In vitro Assessment of the Adsorption Efficacy of Activated Charcoal versus Kaolin on some used Medications of Narrow Index of Safety

Authors

  • Asmaa Abdelaziz Mohamed College of Pharmacy, Al-Zahraa University for Women, Karbala, Iraq.
  • Firas Aziz Rahi Department of Pharmacy, Al-Nisour University College, Baghdad, Iraq
  • Amna F. Alberqdar Ministry of Health, Medical City Department, Oncology Teaching Hospital, Baghdad, Iraq
  • Teeba Abdellatif Aziz Ministry of Health, Rusafa Health Department, Specialized Dental Health Center, Baghdad, Iraq

DOI:

https://doi.org/10.31351/vol33iss4pp96-101

Abstract

The purpose of this study is to investigate the in vitro adsorption power of activated charcoal (AC), light kaolin (LK), and heavy kaolin (HK) at a concentration of 0.2% weight-per-volume (w/v) on high dosages (10 tablets) of a variety of medications that have a narrow safety index. This will be done by testing the adsorption capacity of the three types of kaolin at the same concentration. This list includes a variety of drugs, some of which are as follows: diazepam, metoclopramide, theophylline, digoxin, and diltiazem HCL. The test was done by dissolving the pharmaceuticals from their tablets in the presence of the adsorbents while using simulated gastric fluid as the medium. This was done in order to determine how well the medications would work in the stomach. This was done in order to ascertain whether or not the method in question was successful. In order to evaluate the efficacy of these adsorbents as antidotes to treat oral overdoses of these medicines and to determine the success of this process, the goal of this treatment was to find out whether or not this treatment was successful. Activated charcoal had the capability of virtually completely absorbing all of the drugs that were put through their paces. Diazepam, metoclopramide, digoxin, and theophylline were some of the medications that were involved. Diltiazem was another one of the medicines that were involved. Both the light and heavy versions of kaolin were only able to absorb a restricted quantity of the illicit substances. The other types of adsorbents that are utilized do not compare to the capabilities of activated charcoal when it comes to the absorption of chemicals.

How to Cite

1.
Asmaa Abdelaziz Mohamed, Firas Aziz Rahi, Amna F. Alberqdar, Aziz TA. In vitro Assessment of the Adsorption Efficacy of Activated Charcoal versus Kaolin on some used Medications of Narrow Index of Safety. Iraqi Journal of Pharmaceutical Sciences [Internet]. 2024 Dec. 20 [cited 2024 Dec. 21];33(4):96-101. Available from: https://bijps.uobaghdad.edu.iq/index.php/bijps/article/view/2654

Publication Dates

Received

2023-05-26

Revised

2023-06-05

Accepted

2023-10-16

Published Online First

2024-12-20

References

Shaban MS, Kang J, Kim D. Surfactants: Recent advances and their applications, Composites Communications 2020; 22(1) :100537. DOI: 10.1016/j.coco.2020.100537.

Alwan HL and Alwan BT & Mahmoud AH. Thermodynamic study of adsorption of a mixture of Nolvadex and nanoparticle ferric oxide that prepared on the surface of activated charcoal. Egypt. J. Chem 2021; 64(10): 5915 – 5918. DOI: 10.21608/EJCHEM.2021.66722.3435

Jasim M S,Baban SR & Jasim SH. Adsorption of glimepride on activated charcoal and Iraqi kaolin from aquous solution. Iraqi Journal of medical sciences 2013; 11 (1)

Hassen HJ, Ferhan SM, Ayfan HA. Fexofenadine Adsorption by Activated Charcoal Impregnated with Hydrogen Peroxide. Iraqi Journal of Science 2020; 61: 1245-1252. DOI: 10.24996/ijs.2020.61.6.1

Zellner T, Prasa D, Färber E, Hoffmann-Walbeck P, Genser D & Eyer F. The Use of Activated Charcoal to Treat Intoxications. Dtsch Arztebl Int 2019; 116: 311–7. DOI: 10.3238/arztebl.2019.0311

Hoegberg LCG, Shepherd G, Wood DM, Johnson J, Hoffman RS, Caravati EM et al. Systematic review on the use of activated charcoal for gastrointestinal decontamination following acute oral overdose. Clin Toxicol (Phila) 2021; 59:1196-1227.

