  that  have                                                              keted by Hyland’s Homeo-     dangerous  if  manufactur-
            long  been  on  the  fringe                                                            pathic after they were tied   ers  stray  from  traditional
            of  mainstream  medicine.                                                              to  seizures  and  deaths  in   ingredients,  dosing  and
            The  agency  plans  to  tar-                                                           infants and children.        manufacturing.
            get products that pose the
            biggest safety risks, includ-                                                          FDA testing later confirmed   “I think the rules do a good
            ing those marketed for chil-                                                           the  products  contained     job of going after the things
            dren or for serious diseases.                                                          high  levels  of  belladonna,   that  are  most  problemat-
            But  under  the  govern-                                                               also  called  nightshade,  a   ic,” said Dr. Adriane Fugh-
            ment’s framework, the vast   This June 16, 2009, file photo shows Zicam Cold Remedy    poisonous  herb  that  has   Berman, an associate pro-
            majority  of  low-risk  prod-  nasal gel in Boston.                                    long  been  used  at  low    fessor  at  Georgetown  Uni-
            ucts  would  remain  on  the                                         Associated Press  dosages  in  homeopathic     versity Medical Center.
            market.                      day snake oil, homeopath-    heavily diluted drugs, vita-  medicine.  The  products    The  FDA  hasn’t  updated
            Popular      homeopathic     ic products are treated as   mins and minerals.           were recalled in April.      its  regulations  for  homeo-
            brands  include  Zicam  Al-  drugs  under  law,  but  not   “People  may  be  putting   In  2009,  the  FDA  ordered   pathic   medicine   since
            lergy Relief and Cold-Eeze.  supported  by  modern  sci-  their  trust  and  money  in   Zicam  to  stop  marketing   1988, when it essentially ex-
            Long  regarded  by  scien-   ence.                        therapies  that  bring  little   three  products  that  con-  empted  the  industry  from
            tists  as  a  form  of  modern-    Most  remedies  contain   or no benefit in combating   tained  zinc  gluconate  af-  basic   production   stan-
                                                                      their ailments, or worse — in   ter more than 100 users re-  dards that are mandatory
                                                                      products  that  may  cause   ported losing their sense of   for traditional drugs, like list-
                                                                      serious  and  even  irrepa-  smell.                       ing ingredients on product
                                                                      rable  harm,”  FDA  Com-     Other  dangerous  ingredi-   labels.
                                                                      missioner Dr. Scott Gottlieb   ents  used  in  homeopathy   Hundreds  of  homeopath-
                                                                      said Monday on a call with   products include nux vom-    ic  remedies  today  are
                                                                      reporters.                   ica, which contains strych-  sold  alongside  over-the-
                                                                      Once a niche market, ho-     nine.  Regulators  have  is-  counter  drugs  like  Tylenol
                                                                      meopathy  products  have     sued  five  warning  letters   and aspirin at pharmacies
                                                                      grown  into  a  $3  billion  in-  this  year  to  companies   across the U.S.
                                                                      dustry,  according  to  FDA   selling products with night-  The  National  Institutes  of
                                                                      figures.                     shade or nux vomica.         Health  has  said  there’s  lit-
                                                                      Homeopathic       products   The  FDA  said  its  proposal   tle  evidence  that  homeo-
                                                                      are  similar  to  dietary  sup-  also  targets  products  that   pathic  medicine  is  effec-
                                                                      plements,  in  that  the  FDA   claim  to  treat  serious  dis-  tive  for  treating  any  spe-
                                                                      does not review their safe-  eases  like  cancer,  or  are   cific condition.q
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