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6 May 2010 EMA/HMPC/142986/2009 Committee on Herbal Medicinal Products (HMPC) Final 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) March 2009 May 2009 July 2009 16 July 2009 15 December 2009 4 May 2010 Adoption by Committee on Herbal Medicinal Products (HMPC) 6 May 2010 Keywords BG (bălgarski): лист от черно френско грозде CS (čeština): list rybízu černého DA (dansk): DE (Deutsch): Schwarze Johannisbeerblätter EL (elliniká): EN (English): blackcurrant leaf ES (espanol): ET (eesti keel): FI (suomi): FR (français): cassis (feuille de) HU (magyar): IT (italiano): Herbal medicinal products; HMPC; Community herbal monographs; traditional use; Ribes nigrum L., folium; Ribis nigri folium ; blackcurrant leaf LT (lietuvių kalba): juodųjų serbentų lapai LV (latviešu valoda): upeņu lapas MT (malti): weraq tar-ribes NL (nederlands): zwarte bes PL (polski): liść porzeczki czarnej PT (português): groselheira-negra, folha RO (română): frunza de coacaz negru SK (slovenčina): list ríbezle čiernej SL (slovenščina): SV (svenska): svartvinbärsblad IS (íslenska): NO (norsk): 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, 2017. Reproduction is authorised provided the source is acknowledged.

1. Name of the medicinal product To be specified for the individual finished product. 2. Qualitative and quantitative composition 1 3. Pharmaceutical form 4. Clinical particulars 4.1. Therapeutic indications With regard to the registration application of Article 16d(1) of Directive 2001/83/EC as amended i) Herbal substance Ribes nigrum L. folium (blackcurrant leaf) ii) Herbal preparations a) Comminuted herbal substance. b) Dry extract (DER 7:1), extraction solvent water Comminuted herbal substance as herbal tea for oral use. Herbal preparations in solid dosage forms. The pharmaceutical form should be described by the European Pharmacopoeia full standard term. Indication 1) Traditional herbal medicinal product for relief of minor articular pain. Indication 2) Traditional herbal medicinal product to increase the amount of urine to achieve flushing of the 1 The declaration of the active substance(s) for an individual finished product should be in accordance with relevant herbal quality guidance. EMA/HMPC/142986/2009 Page 2/5

4.2. Posology and method of administration 4.3. Contraindications urinary tract as an adjuvant in minor urinary complaints. The product is a traditional herbal medicinal product for use in the specified indication exclusively based upon long-standing use. Posology Adults, Elderly Indication 1) Comminuted herbal substance for infusion as herbal tea preparation: 2 to 4 g per cup 3 times daily. Indication 1) and 2) Dry extract (7:1, water) 169 mg 1 to 3 times daily. 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 The herbal substance is traditionally used over a period of 2 (indication 2) to 4 weeks (indication 1). 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. To ensure an increase of the amount of urine, adequate fluid intake is required during treatment. Hypersensitivity to the active substance. Condition was a reduced fluid intake is recommended (e.g. severe cardiac or renal disease). EMA/HMPC/142986/2009 Page 3/5

4.4. Special warnings and precautions for use The use in children and adolescents under 18 years of age is not recommended. If the symptoms worsen during the use of the medicinal product, a doctor or a qualified health care practitioner should be consulted. If complaints of symptoms such as fever, dysuria, spasms or blood in the urine occur during the use of the medicinal product, a doctor or a qualified health care professional should be consulted. Concomitant treatment with synthetic diuretics is not recommended. Articular pain accompanied by swelling of joints, redness or fever, should be examined by a doctor. 4.5. Interactions with other medicinal products and other forms of interaction 4.6. Pregnancy and lactation None reported. Safety during pregnancy and lactation has not been established. 4.7. Effects on ability to drive and use machines 4.8. Undesirable effects In the absence of sufficient data, the use during pregnancy and lactation is not recommended. No studies on the effect on the ability to drive and use machines have been performed. None known. If adverse reactions occur, a doctor or a EMA/HMPC/142986/2009 Page 4/5

pharmacist should be consulted. 4.9. Overdose No case of overdose has been reported. 5. Pharmacological properties 5.1. Pharmacodynamic properties 5.2. Pharmacokinetic properties Not required as per Article 16c (1)(a)(iii) of Directive 2001/83/EC as amended. Not required as per Article 16c (1)(a)(iii) of Directive 2001/83/EC as amended. 5.3. Preclinical safety data 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. Tests on reproductive toxicity, genotoxicity and carcinogenicity have not been performed. 6. Pharmaceutical particulars Not applicable. 7. Date of compilation/last revision 6 May 2010 EMA/HMPC/142986/2009 Page 5/5