Compatibility of butorphanol and droperidol in 0.9% sodium chloride injection

• Published in: American journal of health-system pharmacy 2013-03, Vol.70 (6), p.515-519
• Main Authors: CHEN, Fu-Chao, FANG, Bao-Xia, PENG LI, YANG, Jin-Guo, ZHOU, Ben-Hong
• Format: Article
• Language: English
• Subjects: Biological and medical sciences; Butorphanol; Butorphanol - administration & dosage; Butorphanol - metabolism; Butorphanol - standards; Chemical properties; Droperidol; Droperidol - administration & dosage; Droperidol - metabolism; Droperidol - standards; Drug Interactions - physiology; Drug Stability; Drug Storage - methods; Drug Storage - standards; General pharmacology; Injections, Intravenous; Medical sciences; Pharmaceutical Solutions; Pharmacology. Drug treatments; Physicochemical properties. Structure-activity relationships; Sodium Chloride - administration & dosage; Sodium Chloride - metabolism; Sodium Chloride - standards
• ISSN: 1079-2082; 1535-2900
• DOI: 10.2146/ajhp120324

The compatibility and stability of butorphanol tartrate and droperidol in polyvinyl chloride (PVC) bags and glass bottles stored at 4°C and 25°C for up to 15 days were studied. Admixtures were assessed initially and for 15 days after preparation in PVC bags and glass bottles using 0.9% sodium chloride injection as a diluent and stored at 4°C and 25°C. The initial drug concentrations were 0.08 mg/mL for butorphanol tartrate and 0.05 mg/mL for droperidol. Samples were withdrawn from each container immediately after preparation and at predetermined intervals (2, 4, 8, 24, 48, 72, 120, 168, 240, and 360 hours after preparation). The solutions were visually inspected for precipitation, cloudiness, and discoloration at each sampling interval. Drug concentrations were determined using a validated high-pressure liquid chromatography method. After 15 days of storage, all formulations tested retained >98% of the initial concentrations of both drugs. The drug mixtures were clear in appearance, and no color change or precipitation was observed. Throughout this period, pH values remained stable. Admixtures of butorphanol tartrate 0.08 mg/mL and droperidol 0.05 mg/mL in 0.9% sodium chloride injection were stable for at least 360 hours when stored in PVC bags or glass bottles at 4°C and 25°C and protected from light.