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Guidelines on the Declaration of Efficacy of Natural Medicines
2026-05-09
Terminology Definition
This regulation defines the following terms:
1. Natural medicinal ingredients: Refers to single ingredients, mixed ingredients, or finished products derived from plants, animals, microorganisms, minerals, and other natural resources, including combinations of the aforementioned natural ingredients; such ingredients have been used for generations or have been proven to have definite therapeutic effects, safety, and stable quality, and are used for health preservation, health promotion, disease prevention, symptom management, and physical rehabilitation based on traditional experience and/or scientific evidence. 2.Declaration of efficacy of natural medicines(hereinafter referred to as "Efficacy Statement"(This refers to any form of text that explicitly or implicitly suggests that natural medicinal ingredients have positive and beneficial effects on human health.) 3.Commercial entities: Refers to a market entity that is established, registered and operated within the sovereign jurisdiction of the Republic of Indonesia, and that is an individual, legal person or unincorporated entity, and engages in commercial business activities related to natural medicine products, either independently or in partnership.Efficacy claims are mandatory.
Scope and content of the efficacy claim guidelines
Efficacy claims reassessed
The Food and Drug Administration may, in conjunction with the latest scientific and technological developments in the field of natural medicines, conduct reviews of efficacy claims for approved natural medicine products already on the market.Post-event reassessment。Principles for Compiling Statements of Efficacy of Natural MedicinesThe following principles must be strictly followed when drafting efficacy claims for natural medicines: 1. The statements must be objective, rigorous, and free from exaggeration or misleading claims; 2. They must conform to the legal definitions of traditional herbs (Jamu), standardized herbs, botanicals, and other natural medicine ingredients; 3. They must consider product safety, efficacy, and standardized usage guidelines; 4. Based on the type of efficacy claim, they must be accompanied by high-quality, strongly relevant, and legally valid supporting evidence, including information on raw materials, dosage, manufacturing process, and application method; 5. They should facilitate consumers' rational product selection based on efficacy claims, avoiding cognitive biases and misunderstandings; 6. Specific efficacy claims must be combined with risk analysis, and supplemented with warnings and precautions. > Example: Claims for diarrhea, hypertension, diabetes, body fat, and blood lipid regulation must include warnings and cautionary reminders. 7. Multiple efficacy claims may be made for the same product, with each claim logically consistent and supported by corresponding levels of evidence. > Example: Helps people with diarrhea to consolidate stools, absorb intestinal toxins, and reduce bowel movement frequency.Natural Medicine Efficacy Declaration Classification
Claims regarding the efficacy of natural medicines fall into the following three categories: 1. Claims for traditional health maintenance uses; 2. Claims for traditional therapeutic uses; 3. Claims for scientifically validated therapeutic uses. Among these:Scientifically validated statement of therapeutic useIt is necessary to provide supporting evidence, including efficacy research data and corresponding literature.Table 1. Types and Scope of Application of Efficacy Claims for Natural Medicines
Type type | Scope scope |
Maintenance Claims Health in general Traditional (Traditional Health Use) Traditional health care uses
| Traditionally used to help maintain health Traditionally used to help maintain health
|
Helps maintain health Helps maintain health
| |
Traditional Claims for Treatment (Traditional Treatment)
| Traditionally used for help relieve symptoms, or treat diseases or medical conditions as appropriate with the principles of traditional medicine, except for diseases that can be increase the risk to sufferers including cancer, liver disease, and diseases of the immune system Traditionally, it has been used to help relieve symptoms or treat diseases or medical conditions according to the principles of traditional medicine, but not diseases that may increase the patient's risk, such as cancer, liver disease, and immune system disorders.
|
Helps relieve symptoms, or treat diseases or medical conditions as appropriate with the principles of traditional medicine It can help relieve symptoms or treat diseases or conditions based on traditional medical principles.
| |
Medical Claims Scientifically Proven (Scientifically Established Treatment) Scientifically proven treatment claims | To help relieve/alleviate symptoms or disorders or medical conditions proven by scientific evidence, which strengthen the principles of treatment Traditional Scientific evidence confirms that it helps alleviate various types of [conditions/conditions].Symptoms, discomfort and physical ailmentsThis also corroborates and confirms the conditioning principles of traditional medicine. |
Treating disease Treating diseases |
Evidence for claims of efficacy of natural medicines
There are three main types of evidence for claims about the efficacy of natural medicine ingredients:
1. Evidence based on claims of traditional health uses based on documented traditional uses and knowledge, including:
a. Pharmacopoeia/Official Monographs; or
b. The written tradition of classical manuscripts (classical documents);
c. Textbook/journal references;
d. Unrecorded Indonesian oral traditions can be verified in the following ways:
1) Written statements from traditional leaders;
2) A written statement from the local government;
3) A written statement from the academic community; or
4) Interviews with community/traditional leaders
2. Evidence based on documented claims of traditional medicine practices.
include:
a. Pharmacopoeia/Official Monographs; or
b. The written tradition of classical document forms;
c. Textbook/journal references;
d. Unrecorded Indonesian oral traditions and evidence
source:
1) Written statements from traditional leaders;
2) A written statement from the local government;
3) A written statement from the scholar; or
4) Interviews with community/traditional leaders
3. Evidence for scientifically established therapies derived from scientific data, specifically as follows:
1) Evidence must be presented in the form of scientific data (preclinical and/or clinical data).
2) Other evidence, including:
a. Official compilations/monographs; or
b. The written tradition of classical text forms;
c. Textbook/journal references;
d. Unrecorded Indonesian oral traditions and evidence, sources:
1) Written statements from traditional leaders;
2) A written statement from the local government;
3) A written statement from the scholar; or
4) Interviews with community/traditional leaders
Claims of therapeutic efficacy must be supported by sufficient evidence. Since the use of natural medicines is primarily based on accumulated experience and historical knowledge, their efficacy claims must consider the rationale behind the ingredients or formulation.Efficacy data for “scientifically established therapies” must come from preclinical studies and/or clinical trials. Supporting research documentation must include complete study results, not just abstracts.