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1.
Ann Pharm Fr ; 82(5): 848-864, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38685472

RESUMEN

Quetiapine Fumarate (QF) is an atypical antipsychotic with poor oral bioavailability (9%) due to its low permeability and pH-dependent solubility. Therefore, this study aims to design QF-loaded polyethylene glycol (PEG) functionalized graphene oxide nanosheets (GON) for nasal delivery of QF. In brief, GO was synthesized using a modified Hummers process, followed by ultra-sonication to produce GON. Subsequently, PEG-functionalized GON was prepared using carbodiimide chemistry (PEG-GON). QF was then decorated onto the cage of PEG-GON using the π-π stacking phenomenon (QF@PEG-GON). The QF@PEG-GON nanocomposite underwent several spectral characterizations, in vitro drug release, mucoadhesion study, ex vivo diffusion study, etc. The surface morphology of QF@PEG-GON nanocomposite validates the cracked nature of the nanocomposite, whereas the diffractograms and thermogram of nanocomposite confirm the conversion of QF into an amorphous form with uniform distribution in PEG-GON. Moreover, an ex vivo study of PEG-GON demonstrates superior mucoadhesion capacity due to its surface functional groups and hydrophilicity. The percent drug loading content and percent entrapment efficiency of the nanocomposite were found to be 9.2±0.62% and 92.3±1.02%, respectively. The developed nanocomposite exhibited 43.82±1.65% drug release within 24h, with the Korsemeyer-Peppas model providing the best-fit release kinetics (R2: 0.8614). Here, the interlayer spacing of PEG-GON prevented prompt diffusion of the buffer, leading to a delayed release pattern. In conclusion, the anticipated QF@PEG-GON nanocomposite shows promise as a nanocarrier platform for nasal delivery of QF.


Asunto(s)
Antipsicóticos , Liberación de Fármacos , Grafito , Nanocompuestos , Polietilenglicoles , Fumarato de Quetiapina , Grafito/química , Polietilenglicoles/química , Fumarato de Quetiapina/farmacocinética , Fumarato de Quetiapina/química , Fumarato de Quetiapina/administración & dosificación , Antipsicóticos/química , Antipsicóticos/administración & dosificación , Antipsicóticos/farmacocinética , Nanocompuestos/química , Animales , Administración Intranasal , Portadores de Fármacos/química
2.
Int J Mol Sci ; 22(12)2021 Jun 17.
Artículo en Inglés | MEDLINE | ID: mdl-34204223

RESUMEN

We report two cases of patients who developed severe adverse drug reactions including persistent movement disorders, nausea, and vertigo during treatment with quetiapine at maximum daily doses ranging between 300 and 400 mg. The extensive hepatic metabolism of quetiapine is mainly attributed to cytochrome P450 3A4 (CYP3A4). However, there is recent evidence supporting the idea of CYP2D6 playing a role in the clearance of the quetiapine active metabolite norquetiapine. Interestingly, both patients we are reporting of are carriers of the CYP2D6*4 variant, predicting an intermediate metabolizer phenotype. Additionally, co-medication with a known CYP2D6 inhibitor and renal impairment might have further affected quetiapine pharmacokinetics. The herein reported cases could spark a discussion on the potential impact of a patient's pharmacogenetic predisposition in the treatment with quetiapine. However, further studies are warranted to promote the adoption of pharmacogenetic testing for the prevention of drug-induced toxicities associated with quetiapine.


Asunto(s)
Citocromo P-450 CYP2D6/genética , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/diagnóstico , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/etiología , Variantes Farmacogenómicas , Fumarato de Quetiapina/efectos adversos , Alelos , Antipsicóticos/efectos adversos , Antipsicóticos/química , Antipsicóticos/metabolismo , Citocromo P-450 CYP2D6/metabolismo , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/metabolismo , Estudios de Asociación Genética , Variación Genética , Genotipo , Humanos , Masculino , Persona de Mediana Edad , Farmacogenética , Fenotipo , Fumarato de Quetiapina/administración & dosificación , Fumarato de Quetiapina/química , Fumarato de Quetiapina/metabolismo , Índice de Severidad de la Enfermedad
3.
J Enzyme Inhib Med Chem ; 35(1): 1743-1750, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32938236

RESUMEN

The symptoms of Alzheimer's disease (AD) do not include only memory loss and cognitive decline but also neuropsychiatric manifestation. These AD-related symptoms are usually treated with the aid of antipsychotics; however, their effects on cognition and safety remain unexplored. The present study determines the effects of quetiapine, an atypical antipsychotic, and two imidazo[1,2-a]pyrimidine-based inhibitors of PDE10A on the activity of human cholinesterases. Quetiapine moderately inhibited BuChE (IC50 = 6.08 ± 1.64 µmol/L) but improved the anti-BuChE properties of donepezil by decreasing its IC50 value. Both PDE10A inhibitors were found to possess moderate anti-AChE properties. The combined mixtures of donepezil and imidazo[1,2-a]pyrimidine analogues produce a synergistic anti-BuChE effect which was greater than either compound alone, improving the IC50 value by approximately six times. These favourable interactions between quetiapine, PDE10A inhibitors and clinically approved donepezil, resulting in improved anti-BuChE activity, can lead to a wider variety of potent AD treatment options.


