Acessibilidade / Reportar erro

A green method for determination of ethanol in homeopathic medicines using thermal infrared enthalpimetry

Abstract

In this work, a simple and fast method is proposed for the determination of ethanol in homeopathic medicines using thermal infrared enthalpimetry (TIE). Samples containing alcohol in a wide concentration range (from 5% to 95% v/v) were used. Purified water or absolute ethanol was added directly into homeopathic medicine and increase of temperature was monitored using an infrared camera. Total volume, stirring speed and dispensing rate of solutions were the most significant parameters studied for method optimization. A response surface methodology (RSM) was used for optimization of the experimental conditions. The method was validated in the following parameters: selectivity, linearity, linear range, precision (repeatability and intermediate precision), limit of detection and quantification, accuracy and robustness. Linear range was obtained from 4% to 55% (ethanol, v/v). The proposed method showed accuracy in agreement with the conventional one. The proposed method it was demonstrated a good alternative for determination of ethanol in homeopathic medicines, presenting low cost, fast analysis and agreement with the principles of green analytical chemistry.

Key words
alcoholic solutions; green chemistry; thermography; pharmaceutical.

INTRODUCTION

Homeopathy is a complementary medical system developed in Germany more than 200 years ago by physician Samuel Hahnemann. In the processing of homeopathic liquid formulations for internal use, the active ingredients are subjected to successive dilutions and vigorous agitation with alcoholic solutions in accordance with Agência Nacional de Vigilância Sanitária (ANVISA) guidelines (ANVISA 2018ANVISA - AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. 2018. Farmacopéia Homeopática Brasileira 3a ed. Disponível em: http://portal.anvisa.gov.br/farmacopeia-homeopatica. Acessado em 15 de setembro de 2018.
http://portal.anvisa.gov.br/farmacopeia-...
). These alcoholic solutions are used in different concentrations throughout the formulation process of homeopathic medicine, with higher concentrations in the initial process (mother tincture) and 30% or 5% (ethanol, v/v) for final product (oral drop or single-dose solutions, respectively) (ANVISA 2011). In this way, ethanol used in such preparations should be considered as an active pharmaceutical ingredient and submitted to quality control in final product as it may cause acute and chronic toxic effects (Ferreira 2011FERREIRA AO. 2011. Preparações orais líquidas: formulário, procedimento de preparo, flavorização, estabilidade e conservação, 3a ed., São Paulo: Pharmabooks, 728 p., Huzar & Wodnicka 2013HUZAR E & WODNICKA A. 2013. Determination of ethanol content in medicated syrups by static headspace gas chromatography. Acta Pol Pharm - Drug Research 70(1): 41-49.).

In this context, suitable information and monitoring regarding the concentration of ethanol are important parameters, mainly when these pharmaceuticals are prescribed for special populations such as children, pregnant women and elderly, or patients with relevant medical history, including liver problems and alcoholism (WHO 2009WHO - WORLD HEALTH ORGANIZATION. 2009. Safety issues in the preparation of homeopathic medicines. Available at http://apps.who.int/iris/bitstream/handle/10665/44238/9789241598842_eng.pdf. Accessed on Sep 14, 2017.
http://apps.who.int/iris/bitstream/handl...
, EMA 2013EMA - EUROPEAN MEDICINES AGENCY. 2013. Questions and Answers on Ethanol in the context of the revision of the guideline on ‘Excipients in the label and package leaflet of medicinal products for human use’ (CPMP/463/00). Available at: https://www.ema.europa.eu/en/documents/scientific-guideline/questions-answers-ethanol-context-revision-guideline-excipients-label-package-leaflet-medicinal_en.pdf. Accessed on Sep 14, 2018.
https://www.ema.europa.eu/en/documents/s...
).

