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The Physical Stability of Felodipine and Its Recrystallization from an Amorphous Solid Dispersion Studied by NMR Relaxometry. AAPS PharmSciTech 2022; 23:93. [PMID: 35314906 DOI: 10.1208/s12249-022-02234-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 02/09/2022] [Indexed: 11/30/2022] Open
Abstract
The 1H nuclear magnetic resonance (NMR) relaxometry method was applied to investigate the physical stability of an active pharmaceutical ingredient (API) and, for the first time, its recrystallization process in an amorphous solid dispersion system (ASD). The ASD of felodipine and polyvinylpyrrolidone (PVP) was prepared using the solvent evaporation method in a mass ratio of 50:50. In the first stage of the study (250 days), the sample was stored at 0% relative humidity (RH). The recovery of magnetization was described by one-exponential function. In the second stage (300 days in 75% relative humidity), the recrystallization process of felodipine was studied, showing in the sample three components of equilibrium magnetization related to (i) crystalline felodipine, (ii) water, and (iii) felodipine and PVP remaining in the ASD. The study shows that the 1H NMR relaxometry method is a very useful tool for analysing the composition of a three-phase system mixed at the molecular level and for the investigation of recrystallization process of API in amorphous solid dispersion system.
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Exploring the molecular reorientations in amorphous rosuvastatin calcium. RSC Adv 2020; 10:33585-33594. [PMID: 35515032 PMCID: PMC9056734 DOI: 10.1039/d0ra06108e] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 08/29/2020] [Indexed: 01/11/2023] Open
Abstract
Molecular reorientations in rosuvastatin calcium, a drug that is widely used to prevent cardiovascular disease, were explored thoroughly by means of solid state nuclear magnetic resonance (1H and 13C NMR) combined with calculations of steric hindrances. The experimental results reveal rich internal reorientational dynamics. All relaxation processes were tested in a broad range of temperatures and described in terms of their type and the associated energy barriers. The internal molecular mobility of rosuvastatin calcium can be associated with the reorientational dynamics of four methyl groups, accompanied by reorientation of the isopropyl group. The energy barriers of methyl and isopropyl group reorientation depended on the type of E/Z isomers, while the water content also had a strong influence on the dynamics of the isopropyl group. In the paper, a consistent picture of the molecular dynamics is provided, facilitating our understanding of molecular mobility in this important pharmaceutical solid. Molecular reorientations in rosuvastatin calcium, a drug that is widely used to prevent cardiovascular disease, were explored thoroughly by means of solid state nuclear magnetic resonance (1H, 13C NMR) combined with calculations of steric hindrances.![]()
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Unusual cis-diprotonated forms and fluorescent aggregates of non-peripherally alkoxy-substituted metallophthalocyanines. Phys Chem Chem Phys 2018; 19:21390-21400. [PMID: 28776609 DOI: 10.1039/c7cp04321j] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Protonation and aggregation of two metallophthalocyanines (zinc and magnesium) non-peripherally substituted with 1,4,7-trioxanonyl moieties were studied by steady-state and time-resolved optical spectroscopy. Both compounds are easily protonated in organic solvents, but the central metal ion strongly affects the character of this process. In particular, the magnesium derivative forms the cis-diprotonated isomer observed for the first time in phthalocyanines, in contrast to its zinc counterpart which forms the typical trans-diprotonated isomer. In addition, studies performed on phthalocyanines substituted with n-butoxy groups at their non-peripheral positions indicated that the formation of the cis-diprotonated forms is a more common feature of alkoxy-substituted magnesium metallophthalocyanines, in contrast to derivatives with other metal ions. The cis-diprotonated forms of the magnesium derivatives are formed at much lower proton concentrations than the trans-diprotonated forms of their zinc counterparts. The cis-isomers were also found to have more advantageous photophysical properties for photoactive applications than the trans-isomers. Aggregation studies of the trioxanonyl phthalocyanines revealed that the magnesium derivative aggregates much more easily in non-coordinating solvents than its zinc counterpart. Both the derivatives form fluorescent aggregates, which is typically attributed to the presence of oxygen-to-metal intermolecular coordination preventing the formation of non-fluorescent face-to-face stacks. The results indicate that the oxygen-to-metal coordination plays a significant role in the studied systems and the stronger oxygen-coordination ability of magnesium ions compared to zinc ions may underlie the observed differences between the phthalocyanines metallated with these two ions.
