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Potassium canrenoate compounding for administration via enteral feeding tubes: a physical and microbiological stability study
  1. Serena Logrippo1,2,
  2. Matteo Sestili3,
  3. Roberta Ganzetti3,
  4. Giulia Bonacucina2,
  5. Antonella Marziali3,
  6. Patrizia Fattoretti3,
  7. Silvia Busco2,
  8. Alessandro Caraffa2,
  9. Carlo Polidori2,
  10. Giovanni Filippo Palmieri2
  1. 1 School of Advanced Studies, University of Camerino, Camerino, Italy
  2. 2 School of Pharmacy, University of Camerino, Camerino, Italy
  3. 3 Italian National Research Centers on Ageing (INRCA), Ancona, Italy
  1. Correspondence to Giulia Bonacucina, School of Pharmacy, University of Camerino, Camerino, 62032, Italy; giulia.bonacucina{at}unicam.it

Abstract

Background Swallowing difficulties are arising in an increasing number of patients, especially in elderly people. When deglutition ability is completely compromised, enteral administration of a drug via feeding tubes is used. Licensed pharmacists have to compound the original solid forms to enable this drug therapy.

Objectives To evaluate the possibility of compounding original commercial tablets to produce a liquid formulation suitable for administering via a feeding tube.

Methods Two liquid formulations containing potassium canrenoate 5 mg/mL were prepared: a standard solution obtained by solubilising raw material and an extemporaneous preparation obtained by dissolving film-coated 100 mg tablets. Spectrophotometric determinations (UV range) of the drug established chemical stability of the analyte up to 60 days. Samples were tested for microbial growth. Gravimetric quantifications of liquid formulations were used to check any weight loss during the different steps before enteral administration.

Results UV data confirmed the chemical stability of potassium canrenoate up to 60 days. Samples showed no microbial growth. A higher weight loss was recorded in extemporaneous preparations than in the standard solution (10.7% vs 7.6%) according to the gravimetric quantification.

Conclusion It is possible to compound the original tablets into a liquid formulation suitable for administration via a feeding tube.

  • compounding
  • potassium canrenoate
  • dysphagia
  • solid oral dosage forms
  • feeding tubes
  • enteral administration.

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