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Warfarin Sodium Stability in Oral Formulations

Warfarin sodium is a low-dose pharmaceutical blood thinner that exists in two forms: the clathrate form and the amorphous form. In commercially available warfarin sodium oral suspension, the active pharmaceutical ingredient (API) is added in the amorphous state. This study investigates the apparent...

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Autores principales: Dimitrokalli, Evangelia, Fertaki, Stefani, Lykouras, Michail, Kokkinos, Petros, Orkoula, Malvina, Kontoyannis, Christos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588291/
https://www.ncbi.nlm.nih.gov/pubmed/34771040
http://dx.doi.org/10.3390/molecules26216631
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author Dimitrokalli, Evangelia
Fertaki, Stefani
Lykouras, Michail
Kokkinos, Petros
Orkoula, Malvina
Kontoyannis, Christos
author_facet Dimitrokalli, Evangelia
Fertaki, Stefani
Lykouras, Michail
Kokkinos, Petros
Orkoula, Malvina
Kontoyannis, Christos
author_sort Dimitrokalli, Evangelia
collection PubMed
description Warfarin sodium is a low-dose pharmaceutical blood thinner that exists in two forms: the clathrate form and the amorphous form. In commercially available warfarin sodium oral suspension, the active pharmaceutical ingredient (API) is added in the amorphous state. This study investigates the apparent instability of the commercially available warfarin liquid oral formulation using Raman and IR spectroscopy, X-ray diffraction, differential scanning calorimetry, UV spectroscopy, and optical microscopy. Warfarin, not its sodium salt, was identified as the undissolved solid existing in the suspension. This was found to be due to the dissociation of sodium salt and the protonation of the warfarin ion in the liquid phase, which triggered the crystallization of the sparingly soluble unsalted form. The coexistence of protonated and unprotonated warfarin ions in the supernatant, as detected by Raman and UV spectroscopy, confirmed this assumption. Study of the dissolution of warfarin sodium amorphous salt and crystalline sodium clathrate in the placebo and pure water verified the results. The effect of pH and temperature on warfarin precipitation was also explored.
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spelling pubmed-85882912021-11-13 Warfarin Sodium Stability in Oral Formulations Dimitrokalli, Evangelia Fertaki, Stefani Lykouras, Michail Kokkinos, Petros Orkoula, Malvina Kontoyannis, Christos Molecules Article Warfarin sodium is a low-dose pharmaceutical blood thinner that exists in two forms: the clathrate form and the amorphous form. In commercially available warfarin sodium oral suspension, the active pharmaceutical ingredient (API) is added in the amorphous state. This study investigates the apparent instability of the commercially available warfarin liquid oral formulation using Raman and IR spectroscopy, X-ray diffraction, differential scanning calorimetry, UV spectroscopy, and optical microscopy. Warfarin, not its sodium salt, was identified as the undissolved solid existing in the suspension. This was found to be due to the dissociation of sodium salt and the protonation of the warfarin ion in the liquid phase, which triggered the crystallization of the sparingly soluble unsalted form. The coexistence of protonated and unprotonated warfarin ions in the supernatant, as detected by Raman and UV spectroscopy, confirmed this assumption. Study of the dissolution of warfarin sodium amorphous salt and crystalline sodium clathrate in the placebo and pure water verified the results. The effect of pH and temperature on warfarin precipitation was also explored. MDPI 2021-11-01 /pmc/articles/PMC8588291/ /pubmed/34771040 http://dx.doi.org/10.3390/molecules26216631 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dimitrokalli, Evangelia
Fertaki, Stefani
Lykouras, Michail
Kokkinos, Petros
Orkoula, Malvina
Kontoyannis, Christos
Warfarin Sodium Stability in Oral Formulations
title Warfarin Sodium Stability in Oral Formulations
title_full Warfarin Sodium Stability in Oral Formulations
title_fullStr Warfarin Sodium Stability in Oral Formulations
title_full_unstemmed Warfarin Sodium Stability in Oral Formulations
title_short Warfarin Sodium Stability in Oral Formulations
title_sort warfarin sodium stability in oral formulations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8588291/
https://www.ncbi.nlm.nih.gov/pubmed/34771040
http://dx.doi.org/10.3390/molecules26216631
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