Asunto(s)
Antipsicóticos/farmacología , Inhibidores de la Colinesterasa/farmacología , Donepezilo/farmacología , Inhibidores de Fosfodiesterasa/farmacología , Fumarato de Quetiapina/farmacología , Acetilcolinesterasa/metabolismo , Antipsicóticos/síntesis química , Antipsicóticos/química , Butirilcolinesterasa/metabolismo , Inhibidores de la Colinesterasa/síntesis química , Inhibidores de la Colinesterasa/química , Donepezilo/síntesis química , Donepezilo/química , Relación Dosis-Respuesta a Droga , Voluntarios Sanos , Humanos , Estructura Molecular , Inhibidores de Fosfodiesterasa/síntesis química , Inhibidores de Fosfodiesterasa/química , Hidrolasas Diéster Fosfóricas/metabolismo , Fumarato de Quetiapina/síntesis química , Fumarato de Quetiapina/química , Relación Estructura-Actividad
4.
Biomed Chromatogr ; 33(11): e4655, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31322744

RESUMEN

Quetiapine fumarate (QUE) is an antipsychotic agent with a chemical structure that is susceptible to degradation; therefore, it is important to study its stability using appropriate analytical tools. Knowledge of the stability profile of a drug is important because chemical degradation of its active component often results in a loss of potency, affecting its efficacy and safety. This current work reports degradation studies of QUE as drug substance, under different stress conditions such as oxidation, hydrolysis, heat, humidity and photolysis, by a stability-indicating LC method. The chemical stability was evaluated using a simple HPLC/diode array detection method, with a core-shell C18 column under isocratic conditions, which allows the separation of all primary degradation products (DPs) in a short run time. QUE was mainly degraded under oxidative and hydrolytic conditions, with the formation of three and two DPs, respectively, which were identified by electrospray ionization-tandem mass spectrometry. The method was properly validated in terms of linearity, accuracy, precision, selectivity, robustness and quantitation limit. Commercial tablets containing 25 mg of QUE were quantified, with results obtained within the United States Pharmacopeia limits. The proposed method is suitable to assess the stability and perform routine analysis of QUE in pharmaceutical samples.


Asunto(s)
Cromatografía Líquida de Alta Presión/métodos , Fumarato de Quetiapina/análisis , Fumarato de Quetiapina/química , Espectrometría de Masas en Tándem/métodos , Estabilidad de Medicamentos , Límite de Detección , Modelos Lineales , Reproducibilidad de los Resultados , Espectrometría de Masa por Ionización de Electrospray/métodos , Comprimidos
5.
J Recept Signal Transduct Res ; 38(4): 359-366, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30481094

RESUMEN

Unbound drug concentration in the brain would be the true exposure responsible for specific target occupancy. Drug exposures from preclinical are total concentrations of those over/underestimate the clinical dose projection. With the application of mass spectrometry, the current work proposes a definite measure of test drug exposures at serotonin-2A occupancy. The 5-HT2A occupancy of antagonist in the rat brain has determined with non-radiolabeled tracer MDL-100,907 at an optimized dose (3 µg/kg) and treatment time (30 min). Equilibrium dialysis method determines the in vitro free fraction of the test antagonist in untreated rat brain homogenates and plasma. Drug-free fractions derived the unbound concentration (EC50) in plasma and brain at test doses. The corresponding binding affinities (Ki) correlated with the unbound concentrations. Except for quetiapine, the ED50 values in the dose-occupancy curves of antagonists are close and ranged from 1 to 3 mg/kg. The test drug quetiapine, eplivanserin, and clozapine showed high free fractions in plasma, but for ketanserin and olanzapine, the brain free fraction was higher. The correlation between the unbound EC50 of the antagonists and corresponding Ki values was good (r2=0.828). The improved EC50 accuracy with unbound concentrations was 10-250 folds in plasma and 10-170 folds in the brain. Further, the free fractions (fu, plasma/fu, brain) of test drugs had shown a correlation of ∼83% with brain permeability (Ctotal brain/Ctotal plasma), a limiting factor. Thus, correlating the occupancy with unbound exposure and pharmacology would result in an accurate measurement of drug potency and optimizes in selecting the clinical dose.


