Startseite Determination of montelukast and non-sedating antihistamine combination in pharmaceutical dosage forms: A review
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Determination of montelukast and non-sedating antihistamine combination in pharmaceutical dosage forms: A review

  • Imad Osman Abu Reid ORCID logo EMAIL logo , Sayda Mohamed Osman ORCID logo und Somia Mohammed Bakheet ORCID logo
Veröffentlicht/Copyright: 27. Januar 2025
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Abstract

Combining non-sedating antihistamines (NSAs) with montelukast (MON) has been found to significantly enhance the therapeutic efficacy against daytime and composite nasal symptoms, including rhinorrhea, sneezing, and itching. This article reviews the current analytical methods employed for the identification and quantitative determination of MON in combination with NSAs in various marketed formulations. The most commonly used methods for the determination of MON and NSAs in combination are chromatographic methods (high-performance liquid chromatography [HPLC] and thin-layer chromatography) and spectrometry methods (spectrofluorometry and spectrophotometry). Recent preferences in the analysis of MON and NSAs in combination samples prove the primacy of HPLC (61%) and confirm the general trends moving toward more sensitive methods, with a higher resolution potential, consumption of small quantities of samples and reagents, and requiring less analysis time.

Graphical abstract

1 Introduction

Montelukast (MON) is 2-[1-[[(1R)-1-[3-[(1E)-2-(7-chloroquinolin-2-yl)ethenyl]phenyl]-3-[2-(2-hydroxypropan-2-yl)phenyl]propyl]sulfanylmethyl]cyclopropyl]acetic acid. It is a selective leukotriene receptor antagonist which is used in the management of chronic asthma, treatment of allergic rhinitis, and as a prophylactic for exercise-induced asthma [1].

Second-generation non-sedating H1-antihistamines, like cetirizine (CET), ebastine (EBA), bilastine (BIL), rupatadine (RUP), and loratadine (LOR), and third-generation H1-antihistamines, like levocetirizine (LEV), fexofenadine (FEX), and desloratadine (DES), demonstrate a greater affinity for peripheral H1 receptors over central nervous system H1 receptors and cholinergic receptors. This selectivity reduces the likelihood of adverse effects, such as sedation, while effectively treating allergic symptoms. Their peripheral selectivity stems from their zwitterionic nature at physiological pH, making them highly polar and unable to penetrate the blood–brain barrier, thereby minimizing sedation.

Non-sedating antihistamines (NSAs) show promise in managing allergic rhinitis by alleviating symptoms like nasal itching, sneezing, and rhinorrhea. They are also effective in treating acute and chronic urticaria [2]. Combining NSAs with MON has been found to significantly enhance the therapeutic efficacy against daytime and composite nasal symptoms, including rhinorrhea, sneezing, and itching [35].

Structurally, all non-sedating H1-antihistamines have a piperidine nucleus except for CET and LEV, which are diaryl-substituted piperazines [3,6].

MON, when combined with NSAs, presents a unique analytical challenge due to the diverse chemical structures and physicochemical properties of NSA compounds. As a result, a wide range of analytical techniques have been developed and reported for their analysis, including high-performance liquid chromatography (HPLC), thin-layer chromatography (TLC), and various spectrophotometric methods.

Although combinations of NSAs with MON are of significant importance, a comprehensive review encompassing all the analytical techniques used for their determination has yet to be published. This article seeks to fill that gap by presenting a detailed overview of the analytical methods employed to determine these combinations in pharmaceutical preparations. Along with a general overview of the techniques, this article also provides an in-depth examination of published studies on the analysis of each specific combination. It consolidates references from 2001 onward, obtained by searching the most comprehensive scientific databases: Science Direct, Springer Link, PubMed, Scopus, and Google Scholar; the search particularly focused on recent methodologies for analyzing these combinations across various pharmaceutical matrices.

2 Spectrophotometric methods

Various spectrophotometric methods such as first-order derivative [712], second-order derivative [13], and ratio derivative spectrophotometry [1315] have been reported for the analysis of MON and LEV combination. Among them, Choudhari et al. [11] presented data, indicating that their method is the most sensitive, achieving the lowest limit of quantitation (LOQ) values (0.090 and 0.178 µg·mL−1 for MON and LEV, respectively) compared to other derivative methods. The methods proposed by Patel et al. and Sankar et al. [7,12] were tested on bulk and laboratory mixtures, as well as on dosage form samples; however, they were not properly validated, so their reliability cannot be assured. Additionally, three absorption correction methods [1012] have been reported for the determination of this combination. Sankar et al. [12] did not provide the limits of detection (LODs) and LOQs for their method, while the method proposed by Manisaikumar et al. [10] demonstrated greater sensitivity than that of Choudhari et al. [11], with LODs of 0.0528 and 0.4130 µg·mL−1 for LEV and MON, respectively. Other spectrophotometric techniques, including simultaneous equation [9,16], area under the curve [17], dual wavelength [13], and bivariate calibration [13], have also been proposed, all with quantitation limits sufficiently sensitive and appropriate for determining these drugs in bulk and pharmaceutical preparations.

The combination of MON with FEX has been analyzed using first-order derivative spectrophotometry [18] and the simultaneous equation method [19,20]. Although LOD values were not reported in the studies of Sowjania and Sastri [19], the available data suggest that the first-order derivative method [18] appears to be more sensitive than the simultaneous equation methods.

The first-order derivative spectrophotometric [21] and Q-ratio methods [22] have been reported for determining the RUP and MON combination. While no definitive conclusions can be drawn about the sensitivity of these two methods due to the absence of LOD values in the study of Rupali et al. [22], the linear ranges presented are comparable and appropriate for spectrophotometric analysis.

Two simultaneous equation methods [23,24], an absorption correction method [25], and a second-derivative spectrophotometric method [26] were reported for the determination of BIL and MON combination, the second derivative method [26] demonstrating greater sensitivity than the methods reported in Kolekar et al. and Patel et al. [23,24], with LOD values of 0.1216 and 0.3686 µg·mL−1 for MON and BIL, respectively.

One article per combination dealing with spectrophotometric methods employing second derivative, ratio derivative, and first derivative techniques has been reported for the combination of LOR [27], DES [28], and [DES] with MON.

