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FORMULATION OF OIL-BASED

EAR ANTI-INFECTIVE DROPS

BY

ANDI SRI SURIATI AMAL

Dosen Prodi Farmasi, Fakultas Ilmu Kesehatan

Universitas Darussalam Gontor

SEMINAR NASIONAL HASIL RISET DAN STANDARDISASI INDUSTRI IV

BANDA ACEH, 5 – 6 NOVEMBER 2014

(2)

Content

2

Introduction

Fact About Otic Anti-infective

Available Products List

Characteristics of Ideal Ear Drops

Objective

Method

Result: - Advantages & Limitation

- Practical Problems,

Quality and GMP

Conclusion

(3)

Introduction

3

Otitis externa, infection or inflammation

of the external ear canal, is one of the most

common diseases of the ear.

Otic preparations are commonly used to

treat diseases of the external ear and

occasionally of the middle ear.

The majority of the existing otic products

on the market are formulated as solution

dosage forms containing either a

combination of antibacterial and

anti-inflammatory agents or antifungal and

anti-inflammatory agents.

(4)

About otic preparation

4

Mostly use propylene glycol or

anhydrous glycerin as main solvent.

propylene glycol as solvent, which is

not only expensive but

also known to have OTOTOXIC

effects

(5)

5

NO PRODUCT INGREDIENTS MANUFACTURER

1. Betnesol-N® Betamethasone sod. Phosphate 0.1 %, Neomycin sulphate 0.5 %

UCB Pharma (BNF)

2. Otosporin Polymyxin B. sulphate 10000 U/G, Neomycin sulphate 3400 U/G, Hydrocortisone 1.0 % w/w

GSK (BNF)

3. Vistamethasone-N® Betamethasone sod. Phosphate 0.1 %, neomycin sulphate 0.5%.

Martindale (BNF)

4. Otomize® Dexamethazone 0.1 %, neomycin sulphate 3250 units/mL, glacial acetic acid 2 %.

GSIC Consumer Healthcare (BNF)

5. Sofradex Dexamethazone 0.05%, framycetin sulphate 0.5%, gramicidin 0.005%

Sanovi-Aventis (BNF)

6. Locorten-Vioform® Flumetasone pivalate 0.2%, clioguinol 1 % Amdipharm (BNF)

7. Gentisone® Hydrocortisone acetate 1 %, gentamycin 0.5 % Amdipharm (BNF)

8. Predsol-N® Prednisolone sod. Phosphate 0.5 %, neomycin sulphate 0.5 %

UCB Pharma (BNF)

Table: Ear anti-infective drops available in the

(6)

Characteristics of Ideal Vehicle for Ear Drops

6

softens cerumen

emollient properties

inert

non-irritant

viscous vehicle

prolonged contact of the active ingredients

with the surface of the ear canal

(7)

Objective

7

To develop and formulate a new product

containing clotrimazole and triamcinolone

acetonide in one single oil-based

preparation that can be used for treating

antifungal and anti-inflammatory ear

(8)

Method

8

Stability study

Analytical method

development

Drug-excipients compatibility

Solubility characteristics

of the drugs

Physicochemical characteristics

of the drug

(9)

Result

9

DIFFERENT FORMULATIONS OF ANTI-INFECTIVE DROPS FOR THE

EAR

Formula Clotrima

zole

%

Triamcin

olone

%

Slv for

Clot.

%

Slv for

Triam.

%

Coconut

oil

%

Refined

palm

olein %

Olive oil

%

A

1

0.1

10

10

Up to

100%

-

-B

1

0.1

10

10

-

Up to

100%

-C

1

0.1

10

10

-

-

Up to

100%

(10)

Chemical Structure

10

Triamcinolone acetonide (C

24

H

31

FO

6

)

Clotrimazole (C

22

H

17

ClN

2

)

Triamcinolone acetonide was

halogenated corticosteriod to

be widely used topically and

was found to be therapeutically

effective for psoriasis

Clotrimazole, is known to be active

against a broad spectrum of

pathogenic fungi, but is also

effective for treating systemic

blas-tomycosis, candidiasis,

cocci-dioidomycosis, histoplasmosis and

paracoccidioidomycosis.

(11)

Advantages of This New Product

11

Meet all the criteria of an ideal

ear drops preparation.

