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Preparation of In Situ-Forming Ophthalmic Gels of

Ciprofloxacin Hydrochloride for the Treatment


of Bacterial Conjunctivitis: In Vitro and In Vivo Studies
NASEEM A. CHAROO, KANCHAN KOHLI, ASGAR ALI
Department of Pharmaceutics, Faculty of Pharmacy, Hamdard University, New Delhi-110062, India

Received 4 January 2002; revised 4 June 2002; accepted 3 July 2002

ABSTRACT: Sol-to-gel systems of ciprofloxacin hydrochloride were prepared utilizing


the phase transition properties of hydroxy propyl methyl cellulose K 15 M grade (HPMC)
and carbopol 934.The sol-to-gel systems were sterilized by gamma radiation and/or
filtration. The sol-to-gel systems were evaluated for rheological characteristics, in vitro
release behavior, microbial efficacy, in vivo release behavior, and efficacy against induced
bacterial conjunctivitis in rabbits’ eyes. Concentration in aqueous humor was determined
and stability studies were carried out as per the ICH guidelines. The system passed the
test for sterility. The sol-to-gel system exhibited a zero-order drug release pattern over
24 h in in vitro release studies. The drug was active against selected microorganisms
in microbial efficacy studies. Better improvement in artificially induced bacterial
conjunctivitis in rabbits’ eyes was observed in animals treated with the sol-to-gel system
compared with marketed eye drops. Drug concentration in aqueous humor was greater
than the minimum inhibitory concentration (MIC 90) against selected microorganisms.
The shelf-life of the product was >2 years. ß 2003 Wiley-Liss, Inc. and the American
Pharmaceutical Association J Pharm Sci 92:407–413, 2003
Keywords: sol-to-gel system; bacterial conjunctivitis; ciprofloxacin hydrochloride

INTRODUCTION delivery system that promotes prolonged release of


drug, which would thus increase the application
Topical administration or application of antibac- interval. Aqueous solutions of HPMC and carbopol
terial medication to the conjunctival sac is usually are known to gel on heating and increase in pH.
an effective avenue for treating bacterial conjun- These gels are completely reversible in that they
tivitis.1 Ciprofloxacin hydrochloride is very widely are formed on heating and increase in pH, yet
used antibiotic for the treatment of infectious liquefy on cooling and at low pH.5–7 Three methods
types of conjunctivitis caused by gram negative have been employed to cause phase transition on
bacteria. It affects bacterial DNA gyrase without the eye surface: change in pH, change in tempera-
affecting mammalian DNA activity. Because of its ture, and ion activation. Gelation of an HPMC
short elimination half-life, it must be instilled as solution is primarily caused by the hydrophobic
3–4 drops at least three times a day.2–4 interaction between molecules containing a meth-
The patient compliance and efficacy of cipro- oxy substitution. In a solute state at lower tem-
floxacin hydrochloride could be improved by a drug perature, molecules are hydrated and there is little
polymer–polymer interaction other than simple
entanglement. As the temperature is increased,
Correspondence to: Naseem A. Charoo (Telephone: 0091-11- the molecules gradually lose their water of hyd-
9811397613; Fax: 0091-11-9672244755;
E-mail: naseem102@yahoo.com)
ration, which is reflected in a drop in relative
Journal of Pharmaceutical Sciences, Vol. 92, 407–413 (2003)
viscosity. Eventually, when a sufficient but not
ß 2003 Wiley-Liss, Inc. and the American Pharmaceutical Association complete dehydration of the polymer occurs, a

JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 2, FEBRUARY 2003 407


408 CHAROO, KOHLI, AND ALI

Table 1. Composition of the Viscous Systems

Viscous System

Ingredient A B C D
Ciprofloxacin hydrochloride (g) 0.1875 0.1875 0.1875 0.1875
HPMC K15M (g) 0.84 0.80 0.60 0.48
Carbopol 934 (g) 0.12 0.10 0.12 0.08
Benzalkonium chloride (% v/v) 0.02 0.02 0.02 0.02
Sodium chloride (% w/v) 0.422 0.422 0.422 0.422
Acetate buffer of pH 4.4 (mL) 50 50 50 50

