norml08 - Page 38
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disorder_ This is an essential aspect of whether a drug has
currently accepted medical use. Rather than standing alone_
this requirement will be more clearly understood by
incorporating it into the other critical elements.
To summarize, the five necessary elements of a drug
with currently accepted medical use in treatment in the
United States are:
(i) e____t's Chemistry Must Be Known and
Reproducible
The substanceWs chemistry must be scientifically
established to permit it to be reproduced into
dosages which can be standardized. The listing of
the substance in a current edition of one of the
official compendia_ as defined by Section 201(j)
of the Food, Drug and Cosmetic Act, 21 U_S.C.
321(j)_ is sufficient generally to meet this
requirement.
(ii) There Must Be Ade_Saf_y___udies
There must be adequate pharmacoiogical and
toxicological studies done by all methods
reasonably applicable on the basis of which it
could fairly and responsibly be concluded, by
experts qualified by scientific training and
experience to evaluate the safety and
effectiveness of drugs, that the substance is safe
for treating a specifics recognized disorder.
(iii) There Must Be Ade ate and Well_Controlled
Studies provinq_Efficac Z
There must be adequate_ well-controlled, well-
designed, well-conducted and well-documented
studies, including clinical investigations_ by
experts qualified by scientific training and
experience to evaluate the safety and
effectiveness of drugs on the basis of which it
could fairly and responsibly be concluded by such
experts, that the substance will have its intended
effect in treating a specifics recognized
disorder.
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