Stability of Ophthalmic Atropine Solutions for Child Myopia Control

Myopia is an ophthalmic condition affecting more than 1/5th of the world population, especially children. Low-dose atropine eyedrops have been shown to limit myopia evolution during treatment. However, there are currently no commercial industrial forms available and there is little data published co...

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Main Authors: Baptiste Berton, Philip Chennell, Mouloud Yessaad, Yassine Bouattour, Mireille Jouannet, Mathieu Wasiak, Valérie Sautou
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/12/8/781
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author Baptiste Berton
Philip Chennell
Mouloud Yessaad
Yassine Bouattour
Mireille Jouannet
Mathieu Wasiak
Valérie Sautou
author_facet Baptiste Berton
Philip Chennell
Mouloud Yessaad
Yassine Bouattour
Mireille Jouannet
Mathieu Wasiak
Valérie Sautou
author_sort Baptiste Berton
collection DOAJ
description Myopia is an ophthalmic condition affecting more than 1/5th of the world population, especially children. Low-dose atropine eyedrops have been shown to limit myopia evolution during treatment. However, there are currently no commercial industrial forms available and there is little data published concerning the stability of medications prepared by compounding pharmacies. The objective of this study was to evaluate the stability of two 0.1 mg/mL atropine formulations (with and without antimicrobiobial preservatives) for 6 months in two different low-density polyethylene (LDPE) multidose eyedroppers. Analyses used were the following: visual inspection, turbidity, chromaticity measurements, osmolality and pH measurements, atropine quantification by a stability-indicating liquid chromatography method, breakdown product research, and sterility assay. In an in-use study, atropine quantification was also performed on the drops emitted from the multidose eyedroppers. All tested parameters remained stable during the 6 months period, with atropine concentrations above 94.7% of initial concentration. A breakdown product (tropic acid) did increase slowly over time but remained well below usually admitted concentrations. Atropine concentrations remained stable during the in-use study. Both formulations of 0.1 mg/mL of atropine (with and without antimicrobial preservative) were proved to be physicochemically stable for 6 months at 25 °C when stored in LDPE bottles, with an identical microbial shelf-life.
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spelling doaj.art-113ae9bed3b243c4b0d29377177eb4502023-11-20T10:25:40ZengMDPI AGPharmaceutics1999-49232020-08-0112878110.3390/pharmaceutics12080781Stability of Ophthalmic Atropine Solutions for Child Myopia ControlBaptiste Berton0Philip Chennell1Mouloud Yessaad2Yassine Bouattour3Mireille Jouannet4Mathieu Wasiak5Valérie Sautou6CHU Clermont-Ferrand, Pôle Pharmacie, F-63003 Clermont-Ferrand, FranceUniversité Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA, ICCF, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Pôle Pharmacie, F-63003 Clermont-Ferrand, FranceUniversité Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA, ICCF, 63000 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Pôle Pharmacie, F-63003 Clermont-Ferrand, FranceCHU Clermont-Ferrand, Pôle Pharmacie, F-63003 Clermont-Ferrand, FranceUniversité Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA, ICCF, 63000 Clermont-Ferrand, FranceMyopia is an ophthalmic condition affecting more than 1/5th of the world population, especially children. Low-dose atropine eyedrops have been shown to limit myopia evolution during treatment. However, there are currently no commercial industrial forms available and there is little data published concerning the stability of medications prepared by compounding pharmacies. The objective of this study was to evaluate the stability of two 0.1 mg/mL atropine formulations (with and without antimicrobiobial preservatives) for 6 months in two different low-density polyethylene (LDPE) multidose eyedroppers. Analyses used were the following: visual inspection, turbidity, chromaticity measurements, osmolality and pH measurements, atropine quantification by a stability-indicating liquid chromatography method, breakdown product research, and sterility assay. In an in-use study, atropine quantification was also performed on the drops emitted from the multidose eyedroppers. All tested parameters remained stable during the 6 months period, with atropine concentrations above 94.7% of initial concentration. A breakdown product (tropic acid) did increase slowly over time but remained well below usually admitted concentrations. Atropine concentrations remained stable during the in-use study. Both formulations of 0.1 mg/mL of atropine (with and without antimicrobial preservative) were proved to be physicochemically stable for 6 months at 25 °C when stored in LDPE bottles, with an identical microbial shelf-life.https://www.mdpi.com/1999-4923/12/8/781atropineophthalmic solutionstabilitymyopia
spellingShingle Baptiste Berton
Philip Chennell
Mouloud Yessaad
Yassine Bouattour
Mireille Jouannet
Mathieu Wasiak
Valérie Sautou
Stability of Ophthalmic Atropine Solutions for Child Myopia Control
Pharmaceutics
atropine
ophthalmic solution
stability
myopia
title Stability of Ophthalmic Atropine Solutions for Child Myopia Control
title_full Stability of Ophthalmic Atropine Solutions for Child Myopia Control
title_fullStr Stability of Ophthalmic Atropine Solutions for Child Myopia Control
title_full_unstemmed Stability of Ophthalmic Atropine Solutions for Child Myopia Control
title_short Stability of Ophthalmic Atropine Solutions for Child Myopia Control
title_sort stability of ophthalmic atropine solutions for child myopia control
topic atropine
ophthalmic solution
stability
myopia
url https://www.mdpi.com/1999-4923/12/8/781
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