Last update :
28/04/2024
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

  Mentions Légales