Ergogenics

  [Definitie:] "An ergogenic aid is any substance or phenomenon that enhances performance." (Wilmore and Costill)

  Nieuwsbrief over doping, supplementen, voeding en training

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Australië heeft grootste vitaminerecall ooit

Schandaal rond Pan Pharmaceuticals reikt tot in Nederland

De lijst van supplementen en over the counter-medicijnen die ogenblikkelijk van de markt moeten verdwijnen is inmiddels 38 pagina's lang. De Australische farma-autoriteit heeft drastisch ingegrepen, en de grootste nationale producent van supplementen platgelegd. Alle middelen, die het afgelopen jaar uit de fabrieken van Pan Pharmaceuticals zijn gekomen, moeten worden vernietigd.

Saw palmetto, multivitamines, visolie, middelen voor sterker nagels, echinacea, ginseng, maar ook paracetamol en middelen tegen verkoudheid en allergie - Pan Pharmaceuticals maakte het allemaal, voor merken als Golden Glow, Bio-Organics en Nature's Own. In januari van dit jaar bleek dat er in ieder geval iets met die over the counter middelen niet in orde was, toen een gebruiker van het medicijn Travacalm - een middeltje tegen reisziekte - psychotisch werd.

Het was het topje van de ijsberg. Onderzoekers achterhaalden dat er in totaal 87 mensen ziek waren geworden nadat ze Travacalm hadden geslikt, en hadden geprobeerd om uit vliegtuigen, uit de auto of van de boot te springen. Negentien van hen belandden in het ziekenhuis.

Toen de Therapeutic Goods Administration de zaak ging uitpluizen, bleek er van de bedrijfsvoering van Pan Pharm weinig te deugen. De dosering was om te beginnen slordig. Sommige preparaten bevatten bijna geen actieve stoffen, andere zeven keer meer dan het etiket aangaf.

Verontreinigingen kwamen veel voor omdat de fabrikant de machines niet schoonmaakte. Soms bevatten de middelen zelfs compleet andere stoffen dan het etiket vermeldde. Zo bevatten preparaten, die haaienkraakbeen zouden moeten bevatten, het goedkope kraakbeen van runderen.

Het bedrijf vervalste verder de rapporten van de kwaliteitscontrole. Zo is het op 13 maart 2003 gebeurd dat 270 verschillende partijen grondstoffen, die eigenlijk in quarantaine hadden gemoeten, gewoon door konden naar de fabriek.

Daarnaast heeft het bedrijf tussen oktober 2002 en maart 2003 gerommeld met de testen van een energyproduct, een vitaminepreparaat en een middeltje tegen verkoudheid, omdat die niet bevatten wat er op het etiket stond. Dat gebeurde ook met vitamines, die in werkelijk teveel en te weinig actieve stoffen bevatten. Sommige vitamines waren daardoor gevaarlijk voor kinderen of zwangere vrouwen. Verder vonden de inspecteurs uitslagen van - uiteraard gunstige - tests die nooit hadden plaatsgevonden.

In Australië loopt de zaak hoog op. Het aantal verdachte preparaten is enorm. Eerder deze week vertelde de farma-autoriteit dat er 219 middelen terugmoesten. Op 30 april 2003 waren dat er al 439, en insiders speculeren dat er uiteindelijk duizenden middelen in de ban zullen gaan. De inspecteurs zijn nog aan het uitzoeken voor welke supplementenmerken het bedrijf nog meer produceerde.

Ook in Nederland zijn er preparaten van Pan Pharm op de markt. Van het merk Nature's Own, om precies te zijn. Een distributeur van die middelen meldt op zijn website dat ,,Nature's Own voedingssupplementen worden geproduceerd volgens de hoogste productiestandaarden. Tijdens het productieproces wordt uitsluitend gefilterd water gebruikt.''

Op zijn eigen website trommelt de verdachte producent zich stevig op zijn borst. ,,Wij staan volledig achter de Australian Therapeutic Goods Administration (TGA) Code of Good Manufacturing Practice for Therapeutic Products'', meldt de fabrikant. ,,Over de gehele wereld staan wij bekend om de strikte wijze waarop we vasthouden aan de standaards van de World Health Organisation.''

