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1.
AAPS PharmSciTech ; 22(5): 181, 2021 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-34129154

RESUMEN

In this study, two hydrophilic polymers hydroxypropyl methyl cellulose and beta-cyclodextrin (ß-CD) are used to synthesize highly responsive and spongy polymeric matrices. Porous and stimulus-responsive polymeric network was developed to improve the solubility of acyclovir (ACV) at significant level. Grafting was successfully carried out by free radical polymerization technique. Spongy matrices were characterized by percentage entrapment efficiency, drug loading, solubility studies, FTIR, powder X-ray diffraction, TGA, DSC, XRD, SEM, swelling studies, and in vitro studies. Acute oral toxicity studies were conducted to determine the safety of oral administration of prepared HPMC-ßCD-g-poly(AMPS) formulation. Porous and spongy structures were depicted in SEM images. Complex formation and thermal stability of constituents and drug (ACV) were analyzed by FTIR, TGA, and DSC spectra. XRD analysis revealed reduction in acyclovir crystallinity in spongy matrices. Particle size of optimized formulation was found in the range of 197 ± 2.55 nm. The momentous difference with reference product committed that drug solubility and release characteristics were markedly enhanced by the developed spongy matrices. Toxicity studies endorsed that developed spongy matrices were non-toxic and compatible to biological system. The efficient method of preparation, enhanced solubility, excellent physico-chemical characteristics, high dissolution, and non-toxic HPMC-ßCD-g-poly(AMPS) spongy matrices may be a promising approach for oral delivery of poorly soluble drugs.


Asunto(s)
Acrilamidas/síntesis química , Aciclovir/síntesis química , Alcanosulfonatos/síntesis química , Derivados de la Hipromelosa/síntesis química , Polimerizacion , beta-Ciclodextrinas/síntesis química , Acrilamidas/administración & dosificación , Aciclovir/administración & dosificación , Administración Oral , Alcanosulfonatos/administración & dosificación , Animales , Antivirales/administración & dosificación , Antivirales/síntesis química , Evaluación Preclínica de Medicamentos/métodos , Derivados de la Hipromelosa/administración & dosificación , Masculino , Tamaño de la Partícula , Polímeros/administración & dosificación , Polímeros/síntesis química , Conejos , Solubilidad , Espectroscopía Infrarroja por Transformada de Fourier/métodos , Difracción de Rayos X/métodos , beta-Ciclodextrinas/administración & dosificación
2.
Expert Rev Anti Infect Ther ; 19(10): 1325-1330, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33759682

RESUMEN

Objectives: Bney Brak city tops Israel's COVID-19 infection rate and mortality. Before the Jewish New Year (two-day gathering) SARS-CoV-2 PCR positivity rates were 17.6% and reached 28.1% two weeks later Taffix - an innovative nasal powder creates a protective gel over the nasal mucosa blocking viruses from infecting nasal cells, was tested for efficacy in preventing SARS CoV2 infection.Methods: In a prospective users survey, 243 members of an ultra-orthodox community that participated in two days prayers were followed for 14 days following this 'superspread' event. Eighty-three used Taffix throughout holiday's prayers and the following two weeks (ITT). Eighty-one used it regularly (PP). Two used it rarely if at all. The remaining 160 did not use Taffix.Results: After 14 days, 0/81 (0%) of (PP) Tafffix users, 2/83 (2.4%) of (ITT) Taffix users and 16/160 (10%) nonusers were infected. Odds ratio for infection among Taffix users was 0.22, a reduction of 78% (95%CI 1%-95%). No side effects reported.Conclusion: Taffix could be an additional tool against COVID19 spread, in addition to recommended safety measures. This is the first time that a prevention measure of SARS-CoV-2, beyond the use of masks, has proved effective.


Asunto(s)
COVID-19/prevención & control , Enfermedades Endémicas/prevención & control , Derivados de la Hipromelosa/uso terapéutico , Administración Intranasal , Adolescente , Adulto , COVID-19/epidemiología , Femenino , Humanos , Derivados de la Hipromelosa/administración & dosificación , Israel/epidemiología , Masculino , Cumplimiento de la Medicación , Persona de Mediana Edad , Rociadores Nasales , Polvos , Estudios Prospectivos , SARS-CoV-2 , Adulto Joven
3.
J Pharm Pharmacol ; 73(5): 641-652, 2021 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-33772289

RESUMEN

OBJECTIVES: The current study was focused on preparing curcumin (CUR) supersaturated self-nano-emulsion (PI-CUR-SNEDDS) using hydrophilic polymer and to study the influence of polymer precipitation inhibitor on the physicochemical and biopharmaceutical properties of the PI-CUR-SNEDDS. METHODS: PI-CUR-SNEDDS were prepared using hydrophilic polymer in order to maintain the supersaturation of CUR in nano-emulsion solution, artificial gastrointestinal fluid (AGF), and the precipitates formed, and characterised by in vitro dispersion tests, in vitro intestinal absorption and in vivo pharmacokinetic and compared with CUR-SNEDDS. KEY FINDINGS: PI-CUR-SNEDDS prepared with 2% hydroxypropyl methylcellulose 55-60 (HPMC55-60) as precipitation inhibitor (PI) significantly improved the viscosity, physical stability and CUR's equilibrium solubility of nanoemulsion. HPMC55-60 and CUR interact in AGF through intermolecular interactions, form hydrogen bonds, and produce amorphous precipitates. Compared with CUR-SNEDDS, the proportion of CUR in the hydrophilic phase increased by about 3-fold, and apparent permeability coefficient (Papp) in duodenum, jejunum, ileum, and colon increased by 2.30, 3.65, 1.54 and 2.08-fold, respectively, and the area under the plasma concentration-time curve0-12h of PI-CUR-SNEDDS also increased by 3.50-fold. CONCLUSIONS: Our results suggested that HPMC55-60 maintained the CUR supersaturation state by forming hydrogen bonds with CUR, increasing the solution's viscosity and drug solubilisation, thus improving the absorption and bioavailability of CUR.


