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Losec®

Cheplapharm

Enterotablett 10 mg
(Ljust rosa, avlång, bikonvex, filmdragerad tablett märkt med LOSEC-symbol på ena sidan och 10 mg på den andra, innehållande magsaftresistenta granulatkorn)

Syrahämmande medel - protonpumpshämmare

Aktiv substans:
ATC-kod: A02BC01
Läkemedel från Cheplapharm omfattas av Läkemedelsförsäkringen.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Omeprazol

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


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Detaljerad miljöinformation

Environmental Risk Classification

Total sales of esomeprazole and omeprazole are included in the calculation of the Predicted Environmental Concentration (PEC), as a worst case, as esomeprazole is the S-enantiomer of the racemate omeprazole and the toxicity is assumed to be very similar.


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)


Where:


A = total sold amount API in Sweden year 2022, data from IQVIA (Ref I).

R (%) = 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) (Ref. II)

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

(Note: The factor 109 converts the quantity used from kg to μg).


A = 8 171.9377 kg. This figure is based on sales figures (286.0346 kg esomeprazole magnesium + 1262.6530 kg esomeprazole magnesiumdihydrate + 63.6454 kg esomeprazole magnesiumtrihydrate + 246.4380 kg esomeprazole sodium + 6239.9573 kg omeprazole 73.2094 kg omeprazolmagnesium)


R = 0


PEC = 1.37 x 10-6 x 8 171.9377 (100-0) = 1.1196 µg/L

(Note: Whilst esomeprazole and omeprazole are extensively metabolised, little is known about the ecotoxicity of the excreted metabolites. Hence, a total residue approach is taken where no metabolism of parent compound is considered; a worst case assumption.)


Ecotoxicity data - Omeprazole

Endpoint

Species

Common Name

Method

Time

Result

Ref.

EbC50 – Based on Biomass

Note 7

Pseudokirchneriella subcapitata (formerly known as Selenastrum capricornutum)

Green Alga

OECD 201

72 h

30.1 mg/L

Note 1

III

ErC50 – Based on Growth Rate

Note 7

>75.9 mg/L

Note 1

NOEC - Based on Biomass

Note 7

<1.81 mg/L

Note 1

NOEC - Based on Growth Rate

Note 7

1.81 mg/L

Note 1

EC50 - Based on Immobilisation 

Note 7

Daphnia magna

Giant Water Flea

OECD 202

48 h

>100 mg/L

Note 3

IV

LC50

Note 7

Danio rerio (formerly known as Brachydanio rerio)

Zebra fish

OECD 203

96 h

41.9 mg/L

Note 1

V

NOEC - Based on Activated Sludge Respiration Inhibition

Note 8

-

-

OECD 209

3 h

100 mg/L

VI

EC50 - Based on Activated Sludge Respiration Inhibition

Note 8

>100 mg/L

Note 1: Results are expressed as mean measured concentrations.

Note 2: The population relevant endpoints measured were survival, fecundity and adult length.

Note 3: Concentrations were confirmed by analysis, and results expressed as nominal.

Note 4: The population relevant endpoints measured were total number of emerged adult insects, sex ratio and replicate mean plus individual emergence times (development rates).

Note 5: The population relevant endpoints measured were hatch, survival, length and dry weight.

Note 6: Results are expressed as nominal concentrations.

Note 7: Data from studies on omeprazole sodium.

Note 8: Data from studies on omeprazole.


PNEC (Predicted No Effect Concentration)

The lowest LC50 value presented in the table above for Omeprazol is 41.9 mg/L (equivalent to 41 900 µg/L) and an assessment factor of 1000 is applied to calculate PNEC for Omeprazol (ref VII).


PNEC =41 900 µg/L /1000 =41.9 µg/L


Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 1.1196/41.9= 0.027, i.e. PEC/PNEC ≤ 1 which justifies the phrase “Use of Omeprazol has been considered to result in insignificant environmental risk”.


Environmental Fate Data – Omeprazole


Endpoint

Method

Test Substance Concentration

Time

Result

Ref.

Half-life

Note 9

Unknown

In aqueous solution

-

T1/2 @20 oC:

pH 4 = 15 mins

pH 7 = 30 h

pH 9 = > week

VII

T1/2 =10 h @ 37 oC, pH 7

Note 9: This study predates current ERA regulatory requirements and may not have been undertaken to standardised test guidelines.


Physical Chemistry Data- Omeprazole


Endpoint

Method

Test Substance Conditions

Result

Ref.

Distribution Coefficient Octanol Water

Unknown

-

Log D (experimental) = 2.24

VII

Solubility Water 

Note 9

Unknown

22 oC

130 mg/L

Dissociation Constant

Note 9

Unknown

-

pKa(1) = 4 (Pyridinium ion)

Dissociation Constant

pKa(2) = 8.8 (Benzimidazole ion)

Note 9: This study predates current ERA regulatory requirements and may not have been undertaken to standardised test guidelines.


Biodegradation

Omeprazole was found not to be readily biodegradable in biodegradability studies. The substance has hence been assigned the phrase: “Omeprazol is potentially persistent”.


In Swedish: ”Omeprazol är potentiellt persistent” under the heading ”Nedbrytning”.


Bioaccumulation

Since Log D < 4, Omeprazole has low potential to bioaccumulate and the phrase “Omeprazole has low potential for bioaccumulation” is assigned (Ref VIII).


In Swedish: ”Omeprazol har låg potential att bioackumuleras” under the heading ”Bioackumulering”.


References

  1. Data from IQVIA "Consumption assessment in kg for input to environmental classification v1 - updated 2023 (data 2022)".

  2. [ECHA] European Chemicals Agency. Guidance on Information Requirements and Chemical Safety Assessment. Chapter R.16: Environmental exposure assessment (version 3.0). February 2016.

  3. H 168/68 Na salt: acute Toxicity to Pseudokirchneriella sucapitata. Document No. T3355, Corning Hazelton, Harrogate, England. June 1996.

  4. H 168/68 Na salt: acute Toxicity to Daphnia Magna. Document No. T3353, Corning Hazelton, Harrogate, England. June 1996.

  5. H 168/68 Na salt: acute Toxicity to Brachydanio rerio. Document No. T3354, Corning Hazelton, Harrogate, England. June 1996.

  6. IVL Swedish Environmental Research Institute Commissioned Report; Investigation of the ‘ready biodegradability’ of A001 drug substance, Report BD3984. June 1991.

  7. ECHA (European Chemicals Agency) 2008. Guidance on information requirements and chemical safety assessment. Chapter R.10: Characterisation of dose [concentration]- response for environment

    https://echa.europa.eu/documents/10162/13632/information_requirements_r10_en.pdf/bb902be7-a503-4ab7-9036-d866b8ddce69

  8. Hazardous Substances Data Bank (HSDB). Hazardous Substance Data Bank number: 4433.

    http://www.chemspider.com/Chemical-Structure.4433.html