This document describes a study that formulated and evaluated floating tablets of the drug Lisinopril to prolong its residence time in the stomach. Floating tablets containing Lisinopril, gum karaya, carrageenan, and sodium bicarbonate were prepared by direct compression. In vitro tests found that formulations containing 20% gum karaya or 20% carrageenan (F7) floated for over 12 hours while releasing 99.76% of the drug. Stability studies of F7 showed no significant changes over 3 months. The study concluded that gum karaya and carrageenan are effective polymers for developing floating drug delivery systems of Lisinopril with prolonged gastric retention.
Tablets are solid dosage forms usually obtained by single or multiple compression of powders or granules. In certain cases tablets may be obtained by molding or extrusion techniques. They are uncoated or coated. Tablets are normally right circular solid cylinders, the end surfaces of which are flat or convex and the edges of which may be bevelled. They may have lines or break-marks (scoring), symbols or other markings.Tablets contain one or more active ingredients. They may contain excipients such as diluents, binders, disintegrating agents, glidants, lubricants, substances capable of modifying the behaviour of the dosage forms and the active ingredient(s) in the gastrointestinal tract, colouring matter authorized by the appropriate national or regional authority and flavouring substances. When such excipients are used it is necessary to ensure that they do not adversely affect the stability, dissolution rate, bioavailability, safety or efficacy of the active ingredient(s); there must be no incompatibility between any of the components of the dosage form.
Tablets are single-dose preparations intended for oral administration. Some are intended to be swallowed whole, some after being chewed and some after being crushed, some are intended to be dissolved or dispersed in water before being taken and some are intended to be retained in the mouth where the active ingredient(s) is/are liberated.
CO–PROCESSED EXCIPIENTS FOR TABLETS.pdfYamini Shah
Purpose of the present review is to provide an in depth knowledge on recent developments in excipients preparation, technology and approaches involved in their formation and development. Excipients play an important role in dosage form development. In conventional formulation of dosage forms, each excipient is used to provide its required function/performance. Presently, excipient manufacturers have focused their attention on producing a multifunctional excipients with improvement in their performance and quality of dosage form. Manipulation in the functionality of excipient is provided by the co-processing of two or more existing excipients.
Tablets are solid dosage forms usually obtained by single or multiple compression of powders or granules. In certain cases tablets may be obtained by molding or extrusion techniques. They are uncoated or coated. Tablets are normally right circular solid cylinders, the end surfaces of which are flat or convex and the edges of which may be bevelled. They may have lines or break-marks (scoring), symbols or other markings.Tablets contain one or more active ingredients. They may contain excipients such as diluents, binders, disintegrating agents, glidants, lubricants, substances capable of modifying the behaviour of the dosage forms and the active ingredient(s) in the gastrointestinal tract, colouring matter authorized by the appropriate national or regional authority and flavouring substances. When such excipients are used it is necessary to ensure that they do not adversely affect the stability, dissolution rate, bioavailability, safety or efficacy of the active ingredient(s); there must be no incompatibility between any of the components of the dosage form.
Tablets are single-dose preparations intended for oral administration. Some are intended to be swallowed whole, some after being chewed and some after being crushed, some are intended to be dissolved or dispersed in water before being taken and some are intended to be retained in the mouth where the active ingredient(s) is/are liberated.
CO–PROCESSED EXCIPIENTS FOR TABLETS.pdfYamini Shah
Purpose of the present review is to provide an in depth knowledge on recent developments in excipients preparation, technology and approaches involved in their formation and development. Excipients play an important role in dosage form development. In conventional formulation of dosage forms, each excipient is used to provide its required function/performance. Presently, excipient manufacturers have focused their attention on producing a multifunctional excipients with improvement in their performance and quality of dosage form. Manipulation in the functionality of excipient is provided by the co-processing of two or more existing excipients.
IN-VITRO-IN VIVO CORRELATION (IVIVC).pptxRAHUL PAL
An in vitro – in vivo correlation (IVIVC) is defined by the U.S Food and Drug Administration (FDA) as a predictive mathematical model describing the relationship between the in vitro property of an oral dosage form and relevant in vivo response.
What is dissolution? Dissolution is a process in which a solid substance get solubilizes in a particular solvent to yield a solution i.e. mass transfer from the solid surface to the liquid phase.
