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I
““DDEESSIIGGNN AANNDD EEVVAALLUUAATTIIOONN OOFF ‘‘TTAABBLLEETT IINN
CCAAPPSSUULLEE DDEEVVIICCEE’’-- PPUULLSSAATTIILLEE DDRRUUGG
DDEELLIIVVEERRYY SSYYSSTTEEMM FFOORR TTHHEE TTRREEAATTMMEENNTT OOFF
NNOOCCTTUURRNNAALL AASSTTHHMMAA””
Dissertation
Submitted to KLE University, Belgaum, KarnatakaSubmitted to KLE University, Belgaum, KarnatakaSubmitted to KLE University, Belgaum, KarnatakaSubmitted to KLE University, Belgaum, Karnataka In partial fulfillment of the requirement for the degree ofIn partial fulfillment of the requirement for the degree ofIn partial fulfillment of the requirement for the degree ofIn partial fulfillment of the requirement for the degree of
MMMaaasssttteeerrr ooofff PPPhhhaaarrrmmmaaacccyyy
IIInnn
PPPhhhaaarrrmmmaaaccceeeuuutttiiicccsss
By
MR. JATIN A. POPAT B.Pharm
Under the guidance of
DR. BASAVARAJ K.NANJWADE M.Pharm, Ph.D
DEPARTMENT OF PHARMACEUTICS, JN MEDICAL COLLEGE,
BELGAUM-590010, KARNATAKA, INDIA
MAYMAYMAYMAY----2010201020102010
II
KKLLEE UUNNIIVVEERRSSIITTYY,, BBEELLGGAAUUMM,, KKAARRNNAATTAAKKAA
Declaration by the Candidate
II hheerreebbyy ddeeccllaarree tthhaatt tthhiiss ddiisssseerrttaattiioonn eennttiittlleedd
““DDEESSIIGGNN AANNDD EEVVAALLUUAATTIIOONN OOFF ‘‘TTAABBLLEETT IINN CCAAPPSSUULLEE
DDEEVVIICCEE’’-- PPUULLSSAATTIILLEE DDRRUUGG DDEELLIIVVEERRYY SSYYSSTTEEMM FFOORR TTHHEE
TTRREEAATTMMEENNTT OOFF NNOOCCTTUURRNNAALL AASSTTHHMMAA”” iiss aa bboonnaaffiiddee aanndd
ggeennuuiinnee rreesseeaarrcchh wwoorrkk ccaarrrriieedd oouutt bbyy mmee uunnddeerr tthhee
gguuiiddaannccee ooff Dr. BASAVARAJ K. NANJWADE PPrrooffeessssoorr,,
DDeeppaarrttmmeenntt ooff PPhhaarrmmaacceeuuttiiccss,, JJNN MMeeddiiccaall CCoolllleeggee,,
BBeellggaauumm.
DDaattee::
PPllaaccee:: BBeellggaauumm..
MMrr.. JJAATTIINN AA.. PPOOPPAATT BB..PPhhaarrmm
DDeepptt.. ooff PPhhaarrmmaacceeuuttiiccss,,
JJNN MMeeddiiccaall CCoolllleeggee,,
BBeellggaauumm –– 559900 001100,,
KKaarrnnaattaakkaa..
� �
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III
IV
KKLLEE UUNNIIVVEERRSSIITTYY,, BBEELLGGAAUUMM,, KKAARRNNAATTAAKKAA
Certificate by the Guide
II hheerreebbyy ddeeccllaarree tthhaatt tthhiiss ddiisssseerrttaattiioonn eennttiittlleedd
““DDEESSIIGGNN AANNDD EEVVAALLUUAATTIIOONN OOFF ‘‘TTAABBLLEETT IINN CCAAPPSSUULLEE
DDEEVVIICCEE’’-- PPUULLSSAATTIILLEE DDRRUUGG DDEELLIIVVEERRYY SSYYSSTTEEMM FFOORR TTHHEE
TTRREEAATTMMEENNTT OOFF NNOOCCTTUURRNNAALL AASSTTHHMMAA”” iiss aa bboonnaaffiiddee
rreesseeaarrcchh wwoorrkk ddoonnee bbyy MMRR.. JJAATTIINN AA.. PPOOPPAATT iinn ppaarrttiiaall
ffuullffiillllmmeenntt ooff tthhee rreeqquuiirreemmeenntt ffoorr tthhee ddeeggrreeee ooff MMaasstteerr
ooff PPhhaarrmmaaccyy iinn PPhhaarrmmaacceeuuttiiccss..
DDaattee::
PPllaaccee:: BBeellggaauumm..
DDrr.. BB..KK.. NNAANNJJWWAADDEEMM..PPhhaarrmm,,PPhh.. DD
PPrrooffeessssoorr,, DDeepptt.. ooff PPhhaarrmmaacceeuuttiiccss,,
JJNN MMeeddiiccaall CCoolllleeggee,,
BBeellggaauumm –– 559900 001100,,
KKaarrnnaattaakkaa..
� �
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�
�
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V
KKLLEE UUNNIIVVEERRSSIITTYY,, BBEELLGGAAUUMM,, KKAARRNNAATTAAKKAA
Certificate by the Co-Guide
II hheerreebbyy ddeeccllaarree tthhaatt tthhiiss ddiisssseerrttaattiioonn eennttiittlleedd
““DDEESSIIGGNN AANNDD EEVVAALLUUAATTIIOONN OOFF ‘‘TTAABBLLEETT IINN CCAAPPSSUULLEE
DDEEVVIICCEE’’-- PPUULLSSAATTIILLEE DDRRUUGG DDEELLIIVVEERRYY SSYYSSTTEEMM FFOORR TTHHEE
TTRREEAATTMMEENNTT OOFF NNOOCCTTUURRNNAALL AASSTTHHMMAA”” iiss aa bboonnaaffiiddee
rreesseeaarrcchh wwoorrkk ddoonnee bbyy MMRR.. JJAATTIINN AA.. PPOOPPAATT iinn ppaarrttiiaall
ffuullffiillllmmeenntt ooff tthhee rreeqquuiirreemmeenntt ffoorr tthhee ddeeggrreeee ooff MMaasstteerr
ooff PPhhaarrmmaaccyy iinn PPhhaarrmmaacceeuuttiiccss..
DDaattee::
MMrr.. JJIIGGAARR PPAATTEELL
DDiirreeccttoorr,, LLiinnccoollnn PPhhaarrmmaacceeuuttiiccaall LLttdd..
KKhhaattrraajj,, DDiisstt::GGaannddhhiinnaaggaarr,,
GGuujjaarraatt..
� �
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VI
PPllaaccee::
VII
KKLLEE UUNNIIVVEERRSSIITTYY,, BBEELLGGAAUUMM,, KKAARRNNAATTAAKKAA
Endorsement By The HOD, Principal/ Head
of The Institution
This is to certify that the dissertation entitled “DESIGN
AND EVALUATION OF ‘TABLET IN CAPSULE DEVICE’-
PULSATILE DRUG DELIVERY SYSTEM FOR THE TREATMENT
OF NOCTURNAL ASTHMA” is a bonafide research work done
by Mr. JATIN A. POPAT in partial fulfillment of the
requirement for the degree of Master of Pharmacy in
Pharmaceutics, under the guidance of DDrr.. BB.. KK.. NNAANNJJWWAADDEE,,
Professor, Department of Pharmaceutics, JN Medical
College, Belgaum.
DDaattee::
PPllaaccee:: BBeellggaauumm..
DDRR.. VV.. DD.. PPAATTIILL MMDD,, DDCCHH
PPrriinncciippaall,,
JJNN MMeeddiiccaall CCoolllleeggee,,
BBeellggaauumm –– 559900 001100,,
KKaarrnnaattaakkaa..
MMRRSS.. RR.. SS.. MMAASSAARREEDDDDYY MM..PPHHAARRMM
AAssssoocciiaattee PPrrooffeessssoorr && HHeeaadd,,
DDeepptt.. ooff PPhhaarrmmaacceeuuttiiccss,,
JJNN MMeeddiiccaall CCoolllleeggee,,
BBeellggaauumm –– 559900 001100..
KKaarrnnaattaakkaa
� �
� � �
�
� �
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DDaattee::
PPllaaccee:: BBeellggaauumm..
VIII
KKLLEE UUNNIIVVEERRSSIITTYY,, BBEELLGGAAUUMM,, KKAARRNNAATTAAKKAA
Copyright Declaration by the Candidate
II hheerreebbyy ddeeccllaarree tthhaatt tthhee KKLLEE UUnniivveerrssiittyy,, BBeellggaauumm,,
KKaarrnnaattaakkaa sshhaallll hhaavvee tthhee rriigghhttss ttoo pprreesseerrvvee,, uussee aanndd
ddiisssseemmiinnaattee tthhiiss ddiisssseerrttaattiioonn//tthheessiiss iinn pprriinntt oorr
eelleeccttrroonniicc ffoorrmmaatt ffoorr aaccaaddeemmiicc//rreesseeaarrcchh ppuurrppoossee..
DDaattee::
PPllaaccee:: BBeellggaauumm..
MMrr.. JJAATTIINN AA.. PPOOPPAATTBB..PPhhaarrmm
DDeepptt.. ooff PPhhaarrmmaacceeuuttiiccss,,
JJNN MMeeddiiccaall CCoolllleeggee,,
BBeellggaauumm –– 559900 001100,,
KKaarrnnaattaakkaa..
