Professional Documents
Culture Documents
Mr. Vijay Kumar Singh*1, Utkarsh Singh1, Ashutosh Mishra2, Dinesh Chandra1,
Rajesh Sahu1
Article Received on
ABSTRACT
13 July 2014, Historically, the oral route of drug administration has been the
Revised on 07 August 2014, one used most for both conventional as well as novel drug
Accepted on 02 Sept 2014
delivery. The reasons for this preference are obvious because of
the ease of administration and widespread acceptance by
*Correspondence for patients. Drugs taken orally for systemic effects have variable
Author
absorption rates and variable serum concentrations which may be
Vijay Kumar Singh
unpredictable. This has led to the development of sustained release
Kamla Nehru Institute of
Management And Technology, and controlled-release systems. The high acid content and ubiquitous
Faridipur, Sultanpur. A N D digestive enzymes of the digestive tract can degrade some drugs well
College of Pharmacy, Babhnan, before they reach the site of absorption into the bloodstream. This
Gonda.
is a particular problem for ingested proteins. Therefore, this
route has limitations for administration of biotechnology products.
Many macromolecules and polar compounds cannot effectively traverse the cells of the
epithelial membrane in the small intestines to reach the bloodstream. Their use is limited
to local effect in the gastrointestinal tract. Many drugs become insoluble at the low pH levels
encountered in the digestive tract. Since only the soluble form of the drug can be absorbed
into the bloodstream, the transition of the drug to the insoluble form can significantly reduce
bioavailability. The drug may be inactivated in the liver on its way to the systemic
circulation. An example of this is the inactivation of glyceryltrinitrate by hepatic
monoxygenase enzymes during the first pass metabolism. Some drugs irritate the
gastrointestinal tract and this is partially counteracted by coating. Oral route may not be
suitable for drugs targeted to specific organs. Despite disadvantages, the oral route remains
the preferred route of drug delivery. Several improvements have taken place in the
INTRODUCTION
1. Drugs taken orally for systemic effects have variable absorption rates and variable
serum concentrations which may be unpredictable. This has led to the development
of sustained release and controlled-release systems.
2. The high acid content and ubiquitous digestive enzymes of the digestive tract can
degrade some drugs well before they reach the site of absorption into the
bloodstream. This is a particular problem for ingested proteins. Therefore, this
route has limitations for administration of biotechnology products.
3. Many macromolecules and polar compounds cannot effectively traverse the cells of
the epithelial membrane in the small intestines to reach the bloodstream. Their use is
limited to local effect in the gastrointestinal tract.
4. Many drugs become insoluble at the low pH levels encountered in the digestive tract.
Since only the soluble form of the drug can be absorbed into the bloodstream, the
transition of the drug to the insoluble form can significantly reduce bioavailability.
5. The drug may be inactivated in the liver on its way to the systemic circulation. An
example of this is the inactivation of glyceryltrinitrate by hepatic monoxygenase
enzymes during the first pass metabolism.
6. Some drugs irritate the gastrointestinal tract and this is partially counteracted by coating.
7. Oral route may not be suitable for drugs targeted to specific organs.
8. Despite disadvantages, the oral route remains the preferred route of drug delivery.
Several improvements have taken place in the formulation of drugs for oral delivery
for improving their action.
