Pdf (329.48 K)

Total Page:16

File Type:pdf, Size:1020Kb

Pdf (329.48 K) Bull. Pharm. Sci., Assiut University, Vol. 29, Part 1, June 2006, pp. 33-58. SPECTROPHOTOMETRIC AND SPECTRO- FLUORIMETRIC DETERMINATION OF CERTAIN DIURETICS IN PURE FORMS AND IN THEIR PHARMACEUTICAL FORMULATIONS Michael E. El-Kommos1, Ahmad A. Ahmad2, Hesham Salem3* and Mahmoud A. Omar3 1Department of Pharmaceutical Analytical Chemistry, Faculty of Pharmacy, Assiut University, Assiut, Egypt 2Department of Organic Chemistry, Faculty of Science, Minia University, Minia, Egypt 3Department of Analytical Chemistry, Faculty of Pharmacy, Minia University, Minia, Egypt ﺘﻬﺎ ( ، ، ، ، ، ، ، ) . ﻋﻠﻰ ٥٠٠ . ٧٢٠ . ٤- - ٧- ﻟﺼﻔﻴﺎ ٤٧٠ . ، ٥٣٥ . Three Simple and selective spectrophotometric and spectrofluorimetric methods were developed for the quantitative determination of certain diuretics (bendroflumethiazide, benzthiazide, chlorthalidone, clopamide, hydrochlorothiazide, hydroflumethiazide, indapamide and xipamide) in pure forms as well as in their pharmaceutical formulations through their hydroxamate formation and subsequent complexation with iron (method I), reaction with potassium ferricyanide (method II) and ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ Received in 11/9/2005 & Accepted in 12/3/2006 * Corresponding author E-mail address: [email protected] Michael E. El-Kommos, et al. reaction with 4-chloro-7-nitrobenzofurazan (method III). The conditions for different reactions were studied and optimized. The methods have been validated and successfully applied to the analysis of bulk drugs and their tablets with good recoveries ranging from 97.93 (±1.46) to 100.6 (±1.75) for method I, 98.49 (±1.43) to 99.86 (±0.87) for method II, and 98.98 (±1.11) to 99.90 (±0.86) for method III. No interference was observed from common pharmaceutical adjuvants. The results obtained compare well with those of reported methods. INTRODUCTION used for assay of chlorthalidone. The most recent methods for Thiazide diuretics are a major determination of clopamide include class of diuretic agents that have been chromatographic23-25 and spectro- used for over 30 years.1 photometric26 methods. Hydrochloro- Subsequently, drugs that are thiazide has been assayed by pharmacologically similar to thiazide chromatographic,27&28 spectrophoto- diuretics but are not thiazides were metric29&30 and spectrofluorimetric31 developed and are called thiazide-like methods. Hydroflumethiazide has diuretics.2&3 been assayed by chromato- Many analytical procedures have graphic32&33 and spectrophoto- been reported for the determination of metric34&35 methods. The most recent the investigated drugs. The British methods for determination of Pharmacopoeia 1998 adopted an indapamide include chromato- electrochemical method for the graphic,36-38 spectrophotometric39&40 analysis of the studied drugs.4 United and fluorimetric41&42 methods. States Pharmacopoeia USP XXV, Xipamide has been assayed by NFXX describes titremetric, spectro- chromatographic43-45 and spectro- photometric and high performance photometric46 methods. liquid chromatographic methods for In continuation, we wish here to the analysis of the studied drugs.5 develop simple and rapid Bendroflumethiazide has been spectrophotometric and spectro- assayed by chromatographic,6-10 fluorimetric procedures for the spectrophotometric11-13 and fluori- determination of