Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization

Parenteral N-acetylcysteine has a wide variety of clinical applications, but its use can be limited by a poor chemical stability. We managed to control parenteral N-acetylcysteine stability, and to study the influence of additives on the decrease of N-acetylcysteine degradation. First, an HPLC-UV do...

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Main Authors: Nicolas Primas, Guillaume Lano, Damien Brun, Christophe Curti, Marion Sallée, Emmanuelle Sampol-Manos, Edouard Lamy, Charleric Bornet, Stéphane Burtey, Patrice Vanelle
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/1/72
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author Nicolas Primas
Guillaume Lano
Damien Brun
Christophe Curti
Marion Sallée
Emmanuelle Sampol-Manos
Edouard Lamy
Charleric Bornet
Stéphane Burtey
Patrice Vanelle
author_facet Nicolas Primas
Guillaume Lano
Damien Brun
Christophe Curti
Marion Sallée
Emmanuelle Sampol-Manos
Edouard Lamy
Charleric Bornet
Stéphane Burtey
Patrice Vanelle
author_sort Nicolas Primas
collection DOAJ
description Parenteral N-acetylcysteine has a wide variety of clinical applications, but its use can be limited by a poor chemical stability. We managed to control parenteral N-acetylcysteine stability, and to study the influence of additives on the decrease of N-acetylcysteine degradation. First, an HPLC-UV dosing method of N-acetylcysteine and its main degradation product, a dimer, was validated and the stability without additive was studied. Then, the influence of several additives (ascorbic acid, sodium edetate, tocopherol and zinc) and of temperature on N-acetylcysteine dimerization was evaluated. Finally, the influence of zinc gluconate at different concentrations (administrable to patients) was investigated. Zinc gluconate at 62.5 µg·mL<sup>−1</sup> allows the stabilization of 25 mg·mL<sup>−1</sup> N-acetylcysteine solution for at least 8 days when stored at 5 ± 3 °C.
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spelling doaj.art-d03a80ab525c40148c76b82a568fbfaf2023-11-30T23:55:24ZengMDPI AGPharmaceuticals1424-82472023-01-011617210.3390/ph16010072Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its DimerizationNicolas Primas0Guillaume Lano1Damien Brun2Christophe Curti3Marion Sallée4Emmanuelle Sampol-Manos5Edouard Lamy6Charleric Bornet7Stéphane Burtey8Patrice Vanelle9Service Central de la Qualité et de L’information Pharmaceutiques (SCQIP), Pharmacy Department, Assistance Publique—Hôpitaux de Marseille (AP-HM), 13005 Marseille, FranceCentre of Nephrology and Renal Transplantation, Hôpital de la Conception, AP-HM, 13005 Marseille, FranceService Central de la Qualité et de L’information Pharmaceutiques (SCQIP), Pharmacy Department, Assistance Publique—Hôpitaux de Marseille (AP-HM), 13005 Marseille, FranceService Central de la Qualité et de L’information Pharmaceutiques (SCQIP), Pharmacy Department, Assistance Publique—Hôpitaux de Marseille (AP-HM), 13005 Marseille, FranceCentre of Nephrology and Renal Transplantation, Hôpital de la Conception, AP-HM, 13005 Marseille, FrancePharmacokinetics Department, Assistance Publique-Hôpitaux Marseille (AP-HM), 13005 Marseille, FranceService Central de la Qualité et de L’information Pharmaceutiques (SCQIP), Pharmacy Department, Assistance Publique—Hôpitaux de Marseille (AP-HM), 13005 Marseille, FrancePharmacie Usage Intérieur Hôpital Conception, Assistance Publique—Hôpitaux de Marseille (AP-HM), Hôpital de la Conception, 13005 Marseille, FranceCentre of Nephrology and Renal Transplantation, Hôpital de la Conception, AP-HM, 13005 Marseille, FranceService Central de la Qualité et de L’information Pharmaceutiques (SCQIP), Pharmacy Department, Assistance Publique—Hôpitaux de Marseille (AP-HM), 13005 Marseille, FranceParenteral N-acetylcysteine has a wide variety of clinical applications, but its use can be limited by a poor chemical stability. We managed to control parenteral N-acetylcysteine stability, and to study the influence of additives on the decrease of N-acetylcysteine degradation. First, an HPLC-UV dosing method of N-acetylcysteine and its main degradation product, a dimer, was validated and the stability without additive was studied. Then, the influence of several additives (ascorbic acid, sodium edetate, tocopherol and zinc) and of temperature on N-acetylcysteine dimerization was evaluated. Finally, the influence of zinc gluconate at different concentrations (administrable to patients) was investigated. Zinc gluconate at 62.5 µg·mL<sup>−1</sup> allows the stabilization of 25 mg·mL<sup>−1</sup> N-acetylcysteine solution for at least 8 days when stored at 5 ± 3 °C.https://www.mdpi.com/1424-8247/16/1/72N-acetylcysteinestability studyparenteral administration
spellingShingle Nicolas Primas
Guillaume Lano
Damien Brun
Christophe Curti
Marion Sallée
Emmanuelle Sampol-Manos
Edouard Lamy
Charleric Bornet
Stéphane Burtey
Patrice Vanelle
Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization
Pharmaceuticals
N-acetylcysteine
stability study
parenteral administration
title Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization
title_full Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization
title_fullStr Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization
title_full_unstemmed Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization
title_short Stability Study of Parenteral N-Acetylcysteine, and Chemical Inhibition of Its Dimerization
title_sort stability study of parenteral n acetylcysteine and chemical inhibition of its dimerization
topic N-acetylcysteine
stability study
parenteral administration
url https://www.mdpi.com/1424-8247/16/1/72
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