PHARDOSE LEC CHAPTER 15: PARENTERALS
MANUF LEC
CGMP PART 3: STERILE PRODUCTS
Injectons
Ser!e" #$ro%en&'ree #re#(r(tons nen)e) o *e ()+nsere) #(rener(!!$ H$#o) H$#o)er+ er+c c +or#, +or#,ne ne so!-to so!-ton: n: e(r!e e(r!es s njec(*!e )r-%
P(rener(!s
P(r(: O-s)e Eneron: Inestne Denoes ro-es o' ()+nsr(ton ()+nsr(ton o,er ,(n ,e or(! ro-e Injec(*!e ro-es o' ()+nsr(ton Use) .,en (#) )r-% )r-% (cton s )esr esre e) R(#) /e+er%ences0 s -ncoo#er(te" P(ten -nconsco-s Dr-% s ne2ecte *$ o,er ro-es
P$ro%ens
(cer(! en)oo4ns Or%( Or%(n ncc +e( +e(*o *o! !e ess s,e) s,e) 'ro+ 'ro+ %r(+ %r(+&& ne%(te *(cer( .,c, c(n c(-se 'eer (n) ,$#oenson
Inr(+-sc-!(r Ro-e
P(rener(! Ro-es o' A)+nsr(ton Inr(eno-s /I0 Inr(+-sc-!(r /IM0 Inr( r()er )er+(! /ID0 ID0 or Inr(c-(neo-s H$#o)er+c or S-*c-(neo-s /SC" S70 Inr(&(rtc-!(r Inr(s$no(! Inr(,ec(! Inr(s#n(! Inr(&(rer(! Inr(c(r)(c Inr(eno-s Ro-e
en M-sc!e Ino ,e s6n
Un)er ,e s6n 8ons 8on 9-) (re( S#n(! 9-) S#ne Arer$ He(r
Po#-!(r Is N(C! G!-cose A)(n(%es Pro)e r(#) (cton L'es(n% n e+er%ences Ds()(n(%e Once ( )r-% )r-% s ()+ ()+n ns ser ere) e)"" Once c(nno *e reree) Src (se#tc #rec(-tons +-s *e (6en ( (!! t+es o (o) rs6 o' n'ecton S$rn%es (n) nee)!es (re ser!e) Pon o' enr(nce s )sn'ece) es !oc(tons 'or ()+nsr(ton (s!c c (n) (n) ce#,( ce#,(!c !c ens ens on ,e (s! *(c6 o' ,e ,(n) Dors(! 'ore(r+ No #re'erre) !oc(ton 'or ()+nsr(ton Anecc-* *( (!! en en:: ,%, ,%, rs6 rs6 'or Ane e4r((s(ton E)ence o' #ro#er #!(ce+en (c69o. o' *!oo) no ,e ()+nsr(ton se I 9-)s F!o. r(e: ;<&15= +L>, crc-!(tn% *!oo) M-s +4 ., ,e crc-!(tn% (n) no #rec#(e 'ro+ so!-ton I nee)!e nee)!ess (n) c(,e c(,ee ers rs:: ,ro+* ,ro+*-s -s (n) e+*o!-s 'or+(ton T,ro+*o+*-s: s: *!oo *!oo) ) c!o c!o 'or+ or+e) T,r .,n ,e *!oo) esse! E+*o!-s: crc-!(tn% ,ro+*-s E+*o!s+: *!oc6(%e *!oc6(%e or occ!-son o' crc-!(ton )-e o e+*o!-s
Pro)e e2ecs ,( (re !ess r(#) *- (re !on%&!(s !on%&!(stn% tn% ,(n ,ose o*(ne) o*(ne) 'ro+ I ()+nsr(ton (re) r(es o' (*sor#ton So!-ton ? More r(#)!$ (*sor*e): So!-ton S-s#enson r(#)!$ (*sor*e) (*sor*e):: A@-eo-s A@-eo-s More r(#)!$ #re#(r(ton ? O!e(%no-s #re#(r(ton Per'or+e) )ee# no ,e s6e!e(! +-sc!es S,o-!) *e (s '(r (s #oss*!e 'ro+ +(jor neres (n) *!oo) esse!s A)-!s A)-!s:: -##er -##er o-er o-er @-()r @-()r(n (n o' %!-e-s +(4+-s
