Gazette Tracker
Gazette Tracker

Core Purpose

Draft notification by the Ministry of AYUSH proposing to further amend the Drugs and Cosmetics Rules, 1945 to insert Schedule TB laying down guidelines for nasal spray as a dosage form for Ayurveda, Siddha, Unani and Homoeopathy drugs.

Detailed Summary

The Ministry of AYUSH notification G.S.R. 891(E) dated 12 December 2023 publishes, under section 33-N of the Drugs and Cosmetics Act, 1940 (23 of 1940) and after consultation with the Ayurveda, Siddha, Unani Drug Technical Advisory Board, a draft titled the "Drugs Rules (Amendment), 2023," inviting objections or suggestions within thirty days to the Secretary, Ministry of AYUSH, AYUSH Bhawan, 'B' Block, GPO Complex, INA, New Delhi-110023, or by email at [email protected]; the draft amends Rule 158B of the Drugs Rules, 1945 by inserting sub-rule (VI) requiring Licensing Authorities to follow guidelines in a new Schedule TB (inserted after Schedule TA) for issuing licenses for Ayurveda, Siddha and Unani drugs in nasal spray dosage form; Schedule TB defines a nasal spray, differentiates it from traditional Nasya administration, and sets guidelines for active ingredient selection under Section 3(h) of the Drugs and Cosmetics Act, excipient selection under Rule 169 of the Drugs and Cosmetics Rules, 1945, device specifications (bottle, pump, actuator materials and dimensions), and mandatory and optional finished-product specifications including assay, pump delivery, pH, osmolality, microbial limits, droplet/particle size distribution, spray pattern and plume geometry, referencing existing standards such as the Ayurvedic Pharmacopoeia of India and SOPs developed by CCRAS at the National Institute for Panchakarma, Cherthurthy, Kerala.