Asunto(s)
Curcumina/administración & dosificación , Curcumina/farmacocinética , Sistemas de Liberación de Medicamentos/métodos , Administración Oral , Animales , Disponibilidad Biológica , Liberación de Fármacos , Emulsiones/química , Interacciones Hidrofóbicas e Hidrofílicas , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/farmacología , Absorción Intestinal , Tamaño de la Partícula , Polímeros/administración & dosificación , Polímeros/farmacología , Ratas Sprague-Dawley , Solubilidad
4.
Sci Rep ; 10(1): 18608, 2020 10 29.
Artículo en Inglés | MEDLINE | ID: mdl-33122661

RESUMEN

Preterm prelabor rupture of membranes (PPROM) is the most frequent complication of fetal surgery. Strategies to seal the membrane defect created by fetoscopy aiming to reduce the occurrence of PPROM have been attempted with little success. The objective of this study was to evaluate the ex-vivo mechanical sealing properties and toxicity of four different bioadhesives integrated in semi-rigid patches for fetal membranes. We performed and ex-vivo study using term human fetal membranes to compare the four integrated patches composed of silicone or silicone-polyurethane combined with dopaminated-hyaluronic acid or hydroxypropyl methylcellulose (HPMC). For mechanical sealing properties, membranes were mounted in a multiaxial inflation device with saline, perforated and sealed with the 4 combinations. We measured bursting pressure and maximum pressure free of leakage (n = 8). For toxicity, an organ culture of membranes sealed with the patches was used to measure pyknotic index (PI) and lactate dehydrogenase (LDH) concentration (n = 5). All bioadhesives achieved appropriate bursting pressures, but only HPMC forms achieved high maximum pressures free of leakage. Concerning toxicity, bioadhesives showed low PI and LDH levels, suggesting no cell toxicity. We conclude that a semi-rigid patch coated with HPMC achieved ex-vivo sealing of iatrogenic defects in fetal membranes with no signs of cell toxicity. These results warrant further research addressing long-term adhesiveness and feasibility as a sealing system for fetoscopy.


Asunto(s)
Adhesivos/uso terapéutico , Membranas Extraembrionarias/cirugía , Rotura Prematura de Membranas Fetales/cirugía , Enfermedad Iatrogénica/prevención & control , Membranas Extraembrionarias/metabolismo , Femenino , Rotura Prematura de Membranas Fetales/metabolismo , Fetoscopía/métodos , Edad Gestacional , Humanos , Ácido Hialurónico/administración & dosificación , Derivados de la Hipromelosa/administración & dosificación , L-Lactato Deshidrogenasa/metabolismo , Técnicas de Cultivo de Órganos/métodos , Poliuretanos/administración & dosificación , Embarazo , Siliconas/administración & dosificación
5.
Int J Pharm ; 578: 119043, 2020 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-31962190

RESUMEN

This study aimed to develop an evaluation approach for supersaturation by employing an in vitro bio-mimicking apparatus designed to predict in vivo performance. The Biphasic Gastrointestinal Simulator (BGIS) is composed of three chambers with absorption phases that represent the stomach, duodenum, and jejunum, respectively. The concentration of apatinib in each chamber was detected by fiber optical probes in situ. The dissolution data and the pharmacokinetic data were correlated by GastroplusTM. The precipitates were characterized by polarizing microscope, Scanning Electron Microscopy, Powder X-ray diffraction and Differential scanning calorimetry. According to the results, Vinylpyrrolidone-vinyl acetate copolymer (CoPVP) prolonged supersaturation by improving solubility and inhibiting crystallization, while Hydroxypropyl methylcellulose (HPMC) prolonged supersaturation by inhibiting crystallization alone. Furthermore, a predictive in vitro-in vivo correlation was established, which confirmed the anti-precipitation effect of CoPVP and HPMC on in vitro performance and in vivo behavior. In conclusion, CoPVP and HPMC increased and prolonged the supersaturation of apatinib, and then improved its bioavailability. Moreover, BGIS was demonstrated to be a significant approach for simulating in vivo conditions for in vitro-in vivo correlation in a supersaturation study. This study presents a promising approach for evaluating supersaturation, screening precipitation inhibitors in vitro, and predicting their performances in vivo.


Asunto(s)
Mucosa Gástrica/metabolismo , Derivados de la Hipromelosa , Absorción Intestinal , Povidona/análogos & derivados , Administración Oral , Animales , Disponibilidad Biológica , Duodeno , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química , Derivados de la Hipromelosa/farmacocinética , Yeyuno , Masculino , Ratones Endogámicos C57BL , Povidona/administración & dosificación , Povidona/química , Povidona/farmacocinética , Piridinas/administración & dosificación , Piridinas/sangre , Piridinas/química , Piridinas/farmacocinética , Estómago
6.
Dysphagia ; 35(2): 231-241, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31073746

