Professional Documents
Culture Documents
Al Kassas2009
Al Kassas2009
To cite this article: Raida S. Al-Kassas & Mona M. El-Khatib (2009) Ophthalmic controlled release
in situ gelling systems for ciprofloxacin based on polymeric carriers, Drug Delivery, 16:3, 145-152,
DOI: 10.1080/10717540802689008
R e s e a r c h Ar t i c l e
Abstract
The objective of the present study was to design controlled release ophthalmic delivery systems for cip-
rofloxacin based on polymeric carriers that undergo sol-to-gel transition upon change in pH or in the
presence of cations in an attempt to prolong the effect of ciprofloxacin and improve its ocular bioavail-
ability. Carbopol and alginates polymers were used to confer gelation properties to the formulations.
Hydroxypropyl methylcellulose and methylcellulose were combined with carbopol to increase the viscos-
ity of the gels and to reduce the concentration of the incorporated carbopol. The release exponents (n)
for the designed systems were close to 1, indicating that the drug release occurred by zero-order kinetics.
Controlled release in situ gels consisting of carbopol and cellulose derivatives showed an increase in viscos-
ity, gelling capacity, and adhesiveness as the concentration of each polymeric component was increased.
On the other hand, these parameters possessed lowest values when alginate was used as an in situ gelling
agent. The antimicrobial efficiency of the selected formulation against gram-positive and gram-negative
organisms including Echerichia coli, staphylococcus strains and Pseudomonas aeruginosa confirmed that
the designed formulation has prolonged the antimicrobial effect of ciprofloxacin and retained its proper-
ties against bacteria.
Keywords: Ciprofloxacin; in situ gels; pH triggered systems; ophthalmic delivery systems; controlled release gels
Introduction increase its viscosity and slow down the drug elimina-
tion from the conjuctival sac; however, limited improve-
Development of controlled release delivery systems for ment in bioavailability has been obtained (Patton and
ocular therapy is a challenging task. Conventional eye Robinson, 1975; Zaki et al., 1986). Mucoadhesive prop-
drops results in poor bioavailability and therapeutic erty of the vehicle is also a critical factor that affects the
response owing to drainage by gravity-induced lac- corneal contact for drugs (Greaves and Wilson, 1993).
rimal and normal tear turnover (Schoenwald, 1990). Ophthalmic delivery systems based on in situ gel
Frequent dosing therefore is necessary to compensate have gained increasing interest. These systems consist of
for the decreased pre-corneal drug administration, polymers that undergo sol-to-gel phase transition upon
however it’s usually associated with non-patient com- change in the physical conditions (pH, temperature).
pliance. Inclusion of excess drug in the formulation in The gelation can be triggered by a shift in temperature
an attempt to overcome the bioavailability problem is as poloxamer (Miller and Donovan, 1982) and ethyl
potentially dangerous if the drug solution drained from (hydroxy ethyl) cellulose (Lindell and Engstrom, 1993),
the eye is systemically absorbed from the nasolacrimal a shift in pH as for cellulose acetate phthalate (Gurny,
duct (Middleton et al., 1990). It has been suggested that 1981) and carbopol (Srividya et al., 2001), or by presence
incorporation of polymers into aqueous vehicle can of cations as for deacetylated gellan gum (Carfors et al.,
Address for Correspondence: Raida Al-Kassas, Department of Pharmaceutics, College of Pharmacy, King Saud University, PO Box 17221, Riyadh 11484,
Saudi Arabia. Email: kassas_r2@yahoo.com
(Received 18 August 2008; accepted 15 December 2008)
ISSN 1071-7544 print/ISSN 1521-0464 online © 2009 Informa UK Ltd
DOI: 10.1080/10717540802689008 http://www.informapharmascience.com/drd
146 R. S. Al-Kassas and M. M. El-Khatib
1998) and alginate (Cohen et al., 1997; Liu et al., 2006). In Materials and methods
situ gel system is formulated as liquid preparation suit-
able to be instilled into eyes which upon exposure to the Materials
physiologic environment changes to gel, thus increasing
the precorneal residence time of the delivery system, Ciprofloxacin was obtained from Sigma Chemical Co
and enhances the ocular bioavailability of the drug. (USA). Carbopol 934 and Carbopol 971 were purchased
Ciprofloxacin (CPFX) (Scheme 1) is a synthetic fluo- from BF Goodrich (USA). Sodium alginate was obtained
roquinolone antibiotic with a broad spectrum antimicro- from Hopkins and Williams Ltd. (UK). Hyroxy propyl
bial activity (Goodman and Gilman, 1996). It is effective methyl cellulose, Methyl cellulose, and Tween 80 were
against external infection of the eye, such as conjuncti- obtained from Sigma Chemical Co. (USA). All other
vitis and kerato conjunctivitis (Appelbaum and Hunter, chemicals were commercially available products of ana-
2000). The solubility of ciprofloxacin is pH-dependant lytical grade.