thiazide and metric14&15 methods. Benzthiazide has thiazide-like diuretics suitable for been assayed by chromato- quality control purposes. The graphic,16&17 spectrophotometric18 structures of the studied drugs are and electrochemical19 methods. given in Tables 1 and 2. Chromatographic20&21 and spectro- photometric22 methods have been 34 Table 1: The investigated thiazide EXPERIMENTAL diuretics. H Apparatus R6 N R3 A Perken Elmer UV-VIS 6 5 4 3 7 Spectrophotometer (Tokyo,Japan) 8 1 2 N H2NO2S S H with 1 cm quartz cells was used. TM O O Perkin Elmer luminescence Drug R3 R6 spectrometer model LS 45 (Perkin Elmer instruments, USA) connected H C CF Bendroflumethiazide 2 3 to an IBM computer loaded with the TM Hydrochlorothiazide H Cl FLwinlab application software Hydroflumethiazide H CF3 4.00.02 version was used. C l N CH 2SCH 2 All calculations were carried out 5 4 6 3 7 8 1 2 N on IBM computer using statistical H 2N O 2S S H methods in analytical chemistry O O (SMAC) program, designed by Meier Benzthiazide and Zund.47 Materials and reagents Table 2: The investigated thiazide- Hydroxylamine hydrochloride like diuretics. 17.25 g/100 mL in distilled water (2.5 R Cl 1 M) and Potassium ferricyanide 297.74 mg/100 mL in distilled water H2NO 2S R2 (0.01 M). (Loba Chemi Mumbai, India). Sodium hydroxide 32g/100 Drug R1 R2 mL in distilled water (8.0 M), H O hydrochloric acid 70.4 mL/100 mL in Chlor- distilled water (8.0 M), ferric chloride thalidone H H 3 C H N O hexahydrate 14 g/100 mL (0.1 M), in H C H 3 hydrochloric acid (0.5 M), methanol, Clopa- H 3 C N N ethanol, sodium carbonate, sodium mide H O dihydrogen phosphate, disodium H 3 C C H hydrogen phosphate, perchloric acid, H 3 H 3 C N sulphuric acid, nitric acid, dimethyl- Indapa- N H mide formamide, dimethylsulfoxide, O sodium acetate, phosphoric, boric and citric acids (El-Nasr Co. for H 3 C H pharmaceutical chemicals, Egypt) and N Xipa- H 3 C 4-chloro-7-nitrobenzofurazan (NBD- mide OH Cl) 100 mg/100 mL in ethanol and O 7,7,8,8,-tetracyanoquinodimethane H 3 C (Sigma Chemical Co., St. Louis, MO, USA). 35 Michael E. El-Kommos, et al. Pharmaceutical formulations For procedure II Blokium-Diu® tablets (medical Weigh accurately 20.0 mg of each Union Pharmaceutical Co., Abu drug, dissolve in 4.0 mL methanol in Sultan-Ismailia, Egypt), labeled to a 100-mL volumetric flask and contain atenolol (100 mg) and complete to volume with distilled chlorthalidone (25 mg) per tablet. water (0.2 mg/mL). Brinerdine® tablets (Novartis Pharma S.A.E. Cairo, Egypt) [under licence For procedure III from Novartis Pharma AG., Basle, Weigh accurately 20.0 mg of Switzerland], labeled to contain bendroflumethiazide, hydrochloro- reserpine (0.1 mg), clopamide (5 mg) thiazide and hydroflumethiazide or and dihydroergocristine (0.5 mg) per 40.0 mg of clopamide. Dissolve in tablet. Capozide® tablets (Bristol about 10.0 mL absolute ethanol in Myers-Squibb Pharmaceutical Co., 100-mL volumetric flask and Cairo, Egypt), labeled to contain complete to the mark with the same captopril (50 mg) and solvent. hydrochlorothiazide (25 mg) per tablet. Diurex® tablets (Amriya Procedures Pharmaceutical Co., Alexandria, Procedure I Egypt), labeled to contain indapamide Pure drugs (2.5 mg) per tablet. Epilacton X® Accurately measure 1.0 mL of the tablets (Egyptian Pharmaceutical standard stock solution (0.4 mg/mL) Industries Co. [Epico], Tenth of