Review Article

Lipid Horizons: Recent Advances and Future Prospects in LBDDS for Oral Administration of Antihypertensive Agents

Table 5

Various LBDDSs of antihypertensive compounds.

S. no.Drug candidateBCS classAbsorbent/polymers/bioenhancer/other excipientsLipid/oilsSurfactantCosurfactant/other excipientsFormulation approachYear of publicationReference no.Outcomes

Calcium channel blockers
1AmlodipineClass IOleic acidTween 80Transcutol PNE2009[154]This study signifies that nanoemulsion serves as a potential vehicle for improving the transdermal delivery of amlodipine
2Amlodipine basilateClass 1Labrafil MTween 80EthanolNE2011[155]This study was indicating 3-fold increase in the whole residence time of NE that is suggested NE as drug carriers for improving the bioavailability in comparison of marketed formulation
3FelodipineClass IIAerosil 200Acconon ECremophor ELLutrol E300SNEDDS2013[20]Felodipine containing SNEDDS and S-SNEDDS has significant potential to improve its absorption through git and may serve a capable delivery via oral administration
4IsradipineClass IIVitamin E TPGSSodium lauryl sulfateNanosuspension2012[156]In vitro dissolution study showed that the dissolution rate of nanosuspensions (98.60%) and saturation solubility (98.76 μg/ml) compared with the coarse drug (11.53% and 14.1 μg/ml, respectively) had been significantly enhancing and pharmacokinetic study showed increases in AUC0–48 by 2.0-fold and increases the and in comparison to pure drug suspension
5IsradipineClass IINeusilin us2Labrafil® M2125Capmul® MCM L8Cremophor® ELS-SEDDS2014[22]The results of this study showed that in vitro drug release rate was increased about 18-fold and in vivo bioavailability was increased about 2.5-fold from marketed formulation
6IsradipineClass IITrimyristin and tristerinPoloxamer 188SLN2014[20]The drug release from SLNs formulation is found to be around 99% within 12 hours
7IsradipineClass IISteric acid, glyceryl monostearateSLN2016[157]This study included SLN prepared with two lipids in different concentrations. The pharmacodynamics studies of optimized formulation showed reduction in BP upto 36 hrs and confirmed the suitable carrier for oral administration
8IsradipineClass IIGlyceryl monostearate: soya lecithinEudragit L100, rutinSLN2018[158]Pharmacokinetic study shows the 3.2–4.7-fold increase in the bioavailability of coated SLN of isradipine as compared to conventional drug suspension. In vivo studies show greater absorption orally
9IsradipineClass IITricetinTween 20TranscutolNE2020[159]This study showed greater dissolution profile and solubility of isradipine
10LercanidipineClass IINeusilinCapmul MCM L8Tween 80PEG 400S-SEDDS2012[160]Optimized S-SEDDS showed the greater dissolution rate as compared to pure drugs and proved that SEDDS formulations are alternative approaches for oral route administration
11Lercardipine HCLClass IIAvicel PH 101Peppermint oilPropylene glycolPEG 400S-SEDDS2020[24]Optimized formulation showed enhanced solubility and dissolution profile of the lercardipine hydrochloride in comparison with pure drug
The S-SEDDS had shown good stability
12NifedipineClass IICremophor®E L (polyoxyl 35 castor oil)Caprylic/capric glycerideTranscutol® HP (diethylene glycolmonoethy l ether)SNEDDS2014[161]Optimized formulation shows significant increase in the AUC 0–12 h and 2.9 folds in comparison to pure drug powder and the AUC0–12 h of nifedidine loaded SNEDDS and drug powder was 4082.6 ± 621.7 and 1413.4 ± 388.4 ng/mL·h, respectively
13NifedipineClass IIAerosil® 200Imwitor® 742Cremophor (®) RH40Span (®) 80SNEDDS2014[162]It is concluded that nifedipine loaded SNEDDS is favorable dosage form with good in vitro studies
14NimodipineClass IIGlucire 44/14Transcutol pPlurol oleique CC 497SEDDS2008[163]SEDDS formulation shows significant improvement in the in vitro and in vivo performance, i.e., it is a novel effective alternative for the development of nimodipine formulation
