Pulsatile drug delivery are the system in which rapid & transient release of an active molecule within a short time period immediately after a predetermined off release period. i.e. lag time
The Pulsatile effect i.e. the release of drug as a “pulse” after a lag time has to be designed in such a way that complete and rapid drug release should follow the lag time. Such systems are also called time-controlled as the drug release is independent of the environment.
Powerpoint presentation on controlled drug delivery system. Its introduction, terminologies, rationale, advantages, disadvantages, selection of drug, approaches for designing controlled release formulations and physicochemical and biological properties of drug
Powerpoint presentation on controlled drug delivery system. Its introduction, terminologies, rationale, advantages, disadvantages, selection of drug, approaches for designing controlled release formulations and physicochemical and biological properties of drug
Mucoadhesive drug delivery system interact with the mucus layer covering the mucosal epithelial surface, & mucin molecules & increase the residence time of the dosage form at the site of the absorption.
Mucoadhesive drug delivery system is a part of controlled delivery system.
Since the early 1980,the concept of Mucoadhesion has gained considerable interest in pharmaceutical technology.
combine mucoadhesive with enzyme inhibitory & penetration enhancer properties & improve the patient complaince.
MDDS have been devloped for buccal ,nasal,rectal &vaginal routes for both systemic & local effects.
Hydrophilic high mol. wt. such as peptides that cannot be administered & poor absorption ,then MDDS is best choice.
Mucoadhesiveinner layers called mucosa inner epithelial cell lining is covered with viscoelasticfluid
Composed of water and mucin.
Thickness varies from 40 μm to 300 μm
General composition of mucus
Water…………………………………..95%
Glycoproteinsand lipids……………..0.5-5%
Mineral salts……………………………1%
Free proteins…………………………..0.5-1%
The mechanism responsible in the formation of mucoadhesive bond
Step 1 : Wetting and swelling of the polymer(contact stage)
Step 2 : Interpenetration between the polymer chains and the mucosal membrane
Step 3 : Formation of bonds between the entangled chains (both known as consolidation stage)
Electronic theory
Wetting theory
Adsorption theory
Diffusion theory
Fracture theory
Advantages over other controlled oral controlled release systems by virtue of prolongation of residence of drug in GIT.
Targeting & localization of the dosage form at a specific site
-Painless administration.
-Low enzymatic activity & avoid of first pass metabolism
If MDDS are adhere too tightlgy because it is undesirable to exert too much force to remove the formulation after use,otherwise the mucosa could be injured.
-Some patient suffers unpleasent feeling.
-Unfortunately ,the lack of standardized techniques often leads to unclear results.
-costly drug delivery system
This presentation includes introduction, physiology of GIT, factors affecting GRDDS, Advantages and disadvantages, approaches to GRDDS and their mechanism, some of the marketed products using GRDDS mechanism.
Mucoadhesive drug delivery system interact with the mucus layer covering the mucosal epithelial surface, & mucin molecules & increase the residence time of the dosage form at the site of the absorption.
Mucoadhesive drug delivery system is a part of controlled delivery system.
Since the early 1980,the concept of Mucoadhesion has gained considerable interest in pharmaceutical technology.
combine mucoadhesive with enzyme inhibitory & penetration enhancer properties & improve the patient complaince.
MDDS have been devloped for buccal ,nasal,rectal &vaginal routes for both systemic & local effects.
Hydrophilic high mol. wt. such as peptides that cannot be administered & poor absorption ,then MDDS is best choice.
Mucoadhesiveinner layers called mucosa inner epithelial cell lining is covered with viscoelasticfluid
Composed of water and mucin.
Thickness varies from 40 μm to 300 μm
General composition of mucus
Water…………………………………..95%
Glycoproteinsand lipids……………..0.5-5%
Mineral salts……………………………1%
Free proteins…………………………..0.5-1%
The mechanism responsible in the formation of mucoadhesive bond
Step 1 : Wetting and swelling of the polymer(contact stage)
Step 2 : Interpenetration between the polymer chains and the mucosal membrane
Step 3 : Formation of bonds between the entangled chains (both known as consolidation stage)
Electronic theory
Wetting theory
Adsorption theory
Diffusion theory
Fracture theory
Advantages over other controlled oral controlled release systems by virtue of prolongation of residence of drug in GIT.
Targeting & localization of the dosage form at a specific site
-Painless administration.