In the last years, homeopathic medicine has been the focus of several studies about consumption (Clarke et al. 2015CLARKE TC, BLACK LI, STUSSMAN BJ, BARNES PM & NAHIN RL. 2015. Trends in the use of complementary health approaches among adults: United States, 2002–2012. Natl Health Stat Report 79: 1-16., Relton et al. 2017RELTON C, COOPER K, VIKSVEEN P, FIBERT P & THOMAS K. 2017. Prevalence of homeopathy use by the general population worldwide: a systematic review. Homeopathy 106(2): 69-78., Waisse 2017WAISSE S. 2017. Private and institutionalised patients’ use of homeopathy in the early nineteenth century. Homeopathy 106(4): 250-259.) and therapeutic action (Shang et al. 2005SHANG A, HUWILER-MÜNTENER K, NARTEY L, JÜNI P, DÖRIG S, STERNE JAC, PEWSNER D & EGGER M. 2005. Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy. Lancet 366(9487): 726-732., Mathie et al. 2014MATHIE RT, LLOYD SM, LEGG LA, CLAUSEN J, MOSS S, DAVIDSON JRT & FORD I. 2014. Randomized placebo-controlled trials of individualized homeopathic treatment: systematic review and meta-analysis. Syst Rev 3(142): 1-16., Dowhring & Sundrum 2016, Unlu et al. 2017UNLU A, KIRCA O & OZDOGAN M. 2017. Homeopathy and cancer. J Oncol Sci 3(2): 77-80.). There are few studies in literature related to quality control in these pharmaceutical dosage forms (Ravishankara et al. 2001RAVISHANKARA MN, SHRIVASTAVA N, PADH H & RAJANI M. 2001. HPTLC method for the estimation of alkaloids of Cinchona officinalis stem bark and its marketed formulations. Planta Med 67(3): 294-296., Tumir et al. 2010TUMIR H, BOŠNIR J, VEDRINA-DRAGOJEVIĆ I, DRAGUN Z, TOMIĆ S & PUNTARIĆ D. 2010. Preliminary investigation of metal and metalloid contamination of homeopathic products marketed in Croatia. Homeopathy 99(3): 183-188., Gorlowska et al. 2015GORLOWSKA K, GORLOWSKA J, SKIBIŃSKI R & KOMSTA Ł. 2015. Chemometrics meets homeopathy—an exploratory analysis of infrared spectra of homeopathic granules. J Pharm Biomed Anal 115(10): 36-38., Holandino et al. 2017HOLANDINO C ET AL. 2017. Structural and thermal analyses of zinc and lactose in homeopathic triturated systems. Homeopathy 106(3): 160-170., Jadhlav et al. 2016) but none of them with regard to determination of ethanol.

In general, the determination of ethanol in pharmaceutical formulations is performed according to conventional methods using distillation/density or gas chromatography (GC) approaches, which require considerable analysis time, large amounts of sample, sophisticated equipment and specialized analysts ( USP-NF 2017USP-NF- UNITED STATES PHARMACOPEIA AND NATIONAL FORMULARY. 2017. The United States Pharmacopoeia, 40a edição da Farmacopéia Americana(USP), and the National Formulary, 35a edição do Formulário Nacional (NF) , Rockville: United States Pharmacopeia Convention, 5000 p., Costa et al. 2019COSTA CLS, RAMOS DP & SILVA JB. 2019. Multivariate optimization and validation of a procedure to direct determine acetonitrile and ethanol in radiopharmaceuticals by GC-FID. Microchem J 147: 654-659.). Therefore, these methods are difficult to perform in routine analyzes, especially for small-scale homeopathic medicines production (pharmaceutical compounding).

TIE analysis has been proposed recently as an alternative to conventional methods for analysis of pharmaceuticals and food, using a simple, fast and efficient approach suitable for the implementation in routine (Barin et al. 2015BARIN JS, TISCHER B, OLIVEIRA AS, WAGNER R, COSTA AB & FLORES EMM. 2015. Infrared thermal imaging: a tool for simple, simultaneous, and high-throughput enthalpimetric analysis. Anal Chem 87(24): 12065-12070.). The technique is based on monitoring the temperature variation of a chemical reaction by using an infrared camera. Commonly available microplates are used as reactors and reagents are added using multichannel pipettes. TIE was applied for determination of total, fixed and volatile acidity in vinegars and for simultaneous determination of acidity and salt content of pickled vegetable brine (Tischer et al. 2017aTISCHER B, OLIVEIRA AS, COSTA AB, CICHOSKI AJ, BARCIA MT, WAGNER R & BARIN JS. 2017a. Rapid and simultaneous determination of acidity and salt content of pickled vegetable brine by using thermal infrared enthalpimetry. J Food Compos Anal 63: 34-37., b) obtaining good agreement with conventional method. TIE was also employed for determination of the alcoholic content in distilled beverages and wines (Oliveira et al. 2017OLIVEIRA AS, DALLA-NORA FM, MELLO RO, MELLO PA, TISCHER B, COSTA AB & BARIN JS. 2017. One-Shot, reagent-free determination of the alcoholic content of distilled beverages by thermal infrared enthalpimetry. Talanta 171: 335-340., 2018). In these studies, sample preparation was not required, and features as shorter time for analysis and reduced energy consumption were observed in comparison with conventional method. In addition, TIE showed high sample throughput (up to 480 samples per hour), showing potential for routine analyzes.

A relevant aspect for development of new analytical methods is the reduction of toxic reagents and waste generation, dangerous to human health and/or the environment (Marco et al. 2019MARCO MA, RECHELO BS, TÓTOLI EG, KOGAWA AC & SALGADO HRN. 2019. Evolution of green chemistry and its multidimensional impacts: A review. Saudi Pharm J 27(1): 1-8.). Green analytical chemistry (GRAC), in turn, implements processes to reduce or eliminate the use or generation of harmful substances. It is guided by twelve principles aiming at sustainable chemistry (Galuska et al. 2013), which could be reached in a wide range by using TIE. Therefore, TIE could be considered a simple and greener alternative to conventional analytical methods described in official compendia, as pharmacopeias (Dalla Nora et al. 2019DALLA NORA FM, OLIVEIRA AS, LUCAS BN, FERREIRA DF, DUARTE FA, COSTA AB, SILVA FEB & BARIN JS. 2019. A novel thermal infrared Enthalpimetric Method for fast, high-throughput determination of the content uniformity of captopril Tablets. J Braz Chem Soc 30(5): 1082-1088.).

