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本文引用的文献

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Simultaneous quantitative LC-MS method of ketamine, midazolam and their metabolites (dehydronorketamine, norketamine and 1hydroxymidazolam) for its application in patients on extracorporeal membrane oxygenation (ECMO) therapy.用于体外膜肺氧合 (ECMO) 治疗患者的同时定量 LC-MS 法测定氯胺酮、咪达唑仑及其代谢物(去氢氯胺酮、氯胺酮和 1-羟基咪达唑仑)。
J Pharm Biomed Anal. 2020 Jan 30;178:112947. doi: 10.1016/j.jpba.2019.112947. Epub 2019 Oct 24.
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Neonatal Opioid Withdrawal Syndrome: A Developmental Care Approach.新生儿阿片类药物戒断综合征:一种发育性照护方法。
Neonatal Netw. 2019 May 1;38(3):160-169. doi: 10.1891/0730-0832.38.3.160. Epub 2019 May 20.
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Monitoring Prenatal Exposure to Buprenorphine and Methadone.监测丁丙诺啡和美沙酮的产前暴露情况。
Ther Drug Monit. 2020 Apr;42(2):181-193. doi: 10.1097/FTD.0000000000000693.
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Treating infants with neonatal abstinence syndrome: an examination of three protocols.治疗新生儿戒断综合征婴儿:三种方案的考察。
J Perinatol. 2019 Oct;39(10):1377-1383. doi: 10.1038/s41372-019-0450-6. Epub 2019 Aug 5.
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Pharmacological Treatments for Neonatal Abstinence Syndrome: A Systematic Review and Network Meta-analysis.药物治疗新生儿戒断综合征:系统评价和网络荟萃分析。
JAMA Pediatr. 2019 Mar 1;173(3):234-243. doi: 10.1001/jamapediatrics.2018.5044.
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Buprenorphine in Neonatal Abstinence Syndrome.丁丙诺啡用于新生儿戒断综合征
Clin Pharmacol Ther. 2018 Jan;103(1):112-119. doi: 10.1002/cpt.930. Epub 2017 Nov 28.
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The opioid epidemic and neonatal abstinence syndrome in the USA: a review of the continuum of care.美国的阿片类药物流行与新生儿戒断综合征:连续护理综述
Arch Dis Child Fetal Neonatal Ed. 2017 Mar;102(2):F183-F187. doi: 10.1136/archdischild-2015-310045. Epub 2017 Jan 10.
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Formulation of buprenorphine for sublingual use in neonates.用于新生儿舌下给药的丁丙诺啡制剂。
J Pediatr Pharmacol Ther. 2011 Oct;16(4):281-4. doi: 10.5863/1551-6776-16.4.281.
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Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.修订的舌下丁丙诺啡治疗新生儿阿片类戒断综合征的剂量方案。
Addiction. 2011 Mar;106(3):574-80. doi: 10.1111/j.1360-0443.2010.03170.x. Epub 2010 Oct 6.
10
International Conference on Harmonisation; Stability Data Package for Registration Applications in Climatic Zones III and IV; Stability Testing of New Drug Substances and Products; availability. Notice.国际协调会议;气候区III和IV注册申请的稳定性数据包;新原料药和制剂的稳定性试验;可获取性。通知。
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用于测定新生儿戒断综合征临时配制丁丙诺啡口服注射器稳定性的稳定性指示液相色谱-质谱法

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

作者信息

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

出版信息

J Pediatr Pharmacol Ther. 2021;26(4):395-404. doi: 10.5863/1551-6776-26.4.395. Epub 2021 May 19.

DOI:10.5863/1551-6776-26.4.395
PMID:34035685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8139563/
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.

摘要

目的

在医院环境中,丁丙诺啡用于治疗新生儿戒断综合征患者。它是临时配制并储存在口服塑料注射器中。然而,关于丁丙诺啡及其配制制剂在特定条件下储存时的稳定性信息有限。因此,我们开发了一种稳定性指示高效液相色谱 - 质谱(LC - MS)方法来分析丁丙诺啡随时间的稳定性。

方法

开发了一种稳定性指示LC - MS方法,以确定丁丙诺啡在酸性、碱性和氧化条件下的潜在降解峰。该方法用于研究冷藏(2°C - 8°C)和室温(25°C ± 2°C,相对湿度60%)下储存的丁丙诺啡口服注射器的稳定性。使用pH计和稳定性指示LC - MS测定法对每种储存条件下的注射器进行30天的稳定性评估。

结果

丁丙诺啡在暴露于酸1小时结束时完全降解。使用LC - MS测定法在酸性、碱性和过氧化物条件下鉴定了丁丙诺啡的各种降解峰。丁丙诺啡口服注射器的稳定性研究表明,在所有储存条件下,本研究期间均未出现沉淀、浑浊或颜色变化。LC - MS测定显示,丁丙诺啡口服注射器在30天内保持初始浓度的90%以上。

结论

开发了高灵敏度的稳定性指示LC - MS方法来研究临时配制的丁丙诺啡口服注射器的稳定性。本研究表明,根据制造商建议制备的丁丙诺啡临时制剂在冷藏或室温条件下于口服塑料注射器中30天内是稳定的。