Hori Katsuhito, Yoshida Naoko, Okumura Tomonori, Okamura Yasufumi, Kawakami Junichi
Cancer Education and Research Center, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Yakugaku Zasshi. 2010 Aug;130(8):1029-40. doi: 10.1248/yakushi.130.1029.
Orally disintegrating (OD) tablets are widely used in clinical practice. However, drug information on the choice and dispensing based on their stability after opening packages and usability in patients and dispensaries is not sufficient. The aim of this study was to investigate possible evaluation methods of the stability and usability of amlodipine OD tablets. Additives of the brand were changed in April 2009, and therefore the previous and current forms and two generics, current and newly marketed (in November 2009) products of different firms, were used. OD tablets were stored at 25 degrees C and 75% relative humidity for 3 months after opening the packages, and their physicochemical properties were evaluated. Their weight, diameter, thickness, and color difference increased slightly from the initial state. The extent of the change in their hardness, disintegration time, and friability was different among products. These physicochemical changes were acceptable in dispensary practice. Storage after opening the packages did not affect their dissolution rate. The dissolution rate at the initial state of the current brand was slower than that of the previous one. All products used were able to be dispensed by an automatic tablet-packing machine and applied to the so-called simple suspension method for intubational administration. Sensory evaluation tests revealed no major difference in the oral disintegration time, taste, impression, and preference among products. In conclusion, the stability and usability of amlodipine OD tablets used in this study were examined using several methods, and they can be used equivalently from the stability and usability viewpoints.
口腔崩解片(OD片)在临床实践中被广泛应用。然而,关于其开封后稳定性以及在患者和药房中的可用性方面的用药信息并不充分。本研究的目的是探究氨氯地平口腔崩解片稳定性和可用性的可能评估方法。该品牌的辅料于2009年4月进行了变更,因此使用了变更前和变更后的剂型以及两种仿制药,即不同公司的现有产品和新上市产品(2009年11月上市)。口腔崩解片开封后在25℃、相对湿度75%的条件下储存3个月,并对其理化性质进行评估。其重量、直径、厚度和色差相较于初始状态略有增加。不同产品的硬度、崩解时间和脆碎度的变化程度有所不同。这些理化变化在药房实践中是可以接受的。开封后的储存对其溶出度没有影响。当前品牌初始状态下的溶出度比变更前的要慢。所有使用的产品都能够通过自动片剂包装机进行调配,并应用于所谓的简单混悬液插管给药方法。感官评价测试表明,各产品在口腔崩解时间、味道、印象和偏好方面没有显著差异。总之,本研究采用多种方法对氨氯地平口腔崩解片的稳定性和可用性进行了考察,从稳定性和可用性角度来看,它们可以等效使用。