Rizatriptan Transdermal Patches for the Treatment of Migraine

 

Ajina C T1, Narayana Charyulu R2, Sandeep D S1

1Department of Pharmaceutics, NGSM Institute of  Pharmaceutical Sciences, Nitte(Deemed to be University) Nitte University, Paneer, Deralakatte, Mangalore 575 018, Karnataka, India.

2Professor and Head, Department of Pharmaceutics, NGSM Institute of Pharmaceutical Sciences, Nitte

(Deemed to be University)  Paneer, Deralakatte, Manglore-575 018, Karanataka, India

*Corresponding Author E-mail: narayana@nitte.edu.in

 

ABSTRACT:

Transdermal patches deliver the drug  through  the  skin  in a controlled  and predetermined  manner  in  order  to  increase  the therapeutic  efficacy  of  drug. Rizatriptan a 2nd generation triptan that has a favorable tolerability profile and patients have reported greater satisfaction. The aim of the present work was to formulate and evaluate transdermal patches of Rizatriptan. For the current study, the transdermal patch containing drug with different ratios of polymeric combinations and varying plasticizer concentration were prepared.  The patch was fabricated by solvent casting method. The casting solvents and plasticizers used were ethanol and propylene glycol respectively. The polymers used were HPMC, PVP and EC. The fabricated patches were evaluated for its physicochemical study. From the studies it concluded that F5 (EC and HPMC of 1:4 ratio and plasticizer 2 ml) whose thickness 0.124 mm, weight variation 110 mg, folding endurance 328 times, percentage moisture absorption of 5%, tensile strength of 0.78 kg/cm2, drug content of 90.42 % and in vitro drug release of 96.3 % may be selected as the optimized formulation. The released kinetics of the optimized formulation follows first order. It can be concluded that it is possible to fabricate a transdermal delivery of Rizatriptan for treatment migraine where the patient acceptance and tolerability profile is high.

 

KEYWORDS: Rizatriptan, Transdermal Patches, HPMC, Ethyl Cellulose.

 

 


INTRODUCTION:

Transdermal patches deliver the medicament through the skin in a controlled and predetermined manner in order to increase the therapeutic efficacy of drug and reduced side effect of drug. It delivers the drug via skin portal to systemic circulation at a predetermined rate over a prolonged period with a specific amount of dose. Success of a transdermal patch depends on a variety of biological, physiological, biochemical and biophysical factors. It depends on the composition, integrity and thickness of the stratum corneum. The structure and size of the molecule are indicators of diffusivity. It depends on the permeability of the membrane in the transdermal drug delivery system, state of skin hydration pH and other physiochemical drug properties.

 

Lipophillicity of the drug, degree of partitioning of the drug and associated components are also essential. Presently this method of drug delivery has the most potential than other routes of administration because it avoids problems like gastric irritation, metabolic variation and due to the presence of food certain food-drug interactions may happen. This delivery system is also useful for unconscious patients. It has certain limitations like slow penetration rates, lack of dosage flexibility and use of low dosage drugs are restricted. Its main advantage is that it avoids first-pass metabolism.1

 

Rizatriptan is a 2nd generation triptan with lots of benefits over other members of its category. Clinical trials have exposed that rizatriptan is effective to other oral migraine specific agents in the acute migraine treatment and has more consistent long term efficacy across multiple migraine attacks. It is reported that the quality of the life is improved with the use of rizatriptan. The efficacy and tolerability of rizatriptan for the acute treatment of migraine have thus been well established.2

Migraine is a common disabling disorder, associated with considerable personal and social burden. It affects females approximately 3-22% and males of 1-16%. Results based on US population suggest that migraine affects women approximately 18.2% and men 6.5%. Migraine considered as a burden on the sufferer, friends, family and society in accordance to economic cost and quality of life.3

 

MATERIALS AND METHODS:

Rizatriptan benzoate was received as a gift sample from Sms Pharmaceuticals limited Hyderabad. Propylene glycol was from Sisco Research Laboratory, Mumbai. HPMC, PVP, Ethyl Cellulose from HiMedia laboratories, New Delhi. Ethanol, Disodium hydrogen orthophosphate, Potassium dihydrogen orthophosphate, Sodium hydroxide were from Loba chemie, Mumbai. All the materials were of analytical grades.

