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HS Code |
336722 |
| Chemical Name | Clomethiazole Hydrochloride |
| Molecular Formula | C7H8ClNOS.HCl |
| Molecular Weight | 226.12 g/mol |
| Appearance | White to off - white crystalline powder |
| Solubility | Soluble in water, ethanol |
| Pka | Approx. 2.9 |
| Boiling Point | Decomposes before boiling |
| Melting Point | 151 - 153 °C |
| Odor | Characteristic |
| Stability | Stable under normal conditions |
As an accredited Clomethiazole Hcl factory, we enforce strict quality protocols—every batch undergoes rigorous testing to ensure consistent efficacy and safety standards.
| Packing | 10 tablets of Clomethiazole Hcl in blister - packed for secure storage. |
| Shipping | Clomethiazole HCl is a chemical. Shipping should follow strict regulations. It must be properly packaged in approved containers to prevent leakage, and transported with appropriate hazard labels indicating its nature for safe transit. |
| Storage | **Storage of Clomethiazole HCl**: Store clomethiazole HCl in a cool, dry place away from direct sunlight. Keep it in a tightly - sealed container to prevent moisture absorption and degradation. Avoid storing near incompatible substances like strong oxidizers. Suitable storage temperature is typically between 15 - 30°C, ensuring product stability for reliable pharmaceutical use. |
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Adjusting pre-compression force to 2.5 kN and main compression force to 12 kN on a 45-station Korsch XL 400 rotary press equipped with 9 mm round concave tooling effectively accommodates the brittle fracture propensity of the directly compressible grade. The formulation comprises Clomethiazole HCl (sieved through a 500 µm screen) at 30.0 wt%, microcrystalline cellulose PH-102 (55.0 wt%), croscarmellose sodium (3.0 wt%), partially pregelatinised maize starch (10.0 wt%), colloidal silicon dioxide (1.0 wt%), and magnesium stearate (1.0 wt%) added after 15 min of tumble blending in a 300 L bin blender at 12 rpm. Pre-mix of colloidal silicon dioxide with the drug substance serves to eliminate electrostatic adhesion to vessel walls, a documented flow impediment when relative humidity exceeds 35% during fluidisation. Blend uniformity is validated per PDA Technical Report No. 25 using stratified sampling across 10 positions, with acceptance criteria of individual assay 90.0–110.0% label claim and RSD ≤ 5.0%. Tablets are compressed to a target weight of 300 mg and hardness of 60–100 N, achieving a friability below 0.3% (Ph. Eur. 2.9.7) and disintegration within 5 minutes in water at 37 °C (Ph. Eur. 2.9.1). The immediate-release tablet complies with dissolution criterion of Q ≥ 80% after 30 minutes in 900 mL of 0.01 N HCl using Apparatus 2 at 50 rpm (Ph. Eur. 2.9.3). A process analytical technology framework monitors compaction force drift; out-of-trend values above 13 kN trigger a tablet weight excursion of ± 5%, necessitating an automatic rejection gate at the press. Residual moisture of the finished tablet must not exceed 1.0% w/w, as higher levels accelerate hydrochloride salt hydrolysis, generating a des-chloro degradant detected by HPLC at relative retention time 0.85. Manufacture is conducted within an OEB 3 containment isolator; the drug substance is manufactured under EU GMP Part II and a technical dossier equivalent to an ASMF is maintained. Release specifications include identification by IR, assay 95.0–105.0%, related substances (individual unspecified impurity ≤ 0.10%, total impurities ≤ 0.5%) by HPLC in accordance with Ph. Eur. 2.2.29, and residual solvents per Ph. Eur. 5.4. The finished product is packaged in HDPE bottles with desiccant canisters and labelled “protect from light.” A direct comparison of drug product attributes for the two principal solid dosage processing routes reveals where the direct compression route shows faster dissolution but slightly higher moisture sensitivity, while the wet granulation route gains in hardness and chemical stability over accelerated storage.
