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Our Compounding Knowledge, Your Peace of Mind
September 22, 2017  |  Volume 14  |  Issue 38
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Loyd V. Allen, Jr., Ph.d., R.Ph Letter from the Editor
The Biopharmaceutics Classification System (BCS) and Compounding: Part 11

Continuing our BCS topic, this week we will look at biowaivers. A biowaiver means that in vivo bioavailability and/or bioequivalence studies may be waived (not considered necessary for product approval).

For the sponsoring drug company, this means that instead of conducting expensive and time-consuming in vivo studies, a dissolution test can be adopted as the surrogate basis for the decision as to whether or not two pharmaceutical products are equivalent.

Drugs considered for a biowaiver should have high solubility and high permeability according to the BCS. This basically means that BCS Class 1 drugs can be considered. Generally, the drug should be:

  • Highly soluble,
  • Highly permeable, and
  • Rapidly dissolving

Highly soluble means the highest dose strength is soluble in <250 mL of water over a pH range of 1 to 7.5.

Highly permeable means the extent of absorption in humans is determined to be >90% of an administered dose.

Rapidly dissolving is when no less than 85% of the labeled amount of the drug substance dissolves within 30 minutes, using USP Apparatus I at 100 rpm (or Apparatus II at 50 rpm) in a volume of 900 mL or less in each of the media like 0.1 N HCl or Simulated Gastric Fluid USP without enzymes, pH 4.5 buffer, pH 6.8 buffer, or Simulated Intestinal Fluid USP without enzymes.

Next week: More on biowaivers.


Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief
International Journal of Pharmaceutical Compounding
Remington: The Science and Practice of Pharmacy Twenty-second edition

 

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Did You Know ...

�that in a recent edition of Pharmacy Practice News, a report from the University of Virginia Health System (UVAHS) looked at alternative formulations of oral vitamin k for warfarin reversal to enhance vitamin K products, minimize medication costs, and improve safety by reducing product manipulation via tablet splitting? The 2017 ASHP Summer Meetings poster presentation of the results showed an estimated annual savings of $80,000 for UVAHS by preparing an oral suspension compounded from vitamin K ampules as compared to tablets and tablet-splitting. Since there does not seem to be an oral liquid manufactured prescription formulation of vitamin K available,* this is a valuable alternative that could be considered.

*https://health.ucsd.edu/specialties/obgyn/maternity/resources/Documents/Vit%20K%20fact%20sheet.pdf

 

Tip of the Week

There are probably numerous alternatives to some high-price products in a single or minimal number of dosage forms that can be legitimately compounded (do not duplicate a commercially available drug product dosage form) for safety, efficacy, and economic reasons.

 

Looking Back

Spring has sprung,
The grass has riz,
Where last year's
Careless drivers is!
     Burma Shave

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