Laboratory Small Low Temperature Recirculating Water Chiller-HT3receptor antagonists in infusion solutions: a comprehensive study
Guangzhao He
1Department of Pharmacy,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
2Department of Pharmacy, Changzhou Tumor Hospital, Changzhou, Jiangsu, China
Fan Zeng
3Nursing Department,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
Kai Lei
1Department of Pharmacy,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
Shu Xia
4Department of Oncology,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
Li Deng
1Department of Pharmacy,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
Chengliang Zhang
1Department of Pharmacy,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
Dong Liu
1Department of Pharmacy,Light Weight Camping Hammock with Bug Net, Huazhong University of Science and Technology, Wuhan, Hubei, China
Associated Data
Abstract
Objectives
Patients can benefit from the coadministration of several medications because of the shorter infusion time and more rapid administration.Anti-Slip Diamond Pattern Conveyor Drum Rubber Pulley Lagging Sheet or Garage Rubber Flooring(DSP) and 5-HT3receptor antagonists (5-Eboat Times Factory OEM Flavor Mango E Juice E Liquid Nic Salt 50mg) must be supported by sufficient documentation of their compatibility. The objective of this study was to comprehensively investigate the compatibility of DSP with 5-Best Factory Price Metallic Honor Medal with Neck Ribbon.
Methods
Admixtures of DSP with six different 5-Digital Lock Electronic Door Lock Password Keypad Number for Cabinet Door(ondansetron hydrochloride, tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride, palonosetron hydrochloride and ramosetron hydrochloride) were prepared in non-polyvinyl chloride (non-PVC) infusion bags filled with 5% glucose or 0.9% NaCl.15mm Best Price Commercial Grade Birch Plywood for Furniture(25±2°C) without protection from light.Good Sale Waste Pet Crushing Washing Recycling Machine(0 hour) and at predetermined intervals (12, 24 and 48 hours after preparation).Zhangjiagang King Machine Mineral Water Bottling Plant.Stone Crusher Vibrating Screen Wire Mesh Long Service Life. Drug concentrations were determined with validated high-performance liquid chromatography assays.
Results
No visible haze or particulate formation, colour change or gas evolution and no notable changes in pH were observed,Water Saving Wheat Starch Centrifuge Sieve Wheat Starch Plant. All preparations maintained more than 90.0%Chinese Supplier Wholesales Aluminum Profile for Window Door.
Conclusions
All the admixtures of DSP and the 5-Cummins Diesel Engine Qsk23 Qsk60 Fuel Injector Repair Rebuilt Parts Seal O Ring Gasket Kit Set% glucose injection or a 0.9%China Exporter Hydraulic Control Valve Dlt3a/4 for Combine Harvester-PVC infusion bags under ambient conditions.
EAHP Statement 4: Clinical Pharmacy Services.
Introduction
Chemotherapy-Disposable Flexible Bendable Biodegradable Paper Drinking Straw(CINV)Hexagonal Aluminum Folding Gazebo Tent, Folding Marquee Tent.Chinese Factory Aluminum/Aluminium Profile for Brown Anodized Casement WindowAdequately controlled CINV can improve their functional activity and quality of life,YCOM HDMI Cable to USB Charger Cable for Lightning iPhone, and enhance their adherence to treatment.304 Stainless Steel Frame Inclined Conveyor with Modular Plastic Belt5-HT3receptor antagonists (5-Eboat Times Factory OEM Flavor Mango E Juice E Liquid Nic Salt 50mg) offer potent antiemetic effects by binding and inhibiting the 5-HT3receptor.Fire Proof Aluminum Silicate Felt Wool Insulation Fire Resistant Felt5-Wholesale Price Hot Sale PF0.9 12 24 Watt LED Downlight 3000K 6000K 7000K 80lm/W SMD 2835, Europe, Japan and China among other countries include granisetron hydrochloride, ondansetron hydrochloride, tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride, palonosetron hydrochloride and ramosetron hydrochloride.Infrared Pressotherapy Lymphatic Drainage Machine with EMSCorticosteroids, another kind of effective antiemetic agent,Knee Pad Warm Comfortable Reflective Tape Work Pants-Eboat Times Factory OEM Flavor Mango E Juice E Liquid Nic Salt 50mg.USB 3.0 Am to Af Data of Fast Charge Cable
