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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 4 Issue 4, June 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 646
Introduction of Artificial Inhaler:
A Novel Concept for the Management of Covid-19
Arun Venuvanka1, Sejal K. Amodwala2, Dr. Kuldeep Joshi3
1Research Officer, 2Research Associate, 3Assistant Professor,
1,2Revcon Healthcare LLP, Vadodara, Gujarat, India
3Department of Chemistry, Indus University, Ahmedabad, Gujarat, India
ABSTRACT
The present investigation involves preparation of novel formulation in near
future. The concept involves preparation of nano sized dry powder pellets of
Levosalbutamol and Ambroxol Hydrochloride drug combination and
subsequent transfer of these pellets into inhaler bottle attached with face
mask in order to enhance the efficiency of both drugs. In this preparation,zinc
stearate, a metal stearate, will be used as an Antiadherent which will act by
reducing sticking of powder and improves the flowability of powder. The
prepared dry powder pellets will be designed to given via inhalation route
with the help of face mask connected to the artificial inhaler. The formulation
will be prepared by using nanoprecipitation method. The intention ofpresent
investigation is to provide an easy and convenientrouteto delivermedicineto
the covid-19 patients without any side effects.
KEYWORDS: Levosalbutamol, Ambroxol Hydrochloride, Nanoparticle, Dry
powder, Inhaler mask, Future work
How to cite this paper: Arun Venuvanka |
Sejal K. Amodwala | Dr. Kuldeep Joshi
"Introduction of Artificial Inhaler: A
Novel Concept for the Management of
Covid-19" Published
in International
Journal of Trend in
Scientific Research
and Development
(ijtsrd), ISSN: 2456-
6470, Volume-4 |
Issue-4, June 2020,
pp.646-649, URL:
www.ijtsrd.com/papers/ijtsrd31146.pdf
Copyright © 2020 by author(s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by
/4.0)
INTRODUCTION
In recent time, Coronavirus infection (COVID-19)isdeclared
as a pandemic by World Health Organization (WHO). This is
due to the large number of its patients across the world.
People with corona virus infection who are suffering from
other diseases, requires special clinical care and attention.
The symptoms of this disease are associated with
respiratory tract. Many drugs are available to relieve these
symptoms. However, combination of drugs are found to be
more effective than single drug. Basically, Levosalbutamol is
used in the treatment of Chronic Obstructive Pulmonary
Disease (COPD) and Asthma. Other drug, Ambroxol
Hydrochloride, acts as expectorant and eases cough and
mucus by increasing fluid secretion and mucociliary
clearance. Oral liquid dosage form such as medicated syrup,
of above two drugs are available in the market. However,
oral liquid preparation shows less bioavailabilty and less
stability. Sometimes liquid syrup can also beassociatedwith
microbial contamination. In order to avoid above problems
of oral route, other administration route can be applied. Out
of which, the inhalation route of administration have many
advantages like, it avoids first-pass metabolism effect of the
drug and make it available more to the site of action. It also
provides direct delivery of drug to the targeted site. In
addition to this, inhaler dosage form also provides better
patient compliance because of its easy usage.
Hence, in future, the novel formulation of nano sized dry
powder is decided toprepare,whichincludescombinationof
drugs likeLevosalbutamol andAmbroxol Hydrochloride. The
prepared nanoparticle dry powder pellets will be givenwith
the help of inhaler mask to the patients.
MATERIALS AND METHODS
This preparation will require Levosalbutamol andAmbroxol Hydrochloridedrugsalongwithdifferent excipientsandanalytical
grade solvents, are categorized in Table 1.
