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3. Literature Review
3. Literature Review
Akshay R. Koli 60
Contents
3.1 Review of work done on microemulsion and self- microemulsifying drug
delivery system.......................................................................................... 62
3.1.1 Review of work done on Oral microemulsion ..................................... 62
3.1.2 Review of work done on Self Microemulsifying drug delivery systems 68
3.1.2.1 Review of work done on Solid Self Microemulsifying Drug Delivery
System………………………………………………………………………………………….…………….73
3.2 Review of work done on drugs used in the study....................................... 76
3.2.1 Felodipine ........................................................................................... 76
3.2.2 Valsartan ............................................................................................ 79
3.3 Review of work done on excipients used in the study ............................... 84
3.3.1 Capmul MCM...................................................................................... 84
3.3.2 Polysorbate 20 and Polysorbate 80 .................................................... 87
3.3.3 Polyethylene Glycol 400 ..................................................................... 90
3.4 References................................................................................................. 93
3. Literature Review
Akshay R. Koli 61
List of Tables
Table 3.1: Bioavailability enhancement of some drugs using microemulsion /
SMEDDS technique ............................................................................. 67
Table 3.2: Marketed Lipid- based and Surfactant-based Drug Formulation ......... 92
3. Literature Review
Akshay R. Koli 62
3.1 Review of work done on microemulsion and self-
microemulsifying drug delivery system
3.1.1 Review of work done on Oral microemulsion
Solanki SS et al. (2012) enhanced the dissolution rate and bioavailability of Ampelopsin,
one of the most common flavonoids by developing microemulsion. Capmul MCM-based
ME formulation with Cremophor EL as surfactant and Transcutol as cosurfactant was
developed for oral delivery of ampelopsin. The optimised microemulsion formulation
containing ampelopsin, Capmul MCM (5.5%), Cremophor EL (25%), Transcutol P
(8.5%), and distilled water showed higher in vitro drug release, as compared to plain drug
suspension and the suspension of commercially available tablet. These results
demonstrate the potential use of ME for improving the bioavailability of poor water
soluble compounds, such as ampelopsin[1]
.
Gundogdu E et al. (2012) formulated imatinib (IM) loaded to oral water-in-oil (w/o)
microemulsions as an alternative formulation for cancer therapy and evaluated the
cytotoxic effect of microemulsions Caco-2 and MCF-7. Moreover, permeability studies
were also performed with Caco-2 cells. According to cytotoxicity studies, all
formulations did not exert a cytotoxic effect on Caco-2 cells. The permeability studies of
IM across Caco-2 cells showed that permeability value from apical to basolateral was
higher than permeability value of other formulations. In conclusion, the microemulsion
formulations as a drug carrier, especially M3IM formulation, may be used as an effective
alternative breast cancer therapy for oral delivery of IM[2]
.
Du H et al. (2012) reform the dosage forms of andrographolide to improve its aqueous
solubility and oral bioavailability. An formulation of O/W microemulsion consisting of
an oil phase of isopropyl myristate, a surfactant phase of Tween 80, a co-surfactant of
alcohol, and water was found to be ideal, with mean droplet size of 15.9 nm, a high
capacity of solubilisation for andrographolide. Such an andrographolide-loaded
microemulsion was stable by monitoring the time, temperature and gravity-dependent
change, and had a much better anti-inflammatory effect and a higher biological
availability than andrographolide tablets[3]
.
3. Literature Review
Akshay R. Koli 63
Park JH et al. (2011) investigated the effects of silymarin, on oral bioavailability of
paclitaxel in rats, and to compare pharmacokinetic parameters of paclitaxel between a
commercial formulation of paclitaxel and a paclitaxel microemulsion. Oral bioavailability
of paclitaxel in a Taxol® formulation was enhanced in the combination with silymarin. In
particular, the mean maximum plasma concentration and the mean area under the plasma
concentration-time curve of paclitaxel in the formulation were significantly increased 3-
fold and 5-fold compared with control, respectively, following oral co-administration
with 10mg/kg of silymarin (p<0.01). When the paclitaxel microemulsion was co-
administered with silymarin orally, it caused a maximum increase in the absolute
bioavailability of paclitaxel [4]
.
Thakkar H et al. (2011) developed microemulsion and Self-Microemulsifying Drug
Delivery System (SMEDDS) formulations of Raloxifene. The results indicated that high
drug loading, optimum size and desired zeta potential and transparency could be achieved
with both SMEDDS and microemulsion. The in vitro intestinal permeability results
showed that the permeation of the drug from the microemulsion and SMEDDs was
significantly higher than that obtained from the drug dispersion and marketed
formulation[5]
.
Nagariya K et al. (2010) prepared oral microemulsion of Isotretinoin for improvement
of bioavailability. A captex-355-based microemulsion formulation with cremophor EL as
surfactant and ethanol as co-surfactant was developed for oral delivery of isotretinoin.
The in vitro diffusion study revealed an increase of bioavailability (38.56 times) after in
vitro drug diffusion analysis of the microemulsion formulation as compared with the
commercially available soft gelatin capsules[6, 7]
Patel V et al. (2010) developed microemulsion for solubility enhancement of
Clopidogrel. Solubility of Clopidogrel was successfully enhanced by 80.66 times, via
capmul microemulsion, compared with distilled water[8]
.
Mandal S et al. (2010) formulated Carbamazepine mucoadhesive microemulsion.
Carbamazepine microemulsion (CME) was prepared using labrafil M 1944 CS as oil,
accenon CC as surfactant and transcutol P as co-surfactant by water titration method.
3. Literature Review
Akshay R. Koli 64
Mucoadhesive microemulsion containing Carbamazepine (CMME) was prepared using
carbopol 934. Results from 8 hrs ex-vivo release study revealed that CME and CMME
showed 29% and 17.6% higher drug release than that of plain drug solution of
Carbamazepine (PDSC)[9]
.
Piao HM et al. (2010) developed a microemulsion of Fexofenadine for intranasal
delivery. Nasal absorption of Fexofenadine from these microemulsions was found to be
fairly rapid. Tmax was observed within 5 min after intranasal administration at 1.0 mg/kg
dose, and the absolute bioavailability (0–4 h) was about 68% compared to the intravenous
administration in rats[10]
.
Chaudhari SP et al. (2010) formulated and evaluated thermoreversible mucoadhesive
microemulsion based in-situ gel (TMMIG) of an anti-osteoporotic agent, Raloxifene
(RLX). On the basis of results obtained TMMIG lead to increased in bioavailability of
RLX when tested in suitable in vivo model[11]
.
Yin YM et al (2009) prepared a microemulsion system of docetaxel and evaluated for its
solubilization capacity and oral bioavailability improvement. Based on a solubility study
and pseudo ternary phase diagrams, microemulsions of about 30 nm in mean diameter
were formulated with improved solubilization capacity towards the hydrophobic drug,
docetaxel. Both the ultrafiltration and dialysis studies revealed that the release of 80% of
docetaxel from the microemulsions within 12 h in vitro. Compared to the commercial
product Taxotere, the apical to basolateral transport of docetaxel across the Caco-2 cell
monolayer from the Microemulsion formulation was significantly improved. Moreover,
the oral bioavailability of the M-3 formulation in rats (34.42%) rose dramatically
compared to that of the orally administered Taxotere (6.63%)[12]
.
Mandal S et al. (2009) prepared microemulsion of Saquinavir for oral bioavailability
enhancement. In vivo oral absorption of Saquinavir from the microemulsion containing
labrafac CM10 (4.0%), tween 80 (36.0%), polyethylene glycol 400 (9.0%) and distilled
water (51%) was investigated in rats. The in vitro intraduodenal diffusion and in vivo
study revealed an increase of bioavailability (10.68 times) after oral administration of the
microemulsion formulation as compared with the commercially available tablets[13]
.
3. Literature Review
Akshay R. Koli 65
Nornoo AO et al. (2009) developed cremophor-free oral microemulsions of paclitaxel
(PAC) to enhance its permeability and oral absorption. Oral microemulsions of PAC
were developed that increased both the permeability and AUC of PAC as compared to
Control[14]
.
