In specific cases of interest to the European Union, the Director General of the National Agency for the Safety of Medicines and Health Products or the applicant shall refer the matter to the European Medicines Agency for application of the Community arbitration procedure before a decision is taken on the granting, variation, suspension or withdrawal of the marketing authorisation.
The Director General of the Agence nationale de sécurité du médicament et des produits de santé may, at any stage of the procedure, where urgent action is necessary to protect public health, suspend the marketing authorisation and prohibit the use of a medicinal product or product pending a final decision under the Community arbitration procedure. It shall inform the European Commission, the European Medicines Agency and the other Member States of the European Union of the reasons for this measure no later than the first working day following its decision.
However, when the conditions laid down in article R. 5121-157 for the implementation of the European Union emergency pharmacovigilance procedure are met, the provisions of this article apply.