Page 91 - 2017食品藥物管理署年報(英文版)
P. 91

2017 Taiwan Food and Drug Administration Annual Report   Chapter 6. Early Warning, Monitoring and Risk Management











                                          Safety monitoring

                                                                              Reporting System
                            Finding       Detecting  potential  safety issues or
                              the         quality problems of medicinal       Periodic Safety Update Reports during
                           problem        products                            Drug Safety Monitoring Period
                                                                              Proactive Drug Safety
                                                                              Monitoring Mechanism
                                          Safety analysis and evaluations     Monitoring Domestic and
                                                                              Global Drug Safety and Quality Alerts
                                          Identify potential safety issues or
                           Analyzing      quality problems by scientific methods
                              the         and evaluate the balance between
                            problem       clinical benefits and risks of medicinal
                                          products


                                          Risk controls
                                          In response to safety or quality issues,
                            Solving       appropriate risk control measures
                              the         shall be taken, such as issue warning
                           problem        letters, revision of package inserts,
                                          usage restrictions, product recalls




                                         Figure 6-3  Post-market control process of medicinal products




                     (1) Risk recognition and information collection
                         A. Reporting system
                            A number of reporting systems for advers drug (ADR), medicinal product
                            defects and therapeutic inequivalence have been established in Taiwan. A total of
                            14,102ADR cases,869 defective drug products and 52 therapeutic inequivalence
                            cases were reported in 2016. Additionally, the reporting system also established
                            mobile device reporting for medicinal product defects and therapeutic
                            inequivalence in August 2016 to make it more user-friendly.
                         B. Monitoring of global alerts

                            Medicinal product safety or quality alerts around the world are monitored on a
                            daily basis. A total of 131 medicinal products safety alerts and 646 quality alerts
                            were monitored in 2016.
                         C. New drug safety surveillance
                            The drug license holder of new drugs must submit periodic safety update reports
                            during the preliminary period after approval. A total of  474 medicinal products
                            are under new drug monitoring at the end of 2016.Additionally, the format of the






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