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😷 | Emergency outpatient waits for 4 hours Corona in Okinawa, up to 1 people infected this week or fear of bed shortage next week


The number of people infected with corona in Okinawa remains high

Emergency outpatient waits for 4 hours Corona, Okinawa, up to 1 infected this week or fear of bed shortage next week

 
If you write the contents roughly
People under the age of 50 who have no underlying illness and are mildly ill are calling for "use over-the-counter medicines as much as possible for home care."
 

On the 17th, the Okinawa Prefectural Epidemiology Statistics and Analysis Committee announced that the number of new infections of the new coronavirus this week was 1 to 2 in the prefecture. → Continue reading

 Okinawa Times + Plus


Wikipedia related words

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OTC drugs

OTC drugsWhat is (Ippanyoiyakuhin)?DoctorbyprescriptionCan be purchased without the need forMedicineThat is.Over-the-counter drugs,Household medicine,Over-the-counter drugs, drug salesAlso called.Also, over the counter (English: over the counter) Because it is bought and soldOTC drugAlso called.here,Act on ensuring the quality, effectiveness and safety of pharmaceuticals, medical equipment, etc.(Hereinafter, abbreviated as "Pharmaceuticals and Medical Devices Act") Not only the above-mentioned over-the-counter drugs but also the drugs requiring guidance will be explained.

Overview

Interim report of the study group for the rationalization of over-the-counter drug approval examination[1]According to the over-the-counter drug, "the general public,pharmacistIt is a drug that is purchased at your own discretion and used at your own risk based on appropriate information provided by the above, and is used to improve symptoms associated with mild illnesses and prevent the onset of symptoms associated with lifestyle-related diseases. , Improvement / improvement of quality of life, self-examination of health condition, maintenance / promotion of health, and other purposes for health and hygiene. "After giving sufficient explanation and information, consumers will give simple treatment by themselves.Self-medicationThe direction of is proposed.

Legally, for a long timePrescription drugAlthough it was treated as a drug other than the above, due to the revision of the Pharmaceutical Affairs Law in 2006 (enforced on June 2009, 6), "Among the drugs, those that have no significant effect on the human body in terms of their efficacy and effects, pharmacists and others. It is intended to be used by the consumer's choice based on the information provided by the pharmaceutical personnel of. "Therefore, when purchasingpharmacist,Registered sellerIt is desirable to receive the advice and guidance of.Detail isStore sales.

Due to price competition, the industry is divided into two categories: the movement to reduce or withdraw from the over-the-counter drug business, and conversely, to strengthen the business by accepting other companies' businesses to withdraw.

In addition, companies that have integrated OTC manufacturing and sales,Shionogi Healthcare(Shionogi PharmaceuticalSome companies have spun off their OTC business as a subsidiary, such as Takeda Pharmaceutical Company Limited (separated from Takeda Pharmaceutical Company Limited).

Sort

DeregulationEnforced in 2009 byRevised Pharmaceutical Affairs Law[2]Therefore, over-the-counter drugs are mainly divided into three types, type 1, type 2, and type 3, depending on the degree of need for information provision to consumers.Some drugs were distributed with the approval of ethical drugs, but due to the revision of the Pharmaceutical Affairs Law, ethical drugs are now available.Store salesSome of them have been renewed as over-the-counter drugs (such as Betonebate Full Coat) because they cannot be sold at stores in Japan.

In addition, when describing the classification of a drug on the outer box of the product, it should be referred to as "Class 1 drug".Arithmetic figuresIs the Enforcement Regulations of the Pharmaceuticals and Medical Devices Act[3]It is stipulated in Article 209-3, Paragraph 1.

