Physical and microbial stability of extemporaneous tacrolimus suspensions.

Han, J., Wong, I.C.K., Long, P.F., Beeton, A. and Tuleu, C. (2006) Physical and microbial stability of extemporaneous tacrolimus suspensions. Journal of Clinical Pharmacy and Therapeutics, 31 (2). pp. 167-172. 10.1111/j.1365-2710.2006.00720.x.

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DOI: 10.1111/j.1365-2710.2006.00720.x


Objective:  An extemporaneous suspension of tacrolimus for paediatric use has recently been developed but poor bioavailability and erratic plasma concentrations were observed during clinical use. It was not clear whether this was due to changes in the physical properties of the suspension during storage. The aim of this work was to investigate the physical and microbiological stability over the recommended 8-week shelf-life of this extemporaneous tacrolimus suspension. Methods:  Suspensions (0·5 mg/mL) were custom made by a special manufacturer under Good Manufacturing Practice conditions. The procedure involved mixing tacrolimus capsule contents into Ora Plus® and Simple Syrup (1 : 1) using a mortar and pestle followed by an homogenization step. The particle sizes of the suspensions were measured using a MasterSizer. A light microscope equipped with polarizers was used to visualize any particle size changes or crystal growth. Viable bacterial and fungal contamination was assessed using standard colony count techniques on solid media. The suspensions were kept at 22–26 °C and evaluated weekly. Results:  The volume mean diameter d(4,3) from laser diffraction did not change significantly. Light microscopy did not reveal any significant change in particle size or crystal growth. Contamination by viable and culturable micro-organisms could not be detected. Conclusion:  The suspension was physically (particle size) and microbiologically stable during the 8-week study period suggesting other factors including poor dosing could be responsible for the pharmacokinetic variation observed during clinical use which warrants further investigation.

Item Type:Article
Additional Information:Full text available electronically from the School of Pharmacy Library.
Uncontrolled Keywords:extemporaneous;formulation;paediatric;stability;suspension;tacrolimus
Departments, units and centres:Department of Practice and Policy > Centre for Paediatric Pharmacy Research
ID Code:1478
Journal or Publication Title:Journal of Clinical Pharmacy and Therapeutics
Deposited By:Library Staff
Deposited On:23 Mar 2010 14:56
Last Modified:04 Nov 2011 10:34

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