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5 sept,2012
Sir,




  You Guided Me When I Was Lost….
  You Supported Me When I Was Weak….
  You Have Enlightened me all through…..
   1                                  9/05/2012
   Introduction
       Literature survey
       Objectives
       Plan of work
       Materials And Methods
       Result and Discussions
       Conclusion

3      References               9/05/2012
   Definition:- Oral film
    It is relatively a new dosage form in which thin film is
    prepared using hydrophilic polymers rapidly dissolves on
    tongue or buccal cavity.
   Rapid onset of action and improved bioavailability.
   Useful for geriatric patients.




4                                                         9/05/2012
5   9/05/2012
Fear             Water
                     Choking          Dysphagia,Travelling
   Fragile /
   Brittle




Grittiness




                                                Stability



                                                              Microbial
                                                              Cont.


    Pain /
  infection/inflammation
                                            Dosing accuracy
     6                                                      9/05/2012
                               Large Dose
Alzheimers               Disease
     Is     an     irreversible     ,
     progressive brain disease
     that slowly destroys memory
     & thinking skills and ability to
     carry out simple task.

     Cause problems with memory,
     thinking,& Behavior


     Symptoms:
     serious memory loss, Confusion,
     Behavioral Changes, Difficulty in
     Speaking/Walking


      Treatment:
      Mild to Moderate: Donepezil,
      Galantamine,rivastigmine
      Severe: Donepezil ,
      Memantamine
7                            9/05/2012
Alzheimers
   Disease
 Occurs to Geriatric


       Patients
      Each and every
      day Patients has
      to take Dosage




                              So,

                         Patient compliance
                              is the Key
                           parameter while
                          designing the DDS

 8                                  9/05/2012
Patient Compliance :
  Problems with     Conven    D.T     Liquids        MDT       FDF
      DDS            tional           (Emulsion
                    Tab/Ca          /Susp./Syrup)
                        p
 Water Needed                            X            X         X
 Swallow/Coughing                        X            X         X
 Choking Fear                 X          X                      X
 Dosing Accuracy      X       X                       X         X
 Vomisis                                              X         X
 Dysphagia                               X            X         X
 Travelling                              X            X         X
 Mechanical           X                  X                      X
 Strength
 Grittiness           X       X          X                      X
 Stability            X       X                       X         X
  Microbial        X         X                        X         X
  Contamination
9    FDF>MDT> Conventional TAB/CAP and Liquids                 9/05/2012
                                                    X = No problems….DDS
Alzheimer's Disease


        26.5 millions patients
              in 2006

        Market $ 6 Billions in
          2011 in 7 major
             markets


      Molecule available for mild
     to severe Alzheimer



      So, DONEPEZIl is the
      undisputed market leader


10                                  9/05/2012
Tab/MDT-Available in
               India



               FDF- Not available
               in India




Donepezil
Hydrochlorid
e

  11                     9/05/2012
Sr AUTHOR                           TOPIC                               STUDY
1.        Aggarwal J. et A Comparative investigation      Polymers: HPMC E15; Gelatin,
          al1            on      different     polymers   Sodium alginate and polyvinyl alcohol ,
                         employed in the formulation      pullulan
                         of                               Higher concentration of polymer
                         oral fast dissolving films       and plasticizer resulted in increased
                                                          disintegration time

2         Kunte S et al7    Fast dissolving strips: A oral strips formulated with different
                           novel approach for the concentrations of HPMC E6 and
                           delivery of verapamil      maltodextrin found to disintegrate in
                                                      less than 30 seconds.

3         Dinge A. et al5 Formulation and Evaluation       HPMC and xanthan gum
                          of Fast Dissolving Films for    successfully taste masked by the use
                          Delivery of Triclosan to the    of poloxamer 407 and eugenol
                          Oral Cavity                     (HPBCD) to improve solubility of
                                                          TC
     12                                                                                9/05/2012
Literature survey……….
Sr AUTHOR                       TOPIC                               STUDY
4   Raju S et al 19 Flash release oral films of        HPMC , CMC
                    metoclopramide hydrochloride      This case study showed that
                    for pediatric use: formulation    hydroxypropyl methyl cellulose was the
                    and in-vitro evaluation           most suitable film-forming material for
                                                      metoclopramide       -loaded      films,
                                                      providing fast dissolution films that
                                                      were not sticky and were easy to handle.

5   Saini S et al20   Fast dissolving film of         22 factorial design
                      levocetrizine dihydrochloride   prepared by solvent casting method
                                                      by using Maltodextrin & HPMC E15




6    Cilurzo F. et Nicotine Fast Dissolving Films  The 'mint' and 'licorice' flavors
     al4           Made of Maltodextrins          and sucralose mixture resulted
                                                  appropriate to mask DS bitterness
                                                  TMAs did not significantly affect
                                                  the film disintegration time and
    13                                            dissolution rate          9/05/2012
Literature survey……….
Sr         AUTHOR                   TOPIC                             STUDY
7        Choudhry et al3     Formulation         and     solvent casting technique
                             evaluation of quick         carboxy methyl cellulose, hydroxy
                             dissolving     Film  of     propyl methyl cellulose and hydroxy
                             levocetirizine              propyl cellulose
                             dihydrochloride             . Neotame masked the bitter taste
                                                         of levocetirizine dihydrochloride
8        Prabhu P. et al26   Formulation       and marked increase in the dissolution rate
                             evaluation     of fast was exhibited by FDF of levocetirizine
                             dissolving films of dihydrochloride containing HPMC as
                             levocitirizine      di a polymer, when compared to
                             hydrochloride          conventional tablets.
9        Amin A et L 25      Formulation          and    Pullulan
                             characterization       of   Solvent casting
                             rapidly dissolving films    bitter taste masking was achieved by
                             of             cetirizine   use of sweeteners- Aspartame,
                             hydrochloride       using   sucralose
                             pullulan as a film           dissolution media namely 0.1N HCl
                             forming agent               and simulated saliva (500ml)
    14                                                                              9/05/2012
Sr          AUTHOR                 TOPIC                           STUDY
10        Mashru et al24     Development      and    salbutamol sulphate and polyvinyl
                             Evaluation of Fast      alcohol
                             Dissolving Film of      33 factorial design
                             Salbutamol Sulphate     Simulated saliva (300 mL) using USP
                                                     Apparatus 2 (paddles).
11        Reinhart Martin et Pivotal                 On the basis of bioequivalence assessed
          al9                Bioequivalence study    in this pivotal study, therapeutic
                             for       Ondansetron   equivalence between Ondansetron
                             Rapidfilm®              RapidFilm™ and Zofran ODT® could
                             successfully            successfully be demonstrated
                             completed




