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M. Pharm (Pharmaceutics) 2nd Semester
MPH201T : Sub Code
Formulation and Evaluation of Intranasal Drug Delivery System
ISF College of Pharmacy, MOGA
1
Name Rohit Sharma
Roll no 2315834
ISF College Of Pharmacy, Moga
Email
Rohitsharma10062002@gmail.c
om
CONTENTS
 Introduction
 Advantages & Limitation
 Nasal anatomy and physiology
 Mechanism of nasal absorption
 Formulation of Intranasal Drug Delivery System
 Evaluation
 Application
 References
2
INTRODUCTION
 Administration of drug through nasal route is referred
as nasal drug delivery system.
 The nasal route is an attractive alternative to invasive
administrations and provides a direct access to the
systemic circulation.
 The systemic bioavailability by nasal delivery of some
peptide and protein drugs with low nasal absorption
has been improved by coadministering them with
absorption promotors, enzyme inhibitors
3
ADVANTAGES
 Rapid drug absorption, higher bioavailability therefore
lower dose.
 Fast onset of action.
 Easily administered to unconscious patients.
 Lower dose reduced side effects.
 Self-administration.
 Avoidance of liver first pass effect.
 Avoidance of gut wall metabolism.
 Avoidance of destruction drug in the GIT
 Patient convenience and compliance is improved
4
 Better nasal bioavailability for smaller drug molecules.
 The bioavailability of larger drug molecules improved
by means of absorption enhancer.
 Direct transport into systemic circulation and CNS is
possible.
LIMITATION
 Very specific amount i.e. 25-200µl can be delivered
through intra nasal route. Once the drug administered
cannot be removed.
 Irritation of nasal mucosa by drug eg: Budesonide,
Azilactine
 Local side effects and irreversible damage of the cilia of
nasal mucosa. 5
 Mechanical loss of the dosage form into the other parts of
the respiratory tract.
 Absorption surface area is less when compared to GIT.
 Difficult to administered drug in pathological condition
such as nasal congestion due to cold or allergic reaction.
 Enzymatic barrier to permeability of drug
6
NASAL ANATOMY AND PHYSIOLOGY
 The nasal passage - nasal vestibule to the nasopharynx,
depth approximately 12-14 cm2.
 The human nasal cavity has a total volume about - 16-
19ml.
 Total surface area - about 180 cm2.
 Nasal cavity is covered with mucous membrane which
contains - goblet cells, basal cell & non ciliated & ciliated
columnar cell.
 Nasal pH : 5.5-6.5 (Adults)
5.0-6.7 (Infants)
Nasal Enzymes - Cytochrome P-450, Carboxyl esterase and
Glutathione S- tranferase, lactate dehydrogenase, oxido
reductase, phosphates , hydrolases.
7
8
Fig1: Nasal Cavity
 It contains 3 region:
a) Vestibule region
b) Respiratory region
c) Olfactory region
1)Vestibular Region:
 Located at the opening of nasal passage.
 Responsible for filtering out the air borne particles.
2)Respiratory Region:
 It having the highest degree of vascularity.
 Mainly responsible for systemic drug absorption.
3)Olfactory Region:
 Located roof of the nasal cavity .
9
MECHANISM OF NASAL ABSORPTION
10
Mechanism of drug absorption
11
.Dosage form used for developing the formulation
 Nasal drops
o Most simple, convenient
o Disadvantage :lack of dose precision
 Nasal sprays
o Both solution and suspension – formulated in this form
o Metered dose pumps – exact dose
o Preferred over powder spray
 Nasal gels –precise dosing
 Nasal powders
o This form may be developed due to lack of stability
o Advantage :absence of preservatives, superior stability
12
FORMULATION
 Drugs
 Viscosifying agents
 Solubilizers
 Surfactants
 Preservative
 Antioxidants
 Humectants
 Osmotic agent
 Bioadhesive polymers
13
1.Drug
 Appropriate nasal absorption properties.
 No nasal irritation from the drug .
 Rapid onset of action.
 Low dose generally 25 mg per dose.
 No toxic metabolites.
 No offensive odors associated with the drug.
 Suitable stability characteristics.
 Eg: anticholinergic(ipratropium bromide)
Mast cell stabilizer(sodium cromogylate),
corticosteroids(budesonide)
14
2.Viscosifying /Gelling agents:
 Increasing solution viscosity may provide prolong
therapeutic effect of nasal preparations.
 Highly viscous formulations interfere with mucociliary
clearance and alter the permeability of drug.Eg: Methyl
cellulose, Hydroxy propyl cellulose, Carbopol.
