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Medicines legislation and regulation in the United Kingdom 1500–2020

Robin E Ferner 1 2Jeffrey K Aronson 3

Affiliations

  • 1School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, UK.
  • 2West Midlands Centre for Adverse Drug Reactions, City Hospital, Birmingham, UK.
  • 3Centre for Evidence-Based Medicine, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Abstract

The initial purposes of regulation of medicines in England, and latterly in the United Kingdom, were principally to raise government revenue, to discourage murder by poisoning and to regulate the activities of pharmacists. It was only much later that regulators sought to ensure that medicines were of good quality, reasonably safe, and at least somewhat effective, and to curtail misuse of drugs. Here we survey the history of the regulation of medicines and poisons in England from the perspective of clinicians with an interest in therapeutics.

Keywords: England; United Kingdom; drug industry; drug legislation; illicit drugs; prescription drugs.

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