IJTSRD31146
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 647
Table 1: Category of drug and other ingredients used for nanoparticle preparation
Sr. No. Name of Raw Materials Category
1 Levosalbutamol Drug/short-acting β2 adrenergic receptor agonist
2 Ambroxol Hydrochloride Drug / secretolytic agent
3 Hydroxy Propyl Methyl Cellulose (HPMC 5 cps) Bioadhesive Polymer/ Gelling agent
4 Tween 80 Surfactant/ Solubilizer
5 Purified water Solvent/Vehicle
6 Diethyl ether Solvent
7 Span 80 Lipophilic surfactant
8 Mannitol Stabilizer/ Carrier
9 Leucine Moisture absorbing agent / Stabilizer
10 Zinc stearate Antiadherent/ Coating agent/Antifriction agent
PREPARATION OF NANOPARTICLE
The formulation will be prepared by using Hydroxy Propyl Methyl Cellulose (5 cps) polymer. The concentration of Hydroxy
Propyl Methyl Cellulose will be optimized by preliminary experimentationin whichblank nanoparticles will bepreparedusing
varying concentrations of polymers. The concentrations which yielded maximum drug content having desirable particle size
will be selected for preparing drug loaded nanoparticles. Formulation composition is described in Table 2, whereas different
polymer and solvent ratio for different batches are described in Table 3. Drug loadedpolymericnanoparticleswill be prepared
by nanoprecipitation method. Particle size of drug and other materials should be less than 5 µm. If necessary, powder milling
process will be performed to achieve this desirable particle size. The following solutions will be made separately : Solution A,
Polymer solution will be prepare by dissolving Hydroxy Propyl Methyl Cellulose (5 cps) and Tween 80 in small amount of
purified water followed by using homogenizer for 5 minutes at 3000 rpm. SolutionB,0.04%w/wand24%w/wdrugsolution
will be prepare by dissolving Levosalbutamol and Ambroxol Hydrochloride in 50 gram weight of purifiedwater. Thisaqueous
drug solution B will be added dropwise into Polymeric solution A using a high speed homogenizer. Solution C will contain
Diethyl Ether and Span 80. This solution C will be dropwise added in previously prepared Drug and HPMC solution using a
homogenizer at 10,000 rpm for 5 minutes. This prepared solution will pass through the high pressure microfluidizer forthree
passes at 12000 psi to make Nanoformulation. After that, nano spray drying process will be performed to convert these
nanoparticles into dry powders. In this process, Mannitol (carrier), Leucine and Zinc stearate will be used. After in-process
studies, 1 gram nano sized dry powder pellets will incorporated into 1 ml capacity of small inhaler bottle previously attached
with face mask as shown in Figure 1. The spray bottle containing nano sized dry pellets, will be fabricated with lock system in
order to provide an accurate dose.
Figure 1: Inhaler bottle with flow mechanisam
Table 2: Different Formulation composition for Nanoparticle Preparation
Sr. No. Quantity/ Gram Name of Raw Materials Quantity/ 100 gram*
1 0.2 mg Levosalbutamol IP 0.02 gram
2 120 mg Ambroxol Hydrochloride IP 12 gram
3 --- Hydroxy Propyl Methyl Cellulose (HPMC 5 cps) IP Vary
4 --- Tween 80 IP 0.1 gram
5 q.s. Purified water IP 100 gram
6 --- Diethyl ether IP Vary
7 --- Span 80 IP Vary
8 --- Mannitol IP 1 gram
9 --- Leucine IP 0.2 gram
10 --- Zinc stearate IP 2 gram
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 648
Table 3: Concentrations of HPMC, Diethyl Ether and Span 80 for different Batch
Batch Code Name of Ingredients Quantity/ Gram Quantity/ 100 grams*
B1
Hydroxy Propyl Methyl Cellulose
(HPMC- 5 cps) IP
5 mg 0.5 gram
Diethyl Ether IP 0.006 ml 0.6 ml
Span 80 IP 0.06 mg 0.006 gram
B2
Hydroxy Propyl Methyl Cellulose
(HPMC- 5 cps) IP
10 mg 1 gram
Diethyl Ether IP 0.009 ml 0.9 ml
Span 80 IP 0.09 mg 0.009 gram
B3
Hydroxy Propyl Methyl Cellulose
(HPMC- 5 cps) IP
2 mg 0.2 gram
Diethyl Ether IP 0.003 ml 0.3 ml
Span 80 IP 0.03 mg 0.003 gram
Note: In all batches, concentration of both drugs and other ingredients will be same as table 2.
FABRICATION OF ARTIFICIAL INHALER MASK
The artificial inhaler mask will be fabricated in three different layers as shown Figure 2. The prepared sample will be
transferred into small HDPE bottle. The sample bottle container will be designed to have a lock and key system, which will
allow to provide an accurate inhaler dose. The sample container will be connected to mask. Artificial oxygenventilatorlayerof
mask will improve oxygen flow and ventilation in infected patients.
