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Nanomedicine (Lond) ; 9(11): 1635-50, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24410279

RESUMO

BACKGROUND: Coadministration of rifampicin (RIF)/isoniazid (INH) is clinically recommended to improve the treatment of tuberculosis. Under gastric conditions, RIF undergoes fast hydrolysis (a pathway hastened by INH) and oral bioavailability loss. AIM: We aimed to assess the chemical stabilization and the oral pharmacokinetics of RIF nanoencapsulated within poly(ε-caprolactone)-b-PEG-b-poly(ε-caprolactone) 'flower-like' polymeric micelles. MATERIALS & METHODS: The chemical stability of RIF was evaluated in vitro under acid conditions with and without INH, and the oral pharmacokinetics of RIF-loaded micelles in rats was compared with those of a suspension coded by the US Pharmacopeia. RESULTS: Nanoencapsulation decreased the degradation rate of RIF with respect to the free drug. Moreover, in vivo data showed a statistically significant increase of RIF oral bioavailability (up to 3.3-times) with respect to the free drug in the presence of INH. CONCLUSION: Overall results highlight the potential of this nanotechnology platform to develop an extemporaneous liquid RIF/INH fixed-dose combination suitable for pediatric administration.


Assuntos
Portadores de Fármacos/química , Isoniazida/administração & dosagem , Polímeros/química , Rifampina/administração & dosagem , Administração Oral , Animais , Antituberculosos/administração & dosagem , Área Sob a Curva , Disponibilidade Biológica , Cromatografia Líquida de Alta Pressão , Etilenoglicóis/química , Ácido Clorídrico/química , Masculino , Micelas , Nanomedicina , Tamanho da Partícula , Poliésteres/química , Ratos , Ratos Wistar , Solubilidade , Tuberculose/tratamento farmacológico
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