136 Volume 49, February 2014
Hosp Pharm 2014;49(2):136–163
2014 © Thomas Land Publishers, Inc.
www.hospital-pharmacy.com
doi: 10.1310/hpj4902-136
Special Feature
Light-Sensitive Injectable Prescription Drugs
University of Illinois at Chicago College of Pharmacy, Drug Information Group
*
E
xposure to light is a concern with numerous
medications due to the potential for photodeg-
radation or other chemical reactions that affect
drug stability. In 2009, Hospital Pharmacy published
a list of oral medications that require protection from
light.
1
This reference does not provide information
on injectable drugs and, to our knowledge, there is
no comprehensive list of injectable medications that
require protection from light published in the United
States.
2
Therefore, the purpose of this table is to sup-
plement the previously published list of oral medi-
cations by identifying injectable drugs that require
protection from light.
A list of injectable medications that require light
protection was generated utilizing Facts & Compari-
sons.
3
A comprehensive list of monographs that con-
tained the words “protect” and “light” was created in
December 2012. Additional searches were performed
using similar phrases such as “exposure to light.” For
drug classes that appeared to have several medica-
tions requiring light protection, monographs for the
whole class were checked. A supplementary search
was performed in May 2013 to ensure inclusion of
new injectable medications approved through April
2013.
The prescribing information (PI) was used as
the primary reference for each injectable medica-
tion. Additional resources were used to confrm
this information.
4-7
For medications with numerous
manufacturers, multiple PIs were checked for accu-
racy. When it was found that not all manufactur-
ers specifed the need for light protection, this was
noted in the additional comments feld and only the
brand names of products requiring light protection
were listed in the table. When information was not
available or consistent among these references, addi-
tional sources were checked, a literature search was
performed, and/or the manufacturer was contacted.
These data are noted in the additional comments
feld and are referenced accordingly. Despite efforts
to confrm the information in at least 2 additional
sources, some medications have the PI as the only
source with instructions for light protection includ-
ing those approved between December 2012 and
April 2013. When stability depends on light protec-
tion during storage, reconstitution, dilution, and/
or administration, the reader should consult the
references listed in the additional comments feld
for further details. Additional storage requirements
(eg, temperature, humidity) are not included in this
table.
Although every effort has been made to ensure
the accuracy and completeness of the information
presented in this chart, the reader is advised that the
authors, Hospital Pharmacy, or Thomas Land Pub-
lishers cannot be held responsible for the currency of
the information, for any errors or omissions, or for
any consequences that may arise. The reader should
consult the product prescribing information for the
most current information.
*
The following individuals are acknowledged for their contribution to this document: Shadi Ghaibi, PharmD, BCPS; Heather
J. Ipema, PharmD, BCPS; Rita Soni, PharmD, BCPS; Richard J. DeBartolo, Jr, PharmD; and Carissa E. Mancuso, PharmD.