The impact of digestion is essential to the understanding of milk as a drug delivery system for poorly water soluble drugs

J Control Release. 2018 Dec 28:292:13-17. doi: 10.1016/j.jconrel.2018.10.027. Epub 2018 Oct 23.

Abstract

Milk has previously been considered as a potential lipid-based drug delivery system for poorly water soluble drugs but it has never gained significant attention. This is in part because relying on solubility in lipid-based formulations (in this case milk) does not provide a complete picture of the behavior of such systems upon digestion. Herein, we demonstrate using time resolved X-ray scattering that the digestion of milk is actually crucial to the solubilisation of a poorly water-soluble drug, halofantrine. Halofantrine was chosen because its behaviour in lipid-based formulations has been widely investigated and because of its close structural relationship to lumefantrine, an antimalarial drug of current interest for the treatment of paediatric malaria. The transformation of the drug from a crystalline solid form in suspension in milk, to a solubilised form as a direct consequence of lipolysis highlights that consideration of digestion of the milk lipids as a critical process that influences drug solubilisation and availability for absorption is vital.

Keywords: Drug solubilisation; Halofantrine; In vitro digestion; Lipid-based formulation; Milk; Polymorphism; Weakly basic drug; X-ray scattering.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biological Availability
  • Digestion
  • Drug Delivery Systems
  • Lipolysis
  • Milk / chemistry*
  • Phenanthrenes / chemistry*
  • Solubility
  • Water / chemistry

Substances

  • Phenanthrenes
  • Water
  • halofantrine