RESUMO
Dropropizine is a peripheral antitussive drug that acts by inhibiting cough reflex through its action on the peripheral receptors and their afferent conductors. It is marketed in a racemic form or its pure enantiomer called levodropropizine and both are available worldwide in various drug dosage formulations such as tablets, sirup and oral solution. Due to the widespread use of antitussives in the clinic it is necessary to develop efficient analytical methodologies for quality control and also for pharmacokinetic, bioavailability and bioequivalence studies. This review presents a survey of the characteristics, properties and analytical methods used for drug determination, being carried out through scientific articles as well as in official compendia. From the analyzed studies, the majority reports the use of HPLC/UV techniques for drug determination, but also spectrophotometric UV/Vis methods as well as gas chromatography, and voltammetric, potentiometric and conductometric titration methods. In addition, the methodologies addressed the determination of dropropizine or levodropropizine in different types of matrices such as raw material, pharmaceutical formulations, plasma and urine. Despite the extensive clinical use of dropropizine, data from this review evidenced a still limited number of studies dealing with analytical methods for its determination in different matrices, which may be of concern since the applicability of these methods is important for quality assurance, efficacy and safety of the medicine.
Assuntos
Antitussígenos/análise , Cromatografia Líquida de Alta Pressão/métodos , Propilenoglicóis/análise , Antitussígenos/farmacocinética , Antitussígenos/uso terapêutico , Tosse/tratamento farmacológico , Cromatografia Gasosa-Espectrometria de Massas , Meia-Vida , Humanos , Propilenoglicóis/farmacocinética , Propilenoglicóis/uso terapêutico , Espectrofotometria , Estereoisomerismo , Comprimidos/químicaRESUMO
Multi-energy calibration (MEC) is a novel strategy that explores the capacity of several analytes of generating analytical signals at many different wavelengths (transition energies). Contrasting with traditional methods, which employ a fixed transition energy and different analyte concentrations to build a calibration plot, MEC uses a fixed analyte concentration and multiple transition energies for calibration. Only two calibration solutions are required in combination with the MEC method. Solution 1 is composed of 50% v v-1 sample and 50% v v-1 of a standard solution containing the analytes. Solution 2 has 50% v v-1 sample and 50% v v-1 blank. Calibration is performed by running each solution separately and monitoring the instrument response at several wavelengths for each analyte. Analytical signals from solutions 1 and 2 are plotted on the x-axis and y-axis, respectively, and the analyte concentration in the sample is calculated from the slope of the resulting calibration curve. The method has been applied to three different atomic spectrometric techniques (ICP OES, MIP OES and HR-CS FAAS). Six analytes were determined in complex samples (e.g. green tea, cola soft drink, cough medicine, soy sauce, and red wine), and the results were comparable with, and in several cases more accurate than, values obtained using the traditional external calibration, internal standardization, and standard additions methods. MEC is a simple, fast and efficient matrix-matching calibration method. It may be applied to any technique capable of simultaneous or fast sequential monitoring of multiple analytical signals.
Assuntos
Calibragem , Espectrofotometria Atômica , Antitussígenos/análise , Bebidas Gaseificadas/análise , Padrões de Referência , Alimentos de Soja/análise , Chá/química , Vinho/análiseRESUMO
OBJECTIVE: In September 2006, a Panamanian physician reported an unusual number of patients with unexplained acute renal failure frequently accompanied by severe neurological dysfunction. Twelve (57%) of 21 patients had died of the illness. This paper describes the investigation into the cause of the illness and the source of the outbreak. METHODS: Case-control and laboratory investigations were implemented. Case patients (with acute renal failure of unknown etiology and serum creatinine > 2 mg/dl) were individually matched to hospitalized controls for age (+/- 5 years), sex and admission date (< 2 days before the case patient). Questionnaire and biological data were collected. The main outcome measure was the odds of ingesting prescription cough syrup in cases and controls. FINDINGS: Forty-two case patients and 140 control patients participated. The median age of cases was 68 years (range: 25-91 years); 64% were male. After controlling for pre-existing hypertension and renal disease and the use of angiotensin-converting enzyme inhibitors, a significant association was found between ingestion of prescription cough syrup and illness onset (adjusted odds ratio: 31.0, 95% confidence interval: 6.93-138). Laboratory analyses confirmed the presence of diethylene glycol (DEG) in biological samples from case patients, 8% DEG contamination in cough syrup samples and 22% contamination in the glycerin used to prepare the cough syrup. CONCLUSION: The source of the outbreak was DEG-contaminated cough syrup. This investigation led to the recall of approximately 60 000 bottles of contaminated cough syrup, widespread screening of potentially exposed consumers and treatment of over 100 affected patients.