Asunto(s)
Encéfalo/efectos de los fármacos , Antagonistas de la Serotonina/administración & dosificación , Serotonina/metabolismo , Animales , Encéfalo/metabolismo , Clozapina/administración & dosificación , Clozapina/sangre , Clozapina/química , Relación Dosis-Respuesta a Droga , Fluorobencenos/administración & dosificación , Fluorobencenos/sangre , Fluorobencenos/química , Humanos , Masculino , Piperidinas/administración & dosificación , Piperidinas/sangre , Piperidinas/química , Fumarato de Quetiapina/administración & dosificación , Fumarato de Quetiapina/sangre , Fumarato de Quetiapina/química , Ratas , Receptor de Serotonina 5-HT2A , Serotonina/química , Antagonistas de la Serotonina/sangre , Antagonistas de la Serotonina/química
6.
Biomed Chromatogr ; 31(10)2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28266722

RESUMEN

A simple, accurate and selective column-switching high-performance liquid chromatography (HPLC) method was developed and validated for simultaneous quantification of six beta-blockers (metoprolol, timolol, bisoprolol, propranolol, carvedilol and nebivolol), three of their metabolites (α-hydroxy metoprolol, N-desisopropyl propranolol and 4'-hydroxy carvedilol 4-HCAR), three antipsychotics (olanzapine, clozapine and quetiapine) and three of their metabolites (N-desmethyl olanzapine, N-desmethyl clozapine and N-desalkyl quetiapine) in human serum. After pretreatment on a Merck LiChrospher RP-4 ADS column (25 µm), drugs were separated on a Phenomenex Gemini Phenyl Hexyl 110 A column (250 × 4.6 mm, 5 µm) using a gradient mixture of acetonitrile and potassium dihydrogen phosphate buffer pH 3.1 (containing 10% methanol) as a mobile phase at a flow rate of 1 mL/min. The total analysis time was 40 min. For detection of the analytes, four different UV wavelengths were used: 215, 226, 242 and 299 nm. The method was validated according to the guidelines of the Society of Toxicology and Forensic Chemistry in terms of selectivity, linearity, accuracy, precision and stability and successfully applied for the analysis of the 15 described analytes in human serum.


Asunto(s)
Antagonistas Adrenérgicos beta/sangre , Antipsicóticos/sangre , Benzodiazepinas/sangre , Cromatografía Líquida de Alta Presión/métodos , Fumarato de Quetiapina/sangre , Antagonistas Adrenérgicos beta/química , Antipsicóticos/química , Benzodiazepinas/química , Humanos , Límite de Detección , Modelos Lineales , Fumarato de Quetiapina/química , Reproducibilidad de los Resultados
7.
Drug Dev Ind Pharm ; 43(8): 1330-1342, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28402145

RESUMEN

The objective of this study was to investigate the effect of the different physiological parameters of the gastrointestinal (GI) fluid (pH, buffer capacity, and ionic strength) on the in vitro release of the weakly basic BCS class II drug quetiapine fumarate (QF) from two once-a-day matrix tablet formulations (F1 and F2) developed as potential generic equivalents to Seroquel® XR. F1 tablets were prepared using blends of high and low viscosity grades of hydroxypropyl methylcellulose (HPMC K4M and K100LV, respectively), while F2 tablets were prepared from HPMC K4M and PEGylated glyceryl behenate (Compritol® HD5 ATO). The two formulations attained release profiles of QF over 24 h similar to that of Seroquel® XR using the dissolution medium published by the Food and Drug Administration (FDA). A series of solubility and in vitro dissolution studies was then carried out using media that simulate the gastric and intestinal fluids and cover the physiological pH, buffer capacity and ionic strength range of the GIT. Solubility studies revealed that QF exhibits a typical weak base pH-dependent solubility profile and that the solubility of QF increases with increasing the buffer capacity and ionic strength of the media. The release profiles of QF from F1, F2 and Seroquel® XR tablets were found to be influenced by the pH, buffer capacity and ionic strength of the dissolution media to varying degrees. Results highlight the importance of studying the physiological variables along the GIT in designing controlled release formulations for more predictive in vitro-in vivo correlations.


Asunto(s)
Contenido Digestivo/química , Derivados de la Hipromelosa/química , Polímeros/química , Fumarato de Quetiapina/metabolismo , Fumarato de Quetiapina/farmacocinética , Comprimidos/farmacocinética , Tampones (Química) , Química Farmacéutica , Preparaciones de Acción Retardada , Contenido Digestivo/efectos de los fármacos , Concentración de Iones de Hidrógeno , Concentración Osmolar , Fumarato de Quetiapina/química , Solubilidad , Comprimidos/química , Viscosidad
8.
AAPS PharmSciTech ; 18(3): 686-696, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27207184

