Professional Documents
Culture Documents
Pharmaceutical
technology Petra University. 1
Content
Introduction page 3
Oral drug delivery systems page 16
Nasal drug delivery page 124
Pulmonary drug delivery page 144
Transdermal delivery page 181
Parenteral delivery Page 200
Student Evaluation
Midterm exam 40
Homeworks and participation 20
Final Exam 40
2
Introduction
3
Drug Delivery
Drug delivery is the method or process of
administering pharmaceutical compound to
achieve a therapeutic effect in humans or
animals.
4
Drug Delivery
Many medications such as peptide and protein,
antibody, vaccine and gene based drugs, in
general may not be administered using these
routes because they might be susceptible to
enzymatic degradation or can not be absorbed
into the systemic circulation efficiently due to
molecular size and charge issues to be
therapeutically effective.
5
Why do we need NDDS?
The conventional dosage forms provide drug
release immediately and it causes fluctuation
of drug level in blood depending upon dosage
form.
6
Novel Drug Delivery System
“Novel Drug delivery System (NDDS) refers
to the approaches, formulations, technologies,
and systems for transporting a
pharmaceutical compound in the body as needed
to safely achieve its desired therapeutic effects.
It may involve scientific site-targeting within the
body, or it might involve facilitating systemic
pharmacokinetics; in any case, it is typically
concerned with both quantity and duration of
drug presence”.
7
Novel Drug Delivery System
Novel Drug delivery is often approached via a
drug's 1) chemical formulation, but it may also
involve 2) medical devices or 3) drug-device
combination products. Drug delivery is a concept
heavily integrated with dosage form and route of
administration.
NDDS is advanced drug delivery system which 1)
improves drug potency, 2) control drug release
to give a sustained therapeutic effect, 3) provide
greater safety, 4) finally it is to target a drug
specifically to a desired tissue.
8
Novel Drug Delivery System
NDDS is a system for delivery of drug other
than conventional drug delivery system.
9
Advantages of NDDS
Optimum dose at the right time and right
location.
Efficient use of expensive drugs, excipients
and reduction in production cost.
Beneficial to patients, better therapy,
improved comfort and standard of living.
10
Modes of NDDS
Targeted Drug Delivery System
Controlled Drug Delivery System
Modulated Drug Delivery System
11
Sustained Release Vs
Controlled Release
SR – Release of initial dose & further prolonged release of
drug. Also called extended release, delayed release,
prolonged release. SR means slow release of a drug
substance from a dosage form to maintain therapeutic
response for extended period (8-12hrs). Time depends on
dosage form. e.g., Aspirin SR Tablet, Zuclopenthixol Depot
Injection etc.
12
Sustained Release Vs
Controlled Release
Sometimes SR is called as controlled
release but all controlled release are not
sustained release.
13
Targeted Drug Delivery
System
The drug is delivered in such a way that drug
is only active in the target area of the body
(cancerous tissues) in which drug is released
over a period of time in a controlled manner.
e.g., Colon targeted drugs.
16
Contents
Overview of Digestive system
Introduction
Advantages
Disadvantages
Dissolution
Diffusion
Combination of Dissolution & Diffusion
Osmotic pressure controlled system
Hydrodynamically balanced systems
pH controlled
Ion exchange controlled systems
References
17
Concept
18
Controlled Release System
Matrix
Pharmaceutical
technology Petra University. 19
Plasma concentration time profile
Pharmaceutical
technology Petra University. 20
Challenges in Oral Drug Delivery
Dose dumping.
Stability problem.
Pharmaceutical
technology Petra University. 23
Mechanism aspects of Oral drug
delivery formulation
1.Dissolution : 1. Matrix
2. Encapsulation
2.Diffusion : 1. Matrix
2. Reservoir
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technology Petra University. 26
Matrix Type
Also called as Monolith dissolution
controlled system. Soluble drug
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technology Petra University. 28
Encapsulation
Called as Coating dissolution
controlled system.
Soluble drug
Dissolution rate of coat depends
upon stability & thickness of
coating.
Slowly
Masks dissolving
colour,odour,taste,minimising or erodible
GI irritation. coat
No energy required.
Rate controlling
step:
Diffusion of dissolved
drug in matrix.
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technology Petra University. 32
Advantage and Disadvantage of
Matrix and Reservoir system
• Film thickness
The drug release rate from an insoluble membrane is expected to
increase as the membrane thickness decreases.
• Hardness of microcapsule
The hardness of microcapsule increase, prolong the time of drug
release.
Pharmaceutical
technology Petra University. 35
Higuchi Equation
Where ,
Q=amt of drug release per unit surface area at time t.
