This presentation looks at the differences between a manufacturer's expiration date and a sterile compounds beyond-use date (BUD). In addition the presentation covers the BUD requirements for CSPs as presented in USP General Chapter 797
This presentation is about the process by which prolonged therapeutic activity of drug is achieved and it's importance. By this presentation you will learn about dosage regimen, steady state concentration, principle of superposition, drug accumulation, repetitive intravenous injections etc. By this you will also learn how to adjust the dose to the patient.
This presentation gives complete in-depth information about therapeutic drug monitoring of DIGOXIN. Points covered are:
1. Basic pharmacokinetics
2. Target concentration levels
3. Dosage forms available and their bioavailability
4. Procedure to conduct TDM
5. The principle of DIGOXIN estimation
6. Interpretation of TDM results.
7. TDM algorithm
This presentation is about the process by which prolonged therapeutic activity of drug is achieved and it's importance. By this presentation you will learn about dosage regimen, steady state concentration, principle of superposition, drug accumulation, repetitive intravenous injections etc. By this you will also learn how to adjust the dose to the patient.
This presentation gives complete in-depth information about therapeutic drug monitoring of DIGOXIN. Points covered are:
1. Basic pharmacokinetics
2. Target concentration levels
3. Dosage forms available and their bioavailability
4. Procedure to conduct TDM
5. The principle of DIGOXIN estimation
6. Interpretation of TDM results.
7. TDM algorithm
Quality Control Tests Of Capsules dosage form.
1. Weight Variation Test
2. Content Uniformity Test
3. Dissolution Test
4. Disintegration Test
5. Leak Test
Hello,
This part is an important one that describes the individual packaging material types & detailed discussion on their possible analysis before release from the QC end in the pharmaceutical industries.
Thanks for watching
Methods For Assesment Of Bioavailability Anindya Jana
Bioavailability means the rate and extent to which the active ingredient or active moiety is absorbed from a drug product and becomes available at the site of action. For drug products that are not intended to be absorbed into the bloodstream, bioavailability may be assessed by measurements intended to reflect the rate and extent to which the active ingredient or active moiety becomes available at the site of action.
Bioavailability studies are important in the Primary stages of development of a suitable dosage form for a new drug entity, determination of influence of excipients, patient related factors & possible interaction with other drugs on the efficiency of absorption, development of new formulations of the existing drugs, control of quality of a drug product during the early stages of marketing in order to determine the influence of processing factors, storage & stability on drug absorption
Penggunaan obat dikatakan Rasional apabila pasien menerima obat yang tepat untuk kebutuhan klinis,
dalam dosis yang memenuhi kebutuhan,
untuk jangka waktu yang cukup, dan
pada biaya terendah untuk mereka dan komunitas
Evolution of practice in an age of informationJerry Fahrni
Contrary to popular beliefs, pharmacy practice has undergone significant change over the past decade. Pharmacists have been empowered to engage patients like never before through the advent of new automation as well as innovative mobile technologies. The medication distribution process has been
streamlined allowing pharmacists more time to engage in cognitive services and patient care. Innovative mobile technologies have given rise to a new generation of well-connected patients that are interested in their own care like
never before. This has resulted in an unprecedented amount of information available to healthcare professionals from which a host of services may be provided.
This presentation outlines key changes to pharmacy practice,
along with examples of new automation and mobile technologies that illustrate these developments and implications for the future of pharmacy practice.
Quality Control Tests Of Capsules dosage form.
1. Weight Variation Test
2. Content Uniformity Test
3. Dissolution Test
4. Disintegration Test
5. Leak Test
Hello,
This part is an important one that describes the individual packaging material types & detailed discussion on their possible analysis before release from the QC end in the pharmaceutical industries.
Thanks for watching
Methods For Assesment Of Bioavailability Anindya Jana
Bioavailability means the rate and extent to which the active ingredient or active moiety is absorbed from a drug product and becomes available at the site of action. For drug products that are not intended to be absorbed into the bloodstream, bioavailability may be assessed by measurements intended to reflect the rate and extent to which the active ingredient or active moiety becomes available at the site of action.