Pharmacy and drug sales business (after enforcement in 21)

Business formatDispensabilityItems of medicines to sellHow to sellWhether or not to sell separatelyPermit holder
pharmacy■PossibleAll medicines店舗 販 売PossibleThe prefectural governor of the location
Store sales■noDrugs requiring guidance (pharmacists), over-the-counter drugs (pharmacists: XNUMXst, XNUMXnd, XNUMXrd class) (Registered sellers: XNUMXnd, XNUMXrd class)店舗 販 売PossibleFor each store, the prefectural governor where the store is located (or the mayor or ward mayor if the location is in the area of ​​the city or special ward where the health center is located)
Placement sales businessnoOver-the-counter drugs (pharmacists: XNUMXst, XNUMXnd, XNUMXrd class) (Registered sellers: XNUMXnd, XNUMXrd class)Placement salenoFor each prefecture that includes the area to be placed, the prefectural governor
Wholesale sales■noAll medicinesNo regulationPossibleFor each business office, the prefectural governor where the business office is located

* Wholesale sales business is a business format that sells medicines to pharmacies, other medicine sales businesses, pharmaceutical companies, medical institutions, etc., and as a business, it is not possible to sell medicines directly to general consumers. unacceptable.
* Sales by stores (pharmacy openers or store distributors) are not necessarily limited to sales at stores, but at pharmacies or store sales businesses that are licensed based on the Pharmaceuticals and Medical Devices Act, their locations and stores are available in advance. Under certain conditions such as clearly indicating the permission number, it is possible to carry out sales based on stores, such as delivering medicines at the request of the purchaser.[4].

Providing information according to risk classification

Risk classificationCorresponding expertProactive provision of information even if there are no questions from the purchaser sideResponse when there is a consultation from the purchaser side
Drugs requiring guidancepharmacistMandatory to provide face-to-face written informationobligation
First-class pharmaceutical productspharmacistMandatory provision of information in writing *obligation
Second-class pharmaceuticalsPharmacist or registered sellerDuty of effortobligation
Third-class pharmaceutical productsPharmacist or registered sellerNot required (no legal provisions)obligation

* However, this does not apply if the purchaser expresses his intention that no explanation is required (Article 36-10, Paragraph 6 of the Pharmaceuticals and Medical Devices Act).

Store manager

Risk classificationStore manager
First-class pharmaceutical productsPharmacist / Registered seller with more than XNUMX years of business *
Second-class pharmaceuticalsPharmacist or registered seller
Third-class pharmaceutical productsPharmacist or registered seller

Management

It is mainly managed by the store manager, but if the store manager does not manage it directly (when leaving the store, etc.), a pharmacist other than the store manager or a registered seller can manage it on behalf of the store manager (recording / reporting is required).

First-class pharmaceutical products

そのSide effectsAmong the medicines that may cause health problems to the extent that they interfere with daily life, those that require special attention and new medicines.Most of the switch OTC and direct OTC described later are applicable. (Except for ibuprofen, designated second class)

Only first-class drugs can be soldpharmacistResident store sales business and dispensingpharmacyOnly.The pharmacist is obliged to proactively explain the information provided to the purchaser.Therefore, in all products, the advertisement will display "Please receive an explanation from the pharmacist and carefully read the precautions for use" (however, the first-class medicines for colds and antipyretics and analgesics. Some of the displayed contents are different).Therefore, if the pharmacist is absent in the store sales business, it cannot be sold.If the pharmacist is absent at the pharmacy, it is necessary to close the store itself.

Information must be provided by a pharmacist for first-class drugs, and even if the purchaser offers to provide information, if the pharmacist deems it necessary, it is necessary to proactively provide information. thing.In addition, it is desirable to describe the system and method of communication from the registered seller or general worker to the pharmacist in the procedure manual so that information is not provided by anyone other than the pharmacist (consultation is possible). ..In addition, it does not apply when there is a statement of intention that no explanation is required from the person who purchases or receives the drug under Article 36-10, Paragraph 6 of the Act.[5]..However, if there is a consultation, it is obligatory for all medicines.

Sales and awards by registered sellers and general workers at stores are possible under the supervision and guidance of pharmacists.[6].

Switch OTC

Ever a doctorprescriptionDesignated medicines that could not be used without compliance (Prescription medicines) Among the designated prescription drugs, those that have been used and are approved as over-the-counter drugs so that they can be purchased at pharmacies without a prescription, such as those that meet the requirements such as less concern about side effects.Switch OTCIt's called medicine.Mild illnesses and symptomsDrug storeThere are products such as cold remedies, gastrointestinal remedies, eye drops, and hair growth remedies, with the aim of curbing swelling medical expenses by having them cured with over-the-counter drugs sold at.

