Mepivacaine Hydrochloride and Levonordefrin Injection
» Mepivacaine Hydrochloride and Levonordefrin Injection is a sterile solution of Mepivacaine Hydrochloride and Levonordefrin in Water for Injection. It contains not less than 95.0 percent and not more than 105.0 percent of the labeled amount of mepivacaine hydrochloride (C15H22N2O·HCl) and not less than 90.0 percent and not more than 110.0 percent of the labeled amount of levonordefrin (C9H13NO3).
Packaging and storage— Preserve in single-dose or multiple-dose containers, preferably of Type I glass.
Labeling— The label indicates that the Injection is not to be used if its color is pinkish or darker than slightly yellow or if it contains a precipitate.
USP Reference standards 11
USP Endotoxin RS
USP Levonordefrin RS Click to View Structure
USP Mepivacaine Hydrochloride RS Click to View Structure
Color and clarity—
Standard solution— Transfer 2.0 mL of 0.100 N iodine VS to a 500-mL volumetric flask, dilute with water to volume, and mix.
Procedure— Visually examine a portion of the Injection (Test solution) in a suitable clear glass test tube against a white background: it is not pinkish and it contains no precipitate. If any yellow color is observed in the Test solution, concomitantly determine the absorbances of the Test solution and the Standard solution in 1-cm cells with a suitable spectrophotometer set at 460 nm: the absorbance of the Test solution does not exceed that of the Standard solution.
A: Extract a volume of Injection, equivalent to about 200 mg of mepivacaine, with two 10-mL portions of ether, and discard the ether extracts. Render slightly alkaline with sodium carbonate TS, extract the precipitate with ether, evaporate the ether extract on a steam bath to dryness, and dry the residue in vacuum at 60 for 1 hour: the mepivacaine so obtained melts between 149 and 153.
B: It meets the requirements of the tests for Chloride 191.
Bacterial endotoxins 85 It contains not more than 0.8 USP Endotoxin Unit per mg of mepivacaine hydrochloride.
pH 791: between 3.3 and 5.5.
Other requirements— It meets the requirements under Injections 1.
Assay for mepivacaine hydrochloride— Proceed as directed for the Assay under Mepivacaine Hydrochloride Injection.
Assay for levonordefrin
Ferro-citrate Solution and Buffer Solution— Prepare as directed under Epinephrine Assay 391.
Standard preparation— With the aid of 20 mL of sodium bisulfite solution (1 in 50), transfer about 25 mg of USP Levonordefrin RS, accurately weighed, to a 50-mL volumetric flask, dilute with water to volume, and mix. Transfer 5 mL of this solution to a 50-mL volumetric flask, dilute with sodium bisulfite solution (1 in 500) to volume, and mix to obtain a solution having a known concentration of about 50 µg per mL. [note—Make the final dilution at the time the assay is to be carried out. ]
Assay preparation— Use the Injection, diluting, if necessary, to obtain a concentration of about 50 µg of levonordefrin per mL.
Procedure— Proceed as directed under Epinephrine Assay 391, except to read levonordefrin wherever epinephrine (base) is called for. When the Ferro-citrate Solution and the Buffer Solution are mixed with the Assay preparation, a fine precipitate may be formed. Remove this precipitate by centrifugation or by passing through dry filter paper before the colorimetric measurements are taken. Calculate the quantity, in mg, of levonordefrin (C9H13NO3) in each mL of the Injection taken by the formula:
C(VF / VT)(AU / AS)
in which C is the concentration, in mg per mL, of USP Levonordefrin RS in the Standard preparation; VF is the final volume of the Assay preparation after dilution; VT is the volume of Injection taken to prepare the Assay preparation; and AU and AS are the absorbances of the Assay preparation and the Standard preparation, respectively. [note—When dilution of the Injection is not necessary, VF / VT is equal to 1. ]
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Topic/Question Contact Expert Committee
Monograph Mary S. Waddell
Scientific Liaison
(SM42010) Monographs - Small Molecules 4
Reference Standards RS Technical Services
85 Radhakrishna S Tirumalai, Ph.D.
Principal Scientific Liaison
(GCM2010) General Chapters - Microbiology
USP35–NF30 Page 3806