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OTC medicine monograph: Aspirin tablets for oral use

Version 1.0, September 2013

6 September 2013

Introduction

This OTC Medicine Monograph outlines the requirements for Australian market authorisation of tablets containing aspirin as a single active ingredient when applied for as an OTC New Medicine N2 application. Proposed medicines must comply with all aspects of the monograph relevant to their strength and dosage form to qualify for evaluation as an N2 application.

This monograph should be read in conjunction with the document Requirements for OTC new medicine N2 applications.

Active substance

This monograph only applies to medicines containing aspirin (acetylsalicylic acid; CAS No. 50-78-2) and excludes preparations containing any salts and derivatives of aspirin.

Dosage forms and strengths

Acceptable dosage forms and strengths are shown in the table below.

Active substance Dosage strengths Dosage forms (excludes sustained release dosage forms)
Aspirin 100 mg Tablets*
300 mg Tablets*
500 mg Tablets+
  • * Chewable, dispersible, effervescent, uncoated and enteric coated tablets only.
  • + Chewable, dispersible, effervescent and uncoated tablets only.

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Indications

Therapeutic indications for inclusion in the Australian Register of Therapeutic Goods (ARTG)

Required indications are shown in the table below.

Dosage form and strength Indications
100 mg tablets For the treatment of patients with known cardiovascular or cerebrovascular disease, as an antiplatelet agent for prophylaxis against acute myocardial infarction, unstable angina, transient ischaemic attack and cerebrovascular accident (stroke).
300 mg or 500 mg tablets Temporary relief of pain and/or inflammation associated with headache, migraine headache, tension headache, sinus pain, toothache, dental procedures, backache, muscular aches and pains, arthritis, osteoarthritis, rheumatic pain, period pain, fibrositis, neuralgia, sore throat, tennis elbow, and colds and flu. Reduces fever.

Label indications

Acceptable label indications are shown in the table below.

Dosage form & strength Label indications
100 mg tablets Reduces the risk of heart attack and stroke in patients with known cardiovascular or cerebrovascular disease by helping to prevent blood clotting.*
300 mg or 500 mg tablets

All or most of the indications below should be included on medicine labels. Label indications must not be restricted to, or emphasise, a single indication or subset of indications (eg. cold and flu symptoms only, period pain only or headache only).

  • For the temporary relief of pain and/or inflammation associated with:
    • headache
    • migraine headache
    • tension headache
    • sinus pain
    • toothache
    • dental procedures
    • backache
    • muscular aches and pains
    • arthritis
    • rheumatic pain
    • menstruation/period pain
    • fibrositis
    • neuralgia
    • sore throat
    • tennis elbow
    • symptoms of colds and flu
  • Reduces fever.
  • *Permission is required, under Section 42DK of the Therapeutic Goods Act 1989, for the use of claims relating to the cardiovascular or cerebrovascular systems on product labelling. Include a request for permission in the application cover letter.

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Directions for use

Adults and children 12 years and over*

Dosages must be as shown in the table below.

Dosage form & strength Single dose Dose interval Maximum daily dose
100 mg tablet 1 tablet One tablet daily 100 mg
300 mg tablet 1-3 tablets Every 4-6 hours as required Do not exceed 12 tablets in 24 hours
500 mg tablet 1-2 tablets Every 4-6 hours as required Do not exceed 8 tablets in 24 hours
  • *A higher minimum age can also be specified (eg. Adults 18 years and over for 100 mg tablets).
  • Include the statement Do not give to children under x years (where 'x' years is the youngest age for which dosage instructions are included on the labels).
  • Enteric coated tablets should include the statement "Swallow whole. Do not crush or chew".

Labelling

Full scale, full colour draft labelling for each proposed pack size must be provided electronically with the application, for assessment of the product's presentation.

Labelling must comply with all relevant Australian requirements, as detailed in the document Requirements for OTC new medicine N2 applications, including all required warning statements.

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Quality requirements

In addition to the requirements outlined in the document Requirements for OTC New Medicine N2 applications, the following specific requirements apply to aspirin monograph medicines:

Finished product specifications

In addition to other requirements specified in the document Requirements for OTC new medicine N2 applications, the finished product specifications must comply, at a minimum, with the relevant set of requirements below.

The requirements below include all relevant BP general monograph requirements and TGO 78 requirements. Further reference to these is not required. References to pharmacopoeial monographs below refer to the current monograph at time of application.

Standard uncoated and chewable tablets

The tests and limits in the BP monograph Aspirin Tablets with the addition of:

  • tablet appearance
  • Uniformity of dosage units (BP)
  • dissolution (with a limit of ≥70% after 45 minutes1)
  • microbiological quality, in compliance with TGO 77.

Dispersible tablets

The tests and limits in the BP monograph Dispersible Aspirin Tablets with the addition of:

  • tablet appearance
  • Uniformity of dosage units (BP)
  • disintegration (as per the requirements for dispersible tablets in the BP general monograph Tablets)
  • fineness of dispersion (as per the requirements for dispersible tablets in the BP general monograph Tablets)
  • microbiological quality, in compliance with TGO 77.

Effervescent tablets

The tests and limits in the BP monograph Effervescent Soluble Aspirin Tablets with the addition of:

  • tablet appearance
  • Uniformity of dosage units (BP)
  • microbiological quality, in compliance with TGO 77.

Enteric coated tablets

The tests and limits in the BP monograph Gastro-resistant Aspirin Tablets with the addition of:

  • tablet appearance
  • Uniformity of dosage units (BP)
  • dissolution (with a limit of ≤ 5% after 2 hours in acid and ≥ 70% after 45 minutes+ in phosphate buffer)
  • microbiological quality, in compliance with TGO 77.

Container

Aspirin products must be sold in containers that comply with Therapeutic Goods Order No 80, Child Resistant Packaging Requirements for Medicines.


Footnote

  1. As specified in the BP's Supplementary Chapter 1E Dissolution Testing of Solid Oral Dosage Forms

Copyright

© Commonwealth of Australia 2013
This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your organisation do not use the reproduction for any commercial purpose and retain this copyright notice and all disclaimer notices as part of that reproduction. Apart from rights to use as permitted under the Copyright Act 1968 or allowed by this copyright notice, all other rights are reserved and you are not allowed to reproduce the whole or any part of this work in any way (electronic or otherwise) without first being given specific written permission from the Commonwealth to do so. Requests and inquiries concerning reproduction and rights are to be sent to the TGA Copyright Officer, Therapeutic Goods Administration, PO Box 100, Woden ACT 2606 or emailed to <tga.copyright@tga.gov.au>.

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Version Description of change Author Effective date
V1.0 Original publication OTC Medicines Evaluation/Office of Medicines Authorisation 06/09/2013