In the present work a green analytical method is proposed using TIE for determination of ethanol in the different stages of homeopathic medicines production, in which limitations such as time of analysis, sample volume, high cost, among others, could be overcome. A response surface methodology (RSM) based on Statistical Design of Experiments (DoEs) was used for optimization of experimental conditions. The proposed TIE method was validated and the results were compared to those obtained from conventional method.

MATERIAL AND METHODS

Instrumentation

For the TIE analysis a long-wave infrared camera (7.5–13.0 μm, FLIR E60 model, FLIR, Wilsonville, OR, USA) was used, which provided images of 320×240 pixels at a frame rate of 30 Hz. Images were processed using ResearchIR software (version 3.5, FLIR). The reactions were performed in disposable polystyrene 48-wells microplates with internal volume of 1.6 mL (Nest Biotech, China). An electronic multichannel pipette (8 channels, 0.050-1.2 mL, Pro Research 1200, Eppendorf, Germany) was used for simultaneous addition of reagents into the wells. The homogenization of solutions was performed using a polytetrafluoroethylene-covered stir bar (3.0 x 6.5 mm) and a magnetic stirrer (Centauro, Atuba, Brazil).

Samples were also analyzed by gas chromatography instrument equipped with a flame ionization detector (GC-FID) Varian 3400 (Palo Alto, CA, USA). Separation was achieved using DB-5 (non-polar phase; cross-linked; 5% phenyl 95% dimethylpolysiloxane) capillary column with the following dimensions 30 m × 0.32 mm ID, ft = 0.25 μm (Agilent, Waldbronn, Germany).

Samples, standards, and reagents

Samples of homeopathic medicines were compounding with alcohol content of 5, 30, 70 and 95% (v/v), as showed in Table I. The different ethanol content was defined in accordance to usual concentrations found in homeopathic medicines. Low concentrations (e.g., 5%, v/v) are used in single-dose homeopathic medicines, 30% (v/v) is often found in oral drops, and high concentrations (70-95%) are used to prepare mother tinctures. Samples of homeopathic medicines without ethanol (blank sample) were used for selectivity/matrix effects studies. Absolute ethanol (LabSynth, Diadema, Brazil) and purified water (obtained in a Milli-Q system Direct-Q 3 UV, 18.2 MΩ cm, Millipore Corp., USA) were used as reagents to achieve the heat of dilution in the TIE method. Purified water was also used to dilute samples of homeopathic medicines. Hydrogen (purity > 99.9%) was used as the carrier gas in the chromatography analysis.

Table I
Homeopathic medicine samples.

Conventional analysis

In order to compare the results obtained with the proposed TIE method, samples were also analyzed by GC-FID in accordance with United States Pharmacopoeia – National Formulary (USP-NF) with modifications (USP-NF 2017USP-NF- UNITED STATES PHARMACOPEIA AND NATIONAL FORMULARY. 2017. The United States Pharmacopoeia, 40a edição da Farmacopéia Americana(USP), and the National Formulary, 35a edição do Formulário Nacional (NF) , Rockville: United States Pharmacopeia Convention, 5000 p.). The method (Alcohol determination <611>, Method IIB – USP-NF) was revalidated in the following parameters: linearity, precision (repeatability and intermediate precision) and accuracy (ANVISA 2017ANVISA - AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. 2017. RDC n° 166 - Dispõe sobre a validação de métodos analíticos e dá outras providências. Disponível em: http://portal.anvisa.gov.br/legislacao#/visualizar/353660. Acessado em 17 de agosto de 2018.
http://portal.anvisa.gov.br/legislacao#/...
). Butyl alcohol (0.05% v/v) was added as internal standard. Samples of ethanol (0.3%, v/v) were prepared and then injected into a split/splitless injector, operating in split mode with a 50:1 ratio at a temperature of 150 °C. Hydrogen was used as the carrier gas at a constant pressure of 10 psi. The temperature program was initially 90 °C for 2 minutes, with an increase to 230 °C at a rate of 15 °C min-1 and was maintained in isothermal condition for 5 minutes. The detector temperature was set at 250 °C. The quantification was based in an external calibration curve with five equidistant analytical points ranging from 0.05 to 0.75% (v/v) of ethanol.

