norml09 - 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 sum_arize, the five necessary elements of a drug
with currently accepted medical use in treatment in the
United States are_
(i) _h____C_L_q_s Chem _
t r st e K own a d
The substance_s chemistry musz 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 Foods Drug and Cosmetic Acts 21 U.S.C.
321(j)_ is sufficient generally to meet this
requirement°
(ii> _st Be Ade_t_es
There must be adequate pharmacological and
toxicological studies done by all methods
reasonably applicable on the basis of which it
couid 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 specific, recognized disorder°
(iii) There Must Be Adequate and Well-Cont o led
Studies Provinq_Effica_
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 specific, recognized
disorder.
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