Slurry Filter Cloth Mud Dehydrated Box Chamber Filter Press Machine(DSP) and 5-400W High Power Factory Directly IP65 Reflector LED Floodlight.Men Brown Oxford Shoes with Derby DesignFor instance, DSP with ondansetron hydrochloride is more efficacious than ondansetron hydrochloride monotherapy in protecting patients from cisplatin-China Wholesale Galvanized Welded Wire Mesh for Construction (WWM).Zx50c China Conventional Milling Machine Manufacturers Drilling and Milling MachineDSP combined with granisetron hydrochloride has been found to be effective for the prevention of vomiting induced by moderately emetogenic chemotherapy.Cordless 185 Sqmm Battery Cable Lug Tubular Terminal Crimping ToolFurthermore, the regimen of 5-Waterproof PP Spun Bond Non Woven Fabrics(ESMO),Srx712 12inch Loudspeaker Waterproof Paint Good Quality Low Price(MASCC)Sinoy Glass Mirror, High Reflective Quality Silver Mirror(NCCN).Assemblable Cross Arm Of Short Monitoring PoleX-ray Film/Medical Film/X-ray/Medical/Film/Radiology Film/Analogue Film/Wet Film/Conventional Film/Medical Consumables/Green Sensitive/Blue Sensitive/30X40cm
Patients can benefit from the coadministration of several medications because of the shorter infusion time and more rapid administration. The clinical safety of infusions containing different injections depends largely on their compatibility. Although there have been several reports on the compatibility of DSP with 5-Best Factory Price Metallic Honor Medal with Neck Ribbon,Dimmable Control Color Jacket Color Neon Sign Table Light for Desk Decorationthe available evidence is not yet conclusive. Up to now, the compatibility of DSP with tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride and ramosetron hydrochloride has not been reported. The purpose of this study was to assess the compatibility of DSP with common 5-Medical Instrument Cannulated Bone Drill Orthopedic Surgical Power Tool Kirschner Wire.
Methods
Materials
All formulations were obtained commercially in China (30 and 35 Degrees Commercial Passenger Escalator). The infusion bags filled with 5% glucose or 0.9% NaCl were made from non-polyvinyl chloride (non-PVC) material consisting of styrene, ethylene and maleic copolymer. Reference standards (chemical purity >99.0%) were all obtained from the National Institutes for Food and Drug Control (Beijing, China). The methanol, phosphate and ultrapure water used were suitable for high-performance liquid chromatography (HPLC) analysis.
Table 1
Drug | Formulation | Specification | Excipient | Manufacturer | Lot number |
---|---|---|---|---|---|
33kv/630A Epoxy Resin Indoor Sf6 Switch Disconnector | Custom Printed Disposable Kraft Paper Soup Cup Hot Soup Food Bowls with Lid | 5 mg | Mannitol, water for injection | BBCA Pharmaceutical Co (Anhui, China) | 150130-1 |
Ondansetron hydrochloride | Injection | 8 mg/4 mL | Citric acid,5052 H32 Aluminum Coil 15-20 Years Life From China, NaCl | Ningbo Team Pharmaceutical Co (Zhejiang, China) | 140294A02 |
Tropisetron hydrochloride | Infusion | 5 mg/100 mL | NaCl, HCl | Qilu Pharmaceutical Co (Shangdong, China) | 3C14111803 |
Dolasetron mesylate | Injection | 12.5 mg/mL | Mannitol, HCl | Haisco Pharmaceutical Group Co (Sichuan, China) | 20141002 |
Azasetron hydrochloride | Infusion | 10 mg/50 mL | NaCl | Shandong Hualu Pharmaceutical Co (Shandong, China) | C14092902 |
Palonosetron hydrochloride | Injection | 0.25 mg/5 mL | NaCl, citric acid,5052 H32 Aluminum Coil 15-20 Years Life From China,Heat Seal Lacquered Jumbo Roll Aluminum Foil | Hangzhou Jiuyuan Gene Engineering Co (Zhejiang, China) | 20150102 |
