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Contents lists available at SciVerse ScienceDirect

International Journal of Pharmaceutics


journal homepage: www.elsevier.com/locate/ijpharm

Pharmaceutical nanotechnology

Microemulsion and poloxamer microemulsion-based gel for


sustained transdermal delivery of diclofenac epolamine using in-skin
drug depot: In vitro/in vivo evaluation
Shahinaze A. Fouad a , Emad B. Basalious b, , Mohamed A. El-Nabarawi b , Saadia A. Tayel b
a
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Ahram Canadian University, Cairo, Egypt
b
Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Kasr El-aini Street, Cairo 11562, Egypt

a r t i c l e i n f o a b s t r a c t

Article history: Microemulsion (ME) and poloxamer microemulsion-based gel (PMBG) were developed and optimized
Received 17 April 2013 to enhance transport of diclofenac epolamine (DE) into the skin forming in-skin drug depot for sustained
Accepted 1 June 2013 transdermal delivery of drug. D-optimal mixture experimental design was applied to optimize ME that
Available online xxx
contains maximum amount of oil, minimum globule size and optimum drug solubility. Three formulation
variables; the oil phase X1 (Capryol ), Smix X2 (a mixture of Labrasol /Transcutol , 1:2 w/w) and water
Keywords:
X3 were included in the design. The systems were assessed for drug solubility, globule size and light
Diclofenac epolamine
absorbance. Following optimization, the values of formulation components (X1 , X2 , and X3 ) were 30%,
In-skin depot
Sustained transdermal delivery
50% and 20%, respectively. The optimized ME and PMBG were assessed for pH, drug content, skin irritation,
D-optimal design stability studies and ex vivo transport in rat skin. Contrary to PMBG and Flector gel, the optimized ME
Microemulsion showed the highest cumulative amount of DE permeated after 8 h and the in vivo anti-inammatory
efcacy in rat paw edema was sustained to 12 h after removal of ME applied to the skin conrming the
formation of in-skin drug depot. Our results proposed that topical ME formulation, containing higher
fraction of oil solubilized drug, could be promising for sustained transdermal delivery of drug.
2013 Elsevier B.V. All rights reserved.

1. Introduction non-woven polyester felt backing and covered with a polypropyl-


ene lm release liner under patch (Petersen and Rovati, 2009). The
Musculoskeletal pain is a common problem often treated use of external drug reservoir (topical patch) is the common tech-
with topical NSAIDs. Topical NSAIDs have a reduced risk of nique used to sustain the transdermal delivery of water soluble
upper GI complications such as gastric and peptic ulcers, dys- drugs. The major disadvantages of transdermal patches are their
pepsia as well as a lack of drugdrug interactions (McCarberg sophisticated method of manufacture and the possibility that a
and Argoff, 2010). Diclofenac epolamine is a NSAID, known as local irritation will develop at the site of application. Erythema and
diclofenac-N-(2-hydroxyethyl)-pyrrolidine) (DHEP) (Conte et al., itching can be caused by the drug and the adhesive in the patch
2002). The diclofenac molecule, in its acidic form, is hydropho- formulation. Topical NSAID gels or creams are applied up to four
bic with very low solubility in water. The epolamine salt of times daily. Moreover, patches and gels are inconvenient to patients
diclofenac has greater solubility in water and non-polar solvents regarding discrepancy with cleaning and washing of skin. The com-
(n-octanol) than other diclofenac salts. High concentrations of bination of all advantages of gels (simple method of manufacture
aqueous diclofenac epolamine solutions exhibit surfactant behav- and ease of application by patients) with that of patches (sustained
ior (McCarberg and Argoff, 2010). The solubility and the surfactant delivery) is the goal of this study. Our hypothesis was to increase
properties of diclofenac epolamine enhance its membrane perme- the penetration of DE through epithelial tissue for loading of the
ability (OConnor and Corrigan, 2001). drug into the skin forming in-skin drug depot where skin acts as
DE is currently available as topical gel and patch marketed under in situ skin patch.
the brand name of Flector. Flector patch (10 cm 14 cm) con- Effective penetration of drugs through the stratum corneum is
tains an adhesive material containing 1.3% DE which is applied to a a major challenge in transdermal drug delivery. The presence of
lipid of the stratum corneum represents a lipophilic barrier that
restricts the permeation of molecules. Several approaches have
Corresponding author. Tel.: +20 1200010002.
been proposed to increase skin permeation. Microemulsions (MEs)
E-mail addresses: dremadbasalious@cu.edu.eg,
which are clear, thermodynamically stable mixtures of oil, water
dremadbasalious@gmail.com (E.B. Basalious). and surfactant, have been shown to be able to deliver drugs through