polymer–polymer association takes place, and the compared with the formulations sterilized by
system approaches an infinite network structure filtration. The composition of the formulations is
reflected in a sharp increase in relative viscosity. given in Table 1.
Carbomers are synthetic high-molecular-weight
polymers of acrylic acid cross-linked with either Method A
allyl sucrose or allyl esters of pentaaerythritol.
The calculated amount of ciprofloxacin hydro-
They exhibit reverse thermal gelation; that is,
chloride was placed in a volumetric flask and
their macroscopic viscosity increases with an in-
dissolved in acetate buffer of pH 4.4 under aseptic
crease in temperature. They also exhibit reverse
conditions. The required amount of sodium chlor-
pH dependent gelation; that is, their viscosity
ide and benzalkonium chloride were added and
increases on increasing pH and they gel comple-
mixed thoroughly. The resulting solution was
tely at pH 7.4. Simultaneous change in both pH
sterilized by filtration through 0.22-mm Millipore
(4.0–7.4) and temperature (25–378C) of the HPMC
membrane filter paper. Solutions containing both
and carbopol solutions results in solutions with
HPMC and carbopol 934 were prepared by adding
higher viscosity. In the present study, sol-to-gel
appropriately weighed amounts of the HPMC and
systems of ciprofloxacin hydrochloride were eval-
carbopol. The solution was thoroughly mixed and
uated for rheological characteristics, in vitro re-
equilibrated in a biological shaker for 24 h at
lease characteristics, efficacy against induced
258C. The mixing was continued until a uniform
bacterial conjunctivitis in rabbits’ eyes, concentra-
and clear solution was formed. The resulting
tion in aqueous humor, and stability as per the
solutions were sterilized by autoclaving. The
ICH (International Conference on Harmonization)
solutions were again shaken for 3 h.
guidelines.
The solutions just described were mixed under
aseptic conditions in a sterilized flask and were
thoroughly shaken until a uniform and clear solu-
EXPERIMENTAL SECTION tion was formed. The solution was transferred into
previously sterilized amber-colored bottles, each
Materials with a cap that was fitted and that carried a
Ciprofloxacin hydrochloride, HPMC K15 M dropper fitted with a teat.
(HPMC), and carbopol 934 were gifts from
Ranbaxy Research Laboratories (New Delhi, Method B
India). All other chemicals and solvents were of An appropriate amount of ciprofloxacin hydro-
analytical grade. chloride was placed in a volumetric flask and
dissolved in acetate buffer of pH 4.4. The required
amount of sodium chloride was added to adjust
Preparation of Sol-To-Gel System
the isotonicity. Solutions containing both HPMC
Sol-to-gel systems were prepared by two methods and carbopol were prepared by adding appropri-
depending on the sterilization method employed. ately weighed amounts of the HPMC and carbopol
Gamma radiation sterilization is the usual method solutions. The resulting solutions were thoro-
recommended for sterilization of polymeric de- ughly mixed and equilibrated for 24 h in a
vices. To evaluate the effect of gamma radiation biological shaker at 258C. The polymer solution
on the physical properties, viscous systems were was added to the drug solution and mixed

JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 2, FEBRUARY 2003


CIPROFLOXACIN HYDROCHLORIDE OPHTHALMIC GELS 409

thoroughly. Preservative was then added, and to study the effect of gamma radiation on cipro-
mixing was continued until a uniform and clear floxacin hydrochloride.
solution was formed. Final concentrations were
made by adding required volumes of acetate Ultraviolet (UV) Scanning
buffer of pH 4.4. The solution in the final
The sterilized and nonsterilized viscous systems
container was sterilized by gamma radiation.
were dissolved in simulated tear fluid of pH 7.4.
The package was exposed to a total dose of 2.5
After filtration through Whatmann filter paper
megarads, and the total dose was given in 24 h.
no. 42, the solutions were scanned for UV absorp-
tion between 200 and 400 nm. UV scans of the
Rheological Studies placebo formulations were also run and were
compared with those of medicated formulations.
The rheological studies of the samples were car-
ried out with a Brookfield viscometer (RV model).
Assay
The pH of the solution was raised from 4.4 to 7.4
by neutralizing with 0.1 N NaOH, and, simulta- An accurate amount of ciprofloxacin hydrochlor-
neously, the temperature of the solutions was in- ide was dissolved in simulated tear fluid of pH 7.4,
creased from 21 to 378C by keeping the solutions and the absorbance of the resulting solutions was
in a water bath maintained at 378C. The viscosity determined at 274 nm. Drug content was calcu-
of the samples was recorded before and after lated to estimate the percentage recovery of the
gelifying. loaded drug.

