Académique Documents
Professionnel Documents
Culture Documents
UNIT
TOPICS
1.
INTRODUCTION
1.1
1.1.1
Physiology of Mouth
1.1.2
1.1.3
1.1.4
Tablet
1.1.5
1.1.6
1.1.7
1.1.8
1.1.9
1.2
1.2.1
1.2.2
2.
Disintegrants
Mechanism of Superdisintegrants
RESEARCH ENVISAGED AND PLAN OF WORK
3.
LITERATURE SURVEY
4.
DRUG PROFILE
5.
PREFORMULATION STUDIES
6.
EXPERIMENTAL WORK
6.1
6.2
8.
PAGE NO.
9.
REFERENCE
1. INTRODUCTION
1.1 Mouth dissolving tablet
Mouth dissolving tablets are solid dosage form containing medical substances which disintegrate
rapidly, usually within few seconds when placed upon tongue requiring no additional water to
facilate swallowing. It is suited for tablets undergoing high first pass metabolism and
is
Physiology of Mouth :-
The mouth (oral cavity, buccal cavity) is where food enters the digestive tract.
The following features are found in the mouth :
The vestibule is the narrow region between the cheeks and teeth and between the lips and
teeth.
The tongue defines the lower boundary of the mouth. It helps position the food during
mastication (chewing) and gathers the chewed food into a ball, or bolus, in preparation for
swallowing. The tongue is covered with papillae, small projections that help the tongue
grip food. Many of the papillae bear taste buds.
The palate defines the upper boundary of the mouth. The forward portion is the hard
palate, hard because bone (maxillae and palatine) makes up this portion of it. Further back
in the mouth, the soft palate consists of muscle and lacks any bone support. A conical
muscular projection, the uvula, is suspended from the rear of the soft palate.
Saliva contains water (99.5 percent), digestive enzymes, lysozyme (an enzyme that kills
bacteria), proteins, antibodies (IgA), and various ions. Saliva lubricates the mouth,
moistens food during chewing, protects the mouth against pathogens, and begins the
chemical digestion of food. Chemical digestion is carried out by the digestive enzyme
salivary amylase, which breaks down polysaccharides (starch) into short chains of
glucose, especially the disaccharide maltose (which consists of two glucose molecules).
Saliva is produced by the following glands:
Buccal glands are located in the mucosa that lines the mouth.[2,3,4]
Primarily absorbed from mouth and oral cavity, e.g., esophagus, stomach etc.
to the
1.1.3 Types of mouth dissolving dosage forms:There are many formulation which are used for the mouth dissolving dosage form
a.
b.
c.
d.
e.
a.
Mouth dissolving tablet :Mouth dissolving tablets are solid dosage form containing medical substances which
disintegrate rapidly, usually within few seconds when placed upon tongue requiring no
additional water to facilate swallowing. It is suited for tablets undergoing high first pass
metabolism and is improving bioavailability with reducing dos-ing frequency to minimize
dissolves or disintrigrants in
dosage form containing medical substances which disintegrate rapidly, usually within
few
seconds when placed upon tongue requiring no additional water to facilate swallowing.
Recent advance in novel drug delivery system aims to enhance the safety and efficacy of the
drug molecule by formulating a dosage form being for the administration.
Difficulty in swallowing is experienced by patient such as pediatric, geriatric, be-dridden,
disabled and mentally ill, including motion sickness and sudden episodes of allergic attacks,
hence resulting in higher incidence of non-compliance and ineffective therapy.
To improve the quality of life and treatment compliances of such patients fast disintegrating or
orally disintegrating tablets dosage form is a batter alternative for oral medication.[13,14]
Mouth dissolving tablets are solid dosage form containing
disintegrate rapidly, usually within few seconds when placed upon tongue requiring no
additional water to facilate
metabolism
effect.
The aim is to formulate and characterize mouth dissolving tablets of Dompiridone for rapid
dissolution of drug and absorption, which may produce the rapid onset of action in the treatment
of throat infection.
It is suited for tablets undergoing high first pass metabolism and is improving bioavailability
with reducing dosing frequency to minimize side effect.[15]
Oral routes of drug administration have wide acceptance up to 50-60% of total dosage forms.
