Preparation and Evaluation of Oroslippery Tablets Contain Irbesartan and Hydrochlorothiazide Combination for Dysphagia Patients

Y. Q. Almajidi, Yaseen T. Khalaf, Naeem M. Shalan, Israa H. Alani, Wael A. Abu Dayyih
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Abstract

Oro slippery tablets (OSTs) is a technique used to improve swallowing of tablets for patients with dysphagia. The aim of this study was to formulate irbesartan and hydrochlorothiazide as Oroslippery tablets (OST) containing 150 mg irbesartan and 25 mg hydrochlorothiazide for dysphagia patients. A simple and rapid method of analysis was developed and validated according to the ICH guideline using HPLC with UV detector. Tablets were prepared by direct compression and then coated with the slippery coat of three different concentrations of the slippering substance “xanthan gum’ (2%, 3% and 4%) in Opadry Colorcone® and evaluated according to USP. Slipperiness test was performed using Albino rabbits. Results showed that 2% xanthan gum gave the shortest swallowing time. Also, disintegration time was increased by the coat significantly with the increase of the gum’s concentration in the coat. The release kinetics study of the tested formulations (uncoated versus coated with 2% gum) gave the highest correlation for the "first-order release model" for both drugs in the absence and presence of the slippering agent which indicates that the coating did not interfere with the release kinetics of both drugs.  In a conclusion, 2% xanthan gum as slippering agent the optimum concentration used to promote easy ingestion of this tablet.
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厄贝沙坦联合氢氯噻嗪片治疗吞咽困难的制备及评价
奥罗滑片(OSTs)是一种用于改善吞咽困难患者吞咽的技术。本研究的目的是将厄贝沙坦和氢氯噻嗪配制成含有150 mg厄贝沙坦和25 mg氢氯噻嗪的口服片(OST),用于吞咽困难患者。根据ICH指南,建立了一种简便、快速的HPLC - UV检测器分析方法。通过直接压缩制备片剂,然后在Opadry Colorcone®中涂上三种不同浓度的滑动物质“黄原胶”(2%,3%和4%)的光滑涂层,并根据USP进行评估。用白化兔进行滑性试验。结果表明,2%的黄原胶给药时间最短。同时,随着涂层中树胶浓度的增加,涂层的崩解时间显著延长。测试配方的释放动力学研究(未涂覆和涂覆2%口香糖)给出了两种药物在没有和存在滑动剂的情况下的“一级释放模型”的最高相关性,这表明涂层不会干扰两种药物的释放动力学。结果表明,以2%黄原胶为滑脱剂的最佳浓度可促进本片剂的吸收。
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