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Resolution - RDC nº 138 of 29 May 2003
Republished in the D.O.U of 01/06/2004

The Collegiate Board of Directors of the National Sanitary Surveillance Agency, in the use of the attributions vested in it under Article 11, item IV of the ANVISA Regulation approved by Decree Nº 3.029 dated 16 April 1999, c/c item 1 of Article 95 of the Internal Regimen approved by resolution nº 1, dated 26 April 1999, in meeting held on 6 March 2003,

Whereas the need to implement actions that contribute to improve the quality of healthcare;

Whereas it is up to the National Sanitary Surveillance Agency to set guidelines for the productive sector, in compliance with Law nº 6.360, dated 23 September 1976, and with this Regulation;

Whereas the specific legislations that regulate the registration of drug products at ANVISA;

Whereas the use of the following criteria: therapeutic index, toxicity, international legislations and the list of essential drug products (RENAME)
Adopts the following resolution and I, the Chairman, determine its publication.

Article 1 All drug products that have their therapeutic groups and indications described in the Annex: List of Specified Therapeutic Groups and Indications (GITE), respecting textual restrictions and other pertinent legal norms and regulations, shall be sold over the counter, except for those administered parenterally, that shall be sold with prescription only.

Article 2 All drug products and therapeutic groups and indications that are not described in the GITE shall be sold with prescription only.

Article 3 Medicine associations or two or more presentations in one same packaging for concomitant or sequential use that do not have the therapeutic group and indications of at least one of their active ingredients described in the GITE shall be sold with prescription only.

Article 4 Classification in the category of homeopathic drug products is regulated by specific registration and trade regulations.

Article 5 Companies that hold the registration of products that need to alter their sales classification in order to adapt to this resolution shall do so upon the first registration renewal by submitting the necessary documentation for the alteration of the labeling and package insert, in compliance with the legislation in force.

Article 6 All New Drugs shall be sold with prescription only, their sales classification being subject to reevaluation upon the registration renewal, according to pharmacovigilance data.

Sole Paragraph. New Drugs with a minimum of five years on the American or European market (as long as approved by the FDA or the EMEA) with therapeutic groups and indications described in the GITE, with the presentation of pharmacovigilance data (PSUR) and proof of sales classification in the over the counter category in the country where the product is marketed may request classification as Over the Counter Drugs at any moment during the registration process.

Article 7 This resolution revokes Presidential Decree nº 2 dated 24 January 1995 of the Sanitary Surveillance Secretariat of the Ministry of Health.

Article 8 This resolution enters into force on the date of its publication.



CLAUDIO MAIEROVITCH PESSANHA HENRIQUES

Annex

List of Specified Therapeutic Groups and Indications (GITE)


Therapeutic Groups
Therapeutic Indications Observations

Topical and astringent anti-acne drug products
Acne vulgaris, acne rosacea Restriction:

Retinoids
Antacids, antiemetics, eupeptics, digestive enzymes Stomach acid, heartburn, stomach discomfort, stomach ache, dyspepsia, nausea, vomiting, indigestion, epigastralgia, pyrosis, esophagitis, abdominal distention, hiatus hernia Restrictions: Metoclopramide, Bromopride, Mebeverine, Proton Pump Inhibitor
Topical antibiotics Bacterial skin infections Permitted: bacitracin and neomycin
Anti-diarrhea drug products Diarrhea, dysentery
Restrictions: Pediatric Loperamide, Opioids
Antispasmodics
Cramps, menstrual cramps, dysmenorrhea, premenstrual discomfort, intestinal/renal/bilious colic
Restriction: Mebeverine
Anti-histamines Allergy, itching, hives, burning heat, runny nose, allergic rhinitis, urticaria, insect bites, allergic conjunctivitis, senile pruritis, nasal pruritis, allergic ocular pruritis, hay fever, atopic dermatitis, eczema Restrictions: Adrenergics, Corticoids (except topical use hydrocortisone)
Anti-seborrheic
products Dandruff, seborrheic dermatitis, oiliness
 

Oral antiseptics, bucco-pharyngeal antiseptics
Canker sores, sore throat, cavity prophylaxis  
Nasal antiseptics, nasal fluidifiers, nasal moisturizers
Nasal antiseptics, nasal fluidifiers, nasal moisturizers
 
Ocular antiseptics Ocular antiseptics Restrictions: Adrenergics (except naphazolin with a concentration of < 0.1%), Corticoids

