2018 N F 36 THE NATIONAL FORMULARY Volume 3 By authority of the United States Pharmacopeial Convention Prepared by the Council of Experts and its Expert Committees Official from May 1, 2018 The designation on the cover of this publication, “USP NF 2018,” is for ease of identification only. The publication contains two separate compendia: The United oars Pharmacopeia, Forty-First Revision, and The National Formulary, Thirty-Sixth Edition. THE UNITED STATES PHARMACOPEIAL CONVENTION 12601 Twinbrook Parkway, Rockville, MD 20852 USP 41| THE UNITED STATES PHARMACOPEIA SIX-MONTH IMPLEMENTATION GUIDELINE The United States Pharmacopeia—National Formulary and its supplements become official six months after being released to the public. The USP-NF, whic is released on November 1 of each year, becomes official on May 1 of the following year. This six-month implementation timing gives users more time to bring their methods and proceduresinto compliance with new and revised USP-NF requirements. The table below describes the official dates of the USP-NF and its supplements. The 2017 USP 40-NF 35, and its supple- ments, Interim Revision Announcements (IRAs) and Revision Bulletins to that edition, will be official until May 1, 2018, at which time the USP 41—-NF 36 becomes official. Publication Release Date Official Date Official Until USP41-NF 36 November 1, 2017 May 1, 2018 May 1, 2019 (except as superseded by supplements, /RAs, and Revision Bulletins) First Supplement to the February 1, 2018 August 1, 2018 May 1, 2019 (except as superseded by Second Supplement, IRAs, USP 41-NF 36 and Revision Bulletins) Second Supplement to the June 1, 2018 December 1, 2018 May 1, 2019 (except as superseded by /RAs and Revision Bulletins) USP 41-NF 36 USP42-NF 37 November 1, 2018 May 1, 2019 May 1, 2020 (except as superseded by supplements, /RAs, and Revision Bulletins) Thetable below gives the details of the /RAs that will apply to USP 41—-NF 36, IRA. PF Posting Date Comment Due Date IRA Posting Date IRA Official Date 4401) January 2, 2018 March 31, 2018 May 25, 2018 july 1, 2018 44(2) March 1, 2018 May 31, 2018 July 27, 2018 September 1, 2018 44(3) May 1, 2018 july 31, 2018 September 28, 2018 November 1, 2018 44(4) July 2, 2018 September 30, 2018 November 23, 2018 Januar1y, 2019 44(5) Septembe4r, 2018 November 30, 2018 January 25, 2019 March 1, 2019 44(6) November 1, 2018 January 31, 2019 March 29, 2019 May 1, 2019 Revision Bulletins published on the USP website become official on the date specified in the Revision Bulletin. NOTICE AND WARNING Concerning Use of USP or NF Text—Attention is called to the fact that USP and NF text is fully copyrighted. Authors and others wishing to use portions of the text should request permission to do so from the Secretary of the USPC Board of Trustees. Copyright © 2017 The United States Pharmacopeial Convention 12601 Twinbrook Parkway, Rockville, MD 20852 All rights reserved. ISSN: 0195-7996 ISBN: 978-1-936424-70-2 Printed in the United States by United Book Press, Inc., Baltimore, MD Concerning U.S. Patent or Trademark Rights—The inclusion in The United States Pharmacopeia or in the National Formulary of a monograph on any drug in respect to which patent or trademark rights may exist shall not be deemed, and is not intended as, a grant of, or authority to exercise, any right or privilege protected by such patent or trademark. All such rights and privileges are vested in the patent or trademark owner, and no other person may exercise the same without express permission, authority, or license secured from such patent or trademark owner. USP 41-NF 36 Contents iii Contents VOLUME 1 Guide to General Chapters .......... 13 USP 41 Mission Statement and Preface...... vii People 2015-2020 Revision Cycle ..... xi Monographs Officers «ss iss 4 104 saweweemesmeenavteeaee xi Official Monographs for USP 41, A-l......... 19 Board (Of Trustees«a's ow sxscmssnsienmoMnsEatWtew9y xi COUNEII OF EXPerts:.. 2. ncinaincomveaycrsaairnat,lwse xi Index FADGIE COMINITEES (5oe ccmereee6r4nmamarS xii Combined Index to USP 41 and NF 36....... I-1 In Memoriam 1... 0.0... ceceee xviii Members of the United States VOLUME 2 Pharmacopeial Convention, as of May 31, 2017................ xix 2016 Recognition of Monograph and Reference Material Donors ... xxvi Notices General Notices and Requirements ........... ix Articles of Incorporation . xvi USP Governance ................... xxix Guide to General Chapters .......... xix Bylaws 2.6... eee ees xxix Rules and Procedures .............-.000- xxix Monographs USP Policies: «2s 44.4 2 2 ¢%'s B92 paaethtandllinals Xxix Official Monographs for USP 41, J-Z....... 2303 Admissions .....................055 Xxxiii Index Articles Admitted to USP 47 by SUDPIEMIENE,cnn cee ene ee ee ee a wo ieeneiassenns xxxiii Combined Index to USP 47 and NF 36....... I-1 New Articles Appearing in USP 47 That Were Not Included in USP 40 Including Supplements 0 ce svcev54sssesaeR3ey XXxiv VOLUME 3 Articles Included in USP 40 But Not Included in USP 47 2.0... cece eee nee XXxiV Annotated List. sci css eeecssaeaassssawe XXXVi Notices General Notices and Requirements ........... ix Notices General Notices and Requirements ........... 3 Guide to General Chapters .......... xix iv Contents USP 41-NF 36 Global Health SOWWUONS: ss sweeekemReeaLbeabansa4gae 5748 Official Monographs ................00. 4415 Butler SolWHONS vcvwowwew erences es auas 5748 Colorimetric Solutions ..............-. 5749 Dietary Supplements Test SOlUHONS accyeeceewegeeeryeusaeas 5750 Official Monographs’ s iu. ss eis cease enemys 4417 Volumetric Solutions ..............005 5761 Chromatographic Columns.............. 5774 NF 36 Reference Tables Containers for Dispensing Capsules and Admissions Tablets... eeeeee eee 5781 Articles Admitted to NF 36 by Supplement .. 5167 Description and Relative Solubility of USP New Articles Appearing in NF 36 That Were Not and NF AMIGIES! sis¢ecconygcoaaaEyRs 5791 Included in NF 35 Including Approximate Solubilities of USP and Supplements ........ 000-00. e eee 5167 NF Articles... 0... cece 5851 New Articles Appearing in NF 36 ......... 5167 Atomic Weights cuqwadeesbesseescede 5859 Annotated List o oo.¢ ean ws ane a svicacwmesnnaes 5168 Half-Lives of Selected Radionuclides ....... 5860 Alcoholometric Table...............0005 5861 Excipients Intrinsic Viscosity Table ..............04. 5863 USP and NF Excipients, Listed by CAMQOOIY «seu eeu s e485 8s semeewRwee¢ 5169 General Chapters Monographs See page xix for detailed contents Official Monographs for NF 36 ........... 5179 General Tests and Assays..............45 5915 General Requirements for Tests and Assays .. 5915 Index Apparatus for Tests and Assays ........... 5954 Combined Index to USP 41 and NF 36....... I-1 Microbiological Tests « so cosewsisGu.sssens 5959 Biological Tests and Assays .............. 5991 VOLUME 4 Chemical Tests and Assays ............-. 6094 Physical Tests and Determinations......... 6327 Notices Index General Notices and Requirements ........... ix Combined Index to USP 41 and NF 36....... 1-1 Guide to General Chapters .......... xix VOLUME 5 Reagents, Indicators, and Solutions ....................00- Notices Reagent Specifications...............005 5664 General Notices and Requirements ........... ix Indicators and Indicator Test Papers ....... 5745 USP 41-NF 36 Contents v am] 7 Guide to General Chapters ..........xix Dietary Supplements.............-.0005 8153 $ = General Chapters Index 2 See page 63 for detailed contents Combined Index to USP 47 and NF 36....... 1 a General Information ................000. 6699 USP 41 General Notices vii General Notices and Requirements Applying to Standards, Tests, Assays, and Other Specifications of the United States Pharmacopeia 1. Title and Revision....................... ix 6.50. Preparation of Solutions ................8. xiv £200, Units Necessary to Complete a Test ......... xiv 70. WUSincecene «uae oo en MemREEO6NaECTAF i 2. Official Status and Legal 680: Equipment 2222220xiv Reco ne AGS TB GAG + eeanene 2 « comme # © omnes ww ix 2.10. Official Text... 22.2... eee eee ix 2.20. Official Articles . 2... 0... ccc eee eee eee ix 7 Ae etanee Requirements comeueaa sees OF 2.30. Legal RECOQNIBION) w.00 06 ee a ee warneaado ix 7:20. Rounding Rules.....0.0.2c.