RESUMEN

Dysphagia is a significant late morbidity following treatment with radiotherapy (RT) for head and neck squamous cell carcinomas (HNSCC). The purpose of this feasibility study was to test a gel-based saliva substitute to reduce the subjective assessment of dysphagia while eating food items varying in size and texture. Eligible study subjects treated with curative intended RT and suffering from dysphagia and xerostomia were recruited from the outpatient clinic during a two-month period. Nineteen subjects consented to participation and completed the EORTC QLQ-H&N35 questionnaire and three test meals. A Numeric Rating Scale (NRS) was used for subjective assessment of dysphagia during all test meals. All data on patient, tumor, and treatment characteristics were obtained from the Danish Head and Neck Cancer (DAHANCA) database. NRS data suggested reduction of dysphagia after application of the oral gel. The swallowing dysfunctions, discomfort while swallowing (p = 0.008), stuck food items (p = 0.02), and multiple attempts of clearing the throat (p = 0.05), improved significantly for soft and regular items. Both small- and large-sized food items were tested. EORTC QLQ-H&N35 showed improvement regarding eating problems (p = 0.03) and social eating (p = 0.02). No episodes of food aspiration were recorded during the test meals. Late dysphagia reduces QOL and is an important morbidity following RT. In this feasibility study, the oral gel was able to reduce dysphagia while eating soft and selected regular food items. Eating-related EORTC QLQ-H&N35 items also improved, indicating a beneficial reduction in dysphagia after application of the oral gel.


Asunto(s)
Trastornos de Deglución/tratamiento farmacológico , Derivados de la Hipromelosa/administración & dosificación , Lubricantes/administración & dosificación , Traumatismos por Radiación/tratamiento farmacológico , Xerostomía/tratamiento farmacológico , Anciano , Anciano de 80 o más Años , Supervivientes de Cáncer , Trastornos de Deglución/etiología , Estudios de Factibilidad , Femenino , Geles , Neoplasias de Cabeza y Cuello/radioterapia , Humanos , Masculino , Persona de Mediana Edad , Polietilenglicoles/administración & dosificación , Traumatismos por Radiación/etiología , Saliva , Carcinoma de Células Escamosas de Cabeza y Cuello/radioterapia , Resultado del Tratamiento , Xerostomía/etiología
7.
J Cosmet Dermatol ; 19(2): 540-552, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31243886

RESUMEN

BACKGROUND: Farnesol is an acyclic sesquiterpene presents in various natural sources including fruits, vegetables, and herbs. In this study, we successfully prepared a farnesol-containing gel with ultraviolet B-screening and skin-repairing capabilities. Furthermore, the advantageous potential of farnesol-containing facial masks for UVB-caused sunburnt skin was evaluated. AIMS: Thus, the objectives of this study are to design and prepare optimal facial masks possessing collagen production and smoothness-enhancing capabilities for the skin. METHODS: A series of formulations consisting of hydroxypropyl methylcellulose, hyaluronan, and farnesol were used to prepare the facial masks. The effects of the facial masks on collagen production by skin fibroblasts in vitro were examined. The effects of the prepared masks on collagen synthesis, smoothness, and inflammation of the skin were further evaluated in vivo using two modes (mask administration interspersed with UVB exposure and mask administration after UVB exposure) of a rat model. RESULTS: Facial masks containing both 0.3 and 0.8 mM farnesol improved skin smoothness and enhanced collagen content and arrangement in the skin of rats with mask administration interspersed with and after UVB exposure. The masks containing 0.8 mM farnesol exerted the greatest effects on collagen production/arrangement and smoothness improvement in vivo model. Histopathologically observed inflammation was alleviated, and interleukin (IL)-6 was decreased in the 0.8 mM farnesol-containing facial mask-covered skin compared with that without facial masks. CONCLUSIONS: The farnesol-containing facial masks prepared in this study may have collagen production-increasing, smoothness-improving, and anti-inflammatory properties for UVB-caused sunburn; thus, farnesol is potentially a beneficial component in facial masks.


Asunto(s)
Cosmecéuticos/administración & dosificación , Farnesol/administración & dosificación , Envejecimiento de la Piel/efectos de los fármacos , Piel/efectos de los fármacos , Quemadura Solar/tratamiento farmacológico , Animales , Línea Celular , Cosmecéuticos/química , Modelos Animales de Enfermedad , Cara , Farnesol/química , Femenino , Fibroblastos , Geles , Humanos , Ácido Hialurónico/administración & dosificación , Ácido Hialurónico/química , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química , Ratones , Ratas , Piel/efectos de la radiación , Envejecimiento de la Piel/efectos de la radiación , Rayos Ultravioleta/efectos adversos
8.
Int J Pharm ; 575: 118845, 2020 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-31836484

RESUMEN

The objective of this study was to develop a thermoresponsive injectable hydrogel for the sustained release of drugs by taking advantage of host-guest interactions between a hydrophobically modified hydroxypropylmethyl cellulose (HM-HPMC) and cyclodextrin (CD). A thermoresponsive injectable hydrogel was prepared by simply adding CDs to HM-HPMC hydrogel. The HM-HPMC hydrogel was converted into a sol with a low viscosity through host-guest interactions with CDs. The HM-HPMC/ß-CD hydrogel became a gel near body temperature where the host dissociated from the hydrophobic moieties of the polymer in response to the temperature. The yield stress of the HM-HPMC became progressively lower on the addition of ß-CD which was desirable in the case of developing an injectable formulation. When the HM-HPMC/ß-CD hydrogel containing indocyanine green (ICG) was subcutaneously administered to mice, the fluorescence of the ICG remained relatively constant for 24 h after the administration, which was substantially longer than that for ICG alone or an HPMC formulation. The plasma insulin level was maintained for a longer period of time when the HM-HPMC/ß-CD containing insulin was administered and the MRT value was increased by 1.6 times compared to a solution of insulin alone. In addition, the HM-HPMC/ß-CD hydrogel formulation showed a prolonged hypoglycemic effect in response to the insulin which was slowly released from the hydrogel. A thermoresponsive injectable hydrogel was successfully constructed from the highly viscous HM-HPMC and ß-CD, and the resulting formulation functioned as a sustained release carrier for drugs.


