Faculty of Pharmacy, University of Belgrade, Serbia.
J Pharm Sci. 2011 Dec;100(12):5174-84. doi: 10.1002/jps.22707. Epub 2011 Jul 24.
The ciprofloxacin-iron interaction, resulting in a lower bioavailability, is well documented in vivo; however, a mechanistic explanation supported by experimental data of this interaction is missing. In the present study, ciprofloxacin hydrochloride (HCl) and ferrous sulfate interaction was simulated in vitro by performing solubility and dissolution studies in the reactive media containing ferrous sulfate. Characterization of the precipitate formed indicated its probable chemical structure as Fe(SO(4) (2-) )(2) (Cl(-) )(2) (ciprofloxacin)(2) × (H(2) O)(n) , where n is up to 12 molecules of water. The solubility of this complex in water was estimated to be approximately 2 mg/mL, being about 20-fold lower than the solubility of ciprofloxacin HCl. The solubility of the complex was used as input parameter for an in silico modeling by GastroPlus™ and the resulting predicted plasma time curves were in good agreement with the in vivo data. These results strongly indicate that ciprofloxacin-iron interaction in vivo is caused by the formation of a low soluble complex. This interaction was also simulated by in vitro dissolution, in which a mini scale apparatus provided more biorelevant results than the standard dissolution apparatus, probably because the drug concentrations in the mini apparatus were higher and, thus, closer to the conditions encountered in vivo.
环丙沙星-铁相互作用会导致生物利用度降低,这在体内有充分的记载;然而,缺乏对此相互作用的实验数据支持的机制解释。在本研究中,通过在含有硫酸亚铁的反应性介质中进行溶解度和溶解研究,模拟了盐酸环丙沙星(HCl)和硫酸亚铁的相互作用。对形成的沉淀物的特性分析表明,其可能的化学结构为 Fe(SO₄)₂(Cl⁻)₂(ciprofloxacin)₂·(H₂O)n,其中 n 最多可达 12 个水分子。该络合物在水中的溶解度估计约为 2mg/mL,比盐酸环丙沙星的溶解度低约 20 倍。该络合物的溶解度被用作 GastroPlus™ 体内模拟的输入参数,所得预测的血浆时间曲线与体内数据吻合良好。这些结果强烈表明,体内的环丙沙星-铁相互作用是由于形成了低溶解度的络合物。该相互作用也通过体外溶解进行了模拟,其中微型设备提供了比标准溶解设备更具生物相关性的结果,这可能是因为微型设备中的药物浓度更高,因此更接近体内遇到的条件。