The document outlines WHO guidelines for good manufacturing practices (GMP) in the pharmaceutical industry. It discusses how GMP ensures quality control throughout the production process, from procurement of materials to finished products. Key aspects covered include facilities and equipment qualification, sanitary conditions, documentation practices, personnel training, and quality control testing. Adhering to GMP is important for minimizing risks and ensuring patient safety.
“A GMP is a system for ensuring that products are consistently produced and controlled according to quality standards. It is designed to minimize the risks involved in any pharmaceutical production that cannot be eliminated through testing the final product”.
Good Manufacturing Practice is a set of regulations, codes, and guidelines for the manufacture of drug substances and drug products, medical devices, in vivo and in vitro diagnostic products, and foods.
“A GMP is a system for ensuring that products are consistently produced and controlled according to quality standards. It is designed to minimize the risks involved in any pharmaceutical production that cannot be eliminated through testing the final product”.
Good Manufacturing Practice is a set of regulations, codes, and guidelines for the manufacture of drug substances and drug products, medical devices, in vivo and in vitro diagnostic products, and foods.
Process Validation is Key important factor for the Pharmaceutical Industry to maintain Consistent Quality in product which claimed by the manufacturer.
GMP is important to ensure that businesses produce safe food to the public. Businesses in the food industry have a legal and moral responsibility to prepare food that is safe for the consumer. By not implementing adequate good manufacturing practices (GMP), a food business can risk several negative consequences.
The implemented of GMP on food and medicine industry's.
Most of the time it has been seen that the GMP content of the food industry related is very low so we have make a little effort. This makes will content available to students easily.
Documentation is an integral part of good manufacturing practices. It defines a system of information and control so that risks so inherent in misinterpretation and/or error in oral communication are minimized.
This presentation contain introduction to Good Distribution Practices Guideline. and Legal GDP requirements put worldwide.
Good distribution practice (GDP) describes the minimum standards that a wholesale distributor must meet to ensure that the quality and integrity of medicines is maintained throughout the supply chain
Each participant in the distribution chain must agree by the relevant requirements in order to retain the original quality of pharmaceutical products.
Each activity in the distribution of pharmaceutical products shall be carried out according to the principles of Good Distribution Practices (GDP) as applicable.
The risks involved are likely to be of a nature comparable to those that are present in the industrial environment, such as mix-ups, adulteration, contamination, cross-contamination, and spurious.
The guideline addresses
Personnel
Quality System
Premises Warehousing and Storage
Documentation
Traceability
Complaints and Returns
Transportation
I am uploading this GMP presentation to make aware who are working in pharma and help to maintain high standards in products manufacturing .
GMP Vs cGMP: It is my understanding that , Ultimately GMP & cGMP both the aim is same, means to prevention of the product from bad quality entering the market to endover peoples's life.
GMP applies to pharmaceutical and healthcare products and help to maintain high standards in these products.
cGMP is to remind accepting countries that all guidelines must be followed with latest and current production processes i.e employ technologies and systems which are up-to-date in order to comply with the regulation.
FDA (Food and Drug Administration) included the word “current” to ensure that regulated firms use the most current Good Manufacturing Practices (I believe that some firms would actually use outdated versions of the GMP’s to manufacture regulated products.
(the FDA have made their standards immediately identifiable i.e cGMP; Other international bodies such as the ICH, WHO use the term GMP, as do Canada, Japan and the EMEA (European authority). In FDA view cGMP means following 21 CFR 210 and 211 and no other.)
Process Validation is Key important factor for the Pharmaceutical Industry to maintain Consistent Quality in product which claimed by the manufacturer.
GMP is important to ensure that businesses produce safe food to the public. Businesses in the food industry have a legal and moral responsibility to prepare food that is safe for the consumer. By not implementing adequate good manufacturing practices (GMP), a food business can risk several negative consequences.
The implemented of GMP on food and medicine industry's.
Most of the time it has been seen that the GMP content of the food industry related is very low so we have make a little effort. This makes will content available to students easily.
Documentation is an integral part of good manufacturing practices. It defines a system of information and control so that risks so inherent in misinterpretation and/or error in oral communication are minimized.
This presentation contain introduction to Good Distribution Practices Guideline. and Legal GDP requirements put worldwide.
