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Delegates' Interim Decisions and Reasons for Decisions

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Delegates' Interim Decisions and Reasons for Decisions Interim decisions & reasons for decisions by delegates of the Secretary to the Department of Health February 2015 Notice under subsections 42ZCZP of the Therapeutic Goods Regulations 1990 (the Regulations) A delegate of the Secretary to the Department of Health hereby gives notice of delegate’s interim decisions for amending the Poisons Standard (commonly referred to as the Standard for the Uniform Scheduling of Medicines and Poisons - SUSMP) under subsections 42ZCZP the Therapeutic Goods Regulations 1990 (the Regulations). This notice also provides the reasons for each decision and the date of effect of the decision. This notice provides the interim decisions of the delegate, the reasons for those decisions and invites further submissions for the applicant and parties who made valid submissions in response to the original invitations for submissions (published on 14 August 2014 and 17 November 2014 for general scheduling applications and delegate-initiated scheduling applications respectively at https://www.tga.gov.au/consultation-invitation/consultation-invitation-public-comment-acms-and- joint-accsacms-meetings-november-2014 and https://www.tga.gov.au/consultation- invitation/consultation-invitation-public-comment-out-session-acms-meeting-november-2014. Edited versions of these submissions will be made available at https://www.tga.gov.au/public- submissions-scheduling-matters. Further submissions must be relevant to the proposed amendment, must address a matter mentioned in section 52E of the Therapeutic Goods Act 1989 and be received by the closing date 19 February 2015. Further submissions from parties other than those who made a valid submission in response to the original invitation or the applicant, or those received after the closing date, need not be considered by the delegate. Please note that all valid submissions received on or before the closing date will be published following removal of confidential information. It is up to the person making the submissions to highlight any information which they wish to be considered as confidential. Material claimed to be commercial-in-confidence will be considered against the guidelines for the use and release of confidential information set out in Chapter 6 of the Scheduling Policy Framework for Medicines and Chemicals (SPF, 2010), issued by the National Coordinating Committee on Therapeutic Goods. The SPF is accessible at https://www.tga.gov.au/publication/ncctg-scheduling-policy-framework. Persons making submissions are strongly encouraged to lodge submissions in electronic format (word or unsecured PDF preferred) via the email address provided below. Submissions, preferably in electronic format, should be made to [email protected] for items referred to the Advisory Committee on Medicines Scheduling. The closing date for further submissions is 19 February 2015. Delegates’ interim decisions and reasons for decisions Page 1 of 57 5 February 2015 Glossary Abbreviation Name AAN Australian Approved Name AC Active constituent ACCC Australian Competition and Consumer Commission ACCM Advisory Committee on Complementary Medicines (formerly Complementary Medicine Evaluation Committee [CMEC]) ACNM Advisory Committee on Non-prescription Medicines (formerly Medicines Evaluation Committee [MEC]) ACPM Advisory Committee on Prescription Medicines (formerly Australian Drug Evaluation Committee [ADEC]) ACSOM Advisory Committee on the Safety of Medicines (formerly Adverse Drug Reactions Advisory Committee [ADRAC]) ADEC Australian Drug Evaluation Committee (now Advisory Committee on Prescription Medicines [ACPM]) ADI Acceptable daily intake ADRAC Adverse Drug Reactions Advisory Committee (now Advisory Committee on the Safety of Medicines [ACSOM]) AHMAC Australian Health Ministers' Advisory Council APVMA Australian Pesticides and Veterinary Medicines Authority AQIS Australian Quarantine and Inspection Service ARfD Acute reference dose ASCC Australian Safety and Compensation Council ASMI Australian Self-Medication Industry ARTG Australian Register of Therapeutic Goods CAS Chemical Abstract Service Delegates’ interim decisions and reasons for decisions Page 2 of 57 5 February 2015 Abbreviation Name CHC Complementary Healthcare Council of Australia CMEC Complementary Medicine Evaluation Committee (now Advisory Committee on Complementary Medicines [ACCM]) CMI Consumer Medicine Information COAG Councils of Australian Governments CRC Child-resistant closure CTFAA Cosmetic, Toiletry & Fragrance Association of Australia CWP Codeine Working Party DAP Drafting Advisory Panel ECRP Existing Chemicals Review Program EPA Environmental Protection Authority ERMA Environmental Risk Management Authority (New