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
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.
18. REFERENCES
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