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Research article
Design and evaluation of floating gastro retentive tablets of fixed dose
combination of ciprofloxacin and metronidazole
Rohit Lowalekar*1, Lalit Singh Chauhan2
1Bhupal
2Professor,
Abstract
Gastro-retentive drug delivery systems offer the advantage in prolonging the gastric emptying time for
drugs having a narrow absorption window in the gastrointestinal tract (GIT) resulting in poor
absorption. Ciprofloxacin and metronidazole both have a short half-life resulting in increase in dosage
regimen. Metronidazole is a nitro imidazole antibiotic and is ineffective on aerobic bacteria.
Ciprofloxacin on the other hand is a broad spectrum uoroquinolone antibacterial agent, the
combination of both, is active against a broad spectrum of obligate anaerobic bacteria. The purpose of
this study was to design, optimize and evaluate gastro- retentive floating tablet of Metronidazole and
Ciprofloxacin hydrochloride combination to increase the residence time in the stomach and thereby
giving prolong action of each drug individually. Screening of the various grades of HPMC polymer for
optimization of matrix forming polymer, followed by optimization of the ratio of the polymer, and the
quantity of the swelling agent guar gum. The micromeritic properties, tablet evaluation properties,
floating behavior and drug release studies for ciprofloxacin and metronidazole were conducted as per
guidelines and compared to the marketed product dissolution profile. The tablets showed acceptable
physicochemical properties. The optimization showed that HPMC E10M and HPMC K100M in the ratio
of 1:2 were the best suited polymers for the matrix whereas guar gum at 3.3 % was the ideal
concentration for the desired floating and drug release profile. The optimized batch was subjected to
stability studies at 40 C/75% RH for 3 months and depicted a stable formulation.
Key words: Ciprofloxacin, metronidazole, gastro-retentive drug delivery systems, matrix forming polymer.
*Corresponding author: Mr. Rohit Lowalekar, Bhupal Nobles Institute of Pharmaceutical Sciences, Udaipur,
Rajasthan, India. Email id: rohit.lowalekar@gmail.com
1. Introduction
Drugs that have narrow absorption window in
the gastro intestinal tract (GIT) will have poor
absorption (1, 2). For these drugs, gastroretentive drug delivery systems (GRDDSs)
have been developed. GRDDSs help in
maintenance of constant therapeutic levels for
prolonged periods and produce therapeutic
efficacy and thereby reduce the total dose of
administration. This is the main reason why the
oral sustained or controlled release dosage
F1
F2
F3
F4
F5
F6
F7
F8
F9
F10
F11
F12
582.1
500
150
0
0
0
52.9
15
20
60
50
10
1440
582.1
500
200
0
0
0
52.9
15
20
60
50
10
1490
582.1
500
250
0
0
0
52.9
15
20
60
50
10
1540
582.1
500
0
150
0
0
52.9
15
20
60
50
10
1440
582.1
500
0
200
0
0
52.9
15
20
60
50
10
1490
582.1
500
0
250
0
0
52.9
15
20
60
50
10
1540
582.1
500
0
0
150
0
52.9
15
20
60
50
10
1440
582.1
500
0
0
200
0
52.9
15
20
60
50
10
1490
582.1
500
0
0
250
0
52.9
15
20
60
50
10
1540
582.1
500
0
0
0
150
52.9
15
20
60
50
10
1440
582.1
500
0
0
0
200
52.9
15
20
60
50
10
1490
582.1
500
0
0
0
250
52.9
15
20
60
50
10
1540
release
profile
of
ciprofloxacin
and
metronidazole. Eight experiments (F-13 to F20) were designed with statistical significance
using the entire combinations of 66.6 mg and
133.3 mg of the two screened polymers and 50
and 100 mg of the guar gum quantity. The
mathematical equation for a 23 full factorial
design is as follows: Y= o + 1x1 + 2x2 +
12x1x2 + 3x3 + 13x1x3 + 23x2x3 + 123
x1x2x3 + . The powder blends obtained were
studies for micromeritic properties and the
204
Ingredients (mg)
Ciprofloxacin HCl
Metronidazole
HPMCK100M
HPMCE10M
Guar gum
PVP K 30
Citric Acid
NaHCO3
MCC
Mg. Stearate
F13
F14
F15
582.1
500
66.6
66.6
50
15
20
60
50
10
1403.7
582.1
500
133.3
66.6
50
15
20
60
50
10
1487
582.1
500
66.6
133.3
50
15
20
60
50
10
1487
F16
F17
F18
F19
F20
582.1
582.1 582.1 582.1
582.1
500
500
500
500
500
133.3
66.6 133.3
66.6
133.3
133.3
66.6
66.6 133.3
133.3
100
100
50
100
100
15
15
15
15
15
20
20
20
20
20
60
60
60
60
60
50
50
50
50
50
10
10
10
10
10
1553.7 1470.3 1537 1537 1603.7
Total wt.