0378-5173/$ see front matter 2013 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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the skin better than conventional systems such as gel, creams and (Spectrophotometer (UV 1601, PC UVVisible, Shimadzu, Japan)
ointment (Kreilgaard, 2002). ME and ME based gels were pre- after appropriate dilution with methanol at max about 276 nm.
pared in an attempt to increase the transdermal drug delivery of Appropriate diluted solutions of oils, surfactants and co-solvents
both hydrophilic and lipophilic drugs (Barot et al., 2012; Kreilgaard in methanol were taken as blank. Components which showed the
et al., 2000; Trotta et al., 1997). Moreover, NSAIDs are one of highest solubility of DE were used for further studies (Barot et al.,
the most important drug classes that have been formulated as 2012).
microemulsion-based hydrogels for both topical and transdermal
use such as ibuprofen (Chen et al., 2006), ketoprofen (Rhee et al.,
2.3. Construction of pseudo-ternary phase diagrams
2001) and diclofenac (Kweon et al., 2004).
MEs and ME based gels were found to have favorable solvent
The pseudo-ternary phase diagrams were constructed using
properties due to the potential incorporation of large fraction of
titration method to determine the ME region and to obtain the con-
lipophilic and/or hydrophilic phases (Malcolmson and Lawrence,
centration range of components for the existing range of MEs with
1993; Malcolmson et al., 1998). Only the dissolved fraction of a
different possible compositions of oil, surfactant/co-solvents, and
drug in a vehicle can enter the skin. The small globule size of MEs
water (Barot et al., 2012).
makes them a suitable vehicle to penetrate epithelial tissue and use
The ratio of surfactant to co-solvent (Smix) was altered at 1:1,
skin as a depot for sustained drug delivery (Yuan and Acosta, 2009).
1:2 and 2:1 and such mixtures were prepared. These mixtures
Development of a pharmaceutical formulation consumes a lot
(Smix) were mixed with the oil phase to give the weight ratios of
of time and is considered as a complex process. Thus, D-optimal
90:10, 80:20, 70:30, 60:40, 50:50, 40:60, 30:70, 20:80 and 10:90.
mixture design is applied to develop pharmaceutical formulation
Applying the aqueous titration method, distilled water was titrated
because it was demonstrated to be an efcient method for opti-
drop by drop to the oil and Smix mixture under magnetic stirring at
mization of the formulation and to understand the relationship
ambient temperature. After each addition, the mixture was exam-
between independent variables and dependent variables in a for-
ined for the appearance. The end point of the titration was the point
mulation (Basalious et al., 2010; Gao et al., 2004).
where the solution becomes cloudy or turbid. The quantity of the
Literature lacks any data about the use of ME for loading of drug
aqueous phase required to make the mixture turbid was noted.
into skin to form in-skin depot for sustained transdermal delivery
The percentages of the different incorporated components were
of DE (a water soluble drug). Thus, the aim of this study was the for-
then calculated and the same procedure was followed for the other
mulation and optimization of ME and PMBG. D-optimal design was
Smix ratios to plot the pseudo-ternary phase diagram. Pseudo-
applied to optimize formulation that contains a maximum amount
ternary phase diagrams were constructed with Tri-plot software
of lipid, small globule size (<100 nm) and possess enhanced skin
Version 4.1.2. (Todd Thompson software). The clear ME zones were
transport of the drug forming in-skin drug depot. In vivo study of
identied and marked.
the anti-inammatory efcacy and sustained delivery of in-skin
depot of DE was carried out by carrageenan induced rat paw edema
method. 2.4. Formulation optimization of MEs

D-optimal mixture experimental study was designed based on a


2. Materials and methods
three component system: the oil phase X1 (Capryol 90), Smix X2 (a
mixture of Labrasol /Transcutol , 1:2 w/w) and aqueous phase X3
2.1. Materials
(water). The total concentration of the three components summed
to 100%. Based on the previous results obtained from phase dia-
Diclofenac epolamine was kindly supplied by Marcyrl for
gram, the range of each component was selected as follows: The
Pharmaceutical industries, El-Obour (Egypt), Tween 80 and Iso-
amount of oil was chosen in the range 1030%. The Smix ranged
propyl Myristate were purchased from Sigma Aldrich Chemical
from 50% to 80%. Since hydration of the stratum corneum signif-
Co. (St. Louis, MO, USA.), Miglyol 812 and Miglyol 840 (was
icantly affects penetration of drug into the skin, water range was
obtained from Sasol (Witten, Germany). Polyethylene glycol 400
selected to be 1030%.
was from El-Nasr Pharmaceutical Chemicals Co. (Egypt), Labrasol ,
The solubility of drug in ME, mg/ml (Y1 ), mean globule size (Y2 )
Dipalmitoylphosphatidylglycerol (DPPG ), Capryol 90, Cocoate
and absorbance of ME (Y3 ) were used as the responses (dependent
cc, Labrafac cc, and Gatuline Intense and Transcutol HP were
variables). The responses of all model formulations were treated by
supplied by Gattefoss (France.), Poloxamer 407 was obtained
Design-Expert software (version 7; Stat-Ease, Inc., Minneapolis,
from BASF Corporation, Chemical Division (USA). Distilled water
MN). Suitable models for mixture designs consisting of three com-
was used throughout the study. All other chemical reagents and
ponents include linear, quadratic and special cubic models. The best
solvents were of analytical grade and used as received.
tting mathematical model was selected based on the comparisons
of several statistical parameters including the multiple correlation
2.2. Screening of oils, surfactants and co-solvents for ME coefcient (R2 ), adjusted multiple correlation coefcient (adjusted
formation R2 ) and the predicted residual sum of square (PRESS), proved by
Design-Expert software. Among them, PRESS indicates how well
For selecting solvents with good solubilizing capacity for DE, the model ts the data, and for the chosen model it should be
the saturated solubility of DE in various oils such as Capryol 90, small relative to the other models under consideration (Huang et al.,
Cocoate cc, isopropyl myristate , Gatuline in-Tense , Miglyol 2004).
812 and Miglyol 840, surfactants (Labrasol , Labrafac cc, Tween D-optimal design was selected since it minimizes the variance
80 and DPPG ) and co-solvents (Transcutol HP and polyethylene associated with the estimates of the coefcients in the model (Holm
glycol 400) was determined. et al., 2006). The software selected a set of candidate points as a base
Excess amount of DE was added in 5 g of oils, surfactants and design. These included factorial points (high and low level from
co-solvents in 10-ml-capacity stoppered glass vials and shaken the constraints on each factor, centers of edges, constraint plane
on a shaker for 48 hours at ambient temperature. Suspension was centroids, axial check point, and an overall center point). The base
centrifuged at 4000 rpm for 10 min and the concentration of DE design consisted of 16 runs (Table 1). The optimum formulation
in the supernatant was determined by UV spectrophotometer was selected, which had the highest oil content, minimum content

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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Table 1
The formulations of mixture design and their characterization results.