1985The ban was liftedAthlete's footFor treatmentAntifungal external drugStarting fromIbuprofenlock,AcneExternal therapy (etc.),KetoprofenExternal agent,H2 blockeretcthe 1990sIt was commercialized by.the 2000sWhen you enterNicorette☆,FelbinacExternal agent,Fluconazole,TerbinafineSecond generation athlete's foot external medicine, etc.Nicotinel patch☆,Second generation antihistamine,Acyclovirointment,MelasmaFor improvementTranexamic acidTablets ☆,Diclofenac sodiumExternal agent,Sodium fluorideContinue to expand,2011ToLoxoninthe lockAntipyretic analgesicIt has reached the point of being commercialized as (☆ mark isLifestyle drug).

The price of switch OTC drugs isDrug priceHigher than the manufacturer's asking price for medical use,medical insuranceHowever, since there is no need for a doctor's examination / examination fee or prescription fee, it is cheaper if the same drug is prescribed, and it is highly convenient because there is no waiting time or trouble for examination and dispensing.The Ministry of Health, Labor and Welfare is trying to promote the switch OTC of ethical drugs, and in the future, it is being considered to switch the drugs used for high cholesterol, hypertension, and hyperglycemia to switch OTC.[1].

However, the use of switch OTC products can lead to worsening of the condition due to self-use of medicines by people without medical knowledge.pharmacistOr have to consult a doctor. It was designated as a Class 2009 drug under the revised Pharmaceutical Affairs Law from 1, and it is necessary to provide information from a pharmacist (this does not apply because some products were later replaced with Class 2 drugs. However, Article 36-10 of the Act. It should also be noted that this does not apply if the person who purchases or receives the drug in Section 6 expresses his / her intention that no explanation is required.)[5]..Except for lifestyle drugsTake it for a short period of time, and if you are seriously ill or if the symptoms do not improve after taking it, see a medical institution immediately.

2016If the total amount of the family exceeds 1 yen a year, the excess purchase cost (up to 2 yen) will be charged.Final returnでIncome deductionA self-medication tax system that can be done was created.However, the current one, which applies when you spend more than 10 yen a year on medical expensesMedical expenses deductionCannot be used in combination with[7].

Direct OTC

Drugs containing new active ingredients that have not been used as ethical drugs in Japan are sold as over-the-counter drugs.Direct OTCIt's called medicine. As of September 2019MinoxidilContains hair growth agent and chest berryPremenstrual syndromeTwo of the therapeutic drugs are applicable, and both are lifestyle-improving drugs.Previously mild with a mixture of dried red vine leaves extract静脈refluxA drug for improving foot swelling due to a disorder was also applicable, but the product has been discontinued.

Precautions for purchase and use are almost the same as for switch OTC.

New over-the-counter drug

Class 69 drugs other than those listed in Attached Table 19 of Ministry of Health, Labor and Welfare Notification No. 3 (March 30, XNUMX).A category designated to ensure that actual use trials (Actual Use Trial: AUT) and post-marketing surveillance (Post Marketing Surveillance: PMS) can be conducted for the development and evaluation of so-called switch OTC and direct OTC.Foreign situation and international harmonization, specifically the United StatesFDAExamination procedure andWHOMeasures to take a form in line with the guidelines of.Since self-judgment and self-responsibility are the prerequisites for self-medication, it is important to read the package insert and label carefully, and it is important that the package insert and label are understandable. Under the growing background[8].

Drugs requiring guidance

On June 2014, 26, the Pharmaceutical Affairs Law (at that time) andPharmacist methodAmong the drugs sold as first-class drugs due to the enforcement of the law to partially revise the above, items whose risk for general use has not been determined shortly after the switch OTC was introduced.Powerful drugFor designated items, it was newly established with the revision.Drugs requiring guidanceIt became a transition to.Switch OTC drugs designated as drugs requiring guidance will be switched to over-the-counter drugs (first-class drugs) in three years in principle.[9]..Since you have to give a written explanation about the drug in person with the pharmacist, you can use the internet etc.Online ShoppingI can't.

List of drugs requiring guidance / new over-the-counter drugs / first-class drugs

The name in parentheses is the brand name.Excludes brand names that are approved but not sold.