1.2 Tablet
A tablet is a pharmaceutical dosage form. It comprises a mixture of active substances
and excipients, usually in powder form, pressed or compacted from a powder into a solid
dose. The excipients can include diluents, binders or granulating agents, glidants (flow
aids) and lubricants to ensure efficient tabletting; disintegrants to promote tablet
break-up in the digestive tract; sweeteners or flavors to enhance taste; and pigments to
make the tablets visually attractive. A polymer coating is often applied to make the tablet
smoother and easier to swallow, to control the release rate of the active ingredient, to make
it more resistant to the environment (extending its shelf life), or to enhance the tablet's
Disintegrating Tablets
The most common type of tablet is intended to be swallowed and to release the drug in
a relatively short time thereafter by disintegration and dissolution, i.e. the goal of
the formulation is fast and complete drug release in vivo. Such tablets are often referred
to as conventional or plain tablets. A disintegrating tablet includes normally at least the
following type of excipients: filler (if the dose of the drug is low), disintegrant, binder,
glidant, lubricant and antiadherent. As discussed above, the drug is released from a
Chewable Tablets
Chewable tablets are chewed and thus mechanically disintegrated in the mouth. The drug
is, however, normally not dissolved in the mouth but swallowed and dissolves in the
stomach or intestine. Thus, chewable tablets are used primarily to accomplish a quick
and complete disintegration of the tablet and hence obtain a rapid drug effect - or to
facilitate the intake of the tablet. A common example of the former is antacid tablets. In the
latter case, the elderly and children in particular have difficulty in swallowing tablets, and
so chewable tablets are attractive forms of medication. Important examples are vitamin
tablets. Another general advantage of a chewable tablet is that this type of medication can
be taken when water is not available. Chewable tablets are similar in composition to
conventional tablets except that a disintegrant is normally not included in the composition.
Flavouring and colouring agents are common, and sorbitol and mannitol are common
examples of fillers.
Effervescent Tablets
Effervescent tablets are dropped into a glass of water before administration, during
which carbon dioxide is liberated. This facilitates tablet disintegration and drug
dissolution; the dissolution of the tablet should be complete within a few minutes. As
mentioned above, the effervescent carbon dioxide is created by a reaction in water
between a carbonate or bicarbonate and a weak acid such as citric or tartaric. The amount
of sodium bicarbonate in an effervescent tablet is often quite high (about 1 g). After
dissolution of such a tablet, a buffered water solution will be obtained which normally
temporarily increases the pH of the stomach. The result is a rapid emptying of the
stomach and the residence time of the drug in the stomach will thus be short. As drugs
than in the stomach, effervescent tablets can thus show a fast drug bioavailability, which
can be advantageous, for example, for analgesic drugs. Another aspect of the short
residence time of the drug in the stomach is that drug-induced gastric irritation can be
avoided, e.g. for aspirin tablets, as the absorption of aspirin in the stomach can cause
irritation. Effervescent tablets also often include a flavor and a colourant. A water-soluble
lubricant is preferable in order to avoid a film of a hydrophobic lubricant on the surface of
the water after tablet dissolution. A binder is normally not included in the
composition.
Lozenges
Lozenges are tablets that dissolve slowly in the mouth and so release the drug dissolved in
the saliva. Lozenges are used for local medication in the mouth or throat, e.g. with
local anaesthesia, antiseptic and antibiotic drugs. They can thus be described as slow release
tablets for local drug treatment. Disintegrants are not used in the formulation, but
otherwise such tablets are similar in composition to conventional tablets. In addition,
lozenges are often coloured and include a flavour. The choice of filler and binder is of
particular importance in the formulation of lozenges, as these excipients should contribute to
a pleasant taste or feeling during tablet dissolution. The filler and binder should therefore
be water soluble and have a good taste. Common examples of fillers are glucose, sorbitol
and mannitol. A common binder in lozenges is gelatin. Lozenges are normally prepared
by compaction at high applied pressures in order to obtain a tablet of high mechanical
strength and low porosity which can dissolve slowly in the mouth.
Extended-Release Tablets
In recent years there has been great interest in the development and use of tablets
which should be swallowed and thereafter slowly release the drug in the gastrointestinal
tract. Such tablets are denominated in various ways, such as slow release, prolonged
release, sustained release and extended-release. In the European Pharmacopoeia the term
extended-release has been chosen as denominator for these types of tablets and so is used
here. Extended-release tablets are often referred to as controlled-release preparations. This
latter term is somewhat misleading, as all tablets, irrespective of their formulation and use,
should release the drug in a controlled and reproducible way. An extended-release tablet
contains one dose of the drug which is released for a period of about 12-24 hours.
Fast dissolving tablets are those when put on tongue disintegrate instantaneously releasing
the drug which dissolve or disperses in the saliva. Some drugs are absorbed from the
mouth, pharynx and esophagus as the saliva passes down into the stomach. In
such cases, bioavailability of drug is significantly greater than those observed from
conventional tablets dosage form. This is an innovative tablet technology where the dosage
form containing active pharmaceutical ingredients disintegrates rapidly, usually in a matter
of seconds, without the need for water, providing optimal convenience to the patient.