--ll-l., sa 3. Conformance to Standards............. ix — 3.10. ppplcgeileg Of Standards « «2 «x aexcowver46ai%g& ix 8. eanie eeeDet ineithons iE 2 SUH Ao beled 2 nv 3.20. Indicating Conformance..............00005 x 820. About ........ 8.30. Alcohol Content 4. Monographs and General Chapters .... xi 8.40. Atomic Weights 4.10. Monographs ...... 2.0.ce0ee.ee.e.ee xi 8.50. Blank Determinations ..............00005 xv 4.20. General Chapters... 0... 0.0.eee0ee.ee0e xi 8.60, Concomitantly «sss en 22 eeoenmems9e02yes xvi 8.70. Desiccator ... i 5. Monograph Components ............... ect aeeit : 5.10. Molecular Formula... ........ 0200000000. 8.100Nel “ol aa 5.20. Added Substances ......0.00.0.es.ea.s 3.110. NUM 5.30. Description and Solubility. ..............4. 3.120. Odor - S-A0. Identificationinns. «.35 6 i naa osepee9 6noee 8.130. Percent... BBO. ASSAY, woro342n31e3,8n§Heeaens 8.140.Pe “ hE ge Concenttations...........0200. ; 5.60. Impurities and Foreign Substances 3.150.Pressure CNCCNMSUCNS etsrEEGeRTeEEY “v 5.70. Performance Tests .. 0... 0... eee eee eee iii 3.160.Re ton Tine ccc teea 5.80. USP Reference Standards ........ ......00. iii rag R eece rcp © FH EN sian ae aa ene ey aM 8.170. Specific Gravity... 0... ee eeexvi 8.180. Temperatures 1... eee eeexvi 6. Testing Practices and Procedures ..... xiii 8.190. Time... i 6.10. Safe Laboratory Practices .........-...000.xiii 8.200. Transfer. . . 6.20. Automated Procedures. ..........-..0.00.xiii 8.210. Vacuum 6.30. Alternative and Harmonized Methods and 8.220. Vacuum Desiccator ..............-00005 xvi Procedures:s.< <3 24274 cuswmebeeedaeeessxiii 8.230. Water 2... ee eee xvi 6.40. Dried, Anhydrous, Ignited, or Solvent- 8.240. Weights and Measures ............0.0005 xvi Free Basis... 2... eeeeeeeexiii cepIbtNeM SELICID) viii General Notices USP 41 9. Prescribing and Dispensing............ xvi 10. Preservation, Packaging, Storage, al ® so 2 ° = s - a = Cy oO 9.10 Use of Metric Units... 2. eeeeeu ea eee anes xvii and Labeling ........................ 9.20 Changes in Volume.... 0.2.c0ec6eee.eeexviii 10.10, Packaging and Storage a . 10.20. Labeling»... 2... 2. eee ee eee eee USP 41 General Notices ix The General Notices and Requirements section (the General USB flash drive versions of USP-NF. These versions also are Notices) presents the basic assumptions, definitions, and de- superseded by Accelerated Revisions as described above. fault conditions for the interpretation and application of the In the event of anyclisparity between the print or USB United States Pharmacopeia(USP) and the National Formulary flash drive versions and the USP-NF Online, the USP-NF On- (NF). line will be deemed to apply. Requirements stated in these General Notices apply to all 2.20. Official Articles articles recognized in the USP and NF (the “compendia”) An official article is an article that is recognized in USP or and to all general chapters unless specifically stated NF. An article is deemed to be recognized and included in a otherwise. compendium when a monograph for the article is published 1. TITLE AND REVISION in the compendium and an official date is generally or spe- The full title of this publication (consisting of five volumes cifically assigned to the monograph. and including its Supplements), is The Pharmacopeia of the The title specified in a monograph is the official title for United States of America, Forty-First Revision and the Na- such article. Other names considered to be synonyms of the tional Formulary, Thirty-Sixth Edition. These titles may be ab- official titles may not be used as substitutes for official titles. breviated to USP 41, to NF 36, and to USP 41-NF 36. The Official articles include both official substances and official United States Pharmacopeia, Forty-First Revision, and the Na- products. An official substance is a drug substance, excipient, tional Formulary, Thirty-Sixth Edition, supersede all earlier re- dietary ingredient, other ingredient, or component ofa fin- visions. Where the terms “USP,” “NF,” or “USP—NF’ are used ished device for which the monograph title includes no indi- without further qualification during the period in which cation of the nature of the finished form. these compendia are