     15                                                                           9/05/2012
        To formulate and evaluate oral fast dissolving films of Donepezil
         HCl

        To study compatibility of Donepezil HCl with excipients

        To study the effect of different polymers on film forming capacity
         and plasticizers on the release of Donepezil HCl

        To prepare the optimized oral fast dissolving film formulation of
         Donepezil HCl by response surface methodology, Design Expert
         software
    16                                                                 9/05/2012
17   9/05/2012
18   9/05/2012
Usefulness


    Useful for geriatric patients

    Useful for uncooperative and admitted patients

    In travelling cases, Patients suffering from vomisis,

     Dysphagia patients : FDF is better than conventional

     tablets

19                                                    9/05/2012
    Literature survey
    Selection and procurement of drug and excipients
    Preformulation study including characterization of drugs
    Identification of the drug
            Melting point
            UV spectrum
            FTIR spectrum
            DSC study
    Calibration curve of Donepezil Hydrochloride in 0.1 N HCl
     and in Simulated saliva pH 6.8 by UV spectrophotometer

20   Drug - excipients compatibility study                  9/05/2012
   Formulation development of fast dissolving film
   Formulation design for selection and optimization of film
    forming polymer concentration
   Use of Factorial design for the formulation optimization of
    fast dissolving film of Donepezil Hydrochloride
   Evaluation of fast dissolving film
   Analysis of Factorial design results by Design Expert software


    21                                                          9/05/2012
        Name: (RS)-2-[(1-benzyl-4-piperidyl)methyl]-5,6-dimethoxy-
         2,3-dihydroinden-1-one
        Molecular weight: 415.95
        Melting Point : 231-2320C                                  . HCL
        Bioavailability: 100 %
        Solubility: soluble in water
        MoA: centrally acting reversible acetyl cholinesterase inhibitor
        Use: in the treatment of Alzheimer’s disease where it is used
         to increase cortical acetylcholine
        Dose : 5 -10mg, Maximum dose : 23 mg

    22                                                              9/05/2012
23   9/05/2012
24   9/05/2012
Concentration
Sr. No                    Absorbance *              Calibration curve of Donepezil
            (µg/ml)                                        HCl in 0.1 N HCl
  1              …                  …
  2              …                  …
  3              …                  …
  4              …                  …
  5              …                  …
  6              …                  …
  7              …                  …
  8              …                  …

Parameter             Range
Wave Length           …….
Coefficient of        0.999
Correlation
Intercept             0.0336
Equation
  25                  Y= 0.0336x+0.024                                     9/05/2012
                          * Represents mean value
Concentration
Sr. No                    Absorbance*               Calibration curve of Donepezil
            (µg/ml)                                 HCl in Simulated saliva pH 6.8
  1              …                  …
  2              …                  …
  3              …                  …
  4              …                  …
  5              …                  …
  6              …                  …
  7              …                  …
  8              …                  …

Parameter             Range
Wave Length           …. nm
Coefficient of        0.9989
Correlation
Intercept             0.031
Equation
  26                  Y= 0.031x+0.0178                                     9/05/2012
                          * Represents mean value
27   9/05/2012
28   9/05/2012
Sr.
         Name of the Ingredient    Category      Name of Manufacturer Company
No.


1        Donepezil Hydrochloride   Drug          ……………

2        Pullulan                  Polymer       …………….

                                                 …………….
3        HPMC E3,E5,E6,E15         Polymer


4        Polyvinyl Alcohol         Polymer       ……………

5        Glycerol                  Plasticizer   …………….

6        Sucralose                 Sweetener     …………….
    29                                                                  9/05/2012
Sr. No.           Instrument
       1       UV Visible spectrophotometer

       2         FTIR spectrophotometer

       3             Magnetic Stirrer

       4           Dissolution apparatus

       5         Micrometer Screw Gauge

       6            Stability Chamber

30                                            9/05/2012
Ingredient Percentag
Sr. no.            e amount   Examples
            s
                      (%)
   1       Drug       1-23   Antialzheimers etc
                               HPMC,Pullulan,
     2    Polymer      40-50
                               Maltodextinn, Carbopol etc

     3   Plasticizer   25-35   PG,PEG , Sorbitol

     4   Sweetener     2-10    Sucralose, Aspartame
                               Peppermint ,
     5     Flavor       2-5
31
                               Vanilla,Coffee,Chocalate9/05/2012
Evaluated on the
HPMC E3                                                  basis of
                          11 Polymers
           Polymers
                                                    Transparency
HPMC E5
                                                     Film Forming
HPMC E6                Screening of polymers            Capacity
HPMC E15

PULLULAN    Chitosan                                   PVA
                        Pullulan     HPMC
POLYOX
WSR 1105   …………..                  (E3,E5,E6,E15)         (.:….)
                         …….

PVA                                                           PVA
                           X         (.:…………….)
SODIUM
             X
ALGINATE
                                                E
PVP

CHITOSAN                       HPMC E + PVA

GELATIN
                           ………..               ………..            9/05/2012
  32
Plasticizer




     Glycerol
                                               PG



     ……..                   …PEG……
                                               ……..

                            ……….

     Glycerol


            Final Formulation: HPMC E + PVA + Glycerol
33                                                       9/05/2012
Table 1: Effect of the Different polymers on film forming capacity of film
Polymer (2%   E1   E2   E3     E4     E5     E6     E7      E8      E9       E10     E11

W/V)
HPMC E3       √
HPMC E5            √
HPMC E6                 √
HPMC E15                       √
PULLULAN                              √
POLYOX                                       √
WSR 1105
PVA                                                 √
SODIUM                                                      √
ALGINATE
PVP                                                                 √
CHITOSAN                                                                     √
GELATIN                                                                               √
D.W.          √    √    √      √      √      √      √       √       √        (0.1N    √
  34                                                                         HCL)
                                                                                9/05/2012
(…ml)
Table 2: Evaluation of Films prepared by using Explored polymers

