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Amlodistad

STADA Nordic

Tablett 10 mg
(Vita runda tabletter med en brytskåra på ena sidan.)

Kalciumantagonister, selektiva kalciumantagonister med övervägande kärlselektiv effekt.

Aktiv substans:
ATC-kod: C08CA01
Läkemedel från STADA Nordic omfattas av Läkemedelsförsäkringen.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Miljöinformationen för amlodipin är framtagen av företaget Novartis för COPALIA, Copalia HCT, DAFIRO, Dafiro HCT, Exforge HCT®, Exforge®, IMPRIDA, Imprida HCT, Rasilamlo®, Rasitrio

Miljörisk: Användning av amlodipin har bedömts medföra försumbar risk för miljöpåverkan.
Nedbrytning: Amlodipin bryts ned i miljön.
Bioackumulering: Amlodipin 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 * 1874.12 kg * 100 = 0.256754 μg/L

Where:

A = 1874.12 kg (total sold amount of amlodipinbesilat in Sweden year 2022, 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

Green algae - freshwater (Pseudokirchneriella subcapitata) NOTOX Project 490973

EC50 72 h (growth rate) = 0.23 mg/L

NOEC 72 h (growth rate) = 0.029 mg/L

Crustacean (Daphnia magna, waterflea) NOTOX Project 464478

Acute toxicity

EC50 48 h (immobilisation) = 3.2 mg/L

Chronic toxicity

NOEC (21 days) = 0.22 mg/L

Fish fathead minnow (Pimephales promelas)              

Chronic toxicity

NOEC (31 days) = 2.2 mg/L (OECD 203) (NOTOX Project 490974)

Other ecotoxicity data:

Bacterial Respiration Inhibition:

NOEC (3 Hr) = 10.0 mg/L (activated sludge respiration inhibition, OECD209) (NOTOX 464502)

PNEC Derivation:

PNEC = 2.9 µg/L (justification of chosen assessment factor (AF))

PNEC (μg/L) = lowest NOEC/10, where 10 is the assessment factor used if chronic toxicity studies from three trophic levels are available. NOEC for green algae growth inhibition has been used for this calculation since it is the most sensitive endpoint of the three tested species.


Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 0.26 µg/L / 2.9 µg/L = 0.09, i.e. PEC/PNEC ≤ 0.1 which justifies the phrase "Use of amlodipine has been considered to result in insignificant environmental risk."


Degradation

Biotic degradation

Aerobic and Anaerobic Transformation in Aquatic Sediment Systems (OECD 308) (NOTOX Project 464535):

14C-labelled Amlodipine (VAA489) was incubated aerobically in the laboratory in two non­contaminated water/sediment systems (Goorven [GV] and Schoonrewoerdse Wiel [SW]) at 20 ± 2°c in the dark for 99 days. The initial test substance concentration in the water layer was 0.25 mg/L (GV) and 0.26 mg/L (SW). Duplicate samples of each water/sediment system were taken at 0 (single sample), and after 1, 4, 8, 21, 49, and 99 days. Volatiles were trapped by polyurethane foam, ethylene glycol monoethyl ether, and NaOH traps. The water layer and the sediment layer were analysed (extraction of sediment with acetonitrile and acetonitrile: buffer pH 4 3:1 (v/v)). Bound residues were determined by combustion. For t=99 (GV)/49 (SW) days, bound residues were fractionated into fulvic acids, humic acids, and humins. Extracts were analysed by HPLC. Amlodipine (VAA489) was identified based on a comparison of retention time with a reference standard; identification was confirmed by a second HPLC method. Upon addition of Amlodipine (VAA489)  to the water layer, Amlodipine (VAA489) is partitioned between the water and sediment layer. In the sediment, Amlodipine (VAA489)  is degraded to metabolites that desorb again, causing an increase of the radioactivity in the water layer halfway through the incubation period. At the end of the study, Amlodipine (VAA489) had completely dissipated from both the water layer and the sediment (≤0.4% of applied). Mineralization was a very minor process in both water/sediment systems (0.5-1% CO2 at the end of the study). Bound residues accounted for ~ 25% of the applied substance. The bound residues of one replicate of the t=99/49 days (GV/SW) samples were fractionated into fulvic and humic acids and humins (9/49/43 [GV] and 19/10/73% [SW] of the bound residues).  The mass balances for the Goorven system ranged from 94 to 100% of applied radioactivity up to t=49 days and 87% after 99 days. The mass balances (mean values) for the Schoonrewoerdsewiel system ranged from 96 to 99% of applied radioactivity.

Metabolites

In the GV system, two significant metabolites (>10% of applied) were observed, one of which reached a maximum of 72% of applied and matched with degradation product DP-B that was detected in a photolysis study with VAA489 AMLO and identified as dehydro-amlodipine. The other metabolite represented 11% of applied or less. In the SW system, five significant metabolites were detected, each of which exceeded 10% of applied only once or twice and represented ≤18% of applied with one exception. Met 1, which represented up to 57% of the applied radioactivity, may consist of more than one metabolite (group) based on its peak shape.

The Amlodipine (VAA489) DT50  and DT90  values and coefficients of determination are given below.


Goorven ModelMaker results


Compartment

kinetics

x2 (err)

r2

DT50

(days)

DT90

(days)

Water

SFO

0.69

0.999

1.1

3.5

Sediment

SFO

19.96

0.819

16

53

Total system

SFO

7.44

0.988

1.7

5.6


Schoonrewoerdsewiel ModelMaker results

Compartment

kinetics

x2 (err)

r2                    DT50

DT90

(days)

 

(days)

Water

SFO

7.75

0.984

1.9

6.4

Sediment

FOMC

24.01

0.839

3.1

35

Total system

SFO

7.84

0.975

4.6

15


Justification of chosen degradation phrase:

The DT50 for Amlodipine in the total system is < 32 days. Therefore, the phrase "the substance is degraded in the environment" is thus chosen.


Bioaccumulation

Partitioning coefficient:

Log D = - 0.056 (NOTOX 490975)

Justification of chosen bioaccumulation phrase:

Since log D at an environmentally relevant pH is < 4, Amlodipine has a low potential for bioaccumulation.


Excretion (metabolism)

Amlodipine is extensively (about 90%) converted to inactive metabolites via hepatic metabolism with 10% of the parent compound and 60% of the metabolites excreted in the urine. Ex vivo studies have shown that approximately 93% of the circulating drug is bound to plasma proteins in hypertensive patients. Elimination from the plasma is biphasic with a terminal elimination half-life of about 30–50 hours. Steady-state plasma levels of amlodipine are reached after 7 to 8 days of consecutive daily dosing.


PBT/vPvB assessment

Based on the available information, amlodipine does not fulfill the screening criteria for a bioaccumulative substance and can therefore not be considered a potential PBT substance.


References

  • ECHA 2008, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment. http://guidance.echa.europa.eu/docs/guidance_document/information_requirements_en.htm

  • NOTOX Project 490973. Fresh water algal growth inhibition test with amlodipine besylate/DS06.                                      

  • NOTOX Project 464478. Daphnia magna, reproduction test with VAA489 AMLO (semi-static).

  • NOTOX Project 490974. Fish early-life stage toxicity test with amlodipine besylate/DS 06 (flow-through).                                                                                 

  • NOTOX 464502 Activated sludge respiration inhibition test with VAA489 AMLO (contact time: 3 hours).                                                                                                          

  • NOTOX Project 464535 Aerobic degradation of VAA489 AMLO in two water/sediment systems.

  • NOTOX 490975 Determination of the partition coefficient of amlodipine besylate/DS 06.