Vaginal delivery of clotrimazole by mucoadhesion for treatment of candidiasis
Abstract
The aim of this study was to prepare mucoadhesive vaginal tablets of clotrimazole for treatment of vaginal candidiasis. A combination of mucoadhesive polymers like HPMC K100M, Sodium CMC, and Eudragit L100 were used in different ratios prepare solid dispersions to enhance its solubility. Tablets were prepared by the wet granulation method. Solid dispersions were evaluated for saturation solubility. All tablet batches were evaluated for weight variation, hardness, friability, drug content, swelling index, in vitro drug release study, ex vivo diffusion and mucoadhesive strength. FTIR spectra showed there was no interaction between the drug and the excipients. HPMC K100 M increased the solubility of clotrimazole in simulated vaginal fluid at pH 4.5. Eudragit L100 was shown to increase the swelling and mucoadhesive strength of the tablet, i.e., 3.03 and 3.29 g. The in vitro and ex vivo release of all 9 batches showed between 61 to 78% release in 8h. Ex vivo diffusion studies using sheep vaginal membrane showed 43 to 59% in 6h in simulated vaginal fluid. The release and flux were nearly comparable to marketed tablet i.e., Candid-V6. The drug release of all batches followed the Korsmeyer-Peppas kinetic model, and the mechanism was found to be non‐Fickian/anomalous.
Keywords: Clotrimazole, solid dispersion, HPMC K100M, Eudragit L100, Sodium CMC.
Keywords:
Clotrimazole, solid dispersion, HPMC K100M, Eudragit L100, Sodium CMCDOI
https://doi.org/10.22270/jddt.v11i6.5116References
Willems HME, Ahmed SS, Liu J, Xu Z, Peters BM. Vulvovaginal Candidiasis: A Current Understanding and Burning Questions.J. Fung. 2020; 17(8):5-16.
O-Prasertsawat P, Bourlert A. Comparative study of fluconazole and clotrimazole for the treatment of vulvovaginal candidiasis. Sex TransmDis.1995; 22(4):228-30. https://doi.org/10.1097/00007435-199507000-00005
Mendling W, Shazly MAEl, ZhangL. Clotrimazole for vulvovaginal candidiasis: More than 45 years of clinical experience. Pharmaceuticals. 2020; 13(10):1-26. https://doi.org/10.3390/ph13100274
Mahapatra APK, Patil V, Patil R. Solubility Enhancement of Poorly soluble Drugs by using Novel Techniques: A Comprehensive Review. Int J Pharm Tech Res. 2020; 13(2):80-93. https://doi.org/10.20902/IJPTR.2019.130211
Kumar S, Parkash C, Kumar P, Singh SK. Application of Some Novel Techniques for Solubility Enhancement of Mefenamic Acid, A Poorly Water-Soluble Drug. Int J Pharm Sci Drug Research. 2009; 1(3):164-71.
Elkalmi RM, Alshami AKM, Ahmad A, Khan MU, Rahman NSA, Alkoudmani RM. Assessment of learning style preferences of pharmacy students: Findings from Public University of Malaysia. Ind J Pharm Edu Res. 2015; 49(4):266-71. https://doi.org/10.5530/ijper.49.4.4
Patel A, Patel J. Design, development and in vitro evaluation of sertaconazole mucoadhesive vaginal tablet. Der Pharm Lett. 2012; 4(2):418-27.
