Behaviour of Tetrabenazine in Acid Medium: Reassessment and Impact on Formulation

Thorough studies of previous analytical stress data of tetrabenazine, a dopamine depleting agent, showed a potential susceptibility to acidic conditions. Hence, the behavior of tetrabenazine acidic solutions was studied by LC-MS and NMR spectroscopy. Reverse-phase LC-MS analysis of tetrabenazine aci...

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Main Authors: Laurent Ettouati (Author), Zoé Senta-Loys (Author), Sandrine Bourgeois (Author), Bernard Fenet (Author), Marc Le Borgne (Author), Hatem Fessi (Author)
Format: Book
Published: MDPI AG, 2019-01-01T00:00:00Z.
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Summary:Thorough studies of previous analytical stress data of tetrabenazine, a dopamine depleting agent, showed a potential susceptibility to acidic conditions. Hence, the behavior of tetrabenazine acidic solutions was studied by LC-MS and NMR spectroscopy. Reverse-phase LC-MS analysis of tetrabenazine acidic aqueous solutions consistently showed a main lipophilic impurity in a proportion of 15 to 20%. NMR spectroscopy studies did not allow to completely ascertain its structure. However, we hypothesize an interconversion of <i>trans</i>-tetrabenazine with its unstable <i>cis</i> isomer via an open isoquinolinium intermediate. Evaluation of tetrabenazine integrity in orodispersible films was reassessed in light of these observations after formulation and during stability study. Even if interconversion of <i>trans</i>-tetrabenazine with its <i>cis</i> isomer was observed in orodispersible films containing tetrabenazine, this phenomenon seems not to have any consequences for the overall tetrabenazine bioavailability.
Item Description:1999-4923
10.3390/pharmaceutics11010044