Full Text

7700 GI/202 3 (1) रजिस्ट्री सं. डी.एल.- 33004/99 REGD. No . D. L. -33004/99 EXTRAORDINARY PART II —Section 3 —Sub-section ( i) PUBLISHED BY AUTHORITY No. 708] NEW DELHI, TUESDAY , DECEMBER 12 , 2023/ AGRAHAYANA 21, 1945 CG-DL-E-14122023-250657 MINISTRY OF AYUSH NOTIFICATION New Delhi, the 12th December, 2023 G.S.R. 891(E). —The following draft of certain rules further to amend the Drugs and Cosmetics Rules, 1945, which the Central Government proposes to make, in exercise of the powers conferred by section 33 -N of the Drugs and Cosmetics Act, 1940 (23 of 1940) a nd after consultation of Ayurveda, Siddha, Unani Drug Technical Advisory Board , is hereby published as required by the said section, for the information of all persons likely to be affected thereby; and notice is hereby given that the objections or sugge stions of the stakeholders on the said draft rules will be taken into consideration after the expiry of a period of thirty days from the date on which copies of the Official Gazette in which this notification is published, are made available to the public; Any objection or suggestion, which may be received from any person with respect to the said draft rules within the period specified above, will be taken into consideration by the Central Government; Objections or suggestions, if any, may be addressed to the Secretary, Ministry of Ayush, AYUSH Bhawan, ‘B’ Block, GPO Complex, INA, New Delhi – 110023 or emailed at [email protected] . DRAFT RULES 1. Short title, extent and commencement. (1) These Rules may be ca lled the draft Drugs Rules (Amendment), 2023. (2) They shall come into force from the date of their final publication in the Official Gazette. 2. In the Drugs Rules, 1945 (hereinafter to be referred as the principle rules), in rule 158B, after sub -rule (V) and the following sub -rule shall be inserted, namely: — “VI. For issue of license to the Ayurveda, Siddha and Unani drugs with nasal spray as dosage form, the Licensing Authorities shall follow the guidelines as per Schedule TB.” 3. After Schedule T A, following Schedule TB shall be inserted – “SCHEDULE TB (Refer sub -rule VI of Rule 158 B) Guidelines for development of nasal spray as dosage form for Ayush, Siddha, Unani and Homoeopathy Drugs I. Introduction Any medicine administered through the no se (Nasika ) is considered Nasya (Nasal administration) in Ayurveda. Usually, all the clinical conditions related to head and neck ( Urdhwajatrugatavikara ) are treated by following Nasya as the main line of treatment. In conditions like Apasmara and Unamada, procedures like Pradhamana nasy a provide instant relief by reflex or systemic action. There are several varieties like Snehana Nasya (medicated oil / ghee used as nasal drops), Shamana Nasya (fresh herbal juices / decoctions used for nasal administration) , Avapeedana Nasya (fresh herbs squeezed and the juice used as nasal drops), Pradhama Nasya (powdered herbs forcedly sprayed into the nose) and Dhumana Nasya (medicated fumes inhaled). For example, Anutaila nasya is indicated for daily usage; Dadimapushpa sv arasa / durva svarasa is used in Nasagata Raktapitta (~epistaxis); Avapeedana Nasya is used in Ardhavabhedaka; Trikatu churna or Pippali churna is used as Nasya in Apasmara . The Nasya procedures like Snehana, Avapeedana Nasya etc. are used in the gravitation al direction as the other methods like Dhumananasya and Pradhamananasya are use d against gravitational force. Acharya Charaka contraindicated herbs like Kushtha (Saussurea lappa D C Clarke) and Tagara (Valeriana wallachii DC) from using in Shiro -virechana . This shows the safety consciousness of Ayurveda practice. In Siddha system, Nasiyam (Nasal drops) and Nasika aparanam (Medicated snuff) are the types of external medication applied through nostrils. Nasiyam (Nasal instillation) is a process of instillati on of drugs in liquid form through the nostrils while Nasika aparanam (medicated snuff) is inhalation of medicated substances in powder form. In the Unani system, various nasal dosage forms are used and most are nervine tonics and stimulants, especially h elpful in neurological diseases. Dosage form of Nasal drop or fine powder used in the Unani system of Medicine comes under Drug & Cosmetic Act (Reference - IlajulAmraz Page No. 189 -190, 193, 196 -201). • Saoot (Nasal drop)/Qutoor: A liquid preparation which is used as nasal drop • Shamoom: Smelling of the drugs which may be in dry or liquid form so that volatile substances reach the nasal cavity and respiratory tubes • Nashuq/Naswar (Insufflation): A liquid preparation or powder that is used for insufflation • Bakhoo r/Dhuni (Fumigation): Smoking an affected organ by burning the drugs In Homeopathy system, administration of medicine through nasal route is mentioned under authoritative books of Homoeopathy medicines. . II. Definition A nasal spray is a liquid/powder fo rmulation dispensed as a fine spray from a container/device into the nostril. In this combination of formulation and device, the