Special Issue "Advances in Parenteral Formulations"

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Nanomedicine and Nanotechnology".

Deadline for manuscript submissions: 10 August 2023 | Viewed by 3970

Special Issue Editors

Department of Pharmaceutical Chemistry, Poznan University of Medical Sciences, 60-780 Poznan, Poland
Interests: drug analysis; drug stability; pharmaceutical chemistry
Special Issues, Collections and Topics in MDPI journals
Department of Pharmaceutical Chemistry, Poznan University of Medical Sciences, 60-780 Poznan, Poland
Interests: drug interactions; parenteral nutrition; hospital pharmacy; nanotechnology
Special Issues, Collections and Topics in MDPI journals
Department of Pharmaceutical Chemistry, Poznan University of Medical Sciences, 60-780 Poznan, Poland
Interests: drug analysis; drug stability; parenteral nutrition; radiation sterilization

Special Issue Information

Dear Colleagues,

In recent years, there has been great progress in the field of parenteral drugs. This is due to the development of pharmaceutical technology and drug analysis as a response to the emergence of clinical challenges.

The crucial issue in parenteral formulation is chemical, physical, and microbiological stability. One of the biggest problems of the technological process of such drugs is the poor solubility and permeability of most active pharmaceutical ingredients. To overcome this disadvantage, nanotechnology is used, including lipid-based, polymeric, and hybrid nanoparticles. Prolonged drug release formulations are developed, such as in situ implants and drug carriers enabling the drug to reach a critical organ or neoplastic tumor.

Other important issues related to parenteral drugs are their safety, PK/PD interactions, and drug compatibility when administered simultaneously through the same vascular access.

This Special Issue in Pharmaceutics is dedicated to the advantages of parenteral formulations and aims to draw together experts in the fields of pharmaceutical sciences, technology, analytical chemistry, and clinical medicine. Authors are invited to submit original and review articles covering all aspects of this important research field. We look forward to receiving your contributions.

Prof. Dr. Anna Jelińska
Dr. Maciej Stawny
Dr. Katarzyna Dettlaff
Guest Editors

Manuscript Submission Information

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Keywords

  • nanoparticle
  • drug interactions
  • nanoemulsions and submicron emulsions
  • drug carriers
  • drug compatibility
  • parenteral nutrition

Published Papers (3 papers)