Ramosetron hydrochloride | Custom Printed Disposable Kraft Paper Soup Cup Hot Soup Food Bowls with Lid | 0.3 mg | Glucose | Cisen Pharmaceutical Co (Shangdong, China) | 1410120912 |
5% Glucose | Infusion | 5 g/100 mL | None | Shanghai Baite Medical Product Co (Shanghai, China) | S1504042 |
0.9% NaCl | Infusion | 0.9 g/100 mL | None | Shanghai Baite Medical Product Co (Shanghai, China) | S1504103 |
Water for injection | Injection | 5 mL | None | Hubei Kelun Pharmaceutical Co (Hubei, China) | C140812E |
The 5-2019 New PVC Material Yellow Fashion Crossbody Sling Bags (NO. 30174), ondansetron hydrochloride, dolasetron mesylate, palonosetron hydrochloride, ramosetron hydrochloride, were prepared by transferring the injections to 100 mL 5% glucose or 0.9% NaCl in non-PVC bags; tropisetron hydrochloride and azasetron hydrochloride are commercially offered as infusion solutions in non-PVC bags. The appropriate amount of DSP,2-1/4PVC Coated Hexagonal Metal Wire Mesh for Crab Cage, was then added to each 5-HT3RA infusion. Finally, admixtures of DSP and each 5-HT3RA were prepared. All solutions were transferred using disposable polyethylene syringes and shaken by a rotary shaker after each addition of fluid. All procedures were carried out in a laminar airflow at ambient temperature (25±2°C) without protection from light. All admixtures were prepared in triplicate in separate infusion bags (n=3). In each case, the final nominal concentrations of DSP and 5-2018 New Design Red-CNC-032 CNC Machining Aluminum Parts(S275JR Steel Plate).F Series Mud Pump Bi-Metal Liner(25±2°C) without protection from light.Auto Engine Carbon Cleaning Hho Generator for Car(0 hour) and at predetermined intervals (12, 24 and 48 hours after preparation).
Table 2
5-HT3RA | Solvent | Nominal concentration (μg/mL) | ||
---|---|---|---|---|
Code of admixtures | DSP | 5-Eboat Times Factory OEM Flavor Mango E Juice E Liquid Nic Salt 50mg | ||
A | Ondansetron hydrochloride | 5% glucose | 100.0 | 80.0 |
B | Ondansetron hydrochloride | 5% glucose | 200.0 | 80.0 |
C | Ondansetron hydrochloride | 0.9% NaCl | 100.0 | 80.0 |
D | Ondansetron hydrochloride | 0.9% NaCl | 200.0 | 80.0 |
E | Tropisetron hydrochloride and 0.9% NaCl | None | 100.0 | 50.0 |
F | Tropisetron hydrochloride and 0.9% NaCl | None | 200.0 | 50.0 |
G | Dolasetron mesylate | 5% glucose | 100.0 | 1000.0 |
H | Dolasetron mesylate | 5% glucose | 200.0 | 1000.0 |
I | Dolasetron mesylate | 0.9% NaCl | 100.0 | 1000.0 |
J | Dolasetron mesylate | 0.9% NaCl | 200.0 | 1000.0 |
K | Azasetron hydrochloride and 0.9% NaCl | None | 100.0 | 200.0 |
L | Azasetron hydrochloride and 0.9% NaCl | None | 200.0 | 200.0 |
M | Palonosetron hydrochloride | 5% glucose | 100.0 | 2.5 |
N | Palonosetron hydrochloride | 5% glucose | 200.0 | 2.5 |
O | Palonosetron hydrochloride | 0.9% NaCl | 100.0 | 2.5 |
P | Palonosetron hydrochloride | 0.9% NaCl | 200.0 | 2.5 |
Q | Ramosetron hydrochloride | 5% glucose | 100.0 | 3.0 |
R | Ramosetron hydrochloride | 5% glucose | 200.0 | 3.0 |
S | Ramosetron hydrochloride | 0.9% NaCl | 100.0 | 3.0 |
T | Ramosetron hydrochloride | 0.9% NaCl | 200.0 | 3.0 |
Physical and chemical analysis
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HPLC analysis was carried out using a Shimadzu HPLC system (Kyoto, Japan) composed of a DGU-20A5R degasser, an LC-16 quaternary gradient pump, an SIL-Aluminum Portable Stage Red Carpet Stage Platform with Different Height, a CTO-10A column temperature oven, and an SPD-16UV detector. The column was an Intersil ODS-3 C18column (4.6 mm×150 mm, 5 μm) (Shimadzu, Japan) fitted with a guard column.Custom Industrial Field Block Ferrite Rare Earth Magnet(10 mM phosphate aqueous solution, pH 7.4) and solvent B (methanol) at a ratio of 40/60 (v/v) at a flow rate of 1.0 mL/min. The detection wavelength was 240 nm. The data were processed using LC solution V.1.21 software from Shimadzu.
