Quality Assessment Of Different Brands Of Diclofenac Tablets Marketed In Florin Metropolis: A Pharmaceutical And Public Health Perspective
Keywords:
diclofenac tablets, spectrophotometric analysis, quality, substandard, falsified medicinesAbstract
Background: The quality of a medicinal product is an important factor for its safety and efficacy. Poor-quality medicines are a major impediment to improvements in public health. This study assessed the pharmaceutical quality of different brands of diclofenac (DCF) tablets in Ilorin metropolis.
Methods: Four randomly selected brands of diclofenac potassium tablets (coded: DCF-A, DCF-B, DCF-C and DCF-D) were obtained from pharmaceutical outlets, and quality parameters were evaluated according to Pharmacopeial methods. The potency of tablets was determined spectrophotometrically based on the measurement of maximum absorbance at a wavelength of 276 nm in doubly distilled water.
Results: Method validation according to the International Council for Harmonization guidelines showed acceptable sensitivity (limit of detection of 0.3886 pg/mL and limit of quantification of 1.1775 pg/mL), precision (% relative standard deviation range of 0.72 — 1.54), accuracy (% recovery range of 98.9— 101.3). Average contents of active diclofenac were 45, 98, 103 and 105% for DCF-A, DCF-B, DCF-C and DCF-D respectively. DCF-A brand was not only substandard but falsified based on British Pharmacopoeia potency specification range of 95 — 105%.
Conclusion: A substandard and falsified brand of diclofenac tablets was detected. Drug regulatory authority must ensure periodic post-registration surveillance of licensed pharmaceutical products marketed in the country to secure the health and safety of the populace.
References
Funestrand H1, Liu R, Lundin S and Troein M (2019). Substandard and falsified medical products are a global public health threat. A pilot survey of awareness among physicians in Sweden. Journal of Public Health (Oxf) 41(1): e95-e102. https://doi.org/10.1093/pu bmed/fdy092.
World Health Organization (2017). WHO Global Surveillance and Monitoring System for substandard and falsified medical products. Geneva: World Health Organization. https://apps.who.int/iris/bit stream/handle/10665/3267 08/9789241513425- eng.pdf?ua=1.
World Health Organization (2017). A study on the public health and socioeconomic impact of substandard and falsified medical products. https://www.who.int/medi cines/regulation/ssffc/publications/Layout-SEstudy- WEB.pdf?ua=1.
Altman R, Bosch B, Brune K, Patrignani P and Young C (2015). Advances in NSAID development: evolution of diclofenac products using pharmaceutical technology. Drugs 75(8): 859-877.
McGettigan P and Henry D(2013). Use of nonsteroidal anti-inflammatory drugs that elevate cardiovascular risk: an examination of sales and essential medicines lists in low-, middle-, and high-income countries. PLOS Medicine 10(2): e1001388.
Todd PA and Sorkin EM (1988). Diclofenac sodium. A reappraisal of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy. Drugs 35(3): 244- 285.
Chuasuwan B, Binjesoh V, Polli JE, Zhang H, Amidon GL, Junginger HE, Midha KK, Shah VP, Stavchansky S, Dressman JB and Barends DM (2009). Biowaiver monographs for immediate release solid oral dosage forms: diclofenac sodium and diclofenac potassium. Journal of Pharmaceutical Sciences 98(4):1206-1219.
Cryer B and Feldman M (1998). CycIooxygenase-1 and cycIooxygenase-2 selectivity of widely used nonsteroidal anti- inflammatory drugs. American Journal of Medicine 104(5):413-421.
Sallmann AR (1986). The history of diclofenac. American Journal of Medicine 80(4B):29-33.
Ku EC, Lee W, Kothari HV, Kimble EF, Liauw L and Tjan J (1985). The effects of diclofenac sodium on arachidonic acid metabolism. Seminars in Arthritis and Rheumatism 15(2 Suppl 1): 36-41.
Ku EC, Lee W, Kothari HV and Scholes DW (1986). Effect of diclofenac sodium on the arachidonic acid cascade. American Journal of Medicine 80(4B): 18-23.
Takayama K, Hirose A, Suda I, Miyazaki A, Oguchi M, Onotogi M and Fotopoulos G (201 1). Comparison of the anti-inflammatory and analgesic effects in rats of diclofenac-sodium, felbinac and indomethacin patches. International Journal of Biomedical Science 7(3): 222-229.
Pantziarka P, Sukhatme V, Bouche G, Meheus L and Sukhatme VP (2016). Repurposing Drugs in Oncology (ReDO)- diclofenac as an anti- cancer agent. Ecancermedicalscience 10:610. https://doi.org/10.3332/ec ancer.2016.610.
