Nitrosamine impurities in medications: Test methods and test results

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The following testing methods have been developed by Health Canada and may serve as a potential testing option for regulators and industry to detect nitrosamine impurities in certain drug substances and drug products. These methods should be validated by the user if the resulting data are used to support a required quality assessment of the API or drug product, or if the results are used in a regulatory submission. Methods are subject to change as new information becomes available.

Test method for sartans or angiotensin II receptor blockers (ARBs)

Determination of N-nitrosodimethylamine (NDMA) and N-nitrosodiethylamine (NDEA) by GC-MS/MS (direct injection) in sartan finished products and drug substances

1. Principle and scope

The present method has been developed to detect and quantify the nitrosamine impurities N-nitrosodimethylamine (NDMA) and N-nitrosodiethylamine (NDEA) in valsartan, irbesartan and losartan finished products. The method is performed by gas chromatography-tandem mass spectrometry (GC-MS/MS) using direct injection.

The method can also be used to detect and quantify NDMA and NDEA in candesartan and olmesartan finished products, and in sartan drug substances (e.g., valsartan, irbesartan, losartan, candesartan and olmesartan). However, if interferences are observed, further validation may be required.

2. Reagents and reference standards

3. Instrument/Equipment

4. Preparation of solutions

Standard solutions
Reference standard stock solutions (as purchased)
  • NDMA standard solution in methanol (5000 ppm)
  • NDEA standard solution in methanol (100 ppm)
Internal reference standard stock solution (as purchased)
  • NDMA-d6 standard solution in methanol (1000 ppm)
Diluted standard solutions
NDMA standard solution (200 ppm):
Transfer 800 μL of NDMA reference solution (5000 ppm) into a 20 mL volumetric flask, dilute to volume with methanol.
Diluted standard solution (NDMA: 40 ppm, NDEA: 20 ppm):
Transfer 800 μL of NDMA standard solution (200 ppm) and 800 μL of NDEA reference solution (100 ppm) into a 4 mL volumetric flask, dilute to volume with methanol.
Internal standard solution-1 (20 ppm):
Transfer 500 μL of NDMA-d6 standard solution (1000 ppm) into a 25 mL volumetric flask, dilute to volume with methanol.
Internal standard solution-2 (0.2 ppm):
Transfer 5 mL of internal standard solution-1 (20 ppm) into a 500 mL volumetric flask, dilute to volume with methanol.
Calibration solutions
STD-12:
Transfer 500 μL of diluted standard solution (NDMA: 40 ppm, NDEA: 20 ppm) and 50 μL of internal standard solution-1 (20 ppm) into a 5 mL volumetric flask, dilute to volume with methanol. Mix well.
STD-7:
Transfer 1000 μL of STD-12 into a 20 mL volumetric flask, dilute to volume with internal standard solution-2 (0.2 ppm). Mix well. This solution will be used for the system suitability test and system drift check.
STD-11:
1:1 dilution of STD-12 with internal standard solution-2
STD-10:
1:1 dilution of STD-11 with internal standard solution-2
STD-9:
1:1 dilution of STD-10 with internal standard solution-2
STD-8:
3:2 dilution of STD-9 with internal standard solution-2
STD-6:
1:1 dilution of STD-7 with internal standard solution-2
STD-5:
1:1 dilution of STD-6 with internal standard solution-2
STD-4:
2:3 dilution of STD-5 with internal standard solution-2
STD-3:
1:1 dilution of STD-4 with internal standard solution-2
STD-2:
1:1 dilution of STD-3 with internal standard solution-2
STD-1:
2:3 dilution of STD-2 with internal standard solution-2
Concentration of calibration solutions:
Description NDMA concentration (µg/mL) NDEA concentration (µg/mL) NDMA-d6 concentration (µg/mL)
STD-1 0.002 0.001 0.2
STD-2 0.005 0.0025 0.2
STD-3 0.01 0.005 0.2
STD-4 0.02 0.01 0.2
STD-5 0.05 0.025 0.2
STD-6 0.1 0.05 0.2
STD-7 0.2 0.1 0.2
STD-8 0.3 0.15 0.2
STD-9 0.5 0.25 0.2
STD-10 1 0.5 0.2
STD-11 2 1 0.2
STD-12 4 2 0.2

For NDMA, STD-1 to STD-6 are used as working range from 0.002 - 0.1 µg/mL, and STD-6 to STD-12 are used as working range from 0.1 - 4.0 µg/mL.

For NDEA, STD-1 to STD-5 are used as working range from 0.001 - 0.025 µg/mL, and STD-5 to STD-11 are used as working range from 0.025 - 1.0 µg/mL.

The working ranges of NDMA and NDEA can be adjusted as needed.

Sample Preparation

For finished product:

Weigh NLT 20 tablets and calculate average tablet weight. Carefully grind NLT 20 tablets into fine powder using a mortar and pestle.

Prepare triplicate samples for each product. Accurately weigh an amount equivalent to 250 mg of drug substance of the homogenized sample powder into a screw cap round bottom glass tube.

Using an automatic pipette, add 5 mL of NDMA-d6 internal standard solution-2 to each sample tube. Tightly cap the tubes, sonicate for 5 minutes, and then vortex the rack of tubes on the multi-tube vortex mixer at 2000 rpm for five minutes.

Centrifuge the tubes for at least 5 minutes at 1500 rpm. Carefully remove the tubes from the centrifuge. Use a Pasteur pipette to transfer an aliquot from each tube to a 2 mL GC vial and cap.

Note: Method accuracy was assessed by recovery studies. Valsartan, irbesartan and losartan finished products were spiked with reference standard solution in the following way:

For samples with NDMA above 0.3 ppm and/or NDEA above 0.08 ppm:
Spike sample solution with the reference standard solution at concentration level close to sample concentration and calculate recovery.
For samples with NDMA below 0.3 ppm and/or NDEA below 0.08 ppm:
Spike sample solution with STD-3 (1:1) to get solution containing 0.05 ppm of NDMA and 0.025 ppm of NDEA. Check S/N and calculate the LOD and LOQ.

For drug substance:

Prepare triplicate samples for each substance. Accurately weigh 250 mg of the homogenized sample powder into a screw cap round bottom glass tube.

Continue as per the instructions above for finished product. Spiking to determine method accuracy is recommended.