official, they refer only to USP 41, NF An official product is a drug product, dietary supplement, 36, and any Supplement(s) thereto. The same titles, with no compounded preparation, or finished device for which a further distinction, apply equally to print or electronic pres- monograph is provided. entation of these contents. Although USP and NF are pub- 2.30. Legal Recognition lished under one cover and share these General Notices, they The USP and NF are recognized in the laws and regula- are separate compendia. tions of many countries throughout the world. Regulatory This revision is official beginning May 1, 2018 unless oth- authorities may enforce the standards presented in the USP erwise indicated in specific text. and NF, but because recognition of the USP and NF may Supplements to USP and NF are published periodically. vary by country, users should understand applicable laws Accelerated Revisions, published periodically on the Offi- and regulations. In the United States under the Federal cial Text section of USP’s website (http://www.usp.org/usp- Food, DruG), and Cosmetic Act (FDCA), both USP and NF are nf/official-text), are designed to make revisions official more recognized as official compendia. A drug with a name rec- quickly than through the routine process for publishing ognized in USP-NF must comply with compendial identit standards in the USP-NF. Interim Revision Announcements are standards or be deemed adulterated, misbranded, or both. Accelerated Revisions to USP and NF that contain official re- See, eg FDCA § 501(b) and 502(e)(3)(b); also FDA regula- visions and their effective dates. tions, 21 CFR § 299.5(a&b). To avoid being deemed Revision Bulletins are Accelerated Revisions to official text adulterated, such drugs must also comply with compendial or postponements that require expedited publication. They standards for strength, quality, and purity, unless labeled to generally are official immediately unless otherwise specified show all respects in which the drug differs. See, e.g., FDCA in the Revision Bulletin. § 501(b) and 21 CFR § 299.5(c). In addition, to avoid being Errata are Accelerated Revisions representing corrections deemed misbranded, drugs recognized in USP-NF must also to items erroneously published. Announcements of the avail- be packaged and labeled in compliance with compendial ability of new USP Reference Standards and announcements standards. See FDCA § 502(g). of tests or procedures that are held in abeyance pending A dietary supplement represented as conforming to speci- availability of required USP Reference Standards are also fications in USP will be deemed a misbranded food if it fails available on the “Official Text” tab of USP’s website. to so conform. See FDCA § 403(s)(2)(D). 2. OFFICIAL STATUS AND LEGAL RECOGNITION Enforcement of USP standards is the responsibility of FDA 2.10. Official Text and other government authorities in the U.S. and elsewhere. Official text of the USP and NF is published in the USP-NF USP has no role in enforcement. Online (www.uspnf.com) in the edition identified as “CUR- RENTLY OFFICIAL” and in Accelerated Revisions that super- Change to read: sede the USP-NF Online as described below. Routine revisions are published in the USP-NF Online and 3. CONFORMANCE TO STANDARDS become official on the date indicated, usually six months after publication. Accelerated Revisions supersede the 3.10. Applicability of Standards USP-NF Online and become official on the date indicated. Standards for an article recognized in the compendia Links to Accelerated Revisions on the USP website can be (USP-NF) are expressed in the article’s monograph, applica- found in any superseded monograph or general chapter in ble general chapters, and General Notices. The identity, the USP-NF Online. strength, quality, and purity of an article are determined by Print and USB flash drive versions of the USP and NF also the official tests, procedures, and acceptance criteria, and are available. Routine revisions are provided with the same other requirements incorporated in the monograph, in ap- timing as the USP-NF Online. Official text published in Sup- plicable general