15NimodipineClass IIPeppermint oilCremphor ELPEG 400SEDDS2018[164]Study successfully discriminated the influence of design variables on %age of the nimodipine in aqueous which signifies the segment of SEDDS arranged for instant absorption
16NimodipineClass IIPeceolTranscutol PPEG 400SNEDDS2019[165]Optimized SNEDDS formulation of nimodipine shows improved in vitro dissolutions and absorption profile of the drugs and also indicate that the stability of drug in formulation is good
17NitrendipineClass IITripalmitin/glyceryl monostearate/cetyl palmitateSoy phosphatidylcholine 95%Poloxamer 188SLN2006[166]Bioavailability of lipophilic drugs like nitrendipine could be improved by suitably incorporating into nimodipine SLN and enhancing the bioavailability of the drugs from 3.21 to 5.35 folds on i.d. administration
18NitrendipineClass IICarbopolTrimyristinTween 80SLN and NLC hydrogels2008[167]These transdermal gels show abundant efficacy and a feasible option of effective and controlled management of high blood pressure
19NitrendipineClass IICaproyl 90®Tween 80Transcutol P®/solutol HS-15®Intranasal NE2009[168]In vivo absorption studies show improved absorption and an instant onset of action and relative bioavailability of 60.44%, that is greater than the marketed tablets and pure suspension
20NiterndipineClass IICapmul MCM: triacetinKolliphor ELPTranscutol HPNE gel2020[169]This gel improves the poor penetration and it could be used as a potential carrier for the delivery of nitrendipine

ACE inhibitors
21CaptoprilClass ICurcuminGlyceryl monooleateTween 20PEG 400NE2015[170]This study shows that curcumin synergism effect on captopril activity and NE formulation increase the poor solubility of the drug
22CaptoprilClass ICastor oilKolliphor RH40: Kolliphor ELGlycerolSEDDS2020[171]This study provides indication for a sustained release from SEDDS formulation of captopril drug
23RamiprilClass IISafsol 218Tween 80Carbitol 18NE2007[172]This study revealed that optimized formulation of ramipril NE could be used for geriatric and pediatric patients in liquid unit dosage form. In vitro release was highly significant as compared with pure suspension and marketed formulation
24RamiprilClass IISafsol 218Cremophor ELCarbitolNE2008[173]Bioavailability of ramipril is increased 4.29-fold to drug suspension and 1.76-fold increase that of marketed tablet. Degradation rate was slow in NE with aqueous phase (buffered solution pH-5.0) in comparison to other formulation, i.e., these results indicated improved stability of ramipril in NE
25RamiprilClass IIGlyceryl monooleateSpan 20SLN2011[174]The optimized formulation shows the prolonged drug release as compared to other formulations with different lipids and surfactants
26RamiprilClass IICapmul PG8 NFGelucire 44/14Transcutol PSNEDDS2016[175]Optimized NE formulation shows significant improved stability, solubility, and dissolution rate of the ramipril
27RamiprilClass IISyloidCapmul MCM/Polyoxyethylene hydrogenated castor oilTranscutol PS-SNEDDS2019[176]Results of this studies show significant improvement in solubility and stability against heat, moisture, and mechanical stress during manufacturing and storage

AT II receptor blockers
28Candesartan cilexetilClass IIMiglyol 812LabrasolTween 80/Cremophor ELSMEDDS2010[177]The optimized formulation shows the higher drug release rate than the marketed formulation; this study indicates the SMEDDS had a potential to enhance the solubility and dissolution rate of the poorly soluble drug compound
29Candesartan cilexetilClass IILauroglycol 90Tween 40Transcutol PSNEDDS2015[178]This study shows significant improvement, permeability, and oral bioavailability of the drugs from the SNEDDS formulation
30Candesartan cilexetilClass IIPeppermint oilCremophor RH40LabrasolSNEDDS2019[179]In this study, SNEDDS formulation of drugs shows rapid onset of action and prolonged therapeutic activity
SNEDDS improved the oral bioavailability of candesartan about 1.69-fold as compared with the marketed formulation