and is ranging from 6.19 mg/ml at pH 5 to 0.15 mg/ml at
pH 7 and 37°C. The low aqueous solubility of this com- Preparation of in-situ ciprofloxacin formulations
pound at pH close to 7 is due to that in aqueous solution,
ciprofloxacin exists in its zwitterionic form due to the Table 1 shows the composition of controlled released
acid/base interaction between the basic nitrogen of the in-situ ciprofloxacin gels. Ciprofloxacin gels based on
piperazine and the carboxylic acid groups (Vilches et al., HPMC and Cabopol (CP) were prepared as follows.
2002). This interaction is the main reason that prevents Initially, HPMC was dispersed in pH 6 phosphate buffer
the design of liquid dosage forms such as ophthalmic containing 1% (w/w) Tween 80 using a mechanical stir-
and parenteral solution, because the aqueous compat- rer. Following complete hydration, CP was sprinkled
ibility of these drugs occurs at rather basic or acidic pH over the solution and allowed to hydrate over night.
(Allemandi et al., 1999). The efficacy of market fluoroqui- Ciprofloxacin was then dissolved in 0.5 N NaOH solu-
nolone products, mostly aqueous solubility, is limited by tion and incorporated manually into the HPMC/CP
poor bioavailability (Lin et al., 1996). When ciprofloxacin mixture until homogeneity was attained. Alginate gels
0.3% solution was used to treat bacterial corneal ulcers, were prepared by dispersing the required amount of
crystalline precipitates appeared in the superficial por- alginate polymer in pH 6 phosphate buffer containing
tion of the corneal defect (Thomson Micromedex, 2003). 1% w/v Tween 80. Ciprofloxacin was then added to the
Therefore, and based on what has been mentioned mixture after dissolving it in 0.1 N NaOH. The samples
above, the main objective of the present investigation were then transferred into amber ointment jars after
was to control the rate of dissolution of ciprofloxacin adjusting the pH to 6 and stored at 4°C prior to further
in an attempt to control its rate of absorption from the analysis.
cornea, improve its ocular bioavailability, and reduce its
side-effects by incorporating it into a controlled release Uniformity of drug content and pH measurements
in situ gelling system based on polymeric carriers.
Carbopol and alginate were investigated as vehicles for Drug content of ciprofloxacin formulations was deter-
formulation of ciprofloxacin eye drops which undergo mined by dissolving an accurately weighed quantity of
gelation when instilled into the cul de sac. Carbopol (CP) formulation (1 g) in 50 ml of pH 6 phosphate buffer. The
is widely used in in-situ gel forming systems, owing to solutions were then filtered through 0.45 m membrane
the property of its aqueous solution to transform into gel filter and analyzed for ciprofloxacin content by UV spec-
when the pH is raised. However, the concentration of CP trophotometer at 270 nm.
to form stiff gel results in highly acidic solutions which The pH was measured for each formulation using a
are not easily neutralized by the buffer action of the tear pH meter (Sartorius, USA) which was calibrated before
fluid. Therefore, viscosity-enhancing agents such as cel- use with buffered solution at pH 4, 7, and 10.
lulose derivatives were used in order to reduce CP con-
centration without compromising the gelling capacity Table 1. Composition of prolonged-action in situ ciprofloxacin
and the rheological properties of the prepared systems. eye gels.
