Pharmacists' Pharmacopeia

Total Page:16

File Type:pdf, Size:1020Kb

Pharmacists' Pharmacopeia 3 Pharmacists’ Pharmacopeia Official May 1, 2009 – August 1, 2009 USP Pharmacists’ Pharmacopeia Notice and Warning Concerning U.S. Patent or Trademark Rights The inclusion in the USP Pharmacists’ Pharmacopeia of a monograph on any drug in respect to which pat- ent or trademark rights may exist shall not be deemed, and is not intended as, a grant of, or authority to exercise, any right or privilege protected by such patent or trademark. All such rights and privileges are vested in the patent or trademark owner, and no other person may exercise the same without express per- mission, authority, or license secured from such patent or trademark owner. Concerning Use of the USP Pharmacists’ Pharmacopeia Text Use of the USP Pharmacists’ Pharmacopeia is subject to the terms and conditions of the USP Pharmacists’ Pharmacopeia License Agreement. Attention is called to the fact that USP Pharmacists’ Pharmacopeia text is fully copyrighted. Authors and others wishing to use portions of the text should request permission to do so from the Legal Department of the United States Pharmacopeial Convention. Copyright © 2009 The United States Pharmacopeial Convention ISSN: 1930-2908 ISSN online: 1930-2916 © 2009 USP 12601 Twinbrook Parkway, Rockville, MD 20852 All rights reserved. S3/ii USP Pharmacists’ Pharmacopeia Contents USP Pharmacists’ Pharmacopeia Section 1— Section 8— Mission and Preface . S3/1 Dietary Supplement Monographs and General Chapters . S3/72 Section 2— General Notices and Requirements . S3/9 Section 13— Reference Tables of USP–NF . S3/76 Section 3— Drug Substance and Compounded Preparation Index . S3/130 Monographs . S3/22 Section 7— Pharmacy-Related General Chapters . S3/41 © 2009 USP S3/iii USP Pharmacists’ Pharmacopeia Introduction Background The history of the United States Pharmacopeia dates back to 1817 when Lyman Spalding, a physician, recognized the need for standardization to eliminate regional differences among names and formulations of medicines. He and ten fellow physi- cians held the first United States Pharmacopeial Convention (USPC) in the U.S. Capitol building in January 1820. That meeting resulted in the formation of a committee that compiled the first Pharmacopeia of the United States of America (USP). The equivalent of that committee still exists today as the USP Council of Experts, and the USPC still works to ensure good phar- maceutical care for all. In 1975, USPC combined the USP and another compendium, the National Formulary (NF), in a single volume, the USP–NF. In general, the USP contains standards for active drug substances and dietary ingredients, while the NF contains standards for excipients. Standards in the USP–NF apply to compounded preparations as well as to manufactured products. They are enforceable under the Federal Food, Drug, and Cosmetic Act, and may be enforceable to practitioners under state and local laws, as well. The USP Pharmacists’ Pharmacopeia The USP Pharmacists’ Pharmacopeia contains two types of text: official text and authorized text. Official text is text that is reproduced from the USP–NF. Each page of the book that contains official text is designated with a footer explaining its official status and the USP–NF revision from which it is reprinted. This text is derived from the standards-setting activities of the Council of Experts and is presented here in an easy-to-use abridged form. Official text that is reprinted in this volume maintains the same legal status as it does when published in the USP–NF. Authorized text has been developed and approved by the Council of Experts, but has not been published as official text in the USP–NF. Authorized text in this