Evaluation of powder blend
1. Bulk and tapped densities of granules: The
granules were poured gently through a glass
funnel into a graduated cylinder cut exactly
to 10 ml mark. Excess granules were
removed using spatula and the weight of the
cylinder with granules was determined.
Weight of the granules required for filling the
cylinder volume was calculated. The cylinder
was then tapped on a tapped density
apparatus until the time when there was no
more decrease in the volume. Bulk density
(b) was calculated as the quotient of the
weight of the granules and the volume of the
cylinder used. Tapped density (t) was
calculated as the quotient of the weight of
the granules and its final volume after
tapping.
2. The flow properties were characterized in
terms of Carrs index (Ic) and Hausners ratio
(HR).
3. Angle of Repose: The angle of repose
is
the angle formed by the horizontal base of
the bench surface and the edge of a conelike pile of granules. Funnel used was a
glass funnel and the size of the orifice was
about 10 mm and the height from the
Evaluation of tablets
1.
100
F2 50 log
1+
Rt
i 1
206
Powder
Blend
Angle of
repose ()
F1
F2
F3
F4
F5
F6
F7
F8
F9
F10
F11
F12
29.52
28.79
28.35
27.68
26.49
27.21
27.87
28.32
28.15
29.45
29.16
28.14
Loose Bulk
Density
(g/ml)
0.631
0.622
0.633
0.588
0.596
0.602
0.611
0.597
0.684
0.676
0.652
0.637
Tapped Bulk
Density
(g/ml)
0.762
0.759
0.764
0.758
0.725
0.735
0.742
0.522
0.763
0.784
0.736
0.766
Carr's Index
(%)
Hausners
ratio
19.25
18.87
21.63
20.11
16.78
17.69
17.84
18.63
18.98
19.55
18.75
18.69
1.29
1.23
1.27
1.18
1.2
1.27
1.28
1.26
1.25
1.22
1.27
1.24
207
Table IV: The quality control tests for tablets of batches F1-F12
Batch
Number
Hardness
(Kg/cm2)
(n=10)
Friability
(%) (n=6)
Weight
variation(mg)
(avg%SD)
(n=20)
Floating
lag Time
(Sec)
Floating
Time
(hrs)
F1
F2
F3
F4
F5
F6
F7
F8
F9
F10
F11
F12
4.50.05
4.80.12
5.10.04
4.10.22
4.30.17
4.20.06
4.50.34
4.30.21
5.00.19
4.90.01
4.50.08
5.10.04
0.440.26
0.470.18
0.510.29
0.390.15
0.520.11
0.390.18
0.520.26
0.390.18
0.440.26
0.520.26
0.430.29
0.510.29
100.20.024
99.80.86
99.90.91
100.31.05
100.10.75
99.81.2
99.80.36
99.71.79
100.10.23
99.91.54
99.81.58
99.80.98
99.20.21
98.80.64
101.20.38
98.40.54
98.30.14
97.51.04
101.70.74
98.40.39
97.60.87
99.10.14
98.60.63
98.60.98
76
75
78
96
79
104
68
70
101
79
76
78
>20
>20
>20
19
>20
19
15
>20
17
>20
>20
>20
209
Powder
Blend
Angle of
repose ()
F13
F14
F15
F16
F17
F18
F19
F20
28.37
27.64
27.29
25.83
26.71
25.68
27.59
26.21
Loose Bulk
Density
(g/ml)
0.679
0.634
0.654
0.613
0.668
0.654
0.689
0.613
Tapped Bulk
Density
(g/ml)
0.729
0.714
0.753
0.737
0.768
0.726
0.741
0.792
Carr's
Index (%)
Hausners
ratio
16.27
16.59
19.51
17.93
17.44
16.28
17.21
17.63
1.25
1.22
1.27
1.21
1.23
1.21
1.18
1.26
Table VI: The quality control tests for tablets of batches F13-F20
Weight
Hardness
Friability
