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Evra®

Gedeon Richter

Depotplåster 203 mikrogram/24 timmar + 33,9 mikrogram/24 timmar
(Utsidan på det bakre lagret är beigefärgad och värmestämplad med "EVRA")

Antikonceptionsmedel - norelgestromin+östrogen

Aktiva substanser (i bokstavsordning):
ATC-kod: G03AA13
Läkemedel från Gedeon Richter omfattas av Läkemedelsförsäkringen.
Läkemedlet distribueras också av företag som inte omfattas av Läkemedelsförsäkringen, se Förpackningar.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Norelgestromin

Miljörisk: Användning av norelgestromin har bedömts medföra försumbar risk för miljöpåverkan.
Nedbrytning: Det kan inte uteslutas att norelgestromin är persistent, då data saknas.
Bioackumulering: Norelgestromin har hög 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)

PEC = 3.3*10-5 μg/L


Where:


A = 0.24 kg (total sold amount API in Sweden year 2020, data from IQVIA).

R = Removal rate= 0% (no data available)

P = number of inhabitants in Sweden = 10 *106

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

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


Predicted No Effect Concentration (PNEC)


Ecotoxicological studies*

Algal growth inhibition test with the green alga (Scenedesmus subcapitata) (OECD 201) [Ref. II]:

EbC50 72h = 0.027 mg/L (Inhibition of growth)

NOECb 72h = 0.011 mg/L

ErC50 72h = 0.034 mg/L (Inhibition of growth)

NOECr 72h = 0.011 mg/L


Crustacean (Latin name):


Acute toxicity

Water-flea (Daphnia magna) (OECD 202) [Ref. III]

EC50 48h = 3.5 mg/L (Immobilization)

NOEC 48h = 2.5 mg/L


Chronic toxicity

Not available.


Fish:


Acute toxicity

Zebra fish (Brachydanio rerio) (OECD 203): [Ref. IV]

EC50 96h = 1.5 mg/L (Survival)

NOEC 96h = 0.98 mg/L


Chronic toxicity

Not available.


Other ecotoxicity data:

Activated sludge respiration inhibition test (OECD 209) [Ref V]

EC50 3h > 1000 mg/L

NOEC 3h ≥ 1000 mg/L


Calculation of Predicted No Effect Concentration (PNEC)

PNEC (µg/L) = lowest EC50/1000, where 1000 is the assessment factor used. The EC50 for the alga Scenedesmus subspicatus (0.03 mg/L) has been used for this calculation since it is the most sensitive of the three species tested.


PNEC = 0.03 mg/L / 1000 = 0.03 µg/L


Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 0.000033/0.03 = 0.0011, i.e. PEC/PNEC ≤ 0.1 which justifies the phrase Norelgestromin has been considered to result in insignificant/low/moderate/high environmental risk.


Conclusion for environmental risk:

Use of Norelgestromin has been considered to result in insignificant environmental risk.


Degradation

Biotic degradation

Ready degradability:

No information available.


Conclusion:

The potential for persistence of Norelgestromin cannot be excluded, due to lack of data.


Bioaccumulation

The log P was predicted to be 4.40 using the ACD/Percpta module. [VI]


Conclusion:

Norelgestromin has a high potential for bioaccumulation.


References

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

  2. Batscher R., Norelgestromin: Toxicity to Scenedesmus subspicatus in a 72-hour Algal Growth Inhibition Test; RCC Study No. A41308; Janssen Study No. RMD728; May 16, 2006.

  3. Batscher R., Norelgestromin: Acute Toxicity to Daphna magna in a 48-hour immobilization Test; RCC Study No. A41321; Janssen Study No. RMD729; May 16, 2006.

  4. Batscher R., Norelgestromin: Acute Toxicity to Zebra Fish (Brachydanio rerio) in a 96-hour Static Test; RCC Study No. A41343; Janssen Study No. RMD730; May 16, 2006.

  5. Grutzner I., Norelgestromin: Toxicity to Activated Sludge in a Respiration Inhibition Test; RCC Study No. A41365; Janssen Study No. RMD731; March 21, 2006.

  6. ChemSpider, 2015, ID # 784336, http://www.chemspider.com/Chemical-Structure.7843336.html?rid=6fc436fc-fcb4-48da-aa62-abec58a15a76&page_num=0