Sustained release, are terms used to identify drug delivery system that are designed to achieve a prolonged therapeutic effect by continuously releasing medication over an extended period of time after administration of a single dose.
Sustained release dosage forms provide an
amount of drug initially made available to the body
to cause the desired therapeutic response, followed
by a constant release of medication for maintenance
of activity over a period of time
Direct compression is the most advanced technology. It involves only blending and compression. Thus offering advantage particularly in terms of speedy production. Because it requires fewer unit operations, less machinery, reduced number of personnel and considerably less processing time along with increased product stability.
IN-VITRO-IN VIVO CORRELATION (IVIVC).pptxRAHUL PAL
An in vitro – in vivo correlation (IVIVC) is defined by the U.S Food and Drug Administration (FDA) as a predictive mathematical model describing the relationship between the in vitro property of an oral dosage form and relevant in vivo response.
What is dissolution? Dissolution is a process in which a solid substance get solubilizes in a particular solvent to yield a solution i.e. mass transfer from the solid surface to the liquid phase.
Sustained release, are terms used to identify drug delivery system that are designed to achieve a prolonged therapeutic effect by continuously releasing medication over an extended period of time after administration of a single dose.
Sustained release dosage forms provide an
amount of drug initially made available to the body
to cause the desired therapeutic response, followed
by a constant release of medication for maintenance
of activity over a period of time
Direct compression is the most advanced technology. It involves only blending and compression. Thus offering advantage particularly in terms of speedy production. Because it requires fewer unit operations, less machinery, reduced number of personnel and considerably less processing time along with increased product stability.
Formulation and Evaluation of Floating in Situ Gel of LafutidineAI Publications
Gastroesophageal reflux disease (GERD) and peptic ulcers are prevalent gastrointestinal disorders that significantly impact the quality of life of affected individuals. Lafutidine, a histamine H2-receptor antagonist, has demonstrated effectiveness in managing these conditions. However, its short gastric residence time limits its therapeutic efficacy. To address this limitation, we aimed to formulate and evaluate a floating in situ gel of Lafutidine for prolonged gastric retention and enhanced therapeutic outcomes. In vivo studies were conducted on albino Wistar rats to assess the pharmacokinetic parameters and gastric residence time. The pharmacokinetic evaluation demonstrated that the floating in situ gel exhibited improved Lafutidine bioavailability compared to the conventional dosage form. Gastric residence time was significantly extended, enhancing Lafutidine's therapeutic efficacy. Overall, the formulation and evaluation of the floating in situ gel of Lafutidine demonstrated its potential as an effective drug delivery system for the management of GERD and peptic ulcers. The extended gastric retention and enhanced bioavailability of Lafutidine make this formulation a promising option for improving patient compliance and therapeutic outcomes in the treatment of these gastrointestinal disorders. Further clinical studies are warranted to establish its clinical efficacy and safety profile.
Formulation and evaluation of sitagliptan floating tabletsSriramNagarajan19
Gastro retentive dosage form using Guar gum was prepared to develop floating tablets of Sitagliptin that could retain in the stomach for longer periods of time delivering the drug to the site of action, i.e., stomach. The pre-compression parameters of all formulations showed good flow properties and these can be used for tablet manufacture. The post-compression parameters of all formulations were determined and the values were found to be satisfactory. From the drug content and in-vitro dissolution studies of the formulations, it was concluded that the formulation F9 i.e. the formulation containing guargum, Sodium bicarbonate, citric acid, micro crystalline cellulose and Magnesium stearate is the best formulation. As a result of this study it may be concluded that the floating tablets using a guar gum in optimized concentration can be used to increase the GRT of the dissolution fluid in the stomach to deliver the drug in a sustained manner. The concept of formulating floating tablets of Sitagliptin offers a suitable and practical approach in serving desired objectives of gastro retentive floating tablets.
