abracro (2011) guarantee of acces to post-clinical trial drugs
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Gaa Acc PCca Ta D
ABRACRO Aca Baa Oaa Raa Pa Cca [B A C O]
Sa Pa, 2011
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2ABRACRO Gaa Acc PCca Ta D
Ic ....................................................................................................................................... 3
ABRACRO V Haaa .................................................................................................................... 4
D. F Gb Eac Ec .......................................................................... 7
D. L A Taa R Ec ........................................................................... 10
D. Sa Da Ec .................................................................................................. 13
D. N K O Taa .......................................................................................... 17
Paa G Saa a Maa Pca Sac ................................................ 19
D. Aa Fa C K La .................................................................................................... 22
ANVISA Paca Fa A a Fa Nac Ma Vaa ...................................... 25
I N P [Naa I Pbc Ha] (Mc) D. Ja I
Ca R ................................................................................................................................. 28
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3ABRACRO Gaa Acc PCca Ta D
GAANEE OF ACCE O POCLINICAL IAL DG
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ac a a b a a a
c.
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CRO, a, , a, ANVISA a CONEP, c
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c, ABRACRO a a bca, c ca aa a, a a ca Ha La, a aca ca Cca
Rac, a a ANVISA, Aca Naca Vca Saa [N
A H ]. Ua CONEP (C Naca ca Pa),
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bca a a a a a.
B bca, Caa Bc C
Naa I Pbc Ha Mc, a c cca a La
Aca .
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4ABRACRO Gaa Acc PCca Ta D
INODCION
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a cc ca.
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HE ANALI
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5ABRACRO Gaa Acc PCca Ta D
ACCE O HE CLINICAL IAL E POCLINICAL IAL ACCE
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cca a, a a, bc, acac, aa
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Ba.
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HE AL CONEPOIN
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c, a a a.
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6ABRACRO Gaa Acc PCca Ta D
Sa ab a, a bac . T a
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a c bc a . T a a
a b a b c bc , c
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HE PAIEN FEE ILL
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CONCLION
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ba.
P D ABACO
C O D ICON C B
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7ABRACRO Gaa Acc PCca Ta D
.
ACCE O HE POCLINICAL IAL MEDICAION
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8ABRACRO Gaa Acc PCca Ta D
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CNS 251/97 ( ) a
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9ABRACRO Gaa Acc PCca Ta D
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10ABRACRO Gaa Acc PCca Ta D
.
POD ACCE: EACHING FO A OLION
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a. T a a b a: b a
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HE MH OF FEE PPL
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Ja, a cc, c a a a3 (a
a ac bc c).
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11ABRACRO Gaa Acc PCca Ta D
Sa, acc aa a a c c,
c bc , b a a a b
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EMAIAION
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Ea Acc Iaa D Iaa Ta D a Ca
b b FDA 20095 . I ac a aa a aa
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a a, a aca a aca c, c c
c. Saa ca a
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c a aa a , c:
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C a (c a ca a c);
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a a a aa a, ab, ca aa
b c;
ACCE FND
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ac b a a, a c c 2008/09 c,
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12ABRACRO Gaa Acc PCca Ta D
a ). T a b a a, a a
b , a, ca b ab, a
a , b a!
CONCLION
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C.
EFEENCE
1.
Aaac J ET c. Ca a cca a Acc aa..ac.c V 364 J 3. 2004.
2.
T F. Gbaa Cca a. Na V 7 . Ja 2008.
3.
Lacaa P, R LA, c. P S Pa Cca C AbaaI. R. Cca Sa Ca, 13(3)2008.
4.
Pac c. Pa Acc I: T V IRB/REC Ca, Ia, aRac Paca a Maa HIV/AIDS S.
5.
Fa R Ea Acc aa D Ta U a Ca
Iaa Pc. .a./D/D.Fa R V 74 . 155. A 2009.6. Caa a. HIV C Ta 10(1):1324;2009.
