Chemical Properties
Ethyl alcohol is a colorless flammable liquid with a typical lower alcohol odor and is miscible
in water in all proportions. It is stable and hygroscopic. It is incompatible with strong
oxidizing agents, peroxides, acids, acid chlorides, acid anhydrides, alkali metals, ammonia,
and moisture. Ethyl alcohol forms explosive mixtures with air. Ethyl alcohol is the
most common solvent used in aerosols, cosmetics, pharmaceuticals, alcoholic beverages,
vinegar production, and in the chemical synthesis of a large variety of products in different
industries. For instance, in the manufacture of plastics, lacquers, polishes, plasticizers,
perfumes, adhesives, rubber accelerators, explosives, synthetic resins, nitrocellulose, inks,
preservatives, and as a fuel.
Definition
ChEBI: A primary alcohol that is ethane in which one of the hydrogens is substituted by a hydroxy group.
General Description
A clear colorless liquid with a characteristic vinous odor and pungent taste. Flash point 55°F. Density 6.5 lb/gal. Vapors are heavier than air.
Reactivity Profile
ETHANOL(64-17-5) reacts violently with acetyl chloride and acetyl bromide [Rose, (1961); Merck 11th ed., 1989]. Mixtures with concentrated sulfuric acid and strong hydrogen peroxide can cause explosions. Mixtures with concentrated hydrogen peroxide form powerful explosives. Reacts readily with hypochlorous acid and with chlorine to give ethyl hypochlorite, which decomposes in the cold and explodes on exposure to sunlight or heat. Base-catalysed reactions with isocyanates should be carried out in inert solvents. Such reactions in the absence of solvents often occur with explosive violence [Wischmeyer(1969)]. Highly oxidized potassium metal was dropped into a dish of ethyl alcohol, an immediate explosion shattered the dish. Potassium superoxide was considered the cause of the reaction [Health and Safety Inf. 251(1967)]. ETHANOL(64-17-5) or mETHANOL(64-17-5) can ignite on contact with a platinum-black catalyst. (Urben 1794).
Air & Water Reactions
Highly flammable. Soluble in water in all proportions.
Hazard
Classified as a depressant drug. Though it
is rapidly oxidized in the body and is therefore noncumulative, ingestion of even moderate amounts
causes lowering of inhibitions, often succeeded by
dizziness, headache, or nausea. Larger intake causes
loss of m
Health Hazard
Exposures to ethyl alcohol by ingestion cause dizziness, faintness, drowsiness, decreased
awareness and responsiveness, euphoria, abdominal discomfort, nausea, vomiting, staggering
gait, lack of coordination, and coma. Ethyl alcohol causes no adverse effects with normal
skin, but is potentially harmful when absorbed across markedly abraded skin. Repeated
inhalation of ethyl alcohol vapors in high concentrations may cause a burning sensation in
the throat and nose, stinging and watering in the eyes with symptoms of irritation, dizziness,
faintness, drowsiness, nausea, and vomiting. Direct exposures of the eyes to ethyl alcohol
may cause mild to moderate conjunctivitis, seen mainly as redness of the conjunctiva.
Prolonged and repeated oral exposures to ethyl alcohol result in the development of
progressive liver injury with fi brosis. Chronic exposures or repeated ingestion of ethyl
alcohol by pregnant women are known to adversely affect the CNS of the fetus, producing
a collection of effects that together constitute fetal alcohol syndrome. The adverse
health effects observed in the fetus include mental and physical retardation, disturbances
of learning, motor, and language defi ciencies, small size head, and behavioral disorders.
The target organs that are damaged by prolonged exposures to ethyl alcohol include the
eyes, skin, respiratory system, CNS, liver, blood, and reproductive system.
Health Hazard
VAPOR: Irritating to eyes, nose and throat. LIQUID: Not harmful.
Potential Exposure
Ethyl alcohol is used, topical antiinfective agent; solvent to make beverages; in the chemical
synthesis of a wide variety of compounds, such as acetaldehyde, ethyl ether, ethyl chloride, and butadiene. It is a solvent
or processing agent in the manufacture of pharmaceuticals;
plastics, lacquers, polishes, plasticizers, perfumes, cosmetics,
rubber accelerators; explosives, synthetic resins; nitrocellulose, adhesives, inks, and preservatives. It is also used as an
antifreeze and as a fuel. It is an intermediate in the manufacture of many drugs and pesticides.