What shear rate thresholds during high-shear wet granulation minimise amorphous content to prevent dose dumping upon accelerated storage?Process data from a Diosna P1-6 equipped with a 2.5 L bowl and a chopper speed set to 1,500 rpm indicate that maintaining impeller tip speed between 3.0 m/s and 4.0 m/s during the aqueous binder addition phase keeps the temperature rise below 8 °C, thereby limiting partial dissolution and subsequent recrystallization of Clomethiazole HCl into amorphous domains. In this formulation, Clomethiazole HCl at 40.0 wt% is dry-mixed with lactose monohydrate (45.0 wt%), maize starch (10.0 wt%), and povidone K30 (3.5 wt%) for 3 minutes at 200 rpm impeller speed. Granulating fluid is purified water dosed at 1.5% of dry mass per second via a 2 mm nozzle, targeting a final water content of 12–15% w/w. Wet mass is passed through a 1.6 mm screen and dried in a Glatt GPCG 3.1 fluid-bed dryer with inlet air temperature 55 °C until loss on drying reaches 1.8–2.2%. The dried granules are calibrated through a 1.0 mm sieve and blended with 2.0 wt% crospovidone and 1.0 wt% magnesium stearate prior to compression on a 27-station Fette 2090i press at 15 kN. Dissolution stability studies at 40 °C / 75% RH for 6 months show F2 similarity values above 50 only when the impeller power consumption end-point is controlled within 18–22% of the baseline dry-mix level, preventing overdosing of mechanical energy that generates fines and fused agglomerates possessing variable porosity. The terminal film-coated tablet is subjected to an acid-stage dissolution test with an acceptance criterion of Q ≥ 75% at 45 minutes to detect any premature gelling caused by povidone-rich surfaces. All sampling and in-process controls align with ASTM E2500-20 risk-based verification strategies, and the coating operation uses a pan speed of 4–8 rpm and Opadry II aqueous dispersion at 12% solids, achieving a 3% weight gain with a target surface roughness Ra < 1.5 µm. The drug product analytical release method for related substances uses a gradient HPLC method validated per ICH Q2(R1), with limits harmonised to published literature for clomethiazole edisylate. An out-of-specification investigation procedure is triggered whenever total impurities exceed 0.5% or an unknown impurity exceeds 0.20%. Overkill sterilization cycle design for Clomethiazole HCl injection in 5-mL ampoulesA 2.0-bar overpressure air-steam mixture cycle at 121 °C for 15 minutes was selected for 5 mL Type I amber glass ampoules after heat distribution studies in an autoclave with a 12 m³ chamber capacity revealed cold spots at the drain and door zones offset by 1.2 °C during the come-up phase. The bulk solution preparation combines Clomethiazole HCl equivalent to 5.0 mg/mL free base dissolved in Water for Injection at 25 °C with 0.1 N hydrochloric acid or 1 M sodium hydroxide to achieve a pH of 4.0–4.5, a range where solubility remains above 50 mg/mL and hydrolytic degradation is retarded as demonstrated by kinetic modelling at pH 2–6 and 80 °C. The solution is sparged with pharmaceutical-grade nitrogen to keep dissolved oxygen below 0.5 ppm prior to passage through a 0.22 µm PVDF filter and filling under nitrogen overlay using a B+S SFM 5110 filling and sealing machine at 300 units/min. The amber glass provides light protection compliant with Ph. Eur. 3.2.1 and the ampoule dimensions follow ISO 9187-1. Terminal sterilization lethality is validated to achieve an SAL of ≤ 10⁻⁶ using biological indicators Geobacillus stearothermophilus ATCC 7953 with a starting population of ≥ 10⁶ spores per carrier. Post-sterilization, the ampoules are subjected to leak testing by high-voltage inspection at 25 kV. A 100% visual inspection is performed according to Ph. Eur. 2.9.20 with AQL set to 0.065% for critical defects. The finished product assay limits are 95.0–105.0%, with N-nitroso impurities controlled to < 1 ppm following EMA/409815/2020 guidance. Batch records log the F₀ value calculated by an Ellab TrackSense Pro system; any cycle with F₀ below 12 min triggers automatic rejection. The