An investigation into the optimization of release profile of lithium carbonate from matrix-type tablets containing carbopols, pemulen and eudragits
Iranian Journal of Pharmaceutical Research (2003) 33-38 Received: June 2002 Accepted: February 2003
An Investigation into the Optimization of Release Profile of Lithium Carbonate from Matrix-type Tablets Containing Carbopols, Pemulen and Eudragits
Reza Aboofazeli*, Seyed Alireza Mortazavi
Department of Pharmaceutics, School of Pharmacy, Shaheed Beheshti University of Medical Sciences and Health Services, Tehran, Iran. Abstract
The influence of various polymers on the release rate of lithium carbonate from matrix-type
tablets was investigated in an attempt to formulate a sustained release solid dosage form. For this purpose, tablets containing 450 mg of lithium carbonate along with various amounts of Carbopol 934P, 971P, 974P, Pemulen and Eudragit RLPO as retarding agents and inactive ingredients (e.g. PVP, Avicel or starch) were prepared using wet granulation technique. Tablets prepared were initially placed in a phosphate buffer solution for 7 h and those formulations from which a minimum of 80% lithium carbonate released, were selected for coating process. The amount of drug released was determined by using atomic absorption spectroscopy. The dissolution rate of enteric coated matrix-type tablets were then evaluated in both acidic and basic mediums (1 h and 11 h, respectively). The results showed that Pemulen and Carbopol 971P are not suitable polymers for preparing tablets with desirable release profile, at all concentrations examined. However, it was observed that Carbopol 934P, 974P and Eudragit RLPO are capable of producing tablets with desirable release pattern, at concentrations of 2, 1.5 and 3%, respectively. Tablets containing Eudragit RLPO were found to have the greatest drug release profile, while Carbopol 974P showed the slowest release rate.
Keywords: Lithium carbonate; Carbopols; Eudragits; Matrix-type tablets; Drug release
profile; Sustained release; Formulation.
Introduction
their sensitivity to lithium as well as their
Archive of SID
Many of the side effects of lithium are dose
used for the control of bipolar disorders (manic
related. Initial adverse effects of lithium therapy
depression). It is also used in recurrent or
include nausea, diarrhea, vertigo, polyuria with
unipolar depression as an alternative to polydipsia and muscle weakness. Those effects tricyclics. Lithium has a narrow occurring at therapeutic serum concentrations therapeutic/toxic ratio. Recommended include anorexia, constipation or diarrhea, therapeutic serum concentrations range from
epigastric discomfort, headache and vertigo (1).
0.4 to 1.2 or even 1.4 mmol/l, with higher
Lithium is readily and completely absorbed
concentrations required for acute mania. from the gastrointestinal tract when taken as However, it is necessary to emphasize that
one of its salts and peak serum concentrations
serum concentrations should be adjusted for
are obtained between 0.5 to 3 hours after
each patient, since individual patients vary in
ingestion from conventional solid dosage forms, depending upon formulation of the preparation (2, 3). Following the administration
* Corresponding author: E-mail: raboofazeli@itmrc.com
of lithium salts, there is a wide inter-subject
R Aboofazeli, SA Mortazavi / IJPR 2003, 2: 33-38
variation between both the serum Company (Iran). Magnesium stearate, polyvinyl concentrations obtained following a given dose,
and between those required for therapeutic
obtained as gifts by Tolidarou Pharmaceutical
effect. On the other hand, there is only a narrow
Company (Iran). Diethyl phthalate (DEP) and
margin between therapeutic and toxic plasma
cellulose acetate phthalate (CAP) were gifted
concentration of lithium. Therefore, individual
titration of lithium dosage is essential to ensure
constant appropriate concentrations for the
Construction of calibration curves
matrices containing a suitable polymer can
Calibration curve of lithium carbonate in a
provide a sustained release formulation, capable
pH 6.8 phosphate buffer was constructed by
of controlling the release rate of the drug over
preparing standard solutions containing 0.5, 1.0,
an extended period of time and producing a
1.5, 2.0, 2.5 and 3.0 mg/l lithium carbonate.
