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BIOEQUIVALENCE
Presented by:
Ivory Diane C. Amancio, RPh
BS Pharmacy -Clinical Pharmacy
What is my pill made off?
Active Pharmaceutical
Ingredient (API)
Excipients
-the one that gives therapeutic action
- The most important component
-Filling materials or carrier
substances
-To bulk up or dilute the API
Active Pharmaceutical
Ingredient (API)
Excipients
What is my pill made off?
- Final Formulation
Important Note:
Manufacturers must uses always:
-same materials (active and inactive)
-same process
- ensure high quality is consistency
What if I have a generic version
of my Pill are they the same?
VS
Branded Generic
?
Remember:
Active Ingredient --------------- Proof of Bioequivalence
Excipients --------------------- Can differ…
Coating ------------------------ Can differ…
Formulation/Shape ------------ Can differ…
Production Process ------------ differs…
Quality Control ---------------- GMP requirements
depends on local
regulation of Generic
drugs)
- If two Medicines are Bioequivalent, there is no
clinically significant difference in their
Bioavailability.
BIOAVAILABILITY
- is a measurement of the extent of a
therapeutically active medicine that reaches the
systemic circulation and is therefore available at
the site of action.
What is Bioequivalence?
Branded Generic
VS
Branded Generic
VS
Bioavailability is assessed using Three
main Pharmacokinetic Variables:
1.Area under the blood drug concentration
versus time curve (AUC)
2.Time maximum blood concentration (Cmax)
3.Time to reach maximum concentration (Tmax)
-20 % to 25%
√ Bioequivalent
However:
Bio-equivalence is measured only against
the reference drug and not against other
generic drugs.
Bioequivalence
Branded Generic
Generic Generic
The difference may
be bigger between
each generic and
the original drug.
What does that
mean for
therapy?…
Important Reminder in Generic
Drug Therapy
Important Reminder in Generic
Drug Therapy
Important considerations when using
Generic Drug is Quality Control:
- Same Requirements for Good
Manufacturing Practice or cGMP
CARE for QUALITY!
Are there
potential effects
of excipients on
bioequivalence
of the drugs?…
Excipients
-Filling materials
or carrier
substances
-To bulk up or
dilute the API
Non-Interchangeable
Medicines
Narrow therapeutic
Index (NTI)
drugs are defined as
those drugs where
smaller differences in
dose or blood
concentration may lead
to a serous therapeutic
failures or adverse drug
reactions
NTI Drugs Indication
Carbamazepine Decreasing seizure
spread
Phenytoin For seizure
disorders.
Digoxin Antiarrhythmics
Warfarin Anticoagulants
Why does branded
drugs has to be
expensive than
generic drugs?
P 3.15
P 2.80
P 1.50
Stages of Drug Development
Stages of Drug Development
Thank you for
Listening!

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Bioequivalence and adme

  • 1. BIOEQUIVALENCE Presented by: Ivory Diane C. Amancio, RPh BS Pharmacy -Clinical Pharmacy
  • 2. What is my pill made off? Active Pharmaceutical Ingredient (API) Excipients -the one that gives therapeutic action - The most important component -Filling materials or carrier substances -To bulk up or dilute the API
  • 3. Active Pharmaceutical Ingredient (API) Excipients What is my pill made off? - Final Formulation Important Note: Manufacturers must uses always: -same materials (active and inactive) -same process - ensure high quality is consistency
  • 4. What if I have a generic version of my Pill are they the same? VS Branded Generic ? Remember: Active Ingredient --------------- Proof of Bioequivalence Excipients --------------------- Can differ… Coating ------------------------ Can differ… Formulation/Shape ------------ Can differ… Production Process ------------ differs… Quality Control ---------------- GMP requirements depends on local regulation of Generic drugs)
  • 5. - If two Medicines are Bioequivalent, there is no clinically significant difference in their Bioavailability. BIOAVAILABILITY - is a measurement of the extent of a therapeutically active medicine that reaches the systemic circulation and is therefore available at the site of action. What is Bioequivalence? Branded Generic VS
  • 6. Branded Generic VS Bioavailability is assessed using Three main Pharmacokinetic Variables: 1.Area under the blood drug concentration versus time curve (AUC) 2.Time maximum blood concentration (Cmax) 3.Time to reach maximum concentration (Tmax)
  • 7. -20 % to 25% √ Bioequivalent However: Bio-equivalence is measured only against the reference drug and not against other generic drugs. Bioequivalence Branded Generic Generic Generic The difference may be bigger between each generic and the original drug.
  • 8. What does that mean for therapy?…
  • 9. Important Reminder in Generic Drug Therapy
  • 10. Important Reminder in Generic Drug Therapy Important considerations when using Generic Drug is Quality Control: - Same Requirements for Good Manufacturing Practice or cGMP CARE for QUALITY!
  • 11. Are there potential effects of excipients on bioequivalence of the drugs?…
  • 13. Non-Interchangeable Medicines Narrow therapeutic Index (NTI) drugs are defined as those drugs where smaller differences in dose or blood concentration may lead to a serous therapeutic failures or adverse drug reactions NTI Drugs Indication Carbamazepine Decreasing seizure spread Phenytoin For seizure disorders. Digoxin Antiarrhythmics Warfarin Anticoagulants
  • 14. Why does branded drugs has to be expensive than generic drugs?
  • 16. Stages of Drug Development
  • 17. Stages of Drug Development

