Patient Rights Treatment Decisions & Safety What Is an Active Pharmaceutical Ingredient (API)? By Kathlyn Stone Kathlyn Stone Kathlyn Stone is a freelance health and science writer, specializing in neurology and medical research news. Learn about our editorial process Updated on December 24, 2021 Learn more</a>." data-inline-tooltip="true"> Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Violetta Shamilova, PharmD Medically reviewed by Violetta Shamilova, PharmD Violetta Shamilova, PharmD, is a board-certified pharmacist and assistant professor at Touro College in New York. Learn about our Medical Review Board Learn more</a>." data-inline-tooltip="true"> Fact checked Verywell Health content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Angela Underwood Fact checked by Angela Underwood LinkedIn Angela Underwood's extensive local, state, and federal healthcare and environmental news coverage includes 911 first-responder compensation policy to the Ciba-Geigy water contamination case in Toms River, NJ. Her additional health-related coverage includes death and dying, skin care, and autism spectrum disorder. Learn about our editorial process Print The active pharmaceutical ingredient (API) is the part of any drug that produces the intended effects. Some drugs, such as combination therapies, have multiple active ingredients to treat different symptoms or act in different ways. Production of APIs has traditionally been done by the pharmaceutical companies themselves in their home countries. But in recent years many corporations have opted to send manufacturing overseas to cut costs. This has caused significant changes to how these drugs are regulated, with more rigorous Federal Drug Administration (FDA) guidelines and inspections put into place. PhotoAlto / Sigrid Olsson / Getty Images Components of Medications All drugs are made up of two core components—the API, the central ingredient, and the excipient, the substances other than the drug that help deliver the medication to your system. Excipients are chemically inactive substances, such as lactose or mineral oil in the pill, reports Molkem, chemical exporter. Strength of APIs Manufacturers use certain standards to determine how strong the API is in each drug. However, the standard can vary widely from one brand and process to another. Each brand might use different test methods, that can result in different potencies. In all cases, manufacturers are required by the FDA to prove the potency of their products in real-life patients, as well as in laboratory conditions. Top API Manufacturers A leading manufacturer of APIs is TEVA Pharmaceuticals.Another leading manufacturer is Dr. Reddy's. Other industry giants are Pfizer, Novartis, Sanofi, Boehringer Ingelheim, and Bristol-Meyers Squibb. Each of these companies specializes in different APIs, with some offering generic products as well. Where Are APIs Made? While many pharmaceutical companies are located in the United States and England, most API manufacturers are overseas. Other than the U.S., the largest are located in Asia, particularly in India and China, according to the FDA. More and more companies are outsourcing to cut costs on expensive equipment, employees, and infrastructure, according to Beroe, procurement alliance and supplier compliance, company. While this has helped their bottom line, there is continued concern about the quality of these APIs produced overseas. Are Generic Drugs as Safe and Effective as Brand-Name? Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit