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manual on management of drugs

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x. Details <strong>of</strong> any preservative added if indicated <strong>on</strong> the label.<br />

xi. Any other remarks<br />

In the case <strong>of</strong> liquid or semisolid preparati<strong>on</strong>s (mixtures, elixirs, soluti<strong>on</strong>s,<br />

applicati<strong>on</strong>s, creams etc.), <strong>on</strong>ly intact (unopened) packs should be sent.<br />

A separate report will be issued for every sample <strong>of</strong> the drug product<br />

submitted, based <strong>on</strong> an evaluati<strong>on</strong> <strong>of</strong> the same through laboratory analysis and<br />

other relevant scientific evidence, c<strong>on</strong>sidering the batch/lot number. Hence<br />

the samples from different batches should be submitted in separate c<strong>on</strong>tainers.<br />

Where there are complaints as to the potency and the toxic effects <strong>of</strong> a<br />

particular drug product, it is always advisable to submit the samples from the<br />

same c<strong>on</strong>tainer used for issuing the drug to the patients al<strong>on</strong>g with another<br />

unopened (intact) pack <strong>of</strong> the same drug product <strong>of</strong> the same batch from the<br />

stores.<br />

Whenever a sample is submitted with the complaint <strong>of</strong> microbial<br />

c<strong>on</strong>taminati<strong>on</strong> or discolourati<strong>on</strong> in bulk packs, in additi<strong>on</strong> to the packs with<br />

the observed defect, at least two intact (unopened) packs <strong>of</strong> the same batch/lot<br />

should be sent.<br />

When submitting samples <strong>of</strong> drug products which require special storage<br />

c<strong>on</strong>diti<strong>on</strong>s (c<strong>on</strong>trolled temperature such as 2-8 0 C etc), it is important that all<br />

necessary arrangements are made to ensure the maintenance <strong>of</strong> cold chain<br />

until the sample is received at NDQAL.<br />

Further informati<strong>on</strong>, if necessary should be obtained from the Director,<br />

NDQAL.<br />

(Specimen request form is in annexure X)<br />

Handling <strong>of</strong> quality failure <strong>of</strong> drug products<br />

C<strong>on</strong>sidering the NDQAL recommendati<strong>on</strong>s, D/MT&S will inform D/MSD to<br />

issue circulars explaining the acti<strong>on</strong> to be taken <strong>on</strong> a batch/batches/product<br />

detected with n<strong>on</strong>-c<strong>on</strong>formity to their claimed specificati<strong>on</strong>s for state sector<br />

instituti<strong>on</strong>s. In the case <strong>of</strong> private sector Director/MT & S himself will issue a<br />

circular.<br />

Recommended acti<strong>on</strong> could be:<br />

1. To withhold the batch/batches/product as a preliminary precauti<strong>on</strong><br />

2. To withdraw the batch/batches / product<br />

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