� �
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IX
© J.N. Medical College, KLE University, Belgaum, Karnataka
AAffffeeccttiioonnaatteellyy DDeeddiiccaatteedd
TToo
MMyy BBeelloovveedd PPaarreennttss
EEsstteeeemmeedd GGuuiiddee
VIII
Acknowledgement TTTTTTTThhhhhhhheeeeeeee AAAAAAAAllllllllmmmmmmmmiiiiiiiigggggggghhhhhhhhttttttttyyyyyyyy,,,,,,,, IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll aaaaaaaannnnnnnndddddddd ggggggggrrrrrrrraaaaaaaatttttttteeeeeeeeffffffffuuuuuuuullllllll ttttttttoooooooo yyyyyyyyoooooooouuuuuuuu ffffffffoooooooorrrrrrrr ccccccccoooooooonnnnnnnnssssssssttttttttaaaaaaaannnnnnnntttttttt ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt nnnnnnnnooooooootttttttt oooooooonnnnnnnnllllllllyyyyyyyy ffffffffoooooooorrrrrrrr mmmmmmmmyyyyyyyy
pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt bbbbbbbbuuuuuuuutttttttt ffffffffoooooooorrrrrrrr aaaaaaaallllllllllllllll tttttttthhhhhhhheeeeeeee aaaaaaaacccccccchhhhhhhhiiiiiiiieeeeeeeevvvvvvvveeeeeeeemmmmmmmmeeeeeeeennnnnnnnttttttttssssssss iiiiiiiinnnnnnnn mmmmmmmmyyyyyyyy lllllllliiiiiiiiffffffffeeeeeeee........ IIIIIIII bbbbbbbboooooooowwwwwwww ddddddddoooooooowwwwwwwwnnnnnnnn ttttttttoooooooo yyyyyyyyoooooooouuuuuuuu wwwwwwwwiiiiiiiitttttttthhhhhhhh bbbbbbbbooooooootttttttthhhhhhhh tttttttthhhhhhhheeeeeeee hhhhhhhhaaaaaaaannnnnnnnddddddddssssssss ffffffffoooooooollllllllddddddddeeeeeeeedddddddd........
WWWWWWWWoooooooorrrrrrrrddddddddssssssss sssssssseeeeeeeeeeeeeeeemmmmmmmm ttttttttoooooooo bbbbbbbbeeeeeeee ttttttttoooooooooooooooo ssssssssmmmmmmmmaaaaaaaallllllllllllllll ffffffffoooooooorrrrrrrr eeeeeeeexxxxxxxxpppppppprrrrrrrreeeeeeeessssssssssssssssiiiiiiiinnnnnnnngggggggg mmmmmmmmyyyyyyyy tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ttttttttoooooooo tttttttthhhhhhhheeeeeeee ffffffffoooooooolllllllllllllllloooooooowwwwwwwwiiiiiiiinnnnnnnngggggggg ppppppppeeeeeeeerrrrrrrrssssssssoooooooonnnnnnnnssssssss........
IIIIIIIItttttttt iiiiiiiissssssss wwwwwwwwiiiiiiiitttttttthhhhhhhh ffffffffaaaaaaaatttttttthhhhhhhhoooooooommmmmmmmlllllllleeeeeeeessssssssssssssss ggggggggrrrrrrrraaaaaaaattttttttiiiiiiiittttttttuuuuuuuuddddddddeeeeeeee tttttttthhhhhhhhaaaaaaaatttttttt eeeeeeeexxxxxxxxpppppppprrrrrrrreeeeeeeesssssssssssssssseeeeeeeessssssss mmmmmmmmyyyyyyyy bbbbbbbbeeeeeeeennnnnnnneeeeeeeevvvvvvvvoooooooolllllllleeeeeeeennnnnnnntttttttt tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ttttttttoooooooo mmmmmmmmyyyyyyyy rrrrrrrreeeeeeeevvvvvvvveeeeeeeerrrrrrrreeeeeeeennnnnnnntttttttt
tttttttteeeeeeeeaaaaaaaacccccccchhhhhhhheeeeeeeerrrrrrrr aaaaaaaannnnnnnndddddddd gggggggguuuuuuuuiiiiiiiiddddddddeeeeeeee,,,,,,,, DDDDDDDDrrrrrrrr........ BBBBBBBBaaaaaaaassssssssaaaaaaaavvvvvvvvaaaaaaaarrrrrrrraaaaaaaajjjjjjjj KKKKKKKK........ NNNNNNNNaaaaaaaannnnnnnnjjjjjjjjwwwwwwwwaaaaaaaaddddddddeeeeeeee,,,,,,,, PPPPPPPPrrrrrrrrooooooooffffffffeeeeeeeessssssssssssssssoooooooorrrrrrrr,,,,,,,, DDDDDDDDeeeeeeeepppppppptttttttt........ ooooooooffffffff PPPPPPPPhhhhhhhhaaaaaaaarrrrrrrrmmmmmmmmaaaaaaaacccccccceeeeeeeeuuuuuuuuttttttttiiiiiiiiccccccccssssssss,,,,,,,, KKKKKKKKLLLLLLLLEEEEEEEE
UUUUUUUUnnnnnnnniiiiiiiivvvvvvvveeeeeeeerrrrrrrrssssssssiiiiiiiittttttttyyyyyyyy,,,,,,,, BBBBBBBBeeeeeeeellllllllggggggggaaaaaaaauuuuuuuummmmmmmm........ IIIIIIII aaaaaaaammmmmmmm iiiiiiiinnnnnnnnddddddddeeeeeeeebbbbbbbbtttttttteeeeeeeedddddddd ttttttttoooooooo hhhhhhhhiiiiiiiimmmmmmmm ffffffffoooooooorrrrrrrr hhhhhhhhiiiiiiiissssssss gggggggguuuuuuuuiiiiiiiiddddddddaaaaaaaannnnnnnncccccccceeeeeeee tttttttthhhhhhhhrrrrrrrroooooooouuuuuuuugggggggghhhhhhhhoooooooouuuuuuuutttttttt mmmmmmmmyyyyyyyy pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt........ HHHHHHHHiiiiiiiissssssss kkkkkkkkiiiiiiiinnnnnnnndddddddd
ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt hhhhhhhhaaaaaaaassssssss bbbbbbbbeeeeeeeeeeeeeeeennnnnnnn vvvvvvvvaaaaaaaalllllllluuuuuuuuaaaaaaaabbbbbbbblllllllleeeeeeee ffffffffoooooooorrrrrrrr ccccccccoooooooommmmmmmmpppppppplllllllleeeeeeeettttttttiiiiiiiioooooooonnnnnnnn ooooooooffffffff mmmmmmmmyyyyyyyy pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt........ IIIIIIIItttttttt iiiiiiiissssssss aaaaaaaa ggggggggrrrrrrrreeeeeeeeaaaaaaaatttttttt hhhhhhhhoooooooonnnnnnnnoooooooouuuuuuuurrrrrrrr ttttttttoooooooo bbbbbbbbeeeeeeee hhhhhhhhiiiiiiiissssssss ssssssssttttttttuuuuuuuuddddddddeeeeeeeennnnnnnntttttttt........
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo mmmmmmmmyyyyyyyy ccccccccoooooooo--------gggggggguuuuuuuuiiiiiiiiddddddddeeeeeeee MMMMMMMMrrrrrrrr........ JJJJJJJJiiiiiiiiggggggggaaaaaaaarrrrrrrr PPPPPPPPaaaaaaaatttttttteeeeeeeellllllll,,,,,,,, MMMMMMMM........DDDDDDDD........ LLLLLLLLiiiiiiiinnnnnnnnccccccccoooooooollllllllnnnnnnnn PPPPPPPPhhhhhhhhaaaaaaaarrrrrrrrmmmmmmmmaaaaaaaacccccccceeeeeeeeuuuuuuuuttttttttiiiiiiiiccccccccaaaaaaaallllllllssssssss LLLLLLLLttttttttdddddddd................ HHHHHHHHeeeeeeee
hhhhhhhhaaaaaaaassssssss hhhhhhhheeeeeeeellllllllppppppppeeeeeeeedddddddd mmmmmmmmeeeeeeee rrrrrrrroooooooouuuuuuuunnnnnnnndddddddd tttttttthhhhhhhheeeeeeee cccccccclllllllloooooooocccccccckkkkkkkk ffffffffoooooooorrrrrrrr mmmmmmmmyyyyyyyy pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt........ IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo hhhhhhhhiiiiiiiimmmmmmmm ffffffffoooooooorrrrrrrr pppppppprrrrrrrroooooooovvvvvvvviiiiiiiiddddddddiiiiiiiinnnnnnnngggggggg mmmmmmmmeeeeeeee aaaaaaaallllllllllllllll tttttttthhhhhhhheeeeeeee
ffffffffaaaaaaaacccccccciiiiiiiilllllllliiiiiiiittttttttiiiiiiiieeeeeeeessssssss ffffffffoooooooorrrrrrrr mmmmmmmmyyyyyyyy pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt wwwwwwwwoooooooorrrrrrrrkkkkkkkk........
