Vaziri A, Warburton B
School of Pharmacy, University of London, UK.
J Microencapsul. 1994 Nov-Dec;11(6):641-8. doi: 10.3109/02652049409051114.
The efficacy and safety of chloroquine as an antimalarial has contributed to the survival of millions in the past 50 years. Chloroquine is widely available, cheap, well tolerated and orally well absorbed. Therefore, it remains an important antimalarial drug. However, on oral administration, particularly to children, the unpleasant taste is a problem. This could be avoided by 'taste-masked and controlled release' formulations such as multiple emulsions. Although Plasmodium falciparum has developed resistance to many antimalarial drugs, including chloroquine, resistance may be attributed, among other factors, to subclinical dosage of chloroquine from administered pharmaceutical forms. This could also be relevant in the treatment of rheumatoid arthritis. Multiple W/O/W emulsions of chloroquine phosphate were prepared. Assessment of emulsion stability showed no significant change in the system. Prolonged storage (four months) of the emulsion resulted in negligible loss of chloroquine phosphate. The results suggest, therefore, that chloroquine phosphate releases due to diffusion of the drug from the internal globules and not as a consequence of instability of the W/O/W emulsion. These characteristics are in accordance with the requirements for controlled release pharmaceuticals. Stability of multiple emulsions could have resulted from interfacial polymerization or complexion between molecules. Release assessments showed faster rates for W/O/W emulsions which had smaller internal aqueous globules and, therefore, an increased interfacial area. Furthermore, transport of high-diffusion coefficient micelles could have given a greater solute flux in these systems.
在过去50年里,氯喹作为抗疟药的有效性和安全性使数百万人得以存活。氯喹广泛可得、价格低廉、耐受性良好且口服吸收良好。因此,它仍然是一种重要的抗疟药物。然而,口服时,尤其是给儿童服用时,其令人不悦的味道是个问题。这可以通过“掩味控释”制剂(如多重乳液)来避免。尽管恶性疟原虫已对包括氯喹在内的许多抗疟药物产生耐药性,但耐药性除其他因素外,可能归因于从给药剂型中给予的氯喹亚临床剂量。这在类风湿性关节炎的治疗中也可能相关。制备了磷酸氯喹的多重W/O/W乳液。乳液稳定性评估显示系统无显著变化。乳液长时间储存(四个月)导致磷酸氯喹的损失可忽略不计。因此,结果表明磷酸氯喹的释放是由于药物从内部小球体扩散,而非W/O/W乳液不稳定的结果。这些特性符合控释药物的要求。多重乳液的稳定性可能是由界面聚合或分子间络合导致的。释放评估表明,内部水相小球体较小、因此界面面积增加的W/O/W乳液释放速率更快。此外,高扩散系数胶束的传输可能在这些系统中产生更大的溶质通量。