Children (Jul 2023)

Study on the Preparation Method of Quality-Assured In-Hospital Drug Formulation for Children—A Multi-Institutional Collaborative Study

  • Jumpei Saito,
  • Eiji Suzuki,
  • Yosuke Nakamura,
  • Takashi Otsuji,
  • Hiroshi Yamamoto,
  • Hideki Yamamoto,
  • Yuiko Kai,
  • Maiko Totsu,
  • Sayuki Hashimoto,
  • Hidefumi Nakamura,
  • Miki Akabane,
  • Akimasa Yamatani

DOI
https://doi.org/10.3390/children10071190
Journal volume & issue
Vol. 10, no. 7
p. 1190

Abstract

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The quality-assured preparation of crushed and diluted preparations for children is a challenge. In this study, a multicenter study was conducted to validate the preparation method for the quality assurance of baclofen powder, clonidine powder, and hydrocortisone powder prepared from tablets according to a previously established method. In-hospital preparations were prepared at five medical facilities under different crushing and mixing conditions. After storage in closed bottles, in-use bottles, and laminated paper for 120 days, ingredients stability, drug elution, and content uniformity after packaging were evaluated. All three ingredients were maintained at between 90% and 110% of their initial content for 120 days under packaging conditions of 25 ± 2 °C and 60 ± 5% relative humidity, with no change in dissolution in all formulations made at all five facilities. The content uniformity was also acceptable. The established method may contribute to quality-assured pediatric dosage form modification.

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