Formulation A: Capryol B: Smix C: Water Solubility (mg/ml) Globule size (nm) Absorbance

1 20 70 10 292.27 62.93 0.075


2 10 70 20 268.61 49.15 0.023
3 30 50 20 374.70 77.2 0.045
4 30 50 20 277.04 28.19 0.01
5 25 60 15 188.29 48.9 0.032
6 15 65 20 248.00 37.55 0.012
7 10 60 30 304.44 54.8 0.034
8 30 60 10 262.29 50.4 0.036
9 10 80 10 171.19 151.6 0.089
10 30 60 10 260.42 60.5 0.027
11 20 50 30 358.31 43.45 0.059
12 22.5 55 22.5 273.77 54.6 0.022
13 15 55 30 480.09 51.6 0.023
14 10 60 30 359.09 59.6 0.024
15 20 50 30 370.02 54.68 0.025
16 10 80 10 248.71 140.6 0.091

of Smix, intermediate drug solubility (Y1 ) and the globule size (Y2 ) placed on a copper grid and the excess was removed with a l-
less than 100 nm. ter paper. One drop of 2% aqueous solution of phosphotungistic
acid (PTA) was added onto the grid and left for 3060 s to allow
2.5. Preparation of MEs staining. The excess was removed with a lter paper. The grid was
nally examined under the transmission electron microscope (JEOL
From the pseudo-ternary phase diagrams, Smix ratio with maxi- (JEM-1400), Tokyo, Japan).
mum ME region was selected. Different proportions of oil and Smix
were mixed based on the ratios presented in Table 1. The mixture 2.7. Formulation of DE-loaded ME and PMBG
of oil and Smix was mixed using vortex (VSM-3 model, PRO Scien-
tic Inc., Oxford, England) at ambient temperature. The measured As MEs have low viscosity, their retention at the affected parts
amount of distilled water was added drop wise to the oily mixture is quiet less. Therefore, their viscosity was required to be increased
until clear and transparent liquid was obtained. All MEs were then by the addition of a suitable gelling agent. Poloxamer was used
stored at ambient temperature. as a gelling agent for the optimized ME formulation to formulate
thermosensitive microemulsion-based gel of DE.
2.6. Evaluation of the prepared MEs Plain poloxamer gel (25%) was rstly prepared according to the
cold technique (Chang et al., 2002; Shin et al., 1999). ME contain-
2.6.1. Determination of drug solubility in the prepared MEs ing the drug was added portion-wise onto the plain gel in a ratio
The solubility of DE in MEs (in mg/ml: Y1 ) was determined. of gel:ME (2:1) with continuous stirring. The nal microemulsion-
Excess amount of DE was added in 5 g of each of the previously based gel formulation contained 1.3% w/w DE. DE was dissolved
prepared ME in 10-ml-capacity stoppered vials. The resultant mix- directly in the optimized ME to prepare drug loaded ME containing
ture was mixed initially by vortex mixer then, all the vials were 1.3% w/w DE.
shaken in the shaker for 24 h at 25 C.
Afterwards, centrifugation was done at 4000 rpm for 10 min and 2.8. Evaluation of DE microemulsion and PMBG
the concentration of DE in the supernatant was determined by UV
spectrophotometer after appropriate dilution with methanol at its 2.8.1. pH measurements and drug content
respective max . The plain ME without drug with the same compo- The apparent pH of the formulations was measured by a pH
sition was taken as blank after appropriate dilution with methanol. meter in triplicate at 25 C. For determination of drug content, one
gram of ME formulations was diluted with appropriate amount of
2.6.2. Determination of globule size by photon correlation methanol. The concentration of DE was determined by UV spec-
spectroscopy trophotometer at its respective max . The plain ME formulations
The globule size (in nm: Y2 ), was determined using photon without drug with the same composition was taken as blank after
correlation spectroscopy that analyzes the uctuations in light appropriate dilution with methanol.
scattering due to the Brownian motion of particles using Malvern
Zetasizer Nano-ZS (Ver.6.20, Malvern Instruments Ltd., Worcester- 2.8.2. Stability study
shire, England). All measurements were done at room temperature The optimized DE loaded ME and PMBGl were stored at
(25 C) and at 90 C to the incident beam. 40 C/75% RH for three months. Optical clarity and drug content
were performed for the stored drug loaded ME and microemulsion-
2.6.3. Measurement of spectroscopic absorbance at 400 nm based gel using the same procedures adopted for the fresh samples.
The optical clarity of aqueous dispersions of SNEDD formu- Morphology of the stored drug-loaded ME was determined using
lations was measured spectroscopically. The absorbance of each transmission electron microscopy.
formulation was measured at 400 nm, using distilled water as a
blank. 2.8.3. Skin irritation test
Three male albino Wistar rats (130150 g) were kept under
2.6.4. Transmission electron microscopy (TEM) of the optimized standard laboratory conditions and housed in cages with free access
DE loaded MEs to a standard laboratory diet and water ad libitum. A single dose of
The morphology of the optimized ME systems was observed 100 L of the optimized drug-loaded ME, optimized drug-loaded
using transmission electron microscopy. A drop of each ME was PMBG and the market formulation (Flector gel) was applied to the