IIIIIIII aaaaaaaammmmmmmm bbbbbbbbeeeeeeeehhhhhhhhoooooooollllllllddddddddeeeeeeeennnnnnnn ttttttttoooooooo DDDDDDDDrrrrrrrr........ VVVVVVVV........ DDDDDDDD........ PPPPPPPPaaaaaaaattttttttiiiiiiiillllllll,,,,,,,, PPPPPPPPrrrrrrrriiiiiiiinnnnnnnncccccccciiiiiiiippppppppaaaaaaaallllllll,,,,,,,, JJJJJJJJNNNNNNNN MMMMMMMMeeeeeeeeddddddddiiiiiiiiccccccccaaaaaaaallllllll CCCCCCCCoooooooolllllllllllllllleeeeeeeeggggggggeeeeeeee aaaaaaaannnnnnnndddddddd DDDDDDDDrrrrrrrr........ FFFFFFFF........VVVVVVVV........ MMMMMMMMaaaaaaaannnnnnnnvvvvvvvviiiiiiii,,,,,,,,
PPPPPPPPrrrrrrrriiiiiiiinnnnnnnncccccccciiiiiiiippppppppaaaaaaaallllllll,,,,,,,, CCCCCCCCoooooooolllllllllllllllleeeeeeeeggggggggeeeeeeee ooooooooffffffff PPPPPPPPhhhhhhhhaaaaaaaarrrrrrrrmmmmmmmmaaaaaaaaccccccccyyyyyyyy,,,,,,,, KKKKKKKKLLLLLLLLEEEEEEEE UUUUUUUUnnnnnnnniiiiiiiivvvvvvvveeeeeeeerrrrrrrrssssssssiiiiiiiittttttttyyyyyyyy,,,,,,,, BBBBBBBBeeeeeeeellllllllggggggggaaaaaaaauuuuuuuummmmmmmm,,,,,,,, ffffffffoooooooorrrrrrrr pppppppprrrrrrrroooooooovvvvvvvviiiiiiiiddddddddiiiiiiiinnnnnnnngggggggg aaaaaaaa cccccccclllllllleeeeeeeeaaaaaaaannnnnnnn aaaaaaaannnnnnnndddddddd hhhhhhhheeeeeeeeaaaaaaaalllllllltttttttthhhhhhhhyyyyyyyy
eeeeeeeennnnnnnnvvvvvvvviiiiiiiirrrrrrrroooooooonnnnnnnnmmmmmmmmeeeeeeeennnnnnnntttttttt ffffffffoooooooorrrrrrrr ssssssssttttttttuuuuuuuuddddddddyyyyyyyyiiiiiiiinnnnnnnngggggggg iiiiiiiinnnnnnnn tttttttthhhhhhhhiiiiiiiissssssss iiiiiiiinnnnnnnnssssssssttttttttiiiiiiiittttttttuuuuuuuutttttttteeeeeeee........
IIIIIIII eeeeeeeexxxxxxxxpppppppprrrrrrrreeeeeeeessssssssssssssss mmmmmmmmyyyyyyyy ddddddddeeeeeeeeeeeeeeeepppppppp ggggggggrrrrrrrraaaaaaaattttttttiiiiiiiittttttttuuuuuuuuddddddddeeeeeeee ttttttttoooooooo PPPPPPPPrrrrrrrrooooooooffffffff........ TTTTTTTTaaaaaaaarrrrrrrraaaaaaaannnnnnnnaaaaaaaalllllllllllllllliiiiiiii,,,,,,,, MMMMMMMMrrrrrrrrssssssss........ RRRRRRRR........SSSSSSSS........ MMMMMMMMaaaaaaaassssssssaaaaaaaarrrrrrrreeeeeeeeddddddddddddddddyyyyyyyy aaaaaaaannnnnnnndddddddd tttttttthhhhhhhheeeeeeee eeeeeeeennnnnnnnttttttttiiiiiiiirrrrrrrreeeeeeee ssssssssttttttttaaaaaaaaffffffffffffffff
ooooooooffffffff KKKKKKKKLLLLLLLLEEEEEEEE UUUUUUUUnnnnnnnniiiiiiiivvvvvvvveeeeeeeerrrrrrrrssssssssiiiiiiiittttttttyyyyyyyy ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr kkkkkkkkiiiiiiiinnnnnnnndddddddd ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt aaaaaaaannnnnnnndddddddd ccccccccoooooooo--------ooooooooppppppppeeeeeeeerrrrrrrraaaaaaaattttttttiiiiiiiioooooooonnnnnnnn tttttttthhhhhhhhrrrrrrrroooooooouuuuuuuugggggggghhhhhhhhoooooooouuuuuuuutttttttt mmmmmmmmyyyyyyyy aaaaaaaaccccccccaaaaaaaaddddddddeeeeeeeemmmmmmmmyyyyyyyy ssssssssttttttttaaaaaaaayyyyyyyy iiiiiiiinnnnnnnn
BBBBBBBBeeeeeeeellllllllggggggggaaaaaaaauuuuuuuummmmmmmm........
IIIIIIII aaaaaaaacccccccckkkkkkkknnnnnnnnoooooooowwwwwwwwlllllllleeeeeeeeddddddddggggggggeeeeeeee tttttttthhhhhhhheeeeeeee ccccccccooooooooooooooooppppppppeeeeeeeerrrrrrrraaaaaaaattttttttiiiiiiiioooooooonnnnnnnn aaaaaaaannnnnnnndddddddd hhhhhhhheeeeeeeellllllllpppppppp ooooooooffffffff MMMMMMMMrrrrrrrr........ SSSSSSSShhhhhhhhaaaaaaaarrrrrrrrdddddddduuuuuuuullllllll,,,,,,,, MMMMMMMMrrrrrrrr........ NNNNNNNNiiiiiiiillllllllaaaaaaaayyyyyyyy,,,,,,,, MMMMMMMMrrrrrrrr........ HHHHHHHHiiiiiiiimmmmmmmmaaaaaaaannnnnnnnsssssssshhhhhhhhuuuuuuuu,,,,,,,, MMMMMMMMrrrrrrrr........
DDDDDDDDhhhhhhhhaaaaaaaavvvvvvvvaaaaaaaallllllll,,,,,,,, MMMMMMMMrrrrrrrr........ DDDDDDDDiiiiiiiippppppppaaaaaaaakkkkkkkk,,,,,,,, MMMMMMMMrrrrrrrr........ HHHHHHHHiiiiiiiirrrrrrrreeeeeeeennnnnnnn,,,,,,,, MMMMMMMMrrrrrrrr........ NNNNNNNNiiiiiiiikkkkkkkkhhhhhhhhiiiiiiiillllllll,,,,,,,, MMMMMMMMrrrrrrrr........ SSSSSSSSaaaaaaaannnnnnnnjjjjjjjjeeeeeeeeeeeeeeeevvvvvvvv,,,,,,,, MMMMMMMMrrrrrrrr........ YYYYYYYYooooooooggggggggeeeeeeeesssssssshhhhhhhh,,,,,,,, MMMMMMMMrrrrrrrrssssssss........ MMMMMMMMoooooooonnnnnnnniiiiiiiikkkkkkkkaaaaaaaa aaaaaaaannnnnnnndddddddd aaaaaaaallllllllllllllll
wwwwwwwwoooooooorrrrrrrrkkkkkkkkeeeeeeeerrrrrrrrssssssss ooooooooffffffff FFFFFFFF&&&&&&&&DDDDDDDD ddddddddeeeeeeeeppppppppaaaaaaaarrrrrrrrttttttttmmmmmmmmeeeeeeeennnnnnnntttttttt ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt,,,,,,,, gggggggguuuuuuuuiiiiiiiiddddddddaaaaaaaannnnnnnncccccccceeeeeeee,,,,,,,, vvvvvvvvaaaaaaaalllllllluuuuuuuuaaaaaaaabbbbbbbblllllllleeeeeeee ssssssssuuuuuuuuggggggggggggggggeeeeeeeessssssssttttttttiiiiiiiioooooooonnnnnnnn,,,,,,,, ccccccccoooooooonnnnnnnnssssssssttttttttrrrrrrrruuuuuuuuccccccccttttttttiiiiiiiivvvvvvvveeeeeeee
ccccccccrrrrrrrriiiiiiiittttttttiiiiiiiicccccccciiiiiiiissssssssmmmmmmmm aaaaaaaannnnnnnndddddddd hhhhhhhheeeeeeeellllllllpppppppp ffffffffrrrrrrrroooooooommmmmmmm tttttttthhhhhhhheeeeeeee bbbbbbbbeeeeeeeeggggggggiiiiiiiinnnnnnnnnnnnnnnniiiiiiiinnnnnnnngggggggg ooooooooffffffff tttttttthhhhhhhheeeeeeee wwwwwwwwoooooooorrrrrrrrkkkkkkkk ttttttttiiiiiiiillllllllllllllll tttttttthhhhhhhheeeeeeee ccccccccoooooooommmmmmmmpppppppplllllllleeeeeeeettttttttiiiiiiiioooooooonnnnnnnn ooooooooffffffff iiiiiiiitttttttt........