                                 *Film forming
Sr No. Polymers Used                               Appearance
                                 capacity
1        HPMC E3                 +++               Transparent
2        HPMC E5                 +++               Transparent
3        HPMC E6                 ++++              Transparent
4        HPMC E15                +++               Transparent
5        PULLULAN                +++++             Very Transparent
6        POLYOX WSR 1105         -                 ----
7        PVA                     +++               Transparent
8        SODIUM ALGINATE         -                 ---
9        PVP K30                 +                 Semitransparent
10       CHITOSAN                +++               Transparent
11       GELATIN                 -                 ----



35                                                                9/05/2012
Table 3: Preparation of Trial batches with Pullulan                     Table 4: Preparation of Trial batches with Chitosan

Sr.No.      Components            P1        P2        P3        P4       Sr.No.    Components            C1        C2    C3   C4
1           Donepezil HCl (mg)    …         …         …         …        1         Donepezil HCl (mg)
2           Pullulan (mg)         …         …         …         …        2         Chitosan (mg)
3           Glycerol (ml)         …         …         …         …        3         Glycerol (ml)
4           PEG 400 (ml)          …         …         …         …        4         PEG 400 (ml)
5           PG (ml)               …         …         …         …        5         PG (ml)

6           D.W. (ml)             …         …         …         …        6         0.1N HCl (ml)


                                                                             Table 6: Preparation of Trial Batches with HPMC E
    Table 5: Preparation of Trial batches with PVA                           series polymer
Sr.No       Components           V1    V2        V3        V4
                                                                     Sr.No.       Components        E1        E2        E3    E4
1           Donepezil HCl (mg)   … …             …         …                      Donepezil HCl
                                                                     1
                                                                                  (mg)
                                                                                                    …         …         …     …
2           PVA (mg)             … …             …         …
                                                                     2            HPMC E3(mg)       …         …         …     …
3           Glycerol (ml)        … …             …         …         3            HPMC E5(mg)       …         …         …     …
4           PEG 400 (ml)         … …             …         …         4            HPMC E6(mg)       …         …         …     …
5           PG (ml)              … …             …         …         5            HPMC E15(mg)      …         …         …     …
6           D.W. (ml)            … …             …         …         6            D.W.(ml)          …         …         …       …
       36                                                                                                               9/05/2012
Table 7: Evaluation of Trial Batches of Pullulan/Chitosan/PVA/HPMC E Series Films
           *All values are mean ± SD, (n=3)
Sr        Formulatio Film          Appearance   Disintegra   Remark
No.       ns             forming                tion Time               Sr                 Film                  Disintegrat
                                                                             Formulati
                         capacit                *(sec)                  No               forming    Appearance    ion Time     Remark
                                                                                ons
                         y                                               .               capacity                   (sec)*

1         P1           Best       Transparent   …            …          1      C1        Average
                                  ++
2         P2           Best       Transparent   …            …          2      C2        Average
                                  ++
3         P3           Best       Transparent   …            …          3      C3        Average
                                  ++
4         P4           Good       Transparent   …            …          4      C4        Average
                                  ++


                                                             Disinteg
                                                                        Sr Formula HP Film Appear Disinte
                         Film                                           N tions    MC formi ance gration
    Sr      Formul                                            ration
                       forming         Appearance
    No.      ations
                       capacity
                                                              Time      o.         grad ng         Time
                                                              (sec)*
                                                                                   es   capac     (sec)*
    1          V1        Good      …                         …                     used ity
    2          V2        Good      …                         …          1    E1            E3
                                                                        2    E2            E5
    3          V3      Average     …                         …
                                                                        3    E3            E6
    4      37 V4       Average     …                         …          4    E4            E15                         9/05/2012
Table 8: Preparation of Trial Films using combinations of HPMC E and PVA
  Sr.No.        Components            M1            M2           M3         M4          M5

  1             Donepezil HCl (mg)    …             …            …          …           …
  2             HPMC E(mg)            …             …            …          …           …
  3             PVA(mg)               …             …            …          …           …
  4             D.W.(ml)              …             …            …          …           …

      Figure 1: The comparative study of M1 to M5        Figure 2: Dissolution profiles of formulations
                      formulation                               containing HPMC E and PVA




      38       Formulations                                                               9/05/2012
Table 10: Preparation of trial films using combinations of HPMC E and PVA with different
                                         plasticizer

Sr.No.        Components              R1         R2     R3         R4      R5       R6    R7      R8
1             Donepezil HCl(mg)       …          …      …          …       …        …     …       …
2             HPMC E…(mg)             …          …      …          …       …        …     …       …
3             PVA(mg)                 …          …      …          …       …        …     …       …
4             Glycerol (ml)           …          …      …          …       …        …     …       …
5             PEG 400 (ml)            …          …      …          …       …        …     …       …
6             PG (ml)                 …          …      …          …       …        …     …       …
7             D.W.(ml)                …          …      …          …       …        …     …       …
    Table 11: Evaluation of Trial Films of HPMC E and PVA with different plasticizer
Sr         Formulation        Appearance          Disintegration        Thickness          Folding
No.             s                                  time (sec)*           (mm)*           endurance*
1              R1             Transparent      …                    …                …
2              R2             Transparent      …                    …                …
3              R3             Transparent      …                    …                …
4              R4          Difficult to remove …                    …                …
5              R5             Transparent      …                    …                …
6              R6             Transparent      …                    …                …
7              R7             Transparent      …                    …                …
      39                                                                                       9/05/2012
8              R8          Difficult to remove …                    …                …
Formulations

     Figure 3: Effect of Plasticizer on Folding Endurance




               Formulations

40
        Figure 4: Effect of Plasticizer on DT               9/05/2012
Plasticizers

                    Figure 6: Films of Different batches




41                                                 9/05/2012
42   9/05/2012
Components           S1     S2     S3   S4   S5   S6   S7   S8        S9

Donepezil HCl
                     …      …      …    …    …    …    …    …         …
(mg)

HPMC (mg)            …      …      …    …    …    …    …    …         …

PVA(mg)              …      …      …    …    …    …    …    …         …
Glycerol (ml)        …      …      …    …    …    …    …    …         …
Sucralose (mg)       …      …      …    …    …    …    …    …         …
D.W.(ml)             …      …      …    …    …    …    …    …         …

** Area of the Final film- 2cm X 2cm
***43
    Dose of drug per film- 5 mg                                  9/05/2012
Table 12: Evaluation Parameter of Factorial Batches of Fast Dissolving Oral Films


     Formulation                                Thickness              Folding
                                Weight of the               Surface
                   Appearance                                         Endurance
         Code                    film (mg)*      (mm)#       pH*
                                                                          *

