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Prepared by:                                    Guided by:
Shivam Thakore                                  Mrs Shital Acharya
Vishal Gajipara                                 Mr Jaymin Patel


                  Department of Pharmaceutical Technology,
4/10/2013           LJ Institute of Pharmacy, Ahmedabad              1
What is BDDS???
     Delivery of drug through Buccal mucosa of oral
      cavity is called BDDS. Buccal mucosa lines the
      inner region of cheeks.
     In biological term, the product is placed between
      upper gingiva (gums) & cheek to treat local &
      systemic conditions.




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      2
Advantages
 Avoids 1st pass metabolism
 Avoids acid/Enzyme metabolism
 Permeation is faster with respect to Skin & TDDS (4-
  4000)
 Large surface area with respect to sub-lingual mucosa
 Good patient compliance with respect to parental
 Easy administration & removal in case of toxicity.
 For unconscious or comatose patients




                   Department of Pharmaceutical Technology,
4/10/2013            LJ Institute of Pharmacy, Ahmedabad      3
Disadvantages
 Drugs with bitter taste or irritant to mucosa or having
  noxious smell
 Not for children
 Eating & drinking difficulty
 Salivary erosion & it may enter GIT & choke esophagus
 Less surface area than skin
 Drugs unstable at Buccal pH(6.5 to 7)




                   Department of Pharmaceutical Technology,
4/10/2013            LJ Institute of Pharmacy, Ahmedabad      4
Anatomy/Physiology of Buccal
Cavity




            Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      5
Buccal Environment
     It has four parts & is 500-800um thick & 150Cm^2
      approx
     Epithelium: 40-50 cell thick & is major barrier for
      lipophilic drug. It has initially square shaped cells which
      further grows in the elliptical cells which are permeable
      for hydrophilic drugs. It may be Keratinized (having High
      MW) or non-keratinized (Low MW).
     Mostly, non-keratinized epithelium is permeable to drug
      very easily due to absence of acylceramides & only
      small amounts of ceramides. Also they contain small
      amounts of neutral but             polar lipids (Cholesterol
      Sulfate& Glucosyl ceramides). Hence more permeable
      to formulation


                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad        6
Cont…
     Lamina propria: Barrier for hydrophilic drug
     Hence highly hydrophilic & highly lipophilic drug
      are not suitable for BDDS.
Salivary Secretions: It is secreted by Parotid,
  Sub-maxillary & Sub-lingual glands

                                                                   1% Solute
                                                                 {Na, K, Ca, Mg,
            99 % Aq liquid                                      Mucin, Albumin,
                                                                Enzymes(Amylas
                                                                   e, lipase) }




                             Department of Pharmaceutical Technology,
4/10/2013                      LJ Institute of Pharmacy, Ahmedabad                 7
Mucin Biochemistry
     The pH of saliva is due to Mucin      (6.2-7.4).
     Mucins are synthesized by the goblet cells and
      special exocrine glands & secreted by sialic cells
      & Mucus cells
     It is gylcorylated glycoprotein having large peptide
      backbone & oligosaccharides side chains & 14
      side chains made up of oligosaccharide.
     End part of side chains has negative charge due
      to sialic acid, sulphonic grp & fructoic grp which
      attract cationic polymers.


                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad      8
Factors affecting…
FACTORS…

Polymer related factors                        MW of polymer
                                               Flexibility
                                               H-bond capacity
                                               Cross-linking density
                                               Charge
                                               Concentration
Drug related factors                           Mw of Drug,
                                               Lipophilicity




Patient Related factors                        Salivary secretion rate
                                               pH of Buccal Cavity
                                               Eating/Drinking habit


                          Department of Pharmaceutical Technology,
4/10/2013                   LJ Institute of Pharmacy, Ahmedabad          9
POLYMER RELATED FACTORS
MW of polymer                                 MW increases, chain & ultimately
                                              adhesion increases Eg PEG4000
Flexibility                                   Should be high
H-bond Capacity                               HPMC, Carbopol, PVA, PMA
Cross-linking density                         Should be low as possible
Charge                                        Charged            molecule   will   be   highly
                                              adhere
Concentration                                 0.5-2 % optimum, because it will
                                              directly increase the cross linking &
                                              hence binding decreases
DRUG RELATED FACTORS
MW of Drug                                    Mw of drug increases, the Absorption
                                              decreases
Lipophilicity                                 Should be high
PATIENT RELATED FACTORS
Salivary secretion rate
pH of Buccal Cavity
Eating/Drinking habit
                          Department of Pharmaceutical Technology,
4/10/2013                   LJ Institute of Pharmacy, Ahmedabad                                  10
Mechanism of Adhesion
     The term bioadhesion is commonly defined as adhesion
      between two materials where at least one of the
      material is of biological origin.
      When adhesion is restricted to mucus layer lining of the
      mucosal surface, then it is known as Mucoadhesion.
     Generally such adhesion occurs in four different steps…
       Wetting & Swelling
       Interpenetration of polymer chains in mucin chains
       Formation of chemical bonds between Entangled
        chains



                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      11
1. Wetting and swelling of polymer to permit
  intimate contact with biological tissue.




2. Inter-penetration of bioadhesive polymer(BP)
   chains and entanglement of polymer and
   mucin chains.




                Department of Pharmaceutical Technology,
4/10/2013         LJ Institute of Pharmacy, Ahmedabad      12
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      13
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      14
3. Formation of chemical bonds between Entangled
  chains.
  Chemical bonds may be primary(covalent) or
  secondary(ionic, van dervaals, H-bonds)




                Department of Pharmaceutical Technology,
4/10/2013         LJ Institute of Pharmacy, Ahmedabad      15
Theories of Adhesion
            Adsorption theory: Polymer/groups form covalent/non-covalent
            bonds which will bind very strongly (also H-bonds,
            vanderwaal’s bonds).
            Wetting theory: Polymer with positive spreading co-efficient will
            have good binding.

