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GASTRO RETENTIVE DRUG DELIVERY
SYSTEM - ADVANTAGES, LIMITATIONS AND
DIFFERENT APPROACHES

Dr.K.Umasankar.,M.Pharm.,Ph.D.,FAGE
Krishna Teja Pharmacy College
Tirupathi
Email:- umasankar73@gmail.com
1
CONTENTS
 Introduction
 Appropriate Candidate Drugs For GRDDS
 Advantages
 Limitations
 Approaches
 Conclusion
 References

2
INTRODUCTION
• Oral Drug Delivery is widely used in pharmaceutical field to treat the diseases.
• Some drugs are absorbed at specific site only these require release at that
specific site.
• Gastro Retentive Drug Delivery(GRDDS) is one of the site specific drug
delivery for the delivery of the drugs at stomach.
• Retaining the Dosage Form in stomach and drug is being released at
controlled manner at specific site

3
APPROPRIATE CANDIDATE DRUGS FOR GRDDS
• Drugs - acting locally in the stomach.

E.g. Antacids and drugs for H. Pylori viz.,

Misoprostol.

• Drugs - primarily absorbed in the stomach.
E.g. Amoxicillin
• Drugs - poorly soluble at alkaline pH.
E.g. Furosamide, Diazepam, Verapamil, etc.
• Drugs - with a narrow absorption window.
E.g. Cyclosporine, , Levodopa, Methotrexate etc.
•

Drugs - absorbed rapidly from the GI tract.
E.g. Metronidazole, tetracycline.

• Drugs that degrade in the colon.
E.g. Ranitidine, Metformin.
• Drugs that disturb normal colonic microbes
E.g. antibiotics against Helicobacter pylori.

4
ADVANTAGES
 Enhanced bioavailability
 Sustained drug delivery/reduced frequency
of Dosing
 Targeted therapy for local ailments in the
upper GIT
 Reduced fluctuations of drug concentration
 Improved selectivity in receptor activation
 Reduced counter-activity of the body
 Extended effective concentration.
 Minimized adverse activity at the colon.
5
LIMITATIONS


The drug substances that are unstable in the acidic environment of the
stomach are not suitable candidates to be incorporated in the systems.



These systems require a high level of fluid in the stomach for drug delivery to

float and work efficiently.


Not suitable for drugs that have solubility or stability problem in GIT.



Drugs which are irritant to gastric mucosa are also not suitable



These systems do not offer significant advantages over the conventional dosage
forms for drugs, which are absorbed throughout GIT.

6
APPROACHES FOR PROLONGING THE
GASTRIC RESIDENCE TIME
High-density systems. (HDS)

•

Floating systems. (FS)

•

Swelling and expanding

S
S

A
S

•

F
S

HDS

systems. (SS)
•

Mucoadhesive & Bioadhesive
systems. (AS)

7
CLASSIFICATION

8
HIGH DENSITY SYSTEM
• Gastric contents have a density close to water (1.004 g cm−3). When
the patient take high-density pellets, they sink to the bottom of the
stomach where they become entrapped in the folds of the antrum
and withstand the peristaltic waves of the stomach wall.
• A density close to 2.5 g cm−3 seems necessary for significant
prolongation of gastric residence time.
• Barium sulphate, zinc oxide, iron powder, and titanium dioxide
are examples for excipients used.

9
FLOATING DRUG DELIVERY
These have a bulk density lower than the gastric content. They remain buoyant in the
stomach for a prolonged period of time, with the potential for continuous release of drug.
They Include:

 Hydrodynamically balanced systems (HBS)
 Gas-generating systems
 Volatile liquid/ vacuum containing systems
 Raft-forming systems
 Low-density systems

10
GAS GENERATING SYSTEMS
• Carbonates or bicarbonates, which react with
gastric acid or any other acid (e.g., citric or
tartaric) present in the formulation to produce
CO 2 , are usually incorporated in the dosage
form, thus reducing the density of the system
and making it float on the media.

11
MATRIX TABLETS
Single layer matrix tablet is prepared by
incorporating bicarbonates in matrix forming
hydrocolloid gelling agent like HPMC, Chitosin,
Alginate or other polymers and drug.
Bilayer tablet can also be prepared by gas
generating matrix in one layer and second layer
with drug for its SR effect.
Triple layer tablet also prepared having first
swellable floating layer with bicarbonates, second
sustained release layer of drug and third rapid
dissolving layer of bismuth salt.
12
INFLATABLE GASTROINTESTINAL DELIVERY
•

System is incorporated with an inflatable
chamber which contains liquid ether - gasifies
at body temperature to cause the chamber to
inflate in stomach.