publication includes monographs published in the Food Chemicals Codex (FCC), Sixth edition; veterinary information© monographs 2009 discussing the use of medications USP and specific preparations for animals; pro- posed monographs for compounded preparations that are still available for comment and that may be included in the USP– NF in the future; authored text previously published in the Pharmacopeial Forum and other USPC publications; copyrighted text reprinted with permission; and text that is in the public domain, including laws and regulations. This text is provided for reference purposes only, to aid in the practices of pharmacy and medicine. The USP–NF and the FCC are modified through continuing revision, and the corresponding text in this volume will be updated accordingly. Because of varying publication schedules, changes to the USP–NF and FCC may not immediately appear as changes to the USP Pharmacists’ Pharmacopeia. The text as it appears in the USP–NF and FCC is determinative and should be referred to when specific questions arise. Second Edition This Second Edition of the USP Pharmacists’ Pharmacopeia is significantly revised from the 2005 publication. Section 3 has been enhanced to include new compounding monographs that are relevant to today’s contemporary practicing pharmacist. The addition of content related to veterinary practice in Section 6, including the information on compounds for veterinary use, should increase the utility of this volume for veterinary pharmacists. The addition of quality standards for food-grade substances from the FCC in Section 4 also should be useful to compounding professionals seeking ingredients of appropri- ate quality when a USP–NF standard does not exist. The compounding support information in Section 9 has been expanded, S3/iv USP Pharmacists’ Pharmacopeia and the laws and regulations in Section 11 have been updated to reflect the most recent changes by Congress and by the Drug Enforcement Administration. Acknowledgements The staff at USP would like to express their sincere gratitude to the members of all expert committees, especially the Com- pounding Pharmacy Expert Committee and the Sterile Compounding Expert Committee for their diligent and untiring efforts in the preparation of this book. Compounding Pharmacy Expert Committee Loyd V. Allen, Jr., Ph.D., Chair Judith E. Thompson, R.Ph., M.S., Vice Chair Lisa D. Ashworth, B.S., R.Ph. Robin H. Bogner, Ph.D. Gigi S. Davidson, R.Ph. Mary Ann F. Kirkpatrick, Ph.D. Mark G. Klang, R.Ph., M.S. Lawson G. Kloesel, R.Ph. Linda McElhiney, Pharm.D. Lawrence A. Trissel, B.S., R.Ph. Sterile Compounding Expert Committee David W. Newton, Ph.D., Chair Lawrence A. Trissel, B.S., R.Ph., Vice Chair Samuel C. Augustine, Pharm.D. Mary B. Baker, Pharm.D. James F. Cooper, Pharm.D. Donald J. Filibeck, Pharm.D. Larry W. Griffin, B.S. Kenneth L. Hughes, B.S. Eric S. Kastango, M.B.A. Keith H. St. John, M.S. Laura A. Thoma, Pharm.D. © 2009 USP James Wagner S3/v USP Pharmacists’ Pharmacopeia Admissions New Articles Appearing in This Supplement Section 3 rAlbumin Human Granisetron Hydrochloride Corn Syrup Lisinopril and Hydrochlorothiazide Tablets Erythorbic Acid Mirtazapine Orally Disintegrating Tablets Alfuzosin Hydrochloride Pantoprazole Sodium Bicalutamide Tablets Pantoprazole Sodium Delayed-Release Tablets Cabergoline Piperazine Adipate Cefdinir Piperazine Dihydrochloride Cefdinir Capsules Piperazine Phosphate Cefdinir for Oral Suspension Potassium Bromide Oral Solution, Veterinary Fenofibrate Capsules Propofol Injectable Emulsion Flavoxate Hydrochloride Sodium Bromide Injection, Veterinary Flavoxate Hydrochloride Tablets Sodium Bromide Oral Solution, Veterinary Formoterol Fumarate Tamsulosin Hydrochloride Foscarnet Sodium No