RESUMEN

To evaluate the possibility of improved drug delivery of quetiapine fumarate (QTP), a nanoemulsion system was developed for intranasal delivery. Effects of different HLBs of Emalex LWIS 10, PEG 400 and Transcutol P, as co-surfactants, were studied on isotropic region of pseudoternary-phase diagrams of nanoemulsion system composed of capmul MCM (CPM) as oil phase, Tween 80 as surfactant and water. Phase behaviour, globule size, transmission electron microscope (TEM) photographs and brain-targeting efficiency of quetiapine nanoemulsion were investigated. In vitro dissolution study of optimised nanoemulsion formulation, with mean diameter 144 ± 0.5 nm, showed more than twofold increase in drug release as compared with pure drug. According to results of in vivo tissue distribution study in Wistar rats, intranasal administration of QTP-loaded nanoemulsion had shorter T max compared with that of intravenous administration. Higher drug transport efficiency (DTE%) and direct nose-to-brain drug transport (DTP%) was achieved by nanoemulsion. The nanoemulsion system may be a promising strategy for brain-targeted delivery of QTP.


Asunto(s)
Encéfalo/efectos de los fármacos , Emulsiones/administración & dosificación , Emulsiones/química , Nanopartículas/administración & dosificación , Nanopartículas/química , Fumarato de Quetiapina/administración & dosificación , Fumarato de Quetiapina/química , Administración Intranasal , Animales , Química Farmacéutica/métodos , Sistemas de Liberación de Medicamentos/métodos , Liberación de Fármacos/efectos de los fármacos , Emulsiones/metabolismo , Masculino , Tamaño de la Partícula , Polisorbatos/química , Fumarato de Quetiapina/metabolismo , Ratas , Ratas Wistar , Solubilidad , Tensoactivos/química , Distribución Tisular
9.
AAPS PharmSciTech ; 18(8): 2999-3010, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28493003

RESUMEN

Quetiapine fumarate (QF), an anti-schizophrenic drug, suffers from rapid elimination and poor bioavailability due to extensive first-pass effect. Intramuscularly (IM) injected lipospheres were designed to enhance the drug's bioavailability and extend its release. A central composite design was applied to optimize the liposphere preparation by a melt dispersion technique using Compritol® 888 ATO or glyceryl tristearate as lipid component and polyvinyl alcohol as surfactant. Lipospheres were evaluated for their particle size, entrapment efficiency, and in vitro release. The optimized QF lipospheres were prepared using a Compritol® 888 ATO fraction of 18.88% in the drug/lipid mixture under a stirring rate of 3979 rpm. The optimized lipospheres were loaded into a thermoresponsive in situ forming gel (TRIFG) and a liquid crystalline in situ forming gel (LCIFG) to prevent in vivo degradation by lipases. The loaded gels were re-evaluated for their in vitro release and injectability. Bioavailability of QF from liposphere suspension and bio-shielding in situ gels loaded with QF lipospheres were assessed in rabbits compared to drug suspension. Results revealed that the AUC0-72 obtained from the liposphere-loaded TRIFG was ∼3-fold higher than that obtained from the aqueous drug suspension indicating the bio-shielding effect of Poloxamer® 407 gel to inhibit the biodegradation of the lipospheres prolonging the residence of the drug in the muscle for higher absorption. Our results propose that bio-shielding in situ Poloxamer® 407 gels loaded with lipospheres is promising for the development of IM depot injection of drugs having extensive first-pass metabolism and rapid elimination.


Asunto(s)
Fumarato de Quetiapina/química , Fumarato de Quetiapina/metabolismo , Tensoactivos/química , Tensoactivos/metabolismo , Animales , Antipsicóticos/administración & dosificación , Antipsicóticos/química , Preparaciones de Acción Retardada/administración & dosificación , Preparaciones de Acción Retardada/química , Preparaciones de Acción Retardada/metabolismo , Geles , Inyecciones , Lípidos/química , Liposomas , Tamaño de la Partícula , Fumarato de Quetiapina/administración & dosificación , Conejos , Distribución Aleatoria , Tensoactivos/administración & dosificación
11.
Molecules ; 21(1): E121, 2016 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-26805796

RESUMEN

A rapid and sensitive capillary zone electrophoresis (CZE) method with field enhanced sample injection (FESI) was developed and validated for the determination of quetiapine fumarate in beagle dog plasma, with a sample pretreatment by LLE in 96-well deep format plate. The optimum separation was carried out in an uncoated 31.2 cm × 75 µm fused-silica capillary with an applied voltage of 13 kV. The electrophoretic analysis was performed by 50 mM phosphate at pH 2.5. The detection wavelength was 210 nm. Under these optimized conditions, FESI with acetonitrile enhanced the sensitivity of quetiapine about 40-50 folds in total. The method was suitably validated with respect to stability, specificity, linearity, lower limit of quantitation, accuracy, precision and extraction recovery. Using mirtazapine as an internal standard (100 ng/mL), the response of quetiapine was linear over the range of 1-1000 ng/mL. The lower limit of quantification was 1 ng/mL. The intra- and inter-day precisions for the assay were within 4.8% and 12.7%, respectively. The method represents the first application of FESI-CZE to the analysis of quetiapine fumarate in beagle dog plasma after oral administration.


