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Volume 352:1176-1178 March 24, 2005 Number 12
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Herbal Medicine in Europe — Relaxing Regulatory Standards
Peter A.G.M. De Smet, Pharm.D., Ph.D.

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Herbal medicine is big — and relatively mainstream — business in Europe: in 2003, European countries spent almost $5 billion (at manufacturers' prices to wholesalers) on over-the-counter herbal medicines. But not all European countries have embraced herbal treatments with equal warmth. Germany and France are indisputably in the lead in over-the-counter sales (see graph), and they have also had noteworthy markets for prescription herbal preparations. In 2003, German health insurance paid $283 million in reimbursements for prescribed ginkgo, St. John's wort, mistletoe, saw palmetto, ivy, hawthorn, stinging nettle root, myrtol, phytosterols, and cucurbita, and in 2002, French health insurance . . . [Full Text of this Article]


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Dr. De Smet is from the Scientific Institute of Dutch Pharmacists, The Hague; and the Department of Clinical Pharmacy, University Medical Center St. Radboud, Nijmegen — both in the Netherlands.


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