Sabry Hiba Sabah, Al-Shohani Athmar Dhahir Habeeb, Mahmood Sura Zuhair
Department of Pharmaceutics, College of Pharmacy, Mustansiriyah University, Baghdad, Iraq.
J Pharm Bioallied Sci. 2021 Apr-Jun;13(2):205-211. doi: 10.4103/jpbs.JPBS_338_20. Epub 2021 May 26.
Drug delivery to ocular tissues is challenging due to rapid removal of instilled drug due to low resident time in ocular tissues. The aim of the study was to formulate an ophthalmic emulgel that delivers two drugs (betamethasone sodium phosphate [BSP] and levofloxacin). The new combination will allow the simultaneous administration and extended release of the two drugs which potentially improve resident time in ocular tissues, patient compliance, and adherence to treatment.
Formulations containing different gelling agents at different concentrations were prepared to choose the optimum combination regarding physical properties and release. The emulgel formulations F1, F2, F3, and F4 were made using gelling agent 1% and 2% xanthan gum, 1% carbopole 934, and 2% methyl cellulose, respectively. F5 was formulated using 2% methyl cellulose with double the amount of poloxamer 188 as emulsifying agent. All the formulations were examined regarding their physical appearance, pH, viscosity, drug content, and drug release. The optimum formula was also examined for antibacterial activity.
The results demonstrated that F5 was the optimum formulation having a proper physical characteristics and release profile of both drugs, 96% and 90% for BSP and levofloxacin, respectively, compared to other formulations and commercial eye drops.
Simultaneous and extended release of the two drugs was achieved using one formulation of emulgel. The ability to deliver hydrophilic and hydrophobic drug through the same formulation without the need to use two drops will improve patient compliance and hence patient adherence to treatment.
由于滴入眼内的药物在眼组织中的驻留时间短,会被迅速清除,因此将药物递送至眼组织具有挑战性。本研究的目的是制备一种能递送两种药物(倍他米松磷酸钠[BSP]和左氧氟沙星)的眼用乳化凝胶。这种新的组合将使两种药物能同时给药并实现缓释,这有可能延长药物在眼组织中的驻留时间,提高患者的依从性以及对治疗的坚持性。
制备含有不同浓度不同凝胶剂的制剂,以选择在物理性质和释放方面的最佳组合。乳化凝胶制剂F1、F2、F3和F4分别使用1%和2%的黄原胶、1%的卡波姆934和2%的甲基纤维素作为凝胶剂制成。F5使用2%的甲基纤维素并加入两倍量的泊洛沙姆188作为乳化剂来配制。对所有制剂的外观、pH值、粘度、药物含量和药物释放进行了检查。还对最佳配方的抗菌活性进行了检测。
结果表明,F5是最佳制剂,与其他制剂和市售眼药水相比,两种药物均具有合适的物理特性和释放曲线,BSP和左氧氟沙星的释放率分别为96%和90%。
使用一种乳化凝胶制剂实现了两种药物的同时缓释。通过同一制剂递送亲水和疏水药物而无需使用两滴眼药水的能力将提高患者的依从性,从而提高患者对治疗的坚持性。