Drugs requiring guidance

Items designated by the Minister of Health, Labor and Welfare as items that require face-to-face information provision by pharmacists and guidance based on pharmaceutical knowledge (Article 4, Paragraph 5, Item 3 of the Act)[10].. "Instruction-required medicine" is displayed in black in a black frame (in white in a white frame if it is unreadable) in characters with a size of 8 points or more.

New over-the-counter drug

So-called direct OTC and switch OTC[11]..It was transferred from a drug requiring guidance, and the period is one year from the date of transition. "Class 1 pharmaceutical products" are displayed in black in a black frame (in white in a white frame if unreadable), with a size of 1 points or more.Numbers are arithmetic numbers, and Chinese numerals and Roman numerals are not allowed.

  • Antifungal drug:Clotrimazole(Empecid L cream)
    * On July 2021, 7, the drug will be changed from a drug requiring guidance to a new over-the-counter drug (first-class drug).Limited to creams for vaginal candida treatment.
  • Corticosteroids:Flunisolide
    * As of December 2021, 12, the drug will change from a drug requiring guidance to a new over-the-counter drug (first-class drug).However, products containing this ingredient have been discontinued prior to migration.
  • Premenstrual Syndrome Improvement Drug: Chest Berry Dry Extract (Prefemin)
    * As of April 2022, 4, the drug will change from a drug requiring guidance to a new over-the-counter drug (first-class drug).

First-class pharmaceutical products

What was specified by the notification[12]..As with the new over-the-counter drugs, "Class 1 drugs" will be displayed in black in the black frame (in white in the white frame if unreadable) with a size of 8 points or more.The numbers areArithmetic figuresUsingChinese numeral,Roman numeralsNotation by is not allowed.

  • Herpes labialisTherapeutic agents:Acyclovir(Activia ointment, Hifur AC, Herpecia cream), Vidarabine (Aracena S)
  • Bronchodilator:Aminophylline,Theophylline(Aneton damming granules, Milcode tablets A)
  • Antifungal drugs: isoconazole (Mensoratum Freddie CC), oxiconazole (Okinazole L100, Feminina Vaginal Candida Tablets), clotrimazole (Empecid L),Miconazole(Mioriet, Meditreat)
* Oxiconazole, clotrimazole, and miconazole are limited to vaginal candida treatments.
* Yohimbine has products that are sold as "hair growth agents for eyebrows", except for drugs that require guidance, which are designated as powerful drugs.
* Cancellation of powerful drug designation on May 2012, 5
* Except when it is mixed as an anti-inflammatory ingredient
  • Smoking cessation aids:nicotine(Nicotinel patch)
* Patch only
  • Hair growth agent:Minoxidil(Scalp D Medical Minoxidil 5, Minoxidil, Reup, Ligro EX5 Energy, Rezalek Kowa)
  • Anti-inflammatory analgesics:Loxoprofen(Loxonin S, Kolgen Kowa antipyretic analgesia LXα, bufferin EX, Lokibert)
* For over-the-counter drugs, it is an "antipyretic analgesic".Also, external agents are excluded.

In addition, on September 2016, 9, among the in-vitro diagnostic drugs, for general useLuteumThe morphogenetic hormone kit has been newly designated as a "first-class drug" (for in-vitro diagnostic drugs that have already been approved as a "second-class drug" due to the designation, it is for general use.glucoseIt was specified to target kits, general protein kits, and general human chorionic gonadotropin kits).The general luteinizing hormone kit is sold as an ovulation day prediction test drug (Dootest LHa, High Tester H, Check One LH / II ovulation day prediction test drug).

Second-class drugs (including designated second-class drugs)

Class 2 drugs Class 8 drugs are drugs other than class XNUMX drugs that may cause health hazards that interfere with daily life due to side effects and the like. "Class XNUMX pharmaceutical products" are displayed in black in the black frame (in white in the white frame if unreadable) with a size of XNUMX points or more.Numbers are arithmetic numbers, and Chinese numerals and Roman numerals are not allowed.