Lower cost

For example: coconut oil, costs only

RM 6.48 per 100ml, olive oil RM

7.87 per 100ml the price of

propylene glycol is almost triple

(RM 18 per 100ml)

(12)

Advantages of This New Product

12

All the solvents were more natural in terms of its

availability in local markets such as coconut oil &

palm oil.

Harmless to the skin when compared with

propylene glycol, which is known for its ototoxicity

effect.

(13)

Limitation

13

Most antimicrobials, fungal and

anti-inflammatory are water soluble.

More difficult to make this preparation of oil-based

(14)

Result

14

Practical Problems

The major challenge in developing these new otic

preparations containing two or more active

components were:

1.

To choose a solvent in which the two ingredients

can dissolve since the two drugs chosen have

different solubility profiles.

2.

To find the solvent that can mix up with the oil as

(15)

Result

15

Quality and GMP (USP 23 (1997))

1. Evaluation of formulation like

density, viscosity, pH and clarity had

been checked.

2. This formula showed the specified

high standards of quality, with its

active and non-active ingredients

being chemically and physically

compatible.

(16)

Physicochemical properties of product

16

Formula/Test

A

B

C

USP 23 (1993)

pH

5.97

6.01

5.96

5.0 – 7.2

(pH of the normal skin of the external auditory canal)

Density

0.9091

0.9111

0.9097

± 1.0000

Viscosity (cps)

6.8045

10.0674

10.5416

10 - 30

Formula A using coconut oil as main solvent

Formula B using refined palm olein as main solvent

Formula C using olive oil as main solvent

(17)

Result

17

CHROMATOGRAM OF TRIAMCINOLONEACETONIDE,

CLOTRIMAZOLE AND PROGESTERONE

( Analysis of active ingredients using high performance liquid chromatography

(18)

Accuracy, Recovery and coefficient of variation of analysis of

clotrimazole and triamcinolone in the new anti-infective drops

preparation (n=6) using HPLC method

18

Sample Active Ingredient Expected value (µg)

Value obtained (µg)

Inaccuracy (%) Recovery (%) Coefficient of variation (%) A Triamcinolone Clotrimazole 4 10 15 40 100 150 4.2732 9.7800 15.0500 40.2732 79.0800 123.7920 7.57 2.23 1.09 7.57 20.92 17.52 106.23 97.77 99.95 106.83 79.08 82.39 8.1 0.8 2.5 8.1 1.9 1.3 B Triamcinolone Clotrimazole 4 10 15 40 100 150 4.9272 10.0145 15.3603 32.2403 87.5412 123.9250 23.18 0.62 2.40 0.19 12.46 4.30 123.75 100.15 102.40 80.60 87.54 95.70 1.0 0.9 0.6 4.6 2.5 1.2 C Triamcinolone Clotrimazole 4 10 15 40 100 150 4.9272 10.0145 15.3603 40.9272 94.0145 150.3603 23.18 0.62 2.40 2.32 6.06 0.24 123.18 100.16 102.40 102.32 94.02 100.24 1.03 0.97 0.64 1.03 5.03 0.06

USP 23 (1993), recovery test for topical solution should contain not less than 90.0% and not more than 115.0 % of the labeled amount of triamcinolone acetonide and for clotrimazole should not less than 90.0% and not more than 115.0%.

(19)

Result

(20)

Conclusion

20

Three new anti-infective combination ear drops consisting of

two active ingredients, i.e. triamcinolone acetonide and

clotrimazole in oil base (coconut oil, refined palm olein and

olive oil) have been developed.

Analysis of active ingredients using high performance liquid

chromatography (HPLC) showed the compatibility of these

two drugs in the formulation study.

Formula C was found to be the most acceptable formulation

because it complied with the USP specifications for its active

ingredient assay. This formula showed the specified high

standards of quality, with its active and non-active ingredients

being chemically and physically compatible.

(21)

Suggestion for Further Study

21

The formulation containing fungal and

anti-inflammatory in the oil base can now be made to

replace the propyleneglycol-based ear anti-infective

drops that have been known to have ototoxicity

effect.

However, additional studies are needed to determine

if these concepts are applicable under in vitro and/or

in vivo conditions.

(22)

22

The author research programs are supported by

FELDA grants 4111169 “Penyelidikan Felda”.

Acknowledgement

(23)
(24)

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