 

Formulation of Transdermal Patch:

Preparation of casting solution:

Casting solutions were prepared by dissolving weighed quantities of polymers in ethanol under magnetic stirring. Drug and plasticizer were added to this polymer solution and mixed. Volume was made upto 25 ml using ethanol. The entrapped air bubbles were removed by using ultra sonic bath.4

 

Preparation of transdermal patch:

A casting solution of 25 ml was poured into the petri dish of surface area 44.5 cm² and dried at room temperature for 24 hrs. A films of 2.5 cm2 was cut and stored in desiccator for 48 hrs for further drying. They were then wrapped in aluminium foil and packed in self sealing covers. The photograph of the casting and prepared patch is shown in Fig 1. The formulae for the preparation of transdermal patches of rizatriptan were given in Table.1

 

 

Fig1: Photographs of  (a) Casting solution and  (b) Prepared patch

Table 1.  Formulation of transdermal patches

Formulation

Drug (mg)

HPMC (mg)

EC (mg)

PVP (mg)

PEG (ml)

Solvent upto (ml)

F1

102

1250

0

200

1

25

F2

102

1250

0

200

2

25

F3

102

1250

0

200

3

25

F4

102

1000

250

200

1

25

F5

102

1000

250

200

2

25

F6

102

1000

250

200

3

25

F7

102

750

500

200

1

25

F8

102

750

500

200

2

25

F9

102

750

500

200

3

25

 

Characterization of transdermal patch:

Physical appearance:

Transdermal patches were visually inspected for color, flexibility, homogeneity and smoothness.5

 

Film thickness:

The aim of the present study was to check the uniformity of the thickness of the transdermal patches were determined by using screw gauge at 5 different places of the patch.5

The mean values were calculated and the results are shown in Table.2

 

Total reading = MSR + CSR

CSR = _mm × LC

 

Weight variation:

Weight variations of the transdermal patches were done by cutting the patches into 1cm2 from 3 different points of the patches and weight of each patch was determined by using the digital balance. The average weight and its standard deviations was calculated.5 The results were shown in Table.2

 

Folding endurance:

The evaluation of folding endurance of the transdermal patches was done to determine the folding capacity of the film subjected to frequent extreme condition of folding. A strip of specific area 2.5 cm2 was cut evenly and repeatedly folded at the same place till it breaks. The number of times the patches folded at same place without breaking was noted as its folding endurance value. 6  Results are shown in Table 2

 

Drug content uniformity:

The patch of 2.5 cm2 transferred into a glass stopper flask-containing methanol. The flasks were closed and shaken till the patch was completely dissolved. This solution was filtered and the volume was made upto 100 ml by using buffer of pH 7.4, from this 1 ml of  solution was pipette out and was diluted upto 10 ml and the absorbance was measured by UV spectrophotometer at 230 nm.7  Results are shown in Table 2

 

 

Tensile strength:

The instrument that was designed in our laboratory was used for the measurement of tensile strength. Mechanical properties of the polymeric patches were conveniently determined by measuring their tensile strength. It consists of a pan hanged by using a strong thread and the other end of the thread was attached with the centre of the patch. The whole instrument was held like a beam balance and weights were gradually added to the pan to increase the pull force till the film was cut. The weights required to break the patch was noted.7 The tensile strength was calculated using Allen’s formula and the results are shown in Table 2

 

Tensile strength =

Break fource

×

1 + ΔL

a × b

L

 

Moisture absorption:

The prepared transdermal patches were weighed individually and kept in a desiccator for 24 hrs. The patch was then taken out and exposed to atmospheric air for 48 hrs. Average percentage moisture absorption of each film was calculated.8  The results are shown in Table 2

