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Medical Forum / General / Pharmacy / May 2005

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Stability Ampho in water

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P T - 29 Apr 2005 15:41 GMT
Had an rx for amphotericin in water for a long term nasal irrigation.
The problem is that we could only find reference to a 7 day stability.
I'm not even sure if that IS for a compound, or for parenteral
preparations. Does anyone know if the solution keeps longer?
(Refrigerated, of course.)
Dr. Wayne Simon - 30 Apr 2005 07:15 GMT
> Had an rx for amphotericin in water for a long term nasal irrigation.
> The problem is that we could only find reference to a 7 day stability.
> I'm not even sure if that IS for a compound, or for parenteral
> preparations. Does anyone know if the solution keeps longer?
> (Refrigerated, of course.)

Its a colloidal solution.  It is more stable in the lower pH of D5W.   It is
also more stable when protected from sunlight.  I don't know the actual
stability, and it depends on the concentration, but my guess is at a week
out, you probably do not have enough concentration remaining active to meet
reasonable standards.  I may be wrong. I suggest measuring the active
concentration at time initial, and at given intervals throughout a week or
so.  Of course also in a light protected container.
bh - 04 May 2005 09:29 GMT
We have been asked to do this same compound, and the patient needs 50mg
ampho qs with sterile water irrigation or injection to 500ml and uses 20 ml
as nasal irrigant twice daily. We dispense in amber poly bottle, with
refrigerate sticker. This technically is a 12.5 days supply, but my patient
has often not come back for 3-4 weeks.  Suggestions?

I'm not sure about D5W nasally, as one responder suggested. Would that
promote overgrowth of something else? Or just sticky nares?

Brad

----- Original Message -----
From: "Dr. Wayne Simon" <ariess@bellsouth.net>
Newsgroups: sci.med.pharmacy
Sent: Saturday, April 30, 2005 2:15 AM
Subject: Re: Stability Ampho in water

>> Had an rx for amphotericin in water for a long term nasal irrigation.
>> The problem is that we could only find reference to a 7 day stability.
[quoted text clipped - 9 lines]
> concentration at time initial, and at given intervals throughout a week or
> so.  Of course also in a light protected container.

> Had an rx for amphotericin in water for a long term nasal irrigation.
> The problem is that we could only find reference to a 7 day stability.
> I'm not even sure if that IS for a compound, or for parenteral
> preparations. Does anyone know if the solution keeps longer?
> (Refrigerated, of course.)
 
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