臺北市中藥及保健食品中摻加西藥檢驗之分析

A Survey of Pharmaceutical Adulterants in Chinese Medicine and Dietary Supplements in Taipei City

黃景義(Ching-Yi Huang) ； 王慧英(Hui-Ying Wang)

《北市醫學雜誌》 15卷4期 (2018/12) Pp. 1-13

https://doi.org/10.6200/TCMJ.201812_15(4).0001

摘要

目的：統計臺北市政府衛生局2014至2017年度，執行專案抽驗和市民申請送驗中藥製劑及保健食品摻加西藥檢驗結果。方法：依食品藥物管理署公開建議之「中藥及食品中摻加西藥之檢驗方法」，檢驗214項西藥。結果：檢驗件數共861件，檢出西藥159件（18.5%）。其中稽查抽驗365件，檢出西藥64件（17.5%）；民眾申請496件，檢出西藥95件（19.2%）。食品類樣品469件，檢出西藥110件（23.5%）；中藥製劑類樣品392件，檢出西藥49件（12.5%）。食品類樣品以宣稱減肥產品西藥檢出率58.1%最高。所有檢出西藥以caffeine檢出102次最高，其他檢出超出10次之西藥，依序為piroxicam、hydrochlorothiazide、acetaminophen及theobromine。結論：檢出西藥之產品即涉嫌違反藥事法，本報告內容供行政部門管理參考，針對高風險產品持續進行不法摻加藥物查察。

關鍵字

中藥製劑 ； 保健食品 ； 摻加西藥

並列摘要

Objective: To investigate pharmaceutical adulterations in Chinese medicinal preparations (CMP) and commercial dietary supplements from 2014 to 2017. Methods: Existence of 214 pharmaceuticals were tested in collected samples according to the Method of Test for Adulterants in Chinese Medicine and Foods recommended by the Taiwan Food and Drug Administration of the Ministry of Health and Welfare. Results: A total of 861 samples were collected and 18.5% (159/861) of samples were adulterated. Samples submitted by health bureaus of the Taipei city government confiscated from the local markets revealed a adulteration rate of 17.5% (64/364), and that of the samples submitted by the Taipei citizens was 19.2% (95/496). The adulteration rate of dietary supplements that claimed to possess weight-loss capabilities had the highest adulteration rate of 58.1%. Caffeine was the most common adulterant detected, followed by piroxicam, hydrochlorothiazide, acetaminophen, and theobromine. Conclusion: This report provides a reference for policy-making for the administration authorities. We will continue investigating pharmaceutical adulterants in high-risk products.

並列關鍵字

chinese medicinal preparations ； dietary supplements ； synthetic chemical drug adulteration