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maceuticalexcipientssuchasthecelluloses,pluronics,polysorbates,andpovidonesar
eacceptable
stabilizersforgeneratingphysicallystablenanoparticledispersions(LiversidgeandCu
ndy,1995).
Cellulosesincreaseaqueousviscosityandretardsedimentationofsuspendeddrug,the
rebyimprovingdoseuniformity.Commonformulationincludesvehiclescontainingdispersionagen
tssuchas
hydroxylpropylcelluloseintherangeof1
3%andsurfactantssuchasDocusateSodium(DOSS)in
therangeof0.11%.
Nanosuspensionhasfoundwideuseinrecentyearsfororal,injectable,inhalation,andin
trademeralapplications(MeriskoLiversidgeetal.,2003).Thenanosuspensiontechnologyisoftremendous
helpforpoorlywatersolubledrugsforconductingvariousscreeningstudiesatthepreclinicalstage.
Astheformulationdoesnotcontainanymajorcosolvent,resultsofsuchstudiescanbem
orepreciselycorrelatedwiththecandidatemolecule.Themethodhasmanyformulationandth
erapeutic
advantages,suchasasimplemethodofpreparation,lessrequirementofformulationex
cipients,
reductioninthetoxicityofthecandidatedrug,signi-cantincreaseinthebioavailabilityle
adingto
decreaseintheoptimaldose,decreasedfedfastedvariability,andsoforth(Rabinow,2004;Wuetal.,
2004;Dubey,2006).Oneofthemainapplicationsofnanosuspensionhasbeentheformu
lationof
pharmaceuticalcompositionsthatcanbeadministeredintravenously.Forintravenous
administration
ofasuspension,theparticlesinthesuspensionneedtobelessthan5
m,whichisthediameter
ofthesmallestbloodcapillariesinthebody.Intravenousadministrationofthenanosusp
ensionmay
resultinadvantagessuchasnohigherconcentrationoftoxiccosolventsandimprovedth
erapeutic
effectofthedrugavailableasaconventionaloralformulation.Nevertheless,severalpro
ductsare
nowavailablebasedonnanosuspensionprinciples.
Thenanosuspensiontechniqueusuallydoesnotworkwellforbasiccompoundswithhigh
pHdependentsolubility.Whenadministeredorally,nanoparticlesofabasicdrugmaydissol
verapidly
instomach,butonlytoprecipitateoutinthesmallintestineasuncontrolledparticles,thu
sdefeating
thepurposeofnanosizing(Peagrametal.,2005).Sometendtoagglomerateorincreasei
nparticle
sizeowingtocrystalgrowth(Neervannan,2006).Anotherdisadvantageisthatnotallco
mpounds
canformnanosuspensions.
Therearenumerousexampleswheresizereductiontechniqueshavebeenappliedtopo
orlywatersolublecompoundsinordertoincreasetheirdissolutionrateandimprovebioavailability
following
oraladministration(Levyetal.,1963;HintzandJohnson,1989;Chaumeil,1998;Rasena
ckand
Muller,2002;Kayseretal.,2003;Kocbeketal.,2006;Pouton,2006).Sizereduction,parti
cularly
atthesubmicrondimension,representsavaluablemeansofimprovingoralabsorptiono
fpoorly
watersolublecompounds.AsshowninFigure17.10,theincreaseindissolutionratefromsolid(
x)
withsizereductionprovidesmoredruginsolution(x)availableforabsorptionduringgast
rointestinaltransit.Therefore,thefractionofunabsorbeddrugdecreasesasoverallbioavailabili
tyincreases.
Nanoparticlesinparticularprovideforalargesurfaceareaavailablefordissolutionsince
sizesare
generally<1000nmindiameterand invivo
agglomerationisminimizedbyparticlestabilization.
Table17.2illustratestheabsoluteoralbioavailabilityofseveralDanazolformulations:n
anoparticle
dispersion,solubilizedcyclodextrinoralformulation,andconventionalsuspension.Da
nazolrepresentsapoorlywater-solublecompound(10
g/mL)whoseoralbioavailabilityisdissolutionlimited.
TheresultsindicatedthatsizereductionofDanazolcrystalsfrom10
masconventionalsuspension
tosizeslessthan200nmnanoparticledispersionresultedinapproximatelya16foldincreasein
absolutebioavailability(LiversidgeandCundy,1995).Studieswithanoralphenytoinna
noparticle
dispersionindicatedincreasesinabsorptionofnearlythreefoldwhenadministeredtohe
althyvolunteersascomparedtoanaqueoussuspensionofmicronizeddrugsubstance(Woodetal.,
1995).For
theanti-inammatoryagent,naproxen,ithasbeendemonstratedintheratthatsizereductionof
naproxenfrom2030
mto270nmledtoresultsindicatingdecreasedgastricirritationfollowing
oraladministrationaswellasafourfoldincreaseintherateofabsorption(Liversidgeand
Conzentino,
1995).Furthermore,inhumanclinicaltrials,thetimetoonsetofactionofananoparticleor
alsuspensionofnaproxenreachedsigni-cantplasmalevels( t90)inlessthan20min,whichwa
s12-fold
fasterthancommercialformulationsoflargerparticlesize(Figure17.11).