D=diffusion coefficient of drug in the release medium.
E=porosity of matrix.
Cs=solubility of drug in release medium.
T=tortuosity of matrix.
A=concentration of drug present in matrix per unit
volume.
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technology Petra University. 36
Reservoir System
Pharmaceutical
technology Petra University. 37
Reservoir System
Rate controlling
steps :
Polymeric content in
coating, thickness of
coating, hardness of
microcapsule.
Pharmaceutical
technology Petra University. 38
Dissolution & Diffusion
Controlled Release system
Drug encased in a partially soluble
membrane. Insoluble
membrane
Pores are created due to dissolution
of parts of membrane. Entry of
dissolution
fluid
It permits entry of aqueous medium
into core & drug dissolution. Drug
diffusion
Diffusion of dissolved drug out of
system. Pore created by
dissolution of
Eg. Ethyl cellulose & PVP mixture soluble fraction of
dissolves in water & create pores of membrane
insoluble ethyl cellulose membrane.
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technology Petra University. 39
Osmotic Pressure Controlled
Drug Delivery System
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technology Petra University. 40
Introduction
The oral drug delivery has been popular most widely
utilized route of administration among all the routes that
have been explored for the systemic delivery of drugs.
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technology Petra University. 47
Controlled porosity osmotic pump
Telescopic capsule
Oros CT (Colon
Targeting)
Sandwiched oral
therapeutic system
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technology Petra University. 53
In the GIT, the GI fluid
dissolves the immediately
It is a solid tablet of releasable PPA layer,which It is designed to
water soluble and provides an initial dose of provide a controlled
osmotically active PPA, and its water delivery of PPA over
phenylpropanolamine component then penetrates a duration of 16hr for
(PPA) HCl enclosed through the semipermiable
membrane at a rate appetite suppression
within a semipermiable in a weight control
determined by PwAm/hm to
membrane made from dissolve the controlled
cellulose triacetate. The program. The same
release dose of PPA. Under
surface of the the osmotic pressure
delivery system has
semipermiable membrane differential created (πs-πe), also been utilized for
is further coated with a the PPA solution is the oral controlled
thin layer of PPA dose for delivered continuously at a delivery of
immediate release. controlled ratethrough an
orifice predrilled by a laser Indomethacin.
beam.
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technology Petra University. 54
Modifications
The external surface of the semipermiable membrane can be coated with a
layer of bioerodable polymer like enteric coating, it regulate the penetration of
GI fluid through the semipermiable membrane & target the delivery of a drug
to the lower region of the GIT.
The coating membrane of the DDS can be constructed from a laminate of two
or more semipermiable membranes with differential permeabilities.
The osmotic pressure controlled GI delivery system can be further modified to
constitute two compartments separated by a movable partition. The
osmotically active compartment absorbs water from GI fluid to creat an
osmotic pressure that acts on the partition forces it to move upward and to
reduce the volume of the drug reservoir compartment and to release the drug
formulation through the delivery orifice .
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technology Petra University. 55
Modifications
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technology Petra University. 56
Modifications
This system resembles a standard bilayer coated tablet. One layer (depict as the
upper layer) contains drug in a formulation of polymeric, osmotic agent and
other tablet excipients.
This polymeric osmotic agent has the ability to form a suspension of drug in
situ. When this tablet later imbibes water, the other layer contains osmotic and
colouring agents, polymer and tablet excipients. These layer are formed and
bonded together by tablet compression to form a single bilayer core. The tablet
core is then coated with semipermeable membrane.
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technology Petra University. 58
Push pull osmotic pump
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technology Petra University. 59
Push pull osmotic pump
After the coating has been applied, a small hole is drilled through
the membrane by a laser or mechanical drill on the drug layer
side of the tablet.
When the system is placed in aqueous environment water is
attracted into the tablet by an osmotic agent in both the layers.
The osmotic attraction in the drug layer pulls water into the
compartment to form in situ a suspension of drug.
The osmotic agent in the non-drug layer simultaneously attract
water into that compartment, causing it to expand volumetrically
and the expansion of non drug layer pushes the drug suspension
out of the delivery orifice.
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technology Petra University. 60
Osmotic pump with non-
expanding second chamber
The second category of multi-chamber devices comprises system
containing a non-expanding second chamber. This group can be
divided into two sub groups, depending on the function of second
chamber.
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technology Petra University. 61
Osmotic pump with non-
expanding second chamber
Example: - The problem that lead to withdrawal of
osmosin, the device consist of a normal drug
containing porous tablet from which drug is released as
a saturated solution. However before the drug can
escape from the device it must pass through a second
chamber.