3.pH of the formulation:
 It is important to avoid irritation of nasal mucosa.
 Use phosphate buffer pH 6.8 as a vehicle.
4.Solubilizers:
 Aqueous solubility of drug always a limitation for nasal
drug delivery.
 Eg: Alcohol, Labrasol, Surfactants, Transcutol
15
5.Preservatives:
 These are used to prevent the growth of micro organisms.
 Mercury containing preservatives are not used.
 Eg: Paraben, Benzalkonium chloride, Phenyl ethyl alcohol,
EDTA etc.
6.Antioxidants:
 These are used to prevent drug oxidation.
 Eg: Sodium Metabisulphite, Sodium Bisulfite, Butylated
hydroxy toluene, Tocopherol etc.
7.Humectants :
 To prevent dehydration, adequate intranasal moisture is
required to prevent nasal irritation.
 Eg: Glycerine, Sorbitol, Mannitol. 16
8.Osmotic agent :
 It affect the nasal absorption of the drug.
 The higher concentration of drug not only causes increased
bioavailability but also leads to the toxicity to the nasal
epithelium.
 Eg: Sodium Chloride, Sodium Sulfite, Sodium Acid
Phosphate.
9.Bioadhesive polymers:
 Compounds capable of interacting with biological material
through interfacial forces and retained on such material for
prolonged periods
 Eg: cellulose derivatives
Polyacrylates, starch
17
NASAL DROPS
 Most simple and convenient systems developed
for nasal delivery.
 These are solution emulsion suspensions
intended for instillation into the nostrils with
dropper.
 Nasal drops deposit human serum albumin in
the nostrils more efficiently than nasal sprays.
 Disadvantage: Lack of the dose precision.
 Eg: Xylometazoline, Phenylephrine, Sodium
chloride.
18
19
Fig 4 : Ephedrine Nasal Drops
NASAL SPRAY
 These are solution emulsion
suspensions intended for spraying
into the nostrils.
 Aim - To retain the nasal solution in
the droplet form in the nasal cavity.
 Availability of metered dose pumps
and actuators, a nasal spray can
deliver an exact dose from 25 to
200 μg.
 Advantage : Simple & convenient
20
21
Fig 5 : Otrivine Nasal Spray (0.1 % w/v)
 Nasal spray products contain - therapeutically
active ingredients (drug substances) dissolved or
suspended in solutions or mixtures of excipients
(e.g. preservatives, viscosity modifiers and
buffering agents).
 Used for local therapy & systemic therapy.
22
23
SPRAY PUMP DEVICES
Unidose Multidose
Bidose
Fig 6 : Spray Pump Devices
NASAL POWDER
 This dosage form may be developed if solution
and suspension dosage forms cannot be
developed.
 These are powders intended for insufflation into
the nostrils by means of suitable device.
 Nasal powder formulation depends on the
solubility, particles size and nasal irritancy of
the active drug and excipients.
Advantages :
 The absence of preservative. 24
 Eg: Normal Saline , Sumatriptan.
Fig 7 : Normal saline powder (0.9 % w/v)
25
NASAL GEL
 Nasal gels are high-viscose thickened solutions or
suspensions.
Advantages :
 Reduction of post-nasal drip.
 Reduction of taste impact due to reduced
swallowing.
 Reduction of anterior leakage of the formulation.
 Reduction of irritation by using emollient
excipients.
26
 Eg: Oxytocin, Metoclopramide Hydrocloride.
Fig 8 : Chlorpheniramine Nasal Gel
27
NASAL INSERTS
 Nasal inserts are bioadhesive, solid dosage forms for
prolonged systemic drug delivery via the nasal route.
 Nasal fluid from the mucosa after administration and to
form a gel in the nasal cavity to avoid foreign body
sensation.
 Eg: Chlorpromazine, Albuterol .
28
29
Fig 9 : Nasal
Inserts
LIPOSOMES
 Liposomes are phospholipids vesicles composed
by lipid bilayers enclosing one or more aqueous
compartments and wherein drugs and other
substances can be included.
Advantages :
 Effective encapsulation of small and large
molecules with a wide range of hydrophilicity
and pKa values 30
31
Fig 10 : Liposome
 Administered to the respiratory tract
as an aerosol or solution for a
nebulizer & micro fine powder for
insufflations, alone or in combination
with an inert carrier such as lactose.
 The particles of the formulation have
diameters of less than 50 microns.
 Eg: Insulin, Calcitonin, Influenza
vaccine, Levonorgestrol, Acyclovir,
non-peptide drug (Nifedipine)
32
NANOPARTICLES
 Nanoparticles are sub-nanosized colloidal structures
composed of synthetic or semi-synthetic polymers.
