Content uniformity and assay
All drug products underwent the quality control tests described in the USP. The results are shown in
Table 2.
Model-independent comparisons
The dissolution profiles of propranolol-HCl, carbamazepine, ranitidine-HCl, and metronidazole are shown in
Figures 1-
4, respectively. Data are shown on a three-dimensional plot in which the dissolved percentage of each drug, as a function of time and agitation rate, is easily observed.
Some authors found that a three-dimensional plotting technique used to characterize the
in-vitro release performance was an adequate tool for delineating the properties of dissolution rate of the drugs with bioavailability problems (
2,
4). Others, with the aim of finding better dissolution tests, tested USP Apparatus 1 and 2 at 50 and 100 rpm (
32,
33).
Because the hydrodynamic flow characteristics may be useful for understanding differences or similarities of the dissolution behavior of pharmaceutical products (
4,
5), the dissolved percentages at 14 min between the basket and paddle apparatus were taken, as being indicative of the dissolution rate, and plotted.
Figure 5 shows the data.
All data were fitted to a linear mathematical model (y = mx + b). Morihara
et al. (
5), used the same technique. As shown, metronidazole data were better adjusted to a straight-line equation with the highest determination coefficient (R
2 = 0.9689), whereas carbamazepine data had the lowest determination coefficiente (R
2 = 0.6896). The highest determination coefficient of metronidazole suggests that the tablets have linear dissolution characteristics between both USP apparatuses (
Figure 5D).
Very rapid drug dissolution can be achieved if ≥ 85% of the drug is dissolved in 15 min or less, but rapid drug dissolution can be achieved if the same percentage of drug dissolution is reached in 30 min or less (
34,
35). In the case of USP Apparatus 1, propranolol-HCl, ranitidine-HCl, and metronidazole were dissolved over a range of 40-100% at 14 min (
Figure 5B), whereas by that time, only 10-45% of carbamazepine was dissolved. The aqueous solubility of carbamazepine is 237.2 ± 5.2 µg/mL at 37 °C, and a 10-fold increase in solubility has been reported with sodium lauryl sulfate aqueous solutions (
36). The solubility of metronidazole is 64.8 mg/mL at pH 1.2 (
11). Due to the solubility of carbamazepine, dissolution media, and agitation rate of 50 to 100 rpm, an increase in the dissolved percentage at 14 min was expected, but the opposite was observed.
The Q, MDT, and DE average ± standard error medium (SEM) values are shown in
Table 2. Propranolol-HCl, carbamazepine, and metronidazole tablets met the pharmacopeial criterion (Q). To evaluate the influence of dose, dissolution profiles obtained under the same agitation rate and type of apparatus conditions were compared (low
vs. high dose). Additionally, to determine the influence of the type of apparatus, the dissolution profiles obtained under the same conditions of the dose and agitation rate were also compared (USP 1
vs. USP 2).
A dose effect was observed for all of the drug products. Comparing the three model-independent parameters of the four drugs, low and high dose were significantly different (
P < 0.05). The Q and MDT values were similar for both propranolol-HCl doses and the low dose of metronidazole (
P > 0.05). Conversely, for the rest of the results, significant differences were observed in at least one comparison (
P < 0.05). The investigated drugs were ranked with respect to the significant differences in the recorded values of the three model-independent parameters as propranolol-HCl < metronidazole < ranitidine-HCl < carbamazepine. This finding was consistent with the solubility of propranolol-HCl (1 g in 10-30 mL of water) (
15) and carbamazepine, where it was expected that propranolol-HCl might be the drug with the smallest number of differences (39% of a total of 18 comparisons), while carbamazepine has the largest number of differences (94% of a total of 18 comparisons).