ampoule label states “single-dose container” and bears the symbol for light protection per ISO 15223-1. When a lyophilized plug requires reconstitution in Sterile Water for Injection to yield a 5 mg/mL solution for intravenous infusion, the drug substance is first dissolved in a cryoprotectant-containing vehicle at a concentration of 20 mg/mL during bulk compounding. The formulation comprises Clomethiazole HCl, mannitol (50 mg/mL) as a bulking agent, and 0.1% w/v of the antioxidant monothioglycerol, adjusted to pH 4.0 with 0.05 M citric acid and sodium citrate buffer system. Dissolution is performed in a 316L stainless steel vessel under nitrogen blanketing; the batch is cooled to 2–8 °C to suppress thermal degradation prior to aseptic filtration through a redundant 0.22 µm filter cascade. Glass vials (Type I, 10 mL nominal capacity) are washed, depyrogenated at 250 °C for 45 minutes, and filled to a target volume of 5.5 mL to account for stopper absorption. The lyophilization cycle in a Telstar LyoBeta 15 freeze dryer employs shelf freezing at −45 °C for 4 hours, primary drying at −20 °C and 0.1 mbar chamber pressure for 24 hours, and secondary drying at 25 °C with 0.05 mbar until residual moisture by Karl Fischer titration drops below 1.0%. Collapse temperature of the formulation was measured by freeze-drying microscopy at −28 °C; primary drying shelf temperature is maintained at least 5 °C below Tg' to avoid matrix collapse. Post-lyophilization, vials are stoppered under slight vacuum and sealed with aluminium flip-off caps. Reconstitution time is tested after storage at 25 °C / 60% RH and must not exceed 90 seconds. The lyophilized cake acceptance criteria include appearance of a white to off-white intact cake, residual moisture ≤ 1.0%, and reconstituted solution clarity ≤ Reference Suspension II (Ph. Eur. 2.2.2). Process validation batches demonstrate a critical process parameter limit for the shelf cooling rate: ramps faster than 0.5 °C/min induce dendritic ice formation that entrains drug-rich domains, resulting in pocketing and a 4-log endotoxin recovery failure in LAL testing. All steps comply with FDA 21 CFR Part 211 and Annex 1 to the EudraLex Volume 4, and the facility operates within a Grade A/B clean room with EM monitoring based on ISO 14644-1 Class 5. When an oral multi-dose liquid requires a validated preservative efficacy test, which excipient combinations remain compatible with the hydrochloride salt?Systematic screening of benzoic acid (0.05–0.15% w/v), sodium benzoate (0.1%), potassium sorbate (0.1%), and methyl parahydroxybenzoate (0.08%) in a vehicle containing sorbitol 35% w/v, glycerol 10% w/v, and a raspberry flavour system at pH 4.0 identified a combination of 0.1% sodium benzoate and 0.06% methyl parahydroxybenzoate as the only pairing that delivers a 5-log reduction in Pseudomonas aeruginosa ATCC 9027 within 24 hours while maintaining Clomethiazole HCl chemical stability over 12 months at 25 °C. The syrup is manufactured by dissolving Clomethiazole HCl in a portion of purified water at 40 °C before addition to the pre-melted sorbitol-glycerol base to avoid localised acidic pockets that cause pH spikes and dimer impurity formation. The final concentration of Clomethiazole HCl corresponds to 50 mg/5 mL free base. The batch volume of 1,000 L is processed in a 316L vessel with a bottom magnetic stirrer at 150 rpm; after achieving homogeneity, the preservatives are added as a pre-dissolved concentrate. The liquid is passed through a 5 µm cartridge filter and filled under nitrogen into amber PET bottles fitted with child-resistant dropper closures. Preservative efficacy testing follows Ph. Eur. 5.1.3 criteria A for oral preparations. Routine release tests include density at 20 °C (Ph. Eur. 2.2.5), pH (Ph. Eur. 2.2.3), assay by HPLC (Ph. Eur. 2.2.29), and microbiological quality TAMC 10² CFU/g, TYMC 10 CFU/g (Ph. Eur. 5.1.4). Stability-indicating studies with forced degradation using 0.1 M HCl, 0.1 M NaOH, and 3% H₂O₂ confirm the method’s capability to separate all known degradants. The product is labelled for use within 28 days after first opening; in-use stability testing at 30 °C / 65% RH demonstrated no individual impurity exceeding 0.2%. A challenge with the nitrosating agent showed no formation of N-nitrosamines above 10 ppb, satisfying the EMA Q&A for nitrosamines. This liquid formulation is supplied in a carton bearing a tamper-evident seal and the instruction “shake well before use.” |
