Last update :
19/11/2024
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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