Analytical method development

In TIE, disposable devices (e.g., microplates) were used for reactions, while an infrared camera, without contact, simultaneously monitors the temperature of multiple reactions. In this study, the microplate was positioned in front of camera (40 cm of distance) and the reagent (ethanol or purified water) was injected to eight wells simultaneously. The temperature was monitored before and after the reagent injection. Using the IR camera software, a circle of 180 pixels (corresponding to 7.1 mm of diameter) was used to monitor the temperature of each well, with the average of temperatures plotted to form an enthalpogram. The difference in temperature (ΔT) was obtained from equation ΔT = Tf − Ti, where Tf and Ti are the final and initial temperatures, respectively. Eight wells of the microplate were used for each experiment (n = 8).

After the construction of analytical curves, the homeopathic samples were evaluated using the same procedure. For samples with theoretical content lower than 30% (ethanol, v/v), ethanol was added as reagent to obtain ΔT (curve A). For samples with theoretical content equal or higher than 30% (ethanol, v/v), purified water was added to obtain the ΔT (curve B). The samples containing 70 to 95% (ethanol, v/v) were diluted (1:1) directly into the microplate with purified water. This dilution procedure was performed in order to work within the linear range. Q-Test (Dixon) was used to identify and exclude outliers among the replicates.

Method optimization and robustness

The proposed TIE method was optimized by RSM based on DOEs. The experiments were performed to evaluate the influence of total volume in the wells (x1), the stirring speed (x2) and the dispensing rate (x3) of multichannel pipette based on rotatable Central Composite Design (CCD). Dependent variable (y) was represented by the relative standard deviation (RSD, n = 8) from calibration solution containing 40% ethanol (v/v). The design model was a quadratic fit using 18 design runs, of which 4 were repeats of the center point of the model (23 + 6 + 4 = 18). The rotatable CCD is listed in Table II. All experiments were performed in randomized order. Statistical analysis was performed by Statistica 7.0 software (StatSoft, Inc., 2004, USA). Estimation of experimental error and validity of polynomial models were obtained by repetition of experimental points.

RSM was also used to study method robustness. Robustness testing was performed in order to obtain information about as small changes in the procedure could affect the proposed TIE method. The parameters considered for robustness testing were: total volume from 900 to 1100 µL, stirring from 150 to 200 rpm and dispensing rate from 0.46 to 0.57 mL s-1. Dependent variable was represented by RSD (n = 8) from calibration solution containing 40% (ethanol, v/v).

Table II
Central composite rotatable design arrangement.

Validation procedure

The method was validated according to ANVISA and Instituto Nacional de Metrologia, Qualidade e Tecnologia (INMETRO) specifications, which recommend the following parameters: selectivity/matrix effect, linearity, linear range, precision (repeatability and intermediate precision), limit of detection (LOD), limit of quantification (LOQ), accuracy and robustness (INMETRO 2010, ANVISA 2017ANVISA - AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. 2017. RDC n° 166 - Dispõe sobre a validação de métodos analíticos e dá outras providências. Disponível em: http://portal.anvisa.gov.br/legislacao#/visualizar/353660. Acessado em 17 de agosto de 2018.
http://portal.anvisa.gov.br/legislacao#/...
).

To determine the matrix effect were carried out two experiments: (a) analysis of solutions containing ethanol 5% (v/v) added by glycerol solutions (1 to 5%, v/v), since chemical structure of glycerol (presented in mother tinctures) is similar to ethanol; and (b) analysis of mother tincture (randomly selected) diluted without ethanol. In this situation, the ∆T of this reaction was compared to those of a reaction using only purified water.

The linearity was studied in two ranges of ethanol concentration: (a) calibration solutions containing 4-12% (ethanol, v/v) expressed as analytical curve A; and (b) calibration solutions containing 30-55% (ethanol, v/v) expressed as analytical curve B, which are shown in figure 1. The linearity was evaluated by linear regression analysis using least-square regression method. The data were evaluated by ANOVA test using independent analytical curves.

Figure 1
Analytical curves obtained using hydroalcoholic reference solutions: (a) 4-12% (ethanol, v/v) and (b) 30-55% (ethanol, v/v) (n=8).

Repeatability (intra-day precision) and intermediate precision (inter-day precision) were evaluated by RSD of eight replicates using Nux vômica (ethanol 5%, v/v) and Avena sativa (ethanol 70%, v/v) samples, which were randomly selected. Intra-day precision was evaluated with the same analyst and equipment. Inter-day precision was evaluated under different conditions (different analysts on two different days).

Accuracy was evaluated by adjustment of linear regression equation obtained from the results obtained by GC-FID and TIE methods. The regression parameters evaluated by F-test under the following hypothesis test: H0: β0=0 and β1=1 where, H0=null hypothesis, β0=intercept of the linear regression between the observed and the found ethanol content, and β1=slope of line. If H0 is not rejected, it can be concluded that the method predicts the observed values with similarity.

