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INTRODUCTION:
Over the past 30 years, as the expense and complications involved in marketing new drug
entities have increased, with concomitant recognition of the therapeutic advantages of controlled
drug delivery. Greater attention is being paid on development of oral controlled release drug
delivery systems. The goal in designing controlled release drug delivery system is to reduce the
frequency of dosing, reducing the dose and providing uniform drug delivery. So, controlled
release dosage form is a dosage form that releases one or more drugs continuously in
predetermined pattern for a fixed period of time. Either systematically or locally to specified
target organ. Controlled release dosage forms provide better control of plasma drug levels, less
dosage frequency, less side effect, increased efficacy and constant delivery. The modified
release oral delivery system classification.
Controlled drug delivery is one which delivers the drug at a
predetermined rate, locally or systemically, for a specified period of time. Continuous oral
delivery of drugs at predictable and reproducible kinetics for predetermined period throughout
the course of GIT. Recently, a new generation of pharmaceutical products, called controlled
release drug delivery systems, such as those developed from the osmotic pressure activated drug
delivery system, have recently received regulatory approval for marketing, and their
pharmaceutical Superiority and clinical benefits over the sustained release and immediate
release pharmaceutical products have been increased.
Controlled release drug administration means not only prolongation of the duration of drug
delivery, similar to the objective in sustained release and prolonged release, but the term also
implies the predictability and reproducibility of drug release kinetics.
The basic rationale of controlled drug delivery system is to optimize the biopharmaceutical,
pharmacokinetics and pharmacodynamics properties of drug in such a way that its utility is
maximized through reduction in the side effects and cure or control of condition in the shortest
possible time by the most suitable route. Controlled release denotes that the System is able to
provide some actual therapeutic control, whether this is of a temporal nature, spatial nature, or
both. Controlled drug delivery occurs when a polymer is combined with a drug or active agent
G O V E R N M E N T
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ADVANTAGES:
Eliminate over or under dosing
Constant level of drug concentration in blood plasma.
Dose reduction.
Increased patient compliance
Prevention of side effects
Night time dosing can be avoided.
Reduces fluctuation of peak valley concentration.
Better stability of drug.
LIMITATIONS:
Poor patient compliance, increased chances of missing the dose of a drug with
short half-life for which frequent administration is necessary.
The unavoidable fluctuations of drug concentration may lead to under medication
or over medication in narrow therapeutic index drug.
A typical peak valley plasma concentration time profile is obtained which makes
attainment of steady-state condition impossible.
BIOPHARMACEUTICAL CONSIDERATION:
Biopharmaceutical consideration Rate limiting step of controlled release Rate limiting
step of conventional release.
1. Release from formulation
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BIOPHARMACEUTIC CHARACTERISTICS
Molecular Weight
Aqueous Solubility
Partition Coefficient
Ionization
Route Of Administration
Drug Stability....Etc.
PHARMACOKINETIC CHARACTERISTICS
Absorption Rate
Elimination Half-life
Rate Of Metabolism.....Etc.
PHARMACODYNAMIC CHARACTERISTICS
Therapeutic Range
Therapeutic Index
Plasma Concentration Response Relationship
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gastric pH can be developed as slow release dosage form and the drugs
can be delayed till the dosage form reaches the intestine. Drugs that
undergo gut-wall metabolism and show instability in small intestine are
not suitable for oral controlled drug delivery systems. Molecular Size and
Diffusivity
[9, 10]
[1, 4]
delivery system is that it should release complete drug and the release
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the system can be lower than the expected due to degradation of drug,
protein binding, site- specific, dose-dependent absorption, poor water
solubility and small partition coefficient.
Distribution [1,
4, and 11]
influence the rate of elimination of drug, are poor candidate for oral drug
delivery system.
central
compartment,
b=Slow disposition constant.
Metabolism [4, 12]: Metabolism of a drug is either an inactivation, of an active drug or
conversion of an inactive drug to an active metabolite. There are two
factors related to metabolism of drug which restrict the design of
sustained/controlled drug delivery. For chronic administration, drugs that
are capable of either inducing or inhibiting enzyme synthesis, they are
poor candidates for controlled delivery systems due to difficulty in
maintaining uniform blood levels.
with short half-life (greater than 2 hrs) are most suitable for controlled
drug delivery system. Factors influencing the half-life of a drug are
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Half- life
[1, 13]
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system.