          S1           …             …             …          …          …
          S2           …             …             …          …          …
          S3           …             …             …          …          …
          S4           …             …             …          …          …
          S5           …             …             …          …          …
          S6           …             …             …          …          …
          S7           …             …             …          …          …
          S8           …             …             …          …          …
          S9           …             …             …          …          …
    44                                                                   9/05/2012
Table 13 : Evaluation of Factorial Batches of Fast Dissolving Oral Films
 Formulation      Tensile strength   Disintegration   Drug content per film (2 x

 Code             (N/mm 2)           Time (sec)       2cm)

                                                      (mg)

 S1
                        …                    …                   …
 S2
                        …                    …                   …
 S3
                        …                    …                   …
 S4
                        …                    …                   …
 S5
                        …                    …                   …
 S6
                        …                    …                   …
 S7
                        …                    …                   …
 S8
                        …                    …                   …
 S9
45                      …                    …                   … 9/05/2012
Time (min)                                 Cumulative % drug release*

                                            0.1 N HCl                   Simulated saliva (pH6.8)
                1
                                                …                                  …
                2
                                                …                                  …
                3
                                                …                                  …
                4
                                                …                                  …
                5
                                                …                                  …




    46                                                                                       9/05/2012
Figure 5: Dissolution profiles of S4 formulations in 0.1 N HCl and in simulated saliva.
Table 14: Dissolution data of factorial batches of fast dissolving oral films

                                     Cumulative % Drug Release
TIME
                                     S4
(Min)      S1       S2      S3                S5        S6       S7    S8         S9


 1         …        …       …       …         …         …        …     …          …

 2         …        …       …       …         …         …        …     …          …

 3         …        …       …       …         …         …        …     …          …

 4         …        …       …       …         …         …        …     …          …

 5         …        …       …       …         …         …        …     …          …

 7         …        …       …       …         …         …        …     …          …

 10        …        …       …       …         …         …        …     …          …
 15        …        …       …       …         …         …        …     …          …


  47                                                                        9/05/2012
Figure 6: Dissolution profiles of formulations S1 TO S9




  48                                               9/05/2012
49   9/05/2012
50   9/05/2012
% D R at 5 min
= +92.38 -… * X1 – …* X2– …. X1*
    X2 –0….. *X12+ 0…..* X22
         (R2 = 0.9659)
  51                               9/05/2012
52   9/05/2012
53   9/05/2012
    The FTIR and DSC study revealed that, polymers and excipients used were
     compatible with drug.
    The Fast dissolving films were formulated using solvent casting technique.
    Amongst all the formulations, formulation containing HPMC E combine
     with PVA as film forming polymer has shown excellent in vitro
     disintegration time and in vitro cumulative percent drug release , compared
     to other formulations.
    Formulation…………………………………………………………………
     …………………….was considered as the best formulation.
    From above discussion, it can be concluded that the successful formation
     and optimization of fast dissolving films of Donepezil HCl using HPMC
     E and PVA. Hence Donepezil Hydrochloride can be conveniently
     administered orally in the form of films

54                                                                       9/05/2012
1.   Aggarwal J, Singh G, Saini S., Fast dissolving films: A novel approach to oral drug delivery. Int
     Res J of Pharm, 2011; 2(12): 69-74.
2.   Arya A, Chandra A, Sharma V, Pathak K, Fast Dissolving Oral Films: An Innovative
     DrugDelivery System and Dosage Form, Int J of ChemTech Research, 2010; 2(1):576-583.
3.   Choudhary D.R., Patel V.A. , Kundawala A.J., Formulation and evaluation of quick dissolving
     Film of levocetirizine dihydrochloride , Int J Pharma Tech ,2011;3 (1) :1740-1749
4.   Cilurzo F., Minghetti P., Buratti S., Selmin F., Chiara G.. Gennari ,  Montanari L., Nicotine Fast
     Dissolving Films Made of Maltodextrins: A Feasibility Study, AAPS PharmSciTech,2010.
5.   Dinge A and Nagarsenker M., Formulation and Evaluation of Fast Dissolving Films for
     Delivery of Triclosan to the Oral Cavity, Ame. Asso. of Pharma Scientists PharmSciTech. ,2008;
     9(2): 349–356.
6.   Dixit R.P.,Puthli S.P., Oral strip technology: Overview and future potential , J of Cont Release,
     2009 ;139: 94–107
7.   Kunte S., Tandale P., Fast dissolving strips: A novel approach for the delivery of verapamil , J
     Pharm Bioallied Sci. , 2010; 2(4): 325–328
8.   Margareth R. C. , Raimar L., May A., Simulated biological fluids with possible application in
     dissolution testing, Dissolution Technologies 18(3):15–28
9.   Reinhart M. , Pivotal Bioequivalence study for Drug Rapidfilm® successfully completed ,
55   Labtec_Press Release_Dummy.rtf dated on 01/14/08                                               9/05/2012
10.   Tripathi K.D. , Essentials of medical pharmacology, 5th ed., Jaypee Brothers Medical
      Publishers ,2009:84,337-340
11.   www.accessdata.fda.gov/scripts/cder/dissolution/dsp_SearchResults_Dissolutions.cf
      m?PrintAll=1
12.   www.aricept.com/
13.   www.drugbank.ca/drugs/DB00843
14.   www.usp.org/sites/default/files/usp_pdf/EN/USPNF/revisions/donepezilhydrochlorid
      e.pdf
15.   www.mims.com/USA/drug/info/Donepezil%20Hydrochloride/Donepezil
      %20Hydrochloride%20Tablet,%20Film%20Coated?type=full
16.   Sau-hung S., Robert D., Lori, Fast dissolving orally consumable films, U.S. Patent
      6,596,298, July 22, 2003.
17.   Rowe R., Sheskey P., Owen S., Handbook of Pharmaceutical Excipients, 5 th ed. The
      Pharmaceutical Press, Grayslake, American Pharmacists Association, Washington
      2006, 5th ed, 301-303 ,346-349, 592-593, 742-743.
18.   Ozaki Y ,Nomoura T., Pullulan binder and its uses., U.S. Patent 5411945, May2, 1995.
56                                                                                 9/05/2012
19.   Raju S., Reddy P., Kumar V., Flash release oral films of metoclopramide hydrochloride for
      pediatric use: formulation and in-vitro evaluation, j. Chem. Pharm. Res., 2011;3(4):636-646
20.   Saini S., Nanda A., Dhari J., Formulation, development & evaluation of oral fast dissolving anti-
      allergic film of levocetrizine dihydrochloride , J. Pharm. Sci. & Res., 2011;3(7):1322-1325
21.   Samita G., Kumar G., Fast dissolving drug delivery and its technologies. The Pharma Innovation
      ,2012; 1(2): 34-39.
22.   Sapkal N., Kilor V., Daud A., Development of fast dissolving oral thin films of ambroxol
      hydrochloride: Effect of formulation variables., J of Adv Pharma Res, 2011; 2(2): 102-109
23.   Gupta M, Patel M. Enhancement of Dissolution Rate of Rapidly Dissolving Film of Meclizine
      hydrochloride By Complexation of Meclizine Hydrochloride with beta Cyclodextrine.J of
      Applied Pharma Sci,2011;1(9):150-153.
24.   Mashru R.C., Sutariya V.B., Sankalia M.G., Parikh P.P,. Development and evaluation of fast
      dissolving film of salbutamol sulphate, Drug Dev Ind Pharm 2005 ; 31 (1) : 25–34
25.   Mishra R, Amin A. Formulation and characterization of rapidly dissolving films of cetirizine
      hydrochloride using pullulan as a film forming agent, Ind J Pharm Edu Res ,2011; 45(1): 71-77.
26.   Prabhu P., Malli R., Koland M., Formulation and evaluation of fast dissolving films of
      levocitirizine

