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환자 안전 측면에서 살펴본 분할 불가 정제 의약품의 분할선 사용 현황
양진욱(Jinwook Yang),권경희(Kyenghee Kwon) 대한약학회 2020 약학회지 Vol.64 No.4
Scoring is marked by a groove on the tablet surface to facilitate easy division or splitting into two or more equal pieces. It allows easy swallowing in different populations and to maintain weight and dose uniformity among fractions. In Korea, however, an undividable tablet is scored, which confuses consumers about the splitting efficacy. This study aims to clarify the scoring status of an undividable tablet and propose a policy for improvement. Public data obtained from the Ministry of Food and Drug Safety (MFDS) were utilized for the frequency analysis according to the physical and pharmaceutical characteristics of the product. The results showed that 33 products, i.e., 2.5% of all 1,300 undividable medicines, were scored. It was estimated that either the general practice to engrave scoring to facilitate dose adjustment or to distinguish appearance leads to confusion, and interferes with the function of the scoring and dosage form. In Korea, due to ambiguous scoring standards and poor consensus regarding the function of scoring, the regulatory framework for tablet scoring is incomplete. In contrast, foreign regulatory bodies such as FDA and EMA prohibit scoring of undividable tablets and provide a legal basis to ensure the quality of the split portion of medicines. Efforts by doctors, pharmacists and consumers as well as pharmaceutical companies are needed for appropriate scoring. We expect a prompt regulatory mechanism to promote drug safety.
국가별 무광고 표준담뱃갑 정책의 비교 분석: 담뱃갑과 담배 개비의 디자인 요소를 중심으로
양진욱 ( Yang Jinwook ),권경희 ( Kwon Kyenghee ) 한국보건사회연구원 2021 保健社會硏究 Vol.41 No.3
보건복지부에서는 담뱃갑과 담배 개비의 색상과 디자인 등을 표준화하여 광고 및 판촉 효과를 억제하는 무광고 표준담뱃갑 정책의 도입 추진을 2019년에 발표하였다. 이에 본 연구에서는 무광고 표준담뱃갑 정책을 도입한 국가 중 호주, 영국, 뉴질랜드, 캐나다의 관련 법령 및 가이드라인을 토대로 국가별 규제 요소를 비교하였다. 연구 결과, 각 국가에서는 담뱃갑 포장의 색, 개폐 방식, 크기, 표시 정보의 기재 방법, 개비의 길이와 지름, 개비에 기재하는 정보의 유형 등을 서로 유사하게 규제하고 있다. 하지만, 일부 규제 요소의 경우 국가별 규제 수준에 분명한 차이가 있어 우리나라에 적용 시 면밀한 검토가 필요하다. 특히, 시간이 지남에 따라 정책의 효과를 높이기 위한 규제 요소들이 추가·변경되고 있어 정책 입안 과정에서 최신 규제 동향을 충분히 검토해야 한다. 본 연구의 결과는 향후 정책 도입 시 법령 제정의 기초자료로 활용될 수 있을 것으로 기대된다. In 2019, the Ministry of Health and Welfare introduced a plain packaging policy for standardizing the color and design of conventional cigarette packs to suppress the effects of advertisements and promotions. In this study, the relevant laws and guidelines of Australia, the United Kingdom, New Zealand and Canada were searched on the website of each country’s regulatory agency. The regulatory elements of these countries were then compared. The results showed that each country similarly regulates the color, structure, and size of conventional cigarette packs, labeling information, the length and diameter of conventional cigarette sticks, the type of information labeled on the stick, and so on. However, some regulatory elements showed clear differences in the level of regulation by country. Thus, a close review is required when applying such elements to Korea. In particular, over time, regulatory elements to increase the effectiveness of the policies are being added or changed. Therefore, the latest regulatory trends must be thoroughly reviewed in the policy-making process. The results of this study are expected to be used as basic data for the enactment of laws and regulations in Korea when introducing policies in the future.