Asunto(s)
Hidrogeles/administración & dosificación , Hipoglucemiantes/administración & dosificación , Derivados de la Hipromelosa/administración & dosificación , Insulina/administración & dosificación , beta-Ciclodextrinas/administración & dosificación , Animales , Preparaciones de Acción Retardada/administración & dosificación , Preparaciones de Acción Retardada/química , Preparaciones de Acción Retardada/farmacocinética , Liberación de Fármacos , Hidrogeles/química , Hidrogeles/farmacocinética , Interacciones Hidrofóbicas e Hidrofílicas , Hipoglucemiantes/sangre , Hipoglucemiantes/química , Hipoglucemiantes/farmacocinética , Derivados de la Hipromelosa/química , Derivados de la Hipromelosa/farmacocinética , Inyecciones , Insulina/sangre , Insulina/química , Insulina/farmacocinética , Masculino , Ratones , Temperatura , beta-Ciclodextrinas/química , beta-Ciclodextrinas/farmacocinética
9.
Retina ; 40(8): 1616-1622, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31490296

RESUMEN

PURPOSE: This study examines the impact of corneal surface lubricants used during pars plana vitrectomy on corneal edema. METHODS: This prospective, observational, clinical study occurred at an academic institution. Participants were individuals aged 18 years and older who had already consented to undergo pars plana vitrectomy, without pre-existing corneal pathology. A corneal lubricant was chosen by the surgeon. Corneal thickness was measured preoperatively and postoperatively using pachymetry and anterior segment optical coherence tomography (AS-OCT). Main outcome measure was change in corneal thickness as measured by pachymetry. RESULTS: Forty-one patients completed the study protocol. The 23 subjects in the SHCS group had a significantly smaller increase in corneal thickness as measured by pachymetry compared with the 18 subjects in the HPMC group (29.9 µm vs. 58.1 µm, P value 0.02). When measured by anterior segment optical coherence tomography, the SHCS group had a smaller increase in corneal thickness compared with the HPMC group (0.04 mm vs. 0.06 mm, P value 0.09) but did not reach significance. CONCLUSION: SHCS is associated with reduced postoperative increase in corneal pachymetry as compared to HPMC.


Asunto(s)
Sulfatos de Condroitina/administración & dosificación , Córnea/patología , Ácido Hialurónico/administración & dosificación , Derivados de la Hipromelosa/administración & dosificación , Desprendimiento de Retina/cirugía , Perforaciones de la Retina/cirugía , Vitrectomía , Hemorragia Vítrea/cirugía , Anciano , Córnea/diagnóstico por imagen , Paquimetría Corneal , Combinación de Medicamentos , Femenino , Humanos , Lubricantes/administración & dosificación , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Tomografía de Coherencia Óptica
10.
Eur J Pharm Sci ; 141: 105115, 2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-31654755

RESUMEN

In this study, we present the development of spray-dried pectin/hypromellose microspheres as efficient melatonin carrier for targeted nasal delivery. Different pectin to hypromellose weight ratios in the spray-dried feed were employed (i.e. 1:0, 3:1, 1:1 and 1:3) in order to optimise microsphere physicochemical properties influencing overall powder behaviour prior, during and upon nasal delivery. All microspheres assured complete melatonin entrapment and increased dissolution rate in relation to pure melatonin powder. Among all combinations tested, combining pectin with hypromellose at 1:3 wt ratio resulted in the microspheres with the highest potential for melatonin nasal delivery as they assured highest swelling ability and most prominent mucoadhesive properties. Studies on deposition profile revealed adequate turbinate and olfactory deposition of microsphere/lactose monohydrate powder blend administered nasally using MIAT® device, complementing findings relevant for their therapeutic potential. In conclusion, developed microspheres bear the potential to ensure prolonged melatonin retention at the nasal mucosa, improved bioavailability and advanced therapeutic outcome.


Asunto(s)
Derivados de la Hipromelosa , Melatonina , Microesferas , Mucosa Nasal/metabolismo , Pectinas , Adhesividad , Administración Intranasal , Liberación de Fármacos , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química , Melatonina/administración & dosificación , Melatonina/química , Modelos Biológicos , Mucosa Nasal/química , Pectinas/administración & dosificación , Pectinas/química
11.
J Cataract Refract Surg ; 45(8): 1148-1155, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-31371007

RESUMEN

PURPOSE: To investigate the safety and efficacy of the intraoperative use of a triphasic polymeric gel as corneal coating during cataract surgery and its effect on postoperative ocular comfort. SETTING: Eye Clinic, University of Florence, Italy. DESIGN: Longitudinal observational retrospective study. METHODS: Data on patients who received an application of a polysaccharide blend of hydroxypropyl methylcellulose, xanthan gum, and carrageenan (EyeDRO) on the corneal surface and data on patients who received a balanced salt solution during phacoemulsification surgery were analyzed. The central corneal thickness (CCT) and epithelial thickness were examined using anterior segment optical coherence tomography, and the corneal basal epithelial cell (BEC) and Langerhans cell densities by in vivo confocal microscopy. The ocular surface disease index (OSDI) score, tear breakup time (TBUT), and Schirmer test I values were evaluated. RESULTS: The study comprised data on 28 patients in the coating gel group and 26 patients in the balanced salt solution group. In the coating gel group, the CCT and epithelial thickness values returned to the baseline value within 5 and 15 postoperative days, respectively; the BEC and Langerhans cell densities returned to baseline levels within 15 and 30 postoperative days. In the balanced salt solution group, the mean BEC and Langerhans cell densities were significantly different from the preoperative values at all follow-up assessments. The TBUT returned to the preoperative level at day 5 in the coating gel group. The OSDI scores returned to the preoperative values after 15 days in the coating gel group and 30 days in the balanced salt solution group. CONCLUSIONS: The use of a tripolymeric gel as a corneal coating during cataract surgery played a protective role on the corneal surface and reduced postoperative discomfort symptoms.


