This research paper studied the in vitro interaction of the antibiotic cephradine with mango juice at lower pH levels. Dissolution studies were carried out in simulated gastric juice at pH 4 and pH 5 in the presence and absence of mango juice. It was observed that there was no significant difference in the drug release profile of cephradine in the presence of mango juice compared to its absence at both pH levels. The drug release kinetics were also measured.
This research paper studied the in vitro interaction of the antibiotic cephradine with mango juice at lower pH levels. Dissolution studies were carried out in simulated gastric juice at pH 4 and pH 5 in the presence and absence of mango juice. It was observed that there was no significant difference in the drug release profile of cephradine in the presence of mango juice compared to its absence at both pH levels. The drug release kinetics were also measured.
This research paper studied the in vitro interaction of the antibiotic cephradine with mango juice at lower pH levels. Dissolution studies were carried out in simulated gastric juice at pH 4 and pH 5 in the presence and absence of mango juice. It was observed that there was no significant difference in the drug release profile of cephradine in the presence of mango juice compared to its absence at both pH levels. The drug release kinetics were also measured.
This research paper studied the in vitro interaction of the antibiotic cephradine with mango juice at lower pH levels. Dissolution studies were carried out in simulated gastric juice at pH 4 and pH 5 in the presence and absence of mango juice. It was observed that there was no significant difference in the drug release profile of cephradine in the presence of mango juice compared to its absence at both pH levels. The drug release kinetics were also measured.
A+STRACT Cephradine is a first generation semi-synthetic cephalosporin antibiotic, is widely used in clinics for its activity against both Gram-positive and Gram-negative bacteria. It is indicated for the treatment of urinary tract infections, skin and skin structure infections, respiratory tract infections and otitis media. Interaction of cephradine with mango juice were investigated by U-spectrophotometer in simulated gastric juice !p" #.$%&.$'. In this research work, cephradine capsules were collected from drug shops. (he samples were analy)ed according to *ritish +harmacopoeia !*+' method &. In this work in vitro dissolution studies were carried out in ,--ml of acidic buffer !p" #.$%&.$' in a dissolution tester with a speed of .# rpm at &/0-..1C for si2 hours. (he absorbance was measured by using U-spectrophotometer at a 3ma2 of $.4nm. Compare with the absorbance of drug and the drug in presence of mango juice simulated gastric juice !p" #.$%&.$'. (he drug release kinetics was also measured. It is observed from the drug release profile that, there is no significant difference in the drug release curve of p" #.$%&.$. Key Words:- Cephradine, U-spectrophotometer, 5issolution, 6ango juice. INTRO),CTION 7oods and therapeutic products are both used for well defined purposes. In simple terms food provides energy for sustenance, while therapeutic products are taken for managing ailments $. "owever, over the years roles of foods have changed considerably. 8ow, food no longer is seen as simply the provider of energy, but it is e2pected to provide physiological benefits for good health and productive lifestyles. 9ell managed combination of foods and therapeutic products plays important role in the prevention and treatment of many diseases, including a number of chronic diseases such as cancer, diabetes, hypertension, obesity. 6ost often food is combined with medicine to enhance the benefits of medicine - an additive and:or synergistic effect; food-therapeutic product synergism. <t the most basic level, food is a comple2 mi2ture of chemicals with many functional groups= hence, they not only confer positive effects, but may also make negative contributions. Cephradine is in a group of drugs called cephalosporin antibiotics. Cephradine fights bacteria in the body. Cephradine is used to treat infections caused by bacteria, including upper respiratory infections, ear infections, skin infections, and urinary tract infections >. Cephradine may also be used for other purposes not listed in this medication guide. Cephradine is the most commonly used antibiotic for prophyla2is in orthopaedic patients as it is safe and effective. 9e report a case of severe anaphylactic reaction to Cephradine in an elderly patient who had no history of allergic reactions to any drugs until then. ?+@<8A is currently the most well known household name among the millions of people in *angladesh and abroad also. Bince its inception in #,C-, +@<8 Group has grown up in stature and became the largest fruit and vegetable processor in *angladesh. It also has the distinction of achieving prestigious certificate like IBD ,--#;$---, and being the largest e2porter of processed agro products . +@<8 is the pioneer in *angladesh to be involved in contract farming and procures raw material directly from the farmers and processes through state of the art machinery at our several factories into hygienically packed food and drinks products. (he brand ?+@<8A has established itself in every category of food and beverage industry and can boost a product range from Euices, Carbonated 5rinks, Confectionery, Bnacks, and Bpices. 4
