Analytical Profiles of Neostigmine

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    NEOSTIGMINE

    A A Al-Ba * and

    Ad

    lahiq

    DepahAnent 6

    Phanmacaficak?

    Chemhin.thy

    and

    **Vep&men;t 6

    Phatrmacotogy,

    College 6

    P h m a c y ,

    King Saud UVLive. Lty,

    P.O.

    Box

    2457, Riyadh-77451,

    Saudi

    A m b h l .

    ANALYTICAL PROFILES OF DRUG SUBSTANCES

    VOLUME

    16

    Copyright 987 by Academic Press. Inc.

    All rights of reproduction in any form reserved.

    03

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    404

    A.

    A. AL-BADR AND

    M

    ARIQ

    1. History

    2.

    Description

    2.1 Nomenclature

    2 .2

    Formulae

    2 . 3

    Molecular Weight

    2.4 Elemental Composition

    2.5

    Appearance Color Odor and Taste

    3. Physical Properties

    4. Synthesis

    5. Pharmacokinetics

    6 .

    Therapeutic and Other Uses

    7.

    Toxicity

    8. Methods of Analysis

    8.1 Identification

    8.2 Titrimetric Methods

    8 . 3

    Biological Method

    8.4 Spectrophotometric Methods

    8.5 Chromatographic Methods

    8.6

    Ion-Selective Electrodes Method

    8 . 7 Polarographic Method

    Refer n c s

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    NEOSTIGMINE 405

    1. His torv

    As a r e s u l t o f t he ba s ic rese arch of Stedman and

    a s s o c i a t e s ( 1 ,2 ,3 ) i n e l u c i d a t i n g t h e chemical b a s i s

    of t h e a c t i v i t y of physost igmine, Aeschlimann and

    Reiner t ( 4 )

    s y s t e m a t i ca l l y i n v e s t i g a t e d a s e r i e s o f

    s u b s t i t u t e d ph enyl es te rs of a l l y l ca rbami c ac i ds .

    Neostigmine (P ro st ig mi n) , a most prom isi ng member o f

    t h i s ser ies , was in t roduced in to therape ut i cs

    i n

    1931

    f o r

    i t s

    s ti mu la n t a c t i o n on t h e i n t e s t i n a l t r a c t .

    I t

    was r ep o rt e d in de pe nd en tly by Remen (5) and Walker

    (6)

    t o be e f fe c t i v e i n t h e symptomatic t he rapy of

    myas theni agra vis which

    i s

    due t o d e f e c t i n s y n a p t i c

    t ransmiss ion

    a t

    neuromuscular ju nc ti o n . When t h e

    pat ient i s

    given an ap pro pri a te dose o f ne ost igmine,

    t h e r es po ns e t o t i t a n i c s t i m ul a ti on i s

    improved along

    wit h symptomatic improvement i n muscle s tr e n gt h

    ( 7 ) .

    Neostigmine was a l so found usefu l

    i n

    p a r a l y t i c i l l e u s ,

    a tony of ur inary b ladder and

    i n glaucoma ( 8,9 ).

    2 . Descr ip t ion

    2.1 Nomenclature

    2 . 1 . 1 Chemical Names

    3- (Dimethylcarbamoyloxy)

    N

    , N ,N-t r imethyl -

    ani l inium bromide.

    3- Dimethylcarbamoyloxyphenyl)trimethyl-

    ammonium bromide.

    Benzenaminium, 3- [ [ dimethylamino)carbonyl]

    oxy]

    -N

    ,N,N-trimethyl bromide.

    m-Hydroxypheny1)timethylammonium bromide

    dimethyl carbamate.

    3-

    [ [

    Dimethylamino)carbonyl]oxy]

    N , N , N ,

    trimethylbenzenaminium bromide

    3- [ [ (Dimethylamino) car bon yl loxy]

    -N , N , N -

    trimethylbenzaminium methyl sulphate .

    (m-Hydroxyphenyl) t r i m e t h y l ammonium methyl

    sulphate dimethylcarbamate .

    3-Dimethylcarbamoxyphenyl)trimethylamonium

    methyl sulphate (10-13) .

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    A. A. AL-BADR AND M ARIQ

    2.1.2 Ge neri c Names

    Neostigmine bromide; Neostigmine DCF; N F N ;

    Neoeserine; Proserine; Synstigmine;

    Eust gmine ; Phi 1 0 st igmine ; Neost igmin

    bromidum; Neo st igm ini i bromidum; Neostigmium

    bromatum (13,14).

    2 .1 .3 Trade

    Names

    Neost ipmine bromide

    Prostigmin; Juvastigmine; Konstigmin;

    Metastigmi n; Normastigmin; Pros tigm in;

    Leostigmin (13,14).

    Neostigmine methyl sulphate

    In tras t igmina; Juvas t igmin; Mestas t igmin;

    Neoe sser in; Normastigmin; Pr osti gmin ;

    Hodostin; St ig ly n; Stigmosan (13,14).

    2.1.4

    CAS

    Registry Number

    59-99-4 Neostigmine

    51-60-5 Neostigmine methyl su lp ha te (14)

    114-80-7 Neost igmine bromide

    2 .1 .5

    Wiswesser

    Line Notation

    1 N 1 VOR

    C K - &

    E

    (Neostigmine bromide) (15)

    2 . 2

    Formulae

    2 . 2 . 1 Empir ica l

    C H

    BrN202 Neostigmine bromide

    C13H22N206S Neost igmine methy l su lph a t e

    1 2 19

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    NEOSTIGMINE

    401

    2 . 2 . 2 S t r u c t u r a l

    CH I

    0

    c

    I

    x

    ,CH3

    -N

    CH3

    X =

    B r -

    Neostigmine bromide

    X

    =

    CH3SOi

    Neostigmine methyl sulphate

    2 . 3 Molecular Weipht

    Neostigmine bromide

    303.2

    Neostigmine methyl sulphate

    334.4

    2.4 Elemental Composition

    C

    47.53%,

    H

    6.32%,

    N

    9.24%,

    B r

    26.36%,

    0

    10.55%

    (bromide).

    C

    46.69%, H 6.63%; N 8.38%, S 9.59%,

    0 28.71% (methyl sulphate)

    2.5 Appearance,

    Color,

    Odor and

    Taste

    O do rl es s, c o l o r l e s s c r y s t a l o r a w hi te c r y s t a l l i n e ,

    s l i g h t ly hygroscopic powder w i th a b i t t e r t a s t e

    (14)

    *

    3.

    Phys ica l Proper t ies

    3 . 1 Melting Point

    Neost igmine bromide

    Crysta ls f rom alcohol and e ther melt a t 167 with

    decomposition (13) .

    Neostigmine methyl sulphate

    Crystals from alcohol melt between 142OC and 145OC

    (13)

    *

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    408

    A. A , AL-BADR AND

    M.

    TARIQ

    3.2

    3 . 3

    3.4

    3 . 5

    3.6

    3.7

    Ext rac t ion

    Neostigmine s a l t s a r e qu at er na ry ammonium compounds

    and a re so l ub l e i n

    water.

    i s

    a c i d i f i e d wit h d i l u t e a c e t i c a c i d ,

    evaporated

    t o dryness and ex tr ac te d with methanol . The

    methanol ext ract w i l l

    contain most of t he qua t e rna ry

    ammonium compound and may be p u r i f i e d by pape r

    chromatography (16).

    The aqueous solut ion

    S o l u b i l i t y

    Neostigmine s a l t s a r e f r e e l y s o l u b l e i n water .

    Moderately s olu ble i n chloroform and e than ol .

    Inso luble

    i n

    e t h e r (11).

    Acidi ty

    Dissolve

    0 .20

    g in 20

    m l

    carbon d ioxide- f ree

    wa te r and t i t r a t e a t pH

    7.0

    with

    0.02 N

    sodium

    hydroxide (carbonate-free) not more than 0.2 m l

    i s requi red (17) .

    Moisture Content and Hygr osco pici ty

    Not more than

    I , determined by drying a t

    1 0 5 O C

    (10)

    Storage

    I t should be s tored

    i n

    a i r t i g h t c o nt a in e rs

    pro tec ted f rom l igh t

    (10 ) .

    S p e c t r a l P r o p e r t i e s

    3 . 7 . 1

    Ultraviolet SDectrum

    The UV spectrum of neost igmine bromide in

    ethanol

    i s

    given in Figure

    1.

    I t shows two

    maxima a t 260 nm and 266 nm. The spec trum

    was recorded on Varian spectrophotometer

    model DMS 90.

    Clarke (11) reported the fol lowing:

    Neostigmine methyl s u l f a t e i n

    1 N

    H2SO4;

    maxima a t 260 nm

    ( E

    1 ,1

    cm

    20) and 266 nm

    (E 1 ,1 cm 18 ) .

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    NEOSTIGMINE

    lot

    2

    2SOWavelength

    300

    nm)

    350

    400

    Figure I: Ultraviolet spectrumof neostigmine bromide in methanol.

