Bcs Class 2 Drugs List

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This new multidisciplinary guideline is proposed to address biopharmaceutics classification system (BCS)-based biowaivers. BCS-based biowaivers may be applicable to BCS Class I and III drugs, however BCS-based biowaivers for these two classes are not recognized worldwide. This means that pharmaceutical companies have to follow different approaches in the different regions. This guideline will provide recommendations to support the biopharmaceutics classification of medicinal products and will provide recommendations to support the waiver of bioequivalence studies. This will result in the harmonisation of current regional guidelines/guidance and support streamlined global drug development.

Keywords: Bioequivalence study exemptions, solubility, permeability, in vitro dissolution

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BCS Class II drugs are discusse d in this article. With emphasis on the solid dispersion. Technique and i ts app lication. Formu lation of. Solid disp ersion in water-soluble carriers has. A drug product is eligible for a BCS-based biowaiver provid that the drug substance(s) satisfy the ed criteria regarding solubility and permeability (BCS Class I and III), the drug product is an immediate-release oral dosage form with systemic action, and the drug product is dosage the same form and strength as the reference product.

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The BCS classification system is used to categorize drugs and serves to help anticipate whether drugs will have bioavailability/ bioequivalence problems. BCS classifies drugs according to their solubility and permeability. A drug is considered to have high solubility if drug substance at the highest dose strength for an immediate release formulation can be dissolved in < 250 mL of water over a pH range of 1-7.5. A high permeability drug is one that has either complete intestinal absorption (fa > 90%) or exhibits rapid movement through intestinal epithelia cells in vitro. BCS classifies all drugs into four categories as shown in Table 3.3.

Table 3.3. Biopharmaceutics classification system

BCS CLASS I High solubility High permeability

BCS CLASS III High solubility Low permeability

BCS CLASS II Low solubility High permeability

BCS CLASS IV Low solubility Low permeability

BCS class I compounds (high solubility and permeability) are unlikely to show bioavailability/bioequivalence issues. Therefore, for BCS class I drugs, in vitro dissolution studies are thought to provide sufficient information to assure in vivo product performance making full in vivo bioavailability/bioequivalence studies unnecessary. BCS class II and III drugs are not eligible for biowavers due to anticipated formulation differences in oral exposure. BCS class IV compounds, in general, are problematic with both poor solubility and permeability. The following tables (see Tables 3.4-3.7) contain lists of drugs that are categorized as BCS classes I to IV.

Table 3.4. BCS class I compounds (high solubility, high permeability)

Abacavir

Diazepam

Ketorolac

Phenobarbital

Acetaminophen

Diltiazem

Ketoprofen

Phenylalanine

Diphenhydramine

Labetolol

Prednisolone

Amiloride

Disopyramide

Primaquine

Amitryptyline

Doxepin

Levofloxacin

Promazine

Antipyrine

Doxycycline

Lidocaine

Propranolol

Atropine

Enalapril

Lomefloxacin

Quinidine

Ephedrine

Meperidine

Rosiglitazone

Caffeine

Ergonovine

Metoprolol

Salicylic acid

Captopril

Ethambutol

Metronidazole

Chloroquine

Ethinyl estradiol Kicad library location macon.

Midazolam

Valproic acid

Chlorpheniramine

Fluoxetine

Minocycline

Verapamil

Cyclophosphamide

Glucose

Misoprostol

Zidovudine

Desipramine

Imipramine

Nifedipine

Bcs

Adapted from Wu and Benet (2005)

Adapted from Wu and Benet (2005)

Table 3.5. BCS class II compounds (low solubility, high permeability)

Amiodarone

Diclofenac

Itraconazole

Piroxicam

Atorvastatin

Diflunisal

Ketoconazole

Raloxifene

Azithromycin

Digoxin

Lansoprazole

Ritonavir

Carbamazepine

Erythromycin

Lovastatin

Saquinavir

Carvedilol

Flurbiprofen

Mebendazole

Sirolimus

Chlorpromazine

Glipizide

Naproxen

Spironolactone

Cisapride

Glyburide

Nelfinavir

Tacrolimus

Ciprofloxacin

Griseofulvin

Ofloxacin

Talinolol

Cyclosporine

Ibuprofen

Oxaprozin

Tamoxifen

Danazol

Indinavir

Phenazopyridine

Terfenadine

Dapsone

Indomethacin

Phenytoin

Warfarin

Adapted from Wu and Benet (2005)

Adapted from Wu and Benet (2005)

Table 3.6. BCS class III compounds (high solubility, low permeability)

Acyclovir

Classification

Amiloride

Amoxicillin

Atenolol

Atropine

Bisphosphonates

Bidisomide

Bsc Classification

Captopril

Cefazolin

Cetirizine

Cimetidine

Ciprofloxacin

Cloxacillin

Dicloxacillin

Erythromycin

Famotidine

Fexofenadine

Folinic acid

Furosemide

Ganciclovir

Hydrochlorothiazide

Lisinopril

Methotrexate

Nadolol

Pravastatin

Penicillins

Ranitidine

Tetracycline

Trimethoprim

Valsartan

Zalcitabine

Adapted from Wu and Benet (2005)

