Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
INTRODUCTION
Parenterals :- are Sterile, Pyrogen free preparations injected through skin or mucous
membrane into internal body compartment.
Parenteral products
A. IV Admixtures consist of one or more sterile drug products added to an
IV fluid. Used for
▶ Drugs intended for continuous infusion
▶ For drugs that may cause irritation or toxicity when given by direct IV
injection.
B. IV fluids
These fluids have multiple uses,
▶ Vehicles in IV admixtures
▶ Provide means for reconstituting sterile powders
▶ Serve as the basis for correcting body fluids and electrolyte disturbances
▶ For administering parenteral nutrition
Dextrose : Generally, a solution of 5% dextrose in water
▶ pH of 5% dextrose ranges from 3.5-6.5. Instability may result if it is combined
with an acid sensitive drug.
▶ In higher conc. (e.g. 10% solution in water), dextrose provides a source of
carbohydrate in parenteral nutrition solutions.
▶ Should used cautiously in patients with diabetes mellitus.
Sodium chloride : usually given as 0.9% solution called as normal saline
solution.
▶ Sterile sodium chloride for injection:
o Used as vehicle in IV admixtures and fluid for electrolyte replacement.
▶ Bacteriostatic sodium chloride for injection:
o It contains an agent that inhibits bacterial growth (e.g. Benzyl alcohol,
Propyl paraben. Methyl papaben), allowing its use in multiple dose
preparation.
Water
▶ Used for reconstitution and for dilution of IV solutions such as dextrose and
sodium chloride.
▶ Water suitable for parenteral preparations include sterile water for injection
and bacteriostatic water for injection.
Ringer solutions
▶ Used for fluid and electrolyte replacement.
▶ Commonly administered to post surgical patients.
▶ It contains sodium lactate, sodium chloride, potassium chloride, and calcium
chloride.
C. Electrolyte preparation
▶ Ions present in both intracellular and extra cellular fluid.
▶ Surgical and medical patients who can not take food by mouth or who need
nutritional supplementation require the addition of electrolytes in hydrating
solutions or parenteral nutrition solutions.
D. Dialysate
▶ Used in patients with disorder as renal failure, poisoning, and electrolyte
disturbances.
▶ In peritoneal dialysis, a hypertonic dialysis is infused directly into peritoneal
cavity via a surgically implanted catheter. It contains Dextrose and
electrolyte, which removes the harmful substances by osmosis and diffusion.
E. Irrigating solutions
▶ Not intended for infusion into the venous system.
Topical administration
▶ Used in irrigating wounds, moistening dressings, and cleaning surgical
instruments.
Infusion of irrigating solutions
▶ Surgeons performing urological procedure often use irrigating solution to
perfuse tissues in order to maintain the integrity of surgical field, remove
blood, and provide a clear field of view.
– Microbiological
– Particulate matter
– Pyrogen
General Requirements
▶ Production in clean areas
▶ Airlocks for entry
– Personnel entry.
– Material entry
▶ Separate areas for operations
– Component preparation
– Product preparation
– Filling
– Sealing etc…
▶ Level of cleanliness
▶ Filtered air
2. Sterilisation by Filtration:-
o Previously sterilized container are taken.
o Filters having nominal pore size 0.22 µm or less are used for filtration
o Remove bacteria and moulds but Not viruses & Mycoplasmas
o Double filter layer or second filtration
o No fibre shedding or asbestos filters
o Filter integrity testing
Note:- In area occupied by personal, the air must be exchanged with the frequent
intervals.Fresh outside or recycled air must be first filtered to remove particulate matter
and than HEPA filters are used to get CLASS-100 air systems.
[1] General :- Sterile products, being very critical and sensitive in nature a very
high degree of precautions, prevention are needed for it‟s preparation.Dampness, dirt
and darkness are to be avoided to ensure aseptic conditions in all there shall be strict
compliance in the prescribed standards especially in the matter of supply of water, air,
active materials and in the maintenance of hygienic environment.
