Abstract:
Aim of present study was to development and evaluation of matrix patches of metoprolol
tartrate containing enhancers for sustained and enhanced transdermal delivery. Ethyl
cellulose (EC), poly vinyl pyrrolidone (PVP), eudragit RS 100 (ERS) and eudragit RL
100 (ERL) were used as film formers alone or in combination. Dibutyl phthalate was
used as plasticizer. Patches were prepared by plate casting method. Polyvinyl alcohol was
used to prepare backing membrane. Prepared polymeric matrix patches containing no
enhancer were characterized for physical appearance, thickness, weight variation,
moisture contents and moisture up take capacity. Fourier transform infrared (FTIR)
spectroscopic studies of prepared patches were performed to identify any chemical and
physical interaction between drug and excipients. In vitro drug release studies were
carried out in phosphate buffer pH 7.4 by using paddle over disc method. Release
mechanism was elucidated by subjecting the in vitro release data to kinetic analysis by
using DDsolver ® excel based add in program. Scanning electron microscopy (SEM) was
performed after release to further elaborate release process. In vitro permeation studies
were performed on Franz diffusion cell by using excised rabbit skin. Three polymeric
combinations i.e. EC-PVP, EC-ERL and ERS-ERL were selected for further
incorporation of enhancers. Non-ionic surfactants i.e. Span 20, Span 60, Span 80, Span
85, Tween 20 and Tween 80 were incorporated in polymeric combination of EC and PVP
as permeation enhancers in two concentrations of 5% and 10%. Combination of EC and
ERL was used for preparation of matrix patches containing 10 % w/w of Isopropyl
myristate (IPM), dimethyl sulphoxide (DMSO), span 20, tween 20 and eucalyptus oil as
enhancers. Four different terpenes like eucalyptol, limonene, nerolidol and menthol were
employed in polymeric combination of ERL and ERS, in concentrations of 5%, 10% and
15% w/w of polymer. Formulations were optimized after enhances addition. Patches after
incorporation of enhancers were characterized for physical properties, FTIR and SEM
analysis. In vitro release and permeation studies were carried out to compare effect of
enhancers and their concentration on release. Selected patch formulations were subjected
to in vivo studies by two periods, two treatments randomized, cross over design in rabbits
(n =6) for pharmacokinetic comparison with oral solution administration. Skin irritation
XXIstudies were performed on healthy volunteers for terpene containing patches by
measuring level of erythema with Mexameter ® .
In presence of non-ionic surfactants initial burst release of metoprolol from EC-PVP
patches was increased. However, overall release was decreased due to improved physical
appearance in presence of nonionic surfactants. Span 20 and Tween 20, which have
saturated shorter fatty acid side chains, showed highest enhancement effect with 1.73 and
2.01 folds increase in permeation rate when compared to control, respectively.
Incorporation of enhancers in patches of EC-ERL had not affected amount of drug
release up to 24 hrs except that of formulation containing DMSO where fast release was
observed. Highest permeation flux in EC-ERL patches was observed for formulation
containing IPM with 2 fold enhancement in permeation. Permeation flux for patches was
in order of control (with no enhancer) > IPM > Tween 20 > Span 20 > DMSO =
eucalyptus oil. Results of in vitro permeation studies of patches containing terpenes
showed that despite of decrease in drug release by incorporation of enhancers, there was
increase in skin permeation of metoprolol. Release from patches was indirectly related to
the lipophilicity of terpenes. Limonene was the most effective enhancer among the
patches containing terpenes and enhancement effect of terpenes on metoprolol was in the
rank order of limonene > menthol > nerolidol > eucalyptol. Enhancement effect was
increased by increase in concentration of enhancer in all formulations. However, no
direct linear relationship was observed between permeation rate and enhancer
concentration. Pharmacokinetic analysis of in vivo data elucidated that application of
Tween 20 containing transdermal patch increased systemic availability (1.13 fold) and
prolonged half life (almost 10 times) of metoprolol tartrate in comparison to oral
administration. Whereas no increase in metoprolol bioavailability was observed after
IPM (10%) containing patch application but half life was increased 8 times when
compared to oral administration. Limonene (15%) containing patch application exhibited
1.47 folds increase in bioavailability and t 1/2 was extended up to 16 times. Moreover, skin
irritation studies in healthy volunteers revealed that metoprolol tartrate patches containing
terpenes were well tolerated.
XXIIIt can be concluded that tween 20, IPM and limonene can be successfully employed as
efficient permeation enhancers for transdermal delivery of metoprolol tartrate from EC-
PVP, EC-ERL and ERS-ERL matrix patches, respectively. Moreover, a single patch of
metoprolol is capable to provide sustained continuous delivery of metoprolol for more
than two days across skin. Thus application of metoprolol tartrate transdermal patches
can be used as an alternative of oral route for the treatment of hypertension.