Physico-Chemical and Microbiological Study for the Stability of Phenytoin Sodium Extemporaneously Compounded Suspension in Saudi Arabia Hospitals
- 1 Department of Pharmacy, College of Health Sciences and Nursing, AlRayan College, Madinah Munawwarah, Kingdom of Saudi Arabia
- 2 Department of Pharmaceutics and Pharmaceutical Technology, College of Pharmacy, Taibah University, Madinah Munawwarah, Kingdom of Saudi Arabia
- 3 Department of Pharmaceutics and Pharmaceutical Technology, College of Pharmacy, Taibah University, Madinah Munawwarah, Kingdom of Saudi Arabia
- 4 Department of Pharmaceutics and Pharmaceutical Technology, College of Pharmacy, Taibah University, Madinah Munawwarah, Kingdom of Saudi Arabia
- 5 Department of Pharmacognosy and Pharmaceutical Chemistry, College of Pharmacy, Taibah University, Madinah Munawwarah, Kingdom of Saudi Arabia
- 6 Department of Clinical and Hospital Pharmacy, College of Pharmacy, Taibah University, Madinah Munawwarah, Kingdom of Saudi Arabia
- 7 Pharmacy Department, Madinah Maternity and Children Hospital, Madinah Munawwarah, Kingdom of Saudi Arabia
- 8 Pharmacy Department, Madinah Maternity and Children Hospital, Madinah Munawwarah, Kingdom of Saudi Arabia
- 9 Department of Microbiology and Immunology, Faculty of Pharmacy, Mansoura University, Mansoura, Egypt
Abstract
Epilepsy is a chronic and the fourth most common neurological disorder which affects people of all age groups. Recently research and awareness on epilepsy-related deaths have rapidly grown over the past two decades. Many previous studies are attributed to the guidelines that apprise health care professionals in handling these deaths, but there is a relative scarcity of information accessible for clinicians and pharmacists who are responsible for manufacturing or preparing the extemporaneous anti-epileptic suspensions in the hospitals. Mostly in partial seizures, phenytoin is one of the first-choice drugs. In Saudi Arabian hospitals, the extemporaneous preparation of phenytoin suspension is common, but the hot climatic weather in Saudi Arabia possesses stability problems that should be tackled as the prepared suspension should pass all the stability tests to ensure uniform dosage of the extemporaneous formulation. In the current study, the commercial capsules were used to prepare the oral phenytoin sodium extemporaneous suspension. The physical, chemical and microbiological stability of phenytoin sodium suspension is analyzed at various temperatures.
- Organization WH. (2019) Epilepsy 2019. https://www.who.int/news-room/fact-sheets/detail/epilepsy
- Goldenberg, M.M. (2010) Overview of Drugs Used for Epilepsy and Seizures: Etiology, Diagnosis, and Treatment. Pharmacy and Therapeutics, 35, 392-415.
- Slaughter, L.A., Patel, A.D. and Slaughter, J.L. (2013) Pharmacological Treatment of Neonatal Seizures: A Systematic Review. Journal of Child Neurology, 28, 351-364. https://doi.org/10.1177/0883073812470734
- Viriyaroj, A., Klapachan, S., Phanpleewan, C., Viriyaroj, V., Sornchaithawatwong, C. and Wiranidchapong, C. (2009) Physicochemical and Microbiological Stability of Phenytoin Sodium Extemporaneous Suspension. Thai Pharmaceutical and Health Science Journal, 4, 8.
- Newey-Keane, L. and Carrington, S. (2016) Controlling the Stability of Medicinal Suspensions. https://www.americanpharmaceuticalreview.com/Featured-Articles/331619-Controlling-the-Stability-of-Medicinal-Suspensions/
- Almazroui, M., Islam, M.N., Jones, P.D., Athar, H. and Rahman, M.A. (2012) Recent Climate Change in the Arabian Peninsula: Seasonal Rainfall and Temperature Climatology of Saudi Arabia for 1979-2009. Atmospheric Research, 111, 29-45. https://doi.org/10.1016/j.atmosres.2012.02.013
- Bajaj, S., Singla, D. and Sakhuja, N. (2012) Stability Testing of Pharmaceutical Products. Journal of Applied Pharmaceutical Science, 2, 129-138.
- Gong, T., Wei, Q.-W., Mao, D.-G., Nagaoka, K., Watanabe, G., Taya, K., et al. (2016) Effects of Daily Exposure to Saccharin and Sucrose on Testicular Biologic Functions in Mice. Biology of Reproduction, 95, 1-13. https://doi.org/10.1095/biolreprod.116.140889
- USP 31/NF 26. (2008) Asian Edition. United States Pharmacopeial Convention Inc., 76-85, 579-581.
- Pharmaceutical Guidance, Drug Stability in Pharmaceutical Products 2018. https://www.pharmaguidances.com/drug-stability/
- Bhagyashree, P., Karishma, G., Sampada, A., Ankita, P., Chandankar, P., et al. (2015) Recent Trends in Stability Testing of Pharmaceutical Products: A Review. Research Journal of Pharmaceutical, Biological and Chemical Sciences, 6, 1557-1563.
- Mani, S. (2013) Stability Studies: A Review. Asian Journal of Pharmaceutical Analysis and Medicinal Chemistry, 1, 184.
- Phenytoin: Drug Usage Statistics. United States 2008-2018. https://clincalc.com/DrugStats/Drugs/Phenytoin