Water is also drawn osmotically into this chamber
either because of osmotic pressure of drug solution or
because the second chamber contain, water soluble
diluents such as NaCl.
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technology Petra University. 62
Osmotic pump with non-
expanding second chamber
This type of devices consist of two rigid chamber, the first
chamber contains a biologically inert osmotic agent, such as sugar
or a simple salt like sodium chloride, the second chamber contains
the drug. In use water is drawn into both the chamber through the
surrounding semi permeable membrane.
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technology Petra University. 68
Osmotic Pressure Controlled
System
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technology Petra University. 69
Osmotic Pressure Controlled
System
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technology Petra University. 70
Advantages
Osmotic drug delivery system for oral and parenteral use offer
distinct and practical advantage over other means of delivery. The
following advantages contributed to the popularity of osmotic drug
delivery system.
They typically give a zero order release profile after an initial lag.
Deliveries may be delayed or pulsed if desired.
Drug release is independent of gastric pH and hydrodynamic
condition.
They are well characterized and understood.
The release mechanisms are not dependent on drug.
A high degree of in-vitro and in vivo correlation .
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technology Petra University. 71
Advantages & Disadvantages
The rationale for this approach is that the presence of water in
GIT is relatively constant, at least in terms of the amount
required for activation and controlling osmotically base
technologies.
Disadvantages
Costly .
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technology Petra University. 77
Principle
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technology Petra University. 78
Rate controlling factors:
Fluid permeability ,
Effective area of wall with openings ,
Hydrodynamic pressure gradient.
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technology Petra University. 79
Formulation and development of
Hydrodynamically balanced system (HBS)
or Floating drug delivery system(FDDS)
Selection of drug
candidate: Three major requirements for
FDDS formulation:
1.Drugs which are 1. It must form a cohesive gel
predominantly absorbed from barrier.
upper part of GIT.
2.Specific gravity lower than
2. drugs which are acting locally gastric content(1.004-1.010).
on stomach.
3. drugs those are poorly soluble 3. Release content slowly to
at alkaline pH. serve as a reservoir.
4.drugs that degrade in the colon.
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technology Petra University. 80
FORMULATION
EFFERVESCENT NON-
FLOATING EFFERVESCENT
DOSAGE FLOATING
FORMS DOSAGE FORMS
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technology Petra University. 82
EFFERVESCENT FLOATING
DOSAGE FORMS
These floating drug delivery system employ matrices from swellable polymers like
Methocel or Chitosan & effervescent components such as Sodium bicarbonate &
Tartaric or Citric acid or matrices having chambers of liquid components that
gasify at body temperature.
The matrices are prepared in such a manner that when they come in contact with
stomach fluid , CO2 is generated, & retained entrapped in hydrocolloid gel.
This leads to an upward flow of the dosage form and maintains it in a floating
condition.
A single layered tablet can be prepared by initially mixing the CO2 generating
component in tablet matrix. A bilayered tablet may be compressed in which gas
liberating component is present in hydrocolloid layer and the drug is compressed
in other layer of sustain release
Pharmaceutical
technology Petra University. 83
Multiple type of floating dosage
system
Multiple type of floating dosage system composed of effervescent layers and
swellable membrane layers coated on sustained release pills.
The inner layer of effervescent agents containing sodium bicarbonate and tartaric acid
was divided into 2 sublayers to avoid direct contact between the 2 agents. These
sublayers were surrounded by a swellable polymer membrane containing polyvinyl
acetate and purified shellac.
When this system was immersed in the buffer at 37ºC, it settled down and the solution
permeated into the effervescent layer through the outer swellable membrane. CO2 was
generated by the neutralization reaction between the 2 effervescent agents, producing
swollen pills (like balloons) with a density less than 1.0 g/mL.
It was found that the system had good floating ability independent of pH and
viscosity and the drug (para-amino benzoic acid) released in a sustained
manner(Figure ,A and B).
Pharmaceutical
technology Petra University. 84
Multiple type of floating dosage
system
The design of the delivery system was based on the swellable asymmetric
triple-layer tablet approach. HPMC and PEO were the major rate-controlling
polymeric excipients.
Tetracycline and metronidazole were incorporated into the core layer of the
triple-layer matrix for controlled delivery, while bismuth salt was included in
one of the outer layers for instant release.
Pharmaceutical
technology Petra University. 86
Triple-layer tablet floating
dosage system
The floatation was accomplished by incorporating a gas-generating layer
consisting of sodium bicarbonate: calcium carbonate (1:2 ratios) along with
the polymers.
The in vitro results revealed that the sustained delivery of tetracycline and
metronidazole over 6 to 8 hours could be achieved while the tablet remained
afloat.
