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PULSATILE DRUG DELIVERY SYSTEM




               BY
               C.V. SAIKRISHNA REDDY
               M.PHARM I YEAR
               JJ COLLEGE OF PHARMACY
CONTENTS


            INTRODUCTION
            METHODOLOGIES

            ADVANTAGES

            LIMITATIONS

            COMMERCIAL PRODUCTS

            CONCLUSION

            REFERENCES
INTRODUCTION

  Pulsatile drug delivery systems (PDDS) are gaining
  importance as they deliver a drug at time and site
  specific manner resulting in improved therapeutic
  efficacy as well as compliance.
 Chronopharmacotherapy designed according to the
  circadian rhythm of the body
 Ecofriendly

 Intelligent drug delivery systemcapable of adjusting
  drug release rates in response to a physiological need.
NECESSITY OF PULSATILE DRUG
DELIVERY SYSTEMS

   Follow circadian rhythm,

   Protection from gastric environment,

   To achieve localized action,

   First-pass metabolism can be overcome.
DISEASES THAT REQUIRE PULSATILE DRUG DELIVERY

Disease                      Chronological behavior          Drugs used
Peptic ulcer                 Acid secretion is high in the   H2blockers
                             afternoon and at night.
Attention deficit syndrome   Increase in DOPA level in       Methylphenidate
                             afternoon
Cardiovascular diseases      BP is at its lowest during the Nitroglycerin, calcium
                             sleep cycle and rises steeply channel,
                             during the early morning       blocker, ACE inhibitors
Asthma                       Precipitation of attacks        Β2 agonist, Antihistamines
                             during night or at early
                             morning.
Arthritis                    Level of pain increases at      NSAIDs, Glucocorticoids
                             night
Diabetes mellitus            Increase in the blood sugar     Sulfonylurea, Insulin
                             level after meal
Hypercholesterolemia         Cholesterol synthesis is        HMG CoA reductase,
                             generally higher during         Inhibitors
                             night than day time.
METHODOLOGIES
 I. Time controlled pulsatile release
 II. Internal Stimuli induced

      A. Thermo-Responsive Pulsatile release
       B. Chemical stimuli induced pulsatile systems
 III. External stimuli induced

 IV. Multiparticulate pulsatile drug delivery system

 V.Pulsatile release systems for vaccine and hormone
  products
I) TIME CONTROLLED PULSATILE
RELEASE
   Delivery system provided with erodible coating layers
   Delivery system provided with ruputable coating layer
   Capsule shaped system provided with release controlling plug




These can be formulated as Tablets, Capsules, Pellets, Spheres, Beads,
  Films, Hydrogels
II) INTERNAL STIMULI INDUCED PULSATILE
RELEASE SYSTEM

 Temperature–induced pulsatile release
 Inflammation-induced Pulsatile Release

 pH Sensitive Drug Delivery System

 Glucose-responsive Insulin Release Devices



III) EXTERNALLY REGULATED PULSATILE
  RELEASE
 Magnetic induces release

 Ultrasound induces release

 Electric field induces release

 Light induces release
IV) MULTIPARTICULATE PULSATILE DRUG
DELIVERY SYSTEM

 Reservoir systems with rupturable polymeric Coatings
 Reservoir systems with soluble or eroding polymer
  coatings
 Floating multiparticulate pulsatile systems

V) PDDS FOR VACCINE AND HORMONE
  PRODUCTS
 PDDS offer the possibility of single-shot vaccines if
  initial booster release of the antigen can be achieved
  from one system in which timing of booster release is
  controlled.
ADVANTAGES
   Extended daytime or nighttime activity
   Reduced dose size, dosage frequency
   Drug targeting to specific site.
   Drug loss is prevented by extensive first pass metabolism .
   Predictable, reproducible and short gastric residence time
   Less inter- and intra-subject variability
   Improved bioavailability, stability, patient comfort and compliance
   Reduced adverse effects and improved tolerability
   Limited risk of local irritation
   No risk of dose dumping
   Flexibility in design
   Achieve a unique release pattern
   Extend patent protection, globalize product, and overcome competition
LIMITATIONS
 Lack of manufacturing reproducibility and efficacy
 Large number of process variables