desirable blood serum level with little or no
fluctuation, which in turn lead to a decrease in
determined at 671 nm, using atomic absorption
the occurrence of drug toxicity. In this spectroscopy. The calibration curve was found investigation, attempts were made to formulate
to be linear over the concentration range of
a sustained release dosage form of lithium
0.5 – 3.0 mg/l, and hence was used to determine
carbonate with an optimum release pattern,
the amount of lithium carbonate released from
using various Carbopols, Pemulen and Eudragit
RPLO as retarding polymers. In the first step,
Calibration curve of the drug in an acidic
various formulations were prepared and medium (0.1 N HCl) was also constructed by characterized from the physico-chemical point
preparing standard solutions containing 0.5, 1.0
of view. In the second step, the appropriate
formulations were selected for coating stage
determination of absorbance, using atomic
and finally the dissolution behavior and release
absorption spectroscopy. A linear relationship
kinetics of coated tablets were evaluated.
was obtained over the concentration range
Experimental Preparation of matrix-type tablets Materials
Matrix-type tablets containing 450 mg of
Lithium carbonate powder, monobasic lithium carbonate along with various amounts
potassium phosphate, dibasic sodium of Carbopols, Eudragit RLPO and inactive phosphate, hydrochloric acid, ethyl alcohol and
ingredients (such as PVP, Avicel and microfine
acetone were all purchased from Merck cellulose) were prepared by the wet granulation Chemical Company (Germany). Various technique. In the first step, active and inactive Carbopols, in
Archive of SID
ingredients (except magnesium stearate) were
Carbopol 971P (C971P), Carbopol 974P weighed and screened through a 60-mesh sieve. (C974P) and Pemulen were obtained from B.F.
Required materials were then combined and the
Goodrich Company (UK). Eudragit RLPO and
mixtures wetted by ethyl alcohol and then
Avicel pH 101 were gifted by Akbarieh granulated using a laboratory granulator
Table 1. Composition (%) of lithium carbonate matrix-type sustained release tablet formulations, prepared by wet granulation technique. Formulation C934P Avicel PVP C974P Avicel PVP Starch C971P Avicel PVP Pemulen Avicel PVP Eudragit Avicel PVP
* In formulation A7, water was used as granulating solvent. ** Gelatin was used instead of PVP.Optimization of release profile of lithium carbonate from ,,,
laboratory coating pan, positioned at a specific
obtained were then screened through a 14-mesh
angle. The coating solution was sprayed on the
sieve and dried at room temperature for 24 h.
tablets, while the heated air was directed into
Finally, dried granules were passed through a
the pan and onto the tablet bed surface.
following the addition of a given amount of
magnesium stearate, they were compressed into
The amount of lithium carbonate released
determined using a USP apparatus I (rotating
basket) dissolution tester, set at 100 rpm and a
temperature of 37 ±0.5°C (4). Dissolution
according to the monograph of lithium test was performed in both acidic and basic
carbonate extended release tablets in United
media. In this study, tablets were placed
initially in 900 mL of a pH 1.5 hydrochloric
acid solution for about 1 h and 5 ml samples
were taken after 0.5 and 1 h, while the volume
In order to prepare the coating solution,
of the dissolution medium was kept constant by
solvent (acetone–ethyl alcohol mixture) and
replacing it with equal volumes of fresh
polymer (CAP) were mixed in a beaker and
solution. After 1 h, the dissolution medium was
stirred until a clear solution was obtained.
completely removed and replaced with 900 ml
Plasticizer (DEP) was then added to the of pH 6.8 phosphate buffer solution and
solution, while stirring. Tablets were placed in a
samples (5 ml) were removed in predetermined
Table 2. Results of quality control tests carried out on lithium carbonate matrix-type sustained release tablets
containing Carbopols, Eudragit RLPO or Pemulen, prepared by wet granulation technique .