Infrared (IR) Spectroscopy Studies


In Vitro Release Studies
The IR spectra studies were performed on steri-
In vitro release studies were carried out on sol-to-
lized and nonsterilized viscous systems, and the
gel systems in diffusion cells.8 The diffusion cham-
spectra were compared with the IR spectra of pure
ber, a circular flat reservoir 4 cm in diameter, was
drug and placebo formulations.
fitted in a Teflon block. One drop (0.04 mL con-
taining 0.15 mg of the drug) of the viscous system,
Thin-Layer Chromatography (TLC) Studies
equal to one dose, was placed into the cell and was
covered with muslin cloth. This cell was then The following TLC system was used: thin layer,
fitted into a Teflon block and placed at the bottom Silicon gel 60 F-254; eluent, acetonitrile:ammo-
of a 250-mL capacity beaker containing 50 mL of nia:methanol: ichloromethane (1:2:4:4); sample,
simulated tear fluid of pH 7.4 at 37  0.58C, which ciprofloxacin hydrochloride dissolved in acetic
was kept in a dissolution apparatus (USP XVIII). acid (10 mg/mL); visualization, in UV light at
The paddle was lowered and rotated at 50 rpm. 254 nm. The sterilized and nonsterilized viscous
Aliquots of medium (3 mL) were withdrawn at systems were dissolved in acetic acid to achieve a
selected time intervals and replaced by 3 mL of concentration of 10 mg/mL The solutions were
fresh simulated tear fluid. The samples were fil- filtered through Whatmann filter paper no. 42,
tered through Whatmann no. 42 filter paper and and the filtered solutions were applied onto silica
estimated by ultraviolet spectroscopy at 274 nm. gel plates.
The simulated tear fluid contained 1.34 g of
sodium chloride, 0.40 g of sodium bicarbonate,
Microbiological Studies
0.016 g of calcium chloride, and water to a volume
of 200 mL. The microbiological studies were carried out
to ascertain the biological activity of ophthalmic
sol-to-gel system against microorganisms. Sta-
Packaging, Sterilization, and Interaction Studies
phylococcus aureus was used as the test micro-
The sol-to-gel systems were packed in amber- organism. A layer of agar (20 mL) seeded with the
colored bottles fitted with closure systems and test microorganism was allowed to solidify in the
were evaluated as per BP (British Pharmaco- Petri plate. The viscous system containing 0.15 mg
poeia) for sterility, resistance to autoclaving, and of the drug was poured into the bore made with a
closure efficiency. Interaction studies were car- sterile borer. After 4 h, the plates were incubated
ried out, as described next, to investigate any at 378C for 18 h. Results were compared with the
interaction between drug and polymer as well as placebo formulations.

JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 2, FEBRUARY 2003


410 CHAROO, KOHLI, AND ALI

In Vivo Studies Staphylococcus aureus and Escherichia coli.