5. Instrument operating parameters:

Suggested GC parameters:
Injector Settings:
Injector mode:
Pulsed Splitless
Injector temperature:
240°C
Flow rate:
1.8 mL/min
Septum purge flow:
3 mL/min
Purge Flow:
50 mL/min after 0.75 minutes
Injection volume:
2.0 µL
Oven program:
Initial Temp: 60°C
Hold: 2 minutes
Table 1. oven program
Ramp # Rate (°C/min) Final temp (°C) Hold time (min)
1 5 130 0
2 40 240 5
Total run time: 24 minutes
Suggested MS settings
MS transfer line (aux. temp):
250°C
Ion source:
EI
Source temperature:
250 °C
Solvent delay:
6 minutes
Stop time:
15 minutes
Quench gas:
Helium at 2.25 mL/min
Collision gas:
Nitrogen at 1.5 mL/min
Table 2. MS/MS parameters
Analyte Retention time (min) Segment Retention time window (min) Precursor ion (m/z) Product ion (m/z) CE
(V)
Resolution Dwell (ms)
NDMA-d6 (ISTD) 7.8 1 7.5-8.1 80 50 5 wide/wide 100
NDMA 7.8 1 7.5-8.1 74 42 15 wide/wide 100
74 44 4 100
NDEA 12.7 2 12.4-13.0 102 44 12 wide/wide 150
102 85 2 150

6. System suitability

The coefficient of determination (R2) for each calibration curve is NLT 0.995.

The signal-to-noise of the STD-1 (NDMA = 0.002 µg/mL; NDEA = 0.001 µg/mL) solution should be NLT 10.

7. Calculation

Construct calibration curves for NDMA and NDEA by plotting the ratio of response factor (NDMA or NDEA peak area divided by internal standard peak area) against standard concentration (µg/mL). Using the slopes and intercepts of the calibration curves, determine the content of NDMA and NDEA in each sample using the following equations.

For finished product:

The results, in ppm relative to the declared amount of sartan drug substance in the product, are given by:

Equation 1

(ppm) = [(y-b)÷m] x AVGwt x V ÷ Wtspl ÷ LC

Where,

y =
ratio of peak area of NDMA or NDEA to peak area of NDMA-d6
b =
intercept of the linear curve
m =
slope of the linear curve
Wtspl =
sample weight (g)
AVGwt =
average tablet weight (g)
LC =
label claim of sample (g)
V =
5 mL (volume)
Text description

Parts per million equals y minus b over m, which is the difference between the ratio of the peak area of the impurity to peak area of internal standard minus the intercept of the linear curve over the slope of the linear curve. This value is multiplied by average tablet weight, then multiplied by the volume, divided by the sample weight and then divided by the label claim of the sample.

For drug substance:

The results, in ppm relative to the drug substance being tested, are given by:

Equation 2

(ppm) = [(y-b)÷m] x V ÷ Wtspl

Where,

y =
Ratio of Peak Area of NDMA or NDEA to Peak Area of NDMA-d6
b =
intercept of the linear curve
m =
slope of the linear curve
Wtspl =
sample weight (g)
V =
5 mL (volume)
Text Description

Parts per million equals y minus b over m, which is the difference between the ratio of the peak area of the impurity to peak area of internal standard minus the intercept of the linear curve over the slope of the linear curve. This value is multiplied by the volume and then divided by the weight of the sample.

8. LOD and LOQ results

LOD/LOQ can be calculated using the S/N of the spiked sample solution (spiked with STD-3 at 1:1).

Theoretical LOD/LOQ:

If no spiked results are available, the theoretical LODs and LOQs can be calculated by using the S/N of STD-1 (NDMA: 0.002 µg/mL; NDEA 0.001 µg/mL).

For reference, the theoretical LOD/LOQ results at Health Canada are as follows:

Table 3. S/N of NDMA and NDEA of STD-1
Drug substance conc. µg/mL NDMA NDEA
µg/mL S/N LOD (calc.) ppm LOQ (calc.) ppm µg/mL S/N LOD (calc.) ppm LOQ (calc.) ppm
50 0.002 74 0.002 0.0054 0.001 55 0.002 0.0073

9. Sample chromatograms

Figure 1

Figure 1

Text description

The figure shows chromatograms of a sample showing typical peaks for NDMA and NDEA. The chromatograms are arranged in 4 rows.

  • The first row shows the Total Ion Current chromatogram from 6.0 to 15.0 minutes. There is a large peak at 8.5 minutes (labelled "matrix") and smaller peaks at 7.7 minutes (NDMA, NDMA-d6) and 12.6 minutes (NDEA).
  • The second row shows a Multiple Reaction Monitoring chromatogram (m/z 80.0 → 50.0) with a single peak at 7.735 minutes for the NDMA-d6 internal standard.
  • The third row shows two Multiple Reaction Monitoring chromatograms (m/z 74.0 → 44.0 and m/z 74.0 → 42.0) each with a single peak at 7.787 minutes for NDMA.
  • The fourth row shows two Multiple Reaction Monitoring chromatograms (m/z 102.0 → 85.0 and m/z 102.0 → 44.0) each with a single peak at 12.561 minutes for NDEA.

Figure 2. Chromatogram of STD-1

Figure 2

Text description

The figure shows chromatograms of the STD-1 standard solution. The chromatograms are arranged in 4 rows.

  • The first row shows the Total Ion Current chromatogram from 6.0 to 15.0 minutes. There is a large peak at 7.7 minutes (NDMA, NDMA-d6) and a small peak at 8.5 minutes (labelled "matrix").
  • The second row shows a Multiple Reaction Monitoring chromatogram (m/z 80.0 → 50.0) with a single peak at 7.715 minutes for the NDMA-d6 internal standard.
  • The third row shows two Multiple Reaction Monitoring chromatograms (m/z 74.0 → 44.0 and m/z 74.0 → 42.0) each with a single peak at 7.767 minutes for NDMA.
  • The fourth row shows two Multiple Reaction Monitoring chromatograms (m/z 102.0 → 85.0 and m/z 102.0 → 44.0) each with a single peak at 12.515 minutes for NDEA.

Test method for ranitidine products

Determination of N-nitrosodimethylamine (NDMA) in ranitidine products by UPLC-MS/MS

1. Principle and scope

The present method has been developed to detect and quantify N-nitrosodimethylamine
(NDMA) in ranitidine products by UPLC-tandem mass spectrometer (UPLC-MS/MS).

2. Reagents and reference standards

3. Instrument/Equipment

4. Preparation of solutions

Storage

Calibration and sample solutions are stored in refrigerator.

Mobile Phase Preparation
Diluent Preparation
Standard Solutions
Reference standard stock solutions (as purchased)
NDMA standard solution in methanol (200 ppm)
Calibration standard solutions
STD-1:
Transfer 50 µL of NDMA reference standard stock solution (200 ppm) into a 50 mL volumetric flask, dilute to volume with diluent. Mix well. This solution will be used as system suitability test and system drift check.
STD-2:
1:1 dilution of STD-1 with diluent. Mix well.
STD-3:
1:1 dilution of STD-2 with diluent. Mix well.
STD-4:
1:1 dilution of STD-3 with diluent. Mix well.
STD-5:
2:3 dilution of STD-4 with diluent. Mix well.
STD-6:
1:1 dilution of STD-5 with diluent. Mix well.
STD-7:
1:1 dilution of STD-6 with diluent. Mix well.
STD-8:
2:3 dilution of STD-7 with diluent. Mix well.
STD-9:
3:1 dilution of STD-8 with diluent. Mix well (LOD).
Table 1. Concentration of calibration solutions
Calibration standard solution NDMA concentration (ng/mL)
STD-1 200
STD-2 100
STD-3 50
STD-4 25
STD-5 10
STD-6 5
STD-7 2.5
STD-8 1
STD-9 0.75

R2 for calibration curve should be NLT 0.99.