De directeur van Pan Pharmaceuticals, Jim Selim, noemt het optreden tegen zijn bedrijf 'overdreven, onwettig en ongewoonlijk'. ,,Dit is een heksenjacht'', aldus Selim. ,,Onze producten zijn okay. We hebben niks fout gedaan.''

De Australian Therapeutic Goods Administration publiceert de lijsten van de teruggeroepen supplementen en reguliere medicijnen op zijn website op [Offline]. Sinds de actie tegen Pan Pharm begonnen verschijnen daar dagelijks updates. Consumenten en bedrijven, die willen weten of hun preparaten deugen, kunnen het beste de FAQ van de TGA raadplegen. [Offline]

Een bestuurder van de vitaminegigant zei dat het bedrijf zelf al had opgespoord wie er achter de vervalste tests zat: een laborant, die op eigen houtje had geopereerd en inmiddels was ontslagen.

De koers van het bedrijf is ingestort toen de overheid het bedrijf voor de komende zes maanden sloot. De handel in het aandeel is stopgezet.

De TGA heeft laten doorschemeren dat het nog meer 'luie' makers van supplementen en medicijnen gaat aanpakken.

Naschrift: Als gevolg van het PanPharmschandaal besloten de regeringen van Australië en Nieuw Zeeland december 2003 de meeste supplementen te gaan reguleren als medicijnen.


Bronnen

1. TGA recalls more products. ABC News, 30-4-2003.
2. Malaysia orders Pan Pharmaceuticals products recalled. AP, 30-4-2003.
3. Aussie drug firm calls recall a 'witch hunt'. AP, 30-4-2003.
4. Marianne Betts. Kiwis in the dark on big Aussie pill recall. Stuff.co.nz, 30-4-2003.
5. ASX tough on drug maker. AAP, 30-4-2003.
6. Supplement company in Australia's largest medicines recall. NutraIngredients.com, 28-4-2003. [Link] Laatst bezocht op 30-4-2003.
7. Leanne Edmistone. Suspect tablets recalled. The Courier Mail, 29-4-2003.
8. Mational Medicines Regulator Suspends Drug Company's Manufacturing Licence. Media release. Therapeutic Goods Administration (TGA) via Health.Gov.Au/tga, 28-4-2003.
9. Kevin Taylor. Outrage over health pills law. New Zealand Herald, 8-12-2003.

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Pan Pharm-schandaal bereikt Ierland

Terwijl Australië nog steeds niet bekomen is van het schandaal rondom de vitaminefabrikant Pan Pharm zijn ook de Ieren begonnen Australische vitamines te vernietigen. Het gaat om tien preparaten die volgens de Australische voedselautoriteit niet deugen en gemaakt zijn onder de merken Kordel, Thompson en Healthwise.

Foods Safety Authority of Ireland. Recall of Pan Pharmaceuticals Products in Ireland. FSAI.ie, 13-6-2003.

Outrage over health pills law

08.12.2003
New Zealand Herald
By KEVIN TAYLOR

The $200 million-a-year health supplements business is up in arms over a Government plan to join forces with Australia to regulate the industry.

Under the Government plan, all dietary supplements and alternative remedies will be classified as pharmaceuticals and regulated through a new transtasman agency.

Opponents - including some MPs - say the country will lose control of its regulations to Australia, and that the Government is sidelining the report from a year-long inquiry by a parliamentary select committee, due out today.

Alternative medicines, such as herbal remedies or homeopathy, are a big business.

The Health Ministry says New Zealand has about 10,000 practitioners of "complementary and alternative health".

The health food and supplement industry has an annual retail turnover of $222 million, exports supplements and ingredients worth about $100 million, and employs more than 3000 people. Health Minister Annette King and Australia's Parliamentary Secretary to the Minister for Health and Ageing, Trish Worth, are to sign a treaty on Wednesday establishing a new agency to replace present regulatory bodies on July 1, 2005.

Ms King said last night that products such as garlic would not be covered, but multi-vitamins and other such products would. The amount of regulation would depend on the product and the therapeutic claims being made for it.

She said she was criticised for not having regulations after this year's big recall of Pan Pharmaceuticals products, made in Australia.