The detection and quantitation limits (LOD and LOQ, respectively) were based on the mean concentration and standard deviation of ten blank replicates. The detection and quantitation limits were expressed as LOD = + 3.3σ and LOQ = + 10σ (where = the mean concentration of blank replicates, σ = the standard deviation of the blank replicates, n=10). As curve A had a decreasing profile, it is also important to establish the maximum concentration detected. This value was obtained by the formula LOD = 3.3σ / S (where σ = the standard deviation of the blank replicates, S = the slope of the calibration curve), and considered a reasonable signal to distinguish the temperature rise from noise.

RESULTS AND DISCUSSION

Optimization of TIE

For optimization of experimental parameters, the influence of total volume (x1), stirring speed (x2) and dispensing rate (x3) were investigated by RSM. Equation obtained from the model was with the form:

y 1 = 0.378 0.539 x 1 0.025 x 2 0.019 x 3 + 0.232 x 1 2 + 0.392 x 2 2 + 0.164 x 3 2 0.041 x 1 x 2 0.087 x 1 x 3 0.195 x 2 x 3

The combination effects of experimental parameters can be observed in the RSM graphs (Figure 2). For total volume vs. dispensing rate graph (Figure 2a), the best conditions were found increasing volume and dispensing rate, since lower volumes (<900 µL) presented worse analytical signals and, consequently, high RSD. Lower dispensing rates (<0.41 mL s-1) impaired heat release due to slow reagent addition. Moreover, according to Oliveira et al. (2018)OLIVEIRA AS, BALLUS CA, MENEZES CR, WAGNER R, PANIZ JNG, TISCHER B, COSTA AB & BARIN JS. 2018. Green and fast determination of the alcoholic content of wines using thermal infrared enthalpimetry. Food Chem 258: 59-62., dispensing rate ≤0.46 mL s-1 increase the RSD due to the presence of the pipette tip in front of the camera during mixing of solutions. For total volume vs. stirring speed (Figure 2b), it was observed that very low (<100 rpm) stirring speeds may impair efficient homogenization of solutions and above 250 rpm increase RSD by overflow of solutions. Therefore, higher volumes (>900 μL) combined with intermediate stirring speed (100-250 rpm) are recommended. In Figure 2c, stirring speed vs. dispensing rate graph showed lower RSD in intermediate region (central position). The result obtained showed that parameters are dependent since the high level of one can be compensated by the low level of other experimental conditions. In accordance with exposed above, 1000 μL for total volume, 0.5 mL s-1 for dispensing rate and 175 rpm for stirring speed were considered for further experiments. The results agree with optimization parameters obtained in other studies involving TIE (Tischer et al. 2017aTISCHER B, OLIVEIRA AS, COSTA AB, CICHOSKI AJ, BARCIA MT, WAGNER R & BARIN JS. 2017a. Rapid and simultaneous determination of acidity and salt content of pickled vegetable brine by using thermal infrared enthalpimetry. J Food Compos Anal 63: 34-37., bTISCHER B, OLIVEIRA AS, FERREIRA DF, MENEZES CR, DUARTE FA, WAGNER R & BARIN JS. 2017b. Rapid microplate green method for high-throughput acidity evaluation of vinegars using thermal infrared enthalpimetry. Food Chem 215: 17-21., Oliveira et al. 2017OLIVEIRA AS, DALLA-NORA FM, MELLO RO, MELLO PA, TISCHER B, COSTA AB & BARIN JS. 2017. One-Shot, reagent-free determination of the alcoholic content of distilled beverages by thermal infrared enthalpimetry. Talanta 171: 335-340., 2018).

Figure 2
RSM based on DOE to the following parameters: (a) total volume vs. dispensing rate; (b) total volume vs. stirring speed; and (c) stirring speed vs. dispensing rate.

Figures of merit

Selectivity and matrix effect evaluation

Matrix effect was evaluated in two experiments. In the first experiment, the following solutions were analyzed: ethanol solution 5% (v/v) + glycerol solution 1% (v/v); ethanol solution 5% (v/v) + glycerol solution 2% (v/v); ethanol solution 5% (v/v) + glycerol solution 3% (v/v); ethanol solution 5% (v/v) + glycerol solution 4% (v/v); ethanol solution 5% (v/v) + glycerol solution 5% (v/v). All solutions maintained an analytical signal (∆T) similar to ethanol solution 5% (v/v) without glycerol, demonstrating no interference in quantification of ethanol (no signal suppression or enhancement).

In the second experiment, the analysis of mother tincture showed that matrix is not detectable, since the analytical signal obtained was equal to the purified water (data no shown).

It is important to highlight that the proposed method does not require sample preparation and mother tinctures (containing concentrated components and glycerol) could result in a matrix effect. For this reason, the proposed method was considered selective for ethanol determination in homeopathic medicines because the matrix effect was not observed.

