In vivo study of sustained-release formulations containing amoxicillin and Gelucire 64/02

Determination of dose-dependent absorption of amoxycillin from urinary excretion data in healthy subjects

Measurement of unchanged drug in urine was used to study the rate and extent of amoxycillin absorption after administration of amoxycillin sodium solution to six healthy subjects in a Latin-Square crossover design. The mean (95% CI) fraction of the dose excreted as unchanged amoxycillin decreased (P < 0.05) from 0.50 (0.44-0.56) after 97 mg amoxycillin sodium (= 0.25 mmol amoxycillin) to 0.23 (0.19-0.27) after 3103 mg (8 mmol), while the mean residence time determined from urinary excretion rate data increased (P < 0.05) from 1.54 (1.32-1.76) h to 2.16 (2.01-2.41) h. Plots of total urinary excretion and initial (0-30 min) excretion of unchanged drug vs dose indicated significant non-linearity above 776 mg doses. Michaelis-Menten parameters describing this relationship with respect to amount absorbed were 3.02 mmol for maximum amount absorbed and 1.93 mmol for amount absorbed at half maximum for 0-30 min. These results support a saturable absorption mechanism for amoxycillin which had clinical implications for high oral amoxycillin doses, and for competition with other drugs having capacity-limited absorption.

Use of hydroxypropyl methylcellulose acetate succinate in an enteric polymer matrix to design controlled-release tablets of amoxicillin trihydrate

A controlled-release table of amoxicillin trihydrate was developed by use of a matrix formulation based on the enteric polymer hydroxypropyl methylcellulose acetate succinate (HPMCAS). Sustained drug release was shown by in vitro dissolution testing; the polymer could suppress drug release in the presence of gastric pH but could enhance drug release in the presence of small intestinal pH, compared with compacts of pure drug. Grinding or physical mixing of the drug with the polymer, an alteration in normal compaction pressure, or a substitution of other enteric polymers did not markedly affect drug release from compacts. Physicochemical testing of samples confirmed that the method of mixing did not alter powder morphology. An ethanolic granulation procedure was used in the production of final tablets (21 x 10 mm) containing amoxicillin (750 mg), HPMCAS, anhydrous directly compressible lactose, and lubricants. These large tablets showed a promising sustained-release effect in vitro when a variable-pH-shift dissolution procedure was used. However, single-dose studies with a panel of fasting subjects showed that the tablets had a relative bioavailability of only 64.4%. Other pharmacokinetic parameters confirmed a lack of therapeutic advantage of these tablets over an equivalent dose of conventional capsules.