Department of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa, Hufof, Saudi Arabia.
Drug Deliv. 2013 Apr-May;20(3-4):120-6. doi: 10.3109/10717544.2013.779332. Epub 2013 May 8.
Lactic acidosis is a serious, metabolic complication that may occur due to metformin hydrochloride (MH) accumulation during the treatment of diabetes mellitus. The aim of this study is to enhance the bioavailability of MH by oral route. Span 40 and cholesterol were used for the preparation of MH-loaded niosomes by the reverse phase evaporation technique. Dicetyl phosphate (DCP) and 1,2-dioleoyl-3-trimethylammonium-propane chloride salt (DOTAP) were used to obtain negatively and positively charged vesicles, respectively. The mean particle size ranged from 223.5 to 384.6 nm and the MH-loaded niosomes' surface was negatively charged in the absence of charge inducing agents (-16.6 ± 1.4 mV) and also with DCP (-26.9 ± 1.0 mV), while it was positively charged (+8.7 ± 1.2 mV) with DOTAP. High entrapment efficiency was observed in all the formulations. MH-loaded niosomes were found to effectively sustain the release of drug, particularly with positively charged niosomes. The bioavailability of MH-loaded niosomes was assessed by measuring the serum values of glucose and metformin in the different studied Wistar rats groups. The pharmacokinetic data of MH-loaded niosomal preparation showed a significant prolongation and increased intensity of hypoglycemic effect more than that observed for free MH solution. Area above the blood glucose levels-time curve (AAC), maximum hypoglycemic response and time of maximum response (T(max)) were significantly higher (p < 0.001) when MH was administered in niosomal form compared to free drug solution. It could be concluded that MH-loaded niosome is promising extended-release preparation with better hypoglycemic efficiency.
乳酸酸中毒是一种严重的代谢并发症,可能由于糖尿病治疗期间盐酸二甲双胍(MH)的积累而发生。本研究旨在通过口服途径提高 MH 的生物利用度。Span 40 和胆固醇用于通过反相蒸发技术制备 MH 载药的非离子囊泡。二硬脂酸磷酸酯(DCP)和 1,2-二油酰基-3-三甲铵丙烷氯化物盐(DOTAP)分别用于获得带负电荷和带正电荷的囊泡。平均粒径范围为 223.5 至 384.6nm,在没有电荷诱导剂的情况下 MH 载药非离子囊泡的表面带负电荷(-16.6±1.4mV),并且与 DCP 一起带负电荷(-26.9±1.0mV),而与 DOTAP 一起带正电荷(+8.7±1.2mV)。所有制剂均表现出高包封效率。发现 MH 载药非离子囊泡能有效地维持药物的释放,特别是带正电荷的非离子囊泡。通过测量不同研究的 Wistar 大鼠组的血糖和二甲双胍血清值来评估 MH 载药非离子囊泡的生物利用度。MH 载药非离子囊泡制剂的药代动力学数据显示,与游离 MH 溶液相比,其降血糖作用的持续时间显著延长,强度增加。血糖水平-时间曲线下面积(AAC)、最大降血糖反应和最大反应时间(T(max))均显著升高(p<0.001),当 MH 以非离子囊泡形式给药时,与游离药物溶液相比。可以得出结论,MH 载药非离子囊泡是一种有前途的延长释放制剂,具有更好的降血糖效果。