Linearity

A linear response was observed in the range of 4 to 12% (Figure 1a) and 30 to 55% (Figure 1b), with high correlation coefficient (r = 0.9998). Dissolution of ethanol in water is an exothermic process across the whole range of concentrations, probably due to decreasing total numbers of hydrogen bonds for the mixture in relation to pure solvent. For this reason, a reduced amount of water leads to lower heat generation by dilution. This way, in curve A ethanol was added as reagent and profile showed decreasing trend. Likewise, in curve B purified water was added as reagent and profile showed increasing trend.

According to ANOVA test, the data showed significant linear regression and no linearity deviation. Therefore, a linear range was feasible for determination of ethanol in homeopathic formulations within a large range of ethanol concentration.

Precision (repeatability and intermediate precision)

Precision was evaluated at two levels: (a) repeatability (intra-day, n=8) and (b) intermediate precision (inter-day, n=8). For repeatability, sample with 5% ethanol (Nux vomica) showed RSD value of 2.35% and sample containing 70% ethanol (Avena sativa) showed RSD below 0.12% (Table III). For intermediate precision, RSD values of 2.35 and 2.25% for Nux vomica and 0.12 and 0.21% for Avena sativa samples were observed for days 1 and 2, respectively. Therefore, a good agreement between the two experiments performed independently was obtained despite the use of different analyst and day of analysis under identical conditions. It is important to highlight that the proposed method presented deviations in the same level or lower than those presented by conventional (GC-FID) and TIE methods (Barin et al. 2015BARIN JS, TISCHER B, OLIVEIRA AS, WAGNER R, COSTA AB & FLORES EMM. 2015. Infrared thermal imaging: a tool for simple, simultaneous, and high-throughput enthalpimetric analysis. Anal Chem 87(24): 12065-12070., Tischer et al. 2017aTISCHER B, OLIVEIRA AS, COSTA AB, CICHOSKI AJ, BARCIA MT, WAGNER R & BARIN JS. 2017a. Rapid and simultaneous determination of acidity and salt content of pickled vegetable brine by using thermal infrared enthalpimetry. J Food Compos Anal 63: 34-37., b, Oliveira et al. 2017OLIVEIRA AS, DALLA-NORA FM, MELLO RO, MELLO PA, TISCHER B, COSTA AB & BARIN JS. 2017. One-Shot, reagent-free determination of the alcoholic content of distilled beverages by thermal infrared enthalpimetry. Talanta 171: 335-340., 2018). Therefore, the proposed TIE method could be considered a suitable alternative for the determination of ethanol in these samples.

Table III
Precision (repeatability and intermediate precision) evaluated by RSD (%) (n = 8).

Detection and quantitation limits

Limits of detection (LOD, + 3.3σ) and quantification (LOQ, + 10σ) were calculated considering the mean and standard deviation of the blank replicates. For the curve A, LOD=1.77% (ethanol, v/v) and LOQ=1.93% (ethanol, v/v) were obtained. In this way, TIE can be applied in single dose homeopathic formulations, which normally present concentrations of 5.0% (ethanol, v/v). Maximum ethanol concentration detected in curve A was 28.06% (v/v).

To perform determination of ethanol in samples with alcohol content of 30.0% or above, curve B is recommended. For curve B, LOD=19.55% (ethanol, v/v) and LOQ=19.58% (ethanol, v/v) were obtained. These values were suitable for quantification of ethanol in mother tinctures and finished homeopathic medicines (oral drops).

Accuracy

Accuracy was evaluated by comparison of the results with the conventional method as showed in Table IV. Calendula officinalis sample showed discrepant values, and for this reason, excluded from statistical analysis. Figure 3a shows scatter plots of observed vs. predicted values (obtained by GC-FID and TIE methods) and figure 3b shows ordinary residues. A high coefficient of determination (0.9997) was observed without tendency, making acceptable the null hypothesis (H0: β1=1). Thus, the TIE method proved to have good accuracy for quantification of ethanol in homeopathic medicines.

Figure 3
Scatter plots of (a) observed vs. predicted values and (b) dispersion of the ordinary residues.
Table IV
Ethanol content (%, v/v) in homeopathic medicines (mean ± standard deviation) by TIE (n = 8) and GC-FID (n = 3).

Robustness

Robustness was investigated using the RSM approach (Figure 2), considering smaller variations to provide an indication of its reliability during routine use. The results indicated no relevant difference within the parameters studied, since RSD values did not exceed 0.6% (considered suitable for this study). Therefore, it can be concluded that TIE method is robust within the ranges evaluated: total volume for 900 to 1100 µL (Figure 2a), stirring speed for 150 to 200 rpm (Figure 2b) and dispensing rate from 0.46 to 0.57 mL s-1 (Figure 2c). In this way, it was possible to determine the robust domain (tolerable variations) using RSM.