end user sprays the nasal spray formulation into the nostril while breathing in through his/her nose. Nasal sprays are used to deliver medications locally in the nasal cavity. III. Differentiation from nasya Though the route of administration for Nasya and Nasal Spray is the same (nose), the main differentiating aspect between traditional Nasya and the new dosage form of Ayush nasal spray is that “ in the traditional method medicated juices/oils are administered through the nasal route without the support of any specialised instrument/ device. Whereas the nasal spray is administered by using a specific device ”. The present definition o r introduction of Nasal Spray shall not interfere with the existing Nasal drops used in the form of oils or decoctions etc. The respective existing nasya methods shall continue. The medication standards for those items remain to be the same as indicated in the Ayurvedic Pharmacopoeia of India (API), Part -II (example for Anutaila and Shadbindutaila ). The Standard Operating Procedures (SOPs) for the performance of Nasya shall also be the same as those developed by CCRAS at National Institute for Panchakarma, Cherthurthy, Kerala. The standards for the new dosage form “Nasal Spray” and the guidelines for the usage of the new device are defined in this document. IV. Guidelines for active ingredient selection Active Ingredients should be selected as per the definitio n of ASU Drugs in Section 3(h) under the Drugs and Cosmetics (D&C) Act, 1940 and Rules 1945. V. Guidelines for excipient selection Selection of excipients should be as per the provisions and terms and conditions provided under Rule 169 of the D&C Rules, 1945 and amendments therein. VI. Specifications for the device (As per the details provided by the manufacturer) The following quality parameters provide guidance for the selection of packaging material. The data for these parameters can be obtained from the pac kaging material supplier and consistency across the manufacturing lots can be confirmed, based on the certificate of analysis. Sr. No. Parameter Description Specifications/Limit Details for Bottle/ other components 1. Material of construction of Bottl e Glass, HDPE or Suitable and compatible material Specify 2. Bottle dimensions ReferAnnexure1for details Specify Details for Pump and Actuator (with dust cap) / other components 3. Name and Material of construction of Pump Suitable and compatible mater ial Specify 4. Pump dimensions Refer Annexure 1 for details Specify Sr. No. Parameter Description Specifications/Limit 5. Material of construction of Actuator & Dust cap Suitable and compatible material Specify 6. Dimensions of Actuator & Dust cap Refer Annexure1 for details Specify 7. Priming and Repr iming Specify (Shot weight should be between90% to 110%) VII. Specifications for the finished product (mandatory) Sr. No. Parameter Specifications/Limit 1. Description A qualitative description of the dosage form should be provided (e.g., size, shape,an d color) 2. Assay of Active ingredients Basis vendor CoA of Raw material Specification or Extract Specification or Pharmacpoeial reference or Using Pharmacopeial method 3. Assay of Preservatives and Stabilizing excipients Content limits of 90 -110% 4. Pump Delivery (Liquid dosage form) Weight delivery acceptance criteria should control the weight of the individual sprays to within "15 percent of the target weight and their mean weight to within "10 percent of the target weight. However, for small dosag e pumps(e.g.,20mL) other acceptance criteria maybe justified 5. Net Content Basis number of dose requirement 6. pH value (Liquid dosage form) The pH or apparent pH, as appropriate, of the formulation should be tested and an appropriate acceptance criteri on to be established 7. Osmolality (Liquid dosage form) The osmolality of the formulation should be tested and controlled during release of product with an appropriate procedure and acceptance Criterion, as applicable based on the ingredients used 8. Microbial / Microbiological limits Pharmacopeia of concern system, Coliforms – Absent 9. Number of actuations per container The number of actuations per container should be demonstrated to be not less than the labelled number of actuations. 10. Heavy Metals Pharmacopiea of concerned system 11. Pesticide Residues Pharmacopiea of concerned system 12. Aflatoxins Pharmacopiea of concerned system 13. Moisture Content (Powder dosage form) The limit for moisture content should be established based on results seen in stability studies. If the results are stable throughout the shelf life of the product, or if any changes in moisture content do not result in changes to any other parameters, it may be acceptable to omit this test from the specification; this should be fully explained in the Justification of Specification(s) section. VIII. Specifications for the finished product (optional) Sr. No. Parameter Specifications/Limit 1. Droplet Size Distribution / Particle Size Distribution* If a laser diffraction method is