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ABSTRACT
Fungal keratitis is a corneal inflammation with blurred vision and painful eye, which can be treated
with fluconazole eye drops. The aim of the study was to find out effect of various formulation
parameters on in vitro corneal permeation of fluconazole eye drops. The corneal permeation studies
were conducted using freshly excised sheep cornea, mounted between donor and receptor chambers
of an all glass modified Franz diffusion cell, containing 11 ml of ringer bicarbonate (pH 7.4,
34o±1oC). At the end of the experiment, each cornea (freed from sclera) was weighed, soaked in 1 m
methanol, dried overnight at 90 °C and reweighed. From the differences in weights corneal
hydration was calculated. The formulation with pH 6 and concentration 2% containing phosphate
buffer and mannitol as tonicity modifier, butyl alcohol as preservative, and hydroxypropyl methyl
cellulose (HPMC) as viscosity modifier showed maximum permeation.
gift sample from Jubilant Organosys Ltd., and the solution were made isotonic by adding 0.5
Noida, India. Hydroxypropyl methyl g and 0.346 g of sodium chloride respectively.
cellulose (HPMC E50LV Premium) was
purchased from Loba Chemie Pvt. Ltd., Fluconazole ophthalmic solutions (0.2% w/v, pH
Bombay, India. Sodium chloride, potassium 6.0) containing different tonicity modifiers
chloride, magnesium chloride, calcium
chloride, sodium bicarbonate, sodium Fluconazole 0.2% w/v ophthalmic solution in
dihidrogen orthophosphate and dextrose 0.0667M phosphate buffer (pH-6.0), made
were purchased from Qualigens fine isotonic with either sodium chloride, glucose or
chemicals (Mumbai, India). All other mannitol were prepared.
chemicals purchased were of analytical
grade and were used as received. Fresh Fluconazole ophthalmic solutions (0.2%w/v, pH
whole eye ball of sheep were obtained from 6.0) containing preservatives
local butcher shop (Hisar, India), within
one-half hour of the animal being Fluconazole 0.2% w/v solutions in isotonic
slaughtered. The apparatus used in phosphate buffer (0.0667 M, pH 6.0), containing
permeation studies was same as published benzalkonium chloride (BAC 0.01% w/v), phenyl
elsewhere (7). mercuric nitrate (PMN 0.001%w/v), phenyl
mercuric acetate (PMA 0.001% w/v), benzyl
PREPARATIONS OF TEST FORMULATIONS: alcohol (BA 0. 5%v/v) or thiomersal (TM
0.05%w/v) were prepared.
Fluconazole ophthalmic solutions of
different pH Fluconazole Ophthalmic solutions (0.2% w/v,
pH 6.0) containing different viscolizing agent
Fluconazole (0.3% w/v) ophthalmic
solutions, pH 4.0, 5.0, 6.0 and 7.2 were Fluconazole 0.2% w/v solution in 0.0667M
prepared in distilled water and made isotonic phosphate buffer (pH 6.0), containing
isotonic with sodium chloride (0.9% w/v). either hydroxypropyl methylcellulose (HPMC) or
The pH was adjusted with 0.01N HCl and hydroxypropyl cellulose-high viscosity grade
sodium bicarbonate. (HPC-H) or polyvinyl alcohol (PVA 1.4% w/v)
were prepared.
Fluconazole ophthalmic solutions of
increasing concentration of pH 6.0 In Vitro transcorneal permeation study (8-10)
Corneal preparation
Required quantity of fluconazole was
dissolved in 25 ml distilled water to achieve Whole eye balls of the sheep were obtained from
a concentration of 0.2, 0.3 and 0.5% w/v the local butcher’s shop within half one-half of
and pH, adjusted to 6.0 and made isotonic the animal being slaughtered, then immediately
with sodium chloride.
Fresh cornea was mounted by corneal tissue, A is the exposed surface area of
sandwiching the surrounding scleral tissue corneal tissue (0.786cm2), C0 is the initial drug
between clamped donor and receptor cells concentration (μg/ml) in the donor compartment
of modified version of Franz diffusion cell and 60 is included to convert minutes to seconds.
in such a way that its epithelial surface The flux across the cornea was determined from
(apical) faced the donor compartment and the slop of the regression line obtained from the
endothelial surface faced to receptor linear part of the curve, between the cumulative
compartment. Cell was placed on magnetic amount permeated (Q) vs. time (t) plot.
stirrer in holding position. The receptor
compartment was filled with 11 ml. of Statistical analysis
freshly prepared bicarbonate ringer solution
(pH 7.4) and stirred using Teflon coated Statistical calculation were done by one-
magnetic stir bar. Drug solution (1 ml) was way analysis of variance (ANOVA) followed by
placed to the epithelial side of cornea in Dunnett’s test. A p value < 0.05 was considered
donor cell and stirring of the receptor fluid significant.