Figure 2: Artificial Inhaler mask design
EVALUATION PARAMETERS
The prepared product will be evaluated for various
parameters, as listed below.
1. Surface Morphology : Prepared formulation will be
evaluated for its appearance, colour and order.
2. Particle size analysis : The prepared dry pellets will be
analyzed for particle size using electron microscopy.
3. Powder flow properties and porosity
4. Entrapment efficiency
5. Drug content (Assay)
6. Stability studies of dry powder pellets with and without
packing
7. Microbial studies and Spray pattern by dye-talcmixture
FUTURE WORK PLAN
After obtaining satisfactory results of initial phase, the
prepared product will be tested further for different in-vitro
and in-vivo parameters. This involves clinical trial test and
stability studies.
PROPOSED RESULT AND DISCUSSION
The proposal of present investigation involves preparation
of novel formulation containing an effective drug
combination of Levosalbutamol and Ambroxol
Hydrochloride, in order to reduce the infection associated
with covid-19, a novel corona virus.Theselectionofpolymer
will be optimized on the basis of preliminary
experimentation and literature survey. The main
characteristics required will be, proper drug effect, easy
usage and patient comfort. The method used to prepare
nanoparticle, is well establishedandnon-complicated,which
involves the usage of easily available raw materials and
solvents. The prepared nano pellets will suppose to have
good flowability, easy handling and desirable effect on
patients.
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 649
REFERENCE
[1] www.who.int/ World Health Organization
[2] www.pbs.gov.au/info/reviews/asthma-children-
submissions/asthma-children-submission-12
[3] http://article.sciencepublishinggroup.com/html/10.11
648.j.ajcem.20150306.18
[4] https://www.hindawi.com/journals/jdd/2018/56350
10
[5] www.drugbank.ca/Ambroxol
[6] https://www.ncbi.nlm.nih.gov/pubmed/16185366
[7] The Mechanics of Inhaled Pharmaceutical Aerosols;1st
Edition; Elsevier
[8] Dry powder inhaler performance of spray dried
mannitol with tailored surface morphologiesascarrier
and salbutamol sulphate; Elsevier

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Introduction of Artificial Inhaler A Novel Concept for the Management of Covid 19

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 4 Issue 4, June 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 646 Introduction of Artificial Inhaler: A Novel Concept for the Management of Covid-19 Arun Venuvanka1, Sejal K. Amodwala2, Dr. Kuldeep Joshi3 1Research Officer, 2Research Associate, 3Assistant Professor, 1,2Revcon Healthcare LLP, Vadodara, Gujarat, India 3Department of Chemistry, Indus University, Ahmedabad, Gujarat, India ABSTRACT The present investigation involves preparation of novel formulation in near future. The concept involves preparation of nano sized dry powder pellets of Levosalbutamol and Ambroxol Hydrochloride drug combination and subsequent transfer of these pellets into inhaler bottle attached with face mask in order to enhance the efficiency of both drugs. In this preparation,zinc stearate, a metal stearate, will be used as an Antiadherent which will act by reducing sticking of powder and improves the flowability of powder. The prepared dry powder pellets will be designed to given via inhalation route with the help of face mask connected to the artificial inhaler. The formulation will be prepared by using nanoprecipitation method. The intention ofpresent investigation is to provide an easy and convenientrouteto delivermedicineto the covid-19 patients without any side effects. KEYWORDS: Levosalbutamol, Ambroxol Hydrochloride, Nanoparticle, Dry powder, Inhaler mask, Future work How to cite this paper: Arun Venuvanka | Sejal K. Amodwala | Dr. Kuldeep Joshi "Introduction of Artificial Inhaler: A Novel Concept for the Management of Covid-19" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456- 6470, Volume-4 | Issue-4, June 2020, pp.646-649, URL: www.ijtsrd.com/papers/ijtsrd31146.pdf Copyright © 2020 by author(s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by /4.0) INTRODUCTION In recent time, Coronavirus infection (COVID-19)isdeclared as a pandemic by World Health