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1
RESPIRATORY DRUG
DELIVERY SYSTEM
BY
SUNILBOREDDY
Novel Drug Delivery System
Nasal Drug Delivery System
Medical aspects
Formulation Development
Applications
Conclusion
CONTENTS
2
Novel drug delivery is one of
the fastest growing healthcare
sectors, with sales of drugs
incorporating novel drug
delivery systems increasing @
an annual rate of 15%
3
By 2010, the US drug
delivery market alone will
be worth $30 billion
4
Why Novel Drug
Delivery system?
To optimize drug’s therapeutic
effect, convenience and dose
To enhance a product’s life-cycle
To improve `patient compliance
To target drug delivery
To control overall healthcare costs
To facilitate biological drug delivery
5
Drug Delivery Systems
Oral
Inject-
able
Mucosal
Trans-
dermal
Ocular
Vaginal/
Anal
Needle
Needle-
less
Nasal
Buccal
Pulmo-
nary
Active
Passive
Topical
6
Global drug delivery market by administration mode
Oral 53%
Inhalation
32%
Transdermal
8%
Injectable/
Implant 3%
Ocular 2%
Nasal 2%
7
NASAL
DRUG DELIVERY SYSTEM
8
Inhalation/pulmonary drug delivery system includes
Metered dose inhalers
Dry powder inhalers
Inhalation nasal sprays
Inhalation solutions & suspensions (for nebulizers)
9
Nasal Drug Delivery System
&
Opportunity
Annual market growth
Merits
Limitations
10
Annual growth of
locally acting
products
Annual growth of
systemically acting
products
11%
30%
11
Lower dose & hence lower side effects
Merits...
For CNS drugs, better site for rapid onset of
action
Eg. Inhalation anesthesia, Morphine etc.
Useful for both local & systemic drug delivery
12
Limitations
Pathologic conditions such as cold or allergies
may alter significantly the nasal bioavailability
Once administered, rapid removal of the
therapeutic agent from the site of absorption is
difficult
13
NASAL ROUTE
- medical aspects
14
 The respiratory tract, which includes the
 nasal mucosa
 hypopharynx
 large airways &
 small airways
 provides a relatively large mucosal surface
area of approx. 100 m2 (in normal adult)
for drug absorption
15
DRUG DELIVERY TO RESPIRATORY SYSTEM
Cross-sectional view
Pathways for nasal absorption
Nasal site of drug spray & absorption
16
Cross-sectional view
17
a – nasal vestibule d – middle turbinate
b – palate e – superior turbinate (olfactory mucosa)
c – inferior turbinate f – nasopharynx
Site of drug
spray &
absorption
18
Pathways for nasal absorption
 Absorption into the cerebrospinal fluid
 Absorption through the supporting cells & the
surrounding capillary bed
- venous drainage
19
Transneuronal absorption
Olfactory nerve – 1st
cranial sensory nerve
20
Venous drainage
21
•Cyto chrome P 450 dependent Lactate
dehydrogenase, Oxidoreductase, Hydrolases, lactic
dehydogenase, malic enzymes, lysosomal proteinases,
steroid hydroxylase.
Nasal enzymes
Nasal pH
•Nasal secretion of adult : 5.5-6.5
•Infants and children: 5-6.7
22
Therapeutic class of
drugs for nasal route
23
Therapeutic class of drugs
1. β2 adrenergic agonists
2. Corticosteroids
3. Antiviral
4. Antibiotics
6. More recently, vaccines
5. Antifungal
24
Drugs commonly administered through pulmonary
route include
1. Terbutaline Sulphate - β2 adrenergic agonist
2. Salbutamol - β2 adrenergic agonist
4. Ipratropium Bromide - anticholinergic
5. Sodium Chromoglycate – mast cell stabilizer
3. Budesonide - corticosteroid
25
Formulation
Development
26
Formulation Development
Dosage formDosage form
Formulation considerationsFormulation considerations
Physiological
Pharmaceutical
27
Dosage forms
Liquid drop
Liquid spray/nebulizers
Suspension spray/nebulizers
Gel
Sustained release
Aerosol
28
Physiological effects
- Drug metabolism in the respiratory tract &
reduction of systemic effect
- Local toxic effects of the drug
Eg., edema, cell injury, or altered tissue defenses
Local or systemic effects of propellants, preservatives,
or carriers
29
Pharmaceutical
- Physico-chemical properties of a drug candidate
- Spray pump devices
- Methods to enhance drug absorption
30
1. Effect of particle size
2. Effect of molecular size
3. Effect of solution pH
5. Effect of drug concentration
4. Effect of drug lipophilicity
31
1. Effect of particle size
(aerodynamic size distribution)
- Large particles (> 7 microns) will be lost in the
gastrointestinal tract
- Intermediate particles (3 to 7 microns) reach the
actual site of action
- Small particles (< 3 microns) will be lost in exhaled
breathe
32
2. Effect of molecular size
- Higher the molecular size, lower the nasal absorption
Absorption enhancers:
Polyacrylic acid
Sodium Glycocholate
Sodium Deoxycholate
Polysorbate 80 etc.