Fire Hazard
FLAMMABLE. Flashback along vapor trail may occur. Vapor may explode if ignited in an enclosed area.
First aid
If this chemical gets into the eyes, remove any
contact lenses at once and irrigate immediately for at least
15 minutes, occasionally lifting upper and lower lids. Seek
medical attention immediately. If this chemical contacts the
skin, remove contaminated clothing and wash immediately
with soap and water. Seek medical attention immediately.
If this chemical has been inhaled, remove from exposure,
begin rescue breathing (using universal precautions, including resuscitation mask) if breathing has stopped and CPR if heart action has stopped. Transfer promptly to a medical
facility. When this chemical has been swallowed, get medical attention. Give large quantities of water and induce
vomiting. Do not make an unconscious person vomit
Shipping
UN1170 Ethyl alcohol or Ethanol or Ethanol
solutions or Ethyl alcohol solutions, Hazard Class: 3;
Labels: 3-Flammable liquid.
Incompatibilities
May form explosive mixture with air.
May accumulate static electrical charges, and may cause
ignition of its vapors. Reactions may be violent with oleum,
sulfuric acid; nitric acid, bases, aliphatic amines;isocyanates, strong oxidizers. Also incompatible with potassium dioxide, bromine pentafluoride; acetyl bromide; acetyl
chloride; platinum, sodium.
Description
Ethyl alcohol, also called ethanol, absolute alcohol, or grain alcohol, is a clear, colorless, flammable
liquid with a pleasant odor. It is associated primarily with alcoholic beverages, but it
has numerous uses in the chemical industry. The word alcohol is derived from the Arabic
word al kuhul, which was a fine powder of the element antimony used as a cosmetic. In
Medieval times, the word al kuhul came to be associated with the distilled products known
as alcohols. The hydroxyl group, -OH, bonded to a carbon, characterizes alcohols. Ethyl is
derived from the root of the two-carbon hydrocarbon ethane.
Waste Disposal
Dissolve or mix the material
with a combustible solvent and burn in a chemical incinerator equipped with an afterburner and scrubber. All federal,
state, and local environmental regulations must be
observed. Consult with environmental regulatory agencies
for guidance on acceptable disposal practices. Generators
of waste containing this contaminant (≥100 kg/mo) must
conform with EPA regulations governing storage, transportation, treatment, and waste disposal.
Occurrence
Reported found in apple, apple aroma, apple essence, apple juice, bacon fat, banana, bean, beef fat, beef extract,
blackberry, black currant, bread, brussels sprout, cabbage, carrot root, cauliflower, blue cheese, cheddar cheese, Swiss cheese, cocoa
bean, cherry, coffee, cream, cucumber, alcoholic beverages and many other sources
Indications
Ethanol is the most widely abused drug in the world.
There are more than 10 million alcoholics in the United
States alone. Excessive consumption of alcoholic beverages
has been linked to as many as half of all traffic accidents,
two-thirds of homicides, and three-fourths of
suicides, and it is a significant factor in other crimes, in
family problems, and in personal and industrial accidents.
The annual cost to the American economy has
been estimated to exceed $100 billion in lost productivity,
medical care, and property damage.
Alcoholism has been difficult to define because of its
complex nature.A person is generally considered an alcoholic,
however, when his or her lifestyle is dominated
by the procurement and consumption of alcoholic beverages
and when this behavior interferes with personal,
professional, social, or family relations.
A light drinker generally is defined as one who consumes
an average of one drink or less per day, usually
with the evening meal; a moderate drinker is one who
has approximately three drinks per day; and a heavy
drinker is one who has five or more drinks per day (or
in the case of binge drinkers, at least once per week with
five or more drinks on each occasion).
Indications
Intravenous use of ethanol, while once widely employed
to inhibit premature labor, is now of historical interest
only. Ethanol inhibits oxytocin release from the pituitary
and thus indirectly decreases myometrial contractility.
Today, 2-adrenomimetics and magnesium sulfate have
replaced ethanol for parenteral tocolysis.
Preparation
There are several approaches to the production of ethanol; mainly ethanol is produced by fermentation.
