Module: CH4106: Formulation of active pharmaceutical
ingredients (API) dosage forms Contacts: Zaher J udeh Tel: 6790-6738 zaher@ntu.edu.sg N1.2 B1-14 Textbook: H.C. Ansel, L.V. Allen J r., N.G. Popovich, Pharmaceutical dosage forms and drug delivery systems, 8th Edition, Lippincott Williams & Wilkins Welcome to Formulation 2 Teams: Preselected 12 teams each of 8 students with a team leader and a deputy team leader Readiness assurance Reading outside class time: PowerPoint slides, lecture videos and other reading materials will be uploaded on edventure Individual assessment (during class, 30-35 min.) Team assessment (during class, 30-35 min.) Application activities Presentation on a selected topic Case studies discussion Team-Based Learning 3 Application activities How? A problem will be given during class time Teams will be given 20 minutes to discuss the problem and arrive at a solution. Teams are allowed to refer to any material/resource to answer the problem. Solutions (1 written page) will be collected from all teams Only 6 teams will be selected randomly to present their solutions each class (10 minutes only). Presenting teams will be marked by all teams (11 teams) Peer assessment: within the team (in week 12). This will also include a statement on: One thing they appreciate from the member One thing they request from the member Team-Based Learning Cont. 4 Assessments/Examinations May include multiple choice, true/false, short/long answer, essay questions, and problems anything! Exams can be on any selected topic: In class individual assessment up to 12% In class team assessment I up to 10% In class team assessment II up to 13% Peer assessment (in week 12) up to 10% CA Monday 20/10/2014 9:35-10:35 am up to 10% Final exam University sets date up to 45% Students are expected to take examinations at the scheduled time. 5 CA/Assessment Policy If student misses CA due to following valid reasons: Valid MC (not from Chinese doctor) Passing away of immediate family (parents, siblings, grandparents) Participate in an activity representing NTU There will be no makeup CA. The best 8 assessments will be computed towards your final mark. Students who are absent from lectures without valid reason will get (0) zero for that assessment. Marks will be computed according to NTU prevailing policy. 6 The slides represent points for discussion You must refer to the textbook for a complete account If it is mentioned, it is required, otherwise it is for your reading pleasure! Have Fun and Good Luck Attention 7 Course Contents Section I: Introduction to Drugs, Drug Dosage Forms and Drug Delivery Systems Introduction to Drugs and Pharmacy New Drug Development and Approval Process Current Good Manufacturing Practices Section II: Drug Dosage Form and Drug Delivery System Design Dosage Form Design: Pharmaceutics and Formulation Considerations Dosage Form Design: Biopharmaceutic and Pharmacokinetic Considerations 8 Course Contents Cont. Section III: Solid Dosage Forms and Solid Modified- Release Drug Delivery Systems Powders and Granules Capsules Tablets Solid Oral Modified-Release Dosage Forms and Drug Delivery Systems Section IV: Semi-Solid Dosage Forms and Transdermal Systems Ointments, Creams and Gels Transdermal Drug Delivery Systems 9 Course Contents Cont. Section V: Pharmaceutical Inserts Suppositories and Inserts Section VI: Liquid Dosage Forms Solutions Disperse Systems Section VII: Sterile Dosage Forms and Delivery Systems Parenterals Ophthalmic Solutions and Suspensions 10 Overall Goals For a given drug, understand how to select an appropriate drug delivery system, formulation, route of administration based upon the chemical, physical and biological attributes of the drug Inspire YOU: This is a great field where more research and development for optimumdosage form design is to be done! 11 Course Objectives: Understand The process of drug development and approval The pre-formulation considerations applicable to the design of specific dosage forms The biological and physicochemical properties of drugs that must be considered in the design of pharmaceutical dosage forms The concepts of chemical kinetics, drug stability and the factors that impact dosage forms stability Different dosage forms and outline their advantages and shortcomings 12 Course Objectives Cont. Be familiar with common dosage forms in use today and current development in drug delivery systems -- Research Understand formulation of a dosage form with respect to: Types and functions of the additives/excipients used Problems encountered during the formulation of a specific dosage form Techniques used in the production of different dosage forms 13 What is Pharmaceutics? The science of dosage form design where the API is made into a safe and effective medication It applies science and engineering knowledge to the multidimensional problems of the formulation, development, evaluation, production, distribution, selection and administration of safe, effective, reliable, drug delivery systems Pharmaceutics include: Pharmacokinetics, Pharmacodynamics, Pharmacogenomics, Pharmaceutical formulation, Pharmaceutical technology 14 Preformulation: characterization of a drug's physical, chemical, and mechanical properties in order to choose what other ingredients should be used in the preparation Formulation: the process in which the API (drug) and excipients are combined to produce a final medicinal product The API must be delivered to the patient in some way Dosage Form Preformulation / Pharmaceutical Formulation 15 Dosage Form The physical form in which a drug is produced for administration by the appropriate route to the recipient It functions as a drug delivery system (DDS) get the drug to its site of action The design and formulation of a dosage form affects the rate and amount of drug delivered bioavailability When designing a dosage form we must consider: Rate of delivery Site of release Target delivery to specific cells/receptors (action) 16 Routes of Administrations