into a test tube, add 1.0 mL of ramadan city, Egypt), labeled to hydroxylamine hydrochloride and 2.0 contain xipamide (20 mg) and mL of sodium hydroxide, heat for 20 spironolactone (100 mg) per tablet. minutes in a boiling water bath, cool, transfer into 10-mL volumetric flask, Standard solutions wash the test tube two times with For procedure I portions of distilled water each of 1 Weigh accurately 20 mg of each mL and transfer the washings into the drug, dissolve in 4.0 ml methanol in a volumetric flask. Add 2.0 mL of 50-mL volumetric flask and complete hydrochloric acid and 1.0 ml of ferric to volume with distilled water. This chloride hexahydrate. Allow to stand stock solution (0.4 mg/mL) is diluted for 20 minutes at room temperature to contain 0.04 mglmL (in case of (25 ± 5°), then dilute with distilled chlorthalidone), 0.08 mg/mL (in case water to volume and mix well. of clopamide, hydroflumethiazide and Measure the absorbance at 500 nm xipamide) or 0.16 mg/mL (in case of against reagent blank treated benzthiazide, bendroflumethiazide, similarly. hydrochlorothiazide and indapamide). 36 Construction of calibration graphs Construction of calibration graphs Dilute the standard stock solution Dilute the standard stock solution (0.4 mg/mL) quantitatively to give a (0.2 mg/mL) quantitatively to give a series of concentrations, suitable for series of concentrations, suitable for constructing the calibration graphs constructing the calibration graphs (final drug concentration; 0.3-4 (final drug concentration; 2-20 μg/mL). Use 1.0 mL of each solution μg/mL). Use 1.0 mL of each solution for the reaction with hydroxylamine for the reaction with potassium and ferric chloride as directed under ferricyanide as directed under the the procedure for pure drugs. general analytical procedure. Stoichiometry Stoichiometry The stoichiometric ratios were The stoichiometric ratios were determined by Job’s method of determined by Job’s method of continuous variation.48 The stability continuous variation.48 constants for formed chelates were calculated. Stability indicating Procedure III properties of the assay as well as Pure drugs spectroscopic investigation of the Accurately measure 1.0 mL of the products using IR and 1H-NMR standard solution into test tube, add spectroscopy were studied. 1.0 mL of 4-chloro-7-nitrobenzo- furazan, heat to 60° for 45 minute in Procedure II water bath, cool, transfer into 10-mL Pure drugs volumetric flask, then dilute with Accurately measure 1.0 mL of the ethanol to the volume and mix well. standard stock solution (0.2 mg/mL) The relative fluorescence intensities into test tube, add 1.0 mL of sodium of the resulting solutions were hydroxide and 1.0 mL of potassium measured at room temperature (25 ± ferricyanide, boil for 45 minutes in 5°) against a reagent blank treated water bath, cool and transfer into 10- similarly at (excitation l max 470 nm mL volumetric flask. Wash the test and emission l max 535 nm). tube two times with portions of distilled water each of 1 mL and Construction of calibration graphs transfer the washings into the Dilute the standard stock solution volumetric flask. Add 1.0 mL of quantitatively to give a series of hydrochloric acid, allow to stand for concentrations suitable for 20 minutes at room temperature (25 ± constructing the calibration graphs (2- 5°), then dilute with distilled water to 12 μg/mL).
