1) Reden voor de wijziging
In June 2020, the report "Lessons Learned from presence of N-nitrosamines impurities in sartan medicines" was published. This report provides a number of recommendations aimed at reducing unexpected impurities in human medicines.
One of the reason for the presence of N-nitrosamines was the lack of sufficient process and product knowledge during the development stage and GMP deficiences by active substance manufacturers and insufficient contamination control measures (amongst others).