Transmucosal Nasal Drug Delivery: Systemic Bioavailability of ...
Transmucosal Nasal Drug Delivery: Systemic Bioavailability of ...
Transmucosal Nasal Drug Delivery: Systemic Bioavailability of ...
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5. Project I: Development <strong>of</strong> preparations for transmucosal nasal midazolam delivery<br />
midazolam concentration [mg/ml]<br />
50.0<br />
45.0<br />
40.0<br />
35.0<br />
30.0<br />
25.0<br />
20.0<br />
15.0<br />
10.0<br />
5.0<br />
0.0<br />
w ater 10% HPbCD 10% RMbCD 10% HPgCD<br />
midazolam 9.1 26.2 33.1 40.8<br />
Figure 5-3: Saturated midazolam concentration in water,<br />
10% RMβCD, 10% HPβCD, and 10% HPγCD (n=3).<br />
Midazolam solubility was<br />
9.1 mg/ml, 26.2 mg/ml,<br />
33.1 mg/ml, and 40.8 mg/ml in<br />
water, 10% HPβCD, 10% RMβCD,<br />
and 10% HPγCD, respectively.<br />
The calculated ratio <strong>of</strong> cyclodextrin<br />
and midazolam in the saturated<br />
solutions was 1 to 1.13, 1 to 1.33,<br />
and 1 to 1.97 for HPβCDmidazolam,<br />
RMβCD-midazolam,<br />
and<br />
HPγCD-midazolam<br />
complexes, respectively. Figure<br />
5-3 displays the solubility <strong>of</strong><br />
midazolam without and with<br />
solubilization<br />
enhancer<br />
(10% HPβCD, 10% RMβCD, and<br />
10% HPγCD).<br />
Midazolam release [ug/min]<br />
5.3.2 <strong>Drug</strong> Release<br />
2.00<br />
1.80<br />
1.60<br />
1.40<br />
1.20<br />
1.00<br />
0.80<br />
0.60<br />
0.40<br />
0.20<br />
0.00<br />
Dormicum<br />
(5mg/ml)<br />
.<br />
10mg/ml<br />
midazolam,<br />
equimolar RMbCD<br />
10mg/ml<br />
midazolam, 20%<br />
RMbCD<br />
Midazolam release in preliminary<br />
drug release studies was<br />
1.258 µg/min, 1.150 µg/min, and<br />
0.461 µg/min from Dormicum ®<br />
(5 mg/ml midazolam), 10 mg/ml<br />
midazolam solubilized with<br />
equimolar amount <strong>of</strong> RMβCD (4%)<br />
and 10 mg/ml midazolam<br />
solubilized with 20% RMβCD,<br />
respectively.<br />
Midazolam release did not<br />
correlate with the total midazolam<br />
concentration. In Figure 5-4 the<br />
results <strong>of</strong> the preliminary drug<br />
release study is displayed.<br />
Figure 5-4: Midazolam Release from Dormicum ® (5 mg/ml<br />
midazolam), 10 mg/ml midazolam solubilized with<br />
equimolar amount <strong>of</strong> RMβCD (4%) and 10 mg/ml midazolam<br />
solubilized with 20% RMβCD.<br />
Katja Suter-Zimmermann Page 50 <strong>of</strong> 188 University <strong>of</strong> Basel, 2008