Solid dosage forms are popular because of ease of administration, accurate dosage, self
medication, pain avoidance and most importantly the patient compliance. The most popular solid
dosage forms are being tablets and capsules; one important drawback of this dosage forms for
some patients, is the difficulty to swallow. Drinking water plays an important role in the
swallowing of oral dosage forms. Often times people experience inconvenience in swallowing
Conventional dosage forms such as tablet when water is not available, in the case of the motion
sickness (kinetosis) and sudden episodes of coughing during the common cold, allergic condition
and bronchitis. For these reason, tablets that can rapidly dissolve or disintegrate in the oral
cavityhave attracted a great deal of attention. Or dispersible tablets are not only indicated for
people who have swallowing difficulties, but also are ideal for active people.[16,17]
The oral route of administration is considered as the most widely accepted route. But the most
evident drawback of the commonly used oral dosage forms like tablets and capsules is in saliva
and can be swallowed without the need of drinking water. Elimination difficulty in swallowing,
leading to patients incompliance particularly in case of pediatric and geriatric patients. Thus, a
new delivery system known as oral fast dissolving/disintegrating (FDDS)/melt-in-mouth tablets
gaining importance. These oral dosage forms dissolve rapidly of bitterness is an important
criterion in product formulation of mouth dissolving tablets.[18,19]
Superdisintegrants added in the formulation increase the dissolution characteristics thus
increasing the bioavailability of drug. Mouth dissolving tablet disintegrate in mouth and are
useful for potent drugs where fast absorption is required. Domperidon, an antiemetic agent has
been found to be an ideal candidate for mouth dissolving tablets.
Fast dissolving tablets are also called as mouth-dissolving tablets, melt-in mouth tablets,
Orodispersible tablets, rapimelts, porous tablets, quick dissolving etc. Fast dissolving tablets are
those when put on tongue disintegrate instantaneously releasing the drug which dissolve or
disperses in the saliva.[20]
The faster the drug into solution, quicker the absorption and onset of clinical effect. 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. The advantage of mouth dissolving dosage forms are
increasingly being recognized in both, industry and academics.[21,22]
Their growing importance was underlined recently when European pharmacopoeia adopted the
term Orodispersible tablet as a tablet that to be placed in the mouth where it disperses rapidly
before swallowing.According to European pharmacopoeia, the ODT should disperse/disintegrate
in less than three minutes.
instantaneous disintegration of tablet after putting on tongue, their by release the drug in saliva.
The bioavailability of some drugs may be increased due to absorption of drug in oral cavity and
also due to pregastric absorption of saliva containing dispersed drugs that pass down into the
stomach. More ever, the amount of drug that is subjected to first pass metabolism is reduced as
compared to standard tablet. The technologiesused for manufacturing fast-dissolving tablets are
freeze-drying, spray-drying, tablet molding, sublimation, sugar-based excipients, tablet
compression, and disintegration addition.As a result of increased life expectancy, the elderly
constitute a large portion of the worldwide population today. These people eventually will
experience deterioration of their physiological and physical abilities.[23]
1.1.4 Tablet
What is tablet?
Tablets are solid preparations each containing a single dose of one or more active substances and
usually obtained by compressing uniform volumes of particles. Tablets are intended for oral
administration. Some are swallowed whole, some after being chewed, some are dissolved or
dispersed in water before being administered and some are retained in the mouth where the
active substance is liberated.[24,25]
The particles consist of one or more active substances with or without excipients such as
diluents, binders, disintegrating agents, glidants, lubricants, substances capable of modifying the
behavior of the preparation in the digestive tract, coloring matter authorized by the competent
authority and flavorings substances.[26]
Tablets are usually right, circular solid cylinders, the end surfaces of which are flat or convex
and the edges of which may be bevelled. They may have lines or break-marks and may bear a
symbol or other markings. Tablets may be coated. Where applicable, containers for tablets
comply with the requirements for materials used for the manufacture of containers.[27]
1.1.5 Criteria for Fast Dissolving Drug Delivery System
The tablets should : Not require water to swallow, but it should dissolve or disintegrate in the mouth in matter of
seconds.
Be compatible with taste masking.
Be portable without fragility concern
Have a pleasant mouth feel
Exhibit low sensitive to environmental condition as
temperature and humidity.
Allow the manufacture of the tablet using conventional processing and packaging
equipments at low cost.
1.1.6
Ease of Administration to the patient who cannot swallow, such as the elderly, stroke victims,
bedridden patients, patient affected by renal failure and patient who refuse to swallow such as
consumed. So, it combines advantage of solid dosage form in terms of stability and liquid
dosage form in terms of bioavailability.
1.1.7
The tablets usually have insufficient mechanical strength. Hence, careful handling is
required.
The tablets may leave unpleasant taste and/or grittiness in mouth if not formulated.
1.1.9 Advantages
In fast dissolving tablets, water must moves quickly into the tablet matrix to cause rapid
disintegration and instantaneous dissolution of the tablet.
Basically, the disintegrants major function is to oppose the efficacy of the tablet binder and
the physical forces that act under compression to form the tablet.[28,29]
1.2.1 Disintegrants
Disintegrants are agents added to tablet formulations to promote the breakup of the tablet
into smaller fragments in an aqueous environment thereby increasing the available surface area
and promoting a more rapid release of the drug substance.[30]
Swelling :Contact with water it tendency to swells and decrease the adhesiveness of the tablet. The most
widely accepted general mechanism of action for tablet disintegration masking. is swelling.