-Low enzymatic activity & avoid of first pass metabolism
If MDDS are adhere too tightlgy because it is undesirable to exert too much force to remove the formulation after use,otherwise the mucosa could be injured.
-Some patient suffers unpleasent feeling.
-Unfortunately ,the lack of standardized techniques often leads to unclear results.
-costly drug delivery system
This presentation includes introduction, physiology of GIT, factors affecting GRDDS, Advantages and disadvantages, approaches to GRDDS and their mechanism, some of the marketed products using GRDDS mechanism.
Microchip Electrophoresis is the new talk of the town, which revolutionize the field of electrophoresis. It is shown to be an attractive tool for time & cost saving development of a separation method for complex sample mixtures. It made possible the simultaneous separation of catecholamines and their cationic metabolites.
ABSTRACT
The parenteral administration route is the most effective and common form of delivery for active drug substances with poor bioavailability and the drugs with a narrow therapeutic index. Drug delivery technology that can reduce the total number of injection throughout the drug therapy period will be truly advantageous not only in terms of compliance, but also to improve the quality of the therapy and also may reduce the dosage frequency. Such reduction in frequency of drug dosing is achieved by the use of specific formulation technologies that guarantee the release of the active drug substance in a slow and predictable manner. The development of new injectable drug delivery system has received considerable attention over the past few years. A number of technological advances have been made in the area of parenteral drug delivery leading to the development of sophisticated systems that allow drug targeting and the sustained or controlled release of parenteral medicines.
Description about a type of activation modulated drug delivery system, which a type of control drug delivery system.
Also, give a detailed description about each subclassification.
CrDDS is one which delivers the drug at a predetermined rate, for locally or systematically, for a prolong period of time.
Controlled drug delivery system part 2
mechanism and different approaches of controlled drug delivery system
diffusion-controlled drug delivery
dissolution controlled drug delivery
ion-exchange resin system
Implantable Drug Delivery Systems: Delivering Medication on Demand
Implantable drug delivery systems (IDDS) are miniature devices surgically placed under the skin or inside tissues to deliver a sustained and controlled release of medication directly to the target site. This targeted approach offers several advantages over traditional oral or injectable medications:
Benefits:
Improved treatment compliance: Eliminates the need for frequent dosing, improving adherence to treatment plans.
Enhanced efficacy: Delivers drugs directly to the site of action, maximizing their therapeutic effect.
Reduced side effects: Minimizes systemic exposure to the drug, potentially reducing unwanted side effects.
Controlled release: Offers precise control over the release rate and duration of medication delivery, optimizing treatment effectiveness.
Long-term therapy: Can provide continuous medication delivery for months or even years, ideal for chronic conditions.
Types of IDDS:
Biodegradable implants: Made from materials that naturally degrade over time, releasing the drug at a predetermined rate.
Non-biodegradable implants: Composed of materials that remain in the body after the drug is released, requiring surgical removal.
Reservoir implants: Contain a pre-filled reservoir of medication released through a controlled mechanism.
Pump implants: Use a micro-pump to deliver the medication at specific intervals or in response to external stimuli.
Applications:
Pain management: Chronic pain, post-surgical pain, arthritis
Hormonal therapy: Contraception, hormone replacement therapy
Cancer treatment: Localized chemotherapy, targeted drug delivery
Psychiatric disorders: Depression, schizophrenia
Neurological disorders: Parkinson's disease, epilepsy
Challenges and considerations:
Surgical implantation: Requires a minor surgical procedure, carrying associated risks and potential complications.
Cost: The devices and implantation procedure can be expensive.
Limited drug suitability: Not all medications are compatible with IDDS technology.
Device failure: Mechanical malfunctions or material degradation can occur over time.
Future of IDDS:
Advancements in materials science, miniaturization, and biocompatibility are paving the way for more sophisticated IDDS with:
Closed-loop systems: Sensors monitoring disease markers and adjusting drug release in real-time.
Multifunctional capabilities: Combining drug delivery with other functionalities like disease monitoring or biostimulation.
Personalized medicine: Tailored IDDS designed for individual patient needs and genetic profiles.
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
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.
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
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.