            Diffusion theory: Permeability is good in mucin due to chain
            flexibility.


            Fracture Theory: Irregular surface of polymer & mucin give
            good physical entanglement.

            Electronic theory: Electric bilayer between polymer & mucin is
            responsible.




                 Department of Pharmaceutical Technology,
4/10/2013          LJ Institute of Pharmacy, Ahmedabad                          16
Formulation of BDDS


                     •                                             • Gels                                                • Sprays

                                         Semi-Solid Dasage forms




                                                                                                   Liquid Dosage forms
Solid Dosage forms




                         Tablets
                     •   Patches/films                             • Ointments
                     •   Wafers
                     •   Lozenges
                     •   Powders




                                                            Department of Pharmaceutical Technology,
 4/10/2013                                                    LJ Institute of Pharmacy, Ahmedabad                                   17
Basic Formulation components

  Muco-adhesive Polymers                   Permeation enhancers



                       Preferred Drug
                         Candidate



            Diluents                                    Plasticizer



                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad          18
Selection of DRUG for BDDS
I.   MW should be less than 1000da
II.  It should be having both nature i.e. hydro-lipophilic type
III. Should be potent {low dose so that formulation is not
     bulky}
IV. Non-irritant to mucosa
V. Drugs that degrades in GIT.




                      Department of Pharmaceutical Technology,
4/10/2013               LJ Institute of Pharmacy, Ahmedabad       19
List of API’s delivered via Buccal
route              API
Acyclovir                                       Metronidazole
Buprenorpine                                    Metoprolol tartrate
Carbamazepine                                   Morphine sulphate
Chlorpheniramine maleate                        Nifedipine
Danazol                                         Omeprazole
Diclofenac sodium                               Pentazocine
Diltiazem                                       Pindolol
Flurbiprofen                                    Piroxicam
Hydrocortisone acetate                          Rh EFG
Insulin                                         Testosterone
Lignocaine                                      Terbutaline sulphate
LHRH                                            Theophyline
Zinc sulphate                                   Triamcinolone acetate
                           Department of Pharmaceutical Technology,
4/10/2013                    LJ Institute of Pharmacy, Ahmedabad        20
Mucoadhesive Polymers
     These are the main component for adhesion.
     They attract water from the biological surrounding, get
      swells & adhere to the membrane.
     Normally they should be having hydrophilicity, numerous
      H-bonding groups, flexibility, interpenetration with
      mucus & tissues




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      21
Ideal features…
 Non-toxic, non-irritant & pure.
 Good spreadibility, wetting, swelling, solubility &
  biodegradable if possible.
 Adhesion should be quick & with sufficient mechanical
  strength.
 Should have peel,tensile,shear strength.
 Should easily incorporate drug in formulation & it should
  not be obstacle in drug release.
 Cost effective.




                    Department of Pharmaceutical Technology,
4/10/2013             LJ Institute of Pharmacy, Ahmedabad      22
 Examples
 Hydrogels:
      Polyacrylates, carbopol, polycarbophils
      PVA, Ethylene Vinyl alcohol,      cellulose derivatives,
      alginates
     Thiolated Polymers
      Hydrophilic macromolecules exhibiting free thiol groups
      on the polymeric backbone.
       Eg: Thiomers of chitosan and polyacrylic acid etc




                       Department of Pharmaceutical Technology, LJ
4/10/2013                   Institute of Pharmacy, Ahmedabad         23
Permeation Enhancers
     Permeation is very limiting factor in BDDS.
     Substances that facilates permeation through Buccal
      mucosa are called PE.
     Epithelium & Lamina Propria are very effective barrier to
      absorption.
     They should be used with very care & in optimum
      concentration(<1%), above this concentration toxicity
      due     to  membrane        damage      may  occur      &
      histopathological study should be done.




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      24
Mechanisms of PE’s
 Increasing fluidity & integrity of cell membrane.
 Extracting inter/intra cellular lipids.
 Altering cellular proteins.
 Altering mucus rheology.
 Acting at the tight junctions.
 Increasing thermodynamic activity of drugs.
 Surface tension decreasing.




                     Department of Pharmaceutical Technology,
4/10/2013              LJ Institute of Pharmacy, Ahmedabad      25
Permeation Enhancers
Types                                       Examples
Chelators                                   EDTA, Citric acid, Sodium salicylate,
                                            methoxy salicylates
Surfactants                                 SLS, Polyoxyethylene,
                                            Benzalkonium chloride,
                                            Cetylpyridinium chloride,
                                            Cetyltrimethyl ammonium bromide.
Bile salts                                  sodium glycocholate,
                                            sodium deoxycholate,
                                            sodium taurocholate,
                                            sodium glycodeoxycholate,
                                            sodium taurodeoxycholate
Fatty acids                                 Oleic acid, Capric acid, Lauric acid,
                                            PG, methyloleate,
                                            Phosphatidylcholine.
Non-surfactants                             Unsaturated cyclic ureas.
Inclusion complexes:                        Cyclodextrins
                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad                        26
Important formulation
     Tablets
     Is small, flat, generally oval shape with 5-8mm diameter.
     It is directly placed onto mucosal surface & adheres to
      it.
     DC/WG may be used to formulate.




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      27
     We can get
       Unidirectional Release
       Multidirectional release (as with conventional product)
      Generally for unidirectional release, a backing
        membrane is applied, which is impermeable to liquid,
        to one side so that no drug release is observed form
        that side & non-coated surface adheres to the Buccal
        mucosa. Ethyl Cellulose is used as backing
        membrane.




