Review: UK medicines likely to be affected by the proposed European Medicines Agency's guidelines on phthalates.

BMC Pharmacol Toxicol

Tillotts Pharma UK Ltd., Larbourne Suite, 8 The Stables, Wellingore Hall, Wellingore, Lincoln, LN5 0HX, UK.

Published: June 2015

AI Article Synopsis

  • Phthalates are additives in drugs that may harm reproduction, leading the EMA to set exposure limits.
  • The study identified UK medicines containing these phthalates, checking their levels against EMA guidelines.
  • Out of 54 medicines found, only 6 exceeded the recommended levels, suggesting limited impact from the EMA guidelines but highlighting the need for risk assessment on those particular medicines.

Article Abstract

Background: Phthalates are excipients in drug formulations. However, concerns have been raised about the effects of particular phthalates on reproduction and development. As a result the EMA has introduced guidelines for permitted daily exposure (PDE) limits for certain phthalates. Therefore, the objective of this study was to identify UK licensed medicines that contain the relevant phthalates and determine if they fall within the recommended PDE.

Methods: The eMC was used to identify which UK licensed medicines contain the phthalates in question. Companies were then contacted for information on the phthalate levels in their products, which was compared with the PDE recommended by the EMA.

Results: The eMC search revealed that 54 medicines contained at least one of the phthalates in question. However, only six medicines, namely Asacol 800 mg MR (Warner Chilcott UK), Epilim 200 Gastro-resistant tablets (Sanofi), Prednisolone 2.5 mg and 5 mg Gastro-resistant tablets (Actavis UK), Vivotif (Crucell Italy S.r.l), and Zentiva 200 mg Gastro-resistant tablets (Winthrop Pharmaceuticals UK), were identified as containing levels that exceeded the recommended PDE.

Conclusions: These findings indicate that very few UK licensed medicines will be affected by the proposed EMA guidelines. For those medicines identified as exceeding recommendations, these findings highlight the need to instigate a risk-benefit review.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465162PMC
http://dx.doi.org/10.1186/s40360-015-0018-9DOI Listing

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