8i"ure 4: Le0ac9 :Cephradine; Capsu$e 8i"ure 7: &an"o %uice :8rooto; &ATERIALS < ÐO)S 8eature of Cephradine standard
Cephradine !compacted powder' +otency; ,,.#4F GD5- 4 F! 86(' Drigin; China Collected from; +harmik Gaboratories Gtd. Rea"ents used in this or' #. "ydrochloric acid, $. Bodium hydro2ide, &. Citric acid, 4. +ottasium chloride, .. 5i-sodium hydrogen orthophosphate, >. +otassium di-hydrogen orthophosphate. (hey were all of analytical grade. Dne brands of cephradine capsule and the innovator brands with labeled contents of .--mg each were obtained from retail pharmacies in Chittagong city. (he samples were checked for their production and e2piry dates before purchasing. Instru!ent ,sed in this ðod #. Hlectric balance $. U- Bpectrophotometer &. 5issolution <pparatus 4. (hermometer .. p" 6eter )ISSOL,TION RATE )ETER&INATION (his was determined using the +harma (est 5issolution @ate (esting <pparatus !6odel 5->&.#$, "ainburg'. (hese studies were conducted at &/0-.. - C on an UB+ specification dissolution rate test type II apparatus !+addle apparatus' with si2 section assembly according to the UB+ IIIII procedure with minor modification :,SP ==II and N8 =>II* 4??@;/ 7or in vitro dissolution studies simulated gastric medium !p" #.$ % &.$' and simulated intestinal medium !p" >.C' were reJuired. Preparation of si!u$ated "astric !ediu!:pH 4/7; #---ml buffer solution with p" #.$ $.- ml of -.# 6 "Cl solution was taken in #---ml beaker and .--ml -.#6 "Cl solution were added into the #---ml beaker. <djust the p" #.$ with adding distilled % demineralised water respectively. <fter adjusting the p" of the buffer solution the buffer solution were taken into#---ml volumetric flask. Preparation of si!u$ated "astric !ediu!:pH 5/7; #---ml buffer solution with p" &.$ $.- ml of -.# 6 "Cl solution was taken in #---ml beaker and .--ml -.#6 "Cl solution were added into the #---ml beaker. <djust the p" &.$ with adding distilled % demineralised water respectively. <fter adjusting the p" of the buffer solution the buffer solution were taken into#---ml volumetric flask. )isso$ution study state!ent (he dissolution study of Cephradine!GebacK' were investigated firstly in the presence of tap water and then same investigation were performed in the presence of buffer solution p" #.$ prepared by using both distilled and demineralised water. (he dissolution study were investigated in the presence of buffer solution p" &.$ prepared by using demineralised water. (he dissolution study of Cephradine!Gebac' were investigated in the presence of $.-ml mango juice!+ran 7rooto' and >.-ml of buffer solution p" #.$. <gain dissolution study of Cephradine !GebacK' were investigated in the presence of $.-ml mango juice >.-ml of buffer solution p" &.$. )isso$ution study description <ccording to the statement every time two capsules are places in the baskets, where one basket contain the the drug !cephradine capsule form' and another basket contain the drug with mango juice. 7irst time drug was placed in tap water and demineralised water. "ere one drug was placed in tap water and another was in demineralised water. 8e2t time a drug was placed in buffer with p" #.$ and another was in combined solution of $.-ml mango juice and >.-ml buffer p" #.$.again a drug was placed in buffer with p" &.$ and another was in combined solution of $.-ml mango juice and >.-ml buffer p" &.$.again. (he operation in the acid stages were carried out for > hours.(han the dissolution apparatus are switched on and the temperature was &/LC and the rpm was .#.<t every time interval .ml solution were taken into test tube and the volume adjust by fresh media.(he time interval were followings;- -min, .min, #-min, $-min, &-min, 4.min, >-min, ,-min, #&.min, #,.min, $C.,min, &>-min !upto > hours'. 7rom the test tube of each,#ml were taken into #--ml volumetric flask and it is diluted to #--ml with buffer. (han it was filtered, taken into cell and the released drug was assayed by using U spectrophotometer at $.4nm. RES,LTS < )ISC,SSION (he absorbances of standard Cephradine solution under a concentration range of # to #-Mg:ml !-.--# to -.-# mg:ml' where the average of Concentration : <bsorbance were also calculated to determine the release kinetics. 5ata are shown at Ta0$e 4 / Ta0$e 4: Conc :!"A!$; A0sor0ance Conc AA0sor0ance A-era"e -.--# -.-/$ -.-#&CCCCC, -.--$ -.#-$ -.-#,>-/C4& -.--& -.#C$ -.-#>4C&.#> -.--4 -.$>4 -.-#.#.#.#. -.--. -.&#. -.-#.C/&-#> -.--> -.&C/ -.-#..-&C/> -.-$##C$>-> -.--/ -.4$& -.-#>.4C4>& -.--C -.4,C -.-#>->4$./ -.--, -..4& -.-#>./4.C> -.-# -.>## -.-#>&>>>#$ 8i"ure 5 : Btandard Curve of Cephradine !blue line' represents the measured absorbance were plotted against the respective concentrations of the standard solutions which give a straight line in the concentration range of # to #-Mg:ml !-.--#--.-# mg:ml'. )isso$ution test of Cephradine in presence of #uice:7@3!$; in PH 4/7:B@3!$; (he dissolution test of cephradine in presence of juice were conducted % collect the absorbance of the dissolute solution after every . minutes. <ll the respected value are shown at Ta0$e 7 Ta0$e 7. Ti!e:!inutes; A0sor0ance Ct C re$ease C Re!ain $o" of C re!ain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orm the table it is found that percent release of the drug is increased upto ,- minutes and than decreased again by time. <s well as the concentration of drug in e2perimental medium. "ence the percent remain and log of percent remain decreased. (he graphical presentation of rate kinetics are shown at 8i"ure 6 * @ * B respectively.