Asunto(s)
Acetatos/administración & dosificación , Segmento Anterior del Ojo/diagnóstico por imagen , Carragenina/administración & dosificación , Córnea/efectos de los fármacos , Derivados de la Hipromelosa/administración & dosificación , Minerales/administración & dosificación , Facoemulsificación , Polisacáridos Bacterianos/administración & dosificación , Cloruro de Sodio/administración & dosificación , Anciano , Recuento de Células , Córnea/patología , Combinación de Medicamentos , Epitelio Corneal/patología , Femenino , Geles/administración & dosificación , Humanos , Cuidados Intraoperatorios/métodos , Implantación de Lentes Intraoculares , Masculino , Microscopía Confocal , Periodo Posoperatorio , Estudios Retrospectivos , Irrigación Terapéutica , Tomografía de Coherencia Óptica
12.
AAPS PharmSciTech ; 20(5): 210, 2019 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-31161269

RESUMEN

Dorzolamide HCl (DRZ) ophthalmic drop is one of the most common glaucoma medications which rapidly eliminates after instillation leading to short residence time of the drug on cornea. The purpose of the present study is to develop a pH-triggered in situ gel system for ophthalmic delivery of DRZ for treatment of ocular hypertension. In this study, a 32 full factorial design was used for preparation of in situ gel formulations using different levels of Carbopol® and hydroxyl propyl methyl cellulose (HPMC). Rheological behavior, in vitro drug release, ex vivo corneal permeability, and IOP-lowering activity were investigated. DRZ solution (2% w/v) containing of 0.1% (w/v) Carbopol® and 0.1% (w/v) HPMC was selected as the optimal formulation considering its free flow under non-physiological conditions (initial pH and 25 ± 2°C) and transition to appropriate gel form under physiological circumstance (pH 7.4 and 34°C). This in situ gel presented the mucoadhesive property. Ex vivo corneal permeability of this combined solution was similar to those of DRZ solution. The developed formulation compared to the marketed drop (Biosopt®) and DRZ 2% solution had a better performance in intraocular pressure activity. The efficiency and long duration of IOP reduction could be due to the prolonged residence time of the in situ gel. The presence of Carbopol® as a pH triggered and mucoadhesive polymer causes to attach to the ocular mucosal surface for a long term.


Asunto(s)
Resinas Acrílicas/farmacocinética , Antihipertensivos/farmacocinética , Portadores de Fármacos/farmacocinética , Derivados de la Hipromelosa/farmacocinética , Sulfonamidas/farmacocinética , Tiofenos/farmacocinética , Resinas Acrílicas/administración & dosificación , Resinas Acrílicas/síntesis química , Administración Oftálmica , Animales , Antihipertensivos/administración & dosificación , Antihipertensivos/síntesis química , Córnea/efectos de los fármacos , Córnea/metabolismo , Portadores de Fármacos/administración & dosificación , Portadores de Fármacos/síntesis química , Evaluación Preclínica de Medicamentos/métodos , Liberación de Fármacos , Geles , Glaucoma/tratamiento farmacológico , Glaucoma/metabolismo , Concentración de Iones de Hidrógeno , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/síntesis química , Presión Intraocular/efectos de los fármacos , Presión Intraocular/fisiología , Masculino , Soluciones Oftálmicas/administración & dosificación , Soluciones Oftálmicas/síntesis química , Soluciones Oftálmicas/farmacocinética , Conejos , Sulfonamidas/administración & dosificación , Sulfonamidas/síntesis química , Porcinos , Tiofenos/administración & dosificación , Tiofenos/síntesis química
13.
Int J Pharm ; 566: 229-238, 2019 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-31136778

RESUMEN

Sorafenib, a potent anticancer drug, has low absorption in the gastrointestinal tract due to its poor aqueous solubility. The main purpose of this investigation was to design sorafenib nanoparticle using a newly developed technique, nanoparticulation using fat and supercritical fluid (NUFS™) to improve the absorption of sorafenib. The quality by design (QbD) tool was adopted to define the optimal formulation variables: hydroxypropyl methyl cellulose (HPMC), polyvinyl pyrrolidone K30 (PVP), and poloxamer. The studied response variables were particle size of nanoparticle, dissolution (5, 60, and 180 min), drug concentration time profile of nanoparticle formulations, and maximum drug concentration. The result of particle size revealed that an increase in concentration of poloxamer and HPMC decreased the particle size of nanoparticles (p < 0.05). Likewise, the concentration of drug release at different time point (5, 60, and 180 min) showed HPMC and poloxamer had positive effects on drug dissolution while PVP had negative effects on it. The design space was built in accordance with the particle size of nanoparticle (target < 500 nm) and dissolution of sorafenib (target > 7 µm/mL), following failure probability analysis using Monte Carlo simulations. In vivo pharmacokinetics studies in beagle dogs demonstrated that optimized formulation of sorafenib (F3 and F4 tablets) exhibited higher blood drug profiles indicating better absorption compared to the reference tablet (Nexavar®). In conclusion, this study showed the importance of systematic formulation design for understanding the effect of formulation variables on the characteristics of nanoparticles of the poorly soluble drug.