In the present study hydroxypropylmethylcellulose Formulation Concentration (%W/W)
(HPMC) and methyl cellulose have been used as viscosi- code Drug HPMC CP934 CP971 MC Tween alginate
ty-enhancing agents to carbopol, and their effects on the F1 0.3 1.5 0.5 — — 1
mechanical properties and the release characteristics of F2 0.3 1.5 0.5 — 1 —
ciprofloxacin from the gel formulations were studied. A F3 0.3 — 0.5 — 1.5 1 —
further objective of the study was to evaluate alginate as F4 0.3 — — — — 1 2
an ocular delivery system of ciprofloxacin which has the F5 0.3 1 0.4 — — 1 —
ability to gel in the presence of cations. F6 0.3 1 0.5 — — 1 —
Ophthalmic controlled release in situ gelling systems 147
Gelling capacity w/w formulation was placed in the tube (phase I or the
donor phase). This was hung vertically in a beaker con-
The gelling capacity of ciprofloxacin formulations was
taining 50 ml artificial tear solution, pH 7.4 (phase II or
determined by placing a drop of the prepared systems
the acceptor phase). The diffusion system was placed
in a vial containing 2 ml of pH 7.4 artificial tear fluid
in a thermostatically shaking water bath at 37°C ± 1.
freshly prepared and equilibrated at 37°C. The gelling
At predetermined time intervals, 1 ml of the solutions
capacity was determined visually by assessing the gel
were removed from the acceptor phase and analyzed
formation and noting the time taken for the gel formed
for ciprofloxacin using a UV spectrophotometer at 270
to remain intact in tear fluid before complete dissolu-
nm and an equal volume of fresh, pre-warmed artificial
tion took place. The composition of artificial tear fluid
tear was replaced into the dissolution vessels. The pres-
was 0.670 g Sodium Chloride, 0.2 g Sodium bicarbo-
ence of formulation excipients did not interfere with the
nate, 0.008 g Calcium Cloride.2H2O, deionized water
analysis. The amount of ciprofloxacin released at each
q.s. 100 g (Vo’oleghem, 1993).
time was calculated from a calibration curve (2–10 µg/
ml, r > 0.99 with zero intercept).
Viscosity measurement
A Viscosimeter (Brookfield R.V II, UK) was used to Antimicrobial efficiency of controlled release
measure the viscosities of the developed CPs/Cellulose ciprofloxacin gel
derivatives—ciprofloxacin formulations (pH 6). The
The antimicrobial efficiency and prolonged effect of
spindle (number 21) was rotated at 10 rpm. The viscos-
selected controlled release ciprofloxacin gel were deter-
ity was also measured for ciprofloxacin formulations
mined on Echerichia coli, staphylococcus strains, and
after raising their pHs to 7.4 using 0.5 N NaOH solution.
Pseudomonas aeruginosa as a function of time. The
The change in viscosities of the formulation based on
inhibitory effect of ciprofloxacin formulation on the
alginate was evaluated after mixing it with artificial tear
studied microorganisms was evaluated using agar dif-
fluid.
fusion test. Wells were punched into the agar (Mueller
Hinton agar) previously seeded with test organisms (105
Adhesion study cfu/ml by Macferland method) and wells were filled with
100 µl of the samples which were collected from the in
The adhesion study of controlled release ciprofloxacin
vitro diffusion test of ciprofloxacin gel formulation. After
formulations, after gelling, was measured using the
incubation for 24 h at 37°C the diameters of inhibition
apparatus described by Agrwal and Mishra (1990). The
zones were measured. The results were compared with
apparatus consisted of two circular aluminium discs
control (artificial tear fluid).