. .
APCB D A P C B B C A
D FC C C H
A P P C J
E D IEDEJ
D CCB B C A P CC A C CCB B
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13ABRACRO Gaa Acc PCca Ta D
.
GAANEE OF POD ACCE
T baa cca a, a b c a, b c a c a aa , a c a
ac, . I Ba, aa a a, R Ec Ba, CEP
(IB/EB), a aca C Naca ca Pa [N C
E], CONEP, ba aac a
cca a c. A ba a ca c a cca
ac (Dcaa H a CIOMS, a, a Ba, R 196/96 a
251/97), acca c a, ca ca
cc a.
T c ca ca, c a, ba ca b
ca a a a aca ac
cc, a a , aa a c,
ab ab a a , a . Aa, ac
aca a a, c , acc c aca
c c ca ca . T cc ca a
c bca ac aca (a a ) a aca
ab a a , ac, c, a c acc
aca, a ac aa c ac.
I a Ma 2011, a Fac Mc USP ( P),
c a aa. T bc ac a
c a c a a aa c a
caac a c aa cca ac ca, .. ac, b
R Ec Ba (IRB/REB), a a. A a b cc a
, a a a , a aa a, a
c ac, a a c b a a/
accb ca, a a aca aa.
Qa ba a a aa c a a b a, a c F a I C F (ICF), b
Ocb, 2009 a Jaa, 2010, b CEP (IRB/ERB) (a acc b CONEP b
a a), ac ( ac aa, HIV/AIDS a ab ) a
(a aacca ca ac Ba a a Cca Rac
Oaa, CRO). T ac a a a ac
a a a.
T a IRB/ERB a 20.7% (124 599 a a
), 20% ac (58 290) a 45.3% (24 53). F
a b ca a . W c a ca
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14ABRACRO Gaa Acc PCca Ta D
ICF, ab ba a a
. Ra a a aca a ac, 96.2% a
a " a" c, ac b ca ca a a
a; a 94.2% ac cb cc (a). H,
a a: , a a
aca cca ac ac b ca ca a a
a, b ac acc a aa a.
W a ab c aa a , a
a c a (60.4%); a ac,
(43.1%) a b aca a 39.7%
a b b ca.
T a IRB/REB a a a a c ,
b a c (35.3%). T a ca b
aca b (50%). T a c a a, c a, b b a ca.
W a b , ac a
c a b aaab bc ,
IRB/ERB b a a a a c a
b . Pa a b b .
D a a (a a, a c
I , cc Ba, a a), ca b
a, b cb c c, aa
a caac aa cca ac ca.
M aa (a aa) cc ac ac ab
ba. T a c a a, c a
c ca a/ a aa a . T c aa
, a cc , aa b a a
/ a aa a. I b a, a ca,
c a a a a b, a, cc. T ca a
"c" a "b" a ca, a aa, b b a
a acc (RDC 26/99). H, a aac, c a
cc a c a a aaab. I a cca, b
b, c a a a
c a ac, b a, acc La 6360/77,
c ca b b a aa b ANVISA, c a a
c a b ca. Ia, a a a III , a a
b a c b a c (a),
aa caacc a c cca a. O a,
a a a a b a a a, b, a
a a. O ca ab b c a
.
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15ABRACRO Gaa Acc PCca Ta D
T bc c a a c a c a
a, c a c. Pbab, a , a ac
ac a a, c a cc, a a a
a a caacc, a ac a, . Ia, a c
c b, a ac, a ca c a aa a cca
a, b a a aa c, b .
I aca a c a, aa , b
aa b a a , . T ca ca HIV/AIDS
Ba. T ac a a cb aca. I ca b,
b, a bc a b. F a c,
a a cca a ca b aca aa a
a aa a c a ca ca a .
T b ac a ; a b a ac, a a a ca b ac
a a.
Rac a a b c a
ac, b ba c . Cca ac a
a c a a bc, , a c a . A
' b aa a ab ca ca a ac.