Bioavailability studies are important in the Primary stages of development of a suitable dosage form for a new drug entity, determination of influence of excipients, patient related factors & possible interaction with other drugs on the efficiency of absorption, development of new formulations of the existing drugs, control of quality of a drug product during the early stages of marketing in order to determine the influence of processing factors, storage & stability on drug absorption
Penggunaan obat dikatakan Rasional apabila pasien menerima obat yang tepat untuk kebutuhan klinis,
dalam dosis yang memenuhi kebutuhan,
untuk jangka waktu yang cukup, dan
pada biaya terendah untuk mereka dan komunitas
Evolution of practice in an age of informationJerry Fahrni
Contrary to popular beliefs, pharmacy practice has undergone significant change over the past decade. Pharmacists have been empowered to engage patients like never before through the advent of new automation as well as innovative mobile technologies. The medication distribution process has been
streamlined allowing pharmacists more time to engage in cognitive services and patient care. Innovative mobile technologies have given rise to a new generation of well-connected patients that are interested in their own care like
never before. This has resulted in an unprecedented amount of information available to healthcare professionals from which a host of services may be provided.
This presentation outlines key changes to pharmacy practice,
along with examples of new automation and mobile technologies that illustrate these developments and implications for the future of pharmacy practice.
The Future of Pharmacy: Using Technology to Drive Practice ChangeJerry Fahrni
Delivered at Health Connect Partners conference in Chicago October 17, 2016. The presentation covers some of the current technology used in acute care pharmacies, as well as some technologies that I believe, have the potential to change the way pharmacists will practice in the near future.
Help Navigating the Sea of Bar-Code Medication Preparation Technologies (BCMP) Jerry Fahrni
Webinar presented on March 26, 2014 for unSUMMIT U
While a strong majority of hospitals are riding the current of bar-code medication administration (BCMA), only a few hundred have incorporated BCMP into their medication-use processes. This is about to change. The BCMP technology current is swelling, which we expect will sweep most hospitals into safer drug compounding practices within the next five years.
Based on six months of research and site visits, we will share our observations and thoughts on the two main types of BCMP workflow technologies on the market—highly automated robotic to semiautomated-manual systems. We will give attention to workflow applications, product functions and features, similarities and differences, strengths and weaknesses. We will explain various approaches to scanner-assisted ingredient verification, scales-assisted volume verification, and image-assisted order verification and archiving.
Abbreviated New Drug Application [ANDA]Sagar Savale
An Abbreviated New Drug Application (ANDA) contains data which when submitted to FDA's CDER, Office of Generic Drugs, provides for the review and ultimate approval of a generic drug product.
Comparison of stability testing requirements of ich with otherJun Brown
Stability plays an important role in the drug development process. Present work aims to compare the stability
testing (ST) requirements of International Conference on Harmonization (ICH) with other international regulatory
agencies like World Health Organization (WHO), Association of South East Asian Nations (ASEAN) and
European Agency for Evaluation of Medicinal and Health Products (EMEA). ICH guidelines describe stability
testing requirements for new drug substance and drug product. WHO guidelines describe stability testing
requirements for both new and existing Active pharmaceutical ingredients (APIs) and addresses information
to be submitted in original and subsequent applications for marketing authorization of their related Finished
pharmaceutical products (FPP) for human use. ST requirements for WHO are similar, except for the parameters
like selection of batches and storage conditions. WHO guidelines have an additional requirement for long term
storage condition (general case) and accelerated storage conditions (substance/product intended to be stored
in refrigerator). ASEAN guideline mainly focuses on the requirements for stability testing of drug products along
with new chemical entities (NCE’s). The differences were observed in stress testing, selection of batches and
real time storage conditions. EMEA guidelines discussed here are an extension of the note for guidance on
stability testing requirements for new active substance and related products. It sets out the stability testing
requirements for existing active substance and related finished product. The minimum time period to be covered
by data at the time of submission during long term storage conditions differs from ICH guidelines.
Regarding the objectives of the act , drug approval that includes both the branded drug and the generic drug approval, new drug exclusivity, about the challenging patent exclusivity, patent term extension and patent litigation under the act ,and the benefits of branded manufacturers will be discussed here .
