2. TABLE OF CONTENTS
01
02
03
04
INTRODUCTION
THERAPEUTIC CLASS OF
DRUG AND EXAMPLE
PHYSICO-CHEMICAL
PROPERTIES OF DRUG
METHODS TO ENHANCE
NASAL ABSORPTION OF
DRUG
05
GENERAL FORMULATION
TYPES OF DDS
09
10
DOSAGE FORMS
ADVANTAGES AND
DISADVANTAGES
APPLICATIONS
07
06
08
11 REFERENCES
EVALUATION OF NASAL
FORMULATION
4. INTRODUCTION
Administration of drug through nasal route is referred as Nasal
drug delivery system.
Nasal route is an alternative to invasive administrations and
provides a direct access to the systemic circulation.
Intranasal Medication administration offers a truly “Needleless ”
solution to drug delivery.
In recent years many drugs have been shown to achieve better
systemic bioavailability through nasal route than by oral
administration.
Nasal therapy, has been recognized form of treatment in the
Ayurvedic systems of Indian medicine, it is also called “NASAYA
KARMA”.
6. Therapeutic class of drugs
6. More recently,
vaccines
3. Antiviral
1. Beta-2
adrenergic
agonists
2.
Corticosteroids
4. Antibiotics
5. Antifungal
7. The respiratory tract, which
includes the
● nasal
● mucosa
● Hypo pharynx
● large airways
● small airways
provides a relatively large mucosal
surface area of approx. 100 m2 (in
normal adult) for drug absorption
11. Effect of molecular size
- Higher the molecular size, lower the nasal absorption
- A good systemic bioavailability can be achieved formolecules with a
molecular weight of up to 1000Daltons when no absorption enhancer
is used.
- With the assistance of absorption enhancer, a goodbioavailability
can be extended to a molecular weight of at least 6000 Daltons.
-Absorption enhancers:
Polyacrylic acidSodium GlycocholateSodium Deoxycholate
12. Effect of solution pH
dissociation constant (pKa) of
the molecule
- Nasal absorption is pH dependent
- Absorption is higher at a pH lower than the dissociation constant (pKa) of
the molecule
- Absorption is lower as the pH increases beyond the dissociation constant
13. Effect of drug lipophilicity
- Polar (water soluble) drugs tend to remain on the tissues of the
upper airway
- Non-polar (lipid soluble) drugs are more likely to reach distal
airways
- Lipid soluble drugs are absorbed more rapidly than water soluble
drugs
14. Effect of drug concentration
- Absorption depends on the initial concentration of the drug
- The absorption follows first-order kinetics
15. Dosage Forms
04 LIQUID DROP
LIQUID SPRAY/NEBULIZER
AEROSOL
SUSPENSION SPRAY/NEBULIZER
GEL
SUSTAINED RELEASE
16. Nasal drops are one of the most convenient &
simple systems for nasal delivery. These are
instilled into the nose by dropper. Aqueous or oily
solutions, since the latter inhibit the movement of
cilia in the nasal mucosa . if used for longer
periods , may reach the lungs &cause lipoid
pneumonia. nasal drops should be isotonic having
neutral pH & viscosity similar to nasal secretions
by using methyl cellulose.
E.g.:- ephedrine nasal drops B.P.C, otrivine nasal
drops.
Nasal drops
17. These are aqueous or alcoholic preparations.
Applied to the mucous membrane of nose by
atomizer. Only fine droplets are required so they
may reach the lungs. By using metered pumps &
actuators a nasal spray can deliver an exact µm.
e.g.:- adrenaline & atropine spray B.P.C
Nasal Spray
18. This dosage form may be developed if
solution & suspension dosage forms
cannot be developed e.g due to lack of
drug stability .The powder formulation is
dependent on the solubility ,particle size ,
aerodynamic properties &nasal irritancy
of the active drug & or excipients.
E .g:- sinu air nasal powder
Nasal Powder
19. These are high viscosity thickened
solutions or suspensions. Nasal gels include
the reduction of post-nasal drip due to high
viscosity , reduction of taste impact due to
reduced swallowing, reduction of anterior
leakage of formulation, reduction of
irritation by using soothing /emollient
excipients & target to mucosa for better
absorption.
Nasal Gels
20. Nasal mucosa is the first site of contact with
inhaled antigens and therefore , it is used for
respiratory infections. • Nasal vaccination is a
promising alternative to the parentral route ,
because is able to enhance the systemic levels
of specific immunoglobulin G & nasal secretary
immunoglobulin A. Eg : Nasal vaccines against
influenza A & B Virus
Nasal Vaccines
25. Factors affecting drug absorption
Drug concentration
Vehicle of drug delivery
Mucosal contact time
Degree of drug’s ionization
pH of the absorption site
Size of the drug molecule
Relative lipid solubility
26. VISCOSIFYING AGENTS
These agents increase the viscosity of the solution prolonging the therapeutic
activity of preparation.
e.g.: hydroxypropyl cellulose.
27. SOLUBILIZERS
Aqueous solubility of drug always a limitation for nasal drug delivery.
e.g.: glycol, alcohol, labrasol, transcutol.
In such cases surfactants or cyclodextrines (HP- β -cyclodextrine) are used , these
serve as a biocompatible solubilizer & stabilizer in combination with lipophilic
absorption enhancers.