The few differences observed for propranolol-HCl tablets, as well as its classification as a Class I drug, should not be overestimated in manufacturing a generic drug product. An
in-vitro dissolution study of propranolol-HCl tablets (USP Apparatus 2, 50 rpm) with two generic products and reference (40 mg) showed that even though all of the drug products dissolved ≥ 85% within 30 min, none of the tested products had f
2 ≥ 50 in the three-dissolution media used (900 mL of pH 1.2, 4.5, and 6.8) (
37). On the other hand, for ranitidine-HCl, 89% differences were found (solubility of 660 mg/mL in water at room temperature) (
10). For metronidazole, 50% differences were observed despite being a low solubility/low permeability drug. The delay of the dissolution performance of carbamazepine, ranitidine-HCl, and metronidazole tablets could be attributed to excipients or manufacturing process.
Comparing the dissolution profiles using a model-independent approach, the dissolution of low
vs. high doses of the four drug products studied was significantly different. On the other hand, out of a total of 24 comparisons of each model-independent parameter, 37% of Q data and 30% of MDT and DE data supported the idea that despite the different hydrodynamic environments of basket and paddle apparatus, at a specific agitation rate and/or under specific dose conditions, both types of equipment generated comparable
in-vitro results. The data used for these comparisons are important because the Q criterion is a quality parameter that is widely used in pharmaceutical manufacturing. MDT is defined as the time to reach 63.2% of drug dissolution or the average value of a log-normal distribution (
4), and some authors use DE as a suitable parameter that express the global drug dissolution performance, which is useful for comparing dissolution profiles (
38). In addition, the MDT and DE values are considered to be appropriate parameters for
in-vitro/in-vivo correlation for level B and level C, respectively (
39).
Model-dependent comparisons
Hyperbola (a and b) and Weibull (α and β) parameters as well as the t
63.2% and Td values are shown in
Table 3. The Td value is calculated with α and β parameters and is equivalent to MDT (
40). Considering an adjusted determination coefficient (R
2adj) > 0.99, 30% of data were better adjusted to a single rectangular hyperbola model and 63% were better adjusted to a Weibull function.
Comparing low and high doses according to the t
63.2% and Td values, significant differences were found under all conditions used for propranolol-HCl, ranitidine-HCl, and metronidazole tablets and for almost all Td data of carbamazepine (
P < 0.05), whereas the t
63.2% values of carbamazepine were similar (
P > 0.05). Concerning the type of apparatus, the drugs were ranked with respect to significant differences in the t
63.2% and Td values as metronidazole < propranolol-HCl < ranitidine-HCl. No significant differences were found (
P > 0.05) with the model-dependent parameters of low dose of metronidazole, while all ranitidine-HCl comparisons were significantly different (
P < 0.05). For both doses of propranolol-HCl and the high dose of metronidazole, significant differences were observed in at least one comparison (
P < 0.05). Due to the high solubility of propranolol-HCl and ranitidine-HCl, it was expected that both drugs would be less different than metronidazole, but the opposite was observed. In all drugs, R
2adj values calculated with the single rectangular hyperbola equation and the Weibull function ranged between 0.8596-0.9988 and 0.9079-0.9995 except for the R
2adj values for ranitidine-HCl calculated by the Weibull function, which ranged from 0.3868 to 0.9677 (
Table 3).
Out of a total of 18 comparisons of each model-dependent parameter, 40% of data supported the idea that the basket and paddle apparatus generated comparable
in-vitro results. For this assertion, no data from carbamazepine were considered. Most of the t
63.2% and Td values of carbamazepine were unrealistic, with negative signs or values that were too high (
e.g., t
63.2% of 140 h for 400 mg, 75 rpm, and the basket apparatus) despite similar and good fit to both equations (R
2adj 0.9666-0.9988 for the rectangular hyperbola equation and 0.9749-0.9995 for the Weibull function) (
Table 3). This issue could be attributed not only to the hydrodynamic environment generated by both USP apparatuses but also to the low solubility of carbamazepine, type and amount of excipients used or the manufacturing process itself. If the results of a derived parameter of any fitting are illogical, comparison of dissolution profiles by the model-dependent approach is not recommended. Several problems have been reported with the official carbamazepine dissolution test. Jung
et al. (
41) found that no
in-vitro/in-vivo correlation, using pharmacopeial conditions, was obtained for carbamazepine tablets Moreover, Medina
et al. (
42) reported that the flow-through cell method (USP Apparatus 4) allowed to differentiate better between generic drug products than the official dissolution test.
