MEMO/08/780
Brussels, 10th December 2008
Information to patients on prescription-only
medicinal products
EU citizens have become more empowered and
proactive consumers of healthcare, increasingly seeking information about
medicines and treatments. EU citizens want to be able to access information on
existing medicines and treatments and at the same time to be more actively
involved in making decisions regarding their health. With the increased Internet
use, ensuring the reliability and quality of information, particularly on
websites, has become fundamental. Action at EU level will benefit EU citizens in
many ways. First and foremost, the information provision will be improved and
harmonized across the EU. There will be more possibilities to receive high
quality objective and non-promotional information. Secondly, European citizens
shall be able to receive information that is in line with EU legislation. This
reduces the risk of receiving misleading and bad quality information.
EU citizens have unequal access to information
across the EU. Although advertising of prescription-only medicines to the
general public is forbidden, a lack of detail on information provision has led
to a situation in which Member States interpret EU legislation in very different
ways and have developed divergent practices on the provision of information on
medicinal products. Harmonization at EU level can contribute to changing the
current situation and promoting public health across the EU. This is of major
importance in particular in the era of the Internet where citizens can access
information from all over the world.
There are a range of sources from which patients receive information
on medicinal products, most notably through consultations with healthcare
professionals. However, bearing in mind that patients have become more
independent and empowered as regards their own health, they also actively seek
information by themselves. Consequently, other sources of information are
needed.
What are the key measures proposed?
The European Commission has prepared a legal proposal on information to
patients. Specifically, it proposes
- that companies can make information on their prescription-only medicines
available to the general public,
- while maintaining the existing advertisement ban
The key
elements of the legal proposal are:
Only certain information about prescription-only medicines is
allowed:
- summaries of products characteristics, labelling and package
leaflets, as approved by the competent
authorities;
- information which does not go beyond the elements of the summary of
product characteristics, labelling and patient information leaflet of the
medicinal product, but presents them in a different way;
- information on the environmental impact of the medicine, prices and
factual, informative announcements and reference material relating, for example,
to pack changes or adverse-reaction warnings;
- medicinal
product-related information about non-interventional scientific studies, or
accompanying measures to prevention and medical treatment or information which
presents the medicinal product in the context of the condition to be prevented
or treated shall be allowed.
Only certain communication
channels for the dissemination of information shall be allowed:
- health-related
publications as defined by the Member State of publication, to the exclusion of
unsolicited material actively distributed to the general public;)
- internet
websites on medicinal products, to the exclusion of unsolicited material
actively distributed to the general public;
- written answers to request for information of a member of the general
public.
All the information provided shall fulfil harmonized
quality criteria:
- objective and unbiased; in this regard, if the information refers to
the benefits of a medicinal product, its risks shall also be stated;
- take into account the general needs and expectations of
patients;
- based on evidence and be verifiable and include a statement on the
level of evidence;
- up-to-date and include the date of publication or last revision of
the information;
- reliable, factually correct and not misleading;
- understandable for the general public or members thereof;
- clearly state the source of the information indicating the author and
giving references to any documentation that the information is based on;
- not contradict the summary of product characteristics, labelling and
patient information leaflet of the product, as approved by the competent
authorities.
The information made available will be monitored by
Member States. In general, the information shall be subject to control of
information prior to its dissemination. Internet sites containing information on
prescription-only medicinal products shall be registered and monitored by the
Member States.
When will this become law?
The proposal will now be transmitted to the European Parliament and the
Council where it will be discussed and voted in the “co-decision
procedure”. The legal proposal could become law at the earliest in 18
months following adoption and publication by the European Parliament and the
Council.
More information on information to patients on prescription-only medicinal
products
http://ec.europa.eu/enterprise/pharmaceuticals/patients/patients_en.htm
More information on the complete pharmaceutical package
http://ec.europa.eu/enterprise/pharmaceuticals/index_en.htm