each of 3 cm diameter. One disc was allowed to hang
on an iron stand with the help of an aluminium wire
fastened with a hook provided on the back side of the
disc. The other disc was connected to a pre-weighed
Results and discussion
lightweight plastic bag using a hook attached on its
Formulation of the gels
back. The studied gel was placed between the two discs,
which were then kept under constant pressure for 5 min The pH of the buffer has a major contribution in formu-
(preload time) to initiate adhesion bond. After that, lation of a stable and therapeutically effective ophthal-
water was added to the plastic bag through an intrave- mic delivery system. It has been reported that ocular
nous infusion set at a rate of 1 drop/min until the two penetration of levofloxacin, which is a derivative of
adhered discs became detached from each other. The ciprofloxacin, is at a maximum at pH 6.5 (Kawazu et al.,
water collected in the bag was weighed. The weights of 1996). In addition, and as mentioned earlier in the intro-
collected water were converted into force required for duction, the aqueous solubility of ciprofloxacin occurs
detachment. at acidic or basic pHs. Therefore, the pHs of ciprofloxacin
formulations prepared in this study were adjusted to 6.
In vitro diffusion studies of ciprofloxacin through a
membrane Physicochemical properties of controlled release
ciprofloxacin ophthalmic in-situ gels
The in vitro diffusion of the drug through a mem-
brane was carried out in a system composed of a glass Drug content and pH
tube in which a cellophane membrane (soaked over All prepared ciprofloxacin formulations possessed sat-
night in artificial tear fluid, pH 7.4) was stretched and isfactory pHs, ranging from 6–6.2. Drug content values
securely fastened with a rubber band; 1 g of the 0.3% ranged from 98–100%.
148 R. S. Al-Kassas and M. M. El-Khatib
that the impact of HPMC on the bioadhesive force of the between the zwitterionic species of ciprofloxacin and the
gels was lessened by the presence of CP971. Keeping the carboxylic groups of carbopol and alginates. During the
concentration of HPMC constant, the formulation con- diffusion studies, Na+, K+, HCO3−, and Cl− ions present
taining 0.5% (w/w) of CP 971 possessed lower adhesive in the acceptor phase (artificial tear fluid) diffused into
force than formulation containing 0.5% (w/w) of CP 943. the gel and Na+ and K+ promoted the exchange of the
On the other hand, methylcellulose has enhanced the cationic and zwitterionic species attached to carbopol
gel adhesiveness more efficiently than the other systems and alginate polymers. The dissociation of ionic pairs
examined. This could be due to the strong adhesive has contributed in facilitating the drug release from gel
nature of methylcellulose when it is combined with CP matrices. Vilches et al. (2002) reported that ionic pair-
in a formulation. Of all the systems prepared, the formu- ing between fluoroquinolones and carbopol is the main
lation containing 2% of alginate possessed the poorest interaction that determines the enhanced aqueous com-
adhesive properties, and would therefore be susceptible patibility and releasing properties of the drug. Moreover,
to easy removal from the cornea after administration. loading carbopol with fluoroquinolone together with an
Thus, these results suggest that addition of viscosity- appropriate amount Na+ yields physically stable disper-
enhancing agent to alginate gel may improve its adhe- sion that behaves as a molecular matrix of fluoroqui-
siveness and other mechanical properties. nolones, able to deliver the drug at a constant rate (zero
order) in contact with a biological fluid-like solution.
In vitro diffusion study Table 3. The time required for the release of 20% of the original mass
of ciprofloxacin from gel formulation.
The in vitro diffusion results of the drug release obtained
Formulation code T20% (min)
with the ciprofloxacin formulations in comparison with F1 135
F2 108
O F3 113
F 4 COOH F4 110
6 3 F5 105
7
1
F6 123
HN N N
a)
H H
Scheme 1. Chemical structure of ciprofloxacin.