With the aim of evaluating the hydrodynamic dependence of each drug, Td values as a function of the agitation rate were plotted. Scholz
et al. used the same technique (
6). The results are shown in
Figure 6. The changes in Td values observed in all plots clearly show the hydrodynamic dependence of both doses of the four drugs. The greatest differences were found with the carbamazepine data (
Figure 6B).
The Td values were inversely proportional to the agitation rate, where a decrease in Td values was observed because of an increase in the agitation rate, in some cases resulting in an apparent mathematical relationship. An advantage of using the Weibull function is that the parameter calculation is independent of whether sink conditions prevail. Moreover, changes in Td indicate a dependence of the dissolution process on the hydrodynamics of the system used (
6).
The single rectangular hyperbola model can mathematically describe the common shape of a dissolution profile. The t
x% value, such as t
80% (represents time to achieve 80% drug dissolution), is easily calculated with a and b parameters derived from the data adjusted to this model. Additional information can be obtained with the Weibull function. The shape parameter (β) characterizes the dissolution profile as exponential (β = 1), sigmoid (S-shaped), with an upward curvature followed by a turning point (β > 1), or parabolic, with a steeper initial slope consistent with the exponential (β < 1) (
16). In our work, dissolution data from all of the investigated drugs were fitted to a hyperbola model and Weibull function, and the latter model showed that the dissolution profiles of all of the drugs were sigmoid, except those of carbamazepine, for which the parabolic shape prevailed because of β values < 1. The results were consistent with those previously reported where carbamazepine reference and some generic drug products (200-mg tablets) had β values < 1 using USP Apparatus 2 (75 rpm) and USP Apparatus 4 (laminar flow at 16 mL/min) (
42).
Comparisons of the low vs. high dose of the four drug products studied showed significant differences in their in-vitro release performance. An unexpected situation was found with Class I and Class III drugs, and this finding could dispute the biowaivers for low doses of propranolol-HCl and ranitidine-HCl. Additionally, almost 50% of the data derived from the two adjustments supported the idea that under certain agitation rates and/or doses, both USP apparatuses produced equivalent in-vitro results.
ANOVA-based comparisons
ANOVA-based comparisons were also used to compare the dissolution profiles of propranolol-HCl, carbamazepine, ranitidine-HCl, and metronidazole tablets. The advantage of this approach is that it is not restricted to any of the requirements of model-independent comparisons, and in addition, it does not depend on data fitting to a specific equation. Comparisons were carried out with the DE values taken as the extent of the dissolution behavior. For each drug product, the
P-values from the three-way ANOVA are shown in
Table 4.
As observed in
Table 4, due to the use of different dissolution apparatus (as a main factor), significant differences were observed for carbamazepine and metronidazole tablets (
P < 0.001). Significant differences in all drug products, as a result of the use of different agitation rates and doses (as main factors), were found (
P < 0.001). Considering an increase in the agitation rate (50-100 rpm) and different hydrodynamic patterns generated by the basket and paddle apparatus, significant differences with these factors were expected. However, the influence of the dose seems to be of more importance, especially if a biowaiver of a low dose tablet is required.
Significant interactions between factors, such as the dissolution apparatus, agitation rate, and agitation rate and dose, were found for all drug products (P < 0.05). A significant interaction between the dissolution apparatus and dose was observed only for carbamazepine tablets (P < 0.05). In all of the drug products, except metronidazole tablets, a significant interaction with the three factors studied was observed (P < 0.001). It is important to consider significant differences in dose as a factor. As a result, propranolol and ranitidine tablets manufactured as salts could improve the dissolution of these drugs. The volume and type of dissolution media used in dissolution tests of these tablets should adequately dissolve both doses, but the quality of excipients and the manufacturing process are critical factors that control drug release.
