Maconha Medicinal

O liberação do uso do Canabidiol ficou para janeiro.
A recém criada Associação Brasileira de Pais e Usuários da Maconha Medicinal vem dando andamento ao esforço coletivo de muitas famílias que pressionam desde o início de 2014 pela liberação oficial do uso para casos de epilepsia refratária aos tratamentos convencionais.
Desde os anos 1980 o Prof. Elisaldo Carlini fez demonstrando em pesquisas o benefício do uso da cannabis em pacientes com epilepsia de difícil controle.

Anvisa definirá situação do canabidiol em janeiro

A discussão sobre a reclassificação do canabidiol será retomada na primeira quinzena de janeiro, durante a primeira reunião pública da Diretoria de 2015. A data exata ainda será definida nos próximos dias.

A informação foi confirmada para as famílias de pacientes que fazem uso do canabidiol no Brasil, em reunião com a diretoria da Agência nesta quinta-feira (18/12). Atualmente, o produto está classificado na lista de substâncias proscritas.

A Agência também simplificou os trâmites necessários para a importação de produtos à base de canabidiol, por pessoa física e para uso próprio. A partir de agora a documentação apresentada pelos interessados na importação terá validade de um ano, sendo necessária apenas a apresentação da receita médica a cada novo pedido de importação.

Segundo as novas regras, a pessoa física que desejar realizar a primeira importação de derivado do canabidiol deverá preencher formulário com dados gerais, apresentar prescrição e laudo médico. O solicitante também deverá assinar termo de responsabilidade juntamente com o médico responsável pelo tratamento. Caso haja alteração de prescritor, também será necessária a assinatura de novo termo de responsabilidade.

A partir desta primeira autorização, o solicitante terá a autorização de importação excepcional por um ano. Se houver necessidade de nova importação durante o período, o paciente ou o responsável legal enviará um email para med.controlados@anvisa.gov.br com nova prescrição médica indicando o quantitativo necessário.

A Agência vai acompanhar os quantitativos importados de forma a ter uma visão sobre o total de produtos importados.

Confira aqui os novos procedimentos para a importação de produtos à base de canabidiol em associação com outros canabinóides.

Fonte: Assessoria de Imprensa/Anvisa

Old Medicine Hospital Chiang Mai

Tel : 66 53 201663 Email : info@thaimassageschool.ac.th The old medicine hospital was found over 50 years ago since 1962. More than 20,000 received training in Thai traditional medicine from this school (More than 10,000 of whom foreigners) Thai Massage School Shivagakomarpaj offer a professional Thai massage course that comprehensive massage course of instruction offering massage teaching that bridges discipline with technical expertise. Our students learn the top healing massage technique, massage theory, benefits and Thai massage history, Thai massage medicine concept, energy lines concept, traditional technique, Thai herb and herbal compress demonstration, communication and ethics therapeutic relationships, as well as real life clinical experience in Thai massage school.

