Table 3. Drugs incompatible with cloxacillin sodiuma (100 mg/mL) in simulated Y-site administration (did not comply with USP specifications for particulate matter in injections).
Drug | Concentration (mg/mL) | Manufacturer | Lot | Incompatibility | |
1 | Amikacin sulfate | 250 | Sandoz | CB8036 | >30 x 25 µm particles/mL at T=0 |
2 | Azithromycin monohydrate | 100 | Sterimax | 7005545 | Precipitation at T=0 |
3 | Chlorpromazine hydrocholoride | 25 | Sandoz | AY5529 | Precipitation at T=0 |
4 | Ciprofloxacin lactate | 2 | Omega | A020282 | >30 x 25 µm particles/mL at T=0 |
5 | Diazepam | 5 | Sandoz | BB9997, 159114, CA4470 | >30 x 25 µm particles/mL at T=0 |
6 | Diphenhydramine hydrochloride |
50 | PPC | 6004001, 6003080 | Precipitation at T=0 |
7 | Dobutamine hydrochloride | 12.5 | Hospira | 12-088-DK | Precipitation at T=0 |
8 | Droperidol | 2.5 | Sandoz | BT 9146 | Precipitation at T=0 |
9 | Erythromycin lactobionate | 50 | Amdipharm | 88-409-TB-23 | Precipitation at T=0 |
10 | Gentamicin sulfate | 40 | Sandoz | CG2537 | Precipitation at T=0 |
11 | Hydralazine hydrochloride | 20 | Sterimax | 00501B10 | Yellow opaque at T=4h |
12 | Labetalol hydrochloride | 5 | Sandoz | CN4355 | Precipitation at T=0 |
13 | Lorazepam | 4 | Sandoz | CA7061 | >30 x 25 µm particles/mL at T=4h |
14 | Midazolam | 5 | PPC | 6003319, 6003849 |
Precipitation at T=0 |
15 | Morphine sulfate | 50 | Sandoz | BX6159 | Precipitation at T=0 |
16 | Nitroglycerin | 5 | Omega | 1F690 | >30 x 25 µm particles/mL at T=4h |
17 | Phenytoin sodium | 50 | Sandoz | CH9389, BK8196, CG2519, BT9159 | Precipitation at T=1h |
18 | Piperacillin sodium | 300 | Hospira | 1P301MC1 | >30 x 25 µm particles/mL at T=0 |
19 | Potassium phosphate | 3mmol/mL | PPC | 6103592 | >30 x 25 µm particles/mL at T=4h |
20 | Promethazine hydrochloride | 25 | Sandoz | BP2439 | Precipitation at T=0 |
21 | Rocuronium bromide | 10 | Merck | 179835 | Precipitation at T=0 |
22 | Ticarcillin/clavulanic acid | 200/6.7 | GSK | 553181 | >30 x 25 µm particles/mL at T=0 |
23 | Tobramycin sulfate | 40 | Sandoz | CB9754 | Precipitation at T=0 |
24 | Trimethoprim/Sulfamethoxazole | 16/80 | Aspen Triton | 1L255 | >30 x 25 µm particles/mL at T=0 & 4h |
25 | Vancomycin hydrochloride | 50 | PPC | 6103664 | Precipitation at T=0 |
Note: T=0 = initial time; T=1h = time at 1 hour; T=4h = time at 4 hours.
Sterimax, lot 1CL1218CA.