According to
Table 4, significant differences in all sources were found for carbamazepine (
P < 0.05). Accordingly, special attention should be paid to the design of a dissolution test for carbamazepine tablets because carbamazepine has high inter-variability and a narrow therapeutic window. Therefore, it is not a candidate for a biowaiver. In the case of metronidazole, significant differences in all sources were observed (
P < 0.001), except for the interaction of the dissolution apparatus and dose and interactions of the three factors involved (
P > 0.05). Metronidazole’s basic nature and the acidity of the dissolution medium were not enough to adequately dissolve both doses used. The DE range for the metronidazole low dose was 88.2-97.6%, while for the high dose, it was 65.50-81.20%. Again, the manufacturing process plays an important role in the
in-vitro release of metronidazole tablets. These results were consistent with those reported by Medina
et al. (
42), where metronidazole reference tablets and some generic drug products (250-mg and 500-mg) had different release patterns using the USP basket apparatus (100 rpm) and flow-through cell method (laminar flow at 24 mL/min). As was indicated previously, information regarding metronidazole classification is controversial, and the results obtained in this work on model-independent, model-dependent, and ANOVA-based comparisons support this controversy.
In a three-way ANOVA, there are several effects of interest to be tested. In addition to the main effects of each factor and the interactions found between two of them (called first-order interactions), there may be an interaction between the three factors (a second-order interaction). In other words, there is a first-order interaction when the result of the combination of two factors differs from the sum of the main effects of those factors. There is a second-order interaction when the effect of any first-order interaction is not constant (or not the same) at all levels of the third factor (
43). Resulting interaction plots of propranolol-HCl, carbamazepine, ranitidine-HCl, and metronidazole are shown in
Figures 7-
10, respectively.
The angle of the line joining the two levels in each plot indicates the extent of influence of each dissolution variable on drug release. The plots of the main factors help to identify that the effect of the change in a specific factor has a different influence on drug release among the products (
44). This graphical analysis is used to better understand the results of a research involving more than one independent variable (factor) and to avoid making mistakes in the interpretation of the main effects of independent variables. This graphical analysis complements the conceptualization of interaction and how they occurred (
45). The hydrodynamic flow characteristics should be considered when using dissolution tests for quality control determinations or for establishing significant
in-vitro/in-vivo correlations. Under some agitation rate and/or dose conditions, the widely used paddle and basket apparatus produced related hydrodynamic flows around the tablets, resulting in statistically similar parameters. From the point of view of modelling the
in-vivo environment,
in-vitro test with hydrodynamic flow characteristics similar to those observed
in-vivo are required. Since the
in-vivo hydrodynamic flow is very low (1 mL/min) (46), a dissolution test with a low hydrodynamic flow is preferable. In other words, with the aim of developing adequate dissolution methods to mimic the
in-vivo performance, the hydrodynamic flow and mechanical stress characteristics of the
in-vitro performance should be determined.