Skin and mucous membrane antiseptics

Friction rash, diaper rash, contact dermatitis, ammoniac dermatitis, mammary, perianal, interdigital, and axillary intertrigo, feet and axillary odors
 

Urinary antiseptics

Dysuria, urinary pain, burning and discomfort
 
Topical vaginal antiseptics Intimate hygiene, intimate deodorant  

Aminoacids, vitamins, minerals
Post-surgery/scarring  
  Deprivation anemia  
  Restrictive and inadequate diets  
  Chronic diseases, disease recovery  
  Seniors, pregnant women, breastfeeding women  
  Newborns, breastfeeding babies and children in accelerated growth periods  
  Prevention/treatment of bone demineralization  
  Post menopause  
  Prevention of nocturnal blindness/xerophtalmia  
  Immune system fortifier  
Anti-inflammatory products Lumbalgy, myalgy, loxia, articular ache, sore throat, leg ache, varicosis pain, contusion, bruises, sprains,tendinitis, tennis elbow, lumbago, post-traumatic pain, cyatic pain, bursitis, distension, superficial phlebitis,

Varicose inflammations, painful spine, light sports injuries
Permitted: Naproxen, ibuprofen, cetoprophen.
Non-steroidal topical preparations
Anti-phlebitis drug products Leg ache, varicose pain, varicose symptoms, pain post-venous schlerotherapy  
Anti-gas, Antiflatulents, Carminatives Eructation, flatulence, bloating, overloading of the stomach, post-surgical aerophagia, gas, meteorism  
Antifungical, Antimycotic products
Skin mycosis, chilblain, nail mycosis, White pannus, fungical nail infections, onicomycosis, dermatomycosis,

Permitted: Topical preparations
 
Pitiriasis versicolor, athlete’s foot, ringworm, tinea manum, tinea pedis, tinea corporis, tinea cruris, beach mycosis
 
 
Cutaneous Candida, cutaneous monilia, sebhorreic dermatitis, superficial dermatomycosis, vulvovaginitis,
 
  Perianal dermatitis, balanopostitis, vaginal candidiasis, oral candidiasis  

Anti-hemorrhoid products
Hemorrhoid symptoms Permitted: Topical preparations
Oral anti-parasitic, anti-helminthic drug products Verminosis
Permitted: Mebendazol, Levamizol.
Topical anti-parasitic drug products, scabicides, and ectoparasiticides Lice, mange, scabies, ticks, pediculosis,  
Anti-tobacco drug products Relief of symptoms resulting from the abandon of smoking, relief of abstinence syndrome symptoms Restriction: Bupropion
Analgesics, Antithermics, Antipyretics
Pain, tooth ache, headache, abdominal and pelvic pain, migraine, influenza symptoms, common cold, fever, cephaleia, rheumatic pain, neuralgia,
Permitted: analgesics (except narcotics)
  Lumbalgy, myalgy, loxia, articular ache, arthralgia, sore throat, muscular pain, contusion bruises, sprains, tendinitis, tennis elbow, lumbago, post-traumatic pain, cyatic pain, bursitis, distensions  
Keratolytics
Dander, skin exfoliation, callus, warts, plantar wart, vulgar wart
 
Scarring
Wounds, eschars, skin and mucous fissures, cracked skin
 
Cholagogue, choleretic Digestive disturbances, hepatic disturbances  
Topical nasal decongestants Nasal congestion, nasal obstruction Restrictions: vasoconstrictors
Systemic nasal decongestants Nasal congestion, nasal obstruction
Permitted: phenylephrine
Skin and mucous emollients and lubrifiants Hyperkeratotic dermatitis, dry dermatitis, dry and scaly skin, Ichthyosis Vulgaris Moisturizer
  Palmar and plantar hyperkeratosis, dry skin, artificial saliva substitute, artificial saliva for the treatment of xerostomia  
Ocular emollients, lubrifiants and astringents Dry eyes, lack of lacrimation, ocular irritation  
Expectorants, balsamics, mucolytics, cough sedatives Cough, dry cough, productive cough  

Laxatives, cathartic drug products

Constipation, obstipation, intestinal obstruction
 
Oral rehydration products Oral hydration, oral rehydration  
Muscle relaxants
Torticollis, muscle contractions, muscle pain, lumbago, sprains
 
Rubefacients Redness  
Oral tonics Appetite stimulants, asthenia  




 
 
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