Asunto(s)
Antineoplásicos/administración & dosificación , Nanopartículas/administración & dosificación , Inhibidores de Proteínas Quinasas/administración & dosificación , Sorafenib/administración & dosificación , Administración Oral , Animales , Antineoplásicos/sangre , Antineoplásicos/química , Antineoplásicos/farmacocinética , Disponibilidad Biológica , Perros , Diseño de Fármacos , Liberación de Fármacos , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química , Derivados de la Hipromelosa/farmacocinética , Masculino , Nanopartículas/química , Tamaño de la Partícula , Poloxámero/administración & dosificación , Poloxámero/química , Poloxámero/farmacocinética , Povidona/administración & dosificación , Povidona/química , Povidona/farmacocinética , Inhibidores de Proteínas Quinasas/sangre , Inhibidores de Proteínas Quinasas/química , Inhibidores de Proteínas Quinasas/farmacocinética , Sorafenib/sangre , Sorafenib/química , Sorafenib/farmacocinética
14.
Int J Pharm ; 566: 111-125, 2019 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-31129346

RESUMEN

Thin and erodible polymeric films were developed as potential ocular drug delivery systems to increase drug retention on the eye with the aim of improving bioavailability and achieving controlled drug release. Two biocompatible film forming polymers, hyaluronic acid (HA) and hydroxypropyl methylcellulose (HPMC), which are currently used as thickening agents in eye drops were employed. Two different films were prepared (i) as single polymer and (ii) as composite formulations by solvent casting method, incorporating glycerol (GLY) as plasticizer and timolol maleate (TM) as model glaucoma drug. After preliminary optimization of transparency and ease of handling, the formulations were further characterized for their physicochemical properties. No indication of significant drug-polymer or polymer-polymer (in composite films) interaction was observed from FTIR results while evaluation by IR mapping revealed uniform distribution of drug throughout the films. Amorphization of TM in the film matrix was confirmed by both DSC and XRD. Swelling studies illustrated remarkable swelling capacity of HA in comparison with HPMC which directly affected the drug release profiles, making HA a suitable polymer for controlled ocular drug delivery. Tensile and mucoadhesion properties confirmed higher elasticity and adhesiveness of HA while HPMC produced stronger films. The effect of sterilization by UV radiation on mechanical properties was also evaluated and showed no significant difference between the sterilized and non-sterilized films. The SEM results confirmed smoothness and homogeneity of film surfaces for all the formulations studied. The in vitro drug dissolution studies showed more extended release profiles of formulations containing HA. Cytotoxicity study (cell viability) using MTT assay on HeLa cells, confirmed that the single polymer and composite films are generally safe for ocular administration. The present work shows excellent film forming ability of HA and HPMC which can be used as single polymer or combined in composite formulations as potential topical ocular drug delivery platform to enhance drug retention on the ocular surface and therefore potential improved bioavailability.


Asunto(s)
Antagonistas Adrenérgicos beta/administración & dosificación , Sistemas de Liberación de Medicamentos , Ácido Hialurónico/administración & dosificación , Derivados de la Hipromelosa/administración & dosificación , Timolol/administración & dosificación , Administración Oftálmica , Antagonistas Adrenérgicos beta/química , Supervivencia Celular/efectos de los fármacos , Liberación de Fármacos , Glaucoma/tratamiento farmacológico , Células HeLa , Humanos , Ácido Hialurónico/química , Derivados de la Hipromelosa/química , Timolol/química
15.
Int J Pharm ; 562: 321-332, 2019 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-30928213

RESUMEN

The control of the glycemic level among diabetes/T2 patients is very important for their long term survival and avoiding further complexities including micro/macrovascular diseases as well as diabetic neuropathy. Vildagliptin (VD) is a drug that has addressed these issues successfully with the desired safety portfolio. We used DNA-nanocubes for initial nano-encapsulation of VD followed by HPMC/EC coating. The results revealed the stable, smooth, spherical and nano-sized nanoparticles with improved size uniformity (from 100 to 400 nm in diameter) and encapsulation-efficiency (E.E.%) than previously reported (500-2000 nm) with the chemical compatibility evident in ATR/FTIR and DSC results. Animal experiments results revealed the improvement of incretin level in the serums due to potent DPP-4 inhibition compared to the free-VD/solution with better maintenance of glycemic levels after feeding. The safety of these HPMC/EC-DNA-VD nanoparticles was assessed through the histological-examination after completion of the treatment turn. The solvent evaporation technique provided the better coating of HPMC around DNA-core with gastro-resistant and effervescent property due to presence of NaHCO3 (0.01%) in the formulations that caused delayed delivery of VD as well as nanoparticles to the intestine, increasing the availability time of the drug and nanospheres at the target sites (intestine and blood) where DPP-4 enzyme is most abundant (to degrade the GLP-1 and GIP causing loss of control of the postprandial glycemic levels. So the availability of sustained release nanospheres near the target sites and prolonged DPP-4 inhibition improved the outcomes of the therapy.