Sample Preparation

Suggested sample preparation:

The concentration of samples (weight and/or volume) may be modified as required.

Suggested Recovery Spiking:

Spike samples: Spike sample solutions with reference standard solution in triplicate and check recoveries.

5. Instrument operating parameters

Suggested UPLC parameters:
Flow rate:
0.4 mL/min
Injection volume:
10.0 µL
Run time:
12.5 minutes
Table 2. Gradients
Time (min) Mobile phase A% Mobile phase B%
0 95 5
5 95 5
7 0 100
10 0 100
10.1 95 5
12.5 95 5
Suggested MS Parameters:
APCI probe temperature:
450°C
Source temperature:
150°C
Corona:
4.0 kV
Type:
MRM
Ion mode:
Positive
Span (Da):
0.3
Start time:
3.3 minutes
End time:
5.0 minutes

Run events:

Event 1:
0.00 min flow state: Waste
Event 2:
3.30 min flow state: LC
Event 3:
5.00 min flow state: Waste

Note: Flow state setting may be adjusted as necessary depending on the system to divert ranitidine to waste.

MRM Parameters:
Table 2. MRM parameters
Name Parent ion (m/z) Daughter ion (m/z Dwell (s) Cone (V) Collision cell (eV)
NDMA 75.1 42.9 0.3 22 10
NDMA 75.1 58.1 0.3 22 10

Note: Transition 75.1→58.1 is used for quantification; transition 75.1→42.9 usually has a higher background. It is possible to quantify by using another parent ion/daughter ion pair transition.

6. Calculation

The results, in ppm relative to the declared amount of drug substance in the product, are given by:

NDMA (ppm) = [(y-b)÷m] x AVGwt x V ÷ Wtspl ÷ LC

Where,

y =
peak area of NDMA
b =
intercept of the calibration curve
m =
slope of the calibration curve
AVGwt =
average tablet weight (mg)
V =
5 mL (volume)
Wtspl =
sample weight (mg)
LC =
label claim of sample (mg)
Equation - Text Description

NDMA in parts per million equals y minus b over m, which is the difference between the peak area of the impurity minus the intercept of the linear curve over the slope of the linear curve. This value is multiplied by average tablet weight, then multiplied by the volume, divided by the sample weight and then divided by the label claim of the sample.

7. Range, limit of detection (LOD), and limit of quantification (LOQ)

Table 3. range, LOD and LOQ
N/A NDMA (ng/mL) NDMA (ppm)Table 3 Footnote *
LOQ 1 0.033
LOD 0.75 0.025
Range 1 – 200 0.03 – 6.7
Table 3 Footnote *

ppm relative to the declared amount of drug substance in the product

Table 3 Return to footnote * referrer

8. Example of calibration curve and chromatograms

Figure 1. Calibration curve

Figure 1

Text description

The figure shows a calibration curve with concentration of the NDMA standard solutions on the x axis and response (in arbitrary units) on the y axis. There is a data point for each of the nine standard solutions listed in the method, connected by a straight line. The correlation coefficient is r2 = 0.999761, and the calibration curve equation is y = 257.934 x – 15.8397.

Figure 2. Chromatograms of 200 ppb standard: MRM and UV

Figure 2

Text description

The figure includes two panels. The panel on the left shows two Multiple Reaction Monitoring chromatograms (m/z 75.1 → 58.1 and m/z 75.1 → 42.9) of the STD-1 standard solution, each with a single peak at 4.05 minutes for NDMA. The panel on the right shows the UV chromatogram of the STD-1 standard solution. The portion of the chromatogram between 3.3 and 5.0 minutes (corresponding to the period when flow is routed to the MS detector) is relatively flat, while the rest of the chromatogram contains multiple peaks and baseline shifts.

Figure 3. Chromatogram of sample: MRM and UV

Figure 3

Text description

The figure includes two panels. The panel on the left shows two Multiple Reaction Monitoring chromatograms (m/z 75.1 → 58.1 and m/z 75.1 → 42.9) of a typical sample solution, each with a single peak at 4.01 minutes for NDMA. The panel on the right shows the UV chromatogram of a typical sample solution. The portion of the chromatogram between 3.3 and 5.0 minutes (corresponding to the period when flow is routed to the MS detector) is relatively flat, while the rest of the chromatogram contains multiple peaks and baseline shifts.

Test methods for metformin products

Determination of nitrosamine impurities in metformin products by UPLC-MS/MS

1. Principle and scope

The present method has been developed to detect and quantify the following nitrosamine impurities in Metformin products by UPLC with tandem mass spectrometer (UPLC-MS/MS): N-nitrosodimethylamine (NDMA), N-nitrosodiethylamine (NDEA), N-nitrosodiisopropylamine (NDIPA), N-ethyl-N-nitroso-isopropylamine (NEIPA), N-nitroso-di-N-butylamine (NDBA) and N-Nitroso-N-methyl-4-aminobutyric acid (NMBA).

2. Reagents and reference standards

3. Instrument/Equipment

4. Preparation of solutions

4.1 Storage

Calibration and sample solutions are stored in refrigerator.

4.2 Mobile phase preparation

4.3 Diluent preparation

4.4 Standard solutions

Reference Standard Stock Solutions (as purchased)
Suggested NMBA Stock Standard Solution (100 ppm) preparation

Accurately weigh 2.0 mg of NMBA to 20 mL volumetric flask. Dissolve and dilute to volume with methanol.

Note: The concentration of NMBA stock standard solution can be varied. The dilution for the preparation of the Intermediate Stock Standard Solution -1 and -2 can be calculated and adjusted accordingly to make the final concentration close to 200 ppb and 5 ppb.

Intermediate Stock Standard Solution-1 (200 ppb) preparation

Transfer 100 µL of NDMA reference standard stock solution (200 ppm), 200 µL of the other Nitrosamine reference standard stock solutions (100 ppm) and 200 µL of NMBA Stock Standard Solution (100 ppm) into a 100 mL volumetric flask, dilute to volume with diluent. Mix well.

Intermediate Stock Standard Solution-2 (5 ppb) preparation (STD-4)

Transfer 500 µL of Intermediate Stock Standard Solution-1 (200 ppb) into a 20 mL volumetric flask, dilute to volume with diluent. Mix well.

