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ExamenMetilfenidatoLoxapina PDF
ExamenMetilfenidatoLoxapina PDF
art ic l e i nf o a b s t r a c t
Article history: Unused medications have the possibility of being abused, causing serious harm to individuals who were not
Received 1 September 2017 prescribed the drug. The Food and Drug Administration (FDA) recommends the proper disposal of unused
Received in revised form prescribed medications to maintain safety and prevent environmental hazards. However, many of the current
13 November 2017
disposal techniques do not properly address safety. A drug disposal pouch containing granular activated carbon
Accepted 7 December 2017
offers a unique disposal method to deactivate residual or expired medication in a convenient, effective, and safe
Available online 16 December 2017
manner. A robust and validated method for methylphenidate hydrochloride and loxapine succinate was de-
Keywords: veloped using high-performance liquid chromatography (HPLC) and the deactivation efficiency of the disposal
Methylphenidate hydrochloride system was tested. Methylphenidate hydrochloride was analyzed on a C18 analytical column (250 mm
Loxapine succinate
4.60 mm, 100Å) using acetonitrile-water (0.05% (v/v) trifluoroacetic acid) as the mobile phase at a flow rate of
Activated carbon
1.0 mL/min with a run time of 15 min and retention time of 7.8 min. Loxapine succinate was separated on a C8
Analytical method development
FDA drug disposal 100Å (250 mm 4.6 mm, 5 mm) column maintained at 25 °C using a flow rate of 1.0 mL/min. The run time
was 10 min and the retention time of the drug was around 4.6 min. Mobile phase was composed of acetonitrile
and water (0.3% triethylamine) at pH 3.0 as 40:60 (v/v). Reference standard solutions (100 mg/mL) for both
drugs were prepared by dissolving in mobile phases. These methods provide good linearity (R2 ¼ 0.999) over
the range of 5–100 mg/mL for methylphenidate hydrochloride and 0.1–100 mg/mL for loxapine succinate. The
assay methods were successfully applied to study the deactivation of these drugs.
& 2018 Xi'an Jiaotong University. Production and hosting by Elsevier B.V. This is an open access article under the
CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
https://doi.org/10.1016/j.jpha.2017.12.002
2095-1779/& 2018 Xi'an Jiaotong University. Production and hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
350 P. Bakshi et al. / Journal of Pharmaceutical Analysis 8 (2018) 349–356
as it only provides temporary relief and is used for the manage- carbon disposal system. Successful method development and va-
ment of schizophrenia [6]. Both drugs are prescribed frequently lidation of MPH and loxapine succinate was performed to test the
and thus have increased the potential for abuse. efficiency of this system precisely.
Since MPH and loxapine succinate have a high potential for
abuse, we wanted to investigate their deactivation profile using
drug disposal system. The analytical accuracy of the method de- 2. Experimental
veloped for both drugs was also tested. In the literature, there are
few analytical methods reported for the determination of MPH 2.1. Chemicals and reagents
[7,8] and loxapine succinate [9]. All the available methods are time
consuming and expensive and use liquid chromatography–mass MPH and loxapine succinate were purchased from Sigma-Al-
spectrometry (LC–MS) or high-performance liquid chromato- drich (St. Louis, MO, USA). Dosage forms: generic MPH (20 mg,
graphy (HPLC) with multiple solvents as mobile phases. Conse- CorePharma) tablets and loxapine succinate (20 mg, Lannett)
quently, there is a need to develop a simple, sensitive, economical, capsules were provided by Verde Environmental Technologies Inc.
and time-efficient method for the determination of MPH and (Minnetonka, MN, USA). The Deterras drug deactivation system
loxapine succinate in dosage forms (tablets and capsules). There- (the pouch containing 15 g of granular activated carbon within a
fore, we developed an easy and reproducible reverse-phase HPLC water soluble film reservoir) was also provided by Verde En-
(RP-HPLC) for the estimation of MPH and loxapine succinate in vironmental Technologies Inc. Acetonitrile (ACN), methanol and
dosage forms by following the International Council for Harmo- trifluoroacetic acid (TFA), of HPLC grade, were obtained from
nization (ICH) of Technical Requirements for Registration of Fisher Scientific (Pittsburgh, PA, USA). Nylon filters (0.22 mm) used
Pharmaceuticals for Human Use validation guidelines [10]. This for sample filtration were purchased from Medsupply Partners
method allowed us to investigate deactivation of MPH and lox- (Atlanta, GA, USA). Deionized water (DI) (MQ res: 18.2 MΩ·cm,
apine succinate in the presence of activated carbon, as well as test permC: 7.4 mS/cm) was generated with a Milli-Q Direct 8 (Milli-
the stability of the drug under different storage conditions. pore, Bedford, MA, USA). All other reagents used were of HPLC or
One of the ways by which accidental exposure of unneeded ACS grade.
