Department of Drug Delivery Research, Hoshi University, Ebara, Shinagawa-ku, Tokyo, Japan.
Drug Dev Ind Pharm. 2013 Sep;39(9):1414-20. doi: 10.3109/03639045.2012.704044. Epub 2012 Jul 10.
Although ritodrine (RD)-hydrochloride (HCl), named RD-HCl, is widely used in the treatment of premature labor by intravenous prolonged infusion or frequent oral dosing of tablets, those administrations often lower patients' quality of life (QOL) or cause undesirable side effects, such as tachycardia; therefore, in this study, the potential usefulness of buccal administration as a novel administration method was examined in vivo.
First, the HPLC method was assessed for the determination of plasma RD concentration. Then, after RD-HCl solution in saline was administered intravenously (1 mg/kg), intragastrically (10 mg/kg) or buccally (10 mg/kg) in rats, the plasma concentration-time profiles were investigated, and the absorption extent and rate compared.
The present modified determination method by HPLC with fluorescence detection (Ex. 278 nm, Em. 306 nm) was suitable to analyze the plasma level at 8-200 ng/mL. Buccal administration gave the best plasma concentration-time profile for maintenance of an effective plasma level and fewer side effects. Absorption rates calculated by deconvolution also supported better sustained absorption in buccal dosing.
Buccal application of RD-HCl was demonstrated to be a potentially useful dosing method in the treatment of premature labor with RD-HCl.
尽管利托君(RD)-盐酸盐(RD-HCl)通过静脉延长输注或频繁口服片剂已广泛用于治疗早产,但这些给药方式常常降低患者的生活质量(QOL)或引起不良副作用,如心动过速;因此,本研究在体内检查了颊部给药作为一种新的给药方法的潜在用途。
首先,评估了 HPLC 法测定血浆 RD 浓度。然后,在大鼠中静脉内(1mg/kg)、胃内(10mg/kg)或颊内(10mg/kg)给予 RD-HCl 生理盐水溶液后,研究了血浆浓度-时间曲线,并比较了吸收程度和速率。
本研究中用荧光检测(Ex. 278nm,Em. 306nm)改进的 HPLC 测定方法适用于分析 8-200ng/mL 血浆水平。颊部给药可提供维持有效血浆水平和较少副作用的最佳血浆浓度-时间曲线。反卷积法计算的吸收速率也支持颊部给药的更好持续吸收。
RD-HCl 的颊部应用被证明是治疗早产的一种有潜力的 RD-HCl 给药方法。