Formulation Hardness Friability Weight variation (%) Max. drug released after 7 h (Kp) (n=10) (%) (n=10) Archive of SID
R Aboofazeli, SA Mortazavi / IJPR 2003, 2: 33-38
intervals over 11 h. The amount of drug inactive ingredients, prepared in this study. released in both acidic and basic media was
Table 2 indicates the results of physico-
calculated, using the corresponding calibration
chemical quality control tests (including
friability, hardness, weight variation, assay and
dissolution time) performed on the formulations
Results and Discussion
In the past few decades, sustained release
released at different time intervals, attempts
drug delivery systems have attracted a great
were made to establish an appropriate limit,
deal of attention in pharmaceutical researches,
mainly due to their therapeutic advantages.
information and some adverse effects of lithium
Because of the importance of lithium carbonate
carbonate and also the physiology of the
in the treatment of manic depression, the gastrointestinal tract. Diarrhea is one of the preparation of a sustained release dosage form
common adverse effects of lithium carbonate
could not only increase the efficacy of (5). Studies have shown that an ideal sustained treatment and patient compliance, but also can
release preparation should release its drug
produce desirable blood concentrations and content mainly in the small intestine. decrease the incidence of adverse effects.
Conventional tablets and capsules enter the
In this study, various Carbopols, Eudragit
small intestine after 3-6 h, in the presence of
food (6). On the other hand, following the
polymers in an attempt to formulate a sustained
release matrix-type dosage form of lithium
formulations, peak concentrations are delayed
carbonate. Based on the results of and may occur between 3 to 6 h after preformulation studies, it was observed that
administration (7-10). Considering the fact that
tablets with desirable physical characteristics
absorption of lithium is rapid and complete
could be prepared by using the wet granulation
throughout the small intestine, one could
technique, due to the improvement of conclude that a high percentage of drug should flowability and compressibility of lithium be released from tablets after 7 h in dissolution carbonate granules. Table 1 shows the test. Therefore, not only the peak plasma composition of various formulations containing
concentrations and optimum bioavailability
lithium carbonate and different polymers and
could be achieved, but also the occurrence of
ase ele 60 Formulation A6 Formulation A7 Archive of SID Formulation A8 Formulation B8 Formulation E5 Figure 1. Release pattern of lithium carbonate from various coated, sustained-release matrix-type tablets in acidic and basic media (n=3). Optimization of release profile of lithium carbonate from ,,, Table 3. Dissolution time limits established for matrix-
when placed in phosphate buffer medium, these
type sustained release lithium carbonate tablets.
formulations were selected for the enteric-
Drug released (%)
In the final stage of this study, the amount of
lithium carbonate released from enteric coated
tablets was calculated over 12 h in both acidic
and basic media (1 h and 11 h, respectively).
diarrhea would be prevented. Table 3 shows
Figure 1 depicts the release profiles obtained
the release percent range of lithium carbonate
from the enteric coated tablets. The kinetic of
for a sustained release preparation, considered
drug release from the coated formulations was
also assessed. The kinetic models evaluated
When investigating the influence of C934P
were zero order, first order and Higuchi model.
on the release rate of lithium carbonate from
It should be noted that due to the presence of an
tablet matrices, polymer concentrations ranging
acid-resistant film, the amount of the drug
from 1.5 – 5% were employed. Tablets released after 1 h in acidic medium was containing greater than 2% C934P were found
to release their drug content relatively slow and
formulations. The release kinetic of drug in
produced an undesirable drug release profile,
buffer solution was evaluated and analyzed
while a polymer concentration less than 3% was
statistically. The results obtained by assessing
found to be suitable for producing a desirable
the drug release patterns showed that over a
release in the screening dissolution test, falling
period of 11 h (in buffer medium), all enteric
coated formulations most likely follow a
Higuchi model of release. Table 4 indicates the
the release rate of lithium carbonate, polymer
correlation coefficients of drug release curves,
concentrations higher than 1.5% were observed
calculated over 11 h, based on the above-
to produce undesirable release profiles. Results
have also shown that Eudragit RLPO contents
between 3-5% caused relatively slow and aqueous medium, form a hydrogel due to water unacceptable drug release profiles. However, by
absorption. As the thickness of this hydrogel
reducing the amount of polymer present within
layer increases (depending upon the amount of
the formulation from 5 to 3%, along with an
water absorbed), the release rate decreases (11).
