Table 2

Features of packaging and labeling for oral artemisinin-containing pharmaceutical products at pharmacies in Dar-es-Salaam, Tanzania

Feature

Frequency


General features

Packaged and sold as a unit dose

19 (100%)

Package insert included

19 (100%)

Image of mosquito appears on package

7 (37%)


TFDA Package and labeling requirements

International non-proprietary name included

19 (100%)

Non-proprietary name is printed larger or bolder*

0

Strength of active ingredient identified

19 (100%)

Name and address of registrant identified

17 (89%)

Name and address of manufacturer other than registrant identified

7 (37%)

Labeled "Keep out of reach of children"

10 (53%)

Lot or batch number

19 (100%)

Expiry date

19 (100%)

Date of manufacture

18 (95%)

TFDA Registration number

6 (32%)

TFDA Package insert requirements

Indication (uncomplicated malaria)

19 (100%)

Dosage regimen

19 (100%)

Contraindications

12 (63%)

Side effects

19 (100%)

Drug interactions

11 (58%)

Precautions and warnings

18 (95%)

Symptoms and treatment of overdose

11 (58%)

Presentation (e.g. "12 tablets of 100 mg each")

19 (100%)

Storage instructions

13 (68%)

Shelf life

14 (74%)

Name and address of manufacturer other than registrant identified

6 (32%)

Date of publication of package insert

9 (47%)


Appropriateness of recommended dose

Recommended total adult dose consistent with international standards**

4 (21%)

Recommended duration consistent with international standards***

5 (26%)

Mentions that non-immune patients may require additional doses

2 (13%)

Gives dosages for children

17 (89%)

Specifically formulated for children

4 (21%)


*Excludes one generic product.

**At least 16 mg/kg for artesunate, artemether or dihydroartemisinin monotherapies; 9 mg/kg artemether combined with 72 mg/kg lumefantrine; or 12 mg/kg artesunate combined with 32 mg/kg mefloquine.

***At least 7 days for artemisinin monotherapies, 6 doses of artemether/lumefantrine over 3 days, or 3 daily doses for artesunate + mefloquine.

Kachur et al. Malaria Journal 2006 5:25   doi:10.1186/1475-2875-5-25

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