Pharmaceutical Technology Department, Faculty of Pharmacy, University of Porto, Portugal.
J Pharm Pharmacol. 2011 Jun;63(6):780-5. doi: 10.1111/j.2042-7158.2011.01278.x. Epub 2011 Apr 28.
Patients with Parkinson's disease can benefit from controlled released levodopa dosage forms since there is a clear clinical advantage in obtaining sustained plasma concentrations. The purpose of this study was to obtain a tablet that prolonged the release of levodopa.
A novel bilayer tablet, consisting of an immediate release layer containing nebicapone (100 mg) and an erosion-matrix type prolonged release layer containing levodopa (100 mg) and carbidopa (25 mg) was developed (LCN PR). A pharmacokinetic study in Göttingen minipigs was performed to evaluate this formulation.
LCN PR tablets prolonged the in-vitro release of levodopa in HCl 0.1 m for more than 3 h. In-vivo plasma levodopa levels peaked at a later time point with LCN PR tablets as compared with that obtained with Sinemet 100/25 (2.7 vs 0.5 h). Nebicapone increased the maximum plasma concentration and area under the plasma concentration-time curve values for levodopa.
The results obtained suggested that LCN PR tablets may have decreased the number of tablets and daily intake in the treatment of patients with Parkinson's disease.
帕金森病患者可从控释左旋多巴剂型中获益,因为获得持续的血浆浓度具有明显的临床优势。本研究旨在获得一种可延长左旋多巴释放的片剂。
开发了一种新型双层片剂,由含有尼比卡朋(100mg)的即刻释放层和含有左旋多巴(100mg)和卡比多巴(25mg)的溶蚀基质型缓释层组成(LCN PR)。在哥廷根迷你猪中进行了药代动力学研究,以评估该制剂。
LCN PR 片剂可将盐酸 0.1m 中左旋多巴的体外释放时间延长至 3 小时以上。与 Sinemet 100/25 相比,LCN PR 片剂使左旋多巴的体内血浆水平达到峰值的时间点延迟(2.7 与 0.5 小时)。尼比卡朋增加了左旋多巴的最大血浆浓度和血浆浓度-时间曲线下面积。
研究结果表明,LCN PR 片剂可能减少了帕金森病患者的服药片数和日摄入量。