B a, b a (a ) a a a
a c c a a caac ac .
GGEED LIEAE
1.
Aca Mca Baa. AMB. Dcaa H. [c 18 2010]. Aaab a:://.ab..b/W/_JAMB.
2.
C Naca Sa. CNS. R C Naca Sa 196 1996. [c 18 2010]. Aaab a: ://c.a..b/c/Rc/R196.c
3. C Naca Sa. CNS. R 251 07 1997. [c 18 2010].Aaab a: ://c.a..b/c/_97.
4.
Cc Iaa Oaa Mca Scc (CIOMS), caba W
Ha Oaa (WHO). Iaa Eca G Bca Rac I HaSbc. CIOMS, Ga 2002. [c 25 A 2010]. Aaab a:://.c.c/bca/a_2002..
5.
Da SM. Fc ca a. [] S Pa: Faca Mca,Ua S Pa; 2011.
6.
G JR. O a aa a aca: a, ca ac a. R Paa Sa Pb. 2008; 23(3): 198206. A aaab a:://.c./c.?=S102049892008000300007&c=c_a
7.
Ga C. T ca a c a acc bca a. Ya J HaPc La a Ec. 2005; 1:42535.
8.
Ha EP, La GH, Pc J. Aaab a a c
a cca a U Sa. J C Oc 2010; 28(34): 506773.
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16ABRACRO Gaa Acc PCca Ta D
9. Ma MS, Ra DD, La LD. Maa cca a c a a b c: a? E J Cac. 2006; 42: 26757.
10.
ScJ, BR. Ac a a a cca. Ra Bca. 2007; 15(2): 24866.
11.
Sc D. Oba a. RECIIS R E C I I Sa. 2008; 2(S1):S6677.
12.
Sa S. Pa ba aa ac. Pa a Da Bc,NIH Cca C, Oc 27 2010 a a Ha Sbc Rac C. [C 27 Dc10]. Aaab a: ://.bc../c/
.
M D B I
D P M F M P M
P
M BMF B 2003; E BMF (20042005)C NAP (N A P C C G)
HCFMP 2005 2007, N P C (MC/M/FINEP)
N C N, HCFMP,
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17ABRACRO Gaa Acc PCca Ta D
.
ACCE O POD MEDICAION
Acc R N. 251/97 Naa Ha Cc (CNS), a ab aa ca a aa acc ca
b . H, a ca b c cc Ba
c . T, ca c a b
, a c b ac aa a a
, Ca Rac Cca Ta (CEPEC) a Naa Ha
Sac Ac (ANVISA ) b cc Naa Cc Ec (CONEP)
a a, c a acc b ac
bc, Ca Pa Ea Cc (CEPEC) [C
C ] a Aca Naca Vca Saa (ANVISA) [N A H
], cca a C Naca ca Pa (CONEP)
[N C E ] a a, c a
a acc b ac bc.
T a a b c a c. Acc a a a
ca aa a c a a
bc a a b a a .
I a c c c b , a c a
a c ca, c b , R a . T, a , a c a,
c . B bc a b caa
c a a b.
T acc aa a a aca
. Ta , a , a c, c a bc a,
c a aca cca ac, a , b
. T, Cc Iaa Oaa Mca Scc (CIOMS)
2002 acc a, a a ca
a a a c.
T b a a ANVISA c. E
b c, a a b.
Sc a , a a
cc a . T ac a, ba a , b a
a, aca a b a b a
a a b a. D , ca, ca c a a
c.
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18ABRACRO Gaa Acc PCca Ta D
W cc a R a b ac bc, bca
ca b a, a bc c a, a a
a c. H, c a cca a ,
a a a cc a a.
EFEENCE
1.
.acb.c.b/a//52.
2. .aa..b/ca/a/aca_ca.
3.
.c.a..b/a_ca/2009/24_a_c.
.
