Table I

Summary of Pharmaceuticals Reported in the Literature Evaluating Gamma Irradiation as a Sterilization Technology

SubstanceIndicationRadiation ConditionsInvestigation MethodsObservations
Acebutolol hydrochloride, Atenolol, Esmolol hydrochloride, Labetalol hydrochloride, Metoprolol tartrate, Nadolol, Pindolol, Propanolol (24)Beta-blockersSamples were irradiated in closed vials protected from light and received a dose of 30 kGy at a dose rate of 417 Gy/hESR, HPLC
  • Results for seven of the eight beta blockers demonstrated to be radioresistant (except nadolol)

  • Most sensitive drugs, nadolol and esmolol hydrochloride, were studied by HPLC and showed no significant loss of activity

Albendazole (25)InfectionSolid; 3, 5, 10, 15, 25, and 34 kGyESR
  • Two different radical species were produced

  • Gamma radiation dose can be estimated with accuracy better than 6% in the 5–34 kGy dose range when albendazole is used as a dosimetric material

Amylase, Liquid carbohydrase, Pepsin, Trypsin (26)Enzymes2–15 kGyEnzymatic activity
  • Amylase—enzyme activity and enzyme effect were lowered with doses higher than 7 kGy

  • Trypsin and pepsin were stable between 7 and 10 kGy

  • Amylase is sensitive to irradiation; 7 kGy (57–72% activity) and 10 kGy (35–60% activity)

  • Liquid carbohydrase showed no difference between irradiated and control after 2 weeks, no change if dose is <3 kGy, and slight decrease in activity when >5 kGy after 4 months; after 1 year 60% of the original activity was maintained

Benzylpenicillin, Erthromycin-lactobiontate, Neomycin-sulphate (27)AntibioticSolid; 0.4, 0.8, 1.6, 3.2 kGySterility
  • Drugs sterilized at less than 10 kGy

  • No evaluation of drug stability as a consequence of radiation dose

Cellulose, Starch as excipients in various amino acids (28)ExcipientsSolids ground togetherEPR, TLC, GPC
  • Radiation as well as mechanical treatments induced radical production

  • Paper describes techniques that can be used as proof that drugs, excipients, and cosmetic products have been irradiated or mechanically treated

Cefotaxime sodium salt (29)AntibioticSolid; 25 kGyHPLC-UV
  • Degradation was reported as ≤0.1% of sample

  • Radiosterilization led to the formation of unique nonvolatile compounds

  • Similar UV spectra of the radiolytic compounds and cefotaxime suggested close molecular structures

Cefotaxime sodium salt, Cefuroxime sodium salt, Ceftazidime (30)AntibioticSolid; 25 kGyGC, MS, IR
  • Volatile compounds produced are aldehyde, esters, and sulfide, which are very malodorous compounds (7 species for Cefotaxime sodium salt, 9 species for Cefuroxime sodium salt, 1 species for Ceftazidime)

  • One compound is suspected to be acetaldehyde O-methyloxime, whose structure comes from the general structure of cephalosporins

Ceftriaxone and Latamoxef (31)Antibiotic5–20 kGyESR
  • After 26 and 57 days of storage, the loss of free radicals were, respectively, 43.3% and 73.3% for latamoxef, and 48.8% and 64% for ceftriaxone

  • ESR technique can be used for identification and quantification purposes in the irradiation of pharmaceuticals

Cephradine (32)AntibioticSolid with or without in nitrogen atmosphere, humidity controlled; 10, 20, 30, 40 kGyDifferential Scanning Calorimetry (DSC), UV, Polarimetry, HPLC, MS, ESR
  • Several impurities detected by HPLC that were above pharmacopoeia recommendations

  • Free radicals generated had long shelf lives (multiple years)

  • Not recommended for gamma/electron sterilization

Chloramphenicol, Furaltadone, Furazolidone, Secnidazole, Tinidazole, Metronidazole (33)Antibiotic, anti-protozoal agentDose from 0.5 to 1.5 kGy; predicted doses 25 kGyESR
  • Estimation of the dose is possible using the ESR spectroscopy

  • Radiolytic study should be performed to determine the radiolytic products and the feasibility of the gamma sterilization process

Curcumin-loaded alginate foams (34)AntibioticSolid; 31 kGyDrug load, color, physical characteristics, drug release properties
  • Curcumin load did not change after γ-sterilization

  • Strength of the hydrated foam was reduced

  • Release of curcumin in vitro was not detected after 6 h

Dobutamine (35)Heart failure<20 kGyESR
  • Equations are developed to describe the ESR curve versus dose and storage

  • Limit of detection and discrimination are 0.5 and 1.5 kGy, respectively

  • Linear regression is applicable for doses lower than 20 kGy

  • Discrimination between irradiated and non-irradiated dobutamine is possible after storage longer than 2 years

Fenoterol and Orciprenaline (36)Asthma25 kGy or lowerHPLC and ESR
  • The amount of impurities changed slightly at doses of 25 kGy or slightly below 25 kGy