Innovators and inventor companies have given these tablets various names such as orally
disintegrating tablets (ODT), mouth dissolving (MD), fast melting, fast dissolving or
Orodisperse. The FDT is also known as fast melting, fast dispersing, rapid dissolve,rapid
melt, and/or quick disintegrating tablet. All FDTs approved by the Food and Drug
Administration (FDA) are classified as orally disintegrating tablets. Recently, the
European Pharmacopeia adopted the Term orodispersible tablet for a tablet that disperses
or disintegrates in less than 3 minutes in the mouth before swallowing. Such a tablet
disintegrates into smaller granules or melts in the mouth from a hard solid to a gellike
structure, allowing easy swallowing by patients. The disintegration time for good FDTs
varies from several seconds to about a minute. [Biradar S.S.et al. , 2006] , [Fu Yourong
et al , 2004]
Epithelium
LaminaPropria
submucosa
FIG 1.1: Different Layers of Oral Mucosa
1.3.2 Difficulties with Existing Oral Dosage Form [Panigrahi R Et El, 2010]
1. Patient may suffer from tremors therefore they have difficulty to take powder
andliquids.
2. In dysphasia physical obstacles and adherence to an esophagus may
causegastrointestinal ulceration.
3. Swallowing of solid dosage forms like tablet and capsules produce difficulty for
youngadult due to incomplete development of muscular and nervous system.
4. Liquid medicaments (suspension and emulsion) are packed in multidose
container;therefore achievement of uniformity in the content of each dose may be
difficult.
5. Buccal and sublingual formulation may cause irritation to oral mucosa, so
patientsrefused to use such medications.
6. Cost of products is main factor as parenteral formulations are most costly
anddiscomfort.
for patients who are traveling and do not have immediate access to water.
3. Good mouth feel property helps to change the perception of medication as bitter pill
particularly in pediatric patient.
4. Pregastric absorption can result in improved bioavailability and as a result of reduced
dosage; improve clinical performance through a reduction of unwanted effects.
5. Good mouth feel property of these tablets helps to change the basic view of medication
as bitter pill, particularly for pediatric patients.
6. Rapid dissolution and absorption of drug, which may produce quick onset of action.
7. An increased bioavailability, particularly in cases of insoluble and hydrophobic drugs,
due to rapid disintegration and dissolution of tablets.
8. Ability to provide advantages of liquid medication in the form of solid form.
9. Stability for longer duration of time, since the drug remains in solid dosage form till it
is consumed. So, it combines advantage of solid dosage form in terms of stability and
liquid dosage form in terms of bioavailability.
pass metabolism since the unit disintegration rapidly and the drug would be
swallowed.
4. Drugs with relatively larger doses are difficult to formulate in to MDTs e.g
ciprofloxacin with adult dose containing 500 mg of the drug.
5. Patients who concurrently take anticholinergic medication may not be the best
candidates for MDTs and patients like Jorgens syndrome or dryness of the mouth due to
decrease saliva production may not be good candidates for these tablet formulation.
Drug Properties
The drug properties should not significantly affect the tablet property. Many drug
properties could potentially affect the performance of FDTs. For example, the
solubility, crystal morphology, particle size, hygroscopicity, compressibility, and bulk
density of a drug can significantly affect the final tablet's characteristics, such as tablet
strength and disintegration. The FDT technology should be versatile enough to
accommodate unique properties of each drug. The drugs belonging to Biopharmaceutical
Classification System (BCS) Class II, i.e., the drugs with poor solubility and high
permeability are best suitable moieties for FDTs in a dose of 125 and 250 mg.
Moisture Sensitivity
Hygroscopicity is an important characteristic of a powder. For a soluble compound
the hygroscopicity is related to its solubility. FDTs should have low sensitivity to humidity.
This problem can be especially challenging because many highly water-soluble excipients
are used in formulation to enhance fast-dissolving properties as well as to create good
mouth feel. Those highly water-soluble excipients are susceptible to moisture; some will
even deliquesce at high humidity. A good package design or other strategy should be
developed to protect FDTs from adverse environmental conditions.
superdisintegrants should c et al, 2011ause the tablet to disrupt, not only into the granules
from which it was compressed but also into powder particles from which the granules were
prepared.