Karamustafa et al. (2008) prepared oral microemulsion formulation for Alendronate.
The release of Alendronate from the microemulsion formulation was examined by
dialysis method and found to be 97.2% at the end of 7 h. None of the parameters except
refractive index changed significantly during the determined periods. This study
succeeded in preparing a stable microemulsion formulation of Alendronate[15]
.
Date A et al. (2008) has investigated and evaluated the potential of the microemulsions
to improve the parenteral delivery of propofol. The propofol microemulsions were
evaluated for globule size, Physical and chemical stability, osmolarity, in vitro hemolytic,
pain caused by injection using rat paw-lick test and in vivo anesthetic activity. The
microemulsions exhibited globule size less than 25 nm and demonstrated good physical
and chemical stability. Rat paw-lick test indicated that propofol microemulsions were
significantly less painful as compared to the marketed propofol formulation[16]
.
Kantarci G et al. (2007) prepared and compared different W/O microemulsions
containing Diclofenac sodium. The in vitro release rate of diclofenac sodium (DS) from
microemulsion (M) vehicles containing soybean oil, nonionic surfactants (Brij 58 and
Span 80), and different alcohols (ethanol [E], isopropyl alcohol [I], and propanol [P]) as
co-surfactant. According to the release rate of DS, M prepared with P showed the
significantly highest flux value (0.059±0.018 mg/cm2/h) among all formulations (P< 0
.05). A skin irritation study was performed with microemulsions on human volunteers,
and no visible reaction was observed with any of the formulations. In conclusion, M
prepared with P may be a more appropriate formulation than the other 2 formulations
studied as drug carrier for topical application[17]
.
Ghosh PK et al. (2006) developed microemulsion system of Acyclovir for improvement
of oral bioavailability. A labrafac-based microemulsion formulation with labrasol as
surfactant and plurol oleique as co-surfactant was developed for oral delivery of
3. Literature Review
Akshay R. Koli 66
Acyclovir. With the increase of labrasol concentration, the microemulsion region area
and the amount of water and labrafac solubilized into the microemulsion system
increased; however, the increase of plurol oleique percentage produced opposite effects.
Acyclovir, a poorly soluble drug, displayed high solubility in a microemulsion
formulation using labrafac (10%), labrasol (32%), plurol oleique (8%), and water (50%).
The in vitro intraduodenal diffusion and in vivo study revealed an increase of
bioavailability (12.78 times) after oral administration of the microemulsion formulation
as compared with the commercially available tablets[18]
.
Zhang Q et al. (2004) developed Nimodipine-loaded microemulsion for intranasal
delivery. The optimal microemulsion formulation consisted of 8% labrafil M 1944CS,
30% cremophor RH 40/ethanol (3:1) and water, with a maximum solubility of NM up to
6.4 mg/ml, droplet size of 30.3 ± 5.3 nm, and no ciliotoxicity. After a single intranasal
administration of this preparation at a dose of 2 mg/kg, the plasma concentration peaked
at 1 h and the absolute bioavailability was about 32%. The uptake of NM in the olfactory
bulb from the nasal route was three folds, compared with intravenous (i.v.) injection. The
ratios of AUC in brain tissues and cerebrospinal fluid to that in plasma obtained after
nasal administration were significantly higher than those after i.v. administration[19]
.
Kang BK et al. (2004) prepared SMEDDS for oral bioavailability enhancement of a
poorly water soluble drug, Simvastatin. The release rate of Simvastatin from SMEDDS
was significantly higher than the conventional tablet. Bioavailability was 1.5-fold higher
compared to that of the conventional tablet[20]
.
Gao ZG et al. (1998) investigated microemulsion system for oral delivery of
Cyclosporin A with improvement of solubility and bioavailability. Microemulsions with
varying weight ratios of surfactant to co-surfactant were prepared using captex 355 as an
oil, cremophor EL as a surfactant, transcutol as a co-surfactant and saline. The solubility
of Cyclosporin A in microemulsion systems reached the maximum with 2:1 mixture of
cremophor EL and trancutol. The maximal blood concentration (Cmax) of Cyclosporin A
and the area under the drug concentration-time curve (AUC) after oral administration of
this Cyclosporin A loaded microemulsion was 3.5 and 3.3 fold increased compared with
3. Literature Review
Akshay R. Koli 67
Sandimmun. The absolute bioavailability of Cyclosporin A loaded in this microemulsion
system was increased about 3.3 and 1.25 fold compared with Sandimmun and
Sandimmun Neoral. The enhanced bioavailability of Cyclosporin A loaded in this
microemulsion system might be due to the reduced droplet size of microemulsion
systems[21]
.
Table 3.1: Bioavailability enhancement of some drugs using microemulsion /
SMEDDS technique[22]
Sr.
No
Drug Category System
1 Paclitaxel Anticancer Microemulsion
SMEDDS
2 Fenofibrate
Antihyperlipidemic
SMEDDS
3 Cholesterol ester transfer protein
inhibitor
SMEDDS
4 Atorvastatin, Fluvastatin SMEDDS
5 Rapamycin Immunosuppresive SMEDDS
6 Cyclosporine SMEDDS
7 Nifedipine Antihypertensive Microemulsion
8 Indomethacin Analgesic SMEDDS
9 Ibuprofen SMEDDS
10 Tipranavir Anti HIV Microemulsion
11 Progesterone, testosterone Hormones SMEDDS
12 Vit A, D, E, K Nutrition
supplement
Microemulsion
13 Acyclovir Antiviral Microemulsion
14 Melatonin Immunomodulator Microemulsion
3. Literature Review
Akshay R. Koli 68
3.1.2 Review of work done on Self Microemulsifying drug
delivery systems
Mezghrani O et al. (2011) designed an optimized self micro-emulsifying drug delivery
system (SMEDDS) to enhance the bioavailability of the poor water soluble drug, astilbin.
Pseudoternary phase diagrams were used to select the components and their ranges by
evaluating the micro-emulsification area. In vitro drug release profile study was
performed using the reverse dialysis method where 95% of the drug was released after 4
h. The developed astilbin SMEDDS was subjected to bioavailability studies in beagle
dogs by LC-MS and showed a significant enhancement of bioavailability, indicating the
possibility of using SMEDDS as possible drug carrier for astilbin[23]
.
Cui J et al. (2009) prepared a self-microemulsifying drug delivery system to improve the
solubility and oral absorption of curcumin. Suitable compositions of SMEDDS
formulation were screened via solubility studies of curcumin and compatibility tests. The
optimal formulation of SMEDDS was comprised of 57.5% surfactant, 30.0% co-
surfactant and 12.5% oil (ethyl oleate). The solubility of curcumin (21 mg/g) significantly
increased in SMEDDS. The average particle size of SMEDDS-containing curcumin was
about 21 nm when diluted in water. No significant variations in particle size and
curcumin content in SMEDDS were observed over a period of 3 months at 4 degrees C.
The results of oral absorption experiment in mice showed that SMEDDS could
significantly increase the oral absorption of curcumin compared with its suspension[24]
.
Lee et al. (2009) Daewoong pharmaceuticals CO., Ltd. disclosed in WO Patent
WO/2009/022 the SMEDDS composition containing coenzyme Q 10 and method for
preparing the same. They claimed improvement in solubility and bioavalability using
polyglucerine fatty acid ester as surfactants and polyethylene-sorbitan fatty acid ester as
cosurfactant[25]
.
Ofokansi KC et al. (2009) used Peanut oil and Tween 80 blends devoid of any
cosurfactant and employed in the formulation of different batches of liquid SMEDDS and
their suitability as vehicles for the delivery of a typical lipophilic drug griseofulvin was
investigated. The release profile of griseofulvin from the optimized SMEDDS was
3. Literature Review
Akshay R. Koli 69
evaluated in citrate/phosphate buffer solutions of pH 2.0, pH 6.5, and pH 7.4. The release
of griseofulvin from the SMEDDS into aqueous media of pH 6.5 and pH 7.4 showed
enhanced and controlled dissolution of the drug from the formulation. Incorporation of
griseofulvin into this proposed formulation is suggested as a strategy to overcome the
irregular dissolution and absorption behaviors often associated with conventional
griseofulvin tablets[26]
.