Asunto(s)
Celulosa/análogos & derivados , ADN , Inhibidores de la Dipeptidil-Peptidasa IV , Derivados de la Hipromelosa , Nanopartículas , Vildagliptina , Animales , Celulosa/administración & dosificación , Celulosa/química , ADN/administración & dosificación , ADN/química , Diabetes Mellitus Experimental/sangre , Diabetes Mellitus Experimental/tratamiento farmacológico , Inhibidores de la Dipeptidil-Peptidasa IV/administración & dosificación , Inhibidores de la Dipeptidil-Peptidasa IV/química , Estabilidad de Medicamentos , Péptido 1 Similar al Glucagón/sangre , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química , Ratones , Nanopartículas/administración & dosificación , Nanopartículas/química , Vildagliptina/administración & dosificación , Vildagliptina/química
16.
J Pharm Sci ; 108(8): 2552-2560, 2019 08.
Artículo en Inglés | MEDLINE | ID: mdl-30878514

RESUMEN

Levodopa (LEVO) as the gold standard in the treatment of Parkinson's disease is usually administrated per os but its bioavailability is low. The intranasal administration is a potential alternative route to increase bioavailability of the drug and treat the off period. Our aim was to develop LEVO-containing binary nasal powders with different excipients by dry cogrinding process. The interactions between the components were examined. The optimized cogrinding process parameters (LEVO:excipient ratio and grinding time) resulted in the desired particle size range (5-40 µm). The α-cyclodextrin and poly(vinylpyrrolidone) (PVP) had an intensive crystallinity degree reducing effect on LEVO measured by XRPD, and they functioned as cogrinding agents. Hydroxypropyl methylcellulose, poly (vinyl alcohol) (PVA), and D-mannitol associate around the LEVO crystals preventing its crystalline structure. Hydrogen bonding was detected only for LEVO-PVP and LEVO-D-mannitol used Fourier-transformed infrared spectroscopy. Chemical degradation of LEVO in the products was not detected even after the accelerated stability test. The dissolution profile of the products can be characterized by the first-order kinetic model with different dissolution rate. The dissolution rate of LEVO was increased with α-cyclodextrin and PVP, and the drug release decreased in the case of hydroxypropyl methylcellulose, PVA, and D-mannitol compared to the LEVO powder.


Asunto(s)
Antiparkinsonianos/química , Excipientes/química , Levodopa/química , Administración Intranasal , Antiparkinsonianos/administración & dosificación , Cristalización , Composición de Medicamentos , Liberación de Fármacos , Excipientes/administración & dosificación , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química , Levodopa/administración & dosificación , Manitol/administración & dosificación , Manitol/química , Povidona/administración & dosificación , Povidona/química , Solubilidad , alfa-Ciclodextrinas/administración & dosificación , alfa-Ciclodextrinas/química
17.
Int J Pharm ; 562: 1-10, 2019 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-30878586

RESUMEN

FK506 (tacrolimus) is an effective immunosuppressant, but its poor water solubility and low bioavailability impose barriers to ocular drug delivery. The nanomicelles (NMs) formulations comprised of amino-terminated poly(ethylene glycol-block-poly(D,L)-lactic acid) (NH2-PEG-b-PLA) and hydroxypropyl methylcellulose (HPMC) were developed to increase the penetration of hydrophobic drugs in the eye and enhance the drug bioavailability for ocular disorder therapy. Spherical FK506/NH2-PEG-b-PLA/HPMC NMs with mean diameter of 101.4 ±â€¯1.3 nm were prepared by solvent-evaporation-induced self-assembly in aqueous solution. The NMs that sufficiently solubilized FK506 were evaluated in terms of stability, drug loading, encapsulation efficiency, surface tension, cellular cytotoxicity and in vitro release, and the results revealed the NMs were suitable for intraocular drug delivery. Compared with the 0.05% FK506 suspension drops, the in vitro permeation amount of FK506 from NMs exhibited significant increase. Besides, the higher concentration and longer retention of FK506 in ocular tissue were also confirmed in vivo. Furthermore, the FK506/NH2-PEG-b-PLA/HPMC NMs obviously inhibited the allograft rejection after corneal transplantation in rats. In conclusion, FK506/NH2-PEG-b-PLA/HPMC NMs formulations as a promising ocular drug delivery system would be able to improve the bioavailability and efficacy of FK506 in anti-allograft rejection.


Asunto(s)
Portadores de Fármacos/administración & dosificación , Derivados de la Hipromelosa/administración & dosificación , Inmunosupresores/administración & dosificación , Lactatos/administración & dosificación , Micelas , Nanopartículas/administración & dosificación , Polietilenglicoles/administración & dosificación , Tacrolimus/administración & dosificación , Administración Oftálmica , Animales , Disponibilidad Biológica , Portadores de Fármacos/química , Portadores de Fármacos/farmacocinética , Ojo/metabolismo , Femenino , Derivados de la Hipromelosa/química , Derivados de la Hipromelosa/farmacocinética , Inmunosupresores/química , Inmunosupresores/farmacocinética , Lactatos/química , Lactatos/farmacocinética , Masculino , Nanopartículas/química , Polietilenglicoles/química , Polietilenglicoles/farmacocinética , Ratas Sprague-Dawley , Ratas Wistar , Tacrolimus/química , Tacrolimus/farmacocinética
18.
Eur J Pharm Sci ; 131: 167-176, 2019 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-30790703

RESUMEN

The present study developed and characterized microparticles formulations containing acyclovir and curcumin co-encapsulated in order to overcome the biopharmaceutical limitations and increase the antiviral effect of both drugs. The microparticles were prepared by a spray drying methodology following the ratio 1:3 (drug:polymer), which were made by hydroxypropylmethylcellulose (HPMC) and/or Eudragit® RS100 (EUD). The MP-1 formulation was composed of HPMC and EUD (1:1), MP-2 formulation was composed only of HPMC and MP-3 formulation was composed only of EUD. All formulations showed yielding around 50% and acceptable powder flowability. Drug content determination around 82.1-96.8% and 81.8-87% for acyclovir and curcumin, respectively. The microparticles had spherical shape, size within 11.5-15.3 µm, unimodal distribution and no chemical interactions among the components of the formulations. Of particular importance, the polymeric composition considerably influenced on the release profile of the drugs. The in vitro release experiment demonstrated that the microencapsulation provided a sustained release of acyclovir as well as increased the solubility of curcumin. Besides, mathematical modeling indicated that the experimental fit biexponential equation. Importantly, drugs microencapsulation promoted superior antiviral effect against BoVH-1 virus in comparison to their free form, which could be attributed to the improvement in the aforementioned physicochemical parameters. Therefore, these formulations could be promising technological drug carriers for acyclovir and curcumin, which highlight the great offering a potential alternative treatment for viral herpes.