Zealand) FAISD First Aid Instructions and Safety Directions FDA Food and Drug Administration (United States) FOI Freedom of Information Act 1982 FSANZ Food Standards Australia New Zealand GHS Globally Harmonised System for Classification and Labelling of Chemicals GIT Gastro-intestinal tract GP General practitioner HCN Health Communication Network IMAP Inventory Multi-tiered Assessment Prioritisation Delegates’ interim decisions and reasons for decisions Page 3 of 57 5 February 2015 Abbreviation Name INN International Non-proprietary Name ISO International Standards Organization LC50 The concentration of a substance that produces death in 50 per cent of a population of experimental organisms. Usually expressed as mg per litre (mg/L) as a concentration in air. LD50 The concentration of a substance that produces death in 50 per cent of a population of experimental organisms. Usually expressed as milligrams per kilogram (mg/kg) of body weight. LOAEL Lowest observed adverse effect level LOEL Lowest observed effect level MCC Medicines Classification Committee (New Zealand) MEC Medicines Evaluation Committee (now Advisory Committee on Non- prescription Medicines [ACNM]) MOH Ministry of Health (New Zealand) NCCTG National Coordinating Committee on Therapeutic Goods NDPSC National Drugs and Poisons Schedule Committee NHMRC National Health and Medical Research Council NICNAS National Industrial Chemicals Notification & Assessment Scheme NOAEL No observed adverse effect level NOEL No observable effect level NOHSC National Occupational Health & Safety Commission OCM Office of Complementary Medicines OCSEH Office of Chemical Safety and Environmental Health (now Office of Chemical Safety [OCS]) OCS Office of Chemical Safety Delegates’ interim decisions and reasons for decisions Page 4 of 57 5 February 2015 Abbreviation Name ODA Office of Devices Authorisation OMA Office of Medicines Authorisation (formerly Office of Prescription and Non-prescription Medicines) OOS Out of session OTC Over-the-counter PACIA Plastics and Chemicals Industries Association PAR Prescription animal remedy PBAC Pharmaceutical Benefits Advisory Committee PEC Priority existing chemical PGA Pharmaceutical Guild of Australia PHARM Pharmaceutical Health and Rational Use of Medicines PI Product Information PIC Poisons Information Centre PSA Pharmaceutical Society of Australia QCPP Quality Care Pharmacy Program QUM Quality Use of Medicines RFI Restricted flow insert SCCNFP Scientific Committee on Cosmetic and Non-Food Products SCCP Scientific Committee on Consumer Products STANZHA States and Territories and New Zealand Health Authorities SUSDP Standard for the Uniform Scheduling of Drugs and Poisons SUSMP Standard for the Uniform Scheduling of Medicines and Poisons Delegates’ interim decisions and reasons for decisions Page 5 of 57 5 February 2015 Abbreviation Name SVT First aid for the solvent prevails TCM Traditional Chinese Medicine TGA Therapeutic Goods Administration TGC Therapeutic Goods Committee TGO Therapeutic Goods Order TTHWP Trans-Tasman Harmonisation Working Party TTMRA Trans-Tasman Mutual Recognition Agreement WHO World Health Organization WP Working party WS Warning statement Delegates’ interim decisions and reasons for decisions Page 6 of 57 5 February 2015 Table of contents Part A - Interim decisions on matters referred to an expert advisory committee 8 1. Scheduling proposals referred to the November 2014 meeting of the Advisory Committee on Medicines Scheduling (ACMS #13) ___________________ 8 1.1 PERFORMANCE AND IMAGE ENHANCING DRUGS (PIEDS) ____ 8 1.2 PARACETAMOL/CAFFEINE _______________________________ 12 1.3 PARACETAMOL/IBUPROFEN ______________________________ 15 1.4 PARACETAMOL/PHENYLEPHRINE _________________________ 19 1.5 NAPROXEN SCHEDULE 2 _________________________________ 23 1.6 NAPROXEN APPENDIX H _________________________________ 28 1.7 BENZYDAMINE __________________________________________ 33 1.8 PANTOPRAZOLE _________________________________________ 36 1.9 CYCLIZINE ______________________________________________ 40 1.10 POMALIDOMIDE ________________________________________ 44 1.11 ENZALUTAMIDE ________________________________________ 48 1.12 PONATINIB _____________________________________________ 51 Part B - Interim decisions on matters referred to an expert advisory committee 53 2. Scheduling proposals referred to the Out of Session November 2014 meeting of the Advisory Committee on Medicines Scheduling __________________ 53 2.1 CANNABIDIOL ___________________________________________ 53 Delegates’ interim decisions and reasons for decisions Page 7 of 57 5 February 2015 Part A - Interim decisions on matters referred to an expert advisory committee 1. Scheduling proposals referred to the November 2014 meeting of the Advisory Committee on Medicines Scheduling (ACMS #13) 1.1 PERFORMANCE AND IMAGE ENHANCING
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