Mandawgadea SD et al. (2008) has investigated SMEDDS of β-Artemether (BAM)
using a novel, indigenous natural lipophile (N-LCT) as an oily phase. SMEDDS based on
N-LCT and commercially available modified oil (capryol90) was formulated.
Comparative in vivo anti-malarial performance of the developed SMEDDS was evaluated
against the (Larither) in Swiss male mice infected with lethal ANKA strain of
Plasmodium berghei. Both the BAM–SMEDDS showed excellent self-
microemulsification efficiency and released >98% of the drug in just 15 min whereas
Larither showed only 46% drug release at the end of 1h. The anti-malarial studies
revealed that BAM–SMEDDS resulted in significant improvement in the anti-malarial
activity (P <0.05) as compared to that of (Larither) and BAM solubilized in the oily
phases and surfactant[27]
.
Zang Yao et al. (2008) has prepared nobiletin SMEDDS and investigate its intestinal
transport behavior using the single-pass intestinal perfusion (SPIP) method in rat. SPIP
was performed in each isolated region of the small intestine over three concentrations of
nobiletin and the effective permeability coefficients in rats were calculated. The intestinal
permeability of nobiletin in SMEDDS, sub-microemulsions and micelles was compared.
The Peff in jejunum at 15 µg/ml was significantly higher than that at 60 µg/mL (p< 0.01).
The estimated human absorption of nobiletin for the SMEDDS dilutions was higher than
that for sub-microemulsions (p<0.01) and similar to that of the micelles (p>0.05)[28]
.
Zhang P et al. (2008) developed SMEDDS of ordonin to enhance its oral bioavailability.
The influence of the oil, surfactant and co-surfactant types on the drug solubility and their
ratios on forming efficient and stable SMEDDS were investigated in detail. The
SMEDDS were characterized by morphological observation, droplet size and zeta-
3. Literature Review
Akshay R. Koli 70
potential determination, cloud point measurement and in vitro release study. In vitro
release test showed a complete release of Oridonin from SMEDDS in an approximately
12h. The absorption of Oridonin from SMEDDS showed a 2.2-fold increase in relative
bioavailability compared with that of the suspension[29]
.
Patel AR et al. (2007) formulated a SMEDDS of Fenofibrate and evaluated in-vitro and
in- vivo potential. SMEDDS formulations were tested for microemulsifying properties,
and the resultant microemulsions were evaluated for clarity, precipitation, and particle
size distribution. The optimized SMEDDS formulation showed complete release in 15
minutes as compared with the plain drug, which showed a limited dissolution rate. The
SMEDDS formulation significantly reduced serum lipid levels in phases I and II of the
triton test, as compared with plain Fenofibrate[30]
.
Liu L et al. (2007) formulated SMEDDS in order to enhance the solubility, release rate,
and oral absorption of the poorly soluble drug, Silymarine. In vitro release was
investigated using a bulk-equilibrium reverse dialysis bag method. Differences in the
release medium significantly influenced the drug release from SMEDDS and the release
profiles of Silymarine from SMEDDS was higher than that for commercial capsules, and
significantly higher than that for commercial tablets. The optimal formulation of
SMEDDS is an alternative oral dosage form for improving the oral absorption of
Silymarine[31]
.
Lanlan Wei et al. (2005) developed a new self-emulsifying drug delivery system and
SMEDDS of carvedilol to increase the solubility, dissolution rate, and ultimately, oral
bioavailability. The in vitro dissolution rate of carvedilol from SEDDS and SMEDDS
was more than two-fold faster compared with that from tablets. The developed SEDDS
formulations significantly improved the oral bioavailability of carvedilol significantly,
and the relative oral bioavailability of SEDDS compared with commercially available
tablets was 413%[32]
.
Lin J (2005) in US20060275358 demonstrated increase in solubility and dissolution of
poorly soluble active compounds like co-enzyme Q10 by SMEDDS comprising a
3. Literature Review
Akshay R. Koli 71
combination of a pair of hydrophilic and lipophilic surfactant. The formulations exhibited
excellent storage stability[33]
.
Peracchia M et al. (2005) in EP1498143 prepared Self microemulsifying formulation for
oral administration of taxoids using cremophor EL as surfactant, and at least one oil and
co-surfactant[34]
.
Benameur et al.(2004) in US20036652865 have found that the incorporation of an
active agent, particularly statins, into a self-microemulsifying system made it possible to
reduce the first intestinal passage effect, and thus improve the systemic bioavailability of
the active molecule[35]
.
Ghosal SK et al. (2004) developed SMEDDS to improve the solubility and
bioavailability and to get faster onset of action of celecoxib. Composition of SMEDDS
was optimized using simplex lattice mixture design. Dissolution efficiency, t85%,
absorbance of diluted SMEDDS formulation and solubility of celecoxib in diluted
formulation were chosen as response variables. The SMEDDS formulation optimized via
mixture design consisted of 49.5% PEG-8 caprylic/capric glycerides, 40.5% mixture of
Tween20 and Propylene glycol monocaprylic ester (3:1) and 10% celecoxib, which
showed significantly higher rate and extent of absorption than conventional capsule. The
relative bioavailability of the SMEDDS formulation to the conventional capsule was
132%[36]
.
Kanga BK et al. (2004) prepared SMEDDS for oral bioavailability enhancement of a
poorly water soluble drug, Simvastatin. The release rate of Simvastatin from SMEDDS
was significantly higher than the conventional tablet. Bioavailability was 1.5-fold higher
compared to that of the conventional tablet[20]
.
Kocheriakota C et al. (2004) prepared a novel capsule SMEDDS formulations of
etoposide for oral use (US 0220866). Self microemulsifying pharmaceutical compositions
comprising Etoposide that are encapsulated comprising a a solvent; a co-solvent and an
emulsifying base[37]
.
3. Literature Review
Akshay R. Koli 72
Annette M et al. (2003) has formulated SMEDDS to improve the lymphatic transport
and the portal absorption of a poorly water-soluble drug, halofantrine. Two different
structured triglycerides were incorporated in SMEDDS; (MLM) and (LML). A
previously optimized SMEDDS formulation for halofantrine, comprising of triglyceride,
Cremophor EL, Maisine 35-1 and ethanol was selected for bioavailability assessment.
The extent of lymphatic transport via the thoracic duct was 17.9% of the dose for the
animals dosed with the MLM SMEDDS and 27.4% for LML. The data indicate that the
structure of the lipid can affect the relative contribution of the two absorption pathways.
The MLM formulation produced a total bioavailability of 74.9%, which is higher than
that of total absorption previously observed after post-prandial administration[38]
.
Farah et al. (2000) in US Patent 6054136 provided a SMEDDS capable of forming a
microemulsion in situ with the physiological fluid of the stomach and intestine for the
enhancement of drug bioavailability[39]
Crison et al (1999) in US5993858 taught a self-microemulsifying formulation for
increasing the bioavailability of a drug which included oil/ lipid material, a surfactant,
and a hydrophilic co-surfactant. HLB of hydrophilic co-surfactant was greater than 8. The
self-microemulsifying formulation could also include the addition of an aqueous solvent
such as triacetin. They had found that a more hydrophilic co-surfactant not only increased
the dissolution of poorly water-soluble drugs but, that it also increased their in vivo
bioavailability[40]
.