Good distribution practice (GDP) describes the minimum standards that a wholesale distributor must meet to ensure that the quality and integrity of medicines is maintained throughout the supply chain
Each participant in the distribution chain must agree by the relevant requirements in order to retain the original quality of pharmaceutical products.
Each activity in the distribution of pharmaceutical products shall be carried out according to the principles of Good Distribution Practices (GDP) as applicable.
The risks involved are likely to be of a nature comparable to those that are present in the industrial environment, such as mix-ups, adulteration, contamination, cross-contamination, and spurious.
The guideline addresses
Personnel
Quality System
Premises Warehousing and Storage
Documentation
Traceability
Complaints and Returns
Transportation
I am uploading this GMP presentation to make aware who are working in pharma and help to maintain high standards in products manufacturing .
GMP Vs cGMP: It is my understanding that , Ultimately GMP & cGMP both the aim is same, means to prevention of the product from bad quality entering the market to endover peoples's life.
GMP applies to pharmaceutical and healthcare products and help to maintain high standards in these products.
cGMP is to remind accepting countries that all guidelines must be followed with latest and current production processes i.e employ technologies and systems which are up-to-date in order to comply with the regulation.
FDA (Food and Drug Administration) included the word “current” to ensure that regulated firms use the most current Good Manufacturing Practices (I believe that some firms would actually use outdated versions of the GMP’s to manufacture regulated products.
(the FDA have made their standards immediately identifiable i.e cGMP; Other international bodies such as the ICH, WHO use the term GMP, as do Canada, Japan and the EMEA (European authority). In FDA view cGMP means following 21 CFR 210 and 211 and no other.)
Objectives and policies of c gmp, layout of building and servicesSharwari Sapate
Pharmaceutical Quality affects every individual. Therefore GMP is required to ensure the quality of the particular drug or dosage form. In this presentation you will go through some basic information about cGMP and layout of buildings.
Objective and policies of CGMP and Inventory control . This topic is from M.PHARM 1 st year syllabus from modern pharmaceutics
Objective and policies of CGMP
CFR 21 is the basic for pharmaceutical professionals who are working in regulatory market. Here I have presented part 211 as it is described in the guidance.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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2. Good manufacturing practice (GMP) is a system for
ensuring that products are consistently produced and
controlled according to quality standards.
It is designed to minimize the risks involved in any
pharmaceutical production that cannot be eliminated
through testing the final product.
GMP covers all aspects of production; from the starting
materials, premises and equipment to the training and
personal hygiene of staff.
WHO has established detailed guidelines for good
manufacturing practice.
3. Poor quality medicines are not only a health hazard, but
a waste of money for both governments and individual
consumers.
A poor quality medicine may contain toxic substances
that have been unintentionally added.
A medicine that contains little or none of the claimed
ingredient will not have the intended therapeutic effect.
4. Yes. Good quality must be built in during the
manufacturing process; it cannot be tested into the
product afterwards.
GMP prevents errors that cannot be eliminated through
quality control of the finished product.
Without GMP it is impossible to be sure that every unit
of a medicine is of the same quality as the units of
medicine tested in the laboratory.
5.
6. 1. Pharmaceutical quality system
2. Good manufacturing practices for pharmaceutical products
3. Sanitation and hygiene
4. Qualification and validation
5. Complaints
6. Product recalls
7. Contract production, analysis and other activities
8. Self-inspection, quality audits and suppliers’ audits and approval
9. Personnel
10.Training
11. Personal hygiene
12. Premises
13. Equipment
14. Materials
15. Documentation
16. Good practices in production
17. Good practices in quality control
7. The manufacturer must assume responsibility for the
quality of the pharmaceutical products to ensure that
they are fit for their intended use, comply with the
requirements of the marketing authorization and do not
place patients at risk due to inadequate safety, quality
or efficacy.
8. GMP is that part of quality management which ensures
that products are consistently produced and controlled
according to the quality standard appropriate to their
intended use and as required by the marketing
authorization, clinical trial authorization or product
specification.
GMP is concerned with both production and QC.
9. A high level of sanitation and hygiene should be
practised in every aspect of the manufacture of
medicines.
Potential sources of contamination should be
eliminated through an integrated comprehensive
programme of sanitation and hygiene.