medicines can be avoided is through the “medicine take back
program.” This program offers safe disposal of most types of un- 2.2. Instrumentation
needed prescription medicines [11]. If no medicine takeback
programs or DEA-authorized collectors are available, the easiest The analysis was carried out using a Waters Alliance HPLC
way to dispose of these medications in household trash is by system (e2695 separating module) (Waters Co., Milford, MA, USA)
mixing these medications with an unpalatable substance such as with photodiode array detector (Waters 2996) with an
dirt, cat litter, or coffee grounds. Medications that pose a potential autosampler and column heater. Data were collected and pro-
threat can be flushed down the toilet. To minimize the accidental cessed using Empower™ software (Version 2) from Waters.
exposure and misuse of these prescription medications, the Food RP-HPLC methods were used for the quantification of all samples.
and Drug Administration (FDA) has developed several guidelines
to encourage the proper disposal of these medicines, as mentioned 2.3. Chromatographic conditions
in the FDA recommendations for drug disposal [12]. Still, there are
some medicines, for example, fentanyl patches, that may be The assay method for MPH and loxapine succinate was devel-
harmful, and, in some cases, fatal with just one dose, especially if oped, validated and applied to study the drug deactivation profile
they are used by someone other than the person for whom the of both drugs. This method was also used to predict the storage
medicine was prescribed [13]. All the above mentioned procedures stability of MPH and loxapine succinate in water. The mobile phase
do not actually make the drug inactive, and have harmful effects was filtered through a 0.2 mm filter (GNWP 0.2 mm; Millipore,
on the environment as the mixing of these medications with the Bedford, MA, USA) and degassed using sonication.
cat litter or coffee grounds cannot deactivate the drug, and can MPH was analyzed using a C18 Phenomenex Kinetex, biphenyl
lead to contamination of the water system [14] . (250 mm 4.6 mm, 100 Å) column set at 25 °C with methanol
Activated carbon is one of the best alternatives to dispose of (0.1% formic acid (FA)) and water (0.1% FA, pH 6.8 adjusted using
medications, as it attracts and holds the organic compounds by the ammonium hydroxide ) (50:50 v/v) as the mobile phase. A flow
adsorption process [15]. Due to its property of material porosity, rate of 1 mL/min with an injection volume of 25 mL and an ab-
active pharmaceutical ingredient (API) easily sticks to the surface sorption wavelength of 258 nm were used. The run time was
area [16]. However, this technology has not been explored to ad- 15 min and the retention time of the drug was around 7.8 min.
dress the drug disposal problem, and there is a pressing need for For the analysis of loxapine succinate, the compound was se-
more research on effective disposal techniques for highly addictive parated on a C8 Phenomenex Luna (250 mm 4.6 mm, 5 mm) at
prescription medications. an ambient temperature with acetonitrile (ACN) and water (0.3%
In the present study, we aimed to evaluate the deactivation (v/v), trimethylamine, pH 3) (40:60 v/v) as the mobile phase. A
efficiency of the activated carbon-based drug disposal system, sample volume of 10 mL was injected at a flow rate of 1 mL/min
Deterras. This drug deactivation system is based on MAT12s and analyzed at an absorption wavelength of 211 nm. The run time
Molecular Adsorption Technology, which deactivates the API by a was 12 min and the retention time of the drug was around
physical adsorption process [17]. The term “deactivates” is used to 4.6 min.