The floating feature aided in prolonging the gastric residence time of this
system to maintain high-localized concentration of tetracycline and
metronidazole.
Pharmaceutical
technology Petra University. 87
Triple-layer tablet floating
dosage system
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technology Petra University. 89
MECHANISM
Gel forming hydrocolloids swells in contact with gastric fluid after oral
administration and maintains a relative integrity of shape and a bulk density of
less than unity within gastric environment. The air thus trapped by the swollen
polymer imparts buoyancy to the dosage form.
The gel barrier controls the rate of solvent penetration into the device & the rate
of drug release from the device.
It maintains a bulk density of less than 1 and thus remains buoyant in the
gastric fluid inside the stomach for up to 6 hrs; conventional dosage forms
disintegrate completely within 60 min and are emptied totally from the stomach
shortly afterward.
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technology Petra University. 90
Advantages of HDDS
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technology Petra University. 91
Disadvantages of HDDS
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technology Petra University. 92
Marketed products
PRODUCT ACTIVE INGREDIENT
VALRELEASE DIAZEPAM
TOPALKAN ALUMINIUM MAGNESIUM
ANTACID
ALMAGATE FLAT COAT ANTACID
LIQUID GAVISON ALGINIC ACID & NaHCO3
Pharmaceutical
technology Petra University. 93
CONCLUSION
HBS system can remain in the stomach for longer period hence can release
the drug over a prolong period of time.
These systems are particularly advantageous for drugs that are specifically
absorbed from stomach or proximal part of small intestine ( e.g., Riboflavin &
Furosemide).
Drugs that have poor bioavailability because of site specific absorption from
the upper part of GIT are potential candidates to be formulated as floating
drug delivery systems, thereby maximizing their absorption.
FDDS also serves as an excellent drug delivery system for the eradication of
Helicobacter pylori, which can cause chronic gastritis & peptic ulcers.
Pharmaceutical
technology Petra University. 94
pH controlled GI delivery
systems
This type of GI delivery system is designed for
the controlled release of acidic or basic drugs in
GIT, at a rate independent of the variation in GI
pH.
Pharmaceutical
technology Petra University. 95
Formulation
This system is prepared by first blending acidic or basic
drug with one or more buffering agents,
Eg. Pri, sec, ter salt of citric acid.
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technology Petra University. 98
pH responsive hydrogels
This system have been targeted for per-oral controlled
drug delivery, taste masking of bitter drugs and
intravascular drug release during elevated blood pH in
certain CVS defects.
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technology Petra University. 99
Mechanism
In aqueous media of appropriate pH and ionic
strength, pendant groups, ionised and
developed fixed charges on the fixed charges
generating electrostatic repulsive forces
responsible for pH dependent swelling or
deswelling of the hydrogel, thereby controlling
the drug release.
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technology Petra University. 100
Drug release pattern
This system is designed in a monobasic or pulsatile
pattern.
Peroral controlled drug delivery requires uniform drug
delivery with increase in drug pH, gradient in different
segments of GI Lumen.
Eg. Albumin cross-linked 1-vinyl-2-pyrrolidinone
hydrogels were studied for their swelling behaviour at
different values.
Swelling increases above pH 7, thus correlating with
the maximal transit time of the drug delivery system
through the intestine.
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technology Petra University. 101
Drug release pattern
Pulsatile pattern of drug release is required in the
diseased state exhibiting a rhythmic pattern.
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technology Petra University. 102
pH- Activated Drug Delivery System
This system permits targeting the delivery of a drug only in the region with a
selected pH range.
Since most drugs are weak acids or weak bases, their release is pH dendent.
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technology Petra University. 103
pH- Activated Drug Delivery
System
pH Activated Drug Delivery System is fabricated by coating the drug-
containing core with a pH–sensitive polymer combination.
After gastric emptying the Dosage form reaches the small intestine and comes
in contact with intestinal fluid (pH>7.5) which activates the erosion of polymer
- Hydroxylmethylcellulose phthalate from the coating membrane.
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technology Petra University. 104
pH- Activated Drug Delivery
System
This leaves a microporous membrane of intestinal
fluid insoluble polymer of Ethylcellulose, which
controls the release of drug from the core tablet.
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technology Petra University. 105
Ion Exchange Resinates As
Controlled Release Drug
Delivery Systems
Pharmaceutical
technology Petra University. 106
Introduction
It is an attractive method for Sustained
Release drug delivery systems.
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technology Petra University. 108
Principle
Resins are water-insoluble materials containing anionic or
cationic groups in repeating units on the resin chain.