Kelesidis T and Falagas ME (2015). Substandard/counterfeit antimicrobial drugs. Clinical Microbiology Reviews 28(2): 443-464.
Pincock S (2003). WHO tries to tackle problem of counterfeit medicines in Asia. British Medical Journal 327(7424): 1126. https://doi.org/10.1136/bm j.327.7424.1 1 26-a.
GBD 2017 Disease and Injury Incidence and Prevalence Collaborators (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet (London, England). 392(10159): 1789—1858.
Khaskheli AR, Abro SK, Sherazi STH, Afridi HI, Mahesar SA and Saeed M (2009). Simpler and Faster Spectrophotometric Determination of Diclofenac Sodium in Tablets, Serum and Urine Samples. Pakistan Journal of Analytical and Environmental Chemistry 10(1 & 2): 53-58.
Ayorinde JO, Odeniyi MA and Itiola AO (2012). Evaluation of pharmaceutical and chemical equivalence of selected brands of diclofenac sodium tablets. East and Central African Journal of Pharmaceutical Sciences 15: 3-9.
Kirim RA, Mustapha KB, Isimi CY Ache T, Sadiq A, Galadima IH and Gamaniel KS (2014). Quality assessment of different brands of diclofenac tablets in some pharmacy stores in Abuja. African Journal of Pharmacy and Pharmacology 8(37): 924-928.
Newton PN, Lee SJ, Goodman C, Fernandez FM, Yeung S, Phanouvong S, Kaur H, Amin AA, Whitty CJ, Kokwaro GO, Lindegârdh N, Lukulay P, White LJ, Day NP, Green MD and White NJ (2009). Guidelines for field surveys of the quality of medicines: a proposal. PLOS Medicine 6(3): e52. https://doi.org/10.1371/journal.pmed.1000052
World Health Organization (1999). WHO counterfeit drugs. Guidelines for the development of measures to combat counterfeit drugs, vol 99.1. World Health Organization, Geneva. http://www.who.int/medici nes/publications/counterfe itguideIines/en/.
World Health Organization (2008). The International Pharmacopoeia. Geneva: World Health Organization, Dept. of Essential
Medicines and Pharmaceutical Policies.
Mathur N, Kumar R, Tiwari K, Singh S and Fatima N (2015). Evaluation of quality control parameters on various brands of
paracetamol tablet formulation. World Journal of Pharmaceutical Sciences 4(7): 976-984.
British Pharmacopoeia (2004). Diclofenac preparations. The Stationery Office. Vol. III. 2354-2355, London.
The United States Pharmacopeia and National Formulary (2007). U.S. Pharmacopeia National Formulary USP 30 NF 25, the United States Pharmacopeia, Inc. 276; 2327
ICH (2005). ICH Harmonized Tripartite Guideline: Validation of Analytical Procedures: Text and Methodology, Q2(R1), International Conference on Harmonization, Geneva, Switzerland. http://www.ich.org/fileadmin/PubIic_Web_Site/lCH_Pr oducts/Guidelines/Quality/ Q2_R1/Step4/Q2_R1_Guideline.pdf.
Antignac M, Diop BI, Do B, N'Guetta R, Toure IA, Zabsonre P and Jouven X (2017). Quality assessment of 7 cardiovascular drugs in 10 sub-Saharan countries: the SEVEN study. JAMA Cardiology 2(2): 223—225.
Dhokale KK, Deore DD and Nagras MA (2016). UV spectrophotometric method for simultaneous estimation of diclofenac salt and eperisone hydrochloride in bulk and capsule dosage form. International Journal of Pharmaceutical Sciences and Research 7(9):3810 — 3814.
Gunji R, Nadendla RR and Ponnuru VS (2012). Simultaneous UV- spectrophotometric determination
and validation of diclofenac sodium and rabeprazole sodium using hydrotropic agents in its tablet dosage form. International
Journal of Drug Development and Research 4(1): 316-324.
Federal Ministry of Health/World Health Organization (2016). Federal Republic of Nigeria Essential Medicines List,
sixth edition. https://www.medbox.org/ document/nigeria- essential-medicines-list
World Health Organization 2010). Growing threat from counterfeit medicines. Bulletin of the World Health Organization
(4):247-248. https://www.who.int/bullet in/voIumes/88/4/10- 020410.pdf?ua=1.
Pharmaceutical Security Institute (2018). Counterfeit situation: Arrest data. https://www.psi- inc.org/arrest-data.
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