Production Methods
Ethanol is manufactured by the controlled enzymatic fermentation
of starch, sugar, or other carbohydrates. A fermented liquid is
produced containing about 15% ethanol; ethanol 95% v/v is then
obtained by fractional distillation. Ethanol may also be prepared by
a number of synthetic methods.
Brand name
Absolute alcohol;Alcohol aethylicus;Alcool;Avitoin;Banatol;B-tonin;Colfin;Desqyam-x;Duonale-e;Efatin;Equithesin;Hizeneck-d;Honkon-n;Kapsitrin;Keralyt;Levovinizol;Mikrozid;Neotizol;Panoxy;Papette;Piadarn;Polislerol;Protectaderm;Sicol;Sodaphilline;Softa man;Sotracarix;Verucid;Weingeist;Xeracin.
World Health Organization (WHO)
Ethanol has been used throughout recorded history both in a
medicinal and a social context. It is currently included in pharmaceutical
preparations either as an active or inactive ingredient. At pharmacologically active
doses ethanol is both a powerful cerebral depressant and a drug of addiction. Its
use in pharmaceutical preparations has been severely restricted in several
countries and in 1986 the 39th World Health Assembly adopted a resolution to
prohibit such use except when ethanol is an essential ingredient which cannot be
replaced by an appropriate alternative.
Aroma threshold values
Detection: 8 to 900 ppb
Flammability and Explosibility
Ethanol is a flammable liquid (NFPA rating = 3), and its vapor can travel a considerable distance to an ignition source and "flash back." Ethanol vapor forms explosive mixtures with air at concentrations of 4.3 to 19% (by volume). Hazardous gases produced in ethanol fires include carbon monoxide and carbon dioxide. Carbon dioxide or dry chemical extinguishers should be used for ethanol fires.
Chemical Reactivity
Reactivity with Water No reaction; Reactivity with Common Materials: No reaction; Stability During Transport: Stable; Neutralizing Agents for Acids and Caustics: Not pertinent; Polymerization: Not pertinent; Inhibitor of Polymerization: Not pertinent.
Pharmaceutical Applications
Ethanol and aqueous ethanol solutions of various concentrations are widely used in pharmaceutical
formulations and cosmetics. Although ethanol is
primarily used as a solvent, it is also employed as a disinfectant, and
in solutions as an antimicrobial preservative. Topical ethanol
solutions are used in the development of transdermal drug delivery
systems as penetration enhancers. Ethanol has also been used
in the development of transdermal preparations as a co-surfactant.
Biochem/physiol Actions
Positive allosteric modulator of GABAA receptors, and negative allosteric modulator of NMDA glutamate receptors.
Mechanism of action
A great deal of attention has been focused on a class of
proteins termed the ligand-gated ion channels as being
important to the mechanism of action of alcohol.These
integral membrane proteins function as gates or pores
that allow the passage of certain ions into and out of
neurons upon binding of the appropriate neurotransmitter.
This flux of ions largely determines the degree of
neuronal activity. Two distinct types of ligand-gated
ion channels are particularly sensitive to concentrations
of alcohol that produce intoxication and sedation.
These are the α-aminobutyric acid (GABA) chloride
ionophore and the N-methyl-D-aspartate (NMDA) subtype
of glutamate receptor. The GABA–chloride ion
channel reduces neuronal activity by hyperpolarizing
the neurons, while activation of the NMDA receptor
causes neuronal depolarization or excitation. Alcohol
has been shown to increase chloride flux through the
GABAA receptor and reduce calcium flux through the
NMDA receptor. These actions result in powerful suppression
of nerve cell activity, which is consistent with
the depressant actions of alcohol in the brain.
Clinical Use
Generally, no treatment is required for acute ethanol intoxication.
Allowing the individual to sleep off the effects
of ethanol ingestion is the usual procedure.
Hangovers are treated similarly; that is, no effective
remedy exists for a hangover, except for controlling the
amount of ethanol consumed. Sometimes ethanol overdose
is a medical emergency. For example, prompt treatment
is required if the patient is in danger of dying of
respiratory arrest, is comatose, has dilated pupils, is hypothermic,
or displays tachycardia.
Treatment for severe ethanol overdose is generally
supportive. Increased intracranial pressure can be relieved
by intravenous administration of hypertonic
mannitol. Hemodialysis can accelerate the removal of
ethanol from the body. Stimulants of ethanol metabolism,
such as fructose, are not sufficiently effective, and
use of analeptics is not recommended because of the possibility
of precipitating convulsions.
