Last update :
03/05/2024
References   References 3705  
Type : Journal
Web link : http://ejhp.bmj.com/content/21/3/161.abstract

Research teams : Kiel - Christian-Albrechts- University Kiel, Pharmaceutical Institute
Authors : Knudsen L, Eisend S, Haake N, Kunze T.
Title : Physicochemical compatibility of commonly used analgesics and sedatives in the intensive care medicine.
Reference : EJHP ;21:161-166 2014

Level of Evidence : 
Level of evidence D
Physical stability : 
Visual examination Turbidimetry 
Chemical stability : 
High Performance Liquid Chromatography - ultraviolet detector (HPLC-UV)
Stability defined as 90% of the initial concentration
Other methods : 
PH measurement 
Comments : 
Stability indicating capability inadequately assessed
Repeatability / reproducibility / standard range: results not provided or results outside specified values
Unencrypted results (eg graphic)
Degradation products not observed in real conditions

List of drugs
InjectionClonidine hydrochloride Antihypertensive
Compatible 0.015 mg/ml + InjectionKetamine hydrochloride 25 mg/ml + Sodium chloride 0,9%
Compatible 0.015 mg/ml + InjectionLormetazepam 0.12 mg/ml + Sodium chloride 0,9%
Compatible 0.015 mg/ml + InjectionMidazolam hydrochloride 3.6 mg/ml + Sodium chloride 0,9%
Compatible 0.015 mg/ml + InjectionPiritramide 1 mg/ml + Sodium chloride 0,9%
Compatible 0.015 mg/ml + InjectionSodium oxybate 200 mg/ml + Sodium chloride 0,9%
Incompatible 0.015 mg/ml + InjectionSufentanil citrate 0.03 mg/ml + Sodium chloride 0,9%
InjectionKetamine hydrochloride General anesthetic
Compatible 25 mg/ml + InjectionClonidine hydrochloride 0.015 mg/ml + Sodium chloride 0,9%
Compatible 25 mg/ml + InjectionLormetazepam 0.12 mg/ml + Sodium chloride 0,9%
Compatible 25 mg/ml + InjectionMidazolam hydrochloride 3.6 mg/ml + Sodium chloride 0,9%
Compatible 25 mg/ml + InjectionPiritramide 1 mg/ml + Sodium chloride 0,9%
Incompatible 25 mg/ml + InjectionSodium oxybate 200 mg/ml + Sodium chloride 0,9%
Compatible 25 mg/ml + InjectionSufentanil citrate 0.03 mg/ml + Sodium chloride 0,9%
InjectionLormetazepam Anxiolytic
Compatible 0.12 mg/ml + InjectionClonidine hydrochloride 0.015 mg/ml + Sodium chloride 0,9%
Compatible 0.12 mg/ml + InjectionKetamine hydrochloride 25 mg/ml + Sodium chloride 0,9%
Compatible 0.12 mg/ml + InjectionMidazolam hydrochloride 3.6 mg/ml + Sodium chloride 0,9%
Compatible 0.12 mg/ml + InjectionPiritramide 1 mg/ml + Sodium chloride 0,9%
Compatible 0.12 mg/ml + InjectionSodium oxybate 200 mg/ml + Sodium chloride 0,9%
Compatible 0.12 mg/ml + InjectionSufentanil citrate 0.03 mg/ml + Sodium chloride 0,9%
InjectionMidazolam hydrochloride Anxiolytic
Compatible 3.6 mg/ml + InjectionClonidine hydrochloride 0.015 mg/ml + Sodium chloride 0,9%
Compatible 3.6 mg/ml + InjectionKetamine hydrochloride 25 mg/ml + Sodium chloride 0,9%
Compatible 3.6 mg/ml + InjectionLormetazepam 0.12 mg/ml + Sodium chloride 0,9%
Compatible 3.6 mg/ml + InjectionPiritramide 1 mg/ml + Sodium chloride 0,9%
Incompatible 3,6 mg/ml + InjectionSodium oxybate 200 mg/ml + Sodium chloride 0,9%
Compatible 3.6 mg/ml + InjectionSufentanil citrate 0.03 mg/ml + Sodium chloride 0,9%
InjectionPiritramide Analgesic
Compatible 1 mg/ml + InjectionClonidine hydrochloride 0.015 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionKetamine hydrochloride 25 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionLormetazepam 0.12 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionMidazolam hydrochloride 3.6 mg/ml + Sodium chloride 0,9%
Incompatible 1 mg/ml + InjectionSodium oxybate 200 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionSufentanil citrate 0.03 mg/ml + Sodium chloride 0,9%
InjectionSodium oxybate Various
Compatible 200 mg/ml + InjectionClonidine hydrochloride 0.015 mg/ml + Sodium chloride 0,9%
Incompatible 200 mg/ml + InjectionKetamine hydrochloride 25 mg/ml + Sodium chloride 0,9%
Compatible 200 mg/ml + InjectionLormetazepam 0.12 mg/ml + Sodium chloride 0,9%
Incompatible 200 mg/ml + InjectionMidazolam hydrochloride 3,6 mg/ml + Sodium chloride 0,9%
Incompatible 200 mg/ml + InjectionPiritramide 1 mg/ml + Sodium chloride 0,9%
Compatible 200 mg/ml + InjectionSufentanil citrate 0.03 mg/ml + Sodium chloride 0,9%
InjectionSufentanil citrate Analgesic
Incompatible 0.03 mg/ml + InjectionClonidine hydrochloride 0.015 mg/ml + Sodium chloride 0,9%
Compatible 0.03 mg/ml + InjectionKetamine hydrochloride 25 mg/ml + Sodium chloride 0,9%
Compatible 0.03 mg/ml + InjectionLormetazepam 0.12 mg/ml + Sodium chloride 0,9%
Compatible 0.03 mg/ml + InjectionMidazolam hydrochloride 3.6 mg/ml + Sodium chloride 0,9%
Compatible 0.03 mg/ml + InjectionPiritramide 1 mg/ml + Sodium chloride 0,9%
Compatible 0.03 mg/ml + InjectionSodium oxybate 200 mg/ml + Sodium chloride 0,9%
Stability of mixtures
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Clonidine hydrochloride 0,015 mg/ml
Injection Midazolam hydrochloride 3,6 mg/ml
Injection Sufentanil citrate 0,03 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Clonidine hydrochloride 0,015 mg/ml
Injection Lormetazepam 0,12 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Clonidine hydrochloride 0,015 mg/ml
Injection Ketamine hydrochloride 25 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Clonidine hydrochloride 0,015 mg/ml
Injection Midazolam hydrochloride 3,6 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Clonidine hydrochloride 0,015 mg/ml
Injection Piritramide 1 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Ketamine hydrochloride 25 mg/ml
Injection Lormetazepam 0,12 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Ketamine hydrochloride 25 mg/ml
Injection Midazolam hydrochloride 3,6 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Lormetazepam 0,12 mg/ml
Injection Piritramide 1 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Lormetazepam 0,12 mg/ml
Injection Sufentanil citrate 0,03 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Midazolam hydrochloride 3,6 mg/ml
Injection Sufentanil citrate 0,03 mg/ml
7 Day
Polypropylene Sodium chloride 0,9% 25°C Light
Injection Clonidine hydrochloride 0,015 mg/ml
Injection Piritramide 1 mg/ml
Injection Midazolam hydrochloride 3,6 mg/ml
Injection Ketamine hydrochloride 25 mg/ml
Injection Lormetazepam 0,12 mg/ml
Injection Sufentanil citrate 0,03 mg/ml
8 Hour

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