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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left ear of the rat, with the right ear as a control. The development assigned to the second group, PMBG was assigned to the third group
of erythema was monitored for 24 h then the gel was removed, and the Flector gel was assigned to the fourth group.
and the application sites were graded according to a visual scoring In order to induce inammation, animals were rst injected with
scale from no erythma, mild, moderate, high and severe erythema 0.1 ml of 1% carrageenan solution in saline in the plantar region of
(Azeem et al., 2009; Shakeel et al., 2007). the right hind paw. The initial paw thickness (Ti ) was measured
using a Micrometer Caliper, one hour after carrageenan injection.
Then, 1 g of each formulation was applied to the right hind paw
2.8.4. Study of ex vivo transport of DE from optimized
of the rats. After 3 h of formulation application (sufcient time for
formulations into rat skin and ability to form in situ drug depot
skin loading and formation of in-skin drug depot), formulations
Ex vivo skin transport studies were performed using newly born
remaining on the surface of the paw were wiped off with cotton
rat skin (Azeem et al., 2009; Sarigullu Ozguney et al., 2006). Newly
then, the paw thickness (Tf ) was measured again using a Microm-
born albino Wistar rats were sacriced and skin samples obtained
eter Caliper at different time intervals (3, 4, 5, 6, 7, 8 and 12 h). The
was inspected for the presence of any holes or irregularities. Fresh
edema % was calculated from the mean effect in treated animals
skin used in the study was preserved in 10% glycerin solution
according to the following equation:
at 20 C. The study performed in this section was approved by
Research Ethics Committee, Faculty of Pharmacy, Cairo University. Tf Ti
% edema = 100
Skin was slowly thawed and was cut into small circular pieces. The Ti
lower surface of the skin was allowed to hydrate for 1 h at 37 C
where Tf is the thickness measured following administration of the
prior to experimentation.
formulae at different time intervals. Ti is the thickness measured
The Ex vivo skin transport studies of DE from the optimized ME,
1 h after carrageenan sodium injection. Data were analyzed statis-
PMBG and the market product (Flector gel) were performed in a
tically by Students t-test at 5% signicance level using GraphPad
USP dissolution apparatus tester (USP apparatus II) at 37 0.1 C.
Prism 5 program (GraphPad Inc., USA).
One gram of drug loaded ME, PMBG and the market formulation,
all containing 1.3% drug w/w were placed in double open-sided
3. Results and discussion
glass cylindrical tubes (2.5 cm in diameter and 5 cm in length, with
area = 4.9 cm2 ) tightly covered from one side with rat skin. The
3.1. Screening of components for ME
loaded tubes were attached from the second side to the shafts of
the USP dissolution tester apparatus. This assembly represents the
The saturated solubility of DE in various oils, surfactants and co-
donor compartment. The shafts rotated at a speed of 50 rpm in
solvents was estimated as shown in Fig. 1. Amongst the various oily
phosphate buffer pH 7.4. The dissolution vessels (receptor com-
phases that were screened, Capryol 90 provided the highest solu-
partment) were lled with 300 ml of phosphate buffer pH 7.4.
bility of DE so was chosen for further investigations. Solubility of DE
Four milliliter samples were withdrawn periodically at pre-
in Labrasol was the highest among the surfactants. Labrasol was
determined time intervals of 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7
selected for further studies due to its solubility prole and its low
and 8 h and replaced instantly by equal amount of fresh phosphate
toxicity level as a non-ionic surfactant (Shaq-un-Nabi et al., 2007).
buffer pH 7.4 in order to maintain the same volume.
Transcutol HP, which is a solubilizer and absorption enhancer
The drug concentration was determined by UV spectropho-
(Basalious et al., 2010), was found to be a very efcient solubilizer
tometer at 276 nm. The skin transport studies were done in
for DE, and so was chosen as a co-solvent in the development of
duplicates and the average percentage drug permeated was plotted
DE loaded ME formulations aiming to improve the drug loading
versus time. Cumulative amount of drug in receptor chamber for
capabilities.
the three formulations was plotted as a function of time.
To study the ability of the three formulations to form in situ
3.2. Construction of pseudo-ternary phase diagrams
depot in the skin, transport of DE in the skin was observed after
removal of the formulations from the donor compartment. Rat skin
To obtain the appropriate components and their concentration
was removed after 3 h. The formulations were wiped off with wet-
ranges for MEs, pseudo-ternary phase diagrams were constructed
ted cotton pieces then the rat skin was mounted again on glass
for different Smix ratios 1:1, 1:2 and 2:1, so that o/w ME regions
cylinder to continue the skin transport study.
could be identied and ME formulations could be optimized.
The three ratios gave stable and clear MEs but the ratio which
2.8.5. In vivo study of the anti-inammatory efcacy and gave the largest ME region was found to be 1:2 and therefore it
sustained delivery of in-skin depot of DE was selected for further studies. This is clearly shown in Fig. 2. The
The sustained anti-inammatory efcacy and the ability of the phase study clearly reveals that with a decrease in the weight ratio
optimized ME and PMBG to form in-skin depot were compared of Labrasol from 1 to 0.5, the ME region is expanded. This obser-
in vivo using carrageenan induced rat paw edema test. Flector gel vation conforms to the results obtained from the study of Barot
is the market formulation and it is used as a reference product. Also, et al. (2012). It is obvious also that an increase of the weight ratio of
plain PMBG is prepared to be used as a control. Each formulation Labrasol from 1 to 2 resulted also in expansion of the ME region.
except the prepared plain gel contains 1.3% w/w DE. This observation is in agreement with Shakeel et al. stating that
Thirty two adult male albino Wistar rats, weighing 130150 g as the surfactant concentration was increased in the Smix ratio, a
were used in this study. They were purchased from Helwans Farm higher ME region was observed, perhaps because of further reduc-
of experimental animals (Cairo, Egypt). The animals were accli- tion of the interfacial tension, increasing the uidity of the interface,
matized to environment for one week, they were housed under thereby increasing the entropy of the system (Shakeel et al., 2007).
controlled environment at 25 1 C with a 12 hur light/dark cycle. Thus, the effect of Labrasol on ME area depends the other com-
All animals had free access to standard rodent pellet food consist- ponents of ME especially co-solvent. This is because the reduction
ing of vitamin mixture (1%), mineral mixture (4%), corn oil (10%), of o/w interface is not achieved by single-chain surfactants alone.
sucrose (20%), cellulose (0.2%), casein 95% (10.5%), starch (54.3%) The combination of short to medium chain length alcohols (such as
and water. Transcutol HP) with single chain surfactants could result in lower-
Animals were divided into four groups of eight rats each. The ing the interfacial tension due to increased uidity at the interface
plain PMBG was assigned to the rst group, the optimized ME was (Binks et al., 1989). Miscibility of aqueous and oily phases could

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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Fig. 1. Solubility (mg/ml) of diclofenac epolamine in various microemulsion components.