8i"ure 6 : 8i"ure @ : Nero order plot of release kinetics of Cephradine 7irst order plot of release kinetics of Cephradine
8i"ure B: "iguchi plot of release kinetics Re$ease para!eters of cephradine capsu$es in presence of #uice:7@3!$; in PH 4/7:B@3!$; Para!eters Dero order 8irst order Hi"uchi
RE
3/@6@754B5F 3/6FF2FF4?7 3/2757BBFB (he @-sJuared value is highest in case of "iguchi release kinetics )isso$ution test of Cephradine in presence of #uice:7@3!$; in PH 5/7:B@3!$; (he dissolution test of cephradine in presence of juice were conducted % collect the absorbance of the dissolute solution after every . minutes. <ll the respected value are shown at Ta0$e 5 Ta0$e 5 Ti!e:!inutes; A0sor0ance Ct C re$ease C Re!ain $o" of C re!ain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orm the table it is found that percent release of the drug is increased by time. <s well as the concentration of drug in e2perimental medium. "ence the percent remain and log of percent remain decreased.
8i"ure F : 8i"ure 2 : Nero order plot of release kinetics of cephradine 7irst order plot of release kinetics of cephradine
8i"ure ?: "iguchi plot of release kinetics Re$ease para!eters of cephradine capsu$es at in presence of #uice:7@3!$; in PH 5/7:B@3!$; Para!eters Dero order 8irst order Hi"uchi
RE
3/2B3723F?5 3/5FBF2F@2 3/??342274 (he @-sJuared value is highest in case of higuchi release kinetics )eter!ination of re$ease !echanis! fro! corre$ation coefficients :R 7 ; : 7rom the drug release data of cephradine in presence of mango juice were treated in different kinetics orders such as Nero Drder +lot, 7irst Drder +lot and "iguchi +lot and their correlation coefficients were determined to identify their release mechanism. Ta0$e 6 : Corre$ation coefficients deter!ination data for pH 4/7 Sa!p$e corre$ation coefficients :R 7 ; Nero order 7irst order "iguchi Cephradine -.,>#,,#.>4 -.&>/&.-C&C -.,$.>.$,,$ Cephradine1&an"o #uice -..4.$&#>&/ -.4//C//#,$ -.C$&$>>/> 7rom ta0$e 6 it is seen that Cephradine in presence of 6ango juice at p" #.$.Indicates that the Correlation Coefficients was close to # in case of "iguchi plot than Nero Drder and 7irst Drder Oinetics. Bo "iguchi release kinetics predominates in simulated gastric medium of p" #.$. Ta0$e @ : Corre$ation Coefficients deter!ination data for pH 5/7 Sa!p$e corre$ation coefficients :R 7 ; Nero order 7irst order "iguchi Cephradine -.C.>&$#-C& -.#/.>&->-# -.,>>4,&.&& Cephradine1&an"o #uice -.C>-$C-/,& -.&/>/C/.C -.,,-#CC$# 7rom ta0$e @ it is seen that Cephradine in presence of 6ango juice in simulated Gastric medium at p" &.$ indicates that the Correlation Coefficients is close to # in case of "iguchi plot that Nero Drder and 7irst Drder kinetics. "iguchi release kinetics predominates in simulated gastric medium of p" &.$. CONCL,SION (he percent release data suggest that, in the simulated gastric medium !p"#.$ % &.$', the percent release of Cephradine not increased significantly. It is also seen that in different p" the percent release neither increased nor decreased when Cephradine is taken with the 6ango juice. 7rom the Correlation coefficients determination data it is seen that, Correlation Coefficients !@ $ ' is close to # in case of "iguchi plot. Bo "iguchi release kinetics predominates in simulated gastric medium of p" #.$ % &.