Purpose: To enhance the otherwise
poor solubility and bioavailability of candesartan
cilexetil (CDS).
Methods: This study involved
enhancing drug solubility by various solid dispersion
(SD) methods. The drug: carrier ratio was as follows:
for urea (1:2, 1:4 and 1:6; for polyethylene glycol 6000
(PEG, 1:2 and 1:4, 1:8); and mannitol (1:2, 1:4 and 1:6.
Piperin and quercetin (natural P-glycoprotein
inhibitors) were used as bioavailability enhancers.
Bioavailability stdies were carried out in a rat model
with the SDs formulated in a suspension form and
administered by the oral route.
Results: All the carriers enhanced
drug dissolution in water 2 to 4-fold depending on
drug/carrier ratio. Release kinetics from solid
dispersions made with mannitol showed zero order drug
release. Urea and PEG 6000-based solid dispersions
showed 1st order drug release kinetics. FTIR studies
confirmed transformation to an amorphous form of CDS in
mannitol solid dispersion; this was buttressed by
release kinetic studies. Bioavailability of the drug in
the animals was enhanced by 27 and 68 % when quercetine
and piperine, respectively, were incorporated.
Conclusion: Formation of solid
dispersion enhances the solubility and bioavailability
of CDS when natural P-glycoprotein inhibitors such as
piperin and quercetin are incorporated as enhancers.
Keywords: Solid dispersion,
Candesartan, Cilexetil, Bioavailability, P-
Glycoprotein, Piperin, Quercetin