HPE Drug stability: What do we need to know? | Page 7

COOH COOH O O COOH COOH C C + H 2 2 0 O CH 3 3 OH HO O 0 CH 3 3 O H N O C H N S S N O H 2 2 O H O O OH OH S S HN OH OH O O OH OH O O HO HO •• HO HO HO •• HO HO HO HO O O O O HO HO HO OH N N H H O H H H H O OH OH OH O S S N O O O H H 3 3 C C CH 3 3 CH CH CH 3 OH OH OH OH O OH OH HO HO 3 H 3 C C CH 3 3 H CH 3 N N CH CH 3 3 H H OH OH H H H H O O OH OH CONH CONH 2 2 OH OH O OH OH CONH CONH 2 2 O O O O N N H N O O N N S S CH CH 3 3 O O O O HO HO + CH 3 3 CH N N H O O O O COOH COOH HO HO COOH COOH OH OH H C H H 2 2 N C O O OH OH H N O O S S N CH 3 3 CH 3 3 CH COO COO - - NH NH 2 2 C C H C C O H H N N O O S HN NH NH CH C O Conclusions The main aim of this article is to explain how quality of a drug product changes with time and how factors such as temperature, humidity, light and storage conditions can affect the shelf-life. The ultimate task is to enhance professional confidence of hospital pharmacists and help them to be well informed and to make decisions regarding drug formulations and storage conditions. References 1 Bardin C et al. Guidelines for the practical stability studies of anticancer drugs: a European consensus conference. Ann Pharm Fr 2011;69(4):221–31. 2 NHS Specialist Pharmacy Service. Standard Protocol for Deriving and Assessment of Stability, Part 1: Aseptic Preparations (Small Molecules), Edition 4, April 2017 (Yellow Cover). www.sps.nhs.uk/articles/ CH 3 3 Penicillin polymer Penicillin polymer CH 3 3 COO - - COO H H N N O O S N N CH 3 3 CH 3 3 CH COO COO - - standard-protocol-for-deriving- and-assessment-of-stability- part-1-aseptic-preparations- small-molecules/ (accessed August 2019). 3 Yoshioka S, Stella V. Stability of Drugs and Dosage Forms. Kluwer Academic/Plenum Publishers, New York; 2000. 4 Loftsson T. Drug Stability for Pharmaceutical Scientists. Elsevier – Academic Press, Amsterdam; 2014. 5 Sinko P (Ed). Martin´s Physical Pharmacy and Pharmaceutical Sciences. Lippincott Williams & Wilkins, Baltimore, MD; 2011. 6 Evomela (prescribing information) 2017. www.evomela. com/ (accessed August 2019). 7 Savello DR, Shangraw RF. Stability of sodium ampicillin solution in the frozen and liquid states. Am J Hosp Pharm 1971;28:745-51. hospitalpharmacyeurope.com | 2019 | 7