Fig. 2. Pseudo-ternary phase diagrams of microemulsions composed of oil (Capryol 90), Smix (surfactant: Labrasol , co-solvent: Transcutol ) and water at various oil/Smix
ratios 1:2 (a), 1:1 (b) and 2:1 (c).

also be increased by medium chain length alcohols due to their coefcients X1 , X2 and X3 are related to the effect of these variables
partitioning behavior between the two phases (Lawrence and Rees, on the response. A positive sign of coefcient indicates a synergistic
2000; Shaq-un-Nabi et al., 2007). effect while a negative term indicates an antagonistic effect upon
the response (Huang et al., 2005). The larger coefcient means the
3.3. Formulation optimization of ME using D-optimal design independent variable has more potent inuence on the response.
As shown in Table 1, solubility of DE in the different ME formu-
In order to rapidly obtain the optimal ME, D-optimal mixture lation varied between 171.1 and 480 mg/ml. It can be inferred that
experimental design was applied in this study. The oil phase X1 the three independent factors have a profound effect on drug sol-
(Capryol 90), Smix X2 (a mixture of Labrasol /Transcutol , 1:2 ubility. As illustrated in Table 3, a p-value of 0.05 for any factor
w/w) and aqueous phase X3 (water) were chosen as formulation in analysis of variance (ANOVA) indicates a signicant effect of the
variables and the solubility of drug in ME, mg/ml (Y1 ), mean glob- corresponding factors on the solubility of drug in ME (Y1 ). It can
ule size (Y2 ) and absorbance of ME (Y3 ) were used as the responses be inferred that the terms X1 , X2 , and X3 have a signicant effect
(dependent variables). The responses of these formulations are on the drug solubility (p < 0.05). This result could be conrmed by
summarized in Table 1. The independent and response variables the positive value of these coefcients (Table 2). Fig. 3 shows the
were related using polynomial equation with statistical analysis contour diagrams illustrating the effect of varying ratios of (X1 ),
through Design-Expert software. As shown in Table 2, the approx- (X2 ) and (X3 ) on the solubility of drug in ME (Y1 ). It is obvious that
imation of response values of Y1 based on linear model was the the water content in ME formulation has the highest positive effect
most suitable because its PRESS was smallest. The values of the on the solubility of DE in ME. This means that increasing the water

Table 2
Reduced Regression results of the measured responses.

Response Model R2 Adjusted R2 Predicted R2 PRESS Regression equation for the responses

Y1 Linear 0.547 0.4774 0.342 58,715.09 Y1 = +307.68X1 + 117.74X2 + 832.50X3


Y2 Quadratic 0.8193 0.7537 0.5469 7792.269 Y2 = +526.53X1 + 384.48X2 + 830.97X3 1631.31X1 X2 2172.43X2 X3
Y3 Quadratic 0.7951 0.7439 0.6327 0.0036 Y3 = 0.29X1 + 0.26X2 + 1.25X3 2.70X2 X3

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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Table 3 negative effect of combination of Smix and water content on the


ANOVA of the solubility of drug in microemulsion formulations (Y1 ).
globule size of the MEs and thus, their absorbance. Fig. 4a and b
Source Sum of squares dF Mean square F p-Value shows the contour diagrams illustrating the effect of varying ratios
Model 48,819.5 2 24,409.7 7.85143 0.0058 of (X1 ), (X2 ) and (X3 ) on the globule size (nm) of ME (Y2 ) and spec-
Linear Mixture 48,819.5 2 24,409.7 7.85143 0.0058 troscopic absorbance of ME (Y3 ), respectively. It is obvious that
Residual 40,416.4 13 3108.95 there is an optimum ratio of all the mixture components for ME
Lack of Fit 31,080 8 3885 2.08057 0.2179 formulation having small globule size and absorbance. Sufcient
Pure Error 9336.38 5 1867.28
concentration of water is needed for maximal effect of Smix on
Cor Total 89,235.8 15
emulsication of Capryol .
The aim of the optimization of pharmaceutical formulations
is generally to determine the levels of the variable from which a
robust product with high quality characteristics may be produced
(Basalious et al., 2010). Some of the measured responses have to
be minimized. In this case, these responses comprise the globule
size (<100 nm) and the absorbance (<0.09). The small globule size
of oil phase of ME with high fraction of drug entrapped allows bet-
ter penetration of these oil globules into the skin to act as in situ
depot releasing the drug in controlled rate. Some responses, such as
the solubility of drug in ME should have an optimal intermediate
range (200350 mg/ml) to increase the fraction of drug incorpo-
rated into the oil globules allowing the controlled release of drug
from ME globules. The very high solubility of drug in ME systems
(about 480 mg/ml in case of formulation 13) is not required for for-
mulation of in-skin depot MEs as most of the drug is entrapped in
the aqueous phase of ME systems showing poor absorption into
the lipid of stratum corneum. Under these conditions, these three
responses were then combined to determine an all over optimum
region. Fig. 5 shows an acceptable region met the requirement of
these responses. According to the selection criteria, those ME com-
positions with high oil content, minimum content of Smix, optimal
DE solubility and smallest globule size were chosen. A ME for-
mulation satisfying these criteria was prepared and evaluated. An
optimum response was found with Y1 , Y2 , and Y3 of 317.6 mg/ml,
Fig. 3. Contour plot of the effect of variables on the solubility of drug in microemul- 54.4 nm and 0.024 at X1 , X2 and X3 values of 30%, 50% and 20%,
sion formulations (Y1 ). respectively.
DE was dissolved directly in the optimized ME to prepare drug
loaded ME containing 1.3% w/w DE. PMBG (containing 1.3% w/w DE)
content in ME formulation increases the fraction of DE that is sol- was prepared by mixing plain poloxamer gel with the optimized
uble in the aqueous phase of ME. ME containing the drug in a ratio of gel:ME (2:1) with continu-
As shown in Table 1, the globule size of the different ME for- ous stirring. Our goal was to prepare thermosensitive PMBG that
mulation varied between 28.19 and 151.6 nm. As shown in Table 2, undergoes gelling at skin temperature. The low viscosity is required
the approximation of response values of Y2 and Y3 based on the at the application site to allow better penetration of oil globules
quadratic model was the most suitable. of the optimized ME into skin. However, Poloxamer gel had lost
ANOVA of the effect of variables on globule size (nm) of ME (Y2 ) its thermosensitive properties upon mixing with ME. PMBG and
and spectroscopic absorbance of ME (Y3 ) shows that the terms X1 , ME were subjected to further studies to investigate their abil-
X2 , and X3 have a signicant effect on both responses (p < 0.05). ity to enhance DE transport into skin and formation of in-skin
The coefcient of X2 X3 for both responses was largest, showing the depot.