Those containing ingredients that require special attention are "Designated second-class pharmaceutical productsThere are cold remedies, antipyretic analgesics, water bug remedies, hemorrhoid remedies, etc.Product package display The letter "2" of "Class 2 pharmaceutical products" is displayed by enclosing it in a circle or square frame.In addition, in the advertisement of designated second-class drugs, except for cold remedies and antipyretic analgesics, the sentence "Please consult with a pharmacist / registered seller" is written before "Please read the precautions carefully before use". added.It is now mandatory to display advertisements for products that have not been displayed before.On the other hand, including "second-class drugs" and "third-class drugs" excluding cold remedies and antipyretic analgesics, "Please read the precautions carefully before use" is no longer displayed in the advertisement. There is also.

Today, most over-the-counter medicines are second-class, pharmacists orRegistered sellerCan only be sold at stores where is resident.As much as possible, the purchaser is required to explain the contents, ingredients, and other precautions in a simple manner (obligation to make efforts).[Note 1]..However, according to Article 36-10, Paragraph 6 of the Act, it does not apply if the person who purchased or transferred the item indicates that he / she does not need explanation.[5].

It should be noted that the sale and awarding of general workers at stores has become possible under the supervision and guidance of pharmacists and / or registered sellers.[13].

Of the ingredients that were first-class drugs at the time of approval, the risk categories for the following have been changed later by the notification of the Ministry of Health, Labor and Welfare.

