AI Hospital/Macro Signal Dynamics Research and Development Center, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University.
Biol Pharm Bull. 2024;47(5):878-885. doi: 10.1248/bpb.b23-00749.
The existence of substandard and falsified medicines threatens people's health and causes economic losses as well as a loss of trust in medicines. As the distribution of pharmaceuticals becomes more globalized and the spread of substandard and falsified medicines continues worldwide, pharmaceutical security measures must be strengthened. To eradicate substandard and falsified medicines, our group is conducting fact-finding investigations of medicines distributed in lower middle-income countries (LMICs) and on the Internet. From the perspective of pharmaceutics, such as physical assessment of medicines, we are working to clarify the actual situation and develop methods to detect substandard and falsified medicines. We have collected substandard and falsified medicines distributed in LMICs and on the Internet and performed pharmacopoeial tests, mainly using HPLC, which is a basic analytic method. In addition to quality evaluation, we have evaluated the applicability of various analytic methods, including observation of pharmaceuticals using an electron microscope, Raman scattering analysis, near-IR spectroscopic analysis, chemical imaging, and X-ray computed tomography (CT) to detect substandard and falsified medicines, and we have clarified their limitations. We also developed a small-scale quality screening method using statistical techniques. We are engaged in the development of methods to monitor the distribution of illegal medicines and evolve research in forensic and policy science. These efforts will contribute to the eradication of substandard and falsified medicines. Herein, I describe our experience in the development of detection methods and elucidation of the pharmaceutical status of substandard and falsified medicines using novel technologies.
劣药和假药的存在威胁着人们的健康,造成经济损失和对药品的信任丧失。随着药品的分销越来越全球化,劣药和假药在全球范围内不断传播,药品安全措施必须得到加强。为了消除劣药和假药,我们小组正在对中低收入国家(LMICs)和互联网上分发的药品进行调查。从药剂学的角度,如药品的物理评估,我们正在努力阐明实际情况并开发检测劣药和假药的方法。我们已经收集了在 LMICs 和互联网上分发的劣药和假药,并进行了药典测试,主要使用 HPLC,这是一种基本的分析方法。除了质量评估外,我们还评估了各种分析方法的适用性,包括使用电子显微镜观察药品、拉曼散射分析、近红外光谱分析、化学成像和 X 射线计算机断层扫描(CT)来检测劣药和假药,并阐明了它们的局限性。我们还开发了一种使用统计技术的小规模质量筛选方法。我们致力于开发监测非法药品分布的方法,并在法医和政策科学领域开展研究。这些努力将有助于消除劣药和假药。在此,我描述了我们在开发检测方法和阐明使用新技术的劣药和假药的药物状况方面的经验。