57                                                                                            9/05/2012
1. Patil S. L*., Mahaparale P. R. , Fast Dissolving Oral Films: An Innovative
    Drug Delivery System, published in International Journal of drug
    discovery and medical research, 2012; 1 (1): 39-43.

2 Patil S.L*., . Mahaparale P.R., Screening of the polymers for formulation of
   oral fast dissolving film, published in Inventi Rapid Pharm Tech, 2012 ;
   1 :1,3

3.
     ………………………………………………………………………………
     ……communicated to AAPS PharmSciTech.



58                                                                    9/05/2012
Now…..May be
             Donepezil is
            available in FD
                 Films




59
     Thank You ... .          9/05/2012

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Fast Dissolving Oral Film Of Donepezil HCl By Swapnil Patil

  • 1. 5 sept,2012 Sir, You Guided Me When I Was Lost…. You Supported Me When I Was Weak…. You Have Enlightened me all through….. 1 9/05/2012
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  • 3. Introduction  Literature survey  Objectives  Plan of work  Materials And Methods  Result and Discussions  Conclusion 3  References 9/05/2012
  • 4. Definition:- Oral film It is relatively a new dosage form in which thin film is prepared using hydrophilic polymers rapidly dissolves on tongue or buccal cavity.  Rapid onset of action and improved bioavailability.  Useful for geriatric patients. 4 9/05/2012
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  • 6. Fear Water Choking Dysphagia,Travelling Fragile / Brittle Grittiness Stability Microbial Cont. Pain / infection/inflammation Dosing accuracy 6 9/05/2012 Large Dose
  • 7. Alzheimers Disease Is an irreversible , progressive brain disease that slowly destroys memory & thinking skills and ability to carry out simple task. Cause problems with memory, thinking,& Behavior Symptoms: serious memory loss, Confusion, Behavioral Changes, Difficulty in Speaking/Walking Treatment: Mild to Moderate: Donepezil, Galantamine,rivastigmine Severe: Donepezil , Memantamine 7 9/05/2012
  • 8. Alzheimers Disease Occurs to Geriatric Patients Each and every day Patients has to take Dosage So, Patient compliance is the Key parameter while designing the DDS 8 9/05/2012
  • 9. Patient Compliance : Problems with Conven D.T Liquids MDT FDF DDS tional (Emulsion Tab/Ca /Susp./Syrup) p Water Needed X X X Swallow/Coughing X X X Choking Fear X X X Dosing Accuracy X X X X Vomisis X X Dysphagia X X X Travelling X X X Mechanical X X X Strength Grittiness X X X X Stability X X X X Microbial X X X X Contamination 9 FDF>MDT> Conventional TAB/CAP and Liquids 9/05/2012 X = No problems….DDS
  • 10. Alzheimer's Disease 26.5 millions patients in 2006 Market $ 6 Billions in 2011 in 7 major markets Molecule available for mild to severe Alzheimer So, DONEPEZIl is the undisputed market leader 10 9/05/2012
  • 11. Tab/MDT-Available in India FDF- Not available in India Donepezil Hydrochlorid e 11 9/05/2012
  • 12. Sr AUTHOR TOPIC STUDY 1. Aggarwal J. et A Comparative investigation Polymers: HPMC E15; Gelatin, al1 on different polymers Sodium alginate and polyvinyl alcohol , employed in the formulation pullulan of Higher concentration of polymer oral fast dissolving films and plasticizer resulted in increased disintegration time 2 Kunte S et al7 Fast dissolving strips: A oral strips formulated with different novel approach for the concentrations of HPMC E6 and delivery of verapamil maltodextrin found to disintegrate in less than 30 seconds. 3 Dinge A. et al5 Formulation and Evaluation  HPMC and xanthan gum of Fast Dissolving Films for successfully taste masked by the use Delivery of Triclosan to the of poloxamer 407 and eugenol Oral Cavity (HPBCD) to improve solubility of TC 12 9/05/2012
  • 13. Literature survey………. Sr AUTHOR TOPIC STUDY 4 Raju S et al 19 Flash release oral films of  HPMC , CMC metoclopramide hydrochloride This case study showed that for pediatric use: formulation hydroxypropyl methyl cellulose was the and in-vitro evaluation most suitable film-forming material for metoclopramide -loaded films, providing fast dissolution films that were not sticky and were easy to handle. 5 Saini S et al20 Fast dissolving film of 22 factorial design levocetrizine dihydrochloride prepared by solvent casting method by using Maltodextrin & HPMC E15 6 Cilurzo F. et Nicotine Fast Dissolving Films  The 'mint' and 'licorice' flavors al4 Made of Maltodextrins and sucralose mixture resulted appropriate to mask DS bitterness TMAs did not significantly affect the film disintegration time and 13 dissolution rate 9/05/2012
