Ntemi P V, Walker R B, Khamanga S M M
Pharmazie. 2019 Dec 1;74(12):721-727. doi: 10.1691/ph.2019.8116.
Clarithromycin (CLA) is an extremely bitter macrolide antibiotic used to treat paediatric and adult infections. The bitter taste affects patient adherence and may compromise therapy. This research developed a taste masked CLA resinate using Indion® 234, a weak acidic cation exchange resin. The factors affecting formation of the CLA-resin complex were assessed. Design of experiments was used to optimize response while evaluating input variables such as temperature, CLA-resin ratio,stirring time and pH. CLA loading efficiency was determined spectrophotometrically and CLA release using USP Apparatus II. Differential Scanning Calorimetry (DSC), Scanning Electron Microscop (SEM), Fourier Transform Infrared (FT-IR) Spectroscopy and X-ray Diffraction (XRD) were used to confirm complex formation. A spectrophotometric method was used to assess taste evaluation. The optimum CLA-resin ratio, temperature, and stirring time were 1:4, 80 °C, 3 hours, respectively, at pH 8. Characterization techniques revealed that CLA was crystalline and the complex amorphous in nature. FT-IR spectra of resinate revealed the absence of resonance due to the tertiary amine functional group that is responsible for the bitter taste of CLA. CLA was stable in simulated salivary fluid and was released within 3 hours in gastric fluid. All CLAresin batches revealed complete taste masking. Taste analysis highlighted the improvement of taste masking properties of the resinate as the CLA to resin ratio, increased.
克拉霉素(CLA)是一种极苦的大环内酯类抗生素,用于治疗儿科和成人感染。苦味会影响患者的依从性,可能会影响治疗效果。本研究使用弱酸性阳离子交换树脂Indion® 234开发了一种掩味克拉霉素树脂酸盐。评估了影响CLA-树脂复合物形成的因素。实验设计用于优化响应,同时评估温度、CLA-树脂比例、搅拌时间和pH值等输入变量。采用分光光度法测定CLA负载效率,并使用美国药典装置II测定CLA释放情况。差示扫描量热法(DSC)、扫描电子显微镜(SEM)、傅里叶变换红外(FT-IR)光谱和X射线衍射(XRD)用于确认复合物的形成。采用分光光度法进行味觉评价。在pH值为8时,CLA与树脂的最佳比例、温度和搅拌时间分别为1:4、80°C和3小时。表征技术表明,CLA为晶体,而复合物本质上为无定形。树脂酸盐的FT-IR光谱显示,由于负责CLA苦味的叔胺官能团不存在共振。CLA在模拟唾液中稳定,在胃液中3小时内释放。所有CLA-树脂批次均显示出完全掩味效果。味觉分析突出了随着CLA与树脂比例的增加,树脂酸盐掩味性能的改善。