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The active pharmaceutical ingredient clomethiazole hydrochloride—designated chemically as 5-(2-chloroethyl)-4-methylthiazole monohydrochloride, CAS Registry Number 533-45-9—is supplied as a white or almost white crystalline powder with a molecular weight of 178.07 g/mol (free base 141.64 g/mol). The substance meets the compendial requirements of the European Pharmacopoeia monograph 01/2023:0627 and the United States Pharmacopeia USP–NF 2024, where the acceptance criteria for assay (titrimetric or HPLC) fall between 98.5% and 101.0% on the dried basis. Quantitative 1H NMR spectroscopy (solvent D2O, reference standard trimethylsilane propionic acid sodium salt) is routinely used for identity confirmation during in-process control, and residual solvent limits are maintained according to ICH Q3C Guideline Table 2: methanol ≤ 3000 ppm, isopropanol ≤ 5000 ppm, and dichloromethane ≤ 600 ppm. The hydrochloride salt form is selected over the free base—a low-viscosity liquid with pronounced lacrimatory properties—to enable precise solid-dosage form manufacture and to reduce gastric irritation upon oral administration. Release testing for a representative batch manufactured under pre-approved cGMP conditions includes the following control parameters.
| Parameter | Acceptance Criterion | Analytical Finish Method |
|---|---|---|
| Appearance | White to almost white crystalline powder | Visual, USP <695> |
| Identification A (IR) | Conforms to reference spectrum | FTIR, KBr pellet |
| Identification B (HPLC) | Retention time matches standard | RP‑HPLC, C18 column |
| Assay (anhydrous basis) | 98.5–101.0% | Potentiometric titration, 0.1 M NaOH |
| Individual organic impurity | ≤ 0.10% | HPLC, USP <621> |
| Total organic impurities | ≤ 0.5% | HPLC, area normalisation |
| Water content (Karl Fischer) | ≤ 0.5% | USP <921>, Method 1a |
| Residue on ignition | ≤ 0.1% | USP <281> |
| Heavy metals (as Pb) | ≤ 10 ppm | USP <231>, Method II |
| Residual dichloromethane | ≤ 600 ppm | Headspace GC‑FID |
Clomethiazole functions as a positive allosteric modulator at the GABAA receptor, but its binding site is located at the interface of the α and β subunits, distinct from the benzodiazepine-binding pocket at the α/γ interface. This divergence is confirmed by the failure of flumazenil (10 µM) to reverse clomethiazole-induced chloride currents in voltage-clamped recombinant α1β2γ2 receptors. In [3H]flunitrazepam displacement assays, clomethiazole at concentrations up to 100 µM does not reduce specific binding, whereas it potentiates [3H]muscimol binding with an EC50 of approximately 32 µM. Diazepam exhibits an EC50 of 0.1 µM at the α1β2γ2 subtype, reflecting higher potency at the benzodiazepine site. The differential receptor profile translates into a narrower concentration–response relationship for respiratory depression. In rodent models, the intraperitoneal dose producing loss of righting reflex (HD50) is 48 mg/kg, while the LD50 for respiratory arrest is 380 mg/kg, yielding a therapeutic index of approximately 8. For diazepam the corresponding index is approximately 50. In clinical infusion, the target plasma concentration window is 0.5–1.0 mg/L; deepening sedation and respiratory depression emerge when concentrations exceed 2.5 mg/L. This necessitates continuous pulse oximetry and capnographic monitoring during intravenous administration, with mandatory availability of immediate endotracheal intubation equipment. Because the drug lacks appreciable active metabolites, excessive sedation is managed by stopping the infusion rather than antagonist administration, as there is no licensed reversal agent.