 Multiple formulation steps

 Higher cost of production

 Need of advanced technology

 Trained/skilled personal needed for manufacturing
COMMERCIAL PRODUCTS
 Pulsys® - amoxicillin - Advancis Pharm Corp
 Uniphyl – theophylline - Purdue Pharm Pdts L

 Ritalinβ – methylphenidate – Novartis

 CODAS® - Verapamil HCl

 TIMERx®       - Oxymorphone
 PulsincapTM - Dofetilide
CONCLUSION
There is a constant need for new delivery systems that can
provide increased therapeutic benefits to the patients. Pulsatile
drug delivery is one such system that, by delivering drug at
the right time, right place, and in right amounts, holds good
promises of benefit to the patients suffering from chronic
problems like arthritis, asthma, hypertension, etc. PDDS can
effectively release drug according to body's circadian clock
giving release of drug after a specified time lag. With increase
in technological advancement and better design parameters
hurdles can be overcome in the near future and more number
of patients will be greatly benefited by these systems.
REFERENCES
  1. Janugade BU, Patil SS, Patil SV, Lade PD: Pulsatile drug delivery system for
 chronopharmacological disorders: an overview. Journal of Pharmacy Research ,
 2009; 2 (1):133-143.
 2. http://www.uspharmacist.com/oldformat.asp?url=newlook/files/
 Feat/ACF2F15.cfm&pub_id, accesed on 15/9/10.
  3.Björm Hemmer. Circadian rhythms and drug delivery. J. Control. Release,
 1991, 16: 63-74.
  4.B. Lemmer, Chronopharmacokinetics: implications for drug treatment, J.
 Pharm. Pharmacol., 1999, 51: 887-890.
  5.P. Roy, A. Shahiwala. Multiparticulate formulation approach to pulsatile drug
 delivery: current perspectives. J. Control. Release, 2009, 134:74-80.
  6. R. Gurny, H. E. Junginger, N. Peppas, Eds., In; Pulsatile Drug Delivery:
 Current Application and Future Trends,Wissenschefliche Verlagsgesellschaft,
 Stuttgart, Germany, 1993, 36.
  7.M. M. Massin, K. Maeyns, N. Withofs, et al. Circadian rhythm of heart rate
 and heart rate variability. Arch. Dis. Child., 2000, 83: 179-182.
  8. J. Qureshi, Mohd. Amir, Alka Ahuja et al. Chronomodulated Drug Delivery
 System of Salbutamol Sulphate for the Treatment of Nocturnal Asthma. Indian J.
 Pharm. Sci. 2008, 351-356.
Pulsatile drug delivery system [ppt]
Pulsatile drug delivery system [ppt]

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Pulsatile drug delivery system [ppt]