1. Produce rapid disintegration, when tablet comes in contact with saliva in the
mouth/oral cavity.
2. Compactable enough to produce less friable tablets.
3. Produce good mouth feel to the patients. Thus, small particle size is preferred to
achieve patient compliance.
4. Particle size and Flow properties of the superdisintegrant.
5. Have good flow, since it improves the flow characteristics of total blend.
part of superdisintegrants are added to intra-granular and a part to extra- granules. This
method usually produces better results and more complete disintegration than type I
and type- II
Sodium Starch Glycolate: Brand Name: (Primogel, Explotab) [Shah R Et Al, 2013]
It is widely used in oral pharmaceuticals as a disintegrant in capsule and tablet formulations.
It is recommended to use in tablets prepared by either direct-compression or wet-
granulation processes. The recommended concentration in a formulation is 2-8%, with
the optimum concentration about 4% although in many cases 2% is sufficient.
ADVANTAGES
1. Crospovidone uses a combination of swelling, wicking and deformation mechanismfor
rapid disintegration of tablets.
2. Swells rapidly in water without forming gel,
3. Highly compressible,
4. Rate and extent of liquid uptake and swelling of crospovidone (Polyplasdone XL 10)
are not reduced in 0.1 N hydrochloric acid when compared with aqueous medium.
Swelling
Although water penetration is a necessary first step for disintegration, swelling is probably
the most widely accepted mechanism of action for tablet disintegrants. For swelling to be
effective as a mechanism of disintegration, there must be a superstructure against which
disintegrants swells.
Figure 1.4.4 represents the disintegration of tablet by wicking and swelling. Swelling of
the disintegrant against the matrix leads to development of a swelling force. A large
internal porosity in the dosage form in which much of the swelling can be accommodated
reduces the effectiveness of the disintegrant. On the other hand, sufficient swelling force is
exerted in the tablet with low porosity. It is worthwhile to note that if packing fraction is
very high, fluid is unable to penetrate in the tablet and disintegration is again slowed down.
Heat of Wetting
When disintegrants with exothermic properties get wetted, localized stress is created due
to capillary air expansion, which aids in disintegration of tablet. This explanation,
however, is limited to only a few types of disintegrants and cannot describe the action of
most modern disintegrating agents.
According to this theory, water penetrates into tablet through hydrophilic pores and
a continuous starch network is created that can convey water from one particle to the
next, imparting a significant hydrostatic pressure. The water then penetrates between starch
grains because of its affinity for starch surfaces, thereby breaking hydrogen bonds and
other forces holding the tablet together. The electric repulsive forces between particles are
the mechanism of disintegration and water is required for it.
Deformation Recovery
Deformation recovery theory implies that the shape of disintegrant particles is distorted
during compression and the particles return to their pre-compression shape upon wetting,
thereby causing the tablet to break apart. Such a phenomenon may be an important
aspect of the mechanism of action of disintegrants such as crospovidone and starch that
exhibitlittle or no swelling.
