DEVELOPMENT AND EVALUATION OF MUCOADHESIVE BILAYER GASTRORETENTIVE TABLETS OF TRIMETAZIDINE DIHYDROCHLORIDE AND IVABRADINE HYDROCHLORIDE

Authors

  • SAGAR S. JADHAV Department of Pharmaceutics, PES’s Modern College of Pharmacy (Affiliated to Savitribai Phule Pune University), Nigdi, Maharashtra, India. https://orcid.org/0009-0007-3365-3859
  • ATUL A. PHATAK Department of Pharmaceutics, PES’s Modern College of Pharmacy (Affiliated to Savitribai Phule Pune University), Nigdi, Maharashtra, India.

DOI:

https://doi.org/10.22159/ajpcr.2025v18i8.55372

Keywords:

Mucoadhesive, Bilayer tablets, Immediate release, Gastroretentive, Ivabradine hydrochloride, Trimetazidine dihydrochloride

Abstract

Objective: The objective of the present investigation was to combine ivabradine hydrochloride (IBH) and trimetazidine dihydrochloride (TMZ) in bilayer mucoadhesive gastroretentive tablets for effective treatment of angina, reduce multiple dosing, and to discover best alternative to conventional drug with lesser adverse effects.

Methods: Bilayer gastro retentive tablets formulated using simple direct compression method and mucoadhesive approach wherein IBH incorporated in immediate release (IR) while TMZ as mucoadhesive layer. Fourier-transform infrared spectroscopy (FTIR), differential scanning calorimetry (DSC), and melting point and ultraviolet (UV) spectroscopy performed to evaluate compatibility and purity of active pharmaceutical ingredient (API). IBH IR layer prepared using Avicel-112, Vivasol, Klucel and TMZ mucoadhesive layer developed using Benecel K200M, Kollidon SR, Xanthan gum, and stearic acid. Bilayer tablets prepared with simple direct compression and evaluated for physical parameters, in vitro dissolution, mucoadhesive strength, % swelling index, stability study for 6 months, and in vivo study conducted in New Zealand white rabbits using barium sulfate in TMZ tablets.

Results: DSC, FTIR, UV spectroscopy, and melting point confirmed the purity of both the API and their compatibility. IBH IR layer quickly disintegrated within 5 s and released complete drug. TMZ mucoadhesive layer controlled release up to 12 h with 51.15 N mucoadhesive strength. Tablet remained unchanged after 6 months stability study at 40°C–75% temperature-RH condition. Furthermore, X-ray imaging study for 24 h confirmed that TMZ tablet retained in rabbit stomach for more than 12 h.

Conclusion: Based on stability study, results and in vivo testing it was concluded that IBH and TMZ mucoadhesive bilayer tablets successfully developed using simple direct compression. Further optimization required to control the drug release and to increase gastric retention time.

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References

1. Homayun B, Lin X, Choi HJ. Challenges and recent progress in oral drug delivery systems for biopharmaceuticals. Pharmaceutics. 2019;11(3):129.doi:10.3390/pharmaceutics11030129, PMID 30893852

2. Alqahtani MS, Kazi M, Alsenaidy MA, Ahmad MZ. Advances in oral drug delivery. Front Pharmacol. 2021;12:618411. doi: 10.3389/ fphar.2021.618411, PMID 33679401

3. Iglesias N, Galbis E, Romero-Azogil L, Benito E, Lucas R, Garc MG. In-depth study into polymeric materials in low-density gastroretentive formulations. Pharmaceutics. 2020;12(7):636. doi: 10.3390/ pharmaceutics12070636

4. Raza A, Bukhari NI, Karim S, Hafiz MA, Hayat U. Floating tablets of minocycline hydrochloride: Formulation, in-vitro evaluation and optimization. Future J Pharm Sci. 2017;3(2):131-9. doi: 10.1016/j. fjps.2017.05.001

5. Gande S, Yamsani MR. Formulation and evaluation of floating gastroretentive drug delivery system of diltiazem hydrochloride. Int J Pharm Bio Sci. 2013;4(2):538-48.