A P, D, F C M C P
M C P
C E B C P
C H G C P
A P, D, F M ABC
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19ABRACRO Gaa Acc PCca Ta D
GAANEE OF POCLINICAL IAL ACCE AIIC POIN OF IE
W cc a cca a, a b a a
a . T, . A a ca b a a b, a
c a a ba c b a, c c
ab a caacc ca b a. A a b a. Ta a
a a a ca ca a a . T aca
c a, a a a, cc ba
a a. T cc a a , c
aab a a, a c ab aa a
a . A a a a a a b ba a
ca a a.
T ca ca ca a acca aa ac c a
a b a ca cc a a c b a aa
ac c.
A a a ab caca, c a c a
ca a ca c ba aa. F a, a a
a aba , ab. T caca aa b, b
c b a a aaab aa cc a
b ab.
I ab b c, c ab a ?
Saca a, a aca aa a,
a aca c c a c. I
aca ca , a cc a a : I a cac
aca ? I a 71 ac a aca
ca, Fa a. (1974) cc a a ac cac, a
ab c c. T ab a c a
a. A a cc ac a ca ac c a b
aa . M a (1994) cc a "a ab aca
a a b ". I ac, aa cc a a
a a a a a a a . A a,
caca a a c c a ca a a a
ac' a aca.
T a a a cca a ac c a ca b
a a ca caca, b a a a c c accac
a cc . T a a ab,bc, a b a a b a a c
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20ABRACRO Gaa Acc PCca Ta D
a c a c. I ca caca a
a a ca ba a ab
cc ac, a a ca a ca b.
I a a ac caca a ,
c b a, a ca ca cb a .
T cc a a caca ca ca.
T a a caca a a ca b acc
aab , a , c
ac .
I a a, a aa c. Aba a a,
a ca c c a c a a cca a
b aca ca a, , a ca a c (,
c, ). E a a, b ba a b a
a c . O a, a a b
a a c a a a a a c c.
T ba a a a ca ; , ba
a a a b a a aca "a".
T ac a a a ac a c
a a a a cac, a. W cc a aa a
a, c ca (a ) ac, b a a
a c, a cc c b a a b a. T a b c a ba a aca aa a a.
T a a a a caca c a ab
a ab a cca .
Ra ca , ac a cca b
ba ba a a ac c a aca a a
aa a ab. T ba a a
a caca, aca aa, a b ab c ca
cac.
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21ABRACRO Gaa Acc PCca Ta D
EFEENCE
1.
Fa JA, Ca TC, S H, Kb RR. T ac ba, II , a a a a a c a: 71 a a. N E JM. 1978;299(13):6904.
2.
M D, C DJ, Ea S, O I, R D, a. (1994) I a
aaa a c a: T QUOROM a. Lac 354: 18961900.
CEO PG M
PG P
G P E F P
P H .
PG
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22ABRACRO Gaa Acc PCca Ta D
.
GAANEE OF POD ACCE
LEGAL APEC
Cca ac "a ac a b c aacac, aacca, cca a/ c c a/ a ac ac c aca a a/ cac.(EMEA, 2007)1. Cca ac ca a c, a c, a aa a c b a a.
T ca c cca ac a b a ab
Dcaa H. A c a a acc
ac b bc a cc .
I Ba, ca ba Dcaa H a c
C Naca Sa [N H C ] (CNS) a a
ca aa cca ac. U CNS R N. 196/96, ac
a b b ac c,
ca , acc c, c ac a. I c b
CNS R N. 251/97, ab a , ca c,
, ac, , acc ca,
ca a .
T CNS R, , "acc aa ", .., b a ca ba a a ac acc, b , b a a , c..
T C Naca ca Pa Cca [N C E C
] (CONEP) b a a a b a aa ,
c aa b ca ac a a c,
ca a, a c
ab a a aca b b b
a.