IIIIIIII aaaaaaaammmmmmmm ggggggggrrrrrrrraaaaaaaatttttttteeeeeeeeffffffffuuuuuuuullllllll ttttttttoooooooo mmmmmmmmyyyyyyyy BBBBBBBB........ PPPPPPPPhhhhhhhhaaaaaaaarrrrrrrrmmmmmmmm lllllllleeeeeeeeccccccccttttttttuuuuuuuurrrrrrrreeeeeeeerrrrrrrrssssssss DDDDDDDDrrrrrrrr........ HHHHHHHH........MMMMMMMM........ TTTTTTTTaaaaaaaannnnnnnnkkkkkkkk,,,,,,,, DDDDDDDDrrrrrrrr........ MMMMMMMMaaaaaaaannnnnnnniiiiiiiisssssssshhhhhhhh RRRRRRRRaaaaaaaacccccccchhhhhhhhcccccccchhhhhhhhhhhhhhhh aaaaaaaannnnnnnndddddddd
MMMMMMMMrrrrrrrr........ DDDDDDDDaaaaaaaarrrrrrrrsssssssshhhhhhhhaaaaaaaannnnnnnn PPPPPPPPaaaaaaaarrrrrrrreeeeeeeekkkkkkkkhhhhhhhh ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr mmmmmmmmoooooooorrrrrrrraaaaaaaallllllll ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt........
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo mmmmmmmmyyyyyyyy ccccccccoooooooo--------ttttttttrrrrrrrraaaaaaaaiiiiiiiinnnnnnnneeeeeeeeeeeeeeeessssssss AAAAAAAAnnnnnnnnkkkkkkkkiiiiiiiitttttttt,,,,,,,, PPPPPPPPrrrrrrrraaaaaaaajjjjjjjjeeeeeeeesssssssshhhhhhhh,,,,,,,, RRRRRRRRaaaaaaaakkkkkkkkeeeeeeeesssssssshhhhhhhh,,,,,,,, PPPPPPPPiiiiiiiiyyyyyyyyuuuuuuuusssssssshhhhhhhh,,,,,,,, HHHHHHHHaaaaaaaarrrrrrrreeeeeeeesssssssshhhhhhhh,,,,,,,, aaaaaaaannnnnnnndddddddd DDDDDDDDaaaaaaaarrrrrrrrsssssssshhhhhhhhaaaaaaaannnnnnnnaaaaaaaa
ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt dddddddduuuuuuuurrrrrrrriiiiiiiinnnnnnnngggggggg mmmmmmmmyyyyyyyy pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt........
IX
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo mmmmmmmmyyyyyyyy bbbbbbbbaaaaaaaattttttttcccccccchhhhhhhh mmmmmmmmaaaaaaaatttttttteeeeeeeessssssss SSSSSSSSuuuuuuuussssssssmmmmmmmmiiiiiiiitttttttthhhhhhhhaaaaaaaa,,,,,,,, KKKKKKKKiiiiiiiirrrrrrrraaaaaaaannnnnnnn,,,,,,,, RRRRRRRRuuuuuuuucccccccchhhhhhhhaaaaaaaa,,,,,,,, AAAAAAAAnnnnnnnnuuuuuuuu,,,,,,,, AAAAAAAAmmmmmmmmoooooooollllllll,,,,,,,, BBBBBBBBhhhhhhhhuuuuuuuusssssssshhhhhhhhaaaaaaaannnnnnnn,,,,,,,, RRRRRRRRaaaaaaaajjjjjjjjeeeeeeeesssssssshhhhhhhh,,,,,,,,
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ssssssssuuuuuuuuggggggggggggggggeeeeeeeessssssssttttttttiiiiiiiioooooooonnnnnnnnssssssss,,,,,,,, ccccccccoooooooonnnnnnnnssssssssttttttttaaaaaaaannnnnnnntttttttt eeeeeeeennnnnnnnccccccccoooooooouuuuuuuurrrrrrrraaaaaaaaggggggggeeeeeeeemmmmmmmmeeeeeeeennnnnnnntttttttt mmmmmmmmoooooooorrrrrrrraaaaaaaallllllll ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt tttttttthhhhhhhhrrrrrrrroooooooouuuuuuuugggggggghhhhhhhhoooooooouuuuuuuutttttttt mmmmmmmmyyyyyyyy ddddddddiiiiiiiisssssssssssssssseeeeeeeerrrrrrrrttttttttaaaaaaaattttttttiiiiiiiioooooooonnnnnnnn wwwwwwwwoooooooorrrrrrrrkkkkkkkk aaaaaaaannnnnnnndddddddd
ccccccccoooooooommmmmmmmffffffffoooooooorrrrrrrrttttttttaaaaaaaabbbbbbbblllllllleeeeeeee ssssssssttttttttaaaaaaaayyyyyyyy iiiiiiiinnnnnnnn BBBBBBBBeeeeeeeellllllllggggggggaaaaaaaauuuuuuuummmmmmmm........
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo mmmmmmmmyyyyyyyy ffffffffrrrrrrrriiiiiiiieeeeeeeennnnnnnnddddddddssssssss wwwwwwwwhhhhhhhhoooooooo hhhhhhhhaaaaaaaavvvvvvvveeeeeeee aaaaaaaallllllllwwwwwwwwaaaaaaaayyyyyyyyssssssss ccccccccaaaaaaaarrrrrrrreeeeeeeedddddddd ffffffffoooooooorrrrrrrr mmmmmmmmeeeeeeee,,,,,,,, OOOOOOOOjjjjjjjjaaaaaaaassssssss,,,,,,,, DDDDDDDDiiiiiiiippppppppeeeeeeeennnnnnnn,,,,,,,, NNNNNNNNIIIIIIIIsssssssshhhhhhhhaaaaaaaannnnnnnntttttttt,,,,,,,,
DDDDDDDDhhhhhhhhaaaaaaaavvvvvvvvaaaaaaaallllllll,,,,,,,, RRRRRRRRaaaaaaaacccccccchhhhhhhhiiiiiiiitttttttt,,,,,,,, KKKKKKKKaaaaaaaauuuuuuuusssssssshhhhhhhhaaaaaaaallllllll,,,,,,,, KKKKKKKKeeeeeeeeyyyyyyyyuuuuuuuurrrrrrrr,,,,,,,, AAAAAAAAnnnnnnnnkkkkkkkkiiiiiiiitttttttt,,,,,,,, RRRRRRRRuuuuuuuuggggggggvvvvvvvveeeeeeeedddddddd,,,,,,,, DDDDDDDDiiiiiiiilllllllliiiiiiiipppppppp,,,,,,,, DDDDDDDDeeeeeeeevvvvvvvvaaaaaaaannnnnnnngggggggg,,,,,,,, NNNNNNNNiiiiiiiikkkkkkkkuuuuuuuunnnnnnnnjjjjjjjj,,,,,,,, HHHHHHHHiiiiiiiirrrrrrrreeeeeeeennnnnnnn,,,,,,,, JJJJJJJJaaaaaaaaggggggggddddddddiiiiiiiisssssssshhhhhhhh,,,,,,,, VVVVVVVVaaaaaaaarrrrrrrruuuuuuuunnnnnnnn,,,,,,,,
aaaaaaaannnnnnnndddddddd AAAAAAAAmmmmmmmmiiiiiiiitttttttt........
AAAAAAAA hhhhhhhheeeeeeeeaaaaaaaarrrrrrrrttttttttiiiiiiiillllllllyyyyyyyy tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ttttttttoooooooo mmmmmmmmyyyyyyyy sssssssseeeeeeeennnnnnnniiiiiiiioooooooorrrrrrrrssssssss MMMMMMMMeeeeeeeehhhhhhhhuuuuuuuullllllll,,,,,,,, HHHHHHHHiiiiiiiirrrrrrrreeeeeeeennnnnnnn,,,,,,,, SSSSSSSSuuuuuuuukkkkkkkkeeeeeeeettttttttuuuuuuuu,,,,,,,, KKKKKKKKeeeeeeeeyyyyyyyyuuuuuuuurrrrrrrr aaaaaaaannnnnnnndddddddd CCCCCCCChhhhhhhhaaaaaaaakkkkkkkkrrrrrrrraaaaaaaaddddddddhhhhhhhhaaaaaaaarrrrrrrr........
IIIIIIII oooooooowwwwwwwweeeeeeee mmmmmmmmyyyyyyyy tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ttttttttoooooooo tttttttthhhhhhhheeeeeeee jjjjjjjjuuuuuuuunnnnnnnniiiiiiiioooooooorrrrrrrrssssssss AAAAAAAAmmmmmmmmiiiiiiiitttttttt,,,,,,,, RRRRRRRRuuuuuuuuttttttttuuuuuuuullllllll,,,,,,,, AAAAAAAAllllllllooooooookkkkkkkk,,,,,,,, NNNNNNNNiiiiiiiisssssssshhhhhhhhaaaaaaaannnnnnnntttttttt aaaaaaaannnnnnnndddddddd MMMMMMMMaaaaaaaayyyyyyyyaaaaaaaannnnnnnnkkkkkkkk ........
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo YYYYYYYYeeeeeeeellllllllllllllllaaaaaaaappppppppaaaaaaaa aaaaaaaannnnnnnndddddddd GGGGGGGGaaaaaaaajjjjjjjjaaaaaaaannnnnnnnaaaaaaaannnnnnnn ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt dddddddduuuuuuuurrrrrrrriiiiiiiinnnnnnnngggggggg mmmmmmmmyyyyyyyy pppppppprrrrrrrroooooooojjjjjjjjeeeeeeeecccccccctttttttt........
