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Enhancement of dissolution rate and bioavailability of poorly soluble drugs
1. Methods to enhance the
dissolution rates and bioavailability of
poorly soluble drugs
R. Nagaraju M.Pharm.,Ph.D
Professor Pharmaceutics
Institute of Pharmaceutical Technology
Sri Padmavathi Mahila Visvavidyalayam
Tirupati
2. Status of Modern APIs:
About 95% of all new potential therapeutics have poor
pharmacokinetic and biopharmaceutical properties. (Ref. Brayden DJ,
Controlled release technologies for drug delivery, Drug Discov.Today, 2003, 8, 976-8.)
Lipophilic
poor aqueous solubility
belong to class II under BCS (LS,HP)
exhibit low and variable bioavailability
Needs enhancement in bioavailability to derive the maximum
therapeutic efficacy.
4. Class I
Propranolol, Metoprolol,
Diltiazem, Verapamil
Class III
Acyclovir, Neomycin B,
Captopril, Enalaprilate,
Alendronate
Class II
Ketoconazole, Mefanamic
acid, Nisoldipine,
Nifedipine, Nicardipine,
Felodipine
Class IV
Chlorothiazide,
Furosimide,
Tobramycin,
Cefuroxime
HIGH LOW
BIOPHARMACEUTICAL CLASSIFICATION SYSTEM (BCS)
Solubility
Permeability
5. BIOPHARMACEUTICAL CLASSIFICATION SYSTEM (BCS)
Class Characteristics
I HS/HP
• Conventional products like an oral solution
• Dissolution and absorption is very rapid
• BA / BE studies are unnecessary
• Highly suitable for CR / SR
• CR by controlling release rate
II LS/HP
Solubility / Dissolution rate is rate controlling step
Variable bioavailability
Needs enhancement in dissolution rate for increasing BA
Suitable for CR / SR
III HS/LP
Permeation is rate controlling step
BA is independent of drug release from the dosage form
Low BA
Needs enhancement of permeability (permeation enhancers)
Problematic for CR / SR
IV LS/LP Poor and variable BA
Unsuitable for CR / SR
6. BIOPHARMACEUTICAL CLASSIFICATION SYSTEM (BCS)
RATE LIMITING PROCESS IN THE ABSORPTION
Class I Gastric emptying (Conventional)
Release rate (Controlled Release)
Class II Dissolution (or) Release
Class III Permeability
Class IV Various Factors
7. METHODS FOR ENHANCING
THE DISSOLUTION RATE
1. Methods that increase the solubility of the drug:
Buffering the pH of the diffusion layer (e.g., Buffered
aspirin tablets)
Use of salts of weak acids and weak bases (e.g., Sodium
and Potassium salts of penicillin)
Use of solvates and hydrates (e.g., Ampicillin anhydrate)
8. • Use of selected polymorphic form (e.g., Novobiocin,
Chloramphenicol palmitate)
• Complexation (e.g., Digoxin Hydroqunone,
cyclodextrin complexes)
• Pro-drug approach (e.g., 21-disodium phosphate
ester of methasone)
• Use of surfactants
9. METHODS FOR ENHANCING THE DISSOLUTION RATE
2. Methods that increase the surface area of the drug:
Micronization
Use of surfactants
Solid dispersion in highly soluble carriers
Solvent deposition on inert materials
10. COMMONLY USED INTESTINALABSORPTION ENHANCERS
Bile salts Sodium cholate, sodium deoxycholate
Nonionic surfactants
Polysorbates and polyoxyethylene alkyl esters
and ethers
Ionic surfactants Sodium lauryl sulphate and dioctyl
sulfosuccinate
Fatty acids Sodium caprate, oleic acid
Glycerides Medium-chain glycerides, phospholipids
Acyl carnitines Palmitoylcarnitine
Chelating agents EDTA
Swellable polymers Polycarbophil and chitosan
11. Drug Delivery Technologies for
Insoluble Drugs
Use of Salts, Solvates, Hydrates, Polymorphic
forms, Surfactants, Complexation, Prodrugs,
Micronization, Solid dispersions and Solvent
deposited systems, etc.
Conventional Techniques:
13. Cyclic (- 1, 4) linked oligosaccharides of
- D – gluco- pyranose units
O
OH
HOH 2C
HO
O
O
O
CH2OH
HO
HO
O
CH2OH
HO
HO
O
O
O
O
O
OH
CH2OH
HO
O
OH
OHO
CH2OH
O
HOH 2C OH
OH
HOH 2C
OH
OH
CD HP-CD
Structure of Cyclodextrins
CYCLODEXTRINS
14. CYCLODEXTRINS
Contain a relatively hydrophobic central cavity and
hydrophilic outer surface
Torus or Cone shaped
Form inclusion complexes
Parent cyclodextrins are -, - and - cyclodextrins,
which consist of six, seven and eight glucopyranose units,
respectively
O
OH
HOH 2C
HO
O
O
O
CH2OH
HO
HO
O
CH2OH
HO
HO
O
O
O
O
O
OH
CH2OH
HO
O
OH
OHO
CH2OH
O
HOH 2C OH
OH
HOH 2C
OH
OH
15. CYCLODEXTRIN COMPLEXATION
A rapidly reversible process
A 1 in 100 dilution, needed for complete release of drug
from the CD complex
To improve pharmaceutical properties like
solubility
dissolution rate
bioavailability
stability and
palatability
without affecting their intrinsic lipophilicity or
pharmacological properties
16. PGE1 - CD an intra-arterial infusion (Prostandin of M/s
Ono, Japan and Prostavasin of M/s Schwarz Pharma,
Germany & Italy).
Ziprasidone – SBE-CD – an intramuscular injection
(Zeldox of M/s. Pfizer, Sweden & USA).
Itraconazole – HP-CD – oral and i.v. solutions (Sporanox
of M/s. Janssen, USA and Belgium).
Piroxicam-CD-oral liquids in several countries under
various trade names.
COMMERCIAL CD BASED FORMULATIONS
17. Size Reduction Technologies
Bottom up Technologies (Precipitation methods)
Top Down Technologies (Disintegration methods)
Media milling : High shear media milling
(Elan Pharmaceuticals)
Milling media – Polystyrene resin, Water, Drug
Stabilizers – Pluronics, polysorbates, povidones.
18. Homogenization in water : Dissocubes of Skye Pharma &
Stabilizers, Surfactants Nanoedge Technology of Baxter
and Polymers
Homogenization in
Non-aqueous Media : Nanopure of PharmaSol, Berlin
Water miscible PEGs
Size Reduction Technologies
Top Down Technologies (Disintegration methods)
20. CONCLUSION
Developing drug delivery technologies for
insoluble drugs is a promising area for
continued research with the aim of improving
their bioavailability and therapeutic
effectiveness.