Security 39 0.9
Environmental control :
Sources Control
People Total body covering in critical area and partial covering in non
critical area.
Adequate personal flow and restricted access to aseptic and critical
environment.
Minimum movement of personal.
Adequate operation procedure for personal.
Barrier Adequate sterilization procedure
Protective laminar flow equipment
Barrier and separation between high risk and low risk operation.
Adequate operation procedure to assure proper handling,
cleaning, and sterilization of machinery and equipment
Material Adequate material control and selection
Adequate sterilization and filtration procedure
Air Adequate air filtration system
Adequate monitoring of air cleanliness level.
Adequate air system validation procedure.
AIR HANDLING SYSTEM (AHU)
Change room D
The filter Configuration in the AHU shall be suitably designed to achieve the Grade of
air as given in Table1.
Notes :
(a) In order to reach the B, C and D air grades, the number of air changes shall be
related to the size of the room and the equipment and personnel present in the room.
The air system shall be provided with the appropriate filters such as HEPA for Grade A,
B and C. the maximum permitted number of particles in the “at rest” condition shall
approximately be as under:
Grade A corresponds with Class 100 or M 3.5 or ISO Class 5; Grade B with Class 1000
or M 4.5 ISO Class 6; Grade C with Class 10,000 or M 5.5 or ISO Class 7; Grade D with
Class 100,000 or M 6.5 or ISO Class 8.
(b) The requirement and limit for the area shall depend on the nature of the operation
carried out.
(c) Type of operations to be carried out in the various grades are given in Table II and
Table III as under.
3) DESIGN CONCEPTS
1. CHANGE ROOM
Entrance to a change room is normally through vestibules whose doors are
electrically interlocked so that both can not open simultaneously, thus maintaining
the necessary air pressure differential to prevent the entry of airborne contamination.
Upon entry in the change room, wash sinks are provided for scrubbing hands and
forearms. Automatic or foot operated controls for water and soap eliminate hand
contact with contaminated surfaces.
Next, hands are dried by hot air blowers.
Commercial hand driers may create undesired airflow patterns. Special filtered
driers are available to minimize the creation of particulate contamination.
After the hands are dry, garments are taken from dispensers and donned while
moving across a dressing bench.
As a final gowning step, aseptic gloves are put on and sanitized.
2. FILLING AREA:
It is the most critical area in parenteral plant, where the product & sterilized
components are exposed to room environment. Therefore these areas are specially
constructed, filtered, and maintained to prevent environmental contamination.
CLEAN ROOM An area with defined environmental control of particulate and
microbial contamination, constructed and used in
such a way as to reduce the introduction, generation and retention
of contaminants within the area
QUALITIES OF CLEAN ROOM
The room should undergo 15-20 air changes per hour.
HEPA filters are to clean the air entering the room.
HEPA filters remove all airborne particles of size 0.3 or larger with an efficiency
of 99.97%.
Maintaining higher air pressure(+ve pressure) within the critical area to minimize
infiltration of airborne contaminants from outside.
Care should be taken to ensure that air flows do not distribute particles from a
particle-generating person, operation or equipment to a zone of higher product
risk. A warning system should be provided to indicate failure in the air supply.
Adjacent rooms of different grades should have a pressure differential of
10 - 15 Pascals.
Counters in the clean room should be made of stainless steel or other non-
porous, easily cleaned material.
Walls and floors should be free from cracks or crevices and have rounded
corners. If the walls or floors are to be painted, epoxy paint is used.
The air flow should move with uniform velocity along parallel lines. The velocity of
the air flow is 90 ± 20 ft/m3.
Providing temp. & humidity controls appropriate to the product being manufactured.
LAY OUT OF CLEAN ROOM
Pdt. Material
Exit Entry
Soln
Unidirectional Prepn
Clean Zone Area
Aseptic
Filling zone
Clean
Changing
Entry Room
Oven Equipment &
Component
Auto Prepn
clave Area
Aseptic
Receiving
Area
Hatch Comp.