3. Literature Review
Akshay R. Koli 73
3.1.2.1 Review of work done on Solid Self Microemulsifying Drug
Delivery System
Hu X et al. (2012) prepared self-microemulsifying pellets to enhance the dissolution and
oral absorption of water insoluble drug sirolimus. The selected liquid SMEDDS
formulations were prepared into pellets by extrusion-spheronization method and the
optimal formulation of 1mg SMEDDS pellets capsule was finally determinated by the
feasibility of the preparing process and redispersibility. The optimal SMEDDS pellets
showed a significant quicker redispersion rate than the dissolution rate of commercial
SRL tablets Rapamune in water. The droplet size and polydispersity index of the
reconstituted microemulsion was almost unchanged after solidification, and pellet size
and friability were all qualified. DSC, XRPD, and IR analysis confirmed that there was
no crystalline sirolimus in the pellets. Pharmacokinetic study in beagle dogs showed the
greater oral relative bioavailability of SMEDDS pellets to the commercial tablets[41]
.
Milovic M et al. (2012) investigated solid SMEDDS (S-SMEDDS), as potential delivery
system for poorly water soluble drug carbamazepine. SMEDDS was formulated using the
surfactant polyoxyethylene 20 sorbitan monooleate [Polysorbate 80] (S), the cosurfactant
Cremophor RH40] (C) and the oil caprylic/capric triglycerides [Mygliol 812] (O). Four
different adsorbents with high specific surface area were used: Neusilin UFL2, Neusilin
FL2 (magnesium aluminometasilicate), Sylysia 320 and Sylysia 350 (porous silica). It
was found that CBZ has great influence on rheological behaviour of investigated system
upon water dilution. For SSMEDDS with different magnesium aluminometasilicate
adsorbents, release rate of CBZ decreased with increasing specific surface area due to
entrapment of liquid SMEDDS inside the pores and its gradual exposure to dissolution
medium. With porous silica adsorbents no difference in release rate was found in
comparison to physical mixtures. In physical mixtures at 12.5% (w/w) CBZ content,
presence of amorphous CBZ led to high dissolution rate[42]
.
Oh DH et al. (2011) compared the effects of hydrophilic and hydrophobic solid carrier
on the formation of solid SMEDDS. Two solid SMEDDS formulations were prepared by
spray-drying the solutions containing liquid SMEDDS and solid carriers. Colloidal silica
3. Literature Review
Akshay R. Koli 74
and dextran were used as a hydrophobic and a hydrophilic carrier, respectively. The
liquid SMEDDS, composed of Labrafil M 1944 CS/Labrasol/Trasncutol HP with 2% w/v
flurbiprofen, gave a z-average diameter of about 100 nm. Colloidal silica produced an
excellent conventional solid SMEDDS in which the liquid SMEDDS was absorbed onto
its surfaces. It gave a microemulsion droplet size similar to that of the liquid SMEDDS
(about 100 nm) which was smaller than the other solid SMEDDS formulation. In the
solid SMEDDS prepared with dextran, liquid SMEDDS was not absorbed onto the
surfaces of carrier but formed a kind of nano-sized microcapsule with carrier. However,
the drug was in an amorphous state in two solid SMEDDS formulations. Similarly, they
greatly improved the dissolution rate and oral bioavailability of flurbiprofen in rats. They
showed that except appearance, hydrophilic carrier (dextran) and hydrophobic carrier
(colloidal silica) hardly affected the formation of solid SMEDDS such as crystalline
properties, dissolution and oral bioavailability[43]
.
Kim DW et al. (2011) developed a novel flurbiprofen-loaded S-SMEDDS with improved
oral bioavailability using gelatin as a solid carrier, the solid SMEDDS formulation was
prepared by spray-drying the solutions containing liquid SMEDDS and gelatin. The
liquid SMEDDS, composed of Labrafil M 1944 CS/Labrasol/Transcutol HP
(12.5/80/7.5%) with 2% w/v flurbiprofen, gave a z-average diameter of about 100 nm.
The flurbiprofen-loaded solid SMEDDS formulation gave a larger emulsion droplet size
compared to liquid SMEDDS. It greatly improved the oral bioavailability of flurbiprofen
in rats[44]
.
Huan D et al. (2011) studied the influences of silica on the absorption of S-SMEDDS.
An in vitro lipolysis model was used to evaluate the influence of silica on self-
microemulsifying drug delivery system digestion from intestinal tract. S-SMEDDS
containing silica were prepared by extrusion/spheronization. The results showed that
lipolysis rate and drug concentration in aqueous phase after intestinal lipolysis both
increased by adding silica, which was benefit to drug absorption. And silica was not
benefit to absorption for slowing drug release. Consistently, there was no significant
influence of silica on intestinal absorption[45]
.
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Akshay R. Koli 75
Ito Y et al. (2010) formulated Oral gentamicin (GM) SMEDDS with PEG-8
caprylic/capric glycerides (Labrasol), and the mixture was solidified with several kinds of
adsorbents. The used adsorbents were microporous calcium silicate (Florite RE),
magnesium alminometa silicate (Neusilin US2), and silicon dioxide (Sylysia 320). The in
vivo rat absorption study showed that Florite RE 10 mg preparation had the highest
C(max) and AUC. These results suggested that an adsorbent system is useful as an oral
solid delivery system of poorly absorbable drugs such as GM[46]
.
Legen I et al. (2008) in EP1961412 prepared free flowing and compressible powder
comprising an admixture of drug containing SMEDDS and solid particle adsorbents[47]
.
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Akshay R. Koli 76
3.2 Review of work done on drugs used in the study
3.2.1 Felodipine
Bazzo GC et al. (2012) incorporated Felodipine into microparticles prepared with
Eudragit E and it blended with poly(3-hydroxybutyrate) (PHB) using the emulsion-
solvent evaporation technique, with the aim of improving the dissolution rate of the drug.
The formulation prepared with Eudragit E showed irregular and fragmented
microparticles, with a loading efficiency (LE) of 82.6%. When the microparticles were
prepared with a blend of Eudragit E and PHB, they had a spherical form with a LE of
103.9%. X-ray diffraction and differential thermal analysis indicated a reduction in the
crystallinity of felodipine after its incorporation into the microparticles, which caused a
significant increase in the felodipine dissolution rate[48]
.
Basalious EB et al. (2011) applied quality by design (QbD) for pharmaceutical
development of felodipine solid mixture (FSM) containing hydrophilic carriers and/or
polymeric surfactants, for easier development of controlled-release tablets of felodipine.
Not only did the ternary mixture of Pluronic, HPMC with Inutec SP1 enhance the
dissolution rate and inhibit crystallization of felodipine, but also they aided Carbopol 974
in controlling felodipine release from the tablet matrix. It could be concluded that a
promising once-daily CR tablets of felodipine was successfully designed using QbD
approach[49]
.
Karavas E et al. (2011) prepared solid dispersion systems of felodipine with polyvinyl
pyrrolidone (PVP) in order to enhance solid state stability and release kinetics. The
dispersion of FEL was found to be in nano-scale particle sizes and dependent on the
FEL/PVP ratio. The above dispersion shown a significant effect on the dissolution
enhancement and the release kinetics of FEL, as it causes the pattern to change from
linear to logarithmic. An impressive optimization of the dissolution profile is observed
corresponding to a rapid release of FEL in the system containing 10% w/w of FEL,
releasing 100% in approximately 20 min[50]
.
3. Literature Review
Akshay R. Koli 77
Alonzo DE et al. (2011) prepared amorphous solid dispersions of Felodipine for
bioavailability enhancement. The purpose of this research was twofold. First, the degree
of supersaturation generated upon dissolution as a function of drug-polymer composition
was investigated. Second, an investigation was conducted to correlate physical behavior
upon dissolution with polymer loading. Hydroxypropylmethylcellulose (HPMC) and
polyvinylpyrrolidone (PVP) were used to form the dispersions. The supersaturation
generated upon dissolution may enhance the bioavailability of the drug.
Sahu et al. (2011) developed and evaluated mucoadhesive nasal gel of Felodipine. The
aim of the present study was to prepare mucoadhesive nasal gels containing Felodipine
from mucoadhesive substance isolated from fruits of Dillenia indica L to enhance
absorption of the drug. The gels prepared from fruits of Dillenia indica L exhibited
favourable mucoadhesive properties that caused them to adhere to the nasal mucosa for a
long time and hence enhance the absorption of drugs administered intranasally[51]
.