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technology Petra University. 111
Mechanism
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technology Petra University. 112
Drugs Suitable for Resinate Preparation
2. Biological half life should be between 2-6 hrs, drugs with t1/2 <
1 hr or > 8 hrs are difficult to formulate.
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technology Petra University. 113
Some Important Properties of
Ion-Exchange Resins
Particle Size and form :
The rate of ion exchange reactions depend on the size of the resin particles.
Most of the ion exchange resins are available in the form of spherical
beads. When the beads are immersed in water, they imbibe a limited amount
of water to form a homogenous gel like structure.
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technology Petra University. 114
Some Important Properties of
Ion-Exchange Resins
Ion exchange resins have hydrocarbon network to which ionizable sulphonic
acid groups are attached. The hydrogen ions are completely dissociated in the
imbibed water and are free to diffuse through out the entire resin bead and
hence can be exchanged for an equivalent amount ions of like charge.
Porosity : Porosity is defined as the ratio of the volume of the material to its
mass. The limiting size of ions which can penetrate into a resin matrix
depends strongly on the porosity.
Swelling :The swelling behavior of the resin has a marked effect on the
release characteristics of drug resinates. The amount of swelling is inversely
proportional to the degree of divinylbenzene crosslinking present in the resin.
Pharmaceutical
technology Petra University. 115
Some Important Properties of
Ion-Exchange Resins
Ion exchange capacity:
It is expressed in the terms of milliequivalents per gram of ion exchange
resin.
eg. The exchange capacity of a cation exchange resin is usually found in the
laboratory by determining the number of milligram equivalents of sodium
ion which are absorbed by 1 gram of the dry resin in the hydrogen form.
The Resin ion exchanger should be Stable, Pure and free from toxicity.
Pharmaceutical
technology Petra University. 116
General Preparation Of Drug Resinates
Loading of drugs is done by two ways :-
Coated and uncoated drug resin complexes can be mixed in certain ratios and can be
filled into capsules with excipients or suspended in a palatable flavored vehicle
containing suitable suspending agents.
The release of drug from uncoated resin beads is expected to begin immediately while
release from the coated form would be delayed giving sustained effect.
The drug containing resin granules are first treated with an impregnating polymer such
as PEG 6000 to retard the rate of swelling in water and further coated with a water
permeable polymer such as Ethyl Cellulose to control the rate of release.
Pharmaceutical
technology Petra University. 118
General Preparation Of Drug
Resinates
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technology Petra University. 119
Applications
Adsorbents of Toxins
As Antacids
In Renal insufficiency
123
Nasal physiology
The nasal cavity is divided by the nasal septum
(comprised of bone and cartilage), with each half
opening at the face (via the nostrils)
125
Nasal physiology
The epithelial tissue within the nasal cavity is relatively
highly vascularized, and thus provides a potential conduit
for drug delivery
127
Nasal delivery: Local delivery
In fact, relatively low doses are effective when
administered topically, minimizing simultaneously the
potential of systemic toxic effects. Recently, for
instance, topical antibiotherapy has been considered in
chronic rhinosinusitis in an attempt to eradicate biofilm
bacteria, often resistant to systemic treatment, and still
avoiding systemic toxicity
128
Nasal delivery: Systemic
delivery
This route is easier and more comfortable for the
patient than the parenteral route and it avoids
enterohepatic recirculation and gut enzymes
129
Nasal delivery: Systemic
delivery
The nasal mucosa demonstrates typical absorption
mechanisms. Water soluble drugs enter via passive
diffusion through aqueous channels. As the diffusion
path through the nasal mucosa is short, intranasally
administered drugs demonstrate a rapid rise to peak
plasma concentrations, but the rapid clearance from
the mucosa limits available time for absorption
130
Nasal delivery: Systemic
delivery
Currently, commercial products which utilize this
route for systemic delivery exist for some gonadorelin
analogues, which are hypothalmic hormones
131
Nasal delivery: Systemic delivery
-Penetration enhancers
The drive to increase the absorption of large molecular
weight molecules has lead to the use of penetration
enhancers
132
Nasal delivery: Systemic delivery
-Penetration enhancers
Non-ionic detergents e.g. Laureth-9 alter membrane
structure and permeability
133
Nasal delivery: Systemic delivery
-Penetration enhancers
Cyclodextrins have been used as solubilizers and
absorption enhancers for nasal drug delivery
134
Nasal delivery: vaccination
route
Advantages include: highly vascular mucous
membranes, low enzymatic degradation compared to
oral vaccines, and greater acceptability to patients
135
Nasal delivery: vaccination
route
Presentation of a suitable antigen with an appropriate
adjuvant to the nasal-associated lymphoid tissue
(NALT) has the potential to induce humoral and cellular
immune responses
136
Nasal delivery: vaccination
route
Vaccination via the intranasal route does not require a
sterile product or a sterile dosing technique (a distinct
advantage in developing areas of the world).