L(core" Ares S 3D&PH B PHAR 3 B PHAR
In'(ns (n) $o-n% c,!)ren: )e!o) +-sc!es o' ,e -##er (r+ or +)!(er(! +-sc!es o' ,e ,%, A)+nsr(ton &r(c6 ec,n@-e: s6n s #!(ce) !(er(!!$ #ror o njecton" ,en ,e nee)!e s nsere)" (s#r(e s!%,!$ o o*sere (n$ *!oo) enern% ,e s$rn%e" ,en n(!!$ njec G!-e(! re%on: 5 +L De!o): < +L Pro*!e+s enco-nere): Ne-r(! )(+(%e A*scess C$s E+*o!s+ He+(o+( S!o-%,n% o' ,e s6n Sc(rrn%
Oc(! T$#es o' Injectons 1 <
3
; 5
Injecton !@-) #re#(r(tons ,( (re )r-% s-*s(nces or so!-tons For njecton )r$ so!)s ,(" -#on ())ton o' s-(*!e e,c!es" $e!) so!-tons con'or+n% n (!! (s#ecs o ,e re@-re+ens 'or njectons Injec(*!e e+-!son !@-) #re#(r(ton o' )r-% s-*s(nce )sso!e) or )s#erse) n ( s-(*!e e+-!son +e)-+ Injec(*!e s-s#enson !@-) #re#(r(ton o' so!) s-s#en)e) n ( s-(*!e !@-) +e)-+ For njec(*!e s-s#enson )r$ so!)s ,(" -#on ())ton o' s-(*!e e,c!e" $e!) #re#(r(tons con'or+n% n (!! (s#ecs o ,e re@-re+ens 'or njec(*!e s-s#ensons
Re#osor$ or )e#o njectons !on%&(ctn% njectons
S-*c-(neo-s Ro-e
For njectons o' s+(!! (+o-ns o' +e)c(ton M(4+-+ (+o-n: 13 +L A+o-ns o' %re(er ,(n < +L: #(n'-! #ress-re Injecton 3 +L s$rn%es <;& o <&%(-%e nee)!es A)+nsr(ton Loose nerstt(! tss-e o' ,e -##er (r+" (neror ,%," or !o.er (*)o+en Se o' njecton s ro(e) Pro*!e+s enco-nere) Co++on o s6n&rr(tn% )r-%s (n) ,c6 s-s#ensons In)-r(ton A*scess S!o-%,n%
So!ens (n) e,c!es 'or Injectons (er 'or Injecton" USP
Mos 're@-en!$ -se) so!en (er s #-re) *$ )st!!(ton or *$ reerse
os+oss No re@-re) o *e ser!e *- +-s *e
#$ro%en&'ree For +(n-'(c-re o' njec(*!e #ro)-cs o
co!!ecton P-r'e) (er" USP
Injece) o ,e cor-+ /(sc-!(r !($er o' ,e s6n j-s *e!o. ,e e#)er+s0 A)+nsr(ton Aneror 'ore(r+ Injecton <3& o <&%(-%e nee)!e Insere) ,oron(!!$ o ,e s6n ., ,e *ee! '(cn% -# On!$ =1 +L s ()+nsere)
No +ore ,(n 1 +%>1== +L (er 'or Injecton" USP
Inr()er+(! Ro-e
*e ser!e) (Jer #re#(r(ton Sore) n t%, con(ners Inen)e) o *e -se) .,n <; ,o-rs (Jer
Ser!e (er 'or Injecton" USP
P(c6(%e) n sn%!e&)ose con(ner no !(r%er ,(n 1 L M-s *e #$ro%en&'ree En)oo4n !ee!: K =<5 USP EU>+L Con(n s!%,!$ +ore o(! !e(c,n% o' so!)s 'ro+
