Stability of Copper Histidinate Injection and Histamine Formation in Menkes Disease

  • Kawasaki Yoichi
    Department of Hospital Pharmacy, Okayama University Medical and Dental School
  • Tokunaga Shin
    Department of Medicinal Pharmacology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Matsuka Naoyuki
    Department of Hospital Pharmacy, Okayama University Medical and Dental School
  • Izushi Michihiro
    Department of Hospital Pharmacy, Okayama University Medical and Dental School
  • Yokoyama Noriko
    Department of Hospital Pharmacy, Okayama University Medical and Dental School
  • Kawashima Rieko
    Department of Hospital Pharmacy, Okayama University Medical and Dental School
  • Kamei Chiaki
    Department of Medicinal Pharmacology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Sendo Toshiaki
    Department of Hospital Pharmacy, Okayama University Medical and Dental School
  • Gomita Yutaka
    Department of Hospital Pharmacy, Okayama University Medical and Dental School

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Other Title
  • ヒスチジン銅注射液の安定性およびヒスタミン含有量の検討

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Description

Menkes disease is characterized by inhibition of the absorption and transport of dietary copper. The Okayama University Medical and Dental School uses L-histidine-copper to treat this disease and in the present study, we examined the stability of the copper histidinate injection solution used for this purpose. High-performance liquid chromatography (HPLC) performed on day 56 following injection revealed that histidine levels had dropped to 90.4%, a non-significant decrease and histamine levels were unchanged. Moreover, atomic absorption spectrophotometry revealed that copper concentrations were not significantly decreased (89.7%) between days 0 and 56. Through visual observation, we noted a gradual increase in floats from day 42 to day 56, leading us to suggest that the use of copper histidinate be limited to 1 month.<br>The above results should alleviate any concern about histamine-associated adverse effects.

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