Tablets with high porosity show poor disintegration due to lack of adequate swelling force. On
the other hand, sufficient swelling force is exerted in the tablet with low porosity.
II.
SWELLING
III.
IV.
Porosity
pathways for the penetration of fluid into tablets its impart their disintegrating action.
Deformation
The compression forces involved in tableting causes deformation more permanently which on
exposure to water leads disintegration.[31,32]
DEFORMATION
POROSITY
Example of Disintegrants
Starch
Lactose
Polacrilian K
Sodium alginate
Chitosan
Super Disintegrants
which are decreases the disintegration time by various mechanism especially swell to
many times their original size when placed in water while producing minimal viscosity effects.
Example
1. Modified Starches- Sodium Carboxymethyl Starch (Chemically treated Potato Starch)
Eg. Sodium Starch Glycolate (Explotab, Primogel)
Mechanism of Action: Rapid and extensive swelling with minimal gelling.
Effective Concentration: 4-6%. Above 8%, disintegration times may actually increase due to
gelling and its subsequent viscosity producing effects.
2.
2. RESEARCH ENVISAGED
The concept of fast dissolving drug delivery system emerged from the desire to provide
more convenient means of taking medication for the patient. It is difficult for many patients to
swallow tablets and hard gelatin capsules. Due to decline in the swallowing ability with age so
many elderly patients complain that it is very difficult to take medication in the form of tablets.
Hence, they do not comply with prescription, which results in high incidence of non-compliance
and ineffective therapy. In some cases such as motion sickness, sudden episodes of allergic
attacks or coughing and unavailability of water, swallowing of conventional tablets may be
difficult. Such problems can be resolved by means of Fast Dissolving Tablet (FDT). In such
cases, bioavailability of drug is significantly greater than those observed from conventional
tablet dosage form.
Dompiridone is an Anti-emetic drug, which also acts as Dopamine antagonist. The drug is
of lypophilic character and it has been used for GIT related disorders. Since the drug is used in
condition with nausea and vomiting and a prompt action is needed in such cases which is not
displayed by the conventional dosage forms taken orally. Since they show their action after being
absorbed by GIT.
Hence in order to achieve a rapid action fast mouth dissolving tablet of Dompiridone,
will be formulated in the present work which will be absorbed from buccal cavity to provide
rapid absorption and relief to the patient. Morever the dosage form will be ready to use without
the need of fluid to swallow and hence can be taken readily when the need arises.
PLAN OF WORK
The present work aims at covering in-depth investigations on optimization, development of fast
dissolving drug delivery systems in general and applying the technology for the formulation
development of fast release drug delivery systems. The proposed plan of research work can be
briefly outlined as follows:
Survey of literature and published information on various technologies employed for the
formulation development of fast dissolving tablet dosage form.
Preformulation studies.
Optimization of prepared dosage forms based on disintegration time and drug release
characterstics
References
3. LITERATURE SURVEY
Bhushan, S.Y. et al. (2000) described Rapidly Disintegrating Oral tablets and Fast Dissolving
Dosage forms in the mouth as the New Drug Delivery Systems for the elderly patients. Due to age
dependant changes such as physiological and pharmacokinetic changes , elderly patients do not
respond to the drug therapy in the same manner as younger adults. Pharmacodynamic changes also
play a major role in these age related changes. They described about the various difficulties elderly
may experience with existing dosage forms. Various new drug delivery systems for elderly suchas
jelly preparations, rapidly disintegrating and fast dissolving tablet dosage forms in the mouth were
also mentioned. In this they suggested various technologies for the development of
rapid
disintegrating and fast dissolving tablet dosage forms, and concluded these trends are patient
friendly and will be a major area of research in the near future.
Reddy,L.H.
et al. (2002) described Fast Dissolving Drug Delivery Systems as the ideal do-sage
forms for children and elderly, which have the advantages of both solid and liquid dosage forms,
and are having various advantages over the conventional oral solid dosage forms. The
characteristics offish Dissolving Delivery Systems such as taste of medicament, hydroscopicity,
friability are playing a major role in the manufacture of these systems. The various conventional
techniques used in the preparation of Fast Dissolving Drug Delivery Systems includes tablet
moulding, spray drying, lyophilization, sublimation, addition of disintegrates, taste masking also about
the various patented technologies such as Zydis, Orasolv, Durnacol, Flash dose, Wow tab, Flash tab
were nicely discussed by them. They concluded that the introduction of rapidly disintegrating
dosage forms has solved some of the problems encountered in administration of drugs to pediatric
and elderly patients, and because of increased patient demand, these dosage forms are expected to
become more popular.