,e
%!(ss&!ne)
(n6s
)-rn%
ser!(ton
L(core" Ares S 3D&PH B PHAR 3 B PHAR
Use) (s ( so!en" e,c!e" or )!-en 'or
(!re()$ ser!e) (n) #(c6(%e) njec(*!e
+e)c(tons (ceros(tc (er 'or Injecton" USP
+-!t#!e&)ose (!s M-s *e -se) on!$ n #(rener(!s ,( (re
L(c(e) Rn%ers Injecton" USP
()+nsere) n s+(!! o!-+es I' +ore ,(n 5 +L o' so!en s re@-re): -se Ser!e (er 'or
.(er 'or njecton Uses e,c!e 'or o,er )r-%s E!ecro!$e re#!ens,er P!(s+( e4#(n)er
Ser!e .(er 'or njecton con(nn% one or +ore s-(*!e (nt+cro*(! (%ens (ceros(tc (%en: 9e4*!$ 'or
Ser!e so!-ton o' N(C!" C!" (n) C(C!< n
Injecton" USP P(c6(%e) n #re!!e) s-rn%es or n (!s con(nn% no +ore ,(n 3= +L L(*e!n% (n) #ortons N(+es
o'
Con(ns N(C!" C!" C(C!<" (n) N( !(c(e Uses F!-) (n) e!ecro!$e re#!ens,er S$se+c (!6(!ner
Ser!e (er 'or In,(!(ton" USP
P-re) *$ )st!!(ton or reerse os+oss Ren)ere) ser!e ., no (nt+cro*(!
(%ens No 'or #(rener(! ()+nsr(ton or o,er
(nt+cro*(! (%ens NOT FOR USE IN NEONATES
ser!e )os(%e 'or+s Ser!e (er 'or Irr%(ton" USP
So)-+ C,!or)e Injecton" USP
Ser!e soonc so!-ton o' N(C! n .(er 'or
njecton No (nt+cro*(!
(%ens
*-
,(s
Ser!e) (n) s-(*!$ #(c6(%e) ., no (nt+cro*(! (%en or o,er s-s*(nces
Non(@-eo-s e,c!es
(##ro4+(e!$ 15; +E@ e(c, o' N( (n) C!
ons #er !er Uses So!en or e,c!e n so!-tons or
s-s#ensons o' )r-%s 'or #(rener(! ()+nsr(ton C(,eer or I !ne 9-s, o nse 9-)s (n) +e)c(tons o +(n(n
1= C M-s no con(n +ner(! o! or
#(enc$
#(r(n (s ,ese +(er(!s (re no
(ceros(tc So)-+ C,!or)e Injecton" USP
(*sor*e) *$ *o)$ tss-es
Ser!e soonc so!-ton o' N(C! n .(er 'or
njecton Con(ns one or +ore s-(*!e (nt+cro*(!
(%ens P(c6(%e) n con(ners no +ore ,(n 3= +L Use) o 9-s, ( c(,eer or I !ne o
F4e) e%e(*!e o!s Co++on!$ -se) o Corn o! o Coonsee) o! o Pe(n- o! o Ses(+e o! M-s re+(n c!e(r .,en coo!e) o
G!$cern Pro#$!ene %!$co! A!co,o! E,$! o!e(e Iso#ro#$! +$rs(e D+e,$!(ce(+)e
+(n(n #(enc$ Rn%ers So!-ton" USP
A))e) S-*s(nces Ant'-n%(!>Ant*(cer(! Preser(tes
L(core" Ares S 3D&PH B PHAR 3 B PHAR
M-s *e #resen n ()e@-(e concenr(ton ( ,e t+e o' -se o #reen +-!t#!c(ton
o' +croor%(ns+s Merc-r$ (n) c(tonn s-r'(c(ns: ==1 C,o!or*-(no!" creso!" #,eno!: =5 S-!'-r )o4)e or s-!e" *-s-!e"
