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BUCCAL DRUG DELIVERY
SYSTEM
PANKHIL GANDHI
GENERAL OVERVIEW
Ā© PANKHIL GANDHI
BASIC INTRODUCTION
Buccal drug delivery : the delivery
of drug into systemic circulation
via buccal mucosa i.e. through
the inner lining cheeks is called
buccal drug delivery.
Such dosage forms are placed
between cheeks and upper gums.
Intended purpose of use is
generally treatment of local or
systemic conditions
Potential
route for
drugs that
are:
large
hydrophillic
unstable
Proteins, oligo-
nucleotides,
Poly-
saccharides
Other small
drugs
Ā© PANKHIL GANDHI
WHY AND WHEN TO FORMULATE AS
BDDS ?
1. Some drugs have very short half life and therefore need to be
administered multiple times in a day. This reduces patient
compliance.
2. Some drugs may undergo enzymatic degradation in GIT
3. Some drugs suffer great loss in bioavailability as they undergo first
pass metabolism
Due to above mentioned reasons BDDS is employed
Ā© PANKHIL GANDHI
ADVANTAGES
1. Easy to administer
2. Therapy can be stopped whenever required
3. For unconscious and trauma patients it is easy to administer
4. Bypass first pass metabolism
5. Drugs unstable in environment of GIT can be given through BDDS
6. Flexibility in physical state, shape, size and surface
7. Rapid onset of action
Ā© PANKHIL GANDHI
DISADVANTAGES
1. Cannot administer drugs that are unstable at buccal pH
2. Not suitable for drugs with bitter taste, obnoxious odor, or irritant
to mucosa
3. Only small dose can be administered
4. Eating and drinking may become restricted
5. Only those drugs that are absorbed via passive diffusion can be
given through BDDS
Ā© PANKHIL GANDHI
ANATOMY OF BUCCAL
CAVITY
Ā© PANKHIL GANDHI
ANATOMY OF BUCCAL
CAVITY
From top to down, following are the
tissues that line the buccal cavity:
1. Mucus membrane
2. Epithelium (stratified/non-stratified)
3. Lamina propria
4. Submucosa
Ā© PANKHIL GANDHI
WHY DOES THE PRESENCE OF
KERATIN MATTER?
Keratinised parts:
Mucosae of gingivae and hard
palate
Non-keratinized parts:
Mucosae of soft palate,
sublingual regions and buccal
regions
Ā© PANKHIL GANDHI
Keratinization decreases water
permeability
WHAT IS THE ROLE PLAYED BY
SALIVA ?
ļ¶Absorption of drugs through moist mucosa takes place more readily.
ļ¶Most drugs administered through BDDS are solids. They must be
first dissolved before they can be absorbed. This is brought out by
saliva
Ā© PANKHIL GANDHI
VASCULATURE
drug
Absorbed
through
mucosa
Internal
jugular vein
Superior
vena cava
Heart Entire body
Ā© PANKHIL GANDHI
Liver is by-passed
DOSAGE FORMS
Ā© PANKHIL GANDHI
Type 1 :
Drug loaded single bioadhesive
layer device. Multidirectional
drug release. Loss due to
swallowing is more
Type 2 :
Double layered device.
Impermeable backing layer on
top. Prevents drug loss from
top surface.
Type 3 :
Every face covered with
impermeable membrane but Ā© PANKHIL GANDHI
Matrix type
A buccal patch in the form of a
matrix of adhesive, drug and
other additives
Reservoir type
Buccal patch contains a separate
cavity that contains drug and
additives from the adhesive
membrane.
