» Articles » PMID: 26047011

Development of Sustained Release "NanoFDC (Fixed Dose Combination)" for Hypertension - An Experimental Study

Overview
Journal PLoS One
Date 2015 Jun 6
PMID 26047011
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

Objectives: The present study was planned to formulate, characterize and evaluate the pharmacokinetics of a novel "NanoFDC" comprising three commonly prescribed anti-hypertensive drugs, hydrochlorothiazide (a diuretic), candesartan (ARB) and amlodipine (a calcium channel blocker).

Basic Methods: The candidate drugs were loaded in Poly (DL-lactide-co-gycolide) (PLGA) by emulsion- diffusion-evaporation method. The formulations were evaluated for their size, morphology, drug loading and in vitro release individually. Single dose pharmacokinetic profiles of the nanoformulations alone and in combination, as a NanoFDC, were evaluated in Wistar rats.

Results: The candidate drugs encapsulated inside PLGA showed entrapment efficiencies ranging from 30%, 33.5% and 32% for hydrochlorothiazide, candesartan and amlodipine respectively. The nanoparticles ranged in size from 110 to 180 nm. In vitro release profile of the nanoformulation showed 100% release by day 6 in the physiological pH 7.4 set up with PBS (phosphate buffer saline) and by day 4-5 in the intestinal pH 1.2 and 8.0 set up SGF (simulated gastric fluid) and SIF (simulated intestinal fluid) respectively. In pharmacokinetic analysis a sustained-release for 6 days and significant increase in the mean residence time (MRT), as compared to the respective free drugs was noted [MRT of amlodipine, hydrochlorothiazide and candesartan changed from 8.9 to 80.59 hours, 11 to 69.20 hours and 9 to 101.49 hours respectively].

Conclusion: We have shown for the first time that encapsulating amlodipine, hydrochlorothiazide and candesartan into a single nanoformulation, to get the "NanoFDC (Fixed Dose Combination)" is a feasible strategy which aims to decrease pill burden.

Citing Articles

Targeted therapy in chronic diseases using nanomaterial-based drug delivery vehicles.

Singh A, Biswas A, Shukla A, Maiti P Signal Transduct Target Ther. 2019; 4:33.

PMID: 31637012 PMC: 6799838. DOI: 10.1038/s41392-019-0068-3.


Potential Strategies to Reduce Blood Pressure in Treatment-Resistant Hypertension Using Food and Drug Administration-Approved Nanodrug Delivery Platforms.

Fancher I, Rubinstein I, Levitan I Hypertension. 2019; 73(2):250-257.

PMID: 30624988 PMC: 6338082. DOI: 10.1161/HYPERTENSIONAHA.118.12005.


Bio Pharmaceutics Classification System (BCS) Class IV Drug Nanoparticles: Quantum Leap to Improve Their Therapeutic Index.

Kumar S, Kaur R, Rajput R, Singh M Adv Pharm Bull. 2019; 8(4):617-625.

PMID: 30607334 PMC: 6311639. DOI: 10.15171/apb.2018.070.


Nanocarriers as treatment modalities for hypertension.

Alam T, Khan S, Gaba B, Haider M, Baboota S, Ali J Drug Deliv. 2017; 24(1):358-369.

PMID: 28165823 PMC: 8241143. DOI: 10.1080/10717544.2016.1255999.


Preparation of Hydrochlorothiazide Nanoparticles for Solubility Enhancement.

Vaculikova E, Cernikova A, Placha D, Pisarcik M, Peikertova P, Dedkova K Molecules. 2016; 21(8).

PMID: 27490530 PMC: 6274297. DOI: 10.3390/molecules21081005.

References
1.
Thrall G, Lip G, Lane D . Compliance with pharmacological therapy in hypertension: can we do better, and how?. J Hum Hypertens. 2004; 18(9):595-7. DOI: 10.1038/sj.jhh.1001722. View

2.
Dickson M, Plauschinat C . Compliance with antihypertensive therapy in the elderly: a comparison of fixed-dose combination amlodipine/benazepril versus component-based free-combination therapy. Am J Cardiovasc Drugs. 2008; 8(1):45-50. DOI: 10.2165/00129784-200808010-00006. View

3.
James P, Oparil S, Carter B, Cushman W, Dennison-Himmelfarb C, Handler J . 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2013; 311(5):507-20. DOI: 10.1001/jama.2013.284427. View

4.
Khan M, Shah S, Hameed T . Barriers to and determinants of medication adherence among hypertensive patients attended National Health Service Hospital, Sunderland. J Pharm Bioallied Sci. 2014; 6(2):104-8. PMC: 3983739. DOI: 10.4103/0975-7406.129175. View

5.
Kumar G, Sharma S, Shafiq N, Khuller G, Malhotra S . Optimization, in vitro-in vivo evaluation, and short-term tolerability of novel levofloxacin-loaded PLGA nanoparticle formulation. J Pharm Sci. 2012; 101(6):2165-76. DOI: 10.1002/jps.23087. View