33
3. Effect of solution pH
- Nasal absorption is pH dependent
- Absorption is higher at a pH lower than the
dissociation constant (pKa) of the molecule.
34
4. Effect of drug lipophilicity
-
- Lipid soluble drugs are absorbed more rapidly
than water soluble drugs
5. Effect of drug concentration
- Absorption depends on the initial concentration of
the drug
35
Methods to enhance nasal absorption of drugs
Structural modification
Formulation design
Salt or ester formation
36
SPRAY PUMP DEVICES
- Unidose
- Multidose
- Bidose
37
Bidose
Unidose
38
Multidose
39
Applications
Delivery of non-peptide pharmaceuticals
Delivery of diagnostic drugs
Delivery of peptide-based pharmaceuticals
40
1. Delivery of non-peptide pharmaceuticals
Drugs 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%
41
2. Delivery of peptide-based pharmaceuticals
Eg. Insulin, Calcitonin, Pituitary hormones etc.
Nasal route is proving to be the best route for
such biotechnological products
3. Delivery of
diagnostic drugs
Diagnostic agents such as
• Phenolsulfonphthalein – kidney function
42
CONCLUSION
43
Nasal route is a part of drug delivery
strategy that is emerging to be a fastest
growing drug delivery system with an
annual growth of
11% for locally acting drugs
&
30% for systemically acting drugs
44
Nasal drug delivery offers such benefits as
Rapid onset of action with lower dose &
minimal side effects
Has an advantage of site-specific delivery
with improved therapeutic effects
45
46

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Nasal drug delivery system

  • 2. Novel Drug Delivery System Nasal Drug Delivery System Medical aspects Formulation Development Applications Conclusion CONTENTS 2
  • 3. Novel drug delivery is one of the fastest growing healthcare sectors, with sales of drugs incorporating novel drug delivery systems increasing @ an annual rate of 15% 3
  • 4. By 2010, the US drug delivery market alone will be worth $30 billion 4
  • 5. Why Novel Drug Delivery system? To optimize drug’s therapeutic effect, convenience and dose To enhance a product’s life-cycle To improve `patient compliance To target drug delivery To control overall healthcare costs To facilitate biological drug delivery 5
  • 7. Global drug delivery market by administration mode Oral 53% Inhalation 32% Transdermal 8% Injectable/ Implant 3% Ocular 2% Nasal 2% 7
  • 9. Inhalation/pulmonary drug delivery system includes Metered dose inhalers Dry powder inhalers Inhalation nasal sprays Inhalation solutions & suspensions (for nebulizers) 9
  • 10. Nasal Drug Delivery System & Opportunity Annual market growth Merits Limitations 10
  • 11. Annual growth of locally acting products Annual growth of systemically acting products 11% 30% 11
  • 12. Lower dose & hence lower side effects Merits... For CNS drugs, better site for rapid onset of action Eg. Inhalation anesthesia, Morphine etc. Useful for both local & systemic drug delivery 12
  • 13. Limitations Pathologic conditions such as cold or allergies may alter significantly the nasal bioavailability Once administered, rapid removal of the therapeutic agent from the site of absorption is difficult 13
  • 14. NASAL ROUTE - medical aspects 14
  • 15.  The respiratory tract, which includes the  nasal mucosa  hypopharynx  large airways &  small airways  provides a relatively large mucosal surface area of approx. 100 m2 (in normal adult) for drug absorption 15 DRUG DELIVERY TO RESPIRATORY SYSTEM
  • 16. Cross-sectional view Pathways for nasal absorption Nasal site of drug spray & absorption 16
  • 17. Cross-sectional view 17 a – nasal vestibule d – middle turbinate b – palate e – superior turbinate (olfactory mucosa) c – inferior turbinate f – nasopharynx
  • 18. Site of drug spray & absorption 18