  • 14. Literature survey………. Sr AUTHOR TOPIC STUDY 7 Choudhry et al3 Formulation and solvent casting technique evaluation of quick carboxy methyl cellulose, hydroxy dissolving Film of propyl methyl cellulose and hydroxy levocetirizine propyl cellulose dihydrochloride . Neotame masked the bitter taste of levocetirizine dihydrochloride 8 Prabhu P. et al26 Formulation and marked increase in the dissolution rate evaluation of fast was exhibited by FDF of levocetirizine dissolving films of dihydrochloride containing HPMC as levocitirizine di a polymer, when compared to hydrochloride conventional tablets. 9 Amin A et L 25 Formulation and Pullulan characterization of Solvent casting rapidly dissolving films bitter taste masking was achieved by of cetirizine use of sweeteners- Aspartame, hydrochloride using sucralose pullulan as a film  dissolution media namely 0.1N HCl forming agent and simulated saliva (500ml) 14 9/05/2012
  • 15. Sr AUTHOR TOPIC STUDY 10 Mashru et al24 Development and salbutamol sulphate and polyvinyl Evaluation of Fast alcohol Dissolving Film of 33 factorial design Salbutamol Sulphate Simulated saliva (300 mL) using USP Apparatus 2 (paddles). 11 Reinhart Martin et Pivotal On the basis of bioequivalence assessed al9 Bioequivalence study in this pivotal study, therapeutic for Ondansetron equivalence between Ondansetron Rapidfilm® RapidFilm™ and Zofran ODT® could successfully successfully be demonstrated completed 15 9/05/2012
  • 16. To formulate and evaluate oral fast dissolving films of Donepezil HCl  To study compatibility of Donepezil HCl with excipients  To study the effect of different polymers on film forming capacity and plasticizers on the release of Donepezil HCl  To prepare the optimized oral fast dissolving film formulation of Donepezil HCl by response surface methodology, Design Expert software 16 9/05/2012
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  • 19. Usefulness  Useful for geriatric patients  Useful for uncooperative and admitted patients  In travelling cases, Patients suffering from vomisis, Dysphagia patients : FDF is better than conventional tablets 19 9/05/2012
  • 20. Literature survey  Selection and procurement of drug and excipients  Preformulation study including characterization of drugs  Identification of the drug  Melting point  UV spectrum  FTIR spectrum  DSC study  Calibration curve of Donepezil Hydrochloride in 0.1 N HCl and in Simulated saliva pH 6.8 by UV spectrophotometer  20 Drug - excipients compatibility study 9/05/2012
  • 21. Formulation development of fast dissolving film  Formulation design for selection and optimization of film forming polymer concentration  Use of Factorial design for the formulation optimization of fast dissolving film of Donepezil Hydrochloride  Evaluation of fast dissolving film  Analysis of Factorial design results by Design Expert software 21 9/05/2012
  • 22. Name: (RS)-2-[(1-benzyl-4-piperidyl)methyl]-5,6-dimethoxy- 2,3-dihydroinden-1-one  Molecular weight: 415.95  Melting Point : 231-2320C . HCL  Bioavailability: 100 %  Solubility: soluble in water  MoA: centrally acting reversible acetyl cholinesterase inhibitor  Use: in the treatment of Alzheimer’s disease where it is used to increase cortical acetylcholine  Dose : 5 -10mg, Maximum dose : 23 mg 22 9/05/2012
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  • 25. Concentration Sr. No Absorbance * Calibration curve of Donepezil (µg/ml) HCl in 0.1 N HCl 1 … … 2 … … 3 … … 4 … … 5 … … 6 … … 7 … … 8 … … Parameter Range Wave Length ……. Coefficient of 0.999 Correlation Intercept 0.0336 Equation 25 Y= 0.0336x+0.024 9/05/2012 * Represents mean value
  • 26. Concentration Sr. No Absorbance* Calibration curve of Donepezil (µg/ml) HCl in Simulated saliva pH 6.8 1 … … 2 … … 3 … … 4 … … 5 … … 6 … … 7 … … 8 … … Parameter Range Wave Length …. nm Coefficient of 0.9989 Correlation Intercept 0.031 Equation 26 Y= 0.031x+0.0178 9/05/2012 * Represents mean value
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  • 29. Sr. Name of the Ingredient Category Name of Manufacturer Company No. 1 Donepezil Hydrochloride Drug …………… 2 Pullulan Polymer ……………. ……………. 3 HPMC E3,E5,E6,E15 Polymer 4 Polyvinyl Alcohol Polymer …………… 5 Glycerol Plasticizer ……………. 6 Sucralose Sweetener ……………. 29 9/05/2012
  • 30. Sr. No. Instrument 1 UV Visible spectrophotometer 2 FTIR spectrophotometer 3 Magnetic Stirrer 4 Dissolution apparatus 5 Micrometer Screw Gauge 6 Stability Chamber 30 9/05/2012
  • 31. Ingredient Percentag Sr. no. e amount Examples s (%) 1 Drug 1-23 Antialzheimers etc HPMC,Pullulan, 2 Polymer 40-50 Maltodextinn, Carbopol etc 3 Plasticizer 25-35 PG,PEG , Sorbitol 4 Sweetener 2-10 Sucralose, Aspartame Peppermint , 5 Flavor 2-5 31 Vanilla,Coffee,Chocalate9/05/2012
  • 32. Evaluated on the HPMC E3 basis of 11 Polymers Polymers Transparency HPMC E5 Film Forming HPMC E6 Screening of polymers Capacity HPMC E15 PULLULAN Chitosan PVA Pullulan HPMC POLYOX WSR 1105 ………….. (E3,E5,E6,E15) (.:….) ……. PVA PVA X (.:…………….) SODIUM X ALGINATE E PVP CHITOSAN HPMC E + PVA GELATIN ……….. ……….. 9/05/2012 32
  • 33. Plasticizer Glycerol PG …….. …PEG…… …….. ………. Glycerol Final Formulation: HPMC E + PVA + Glycerol 33 9/05/2012
  • 34. Table 1: Effect of the Different polymers on film forming capacity of film Polymer (2% E1 E2 E3 E4 E5 E6 E7 E8 E9 E10 E11 W/V) HPMC E3 √ HPMC E5 √ HPMC E6 √ HPMC E15 √ PULLULAN √ POLYOX √ WSR 1105 PVA √ SODIUM √ ALGINATE PVP √ CHITOSAN √ GELATIN √ D.W. √ √ √ √ √ √ √ √ √ (0.1N √ 34 HCL) 9/05/2012 (…ml)
