Mem. Vangelderen et al., THE BIOAVAILABILITY OF DICLOFENAC FROM ENTERIC-COATED PRODUCTS IN HEALTHY-VOLUNTEERS WITH NORMAL AND ARTIFICIALLY DECREASED GASTRIC-ACIDITY, Biopharmaceutics & drug disposition, 15(9), 1994, pp. 775-788
The relative bioavailability of four monolithic enteric coated (MEC) d
iclofenac products was compared in 16 healthy volunteers. Only one gen
eric product was fully bioequivalent with the reference product Voltar
en with regard to AUC, C-max, and t(lag). Two products showed signific
ant differences in t(lag). In a second experiment with eight volunteer
s the influence of increased gastric pH (ranitidine treatment) on the
two mutually most differing products was studied. They showed equivale
nce in AUC, but not in C-max. Analysis of t(lag) suggests that the pro
duct with the low t(lag) disintegrates within the non-acid stomach whe
reas the product with the long t(lag) passes the non-acid stomach inta
ct. Several in vitro dissolution tests were conducted. The European Ph
armacopeia test did not detect any differences between the products. A
t pH 5, both with and without mechanical stress, only the product with
the shortest t(lag) released diclofenac. The in vivo results were bes
t predicted by the in vitro dissolution tests performed at several fix
ed pH values with mechanical stress.