Intranasal spray formulation containing rizatriptan benzoate for the treatment of migraine

Int J Pharm. 2019 Nov 25:571:118702. doi: 10.1016/j.ijpharm.2019.118702. Epub 2019 Oct 5.

Abstract

Rizatriptan produces antimigraine activity by acting as selective agonist of 5-HT1B and 5-HT1D receptors present on intracranial and extracerebral blood vessels. Absorption from oral tablet is slow with Tmax of approximately 1-1.5 h. A few attempts have been made to promote rapid absorption such as oral or sublingual films with limited success. The aim of our study was to develop intranasal spray formulation of rizatriptan with quick onset of action. Solubility was enhanced by a co-solvent system where we studied solubility of rizatriptan benzoate in pure solvents, binary and ternary mixtures. Binary and ternary co-solvents using ethanol, water, propylene glycol and polyethylene glycol resulted rizatriptan equivalent base solubility more than 60 mg/mL. Same co-solvents were used at different level to make nasal spray formulations and evaluated pharmacokinetics using beagle dog animal model. Nasal spray formulation containing 20% w/w ethanol exhibited highest exposure, where Cmax (312 ng/mL) reached in 5 min and maintained higher concentration than oral dose for more than 30 min.

Keywords: Bioavailability; Migraine; Nasal; Pharmacokinetics; Rizatriptan.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Intranasal
  • Administration, Oral
  • Animals
  • Area Under Curve
  • Capsules
  • Dogs
  • Drug Compounding / methods*
  • Ethanol / chemistry
  • Humans
  • Migraine Disorders / drug therapy*
  • Models, Animal
  • Polyethylene Glycols / chemistry
  • Propylene Glycol / chemistry
  • Solubility
  • Solvents / chemistry*
  • Time Factors
  • Triazoles / administration & dosage*
  • Triazoles / chemistry
  • Triazoles / pharmacokinetics
  • Tryptamines / administration & dosage*
  • Tryptamines / chemistry
  • Tryptamines / pharmacokinetics
  • Water / chemistry

Substances

  • Capsules
  • Solvents
  • Triazoles
  • Tryptamines
  • Water
  • Ethanol
  • Polyethylene Glycols
  • rizatriptan
  • Propylene Glycol