40 C C
35
H C
30
% Drug diffused
25 HO O n
20 F1
15 F2
F3 b) a COO−
10 F4 O
OH O
OH
F5 COO−
5 F6 OH OH OH OH
HO HO
Pure drug
0
0 0.5 1 1.5 2 2.5 3 3.5 β-D-mannuronate (M) α-L-guluronate (G)
Time (hours) b
−OOC OH −OOC HO −OOC
O O O HO O
Figure 1. In vitro diffusion of ciprofloxacin from controlled release OH
O
HO O OH
O
gel formulations. O −OOC HO O
OH
O O
the ciprofloxacin solution are shown in Figure 1. A slow OH −OOC OH
diffusion rate was observed from ciprofloxacin solution G G M M G
which could be attributed to the low aqueous solubility c
of ciprofloxacin at pH close to 7. Surprisingly, incorpora- M MMMGMGGGGGMGMGGGGGGGGMMGMGMGGM
tion of ciprofloxacin into gels caused an increase in its
release and permeation rates. In an attempt to explain M-block G-block G-block MG-block
the reasons for these findings, the chemical structures
Figure 2. (a) General structure of Carbopol polymers. (b) schematic
of alginates and carbopol, the polymers used in gels diagram of the structure of alginate showing (a) the constituent sug-
formulations, were analyzed (Figures 2(a) and (b)). The ars, (b) their relevant linkages, and (c) possible intramolecular pat-
chemical structures suggest formation of ionic pairs terns of the different sugars.
150 R. S. Al-Kassas and M. M. El-Khatib
Table 3 shows the time required for 20% of the cip- for the release of ciprofloxacin from carbomer hydrogels.
rofloxacin to be released (T20%) from the various gel The slight deviation of the n-value that was observed in
formulations. Increasing the concentration of HPMC some cases could be attributed to the swelling properties
from 1 to 1.5% and the CP from 0.4 to 0.5% has mark- of these formulations following the ingress of water.
edly increased T20%. The maximum T20% value was 135 It has been reported that as the k-value becomes
min, and was associated with F1 (formulation contain- higher, the release rate becomes faster (Choi et al., 1998).
ing highest concentration of HPMC and CP). On the Analysis of k-value of the various formulations revealed
other hand, the minimum T20% value was associated that the release rate of ciprofloxacin was decreased as
with the formulation containing lowest CP and HPMC the concentration of each polymeric component was
concentrations (F5), and was 105 min. F3 (formula- increased. These results confirm our earlier finding
tion containing methylcellulose) and F4 (formulation based on T20% data. Moreover, replacing HPMC with MC
containing alginate) exhibited T20% values between the has slightly accelerated drug release rate, as indicated by
two. It is thought that these effects are the function of k-values, 0.1215 and 0.1246 for formulations containing
interaction of two parameters: the polymer type and its HPMC and MC, respectively. Based on the mechanical
concentration. As the polymer concentration increases, properties and release characteristics of the investigated
the diffusion of ciprofloxacin through the formulation formulations, formulation F3 containing Carbopol 934
reduces due to the more entangled nature of the poly- and methyl cellulose in addition to ciprofloxacin was
meric network. In addition, the ingress of water into the selected for the microbiological studies.
formulation containing high concentration of polymer
was reduced, thus lowering the rates of both dissolution/
Antimicrobial efficiency studies
erosion. Also, the density of the chain structure of the
gels increases at higher polymeric concentrations, and The antimicrobial efficiency of the selected controlled
this limits the active substance movement area (Wang et release ciprofloxacin formulation was evaluated against
al., 2001). Finally, the degree of swelling increases as the gram-positive and gram-negative organisms including
concentration of the suspended solids increases, thus Echerichia coli, staphylococcus strains, and Pseudomonas
decreasing the diffusion of ciprofloxacin from the swol- aeruginosa. The inhibition zones produced by cipro-
len matrix. The swelling phenomenon may be directly floxacin gel was measured in bacteriological medium
responsible for the effects of the type of polymer on the and the results are presented in Figures 3(a–c). The inhi-
drug release from the formulation. bition zones were evaluated every 30 min and reduction
The data generated from these release studies were in the growth of microorganisms was clearly observed.