PHYSIOLOGICAL CONSIDERATIONS:
The physiological properties and anatomical structures of the gastrointestinal tract are
considered in the designing of oral controlled drug delivery system. The stomach and
intestine are the normal sites of oral delivery; however modern drug delivery systems
are designed to deliver drugs to specific sites of GIT such as colon as well as oral
cavity.
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BUCCAL MUCOSA:
Buccal controlled drug delivery systems have been developed since the
environment of the oral cavity provides a potential site for drug delivery. The controlled
delivery systems designed are directly accessible to systemic circulation due to rich
blood supply in oral mucosa . the acid hydrolysis and first pass effect can be avoided.
The release of drug is affected by continuous secretion of saliva. The mucin film exists
in oral mucosa offers an opportunity to develop mucoadhesive system, which retain at
absorption site for prolonged time by mucoadhesive binding. The close contact with
absorption membrane causes more absorption of the drug. The sublingual mucosa can
also be used for drug delivery where the flow of saliva is very less. The pH of the buccal
cavity ranges between 5-7 , and does not cause any problem to the drug.
STOMACH:
Controlled and targeted drug delivery systems to stomach could be achieved via the
prolongation of the gastric residence time. Such retention system are important for drugs
which are degraded in intestine, for drugs which exert a local effect in the stomach, for
drugs which are poorly soluble in intestine. Such systems are also advantageous in
improving gastrointestinal absorption of drug with narrow absorption window as well as
for controlling release of the drugs having site specific absorption limitations. Drugs that
are absorbed slowly from GIT can be given as slow release gastric retention systems, to
improve the absorption and bioavailability. The retention of these system depends on
many factors such as gastric anatomy, physiology mobility, pH, and presence of food. It
is not easy to design a system that can overcome all these difficulties.
Blood Flow: The GI tract is a well perfuse organ, receiving about 30% of the total
cardiac output. Changes in blood flow can only affect the absorption of
compounds with high intestinal permeability and lipid soluble molecules.
Blood flow increases considerably after a meal, reaching its peak after a
heavy meal, dosage form given with large volume of water (200 ml or
more) could facilitate drug absorption by inducing an increase in blood
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flow.
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SMALL INTESTINE:
Controlled and targeted drug delivery systems specifically to small intestine are
designed to avoid or bypass the acid environment of stomach and release the drug in
alkaline environment of small intestine. These systems are designed for drugs which are
acid labile, irritate the gastric mucosa, adsorbed from small intestine and required for
local effect in the intestine.
Advantages:
Avoidance of first pass metabolism.
Selective treatment of diseases and infections of mesenteric lymphatic.
Enhanced absorption of large molecules such as proteins and peptides.
Inhibition of cancer cell metastasis.
Systemic absorption of drugs which are highly hydrophilic and stable at all pH
values.
Oral administration of antigens.
COLON:
The colonic environment properties such as pH, mucoadhesion, microflora and large
surface area are taken into consideration while designing the colon specific systems. The
longer colonic transit times provide prolonged time for drug release and the colonic
microflora provides various enzymes to trigger release.
CLASSIFICATION:
1. Continuous release system Dissolution Controlled drug release system
a. Matrix Dissolution Controlled system
b. Encapsulation/coating Dissolution Controlled drug
release system
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5. pH independent formulation.
SDM
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b. Encapsulation type
Also called as Coating dissolution controlled
system since the drug encapsulated, with slowly dissolving material like
cellulose, PEG, PMA (polymethylacrylates) & waxes. Dissolution rate of
coat depends upon stability & thickness of coating.
Slow dissolving
Or erodible coat
Soluble drug
system
which prolongs and controls the release of the drug that is dissolved or
dispersed
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Materials used are insoluble plastics such as PVP & fatty acids.
Swell able Matrix Diffusion
Also called as Glassy hydrogels. Popular for sustaining the
release of highly water soluble drugs. Materials used are hydrophilic gums.
Examples: Natural: Guargum, Tragacanth.
Semi-synthetic: HPMC, CMC, Xantham gum.
Synthetic: Polyacrylamide.
Advantages:
Easier to produce than reservoir or encapsulated devices.
Versatile, effective and low cost.
Possible
to
formulate
high
the
stability
by protecting
the
drug
from hydrolysis or
b. Reservoir System:
Also called as laminated matrix device.