137
Nasal delivery: vaccination
route
Additional examples of human efficacy testing of
intranasal vaccines includes those targeted against
adenovirus-vectored influenza
proteosome-influenza
influenza A
influenza B
meningococcal outer membrane vesicle
a combination respiratory syncytial virus (RSV) and
parainfluenza 3 virus (PIV3) live, attenuated intranasal
vaccine
138
Mechanisms to increase nasal residence
time of formulations
Two basic approaches have been used to increase the
nasal residence times of drugs:
to use viscosity enhancers such as
hydroxypropylmethylcellulose and methylcellulose
to use a “bioadhesive” excepients such as albumin,
Sephadex, starch, dextran, hyaluronan, and chitosan
139
Intranasal drug delivery to the central
nervous system
Drugs delivered intranasally are transported along
olfactory sensory neurons to yield significant
concentrations in the CSF and olfactory bulb
140
Intranasal drug delivery to the central
nervous system
The ratio of the methotrexate AUCCSF value between
the intranasal route and the IV injection was over 13-
fold
142
Intranasal drug delivery : limitations
One of the biggest limitations is insufficient drug
absorption through the nasal mucosa. Many drug
candidates cannot be developed for the nasal route
because they are not absorbed well enough to produce
therapeutic effects
143
Pulmonary Drug Delivery
144
Pulmonary Drug Delivery
Anatomy and Physiology of the Respiratory System
Advantages of Pulmonary Delivery
Lung epithelium at different sites within the lungs
Pulmonary absorptive surfaces
Systemic delivery of:
Small hydrophobic drugs
Small hydrophilic drugs
Macromolecules drugs
Pulmonary Drug Delivery Devices
145
Anatomy and Physiology of the
Respiratory System
The human respiratory system is divided into upper and
lower respiratory tracts
The left and right lungs are unequal in size. The right
lung is composed of three lobes: the superior, middle,
and inferior lobes. The smaller left lung has two lobes
146
Anatomy and Physiology of the
Respiratory System
147
Anatomy and Physiology of the
Respiratory System
The nasopharynx is a passageway from the nose to the
oral pharynx
148
Anatomy and Physiology of the
Respiratory System
The respiratory tree can be differentiated into the
conducting zone and the respiratory zone.
149
Anatomy and Physiology of the
Respiratory System
150
Anatomy and Physiology of the
Respiratory System
The epithelium in the conducting zone gets thinner as it
changes from pseudostratified columnar to columnar
epithelium and finally to cuboidal epithelium in the
terminal bronchioles
151
Anatomy and Physiology of the
Respiratory System
Cuboidal type II cells present at the junctions of alveoli
secrete a fluid containing a surfactant
(dipalmitoylphosphatidylcholine), apoproteins, and calcium
ions
153
Types of epithelium
154
Advantages of Pulmonary Delivery of
Drugs To Treat Respiratory Disease
Deliver high drug concentrations directly to the disease site
157
Pulmonary absorptive
surfaces
The airways (the trachea, bronchi and bronchioles) are
composed of a gradually thinning columnar epithelium
populated by many mucus and ciliated cells that
collectively form the mucociliary escalator
158
Pulmonary absorptive
surfaces
The monolayer that makes up the alveolar epithelium is
completely different. The tall columnar mucus and cilia
cells are replaced primarily (>95% of surface) by the very
broad and extremely thin (<0.1 µm in places) type 1 cells
159
Pulmonary absorptive
surfaces
An excess of 90% of alveolar macrophages are located
at or near alveolar septal junctional zones
160
Pulmonary absorptive
surfaces
Protein therapeutics that are taken up by macrophages
can be rapidly destroyed in the lysosomal 'guts' of the
phagocytic cells
161
The effect of particle size on the deposition of aerosol
particles in the human respiratory tract following a slow
inhalation and a 5-second breath hold
Alveolar region
Mouth and throat
Airways
162
Systemic delivery of small
hydrophobic molecules
Small, mildly hydrophobic molecules can show extremely
rapid absorption kinetics from the lungs