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo tttttttthhhhhhhheeeeeeee eeeeeeeennnnnnnnttttttttiiiiiiiirrrrrrrreeeeeeee ssssssssttttttttaaaaaaaaffffffffffffffff ooooooooffffffff LLLLLLLLiiiiiiiibbbbbbbbrrrrrrrraaaaaaaarrrrrrrryyyyyyyy,,,,,,,, KKKKKKKKLLLLLLLLEEEEEEEE UUUUUUUUnnnnnnnniiiiiiiivvvvvvvveeeeeeeerrrrrrrrssssssssiiiiiiiittttttttyyyyyyyy,,,,,,,, BBBBBBBBeeeeeeeellllllllggggggggaaaaaaaauuuuuuuummmmmmmm,,,,,,,, ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr kkkkkkkkiiiiiiiinnnnnnnndddddddd
ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt........
MMMMMMMMyyyyyyyy hhhhhhhheeeeeeeeaaaaaaaarrrrrrrrttttttttffffffffeeeeeeeelllllllltttttttt tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ttttttttoooooooo MMMMMMMMrrrrrrrr........ JJJJJJJJiiiiiiiitttttttteeeeeeeennnnnnnn DDDDDDDDhhhhhhhhaaaaaaaammmmmmmmeeeeeeeecccccccchhhhhhhhaaaaaaaa TTTTTTTToooooooorrrrrrrrrrrrrrrrrrrrrrrreeeeeeeennnnnnnntttttttt PPPPPPPPhhhhhhhhaaaaaaaarrrrrrrrmmmmmmmmaaaaaaaacccccccceeeeeeeeuuuuuuuuttttttttiiiiiiiiccccccccaaaaaaaallllllllssssssss AAAAAAAAhhhhhhhhmmmmmmmmeeeeeeeeddddddddaaaaaaaabbbbbbbbaaaaaaaadddddddd ffffffffoooooooorrrrrrrr hhhhhhhhiiiiiiiissssssss
vvvvvvvvaaaaaaaalllllllluuuuuuuuaaaaaaaabbbbbbbblllllllleeeeeeee ssssssssuuuuuuuuggggggggggggggggeeeeeeeessssssssttttttttiiiiiiiioooooooonnnnnnnnssssssss ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeee ccccccccoooooooommmmmmmmpppppppplllllllleeeeeeeettttttttiiiiiiiioooooooonnnnnnnn ooooooooffffffff tttttttthhhhhhhheeeeeeee ddddddddiiiiiiiisssssssssssssssseeeeeeeerrrrrrrrttttttttaaaaaaaattttttttiiiiiiiioooooooonnnnnnnn........
VVVVVVVVeeeeeeeerrrrrrrryyyyyyyy ssssssssppppppppeeeeeeeecccccccciiiiiiiiaaaaaaaallllllll aaaaaaaannnnnnnndddddddd wwwwwwwwaaaaaaaarrrrrrrrmmmmmmmmeeeeeeeesssssssstttttttt tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ffffffffrrrrrrrroooooooommmmmmmm tttttttthhhhhhhheeeeeeee ddddddddeeeeeeeeeeeeeeeeppppppppeeeeeeeesssssssstttttttt ooooooooffffffff mmmmmmmmyyyyyyyy hhhhhhhheeeeeeeeaaaaaaaarrrrrrrrtttttttt ttttttttoooooooo mmmmmmmmyyyyyyyy rrrrrrrroooooooooooooooommmmmmmm--------mmmmmmmmaaaaaaaatttttttteeeeeeeessssssss aaaaaaaannnnnnnndddddddd
bbbbbbbbaaaaaaaattttttttcccccccchhhhhhhh mmmmmmmmaaaaaaaatttttttteeeeeeeessssssss RRRRRRRRiiiiiiiitttttttteeeeeeeesssssssshhhhhhhh,,,,,,,, AAAAAAAAyyyyyyyyaaaaaaaazzzzzzzz,,,,,,,, KKKKKKKKeeeeeeeettttttttaaaaaaaannnnnnnn aaaaaaaannnnnnnndddddddd MMMMMMMMaaaaaaaacccccccc ffffffffoooooooorrrrrrrr tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr hhhhhhhheeeeeeeellllllllpppppppp aaaaaaaannnnnnnndddddddd ssssssssuuuuuuuuppppppppppppppppoooooooorrrrrrrrtttttttt dddddddduuuuuuuurrrrrrrriiiiiiiinnnnnnnngggggggg mmmmmmmmyyyyyyyy ssssssssttttttttuuuuuuuuddddddddyyyyyyyy........
IIIIIIII aaaaaaaammmmmmmm tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo MMMMMMMMiiiiiiiissssssssssssssss........ VVVVVVVVeeeeeeeeeeeeeeeennnnnnnnaaaaaaaa aaaaaaaannnnnnnndddddddd MMMMMMMMrrrrrrrr........ DDDDDDDDeeeeeeeeeeeeeeeeppppppppaaaaaaaakkkkkkkk ooooooooffffffff SSSSSSSSaaaaaaaaiiiiiiii DDDDDDDDTTTTTTTTPPPPPPPP aaaaaaaannnnnnnndddddddd XXXXXXXXeeeeeeeerrrrrrrrooooooooxxxxxxxx ,,,,,,,, BBBBBBBBeeeeeeeellllllllggggggggaaaaaaaauuuuuuuummmmmmmm,,,,,,,, FFFFFFFFoooooooorrrrrrrr
ffffffffoooooooorrrrrrrrmmmmmmmmaaaaaaaattttttttttttttttiiiiiiiinnnnnnnngggggggg,,,,,,,, pppppppprrrrrrrriiiiiiiinnnnnnnnttttttttiiiiiiiinnnnnnnngggggggg aaaaaaaannnnnnnndddddddd bbbbbbbbiiiiiiiinnnnnnnnddddddddiiiiiiiinnnnnnnngggggggg ooooooooffffffff mmmmmmmmyyyyyyyy tttttttthhhhhhhheeeeeeeessssssssiiiiiiiissssssss........
IIIIIIII aaaaaaaammmmmmmm iiiiiiiimmmmmmmmmmmmmmmmeeeeeeeennnnnnnnsssssssseeeeeeeellllllllyyyyyyyy ggggggggrrrrrrrraaaaaaaatttttttteeeeeeeeffffffffuuuuuuuullllllll aaaaaaaannnnnnnndddddddd tttttttthhhhhhhhaaaaaaaannnnnnnnkkkkkkkkffffffffuuuuuuuullllllll ttttttttoooooooo mmmmmmmmyyyyyyyy MMMMMMMMooooooootttttttthhhhhhhheeeeeeeerrrrrrrr,,,,,,,, FFFFFFFFaaaaaaaatttttttthhhhhhhheeeeeeeerrrrrrrr aaaaaaaannnnnnnndddddddd mmmmmmmmyyyyyyyy BBBBBBBBrrrrrrrrooooooootttttttthhhhhhhheeeeeeeerrrrrrrr KKKKKKKKaaaaaaaauuuuuuuusssssssshhhhhhhhiiiiiiiikkkkkkkk
aaaaaaaannnnnnnndddddddd SSSSSSSSiiiiiiiisssssssstttttttteeeeeeeerrrrrrrr NNNNNNNNeeeeeeeehhhhhhhhaaaaaaaallllllll........ IIIIIIIItttttttt iiiiiiiissssssss wwwwwwwwiiiiiiiitttttttthhhhhhhh tttttttthhhhhhhheeeeeeeeiiiiiiiirrrrrrrr bbbbbbbblllllllleeeeeeeessssssssssssssssiiiiiiiinnnnnnnnggggggggssssssss aaaaaaaannnnnnnndddddddd lllllllloooooooovvvvvvvveeeeeeee tttttttthhhhhhhhaaaaaaaatttttttt IIIIIIII hhhhhhhhaaaaaaaavvvvvvvveeeeeeee rrrrrrrreeeeeeeeaaaaaaaacccccccchhhhhhhheeeeeeeedddddddd ttttttttiiiiiiiillllllllllllllll hhhhhhhheeeeeeeerrrrrrrreeeeeeee iiiiiiiinnnnnnnn mmmmmmmmyyyyyyyy lllllllliiiiiiiiffffffffeeeeeeee........ IIIIIIII
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ffffffffuuuuuuuuttttttttuuuuuuuurrrrrrrreeeeeeee eeeeeeeennnnnnnnddddddddeeeeeeeeaaaaaaaavvvvvvvvoooooooorrrrrrrrssssssss........
