Comparing real-life carbamazepine exposure between innovator and generic formulation
Emna Gaïes1, Nadia Jebabli2, Sarah Zerei3
1Service de pharmacologie clinique, centre national de pharmacovigilance, 1006 Tunis, Tunisia; Laboratoire de recherche de pharmacologie clinique et expérimentale LR16SP02, 1006 Tunis, Tunisia; Faculté de médecine de Tunis, université de Tunis El Manar, 1006 Tunis, Tunisia.
Background:
Carbamazepine is an anticonvulsant largely used in the treatment of epilepsy. The use of generic antiepileptic drugs (AEDs) is controversial because of the eventual possibility to loss seizures control. The aim of our study was to compare the concentration over dose ratio of two products containing carbamazepine, the innovator (Tégrétol®-NOVARTIS) and the generic (Taver®-MEDOCHEMIE).
Methods:
It is a retrospective study (2009-2016) including 32 patients treated with carbamazepine. Patients were treated initially by innovator then switched to generic or vice versa. All patients have at least one level of carbamazepine plasma concentration (C0) with the innovator or the generic formulation. Monitoring of carabamazepine was made using immunoassay method (ARCHITECT-ABOTT®).
Results:
The mean age of our patients was 28.4 years and ranged from 2 to 55 years. The sex ratio M/F was 1.46. The mean ratio C0/dose for the innovator group was 0.723 (min/max: 0.017/1.73), and the mean ratio C0/dose for the generic group was also 0.607 (min/max: 0.064/1.68). There was no statistically significant difference between both groups (P=0.16).
Conclusion:
Our results confirm the difference between the innovator and the generic formulation of carbamazepine. So, switching from innovator to generic seems to be safe and exposure to carbamazepine remains the same.
Related Concept Videos
Bioequivalence: Overview
Drug Nomenclature
Bioavailability: Overview
Nonlinear Pharmacokinetics: Dependence of Elimination Half-Life and Dose Clearance
A study on guinea pigs examined the...
Factors Influencing Drug Absorption: Pharmaceutical Parameters
Pharmacokinetics: Overview


