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Novartis

Ögondroppar, lösning 40 mikrogram/ml + 5 mg/ml
(Färglös till ljus gul lösning)

Medel mot glaukom

Aktiva substanser (i bokstavsordning):
ATC-kod: S01ED51
Läkemedel från Novartis omfattas av Läkemedelsförsäkringen.
Läkemedlet distribueras också av företag som inte omfattas av Läkemedelsförsäkringen, se Förpackningar.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Timolol

Miljörisk: Risk för miljöpåverkan av timolol kan inte uteslutas då ekotoxikologiska data saknas.
Nedbrytning: Det kan inte uteslutas att timolol är persistent, då data saknas.
Bioackumulering: Timolol har låg potential att bioackumuleras.


Läs mer

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 * 2.4 kg * 100 = 0.004142 μg/L = 4.1423 ng/L

Where:

A = 30.2354 kg (sum of 7.1842 kg timolol and 31.5077 kg timolol maleat, equaling 23.0512 kg timolol) (total sold amount API in Sweden year 2022, 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: no data available

Crustacean (Daphnia magna): no data available


Fish: no data available

Other ecotoxicity data: No data available

PNEC derivation:

No PNEC can be calculated since there is no environmental toxicity data available


Environmental risk classification (PEC/PNEC ratio)

Calculation of a risk ratio is not possible, due to the lack of environmental toxicity data. Therefore, the following phrase is used: "Risk of environmental impact of timolol cannot be excluded, since no ecotoxicity data are available."


Degradation

Biotic degradation

Ready degradability: no data available

Justification of chosen degradation phrase:

As no data on biological degradation is available the following phrase is used: The potential for persistence of timolol cannot be excluded, due to lack of data.


Bioaccumulation

Partitioning coefficient:

logKow = 1.8 (method unknown) (Clarkes’s Analysis of Drugs and Poisons, 2017)

Justification of chosen bioaccumulation phrase:

As the logKow remains below the trigger level for a bioaccumlative substance (logKow < 4.0), the following statement is used for timolol: Timolol has low potential for bioaccumulation.


Excretion (metabolism)

Approximately 80% of timolol is metabolized in the liver to inactive metabolites. The unchanged drug and its metabolites are excreted in urine. Only small amounts of the drug are removed by hemodialysis. (AHFS Drug Information, 2017).


PBT/vPvB assessment

Based on screening information, timolol cannot be considered a potential PBT substance as the octanol-water partition coefficient remains below the trigger level for a bioaccumulative substance.


References

Travoprost

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


Läs mer

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 * 0.0301 * 100 = 0.000004 μg/L = 0.04 ng/L


Where:

A = 0.0301 kg travoprost (total sold amount API in Sweden year 2022, 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: no data available

Crustacean (Daphnia magna): no data available


Fish: no data available

Other ecotoxicity data: No data available


PNEC derivation:

No PNEC can be calculated since there is no environmental toxicity data available


Environmental risk classification (PEC/PNEC ratio)

Calculation of a risk ratio is not possible, due to the lack of environmental toxicity data. Therefore, the following phrase is used "Risk of environmental impact of travoprost cannot be excluded, since there is not sufficient ecotoxicity data available. According to the European Medicines Agency guideline on environmental risk assessment of medicinal products (EMA/CHMP/SWP/4447/00), use of travoprost is unlikely to represent a risk for the environment, because the predicted environmental concentration (PEC) at the time of registration is below the action limit 0.01 μg/L."


Degradation

Biotic degradation

Ready degradability:

3-4%, not readily biodegradable (OECD301B) (Study No. 511319)

Justification of chosen degradation phrase:

As travoprost does not fulfil the criteria for ready biodegradability, the following phrase is used: Travoprost is potentially persistent.


Bioaccumulation

Partitioning coefficient:

logKow = 4.647 (OECD123) (TDOC-0018065)

Justification of chosen bioaccumulation phrase:

As the logKow exceeds the trigger level for a bioaccumlative substance (logKow > 4.0), the following statement is used for travoprost: Travoprost has high potential for bioaccumulation.


Excretion (metabolism)

Travoprost is hydrolyzed by esterases in the cornea to the biologically active form (travoprost free acid). Systemically, travoprost free acid is metabolized to inactive metabolites. Travoprost free acid is rapidly eliminated from plasma; plasma levels are below the limit of quantitation within one hour following ocular instillation. Less than 2% of the topical ocular dose is excreted in urine within 4 hours as travoprost free acid. (AHSF Drug Information, 2017)


PBT/vPvB assessment

Based on screening information, travoprost can be considered a potential PBT substance as the criteria for persistence are fulfilled, the octanol-water partition coefficient exceeds the trigger level for a bioaccumulative substance and travoprost is labeled as a category 2 reprotoxic substance.


References

AHSF Drug Information, 2017. Medicines Complete. Pharmaceutical Press.

https://www.medicinescomplete.com/mc/ahfs/current/a301016.htm?q=travoprost&t=search&ss=text&tot=3&p=1#_hit