Recommended publications
  • Interactions Medicamenteuses Index Des Classes Pharmaco
    INTERACTIONS MEDICAMENTEUSES INDEX DES CLASSES PHARMACO-THERAPEUTIQUES Mise à jour avril 2006 acides biliaires (acide chenodesoxycholique, acide ursodesoxycholique) acidifiants urinaires adrénaline (voie bucco-dentaire ou sous-cutanée) (adrenaline alcalinisants urinaires (acetazolamide, sodium (bicarbonate de), trometamol) alcaloïdes de l'ergot de seigle dopaminergiques (bromocriptine, cabergoline, lisuride, pergolide) alcaloïdes de l'ergot de seigle vasoconstricteurs (dihydroergotamine, ergotamine, methylergometrine) alginates (acide alginique, sodium et de trolamine (alginate de)) alphabloquants à visée urologique (alfuzosine, doxazosine, prazosine, tamsulosine, terazosine) amidons et gélatines (gelatine, hydroxyethylamidon, polygeline) aminosides (amikacine, dibekacine, gentamicine, isepamicine, kanamycine, netilmicine, streptomycine, tobramycine) amprénavir (et, par extrapolation, fosamprénavir) (amprenavir, fosamprenavir) analgésiques morphiniques agonistes (alfentanil, codeine, dextromoramide, dextropropoxyphene, dihydrocodeine, fentanyl, hydromorphone, morphine, oxycodone, pethidine, phenoperidine, remifentanil, sufentanil, tramadol) analgésiques morphiniques de palier II (codeine, dextropropoxyphene, dihydrocodeine, tramadol) analgésiques morphiniques de palier III (alfentanil, dextromoramide, fentanyl, hydromorphone, morphine, oxycodone, pethidine, phenoperidine, remifentanil, sufentanil) analogues de la somatostatine (lanreotide, octreotide) androgènes (danazol, norethandrolone, testosterone) anesthésiques volatils halogénés
    [Show full text]
  • High-Throughput Screening Studies of Inhibition of Human Carbonic Anhydrase II and Bacterial Flagella Antimicrobial Activity
    Western Michigan University ScholarWorks at WMU Dissertations Graduate College 5-2010 High-Throughput Screening Studies of Inhibition of Human Carbonic Anhydrase II and Bacterial Flagella Antimicrobial Activity Albert A. Barrese III Western Michigan University Follow this and additional works at: https://scholarworks.wmich.edu/dissertations Part of the Biochemistry, Biophysics, and Structural Biology Commons, and the Biology Commons Recommended Citation Barrese, Albert A. III, "High-Throughput Screening Studies of Inhibition of Human Carbonic Anhydrase II and Bacterial Flagella Antimicrobial Activity" (2010). Dissertations. 500. https://scholarworks.wmich.edu/dissertations/500 This Dissertation-Open Access is brought to you for free and open access by the Graduate College at ScholarWorks at WMU. It has been accepted for inclusion in Dissertations by an authorized administrator of ScholarWorks at WMU. For more information, please contact [email protected]. HIGH-THROUGHPUT SCREENING STUDIES OF INHIBITION OF HUMAN CARBONIC ANHYDRASE II AND BACTERIAL FLAGELLA ANTIMICROBIAL ACTIVITY by Albert A. Barrese III A Dissertation Submitted to the Faculty of The Graduate College in partial fulfillment of the requirements for the Degree of Doctor of Philosophy Department of Biological Sciences Advisor: Brian C. Tripp, Ph.D. Western Michigan University Kalamazoo, Michigan May 2010 UMI Number: 3410393 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. UMT Dissertation Publishing UMI 3410393 Copyright 2010 by ProQuest LLC.
    [Show full text]
  • DIURETICS Diuretics Are Drugs That Promote the Output of Urine Excreted by the Kidneys
    DIURETICS Diuretics are drugs that promote the output of urine excreted by the Kidneys. The primary action of most diuretics is the direct inhibition of Na+ transport at one or more of the four major anatomical sites along the nephron, where Na+ reabsorption takes place. The increased excretion of water and electrolytes by the kidneys is dependent on three different processes viz., glomerular filtration, tubular reabsorption (active and passive) and tubular secretion. Diuretics are very effective in the treatment of Cardiac oedema, specifically the one related with congestive heart failure. They are employed extensively in various types of disorders, for example, nephritic syndrome, diabetes insipidus, nutritional oedema, cirrhosis of the liver, hypertension, oedema of pregnancy and also to lower intraocular and cerebrospinal fluid pressure. Therapeutic Uses of Diuretics i) Congestive Heart Failure: The choice of the diuretic would depend on the severity of the disorder. In an emergency like acute pulmonary oedema, intravenous Furosemide or Sodium ethacrynate may be given. In less severe cases. Hydrochlorothiazide or Chlorthalidone may be used. Potassium-sparing diuretics like Spironolactone or Triamterene may be added to thiazide therapy. ii) Essential hypertension: The thiazides usually sever as primary antihypertensive agents. They may be used as sole agents in patients with mild hypertension or combined with other antihypertensives in more severe cases. iii) Hepatic cirrhosis: Potassium-sparing diuretics like Spironolactone may be employed. If Spironolactone alone fails, then a thiazide diuretic can be added cautiously. Furosemide or Ethacrymnic acid may have to be used if the oedema is regractory, together with spironolactone to lessen potassium loss. Serum potassium levels should be monitored periodically.