Classification
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The BCS classification system is used to categorize drugs and serves to help anticipate whether drugs will have bioavailability/ bioequivalence problems. BCS classifies drugs according to their solubility and permeability. A drug is considered to have high solubility if drug substance at the highest dose strength for an immediate release formulation can be dissolved in < 250 mL of water over a pH range of 1-7.5. A high permeability drug is one that has either complete intestinal absorption (fa > 90%) or exhibits rapid movement through intestinal epithelia cells in vitro. BCS classifies all drugs into four categories as shown in Table 3.3.

Table 3.3. Biopharmaceutics classification system

BCS CLASS I High solubility High permeability

BCS CLASS III High solubility Low permeability

BCS CLASS II Low solubility High permeability

BCS CLASS IV Low solubility Low permeability

BCS class I compounds (high solubility and permeability) are unlikely to show bioavailability/bioequivalence issues. Therefore, for BCS class I drugs, in vitro dissolution studies are thought to provide sufficient information to assure in vivo product performance making full in vivo bioavailability/bioequivalence studies unnecessary. BCS class II and III drugs are not eligible for biowavers due to anticipated formulation differences in oral exposure. BCS class IV compounds, in general, are problematic with both poor solubility and permeability. The following tables (see Tables 3.4-3.7) contain lists of drugs that are categorized as BCS classes I to IV.

Table 3.4. BCS class I compounds (high solubility, high permeability)

Abacavir

Diazepam

Ketorolac

Phenobarbital

Acetaminophen

Diltiazem

Ketoprofen

Phenylalanine

Diphenhydramine

Labetolol

Prednisolone

Amiloride

Disopyramide

Primaquine

Amitryptyline

Doxepin

Levofloxacin

Promazine

Antipyrine

Doxycycline

Lidocaine

Propranolol

Atropine

Enalapril

Lomefloxacin

Quinidine

Ephedrine

Meperidine

Rosiglitazone

Caffeine

Ergonovine

Metoprolol

Salicylic acid

Captopril

Ethambutol

Metronidazole

Chloroquine

Ethinyl estradiol Kicad library location macon.

Midazolam

Valproic acid

Chlorpheniramine

Fluoxetine

Minocycline

Verapamil

Cyclophosphamide

Glucose

Misoprostol

Zidovudine

Desipramine

Imipramine

Nifedipine

Adapted from Wu and Benet (2005)

Adapted from Wu and Benet (2005)

Table 3.5. BCS class II compounds (low solubility, high permeability)

Amiodarone

Diclofenac

Itraconazole

Piroxicam

Atorvastatin

Diflunisal

Ketoconazole

Raloxifene

Azithromycin

Digoxin

Lansoprazole

Ritonavir

Carbamazepine

Erythromycin

Lovastatin

Saquinavir

Carvedilol

Flurbiprofen

Mebendazole

Sirolimus

Chlorpromazine

Glipizide

Naproxen

Spironolactone

Cisapride

Glyburide

Nelfinavir

Tacrolimus

Ciprofloxacin

Griseofulvin

Ofloxacin

Talinolol

Cyclosporine

Ibuprofen

Oxaprozin

Tamoxifen

Danazol

Indinavir

Phenazopyridine

Terfenadine

Dapsone

Indomethacin

Phenytoin

Warfarin

Adapted from Wu and Benet (2005)

Adapted from Wu and Benet (2005)

Table 3.6. BCS class III compounds (high solubility, low permeability)

Acyclovir

Amiloride

Amoxicillin

Atenolol

Atropine

Bisphosphonates

Bidisomide

Bsc Classification

Captopril

Cefazolin

Cetirizine

Cimetidine

Ciprofloxacin

Cloxacillin

Dicloxacillin

Erythromycin

Famotidine

Fexofenadine

Folinic acid

Furosemide

Ganciclovir

Hydrochlorothiazide

Lisinopril

Methotrexate

Nadolol

Pravastatin

Penicillins

Ranitidine

Tetracycline

Trimethoprim

Valsartan

Zalcitabine

Adapted from Wu and Benet (2005)

Table 3.7. BCS class IV compounds (low solubility, low permeability)

Amphotericin B

Furosemide

Chlorthalidone

Hydrochlorothiazide

Chlorothiazide

Mebendazole

Colistin

Methotrexate

Ciprofloxacin

Neomycin

Adapted from Wu and Benet (2005)

Adapted from Wu and Benet (2005)

Bcs Class 2 Drugs List

Continue reading here: Biopharmaceutics Drug Disposition Classification System BDDCS

Bcs Class 2 Anticancer Drug List

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