  • 1. PULSATILE DRUG DELIVERY SYSTEM BY C.V. SAIKRISHNA REDDY M.PHARM I YEAR JJ COLLEGE OF PHARMACY
  • 2. CONTENTS  INTRODUCTION  METHODOLOGIES  ADVANTAGES  LIMITATIONS  COMMERCIAL PRODUCTS  CONCLUSION  REFERENCES
  • 3. INTRODUCTION  Pulsatile drug delivery systems (PDDS) are gaining importance as they deliver a drug at time and site specific manner resulting in improved therapeutic efficacy as well as compliance.  Chronopharmacotherapy designed according to the circadian rhythm of the body  Ecofriendly  Intelligent drug delivery systemcapable of adjusting drug release rates in response to a physiological need.
  • 4. NECESSITY OF PULSATILE DRUG DELIVERY SYSTEMS  Follow circadian rhythm,  Protection from gastric environment,  To achieve localized action,  First-pass metabolism can be overcome.
  • 5.
  • 6.
  • 7. DISEASES THAT REQUIRE PULSATILE DRUG DELIVERY Disease Chronological behavior Drugs used Peptic ulcer Acid secretion is high in the H2blockers afternoon and at night. Attention deficit syndrome Increase in DOPA level in Methylphenidate afternoon Cardiovascular diseases BP is at its lowest during the Nitroglycerin, calcium sleep cycle and rises steeply channel, during the early morning blocker, ACE inhibitors Asthma Precipitation of attacks Β2 agonist, Antihistamines during night or at early morning. Arthritis Level of pain increases at NSAIDs, Glucocorticoids night Diabetes mellitus Increase in the blood sugar Sulfonylurea, Insulin level after meal Hypercholesterolemia Cholesterol synthesis is HMG CoA reductase, generally higher during Inhibitors night than day time.
  • 8.
  • 9. METHODOLOGIES  I. Time controlled pulsatile release  II. Internal Stimuli induced A. Thermo-Responsive Pulsatile release B. Chemical stimuli induced pulsatile systems  III. External stimuli induced  IV. Multiparticulate pulsatile drug delivery system  V.Pulsatile release systems for vaccine and hormone products
  • 10. I) TIME CONTROLLED PULSATILE RELEASE  Delivery system provided with erodible coating layers  Delivery system provided with ruputable coating layer  Capsule shaped system provided with release controlling plug These can be formulated as Tablets, Capsules, Pellets, Spheres, Beads, Films, Hydrogels
  • 11.
  • 12. II) INTERNAL STIMULI INDUCED PULSATILE RELEASE SYSTEM  Temperature–induced pulsatile release  Inflammation-induced Pulsatile Release  pH Sensitive Drug Delivery System  Glucose-responsive Insulin Release Devices III) EXTERNALLY REGULATED PULSATILE RELEASE  Magnetic induces release  Ultrasound induces release  Electric field induces release  Light induces release
  • 13. IV) MULTIPARTICULATE PULSATILE DRUG DELIVERY SYSTEM  Reservoir systems with rupturable polymeric Coatings  Reservoir systems with soluble or eroding polymer coatings  Floating multiparticulate pulsatile systems V) PDDS FOR VACCINE AND HORMONE PRODUCTS  PDDS offer the possibility of single-shot vaccines if initial booster release of the antigen can be achieved from one system in which timing of booster release is controlled.
  • 14. ADVANTAGES  Extended daytime or nighttime activity  Reduced dose size, dosage frequency  Drug targeting to specific site.  Drug loss is prevented by extensive first pass metabolism .  Predictable, reproducible and short gastric residence time  Less inter- and intra-subject variability  Improved bioavailability, stability, patient comfort and compliance  Reduced adverse effects and improved tolerability  Limited risk of local irritation  No risk of dose dumping  Flexibility in design  Achieve a unique release pattern  Extend patent protection, globalize product, and overcome competition
  • 15. LIMITATIONS  Lack of manufacturing reproducibility and efficacy  Large number of process variables  Multiple formulation steps  Higher cost of production  Need of advanced technology  Trained/skilled personal needed for manufacturing
  • 16. COMMERCIAL PRODUCTS  Pulsys® - amoxicillin - Advancis Pharm Corp  Uniphyl – theophylline - Purdue Pharm Pdts L  Ritalinβ – methylphenidate – Novartis  CODAS® - Verapamil HCl  TIMERx® - Oxymorphone  PulsincapTM - Dofetilide
  • 17. CONCLUSION There is a constant need for new delivery systems that can provide increased therapeutic benefits to the patients. Pulsatile drug delivery is one such system that, by delivering drug at the right time, right place, and in right amounts, holds good promises of benefit to the patients suffering from chronic problems like arthritis, asthma, hypertension, etc. PDDS can effectively release drug according to body's circadian clock giving release of drug after a specified time lag. With increase in technological advancement and better design parameters hurdles can be overcome in the near future and more number of patients will be greatly benefited by these systems.
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