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    410

    A. A . AL-BADR AND M. TARIQ

    3.7.2 In fr ar ed Spectrum IR)

    The IR spectrum of neo st ig mi ne bromide i n

    K B r

    d i s c

    i s

    presen t ed i n F i gu re 2 , and

    was recorded on Pye-Unicam

    I R

    spect rophoto-

    meter model SP 1025.

    the s t ructural ass ignments as shown below:

    Frequency cm-l

    The frequencies and

    As s ignment

    CH

    s t r e t c h

    0 2 0 -

    2900

    .)

    1730

    C

    = 0 (amide) s t re t ch

    1

    610

    C

    = C s t r e t c h ( a r o m a t i c )

    1595)

    1490-1450 CH bending v ibra t ions

    1

    030

    1070)

    C

    -

    N

    v i b r a t i o n ( a l i p h a t i c )

    780 and 895

    CH

    (aromatic) bending

    v i b r a t i o n s

    Clarke (11) re porte d t h e fol lowing:

    Neostigmine bromide, potas sium bromide di s c

    t h e pr i nc ip al peaks a r e 1711, 1215 and

    1154 cm-1.

    1

    3. 7. 3 Proton Nuc lea r Magnetic Resonance (

    H

    NMR)

    Spectrum

    1

    The

    H NMR

    spectrum o f neostigmine methyl

    s u l p h a t e

    i s

    shown i n Fi gu re

    3.

    di sso lved in deuter ium oxide

    DzO)

    and i t s

    spectrum was deter mined on a Var ian - T60 A

    NMR

    spectrometer using sodium 2,2-dimethyl

    2

    s i l apen t ane- 5-su lphonate (DSS) a s t h e

    i n t e r n a l s t a n d a r d .

    The drug was

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    I

    -

    f

    8 0

    7.0

    6 0

    S.OPpm

    6k O

    3-0 2 .o

    Figure 3 : Proton

    NMR

    spectrum

    of

    neostigmine methyl sulph

    TMS as internal reference.

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    NEOSTIGMINE 413

    Assignment of t h e chemical s h i f t s t o th e

    d i f f e r e n t p r o t o n s i s shown below:

    Chemical

    s h i f t M u l t i -

    (ppm) p l i c i t y Proton assignment

    0

    3.04) II

    singlets -C-N(CH )

    1

    -3

    2

    3.12

    3.

    72

    s i n g l e t

    4-

    g 3 )

    3 .80

    s

    i n

    g

    1

    e

    t

    CH

    -S

    O4

    7.15-7.60

    mul t ip le t s Aromatic prot ons

    1

    7.66-8.30

    3. 7. 4 Carbon-13 Nuc lea r Magnetic Resonance

    (C-13 NMR) Spectrum

    The C-13

    NMR

    s p e c t r a of neostigmine methyl

    su lp ha te i n deuterium ox ide (D2O) usi ng

    DSS

    (sodium 2,2-dimethyl 2-si lapentane-

    5-sulphonate) as an i n t e r n a l r e f e r e n c e were

    obta ined us ing a J e o l FX

    100 MHz

    spec t rometer

    a t an ambient tem per atu re. Fig ure s 4 and

    5 repr esen t t he pro ton-decoupled and of f -

    resonance sp ec t ra respec t ive l y .

    CH3

    1 2 I +

    5

    13

    C H 3

    -

    S O i

    1

    C H

    .CH3

    3 0

    - C - N

    2

    The carbon chemical s h i f t s were assi gne d on

    t h e b a s i s o f t h e c hemical s h i f t t h e or y and

    t h e o f f- r es o na n ce s p l i t t i n g p a t t e r n and a r e

    shown below:

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    414

    A . A .

    AL-BADR AND M

    ARIQ

    Figure : Proton -decou pled carbo n-I3

    N M R

    spectrum

    Of

    n-stigmine methyl wl ph ate

    in D20 w it h DSS a s internal reference.

    Figure 5 : Off -Resonance carbon

    -13

    NMR spectrum of neostigmine methyl sulphate

    in

    9 0

    with DSS a s internal reference.

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    NEOSTIGMINE

    415

    Chemical

    s h i f t M u l t i -

    (ppm) p l i c i t y Carbon assignment

    3 8 . 9 q u a r t e t 1

    3 8 . 8 q u a r t e t 2

    1 58 .3 s i n g le t 3

    149.8 s ing

    e t

    4

    126.9 doublet

    5

    134.0 doub1e t

    6

    119.8 doublet 7

    1 54 .5 s i n g le t 8

    117.1 doublet 9

    5 9 .6 q u a r t e t 1 0,

    11

    and 12

    5 7.9 q u a r t e t 1 3

    3 . 7 . 5

    Mass

    Spectrum

    The electron impact ( E I ) mass spectrum

    a t

    70 e V was recorded on Varian MAT 311 mass

    spec t romete r i s shown i n F ig u re 6 .

    spectrum an

    i o n

    a t

    m/e

    428

    was

    observed

    which most probably arises from a

    recombination o f frag ment s. The spec trum

    shows a

    base peak

    a t m/e

    72. The

    most prominent i ons a re shown below:

    In

    t he

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    Figure 6: Electron impld El)mass spectrum

    Of

    neostigmine methy

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    NEOSTIGMINE

    417

    72

    208

    356

    428

    Fragment

    CON

    ( c H ~ ) ~

    0-CONc H ~ $

    @-

    4 2 8 - C O N ( C H , ) , I +

    L .

    OCON CH3)

    1

    1

    H2

    The chemical ionisation ( C I ) mass spectrum

    was obtained

    on

    Finnigan 4000 mass

    spectrometer and i s shown in Figure 7 . The

    spectrum shows ions

    a t m/e 1 2 7

    ( t he base

    peak) and a t m/e 303 and both are probably

    arised from a recombination of fragments.

    The most prominent ions are shown below:

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    Figure 7 : Chemical ionization C I mass Spectrum Of neostigmine

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    N OSTIGMIN

    419

    m e

    127

    Fragment

    l

    CH30-S-O-CH3 t

    209

    303

    l

    4

    S y n th e s i s

    Neostigmine bromide can be pr ep ar ed from 3-hydroxydi-

    methylani l ine , which

    s

    made from 3-nitroanil ine by

    or di na ry sy nt he ti c methods. The 3-hydroxydimethyl-

    a n i l i n e

    i s

    d i s so lv e d in an a l c o h o l i c so l u t i o n o f t h e

    ca lc ul at ed amount of pot assium hydroxide, and t h e

    so l u t io n o f t h e p o tas s iu m h y drox ide , and th e so l u t i o n

    o t h e p o ta s s iu m d e r iv a t iv e

    so

    formed

    s

    t r e a t e d w it h

    dimeth ylc arb amoyl c h l o r i d e , Me2N.COC1 made from

    dimethylamine

    and

    carbony l ch l o r ide ) . Th is g ives a

    t e r t i a r y bas e which, by combination wit h methyl bromide,

    y i e l d s t h e r eq u ir e d qu a te r na r y s a l t i . e . t h e

    dimethylcarbamic

    es te r

    o f

    3 hydroxy NNN trimethylani

    lin iu m bromide:

    18, 19) .

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    420

    A. A. AL-BADR AND

    M

    ARIQ

    OCON (CH 3)

    OCON (CH 3)

    Neostigmine methylsulphate can be made in the same

    way, except t h a t i n the last stage the secondary amine

    i s

    combined with methyl su lp ha te t o

    form

    t h e

    s a l t

    [ (R-AMe3)MeSOi] (18).

    OK OCON (CH3)

    0 - C - N ,

    C H 3

    C H 3 S 0 i

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    NEOSTIGMINE

    42 1

    A

    m o d if i c at i on o f t h i s r o u t e

    i s

    t o c o nv er t t h e

    hydroxydimethylan i l i n e in t o the quar t e r n ar y s a l t (by

    combination wi th methyl bromide o r methyl su lp ha te ) ,

    and then t o

    t r e a t

    th e s a l t with dimethylcarbamoyl

    c h l o r i d e

    (18).

    (CH3)2

    OK

    C l C O N (CH3)

    -

    Neost igmine can be synthesized e i t h e r d i r e c t l y from

    3-hydroxydimethylaniline with phosgene t o g ive t he

    carbonyl ch lo ri de and then with dimethylamine t o giv e

    3-dimethylaminophenyldimethylurethane o r t h e l a t t e r

    may be prepared from th e sodium s a l t of t h e s t a r t i n g

    material and dimethylcarbamic chloride.

    case the product i s converted t o t he methy lsu lpha te

    by treatment with dimethyl sulphate (20).

