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Quality Assurance of Pharmaceutical Products
 
This section sums up all activities and responsibilities required to ensure that the drug that reaches the patient is safe, effective and acceptable. Moreover, this section presents the national guideline for Good Storage and Distribution Practices as well as the related self assessment. The current Good Manufacturing Practices are also available for local manufacturers.
 
Good Governance for Medicines and Quality Assurance Programmes

 
Quality Assurance of Pharmaceutical Products Program: The Way forward
This monograph reviews the history and development of promoting a sound policy in public health in Lebanon, with particular reference to the efforts that lead to the establishment of the Quality Assurance of Pharmaceutical Products Program at the Ministry of Public Health in Lebanon in 2012. The steady involvement in the developmental work by Dr. Rita Karam is covered, and so is her supervision of the efforts leading to it. The presented monograph is well documented and supported by a list of rich references.

Quality Assurance of Pharmaceutical Products Program: The Way forward
 
Good Storage & Distribution Practices of Food Supplements in Lebanon
In line with the Good Storage & Distribution Practices of Pharmaceutical Products project that has brought core improvements at the level of the Lebanese pharmaceutical warehouses, the MoPH launches today through its Quality Assurance of Pharmaceutical Products program, the Good Storage & Distribution Practices of Food Supplements guideline.

The adequate storage and distribution of Food Supplements are a crucial activities to maintain their quality and integrity, to protect consumers from potential health risks and to ensure that they are not provided with misleading information.
 
 
Good Laboratory Practices for Pharmaceutical Quality Control Laboratories in Lebanon
The good laboratory practice provide advice on good practices for national pharmaceutical control laboratories involved in the analysis of active pharmaceutical ingredients (APIs), excipients and pharmaceutical products.
 
These guidelines are consistent with the requirements of the WHO guidelines for good Laboratory practices and with the requirements of the International Standard ISO/IEC 17025:2005, and provide detailed guidance for laboratories performing quality control of medicines.
National pharmaceutical quality control laboratories usually encompass essentially two types of activity:
 
Compliance testing of APIs, pharmaceutical  excipients and pharmaceutical products employing “official” methods including pharmacopoeial methods, validated analytical procedures provided by the manufacturer or validated analytical procedures developed by the laboratory; 
Investigative testing of suspicious, illegal, counterfeit substances or products, submitted for examination by medicine inspectors, customs or police.
 
 
Good Storage and Distribution Practices of Pharmaceutical Products
Publication of the 5th edition of GSDP guidelines at ambient temperature, the 3rd edition Good Cold Chain Management for temperature-sensitive pharmaceuticals and self-assessment sheet for evaluation of the GSDP implementation.

Ensuring the quality, safety, and efficacy of pharmaceutical products during storage and distribution is paramount. Two essential guidelines on Good Storage and Distribution Practices (GSDP) are pivotal in this regard.

The first guideline "Good Storage and distribution Practices (GSDP) of Pharmaceutical products at ambient temperature" focuses on the proper storage and distribution of pharmaceuticals at ambient temperatures. It emphasizes the need for meticulous handling to maintain product integrity.

The second guideline, "Good Cold Chain Management for temperature-sensitive pharmaceuticals", underscores the importance of environmental controls. This guideline stresses the critical role of temperature control, requiring adherence to predetermined conditions supported by stability data.
Both guidelines are essential for maintaining product quality throughout the distribution network in addition to the self-assessment sheet for evaluation of the GSDP implementation.

These guidelines, issued by the Lebanese Ministry of Health, are crucial for all parties involved in the pharmaceutical supply chain. They provide a comprehensive framework for ensuring the quality and identity of pharmaceutical products throughout the distribution process. Adhering to these guidelines is paramount to avoid the introduction of counterfeit products into the marketplace. The guidelines align with the World Health Organization's recommendations, emphasizing their importance in maintaining the integrity of the distribution chain.
   
 
Guidelines for the Drug Technical file submission: Module 3 (S and P Parts) and Module 5 (Bioequivalence Study)
The Drug Technical Document covers all the Quality, Safety and Efficacy information of a drug in a common format called the Common Technical Document (CTD). It has revolutionized the regulatory review processes, led to harmonized submission enabling the implementation of good review practices. For the pharmaceutical industries, it has eliminated the need to reformat the information for submission to the different regulatory authorities.

To improve the review and evaluation of the Module 3 and Module 5 of the Drug Technical file, the MOPH drafted the following 3 Guides:

These Guides are prepared by scientific experts and are intended to provide guidance and requirements for the preparation of the technical file to be submitted to the MOPH Technical Committee of Drugs. They are based on ICH standards and are useful for the Applicants of Generic Drug Technical file.

Biowaivers: Criteria And Requirements

A Biowaiver means that in vivo bioavailability and/or bioequivalence studies may be waived (not considered necessary for product approval). Instead of conducting expensive and time consuming in vivo studies, a dissolution test could be adopted as the surrogate basis for the decision as to whether the two pharmaceutical products are equivalent.

