Dempski R E, Scholtz E C, Oberholtzer E R, Yeh K C
Merck Sharp & Dohme Research Laboratories, West Point, PA 19486.
Neurology. 1989 Nov;39(11 Suppl 2):20-4.
Many different formulation techniques are available for designing controlled-release dosage forms. Five different erosion-controlled or diffusion-controlled delivery systems were evaluated to select the 1 most suitable for Sinemet CR. The system ultimately selected, containing carbidopa-levodopa 50-200 mg, is a monolithic matrix tablet designed to have both of its active components released by surface dissolution and erosion. This system was found to be the most effective following extensive in vitro testing, pharmacokinetic studies, and clinical trials. Sinemet CR releases both carbidopa and levodopa by a 1st-order release rate. Controlled-release dosage forms of levodopa with slower in vitro release rates have lower plasma levels.
有许多不同的制剂技术可用于设计控释剂型。评估了五种不同的溶蚀控制或扩散控制给药系统,以选择最适合息宁控释片(Sinemet CR)的一种。最终选定的系统含有50 - 200毫克卡比多巴-左旋多巴,是一种整体型骨架片,其两种活性成分均通过表面溶解和溶蚀释放。经过广泛的体外测试、药代动力学研究和临床试验,发现该系统最为有效。息宁控释片以一级释放速率释放卡比多巴和左旋多巴。体外释放速率较慢的左旋多巴控释剂型的血浆水平较低。