Kulkarni et al. (2010) formulated fast dispersible tablets of Felodipine by using super
disintegrant croscarmellose sodium and solid dispersion with polyvinyl alcohol (PVA) as
a carrier. Tablets prepared by solid dispersion having drug to carrier ratio of 1:4 (A3)
yielded the best drug release in terms of dissolution rate. The formulation did not show
any change in disintegration time, wetting time and drug content after stability period[52]
.
Patil PR et al. (2009) developed a extended release Felodipine self-nanoemulsifying
system (SNES) in which miglycol 840 as a oil, cremophore EL as surfactant and capmul
MCM as a co-surfactant were used for nanoemulsion. The SNES showed good
emulsification, median droplet size of 421 nm, and rapid FLD release (>90% release in
15 min). Gelling was induced in the SNES by addition of aerosil 200 (A 200). The
hydrophobic gelucire 43/01 (GEL) coat to extend the release of FLD and caprol PGE-860
(CAP) was added to this coat as a release enhancer. 89.7% of the drug content were
found to be released within 20 h in the in-vitro study[53]
.
Aboul-Einien et al. (2009) formulated and evaluated of Felodipine in softgels with a
solubilized core. In this study, softgels with a solubilized-drug core were used to improve
the solubility and consequently the bioavailability of felodipine. Dissolution tests (under
3. Literature Review
Akshay R. Koli 78
sink or non-sink conditions) revealed a correlation between the composition of the softgel
core fill liquid and drug dissolution parameters. The incorporation of water in the fill
formula as well as the use of ingredients with low hygroscopicity was found to be
essential to minimize water migration to the fill liquid during storage. In vivo studies
showed rapid and enhanced absorption of Felodipine from solubilized core softgels
compared with control drug powder filled in hard gelatin capsules. The total amount of
drug absorbed over a 24-h period was markedly enhanced (1.6-fold) for softgels
compared with control capsules[54]
.
Narkhede et al. (2007) investigated the effect of the presence of the water soluble
polymers viz HPMC, PVP and PEG 6000 on aqueous solubility and complexation
abilities of Felodipine with or without presence of β-cyclodextrin and HP βCD by phase
solubility studies. All the polymers under study showed synergistic effect on Felodipine
cyclodextrin solublization by increasing complexation efficiency. The highest solubility
improvement up to 81.8% was obtained for βCD ternary system when 0.25% w/v of PVP
was used[55]
.
Karavas E et al. (2006) investigated Solid dispersion systems for the dissolution
enhancement of Felodipine by polyvinylpyrrolidone (PVP). The intensity of interactions
promoted the dissolution enhancement. Investigation of the solubility and the particle size
distribution of felodipine in the binary system appeared to have similar behaviour
indicating that the interactions affect the release profile through these two factors. The
hydrophilicity of PVP does not significantly affect this enhancement as the contact angle
was found to be linear to PVP concentration. Microscopic observation of the dissolution
behaviour showed that felodipine remains in fine dispersion in aqueous solution,
verifying the release mechanism[56]
.
3. Literature Review
Akshay R. Koli 79
3.2.2 Valsartan
Yan YD et al (2012) developed a novel valsartan-loaded solid dispersion with enhanced
bioavailability and no crystalline changes, various valsartan-loaded solid dispersions
were prepared with water, hydroxypropyl methylcellulose (HPMC) and sodium lauryl
sulphate (SLS). The drug-loaded solid dispersion improved the drug solubility by about
43-fold. It gave a higher AUC, C(max) and shorter T(max) compared to valsartan powder
and the commercial product. The solid dispersion improved the bioavailability of the
drug in rats by about 2.2 and 1.7-fold in comparison with valsartan powder and the
commercial product, respectively[57]
.
Cao QR et al (2012) formulated novel mucoadhesive pellets containing valsartan with
enhanced oral bioavailability. The coated pellets displayed distinct mucoadhesive
property in vitro and delayed gastrointestinal transit in vivo. Furthermore, the coated
pellets exhibit significantly higher AUC (0-12h) and C(max), as compared to the core
pellets and drug suspension. It was concluded that the mucoadhesive pellets could render
poorly water soluble drugs like valsartan with a rapid drug release, delayed GI transit and
enhanced oral bioavailability[58]
.
Ibrahim HK et al. (2011) improved the pH-independent solubility and dissolution
characteristics of valsartan via the preparation of solid dispersions (SD) with poloxamer
407. The improved dissolution of valsartan via SD formulation appeared to be well
correlated with the enhanced oral exposure of valsartan in rats. SDs increased C(max)
and AUC(0-24) of valsartan by 2-7 folds in rats, implying that SDs should be effective to
improve the bioavailability of valsartan [59]
.
Sung J et al (2011) developed a novel valsartan-loaded solid dispersion with enhanced
bioavailability and no crystalline changes; various valsartan-loaded solid
dispersions were prepared with water, hydroxypropyl methylcellulose (HPMC) and
sodium lauryl sulphate (SLS). The bioavailability of the solid dispersions in
rats was evaluated compared to valsartan powder and a commercial product
3. Literature Review
Akshay R. Koli 80
(Diovan). The drug-loaded solid dispersion composed of improved the drug solubility by
about 43-fold. It gave a higher AUC, Cmax and shorter Tmax compared to valsartan powder
and the commercial product. The solid dispersion improved the bioavailability of the drug in
rats by about 2.2 and 1.7-fold in comparison with valsartan powder and the commercial
product, respectively[57]
.
Chowdary H et al. (2011) prepared solid inclusion complexes of valsartan-
βCD with and without Poloxamer 407 by kneading method as per 22-factorial design
and were evaluated for dissolution rate and efficiency. Poloxamer 407 alone gave
higher enhancement in the dissolution rate of Valsartan (1.96 fold) than βCD alone
and combination of βCD and Poloxamer 407. Drug- βCD- Poloxamer 407 inclusion
complexes and their tablets also gave markedly enhanced dissolution rate when
compared to those formulated employing βCD alone. As such
Poloxamer 407 alone and in combination with βCD is recommended to enhance the
dissolution rate of valsartan tablets[60]
.
Darira P et al. (2011) prepared solid dispersion of a poorly soluble drug valsartan by
using Soluplus as carrier material to enhance the solubility as well as dissolution rate.
Five different formulations were prepared using hot melt extrusion technique in
different ratios i.e., 1:1, 1:3, 1:5, 1:7, and 1:9. All the formulations showed a marked
increase in the solubility behavior and improved drug release when tested for their In
vitro studies. Formulation containing drug: polymer of 1:9 showed the best release with
a cumulative release of 100%. Hence, it was concluded that soluplus as a carrier can be
very well utilized to improve the solubility of poorly soluble drugs [61]
.
Mahapatra A et al. (2011) have prepared solid dispersions (SDs) and physical mixtures of
valsartan in β-cyclodextrin, HP β-CD, and polyvinyl pyrolidone (PVP K-30) to
increase its solubility characteristics. The phase solubility behavior of valsartan in
various concentrations of β-CD, HP β-CD, and PVP K-30 (0.25-1.0% w/v) in distilled
water was obtained at 37 ± 2 °C. The dissolution of valsartan is increased with increasing
amounts of the hydrophilic carriers. Compared with β-CD, HP β-CD showed better
enhancement of dissolution rate; compared with HP β-CD, PVP K-30 showed better
3. Literature Review
Akshay R. Koli 81
solubility and dissolution enhancement [62]
.
Youn SY et al. (2011) did the recrystallization of valsartan by ASES (Aerosol Solvent
Extraction System), a supercritical micronization process, using compressed CO2 to
improve the bioavailability of valsartan through preparation of micro sized particles
without excessive agglomeration. Fine valsartan particles from an ethyl acetate (EA)
solution were precipitated using compressed CO2 as an antisolvent at low temperature.
