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Trimonil retard

Desitin

Depottablett 200 mg
(vita, ovala 13,0 mm x 6,6 mm med skåra, tjocklek 4,4 mm)

Antiepileptikum

Aktiv substans:
ATC-kod: N03AF01
Utbytbarhet: Ej utbytbar
Läkemedel från Desitin omfattas av Läkemedelsförsäkringen.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Miljöinformationen för karbamazepin är framtagen av företaget Novartis för Tegretol®, Tegretol® Retard

Miljörisk: Användning av karbamazepin har bedömts medföra låg risk för miljöpåverkan.
Nedbrytning: Karbamazepin är potentiellt persistent.
Bioackumulering: Karbamazepin har låg potential att bioackumuleras.


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Detaljerad miljöinformation

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) = 1.37*10-6 * 4077.79 * 100 = 0.5587 μg/L


Where:

A = 4077.7906 kg carbamazepine (total sold amount API in Sweden year 2021, data from IQVIA).

R = 0 % removal rate (due to loss by adsorption to sludge particles, by volatilization, hydrolysis or biodegradation) = 0, if no data is available.

P = number of inhabitants in Sweden = 10 * 106

V (L/day) = volume of wastewater per capita and day = 200 (ECHA default) (ECHA 2008)

D = factor for dilution of waste water by surface water flow = 10 (ECHA default) (ECHA 2008)


Predicted No Effect Concentration (PNEC)

Ecotoxicological studies

Algae (Pseudokirchneriella subcapitata) (method unknown) (Harada et al. 2008):

NOEC 96 h (algal growth inhibition rate) = 0.5 mg/L

Crustacean:

Acute toxicity (Daphnia magna)

EC50 48 h (immobilisation) > 100.0 mg/L (OECD202) (Ciba-Geigy Crop Protection AG Project No.: 880059)

Chronic toxicity (Cerodaphnia dubia)

NOEC 7 days (reproduction) = 0.025 mg/L (AFNOR T90-376, 2000) (Ferrari et al. 2003)

Fish:

Acute toxicity (Danio rerio, zebra fish)

LC50 96 h (mortality) = 43.0 mg/L (OECD203) (Ciba-Geigy Crop Protection AG Project No.: 870093)

Chronic toxicity (Danio rerio, zebra fish)

NOEC 10 days (mortality) = 25.0 mg/L (Early life-stage toxicity study, ISO 12890) (Ferrari et al., 2003)

Other ecotoxicity data:

Bacterial respiration inhibition

EC50 3h > 320.0 mg/L (activated sludge respiration inhibition) (OECD209) (Ciba-Geigy Project No.: 0048466)

Sediment-dwelling organisms (Chironomus riparius, non-biting midge)

NOEC 28 days (inhibition of emergence) = 0.625 mg/L (OECD 218) (Nentwig et al. 2004)

PNEC derivation:

PNEC = 2.5 µg/L

PNEC (μg/L) = lowest NOEC/10, where 10 is the assessment factor used if three chronic toxicity studies from three trophic levels are available. The NOEC for Cerodaphnia dubia reproduction has been used to derive the PNEC for carbamazepine.


Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 0.5587 μg/L / 2.5 µg/L = 0.2235, i.e. PEC/PNEC ≤ 1 which justifies the phrase "Use of carbamazepine has been considered to result in low environmental risk."


Degradation

Biotic degradation

Ready degradability:

0 % degradation in 28 days, not readily biodegradable (OECD 301E). (Ciba-Geigy, Ecotoxicology, Project No.: 811770)

Simulation studies:

DT50 (total system) = 328 days (OECD 308). (Löffler et al. 2005)


Justification of chosen degradation phrase:

Based on the fact that carbamazepine is not readily biodegradable and according to the pass criteria for OECD308 studies, carbamazepine can be classified as ‘Carbamazepine is potentially persistent.’

(DT50 for total system > 120 days)


Bioaccumulation

Partitioning coefficient:

Log Kow = 1.51 – 1.58 (OECD107) (Scheytt et al. 2005 and Mersmann, 2003)

Justification of chosen bioaccumulation phrase:

Since log Kow < 4, carbamazepine has low potential for bioaccumulation.


Excretion (metabolism)

After administration of a single oral dose of 400 mg carbamazepine, 72% is excreted in the urine and 28% in the faeces. In the urine, about 2% of the dose is recovered as unchanged drug and about 1% as the pharmacologically active 10,11-epoxide metabolite. (Novartis Core Data Sheet TEGRETOL® (carbamazepine))


PBT/vPvB assessment

Based on screening criteria, carbamazepine has low potential for bioaccumulation and can therefore not be considered a potential PBT or vPvB substance.


References

  • ECHA 2008, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment. http://guidance.echa.europa.eu/docs/guidance_document/information_requirements_en.htm

  • Harada A. et al, 2008, Biological effects of PPCPs on aquatic lives and evaluation of river waters. Water Science&Technology 58: 1541-1546

  • Ciba-Geigy Crop Protection AG Project No.: 880059. (Full report and thus title and date not available anymore).

  • Ferrari B. et al, 2003. Ecotoxicological impact of pharmaceuticals found in treated

wastewaters: study of carbamazepine, clofibric acid, and diclofenac. Ecotoxicology and Environmental Safety 55: 359–370

  • Ciba-Geigy Crop Protection AG Project No.: 870093. (Full report and thus title and date not available anymore).

  • Ciba-Geigy Project No.: 0048466. (Full report and thus title and date not available anymore).

  • Nentwig et al 2004. Effects of pharmaceuticals on the aquatic invertebrates- the example of carbamazepine and clofibric acid. Im Kümmerer K (ed): Pharmaceuticals in the environment. 2nd Edition, pg. 195-208, Springer-Verlag, Berlin, Heidelberg.

  • Ciba-Geigy, Ecotoxicology, Project No.: 811770. Final report: 25.10.1983. (Full report and thus title not available anymore).

  • Löffler et al 2005. Environmental fateof pharmaceuticals in water/Sediment systems. Environmental Science & Technology 39: 5209-5218.

  • Scheytt T. et al. 2005. 1-octanol./water partition coefficients of 5 pharmaceuticals from humna medical care. Water , Air and Soil Pollution 165: 3-11

  • Mersmann P. 2003. Transport- and Sorptionsverhalten der Arzneimittelwirkstoffe Carbamazepin, Clofibrinsäure, Diclofenac, Ibuprofen und Propyphenazon in der wassergesättigten und -ungesättigten Zone,. PhD-thesis, Technical University Berlin

  • Novartis Core Data Sheet TEGRETOL® (carbamazepine). Version 1.0. 21 March 2013.