 The drug is dissolved, entrapped, encapsulated or
attached to polymer matrix.
 Size range : 10–1000 nm.
 Nano drug delivery system used for treatment of
CNS disorders.
 Types:
 Nanospheres
 Nanocapsules 33
 Solid Lipid Nanoparticles
 Polymeric Nanoparticles
 Ceramic Nanoparticles
 Hydrogel Nanoparticles
 Copolymerized Peptide Nanoparticles
 Nanocrystals and Nanosuspensions
 Nanotubes and Nanowires
 Functionalized Nanocarriers
 Eg: Vaccines
34
35
Fig 11 : Nanoparticles
MICROSPHERES
 It provides prolonged contact with nasal mucosa.
 Microspheres swell in contact with nasal mucosa to
form a gel and control the rate of clearance from
the nasal cavity.
 The ideal microsphere particle size requirement for
nasal delivery - range from 10 to 50 µm as smaller
particles.
 The materials used in formulation : Starch,
Dextran, Albumin and Hyaluronic acid,
Mucoadhesive polymer (chitosan, alginate).
 Eg. Carbamazepine Chitosan Microspheres,
36
37
Fig 12 :Microcapsules & Microspheres
NASAL IN-SITU GEL
 In-situ gel formulations are drug delivery systems that
are in solution form before administration in the nasal
cavity, but after administration it undergoes gelation to
form gel.
 This can be achieved by using different polymers such
as Chitosan, PVA, Poloxamers, Carbopol.
 Eg: Midazolam, Insulin, Diltiazem.
38
MICROEMUSION & NANOEMULSION
 It composed of oil, surfactant & co-surfactant was
developed for intranasal delivery.
 Oil phase : Lauroglycol 90.
 Surfactant : Labrasol.
 Co-surfactant : Plurol oleique or its mixture with PEG
400 (1:1).
 Eg: Fexofenadine, Resperidone.
39
NASAL DELIVERY DEVICES
Common devices
 Droppers
 Squeeze bottle
 Spray pump/Atomizers (MAD- Mucosal
Atomization Device)
 Gel applicators
 Nasal nebulizers ( Sinus Nebulizer
Rhino Clear)
 Pressurized Meter Dose Nasal Inhaler
40
MUCOSAL ATOMIZATION DEVICE (MAD)
 Device designed to allow emergency personnel to
delivery nasal medications as an atomized spray.
 Broad 30-micron spray ensure excellent mucosal
coverage.
 It is disposable and single use only.
 Eg: Naloxone.
41
42
Fig 13 : Mucosal Atomization Device
METERED DOSE NEBULIZER
 Operates by mechanical actuation.
 Delivers a predetermined volume with
precision.
 Atomization results in higher bioavailability than
either spray or drops.
 Eg : Corticosteroids.
43
Fig 14 : Nasal Nebulizer
NASAL AEROSOLS INHALER
 Aerosol inhalations are solutions suspensions or
emulsions of drug in a mixture of propellant held
under pressure in aerosol container.
 Form droplet - 50 µm or less using metered
valve.
 Eg:-Budesonide & Beclomethasone .
44
Fig 15: Nasal Aerosol Inhaler
EXAMPLES OF MARKETED
PREODUCT
DRUG BRAND MAIN EXCIPIENTS MAIN
INDICATION
Beclomethaso
ne
Budesonide
Beconase
Rhinocort
Microcrystalline
cellulose, Carboxy
methyl cellulose
sodium.
Microcrystalline
cellulose, Carboxy
methyl cellulose .
Management/
treatment of
symptoms of
seasonal and
perennial
rhinosinusitis
45
LOCAL DELIVERY
SYSTEMIC DELIVERY
DRUG BRAND MAIN EXCIPIENTS MAIN
INDICATION
Estradiol
Cyanocobala
min
Aerodiol
Nascobal
Methyl beta
dextrin, Sodium
chloride.
Sodium citrate,
Citric acid,
Benzalkonium
chloride
Hormone
replacement
therapy
Vitamin B12
deficiency
46
EVALUATION OF NASAL DRUG
FORMULATION
A.IN VIVO NASAL ABSORPTION STUDIES
1.RAT MODEL
 The rat is anaesthetized-intraperitoneal injection (sodium
pentobarbital) .After incision is made in the neck, the
trachea is cannulated with a polyethylene tube.
 Another tube is inserted through the esophagus towards
the posterior region of the nasal cavity.