TTTTTTTThhhhhhhhaaaaaaaannnnnnnnkkkkkkkkssssssss ttttttttoooooooo oooooooonnnnnnnneeeeeeee aaaaaaaannnnnnnndddddddd aaaaaaaallllllllllllllll……………………………………………………………… JJaattiinn
PPooppaatt
X
LIST OF ABBREVIATIONS
γ - Gamma
% - Percentage
%C.D.R. - Percentage Cumulative Drug Realease
0C - Degree centigrade
CFU - colony Forming Unit
CSDDS - Colon Specific Drug Delivery System
EC - Ethyl Cellulose
FT-IR - Fourier Transformed-Infrared Specroscopy
GIT - Gastro Intestinal Tract
HPMC - Hydroxy Propyl Methyl Cellulose
hrs - Hours
mg - Miligram
ml - Mililiter
RH - Relative Humidity
t1/2 - Elimiantion half life
TCES - Time Controlled Explosion System
ug, mcg - Micrograms
um - Micrometer
UV - Ultra Violet
XI
ABSTRACT
The present study aimed at preparing a novel time dependent pulsed release
system containing ‘Tablet-in-Capsule’ for the programmed release of salbutamol
sulphate for the treatment of nocturnal asthma. The core tablets of salbutamol
sulphate were prepared using wet granulation containing a superdisintegrant. Physical
characterization of tablet and powder blends used to form the core tablet was under
taken using a range of experimental technique. Eudragit S100 and Eudragit L100
were used as pH dependent polymers for coating the core tablet which were filled in
to the capsule. The ratio of Eudragit S100 and Eudragit L100 and the coating level
was optimized using 32 full factorial designs. Factors studied in design were
percentage of Eudragit S100 in combination with Eudragit L100 and the effect of
coating level on In-vitro drug release. Dissolution studies of ‘Tablet-in-Capsule’
device in media with different pH (1.2, 5.5, 6.8 and 7.4) showed that drug release in
colon could be modulated by optimizing the concentration of Eudragit L100: Eudragit
S100 (1:2). The study showed that, lag time prior to drug release was highly affected
by the coating level. The dissolution data reveled that the level of coating and the ratio
of polymers are very important to achieve a optimum formulation. The In-vitro
release from optimized formulation was found to be independent of paddle speed. The
gamma scintigraphic study pointed out the capability of the system to release drug in
lower parts of GIT after a programmed lag time for nocturnal asthma. Stability study
of the optimized formulation indicates no significant difference in release profile after
a period of one month.
Key words: salbutamol sulphate, Nocturnal asthma, pH dependent drug delivery
sytem, ‘Tablet-in-Capsule’.
XII
CONTENTS
SL. NO.
TITLE PAGE NO.
1. INTRODUCTION 1-33
2. RESEARCH OBJECTIVE 34-37
3. REVIEW OF LITERATURE 38-71
4. MATERIAL & METHODOLOGY 72-92
5. RESULTS AND DISCUSSION 93-133
6. CONCLUSION 134-135
7. SUMMARY 136-137
8 BIBLIOGRAPHY 138-146
9 ANNEXURE
XIII
LIST OF TABLES
TABLE
NO. TITLE
PAGE
NO.
1. Circadian rhythm and the manifestation of clinical diseases 2
2. Drug that have been developed or are under development as
chronotherapies
13
3. Various pharmaceutical approaches to colon targeted drug
delivery systems.
15
4. Summary of anatomical and physiological features of small
intestine and colon
17
5. Drug metabolizing enzymes in the colon that catalyze
reactions
19
6. The transit time of dosage form in GIT. 20
7. Summary of colon-specific drug delivery strategies. 27
8. Interaction with other medicaments and other forms of
interaction
42
9. List of material used 72
10. List of equipment used 73
11. Effect of Carr’s Index and Hausner’s Ratio on flow property 76
12. Effect of Angle of repose (ф) on Flow property 77
13. Drug excipients compatibility study 78
14. Pharmacokinetics parameters of salbutmaol sulphate 80
15. Composition of first pulse tablets of Salbutamol sulphate 81
16. Composition of second pulse tablets of Salbutamol sulphate 81
17. Composition of Coating solution 86
18. Composition of coating solution 87
19. 32 Full Factorial Design Layout 89
XIV
TABLE
NO. TITLE
PAGE
NO.
20. Formula of Factorial batches 89
21. Result of Preformulation study of Salbutamol Sulphate 103
22. Result of Drug excipients compatibility study After 1 month
at 40ºC±2°C / 75%RH± 5 % RH
114
23. Standard calibration curve of Salbutamol Sulphate in 0.1 N
HCL
115
24. Standard calibration curve of salbutmaol sulphate in pH 5.5
Phosphate buffer
116
25. Standard calibration curve of Salbutamol Sulphate in pH 6.8
phosphate buffer
117
26. Standard calibration curve of salbutmaol sulphate in pH 7.4
Phosphate buffer
118
27. Pre-compression evaluation of the prepared granules 119
28. Post-compression evaluation of the prepared Tablets 119
29. In-vitro drug release study of tablets coated with Eudragit
S100
120
30. In-vitro drug release study of tablets coated with Eudragit
L100: Eudragit S100
121
31. Effect of Independent variable on dependent variable by 32
full factorial design of Salbutamol Sulphate for Pulsatile
Release
122
32. In-vitro drug release study of factorial batches 123
33. Summary of regression analysis of Salbutamol Sulphate tablet
for Pulsatile release
126
34. In-vitro drug release study of ‘Tablet in Capsule’ device 129
35. In-vitro drug release study of ‘Tablet in Capsule’ device with
different rotational speed
130
36. In-vitro drug release study of ‘Tablet in Capsule’ device for
stability testing
133
XV
LIST OF FIGURES
FIGURE
NO. TITLE
PAGE
NO.
1. Drug release profile of pulsatile drug delivery system 1
2. 24-hr clock diagram of the peak time of selected human
circadian rhythm with reference to the day-night cycle 3
3. Possible causes of morning increase in the incidence of
coronary event 4
4. Classification of pulsatile drug delivery system 6
5. Drug release mechanism from PORT system 8
6. Anatomy of the colon 16
7. Schematic diagram of Tablet in Capsule device 28
8. Pathophysiolofy of asthma 30
9. Diurnal variations in lung function in healthy and asthmatic
subjects. 31
10. FT-IR Spectra of pure Salbutamol sulphate 102
11. FT-IR Spectra of Salbutamol sulphate + Eudragit S 100 104
12. FT-IR Spectra of Salbutamol sulphate + Eudragit L-100 105
13. FT-IR Spectra of Salbutamol sulphate + Starch 106
14. FT-IR Spectra of Salbutamol sulphate + Lactose 107
15. FT-IR Spectra of Salbutamol sulphate + PVP K30 108
16. FT-IR Spectra of Salbutamol sulphate + Magnesium stearate 109
17. FT-IR Spectra of Salbutamol sulphate + Aerosil 110
18. FT-IR Spectra of Salbutamol sulphate + S.S.G. 111
19. FT-IR Spectra of Salbutamol sulphate + Lactose + Starch 112
20. FT-IR Spectra of whole formulation 113
XVI
FIGURE
NO. TITLE
PAGE
NO.
21. Standard calibration curve of Salbutamol Sulphate in 0.1 N
HCL 115
22. Standard calibration curve of salbutmaol sulphate in pH 5.5
Phosphate buffer 116
23. Standard calibration curve of Salbutamol Sulphate in pH 6.8
phosphate buffer 117
24. Standard calibration curve of salbutmaol sulphate in pH 7.4
Phosphate buffer 118
25. In-vitro drug release profile of tablets coated with Eudragit
S100 120
26. In-vitro drug release profile of tablets coated with Eudragit
L100: Eudragit S100 121
27. In-vitro drug release profile of factorial batches F7 to F9 124
28. In-vitro drug release profile of factorial batches F10 to F12 124
29. In-vitro drug release profile of factorial batches F13 to F15 125
30. In-vitro drug release profile of ‘Tablet in Capsule’ device 129
31. In-vitro drug release profile of ‘Tablet in Capsule’ device with
different rotational speed 130
32. In-vitro drug release study of ‘Tablet in Capsule’ device for
stability testing 133
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 1
INTRODUCTION
Introduction to pulsatile drug delivery system: 1, 2
Oral controlled drug delivery systems represent the most popular form of
controlled drug delivery systems for the obvious advantages of oral route of drug
administration. Such systems release the drug with constant or variable release rates.
These dosage forms offer many advantages, such as nearly constant drug level at the
site of action, prevention of peak-valley fluctuations, reduction in dose of drug,
reduced dosage frequency, avoidance of side effects, and improved patient
compliance
However, there are certain conditions for which such a release pattern is not
suitable. These conditions demand release of drug after a lag time. In other words, it is
required that the drug should not be released at all during the initial phase of dosage
form administration. Such a release pattern is known as pulsatile release.
A pulsatile drug delivery system is characterized by a lag time that is an interval of
no drug release followed by rapid drug release.
FigureNo. 1: Drug release profile of pulsatile drug delivery system 1,2
A: Ideal sigmoidal release B & C: Delayed release after initial lag time
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 2
The first pulsed delivery formulation that released the active substance at a
precisely defined time point was developed in the early 1990s. In this context, the aim
of the research was to achieve a so-called sigmoidal release pattern (pattern A in
Figure). The characteristic feature of the formulation was a defined lag time followed
by a drug pulse with the enclosed active quantity being released at once. Thus, the
major challenge in the development of pulsatile drug delivery system is to achieve a
rapid drug release after the lag time. Often, the drug is released over an extended
period of time (patterns B & C in Figure). This following reviews the various pulsatile
drug delivery systems that are reported.