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DRUG
DRUG
DRUG
Insoluble membrane
Entry of dissolution fluid
Drug Diffusion
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POLYMER
COATING
ETHYL
CELLULOSE
COATING
DRUG
CONTAINING
RESIN GRANULES
DRUG
CONTAINING
RESIN
GRANULES
POLYETHYLENE
GLYCOL
COATING
most
widely
used
and
safe
ion-exchange
resin
is
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release.
H2 O
Rigid, Water permeable
membrane controls delivery
rate.
Drug
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time, thus helping in absorption of drug for the intended duration of time. Gastric
retentive drug delivery devices can be useful for the spatial and temporal delivery
of many drugs. Thus, control of placement of a DDS in a specific region of the GI
tract offers numerous advantages, especially for drug exhibiting an absorption
window in the GI tract.
The intimate contact of the DDS with the absorbing membrane and also the
potential to maximize drug absorption may influence the rate of drug absorption.
These considerations have led to the development of oral controlled release (CR)
dosage forms possessing gastric retention capabilities. Drug may not be absorbed
uniformly over the length of the gastrointestinal tract, because dosage form may be
rapidly transported from more absorptive upper regions of the intestine to lower
regions where the drug is less absorbed and drug absorption from colon is usually
erratic and inefficient. Moreover, certain drugs are absorbed only from the stomach
or the upper part of small intestine.
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micrometer.
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tablets.
b. Muco-adhesive system:
The term bio adhesion describe materials that bind to the biological
substrates, such as mucosal membrane. Adhesion of bio adhesive drug
delivery devices to the mucosal tissue offers the possibility of creating an
intimate and prolonged contact at the site of administration. This prolonged
residence time can result in the enhanced absorption and in combination with
a controlled release of drug also improved patient compliance by reducing the
frequency of administration. The epithelial adhesive properties of mucin have
been applied in the development of gastro retentive drug delivery systems.
G O V E R N M E N T
P H A R M A C Y
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2. Microcapsules
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imaging [13-15].
BRAND NAME
DRUG
MANUFACTURER
1.
Welbutrin XL
Bupropion
GlaxoSmithKline
2.
Ambien CR
Zolpidem
tartarate
Sanofi-Aventis
3.
Tussionex
Methods using ion Exchange
Pennkinetics
Resin
ER suspension
4.
Methods
Using
Osmotic
Pressure
Elementary
Osmotic pump
Efidac 24@
Push-Pull
Glucotrol XL@
Osmotic system
Hydrocodon
Polistirex and
UCB inc.
Chlorpheneramine
Polistirex
Chlorpheneramine
Novartis
maleate
Glipizide
Pfizer inc.
5.
pH independent formulation
Inderal @ LA
Propanolol HCL
Wyeth Inc.
6.
Modapar
Levodopa and
Benserazide
Roche Products,
USA
Dissolution
Method
Sustained
Sustained
Using
System
System
IonExchange
Methods
using
osmotic
pressure
pH
Altered
Independent
Density
Formulation
Formulation
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Diffusion
D = Diffusion coefficient/diffusivity.
Cs = Saturation/ maximum drug solubility.
C
coefficient
of
drug
in
the
release
medium,
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Electrolysis In
Gastric Environment
E
D
ANIONIC RESIN
CATIONIC RESIN
EPOSITIVELY CHARGED
ELECTROLYTE
K= Membrane permeability,
A= effective surface area
h = thickness of semi permeable membrane,
= osmotic pressure difference,
p = hydrostatic pressure difference.
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Absorption Enhancers:
Many compounds with different structures have been reported and proposed as effective
absorption promoters for drugs after oral administration. According to their ability of
promotion and their adverse reactions with the mucosal membrane of the GIT, these
absorption promoters are classified into four groups (Muranishi 1990) and they are
summarized in table.
Group I compounds promote drug absorption with strong, fast reactivity, and also with
a rapid recovery of barrier function. Group II compounds exert a moderately fast reactivity at
absorption promotion and also possess fast recovery. Group III compounds are relatively
effective in absorption enhancement of drugs, but show slow recovery rate. Group IV
miscible solvents have been showed moderate reactivity. All groups of compounds are
structurally possessing hydrophilic moieties such as C10-C20 acyl chain or steroid skeleton
and hydrophilic groups such as hydroxyl, carboxy, glyceryl or sulfate groups (Muranishi,
1990).