    I n e i t h e r

    Y

    ON

    a

    OCON (CH31

    OH

    COC1 2

    N

    2

    OCOCl

    CH3S0i

    OCON

    (CH3)

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    422

    A . A. AL-BADR AND M. TARIQ

    5. P h a r m a c o k i n e t i c s

    N e o s t i g m i n e

    i s

    a b s o r b e d p o o r l y

    a f t e r

    o r a l a d m i n i s t r a t i o n ,

    s uc h t h a t much l a r g e r d o s e s a r e n ee de d t h a n b y t h e

    p a r e n t e r a l r o u t e . W hereas t h e e f f e c t i v e p a r e n t e r a l

    d o s e o f n e o s t i g m i n e i n man i s 0 . 5 t o 2 . 0 mg, t h e

    e q u i v a l e n t o r a l d o s e may b e 30 mg o r m o r e. L a r g e o r a l

    d o s e s may p r o v e t o x i c

    i f

    i n t e s t i n a l a b s o r p t io n i s

    e n ha nc ed f o r a ny r e a s o n a n d t h e q u a t e r n a r y a l c o h o l a n d

    paren t compound are e x c re t e d i n t h e u r i n e . P y r i d o s t i g -

    mine and

    i t s

    q u a t e r n a r y a l c o h o l

    a re

    a l s o t h e p r e d o m i n a n t

    e n t i t i e s fo u n d i n u r i n e a f t e r a d m i n i s t r a t i o n o f t h i s

    d r u g t o man ( 2 1 ) .

    N e o s t i g m i n e

    was

    r a p i d l y e l i m i n a t e d from t h e p la sm a o f

    5 p a t i e n t s t o whom 5 mg o f t h e m e t h y l s u l p h a t e h a d b e e n

    g iv e n t o a n t a g o n i s e r e s i d u a l n e u r o m u sc u la r b l o c k . T he

    p la sm a c o n c e n t r a t i o n o f n e o s t i g m i n e d e c l i n e d t o a b o u t

    8%

    o f

    i t s

    i n i t i a l v a l u e a f t e r 5 m i n u t e s w i t h a d i s t r i -

    b u t i o n h a l f - l i f e o f l ess t h a n o ne m i n u t e . E l i m i n a t i o n

    h a l f - l i f e r an ge d from a b o u t 15 t o

    30

    m i n u t e s .

    a mo un ts o f n e o s t i g m i n e c o u l d b e d e t e c t e d i n t h e p la sm a

    a f t e r

    o n e h o u r ( 1 4 ) .

    Trace

    O f n e o s t ig m i n e t h a t r e ac h e s t h e l i v e r , 98 p e r c e n t i s

    m e t a b o l i z e d i n

    10

    m i n u t e s . ( 2 2 )

    I t s

    t r a n s f e r f r o m

    p la sm a t o l i v e r

    c e l l s

    a n d th en t o b i l e

    i s

    p r o b a b l y

    p a s s i v e i n c h a r a c t e r . S i n c e c e l l u l a r m em branes

    p e r m i t t h e p a s sa g e o f p l a s m a p r o t e i n s s y n t h e s i z e d i n

    l i v e r i n t o t h e b lo od

    stream

    t h r o u g h c a p i l l a r y

    walls

    o r l y m p h a ti c v e s s e l s , t h e y may n o t p r e s e n t

    a

    b a r r i e r

    t o t h e d i f f u s i o n o f q u a t e r n a r y a m in es s uc h

    as

    n e o s t i g -

    m in e. P o s s i b l y t h e r a p i d h e p a t i c m e ta bo li sm

    of

    n e o s t i g m i n e p r o v i d e s a d o w n h il l g r a d i e n t f o r t h e

    c o n t i n u a l d i f f u s i o n of t h i s com pound 2 3 ) . A c e r t a i n

    am ount may b e h y d r o l y z e d s l o w l y b y p l a s m a c h o l i n e s -

    t e r a s e .

    p a t i e n t s w i t h m y a s t h e ni a g r a v i s

    less

    t h a n 5

    was

    f o u n d

    u nc ha ng ed i n t h e u r i n e ( 1 4 ) . F o l l o w i n g i n t r a m u s c u l a r

    a d m i n i s t r a t i o n a b o ut 65 o f a d o s e i.s e x c re t ed i n t h e

    u r i n e u nc ha ng ed ( 1 0 ) .

    20

    o f a n o r a l d os e

    i s

    e x c r e t e d i n t h e u r i n e and

    50

    i n t h e faeces;

    less

    t h a n

    5%

    o f t h e o r a l d os e

    i s

    e x c r e t e d i n t h e u r i n e un ch an ge d.

    When ne os t i gm in e was g i ve n by mouth t o 2

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    NEOSTIGMINE

    423

    6.

    Theraneutic and Other

    Uses

    Neostigmine

    i s a

    quaternary ammonium anticholinesterase.

    I t

    a c t s

    a t

    t h e e s t e r a t i c s i t e of t h e enzyme t o form t h e

    i n a c t i v e dimethylcarbamoyl enzyme. Neostigmine ha s

    wid esprea d a c t io n s , b u t fo r t u n a t e ly i t s e f f e c t s a r e

    more prominent on ce r t a i n s t r u c t ur e s than on o t he rs ,

    b ei ng p a r t i c u l a r l y e f f e c t i v e on t h e bowel, u r i n a r y

    b l a dd e r , and s k e l e t a l mu sc le , t h e p u p i l , t h e h e a r t ,

    b lood p ressure ,

    and s e c r e t i o n s b e in g a f f e c t e d t o

    a

    much lesser e x t e n t i n do se s t h a t are o r d i n a r i l y

    e f f e c t i v e on r e l a t e d s t r u c t u r e s ( 19 ).

    The dr ug i n h i b i t s c h o l i n e s t e r a s e a c t i v i t y and p r ol o ng s

    and i n t e n s i f i e s t h e m us c ar i ni c and n i c o t i n i c e f fec t s

    o f a c e ty l c h o l in e .

    I t

    p ro ba bl y a l s o h as d i r e c t e f fec t s

    on s k e l e t a l musc le f i b r e s . The a n t i c h o l in e s t e r a se

    a c t io n s o f n e os t ig min e

    are

    r e v e r s i b l e .

    I t i s

    used

    main ly fo r

    i t s

    ac t io n on sk e l e t a l musc le, and

    less

    f re qu en tl y t o i n c r e a s e a c t i v i t y

    of

    smooth muscle (1 4) .

    Neostigmine methylsulphate i s used i n t h e t r e a tme n t o f

    myas then ia g rav is in usua l doses o f 1 t o 2 .5 mg dai ly

    given i n d iv ided doses by subcutaneous , in t ramuscul ar ,

    o r i n tr a ve n ou s i n j e c t i o n a cc or di ng t o t h e s e v e r i t y o f

    t h e cond i t ion (14).

    Neostigmine i s use d i n c o n d i t i o n s o f u r in a ry b l a d d e r

    a to ny due t o p o s t a n e s t h e t i c d e pr e ss i on o r t o n e u ro l o gi c a l

    d i so rd e r s (1 9 ) .

    I t i s

    a l so u se d in t h e t r ea tmen t o f

    p a r a l y t i c i l e u s po s to pe r at i ve u r i n a r y r e t e n t i o n , i n

    d o s e s o f 0 . 5 t o

    1

    mg. For e x p e l l i n g in t e s t i n a l f l a tu s

    p r io r t o r a dio gra ph y o f t h e g a l l -b l a d d e r , k id ne ys o r

    u r e t e r s ,

    a

    s i n g l e d o s e o f

    500

    ug has sometimes been

    used (14).

    Neostigmine can be employed

    as a

    d i a g n o s t i c

    t e s t ,

    e s p e c i a l l y a f t e r symptoms have been purposely

    a c c en tu at e d by t h e a d min i s t r a t i o n o f q u in in e .

    mine

    i s

    used as d i a g n o s t i c t e s t agent i n myotonia

    congeni ta , i n which condi t ion neost igmine aggravates

    t h e symptoms.

    f o r e a r l y pregnancy o r t o

    t r e a t

    delayed menstruation:

    g iven in t ramuscular ly on three success ive days

    i t

    w i l l

    induce menst rua tion wi th in 72 hours a f t e r t he l a s t dose

    u n le s s t h e p a t i e n t

    i s

    pregnant.

    t o p i c a l l y t o t r e a t primary open-angle glaucoma and in

    Neost ig-

    I t

    may be used

    as a

    d ia g n o s t i c a g e n t

    Neostigmine i s used

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    424

    A . A. AL-BADR

    AND

    M ARlQ

    the emergency treatment of primary acute-angle glaucoma.

    Miosis l a s t s 1 2 t o

    36

    hours . Longer-act ing ant ic hol i -

    nes terases are preferred for the t rea tment of accommo-

    da t ive e so t rop i a

    (19).

    7 . Toxici ty and Side Eff ec ts

    Adverse and s ide effects of neost igmine include

    sal ivat ion, anorexia , nausea and vomit ing , abdominal

    cramps and diarrhoea.

    sweating, lachrymation, watery nasal discharge,

    e r u c t a t i o n, involuntary defaecat ion and ur inat ion

    f lushing, miosis , conjunct ival congest ion, c i l i a spasm,

    brow ache, nystagmus, res t lessness , agi t ion,

    f e a r ,

    excess ive dreaming, increased broc hia l se cre t i on

    combined with bronchoconstriction, bradycardia and

    hypotension, muscle cramps, sc at te re d fa s i cu la t i on s

    and eventual severe weakness and paralysis , convulsions,

    and coma.

    e f fec t cou ld occur due to in te rac t ion be tween n ico t in ic

    and muscarinic act ions; a consequence of t h i s could be

    some evidence of an acceleration pulse-rate and

    el ev at io n of blood pre ssu re. Death may foll ow due

    t o c a rd i ac a r r e s t o r c e n t r al r e s p i r a t o r y pa r a l ys i s

    and pulmonary oedema.

    in myasthena gravis

    i s inc rea sed muscular weakness (14) .