Asunto(s)
Aciclovir , Antivirales , Curcumina , Portadores de Fármacos , Resinas Acrílicas/administración & dosificación , Resinas Acrílicas/química , Aciclovir/administración & dosificación , Aciclovir/química , Animales , Antivirales/administración & dosificación , Antivirales/química , Bovinos , Línea Celular , Curcumina/administración & dosificación , Curcumina/química , Portadores de Fármacos/administración & dosificación , Portadores de Fármacos/química , Composición de Medicamentos , Liberación de Fármacos , Sinergismo Farmacológico , Herpesvirus Bovino 1/efectos de los fármacos , Derivados de la Hipromelosa/administración & dosificación , Derivados de la Hipromelosa/química
19.
AAPS PharmSciTech ; 20(2): 68, 2019 Jan 09.
Artículo en Inglés | MEDLINE | ID: mdl-30627938

RESUMEN

In the present contribution, the aim is to explore and establish a way in which 3D printing and gastro-retentive drug delivery systems (GRDDSs) are combined (focusing on inner structure innovation) to achieve extended and stable gastro-retention and controlled-release of drug. Three digital models diverse in construction were designed and substantialized by a pressure-assisted microsyringe (PAM) 3D printer. Preparations were characterized by means of DSC, XRD, FTIR, and SEM. In vitro buoyancy study and in vivo gamma scintigraphy method were conducted to validate gastro-retention property of these innovative preparations in vitro/in vivo respectively. Release kinetic model was established and release mechanism was discussed. Tablets manufactured under certain range of parameters (intersecting angle, full filling gap) were tight and accurate in shape. Tablets printed with specific parameters (full filling gap, 50%; nozzle extrusion speed, 0.006 mm/s; layer height, 0.4 mm; compensation value, 0.25; quantity of layers, 15; outline printing value, 2) exhibited satisfactory in vitro (10-12 h)/in vivo (8-10 h) retention ability and possessed stable 10-12 h controlled-release quality. In general, 3D printing has tremendous advantage over conventional fabrication technique in intricate drug delivery systems and will be widely employed in pharmacy.


Asunto(s)
Sistemas de Liberación de Medicamentos/métodos , Liberación de Fármacos , Derivados de la Hipromelosa/administración & dosificación , Impresión Tridimensional , Estómago/efectos de los fármacos , Estómago/diagnóstico por imagen , Preparaciones de Acción Retardada/química , Preparaciones de Acción Retardada/farmacocinética , Ginkgo biloba , Humanos , Derivados de la Hipromelosa/química , Derivados de la Hipromelosa/metabolismo , Comprimidos/química , Tecnología Farmacéutica/métodos , Tomografía Computarizada de Emisión de Fotón Único/métodos
20.
BMC Pharmacol Toxicol ; 19(1): 79, 2018 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-30509316

RESUMEN

BACKGROUND: Nanotechnology is now considered a promising drug delivery method for orally administered hydrophobic drugs to their sites of action. The effect of nanodispersion on cellular transport and accumulation of saquinavir (SQV) was investigated. METHODS: The transport of five solid drug nanoparticle (SDN) SQV formulations along Caco-2 cell monolayers (CCM) was compared to that of standard SQV. The SDNs were prepared using SQV mesylate (20%), Pluronic F127 (10%) plus five other excipients (HPMC, PVP, PVA, Lecithin S75 and Span 80) in different proportions. Cellular accumulation in CEM parental and CEMVBL (P-gp overexpressing) cells was conducted to ascertain the effect of nanodispersion on P-gp mediated efflux of SQV. All SDN formulations were dissolved in water, whereas SQV in DMSO to improve solubility. Quantification was via HPLC. RESULTS: From transport results, an SDN sample composed of SQV mesylate/Pluronic F127 plus HPMC (70%) and had a 24% increase in apparent absorption compared to standard SQV, largely driven by a 38% reduction in basolateral to apical permeation. Additionally, the formulation and two others (SQV mesylate/Pluronic F127 alone; and + HPMC (65%)/Lecithin [5%]) accumulated more significantly in CEM cells, suggesting enhanced delivery to these cells. Moreover, accumulation and transport of the three SDNs compared well to that of SQV despite being dissolved in water, suggestive of improved dissolution. The inclusion of PVA resulted in increased efflux. CONCLUSION: The use of HPMC and Pluronic F127 produced SQV SDNs with improved permeation in Caco-2 cells and improved accumulation in CEM cells, but negative effects with PVA.


Asunto(s)
Inhibidores de la Proteasa del VIH/administración & dosificación , Nanopartículas/administración & dosificación , Saquinavir/administración & dosificación , Células CACO-2 , Humanos , Derivados de la Hipromelosa/administración & dosificación , Absorción Intestinal , Poloxámero/administración & dosificación
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