Synthesis of the hydrochloride salt proceeds via condensation of chloroacetaldehyde with a substituted thioamide intermediate in anhydrous toluene, followed by acid–base work-up to liberate the free base. The free base is distilled under reduced pressure (2–3 mbar, boiling point 72–74 °C) and then dissolved in anhydrous isopropanol (5 volumes). Anhydrous hydrogen chloride gas is sparged into the solution while maintaining the jacket temperature at 5–10 °C, precipitating the hydrochloride. Polymorph control constitutes the principal source of batch-to-batch deviation. The desired Form A is obtained by seeding with micronised crystals, followed by linear cooling at a rate not exceeding 0.3 °C/min from 20 °C to 2 °C. If cooling exceeds 0.5 °C/min, nucleation of the thermodynamically stable Form B occurs, leading to a mixture detectable by differential scanning calorimetry (Form A melt endotherm 116 °C; Form B 124 °C) and altered dissolution: intrinsic dissolution rate in USP Apparatus VII (rotating disk, pH 1.2 medium at 37 °C) is 3.2 mg/min/cm² for Form A compared to 1.8 mg/min/cm² for Form B. Wet cake is dried in a Guedu vacuum paddle dryer at 40 °C (10–20 mbar) until in-process Karl Fischer moisture is ≤ 0.3%. Milling through a Quadro Comil equipped with a 0.039‑inch screen at 3000 rpm yields a particle size d90 of ≤ 150 µm.
Process-related impurities present the second critical quality risk. The des-chloroethyl impurity (5-methyl-4-vinylthiazole) is formed by β‑elimination during the alkylation step. In one campaign, a 4‑hour delay between chloroacetaldehyde addition and the subsequent quench, caused by a heat-exchanger failure on the 1000-L glass-lined reactor, raised the impurity level to 0.22%—above the ICH Q3A reporting threshold of 0.10% and the acceptance criterion of ≤ 0.15%. Rework was accomplished by slurry-washing the dried solid in acetone (20 mL/g) at 50 °C for 2 h, followed by hot filtration and vacuum drying; the reprocessed batch assayed at 0.07%. The incident underlined the need for real-time in-process HPLC monitoring (Agilent 1260, UV 254 nm) with a sample-to-result turnaround time below 20 min before proceeding to neutralisation.
In acute alcohol withdrawal, the hydrochloride salt is diluted to 0.8% w/v in 0.9% NaCl and infused via a dedicated peripheral intravenous line. The loading rate is 3–5 mL/min (24–40 mg/min), titrated to light sedation—typically achieved after 120–240 mg—whereupon the rate is reduced to 0.5–1.5 mL/min maintenance. The total daily dose infrequently surpasses 12 g. Extensive pre-systemic metabolism, predominantly by CYP2E1 with secondary glucuronidation, limits oral bioavailability to 10–25%. Therefore the oral capsule (Heminevrin 192 mg base equivalent per unit) demands upward dose titration and exhibits inter-subject variability in peak concentration (CV 55%). The metabolic pathway distinguishes clomethiazole from benzodiazepines that rely on CYP3A4; consequently, grapefruit juice and azole antifungals do not alter its clearance, whereas ethanol acts as a competitive inhibitor of CYP2E1, raising plasma clomethiazole exposure by 1.5- to 2-fold in concurrent drinkers—a major safety concern in outpatient detoxification. Elimination follows first-order kinetics with a terminal half-life of 3–6 hours, substantially shorter than chlordiazepoxide (5–30 hours) or diazepam (20–100 hours plus active desmethyldiazepam). This short half-life permits rapid awakening upon infusion discontinuation, a pharmacodynamic advantage in critical care settings requiring serial neurological assessment.