Indurwade, N.H. et al.(2002) have indicated that Fast Dissolving Tablets are accepted widely
because it is a novel approach in drug delivery system indults and children. The swallowing of solid
dosage forms like tablet and capsules and improper dosing of suspension and emulsion may produce
difficulty for young and adult, and elderly patients suffering from dysphasia, tremors etc. Because of
these disadvantages, fast dissolving tablets were developed. They suggested that the main ingredients
of these dosage forms are appropriate disintegrating agents, maximizing porous structure of matrix
and highly hydrophilic excipients, and should possess some ideal characteristics, pharmacokinetic
and pharmcodynamic considerations. The author pointed out the fund mentals of designing and the
different technologies to the formulation of fast dissolving tablets such as moulding, spray drying,
sublimation, disintegrate addition, Zydis, Wowtab, Orasolv technologies.
Kuchekar, B.S.et al. (2003) have described the Mouth Dissolving Tablets as a novel drug delivery
system and the concept of these emerged from the desire to provide patients with more conventional
means of taking their medication. Mouth dissolving tablets a r e the ideal dosage form for the
patients who cannot swallow tablets and hard gelatin capsules, especially for pediatric and geriatric
patients. The author pointed out the various criteria for mouth dissolving drug delivery system, their
salient features and methods for their preparation such as freez drying, moulding, sublimation, spray
drying, mass extrusion, direct compression, and also the various patented technologies for their
manufacture. Finally listed out various examples of marketed preparations of melt-in mouth tablets.
Mane Avainash, R. et al. (2003)carried out the Preparation of Mouth Dissolving Tablets of Domp
iridone using the principle of sublimation, prepared busing two different components in different
ratios, which sublime readily(camphor, ammonium bicarbonate). Here accurately weighed quantities
of Dompiridone, volatilizable component, mannitol and Sodium saccharin were blended, granulated
using solution of PEG-4000 in ethanol and after lubrication compressed in to tablets in 8 mm
punches in a Cip10 station tablet press. Then these tablets were kept in a hot air oven at 50C for
specified time period to allow for sublimation of volatile constituents. Four
volatilizable component were prepared. Then the tablets were subjected to various quality control
tests and the results were compared
Kuchekar, B.S.etal.(2003)have described the Mouth Dissolving Tablets as a novel drug delivery
system and the concept of these emerged from the desire to provide patients with more conventional
means of taking their medication. Mouth dissolving tablets are the ideal dosage form for the patients
who cannot swallow tablets and hard gelatin capsules, especially for pediatric and geriatric patients.
The author pointed out the various criteria for mouth dissolving drug delivery system, their salient
features and methods for their preparation such as freez drying, moulding, sublimation, spray drying,
mass extrusion, direct compression, and also the various patented technologies for their
manufacture. Finally listed out various examples of marketed preparations of melt-in-mouth tablets.
Mane Avainash, R. et al. (2003)carried out the Preparation of Mouth Dissolving Tablets of
Dompiridone using the principle of sublimation, prepared byusing two different components
indifferent ratios, which sublime readily(camphor, ammonium bicarbonate). Here accurately weighed
quantities of Dompiridone, volatilizable component, mannitol and sodium saccharin were blended,
granulated using solution of PEG-4000 in ethanol and after lubrication compressed in to tablets in 8
mm punches in a Cip10 station tablet press. Then these tablets were kept in a hot air oven at 50C
for specified time period bellow for sublimation of volatile constituents. Four formulations with each
volatilizable components were prepared. Thenthe tablets were subjected to various quality controls
tests and the results were compared with a marketed formulation of Dompiridone.Were prepared by
wet granulation technique. Camphor was sublime from the dried granules by exposure to vacuum.
The porous granules were then compressed into tablets and again exposed to vacuum. Then the
tablets were evaluated for percentage friability, wetting time and disintegration time, a 32full factorial
design was used to investigate thejoint influence of two formulation variables such as amount of
camphor and crospovidone. By the use of multiple linear regression analysis and contour plot, it is
revealed that for obtaining a rapidly disintegrating dosage form, tablets should be prepared using an
optimum concentration of camphor and higher concentration of crospovidone, and also the effect of
the independent variables on the disintegration time and percentage friability. Sublimation of camphor
from the tablets resulted in superior tablets as compared with the tablets prepared from granules that
were exposed to vacuum.
Mahajan, H. S.et al.(2004)
direct compression method. The prepared tablets were evaluated for thickness, uniformity of weight,
content uniformity, hardness, tensile strength, and porosity, friability, wetting time, water absorption
ratio, in vitro and in vivo disintegration time and invitro drug release. The tablets disintegrated in
vitro and in vivowithin10-16 seconds and 12-18 seconds respectively. Almost 90% of drug was
released from all formulations within 10 minute. The formulations containing combination of sodium
starch glycollate and carboxy methyl cellulose was found to give best results. The tablets apart from
fulfilling all official and other specifications, exhibits higher rate of drug release.