An impermeable backing is
added on one side and adhesive
membrane on another
Ā© PANKHIL GANDHI
1. Solids ā€“ lozenges and tablets. Dissolve in saliva and absorbed from
throughout the oral mucosa
2. Gum ā€“ chewing gums. Offers controlled drug delivery over an
extended time. These are very convinient
3. Gel forming liquids and in situ gels
4. Powders ā€“ mixture of bioadhesive polymers and drugs sprayed onto
buccal mucosa
5. Patches ā€“ attached to buccal region
i. With dissolvable matrix
ii. With non-dissolvable backing
iii. With dissolvable backing
Ā© PANKHIL GANDHI
DOSAGE DESIGN AND
FORMULATION
PART 1 ā€“ GENERAL
CONSIDERATIONS IN
FORMULATION
Ā© PANKHIL GANDHI
PHYSIOLOGICAL CONSIDERATIONS
1. Surface area
2. Device size
3. Drug load
4. Duration
5. Interaction of ingredients with salivary enzymes
Ā© PANKHIL GANDHI
PHARMACOLOGICAL
CONSIDERATIONS
1. Lipophilic drugs ā€“ absorbed via transcellular route
2. Hydrophilic drugs ā€“ absorbed via paracellular routes
Ā© PANKHIL GANDHI
PHARMACEUTICAL
CONSIDERATIONS
1. Drug release rate
2. Organoleptic factors
3. Effects of excipients like irritation at site of application
4. Incorporation of penetration enhancers, mucoadhesives, enzyme
inhibitors
Ā© PANKHIL GANDHI
DOSAGE DESIGN AND
FORMULATION
PART 2 ā€“ BASIC
COMPONENTS
Ā© PANKHIL GANDHI
BASIC COMPONENTS OF BDDS :
1. Drug substance
2. Bioadhesive polymers
3. Backing membrane
4. Permeation enhancer
Ā© PANKHIL GANDHI
DRUG SUBSTANCE
Prolonged
release
Rapidrelease
Local
action
Systemiceffect
Ā© PANKHIL GANDHI
The drug should have the following
characteristics :
1. Small single dose
2. Fluctuations in blood levels when
given orally
3. Exhibits first pass metabolism
4. Shows passive absorption
BIOADHESIVE POLYMER
1. These serve the purpose of
adhering the dosage form to the
buccal region
2. Also employed to form matrix in
which drug is incorporated
3. May be synthetic or natural
4. May be water soluble or insoluble
Ā© PANKHIL GANDHI
Ā© PANKHIL GANDHI
PERMEATION ENHANCERS
These are the substances that facilitate or enhance the permeation of
the drug through the buccal mucosa
MOA :
1. Reducing the viscosity of mucus
2. Increase fluidity of bilipid membrane
3. Inhibiting various peptidases and proteases in the mucus
membrane to overcome enzymatic barrier
4. Increase solubility of drug
Ā© PANKHIL GANDHI
Ā© PANKHIL GANDHI
BACKING MEMBRANES
The materials used as backing membrane should be inert, and
impermeable to the drug and penetration enhancer. Such
impermeable membrane on buccal bioadhesive patches prevents the
drug loss and offers better patient compliance.
The commonly used materials in backing membrane include
carbopol, magnesium stearate, HPMC, HPC, CMC, polycarbophil etc
Ā© PANKHIL GANDHI
OTHER ADDITIVES
1. Diluents
2. Sweetening agents
3. Flavouring agents
Ā© PANKHIL GANDHI
MANUFACTURING
METHODS
Ā© PANKHIL GANDHI
METHODS FOR FILMS/PATCHES
1. Solvent casting
2. Direct milling
3. Hot melt extrusion of films
Ā© PANKHIL GANDHI
EVALUATION
Ā© PANKHIL GANDHI
MOISTURE ABSORPTION
It gives an indication about the relative moisture absorption capacities
of polymers and an idea whether the buccal patches maintain their
integrity after absorption of moisture.
Patches are placed on agar plates for 2 hr at 37oC.
Moisture absorbed is calculated using the formula:
Initial Weight ā€“ Final Weight
% Moisture content =
Initial Weight
Ā© PANKHIL GANDHI
SWELLING AND EROSION
Initial Weight ā€“ Final Weight
x 100 SI =
Initial Weight
Ā© PANKHIL GANDHI
SURFACE PH
Buccal patches are left to swell for 2 hrs on the surface of an agar
plate. The surface pH is measured by means of a pH paper placed on
the surface of the swollen patch.
Ā© PANKHIL GANDHI
DETERMINATION OF THE
RESIDENCE TIME
Ex vivo residence time
Ex vivo residence time is determined using a modified USP disintegration
apparatus. It is composed of 800 ml phosphate buffer of pH 6.6 maintained
at 37Ā°C. The porcine buccal tissue is tied to the surface of a glass slab,
vertically attached to the apparatus. The time which was taken for complete
erosion or detachment of the tablet from the mucosal surface was recorded
and considered as ex vivo residence time.
In vivo residence time
The experiment is performed on volunteers. The volunteers are asked to
record the residence time of the film on buccal mucosa in the oral cavity,
which is taken as the time for the patch to dislodge completely from the
buccal mucosa by continual sensation of the patch as well as the backing
membrane.