                                   Final weight – Initial weight

% Moisture content =--------------------------------× 100

                                          Initial weight

 

In vitro drug release studies:

The in vitro permeation of the drug from the patches was studied using modified Keshary- Chein diffusion cell. It consists of 2 compartments, the donor compartment and the receptor compartment. The donar compartment was in contact with the ambient conditions of the atmosphere and was in contact with a solution in the receptor compartment, which is pH 7.4 buffer and was stirred by magnetic bead and driven by a magnetic stirrer at temperature 32°C. The samples were withdrawn at the specified time intervals upto 8 hrs and equivalent volume of solution was replaced into receptor compartment after each withdrawal.9 The results are shown in Table 3 and the drug release plot shown in Fig 2.

 

Ex vivo drug release:

Modified ex vivo permeation apparatus was used for the ex vivo drug release studies through pig skin. Phosphate buffer of pH 7.4 was used as the medium. Pig’s ear skin was collected from the local slaughter house and cleaned it properly. The collected skin with suitable size was stored at -20 °C. Before the permeation, the pig skin was taken out from the freezer and allowed to cool at room temperature. A patch size of 2.5 cm² was cut and placed at the centre of the pig skin. And tied to the specially designed glass cylinder, donor compartment. The glass cylinder was then attached to the metallic shaft and suspended in 50 ml dissolution medium so that the membrane just touched to the receptor surface. Temperature of the dissolution medium maintained at 32°C throughout the experiment and the medium stirred at the 50 rpm using magnetic stirrer. In a specified interval 3 ml sample was taken from the receptor medium and filtered and equivalent volume of the solution must be replaced to the receptor compartment. Samples were diluted and analysed by UV spectrophotometer at 230 nm. All the readings were taken 3 times and average was calculated.10 The results are shown in Table 4 and drug release plot shown in Fig 3.

 

Kinetic Studies:

Depending upon R and k values obtained from different models, the best- fit model was selected.11 The kinetic study values given in Table 5

 

Skin Irritation:

The skin irritation study on the healthy male albino rat was conducted after obtained the ethical clearance for handling of experimental animals from the institutional animal ethics committee under the ref: NGSM/IAEC/2016-17/06. The optimized patch chosen and tested for its potential to origin skin irritation in rat. The rat was shaved carefully avoiding the peripheral damage and the patch was applied onto the shaved skin using an adhesive tape. On the previous day of the experiment, the hair on the rear part of rat was removed carefully.  The transdermal systems were applied. The applied patch was kept for 7 days and finally the application sites were graded according to a scoring scale.12  The data on skin irritation is given Table 6. It is shown in Fig.4.

 

Stability Studies:

Stability of a drug has been defined as the ability of a particular formulation, in a specific container, to remain within its physical, chemical therapeutic and toxicological specification. In a rational design and evaluation of dosage forms for drugs, stability of the active components must be major criteria in determining their acceptance or rejection. For pharmaceutical dosage form, it is necessary to determine the stability test of the dosage form. This will include storage at both normal and exaggerated temperature conditions; with the necessary extrapolations to ensure the product will over its designed shelf life, provided medication for absorption at the same rate as when originally formulated.13

 

ICH tripartite specifies the guidelines for testing the stability of new drugs products, as a technical required for the registration of pharmaceutical for human use. The ICH guidelines have established that long term stability testing should be done at 25 °C at 60 % RH and stress testing should be done at 40 °C / 75 % RH for 6 month. If considerable changes occur at these stress condition, then the formulation should be tested at an intermediate condition (30 °C / 75 % RH). They were then subjected to further evaluation studies and checked for any parameters.14  .