Treatment was initiated 24 h later. Five rabbits
From the standpoint of animal welfare and as per
were selected for the study. The right eye of each
guiding principles for the care and use of labo-
animal was treated with sol-to-gel system. One
ratory animals in India, the minimum number of
drop of drug containing 0.15 mg of drug per dose
animals were used to achieve the purpose of the
was instilled every 24 h for 5 days. The left eye of
research work. Rabbits of either sex, weighing
each animal was treated with 2–3 marketed eye
1.5–2 kg were procured from the animal house of
drops, three times a day for the duration of study.
Jamia Hamdard, New Delhi, India. The animals
Eyes of each animal were observed every day for
were randomly distributed into various groups
the duration of the study for the following
and transferred to an animal holding room. They
parameters: redness of the mucous membrane
were housed one per cage in plastic cages with
of the eye: observed visually and graded from 0 to
filter tops. Animals had access to food and water
4 (i.e., 0 ¼ absent; 1 ¼ mild; 2 ¼ moderate;
at all times.
3 ¼ severe; 4 ¼ very severe); lacrimal secretion:
All the animals were sacrificed at the end of
graded from 0 to 3 (i.e., 0 ¼ normal; 1 ¼ slightly
study by carbon dioxide euthanasia.
more than normal; 2 ¼ more than normal;
3 ¼ abnormally more than normal); mucoidal
Estimation of Ciprofloxacin Hydrochloride discharge: whitish to yellowish-white semisolid
in Aqueous Humor of Rabbits’ Eyes discharge if any was noted and graded from 0 to 3
(i.e., 0 ¼ absent; 1 ¼ little; 2 ¼ more; and 3 ¼ much
The in vivo release studies were performed in
more); response to ocular stimulus: assessed by
albino rabbits because rabbits’ eyes simulate an
shining torch light on the eye from a particular
adult human eye with respect to size, shape, phy-
distance, observing the response to this stimulus,
siology, and composition of tears.9 First, 0.15 mg
and grading the response from 0 to 2 (i.e.,
of the viscous system (equal to one dose) was
0 ¼ normal; 1 ¼ faster; 2 ¼ very fast); swelling of
applied to the right eye of the rabbit, once a day.
eyelid: graded from 0 to 2 (i.e., 0 ¼ absent;
Ciprofloxacin hydrochloride drops (0.3 % w/v;
1 ¼ slight; 2 ¼ more).
marketed preparation) were placed into the left
Treatment effects were compared with those of
eyes of the rabbits, three times a day (3 drops per
marketed formulations, and significance was
dose). Then, 200 mL of the aqueous humor was
determined by the following t test:
withdrawn with a 26-gauge needle at appropriate
pffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
time intervals (i.e., 4, 8, and 24 h). The amounts of t ¼ X1  X2 =s ¼ n1 n2 =n1 þ n2 ð1Þ
ciprofloxacin hydrochloride permeated into the
aqueous humor were quantitated by a modifica- where X1 is the mean of the first set of samples
tion of the method of Isavadharm et al.10 After of n1 observations (marketed eye drops), X2 is the
being vortexed for 30 s and centrifuged for 15 min mean of the second set of samples of n2 observa-
at 2000 rpm, 20 mL of the sample was directly tions (viscous system), and s is the pooled
injected into the high-performance liquid chro- variation of two squares. Equation 2 was used to
matography (HPLC) apparatus. The HPLC anal- calculate s2:

X1  i2  ½ðX1  iÞ2 =n1 þ X2  i2  ½ðX2  iÞ2 =n2


s2 ¼
n1 þ n2  2 ð2Þ

ysis chromatographic conditions were as follows: where Sx21  i is the sum of squares of observations
HPLC mode, Shimadzu; flow rate, 1 mL/min; of the first sample, Sx1  i is the sum of observa-
mobile phase, tetrabutyl ammonium hydroxide tions of the first sample, Sx22  i is the sum of
solution in water (pH 2.5–2.7): acetonitrile (91:9); squares of observations of the second sample, and
column, Nucleosil; detector, fluorescence; extinc- Sx2  i is the sum of observations in the second
tion, 277 nm; and emission, 456 nm. sample.
Significance levels (p < 0.05) were determined
by a two-tailed t test. The theoretical t value was
Animal Studies
2.306 at this level of degrees of freedom. Treatment
Bacterial conjunctivitis was induced in rabbits’ was given significance (s) if the t value exceeded
eyes by exposing them to bacterial strains of the theoretical t value. If the treatment t value did

JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 2, FEBRUARY 2003


CIPROFLOXACIN HYDROCHLORIDE OPHTHALMIC GELS 411

not exceed the theoretical t value, then the


treatment was considered as nonsignificant (NS)
compared with marketed eye drops.

