Last update :
06/05/2024
References   References 57  
Type : Journal
Web link : http://www.ajhp.org/cgi/content/abstract/53/3/294

Research teams : Hatfield - Mayron Research Laboratories
Authors : Mayron D, Gennaro AR.
Title : Stability and compatibility of granisetron hydrochloride in IV solutions and oral liquids and during simulated Y-site injection with selected drugs.
Reference : Am J Health-Syst Pharm ; 53: 294-304. 1996

Level of Evidence : 
Level of evidence A+
Physical stability : 
Visual examination Particle counting 
Chemical stability : 
Stability defined as 95% of the initial concentration
High Performance Liquid Chromatography - ultraviolet detector (HPLC-UV)
Other methods : 
PH measurement 
Comments : 
No comments for the degradation products

List of drugs
InjectionCarboplatin Anticancer drug
Compatible 1 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionCeftazidime Antibiotic
Compatible 16.7 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionChlormethine hydrochloride Anticancer drug
InjectionCimetidine hydrochloride Antihistamine (H2)
Compatible 3 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionCisplatin Anticancer drug
Compatible 0.05 & 1 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionCyclophosphamide Anticancer drug
Compatible 2 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionCytarabine Anticancer drug
Compatible 2 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionDacarbazine Anticancer drug
Compatible 1.7 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionDexamethasone sodium phosphate Anti-inflammatory
Compatible 0.24 mg/ml + InjectionGranisetron hydrochloride 0.02 mg/ml + Water for Injection
Compatible 0.24 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionDiphenhydramine hydrochloride Antihistamine (H1)
Compatible 1 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionDoxorubicin hydrochloride Anticancer drug
Incompatible 0.2 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionEtoposide Anticancer drug
Compatible 0.4 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionFluorouracil Anticancer drug
Compatible 2 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionFurosemide Diuretic
Compatible 0.4 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionGentamicin sulfate Antibiotic
Compatible 1.5 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionGranisetron hydrochloride Antiemetic
Factors which affect stability Solvent NaHCO3 Induces Degradation
Compatible 1 mg/ml + NaHCO3
Compatible 1 mg/ml + InjectionCarboplatin 1 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionCeftazidime 16.7 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionCimetidine hydrochloride 3 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionCisplatin 0.05 & 1 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionCyclophosphamide 2 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionCytarabine 2 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionDacarbazine 1.7 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionDexamethasone sodium phosphate 0.24 mg/ml + Water for Injection
Compatible 0.02 mg/ml + InjectionDexamethasone sodium phosphate 0.24 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionDiphenhydramine hydrochloride 1 mg/ml + Sodium chloride 0,9%
Incompatible 1 mg/ml + InjectionDoxorubicin hydrochloride 0.2 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionEtoposide 0.4 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionFluorouracil 2 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionFurosemide 0.4 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionGentamicin sulfate 1.5 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionHydromorphone hydrochloride 0.5 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionIfosfamide 4 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionLorazepam 0.1 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionMagnesium sulfate 16 mg/ml + Water for Injection
Compatible 1 mg/ml + InjectionMesna 4 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionMethotrexate sodium 12.5 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionMorphine sulfate 1 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionPaclitaxel 0.29 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionPotassium chloride 40 mEq/l + Water for Injection
Compatible 1 mg/ml + InjectionSodium bicarbonate 28.056 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionStreptozocin 9.1 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionTicarcillin / clavulanic acid 26/0.89 mg/ml + Sodium chloride 0,9%
Compatible 1 mg/ml + InjectionVincristine sulfate 0.01 & 0.34 mg/ml + Sodium chloride 0,9%
InjectionHydromorphone hydrochloride Analgesic
Compatible 0.5 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionIfosfamide Anticancer drug
Compatible 4 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionLorazepam Anxiolytic
Compatible 0.1 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionMagnesium sulfate Electrolyte
Compatible 16 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionMesna Cytoprotective
Compatible 4 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionMethotrexate sodium Anticancer drug
Compatible 12.5 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionMorphine sulfate Analgesic
Compatible 1 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionPaclitaxel Anticancer drug
Compatible 0.29 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionPotassium chloride Electrolyte
Compatible 40 mEq/l + InjectionGranisetron hydrochloride 1 mg/ml + Water for Injection
InjectionSodium bicarbonate Electrolyte
Compatible 28.056 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionStreptozocin Anticancer drug
Compatible 9.1 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionTicarcillin / clavulanic acid Antibiotic
Compatible 26/0.89 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
InjectionVincristine sulfate Anticancer drug
Compatible 0.01 & 0.34 mg/ml + InjectionGranisetron hydrochloride 1 mg/ml + Sodium chloride 0,9%
Stability of mixtures
Glass Water for Injection 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Cyclophosphamide 1 mg/ml
4 Hour
Glass Water for Injection 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Cytarabine 1 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Magnesium sulfate 8 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Doxorubicin hydrochloride 0,1 mg/ml
2 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Cisplatin 0,5 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Diphenhydramine hydrochloride 0,5 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Dacarbazine 0,85 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Dexamethasone sodium phosphate 0,12 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Fluorouracil 1 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Furosemide 0,2 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Hydromorphone hydrochloride 0,25 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Lorazepam 0,05 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Methotrexate sodium 6,25 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Protect from light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Morphine sulfate 0,5 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Carboplatin 0,5 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Ceftazidime 8,35 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Cimetidine hydrochloride 1,5 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Etoposide 0,2 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Gentamicin sulfate 0,75 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Ifosfamide 2 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Chlormethine hydrochloride 0,25 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Mesna 2 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Paclitaxel 0,145 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Streptozocin 4,55 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Ticarcillin / clavulanic acid 13/0,45 mg/ml
4 Hour
Glass Sodium chloride 0,9% 20°C-23°C Light
Injection Granisetron hydrochloride 0,5 mg/ml
Injection Vincristine sulfate 0,005 mg/ml
4 Hour

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