Organization (WHO). This is due to the large number of its patients across the world. People with corona virus infection who are suffering from other diseases, requires special clinical care and attention. The symptoms of this disease are associated with respiratory tract. Many drugs are available to relieve these symptoms. However, combination of drugs are found to be more effective than single drug. Basically, Levosalbutamol is used in the treatment of Chronic Obstructive Pulmonary Disease (COPD) and Asthma. Other drug, Ambroxol Hydrochloride, acts as expectorant and eases cough and mucus by increasing fluid secretion and mucociliary clearance. Oral liquid dosage form such as medicated syrup, of above two drugs are available in the market. However, oral liquid preparation shows less bioavailabilty and less stability. Sometimes liquid syrup can also beassociatedwith microbial contamination. In order to avoid above problems of oral route, other administration route can be applied. Out of which, the inhalation route of administration have many advantages like, it avoids first-pass metabolism effect of the drug and make it available more to the site of action. It also provides direct delivery of drug to the targeted site. In addition to this, inhaler dosage form also provides better patient compliance because of its easy usage. Hence, in future, the novel formulation of nano sized dry powder is decided toprepare,whichincludescombinationof drugs likeLevosalbutamol andAmbroxol Hydrochloride. The prepared nanoparticle dry powder pellets will be givenwith the help of inhaler mask to the patients. MATERIALS AND METHODS This preparation will require Levosalbutamol andAmbroxol Hydrochloridedrugsalongwithdifferent excipientsandanalytical grade solvents, are categorized in Table 1. IJTSRD31146
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 647 Table 1: Category of drug and other ingredients used for nanoparticle preparation Sr. No. Name of Raw Materials Category 1 Levosalbutamol Drug/short-acting β2 adrenergic receptor agonist 2 Ambroxol Hydrochloride Drug / secretolytic agent 3 Hydroxy Propyl Methyl Cellulose (HPMC 5 cps) Bioadhesive Polymer/ Gelling agent 4 Tween 80 Surfactant/ Solubilizer 5 Purified water Solvent/Vehicle 6 Diethyl ether Solvent 7 Span 80 Lipophilic surfactant 8 Mannitol Stabilizer/ Carrier 9 Leucine Moisture absorbing agent / Stabilizer 10 Zinc stearate Antiadherent/ Coating agent/Antifriction agent PREPARATION OF NANOPARTICLE The formulation will be prepared by using Hydroxy Propyl Methyl Cellulose (5 cps) polymer. The concentration of Hydroxy Propyl Methyl Cellulose will be optimized by preliminary experimentationin whichblank nanoparticles will bepreparedusing varying concentrations of polymers. The concentrations which yielded maximum drug content having desirable particle size will be selected for preparing drug loaded nanoparticles. Formulation composition is described in Table 2, whereas different polymer and solvent ratio for different batches are described in Table 3. Drug loadedpolymericnanoparticleswill be prepared by nanoprecipitation method. Particle size of drug and other materials should be less than 5 µm. If necessary, powder milling process will be performed to achieve this desirable particle size. The following solutions will be made separately : Solution A, Polymer solution will be prepare by dissolving Hydroxy Propyl Methyl Cellulose (5 cps) and Tween 80 in small amount of purified water followed by using homogenizer for 5 minutes at 3000 rpm. SolutionB,0.04%w/wand24%w/wdrugsolution will be prepare by dissolving Levosalbutamol and Ambroxol Hydrochloride in 50 gram weight of purifiedwater. Thisaqueous drug solution B will be added dropwise into Polymeric solution A using a high speed homogenizer. Solution C will contain Diethyl Ether and Span 80. This solution C will be dropwise added in previously prepared Drug and HPMC solution using a homogenizer at 10,000 rpm for 5 minutes. This prepared solution will pass through the high pressure microfluidizer forthree passes at 12000 psi to make Nanoformulation. After that, nano spray drying process will be performed to convert these nanoparticles into dry powders. In this process, Mannitol (carrier), Leucine and Zinc stearate will be used. After in-process studies, 1 gram nano sized dry powder pellets will incorporated into 1 ml capacity of small inhaler bottle previously attached with face mask as shown in Figure 1. The spray bottle containing nano sized dry pellets, will be fabricated with lock system in order to provide an accurate dose. Figure 1: Inhaler bottle with flow mechanisam Table 2: Different Formulation composition for Nanoparticle Preparation Sr. No. Quantity/ Gram Name of Raw Materials Quantity/ 100 gram* 1 0.2 mg Levosalbutamol IP 0.02 gram 2 120 mg Ambroxol Hydrochloride IP 12 gram 3 --- Hydroxy Propyl Methyl Cellulose (HPMC 5 cps) IP Vary 4 --- Tween 80 IP 0.1 gram 5 q.s. Purified water IP 100 gram 6 --- Diethyl ether IP Vary 7 --- Span 80 IP Vary 8 --- Mannitol IP 1 gram 9 --- Leucine IP 0.2 gram 10 --- Zinc stearate IP 2 gram
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 648 Table 3: Concentrations of HPMC, Diethyl Ether and Span 80 for different Batch Batch Code Name of Ingredients Quantity/ Gram Quantity/ 100 grams* B1 Hydroxy Propyl Methyl Cellulose (HPMC- 5 cps) IP 5 mg 0.5 gram Diethyl Ether IP 0.006 ml 0.6 ml Span 80 IP 0.06 mg 0.006 gram B2 Hydroxy Propyl Methyl Cellulose (HPMC- 5 cps) IP 10 mg 1 gram Diethyl Ether IP 0.009 ml 0.9 ml Span 80 IP 0.09 mg 0.009 gram B3 Hydroxy Propyl Methyl Cellulose (HPMC- 5 cps) IP 2 mg 0.2 gram Diethyl Ether IP 0.003 ml 0.3 ml Span 80 IP 0.03 mg 0.003 gram Note: In all batches, concentration of both drugs and other ingredients will be same as table 2. FABRICATION OF ARTIFICIAL INHALER MASK The artificial inhaler mask will be fabricated in three different layers as shown Figure 2. The prepared sample will be transferred into small HDPE bottle. The sample bottle container will be designed to have a lock and key system, which will allow to provide an accurate inhaler dose. The sample container will be connected to mask. Artificial oxygenventilatorlayerof mask will improve oxygen flow and ventilation in infected patients. Figure 2: Artificial Inhaler mask design EVALUATION PARAMETERS The prepared product will be evaluated for various parameters, as listed below. 1. Surface Morphology : Prepared formulation will be evaluated for its appearance, colour and order. 2. Particle size analysis : The prepared dry pellets will be analyzed for particle size using electron microscopy. 3. Powder flow properties and porosity 4. Entrapment efficiency 5. Drug content (Assay) 6. Stability studies of dry powder pellets with and without packing 7. Microbial studies and Spray pattern by dye-talcmixture FUTURE WORK PLAN After obtaining satisfactory results of initial phase, the prepared product will be tested further for different in-vitro and in-vivo parameters. This involves clinical trial test and stability studies. PROPOSED RESULT AND DISCUSSION The proposal of present investigation involves preparation of novel formulation containing an effective drug combination of Levosalbutamol and Ambroxol Hydrochloride, in order to reduce the infection associated with covid-19, a novel corona virus.Theselectionofpolymer will be optimized on the basis of preliminary experimentation and literature survey. The main characteristics required will be, proper drug effect, easy usage and patient comfort. The method used to prepare nanoparticle, is well establishedandnon-complicated,which involves the usage of easily available raw materials and solvents. The prepared nano pellets will suppose to have good flowability, easy handling and desirable effect on patients.
  • 4. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD31146 | Volume – 4 | Issue – 4 | May-June 2020 Page 649 REFERENCE [1] www.who.int/ World Health Organization [2] www.pbs.gov.au/info/reviews/asthma-children- submissions/asthma-children-submission-12 [3] http://article.sciencepublishinggroup.com/html/10.11 648.j.ajcem.20150306.18 [4] https://www.hindawi.com/journals/jdd/2018/56350 10 [5] www.drugbank.ca/Ambroxol [6] https://www.ncbi.nlm.nih.gov/pubmed/16185366 [7] The Mechanics of Inhaled Pharmaceutical Aerosols;1st Edition; Elsevier [8] Dry powder inhaler performance of spray dried mannitol with tailored surface morphologiesascarrier and salbutamol sulphate; Elsevier