163
Systemic delivery of small
hydrophobic molecules
Examples of rapidly absorbed inhaled hydrophobic drugs
include nicotine, 9-tetrahydrocannabinol (THC), morphine
and fentanyl
164
Inhaled morphine (dose = 8.8 mg)
compared with intravenous injection
(dose = 4 mg) in human volunteers
165
Systemic delivery of small
hydrophilic molecules
In general, neutral or negatively charged hydrophilic
small molecules are absorbed rapidly and with high
bioavailabilities from the lungs
166
Systemic delivery of macromolecules
The use of the lungs for the delivery of peptides and
proteins, which otherwise must be injected, is one of
the most exciting new areas in pulmonary delivery
168
Systemic delivery of macromolecules
The rate of macromolecule absorption is primarily
dictated by size — the larger the size the slower the
absorption
169
Systemic delivery of macromolecules
Conjugation of molecules such as interferons, follicle
stimulating hormone (FSH) and erythropoietin (EPO) to
the constant (Fc) region of antibodies has been shown to
prolong the systemic duration
170
Pulmonary Drug Delivery Devices
Dry Powder Inhalation (DPI) Devices
Nebulizers
171
Dry Powder Inhalation (DPI)
Devices
DPIs are used to treat respiratory diseases such as
asthma and COPD, systemic disorders such as diabetes,
cancer, neurological diseases (including pain), and
other pulmonary diseases such as cystic fibrosis and
pulmonary infectious diseases
173
Principle of dry powder inhaler
design
174
The Pressurized Metered-Dose
Inhalation (pMDI) Device
The pressurized metered-dose inhalation (pMDI) device
was introduced to deliver asthma medications in a
convenient and reliable multi-dose presentation
175
The Pressurized Metered-Dose
Inhalation (pMDI) Device
Coatings on the internal container surfaces may be
useful to prevent adhesion of drug particles and
chemical degradation of drug
176
The Pressurized Metered-Dose
Inhalation (pMDI) Device
177
Nebulizers
A nebulizer is a device used to administer medication to
patient in the form of a mist inhaled into the lungs
178
Jet nebulizer
179
Ultrasonic nebulizer
180
Transdermal drug delivery
system
Transdermal drug delivery system
• Definition:
Transdermal drug delivery is defined as a self
contained discrete dosage form, which when applied to
the intact skin, will deliver the drug at a controlled rate to
the systemic circulation.
POTENTIAL BENEFITS OF
TRANSDERMAL DRUG DELIVERY
(ADVANTAGES)
• Easy to use.
• Avoid GIT absorption problems for drugs.
• Avoids FP hepatic metabolism of drugs.
• More improved and convenient patient compliance.
• Rapid termination in case of toxicity is possible.
• Self medication is possible.
• Reduces frequency of dosing.
• Maintains therapeutic level for 1 to 7 days.
• Controlled delivery resulting in more reliable and
predictable blood levels.
DISADVANTAGES
• Daily dose of more than 10mg is not possible.
• Local irritation is a major problem.
• Drug requiring high blood levels are unsuitable.
• Drug with long half life can not be formulated in TDDS.
• Uncomfortable to wear.
• May not be economical.
• Barrier function changes from person to person and within the
same person.
• Heat, cold, sweating (perspiring) and showering prevent the
patch from sticking to the surface of the skin for more than one
day. A new patch has to be applied daily.
Routes of drug absorption through skin
FACTORS AFFECTING
TRANSDERMAL PERMEABILITY
Biological factors
BASIC COMPONENTS OF TRANSDERMAL
DRUG DELIVERY SYSTEM
COMPONENT OF TRANSDERMAL DEVICE INCLUDE:
1) POLYMER MATRIX
2) THE DRUG
3) PERMEATION ENHANCER
4) OTHER EXCEPIENTS
Basic components of Transdermal
drug delivery
188
Topical application-absorption & action
of drugs
LOCALIZED
DRUG IN DELIVERY DRUG IN TARGET TISSUE PHARMACOLOGICAL
SYSTEM RESPONSE
TOPICAL
RELEASE
ABSORPTION
}
R11 Drug reservoir
R2 gradient layers
R1>R2>R3
R3
5. MICRORESERVIOR TYPE OR
MICROSEALED DISSOLUTION CONTROLLED
SYSTEM
rim
ADVANCED RESEARCHES
MICROARRAY NEEDLE
Advanced micro-needle Patch transdermal system
allowing continuous delivery through the skin of
proteins and water-soluble drugs.