31Candesartan cilexetilClass IIAerosil and Avicel 101Cinnamon oilTween 80: polaxomer 407Transcutol PS-SNEDDS2017[180]This study concluded that S-SNEDDS is a favorable approach to enhance the wettability, poor solubility, dissolution rate, and stability of candesartan cilexetil
32Candesartan cilexetilClass IICapryol 90®Tween 80Transcutol PSNEDDS2019[181]The optimized formulation of SNEDDS shows promising delivery system with rapid onset of action and prolonged therapeutic effect of drugs
33CandesartanClass IICapryol 90®Captex 500LabrasolSNEDDS2018[182]This study shows the higher drug release from the formulation into the blood stream as compared to marketed formulation and pure suspension
34Candesartan cilexetilClass IITriacetin oilCremophore RH 40Transcutol PSNEDDS2020[183]These studies indicate the increased dissolution profile of candesartan cilexitil (98%) in comparison to pure drug suspension (45%)
35Candesartan cilexetilClass IISoybean oilSolutol HS-15Tween 80NE2011[184]The results of this studies show that NEs are very effective formulation approach for improving the oral absorption of insoluble drug candidate. 8 candesartan enhanced 10 folds results when incorporated into the NE
36Candesartan cilexetilClass IISoybean lecithin: glycerol monostearateTween 80SLN2012[185]The pharmacokinetic studies show improvement in oral bioavailability over 12-fold after encapsulation into SLN
37Candesartan cilexetilClass IIDynasan 116Egg-lecithin (E-80)Poloxamer-188SLN2014[186]These studies conclude that optimized SLN of drug showed 2.75-fold enhancement in the oral bioavailability and confirmed SLN is suitable for carrying candesartan cilexitil for oral route administration
38Candesartan cilexetilClass IIHydroxypropyl methylcellulosePluronic® F 127Nanocrystals2016[187]This study investigated that nanocrystals are suitable for improvement of the oral bioavailability of the candesartan cilexitil
39Candesartan cilexetilClass IIPluronic P85Span 60Niosomes2014[188]This study concluded that niosomes increase the solubility and stability of drugs against the bile distruption and had an great potential to increase the oral bioavailability of poorly water-soluble drug candidates via encapsulation in lipid carrier
40Candesartan cilexetilClass IIMaltodextrin/diacetyl phosphateCholesterol/Span 60Proniosomes2016[189]These studies indicate proniosomes of candesartan a promising formulation for the enhancement of oral bioavailability and patient compliance
41Candesartan cilexetilClass IIChitosanPeceol™Span 60Niosomes2021[190]These studies conclude that chitosan coated or uncoated niosomes of candesartan cilexitil shows better oral absolute bioavailability
42Olmesartan midoxomilClass IICapryol 90Tween 20TetraglycolSMEDDS2009[191]This study shows that SMEDDS increases the relative oral bioavailability about 170% as compared to that pure drug suspension. SMEDDS increased the solubility and permeability by inhibiting the efflux pump
43Olmesartan midoxomilClass IICapryol 90LabrasolTranscutolSMEDDS2011[192]This study concluded that SMEDDS enhances the oral bioavailability of olmesartan medoxomil in vivo 2.7-fold as compared to pure drug suspension
44Olmesartan midoxomilClass IIAcrysol EL 135Tween 80Transcutol PSMEDDS2013[193]This study concluded in vivo and ex vivo diffusion rates from SMEDDS and is greater than the pure drug suspension of the olmesartan medoxomil. So, it is a promising delivery system for improving the oral bioavailability of poorly water-soluble drug candidates
45Olmesartan midoxomilClass IIOleic acidTween 80TranscutolSMEDDS2019[194]This study showed SMEDDS increased the solubility and bioavailability of hydrophobic olmesartan medoxomil while reducing the side effects of drug such as enteropathy
46Olmesartan midoxomilClass IISoyabean oil 700Sefsol 218Solutol HS-15NE2014[75]The pharmacokinetic studies showed increased AUC about 2.8 folds and sustained release upon oral administration
47Olmesartan midoxomilClass IIAerosil 200Capryol 90Cremophor RH40Transcutol HPS-SNEDDS2016[76]This study concluded that in vitro dissolution rate of olmesartan is increased, and pharmacokinetic behavior of drug is also improved as compared to the pure drug suspension
