Community herbal monograph on Paullinia cupana Kunth ex H.B.K. var. sorbilis (Mart.) Ducke, semen

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22 May 2012 EMA/HMPC/897344/2011 Committee on Herbal Medicinal Products (HMPC) Community herbal monograph on Paullinia cupana Kunth ex H.B.K. var. sorbilis (Mart.) Ducke, semen Draft Discussion in Working Party on Community monographs and Community list (MLWP) Adoption by Committee on Herbal Medicinal Products (HMPC) for release for consultation End of consultation (deadline for comments). Comments should be provided using this template to hmpc.secretariat@ema.europa.eu Rediscussion in Working Party on Community monographs and Community list (MLWP) Adoption by Committee on Herbal Medicinal Products (HMPC) November 2011 January 2012 March 2012 22 May 2012 15 October 2012 Keywords Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Paulinia cupana Kunth ex H.B.K. var. sorbilis (Mart.) Ducke ; Paulliniae semen; guarana seed BG (bălgarski): CS (čeština): semeno paulinie nápojné DA (dansk): DE (Deutsch): Guaranasamen EL (elliniká): Σπέρμα γκουαράνα EN (English): Guarana ES (espanol): Guaraná, semilla de ET (eesti keel): FI (suomi): guarana, siemen FR (français): Guarana (graine de) HU (magyar): Guaránamag IT (italiano): LT (lietuvių kalba): LV (latviešu valoda): MT (malti): NL (nederlands): Guarana PL (polski): Nasienie paulinii gwarany PT (português): Guaraná RO (română): SK (slovenčina): SL (slovenščina): Seme gvarane SV (svenska): Guarana IS (íslenska): NO (norsk): Guaranafrø 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 An agency of the European Union European Medicines Agency, 2012. Reproduction is authorised provided the source is acknowledged.

Community herbal monograph on Paullinia cupana Kunth ex H.B.K. var. sorbilis (Mart.) Ducke, semen 1. Name of the medicinal product To be specified for the individual finished product. 2. Qualitative and quantitative composition 1, 2 With regard to the registration application of Article 16d(1) of Directive 2001/83/EC as amended Paullinia cupana Kunth ex H.B.K. var. sorbilis (Mart.) Ducke, semen (guarana seed) i) Herbal substance Not applicable. ii) Herbal preparations Powdered herbal substance. 3. Pharmaceutical form Herbal preparations in solid dosage forms for oral use. The pharmaceutical form should be described by the European Pharmacopoeia full standard term. 4. Clinical particulars 4.1. Therapeutic indications Traditional herbal medicinal product for symptoms of fatigue and sensation of weakness. The product is a traditional herbal medicinal product for use in the specified indication exclusively based upon long-standing use. 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. Fr. monograph guarana, graine de (1997). EMA/HMPC/897344/2011 Page 2/5

4.2. Posology and method of administration Posology Adults and elderly Single dose: 450 mg up to 5 times per day The use in children and adolescents under 18 years of age is not recommended (see section 4.4 Special warnings and precautions for use ). Duration of use 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. Method of administration Oral use. 4.3. Contraindications Hypersensitivity to the active substance. Gastric and duodenal ulcers, cardiovascular disorders such as hypertension and arrhythmias, hyperthyroidism. 4.4. Special warnings and precautions for use The use in children and adolescents under 18 years of age has not been established due to lack of adequate data. Not recommended before bedtime as it may cause sleep disturbances. 4.5. Interactions with other medicinal products and other forms of interaction Persons taking MAO-inhibitor drugs should use EMA/HMPC/897344/2011 Page 3/5

Paulliniae semen with caution. Caffeine containing preparations reduce sedative action and increase side effects caused by sympathomimetic drugs. 4.6. Fertility, pregnancy and lactation No fertility data available. Safety during pregnancy and lactation has not been established. In the absence of sufficient data, the use during pregnancy and lactation is not recommended. 4.7. Effects on ability to drive and use machines No studies on the effect on the ability to drive and use machines have been performed. 4.8. Undesirable effects None known. If adverse reactions occur, a doctor or a qualified health care practitioner should be consulted. 4.9. Overdose No case of overdose has been reported. 5. Pharmacological properties 5.1. Pharmacodynamic properties Directive 2001/83/EC as amended. EMA/HMPC/897344/2011 Page 4/5

5.2. Pharmacokinetic properties Directive 2001/83/EC as amended. Caffeine crosses the placenta and is distributed in breast milk. 5.3. Preclinical safety data Directive 2001/83/EC as amended, unless necessary for the safe use of the product. Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed. 6. Pharmaceutical particulars Not applicable. 7. Date of compilation/last revision 22 May 2012 EMA/HMPC/897344/2011 Page 5/5