Fadzail F, Hasan M, Ibrahim N, Mokhtar Z, Asih PY4, Syafiuddin A. Adsorption of Diclofenac Sodium Using Low-Cost Activated Carbon in a Fixed-Bed Column Biointerface Research in Applied Chemistry 2022; 12(6):8042 – 8056. DOI: 10.33263/ BRIAC126. 80428056

Finn M, Giampietro G, Mazyck D and Rodriguez R. Activated Carbon for Pharmaceutical Removal at Point-of-Entry. Processes 2021; 9(7):1091. DOI: 10.3390/pr9071091

Mustapha S, Ndamitso MM, Abdulkareem AS, Tijani JO, Mohammed AK, Shuaib DT. Potential of using kaolin as a natural adsorbent for the removal of pollutants from tannery wastewater. Heliyon. 2019; 5(11): e02923. DOI: 10.1016/j.heliyon.2019.e02923.

Votaw VV, Geyer R, Rieselbach MM, McHugh RK. The epidemiology of benzodiazepine misuse: a systematic review. Drug Alcohol Depend 2019; 200:95–114. DOI: 10.1016/j.drugalcdep.2019.02.033.

Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL: Increasing benzodiazepine prescriptions and overdose mortality in the United States, 1996–2013. Am J Public

Health 2016; 106:686–8. DOI: 10.2105 /AJPH. 2016.303061

Dural, E., & Kaya, B.N: Determination of diazepam in human plasma by developed and validated a high-performance liquid chromatographic ultraviolet method. İstanbul Journal of Pharmacy 2022; 52(1): 37-46. DOI: 10.26650/IstanbulJPharm.2022.877867

Harada T, Hirosawa T, Morinaga K, Shimizu T. Metoclopramide-induced Serotonin Syndrome. Intern Med 2017; 56(6):737-739. DOI:10.2169/internalmedicine.56.7727.

Wolfes J, Ellermann C, Burde S, Fehr M, Eckardt L, Frommeyer G. Proarrhythmic potential of metoclopramide in a sensitive whole-heart model. Basic Clin Pharmacol Toxicol 2021; 128: 741– 746. DOI: 10.1111/bcpt.13567

Yang E, Jacques DR and Herath J. 5-Year Retrospective Review of Diltiazem Associated Deaths, Research & Reviews: Journal of Hospital and Clinical Pharmacy 2017; 3(3)

Gummin DD, Mowry JB, Beuhler MC, Spyker DA, Brooks DE, Dibert KW, Rivers LJ, Pham NPT, Ryan ML: 2019 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 37th Annual Report. Clin Toxicol (Phila) 2020; 58(12):1360-1541. DOI: 10.1080/15563650.2020.1834219

Angraal S, Nuti SV, Masoudi FA, James V. Freeman JV, Murugiah K, Shahet ND al. Digoxin Use and Associated Adverse Events Among Older Adults. Am J Med, 2019; 132: 1191. DOI: 10.1016/j.amjmed.2019.04.022

Milenkovic M, Marinković V, Sibinovic P, Palic R, Milenović D. An HPLC method for the determination of digoxin in dissolution samples. Journal of the Serbian Chemical Society, 2010; 75: 1583-1594. DOI: 10.2298/JSC100106123M.

Karaman R, Qadommi A, Khamis M, Qurie M. Paracetamol Detoxification Using ODTMA Micelles-Activated Charcoal Complex. EC Pharmacology and Toxicology 2018; 6: 13-21.

Saeed-ul-Hassan S, Hussain K, Raza S, Rehman N. Adsorption of paracetamol on activated charcoal, Bull. Pharm. Sci., Assiut University, 2004; 27: 325-330.

Ahmed AS, Alsultan M, Hameed RT, Assim YF, Swiegers GF. High Surface Area Activated Charcoal for Water Purification. Journal of Composites Science. 2022; 6(10):311. DOI:10.3390/jcs6100311

Hassen J, Abdulkadir H. Recent developments in the use of activated charcoal in medicine. Journal of Medical Science 2022; 91: e647. DOI: 10.20883/medical e647.

Isoardi, K.Z., Henry, C., Harris, K. et al. Activated Charcoal and Bicarbonate for Aspirin Toxicity: a Retrospective Series. J. Med. Toxicol 2022. 18, 30–37. DOI: 10. 1007/ s13181-021-00865-0

Hatanaka K, Kamijo Y, Kitamoto T, Hanazawa T, Yoshizawa T et al. Effectiveness of multiple-dose activated charcoal in lamotrigine poisoning: a case series, Clinical Toxicology 2022; 60:379-381. DOI: 10 .1080 /15563650.2021.1953518

Downloads

Published

2024-12-20