	What is lineage? Most traditional Thai healers trace their lineage back to the "Father Doctor" Jivaka Komarabhacca, the Buddha's personal physician. In addition, one's direct lineage of teachers is considered an important indication of authenticity and a mark of high quality. The Shivagakomarpaj Lineage is one of the most respected and widespread line ages of Thai massage in the world today. About the "Old Medicine Hospital" The Old Medicine Hospital is located in Chiang Mai, Thailand. Chiang Mai is a center for the study and practice of traditional medicine of all types. There are perhaps more Thai massage clinics per square kilometer in Chiang Mai than anywhere else in the country. Among these, the Old Medicine Hospital has the most long-standing and prestigious reputation. It has long been one of the most prestigious traditional medicine centers in Thailand, and was the first in Chiang Mai to open its doors to Western tourists wishing to learn Thai massage. About Ajahn ("Master") Sintorn We honor Ajahn Sintorn Chaichakan as the founder of our tradition of Thai massage, and as our primary teacher. (Ajahn is an honorific title given to respected teachers, and is usually translated as ("Master"). Ajahn Sintorn was the founder of the Old Medicine Hospital and of the Shivagakomarpaj Lineage. He first studied traditional Thai medicine at Wat Pho in the late 1950s. Upon completing the degree in 1958, he stayed on as a teacher for four more years. Before that time, Wat Pho did not teach Thai massage, and at the personal request of His Majesty King Bhumibol Adulyadej (Rama IX), Ajahn Sintorn was instrumental in starting the massage program to complement the herbal training Wat Pho had offered for many years. In 1962, he returned to Chiang Mai and began to practice medicine at small dispensary on the grounds of several city temples. At this time, the government of Thailand was only interested in supporting Western medicine, and Thai traditions were kept alive by their association with Buddhist institutions. Living in the north of Thailand, Ajahn Sintorn adapted his practice of massage and herbal medicine to incorporate aspects of northern culture. One important change he made to the Wat Pho massage routine was to slow it down, he says to suit the "laid-back style" of Chiang Mai natives. He also focused on local herbal knowledge, incorporating treatments that were not part of the Wat Pho tradition into his pharmacopoeia. In 1973, Ajahn Sintorn purchased land just outside of Chiang Mai center and established the current facility. With only a small grant from the government to start up, the institution was quite small at that time, with only 10 in-patient beds. From these humble beginnings, the institution's traditional medicine hospital grew to the current size. In the 1990s, the program graduated an average of 60-70 Thai students per year in traditional medicine, and the Western students of Thai massage numbered well into the hundreds. Today, the Old Medicine Hospital is part of both national and regional efforts to standardize and regulate the massage industry, to improve safety and authenticity of traditional healthcare in the years to come. Ajahn Sintorn remained the director of the Old Medicine Hospital facility until his passing away on Oct 19, 2005. His son, Ajahn Wasan is the current directors.
	Thai Massage School Shivagakomarpaj is the oldest Thai massage school in Chiang Mai deliver high quality health and wellness education with a practice and a focus on humanity. We take a holistic and intergrated approach to ensure that our graduates are prepare clinic, hospitals, health clubs, spas, resorts, sport therapy clinics, or start their own private business.                                                              Northern Style Thai Massage An ancient system of bodywork originating in Chiang Mai. Combining practitioner assisted Yoga stretching exercises, trigger point therapy and deep tissue energy work , Thai Yoga Massage is performed with recipient wearing loose, No oil is required for this treatment. This modality enhances the free and natural movements of the body, releases meridian energy and promotes blood and lymphatic flow, thereby increasing flexibility and range of motion.                                                             Aroma Oil Massage Experience the benefits of massage and individually chosen OMH essential oil that helps strengthen the nervous system; promote good health and emotional well-being. A combination of firm and gentle rhythmically flowing massage movements is applied to relax the mind, soothe the muscles and relieve anxiety.                                                                 Foot Massage Pamper your feet and legs with a deeply relaxing massage using herbal massage balm and applied pressure to the reflex points on the sole of the feet which correspond to the body's organs and systems. Emphasis’s of these points releases energy blockages throughout the body, re-establishing the body's natural energy flow and healing mechanisms.                                                                     Herbal Steam A relaxing body cleanse with the use of herbal infused steam which is absorbed through your respiration and the pores of your skin. A popular Thai remedy to detoxify and promote general well-being. For more information on our massage retreat on our personal services,please email our Old Medicine Hospital at info@thaimassageschool.ac.th
	www.thai-institute.com

charlatanismo?

Consumidor hipervulnerável receberá indenização por propaganda enganosa de produto milagroso para saúde

Publicado por Superior Tribunal de Justiça 

13

Um consumidor, vítima de propaganda enganosa, deve receber R$ 30 mil de indenização a título de danos morais, por ter sido induzido a adquirir produto denominado “Cogumelo do Sol” em virtude da inadequada veiculação de falsas expectativas quanto à possibilidade de tratamento de câncer agressivo e da exploração de consumidor hipervulnerável, naturalmente fragilizado pela esperança de cura do mal sofrido por seu filho.

A Terceira Turma do Superior Tribunal de Justiça (STJ) considerou que a compra do produto foi motivada pela falsa expectativa quanto à cura da doença e que houve exploração da situação de vulnerabilidade de um pai cujo filho lutava contra um câncer no fígado.

O produto, à base de uma substância chamada royal agaricus, seria eficaz na cura de doenças graves, inclusive, a neoplasia maligna. Em 1999, o pai pagou o valor total de R$ 540 pelo produto, diante da promessa de que teria eficácia medicinal.

O filho, entretanto, faleceu três anos após a compra do suplemento, sem, contudo, ter abandonado os tratamentos convencionais recomendados por especialistas, como radioterapia e quimioterapia.

Vulnerabilidade

A ideia de vulnerabilidade, para o direito do consumidor, está associada à debilidade de um dos agentes da relação de mercado. A vulnerabilidade informacional agravada ou potencializada é denominada hipervulnerabilidade e está prevista no artigo 39, inciso IV, do Código de Defesa do Consumidor (CDC).

