Searl R O, Pernarowski M
Can Med Assoc J. 1967 Jun 10;96(23):1513-20.
The potency, disintegration and dissolution characteristics of 23 brands of phenylbutazone tablets were determined. Five (21.7%) of the 23 brands failed to comply with the minimum requirements of the compendia or the regulations appended to the Food and Drugs Act. The in vitro characteristics of four brands were substantially different from those that disintegrated and released the drug satisfactorily. The in vivo characteristics of three of the four brands were compared with those observed for a pharmaceutically acceptable product. The latter product released the drug to the blood quickly, but the former products released the drug only after the tablets had been in the body for six to eight hours and, in the case of one product, released quantities much below those that would be acceptable to the physician. These results show that different products containing the same drug are not necessarily equivalent. This is contrary to the generic equivalency hypothesis which assumes that all products comply with specifications and, therefore, must be clinically effective.
测定了23个品牌保泰松片的效价、崩解和溶出特性。23个品牌中有5个(21.7%)不符合药典的最低要求或《食品药品法》附录中的规定。4个品牌的体外特性与崩解和药物释放令人满意的品牌有很大不同。将这4个品牌中的3个品牌的体内特性与一种药学上可接受产品的体内特性进行了比较。后一种产品能迅速将药物释放到血液中,但前几种产品在片剂进入体内6至8小时后才释放药物,而且其中一种产品释放的量远低于医生可接受的量。这些结果表明,含有相同药物的不同产品不一定等效。这与一般等效性假设相反,该假设认为所有产品均符合规格,因此必定具有临床疗效。