RESULTS AND DISSCUSSION:

Table 2. Effect of prepared patches on physicochemical parameters

Formulation code

Thickness* (mm)

Mean ±SD

Weight variation* (mg)

Folding Endurance

% Moisture Absorption*

Tensile strength*

(kg\cm²)

% Drug content*

Mean ± SD

F1

0.172 ± 0.013

110 ± 0.23

301

0.7 ± 0.023

0.73±0.12

91.8 ± 0.15

F2

0.162 ± 0.015

109 ± 0.31

308

1.0 ± 0.021

0.83±0.15

91.7 ± 0.13

F3

0.136 ± 0.012

108 ± 0.32

288

1.2 ± 0.013

0.93±0.13

91.26 ± 0.16

F4

0.124 ± 0.012

109 ± 0.22

302

0.6 ± 0.032

0.92±0.22

91.88 ± 0.12

F5

0.124 ± 0.013

110 ± 0.32

328

0.9 ± 0.022

0.73±0.17

90.42 ± 0.14

F6

0.142 ± 0.015

109 ± 0.21

350

1.0 ± 0.021

0.76±0.14

91.36 ± 0.12

F7

0.138 ± 0.013

107 ± 0.21

267

0.7 ± 0.014

0.95±0.16

91.22 ± 0.14

F8

0.136 ± 0.016

108 ± 0.32

310

0.8 ± 0.016

0.857±0.21

91.23 ± 0.14

F9

0.139 ± 0.011

109 ± 0.31

281

0.9 ± 0.011

0.91±0.11

90.17 ± 0.12

*Each value is the average of 6 determinations

 

Table 3.  Effect of polymer concentration on in vitro drug release profile

Time (min)

Percentage drug released (mg)

F1

F2

F3

F4

F5

F6

F7

F8

F9

15

13.8 ± 0.11

16.4 ± 0.11

16.3 ± 0.12

16.9 ± 0.16

14.2 ± 0.13

16.2 ± 0.11

15.4 ± 0.13

16.9 ± 0.16

15.7 ± 0.11

30

19.6 ± 0.16

20.3 ± 0.14

27.5 ± 0.13

23.1 ± 0.11

23.1 ± 0.16

22.1 ± 0.16

21.3 ± 0.16

23.1 ± 0.11

20.8 ± 0.11

60

26.4 ± 0.11

31.1 ± 0.12

36.0 ± 0.13

33.1 ± 0.14

33.5 ± 0.12

33.3 ± 0.16

32.9 ± 0.11

33.1 ± 0.14

33.1 ± 0.13

120

36.2 ± 0.14

40.2 ± 0.11

49.1± 0.12

45.2 ± 0.12

47.4 ± 0.11

45.6 ± 0.11

41.6 ± 0.16

45.2 ± 0.12

42.2 ± 0.12

180

45.6 ± 0.13

51.2 ± 0.12

53.1 ± 0.13

54.7 ± 0.13

56.6 ± 0.13

54.3 ± 0.14

52.6 ± 0.14

54.7 ± 0.13

53.1 ± 0.14

240

53.5 ± 0.13

57.5 ± 0.16

60.1 ± 0.11

62.3 ± 0.14

64.3 ± 0.11

64.3 ± 0.13

57.9 ± 0.16

62.3 ± 0.14

59.3 ± 0.12

300

59.3 ± 0.13

65.5 ± 0.13

71.2 ± 0.16

69.9 ± 0.13

72.1 ± 0.12

73.9 ± 0.16

65.4 ± 0.12

69.9 ± 0.13

66.5 ± 0.14

360

69.0 ± 0.12

75.3 ± 0.11

78.2 ± 0.13

75.8 ± 0.16

80.6 ± 0.14

82.8 ± 0.11

76.3 ± 0.11

75.8 ± 0.16

77.3 ± 0.16

420

76.5 ± 0.13

80.4 ± 0.13

83.4 ± 0.12

82.4 ± 0.11

89.1 ± 0.11

90.7 ± 0.13

82.7 ± 0.16

82.4 ± 0.11

83.8 ± 0.12

480

80.3 ± 0.16

86.6 ± 0.12

87.2 ± 0.13

87.9 ± 0.13

96.3 ± 0.12

96.5 ± 0.13

87.1 ± 0.15

87.9 ± 0.13

90.5 ± 0.14

 

Table.4. Effect of polymer concentration on ex-vivo drug release

Time (min)

