Essential hypertension is characterized by an increase in blood pressure without an apparent cause, elevating the risk of cardiac, brain, and renal problems[1]. In developed nations, nearly 90% of the population faces a lifetime risk of developing hypertension (blood pressure greater than 140/90 mmHg). Hypertension is frequently associated with other cardiovascular risk factors, such as aging, obesity, insulin resistance, diabetes, and hyperlipidemia [2]. Drugs from various pharmacological classes with differing efficacy profiles have been developed to treat hypertension. These include calcium channel blockers (CCBs), angiotensin receptor blockers (ARBs), Angiotensin converting enzyme inhibitors, diuretics, and β-blockers [3]. One of the oldest classes of antihypertensive drugs is CCBs, which are a heterogeneous group of medications [3]. Amlodipine (AML), a lipophilic, long-acting, third-generation dihydropyridine calcium channel blocker (CCB), has been widely used for the past 20 years. It is renowned for its efficacy and safety, supported by strong evidence from large randomized controlled trials demonstrating its effectiveness in reducing cardiovascular events [4]. AML works by preventing calcium from entering cardiac and vascular smooth muscle cells, thereby lowering peripheral vascular resistance [5]. It is prescribed to treat angina and high blood pressure, with several randomized studies confirming its effectiveness in managing angina pectoris. Due to its long half-life, AML is typically dosed once daily, which is advantageous for patient compliance [3].
Angiotensin II receptor antagonists (AIIRAs) have proven to be highly effective antihypertensive medications with superior tolerability since their introduction into clinical practice in 1995. When combined with thiazide diuretics and dihydropyridine CCBs, AIIRAs exhibit synergistic effects in lowering blood pressure without increasing adverse event incidence. Moreover, they have demonstrated benefits on mortality and morbidity in chronic renal disease and heart failure, particularly in the presence of type 2 diabetes [6]. The studied AIIRAs in this paper include Olmesartan (OLM), Telmisartan (TLM), Candesartan (CAN), Losartan (LOS) and Irbesartan (IRB) are nonpeptide drugs that have been approved for use in the USA and Europe. A tetrazolo-biphenyl structure is shared by CAN, OLM, IRB and LOS, a benzimidazole group is shared by CAN and TLM [7].
For most hypertensive patients, concurrent administration of two or more medications is essential to manage blood pressure and reduce risk factors [2]. AML is often co-administered with AIIRAs to enhance their efficacy in patients with grade 1–2 hypertension [8]. Combining AIIRAs such as OLM, TLM, CAD, LOS, and IRB with CCBs like AML effectively lowers and regulates blood pressure (Fig. 1) [8, 9]. AIIRAs have an antisympathetic effect, which significantly improves AML's tolerance profile. They also reduce the likelihood of a heart rate increase with AML administration and partially mitigate the dose-limiting side effect of AML, which is peripheral edema [10].
AML and the studied AIIRAs have been analyzed using various methods, including spectrophotometry [11–14], spectrofluorometry [15–17] and square wave voltammetry [18–23] but these techniques are typically applied to dosage forms rather than biological fluids. Several chromatographic techniques have been developed for the determination of the studied drugs, including HPLC [24–26], GC-MS [27–29] and HPTLC [30–34]. Most of the reported methods for their determination in biological fluids depended on using HPLC [26, 35, 36] which uses large volume of expensive solvents. HPTLC is a widely used analytical technique due to its advantages, including low solvent usage, batch analysis, and rapid analysis. This technique allows for the concurrent measurement and identification of multiple compounds[37, 38] [39, 40].
None of the previously published methods employ HPTLC with UV detection suitable for the simultaneous determination of various AIIRAs and AML. Thus, there is a need to establish and validate a simple, rapid, and economical HPTLC method for their simultaneous determination in spiked plasma using reflectance/absorbance mode. For the first time, a new High-Performance Thin Layer Chromatography (HPTLC) system with UV detection had to be developed and tested for their simultaneous determination. In contrast to earlier studies that restricted use to pharmaceutical formulations, the present method's great sensitivity allowed for the identification of the compounds under study in plasma samples. The current process offers significant advantages in terms of saving time, solvents, effort, and cost, as five mixtures can be analyzed on the same plate with the same mobile phase. The proposed method was validated according to ICH standards.