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Pharmaceutical Chemistry Journal Vol. 44, No.

10, 2011

DRUG SYNTHESIS METHODS


AND MANUFACTURING TECHNOLOGY

STUDYING AN ASSORTMENT OF SUPPOSITORY BASES (REVIEW)

T. G. Yarnykh,1 E. V. Tolochko,1 and V. N. Chushenko1

Translated from Khimiko-Farmatsevticheskii Zhurnal, Vol. 44, No. 10, pp. 21 – 26, October, 2010.

Original article submitted March 24, 2010.

The existing assortment of suppository bases has been analyzed with respect to their physicochemical proper-
ties. The available data are systematized in the form of a table that provides the classification and summarizes
information on the composition, physicochemical properties, and manufacturers. The advantages and disad-
vantages of suppository bases and possibilities of their usage in ex tempore formulations depending on the
production technology and types (vaginal, rectal) are considered.
Key words: suppositories, suppository bases, drug technology.

Suppositories are today one of the most frequently used Hydrophobic suppository bases
drug forms. They are used to treat urological, gynecological, Hydrophobic suppository bases include fats and fat-like
proctological, and other types of diseases [1, 2]. substances that melt at body temperature and are of natural
Suppositories provide a therapeutic effect through the or semi-synthetic origin.
complex action of drugs and the base, which is responsible Cocoa butter was for many years considered the best
for the structural and mechanical or rheological properties. base. Cocoa butter was first used as a base by the French
The base is also one of the most important characteristics pharmacist Antuan Boom in 1766 [2]. Today cocoa butter is
that defines the stability of bound disperse systems. used to prepare suppositories ex tempore and is included in
The base makes up a large part of the suppository, exhib- the pharmacopoeias of almost all countries.
its certain physicochemical properties, and has a significant This base if obtained from roasted and purified seeds of
influence on the drug bioavailability, therapeutic action, the chocolate tree (Theobroma cacao, Streculeaceae) by hot
evenness of the ingredient distribution, the accuracy of the pressing. Cocoa butter is a solid natural plant fat [1, 2].
dose, etc. The advantageous qualities of cocoa butter are its misci-
Various types of suppository bases are offered on the in- bility with various drugs, rapid release of incorporated drugs,
ternational pharmaceutical market under known trade brands sharply defined melting point, and high plasticity (especially
that differ in the length of the saturated acid hydrocarbon after adding a small amount of anhydrous lanolin).
chain and the ratio of glycerides. Therefore, the quality can The drawbacks of cocoa butter are its poor ability to
also differ. It is important to know the characteristic features form emulsions (up to four drops per gram of butter), a ten-
of each suppository base when conducting manufacturing dency toward polymorphism, content of viable microorgan-
studies and preparing drugs. isms, and short shelf-life.
Bases are classified as hydrophobic, hydrophilic, and According to the USA pharmacopoeia, cocoa butter is
diphilic with respect to water. used to prepare suppositories by rolling, pouring, and press-
Table 1 presents the results from an analysis of an assort- ing [1, 3].
ment of suppository bases. Laurel oil and coriander oil are used as cocoa butter sub-
stitutes.
Fatty oils of caraway and anise were isolated and studied
from plants of the family Umbelliferae. Their solid part con-
1
National University of Pharmacy, Kharkiv, Ukraine. sisted of mainly triglycerides of petroselinic acid (about
e-mail: tl@ukrfa.kharkov.ua

551
0091-150X/11/4410-0551 © 2011 Springer Science+Business Media, Inc.
552 T. G. Yarnykh et al.