signify the irreversible physical adsorption process between active
substance and activated carbon. We investigated the drug disposal 2.4. Preparation of stock and working standards solutions
of two model psychoactive prescription medications which have a
potential of abuse, MPH and loxapine succinate. All standard solutions for MPH and loxapine succinate were
The proposed drug deactivation system offers a unique disposal prepared using deionized water to give a working standard in
method to deactivate unused, residual or expired medications by the range of 5–100 mg/mL and 0.1–100 mg/mL, respectively. Stock
using granular activated carbon within a pouch that is convenient, standard solutions of MPH and loxapine succinate were prepared
safe and effective. This study is aimed to investigate the deacti- at a concentration of 1 mg/mL in deionized water and stored at
vation profile of MPH and loxapine succinate using an activated 4 °C. Working standard solutions of MPH and loxapine succinate
P. Bakshi et al. / Journal of Pharmaceutical Analysis 8 (2018) 349–356 351
were prepared by diluting the standard stock solution with deio- 2.6. Stability
nized water to yield concentrations of 0.1, 0.25, 0.5, 1, 2.5, 5, 10, 25,
50 and 100 mg/mL. Quality control (QC) concentrations were then The short-term stability of MPH and loxapine succinate under
prepared at 50, 75 and 100 mg/mL for MPH and 25, 50 and storage conditions was evaluated using three standard con-
100 mg/mL for loxapine succinate control samples. centrations (10, 25 and 50 mg/mL) (n ¼ 3) stored for one week at
varying temperatures of 4 °C, 25 °C, and 20 °C. All stored stan-
dard solutions were analyzed using freshly prepared calibration
2.5. Method validation standards. The stability of MPH and loxapine succinate was as-
sessed by comparing the concentration of both drugs in each so-
HPLC methods were validated to ensure consistent, reliable, lution before and after the storage period.
and accurate results to determine the levels of two psychoactive
medications in all samples. The HPLC methods were validated in 2.7. Deactivation of pharmaceutical dosage forms using an activated
terms of sensitivity, linearity, accuracy, precision, specificity and carbon disposal system
robustness. Method validations for both drugs were performed
over a 3-day period. The assay method was applied to support the deactivation
profile of MPH and loxapine succinate in the presence of an acti-
2.5.1. Determination of the limit of detection (LOD) and limit of vated carbon drug disposal system. The system consisted of a
quantification (LOQ) pouch containing 15 g of granular activated carbon packaged
The LOD was determined by injecting lower concentrations of MPH within a water soluble inner film reservoir. The deactivation of
and loxapine succinate sequentially until a signal (peak)-to-noise ratio tablets and capsules as dosage forms were examined over 28 days
was obtained. The LOQ , which is the lowest quantifiable concentra- using the model psychoactive medications. Ten MPH and loxapine
tion, was also determined from the range of concentrations analyzed succinate tablets (20 mg each) were placed into individual pou-
for the LOD determination. ches separately followed by addition of 50 mL of warm tap water
at a temperature of about 43 °C. To mix the activated carbon and
2.5.2. Evaluation of linearity warm water properly, pouches were shaken for 10 s at a rate of
Standard solutions were evaluated for the linearity within a one shake per second. This was followed by a waiting period of
30 s to release the air bubbles from the charcoal. After ensuring
concentration range of 5–100 mg/mL for MPH and 0.1–100 mg/mL
that all of the medications settled to the bottom of the pouch, the
for loxapine succinate. The peak area was plotted against drug
pouches were sealed, stored upright, and left undisturbed at room
concentration and the linearity was thus calculated by the linear
temperature. Separate pouches were set up for each time point at
regression equation y ¼ mx þ c, where y represents the peak area
8 h, 1, 2, 4, 7, 14, 21 and 28 days and samples were collected from
and x represents either the MPH or loxapine succinate con- pouches to examine deactivation of drug during the study. Before
centration in mg/mL. A correlation coefficient of approximately taking samples, pouches were mildly shaken from side to side to
0.999 or more was considered as desirable for all calibration ensure the medications were mixed homogenously in the pouch.
curves. Samples were then filtered with a 0.22 mm nylon filter and ana-
lyzed by the validated HPLC methods. The deactivation rate was
2.5.3. Determination of accuracy and precision calculated as follows:
The inter-day validation was conducted with three sets of three % Deactivated ¼ [(Initial amount of drug in pouch – Final
QC samples of different concentrations for MPH (50, 75 and amount of drug in pouch)/ Initial amount of drug in pouch] × 100.
100 mg/mL) and loxapine succinate (25, 50 and 100 mg/mL). These
samples were evaluated for three days by generating a calibration 2.8. Desorption study
curve for each day. As for the intra-day validation, six sets of three
different drug samples were assayed and evaluated with reference At the end of the adsorption study (28 days), the pouch con-
to one calibration curve on the same run. The accuracy and pre- tents were transferred to 500 mL bottles, and 200 mL of tap water
cision values were calculated using a standard formula, as per the was added to each bottle. The samples were shaken for 1 h at
ICH guidelines. The accuracy and precision of the methods were 150 rpm, stored upright for 23 h at room temperature, then fil-
determined for both intra-day and inter-day variations using tered and analyzed by HPLC. The water was then completely re-
placed with 250 mL of 30% ethanol, shaken for an additional hour,
multiple analyses of different concentrations of samples on three
and stored for 23 h at room temperature. After that, samples were
different days.
taken from the container, filtered and analyzed by HPLC.
