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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

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