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      28
     Different marketed Buccal tablets…

 Prochlorperazine maleate tab (BuccastemR M)
 Glycerl trinitrite Buccal tab (Suscord)
 Fentanyl Buccal tab (Fentora)
 Miconazole Buccal tab (Oravig)
 Testosterone (Striant) patented product




                      Department of Pharmaceutical Technology,
4/10/2013               LJ Institute of Pharmacy, Ahmedabad      29
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      30
Buccal Patches/films
     They are long, flat, thin thickness, transparent with high
      surface area.
     They can be prepared by two methods
       Solvent casting method
       Direct milling method




                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad      31
Solvent Casting Method
     Here drug & all excipients are weighed and dispersed in
      the suitable organic solvent & coated on the release
      liner.
     The organic solvent is allowed to evaporate & after
      evaporation the thin layer of the backing material is
      laminated on to the sheet of coated release liner to form
      laminate.
     After that the whole patch is ready to cut into required
      size (almost 2*2 cm2 )




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      32
Direct Milling Method
     Here, drug & excipients are mixed mechanically
      by milling or kneading.
     After mixing the resultant material is rolled on
      the release liner till desired thickness is
      achieved.
     Finally as the previous method, backing
      material is laminated.
     Though there is no difference in the patch
      performance manufactured by either of the
      method but with the SOLVENT method there
      are chance of residual solvent.
     Hence this Solvent free method is highly used

                     Department of Pharmaceutical Technology,
4/10/2013              LJ Institute of Pharmacy, Ahmedabad      33
     What does backing layer does…
        Control the direction of drug release
        Also prevent drug losses
        Minimize     deformation during handling &
         transportation
        Reduces the disintegration of device during the
         application
       Examples
       Nitroglycerin patches
       Fentanyl patches (Onsolis)




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      34
Evaluating the BDDS
 Dosage forms          Tablets              Patches             Semi-solids Sprays
 In-vitro test

 Weight Variation      Y                    Y
 Assay                 Y                    Y                   Y          Y
 Thickness             Y                    Y
 Friability            Y
 Disintegration time   Y                    Y
 Residence time        Y                    Y                   Y
 Tensile strength                           Y
 Folding endurance                          Y
 Viscosity                                                      Y
 Droplets size                                                             Y
 Dissolution           Y                    Y                   Y
 Mucoadhesion          Y                    Y                   Y
 Strength
 Permeability test     Y                    Y                   Y
                           Department of Pharmaceutical Technology,        Y
4/10/2013                    LJ Institute of Pharmacy, Ahmedabad                     35
Some important in-vitro test
     Disintegration time:
        Slide frame method: film on slide + drop of water in it.
         Note the time when hole is observed in the film.
        Petri dish method: film in Petri plate + 2 ml of water in it.
         Check time till film dissolves.

     Residence time:
      Take a slide, stick a mucosa on it with gum. Place
      our dosage form on it with few droplets of PBS 6.8,
      allow it to stick on it. Now make it inclined at 30 C
      & at constant rate add PBS 6.8 drop wise on it
      without moving the slide. Note the time till dosage
      form detaches from mucosa.

      Permeation Study: Franz diffusion cell

                            Department of Pharmaceutical Technology,
4/10/2013                     LJ Institute of Pharmacy, Ahmedabad        36
Residence time
     Locally modified USP disintegration apparatus
      was used. DT media: 800 mL PBS pH 6.8 at 37
      °C. The buccal tissue was glued to the surface of a
      glass slab, vertically attached to the apparatus.
      The buccal tablet was hydrated from one surface
      using 0.5 mL of PBS pH 6.8, and then the
      hydrated surface was brought into contact with the
      mucosal membrane. The glass slab was vertically
      fixed to the apparatus and allowed to run in such a
      way that the tablet was completely immersed in
      the buffer solution at the lowest point and was out
      at the highest point. The time necessary for
      complete erosion or detachment of the tablet from
      the mucosal surface was recorded.
                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      37
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      38
Muco-adhesive strength




            Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      39
Shear Force (for various
polymers)
                             The shear test measures the
                             force required to separate two
                             polymer-coated glass slides
                             joined by a thin film of natural
                             or synthetic mucus. The
                             results of this technique often
                             correlate well with in vivo test
                             results.




            Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad               40
Muco/bio adhesion test
     Modified physical balance. Here lighter pan had replaced
      the right pan and the left pan had been replaced by a
      glass slide. The height of the total set-up was adjusted to
      accommodate a glass container of 6.6 cm height. Buccal
      tablet was stacked to the glass slide with the help of the
      knob, which was situated at the base of the physical
      balance. Five grams weight from the right pan was then
      removed. This lowered the glass slide along with the
      tablet over the membrane with a weight of 5.0 g. This was
      kept undisturbed for 5 min. Then, the weights on the right-
      hand side were slowly added in increments of 0.1 g till the
      tablet just separated from the membrane surface. By
      using this weight calculate the bio-adhesive force using
      following                                         equation
      Bio adhesive force (N) = weight in grams × G/1000


                          Department of Pharmaceutical Technology,
4/10/2013                   LJ Institute of Pharmacy, Ahmedabad      41
Modified Balance Method




            Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      42
Block Diagram of Modified
Balance Method




            Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      43
TEXTURE ANALYZER:
 Here the force required to remove the formulation from
  a model membrane is measured, which can be a disc
  composed of mucin , a piece of animal mucous




                   Department of Pharmaceutical Technology,
4/10/2013            LJ Institute of Pharmacy, Ahmedabad      44
In-vivo test
     Buccal Absorption study: Assay of drug solution,
      after mouth gargles.
     Perfusion study
     Kinetic study




                      Department of Pharmaceutical Technology,
4/10/2013               LJ Institute of Pharmacy, Ahmedabad      45
Chien Diffusion Cell




            Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      46
Recent Innovations
      Gel Forming Liquids:
  This type of a formulation is liquid upon instillation
       and undergoes a phase transition to form a
       viscoelastic gel in response to stimulus such as
       temperature, ionic strength or ph
  Carbomers become more viscous upon increased
       pH.
  Gellan gum and alginate both form gel in response
       to increased ionic strength (particularly with Ca+2
       ions).
  Poloxamers and smart hydrogel®( Advanced
       medical solution) gel at approximately body
       temperature.
4/10/2013
                         Department of Pharmaceutical Technology,
                           LJ Institute of Pharmacy, Ahmedabad      47
Slowly     disintegrating     buccal
mucoadhesive plain tablet (SDBMPT)
•    Prepared by incorporating large amount of HPC.
    e.g. tablet having 20mg drug, 20mg HPC, 20mg CMC &
     60mg lactose – mixed & compressed with a flat faced
     die that is 8mm in diameter.

