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盐酸布比卡因与盐酸二氢吗啡在硬膜外输注中的稳定性。

Stability of bupivacaine hydrochloride with diamorphine hydrochloride in an epidural infusion.

作者信息

Barnes A R, Nash S

机构信息

Pharmaceutical Sciences Institute, Aston University, Birmingham, UK.

出版信息

Pharm World Sci. 1995 May 26;17(3):87-92. doi: 10.1007/BF01875437.

DOI:10.1007/BF01875437
PMID:7550055
Abstract

The stability of diamorphine (0.02 mg/ml as the hydrochloride) in 250 ml bupivacaine hydrochloride (0.15% wt/vol infusion) was studied by high pressure liquid chromatography at temperatures in the range 7 to 45 degrees C. Diamorphine hydrochloride was degraded by approximately 0.13% per day at 7 degrees C. No bupivacaine hydrochloride degradation was detectable during the study. The storage life of the combination at 7 degrees C, based on the lower 95% confidence limit of the time to 5% diamorphine hydrochloride degradation, was 14 days. The stability at 25 degrees C was adequate to allow transport and administration over 24 h at ambient temperature. Stability was also maintained for at least 24 hr at 32 and 45 degrees C. Infusion of the mixture with an ambulatory infusion pump which uses a standard polyvinyl infusion bag is therefore possible. A study of its compatibility with different infusion pump medication reservoirs was not undertaken. The drugs were also stable on frozen storage at -18 degrees C for up to 6 months.

摘要

通过高压液相色谱法,在7至45摄氏度的温度范围内,研究了二醋吗啡(以盐酸盐计为0.02毫克/毫升)在250毫升盐酸布比卡因(0.15%重量/体积输注液)中的稳定性。在7摄氏度时,盐酸二醋吗啡每天降解约0.13%。在研究期间未检测到盐酸布比卡因降解。基于盐酸二醋吗啡降解至5%时时间的较低95%置信限,该组合物在7摄氏度下的储存期为14天。在25摄氏度时的稳定性足以允许在室温下运输和给药24小时。在32和45摄氏度时也至少保持24小时的稳定性。因此,使用标准聚乙烯输液袋的便携式输液泵输注该混合物是可行的。未对其与不同输液泵药物储液器的相容性进行研究。这些药物在-18摄氏度冷冻储存长达6个月时也很稳定。

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本文引用的文献

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Pharm World Sci. 1993 Dec 17;15(6):269-75. doi: 10.1007/BF01871129.
2
Stability of bupivacaine hydrochloride in polypropylene syringes.盐酸布比卡因在聚丙烯注射器中的稳定性。
Am J Hosp Pharm. 1993 Nov;50(11):2364-5.
3
Stability of Brompton mixtures: determination of heroin (diacetylmorphine) and cocaine in presence of their hydrolysis products.
布朗普顿合剂的稳定性:在存在水解产物的情况下测定海洛因(二乙酰吗啡)和可卡因。
J Pharm Sci. 1980 Jun;69(6):637-9. doi: 10.1002/jps.2600690607.
4
Determination of morphine, diamorphine and their degradation products in pharmaceutical preparation by reversed-phase high-performance liquid chromatography.采用反相高效液相色谱法测定药物制剂中的吗啡、二醋吗啡及其降解产物。
J Chromatogr. 1982 Apr 23;238(2):520-4. doi: 10.1016/s0021-9673(00)81343-6.
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Postoperative analgesia by continuous extradural infusion of bupivacaine and diamorphine.
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Diamorphine stability in aqueous solution for subcutaneous infusion.
J Pharm Pharmacol. 1989 Apr;41(4):275-7. doi: 10.1111/j.2042-7158.1989.tb06452.x.
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Respiratory depression and spinal opioids.呼吸抑制与脊髓阿片类药物。
Can J Anaesth. 1989 Mar;36(2):165-85. doi: 10.1007/BF03011441.
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Stability of heroin hydrochloride in infusion devices and containers for intravenous administration.盐酸海洛因在静脉给药输液装置和容器中的稳定性。
Am J Hosp Pharm. 1990 Feb;47(2):377-81.
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