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坦索罗辛和度他雄胺微乳剂的研制用于良性前列腺增生症的治疗。

Development of microemulsion of tamsulosin and dutasteride for benign prostatic hyperplasia therapy.

机构信息

Graduate Program in Pharmaceutical Sciences, Department of Biochemistry and Pharmacology, Federal University of Piauí, Teresina, PI, Brazil.

School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.

出版信息

Colloids Surf B Biointerfaces. 2020 Jan 1;185:110573. doi: 10.1016/j.colsurfb.2019.110573. Epub 2019 Oct 13.

DOI:10.1016/j.colsurfb.2019.110573
PMID:31675643
Abstract

Benign prostatic hyperplasia (BPH) is a condition characterized by a benign enlargement of the prostate that interferes with the normal flow of urine. This disease is treated with the oral administration of combination therapy comprising α-blockers (tamsulosin) and 5α-reductase inhibitors (dutasteride). However, these compounds have low bioavailability. Thus, transdermal microemulsions aimed at promoting permeation and efficient targeted drug delivery through the skin are used. The objectives of this study were to obtain microemulsions of the combined doses of dutasteride and tamsulosin and evaluate their anti-hyperplastic activity in vivo. A phase diagram (4:1) was obtained for the choice of microemulsions. The microemulsions were characterized in terms of the droplet size, rheology, pH, conductivity, refractive index, in vitro release profile, and antihyperplastic effect in vivo. A method for the simultaneous quantification of drugs was developed using UV-vis spectroscopy. The microemulsions had an average size less than 116 nm, an acidic pH and low viscosity. The conductivity ranged from 6.18 to 185.2 μS/cm. The in vitro release profile was sustained for 6 h. Microemulsions promoted the reduction in the size of testosterone-dependent organs (prostate and seminal vesicles). Transdermal formulations for the treatment of BPH were obtained as a therapeutic alternative to conventional treatments.

摘要

良性前列腺增生症(BPH)是一种以前列腺良性增大干扰正常尿液流动为特征的疾病。该疾病采用包含α-阻滞剂(坦索罗辛)和 5α-还原酶抑制剂(度他雄胺)的口服联合疗法进行治疗。然而,这些化合物的生物利用度较低。因此,使用旨在通过皮肤促进渗透和有效靶向药物递送的透皮微乳剂。本研究的目的是获得度他雄胺和坦索罗辛联合剂量的微乳剂,并评估它们在体内的抗增生活性。选择微乳剂得到了相图(4:1)。从粒径、流变学、pH 值、电导率、折射率、体外释放曲线和体内抗增生作用等方面对微乳剂进行了表征。建立了一种使用紫外-可见光谱法同时定量测定药物的方法。微乳剂的平均粒径小于 116nm,呈酸性且低粘度。电导率范围为 6.18 至 185.2μS/cm。体外释放曲线持续 6 小时。微乳剂促进了依赖睾丸激素的器官(前列腺和精囊)的缩小。获得了用于治疗 BPH 的透皮制剂,作为对传统治疗的治疗选择。

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