    I t i s

    c o n tr a i n di c a t ed i n a s th m at i c p a t i e n t s . I t should

    not be employed along with choline es ters excep t fo r

    ophthalmologic use.

    of neostigmine (19 ) .

    Symptoms

    of

    overdosage include

    I t has a l so been s t a t ed t h a t pa radox ica l

    The major symptom of overdosage

    Quinidine i n t e r f e r e s wi th t h e ac t i on

    Neost igmine methyl sulphate , by increas ing in tes t inal

    mo t i l i t y , may cause d i s rup t ion o f i n t e s t i n a l su tu re

    l i n e s ( 1 0 ) .

    8. Methods of Analysis

    8 . 1

    I d e n t i f i c a t i o n

    a )

    To 0 . 1 m l

    of a 1 per cent w/v s ol ut io n, add

    0.5 m l

    of

    sodium hydroxide solution and evaporate

    t o dryness on a water-bath.

    o i l -ba th t o about

    250'

    and m ai nt ai n a t t h i s

    temperature f o r about t h i r t y seconds.

    d i s so lve t he r e s idue i n

    1

    m l o f

    water,

    c o o l i n

    i c e water, and add

    1

    m l of diazoaminobenzene-

    Heat qu ic kl y on an

    Cool,

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    NEOSTIGMINE

    425

    su l phon i c ac i d ;

    a

    che r ry - red co l ou r

    i s

    produced (15).

    Crys t a l

    t e s t s .

    Micro: l ead iod id e so lu t ion

    -

    b r an c hi n g n e e dl e s ( s e n s i t i v i t y :

    1

    in 400)

    ;

    p l a t i n i c i od i de s o l u t io n - bunches of curved

    ( s e n s i t i v i t y

    :

    1

    i n 400) (11).

    The in f r ar e d abso rpt io n spectrum of a potassium

    bromide dispers ion of

    i t ,

    p r e v i o u s l y d r i e d a t

    1 0 5 O f o r

    3

    hours , ex h i b i t s maxima on l y a t t h e

    same wavelengths

    as

    t h a t o f a s i m i l a r

    p repa ra t i on o f

    USP

    Neostigmine Bromide

    Reference Standard (12).

    A s o l u t i o n

    (1 i n

    50) r es po nd s t o t h e

    t e s t

    of

    bromide (neo stigmi ne bromide) (12).

    8 .2 T i t r i me tr ic Methods

    8.2.1 Aqueous T i t r a t i o n

    B r i t i s h Pharmacopoeia (1973) (17) re po rt ed

    t h e fo l lowing p rocedure f o r t h e a s say

    of

    neost igmine methyl sul pha te:

    Disso lve 0.15 g in 2 0

    m l

    o f w a te r , t r a n s f e r

    t o a semimicro ammonia d i s t i l l a t i o n

    apparatus, and add 20 m l of a 50 per cen t

    w/v so lu t i on o f sodium hydroxide.

    Pass a

    curr en t o f s team through th e mix ture ,

    c o l l e c t t he d i s t i l l a t e

    i n

    50

    m l

    of 0 .1

    N

    s u l p h u r i c a c i d u n t i l t h e t o t a l v o l u m e

    reaches about

    200 m l ,

    and t i t r a t e t h e e xc es s

    o f ac i d w i t h 0.02

    N

    NaOH us ing me th yl r ed

    s o l u t i o n

    as

    i nd i c a t o r . Repeat t h e ope ra t i on

    wi thout t h e substance being examined; t h e

    d i f f e r e n c e between t h e t i t r a t i o n s

    represents

    t h e amount o f a c i d re q u ir e d t o n e u t r a l i s e t h e

    dimethylamine formed from t h e neo sti gmi ne.

    Each m l

    o f

    0.02

    N

    s u l p h u r i c a c i d

    i s

    equiva-

    le n t t o 0 .006688 g of Cl3HZ2N2O6S.

    Huang

    t

    a1

    (24) de scr i bed a s imple , r ap id

    and

    accurate

    method using t h e app l ic at i on

    of

    a l t e r n a t i n g - c u r r e n t o s c i l l o p ol a r o g r a p h i c

    t i t r a t i o n i n p ha rm ac eu tic al a n a l y s i s . I n

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    426

    A. A. AL-BADR AND M ARIQ

    t h i s method neostigmine methyl sul pha te i n

    i n j e c t i o n s

    was

    t i t r a t e d wi th sodium

    te t r apheny l bo ra t e . To th e i n j e c t i on

    s o l u t i o n

    ( 2 0

    ml) conta inin g 10 mg of

    neostigmine methyl sul ph ate

    were

    added 10

    m l

    of 0.01 N sodium tetraphenyl borate and

    10 m l o f a c e t a t e b u f f e r s o l u t i o n

    (pH

    5 . 3 ) .

    The so lu t ion was d i l u t ed t o 50

    m l

    with

    water ,

    a f t e r

    5 minutes t h e p r e c i p i t a t e

    was formed, t h e co nt en ts

    were

    f i l t e r e d .

    A

    25

    m l

    por t ion of

    f i l t r a t e

    was t r ea te d wi th

    8

    drops of

    4 0

    sodium hydroxide solution and

    t i t r a t e d w it h

    0.01 N

    TI2S04, t h e di s-

    appearance of t h e in ci s io n of sodium

    tetrapheny l bor ate on th e curve of d /E/dt vs

    E

    be ing used t o in d i ca te th e end po i n t . The

    re su l t s were co r r ec t ed fo r

    a

    blank value.

    The recovery range from

    99 .3

    - 100.2% and

    th e coe f f i c i e n t o f v a r i a t i on was 0 .42%.

    Tsubouchi e t a1

    (25)

    reported a method of

    ana lys i s o f neos t igmine us ing the

    application of one-phase end-point change

    system i n two phase t i t r a t i o n t o amine

    drug an al ys is . Neostigmine i n aqueous

    s o l u t i o n 5

    o r

    10

    mM)

    was determined by

    t i t r a t i o n with aqueous 0 .01 M t e t r apheny l

    borate wi th te t rabromo phenolphthal ien

    e thy l es te r a s an i n d i c a t o r

    i n

    t h e o r ga n ic

    phase (1,2-dichloroethane)

    ,

    i n b o r a t e

    phosphate b u f f e r medium (pH 5. 5. -7 .5 ). The

    end-point was det ec ted by means o f co lo r

    change of t h e ind ic a tor i n the o rgan ic

    phase wi thout t r a n s f e r of i ndi cat or between

    pha ses . Various common io ns (i nc lu di ng

    ca rbona te , a ce t a t e , c i t r a t e , and t anna te )

    d id no t i n t e r f e r e bu t t h i amine

    ,

    papaver ine

    dodecyle sulphate and mercury caused

    i n t e r f e r e n c e .

    Diamandis and Christopoulos

    2 6 )

    developed

    a p ot en ti om et ri c t i t r a t i o n

    o f

    neostigmine

    bromide i n phar maceut ical compounds by

    t i t r a t i n g them with sodium te t raphenyl

    bo ra t e . 25

    M 1

    of aqueous solution (0 .2 -

    1 mM)

    of neostigmine bromide and

    5 m l

    of

    th e appropr ia te bu f f e r so l u t io n was added .

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    NEOSTIGMINE

    421

    The so l u t i on was t i t r a t e d po t en t i ome t r i ca l l y

    a t 0 .36 m l per minute with 0.01

    M

    sodium

    t e t r a p h e n y l b o r a t e a t 2 2 O 5 20 with

    cont inuous s t i r r i n g . The end-point was

    d e t e c t e d by a t e t r a p h en y l b o r a t e s e l e c t i v e

    el ec tr od e. Thi s method was adopted f o r

    determinat ion

    o f

    neostigmine in powders,

    in je c t io ns , drops and syrups .

    United S t a t e s Pharmacopeia

    X I X

    (1980) ( 1 2 )

    desc r i bed t he fo l lowi ng procedure f o r t h e

    assa y of neost igmine methyl s ulp hat e:

    Place

    about 100 mg of neost igmine methyl

    su lp ha te , accu ra te ly weighed , in a

    500

    m l

    Kj e l dah l f l a sk , d i s so l ve i n 150 m l

    of

    water ,

    and add

    4 0

    m l of sodium hydroxide s ol ut io n

    (1 i n 10) . Connect t h e fl a s k by means of

    a d i s t i l l a t i o n t r a p t o a w el l- co ol ed

    condenser t ha t d i ps i n t o

    2 5 m l

    o f b o r i c a c i d

    s o l u t i o n ( 1 i n 2 5 ), d i s t i l abo ut 1 50 m l of

    t h e c o n t e n t s of t he f l ask , add methyl

    pu rp l e TS t o t he so l u t i on i n t he r ece i ve r ,

    and t i t r a t e w it h 0 .0 2

    N

    su l phur i c ac i d .

