Last update :
18/04/2024
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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