Parenteral formulations for poorly water-soluble active pharmaceutical ingredients (APIs) often use combinations of solubilization techniques to minimize possible side effects during or after injection. The underlying rationale is that a combination of techniques often has an additive effect on API solubility, while side effects are usually driven by the achievement of a threshold value of a single component (e.g. a cosolvent that causes haemolysis at high local concentrations). Combining multiple ingredients/techniques to reduce the concentration of potentially toxic components can therefore be beneficial. In some cases, however, combinations offer few advantages or even disadvantages in terms of solubilization. Below we summarize which combinations of techniques are useful and which are better avoided.
pH-adjustment + cosolvents
In the presence of a cosolvent, the total solubility of an ionizable solute is a function of the concentration of both the unionized and ionized species and the solubilization power of the cosolvent toward the un-ionized and ionized forms. Since cosolvent solubilization power is dependent on the hydrophobicity of the solute, the level of cosolvency decreases with increasing API ionization, potentially reducing the solubilization advantage of the cosolvent.