chapters, or in the General Notices. “Appli- plements supersedes that in the previously published print or cable general chapters” means general chapters numbered PEPENM SEIU ID) GENERAL NOTICES AND REQUIREMENTS x General Notices USP 41 below 1000 or above 2000 that are made applicable to an 3.10.10. Applicability of Standards to Drug Products, article through reference in General Notices, a monograph, Drug Substances, and Excipients or another applicable general chapter numbered below The applicable USP or NF standard applies to any article 1000. Where the requirements of a monograph differ from marketed in the United States that (1) is recognized in the the requirements specified in these General Notices or an compendium and (2) is intended or labeled for use as a applicable general chapter, the monograph requirements drug or as an ingredient in a drug. Such articles (drug prod- apply and supersede the requirements of the General Notices ucts, drug substances, and excipients) include both human or applicable general chapters, whether or not the mono- drugs (whether dispensed by prescription, “over the graph explicitly states the difference. counter,” or otherwise), as well as animal drugs. The appli- General chapters numbered 1000 to 1999 are for infor- cable standard applies to such articles whether or not the mational purposes only. They contain no mandatory tests, added designation “USP” or “NF” is used. The standards ww assays, or other requirements applicable to any official arti- apply equally to articles bearing the official titles or names C7 cle, regardless of citation in a general chapter numbered derived by transposition of the definitive words of official Ro =] below 1000, a monograph, or these General Notices. Gen- titles or transposition in the order of the names of two or ° eral chapters numbered above 2000 apply only to articles more 4drug substancesausrs; in official titles, or where there ra that are intended for use as dietary ingredients and dietary is use of synonyms with the intent or effect of suggesting a 3 supplements. General chapter citations in NF monographs significant degree of identity with the official title or name. - v refer to USP general chapters. 3.10.20. Applicability of Standards to Medical Devices, = Early adoption of revised standards in advance of the offi- Dietary Supplements, and Their Components and Vv cial date is allowed by USP unless specified otherwise at the Ingredients fe) time of publication. Where revised standards for anexisting An article recognized in USP or NF shall comply with the article have been published as final approved “official text” compendial standards if the article is a medical devter com- (as approved in section 2.10 Official Text) but have not yet ponent intended for a medical device, dietary supplement, reached the official date (six months after publication, un- dietary ingredient, or other ingredient that is intended for less otherwise specified; see “official date”, section 2.20. Of- incorporation into a dietary supplement, and is labeled as ficial Articles), compliance with the revised standard shall not conforming to the USP or NF. preclude a finding or indication of conformance with com- Generally, dietary supplements are prepared from ingredi- pendial standards, unless USP specifies otherwise by prohib- ents that meet USP, NF, or Food Chemicals Codex standards. iting early adoption in a particular standard. Where such standards do not exist, substances may be used The standards in the relevant monograph, general chap- in dietary supplements if they have been shown to be of ter(s), and General Notices apply at all times in the life of the acceptable food grade quality using other suitable article from production to expiration. It is also noted that procedures. the manufacturer’s specifications, and manufacturing prac- 3.10.30. Applicability of Standards to the Practice of tices (e.g., Quality by Design, Process Analytical Technology, Compounding (New) and Real Time Release Testing initiatives), generally are fol- USP compounding practice standards, Pharmaceutical lowed to ensure that the article will comply with com- Compounding—Nonsterile