    Perform a blank determination, and make the

    necessa ry co r rec t i on .

    s u l p h u r i c a c i d i s equ i va l en t t o 6 . 688

    mg

    of

    C13H22N206S'

    B r i t i s h Pharmacopoeia (1973) ( 1 7 ) r e p o r t e d

    t h e fo l lowi ng p rocedure f o r t h e a s s ay o f

    neos t igmine t a b le t s

    :

    Weigh and powder 2 t a b l e t s . T r a n sf e r a

    qua nt i ty of t he powder, equiva lent t o 0 .15

    of neo stigm ine bromide, t o a semi-micro

    ammonia d i s t i l l a t i o n appara tus , add 20 m l

    o f a 50% w/v s o lu ti o n of sodium hydr oxide

    and 0.5 m l of a 2% so lu t io n of octan-2-01

    in l iq u id pa raf f in and comple te th e assay

    desc r ibed under neost igmine methyl sul pha te .

    (above) beg inin g a t th e words Pass a

    c u r r e n t o f

    steam

    . . . . I . Each m l o f

    0.02

    N

    s u l ph u r ic a c i d

    i s

    equi valen t t o 0 .006064 g

    o f

    C 1 2 H 1 9 B r N 2 0 2 .

    Each

    m l

    of

    0 . 0 2

    N

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    A. A. AL-BADR AND

    M

    ARIQ

    8.2.2 Ti t r imet r i c Methods

    Non-aqueous Titration

    United S t a t e Pharmacopeia X I X (1980) (12)

    desc r i bed t he fo l l owi ng p rocedure fo r t he

    assay of neostigmine bromide:

    Di ss ol ve abou t 750 mg of neostigmine bromide

    ac cu ra te ly weighed, i n a mixtur e of 70 m l

    of

    g l a c i a l a c e t i c a c i d and 20 m l of mercur ic

    ac e ta te TS, add 4 d r op s o f c r y s t a l v i o l e t TS,

    and t i t r a t e wi th 0 . 1

    N

    p e r c kl o r ic a c i d t o

    a

    blue end- point . Perform a blank determina-

    t i o n , and make any ne ces sa ry cor re ct io n.

    Each m l of 0 .1 N p e r c h l o r i c a c i d

    i s

    equ iva len t t o 30.32 mg

    of

    C 1 2 H 1 9 B r N 2 0 2 (12) .

    Bayer and Posgay (27) su gge ste d a p e r ch lo r ic

    ac i d t i t r a t i on me t hod

    f o r

    t h e de t ermi na t ion

    of

    neost igmine in pharmaceut ica l p r epar a t ion s .

    The neost igmine sol ut i on was t i t r a t e d wi th

    0 . 1

    N

    perchlor ic acid which has been

    sta nda rdi zed with anhydrous potassium

    carbona te w it h 0 .1% gen t i an v i o l e t i n

    ac e t i c ac i d con t a i n ing 3% mercu r i c ac e t a t e

    a s i n d i c a t o r .

    Surmann e t a1 ( 2 8 ) r e p o r t e d a t i t r a t i o n

    method f o r t h e pharmaceutical hydroc hlorides

    and hydrobromides i n non-aqueous media.

    T h is method i n vo lv e d i r e c t t i t r a t i o n o f

    d r u g w i t h p e r c h l o r i c a c i d i n a c e t i c

    anhy dride medium, wit h na pht hol benz ein

    o r

    Sudan Red B an i nd i ca tor f o r hydro-

    ch lo r ide s f o r hydrobromides re spe c t i ve l y .

    Kracmarova and Kracmar (29) reported the

    following non-aqueous t i t r a t i o n :

    Evaporate t h e sample of t h e eye drops (5 ml)

    on a water ba th t o dryness , d i ss o lve th e

    res idue in anhydrous ac e t i c ac id (2 x 20 ml),

    add c r ys t a l v i o l e t (0 .2%

    i n

    anhydrous

    ac e t i c ac i d ) (2 d rops ) a s i nd i ca t o r , and

    t i t r a t e w ith 0 .1 N p e r c hl o r ic a ci d t o a

    blu e end- point , add 5% HgII ace t a t e so l u t i on

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    NEOSTIGMINE

    429

    (5 ml), m i x and t i t r a t e ag ai n t o

    a

    blue end-

    po i n t ; t h e d i f f e rence between t h e t i t r e s

    corresponds t o neost igmine bromide.

    8. 2. 3 Io di me tr ic Methods

    Koka (30) developed an io di me tr ic deter mina-

    t i o n of p ros er in e (neos t igmine methyl

    sulph ate) i n drug form ulat i ons. The drug

    sample

    i s

    d i s s o l v e d i n

    water

    and the

    so l u t i on

    i s

    t r e a t e d w it h 2 - 3

    m l

    o f d i l u t e

    su lph ur ic ac id , 2-3 m l of 10% potassium

    iodide so lu t ion and 5 m l of 0 . 1 N i od i ne ,

    d i l u t e d t o 25

    m l

    wi t h wa t e r and f i l t e red ;

    10

    m l

    of f i l t r a t e

    i s

    t i t r a t e d w i t h 0 . 1

    N

    sodium thiosulphate .

    Mitchenko and Kirichenko (31) reported the

    use

    of

    i od im et r i c method f o r th e de termina-

    t i o n of neost igmine methyl su lph ate and

    p i l oca rp i ne HC1 i n eye-drops. Neostigmine

    methyl su lph ate and pi l oc arp ine HC1 a r e

    de termined by reac t ion wi th iod ine so lu t ion

    i n d ar k, f i l t e r i n g t h e m ix tu re and t i t r a t i n g

    unreac ted io d ine wi th sodium th io su lp ha te

    so lu ti on . When bot h a r e pr es en t th e sum

    of the two i s determined by above method

    and only pi locarpine

    i s

    determined a l k a l i -

    m e t r i c a l l y , a r g e n t i m e t r i c a l l y o r m e rc u ri -

    me tr ic al ly . Neost igmine methyl sul pha te

    i s

    determined by th e di f fer enc e. The

    r e l a t i ve

    e r r o r i n de termining the two drugs

    in eye-drops i s 3.56 and 2.85 respect ively .

    8. 3 Bi ol og ic al Method

    B u c k l e s

    and Bullock (32) reporte d th e ap pl ic at io n

    of enzyme i nh i b i t i o n t o t h e e s t i ma ti on o f sma ll

    q u a n t i t i e s o f d r ug s po s s es s i ng a n t i c h o l i n e s t r a s e

    a c t i v i t y . The method

    i s

    based on t h e i n h i b i t i on

    o f t h e p se u d oc h o li n e st e r as e a c t i v i t y o f h o r s e

    serum.

    neost igmine

    i s

    mixed with 1

    m l

    of horse serum,

    1

    m l

    of

    0.2 cresol

    red so lu t i on and 37

    m l

    of

    water .

    a d j u s t e d t o 7.9. After 15 minutes add 5 m l of

    3%

    ace t y l cho l i ne pe rch l o ra t e so l u t i on and read j us t

    5 M 1 of sample containing 5 ug

    of

    The mixture i s h e a t e d t o 4OoC and pH

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    A. A. AL-BADR AND M.

    TARIQ

    t h e pH t o 7 . 9 .

    7 .8 and 8. 0 du ri ng 15 minut es by dropwise

    add i t ion o f 0 .025

    N

    sodium hydroxide and record

    th e volume of a l k a l i used. Correc t f o r non-

    enzymic hydrolysis by conducting an experiment

    with 1 m l buf fe r in s tead o f ho rse se rum and ca r ry

    out a blank with 5

    m l

    water i ns te ad of sample.

    The pe rcen tage inh ib i t ion i s a l i n e a r f u n ct i on o f

    t h e log concentra t ion of neostigmine methyl

    su lp h a te .

    Maintain the pH between

    8. 4 Spec trop hotom etri c Methods

    8.4 .1 Colo rime tri c Methods

    Belal

    e t

    a l , (33) descr ibed a sp e c t ro -

    photometr ic de terminat ion of neost igmine

    in t ab l e t s and ampoules . Tab le t p repara t io ns

    conta in ing neost igmine methyl su lp hate were

    powdered and di ss ol ve d i n

    50 m l

    of wa te r

    and

    1

    m l o f s o l u t i o n was mixed with 3 m l o f

    c i t ra te -phospha te buf fe r so lu t ion (pH 7.8)

    and

    2

    m l of a

    0.1%

    solution of bromothymol

    b lu e in 0 .01

    N

    sodium hydroxide.

    mixture was ex t rac te d wi th ch loro fo rm befo re

    measurement

    o f

    i t s absorbance a t 416 nm

    v s a reagent b lank .

    o f chlo ro form ex t r ac t

    was

    t r e a t e d w it h 10 ml

    of

    0 . 0 1

    N sodium hydroxide and the aqueous

    l a y e r

    was

    se pa ra te d and made up t o 25 m l

    with water, i t s absorbance being measured

    a t 615 nm as a reagent b lank . The ca l i br a-

    t i o n g ra p h were r e c t i l i n e a r f o r 0 .2-1 .6 mg.

