Last update :
18/07/2024
References   References 4011  
Type : Journal
Web link : http://dx.doi.org/10.1136/ejhpharm-2016-001038

Research teams : Kiel - Christian-Albrechts- University Kiel, Pharmaceutical Institute
Authors : Gersonde F, Eisend S, Haake N, Kunze T.
Title : Physicochemical compatibility and emulsion stability of propofol with commonly used analgesics and sedatives in an intensive care unit.
Reference : EJHP 2016;0:1-11 2016

Level of Evidence : 
Level of evidence C+
Physical stability : 
Visual examination 
Chemical stability : 
High Performance Liquid Chromatography - Diode Array detector (HPLD-DAD)
High Performance Liquid Chromatography - mass spectrometry (HPLC-MS)
Stability defined as 90% of the initial concentration
Other methods : 
PH measurement 
Comments : 
Stability indicating capability inadequately assessed

List of drugs
injectionClonidine hydrochloride Antihypertensive
Compatible 0.001 >> 0.015 mg/ml + injectionPropofol 1.8 >> 18.2 mg/ml + None
injectionDexmedetomidine Sympathomimetic
Compatible 0.4 >> 18.2 µg/ml + injectionPropofol 1.8 >> 18.2 mg/ml + None
injectionKetamine hydrochloride General anesthetic
Compatible 2.3 >> 22.7 mg/ml + injectionPropofol 1.8 >> 18.2 mg/ml + None
injectionLormetazepam Anxiolytic
Compatible 0.004 >> 0.11 mg/ml + injectionPropofol 1.8 >> 18.2 mg/ml + None
injectionMidazolam hydrochloride Anxiolytic
Compatible 1.8 & 3.3 mg/ml + injectionPropofol 1.8 & 10 mg/ml + None
Incompatible 0.3 mg/ml + injectionPropofol 18.2 mg/ml + None
injectionPiritramide Analgesic
Compatible 0.5 & 0.9 mg/ml + injectionPropofol 1.8 & 10 mg/ml + None
Incompatible 0.09 mg/ml + injectionPropofol 18.2 mg/ml + None
injectionPropofol General anesthetic
Compatible 1.8 >> 18.2 mg/ml + injectionClonidine hydrochloride 0.001 >> 0.015 mg/ml + None
Compatible 1.8 >> 18.2 mg/ml + injectionDexmedetomidine 0.4 >> 18.2 µg/ml + None
Compatible 1.8 >> 18.2 mg/ml + injectionKetamine hydrochloride 2.3 >> 22.7 mg/ml + None
Compatible 1.8 >> 18.2 mg/ml + injectionLormetazepam 0.004 >> 0.11 mg/ml + None
Compatible 1.8 & 10 mg/ml + injectionMidazolam hydrochloride 1.8 & 3.3 mg/ml + None
Incompatible 18.2 mg/ml + injectionMidazolam hydrochloride 0.3 mg/ml + None
Compatible 1.8 & 10 mg/ml + injectionPiritramide 0.5 & 0.9 mg/ml + None
Incompatible 18.2 mg/ml + injectionPiritramide 0.09 mg/ml + None
Incompatible 1.8 >> 18.2 mg/ml + injectionRemifentanil hydrochloride 4.5 >> 45.5 µg/ml + None
Compatible 1.8 & 10 mg/ml + injectionSodium oxybate 100 & 181.8 mg/ml + None
Incompatible 18.2 mg/ml + injectionSodium oxybate 18.2 mg/ml + None
Compatible 1.8 >> 18.2 mg/ml + injectionSufentanil citrate 0.0009 >> 0.03 mg/ml + None
injectionRemifentanil hydrochloride Analgesic
Factors which affect stability pH pH >7 Induces Degradation
Incompatible 4.5 >> 45.5 µg/ml + injectionPropofol 1.8 >> 18.2 mg/ml + None
injectionSodium oxybate Various
Compatible 100 & 181.8 mg/ml + injectionPropofol 1.8 & 10 mg/ml + None
Incompatible 18.2 mg/ml + injectionPropofol 18.2 mg/ml + None
injectionSufentanil citrate Analgesic
Compatible 0.0009 >> 0.03 mg/ml + injectionPropofol 1.8 >> 18.2 mg/ml + None
Stability of mixtures
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 6,7 mg/ml
injection Sufentanil citrate 0,0033 mg/ml
injection Midazolam hydrochloride 1,2 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 6,7 mg/ml
injection Sufentanil citrate 0,0033 mg/ml
injection Piritramide 0,33 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 5 mg/ml
injection Sufentanil citrate 0,0075 mg/ml
injection Midazolam hydrochloride 0,9 mg/ml
injection Lormetazepam 0,03 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Dexmedetomidine 6,6 µg/ml
injection Sufentanil citrate 0,01 mg/ml
injection Propofol 6,7 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 6,7 mg/ml
injection Sufentanil citrate 0,01 mg/ml
injection Clonidine hydrochloride 0,005 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Midazolam hydrochloride 1,2 mg/ml
injection Remifentanil hydrochloride 1,7 µg/ml
injection Propofol 6,7 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 10 mg/ml
injection Clonidine hydrochloride 0,0075 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 1,8 mg/ml
injection Clonidine hydrochloride 0,0136 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 18 mg/ml
injection Clonidine hydrochloride 0,00136 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 18 mg/ml
injection Dexmedetomidine 1,81 µg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 1,8 mg/ml
injection Dexmedetomidine 18,1 µg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 10 mg/ml
injection Dexmedetomidine 10 µg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 10 mg/ml conflicting data
injection Ketamine hydrochloride 12,5 mg/ml conflicting data
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 1,8 mg/ml conflicting data
injection Ketamine hydrochloride 22,7 mg/ml conflicting data
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 18 mg/ml conflicting data
injection Ketamine hydrochloride 2,27 mg/ml conflicting data
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 18 mg/ml
injection Lormetazepam 0,009 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 1,8 mg/ml
injection Lormetazepam 0,09 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 10 mg/ml
injection Lormetazepam 0,06 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 10 mg/ml
injection Sufentanil citrate 0,015 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 1,8 mg/ml
injection Sufentanil citrate 0,027 mg/ml
24 Hour
Polypropylene Sodium chloride 0,9% 25°C Light
injection Propofol 18 mg/ml
injection Sufentanil citrate 0,0027 mg/ml
24 Hour

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