Longer Appearing in Section 6 Potassium Bromide Oral Solution, Veterinary Sodium Bromide Oral Solution, Veterinary Sodium Bromide Injection, Veterinary Section 8 © 2009 USP Arginine Capsules Soy Isoflavones Capsules Arginine Tablets Soy Isoflavones Tablets Curcuminoids Turmeric Curcuminoids Capsules Powdered Turmeric Curcuminoids Tablets Powdered Turmeric Extract Powdered Soy Isoflavones Extract Changes in Official Titles The following title changes are official May 1, 2009 New Title Former Title 〈61〉 Microbiological Examination of Nonsterile Products: 〈61〉 Microbial Limit Tests Microbial Enumeration Tests 〈62〉 Microbiological Examination of Nonsterile Products: Tests for Specified Microorganisms 〈1111〉 Microbiological Examination of Nonsterile Products: 〈1111〉 Microbiological Attributes of Nonsterile Acceptance Criteria for Pharmaceutical Preparations and Pharmaceutical Products Substances for Pharmaceutical Use S3/vi USP Pharmacists’ Pharmacopeia Annotated List General Notices, Monographs, General Chapters, Reagents, and Tables Affected by Changes Appearing in This Supplement Note—In the material below, if a section is new or if a subsection is added to or deleted from an existing section, it is labeled as such in parentheses after the section or subsection name. Items on this list that appear without the designation “new,” “added,” or “deleted,” are items in which changes have been made to existing official text. General Notices and Requirements Betadex Chemical information General Chapters Packaging and storage General Tests and Assays USP Reference standards pH (added) OTHER TESTS AND ASSAYS Bicalutamide Tablets (new) 〈381〉 Elastomeric Closures for Injections Bupivacaine Hydrochloride Introduction Chemical information Test Procedures Cabergoline (new) PHYSICAL TESTS AND DETERMINATIONS Carbomer 934 〈621〉 Chromatography Title change Glossary of Symbols Definition Packaging and storage General Information Viscosity 〈1121〉 Nomenclature Carbomer 934P General Nomenclature Forms Title change © 2009Definition USP Packaging and storage Reference Tables Viscosity Description and Relative Solubility of USP and NF Articles
Recommended publications
  • (12) United States Patent (10) Patent No.: US 9.421,180 B2 Zielinski Et Al
    USOO9421 180B2 (12) United States Patent (10) Patent No.: US 9.421,180 B2 Zielinski et al. (45) Date of Patent: Aug. 23, 2016 (54) ANTIOXIDANT COMPOSITIONS FOR 6,203,817 B1 3/2001 Cormier et al. .............. 424/464 TREATMENT OF INFLAMMATION OR 6,323,232 B1 1 1/2001 Keet al. ............ ... 514,408 6,521,668 B2 2/2003 Anderson et al. ..... 514f679 OXIDATIVE DAMAGE 6,572,882 B1 6/2003 Vercauteren et al. ........ 424/451 6,805,873 B2 10/2004 Gaudout et al. ....... ... 424/401 (71) Applicant: Perio Sciences, LLC, Dallas, TX (US) 7,041,322 B2 5/2006 Gaudout et al. .............. 424/765 7,179,841 B2 2/2007 Zielinski et al. .. ... 514,474 (72) Inventors: Jan Zielinski, Vista, CA (US); Thomas 2003/0069302 A1 4/2003 Zielinski ........ ... 514,452 Russell Moon, Dallas, TX (US); 2004/0037860 A1 2/2004 Maillon ...... ... 424/401 Edward P. Allen, Dallas, TX (US) 2004/0091589 A1 5, 2004 Roy et al. ... 426,265 s s 2004/0224004 A1 1 1/2004 Zielinski ..... ... 424/442 2005/0032882 A1 2/2005 Chen ............................. 514,456 (73) Assignee: Perio Sciences, LLC, Dallas, TX (US) 2005, 0137205 A1 6, 2005 Van Breen ..... 514,252.12 2005. O154054 A1 7/2005 Zielinski et al. ............. 514,474 (*) Notice: Subject to any disclaimer, the term of this 2005/0271692 Al 12/2005 Gervasio-Nugent patent is extended or adjusted under 35 et al. ............................. 424/401 2006/0173065 A1 8/2006 BeZwada ...................... 514,419 U.S.C. 154(b) by 19 days. 2006/O193790 A1 8/2006 Doyle et al.
