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Development of a novel physico-chemically and microbiologically stable oral solution of flecainide for pediatrics
Ana Santoveña1,2, Irma Charola1, Javier Suárez-González1
1a Departamento de Ingeniería Química y TecnologÍa Farmacéutica, Facultad de Ciencias de la Salud , Universidad de La Laguna (ULL), Campus de Anchieta , La Laguna (Tenerife) , Spain.
Insights
A new oral flecainide acetate (FA) solution was developed for pediatric patients, offering a stable and uniform alternative to manipulated tablets. This formulation ensures accurate dosing for children requiring this medication.
Area of Science:
- Pharmaceutical Science
- Pediatric Pharmacology
Background:
- No commercial oral flecainide acetate (FA) preparations exist for pediatric use.
- Current practice involves manipulating tablets, posing challenges for accurate pediatric dosing.
Purpose of the Study:
- To formulate a stable oral flecainide acetate (FA) solution for pediatric administration.
- To provide an alternative to compounded suspensions derived from commercial tablets.
Main Methods:
- Utilized pure active pharmaceutical ingredient (API) flecainide acetate.
- Incorporated minimal pediatric excipients to ensure safety and palatability.
- Evaluated formulation for complete solubilization, physical-chemical stability, microbiological stability, and dose uniformity.
Main Results:
- One flecainide acetate (FA) formulation achieved complete solubilization, appearing as a transparent oral solution.
- The proposed formulation demonstrated appropriate mass and dose uniformity.
- The formulation proved to be physico-chemically and microbiologically stable for 30 days of storage at 25°C.
Conclusions:
- A stable and uniform oral flecainide acetate (FA) solution suitable for pediatric use has been successfully developed.
- This new formulation offers a reliable alternative to manipulated tablets for pediatric patients.
- The study addresses a critical need for a standardized pediatric dosage form of flecainide acetate.
Abstract:
There is as yet no commercialized preparation for oral administration of flecainide acetate (FA) to children. In such cases, manipulation of commercial tablets is the usual practice in pharmacy services of hospitals and compounding pharmacies, to provide a suitable dosage form for this vulnerable pediatric population group. In this study, we have formulated FA as an oral solution, as an alternative to the suspension elaborated from commercial tablets. Due to this sensitivity of young patients, we have used the pure active pharmaceutical ingredient (API) and the lowest permitted levels of pediatric excipients. Despite being a highly soluble API, only one of the formulations appears as a transparent solution due to complete FA solubilization. The proposed formulation is physico-chemically and microbiologically stable and the mass and dose uniformity is appropriate for 30 days' storage at 25 °C.
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