fitted to the general release equation (Korsmeyer et al.,) Comparison of the diameters of the zone of growth
using the logarithmic transformation and least-square inhibition (Figure 4) reveals that controlled release cip-
regression analysis, as described below, in an attempt to rofloxacin formulation was most effective against E. coli.
investigate the mechanism of ciprofloxacin release. The growth inhibition was observed in the first 30 min of
the experiment and increased as the amount of cipro-
log Mt/M∞ = log k + n log t
floxacin diffused from gel was increased. Ciprofloxacin
where Mt is the amount of drug released at time t; M∞ gel has also shown activity against staphylococcus stains
is the total drug content; k is a constant incorporating but to a lesser extent than E. coli; however its antimicro-
structural and geometrical characteristics of the device; bial activity was sustained for 4 h. On the other hand,
and n is the release exponent which may indicate the the result of ciprofloxacin formulation against P. aerugi-
mechanism of drug release. nosa showed that the microorganism has resisted cipro-
The kinetic parameters n and k were calculated and tab- floxacin in the first 2 h, but rapid increase in the rate of
ulated (Table 4). For the formulations under investigation, growth inhibition was observed afterwards.
the release exponents (n) were close to 1, suggesting that In conclusion, various controlled release in situ gelling
ciprofloxacin was delivered from gels by zero order kinetics. systems for ciprofloxacin were designed and character-
Similarly, Vilches et al. (2002) reported zero-order kinetics ized in terms of ciprofloxacin release, mechanical, and
mucoadhesive properties. Based on the results obtained
Table 4. Kinetic parameters obtained from the release equation. from the in vitro characterization techniques, a candi-
Formulation code k N date formulation containing carbopol, methyl cellulose
F1 0.1215 1.022 in addition to ciprofloxacin was selected for microbio-
F2 0.1383 1.051 logical evaluation. The selected formulation offered
F3 0.1246 1.029 compromise between optimal ciprofloxacin release and
F4 0.1425 1.032 adhesiveness and rheological properties, and showed
F5 0.2111 0.975 a prolonged antimicrobial effect against gram-positive
F6 0.1698 0.973 and gram-negative organisms. The designed controlled
Ophthalmic controlled release in situ gelling systems 151
a) 50
S.aureus
45
b) Acknowledgement
References
Schoenwald R. Ocular drug delivery: pharmacokinetics considera-
tions. Clin Pharmacokinet 1990;184:255–269.
Middleton D, Leung S, Robinson J. In: Lenaerts V, Gurny R, edi-
tors. Bioadhesive drug delivery systems. Boca Raton, FL: CRC
Press;1990. p 179–202.
c) Patton T, Robinson J.Ocular evaluation of polyvinyl alcohol vehicle in
rabbits. J Pharm Sci 1975;64:1312–1316.
Zaki I, Fitzgerald P, Hardy J, Wolson C.A comparison of the effect of
viscosity on the precorneal residence of solutions in rabbit and
man. J Pharm Pharmacol 1986;3:463–466.
Greaves J, Wilson C.Treatment of diseases of the eyes with
mucoadhesive delivery systems. Adv Drug Deliv Rev 1993;11:
349–383.
Miller S, Donovan M.Effect of polaxomer 407 gel in the miotic
activity of polocarpine nitrate in rabbits. Int J Pharm
1982;12:147–152.
Lindell K, Engstrom S.In vitro release of timolol maleate from an in
situ gelling polymer system. Int J Pharm 1993;95:219–228.
Gurny R.Preliminary study of prolonged acting drug deliv-
ery system for the treatment of glaucoma. Pharm Acta Helv
1981;56:130–132.
Srividya B, Cardoza R, Amin P.Sustained ophthalmic delivery of
ofloxacin from a pH triggered in situ gelling system. J Contr Rel
2001;73:205–211.
