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Presence of nitrosamine impurities in medicinal products Cover

Presence of nitrosamine impurities in medicinal products

Open Access
|Mar 2021

References

  1. World Health Organization (WHO). Information Note Nitrosamine impurities [displayed 24 September 2020]. Available at https://www.who.int/medicines/publications/drugalerts/InformationNote_Nitrosamine-impurities/en/
  2. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH). ICH guideline M7(R1) on assessment and control of DNA reactive (mutagenic) impurities in pharmaceuticals to limit potential carcinogenic risk [displayed 7 March 2021]. p. 6. Available at: https://www.ema.europa.eu/en/documents/scientific-guideline/ich-guideline-m7r1-assessment-control-dna-reactive-mutagenic-impurities-pharmaceuticals-limit_en.pdf
  3. European Medicines Agency (EMA). Procedure under Article 5(3) of Regulation EC (No) 726/2004. Nitrosamine impurities in human medicinal products [displayed 24 September 2020]. Available at https://www.ema.europa.eu/en/documents/referral/nitrosamines-emea-h-a53-1490-assessment-report_en.pdf
  4. European Medicines Agency (EMA). Lessons learnt from presence of N-nitrosamine impurities in sartan medicines [displayed 24 September 2020]. Available at https://www.ema.europa.eu/en/documents/report/lessons-learnt-presence-n-nitrosamine-impurities-sartan-medicines_en.pdf
  5. Šulc M, Hodek P, Stiborová M. The binding affinity of c a r c in o gen i c N- nit r o so dim et h y l a mine a n d N-nitrosomethylaniline to cytochromes P450 2B4, 2E1 and 3A6 does not dictate the rate of their enzymatic N-demethylation. Gen Physiol Biophys 2010;29:175-85. doi: 10.4149/gpb_2010_02_175
  6. European Medicines Agency (EMA). Assessment report Referral under Article 31 of Directive 2001/83/EC [displayed 24 September 2020]. Available at https://www.ema.europa.eu/en/documents/variation-report/sartans-article-31-referral-chmp-assessment-report_en.pdf
  7. Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use [displayed 7 March 2021]. Available at https://eur-lex.europa.eu/eli/dir/2001/83/
  8. European Medicines Agency (EMA). EU inspection finds Zhejiang Huahai site non-compliant for manufacture of valsartan: EMA and national authorities considering impact on other active substances produced at the site [displayed 24 September 2020]. Available at https://www.ema.europa.eu/en/news/eu-inspection-finds-zhejiang-huahai-site-non-compliant-manufacture-valsartan-ema-national
  9. European Medicines Agency (EMA). Sartan medicines: companies to review manufacturing processes to avoid presence of nitrosamine impurities [displayed 24 September 2020]. Available at https://www.ema.europa.eu/en/news/sartan-medicines-companies-review-manufacturing-processes-avoid-presence-nitrosamine-impurities
  10. European Medicines Agency (EMA). Nitrosamine impurities [displayed 24 September 2020]. Available at https://www.ema.europa.eu/en/human-regulatory/post-authorisation/referral-procedures/nitrosamine-impurities#metformin-containing-medicines-section
  11. World Health Organization (WHO). Guidelines for Drinking-water Quality. 3rd ed. Vol 1, Incorporating first and second addenda. Geneva; WHO; 2008.
  12. Krul CAM, Zeilmaker MJ, Schothorst RC, Havenaar R. Intragastric formation and modulation of N-nitrosodimethylamine in a dynamic in vitro gastrointestinal model under human physiological conditions. Food Chem Toxicol 2004;42:51-63. doi: 10.1016/j.fct.2003.08.005
  13. Song P, Wu L, Guan W. Dietary nitrates, nitrites, and nitrosamines intake and the risk of gastric cancer: A meta-analysis. Nutrients 2015;7:9872-95. doi: 10.3390/nu7125505
  14. Agency for Medicinal Products and Medical Devices of Croatia (HALMED). Medicinal products database [displayed 24 September 2020]. Available at https://www.halmed.hr/Lijekovi/Baza-lijekova/
  15. Agency for Medicinal Products and Medical Devices of Croatia (HALMED). Obavijest o nestašici lijekova s djelatnom tvari ranitidin [Notice of shortage of drugs with the active substance ranitidine, in Croatian] [displayed 24 September 2020]. Available at https://www.halmed.hr/Novosti-i-edukacije/Novosti/2019/Obavijest-o-nestasici-lijekova-s-djelatnom-tvari-ranitidin-/2239
  16. Agency for Medicinal Products and Medical Devices of Croatia (HALMED). Obustava izvršenja odobrenja za stavljanje u promet lijekova koji sadrže djelatnu tvar ranitidin u Europskoj uniji [Suspension of the marketing authorization for medicinal products containing the active substance ranitidine in the European Union, in Croatian] [displayed 24 September 2020]. Available at https://www.halmed.hr/Novosti-i-edukacije/Novosti/2020/Obustava-izvrsenja-odobrenja-za-stavljanje-u-promet-lijekova-koji-sadrze-djelatnu-tvar-ranitidin-u-Europskoj-uniji/2360/
  17. Agency for Medicinal Products and Medical Devices of Croatia (HALMED). Izvješće o potrošnji lijekova u Republici Hrvatskoj u 2018. [Report on medicinal product utilization in the Republic of Croatia in 2018, in Croatian] [displayed 24 September 2020]. Available at https://halmed.hr/Novosti-i-edukacije/Publikacije-i-izvjesca/Izvjesca-o-potrosnji-lijekova/Izvjesce-o-potrosnji-lijekova-u-Republici-Hrvatskoj-u-2018/
  18. Agency for Medicinal Products and Medical Devices of Croatia (HALMED). Izvješće o potrošnji lijekova u Republici Hrvatskoj u 2019. [Report on medicinal product utilization in the Republic of Croatia in 2019, in Croatian] [displayed 24 September 2020]. Available at https://halmed.hr/Novosti-i-edukacije/Publikacije-i-izvjesca/Izvjesca-o-potrosnji-lijekova/Izvjesce-o-potrosnji-lijekova-u-Republici-Hrvatskoj-u-2019/
DOI: https://doi.org/10.2478/aiht-2021-72-3491 | Journal eISSN: 1848-6312 | Journal ISSN: 0004-1254
Language: English, Croatian, Slovenian
Page range: 1 - 5
Submitted on: Sep 1, 2020
Accepted on: Mar 1, 2021
Published on: Mar 30, 2021
Published by: Institute for Medical Research and Occupational Health
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Ilijana Sedlo, Teo Kolonić, Siniša Tomić, published by Institute for Medical Research and Occupational Health
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.