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Medical Forum / General / Pharmacy / October 2004

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why refrigerate?

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Eddie G - 19 Oct 2004 23:11 GMT
I have a patient in my pharmacy who gets l-leucine and l-valine that
we make by taking the powder and dissolving it in sterile water for
irrigation.  The recipe says to refrigerate it with an expiration date
of 30 days.  Why does it have to be refrigerated?  Is it the same
reason as antibiotic suspensions?

Thanks,

Eddie g
Gregory Poon - 20 Oct 2004 16:46 GMT
Leucine and valine don't have much solution chemistry on their own.  I
suspect the reason for refrigeration is simply to keep microbial growth down
as a result of contamination from opening/closing, etc. since the solvent
isn't preserved.  In the case of antibiotic suspensions, refrigeration is
required to slow down breakdown of the drug molecule (e.g., hydrolysis of
beta-lactams).  Some like erythromycin is sufficiently water insoluble to
survive a real long time in the suspension.

And then, sometimes, you'll find recipes that state storage conditions and
expiry that are completely arbitrary.  Just because some guy thought it was
a good idea.

> I have a patient in my pharmacy who gets l-leucine and l-valine that
> we make by taking the powder and dissolving it in sterile water for
[quoted text clipped - 5 lines]
>
> Eddie g
 
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