Question:

Large volume parenterals (LVPs) must be free from preservatives because _______

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Large volume parenterals should not contain preservatives because large administered volume increases toxicity risk.
  • They alter pH
  • They cause precipitation
  • Toxicity risk due to large dose
  • They reduce sterility
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The Correct Option is C

Solution and Explanation

Concept:
Large volume parenterals are sterile preparations administered in large volumes, usually by intravenous route.

Step 1: Understanding preservatives.

Preservatives are added to prevent microbial growth in some formulations.

Step 2: Why they are avoided in LVPs.

Since LVPs are administered in large quantities, even a small concentration of preservative can result in a significant total amount entering the body.

Step 3: Toxicity concern.

This may cause toxicity, especially because LVPs are given directly into systemic circulation.

Step 4: Final answer.

Therefore, LVPs must be free from preservatives due to toxicity risk from large dose. \[ \boxed{\text{Toxicity risk due to large dose}} \]
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