1.5.1CONVENTIONAL METHODS
1. Spray Drying
A highly porous and fine powder is prepared by spray drying an aqueous
composition containing support matrix and other components. This is then mixed with active
ingredient and compressed into tablet. Allen and wang used this technique to prepare
2. Freeze Drying
The tablets prepared by freeze drying or lyophilization are very porous in nature
and disintegrate or dissolve rapidly when come3 in contact with saliva. In this process,
water is sublimated from the product after freezing. First of all, the material is frozen to
bring it below its eutectic point. Then primary drying is carried out to reduce the moisture to
around 4% w/w of dry product. Finally, secondary drying is done to reduce the bound
moisture to the required volume. Due to lyophilization, bulking agent and sometimes drug
acquire glossy amorphous structure and thus dissolution is enhanced. A tablet that
rapidly disintegrates in aqueous solution includes a partially collapsed matrix network that
that has been vacuum dried above the collapsed temperature of the matrix. The matrix is
partially dried below the equilibrium freezing point of the matrix. Vacuum during the tablet
above its collapse temperature, instead of freeze drying below its collapse temperature
provides a process for producing tablets with enhanced structural integrity, while rapidly
disintegrating in normal amounts of saliva. However the use of freeze drying is
limited due to high cost of equipment and processing. Other major disadvantage of the
final dosage forms includes lack of physical resistance in standard blister
3. Effervescence
Addition of an effervescent system in the formulation is one of the approaches by
which Mouth Dissolving tablets can be prepared. The major advantages of this method are it
is well established, easy to implement and masks the bitter taste of the drug. The
effervescent system is generally composed of a dry acid and dry base which when
react facilitate a mild effervescent action when the tablet contacts saliva. The
effervescent reaction accelerates the disintegration of tablet through the release of carbon
dioxide, water and salt.[Pather SI et al, 2001] Due to the evolution of carbon dioxide,
the bitter taste of the drug is also masked and a pleasant mouth feel is felt. These
systems mainly use dry acids like citric acid and tartaric acid, and dry bases like sodium
bicarbonate.
The major drawbacks of this method include chemical stability, for which controlled
humidity conditions required and storage conditions like temperature and hygroscopicity.
4. Tablet Moulding
Tablets prepared by this method are solid dispersions. Physical form of drug in the
tablets depends on whether and to what extent it dissolves in the wetted mass. The drug can
exist as discrete particles or micro particles in the matrix. It can dissolve totally to
form a solid solution or dissolve partially in a molten carrier and remaining, if any, stays
undissolved and dispersed in the matrix. Disintegration time, drug dissolution rate and
mouth feel will depend on the type of dispersion.
Moulded tablets pose porous structure, which facilitates rapid disintegration and
easy dissolution. Moulded tablets offer improve taste due to water soluble sugars
present in dispersion matrix. But moulded tablets lack good mechanical strength and
can undergo breakage or erosion during handling and opening of blister packs. However,
adding sucrose, acacia or polyvinyl pyrrolidone can increase mechanical strength.
[KaurTejvir et al 2011]
5. Sublimation
This process involves addition of some inert volatile substances like urea,
urethane, naphthalene, camphor, etc. to other expedients and the compression of blend
into tablet. Removal of volatile material by sublimation creates pores in tablet structure,
due to which tablet dissolves when comes in contact with saliva. Additionally
several solvents like cyclohexane, benzene etc can also be used as pore forming agents.
Mouth dissolving tablets with highly porous structure and good mechanical strength
higher disintegration due to absence of binder and low moisture contents. This approach is
Drug loading for water insoluble drugs approaches 400 mg. The ideal drug characteristics
are relative water insolubility with fine particle size and good aqueous stability in the
suspension. As the dose is increased, it becomes more difficult to achieve the optimum
formulation. The upper limit for drug loading is much lower (approximately 60 mg) for
water soluble drugs. The primary problems associated with water soluble drugs are the
formation of eutectic mixtures, resulting in freezing-point.depression and the formation of a
glassy solid on freezing which might collapse on drying because of loss of the
supporting structure during the sublimation process.
The addition of crystal-forming agents such as mannitol, which induce crystallinity and
hence impart rigidity into the amorphous material, can be employed to prevent the
collapse of the structure. The soluble drugs can be complexed with ion exchange
resins to prevent the collapse of the structure, which is also useful in masking the bitter
taste of medicaments.
b) Forming-Filling
The drug suspension is circulated from the holding vessel through a manifold
supplying a series of positive displacement pumps. These pumps deliver the required
volume of material along the delivery lines into the blister pockets, which are preformed
in a continuous ribbon of plastic laminate.
c) Freezing
After the blister pockets are filled, the blister ribbon is cut into short lengths, called
trays which are transferred on a conveyor through the freeze tunnel. The cold nitrogen
atmosphere freezes the product within minutes. This flash freezing fixes the
homogeneity of the components and creates the appropriate ice product.