used , droplet size/ particle distribution can be controlled in terms of ranges for the D10, D50, D90, span[(D90 -D10)/D50], and percentage of droplets less than 10 mm. For nasal sprays, mean D10, D50, D90 values for a given bottle or canister can be computed f rom the mean of up to three consecutive sprays from that unit at each life stage. However, to assess precision, the data of each spray would also be reported. Single spray droplet size distribution and span would be reported based on volume (mass) rather t han count (number of droplets). The data be provided for nasal sprays at: Fully developed phase only, Two distances from the actuator orifice. For the increased ability to detect potential differences between products, it is recommended that the studies be performed within a range of 2 to 7 cm from the orifice, with the two distances separated by 3 cm or more. Other Methods that can be used: Microscopy, Cascade impactor, and Laser Diffraction. 2. Aerodynamic Particle Size measurement (Powder dosage form) The Particle or droplet size distribution in the plume discharged from inhalation aerosols and sprays and the particle size distribution in the cloud discharged from inhalation powders are the important characteristics used in judging product performance. A lthough particle size measurement by microscopy can be used to evaluate the number of large particles, agglomerates, and foreign particles in the emissions of inhaled aerosols and sprays, whenever possible, this test should be replaced with a method to determine the aerodynamic size distribution of the drug aerosol leaving the product. 3. Spray Pattern The acceptance criteria for the spray pattern should include the shape (e.g., ellipsoid of relative uniform density) as well as the size of the pattern (e.g ., no axis is greater than x millimeters and the ratio of the longest to the shortest axes should lie in a specified range, for example, 1.00 - 1.30). Data should be provided to demonstrate that the collection distance selected for the spray pattern test w ill provide the optimal discriminatory capability. For nasal sprays, these distances are recommended to be at least3cmapartwithin the range of 3to7 cm. 4. Plume Geometry Plume geometry describes a side view of the aerosol cloud parallel to the axis of the plume, and we recommend it be based on high -speed photography, a laser light sheet and high - speed digital camera, or other suitable methods. Plume geometry can be evaluated by a variety of procedures (e.g., the time sequence sound -triggered high speed fl ash photography method, videotape recording and taking pictures of different frames).Photographs should be of high quality. The approaches used should allow monitoring the plume development to define the shape (e.g., two side views, at 90° to each other a nd relative to the axis of the plume) of the individual spray plume over time. Plume geometry would be performed at: Beginning life stage only, One side view only, A single delay time. We recommend plume geometry measurements be summarized as mean, geometr ic mean, and %CV. 5. Effect of Dosing Orientation Determine the comparative performance of the devices in terms of Spray Content Uniformity and particle/droplet size distribution at various dosing orientations 6. ProfilingofSprays Near Container Exhausti on (Tail off Characteristics) Determine the profiles of Spray Content Uniformity and droplet/ particle size distribution of each individual spray after the point at which the labeled number of sprays have been dispensed until no more sprays are possible (i.e., the container is empty. 7. Effect of Storage on the ParticleSize Distribution Particle size distribution to be evaluated 8. Effect of Resting Time Determine the effect of increasing resting time on the first spray of unprimed units, followed immedia tely by the second and the third sprays. Uniformity of the formulation delivered in the first, second and third spray (no priming) should be determined. IX. One-time studies as part of Product Development (to be submitted along with the license applied) Man datory For the most part, these should be one -time studies, preferably performed on multiple batches (e.g. three or more) of the product, representative of the product intended for distribution. Sr. No. Parameter Description 1. Priming and Repriming inVar ious Orientations (Liquid dosage form) Determine number of Sprays recommended to prime or reprime the unit and approximate interval that can pass before the drug product should be reprimed. 2. Temperature Cycling Determine effect of variation in temperatu re on finished goods parameters, as applicable. 3. Preservative Effectiveness test If preservatives are used n the formulation, the minimum content limit should be demonstrated as microbiologically effective by performing amicrobial challenge assay. 