    [Show full text]
  • Extracts from PRAC Recommendations on Signals Adopted at the 9-12 March 2020 PRAC
    6 April 20201 EMA/PRAC/111218/2020 Corr2,3 Pharmacovigilance Risk Assessment Committee (PRAC) New product information wording – Extracts from PRAC recommendations on signals Adopted at the 9-12 March 2020 PRAC The product information wording in this document is extracted from the document entitled ‘PRAC recommendations on signals’ which contains the whole text of the PRAC recommendations for product information update, as well as some general guidance on the handling of signals. It can be found here (in English only). New text to be added to the product information is underlined. Current text to be deleted is struck through. 1. Immune check point inhibitors: atezolizumab; cemiplimab; durvalumab – Tuberculosis (EPITT no 19464) IMFINZI (durvalumab) Summary of product characteristics 4.4. Special warnings and precautions for use Immune-mediated pneumonitis [..] Patients with sSuspected pneumonitis should be evaluated confirmed with radiographic imaging and other infectious and disease-related aetiologies excluded, and managed as recommended in section 4.2. LIBTAYO (cemiplimab) Summary of product characteristics 1 Expected publication date. The actual publication date can be checked on the webpage dedicated to PRAC recommendations on safety signals. 2 A footnote was deleted on 8 April 2020 for the signal on thiazide and thiazide-like diuretics (see page 3). 3 A minor edit was implemented in the product information of the signal on thiazide and thiazide-like diuretics on 5 June 2020 (see page 4). Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us Send us a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000 An agency of the European Union © European Medicines Agency, 2020.
    [Show full text]
  • BMJ Open Is Committed to Open Peer Review. As Part of This Commitment We Make the Peer Review History of Every Article We Publish Publicly Available
    BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] BMJ Open Pediatric drug utilization in the Western Pacific region: Australia, Japan, South Korea, Hong Kong and Taiwan Journal: BMJ Open ManuscriptFor ID peerbmjopen-2019-032426 review only Article Type: Research Date Submitted by the 27-Jun-2019 Author: Complete List of Authors: Brauer, Ruth; University College London, Research Department of Practice and Policy, School of Pharmacy Wong, Ian; University College London, Research Department of Practice and Policy, School of Pharmacy; University of Hong Kong, Centre for Safe Medication Practice and Research, Department
    [Show full text]
  • OUH Formulary Approved for Use in Breast Surgery
    Oxford University Hospitals NHS Foundation Trust Formulary FORMULARY (Y): the medicine can be used as per its licence. RESTRICTED FORMULARY (R): the medicine can be used as per the agreed restriction. NON-FORMULARY (NF): the medicine is not on the formulary and should not be used unless exceptional approval has been obtained from MMTC. UNLICENSED MEDICINE – RESTRICTED FORMULARY (UNR): the medicine is unlicensed and can be used as per the agreed restriction. SPECIAL MEDICINE – RESTRICTED FORMULARY (SR): the medicine is a “special” (unlicensed) and can be used as per the agreed restriction. EXTEMPORANEOUS PREPARATION – RESTRICTED FORMULARY (EXTR): the extemporaneous preparation (unlicensed) can be prepared and used as per the agreed restriction. UNLICENSED MEDICINE – NON-FORMULARY (UNNF): the medicine is unlicensed and is not on the formulary. It should not be used unless exceptional approval has been obtained from MMTC. SPECIAL MEDICINE – NON-FORMULARY (SNF): the medicine is a “special” (unlicensed) and is not on the formulary. It should not be used unless exceptional approval has been obtained from MMTC. EXTEMPORANEOUS PREPARATION – NON-FORMULARY (EXTNF): the extemporaneous preparation (unlicensed) cannot be prepared and used unless exceptional approval has been obtained from MMTC. CLINICAL TRIALS (C): the medicine is clinical trial material and is not for clinical use. NICE TECHNOLOGY APPRAISAL (NICETA): the medicine has received a positive appraisal from NICE. It will be available on the formulary from the day the Technology Appraisal is published. Prescribers who wish to treat patients who meet NICE criteria, will have access to these medicines from this date. However, these medicines will not be part of routine practice until a NICE TA Implementation Plan has been presented and approved by MMTC (when the drug will be given a Restricted formulary status).
