Tacrolimus Compounded Oral Suspension
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This article is compiled based on the United States Pharmacopeia (USP) – 2025 Edition
Issued and maintained by the United States Pharmacopeial Convention (USP)
1 DEFINITION
Tacrolimus Compounded Oral Suspension contains NLT 90.0% and NMT 110.0% of the labeled amount of tacrolimus (C44H69NO12).
Prepare Tacrolimus Compounded Oral Suspension 0.5 mg/mL as follows (see Pharmaceutical Compounding—Nonsterile Preparations 〈795〉).
| Tacrolimus capsulesa equivalent to | 50 mg of tacrolimus |
| Vehicle: a 1:1 mixture of Ora-Plusb and Syrup, NF, a sufficient quantity to make | 100 mL |
a Prograf 5-mg capsules, Astellas Pharma US, Inc., Deerfield, IL.
b Paddock Laboratories, Minneapolis, MN.
Calculate the quantity of each ingredient required for the total amount to be prepared. Empty the required number of Tacrolimus capsules in a suitable mortar. Add the Vehicle in small portions, and triturate to make a smooth paste. Add increasing volumes of the Vehicle to make a tacrolimus liquid that is pourable. Transfer the contents of the mortar, stepwise and quantitatively, to a calibrated bottle. Add enough of the Vehicle to bring to final volume, and mix well. Tacrolimus powder is not interchangeable with Tacrolimus capsules and should not be used.
2 ASSAY
2.1 Procedure
Mobile phase: Acetonitrile and deionized distilled water (65:35). Filter and degas.
Standard stock solution: 0.5 mg/mL of USP Tacrolimus RS in acetonitrile
Standard solution: Pipet 1.0 mL of Standard stock solution into a 10-mL volumetric. flask, and dilute with Mobile phase to volume to obtain a solution having a nominal concentration of 50 μg/mL of tacrolimus. [Note—The Standard solution is relatively unstable, and the Assay should proceed immediately.]
Sample solution: Shake thoroughly by hand each bottle of Oral Suspension. Pipet 1.0 mL of Oral Suspension to a 10-mL volumetric flask, and dilute with Mobile phase to volume to obtain a solution with a nominal concentration of 50 μg/mL of tacrolimus. [Note—The Sample solution is relatively unstable, and the Assay should proceed immediately.]
2.2 Chromatographic system
(See Chromatography 〈621〉, System Suitability.)
Mode: LC
Detector: UV 214 nm
Column: 4.6-mm × 25-cm; 5-μm packing L1
Column temperature: 70°
Flow rate: 1.7 mL/min
Injection volume: 10 μL
2.3 System suitability
Sample: Standard solution
[Note—The retention time for tacrolimus is about 6.4 min.]
2.4 Suitability requirements
Column efficiency: NLT 2500 theoretical plates
Tailing factor: NMT 2.0
Relative standard deviation: NMT 2.0% for replicate injections
2.5 Analysis
Samples: Standard solution and Sample solution
Calculate the percentage of the labeled amount of tacrolimus (C44H69NO12) in the portion of Oral Suspension taken:
Result = (rU/rS) × (CS/CU) × 100
rU = peak response from the Sample solution
rS = peak response from the Standard solution
CS = concentration of USP Tacrolimus RS in the Standard solution (μg/mL)
CU = nominal concentration of tacrolimus in the Sample solution (μg/mL)
Acceptance criteria: 90.0%–110.0%
3 SPECIFIC TESTS
pH 〈791〉: 4.1–5.1
4 ADDITIONAL REQUIREMENTS
Packaging and Storage: Package in tight, light-resistant containers. Store at controlled room temperature.
Beyond-Use Date: NMT 90 days after the date on which it was compounded when stored at controlled room temperature
Labeling: Label it to indicate that it is to be well shaken before use, and to state the Beyond-Use Date.
USP Reference Standards 〈11〉
USP Tacrolimus RS

