Faculty of Pharmaceutical Sciences, Tokyo University of Science, 2641 Yamazaki, Noda, Chiba 278-8510, Japan.
Mol Pharm. 2023 Oct 2;20(10):5032-5042. doi: 10.1021/acs.molpharmaceut.3c00291. Epub 2023 Sep 9.
One of the solubilization of poorly water-soluble drugs is the use of cyclodextrin (CD)-based inclusion complexes. On the other hand, few studies have investigated how CD functions on the solubility of drugs in the presence of multiple drugs that interact with each other. In this study, we used indomethacin (IND) and diclofenac (DIC) as acidic drugs, famotidine (FAM) and cimetidine (CIM) as basic drugs, and imidazole (IMZ), histidine (HIS), and arginine (ARG) as compounds structurally similar to basic drugs. We attempted to clarify the effect of β-CD on the solubility change of each drug in the presence of multiple drugs. IND and DIC formed a eutectic mixture in the presence of CIM, IMZ, and ARG, which greatly increased the intrinsic solubility of the drugs as well as their affinity for β-CD. Furthermore, the addition of high concentrations of β-CD to the DIC-FAM combination, which causes a decrease in solubility due to the interaction, improved the solubility of FAM, which was decreased in the presence of DIC. These results indicate that β-CD synergistically improves the solubility of drugs in drug-drug combinations, where the solubility is improved, whereas it effectively improves the dissolution rate of drugs in situations where the solubility is reduced by drug-drug interactions, such as FAM-DIC. This indicates that β-CD can be used to improve the physicochemical properties of drugs, even when they are administered in combination with drugs that interact with each other.
将难溶性药物增溶的方法之一是使用环糊精(CD)包合复合物。另一方面,很少有研究探讨在存在相互作用的多种药物的情况下,CD 如何影响药物的溶解度。在这项研究中,我们使用吲哚美辛(IND)和双氯芬酸(DIC)作为酸性药物,法莫替丁(FAM)和西咪替丁(CIM)作为碱性药物,以及咪唑(IMZ)、组氨酸(HIS)和精氨酸(ARG)作为与碱性药物结构相似的化合物。我们试图阐明β-CD 对多种药物存在时每种药物溶解度变化的影响。在 CIM、IMZ 和 ARG 的存在下,IND 和 DIC 形成共晶混合物,这极大地增加了药物的内在溶解度及其与β-CD 的亲和力。此外,向 DIC-FAM 组合中添加高浓度的β-CD,会由于相互作用导致溶解度降低,从而提高 FAM 的溶解度,而在 DIC 存在下 FAM 的溶解度会降低。这些结果表明,β-CD 协同提高了药物在药物组合中的溶解度,在这种情况下,溶解度会提高,而在药物相互作用导致溶解度降低的情况下,如 FAM-DIC,它可以有效地提高药物的溶解速率。这表明β-CD 可用于改善药物的物理化学性质,即使在与相互作用的药物联合使用时也是如此。