Suggested calibration standard solutions
STD solution Working solution Working solution Conc. (ppb) Volume of working solution (mL) Total vol. (mL) Nitrosamine STD conc. (ppb)
LOD Intermediate Stock Standard Solution-2 5 0.5 5 0.5
LOQ Intermediate Stock Standard Solution-2 5 0.75 5 0.75
STD-1 Intermediate Stock Standard Solution-2 5 1 5 1
STD-2 Intermediate Stock Standard Solution-2 5 2 5 2
STD-3 Intermediate Stock Standard Solution-2 5 3 5 3
STD-4 Intermediate Stock Standard Solution-2 5     5
STD-5 Intermediate Stock Standard Solution-1 200 0.25 5 10
STD-6 Intermediate Stock Standard Solution-1 200 0.375 5 15
STD-7 Intermediate Stock Standard Solution-1 200 0.5 5 20
STD-8 Intermediate Stock Standard Solution-1 200 0.625 5 25
STD-9 Intermediate Stock Standard Solution-1 200 1.25 5 50

R2 for calibration curve should be NLT 0.995.

STD-9 will be used for system suitability and system drift.

4.5 Sample preparation

Suggested Sample Preparation:

The concentration (weight and/or volume) of samples may be modified as required.

4.6 Suggested recovery spiking:

5. Instrument operating parameters

5.1 Suggested UPLC parameters:

Flow Rate:
0.4 mL/min
Injection Volume:
10.0 µL
Run Time:
30 min
Gradient Table:
Time (min) Mobile phase A % Mobile phase B %
0 95 5
5 95 5
22 0 100
27 0 100
28 95 5
30 95 5

5.2 Suggested MS parameters:

APCI probe Temp:
400°C
Source Temperature:
150°C
Corona:
4.0 kV
Type:
MRM
Ion mode:
Positive
Span (Da):
0
Start time:
3.5 min
End time:
21 min

Run Events:

Event 1: 0.00 min
Flow State: Waste
Event 2: 3.5 min
Flow State: LC
Event 3: 21 min
Flow State: Waste

Note: Flow state setting may be adjusted as necessary depending on the system to divert metformin to waste.

5.3 MRM parameters:

Name Time period (min) Parent ion (m/z) Daughter ion (m/z) Dwell (s) Cone (V) Collision cell (eV)
NDMA 3.5 – 6.0 75.0 43.1 0.1 30 10
75.0 58.0Table 11 Footnote * 0.1 30 8
NMBA 6.0 – 10.0 146.9 44.0 0.1 22 12
146.9 117.0Table 11 Footnote * 0.1 22 4
NDEA 10.0 – 13.0 103.0 47.1 0.1 30 12
103.0 75.0Table 11 Footnote * 0.1 30 10
NEIPA 12.8 – 15.0 117.0 47.0 0.1 26 14
117.0 75.0Table 11 Footnote * 0.1 26 10
NDIPA 14.6 – 17.0 131.0 43.1 0.1 26 10
131.0 89.0Table 11 Footnote * 0.1 26 6
NDBA 17.0 – 21.0 159.0 57.1 0.1 32 12
159.0 103.0Table 11 Footnote * 0.1 32 10
Table 11 Footnote *

Target ions used for calculation.

Table 11 Return to footnote * referrer

6. Calculation

The results, in ppm relative to the declared amount of drug substance in the product, are given by:

Nitrosamine impurity (ppm) = [(y-b)÷m] × AVGwt × V ÷ Wtspl ÷ LC

Where: Nitrosamine impurity refers to NDMA, NDEA, NEIPA, NDIPA NDBA or NMBA

y =
Peak Area of the nitrosamine impurity
b =
Intercept of the Linear Curve
m =
Slope of the Linear Curve
AVGwt =
Average Tablet Weight (mg)
V =
10 mL (volume)
Wtspl =
Sample Weight (mg)
LC =
Label claim of Sample (mg)
Equation - Text Description

Nitrosamine impurity in parts per million (ppm) equals y minus b over m, which is the difference between the peak area minus the intercept of the calibration curve over the slope of the calibration curve. This value is multiplied by average tablet weight, then multiplied by the volume, divided by the sample weight and then divided by the label claim of the sample.

7. Range, limit of detection (LOD) and limit of quantification (LOQ)

Comp. name Conc. (ng/mL) Conc. (ppmTable 12 Footnote *)
LOD LOQ Range LOD LOQ Range
NDMA 0.5 0.75 0.75 – 50 0.010 0.015 0.015 – 1.0
NDEA 0.1 0.5 0.5 – 50 0.002 0.010 0.010 – 1.0
NEIPA 0.1 0.5 0.5 – 50 0.002 0.010 0.010 – 1.0
NDIPA 0.1 0.5 0.5 – 50 0.002 0.010 0.010 – 1.0
NDBA 0.1 0.5 0.5 – 50 0.002 0.010 0.010 – 1.0
NMBA 0.25 0.5 0.5 – 50 0.005 0.010 0.010 – 1.0
Table 12 Note de bas de page *

ppm (ng/g) relative to the declared amount of Metformin in the product

Table 12 Retour à la référence de la note de bas de page *

8. Example chromatograms

Figure 1. MRM Chromatogram of 5 ppb standard - NDMA

figure 1

Text Description

The figure includes two rows. The top row shows an MRM chromatogram (m/z 75.0 → 58.0) of the 5 ppb NDMA standard while the bottom row shows an MRM chromatogram (m/z 75.0 → 43.1) of the 5 ppb NDMA standard. Each chromatogram displays a single peak at approximately 4.03 minutes.

Figure 2. MRM Chromatogram of 5 ppb standard - NMBA

figure 2

Text Description

The figure includes two rows. The top row shows an MRM chromatogram (m/z 146.9 → 117.0) of the 5 ppb NMBA standard while the bottom row shows an MRM chromatogram (m/z 146.9 → 44.0) of the 5 ppb NMBA standard. Each chromatograph displays a large peak at approximately 8.5 minutes and two smaller peaks at approximately 8.6 and 8.7 minutes. The presence of these extra peaks are likely due to the asymmetric structure of NMBA.

Figure 3. MRM Chromatogram of 5ppb standard - NDEA

figure 3

Text Description

The figure includes two rows. The top row shows an MRM chromatogram (m/z 103.0 → 75.0) of the 5 ppb NDEA standard while the bottom row shows an MRM chromatogram (m/z 103.0 → 47.1) of the 5 ppb NDEA standard. Each chromatogram displays a single peak at approximately 11.7 minutes.

Figure 4. MRM Chromatogram of 5 ppb standard – NEIPA

figure 4

Text Description

The figure includes two rows. The top row shows an MRM chromatogram (m/z 117.0.0 → 75.0) of the 5 ppb NEIPA standard while the bottom row shows an MRM chromatogram (m/z 117.0 → 47.0) of the 5 ppb NEIPA standard. Each chromatograph displays a large peak at approximately 13.8 minutes and a smaller shoulder peak at approximately 14.0 minutes. The presence of the shoulder is likely due to the asymmetric structure of NEIPA.