  • 35. Table 2: Evaluation of Films prepared by using Explored polymers *Film forming Sr No. Polymers Used Appearance capacity 1 HPMC E3 +++ Transparent 2 HPMC E5 +++ Transparent 3 HPMC E6 ++++ Transparent 4 HPMC E15 +++ Transparent 5 PULLULAN +++++ Very Transparent 6 POLYOX WSR 1105 - ---- 7 PVA +++ Transparent 8 SODIUM ALGINATE - --- 9 PVP K30 + Semitransparent 10 CHITOSAN +++ Transparent 11 GELATIN - ---- 35 9/05/2012
  • 36. Table 3: Preparation of Trial batches with Pullulan Table 4: Preparation of Trial batches with Chitosan Sr.No. Components P1 P2 P3 P4 Sr.No. Components C1 C2 C3 C4 1 Donepezil HCl (mg) … … … … 1 Donepezil HCl (mg) 2 Pullulan (mg) … … … … 2 Chitosan (mg) 3 Glycerol (ml) … … … … 3 Glycerol (ml) 4 PEG 400 (ml) … … … … 4 PEG 400 (ml) 5 PG (ml) … … … … 5 PG (ml) 6 D.W. (ml) … … … … 6 0.1N HCl (ml) Table 6: Preparation of Trial Batches with HPMC E Table 5: Preparation of Trial batches with PVA series polymer Sr.No Components V1 V2 V3 V4 Sr.No. Components E1 E2 E3 E4 1 Donepezil HCl (mg) … … … … Donepezil HCl 1 (mg) … … … … 2 PVA (mg) … … … … 2 HPMC E3(mg) … … … … 3 Glycerol (ml) … … … … 3 HPMC E5(mg) … … … … 4 PEG 400 (ml) … … … … 4 HPMC E6(mg) … … … … 5 PG (ml) … … … … 5 HPMC E15(mg) … … … … 6 D.W. (ml) … … … … 6 D.W.(ml) … … … … 36 9/05/2012
  • 37. Table 7: Evaluation of Trial Batches of Pullulan/Chitosan/PVA/HPMC E Series Films *All values are mean ± SD, (n=3) Sr Formulatio Film Appearance Disintegra Remark No. ns forming tion Time Sr Film Disintegrat Formulati capacit *(sec) No forming Appearance ion Time Remark ons y . capacity (sec)* 1 P1 Best Transparent … … 1 C1 Average ++ 2 P2 Best Transparent … … 2 C2 Average ++ 3 P3 Best Transparent … … 3 C3 Average ++ 4 P4 Good Transparent … … 4 C4 Average ++ Disinteg Sr Formula HP Film Appear Disinte Film N tions MC formi ance gration Sr Formul ration forming Appearance No. ations capacity Time o. grad ng Time (sec)* es capac (sec)* 1 V1 Good … … used ity 2 V2 Good … … 1 E1 E3 2 E2 E5 3 V3 Average … … 3 E3 E6 4 37 V4 Average … … 4 E4 E15 9/05/2012
  • 38. Table 8: Preparation of Trial Films using combinations of HPMC E and PVA Sr.No. Components M1 M2 M3 M4 M5 1 Donepezil HCl (mg) … … … … … 2 HPMC E(mg) … … … … … 3 PVA(mg) … … … … … 4 D.W.(ml) … … … … … Figure 1: The comparative study of M1 to M5 Figure 2: Dissolution profiles of formulations formulation containing HPMC E and PVA 38 Formulations 9/05/2012
  • 39. Table 10: Preparation of trial films using combinations of HPMC E and PVA with different plasticizer Sr.No. Components R1 R2 R3 R4 R5 R6 R7 R8 1 Donepezil HCl(mg) … … … … … … … … 2 HPMC E…(mg) … … … … … … … … 3 PVA(mg) … … … … … … … … 4 Glycerol (ml) … … … … … … … … 5 PEG 400 (ml) … … … … … … … … 6 PG (ml) … … … … … … … … 7 D.W.(ml) … … … … … … … … Table 11: Evaluation of Trial Films of HPMC E and PVA with different plasticizer Sr Formulation Appearance Disintegration Thickness Folding No. s time (sec)* (mm)* endurance* 1 R1 Transparent … … … 2 R2 Transparent … … … 3 R3 Transparent … … … 4 R4 Difficult to remove … … … 5 R5 Transparent … … … 6 R6 Transparent … … … 7 R7 Transparent … … … 39 9/05/2012 8 R8 Difficult to remove … … …
  • 40. Formulations Figure 3: Effect of Plasticizer on Folding Endurance Formulations 40 Figure 4: Effect of Plasticizer on DT 9/05/2012
  • 41. Plasticizers Figure 6: Films of Different batches 41 9/05/2012
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  • 43. Components S1 S2 S3 S4 S5 S6 S7 S8 S9 Donepezil HCl … … … … … … … … … (mg) HPMC (mg) … … … … … … … … … PVA(mg) … … … … … … … … … Glycerol (ml) … … … … … … … … … Sucralose (mg) … … … … … … … … … D.W.(ml) … … … … … … … … … ** Area of the Final film- 2cm X 2cm ***43 Dose of drug per film- 5 mg 9/05/2012
  • 44. Table 12: Evaluation Parameter of Factorial Batches of Fast Dissolving Oral Films Formulation Thickness Folding Weight of the Surface Appearance Endurance Code film (mg)* (mm)# pH* * S1 … … … … … S2 … … … … … S3 … … … … … S4 … … … … … S5 … … … … … S6 … … … … … S7 … … … … … S8 … … … … … S9 … … … … … 44 9/05/2012
  • 45. Table 13 : Evaluation of Factorial Batches of Fast Dissolving Oral Films Formulation Tensile strength Disintegration Drug content per film (2 x Code (N/mm 2) Time (sec) 2cm) (mg) S1 … … … S2 … … … S3 … … … S4 … … … S5 … … … S6 … … … S7 … … … S8 … … … S9 45 … … … 9/05/2012
  • 46. Time (min) Cumulative % drug release* 0.1 N HCl Simulated saliva (pH6.8) 1 … … 2 … … 3 … … 4 … … 5 … … 46 9/05/2012 Figure 5: Dissolution profiles of S4 formulations in 0.1 N HCl and in simulated saliva.
  • 47. Table 14: Dissolution data of factorial batches of fast dissolving oral films Cumulative % Drug Release TIME S4 (Min) S1 S2 S3 S5 S6 S7 S8 S9 1 … … … … … … … … … 2 … … … … … … … … … 3 … … … … … … … … … 4 … … … … … … … … … 5 … … … … … … … … … 7 … … … … … … … … … 10 … … … … … … … … … 15 … … … … … … … … … 47 9/05/2012
  • 48. Figure 6: Dissolution profiles of formulations S1 TO S9 48 9/05/2012
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  • 51. % D R at 5 min = +92.38 -… * X1 – …* X2– …. X1* X2 –0….. *X12+ 0…..* X22 (R2 = 0.9659) 51 9/05/2012