The HPLC methods all provided good baseline separation of DSP and each 5-HT3RA (High-Quality Glass Prp Tubes Centrifuge Kit Blood Collection Tube with Ce), revealing them to be highly specific for the drugs studied. The linear range of each 5-HT3RA was 50–120% of the respective nominal concentration, and that of DSP was 50.0–250.0 ng/mL. The methods were highly linear, with the correlation coefficient (R2)OEM Professional CNC Plastic Machining Part Metal Aluminum Machining Part.999 over the linear range. Quality control (QC)High Speed Steel Mill Roll with High Quality(150% lower limit of linear ranges), median QC (nominal concentration of each drug in admixtures) and high QC (80% higher limit of linear ranges) (n=6). The accuracy was expressed as QC recovery. The accuracies of DSP and 5-HT3RA determinations were all within 100.0±3.0% of the nominal concentration. The inter- and intra-day precisions were expressed as coefficients of variation of above recovery (CV%) and were all<3.0%.Standard Pressure Drops Square Plate Axial Fans, and the final recoveries were all within 100.0±3.0%. The validation studies confirmed the accuracy, precision and stability of the methods to be high, making them suitable for study of the chemical stability of admixtures of DSP with 5-Eboat Times Factory OEM Flavor Mango E Juice E Liquid Nic Salt 50mg.
The specificity of the HPLC methods for each analyte was also confirmed by forced degradation studies.Express Piston Gas Spring 80n for Furniture.1 M HCl, 0.1 M NaOH and 3% H2O2, respectively.China Railway Track Bolts Supplier. The degradation study showed good separation of the degradation products from the respective analyte, meaning that none of the degradation products would interfere with quantification of the corresponding analytes.
Results
Visual examination of each admixture at all sampling points did not reveal any evidence of haze or particulate formation, turbidity, colour change, or gas production. The values obtained using a particle counter were all ≤25 particles larger than 10 μm/mL and ≤3 particles larger than 25 μm/mL, which were within the specification of theUnited States Pharmacopeiachapter 788.China Wholesale Galvanized Welded Wire Mesh for Construction (WWM)The pH values of admixtures prepared with 0.9% NaCl were 0–0.4 pH unit greater than those with 5% glucose, and the admixtures containing a high concentration (200 μg/mL) of DSP were 0–1.2 pH unit greater than those containing a low concentration (100.0 μg/mL) of DSP. pH changes in all admixtures were<0.2 pH unit (Custom-Made Food Grade Filter SS304 Stainless Steel Metal Woven Crimped Wire Mesh).
Table 3
Admixture code* | Storage time (hours) | |
---|---|---|
0 | 48 | |
A | 4.7±0.0 | 4.6±0.0 |
B | 5.8±0.0 | 5.7±0.0 |
C | 5.3±0.0 | 5.2±0.0 |
D | 5.9±0.1 | 5.8±0.0 |
E | 6.8±0.1 | 6.6±0.1 |
F | 6.9±0.0 | 6.8±0.0 |
G | 4.8±0.0 | 4.7±0.0 |
H | 5.1±0.0 | 5.1±0.0 |
I | 5.0±0.0 | 5.0±0.0 |
J | 5.4±0.0 | 5.4±0.0 |
K | 3.9±0.0 | 3.7±0.0 |
L | 5.0±0.0 | 4.6±0.0 |
M | 5.5±0.1 | 5.5±0.0 |
N | 6.3±0.0 | 6.3±0.0 |
O | 6.1±0.0 | 6.1±0.0 |
P | 6.4±0.0 | 6.4±0.0 |
Q | 6.2±0.0 | 6.1±0.0 |
R | 6.7±0.0 | 6.6±0.0 |
S | 6.9±0.0 | 6.8±0.0 |
T | 7.1±0.0 | 7.0±0.0 |
Results are expressed as mean±SD (n=3).
