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Extemporaneous Formulations of Metformin for Pediatric Endocrinology: Physicochemical Integrity, Cytotoxicity of Sweeteners, and Quantitation of Plasma Levels.

Clinical Therapeutics(2015)SCI 4区

Laboratorio de Farmacología | Secretaria Salud Mexico | Univ Autonoma Metropolitana

Cited 5|Views28
Abstract
Purpose: In response to the lack of pediatric formulations of metformin to control type 2 diabetes mellitus, hyperinsulinemic obesity, and dyslipidemias, we developed liquid formulations of metformin by dissolving 3 generic brands of 500-mg metformint(*,dagger,double dagger) tablets in water sweetened with sucralose. The physicochemical stabilities of these drugs were assessed and compared with those of formulations made with the innovative brand of metformin.(parallel to) A method to measure metformin plasma levels was proposed and then tested in 2 healthy subjects. This method may be useful to survey treatment compliance in the future. The biological safety profiles of the metformin solutions were assessed preliminarily in a system of hormone-dependent cancer cells (human breast cancer MCF-7 cells).Methods: Metformin solutions stored at 25 degrees C exposed to light and at 25 degrees C, 4 degrees C, and 40 degrees C protected from light, underwent physicochemical analysis by ultra-performance liquid chromatography with ultraviolet detection, the mobile phase consisting of 0.2 M potassium monobasic phosphate (pH 6.5), 4.6 mM sodium dodecyl sulphate (SDS), and acetonitrile (63:7:30) at a flow rate of 0.8 mL/min in a Symmetry C8 150 x 4.6 mm column (Milford, Massachusetts) at 40 degrees C (236 nm). MCF-7 cells were grown in 96-well ELISA plates (2 x 10(5) cells/well) and were exposed to 10, 20, and 40 mg/mL sucralose($), Stevia rebaudiana (Svetia; Metco, S.A. de C.V., Mexico, D.F., Mexico), and metformin (50 mg/mL) for 48 hours. Cytotoxicity was determined using the WST-1 colorimetric assay (Roche, USA) in an Epoch ELISA reader (BioTek, Winooski, Vermont) at 440 nm.Findings: All brands of metformin were stable at all storage conditions for up to 30 days and retained >90% of the initial amount. Sucralose and Stevia rebaudiana caused zero cytotoxicity (ANOVA, P <= 0.05). The ultra-performance liquid chromatography with ultraviolet detection method was adapted to determine metformin level in very small blood samples (40 mu L), which was linear within the range of 20 to 600 ng/mL metformin (retention time 2 minutes). Metformin was physically and chemically stable within the processed blood for up to 30 days at 4 degrees C. (C) 2015 Elsevier HS Journals, Inc. All rights reserved.
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extemporaneous formulation,metformin,pediatrics,Splenda,Stevia,UPLC-UV
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要点】:本文开发了一种适用于儿科内分泌疾病治疗的液体甲福明配方,评估了其物理化学稳定性、甜味剂的细胞毒性,并提出了测定血浆中甲福明水平的方法。

方法】:通过将3种通用品牌500毫克甲福明片剂溶解在含糖精的甜味水中制备液体配方,使用超高效液相色谱-紫外检测法对药物进行物理化学分析。

实验】:实验中评估了甲福明溶液在不同温度和光照条件下的稳定性,并在MCF-7细胞系中测试了糖精和甜叶菊的细胞毒性。此外,提出的方法在2名健康受试者中进行了测试,能够准确测定极小血液样本中的甲福明水平。所有品牌的甲福明在所有储存条件下30天内稳定性良好,保留超过90%的初始含量。糖精和甜叶菊均未表现出细胞毒性。