Fig. 4. Contour plots of the effect of variables on the globule size (Y2 ) (a) and the spectroscopic absorbance (Y3 ) (b) of the microemulsion formulations.

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
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3.5. Skin irritation test

Various formulations, when applied topically, might cause skin


irritation. Thus, rat skin irritation experiments were conducted in
order to assess the potential irritant effects of the optimized drug-
loaded ME, PMBG and the market formulation (Flector gel). All the
ME formulations and the market product show no erythema. Thus,
the optimized ME formulations were safe to be used for transder-
mal drug delivery.

3.6. Ex vivo transport of DE from optimized formulations into rat


skin and ability to form in situ drug depot

Ex vivo skin transport from the optimized drug-loaded ME,


PMBG and the market formulation (Flector gel) through newly
born rat skin are illustrated in Fig. 7.
One gram of each formulation was placed on skin of newly
born rat attached to a cylindrical tube having surface area 4.9 cm2 .
Amongst the formulations tested, the optimized drug-loaded ME
showed the highest cumulative amount of DE permeated after
Fig. 5. Overlay plot for the effect of different variables on the three responses.
The solubility of drug in microemulsion, mg/ml (Y1 ), mean globule size (Y2 ) and
8 h (345.45 g/cm2 29.8) followed by PMBG (57.45 g/cm2 9.8)
absorbance of microemulsion (Y3 ). and nally the market formulation (9.45 g/cm2 2.9). The con-
tent of the surfactants mixture in MEs signicantly enhanced the
transport of drug through skin. Moreover, the small globule size
of the ME droplets also affects the percutaneous absorption of the
3.4. Stability studies of the optimized formulations drug. When the droplet size is very small, there is a chance that the
number of vesicles that can interact with a xed area of stratum
The optimized formulations were stable when stored at corneum to increase, thereby increasing the efciency in percuta-
40 C/75% RH for three months where there was no obvious change neous uptake (Shah et al., 2010). Thus, the high skin transport of DE
in visual appearance. The drug content of the fresh and stored for- from ME is mainly due to the amount of drug solubilized in small oil
mulations of the optimized drug-loaded ME were 100.62% 2.12 globules that easily transport through the lipid of stratum corneum
and 98.54% 2.82, respectively. The drug content of the fresh and of the skin. Although containing the same surfactant mixture and
stored formulations of the optimized PMBG were 104.89% 3.22 globule size as ME, PMBG showed signicant reduction in drug
and 101.98% 3.6, respectively. The pH values of the fresh and transport in skin. An explanation for this observation may be due
stored optimized formulations ranged from 6.5 to 7. The morphol- to the high water content of PMBG (about 75%). The major amount
ogy of the optimized drug-loaded ME examined via TEM was not of DE is located in the aqueous phase interacting with Poloxamer
changed before and after storage. Transmission electron micro- micelles and consequently lower transport rate through the skin
graphs of the optimized formulation, Fig. 6 revealed that the was observed (Xuan, 2011). The explanation is useful also for the
globules of the developed MEs are spherical, discrete and have poor skin transport of DE from Flector gel compared with ME for-
uniform droplet size distribution. Globules appear to have compa- mulations especially when we know that composition of Flector
rable size to the calculated values obtained by photon correlation gel contains about 75% water with nonionic surfactant such as PEG
spectroscopy (Table 1). 400 monostearate. The lack of oil globules in the market product

Fig. 6. Transmission electron micrographs of the fresh (a) and stored (b) optimized drug-loaded microemulsion taken at 30,000 magnication.

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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Fig. 7. Permeation proles of DE from ME, PMBG and Flector gel through rat skin.

explains the signicant lowering of DE skin transport compared to


PMBG.
To conrm that DE containing oil globules transport through
stratum corneum and act as in-skin drug depot for sustained deliv-
ery of drug, release of DE from the skin was observed after removal
of formulations after 3 h of permeation from the donor compart-
ment. As shown in Fig. 7, the cumulative amount of DE permeated
from ME (removed 3 h after permeation from donor compartment)
was continuously increased with lower rate compared with that
of normal ME. This observation conrms that skin acts as drug
reservoir (in-skin depot) after removal of ME. In case of PMBG
and Flector gel, there was no remarkable increase of the cumula-
tive amount permeated of DE after removal of these formulations
from donor compartment. Thus, the gel matrix rather than skin
acts as drug reservoir for these formulations. Contrary to ME, the
availability of the gel on skin surface is very important to main-
tain anti-inammatory efcacy. To conrm the previous results,
the three formulations were subjected to in vivo study for treating
inamed rat skin.