Cleaning and Disinfecting iv Hoods and RoomsJerry Fahrni
There are plenty of rules regarding when and how pharmacy iv rooms should be cleaned and disinfected. This presentation gives a basic overview of those rules as found in USP Chapter <797>
IV Admixtures continue to be an issue in everyday pharmacy operations. This presentation covers some things that can be done to help minimize those errors.
How Rounds Reports and Mobile Computing Support the Role of the Clinical Phar...Jerry Fahrni
Presentation covering UDA report design and the use of mobile computing devices for clinical pharmacy services.
Delivered at Siemens Innovations 2010 on Tuesday, August 10, 2010.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
2. The beyond-use date (BUD) of a
product is not the same as the
expiration date
3. A BUD is assigned by the pharmacy for
a compounded sterile product (CSP)
4. The BUD for a CSP identifies the time by which the
preparation – once mixed – must be used before it
is at risk for chemical degradation, contamination,
and permeability of the packaging.
5. The BUD date signifies the time after
which a CSP cannot be administered
6. As described in previous ASHP guidelines and in USP
chapter <797> the BUD is determined from the date or
time the preparation is compounded, its chemical
stability, and the sterility limits described later in these
guidelines. Both the stability of the components and the
sterility limits described must be taken into
consideration when determining BUDs
Am J Health-Syst Pharm. 2014; 71:145-66.
7. Time and temperature must be
controlled throughout the entire life
cycle of a CSP.
Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville,MD: The United States Pharmacopeial
Convention; 2014:66.
8. When CSPs are known to have been exposed to
temperatures warmer than the warmest labeled limit or
to temperatures exceeding 40° for more than 4 hours,
such CSPs should be discarded unless direct assay data
or appropriate documentation confirms their continued
stability.
Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial
Convention; 2014:66.
9. The BUD must appear on the label on
the container or package of a
compounded preparation
General notices and requirements. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial
Convention; 2014:26.
10. The BUD must be shorter than the
manufacturer’s expiration date. Often
the BUD is much shorter.
11. The BUD must be the shorter of the
sterility dating or chemical stability
dating.
Am J Health-Syst Pharm. 2014; 71:145-66.
12. So even if something is stable for 30
days doesn’t mean it’s sterile for 30
days. You must use the shorter of the
two for BUD.
14. The FDA defines expiration date as: The date
(usually placed on the containers/labels of an API)
designating the time during which the API is
expected to remain within established shelf-life
specifications if stored under defined conditions
and alter which it should not be used
(API) = Active Pharmaceutical Ingredient
15. A manufacturer’s expiration date is the date
assigned pursuant to manufacturer testing.
The drug product is guaranteed by the
manufacturer to be safe and effective up to
the listed date when products are stored as
described in the product labeling.
Am J Health-Syst Pharm. 2014; 71:145-66.
16. The expiration date assigned by the
manufacturer no longer applies once the
manufacture's container is opened and the
drug product is transferred to another
container for dispensing or repackaging
17. As you can see, the BUD of a product
is not the same as the expiration date
20. USP <797> provides recommended
BUD guidelines based on CSP
microbial contamination risk category
For more information on CSP risk category……[link to CSP Risk Category presentation]
21. Risk Category
Room Temperature
20 to 25°C
Cold Temperature
2 to 8°C
Freezer
-25 to -10°C
Immediate Use 1 hour 1 hour N/A
Low-Risk 48 hours 14 days 45 days
Low-Risk w/12-hour BUD 12 hours or less 12 hours or less N/A
Medium-Risk 30 hours 9 days 45 days
High-Risk 24 hours 3 days 45 days
American Society of Health-System Pharmacists. ASHP Guidelines on Compounding Sterile Preparations. Am J Health-Syst Pharm. 2014; 71:145-66.
** Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.
** Storage and Beyond-Used Dating. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.
American Society of Health-System Pharmacists. ASHP Guidelines on Compounding Sterile Preparations. Am J Health-Syst Pharm. 2014; 71:145-66.
(API) Active Pharmaceutical Ingredient
American Society of Health-System Pharmacists. ASHP Guidelines on Compounding Sterile Preparations. Am J Health-Syst Pharm. 2014; 71:145-66.
Temperature ranges:
General notices and requirements. In: The United States pharmacopeia, 37th rev., and The national formulary, 32nd ed. Rockville, MD: The United States Pharmacopeial Convention; 2014:66.