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Abstract
ZusammenfassungZiel: Der Anstieg der Therapiezahlen bei der Radio-synoviorthese (RSO) und die neue Strahlenschutzverordnung (StrSchV) erfordern, die -Strahlenbelastung, HP(0,07), des Personals bei der RSO zu dokumentieren. Methode: Da die amtlichen Teilkörperdosimeter (TLDFingerringdosimeter) die -Strahlenbelastung bei der RSO ungenügend wiedergeben, wurden Thermolumineszenzdosimeter (TLD) auf allen Fingerkuppen des Therapeuten, Radiochemikers und der assistierenden Schwester platziert. An 6 Therapietagen mit insgesamt 155 behandelten Gelenken erfolgte die Messung der HP(0,07) für die Nuklide 169Er, 186Re, 90Y. Ergebnisse: Die höchste Dosis zeigten linker Zeigefinger- (ZF li.) und Daumenkuppe (Daumen li.) des Therapeuten (Rechtshänder). Für drei Therapiesitzungen mit 52 Finger- (1204 MBq 169Er), 31 großen Gelenken (2405 MBq 186Re) sowie 15 Kniegelenken (3100 MBq 90Y) betrug die kumulative Dosis für den ZF li. 190 mSv , für den Daumen li. 48 mSv. Als maximale Ortsdosen ergeben sich: 0,56 Sv/MBq (169Er) bzw. 1,52 Sv/MBq (186Re) am ZF li. Durch Einsatz eines Manipulators für die Fixierung der Injektionsnadel konnte die Fingerbelastung für 90Y am li. ZF von 22,09 auf 0,42 Sv/MBq reduziert werden. Die kumulative Fingerbelastung betrug 119 mSv am Daumen li. (Radiochemiker) und 16 mSv am ZF li. (Assistenz). Schussfolgerung: Bei üblicher Durchführung der RSO wird der größte Teil der HP(0,07) durch 90Y verursacht. Besonders am ZF li. besteht die Gefahr, den Grenzwert der Organdosis für die Haut §55 StrlSchV zu überschreiten. Mit einem Manipulator zur Fixierung der Injektionsnadel kann die maximale Fingerbelastung um den Faktor 50 reduziert und der gesetzlich vorgeschriebene Grenzwert eingehalten werden.
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Estimating contamination monitor efficiency for beta radiation by means of PENELOPE-2008 Monte Carlo simulation. Appl Radiat Isot 2017; 127:87-91. [PMID: 28551491 DOI: 10.1016/j.apradiso.2017.05.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Revised: 05/12/2017] [Accepted: 05/14/2017] [Indexed: 10/19/2022]
Abstract
Monte Carlo computer simulation of beta radiation transport within radioactively-contaminated food samples was studied and compared with experimental results. We used the Monte Carlo code PENELOPE-2008. The basic geometry of a hand-held contamination monitor and the geometry of beta-emitting food samples and surface sources were modeled, and the detection efficiency of the device was determined. Possibilities to improve the detection efficiency were tested by simulation.
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Analysis of the Distribution of Energy Barriers in Amorphous Diazepam on the Basis of Computationally Supported NMR Relaxation Data. J Phys Chem B 2016; 120:10723-10728. [DOI: 10.1021/acs.jpcb.6b08482] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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On the relaxation dynamics in active pharmaceutical ingredients: solid-state 1H NMR, quasi-elastic neutron scattering and periodic DFT study of acebutolol hydrochloride. RSC Adv 2015. [DOI: 10.1039/c5ra08937a] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Molecular dynamics of acebutolol hydrochloride was thoroughly explored by combining QENS and NMR experiments with solid-state DFT calculations.
