Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia

ABSTRACTS: Objective: To evaluate the physical and chemical compatibility and stability of a cipepofol (ciprofol) and etomidate (EC) mixture for intravenous anesthesia and assess the physiochemical stability of the drugs during co-administration through the same intravenous line. Methods: High-perf...

Full description

Saved in:
Bibliographic Details
Main Authors: Linzhong Zhang, MD, Lingchun Kong, MA, Qi Deng, MS, Yukai Chao, MA, Chibing Fu, MA, Yutong Meng, MA
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Current Therapeutic Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0011393X25000359
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849227044344299520
author Linzhong Zhang, MD
Lingchun Kong, MA
Qi Deng, MS
Yukai Chao, MA
Chibing Fu, MA
Yutong Meng, MA
author_facet Linzhong Zhang, MD
Lingchun Kong, MA
Qi Deng, MS
Yukai Chao, MA
Chibing Fu, MA
Yutong Meng, MA
author_sort Linzhong Zhang, MD
collection DOAJ
description ABSTRACTS: Objective: To evaluate the physical and chemical compatibility and stability of a cipepofol (ciprofol) and etomidate (EC) mixture for intravenous anesthesia and assess the physiochemical stability of the drugs during co-administration through the same intravenous line. Methods: High-performance liquid chromatography and other analytical techniques were employed to investigate the stability of the EC mixture. The mixture was prepared and stored at 4°C, 25°C, or 37°C for 24 h, and its appearance, pH, osmotic pressure, particle size, zeta potential, drug content, and related substances were evaluated at 0, 1, 3, 6, 12, and 24 h. Results: The EC mixture maintained physical stability, with no significant changes in appearance, pH (fluctuation, ≤0.07 units), osmotic pressure (relative standard deviation [RSD] < 2.0%), or particle size observed over 24 h. Zeta potential remained within acceptable limits (ranging from −40 to −30 mV), indicating good colloidal stability. Chemically, drug content remained at ≥99.9% of the initial level (RSD < 1.2%), and impurity levels stayed within the specified limits (maximum single impurity ≤ 0.13%, total impurities ≤ 0.37%). Conclusions: The findings suggest that the EC mixture was physically and chemically compatible and stable for up to 24 h at various temperatures, making this regimen a potentially safe and effective option for intravenous anesthesia. This finding is significant for improving patient comfort and reducing adverse drug reactions during anesthesia induction and maintenance.
format Article
id doaj-art-e5b99e50cea94b0f8eade868cc48f35d
institution Kabale University
issn 0011-393X
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Current Therapeutic Research
spelling doaj-art-e5b99e50cea94b0f8eade868cc48f35d2025-08-24T05:11:13ZengElsevierCurrent Therapeutic Research0011-393X2025-01-0110310081010.1016/j.curtheres.2025.100810Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous AnesthesiaLinzhong Zhang, MD0Lingchun Kong, MA1Qi Deng, MS2Yukai Chao, MA3Chibing Fu, MA4Yutong Meng, MA5Second hospital of Shanxi Medical University CN, Taiyuan, Shanxi, China; Address correspondence to: Linzhong Zhang, Second Hospital of Shanxi Medical University CN, Wuyi Road, Xinghualing District, Taiyuan, Shanxi 030000, China.Second hospital of Shanxi Medical University CN, Taiyuan, Shanxi, ChinaSichuan Haisco Pharmaceutical Co., Ltd., Chengdu, ChinaSecond hospital of Shanxi Medical University CN, Taiyuan, Shanxi, ChinaSecond hospital of Shanxi Medical University CN, Taiyuan, Shanxi, ChinaSecond hospital of Shanxi Medical University CN, Taiyuan, Shanxi, ChinaABSTRACTS: Objective: To evaluate the physical and chemical compatibility and stability of a cipepofol (ciprofol) and etomidate (EC) mixture for intravenous anesthesia and assess the physiochemical stability of the drugs during co-administration through the same intravenous line. Methods: High-performance liquid chromatography and other analytical techniques were employed to investigate the stability of the EC mixture. The mixture was prepared and stored at 4°C, 25°C, or 37°C for 24 h, and its appearance, pH, osmotic pressure, particle size, zeta potential, drug content, and related substances were evaluated at 0, 1, 3, 6, 12, and 24 h. Results: The EC mixture maintained physical stability, with no significant changes in appearance, pH (fluctuation, ≤0.07 units), osmotic pressure (relative standard deviation [RSD] < 2.0%), or particle size observed over 24 h. Zeta potential remained within acceptable limits (ranging from −40 to −30 mV), indicating good colloidal stability. Chemically, drug content remained at ≥99.9% of the initial level (RSD < 1.2%), and impurity levels stayed within the specified limits (maximum single impurity ≤ 0.13%, total impurities ≤ 0.37%). Conclusions: The findings suggest that the EC mixture was physically and chemically compatible and stable for up to 24 h at various temperatures, making this regimen a potentially safe and effective option for intravenous anesthesia. This finding is significant for improving patient comfort and reducing adverse drug reactions during anesthesia induction and maintenance.http://www.sciencedirect.com/science/article/pii/S0011393X25000359cipepofol (ciprofol)compatibilityetomidateintravenous anesthesiastability
spellingShingle Linzhong Zhang, MD
Lingchun Kong, MA
Qi Deng, MS
Yukai Chao, MA
Chibing Fu, MA
Yutong Meng, MA
Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia
Current Therapeutic Research
cipepofol (ciprofol)
compatibility
etomidate
intravenous anesthesia
stability
title Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia
title_full Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia
title_fullStr Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia
title_full_unstemmed Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia
title_short Compatibility and Stability of Cipepofol (Ciprofol) and Etomidate Mixture for Intravenous Anesthesia
title_sort compatibility and stability of cipepofol ciprofol and etomidate mixture for intravenous anesthesia
topic cipepofol (ciprofol)
compatibility
etomidate
intravenous anesthesia
stability
url http://www.sciencedirect.com/science/article/pii/S0011393X25000359
work_keys_str_mv AT linzhongzhangmd compatibilityandstabilityofcipepofolciprofolandetomidatemixtureforintravenousanesthesia
AT lingchunkongma compatibilityandstabilityofcipepofolciprofolandetomidatemixtureforintravenousanesthesia
AT qidengms compatibilityandstabilityofcipepofolciprofolandetomidatemixtureforintravenousanesthesia
AT yukaichaoma compatibilityandstabilityofcipepofolciprofolandetomidatemixtureforintravenousanesthesia
AT chibingfuma compatibilityandstabilityofcipepofolciprofolandetomidatemixtureforintravenousanesthesia
AT yutongmengma compatibilityandstabilityofcipepofolciprofolandetomidatemixtureforintravenousanesthesia