The lipophilic active pharmaceutical ingredient cinnarizine belongs to Class II of the Biopharmaceutical Classification System. Its solubility is highly dependent on pH, making the conditions in the gastrointestinal tract essential for its dissolution, absorption, and efficacy. Cinnarizine is an active substance with a proven positive food effect on its absorption; the presence of various components in the stomach after food intake improves the solubility and bioavailability of the substance.
The purpose of this master's thesis was to investigate the release of cinnarizine from Arlevert® tablets in medium with different compositions. The goal was to study positive food effect in an in vitro model using biorelevant medium containing lipids and surfactants.
We prepared media with pH values of 3, 5, and 7. These served as a medium to which we added lipids in form of SMOFlipid® and surfactants (sodium taurocholate and lecithin), or both simultaneously. Release experiments were conducted in these media using a paddle apparatus with automated sampling. In the samples, the concentration of released cinnarizine was analysed using high-performance liquid chromatography. In medium with added lipids, we also examined the distribution of the cinnarizine between the aqueous and lipid phases. The results showed that the addition of lipids and surfactants positively influenced the release of cinnarizine. The presence of lipids improved cinnarizine dissolution at all pH values, particularly at pH 5 and 7, where its solubility is otherwise poor. Surfactants also contributed to improved dissolution compared to the medium without any additives, and the combination of both was the optimal.
The distribution of the drug substance between the aqueous and lipid phases depended on the pH of the medium, the presence of lipids, and the addition of surfactants. In the presence of lipids, cinnarizine predominantly distributes into the lipid phase. Greater distribution of the dissolved cinnarizine in the aqueous phase was observed at lower pH levels and in medium with added surfactants, but it is not mainly distributed in aqueous phase. Using the prepared medium and by evaluating the drug substance in each phase, we can gain better insights into the effects of lipids and surfactants on the release, which may also reflect drug behaviour in in vivo conditions.
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