 The drug solution is delivered to the nasal cavity through
the nostril or esophageal tubing.
 The blood samples are collected from the femoral vein.
47
2.RABBIT MODEL
 The rabbit weighing approximately-3kg is
anaesthetized by an intramuscular
injection(combination of ketamine and xylazine)
 The rabbit head is held in an upright position.
 The drug solution is administered by nasal spray into
each nostrils.
 During the experiment the body temperature of the
rabbit is maintained at 37°C with the help of a heating
pad.
 The blood samples are collected by an catheter in the
marginal ear vein or artery.
48
3.DOG MODEL
 Anaesthetized by intravenous injection of Sodium
Thiopental and maintained in an anaesthetized state with
Sodium Phenobarbital.
 A positive pressure pump provides ventilation through a
cuffed endotracheal tube.
 Using heating pad keeps the body temperature at 37°C.
 Blood samples are collected from the jugular vein.
49
B.EX VIVO NASAL PERFUSION MODEL
 During perfusion studies, to minimize the loss of drug
solution a funnel is placed between the nose and
reservoir(drug).
 Maintained at 37°C and circulated through the nasal
cavity of the rat by means of a peristaltic pump.
50
 The perfusion solution passes out from the nostril and
through the funnel and flows in to the drug reservoir
solution again.
 Drug solutions of 3–20 ml are continuously circulated
through the nasal cavity of anaesthesized rats.
 The reservoir is stirred constantly.
 The amount of drug absorbed is determined by measuring
the drug concentration remaining in the solution after a
period of perfusion.
51
3.IN VITRO DRUG DIFFUSION STUDY
 Nasal diffusion cell is fabricated in glass.
 The water jacketed recipient chamber having total capacity-
60ml.
 Three openings-sampling,thermometer and donor tube
chamber.
 Nasal mucosa of sheep was separated from sub layer bony
tissues and stoned in distilled water.
 The donor chamber tube is placed just touches the diffusion
medium in recipient chamber.
 Sample (0.5ml) from recipient chamber are withdraw-
transferred to amber coloured ampoules.
 Estimated by analytical techniques.
52
IN-VITRO STUDIES
In the case of nasal powders:
 Uniformity of content, Uniformity of weight, Particle size,
Melting point, Angle of Repose, Carr's index etc.
In the case of nasal in-situ gelling system:
 Viscosity of solution, PH, Gelling Temperature & Gelling
time, Spreadability, in vitro drug release, Mucoadhesive
strength etc.
In the case of nasal drops:
 Uniformity of content, Uniformity of weight, Clarity test,
Sterility test, Closure system etc.
In the case of nasal sprays:
 Clarity of liquid, sterilization, net content, pump delivery,
spray content uniformity, spray pattern, particle size
distribution(suspension), droplet size distribution etc.
53
APPLICATION
1.Delivery of vaccines through nasal route:
 Nasal mucosa is the first site of contacts with inhaled
pathogens.
 Nasal passages are rich in lymphoid tissue
 Creation of both mucosal and systemic immune response
 Low cost ,non injectable
 Eg: For measeles, pertussis, meningitis
2.Delivery of drugs to Brain:
 For Treatment of Parkinson’s disease, Alzheimer disease.
 For Delivery of Melanocyte Stimulating Hormone,
ACTH, Insulin to brain.
54
3.Delivery of non-peptide pharmaceuticals:
 Eg. Propranolol, Nitroglycerin, vitamin B, sex hormone
4.Delivery of peptide based pharmaceuticals:
 Peptides – low BA because of physicochemical instability
and susceptibility to hepato gastrointestinal first pass
elimination
 Eg. Insulin, Calcitonin, Pituitary hormones etc.
5.Delivery of Diagnostic Drugs:
 Secretory function of gastric acid – Pentagastrin
 Secretin - For diagnosis of pancreatic disorders in diabetic
patient
55
56
Drug substance Indication Dosage form
1.Proteins &
peptides:
Desmopressin
Antidiuretic
hormone
Solution (spray)
Oxytocin Lactation induction Solution (spray)
2.Non-peptide:
Zolmitriptan
Migraine Solution (spray)
3.Vaccine
Human influenza
vaccine
spray
REFERENCE
 Y W. Chien, Novel Drug Delivery System,
2nd edition, revised and expanded, Marcel
Dekker, lnc., New York, 1992. Page no
230- 262.
 Jeyesh K. Kakad, et al World Journals Of
Pharmaceutical Research: A Resent
Review On Nasal Drug Delivery System.
 Kapil Kulkarni, et al Brain Targeting
Through Intranasal Route.