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Lipidic Systems
Micro and Multiple Emulsions:
Aqueous
Phase
Oil
Phase
w/o/w emulsion
o/w/o emulsion
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Mixed Micelles have also been employed to promote intestinal and rectal absorption of
macromolecules and small molecular weight drugs. Mixed micelles are reportedly safe and
effective absorption enhancers for small particles delivered into large intestine. Mixed
micelles bearing particulate ink and colloidal gold as markers showed enhanced absorption
and the study concluded that the upper limit for particles absorbed by the large intestine under
the influence of mixed micelles was 40nm. The absorbed particulates were selectively
transported into lymphatic and accumulated in regional lymph nodes(Muranishi,1985;
Muranishi et al.,1987).
Liposomes:
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materials have been used to develop particulate systems in which drugs are encapsulated
entrapped or dissolved. The studies with particulate systems concluded that microencapsulation of proteins markedly affects the oral uptake as well as post absorption
pharmacokinetic parameters, possibly. Furthermore, it is believed that particulate material
itself would be absorbed from the GIT. The application of particulate system by oral route
includes the delivery of antigens and vaccines.
INTESTINAL
LUMEN
SYSTEMIC
CIRCULATION
Intestinal
Epithelial cell
Drug-Carrier
Interaction
Drug release
from Carrier
Drug-Conjugate
Drug Carrier
Transportation
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Immunoglobulin transport:
For the transport of IgG, many neonatal animals possess luminal receptors for the
transport of IgG. These receptors specifically bind to other immunoglobulin located
in intestine and showing specific binding characteristics at different pH(bind at pH
6.0 and do not bind at pH 7.4). this point endows the system for binding to intestinal
IgG (pH<6.5) and release in serosal plasma (pH7.4) (Rodewald,1980). In the IgG
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transport system, molecules such as ferritin has been linked to the IgG molecules to
follow the uptake and transcytosis. Thus , it would be possible for large molecules
such as ferritin to be carried into neonate following conjugation with IgG.
Across many types of epithelial cells, operates the receptor mediated transport of
polymeric IgA and IgM mediated by the polymeric immunoglobulin receptor
(pIgR). Transport occurs through binding of Immunoglobulin Fc to the pIgR on the
basal surface of the epithelial cells followed by transport of the molecules from the
basolateral to apical surface. In the same way, drugs (or peptides) bound to IgA or
IgM may be transported (Mostov et al., 1984; Hirt,1993).
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schematically given in Fig. . VB12 possess many advantages as a carrier for oral drug
delivery;
VB12+ IF (Intestine)
Binds to an IF receptor located on
The epithelium of small intestine
(Predominantly ileum)
VB12 IF complex
IF in complex degraded by
Cathepsin and VB12 released.
Transcytosis of VB12-transcobalamin II
Complex into circulation
31
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CONCLUSION:
In last three decades a number of modern technologies including targeting
concepts have emerged for successful and oral controlled delivery of various bioactives. The limitations have been overwhelmed by these modern technologies, which
are providing effective local as well as systemic drug levels at desirable sites with
improved safety profiles. The matrix , ionexchange, floating and bio-adhesive
concepts have been developed and explored for controlled and pulsatile oral delivery.
Current research involves the sophistication of designing oral controlled/sustained
drug delivery systems with modern targeting or site-specific concepts. The
development in the bio engineering and cell biology provided newer dimensions to
designing and fabrication of oral systems. The gastric retention time has been
prolonged by using the buoyancy and bio-adhesive principles; furthermore site
specific bioadhesion concept has been introduced to enhance the efficacy of these
systems. The vesicular and lipidic systems extend more advantages for lymphatic and
mucosal uptake. The carrier and receptor mediated uptake of novel systems provided
an insight into their functioning for the site-specific oral delivery. By these systems,
the pre-systemic clearance of drugs can be avoided and drug can reach pre-selected
site in intact form. The development in the in vitro and in vivo evaluation methods
with the aid of modern scientific technologies provides necessary tools to make the in
vitro dissolution test, which stimulates in vivo condition more precise and decisive.
From the above discussion, I conclude that the controlled release
drug delivery system is very helpful in increasing the efficiency of the dose as well as
the patient compliance. Moreover, the reasonable cost of oral controlled release drug
delivery system has lead ease of market penetration as replacement of oral
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