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  • 54. The FTIR and DSC study revealed that, polymers and excipients used were compatible with drug.  The Fast dissolving films were formulated using solvent casting technique.  Amongst all the formulations, formulation containing HPMC E combine with PVA as film forming polymer has shown excellent in vitro disintegration time and in vitro cumulative percent drug release , compared to other formulations.  Formulation………………………………………………………………… …………………….was considered as the best formulation.  From above discussion, it can be concluded that the successful formation and optimization of fast dissolving films of Donepezil HCl using HPMC E and PVA. Hence Donepezil Hydrochloride can be conveniently administered orally in the form of films 54 9/05/2012
  • 55. 1. Aggarwal J, Singh G, Saini S., Fast dissolving films: A novel approach to oral drug delivery. Int Res J of Pharm, 2011; 2(12): 69-74. 2. Arya A, Chandra A, Sharma V, Pathak K, Fast Dissolving Oral Films: An Innovative DrugDelivery System and Dosage Form, Int J of ChemTech Research, 2010; 2(1):576-583. 3. Choudhary D.R., Patel V.A. , Kundawala A.J., Formulation and evaluation of quick dissolving Film of levocetirizine dihydrochloride , Int J Pharma Tech ,2011;3 (1) :1740-1749 4. Cilurzo F., Minghetti P., Buratti S., Selmin F., Chiara G.. Gennari ,  Montanari L., Nicotine Fast Dissolving Films Made of Maltodextrins: A Feasibility Study, AAPS PharmSciTech,2010. 5. Dinge A and Nagarsenker M., Formulation and Evaluation of Fast Dissolving Films for Delivery of Triclosan to the Oral Cavity, Ame. Asso. of Pharma Scientists PharmSciTech. ,2008; 9(2): 349–356. 6. Dixit R.P.,Puthli S.P., Oral strip technology: Overview and future potential , J of Cont Release, 2009 ;139: 94–107 7. Kunte S., Tandale P., Fast dissolving strips: A novel approach for the delivery of verapamil , J Pharm Bioallied Sci. , 2010; 2(4): 325–328 8. Margareth R. C. , Raimar L., May A., Simulated biological fluids with possible application in dissolution testing, Dissolution Technologies 18(3):15–28 9. Reinhart M. , Pivotal Bioequivalence study for Drug Rapidfilm® successfully completed , 55 Labtec_Press Release_Dummy.rtf dated on 01/14/08 9/05/2012
  • 56. 10. Tripathi K.D. , Essentials of medical pharmacology, 5th ed., Jaypee Brothers Medical Publishers ,2009:84,337-340 11. www.accessdata.fda.gov/scripts/cder/dissolution/dsp_SearchResults_Dissolutions.cf m?PrintAll=1 12. www.aricept.com/ 13. www.drugbank.ca/drugs/DB00843 14. www.usp.org/sites/default/files/usp_pdf/EN/USPNF/revisions/donepezilhydrochlorid e.pdf 15. www.mims.com/USA/drug/info/Donepezil%20Hydrochloride/Donepezil %20Hydrochloride%20Tablet,%20Film%20Coated?type=full 16. Sau-hung S., Robert D., Lori, Fast dissolving orally consumable films, U.S. Patent 6,596,298, July 22, 2003. 17. Rowe R., Sheskey P., Owen S., Handbook of Pharmaceutical Excipients, 5 th ed. The Pharmaceutical Press, Grayslake, American Pharmacists Association, Washington 2006, 5th ed, 301-303 ,346-349, 592-593, 742-743. 18. Ozaki Y ,Nomoura T., Pullulan binder and its uses., U.S. Patent 5411945, May2, 1995. 56 9/05/2012
  • 57. 19. Raju S., Reddy P., Kumar V., Flash release oral films of metoclopramide hydrochloride for pediatric use: formulation and in-vitro evaluation, j. Chem. Pharm. Res., 2011;3(4):636-646 20. Saini S., Nanda A., Dhari J., Formulation, development & evaluation of oral fast dissolving anti- allergic film of levocetrizine dihydrochloride , J. Pharm. Sci. & Res., 2011;3(7):1322-1325 21. Samita G., Kumar G., Fast dissolving drug delivery and its technologies. The Pharma Innovation ,2012; 1(2): 34-39. 22. Sapkal N., Kilor V., Daud A., Development of fast dissolving oral thin films of ambroxol hydrochloride: Effect of formulation variables., J of Adv Pharma Res, 2011; 2(2): 102-109 23. Gupta M, Patel M. Enhancement of Dissolution Rate of Rapidly Dissolving Film of Meclizine hydrochloride By Complexation of Meclizine Hydrochloride with beta Cyclodextrine.J of Applied Pharma Sci,2011;1(9):150-153. 24. Mashru R.C., Sutariya V.B., Sankalia M.G., Parikh P.P,. Development and evaluation of fast dissolving film of salbutamol sulphate, Drug Dev Ind Pharm 2005 ; 31 (1) : 25–34 25. Mishra R, Amin A. Formulation and characterization of rapidly dissolving films of cetirizine hydrochloride using pullulan as a film forming agent, Ind J Pharm Edu Res ,2011; 45(1): 71-77. 26. Prabhu P., Malli R., Koland M., Formulation and evaluation of fast dissolving films of levocitirizine 57 9/05/2012
  • 58. 1. Patil S. L*., Mahaparale P. R. , Fast Dissolving Oral Films: An Innovative Drug Delivery System, published in International Journal of drug discovery and medical research, 2012; 1 (1): 39-43. 2 Patil S.L*., . Mahaparale P.R., Screening of the polymers for formulation of oral fast dissolving film, published in Inventi Rapid Pharm Tech, 2012 ; 1 :1,3 3. ……………………………………………………………………………… ……communicated to AAPS PharmSciTech. 58 9/05/2012
  • 59. Now…..May be Donepezil is available in FD Films 59 Thank You ... . 9/05/2012