•      Limitation:
        softens on extended period and
        lose its shape which hinders the control of
         disintegration over long time periods



                      Department of Pharmaceutical Technology,
4/10/2013               LJ Institute of Pharmacy, Ahmedabad      48
BCTS (Buccal Covered Tablet System)

•     Sandwiched S-DBMP-T system between two
      polyethylene sheets
•      Upper sheet contains hole to absorb water and lower
      sheet is made of adhesives




                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad      49
OraVescent technology
•      System which transports drug through across the mucosal
      membrane.
•      Based on effervescent technology and administered buccally
      or sublingually by Cima labs Inc
•     Principle:
     pH < pKa of weak base –
      ionization and solubilization




                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad       50
Marketed products
     Striant®, developed by Columbia Labs, is a testosterone
      extended-release     buccal    tablet   that    delivers
      testosterone systemically for hormone replacement in
      hypogonadal men.

     Asftach® is a buccal tablet containing triamcinolone
      acetonide for treatment of apththous ulcers, and
      contains a bioadhesive layer and a dissolvable lactose
      nonadhesive backing layer

     DentiPatch® has been developed by Noven, which is a
      lidocaine extended-release buccal patch that adheres
      to the gingival tissue to provide for local analgesia, and
      was approved in the United States in May 1996.

                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad      51
     Cydot® is an example of a patch technology where the
      patch adheres to the buccal mucosa for a period of up
      to 24 hours to slowly release melatonin for normalizing
      circadian rhythms.

     Buccal Methyltestosterone
        Brand name-Metandren, Ciba;
        Avoids first-pass hepatic metabolism

     Prochlorperazine
        Brand name -Oreton ,Schering Buccastem,
        Alternative to enteral tablet

                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      52
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      53
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      54
PRODUCT            COMPANY                       BIOADHESIVE             PHARMACEUTICA
                                                 AGENT                   L FORM
Buccastem®         Reckitt Benckiser             PVP, Xanthum            Buccal tablet
                                                 gum
Corlan pellets®    Celltech                      Acacia gum              Oromucosal
                                                                         pellets
Suscard®           Forest                        HPMC                    Buccal tablet


Gaviscon liquid®   Reckitt Benckiser             Sodium alginate         Oral liquid


Orabase®           Convatech                     Pectin, Gelatin         Oral paste


Corsodyl gel®      GlaxoSmithKline               HPMC                    Oromucosal gel

                              Department of Pharmaceutical Technology,
  4/10/2013                     LJ Institute of Pharmacy, Ahmedabad                       55
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      56
     Administering the drug via membrane located below the
      tongue is called Sublingual DDS(SLDDS) generally
      called floor of mouth.
     The SLDDS is almost similar to the BDDS having some
      more advantages than Buccal drug delivery system.
     Generally factors affecting the SLDDS are almost similar
      to factors related with the BDDS.




                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      57
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      58
SLDDS vs BDDS
SLDDS                                        BDDS

The absorption via sub lingual               Here, in BDDS, the thickness of
route is faster than buccal mucosa           buccal    mucosa    is   500um
due to the thickness of the                  approximately, hence permeation
sublingual mucosa.                           is slow in compare to sublingual
It is 100-200 µm thick                       route
Hence, in emergency conditions, like angina pectoris/asthmatic attack,
SLDDS in preferred than BDDS due to faster permeation of drug
Sub lingual mucosa has rapid It has less vascularization than
absorption and has higher blood sublingual mucosa.
levels    due    to    very   high
vascularization of the region than
Buccal mucosa


                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad                   59
Drug administered
 Antianginal like nitrites and nitrates
 Anti hypertensive like nifedipine
 Analgesics like morphine
 Bronchodilators like fenoterol
 Certain steroids like estradiol
 Peptides like Oxytocin can also be administered




                   Department of Pharmaceutical Technology,
4/10/2013            LJ Institute of Pharmacy, Ahmedabad      60
Various formulations
 Sublingual tablets
 Fast-disintegrating sublingual tablets
 Bioadhesive sublingual tablet
 Thin film drug delivery
 Lipid matrix sublingual tablet
 Sublingual immunotherapy
 Sublingual vitamin tablet




                    Department of Pharmaceutical Technology,
4/10/2013             LJ Institute of Pharmacy, Ahmedabad      61
Evaluating SLDDS
     Surface pH of the tablet
     Uniformity of weight
     Content uniformity
     Hardness
     Thickness
     Diameter
     Disintegration time
     Wetting time
     Friability
     Dissolution test
     Folding endurance
     Bioadhesion strength
     Permeation studies
     % Elongation


                          Department of Pharmaceutical Technology,
4/10/2013                   LJ Institute of Pharmacy, Ahmedabad      62
Marketed Products




                 Department of Pharmaceutical Technology,
4/10/2013          LJ Institute of Pharmacy, Ahmedabad      63
References
     Katsumi Iga, “Modified-Release Drug Delivery Technology”,
      Edited by Michael, J Rathbone , Jonathan Hadgraft and
      Michael S . Roberts, Informa Healthcare 2002, New York, USA
     Jaiswal S B, Brahmankar DM,              “Biopharmaceutics &
      Pharmacokinetics, A treatise” 2nd edition, Vallabh Prakashan,
      New Delhi
     Jain N K, “Controlled and Novel Drug Delivery Systems”, 1st edi,
      2009 reprint, CBS publishers, New Delhi
     Chien Yie W, “Novel Drug Delivery system”, 2nd edition, revised
      & Expanded, volume 50, Informa healthcare, New York, USA
     K. Patel Nibha1 and SS. Pancholi, “An Overview on: Sublingual
      Route for Systemic Drug Delivery”, International Journal of
      Research in Pharmaceutical and Biomedical Sciences, Vol. 3
      (2) Apr – Jun2012