10. In accordance with GMP, each pharmaceutical company
should identify what qualification and validation work is
required to prove that the critical aspects of their
particular operation are controlled.
Qualification and validation should establish and
provide documentary evidence that: Such as: the
premises, supporting utilities, equipment and processes
have been designed in accordance with the
requirements for GMP (design qualification or DQ)
11. Qualification and validation should not be considered
as one-off exercises.
An ongoing programme should follow their first
implementation and should be based on an annual
review.
12. All complaints and other information concerning
potentially defective products should be carefully
reviewed according to written procedures and the
corrective action should be taken.
There should be written procedures describing the
action to be taken, including the need to consider a
recall, in the case of a complaint concerning a possible
product defect.
The person responsible for QC should normally be
involved in the review of such investigations.
13. There should be a system to recall from the market,
promptly and effectively, products known or suspected
to be defective.
An instruction should be included in the written
procedures to store recalled products in a secure
segregated area while their fate is decided.
14. Contract production, analysis and any other activity
covered by GMP must be correctly defined, agreed and
controlled in order to avoid misunderstandings that
could result in a product, or work or analysis, of
unsatisfactory quality.
There must be a written contract between the contract
giver and the contract acceptor which clearly
establishes the responsibilities of each party.
15. The purpose of self-inspection is to evaluate the
manufacturer’s compliance with GMP in all aspects of
production and QC.
The self inspection programme should be designed to
detect any shortcomings in the implementation of GMP
and to recommend the necessary corrective actions.
Self-inspections should be performed routinely, and
may be, in addition, performed on special occasions,
e.g. in the case of product recalls or repeated rejections,
or when an inspection by the health authorities is
announced.
16. The team responsible for self-inspection should consist
of personnel who can evaluate the implementation of
GMP objectively.
All recommendations for corrective action should be
implemented.
The procedure for self-inspection should be
documented, and there should be an effective follow-
up programme.
17. Items for self-inspection
Written instructions for self-inspection should be
established to provide a minimum and uniform standard
of requirements.These may include questionnaires on
GMP requirements covering at least the following
items:
(a) personnel;
(b) premises including personnel facilities;
(c) maintenance of buildings and equipment;
(d) storage of starting materials and finished products;
(e) equipment;
(f) production and in-process controls;
18. (g) QC;
(h) documentation;
(i) sanitation and hygiene;
(j) validation and revalidation programmes;
(k) calibration of instruments or measurement systems;
(l) recall procedures;
(m) complaints management;
(n) labels control;
(o) results of previous self-inspections and any
corrective steps taken.
19. Frequency of self-inspection
The frequency with which self-inspections are
conducted may depend on company requirements but
should preferably be at least once a year.
The frequency should be stated in the procedure.
20. The establishment and maintenance of a satisfactory
system of QA and the correct manufacture and control
of pharmaceutical products and active ingredients rely
upon people.
For this reason there must be sufficient qualified
personnel to carry out all the tasks for which the
manufacturer is responsible.
Individual responsibilities should be clearly defined and
understood by the persons concerned and recorded as
written descriptions.
21. Key personnel
Key personnel include the heads of production, the
head(s) of quality unit(s) and the authorized person.
Key personnel responsible for supervising the
production and quality unit(s) for pharmaceutical
products should possess the qualifications of a scientific
education and practical experience required by national
legislation.
22. Their education should include the study of an
appropriate combination of:
(a) chemistry (analytical or organic) or biochemistry;
(b) chemical engineering;
(c) microbiology;
(d) pharmaceutical sciences and technology;
(e) pharmacology and toxicology;
(f) physiology;
(g) other related sciences.
23. Besides basic training on the theory and practice of
GMP, newly recruited personnel should receive training
appropriate to the duties assigned to them.
Continuing training should also be given, and its
practical effectiveness periodically assessed.
Approved training programmes should be available.
Training records should be kept.
24. All personnel, prior to and during employment, as
appropriate, should undergo health examinations.
Any person shown at any time to have an apparent
illness or open lesions that may adversely affect the
quality of products should not be allowed to handle
starting materials, packaging materials, in-process
materials or medicines until the condition is no longer
judged to be a risk.
