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载药微乳型关节炎透皮凝胶的研制

Microemulsion-Based Topical Hydrogels of Tenoxicam for Treatment of Arthritis.

机构信息

University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, 160014, India.

出版信息

AAPS PharmSciTech. 2016 Jun;17(3):597-606. doi: 10.1208/s12249-015-0383-0. Epub 2015 Aug 19.

Abstract

Tenoxicam (TNX) is a non-steroidal anti-inflammatory drug (NSAID) used for the treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, backache and pain. However, prolonged oral use of this drug is associated with gastrointestinal adverse events like peptic ulceration, thus necessitating its development as topical formulation that could obviate the adverse effects and improve patient compliance. The present study was aimed at development of microemulsion-based formulations of TNX for topical delivery at the affected site. The pseudoternary phase diagrams were developed and microemulsion formulations were prepared using Captex 300/oleic acid as oil, Tween 80 as surfactant and n-butanol/ethanol as co-surfactant. Optimized microemulsions were characterized for drug content, droplet size, viscosity, pH and zeta potential. The ex vivo permeation studies through Laca mice skin were performed using Franz diffusion cell assembly, and the permeation profile of the microemulsion formulation was compared with aqueous suspension of drug and drug incorporated in conventional cream. Microemulsion formulations of TNX showed significantly higher (p < 0.001) mean cumulative percent permeation values in comparison to conventional cream and suspension of drug. In vivo anti-arthritic and anti-inflammatory activity of the developed TNX formulations was evaluated using various inflammatory models such as air pouch model, xylene-induced ear edema, cotton pellet granuloma and carrageenan-induced inflammation. Microemulsion formulations were found to be superior in controlling inflammation as compared to conventional topical dosage forms and showed efficacy equivalent to oral formulation. Results suggest that the developed microemulsion formulations may be used for effective topical delivery of TNX to treat various inflammatory conditions.

摘要

替诺昔康(TNX)是一种非甾体抗炎药(NSAID),用于治疗类风湿关节炎、骨关节炎、强直性脊柱炎、背痛和疼痛。然而,长期口服这种药物会引起胃肠道不良反应,如消化性溃疡,因此需要将其开发为局部制剂,以避免不良反应并提高患者的依从性。本研究旨在开发 TNX 的微乳制剂用于局部递送至受影响的部位。开发了伪三元相图,并使用 Captex 300/油酸作为油相、吐温 80 作为表面活性剂和正丁醇/乙醇作为助表面活性剂制备了微乳制剂。对优化的微乳制剂进行了药物含量、粒径、粘度、pH 值和zeta 电位的表征。通过 Franz 扩散池装置进行了 Laca 小鼠皮肤的体外渗透研究,并将微乳制剂的渗透曲线与药物的水混悬液和药物掺入常规乳膏中的渗透曲线进行了比较。与常规乳膏和药物混悬液相比,TNX 微乳制剂的药物累积渗透百分比显著更高(p<0.001)。采用气囊模型、二甲苯诱导的耳肿胀、棉绒肉芽肿和角叉菜胶诱导的炎症等各种炎症模型评价了所开发的 TNX 制剂的抗关节炎和抗炎活性。与常规局部剂型相比,微乳制剂在控制炎症方面表现出优越性,并且显示出与口服制剂相当的疗效。结果表明,所开发的微乳制剂可用于 TNX 的有效局部递送来治疗各种炎症性疾病。

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