Sharma Sushil, Sharma A K, Moe Htet Wai, Khanapure Amol, Mohan Prafull
Professor, Department of Pharmacology, Armed Forces Medical College, Pune, India.
Professor & Head, Department of Pharmacology, Armed Forces Medical College, Pune, India.
Med J Armed Forces India. 2022 Sep;78(Suppl 1):S194-S200. doi: 10.1016/j.mjafi.2021.03.015. Epub 2021 Jul 3.
As per regulations, drugs have to be used within their shelf life and must be discarded after their expiry date. The present study was conducted in commonly used analgesic agents to investigate the change in the physical, chemical, and efficacy parameters of the drugs over a period of two years after their expiry date.
The drugs studied were Tab Ibuprofen, Tab Diclofenac, Tab Piroxicam, Inj Diclofenac, and Inj Piroxicam. The parameters investigated were chemical potency, physical stability, and analgesic efficacy. Testing for these parameters was carried out once before expiry to establish the baseline followed by at expiry, and then every six months for two years post expiry date.
The active ingredient in all the drugs were within the accepted range as per IP during the study period indicating that they retained their potency up to a period of two years post expiry. The analgesic efficacy as determined by the "Radiant Heat Tail flick" and "Acetic acid-induced writhing" model also showed no significant difference in the Maximum Possible Efficacy and Percent protection, indicating that the drugs retained their efficacy. There was a slight difference in the dissolution times at expiry as compared to different time periods in the case of Ibuprofen and Diclofenac, while there are was no statistical difference in the disintegration times during the study period.
The analgesic drugs in our study retained their chemical potency, physical stability and analgesic efficacy up to a period of two years after expiry. The expiry date of a drug, as estimated currently, is not an accurate reflection of its actual shelf life.
根据规定,药物必须在保质期内使用,过期后必须丢弃。本研究针对常用镇痛药展开,旨在调查药物在过期两年期间其物理、化学和药效参数的变化。
所研究的药物有布洛芬片、双氯芬酸片、吡罗昔康片、双氯芬酸注射液和吡罗昔康注射液。所调查的参数包括化学效价、物理稳定性和镇痛效果。在过期前进行一次这些参数的测试以建立基线,随后在过期时进行测试,然后在过期日期后的两年内每六个月进行一次测试。
在研究期间,所有药物中的活性成分均在印度药典(IP)规定的可接受范围内,这表明它们在过期后两年内仍保持其效价。通过“辐射热甩尾”和“乙酸诱导扭体”模型确定的镇痛效果在最大可能效果和保护百分比方面也没有显著差异,表明这些药物仍保持其疗效。与布洛芬和双氯芬酸在不同时间段的溶出时间相比,过期时的溶出时间略有差异,而在研究期间崩解时间没有统计学差异。
我们研究中的镇痛药在过期后两年内仍保持其化学效价、物理稳定性和镇痛效果。目前估计的药物过期日期并不能准确反映其实际保质期。