  • 19. Pathways for nasal absorption  Absorption into the cerebrospinal fluid  Absorption through the supporting cells & the surrounding capillary bed - venous drainage 19
  • 20. Transneuronal absorption Olfactory nerve – 1st cranial sensory nerve 20
  • 22. •Cyto chrome P 450 dependent Lactate dehydrogenase, Oxidoreductase, Hydrolases, lactic dehydogenase, malic enzymes, lysosomal proteinases, steroid hydroxylase. Nasal enzymes Nasal pH •Nasal secretion of adult : 5.5-6.5 •Infants and children: 5-6.7 22
  • 23. Therapeutic class of drugs for nasal route 23
  • 24. Therapeutic class of drugs 1. β2 adrenergic agonists 2. Corticosteroids 3. Antiviral 4. Antibiotics 6. More recently, vaccines 5. Antifungal 24
  • 25. Drugs commonly administered through pulmonary route include 1. Terbutaline Sulphate - β2 adrenergic agonist 2. Salbutamol - β2 adrenergic agonist 4. Ipratropium Bromide - anticholinergic 5. Sodium Chromoglycate – mast cell stabilizer 3. Budesonide - corticosteroid 25
  • 27. Formulation Development Dosage formDosage form Formulation considerationsFormulation considerations Physiological Pharmaceutical 27
  • 28. Dosage forms Liquid drop Liquid spray/nebulizers Suspension spray/nebulizers Gel Sustained release Aerosol 28
  • 29. Physiological effects - Drug metabolism in the respiratory tract & reduction of systemic effect - Local toxic effects of the drug Eg., edema, cell injury, or altered tissue defenses Local or systemic effects of propellants, preservatives, or carriers 29
  • 30. Pharmaceutical - Physico-chemical properties of a drug candidate - Spray pump devices - Methods to enhance drug absorption 30
  • 31. 1. Effect of particle size 2. Effect of molecular size 3. Effect of solution pH 5. Effect of drug concentration 4. Effect of drug lipophilicity 31
  • 32. 1. Effect of particle size (aerodynamic size distribution) - Large particles (> 7 microns) will be lost in the gastrointestinal tract - Intermediate particles (3 to 7 microns) reach the actual site of action - Small particles (< 3 microns) will be lost in exhaled breathe 32
  • 33. 2. Effect of molecular size - Higher the molecular size, lower the nasal absorption Absorption enhancers: Polyacrylic acid Sodium Glycocholate Sodium Deoxycholate Polysorbate 80 etc. 33
  • 34. 3. Effect of solution pH - Nasal absorption is pH dependent - Absorption is higher at a pH lower than the dissociation constant (pKa) of the molecule. 34
  • 35. 4. Effect of drug lipophilicity - - Lipid soluble drugs are absorbed more rapidly than water soluble drugs 5. Effect of drug concentration - Absorption depends on the initial concentration of the drug 35
  • 36. Methods to enhance nasal absorption of drugs Structural modification Formulation design Salt or ester formation 36
  • 37. SPRAY PUMP DEVICES - Unidose - Multidose - Bidose 37
  • 40. Applications Delivery of non-peptide pharmaceuticals Delivery of diagnostic drugs Delivery of peptide-based pharmaceuticals 40
  • 41. 1. Delivery of non-peptide pharmaceuticals Drugs 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% 41
  • 42. 2. Delivery of peptide-based pharmaceuticals Eg. Insulin, Calcitonin, Pituitary hormones etc. Nasal route is proving to be the best route for such biotechnological products 3. Delivery of diagnostic drugs Diagnostic agents such as • Phenolsulfonphthalein – kidney function 42
  • 44. Nasal route is a part of drug delivery strategy that is emerging to be a fastest growing drug delivery system with an annual growth of 11% for locally acting drugs & 30% for systemically acting drugs 44
  • 45. Nasal drug delivery offers such benefits as Rapid onset of action with lower dose & minimal side effects Has an advantage of site-specific delivery with improved therapeutic effects 45
  • 46. 46