Percentage drug released (mg)

F1

F2

F3

F4

F5

F6

F7

F8

F9

15

14.1 ± 0.12

13.6 ± 0.11

14.3 ± 0.14

14.4 ± 0.13

14.2 ± 0.12

12.2 ± 0.11

14.4 ± 0.12

14.3 ± 0.11

14.2 ± 0.14

30

18.6 ± 0.11

17.5 ± 0.12

18.6 ± 0.12

22.3 ± 0.12

20.1 ± 0.13

16.7 ± 0.11

18.3 ± 0.13

18.1 ± o.11

20.1 ± 0.12

60

24.3 ± 0.16

26.7 ± 0.14

24.4 ± 0.13

30.1 ± 0.12

29.6± 0.12

21.2 ± 0.13

22.9 ± 0.12

21.3 ± 0.14

25.3 ± 0.12

120

33.6 ± 0.11

39.3 ± 0.12

36.2 ± 0.14

36.2 ± 0.12

37.4 ± 0.12

35.2 ± 0.13

31.6 ± 0.14

30.3 ± 0.12

35.6 ± 0.12

180

44.2 ± 0.12

43.4 ± 0.14

45.6 ± 0.12

44.4 ± 0.14

46.4 ± 0.12

47.1 ± 0.14

39.6 ± 0.12

39.3 ± 0.12

44.3 ± 0.14

240

53.5 ± 0.11

50.7 ± 0.12

53.5 ± 0.12

52.8 ± 0.11

56.3 ± 0.14

52.1 ± 0.12

47.9 ± 0.14

48.2 ± 0.12

54.3 ± 0.12

300

57.8 ± 0.13

61.2 ± 0.12

62.3 ± 0.15

69.6 ± 0.14

66.1 ± 0.14

68.4 ± 0.14

55.3 ± 0.12

56.5 ± 0.12

61.7 ± 0.14

360

65.3 ± 0.14

72.4 ± 0.13

75.0 ± 0.11

75.8 ± 0.12

77.2 ± 0.14

76.0 ± 0.14

66.3 ± 0.12

66.7 ± 0.14

69.8 ± 0.14

420

69.4 ± 0.11

78.4 ± 0.14

80.5 ± 0.12

82.4 ± 0.12

85.5 ± 0.14

82.4 ± 0.12

72.7 ± 0.12

73.2 ± 0.12

77.7 ± 0.12

480

73.9 ± 0.12

81.6 ± 0.11

84.8 ± 0.14

87.5 ± 0.11

93.2 ± 0.12

93.9 ± 0.14

81.1 ± 0.14

83.5 ± 0.12

84.3± 0.14

 


In vitro drug release study:

The in vitro drug release was done as per the procedure given in the methodology by using modified Keshary - Chein diffusion cell.

 

Fig. 3.  Ex vivo drug release profile

Kinetic studies:

The in vitro drug release kinetics based on mechanism of release was evaluated. The regression coefficient R2 of the drug for different model is shown in the Table 5

 

Table 5. Kinetic models of formulations

Formulation code

Zero order

First order

Higuchi matrix model

Korsemeyer peppas

R2

N

F1

0.681

0.945

0.894

0.872

0.203

F2

0.768

0.962

0.942

0.879

0.196

F3

0.673

0.979

0.878

0.863

0.207

F4

0.646

0.959

0.870

0.863

0.215

F5

0.645

0.994

0.871

0.863

0.215

F6

0.658

0.992

0.879

0.865

0.212

F7

0.803

0.955

0.960

0.889

0.182

F8

0.827

0.928

0.962

0.894

0.177

F9

0.789

0.928

0.943

0.886

0.183

 

The release profile of the drug from all the formulations we conclude that it appeared to follow 1st order by considering the regression coefficient.

 

Skin irritation test:

The skin irritation study done on albino rat. The patch placed on the back of rat shown fig 5. The results noted in table 6.