Abstract:
The Chronopharmacotherapy the drug administration is synchronised with circadian rhythms Formulation development of Microspheres is more reliable formulation as compare to single type dosage formulation due to it avoids dose dumping, as per required drug release profile is achieved For microspheres many polymers are used such as albumin, gelatine, starch, Eudragit, Polyacrylamide (“PAM”) these material loading capacity is high. Micro sponges which are Spherical are called as micro-balloons. Due to its hollow structure it shows good floating properties. In these systems use of Carbon-dioxide (CO2) as gas generating system which are used for floating purpose. The objective of present investigation is to prepared and evaluate a floating pulsatile drug delivery system of Aceclofenac. The strategy adopted for microspheres containing Aceclofenac as a material were prepared by emulsion solvent diffusion technique. Drug and polymer were mixed in dichloromethane and ethanol at 1:1 ratio. The drug and polymer solution were poured in water 50% W/V polyvinyl alcohol maintained at 30-40 C and the solution was stir at 500rpm using mechanical stirrer, The microspheres obtain were washed repeatedly with water until free from poly vinyl alcohol. The developed formulations were evaluated yield of floating microspheres particle size and shape, drug entrapment efficiency in-vitro evolution of floating ability, in-vitro drug release study. On the basis of these evolution parameters it was found that optimised floating pulsatile release formulation F7 showed higher drug entrapment efficiency floating time 6.8 minutes and the drug and polymer 32 1:3 ratio the particle size was increased.
Key Words: Chronopharmacotherapy, Floating pulsatile drug delivery, Aceclofenac.
ABSTRACT
The main objective of present research work is to formulate the of Domperidone Maleate floating tablets.
Domperidone Maleate, an antiemetic and a prokinetic agent belongs to BCS Class-II and Indicated for treatment of
upper gastrointestinal motility disorders by blocking the action of Dopamine. The Floating tablets of Domperidone
Maleate were prepared employing different concentrations of HPMCK4M and Guar Gum in different combinations
as a release rate modifiers by Direct Compression technique using 32 factorial design. The concentration of
HPMCK4M and Guar Gum was selected as independent variables, X1 and X2 respectively whereas, time required
for drug dissolution t10%, t50%,t75%,t90%were selected as dependent variables. Totally nine formulations were designed
and are evaluated for hardness, friability, thickness, Assay, Floating Lag time, In-vitro drug release. From the
Results concluded that all the formulation were found to be with in the Pharmacopoeial limits and the In-vitro
dissolution profiles of all formulations were fitted in to different Kinetic models, the statistical parameters like
intercept (a), slope (b) & regression coefficient (r) were calculated. Polynomial equations were developed for t10%,
t50%, t75%, t90%. Validity of developed polynomial equations were verified by designing 2 check point formulations(C1,
C2). According to SUPAC guidelines the formulation (F5) containing combination of 18.75% HPMCK4M and
18.75% Guar Gum, is the most similar formulation (similarity factor f2=89.03, dissimilarity factor f1= 11.539& No
significant difference, t= 0.169) to marketed product (DOMSTAL OD). The selected formulation (F5) follows
Higuchi’s kinetics, and the mechanism of drug release was found to be Non-Fickian Diffusion (n= 0.925).
Keywords: Domperidone Maleate, 32Factorial Design, Gastro retentive Floating Tablet, HPMCK100M, Sodium
bicarbonate, Floating Lag Time, SUPAC, Non-Fickian Diffusion Mechanism.
Formulation development and invitro evaluation of lamotrigine fast dissolving...SriramNagarajan19
The present study was to formulate and evaluate oral fast dissolving Oral tablet containing Lamotrigine. Present study reveals that all the nine formulated tablet showed satisfactory tablet parameters. It can be concluded that, Oral fast dissolving tablet -containing Lamotrigine can be prepared by direct compression method. 10% CCS (FV) tablet exhibited required disintegration time and dissolution time. The drug release was about 98.7 % in 15min. The accelerated stability studies of the optimized F5 formulation indicates that the formulated oral fast dissolving tablet were unaffected after 3 months storage under accelerated conditions as there were no signs of visually distinguishable changes in appearance, disintegration time and cumulative percentage of drug release. From the present investigation it can be concluded that oral fast dissolving tablet formulation can be a potential novel drug dosage form for pediatric, geriatric and also for general population.