 Anaisa Pires, et al Intra Nasal Drug
Delivery.
57
`
58

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INTRA NASAL DRUG DELIVERY SYSTEM By RohitSharma.pptx

  • 1. M. Pharm (Pharmaceutics) 2nd Semester MPH201T : Sub Code Formulation and Evaluation of Intranasal Drug Delivery System ISF College of Pharmacy, MOGA 1 Name Rohit Sharma Roll no 2315834 ISF College Of Pharmacy, Moga Email Rohitsharma10062002@gmail.c om
  • 2. CONTENTS  Introduction  Advantages & Limitation  Nasal anatomy and physiology  Mechanism of nasal absorption  Formulation of Intranasal Drug Delivery System  Evaluation  Application  References 2
  • 3. INTRODUCTION  Administration of drug through nasal route is referred as nasal drug delivery system.  The nasal route is an attractive alternative to invasive administrations and provides a direct access to the systemic circulation.  The systemic bioavailability by nasal delivery of some peptide and protein drugs with low nasal absorption has been improved by coadministering them with absorption promotors, enzyme inhibitors 3
  • 4. ADVANTAGES  Rapid drug absorption, higher bioavailability therefore lower dose.  Fast onset of action.  Easily administered to unconscious patients.  Lower dose reduced side effects.  Self-administration.  Avoidance of liver first pass effect.  Avoidance of gut wall metabolism.  Avoidance of destruction drug in the GIT  Patient convenience and compliance is improved 4
  • 5.  Better nasal bioavailability for smaller drug molecules.  The bioavailability of larger drug molecules improved by means of absorption enhancer.  Direct transport into systemic circulation and CNS is possible. LIMITATION  Very specific amount i.e. 25-200µl can be delivered through intra nasal route. Once the drug administered cannot be removed.  Irritation of nasal mucosa by drug eg: Budesonide, Azilactine  Local side effects and irreversible damage of the cilia of nasal mucosa. 5
  • 6.  Mechanical loss of the dosage form into the other parts of the respiratory tract.  Absorption surface area is less when compared to GIT.  Difficult to administered drug in pathological condition such as nasal congestion due to cold or allergic reaction.  Enzymatic barrier to permeability of drug 6
  • 7. NASAL ANATOMY AND PHYSIOLOGY  The nasal passage - nasal vestibule to the nasopharynx, depth approximately 12-14 cm2.  The human nasal cavity has a total volume about - 16- 19ml.  Total surface area - about 180 cm2.  Nasal cavity is covered with mucous membrane which contains - goblet cells, basal cell & non ciliated & ciliated columnar cell.  Nasal pH : 5.5-6.5 (Adults) 5.0-6.7 (Infants) Nasal Enzymes - Cytochrome P-450, Carboxyl esterase and Glutathione S- tranferase, lactate dehydrogenase, oxido reductase, phosphates , hydrolases. 7
  • 9.  It contains 3 region: a) Vestibule region b) Respiratory region c) Olfactory region 1)Vestibular Region:  Located at the opening of nasal passage.  Responsible for filtering out the air borne particles. 2)Respiratory Region:  It having the highest degree of vascularity.  Mainly responsible for systemic drug absorption. 3)Olfactory Region:  Located roof of the nasal cavity . 9
  • 10. MECHANISM OF NASAL ABSORPTION 10
  • 11. Mechanism of drug absorption 11
  • 12. .Dosage form used for developing the formulation  Nasal drops o Most simple, convenient o Disadvantage :lack of dose precision  Nasal sprays o Both solution and suspension – formulated in this form o Metered dose pumps – exact dose o Preferred over powder spray  Nasal gels –precise dosing  Nasal powders o This form may be developed due to lack of stability o Advantage :absence of preservatives, superior stability 12
  • 13. FORMULATION  Drugs  Viscosifying agents  Solubilizers  Surfactants  Preservative  Antioxidants  Humectants  Osmotic agent  Bioadhesive polymers 13
  • 14. 1.Drug  Appropriate nasal absorption properties.  No nasal irritation from the drug .  Rapid onset of action.  Low dose generally 25 mg per dose.  No toxic metabolites.  No offensive odors associated with the drug.  Suitable stability characteristics.  Eg: anticholinergic(ipratropium bromide) Mast cell stabilizer(sodium cromogylate), corticosteroids(budesonide) 14
