Compatibility and Stability of Ten Commonly Used Clinical Drugs in Pediatric Electrolyte Supplements Injection

Hongxin Shen1,2,3, Yuzhi Fu1,2,3, Ying Chen1,2,3

  • 1Department of Pharmacy, West China Second University Hospital of Sichuan University, Chengdu, People's Republic of China.

Insights

Pediatric electrolyte supplements injection is stable with nine common drugs for 6 hours. Mezlocillin sodium is not recommended due to particle issues, ensuring pediatric patient safety.

Area of Science:

  • Pediatric pharmacology
  • Clinical pharmacy
  • Drug compatibility studies

Background:

  • Pediatric electrolyte supplements injection is crucial for fluid and heat balance in children.
  • Limited data exists on the compatibility and stability of these injections with common antibiotics.
  • Ensuring drug safety and rational use in pediatric patients is paramount.

Purpose of the Study:

  • To evaluate the physical and chemical stability of pediatric electrolyte supplements injection when mixed with ten common clinical drugs.
  • To assess the safety and efficacy of co-administered drugs in pediatric electrolyte solutions.

Main Methods:

  • Pediatric electrolyte supplements injection was mixed with ten drugs at clinical concentrations.
  • Physicochemical compatibility was assessed through visual inspection, insoluble particle counts, pH monitoring, and HPLC analysis over 6 hours.
  • Testing adhered to Chinese Pharmacopeia (2020) standards.

Main Results:

  • No significant changes in appearance were observed upon mixing.
  • pH levels remained within acceptable ranges for all mixtures.
  • Insoluble particle counts met standards for nine drugs; mezlocillin sodium exceeded limits.
  • Active ingredient concentrations remained above 97% for all mixtures within 6 hours.

Conclusions:

  • Nine common clinical drugs are stable in pediatric electrolyte supplements injection for 6 hours under standard conditions (25°C, protected from light).
  • Mezlocillin sodium for injection is not recommended for co-administration due to exceeding insoluble particle standards.
  • These findings support the safe and rational use of pediatric electrolyte supplements in combination with specific medications.
Abstract

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