Figure 5. MRM Chromatogram of 5 ppb standard - NDIPA

figure 5

Text Description

The figure includes two rows. The top row shows an MRM chromatogram (m/z 131.0 → 89.0) of the 5 ppb NDIPA standard while the bottom row shows an MRM chromatogram (m/z 131.0 → 43.1) of the 5 ppb NDIPA standard. Each chromatograph displays a single peak at approximately 15.6 minutes.

Figure 6. MRM Chromatogram of 5 ppb standard - NDBA

figure 6

Text Description

The figure includes two rows. The top row shows an MRM chromatogram (m/z 159.0 → 103.0) of the 5 ppb NDBA standard while the bottom row shows an MRM chromatogram (m/z 159.0 → 57.1) of the 5 ppb NDBA standard. Each chromatograph displays a single peak at approximately 19.2 minutes.

Determination of N-nitrosodimethylamine Impurity in Metformin Products by GC-MS/MS

1. Principle and scope

The present method has been developed to detect and quantify N-nitrosodimethylamine (NDMA) impurity in Metformin products by GC-MS/MS.

2. Reagents and reference standards

3. Instrument/Equipment

4. Preparation of solutions

4.1 Storage

Calibration and sample solutions are stored in freezer.

4.2 Standard solutions

Reference standard solutions (as purchased)
NDMA stock solution-1 (1 ppm) preparation

Transfer 125 µL of NDMA reference standard solution (200 ppm) into a 25 mL volumetric flask, dilute to volume with Dichloromethane. Mix well.

Internal standard solution-1 (2 ppm) preparation

Transfer 100 µL of NDMA-d6 reference standard solution (1000 ppm) into a 50 mL volumetric flask, dilute to volume with Dichloromethane. Mix well.

Internal standard solution-2 (10 ppb) preparation

Transfer 2.5 mL of Internal Standard Solution-1 (2 ppm) into a 500 mL volumetric flask, dilute to volume with Dichloromethane. Mix well.

Calibration standard solutions
STD solution Volume of STD spiking
solution (uL)
Volume of
ISTD-1(uL)
Diluent Volumetric
flask (mL)
NDMA STD
conc. (ppb)
ISTD
conc. (ppb)
STD-1 500 (NDMA Stock Solution-1) 50 Dichloromethane 10 50 10
STD-2 250 (NDMA Stock Solution-1) 50 Dichloromethane 10 25 10
STD-3 100 (NDMA Stock Solution-1) 50 Dichloromethane 10 10 10
STD-4 50 (NDMA Stock Solution-1) 50 Dichloromethane 10 5 10
STD-5 25 (NDMA Stock Solution-1) 50 Dichloromethane 10 2.5 10
STD-6 50 (NDMA Stock Solution-1) 250 Dichloromethane 50 1 10
STD-7(LOQ) 5000(STD-6) 0 ISTD-2 10 0.5 10
LOD 1000(STD-6) 0 ISTD-2 10 0.1 10

4.3 Sample preparation

Sample preparation:

4.4 Recovery spiking:

5. Instrument operating parameters

5.1 GC parameters:

Injector settings:
Injector Mode:
Pulsed Splitless
Injector temperature:
240°C
Flow Rate:
1.3 mL/min
Septum Purge Flow:
10 mL/min
Purge Flow:
50 mL/min after 1 minute
Injection Volume:
2.0 µL
Oven Program:
Initial temperature:
60°C; Hold: 2 min
Ramp# Rate (°C /min) Final temp (ºC) Hold time (min)
1 20 220 2
2 60 240 3
Total Run Time:
15.33 min

5.2 MS parameters:

MS transfer line (Auxiliary temperature):
240°C
Ion Source:
EI
Source Temperature:
250°C
Solvent delay:
4 min
Stop time:
7 min
Quench gas:
Helium at 2.5 mL/min
Collision gas:
Nitrogen at 1.5 mL/min

5.3 MRM parameters:

Name Retention time
(min)
Precursor ion (m/z) Product ion (m/z) Left delta RT Right delta RT Resolution (MS1 and MS2) CE Dwell (ms)
NDMA 5.8 74 42 1.0 1.2 Unit/wide 7 165.8
74 44Footnote * 1.0 1.2 Unit/wide 4 165.8
NDMA-d6 5.8 80.1 50.1 1.0 1.2 Unit/wide 5 165.8

Table notes

Table Note *

Target ions used for calculation.

Return to tablenote 1 referrer

6. Calculation

The results, in ppm relative to the declared amount of drug substance in the product, are given by:

Where:

Nitrosamine impurity, NDMA, (ppm) = [(y-b)÷m] × AVGwt × V ÷ Wtspl ÷ LC

y =
ratio of peak area of NDMA to peak area of NDMA-d6
b =
Intercept of the Linear Curve
m =
Slope of the Linear Curve
Wtspl =
Sample Weight (mg)
AVGwt =
Average Tablet Weight (mg)
LC =
Label claim of Sample (mg)
V =
10 mL (volume)
Equation - Text Description

Nitrosamine impurity in parts per million (ppm) equals y minus b over m, which is the difference between the peak area minus the intercept of the calibration curve over the slope of the calibration curve. This value is multiplied by average tablet weight, then multiplied by the volume, divided by the sample weight and then divided by the label claim of the sample.

7. Range, limit of detection (LOD) and limit of quantification (LOQ)

Comp. name Conc. (ng/mL) Conc. (ppmTable x Footnote *)
LOD LOQ Range LOD LOQ Range
NDMA 0.1 0.5 0.5-50 0.002 0.01 0.01-1.00
Table Note

ppm (ug/g) relative to the declared amount of Metformin in the product

Return to footnote * referrer

8. Example chromatograms

Figure 1. Chromatogram of STD-4 (1ppb NDMA standard)

Chromatogram of STD-4 (1ppb NDMA standard)

Text Equivalent

The figure shows chromatograms of a sample showing typical peaks for NDMA and NDMA-d6. The chromatograms are arranged in three rows.

  • The first row shows the Total Ion Chromatogram from 5.6 to 6.25 minutes. There is a large peak at 5.853 minutes (NDMA-d6) and another large peak at 5.872 minutes (NDMA).
  • The second row shows a Multiple Reaction Monitoring chromatogram (m/z 74.0 → 44.0) with a peak at 5.872 minutes for NDMA.
  • The third row shows a Multiple Reaction Monitoring chromatogram (m/z 80.1 → 50.1) with a single peak at 5.853 minutes for the NDMA-d6 internal standard.

Figure 2. Sample chromatogram

Sample Chromatogram

Text Equivalent

The figure shows chromatograms of a sample showing typical peaks for NDMA and NDMA-d6. The chromatograms are arranged in three rows.

  • The first row shows the Total Ion Chromatogram from 5.7 to 6.4 minutes. There is a large peak at 5.861 minutes (NDMA-d6), a small peak at 5.889 minutes (NDMA), and a matrix related peak at 6.32 minutes.
  • The second row shows a Multiple Reaction Monitoring chromatograms (m/z 74.0 → 44.0) with a peak at 5.889 minutes for NDMA and a large matrix related peak at 6.3 minutes.
  • The third row shows a Multiple Reaction Monitoring chromatogram (m/z 80.1 → 50.1) with a single peak at 5.861 minutes for the NDMA-d6 internal standard.