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Cellular Changes, Molecular Pathways and the Immune System Following Photodynamic Treatment. Curr Med Chem 2014; 21:4059-73. [DOI: 10.2174/0929867321666140826120300] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Revised: 07/15/2014] [Accepted: 08/22/2014] [Indexed: 11/22/2022]
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Complex and mixture of β-cyclodextrin with diazepam characterised by 1H NMR and atom–atom potential methods. Carbohydr Res 2014; 398:56-62. [DOI: 10.1016/j.carres.2014.07.025] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Revised: 07/29/2014] [Accepted: 07/30/2014] [Indexed: 11/24/2022]
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Ordered mesoporous silica material SBA-15: loading of new calcium channel blocker – lacidipine. J Microencapsul 2012; 30:21-7. [DOI: 10.3109/02652048.2012.692401] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Carbon nanotubes linked with pitavastatin: synthesis and characterisation. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2011; 22:845-851. [PMID: 21360122 DOI: 10.1007/s10856-011-4260-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2009] [Accepted: 02/17/2011] [Indexed: 05/30/2023]
Abstract
The paper presents a study on functionalisation of multi-walled carbon nanotubes in the area of lattice defects and an attempt to bind the nanotubes with pitavastatin. Carbon nanotubes were synthesised by alcohol-chemical vapour deposition in the presence of the catalyst Fe-Co/MgO. The nanotubes were purified and the product was subjected to chemical functionalisation. Functional groups were introduced in the reaction of the purified nanotubes with thionyl chloride to obtain acidic chlorides linked to pitavastatin. The properties and structure of the nanotubes were analysed by FT-IR and Raman spectroscopies, transmission electron microscopy and liquid chromatography coupled with mass spectrometry. Photochemical stability of pitavastatin linked with carbon nanotubes has been found to be increased.
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The effect of beta-carotene on the photostability of nisoldipine. METHODS AND FINDINGS IN EXPERIMENTAL AND CLINICAL PHARMACOLOGY 2005; 27:167-71. [PMID: 15834448 DOI: 10.1358/mf.2005.27.3.890873] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The effect of beta-carotene on the photostability of nisoldipine (NS) has been investigated. Light stability studies were carried out following the recommendations of the International Conference on Harmonization (ICH), version I, using a high-pressure mercury lamp, type HBO-50, equipped with the interference filter and Wood's filter to isolate 365 nm wavelength. The photodegradation process was assayed by means of UV spectrophotometry and the reversed phase High-Performance Liquid Chromatography (HPLC). The quantum yields of photodegradation of NS and NS in the presence of beta-carotene were determined using the Reinecke salt as a chemical actinometer. The methanol solutions of NS degraded following apparent first-order kinetics. The degradation rate constant decreased as beta-carotene concentration increased. To verify the photostabilising role of the dye, a Stern-Volmer plot was constructed. The results have proved that beta-carotene does not act as a photosensitiser.
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Analytical study of photodegradation of inclusion complexes of nimodipine with alpha-, gamma-cyclodextrin, methyl-beta-cyclodextrin, and hydroxypropyl-beta-Cyclodextrin. Drug Dev Ind Pharm 2005; 24:197-200. [PMID: 15605453 DOI: 10.3109/03639049809085608] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The inclusion behavior of alpha-cyclodextrin (alpha-CD), gamma-cyclodextrin (gamma-CD), hydroxypropyl-beta-cyclodextrin (HP-betaCD), and methyl-beta-cyclodextrin (M-betaCD) with nimodipine (NM) in solution and in the solid state was investigated. Inclusion complexes of nimodipine with cyclodextrins (at a molar ratio of 1:1) in the solid state were obtained by the kneading method. Photochemical stability of NM in the solid inclusion complexes was assessed by IR spectrometry. The modified derivatives of beta-CD and alpha-CD were found to slow the photodegradation rate, whereas in the presence of gamma-CD the photodegradation of NM was a bit faster than in the corresponding physical mixture. Photochemical degradation of NM in liquid inclusion complexes was monitored by UV spectroscopy. According to the slowing effect on photodegradation of NM in the inclusion complexes, the studied cyclodextrins can be ordered as gamma-CD < alpha-CD < HP-betaCD < M-betaCD.
