I had an email from a lady who was looking for Agnus Castus 20mg tablets. I explained to her that you can no longer get them due to the EU legislation restricting dosage to 4mg under Traditional Herbal Registration (THR). She replied she could see 20mg tablets on the Healthspan website, which surprised me as the reason I stopped ordering from them is because they chose to apply for the THR, rather than the costlier Product License, which would have enabled them to continue to sell the 20mg tablets. I briefly thought they’d had a change of heart and were no longer deceiving their customers (all the clinical evidence makes it very clear the effective dosage is 20mg). I asked her to send me the link to the page, which she duly did and yes it was an advert for 20mg tablets, but my joy was short-lived as it soon became clear the page was an old one and that there was link to take you to the current Agnus Castus product at a much reduced dosage.
What Healthspan used to sell
What they sell now
However, the whole thing got me riled up again because Healthspan along with Boots, Holland and Barrett etc reduced the dosage to a fifth of what it used to be without informing their customers. Did they really think customers wouldn’t notice? And if they did what does that say about their belief in the product and its ‘claimed’ benefits? Who cares as long as the schmucks buy it, perhaps?
Saddened that women ordering from Healthspan would think AC was ineffective and end up turning to more drastic treatments e.g. antidepressants, I decided to post a review. There were already a couple of reviews on there, which remarked on the fact the tablets were no longer effective, so I hoped my review would add a little context as to why the dosage had changed.
As I suspected, the review remains blocked (forever as far as I can tell) – so here it is below:
Value for Money:1
HealthSpan have reduced the active ingredient from 20mg to 4mg in line with legislation. Under Traditional Herbal Registration 4mg is the maximum dosage, despite clinical evidence that 20mg needs to be taken to gain relief. They are unfortunately bound by the THR, but they could have applied for a product license, which would have allowed them to sell 20mg tablets. However the cost of a product license is ten times higher than the THR, and profits on herbal medicines are nowhere near that of patented drugs (whose manufacturers do apply and pay for product licenses). HealthSpan could possibly have been trailblazers and gathered other herbal manufactures together to get the trial data needed for a product license (sharing the cost and putting the customer first), but they haven’t. If you buy these tablets, you will need to take five a day, if you want them to work. A small ray of hope: Dr Nick Panay, Consultant Gynaecologist, Queen Charlotte’s & Chelsea and Chelsea & Westminster Hospitals, has promised to look into running a trial so that Agnus Castus can be prescribed by GP’s – that would be incredible and give weight to the guidelines he produced for GP’s recommending Agnus Castus.
However, although they blocked my review they did send me an email:
Dear Mrs O’Callaghan
Thank you for your recent enquiry regarding our products.
Firstly, we must inform you that we are not medically trained at Healthspan. Please check compatibility with your GP or Pharmacist if you are taking any prescription medication.
We can confirm the new THR products are manufactured according to evidence of traditional use from over 30 years including 15 years in Europe. The dosage, nutritional information and recommended daily intakes are all based on this accumulation of evidence.
The dose from the previous product was based on a combination of clinical trials and recommendations from our panel of experts. However now this extract has to be licensed by law we are required to adhere to the MHRA recommendations.
We have also noted your comments in your feedback and have forwarded these onto our Product Development Team.
We hope this information is of help to you and if you have any further questions please contact us.
Product Information Specialist
What I find ridiculous about their response is the fact they freely admit that when they sold 20mg tablets they did so because of sound clinical data:
The dose from the previous product was based on a combination of clinical trials and recommendations from our panel of experts
And that the 4mg dose they now sell is ONLY backed up by traditional use i.e. anecdotal evidence.
Forgive me if I sound a little peeved, but clinical data is the gold standard, so what Healthspan are admitting to is taking a backward step and selling Agnus Castus based on a poorer evidence base than they used to. On top of that they are going to charge the same amount for one 1/5 of the dose.
If they have taken that approach to Agnus Castus then you have to question whether any of the herbs they sell are actually going to be effective?
What I would love is for others to post reviews for Agnus Castus on Healthspan, questioning the effectiveness of the dosage (and why Healthspan did not flag up this massive reduction). If they won’t publish them, then come here and post it in the comments section. Maybe if they think their profits will be hurt, they may actually do something about making Agnus Castus available at the dosage they used to sell it at. Yes it will cost them, and yes the price may have to rise, but I don’t believe it will be as expensive as taking 5 TABLETS a day, which is the current option.
HEALTHSPAN are treating us like fools – are we going to let them?