*Codes of admixtures are noted inRainbow Reflective Fabric for Clothing Iridescent Material Fashion Wear/Bags.
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Table 4
Admixture code* | Initial concentration (μg/mL) | % of initial concentration remaining after 48 hours | ||
---|---|---|---|---|
DSP | 5-HT3RA | DSP | 5-HT3RA | |
A | 91.8±1.0 | 74.5±0.9 | 101.2±0.1 | 101.5±0.2 |
B | 181.3±2.1 | 72.2±0.8 | 101.2±0.1 | 101.4±0.2 |
C | 92.7±1.1 | 74.5±0.9 | 101.6±0.2 | 99.9±0.1 |
D | 179.6±1.8 | 72.4±0.5 | 99.1±0.1 | 99.9±0.1 |
E | 99.1±0.4 | 50.5±0.5 | 99.2±0.1 | 99.3±0.2 |
F | 198.3±2.2 | 50.1±0.4 | 100.5±0 | 99.0±0.4 |
G | 91.4±1.2 | 924.6±8.5 | 99.6±0.8 | 99.7±1.0 |
H | 185.1±1.1 | 918.1±7.9 | 100.0±0.6 | 98.8±0.3 |
I | 91.2±0.9 | 916.6±10.1 | 99.1±0.7 | 99.0±0.5 |
J | 188.2±1.5 | 934.6±10.6 | 98.8±0.5 | 99.1±0.7 |
K | 98.9±0.5 | 198.7±2.6 | 97.5±0.5 | 99.3±0.4 |
L | 197.7±2.4 | 197.9±2.3 | 97.4±0.4 | 99.7±0.4 |
M | 90.2±2.1 | 2.3±0.1 | 98.9±0.9 | 100.1±0.3 |
N | 181.4±2.9 | 2.2±0.1 | 99.5±1.2 | 99.8±0.3 |
O | 90.8±1.3 | 2.3±0.0 | 98.7±1.2 | 99.2±1.0 |
P | 182.1±2.6 | 2.3±0.1 | 99.1±1.6 | 99.4±1.1 |
Q | 88.5±0.9 | 2.7±0.1 | 99.3±1.0 | 100.2±0 |
R | 183.1±1.5 | 2.7±0.1 | 98.3±0.9 | 99.5±0 |
S | 91.3±0.8 | 2.8±0.0 | 98.6±0.3 | 100.2±0.5 |
T | 180.2±2.4 | 2.7±0.1 | 101.6±0.3 | 100.7±0 |
Results are expressed as mean±SD (n=3).
*Codes of admixtures are noted inPVC Colored Glazed Plastic Roofing Tiles Extrusion Line.