    [Show full text]
  • Presented By: Dr. Joohee Pradhan Assistant Professor Department of Pharmaceutical Sciences, MLSU, Udaipur
    Presented By: Dr. Joohee Pradhan Assistant Professor Department of Pharmaceutical Sciences, MLSU, Udaipur OUTLINE • Introduction and Definition • Relevant Physiology of Urine Formation • Classification: different ways • Carbonic anhydrase inhibitors: Acetazolamide*, Methazolamide, Dichlorphenamide. • Thiazides: Chlorthiazide*, Hydrochlorothiazide, Hydroflumethiazide, Cyclothiazide, • Loop diuretics: Furosemide*, Bumetanide, Ethacrynic acid. • Potassium sparing Diuretics: Spironolactone, Triamterene, Amiloride. • Osmotic Diuretics: Mannitol 2 Introduction and Definition • Diuretics (natriuretics) are drugs which cause a net loss of Na+ and water in urine and hence increase the urine output (or) urine volume. • The primary action of most diuretics is the direct inhibition of Na+ reabsorption (increased excretion) at one or more of the four major sites along the nephron. • An increased Na+ excretion is accompanied by anion like Cl- Since NaCl is the major determinant of extracellular fluid volume; Diuretics reduce extracellular fluid volume (decrease in oedema) by decreasing total body NaCl content. 3 Introduction and Definition • Diuretics are very effective in the treatment of conditions like: o chronic heart failure o nephrotic syndrome o chronic hepatic diseases o hypertension o Pregnancy associated oedema o Cirrhosis of the liver. 4 Relevant Physiology of Urine Formation • Kidneys are the organs responsible for urine formation. Two important functions of the kidney are: o To maintain a homeostatis balance of electrolytes and water. o To excrete water soluble end products of metabolites. • Each kidney contains approximately one million nephrons and is capable of forming urine independently. • Urine formation starts from glomerular filtration (g.f.) in a prodigal way. • Normally, about 180 L of fluid is filtered everyday: all soluble constituents of blood minus the plasma proteins (along with substances bound to them) and lipids, are filtered at the glomerulus.
    [Show full text]
  • Pharmacology the Journal of Clinical
    The Journal of Clinical Pharmacology http://jcp.sagepub.com/ Gender Is an Important Determinant of the Disposition of the Loop Diuretic Torasemide Ulrike Werner, Dierk Werner, Svetlana Heinbüchner, Bernhard Graf, Hüseyin Ince, Stefan Kische, Petra Thürmann, Jörg König, Martin F. Fromm and Oliver Zolk J Clin Pharmacol 2010 50: 160 originally published online 23 November 2009 DOI: 10.1177/0091270009337514 The online version of this article can be found at: http://jcp.sagepub.com/content/50/2/160 Published by: http://www.sagepublications.com On behalf of: American College of Clinical Pharmacology Additional services and information for The Journal of Clinical Pharmacology can be found at: Email Alerts: http://jcp.sagepub.com/cgi/alerts Subscriptions: http://jcp.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav >> Version of Record - Jan 28, 2010 OnlineFirst Version of Record - Nov 23, 2009 What is This? Downloaded from jcp.sagepub.com at UNIVERSITAETSBIBLIOTHEK on February 13, 2013 TITLE Gender Is an Important Determinant of the Disposition of the Loop Diuretic Torasemide Ulrike Werner, PhD, Dierk Werner, MD, Svetlana Heinbüchner, MD, Bernhard Graf, MD, Hüseyin Ince, MD, Stefan Kische, MD, Petra Thürmann, MD, Jörg König, PhD, Martin F. Fromm, MD, and Oliver Zolk, MD Signals from pharmacovigilance studies indicate that significant influence on torasemide pharmacokinetics. women are at higher risk for adverse drug reactions (ADRs) Using cell lines expressing OATP1B1, the authors identified due to diuretics. Despite the long-term use of torasemide, torasemide as OATP1B1 substrate (Km = 6.2 µM) with a there are few studies investigating gender differences of significant reduction of uptake by the 521C-variant.