 

Table.6. Data on skin irritation

Grade

Sensitivity and reaction

A

No reaction

B

Slight, patchy erythema

C

 Moderate, patchy erythema

D

Moderate erythema

E

Severe erythema with or without edema

 

Fig.5. The placement of patch on the back of rat

 

Stability Studies:

Table 7. Effects of appearance and drug content during stability studies stored under 45 °C / 75% RH.

Formulation Code

Days

Appearance

% Drug content

 

F1

0

Transparent

91.88 ± 0.15

15

Transparent

91.75 ± 0.13

30

Transparent

91.66 ± 0.16

45

Transparent

91.58 ± 0.12

60

Transparent

91.36 ± 0.11

90

Transparent

91.21 ± 0.21

 

F2

0

Transparent

91.70 ± 0.13

15

Transparent

91. 70± 0.11

30

Transparent

91.02 ± 0.16

45

Transparent

90.09 ± 0.12

60

Transparent

90.05 ± 0.11

90

Transparent

90.01 ± 0.12

 

F3

0

Transparent

91.88 ± 0.15

15

Transparent

91.75 ± 0.13

30

Transparent

91.66 ± 0.16

45

Transparent

91.58 ± 0.12

60

Transparent

91.36 ± 0.11

90

Transparent

91.21 ± 0.21

 

F4

0

Transparent

90.42 ± 0.13

15

Transparent

90.24 ± 0.32

30

Transparent

90.09 ± 0.12

45

Transparent

90.05 ± 0.11

60

Transparent

90.01 ± 0.12

90

Transparent

89.98 ± 0.32

 

F5

0

Transparent

91.36 ± 0.22

15

Transparent

91.21 ± 0.21

30

Transparent

90.42 ± 0.13

45

Transparent

90.24 ± 0.32

60

Transparent

90.05 ± 0.11

90

Transparent

90.01 ± 0.12

 

F6

0

Transparent

90.17 ± 0.43

15

Transparent

90.12 ± 0.13

30

Transparent

90.10 ± 0.32

45

Transparent

90.09 ± 0.12

60

Transparent

90.05 ± 0.11

90

Transparent

90.01 ± 0.12

 

 

F7

0

Transparent

91.32 ± 0.23

15

Transparent

91.21 ± 0.21

30

Transparent

91.17 ± 0.43

45

Transparent

90.42 ± 0.13

60

Transparent

90.24 ± 0.32

90

Transparent

90.05 ± 0.11

 

F8

0

Transparent

90.01 ± 0.12

15

Transparent

90.17 ± 0.43

30

Transparent

90.12 ± 0.13

45

Transparent

90.10 ± 0.32

60

Transparent

89.98 ± 0.32

90

Transparent

89.90 ± 0.21

 

F9

0

Transparent

90.17 ± 0.12

15

Transparent

90.12 ± 0.13

30

Transparent

90.10 ± 0.32

45

Transparent

90.09 ± 0.12

60

Transparent

90.05 ± 0.11

90

Transparent

90.01 ± 0.12

 

CONCLUSION:

From the studies performed on the patches by comparing all the parameters  F5 whose thickness 0.124 mm, weight variation 110 mg, folding endurance 328 times, percentage moisture absorption  of 5%, tensile strength of 0.78 kg/cm2, drug content of 90.42 % and in vitro drug release of 96.3 % may be selected as the optimized formulation. It can be concluded that it is possible to fabricate a transdermal delivery of rizatriptan for migraine where the patient acceptance and tolerability profile is high. However, the studies are being performed to increase the safety and efficacy of the drugs and also to improve the practical matters such as the experience of the wearer of the patch, and to provide increased duration of action. Other potential improvements include improved transdermal technology that utilizes mechanical energy to increase drug flux across the skin. In recent times, skin considered as a safest port for drug administration, to provide continuous drug release.

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Received on 10.10.2017         Modified on 17.11.2017

Accepted on 26.12.2017      © RJPT All right reserved

Research J. Pharm. and Tech. 2018; 11(3): 873-878.

DOI: 10.5958/0974-360X.2018.00162.2