48Olmesartan midoxomilClass IISilicon dioxideCapmul MCM®Tween 80®PEG 400S-SEDDS2012[195]This study concluded that S-SEDDS had a better handling potential as compared with NE and in vitro release was similar
49TelmisartanClass IIAcrysol® EL 135Tween® 20Carbitol®SNEDDS2011[196]The in vivo study shows 7.5-fold enhancement of the oral bioavailability of telmisartan from SNEDDS as compared to the pure drug suspension
50TelmisartanClass IINeusilin US2Oleic acidTween 80PEG 400S-SMEDDS2012[197]This study concluded that telmisartan-loaded S-SMEDDS shows improvement in dissolution profile of the drug as compared with pure drug suspension
51TelmisartanClass IIMicro-crystalline celluloseCastor oilTween 20Propylene glycolS-SMEDDS2014[198]This study concludes that in vitro release of telmisartan from S-SMEDDS was 100% in about 120 min, that was higher than the pure drug suspension
52TelmisartanClass IICapmul MCM®Tween 80Propylene glycolSMEDDS2015[199]The result concluded that the pharmacokinetic study shows 1.54-fold increase in bioavailability of telmisartan-loaded SMEDDS in comparison with pure drug and marketed formulation
53TelmisartanClass IILabrafil 1944Kolliphor ELP: span 80PEG 400: EthanolSNEDDS2017[200]This study concluded that telmisartan-loaded SNEDDS could increase the oral bioavailability as compared to pure drug suspension
54TelmisartanClass IIPhospholipidCapryol 90Tween 80TetraglycolSMEDDS2018[201]The optimized formulation shows pH independent high dissolution of temisdartan. So, this study suggested that the phospholipid complex with SMEDDS is beneficial for enhancement of the dissolution of hydrophobic drug
55TelmisartanClass IICinnamonGelucire 44/14TranscutolSMEDDS2018[202]The results of the study concluded that in vivo studies of telmisartan-loaded SMEDDS had successfully increased the and AUC of the drug as compared to pure drug suspension
56TelmisartanClass IICapmul MCM EPLabrasolTranscutol HP2019[203]The developed and optimized formulation of telmisartan-loaded SMEDDS shows significant improvement in the dissolution rate and profile in comparison to pure drug suspension. This research shows that SMEDDS has a great potential for delivering the BCS-II class drugs
57TelmisartanClass IICapmul® MCMCremophor® RH40TetraglycolSu-SEDDS2020[204]The in vivo pharmacokinetic study shows that oral bioavailability of drug from Su-SEDDS was about 1.2-fold greater than the pure drug suspension
58TelmisartanClass IICapmul PG 8Cremophor RH 40Transcutol PS-SMEDDS2021[205]This study shows that the in vitro dissolution test is significantly higher than the plain telmisartan
59TelmisartanClass IICarbopol 934Labrafil®M 2125 CSAcrysol®EL 135Carbitol®NE gel2015[206]The study concluded that optimized formulation of NE gel showed higher bioavailability as compared to conventional gel and it showed greater permeation and penetration rate in in vivo and in vitro
60TelmisartanClass IIOleic acidTween 80PEGNE2017[207]Optimized formulation showed greater stability and drug release in comparison with conventional formulation and showed enhanced bioavailability
61TelmisartanClass IIChitosanSefsol 218 and oleic acidTween 20Transcutol PMucoadhesive nanoemulgel2021[208]This study concluded that the telmisartan mucoadhesive nanoemulgel, coated with chitosan, emerged as a promising technique for the treatment of tuberculosis, facilitating direct nose-to-brain delivery based on in vivo and ex vivo results
62TelmisartanClass IISoya PL phospholipidsBrij 35Proniosomes2020[209]The optimized formulation in vivo study showed Cmax enhances 1.5-fold and AUC increases about 3-fold and also produces sustained effect when it is compared with the marketed tablets
63TelmisartanClass IICholesterolSpan 60Niosomes2021[210]This study concluded that telmisartan encapsulated niosomes had shown better drug release when compared with pure drug
64TelmisartanClass IISoya lecithinSpan 80Tween 80Transferosomes2018[211]The results of the optimized formulation showed better entrapment efficacy (50.72%), zeta potential (27.6 mv%), and drug diffusion (−58 ± 2.4%) for effective control of cardiovascular disorders