It is worth mentioning that methanol has been commonly used as a solvent in many of these methods, which undermines their green and environmentally friendly status due to methanol’s toxicity and harmful environmental impact.

The experimental conditions and technical details of these methods are summarized in Table 1.

Table 1

Spectrophotometric methods used for the analysis of MON and NSA combination

No. MON+ Matrix Technique Wavelength (nm) Solvent LOD (µg·mL−1) Linear range (µg·mL−1) Ref.
1 LOR Tablets Second derivative MON, 359.7; LOR, 276.1 Acetonitrile–water (80:20 (v/v)) NA MON, 4.4–22.1; LOR, 6.4–32.1 [27]
2 DES Tablets Ratio first derivative MON, 218.6; DES, 262.0 Methanol MON, 0.17; DES, 0.72 5–40 for both [28]
3 CET Tablets First derivative MON, 335; CET, 217 Methanol CET, 0.112; MON, 0.010 MON, 6–28; CET, 2–20 [29]
4 LEV Bulk and tablets First derivative MON, 350.2; LEV, 211.8 0.5% w/v aqueous sodium lauryl sulfate MON, 0.993; LEV, 0.361 3–30 for both [7]
5 LEV Tablets Ratio first derivative MON, 250.4; LEV, 238.4 MON, 0.090; LEV, 0.277 MON, 4–12; LEV, 2–6 [14]
6 FEX Bulk and tablets Simultaneous equation MON, 344.5; FEX, 259 0.1 N NaOH NA MON, 1–35; FEX, 50–180 [19]
7 RUP Tablets Q-ratio 260 isosbestic; RUP, 240 Methanol NA 4–24 for both [22]
8 LEV Tablets First derivative MON, 291.60; LEV, 238.20 0.1 N NaOH LEV, 1.05; MON, 3.69 MON, 10–60; LEV, 5–30 [8]
9 RUP Tablets First derivative MON, 273.4; RUP, 297.2 Methanol RUP, 0.76; MON, 0.36 5–25 for both [21]
10 LEV Bulk and tablets Ratio first derivative MON, 281; LEV, 240 Methanol LEV, 0.2979; MON, 0.3178 MON, 3–30; LEV, 2–32 [15]
11 FEX Tablets First derivative MON, 340; FEX, 212.6 Acetonitrile–buffer–methanol, 50:30:20 (% v/v) MON, 0.312; FEX, 0.512 4–24 for both [18]
12 *LEV Tablets Simultaneous equation −250.14, 284.79, and 231.27 Methanol MON, 0.28; LEV, 0.52 MON, 6–18; LEV, 3–12 [9]
First derivative ABP, 275.15; MON, 296.26; LEV, 246.61 MON, 0.25; LEV, 0.46
13 BIL Tablets Second derivative MON, 326.4; BIL, 226.8 Methanol MON, 0.1216; BIL, 0.3686 MON, 2–14; BIL, 4–28 [26]
14 **LEV Bulk and capsules First derivative MON, 256.5; LEV, 248; AMB, 256.5 Methanol LEV, 0.4483; MON, 0.6961 MON, 2–12; LEV; AMB, 10–70 [10]
Absorbance correction 345, 230, and 307 LEV, 0.05280; MON, 0.4130
15 BIL Tablets Simultaneous equation 274.5 and 351.5 50% alcohol BIL, 0.7253; MON, 0.6726 MON, 1–20; BIL, 1–32 [23]
16 BIL Tablets Simultaneous equation 282 and 344 Methanol MON, 0.21; BIL, 0.44 MON, 2–12; BIL, 4–24 [24]
17 BIL Tablets Absorbance correction 252 and 344 Methanol MON, 0.21; BIL, 0.43 MON, 2–12; BIL, 4–24 [25]
18 LEV Tablets First derivative MON, 340; LEV, 331 Methanol MON, 0.09; LEV, 0.178 MON, 4–12; LEV, 2–6 [11]
Absorption factor 232 and 279 MON, 0.107; LEV, 0.124
19 FEX Bulk and tablets Simultaneous equation 259.60 and 283 Methanol FEX, 5.94; MON, 2.023 MON, 6–20; FEX, 30–120 [20]
20 LEV Tablets Absorbance correction 287 and 232 Methanol NA MON, 2–40; LEV, 1–40 [12]
Multiwavelength 232.2 and 229
First derivative MON, 231.1; LEV, 216.5
21 LEV Tablets Area under the curve MON, 263.6–293.6; LEV, 222–242 Methanol MON, 1.06; LEV, 1.23 5–30 for both [17]
22 LEV Tablets Bivariate calibration 220 and 230 Methanol LEV, 0.261; MON, 0.079 4–28 for both [13]
Dual wavelength MON, 355 and 390; LEV, 208 and 214.4 LEV, 0.374; MON, 0.273
Second derivative MON, 293.2; LEV, 244 LEV, 1.177; MON, 0.785
Ratio difference MON, 296.4 and 344.2; LEV, 216 and 232 LEV, 0.229; MON, 0.352
23 LEV Bulk and tablets Simultaneous equation 229 and 284 Methanol MON, 1.1; LEV, 0.7 MON, 4–20; LEV, 2–10 [16]
24 BIL Tablets Extraction method BIL, 211; MON, 365 BIL, 0.23; MON, 0.45 BIL, 2–12; MON, 6–14 [30]
First-order derivative MON, 211; BIL, 365 BIL, 0.12; MON, 1.18 BIL, 1–5; MON, 10–30
Simultaneous equation BIL, 272; MON, 285; BIL, 211 MON, 0.4; BIL, 1.23 BIL, 10–50; MON, 6–14
Q-absorption ratio 215 Isosbestic; BIL, 211 BIL, 1.18; MON, 0.39 BIL, 1–5; MON, 10–30
Divisor ratio derivative MON, 365 BIL, 0.13; MON, 1.12 BIL, 1–5; MON, 10–30

*+ Acebrophylline (ABP); **+ ambroxol (AMB); NA: not reported.

3 Spectrofluorometric methods

A limited number of spectrofluorometric methods have been reported for the analysis of MON with NSA combinations.

A spectrofluorometric method was also developed with excitation and emission wavelengths of 261 and 287 nm for FEX and 392 and 487 nm for MON, respectively. The calibration curves were found to be linear over concentration ranges of 20–100 µg·mL−1 for FEX and 2–10 µg·mL−1 for MON. The LODs were determined to be 0.36 µg·mL−1 for FEX and 0.73 µg·mL−1 for MON [30].