Test results for sartans or angiotensin II receptor blockers (ARBs)

Health Canada has tested samples of ARBs on the Canadian market for NDMA and NDEA. The results, found in the table below, indicate:

We will continue to assess new developments to determine whether more testing is necessary.

Market authorization holder (Company) name Product name and DIN Strength
(mg)
Lot number Expiry date NDMA result
ng/tablet
NDEA result
ng/tablet
Recalled in Canada Date added
Accel Pharma Inc. ACCEL-CANDESARTAN
DIN 02463784
32 1805003937 2020-02-29 Not Detected Not Detected No December 20, 2018
Actavis Pharma Company ACT VALSARTAN
DIN 02337517
320 K44166 2018-07-31 15242.72Table 1 Footnote 1 12.78 Yes December 20, 2018
Actavis Pharma Company ACT VALSARTAN
DIN 02337517
320 K45371 2018-10-31 10770.86Table 1 Footnote 1 186.67Table 1 Footnote 1 Yes December 20, 2018
Actavis Pharma Company ACT- OLMESARTAN
DIN 02442205
40 F83746 2020-03-31 Not Detected Not Detected No December 20, 2018
Angita Pharma Inc. AG-IRBESARTAN
DIN 02474417
300 IE317017AR 2019-10-31 Not Detected Not Detected No December 20, 2018
Apotex Inc. APO-OLMESARTAN/HCTZ
DIN 02453614
40/12.5 NF7704 2019-02-28 Not Detected Not Detected No December 20, 2018
Apotex Inc. APO-OLMESARTAN/HCTZ
DIN 02453614
40/12.5 NN7635 2019-12-31 Not Detected Not Detected No December 20, 2018
Apotex Inc. APO-LOSARTAN/HCTZ
DIN 02371235
50/12.5 NL1445 2019-08-31 Not Detected Not Detected No December 20, 2018
Apotex Inc. APO-LOSARTAN
DIN 02353512
100 NL1461 2019-08-31 Not Detected Not Detected No December 20, 2018
AstraZeneca Inc. ATACAND – CANDESARTAN
DIN 02311658
32 KL0275 2021-04-30 Not Detected Not Detected No December 20, 2018
Auro Pharma Inc. AURO-CANDESARTAN HCT
DIN 02421046
32/12.5 WKSA18004-A 2020-07-29 Not Detected Not Detected No December 20, 2018
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406098
75 IA7517001-A 2020-06-30 Not Detected 4.7 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406098
75 IA7517002-A 2020-11-05 Not Detected 4.44 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406098
75 IA7517003-A 2020-11-05 Not Detected 4.61 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406101
150 IA1517002-A 2020-10-31 Not Detected 9.77 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406101
150 IA1517001-A 2020-06-30 Not Detected 13.63Table 1 Footnote 2 NoTable 1 Footnote 2 April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406101
150 IA1517003-A 2020-10-31 Not Detected 8.97 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406128
300 IA3017001-A 2020-06-30 Not Detected 27.81Table 1 Footnote 2 NoTable 1 Footnote 2 April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406128
300 IA3017003-A 2020-10-31 Not Detected 17.47 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN
DIN 02406128
300 IA3017002-A 2020-10-31 Not Detected 19.6 No April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN HCT
DIN 02447894
300/25 IN3018001-A 2020-04-06 Not Detected 26.78Table 1 Footnote 2 NoTable 1 Footnote 2 April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN HCT
DIN 02447886
300/12.5 IR3018001-A 2020-04-06 Not Detected 30.29 This lot was never distributed April 29, 2019
Auro Pharma Inc. AURO-IRBESARTAN HCT
DIN 02447878
150/12.5 IN1518001-A 2020-04-06 Not Detected 15.82Table 1 Footnote 1 Yes April 29, 2019
Auro Pharma Inc. AURO-OLMESARTAN
DIN 02443872
40 WOSB18004-A 2020-01-12 Not Detected Not Detected No December 20, 2018
Auro Pharma Inc. AURO-LOSARTAN
DIN 02403358
100 WB1018003-A 2021-03-15 Not Detected Not Detected No December 20, 2018
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414201
40 VWSA17003-A 2019-10-31 Not Detected 1.41 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414201
40 VWSA18007-A 2020-08-24 Not Detected 1.07 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414201
40 VWSA18003-A 2020-08-23 Not Detected 1.04 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414228
80 VWSB17010-A 2019-07-31 Not Detected Not Detected No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414228
80 VWSB17011-A 2019-07-31 Not Detected Not Detected No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414236
160 VWSC17001-A 2018-12-31 Not Detected < 3.20 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414236
160 VWSC17005-A 2019-05-31 Not Detected < 3.20 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414236
160 VWSC18002-A 2020-01-19 Not Detected 4.58 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414236
160 VWSC18001-A 2020-01-19 < 6.40 4.39 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414236
160 VWSC18016-A 2020-08-24 Not Detected 4.7 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414244
320 VWSD17001-B 2019-05-31 Not Detected Not Detected No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414244
320 VWSD18005-A 2020-08-25 Not Detected 12.14 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414244
320 VWSD18001-A 2020-04-15 Not Detected 8.56 No January 16, 2019
