Terebetski Jenna L, Cummings John J, Fauty Scott E, Michniak-Kohn Bozena
Pharmaceutics, Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA.
AAPS PharmSciTech. 2014 Oct;15(5):1334-44. doi: 10.1208/s12249-014-0163-2. Epub 2014 Jun 12.
To maximize the pharmacological effect of a pain reliever such as ibuprofen, early onset of action is critical. Unfortunately, the acidic nature of ibuprofen minimizes the amount of drug that can be solubilized under gastric conditions and would be available for immediate absorption upon entry into the intestine. Although the sodium salt of ibuprofen has higher solubility, rapid conversion from the salt to the poorly soluble free acid phase occurs under gastric conditions. Therefore, the combination of the highly soluble sodium salt form of ibuprofen with polymers was evaluated as an approach to prolong supersaturation of ibuprofen during the disproportionation of the salt. Binary combinations of ibuprofen sodium with polymers resulted in the identification of several formulations that demonstrated high degrees and extended durations of supersaturation during in vitro dissolution experiments. These formulations included HPMC, polyvinyl pyrrolidone-vinyl acetate copolymer (PVP-VA64), methylcellulose (MC), and hydroxypropyl cellulose (HPC). The in vitro supersaturation observed with these ibuprofen-polymer formulations translated to an increase in Cmax and an earlier Tmax for the PVP-VA64, MC, and HPC formulations relative to ibuprofen only controls when administered orally to rats under fasted conditions. Based on these observations, combining ibuprofen sodium with polymers such as PVP-VA64, MC, or HPC is a viable formulation approach to prolong supersaturation in the stomach and enable an optimized pharmacokinetic profile in vivo where rapid onset of action is desired.
为了使布洛芬等止痛药物的药理作用最大化,药物的早期起效至关重要。遗憾的是,布洛芬的酸性性质使得在胃部条件下可溶解的药物量减少,而这些药物进入肠道后才能立即被吸收。尽管布洛芬钠盐具有较高的溶解度,但在胃部条件下,盐会迅速转化为难溶性的游离酸形式。因此,研究了将高溶解性的布洛芬钠盐与聚合物结合的方法,以在盐的歧化过程中延长布洛芬的过饱和状态。布洛芬钠与聚合物的二元组合在体外溶出实验中鉴定出了几种制剂,这些制剂表现出高度且持续时间延长的过饱和状态。这些制剂包括羟丙基甲基纤维素(HPMC)、聚维酮-醋酸乙烯酯共聚物(PVP-VA64)、甲基纤维素(MC)和羟丙基纤维素(HPC)。当在禁食条件下对大鼠口服给药时,相对于仅使用布洛芬的对照组,这些布洛芬-聚合物制剂在体外观察到的过饱和状态转化为PVP-VA64、MC和HPC制剂的Cmax增加和Tmax提前。基于这些观察结果,将布洛芬钠与PVP-VA64、MC或HPC等聚合物结合是一种可行的制剂方法,可延长胃部的过饱和状态,并在需要快速起效的体内实现优化的药代动力学特征。