NVBDCP.pptx Nation vector borne disease control program
Pulsatile drug delivery system
1. 1
Department of Pharmacy (Pharmaceutics) | Sagar savale
Mr. Sagar Kishor SavaleMr. Sagar Kishor Savale
Department of Pharmaceutics
avengersagar16@gmail.com
2015-016
2. • Introduction
• Need for Pulsatile drug delivery
• Advantages
• Methodologies or Approaches
• Recent techniques for Pulsatile System
• Evaluation of pulsatile drug delivery system
• Case studies
• Conclusion
2
4. Pulsatile drug delivery are the system in which rapid & transient
release of an active molecule within a short time period
immediately after a predetermined off release period. i.e. lag
time
The Pulsatile effect i.e. the release of drug as a “pulse” after a
lag time has to be designed in such a way that complete and
rapid drug release should follow the lag time. Such systems are
also called time-controlled as the drug release is independent of
the environment.
The system deliver the drugs at:
right time
right place 4
5. These systems are designed in such a way that there is rapid
and transient release of a certain amount of drug molecule
within a short time period immediately after a certain lag period.
The lag period may very as per the requirement in disease
condition .The typical graph of pulsatile drug delivery differs
from controlled release is shown in figure.
5
6. Avoiding drug degradation in GIT.
Drugs which develop biological tolerance.
Drug with extensive first pass metabolism .
Drug targeted to specific site in the intestinal tract.
Chronopharmacotherapy of diseases which shows circadian
rhythms in their pathophysiology.
6
8. 8
Disease Chronological behavior Drugs used
Peptic ulcer Acid secretion is high in the
afternoon and at night
H2 blockers
Asthma Precipitation of attacks
during night or at early
morning hour
β-2 agonist, Antihistaminic
Cardiovascular diseases BP is at its lowest during
the sleep cycle and rises
steeply during the early
morning
Nitroglycerin, Calcium
channel blocker, ACE
inhibitors etc.
Arthritis Pain in the morning and
more pain at night
NSAIDs, Glucocorticoids
Diabetes mellitus Increase in the blood sugar
level after meal
Sulfonylurea, Insulin,
Biguanide
Attention deficit syndrome Increase in DOPA level in
afternoon
Methylphenidate
Hypercholesterolemia Cholesterol synthesis is
generally higher during
night than during day time
HMG-CoA-reductase
inhibitors
9. 9
• Reduced dosage frequency.
• Reduction in dose size.
• Extended daytime or night time activity.
• Improved patient compliance .
• Drug loss is prevented by first pass metabolism.
10. 10
• There are innumerable approaches for PDDS. In a
broad point of view methodologies for PDDS can be
categorized in to 3 ways:
I. Time controlled
systems
II. Stimuli induced
systems
III. Hydrogel systems
11. • Osmotic Pressure based systems
• Systems with Rupturable coatings
• Systems with Erodible/swellable coatings
• Capsular systems with polymeric plugs
11
12. • The Port System constitute of a gelatin capsule coated with a
semi permeable membrane (e.g., cellulose acetate) housing an
insoluble plug (e.g., lipidic) and an osmotically active agent with
the drug formulation.
• Mechanism
• Upon contact with the aqueous medium, water diffuses across the
semi permeable membrane, resulting in increased inner pressure
that ejects the plug after a lag time.
• The lag time is manipulated controlled by coating thickness.
12
14. • These systems depend on the disintegration of the coating for
the release of drug.
• The pressure necessary for the rupture of the coating can be
achieved by the effervescent excipients, swelling agents, or
osmotic pressure.
• An effervescent mixture of citric acid and sodium bicarbonate
was incorporated in a tablet core coated with ethyl cellulose.
• Mechanism: The carbon dioxide gas developed after
penetration of water into the core resulted in a pulsatile release
of drug after rupture of the coating.
• Lag time increases with increasing coating thickness and
increasing hardness of the core tablet.
14
16. • Most of the pulsatile drug delivery
systems are
reservoir devices coated with a barrier
layer.
• This barrier erodes or dissolves after a
specific lag period, and the drug is
subsequently released rapidly.
• The time lag depends on the thickness
of the coating layer . 16
18. • A general -design of such systems consists of an insoluble
capsule body housing a drug and a plug.
• The plug is removed after a predetermined time lag due to
swelling, erosion, or dissolution.
• The Pulsincap® system is an example of such a system
that is made up of a water-insoluble capsule body filled
with drug formulation.
