ABSTRACT
The evaluation of the physicochemical quality of amoxicillin (500 mg) capsules produced in Compounding Pharmacies at Diadema - SP - Brazil, was performed by comparing these capsules with reference, generic and similar drugs, through the dissolution, assay, average weight, water content analysis, all according to the pharmacopeial methodology. The compounded drug samples were acquired on 8 different Compounding Pharmacies of Diadema (M1, M2, M3, M4, M5, M6, M7, M8), and five (reference, generic and similar) drug samples (R, G1, G2, S1, S2) produced by distinct pharmaceutical industries were obtained from different Drugstores also at the same area. The samples were evaluated using the methodology proposed by the American and Brazilian Pharmacopoeia. All samples were approved in the dissolution and water content assay. Only samples R and S1 were approved assay of dose. Samples M3, M4 and S1 were disapproved in the average weight assay. The non-fulfillment of the Brazilian Good Manufacturing Practices recommended procedures for industries and compounding pharmacies show the need for improvements in the overall drug quality control manufacturing process of finished products in consonance with the actual health legislation, guaranteeing access to safe, effective medicines, control of bacterial resistance and rational use of antibiotics.
ABSTRACT
A qualidade de cápsulas tem sua exatidão da dosagem assegurada por ensaios de teor e uniformidade de conteúdo (UC). Assim, os Laboratórios de Controle de Qualidade auxiliam as farmácias magistrais a guiarem sua conduta buscando a garantia da qualidade dos seus produtos. O presente trabalho teve por objetivo analisar o perfil dos resultados de UC de cápsulas magistrais, a partir dos relatórios de análise realizados entre janeiro de 2008 a fevereiro de 2010, por um Laboratório de Controle de Qualidade em Santa Catarina (Brasil). Identificou-se em 2009 um aumento no número e na proporção de farmácias que passaram a solicitar a UC de cápsulas de baixa dosagem em relação a 2008. Das análises, 78,6% tiveram aprovação como resultado, sendo o maior índice de reprovação relacionado ao teor de ativo fora do limite de 85-115%, dos quais 83,6% estavam abaixo do especificado no rótulo. Das análises reprovadas, 59,2% foram aprovadas na análise posterior e apenas 7% mantiveram o mesmo status. Neste estudo, as reprovações nas análises de UC não tiveram correlação com a dose preparada. A análise global dos resultados de uniformidade de conteúdo das cápsulas magistrais reflete a preocupação dos estabelecimentos farmacêuticos com a qualidade do produto oferecido.
The dose accuracy of capsules produced in compounding pharmacies is ensured mainly by testing their uniformity of content (UC). In order to guarantee the quality of such pharmaceuticals in Brazil, entities such as Quality Control Laboratories work together with these pharmacies. The aim of this study was to analyze the profile of results on the UC of capsules, in the reports of analyses performed from January 2008 to February 2010 by a Quality Control Laboratory in Santa Catarina state (Brazil). It was found that an increase occurred in both the number and proportion of pharmacies requesting UC tests of low dose capsules in 2009, relative to 2008. Among the products tested, 78.6% were approved and the largest failure rate was related to drug contents outside the 85-115% limits, of which 83.6% were below the content specified on the label. Among the failures, 59.2% passed in a subsequent test and only 7% maintained the same error. In this study, no correlation was found between disapprovals and dose. These results reflect the compounding pharmacie?s concern for product quality.