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Are generic formulations of carvedilol of inferior pharmaceutical quality compared with the branded formulation?
Julian C Smith1, Giorgio Tarocco, Fabio Merazzi
1Pharmaceutical Sciences, Aston University, Birmingham, UK. j.c.smith@aston.ac.uk
Insights
Many generic carvedilol products fail quality tests, raising concerns about treatment efficacy and safety. Pharmaceutical quality assessments revealed significant issues with tablet hardness and dissolution in generic carvedilol formulations.
Area of Science:
- Pharmaceutical Sciences
- Drug Quality Assessment
- Pharmacology
Background:
- Carvedilol is a crucial beta-blocker for hypertension, angina, and heart failure.
- Marketed as Dilatrend and Coreg, it addresses various cardiovascular conditions.
Purpose of the Study:
- To evaluate the pharmaceutical quality of generic carvedilol products.
- To compare generic formulations against the original Dilatrend and pharmacopoeial standards.
Main Methods:
- Assessed carvedilol content, tablet hardness, dissolution, and purity.
- Tested Dilatrend tablets and 35 generic carvedilol products from 20 manufacturers.
Main Results:
- All Dilatrend strengths met specifications.
- 48.6% of generic carvedilol products failed quality specifications.
- Common failures included incorrect hardness (11 products) and inadequate dissolution (9 products).
- Seven generic products failed multiple quality tests.
Conclusions:
- Significant variability exists in generic carvedilol quality.
- Substandard generic carvedilol may impact patient treatment efficacy and safety.
- Pharmaceutical quality is critical for ensuring bioequivalence and therapeutic outcomes.
Introduction:
Carvedilol is a comprehensive beta(1)-, beta(2)-, and alpha(1)-adrenoreceptor blocker marketed as Dilatrend by F. Hoffmann-La Roche Ltd. (Roche) and as Coreg by GlaxoSmithKline for the treatment of hypertension, stable angina pectoris, post myocardial infarction with left ventricular dysfunction and all degrees of symptomatic chronic heart failure.
Objectives:
In this report, the pharmaceutical qualities of Dilatrend 6.25 mg, 12.5 mg and 25 mg tablets and 35 randomly selected carvedilol generic products from 20 manufacturers in 19 countries have been assessed according to the European Pharmacopoeia and the Roche specifications.
Methods:
The generic products were subjected to four key tests: carvedilol content, tablet hardness, tablet dissolution and purity.
Results:
All three Dilatrend strengths conformed to specifications. At least 17/35 (48.6%) generic products failed the specifications due to: incorrect mean carvedilol content (outside 95-105%) - three products; excess impurities (> 0.3%) - one product; incorrect tablet hardness (outside 30-70 N) - 11 products; inadequate dissolution (< 75% in 30 min) - nine products. Seven products (20%) failed two tests, generally hardness and dissolution.
Conclusion:
The dose-for-dose substitution of the original formulation of carvedilol (Dilatrend) with a pharmaceutically different, and possibly inferior, generic copy may conceivably result in a change in the efficacy of the treatment, because of an unanticipated change in pharmacokinetics or bioequivalence, and/or in a change in tolerability due to impurities.
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