Abdel Hamid et al. [31] introduced an eco-friendly synchronous fluorescence spectrofluorimetric method for the simultaneous analysis of MON and FEX. This method measures the relative synchronous fluorescence intensity of both drugs in methanol, with a Δλ of 60 nm, using wavelengths of 405 nm for MON and 288 nm for FEX. The method demonstrated linearity in the ranges of 0.1–2.0 μg·mL−1 for MON and 2.0–20.0 μg·mL−1 for FEX. The LODs were 0.018 and 0.441 μg·mL−1 for MON and FEX, respectively.

The method of Prajapati et al. [30] appears to be more sensitive than that of Abdel Hamid et al. [31] with LODs of 0.018 and 0.441 μg·mL−1 for MON and FEX, respectively.

Derayea et al. [32] developed a spectrofluorometric method for estimating MON and BIL in pharmaceutical dosage forms by utilizing the synchronized fluorescence amplitude at the first derivative’s peaks, specifically at 381 nm for MON and 324 nm for BIL. Calibration plots showed excellent linearity over concentration ranges of 50–2,000 ng·mL−1 for MON and 50–1,000 ng·mL−1 for BIL. The method’s development included careful optimization of experimental conditions, such as selecting the optimal Δλ, choice of the solvent, the effect of diluting solvents, buffers, pH modifiers, and the impact of various organized media like surfactants and macromolecules. This method was found to be highly sensitive, with LOD values of 16.5 ng·mL−1 for MON and 10.9 ng·mL−1 for BIL. The method was found to be comparable in its performance to the spectrophotometric method reported by Prajapati et al. [30].

RUP and MON were quantified spectrofluorometrically by using the first derivative synchronous spectrofluorometric intensities in an aqueous solution containing McIlvaine’s buffer at pH 2.60. The intensities were measured at 261 nm for RUP and 371 nm for MON. The method demonstrated linearity within the concentration ranges of 0.10–4.00 µg·mL−1 for RUP and 0.20–1.60 µg·mL−1 for MON [33].

A validated method utilizing second derivative synchronous fluorometry was reported for the simultaneous analysis of DES and MON in their co-formulated tablets. The method involved measuring the synchronous fluorescence intensities of both drugs in McIlvaine’s buffer, pH 2.3, in the presence of carboxymethyl cellulose sodium (CMC) as a fluorescence enhancer, with a constant wavelength difference (Δλ) of 160 nm. Peak amplitudes of the second derivative synchronous fluorescence spectra were determined at 288 nm for DES and 385 nm for MON. The method exhibited a linear relationship between the concentration and peak amplitude over the concentration ranges of 0.10–2.00 µg·mL−1 for DES and 0.20–2.00 µg·mL−1 for MON [34].

4 Chromatographic methods

Various chromatographic methods have been described for the determination of MON in combination with NSAs in various marketed formulations. Chromatographic techniques like HPLC, TLC, and ultraperformance liquid chromatography have been used.

4.1 TLC methods

In the last two decades, TLC has become one of the most useful chromatographic methods, especially for qualitative analysis and preparative separations. Quantitative determination by TLC has never been as popular as gas chromatography and HPLC, due to problems with sample applications, development, and evaluation. However, due to the recent developments in instrumentation for TLC, which will lead to a general improvement in accuracy and precision, it is now increasingly being used for the quantitative determination of drugs in tablets, capsules, solutions, ointments, and many other formulations [35].

Densitometric TLC methods have been developed for the determination of LEV and MON in tablets [8,3638]. Among literature reports, the method by Smita et al. [37] is the most sensitive, with LOD values of 1.536 µg·mL−1 for MON and 2.864 µg·mL−1 for LEV. Justification for the choice of detection wavelengths was provided for all methods except for those in the studies of Shah et al. and Vekaria et al. [39,40]. All methods were validated for linearity, accuracy, and precision, with the study of Mahmoud et al. [41] additionally claiming their method to be eco-friendly.

The combination of BIL and MON was also analyzed using TLC [39,42,43]. All three methods were validated, with justifications provided for the selection of detection wavelengths. However, only the method of Balar et al. [43] was further demonstrated to be stability-indicating through the analysis of forced degradation samples.

The TLC methods reported for determining the combination of FEX and MON [40,44] demonstrated comparable sensitivity. However, the method of Vekaria et al. [40] did not provide justification for the selection of detection wavelengths.

Table 2 provides an overview of various TLC methods that have been reported in the literature.

Table 2

TLC methods used for the analysis of MON and NSA combination

No. MON+ Matrix Plate Mobile phase Detection λ (nm) Working range (ng/spot) LOD (ng/spot) Ref.
1 LEV Tablets Silica gel 60 F254 Ethyl acetate–methanol–triethylamine (5:5:0.02 v/v/v) 240 LEV, 200–600; MON, 400–1,200 20.63 MON, 21.12 LEV [8]
2 LEV Tablets Silica gel 60 F254 Toluene–ethyl acetate–methanol–ammonia (2.5:7:2.5:1 v/v/v/v) 231 LEV, 500–2,500; MON, 1,000–5,000 50.0 MON, 90.0 LEV [36]
3 LEV Tablets Silica gel 60 F254 Chloroform–methanol–toluene–glacial acetic acid (10:5:3:0.5 v/v/v/v) 269 MON, 200–3,200; LEV, 400–1,300 1.536 MON, 2.864 LEV [37]
4 LEV Tablets Silica gel 60 F254 Acetone–methanol–toluene (2:2:6 v/v/v) 240 LEV, 0–300; MON, 100–600 8.0 LEV, 16.0 MON [38]
5 BIL Tablets Silica gel 60 F254 Ethyl acetate–toluene–methanol–ammonia (7:0.5:1.5:0.5 v/v/v/v) 254 BIL, 800–4,800; MON, 400–2,400 0.235 BIL, 0.362 MON [42]
6 BIL Tablets Silica gel 60 F254 Toluene–Methanol (6.5:3.5 v/v) 243 BIL, 200–1,200; MON, 100–600 NA [39]
7 BIL Tablets Silica gel 60 F254 Chloroform acetonitrile–ethyl acetate–ammonia (4:6:0.1 v/v/v) 282 MON, 100–500; BIL, 200‒1,000 26.26 BIL, 33.34 MON [43]
8 FEX Tablets Silica gel 60 F254 Toluene–ethyl acetate–methanol–ammonia (30%) (0.5:7:2:0.5 v/v/v/v) 220 FEX, 2,400–10,800; MON, 200–900 100.0 FEX, 50.0 MON [44]
9 FEX Tablets Silica gel 60 F254 Ethyl acetate–methanol–ammonia (30%) (7:3:0.5 v/v/v) 215 FEX, 9,000–1,800; MON, 150–750 100.6 FEX, 40.0 MON [40]
10 CET Tablets Silica gel 60 F254 Ethyl acetate–methanol–ammonia solution (25%) (14:3:2 v/v/v) 230 CET, 40–2,000; MON, 120–1,000 3.94 CET, 2.08 MON [45]
11 LOR Tablets Silica gel 60 F254 Ethyl acetate–ethanol (9:1 v/v) 260 MON, 300–3,600; LOR, 200–400 27 MON, 7.0 LOR [41]

