Skip to main content

Evaluation of vitamin D medicines and dietary supplements and the physicochemical analysis of selected formulations

Abstract

Context

Vitamin D is purported to offer wide ranging and numerous health benefits leading to increased interest from manufacturers of medicines and dietary supplements. Elderly patients frequently require vitamin D supplementation due to reduced sun exposure and dietary intake. There are ever increasing numbers of vitamin D formulations in the global market. However, due to a lack of regulatory restrictions for some of these products the quality of these dosage forms can be of some concern.

Objectives

To study vitamin D formulations available in the global market and evaluate physic-chemical properties of selected formulations from the New Zealand market.

Method

The first component of this study consisted of a search for different vitamin D formulations available in selected countries. The second component of the study involved assaying selected vitamin D formulations available in New Zealand. Vitamin D was extracted from capsule, tablet and emulsion formulations and quantified using a validated High Performance Liquid Chromatography (HPLC) method.

Results

Of the 14 analysed formulations, only 60% were within 100+10 % of the label claim. The two registered, prescription formulations available exhibited vitamin D levels of 90+4% and 97±2% of the labeled amount, while non-registered, non-prescription dietary supplements had vitamin D levels ranging from 8±2% to 201±29% of the labeled amount.

Conclusions

Dietary supplements do not require strict regulation and showed a large variation in the percentage label claim of vitamin D. Prescription formulations which are more strictly regulated gave content values within standard acceptance ranges. Vitamin D has proven health benefits and also the potential to cause harm, therefore there is a need for tougher regulations of dietary supplements to ensure acceptable quality.

This is a preview of subscription content, access via your institution.

References

  1. Gueli N, Verrusio W, Linguanti A, Di Maio F, Martinez A, Marigliano B, et al (2011) Vitamin D: Drug Of The Future. A New Therapeutic Approach. Archives of Gerontology and Geriatrics(2455): 1–6.

  2. Lappe JM (2011) The Role of Vitamin D in Human Heallh: A Paradigm Shift. Journal of Evidence-Based Complementary & Alternative Medicine 16(l):58–72.

    Article  CAS  Google Scholar 

  3. Holick MF (2007) Vitamin D deficiency. New England Journal of Medicine 357(3):266–81.

    Article  PubMed  CAS  Google Scholar 

  4. Palomer X, Gonzalez-Clemente JM, Blanco-Vaca F, Mauricio D (2008) Role of vitamin D in the pathogenesis of type 2 diabetes mellitus. Diabetes, Obesity and Metabolism 10(3): 185–97.

    Article  PubMed  CAS  Google Scholar 

  5. Holick MF (2004) Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. The American Journal of Clinical Nutrition 79(3):362.

    PubMed  CAS  Google Scholar 

  6. Calvo MS, Whiting SJ, Barton CN (2005) Symposium: Vitamin D insufficiency: A significant risk factor in chronic diseases and potential disease-specific biomarkers of vitamin D sufficiency. The Journal of Nutrition 135(2):310–6.

    PubMed  CAS  Google Scholar 

  7. European Food Safety Authority Panel on Dietetic Products Nutrition and Allergies (2011) Scientific Opinion on the substantiation of a health claim related to vitamin D and risk of falling pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal 9(9):2382.

    Google Scholar 

  8. European Food Safety Authority Panel on Dietetic Products Nutrition and Allergies (2010) Scientific Opinion in relation to the authorisation procedure for health claims on calcium and vitamin D and the reduction of the risk of osteoporotic fractures by reducing bone loss pursuant to Article 14 of Regulation (EC) No 1924/2006. EFSA Journal 8(5):1609.

    Google Scholar 

  9. Logan IC, Witham MD (2008) Vitamin D in older people. Reviews in Clinical Gerontology 18:287–98.

    Article  Google Scholar 

  10. Lanske B, Razzaque MS (2007) Vitamin D and aging: old concepts and new insights. Journal of Nutritional Biochemistry 18:771–7.

