201.Controlled Release Oral Drug Delivery System

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    CONTROLLED RELEASE ORALDRUG DELIVERY SYSTEM

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    Contents

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    Introduction

    Advantages

    Disadvantages

    Types

    References

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    Terminology:

    Sustained Release Drug Delivery Systems:

    Sustained release constitutes any dosage form that provides

    medication over an extended time to maintain therapeutic blood or tissue

    levels of the drug.

    Controlled Release Drug Delivery Systems:

    Controlled drug delivery is one which delivers the drug at a predetermined rate,

    for locally or systemically, for a specified period of time.

    Continuous oral delivery of drugs at predictable & reproducible kinetics for

    predetermined period throughout the course of !T.

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    Repeat-Action drug delivery systems:

    "epeat#action tablets are an alternative method of sustained release inwhich multiple doses of drug are contained within a dosage form, and each dose isreleased at a periodic interval.

    Delayed Release Drug Delivery Systems:

    $elayed release systems may not be sustaining but these dosage forms

    maintains the drug within the dosage form for some time before release.

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    Plasma concentration timeprofle

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    %atient comfort and compliance

    Therapeutic advantage

    "eduction in adverse side effects and improvement in

    tolerability

    "eduction in healthcare cost

    aximum utili'ation of drug enabling reduction in total

    amount of dose administered

    WHY CONTROLLED RELEASE

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    Oral CR

    60%

    Implant

    10%

    Inhalation

    27%

    Transdermal

    8%All Other

    2%

    US Controlled Drug Delivery MarketUS Controlled Drug Delivery Market

    Drug delivery market dominated by oral delivery systems

    Source: IMS America Drug delivery based !roducts7

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    Characteristics that sho!" #e$ossesse" #% the Dr& 'o!ec!e

    (

    Dose !ess tha) 1**'&

    Lo+ $rotei) #i)"i)& $ro$erties

    E,cie)t GI a#sor$tio)

    -a!. !i.e a#ot /06hrs

    Lar&er thera$etic i)"e

    Should not possess:

    -a!. !i.e !ess tha) 2hrs or &reater tha) ( hrs

    -i&h $ote)c%

    Greater "ose

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    h%sicoche'ica! ro$erties O. A Dr&I)3e)ci)& Dr& ro"ct Desi&) a)"

    er.or'a)ce4

    Aqueous solubility:

    Tetracycline dissolves to a greater extent in the stomach

    than in the intestine, although it is best absorbed in the

    intestine. (ence, poor candidates for controlled release

    systems, unless the system is capable of retaining the drug in

    the stomach and gradually releasing it to the small intestine orunless the solubility is made higher and independent of the

    external environment by encapsulating the drug with an acid.

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    Partition Coefficient and Molecular Size:

    $rugs with extremely high partition coefficient )very oilsoluble* readily penetrate the membranes but are unable to

    proceed further and vice versa with drugs with very low

    partition coefficient )excessive a+ueous solubility*.

    Protein inding:

    any drugs bind to plasma proteins. $rug protein bindingcan serve as depot for the drug producing a prolonged release

    profiles, especially if a high degree of drug binding occurs.

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    iological -actors !nfluencing $esign and %erformance ofControlled "elease Systems:

    Absorption: minoglycosides such as gentamycin and kanamycin.

    "iboflavin is absorbed by an active transport process in the upper part of the !T.

    Distribution: The distribution of drugs into tissues can be one important factor in the overall

    drug elimination kinetics, since it not only lowers the concentration of circulating drug butit also can be rate#limiting in its e+uilibration with blood and extracellular fluid.

    Metabolism:

    (ydrala'ine is metaboli'ed by the intestinal wall and/or the liver during

    absorption, although it is well absorbed.

    !n contrast, romocriptine is incompletely absorbed, the poor bioavailability of

    which is further reduced by first pass metabolism in the liver resulting in an absolute

    bioavailability of only 01.

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    Role of Disease State: Controlled release spirin tablets in the proper dosage provided

    and maintained blood levels at therapeutic concentration over 2#34hrs, a duration

    that was about twice as long as that provided by conventional tablets.

    Role of Circaian R!"t!m: Several biological processes and disease states shown to be

    influenced by circadian rythms. s a result, the response to certain drugs also

    follows cicadian rythms. $igitalis glycosides, antianginal, diuretics, %sychoactive drugs such

    as amphetamines, arbiturates, carbama'epine, ethyl alcohol and chlordia'epoxide

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    Design principle o sustained releasedosage orms or release rate and

    dose considerations:

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    Advantages

    1

    Tota! "ose is !o+

    Re"ce" GI si"e eects

    Re"ce" "osi)& .re8e)c%

    9etter $atie)t acce$ta)ce a)" co'$!ia)ce

    Less 3ctatio) at $!as'a "r& !e:e!s

    More )i.or' "r& eect

    I'$ro:e" e,cac%;sa.et% ratio

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    Disadvantages

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    Dose dumping.