2.5.4. Specificity
The specificity of each assay was determined by comparing the
3. Results
chromatograms of the blank solution (water) with that of the drug
standard solution (drug in water) of varying concentrations. Fur-
3.1. Method development and optimization
thermore, the specificity of the improved HPLC method was de-
termined by analyzing the MPH and loxapine succinate dosage The most suitable isocratic condition to resolve MPH with a
forms in activated carbon. Observations were made for any inter- C18 column, after the chromatographic conditions were optimized
fering peaks generated during the analysis. for specificity, resolution and retention time, was a mobile phase
consisting of methanol (0.1% FA) and water (0.1% FA, pH 6.8)
2.5.5. Robustness (50:50, v/v). For loxapine succinate, analyte was separated on a C8
Robustness is a measure of method's capacity to remain un- column and the mobile phase consisted of ACN and water (0.3%
affected by small deliberate changes. The chromatogram resolu- (v/v) triethylamine, pH 3) (40:60, v/v). When the pH of the mobile
tion and retention behavior were evaluated for any changes in phase was increased or when a higher percentage of organic sol-
flow rate ( 70.05 mL/min), organic solvent ratio (7 5% methanol), vent was used, the resultant chromatogram had an increase either
and pH (7 0.5). in background noise or peaks indicating the tailing effect. Thus,
352 P. Bakshi et al. / Journal of Pharmaceutical Analysis 8 (2018) 349–356
Table 1
HPLC isocratic method for methylphenidate hydrochloride and loxapine succinate.
Column Kinetex Biphenyl C18 100Å (5 mm, 250 mm 4.6 mm) Phenomenex Luna C8 100Å (5 mm, 250 mm 4.6 mm)
Mobile phase Methanol (0.1% formic acid) and water (0.1% formic acid) at pH 6.8 and a Acetonitrile and water (0.3% triethylamine) at pH 3.0 and a com-
composition of 50:50 (v/v) position of 40:60 (v/v)
Flow rate (mL/min) 1.0 1.0
Injection volume (mL) 25 10
Wavelength (nm) 258 211
Retention time (min) 7.8 4.6
P. Bakshi et al. / Journal of Pharmaceutical Analysis 8 (2018) 349–356 353
Table 2
Intra-day and inter-day accuracy and precision of HPLC assay for methylphenidate hydrochloride and loxapine succinate.
Mean 7 SD Precision (%) Accuracy 7 SD (%) Mean 7 SD Precision (%) Accuracy 7 SD (%)
(μg/mL) (μg/mL)
Methylphenidate hydrochloride 50 48.59 7 2.09 4.31 97.19 7 3.52 49.33 7 1.76 3.57 98.66 7 4.19
75 73.05 7 2.92 4.00 97.40 7 3.57 74.11 7 2.68 3.61 98.81 7 3.90
100 94.56 7 5.70 6.03 94.56 7 4.76 97.10 7 4.76 4.90 97.10 7 5.70
Loxapine succinate 25 24.90 7 0.20 0.81 99.59 7 0.80 24.98 7 0.27 1.07 99.94 7 1.06
50 52.29 7 0.49 0.94 104.57 7 0.98 50.37 7 2.04 4.05 100.74 7 4.08
75 74.25 7 0.86 1.16 99.90 7 1.15 73.90 7 0.74 1.00 98.53 7 0.99
Fig. 3. Stability of (A) methylphenidate hydrochloride standards (10, 25 and 100 μg/mL) and (B) loxapine succinate standards (10, 25 and 100 μg/mL) at different tem-
peratures, 25 °C, 4 °C and 20 °C for one week.
the drug contents eluted with no interfering peaks generated by Medication % leached in water % leached in ethanol
the excipients in the marketed products. Results for robustness are
summarized in Tables 3 and 4, and the methods were found to Methylphenidate hydrochloride 0.0 1.0
Loxapine succinate 0.0 0.0
remain unaffected by changing the method parameters. The study Average 0 0.5
also presented that both MPH and loxapine succinate were stable
in water at different temperatures, 25 °C, 4 °C and 20 °C, for the
storage over the period of one week. Both validated methods were down the toilet [11]. However, these procedures do not deactivate
applied to examine the ability of the disposal system to deactivate the drug, and the drug is still available in the active form; this can
two commonly abused prescription drugs, MPH and loxapine lead to contamination of the environment and the water system.
succinate. Our studies were consistent with the studies performed by Har-
According to the FDA guidelines, all medications being deposed wadkar et al. [15], in which various deactivating agents were tes-
of in household trash should be mixed with unpalatable sub- ted, and activated carbon was found to be the most efficacious
stances such as cat litter or coffee grounds, or should be flushed deactivation agent, causing complete deactivation for various
Fig. 4. Deactivation profile of methylphenidate hydrochloride and loxapine succinate dosage forms.
