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      Development of a validated HPLC method for the separation and analysis of a Bromazepam, Medazepam and Midazolam mixture

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          Abstract

          The purpose of this work was to develop a rapid, sensitive and validated HPLC method for the separation and analysis of a Bromazepam, Medazepam and Midazolam mixture. The three benzodiazepine compounds were separated on a reversed-phase C18 column at 50 °C using a mobile phase containing 25% acetonitrile, 45% methanol and 30% ammonium acetate (0.05 M). The pH was adjusted to pH=9 by the addition of ammonia solution (35%, w/w). The samples were detected using a UV detector at 240 nm. The validation study of the method included the effect of temperature, flow rate, ratio of the components of the mobile phase and the pH of the mobile phase on the efficiency of separation. The linear range of Bromazepam and Midazolam was between 0.12 and 0.18 mg/mL, while that of Medazepam was between 0.08 and 0.12 mg/mL. The relative standard deviation for precision was less than 2%. The linearity, selectivity, accuracy and robustness of the developed method showed acceptable values. The method was applied to the analysis of the samples of raw material of the three compounds under study, and the percentage of recoveries was 99.89%±1.06. It was also applied to the analysis of samples of pharmaceutical preparations of those compounds and spiked serum samples. Recoveries from serum samples ranged between 91.5% and 99.0%. The developed method is suitable for quality control of Bromazepam, Medazepam and Midazolam in their mixtures and in pharmaceutical preparations (tablets, capsules, ampoules). It can also be used to determine their concentrations in serum.

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          Most cited references18

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          Physicians’ Perspectives on Prescribing Benzodiazepines for Older Adults: A Qualitative Study

          Background There is a continued high prevalence of benzodiazepine use by older community-residing adults and of their continued prescription by practitioners, despite well known adverse effects and the availability of safer, effective alternatives. Objectives To understand factors influencing chronic use of benzodiazepines in older adults. Design Qualitative study, semistructured interviews with physicians. Participants Thirty-three practicing primary care physicians around Philadelphia. Approach Qualitative interviews were audiotaped, transcribed, and entered into a qualitative software program. A multidisciplinary team coded transcripts and developed themes. Results Physicians generally endorsed benzodiazepines as effective treatment for anxiety, citing quick action and strong patient satisfaction. The use of benzodiazepines in older adults was not seen to be problematic because they did not show drug-seeking or escalating dose behavior suggesting addiction. Physicians minimized other risks of benzodiazepines and did not view monitoring or restricting renewal of prescriptions as an important clinical focus relative to higher-priority medical issues. Many physicians expressed skepticism about risks of continued use and considerable pessimism in the successful taper/discontinuation in older patients with long-term use and prior failed attempts. Physicians also anticipated patient resistance to any such efforts, including switching physicians. Conclusions Primary care physicians are averse to addressing the public health problem of benzodiazepine overuse in the elderly. Their attitudes generally conflict with practice guidelines and they complain of a lack of training in constructive strategies to address this problem. A 2-pronged effort should focus on increasing skill level and preventing new cases of benzodiazepine dependency through improved patient education and vigilant monitoring of prescription renewal.
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            Development of a validated HPLC method for the determination of four 1,4-benzodiazepines in human biological fluids

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              Rapid analysis of benzodiazepines in whole blood by high-performance liquid chromatography: use of a monolithic column.

              In a previous work [J. Pharm. Biomed. Anal. 23 (2000) 447] a rapid high-performance liquid chromatography (HPLC) method, using a monolithic column in HPLC coupled with a diode-array detector, was developed for the quantitative determination of benzodiazepines in whole blood. The present method has been applied to the assay of eight benzodiazepines amongst the most frequently encountered in forensic toxicology: clonazepam, desalkylflurazepam, diazepam, flunitrazepam, lorazepam, midazolam, nordiazepam and oxazepam. The sample pre-treatment involved a liquid-liquid extraction of blood samples by n-butyl chloride. The separation was carried out in reversed-phase conditions using a Chromolith Performance (RP-18e 100 x 4.6 mm) column. The mobile phase was composed of a phosphate buffer (35 mM, pH 2.1) and acetonitrile (70:30, v/v) and the flow-rate was 2 ml/min. The duration of the analysis was less than 4 min and the results of validation, including linearity, precision, recovery, limit of quantification, were satisfactory. The therapeutic and toxic concentrations usually encountered for these substances could be measured. The compounds were separated by a monolithic column which, on account of its particular structure, could bear higher flow-rates than usually found for this kind of analysis. The present method has been applied to two real cases and was tested with about 30 compounds.
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                Author and article information

                Contributors
                Journal
                J Pharm Anal
                J Pharm Anal
                Journal of Pharmaceutical Analysis
                Xi'an Jiaotong University
                2095-1779
                2214-0883
                17 May 2012
                December 2012
                17 May 2012
                : 2
                : 6
                : 484-491
                Affiliations
                [a ]Pharmacy and Pharmaceutical Chemistry, Faculty of Pharmacy, Damascus University, Syria
                [b ]Department of Pharmaceutical Chemistry and Quality Control, Faculty of Pharmacy, Damascus University, Syria
                Author notes
                [* ]Corresponding author. Tel.: +963966587322. halhawasli@ 123456yahoo.com
                Article
                S2095-1779(12)00056-1
                10.1016/j.jpha.2012.05.001
                5760930
                edf29ae3-8fcc-4ea6-887b-c1def7521bcd
                © 2012 Xi'an Jiaotong University

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

                History
                : 16 November 2011
                : 3 May 2012
                Categories
                Article

                benzodiazepine,bromazepam,medazepam,midazolam,hplc,serum
                benzodiazepine, bromazepam, medazepam, midazolam, hplc, serum

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