    Reduced potential for accurate dose adjustment.

    Need of additional patient education.

    Stability problem.

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    Types of Oral drug delivery System

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    1.Dissolution controlled Release Dosage Forms

    2.Diffusion Controlled Release Dosage Forms

    3.Combination of both dissolution diffusion.

    !."smotic pressure controlled system

    #.$on%&'change Resins

    (.p) $ndependent systems

    *.+ltered Density Formulations

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    Dissolution Definition:

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    ass transfer from solid to li+uid.

    "ate determining step: $iffusion from solid to li+uid.

    Several theories to explain dissolution 5

    Diffusion layer theory

    Surface renewal theory

    Limited solvation theory.

    -or (ighly water soluble drugs

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    Matrix Type

    1(

    lso called as onolith dissolution controlledsystem.

    Controlled dissolution by:

    3.ltering porosity of tablet.

    6.$ecreasing its wettebility.

    7.$issolving at slower rate.

    -irst order drug release.

    $rug release determined by dissolution rate ofpolymer.

    8xamples: $imetane extencaps, $imetappextentabs.

    So!#!e "r&

    S!o+!%"isso!:i)&'atri

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    Encapsulation

    1VC? .att%

    'ateria!s@

    o$!ar .or sstai)i)& the re!ease o. hi&h!%+ater so!#!e "r&s

    The 'ateria!s .or sch 'atrices are &e)era!!%h%"ro$hi!ic &' a)" 'a% #e o. )atra! ori&i)>&ar &'? tra&aca)th@? se'i s%)thetic>-MC? CMC? a)tha' &'@or s%)thetic>o!%ar%!a'i"e@0the "r& a)" &' are &ra)!ate" to&ether

    +ith a so!:e)t sch as a!coho!? a)"co'$resse" i) to ta#!et21

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    The re!ease 'echa)is'B

    BBB the re!ease o. "r& .ro' the S+e!!a#!e 'atri

    s%ste' i)itia!!% "eh%"rate" h%"ro&e! i):o!:es co)ti)os

    a#sor$tio) o. +ater >res!ti)& i) h%"ratio)? &e!!i)& a)"

    s+e!!i)& o. &'@ a)" "esor$tio) o. "r& :ia a s+e!!i)&

    co)tro!!e" "isio) 'echa)is' A)" .or's G!ass% h%"ro&e!

    22

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    !)Reservoir typeDiusion controlled

    systemThese s%ste's are ha!!o+co)tai)i)& a) i))er core o. "r&srro)"e" i) a +ater i)so!#!e$o!%'er 'e'#ra)eThe $o!%'er ca) #e a$$!ie" #%coati)& or 'icroe)ca$s!atio)tech)i8es

    Mecha)is' $artitio)i)& the "r&i) to the 'e'#ra)e +ith

    s#se8e)t re!ease i) tosrro)"i)& 3i" #% "isio)

    o!%'ers B-C? eth%! ce!!!ose$o!%:i)%! acetate

    Disadvantage..Dose dumping

    2/

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    Dissolution Diffusion ControlledRelease system

    2

    Drug encased in a partially solublemembrane.

    ,ores are created due to dissolutionof parts of membrane.

    $t permits entry of a-ueous mediuminto core drug dissolution.

    Diffusion of dissoled drug out ofsystem.

    &'% &thyl cellulose ,/, mi'turedissoles in 0ater create pores ofinsoluble ethyl cellulose membrane.

    I)so!#!e'e'#ra)e

    ore create" #%"isso!tio) o.so!#!e .ractio) o.'e'#ra)e

    E)tr% o."isso!tio)3i"

    Dr&"isio)

    ION E!"#N$E %E&IN& D%'$ !O(P

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    ION-E!"#N$E %E&IN& D%'$ !O(P

    !on#exchange systems generally use resins composed of water#insoluble cross#linkedpolymers.

    These polymers contain salt#forming functional groups repeating positions on thepolymer chain.

    The drug is bound to resin and released by exchanging with appropriately charged ionsin contact with the ion#exchange groups.

    Resin$ % ru&%$ '%resin$% '% $ ru&%

    Resin% % ru&$ $ Y$resin% % Y$$ ru&$

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    TYPES OF RESI!TES I OR!L "DDS

    #(S)M*LE RES)NATES:

    Suspended in 8S: %an coating, ir Suspension, !nterfacial %olymeri'ation, Solvent 8vaporation

    "#P$%%&'%$('C S)S($M:#(DR,- "8S!;T8 !S %"8T"8T8$

    ?!T( %8 @44.

    6.%"8T"8T8$ "8S!;T8S "8 T(8; C9T8$ ?!T( 8T(A