NA: not reported.

4.2 HPLC methods

HPLC is particularly well suited for assessing the purity and quality of pharmaceutical preparations, especially when gas–liquid chromatography (GLC) is unsuitable due to the insufficient thermal stability or low volatility of the components. As a result, HPLC is favored over GLC for product quality control (QC) in most pharmaceutical companies and is included in most international pharmacopeias. The development of highly selective adsorbents and advancements in the sensitivity of flow-through spectrophotometric, fluorometric, and electrochemical detectors have further boosted the use of HPLC in pharmaceutical analysis.

Reversed-phase high-performance liquid chromatography (RP-HPLC) has been widely utilized for quantifying MON in combination with NSAs in pharmaceutical dosage forms. Most of the reported methods employed isocratic elution using a RP column (C8 or C18) and mobile phases composed of organic solvent and buffer mixtures adjusted to specific pH levels.

The combination of LEV and MON in tablet formulations has been analyzed using RP chromatographic methods, applying various combinations of stationary and mobile phases [15,36,4657]. Although all the methods have been validated and proved to meet required standards, the method of Sonawane et al. [50] is particularly noteworthy for being stability-indicating as proven to be effective through the analysis of forced degradation samples, suggesting that it can detect even minor amounts of degradation products alongside the intact analyte(s). This implies a potentially lower LOD compared to other methods (0.00028 µg·mL−1 LEV and 0.0032 µg·mL−1 MON, respectively). Erkmen et al.’s method [53], on the other hand, was optimized using the one factor at a time (OFAT) approach. This approach involves optimizing individual factors sequentially, which can improve reliability, but it may not necessarily achieve the same low LOD as a method specifically designed to be stability-indicating like the method of Sonawane et al. [50]. Nonetheless, since the method of Erkmen et al. [53] has been validated, its sensitivity is adequate for its intended application, although it may not reach the smallest LOD compared to the method in Sonawane et al. [50]. In conclusion, while both methods are validated and effective within their specific contexts, the method of Sonawane et al. [50] likely offers greater sensitivity (smaller LOD) and more robust linear range, particularly due to its stability-indicating nature, which has been validated through forced degradation studies.

Comparing the HPLC methods used for the determination of RUP and MON combination in bulk and tablets [5862], the method proposed by Sutar and Magdum [60] demonstrated superior sensitivity with a lower LOD and a broader linear range compared to other methods, which, while validated and within acceptable ranges, exhibited slightly narrower linear ranges. The use of central composite design in optimizing the method of Sutar and Magdum [60] significantly enhanced its reliability. It is important to highlight that all methods underwent rigorous validation to ensure their reliability, sensitivity, and accuracy. However, only methods of Sutar and Magdum and Jani et al. [60,62] were specifically proven to be stability-indicating, a crucial feature for evaluating the stability of the analyte under varying conditions.

The HPLC methods for determining the BIL and MON combination in bulk and tablet forms [6370] were all rigorously validated, among which methods reported in the studies of Tiruveedhi et al., Vijayalakshmi et al., Swathi et al., Sunkara and Ajitha, and Roshdy et al. [6365,68,69] were additionally proven to be stability-indicating. Notably, the method developed by Vijayalakshmi et al. [64] was the most sensitive, with LOD values of 0.018 µg·mL−1 for BIL and 0.024 µg·mL−1 for MON. Of these methods, the one by Roshdy et al. [69] stands out as the only method that was eco-friendly, stability-indicating, and systematically optimized using an experimental design approach.

Upon comparing the reported methods for the determination of DES and MON combination in the tablet form [7173], the method of Gandhi et al. [73] showed the lowest sensitivity, with the lowest LOD values (0.176 and 0.087 µg·mL−1 for DES and MON, respectively) among the three methods with acceptable linear ranges for routine analysis, substantiating its ability to detect low concentrations of the analytes, while the method of Mistry et al. [71] exhibited the lowest sensitivity among the three methods, with the highest LOD values (11.51 and 4.06 µg·mL−1 for MON and DES, respectively), making it particularly ineffective in detecting very low concentrations of the analytes which contradicts its claimed stability-indicating capability and inconsistent with its broad linear range. On the other hand, the method of Mallesham et al. [72] demonstrated moderate sensitivity, with a slightly higher LOD than that reported by Gandhi et al. [73], making it less sensitive but still effective for most analytical purposes.

Numerous methods have been reported for the determination of FEX and MON in pharmaceutical dosage forms [7489]. The low LOD is crucial for detecting trace amounts of analytes, and among the methods reported, the most sensitive LODs for FEX and MON were found in methods of Chabukswar et al. and Godavarthi et al. [87,88]. The LOD for FEX reported in Chabukswar et al. [87] is 0.028 µg·mL−1, and for MON in Godavarthi et al. [88] the LOD is 0.02 µg·mL−1, making them particularly sensitive for both analytes. High LOD methods such as those reported in Tamilselvi and Sruthi and Mohite et al. [75,79], with LODs of 3.83 µg·mL−1 for FEX and 2.96 µg·mL−1 for MON, respectively, indicate a less sensitive approach, which might be less suitable for samples where the analytes are present in very low concentrations. Wide linear range is desirable for quantifying a broad spectrum of concentrations without requiring dilution or concentration of samples. The method described by Godavarthi et al. [88] stands out with linear ranges of 12–144 µg·mL−1 for FEX and 0.05–10 µg·mL−1 for MON, which allows it to handle diverse sample concentrations effectively. A narrow linear range is observed in the study of Padmavaathi and Subba Rao [83] for FEX (10–30 µg·mL−1) and the study of Uthirapathy et al. [85] for MON (0.4–2.4 µg·mL−1). These narrower ranges may limit the applicability of the method to samples with specific concentration levels, requiring additional steps to fit into the detectable range.

