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Kabiche D, Balde IB, Majoul E, Kabiche S, Bourguignon E, Fontan JE, Cisternino S, Schlatter J. Stability of Extemporaneously Prepared Hydroxycarbamide Oral Suspensions. Int J Pharm Compd 2017; 21:160-163. [PMID: 28346212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Hydroxycarbamide, available as tablets, is a pharmacological agent for fetal hemoglobin induction such as sickle cell anemia. The need for alternative dosage form options for patients unable to take tablets led hospital pharmacies to prepare solutions and suspensions. The objective of this study was to determine the stability of hydroxycarbamide in Ora-Plus in combination with either Ora-Sweet or Ora-Sweet SF, Ora-Blend, or Ora-Blend SF suspending agents. The studied samples were compounded into 100-mg/mL suspensions and stored in 60-mL amber glass bottles at room (22°C to 25°C) or refrigerated (4°C to 8°C) temperature. Samples were assayed at each time point out to 120 days by a stability-indicating high-performance liquid chromatography method. The samples were examined for any change in color, odor, visual microbiology, and pH on initial and final day of analysis. At least 90% of hydroxycarbamide concentration remained in all suspensions at the end of the 120-day study period in both conditions. There was no appreciable change in color, odor, or taste. The pH values of suspensions stored at 25°C changed by at least 1 unit at the end of the study period. Based on the data collected, the beyond-use date of these suspensions is 120 days when stored in 60-mL amber glass bottles at both temperature storage conditions.
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Affiliation(s)
- Djamila Kabiche
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Issa-Bella Balde
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Elyes Majoul
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Sofiane Kabiche
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Elodie Bourguignon
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Jean-Eudes Fontan
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Salvatore Cisternino
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Jöel Schlatter
- Service Pharmacie, Hôpital Jean Verdier - AP-HP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France.
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Haidar A, Kabiche S, Majoul E, Balde IB, Fontan JE, Cisternino S, Schlatter J. Stability-Indicating High-Performance Liquid Chromatography Assay for the Determination of Sulthiame in Pharmaceutical Dosage Forms. Anal Chem Insights 2016; 11:59-64. [PMID: 27625574 PMCID: PMC5013865 DOI: 10.4137/aci.s38656] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2016] [Revised: 04/25/2016] [Accepted: 05/06/2016] [Indexed: 11/05/2022]
Abstract
A stability-indicating assay by reversed-phase high performance liquid chromatography method was developed and validated for the determination of sulthiame (STM). The chromatographic separation was achieved on a reversed-phase NovaPack C18 column and an isocratic mobile phase consisting of deionized water:methanol (70:30, v/v). The flow rate was 1.0 mL/min (ultraviolet detection at 210 nm). The STM was separated within 2.83 min. The linearity of the method was demonstrated in the range of 20.0–200.0 μg/mL and a coefficient of determination of r2 = 0.9999. The limits of detection and quantification were 4.2 and 9.5 μg/mL, respectively. The intraday and interday precisions were less than 1%. Accuracy of the method ranged from 98.3% to 101.7%, with a relative standard deviation of <1%. STM was degraded by accelerated breakdown in alkaline, acidic, or oxidative stress conditions. This method allows accurate and reliable determination of STM for drug stability assay in pharmaceutical studies.
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Affiliation(s)
- Ammar Haidar
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Sofiane Kabiche
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Elyes Majoul
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Issa-Bella Balde
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Jean-Eudes Fontan
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Salvatore Cisternino
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
| | - Joël Schlatter
- Service de Pharmacie, Hôpital Jean Verdier, APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis, Bondy, France
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Abstract
Adapted forms for administration to infants are limited. The proposed study was performed to propose oral liquid formulations of idebenone in Ora-Plus and either Ora-Sweet or Ora-Sweet SF, Ora-Blend, Ora-Blend SF and Inorpha. Each formulation was stored in 30 ml amber glass bottle at 5 or 25 °C for 90 days. Idebenone contents in these suspensions, determined by a stability-indicating high-performance liquid chromatography method, remained stable at least 90 days in Inorpha when stored at the two temperatures. In Ora-Blend, the stability was estimated at 14 days and in other suspensions at 20 days at the two temperatures. After 90 days storage, the pH of Ora-Plus and Ora-Sweet or Ora-Sweet SF changed between -0.10 and -0.25 units. For others suspensions, the pH changes were not significant (< -0.09 unit). No change was observed in color, odor or visual microbiology. To conclude, we recommended the use of idebenone in Inorpha vehicle stable for at least 90 days at 25 °C.