The risk of therapeutic inequivalence of two immediate release products can never be reduced to zero, even if a full clinical study is performed. The conclusion of comparative clinical studies, in vivo bioequivalence studies, in vitro equivalence tests and biowaivers is based on statistics and scientific data that are assumed to be representative for the products at issue.

The aim of biowaiver guidance is to reduce the risk of bioinequivalence to an acceptable level. Pharmaceutical development work aims at reducing the probability of manufacturing inequivalent formulations taking into account the critical aspects of the product at issue. In this context, the absorption phase is regarded as the critical process determining the equivalence of the pharmacokinetic profiles and thereby the therapeutic equivalence of the test and reference product.

In this report we will focus on BCS-based Biowaivers. However, other type of biowaivers had been discussed in regulation.  
 
 Regulations
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Name Type Name(ar) Caza Investment Authorization Nb Phone
Akkar Rahal Hospital Private Hospitals Akkar Rahal Hospital Akkar رقم 113/1/ تاريخ 13/3/1982 06/690000 -691103
Hopital Notre Dame de la Paix Private Hospitals Hopital Notre Dame de la Paix Akkar رقم 1/476 تاريخ 29/7/1998 06/351670
El Youssef Hospital Center Private Hospitals El Youssef Hospital Center Akkar رقم 1/2038 تاريخ 20/12/1995 26/690455- 26/690537-26/692055- 26/200440
Hopital Albert Haykel sal Private Hospitals Hopital Albert Haykel sal El Koura 948-27/11/1999 06/411411
Hopital Al Koura Private Hospitals Hopital Al Koura El Koura 222/1-28/2/1994 06/ 930981/005
Hopital Al Borgi Private Hospitals Hopital Al Borgi El Koura 64/1-02/04/1986 651025/6 - 06/950030
Al Kheir Hospital- Miniyeh Private Hospitals Al Kheir Hospital- Miniyeh El Minieh-Dennie 261/1 28/4/1998 06/461444-555-666
Miniyeh Hospital Private Hospitals Miniyeh Hospital El Minieh-Dennie غير مرخصة لعدم توافر الشروط الصحية المطلوبة وانتحال صفة طبيب من الطبيب السابق
Dar Al shifa hospital Private Hospitals Dar Al shifa hospital Tripoli 503/1-24/6/2008 06/429595
AL Salam Hospital Private Hospitals AL Salam Hospital Tripoli 701/1-16/4/1997 06/411700/1/2/3/4/5
Social Services Association - Dar Al Ajaza Hospice Private Hospitals Social Services Association - Dar Al Ajaza Hospice Tripoli 244/1-16/5/2003 06/446330
El Bissar Hospital Private Hospitals El Bissar Hospital Tripoli 66/1-3/4/1986 06/432267 430365/430355
Shahin Hospital Private Hospitals Shahin Hospital Tripoli 130/1-18/3/2003 06/625796 06/ 430250
Al Mounla Hospital Private Hospitals Al Mounla Hospital Tripoli 34.8/1-16/11/1982 06/207000
Nine Hospital Private Hospitals Nine Hospital Tripoli 2114/1-17/11/1998 06/431400/1/2
Dar Al Zahraa Hospital Private Hospitals Dar Al Zahraa Hospital Tripoli 4265/2000 06/444529
Islamic Hospital Private Hospitals Islamic Hospital Tripoli 19969 - 22/7/1958 06/210179
Al-Hanan Hospital  Private Hospitals Al-Hanan Hospital  Tripoli 1067/1 - 20/10/1994 06/200526/7
New Mazloum Hospital Private Hospitals New Mazloum Hospital Tripoli 134./1 - 7/3/2006 06/410025
Al Rahma Hospital Private Hospitals Al Rahma Hospital Tripoli 504/1 - 6/8/1998 06/448324
Al Rahban Hospital Private Hospitals Al Rahban Hospital Zgharta 22/9/1998.1101/1 6662871
Hospital Saydet Zgharta Private Hospitals Hospital Saydet Zgharta Zgharta .18/1/1984.16/r 06/660575 06/669300
Centre Hospitalier du Nord Private Hospitals Centre Hospitalier du Nord Zgharta 18/6/1996.854/1 06/555230/1/2/3
Ehden Hospital Private Hospitals Ehden Hospital Zgharta 29/1/2002.7313 6561702
Kharroubi Hospital Private Hospitals Kharroubi Hospital Saida 852/1-7/9/1998 07/443344 – 442224
Alaa-El-Dine Hospital Private Hospitals Alaa-El-Dine Hospital Saida 507/1-14/12/1978 07/443200/1/2
Hammoud Hospital University Medical Center Private Hospitals Hammoud Hospital University Medical Center Saida 756/1-2/1/1967 07/ 723111 - 723888
Dalaa Hospital Private Hospitals Dalaa Hospital Saida 492/1-30/11/1978 03-900404 07-724088/ 07723400
Health Medical Center- Osseiran Hospital Private Hospitals Health Medical Center- Osseiran Hospital Saida 11543-20/5/2011 07726078-79
Alraai Hospital Private Hospitals Alraai Hospital Saida 105/1-21/8/1984 07/222023/4/5/6
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