P. Bakshi et al. / Journal of Pharmaceutical Analysis 8 (2018) 349–356 355
dosage forms of medications such as dexamethasone tablets and prescriptions, and also solve the problem of environmental and
s
amoxicillin capsules. water pollution. Hence, the Deterra activated carbon disposal
Using activated carbon is an effective technique to remove system provides a simple and convenient way to dispose of these
contaminants or pollutants from the water or air, but various medications in normal trash, without causing any environmental
factors can influence the adsorption capacity. Generally, factors or safety risks.
such as the pH of the solution, pKa, hydrophobicity and molecular
weight of the compound, and type of the activated carbon used
may influence the adsorption of molecules to the activated carbon, 5. Conclusions
and thus affect the deactivation capability of the system. The ac-
tivated carbon present in our disposal system pouch is specific for An isocratic RP-HPLC method for the determination of MPH and
s
the molecular size, as it is based on MAT12 Molecular Adsorption loxapine succinate was developed, and is precise and reliable. The
Technology [19]. This renders the drug irretrievable by binding to regression line equation is capable of reliably predicting the drug
it through a physical adsorption process [20]. concentration in the range of 5–100 mg/mL and 0.1–100 mg/mL for
The pH of the drug disposal system, comprising of activated MPH and loxapine succinate, respectively, from the peak area ob-
carbon in water, was close to neutral (pH 6.8), and was found to tained. The stability assessments revealed that both drugs were
remain unaffected by the addition of drugs (MPH and loxapine stable in water at 25 °C, 4 °C and 20 °C for one week. The method
succinate). It has been reported that the optimal pH for maximum was successfully validated and allowed the reliable, sensitive, robust,
adsorption capacity is near 7 [21]. The results obtained in our and specific detection of MPH and loxapine succinate in a common
study are in accordance with this, as more than 95% deactivation of marketed preparation.
the drugs was achieved within 8 h. This method was then used to test the efficiency of an activated
The hydrophobicity of the compound is another factor that carbon-based drug disposal system for adsorption of MPH and
determines the adsorption efficiency of the activated carbon, and loxapine succinate from dosage forms to activated carbon. The
thus affects the hydrophobic interaction between the activated system was very efficient, with more than 99% drug deactivation
carbon and the adsorbent [22,23]. Westerhoff et al. [24] observed achieved after 24 h, and less than 0.5% of the drug was released
that the removal efficiency of the contaminants was dependent on from activated carbon by an extraction protocol that mimicked a
the logKow values, which are indicators of the hydrophobicity of landfill situation.
the molecules. In addition, another study found that the hydro- Thus, this drug disposal system offers a simple and safe method
phobic character of the compound also influences the uptake rate to be used by patients. These results are encouraging, and provide
of the compound [25]. The study determined that the adsorbent the basis of an environmentally friendly method of drug disposal.
(polar compounds) and adsorbate (activated carbon) displayed van
der Waals force of interaction toward each other, thus leading to a
better adsorption capacity. Thus, hydrophobicity not only de- Conflicts of interest
termines the adsorption capacity, but also influences the rate of
adsorption to the activated carbon. In our study, MPH (logP: 2.2) The authors declare that there are no conflicts of interest.
[26] and loxapine (logP: 3.6) [27] were both moderately lipophilic
compounds, and hence showed more than 99% deactivation after
24 h of interaction with the activated carbon (Fig. 4). Our results Acknowledgments
were consistent with the previous studies presented in the lit-
erature [28]. The current research project was funded by Verde Technologies
The MPH used were in tablet form; this could have led to faster (Minnetonka, MN, USA) as an SBIR Phase II contract from the
adsorption to activated carbon compared to that of capsules. Solid National Institute on Drug Abuse (NIDA). Title: In-Home Deacti-
dosage forms like capsules may require more dissolution time in vation System for Psychoactive Drugs (SBIR Phase 2), Contract no.
water before adsorption can occur; this could cause a slight delay HHSN271201400068C NIDA Reference no. N44DA-14-4420.
in the rate of adsorption of loxapine succinate capsules compared
to that of MPH tablets. Previous research has noted the influence
of molecular weight and hydrophobicity of the adsorbate on the References
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observe any significant differences in the adsorption capacity of
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