TABLE 1. Suppository Bases


Suppository base Composition Physicochemical properties Melting point, °C Manufacturer, country
Hydrophobic suppository bases
Cocoa butter (Oleum Triglycerides of higher fatty acids: Dense homogeneous mass, yel- 32.0 – 34.0 Ukraine, USA, etc.
Cacao seu Butyrum Ca- palmitic, oleic, lauric, stearic, arachic low with weak aromatic aroma
cao) and pleasant taste
Laurel butter (Oleum Derivatives obtained from kernels of Yellowish mass, solid consis- 34.0 – 35.0 Ukraine
Cinnamomi laurel fruit tency with pleasant aromatic
pedunculati) taste, melts in the mouth. Cocoa
butter substitute
Coriander butter Triglycerides of petroselinic acid, Cocoa butter substitute 30.0 – 31.0 Ukraine
(Oleum Coriandri) >50% of the dense part
Erticoat (Erticoat) Fractionated hydrogenation products Solid mass 35.0 – 37.0 Belgium
H-340 of palm and soy oils
Kuva-300 Fractionated hydrogenated paraffin Solid mass 38.0 ± 2.0 Loders Croclaan, Neth-
plant fat not based on laurel from plant erlands
oils (palm, soy, cotton, and peanut)
Kuva-500 Non-laurel fat, partially fractionated, Solid mass 35.0 ± 2.0 Loders Croclaan, Neth-
based on palm oil, raffinated erlands
Fat base 30% cocoa butter, 49-60% hydroge- Solid mass 38.0 ± 2.0 OAO Nizhfarm, Russia
nated sunflower oil (culinary fat) and
10-21% paraffin
GKhM-3T Mixture of hydrogenated peanut oil Solid mass with weak specific – Russia
with 3% T-2 emulsifier or aroma
propyleneglycol monostearate emulsi-
fier
GKhM-5T Mixture of hydrogenated cotton oil Solid mass with weak specific 36.0 – 37.0 Russia
with 4-5% T-2 emulsifier aroma
Supporinum-M Mixture with 95% hydrogenated cot- Light-yellow, homogeneous mass 34.0 – 36.0 Ukraine
ton oil and 5% T-2 emulsifier with weak specific aroma
Butyrol 50% hydrogenated fats, 20% paraffin, Solid mass from white to 37.0 ± 2.0 Ukraine
30% cocoa butter light-yellow with specific aroma
Salomas, various types Hydrogenation products of cotton or Solid mass from white to 32.0 – 34.0 Ukraine
sunflower oil with subsequent purifi- light-yellow with cream tint and
cation specific aroma
Lanolin base (Basic Lanolin 60 (80)%, hydrogenated fat 20 Solid homogeneous waxy mass, 35.5 – 37.5 Ukraine
Lanolum) (10)%, paraffin 20 (10)% white or with yellowish tint and
unique aroma
Solid confectionary fat Processed products of palm base and Solid base from white to 33.0 – 36.0 Ukraine
(Solides Adeps) types plastified salomas base light-yellow with cream tint and
A, B, C, E unique aroma
Sebuvinol Fraction of beef fat Solid mass. Has thickness of co- 36.0 – 37.0 Russia
(Sebuvinolum) coa butter
Massa Estarinum, types Mixture of mono-, di-, and triglycer- White mass, almost without 29.0 to 50.0 Dynamit Nobel Chemi-
A, B, C, D, E, T ides of saturated acids (lauric, myris- aroma and taste, melts at body cal, Great Britain
tic, palmitic, stearic) temperature forming colorless or
yellow liquid
Witepsol, types H, W, Mixture of mono-, di-, and triglycer- White crumbling solid, readily mp/solidification point, Dynamit Nobel Chemi-
S, E ides of plant acids C12—C18. Main melting mass without aroma and °C cal, Great Britain; Sasol
H-15 part, triglycerides of lauric acid taste 33.5 – 35.5 /32.0 – 34.5 Germany GmbH, Ger-
H-32 32.1 many
W-35 33.5 – 35.5 /27.0 – 30.0
E-75 37.0 – 39.0 /32.0 – 36.0
Novata, various brands Mixture of solid mono-, di-, and tri- White solid melting mass without Henkel, Germany
PK glycerides of saturated fatty acids aroma and taste 31.0 – 35.5
PKS C11—C17, alcohols C12—C20, and 38.0 – 40.0
non-ionizable polyethyleneglycol
PKS-37 36.0 – 37.5
emulsifiers
Lasupolum, brands G, Mixture of cetyl and stearyl alcohol White solid melting mass without 34.0 – 37.0 Germany
E, M phthalates aroma and taste
Studying an Assortment of Suppository Bases 553

TABLE 1. (Continued)

Suppository base Composition Physicochemical properties Melting point, °C Manufacturer, country