Table No. 1: Circadian rhythm and the manifestation of clinical diseases 3,4 Disease or syndrome Circadian rhythmicity
Allergic Rhinitis Worse in the morning/upon rising
Intraocular Pressure
(IOP)
In glaucoma patients IOP peaks at 4 AM and has a trough
in the afternoon, opposite that of people with normal IOP
Asthma Exacerbation more common during the sleep period
Hormone Secretion Growth hormone and melatonin are produced at night;
testosterone and cortisol in the early morning hours
Blood Coagulation Even with constant heparin infusion rate, thromboplastin
time and risk of bleeding vary significantly during the
day
Rheumatoid Arthritis Symptoms are most intense upon awakening
Osteoarthritis Symptoms worse in the middle/later portion of the day
Angina Pectoris Chest pain and ECG changes more common in early
morning
Myocardial Infraction Incidence higher in the early morning
Stroke Incidence higher in the morning
Sudden cardiac death Incidence higher in the morning after awakening
Peptic ulcer disease Worse in late evening and early morning hours
Seasonal Affective
Disorder (SAD)
Affects 1% to 3% of adults; increased sleep and appetite
are well-known phenomena in winter
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 3
In chronopharmacotherapy (timed drug therapy) drug administration is
synchronized with biological rhythms to produce maximal therapeutic effect and
minimum harm for the patient. By basing drug delivery on circadian patterns of
diseases drug effect can be optimized and side effects can be reduced. If symptoms
occur at daytime a conventional dosage form can be administered just prior the
symptoms are worsening. If symptoms of a disease became worse during the night or
in the early morning the timing of drug administration and nature of the drug delivery
system need careful consideration.4,5
Figure No. 2: 24-hr clock diagram of the peak time of selected human circadian
rhythm with reference to the day-night cycle 4,5
Control release systems for 12 or 24 hr drug release are not suitable for
diseases, which follow circadian variation. In that condition there is requirement for
time or pulsatile drug delivery system.
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 4
Figure No. 3: Possible causes of morning increase in the incidence of
coronary event
4
Advantages: 1, 2
� Many body functions that follow circadian rhythm. A number of hormones
like rennin, aldosterone, and cortisol show daily fluctuations in their blood
levels. Circadian effects are also observed in case of pH and acid secretion in
stomach, gastric emptying, and gastro-intestinal blood transfusion.
• Diseases like bronchial asthma, myocardial infarction, angina pectoris,
rheumatic disease, ulcer, and hypertension display time dependence. Sharp
increase in asthmatic attacks during early morning hours. Such a condition
demands considerations of diurnal progress of the disease rather than
maintaining constant plasma drug level. A drug delivery system administered
at bedtime, but releasing drug well after the time of administration (during
AM Circadian Patterns Supply/Demand Ratio
↑ Physical Activity Increased Myocardial Demand
↑ Environmental Stimuli ↑ Blood Pressure
↑Sympathetic Cardiac Activity ↑ Contractility
↑Catecholamines ↑ Heart rate
↑ Cortisol
↑Platelet Aggerability Decreased Supply
↑Vascular Receptor Sensitivity ↑ Coronary Tone
↓ Vessel Caliber
Lower Threshold
For:
Ischemia
Infraction
Sudden Death
Hypertension
Stroke
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 5
morning hours), would be ideal in this case. It is true for preventing heart
attacks in the middle of the night and the morning stiffness typical of people
suffering from arthritis.
• Drugs that produce biological tolerance demand for a system that will prevent
their continuous presence at the biophase, as this tends to reduce their
therapeutic effect.
• The lag time is essential for the drugs that undergo degradation in gastric
acidic medium (e.g., peptide drugs) irritate the gastric mucosa or induce
nausea and vomiting. These conditions can be satisfactorily handled by enteric
coating, and in this sense, enteric coating can be considered as a pulsatile drug
delivery system.
• Targeting a drug to distal organs of gastro-intestinal tract (GIT) like the colon
requires that the drug release be prevented in the upper two-third portion of
the GIT.
• The drugs that undergo extensive first-pass metabolism (β-blockers) and those
that are characterized by idiosyncratic pharmacokinetics or
pharmacodynamics resulting in reduced bioavailability, altered
drug/metabolite ratios, altered steady state levels of drug and metabolite, and
potential food-drug interactions require delayed release of the drug to the
extent possible.
Classification of pulsatile drug delivery systems: 1, 2
Pulsatile drug delivery systems (PDDS) can be classified in site-specific and
time-controlled systems. Drug release from site-specific systems depends on the
environment in the gastro intestinal track, e.g., on pH, presence of enzymes, and the
pressure in the gastro intestinal track. In contrast, time-controlled DDS are
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 6
independent of the biological environment. The drug release is controlled only by the
system. Time-controlled pulsatile delivery has been achieved mainly with drug-
containing cores, which are covered with release-controlling layers.
Single unit system:
Capsular system:
Different single-unit capsular pulsatile drug delivery systems have been
developed. A general architecture of such systems consists of an insoluble capsule
body housing a drug and a plug. The plug is removed after a predetermined lag time
owing to swelling, erosion, or dissolution.
Figure No. 4: Classification of pulsatile drug delivery system 1,2
The Pulsincap® system is an example of such a system that is made up of a
water-insoluble capsule body filled with drug formulation. The body is closed at the
PPuullssaattiillee DDrruugg DDeelliivveerryy SSyysstteemm
Time Controlled System Site Specific System
Single unit system Multiple unit system
Tablet
E.g. Time clock system
Chronotropic system
Capsule
E.g.: Pulsincap system
Port system
Pellets
E.g. Time-Controlled Explosion
System
Permeability Controlled System
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 7
open end with a swellable hydrogel plug. Upon contact with dissolution medium or
gastro-intestinal fluids, the plug swells, pushing itself out of the capsule after a lag
time. This is followed by a rapid drug release. Manipulating the dimension and the
position of the plug can control the lag time. For water-insoluble drugs, a rapid release
can be ensured by inclusion of effervescent agents or disintegrants. The plug material
consists of insoluble but permeable and swellable polymers (e.g., polymethacrylates),
erodible compressed polymers (e.g., hydroxypropylmethyl cellulose, polyvinyl
alcohol, polyethylene oxide), congealed melted polymers (e.g., saturated
polyglycolated glycerides, glyceryl monooleate), and enzymatically controlled
erodible polymer (e.g., pectin). These formulations were well tolerated in animals and
healthy Volunteers, and there were no reports of gastro-intestinal irritation. However,
there was a potential problem of variable gastric residence time, which was overcome
by enteric coating the system to allow its dissolution only in the higher pH region of
small intestine. 1, 2, 6-8
The Port® System 1,2,9
consists of a gelatin capsule coated with a
semipermeable membrane (eg, cellulose acetate) housing an insoluble plug (eg,
lipidic) and an osmotically active agent along with the drug formulation (Figure No.
5). When in contact with the aqueous medium, water diffuses across the
semipermeable membrane, resulting in increased inner pressure that ejects the plug
after a lag time. Coating thickness controls the lag time. The system showed good
correlation in lag times of in-vitro and in-vivo experiments in humans. The system
was proposed to deliver methylphenidate for the treatment of attention deficit
hyperactivity disorder (ADHD) in school-age children. Such a system avoids a second
daily dose that otherwise would have been administered by a nurse during school
hours.
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 8
Figure No. 5: Drug release mechanism from PORT system 9
Tablets system:
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
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 9
is subsequently released rapidly. The lag time depends on the thickness of the coating
layer.
The Time Clock® system consists of a solid dosage form coated with lipidic barriers
containing carnauba wax and bees wax along with surfactants, such as
polyoxyethylene sorbitan monooleate. This coat erodes or emulsifies in the aqueous
environment in a time proportional to the thickness of the film, and the core is then
available for dispersion. In a study with human Volunteers, it was shown that the lag
time was independent of gastric residence time, and the hydrophobic film re-
dispersion did not appear to be influenced by the presence of intestinal enzymes or
mechanical action of stomach or gastro-intestinal pH. The lag time increased with
increasing coating thickness. Such systems are better suited for water-soluble drugs.
The major advantage of this system is its ease of manufacturing without any need of
special equipment. However, such lipid-based systems may have high in-vivo
variability (e.g., food effects).
The possible problems of erosion-controlled systems include a premature drug
release when the penetrating water dissolves the drug, which diffuses out through the
barrier layers, and sustained release after the lag phase when the barrier layer is not
eroded or dissolved completely, thereby retarding the drug release.
The Chronotropic® system consists of a drug-containing core coated by
hydrophilic swellable hydroxypropylmethyl cellulose (HPMC), which is responsible
for a lag phase in the onset of release (10)
. In addition, through the application of an
outer gastric-resistant enteric film, the variability in gastric emptying time can be
overcome, and a colon-specific release can be obtained, relying on the relative
reproducibility of small intestinal transit time. The lag time is controlled by the
thickness and the viscosity grades of HPMC. The cores containing Antipyrine as the
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 10
model drug were prepared by tabletting and retarding, and enteric coats were applied
in a fluidized bed coater. The in-vitro release curves displayed a lag phase preceding
drug release, and the in-vivo pharmacokinetic data showed a lag time prior to presence
of detectable amounts of drug in saliva. Both in-vitro and in-vivo lag times correlate
well with the applied amount of the hydrophilic retarding polymer. The system is
suitable for both tablets and capsules.
Multiparticulate systems:
Multiparticualte systems (e.g., pellets) offer various advantages over single-
unit systems. These include no risk of dose dumping, flexibility of blending units with
different release patterns, and reproducible and short gastric residence time. But the
drug-carrying capacity of multiparticulate systems is lower due to presence of higher
quantity of excipients. Such systems are invariably a reservoir type with either
rupturable or altered permeability coating.