25. Smoking, eating, drinking, chewing, and keeping
plants, food, drink, smoking material and personal
medicines should not be permitted in production,
laboratory and storage areas, or in any other areas
where they might adversely influence product quality.
Personal hygiene procedures, including the wearing of
protective clothing, should apply to all persons entering
production areas.
26. Premises must be located, designed, constructed,
adapted and maintained to suit the operations to be
carried out.
The layout and design of premises must aim to
minimize the risk of errors and permit effective
cleaning and maintenance in order to avoid cross
contamination, build-up of dust or dirt, and in general,
any adverse effect on the quality of products.
27. Electrical supply, lighting, temperature, humidity and
ventilation should be appropriate and such that they do
not adversely affect, directly or indirectly, either the
pharmaceutical products during their manufacture and
storage, or the accurate functioning of equipment.
Premises should be designed and equipped so as to
afford maximum protection against the entry of
insects, birds or other animals.
There should be a procedure for rodent and pest
control.
28. Quality control areas
QC laboratories should be separated from production
areas.
Areas where biological, microbiological or radioisotope
test methods are employed should be separated from
each other.
29. Equipment should be installed in such a way as to
minimize any risk of error or of contamination.
30. Materials include starting materials, packaging
materials, gases, solvents, process aids, reagents and
labelling materials.
All materials and products should be stored under the
appropriate conditions established by the
manufacturer, and in an orderly fashion, to permit batch
segregation and stock rotation by a first-expire, first-
out rule.
Starting materials should be purchased only from
approved suppliers and, where possible, directly from
the producer.
31. Particular attention should be paid to printed packaging
materials.
They should be stored in secure conditions so as to
exclude the possibility of unauthorized access.
Finished products
Finished products should be held in quarantine until
their final release, after which they should be stored as
usable stock under conditions established by the
manufacturer.
32. Rejected, recovered, reprocessed and reworked
materials
Rejected materials and products should be clearly marked
as such and stored separately in restricted areas.
The reworking or recovery of rejected products should be
exceptional.
It is permitted only if the quality of the final product is not
affected, if the specifications are met, and if it is done in
accordance with a defined and authorized procedure after
evaluation of the risks involved.
A record should be kept of the reworking or recovery.
A reworked batch should be given a new batch number.
33. Recalled products
Recalled products should be identified and stored
separately in a secure area until a decision is taken on
their fate.This decision should be made as soon as
possible.
Returned goods
Products returned from the market should be destroyed
unless it is certain that their quality is satisfactory; in
such cases they may be considered for resale or
relabelling, or alternative action taken only after they
have been critically assessed by the QC function in
accordance with a written procedure.
34. Waste materials
Provision should be made for the proper and safe
storage of waste materials awaiting disposal.
Toxic substances and flammable materials should be
stored in suitably designed, separate, enclosed
cupboards, as required by national legislation.
35. Good documentation is an essential part of the quality
assurance system and, as such, should exist for all
aspects of GMP.
Documents should be approved, signed and dated by
the appropriate responsible persons.
Documents should be regularly reviewed and kept up to
date.
36. All finished medicines should be identified by labelling,
as required by the national legislation, bearing at least
the following information:
(a) the name of the medicines;
(b) a list of the active ingredients (if applicable, with the
INN), showing
the amount of each present and a statement of the net
contents (e.g.
number of dosage units, weight, volume);
(c) the batch number assigned by the manufacturer;
(d) the expiry date in an uncoded form;
37. (e) any special storage conditions or handling
precautions that may
be necessary;
(f) directions for use, and warnings and precautions that
may
be necessary;
(g) the name and address of the manufacturer or the
company or the
person responsible for placing the product on the
market.
38. Production operations must follow clearly defined
procedures in accordance with manufacturing and
marketing authorizations, with the objective of
obtaining products of the requisite quality.
All handling of materials and products, such as receipt
and cleaning, quarantine, sampling, storage, labelling,
dispensing, processing, packaging and distribution
should be done in accordance with written procedures
or instructions and, where necessary, recorded.
39. QC is the part of GMP concerned with sampling,
specifications and testing, and with the organization
and documentation which ensure that the necessary
and relevant tests are actually carried out.
QC is not confined to laboratory operations, but may be
involved in many decisions concerning the quality of the
product.
The independence of QC from production is
considered fundamental.