    The re cover y by t h i s method

    was

    100.5%.

    Belikov e t a1 ( 3 4 ) have used sulphoneph-

    th a l e in d y e s as e x t r a c t i o n r e ag e nt s f o r

    th e e xt r a ct i o n of qu at er na ry ammonium

    compounds.

    va lue , Xmax, d i s t r i bu t i o n co ef f i c i en t and

    s e n s i t i v i t y o f r e a c t i o n s f o r t h e i on

    as so ci at io n complexes of neos tigm ine methyl

    su lp h a te .

    determining the quaternary ammonium

    compounds, 0 . 5 m l of 0 .01% so l u t ion o f

    compound is added t o 5 m l o f a b u f f e r s o l u -

    t i o n o f app rop ri ate pH, 0 .5

    m l

    of 0.1% dye

    The

    A l t e r n a t i v e l y

    10

    m l

    They re po r t e d t h e optimum pH

    In a genera l procedure for

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    NEOSTIGMINE

    43

    s o l u t i o n

    i s

    added, the complex i s e x t r a c t e d

    i n t o

    5

    m l of chloroform and absorbance of

    organic phase i s measured a t 400-434 nm.

    Rela t ive

    e r r o r

    i s l e s s

    than 2 .

    Tsubouchi (35) reported

    a

    spec t ropho tomet r ic

    de te rmina t ion o f o rgan ic c a t i ons by

    so lven t ex t r ac t i on wi th te trabromopheno l -

    ph th al ie n et hy l e s t e r . 5 1.11 of the sample

    c o n ta in in g

    less

    than 0 .01

    WM

    of neostigmine

    was e x t r a c t e d w i t h 2

    m l

    of 0.07% e t h a n o l i c

    tetrabromophenolphthalien e t h y l e s t e r

    (p o ta s s iu m sa l t )

    and m l o f b o r a t e -

    phosphate buffer (pH

    l o ) ,

    d i l u t e t o 25

    m l

    with

    water

    and shake for 2 minutes with

    1 0

    m l

    o f 1 ,2 ,d i c hlo ro eth a ne . Se p ara t e and f i l t e r

    the organic phase and measure i t s

    absorbance a t 615 nm aga in s t reagen t b lank .

    The c o e f f i c i e n t o f v a r i a t i o n was

    1.11 .

    8.4.2 U l t r a vi ol e t SDectronhotometric Method

    Rita (36) developed a u l t rav io le t

    spec t ropho tomet r ic a ssay o f neost igmine

    methyl sulphate

    as

    t h e a l k a l i n e h y d ro l ys i s

    product , 3- (dimethy1amino )phenol. An

    a l i q u o t o f i n j e c t i o n pr e p ar a t i on e q u iv a l en t

    t o 5 mg o f neost igmine methyl su l phat e was

    a ci d i f i e d and any phenol o r p-hydroxy

    b en z oa te p r e se r v a t i v e p r e se n t was

    ex t ra c te d wi th chlo ro form. The res idu a l

    aqueous so lu t ion

    was

    made alkaline and

    heat ed on steam bat h f o r 30 minutes and

    t h e

    3-

    (dimethylamino) phenol formed i s

    determined by UV-spectrophotometry.

    Kracmarova and Kracmar (29) described a

    spec trop hoto metr ic method

    f o r

    eva lua t ion o f

    neost igmi ne bromide and neosti gmin e methyl

    su lp h a te wi th r e g a rds t o t h e d e g ra d a tio n

    products .

    2

    m l

    o f 0.05

    N

    H2SO4 was added.

    was

    d i l u t e d t o 10 m l with water. The

    absorbance was recorded a t 261 nm f o r

    neostigmine bromide o r a t

    260 nm f o r

    neost igmine methyl su l phat e o r a t 266 nm

    for both of the compounds.

    To 5 ml o f i n j e c t i o n s o l u t i o n ,

    The mixture

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    A. A . AL-BADR AN D M. TARIQ

    Mytchenko and Kyrychenko (37) r e p o r t e d a

    spectrophotometr ic de terminat ion of

    pro ser ine (neost igmine methyl sulp hate )

    i n med ic inal fo rmula t ions . The t a b l e t s

    are grinded in water and shaked.

    s o l u t i o n i s f i l t e r e d and th e a b so rb an ce o f

    f i l t r a t e i s d i r e c t l y r ec or de d

    a t

    260 nm.

    This method can a ls o be used f o r an al ys is

    of neost igmine i n eye drops (conta in i ng

    al so pi lo ca rp in e HC1) a f t e r d i lu t io n . Th e

    accuracy of method i s with in ? 0.66%.

    0.5%

    8.4 .3 In fra red Spectrophotom etric Methods -

    I R

    Mynka t

    a1

    (38) r e p o r t e d t h e i n f r a r e d

    spectroscopy of drugs o f the amide class.

    The

    I R

    spectrum

    of

    neostigmine methyl

    su lp h a te

    was

    determined and in terpre ted

    by measurement

    a t

    1732 cm-l,

    be done with a maximum e r r o r o f 1 .66%.

    Analysis can

    Kracmarova and Kracmar (29) re po r t e d

    spectrophotometr ic an al ys is of neos t igmine

    i n i n f r a r e d r e g i o n .

    w it h l i q u i d p a r a f f i n ( 1 2 drops) and record

    the spectrum in a sodium chloride c e l l i n

    the range

    3-15 1 1.

    C h a r a c t e r i s t i c band f o r

    neostigmine bromide and neostigmine methyl

    su lpha te a re obse rved .

    Grind the sample

    8. 4. 4 Phot ometr ic Method

    Kracmarova and Kracmar (29) r e po r t e d a

    photometric method or t h e eval uat io n of

    neos tigm ine bromide and neostig mine

    methyl sulphate as fo l lows :

    To th e i n j ec t i on so lu t i on (1 .5 ml) add

    buffer so lu t ion (pH 4.6) (5 ml), bromo-

    c re s o l p urp l e so lu t i o n (2 g in 15 m l o f

    water

    and

    3 . 2 m l

    o f 0 . 1

    N

    - potassium

    hydrox ide d i lu te d t o 250

    m l

    with water)

    (S ml) and chloroform (25 ml) . Shake f o r

    1 minute in a se par a t i ng funne l , and f i l t e r

    t h e c hloroform l a y e r ; r e p e a t t h e e x t r a c t io n

    with

    2 m l

    of ch lo rofo rm and d i l u t e th e

    combined e x t r a c t s wi th ch loroform t o

    50

    m l .

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    NEOSTIGMINE

    433

    8.5

    To

    a 25

    m l

    por t ion add 0 .1

    N

    potassium

    hydroxide (20 m l ) , shake for 30 seconds,

    f i l t e r t h e aqueous l a y e r , d i l u t e t o 100 m l

    with water and measure the ex t inc t ion

    a t

    570 nm.

    Chromatographic Methods

    8 . 5 . 1 Pape r Chromatographic Method

    Giebelmann (39) developed a pa pe r chromato-

    graphic detection for phenoxy compounds

    having

    a

    phenyl e s t e r funct ional group

    u s in g th e fo l lo win g so lv e n t s

    -

    butanol-20%

    formic ac id ( 4:1) , methanol acetone-

    t r ie thano lamine (100: 100: 3) and bu ta no l -

    water

    ( 6 : l ) . As

    l i t t l e

    as

    2.5-10 1-16 of

    neost igmine can be de tec t ed with Mil lon 's

    r e a g e n t .

    S c o t t t

    a l ,

    (40) reported an i n v e s t i g a t i o n

    on t h e metabolism of neost igmine i n

    pa t i en ts wi th myas thenia g ra v is . Neost ig -

    m i

    n

    e

    an

    d

    m

    -

    h y d roxyphen y

    1

    i m

    e

    t

    h y

    1

    mmon

    rn

    bromide

    are

    p re c ip i t a t e d from u r in e wi th

    aqueous bromine. The p r e c i p i t a t e

    i s

    ex t ra c te d wi th 50% methano l. Th is ex t ra c t

    is a p p l i e d t o Amb er li te

    CG-50

    r e s i n

    a t

    pH

    6.86.

    Ten bases are e l u t e d w i th

    0 . 2

    N

    hydroch lo r ic ac i d and submi t ted t o

    chromatography on Whatman

    wi th

    butanol-ethanol-water-acetic

    a c i d

    (32: 8: 1 2 : 1) as so lvent . The

    R f

    va lue o f

    neo sti gmi ne was between 0.5

    -

    0 .3 .

    N O

    541 paper

    Kracmarova and Kracmar

    ( 2 9 )

    descr ibed

    p roc e du res fo r t h e d e t e rm in a t io n o f

    neo sti gmi ne bromide and neo st igmine methyl

    su lpha te in va r ious pharmaceu t ica l p repara -

    t i o n s , a s w e ll as

    f o r

    the chromatographic

    c o n t ro l o f t h e d e g ra d a t io n p ro d u c t s ;

    3 dimethylaminophenol and (3-hydroxyphenyl)

    trimethylammonium s a l t s , wi th t h e u se o f

    Whatman

    No.