'or+% !(*or(or$ sr(ns o' E co! 3
(n) reco+*n(n DNA ec,no!o%$ Ls#ro Ins-!n So!-ton Consss o' nc ns-!n !s#ro cr$s(!s
+e(*os-!e: =<
Anto4)(ns
re(cton C,e!(tn%
c((!$s o (cce!er(e o4$%en Nro%en (n) c(r*on )o4)e: )s#!(ce
(%en:
'or+s
co+#!e4
;
5
M(n(n re@-re) #H Prnc#(! *-2er s$se+ Ace(e Cr(e P,os#,(e
Saccharomyces
n
(@-eo-s
e,c!e *-2ere) ., D*(sc N(
P,os#,(e o #H 1&; Iso#,(ne Ins-!n S-s#enson (n) Ins-!n Injecton
S+(!! o!-+e P(rener(!s
Ins-!n Pre#(r(tons
'ro+
(ctn%
Pre+4e) 'or+(ton o' so#,(ne ns-!n
c!e(r
cerevisiae /(6ers $e(s0 Iso#,(ne Ins-!n S-s#enson Ne-r(! Pro(+ne H(%e)orn /NPH0
(
*e( c,(n (re reerse) Ins-!n As#(r -!r(&s,or Reco+*n(n
Ins-!n Pro(+ne s ())e) Ser!e s-s#enson
-2ers
n
(@-eo-s 9-) Cre(e) .,en (+no (c)s (
ns-!n Pro)-ce)
.,
o4$%en
)sso!e)
#ostons < (n)
Re)-cn% (%en: o4)e) !oc6n% (%en: *!oc6s (n o4)(te c,(n
Pro)-ce) *$ -sn% non&)se(se
s-s#enson
(n)
ns-!n
s-s#enson (n) ns-!n njecton H-+(!o% M4 M(n-'(c-re) #re+4e) ns-!n !s#ro (n) Ne-r(! Pro(+n Ls#ro
A)+nsere) n$ nee)!e" #en" or #-+# S(*!$: ne-r(! #H ? (c)c #H E4#r$: <; ,o-rs (Jer !!n% Sor(%e: FREEING IS AOIDED
/NPL0 Ins-!n nc S-s#enson Con(ns nc c,!or)e nc c,!or)e (*sor#ton
(n)
,$#o%!$ce+c (cton: (+or#,o-s ? Q
1
Ins-!n Injecton Ser!e (@-eo-s so!-ton o' ns-!n A)+nsere) I Pre#(re) 'ro+ *ee' or #or6 #(ncre(s
or *o, or ,ro-%,
*os$n,etc +e(ns *-!)n% L#o,$#erro#,$: *ro-s tss-e L#o)$sro#,$: <
o'
(*nor+(!
cr$s(!!ne Ins-!n G!(r%ne Lon%&(ctn%
*(s(!
ns-!n
#re#(r(ton nen)e) 'or once& )(!$ SC ()+nsr(ton ( *e)t+e 'or ,e re(+en o' $#e I DM n c,!)ren (n) ()-!s 1= E4en)e) Ins-!n nc S-s#enson Ser!e s-s#enson o' nc ns-!n cr$s(!s n (n (@-eo-s so!-ton +e)-+ *-2ere) ., N( (ce(e 11 Ins-!n In'-son P-+#s
)sr*-ton o' '( H-+(n Ins-!n
L(core" Ares S 3D&PH B PHAR 3 B PHAR
P(tens
(c,ee
(n)
+(n(n
3
;
)ece
,(
s
nsere) (n) !eJ n ,e -er-s
!ee!s on ( cons(n *(ss
o
#reen
e2ecte
conce#ton Esrn% o Esr()o! (%n(! rn% o For re(+en o' -ro%en(!
F!-) (n) n-ren re#!ens,ers A+no (c)s M(nno! Injecton" USP o D(%nostc () n ren(! '-ncton De4rose Injecton" USP De4rose (n) So)-+ C,!or)e
<
T&s,(#e)
*!oo) %!-cose o ne(r!$ nor+(!
L(r%e o!-+e P(rener(!s 1
o
s$+#o+s
#os+eno#(-s(!
