RT Journal Article SR Electronic T1 Aluminum Catalysis of Epinephrine Degradation in Lidocaine Hydrochloride with Epinephrine Solutions JF PDA Journal of Pharmaceutical Science and Technology JO PDA J Pharm Sci Technol FD Parenteral Drug Association (PDA) SP 232 OP 236 VO 36 IS 6 A1 Milano, E. A. A1 Waraszkiewicz, Sigmund M. A1 Dirubio, R. YR 1982 UL http://journal.pda.org/content/36/6/232.abstract AB The degradation rate of epinephrine in a lidocaine hydrochloride parenteral solution is greatly increased in the presence of soluble aluminum. While epinephrine in these solutions may degrade by racemi-zation, oxidation, or bisulfite addition, the results of this study indicate that aluminum catalyzed the bisulfite addition reaction. It is postulated that catalysis resulted from the formation of a stable monocatecholate complex between epinephrine and aluminum, which may have provided a more favorable pathway for the bisulfite reaction. Kinetic studies showed that lidocaine hydrochloride solutions with epinephrine, which contained as little as 2 ppm aluminum exhibit a t90% value for epinephrine of less than twelve months at room temperature.