Development and Evaluation of Indomethacin Parenteral Delivery of Microspheres for the Treatment of Gout

Namratha Shettigar, Rehab Tonse
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Abstract

Gout is a disease caused by the deposition of monosodium urate (MSU) crystals in tissue such as cartilage, synovial membranes, bones and skin which causes inflammation in the synovial tissue. Indomethacin is first line of drug used as NSAID for the treatment of Gout. The aim of this study was to encapsulate Indomethacin in ethyl cellulose microspheres and compare the efficiency of the formulated Indomethacin microspheres with the Marketed formulation. Indomethacin microspheres were prepared by solvent evaporation method. FTIR studies revealed there was no significant interaction between the drug and polymer. Preformulation studies gave satisfactory results. SEM studies showed a spherical smooth microsphere average size of 10.4±3.04. The percentage entrapment efficiency and percentage drug release after 10 hours was found to be 82.97±1.6 % and 52.04±0.58 % respectively. The therapeutic effect of the Indomethacin microspheres was evaluated by the swelling of knee joints, joint range of motion and histologic analysis of MSU induced rat model. The prepared indomethacin microspheres showed effective prolong in the retention time of the drug in the intra articular cavity to 30 d which is more than that of the marketed formulation. Intra- articular injection of Indomethacin microspheres efficiently relieved inflammatory symptoms such as swelling index, joint range motion and suppressed inflammatory cell infiltration than the marketed formulation. Thus intra-articular injection of Indomethacin loaded microspheres proved to be a promising therapeutic method in the treatment of Gout. Keywords: Gout, indomethacin, ethyl cellulose, microspheres, inta-articular
吲哚美辛静脉注射微球治疗痛风的开发与评价
痛风是一种由尿酸钠(MSU)晶体沉积在软骨、滑膜、骨骼和皮肤等组织中引起滑膜组织炎症引起的疾病。吲哚美辛是治疗痛风的一线非甾体抗炎药。本研究的目的是将吲哚美辛包封在乙基纤维素微球中,并比较配制的吲哚美辛微球与市售配方的效率。采用溶剂蒸发法制备吲哚美辛微球。红外光谱研究显示,药物和聚合物之间没有明显的相互作用。预制剂研究结果令人满意。扫描电镜研究表明,微球呈球状光滑,平均尺寸为10.4±3.04。包封率为82.97±1.6%,10 h后释药率为52.04±0.58%。通过MSU诱导大鼠膝关节肿胀、关节活动度及组织学分析评价吲哚美辛微球的治疗效果。所制备的吲哚美辛微球可有效延长药物在关节腔内的滞留时间至30 d,比市售制剂延长30 d。关节内注射吲哚美辛微球比市售制剂更有效地缓解炎症症状,如肿胀指数、关节范围运动和抑制炎症细胞浸润。因此,关节内注射负载吲哚美辛微球是治疗痛风的一种很有前途的治疗方法。关键词:痛风,吲哚美辛,乙基纤维素,微球,关节内
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