    [Show full text]
  • USP Statement on Validation of DNA Test Methods for Regulating the Quality of Herbal Supplements
    USP Statement on Validation of DNA Test Methods for Regulating the Quality of Herbal Supplements U.S. PHARMACOPEIAL CONVENTION The United States Pharmacopeial Convention Urges Scientific Validation of DNA Test Methods for Regulating the Quality of Herbal Supplements (Rockville, MD – April 16, 2015) – In response to an agreement announced between the New York State Attorney General (NYAG) and GNC Holdings, Inc. (GNC) the United States Pharmacopeial Convention (USP), an independent, science based, standards setting organization and publishers of the United States Pharmacopeia-National Formulary (USP-NF), an official compendia of quality standards for dietary supplements sold in the U.S., issued the following statement: Statement by Gabriel Giancaspro, PhD – Vice President –Foods, Dietary Supplement and Herbal Medicines United States Pharmacopeial Convention (USP) “As a science-based standards-setting organization, the United States Pharmacopeial Convention (USP) has a keen interest in adopting emerging technologies to ensure the test methods and quality standards included in the United States Pharmacopeia-National Formulary (USP-NF) are current and reflect the state of the industry. DNA testing including DNA Barcoding, is just one example of a technology that has been recently added to the USP-NF. As of December 2014, DNA-based identification methods are included in the official USP chapter <563> Identification of Articles of Botanical Origin. However, this method is not yet referenced in a USP-NF monograph (quality standard) for a specific ingredient or product. That is because USP quality standards are specific for each ingredient, product and dosage form and the standards we develop include only those test methods that have been scientifically validated and shown to be fit for purpose.
    [Show full text]
  • Vitamin D and Its Analogues Decrease Amyloid- (A) Formation
    International Journal of Molecular Sciences Article Vitamin D and Its Analogues Decrease Amyloid-β (Aβ) Formation and Increase Aβ-Degradation Marcus O. W. Grimm 1,2,3,*,† ID , Andrea Thiel 1,† ID , Anna A. Lauer 1 ID , Jakob Winkler 1, Johannes Lehmann 1,4, Liesa Regner 1, Christopher Nelke 1, Daniel Janitschke 1,Céline Benoist 1, Olga Streidenberger 1, Hannah Stötzel 1, Kristina Endres 5, Christian Herr 6 ID , Christoph Beisswenger 6, Heike S. Grimm 1 ID , Robert Bals 6, Frank Lammert 4 and Tobias Hartmann 1,2,3 1 Experimental Neurology, Saarland University, Kirrberger Str. 1, 66421 Homburg/Saar, Germany; [email protected] (A.T.); [email protected] (A.A.L.); [email protected] (J.W.); [email protected] (J.L.); [email protected] (L.R.); [email protected] (C.N.); [email protected] (D.J.); [email protected] (C.B.); [email protected] (O.S.); [email protected] (H.S.); [email protected] (H.S.G.); [email protected] (T.H.) 2 Neurodegeneration and Neurobiology, Saarland University, Kirrberger Str. 1, 66421 Homburg/Saar, Germany 3 Deutsches Institut für DemenzPrävention (DIDP), Saarland University, Kirrberger Str. 1, 66421 Homburg/Saar, Germany 4 Department of Internal Medicine II–Gastroenterology, Saarland University Hospital, Saarland University, Kirrberger Str. 100, 66421 Homburg/Saar, Germany; [email protected] 5 Department of Psychiatry and Psychotherapy, Clinical Research Group, University Medical Centre Johannes Gutenberg, University of Mainz, Untere Zahlbacher Str. 8, 55131 Mainz, Germany; [email protected] 6 Department of Internal Medicine V–Pulmonology, Allergology, Respiratory Intensive Care Medicine, Saarland University Hospital, Kirrberger Str.