Assay (90Floating
Batch
variation(mg)
2
(Kg/cm )
(%)
110%)
lag Time
number
(avg%SD)
(n=10)
(n=10)
(n=3)
(Sec)
(n=20)
F13
4.50.19 0.390.58
99.71.57
97.61.8
62
F14
4.70.53 0.410.91
100.10.89
97.12.7
75
F15
4.80.81 0.480.53
99.81.15
101.70.9
69
F16
4.80.46 0.510.15
99.81.07
98.21.3
60
F17
5.00.27 0.450.47
100.22.34
99.31.1
79
F18
4.60.89 0.510.12
100.12.5
97.12.3
81
F19
4.70.29 0.450.19
99.91.2
98.71.4
83
F20
4.80.31 0.430.21
99.81.6
101.52.8
69
Floating
Time
(hrs)
>20
>20
>20
>20
>20
>20
>20
>20
210
Conclusion
A combination of ciprofloxacin with an
antimicrobial agent active against anaerobes,
such as metronidazole, could prove an efficient
way of treating mixed aerobic/ anaerobic
infections. Moreover, the combination has
proved to be more potent than individual drug
administration.
Most
of
the marketed
combination drugs do not provide a sustained
release pattern and thus increase the
frequency of drug administration to the patient.
Development of gastro retentive dosage form
can be advantageous and could provide
prolonged gastric retention and an increased
efficacy
of
the
dosage
form.
For
accomplishments
of
the
target,
the
experimentation included the selection of
polymers, screening of polymers, optimization
of the ratio of polymers and optimization of
guar gum quantity, to achieve a floating lag
time of 75 seconds and the floating duration of
more than 20 hours with not less than 90 % of
drug release by 20 hours. From the screening
study evaluation, it was concluded that based
on the floating lag time, floating duration, and
drug release profiles, HPMC K100M and
HPMC E10M were the ideal HPMC polymers to
form the polymer matrix. Further a 23 full
factorial design with three factors and two
levels of each factor was carried out to optimize
the polymer ratio and to optimize the guar gum
quantity. Most of the experiments carried out
showed a linear and parallel release profile but
F14 shows the desired floating lag time of 75
seconds along with a floating time of more than
20 hours. The drug release profile for both
ciprofloxacin and metronidazole also showed
similar to that of the marketed brands Cifran
OD and FlagylER. This further concluded that
the best suited ratio between the polymers
HPMCK100M and HPMCE10M would be 2:1
and the levels of the polymers best suited for
the ideal formulation would be 133.3 mg and
66.6 mg for HPMCK100M and HPMCE10M
respectively and the optimum guar gum
quantity was 3.3 %. F2 value of F-14 was
nearing 100 which indicated a close
resemblance with point to point dissolution
profile of the test batch to the target profile
References
[1]
[2]
[3]
[4]
[5]
Singh BN, K. K,
Floating drug delivery
systems: an approach to oral controlled drug
delivery via gastric retention. Journal of
Controlled Release, 2000; 63(1-2): 235-259.
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
211