  • 2009 12 Month 24 Day:Second generation antihistamineChanged the allergy-specific nasal spray (Zaditen AL Nasalitis Spray, Pavlon Nasal Z) containing ketotifen as an active ingredient to "second-class pharmaceutical products".
  • 2011
    • February 1:
      • Oral drug for rhinitis containing ketotifen, a second-generation antihistamine (Zaditen AL rhinitis capsule), and oral drug containing zerastin as an active ingredient,Adenosine triphosphateChanged the energy metabolism improving drug (Panion Kowa Tablets) containing the active ingredient to "Class XNUMX drug".
      • Of analgesia and anti-inflammatory drugsKetoprofenThe active ingredient is a patch (omneed ketoprofen pap), a corticosteroidTriamcinoloneChanged the oral patch (Aftouch A) containing acetonide as the active ingredient and the water bug drug containing the antifungal drug lanoconazole as the active ingredient to "designated second-class drugs" (other than the patches, "second-class drugs" Ketoprofen, which had become, was listed as a "designated second-class drug" regardless of the dosage form).
    • September 9: Changed oral ointment (Kenalog oral ointment 30%) containing the corticosteroid triamcinolone acetonide as a "designated second-class drug".
    • November 11: Changed the allergy-specific eye drops (Zaditen AL eye drops) containing ketotifen, a second-generation antihistamine, to "second-class drugs".
    • December 12: Expectorant medicineAmbroxolChanged the internal medicine containing the active ingredient to "Class 2012 medicine".However, the cold medicine (Estac Eve Fine) containing the same ingredient has been changed to a "designated second-class drug" due to the fact that it contains other active ingredients (some products have been changed to "designated second-class drugs" in 1 due to the sales start date. The classification was changed on January 20th).
  • 2012
    • August 8: Changed the drug for improving pollakiuria and residual urine (Ladyguard Kowa) containing flavoxate, an anticholinergic drug, to a "designated second-class drug".
    • September 9: Analgesia and anti-inflammatory drugIbuprofenChanged some antipyretic analgesics containing the active ingredient from "second-class drugs" to "designated second-class drugs" (excluding oral drugs containing the same amount as prescription drugs. Some antipyretic analgesics and colds The drug was already a "designated second-class drug" because it contained other active ingredients).
  • 2013
    • January 1: Second Generation AntihistaminesEmedastineChanged the internal medicine containing the active ingredient to "Class XNUMX medicine".
    • September 4: Analgesia and anti-inflammatory drugDiclofenacThe patch / coating agent (Voltaren AC / Fatus Z) as an active ingredient was changed to "Class 8 Pharmaceuticals" (Fateus Z was classified on August 17, the same year due to the sales start date).
    • June 6: The analgesic gastrointestinal drug (Stopan) containing the anticholinergic drug Tikidium as an active ingredient was changed to a "second-class drug".
  • 2014
    • March 3: Changed gastrointestinal drug containing troxipide, a gastrointestinal drug, to "second-class drug".
    • October 10: With ketotifen fumarate, a second-generation antihistamineNaphazolineChanged the combination drug of hydrochloride to "Class XNUMX drug" (Ketotifen has already been transferred to "Class XNUMX drug", and naphazoline was originally classified as "Class XNUMX drug", so the classification list has been changed. Not).
    • February 12:Steroidal anti-inflammatory drugChanged the nasal spray for seasonal allergies containing beclomethasone as an active ingredient to "designated second-class drug".
  • 2015
    • April 4: Of the vasoconstrictorOxymetazolineChanged nasal drops (Nasibin M spray) containing the active ingredient to "second-class pharmaceutical products".
    • January 9: Second Generation AntihistaminesMequitazineOf these, the pharmaceutical product containing 1 mg or more in daily dose was changed to "Class 6 drug" (Mequitazine was originally classified as "Class XNUMX drug", so there is no change in the classification list).
    • January 10: Second Generation AntihistaminesEpinastineChanged the oral medicine for rhinitis containing the active ingredient to "second-class medicine".
    • December 12: Changed the menstrual pain drug (El Paincowa) containing ibuprofen and butyl scopolamine bromide to "designated second-class drug" (Ibuprofen was changed to "designated second-class drug" as mentioned above, butyl. Since scopolamine bromide was originally classified as a "class 7 drug", the classification list has not changed).
  • 2016
    • January 1: Anti-allergic agentsPemirolastChanged the oral medicine for rhinitis containing the active ingredient to "second-class medicine".
    • October 10: Among antipyretic analgesics containing ibuprofen, an anti-inflammatory analgesic, preparations (Naron Medical, Ringle Ivy α19, Ringle Ivy Tablets α1) containing 0.6 g (600 mg) or more per day are designated as "designated." Changed to "Class 200 Pharmaceuticals" (Since ibuprofen is classified as "Designated Class 200 Pharmaceuticals" as mentioned above, there is no change in the classification list).
    • January 11: Second Generation AntihistaminesFexofenadineChanged the allergy-specific eye drops (Eyefree Kowa AL), which contains the active ingredient of oral medicine for rhinitis (Allegra FX) and the anti-allergic agent acitazanolast, to "second-class pharmaceutical products".
  • 2017
    • January 2: Second Generation AntihistaminesCetirizineChanged the oral medicine for rhinitis (Stonarini Z, Contac Rhinitis Z) containing the active ingredient to "Class XNUMX medicine".
  • 2018
    • January 1: Changed allergic eye drops containing the anti-allergic agent tranilast as the active ingredient to "second-class drugs".
    • January 1: Changed allergy-specific eye drops (Noir P-Guard eye drops) containing the antiallergic agent pemirolast to "second-class drugs" (Pemirolast is changed to "second-class drugs" as mentioned above. There is no change in the classification list because it is classified).
    • January 1: Second Generation AntihistaminesEbastineChanged the oral medicine for rhinitis (Ebastel AL) containing the active ingredient to "Class XNUMX medicine".
    • July 7: Anti-inflammatory analgesicAlminoprofenChanged the antipyretic analgesic (Lumiphen) containing the active ingredient to "designated second-class drug".
  • 2020
    • January 1: Trimebutine, a gastrointestinal drug, is used as an active ingredientIrritable bowel syndromeChanged the therapeutic drug (Selequinone S) to "Class XNUMX drug" (Since trimebutine was originally classified as "Class XNUMX drug", there is no change in the classification list).
    • August 8: Changed the patch / coating agent (Loxonin S Pap, Loxonin S Tape, Loxonin S Tape L, Loxonin S Gel) containing loxoprofen, an anti-inflammatory analgesic, as a "second-class drug".
  • 2021
    • January 1: Second Generation AntihistaminesLoratadineChanged the oral medicine for rhinitis (Claritin EX, Claritin EX OD tablets) containing the active ingredient to "Class XNUMX medicine".
    • November 11: Among allergy-specific rhinitis drugs containing the second-generation antihistamine fexofenadine, a formulation (Allegra FX Junior) for which the dosage and administration for persons under the age of 9 are specified is "Second. Changed to "Class Pharmaceuticals" (Note that fexofenadine is classified as "Class 15 Pharmaceuticals" as mentioned above, so there is no change in the classification list).