Fig. 8. Anti-inammatory efcacy of drug-loaded ME and PMBG compared to the


3.7. In vivo study of the anti-inammatory efcacy and sustained market product in rat paw edema.
delivery of in-skin depot of DE

The anti-inammatory efcacy of DE was taken as a measure


of in-skin depot formation and the extent of transport of drug after formulation application (2 h after formulation removal). The
through the skin from the medicated formulations (ME, PMBG and highest inhibition of edema was observed in case of drug-loaded ME
Flector gel). After 3 h of formulation application (sufcient time where the effect was sustained to 12 h and was signicantly differ-
for skin loading and formation of in-skin drug depot), formulations ent from that of plain base 6 h (p < 0.05). Fig. 9 shows photoimages
remaining on the surface of the paw were wiped off with cotton. of right hind rat paw showing edema before and six hours after
Rat hind paw edema was used as a model for inammation application of drug-loaded microemulsion. These results correlate
in this study (Winter et al., 1963). Results revealed that injection well with results previously obtained by ex vivo skin transport
of carrageenan (selected as inammagen) produced a pronounced study conrming that oil globules of ME containing solubilized DE
edema. Formulations applied to inamed area were removed after penetrate through stratum corneum and act as in-skin drug depot
3 h of application. Thus, the higher the amount of DE loaded into for the sustained delivery of drug in the skin. This is highly useful
skin (in-skin drug depot), the extended transdermal drug delivery in dermal and transdermal deliver of drugs where the delivery sys-
and the higher is the anti-inammatory efcacy as the skin itself tem is applied onto skin for few hours (at night before sleeping)
acts as drug reservoir. to load skin with drug then the in-skin depot continue the trans-
The anti-inammatory efcacy of single dose application of dermal delivery of the drug. This is advantageous in case of skin
DE-loaded ME and PMBG was tested compared to Flector gel con- where topical application of conventional systems for treatment
taining the same concentration on the carrageenan induced rat hind of soft tissue injuries is highly frequent reaching up to four times
paw edema at different time intervals up to 12 h using plain base daily. The inhibitory effect of PMBG and Flector gel was remark-
as a control. As shown in Fig. 8, the inhibition of edema started 5 h ably lower than that of ME conrming that these gels act as the

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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Fig. 9. Photoimages of right hind rat paw showing edema before and 6 h after application of drug-loaded microemulsion.

