Ammar H O, Ghorab M, El-Nahhas S A, Kamel R
Department of Pharmaceutical Technology, National Research Center, Dokki, Cairo, Egypt.
AAPS PharmSciTech. 2009;10(1):7-20. doi: 10.1208/s12249-008-9167-0. Epub 2009 Jan 9.
Management of moderate or severe chronic pain conditions is the burden of clinicians dealing with patients trying to improve their quality of life and diminish their suffering. Although not a new opioid, tramadol has been recently rediscovered and widely used; this may be due to its favorable chronic safety and dependence profiles together with its high potency. Tramadol is a centrally acting analgesic with half-life of approximately 6 h; therefore, it requires frequent dosing. It is freely soluble in water; hence, judicious selection of retarding formulations is necessary. The current study is focused on the innovation of a novel, simple, monolayer, easy-to-use, cost-effective, and aesthetically acceptable bioadhesive transdermal delivery system overcoming the defects of the conventional "patch" as carrier system for tramadol, ensuring its adequate delivery, along with the physicochemical evaluation of the designed formulations. Monolithic tramadol matrix films of chitosan, different types of Eudragit, and binary mixtures of both were prepared. As a single-polymer film, chitosan film showed best properties except for somewhat high moisture uptake capacity, insufficient strength and rapid release, and permeation. Polymer blends were monitored in order to optimize both properties and performance. Promising results were obtained, with chitosan-Eudragit NE30D (1:1) film showing the most desirable combined, sufficiently rapid as well as prolonged release and permeation profiles along with satisfactory organoleptic and physicochemical properties.
中度或重度慢性疼痛病症的管理是临床医生的负担,他们要应对那些试图改善生活质量、减轻痛苦的患者。曲马多虽是一种老药,但近期又被重新发现并广泛使用,这可能归因于其良好的慢性安全性、依赖性特征以及高效能。曲马多是一种中枢性镇痛药,半衰期约为6小时,因此需要频繁给药。它在水中可自由溶解,所以有必要谨慎选择缓释制剂。当前的研究聚焦于创新一种新型、简单、单层、易用、经济高效且美观可接受的生物黏附透皮给药系统,以克服传统“贴片”作为曲马多载体系统的缺陷,确保其充分给药,并对所设计制剂进行理化评估。制备了壳聚糖、不同类型的丙烯酸树脂以及两者二元混合物的整体型曲马多基质膜。作为单一聚合物膜,壳聚糖膜除了吸湿能力稍高、强度不足以及释放和渗透过快外,表现出最佳性能。对聚合物共混物进行监测以优化性能和表现。获得了有前景的结果,壳聚糖-丙烯酸树脂NE30D(1:1)膜显示出最理想的综合性能,释放和渗透既足够快又能延长,同时具有令人满意的感官和理化性质。