Entry
3. LAMINAR AIR FLOW UNIT
o HEPA (HIGH EFFICIENCY PARTICULATE AIR filtration)
HEPA Filter
There are four basic mechanism in which fibrous air filter remove contamination
from the airstream.
Laminar flow hoods: These are clean air work benches are specially designed to
ensure the aseptic preparation of sterile products. Laminar air flow hoods are generally
used in conjunction with clean rooms.
o For laminar air flow work station the air flow rates shall be 0.3 meter per second
(vertical) and 0.45 (horizontal)
o Introduction of personnel, equipment, and material into the work area provides
sources of particulate matter which may contaminate the product.
o Very small particles are not heavy enough to settle due only to the force of gravity,
but instead are carried and directed by air currents.and if there is turbulent air,
particles may be driven into product.
o Laminar air flow velocity satisfactorily sweeps the area yet does not create
unacceptable turbulence.
a) Manufacturing area: -
1. Storage equipment for ampoules, vials bottles and closures.
2. Washing and drying equipment.
3. Dust proof storage cabinet
4. Water still.
5. Mixing and preparation tanks or other containers.
6. Mixing equipment where necessary.
7. Filtering equipment.
8. Hot air sterilizer.
b) Aseptic filling and sealing rooms -
9. Benches for filling and sealing.
10. Bacteriological filters.
11. Filling and sealing unit under laminar flow work station.
c) General Room.
12. Inspection table.
13. Leak testing table.
14. Labeling and packing benches.
15. Storage of equipment including cold storage and refrigerators if necessary.
An area of minimum sixty square meters partitioned into suitable sized cubicles with air
lock arrangement, is recommended for the basic installation.
Types of containers:
1. Ampoules: They are intended for single use only, ampoules are opened by breaking
the glass at a score line on the neck. Because glass particles may become
dislodged during ampoule opening, the product must be filtered before it
administered. Because of their unsuitability for multiple-dose use, the need to filter
solutions before use and other safety considerations have markedly reduced
ampoule use.
2. Vials are glass or plastic containers are closed with a rubber stopper and sealed
with an aluminum crimp.
Advantages over ampoules.
They can be designed to hold multiple doses (if prepared with a
bacteriostatic agent).
It is easier to remove the product.
They eliminate the risk of glass particle contamination during opening.
Drawbacks
The rubber stopper may become cored.
Multiple withdrawals(as with multiple-dose vials)may result in microbial
contamination.
Some drugs that are unstable in solution are packaged in vials in powder form and
must be reconstituted with sterile sodium chloride for injection before use.
Some of this drugs come in vials that contain a double chamber.(a) The top chamber
containing sterile water for injection is separated from the unreconstituted drug by a
rubber closure. (b) To dislodge the inner closure and mix the contents of the
compartments, external pressure is applied to the outer rubber closure. This system
eliminates the need to enter the vial twice, thereby reducing the risk or microbial
contamination.
4. Infusion solutions are divided into two categories : small volume parenterals
(SVP), those having a volume of 100 ml;and large volume parenterals (LVP), those
having a volume of 100 ml or greater. Infusion solutions are used for the intermittent
or continuous infusion of fluids or drugs.
EQUIPMENTS
Sterile Garment Cabinet
Made up of Stainless steel.
Ensure a clean storage space by making use of UV disinfectant and heating
through IR lamps.
These cabinets may be designed in horizontal air flow system and clean air
through HEPA filters
Syringe Filling Machine
Characteristics
• Barrier isolators
• In-process check weighing
• Filling : rotary piston pumps.
• Volume: 0.2 to 29 ml
• All types of syringe including glass, plastic can be filled.
• Filling Rate: 300 to 600 syringes in a minute.
Ampoule Washing Machine
PROCESS
1. Record the filter part number(s), lot number, and product information. Also include
physical observations.
2. Wet the filter to be tested with the appropriate solvent (water for hydrophilic filters,
alcohol for hydrophobic filters).
