Medicinal Product and Medicinal Product Forms

Medicinal Product and Medicinal Product Forms

When a clinical drug is created, the following supertypes must either already exist or must be created:

For example,

1172863005 Paracetamol 1 g oral tablet has the following supertypes:

These concepts in the International Release, their descriptions, and their

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value, represent the base ingredient, not a modification.

For example, 

1204319004 |Product containing precisely retinol (as retinol palmitate) 50000 unit/1 milliliter conventional release solution for injection (clinical drug)| has medicinal product and medicinal product form supertypes with retinol, not retinol palmitate. Retinol palmitate is a modification of Retinol and thus should not be used in the creation of the medicinal product and medicinal product form supertypes. 

Exceptions to use a modified substance are explicitly identified below:

Exceptions

Elucidation

Examples

Benzylpenicillin

When the active ingredient has an Is modification of (attribute) value of 323389000 |Benzylpenicillin (substance)|.  

1234765004 |Product containing only benzathine benzylpenicillin in parenteral dose form (medicinal product form)|

323404007 |Product containing benzathine benzylpenicillin (medicinal product)|

Benzylpenicillin is the base, but use the modified substance in the FSN for the MP/MPF.

Chemical element compound with multiple modification

Instances where the chemical element compound has two or more Is Modification of (attribute)s

422232005 |Calcium lactate gluconate (substance)|

  • Has |Is modification of (attribute)| = Calcium gluconate

  • Has |Is modification of (attribute)| = Calcium lactate

1359973006 |Copper (64-Cu) labeled somatostatin analog (substance)|

  • Has |Is modification of (attribute)| = Somatostatin analog

  • Has |Is modification of (attribute)| = Copper-64

Chloral hydrate

273948005 |Chloral hydrate (substance)| is a modification of Chloral.  However, chloral is unstable on its own and always exists in the hydrated form.

778711000 |Product containing only chloral hydrate in oral dose form (medicinal product form)|

386735001 |Product containing chloral hydrate in oral dose form (medicinal product form)|

775158004 |Product containing only chloral hydrate (medicinal product)|

Liposome or lipid complex substances

< 414612001 |Liposomal agent (substance)

These subtypes have some sort of modification, but they can be used to create:

  • Product containing only x (medicinal product)

  • Product containing only x in y dose form (medicinal product form)

Do not use to create:

  • Product containing x (medicinal product)

  • Product containing x in y dose form (medicinal product form)

426490000 |Vincristine liposome (substance)|

425953004 |Amphotericin B lipid complex (substance)|

768664009 |Amphotericin B phospholipid complex (substance)|

427544000 |Amphotericin B cholesteryl sulfate complex (substance)|

Pegylated substance

There is no technical way to identify these concepts, though they will often begin with peg-.

385544005 |Pegfilgrastim (substance)|

770965008 |Pegvaliase (substance)|

Radiopharmaceutical

< 89457008 Radioactive isotope (substance)|

783865003 |Product containing only cyanocobalamin (58-Co) (medicinal product)|

783867006 |Product containing only cyanocobalamin (58-Co) in oral dose form (medicinal product form)|

783856005 |Product containing sodium iodide (131-I) in parenteral dose form (medicinal product form)|

783854008 |Product containing sodium iodide (131-I) (medicinal product)|

Silver sulfadiazine

387112002 |Silver sulfadiazine (substance)| is a modification of 74523009 |Sulfadiazine (substance)|. 

864009007 |Product containing only silver sulfadiazine in cutaneous dose form (medicinal product form)|

771756000 |Product containing silver sulfadiazine in cutaneous dose form (medicinal product form)|

Sodium valproate

387481005 |Sodium valproate (substance)| is a modification of 387080000 |Valproic acid (substance)|. 

766519009 |Product containing precisely sodium valproate 40 milligram/1 milliliter conventional release oral solution (clinical drug)|

1204386001 |Product containing precisely sodium valproate 133 milligram and valproic acid 58 milligram/1 each prolonged-release oral tablet (clinical drug)|

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