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Cyclodextrin solubilization of benzodiazepines: formulation of midazolam nasal spray

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Authors
Loftsson, T
Gudmundsdottir, H
Sigurjonsdottir, J F
Sigurdsson, H H
Sigfusson, S D
Masson, M
Stefansson, E
Issue Date
2001-01-05

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Citation
Int J Pharm. 2001, 212(1):29-40
Abstract
The cyclodextrin solubilization of three benzodiazepines, i.e. alprazolam, midazolam and triazolam, was investigated. The cyclodextrin solubilization was enhanced through ring-opening of the benzodiazepine rings and ionization of the ring-open forms. Additional enhancement was obtained through interaction of a water-soluble polymer with the cyclodextrin complexes. The ring-opening was pH-dependent and completely reversible, the ring-open forms dominating at low pH but the ring-closed forms at physiologic pH. The ring-closed forms were rapidly regenerated upon elevation of pH. In freshly collected human serum in vitro at 37 degrees C, the half-life for the first-order rate constant for the ring-closing reaction was estimated to be less than 2 min for both alprazolam and midazolam. Midazolam (17 mg/ml) was solubilized in aqueous pH 4.3 nasal formulation containing 14% (w/v) sulfobutylether beta-cyclodextrin, 0.1% (w/v) hydroxypropyl methylcellulose, preservatives and buffer salts. Six healthy volunteers received 0.06 mg/kg midazolam intranasally and 2 mg intravenously, and blood samples were collected up to 360 min after the administration. Midazolam was absorbed rapidly reaching maximum serum concentrations of 54.3+/-5.0 ng/ml at 15+/-2 min. The elimination half-life of midazolam was 2.2+/-0.3 h and the absolute availability was 73+/-7%. All mean values+/-SEM.
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http://dx.doi.org/10.1016/S0378-5173(00)00580-9
ae974a485f413a2113503eed53cd6c53
10.1016/S0378-5173(00)00580-9
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English Journal Articles (Peer Reviewed)

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