Most methods maintain a flow rate of 1.0 mL·min−1, which is optimal for standard HPLC systems and ensures a balance between the analysis time and resolution. Exceptions, like the method in Manasa et al. [84] with a flow rate of 0.8 mL·min−1, may be adjusted for specific analytical needs but could require recalibration of equipment. The widespread use of C18 columns across methods highlights their versatility and compatibility with various mobile phases. The occasional use of C8 columns (as in the study of Uthirapathy et al. [85]) may be due to specific interaction requirements, but generally C18 is preferred for its broad applicability.

The method described in Chabukswar et al. [87] offers the best balance between sensitivity (LOD of 0.028 µg·mL−1 for FEX), linear range (0.6–120 µg·mL−1 for FEX), and practicality (standard flow rate and use of C18 column). It is highly sensitive, covers a wide concentration range, and remains practical for routine analysis. For applications requiring the detection of very low concentrations, the method of Godavarthi et al. [88] with its low LOD for MON (0.02 µg·mL−1) would be the preferred choice, although it may require more complex mobile phase preparation.

This comparative analysis highlights the trade-offs between sensitivity, linear range, and practical simplicity, enabling the selection of the most appropriate method based on specific analytical needs.

Many methods have been reported for the analysis of EBA and MON in pharmaceutical preparations [9096], and these methods vary in levels of control parameters (column type, mobile phase composition, mobile phase flow rate, and wavelength of detection), which are consequently affect the method outputs (detection limit, linear range, and practicality of use). Low LOD values are essential for detecting small quantities of analytes. Among the methods compared, the most sensitive method for MON is found in the study of Ghode et al. [96], with an LOD of 0.041 µg·mL−1, and for EBA the same method reports an LOD of 0.0211 µg·mL−1. This method stands out for its ability to detect very low concentrations, making it ideal for samples where the analytes might be present in trace amounts.

Higher LODs are seen in methods like Shrikrishna and Nisharani [91], with LODs of 1.05 µg·mL−1 for MON and 1.13 µg·mL−1 for EBA, which indicate a lower sensitivity. These methods may not be as effective in detecting small quantities and might be better suited for samples with higher analyte concentrations. The method of Shireesha et al. [94] covers broad linear ranges from 0 to 16 µg·mL−1 for MON and 0–35 µg·mL−1 for EBA. These ranges are advantageous for quantifying varying concentrations without the need to alter the method significantly. Some methods, such as those reported in the study of Shrikrishna and Nisharani [91], offer a more limited range (5–25 µg·mL−1 for both analytes), which could restrict their application to specific concentration levels, possibly requiring dilution or concentration steps for certain samples.

The majority of methods maintain a standard flow rate of 1.0 mL·min−1, which is optimal for many HPLC systems, ensuring consistency in retention times and peak resolution. An exception is the method of Leelavathy and Shaheedha [93], which uses a slightly lower flow rate of 0.8 mL·min−1. While this adjustment may help in certain separations, it could also necessitate the recalibration of equipment and adjustment of method parameters.

Most methods utilize C18 columns, known for their versatility and compatibility with a wide range of mobile phases. The method of Ghode et al. [96], however, uses a C8 column with water and trifluoroacetic acid (TFA), offering a different separation mechanism that may be beneficial in specific scenarios but could require optimization and validation for broader use.

The method of Shrikrishna and Nisharani [91], which uses methanol and water with pH adjustment, stands out for its simplicity. Simple mobile phases reduce the preparation time, minimize the risk of errors, and are easier to replicate, making them ideal for routine analysis, while methods like those in the study of Ghode et al. [96] involve water and TFA, which, while potentially offering better resolution, require careful pH control and preparation, increasing the complexity of the method and the possibility of variability between runs.

The method of Ghode et al. [96] offers the best sensitivity with low LOD values (0.041 µg·mL−1 for MON and 0.0211 µg·mL−1 for EBA) and an adequate linear range (5–60 µg·mL−1 for both analytes). It may be more complex due to the use of TFA and the C8 column but is highly effective for detecting low analyte concentrations.

This analysis highlights the importance of balancing the sensitivity, linear range, and simplicity when selecting an HPLC method, depending on the specific needs of the analysis.

Several methods have been confirmed as stability-indicating through the analysis of forced degradation samples [50,60,6265,68,69,71,74,76,77,81,83,90,93]. However, many of the reported methods skipped proper development or optimization, instead incorrectly treating initial adjustments of method control parameters for preliminary separation as method optimization. Only two methods have been optimized using either the OFAT approach [53,69] and another two using the experimental design approach [63,92]. In reality, true optimization should follow the method development stage in the analytical method lifecycle. Even though these methods are fully validated according to the global guidelines on method validation (ICH Q2 (R1)) [58] before being implemented or used routinely, they often fail to demonstrate robustness during routine QC testing and are found to be unsuitable for their intended purpose [59]. Given the strict regulatory requirements and the increasing emphasis on applying quality by design principles in the analytical field (AQbD), it is essential to establish more rigorous standards for publishing analytical methods. This will ensure the development of robust methods that are fit for use in QC laboratories. Notably, no method has been reported to be eco-friendly.

Ghonim et al. [97] developed and validated an eco-friendly RP-HPLC method for the simultaneous determination of MON in combination with RUP, DES, and FEX in a single analytical run. The method was optimized using factorial experimental design and demonstrated adequate sensitivity, with LOD values of 0.26 µg·mL−1 for RUP, 0.30 µg·mL−1 for DES, and 0.27 µg·mL−1 for FEX. Description of the reported HPLC methods is given in Table 3.