Stability indicating method and validation for the simultaneous estimation of...SriramNagarajan18
Stability indicating method and validation for the simultaneous estimation of metformin and empagliflozin by using RP-HPLC in a bulk and pharmaceutical dosage forms
Stability indicating method development and validation for the estimation of ...SriramNagarajan18
Stability indicating method development and validation for the estimation of Doxorubicin by using RP-HPLC method in a bulk and pharmaceutical dosage form
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Formulation and evaluation of Lisinopril floating tablets
1. Fareeaa A et al / Int. J. of Farmacia, 2016; Vol-(2) 1: 61-69
61
International Journal of Farmacia
Journal Home page: www.ijfjournal.com
Formulation and evaluation of Lisinopril floating tablets
*
Fareeaa Ashar, M. Suresh babu
Deccan School of Pharmacy, Aghapura, Dar-Us-Salam, Hyderabad, Telangana
*Corresponding author: Fareeaa Ashar
Email Id: fareeaa_asher@yahoo.com
Abstract
The floating drug delivery system is site-specific and allows the drug to remain in the stomach for a prolonged
period of time so that it can be released in a controlled manner in gastrointestinal tract. The model drug is Lisinopril
which has narrow absorption window, only 25% of the drug is absorbed and the remaining drug is excreted
unchanged in urine. By increasing the gastric residence time of the lisinopril, the frequency of administration and
drug wastage can be reduced The present study was carried out to develop a floating drug delivery system using
gum karaya, chitosan and carrageenan as release controlling polymers to prolong the residence time of the model
drug lisinopril in the stomach. The floating ability of gum karaya, chitosan and carrageenan was increased by
addition of NaHCO3 as a gas-generating agent. The floating tablets were prepared by direct compression method
and evaluated for pre compression and post compression studies. The lisinopril release through 20% gum karaya and
20% carrageenan was delayed by 12 hours when compared to a preparation available on the market which released
the complete drug in 0.5 hours. The drug release study of lisinopril from the formulation follows zero order kinetics
using a diffusion controlled mechanism. The results from the present study revealed that gum karaya and
carrageenans provides the required delay in the release of drug and hence are ideal for the formulation of floating
drug delivery systems.
Keywords: Lisinopril, Floating drug delivery, Gastro retentive drug delivery, Swelling index.
INTRODUCTION
Floating drug delivery systems (FDDS) have a
bulk density less than gastric fluids and so remain
buoyant in the stomach without affecting the gastric
emptying rate for a prolonged period of time. While
the system is floating on the gastric contents, the drug
is released slowly at the desired rate from the system.
After release of drug, the residual system is emptied
from the stomach [6]. Floatation of a drug delivery
system in the stomach can be achieved by
incorporating floating chamber filled with vacuum, air,
or inert gas [1].
Types of floating drug delivery systems
Based on the mechanism of buoyancy [7], two
distinctly different technologies have been utilized in
development of FDDS which are:
Effervescent System
Non-Effervescent System
Effervescent system
Effervescent systems include use of gas generating
agents, carbonates (e.g. Sodium bicarbonate) and other
organic acid (e.g. citric acid and tartaric acid) present
in the formulation to produce carbon dioxide (CO2)
gas, thus reducing the density of system and making it
float on the gastric fluid [8]. An alternative is the
incorporation of matrix containing portion of liquid,
which produce gas that evaporate at body temperature.
2. Fareeaa A et al / Int. J. of Farmacia, 2016; Vol-(2) 1: 61-69
62
These effervescent systems further classified into two
types [2].
Gas generating systems
Volatile liquid/vacuum systems
Non effervescent systems
The FDDS belonging to this class are usually
prepared from gel forming or highly swellable
cellulose type hydrocolloids, polysaccharide or matrix
forming polymers like poly-acrylate [9],
polycarbonate, polystyrene and poly-methacrylate.
Sheth and Tossounian suggested that “when non-
effervescent floating dosage forms come in contact
with an aqueous medium, the hydrocolloids absorb
water and start to hydrate, forming a gel at the
surface.” The resultant gel layer subsequently control
the trafficking of drug out and passage of solvent into
the dosage form [10]. The drug in the dosage form
dissolves in and diffuses out with the diffusing solvent
forming a „receding boundary‟ within the gel structure
[3].
AIM AND OBJECTIVES
Aim
The aim is to formulate and evaluate the floating
tablets of Lisinopril.
Objectives
To carry out pre-compression studies.
To carry out drug and excipients interaction
studies of the optimized product and their
stability as per ICH guidelines.
To carry out post compression studies.
