Literature DB >> 34035685

Stability-indicating LC-MS Method for Determination of Stability of Extemporaneously Compounded Buprenorphine Oral Syringes for Neonatal Abstinence Syndrome.

Ankit Rochani, Vinh Nguyen, Robin Becker, Walter Kraft, Gagan Kaushal.   

Abstract

OBJECTIVE: In the hospital settings, buprenorphine is used for the treatment of patients with neonatal abstinence syndrome. It is extemporaneously compounded and stored in oral plastic syringes. However, limited information exists about the stability of buprenorphine and its compounded formulations when stored under specific conditions. Hence, we developed a stability-indicating high-performance liquid chromatography-mass spectrometry (LC-MS) method to analyze the stability of buprenorphine over time.
METHODS: A stability-indicating LC-MS method was developed to map the potential degradation peaks of buprenorphine when exposed to acidic, basic, and oxidative conditions. This method was used to study the stability of compounded buprenorphine oral syringes stored under refrigeration (2°C-8°C) and room temperature (25°C ± 2°C with 60% relative humidity). Syringes from each storage condition were assessed for stability using pH meter and stability-indicating LC-MS assay for 30 days.
RESULTS: Buprenorphine gets completely degraded in the presence of acid at the end of 1 hour of exposure. Various degradation peaks were identified using LC-MS assay for buprenorphine under acidic, basic, and peroxide conditions. Stability study of oral buprenorphine syringes showed no precipitation, cloudiness, or color change during this study at all storage conditions. The LC-MS assay revealed that buprenorphine oral syringes retained greater than 90% of the initial concentrations for 30 days.
CONCLUSIONS: Highly sensitive stability-indicating LC-MS method was developed for studying the stability of extemporaneously compounded buprenorphine oral syringes. This study demonstrates that buprenorphine extemporaneous formulation prepared according to the manufacturers' recommendations is stable under refrigerated or room temperature conditions for 30 days in oral plastic syringes. Copyright. Pediatric Pharmacy Association. All rights reserved. For permissions, email: mhelms@pediatricpharmacy.org 2021.

Entities:  

Keywords:  LC-MS; buprenorphine; compounding formulation; extemporaneously compounded; oral syringes; stability; stability-indicating

Year:  2021        PMID: 34035685      PMCID: PMC8139563          DOI: 10.5863/1551-6776-26.4.395

Source DB:  PubMed          Journal:  J Pediatr Pharmacol Ther        ISSN: 1551-6776


  16 in total

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Authors:  Walter K Kraft; Kevin Dysart; Jay S Greenspan; Eric Gibson; Karol Kaltenbach; Michelle E Ehrlich
Journal:  Addiction       Date:  2010-10-06       Impact factor: 6.526

2.  Stability of buprenorphine, haloperidol and glycopyrrolate mixture in a 0.9% sodium chloride solution.

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6.  Neonatal Opioid Withdrawal Syndrome: A Developmental Care Approach.

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8.  Stability of five catecholamines and terbutaline sulfate in 5% dextrose injection in the absence and presence of aminophylline.

Authors:  D W Newton; E Y Fung; D A Williams
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9.  Treating infants with neonatal abstinence syndrome: an examination of three protocols.

Authors:  Morgan J Hartgrove; Laurie L Meschke; Terry L King; Carla Saunders
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Review 10.  Buprenorphine in Neonatal Abstinence Syndrome.

Authors:  Walter K Kraft
Journal:  Clin Pharmacol Ther       Date:  2017-11-28       Impact factor: 6.875

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