title: Stability of stored methacholine solutions: study of hydrolysis kinetic by IP-LC.
abstract: Methacholine chloride is a powerful cholinergic bronchoconstrictor agent used during bronchial airway hyper-responsiveness diagnosis. Methacholine is susceptible to hydrolysis in aqueous solutions in acetic acid and beta-methylcholine. In the present work, kinetics of hydrolysis with different solvents (water and phosphate-buffered saline (PBS) pH 7.4) at different temperatures have been studied using a newly developed high-performance liquid chromatography. At 4 degrees C, kinetic determination of hydrolysis in methacholine chloride solutions (50 mg/ml) shows no hydrolysis in either aqueous or phosphate-buffered solutions over a 40-day period. At 30 degrees C, concentration of unbuffered methacholine chloride solutions remained unchanged, but buffered methacholine chloride solutions have degradation up to 5.5% over a 40-day period. At 40 degrees C, concentration of unbuffered methacholine chloride has degradation up to 5% and buffered methacholine chloride solutions have degradation up to 10% over a 40-day period. Methacholine chloride solutions are susceptibly to be used in hospital pharmacy at different concentrations. We have studied pH and osmolality for methacholine solutions prepared with different diluents potentially used in hospital pharmacies, i.e. deionized water, 0.9% NaCl and PBS pH 7.4. We have demonstrated that methacholine solutions prepared with deionized water at 50 mg/ml and diluted with PBS pH 7.4 from 5 to 40 mg/ml are isoosmotic and potentially available for inhalation tests to measure non-specific bronchial hyper-responsiveness.
authors.affiliation: Pharmacie Centrale des Hôpitaux de Paris, Agence Générale des Approvisionnements Médicaux, Service des Affaires Réglementaires et de Développement Analytique, 7, rue du Fer à Moulin, 75005, Paris, France. valerie.acar@pch.ap-hop-paris.fr
authors.forename: V
authors.initials: V
authors.lastname: Acar
authors.forename: J J
authors.initials: JJ
authors.lastname: Houri
authors.forename: M D
authors.initials: MD
authors.lastname: Le Hoang
authors.forename: D
authors.initials: D
authors.lastname: Pradeau
authors.forename: F
authors.initials: F
authors.lastname: Guyon
mesh_terms: D016085:Bronchoconstrictor Agents / Q000737:chemistry*; D002851:Chromatography, High Pressure Liquid / Q000379:methods*; D004355:Drug Stability; D006863:Hydrogen-Ion Concentration; D007700:Kinetics; D016210:Methacholine Chloride / Q000737:chemistry*; D009994:Osmolar Concentration; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012996:Solutions / Q000737:chemistry*
chemical_list: D016085:Bronchoconstrictor Agents; D012996:Solutions; D016210:Methacholine Chloride