The EA was considered a proper organic solvent to prevent agglomeration of the
prepared valsartan associating to the solubility parameters of the solvents. Processed
valsartan with compressed CO2 at a low temperature improved its dissolution rate due to
the small size of the particles attributing to low level of particle agglomeration[63]
Parmar B et.al. (2011) developed solid lipid nanoparticles of valsartan for improvement
of bioavailability with poloxamer 188 by solvent evaporation technique. The
nanoparticles were characterized by DSC, XRD and TEM analysis. The optimized
formulation was found to have particle size 142.5nm, zeta potential of -14.3 mV and 84%
drug entrapment. The optimized formulation showed better in-vitro and ex-vivo release
profile than valsartan suspension. The Solid lipid nanoparticles of valsartan shown
promise to improve bioavailability[64]
.
Sharma A et al., (2010) investigated the influence of Poloxamer 188 to increase
the solubility and dissolution rate of Valsartan for enhancement of oral
bioavailability. In this investigation solid dispersions with Poloxamer 188 were
prepared by melting method and evaluated for physicochemical parameters and
dissolution and reported that the solubility of drug increased with increasing polymer
concentration. The dissolution rate was substantially improved for Valsartan from its solid
dispersion compared with pure drug and physical mixtures[65]
.
Kshirsagar S et al. (2010) formulated solid dispersion of Valsartan using HPMC
E5 LV as water soluble carrier. But film formation took place during solid dispersion
formulation and was creating difficulty in releasing the drug from formulation; and
those solid dispersions, were not free flowing. Thus such preparations are not useful
3. Literature Review
Akshay R. Koli 82
from the formulation development point of view. So to improve the flow properties,
some inert materials were tried like microcrystalline cellulose (MCC) and Lactose and
the incorporation of inert carriers improved the flow property of solid dispersion [66]
.
Dixit AR et al. (2010) prepared SMEDDS of valsartan with captex and tween 80.
Diffusion of valsartan SMEDDS showed maximum drug release when compared to pure
drug solution and marketed formulation. The area under curve and time showed
significant improvement as the values obtained were 607 ng h/mL and 1 h for SMEDDS
in comparison to 445.36 and 1.36 h for market formulation suggesting significant
increase (p < 0.01) in oral bioavailability of valsartan SMEDDS[67]
.
Kumar KV et al. (2009) made another attempt to improve the solubility and dissolution
rate of a poorly soluble drug, Valsartan by solid dispersion method using skimmed milk
powder (SMP) as carrier. SMP is hydrophilic compound which combines with parent
drug and change their physical properties. This hydrophilicity of carrier molecule
markedly improved solubility of valsartan[68]
.
Agnivesh R et al. (2009) prepared dispersion granules using a hot melt
granulation technique which involved preparation of a homogenous dispersion of
valsartan in gelucire-50/13 melt, followed by its adsorption on to the surface of
aeroperl-300pharma, an inert adsorbent. DSC and XRD data indicated the retention of
amorphous form of valsartan. The in-vitro dissolution rate of these tablets was
significantly better in comparison with marketed formulation. In conclusion the statistical
model enabled us to understand the effects of formulation variables on the dispersion
granules of Valsartan [69]
.
Kumar KV et al. (2009) prepared solid dispersion method using skimmed milk
powder as carrier. Four different formulations were prepared with varying drug: carrier
ratios viz.1:1, 1:3, 1:5 and 1:9 and the corresponding physical mixtures were also
prepared. All the formulations showed marked improvement in the solubility behavior
and improved drug release. Formulation containing drug: polymer ratio of 1:9 showed the
best release with a cumulative release of 81.60% as compared to 34.91 % for the pure
3. Literature Review
Akshay R. Koli 83
drug. The interaction studies showed no interaction between
the drug and the carrier. It was concluded that skimmed milk powder as a carrier can be
very well utilized to improve the solubility of poorly soluble drugs [68]
.
Cifter U et al. (2008) in WO 9524901 A1 directed to the use valsartan for the treatment
of diabetic nephropathy. WO 9749394 A2, discloses compressed solid oral dosage forms,
e.g., by compaction of valsartan optionally combined with HCTZ. In patent no having
WO 0038676 A1, it has been found surprisingly that it is possible to improve the
bioavailability characteristics of known solid formulation of valsartan by increasing the
proportion of microcrystalline cellulose [70]
Cappello B et al. (2006) developed co-formulation of drug with cyclodextrins (CD).
Hydroxypropyl-b-cyclodextrin (HP-b-CD) was used due to its higher solubility to
improve the solubility in water and dissolution of Valsartan. This work also reveals the
potential of HP-b-CD from the stability point of view, since the inclusion complex
VAL/HP-b-CD exhibits a greater thermal stability than the neat drug [71]
Vrbinc M et al. (2005) tried to overcome the problem of poor dissolution of valsartan by
formulation of tablet containing valsartan particles having size (D50) 150 µm or below[72]
.
3. Literature Review
Akshay R. Koli 84
3.3 Review of work done on excipients used in the
study
3.3.1 Capmul MCM
Solanki SS et al. (2012), enhanced the dissolution rate and bioavailability of
Ampelopsin, one of the most common flavonoids by developing microemulsion. Capmul
MCM-based ME formulation with Cremophor EL as surfactant and Transcutol as
cosurfactant was developed for oral delivery of ampelopsin. The optimised
microemulsion formulation containing ampelopsin, Capmul MCM (5.5%), Cremophor
EL (25%), Transcutol P (8.5%), and distilled water showed higher in vitro drug release,
as compared to plain drug suspension and the suspension of commercially available
tablet. These results demonstrate the potential use of ME for improving the
bioavailability of poor water soluble compounds, such as ampelopsin[1]
.
Bajaj A et al. (2012) developed self nanoemulsifying drug delivery to the solubility,
permeability and oral bioavailability of cefpodoxime proxetil, β-lactam antibiotic. It is
BCS Class IV drug having solubility 400 µg/ml. Various surfactant and co-surfactants
such as tween 80, tocopheryl polyethylene glycol succinate (TPGS), propylene glycol
and Capmul MCM as oil phase were used and ternary phase diagrams were constructed
to identify stable microemulsion region. Capmul MCM as oil phase were found to
produce stable nanoemulsions[73]
.
Cho HJ et al. (2012) achieved rapid onset of action and improved bioavailability of
udenafil, by microemulsion system for its intranasal delivery. A single isotropic region
was found in pseudo-ternary phase diagrams developed at various ratios with Capmul
MCM as an oil, Labrasol as a surfactant, and Transcutol or its mixture with ethanol
(1:0.25, v/v) as a co-surfactant. Optimized microemulsion formulations with a mean
diameter of 120-154 nm achieved enhanced solubility of udenafil (>10mg/ml) compared
with its aqueous solubility (0.02 mg/ml)[74]
.
Prajapati HN et al. (2012) compared physiochemical properties of mono-, di- and
triglycerides of medium chain fatty acids for development of oral pharmaceutical dosage
3. Literature Review
Akshay R. Koli 85
forms of poorly water-soluble drugs using phase diagrams, drug solubility, and drug
dispersion experiments. The monoglyceride gave microemulsion (clear or translucent
liquid) and emulsion phases, whereas di- and triglycerides exhibited an additional gel
phase. Among individual mono-, di- and triglycerides, the oil-in-water microemulsion
region was the largest for the diglyceride. Dispersion of drug in aqueous media from
mixtures of mono- and diglyceride or mono- and triglyceride was superior to individual
lipids[75]
.
Du H et al. (2012) reform the dosage forms of andrographolide to improve its aqueous
solubility and oral bioavailability. The formulation, characterisation, stability, anti-
inflammatory effect, pharmacokinetics and oral toxicity of andrographolide-loaded
microemulsion, were studied. An formulation of O/W microemulsion consisting of an oil
phase of capmul, a surfactant phase of Tween 80, a co-surfactant of alcohol, and water
was found to be ideal, with mean droplet size of 15.9 nm, a high capacity of solubilisation
for andrographolide[3]
.
