Abstract
The objective of the present study was to develop fast dissolving oral film of the antipsychotic drug, flupentixol dihydrochloride, to enhance its bioavailability, optimize its therapeutic effect when used to treat depression with anxiety, and increase the convenience and compliance by the mentally ill, developmentally disable, elderly, and pediatric patients. Six formulae were prepared with different concentrations of water-soluble polymers vis. hydroxypropyl methylcellulose (HPMC E5) and carboxymethyl cellulose (CMC) by solvent casting technique. The prepared films were subjected to characterization for folding endurance, weight variations, thickness, disintegration time, drug release pattern, and drug content. Physical compatibility between the drug and excipients was guaranteed in the selected formulation (2% HPMC) by means of differential scanning calorimetry analysis and Fourier-transform infrared spectroscopy. This formulation revealed high stability after testing according to the International Conference on Harmonisation guidelines. In vivo studies based on single phase parallel design were carried out for the optimized formulation in healthy human volunteers. The concentration of flupentixol dihydrochloride in plasma samples was analyzed by a developed validated LC-MS/MS assay method and the pharmacokinetic parameters of the established formulation were compared with the commercially available oral tablets. Faster rate of absorption of flupentixol could be obtained from the oral film formulation and the relative bioavailability was found to be 151.06% compared to the marketed product.
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Cilurzo F, Cupone IE, Minghetti P, Selmin F, Montanari L. Fast dissolving films made of maltodextrins. Eur J Pharm Biopharm. 2008;70(3):895–900.
Bala R, Pawar P, Khanna S, Arora S. Orally dissolving strips: a new approach to oral drug delivery system. Int J Pharm Investig. 2013;3(2):67–76.
Saha S, Tomaro-Duchesneau C, Daoud JT, Tabrizian M, Prakash S. Novel probiotic dissolvable carboxymethyl cellulose films as oral health biotherapeutics: in vitro preparation and characterization. Expert Opin Drug Deliv. 2013. doi:10.1517/174252472013799135.
Legendre JY, Schnitzler I, Li QY, Hausen C, Huart M, Luengo GS, et al. Formulation, characterization, and efficacy of an adenosine-containing dissolvable film for a localized anti-wrinkle effect. J Cosmet Sci. 2007;58(2):147–55.
Lam JK, Xu Y, Worsley A, Wong IC. Oral transmucosal drug delivery for pediatric use. Adv Drug Deliv Rev. 2013. doi:10.1016/jaddr201308011.
Garsuch V, Breitkreutz J. Comparative investigations on different polymers for the preparation of fast-dissolving oral films. J Pharm Pharmacol. 2010;62(4):539–45.
Jorgensen A. Pharmacokinetic studies in volunteers of intravenous and oral cis (Z)-flupentixol and intramuscular cis (Z)-flupentixol decanoate in Viscoleo. Eur J Clin Pharmacol. 1980;18(4):355–60.
Covell NH, McEvoy JP, Schooler NR, Stroup TS, Jackson CT, Rojas IA, et al. Effectiveness of switching from long-acting injectable fluphenazine or haloperidol decanoate to long-acting injectable risperidone microspheres: an open-label, randomized controlled trial. J Clin Psychiatry. 2012;73(5):669–75.
Product Monograph http://www.lundbeck.com/upload/ca/en/files/pdf/product_monograph/fluanxo_mkt_pm_ctrl148918_18oct2011_eng.pdf. Accessed on 18 Jan 2014.
Young JP, Hughes WC, Lader MH. A controlled comparison of flupenthixol and amitriptyline in depressed outpatients. Br Med J. 1976;1(6018):1116–8.
Kunte S, Tandale P. Fast dissolving strips: a novel approach for the delivery of verapamil. J Pharm Bioallied Sci. 2010;2(4):325–8.
Choudhary DR, Patel VA, Chhalotiya UK, Patel HV, Kundawala AJ. Development and characterization of pharmacokinetic parameters of fast-dissolving films containing levocetirizine. Sci Pharm. 2012;80(3):779–87.
Dixit RP, Puthli SP. Oral strip technology: overview and future potential. J Control Release. 2009;139(2):94–107.
Mashru RC, Sutariya VB, Sankalia MG, Parikh PP. Development and evaluation of fast-dissolving film of salbutamol sulphate. Drug Dev Ind Pharm. 2005;31(1):25–34.
Sushma M, Prasanna YR, Sundaresan C, Vandana K, Kumar NV, Chowdary VH. Transmucosal delivery of metformin—a comprehensive study. Curr Drug Deliv. 2014;11(2):172–8.
El-Kamel AH, Ashri LY, Alsarra IA. Micromatricial metronidazole benzoate film as a local mucoadhesive delivery system for treatment of periodontal diseases. AAPS Pharm Sci Tech. 2007;8(3):E75.
Acharjya SK, Panda P, Mallick P, Kumar KR, Narendra A, Sravani Y, et al. Spectrophotometric methods for simultaneous estimation of flupentixol dihydrochloride and melitracen hydrochloride in combined tablet dosage form. J Chem Pharm Res. 2010;2(3):158–71.
Gohel MC, Parikh RK, Aghara PY, Nagori SA, Delvadia RR, Dabhi MR. Application of simplex lattice design and desirability function for the formulation development of mouth dissolving film of salbutamol sulphate. Curr Drug Deliv. 2009;6(5):486–94.
Walter S, Bauer S, Roots I, Brockmoller J. Quantification of the antipsychotics flupentixol and haloperidol in human serum by high-performance liquid chromatography with ultraviolet detection. J Chromatogr B Biomed Sci Appl. 1998;720(1–2):231–7.
Website: http://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/Guidelines/Quality/Q1A_R2/Step4/Q1A_R2__Guideline.pdf. Accessed on 13 Jan 2014.
Enever RP, Li Wan Po A, Shotton E. Flupenthixol dihydrochloride decomposition in aqueous solution. J Pharm Sci. 1979;68(2):169–71.
Declaration of Helsinki as amended by the 52nd World Medical Assembly (WMA) Edinburgh, Scotland: World Medical Association 2000.
USFDA, 2001, http://www.fda.gov/downloads/Drugs/Guidances/ucm070107pdf, Accessed on 20 Jan 2014.
Patel JG, Modi AD. Formulation, optimization and evaluation of levocetirizine dihyrochloride oral thin strip. J Pharm Bioallied Sci 2012; (Suppl 1):S35-6
Bourtoom T. Plasticizer effect on the properties of biodegradable blend film from rice starch-chitosan Songklanakarin. J Sci Technol. 2008;30 Suppl 1:149–65.
Koland M, Sandeep V, Charyulu N. Fast dissolving sublingual films of ondansetron hydrochloride: effect of additives on in vitro drug release and mucosal permeation. J Young Pharm. 2010;3:216–22.
Midha KK, Hubbard JW, Rawson MJ, McKay G, Schwede R. The roles of stereochemistry and partial areas in a parallel design study to assess the bioequivalence of two formulations of hydroxychloroquine: a drug with a very long half life. Eur J Pharm Sci. 1996;4(5):283–92.
Morales JO, McConville JT. Manufacture and characterization of mucoadhesive buccal films. Eur J Pharm Biopharm. 2011;77(2):187–99.
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Abdelbary, A., Bendas, E.R., Ramadan, A.A. et al. Pharmaceutical and Pharmacokinetic Evaluation of a Novel Fast Dissolving Film Formulation of Flupentixol Dihydrochloride. AAPS PharmSciTech 15, 1603–1610 (2014). https://doi.org/10.1208/s12249-014-0186-8
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DOI: https://doi.org/10.1208/s12249-014-0186-8