Early Māori and European medicines
Native plants such as flax and koromiko were used by Māori to treat everything from toothache to constipation. They were prepared and administered by tohunga. Missionaries and seamen provided medicines to early European settlers. Some of them, such as opium, were highly addictive.
Plants, pills and poultices
By the 1850s, large numbers of patent (ready-made and branded) medicines were imported from the United States and Britain. Advertising made extravagant claims about them. They sometimes contained dangerous ingredients such as chloroform or morphine, leading to accidental deaths. Many contained a high percentage of alcohol. Some were made from common plants like rhubarb, and were little more than gentle laxatives.
Beginning of the drug industry
From the late 19th century pharmacologists (chemists) developed new medicines from plant extracts. The pharmaceutical industry expanded rapidly in the early 20th century as drugs were produced in the laboratory and manufactured in large quantities. They were sold to the public by doctors and pharmacists in easy-to-swallow tablets and capsules. Effective medicines such as antibiotics and insulin provided new ways of treating diseases.
What is in the medicine?
To protect people from harmful medicines, regulations were introduced in 1904 requiring ingredients to be listed on the packaging. Manufacturers said they would no longer sell their medicines in New Zealand if the ingredients were revealed, and local firms protested that they would go out of business. The regulations were revoked, and labelling of ingredients was not made compulsory until 1946.
Monitoring medicines and remedies
From the early 20th century the government introduced laws to control the safety and use of medicines. In the 2000s this work was carried out by two agencies. Pharmac purchases medicines, and Medsafe controls their safety and availability. Medsafe also carries out border control to intercept medicines purchased over the internet. After 1941 the cost of medicines was subsidised and the number of prescriptions increased rapidly until the 1990s. From 2013 most people paid $5 per prescription for most medicines. In 2018 free prescription medicines were extended to those under the age of 14. If patients or households have collected 20 new prescription forms in a year, they get a prescription subsidy which means that they do not need to pay for prescriptions until 1 February of the next year. The sale of nutritional supplements and homeopathic and naturopath remedies has also grown substantially.