drug reservoir and its availability on the skin surface is a must to Basalious, E., Shawky, N., Badr-Eldin, S.M., 2010. SNEDDS containing bioenhancers
sustain the delivery of the drug into the skin. for improvement of dissolution and oral absorption of lacidipine I: development
and optimization. Int. J. Pharm. 391, 203211.
Binks, B.P., Meunier, J., Langevin, D., 1989. Characteristic sizes lm rigidity and inter-
4. Conclusion facial tension in microemulsion systems. Prog. Colloid Polym. Sci. 79, 208213.
Chang, J.Y., Oh, Y.K., Choi, H.G., Kim, Y.B., Kim, C.K., 2002. Rheological evaluation of
thermosensitive and mucoadhesive vaginal gels in physiological conditions. Int.
In this study, ME and PMBG of DE were prepared and in vitro J. Pharm. 241, 155163.
evaluated. D-optimal mixture experimental design was applied in Chen, H., Chang, X., Du, D., Li, J., Xu, H., Yang, X., 2006. Microemulsion-based hydrogel
order to rapidly obtain the optimal DE-loaded ME formulations formulation of ibuprofen for topical delivery. Int. J. Pharm. 315, 5258.
Conte, A., Ronca, G., Petrini, M., Mautone, G., 2002. Effect of lecithin on epicutaneous
containing maximum amount of oil having minimum globule size absorption of diclofenac epolamine. Drugs Exp. Clin. Res. 28, 249255.
which allow transport of drug into skin forming in-skin depot Gao, P., Witt, M.J., Haskell, R.J., Zamora, K.M., Shifett, J.R., 2004. Application of a mix-
for sustained transdermal delivery of the drug. The optimized ME ture experimental design in the optimization of a self-emulsifying formulation
with a high drug load. Pharm. Dev. Technol. 9, 301309.
formulation composed of 30% Capryol , 50% Smix (a mixture of Holm, R., Jensen, I.H., Sonnergaard, J., 2006. Optimization of self-microemulsifying
Labrasol /Transcutol , 1:2 w/w) and 20% water. The stability of the drug delivery systems (SMEDDS) using a D-optimal design and the desirability
optimized formulation was retained after storage at 40 C/75% RH function. Drug Dev. Ind. Pharm. 32, 10251032.
Huang, Y.B., Tsai, Y.H., Lee, S.H., Chang, J.S., Wu, P.C., 2005. Optimization of pH-
for three months. The ME formulations showed no skin irritation independent release of nicardipine hydrochloride extended-release matrix
and are safe to be used for transdermal drug delivery. Contrary tablets using response surface methodology. Int. J. Pharm. 289, 8795.
to PMBG and Flector gel, the optimized ME showed the highest Huang, Y.B., Tsai, Y.H., Yang, W.C., Chang, J.S., Wu, P.C., Takayama, K., 2004. Once-
daily propranolol extended-release tablet dosage form: formulation design and
cumulative amount of DE permeated after 8 h and the release of DE
in vitro/in vivo investigation. Eur. J. Pharm. Biopharm. 58, 607614.
from the skin was observed even after removal of ME applied to the Kreilgaard, M., 2002. Inuence of microemulsions on cutaneous drug delivery. Adv.
skin. The high skin transport of DE from ME is mainly due to the Drug Deliv. Rev. 54 (Suppl. 1), S77S98.
amount of drug solubilized in small oil globules that easily trans- Kreilgaard, M., Pedersen, E.J., Jaroszewski, J.W., 2000. NMR characterisation and
transdermal drug delivery potential of microemulsion systems. J. Control.
port through the lipid of stratum corneum of the skin. The in vivo Release 69, 421433.
anti-inammatory efcacy in rat paw edema was sustained after Kweon, J.H., Chi, S.C., Park, E.S., 2004. Transdermal delivery of diclofenac using
removal of ME applied to the skin conrming the formation of in- microemulsions. Arch. Pharm. Res. 27, 351356.
Lawrence, M.J., Rees, G.D., 2000. Microemulsion-based media as novel drug delivery
skin drug depot. The signicant increase in DE transport through systems. Adv. Drug Deliv. Rev. 45, 89121.
the skin and the formation of in-skin drug depot by the developed Malcolmson, C., Lawrence, M.J., 1993. A comparison of the incorporation of model
ME propose that the prepared system could be promising to sustain steroids into non-ionic micellar and microemulsion systems. J. Pharm. Pharma-
col. 45, 141143.
the transdermal delivery of DE for treatment of soft tissue injuries. Malcolmson, C., Satra, C., Kantaria, S., Sidhu, A., Lawrence, M.J., 1998. Effect of oil on
The extended transdermal delivery of the optimized ME and clini- the level of solubilization of testosterone propionate into nonionic oil-in-water
cal evaluation on human patients with musculoskeletal pain needs microemulsions. J. Pharm. Sci. 87, 109116.
McCarberg, B.H., Argoff, C.E., 2010. Topical diclofenac epolamine patch 1.3% for treat-
to be investigated. ment of acute pain caused by soft tissue injury. Int. J. Clin. Pract. 64, 15461553.
OConnor, K.M., Corrigan, O.I., 2001. Comparison of the physicochemical properties
Acknowledgements of the N-(2-hydroxyethyl) pyrrolidine, diethylamine and sodium salt forms of
diclofenac. Int. J. Pharm. 222, 281293.
Petersen, B., Rovati, S., 2009. Diclofenac epolamine (Flector) patch: evidence for
We are very grateful for Marcyrl for Pharmaceutical Industries topical activity. Clin. Drug Investig. 29, 19.
and Gattefosse for providing the required chemicals for research Rhee, Y.S., Choi, J.G., Park, E.S., Chi, S.C., 2001. Transdermal delivery of ketoprofen
using microemulsions. Int. J. Pharm. 228, 161170.
work. We are also grateful to Dr. Ayman El-Sahar (Department of Sarigullu Ozguney, I., Yesim Karasulu, H., Kantarci, G., Sozer, S., Guneri, T., Ertan, G.,
Pharmacology and Toxicology, Faculty of Pharmacy, Cairo Univer- 2006. Transdermal delivery of diclofenac sodium through rat skin from various
sity), for his kind help in the in vivo study in this paper. formulations. AAPS PharmSciTech 7, 88.
Shaq-un-Nabi, S., Shakeel, F., Talegaonkar, S., Ali, J., Baboota, S., Ahuja, A., Khar, R.K.,
Ali, M., 2007. Formulation development and optimization using nanoemulsion
References technique: a technical note. AAPS PharmSciTech 8 (Article 28).
Shah, R., Magdum, M., Patil, S., Niakwade, S., 2010. Preparation and evaluation of
Azeem, A., Ahmad, F.J., Khar, R.K., Talegaonkar, S., 2009. Nanocarrier for the transder- aceclofenac topical microemulsion. Iran. J. Pharm. Res. 9 (1), 511.
mal delivery of an antiparkinsonian drug. AAPS PharmSciTech 10, 10931103. Shakeel, F., Baboota, S., Ahuja, A., Ali, J., Aqil, M., Shaq, S., 2007. Nanoemulsions as
Barot, B.S., Parejiya, P.B., Patel, H.K., Gohel, M.C., Shelat, P.K., 2012. Microemulsion- vehicles for transdermal delivery of aceclofenac. AAPS PharmSciTech 8, E104.
based gel of terbinane for the treatment of onychomycosis: optimization of Shin, S.C., Cho, C.W., Choi, H.K., 1999. Permeation of piroxicam from the poloxamer
formulation using D-optimal design. AAPS PharmSciTech 13, 184192. gels. Drug Dev. Ind. Pharm. 25, 273278.

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009
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Trotta, M., Morel, S., Gasco, M.R., 1997. Effect of oil phase composition on Xuan, X.Y., 2011. Lecithin-linker microemulsion-based gels for drug delivery.
the skin permeation of felodipine from o/w microemulsions. Pharmazie 52, Department of Chemical Engineering and Applied Chemistry, University
5053. of Toronto (Master Thesis) https://tspace.library.utoronto.ca/bitstream/1807/
Winter, C.A., Risley, E.A., Nuss, G.W., 1963. Anti-inammatory and antipyretic activi- 32214/1/Xuan Xiao Y 201111 MASc thesis.pdf
ties of indomethacin, 1-(p-chlorobenzoyl)-5-methoxy-2-methylindole-3-acetic Yuan, J.S., Acosta, E.J., 2009. Extended release of lidocaine from linker-based lecithin
acid. J. Pharmacol. Exp. Ther. 141, 369376. microemulsions. Int. J. Pharm. 368, 6371.

Please cite this article in press as: Fouad, S.A., et al., Microemulsion and poloxamer microemulsion-based gel for sustained
transdermal delivery of diclofenac epolamine using in-skin drug depot: In vitro/in vivo evaluation. Int J Pharmaceut (2013),
http://dx.doi.org/10.1016/j.ijpharm.2013.06.009

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