28. SURFACTANTS
Modify the permeability of nasal mucosa & facilitate the nasal absorption of drugs.
E.g. SLS, Poly acrylic acid, sod. glycocholate.
29. BIOADHESIVE
POLYMERS
Increases the residence time of drug in nasal cavity and a higher local drug
concentration in the mucus lining on the nasal mucosal surface
E.g.: Methylcellulose, Carboxymethylcellulose Hydroxyl propyl cellulose
30. PRESERVATIVES
These are used to prevent the growth of micro organisms.
e.g.: parabens, benzalkonium chloride, phenyl ethyl alcohol, EDTA etc.
31. ANTIOXIDANTS
These are used to prevent drug oxidation.
E.g.: sodium meta bisulphite , sodium bisulfite, butylated hydroxy toluene&
tocopherol etc.
34. In Vivo Nasal Absorption
studies
Animal models for nasal absorption studies
The animal models employed for nasal
absorption studies can be of two types, viz.,
whole animal or in vivo model and an
isolated organ perfusion or ex vivo model,
1.RAT MODEL
2.RABBIT MODEL
3.DOG MODEL
4.SHEEP MODEL
35. Rat Model
The rat is anaesthetized by intraperitoneal injection of
sodium pentobarbital. An incision is made in the neck
and the trachea is cannulated with a polyethylene
tube. Another tube is inserted through the oesophagus
towards the posterior region of the nasal cavity.
36. Rabbit Model
• Rabbit is anaesthetized by intramuscular
injection of a combination of ketamine and xylazine.
• The rabbit's head is held in an upright position
and the drug solution is administered by nasal
spray into each nostril.
• The blood samples are collected by an indwelling
catheter in the marginal ear vein.
37. Dog Model
The dog is anaesthetized by intravenous injection
of sodium thiopental and the anesthesia is
maintained with sodium Phenobarbital.
• A positive pressure pump through a cuffed
endotracheal tube gives the ventilation.
• The blood sampling is carried out from the
jugular vein.
38. Monkey Model
• The monkey is tranquillized by intramuscular injection of
ketamine hydrochloride or anaesthetized by intravenous injection
of sodium Phenobarbital.
• The head of the monkey is held in an upright position and the
drug solution is administered into each nostril.
• The blood samples are collected through an indwelling catheter
in the vein.
39. Sheep Model
Sheep model for studying nasal drug delivery is prepared using
basically the same procedure as that described for dog model.
• Male in-house bred sheep are employed since they are free
from nasal infections.
Practical and suitable for investigating nasal delivery
formulations.
In summary rat & rabbit are small, easy to handle & low
in cost & inexpensive to maintain. In rat limitation
application because of small body & size hence only
useful for preliminary studies of nasal drug absorption.
41. Drug degradation that is observed in the gastrointestinal tract is
absent.
Hepatic first pass metabolism is avoided.
Rapid drug absorption and quick onset of action can be achieved.
The bioavailability of larger drug molecules can be improved by
means of absorption enhancer or other approach.
The nasal bioavailability for smaller drug molecules is good.
Drugs that are orally not absorbed can be Studied so far carried
out indicate that the nasal route is an alternate to parenteral
route, especially, for protein and peptide drugs.
Convenient for the patients, especially for those on long term
therapy, when compared with parenteral medication.
Drugs possessing poor stability in G.I.T. fluids are given by nasal
route.
Polar compounds exhibiting poor oral absorption may be
particularly suited for this route of delivery.
43. The histological toxicity of absorption enhancers used in
nasal drug delivery system is not yet clearly established.
Relatively inconvenient to patients when compared to oral
delivery systems since there is a possibility of nasal
irritation.
Nasal cavity provides smaller absorption surface area
when compared to GIT.
There is a risk of local side effects and irreversible damage
of the cilia on the nasal mucosa, both from the substance
and from constituents added to the dosage form.
Certain surfactants used as chemical enhancers may
disrupt and even dissolve membrane in high
concentration.
45. Delivery of non peptide
pharmaceuticals
Delivery of non-peptide pharmaceuticals with extensive
pre-systemic metabolism, such as
- Progesterone
- estradiol
- propranolol
- nitroglycerin
- sodium chromoglyate
can be rapidly absorbed through the nasal mucosa with
a systemic bioavailability of approximately 100%
46. Delivery of peptide based
pharmaceuticals
Peptides & proteins have a generally low
oral bioavailability because of their physico
-chemical instability and susceptibility to
hepato -gastrointestinal first-pass
elimination
E.g. . Insulin, Calcitonin , Pituitary hormones
etc. Nasal route is proving to be the best
route for such biotechnological products
47. Delivery of diagnostic drugs
Delivery of diagnostic drugs Diagnostic
agents such as
Phenolsulfonphthalein – kidney function.
Secretin – pancreatic disorders
Pentagastrin – secretory function of gastric
acid
48. Delivery of Vaccines
The nasal mucosa is the first site of contacts
with inhaled pathogens. The nasal passages
are rich in lymphoid tissue. Creation of both
mucosal and systemic immune responses. Low
cost, patient friendly, non- injectable ,
safe. Many diseases, such as
Measles , pertussis , meningitis and influenza
are associated with the entry of pathogenic
microorganisms across the respiratory
mucosal surfaces and are hence good
candidates for nasal vaccines.