A Terceira Turma não avaliou questões relativas à eficácia do produto Cogumelo do Sol, se produz resultados para a saúde ou se há autorização da Anvisa para sua comercialização, por serem circunstâncias alheias ao processo. Foi analisado somente o direito do consumidor de obter informações claras, coerentes e precisas acerca do produto comercializado no mercado.

O “remédio” foi adquirido a partir da promessa de eficácia no tratamento da doença, pois agiria de forma eficiente no sistema imunológico para diminuir as células cancerígenas.

O Tribunal de Justiça de São Paulo (TJSP), apesar de reconhecer a publicidade enganosa, negou o direito à indenização por danos morais ao fundamento de que houve mero aborrecimento da vítima. Manteve, contudo, a indenização por danos materiais.

O TJSP considerou que a insatisfação com o produto não atingiria direitos de personalidade, especialmente após o decurso de três anos do uso, tempo durante o qual foi mantido o tratamento convencional. Para que a indenização fosse devida, segundo o Tribunal estadual, seria necessário que o indivíduo fosse submetido a uma situação humilhante e vexatória, o que não teria ficado caracterizado.

Substâncias milagrosas

Segundo o relator do processo no STJ, ministro Villas Bôas Cueva, o ordenamento jurídico não tolera a conduta de empresas que induzem o consumidor à compra de mercadorias milagrosas, justamente em momento de desespero, tal como vivenciado pela vítima no caso em análise.

A transparência no comércio de medicamentos é tema de importância constitucional como se extrai do artigo 220, parágrafo 4º, da Constituição Federal, segundo o qual “a propaganda comercial de medicamentos e terapias estará sujeita a restrições legais e conterá, sempre que necessário, advertência sobre os malefícios decorrentes de seu uso”.

O relator observou que a Política Nacional das Relações de Consumo busca assegurar a todos o direito de informação adequada sobre produtos postos no mercado, conforme o artigo 6º, inciso III, do CDC.

Ele disse que o respeito à dignidade, à saúde e à segurança na relação de consumo deve ser preservado, em especial quanto aos "riscos provocados por práticas no fornecimento de produtos e serviços considerados perigosos ou nocivos” – previsão dos artigos 4º e 6º do CDC.

Ônus da prova

A jurisprudência do STJ considera que é objetiva a responsabilidade do fornecedor pelos danos causados aos consumidores em razão de defeitos do produto, conforme os artigos 14 e 30 do CDC, o que se aplica, inclusive, aos anúncios. O ônus de provar que a publicidade não é enganosa nem abusiva é, portanto, do fornecedor.

A Terceira Turma entendeu, no caso, que a propaganda enganosa, como atestado pelas instâncias ordinárias, tinha aptidão para induzir em erro o consumidor fragilizado, hipótese que configura estado de perigo, prevista pelo artigo 156 doCódigo Civil.

A demonstração do elemento subjetivo (dolo ou culpa) na propaganda enganosa é irrelevante para a caracterização da publicidade ilícita no âmbito do CDC. Ainda segundo o relator, também é prescindível o efetivo engano do consumidor, bastando aferir em abstrato o potencial da publicidade para induzi-lo em erro.

O ministro lembrou que condutas dessa natureza são tipificadas como crime pelo artigo 283 do Código Penal, que veda o anúncio de cura por meio secreto ou infalível, prática que se conhece como charlatanismo e que tem como vítima toda a coletividade e as pessoas eventualmente iludidas. A consumação do crime se dá com o simples anúncio.

Ao final, concluiu o relator que “à toda evidência, não é razoável, nem se coaduna com a legislação pátria, a oferta de produto que, sem comprovação científica quanto à sua eficácia, é anunciado como apto a reabilitar pessoa acometida de doença grave”.

Medicinal plants used in Iranian traditional medicine to treat epilepsy

Shamim Sahranavard a,b,
*, Saeedeh Ghafari b
, Mahmoud Mosaddegh a,b
a Traditional Medicine and Material Medical Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
bDepartment of Traditional Pharmacy, School of Traditional Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Antiepileptic drugs used to treat epilepsy can cause severe, life threatening side effects. In Iranian
traditional medicine, herbal remedies have been used for centuries to treat seizures. In this study, the
five most important herbals in Iranian traditional medicine, namely Canon, al-Hawi, al-Abniah ‘an
Haqaeq al Adwia, Tuhfat al-Mu’minin, and Makhzan ul-Adwia, were searched for the term ‘‘sar-e’’, which means epilepsy, to identify the herbs used for treatment in ancient times. We also searched scientific literature for pharmacological evidence of their effectiveness.
Twenty-five plants were identified as herbal remedies to treat epilepsy. Pharmacological data related
to the antiepileptic activity of eleven of these plants exists. A large number of these plants which have not been investigated pharmacologically for antiepileptic activity would be good candidates for study in exploring new herbal anticonvulsant remedies.

