Morphine Sulfate Suppositories
»Morphine Sulfate Suppositories contain not less than 90.0percent and not more than 110.0percent of the labeled amount of morphine sulfate pentahydrate [(C17H19NO3)2·H2SO4·5H2O].
SUPPOSITORIESCOMPOUNDED IN FATTY ACID BASE
Prepare Morphine Sulfate Suppositories in Fatty Acid Base as follows (see Pharmaceutical Compounding—Nonsterile Preparations á795ñ):
Morphine Sulfate 50mg
Silica Gel 25mg
Fatty Acid Base,a sufficient quantity to make one suppository
Calibrate the actual molds with the Fatty Acid Base that is used for preparing the Suppositories,and adjust the formula accordingly.Mix thoroughly the Morphine Sulfate and Silica Gel to obtain a uniform powder.Heat the Fatty Acid Base slowly and evenly until melted.Slowly add the powder to the melted base,with stirring.Mix thoroughly,and pour into molds.Cool,trim,and wrap.
Packaging and storage— Preserve in tight containers,and store in a refrigerator.
Labeling— Label Suppositories to state that they are Morphine Sulfate Suppositories in a Fatty Acid Base and to state that they are for rectal use only.Label Suppositories to state that they are to be stored in a refrigerator (2to 8).The label also bears a warning that the Suppositories are a specially formulated strength to be used only by the patient for whom they were prescribed,and that wrappers are to be removed prior to use.
Uniformity of dosage units á905ñ: meet the requirements forWeight Variation.
Beyond-use date— Ninety days after the day on which they were compounded.
Compliance assay for suppositories compounded in fatty acid base—
Mobile phase— Dissolve 5.5g of sodium 1-heptanesulfonate in 700mLof water.Add 300mLof methanol and 10mLof glacial acetic acid,mix,filter,and degas.Make adjustments if necessary (seeSystem SuitabilityunderChromatography á621ñ).
Standard preparation— Dissolve an accurately weighed quantity of USP Morphine Sulfate RSinMobile phase,and dilute quantitatively,and stepwise if necessary,withMobile phase to obtain a solution having a known concentration of about 0.5mg per mL.[NOTE—Prepare this solution fresh daily.]
System suitability preparation— Prepare a solution inMobile phase containing,in each mL,about 0.24mg of USP Morphine Sulfate RSand 0.15mg of phenol.
Assay preparation— Transfer 1Suppository to a 60-mLseparator containing 20mLof chloroform and 20mLof 0.01Nhydrochloric acid,and shake to dissolve the Suppository.Transfer the chloroform layer to a 250-mLseparator.Extract the aqueous layer with a second 20-mLportion of chloroform,and combine the chloroform extracts in the 250-mLseparator.Wash the chloroform extracts with two additional 20-mLportions of 0.01Nhydrochloric acid,combine the aqueous layers in a 100-mLvolumetric flask,dilute withMobile phase to volume,and mix.Pass this solution through a filter having a 0.45-µm or finer porosity,discarding the first 4mLof the filtrate.
Chromatographic system(see Chromatography á621ñ) The liquid chromatograph is equipped with a 284-nm detector and a 4.6-mm ×25-cm column that contains packing L1.The column temperature is maintained at 30.The flow rate is about 1.5mLper minute.Chromatograph theStandard preparation and theSystem suitability preparation,and record the peak responses as directed forProcedure:the relative retention times are about 0.7for phenol and 1.0for morphine;the resolution,R,between phenol and morphine is not less than 2.0;the tailing factor for the morphine peak is not more than 2.0;and the relative standard deviation for replicate injections of theStandard preparation is not more than 2.0%.
Procedure— Separately inject equal volumes (about 20µL)of theStandard preparation and theAssay preparation into the chromatograph,record the chromatograms,and measure the responses for the major peaks.Calculate the quantity,in mg,of morphine sulfate pentahydrate [(C17H19NO3)2·H2SO4·5H2O]in the Suppository taken by the formula:
(758.83/668.77)(100C)(rU/rS),
in which 758.83and 668.77are the molecular weights of morphine sulfate pentahydrate and anhydrous morphine sulfate,respectively;Cis the concentration,in mg per mL,of anhydrous morphine sulfate in theStandard preparation,as determined from the concentration of USP Morphine Sulfate RScorrected for moisture content by a titrimetric water determination;andrUandrSare the peak responses obtained from theAssay preparation and theStandard preparation,respectively.
SUPPOSITORIESCOMPOUNDED IN POLYETHYLENE GLYCOL BASE
Prepare Morphine Sulfate Suppositories in Polyethylene Glycol Base as follows (see Pharmaceutical Compounding—Nonsterile Preparations á795ñ):
Morphine Sulfate 50mg
Silica Gel 25mg
Polyethylene Glycol Base,a sufficient quantity to make one suppository
Calibrate the actual molds with Polyethylene Glycol Base that is used for preparing the Suppositories,and adjust the formula accordingly.Mix thoroughly the Morphine Sulfate and Silica Gel to obtain a uniform powder.Heat the Polyethylene Glycol Base slowly and evenly until melted.Slowly add the powder to the melted base,with stirring.Mix thoroughly,and pour into molds.Cool,trim,and wrap.
Packaging and storage— Preserve in tight containers,and store in a refrigerator.Do not dispense or store polyethylene glycol–base suppositories in polystyrene containers.
Labeling— Label Suppositories to state that they are Morphine Sulfate Suppositories in a Polyethylene Glycol Base and to state that they are for rectal use only.Label Suppositories to state that they are to be stored in a refrigerator (2to 8).The label also bears a warning that the Suppositories are a specially formulated strength to be used only by the patient for whom they were prescribed,and that wrappers are to be removed prior to use.
Uniformity of dosage units á905ñ: meet the requirements forWeight Variation.
Beyond-use date— Ninety days after the day on which they were compounded.
Compliance assay for suppositories compounded in polyethylene glycol base—
Mobile phase,Standard preparation,System suitability preparation,and Chromatographic system— Proceed as directed in theCompliance assay for suppositories compounded in fatty acid base.
Assay preparation— Transfer 1Suppository to a 100-mLvolumetric flask,and add about 70mLofMobile phase.Sonicate for 15minutes to dissolve the Suppository,cool,dilute withMobile phase to volume,and mix.Pass a 10-mLportion of the solution through a filter having a 0.45-µm or finer porosity,discarding the first 4mLof the filtrate.
Procedure— Proceed as directed in theCompliance assay for suppositories compounded in fatty acid base.Calculate the quantity,in mg,of morphine sulfate pentahydrate [(C17H19NO3)2·H2SO4·5H2O]in the Suppository taken by the formula:
(758.83/668.77)(100C)(rU/rS),
in which the terms are as defined therein.
Auxiliary Information— Staff Liaison:Claudia C.Okeke,Ph.D.,Associate Director
Expert Committee:(CRX)Compounding Pharmacy
USP28–NF23Page 1316
Pharmacopeial Forum:Volume No.28(2)Page 328
Phone Number:1-301-816-8243