Preparations (795) and Pharmaceu- pendial standards until its expiration date, when stored as tical Compounding—Sterile Preparations (797), as appropriate, directed. Every compendial article in commerce shall be so apply to compounding practice or activity regardless of constituted that when examined in accordance with these whether a monograph exists for the compounded prepara- assays and test procedures, it meets all applicable pharma- tion or these chapters are referenced in such a monograph. copeial requirements (General Notices, monographs, and In the United States, (795) and (797) are not applicable to general chapters). Thus, any official article is expected to drugs compounded by entities registered with FDA as out- meet the compendial standards if tested, and any official sourcing facilities as definedty FDCA § 503B, because such article actually tested as directed in the relevant monograph facilities are required to comply with FDA’s current good must meet such standards to demonstrate compliance. manufacturing practice requirements.pent te prepa- Some tests, such as those for Dissolution and Uniformity of rations, including drug products compounded by outsourc- Dosage Units, require multiple dosage units in conjunction ing facilities, may also be subject to applicable monographs; with a decision scheme. These tests, albeit using a number see section 2.20 Official Articles and section 4.10 of dosage units, are in fact one determination. These proce- Monographs. dures should not be confused with statistical sampling 3.20. Indicating Conformance plans. The similarity to statistical procedures may seem to A drug product, drug substance, or excipient may use the suggest an intent to make inference to some larger group of designation “USP” or “NF” in conjunction with its official units, but in all cases, statements about whether the com- title or elsewhere on the label only when (1) a monograph pendial standard is met apply only to the units tested. Re- is provided in the specified compendium and (2) the article peats, replicates, statistical rejection of outliers, or extrapola- complies with the identity prescribed in the specified tions of results to larger populations, as well as the necessity compendium. and appropriate requency of batch testing, are neither When a drug product, drug substance, compounded specified nor proscribed by the compendia; such decisions preparation, or excipient differs from the relevant USP or NF are based on the objectives of the testing. Frequency of standard of strength, quality, or purity, as determined by testing and sampling are left to the preferences or direction the application of the tests, procedures, and acceptance cri- of those performing compliance testing, and other users of teria set forth in the relevant compendium, its difference USP-NF, including manufacturers, buyers, or regulatory shall be plainly stated on its label. authorities. When a drug product, drug substance, compounded Official products are prepared according to recognized preparation, or excipient fails to comply with the identity prne/ples of good manufacturing practice and from ingredi- prescribed in USP or NF or contains an added substance that ents that meet USP or NF standards, where standards for interferes with the prescribed tests and procedures, the arti- such ingredients exist (for dietary supplements, see section cle shall be designated by a name that is clearly distinguish- 3.10.20 Applicability of Standards to Medical Devices, Dietary ing and differentiating from any name recognized in USP or Supplements, and Their Components and Ingredients). NF. Official substances apepaed according to recognized A medical device, dietary supplement, or ingredient or principles of good manufacturing practice and from ingredi- component of a medicaldevice or dietary supplement may ents complying with specifications designed to ensure that use the designation “USP” or “NF” in conjunction with its the resultant substances meet the requirements of the com- official title or elsewhere on the label only when (1) a mon- pendial monographs. ograph is provided in the specified compendium and (2)