Asunto(s)
Electroforesis Capilar/métodos , Plasma/química , Fumarato de Quetiapina/sangre , Solventes/química , Animales , Tampones (Química) , Perros , Concentración de Iones de Hidrógeno , Estructura Molecular , Fumarato de Quetiapina/química , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
12.
AAPS PharmSciTech ; 17(3): 735-42, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26335419

RESUMEN

In the last decade, imaging has been introduced as a supplementary method to the dissolution tests, but a direct relationship of dissolution and imaging data has been almost completely overlooked. The purpose of this study was to assess the feasibility of relating magnetic resonance imaging (MRI) and dissolution data to elucidate dissolution profile features (i.e., kinetics, kinetics changes, and variability). Commercial, hydroxypropylmethyl cellulose-based quetiapine fumarate controlled-release matrix tablets were studied using the following two methods: (i) MRI inside the USP4 apparatus with subsequent machine learning-based image segmentation and (ii) dissolution testing with piecewise dissolution modeling. Obtained data were analyzed together using statistical data processing methods, including multiple linear regression. As a result, in this case, zeroth order release was found to be a consequence of internal structure evolution (interplay between region's areas-e.g., linear relationship between interface and core), which eventually resulted in core disappearance. Dry core disappearance had an impact on (i) changes in dissolution kinetics (from zeroth order to nonlinear) and (ii) an increase in variability of drug dissolution results. It can be concluded that it is feasible to parameterize changes in micro/meso morphology of hydrated, controlled release, swellable matrices using MRI to establish a causal relationship between the changes in morphology and drug dissolution. Presented results open new perspectives in practical application of combined MRI/dissolution to controlled-release drug products.


Asunto(s)
Liberación de Fármacos , Derivados de la Hipromelosa/química , Derivados de la Hipromelosa/farmacocinética , Fumarato de Quetiapina/química , Fumarato de Quetiapina/farmacocinética , Preparaciones de Acción Retardada/química , Preparaciones de Acción Retardada/farmacocinética , Solubilidad , Comprimidos
13.
Sci Rep ; 14(1): 16358, 2024 07 16.
Artículo en Inglés | MEDLINE | ID: mdl-39014107

RESUMEN

This study aims to optimize and evaluate drug release kinetics of Modified-Release (MR) solid dosage form of Quetiapine Fumarate MR tablets by using the Artificial Neural Networks (ANNs). In training the neural network, the drug contents of Quetiapine Fumarate MR tablet such as Sodium Citrate, Eudragit® L100 55, Eudragit® L30 D55, Lactose Monohydrate, Dicalcium Phosphate (DCP), and Glyceryl Behenate were used as variable input data and Drug Substance Quetiapine Fumarate, Triethyl Citrate, and Magnesium Stearate were used as constant input data for the formulation of the tablet. The in-vitro dissolution profiles of Quetiapine Fumarate MR tablets at ten different time points were used as a target data. Several layers together build the neural network by connecting the input data with the output data via weights, these weights show importance of input nodes. The training process optimises the weights of the drug product excipients to achieve the desired drug release through the simulation process in MATLAB software. The percentage drug release of predicted formulation matched with the manufactured formulation using the similarity factor (f2), which evaluates network efficiency. The ANNs have enormous potential for rapidly optimizing pharmaceutical formulations with desirable performance characteristics.


Asunto(s)
Liberación de Fármacos , Redes Neurales de la Computación , Comprimidos , Comprimidos/química , Excipientes/química , Preparaciones de Acción Retardada/química , Fumarato de Quetiapina/química , Fumarato de Quetiapina/farmacocinética , Fumarato de Quetiapina/administración & dosificación , Química Farmacéutica/métodos
14.
Int J Biol Macromol ; 267(Pt 2): 131491, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38599435