T, CONEP, "acc aa " a a ca
a a. T acc
aa ac bc, CONEP , a a c ca aa
cca c, a , a a a c
a c aa a , a
c, a a aa .
1 Ea Mc Ac. ://.aa..b/ca/a/.
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23ABRACRO Gaa Acc PCca Ta D
Ya a a b cc ac a a, ,
ac a cac, b a. T,
a , a c , c cca a c
b ca c a aaab.
F a , a a a b a
a a, Aca Naca Vca Saa [N A H
] (ANVISA).
La N. 6.360/76, c a a, ac 12 a ca
b b c a a M Ha. T ,
c a ca a a
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a Ba, ca b acc: () aa b
ANVISA a a a () a a a ca a , a () abc aac ac
aa.
T a ca a ab a a
aa ac, a La N. 6437/77 (Saa Iac La), a a a
c aa a, c, acc ac 273 Pa C, a b La
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A b ca a
c ab, c b Baa a . Acc c
a, a c II Ac 5 Fa C, "
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a a .
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caa aa acc, c a a caca
c, ca aa ac c. I a, c
c a c, b a,
c a.
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24ABRACRO Gaa Acc PCca Ta D
CONEP, b c , a b a a,
a a c, c a , ab a a
a, c a a b c a ac a, ,
a caab a, a a bc a cb ba b a.
D a ca aa c a cc cca
ac Ba, La Pc N. 2.473/03 b D Cb Ma, PPS/BA, c a
a R CNS N. 196/96 c, c, a
D Cab. I c , D Ca D, a
CEP/CONEP b a.
T a ca c "acc aa "
a c a, La N. 6.360/76 b a, a ,
c a a La Pc N. 2473/2003, b ac ab a a
ba, a a aa a cca acc.
.
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B L F D P
L P
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P, P P H P
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I, FG/INDFAMA B P
P H L I D (IDIA) I H L
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25ABRACRO Gaa Acc PCca Ta D
POIN OF IE OF HE NAIONAL AGENC FO HEALH EILLANCE EGADING HE IE:
GAANEE OF ACCE O POCLINICAL IAL MEDICAION.
I Ba, c, a a ca ca b a a a
a a b M Ha1. T ba , a a a
aa ac a a a c (c a
c), c cac a a ( ca ) a caab ( ca
c a a )2.
H, a a c , a cca
a, a acc a a caa a a. I c
ca, c b c a/ ca, ca
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c.
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a b a aca bca
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bca a ac . T ca a
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Scca a c ca b ac aca a
c cca a, Dcaa H a aa aa
a ac c cb ca acc ac
bc a b . R N. 251/97 C
Naca Sa [N H C ] (CNS), a a a
acc aa a a b . CIOMS (Cc
Iaa Eca G) a a a c b aab aaab
c aba c a a c.
R N. 196 CNS c b c a ac " b ba ac a c c
a b ", b " ac bc b
c, ca , acc c, c ac a.
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ca ac a bc c,
a ca bc a a c. H, a a
b c cc Ba a .
I aa , a a a, a,
acc a, b a aa c, a
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8/9/2019 ABRACRO (2011) Guarantee of Acces to Post-clinical Trial Drugs
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26ABRACRO Gaa Acc PCca Ta D
ac, a a c a c cca a.
I a , a a a a cac
a aca , a a b ac
ba a a . T a b b a a
aca aa ac aa a cca aa a
a5,6.
A a a aa, bca a c
b a b ca b aa aa a
a. I a, c a a a
a a a c4.
S a b ac a c a ac bc
a aca , b a a a a b c, c
a a aca , ac a ac, aa a aaab, bc a a, a 5. H,
a a ca a bc a cca b a
c c, a c, ca a a b a b
a, a b a a b c. I ca,
b cc , bca
c a a a a ca,
ac bc b a a7.
T, ca a a b aa ; c
aa ca b b ac aa a; a cc a a c , ANVISA, cc a
CONEP, c a c a . T ca a
c a ca a .
