european journal of pharmaceutical sciences 37 ( 2 0 0 9 ) 36–42
available at www.sciencedirect.com
journal homepage: www.elsevier.com/locate/ejps
In vitro permeation of desmopressin across rabbit nasal
mucosa from liquid nasal sprays: The enhancing
effect of potassium sorbate
Bortolotti Fabrizio
a
, Balducci Anna Giulia
a,b
, Sonvico Fabio
b
,
Russo Paola
c
, Colombo Gaia
a,∗
a
Department of Pharmaceutical Sciences, University of Ferrara, I-Ferrara, Via Fossato di Mortara 17/19, 44100 Ferrara, Italy
b
Department of Pharmacy, University of Parma, I-Parma, Italy
c
Department of Pharmaceutical Sciences, University of Salerno, I-Fisciano, Italy
article info
Article history:
Received 23 October 2008
Received in revised form
20 December 2008
Accepted 22 December 2008
Published on line 31 December 2008
Keywords:
Desmopressin
Preservative
Nasal spray
Potassium sorbate
abstract
Nasal spray products containing desmopressin acetate (DDAVP) were tested in vitro to evalu-
ate the effect of the contained preservatives on drug permeation across rabbit nasal mucosa.
Experiments were performed using Franz-type diffusion cells with rabbit nasal mucosa as
model barrier. Transport profiles obtained in comparison with a preservative-free solution
evidenced that in the presence of preservatives DDAVP permeation in vitro always increased
(p < 0.05), although at different extents (chlorobutanol < benzalkonium < sorbate).
While for benzalkonium structural damage of the mucosa could occur decreasing its bar-
rier properties, the effect of sorbate on drug transport was further investigated, being less
studied. After having found that sorbate permeated together with DDAVP, the hypothesis
that the two compounds formed an ion pair in solution with improved permeability was
made. Additional experiments with aqueous test solutions reconstructed ad hoc contain-
ing desmopressin and varying sorbate concentrations confirmed the enhancing effect of
sorbate, which however resulted to be independent of sorbate concentration.
In conclusion, preservatives significantly enhanced desmopressin permeation in vitro
across rabbit nasal mucosa with different mechanisms. If a correlation existed between
these data and in vivo DDAVP bioavailability after nasal administration, this could
strengthen the safety concerns related to the use of this medication in adults and children.
© 2008 Elsevier B.V. All rights reserved.
1. Introduction
Desmopressin (DDAVP), a synthetic nine-aminoacid cyclic
peptide analogue of vasopressin, is used as antidiuretic drug
both in adults and children for treating nocturnal enure-
sis and central diabetes insipidus (Cvetkovic and Plosker,
2005). Desmopressin is successfully administered via the nasal
route, which guarantees higher bioavailability compared to
∗
Corresponding author. Tel.: +39 0532 455909; fax: +39 0532 455953.
E-mail address: clmgai@unife.it (C. Gaia).
the oral route, due to reduced enzymatic degradation. World-
wide, generic liquid formulations (nasal drops or sprays) are
available for DDAVP administration to the nose, usually con-
taining 0.05–0.1 mg/ml of desmopressin acetate together with
preservatives, required to maintain product stability during
storage and use.
It has been shown that preservatives used in liquid nasal
formulations cause adverse effects, such as nasal conges-
0928-0987/$ – see front matter © 2008 Elsevier B.V. All rights reserved.
doi:10.1016/j.ejps.2008.12.015