2014
DOI: 10.1371/journal.pone.0095353
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A Tiered Analytical Approach for Investigating Poor Quality Emergency Contraceptives

Abstract: Reproductive health has been deleteriously affected by poor quality medicines. Emergency contraceptive pills (ECPs) are an important birth control method that women can use after unprotected coitus for reducing the risk of pregnancy. In response to the detection of poor quality ECPs commercially available in the Peruvian market we developed a tiered multi-platform analytical strategy. In a survey to assess ECP medicine quality in Peru, 7 out of 25 different batches showed inadequate release of levonorgestrel b… Show more

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Cited by 15 publications
(12 citation statements)
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References 19 publications
(20 reference statements)
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“…Samples of genuine and fake levonorgestrel tablets (0.75 mg and 1.5 mg) were kindly provided by Paul N. Newton (Centre for Tropical Medicine, Churchill Hospital, University of Oxford, UK) and Dr. David Jenkins (FHI 360, USA), respectively. The content of the samples was previously verified at the Georgia Institute of Technology using multiple analytical platforms including DART and ESI‐MS/MS with and without liquid chromatography (LC) separation and 2D DOSY 1 H NMR spectroscopy . Dried blood spots, spiked with chloroquine, on Whatman filter paper were kindly provided by Dr. Michael D. Green (Center for Disease Control and Prevention (CDC), Atlanta, GA, USA).…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…Samples of genuine and fake levonorgestrel tablets (0.75 mg and 1.5 mg) were kindly provided by Paul N. Newton (Centre for Tropical Medicine, Churchill Hospital, University of Oxford, UK) and Dr. David Jenkins (FHI 360, USA), respectively. The content of the samples was previously verified at the Georgia Institute of Technology using multiple analytical platforms including DART and ESI‐MS/MS with and without liquid chromatography (LC) separation and 2D DOSY 1 H NMR spectroscopy . Dried blood spots, spiked with chloroquine, on Whatman filter paper were kindly provided by Dr. Michael D. Green (Center for Disease Control and Prevention (CDC), Atlanta, GA, USA).…”
Section: Methodsmentioning
confidence: 99%
“…The content of the samples was previously verified at the Georgia Institute of Technology using multiple analytical platforms including DART and ESI-MS/MS with and without liquid chromatography (LC) separation and 2D DOSY 1 H NMR spectroscopy. [30] Dried blood spots, spiked with chloroquine, on Whatman filter paper were kindly provided by Dr. Michael D. Green (Center for Disease Control and Prevention (CDC), Atlanta, GA, USA). Chloroquine diphosphate salt (powder, purity ≥98%) used as standard was purchased from Sigma-Aldrich.…”
Section: Methodsmentioning
confidence: 99%
“…There are probably thousands of "Third Men" hidden in today's world-for example, a Parisian who manufactured falsified antimalarials containing laxatives, 16 international trade from India, 17 and emergency contraceptives containing antimalarials in South America. 18 There are also many cases of substandard medicines-poor quality medicines produced through negligence, sometimes gross, in the manufacturing processes but not deliberately designed to defraud patients and heath systems. 19 Substandard anti-infective drugs often contain less than the stated amount of active ingredient and are therefore likely to be under-recognised drivers of antimicrobial resistance.…”
Section: Illegal Trade Continues Todaymentioning
confidence: 99%
“…Screening will reduce the number of samples that must be processed by a central QC laboratory which will in turn reduce costs and reduce the time delays for the patient's treatment. There have been several approaches to develop suitable screening systems including the Minilab™ based on TLC test methods [16], a handheld Raman Spectroscopy device [5] and systems based on Near Infrared Spectroscopy (NIR) [17]. The Minilab™ requires training in handling chemicals and the test sample has to be solvent extracted prior to analysis which increases both the time and complexity of each test.…”
Section: Introductionmentioning
confidence: 99%