Takahashi Y, Furuya K, Iwata M, Onishi H, Machida Y, Shirotake S
Department of Pharmacy, Yokohama City University Hospital, Kanagawa, Japan.
Yakugaku Zasshi. 1997 Dec;117(12):1022-7. doi: 10.1248/yakushi1947.117.12_1022.
Sulfonylureas are widely used as oral hypoglycemic drugs in the treatment of non insulin dependent diabetes mellitus (NIDDM). Since sulfonylureas are usually taken for a long period, the compliance of the patients is very important. Therefore, for the improvement of the compliance of the patients, the development of a transdermal dosage form of sulfonylureas was attempted in this study. Glibenclamide (GLI) or chlorpropamide (CHL) was chosen as a principal agent and ointments were prepared by mixing 5% of GLI or CHL with a FAPG ointment base. Penetration and shearing stresses of the ointments were determined as physical characteristics of the ointments. There was no obvious difference of characteristics between the GLI ointment, or the CHL ointment and the FAPG ointment base. In drug release tests, the CHL ointment showed better release of the drug than the GLI ointment. In both ointments, comparatively rapid release of drug was observed in the initial 1 h, and continuous slow release was observed thereafter. When the ointments were applied on the back of male Wistar rats and the plasma glucose level was measured, both CHL and GLI ointments gave lower blood glucose levels than the control (FAPG base). At the all measuring points, the GLI ointment brought about significantly lower blood glucose levels than the control (p < 0.01). Thus, it was demonstrated that sulfonylureas were absorbed through the skin and lowered the blood glucose levels. The results suggest the possibility of transdermal administration of sulfonylureas for the treatment of NIDDM.
磺脲类药物作为口服降糖药广泛应用于非胰岛素依赖型糖尿病(NIDDM)的治疗。由于磺脲类药物通常需要长期服用,患者的依从性非常重要。因此,为了提高患者的依从性,本研究尝试开发磺脲类药物的透皮剂型。选择格列本脲(GLI)或氯磺丙脲(CHL)作为主要药物,并通过将5%的GLI或CHL与FAPG软膏基质混合制备软膏。测定软膏的渗透性和剪切应力作为软膏的物理特性。GLI软膏、CHL软膏与FAPG软膏基质之间的特性没有明显差异。在药物释放试验中,CHL软膏的药物释放效果优于GLI软膏。在两种软膏中,最初1小时观察到药物相对快速释放,此后观察到持续缓慢释放。当将软膏涂抹在雄性Wistar大鼠背部并测量血浆葡萄糖水平时,CHL软膏和GLI软膏的血糖水平均低于对照组(FAPG基质)。在所有测量点,GLI软膏的血糖水平均显著低于对照组(p < 0.01)。因此,证明磺脲类药物可通过皮肤吸收并降低血糖水平。结果表明磺脲类药物经皮给药治疗NIDDM具有可能性。