Estaram, types H, W, S, Semi-synthetic glycerides consisting White solid melting mass without 32.0 – 42.0 Croda Chemicals Eu-
E of a mixture of tri-, di-, and aroma and taste rope, Great Britain
monoglycerides of natural fatty oils
Supoweiss, types H, W, Semi-synthetic glycerides consisting White solid melting mass without 32.0 – 42.0 Croda Chemicals Eu-
S, E of a mixture of tri-, di-, and aroma and taste rope, Great Britain
monoglycerides of natural fatty oils
Fattibase Complex of fatty acid esters, 97% con- Matte colored base, paraffin-like, 32.0 – 35.0 Paddock Laboratories
sists of hydrogenated plant oil almost without aroma Inc., USA
Weecobee, brands M, Hydrogenation products of plant oil Solid mass without taste and 40.0 – 45.0 Stepan Company,
S, R, W aroma Northfield, Ill., USA
Hydrokote M Hydrogenation products of palm oil Solid whitish mass 36.0 – 39.0 Abitec Corporation, Co-
lumbus, OH, USA
Hydrophilic suppository bases
Gelatin—glycerin base Gelatin, 1 part; water, 2 parts; glyc- Homogeneous transparent mass – Ukraine, Russia, France,
(Massa gelatinosa) erin, 5 parts Hungary
Soap—glycerin base Crystalline sodium carbonate, 0.13; Suppositories prepared from this – Ukraine
(Mass sapo-glycerinata) glycerin, 3; stearic acid, 0.25 base are colorless, transparent,
Per single child/adult bar: crystalline hygroscopic, and as a rule, are Russia
sodium carbonate, 0.06/0.103; glyc- used without adding other drugs USA, Hungary,
erin, 1.44/2.460; stearic acid, Netherlands, Austria,
0.12/0.205 Poland
Polyethyleneoxides Polymers of ethylene oxide with over- PEO-300, 400, 600, colorless Solidification tempera- Ukraine, Russia, USA,
(PEO) all formula H(O–CH2CH2)nOH transparent viscous hygroscopic ture: France, Germany, etc.
(Polyaethylenoxyde, (n = 3-325) liquid with weak characteristic PEO-600 15.0 – 35.0;
Polyaethylenglycolum, aroma. PEO-1000, 1500, 3000, PEO-1000 35.0 – 40.0;
Carbowax, Scurol, 3350, 4000, 6000, 8000, 20000, PEO-1500 42.0 – 48.0;
Postonal) 35000, white or almost white PEO-3000 50.0 – 56.0;
hygroscopic paraffin-like solid PEO-3350 53.0 – 57.0;
mass PEO-4000 53.0 – 59.0;
PEO-6000 55.0 – 61.0;
PEO-8000 55.0 – 62.0;
PEO-20000/35000:
min 57.0
Diphilic suppository bases
Emulsogel Emulsogel No. 1: Manufactured solid emulsion has – Ukraine
Cocoa butter, 15.0; optimum characteristics of plas-
PEO-400, 15.0; ticity, elasticity, and viscosity
wax emulsion, 5.0,
PEO-1500, to 100.0;
Emulsogel No. 2:
Solid fat, 17.5;
Tween-80, 0.5;
PEO-400, 16.0;
PEO-1500 and PEO-4000 (1:1),
to 100.0;
Emulsogel No. 3:
Hydrogenated sunflower oil, 4.5;
Tween-800, 0.5;
PEO-400, 17.0;
PEO-4000, to 100.0

20%), the melting point of which was 29.0 – 31.5°C [1, 2, 4]. Hydrogenated plant oils are also widely used as supposi-
These oils have physicochemical and other properties that tory bases. This type of base includes Erticoat H-340 and
are similar to oil of coriander. Therefore, they can be used as Kuva. An advantage of the Kuva bases is that the non-laurel
suppository bases. fats from which they are produced are more stable than laurel
554 T. G. Yarnykh et al.

