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Abstract book 6th RMS 16.indd

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efficacy profiles for unlicensed and off-label<br />

medicine use in children. The methodology<br />

is also currently being extended to allow<br />

evaluation of the toxicokinetics of<br />

excipients used in paediatric medicines and<br />

to the assessment of adherence of children<br />

to prescribed medicines in primary care.<br />

437<br />

A Pharmaceutical Perspective of<br />

the Treatment of Type 2 Diabetes in<br />

Kerala State, India<br />

Ian L Naylor*, MJ Sreenilayam, ILNaylor & S<br />

Sreenath<br />

* Dr, Senior Lecturer in Pharmacology, School<br />

of Pharmacy, University of Bradford, Bradford<br />

UK<br />

ian.naylor@bradford.ac.uk<br />

Objectives: The present and future<br />

incidence of Type 2 diabetes in India<br />

is of serious concern . This study was<br />

designed to investigate how patients drug<br />

treatment, diet and lifestyle affected their<br />

ability to control their blood sugar values.<br />

Methods: 131 randomly selected patients<br />

were asked to complete a questionnaire<br />

which included questions about their<br />

family history, age of first diagnosis,<br />

blood sugar levels, current drug regimens<br />

and diet as they attended their routine<br />

1-3 month appointments in clinics in<br />

Trivandrum, Kerala state. Blood sugar<br />

levels were measured both fasting and non<br />

fasting states in all the participants. Where<br />

possible responses were analysed using<br />

SPSS (version 19).<br />

Results: A positive family history occurred<br />

in 65 patients (50%) and the median age<br />

of first diagnosis was between 50-64<br />

years. Very few patients actually knew their<br />

blood sugar levels and when measured<br />

the median fasting level was 6.99 mmol/l<br />

[range of 4.2 to 14 mmol/l ] and the<br />

median non fasting levels was 10.84<br />

mmol/l [range of 6.8 to 16.3 mmol/l]. All<br />

patients were taking medicines to alleviate<br />

their condition the majority (49/131) were<br />

taking glibenclamide and 34/131 were<br />

actually using insulin and 46% were also<br />

using Ayurverdic preparations. Dietary<br />

patterns were very variable throughout the<br />

131 patients.<br />

Conclusion: Even in closely monitored type<br />

2 diabetes patients in Kerala state blood<br />

sugar control was less than adequate. The<br />

significance of this will be discussed<br />

438<br />

Bioequivalence Studies Regulation<br />

in Jordan<br />

Rawan S. Al-Hiyari MSc Pharm, Jordan Food<br />

and Drug Administration, Registration Department<br />

(Jordan)<br />

rawan.al-hiyari@jfda.jo<br />

Objectives: Bio equivalence studies for<br />

generic drugs is an essential and a prior<br />

requierment for drug registration in Jordan<br />

since 2000. Both local and foreign generic<br />

drugs evidence their efficacy and safety in<br />

order to be eligible for further assessment<br />

for thier quality through a suitable design<br />

and kind of study . The aim of presentation<br />

is to provide a review of the current JFDA<br />

bio equivalence guideline<br />

Methods: Bio equivalence studies are<br />

submitted with the common technical<br />

document CTD and undergo evaluation<br />

through qualified committee according<br />

to Jordanian FDA guideline . The<br />

submission,evaluation and approval<br />

process criteria and statistical date will be<br />

presented<br />

Results: All generic drugs submitted<br />

to JFDA undergo evaluation according<br />

to Jordanian FDA guideline which is in<br />

parallel with international (FDA, EMEA,...)<br />

regulations and updates. Statistics showes<br />

the number of CTD files submmied and<br />

the bio equivalence and bio waiver studies<br />

required accordingly and the percentage of<br />

accepted and rejected studies and discuss<br />

rejection criteria.<br />

Conclusion: The current guideline for<br />

bioequivalence evaluation studies ensure<br />

the safty and efficay of generic drug<br />

submitted in jordan Which is equivalent to<br />

international regulation<br />

213 www.jrms.gov.jo

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