                            Department of Pharmaceutical Technology,
4/10/2013                     LJ Institute of Pharmacy, Ahmedabad        64
     Neha narang, Jyoti sharma, “Sublingual mucosa as a route
      for systemic drug delivery”, International Journal of
      Pharmacy and Pharmaceutical Sciences, Vol 3, Supply 2,
      2011.
     Pharmaquest.weebly.com/uploads/9/9/4/2/9942916/3.subling
      ual_dds.pdf/accessed at 24/2/2013
     Smart D John, “Drug delivery using buccal-adhesive
      systems”, Advanced drug delivery reviews, Elsevier Science
      Publishers, Volume 11, Issue 3, September 1993, Pages
      253-270
     Miller Nazila Salamat miller, Chittchang Montakarn, Johnston
      Thomas P, “The use of mucoadhesive polymers in buccal
      drug                                                 delivery
      Advanced Drug Delivery Reviews, Elsevier Science
      Publishers, Volume 57, Issue 11, 3 November 2005, Pages
      1666-1691”



                           Department of Pharmaceutical Technology,
4/10/2013                    LJ Institute of Pharmacy, Ahmedabad      65
Questions to CRAACK
GTU…
     Discuss the merits and demerits of sublingual
      dosage forms. How are they evaluated?
     Discuss the in-vitro evaluation models for oral drug
      delivery systems.
     Explain evaluation methods for mucoadhesive
      drug delivery.
     Write applications of buccal & sublingual drug
      delivery systems.
     Explain the structure of buccal mucosa. Give a
      brief account of mucoadhesive polymers for
      buccal delivery.

                        Department of Pharmaceutical Technology,
4/10/2013                 LJ Institute of Pharmacy, Ahmedabad      66
     Discuss the merits and demerits of mucoadhesive
      buccal drug delivery. How one can evaluate
      mucoadhesive buccal formulation?
     Describe methods to determine muco-adhesion
      property of formulations.
     Discuss in brief delivery systems for oral mucosa.
     What are the objectives of sublingual drug delivery
      system? Discuss evaluation parameters of
      sublingual drug delivery system.
     Enlist various method used for bio adhesive
      property measurement. Discuss any one.
     Explain significance of sublingual drug delivery
      system. How they are evaluated?

                       Department of Pharmaceutical Technology,
4/10/2013                LJ Institute of Pharmacy, Ahmedabad      67
Department of Pharmaceutical Technology,
4/10/2013     LJ Institute of Pharmacy, Ahmedabad      68