•

Inflatable chamber is loaded with a drug
reservoir which can be a drug, impregnated
polymeric then encapsulated
in a gelatin capsule.
13
INTRAGASTRIC OSMOTICALLY CONTROLLED DDS


Comprised of both an osmotic pressure controlled drug delivery device and an
inflatable floating support in a biodegradable capsule.



In stomach, the capsule quickly disintegrates and release the intragastric
osmotically controlled drug delivery device.



Inflatable support forms a deformable hollow polymeric bag containing liquid
that gasifies at body temperature to inflate the bag.

Consists of 2 compartments:
•

Drug reservoir

•

Osmotically active compartment.

14
INTRA-GASTRIC FLOATING
GASTROINTESTINAL DRUG DELIVERY
SYSTEMS
System can be float by flotation chamber, which may be vacuum or
filled with air or a harmless gas
Drug reservoir is
encapsulated inside
a microporous
compartment

15
HYDRODYNAMICALLY BALANCED SYSYTEMS
 Prepared by incorporating a high level (20-75%w/w) gel-forming
hydrocolloids. e.g.:- Hydoxyethylcellulose, hydroxypropylcellulose,
HPMC & Sod. CMC into the formulation and then compressing these
granules into a tablets or capsules.


It maintains the bulk density less than 1.

16
RAFT FORMING SYSTEM
This system is used for delivery of antacids and drug delivery for treatment of
gastrointestinal infections and disorders.
The mechanism involved in this system includes the formation of a viscous cohesive
gel in contact with gastric fluids, forming a continuous layer called raft.

17
HOLLOW MICROSPHERES
Polymers used commonly: Polycarbonates, Cellulose acetate, Calcium alginate,
Eudragit S, agar and methoxylated pectin etc.

18
ALGINATE BEADS

• Prepared by dropping
sodium alginate
solution into aqueous
solution of calcium
chloride, causing the
precipitation of calcium
alginate
• Freeze dry in liquid
nitrogen at -40 o c for
24h.
• Beads-spherical and
2.5 mm in diameter.

SUPERPOROUS HYDROGELS

Swellable agents have pore
size ranging between 10nm
to 10µm.
Superporous hydrogels will
swell more than the swelling
ratio 100,
This is achieved by coformulation of a hydrophilic
particulate material, and AcDi-Sol (crosscarmellose).

19
EXPANDABLE SYSTEMS
1.UNFOLDED SYSTEMS

2.SWELLABLE SYSTEMS

 The swelling is usually results
from osmotic absorption of
water.
 The device gradually
decreases in volume and
rigidity as a result depletion of
drug and expanding agent
and/or bioerosion of polymer
layer, enabling its elimination.

20
MUCOADHESIVE SYSTEMS
• The basis of mucoadhesion is that a dosage form can stick
to the mucosal surface by different mechanisms.
• Examples for Materials commonly used for bioadhesion are
poly (acrylic acid) (Carbopol®, polycarbophil), chitosin,
Gantrez® (Polymethyl vinyl ether/maleic anhydride
copolymers), cholestyramine, tragacanth, sodium alginate

21
MAGNETIC SYSTEM
Based upon the principle that dosage form contains
a small internal magnet, and a magnet placed on the
abdomen over the position of stomach can enhance
the GRT.

22
Marketed Products of GRDDS
Brand name

Delivery system

Drug (dose)

Company
name

Valrelease®

Floating capsule

Diazepam (15mg)

Hoffmann-LaRoche,
USA

Madopar® HBS
(Prolopa® HBS)

Floating, CR capsule

Benserazide (25mg) and Ldopa (100mg)

Roche Products,
USA

Liquid Gaviscon®

Effervescent Floating
liquid alginate
preparations

Al hydroxide (95 mg), Mg
Carbonate (358 mg)

GlaxoSmithkline,
India

Topalkan®

Floating liquid alginate
Preparation

Al – Mg antacid

Pierre Fabre Drug,
France

Conviron®

Colloidal gel forming
FDDS

Ferrous sulphate

Ranbaxy, India

Cytotech®

Bilayer floating capsule

Misoprostol (100μg/200μg)

Pharmacia, USA

Cifran OD®

Gas-generating floating
form

Ciprofloxacin (1gm)

Ranbaxy, India

23
CONCLUSION
• Gastro retentive drug delivery systems have
emerged as a current approach of controlled
delivery of drugs that exhibit an absorption window .
• All these drug delivery systems have their own
advantages and drawbacks.
• To design a successful GRDDS, it is necessary to
take into consideration the physicochemical
properties of the drug, physiological events in the
GIT, formulation strategies, and correct combination
of drug and excipients.