  • 15. 2.Viscosifying /Gelling agents:  Increasing solution viscosity may provide prolong therapeutic effect of nasal preparations.  Highly viscous formulations interfere with mucociliary clearance and alter the permeability of drug.Eg: Methyl cellulose, Hydroxy propyl cellulose, Carbopol. 3.pH of the formulation:  It is important to avoid irritation of nasal mucosa.  Use phosphate buffer pH 6.8 as a vehicle. 4.Solubilizers:  Aqueous solubility of drug always a limitation for nasal drug delivery.  Eg: Alcohol, Labrasol, Surfactants, Transcutol 15
  • 16. 5.Preservatives:  These are used to prevent the growth of micro organisms.  Mercury containing preservatives are not used.  Eg: Paraben, Benzalkonium chloride, Phenyl ethyl alcohol, EDTA etc. 6.Antioxidants:  These are used to prevent drug oxidation.  Eg: Sodium Metabisulphite, Sodium Bisulfite, Butylated hydroxy toluene, Tocopherol etc. 7.Humectants :  To prevent dehydration, adequate intranasal moisture is required to prevent nasal irritation.  Eg: Glycerine, Sorbitol, Mannitol. 16
  • 17. 8.Osmotic agent :  It affect the nasal absorption of the drug.  The higher concentration of drug not only causes increased bioavailability but also leads to the toxicity to the nasal epithelium.  Eg: Sodium Chloride, Sodium Sulfite, Sodium Acid Phosphate. 9.Bioadhesive polymers:  Compounds capable of interacting with biological material through interfacial forces and retained on such material for prolonged periods  Eg: cellulose derivatives Polyacrylates, starch 17
  • 18. NASAL DROPS  Most simple and convenient systems developed for nasal delivery.  These are solution emulsion suspensions intended for instillation into the nostrils with dropper.  Nasal drops deposit human serum albumin in the nostrils more efficiently than nasal sprays.  Disadvantage: Lack of the dose precision.  Eg: Xylometazoline, Phenylephrine, Sodium chloride. 18
  • 19. 19 Fig 4 : Ephedrine Nasal Drops
  • 20. NASAL SPRAY  These are solution emulsion suspensions intended for spraying into the nostrils.  Aim - To retain the nasal solution in the droplet form in the nasal cavity.  Availability of metered dose pumps and actuators, a nasal spray can deliver an exact dose from 25 to 200 μg.  Advantage : Simple & convenient 20
  • 21. 21 Fig 5 : Otrivine Nasal Spray (0.1 % w/v)
  • 22.  Nasal spray products contain - therapeutically active ingredients (drug substances) dissolved or suspended in solutions or mixtures of excipients (e.g. preservatives, viscosity modifiers and buffering agents).  Used for local therapy & systemic therapy. 22
  • 23. 23 SPRAY PUMP DEVICES Unidose Multidose Bidose Fig 6 : Spray Pump Devices
  • 24. NASAL POWDER  This dosage form may be developed if solution and suspension dosage forms cannot be developed.  These are powders intended for insufflation into the nostrils by means of suitable device.  Nasal powder formulation depends on the solubility, particles size and nasal irritancy of the active drug and excipients. Advantages :  The absence of preservative. 24
  • 25.  Eg: Normal Saline , Sumatriptan. Fig 7 : Normal saline powder (0.9 % w/v) 25
  • 26. NASAL GEL  Nasal gels are high-viscose thickened solutions or suspensions. Advantages :  Reduction of post-nasal drip.  Reduction of taste impact due to reduced swallowing.  Reduction of anterior leakage of the formulation.  Reduction of irritation by using emollient excipients. 26
  • 27.  Eg: Oxytocin, Metoclopramide Hydrocloride. Fig 8 : Chlorpheniramine Nasal Gel 27
  • 28. NASAL INSERTS  Nasal inserts are bioadhesive, solid dosage forms for prolonged systemic drug delivery via the nasal route.  Nasal fluid from the mucosa after administration and to form a gel in the nasal cavity to avoid foreign body sensation.  Eg: Chlorpromazine, Albuterol . 28
  • 29. 29 Fig 9 : Nasal Inserts
  • 30. LIPOSOMES  Liposomes are phospholipids vesicles composed by lipid bilayers enclosing one or more aqueous compartments and wherein drugs and other substances can be included. Advantages :  Effective encapsulation of small and large molecules with a wide range of hydrophilicity and pKa values 30
  • 31. 31 Fig 10 : Liposome
