Tramadol Hydrochloride and Acetaminophen 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
Tramadol Hydrochloride and Acetaminophen Compounded Oral Suspension contains NLT 90.0% and NMT 110.0% of the labeled amounts of tramadol hydrochloride (C₁₆H₂₅NO₂·HCl) and acetaminophen (C₈H₉NO₂).
Prepare Tramadol Hydrochloride and Acetaminophen Compounded Oral Suspension containing 7.5 mg/mL of tramadol hydrochloride and 65 mg/mL of acetaminophen as follows (see Pharmaceutical Compounding-Nonsterile Preparations 〈795〉).
| Tramadol Hydrochloride and Acetaminophen tabletsᵃ | 750mg of tramadol hydrochloride and 6500mg of acetaminophen |
| Vehicle: a 1:1 mixture of Ora-Sweetᵇ (sugar-free) and Ora-Plusᵇ, a sufficient quantity to make | 100mL |
ᵃ Ultracet 37.5-mg/325-mg tablets, Ortho-McNeil Pharmaceutical, Inc., Raritan, NJ.
ᵇ Paddock Laboratories, Minneapolis, MN.
Calculate the required quantity of each ingredient for the total amount to be prepared. Place the required number of Tramadol Hydrochloride and Acetaminophen tablets in a suitable mortar, and comminute to a fine powder. Add the Vehicle in small portions, and triturate to make a smooth paste. Add increasing volumes of the Vehicle to make a tramadol hydrochloride and acetaminophen 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.
2 ASSAY
2.1 Tramadol Hydrochloride
Solution A: 20 mM of phosphoric acid and 4 g/L of sodium 1-hexane sulfonate
Mobile phase: Acetonitrile and Solution A (50:50). Filter and degas.
Diluent: Acetonitrile and water (50:50)
Standard solution: 0.15 mg/mL of USP Tramadol Hydrochloride RS in Diluent
Sample solution: Shake thoroughly by hand each bottle of Oral Suspension. Prepare 0.15 mg/mL of tramadol hydrochloride from Oral Suspension and Diluent, and centrifuge.
Chromatographic system
- (See Chromatography 〈621〉, System Suitability.)
- Mode: LC
- Detector: UV 275 nm
- Column: 4.6-mm × 25-cm; 5-µm packing L1
- Column temperature: 30°
- Flow rate: 1.0 mL/min
- Injection volume: 5 µL
System suitability
- Sample: Standard solution
- [Note-The retention time for tramadol hydrochloride is about 6 min.]
- Suitability requirements
- Relative standard deviation: NMT 2.0% for replicate injections
Analysis
Samples: Standard solution and Sample solution
Calculate the percentage of the labeled amount of tramadol hydrochloride (C₁₆H₂₅NO₂·HCl) 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 Tramadol Hydrochloride RS in the Standard solution (mg/mL)
Cᵤ = nominal concentration of tramadol hydrochloride in the Sample solution (mg/mL)
Acceptance criteria: 90.0%–110.0%
2.2 Acetaminophen
Mobile phase: Acetonitrile and water (70:30). Filter and degas.
Standard solution: 65 µg/mL of USP Acetaminophen RS in Mobile phase
Sample solution: Shake thoroughly by hand each bottle of Oral Suspension. Prepare 65 µg/mL of acetaminophen from Oral Suspension and Mobile phase, and centrifuge.
Chromatographic system
- (See Chromatography 〈621〉, System Suitability.)
- Mode: LC
- Detector: UV 275 nm
- Column: 4.6-mm × 25-cm; 5-µm packing L1
- Column temperature: 30°
- Flow rate: 1.0 mL/min
- Injection volume: 5 µL
System suitability
- Sample: Standard solution
- [Note-The retention time for acetaminophen is about 2 min.]
- Suitability requirements
- Relative standard deviation: NMT 2.0% for replicate injections
Analysis
Samples: Standard solution and Sample solution
Calculate the percentage of the labeled amount of acetaminophen (C₈H₉NO₂) 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 Acetaminophen RS in the Standard solution (µg/mL)
Cᵤ = nominal concentration of acetaminophen in the Sample solution (µg/mL)
Acceptance criteria: 90.0%–110.0%
3 SPECIFIC TESTS
pH 〈791〉: 3.8–4.8
4 ADDITIONAL REQUIREMENTS
Packaging and Storage: Package in tight, light-resistant containers. Store in a refrigerator or at controlled room temperature.
Beyond-Use Date: NMT 90 days after the date on which it was compounded, when stored in a refrigerator or at controlled room temperature
Labeling: Label to indicate that it is to be well shaken before use, and to state the Beyond-Use Date.
USP Reference Standards 〈11〉
USP Acetaminophen RS
USP Tramadol Hydrochloride RS

