Skip to main content

Table 1 UK licensed medicines that contain DBP, DEP and/or PVAP and respective maximum daily exposures relative to proposed EMA guidelines

From: Review: UK medicines likely to be affected by the proposed European Medicines Agency’s guidelines on phthalates

Trade Name (generic name)

License holder

Phthalate

Phthalate content (mg) per tablet/capsule

Maximum licensed daily dose of drug

Phthalate (mg) at maximum daily dose

Chronic/Acute

Use in pregnancy

Phthalate in tablet/capsule/liquid formulation

       

Asacol 800 mg MR Tablets (mesalazine)

Warner Chilcott UK Ltd

DBP

8.00c

4.8 mg

48.00

Chronic

Benefit>Risk

Coracten XL 30 mg (Nifedipine)

UCB Pharma Ltd

DBP

0.14

90 mg

0.42

Chronic

No

Coracten XL 60 mg (Nifedipine)

UCB Pharma Ltd

DBP

0.28

90 mg

0.28

Chronic

No

Occlusal (Salicylic acid)

Alliance Pharmaceuticals

DBP

N/A

RTD

RTD

Acute

Benefit>Risk

Timodine Cream (Nystatin, Dimeticone, Hydrocortisone & Benzalkonium Chloride)

Alliance Pharmaceuticals

DBP

N/A

RTD

RTD

Acute

No

Vivotif (Salmonella enterica serovar Typhi)

Crucell Italy S.r.l

DBP / DEP

8.00 / 8.00

1 tablet

8.00 / 8.00

Acute

Benefit>Risk

Kenzem 120 mg SR Capsules (Diltiazem hydrochloride)

Kent Pharmaceuticals

DEP

NR

480 mg

NR

Chronic

No

Kenzem 90 mg SR Capsules (Diltiazem hydrochloride)

Kent Pharmaceuticals

DEP

NR

480 mg

NR

Chronic

No

Kenzem 60 mg SR Capsules (Diltiazem hydrochloride)

Kent Pharmaceuticals

DEP

NR

480 mg

NR

Chronic

No

Omeprazole 40 mg Gastro-resistant Capsules, Hard (Omeprazole)

Accord Healthcare Ltd

DEP

0.15

120 mg

0.45

Chronicd

Yes

Omeprazole 20 mg Gastro-resistant Capsules, Hard (Omeprazole)

Accord Healthcare Ltd

DEP

0.15

120 mg

0.90

Chronicd

Yes

Reminyl XL 24 mg Prolonged Release Capsules (Galantamine)

Shire Pharmaceuticals Ltd

DEP

NR

24 mg

NR

Chronic

Benefit>Risk

Reminyl XL 16 mg Prolonged Release Capsules (Galantamine)

Shire Pharmaceuticals Ltd

DEP

NR

24 mg

NR

Chronic

Benefit>Risk

Reminyl XL 8 mg Prolonged Release Capsules (Galantamine)

Shire Pharmaceuticals Ltd

DEP

NR

24 mg

NR

Chronic

Benefit>Risk

Rheumatac Retard 75 mg Tablets (Diclofenac sodium)

Adipharm Mercury Company Ltd

DEP

0.95

150 mg

1.90

Acute

No

Surgical Spirit BP (Virgin castor oil & Methyl salicylate

Thornton & Ross Ltd

DEP

N/A

N/A

UTQ

Acute

Benefit>Risk

Videx EC 400 mg Gastro-resistant Capsules (Didanosine)

Bristol-Myers Squibb Pharmaceuticals Ltd

DEP

RTD

400 mg

RTD

Chronic

Benefit>Risk

Videx EC 250 mg Gastro-resistant Capsules (Didanosine)

Bristol-Myers Squibb Pharmaceuticals Ltd

DEP

RTD

400 mg

RTD

Chronic

Benefit>Risk

Videx EC 200 mg Gastro-resistant Capsules (Didanosine)

Bristol-Myers Squibb Pharmaceuticals Ltd

DEP

RTD

400 mg

RTD

Chronic

Benefit>Risk

Videx EC 125 mg Gastro-resistant Capsules (Didanosine)

Bristol-Myers Squibb Pharmaceuticals Ltd

DEP

RTD

400 mg

RTD

Chronic

Benefit>Risk

Volsaid Retard 100 mg Tablets (Diclofenac Sodium)

Chiesi Ltd

DEP

1.27

100 mg

1.27

Acute

No

Volsaid Retard 75 mg Tablets (Diclofenac Sodium)

Chiesi Ltd

DEP

0.95

150 mg

1.90

Acute

No

Boots Constipation Relief Tablets 40s (Bisacodyl)

Dr. Reddy’s Laboratories (UK) Ltd

DEP

NR

2 tablets

NR

Acute

No

Epilim 500 Gastro-resistant Tablets (Sodium valproate)

Sanofi

DEP / PVAP

2.31 / 23.31

2500 mg

11.55 / 116.55

Chronic

No

Epilim 200 Gastro-resistant Tablets (Sodium valproate)

Sanofi

DEP / PVAP

1.23 / 12.43

2500 mg

14.76 / 149.16

Chronic

No

Zentiva 500 mg Gastro-resistant Tablets (Sodium valproate)

Winthrop Pharmaceuticals UK Ltd

DEP / PVAP

2.31 / 23.31

2500 mg

11.55 / 116.55

Chronic

No

Zentiva 200 mg Gastro-resistant Tablets (Sodium valproate)