The immediate concern in the treatment of alcoholics is
detoxification and management of the ethanol withdrawal
syndrome. Another pharmacological approach is the use of anticraving
drugs, for example serotonin uptake inhibitors,dopaminergic agonists, and opioid antagonists.The only
treatment that has shown considerable promise is one
that uses the opioid antagonist naltrexone.
Side effects
Acute Ethanol Intoxication and Hangover
Ethanol intoxication is probably the best-known form
of drug toxicity. Intoxicated individuals are a threat to
themselves and others, particularly if they attempt to
drive or operate machinery. Although death can result
from ethanol overdose, usually the patient lapses into a
coma before ingesting lethal quantities. Ethanol intoxication
is sometimes mistakenly diagnosed as diabetic
coma, schizophrenia, overdosage of other CNS depressant
drugs, or skull fracture. An additional feature commonly
associated with excessive ethanol consumption is
difficulty in regulating body temperature. Hypothermia
frequently results, with body temperature falling toward
that of the ambient environment. This problem can be
particularly severe in the elderly, who normally have
difficulty regulating their body temperature.
One of the consequences of ethanol intoxication is
the hangover, a condition characterized by headache,
nausea, sweating, and tremor. Although unpleasant, a
hangover is not dangerous, even though the person having
one may feel otherwise.
Safety
Ethanol and aqueous ethanol solutions are widely used in a variety
of pharmaceutical formulations and cosmetics. It is also consumed
in alcoholic beverages.
Ethanol is rapidly absorbed from the gastrointestinal tract and
the vapor may be absorbed through the lungs; it is metabolized,
mainly in the liver, to acetaldehyde, which is further oxidized to
acetate.
Ethanol is a central nervous system depressant and ingestion of
low to moderate quantities can lead to symptoms of intoxication
including muscle incoordination, visual impairment, slurred speech,
etc. Ingestion of higher concentrations may cause depression of
medullary action, lethargy, amnesia, hypothermia, hypoglycemia,
stupor, coma, respiratory depression, and cardiovascular collapse.
The lethal human blood-alcohol concentration is generally estimated
to be 400–500 mg/100 mL.
Although symptoms of ethanol intoxication are usually encountered
following deliberate consumption of ethanol-containing
beverages, many pharmaceutical products contain ethanol as a
solvent, which, if ingested in sufficiently large quantities, may cause
adverse symptoms of intoxication. In the USA, the maximum
quantity of alcohol included in OTC medicines is 10% v/v for
products labeled for use by people of 12 years of age and older, 5%
v/v for products intended for use by children aged 6–12 years of age,
and 0.5% v/v for products for use by children under 6 years of
age.
Parenteral products containing up to 50% of alcohol (ethanol 95
or 96% v/v) have been formulated. However, such concentrations
can produce pain on intramuscular injection and lower concentrations
such as 5–10% v/v are preferred. Subcutaneous injection of
alcohol (ethanol 95% v/v) similarly causes considerable pain
followed by anesthesia. If injections are made close to nerves,
neuritis and nerve degeneration may occur. This effect is used
therapeutically to cause anesthesia in cases of severe pain, although
the practice of using alcohol in nerve blocks is controversial. Doses
of 1mL of absolute alcohol have been used for this purpose.
Preparations containing more than 50% v/v alcohol may cause
skin irritation when applied topically.
LD50 (mouse, IP): 0.93 g/kg
LD50 (mouse, IV): 1.97 g/kg
LD50 (mouse, oral): 3.45 g/kg
LD50 (mouse, SC): 8.29 g/kg
LD50 (rat, IP): 3.75 g/kg
LD50 (rat, IV): 1.44 g/kg
LD50 (rat, oral): 7.06 g/kg
Carcinogenicity
In 1987, the International Agency
for Research on Cancer (IARC) evaluated the cancer data on
ethanol and alcoholic beverages in humans and animals
. The IARC concluded that there was inadequate
evidence for the carcinogenicity of ethanol and of alcoholic
beverages in experimental animals, but there was sufficient
evidence for the carcinogenicity of alcoholic beverages in
humans. The IARC classified alcoholic beverages as a Group
1 carcinogen based on the occurrence of malignant tumors of
the oral cavity, pharynx, larynx, esophagus, and liver that
have been causally related to the consumption of alcoholic
beverages.