65Losartan potassiumClass IIEgg-lecithinCholesterolSpan 60Proniosomes2009[212]The results of in vivo pharmacokinetic study showed significant increase in the bioavailability about 1.93-fold as compared with oral formulation of losartan potassium
66ValsartanClass IICapmul MCMTween 80PEG 400SMEDDS2010[213]Results of the study showed higher drug release and bioavailability of valsartan from SMEDDS
67ValsartanClass IICastor oilTween 80PEG 600SEDDS2011[214]The optimized formulation shows adequate improvement in the drug release and stability of the drug from valsartan loaded SEDDS
68ValsartanClass IILabrasolTween 20PEG 400SNEDDS2012[215]The optimized formulation showed significantly enhanced solubility and stability of the valsartan loaded in SNEDDS as compared with marketed formulation. This improvement in the solubility could lead to higher drug oral bioavailability
69ValsartanClass IINeusilin US2Capmul MCMKolliphor HS-15PEG 400S-SEDDS2015[216]The results of the study showed increase in the bioavailability of valsartan from S-SEDDs about 1.6 folds as compared with plain drug
70ValsartanClass IIFlorite® PS-10 and Vivapur® 105Capmul MCMTween 80Transcutol® P and poloxamer 407S-SuSMEDDS2017[217]The pharmacokinetic study concluded in rats the relative bioavailability of the S-SuSMEDDS granules and DIOVAN powder was about 107% and 222%, respectively. Therefore, this technique has a great potential for developing solid dosage form of liquefied formulation for improving oral bioavailability of hydrophobic drugs
71ValsartanClass IICapmul® MCMTween® 20Transcutol® PSuSMEDDS2017[218]Results showed excellent in vivo and in vitro bioavailability of the drug from optimized formulation
72ValsartanClass IIL-HPC and Florite® PS-10Capmul MCMTween 80Gelucire® 44/14S-SuSMED2019[219]The study concluded that optimized S-SuSMED tablets enhanced the oral bioavailability in rat about 177–198% as compared with plain valsartan and DIOVAN
73ValsartanClass IIPhospholipon 90GSodium deoxycholateNanotransferosomes2012[220]The in vivo study on Wistar rats showed that nanotransferosomes enhance the transdermal delivery of valsartan drug and produces the prolonged control on blood pressure up to 48 hrs
74ValsartanClass IIPhospholipon 90GSpan 40Transferosomes2020[221]This study concluded that valsartan-loaded transferosomes patch will be effective in reducing the frequency of dosing, as it has produced sustained effects and enhanced patient compliance
75ValsartanClass IICholesterolSpan 60Niosomes2019[222]The results of this study showed controlled release about 24 hrs (98.55) of the valsartan from the niosomes
76ValsartanClass IILecithinCholesterolSpan 60Proniosomes2011[223]The study concluded that proniosomes prepared with span 60, cholesterol, and lecithin have an high encapsulation efficacy, release rate, and stability as compared with formulation composition

Beta-blockers
77Atenolol/metaprolol/danazolClass III,/II/ILauroglycol ® 90Pluronic® P104Pluronic® L62 or L81Nanoemulsion2007[150]The study concluded that BCS-1 and II drugs show higher permeability as compared with plain drugs. Atenolol increases 2.5 folds, danazol increases 3.2 folds, and metoprolol increases 1.4 folds
78CarvedilolClass IILabrafil M 1944CSTween 80Transcutol PSMEDDS2005[224]The results of the study showed that increase in vitro dissolution rate of the carvedilol from SEDDS and SMEDDS about 2 folds than marketed tablets
79CarvedilolClass IIGelucire 44/14Lutrol F68Transcutol PSelf-emulsifying osmotic pump2007[225]The results of the studies show that drug release from self-emulsifying osmotic pump was controlled and follows zero-order kinetic and improved the oral bioavailability
80CarvedilolClass IICapmul PG8Cremophor ELTranscutol HPSNEDDS2011[226]This study shows accelerated stability of the optimized formulation for 6 months. In situ perfusion study on Wistar rats showed improved permeability and absorption potential about several folds in comparison to marketed formulation