3. Place the wetted filter in the appropriate housing.
4. Connect the outlet fitting from the compressed air pressure regulator to the upstream
side of the test filter.
5. Connect a piece of flexible tubing from the downstream port of the test filter into a
beaker filled with water.
6. Starting from zero pressure, gradually increase the pressure to the test filter using
the pressure regulator.
7. Observe the submerged end of the tubing for the production of bubbles as the
upstream pressure is slowly increased in 0.5 psig increments. Note the rate that the
bubbles appear for the end of the submerged tube.
8. The bubble point of the test filter is reached when bubbles are produced from the
tube at a steady rate. Record the pressure to the nearest 0.5 psig as indicated on
the pressure gauge.
Sterile Trypticase soy broth is filled into sterile container under condition
simulating as for a product.
Entire lot at least 3000 units is incubated at suitable temp for 14 days .
To pass the test not more than 0.1% of the unit may show growth.
This is very stringent evaluation of an aseptic fill process and is considered to be
the most evaluative test available.
Leak test
• To detect incompletely sealed ampoules.
Principle
10% methylene blue or 0.1% FDC red one or red two.
Generally combined with autoclave.
Disadvantage
Leakage of 15 micron in diameter or smaller is not detected.
Vial and bottles are not subjected to this test.
LAL test
Limulus Amoebocyte Lysate test or bacterial Endotoxin test for the validation of
depyrogenation process.
Reagent - LAL reagent (limulus Polyphemus)
Reaction - In presence of Endotoxin a firm gel is formed within 60 min when
incubated at 370 C.
o CHARACTERISTIC
• Test tube scale.
• Only pyrogen of gram negative bacteria detected.
• Semi quantitative test.
• Sensitivity in terms of Endotoxin unit.
• In-vitro test.
• Doesn‟t measure fever producing potential of Endotoxin.
• Sensitivity varies with different microbial source of LAL.
1. Extrusion
• An endless sterile plastic tube is continuously extruded from the melted granulate
in the filling cavity of the mould.
2. Blowing
• Final container is produced by sterile air pressure from Blow and Fill nozzle.
3. Filling
• After the container is formed inside the mould, sterile liquid product is introduced
into the container.
4. Sealing
• Final container is sealed in place by closing of the seal-mould form onto the
container top.
5. Mould opening
• Upon completion of filling and sealing steps, the mould is separated, producing
the sterile filled and sealed container.
A description of container____________________________________
Precaution to be taken______________________________________
Environmental control
Product_______________________________ lot no.__________________________
Media__________________________
Address:-___________________________________________________
M F R No. __________________________________________________
Requisition slip
Sign. Of officer_______________________________________________
Date__________________________ Time_________________________
Date________________________________________________________
Sign. Of officer_______________________________________________
IPQC records
1. Visual inspection:
Description ________________________________________________________
(ii). _______________________________________________
(ii). _______________________________________________
Description of packaging______________________________________________
QAQC records
1.Visual inspection records
2. Uniformity of content
3. Uniformity of weight
4. Pyrogen test
Sterilization
“The act or process, physical or chemical, that destroys or eliminates all viable
microbes including resistant bacterial spores from a fluid or a solid.”
Sterility
“The reduction of anticipated levels of contamination in a load to the point where
the probability of survival is less than 10-6.”
EQUIPMENT
C) Integrity testing: A popular method for certifying integrity of filter installation uses
polydisperse aerosol, created by blowing air through liquid Dioctyl phthalate,
introduced into upstream of HEPA filter followed by scanning the entire downstream
of filter face with a probe nozzle of an aerosol photometer.
→This testing will indentify “leaks” caused by damage due to mishandling faulty
construction.
→ Small leaks can be repaired with a suitable silicone based compound without
removing filter.
d) Airflow resistance : Caused by dirty filter may reduce airflow volume, thereby
reducing the air change rate in critical areas.
Airflow resistance is expressed as pressure differential between the air pressure
upstream of the filter and the downstream air filter.
