Menu

A+ A A-

Download article

DOI: https://doi.org/10.22263/2312-4156.2022.1.110

Marchenkov N.V.1, Khutkina H.A.2, Diyachkova L.V.1
The analysis of routine risk minimization measures of the use of medicinal products produced by RUE «Belmedpreparaty» on the territory of the Republic of Belarus
1RUE «BELMEDPREPARATY», Minsk, Republic of Belarus
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus

Vestnik VGMU. 2022;21(1):110-120.

Abstract.
Today, it is of great importance to timely inform health care professionals and patients about the risks associated with the use of medicinal products (MP) in order to minimize the development of undesirable effects of pharmacotherapy. The easiest way to convey this information to the end-user is to make changes in the general characteristics of a medicinal preparation (SmPC) and the instruction for medical use (IFU)/package leaflet (PL). To maintain up-to-date information in the SmPC and IFU/PL, it is necessary to constantly monitor new information on the efficacy and safety of medicinal products.
The article presents data on the implementation of routine risk minimization measures associated with the discovery of new and relevant information on safety in relation to MP produced by RUE «Belmedpreparaty» in 2018-2020. At the moment, the company produces a wide range of medicines, therefore, the implementation of constant monitoring of such information for further updating of information about the drug is an important link in the work of the pharmacovigilance department.
Key words: medicinal product, adverse reaction, new safety information, pharmacovigilance, drug safety monitoring, general characteristics of a medicinal product, package leaflet, marketing authorization holder, pharmaceutical market.