ADVANCED RESEARCHES
200
201
Parenteral Drug Delivery
Intravenous delivery
Intramuscular delivery
Subcutaneous delivery
202
Advantages of intravenous
delivery
Rapidity of action which results from the drug
being presented directly to the circulation without
the need for release from a formulation or
absorption through an epithelium
203
Advantages of intravenous
delivery
Intravenous delivery can be used when the patient
cannot be fed orally (for example they may be
comatose or have had gastric resection) or un-
cooperative, as in the case of psychiatric patients
204
Disadvantages of intravenous delivery
206
Complications associated with intravenous
delivery
4. Phlebitis is the inflammation of the vein wall due to irritation
from the formulation; it can be caused by the formulation
itself, or may be due to precipitation of the drug if injection
is too rapid
207
Intravenous delivery: Formulation
considerations
intravenous formulations must be sterile in order to avoid
causing an infection
208
Intravenous delivery: Formulation
considerations
IV parenterals to be infused through a peripheral vein are
closely matched in tonicity:
Plasma extenders, which are often infused through a
peripheral vein, are closely matched in tonicity
parenteral nutrition mixtures may have a tonicity up to around
twice that of blood (infused into subclavian vein) In this case
the infusion is very rapidly diluted, so that variations in its
properties are of lesser importance
209
Intravenous delivery: Formulation
considerations
Ideally all injections would be formulated at pH 7.4 and be
isotonic with blood; however it is often necessary to use less
physiologically acceptable solvents, especially to aid the
solubility of a drug which may be poorly soluble near neutral
pH, or to control stability.
In certain cases it may also be necessary to add cosolvents
such as ethanol or propylene glycol, or surfactant-based
solubilizing agents (for example deoxycholate, which is used
to solubilize amphotericin B in the injectable Fungizone®).
These injections are far from physiological and it is wise to
infuse them slowly over several minutes, or ideally with an
infusion pump, to ensure that they are rapidly diluted as
they enter the blood.
210
Intramuscular delivery
The most significant advantage of
intramuscular delivery is the ease with
which a wide range of drugs can be
administered in a variety of dosage
forms, which not only provide rapid
absorption, but can also be used for
sustained therapy
211
Steps involved in intramuscular delivery
I) release of the drug from the dosage form into the
intercellular fluid (ICF)
II) absorption from the ICF into the blood and lymphatics
III) transport from the local blood volume into the general
circulation
IV) metabolism
212
Perfusion limited absorption of drugs from
intramuscular injections
Injection of a bolus of soluble drug. In this case the drug is
immediately available in the ICF and is rapidly absorbed into
the capillaries
In this case the rate-limiting absorption step is the perfusion
of the muscle by the blood. Any factor which influences
muscle perfusion (such as movement or exercise) will
change the rate of absorption
In particular, if cardiac failure has occurred, absorption will
be extremely low since the muscle perfusion rate will be
small. For this reason intramuscular delivery is contra-
indicated if cardiac function is poor
213
Perfusion limited absorption of drugs from
intramuscular injections
214
Device limited absorption of drugs from
intramuscular injections
Injection of the drug in sustained-release form (e.g. a
solid depot or crystal suspension). In this case release
from the formulation is slower than absorption or
perfusion, and so the behavior of the device becomes
the rate-limiting step, and the effects of muscle
perfusion are not evident
215
Absorption of drugs from intramuscular
injections
216
Intramuscular injections: Formulation
considerations
Since the formulation does not have to be miscible
with water, it is possible to inject a much wider
range of materials than those which can be
administered intravenously. The possible
formulations include (in order of release rate):
aqueous solutions
aqueous suspensions
oily solutions
oil in water emulsions
water in oil emulsions
oily suspensions
dispersions in polymer or solid implants
217
Intramuscular injections: Formulation
considerations
If the drug is extremely hydrophobic it will not
dissolve in the ICF
218
Intramuscular injections: Formulation
considerations
A number of drugs administered in solutions may
be absorbed slowly if the composition of the
formulation changes after injection
219
Subcutaneous delivery
A subcutaneous injection (SC) is made into the
connective tissue beneath the dermis, and should
be contrasted with an intradermal injection which
is made into the dermal layer, often between the
dermis and the epidermis
220
Subcutaneous delivery
As a result an intradermal injection persists at the
site for a long period and the available volume for
injection is small; it is normally used for antigens
(e.g. tuberculin) and vaccines (smallpox)
221
Subcutaneous delivery
222
Subcutaneous delivery
Drugs injected subcutaneously dissolve in the
interstitial fluid and gain entry to the bloodstream
by two routes:
1. They may be absorbed directly into blood vessels, but
the subcutaneous tissues are often adipose and poorly
perfused
2. the interstitial fluid is collected by lymphatic capillaries
and these drain into the regional lymph nodes and then
into the bloodstream
224
Subcutaneous delivery
Technology of this type is particularly suited to
peptide hormones in which the dose is small and
the size of the device can be minimized. A number
of other interesting examples of this depot
technique can be found in the literature, including
the use of emulsion depots for methotrexate,
hydrogels and block copolymer gels.
225