Environmental Fate
If released to the environment from natural or anthropogenic
sources, ethanol will preferentially partition to the soil, water,
and air. Bioconcentration and bioaccumulation potential
is anticipated to be low based upon the estimated bioconcentration
factor and experimental octanol/water partition
coefficient. If released into water, ethanol’s half-life is less than
10 days. The half-life upon release to air is less than 5 days,
where wet deposition removal predominates. Biodegradation
and volatilization are expected to be important fate and
transport processes for ethanol.
Purification Methods
Usual impurities of fermentation alcohol are fusel oils (mainly higher alcohols, especially pentanols), aldehydes, esters, ketones and water. With synthetic alcohol, likely impurities are water, aldehydes, aliphatic esters, acetone and diethyl ether. Traces of *benzene are present in ethanol that has been dehydrated by azeotropic distillation with *benzene. Anhydrous ethanol is very hygroscopic. Water (down to 0.05%) can be detected by formation of a voluminous precipitate when aluminium ethoxide in *benzene is added to a test portion, Rectified spirit (95% ethanol) is converted to absolute (99.5%) ethanol by refluxing with freshly ignited CaO (250g/L) for 6hours, standing overnight and distilling with precautions to exclude moisture. Numerous methods are available for further drying of absolute ethanol for making “Super dry ethanol”. Lund and Bjerrum [Chem Ber 64 210 1931] used reaction with magnesium ethoxide, prepared by placing 5g of clean dry magnesium turnings and 0.5g of iodine (or a few drops of CCl4), to activate the Mg, in a 2L flask, followed by 50-75 mL of absolute ethanol, and warming the mixture until a vigorous reaction occurs. When this subsides, heating is continued until all the magnesium is converted to magnesium ethoxide. Up to 1L of ethanol is then added and, after an hour's reflux, it is distilled off. The water content should be below 0.05%. Walden, Ulich and Laun [Z Phys Chem 114 275 1925] used amalgamated aluminium chips, prepared by degreasing aluminium chips (by washing with Et2O and drying in a vacuum to remove grease from machining the Al), treating with alkali until hydrogen evolved vigorously, washing with H2O until the washings were weakly alkaline and then stirring with 1% HgCl2 solution. After 2minutes, the chips were washed quickly with H2O, then alcohol, then ether, and dried with filter paper. (The amalgam became warm.) These chips were added to the ethanol, which was then gently warmed for several hours until evolution of hydrogen ceased. The alcohol was distilled and aspirated for some time with pure dry air. Smith [J Chem Soc 1288 1927] reacted 1L of absolute ethanol in a 2L flask with 7g of clean dry sodium, and added 25g of pure ethyl succinate (27g of pure ethyl phthalate was an alternative), and refluxed the mixture for 2hours in a system protected from moisture, and then distilled the ethanol. A modification used 40g of ethyl formate instead, so that sodium formate separated out and, during reflux, the excess of ethyl formate decomposed to CO and ethanol. Drying agents suitable for use with ethanol include Linde type 4A molecular sieves, calcium metal, and CaH2. The calcium hydride (2g) is crushed to a powder and dissolved in 100mL absolute ethanol by gently boiling. About 70mL of the ethanol are distilled off to remove any dissolved gases before the remainder is poured into 1L of ca 99.9% ethanol in a still, where it is boiled under reflux for 20hours, while a slow stream of pure, dry hydrogen (better use nitrogen or Ar) is passed through. It is then distilled [Rüber Z Elektrochem 29 334 1923]. If calcium is used for drying, about ten times the theoretical amount should be used, and traces of ammonia (from some calcium nitride in the Ca metal) would be removed by passing dry air into the vapour during reflux. Ethanol can be freed from traces of basic materials by distillation from a little 2,4,6-trinitrobenzoic acid or sulfanilic acid. *Benzene can be removed by fractional distillation after adding a little water (the *benzene/water/ethanol azeotrope distils at 64.9o), the alcohol is then re-dried using one of the methods described above. Alternatively, careful fractional distillation can separate *benzene as the *benzene/ethanol azeotrope (b 68.2o). Aldehydes can be removed from ethanol by digesting with 8-10g of dissolved KOH and 5-10g of aluminium or zinc per L, followed by distillation. Another method is to heat under