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Research

Article
Y-Site Compatibility Studies of Ketoprofen with Parenteral Nutrition Admixtures for Central and Peripheral Administration
Pharmaceutics 2022, 14(12), 2570; https://doi.org/10.3390/pharmaceutics14122570 - 23 Nov 2022
Viewed by 717
Abstract
Ketoprofen (KTF) is often used in hospital wards, especially in its intravenous form. According to the literature review, the compatibility of ketoprofen with parenteral nutrition (PN) admixtures has not yet been investigated. For this reason, we aimed to provide data contributing to physical [...] Read more.
Ketoprofen (KTF) is often used in hospital wards, especially in its intravenous form. According to the literature review, the compatibility of ketoprofen with parenteral nutrition (PN) admixtures has not yet been investigated. For this reason, we aimed to provide data contributing to physical compatibility to ensure the safe co-administration of these medications. In this study, we examined the compatibility of KTF with eight selected commercial PN admixtures intended for central (Lipoflex Special, Omegaflex Special, Kabiven, SmofKabiven) and peripheral (Lipoflex peri, Omegaflex peri, Kabiven Peripheral, Olimel Peri N4E) administration. The KTF solution for infusion was combined in three different volume ratios with studied PN admixtures reflecting the conditions in clinical practice. The evaluation of undesirable physical destabilization of oil-in-water system or precipitate formation involved the visual inspection and the determination of mean droplet diameter, zeta potential, pH, and turbidity changes. The results of compatibility of KTF with eight commercial PN admixtures showed that three of them: Kabiven, SmofKabiven, and Kabiven Peripheral, are incompatible with KTF and should not be concomitantly administered. Full article
(This article belongs to the Special Issue Advances in Parenteral Formulations)
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Article
Behavior of Regular Insulin in a Parenteral Nutrition Admixture: Validation of an LC/MS-MS Assay and the In Vitro Evaluation of Insulin Glycation
Pharmaceutics 2022, 14(5), 1081; https://doi.org/10.3390/pharmaceutics14051081 - 18 May 2022
Cited by 1 | Viewed by 1049
Abstract
Parenteral-nutrition (PN)-induced hyperglycemia increases morbidity and mortality and must be treated with insulin. Unfortunately, the addition of insulin to a ternary PN admixture leads to a rapid decrease in insulin content. Our study’s objective was to determine the mechanistic basis of insulin’s disappearance. [...] Read more.
Parenteral-nutrition (PN)-induced hyperglycemia increases morbidity and mortality and must be treated with insulin. Unfortunately, the addition of insulin to a ternary PN admixture leads to a rapid decrease in insulin content. Our study’s objective was to determine the mechanistic basis of insulin’s disappearance. The literature data suggested the presence of a glycation reaction; we therefore validated an LC-MS/MS assay for insulin and glycated insulin. In a 24-h stability study, 20 IU/L of insulin was added to a binary PN admixture at pH 3.6 or 6.3. When the samples were diluted before analysis with a near-neutral diluent, insulin was fully stable at pH 3.6, while a loss of around 50% was observed at pH 6.3. Its disappearance was shown to be inversely correlated with the appearance of monoglycated insulin (probably a Schiff base adduct). Monoglycated insulin might also undergo a back-reaction to form insulin after acidic dilution. Furthermore, a second monoglycated insulin species appeared in the PN admixture after more than 24 h at high temperature (40 °C) and a high insulin concentration (1000 IU/L). It was stable at acidic pH and might be an Amadori product. The impact of insulin glycation under non-forced conditions on insulin’s bioactivity requires further investigation. Full article
(This article belongs to the Special Issue Advances in Parenteral Formulations)
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Article
Sodium Valproate Incompatibility with Parenteral Nutrition Admixtures—A Risk to Patient Safety: An In Vitro Evaluation Study
Pharmaceutics 2022, 14(2), 371; https://doi.org/10.3390/pharmaceutics14020371 - 07 Feb 2022
Cited by 1 | Viewed by 1475
Abstract
Epilepsy is defined as a group of concerning problems related to the nervous system; its defining feature is a predisposition to epileptic seizures. The frequency of seizures in intensive care units (ICU) ranges from 3.3% to 34%, and ICU antiepileptic treatment is routine [...] Read more.
Epilepsy is defined as a group of concerning problems related to the nervous system; its defining feature is a predisposition to epileptic seizures. The frequency of seizures in intensive care units (ICU) ranges from 3.3% to 34%, and ICU antiepileptic treatment is routine practice. The administration of drugs through the same infusion line is not recommended but is common clinical practice, especially in ICU. Incompatibilities between parenteral drugs and between drugs and parenteral nutrition admixtures (PNAs) are common medical errors and pose risks to patient safety. The co-administration of drugs must always be confirmed and clearly defined. The simultaneous infusion of sodium valproate (VPA, drug used to treat seizures and epilepsy) with parenteral PNAs has not yet been studied. During the experiment reported in this study, a visual control, pH, osmolality, zeta potential, particle size, polydispersity index, and turbidity were measured. The conducted research shows that the lipid emulsion composition has a significant influence on drug–PN (drug–parenteral nutrition) compatibility. The acceptance criteria were met only for PNs containing omega-3-acid-triglycerides (Omegaflex special and peri). The second fraction of particles above 1000 nm was observed for most of the tested PNAs (Lipoflex special, Lipoflex peri, Kabiven, SmofKabiven, Kabiven Peripheral, and Olimel Peri N4E), which disqualifies their simultaneous administration with VPA. Full article
(This article belongs to the Special Issue Advances in Parenteral Formulations)
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