%(sroso+$"
or
o
.,
(ro#,$
,e (%n( Crnone Ge! o Con(ns
Injecton" USP F!-) (n) e!ecro!$e re#!ens,ers De4rose (n) So)-+ C,!or)e Injecton" USP Rn%ers Injecton" USP L(c(e) Rn%ers Injecton" USP So)-+ C,!or)e Injecton" USP M(nen(nce T,er(#$ To(! N-ren A)+4-res /TNA0 To(! P(rener(! N-rton /TPN0 Ener(! N-rton n(so%(src -*e" 'ee),% (
(ssoc(e)
o'
+crone)
#ro%eserone
(n)
#o!$c(r*o#,!
n
#o!$+er (n
o!&n&
.(er e+-!son s$se+ Po!$+er: s.e!!s .,n ,e (%n(
(n)
'or+s
(
*o(),ese %e! co(tn% on ,e .(!!s o' ,e (%n( Asss n re#ro)-cton Leono%esre! I+#!(n o Nor#!(n s$se+ o Se o' 9e4*!e o
c!ose)
c(#s-!es o' )+e,$!s!o4(ne& +e,$!
n$!
s!o4(ne
co#o!$+er" e(c, con(nn% 3
nee)!e&c(,eer
jej-noso+$ o
+% o' #ro%estn E4ce!!en conr(ce#te
O,er Injec(*!e Pro)-cs 1
<
Irr%(ton So!-tons Inen)e) o *(,e or .(s, .o-n)s"
(ce(e
s-r%c(! ncsons" or *o)$ tss-es D(!$ss So!-tons Se#(r(ton o' s-*s(nce 'ro+ one (no,er
n so!-ton *$ (6n%
()(n(%e
o'
,er
)2ern%
)2-s(*!$ ,ro-%, +e+*r(ne 3
o!()e4 I+#!(n o Gosere!n (ce(e +#!(n o Tre(+en o' #ros(e c(ncer ()-r I+#!(n o Le-#ro!)e (ce(e +#!(n o Des%ne) o )e!er !e-#ro!)e
I+#!(ns
o
contn-o-s!$
conro!!e) r(e P(!!(te re(+en
,(
#ro)e contn-o-s re!e(se o' ,e )r-% Inr(-erne Dece /IUD0 o Pro%es(ser S$se+
( o'
()(nce) #ros(e c(ncer (n(s I+#!(n o Hsere!n +#!(n o Des%ne) o )e!er ,sere!n contn-o-s!$
Lon%&(ctn% )os(%e 'or+s
(
-#on
s-*c-(neo-s +#!(n(ton (ser I+#!(n o Con(ns %(ncc!or" (n (ntr(! )r-%
L(core" Ares S 3D&PH B PHAR 3 B PHAR
o
Use) o re( AIDS&re!(e)
c$o+e%(!or-s retnts G!()e! ('er I+#!(n o ('er: ( ,n s!ce o' +(er(! o
C!e(n Roo+
con(nn% ( +e)cn(! (%en Des%ne) o )e!er c(r+-stne )rec!$ no ,e s-r%c(! c($ cre(e) .,en ( *r(n -+or s
resece) L(crser o Tre(+en o' )r$ e$es
Inno(tons 1 <
Co+#o-n)n%
L@-) s #(c6(%e) (!on% ., )r$ #o.)er Dr$ #o.)ers (re #(c6(%e) n con(ners
, )ene) enron+en(! conro! o' #(rtc-!(e (n) +cro*(! con(+n(ton
C!e(n Roo+ C!(ssc(ton Gr()e
C!(ss
1==
=5 o 5 -+ #(rtc!e s #er +3 3"5==
A
? 5 -+ #(rtc!e s #er +3 None
Mcro& or%(ns+s #er+e) #er +3 K1
1==
3"5==
None
5
C
1="===
35="===
<"===
1==
D
1=="== =
35 M
<="===
5==
!(r%e eno-%, o #er+ #ro#er s,(6n% ., 3
,e !@-) co+#onen M4&O&(! Incor#or(e) I s$se+ ,( (!!o.s
1
#re#(rn% s+(!! o!-+e n'-son ;
e4en#or(neo-s!$ Mono(! S('e$ G-(r) econ Dc6nson P,(r+(ce-tc(!
s+(!!