  • 32.  Administered to the respiratory tract as an aerosol or solution for a nebulizer & micro fine powder for insufflations, alone or in combination with an inert carrier such as lactose.  The particles of the formulation have diameters of less than 50 microns.  Eg: Insulin, Calcitonin, Influenza vaccine, Levonorgestrol, Acyclovir, non-peptide drug (Nifedipine) 32
  • 33. NANOPARTICLES  Nanoparticles are sub-nanosized colloidal structures composed of synthetic or semi-synthetic polymers.  The drug is dissolved, entrapped, encapsulated or attached to polymer matrix.  Size range : 10–1000 nm.  Nano drug delivery system used for treatment of CNS disorders.  Types:  Nanospheres  Nanocapsules 33
  • 34.  Solid Lipid Nanoparticles  Polymeric Nanoparticles  Ceramic Nanoparticles  Hydrogel Nanoparticles  Copolymerized Peptide Nanoparticles  Nanocrystals and Nanosuspensions  Nanotubes and Nanowires  Functionalized Nanocarriers  Eg: Vaccines 34
  • 35. 35 Fig 11 : Nanoparticles
  • 36. MICROSPHERES  It provides prolonged contact with nasal mucosa.  Microspheres swell in contact with nasal mucosa to form a gel and control the rate of clearance from the nasal cavity.  The ideal microsphere particle size requirement for nasal delivery - range from 10 to 50 µm as smaller particles.  The materials used in formulation : Starch, Dextran, Albumin and Hyaluronic acid, Mucoadhesive polymer (chitosan, alginate).  Eg. Carbamazepine Chitosan Microspheres, 36
  • 37. 37 Fig 12 :Microcapsules & Microspheres
  • 38. NASAL IN-SITU GEL  In-situ gel formulations are drug delivery systems that are in solution form before administration in the nasal cavity, but after administration it undergoes gelation to form gel.  This can be achieved by using different polymers such as Chitosan, PVA, Poloxamers, Carbopol.  Eg: Midazolam, Insulin, Diltiazem. 38
  • 39. MICROEMUSION & NANOEMULSION  It composed of oil, surfactant & co-surfactant was developed for intranasal delivery.  Oil phase : Lauroglycol 90.  Surfactant : Labrasol.  Co-surfactant : Plurol oleique or its mixture with PEG 400 (1:1).  Eg: Fexofenadine, Resperidone. 39
  • 40. NASAL DELIVERY DEVICES Common devices  Droppers  Squeeze bottle  Spray pump/Atomizers (MAD- Mucosal Atomization Device)  Gel applicators  Nasal nebulizers ( Sinus Nebulizer Rhino Clear)  Pressurized Meter Dose Nasal Inhaler 40
  • 41. MUCOSAL ATOMIZATION DEVICE (MAD)  Device designed to allow emergency personnel to delivery nasal medications as an atomized spray.  Broad 30-micron spray ensure excellent mucosal coverage.  It is disposable and single use only.  Eg: Naloxone. 41
  • 42. 42 Fig 13 : Mucosal Atomization Device
  • 43. METERED DOSE NEBULIZER  Operates by mechanical actuation.  Delivers a predetermined volume with precision.  Atomization results in higher bioavailability than either spray or drops.  Eg : Corticosteroids. 43 Fig 14 : Nasal Nebulizer
  • 44. NASAL AEROSOLS INHALER  Aerosol inhalations are solutions suspensions or emulsions of drug in a mixture of propellant held under pressure in aerosol container.  Form droplet - 50 µm or less using metered valve.  Eg:-Budesonide & Beclomethasone . 44 Fig 15: Nasal Aerosol Inhaler
  • 45. EXAMPLES OF MARKETED PREODUCT DRUG BRAND MAIN EXCIPIENTS MAIN INDICATION Beclomethaso ne Budesonide Beconase Rhinocort Microcrystalline cellulose, Carboxy methyl cellulose sodium. Microcrystalline cellulose, Carboxy methyl cellulose . Management/ treatment of symptoms of seasonal and perennial rhinosinusitis 45 LOCAL DELIVERY
  • 46. SYSTEMIC DELIVERY DRUG BRAND MAIN EXCIPIENTS MAIN INDICATION Estradiol Cyanocobala min Aerodiol Nascobal Methyl beta dextrin, Sodium chloride. Sodium citrate, Citric acid, Benzalkonium chloride Hormone replacement therapy Vitamin B12 deficiency 46
  • 47. EVALUATION OF NASAL DRUG FORMULATION A.IN VIVO NASAL ABSORPTION STUDIES 1.RAT MODEL  The rat is anaesthetized-intraperitoneal injection (sodium pentobarbital) .After incision is made in the neck, the trachea is cannulated with a polyethylene tube.  Another tube is inserted through the esophagus towards the posterior region of the nasal cavity.  The drug solution is delivered to the nasal cavity through the nostril or esophageal tubing.  The blood samples are collected from the femoral vein. 47