Table 3

HPLC methods used for the analysis of MON and NSA combination

No. MON+ Matrix Column Mobile phase Detection λ (nm) Working range (µg·mL−1) LOD (µg·mL−1) Ref.
1 LEV Tablets Phenyl, 50 mm × 2.1 mm, 1.7 µm, 40°C Solvent A: KH2PO4 buffer, pH 6.5; solvent B: acetonitrile; gradient from 45% B to 70% B in 2 min, at a flow rate of 0.4 mL·min−1 231 LEV, 12.5–75; MON, 25–150 NA [46]
2 LEV Tablets C18, 250 × 4.6 mm, 5 µm Na2HPO4 buffer (0.02 M)–methanol (25:75 v/v), pH adjusted to 7 with orthophosphoric acid, at a flow rate of 1.0 mL·min−1 231 LEV, 1–10; MON, 2–20 0.5 LEV, 0.2 MON [36]
3 LEV Tablets C8, 150 × 4.6 mm, 5 µm KH2PO4 (0.02 M)–methanol (40:60 v/v, pH 5.0), at a flow rate of 1.0 mL·min−1 218 LEV, 5–20; MON, 10–40 2.493 LEV, 0.489 MON [47]
4 LEV Tablets C8, 250 × 4.6 mm, 5 µm, 35°C KH2PO4 buffer (0.05 M, pH 7.5)–methanol, 20: 80 v/v, at a flow rate of 1.2 mL·min−1 225 LEV, 10–260; MON, 10–350 2.26 LEV, 2.41 MON [48]
5 LEV Tablets C18, 250 × 4.6 mm, 5 µm, 30°C Ammonium acetate buffer (pH 3.5)–methanol (15:85 v/v%), at a flow rate of 1.0 mL·min−1 230 LEV, 3–12; MON, 6–18 0.28 MON, 0.52 LEV [49]
6 LEV in tablets Tablets C18, 250 × 4.6 mm, 5 µm, 30°C Acetonitrile–phosphate buffer, pH 7.0 (60:40), at a flow rate of 1.0 mL·min−1 230 LEV, 12.56–37.68; MON, 23.73–71.2 0.079 LEV, 0.156 MON [50]
7 LEV Tablets C8, 250 × 4.6 mm, 5 µm Acetonitrile–0.5% triethylamine in water (90:10 v/v), pH adjusted to 5.5, at a flow rate of 0.8 mL·min−1 231 LEV, 2–32; MON, 3–30 0.00028 LEV, 0.0032 MON [15]
8 LEV Tablets C18, 150 × 4.6 mm, 5 µm 10 mM acetonitrile–ammonium acetate (65:35% v/v and pH 4.2), at a flow rate of 1.0 mL·min−1 230 LEV, 25–75; MON, 50–150 0.05 LEV, 0.1 MON [51]
9 LEV Tablets C18, 250 × 4.6 mm, 5 µm Methanol and sodium hydrogen phosphate and orthophosphoric acid buffer (pH 7.0) in the ratio of 75:25 v/v, at a flow rate of 1.2 mL·min−1 230 MON, 8–28; LEV, 4–14 0.0173 LEV, 0.056 MON [52]
10 LEV Tablets C18, 150 × 4.6 mm, 5 µm, 40°C Methanol–10 mM ammonium acetate buffer (85:15 v/v), pH 4.0, at a flow rate of 1 mL·min−1 240 0.5–100 for both 0.16 LEV, 0.05 MON [53]
11 LEV Tablets C18, 100 × 4.6 mm, 5 µm, 25°C Buffer (2.8 g·L−1 Na2HPO4, pH 7.0)–acetonitrile (90:10 v/v) at a flow rate of 1.0 mL·min−1 230 5–100 for both NA [54]
12 LEV Tablets C18, 250 × 4.6 mm, 5 µm Acetonitrile–methanol–water (40:40:20 v/v), at a flow rate of 1.0 mL·min−1 232 30–60 for both NA [55]
13 LEV Tablets C18, 150 × 4.6 mm, 5 µm, 40°C Methanol–water (75:25 v/v), at a flow rate of 1.0 mL·min−1 235 LEV, 50–150; MON, 100–300 0.42 LEV, 0.16 MON [56]
14 LEV Tablets C18, 250 × 4.6 mm, 5 µm, 30°C Buffer (pH 3.6)–acetonitrile (35:65 v/v), at a flow rate of 1.0 mL·min−1 231 LEV, 12.5–75; MON, 25–150 0.04 MON, 0.08 LEV [57]
15 RUP Bulk and tablets C8, 250 × 4.6 mm, 5 µm, 40°C Methanol–acetonitrile–buffer (40:30:30 v/v), (pH 3 adjusted with H3PO4), at a flow rate of 1.0 mL·min−1 270 5–15 for both NA [58]
16 RUP Tablets C8, 150 × 4.6 mm, 5 µm Acetonitrile–phosphate buffer, pH 4.7 (60:40, v/v) at a flow rate of 1.2 mL·min−1 254 100–300 for both NA [59]
17 RUP Tablets C18, 150 × 4.6 mm, 5 µm Acetonitrile–phosphate buffer (75:25 v/v), pH adjusted to 4.0, at a flow rate of 1 mL·min−1 226 100–300 µg·mL−1 for both 4.06 MON, 4.10 LEV [60]
18 RUP Bulk and tablets C8, 250 × 4.6 mm, 5 µm Methanol–acetonitrile–buffer, 40:30:30 v/v, pH 3.2 at a flow rate of 1.0 mL·min−1 270 10–80 for both 0.141 RUP 0.167 MON [61]
19 RUP Bulk and tablets C18, 250 × 4.6 mm, 5 µm Methanol–water (90:10 v/v) with 0.1% triethylamine, pH 3.41 at a flow rate of 1 mL·min−1 260 15–40 μg·mL−1 for both 1.49 RUP, 1.21 MON [62]
20 BIL Bulk and tablets C18, 250 × 4.6 mm, 5 µm 0.1 M Na2HPO4 buffer (pH 5.8)–methanol, 55:45 v/v, at a flow rate of 1.0 mL·min−1 223 BIL, 5–40; MON, 2.5–20 0.133 MON 0.287 BIL [63]
21 BIL Bulk and tablets C18, 250 × 4.6 mm, 5 µm 0.1 M KH2PO4 (pH 4.2)–methanol (60:40, v/v) at a flow rate of 1.0 mL·min−1 232 BIL, 10–30; MON, 5–15 0.018 BIL, 0.024 MON [64]
22 BIL Bulk and tablets C18, 150 × 4.6 mm, 5 µm, 30°C 0.01 M KH2PO4–methanol (70:30) at a flow rate of 1.0 mL·min−1 218 BIL, 5–30; MON, 2.5–15 0.32 BIL, 0.24 MON [65]
23 BIL Bulk and tablets C18, 150 × 4.6 mm, 5 µm Methanol and acetonitrile (70: 30), pH 3, at a flow rate 1.0 mL·min−1 260 BIL, 25–150; MON, 5–30 3.99 BIL, 0.98 MON [66]
24 BIL Bulk and tablets C18, 250 × 4.6 mm, 5 µm, 25°C Acetonitrile–Na2HPO4 buffer (pH 6.8) 60:40 v/v, at a flow rate of 0.6 mL·min−1 254 BIL, 160–260; MON, 80–130 7.43 BIL, 3.06 MON [67]
25 BIL tablets Tablets C18, 250 × 4.6 mm, 5 µm, 30°C 0.01 M ammonium acetate–acetonitrile, 70:30 v/v, at a flow rate of 1.0 mL·min−1 220 BIL, 15–30; MON, 2.5–15 0.31 BIL, 0.09 MON [68]
26 BIL Tablets C18, 150 × 4.6 mm, 5 µm Methanol–acetonitrile–phosphate buffer (92:6:2 v/v/v), adjusted to pH 3 with 0.1 (v/v) triethylamine, at a flow rate of 0.8 mL·min−1 220 BIL, 1.0–50.0; MON, 3.0–40.0 0.28 BIL, 0.96 MON [69]
27 BIL Tablets C18, 150 × 4.6 mm, 5 µm Phosphate buffer (pH 4.5) and acetonitrile in the ratio of 30:70 v/v, at a flow rate of 0.8 mL·min−1 225 10–50 for both NA [70]
28 DES Tablets C18, 250 × 4.6 mm, 5 µm 0.3% TFA with water–acetonitrile (20:80 v/v), at a flow rate of 1.0 mL·min−1 230 DES, 40–60; MON, 80–120 11.51 MON, 4.06 DES [71]
