Post-dispensing stability surveillance: Stavudine

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Post-dispensing stability surveillance: Stavudine —
 
Creator Naidoo, Kamsaladevi K. Govender, Thavendran Deonunan, Rellissa A. Govender, Terusha Naidoo, Calveni Moodley, Ramona Govender, Melissa Miya, Khahliso P.
 
Subject Pharmacy; Family Medicine; General Practice; Rural Medicine; Education drug dispensing; pharmacy; stavudine; drug storage; HIV/AIDS — —
Description Background: Stavudine, a thymidine nucleoside, is a reverse transcriptase inhibitor, which is extensively used in the treatment of HIV infected patients. According to the World Health Organization (2006), stavudine must be stored in well closed containers and be protected from light. In addition, the manufacturer recommends that stavudine be stored below 25°C in a tightly closed container. However, because of the stigma associated with the disease condition, patients may attempt to hide their medication by storing the drug in more anonymous packaging, which may not comply with these storage requirements. Furthermore, the high temperature and humidity conditions found in sub-tropical areas such as Durban, KwaZulu-Natal, place additional environmental stress on the drug. Research has shown that stavudine can degrade to thymine under hydrolytic, oxidative and photolytic conditions. Therefore, this study investigated the stability of stavudine in packaging other than that used by the manufacturer and under temperature and humidity conditions that were higher than those recommended by the manufacturer.Method: Stavudine capsules were placed in different types of packaging and then subjected to different temperature and humidity conditions. At two week intervals the capsules were analysed using HPLC (high pressure liquid chromatography).Results: Stavudine capsules stored in packaging other than that used by the manufacturer and under temperature and humidity conditions that are higher than those recommended by the manufacturer showed significant degradation.Conclusion: Patients taking stavudine stored under sub-optimal conditions may ingest less than the required dose of stavudine. This can lead to drug resistance and treatment failure. —
 
Publisher AOSIS
 
Contributor Aspen Pharmaceuticals —
Date 2009-06-09
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Labaratory Analyses —
Format application/pdf
Identifier 10.4102/phcfm.v1i1.14
 
Source African Journal of Primary Health Care & Family Medicine; Vol 1, No 1 (2009); 6 pages 2071-2936 2071-2928
 
Language eng
 
Relation
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https://phcfm.org/index.php/phcfm/article/view/14/14
 
Coverage Africa; Tropical and sub-tropical regions n/a n/a — — —
Rights Copyright (c) 2009 Kamsaladevi K. Naidoo, Thavendran Govender, Rellissa A. Deonunan, Terusha Govender, Calveni Naidoo, Ramona Moodley, Melissa Govender, Khahliso P. Miya https://creativecommons.org/licenses/by/4.0
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