LEC 1 Flashcards
Falsified medicines
Medicinal products/APIs with false representation
- name of manufacturer
- name of market authorisation
- batch number
- packaging/labelling
- identity/composition
- manufacturing records/certificates of analysis
Consumers put their trust in manufacturer & supplier & regulators to :
- weed out adulterated, counterfeits & falsified products
- to ensure safe & efficacious & quality products
- to oversee drug/API manufacturing & supply chain
PIC/S goal
To lead the international 1) development 2) implementation 3) and maintenance of harmonised GMP standards (for manufacturers) & quality system (for inspectorates) in the field of medical products
GMP
Good Manufacturing Practice
PIC/S GMP chapters (9)
- Pharmaceutical Quality System
- Personnel
- Premises and equipment
- Documentation
- Production
- Quality control
- Outsourced activities
- Complaints & products recall
- Self inspection (IQA)
Complaints
- a designated person should be responsible for handling complaints & deciding on actions to be taken
- SOP on handling complaints should be in place
- all complaints shall be recorded, investigated and closed out with decisions taken documented
- all complaints records should be reviewed regularly for any recurring trend
- Competent Authority (Regulatory Authority) should be notified if manufacturer is considering a product recall
eg HSA
Product recall
- a designated person, independent of Sales and Marketing, should be responsible for coordinating and executing the recall
- SOP on product recall
- distribution records should be readily available
- Competent Authority (Regulatory Authority) should be notified if manufacturer is considering a product recall
eg HSA - recalled products should be stored securely while awaiting decisions on its fate
- progress of recall process should be recorded and final report issued, including a reconciliation between delivered and recovered products
- effectiveness of recall procedure should be evaluated regularly
Where does adulteration occurs?
Occur at uninspected backyard manufacturing premises
Why are counterfeit products important to be identified? (3)
- Pose serious health risks
- Pose serious quality issues
- Patent violation
Backyard manufacturers (3)
- cross-contamination
- non-sterile
- non-validated methods
QbA
Not applicable today anymore due to the rise of falsified medicines, adulterated and counterfeit products
Hence, cannot judge the quality of a product by its appearance or its presentation
How to ensure GMP compliance by manufacturers? (2)
- Medicines Act & HPA require manufacturer of medicinal products to comply with PIC/S GMP standards in order to obtain their manufacturer’s license
- Periodic audits of manufacturer’s compliance by HSA
5 areas of inspection during audits
4M 1P
- Machines
- Manpower
- Methods
- Materials
- Premises
Inspection of QC department
- Ensure the Head of QC is independent of other departments of the company (eg Head of Manufacturing)
- Validation of QC methods
- SOP for QC
If the company engage in outsourced activities, should the outsourced companies be inspected?
Yes