    [Show full text]
  • Change Notification No 9
    Northern Ireland BLOOD TRANSFUSION SERVICE Date of publication: 24th April 2006 Implementation: To be determined by each Service Change Notification UK National Blood Services No. 9 - 2006 Appendix 5 – Treatment for High Blood Pressure Applies to Tissue Donor Selection Guidelines – Bone Marrow and PBSC and also appears as Appendix 6 – Treatment for High Blood Pressure Applies to Donor Selection Guidelines - Whole Blood and Components The entry in both the guidelines is the same: Treatment for High Blood Pressure Donors who have been diagnosed with high blood pressure may donate provided that: 1. They have not suffered any adverse effects of raised blood pressure (BP) such as heart disease (angina, heart attack or heart failure), stroke, transient ischaemic attack (TIA or mini-stroke), or peripheral vascular disease (intermittent claudication, gangrene). 2. They are taking only a Beta(ß)-blocker and/or diuretic as their treatment for the raised BP. The list below shows the proper and trade names of allowed drugs. It is important to note that this list is not exclusive and that these drugs may be used to treat other conditions such as heart failure and abnormal heart rhythms (arrhythmia); both of which would mean the donor must not donate. Other medication should be assessed independently. 3. Treatment is stable. This requires: That the donor is well and not having any problems with feeling faint, fainting or giddiness. They have been on the same dose of medication for at least a month. They are not undergoing tests to find out the underlying
    [Show full text]
  • Sulfa Allergy: Cross-Reactivity Versus Multiple Concurrent Allergies
    American Journal of Infectious Diseases 9 (4): 148-154, 2013 ISSN: 1553-6203 ©2013 Science Publication doi:10.3844/ajidsp.2013.148.154 Published Online 9 (4) 2013 (http://www.thescipub.com/ajid.toc) Sulfa Allergy: Cross-Reactivity Versus Multiple Concurrent Allergies 1Muhammad Tariq Shakoor, 2Samia Ayub and 3Zunaira Ayub 1Resident Physician, Internal Medicine Department, St Mary Mercy Hospital, Livonia, MI, USA 2Resident Physicain, Internal Medicine Department, Mount Auburn Hospital, Cambridge, MA, USA 3Medical Student, Fatima Jinnah Medical College, Lahore, Pakistan Received 2012-10-13, Revised 2013-05-01; Accepted 2013-12-02 ABSTRACT As a medical resident we have always been taught that there is some sort of cross reactivity between sulfonamide antibiotics and nonantibiotic sulfonamides. Even the manufacturer’s package inserts contain a precautionary statement about possible Cross-reactivity. The most common approach to this problem is avoidance of all sulfa containing drugs. However, there are few data supporting this contraindication. Thus we may be withholding appropriate therapies from patients unnecessarily. To provide a critical and comprehensive review of literature to explore either cross reactivity between sulfonamide antibiotics and nonantibiotic sulfonamides is a fact or fiction and to present an approach to use nonantibiotic sulfonamides in sulfa allergic patients. A PubMed and general medline search was conducted using the individual names of nonantibiotic sulfonamides. We reviewed all of the available case reports and studies regarding sulfonamide antibiotic cross-reactivity with nonantibiotic sulfonamides. Also reviewed the manufacturer’s package insert for each nonantibiotic sulfonamide drug for information concerning possible cross-reactivity with sulfonamide antibiotics. Sulfa drug allergy is one word holding the whole cross-reactivity theory in it.
