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Betnovat®

GlaxoSmithKline

Kräm 0,1 %
(vit)

Glukokortikoider, starkt verkande

Aktiv substans:
ATC-kod: D07AC01
Utbytbarhet: Ej utbytbar
Läkemedel från GlaxoSmithKline omfattas av Läkemedelsförsäkringen.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Betametason

Miljörisk: Risk för miljöpåverkan av betametason kan inte uteslutas då det inte finns tillräckliga ekotoxikologiska data.
Nedbrytning: Betametason är potentiellt persistent.
Bioackumulering: Betametason har låg potential att bioackumuleras.


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Detaljerad miljöinformation



Detailed background information


Environmental Risk Classification


Predicted Environmental Concentration (PEC)


PEC is calculated according to the following formula:


PEC (μg/L) = (A*109*(100-R))/(365*P*V*D*100) = 1.37*10-6*A(100-R)


PEC = 0.064 μg/L


Where:

A = 465.29 kg (total sold amount API free base in Sweden year 2022, data from IQVIA). Total volume of Betametasone acetate = 0.23 = 0.21 Kg acetate free base. Total volume of Betametasone dipropionate = 473 = 368 Kg dipropionate free base. Total volume of

Betametasone sodium phosphate = 25 = 19 Kg atrium phosphate free base. Total volume of Betametasone valerate = 69.57 = 57.29 Kg valerate free base.


R = 0% removal rate (conservatively, it has been assumed there is no loss by

adsorption to sludge particles, by volatilization, hydrolysis or biodegradation).


P = number of inhabitants in Sweden = 10*106


V (L/day) = volume of wastewater per capita and day = 200 (ECHA default) (Reference 1)


D = factor for dilution of waste water by surface water flow = 10 (ECHA default) (Reference 1)


Predicted No Effect Concentration (PNEC)


Ecotoxicological studies

Algae:

No data


Water flea (Daphnia magna):

Acute toxicity

EC50 48 h (immobility) = 1,900 µg/L (OECD 202) (Reference 3)


Water flea:

Chronic toxicity

No data


Fish:

Acute toxicity

No data


Chronic toxicity

No data


Other ecotoxicity data:


Microorganisms in activated sludge:

EC50 3 h (inhibition) > 1,000,000 µg/L (OECD 209) (Reference 4)

NOEC 3 h (inhibition) = 1,000,000


PNEC cannot be calculated because data is not available for all three (algae, crustacean and fish) of the toxicity endpoints.


Environmental risk classification (PEC/PNEC ratio)


Risk of environmental impact of betamethasone cannot be excluded, since there is not sufficient ecotoxicity data available.


Degradation


Biotic degradation


Ready degradability:

No data


Inherent degradability:

28% primary degradation in 28 days (OECD 302C) (Reference 5)


Abiotic degradation


Hydrolysis:

50% degradation (pH 7) = 6.5 days (TAD 3.09) (Reference 7)


Photolysis:

No data


Justification of chosen degradation phrase:

Betamethasone valerate is not readily degradable or inherently biodegradable but the parent API undergoes appreciable primary biodegradation. This substance is predicted to degrade via hydrolysis with a half-life is less than 40 days. However, relevant hydrolysis products have not been identified and characterised. The phrase “betamethasone valerate is potentially persistent” is thus chosen.


Bioaccumulation


Bioconcentration factor (BCF):

Partitioning coefficient:

Log Pow = 3.60 (OECD 107). (Reference 6)


Justification of chosen bioaccumulation phrase:

Since log Pow < 4, the substance has low potential for bioaccumulation.


Excretion (metabolism)


Betamethasone:Topical mode of administration with up 14 % of betamethasone adsorbed systematically. This fraction is extensively metabolised in the liver. Only 4.8 % of the dose is recovered from urine, the remainder is eliminated as metabolites (Reference 2).


Please, also see Safety data sheets on http://www.msds-gsk.com/ExtMSDSlist.asp.

.


References

  1. ECHA, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment.


  2. Petersen MC, Nation RL, McBride WG, et al: Pharmacokinetics of betamethasone in healthy adults after intravenous administration. Eur J Clin Pharmacol 1983; 25:643-650.


  3. Sewell IG and McKenzie J. Betamethasone 17-Valerate: Acute Toxicity to Daphnia magna. Report No. 1127/304. Safepharm Laboratories Limited, May 2004.


  4. Clarke N. Betamethasone 17-Valerate: Assessment of the Inhibitory Effect on the Respiration of Activated Sewage Sludge. Report No. 1127/306. Safepharm Laboratories Limited, May 2004.


  5. Mead C and McKenzie J. Betamethasone 17-Valerate: Assessment of Inherent Biodegradability; Modified MITI (II) Test. Report No. 1127/305. Safepharm Laboratories Limited, July 2004.


  6. Dołowy M, Pyka A. Evaluation of Lipophilic Properties of Betamethasone and Related Compounds. Acta Pol Pharm. 2015;72(4):671-681


  7. Material Safety Data Sheet for Betnovate® GM Cream. SDS number 130046. GlaxoSmithKline plc, September 2007.