The classification change may be reviewed at any time.For the latest information, see the Ministry of Health, Labor and Welfare website.Related laws and regulations | Ministry of Health, Labor and WelfareSee.

Drugs that can be abused

At the same time as the "Act for Partial Amendment of the Pharmaceutical Affairs Law and the Pharmacists Act" was enforced on June 2014, 26, abuse, etc. based on the provisions of Article 6-12 of the Pharmaceutical Affairs Law Enforcement Regulations, etc. As a risk ofMinister of Health, Labour and WelfareIt is indicated as a drug designated by[14]..Applicable are formulations containing the following ingredients and hydrates and salts of the following ingredients as active ingredients.

Codeine and dihydrocodeine are only antitussive expectorants, and methylephedrine is only an oral antitussive expectorant.

For the above reasons, drug stores and drug stores limit the number of these products that can be sold at the time of sale to only one (also guidance from each manufacturer).

Third-class pharmaceutical products

Over-the-counter drugs other than the above.It is still a drug, and its sale is subject to the same restrictions as a second-class drug, but unless there is a direct request from the purchaser, there are no legal restrictions on product description.

As of September 2019, 9, it was classified as a "first-class drug"Sodium fluorideFluoride mouthwash containing the active ingredient (F-coat,Clinica Fluoride Medical Coat) was reclassified as "Class XNUMX Pharmaceuticals".

Sales and awards of general workers at stores are now possible under the supervision and guidance of pharmacists or registered sellers.[15].

Quasi-drugs (including designated quasi-drugs)

Quasi-drug Quasi-drugIs not included in over-the-counter drugs in a broad sense, as it is considered that there is no particular risk of side effects.There are no restrictions on sales, and anyone can sell, regardless of whether the seller is licensed or qualified as a pharmacist or registered seller.Deregulationlaterconvenience store-Life mass retailer-supermarket-100 Yen shopIt is also widely sold in such places.

Some drinks (vitamin-containing health products), throat refreshing agents, external nasal congestion improving agents,Intestinal medicineIn addition to quasi-drugs due to downgrade from pharmaceutical products, quasi-drugs (quasi-drugs) from the beginning as products similar to pharmaceutical productsSemi-pharmaceutical) Has been launched.also,Hair colorThere are also quasi-drugs in items that are clearly unrelated to pharmaceutical products.Ministry of Health, Labor and WelfareAccording to, for convenience, "Class 4Is defined[16].

In addition, on June 2009, 21 (Heisei 6), due to the revision of the Pharmaceutical Affairs Law at that time, those due to downgrade from pharmaceutical products and those that were launched as quasi-drugs from the beginning as products similar to pharmaceutical products teeth,Designated Quasi-drugIt came to be classified into.

Kind and active ingredient used

Internal medicine

Headache medicine, cold medicine, rhinitis medicine, throat medicine (antitussive / expectorant / mouthwash), antitussive (sickness remedy), antiallergic medicine for pain and inflammation.

Gastrointestinal medicines, gastrointestinal medicine (healthy stomach medicine), intestinal regulation medicine, laxative medicine (constraint medicine), antidiarrheal medicine (antidiarrhea).Lifestyle-related items such as diuretic improving drugs and high cholesterol improving drugs.

Sleep-related sleep-improving drugs, sedatives, and anti-drowsiness drugs.

Women's medicine like the mother of life and stain-improving medicine (Melasma(Limited to) beauty medicines like.

Vitamins, their drinks, calcium, oral androgens, nourishing tonics, cardiac stimulants, aphrodisiacs, medicated liquors.Pinworm repellent.

Also, Chinese herbs and so on.

External medicine

Antiseptic and anti-inflammatory drugs such as first-aid adhesive plasters, wound medicines (antiseptic agents), antiseptic cotton, hand / skin disinfectants, anti-itching agents, insect bites / itching / ashes.Athlete's foot remedy, corn remedy.

For skin disease treatments such as sores, there are treatments for sores, sores, and acne.