She rejected criticism of the Government's moves, saying they were announced in principle late last year and were not new. Talks about a joint regulator had been going on for five years. "This is all about quality, public safety, and standards. We require standards for the food we sell ... We require standards for pharmaceuticals and medical devices.

"And one of the hard lessons I learned this year was that the public demanded standards and regulations for complementary healthcare." But Green MP Sue Kedgley and NZ First MP Pita Paraone are upset that the Government is including alternative medicines and supplements before the health select committee report is out.

The year-long inquiry was to consider a framework to govern the regulation of dietary supplements and alternatives remedies, including whether it should be done by the joint agency. The risks of such products were also to be assessed.

Ms King said the decision to include alternative medicines and supplements was made in principle in November last year. Delays in completion of the committee's report could be blamed on Ms Kedgley constantly requesting more information.

"I always made it clear we were continuing to work on it. Nothing was ever put on hold and that was made clear by the select committee chair [Steve Chadwick]."

Steve Chadwick said the Government was not supplanting the report, which is due to be released today.

"Even though you have heard probably some anger from the Greens, the report will be extremely helpful when we are looking at our own law."

Amy Adams, a spokeswoman for the dietary supplements industry's educational body, the NZ Health Trust, said the industry was absolutely gutted by the move.

"We have evidence showing this will cost consumers' choice, increase compliance costs and see New Zealand jobs disappear. "We feel really betrayed by Annette King and her officials throughout the whole process."

Ms Adams said the Australian Therapeutic Goods Administration - which will merge with the Health Ministry's Medsafe unit to form the new agency - had been a "spectacularly unsuccessful" bureaucracy. Ms King denied the agency would be dominated by Australians. It would have offices in both countries and its ministerial council would include both Health Ministers.

On Wednesday, the Government will sign a treaty with Australia to establish a joint drugs agency.

As well as medicines and medical equipment, it will regulate dietary supplements and alternative remedies.

Opponents say New Zealand will lose control of decision-making to Australia, Kiwi dietary supplements firms will be hurt, and customers will have less choice.

All-knowing boss kept board in dark, court told

By Natasha Wallace
Sydney Morning Herald
September 29, 2004

Jim Selim's in-tray must have been groaning from the pressure.

The man at the centre of Australia's biggest medical product recall kept such a tight rein on his Pan Pharmaceuticals employees that all faxes and letters, regardless of who they were addressed to, went to him first.

Jim Selim

But the former chief executive officer and majority shareholder of the collapsed company is now facing criminal charges for allegedly withholding from board members a damning audit and letters sent by the national regulator. The letters stated that "critical deficiencies" in Pan's manufacturing methods were threatening lives.

The concerns of the Therapeutic Goods Administration (TGA) centred on a travel sickness product, Travacalm. Several people who had used the product had been hospitalised because of poor manufacturing processes which meant its active ingredient varied from zero to 700 per cent of the proper dose.

Selim yesterday faced Downing Centre Local Court charged with four counts of knowingly giving information that is false or misleading, an offence which carries a maximum penalty of two years' imprisonment or a $11,000 fine.

He denied the allegations.

The court was told yesterday that, Selim, 62, deliberately kept board members in the dark at four meetings between February and April last year, about the audit, held on January 30 and 31.

He allegedly "significantly" downplayed the seriousness of the matter by telling the board it was just a few customers reporting "minor adverse effects".

Selim's company secretary, Janice Pond, told the TGA that all letters and faxes to the Moorebank office and factory were sent to Selim first. The audit revealed serious manufacturing deficiencies of Travacalm, including ineffective test batches and deliberate falsification of results.

Selim is alleged to have told investigators during the audit that it "wasn't really serious because no one really got hurt" and blamed a laboratory analyst, Shyama Jain, for trying to "sabotage" him.

The TGA said Selim had a "clear motive" to limit information three weeks after it banned Pan from making Travacalm on February 5, the company released its half-yearly report to the Australian Stock Exchange. Pan was shut down after a massive recall of all its 1600 vitamin and health supplements on April 28 last year.

Selim was granted bail on the condition that he inform authorities in writing of any change of address 24 hours before moving and, if travelling overseas, submit a written itinerary seven days in advance. The case has been adjourned until December 14.

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