Educating for integration

Nicola Robinson ∗
London South Bank University, UK
Jianping Liu
Beijing University of Chinese Medicine, China
Paolo Roberti di Sarsina
University of Milano-Bicocca, Milan, Italy
Aviad Haramati
Georgetown University School of Medicine, USA
∗ Corresponding author.
E-mail address: nicky.robinson@lsbu.ac.uk (N. Robinson)

European Journal of Integrative Medicine 6 (2014) 1–4

A recent Viewpoint perspective in the British Medical Journal
calls for a re-examination of the integrative medicine curriculums
in the USA [1]. There are over 50 medical and nursing
schools which have integrative medicine centres and in this article
the author states, ‘unfortunately many endorse the use of
complementary and alternative medicine (CAM)’. The arguments
are based on the fact that the systematic reviews have
highlighted problems with methodology and that recent trials
have failed to show ‘evidence of efficacy above placebo’. The
author also concludes that medical curricula are misrepresented
as being evidence based and have not been updated in accordance
with recent evidence. Cost and safety are other issues raised, in
particular to the use of dietary supplements and poor reporting
of adverse events. Further, it is suggested that British and Australian
universities ‘as the result of a campaign to expose the
lack of evidence supporting those practices have discontinued
CAM courses’.
It is tempting to dismiss those comments as the rantings of a
known sceptic who continually maligns members of the faculty
at prestigious institutions by accusing them of forgoing
sound science for funding dollars and advocacy of CAM. But
let’s set that aside and consider the broader question: why have
over a third of US medical schools elected to become members
of the Consortium of Academic Health Centers for Integrative
Medicine and are actively working to advance complementary
and integrative medicine by developing new curricula, exploring
new research questions and creating innovative clinical delivery
models? Clearly, the leaders of these institutions recognize the
importance of expanding the understanding of this field. Indeed,
in a report issued by the Institute of Medicine (IOM) in 2005 on
the use of CAM in the US, there was an unequivocal acknowledgement:
‘CAM is here to stay’ [2]. Data from multiple surveys
consistently indicate that one out of four adults in the US uses
at least one form of CAM yearly to improve their health and
well-being [3], which creates a urgent need for research. It is
important to know which CAM therapies work (and in which
populations) and which do not. It is vital that safety be established
as well as efficacy. And both practitioners and patients
certainly need to know what might be dangerous or might have
serious contraindications. It is for that reason that the Consortium,
which now numbers over 50 leading academic centers
in the US, 3 in Canada and 1 in Mexico, sponsors the largest
international research congress biennially to showcase the best
science from around the world [4]. But the Consortium also
recently sponsored an International Congress for Educators in
CAM and Integrative Medicine [5], because it recognizes the
educational imperative. Academic institutions must train health
professionals with the knowledge, skills and attitudes to meet
the public need. Again, the IOM report was very direct with
its recommendation on education: ‘The committee recommends
that health profession schools (e.g. schools of medicine, nursing,
pharmacy, and allied health) incorporate sufficient information
about CAM into the standard curriculum...to enable licensed
professionals to competently advise their patients about CAM’
[2]. It is essential that we learn about educational initiatives
aimed at incorporating both traditional, native medicine and conventional,
Western medicine and adopt best practices to improve
the literacy of the healthcare workforce about CAM and Integrative
Medicine. There is much to learn from our colleagues
around the world.
For example, in China, Traditional Chinese Medicine (TCM)
education has been incorporated into the conventional medical
education system for the last 30 years. The TCM curricula is
taught to conventional medicine students in their 3rd and 4th
year of medical training. Its content has not changed since the
1980’s and includes TCM theory, TCM pattern differentiation,
Chinese material medica, herbal formulation, acupuncture, and
TCM internal medicine. The curriculum with up to 80 hours
of teaching has as its objective providing TCM education for
conventional medicine practitioners to equip them with basic
knowledge of traditional medicine which aids its integration
into the health care system. China legally implements a parallel
health care system of western conventional medicine and
TCM. The Chinese government has also encouraged integration
of both systems into the health care even prior to the 1950’s. In
addition, 48 medical colleges/universities (including 22 western
medicine and 26 TCM universities) have set integrative
medicine undergraduate education programmes [6]. This option
provides a five-year education, and the graduates can register as
integrative medicine doctors. Postgraduate education for integrative
medicine is also available in some of the TCM or western
medicine universities.
(...)