and Dosage Forms Route of Administration Dosage Form Types Oral Tablets, capsules, powders, suspensions, elixirs Sublingual Tablets, lozenges Parenterals Solutions, suspensions Ocular Solutions, suspensions, creams, ointments Transdermal Creams, ointments, powders, lotions, plasters Nasal Inhalants, sprays, solutions Respiratory Aerosols Vaginal Solutions, ointments, inserts, suppositories Urethral Solutions, suppositories Rectal Solutions, ointments, suppositories 17 Current R&D Scenario: Pharmaceutical industry Activities broadly divided into Search for novel molecules/treatment modalities Development of novel drug delivery systems ( or novel dosage forms) Situation very similar to arms / weapons industry: New and more powerful bombs Programmable & smarter rockets/delivery systems Mutually complementary: To be effective a bomb must hit the correct target Many obstacles to reach the target Delivery system suppose to overcome obstacles A good rocket with no potent warhead is ineffective 18 Likewise in Drug Therapy! Optimal drug response depends upon: Using the correct drug Delivery in most appropriate manner Reach intended site only Leave other tissues / organs alone Sufficient quantity Suitable duration Problems to fulfill these requirements best exemplified in cancer chemotherapy 19 Race Between Bomb and Rocket Development of novel molecules is the winner Progress made in delivery systems lacking behind Situation made worse by biotech revolution: biotherapeutics Cannot be delivered by conventional delivery systems E.g.: gene therapy 20 Design Criteria for Dosage Form Must be safe, effective and on target Must be stable and has a reasonable shelf-life Components must not react with the storage container Tolerate physiological variables in stomach and liver Must have patient acceptability: color, taste, smell, appearance, size Must permit efficient, cost-effective production that provides accuracy and precision of dosing 21 Drug Delivery: Challenges Attaining accuracy and precision of low dose drugs A drug (dose = 0.1 mg) formulated into a typical 200 mg tablet has a drug/excipient ratio of 1:2000 Stabilization and delivery of large molecules (peptides and proteins) Overcoming the practical problem where large dose drugs lack the properties to be formed directly into tablets Delivery of poorly soluble and/or poorly permeable drugs Design of customize drug delivery: provide non-constant drug release rates; pulsed, ramped or once-a-day (24 hour) delivery 22 Various Systems for Nitroglycerine Dosage Form Dosage (mg) Onset of action (min.) Peak action (min) Duration of action (min/h) Sublingual 0.3-0.8 2-5 4-8 10-30 min Buccal 1-3 2-5 4-10 30-300 min Oral 6.5-19.5 20-45 45-120 2-6 h Patches 5-10 30-60 60-180 Up to 24 h Ointment 0.5-10inc 15-60 30-120 3-8 h https://rxsecure.umaryland.edu/courses 23 Drug Delivery Systems/Dosage Forms Classifications Classification: Local/topical or systemic therapy Immediate/conventional or Modified/novel release Local/topical therapy Therapeutic agent applied directly to site of action IV Oral Systemic therapy Drug administered systemically into blood to be transported to site of action 24 Systemic: Oral therapy can result in severe toxic effects Localized therapy using meter dose inhaler. Toxic effects can be avoided if used properly Drug Delivery Systems/Dosage Forms 25 Drug Delivery Systems/Dosage Forms Classifications Conventional/immediate release preparations: J ob is done after delivering drug to site of absorption/action E.g.: normal tablets, capsules, creams, ointments, injections Novel/modified release system: Additional functions, e.g.: control rate of absorption, promote absorption, site targeting, ultimate is to function like a guided missile - essentially to maximize therapeutic response and minimizing side effects (discussed in more detail later) 26 Modified Release Dosage Forms Dosage forms whose drug-release characteristics of time- course and/or location are modified: Delayed release Extended (sustained) release Delayed Release: Release of a drug (or drugs) at a time other than immediately following oral administration, e.g. Enteric coated: Prevents release of drug in stomach; releases after passing phyloric sphincter Pulsatile delivery: programmable to release drug at predetermined time or place 27 Modified Release Dosage Forms Extended (sustained) release Any product formulated to make the contained medicament available over an extended period of time after ingestion Provide a reduction in dosing frequency as compared to the same drug presented in a conventional immediate release dosage form Controlled release Prolonged release 28 Drug Release 29 Mechanism of Drug Absorption Paracellular: Through gaps/pores between cells Small molecules e.g. urea, water Transcellular: Through cells hence biological membranes Main mechanism, diffusion: follows Ficks law molecules must have lipid solubility, unionised form Active transport: energy involved, against conc gradient carrier can be saturated, eg vit B1, B2, B3 B6 Facilitated diffusion: carrier can be saturated, no energy involved, not against conc gradient, eg B12 Pinocytosis, endocytosis molecules (large) like some peptides, particles 30 If absorption is rate limiting, bioavailability no longer governed by physicochemical properties and formulation variables http://www.boomer.org/c/p1/Ch03/Ch0302.html Drug-plasma protein complex Adipose tissue storage Effector tissues, drug receptor binding Lung Peripheral tissue, Metabolism Kidney Liver, drug metabolism Bile Drug Drug Blood I ntestines Oral ingestion Volatile drugs in expired air Drugs & metabolites in urine Drugs & metabolites in stool Intestinal reabsorption Drug Action 31 From the equation: dissolution is affected by physicochemical properties and formulation variables C) (Cs hV DA dt dC
layer diffusion of thickness h t coefficien diffussion D area surface A rate n dissolutio dt dC medium of volume V solubility Cs medium in ion concentrat C Noyes-Whitney Equation