METHODOLOGY
Formulation of floating tablets of lisinopril by
direct compression method
Floating tablets of Lisinopril were prepared by
direct compression method employing sodium
bicarbonate as gas-generating agent. Gum karaya,
chitosan and carrageenan were used as rate controlling
polymers [11]. The concentrations of the above
ingredients were optimized .All the ingredients were
weighed accurately. The drug was mixed with the
release rate controlling polymers and other excipients
[12], except lubricants and glidants, in ascending order
of their weight [13]. The powder mix was blended for
20 min to have uniform distribution of drug in the
formulation. Then, glidants were added and mixed for
not more than 1 min (to ensure good lubrication). The
powder blend was weighed and punched [4].
RESULTS AND DISCUSSION
Table 1: Formulation Table
Ingredients (mg) F1 F2 F3 F4 F5 F6 F7
Lisinopril(mg) 5 5 5 5 5 5 5
Gum Karaya 15% - - 20% - -
Carrageenan - 15% - - 20% - 20%
Chitosan - - 15% - - 20% -
Ethylcellulose 15%
Sodium bi carbonate 10% 10% 10% 10% 10% 10% 10%
Citric acid 2% 2% 2% 2% 2% 2% 2%
Mannitol Q.S Q.S Q.S Q.S Q.S Q.S Q.S
Talc 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5%
Mg stearate 2.5% 2.5% 2.5% 2.5% 2.5% 2.5% 2.5%
Total wt. 150 150 150 150 150 150 150
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Pre formulation studies
Table 2: Organoleptic properties
S.NO Parameter Drug
1 Color White to off White color
2 Odor Odorless
3 Taste Tasteless
4 Appearance Crystalline powder
Melting point determination
Table 3: Melting Point Determination
Reported Melting Point Observed Melting Point
107ºC 107-109ºC
Determination of solubility
Table 4: Determination of Solubility
Soluble Water , DMSO, N,N -dimethyl formamide,0.1N HCl
Sparingly soluble Ethanol, Propylene glycol
Slightly soluble Hexane, Dichloromethane, and Methylbenzene.
Compatibility studies of drug with excipient
Compatibility between lisinopril and the excipient proposed to be taken in the formulation was carried out by
FTIR. Results shown that there was no chemical interaction of the drug and excipients, hence computable [14].
Pre compression studies
Table 5: Pre Compression Studies
Formulation
code
Bulk density (gm
/ml)
Tapped density
(gm/ml)
Hausner
ratio
Carr’s index
(%)
Angle of repose
(θ)
Type of
Flow
F1 0.541 0.691 1.276 21.02 370
Fair
F2 0.484 0.615 1.27 21.30 370
Fair
F3 0.710 0.873 1.251 19.714 390
Fair
F4 0.712 0.870 1.206 17.126 360
Fair
F5 0.718 0.871 1.223 18.513 370
Fair
F6 0.410 0.483 1.178 15.113 340
Good
F7 0.250 0.384 1.156 15.11 350
Good
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Post compression studies
Pre compression studies shows that the granules have fair to good flow.
Post compression parameters
Table 6: Post Compression Studies
Formulation codeWeight variationHardness
( kg/cm2
)
Friability
(%)
Thickness
(mm)
Content uniformity(%
F1 200 6.4 0.72 2.6 99.28
F2 201 6.3 0.68 2.6 97.16
F3 200 5.8 0.69 2.7 99.10
F4 202 5.6 0.66 2.75 97.68
F5 204 5.7 0.68 2.6 98.19
F6 198 5.9 0.65 2.62 98.41
F7 200 6.3 0.61 2.54 99.76
In-vitro buoyancy studies
Table 7: In-Vitro Buoyancy Studies
Formulation Code Floating
lag time(sec)
Swelling index
(%)
Floating duration (hrs)
F1 25 100.85 7
F2 24 139.5 8
F3 30 101.5 9
F4 44 121.2 12
F5 54 140.5 10
F6 2min 142.5 10
F7 1min 24sec 144.85 12
In-vitro dissolution studies
Medium : 0.1N HCL
Type of apparatus : USP - II (paddle type)
RPM : 50
Volume : 900ml
Temperature : 37ºC± 0.5
Time : 12hrs
In vitro dissolution for floating tablets was performed in 0.1N HCL for 12hrs.
