Pre-mixed, ready-to-use pharmaceutical compositions
Provided herein are ready-to-use premixed pharmaceutical compositions of nicardipine or a pharmaceutically acceptable salt and methods for use in treating cardiovascular and cerebrovascular conditions.
1. A method for preventing acute elevations of blood pressure in a human subject in need thereof, said method comprising parenterally administering a pharmaceutical composition comprising a pre-mixed aqueous solution comprising:
from about 0.1 to 0.4 mg/mL nicardipine or a pharmaceutically acceptable salt thereof; and
a tonicity agent;
the aqueous solution contained in a pharmaceutically acceptable container such that the solution is in contact with non-polar polymers;
wherein the composition requires no dilution before administration and has a pH from about 3.6 to about 4.4, the aqueous solution when stored in the container for at least three months at room temperature exhibiting (i) less than a 10% decrease in the concentration of nicardipine or pharmaceutically acceptable salt thereof and (ii) a total impurity formation of less than about 3%.
2. The method of claim 1 , wherein the pharmaceutically acceptable salt is nicardipine hydrochloride.
3. The method of claim 2 , wherein the quantity of nicardipine hydrochloride is in the range from about 0.1 to about 0.2 mg/ml.
4. The method of claim 1 , wherein the tonicity agent is selected from the group consisting of dextrose and sodium chloride.
5. The method of claim 4 , wherein the tonicity agent is dextrose.
6. The method of claim 4 , wherein the tonicity agent is sodium chloride.
7. The method of claim 1 , wherein the pharmaceutical composition further comprises a cosolvent.
8. The method of claim 7 , in which the cosolvent is sorbitol.
9. The method of claim 1 , wherein the pharmaceutical composition comprises sorbitol in a quantity in the range of from about 1.92 mg/ml to about 3.84 mg/ml.
10. The method of claim 1 , wherein the pharmaceutical composition further comprises a pH adjuster selected from the group consisting of an acid and a base.
11. The method of claim 1 , wherein the osmolality of the pharmaceutical composition is in the range from about 250 to 350 mOsm/kg.
12. The method of claim 1 , wherein the pharmaceutically acceptable container is selected from the group consisting of intravenous bags and bottles.