Ā© PANKHIL GANDHI
REFERENCES
1. N.Vidyasagar, et al. , Journal of Pharmaceutical Research and
Development, June 2012, Vol. 1, Issue. 2 , 29 ā€“ 35
2. N.G.Raghavendra Rao et al /J. Pharm. Sci. & Res. Vol.5(4), 2013, 80
ā€“ 88
3. Patel Mitul et al. , IRJP 2011, 2 (12), 4-11
Ā© PANKHIL GANDHI

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Buccal Drug Delivery System

  • 3. BASIC INTRODUCTION Buccal drug delivery : the delivery of drug into systemic circulation via buccal mucosa i.e. through the inner lining cheeks is called buccal drug delivery. Such dosage forms are placed between cheeks and upper gums. Intended purpose of use is generally treatment of local or systemic conditions Potential route for drugs that are: large hydrophillic unstable Proteins, oligo- nucleotides, Poly- saccharides Other small drugs Ā© PANKHIL GANDHI
  • 4. WHY AND WHEN TO FORMULATE AS BDDS ? 1. Some drugs have very short half life and therefore need to be administered multiple times in a day. This reduces patient compliance. 2. Some drugs may undergo enzymatic degradation in GIT 3. Some drugs suffer great loss in bioavailability as they undergo first pass metabolism Due to above mentioned reasons BDDS is employed Ā© PANKHIL GANDHI
  • 5. ADVANTAGES 1. Easy to administer 2. Therapy can be stopped whenever required 3. For unconscious and trauma patients it is easy to administer 4. Bypass first pass metabolism 5. Drugs unstable in environment of GIT can be given through BDDS 6. Flexibility in physical state, shape, size and surface 7. Rapid onset of action Ā© PANKHIL GANDHI
  • 6. DISADVANTAGES 1. Cannot administer drugs that are unstable at buccal pH 2. Not suitable for drugs with bitter taste, obnoxious odor, or irritant to mucosa 3. Only small dose can be administered 4. Eating and drinking may become restricted 5. Only those drugs that are absorbed via passive diffusion can be given through BDDS Ā© PANKHIL GANDHI
  • 8. ANATOMY OF BUCCAL CAVITY From top to down, following are the tissues that line the buccal cavity: 1. Mucus membrane 2. Epithelium (stratified/non-stratified) 3. Lamina propria 4. Submucosa Ā© PANKHIL GANDHI
  • 9. WHY DOES THE PRESENCE OF KERATIN MATTER? Keratinised parts: Mucosae of gingivae and hard palate Non-keratinized parts: Mucosae of soft palate, sublingual regions and buccal regions Ā© PANKHIL GANDHI Keratinization decreases water permeability
  • 10. WHAT IS THE ROLE PLAYED BY SALIVA ? ļ¶Absorption of drugs through moist mucosa takes place more readily. ļ¶Most drugs administered through BDDS are solids. They must be first dissolved before they can be absorbed. This is brought out by saliva Ā© PANKHIL GANDHI
  • 13. Type 1 : Drug loaded single bioadhesive layer device. Multidirectional drug release. Loss due to swallowing is more Type 2 : Double layered device. Impermeable backing layer on top. Prevents drug loss from top surface. Type 3 : Every face covered with impermeable membrane but Ā© PANKHIL GANDHI
  • 14. Matrix type A buccal patch in the form of a matrix of adhesive, drug and other additives Reservoir type Buccal patch contains a separate cavity that contains drug and additives from the adhesive membrane. An impermeable backing is added on one side and adhesive membrane on another Ā© PANKHIL GANDHI
  • 15. 1. Solids ā€“ lozenges and tablets. Dissolve in saliva and absorbed from throughout the oral mucosa 2. Gum ā€“ chewing gums. Offers controlled drug delivery over an extended time. These are very convinient 3. Gel forming liquids and in situ gels 4. Powders ā€“ mixture of bioadhesive polymers and drugs sprayed onto buccal mucosa 5. Patches ā€“ attached to buccal region i. With dissolvable matrix ii. With non-dissolvable backing iii. With dissolvable backing Ā© PANKHIL GANDHI
  • 16. DOSAGE DESIGN AND FORMULATION PART 1 ā€“ GENERAL CONSIDERATIONS IN FORMULATION Ā© PANKHIL GANDHI
  • 17. PHYSIOLOGICAL CONSIDERATIONS 1. Surface area 2. Device size 3. Drug load 4. Duration 5. Interaction of ingredients with salivary enzymes Ā© PANKHIL GANDHI