    [Show full text]
  • A Clinical Update on Vitamin D Deficiency and Secondary
    References 1. Mehrotra R, Kermah D, Budoff M, et al. Hypovitaminosis D in chronic 17. Ennis JL, Worcester EM, Coe FL, Sprague SM. Current recommended 32. Thimachai P, Supasyndh O, Chaiprasert A, Satirapoj B. Efficacy of High 38. Kramer H, Berns JS, Choi MJ, et al. 25-Hydroxyvitamin D testing and kidney disease. Clin J Am Soc Nephrol. 2008;3:1144-1151. 25-hydroxyvitamin D targets for chronic kidney disease management vs. Conventional Ergocalciferol Dose for Increasing 25-Hydroxyvitamin supplementation in CKD: an NKF-KDOQI controversies report. Am J may be too low. J Nephrol. 2016;29:63-70. D and Suppressing Parathyroid Hormone Levels in Stage III-IV CKD Kidney Dis. 2014;64:499-509. 2. Hollick MF. Vitamin D: importance in the prevention of cancers, type 1 with Vitamin D Deficiency/Insufficiency: A Randomized Controlled Trial. diabetes, heart disease, and osteoporosis. Am J Clin Nutr 18. OPKO. OPKO diagnostics point-of-care system. Available at: http:// J Med Assoc Thai. 2015;98:643-648. 39. Jetter A, Egli A, Dawson-Hughes B, et al. Pharmacokinetics of oral 2004;79:362-371. www.opko.com/products/point-of-care-diagnostics/. Accessed vitamin D(3) and calcifediol. Bone. 2014;59:14-19. September 2 2015. 33. Kovesdy CP, Lu JL, Malakauskas SM, et al. Paricalcitol versus 3. Giovannucci E, Liu Y, Rimm EB, et al. Prospective study of predictors ergocalciferol for secondary hyperparathyroidism in CKD stages 3 and 40. Petkovich M, Melnick J, White J, et al. Modified-release oral calcifediol of vitamin D status and cancer incidence and mortality in men.
    [Show full text]
  • Vitamin D and Anemia: Insights Into an Emerging Association Vin Tangpricha, Emory University Ellen M
    Vitamin D and anemia: insights into an emerging association Vin Tangpricha, Emory University Ellen M. Smith, Emory University Journal Title: Current Opinion in Endocrinology, Diabetes and Obesity Volume: Volume 22, Number 6 Publisher: Lippincott, Williams & Wilkins | 2015-12-01, Pages 432-438 Type of Work: Article | Post-print: After Peer Review Publisher DOI: 10.1097/MED.0000000000000199 Permanent URL: https://pid.emory.edu/ark:/25593/rtnx3 Final published version: http://dx.doi.org/10.1097/MED.0000000000000199 Copyright information: © 2015 Wolters Kluwer Health, Inc. All rights reserved. Accessed September 30, 2021 7:39 AM EDT HHS Public Access Author manuscript Author Manuscript Author ManuscriptCurr Opin Author Manuscript Endocrinol Diabetes Author Manuscript Obes. Author manuscript; available in PMC 2016 December 01. Published in final edited form as: Curr Opin Endocrinol Diabetes Obes. 2015 December ; 22(6): 432–438. doi:10.1097/MED. 0000000000000199. Vitamin D and Anemia: Insights into an Emerging Association Ellen M. Smith1 and Vin Tangpricha1,2,3 1Nutrition and Health Sciences Graduate Program, Laney Graduate School, Emory University, Atlanta, GA, USA 2Division of Endocrinology, Metabolism, and Lipids, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA 3Atlanta VA Medical Center, Decatur, GA, USA Abstract Purpose of review—This review highlights recent findings in the emerging association between vitamin D and anemia through discussion of mechanistic studies, epidemiologic studies, and clinical trials. Recent findings—Vitamin D has previously been found to be associated with anemia in various healthy and diseased populations. Recent studies indicate that the association may differ between race and ethnic groups and is likely specific to anemia of inflammation.
    [Show full text]
  • Paricalcitol | Memorial Sloan Kettering Cancer Center
    PATIENT & CAREGIVER EDUCATION Paricalcitol This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider. Brand Names: US Zemplar Brand Names: Canada Zemplar What is this drug used for? It is used to treat high parathyroid hormone levels in certain patients. What do I need to tell my doctor BEFORE I take this drug? If you are allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had. If you have any of these health problems: High calcium levels or high vitamin D levels. This is not a list of all drugs or health problems that interact with this drug. Paricalcitol 1/8 Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. What are some things I need to know or do while I take this drug? All products: Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. Have blood work checked as you have been told by the doctor. Talk with the doctor. If you are taking other sources of vitamin D, talk with your doctor.
