Oral Drug Delivery - Kinam

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Picture from Leon Shargel & Andrew B.C. Yu. Applied Biopharmaceutics & Pharmacokinetics. 4th Edn. 1999. Appleton & Lange, Stamford, CT. EXTENSION OF ...
CHAPTER 10.

ONCE-A-DAY ORAL DOSAGE FORMS

ONCE-A-DAY ORAL DOSAGE FORMS

1. DRUGS BECOMING ACTIVE METABOLITE WITH LONG HALF-LIVES

2. DRUGS WITH SHORT HALF-LIVES

CLARITIN

I. ORAL CONTROLLED RELEASE DOSAGE FORMS

PRILOSEC (OMEPRAZOLE) HALF-LIFE OF 0.5-1 HOUR

LORATADINE: HALF-LIFE OF 8 HOURS DESCARBOETHOXYLORATADINE: 28 H

INHIBITION OF H+/K+ ATPase ENZYME SYSTEM LASTS 24-72 HOURS

CLARITIN-D 24 HOUR EXTENDED RELEASE IS FOR PSEUDOEPHEDRINE

Factors to consider in designing drug delivery systems

Drug Property

Drug Property

Molecular Weight Stability Solubility

Molecular Weight Stability Solubility

Administration Route

Biocompatibility

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

Optimum Dosage Form

Targeting

Delivery Vehicle

Targeting

Delivery Vehicle

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

Release Mechanism

Release Mechanism

Continuous delivery Modulated delivery

Continuous delivery Modulated delivery

Duration of Release

Drug Property

ORAL DRUG DELIVERY MOST PREFERRED ROUTE OF DELIVERY Administration Route

Biocompatibility

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

Oral

Optimum Dosage Form Targeting

Delivery Vehicle

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue Release Mechanism

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

Optimum Dosage Form

Molecular Weight Stability Solubility

Administration Route

Biocompatibility

LIMITING FACTORS FOR ORAL CONTROLLED RELEASE DOSAGE FORMS 1. RELATIVELY SHORT GASTRIC EMPTYING TIME AND INTESTINAL TRANSIT TIME

Swallowable

Continuous delivery Modulated delivery Duration of Release

Page 1

Duration of Release

Oral

Drug Property

Drug Property

Molecular Weight Stability Solubility

Molecular Weight Stability Solubility

Administration Route

Biocompatibility

Administration Route

Biocompatibility

Oral

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

LIMITING FACTORS FOR ORAL CONTROLLED RELEASE DOSAGE FORMS Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

Optimum Dosage Form Delivery Vehicle

Targeting

Delivery Vehicle

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

Swallowable

Release Mechanism

Gastric retention

Continuous delivery Modulated delivery

1. RELATIVELY SHORT GASTRIC EMPTYING TIME AND INTESTINAL TRANSIT TIME 2. NON-UNIFORM ABSORPTION ABILITIES OF DIFFERENT SEGMENTS OF THE GI TRACT

Optimum Dosage Form

Targeting

Duration of Release

Oral

Swallowable

Release Mechanism Continuous delivery Modulated delivery

< 1 day

Duration of Release

< 1 day

Esophagus Gastro-esophageal junction

Fundus

Pyloric sphincter

Body

Stomach Antrum

Duodenum

Transverse colon

Small intestine

Jejunum

Ascending colon

Descending colon

Large intestine

Ileum

Cecum Sigmoid colon Rectum

Drug Property

LIMITING FACTORS FOR ORAL CONTROLLED RELEASE DOSAGE FORMS

2. NON-UNIFORM ABSORPTION ABILITIES OF DIFFERENT SEGMENTS OF THE GI TRACT 3. PRESYSTEMIC CLEARANCE

Plasma mettoprolol (ng/ml)

1. RELATIVELY SHORT GASTRIC EMPTYING TIME AND INTESTINAL TRANSIT TIME

Molecular Weight Stability Solubility

160 140

Intragastric infusion

120

Oros

Administration Route

Biocompatibility

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

100 80

Oral

Optimum Dosage Form

60 40 20 0 0

5

10

15

20

Time (h)

25

30

Targeting

Delivery Vehicle

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

35

Gastric retention Colon targeting

Release Mechanism

Duration of Release

Page 2

Swallowable

Continuous delivery Modulated delivery

< 1 day

Drug Property

Most polymers

Drug Property

Molecular Weight Stability Solubility

Most polymers Administration Route

Biocompatibility

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

Molecular Weight Stability Solubility

Administration Route

Biocompatibility

Oral

High Mol.Wt.? Permeability

Oral, Pulmonary, Transdermal, Implantable, Parenteral

Mutual effects between body and dosage form

Optimum Dosage Form

Optimum Dosage Form

Targeting

Delivery Vehicle

Targeting

Delivery Vehicle

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

Organ Tissue Cell Cell components

Polymer Size & Shape Cell Tissue

Gastric retention Colon targeting

Swallowable

Release Mechanism Continuous delivery Modulated delivery Duration of Release

Oral

Gastric retention Colon targeting

< 1 day

LIMITING FACTORS FOR ORAL CONTROLLED RELEASE DOSAGE FORMS

Swallowable

Release Mechanism Continuous delivery Modulated delivery Duration of Release

LIMITING FACTORS FOR ORAL CONTROLLED RELEASE DOSAGE FORMS 1. RELATIVELY SHORT GASTRIC EMPTYING TIME AND INTESTINAL TRANSIT TIME 2. NON-UNIFORM ABSORPTION ABILITIES OF DIFFERENT SEGMENTS OF THE GI TRACT 3. PRESYSTEMIC CLEARANCE 4. POOR ABSORPTION OF PEPTIDES AND PROTEIN DRUGS

< 1 day

Oral Drug Delivery Technologies

EXTENSION OF GASTRIC RETENTION TIME A NUMBER OF APPROACHES

1. RELATIVELY SHORT GASTRIC EMPTYING TIME AND INTESTINAL TRANSIT TIME

Gastric retention devices

2. NON-UNIFORM ABSORPTION ABILITIES OF DIFFERENT SEGMENTS OF THE GI TRACT

EXTENSION OF INTESTINAL TRANSIT TIME RELATIVELY MORE DIFFICULT

3. PRESYSTEMIC CLEARANCE FOCUS ON DEVELOPMENT OF GASTRIC RETENTION DEVICES

4. POOR ABSORPTION OF PEPTIDES AND PROTEIN DRUGS 5. POOR IN VITRO-IN VIVO CORRELATION

Picture from Leon Shargel & Andrew B.C. Yu Applied Biopharmaceutics & Pharmacokinetics. 4th Edn. 1999 Appleton & Lange, Stamford, CT

METHODS OF EXTENDING GASTRIC RETENTION TIME

INTRAGASTRIC FLOATING SYSTEMS (LOW DENSITY SYSTEMS)

HYDRODYNAMICALLY BALANCED INTRAGASTRIC DELIVERY SYSTEMS

1. INTRAGASTRIC FLOATING SYSTEMS Gelatinous barrier

(LOW DENSITY SYSTEMS) 2 HIGH DENSITY DOSAGE FORMS 2.

A

B

3. MUCOADHESIVE DOSAGE FORMS

Drug diffusion

HBS Gastric fluid

4. UNFOLDABLE, EXTENDIBLE, OR EXPANDABLE SYSTEMS

Dry mass d