Kadu PJ et al. (2011) formulated a self-emulsifying drug delivery system of atorvastatin
calcium. The solubility of atorvastatin calcium was determined in various vehicles such
as Captex 355, Captex 355 EP/NF, Ethyl oleate, Capmul MCM, Capmul PG-8, Gelucire
44/14, Tween 80, Tween 20, and PEG 400. Pseudoternary phase diagrams were plotted
on the basis of solubility data of drug in various components to evaluate the
microemulsification region. In vivo performance of the optimized formulation was
evaluated using a Triton-induced hypercholesterolemia model in male Albino Wistar rats.
The formulation significantly reduced serum lipid levels as compared with atorvastatin
calcium[76]
.
Nornoo AO et al. (2009) developed cremophor-free oral microemulsions of paclitaxel
(PAC) to enhance its permeability and oral absorption. The microemulsion region on the
phase diagrams utilizing surfactant-myvacet oil combinations was in decreasing order:
lecithin: butanol: myvacet oil (LBM, 48.5%)>centromix CPS: 1-butanol: myvacet oil
(CPS, 45.15%)>capmul MCM: polysorbate 80: myvacet oil (CPM, 27.6%)>capryol 90:
polysorbate 80: myvacet oil (CP-P80, 23.9%)>capmul: myvacet oil (CM, 20%). The
area-under-the-curve of PAC in CM was significantly larger than LBM, CPM and CE.
3. Literature Review
Akshay R. Koli 86
Oral microemulsions of PAC were developed that increased both the permeability and
AUC of PAC as compared to CE[14]
.
Kale AA et al (2008) developed lorazepam (LZM) microemulsions as an alternative to
the conventional cosolvent based formulation. Solubility of LZM in various oils and
Tween 80 was determined. Capmul MCM demonstrated highest solubilizing potential for
LZM and was used as an oily phase. LZM microemulsions were compatible with
parenteral dilution fluids and exhibited mean globule size less than 200 nm. The LZM
microemulsions containing amino acids exhibited good physical and chemical stability
when subjected to refrigeration for 6 months[77]
.
Fricker et al.(1999) used a microemulsion preconcentrate carrier medium for their
effective oral delivery. A lipophilic component selected from the group consisting of
fatty acid triglycerides (Miglyol, Captex, Capmul, etc.), mixed mono-, di-,and tri-
glycerides and transesterified ethoxylated vegetable oils (e.g. Maisine), and a surfactant
which was selected from the group consisting of polyethyleneglycol, natural or
hydrogenated castor oils (Cremophor EL®, Cremophor RH40®), polyethylene-sorbitan
fatty acid esters (Tweens), polyoxyethylene fatty acid esters (Myrj), polyoxyethylene-
polyoxypropylene co-polymers, and block co-polymers (Pluronic, Polaxamers). The
composition on dilution with water gave a microemulsion having an average particle size
of <150 nm[78]
.
Constantiides PP et al. (1994) developed self-emulsifying water-in-oil (w/o)
microemulsions incorporating medium-chain glycerides and measured their conductance,
viscosity, refractive index and particle size. Formulation of Calcein (a water-soluble
marker molecule, MW = 623), or SK&F 106760 (a water-soluble RGD peptide, MW =
634) in a w/o microemulsion having a composition of Captex 355/Capmul MCM/Tween
80/Aqueous (65/22/10/3, % w/w), resulted in significant bioavailability enhancement in
rats relative to their aqueous formulations. [79]
.
3. Literature Review
Akshay R. Koli 87
3.3.2 Polysorbate 20 and Polysorbate 80
Mahdi Es et al. (2012) studied the effect of Nonionic surfactant blends of Tween and
Tween/Span series based on their solubilization capacity with water for palm kernel oil
esters. Tween 80 and five blends of Tween 80/Span 80 and Tween 80/Span85 in the
hydrophilic-lipophilic balance (HLB) value range of 10.7-14.0 were selected to study the
phase diagram behavior of palm kernel oil esters using the water titration method at room
temperature. High solubilization capacity was obtained by Tween 80 compared with
other surfactants of Tween series. High HLB blends of Tween 80/Span 85 and Tween
80/Span 80 at HLB 13.7 and 13.9, respectively, have better solubilization capacity
compared with the lower HLB values of Tween 80/Span 80[80]
.
Edris AE et al. (2012) investigated the solubilization behaviour of a number of essential
oils (EOs) containing volatile phenolic constituents in five different micellar solutions.
These oils include clove bud (Eugenia caryophyllata), thyme (Thymus serpyllum) and
oregano (Thymus capitatus). Ternary and pseudo-ternary phase diagrams were
constructed to assess the ability for microemulsion formation and dilutability of each
system using non-ionic surfactants. Results showed that Tween 20 (T20) was more
suitable to solubilize these oils compared with Tween 80 (T80)[81]
.
Xu Sx et al. (2012) developed a food-grade water-dilutable microemulsion system with
cassia oil as oil, ethanol as cosurfactant, Tween 20 as surfactant and water and its
antifungal activity in vitro and in vivo against Geotrichum citri-aurantii was assessed.The
phase diagram results confirmed the feasibility of forming a water-dilutable
microemulsion based on cassia oil. One microemulsion formulation, cassia
oil/ethanol/Tween 20 = 1:3:6 (w/w/w), was selected with the capability to undergo full
dilution with water[82]
.
Saha R et al. (2012) prepaed an edible microemulsion (ME) composed of Tween
80/butyl lactate/isopropyl myristate (IPM)/water. Pseudoternary phase diagram of the
system contains a large single isotropic region. The study finds strong correlation in the
relaxation dynamics of water with the structure of host assembly and offers an edible ME
3. Literature Review
Akshay R. Koli 88
system which could act as a potential drug delivery system and nontoxic nanotemplate
for other applications[83]
.
Franzini CM et al (2012) investigated anionic microemulsions containing soya
phosphatidylcholine, Tween-20, sodium oleate as surfactant, and cholesterol as oil phase
were investigated as drug carriers for amphotericin B. They suggested that for both
amphotericim B-loaded and amphotericim B unloaded microemulsions, the increase in
the O/S ratio led to the formation of ordered structures with lamellar arrangements[84]
.
Panapisal V et al (2012) studied the potential of several microemulsion formulations for
dermal delivery of silymarin was evaluated. The pseudo-ternary phase diagrams were
constructed for the various microemulsion formulations which were prepared using
glyceryl monooleate, oleic acid, ethyl oleate, or isopropyl myristate as the oily phase; a
mixture of Tween 20, Labrasol, or Span 20 with HCO-40 (1:1 ratio) as surfactants; and
Transcutol as a cosurfactant. Oil-in-water microemulsions were selected to incorporate
2% w/w silymarin. The silybin remainings depended on the type of surfactant and were
sequenced in the order of: Labrasol > Tween 20 > Span 20. In vitro release studies
showed prolonged release for microemulsions when compared to silymarin solution.
Microemulsions containing Labrasol also were found to enhance silymarin solubility.
Other drug delivery systems with occlusive effect could be further developed for dermal
delivery of silymarin[85]
.
Tian Q et al. (2012) investigated the skin permeation microemulsion with high content
of naproxen for transdermal delivery and its solubilization mechanism was studied.
Naproxen micoremulsions composed of 4% isopropyl myristate, 18% Tween 80, 18%
ethanol and water were prepared and phase inversion temperature (PIT) method was used
to increase drug content. The powerful permeation enhancing ability of microemulsion
induced by the solubilization of PIT method makes it a promising vehicle for the
transdermal delivery of naproxen[86]
.
Ryu JK et al (2012) prepared oral microemulsion to overcome problems associated with
the poor solubility and low oral bioavailability of bicyclol and evaluated in vitro and in
3. Literature Review
Akshay R. Koli 89
vivo. The optimized premicroemulsion concentrate consisted of transcutol, Tween 20,
Cremophor RH 40, propylene glycol monocaprylate and bicyclol (ratio,
50:150:100:150:3) [87]
.