    Article  PubMed  CAS  Google Scholar 

  11. (2005) Martindale: the complete drug reference. 35 ed. Sweetman SC, Martindale W, editors.: London; Chicago: Pharmaceutical Press, 2005.

    Google Scholar 

  12. (2007) British Pharmacopoeia. London: The Stationary Office

  13. (2010) Dietary Supplements Regulations 1985 http://www.legislation.govt.nz/regulation/public/1985/0208/latest/DLM102109.html?search=qs_regulation_Dietary+Supplements_resel&p=l. Wellington: New Zealand Parliamentary Counsel Office/Te Tari Tohutohu Paremat; updated 31 March 2010; Accessed 05 April 2011.

  14. Shane R (2002) Steroids masquerading as natural herbs: a case for regulatory control. Journal of the New Zealand Medical Association Vol 115(1159).

  15. Therapeutic Goods Administration (2011) Australian regulatory guidelines for complementary medicines — Part HI Evaluation of complementary medicine substances http://www.tga.gov.au/docs/pdf/argcmp3.pdf. Accessed 18 April 2011.

  16. Medicines and Healthcare Products Regulatory Agency (2000) Borderline products. http://www.mhra.gov.uk/Howweregulate/Medicines/Doesmyproductneedalicence/Borderlineproducts/indexlitm. Accessed September 16 2011.

  17. (1994) Dietary Supplement Health and Education Act [US] http://ods.odjiih.gov/about/dshea_wording.aspx. Accessed September 16 2011.

  18. Goldman P (2001) Herbal medicines today and the roots of modem pharmacology. Annals of Internal Medicine 135(8 Pt 1):594–600.

    PubMed  CAS  Google Scholar 

  19. FDA (2007) FDA Issues Dietary Supplements Finale Rule http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/2007/ucm108938.htm. Acces sed September 162011.

  20. The European Parliament and the Council of the European Union (2002) Directive 2002/46/EC of the European Parliament and of the Council of 10 June 2002 on the approximation of the laws of the Member States relating to food supplements http://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2002:183:0051:0057:EN:PDF. Accessed 01 Mar 2012.

  21. Health and Consumer Protection Directorate-General (2006) Discussion Paper on the setting of maximum and minimum amounts for vitamins and minerals in foodstuffs htto://ee.europa.eu/food/food/labellingnutrition/supplements/discus_paper_amount_vitamins.pdf. Accessed 01 Mar 2012.

  22. Armas LAG, Hollis BW, Heaney RP (2004) Vitamin D2 is much less effective than vitamin D3 in humans. Journal of Clinical Endocrinology & Metabolism 89(11):5387–91.

    Article  CAS  Google Scholar 

  23. Ross AC, Taylor CL, Yaktine AL, Del Vale HB, editors. Dietary Reference Intakes for Calcium and Vitamin D. Washington DC: The National Academic Press; 2011.

    Google Scholar 

  24. Overgaard AB, Hojsted J, Hansen R, Moller-Sonnergaard J, Christrup LL (2001) Patients’ evaluation of shape, size and colour of solid dosage forms. Pharmacy World & Science 23(5): 185–8.

    Article  CAS  Google Scholar 

  25. Medicines Act 1981 [NZ] [Statute on the internet] http://www.legislation.govt.nz/act/public/1981/0118/latest/DLM53790html. 1981.

  26. New Zealand Food Safety Authority. New Zealand Food (Supplemented Food) Standard 2010. Wellington: New Zealand Food Safety Authority,; 2010. Contract.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sanjay Garg.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Garg, S., Sabri, D., Kanji, J. et al. Evaluation of vitamin D medicines and dietary supplements and the physicochemical analysis of selected formulations. J Nutr Health Aging 17, 158–161 (2013). https://doi.org/10.1007/s12603-012-0090-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-012-0090-4

Key words

  • Vitamin D
  • stability
  • analysis
  • marketed vitamin formulations