(jacketed with water at 34±1°C) was
started. At appropriate intervals, 2 ml RESULTS AND DISCUSSION
samples were withdrawn from the receptor
compartment and withdrawn sample
volume was replaced with equal volume of EFFECT OF PH ON IN VITRO TRANSCORNEAL
fresh bicarbonate ringer solution to ensure PERMEATION OF FLUCONAZOLE
sink conditions. Withdrawn samples were
analyzed spectrophotometrically (Varian- Table 1 and Figure 1 compare the effect of
Cary 5000 UV-VIS-NIR) by measuring pH on corneal permeation of fluconazole.
absorbance at λmax. of 260 nm. Each Fluconazole is a weak acidic with a pKa of 2.0
experiment was continued for about 2.0 (11). Thus, reducing the pH of the formulation
hours and was performed at least in should theoretically increase the corneal
triplicate. permeability by providing the higher unionized
lipid soluble fraction of the drug. The results show
At the end of the experiment, each a similar trend, as the pH of the formulation was
cornea (freed from sclera) was weighed, reduced from 7.2 to 4.0, there was an increase in
soaked in 1 ml methanol, dried overnight at apparent corneal permeability of fluconazole. The
90 °C and reweighed. From the difference highest apparent corneal permeability of
in weights, corneal hydration was fluconazole was obtained at pH 6.0. The
calculated. unusually higher permeation of fluconazole at pH
6.0 indicates that apart from passive diffusion,
some other pH- specific transport mechanisms are
also involved in corneal permeation of
fluconazole and needs to be investigated 4.7 fold greater amount of lacrimal function
further. The normal pH of lacrimal fluid is would be required to bring the pH of tears to
7.2 and eyes can tolerate pH between 6.0 to normal. The titre value also reveasl that the
8.5 without much discomfort (12). Upon irritation potential of formulations will be in the
instillation of eye drops of different pH into order of pH 6.0 < pH 5.0 < pH 4.0. Taking
the eye, the lachrymal secretion owing to its corneal permeability and irritation potential into
buffering action will bring back the pH to account, fluconazole ophthalmic solutions of pH
AJPSP: African Journal of Pharmaceutical Sciences and Pharmacy
normal value of lacrimal fluid i.e. 7.2. The 6.0 were found to be optimum and thus selected
results of titration of ophthalmic for further study.
formulations with 0.01N NaOH to pH 7.2
indicate that during in vivo use 1.7 fold and
different (p < 0.05) as compared to formulation of pH 7.2 as determined by one-way ANOVA followed by Dunnett’s
test.
800
700
600 pH - 4.0
500 pH - 5.0
400 pH - 6.0
300 pH - 7.2
200
100
0
0 50 100 150
Time (min.)
ophthalmic solutions are commercially keeping in view the higher loss of drug at higher
available as 0.3% w/v solution. In some conc. (0.5%) and therapeutic effectiveness of
studies 0.5% w/v (13) and 0.2% w/v (14) fluconazole at lower concentrations (0.2%), a
solutions of fluconazole have been used fluconazole ophthalmic solution of 0.2% w/v
successfully in therapeutic management of concentration was selected for further studies.
fungal keratitis.
900
Cumulative Permeation (µg)
800
700
600
0.20%
500
400 0.30%
300 0.50%
200
100
0
0 50 100 150
Time (Min.)
of fluconazole. There was no significant change in pH during storage. So, it will also have
difference between the apparent corneal somewhat more irritation potential as compared to
permeability (Papp.) of fluconazole from citrate buffer. Thus, phosphate buffer was selected
citrate or phosphate buffered formulation. as the vehicle for further study.
Since permeation of fluconazole is pH
dependent, if buffered vehicle is not used,
700
600
500 Unbuffered
400 Phosphate
300 Citrate
200
100
0
0 50 100 150
Time (Min.)
solution containing mannitol as tonicity sodium chloride. Thus, mannitol was selected for
modifier provided maximum permeation further study.
600
Cumulative Permeation (µg)
500
400 Glucose
300 Sodium Chloride
Mannitol
200
100
0
0 50 100 150
Time (min.)
% Cumulative Permeation*
Papp.×106 Relative % Corneal
pH
(cm./sec) Papp. Hydration
60 90 120
BAC 17.63±3.83 23.99±5.05 31.93±5.12 2.82±0.48 1.18 81.23±1.71
1800
BA (0.01%)
600 BAC (0.01%)
400 Control (Unpreserved)
200
0
0 50 100 150
Time (min.)
1600
Cumulative Permeation (µg)
1400
1200
PVA (1.4%)
1000
AJPSP: African Journal of Pharmaceutical Sciences and Pharmacy
HPMC (1.0%)
800
HPC-H (0.25%)
600
Control
400
200
0
0 50 100 150
Time (min.)
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AJPSP: African Journal of Pharmaceutical Sciences and Pharmacy