Assuntos
Injúria Renal Aguda/epidemiologia , Surtos de Doenças , Etilenoglicóis/intoxicação , Injúria Renal Aguda/induzido quimicamente , Adolescente , Adulto , Idoso , Antitussígenos/análise , Estudos de Casos e Controles , Contaminação de Medicamentos , Etilenoglicóis/análise , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Panamá/epidemiologia , Adulto JovemRESUMO
The present work describes a simple, accurate and rapid method for the separation and simultaneous determination of codeine, diphenhydramine, ephedrine and noscapine present in cough-cold syrup formulations by capillary zone electrophoresis. Factors affecting the separation were the buffer pH and concentration, applied voltage, and presence of additives. Separations were carried out in less than 10 min with a 20 mM sodium tetraborate buffer, pH 8.50. The carrier electrolyte gave baseline separation with good resolution, great reproducibility and accuracy. Calibration plots were linear over at least three orders of magnitude of analyte concentrations, the lower limits of detection being within the range 0.42-1.33 microg ml(-1). Detection was performed by UV absorbance at wavelengths of 205 and 250 nm. Quantification of the components in actual syrup formulations was calculated against the responses of freshly prepared external standard solutions. The method was validated and met all analysis requirements of quality assurance and quality control. The procedure was fast and reliable and commercial pharmaceuticals could be analyzed without prior sample clean-up procedure.
Assuntos
Antitussígenos/análise , Codeína/análise , Difenidramina/análise , Eletroforese Capilar/métodos , Efedrina/análise , Noscapina/análise , Concentração de Íons de Hidrogênio , Reprodutibilidade dos TestesRESUMO
An improvement is presented on the simultaneous determination of two active ingredients present in unequal concentrations in injections. The analysis was carried out with spectrophotometric data and non-linear multivariate calibration methods, in particular artificial neural networks (ANNs). The presence of non-linearities caused by the major analyte concentrations which deviate from Beer's law was confirmed by plotting actual vs. predicted concentrations, and observing curvatures in the residuals for the estimated concentrations with linear methods. Mixtures of dextropropoxyphene and dipyrone have been analysed by using linear and non-linear partial least-squares (PLS and NPLSs) and ANNs. Notwithstanding the high degree of spectral overlap and the occurrence of non-linearities, rapid and simultaneous analysis has been achieved, with reasonably good accuracy and precision. A commercial sample was analysed by using the present methodology, and the obtained results show reasonably good agreement with those obtained by using high-performance liquid chromatography (HPLC) and a UV-spectrophotometric comparative methods.
Assuntos
Dextropropoxifeno/análise , Dipirona/análise , Redes Neurais de Computação , Preparações Farmacêuticas/análise , Anti-Inflamatórios não Esteroides/análise , Antitussígenos/análise , Simulação por Computador , Eletroquímica , Estrutura Molecular , Dinâmica não Linear , Preparações Farmacêuticas/químicaRESUMO
A liquid chromatographic method was developed for the simultaneous separation and determination of noscapine hydrochloride, hexylresorcinol and anethole in cough lozenges. Analysis was performed on a phenyl column with phosphate buffer- acetonitrile as mobile phase and the separated components were detected at 282 mm. Recoveries obtained for the analytes were of 94.6% for noscapine hydrochloride, 99.1% for hexylresorcinol and 96.3% for anethole. The values of the relative standard deviation were 0.8% for noscapine hydrochloride, 1.5% for hexylresorcinol and 1.1% for anethole. The analytical method was validated and a system suitability test was accomplished for the chromatographic method.