Winthrop Pharmaceuticals UK Ltd

DEP / PVAP

1.23 / 12.43

2500 mg

14.76 / 149.16

Chronic

No

Boots Alternatives Laxative Tablets (Senna, Aloin, Cascara bark extract)

G.R. Lane Health Products Ltd

PVAP

2.10

2 tablets

4.20

Acute

No

Boots Period Pain Relief 250 mg Gastro-resistant Tablets (Naproxen)

Teva UK Ltd

PVAP

NR

500 mg

NR

Acute

No

Deltacortril 2.5 mg Gastro-resistant Tablets (Prednisolone)

Alliance Pharmaceuticals

PVAP

RTD

60 mg

RTD

Chronicd

Benefit>Risk

Deltacortril 5 mg Gastro-resistant Tablets (Prednisolone)

Alliance Pharmaceuticals

PVAP

RTD

60 mg

RTD

Chronicd

Benefit>Risk

Disipal 50 mg Tablets (Orphenadrine hydrochloride)

Astellas Pharma Ltd

PVAP

17.30

400 mg

138.40

Chronic

Benefit>Risk

Feminax Ultra 250 mg Gastro-resistant Tablets (Naproxen)

Teva UK Ltd

PVAP

NR

750 mg

NR

Acute

No

Ferrous Gluconate 300 mg Tablets (Ferrous gluconate)

Kent Pharmaceuticals

PVAP

NR

1800 mg

NR

Chronicd

Yes

Nardil 15 mg Tablets (Phenelzine)

Archimedes Pharma UK Ltd

PVAP

1.42

90 mg

8.52

Chronic

No

Prednisolone 5 mg Gastro-resistant Tablets (Prednisolone)

Actavis UK Ltd

PVAP

12.00

60 mg

144.00

Chronicd

Benefit>Risk

Prednisolone 2.5 mg Gastro-resistant Tablets (Prednisolone)

Actavis UK Ltd

PVAP

12.00

60 mg

288.00

Chronicd

Benefit>Risk

Pancrex Granules (Pancreatin)

Essential Pharmaceuticals Ltd

PVAP

RTD

variablea

RTD

Chronic

Benefit>Risk

Pancrex V Tablets (Pancreatin)

Essential Pharmaceuticals Ltd

PVAP

RTD

variablea

RTD

Chronic

Benefit>Risk

Pancrex V Forte Tablets (Pancreatin)

Essential Pharmaceuticals Ltd

PVAP

RTD

variablea

RTD

Chronic

Benefit>Risk

Phthalate in tablet/capsule logo ink

       

Aloxi 500 μg Soft Capsules (Palonosetron)

Sinclair IS Pharma

PVAP

UTQ

500 μg

UTQ

Acute

No

Amitiza 24 μg Soft Capsules (Lubiprostone)

Sucampo Pharma Europe Ltd

PVAP

0.21

48 μg

0.42

Acute

No

Anadin Ultra Double Strength/LiquiFast 400 mg Capsules (Aspirin)

Pfizer Consumer Healthcare

PVAP

<0.01

1200 mg

0.03

Acute

No

Anadin Ultra/LiquiFast 200 mg Capsules (Aspirin)

Pfizer Consumer Healthcare

PVAP

<0.01

1200 mg

0.05

Acute

No

Aptivus 250 mg soft Capsules (Tipranavir)

Boehringer Ingelheim Ltd

PVAP

UTQ

1000 mg

UTQ

Chronic

Benefit>Risk

Benadryl Allergy Liquid Release 10 mg Capsules (Certirizine dihydrochloride)

McNeil Products Ltd

PVAP

1.00

10 mg

1

Chronicd

Benefit>Risk

Nurofen Express 200 mg Liquid Capsules (Ibuprofen)

Reckitt Benckiser Healthcare (UK) Ltd

PVAP

NR

1200 mg

NR

Acute

No

Nurofen Express 400 mg Liquid Capsules (Ibuprofen)

Reckitt Benckiser Healthcare (UK) Ltd

PVAP

NR

1200 mg

NR

Acute

No

Targretin 75 mg Capsules (Bexarotene)

Eisai Ltd

PVAP

UTQ

21 capsulesb

UTQ

Acute

No

Xtandi 40 mg Soft Capsules (Enzalutamide)

Astellas Pharma Ltd

PVAP

UTQ

160 mg

UTQ

Acute

No

Zemplar Soft Capsules 2 μg (Paricalcitol)

AbbVie Ltd

PVAP

0.86

32 μg

13.76

Chronic

Benefit>Risk

Zemplar Soft Capsules 1 μg (Paricalcitol)

AbbVie Ltd

PVAP

0.86

32 μg

27.52

Chronic

Benefit>Risk

  1. All calculations are based on the maximum licensed dose. If a drug has multiple indications, the indication with the highest dose was used for the calculation. For drugs that cannot be given at the maximum dose due to their dose increment, (i.e. sodium valproate 200 mg – max dose 2500 mg), the maximum achievable dose within the product license was used
  2. UTQ denotes unable to quantify, RTD denotes licence holder refused to declare, NR denotes no response
  3. a Dosing regime of Pancrex is dependent on frequency of meals/snacks
  4. b Based on a dose of 650 mg/m2/day for a person with a body surface area of 2.38–2.62 m2
  5. c Information in the public domain [26, 27], license holder refused to confirm
  6. d These medications are also used in acute settings