    [Show full text]
  • Review of Existing Classification Efforts
    Project No. TREN-05-FP6TR-S07.61320-518404-DRUID DRUID Driving under the Influence of Drugs, Alcohol and Medicines Integrated Project 1.6. Sustainable Development, Global Change and Ecosystem 1.6.2: Sustainable Surface Transport 6th Framework Programme Deliverable 4.1.1 Review of existing classification efforts Due date of deliverable: (15.01.2008) Actual submission date: (07.02.2008) Start date of project: 15.10.2006 Duration: 48 months Organisation name of lead contractor for this deliverable: UGent Revision 1.0 Project co-funded by the European Commission within the Sixth Framework Programme (2002-2006) Dissemination Level PU Public X PP Restricted to other programme participants (including the Commission Services) RE Restricted to a group specified by the consortium (including the Commission Services) CO Confidential, only for members of the consortium (including the Commission Services) Task 4.1 : Review of existing classification efforts Authors: Kristof Pil, Elke Raes, Thomas Van den Neste, An-Sofie Goessaert, Jolien Veramme, Alain Verstraete (Ghent University, Belgium) Partners: - F. Javier Alvarez (work package leader), M. Trinidad Gómez-Talegón, Inmaculada Fierro (University of Valladolid, Spain) - Monica Colas, Juan Carlos Gonzalez-Luque (DGT, Spain) - Han de Gier, Sylvia Hummel, Sholeh Mobaser (University of Groningen, the Netherlands) - Martina Albrecht, Michael Heiβing (Bundesanstalt für Straßenwesen, Germany) - Michel Mallaret, Charles Mercier-Guyon (University of Grenoble, Centre Regional de Pharmacovigilance, France) - Vassilis Papakostopoulos, Villy Portouli, Andriani Mousadakou (Centre for Research and Technology Hellas, Greece) DRUID 6th Framework Programme Deliverable D.4.1.1. Revision 1.0 Review of Existing Classification Efforts Page 2 of 127 Introduction DRUID work package 4 focusses on the classification and labeling of medicinal drugs according to their influence on driving performance.
    [Show full text]
  • Pharmaceuticals (Monocomponent Products) ………………………..………… 31 Pharmaceuticals (Combination and Group Products) ………………….……
    DESA The Department of Economic and Social Affairs of the United Nations Secretariat is a vital interface between global and policies in the economic, social and environmental spheres and national action. The Department works in three main interlinked areas: (i) it compiles, generates and analyses a wide range of economic, social and environmental data and information on which States Members of the United Nations draw to review common problems and to take stock of policy options; (ii) it facilitates the negotiations of Member States in many intergovernmental bodies on joint courses of action to address ongoing or emerging global challenges; and (iii) it advises interested Governments on the ways and means of translating policy frameworks developed in United Nations conferences and summits into programmes at the country level and, through technical assistance, helps build national capacities. Note Symbols of United Nations documents are composed of the capital letters combined with figures. Mention of such a symbol indicates a reference to a United Nations document. Applications for the right to reproduce this work or parts thereof are welcomed and should be sent to the Secretary, United Nations Publications Board, United Nations Headquarters, New York, NY 10017, United States of America. Governments and governmental institutions may reproduce this work or parts thereof without permission, but are requested to inform the United Nations of such reproduction. UNITED NATIONS PUBLICATION Copyright @ United Nations, 2005 All rights reserved TABLE OF CONTENTS Introduction …………………………………………………………..……..……..….. 4 Alphabetical Listing of products ……..………………………………..….….…..….... 8 Classified Listing of products ………………………………………………………… 20 List of codes for countries, territories and areas ………………………...…….……… 30 PART I. REGULATORY INFORMATION Pharmaceuticals (monocomponent products) ………………………..………… 31 Pharmaceuticals (combination and group products) ………………….……........
    [Show full text]