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Buccal drug delivery system

  • 1. Prepared by: Guided by: Shivam Thakore Mrs Shital Acharya Vishal Gajipara Mr Jaymin Patel Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 1
  • 2. What is BDDS???  Delivery of drug through Buccal mucosa of oral cavity is called BDDS. Buccal mucosa lines the inner region of cheeks.  In biological term, the product is placed between upper gingiva (gums) & cheek to treat local & systemic conditions. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 2
  • 3. Advantages  Avoids 1st pass metabolism  Avoids acid/Enzyme metabolism  Permeation is faster with respect to Skin & TDDS (4- 4000)  Large surface area with respect to sub-lingual mucosa  Good patient compliance with respect to parental  Easy administration & removal in case of toxicity.  For unconscious or comatose patients Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 3
  • 4. Disadvantages  Drugs with bitter taste or irritant to mucosa or having noxious smell  Not for children  Eating & drinking difficulty  Salivary erosion & it may enter GIT & choke esophagus  Less surface area than skin  Drugs unstable at Buccal pH(6.5 to 7) Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 4
  • 5. Anatomy/Physiology of Buccal Cavity Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 5
  • 6. Buccal Environment  It has four parts & is 500-800um thick & 150Cm^2 approx  Epithelium: 40-50 cell thick & is major barrier for lipophilic drug. It has initially square shaped cells which further grows in the elliptical cells which are permeable for hydrophilic drugs. It may be Keratinized (having High MW) or non-keratinized (Low MW).  Mostly, non-keratinized epithelium is permeable to drug very easily due to absence of acylceramides & only small amounts of ceramides. Also they contain small amounts of neutral but polar lipids (Cholesterol Sulfate& Glucosyl ceramides). Hence more permeable to formulation Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 6
  • 7. Cont…  Lamina propria: Barrier for hydrophilic drug  Hence highly hydrophilic & highly lipophilic drug are not suitable for BDDS. Salivary Secretions: It is secreted by Parotid, Sub-maxillary & Sub-lingual glands 1% Solute {Na, K, Ca, Mg, 99 % Aq liquid Mucin, Albumin, Enzymes(Amylas e, lipase) } Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 7
  • 8. Mucin Biochemistry  The pH of saliva is due to Mucin (6.2-7.4).  Mucins are synthesized by the goblet cells and special exocrine glands & secreted by sialic cells & Mucus cells  It is gylcorylated glycoprotein having large peptide backbone & oligosaccharides side chains & 14 side chains made up of oligosaccharide.  End part of side chains has negative charge due to sialic acid, sulphonic grp & fructoic grp which attract cationic polymers. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 8
  • 9. Factors affecting… FACTORS… Polymer related factors MW of polymer Flexibility H-bond capacity Cross-linking density Charge Concentration Drug related factors Mw of Drug, Lipophilicity Patient Related factors Salivary secretion rate pH of Buccal Cavity Eating/Drinking habit Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 9
  • 10. POLYMER RELATED FACTORS MW of polymer MW increases, chain & ultimately adhesion increases Eg PEG4000 Flexibility Should be high H-bond Capacity HPMC, Carbopol, PVA, PMA Cross-linking density Should be low as possible Charge Charged molecule will be highly adhere Concentration 0.5-2 % optimum, because it will directly increase the cross linking & hence binding decreases DRUG RELATED FACTORS MW of Drug Mw of drug increases, the Absorption decreases Lipophilicity Should be high PATIENT RELATED FACTORS Salivary secretion rate pH of Buccal Cavity Eating/Drinking habit Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 10
  • 11. Mechanism of Adhesion  The term bioadhesion is commonly defined as adhesion between two materials where at least one of the material is of biological origin.  When adhesion is restricted to mucus layer lining of the mucosal surface, then it is known as Mucoadhesion.  Generally such adhesion occurs in four different steps…  Wetting & Swelling  Interpenetration of polymer chains in mucin chains  Formation of chemical bonds between Entangled chains Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 11
  • 12. 1. Wetting and swelling of polymer to permit intimate contact with biological tissue. 2. Inter-penetration of bioadhesive polymer(BP) chains and entanglement of polymer and mucin chains. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 12
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  • 15. 3. Formation of chemical bonds between Entangled chains. Chemical bonds may be primary(covalent) or secondary(ionic, van dervaals, H-bonds) Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 15
  • 16. Theories of Adhesion Adsorption theory: Polymer/groups form covalent/non-covalent bonds which will bind very strongly (also H-bonds, vanderwaal’s bonds). Wetting theory: Polymer with positive spreading co-efficient will have good binding. Diffusion theory: Permeability is good in mucin due to chain flexibility. Fracture Theory: Irregular surface of polymer & mucin give good physical entanglement. Electronic theory: Electric bilayer between polymer & mucin is responsible. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 16
  • 17. Formulation of BDDS • • Gels • Sprays Semi-Solid Dasage forms Liquid Dosage forms Solid Dosage forms Tablets • Patches/films • Ointments • Wafers • Lozenges • Powders Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 17
  • 18. Basic Formulation components Muco-adhesive Polymers Permeation enhancers Preferred Drug Candidate Diluents Plasticizer Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 18
  • 19. Selection of DRUG for BDDS I. MW should be less than 1000da II. It should be having both nature i.e. hydro-lipophilic type III. Should be potent {low dose so that formulation is not bulky} IV. Non-irritant to mucosa V. Drugs that degrades in GIT. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 19
  • 20. List of API’s delivered via Buccal route API Acyclovir Metronidazole Buprenorpine Metoprolol tartrate Carbamazepine Morphine sulphate Chlorpheniramine maleate Nifedipine Danazol Omeprazole Diclofenac sodium Pentazocine Diltiazem Pindolol Flurbiprofen Piroxicam Hydrocortisone acetate Rh EFG Insulin Testosterone Lignocaine Terbutaline sulphate LHRH Theophyline Zinc sulphate Triamcinolone acetate Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 20
  • 21. Mucoadhesive Polymers  These are the main component for adhesion.  They attract water from the biological surrounding, get swells & adhere to the membrane.  Normally they should be having hydrophilicity, numerous H-bonding groups, flexibility, interpenetration with mucus & tissues Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 21
  • 22. Ideal features…  Non-toxic, non-irritant & pure.  Good spreadibility, wetting, swelling, solubility & biodegradable if possible.  Adhesion should be quick & with sufficient mechanical strength.  Should have peel,tensile,shear strength.  Should easily incorporate drug in formulation & it should not be obstacle in drug release.  Cost effective. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 22
  • 23.  Examples  Hydrogels: Polyacrylates, carbopol, polycarbophils PVA, Ethylene Vinyl alcohol, cellulose derivatives, alginates  Thiolated Polymers Hydrophilic macromolecules exhibiting free thiol groups on the polymeric backbone. Eg: Thiomers of chitosan and polyacrylic acid etc Department of Pharmaceutical Technology, LJ 4/10/2013 Institute of Pharmacy, Ahmedabad 23
