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Pharmaceutical Manufacturing Handbook: Production and

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68 RADIOPHARMACEUTICAL MANUFACTURING<br />

1.3.3<br />

MANUFACTURING ASPECTS<br />

1.3.3.1 Design of <strong>Manufacturing</strong> Sites<br />

The manufacturing of radiopharmaceuticals is potentially hazardous. Both small -<br />

<strong>and</strong> large - scale production must take place on premises designed, constructed, <strong>and</strong><br />

maintained to suit the operations to be carried out. Radiation protection regulations<br />

stipulate that radionuclides must only be used in specially designed <strong>and</strong> approved<br />

“ radioisotope laboratories. ” National regulations with regard to the design <strong>and</strong> classifi<br />

cation of radioisotope laboratories must be fulfi lled. Such laboratories are normally<br />

classifi ed according to the amount of the various radionuclides to be h<strong>and</strong>led<br />

at any time <strong>and</strong> the radiotoxicity grading given to each radionuclide. When planning<br />

the layout of the laboratory, it is recommended to allocate separate working areas<br />

or contained units for the various procedures to avoid possible cross - contamination<br />

of radionuclides [4, 5] . Premises must be designed with two important aspects in<br />

mind:<br />

The product should not be contaminated by the operator.<br />

The operator <strong>and</strong> the environment should be protected from contamination by<br />

the radioactive product.<br />

This is the basic principle of good radiopharmaceutical practice (GRPP).<br />

One of the most important factors in planning a radioisotope laboratory is the<br />

design of the ventilation system. Laboratories with medium <strong>and</strong> high grading must<br />

be designed with the purpose of protecting the personnel from inhaling radioactive<br />

gases or particles. The system should be designed to provide lower pressure at the<br />

actual working area compared to the surrounding environment. Furthermore, the<br />

system should have an appropriate number of air changes per hour <strong>and</strong> the replacement<br />

air should be fi ltered. Air extracted from the area where radioactive products<br />

are h<strong>and</strong>led, though, should not be recirculated. Exhaust air to the environment<br />

should be monitored for radioactivity, <strong>and</strong> it may be necessary to install active<br />

charcoal fi lters to absorb radioactive gases <strong>and</strong> small particles [4] .<br />

Aseptic production of radiopharmaceuticals, that is, when the products cannot<br />

be terminally sterilized, will increase the requirements for the design <strong>and</strong> construction<br />

of the premises. Contained workstations <strong>and</strong> clean - room technology will be<br />

applied to a much higher degree. The general requirements for the design of such<br />

premises are the same as for nonradioactive pharmaceuticals, including entry of staff<br />

<strong>and</strong> the introduction of materials through air locks. The main difference is found in<br />

the planning <strong>and</strong> design of the ventilation system. Laboratories for aseptic work<br />

normally have a positive pressure relative to the surrounding areas. On the other<br />

h<strong>and</strong>, in laboratories for work with radioactivity, it is good practice to have a negative<br />

pressure to avoid the spread of radioactive material. In order to meet both<br />

pharmaceutical <strong>and</strong> radiation protection requirements, it is necessary to balance<br />

carefully the air pressures in the clean rooms, the air locks, <strong>and</strong> the surrounding<br />

areas. From a pharmaceutical point of view a negative pressure in the area designated<br />

for aseptic work can only be accepted in special cases. There are various ways<br />

to meet the required balance between these apparently contradictory principles.<br />

A frequently chosen solution is to use sealed production units or contained work-

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