6. Vrettos N, Roberts CJ. Gastroretentive technologies in tandem with controlled-release strategies: A potent answer to oral drug bioavailability and patient compliance implications. Pharmaceutics. 2021;13:1591. doi: 10.3390/pharmaceutics13101591

7. Nigusse B, Gebre-Mariam T, Belete A. Design, development and optimization of sustained release floating, bioadhesive and swellable matrix tablet of ranitidine hydrochloride. PLoS One. 2021; 16(6):e0253391. doi:10.1371/journal.pone.0253391, PMID 34170952

8. Naseem F, Shah SU, Rashid SA, Farid A, Almehmadi M, Alghamdi S. Metronidazole based floating bioadhesive drug delivery system for potential eradication of H. pylori: Preparation and in vitro characterization. Polymers (Basel). 2022;14(3):519. doi: 10.3390/ polym14030519, PMID 35160508

9. Mandal UK, Chatterjee B, Senjoti FG. Gastro-retentive drug delivery systems and their in vivo success: A recent update. Asian J Pharm Sci. 2016;11(5):575-84. doi: 10.1016/j.ajps.2016.04.007

10. Vinchurkar K, Sainy J, Khan MA, Mane S, Mishra DK, Dixit P. Features and facts of a gastroretentive drug delivery system-a review. Turk J Pharm Sci. 2022;19(4):476-87. doi: 10.4274/tjps.galenos.2021.44959, PMID 36047602

11. Tripathi J, Thapa P, Maharjan R, Jeong SH. Current state and future perspectives on gastroretentive drug delivery systems. Pharmaceutics. 2019;11(4):193. doi: 10.3390/pharmaceutics11040193PMID 31010054

12. Vantimitta SR. Novel approaches of gastro retentive drug delivery system: A review. Int J Health Sci (Qassim). 2022;6:3464-76. doi: 10.53730/ijhs.v6nS1.5549

13. Patil S, Talele GS. Gastroretentive mucoadhesive tablet of lafutidine for controlled release and enhanced bioavailability. Drug Deliv. 2015;22(3):312-9. doi: 10.3109/10717544.2013.877099, PMID 24471787

14. Chatterjee B, Amalina N, Sengupta P, Mandal UK. Mucoadhesive polymers and their mode of action: A recent update. J App Pharm Sci. 2017;7(5):195-203. doi: 10.7324/JAPS.2017.70533

15. Bakhrushina E, Anurova M, Demina N, Kashperko A, Rastopchina O, Bardakov A, et al. Comparative study of the mucoadhesive properties of polymers for pharmaceutical use. Open Access Maced J Med Sci. 2020;8(A):639-45. doi: 10.3889/oamjms.2020.4930

16. Hossain MS, Banik S, Moghal MM, Bhatta R. Swelling and mucoadhesive behavior with drug release characteristics of gastoretentive drug delivery system based on a combination of natural gum and semi-synthetic polymers. Marmara Pharm J. 2018;22(2):286- 98. doi: 10.12991/mpj.2018.66

17. Ford TJ, Berry C. Angina: Contemporary diagnosis and management. Heart. 2020;106(5):387-98. doi: 10.1136/heartjnl-2018-314661, PMID 32054665

18. Rousan TA, Thadani U. Stable angina medical therapy management guidelines: A critical review of guidelines from the European Society of Cardiology and National Institute for health and care excellence. Eur Cardiol. 2019;14(1):18-22. doi: 10.15420/ecr.2018.26.1, PMID 31131033

19. Tarkin JM, Kaski JC. Trimetazidine: Is there a role beyond angina? Eur Heart J Cardiovasc Pharmacother. 2018;4(2):67-8. doi: 10.1093/ ehjcvp/pvx029, PMID 29554292

20. Ferrari R, Camici PG, Crea F, Danchin N, Fox K, Maggioni AP, et al. Expert consensus document: A “diamond” approach to personalized treatment of angina. Nat Rev Cardiol. 2018;15(2):120-32. doi: 10.1038/ nrcardio.2017.131, PMID 28880025

21. Pavasini R, Camici PG, Crea F, Danchin N, Fox K, Manolis AJ, et al. Anti-anginal drugs: Systematic review and clinical implications. Int J Cardiol. 2019;283:55-63. doi: 10.1016/j.ijcard.2018.12.008, PMID 30538056

22. Ferrari R, Pavasini R, Camici PG, Crea F, Danchin N, Pinto F, et al. Anti-anginal drugs-beliefs and evidence: Systematic review covering 50 years of medical treatment. Eur Heart J. 2019;40(2):190-4. doi: 10.1093/eurheartj/ehy504, PMID 30165445

23. Ferrari R, Censi S, Squeri A. Treating angina. Eur Heart J Suppl. 2019;21(Suppl G):G1-3. doi: 10.1093/eurheartj/suz190, PMID 31736659

24. Balla C, Pavasini R, Ferrari R. Treatment of angina: Where are we? Cardiology. Cardiology. 2018;140(1):52-67. doi: 10.1159/000487936, PMID 29874661