RESUMEN

Quetiapine hemifumarate (QF) delivery to the CNS via conventional formulations is challenging due to poor solubility and lower oral bioavailability (9 %). Similarly, many other second-generation antipsychotics, such as olanzapine, clozapine, and paliperidone, have also shown low oral bioavailability of <50 %. Hence, the present work was intended to formulate QF-loaded biodegradable PLGA-NPs with appropriate surface charge modification through poloxamer-chitosan and investigate its targeting potential on RPMI-2650 cell lines to overcome the limitations of conventional therapies. QF-loaded poloxamer-chitosan-PLGA in-situ gel (QF-PLGA-ISG) was designed using emulsification and solvent evaporation techniques. Developed QF-PLGA-ISG were subjected to evaluation for particle size, PDI, zeta potential, ex-vivo mucoadhesion, entrapment efficiency (%EE), and drug loading, which revealed 162.2 nm, 0.124, +20.5 mV, 52.4 g, 77.5 %, and 9.7 %, respectively. Additionally, QF-PLGA formulation showed >90 % release within 12 h compared to 80 % of QF-suspension, demonstrating that the surfactant with chitosan-poloxamer polymers could sustainably release medicine across the membrane. Ex-vivo hemolysis study proved that developed PLGA nanoparticles did not cause any hemolysis compared to negative control. Further, in-vitro cellular uptake and transepithelial permeation were assessed using the RPMI-2650 nasal epithelial cell line. QF-PLGA-ISG not only improved intracellular uptake but also demonstrated a 1.5-2-fold increase in QF transport across RPMI-2650 epithelial monolayer. Further studies in the EpiNasal™ 3D nasal tissue model confirmed the safety and efficacy of the developed QF-PLGA-ISG formulation with up to a 4-fold increase in transport compared to plain QF after 4 h. Additionally, histological reports demonstrated the safety of optimized formulation. Finally, favorable outcomes of IN QF-PLGA-ISG formulation could provide a novel platform for safe and effective delivery of QF in schizophrenic patients.


Asunto(s)
Administración Intranasal , Quitosano , Portadores de Fármacos , Nanopartículas , Copolímero de Ácido Poliláctico-Ácido Poliglicólico , Fumarato de Quetiapina , Quitosano/química , Copolímero de Ácido Poliláctico-Ácido Poliglicólico/química , Nanopartículas/química , Fumarato de Quetiapina/farmacocinética , Fumarato de Quetiapina/administración & dosificación , Fumarato de Quetiapina/química , Fumarato de Quetiapina/farmacología , Humanos , Portadores de Fármacos/química , Liberación de Fármacos , Tamaño de la Partícula , Animales , Línea Celular , Mucosa Nasal/metabolismo , Mucosa Nasal/efectos de los fármacos
15.
PLoS One ; 16(8): e0255963, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34375349

RESUMEN

Quetiapine fumarate (QF) is an atypical antipsychotic used off-label for the treatment of delirium in critically-ill infants and children. For the treatment of pediatric populations or patient populations with trouble swallowing tablets, an oral suspension would be an ideal dosage formulation. However, there are no liquid formulations of QF commercially available. Therefore, a compounded oral suspension prepared from the commercial QF tablets is widely used in clinical settings. The extemporaneous preparation of QF compounded oral suspension changes the formulation from a solid form to a liquid form. Thus, the stability of QF compounded oral suspension should be critically evaluated to guide pharmacists for administration and storage of QF compounded oral suspensions. However, the stability of the nonaqueous oral QF suspension was not measured. The objective of this study was to develop QF compounded oral suspensions at 10 mg/mL by using commercial QF tablets in two readily available aqueous vehicles (Ora-Sweet and Ora-Blend) and measure their stability at both room temperature and under refrigeration. Physical stability of the QF compounded suspensions were evaluated by appearance and odor. Chemical stability of the QF compounded suspensions were evaluated based on pH, degradation, drug content and the amount of the drug dissolved in the vehicles. An HPLC method was validated and used to evaluate QF compounded suspensions over 60 days. In addition to the total drug in the suspensions, the dissolved drug in the vehicles was also measured during the stability testing and evaluated as a stability parameter. Overall, QF suspension prepared in Ora-Blend was preferable, demonstrating a superior 60-day stability at both room temperature and refrigerated storage.


Asunto(s)
Antipsicóticos/química , Química Farmacéutica/métodos , Estabilidad de Medicamentos , Fumarato de Quetiapina/química , Comprimidos/química , Administración Oral , Antipsicóticos/administración & dosificación , Humanos , Fumarato de Quetiapina/administración & dosificación , Suspensiones
16.
Curr Comput Aided Drug Des ; 16(1): 73-91, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31429691