Crystal structure determines the porosity of the final product. The frozen product is
collected and transferred to a series of refrigerated storage cabinets to maintain it in
the frozen state prior to loading into the freeze dryer.
d) Freeze Drying
The trays containing the frozen product are loaded onto the shelves of the freeze dryer
and the ice removed by sublimation at low pressure. The dryers are characterized by a short
inter shelf spacing, which maximizes the product loading and accelerates the drying
process. Typical drying times are on the order of 5 hours or long-term storage. Zydis
products are packed in blister packs to protect the formulation.
e) Blister Lidding
The dried product is then sealed into the blister pockets by application of the lidding foil
and the blister pack is then punched out to the required format.
Collapse protectants such as glycine prevent the shrinkage of zydis units during freeze-
drying process from moisture in the environment and long term storage.
range) that was used to form the tablet. The low compression force leads to high tablet
porosity which, in turn, accelerates the rate of disintegration of the tablet and
dissolution of the water-soluble excipients. The active ingredients can be taste-masked
using a variety of techniques such as fluid bed coating, microencapsulation, or spray
congealing. Because the OraSolv tablets are produced at low compression forces, they are
soft and friable.
To reduce handling risks of the tablets, the tableting and packaging processes are
integrated and a specially designed package is used. The packaging system consists of a
robot that picks up and places the tablets in dome-shaped depressions in aluminum foil. A
layer of top foil is heat-sealed over the bottom foil. The integrated manufacturing line is
equipped with a printing assembly that enables each blister card to be printed
individually during the manufacturing process. The automated system then cuts the foil
into cards of, usually, six tablets.
A robot eye detects depressions that do not contain tablets and rejects these cards.
The operator may also observe unfilled cards on a monitor. The specially designed
package and processing system, referred to as Pak-Solv, protects the OraSolv tablets from
breaking and attrition during the rigors of shipping. In particular, the dome-shaped
depressions limit the vertical movement of the tablet within the package since the diameter
of the lower portion of the dome is too narrow to accommodate the tablet, thus the tablet
remains in the upper part of the dome adjacent to the top foil. This is in contrast to a regular
blister package in which the sides of the depression are vertical and the bottom is flat,
allowing a greater range of vertical movement. Pak-Solv also offers light, moisture, and
child resistance. Moisture resistance is important when packaging an effervescent
formulation or moisture-sensitive drugs.36
The increased dissolution rate of the soluble, fine-particle filler compensates for the
reduction in tablet porosity due to the use of higher compression forces (relative to
the OraSolv products). The manufacturing process utilizes conventional blenders and
high-speed tablet presses.
1.0 2.0 kg (tablet-size dependent) and presented a preferable disintegration time of 140
seconds (typical values of <15 s). Various drug classes can be incorporated into the above
combination to achieve a fast disintegrating tablet with proper performance characteristics.
A preferable ratio of 510% by weight of high moldable sugar was found to be sufficient
to achieve the desired level of tablet hardness with rapid disintegration.
Floss Blend
Initially, approximately 80% sucrose in combination with mannitol or dextrose
and approximately 1% surfactant is blended to form the floss mix. The surfactant acts
as a crystallization enhancer in maintaining the structure and integrity of the floss
fiber. The enhancer also helps in the conversion of amorphous sugar into crystalline sugar,
from an outer portion of amorphous Shearform sugar mass, and subsequently converting
the remaining portion of the mass to complete crystalline structure. This process helps to
retain the dispersed active ingredient in the matrix, thereby minimizing migration out of the
mixture
a) Floss Formation
The matrix is produced by subjecting the carrier material to flash heat and flash
flow processing in a heat processing machine. The floss formation machine is similar to a
cotton-candy fabricating type, consisting of a spinning head and heating elements. In the
flash heat process, the carrier material is heated sufficiently to create an internal flow
condition, followed by its exit through the spinning head that flings the floss by
centrifugal forces generated by rotation.
9. LYOC Technology
It is patented by PHARMALYOC. Oil in water emulsion is prepared and placed directly in
to blister cavities followed by freeze drying. Non- homogeneity during freeze drying is
avoided by incorporating inert filler to increase the viscosity finally the sedimentation. High
proportion of filler reduces porosity of tablets due to which disintegration is lowered.
Table 1.1: List of Marketed Fast Dissolving Tablets [Kumar V . Dinesh Et Al , 2011]
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