  • Radiosterilization of orciprenaline and fenoterol may be practicable

  • Additional means is required to validate gamma sterilization

Gentamycin and Vancomycin minitablets (37)AntibioticSolid; 25, 50 kGyEPR, microbiological assay
  • ≤1% degradation of sample at the 25 kGy dose

  • EPR signal in the bioadhesive formulations still visible after 30 days of storage (radicals with long half-lives)

  • Radicals in the powder did not affect the drug content

Isoproterenol (38)Bradycardia, Heart Block, Asthma10–25 kGyHPLC and ESR
  • Irradiation stimulates the formation of free radicals

  • Irradiation doses ranging from 10 to 25 kGy could be evaluated post-irradiation by using linear regression

Metoclopramide hydrochloride (39)Excipient5 mg/mL without excipients and with 5% mannitol, 10 mg/mL pyridoxine hydrochloride or 10 mg/mL nicotinamide; 0, 5, 10, 15, and 25 kGyHPLC-DAD, LC-APCI-MS-MS
  • Several degradation products in the case without excipients

  • >90% recoveries for solutions containing either mannitol, nicotinamide, or pyridoxine-irradiated up to 15 kGy

Metronidazole (40)Antibiotic1–50 kGyESR, HPLC
  • Radiolytic products levels (ppm) increased with increasing the dose 10 to 200 kGy

  • Irradiation sterilization in solid dry state 10–25 kGy is feasible

Parabens [methyl paraben (MP), ethyl paraben (EP), propyl paraben (PB), and butyl paraben (BP)] (41)AntibioticSolid; 1–25 kGyEPR
  • Radiolysis of solid paraben (MP, EP, PP, BP) was not observed by ESR below 5 kGy dose

  • At doses of 25 kGy, low radiation yields (G ≤10−2) (i.e., a measure of molecules formed or destroyed per 100 eV)

  • Authors concluded that foods, cosmetics, and drugs containing parabens could be radiosterilized

Ritodrine hydrochloride (42)Pregnancy management25 kGyESR and HPLC
  • Ritodrine hydrochloride showed degradation of 2.8% at 25 kGy

  • Radiosterilization is not feasible, especially at high doses

Sulfafurazole (SFZ), Sulfamethoxazole (SMZ), Sulfacetamide sodium (SSA-Na) (43)AntibioticSolid; 5, 10, 25, and 50 kGypH, solubility, IR, UV, NMR, ESR, TLC, GC-MS, sterility, accelerated conditions
  • ESR signal was obtained from irradiated samples but not control samples

  • Lowest dose of 5 kGy resulted in an ESR signal.

  • Relatively small G-value (<0.1) for irradiated samples shows that sulfonamides were fairly resistant to gamma irradiation

  • GC-MS of sulfonamides irradiated up to 50 kGy resulted in different radiolytic intermediates

  • These sulfonamides did not lose antimicrobial activity against E. coli, E. faecalis, P. aeruginosa, or S. aureus; results were expressed as minimum inhibitory concentrations

  • No sterility assessment was reported within this study

Sulfamethazine (SMH) (44)AntibioticSolid; 0.5, 1, 2, 3, 5, 7, 7.5, and 10 kGyEPR
  • At doses as low as 0.5 kGy, radical species were generated

  • Low amounts of molecular degradation at 10 kGy

  • Authors claim that SMH drugs can be sterilized by gamma irradiation

  • Sterility of SMH irradiated at 10 kGy was not demonstrated

Sultamicillin tosylate (SULT) (45)AntibioticSolid; 3, 6, 10, and 15 kGyESR
  • Two radical species of different spectroscopic and kinetic features were reported

  • Radical species were unstable at higher temperatures with signal intensity decreasing about 50% within 20 min at 350 K.

  • Authors argue SULT could be a suitable pharmaceutical dosimeter for sterilization with high-energy radiation

Terbutaline (46)Asthma, Delay premature labor20 kGy or lowerESR
  • Increase in the irradiation dose increases the impurities

Theodrenaline (47)Cardiac stimulant1.6 kGy/h (up to 40 kGy)HPLC, ESR
  • Numerical simulations of the free radicals dependence on dose at ambient temperature were performed using linear regression, quadratic fit, and power function

  • Presence of free radicals could be observed in the sample after ∼60 days

  • Chromatographic comparison of irradiated versus un-irradiated samples only showed minor changes in the impurity profile

Triton X-100 (48)Excipient1 wt %; 0.1–70 kGyCloud point, critical micelle concentration (CMC), and superficial tension, MS, UV-VIS, NMR
  • No spectroscopic evidence demonstrated degradation of the aromatic ring or the hydrocarbon tail of the surfactant

  • Degradation of the polyethoxylated chains was attributed to water radical attack

  • Flory-Huggins model suggests that even a small fraction of cross-linked species formed after irradiation has a significant effect on the fine hydrophilic/lipophilic balance of the surfactant