• Upon contact with dissolution medium or gastro-intestinal
fluids, the plug swells, pushing itself out of the capsule
after a time lag. 18
19. • a) Insoluble but permeable and swellable polymers
e.g., polymethacrylates
• b)Erodible compressed polymers
e.g., hydroxypropylmethyl cellulose, polyvinyl
alcohol, polyethylene oxide
• c) Enzymatically controlled erodible polymer
e.g., pectin
19
21. • This consists of pellet cores comprising drug and succinic acid
coated with ammonio-methacrylate copolymer USP/NF type B.
• The time lag is controlled by the rate of water influx through the
polymer membrane. The water dissolves acid and the drug in the
core.
• The acid solution in turn increases permeability of the hydrated
polymer film.
• The different types of acids that can be used include succinic acid,
acetic acid, glutaric acid, tartaric acid, maliec acid, or citric acid
21
22. • Hydrogel : A polymer network that is not soluble in
water, but is super-absorbent.
• Stimuli responsive hydrogels can absorb or release
their contents based on environmental conditions.
Stimuli include:
• Temperature
• pH
• Ionic Strength
• Presence of certain chemicals
22
23. 23
They are insoluble due to the tie points i.e., physical cross links like entanglement.
Exampels include:
PIPAAm
PEO-PPO-PEO
PLGA-PEO-PLGA grafted co-polymers.
24. In these systems the polymer undergoes swelling or
deswelling phase in response to the temperature
which modulates drug release in swollen state.
For example polyN-isopropylacrylamide (PIPAAm)
responds to a specific range of temperature.
Below 32 C PIPAAm forms a “skinny layer” &
changes to hydrophobic which is impermeable to
water.
24
27. Release of the drug after stimulation by an biological factor or
external stimuli .
It is classified into two types
stimuli induced pulsatile system
Chemical stimuli induced pulsatile system
i. pH sensitive drug delivery system .
ii. Inflammation-induced system
iii. Glucose responsive insulin release
iv. Drug release from gels responding
to antibody concentration
External stimuli
i.Micro electro release system
ii.Electro Responsive release
iii.Magnetically induced release
27
28. 28
The system include insulin immobilized in the hydrogel
Glucose
Glucose oxidase
Gluconic acid
Change in pH
Swelling of the polymer
Insulin release
29. 29
Insulin by virtue of its action reduces blood glucose level
& consequently gluconic acid level also get decreased &
system turns to the deswelling mode thereby decreasing
the insulin release.
Examples of the pH sensitive polymers include N, N-
dimethylaminoethyl methacrylate, chitosan, polyol etc.
30. • Electro responsive pulsatile release
Electrically responsive delivery systems are
prepared from polyelectrolytes (polymers which
contain relatively high concentration of ionisable
groups along the backbone chain) and are thus, pH-
responsive as well as electro-responsive.
30
31. • Examples of naturally occurring polymers include
hyaluronic acid, chondroitin sulphate, agarose,
carbomer, xanthan gum and calcium alginate.
• The synthetic polymers are generally acrylate and
methacrylate derivatives such as partially hydrolyzed
polyacrylamide, polydimethylaminopropyl acrylamide
31
32. • A micro fabricated device has the ability to store and
release multiple chemical substances on demand.
• Another development in MEMS technology is the
microchip.
• The microchip consists of an array of reservoirs that
extend through an electrolyte-impermeable substrate.
32
33. • The microchip consists of an array of reservoirs that
extend through an electrolyte-impermeable substrate.
• The prototype microchip is made of silicon and
contains a number of drug reservoirs, each reservoir
is sealed at one end by a thin gold membrane of
material that serves as an anode in an
electrochemical reaction and dissolves when an
electric potential is applied to it in an electrolyte
solution.
33
34. • When release is desired, an electric potential is
applied between an anode membrane and a cathode,
the gold membrane anode dissolves within 10-20
seconds and allows the drug in the reservoir to be
released.
• This electric potential causes oxidation of the anode
material to form a soluble complex with the
electrolytes which then dissolves allowing release of
the drug.
34
35. • Dissolution studies.
• Simulated rupture tests with polymer films
• Lag time and drug release of pulsatile capsules
• Water uptake studies with the pulsatile tablets.
• gamma scinitgraphic technology
35
37. • The lag time of pulsatile release tablets is defined
as the time when the outer coating starts to rupture.
• The lag time of the pulsatile capsules was
determined by visual observation in a USP paddle
apparatus (medium: phosphate buffer USP pH 7.4,
37°C, and rotation speed 50 rpm).