Auro Pharma Inc. AURO-VALSARTAN
DIN 02414244
320 VWSD18001-A 2020-04-15 Not Detected 8.61 No December 20, 2018
Auro Pharma Inc. AURO-VALSARTAN HCT
DIN 02408112
80/12.5 HHSA18001-A 2021-08-02 Not Detected 1.88 No January 16, 2019
Jamp Pharma Corp JAMP-OLMESARTAN
DIN 02461668
40 MC218002A 2020-04-30 Not Detected Not Detected No December 20, 2018
Jamp Pharma Corp JAMP-LOSARTAN-HCTZ
DIN 02408252
100/25 LY218001A 2019-06-30 Not Detected Not Detected No December 20, 2018
Jamp Pharma Corp JAMP-IRBESARTAN
DIN 02418215
300 IE318005A 2020-03-31 Not Detected Not Detected No December 20, 2018
Merck Canada Inc. OLMETEC – OLMESARTAN
DIN 02318679
40 N021852 2020-04-30 Not Detected Not Detected No December 20, 2018
Mint Pharmaceuticals Inc. MINT-LOSARTAN/HCTZ DS
DIN 02389673
100/25 1805009844 2021-07-31 Not Detected Not Detected No December 20, 2018
Mylan Pharmaceuticals ULC MYLAN-VALSARTAN
DIN 02383527
40 3048813 2017-11-30 < 1.60 8.32 Yes January 16, 2019
Mylan Pharmaceuticals ULC MYLAN-VALSARTAN
DIN 02383535
80 3056368 2019-06-30 < 3.20 22.43 Yes January 16, 2019
Mylan Pharmaceuticals ULC MYLAN-VALSARTAN
DIN 02383543
160 3056371 2019-06-30 Not Detected 62.76 Yes January 16, 2019
Mylan Pharmaceuticals ULC MYLAN-VALSARTAN
DIN 02383551
320 3048815 2017-11-30 Not Detected 132.77 Yes January 16, 2019
Novartis Pharmaceuticals Canada Inc. DIOVAN
DIN 02289504
320 BEK32 2021-07-31 Not Detected Not Detected No December 20, 2018
Pharmascience Inc. PMS-CANDESARTAN HCTZ
DIN 02391295
16 615170 2020-04-30 Not Detected Not Detected No December 20, 2018
Pharmascience Inc. PMS-LOSARTAN
DIN 02309777
100 613936 2021-03-31 Not Detected 10.41 No December 20, 2018
Pharmascience Inc. PMS-LOSARTAN-HCTZ
DIN 02392232
100/12.5 0803847 2020-06-30 Not Detected Not Detected No December 20, 2018
Pharmascience Inc. PMS-IRBESARTAN
DIN 02317087
300 615908 2021-03-31 Not Detected Not Detected No December 20, 2018
Pharmascience Inc. PMS-IRBESARTAN-HCTZ
DIN 02328526
300/12.5 606524 2018-11-30 Not Detected Not Detected No December 20, 2018
Pharmascience Inc. PMS-IRBESARTAN-HCTZ
DIN 02328526
300/12.5 611016 2019-11-30 Not Detected Not Detected No December 20, 2018
Ranbaxy Pharmaceuticals Canada Inc. RAN-VALSARTAN
DIN 02363119
160 2884804 2019-05-31 Not Detected Not Detected No December 20, 2018
Sandoz Canada Inc. SANDOZ CANDESARTAN
DIN 02417340
32 JC3223 2020-06-30 Not Detected Not Detected No December 20, 2018
Sandoz Canada Inc. SANDOZ CANDESARTAN PLUS
DIN 02420732
32 HY8217 2020-04-30 Not Detected Not Detected No December 20, 2018
Sandoz Canada Inc. SANDOZ OLMESARTAN
DIN 02443422
40 HX2039 2020-02-28 Not Detected Not Detected No December 20, 2018
Sandoz Canada Inc. SANDOZ LOSARTAN
DIN 02313359
100 JD6746 2020-04-30 Not Detected Not Detected No December 20, 2018
Sandoz Canada Inc. SANDOZ VALSARTAN
DIN 02356775
320 HW4965 2020-12-31 2703.76Table 1 Footnote 1 Not Detected Yes December 20, 2018
Sandoz Canada Inc. SANDOZ IRBESARTAN
DIN 02328496
300 HX4282 2020-01-31 Not Detected Not Detected No December 20, 2018
Sandoz Canada Inc. SANDOZ IRBESARTAN
DIN 02328496
300 JD1818 2020-05-31 Not Detected Not Detected No December 20, 2018
Sanis Health Inc. IRBESARTAN
DIN 02372398
300 35213058A 2019-12-31 Not Detected Not Detected No December 20, 2018
Sanofi-Aventis Canada Inc. AVAPRO – IRBESARTAN
DIN 02237925
300 KC001 2020-01-31 Not Detected Not Detected No December 20, 2018
Septa Pharmaceuticals Inc. SEPTA-LOSARTAN
DIN 02424983
100 LR318004A 2020-03-31 Not Detected Not Detected No December 20, 2018
Sivem Pharmaceuticals Inc. LOSARTAN HCT
DIN 02388987
100/25 QX1018005-B 2021-06-08 Not Detected Not Detected No December 20, 2018
Sivem Pharmaceuticals Inc. IRBESARTAN
DIN 02385309
300 HX7687 2019-12-31 Not Detected Not Detected No December 20, 2018
Sivem Pharmaceuticals Inc. IRBESARTAN HCT
DIN 02385325
300/12.5 HY7380 2020-11-30 Not Detected Not Detected No December 20, 2018
Teva Canada Limited TEVA-CANDESARTAN
DIN 02366339
32 2537058 2020-05-31 Not Detected Not Detected No December 20, 2018
Teva Canada Limited TEVA-LOSARTAN
DIN 02357976
100 2070318 2021-03-31 Not Detected Not Detected No December 20, 2018
Teva Canada Limited TEVA-LOSARTAN/HCTZ
DIN 02358263
50/12.5 35349397A 2020-09-30 Not Detected 10.3 No December 20, 2018
Teva Canada Limited TEVA-IRBESARTAN
DIN 02316412
300 35213086A 2019-12-31 Not Detected Not Detected No December 20, 2018
Teva Canada Limited TEVA-VALSARTAN
DIN 02356686
320 35211729R 2019-03-31 Not Detected Not Detected No December 20, 2018
Teva Canada Limited TEVA-VALSARTAN/HCTZ
DIN 02357038
320/12.5 35212732 2019-10-31 14538.35Table 1 Footnote 1 Not Detected This lot was never distributed December 20, 2018
Teva Canada Limited TEVA-VALSARTAN/HCTZ
DIN 02357038
320/12.5 35211546R 2019-01-31 258.19Table 1 Footnote 1 1770.87 Yes December 20, 2018
Teva Canada Limited TEVA-VALSARTAN/HCTZ
DIN 02357046
320/25 35212731R 2019-11-30 13367.64Table 1 Footnote 1 Not Detected Yes December 20, 2018
Table 1 Footnote 1

