Pentamidine Isethionate
(pen tam' i deen eye'' se thye' oh nate).
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C19H24N4O2·(C2H6O4S)2 592.70
Ethanesulfonic acid, 2-hydroxy-, compd. with 4,4'-[1,5-pentanediylbis(oxy)]bis [benzenecarboximidamide];     
4,4'-(Pentane-1,5-diylbis(oxy))dibenzimidamide bis(2-hydroxyethanesulfonate)     [140-64-7].
DEFINITION
Pentamidine Isethionate contains NLT 98.5% and NMT 101.5% of C19H24N4O2·(C2H6O4S)2, calculated on the dried basis.
IDENTIFICATION
•  B. Oxygen-Flask Combustion 471
Barium chloride solution:  60 mg/mL of barium chloride in water
Analysis:  Burn 150 mg, using 10 mL of 3% hydrogen peroxide as the absorbing liquid. When the process is complete, acidify with 1 mL of diluted hydrochloric acid, and add 1 mL of the Barium chloride solution.
Acceptance criteria:  A white precipitate is formed.
•  C. The retention time of the pentamidine isethionate peak of the Sample solution corresponds to that of the Standard solution, as obtained in the test for Organic Impurities.
ASSAY
•  Procedure
Sample solution:  5 mg/mL in dimethylformamide. Add 0.25 mL of thymol blue TS.
Analysis:  Titrate under a stream of nitrogen with 0.1 M tetrabutylammonium hydroxide VS, determining the endpoint until the color changes to intense blue. Perform a blank determination, and make any necessary correction (see Titrimetry 541). Each mL of 0.1 M tetrabutylammonium hydroxide is equivalent to 29.63 mg of C19H24N4O2·(C2H6O4S)2.
Acceptance criteria:  98.5%–101.5% on the dried basis
IMPURITIES
Inorganic Impurities 
•  Heavy Metals, Method I 231: NMT 20 ppm
•  Residue on Ignition 281
Acceptance criteria:  NMT 0.1% on a 1-g sample
Organic Impurities 
•  Procedure
Buffer:  30 mg/mL of ammonium acetate in water, adjusted with triethylamine to a pH of 7.5
Mobile phase:  Methanol and Buffer (65:35)
System suitability solution:  Prepare 40.0 mL of a 2.5 mg/mL solution of USP Pentamidine Isethionate RS in water. Adjust with 0.2 M sodium hydroxide to a pH of 10.5, and boil under reflux for 20 min. Cool, and dilute with water to 50.0 mL. Transfer quantitatively 1 mL of this solution to a 50-mL volumetric flask, and dilute with Mobile phase to volume.
Standard solution:  2 µg/mL of USP Pentamidine Isethionate RS in Mobile phase
Sample solution:  1.0 mg/mL of Pentamidine Isethionate in Mobile phase. [Note—It must be demonstrated that the final product does not contain a detectable amount of alkyl 2-hydroxyethanesulphonates, a potential in-process impurity. ]
Chromatographic system 
Mode:  LC
Detector:  UV 265 nm
Column:  4.6-mm × 25-cm; 5-µm packing L1
Flow rate:  1 mL/min
Injection size:  10 µL
Run time:  3.5 times the retention time of pentamidine
System suitability 
Sample:  System suitability solution
Suitability requirements 
Resolution:  NLT 2 between the two major peaks.
[Note—The chromatogram shows two major peaks. ]
Analysis 
Samples:  Standard solution and Sample solution
Acceptance criteria 
Individual impurities:  NMT 0.4%. [Note—Exclude any other peak producing a response of less than 0.02%. ]
Total impurities:  NMT 0.7%
SPECIFIC TESTS
•  pH 791: 4.5–6.5, in a carbon dioxide-free aqueous solution containing 50 mg/mL of Pentamidine Isethionate
•  Loss on Drying 731: Dry at 105: it loses NMT 4.0% of its weight.
ADDITIONAL REQUIREMENTS
•  Packaging and Storage: Preserve in tight containers, protected from light. Store at controlled room temperature.
•  USP Reference Standards 11
USP Pentamidine Isethionate RS Click to View Structure
    C19H24N4O2·(C2H6O4S)2    
Auxiliary Information— Please check for your question in the FAQs before contacting USP.
Topic/Question Contact Expert Committee
Monograph Leonel M. Santos, Ph.D.
Senior Scientific Liaison
1-301-816-8168
(SM12010) Monographs - Small Molecules 1
Reference Standards RS Technical Services
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USP35–NF30 Page 4256
Pharmacopeial Forum: Volume No. 35(3) Page 570