DEVELOPMENT AND EVALUATION OF MUCOADHESIVE NANOGEL OF NEVIRAPINE FOR
VAGINAL APPLICATION
Original Article
SHEIKH SOFIUR RAHMAN
*
, ABDUL BAQUEE AHMED
*
Received: 05 Feb 2019, Revised and Accepted: 28 Mar 2018
Department of Pharmaceutics, Girijananda Chowdhury Institute of Pharmaceutical Science, Hathkhowapara, Azara, Guwahati, Assam
781017
Email: sofiurgips@gmail.com
ABSTRACT
Objective: The main objective of this study was to develop and evaluate Nevirapine nanoparticle loaded mucoadhesive gel (NVP-Np mucoadhesive
gel) for vaginal application for the treatment of HIV infection.
Methods: NVP loaded nanoparticles were prepared by salting out method followed by incorporation in different gel bases to produce NVP-Np
mucoadhesive gel The prepared gels were evaluated for their physicochemical parameters, rheological characteristics, mucoadhesion, in vitro drug
release and ex-vivo permeation of drug across porcine vaginal mucosa.
Results: The result of FT-IR and DSC study confirmed the absence of incompatibility of NVP with excipients used in the formulations. The particle
size of the prepared NVP-Np was found to be 243.8±3.15 nm, a polydispersity index (PI) of 0.787±0.002 and zeta potential value-17.12 mV, which
revealed the stability of nanoparticles. All the formulations showed good homogeneity, spreadability, physical appearance and content uniformity.
The pH of the mucoadhesive gel formulations was in the range of 3.70±0.03 to 4.56±0.02, which lies in the normal pH range of the vaginal fluid. The
cumulative amounts permeated at 6 h were 832.23±63.45 μg/cm
2
, 592.13±82.55 μg/cm
2
and 941.32±81.10 μg/cm
2
from F1(1% Chitosan), F2(1%
Carbopol 974P) and F3 (1% HPMC K100M) respectively. A linear relationship [r
2
Conclusion: In conclusion, NVP-Np mucoadhesive gel was prepared successfully using salting out followed by a homogenization technique for
vaginal application of NVP for the prophylaxis of HIV infection.
>0.9 (0.97 n 0.99)] was observed between the percentage
cumulative amount permeated and time, indicating zero order kinetics.
Keywords: Nevirapine, Mucoadhesive gel, HIV infection, Rheological characteristics, Ex-vivo evaluation
© 2019 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open-access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
DOI: http://dx.doi.org/10.22159/ijap.2019v11i3.32353
INTRODUCTION
Public health, all over the world is facing a serious challenge as
occurrences of HIV have become pandemic [1, 2]. A recent report
states that 19 million out of 35 million HIV positive people are
unaware that they have acquired the virus. Though there are no
reports of new HIV infections in the past 10 y, still new methodologies
for the prevention of HIV infections is the need of the hour [1].
The HIV pandemic has pushed researchers to explore the
development of new preventive technologies. Data collected from
the developing countries shows that the occurrence of HIV positive
is 4 times higher in the case of women aged up to 24 y compared to a
man of the same age group. In 2012, there were reports of 2 million
new adult infections, especially young African women. Such fig. are
mostly seen in developing countries and highlight the vulnerability
of women to HIV infections. However, in most countries the use of
condoms, (mostly men condom) is the only method to control HIV
infection, women cannot insist to use it. Moreover, women who want
to conceive cannot use condoms [3].
As revised, elsewhere rings gels films and creams are typical vaginal
dosage forms with advantages for particular drugs and particular
indications [4]. The development of nanoparticles based vaginal
drug delivery mainly focused on pre-exposure prophylaxis.
Nanoparticles can provide sustained release of microbicide drugs,
which is necessary for maintaining protective drug concentrations
between the time of dosing and the time of intercourse. Drug release
from nanoparticles can result in more controlled vaginal absorption
compared to a drug depot like a vaginal gel, thereby potentially
requiring reduced amounts of the drug. Nanoparticles can be
designed to contain multiple modalities, to target specific cells, and
to have intrinsic antimicrobial activity [4].
NVP, chemically known as 1-cyclopropyl-5,11-dihydro-4-methyl-6H-
dipyrido [3,2-b: 2',3'-e] [1, 4] diazepine-6-one is a non-nucleoside
reverse transcriptase inhibitor, active against herpes simplex virus
type 1 and 2 and against varicella zoster virus1-2. It is a potent non-
nucleoside reverse transcriptase inhibitor used in combination with
nucleoside analogues for the treatment of HIV infection and AIDS.
NVP binds directly to reverse transcriptase and blocks the RNA-
dependent and DNA-dependent DNA polymerase activities by
causing a disruption of the enzyme's catalytic site. The activity of
NVP does not compete with template or nucleoside. The most
common adverse effect of NVP is the development of mild or
moderate rash (13%) [5].
Mucoadhesive nanogels have gained greater attention as an
alternative to conventional gels in the last decade. Mucoadhesive
nanogels are easier to handle and administer than conventional gels
due to their lesser viscosity in room temperature. On the other hand,
the high viscosity of the nanogels at body temperature can minimize
chances of gel leakage. Hence developing a mucoadhesive nanogel of
NVP may increase the residence time of the formulation and to
rapidly penetrate through vaginal mucus in order to deliver the drug
to the vaginal epithelium and thereby expected to improve the
therapeutic effectiveness of the NVP in the vaginal cavity. Thus, the
main objective of this study was to develop and evaluate Nevirapine
nanoparticle loaded mucoadhesive gel (NVP-Np mucoadhesive gel)
for vaginal application for the treatment of HIV infection.
MATERIALS AND METHODS
NVP was obtained from Astrix Laboratories Limited (Hyderabad,
India) Chitosan was purchased from Sigma–Aldrich (Denmark)
Polyvinyl alcohol (PVA), Carbopol 974P, Carboxymethyl cellulose
(CMC), HPMC K100M, methylparaben and MgCl 2 were purchased
from Sigma–Aldrich (Denmark). All chemicals and solvents used in
this study were of analytical Grade. HPLC-grade acetonitrile,
methanol, potassium phthalate and ammonium acetate were
purchased from Sigma (Denmark). Glacial acetic acid (purity 99.8%)
was obtained from Merck (Darmstadt, Germany). Phosphate buffer
International Journal of Applied Pharmaceutics
ISSN- 0975-7058 Vol 11, Issue 3, 2019