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ca a a c, ca c b
c a a. I ab a
a a. M, ANVISA cc a acc, b a
ab . T, b c a
a a a Aa. I a a b
aca c c ca cca
a a.
T b ca a a a ' c, ac a
b a, b ca , a a
a a; ca acc aac
c; ab ccc a ;
ca ca a a a a
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27ABRACRO Gaa Acc PCca Ta D
b c ca, a , cca a
aa c .
S, c b c aa a c
ab a, a, b c. I a a, c
c c c (c ) a ( a a
) b 8. T a, ab a aa a b
aa a. T a c a
CNS R N. 196/96 a ac a aa a
ac bc ba b c, ca ,
acc aa a, a.
EFEENCE
1.
BRASIL. L 6360, 23 b 1976. D b a ca aa a ca
ca, a a, aacc ca, cc, aa , a ca. D Oca [a] Rbca Faa Ba, Baa, DF, 24 .1976.
2. BUSS, P. M.; CARVALHEIRO, J. R.; CASAS, C. P. R. Mca Ba: a & ac. R Ja: Ea FC, 2008, . 92, ISBN: 9788575411650.
3.
GROOPMAN, J. T a a: S a a acc a ? T NY, N Y, 18 c. 2006. Aaab a:. Acc : 16 a 2010.
4. GOLDIM, J. R. O a aa a aca: a, ca ac a. Ra Paacaa Sa Pbca, Wa, .23, .3, .198206, a. 2008.
5.
DAINESI, S. M. C aa bc a ac a a aca a cca?Ra a Aca Mca Baa, S Pa, . 52, .1, . 56, a./b. 2006.
6. DAINESI, S. M. C a a a a a ca ca P c a c ca aa c a a a ac a cca? Ra a Aca McaBaa, S Pa, . 55, .3, . 237238, 2009.
7.
JNIOR, B. R. S. Ac a a a cca. Ra Bca, Baa, C Fa Mca, . 15, . 2, . 248266, 2007.
8. CASTILHO, E. A.; KALIL J. ca a ca: c, aa. Ra aSca Baa Mca Tca, S Pa, . 38, . 4, . 344347, ./a. 2005.
.
C P E C M N C N
M COPEM
ANIA A N N A H
.
H COPEM
ANIA A N N A H
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28ABRACRO Gaa Acc PCca Ta D
() .
ENING HE IGH O ACCE O MEDICINE AFE HE END OF CLINICAL IAL IN MEICO
Mc, a La Aca c, c a a a
aacca a cca a b a a a aba
. T bca c a a , a
cc c a cc a a ca a ac a a
a. I a, Mc a a ab a ac a a
a a a a cc ac cca ac
. Ca V Mca Ga Ha La a ba cc
cca a, c a c Dcaa H a
aa aa.
Cac a aa : 1) Fa C
Saa R Pc (COFEPRIS) c c a, c a a
a aa a 2) Naa Bc C (CNB) c
aa bc a a a a , c ac c c,
a b cca a. Acc c a, aa
cca a b a b b , COFEPRIS a a ac c c.
Acc CcaTa. aaba, Mc 1370 cca a b
aacca a a 70% a a cc bc a
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(aaa 30) a a "a a, a bc aca a ac
b a b acc, ac a ac
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a a Ha Rac Ha Sbc ac a a
ac Dcaa H. T a a / a
a a a c aca c ,
a b c c a COFEPRIS cac
ca.
COFEPRIS c cac ca a ac
aa a cca a a c c aa a
c a bc c ( acb a
aa), c a a. T a a ca b aca
c a a a cc a a a c a cac, ab, a
a a AIDS, a .
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29ABRACRO Gaa Acc PCca Ta D
T ca ab ca Mc a ca b
acc ca a cca a.
.
P.D, M , G
M B, CIEB C C
M , INP
P B C INP N, 2008
N L I, CONAC
M B C E M
P B , INP
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