CONCLUSION

The proposed TIE method could be considered as a promising tool for fast ethanol determination in homeopathic medicines and it could be used in routine analyzes of these pharmaceuticals in a wide range (from 5% to 95% v/v). In addition, it presents low cost, quick analysis and agreement with the principles of green analytical chemistry, contrarily to the official methods.

ACKNOWLEGMENTS

The authors are grateful to Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul (FAPERGS) for supporting this study.

REFERENCES

  • ANVISA - AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. 2007. RDC n° 26 - Dispõe sobre o registro de medicamentos dinamizados industrializados homeopáticos, antroposóficos e anti-homotóxicos. Disponível em: http://portal.anvisa.gov.br/legislacao#/visualizar/353660 Acessado em 09 de fevereiro de 2018.
    » http://portal.anvisa.gov.br/legislacao#/visualizar/353660
  • ANVISA - AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. 2018. Farmacopéia Homeopática Brasileira 3a ed. Disponível em: http://portal.anvisa.gov.br/farmacopeia-homeopatica Acessado em 15 de setembro de 2018.
    » http://portal.anvisa.gov.br/farmacopeia-homeopatica
  • ANVISA - AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA. 2017. RDC n° 166 - Dispõe sobre a validação de métodos analíticos e dá outras providências. Disponível em: http://portal.anvisa.gov.br/legislacao#/visualizar/353660 Acessado em 17 de agosto de 2018.
    » http://portal.anvisa.gov.br/legislacao#/visualizar/353660
  • BARIN JS, TISCHER B, OLIVEIRA AS, WAGNER R, COSTA AB & FLORES EMM. 2015. Infrared thermal imaging: a tool for simple, simultaneous, and high-throughput enthalpimetric analysis. Anal Chem 87(24): 12065-12070.
  • CHIRUMBOLO S & BJØRKLUND G. 2017. Homeopathic potencies of Arnica montana L. change gene expression in a Tamm-Horsfall protein-1 cell line in vitro model: the role of ethanol as a possible confounder and statistical bias. J Integr Med 15(4): 255-264.
  • CLARKE TC, BLACK LI, STUSSMAN BJ, BARNES PM & NAHIN RL. 2015. Trends in the use of complementary health approaches among adults: United States, 2002–2012. Natl Health Stat Report 79: 1-16.
  • COSTA CLS, RAMOS DP & SILVA JB. 2019. Multivariate optimization and validation of a procedure to direct determine acetonitrile and ethanol in radiopharmaceuticals by GC-FID. Microchem J 147: 654-659.
  • DALLA NORA FM, OLIVEIRA AS, LUCAS BN, FERREIRA DF, DUARTE FA, COSTA AB, SILVA FEB & BARIN JS. 2019. A novel thermal infrared Enthalpimetric Method for fast, high-throughput determination of the content uniformity of captopril Tablets. J Braz Chem Soc 30(5): 1082-1088.
  • DOEHRING C & SUNDRUM A. 2016. Efficacy of homeopathy in livestock according to peer-reviewed publications from 1981 to 2014. Vet Rec 179(24): 1-13.
  • EMA - EUROPEAN MEDICINES AGENCY. 2013. Questions and Answers on Ethanol in the context of the revision of the guideline on ‘Excipients in the label and package leaflet of medicinal products for human use’ (CPMP/463/00). Available at: https://www.ema.europa.eu/en/documents/scientific-guideline/questions-answers-ethanol-context-revision-guideline-excipients-label-package-leaflet-medicinal_en.pdf Accessed on Sep 14, 2018.
    » https://www.ema.europa.eu/en/documents/scientific-guideline/questions-answers-ethanol-context-revision-guideline-excipients-label-package-leaflet-medicinal_en.pdf
  • FERREIRA AO. 2011. Preparações orais líquidas: formulário, procedimento de preparo, flavorização, estabilidade e conservação, 3a ed., São Paulo: Pharmabooks, 728 p.
  • GAŁUSZKA A, MIGASZEWSKI Z & NAMIEŚNIK J. 2013. The 12 principles of green analytical chemistry and the significance mnemonic of green analytical practices. Trends Anal Chem 50: 78-84.
  • GORLOWSKA K, GORLOWSKA J, SKIBIŃSKI R & KOMSTA Ł. 2015. Chemometrics meets homeopathy—an exploratory analysis of infrared spectra of homeopathic granules. J Pharm Biomed Anal 115(10): 36-38.
  • HOLANDINO C ET AL. 2017. Structural and thermal analyses of zinc and lactose in homeopathic triturated systems. Homeopathy 106(3): 160-170.
