Sirisha Pathuri Lakshmi, Babu Govada Kishore, Babu Puttagunta Srinivasa
Department of Pharmaceutics, Vignan Pharmacy College, Vadlamudi, Guntur, Andhra Pradesh, India.
Int J Pharm Investig. 2014 Apr;4(2):77-87. doi: 10.4103/2230-973X.133055.
Ambulatory blood pressure monitoring is regarded as the gold standard for hypertensive therapy in non-dipping hypertension patients. A novel compression coated formulation of captopril and hydrochlorothiazide (HCTZ) was developed in order to improve the efficacy of antihypertensive therapy considering the half-life of both drugs. The synergistic action using combination therapy can be effectively achieved by sustained release captopril (t1/2= 2.5 h) and fast releasing HCTZ (average t1/2= 9.5 h). The sustained release floating tablets of captopril were prepared by using 2(3) factorial design by employing three polymers i.e., ethyl cellulose (EC), carbopol and xanthan gum at two levels. The formulations (CF1-CF8) were optimized using analysis of variance for two response variables, buoyancy and T50%. Among the three polymers employed, the coefficients and P values for the response variable buoyancy and T50% using EC were found to be 3.824, 0.028 and 0.0196, 0.046 respectively. From the coefficients and P values for the two response variables, formulation CF2 was optimized, which contains EC polymer alone at a high level. The CF2 formulation was further compression coated with optimized gastric dispersible HCTZ layer (HF9). The compression coated tablet was further evaluated using drug release kinetics. The Q value of HCTZ layer is achieved within 20 min following first order release whereas the Q value of captopril was obtained at 6.5 h following Higuchi model, from which it is proved that rapid release HCTZ and slow release of captopril is achieved. The mechanism of drug release was analyzed using Peppas equation, which showed an n >0.90 confirming case II transportation mechanism for drug release.
动态血压监测被视为非勺型高血压患者高血压治疗的金标准。考虑到卡托普利和氢氯噻嗪(HCTZ)两种药物的半衰期,开发了一种新型的卡托普利和氢氯噻嗪复方压制包衣制剂,以提高抗高血压治疗的疗效。通过卡托普利缓释制剂(t1/2 = 2.5小时)和氢氯噻嗪速释制剂(平均t1/2 = 9.5小时)可有效实现联合治疗的协同作用。采用2(3)析因设计,使用乙基纤维素(EC)、卡波姆和黄原胶三种聚合物,在两个水平下制备了卡托普利缓释漂浮片。使用方差分析对浮力和T50%这两个响应变量进行优化,得到了制剂(CF1-CF8)。在所使用的三种聚合物中,发现使用EC时响应变量浮力和T50%的系数和P值分别为3.824、0.028和0.0196、0.046。根据两个响应变量的系数和P值,优化得到了CF2制剂,其仅含有高水平的EC聚合物。CF2制剂进一步用优化的胃内可分散HCTZ层(HF9)进行压制包衣。使用药物释放动力学对压制包衣片进行了进一步评估。氢氯噻嗪层的Q值在一级释放后20分钟内达到,而卡托普利的Q值在遵循Higuchi模型的6.5小时时获得,由此证明实现了氢氯噻嗪的快速释放和卡托普利的缓慢释放。使用Peppas方程分析了药物释放机制,结果显示n>0.90,证实了药物释放的II型转运机制。