  • 24. Permeation Enhancers  Permeation is very limiting factor in BDDS.  Substances that facilates permeation through Buccal mucosa are called PE.  Epithelium & Lamina Propria are very effective barrier to absorption.  They should be used with very care & in optimum concentration(<1%), above this concentration toxicity due to membrane damage may occur & histopathological study should be done. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 24
  • 25. Mechanisms of PE’s  Increasing fluidity & integrity of cell membrane.  Extracting inter/intra cellular lipids.  Altering cellular proteins.  Altering mucus rheology.  Acting at the tight junctions.  Increasing thermodynamic activity of drugs.  Surface tension decreasing. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 25
  • 26. Permeation Enhancers Types Examples Chelators EDTA, Citric acid, Sodium salicylate, methoxy salicylates Surfactants SLS, Polyoxyethylene, Benzalkonium chloride, Cetylpyridinium chloride, Cetyltrimethyl ammonium bromide. Bile salts sodium glycocholate, sodium deoxycholate, sodium taurocholate, sodium glycodeoxycholate, sodium taurodeoxycholate Fatty acids Oleic acid, Capric acid, Lauric acid, PG, methyloleate, Phosphatidylcholine. Non-surfactants Unsaturated cyclic ureas. Inclusion complexes: Cyclodextrins Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 26
  • 27. Important formulation  Tablets  Is small, flat, generally oval shape with 5-8mm diameter.  It is directly placed onto mucosal surface & adheres to it.  DC/WG may be used to formulate. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 27
  • 28. We can get  Unidirectional Release  Multidirectional release (as with conventional product) Generally for unidirectional release, a backing membrane is applied, which is impermeable to liquid, to one side so that no drug release is observed form that side & non-coated surface adheres to the Buccal mucosa. Ethyl Cellulose is used as backing membrane. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 28
  • 29. Different marketed Buccal tablets…  Prochlorperazine maleate tab (BuccastemR M)  Glycerl trinitrite Buccal tab (Suscord)  Fentanyl Buccal tab (Fentora)  Miconazole Buccal tab (Oravig)  Testosterone (Striant) patented product Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 29
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  • 31. Buccal Patches/films  They are long, flat, thin thickness, transparent with high surface area.  They can be prepared by two methods  Solvent casting method  Direct milling method Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 31
  • 32. Solvent Casting Method  Here drug & all excipients are weighed and dispersed in the suitable organic solvent & coated on the release liner.  The organic solvent is allowed to evaporate & after evaporation the thin layer of the backing material is laminated on to the sheet of coated release liner to form laminate.  After that the whole patch is ready to cut into required size (almost 2*2 cm2 ) Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 32
  • 33. Direct Milling Method  Here, drug & excipients are mixed mechanically by milling or kneading.  After mixing the resultant material is rolled on the release liner till desired thickness is achieved.  Finally as the previous method, backing material is laminated.  Though there is no difference in the patch performance manufactured by either of the method but with the SOLVENT method there are chance of residual solvent.  Hence this Solvent free method is highly used Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 33
  • 34. What does backing layer does…  Control the direction of drug release  Also prevent drug losses  Minimize deformation during handling & transportation  Reduces the disintegration of device during the application Examples Nitroglycerin patches Fentanyl patches (Onsolis) Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 34
  • 35. Evaluating the BDDS Dosage forms Tablets Patches Semi-solids Sprays In-vitro test Weight Variation Y Y Assay Y Y Y Y Thickness Y Y Friability Y Disintegration time Y Y Residence time Y Y Y Tensile strength Y Folding endurance Y Viscosity Y Droplets size Y Dissolution Y Y Y Mucoadhesion Y Y Y Strength Permeability test Y Y Y Department of Pharmaceutical Technology, Y 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 35
  • 36. Some important in-vitro test  Disintegration time:  Slide frame method: film on slide + drop of water in it. Note the time when hole is observed in the film.  Petri dish method: film in Petri plate + 2 ml of water in it. Check time till film dissolves.  Residence time: Take a slide, stick a mucosa on it with gum. Place our dosage form on it with few droplets of PBS 6.8, allow it to stick on it. Now make it inclined at 30 C & at constant rate add PBS 6.8 drop wise on it without moving the slide. Note the time till dosage form detaches from mucosa. Permeation Study: Franz diffusion cell Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 36
  • 37. Residence time  Locally modified USP disintegration apparatus was used. DT media: 800 mL PBS pH 6.8 at 37 °C. The buccal tissue was glued to the surface of a glass slab, vertically attached to the apparatus. The buccal tablet was hydrated from one surface using 0.5 mL of PBS pH 6.8, and then the hydrated surface was brought into contact with the mucosal membrane. The glass slab was vertically fixed to the apparatus and allowed to run in such a way that the tablet was completely immersed in the buffer solution at the lowest point and was out at the highest point. The time necessary for complete erosion or detachment of the tablet from the mucosal surface was recorded. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 37
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  • 39. Muco-adhesive strength Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 39
  • 40. Shear Force (for various polymers) The shear test measures the force required to separate two polymer-coated glass slides joined by a thin film of natural or synthetic mucus. The results of this technique often correlate well with in vivo test results. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 40
  • 41. Muco/bio adhesion test  Modified physical balance. Here lighter pan had replaced the right pan and the left pan had been replaced by a glass slide. The height of the total set-up was adjusted to accommodate a glass container of 6.6 cm height. Buccal tablet was stacked to the glass slide with the help of the knob, which was situated at the base of the physical balance. Five grams weight from the right pan was then removed. This lowered the glass slide along with the tablet over the membrane with a weight of 5.0 g. This was kept undisturbed for 5 min. Then, the weights on the right- hand side were slowly added in increments of 0.1 g till the tablet just separated from the membrane surface. By using this weight calculate the bio-adhesive force using following equation Bio adhesive force (N) = weight in grams × G/1000 Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 41
  • 42. Modified Balance Method Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 42
  • 43. Block Diagram of Modified Balance Method Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 43
  • 44. TEXTURE ANALYZER:  Here the force required to remove the formulation from a model membrane is measured, which can be a disc composed of mucin , a piece of animal mucous Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 44
  • 45. In-vivo test  Buccal Absorption study: Assay of drug solution, after mouth gargles.  Perfusion study  Kinetic study Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 45
  • 46. Chien Diffusion Cell Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 46
