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Stability study of a new antidote drug combination (Atropine-HI-6-Prodiazepam) for treatment of organophosphate poisoning.

Abstract
The main purpose of this study was to investigate the chemical stability of a new antidote combination for the treatment of organophosphate poisoning. The antidote combination was packed (enclosed) in two plastic compartments separated by a barrier film. One of them contained a powder oxime cholinesterase reactivator (HI-6-monohydrate 1-[[[4-(aminocarbonyl)pyridinio]methoxy]methyl]-2-[(hydro xyimino)meth yl]-pyridinium dichloride). The other contained an anticholinergic (Atropine) and an anticonvulsant (Prodiazepam or Avizafone (L-lysyl-N-(2-benzoyl-4-chlorophenyl)-N-methyl-glycinamide dihydrochloride) drug in a liquid mixture. The plastic compartments were mounted in an autoinjector device to study the dissolution of HI-6 by ejection of the solution. Drug analysis was performed by high-performance liquid chromatography. The results obtained after 6 months show that this new antidote combination is stable. The amount of each antidote is unchanged during the study. Some known degradation products can be detected in small amounts. The autoinjector mechanism used, gives a complete dissolution of HI-6 powder in the liquid mixture throughout the study.
AuthorsP Clair, K Wiberg, I Granelli, I Carlsson Bratt, G Blanchet
JournalEuropean journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences (Eur J Pharm Sci) Vol. 9 Issue 3 Pg. 259-63 (Jan 2000) ISSN: 0928-0987 [Print] Netherlands
PMID10594382 (Publication Type: Journal Article)
Chemical References
  • Antidotes
  • Cholinergic Antagonists
  • Cholinesterase Reactivators
  • Dipeptides
  • Drug Combinations
  • Oximes
  • Prodrugs
  • Pyridinium Compounds
  • pro-diazepam
  • Atropine
  • asoxime chloride
  • Diazepam
Topics
  • Antidotes (chemistry)
  • Atropine (chemistry)
  • Cholinergic Antagonists (chemistry)
  • Cholinesterase Reactivators (chemistry)
  • Chromatography, High Pressure Liquid
  • Diazepam (chemistry)
  • Dipeptides (chemistry)
  • Drug Combinations
  • Drug Stability
  • Organophosphate Poisoning
  • Oximes
  • Prodrugs (chemistry)
  • Pyridinium Compounds (chemistry)

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