Carfors J, Edsman K, Petersson R, Jornving K.Rheological evalua-
tion of gelrite in situ gels for ophthalmic use. Eur J Pharm Sci
Figure 3. Evaluation of the antimicrobial efficiency of ciprofloxacin 1998;6:113–119.
gel on (a) E. coli, (b) S. aureus, and (c) P. aeruginosa as a function of Cohen S, Lobel E, Trevgoda A, Peled Y.A novel in situ-forming oph-
time. thalmic drug delivery system from alginates undergoing gela-
tion in the eye. J Contr Rel 1997;44:201–208.
Liu Z, Li J, Nie S, Liu H, Ding P, Pan W.Study of an alginate/HPMC-
release in situ gelling system is a viable alternative to based in situ gelling ophthalmic delivery system for gatifloxacin.
Int J Pharm 2006;315:12–17.
conventional eye drops as a result of its ability to enhance Goodman L, Gilman A.The pharmacological basis of therapeutics, 9th
bioavailability through its prolonged drug release. ed. New York: McGraw-Hill;1996. p 1065.
152 R. S. Al-Kassas and M. M. El-Khatib
Appelbaum P, Hunter P.The fluoroquinolone antibacterials: past, Smart J, Kellaway I, Worthington H.An in vitro investigation of
present, and future perspectives. Int J Antimicrob Agents mucosa-adhesive materials for use in controlled drug delivery. J
2000;16:5–15. Pharm Pharmacol 1984;36:259–299.
Vilches A, Jilmenez-Kairuz A, Alovero F, Olivera M, Allemandi D, Ferrari F, Bertoni M, Caramella C, Lamanna A.Description and
Manzo R.Release kinetics and uptake studies model fluo- validation of an apparatus for gel strength measurements. Int J
roquinolones from carbomer hydrogels. Int J Pharm Pharm 1994;109:115–124.
2002;246:17–24. Jones D, Woolfson A, Brown A, Coulter W, McClelland C, Irwin
Allemandi D, Alovero F, Manzo R.Formulation of a neutral solution of C.Design, characterisation and preliminary clinical evaluation
ciprofloxacin upon complexation with aluminium. II Farmaco of a novel mucoadhesive topical formulation containing tet-
1999;54:758–760. racycline for the treatment of periodontal diseases. J Contr Rel
Lin H, Ko S, Hsu L, Tsai Y.The preparation of norfloxacin-loaded 2000;67:357–368.
liposomes and their in-vitro evaluation in pig’s eye. J Pharm Choi H, Hung J, Ryu J, Yoon S, Oh Y, Kim C.Development of insitu gel-
Pharmacol 1996;48:801–805. ling and mucoadhesive acetaminophen liquid suppository. Int J
Thomson Micromedex.MICROMEDEX (R), Healthcare series, 116.: Pharm 1998;165:33–44.
Thomson Micromedex, Washington, D. C., USA;2003. Wang Y, Hong C, Chiu W, Fan J.In vitro and in vivo evaluations of
Vo’oleghem M.. In: Edman P, editor. Biopharmaceutics of ocular drug topically applied capsaicin and nonivamide from hydrogels. Int
delivery. Boca Raton, FL: CRC Press;1993. p 27–41. J Pharm 2001;224:89–104.
Agrwal V, Mishra B.Design, development and biopharmaceutical Korsmeyer R, Gurny R, Doelker E, Buri P, Peppas N.Mechanism of
properties of buccoadhesive compacts of pentazocine. Drug Dev solute release from porous hydrophilic polymers. Int J Pharm
Ind Pharm 1990;25:701–709. 1983;15:25–35.
Kawazu K, Takashina H, Kawashima Y, Usui M, Mitsui Y.Effect of Choi H, Oh Y, Kim C.In situ gelling and mucoadhesive liquid sup-
pH on the ocular penetration of levofloxacin. Atarashil Ganka pository containing acetaminophen: enhanced bioavailability.
1996;13:259–262. Int J Pharm 1998;165:23–32.