increase in Avicel content and a decrease in
The formation of a hydrogel layer seems to be
PVP concentration, the drug release pattern
potentially higher for Pemulen and C971P
improved, in terms of the determined limits.
compared to C934P and C974P, and therefore,
even a reduction in the amount of polymer, did
retarding agents, in all polymer concentrations
not improve the drug release profile in Pemulen
examined, an undesirable and unacceptable and C971P-containing formulations. The drug release ra Archive of SID
addition of starch to formulation resulted in a
the polymers investigated, C934P, C974P and
further decrease in release rate, despite its
Eudragit RLPO were found to be suitable for
disintegrating property. This effect could be
preparing matrix-type lithium carbonate tablets.
explained by considering the fact that swelling
As can be seen in Table 2, all preparations
of starch would possibly further increase the
possessed desirable characteristics. However,
thickness of the hydrogel layer produced by
since more than 80% of the drug released from
Carbopols and hence, influence drug release
formulations A6, A7, A8, B8 and E5 after 7 h,
from the matrices. It seems that Eudragit RLPO can not form a hydrogel layer around matrices,
Table 4. Correlation coefficients of drug release curves for enteric coated tablets, based on three kinetic models.
and therefore, its content was kept constant at
Dissolution Correlation
der to prevent disintegration of tablets
Formulation Time (h) Zero First
in the dissolution medium. A decrease in the
content of PVP as well as an increase in the
amount of Avicel, caused a high penetration of
dissolution medium into the matrices and hence
R Aboofazeli, SA Mortazavi / IJPR 2003, 2: 33-38
In conclusion, C934P, C974P and Eudragit
RLPO were found to be suitable polymers for preparing sustained release tablet matrices containing lithium carbonate.
References
(1) Reynolds JEF (ed). Martindale, The Extra Pharmacopoeia, Royal Pharmaceutical Society, London, (1996) 318
(2) Hollister LE. Antipsychotic agents and lithium. In:
Katzung BG. ed. Basic and Clinical Pharmacology. Appleton and Lange, Norwalk – Connecticut, (1990) 432 – 448
(3) Shargel L and Yu ABC. Pharmacokinetic and
pharmacodynamic parameters for selected drugs. In: Applied Biopharmaceutics and Pharmacokinetics. 3rd edition, Prentice – Hall, New York, (1993) 594
(4) The United States Pharmacopeia XXIII and National Formulary XVIII. U.S. Pharmacopeial Convention, Easton (1995) 1790-1840, 1981, 2180-2192
(5) Ehrlich BE and Diamond JM. Lithium Absorption:
Implications for Sustained Release Lithium Preparations. Lancet. (1983) 306
(6) Shargel L and Yu ABC. Modified release drug
products and targeted drug delivery systems. In: Applied Biopharmaceutics and Pharmacokinetics. 3rd edition, Prentice – Hall, New York (1993) 225-265l
(7) Llabres M and Farina JB. Design and evaluation of
sustained release tablets of lithium in fat matrix and its bioavailability in humans. J. Pharm. Sci. (1991) 80: 1012 – 1026
(8) Crammer JL, Rosser RM and Crane G. Blood levels
and management of lithium treatment. Brit. Med. J. (1974) 3: 650-654
(9) Arancibia A, Corvalan F, Mella F and Concha L.
Absorption and disposition of lithium carbonate following administration of conventional and controlled release formulations. Int. J. Clinic. Pharmacol. Therap. Toxicol. (1986) 25: 240-245
(10) Marini JL and Sheard MH. Sustained release lithium
carbonate in a double blind study. Serum lithium levels, side effects and placebo response. J. Clinic. Pharmacol. (1976) 276-282
Archive of SID
Carbopol® Resins, BF Goodrich Bulletin. The BF Goodrich Company, Cleveland (1994) 1-8
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