College of Pharmacy, Univ. Lille Nord de France, 3 Rue du Prof. Laguesse, 59006 Lille, France.
J Control Release. 2013 Jul 10;169(1-2):1-9. doi: 10.1016/j.jconrel.2013.04.001. Epub 2013 Apr 6.
The sensitivity of controlled release dosage forms to the presence of ethanol in the gastro intestinal tract is critical, if the incorporated drug is potent and exhibits severe side effects. This is for instance the case for most opioid drugs. The co-ingestion of alcoholic beverages can lead to dose dumping and potentially fatal consequences. For these reasons the marketing of hydromorphone HCl extended release capsules (Palladone) was suspended. The aim of this study was to develop a novel type of controlled release film coatings, which are ethanol-resistant: even the presence of high ethanol concentrations in the surrounding bulk fluid (e.g., up to 40%) should not affect the resulting drug release kinetics. Interestingly, blends of ethylcellulose and medium or high viscosity guar gums provide such ethanol resistance. Theophylline release from pellets coated with the aqueous ethylcellulose dispersion Aquacoat® ECD 30 containing 10 or 15% medium and high viscosity guar gum was virtually unaffected by the addition of 40% ethanol to the release medium. Furthermore, drug release was shown to be long term stable from this type of dosage forms under ambient and stress conditions (without packaging material), upon appropriate curing.
如果所包含的药物有效且具有严重的副作用,那么控释剂型对胃肠道中乙醇存在的敏感性是至关重要的。例如,大多数阿片类药物就是这种情况。同时摄入酒精饮料可能导致剂量突然释放,并可能产生致命后果。出于这些原因,氢吗啡酮盐酸盐缓释胶囊(Palladone)已停止上市。本研究的目的是开发一种新型的抗乙醇控释薄膜包衣,即使周围主体流体中存在高浓度乙醇(例如高达 40%),也不应影响最终的药物释放动力学。有趣的是,乙基纤维素和中或高粘度瓜尔胶的混合物具有这种抗乙醇性。在含有 10%或 15%中或高粘度瓜尔胶的水性乙基纤维素分散体 Aquacoat® ECD 30 包衣的丸剂中,即使向释放介质中添加 40%乙醇,茶碱的释放也几乎不受影响。此外,在适当固化后,这种类型的剂型在环境和压力条件(无包装材料)下的药物释放显示出长期稳定性。