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[Beta-radiation exposure at the finger tips during the radionuclide synovectomy]. Nuklearmedizin 2003; 42:104-8. [PMID: 12802473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
AIM The radiation synovectomy is a widespread therapeutic option in rheumatoid arthritis. However, data for the beta-radiation exposure are rare. The aim of this study was to determine the personal dose equivalent H(P) (0.07) of the skin of the hands. METHODS Thermo-luminescence detectors (TLDs) were attached at all fingertips of the therapist, the radiochemist and the nurse. In summary, the measurement of beta-exposure occurred in 155 joints at 6 days with different radio-nuclides ((169)Er, (186)Re, (90)Y). RESULTS The greatest beta exposure were show at the forefinger (L-Ff) and thumb (L-Th) of the left hand, with which the therapist (right hander) fixed the injection needle. In 52 treated finger-joints (1204 MBq (169)Er), 29 treated large joints (2405 MBq (186)Re) and 15 treated knees (3100 MBq (90)Y) we found a cumulative beta exposure over all radionuclides of 190 mSv at L-Ff and 48 mSv at L-Th. The specific beta exposure for the individual radio-nuclides showed beta exposures of 0.56 mu Sv/MBq for (169)Er and 1.52 mu Sv/MBq for (186)Re-186 at the L-Ff. With using a manipulator the beta-exposure ((90)Y) could reduced from 22,09 to 0.42 mu Sv/MBq at the L-Ff. The greatest beta exposures for the radiochemist was 119 mSv at the L-Ff for all radionuclides. CONCLUSION In usual techniques of radiation synovectomy the (90)Y produced the greatest part of radiation exposure. Especially at the L-Ff it might exceed the German limit for the official dosimetry service at the skin ( section sign 55 Strl-SchV). Using a holding forceps we can keep the legal rules and can reduce considerably the beta exposure.
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Abstract
Photochemical decomposition of nilvadipine (NV), a derivative of 1,4-dihydropyridine (DHP), was studied. Photodegradation was carried out in the conditions recommended in the first version of the document issued by the International Conference on Harmonization (ICH), currently in force in the studies of photochemical stability of drugs and therapeutic substances. Methanol solutions of NV were irradiated with a high-pressure mercury arc lamp, type HBO 200 (300-400 nm). The maximum absorption of radiation at 365 nm was achieved by applying the interference filter and Wood's filter. The assessment of NV photodegradation was made on the basis of the UV spectrophotometric and high-performance liquid chromatographic (HPLC) methods. Quantitatively, the process was described with the calculated rate constants of decomposition k, time of decomposition of 50% of the compound to 5, and time of decomposition of 10% of the compound t(0.1). The two methods applied allowed a determination of the kinetic parameters of NV photodegradation from the relationship ln c = f(t). Using the Reinecke salt as a chemical actinometer, apparent quantum yields of photodegradation were obtained; after extrapolation to the time of irradiation zero, these gave the actual quantum yield (phi = 7.3 10(-5)). The quantum yield of fluorescence at lambda(exc) = 375 nm was about 9.3 x 10(-4) The methods used for evaluation of NV photodegradation were subjected to validation, and results of the analytical methods were statistically assessed by Snedecor F and Student t tests. The former test revealed no statistically significant difference between the variances obtained by the HPLC and UV spectrophotometric methods. Also, verification of the zero hypothesis of the Student t test on equality of means of the results obtained gave no significant diferences between the two methods.
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Abstract
A new TLC-based method was proposed for the separation of enantiomers and mixtures of racemic DHP derivatives differing in the kind of substituent in the phenyl ring. The conditions for the effective determination of the substances involved and the mechanism of their sorption were also studied. For the separation of felodipine, nilvadipine, and isradipine enantiomers, thin-layer chromatography was used, with a chiral stationary phase of the ligand exchange type, and developing phases of a different concentration of methanol (phi) as an organic modifier. The retention coefficient values k' were used to make the plots log k' = f(log phi) and log k' = f(phi). The processes taking place in the chromatographic systems were shown to be described by the Snyder-Soczewiński equation.
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Abstract
Nilvadipine (NV) photodegradation products have been analysed with gas chromatography-mass spectrometry (GC-MS). The photodegradation was carried out in the conditions recommended in the first version of the document issued by the International Conference on Harmonization (ICH), currently in force in the studies of photochemical stability of drugs and therapeutic substances. Methanol solutions of NV were irradiated with a high-pressure UV lamp - type HBO 200. The maximum intensity at the wavelength lambda = 365 nm was achieved by applying the interference filter and Wood's filter. Using the Reinecke salt as a chemical actinometer, apparent quantum yields of photodegradation were obtained, which after extrapolation to the zero time of irradiation gave the actual quantum yield ((phi = 7.58 x 10(-5). The structure of three nilvadipine photodegradation products was established, after mass spectra analysis of compounds registered during GC-MS carried out of irradiated nilvadipine solutions. The quantitative results of GC-MS analyses enabled to determination of the kinetic parameters of NV photodegradation, calculated from the dependence In c =f(t). Quantitatively the process was described with the calculated rate constant of decomposition (k), decomposition time of 50% of the compound (t0.5) and decomposition time of 10% of the compound (t0.1). The exposure of nilvadipine to UV light was found to lead to aromatization of the DHP ring and elimination of the HCN molecule.