Editor's Notes

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To resize the picture, click Size in the left pane, and in the right pane, under Size and rotate, enter values into the Height and Width boxes. Also in the Format Picture dialog box, click Reflection in the right pane, and in the Reflection pane, in the Presets list, click Half Reflection, Touching. On the Insert tab, in the Images group, click Picture. In the Insert Picture dialog box, select a different picture and then click Insert. Repeat this process until there are three pictures on the slide. Select the second picture. Under Picture Tools, on the Format tab, in the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the image so that the height is set to 2” and the width is set to 2.4”. To crop the picture, click Crop in the left pane, and in the right pane, under Crop position, enter values into the Height, Width, Left, and Top boxes. To resize the picture, click Size in the left pane, and in the right pane, under Size and rotate, enter values into the Height and Width boxes. Select the third picture. Under Picture Tools, on the Format tab, in the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the image so that the height is set to 2” and the width is set to 2.4”. To crop the picture, click Crop in the left pane, and in the right pane, under Crop position, enter values into the Height, Width, Left, and Top boxes. To resize the picture, click Size in the left pane, and in the right pane, under Size and rotate, enter values into the Height and Width boxes. Select the first picture. On the Home tab, in the Clipboard group, click Format Painter. With the Format Painter cursor, on the slide, click the second picture. Select the first picture. On the Home tab, in the Clipboard group, click Format Painter. With the Format Painter cursor, on the slide, click the third picture. Press and hold CTRL, and then select all three pictures. On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following: Click Align Selected Objects. Click Align Middle. To reproduce the background effects on this slide, do the following: On the Insert tab, in the Images group, click Picture. In the Insert Picture dialog box, select a picture and then click Insert. Select the picture. Under Picture Tools, on the Format tab, in the Size group, click the Size and Position dialog box launcher. In the Format Picture dialog box, resize or crop the image so that the height is set to 7.5” and the width is set to 10”. To crop the picture, click Crop in the left pane, and in the right pane, under Crop position, enter values into the Height, Width, Left, and Top boxes. To resize the picture, click Size in the left pane, and in the right pane, under Size and rotate, enter values into the Height and Width boxes. Also in the Format Picture dialog box, click Artistic Effects in the left pane, and in the Artistic Effects pane, do the following: Click the button next to Presets and then click Blur (second row, fifth option from the left). In the Radius box, enter 30. On the Home tab, in the Drawing group, click Shapes, and under Rectangles click Rectangle (first option from the left). Drag to draw a rectangle on the slide. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, enter 7.5” into the Height box and enter 10” into the Width box. Also under Drawing Tools, on the Format tab, in the Shape Styles group, click Shape Fill, point to Gradients, and then click More Gradients. In the Format Shape dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following: In the Type list, select Radial. In the Direction list, select From Center. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. Also under Gradient stops, customize the gradient stops as follows: Select the first stop from the left in the slider, and then do the following: In the Position box, enter 0%. Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left). In the Transparency box, enter 60%. Select the second stop from the left in the slider, and then do the following: In the Position box, enter 100%. Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left). In the Transparency box, enter 0%.  Also in the Format Shape dialog box, click Line Color in the right pane, and in the Line Color pane select No Line. Select the shape. On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following: Click Align to slide. Click Align Middle. Click Align Center. On the Home tab, in the Drawing group, click Arrange, and then click Send to Back. Select the background picture. On the Home tab, in the Drawing group, click Arrange, and then click Send to Back.