Pharmaceuticals—regulatory framework

Introduction to the regulation of medicinal products

A medicinal product is defined as a substance that is either:

  1. presented as preventing or treating disease, or

  2. used to correct or modify a physiological function by pharmacological, immunological or metabolic action, or to make a medical diagnosis

It is often obvious whether a product should be classified as a medicinal product, medical device, cosmetic product, food, or a biocide. On the other hand, the regulatory status of so-called ‘borderline products’ is not immediately clear. The regulatory classification of a product can have important ramifications, for example, on how the product is regulated (and by whom), how long it will take before such product can be commercialised (especially if pre-market approval is required), how the product can be marketed and what advertising claims can be made etc. For an analysis of the definition of medicinal product and the borderline between medicinal products and other products, see Practice Note: Introduction to borderline products.

The borderline between cosmetic products and those that are regulated as a medicinal product or medical device or have health claims

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MHRA publishes blog post highlighting £1.4bn opportunity from medicines reclassification

The Medicines and Healthcare products Regulatory Agency (MHRA) has published a blog post authored by Proprietary Association of Great Britain (PAGB) CEO, Michelle Riddalls OBE, outlining what PAGB describes as a £1.4bn opportunity to transform healthcare through expanded medicines reclassification. Riddalls argues that increasing switches from prescription-only (POM) to pharmacy (P) or general sales list (GSL) status could improve timely access to treatments for common conditions, strengthen self-care and ease pressure on primary care, with the MHRA describing reclassification as a practical way to broaden access to trusted medicines and enable safe self-management of minor conditions. She states that 74% of adults want more medicines available without a prescription, positioning consumer demand as a key driver of switch applications, and frames reclassification as a catalyst for a prevention-focused healthcare model that enhances the role of community pharmacists and supports wider public health goals. Referencing previous switches to over-the-counter (OTC) status, including Nurofen, Allevia and Calpol, as well as low-dose vaginal oestrogen products and Viagra, she highlights both market impact and social significance and calls for reform of the legal framework for certain injectable medicines, pointing to potential benefits in areas including weight management and emergency treatments. Riddalls states that a 5% reduction in NHS prescribing could save £1.4bn annually, with productivity gains of up to £18bn linked to improved OTC symptom management. PAGB adds that reclassification is one of the most practical and impactful opportunities to strengthen self-care and deliver the ambitions of the NHS 10 Year Plan, citing clear opportunity, strong public demand and persuasive supporting evidence.

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