What does the FDA do?
Drugs = safe & effective
Reviews all claims- Rx, OTC, BTC, Supplements
Categories of non-prescription
OTC
Herbal Supplements
Dietary Supplement Health & Education Act regulates?
Non-tobacco product; Intended to supplement diet
Must contain at least one of the following: Vitamins, minerals, herbs, botanicals, or amino acids
Intended delivery: oral
Non-nutritive (non-caloric)
Guidelines for promotional literature
-Cannot include disease tx or prevention claims
3 Permissible claims : Nutrient content, structure/function (Ca builds strong bones) , Health- general health (promotes bowels/ immunity)
Evidence to support these claims must be present before marketing
T/F: Evidence to support these claim for supplements must be present before marketing.
TRUE
Echinacea: CLaim? Issue?
Claim- Immune function, inflamm
Issues- GI upset
Garlic: Claim, Issue?
Claim: Cholesterol, coag, Ca, anti-bacterial
Issue- Odor (bad breath), coagulation
Ginko Biloba: Claim?
Increased blood flow, memory, dementia
St. John’s Wort: Claim, Issue, Other?
Claim: Depression
Issue- Induce CYPs
Other- w/ MAOIs = SEROTONIN SYNDROME
Ginseng: Claim?
Memory, immunity, analgesia
How does the DSHEA regulate their products?
“Like a food” aka “dietary supplement”