Fabrication, optimization, and in vitro/in vivo evaluation of diclofenac epolamine flash tablet

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ORIGINAL ARTICLE

Fabrication, optimization, and in vitro/in vivo evaluation of diclofenac epolamine flash tablet Mohamed Ahmed El-Nabarawi 1 & Ahmed Hassen Elshafeey 1 & Dina Mohamed Mahmoud 1 & Amani M. El Sisi 2

# Controlled Release Society 2020

Abstract The objective of this work was to design a diclofenac epolamine (DE) flash tablets (FTs) intended to dissolve in the mouth saliva, thereby improving the DE bioavailability and reducing its first-pass liver metabolism. Design-Expert software was used to build a 31.22 full factorial design (12 runs). FTs were fabricated using lyophilization process. The dissolution response was selected to pick the optimized run. The results indicate that the optimized run (R1) showed the fastest drug dissolution (total dissolution in 12 min). The predicted run (Rp) showed a desirability of about 0.93. Differential scanning calorimetry(DSC) analysis results showed a decrease in the drug melting point of the R1 formulation. Fourier–transform infrared spectroscopy (FTIR) showed the compatibility of the drug with other components of formulation, X-ray powder diffraction (XRPD) analysis showed the evolution of the drug physical state from a crystalline to an amorphous form and scanning electron microscopy(SEM) divugled the disappearance of drug crystals in gelatin strands. The results of the pharmacokinetic study performed in 6 human volunteers evidenced an increase in the maximum DE concentration in plasma and, consequently, an increased bioavailability of the FT formulation as compared with a reference formulation(Fr). Concisely, the developed FTs (R1) showed promising results which could be able to enhance oral bioavailability, reduce the therapeutic dose of the drug, and abate of the complications accompanied with conventional dosage forms. Keywords Diclofenac epolamine . Optimization . Sorbitol . Glycine . Flash tablet . Bioavailability

Introduction Despite the great progress in drug delivery, the oral route is the most applicable due to its accessibility and a high level of patient compliance. However, the first-pass effect (the most important drawback) limits its application [1]. Therefore, the oral transmucosal route has attracted * Dina Mohamed Mahmoud [email protected] Mohamed Ahmed El-Nabarawi [email protected] Ahmed Hassen Elshafeey [email protected] Amani M. El Sisi [email protected] 1

Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Cairo University, Cairo, Egypt

2

Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt

special attention. It has the same advantages as the oral route and the ability of systemic drug delivery without first-pass effects [2]. Fast dissolving tablet is urgent for children and elders to ameliorate their compliance: bedridden patients, patients having dysphagia, stroke, and tolerate the bitter taste [3–5]. To overcome the swallowing problem, there is a novel drug delivery dosage form such as orodispersible tablets (ODTs) and lyophilized tabl