    1

    paper, butanol-conc-aqueous

    ammonia-water (3:

    1

    :4) as so lvent , and

    Dragendorff reagent as t h e d e t e c t i n g a g e n t .

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    A. A . AL-BADR AND M. TARIQ

    Clarke (11) descr ibed the fol lowing:

    (1) Paper: Whatman

    No. 1,

    sh eet 14 x 6 i n ,

    buffered by dipping in a

    5%

    so lu t ion o f

    sodium hydrogen ci trate, blott ing, and

    d r y i n g a t

    2 5 0

    f o r

    1

    hour.

    stored immediately.

    Sample:

    2 .5 1-11

    of

    a

    1

    s o l u t i o n ; i n

    2 N

    a c e t i c a c id

    i f

    poss ib le , o therwise i n

    2

    N

    hydrochlor ic ac id , 2 N sodium hydroxide,

    o r e thano l .

    So lvent : 4 .8 g o f c i t r i c ac id i n a mixtu re

    of 130 m l of water and 870 m l of n-butanol .

    This may be used f o r se ve ra l

    weeks i f water

    i s

    added from time t o

    time

    t o keep t h e

    sp ec i f i c g r av i ty a t 0 .843 t o 0 .844.

    Development: Ascending, i n ta nk

    8

    x

    11

    x 15% i n ;

    4

    shee ts being run a t a

    time. T i m e

    of run,

    5

    hours .

    Loca t ion unde r u l t r av io l e t l i gh t , abso rp t ion ;

    loca t ion reagen ts

    :

    weak re ac ti on ; bromocresol green sp ra y,

    weak reac t ion . Rf

    0 . 2 0 .

    I t

    can be

    I

    odopla t na te spray

    ;

    ( 2 ) Paper: Whatman

    No. 1

    o r

    No.

    3,

    sheet 17

    x

    19

    cm,

    implegnated by dipping

    i n a 10% s o l u t i o n o f t r i b u t y r i n i n

    acetone and dry ing in a i r .

    Sample:

    ethanol or chloroform.

    Solvent: Acetate b u f f e r (pH 4.58).

    Equi l ibr a t io n: The beaker conta inin g t h e

    so lven t i s e q u i l i b r a t e d i n a t h e r m o s t a t i c a l l y

    cont ro l led over

    a t

    95O f o r about 15

    minutes.

    Development: Ascending, t h e pap er

    i s

    folded

    i n t o

    a

    cy l inder and c l ipped , th e cy l inder

    i s

    i n se r t e d in t he beake r con ta in ing th e

    solvent which

    i s

    not removed from the oven.

    A

    pla t e -g l ass d i sk t h i ck ly smeared wi th

    s i l i co ne grease may ser ve

    as

    a cover. T i m e

    of

    run , 15 t o

    20

    minutes.

    5 p1 of

    1

    t o 5 s o l u t i o n s i n

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    NEOSTIGMINE

    435

    Locat ion: Under u l t r av io l e t l i g h t ,

    absorp t ion ,

    R f

    1.00.

    (3) Paper and sample a s i n 2 above.

    Solv ent: Phosphate bu ff er (pH 7. 4) .

    Equi l ibr a t io n: The peak conta inin g t h e

    so lven t

    i s

    equ i l i b r a t ed in a t he rmos ta t i -

    c a l l y co nt rol le d oven a t 86' f o r about

    15 minutes.

    Development: as in 2 above.

    Locat ion: Under u l t r av io l e t l i gh t ,

    absorp t ion ,

    R f

    0.66.

    8 .5. 2 Thin-Layer Chromatography (TLC)

    Anand (41) reported a thin - lay er chromato-

    graphic and spectrophotometr ic invest iga-

    t i o n on t h e i d e n t i f i c a t i o n o f

    a

    phenol ic

    impu rity i n neos tigm ine. The samples

    of

    neostigmine

    were

    app lie d on

    TLC

    p l a t e s

    coated with alumina-D and were

    developed

    for 30 minutes with chloroform-benzene-

    methanol (5:4:1) t o giv e

    a

    good separat ion.

    Neostigmine was det ec te d with i od in e

    vapours o r wi th Dragendorff ' s re agen t .

    u l t r a v io l e t spec t ropho tomet r ic t e chnique

    i s

    a l s o used f o r q u a n t i t a t i v e e st i m a ti o n .

    Neostigmine has a maxima a t 261 nm.

    Po rs t and Kny (42) de sc ri be d an al ys is of

    neostigmine eye drops using

    TLC

    system

    and ab sor pti on spec tros copy . The drug

    i s

    de te ct ed and determined by

    TLC

    on

    c e l l u l o s e and u l t r a v i o l e t o r v i s i b l e

    spectrophotometry

    i s

    done a f t e r fo rmat ion

    of colored compound with 3,S-dichloro-p-

    benzoquinonechlorimine

    o r

    sodium n i t r i t e

    o r 4-dimethylaminobenzaldehyde.

    The

    Clarke

    (11) descr i bed th e fol lowing:

    Pla te :

    Glass p l a t e , 20

    x 20

    cm,

    coated wi th

    a s l u r r y c o ns i st i ng o f 30

    g

    o f s i l i c a ge l

    G

    i n

    60 m l

    o f w at er t o g i v e - a l a y e r 0. 25 mm

    l i k e and d r i ed

    a t

    110 for 1 hour.

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    A. A. AL-BADR AND M. TARIQ

    Sample:

    ac id .

    Solv ent: Stro ng ammonia so lu ti on :

    methanol (1.5

    :

    100).

    I t

    should be

    changed a f t e r two runs.

    Equi l ibr a t io n: The solv ent

    i s

    allowed t o

    s t an d i n t h e t an k f o r 1 hour .

    Development: Ascending, i n a ta nk ,

    2 1 x

    21 x 1 0

    cm,

    th e end of th e tank be ing

    c ov er ed w it h f i l t e r pap er t o ass i s t

    ev apo rat io n. Time of run,

    30

    minutes.

    Locat ion reagen t : Ac id i f ie d iodo pla t ina t e

    s p ra y , p o s i t i v e r e a c t i o n ,

    R f

    0.02,

    8.5 .3

    Gas Liquid Chromatographic Methods

    1 u 1

    of a

    1

    o l u t i o n i n

    2 N

    a c e t i c

    Chan e t a1

    ( 4 3 )

    developed a s e n s i t i v e and

    se l e c t iv e ana ly t i ca l method fo r t he

    measurement o f neos tigmine i n human plasma

    us in g gas chromatography. Plasma

    conta ining neost igmine i s washed with

    ethyl e ther and buffered wi th potass ium

    iodide-g lyc ine so lu t ion , then iod ide-

    glycine-drug complexes

    are

    e x t r a c t e d i n t o

    dichloromethane. The e x t r ac t

    i s

    evaporated

    and the res idue

    i s

    dissolved in methanol.

    2 - 5 1-11 of methanol ic so lu t ion

    was

    i n j e c t e d

    i n t o gas chromatographic g l a s s column

    ( 2 m

    x

    0 . 2 5

    inches

    O.D.)

    packed with

    Diatomite

    C Q

    coated wi th

    3

    of

    O V - 1 , 3

    of

    OV-17

    o r

    3 . 8 of

    SE-30

    and s i l an i sed ;

    a

    ni t rogen se le c t iv e de t ec to r was used.

    Pyridostigmine bromide

    was

    used a s i n t e r na l

    sta nda rd . The temp erat ure was main tain ed

    a t 205OC and th e fl ow

    r a t e o f

    nitogen was

    30

    m l

    pe r minute. The de tec tio n l i m i t

    was 5 ng/ml and t h e r e

    was

    no in t e r f e r ence

    wi th o ther bas ic d rugs .

    Ward e t a1 ( 4 4 ) desc ribe d a simple G L C

    assay

    of

    neost igmine us ing die thyl

    ana log of neos t igmine as in te rna l s tandard .

    Neostigmine and i t s analog were dissolved

    in 25

    1.11 of

    chloroform. 2

    1.r1

    of

    chloroform solution was i n j e c t e d i n t o

    a

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    NEOSTIGMINE

    437

    gas chromatograph equip ed wi th a flame

    i on i sa t i on de t ec t o r and

    1 . 2

    m x

    2 mm I . D .

    glass column packed with 5% O V - 1 7 on

    Gas-Chrom

    Q

    i s

    used a t 210' wit h helium

    (40 ml/minute) a s a car r ie r gas and flame

    i on i za t i on de t e c t o r . For de t e rmi nat i on o f

    n eo st ig mi ne i n b i o l o g i c a l f l u i d s , t h e dr ug

    i s

    ext r ac ted in to ch loroform wi th added

    3-diethylcarbamoyloxy- N-trimethylanil

    inium

    iodide as t he i n t e rn a l s t anda rd . The

    r e l a t i v e r e t e n t i o n time of t h e drug and the

    s t anda rd i s

    1

    t o 1 .3 5.

