Evidence map›Paper›PMID 34771040›Full record

ArticleMolecules (Basel, Switzerland)2021

Warfarin Sodium Stability in Oral Formulations.

Evangelia Dimitrokalli, Stefani Fertaki, Michail Lykouras, Petros Kokkinos, Malvina Orkoula, Christos Kontoyannis

Abstract read
In one paragraph

Article in Molecules (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Evangelia DimitrokalliDepartment of Pharmacy, University of Patras, GR-26504 Rio Achaias, Greece.
Stefani FertakiDepartment of Pharmacy, University of Patras, GR-26504 Rio Achaias, Greece.
Michail LykourasDepartment of Pharmacy, University of Patras, GR-26504 Rio Achaias, Greece.ORCID 0000-0001-7864-0911
Petros KokkinosInstitute of Chemical Engineering Sciences, Foundation of Research and Technology-Hellas (ICE-HT/FORTH), GR-26504 Platani Achaias, Greece.
Malvina OrkoulaDepartment of Pharmacy, University of Patras, GR-26504 Rio Achaias, Greece.
Christos KontoyannisDepartment of Pharmacy, University of Patras, GR-26504 Rio Achaias, Greece.ORCID 0000-0003-0452-1957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Warfarin sodium is a low-dose pharmaceutical blood thinner that exists in two forms: the clathrate form and the amorphous form. In commercially available warfarin sodium oral suspension, the active pharmaceutical ingredient (API) is added in the amorphous state. This study investigates the apparent instability of the commercially available warfarin liquid oral formulation using Raman and IR spectroscopy, X-ray diffraction, differential scanning calorimetry, UV spectroscopy, and optical microscopy. Warfarin, not its sodium salt, was identified as the undissolved solid existing in the suspension. This was found to be due to the dissociation of sodium salt and the protonation of the warfarin ion in the liquid phase, which triggered the crystallization of the sparingly soluble unsalted form. The coexistence of protonated and unprotonated warfarin ions in the supernatant, as detected by Raman and UV spectroscopy, confirmed this assumption. Study of the dissolution of warfarin sodium amorphous salt and crystalline sodium clathrate in the placebo and pure water verified the results. The effect of pH and temperature on warfarin precipitation was also explored.

Indexed as

Administration, OralDrug CompoundingDrug StabilityMolecular StructureParticle SizeWarfarinWarfarincrystallizationDSCIRoral suspensionRaman spectroscopywarfarinwarfarin clathratewarfarin sodium amorphousX-ray powder diffraction

Identifiers

PMID34771040
PMCPMC8588291

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.