Davis MT, Egan DP, Kuhs M, Albadarin AB, Griffin CS, Collins JA, et.al. Amorphous solid dispersions of BCS class II drugs: A rational approach to solvent and polymer selection. Chem Eng Res Des. 2016; 110(April):192-9. https://doi.org/10.1016/j.cherd.2016.04.008
Ganesan P, Soundararajan R, Shanmugam U, Ramu V. Development, characterization and solubility enhancement of comparative dissolution study of second generation of solid dispersions and microspheres for poorly water-soluble drug. Asian J Pharm Sci.2015; 10(5):433-41. https://doi.org/10.1016/j.ajps.2015.05.001
Pawar SR, Barhate SD. Solubility enhancement (Solid Dispersions) novel boon to increase bioavailability. J Drug Deliv Ther. 2019; 9(2):583-90. https://doi.org/10.22270/jddt.v9i2.2437
Falavigna M, Pattacini M, Wibel R, Sonvico F, Škalko-Basnet N, Flaten GE. The vaginal-PVPA: A vaginal mucosa-mimicking in vitro permeation tool for evaluation of mucoadhesive formulations. Pharmaceutics. 2020; 12(6):1-15. https://doi.org/10.3390/pharmaceutics12060568
Soni GC, Chaudhary P, Sharma P. Solubility Enhancement of Poorly Water-Soluble Drug Aceclofenac. Ind J Pharmacol. 2016; 3(3):139. https://doi.org/10.5958/2393-9087.2016.00030.3
Murtaza G. Solubility enhancement of simvastatin: A review. Acta Pol Pharm - Drug Res. 2012; 69(4):581-90.
Deshkar S, Kapare H, Chore S, Thakre A, Mahore J. Formulation Development and evaluation of mucoadhesive tablets for vaginal delivery of metronidazole. Int J Res PharmSci. 2020; 11:1973-81. https://doi.org/10.26452/ijrps.v11iSPL4.4535
Mahours G, Sherif A, Shaaban D, Shazly G. Formulation and Evaluation of Fluconazole Mucoadhisive Vaginal Tablets. Br J Pharm Res. 2016; 14(2):1-10. https://doi.org/10.9734/BJPR/2016/30629
Khan AB, Thakur RS. Formulation and evaluation of mucoadhesive vaginal tablets of tenofovir disoproxil fumarate. Der Pharm Lett. 2014; 6(6):184-97.
Kaushik ML, Jalalpure SS. Formulation development and evaluation of mucoadhesive tablets for vaginal drug delivery of metronidazole. Asian J Pharm Clin Res. 2011; 4(3):9-11
Ahmed M, Enever RP. Formulation and Evaluation of Sustained Release Paracetamol Tablets. J Clin PharmTher. 1981; 6(1):27-38. https://doi.org/10.1111/j.1365-2710.1981.tb00884.x
Khan AB, Saha C. Formulation and Evaluation of Mucoadhesive Vaginal Films of Ketoconazole. J Pharm Sci.2015; 5(2):61-80. https://doi.org/10.5530/rjps.2015.2.5
Umarji B, Patil R, Birajdar R, Mysore S. Formulation and in-Vitro Evaluation of Mucoadhesive Buccal Formulation and in-Vitro Evaluation of Mucoadhesive. Int J Adv Res. 2015; 4(7):175-191.
Nagarwal RC, Ridhurkar DN, Pandit JK. In vitro release kinetics and bioavailability of gastroretentive cinnarizine hydrochloride tablet. AAPS Pharm Sci Tech. 2010; 11(1):294-303. https://doi.org/10.1208/s12249-010-9380-5
Arora G, Malik K, Singh I. Formulation and evaluation of mucoadhesive matrix tablets of tarogum: Optimization using response surface methodology. Polim Med. 2011; 41(2):23-34.
Rao MRP, Zope A. Formulation and Evaluation of Mucoadhesive Clotrimazole Vaginal Tablet Using Liquisolid Technology.J Drug DelivTher. 2019; 9(4-A):477-85. https://doi.org/10.22270/jddt.v9i4-A.3444
Kumar Upadhyay N, Kumar GuptaR. Formulation and in-vitro Evaluation of Mucoadhesive Tablet of Famotidine. Int J Adv Res. 2019; 7(10):1223-36. https://doi.org/10.21474/IJAR01/9945
Arora G, Malik K, Singh I, Arora S, Rana V. Formulation and evaluation of controlled release matrix mucoadhesive tablets of domperidone using Salvia plebeian gum. J Adv Pharm Technol Res. 2011; 2(3):163-79. https://doi.org/10.4103/2231-4040.85534
Mukhopadhyay R, Gain S, Verma S, Singh B, Vyas M, Mehta M, et al. Polymers in designing the mucoadhesive films: A comprehensive review. Int J Green Pharm. 2018; 12(2):330-44.
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