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AZOPT

Novartis

Ögondroppar, suspension 10 mg/ml
(Vit till benvit, jämn suspension)

Medel mot glaukom

Aktiv substans:
ATC-kod: S01EC04
Läkemedel från Novartis omfattas av Läkemedelsförsäkringen.
Läkemedlet distribueras också av företag som inte omfattas av Läkemedelsförsäkringen, se Förpackningar.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Brinzolamid

Miljörisk: Risk för miljöpåverkan av brinzolamid kan inte uteslutas då ekotoxikologiska data saknas.
Nedbrytning: Det kan inte uteslutas att brinzolamid är persistent, då data saknas.
Bioackumulering: Brinzolamid 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 * 23.7 * 100 = 0.0032 μg/L


Where:

A = 23.6637 kg brinzolamide (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: 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 brinzolamide cannot be ruled out as ecotoxicological data are missing."


According to the European Medicines Agency guideline on environmental risk assessment of medicinal products (EMA/CHMP/SWP/4447/00), use of brinzolamide is unlikely to represent a risk for the environment, because the predicted environmental concentration (PEC) at the time of registration was below the action limit 0.01 μg/L.


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 brinzolamide cannot be excluded, due to lack of data.’


Bioaccumulation

Partitioning coefficient:

logKow = 0.817 (method unknown) (Alcon Technical Report No. 136:60:0900)

Justification of chosen bioaccumulation phrase:

As log Kow < 4, the following statement is used for Brinzolamide: ‘Brinzolamide has low potential for bioaccumulation.’


Excretion (metabolism)

Following topical or systemic administration, brinzolamide undergoes metabolic reactions that include N-dealkylation, O-dealkylation and oxidation of the N-propyl side chain, all CYP-450 catalyzed reactions. N-desethyl brinzolamide is the major metabolite of brinzolamide in primates and human whole blood and is the only quantifiable metabolite in human whole blood. (Alcon Technical Report No. 025:38570:0596, Alcon Technical Report No. 027:38570:0596, Alcon Technical Report No. 029:38570:0596, Alcon Technical Report No. 037:38570:0796) Studies with radioactive 14C-brinzolamide revealed that after 24 hours following an IV does, that approximately 50-60% of brinzolamide was excreted unchanged from the body and that approximately 42% remained in the blood and the carcass. (Alcon Technical Report No. 014:38570:0496)


PBT/vPvB assessment

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


References