25. Sankaraiah J, Sharma N, Naim MJ. Formulation and evaluation of fixed-dose combination of bilayer tablets of atazanavir sulfate and ritonavir 300 Mg/100 Mg. Int J Appl Pharm. 2021;13(5):60-72. doi: 10.22159/ijap.2021v13i5.41860

26. Ramoleta T, Schellack N, Bronkhorst E. An overview of ivabradine. S Afr Fam Pract. 2016;58(6):36-9. doi: 10.4102/safp.v58i6.4572

27. Giavarini A, De Silva R. The role of ivabradine in the management of angina pectoris. Cardiovasc Drugs Ther. 2016;30(4):407-17. doi: 10.1007/s10557-016-6678-x, PMID 27475447

28. Sathyamurthy I, Newale S. Ivabradine: Evidence and current role in cardiovascular diseases and other emerging indications. Indian Heart J. 2018;70(Suppl 3):S435-41. doi: 10.1016/j.ihj.2018.08.008, PMID 30595304

29. Liang M, Puri A., Devlin G. Heart rate and cardiovascular disease: An alternative to beta blockers. Cardiol Res Pract. 2009;2009:179350. doi: 10.4061/2009/179350

30. Harahap Y, Lusthom W, Prasaja MM, Hardiyanti, Azmi F, Felicia V, et al. Bioequivalence of trimetazidine modified release tablet formulations assessed in Indonesian subjects. J Bioequiv Availab. 2013;5(3):117-20. doi: 10.4172/jbb.1000144

31. Ajabnoor A, Mukhtar A. Effect of trimetazidine on the functional capacity of ischemic heart disease patients not suitable for revascularization: Metaanalysis of randomized controlled trials. PLoS One. 2022;17(2):e0263932. doi: 10.1371/journal.pone.0263932, PMID 35148340

32. Srinivas K, Sambhaji J, Manjeeta G, Sofi J. Trimetazidine 80 mg once daily: A novel formulation developed with multi-layer microgranular technology (MLMT) and its clinical benefits. Int J Pharm Res Appl. 2021;6(4):11-6. doi: 10.35629/7781-06041116

33. Chappidi SR, Bhargav E, Marikunte V, Chinthaginjala H, Vijaya Jyothi M, Pisay M, et al. A cost effective (QbD) approach in the development and optimization of rosiglitazone maleate mucoadhesive extended release tablets - in vitro and ex vivo. Adv Pharm Bull. 2019;9(2):281-8. doi: 10.15171/apb.2019.032, PMID 31380254

34. Momin MM, Kane S, Abhang P. Formulation and evaluation of bilayer tablet for bimodal release of venlafaxine hydrochloride. Front Pharmacol. 2015;6:144. doi: 10.3389/fphar.2015.00144, PMID 26217229

35. Aleti R, Baratam SR, Jagirapu B, Kudamala S. Formulation and evaluation of metformin hydrochloride and gliclazide sustained release bilayer tablets: A combination therapy in management of diabetes. Int J Appl Pharm. 2021;13(5):343-50. doi: 10.22159/ijap.2021v13i5.41339

36. Saikia R, Sahu BP. Development and evaluation of bilayer tablets for immediate and controlled release of metformin hydrochloride. Int J Curr Pharm Res. 2017;9(5):173-9. doi: 10.22159/ijcpr.2017v9i5.22182

37. More A, Mahangade A. Modified Mucoadhesive Test Apparatus. Indian Design Patent Application no: 379351-001; 2024

38. Rajeswari S, Kudamala S, Murthy KV. Development, formulation and evaluation of a bilayer gastric retentive floating tablets of ranitidine HCl and clarithromycin using natural polymers. Int J Pharm Pharm Sci. 2017;9(9):164-77. doi: 10.22159/ijpps.2017v9i9.20290

39. Sankar R, Jain SK. Development and characterization of gastroretentive sustained-release formulation by combination of swelling and mucoadhesive approach: A mechanistic study. Drug Des Dev Ther. 2013;7:1455-69. doi: 10.2147/DDDT.S52890, PMID 24348022

Published

07-08-2025

How to Cite

SAGAR S. JADHAV, and ATUL A. PHATAK. “DEVELOPMENT AND EVALUATION OF MUCOADHESIVE BILAYER GASTRORETENTIVE TABLETS OF TRIMETAZIDINE DIHYDROCHLORIDE AND IVABRADINE HYDROCHLORIDE”. Asian Journal of Pharmaceutical and Clinical Research, vol. 18, no. 8, Aug. 2025, pp. 189-97, doi:10.22159/ajpcr.2025v18i8.55372.

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