32 Considerations made in selecting a container The difference between primary and secondary packaging The materials used for packaging, including glass, plastics, metal and paper Types of container in common use Child-resistant closures and tamper-evident seals Pharmaceutical formulations must be suitably contained, protected and labelled from the time of manufacture until the patient uses them. Throughout this period, the container must maintain the quality, safety and stability of the medicine and protect the product against physical, climatic, chemical and biological hazards. The British Pharmacopoeia identifies the closure as part of the container. Repackaging may be performed for dispensing purposes in the community and hospital pharmacies and in specialized production facilities (see Chs 30, 39). Bulk medicines are repackaged into smaller quantities in dispensing containers for distribution to hospital wards, clinics and general practitioners for direct supply to patients. This is mostly carried out with tablets and capsules that are transferred from bulk quantities into smaller amounts that are more suitable for patient use. In the UK, this process is performed in the hospital pharmacy where the MHRA allows the repackaging of small batches of up to 25 containers. Larger batches must be packed in licensed manufacturing premises. The facilities used for these repackaging operations are designed to maintain the quality of the medicine. Primary containers used for repackaging must not: The container used in the repackaging process must protect the product from: As the medicine has been transferred into a new container, the expiry date of the repackaged medicine must not exceed 12 months, unless the stability of the repackaged product justifies a longer shelf-life. The details of these repackaging processes must be recorded. Each container of the repackaged batch is labelled with the: There are some situations where the repackaging is limited, such as with glyceryl trinitrate tablets, owing to the potential loss of the volatile drug (see Ch. 39). Sterile products cannot easily be repackaged and require effective closure systems to minimize the risk of microbial contamination of the contents within the container. In addition, the pack itself must withstand sterilization procedures. Consequently, care must be applied to the selection of the container and its closure for the packaging of sterile products (see also Chs 40, 41, 44, 46). Primary packaging materials are in direct contact with the product. This also applies to the closure, which is also part of the primary pack. It is important that this container must not interact with the medicine. It must protect the medicine from damage and from extraneous chemical and microbial contamination. In addition, the primary packaging should support the use of the product by the patient. Secondary packages are additional packaging materials that improve the appearance of the product and include outer wrappers or labels that do not make direct contact with the product (Table 32.1). Secondary packages can also supply information about the product and its use. They should provide evidence of tampering with the medicine. Table 32.1 Types of primary and secondary packaging materials and their use The following terms are used to describe containers: Single-dose containers hold the medicine that is intended for single use. For example, a glass ampoule Multidose containers hold a quantity of the material that will be used as two or more doses. For example, a multiple dose vial or a plastic tablet bottle Well-closed containers protect the product from contamination with unwanted foreign materials and from loss of contents during use Airtight containers are impermeable to solids, liquids and gases during normal storage and use. If the container is to be opened on more than one occasion it must remain airtight after reclosure Sealed containers such as glass ampoules are closed by fusion of the container material Tamper-evident containers are closed containers fitted with a device that irreversibly indicates if the container has been opened Light-resistant containers protect the contents from the effect of radiation at a wavelength between 290 nm and 450 nm Child-resistant containers, commonly referred to as CRCs, are designed to prevent children accessing the potentially hazardous product Strip packs have at least one sealed pocket of material with each pocket containing a single dose of the product. The pack is made of two layers of film or laminate material. The nature and the level of protection that is required by the contained product will affect the composition of these layers Blister packs are composed of a base layer, with cavities that contain the pharmaceutical product, and a lid. This lid is sealed to the base layer by heat, pressure or both. They are more rigid than strip packs and are not used for powders or semi-solids. Blister packs can be printed with day and week identifiers to produce calendar packs. These identifiers will support patient compliance Tropicalized packs are blister packs with an additional aluminium membrane to provide greater protection against high humidity Pressurized packs expel the product through a valve. The pressure for the expulsion of the product is provided by the positive pressure of the propellant that is often a compressed or liquefied gas (see Ch. 43) Original packs are pharmaceutical packs that are commercially produced and intended for finite treatment periods. These packs are dispensed directly to the patient in their original form. Manufacturer’s information is contained on the pack but the pharmacist must attach a dispensing label. The selection of packaging for a pharmaceutical product is dependent on the following factors: Glass does have several advantages: It is inert to most medicinal products It is impervious to air and moisture It allows easy inspection of the container’s contents It can be coloured to protect contents from harmful wavelengths of light It is easy to clean and sterilize by heat
Packaging
Introduction
Primary and secondary packaging
Material
Type
Examples of use
Glass
Primary
Metric medical bottle, ampoule, vial
Plastic
Primary
Ampoule, vial, container, infusion fluid dropper bottle
Plastic
Secondary
Wrapper to contain primary pack
Board
Secondary
Box to contain primary pack
Paper
Secondary
Labels, patient information leaflet
Packaging materials
Glass
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Packaging
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