!er H%,
<
< 3
P(rtc-!(e
Ar
#(rtc-!(es ., QQQ ecenc$ Gr()es " C" or D , %oo) (r9o. #(ern (n)
Ter+n(!!$ ser!e) #ro)-cs
P(rener(!s F!!n%: Gr()e A n C Ser!e so!-tons Gr()e C or D Ser!e on+ens" cre(+s" s-s#ensons" (n) e+-!sons Gr()e C
!r(ton or er+n(!!$ (n) conse@-en!$ +-s *e #ro)-ce) 'ro+ ser!e s(rtn% +(er(!s n (n (se#tc .($
Ecenc$
(##ror(e HEPA !er
M(n-'(c-re
(n) er+n(!!$ ser!e) Pre#(r(ton s ser!e) *$ !r(ton Pre#(r(ton c(n *e ser!e) e,er *$
es:
/HEPA0 !er: !ers +-c, s+(!!er
((c,e) r(ns'er nee)!e
Pre#(r(ton s se(!e) n s n(! con(ner
Ar or6 enc,es Use n conj-ncton ., c!e(n
,(n =3 -+ #(sses ,ro-%, HEPA
#roecte s,e!) s-rro-n)n% ,e
1
ens-res ,( no #(rtc!es !(r%er
n'-sons -sn% #!(stc +n*(%) Ine%r(e) )r-% r(ns'er ., (
c(e%ores
L(+n(r Ar9o. or6s(ton" C!e(n
roo+s Horon(! $#e: =;5 +>s ertc(! $#e: =3= +>s Doc$! P,,(!(e s+o6e
o!-+e
M(n-'(c-rn% o#er(tons (re ))e) no ,ree
S$se+s Ne. I s$se+ 'or -se n #re#(rn% e4e+#or(neo-s
Gr()e A
Ser!e !ere) #ro)-cs
Ser!e so!-tons
L(core" Ares S 3D&PH B PHAR 3 B PHAR
H(n)!n% o' s(rtn% +(er(!s (n)
o
S#ee) n ,e !r(ton o' s+(!!
,e #re#(r(ton: Gr()e C or D AJer !r(ton Gr()e A n " Gr()e
o
@-(nttes o' so!-ton A*!$ o ser!e ,er+o!(*!e
o
+(er(!s Re!(te!$
o
e@-#+en re@-re) Dee!o#+en (n) #ro!'er(ton
o
o' +e+*r(ne !er ec,no!o%$ Co+#!ee re+o(! o' !n% (n)
n C H(n)!n% o' s(rtn% +(er(!s (n) '-r,er #rocessn%
Gr()e A n " Gr()e n C
)e()
Me,o)s o' Ser!(ton
(sse+*!$ s no r-#-re) or
Se(+ Ser!(ton A-oc!(e E+#!o$s se(+ -n)er #ress-re Mcro*(! )esr-cton:
5
9(.e) G(s Ser!(ton Re@-res s#ec(!e)
*(cer(! #roens n)c(or: o!o%c(!
co+*n(ton se(+ (-oc!(es (n)
(n)
+(er(!s
no
()erse!$
,%,&ener%$
(!)(ton o' Ser!$ 1
,n
T,er+(! De(, T+e T+e re@-re) o 6!! ( #(rtc-!(r or%(ns+
o' +croor%(ns+s *$ ()sor#ton +ec,(ns+ M!!#ore !er:
<
#!(stc
o' ser!e so!-tons A)(n(%es
-n)er
s#ece)
con)tons F (!-e o!o%c In)c(or es +e,o) o (!)(e ser!$ Use) o +onor ( ser!(ton
+e+*r(ne o' ce!!-!ose esers For ,e(&senste so!-tons (cer(! F!r(ton For e4e+#or(neo-s #re#(r(ton
/*e(
(n) con(ners
e2ecte!$ ser!e) *$ +os ,e( Ser!(ton *$ F!r(ton De#en)s on ,e #,$sc(! re+o(! on ,e !er +e)-+ or *- sen%
e!ecrons
r()(ton0 H%,!$ s#ec(!e) e@-#+en E2ecs o' rr()(ton on #ro)-cs
,er+os(tc(!!$
conro!!e) o!o%c(! n)c(or: Bacillus sublis For #re#(r(tons (n) +(er(!s no
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