29 DES Bulk and tablets C8, 250 × 4.6 mm, 5 µm K2HPO4 buffer (pH: 8.6) and methanol (60: 40% v/v), at a flow rate of 0.8 mL·min−1 261 50–150 for both 2.759 DES, 2.909 MON [72]
30 DES Tablets C18, 250 × 4.6 mm, 5 µm Orthophosphoric acid and water in the ratio of 20:80 v/v, at a flow rate of 1.0 mL·min−1 280 MON, 10–30; DES, 5–15 0.176 MON, 0.087 DES [73]
31 FEX Tablets C18, 250 × 4.6 mm, 5 µm Methanol–ammonium formate, pH adjusted to 6 with orthophosphoric acid (70: 30), at a flow rate of 1.0 mL·min−1 268 MON, 2–15; FEX, 30–180 0.30 MON 0.36 FEX [74]
32 FEX Tablets C18, 250 × 4.6 mm, 5 µm 0.5% orthophosphoric acid (pH 6.0 with trimethylamine)–acetonitrile, 40:60 v/v, at a flow rate of 1.0 mL·min−1 240 FEX, 72–120; MON, 6–10 3.83 FEX, 0.21 MON [75]
33 FEX Tablets C18, 250 × 4.6 mm, 5 µm Methanol–0.1% orthophosphoric acid (90:10 v/v), pH 6.8, at a flow rate of 1.0 mL·min−1 226 FEX, 24–120; MON, 2–10 0.036 MON 0.283 FEX [76]
34 FEX Tablets C18, 50 × 4.6 mm, 3 µm Acetonitrile–20 mM KH2PO4, 80:30 (v/v), pH 5.5, at a flow rate of 1.0 mL·min−1 230 FEX, 80–120; MON, 96–144 0.17 FEX, 0.142 MON [77]
35 FEX Tablets C18, 250 × 4.6 mm, 5 µm Buffer (K2HPO4, 0.02 M, pH 6.0) and methanol (25:75 v/v), at a flow rate of 1.0 mL·min−1 220 FEX, 84–156; MON, 7–13 0.29 FEX, 0.16 MON [78]
35 FEX Tablets C18, 250 × 4.6 mm, 5 µm Acetonitrile–phosphate buffer (pH 2.8) in the ratio of 70:30 v/v, at a flow rate of 1.0 mL·min−1 245 FEX, 10–50; MON, 4–20 2.96 MON 2.78 FEX [79]
36 FEX Tablets C18, 250 × 4.6 mm, 5 µm, 40°C Acetonitrile–methanol–50 mM sodium acetate buffer (pH 8.2), 35:40:25 v/v/v, at a flow rate of 1.0 mL·min−1 210 MON, 12.5–37.5; FEX, 150–450 0.2931 MON, 3.007 FEX [80]
37 FEX Tablets C18, 250 × 4.6 mm, 5 µm, 28°C Orthophosphoric acid (pH 6.2)–methanol (40:60 v/v) at a flow rate of 1.0 mL·min−1; detection λ: 290 nm 290 FEX, 24–72; MON, 2–6 0.139 FEX, 0.140 MON [81]
38 FEX Tablets C18, 250 × 4.6 mm, 5 µm Acetonitrile–buffer (10 mM KH2PO4 solution)–methanol, 50:30:20 v/v/v, pH 4.5; at a flow rate of 1.5 mL·min−1 248 FEX, 20–100; MON, 16–64 0.04 MON 0.07 FEX [82]
39 FEX Tablets C18, 150 × 4.6 mm, 5 µm Buffer (2.72 g·L−1 KH2PO4–acetonitrile–methanol–water, 44:44:12 v/v, pH 4.0)–acetonitrile (60:40 v/v) at a flow rate of 1.0 mL·min−1 225 FEX 10–30; MON, 5–15 0.1 FEX, 0.025 MON [83]
40 FEX Tablets C18, 100 × 4.6 mm, 5 µm 0.1% triethylamine–acetonitrile (30:70) in isocratic mode, at a flow rate of 0.8 mL·min−1 220 FEX, 35–105; MON, 2.9–8.7 NA [84]
41 FEX Tablets C8, 150 × 4.6 mm, 5 µm 0.05 M KH2PO4–acetonitrile in the ratio of 35:65, pH 6, adjusted with triethylamine, at a flow rate of 1.0 mL·min−1 226 FEX, 4.8–28.8; MON 0.4–2.4 NA [85]
42 FEX Tablets C8, 250 × 4.6 mm, 5 µm Methanol–acetonitrile–1% TFA (80:10:10 v/v/v) at a flow rate of 1.0 mL·min−1 210 FEX, 30–180; MON, 2.5–15 NA [86]
43 FEX Tablets C18, 250 × 4.6 mm, 5 µm, 50°C Acetonitrile–methanol–water (44:44:12 v/v) pH 3, adjusted with orthophosphoric acid, at a flow rate of 1.0 mL·min−1 241 FEX, 0.6–120; MON, 0.05–10 0.094 MON, 0.028 FEX [87]
44 FEX Tablets C18, 250 × 4.6 mm, 5 µm Acetonitrile–triethylamine (pH 6) (80:20 v/v), at a flow rate of 1.0 mL·min−1 220 FEX, 12–144; MON, 1–12 1.41 FEX, 0.02 MON [88]
45 FEX Tablets C18, 150 × 4.6 mm, 5 µm 0.1 M KH2PO4 buffer (pH 5.0) and methanol in the ratio of 60:40 v/v, at a flow rate of 1.0 mL·min−1 220 FEX 10–100; MON, 5–15 0.1 MON, 1.0 FEX [89]
47 EBA Tablets C18, 150 × 4.6 mm, 5 µm Methanol–acetonitrile–ammonium acetate (80:10:10, % v/v/v), pH 5.5, adjusted using glacial acetic acid, at a flow rate of 1.2 mL·min−1 244 10–60 for both 0.819 MON, 0.667 EBA [90]
48 EBA Tablets C18, 250 × 4.6 mm, 5 µm Methanol and water (80:20), pH 3.0 adjusted with orthophosphoric acid at a flow rate of 1.0 mL·min−1 268 5–25 for both 1.05 MON, 1.13 EBA [91]
49 EBA Tablets C18, 150 × 4.6 mm, 5 µm Methanol and 0.02 M ammonium acetate buffer (pH 5.5, adjusted with dilute acetic acid) in the ratio of 80:20 v/v at a flow rate of 0.8 mL·min−1 241 2.5–25 for both 0.298 MON, 0.594 EBA [92]
50 EBA Tablets C18, 250 × 4.6 mm, 5 µm Ammonium acetate buffer, acetonitrile, and methanol in a 12:55:33 v/v/v at a flow rate of 1.0 mL·min−1 250 16–24 for both 0.607 for both [93]
51 EBA Tablets C18, 250 × 4.6 mm, 5 µm Acetonitrile–phosphate buffer, 75:25 v/v (pH 3.0) at a flow rate of 1.0 mL·min−1 255 MON, 0–16; EBA 0–35 0.607 MON, 0.451 EBA [94]
52 EBA Tablets C18, 250 × 4.6 mm, 5 µm Methanol, acetonitrile, and 0.02 M ammonium acetate buffer (pH 5.5, adjusted with dilute acetic acid) in the ratio of 80:15:05 v/v/v at a mobile phase flow rate of 1.0 mL·min−1 244 10–50 for both 0.169 MON, 0.195 EBA [95]
53 EBA Tablets C8, 250 × 4.6 mm, 5 µm Water (pH 2.8, adjusted with TFA) in the composition of 84:16 v/v at a flow rate of 1 mL·min−1 254 5–60 for both 0.041 MON 0.0211 EBA [96]
54 RUP + DES FEX Tablets CN, 250 × 4.6 mm, 5 µm Ethanol–water (50:50 v/v, containing 0.04% triethylamine, and pH 4.5) at a flow rate of 0.85 mL·min−1 220 RUP, DES, and MON, 1–10; FEX, 1–24 0.26 RUP, 0.30 DES, 0.27 FEX, 0.15 MON [97]
55 LOR Tablets C18, 250 × 4.6 mm, 5 µm Buffer (0.025 M sodium dihydrogen phosphate, pH adjusted to 3.7 using dilute orthophosphoric acid)–acetonitrile, 20:80 v/v at a flow rate of 1.0 mL·min−1 225 MON, 100–600; LOR, 116–580 NA [27]