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Abstract
The paper presents results of the studies on photochemical decomposition of isradipine (IS) and its liquid inclusion complexes with methyl-beta-cyclodextrin (M-betaCD). The process of photodegradation was assessed by the methods of UV spectrophotometry, HPLC (reverse-phase) and HPTLC (normal phase) chromatographic methods. The process of photodegradation of IS was analysed in the conditions of version I of the document of International Chemical Harmonization (ICH)-HBO-200 lamp. Quantitative evaluation of the photochemical decomposition was performed on the basis of the calculated photodegradation rate constant (k), half-life period (t0.5) and time of degradation of 10% of the compound (t0.1). Formation of inclusion complexes of IS with M-betaCD was proved to increase twice the photostability of the drug. The analytical methods used were subjected to a validation procedure in which the limits of detectability and determinability as well as specificity, precision and sensitivity of the method were determined.
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Photochemical stability of the inclusion complexes formed by modified 1,4-dihydropyridine derivatives with beta-cyclodextrin. J Pharm Biomed Anal 1997; 15:681-6. [PMID: 9172094 DOI: 10.1016/s0731-7085(96)01900-0] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The results of studies of photochemical stability of the derivatives of 1,4-dihydropyridine (NR) are reported. The NR with various substituents (-NO2, -Cl, -F, CF3) at different positions in the phenyl ring were identified by UV spectrophotometry. Photodegradation of NR in the inclusion complexes with beta-cyclodextrin (beta-CD) was studied in the liquid phase. The rate of photodegradation of NR derivatives was dependent on the position of -NO2 group in the phenyl ring; for the ortho isomer it is ten times higher than for the meta one. The rate of photodegradation of 2-NO2-NR (ortho isomer) in inclusion complex with beta-CD was 200 times slower than that for this compound in the crystal phase. In the case of halogeno- and cyanoderivatives, the presence of beta-CD caused a 4-fold increase in the photodegradation rate.
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Inclusion complexes of nifedipine and other 1.4-dihydropyridine derivatives with cyclodextrins. IV. The UV study on photochemical stability of the inclusion complexes of nisoldipine, nimodipine, nitrendipine and nicardipine with beta-cyclodextrin in the solution. ACTA POLONIAE PHARMACEUTICA 1995; 52:459-63. [PMID: 8960264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The results of measurements of photochemical stability of the inclusion complexes formed by nimodipine (NM), nisoldipine (NS), nitrendipine (NR) and nicardipine (NC) with beta-cyclodextrin (beta-CD) are reported. The inclusion complexes were obtained in solution. The formation of inclusion complexes in the liquid phase was estimated from a phase solubility diagram. The analysis of solubility curves in the phase diagram permitted calculation of stability constants of the inclusion complexes formed. Photochemical stability of 1.4-dihydropyridine derivatives obeyed the 1 order kinetic equation. The photodegradation of NM, NR and NC was found to be a single stage reaction. The photodegradation of NS occurred in two stages. In the inclusion complexes the photosensitivity of all studied DHP derivatives decreases. The complexation with beta-CD improved their photostability by 5-10 times. The greatest decrease in the photodegradation rate was observed for the most photosensitive compound NS whose photostability increased 100 times when in inclusion complex with beta-CD.
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[Interaction between papaverine hydrochloride and antacids]. ACTA POLONIAE PHARMACEUTICA 1992; 49:23-6. [PMID: 16092195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
The interactions between papaverine hydrochloride and antacids and sucralfate was studied.
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[Adsorption of tetracycline and oxytetracycline on Alusal]. ACTA POLONIAE PHARMACEUTICA 1992; 49:23-8. [PMID: 16092407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
The sorption of tetracycline and oxytetracycline on Alusal was studied. The proton complexes between tetracyclines and aluminium ions are formed.
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[Suggestions concerning the preparation of barium sulfate suspensions of Polish origin]. POLSKI PRZEGLAD RADIOLOGII I MEDYCYNY NUKLEARNEJ 1975; 39:365-71. [PMID: 1161558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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