  • HUZAR E & WODNICKA A. 2013. Determination of ethanol content in medicated syrups by static headspace gas chromatography. Acta Pol Pharm - Drug Research 70(1): 41-49.
  • INMETRO - INSTITUTO NACIONAL DE METROLOGIA, QUALIDADE E TECNOLOGIA. 2016. Orientação sobre validação de métodos analíticos. Disponível em: http://www.inmetro.gov.br/Sidoq/Arquivos/CGCRE/DOQ/DOQ-CGCRE-8_05.pdf Acessado em 25 de novembro de 2017.
    » http://www.inmetro.gov.br/Sidoq/Arquivos/CGCRE/DOQ/DOQ-CGCRE-8_05.pdf
  • JADHAV HP, CHAUDHARI GG, PATIL DD, JADHAV RB, REDDY NM, SHIRKHEDKAR AA, GOYAL SN & PATIL CR. 2016. Standardization of homeopathic mother tincture of Toxicodendron pubescens and correlation of its flavonoid markers with the biological activity. Homeopathy 105(1): 48-54.
  • MARCO MA, RECHELO BS, TÓTOLI EG, KOGAWA AC & SALGADO HRN. 2019. Evolution of green chemistry and its multidimensional impacts: A review. Saudi Pharm J 27(1): 1-8.
  • MATHIE RT, LLOYD SM, LEGG LA, CLAUSEN J, MOSS S, DAVIDSON JRT & FORD I. 2014. Randomized placebo-controlled trials of individualized homeopathic treatment: systematic review and meta-analysis. Syst Rev 3(142): 1-16.
  • OLIVEIRA AS, BALLUS CA, MENEZES CR, WAGNER R, PANIZ JNG, TISCHER B, COSTA AB & BARIN JS. 2018. Green and fast determination of the alcoholic content of wines using thermal infrared enthalpimetry. Food Chem 258: 59-62.
  • OLIVEIRA AS, DALLA-NORA FM, MELLO RO, MELLO PA, TISCHER B, COSTA AB & BARIN JS. 2017. One-Shot, reagent-free determination of the alcoholic content of distilled beverages by thermal infrared enthalpimetry. Talanta 171: 335-340.
  • RAVISHANKARA MN, SHRIVASTAVA N, PADH H & RAJANI M. 2001. HPTLC method for the estimation of alkaloids of Cinchona officinalis stem bark and its marketed formulations. Planta Med 67(3): 294-296.
  • RELTON C, COOPER K, VIKSVEEN P, FIBERT P & THOMAS K. 2017. Prevalence of homeopathy use by the general population worldwide: a systematic review. Homeopathy 106(2): 69-78.
  • SHANG A, HUWILER-MÜNTENER K, NARTEY L, JÜNI P, DÖRIG S, STERNE JAC, PEWSNER D & EGGER M. 2005. Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy. Lancet 366(9487): 726-732.
  • TISCHER B, OLIVEIRA AS, COSTA AB, CICHOSKI AJ, BARCIA MT, WAGNER R & BARIN JS. 2017a. Rapid and simultaneous determination of acidity and salt content of pickled vegetable brine by using thermal infrared enthalpimetry. J Food Compos Anal 63: 34-37.
  • TISCHER B, OLIVEIRA AS, FERREIRA DF, MENEZES CR, DUARTE FA, WAGNER R & BARIN JS. 2017b. Rapid microplate green method for high-throughput acidity evaluation of vinegars using thermal infrared enthalpimetry. Food Chem 215: 17-21.
  • TUMIR H, BOŠNIR J, VEDRINA-DRAGOJEVIĆ I, DRAGUN Z, TOMIĆ S & PUNTARIĆ D. 2010. Preliminary investigation of metal and metalloid contamination of homeopathic products marketed in Croatia. Homeopathy 99(3): 183-188.
  • UNLU A, KIRCA O & OZDOGAN M. 2017. Homeopathy and cancer. J Oncol Sci 3(2): 77-80.
  • USP-NF- UNITED STATES PHARMACOPEIA AND NATIONAL FORMULARY. 2017. The United States Pharmacopoeia, 40a edição da Farmacopéia Americana(USP), and the National Formulary, 35a edição do Formulário Nacional (NF) , Rockville: United States Pharmacopeia Convention, 5000 p.
  • WAISSE S. 2017. Private and institutionalised patients’ use of homeopathy in the early nineteenth century. Homeopathy 106(4): 250-259.
  • WHO - WORLD HEALTH ORGANIZATION. 2009. Safety issues in the preparation of homeopathic medicines. Available at http://apps.who.int/iris/bitstream/handle/10665/44238/9789241598842_eng.pdf Accessed on Sep 14, 2017.
    » http://apps.who.int/iris/bitstream/handle/10665/44238/9789241598842_eng.pdf

Publication Dates

  • Publication in this collection
    12 Oct 2020
  • Date of issue
    2020

History

  • Received
    6 Dec 2018
  • Accepted
    3 July 2019
Academia Brasileira de Ciências Rua Anfilófio de Carvalho, 29, 3º andar, 20030-060 Rio de Janeiro RJ Brasil, Tel: +55 21 3907-8100 - Rio de Janeiro - RJ - Brazil
E-mail: aabc@abc.org.br