    [Show full text]
  • Curcumin in Autoimmune and Rheumatic Diseases
    nutrients Review Curcumin in Autoimmune and Rheumatic Diseases Melissa Yang, Umair Akbar and Chandra Mohan * Department of Biomedical Engineering, University of Houston, 3517 Cullen Blvd, Room 2004, Houston, TX 77204, USA; [email protected] (M.Y.); [email protected] (U.A.) * Correspondence: [email protected]; Tel.: 713-743-3709 Received: 29 March 2019; Accepted: 24 April 2019; Published: 2 May 2019 Abstract: Over recent decades, many clinical trials on curcumin supplementation have been conducted on various autoimmune diseases including osteoarthritis, type 2 diabetes, and ulcerative colitis patients. This review attempts to summarize the highlights from these clinical trials. The efficacy of curcumin either alone or in conjunction with existing treatment was evaluated. Sixteen clinical trials have been conducted in osteoarthritis, 14 of which yielded significant improvements in multiple disease parameters. Eight trials have been conducted in type 2 diabetes, all yielding significant improvement in clinical or laboratory outcomes. Three trials were in ulcerative colitis, two of which yielded significant improvement in at least one clinical outcome. Additionally, two clinical trials on rheumatoid arthritis, one clinical trial on lupus nephritis, and two clinical trials on multiple sclerosis resulted in inconclusive results. Longer duration, larger cohort size, and multiple dosage arm trials are warranted to establish the long term benefits of curcumin supplementation. Multiple mechanisms of action of curcumin on these diseases have been researched, including the modulation of the eicosanoid pathway towards a more anti-inflammatory pathway, and the modulation of serum lipid levels towards a favorable profile. Overall, curcumin supplementation emerges as an effective therapeutic agent with minimal-to-no side effects, which can be added in conjunction to current standard of care.
    [Show full text]
  • USP Reference Standards Catalog
    Last Updated On: November 7, 2020 USP Reference Standards Catalog Catalog Status RS Name Current Previous Lot CAS # NDC # Unit Co. Of Material UN # Net Unit Commodity Special Pkg. USMCA KORUS Base Base # Lot (VUD) Price Origin Origin Weight Of Codes Restriction Type Eligible Eligible Control Control Measur (HS Codes)* Drug Drug % e 1000408 Active Abacavir Sulfate (200 R108M0 R028L0 (30- 188062- N/A $245.00 GB Chemical 200 mg 2933595960 No No mg) JUN-2020) 50-2 Synthesis 1000419 Active Abacavir Sulfate F0G248 188062- N/A $760.00 IN Chemical 20 mg 2933595960 No No Racemic (20 mg) (4- 50-2 Synthesis [2-amino-6- (cyclopropylamino)- 9H-purin-9yl]-2- cyclopentene-1- methanol sulfate (2:1)) 1000420 Active Abacavir Related F1L311 F0H284 (31- 906626- N/A $877.00 IN Chemical 20 mg 2933599550 No No Compound A (20 mg) OCT-2013) 51-5 Synthesis ([4-(2,6-diamino-9H- purin-9-yl)cyclopent- 2-enyl]methanol) 1000437 Active Abacavir Related F0M143 N/A N/A $877.00 IN Chemical 20 mg 2933599550 No No Compound D (20 mg) Synthesis (N6-Cyclopropyl-9- {(1R,4S)-4-[(2,5- diamino-6- chlorpyrimidin-4- yloxy)methyl] cyclopent-2-enyl}-9H- purine-2,6-diamine) 1000441 Active Abacavir Related F1L318 F0H283 (31- N/A N/A $877.00 IN Chemical 20 mg 2933599550 No No Compound B (20 mg) OCT-2013) Synthesis ([4-(2,5-diamino-6- chloropyrimidin-4- ylamino)cyclopent-2- enyl]methanol) 1000452 Active Abacavir Related F1L322 F0H285 (30- 172015- N/A $960.00 IN Chemical 20 mg 2933599550 No No Compound C (20 mg) SEP-2013) 79-1 Synthesis ([(1S,4R)-4-(2-amino- 6-chloro-9H-purin-9- yl)cyclopent-2-
    [Show full text]
  • New Roles for Vitamin D Superagonists: from COVID to Cancer
