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 = 0.114 μg/L

Where:

A = 1,049.85 kg (total sold amount API in Sweden year 2023, data from IQVIA). Total volume of Clindamycin phosphate = 798.48 = 670.74 clindamycin free base. Total volume of Clindamycin palmitate hydrochoride 51.04 = 31.35 clindamycin free base. Total Clindamycin = 798.48 + 31.35 = 829.83.

R = 0% removal rate (conservatively, it has been assumed there is no loss by adsorption to sludge particles, by volatilization, hydrolysis or biodegradation).

P = number of inhabitants in Sweden = 10 *10⁶

V (L/day) = volume of wastewater per capita and day = 200 (ECHA default) (Reference 1)

D = factor for dilution of wastewater by surface water flow = 10 (ECHA default) (Reference 1)

Predicted No Effect Concentration (PNEC)

Ecotoxicological studies

Green Algae (Raphidocelis subcapitata):

EC10 (inhibition of growth rate) = 0.98 μg/L (OECD 201) (Reference 3)

Blue-Green Algae (Anabaena flos-aquae):

EC10 (inhibition of growth rate) = 8.10 μg/L (OECD 201) (Reference 3, 4)

Water flea (Daphnia magna):

Acute toxicity

No data

NOEC = 1,000,000 µg/L

Chronic toxicity

No data

Fish:

Acute toxicity

No data

Chronic toxicity

No data

Other ecotoxicity data:

Microorganisms in activated sludge:

No data

PNEC = 0.98/10 = 0.098 ug/L = 0.1 µg/L

PNEC (μg/L) = lowest EC10/10, where 10 is the assessment factor applied for the lowest EC10 but where there is a high degree of confidence that the dataset includes the most sensitive species (green algae and blue-green algae). On this basis the EC10 for green algae has been used in the calculation.

PNEC Justification

Green algae and Blue-Green algae (cyanobacteria) studies were conducted to investigate the ability of Clindamycin to inhibit growth of algae and blue-green algae. Clindamycin is an antibiotic, and the mode of action is to inhibit growth in bacterial species (prokaryotes). Due to this mode of action, it is highly likely the algae and/or blue-green algae (cyanobacteria) are the most sensitive species compared with invertebrates and vertebrates. Green algae are evolutionary much closer to bacteria and blue-green algae are in fact bacteria and prokaryotic in nature. The EC10 for green algae has been used as it is the most sensitive of the two relevant species.  (Reference 1, 4).

Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 0.114 /0.1 = 1.14 i.e. PEC/PNEC >1 which justifies the phrase “Use of clindamycin has been considered to result in moderate environmental risk.”

Degradation

Biotic degradation

Ready degradability:

No data

Inherent degradability:

No data

Abiotic degradation

Hydrolysis:

No data

Photolysis:

No data

Justification of chosen degradation phrase:

The phrase “The potential for persistence of Clindamycin is cannot be excluded, due to lack of data” is thus chosen.

Bioaccumulation

Partitioning coefficient:

Log Dow_calc at pH 5 = -1.47 (QSAR) (Reference 5)

Log Dow_calc at pH 7 = 0.38

Log Dow_calc at pH 9 = 1.02

Justification of chosen bioaccumulation phrase:

Since log Kow < 4 at pH 7, the substance has a low potential for bioaccumulation.

Excretion (metabolism)

In an open-label study of 24 patients with moderate-to-severe acne vulgaris, approximately 4 grams of Duac Once Daily 10 mg/g + 30 mg/g Gel was applied once daily for 5 days to the face, upper chest, upper back, and shoulders. Geometric mean maximal plasma clindamycin exposure (Cmax) on Day 5 was 0.961 ng/mL with an AUC∞ of 12.9 ng*hr/mL.

In a maximised percutaneous absorption study the mean plasma clindamycin levels during a four-week dosing period for clindamycin 10 mg/g + benzoyl peroxide 50 mg/g gel were negligible (0.043 % of applied dose). (Reference 2).

Please, also see Safety data sheets on http://www.msds-gsk.com/ExtMSDSlist.asp.

References

1. ECHA, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment.

2. Pharmacokinetic properties: Metabolism and Elimination. Summary of Product Characteristics DUAC once Daily 10mg/g and 30mg/g Gel. Stiefel, March 2018.

3. https://www.amrindustryalliance.org/wp-content/uploads/2024/03/AMR-Table-1-Update-21032024.pdf

4. Science‐based Targets for Antibiotics in Receiving Waters from Pharmaceutical Manufacturing Operations - Tell - 2019 - Integrated Environmental Assessment and Management - Wiley Online Library

5. Instant J Chem Log P and LogD. Sep 2012. Chemaxon Inc.