  • 48. 2.RABBIT MODEL  The rabbit weighing approximately-3kg is anaesthetized by an intramuscular injection(combination of ketamine and xylazine)  The rabbit head is held in an upright position.  The drug solution is administered by nasal spray into each nostrils.  During the experiment the body temperature of the rabbit is maintained at 37°C with the help of a heating pad.  The blood samples are collected by an catheter in the marginal ear vein or artery. 48
  • 49. 3.DOG MODEL  Anaesthetized by intravenous injection of Sodium Thiopental and maintained in an anaesthetized state with Sodium Phenobarbital.  A positive pressure pump provides ventilation through a cuffed endotracheal tube.  Using heating pad keeps the body temperature at 37°C.  Blood samples are collected from the jugular vein. 49
  • 50. B.EX VIVO NASAL PERFUSION MODEL  During perfusion studies, to minimize the loss of drug solution a funnel is placed between the nose and reservoir(drug).  Maintained at 37°C and circulated through the nasal cavity of the rat by means of a peristaltic pump. 50
  • 51.  The perfusion solution passes out from the nostril and through the funnel and flows in to the drug reservoir solution again.  Drug solutions of 3–20 ml are continuously circulated through the nasal cavity of anaesthesized rats.  The reservoir is stirred constantly.  The amount of drug absorbed is determined by measuring the drug concentration remaining in the solution after a period of perfusion. 51
  • 52. 3.IN VITRO DRUG DIFFUSION STUDY  Nasal diffusion cell is fabricated in glass.  The water jacketed recipient chamber having total capacity- 60ml.  Three openings-sampling,thermometer and donor tube chamber.  Nasal mucosa of sheep was separated from sub layer bony tissues and stoned in distilled water.  The donor chamber tube is placed just touches the diffusion medium in recipient chamber.  Sample (0.5ml) from recipient chamber are withdraw- transferred to amber coloured ampoules.  Estimated by analytical techniques. 52
  • 53. IN-VITRO STUDIES In the case of nasal powders:  Uniformity of content, Uniformity of weight, Particle size, Melting point, Angle of Repose, Carr's index etc. In the case of nasal in-situ gelling system:  Viscosity of solution, PH, Gelling Temperature & Gelling time, Spreadability, in vitro drug release, Mucoadhesive strength etc. In the case of nasal drops:  Uniformity of content, Uniformity of weight, Clarity test, Sterility test, Closure system etc. In the case of nasal sprays:  Clarity of liquid, sterilization, net content, pump delivery, spray content uniformity, spray pattern, particle size distribution(suspension), droplet size distribution etc. 53
  • 54. APPLICATION 1.Delivery of vaccines through nasal route:  Nasal mucosa is the first site of contacts with inhaled pathogens.  Nasal passages are rich in lymphoid tissue  Creation of both mucosal and systemic immune response  Low cost ,non injectable  Eg: For measeles, pertussis, meningitis 2.Delivery of drugs to Brain:  For Treatment of Parkinson’s disease, Alzheimer disease.  For Delivery of Melanocyte Stimulating Hormone, ACTH, Insulin to brain. 54
  • 55. 3.Delivery of non-peptide pharmaceuticals:  Eg. Propranolol, Nitroglycerin, vitamin B, sex hormone 4.Delivery of peptide based pharmaceuticals:  Peptides – low BA because of physicochemical instability and susceptibility to hepato gastrointestinal first pass elimination  Eg. Insulin, Calcitonin, Pituitary hormones etc. 5.Delivery of Diagnostic Drugs:  Secretory function of gastric acid – Pentagastrin  Secretin - For diagnosis of pancreatic disorders in diabetic patient 55
  • 56. 56 Drug substance Indication Dosage form 1.Proteins & peptides: Desmopressin Antidiuretic hormone Solution (spray) Oxytocin Lactation induction Solution (spray) 2.Non-peptide: Zolmitriptan Migraine Solution (spray) 3.Vaccine Human influenza vaccine spray
  • 57. REFERENCE  Y W. Chien, Novel Drug Delivery System, 2nd edition, revised and expanded, Marcel Dekker, lnc., New York, 1992. Page no 230- 262.  Jeyesh K. Kakad, et al World Journals Of Pharmaceutical Research: A Resent Review On Nasal Drug Delivery System.  Kapil Kulkarni, et al Brain Targeting Through Intranasal Route.  Anaisa Pires, et al Intra Nasal Drug Delivery. 57
  • 58. ` 58