24
25

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Gastrorentive drug delivery systems

  • 1. GASTRO RETENTIVE DRUG DELIVERY SYSTEM - ADVANTAGES, LIMITATIONS AND DIFFERENT APPROACHES Dr.K.Umasankar.,M.Pharm.,Ph.D.,FAGE Krishna Teja Pharmacy College Tirupathi Email:- umasankar73@gmail.com 1
  • 2. CONTENTS  Introduction  Appropriate Candidate Drugs For GRDDS  Advantages  Limitations  Approaches  Conclusion  References 2
  • 3. INTRODUCTION • Oral Drug Delivery is widely used in pharmaceutical field to treat the diseases. • Some drugs are absorbed at specific site only these require release at that specific site. • Gastro Retentive Drug Delivery(GRDDS) is one of the site specific drug delivery for the delivery of the drugs at stomach. • Retaining the Dosage Form in stomach and drug is being released at controlled manner at specific site 3
  • 4. APPROPRIATE CANDIDATE DRUGS FOR GRDDS • Drugs - acting locally in the stomach. E.g. Antacids and drugs for H. Pylori viz., Misoprostol. • Drugs - primarily absorbed in the stomach. E.g. Amoxicillin • Drugs - poorly soluble at alkaline pH. E.g. Furosamide, Diazepam, Verapamil, etc. • Drugs - with a narrow absorption window. E.g. Cyclosporine, , Levodopa, Methotrexate etc. • Drugs - absorbed rapidly from the GI tract. E.g. Metronidazole, tetracycline. • Drugs that degrade in the colon. E.g. Ranitidine, Metformin. • Drugs that disturb normal colonic microbes E.g. antibiotics against Helicobacter pylori. 4
  • 5. ADVANTAGES  Enhanced bioavailability  Sustained drug delivery/reduced frequency of Dosing  Targeted therapy for local ailments in the upper GIT  Reduced fluctuations of drug concentration  Improved selectivity in receptor activation  Reduced counter-activity of the body  Extended effective concentration.  Minimized adverse activity at the colon. 5
  • 6. LIMITATIONS  The drug substances that are unstable in the acidic environment of the stomach are not suitable candidates to be incorporated in the systems.  These systems require a high level of fluid in the stomach for drug delivery to float and work efficiently.  Not suitable for drugs that have solubility or stability problem in GIT.  Drugs which are irritant to gastric mucosa are also not suitable  These systems do not offer significant advantages over the conventional dosage forms for drugs, which are absorbed throughout GIT. 6
  • 7. APPROACHES FOR PROLONGING THE GASTRIC RESIDENCE TIME High-density systems. (HDS) • Floating systems. (FS) • Swelling and expanding S S A S • F S HDS systems. (SS) • Mucoadhesive & Bioadhesive systems. (AS) 7
  • 9. HIGH DENSITY SYSTEM • Gastric contents have a density close to water (1.004 g cm−3). When the patient take high-density pellets, they sink to the bottom of the stomach where they become entrapped in the folds of the antrum and withstand the peristaltic waves of the stomach wall. • A density close to 2.5 g cm−3 seems necessary for significant prolongation of gastric residence time. • Barium sulphate, zinc oxide, iron powder, and titanium dioxide are examples for excipients used. 9
  • 10. FLOATING DRUG DELIVERY These have a bulk density lower than the gastric content. They remain buoyant in the stomach for a prolonged period of time, with the potential for continuous release of drug. They Include:  Hydrodynamically balanced systems (HBS)  Gas-generating systems  Volatile liquid/ vacuum containing systems  Raft-forming systems  Low-density systems 10
  • 11. GAS GENERATING SYSTEMS • Carbonates or bicarbonates, which react with gastric acid or any other acid (e.g., citric or tartaric) present in the formulation to produce CO 2 , are usually incorporated in the dosage form, thus reducing the density of the system and making it float on the media. 11
  • 12. MATRIX TABLETS Single layer matrix tablet is prepared by incorporating bicarbonates in matrix forming hydrocolloid gelling agent like HPMC, Chitosin, Alginate or other polymers and drug. Bilayer tablet can also be prepared by gas generating matrix in one layer and second layer with drug for its SR effect. Triple layer tablet also prepared having first swellable floating layer with bicarbonates, second sustained release layer of drug and third rapid dissolving layer of bismuth salt. 12
