N. Realdon et al., Effect of drug solubility on the in vitro availability rate from suppositories with lipophilic excipients, PHARMAZIE, 55(5), 2000, pp. 372-377
The factors involved in mechanisms of availability of different drugs from
suppositories with lipophilic excipients were studied by using an in vitro
model of the rectal compartment with a porous membrane simulating the recta
l barrier. The solubility in water of drugs was found to be the fundamental
factor influencing the release rate from suppositories. In fact, following
the melting of the suppository at body temperature the drug particles can
migrate to the interface with the small volume of rectal secretion where th
ey dissolve. Drug molecules can so diffuse until they come into contact wit
h the rectal barrier through which the drug is absorbed. Drug concentration
in the intrarectal aqueous phase produces the gradient against the large v
olume of the plasma phase. This gradient regulates the diffusion rate throu
gh the barrier A drug with a low water solubility saturates the intrarectal
phase at low concentration hindering the subsequent dissolution of the dru
g particles remaining in the melted excipient. This fact maintains the visc
osity of the melted suppository at a ligh level, which slows the migration
of the particles. On the other hand, a drug with high water solubility quic
kly leaves the excipient, producing a high concentration in the intrarectal
phase which supports a high diffusion rate across the barrier. The results
obtained indicate that drugs with low solubility in water result in low av
ailability, while drugs with good solubility can give an intense and rapid
drug supply for a rapid and intense therapeutic response with the dose admi
nistered almost completely utilised.