Pharmaceuticals Hand cream, crack, cracking remedy, xeroderma / keratosis remedy.

Eye drops (eye drops), eyewashes, nasal drops (nasal drops). Alveolar pyorrheaRemedies, toothache medicine.Cheilitis,Angular cheilitis,stomatitisRemedies and alsoHerpes labialisRecurrence treatment drug.A drug for improving stuffy nose.Vaginal candida recurrence remedy, hemorrhoid remedy.Hair growth stimulants / hair growth agents, smoking cessation aids, lice repellents.Skin softener, external anti-inflammatory analgesic, stiff shoulder, back pain medicine.

Suppositories include enemas, hemorrhoids, and constipation.Also, antipyretic analgesics and vaginal candida recurrence treatment drugs

Public health agents include disinfectants and telephone disinfectants.Baby bottle disinfectant.There are also pesticides and insect repellent sprays.

As drugs whose main purpose is not treatment, over-the-counter test drugs include urine test strips and pregnancy test drugs.

Related item

footnote

[How to use footnotes]

注 釈

  1. ^ However, drug stores that sell miscellaneous goods have a busy time zone like supermarkets, so in such cases, there is no room to explain in detail.Therefore, in most cases, it tends to be just for sale.

Source

  1. ^ a b About over-the-counter drugs in self-medication (November 14, 11) Interim Report of Over-the-Counter Drug Approval Examination Rationalization Study Group (Ministry of Health, Labor and Welfare)
  2. ^ Ministry of Health, Labor and Welfare. “Outline of the law to partially revise the Pharmaceutical Affairs Law (PDF)". April 2010, 7Browse.
  3. ^ Law Enforcement Regulations Concerning Ensuring Quality, Effectiveness, and Safety of Pharmaceuticals and Medical Devices - e-Gov Law Search
  4. ^ Guidance on Creating Exam Questions Chapter 4 Pharmaceutical Affairs Regulations / Systems p203 Lower (v) (PDF)
  5. ^ a b c Act on ensuring the quality, effectiveness and safety of pharmaceuticals, medical equipment, etc. - e-Gov Law Search
  6. ^ Enforcement of laws that partially revise the Pharmaceutical Affairs Law ”(May 21, 5 Yaksik No. 8 Notification of the Pharmaceutical and Food Safety Bureau (final amendment on May 0508003, 23) Article 5, Paragraph 13 (PDF) .
  7. ^ "When you pay the purchase cost of specified over-the-counter drugs (special case of medical expenses deduction) Self-medication tax system".National Tax Agency. https://www.nta.go.jp/taxes/shiraberu/taxanswer/shotoku/1129.htm April 2020, 1Browse. 
  8. ^ Development and evaluation of new over-the-counter drugs with a view to self-medication http://homepage3.nifty.com/cont/27sup/OTC.html
  9. ^ Internet sales of over-the-counter drugs May 26, General Affairs Division, Pharmaceutical and Food Safety Bureau, Ministry of Health, Labor and Welfare (PDF) Retrieved February 2020, 1
  10. ^ Drugs requiring guidance (Ministry of Health, Labor and Welfare)Updated on October 26, 10
  11. ^ List of new over-the-counter drugs (first-class drugs other than those listed in Attached Table 69 of Ministry of Health, Labor and Welfare Notification No. 19 (March 3, 30))(As of July 26, 10)
  12. ^ First-class pharmaceutical products (PDF)
  13. ^ "Regarding the enforcement of laws that partially revise the Pharmaceutical Affairs Law" (May 21, 5 Yaksik No. 8 Notification of the Pharmaceutical and Food Safety Bureau (final amendment on May 0508003, 23) Article 5, Paragraph 13 (PDF)
  14. ^ Drugs that may be abused (PDF)
  15. ^ "Regarding the enforcement of laws that partially revise the Pharmaceutical Affairs Law" (May 21, 5 Yaksik No. 8 Notification of the Pharmaceutical and Food Safety Bureau (final revision on May 0508003, 23) (PDF)
  16. ^ Ministry of Health, Labor and Welfare Pharmaceutical Safety Measures Subcommittee (PDF) Announced on May 21, 5

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