Dissolution profiles of propranolol-HCl tablets. Each point is the average of six determinations
Dissolution profiles of carbamazepine tablets. Each point is the average of six determinations
Dissolution profiles of ranitidine-HCl tablets. Each point is the average of six determinations
Dissolution profiles of metronidazole tablets. Each point is the average of six determinations
Comparison of dissolution rates for all drug products. (A) propranolol-HCl, (B) carbamazepine, (C) ranitidine-HCl, and (D) metronidazole tablets. (●) low dose, (○) high dose, (1) 50 rpm, (2) 75 rpm, and (3) 100 rpm. Each point is the average of six determinations
Td values vs. agitation rate. (A) propranolol-HCl, (B) carbamazepine, (C) ranitidine-HCl, (D) metronidazole tablets, (●) paddle and (○) basket. Each point is the average of six determinations
Interaction plots of propranolol-HCl tablets. (I) First-order and (II) Second-order. A: Dissolution apparatus, B: agitation rate, and C: dose
Interaction plots of carbamazepine tablets. (I) First-order and (II) Second-order. A: Dissolution apparatus, B: agitation rate, and C: dose
Interaction plots of ranitidine-HCl tablets. (I) First-order and (II) Second-order. A: Dissolution apparatus, B: agitation rate, and C: dose
Interaction plots of metronidazole tablets. (I) First-order and (II) Second-order. A: Dissolution apparatus, B: agitation rate, and C: dose
| Drug | USP Apparatus | Dissolution medium | Volume (mL) | Agitation (rpm) | Wavelength (nm) | Q (%) | Time (min) |
|---|
| Propranolol-HCl | 1 | 1% Hydrochloric acid | 1000 | 100 | 289 | 75 | 30 |
| Carbamazepine | 2 | 1% Sodium lauryl sulfate | 900 | 75 | 285 | 75 | 60 |
| Ranitidine-HCl | 2 | Distilled water | 900 | 50 | 314 | 80 | 45 |
| Metronidazole | 1 | 0.1 N Hydrochloric acid | 900 | 100 | 278 | 85 | 60 |
| Drug | Dose (mg) | Content uniformity (min-max%) | Assay (%) | Agitation (rpm) | USP | Q (%) | MDT (min) | DE (%) |
|---|
| A | 10 | 99.7−109.5 | 102.8 | 50 | 1 | 71.69 ± 0.80 | 12.16 ± 0.17 | 42.64 ± 0.72 |
| 2 | 69.45 ± 1.41 | 12.94 ± 0.08* | 39.48 ± 0.75* |
| 75 | 1 | 78.38 ± 0.98 | 13.14 ± 0.12 | 44.04 ± 0.65 |
| 2 | 81.94 ± 1.93 | 13.94 ± 0.14* | 43.85 ± 0.79 |
| 100 | 1 | 89.97 ± 2.23 | 13.93 ± 0.06 | 48.19 ± 1.13 |
| 2 | 90.01 ± 2.72 | 14.00 ± 0.16 | 47.97 ± 1.38 |
| 40 | 110.7−114.7 | 112.7 | 50 | 1 | 101.56 ± 1.17† | 12.39 ± 0.29 | 59.59 ± 0.92† |
| 2 | 101.12 ± 0.73† | 11.85 ± 0.34† | 61.17 ± 1.06† |
| 75 | 1 | 101.58 ± 0.95† | 10.76 ± 0.25† | 65.13 ± 0.82† |
| 2 | 100.63 ± 0.72† | 9.39 ± 0.29†* | 69.12 ± 0.99†* |
| 100 | 1 | 100.57 ± 1.11† | 6.95 ± 0.32† | 77.23 ± 0.49† |
| 2 | 99.53 ± 1.29† | 8.31 ± 0.41†* | 71.89 ± 0.92†* |
| B | 200 | 95.5−99.3 | 98.0 | 50 | 1 | 64.38 ± 2.16 | 21.60 ± 0.27 | 41.16 ± 1.14 |
| 2 | 60.78 ± 1.69 | 11.75 ± 0.21* | 48.90 ± 1.49* |
| 75 | 1 | 77.32 ± 2.15 | 17.13 ± 0.46 | 55.29 ± 1.96 |
| 2 | 91.55 ± 2.32* | 9.22 ± 0.33* | 77.45 ± 1.71* |
| 100 | 1 | 62.18 ± 0.53 | 14.88 ± 0.27 | 46.76 ± 0.50 |
| 2 | 102.20 ± 2.09* | 7.96 ± 0.24* | 88.61 ± 1.58* |
| 400 | 93.8−96.1 | 95.0 | 50 | 1 | 24.67 ± 0.82† | 25.23 ± 0.68† | 14.33 ± 0.72† |
| 2 | 38.50 ± 1.73†* | 14.39 ± 0.64†* | 29.36 ± 1.76†* |
| 75 | 1 | 44.43 ± 0.44† | 20.42 ± 0.46† | 29.31 ± 0.32† |
| 2 | 90.96 ± 2.01* | 11.46 ± 1.10†* | 73.59 ± 1.61* |
| 100 | 1 | 52.78 ± 1.69† | 13.69 ± 0.61 | 40.69 ± 1.07† |
| 2 | 101.59 ± 0.75* | 8.68 ± 0.27* | 86.90 ± 0.80* |
| C | 150 | 104.3−113.7 | 108.4 | 50 | 1 | 108.71 ± 0.37 | 16.78 ± 0.51 | 78.31 ± 1.11 |
| 2 | 117.02 ± 1.45* | 16.52 ± 0.33 | 84.81 ± 1.45* |
| 75 | 1 | 109.67 ± 0.30 | 14.30 ± 0.09 | 83.53 ± 0.24 |
| 2 | 132.93 ± 0.79* | 12.62 ± 0.19* | 104.98 ± 0.69* |
| 100 | 1 | 117.84 ± 0.33 | 12.38 ± 0.25 | 93.53 ± 0.69 |
| 2 | 132.45 ± 1.12* | 10.82 ± 0.49* | 108.58 ± 1.70* |
| 300 | 91.1−105.5 | 95.0 | 50 | 1 | 123.00 ± 0.85† | 12.60 ± 0.37† | 97.17 ± 1.04† |
| 2 | 115.18 ± 1.02* | 10.26 ± 0.45†* | 95.49 ± 1.25† |
| 75 | 1 | 110.60 ± 0.58 | 10.10 ± 0.38† | 91.99 ± 0.88† |
| 2 | 117.06 ± 0.39†* | 6.03 ± 0.25†* | 105.3 ± 0.65* |
| 100 | 1 | 110.29 ± 0.58† | 7.40 ± 0.14† | 96.69 ± 0.41† |
| 2 | 118.09 ± 0.58†* | 5.40 ± 0.19†* | 107.46 ± 0.43* |
| D | 250 | 94.9−105.2 | 95.5 | 50 | 1 | 102.99 ± 0.19 | 8.58 ± 0.58 | 88.25 ± 0.94 |
| 2 | 106.84 ± 0.52* | 8.61 ± 0.35 | 91.51 ± 0.37* |
| 75 | 1 | 107.36 ± 0.44 | 5.44 ± 0.27 | 97.62 ± 0.51 |
| 2 | 106.23 ± 0.38 | 5.66 ± 0.19 | 96.20 ± 0.38* |
| 100 | 1 | 101.93 ± 0.41 | 4.40 ± 0.08 | 94.46 ± 0.28 |
| 2 | 102.48 ± 0.37 | 4.21 ± 0.17 | 95.29 ± 0.28 |
| 500 | 96.1−101.0 | 103.8 | 50 | 1 | 102.84 ± 0.71 | 21.78 ± 0.60† | 65.50 ± 1.04† |
| 2 | 112.17 ± 0.64†* | 17.47 ± 0.15†* | 79.51 ± 0.52†* |
| 75 | 1 | 107.48 ± 1.11 | 17.66 ± 0.64† | 75.81 ± 0.80† |
| 2 | 104.09 ± 0.73†* | 14.83 ± 0.85†* | 78.36 ± 1.49† |
| 100 | 1 | 103.86 ± 0.66† | 13.26 ± 0.27† | 80.92 ± 0.89† |
| 2 | 107.61 ± 1.12†* | 14.75 ± 0.77† | 81.20 ± 1.98† |
| Drug | Dose (mg) | rpm | USP | Hyperbola parameters
| t63.2% (min) | Weibull parameters
| Td (min) |
|---|
| a | b | R2adj | α | β | R2adj |
|---|
| A | 10 | 50 | 1 | 138.35 | 30.09 | 0.9937 | 25.24 | 44.36 | 1.12 | 0.9964 | 25.15 |
| 2 | 151.65 | 39.21 | 0.9729 | 28.26* | 1.1E4 | 2.29 | 0.9908 | 27.18* |
| 75 | 1 | 197.34 | 48.75 | 0.9838 | 22.97 | 1.5E4 | 2.39 | 0.9925 | 23.08 |
| 2 | 423.84 | 124.65 | 0.9900 | 22.50 | 1.2E6 | 2.92 | 0.9949 | 22.50 |
| 100 | 1 | 370.72 | 96.17 | 0.9924 | 19.96 | 3.1E5 | 3.13 | 0.9891 | 19.98 |
| 2 | 2.0E3 | 615.16 | 0.9903 | 20.15 | 1.1E7 | 3.73 | 0.9933 | 20.09 |
| 40 | 50 | 1 | 685.74 | 154.69 | 0.9742 | 15.26† | 6.7E7 | 4.60 | 0.9954 | 14.70† |
| 2 | 361.98 | 70.41 | 0.9879 | 14.49† | 6.0E6 | 3.68 | 0.9969 | 14.16† |
| 75 | 1 | 290.71 | 47.66 | 0.9636 | 13.13† | 1.0E8 | 5.16 | 0.9938 | 12.96† |
| 2 | 222.73 | 25.83 | 0.9653 | 10.55†* | 2.7E6 | 4.0 | 0.9968 | 11.29†* |
| 100 | 1 | 152.92 | 11.82 | 0.9248 | 8.28† | 1.0E7 | 5.07 | 0.9921 | 8.34† |
| 2 | 174.16 | 17.87 | 0.9628 | 9.98†* | 4.0E6 | 3.69 | 0.9944 | 10.12†* |
| B | 200 | 50 | 1 | 101.83 | 37.41 | 0.9930 | 66.50 | 31.75 | 0.83 | 0.9992 | 60.78 |
| 2 | 62.88 | 5.29 | 0.9845 | 268.52 | 3.53 | 0.29 | 0.9956 | 88.26 |
| 75 | 1 | 98.55 | 18.27 | 0.9902 | 33.29 | 13.17 | 0.71 | 0.9995 | 34.48 |
| 2 | 99.95 | 5.36 | 0.9988 | 9.33* | 2.87 | 0.49 | 0.9922 | 9.29* |
| 100 | 1 | 67.76 | 9.36 | 0.9666 | 148.26 | 7.22 | 0.47 | 0.9985 | 66.77 |
| 2 | 112.42 | 4.86 | 0.9942 | 6.26* | 5.83 | 0.83 | 0.9749 | 6.40* |
| 400 | 50 | 1 | 55.61 | 81.11 | 0.9921 | −168.48 | 133.3 | 0.84 | 0.9981 | 292.06† |
| 2 | 41.32 | 8.51 | 0.9807 | −24.34 | 8.02 | 0.32 | 0.9971 | 611.78†* |
| 75 | 1 | 61.67 | 27.18 | 0.9988 | 8.4E3 | 22.03 | 0.62 | 0.9989 | 148.57† |
| 2 | 98.33 | 6.44 | 0.9877 | 11.80 | 3.23 | 0.49 | 0.9980 | 12.20†* |
| 100 | 1 | 57.02 | 8.13 | 0.9755 | −15.41 | 6.17 | 0.37 | 0.9993 | 147.84† |
| 2 | 110.63 | 4.96 | 0.9956 | 6.61 | 3.31 | 0.69 | 0.9938 | 6.60* |
| C | 150 | 50 | 1 | 192.79 | 36.45 | 0.9581 | 17.6 | 3.1E6 | 3.86 | 0.9677 | 18.26 |
| 2 | 171.59 | 24.27 | 0.9875 | 14.16* | 5.5E3 | 2.36 | 0.9133 | 14.47* |
| 75 | 1 | 168.78 | 23.90 | 0.9457 | 14.30 | 3.4E6 | 4.09 | 0.9490 | 15.48 |
| 2 | 185.68 | 17.33 | 0.9618 | 8.94* | 1.8E7 | 4.45 | 0.4927 | 10.70* |
| 100 | 1 | 166.86 | 17.54 | 0.9291 | 10.67 | 3.2E7 | 4.62 | 0.8233 | 12.52 |
| 2 | 174.75 | 13.18 | 0.9450 | 7.41* | 1.2E6 | 4.30 | 0.3897 | 9.33* |
| 300 | 50 | 1 | 173.57 | 17.63 | 0.9425 | 10.07† | 2.3E5 | 3.72 | 0.7152 | 11.74† |
| 2 | 136.65 | 8.63 | 0.9692 | 7.40†* | 7.1E3 | 2.00 | 0.8423 | 8.02†* |
| 75 | 1 | 142.94 | 11.61 | 0.9618 | 9.16† | 9.3E4 | 3.41 | 0.8757 | 10.60† |
| 2 | 132.60 | 4.62 | 0.9260 | 4.20†* | 2.8E3 | 3.20 | 0.5168 | 5.53†* |
| 100 | 1 | 131.32 | 6.80 | 0.9061 | 6.30† | 5.3E4 | 3.78 | 0.8727 | 7.81† |
| 2 | 132.64 | 4.07 | 0.9360 | 3.69†* | 1.4E4 | 3.67 | 0.3868 | 5.09†* |
| D | 250 | 50 | 1 | 122.82 | 7.62 | 0.9187 | 8.03 | 47.32 | 1.58 | 0.9905 | 8.25 |
| 2 | 128.52 | 7.91 | 0.9344 | 7.60 | 27.46 | 1.60 | 0.9600 | 8.08 |
| 75 | 1 | 122.20 | 4.39 | 0.8639 | 4.68 | 1.6E4 | 3.93 | 0.9079 | 5.74 |
| 2 | 121.86 | 4.71 | 0.8625 | 5.06 | 2.7E6 | 5.07 | 0.9356 | 6.17 |
| 100 | 1 | 113.15 | 3.25 | 0.8596 | 4.11 | 1.3E6 | 5.57 | 0.9885 | 4.94 |
| 2 | 113.13 | 3.04 | 0.8657 | 3.84 | 2.2E6 | 5.46 | 0.9810 | 4.75 |
| 500 | 50 | 1 | 267.73 | 84.42 | 0.9890 | 25.76† | 1.5E5 | 2.79 | 0.9890 | 25.22† |
| 2 | 194.56 | 35.85 | 0.9750 | 17.25†* | 1.5E5 | 2.96 | 0.9526 | 17.57†* |
| 75 | 1 | 202.60 | 42.45 | 0.8625 | 19.03† | 1.0E6 | 3.46 | 0.9734 | 19.45† |
| 2 | 158.65 | 24.55 | 0.9678 | 15.91†* | 886.01 | 2.14 | 0.9893 | 16.19†* |
| 100 | 1 | 150.22 | 19.54 | 0.9512 | 14.17† | 4.2E3 | 2.56 | 0.9853 | 14.89† |
| 2 | 171.21 | 26.61 | 0.9388 | 15.26† | 3.5E3 | 2.60 | 0.9681 | 15.59† |
| Source | Propranolol-HCl | Carbamazepine | Ranitidine-HCl | Metronidazole |
|---|
| A | 0.296 | < 0.001 | 0.228 | < 0.001 |
| B | < 0.001 | < 0.001 | < 0.001 | < 0.001 |
| C | < 0.001 | < 0.001 | < 0.001 | < 0.001 |
| AB | < 0.05 | < 0.001 | < 0.001 | < 0.001 |
| AC | 0.235 | < 0.05 | 0.207 | 0.059 |
| BC | < 0.001 | < 0.001 | < 0.001 | < 0.001 |
| ABC | < 0.001 | < 0.001 | < 0.001 | 0.540 |