    REVIEW published: 31 March 2021 doi: 10.3389/fendo.2021.644298 New Roles for Vitamin D Superagonists: From COVID to Cancer David J. Easty 1, Christine J. Farr 2* and Bryan T. Hennessy 3,4 1 Department of Medical Oncology, Our Lady of Lourdes Hospital, Drogheda, Ireland, 2 Department of Genetics, University of Cambridge, Cambridge, United Kingdom, 3 Department of Molecular Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland, 4 Department of Oncology, Our Lady of Lourdes Hospital, Drogheda, Ireland Vitamin D is a potent steroid hormone that induces widespread changes in gene expression and controls key biological pathways. Here we review pathophysiology of vitamin D with particular reference to COVID-19 and pancreatic cancer. Utility as a therapeutic agent is limited by hypercalcemic effects and attempts to circumvent this problem have used vitamin D superagonists, with increased efficacy and reduced calcemic effect. A further caveat is that vitamin D mediates multiple diverse effects. Some of these (anti-fibrosis) are likely beneficial in patients with COVID-19 and pancreatic cancer, whereas others (reduced immunity), may be beneficial through attenuation of the Edited by: cytokine storm in patients with advanced COVID-19, but detrimental in pancreatic cancer. Jeff M. P. Holly, University of Bristol, United Kingdom Vitamin D superagonists represent an untapped resource for development of effective Reviewed by: therapeutic agents. However, to be successful this approach will require agonists with William B. Grant, high cell-tissue specificity. Sunlight Nutrition and Health Research Center, United States Keywords: COVID-19, pancreatic cancer, pancreatic stellate cell, superagonist, vitamin D, paricalcitol Erick Legrand, Centre Hospitalier Universitaire d’Angers, France *Correspondence: INTRODUCTION Christine J.
    [Show full text]
  • Dietary Supplements Compendium Volume 1
    2015 Dietary Supplements Compendium DSC Volume 1 General Notices and Requirements USP–NF General Chapters USP–NF Dietary Supplement Monographs USP–NF Excipient Monographs FCC General Provisions FCC Monographs FCC Identity Standards FCC Appendices Reagents, Indicators, and Solutions Reference Tables DSC217M_DSCVol1_Title_2015-01_V3.indd 1 2/2/15 12:18 PM 2 Notice and Warning Concerning U.S. Patent or Trademark Rights The inclusion in the USP Dietary Supplements Compendium of a monograph on any dietary supplement in respect to which patent or trademark rights may exist shall not be deemed, and is not intended as, a grant of, or authority to exercise, any right or privilege protected by such patent or trademark. All such rights and privileges are vested in the patent or trademark owner, and no other person may exercise the same without express permission, authority, or license secured from such patent or trademark owner. Concerning Use of the USP Dietary Supplements Compendium Attention is called to the fact that USP Dietary Supplements Compendium text is fully copyrighted. Authors and others wishing to use portions of the text should request permission to do so from the Legal Department of the United States Pharmacopeial Convention. Copyright © 2015 The United States Pharmacopeial Convention ISBN: 978-1-936424-41-2 12601 Twinbrook Parkway, Rockville, MD 20852 All rights reserved. DSC Contents iii Contents USP Dietary Supplements Compendium Volume 1 Volume 2 Members . v. Preface . v Mission and Preface . 1 Dietary Supplements Admission Evaluations . 1. General Notices and Requirements . 9 USP Dietary Supplement Verification Program . .205 USP–NF General Chapters . 25 Dietary Supplements Regulatory USP–NF Dietary Supplement Monographs .