  • 13. INFLATABLE GASTROINTESTINAL DELIVERY • System is incorporated with an inflatable chamber which contains liquid ether - gasifies at body temperature to cause the chamber to inflate in stomach. • Inflatable chamber is loaded with a drug reservoir which can be a drug, impregnated polymeric then encapsulated in a gelatin capsule. 13
  • 14. INTRAGASTRIC OSMOTICALLY CONTROLLED DDS  Comprised of both an osmotic pressure controlled drug delivery device and an inflatable floating support in a biodegradable capsule.  In stomach, the capsule quickly disintegrates and release the intragastric osmotically controlled drug delivery device.  Inflatable support forms a deformable hollow polymeric bag containing liquid that gasifies at body temperature to inflate the bag. Consists of 2 compartments: • Drug reservoir • Osmotically active compartment. 14
  • 15. INTRA-GASTRIC FLOATING GASTROINTESTINAL DRUG DELIVERY SYSTEMS System can be float by flotation chamber, which may be vacuum or filled with air or a harmless gas Drug reservoir is encapsulated inside a microporous compartment 15
  • 16. HYDRODYNAMICALLY BALANCED SYSYTEMS  Prepared by incorporating a high level (20-75%w/w) gel-forming hydrocolloids. e.g.:- Hydoxyethylcellulose, hydroxypropylcellulose, HPMC & Sod. CMC into the formulation and then compressing these granules into a tablets or capsules.  It maintains the bulk density less than 1. 16
  • 17. RAFT FORMING SYSTEM This system is used for delivery of antacids and drug delivery for treatment of gastrointestinal infections and disorders. The mechanism involved in this system includes the formation of a viscous cohesive gel in contact with gastric fluids, forming a continuous layer called raft. 17
  • 18. HOLLOW MICROSPHERES Polymers used commonly: Polycarbonates, Cellulose acetate, Calcium alginate, Eudragit S, agar and methoxylated pectin etc. 18
  • 19. ALGINATE BEADS • Prepared by dropping sodium alginate solution into aqueous solution of calcium chloride, causing the precipitation of calcium alginate • Freeze dry in liquid nitrogen at -40 o c for 24h. • Beads-spherical and 2.5 mm in diameter. SUPERPOROUS HYDROGELS Swellable agents have pore size ranging between 10nm to 10µm. Superporous hydrogels will swell more than the swelling ratio 100, This is achieved by coformulation of a hydrophilic particulate material, and AcDi-Sol (crosscarmellose). 19
  • 20. EXPANDABLE SYSTEMS 1.UNFOLDED SYSTEMS 2.SWELLABLE SYSTEMS  The swelling is usually results from osmotic absorption of water.  The device gradually decreases in volume and rigidity as a result depletion of drug and expanding agent and/or bioerosion of polymer layer, enabling its elimination. 20
  • 21. MUCOADHESIVE SYSTEMS • The basis of mucoadhesion is that a dosage form can stick to the mucosal surface by different mechanisms. • Examples for Materials commonly used for bioadhesion are poly (acrylic acid) (Carbopol®, polycarbophil), chitosin, Gantrez® (Polymethyl vinyl ether/maleic anhydride copolymers), cholestyramine, tragacanth, sodium alginate 21
  • 22. MAGNETIC SYSTEM Based upon the principle that dosage form contains a small internal magnet, and a magnet placed on the abdomen over the position of stomach can enhance the GRT. 22
  • 23. Marketed Products of GRDDS Brand name Delivery system Drug (dose) Company name Valrelease® Floating capsule Diazepam (15mg) Hoffmann-LaRoche, USA Madopar® HBS (Prolopa® HBS) Floating, CR capsule Benserazide (25mg) and Ldopa (100mg) Roche Products, USA Liquid Gaviscon® Effervescent Floating liquid alginate preparations Al hydroxide (95 mg), Mg Carbonate (358 mg) GlaxoSmithkline, India Topalkan® Floating liquid alginate Preparation Al – Mg antacid Pierre Fabre Drug, France Conviron® Colloidal gel forming FDDS Ferrous sulphate Ranbaxy, India Cytotech® Bilayer floating capsule Misoprostol (100μg/200μg) Pharmacia, USA Cifran OD® Gas-generating floating form Ciprofloxacin (1gm) Ranbaxy, India 23
  • 24. CONCLUSION • Gastro retentive drug delivery systems have emerged as a current approach of controlled delivery of drugs that exhibit an absorption window . • All these drug delivery systems have their own advantages and drawbacks. • To design a successful GRDDS, it is necessary to take into consideration the physicochemical properties of the drug, physiological events in the GIT, formulation strategies, and correct combination of drug and excipients. 24
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