$. It is also observed from the release kinetics profile !Nero order, 7irst order, "iguchi', both of the line are close to each other and there is no significant distance between two line. *oth of the line appear in between --$- percent of drug release. "ence, we can say that on the basis of our present study if the patient take Cephradine and 6ango juice at a time, no harmful effect will occur. ACGNOHLE)GE&ENT I am greatful to the +harmik Gaboratories Gtd. for providing the Btandard sample of Cephradine for my research work RE8ERENCES: #.<meer *, 9eintraub @<. 5rug interactions with grapefruit juice. Clin Pharmacokinet #,,/=&;#-&-$#. $. P<dvisory Btatement. <ntibiotic +rophyla2is for 5ental +atients 9ith (otal Eoint @eplacements. <merican 5ental <ssociation= <merican <cademy of Drthopedic Burgeons,P J Am Dent Assoc, #,,/, #$C!/';#--4-C. 3. Bamberger, D. M. & Dahl, S. L. (1!". #m$act o% &ol'ntar( &s en%orce) com$liance o% thir)*generation ce$halos$orin 'se in a teaching hos$ital. Archi&es o% #nternal Me)icine 1+!, ++,-.. 4. *587!*angladesh 8ational 7ormulary',+ublished by; 5irectorate of 5rug <dministration,& rd edition, +age no. #>,#/,#C ..*arcina Q, <lcalde <I, Ilundain <, Garralde E. Hffect of cephale2in and tetracycline on galactose absorption in rat small intestine. 5rug 8utr Interact #,C>=4;$,,-&-/. >.*ailey 5G, 6alcom E, <rnold <, Bpence E5. Grapefruit juice-drug interactions. Br J Clin Pharmacol #,CC=4>;#-#-#-. /.Creed, @ichard !$-#---,--.'. P@elative Dbscurity; ariations of antigodlin growP. /inston*Salem Jo'rnal. @etrieved $-#---,-->. R)ea) linkS C.5aly <O, *rockmoller E, *roly 7, et al. 8omenclature for human CQ+$5> alleles. +harmacogenetics #,,>= >; #,&-$-#. ,. 5.<rcy +7. 8utrient-drug interactions. A)&erse Dr'g 0eact 1o2icol 0e& #,,.=#4;$&&-.4. #-. 5ebnam CB, (homson H(. Hffects of neomycin on galactose absorption across rat jejunum. *r E +harmacol #,C4=C$; >/&->. ##. 5ie)-Bampedro <, Urdaneta H, Gostao 6+, *arber <.Galactose transport inhibition by cytochalasin H in rat intestine in vitro. Can E +hys +harmacol #,,,=//;,>-#-#. #$. 5rug T 5rug Interactions *y +rofessor Ghada "ashem, 5epartment of +harmacology, 7aculty of 6edicine,Cairo University $--. #&. Goshman G, 7ish E, @oller O.; Clinically significant cytochrome +4.- drug interactions. +harmacotherapy !9isconsin' #,,,= 6ay:Eune; $&-&C.!6H(<*DGIB6' #4 "ansten +5, "orn E@. "ansten and "ornUs 5rug interactions analysis and management. Bt. Gouis, 6D; 7acts and Comparisons, $---. #.. Idoate I, 6endi)abal 6, Urdaneta H, Garralde E. Interactions of cephradine and cefaclor with the intestinal absorption of 5-galactose. E +harm +harmacol #,,>=4C; >4.-.-. #>. Eedele B, "au <6, von Dppen 6. <n analysis of the world market for mangoes and its importance for developing countries. Conference on International <gricultural @esearch for 5evelopment, $--& R#S #/. Oarchmer <9 !#,,.'. Ce$halos$orins, In. 6andell, 5ouglas and *ennettA. Princi$les an) Practice o% #n%ectio's Diseases, 4th edition, Churchill Givingstone, 8ew Qork, pp.$4/-$>&. #C. Gieber CB. 6echanisms of ethanol-drug-nutrition interactions. J 1o2icol Clin 1o2icol #,,4=&$;>&#-C#. #,. 6ichalets HG. Update; Clinically significant Cytochrome +-4.- drug interaction, +harmacotherapy #,,C= #C; C4-##$. !3. Moellering, 0. C. (1!". 4mergence o% 4nterococc's as a signi%icant $athogen. Clinical #n%ectio's Diseases 1,, 11.3-5. $#. 9ichman O, ed. 8ew drugs:drug news; 5rug interactions with grapefruit juice. +harmaCQ Connection #,,,= >!4';iiTiv. !!. 6nite) State Pharmaco$eia, 77# 0e&., 1he 8ational 9orm'lar(, 7:#th 4)., (he United Btate +harmacopeial Convention Inc., 8ew Qork, #,C..