    [Show full text]
  • Bioactivity of Curcumin on the Cytochrome P450 Enzymes of the Steroidogenic Pathway
    International Journal of Molecular Sciences Article Bioactivity of Curcumin on the Cytochrome P450 Enzymes of the Steroidogenic Pathway Patricia Rodríguez Castaño 1,2, Shaheena Parween 1,2 and Amit V Pandey 1,2,* 1 Pediatric Endocrinology, Diabetology, and Metabolism, University Children’s Hospital Bern, 3010 Bern, Switzerland; [email protected] (P.R.C.); [email protected] (S.P.) 2 Department of Biomedical Research, University of Bern, 3010 Bern, Switzerland * Correspondence: [email protected]; Tel.: +41-31-632-9637 Received: 5 September 2019; Accepted: 16 September 2019; Published: 17 September 2019 Abstract: Turmeric, a popular ingredient in the cuisine of many Asian countries, comes from the roots of the Curcuma longa and is known for its use in Chinese and Ayurvedic medicine. Turmeric is rich in curcuminoids, including curcumin, demethoxycurcumin, and bisdemethoxycurcumin. Curcuminoids have potent wound healing, anti-inflammatory, and anti-carcinogenic activities. While curcuminoids have been studied for many years, not much is known about their effects on steroid metabolism. Since many anti-cancer drugs target enzymes from the steroidogenic pathway, we tested the effect of curcuminoids on cytochrome P450 CYP17A1, CYP21A2, and CYP19A1 enzyme activities. When using 10 µg/mL of curcuminoids, both the 17α-hydroxylase as well as 17,20 lyase activities of CYP17A1 were reduced significantly. On the other hand, only a mild reduction in CYP21A2 activity was observed. Furthermore, CYP19A1 activity was also reduced up to ~20% of control when using 1–100 µg/mL of curcuminoids in a dose-dependent manner. Molecular docking studies confirmed that curcumin could dock onto the active sites of CYP17A1, CYP19A1, as well as CYP21A2.
    [Show full text]
  • Paricalcitol Versus Calcitriol in the Treatment of Secondary Hyperparathyroidism
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Kidney International, Vol. 63 (2003), pp. 1483–1490 Paricalcitol versus calcitriol in the treatment of secondary hyperparathyroidism STUART M. SPRAGUE,FRANCISCO LLACH,MICHAEL AMDAHL,CAROL TACCETTA, and DANIEL BATLLE Division of Nephrology/Hypertension and Department of Medicine, Northwestern University Feinberg School of Medicine, Evanston and Chicago, Illinois; Georgetown University Medical School, Washington, D.C.; and Abbott Laboratories, North Chicago, Illinois Paricalcitol versus calcitriol in the treatment of secondary hyper- Osteitis fibrosa cystica, resulting from poorly con- parathyroidism. trolled secondary hyperparathyroidism, remains a com- Background. Management of secondary hyperparathyroid- mon manifestation of renal osteodystrophy and causes ism has included the use of active vitamin D or vitamin D ana- logs for the suppression of parathyroid hormone (PTH) secre- significant morbidity in patients with chronic renal fail- tion. Although, these agents are effective, therapy is frequently ure [1, 2]. Decreased renal production of calcitriol (1,25 limited by hypercalcemia, hyperphosphatemia, and/or eleva- vitamin D ), hypocalcemia, and hyperphosphatemia are ϫ 3 tions in the calcium-phosphorus (Ca P) product. In clinical the major contributing factors to the development of studies, paricalcitol was shown to be effective at reducing PTH concentrations without causing significant hypercalcemia or secondary hyperparathyroidism [1, 3–5]. Calcitriol is syn- hyperphosphatemia as compared to placebo. A comparative thesized from previtamin D3 by hydroxylation on carbons study was undertaken in order to determine whether paricalci- 25 and 1 in the liver and kidney, respectively [6]. The tol provides a therapeutic advantage to calcitriol.
    [Show full text]