fats and combine well with cocoa butter. A fat base from duce thermal fractionation products from fats and hydroge-
Gorkii CPP (OAO Nizhfarm) is used for industrial produc- nates.
tion of suppositories in Russia and can also act as a cocoa The first base of this type was Sebuvinol, which had seri-
butter substitute [1, 2]. ous drawbacks such as rapid spoilage and formation of sup-
Combinations of hydrogenated plant oils with emulsifi- positories that were insufficiently plastic. This base was used
ers belong to a separate group of hydrophobic suppository to prepare suppositories by pouring. I. S. Azhgikhin pro-
bases. posed a mixture of acetone-soluble fractions of beef fat hy-
The base GKhM-5T, which was developed by Yu. A. drogenates and palm-kernel oil. Removal of acetone pro-
Blagovidova and I. S. Azhgikhin, has properties that are duced solid products to which one of the emulsifiers T-2
comparable with those of cocoa butter and has definite ad- (3%), propyleneglycolmonostearate (up to 5-10%),
vantages because it contains T-2 emulsifier, which enhances saccharoglycerides (up to 0.5%), or sacccharose distearate
absorption of aqueous solutions and the assimilation of (up to 0.5%) was added to produce the base [1, 2].
drugs. The base is recommended for preparing suppositories Yet another group of hydrophobic suppository bases con-
with various drugs by pouring. A. I. Tentsova and V. V. sists of the products of directed esterification of high-molec-
Sergeev proposed the suppository base GKhM-3T. These ular-weight alcohols with semi-synthetic fatty acids. Bases
mixtures emulsify a large amount of water and aqueous drug of fatty compositions containing fatty acid glycerides are
solutions, are compatible with compounds of various physi- typically inert, have good structural and mechanical qualities
cochemical natures, are chemically inert to the human organ- and the optimum ratio of melting and solidification points,
ism, and release drugs faster than from cocoa butter [2]. and are stable on storage [1].
A team of scientists from Tashkent Pharmaceutical Insti- The suppository base Estarinum is produced from
tute proposed hydrophobic suppository bases based on saponification products of cocoa butter and palm oil. Several
esterification products of locally produced plant oils (cotton, types of bases with different physicochemical properties are
olive, peach, sunflower) with various weight combinations manufactured. This group of bases has advantageous quali-
ties in that they do not spoil, do not form polymorphic modi-
of animal fats and addition of emulsifiers No. 1, T-2, or
fications, emulsify well aqueous solutions, and quickly solid-
Tween-80. Preliminary structural-mechanical studies and nu-
ify [1, 7].
merical indicators showed that the hydrophobic composition
The base Witepsol is widely used in both industrial man-
with 5% T-2 emulsifier could be used as a suppository base [5].
ufacturing and pharmacy practice. Many types of this base
The suppository base Supporin-M melts readily, is chem-
are available. This enables the optimum base with certain
ically inert and non-toxic, quickly releases drugs, is easily
physicochemical properties to be selected. The base has ad-
shaped, and does not cause rectal irritation [2].
vantages since it is inert, does not form polymorphic modifi-
Mixtures of hydrogenated fats with fat-like compounds,
cations, emulsifies well aqueous solutions, and solidifies
emulsifiers, or hydrocarbon products are rather widely used
quickly after melting. The time for complete deformation of
as cocoa butter substitutes. Compounds such as wax, paraf-
suppositories is up to 15 min [1, 2, 7]. A drawback of this
fin, and spermaceti are used to increase the melting point of base is the possible fracture of manufactured suppositories.
mixtures whereas lanolin, lecithin, cholesterol, etc. are used to Various brands of Novata and Lazupol bases are recom-
improve the miscibility of the resulting bases with water [1]. mended for preparation of suppositories with fat-soluble
A mixture of hydrogenated fats with 4% paraffin called drugs. These reduce the melting point of the suppositories [1].
Butyrol was first proposed in 1934 by A. G. Bosin. Today the The bases Estaram and Supoweiss are produced via
base butyrol consists of hydrogenated fats, paraffin, and co- esterification of cocoa butter and/or palm oil free fatty acids
coa butter and has a thickness compared to cocoa butter of with glycerin (Estaram) or transesterification of hydroge-
66.5% [1, 2]. nated plant oils. Several types of bases with different melting
Hydrogenated fats are accepted by many pharmacopoe- points and physicochemical properties are manufactured.
ias as suppository bases. Salomas and lanolin base are used Bases of type S are designed for preparation of vaginal sup-
most frequently in Ukraine. The base confectionary solid fat positories. Bases of type E have high melting points and are
of several types is also produced in Ukraine. These differ in used to prepare suppositories with drugs that reduce the
the emulsifier content: type A, without emulsifier; type B, melting point of the produced suppositories [1, 7].
5% No. 1 emulsifier; type C, up to 5% T-2 emulsifier; type E, The USA pharmacopoeia lists suppository bases
up to 5% wool wax alcohols. Confectionary solid fat type A Fattibase and Weecobee. Fattibase is recommended for in-
is recommended for production of suppositories containing dustrial application and for preparing suppositories by pour-
lipophilic drugs and suppositories for children; type B, for ing under pharmacy conditions. Weecobee is a new recently
suppositories containing water- and fat-insoluble powdered formulated base and is manufactured under M, R, S, and W
drugs and liquid extracts [1, 2, 6]. brands that have different melting points [3].
Narrow fractions of glycerides with properties similar to Hydrophobic suppository bases PCCA Base in MBK
cocoa butter are separated from natural or hydrogenated fats (based on processed fatty acids), A (based on Polyglycol
according to chemical or thermal indicators in order to pro- 1450 MW, NF), and F (synthetic cocoa butter) brands;
Studying an Assortment of Suppository Bases 555