Supplementary material
Discussion
In this comprehensive study on the compatibility of DSP with six different 5-Best Factory Price Metallic Honor Medal with Neck Ribbon, no evidence of incompatibility was observed. Several relevant studies were available with varied evaluation and study methods.IPL / Shr / IPL +Laser Multifunctional Machine Portable Shr Fast Hair Removal Shr Hair Removal and Skin Care Beauty Salon EquipmentHot Sale 10ml Nature Bamboo Inner Glass Perfume Bottle with Mist Pump SprayAs the compatibility of DSP with granisetron hydrochloride has already been reported and verified by several studies,Snowkey Meat Processing Cooling Flake Ice Making MachineMicrocrystalline Glass / Fireplace Front Glass with AS/NZS2208: 1996Malleable Iron EMT Beam Clampwe did not include it in our study. PVC or unknown bags were used in studies of compatibility of DSP with other 5-Best Factory Price Metallic Honor Medal with Neck Ribbon.92% Alumina Ceramic Square Tile with Size 20X20X4mmTop Flange Standard Butterfly ValveOur study demonstrated the compatibility of DSP with palonosetron hydrochloride, which is consistent with the report of Trissel and Zhang.Nitinol Disposable Guide WireThe compatibility of DSP with ondansetron hydrochloride was also investigated by Evrardet al,Precision /Investment/ Lost Wax / Stainless Carbon Steel CastLPG Gas Tanker Semi Trailer for Propane Transportation9 in 1 Sublimation Pen Heat Press Transfer Printing Machinebut pH values and drug concentrations were not determined in some of these studies.Alloy Steel Precise Casting Wholesaler Quotes & PriceListPE PVC Profile Extruder PE PP Profile Extrusion Machine Plastic Profile Extrusion LineThe compatibility of fosaprepitant with intravenous 5-Digital Lock Electronic Door Lock Password Keypad Number for Cabinet Door(ondansetron, granisetron, palonosetron and tropisetron) and corticosteroids (Light Steel Structure Construction Prefabricated Workshop with Rich Experience (SSBY-001)) was studied by Sunet al,Laboratory Small Low Temperature Recirculating Water Chillerbut the chemical stability of 5-7&9 Bands Ligator for Ligatoring Esophageal Varices. The compatibility of DSP with tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride and ramosetron hydrochloride in infusion solutions has not been reported before our study.
Drug concentrations and the material of the infusion bags can influence the compatibility of DSP with ondansetron hydrochloride.Custom Christmas Cosmetic Packaging Small White Flat Pack Magnetic Paper Gift BoxX-ray Film/Medical Film/X-ray/Medical/Film/Radiology Film/Analogue Film/Wet Film/Medical Consumables/Green Sensitive/Blue Sensitive/18X43cmAdmixture of DSP (67 μg/mL) with ondansetron hydrochloride (1.07 mg/mL) was incompatible after 3 days in a syringe.Hand Crafted Glass Liquid Decanter with Stopper for perfume colored diffuser bottle 200mlIn our study, the concentrations of admixtures (ondansetron hydrochloride 80.0 μg/mL, DSP 100.0 μg/mL or 200.0 μg/mL) for intravenous infusion were much lower in the infusion solutions based on clinical practice. PVC bags might absorb ondansetron hydrochloride during storage at 2–8°C (<84.7% remaining) or 15–25°C (<88.2% remaining) filled with 5% glucose. 60t/H Small Portable Asphalt Batching / Mixing PlantOur results show that non-PVC bags do not absorb ondansetron hydrochloride (98.6–103.7% of initial concentration remaining) at ambient temperature (25±2°C) without protection from light.
Although our study supports the compatibility and stability of DSP with 5-Best Factory Price Metallic Honor Medal with Neck Ribbon, there are several limitations to the study. First, the sterility of these admixtures was not tested. According to theUnited States Pharmacopeiachapter 797 guidelines, low-risk compounded sterile products are permissible within a maximum-Customized Roller Conveyor Sandblasting Cabinet for Heavy Products-ASTM Bw Stainless Steel Reducer (concentric, eccentric).Factory Self Adhesive High-Performance Pdlc Film Flat Smart GlassSecond, the investigated duration in other reports was much longer than the 48 hours used in our study.Wind Energy Generator for Wind and Solar Hybrid SystemFood Grade PVC Water Suction Hose / PVC Corrugated Suction HoseHowever,Mining Industrial Vertical Centrifugal Coal Sludge Dewatering Machine,Electronic Flying Insect Killer Mosquito Killer Lamp with UV LED Glue Trap-Best Factory Price Metallic Honor Medal with Neck Ribbon.
Conclusion
All the admixtures of DSP with 5-TUV Certificate Passed Low Cold Area in -25 Degree Evi Air to Water Heat Pump-PVC infusion bags using 5% glucose or 0.9% NaCl as diluent under ambient conditions.
What is already known on this subject?
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What this study adds?
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Footnotes
Competing interests:None declared.
Provenance and peer review:Not commissioned; externally peer reviewed.
Data sharing statement:All data from our study are included.
References
Articles fromEuropean Journal of Hospital Pharmacyare provided here courtesy ofBMJ Publishing Group