A systematic review of the stability of finished pharmaceutical products and drug substances beyond their labeled expiry dates
- PMID: 30660807
- DOI: 10.1016/j.jpba.2019.01.016
A systematic review of the stability of finished pharmaceutical products and drug substances beyond their labeled expiry dates
Abstract
In recent years, there has been a very active debate about the stability of drug products especially after exceeding the expiry dates. The regulatory authorities require comprehensive stability data for market approval. The shelf-life obtained determines the expiry date, which is typically between 1 and 5 years and commonly set in a conservative manner. Conducting stability studies is a resource- and time-consuming matter for the pharmaceutical manufacturer. Short shelf-lives of drug products are also a challenge for managers of hospitals, nursing homes, and strategic national stockpile agencies which have to dispose of large quantities of outdated medicines every year. This conflict raises the question whether shelf-lives are often longer than the labeled one. In the past years, the FDA has launched several programs for shelf-life extension in order to defer replacement costs and to prevent drug shortages due to supply disruption. The aim of this review was to bring together the available literature of expired drug products as well as historical pharmaceutical relicts with an age of more than 80 years and to discuss the actual shelf-life with regard to the respective dosage form and the affiliation of the drug class. It seems to be reasonable for a large portion of drugs to extend the expiry dates far beyond five years.
Keywords: Content; Degradation; Expiry date; Long-term stability; Old drug product; Shelf-life.
Copyright © 2019 Elsevier B.V. All rights reserved.
Similar articles
-
A stability-study of expired ampoules manufactured more than 40 years ago.J Pharm Biomed Anal. 2018 Feb 20;150:318-326. doi: 10.1016/j.jpba.2017.12.019. Epub 2017 Dec 13. J Pharm Biomed Anal. 2018. PMID: 29274583
-
United States Food and Drug Administration and Department of Defense shelf-life extension program of pharmaceutical products: progress and promise.J Pharm Sci. 2014 May;103(5):1331-6. doi: 10.1002/jps.23925. Epub 2014 Mar 12. J Pharm Sci. 2014. PMID: 24623105
-
Current Status of Expiry of Homeopathic Medicines in Brazil, Germany, India and the United States: A Critical Review.Homeopathy. 2019 Nov;108(4):232-239. doi: 10.1055/s-0039-1692208. Epub 2019 Jul 29. Homeopathy. 2019. PMID: 31357216 Review.
-
Pharmaceutical donations by the USA: an assessment of relevance and time-to-expiry.Bull World Health Organ. 1999;77(8):675-80. Bull World Health Organ. 1999. PMID: 10516789 Free PMC article.
-
Formulation and Administration of Biological Medicinal Products".Pharm Res. 2020 Aug 2;37(8):159. doi: 10.1007/s11095-020-02859-z. Pharm Res. 2020. PMID: 32743712 Review.
Cited by
-
Evaluating the Potency of Selected Antibiotic Medications Dispensed in Community Pharmacies in Gwale, Kano, Nigeria.Antibiotics (Basel). 2023 Oct 31;12(11):1582. doi: 10.3390/antibiotics12111582. Antibiotics (Basel). 2023. PMID: 37998784 Free PMC article.
-
Assessment of the extent and monetary loss in the selected public hospitals in Jimma Zone, Ethiopia: expired medicine perspectives.Front Med (Lausanne). 2024 Feb 15;11:1283070. doi: 10.3389/fmed.2024.1283070. eCollection 2024. Front Med (Lausanne). 2024. PMID: 38435389 Free PMC article.
-
Quality evaluation of selected expired fluoroquinolones medicines obtained from the public hospitals in Jimma zone, Oromia regional state, Ethiopia.Front Med (Lausanne). 2024 Aug 7;11:1420146. doi: 10.3389/fmed.2024.1420146. eCollection 2024. Front Med (Lausanne). 2024. PMID: 39170041 Free PMC article.
-
Lyophilization of Curcumin-Albumin Nanoplex with Sucrose as Cryoprotectant: Aqueous Reconstitution, Dissolution, Kinetic Solubility, and Physicochemical Stability.Int J Mol Sci. 2022 Oct 3;23(19):11731. doi: 10.3390/ijms231911731. Int J Mol Sci. 2022. PMID: 36233033 Free PMC article.
-
Efficacy of Expired Antibiotics: A Real Debate in the Context of Repeated Drug Shortages.Antibiotics (Basel). 2024 May 19;13(5):466. doi: 10.3390/antibiotics13050466. Antibiotics (Basel). 2024. PMID: 38786194 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous