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1. Introduction
The first-choice medication for
reducing low density lipoprotein (LDL)
cholesterol in the blood is a statin. LDL
cholesterol is thought to be the primary
cause of many cardiovascular disease (1).
When it comes to treating
hypercholesterolemia and atherosclerosis,
atorvastatin calcium (AT) is one of the
most effective statins on the market (2).
Atorvastatin calcium is a medication that
belongs to a class of drugs known as
statins. It is commonly prescribed to
lower cholesterol levels in the blood,
particularly low-density lipoprotein
(LDL) cholesterol, often referred to as
"bad" cholesterol. Atorvastatin is known
by its brand name Lipitor, among others
(3).
Atorvastatin belongs to
Biopharmaceutical Classification System
(BCS) class II where the nature of the
active substance has low solubility and
high permeability. Due to the low
solubility of atorvastatin in water (0.1
mg/mL), the oral bioavailability of
atorvastatin is low (12%) (4). Poor
bioavailability may lead to the
administration of higher doses to achieve
therapeutic goals which may risk liver
abnormalities, rhabdomyolysis, arthralgia
and renal failure (5).
In recent years, there has been
increased interest on lipid-based drug
delivery systems, that comprise natural or
synthetic lipids as a potential method of
enhancing the oral bioavailability of
lipophilic, weakly water soluble
therapeutic candidates (6). Self-
nanoemulsifying drug delivery systems
(SNEDDS) is one method that has been
proven to improve the solubility and
bioavailability of drugs that are not very
soluble in water (7). According to
Makadia et al. (2013), SNEDDS is an
isotropic blend of oils, cosurfactants, and
surfactants that may spontaneously
generate nanoemulsions when in contact
with stomach fluids under modest
agitation (8).
A Self-Nanoemulsifying Drug
Delivery System (SNEDDS) is a
formulation approach used in the
pharmaceutical and biotechnology
industries to improve the solubility and
bioavailability of poorly water-soluble
drugs. This technology is particularly
important because many drugs with
valuable therapeutic properties often have
low aqueous solubility, which can limit
their effectiveness when administered
orally (9). SNEDDS represent an
innovative strategy for enhancing the
bioavailability of poorly water-soluble
drugs. By improving solubility,
dissolution, and controlled release,
SNEDDS can make a significant
difference in the effectiveness of these
drugs, ultimately improving patient
outcomes (10).
The purpose of this review is to
explain how how to formulate and
characterize SNEDDS for atorvastatin
calcium and show some studies that have
been conducted by researchers using the
SNEDDS method to increase the
bioavailability of atorvastatin calcium.
2. Methodology
The references used are primary
and secondary reference sources, namely
research journals and books related to the
theme of the literature review. In the
results of the literature review, the
references used are primary reference
sources in the form of research journals
published in the last 10 years (2013 -
2023). Research journals were obtained
from the PubMed journal database with
the keywords “atorvastatin calcium”,
“atorvastatin”, “formulation”,
“characteristics”, “self-nanoemulsifying
N. Silvia et al / Indo J Pharm 5 (2023) 449-457