4. Stability Studies Standard Stability Studies shall be conducted. Optional: Photostability studies should be performed using appropriate test conditions, if warranted by the immediate container, i.e., the formulation in the primary container can receive light exposure. These studies should be conducted in the absence of any additional packaging(e.g., foil overwrap) 5. Cleaning Instructions Through in -use studies determine the frequency and instructions for cleaning 6. Drug Deposition on Mouthpiece and/or Ac cessories (Powder dosage form) The purpose of these studies is to determine the amount of drug deposited within the device constituent part during use, which can relate to cleaning requirements. Study Design: Measure the mean amount of drug deposited per a ctuation on the mouthpiece or other device constituent part components (e.g., spacers or valved holding chambers). 7. Specific Rotation (Powder dosage form) As applicable, based on the pure form of active used. 8. Robustness (Powder dosage form) Vibratio nal stability of powder mixtures should be demonstrated, in order to simulate vibrations during transport and use. Significant variations in the delivered dose and/or fine particle mass should be fully discussed in terms of the safety and efficacy of the p roduct. Sr. No. Parameter Description 9. Weight Loss Nasal spray products should include acceptance criteria for weight loss during stability 10. Leachable (Liquid dosage form) The Ayush product should be evaluated for compounds that leach from elastomeric or plastic components of t he container closure system or justified otherwise. 11. Spray content uniformity(SCU) The spray discharged from then as alactuator should be thoroughly analysed for the Ayush active content. This should be performed using individual container, between con tainers and multiple batches. Suitable in house analytical methods may be deployed and communicated to the Ayurveda, Siddha and Unani Licensing Authority. X. STABILITY GUIDELINES As per the guidelines provided in concerned Pharmacopeia. XI. Safety and Efficacy Studies Broadly safety and efficacy studies need to be conducted as per the guidelines provided in Rule 158(B) of the Drug and Cosmetics Rules, 1945 and Amendments as well as those provided in General Guidelines for Safety/Toxicity Evaluation of Ayush form ulations, CCRAS, Ministry of Ayush, Govt. of India. As per the requirement, safety/toxicity of the intended therapeutic formulation in its final form must be justified through appropriate means as relevant, such as ingredient literature as per text, indica tion (e.g. textbook rationale), classical medicine or proprietary medicine, hydro -alcoholic extract or other, mucosal irritation test on experimental animals and/or clinical studies on safety, efficacy and tolerability as per Good Clinical Practice guideli nes for clinical trials in Ayurveda, Siddha and Unani medicine (GCP -ASU), 2013 and ICMR - National Ethical Guidelines For Biomedical and Health Research involving Human Participants - 2017 and other guidelines as appropriate. Annexure 1 Additional detaile d specifications for device Sr. No. Parameter Description Specifications/Limit Details for Bottle (Note: Attach Bottle drawing for reference) 1. Bottle dimensions Base color of Bottle Specify bottle color Weight of Bottle, gm Specify bottle weighty Overfill capacity of Bottle, ml Specify Bottle Height, mm Specify dimension Bottle Body diameter, mm Specify dimension Bottle Neck type Screw -on/Crimp -on /Press -fit Bottle Neck Bore(ID), mm Specify dimension Bottle Neck Outer Dia(OD), mm Specify dimension Details for Pump and Actuator (with dust cap) 2. Pump dimensions Neck of Pump Specify Neck size and type Material of construction of Pump Specify details of each component Pump closure OD,mm Specify Diptube length, mm Specify Pump output, mcl/stroke Specify 3. Pump dimensions Gasket thickness, mm Specify Pump and bottle fitment As per approved sample Strokes to prime Specify 4. Dimensions of Actuator & Dustcap Actuator OD (at base), mm Specify Actuator shoulder heigh t, mm Specify Total actuator+ overcap height, mm Specify Total actuator (without overcap) Specify Sr. No. Parameter Description Specifications/Limit height, mm Weight of actuator, gm Specify Weight of overcap, gm Specify Pump and Actuator Fitment As per approved sample 4. In Schedule M -I, after sub -clause 3.7, the following sub -clause 3.8 shall be inserted, namely: — “3.8. For issue of license to the homoeopathy medicine with nasal spray as dosage form, the Licensing Authorities shall follow the guidelines as per Schedule TB.” [F. No. T.11 011/3/2023 -DCC] B. K. SINGH, J t. Secy Note: The principal rules were published in the Gazette of India, vide, notification No. F. 28 -10/45 -H(1), dated the 21st December, 1945 and last amended, vide, notification number G.S.R. -, dated the -. Uploade d by Dte. of Printing at Government of India Press, Ring R oad, Mayapuri, New Delhi -110064 and Published by the Controller of Publications, Delhi -110054.

Never miss important gazettes

Create a free account to save gazettes, add notes, and get email alerts for keywords you care about.

Sign Up Free