What it does
This instrument sets mandatory microbiological testing and acceptance requirements for medicines supplied in Australia by prescribing which pharmacopoeial tests and acceptance criteria apply. It is a Therapeutic Goods Order, officially titled the Therapeutic Goods (Microbiological Standards for Medicines) (TGO 100) Order 2018 (s 1). The Order is made under s 10 of the Therapeutic Goods Act 1989 (s 3), and operates by incorporating and referring to specified monographs, appendices and chapters in default standards (the British Pharmacopoeia, the European Pharmacopoeia and the United States Pharmacopeia-National Formulary) and by prescribing two bespoke schedules for certain complementary medicines (s 4; s 11; Schedules 1 and 2).
Mechanically, TGO 100 does the following:
- Declares which medicines the instrument applies to (all therapeutic goods that are medicines) and lists discrete exemptions (s 6; s 7).
- Requires that medicines described or implied to be sterile, and medicines that are required to be sterile or to comply with an endotoxin test under a default standard monograph, comply with the Test for Sterility and, if applicable, the Bacterial Endotoxin Test of the referenced default standard (s 9).
- Mandates tests for antimicrobial preservation for aqueous multidose medicines against BP Appendix XVI C or Ph. Eur. section 5.1.3, with a specific permitted alternative for liquid oral antacids to use USP <51> (s 10).
- Sets the acceptable microbiological attributes and test-method pairings for non-sterile medicines by reference to one of three pharmacopoeial approaches (British, European or US) and the corresponding enumeration and specified-organism test methods (s 11(1)).
- Creates narrower, specific numerical acceptance criteria for two classes of complementary medicine oral dosage forms that contain raw natural materials, in Schedules 1 and 2; those Schedules must be applied when the product is tested using the methods listed in s 11(1) (s 11(2); Schedules 1 and 2).