    De Ruyte r

    t a1

    (45) developed a reversed-

    phase, ion -pa i r l i q u id chromatography

    o f

    quarternary ammonium compounds

    or

    t h e

    determinat ion of pyridost igmine,

    neost igmine, and edrophonium i n bi ol og ic al

    f l u i d s . The method i s based on ext ract ion

    of neost igmine in to wate r -sa tura t ed

    dichloromethane, then back-ext ract ion

    i s

    done with tetrabutyl ammonium hydrogen

    sulp ha te t o enhance th e recovery t o more

    than 86%. The e x t r a c t s a r e submi t ted

    t o

    chromatography on a v a r i e t y of reve rsed -

    phased columns f i t t e d with 214

    nm

    d e t e c t o r s . For b i o l o g i c a l e x t r a c t s a

    column (15 cm x 4.6 mm) of Ul t raspher e

    o c t y l 5 pm) p ro vi de d wi th an RP-2

    pre-column was used. F o r neost igmine

    e l u t i o n was c a r r i e d o ut w it h a s o l u t i o n

    cont ainin g sodium hep tanesulphonate

    (0.01 M ) ,

    sodium hydrogen phosphate

    (0.01

    M)

    and tetramethyl ammonium chloride (2.5 mM)

    i n aqueous 20% ac e t on i t r i l e . The mobi le

    phase (2

    m l

    per minute)

    was

    a d j u s t e d t o

    pH 3 wit h s u lp h ur ic a ci d , edrophonium was

    used as an in te rn a l s t andard . The

    c a l i b r a t i o n g r a p h s were r e c t i l i n e a r f o r

    upto 400 ng

    per

    m l . The

    l i m i t

    of

    detect ion was 5 ng per

    m l .

    o f

    v a r i a t i o n

    was 1 .5%.

    The coe f f i c i en t

    Davison

    e t

    a1 (46) described a method for

    simultaneous monitoring of plasma level

    of

    neostigmine and pyridostigmine in man.

    The assay involve pre l iminary ion p a i r

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    A . A. AL-BADR AND M . TARIQ

    ex t r ac t i on o f t h e d rugs and in t e r na l

    st an da rd s (3-d ipro ypl carbamoyloxy) 1-methyl

    pyridinium bromide) with the use of potassium

    iodide and of g lycin e buf fer .

    i s

    analysed by

    G L C

    (10% of OV-17 on

    Chromosorb

    W-AW (100-120

    mesh) with

    a

    ni t rogen -sens i t i ve de te c tor . The

    ca l i -

    bra t ion g raphs a r e r e c t i l i ne a r and

    reproduced over the range 5-100 ng per

    m l

    of e i t h e r d rugs i n 3

    m l

    samples.

    The extract

    Pohlmann and Cohan (47) developed a simpli-

    f i e d de te ct io n of qu ar te rn ar y ammonium

    compounds by ga s chromatography. The

    method has been app lie d t o pyri dost igmi ne,

    neostigmine and ac et yl ch oli ne. The

    qua r t e rna ry

    s a l t s

    i n t h e serum o r u r i n e

    a r e

    f i r s t

    converted with potassium

    t r i i o d i d e

    (K13) i n t o t h e i r io di es which

    ar e ex tra ct ed in to chloroform. The

    e x t r a c t i s evaporated in vacuum and the

    res idue i s d i s so lved in

    water o r

    hexane.

    The solution

    i s

    i n j ec t e d on t o a column

    (1 .8

    m

    x 2 mm) of Porapak

    Q

    (800-100 mesh),

    Chromosorb 101 (80-100 mesh)

    o r

    Chromosorb

    105 (80-100 mesh), opera ted a t 14SoC-17O0C

    with helium o r n i t rogen a s c a r r i e r gas

    (20 m l per ml) .

    qua rte rna ry ammonium io di de s a r e the rma lly

    decomposed, and th e methyl io di de re le as ed

    i s measured with a 63Ni electron-capture

    d e te c to r . E xt ra ct io n y i e l d s a r e a t l e a s t

    95% and down t o

    1 0

    f-mol of qua r t e rna ry

    ammonium compound can be detected with

    good reproducibi l i ty .

    On the column the

    Chan and Dehghan (48) descr ibed a

    GLC

    method

    f o r

    i s o l a t io n and de te rmina t ion of

    neost igmine, pyr idost igmine and thei r

    metabol i te s i n human bio lo gic al f l u i ds .

    The method involves

    a

    pre l iminary ,

    s e l e c t i v e i o n -p a i r e x t r a c t i o n o f t h e d ru gs

    and t h e i r metabol i t es in to d ich loromethane

    and in

    dichloromethane-acetone)

    ,

    resp ect i vely . The an aly s i s of ext ra ct was

    done by G L C on a column of

    3%

    (drug) o r

    10% (me ta bo l it e) o f OV-17 on Chromosorb AW,

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    NEOSTIGMINE

    439

    with a ni t rogen-sens i t ive de tec to r .

    For

    the determination of 3-hydroxytrimethyl

    ani l i nium ion; a major metabo l i te of

    neostigmine,

    3-hydroxy-N-methylpyridinium

    ion was used as a in te r na l s tanda rd.

    As

    l i t t l e as

    3 ng/ml of neost igmi ne and upto

    50 ng/ml of i t s metabolite can be

    determined i n bi ol og ic al samples.

    8. 6 Ion-S electi ve Ele ctr ode s Method

    Kina t a1

    (49)

    described a method of neostigmine

    ana lys is based on ion-se le c t ive e lec t rodes

    s e n s i t i v e t o some orga ni c compounds used a s drugs.

    Liquid membrane ele ctr ode s se ns i t iv e t o neo st i g-

    mine have been made by the ion-association

    e x t r a c t i on method. The exchange components used

    were

    cr ys ta l v io le t , d ip icrylamine , sodium

    tet rap ent yl bora te , l , lO-phenanthroline , 4 ,7-

    diphenyl- 1,lO-phenanthroline

    for these compounds were 1,Z-dichloroethane and

    nitrob enzen e. The choic e of s o l ve n t s a f f e c t e d

    with s e l e c t i v i t i e s of t he membranes but th e choice

    of ion-exchange components d id no t.

    s e l e c t i v i t i e s r e l a t i v e t o un iv al en t c a t i on s

    were

    mostly bet ter than 10-4.

    range of electrodes was 10 V M t o

    0 . 1

    M with a

    response of 59 m V per decade change in the

    concent ra t ion of the drug.

    be used i n an al ys is of mixed pharmaceutical

    prepara t ions .

    Diamandis and Christopoulos (26) reported a

    po ten t iomet r ic t i t r a t i o n o f neost igmine and o t he r

    pharmac eutic al compound i n pharmac eutical formu-

    l at io n with sodium tet rah ydr obo rat e. (See

    Sect ion 8 . 2 . 1 . ) .

    tetraphenylborate-selective

    e lec t rode .

    The so lv en ts used

    The

    The useful concentrat ion

    The electrodes could

    The end po in t was det ec te d by a

    8. 7 Po la ro gr aphi c Method

    Novotny (50) devised a pola rog rap hic method f o r

    the determination of neostigmine in pharmaceutical

    prepa ra t io ns having a concent ra t ion o f

    0 .5

    mg/ml

    of the drug.

    hydrolys is of neost igmine and n i t r a t io n of

    re su lt in g phenol, followed by polarography of

    This method i s based on the

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    A . A. AL-BADR AN D M. TARIQ

    r e s u l t i n g d e r i v a t iv e . The n eo s tig min e so l u t io n

    ( 0 . 2

    t o

    0 . 6

    m l of

    0.1%) i s

    evapora ted t o d ryness

    in a

    50 m l

    beaker on a water b a th .

    1

    bll of KOH

    s o l u t i o n

    ( 2 0 ) i s

    added and warmed on t h e ba th

    f o r

    2 0

    minutes and again evaporated t o dryness.

    0 . 5 M 1

    of

    water and 2 m l of conc.

    HN03

    (65%)

    i s

    added and warmed fo r

    20

    minu tes and cooled. 10

    M 1

    of

    KOH s o l u t i o n

    (20%)

    is added and the volume

    made upto 14.5 m l with water. The est imation

    i s

    carr ied out by polarography, wi th

    a

    galvanometer

    s e n s i t i v e t o

    10-9

    amp.

    concen t ra t ion

    of

    neostigmine in an unknown

    s o l u t i o n , s o l u t i o n o f t h e unknown conce nt rat ion of

    neostigmine

    i s

    t r e a t e d

    as

    described above, both

    with and without

    a

    known amount of neost igmine .

    To determine the

    Acknowledgements

    The authors would l i k e t o thank Mr. Syed A l i Jawad, College

    of Pharmacy,

    King Saud Univers i ty fo r h i s t e chn ic a l assis-

    tance and Mr. Tanvir

    A.

    Bu tt or h i s s e c r e t a r i a l a s s i s t a n c e

    in typ ing the manuscr ip t .

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    NEOSTIGMINE

    441

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