If the filters are not changed when they reach the maximum resistance as specified
by manufacturer, they may begin to lose their physical integrity or rupture, thereby
releasing some of the dust they have accumulated.
1) D value: Quantitative expression of the rate of kill of the microorganism .The time
or dose required for the one log reduction in the microbial population.
SURVIVOR CURVE METHOD:- based upon plotting the log no of surviving organism
versus and independent variable such as time, gas concentration etc
Log N =A + Bt,
Evaluation of the environment along with the process, the operator and the equipment is
the media fill.
Procedures Species
Steam B. stearothermophilus
Cl. Sporogenes
Dry heat B.Subtills var. niger
Gas B. subtilis var. niger
Radiation B. pumilus,
B. cereus,
B. Sphaericus
3) CHEMICAL METHODS
based on ability of steam,heat,etc. to alter the chemical &physical characteristic of
substances.
BROWN‟S TUBE KLINTEX PAPER
BOWIE DICK TEST TEST TABLET
FILTER PAPER STRIP
VALIDATION PLANS
For all sterilization procedures a coherent validation plan should be developed.
This plan should include:
QUALIFICATION OF THE STERILIZER
Installation qualification
Operation qualification
PRODUCT VALIDATION
Compatibility of the sterilization process with the given equipment
Development of the sterilization cycle
PROCESS VALIDATION
Specification of the data to be routinely collected & evaluated
Revalidation, i.e. specification of frequency and types of operation
to be repeated at regular intervals.
VALIDATION OF STEAM STERILIZER
1. Mechanically checking, upgrading & qualifying the Sterilizer unit.
2. The autoclave must be checked for quality, Dependability, proper installation &
lack of Contamination.
3. All instruments used in studying the steam sterilizer such as
temperature & pressure instrumentations must be calibrated.
QUESTIONS BANK
1.Give qualitative and quantitative lay out, manufacturing steps with
suitable equipments, important IPQC parameter, and packaging records
and post marketing surveillance reports for sterile products. (JULY- 2004 )
2. Discuss the department layout, schedule „M‟ requirement, validation
parameters, and PMS report for sterile LVPs?(29th September, 2004 )
3. What is the importance of Bio film removal on product quality?( march 2005)
4. What are the facilities, environment control and air handling system with different
types of classification ?( march 2005)
5. Discuss clean room concept and level of protection in brief?(2005)
6. How will you evaluate the package for different sterile DF? Give the legal
requirement for keeping their records and reports? (sep 2006)
7. Discuss the qualities, national, international standard for clean room?
Discuss the pressure differential in the pharma. plant ?(sep 2006)
8. Validation of the steam sterilizer and importance of the D, Z, F value?
(sep 2006)
REFERENCES
▶ www.GMP.online.coms
▶ Pharmaceutical dosage forms (Parenteral Preparation) by Kenneth Avis, Leon
Lachman, Vol-1.
▶ Pharmaceutical dosage forms (Parenteral Preparation) by Kenneth Avis, Leon
Lachman, Vol-2
▶ Drugs & Cosmetics Act 1940.
▶ www.ispc.org
▶ www.whqlibdoc.who.org
▶ The theory and Industrial pharmacy by Leon Lachman, Third edition
▶ Aseptic Pharmaceutical Manufacturing by M.J.Groves
▶ Pharmaceutical science by Remington, 20th edition
▶ Pharmaceutical process Validation by Loftus & Nash: 29-90.
▶ Sterile Pharmaceutical Manufacturing by Groves Gisan.
▶ www.fda.gov.
▶ American Journal of Hospital Pharmacy, Vol. 38, Issue 8, 1144-1147
▶ Dispensing for pharmaceutical students; 10 th edition; by:-S J Carton
▶ www.dwscientific.co.uk
▶ www.pharmamachines.com
▶ www.bascotech.com
▶ www.getthatmag.com
▶ www.fabtecheng.com
▶ www.ahind.com
▶ www.nkambica.com