• We can go either with plcebo or with the drug itself.
37
38. • The %water uptake of pulsatile release tablets was
determined in medium-filled containers placed in a
horizontal shaker (100 ml of 0.1 N HCl, 37 0
C, 74 rpm,
n = 3).
• At predetermined time points, the tablets were
removed from the dissolution medium, carefully
blotted with tissue paper to remove surface water,
weighed and then placed back in the medium up to
the time when the coating of the tablet ruptured. The
%water uptake was calculated as follows:
38
39. • The %water uptake was calculated as
follows:
39
40. gamma scinitgraphic technology
40
a b c d
Image (a) was taken immediately
Image (b) was taken at 3 hrs.
Image (c) & (d) at 5 & 6 hrs respectively.
41. • Spheroidal Oral Drug Absorption System (SODAS)
• Chronotherapeutic Oral Drug Absorption System
(CODAS)
• EURANDs pulsatile and chrono release System
• Magnetic Nanocomposite Hydrogel
• GEOCLOCK® Technology
41
43. • Avinash R. Tekade, and Surendra G. Gattani ,
“Development and evaluation of pulsatile drug
delivery system using novel polymer”,
Pharmaceutical Development and Technology, 2009;
14(4): 380–387
• Aim : To develop a PDDS using a plug made up of a
novel material & to show the effect of the plug which
is independent of the ratio of drug as to polymer
taken in the preparation of microspheres.
43
44. • Preparation of TPH microspheres
• Microspheres of anhydrous TPH were prepared by solvent evaporation method. Drug
and Eudragit S 100 in various ratios like 2:1, 1:1, 1:1.5 and 1:2 w/w were dissolved in a
sufficient quantity of ethanol. An ethanolic solution of the drug and polymer was then
poured slowly into 100 mL liquid paraffin containing 1% span 80 at 15°C with continuous
stirring at 1000 rpm to form uniform emulsion.
• Preparation of cross-linked gelatin capsules
• A total of 25 mL of 15% (v/v) formaldehyde was taken into a dessicator and a pinch of
potassium perman-ganate was added to it, to generate formalin vapors.
• Preparation of hydrocolloid plug
• Plug for seal-ing the capsule body was prepared by compressing equal amount of DRG
and lactose using 5 mm punches and dies on rotary tablet press keeping varying
thickness and hardness values .
• The joint of the capsule body and cap was sealed with a small amount of the 5% ethyl
cellulose ethanolic solution.The sealed capsules were completely coated by dip
coatingmethod with 5% CAP in 8:2 (v/v) mixture of acetone: ethanol,plasticized with
dibutylphthalate (0.75%)
44
47. • PDDS can effectively tackle the chronotherapeutic
problem as it is modulated according to body's
circadian clock giving release of drug after a
specified time lag.
• Plus it can give “a new lease of life” & a “new
therapeutic dimenssion” for existing drug
molecule.
• And a golden future is awaiting for PDDS with
many marketed formulations yet to develop. 47
48. • Tekade AR, Gattani SG. “Development and evaluation of
pulsatile drug delivery system using novel polymer”.
Pharm Dev Tech 2009; 14(4): 380–387.
• Veena S Belgamwar, M.V.Gaikwad, G.B.Patil, S.Surana ,
“Pulsatile drug delivery system” , Asian Journal of
Pharmaceutics - July-September 2008;141-145 .
• A.K. Anal, “Time-Controlled Pulsatile Delivery Systems for
Bioactive Compounds”, Recent Patents on Drug Delivery
& Formulation 2007; 1:73-79 .
48
49. • Anita Lalvani,SD Satani,”PULSATILE DRUG DELIVERY
SYSTEM”, Indian journal of pharmaceutical sciences (jul-
2007) 490-497.
• Akihiko Kikuchi, Teruo Okano,” Pulsatile drug release
control using hydrogels”, Advanced Drug Delivery Reviews
54 (2002) 53–77
• Lida E. Kalantzi, Evangelos. Karavas,” Recent Advances in
Oral Pulsatile Drug Delivery “, Recent Patents on Drug
Delivery & Formulation 2009, 3: 49-63
•
• Sharma GS, Srikanth MV, Uhumwangho , “Recent trends
in pulsatile drug delivery systems - A review” International
Journal of Drug Delivery 2 (2010)
49