Last update :
18/07/2024
References   References 150  
Type : Journal

Research teams : Marseille - La Timone University Teaching Hospital, Pharmacy Department
Authors : Aujoulat P, Coze C, Braguer D, Raybaud C.
Title : Physicochemical compatibility of methotrexate with co-administered drugs during cancer chemotherapy regimens.
Reference : J Pharm Clin ; 12: 31-35. 1993

Level of Evidence : 
Not rated
Physical stability : 
Chemical stability : 
Other methods : 
Comments : 
Not rated: compatibility study only

List of drugs
injectionAsparaginase Anticancer drug
Compatible 120 UI/ml + NaHCO3
Compatible 120 UI/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 120 UI/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionCeftriaxone disodium Antibiotic
Compatible 100 mg/ml + NaHCO3
Compatible 100 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 100 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionCyclophosphamide Anticancer drug
Compatible 20 mg/ml + NaHCO3
Compatible 20 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 20 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionCytarabine Anticancer drug
Compatible 0.6 mg/ml + NaHCO3
Compatible 0.6 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 0.6 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionDaunorubicin hydrochloride Anticancer drug
Compatible 0.52 mg/ml + NaHCO3
Compatible 0.52 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 0.52 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionDexamethasone sodium phosphate Anti-inflammatory
Incompatible 4 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
injectionDoxorubicin hydrochloride Anticancer drug
Factors which affect stability Solvent NaHCO3 Induces Degradation
Compatible 0.4 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 0.4 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
Incompatible 0.4 mg/ml + injectionSodium bicarbonate + NaHCO3
injectionEtoposide Anticancer drug
Compatible 0.6 mg/ml + NaHCO3
Compatible 0.6 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 0.6 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionFolinate calcium Cytoprotective
Factors which affect stability Solvent NaHCO3 Induces Degradation
Incompatible 10 mg/ml + NaHCO3
Compatible 10 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 10 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionHeparin sodium Anticoagulant
Compatible 500 UI/ml + NaHCO3
Compatible 500 UI/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 500 UI/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionIfosfamide Anticancer drug
Incompatible 36 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
injectionImipenem - cilastatin sodium Antibiotic
Factors which affect stability Solvent NaHCO3 Induces Degradation
injectionMesna Cytoprotective
Compatible 1.8 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Compatible 1.8 mg/ml + NaHCO3
Compatible 1.8 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionMethotrexate sodium Anticancer drug
Compatible 30 mg/ml + injectionAsparaginase 120 UI/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionCeftriaxone disodium 100 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionCyclophosphamide 20 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionCytarabine 0.6 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionDaunorubicin hydrochloride 0.52 mg/ml + Sodium chloride 0,9%
Incompatible 30 mg/ml + injectionDexamethasone sodium phosphate 4 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionDoxorubicin hydrochloride 0.4 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionEtoposide 0.6 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionFolinate calcium 10 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionHeparin sodium 500 UI/ml + Sodium chloride 0,9%
Incompatible 30 mg/ml + injectionIfosfamide 36 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionMesna 1.8 mg/ml + Sodium chloride 0,9%
Incompatible 30 mg/ml + injectionMidazolam hydrochloride 5 mg/ml + Sodium chloride 0,9%
Incompatible 30 mg/ml + injectionNalbuphine hydrochloride 10 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionOndansetron hydrochloride 2 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionOxacillin sodium 250 mg/ml + Sodium chloride 0,9%
Incompatible 30 mg/ml + injectionParacetamol 200 mg/ml + Sodium chloride 0,9%
Incompatible 30 mg/ml + injectionVancomycin hydrochloride 5 mg/ml + Glucose 5%
Compatible 30 mg/ml + injectionVincristine sulfate 0.1 mg/ml + Sodium chloride 0,9%
Compatible 30 mg/ml + injectionVindesine sulfate 0.1 mg/ml + Sodium chloride 0,9%
injectionMidazolam hydrochloride Anxiolytic
Factors which affect stability Solvent NaHCO3 Induces Degradation
Incompatible 5 mg/ml + NaHCO3
Incompatible 5 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 5 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionNalbuphine hydrochloride Antidote
Factors which affect stability Solvent NaHCO3 Induces Degradation
Incompatible 10 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 10 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
Incompatible 10 mg/ml + NaHCO3
injectionOndansetron hydrochloride Antiemetic
Factors which affect stability Solvent NaHCO3 Induces Degradation
Incompatible 2 mg/ml + NaHCO3
Compatible 2 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 2 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionOxacillin sodium Antibiotic
Factors which affect stability Solvent NaHCO3 Induces Degradation
Compatible 250 mg/ml + NaHCO3
Incompatible 250 mg/ml + NaHCO3
Compatible 250 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 250 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionParacetamol Analgesic
Incompatible 200 mg/ml + NaHCO3
Incompatible 200 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 200 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionSodium bicarbonate Electrolyte
Compatible 14 mg/ml + injectionAsparaginase 120 UI/ml + None
Compatible 14 mg/ml + injectionCeftriaxone disodium 100 mg/ml + None
Compatible 14 mg/ml + injectionCyclophosphamide 20 mg/ml + None
Compatible 14 mg/ml + injectionCytarabine 0.6 mg/ml + None
Compatible 14 mg/ml + injectionDaunorubicin hydrochloride 0.52 mg/ml + None
Incompatible 14 mg/ml + injectionDoxorubicin hydrochloride 0.4 mg/ml + None
Incompatible + injectionDoxorubicin hydrochloride 0.4 mg/ml + NaHCO3
Compatible 14 mg/ml + injectionEtoposide 0.6 mg/ml + None
Incompatible 14 mg/ml + injectionFolinate calcium 10 mg/ml + None
Compatible 14 mg/ml + injectionHeparin sodium 500 UI/ml + None
Compatible 14 mg/ml + injectionMesna 1.8 mg/ml + None
Incompatible 14 mg/ml + injectionMidazolam hydrochloride 5 mg/ml + None
Incompatible 14 mg/ml + injectionNalbuphine hydrochloride 10 mg/ml + None
Incompatible 14 mg/ml + injectionOndansetron hydrochloride 2 mg/ml + None
Incompatible 14 mg/ml + injectionOxacillin sodium 250 mg/ml + None
Incompatible 14 mg/ml + injectionParacetamol 200 mg/ml + None
Incompatible 14 mg/ml + injectionVincristine sulfate 0.1 mg/ml + None
Incompatible 14 mg/ml + injectionVindesine sulfate 0.1 mg/ml + None
injectionVancomycin hydrochloride Antibiotic
Incompatible 5 mg/ml + injectionMethotrexate sodium 30 mg/ml + Glucose 5%
injectionVincristine sulfate Anticancer drug
Factors which affect stability Solvent NaHCO3 Induces Degradation
Incompatible 0.1 mg/ml + NaHCO3
Compatible 0.1 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 0.1 mg/ml + injectionSodium bicarbonate 14 mg/ml + None
injectionVindesine sulfate Anticancer drug
Factors which affect stability Solvent NaHCO3 Induces Degradation
Incompatible 0.1 mg/ml + NaHCO3
Compatible 0.1 mg/ml + injectionMethotrexate sodium 30 mg/ml + Sodium chloride 0,9%
Incompatible 0.1 mg/ml + injectionSodium bicarbonate 14 mg/ml + None

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