  • 47. Recent Innovations  Gel Forming Liquids:  This type of a formulation is liquid upon instillation and undergoes a phase transition to form a viscoelastic gel in response to stimulus such as temperature, ionic strength or ph  Carbomers become more viscous upon increased pH.  Gellan gum and alginate both form gel in response to increased ionic strength (particularly with Ca+2 ions).  Poloxamers and smart hydrogel®( Advanced medical solution) gel at approximately body temperature. 4/10/2013 Department of Pharmaceutical Technology, LJ Institute of Pharmacy, Ahmedabad 47
  • 48. Slowly disintegrating buccal mucoadhesive plain tablet (SDBMPT) • Prepared by incorporating large amount of HPC. e.g. tablet having 20mg drug, 20mg HPC, 20mg CMC & 60mg lactose – mixed & compressed with a flat faced die that is 8mm in diameter. • Limitation:  softens on extended period and  lose its shape which hinders the control of disintegration over long time periods Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 48
  • 49. BCTS (Buccal Covered Tablet System) • Sandwiched S-DBMP-T system between two polyethylene sheets • Upper sheet contains hole to absorb water and lower sheet is made of adhesives Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 49
  • 50. OraVescent technology • System which transports drug through across the mucosal membrane. • Based on effervescent technology and administered buccally or sublingually by Cima labs Inc • Principle:  pH < pKa of weak base – ionization and solubilization Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 50
  • 51. Marketed products  Striant®, developed by Columbia Labs, is a testosterone extended-release buccal tablet that delivers testosterone systemically for hormone replacement in hypogonadal men.  Asftach® is a buccal tablet containing triamcinolone acetonide for treatment of apththous ulcers, and contains a bioadhesive layer and a dissolvable lactose nonadhesive backing layer  DentiPatch® has been developed by Noven, which is a lidocaine extended-release buccal patch that adheres to the gingival tissue to provide for local analgesia, and was approved in the United States in May 1996. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 51
  • 52. Cydot® is an example of a patch technology where the patch adheres to the buccal mucosa for a period of up to 24 hours to slowly release melatonin for normalizing circadian rhythms.  Buccal Methyltestosterone Brand name-Metandren, Ciba; Avoids first-pass hepatic metabolism  Prochlorperazine Brand name -Oreton ,Schering Buccastem, Alternative to enteral tablet Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 52
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  • 54. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 54
  • 55. PRODUCT COMPANY BIOADHESIVE PHARMACEUTICA AGENT L FORM Buccastem® Reckitt Benckiser PVP, Xanthum Buccal tablet gum Corlan pellets® Celltech Acacia gum Oromucosal pellets Suscard® Forest HPMC Buccal tablet Gaviscon liquid® Reckitt Benckiser Sodium alginate Oral liquid Orabase® Convatech Pectin, Gelatin Oral paste Corsodyl gel® GlaxoSmithKline HPMC Oromucosal gel Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 55
  • 56. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 56
  • 57. Administering the drug via membrane located below the tongue is called Sublingual DDS(SLDDS) generally called floor of mouth.  The SLDDS is almost similar to the BDDS having some more advantages than Buccal drug delivery system.  Generally factors affecting the SLDDS are almost similar to factors related with the BDDS. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 57
  • 58. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 58
  • 59. SLDDS vs BDDS SLDDS BDDS The absorption via sub lingual Here, in BDDS, the thickness of route is faster than buccal mucosa buccal mucosa is 500um due to the thickness of the approximately, hence permeation sublingual mucosa. is slow in compare to sublingual It is 100-200 µm thick route Hence, in emergency conditions, like angina pectoris/asthmatic attack, SLDDS in preferred than BDDS due to faster permeation of drug Sub lingual mucosa has rapid It has less vascularization than absorption and has higher blood sublingual mucosa. levels due to very high vascularization of the region than Buccal mucosa Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 59
  • 60. Drug administered  Antianginal like nitrites and nitrates  Anti hypertensive like nifedipine  Analgesics like morphine  Bronchodilators like fenoterol  Certain steroids like estradiol  Peptides like Oxytocin can also be administered Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 60
  • 61. Various formulations  Sublingual tablets  Fast-disintegrating sublingual tablets  Bioadhesive sublingual tablet  Thin film drug delivery  Lipid matrix sublingual tablet  Sublingual immunotherapy  Sublingual vitamin tablet Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 61
  • 62. Evaluating SLDDS  Surface pH of the tablet  Uniformity of weight  Content uniformity  Hardness  Thickness  Diameter  Disintegration time  Wetting time  Friability  Dissolution test  Folding endurance  Bioadhesion strength  Permeation studies  % Elongation Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 62
  • 63. Marketed Products Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 63
  • 64. References  Katsumi Iga, “Modified-Release Drug Delivery Technology”, Edited by Michael, J Rathbone , Jonathan Hadgraft and Michael S . Roberts, Informa Healthcare 2002, New York, USA  Jaiswal S B, Brahmankar DM, “Biopharmaceutics & Pharmacokinetics, A treatise” 2nd edition, Vallabh Prakashan, New Delhi  Jain N K, “Controlled and Novel Drug Delivery Systems”, 1st edi, 2009 reprint, CBS publishers, New Delhi  Chien Yie W, “Novel Drug Delivery system”, 2nd edition, revised & Expanded, volume 50, Informa healthcare, New York, USA  K. Patel Nibha1 and SS. Pancholi, “An Overview on: Sublingual Route for Systemic Drug Delivery”, International Journal of Research in Pharmaceutical and Biomedical Sciences, Vol. 3 (2) Apr – Jun2012 Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 64
  • 65. Neha narang, Jyoti sharma, “Sublingual mucosa as a route for systemic drug delivery”, International Journal of Pharmacy and Pharmaceutical Sciences, Vol 3, Supply 2, 2011.  Pharmaquest.weebly.com/uploads/9/9/4/2/9942916/3.subling ual_dds.pdf/accessed at 24/2/2013  Smart D John, “Drug delivery using buccal-adhesive systems”, Advanced drug delivery reviews, Elsevier Science Publishers, Volume 11, Issue 3, September 1993, Pages 253-270  Miller Nazila Salamat miller, Chittchang Montakarn, Johnston Thomas P, “The use of mucoadhesive polymers in buccal drug delivery Advanced Drug Delivery Reviews, Elsevier Science Publishers, Volume 57, Issue 11, 3 November 2005, Pages 1666-1691” Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 65
  • 66. Questions to CRAACK GTU…  Discuss the merits and demerits of sublingual dosage forms. How are they evaluated?  Discuss the in-vitro evaluation models for oral drug delivery systems.  Explain evaluation methods for mucoadhesive drug delivery.  Write applications of buccal & sublingual drug delivery systems.  Explain the structure of buccal mucosa. Give a brief account of mucoadhesive polymers for buccal delivery. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 66
  • 67. Discuss the merits and demerits of mucoadhesive buccal drug delivery. How one can evaluate mucoadhesive buccal formulation?  Describe methods to determine muco-adhesion property of formulations.  Discuss in brief delivery systems for oral mucosa.  What are the objectives of sublingual drug delivery system? Discuss evaluation parameters of sublingual drug delivery system.  Enlist various method used for bio adhesive property measurement. Discuss any one.  Explain significance of sublingual drug delivery system. How they are evaluated? Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 67
  • 68. Department of Pharmaceutical Technology, 4/10/2013 LJ Institute of Pharmacy, Ahmedabad 68