Stability Studies
Stability studies were carried out on ophthalmic
sol-to-gel systems according to ICH guidelines. A
sufficient quantity of sol-to-gel system in amber-
colored bottles was stored in a desiccator contain-
ing a saturated solution of sodium chloride, which
gave a relative humidity of 75%. The desiccator
was placed in a hot air oven maintained at a
temperature of 40  0.58C, and samples were Figure 1. In vitro release rate curves of ciprofloxacin
withdrawn at 0, 30, 60, and 90 days. The loga- hydrochloride from ophthalmic sol-to-gel system C.
rithms of percent drug remaining were calculated
and plotted against time in days. The degradation
Almost 93% of the drug was released from the
rate constant was deduced with equation slope ¼
optimized formulation over a period of 24 h in
K/2.303, where K is a degradation rate constant.
in vitro release studies. As shown in Figure 1, the
drug was released according to zero-order kinetics.
RESULTS AND DISCUSSION The extended and zero-order release from the gel
might be due to the hydroxypropyl and meth-
The objective of the present research work was to oxy substituents of HPMC that render HPMC
develop controlled drug delivery systems of cipro- hydrophobic. All the samples passed the tests for
floxacin hydrochloride with improved patient com- sterility, leakage, water vapor transmission, remo-
pliance and better therapeutic efficacy. Because of vability, and resistance to autoclaving. No change
its short half-life of elimination and polar char- in physical appearance of the viscous system due to
acteristics, the bioavailability of ciprofloxacin gamma radiation was observed. The UV absorp-
hydrochloride is very low and it is thus necessary tion spectra for pure drug formulations before and
to apply the eye drops three times daily. To after sterilization were quantitatively similar,
overcome this shortcoming, a controlled drug deli- with similar lmax at 274 nm. When assayed, almost
very system of ciprofloxacin hydrochloride was 97% of the loaded drug was recovered from the
developed for the continuous release of the drug viscous system. The IR spectra of the viscous
for 24 h. Aqueous solutions of HPMC are known to system before and after sterilization showed
gel on heating. These gels are completely rever- similar peaks at 1700, 1625, 1275, 1230, and
sible in that they are formed on heating, yet they 800 cm1, which confirmed that no ingredient
will liquefy on cooling. Carbopol 934 exhibits was affected by gamma radiation in the dosage
reverse thermal gelation; that is, its macroscopic form and no irradiated product was formed within
viscosity increases with an increase in tem- the dosage form. The main peaks of the dosage
perature. HPMC and carbopol 934 also exhibit form were similar to the those of the pure drug in
reverse pH-dependent gelation; that is, their the IR spectra. The IR spectra of placebo formula-
viscosities increase on increasing pH and they tions before and after sterilization exhibited
gel completely at pH 7.4 (pH of the eye). Thus, by similar patterns, which indicated that there was
using HPMC and carbopol 934, sol-to-gel phase no effect of gamma radiation on the ingredients of
transition could be achieved by both changes
in temperature and pH when the formulation was
instilled into the cul de sac of the eye. Maximum Table 2. In Vitro Inhibition of Growth of
Microorganisms (Staphylococcus aureus) Over One Day
phase transition was achieved when HPMC and
by Ophthalmic Gel C Containing Ciprofloxacin
carbopol 934 were used in a ratio of 5:1. The Hydrochloride (0.15 mg)
environment of the conjunctival sac favors the
phase transition of HPMC and carbopol 934 Hours of Incubation Zone Diameter (mm)
solution to the gel form. Drainage from the pre-
18 15
corneal area would therefore be considerably
24 23
reduced.

JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 2, FEBRUARY 2003


412 CHAROO, KOHLI, AND ALI

advantage of viscous formulations. Thus, viscous


formulations overcame the seesaw pattern of
aqueous humor drug concentration level versus
time profile of the conventional marketed eye
drops.
Bacterial conjunctivitis was induced by instil-
ling mixed strains of Staphylococcus aureus and
Escherichia coli in rabbits’ eyes. Treatments were
given with marketed eye drops and the sol-to-gel
system. The eyes were observed for redness, lacri-
mal secretion, mucoidal discharge, swelling of
Figure 2. Concentration of drug in aqueous humor
versus time for ophthalmic sol-to-gel system C and eyelid, and response to ocular stimuli on score
marketed eye drops. basis up to 5 days. The results are shown in Table 3.
An improvement in the symptoms was observed
for the sol-to-gel system. The infection was suc-
the formulations. The Rf value of 0.54 obtained in cessfully treated with sol-to-gel system in a much
TLC studies was the same as that of the pure drug. shorter time compared with the marketed eye
It could thus be concluded that there was no drops. The results were analyzed statistically by
interaction between the drug and polymer and no applying a two-tailed t test (p < 0.05) and the
interaction due to gamma radiation. results are shown in Table for two tales, as shown
The drug was active against the selected micro- in Table 4.
organisms as indicated by clear zones of inhibition Improvement in redness occurred after 1 day in
(see Table 2). the case of the sol-to-gel system as compared with
The amount of ciprofloxacin hydrochloride in on the second day of treatment in the case of
aqueous humor was determined after the applica- marketed eye drops. Similarly, significant changes
tion of the viscous system in the rabbit’s eye at in measured parameters were observed earlier
different time intervals (i.e., 4, 8, and 24 h). The following treatment with the sol-to-gel system as
reported minimum inhibitory concentration (MIC- compared with treatment with eye drops. Thus,
90) of ciprofloxacin hydrochloride is 0.380  symptoms mainly associated with conjunctivitis
0.328 mg/mL against the selected microorganism. were controlled better with viscous systems than
As shown in Figure 2, the MIC-90 of drug in marketed eye drops. Finally, accelerated stability
aqueous humor was achieved quickly in the case of studies at elevated temperature and humidity
viscous formulations and the drug concentration revealed that the sol-to-gel system has high
was maintained above MIC-90 for >20 h. In con- stability; that is, the shelf-life is 2 years as per
trast, in the case of marketed eye drops, a sharp the ICH guidelines. The degradation rate constant
increase in aqueous humor drug concentration for the formulation was 4.5292  104 day1, as
was observed at 4 and 8 h. At 24 h, drug was not shown in Figure 3. Because the overall degrada-
detected in aqueous humor from marketed for- tion is <5%, a tentative shelf-life of 2 years may be
mulations. The latter result represents the main assigned to the formulations.

Table 3. Mean Scores and Standard Deviation (SD) for Severity of Redness, Lacrimal Secretion, Mucoid
Discharge, Response to Ocular Stimulus, and Swelling of Eyelida

Response to Ocular
Redness Lacrimal Secretion Mucoid Discharge Stimulus Swelling of Eyelid
No. of
Days ED VS ED VS ED VS ED VS ED VS
1 3.8  0.44 3.2  0.44 2.4  0.54 2.2  0.44 2.6  0.54 2.2  0.44 2.0  0.00 2.0  0.00 2.0  0.00 1.6  0.54
2 3.2  0.44 2.8  0.54 2.2  0.44 1.6  0.54 2.0  0.00 1.0  0.00 1.6  0.54 2.0  0.0 1.6  0.54 1.2  0.44
3 2.6  0.54 2.2  0.44 1.6  0.54 1.0  0.00 1.6  0.54 0.4  0.54 1.0  0.00 1.0  0.00 1.4  0.54 0.6  0.54
4 2.4  0.54 1.4  0.54 1.0  0.00 0.8  0.44 1.0  0.00 0.2  0.44 0.4  0.54 0.4  0.54 1.0  0.00 0.2  0.44
5 2.2  0.44 0.6  0.54 0.4  0.54 0.4  0.54 0.2  0.44 0.0  0.00 0.0  0.00 0.0  0.00 0.8  0.44 0.0  0.00
a
N, 5; ED, eye drops; VS, viscous system.

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CIPROFLOXACIN HYDROCHLORIDE OPHTHALMIC GELS 413

Table 4. Significance t Test Results of Ophthalmic Sol-to-Gel C Versus Eye Drops for
Improving the Symptoms of Conjunctivitis in Rabbits Eye (viz., Redness, Lacrimal
Secretion, Mucoid Discharge, Response to Ocular Stimulus, and Swelling of Eyelid)a

Lacrimal Mucoid Response to Swelling


No. of Days Redness Secretion Discharge Ocular Stimulus of Eyelid
1 2.1198 06320 1.264 0 1.6322
NS NS NS NS NS
2 1.4132 1.8960 1.6322 1.2640
NS NS NS NS
3 1.2640 2.4483 3.4617 0 2.3078
NS S S NS NS
4 2.8847 0.9993 3.9974 0 3.9974
S NS S NS S
5 5.0560 0 0.9993 0 3.9974
S NS NS NS S
a
Theoretical t value of p  0.05 for two tails, 2.306. S, significant (if calculated t values are greater
than theoretical t values); NS, nonsignificant.

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JOURNAL OF PHARMACEUTICAL SCIENCES, VOL. 92, NO. 2, FEBRUARY 2003

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