European Union herbal monograph on Prunus africana (Hook f.) Kalkm., cortex

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12 July 2016 EMA/HMPC/680626/2013 Committee on Herbal Medicinal Products (HMPC) European Union herbal monograph on Prunus africana (Hook f.) Kalkm., cortex Final Discussion in Working Party on European Union monographs and list (MLWP) Adoption by Committee on Herbal Medicinal Products (HMPC) for release for consultation September 2013 January 2014 May 2014 July 2015 September 2015 24 November 2015 Start of public consultation 15 December 2015 End of consultation (deadline for comments) 15 March 2016 Re-discussion in MLWP April 2016 June 2016 Adoption by HMPC 12 July 2016 Keywords Herbal medicinal products; HMPC; European Union herbal monographs; traditional use; Prunus africana (Hook f.) Kalkm., cortex; Pruni africanae cortex; pygeum africanum bark BG (bulgarski): Африканска слива, кора CS (čeština): kůra slivoně africké DA (dansk): Rosenolie DE (Deutsch): Afrikanische Pflaumenbaumrinde EL (elliniká): Προύμνης αφρικανικής φλοιός EN (English): pygeum africanum bark ES (español): pígeum, corteza de ET (eesti keel): aafrika ploomipuu koor FI (suomi): afrikankirsikkapuu, kuori FR (français): prunier d'afrique (écorce de) HR (hrvatski): kora afričke trešnje HU (magyar): afrikai szilvafa kéreg IT (italiano): Pruno africano (pigeo africano) corteccia 30 Churchill Place Canary Wharf London E14 5EU United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact LT (lietuvių kalba): Afrikinių slyvų žievė LV (latviešu valoda): Pigejas miza MT (Malti): qoxra tal-siġra tal-pruna afrikana NL (Nederlands): rood stinkhout PL (polski): Kora śliwy afrykańskiej PT (português): ameixoeira Africana, casca RO (română): scoarță de Prunus africana/prun african SK (slovenčina): kôra slivky africkej SL (slovenščina): skorja afriške slive SV (svenska): afrikansk lagerhägg, bark IS (íslenska): NO (norsk): pygeumbark An agency of the European Union European Medicines Agency, 2017. Reproduction is authorised provided the source is acknowledged.

European Union herbal monograph on Prunus africana (Hook f.) Kalkm., cortex 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. Prunus africana (Hook f.) Kalkm., cortex (pygeum africanum bark) i) Herbal substance Not applicable ii) Herbal preparations Soft extract (DER 114-222:1), extraction solvent: chloroform; (stabilised by 1.2% of ethanol >99.9%) 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 the relief of lower urinary tract symptoms related to benign prostatic hyperplasia after serious conditions have been excluded by a medical doctor. 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.: 1886) EMA/HMPC/680626/2013 Page 2/5

The product is a traditional herbal medicinal product for use in the specified indication exclusively based upon long-standing use. 4.2. Posology and method of administration Posology Adults and elderly Single dose: 50 mg Daily dose: 100 mg There is no relevant use in children and adolescents under 18 years of age and women. Duration of use Long-term use is possible (see section 4.4 Special warnings and precautions for use ). Method of administration Oral use 4.3. Contraindications Hypersensitivity to the active substance. 4.4. Special warnings and precautions for use If complaints worsen or if symptoms such as fever, spasms or blood in the urine, painful urination or urinary retention occur during the use of the medicinal product, a doctor should be consulted. 4.5. Interactions with other medicinal products and other forms of interaction None reported EMA/HMPC/680626/2013 Page 3/5

4.6. Fertility, pregnancy and lactation No fertility data available. Pregnancy and lactation not relevant. 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 Rarely: digestive disorders (nausea, constipation or diarrhoea). If other adverse reactions not mentioned above 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. 5.2. Pharmacokinetic properties Directive 2001/83/EC as amended. EMA/HMPC/680626/2013 Page 4/5

5.3. Preclinical safety data Directive 2001/83/EC as amended, unless necessary for the safe use of the product. Tests on carcinogenicity have not been performed. Adequate tests on genotoxicity and reproductive toxicity have not been performed. 6. Pharmaceutical particulars Not applicable 7. Date of compilation/last revision 12 July 2016 EMA/HMPC/680626/2013 Page 5/5