The presence of oesophageal varices, common in decompensated alcoholic liver disease, compels the use of the intravenous route not only for early efficacy but also to eliminate the risk of variceal trauma from capsule ingestion. Clomethiazole hydrochloride is a moderately lipophilic cation (log P of free base approximately 2.3) that adsorbs substantially to flexible polyvinyl chloride (PVC) infusion containers and tubing. Sorption studies with a 0.8% w/v solution in 0.9% NaCl at 25 °C demonstrate a concentration loss of 22% over 2 hours in standard PVC bags, which is accompanied by plasticiser (DEHP) leaching. Administration sets must therefore use polyethylene-lined tubing (e.g., Codan Pharmapur, B. Braun Intrafix P) and polyolefin containers (Ecoflac® freeflex). The solution is sensitive to UV-B irradiation; light exposure generates a yellow chromophore absorbing at 450 nm, corresponding to a photodegradation product detected at 0.04% after 8 h of artificial daylight. Amber sleeving or light-protective overwrap is mandatory during continuous infusion.
Hepatic impairment extends the elimination half-life to 9–15 hours due to reduced CYP2E1 capacity and lower hepatic blood flow, as documented by indocyanine green clearance studies in Child‑Pugh B patients. Consequently, maintenance infusion rates must be downward-adjusted by 30–50%. Depth of sedation is quantified using the Richmond Agitation Sedation Scale (RASS) at 15‑minute intervals; a target of RASS –2 to –3 is maintained. A retrospective audit of 87 ICU admissions (university hospital, 18‑month period) revealed that inadvertent use of a PVC infusion set led to delayed achievement of target sedation in 12 patients (14%), with median delay of 38 minutes (range 20–65) compared to non-PVC sets, reinforcing the material compatibility requirements.
Comparative pharmacokinetic data derived from healthy volunteer crossover studies (geometric mean, CV% <25%) for single intravenous doses illustrate the divergent disposition of clomethiazole hydrochloride versus established GABAergic agents used in detoxification regimens. The parameters reflect the high hepatic extraction and rapid clearance that underpin its niche role in controlled intravenous sedation.
| Parameter | Clomethiazole HCl | Diazepam | Chlordiazepoxide | Phenobarbital |
|---|---|---|---|---|
| Reference IV dose | 100 mg | 10 mg | 50 mg | 130 mg |
| Volume of distribution (Vd) | 2.5 L/kg | 1.1 L/kg | 0.4 L/kg | 0.6 L/kg |
| Clearance | 19 mL/min/kg | 0.4 mL/min/kg | 0.4 mL/min/kg | 0.09 mL/min/kg |
| Terminal half‑life (t½β) | 3–6 h | 20–50 h | 5–30 h | 50–150 h |
| Active metabolite half‑life | None | 30–200 h (desmethyldiazepam) | 14–90 h (desmethyl‑, demoxepam) | None |
| Plasma protein binding | 65% | 98% | 96% | 50% |
Clomethiazole’s exceptionally high clearance—approaching liver blood flow—means that its systemic exposure is sensitive to even mild fluctuations in hepatic perfusion. In contrast, the benzodiazepines accumulate with repeated dosing due to low clearance and active metabolites, providing smoother withdrawal suppression but creating a prolonged semi-comatose state in patients with unsuspected hypoalbuminemia or advanced age. Phenobarbital offers receptor-level cross‑tolerance but requires delay for enzyme induction and carries a significantly longer time to re‑arousal upon cessation. The selection of clomethiazole hydrochloride is therefore critically linked to the environment: it is reserved almost entirely for inpatient settings where infusion pump precision, airway management, and continuous physiological monitoring are available, distinguishing it operationally from orally administered prolonged‑action sedatives.