5 Conclusions

In recent years, various analytical methods have been reported for the quantitative estimation of drugs in combined pharmaceutical dosage forms. This article summarizes the reported analytical methods for the simultaneous estimation of MON and NSAs in bulk and combined pharmaceutical formulations.

It has been observed that the application of experimental design approaches for the method optimization is limited, which indicates that there is potential for enhancing method optimization. Statistical tools and experimental designs can aid in identifying optimal separation conditions and improving the robustness of analytical methods. It is noteworthy that although most reported methods are validated according to international guidelines, some may not be suitable for routine QC testing due to their lack of robustness. This underscores the need for more stringent standards in the publication of analytical methods.

This review revealed that RP-HPLC is the most frequently used method (61%), compared to different spectroscopic methods (27%) and TLC methods (≈12%). An overview of all the reported analytical methods used for the simultaneous estimation of MON and NSAs in bulk and combined pharmaceutical formulations is presented in Figure 1.

Figure 1 
               Graph displaying the % ratio of the analytical methods used for the simultaneous estimation of MON and NSA combination.
Figure 1

Graph displaying the % ratio of the analytical methods used for the simultaneous estimation of MON and NSA combination.

  1. Funding information: Authors state no funding involved.

  2. Author contributions: Abu Reid Imad: Conceived the core idea of this review and also directed the other authors and edited and approved the final manuscript. Osman Syda and Bakheet Somia: Contributed to the collection and analysis of papers discussed herein, wrote the draft manuscript, and approved the final manuscript.

  3. Conflict of interest: Authors state no conflict of interest.

  4. Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Received: 2024-07-11
Revised: 2024-09-05
Accepted: 2024-09-19
Published Online: 2025-01-27

© 2025 the author(s), published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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