reflux with KOH (20g/L) and AgNO3 (10g/L) or to add 2.5-3g of lead acetate in 5mL of water to 1L of ethanol, followed (slowly and without stirring) by 5g of KOH in 25mL of ethanol: after 1hour the flask is shaken thoroughly, then set aside overnight before filtering and distilling. The residual water can be removed by standing the distillate over activated aluminium amalgam for 1 week, then filtering and distilling. Distillation of ethanol from Raney nickel eliminates catalyst poisons. Other purification procedures include pre-treatment with conc H2SO4 (3mL/L) to eliminate amines, and with KMnO4 to oxidise aldehydes, followed by refluxing with KOH to resinify aldehydes, and distilling to remove traces of H3PO4 and other acidic impurities after passage through silica gel, and drying over CaSO4. Water can be removed by azeotropic distillation with dichloromethane (azeotrope boils at 38.1o and contains 1.8% water) or 2,2,4-trimethylpentane. [Beilstein 1 IV 1289.] Rapid purification: Place degreased Mg turnings (grease from machining the turnings is removed by washing with dry EtOH then Et2O, and drying in a vacuum) (5g) in a dry 2L round bottomed flask fitted with a reflux condenser (protect from air with a drying tube filled with CaCl2 or KOH pellets) and flush with dry N2. Then add iodine crystals (0.5g) and gently warm the flask until iodine vapour is formed and coats the turnings. Cool, then add EtOH (50mL) and carefully heat to reflux until the iodine disappears. Cool again then add more EtOH (to 1L) and reflux under N2 for several hours. Distil and store over 3A molecular sieves (pre-heated at
Toxicity evaluation
Upon acute exposure ethanol is a central nervous system (CNS)
depressant that initially and selectively depresses some of the
most active portions of the brain (reticular activity system and
cortex). The mechanism of action most likely involves interference
with ion transport at the axonal cell membrane rather
than at the synapse, similar to the action of other anesthetic
agents. Ethanol can bind directly to the gamma-aminobutyric
acid receptor in the CNS and cause sedative effects. Ethanol
may also have direct effects on cardiac muscle, thyroid tissue,
and hepatic tissue.
Chronic and excessive ethanol ingestion has been associated
with a wide range of adverse effects. At the cellular level
these effects can be attributable to metabolic intermediates.
Ethanol is metabolized differently at low and high concentrations.
At low ethanol blood levels ethanol is metabolized very
efficiently by alcohol dehydrogenase to acetaldehyde and then
by aldehyde dehydrogenase to acetate producing nicotinamide
adenine dinucleotide (NADH) in both reactions.
Chronic high ethanol intake induces the cytochrome P450
mediated MEOS, which can be predominant. Under these
conditions ethanol is metabolized to acetaldehyde without reducing NADH. The MEOS pathway utilizes nicotinamide
adenine dinucleotide phosphate thus producing an oxidative
environment, which decreases the reducing equivalents present
in the cell, increasing oxidative stress. This pathway has been
associated with the release of highly reactive oxygen species in
addition to acetaldehyde, which contributes to the hepatic
damage observed in chronic alcohol abuse.
Acetaldehyde has been implicated as one significant
contributor to the toxicity observed in chronic ethanol overexposure
(see Acetaldehyde). Acetaldehyde is highly reactive
and can interact with DNA and proteins to form stable adducts.
These DNA adducts may induce mutations, although there is
an absence of direct evidence that they are in fact the initiators
of cancers associated with alcohol ingestion. Acetaldehyde and
malondialdehyde, a product of ethanol-induced lipid peroxidation,
can form protein adducts which have been found in
the serum of alcoholics and rats fed ethanol. These adducts are
capable of eliciting an immune response believed to be
important in the inflammatory processes observed in alcoholic
liver disease and possibly neurotoxicity.
Toxics Screening Level
The current ITSL for Ethyl alcohol is 19000 μg/m3, with 1 hour averaging time (AT).
Regulatory Status
Included in the FDA Inactive Ingredients Database (dental
preparations; inhalations; IM, IV, and SC injections; nasal and
ophthalmic preparations; oral capsules, solutions, suspensions,
syrups, and tablets; rectal, topical, and transdermal preparations).
Included in the Canadian List of Acceptable Non-medicinal
Ingredients. Included in nonparenteral and parenteral medicines
licensed in the UK.
;