Zheng G et al (2011) investigated the solubilization of organochlorine pesticides (DDT
or gamma-HCH) in oil-in-water (Winsor I) microemulsions (microE) composed of non-
ionic surfactant (Tween 80 or Triton X-100), plant oil (linseed oil or soybean oil), and the
cosurfactant (1-pentanol). Results show that the cosurfactant to surfactant ratio (C/S ratio,
w/w) is the major factor influencing the microemulsion formation, and C/S ratios of 1:3
and 1:6 are superior to 1:1 for microemulsion formation. The solubilization of gamma-
HCH also increased by 40.6-57.5% in microemulsion formed with Tween 80[88]
.
Zeng Z. et al. (2010) developed an elemene oil/water (o/w) microemulsion and evaluated
its characteristics and oral relative bioavailability in rats. Elemene was used as the oil
phase and drug, polysorbate 80 as a surfactant along with ethanol, propylene glycol, and
glycerol as the cosurfactants. The study demonstrated the elemene microemulsion as a
new formulation with ease of preparation, high entrapment efficiency, excellent clarity,
good stability, and improved bioavailability[89]
.
Mehta SK et al (2010) studied the microemulsion composed of oleic acid, phosphate
buffer, ethanol, and Tween (20, 40, 60, and 80) in the presence of antitubercular drugs of
extremely different solubilities, viz. isoniazid (INH), pyrazinamide (PZA), and rifampicin
(RIF). The phase behavior showing the realm of existence of microemulsion has been
delineated at constant surfactant/co-surfactant ratio (K (m) = 0.55) with maximum
isotropic region resulting in the case of Tween 80. To compare the release of RIF, PZA,
and INH from Tween 80 formulation, the dissolution studies have been carried out. It
shows that the release of drugs follow the order INH>PZA>RIF. The results have given a
fair success to predict that the release of PZA and INH from Tween 80 microemulsion is
non-Fickian, whereas RIF is found to follow a Fickian mechanism[90]
.
Kale AA et al (2008) developed lorazepam (LZM) microemulsions as an alternative to
the conventional cosolvent based formulation. Solubility of LZM in various oils and
3. Literature Review
Akshay R. Koli 90
Tween 80 was determined. The ternary diagram was plotted to identify area of
microemulsion existence and a suitable composition was identified to achieve desired
LZM concentration. Capmul MCM demonstrated highest solubilizing potential for LZM
and was used as an oily phase alongwith tween 80 as surfactant. LZM microemulsions
were compatible with parenteral dilution fluids and exhibited mean globule size less than
200 nm. The LZM microemulsions containing amino acids exhibited good physical and
chemical stability when subjected to refrigeration for 6 months[77]
.
Pather SI et al (2001) in US2008077823 showed enhancement in the solubility of
pharmaceutical ingredients comprising a polyoxyethylene sorbitan fatty acid ester
emulsifier, a fatty acid ester co-emulsifier and an oil[91]
.
3.3.3 Polyethylene Glycol 400
Dora CL et al (2012) developed oil-in-water nanosized emulsions by the hot solvent
diffusion method, using castor oil as oily phase and poly(ethylene glycol) (400)-12-
hydroxystearate (PEG 660-stearate) and lecithin as surfactants. The effect of the PEG
concentration on the droplet size of the nanosized emulsions and on the ability of these
systems to load quercetin was investigated. They demonstrated that a critical
concentration of PEG 400-stearate (2.5 wt%) was needed to obtain colloidal dispersions
displaying microemulsion characteristics[92]
.
Senhao L et al. (2011) prepared microemulsion gel formulation by a self-
microemulsifying system for transdermal topical delivery of ilomastat. Ilomastat
microemulsion gel was prepared by drawing a ternary phase diagram with PEG 400 and
Pluronic F127 was added as gel matrix for the formulation. The optimal formulations had
wide microemulsion existent field and good self-microemulsifying efficiency. The
droplet size was within 100 nm[93]
.
Li G et al (2012) developed an oil-free o/w microemulsion, composed of pluronic F68,
propylene glycol 400 and saline, which solubilized poorly soluble anesthetic drug
propofol for intravenous administration. The ternary diagram was constructed to identify
the regions of microemulsions, and the optimal composition of microemulsion was
3. Literature Review
Akshay R. Koli 91
determined by in vitro evaluation such as globule size upon dilution and rheology. The
droplet size of the diluent emulsion corresponding to oil-in-water type ranged from 200
to 300nm in diameter. Stability analysis of the microemulsions indicated that they were
stable upon storage for at least 6 months[94]
.
Ngawhirunpat T et al. (2011) prepared novel microemulsion for transdermal drug
delivery of ketoprofen (KP). The microemulsion composed of ketoprofen as model drug,
isopropyl myristate (IPM) as oil phase, surfactant mixture consisting of polyoxyl 40
hydrogenated castor oil (Cremophor RH40) as surfactant and polyethylene glycol 400
(PEG400) as co-surfactant at the ratio 1:1, and water were prepared. The viscosity,
droplet size, pH, conductivity of microemulsions, and skin permeation of KP through
shed snake skin were evaluated. The particle size, pH, viscosity and conductivity of
microemulsions were in the range of 114-210 nm, 6.3-6.8, 124-799 cPs and 1-45 µS/cm,
respectively. The ratio of IPM, and surfactant:PEG 400 mixture played the important role
in the skin permeation of KP microemulsions.[95]
.
Cui J et al. (2009) prepared a new self-microemulsifying drug delivery system to
improve the solubility and oral absorption of curcumin. Suitable compositions of
SMEDDS formulation were screened via solubility studies of curcumin and compatibility
tests. The optimal formulation of SMEDDS was comprised of 57.5% surfactant
(emulsifier OP:Cremorphor EL = 1:1), 30.0% co-surfactant (PEG 400) and 12.5% oil
(ethyl oleate). The solubility of curcumin (21 mg/g) significantly increased in SMEDDS.
The average particle size of SMEDDS-containing curcumin was about 21 nm when
diluted in water. No significant variations in particle size and curcumin content in
SMEDDS were observed over a period of 3 months at 4 degrees C. The results of oral
absorption experiment in mice showed that SMEDDS could significantly increase the
oral absorption of curcumin compared with its suspension[24]
.
Following is a list of microemulsion based drug formulations available in market. But
very few of them are available in India.
3. Literature Review
Akshay R. Koli 92
Table 3.2: Marketed Lipid- based and Surfactant-based Drug Formulation[96]
Drug Product Components
Amprenavir Agenerase TPGS, PEG 400, propylene glycol
Ritonavir Norvir Ethanol, oleic acid, cremphor EL, BHT
Ritonavir/
lopinavir Kaletra Oleic acid, Cremophor EL, prorylene glicol
Saquinavir Fortovase Medium chain mono-digllycerides, povidone,
α-tocopherol
Tipranavir Aptivus Ethanol, polyoxyl 35 castor oil, propylene glycol, mono-
diglycerides of caprylic/capric acids
Cyclosporine Neoral Corn oil mono-di glycerides, cremophor RH40, ethanol,
propylene glycol, α-tocopherol
Cyclosporine Sandimmune Corn oil, labrafil, ethanol, glycerol
Cyclosporine Gengraf Ethanol, PEG, Cremophor EL, polysorbate 80, sorbitan
monooleate
Sirolimus Rapimmune Phosal 50 PG, polysorbate 80
Doxecalciferol Hectoral Medium chain triglycerides, ethanol, BHA
Progesterone Prometrium Peanut oil, glycerin, lecithin
The exhaustive literature has revealed few important points which made us to understand
and investigate our research work systematically. We have analyzed critically a segment
of a published body of knowledge through summary, classification, and comparison of
prior research studies, reviews of literature, and theoretical articles to solve the problems
associated with poorly water soluble drugs through concept of microemulsion based drug
delivery systems. It helped us to build a solid background for selection of drugs and
excipients to be used for formulating microemulsion and SMEDDS systems. We came to
know that there has been no study till reported for formulating Solid SMEDDS of
Valsartan using adsorption on solid hydrophilic and hydrophobic carrier approach. Also
no efforts were reported for stable Felodipine Microemulsion formulation. We could also
not found any information about effect of dynamic surface tension on stability of
microemulsion system.
3. Literature Review
Akshay R. Koli 93
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