Hydrokote M, based on hydrogenated plant oil; COA Base, USA under the name Carbowax; in France, Scurol; in Ger-
based on processed fatty acids; and Supposibase, a mixture many, Postonal [3, 7].
of polyethyleneglycols and plant oil, are also used in the Combining PEO of different consistencies can produce
USA [3, 7]. bases with the required structural and mechanical properties.
Hydrophilic suppository bases Suppository bases are manufactured most often by fusing
This group of bases includes gelatin–glycerin, soap– PEO-400 and PEO-1500 in different ratios (1:9 and 2:8).
glycerin, and synthetic (polyethylene oxide) bases. The advantages of PEO bases are the chemical and ther-
A characteristic feature of the bases is good solubility in mal stability, stability to pH changes, lack of polymorphic
water. Drugs are assimilated from these bases independently modifications, long shelf-life, resistance to effects of micro-
of their melting points because the assimilation is due only to organisms, and insignificant bactericidal properties. Formu-
the rate of diffusion of the drugs from the base and the rate of lations based on them do not require preservatives. They mix
dissolution of the bases themselves. This group of bases is readily with water and mucous secretions. The bases are
used to prepare vaginal and rectal suppositories only by technologically advanced and simple to manufacture.
pouring. PEO bases have the following drawbacks. They are hy-
Gelatin–glycerin bases consist of gelatin, glycerin, and groscopic, dehydrate mucous membranes (antiphysiological
water that are prescribed in different amounts in different exosmosis, a drawback that is partially negated by immers-
pharmacopoeias. The gelatin content can vary in the range ing the suppositories before use for several minutes in warm
from 10 to 20%. The density of a gelatin—glycerin base de- water), and release drugs slower than other hydrophilic
pends on the amount of gelatin. The less its amount is, the bases. PEO bases are incompatible with several drugs (phe-
softer the base is and the quicker it melts. The degree of des- nols, resocin, tannin, iodides, bromides, salicylates, many
iccation, especially upon prolonged storage, depends on the antibiotics and sulfanilamides, heavy-metal salts, silver,
amount of glycerin. The greater the amount of it, the slower etc.). Solutions of PEO have low viscosity and can flow out
the base becomes desiccated. Therefore, the amount of the of a cavity.
constituents varies as a function of the requirements placed Diphilic suppository bases
on the base [1, 2, 7]. Diphilic bases are compositions that contain hydrophilic
The base melts at body temperature, mixes well with and hydrophobic parts. This enables both water- and fat-sol-
compounds that are soluble in water and glycerin, and dis- uble drugs and their solutions to be included in them.
solves in vivo in mucous secretions. Efforts on creating diphilic bases are directed to the pro-
A drawback of the base is the rapid multiplication in it of duction of compositions that are stable in the aggregate and
microorganisms and degradation of the gelatin. Thus, sup- are based on hydrophobic and hydrophilic components and
positories prepared from this base have short shelf-lives. the formulation of bilayer suppositories.
This prevents them from being manufactured on an industrial Compositions of suppository bases with diphilic proper-
scale. Addition of decamethoxin to gelatin—glycerin bases ties were developed in Russia. These include one based on
has been proposed for improving them. This increases the PEO-1500 and PEO-400 (9:1) as the hydrophilic phase and
shelf-life (up to four years) and makes possible industrial confectionary solid fat, chicken fat, and olive, soy, or corn oil
production with various drugs. Decamethoxin acts as a pre- as the hydrophobic phase with emulsifiers No. 1 or T-2 and
servative [8]. another based on PEO-400, PEO-1500, and GKhM-5T.
Soap—glycerin bases are a solution of soap in glycerin. Tween-80 was used as the unifying component. Aerosil was
The base is prepared by various methods depending on the used to prepare compositions that were stable in the aggre-
amount of starting materials. The Austrian and Polish phar- gate.
macopoeias recommend preparing the soap from stearic acid The physicochemical properties of the aforementioned
and sodium carbonate. Pharmacopoeias from other countries bases satisfied requirements applied to suppository bases [1].
(USA, Hungary, Netherlands) recommend preparing the base A base in which water (22 – 24%) and glycerin
by fusion of a prepared medicinal soap with glycerin [1-3, 7]. (35 – 45%) were used as the hydrophilic phase; confection-
Suppositories prepared from soap—glycerin base are ary or baking fat, cocoa butter or Witepsol (22 – 26%), as the
used, as a rule, without added drugs. They exhibit a weak ef- hydrophobic phase, and gelatin, as a diphilic emulsifier was
fect because they are local irritants that cause reflexive GI reported. The resulting compositions were stable and homo-
peristalsis. geneous with melting point 35.5 ± 5.0°C. The fat—gelatin
Polyethylene oxides (PEO) or polyethyleneglycols are complex accepts water- and fat-soluble drugs at any forma-
produced by polymerization of ethylene oxide in the pres- tion stage. This enables the drugs to be added as a prepared
ence of water and KOH. The consistency and properties of complex or as separate components [1].
PEO depend on the degree of polymerization [1, 4, 6, 9]. Formulations for diphilic bases with the arbitrary name
PEO of various extents of polymerization with molecular Emulsogel were developed at Zaporizhzhya State Medical
masses from 400 to 6000 are manufactured in Russia and University. The technology for preparing the bases consists
Ukraine. PEO are prepared abroad with molecular masses of the following stages. The fat base (cocoa butter, solid fat,
from 200 to 40,000 and more. These bases are known in the etc.) is fused with surfactants (emulsion wax, MGD, etc.).
556 T. G. Yarnykh et al.