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Affiliation(s)
- Joël Schlatter
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
| | - Elodie Bourguignon
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
| | - Elyes Majoul
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
| | - Sofiane Kabiche
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
| | - Issa-Bella Balde
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
| | - Salvatore Cisternino
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
| | - Jean-Eudes Fontan
- a Service Pharmacie , Hôpital Jean Verdier - APHP, Hôpitaux Universitaires de Paris-Seine-Saint-Denis , Bondy , France
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Schlatter J, Kabiche S, Balde IB, Majoul E, Cisternino S, Fontan JE. Stability of Pentobarbital in Water and Oral Pediatric Suspensions. Ann Pharmacother 2016; 50:245-6. [PMID: 26728367 DOI: 10.1177/1060028015625655] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Hernandez F, Majoul E, Montes-Palacios C, Antignac M, Cherrier B, Doursounian L, Feron JM, Robert C, Hejblum G, Fernandez C, Hindlet P. An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit. PLoS One 2015. [PMID: 26207363 PMCID: PMC4514799 DOI: 10.1371/journal.pone.0134101] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim To assess the impact of the implementation of a Computerized Physician Order Entry (CPOE) associated with a pharmaceutical checking of medication orders on medication errors in the 3 stages of drug management (i.e. prescription, dispensing and administration) in an orthopaedic surgery unit. Methods A before-after observational study was conducted in the 66-bed orthopaedic surgery unit of a teaching hospital (700 beds) in Paris France. Direct disguised observation was used to detect errors in prescription, dispensing and administration of drugs, before and after the introduction of computerized prescriptions. Compliance between dispensing and administration on the one hand and the medical prescription on the other hand was studied. The frequencies and types of errors in prescribing, dispensing and administration were investigated. Results During the pre and post-CPOE period (two days for each period) 111 and 86 patients were observed, respectively, with corresponding 1,593 and 1,388 prescribed drugs. The use of electronic prescribing led to a significant 92% decrease in prescribing errors (479/1593 prescribed drugs (30.1%) vs 33/1388 (2.4%), p < 0.0001) and to a 17.5% significant decrease in administration errors (209/1222 opportunities (17.1%) vs 200/1413 (14.2%), p < 0.05). No significant difference was found in regards to dispensing errors (430/1219 opportunities (35.3%) vs 449/1407 (31.9%), p = 0.07). Conclusion The use of CPOE and a pharmacist checking medication orders in an orthopaedic surgery unit reduced the incidence of medication errors in the prescribing and administration stages. The study results suggest that CPOE is a convenient system for improving the quality and safety of drug management.
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Affiliation(s)
- Fabien Hernandez
- AP–HP, Saint Antoine Hospital, Pharmacy Department, Paris, France
| | - Elyes Majoul
- AP–HP, Saint Antoine Hospital, Pharmacy Department, Paris, France
| | | | - Marie Antignac
- AP–HP, Saint Antoine Hospital, Pharmacy Department, Paris, France
| | - Bertrand Cherrier
- AP–HP, Saint Antoine Hospital, Orthopaedic Surgery Department, Paris, France
| | - Levon Doursounian
- AP–HP, Saint Antoine Hospital, Orthopaedic Surgery Department, Paris, France
| | - Jean-Marc Feron
- AP–HP, Saint Antoine Hospital, Orthopaedic Surgery Department, Paris, France
| | - Cyrille Robert
- AP-HP, Saint Antoine Hospital, Anaesthetics and Intensive Care Department, Paris, France
| | - Gilles Hejblum
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France
| | - Christine Fernandez
- AP–HP, Saint Antoine Hospital, Pharmacy Department, Paris, France
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France
- Univ Paris-Sud, Faculty of Pharmacy, Chatenay-Malabry, France
| | - Patrick Hindlet
- AP–HP, Saint Antoine Hospital, Pharmacy Department, Paris, France
- Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France
- Univ Paris-Sud, Faculty of Pharmacy, Chatenay-Malabry, France
- * E-mail:
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Caudron E, Majoul E, Prognon P, Havard L, Chaminade P. GRP-127 On-Line Quality Control of Cytotoxic Drugs: Ultra-Fast Chromatographic Separation of Vinca Alkaloids. Eur J Hosp Pharm 2013. [DOI: 10.1136/ejhpharm-2013-000276.127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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