Stability of Essential Drugs in Tropical Climates: Zimbabwe - EDM Research Series No. 013
(1994; 86 pages) Ver el documento en el formato PDF
Índice de contenido
Ver el documentoAbbreviations
Ver el documento1. Summary
Abrir esta carpeta y ver su contenido2. Introduction
Abrir esta carpeta y ver su contenido3. Study design and methods
Ver el documento4. Results
Abrir esta carpeta y ver su contenido5. Discussion
Abrir esta carpeta y ver su contenido6. Conclusions and recommendations
Ver el documentoReferences
Cerrar esta carpetaAnnexes
Cerrar esta carpetaAnnex 1: Detailed results for each drug
Ver el documento1.1 Amoxycillin capsules
Ver el documento1.2 Ampicillin capsules
Ver el documento1.3 Acetylsalicylic acid tablets
Ver el documento1.4 Doxycycline capsules
Ver el documento1.5 Ferrous sulfate tablets
Ver el documento1.6 Phenoxymethylpenicillin tablets
Ver el documento1.7 Tetracycline capsules
Ver el documento1.8 Retinol tablets
Ver el documento1.9 Epinephrine injection
Ver el documento1.10 Ampicillin injection
Ver el documento1.11 Benzylpenicillin injection
Ver el documento1.12 Ergometrine injection
Ver el documento1.13 Procaine penicillin injection
Ver el documentoAnnex 2: Validation of laboratory results
 

1.5 Ferrous sulfate tablets

SHELF LIFE

Manufacturer A:

2 years

 

Manufacturer B:

3 years

ASSAY METHOD

Titration method, BP 1988, p.946.

 

Contents of 20 capsules mixed; measured three times; mean taken. BP 1988 Disintegration test on six tablets.

ASSAY LIMITS

95 - 105% (BP)

SAMPLES OBTAINED

All Manuf.

Manuf. A

Manuf. B

             

GMS samples

no.

%

no.

%

no.

%

Total

23

100

14

61

9

39

Harare

9

39

       

Bulawayo

14

61

       

Facility samples

           

Total

76

100

54

71

19

25

Age > 50% SLife

42

55

       

Facility type = PCH

58

76

       

Climate = hot

57

75

       

Transport = slow

52

68

       

Longitudinal series

           

Total

24

100

17

71

7

29

SUMMARY ASSAY RESULTS

 

All Manuf.

Manuf. A

Manuf. B

GMS samples

no.

%

no.

%

no.

%

Mean age (mths)

 

7.0

 

8.9

 

4.0

Mean assay

 

100.6%

 

101.4%

 

99.4%

95% CL

98.9 - 102.3%

99.2- 103.5%

96.8 - 101.9%

No, and % fail

5

22%

3

21%

2

22%

No, and % low fail

2

9%

1

7%

1

11%

No, and % high fail

3

13%

2

14%

1

11%

Facility samples

All Manuf.

Manuf. A

Manuf. B

             

Mean age (mths)

 

14.5

 

14.8

 

13.6

Mean assay

 

103.5%

 

105.2%

 

98.3%

95% CL

102.3 -104.6%

104.0 -106.4%

97.1 - 99.5%

No, and % fail

31

41%

29

54%

2

11%

No, and % low fail

2

3%

0

0%

2

11%

No. and % high fail

29

38%

29

54%

0

0%

Longitudinal series

All Manuf.

at GMS

at facility

Mean age (mths)

 

0

 

7.2

 

14.1

Mean assay

 

100.2%

 

101.6%

 

101.6%

95% CL

99.1 -101.5%

98.6 - 101.9%

99.8 - 103.3%

No, and % fail

0

0%

5

21%

6

25%

 

Mean interval (mths)

6.9

 

Mean loss (-) or gain (+)

+1.5%

 

95% CL for loss/gain

-0.7 to +3.6%


Figure 1 - Results of GMS samples


Figure 2 - Results of facility samples

Findings:

a) Two of 78 facility samples (3%) were expired; these results were excluded,

b) Five of 23 GMS samples (22%) failed; two failures were below the lower limit (93.7, 94.7%), three failures were above the upper limit (105.1, 105.4, 110.0%).

c) 31 of 76 facility samples (41%) failed; two failures was below the lower limit (91.9, 92.5%); 29 failures were above the limit (highest value 112.4%).

d) For Manufacturer A, 29 of 54 of facility samples (54%) failed, and all the failures were high. The confidence limit of the mean extends above the upper limit of the BP specification.

e) For Manufacturer B, two of 19 facility samples failed, and both failures were low.

f) No consistent loss of potency was found in 24 GMS/facility sample pairs,

g) The failure to meet assay specifications is possibly due to narrow BP limits (95-105%).

h) Only four samples were low (91.9-94.7%); most failures were high (105.2-112.4%).

i) This low/high content does not have any therapeutic significance.

j) No sign of instability, even in the late part of shelf-life.

k) Approximately 50% of samples failed the disintegration test carried out in some samples.

l) Reduced bioavailability indicated by poor disintegration may lead to therapeutic failure.

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