RESUMEN

BACKGROUND: Quetiapine fumarate, a 2nd generation anti-psychotic drug has oral bioavailability of 9% because of hepatic first pass metabolism. Reports suggest that co-administration of drugs with lipids affects their absorption pathways, enhances lymphatic transport thus bypassing hepatic first-pass metabolism resulting in enhanced bioavailability. OBJECTIVE: The present work aimed at developing, and characterising potentially lymphatic absorbable Solid Lipid Nanoparticles (SLN) of quetiapine fumarate by Quality by Design approach. METHODS: Hot emulsification followed by ultrasonication was used as a method of preparation. Precirol ATO5, Phospholipon 90G and Poloxamer 188 were used as a lipid, stabilizer and surfactant respectively. A32 Central Composite design optimised the 2 independent variables, lipid concentration and stabilizer concentration and assessed their effect on percent Entrapment Efficiency (%EE: Y1). The lyophilized SLNs were studied for stability at 5 ±3οC and 25 ± 2οC/60 ± 5% RH for 3 months. RESULTS: The optimised formula derived for SLN had 270mg Precirol ATO5 and 107mg of Phospholipon 90G giving %EE of 76.53%. Mean particle size was 159.8nm with polydispersity index 0.273 and zeta potential -6.6mV. In-vitro drug release followed Korsmeyer-Peppas kinetics (R2=0.917) with release exponent n=0.722 indicating non-Fickian diffusion. Transmission electron microscopy images exhibited particles to be spherical and smooth. Fourier-transform infrared spectroscopy, differential scanning calorimetry and X-ray diffraction studies ascertained drug-excipient compatibility. Stability studies suggested 5οC as appropriate temperature for storage and preserving important characteristics within acceptable limits. CONCLUSION: Development and optimisation by Quality by Design were justified as it yielded SLN having acceptable characteristics and potential application for intestinal lymphatic transport.


Asunto(s)
Diseño de Fármacos , Lípidos/química , Nanopartículas , Fumarato de Quetiapina/administración & dosificación , Antipsicóticos/administración & dosificación , Antipsicóticos/química , Antipsicóticos/farmacocinética , Química Farmacéutica/métodos , Desarrollo de Medicamentos/métodos , Liberación de Fármacos , Estabilidad de Medicamentos , Almacenaje de Medicamentos , Emulsiones , Excipientes/química , Tamaño de la Partícula , Fumarato de Quetiapina/química , Fumarato de Quetiapina/farmacocinética , Temperatura
17.
Clin Toxicol (Phila) ; 57(4): 271-281, 2019 04.
Artículo en Inglés | MEDLINE | ID: mdl-30306811

RESUMEN

OBJECTIVE: Extended release (ER) tablets/capsules in massive ingestion overdoses are prone to form pharmacobezoars potentially increasing the risk of late-appearing toxic effects and prolonged symptoms. Oral activated charcoal is often sufficient to prevent drug absorption, but in a recent massive ingestion of highly toxic substances, prior orogastric lavage might be considered. The disintegration characteristics of ER preparations in overdose situations is valuable to understand if the time line and course of the intoxication might be prolonged, but information on these characteristics are unavailable. Slow disintegration and/or pharmacobezoar formation, and the large size makes ER preparation impossible to evacuate using a 30F orogastric lavage tube. This study evaluates the disintegration and pharmacobezoar formation of a simulated massive ER tablet ingestion in an in vitro model, using a selection of extended release tablets, with different disintegrating characteristics when present in therapeutic numbers. Furthermore, the sizes of the formed pharmacobezoars were compared with the dimensions of a 30F orogastric lavage tube. METHOD: A standardized model mimicking the physical effects on pharmaceutical preparations in simulated gastric fluid (SGF) was developed and tested on three mono-depot ER tablets (quetiapine/Seroquel®XR 50 mg, paracetamol/Pinex®Retard 500 mg, verapamil/Isoptin®Retard 240 mg), one poly-depot ER tablet (carbamazepine/Tegretol®Retard 200 mg), and one immediate-release tablet (paracetamol/Panodil® 500mg). Thirty tablets were placed in polyamide mesh bags, either together in one bag or in separate bags, immersed in 1 L SGF, and incubated at 37 °C for 48 h. Released drugs were quantified at 0.5-48 h. RESULTS: Visual inspection showed that Seroquel®XR, Pinex®Retard, and Isoptin®Retard tablets formed firm pharmacobezoars stable for more than 4 h and intact fractions remained for up to 24 h. Drug releases were reduced by 53%, 40%, and 31%, respectively, for up to 8 h compared to separated tablets. Light microscopy showed that contact with SGF transformed the coating of Seroquel®XR and Pinex®Retard to a diffusion-controlled swelled gel-layer, and the Isoptin®Retard tablets into a rigid and slow-releasing matrix. Tegretol®Retard disintegrated into microspheres within 30 min, and Panodil® disintegrated within minutes. DISCUSSION: The developed pharmacobezoars of mono-depot ER tablets demonstrated prolonged drug release. Neither the formed pharmacobezoars, nor the single tablets of the tested mono-depot ER preparations, would pass through the lumen of a standard orogastric lavage tube, rendering this modality ineffective for tablet removal in gastrointestinal decontamination.