81CarvedilolClass IICapmul MCMNikkol HCO 50SNEDDS2012[227]The results of the studies were stable during the 6 months of study periods. And optimized formulation had a potential of enhancement of oral bioavailability of carvedilol
82CarvedilolClass IIHydroxypropyl methylcellulose/polaxomerOleic acidLabrafilLabrafac PGSEDDS2014[228]This study concluded that carvedilol loaded SEDDS showed drug permeability through the rat intestine was about 2.76 folds greater than the control
83CarvedilolClass IICaproyl 90Tween 20Transcutol HPSEDDS2017[229]The results of this study concluded that optimized formulation of carvedilol loaded SEDDS expressed rapid onset of action and improved the antihypertensive activity
84CarvedilolClass IICremophor RH40PEG 400HPMC-E5Su-SEDDS2020[230]The in vivo results of the study showed increase in the permeability and bioavailability about 2.2 folds and 3.2 folds, respectively
85CarvedilolClass IICastor oilSolutol or Kolliphor RH40Solutol or Kolliphor RH40L-SEDDS2021[231]The study concluded increase in the in vitro dissolution and stability of the drug as compared with the plain drug
86CarvedilolClass IIAerosilPeceol™Tween® 80Labrasol®S-SNEDDS2021[232]The results of the study showed that increases in the solubility, dissolution rate, and oral bioavailability were about 6.1 folds, 1.8 folds, and 1.4 folds, respectively, of the carvedilol from S-SEDDS formulation
87CarvedilolClass IIOleic acid/isopropyl myristateTween 80Transcutol PTransdermal NE2008[233]The results of the study concluded that there were increases in solubility of the drug in 4500 folds, decrease in the activation energy about 88% during thermodynamic studies, and the optimized formulation was nonirritant for the skin suggested by irritation studies
88CarvedilolClass IISteric acidPolaxomer 188Sodium taurocholate and ethanolSLN2009[234]The results of the study showed decrease in the bioavailability of carvedilol on increasing the concentration of polaxomer 188 in formulations about 4.91–2.84 folds after intraduonal administration in Wistar rats
89CarvedilolClass IINeusilin US2Stearic acidDichloromethane and methanolSLN2010[235]This study concluded that SLN increases the efficacy, release rate, and stability of the drug in comparison to plain nanosuspension
90CarvedilolClass IIN-Carboxymethyl chitosanMonoglycerideSoya lecithin and poloxamer 188SLN2012[236]In vivo study rats showed SLN coated with n-carboxymethyl chitosan increases the bioavailability of carvedilol in comparison to uncoated after oral administration
91CarvedilolClass IICompritol or PrecirolPoloxamer 188LecithinIntranasal SLN2016[237]The in vivo pharmacokinetic study showed increases in absolute bioavailability (350.63%) in comparison to oral carvedilol formulation (24.11%)
92CarvedilolClass IIPhospholipon 100 H and cholesterolEthanolTranscutol HPTransdermal ethosomal gel2019[238]The study concluded by ethosomes having a great potential to increase the skin penetration with extended carvedilol antihypertensive action
93CarvedilolClass IILipidEthanolPropylene glycolTransdermal ethosomes2021[239]In vitro studies of drug release showed sustained release of the drug from ethosomes and ethosomal gel and enhanced the penetration via skin
94Propranolol hydrochlorideClass ILecithinSorbitolProliposomes1995[240]This study concluded that proliposome had a great potential for the sustained effect when applied to mucosal membrane
95Propranolol hydrochlorideClass ICholesterolPhosphatidyl ethanolamineLiposomal gel2015[241]In vivo study showed increases in the propranolol hydrochloride concentration in skin about 74 folds as compared to plain drug

BCS, Biopharmaceutical Classification System; SEDDS, self-emulsifying drug delivery system; SNEDDS, self-nanoemulsifying drug delivery system. SMEDDS, self-microemulsifying drug delivery system; S-SEDDS, solid self-emulsifying drug delivery system; SLN, solid lipid particles; NLC, nanostructured lipid carriers; PEG, polyetylene glycol;. NE, nanoemulsion.