  • 18. PHARMACOLOGICAL CONSIDERATIONS 1. Lipophilic drugs ā€“ absorbed via transcellular route 2. Hydrophilic drugs ā€“ absorbed via paracellular routes Ā© PANKHIL GANDHI
  • 19. PHARMACEUTICAL CONSIDERATIONS 1. Drug release rate 2. Organoleptic factors 3. Effects of excipients like irritation at site of application 4. Incorporation of penetration enhancers, mucoadhesives, enzyme inhibitors Ā© PANKHIL GANDHI
  • 20. DOSAGE DESIGN AND FORMULATION PART 2 ā€“ BASIC COMPONENTS Ā© PANKHIL GANDHI
  • 21. BASIC COMPONENTS OF BDDS : 1. Drug substance 2. Bioadhesive polymers 3. Backing membrane 4. Permeation enhancer Ā© PANKHIL GANDHI
  • 22. DRUG SUBSTANCE Prolonged release Rapidrelease Local action Systemiceffect Ā© PANKHIL GANDHI The drug should have the following characteristics : 1. Small single dose 2. Fluctuations in blood levels when given orally 3. Exhibits first pass metabolism 4. Shows passive absorption
  • 23. BIOADHESIVE POLYMER 1. These serve the purpose of adhering the dosage form to the buccal region 2. Also employed to form matrix in which drug is incorporated 3. May be synthetic or natural 4. May be water soluble or insoluble Ā© PANKHIL GANDHI
  • 25. PERMEATION ENHANCERS These are the substances that facilitate or enhance the permeation of the drug through the buccal mucosa MOA : 1. Reducing the viscosity of mucus 2. Increase fluidity of bilipid membrane 3. Inhibiting various peptidases and proteases in the mucus membrane to overcome enzymatic barrier 4. Increase solubility of drug Ā© PANKHIL GANDHI
  • 27. BACKING MEMBRANES The materials used as backing membrane should be inert, and impermeable to the drug and penetration enhancer. Such impermeable membrane on buccal bioadhesive patches prevents the drug loss and offers better patient compliance. The commonly used materials in backing membrane include carbopol, magnesium stearate, HPMC, HPC, CMC, polycarbophil etc Ā© PANKHIL GANDHI
  • 28. OTHER ADDITIVES 1. Diluents 2. Sweetening agents 3. Flavouring agents Ā© PANKHIL GANDHI
  • 30. METHODS FOR FILMS/PATCHES 1. Solvent casting 2. Direct milling 3. Hot melt extrusion of films Ā© PANKHIL GANDHI
  • 32. MOISTURE ABSORPTION It gives an indication about the relative moisture absorption capacities of polymers and an idea whether the buccal patches maintain their integrity after absorption of moisture. Patches are placed on agar plates for 2 hr at 37oC. Moisture absorbed is calculated using the formula: Initial Weight ā€“ Final Weight % Moisture content = Initial Weight Ā© PANKHIL GANDHI
  • 33. SWELLING AND EROSION Initial Weight ā€“ Final Weight x 100 SI = Initial Weight Ā© PANKHIL GANDHI
  • 34. SURFACE PH Buccal patches are left to swell for 2 hrs on the surface of an agar plate. The surface pH is measured by means of a pH paper placed on the surface of the swollen patch. Ā© PANKHIL GANDHI
  • 35. DETERMINATION OF THE RESIDENCE TIME Ex vivo residence time Ex vivo residence time is determined using a modified USP disintegration apparatus. It is composed of 800 ml phosphate buffer of pH 6.6 maintained at 37Ā°C. The porcine buccal tissue is tied to the surface of a glass slab, vertically attached to the apparatus. The time which was taken for complete erosion or detachment of the tablet from the mucosal surface was recorded and considered as ex vivo residence time. In vivo residence time The experiment is performed on volunteers. The volunteers are asked to record the residence time of the film on buccal mucosa in the oral cavity, which is taken as the time for the patch to dislodge completely from the buccal mucosa by continual sensation of the patch as well as the backing membrane. Ā© PANKHIL GANDHI
  • 36. REFERENCES 1. N.Vidyasagar, et al. , Journal of Pharmaceutical Research and Development, June 2012, Vol. 1, Issue. 2 , 29 ā€“ 35 2. N.G.Raghavendra Rao et al /J. Pharm. Sci. & Res. Vol.5(4), 2013, 80 ā€“ 88 3. Patel Mitul et al. , IRJP 2011, 2 (12), 4-11 Ā© PANKHIL GANDHI