Asunto(s)
Bezoares/etiología , Preparaciones de Acción Retardada/farmacocinética , Acetaminofén/efectos adversos , Acetaminofén/química , Acetaminofén/farmacocinética , Carbamazepina/efectos adversos , Carbamazepina/química , Carbamazepina/farmacocinética , Preparaciones de Acción Retardada/efectos adversos , Preparaciones de Acción Retardada/química , Liberación de Fármacos , Sobredosis de Droga , Jugo Gástrico , Humanos , Fumarato de Quetiapina/efectos adversos , Fumarato de Quetiapina/química , Fumarato de Quetiapina/farmacocinética , Comprimidos/efectos adversos , Comprimidos/química , Comprimidos/farmacocinética , Verapamilo/efectos adversos , Verapamilo/química , Verapamilo/farmacocinética
18.
J Chromatogr A ; 1564: 155-162, 2018 Aug 24.
Artículo en Inglés | MEDLINE | ID: mdl-29908703

RESUMEN

It may happen under the conditions employed that enantiomers interconvert to each other. In this case, obviously, the kinetics of the process is to be examined. When enantiomers dynamically interconvert to each other during the separation process, a plateau is observed between the adjacent peaks (so-called Batman peak appears). The peak shape depends on the rate constant of this dynamic reaction. A novel stochastic model was derived which takes both the separation and the interconversion into account at the molecular level - thus the effects of the parameters affecting the separation can be investigated. The novel model was used for the study of quetiapine, a drug molecule that interconverts during the separation to evaluate the rate constant based on the enantiomerization. Various flow rates and temperatures were used, and good agreement was obtained with the rate constant obtained from optical rotation experiments and with the software written by Trapp [1]. The most important result we concluded is the need of mild conditions during the separation to ascertain the rate constant the most accurately (low flow rates and temperatures where the enantiomerization process is limited to a few interconversions). The comparison of the rate constants of the on-column and the off-column experiments should be done by considering the stationary phase effects that are absent in the off-column experiments.


Asunto(s)
Cromatografía/métodos , Modelos Teóricos , Fumarato de Quetiapina/química , Cinética , Estereoisomerismo , Procesos Estocásticos
19.
Carbohydr Polym ; 189: 31-38, 2018 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-29580414

RESUMEN

In this work, the relationship between surface properties and drug release mechanism from binary composition tablets formed by quetiapine fumarate and biopolymer materials was studied. The biopolymers correspond to xanthan and tragacanth gums, which are projected as modified drug release systems. The surface studies were carried out by the sessile drop method, while the surface free energy (SFE) was determinate through Young-Dupree and OWRK semi-empirical models. On the other hand, the drug release studies were performed by in vitro dissolution tests, where the data were analyzed through kinetic models of zero order, first order, Higuchi, and Korsmeyer-Peppas. The results showed that depending on the type and the proportion of biopolymer, surface properties, and the drug release processes are significantly affected, wherein tragacanth gum present a usual erosion mechanism, while xanthan gum describes a swelling mechanism that controls the release of the drug.


Asunto(s)
Biopolímeros/química , Gomas de Plantas/química , Polisacáridos Bacterianos/química , Portadores de Fármacos/química , Liberación de Fármacos , Fumarato de Quetiapina/química
20.
Drug Deliv Transl Res ; 8(6): 1670-1678, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-29127610

RESUMEN

The purpose of this study was to explore poly(vinylpyrrolidone-co-vinyl acetate) (PVP VA64) as a novel release-modifier to tailor the drug release from ethylcellulose (EC)-based mini-matrices prepared via hot melt extrusion (HME). Quetiapine fumarate (QF) was selected as model drug. QF/EC/PVP VA64 mini-matrices were extruded with 30% drug loading. The physical state of QF in extruded mini-matrices was characterized using differential scanning calorimetry, X-ray powder diffraction, and confocal Raman microscopy. The release-controlled ability of PVP VA64 was investigated and compared with that of xanthan gum, crospovidone, and low-substituted hydroxypropylcellulose. The influences of PVP VA64 content and processing temperature on QF release behavior and mechanism were also studied. The results indicated QF dispersed as the crystalline state in all mini-matrices. The release of QF from EC was very slow as only 4% QF was released in 24 h. PVP VA64 exhibited the best ability to enhance the drug release as compared with other three release-modifiers. The drug release increased to 50-100% in 24 h with the addition of 20-40% PVP VA64. Increasing processing temperature slightly slowed down the drug release by decreasing free volume and pore size. The release kinetics showed good fit with the Ritger-Peppas model. The values of release exponent (n) increased as PVP VA64 is added (0.14 for pure EC, 0.41 for 20% PVP VA64, and 0.61 for 40% PVP VA64), revealing that the addition of PVP VA64 enhanced the erosion mechanism. This work presented a new polymer blend system of EC with PVP VA64 for sustained-release prepared via HME.


Asunto(s)
Composición de Medicamentos/métodos , Pirrolidinas/química , Fumarato de Quetiapina/química , Compuestos de Vinilo/química , Rastreo Diferencial de Calorimetría , Preparaciones de Acción Retardada/química , Liberación de Fármacos , Calor , Solubilidad
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