Updated acceptable intakes for established N-nitrosamines in medicines

TGA

Consistent with recent EMA updates of acceptable intakes for established N-nitrosamines, the TGA has published updated acceptable intakes for nitrosamines in medicines.

  • Include several CAS RNs and minor editorial amendments
  • Include an AI limit for N-nitroso-desmethyl- sildenafil of 400 ng/day in Sildenafil
  • Include the AI limit for 1-(2,3-dichlorophenyl)-4-nitrosopiperazine of 400 ng/day in Aripiprazole
  • Include the AI limit for N-nitroso-urapidil of 1500 ng/day in Uradipil
  • Include the AI limit for N-nitroso-mirtazapine of 400 ng/day in Mirtazapine
  • Include the AI limit for N-nitroso ranolazine impurity 1 of 400 ng/day in Ranolazine
  • Include the AI limit for N-nitroso-rivaroxaban open-ring acid of 1500 ng/day in Rivaroxaban
  • Include the AI limit for N-nitroso-rivaroxaban amide of 1500 ng/day in Rivaroxaban
  • Include the AI limit for N-nitroso-desmethyl sumatriptan of 18 ng/day in Sumatriptan
  • Include the AI limit for N-nitroso-azacyclonol of 400 ng/day in Azacyclonol
  • Include the AI limit for N-nitroso-betaxolol of 1500 ng/day in Betaxolol
  • Include the AI limit for N-nitroso-ribociclib impurity 1 of 400 ng/day in Ribociclib
  • Include the AI limit for N-nitroso-desmethyl-terbinafine (NDT) of 18 ng/day in Terbinafine
  • Include the AI limit for N-nitroso-terbinafine impurity A (NTA) of 18 ng/day in Terbinafine
  • Include the AI limit for N-nitroso-terbinafine degradant (NTD) of 18 ng/day in Terbinafine
  • Include the AI limit for N-nitroso dorzolamide of 1500 ng/day in Dorzolamide
  • Include the AI limit for N-Nitroso-desmethyl-azelastine of 100 ng/day in Azelastine
  • Include the AI limit for N-nitroso-celiprolol of 1500 ng/day in Celiprolol
  • Include the AI limit for N-nitroso-cinacalcet of 400 ng/day in Cinacalcet
  • Include the AI limit for 5-chloro-4-methyl-2-[(2S)-2-methyl-1-nitrosopyrrolidin-2-yl]-1H-benzimidazole (IDOR-1135-8758) of 1500 ng/day in Daridorexant
  • Include the AI limit for N-nitroso-desmethyl-citalopram of 18 ng/day in Citalopram
  • Include the AI limit for N-nitroso-desvenlafaxine of 18 ng/day in Desvenlafaxine
  • Include the AI limit for N-nitroso-esmolol of 1500 ng/day in Esmolol
  • Include the AI limit for N-nitroso-calcium folinate of NMI in Calcium folinate / Calcium levofolinate
  • Include the AI limit for N-nitroso imatinib of 1500 ng/day in Imatinib
  • Include the AI limit for Indapamide impurity A / 2-methyl-1-nitroso-2,3-dihydroindole of 1500 ng/day in Indapamide
  • Include the AI limit for N-nitroso-ethylenediamine-triacetic acid of 1500 ng/day in Isosorbide mononitrate
  • Include the AI limit for N-nitroso-iminodiacetic acid of 1500 ng/day in Isosorbide mononitrate
  • Include the AI limit for N-nitroso-leniolisib of 1500 ng/day in Leniolosib
  • Include the AI limit for N-nitroso-desethyllidocaine of 100 ng/day in Lidocaine / Lignocaine
  • Include the AI limit for N-nitroso desmethyl nintedanib of 400 ng/day in Nintedanib
  • Include the AI limit for N-nitroso-N-methylaniline / N-methyl-N-phenylnitrous amide (NMPA) of 100 ng/day
  • Include the AI limit for N-nitroso quetiapine HEEP impurity / 2-(2-(4-nitrosopiperazin-1-yl)ethoxy)ethan-1-ol of 1500 ng/day in Quetiapine
  • Include the AI limit for N-nitroso-tetracaine of 400 ng/day in Tetracaine
  • Include the AI limit for N‐nitroso‐ticagrelor of 1500 ng/day in Ticagrelor
  • Republish the AI limit of ng/day for N-nitroso-piperazine (NPZ)
  • Increase the AI limit for N-nitroso-dabigatran etexilate from 400 ng/day to 1500 ng/day in Dabigatran etexilate
/Public Release. View in full here.