The mixture is treated with a melted mixture of PEO and 3. USP Pharmacists’Pharmacopeia, The United States Pharmaco-
thoroughly stirred at 75.0 ± 5.0°C [10]. The base is used for peia, Inc., Rockville (2008).
4. Ukraine State Pharmacopeia, Suppl. 2, Derzhavne
pressing and pouring methods.
Pidpriemstvo “Naukovo-Ekspertnii Farmakopeinii Tsentr,
Thus, the analysis of an assortment of suppository bases Kharkiv (2008).
showed that the repertoire of hydrophobic and hydrophilic 5. Kh. M. Komilov, Ya. K. Nazirova, and K. S. Makhmudzhanova,
bases has grown considerably. This in turn facilitates a sig- Khim.-farm. Zh., 43(10), 50-51 (2009).
nificant expansion of their use in ex tempore formulations. 6. Ukraine Pharmacopeia, Derzhavne Pidpriemstvo
Research on the creation of suppository bases with various “Naukovo-Ekspertnii Farmakopeinii Tsentr, RIREG, Kharkiv
given properties has recently been actively conducted. (2001).
7. European Pharmacopoeia, 4th Ed., Strasbourg, Council of Eu-
rope (2002).
REFERENCES 8. Ukr. Pat. No. 30,607 (2000); MKI6 A 61 K 9/02.
9. Ukraine State Pharmacopeia, Suppl. 1, Derzhavne
1. L. G. Marchenko, A. V. Rusak, and M. E. Smekhova, Farm. Pidpriemstvo “Naukovo-Ekspertnii Farmakopeinii Tsentr,
Tekhnol. Upakovka, No. 2, 49-60 (2008). Kharkiv (2004).
2. A. I. Tikhonov and T. G. Yarnykh, Drug Technology [in Rus- 10. V. A. Golovkin, A. A. Lyul?ko, and A. V. Golovkin,
sian], Original, Kharkov (2006), pp. 407-414. Zaporozhskii Med. Zh., 15(5), 68-71 (2002).

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