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In -vitro drug release study
Table 8: In -Vitro Drug Release Study
Time(Hours) F1 F2 F3 F4 F5 F6 F7
1 12 11.5 10.2 7.5 11.3 12.5 9.3
2 20 16 13 12.3 15.2 20 15
3 34 28 27 25 36.4 35 34
4 45 37 35 34 45.2 46 42
5 61 55 52 42 42.4 59 57
6 70 71 67 53 50.2 68 70
8 94.28 97.16 74 65 65.3 77 79.6
10 -- -- 99.10 78 98.19 98.41 83.4
12 -- -- -- 95.68 -- -- 99.76
Fig 1: In -Vitro Drug Release Study
Discussion
From the dissolution studies it was evident that
only F4 and F7 are showing the drug release till 12th
hour. F7 was optimized since it was showing highest
i.e 99.76% of drug release at 12th
hour [5].
0
20
40
60
80
100
120
0 1 2 3 4 5 6 8 10 12
%DrugRelease
In -Vitro Drug Release Study of F1-F7
F1
F2
F3
F4
F5
F6
F7
Time in hrs
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Release kinetics of optimized formulation (F7)
Fig 2: Zero order plots for the optimized formulation
Fig 3: First order plot for the optimized formulation
y = 8.4728x + 5.7188
R² = 0.947
0
20
40
60
80
100
0 2 4 6 8 10 12
%CDR
Time (hrs)
Zero order plot for F7
%DR
Linear (%DR)
y = -0.1363x + 2.2019
R² = 0.8129
0
0.5
1
1.5
2
2.5
0 5 10 15
Log%DR
Time (hrs)
First order plot for F7
Log%dr
Linear (Log%dr)
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Fig 4: Higuchi plot for the optimized formulation
Fig 5: Korsmeyer-Peppas plot for the optimized formulation
Release Kinetics models
Table 9: Release kinetics for F7 formulation
Zero First Higuchi Peppas
% CDR Vs T Log % Remain Vs T %CDR Vs √T Log C Vs Log T
Slope 8.472 0.136 31.67 1.203
R 2 0.947 0.812 0.934 0.607
y = 31.676x - 15.214
R² = 0.9349
0
20
40
60
80
100
0 1 2 3 4
%CDR
Sq rt of time (hrs)
Higuchi plot for F7
%dr
Linear (%dr)
y = -1.2033x + 2.2049
R² = 0.6073
0
0.5
1
1.5
2
2.5
0 0.5 1 1.5
Log%dr
Log time (hrs)
Korsmeyer-Peppas plot for F7
log %DR
Linear (log %DR)
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Discussion
The release order kinetics of optimized formulation
was performed, and it was evident from the table that
the optimized formulation is showing zero order
release and the higuchi model proved that the drug
release was by diffusion.
Stability studies for optimized formulation
Table 10: Stability Studies for F7 formulation
Percentage drug release
Sampling interval 250
C/60%RH 300
C/65%RH 400
C/75%RH
0 Days 99.76 99.76 99.76
15 Days 98.41 98.35 98.31
30 Days 97.70 97.57 97.40
90 Days 96.52 97.60 97.66
DISCUSSION
Stability studies of the formulation F7 of Lisinopril
floating tablets were carried out to determine the effect
of formulation additives on the stability of the drug
and also to determine the physical stability of the
formulation. The stability studies were carried out at
25ᴼ C/60%RH, 30 ºC/65% RH and 40 ºC/75% RH for
90 days. There was no significant change in the
physical property and percept of drug release was
within the limits ±4 during 12 hour during the stability
period.
CONCLUSION
Floating drug delivery is an approach to prolong
gastric residence time, thereby targeting site-specific
drug release in the upper gastrointestinal tract (GIT)
for local or systemic effects. They prolong the gastric
retention time (GRT) of drugs. The Floating tablets of
lisinopril were successfully prepared by direct
compression method using gum karaya, chitosan and
carrageenan as rate controlling polymers. The
physiochemical evaluation results for the powdered
blend of all trials pass the official limits in angle of
repose, compressibility index and hausner's ratio. The
optimized formulation F7 showed the average
thickness of 2.54 mm, average hardness of 6.3
Kg/Cm2, average weight variation of 0 %, friability of
0.61 %, floating lag time of 1min 24 sec, swelling
index 144.85 % and floating duration 12hours. The
optimized formulation F7 showed the highest drug
release of 99.76% at 12th hour. Drug release from the
floating tablet was prolonged and hence reduces the
frequency of administration and drug wastage.
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