Indicates interim acceptable limits were exceeded based on NDMA limit of 96ng/day and NDEA limit of 26.5 ng/day. These values are based on a drug's maximum daily dose as reflected on the drug label.

Table 1 Return to footnote 1 referrer

Table 1 Footnote 2

The levels of nitrosamine impurities detected in this lot were very close to the acceptable limit. We determined that products from this lot don't represent a risk to Canadians and are safe to use.

Table 1 Return to footnote 2 referrer

Test results for ranitidines

Health Canada has tested samples of ranitidine products on the Canadian market for NDMA. We established an interim acceptable concentration limit of 0.32 ppm for NDMA based on a maximum recommended daily dose of 300 mg.

The results, found in the table below, indicate:

We will continue to assess new developments to determine whether more testing is necessary.

Market authorization holder (Company) name Product name and DIN Strength (mg) Lot number Expiry date NDMA (ppm)Table 2 Footnote 1 Product recalled
Laboratoire Riva Inc OPTION+ Acid Reducer (75 mg) DIN 02452464 75 612043-B 2020-05-30 0.1099 Yes
Pharmascience Inc LIFE BRAND Acid Reducer (150 mg) DIN 02400103 150 617496 2020-10-31 0.0816 Yes
Pharmascience Inc REXALL
Acid Reducer 02247551
75 611186D 2020-04-30 0.4779Table 2 Footnote 2 Yes
Pharmascience Inc Equate Acid Reducer 02293471 150 618318 2020-10-31 0.0707 Yes
Sanofi Consumer Health Inc Sanofi Sante Grand Public Inc ZANTAC 02230287 75 AK4388 2021-11-30 0.2452 Yes
Sanofi Consumer Health Inc Sanofi Sante Grand Public Inc ZANTAC 02277301 150 AK6951 2021-01-31 0.0904 Yes
Vita Health Products Inc Equate Acid Reducer 02298740 75 8E228B4RKB 2020-06-30 0.1246 Yes
Vita Health Products Inc Equate Acid Reducer 02298902 150 6152524N3J 2020-12-31 0.0526 Yes
Table 2 Footnote 1

Relative to declared amount of ranitidine

Table 2 Return to footnote 1 referrer

Table 2 Footnote 2

NDMA limit exceeded based on ranitidine's maximum recommended daily dose of 300 mg

Table 2 Return to footnote 2 referrer

Test results for metformin

Health Canada has tested samples of metformin products on the Canadian market for NDMA. We established an interim acceptable concentration limit of 0.0376 ppm for NDMA for drug products with a maximum daily dose of 2.55 g/day, and 0.048 ppm for drug products with a maximum daily dose of 2 g/day.

The results, found in the table below, indicate:

We will continue to assess new developments to determine whether more testing is necessary.

Market authorization holder (Company) name Product name and DIN Strength (mg) Lot number Expiry date NDMA (ppm)Table 3 Footnote 1 Product recalled
Apotex Inc Apo-Metformin ER 02305062 500 PK3968 2020-09-30 0.044 ppm Yes
Apotex Inc Apo-Metformin ER 02460653 1000 PY5749 2021-03-31 NDTable 3 Footnote 2 No
Astrazeneca Canada Inc Xigduo 02449943 5/1000 X1032A 2022-07-31 ND No
Astrazeneca Canada Inc Komboglyze 02389185 2.5/1000 RB696 2022-04-30 ND No
Auro Pharma Inc Auro-Metformin 02438283 850 MR19008-85A 2022-04-15 ND No
Auro Pharma Inc Auro-Metformin 02438275 500 MR19054-50A 2022-04-28 ND No
Boehringer Ingelheim (Canada) Ltd Ltee Jentadueto 02403250 2.5/500 960201 2021-11-05 ND No
Boehringer Ingelheim (Canada) Ltd Ltee Jentadueto 02403277 2.5/1000 960205 2022-05-19 ND No
Boehringer Ingelheim (Canada) Ltd Ltee Jentadueto 02403269 2.5/850 958144 2022-03-26 ND No
Boehringer Ingelheim (Canada) Ltd Ltee Synjardy 02456591 5/1000 960496 2022-04-13 ND No
Dominion Pharmacal Dom-Metformin [Metformin 850] 02242726 850 624624 2021-09-30 ND No
Jamp Pharma Corporation Jamp-Metformin 02380218 850 X20386 2020-07-31 ND Yes
Janssen Inc Invokamet 02455455 150/1000 JIL0T01 2022-04-30 ND No
Laboratoire Riva Inc Riva-Metformin 02242783 850 C8385 2020-12-31 ND No
Merck Canada Inc Janumet Xr 02416786 50/500 R017925 2020-04-22 Detected; < LOQTable 3 Footnote 3 No
Merck Canada Inc Janumet 02333872 50/1000 R017774 2020-04-20 ND No
Merck Canada Inc Janumet 02333864 50/850 R031038 2020-08-12 ND No
Merck Canada Inc Janumet 02333856 50/500 N020597 2020-04-30 ND No
Merck Canada Inc Janumet Xr 02416794 50/1000 R015954 2020-04-21 Detected; < LOQ No
Merck Canada Inc Janumet Xr 02416808 100/1000 R019378 2020-04-28 Detected; < LOQ No
Mint Pharmaceuticals Inc Mint-Metformin 02388774 850 XB10217 2020-05-31 Detected; < LOQ No
Mylan Pharmaceuticals Ulc Mylan-Metformin [Metformin 850] 02229656 850 4680005A 2020-08-31 ND No
Pharmascience Inc Pms-Metformin [Metformin 850] 02242589 850 624407 2021-08-31 ND No
Pharmascience Inc Pms-Metformin -Tab 500mg [Metformin 500] 02223562 500 624584 2021-08-31 ND No
Pro Doc Limitee Pro-Metformin 02314894 850 624623 2021-09-30 ND No
Ranbaxy Pharmaceuticals Canada Inc. Ran-Metformin 02269058 850 AJZ8003A 2020-04-30 Detected; < LOQ No
Sandoz Canada Incorporated Sandoz Metformin Fc 02246820 500 HZ0133 2020-11-30 ND No
Sandoz Canada Incorporated Sandoz Metformin Fc 02246820 500 HT4634 2020-07-31 ND No
Sandoz Canada Incorporated Sandoz Metformin Fc 02246820 500 JD7946 2021-06-30 ND No
Sandoz Canada Incorporated Sandoz Metformin Fc 02246820 500 HL3031 2020-08-31 ND No
Sandoz Canada Incorporated Sandoz Metformin Fc 02246821 850 JR3918 2022-01-31 ND No
Sanis Health Inc Metformin 02353385 850 JJ1245 2021-05-31 ND No
Sanis Health Inc Metformin 02353385 850 JD0660 2021-05-31 ND No
Sanis Health Inc Metformin 02353377 500 JN3158 2021-10-31 ND No
Sanofi-Aventis Canada Inc Glucophage 02162849 850 8123285 2022-08-31 ND No
Sivem Pharmaceuticals Ulc Metformin Fc 02385341 500 JW5467 2022-04-30 ND No
Sivem Pharmaceuticals Ulc Metformin Fc 02385368 850 JR3921 2022-01-31 ND No
Sivem Pharmaceuticals Ulc Metformin Fc 02385368 850 JW8773 2022-05-31 ND No
Takeda Canada Inc Kazano 02417235 12.5/1000 11616020 2021-05-31 ND No
Teva Canada Limited Ratio-Metformin 02242931 850 35212386A 2020-03-31 ND No
Teva Canada Limited Act Metformin 02257726 500 4770082F 2021-05-31 ND No
Teva Canada Limited Act Metformin 02257734 850 4780009F 2020-10-31 ND No
Valeant Canada Lp/Valeant Canada S.E.C. Glumetza 02300451 1000 19L031P 2022-10-31 0.032 ppm No
Table 3 Footnote 1

Relative to declared amount of metformin

Table 3 Return to footnote 1 referrer

Table 3 Footnote 2

Under the limit of detection

Table 3 Return to footnote 2 referrer

Table 3 Footnote 3

Under the limit of quantification

Table 3 Return to footnote 3 referrer

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