Stability of extemporaneously prepared preservative-free methylphenidate 5 mg/mL intravenous solution

Author:

Barra Megan E1,Edlow Brian L23ORCID,Lund James T1,DeSanctis Katherine S1,Vetrano John1,Reilly-Tremblay Cherylann1,Zhang Edlyn R4,Bodien Yelena G23,Brown Emery N56,Solt Ken4

Affiliation:

1. Department of Pharmacy, Massachusetts General Hospital, Boston, MA, USA

2. Center for Neurotechnology and Neurorecovery, Massachusetts General Hospital, Boston, MA

3. Department of Neurology, Massachusetts General Hospital, Boston, MA, USA

4. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA

5. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA

6. The Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Boston, MA, USA

Abstract

Abstract Purpose To advance the implementation of consciousness-promoting therapies in patients with acute disorders of consciousness, the availability of potential therapeutic agents in formulations suitable for administration in hospitalized patients in the presence of complex comorbid conditions is paramount. The purpose of this study is to evaluate the long-term stability of extemporaneously prepared preservative-free methylphenidate hydrochloride (HCl) 5 mg/mL intravenous solution for experimental use. Methods A methylphenidate 5 mg/mL solution was prepared under proper aseptic techniques with Methylphenidate Hydrochloride, USP, powder mixed in sterile water for solution. Methylphenidate HCl 5 mg/mL solution was sterilized by filtration technique under USP <797>–compliant conditions. Samples were stored refrigerated (2-8°C) and analyzed at approximately days 1, 30, 60, 90, 180, and 365. At each time point, chemical and physical stability were evaluated by visual inspection, pH measurement, membrane filtration procedure, turbidometric or photometric technique, and high-performance liquid chromatography analysis. Results Over the 1-year study period, the samples retained 96.76% to 102.04% of the initial methylphenidate concentration. There was no significant change in the visual appearance, pH level, or particulate matter during the study period. The sterility of samples was maintained and endotoxin levels were undetectable throughout the 1-year stability period. Conclusion Extemporaneously prepared preservative-free methylphenidate 5 mg/mL intravenous solution was physically and chemically stable at 32, 61, 95, 186, and 365 days when stored in amber glass vials at refrigerated temperatures (2-8°C).

Publisher

Oxford University Press (OUP)

Subject

Health Policy,Pharmacology

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4. Methylphenidate on cognitive improvement in patients with traumatic brain injury: a meta-analysis;Huang;Curr Neuropharmacol,2016

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