College of Pharmacy and Division of Life and Pharmaceutical Sciences, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 120-750, Republic of Korea.
Int J Pharm. 2013 Nov 18;456(2):432-6. doi: 10.1016/j.ijpharm.2013.08.044. Epub 2013 Sep 2.
This study aims to investigate the feasibility of Levodopa transdermal delivery systems (TDSs). Levodopa TDSs were formulated using various vehicles and permeation enhancers, and in vitro permeation and in vivo pharmacokinetic studies were carried out. In the in vitro study, ester-type vehicles showed relatively high enhancing effects; propylene glycol monocaprylate and propylene glycol monolaurate showed the highest permeation fluxes from both solution and pressure sensitive adhesive (PSA) TDS formulations. Lag time was dramatically shortened with PSA TDS formulations as compared with solution formulations. In the in vivo study, the addition of fatty acids increased blood drug concentrations regardless of the kind or concentration of fatty acid; the AUCinf increased up to 8.7 times as compared with propylene glycol (PG) alone. PSA TDS containing 10% linoleic acid exhibited prolonged Tmax as compared with oral form. Total clearance of L-dopa from PSA TDSs was significantly lower than from oral form (up to 86.8 times). Especially, PSA TDS containing 10% linoleic acid (LOA) revealed 76.2 fold higher AUCinf than oral administration. Based on our results, the L-dopa PSA TDS containing PG with 10% LOA could be used as a good adjuvant therapy for Parkinson's disease patients who experience symptom fluctuation by L-dopa oral administration.
本研究旨在探讨左旋多巴经皮给药系统(TDS)的可行性。采用不同的载体和渗透促进剂制备左旋多巴 TDS,并进行了体外渗透和体内药代动力学研究。在体外研究中,酯类载体显示出相对较高的增强效果;丙二醇单辛酸酯和丙二醇单月桂酸酯显示出从溶液和压敏胶(PSA)TDS 制剂中最高的渗透通量。与溶液制剂相比,PSA TDS 制剂的滞后时间明显缩短。在体内研究中,添加脂肪酸可增加血液药物浓度,无论脂肪酸的种类或浓度如何;与单独使用丙二醇(PG)相比,AUCinf 增加了 8.7 倍。与口服制剂相比,含有 10%亚油酸的 PSA TDS 表现出延长的 Tmax。PSA TDS 中左旋多巴的总清除率明显低于口服制剂(高达 86.8 倍)。特别是,含有 10%亚油酸的 PSA TDS(LOA)的 AUCinf 比口服给药高 76.2 倍。基于我们的结果,含有 PG 和 10% LOA 的 PSA TDS 可作为经历口服左旋多巴引起的症状波动的帕金森病患者的良好辅助治疗方法。