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Palliative Medicine
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Epidural diamorphine and bupivacaine stability study

Louisa Kreeger

Pembridge Palliative Care Unit

Peter Cowin

Pharmacy, Charing Cross Hospital

Jocelyn Noble-Gresty

St Charles Hospital

Anne Naysmith

Pembridge Palliative Care Unit, London

Diamorphine and bupivacaine are commonly used together for spinal analgesia, although stability data relating to the mixture of the two drugs have not actually been established. We therefore performed a stability study using high performance liquid chromatography for both drugs and the British Pharmacopoeia 2,6-dimethylaniline limit test for bupivacaine, over a period of eight days and at room temperature. Diamorphine and bupivacaine were combined in various concentrations in 100 ml bags for use with the Bard patient controlled analgesia pump.

We found no significant change in concentration of either drug, and the 2,6- dimethylaniline limit test was well within set limits. We therefore conclude that it is safe to combine these two drugs in this way.

Key Words: analgesia • epidural • bupivacaine • diacetylmorphine • drug stability

Palliative Medicine, Vol. 9, No. 4, 315-318 (1995)
DOI: 10.1177/026921639500900406


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