References

1. Good pharmacovigilance practice rules of the Eurasian Economic Union: reshenie Soveta Evraz ekonom komis, 03 noiab 2016 g, № 87. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://www.rceth.by/Documents/9es10rsN8720161103.rtf [Accessed 01th March 2022]. (In Russ.)
2. On state registration (confirmation of state registration) of medicines: postanovlenie Soveta Ministrov Resp Belarus', 01 apr 2015 g, № 254: v red ot 15.10.2020 g. V: OOO «Professional'nye pravovye sistemy». Biznes-info [Elektronnyi resurs]. Minsk, RB; 2022. (In Russ.)
3. On a set of preliminary technical works, preceding the state registration of medicines: postanovlenie M-va zdravookhraneniia Resp Belarus', 02 noiab 2020 g, № 93. V: OOO «Professional'nye pravovye sistemy». Biznes-info [Elektronnyi resurs]. Minsk, RB; 2022. (In Russ.)
4. European Medicines Agency. PRAC recommendations on signals: adopted at the 8-11 January 2018 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-prac-meeting-8-11-january-2018-meeting_en.pdf [Accessed 01th March 2022].
5. Clarithromycin-containing drugs - potential increased risk of death in patients with cardiovascular disease: 12.03.2018. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/Clarithromycin.rtf [Accessed 01th March 2022]. (In Russ.)
6. U.S. Food & Drug Administration. FDA Drug Safety Communication: FDA review finds additional data supports the potential for increased long-term risks with antibiotic clarithromycin (Biaxin) in patients with heart disease [02-22-2018]. Available from: https://www.fda.gov/drugs/drug-safety-and-availability/fda-drug-safety-communication-fda-review-finds-additional-data-supports-potential-increased-long [Accessed 01th March 2022].
7. Potential increased risk of medical error associated with withdrawal of insulin from syringe pens and cartridges: 15.02.2018. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unita. predpriiatie. Available from: https://rceth.by/Documents/insulinrr.rtf [Accessed 01th March 2022]. (In Russ.)
8. European Medicines Agency. PRAC recommendations on signals: adopted at the 27-30 November 2017 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-prac-meeting-27-30-november-2017_en.pdf [Accessed 01th March 2022].
9. European Medicines Agency. PRAC recommendations on signals: adopted at the 5-8 February 2018 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-5-8-february-2018-prac-meeting_en.pdf [Accessed 01th March 2022].
10. Cephalexin - risk of acute generalized exanthematous pustulosis: 17.05.2018. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/Cefalexin.rtf [Accessed 01th March 2022]. (In Russ.)
11. European Medicines Agency. PRAC recommendations on signals: adopted at the 5-8 March 2018 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-5-8-march-2018-prac-meeting_en.pdf [Accessed 01th March 2022].
12. Clexane (enoxaparin): information on changes in drug dosage designation, dosing regimen, deep vein thrombosis/pulmonary embolism, use in patients with severe renal failure: 18.05.2018. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/Enoxaparin.rtf [Accessed 01th March 2022]. (In Russ.)
13. Fluoroquinolones - risk of aortic aneurysm and dissection: 12.10.2018. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/fluoroquinolones.rtf [Accessed 01th March 2022]. (In Russ.)
14. European Medicines Agency. PRAC recommendations on signals: adopted at the 3-6 September 2018 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-3-6-september-2018-prac-meeting_en-0.pdf [Accessed 01th March 2022].
15. New measures to prevent potentially dangerous errors in the use of methotrexate: 02.09.2019. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://www.rceth.by/Documents/Methotrexatum.rtf [Accessed 01th March 2022]. (In Russ.)
16. European Medicines Agency. New measures to avoid potentially fatal dosing errors with methotrexate for inflammatory diseases: Press release 23.08.2019. Available from: https://www.ema.europa.eu/en/news/new-measures-avoid-potentially-fatal-dosing-errors-methotrexate-inflammatory-diseases [Accessed 01th March 2022].
17. Ibuprofen-containing medications - risk of acute generalized exanthematous pustulosis: 11.10.2019. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/Ibuprophenum.rtf [Accessed 01th March 2022]. (In Russ.)
18. European Medicines Agency. PRAC recommendations on signals: adopted at the 2-5 September 2019 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-2-5-september-2019-prac-meeting_en.pdf [Accessed 01th March 2022].
19. Clopidogrel-containing drugs: 20.06.2019. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/%D0%A1lopidogrel_.rtf [Accessed 01th March 2022]. (In Russ.)
20. European Medicines Agency. PRAC recommendations on signals: adopted at the 13-16 May 2019 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-13-16-may-2019-prac-meeting_en.pdf [Accessed 01th March 2022].
21. Limitations of fluoroquinolones and quinolones due to the development of disabling, potentially irreversible adverse reactions: 22.01.2019. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/fluoroquinolones__.rtf [Accessed 01th March 2022]. (In Russ.)
22. Ibuprofen-, ketoprofen-containing medications - increased risk of serious complications of infectious diseases: 27.05.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/ibuprofen_%D0%BAetoprofen.rtf [Accessed 01th March 2022]. (In Russ.)
23. European Medicines Agency. PRAC recommendations on signals: adopted at the 14-17 April 2020 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-14-17-april-2020-prac-meeting_en.pdf [Accessed 01th March 2022].
24. Nonsteroidal anti-inflammatory drugs - risk of fetal renal disease and oligohydramnios: 29.11.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/NSAID.rtf [Accessed 01th March 2022]. (In Russ.)
25. U.S. Food & Drug Administration. FDA recommends avoiding use of NSAIDs in pregnancy at 20 weeks or later because they can result in low amniotic fluid [10-15-2020]. Available from: https://www.fda.gov/drugs/drug-safety-and-availability/fda-recommends-avoiding-use-nsaids-pregnancy-20-weeks-or-later-because-they-can-result-low-amniotic [Accessed 01th March 2022].
26. Insulin-containing medications - risk of skin amyloidosis: 18.05.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/insulin_18-05-20.rtf [Accessed 01th March 2022]. (In Russ.)
27. Macrogol-containing drugs - risk of ischemic colitis: 03.08.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/macrogol.rtf [Accessed 01th March 2022]. (In Russ.)
28. European Medicines Agency. PRAC recommendations on signals: adopted at the 8-11 June 2020 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-8-11-june-2020-prac-meeting_en.pdf [Accessed 01th March 2022].
29. Fluoroquinolones - risk of heart valve regurgitation, cervical artery dissection, aortic aneurysm and dissection: 05.10.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/ftorhinolon.rtf [Accessed 01th March 2022]. (In Russ.)
30. European Medicines Agency. PRAC recommendations on signals: adopted at the 31 August - 3 September 2020 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-31-august-3-september-2020-prac-meeting_en.pdf [Accessed 01th March 2022].
31. Selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), vortioxetine - risk of postpartum bleeding: 09.11.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/SSRI.rtf [Accessed 01th March 2022]. (In Russ.)
32. European Medicines Agency. PRAC recommendations on signals: adopted at the 28 September - 1 October 2020 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-28-september-1-october-2020-prac-meeting_en.pdf [Accessed 01th March 2022].
33. Ceftriaxone-containing medications - risk of encephalopathy: 26.11.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/ceftriaxone_26-11-2020.rtf [Accessed 01th March 2022]. (In Russ.)
34. European Medicines Agency. PRAC recommendations on signals: adopted at the 26-29 October 2020 PRAC meeting. Available from: https://www.ema.europa.eu/en/documents/prac-recommendation/prac-recommendations-signals-adopted-26-29-october-2020-prac-meeting_en.pdf [Accessed 01th March 2022].
35. Benzodiazepines - risk of abuse, misuse, addiction, and other risks: 10.12.2020. V: Tsentr ekspertiz i ispytanii v zdravookhranenii: Resp unitar predpriiatie. Available from: https://rceth.by/Documents/Benzodiazepine.rtf [Accessed 01th March 2022]. (In Russ.)
36. U.S. Food & Drug Administration. FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class [09-23-2020]. Available from: https://www.fda.gov/drugs/drug-safety-and-availability/fda-requiring-boxed-warning-updated-improve-safe-use-benzodiazepine-drug-class [Accessed 01th March 2022].

Information about authors:
Marchenkov N.V. – pharmacist of the 2nd category of the pharmacovigilance department of RUE «Belmedpreparaty», postgraduate student of the Chair of Organization and Economics of Pharmacy with the course of the Faculty for Advanced Training and Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Khutkina H.A. – Candidate of Pharmaceutical Sciences, associate professor, head of the Chair of Organization and Economics of Pharmacy with the course of the Faculty for Advanced Training and Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Diyachkova L.V. – Candidate of Pharmaceutical Sciences, deputy chief technologist of RUE «Belmedpreparaty».

Correspondence address: Republic of Belarus, 220007, Minsk, 30 Fabricius str., RUE «Belmedpreparaty». E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Nikita V. Marchenkov.

Поиск по сайту