Pulsatile system based on rupturable coating:
Time-Controlled Explosion System (Fujisawa Pharmaceutical Co., Ltd.): This
is a multiparticulate system in which drug is coated on non-pareil sugar seeds
followed by a swellable layer and an insoluble top layer. The swelling agents used
include superdisintegrants like sodium carboxymethyl cellulose, sodium starch
glycollate, L-hydroxypropyl cellulose, polymers like polyvinyl acetate, polyacrylic
acid, polyethylene glycol, etc. Alternatively, an effervescent system comprising a
mixture of tartaric acid and sodium bicarbonate may also be used. Upon ingress of
water, the swellable layer expands, resulting in rupture of film with subsequent rapid
drug release. The release is independent of environmental factors like pH and drug
solubility. Varying coating thickness or adding high amounts of lipophilic plasticizer
in the outermost layer can vary the lag time. A rapid release after the lag phase was
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 11
achieved with increased concentration of osmotic agent. In-vivo studies of time-
controlled explosion system (TCES) with an in-vitro lag time of three hr showed
appearance of drug in blood after 3 hr, and maximum blood levels after 5 hr.
Osmotic-based rupturable coating systems:
Permeability Controlled System: This system is based on a combination of
osmotic and swelling effects. The core containing the drug, a low bulk density solid
and/or liquid lipid material (e.g., mineral oil) and a disintegrant were prepared. This
core was then coated with cellulose acetate. Upon immersion in aqueous medium,
water penetrates the core displacing lipid material. After the depletion of lipid
material, internal pressure increases until a critical stress is reached, which results in
rupture of coating.
Another system is based on a capsule or tablet composed of a large number of
pellets consisting of two or more pellets or parts (i.e., populations). Each pellet has a
core that contains the therapeutic drug and a water-soluble osmotic agent. Water-
permeable, water-insoluble polymer film encloses each core. A hydrophobic, water-
insoluble agent that alters permeability (e.g., a fatty acid, wax, or a salt of fatty acid)
is incorporated into the polymer film. The rate of water influx and drug efflux causes
the film coating of each population to differ from any other pellet coating in the
dosage form. The osmotic agents dissolve in the water causing the pellets to swell,
thereby regulating the rate of drug diffusion. The effect of each pellet population
releasing its drug content sequentially provides a series of pulses of drug from a single
dosage form. The coating thickness can be varied amongst the pellets. This system
was used for the delivery of antihypertensive drug, diltiazem.
Schultz and Kleinebudde reported the use of osmotically active agents that do
not undergo swelling. The pellet cores consisted of drug and sodium chloride. These
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 12
were coated with a semipermeable cellulose acetate polymer. This polymer is
selectively permeable to water and is impermeable to the drug. The lag time increased
with increase in the coating thickness and with higher amounts of talc or lipophilic
plasticizer in the coating. The sodium chloride facilitated the desired fast release of
drug. In absence of sodium chloride, a sustained release was obtained after the lag
time due to a lower degree of core swelling that resulted in generation of small
fissures.
Pulsatile delivery by change in membrane permeability:
The permeability and water uptake of acrylic polymers with quaternary
ammonium groups can be influenced by the presence of different counter-ions in the
medium. Several delivery systems based on this ion exchange have been developed.
Eudragit RS 30D is reported to be a polymer of choice for this purpose. It typically
contains positively polarized quaternary ammonium group in the polymer side chain,
which is always accompanied by negative hydrochloride counter-ions. The
ammonium group being hydrophilic facilitates the interaction of polymer with water,
thereby changing its permeability and allowing water to permeate the active core in a
controlled manner. This property is essential to achieve a precisely defined lag time.
The cores were prepared using theophylline as model drug and sodium acetate. These
pellets were coated using Eudragit RS 30D (10% to 40% weight gain) in four
different layer thicknesses. A correlation between film thickness and lag time was
observed. It was found that even a small amount of sodium acetate in the pellet core
had a dramatic effect on the drug permeability of the Eudragit film. After the lag time,
interaction between the acetate and polymer increases the permeability of the coating
so significantly that the entire active dose is liberated within a few minutes. The lag
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 13
time increases with increasing thickness of the coat, but the release of the drug was
found to be independent of this thickness.
Table No. 2: Drug that have been developed or are under development as
chronotherapies 4
CLASS DRUGS
Cardiovascular drugs Verapamil, Propranolol, Diltiazem, Nifedipine, Enalapril
Antiasthmatic drugs Methylprednisolone, Prednisolone, Albuterol, terbutaline,
Theophylline
Anticancer drugs Cisplatine, Oxaliplatine, Doxorubicin, 5- fluorouracil, Folinic
acid, Methotrexate, Mercaptopurine
Non steroidal anti-
inflammatory drugs
Ibuprofen, Ketoprofen, Indomethacine, Tenoxicam,
Acetylsalicylic acid
Anti ulcer drugs Cimetidine, Ranitidine, Famotidine, Pirenzipine, Omeprazole
Anticholesterolemic
drugs
Simvastatin, Lovastatin
Others Vitamin D3, Diazepam, Haloperidol
Introduction to oral colon-specific drug delivery system:
The oral route is considered to be most convenient for administration of drugs
to patients. Oral administration of conventional dosage forms normally dissolves in
the stomach fluid or intestinal fluid and absorb from these regions of the
gastrointestinal tract (GIT) depends upon the physicochemical properties of the drug.
It is a serious drawback in conditions where localized delivery of the drugs in the
colon is required or in conditions where a drug needs to be protected from the hostile
environment of upper GIT. Dosage forms that deliver drugs into the colon rather than
upper GIT offers number of advantages. Oral delivery of drugs to the colon is
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 14
valuable in the treatment of diseases of colon (ulcerative colitis, Crohn’s disease,
carcinomas and infections) whereby high local concentration can be achieved while
minimizing side effects that occur because of release of drugs in the upper GIT or
unnecessary systemic absorption. The colon is rich in lymphoid tissue. Uptake of
antigens into the mast cells of the colonic mucosa produces rapid local production of
antibodies and this helps in efficient vaccine delivery. The colon is attracting interest
as a site where poorly absorbed drug molecule may have an improved bioavailability.
This region of the colon is recognized as having a somewhat less hostile environment
with less diversity and intensity of activity than the stomach and small intestine.
Additionally, the colon has a longer retention time and appears highly responsive to
agents that enhance the absorption of poorly absorbed drugs. Apart from retarding or
targeting dosage forms, a reliable colonic drug delivery could also be an important
starting position for the colonic absorption of perorally applied, undigested,
unchanged and fully active peptide drugs. As the large intestine is relatively free of
peptidases such special delivery systems will have a fair chance to get their drug
sufficiently absorbed after peroral application. The simplest method for targeting of
drugs to the colon is to obtain slower release rates or longer release periods by the
application of thicker layers of conventional enteric coatings or extremely slow
releasing matrices1.
Various pharmaceutical approaches that can be exploited for the development of
colon targeted drug delivery systems are summarized in Table No. 311
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 15
Table No. 3: various pharmaceutical approaches to colon targeted drug delivery
systems.2, 3
No Approaches BBaassiicc ffeeaattuurree
1. CCoovvaalleenntt lliinnkkaaggee ooff aa ddrruugg wwiitthh aa ccaarrrriieerr 1.1 Azo conjugates The drug is conjugated via an azo bond.
1.2 Cyclodextrins conjugates The drug is conjugated with Cyclodextrins.
1.3 Glycoside conjugates The drug is conjugated with Glycoside.
1.4 Glucuronate conjugates The drug is conjugated with Glucuronate.
1.5 Dextran conjugates The drug is conjugated with Dextran.
1.6 Polypeptide conjugates The drug is conjugated with Poly (aspartic
acid).
1.7 Polymeric conjugates The drug is conjugated with polymer.
2 Approaches to deliver the intact molecule to the colon 2.1 Coating with polymer
2.1.1 Coating with pH sensitive polymers Formulation coated with enteric polymers
releases drug when pH move towards
alkaline range
2.1.2 Coating with biodegradable
polymers
Drug is released following degradation of
the polymer due to the reaction of colonic
bacteria
2.2 Embedding in matrices
2.2.1 Embedding in biodegradable
matrices and hydrogel
The embedded drug in polysaccharide
matrices is released by swelling and by the
biodegradable action of polysaccharide
2.2.2 Embedding in pH sensitive matrices Degradation of the pH sensitive polymer in
the GIT releases the embedded drug
2.3 Time release system Once the multicoated Formulation passes
the stomach, the drug is released after a lag
time of 3-5 hr that is equivalent to small
intestinal transit time
2.4 Redox sensitive polymer Drug Formulated with Azo polymer and
disulfide polymers that selectively respond
to the Redox potential of the colon provides
colonic delivery
2.5 Bioadhesive system Selectively provide adhesion to colonic
mucosa may release drug in the colon
2.6 Coating with microparticles Drug is linked with microparticles
2.7 Osmotic controlled drug delivery Drug is released through semi permeable
membrane
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 16
Factors affecting in the design of colon-specific drug delivery system:
Anatomy and physiology of colon:
The large intestine extends from the distal end of the ileum to the anus.
Human large intestine is about 1.5 m long (Table No. 4) 15. The colon is upper five
feet of the large intestine and mainly situated in the abdomen. The colon is a
cylindrical tube that is lined by moist, soft pink lining called mucosa; the pathway is
called the lumen and is approximately 2-3 inches in diameter. The cecum forms the
first part
Figure No. 6: Anatomy of the colon
of the colon and leads to the right colon or the ascending colon (just under the liver)
followed by the transverse colon, the descending colon, sigmoid colon, rectum and
the anal canal (Figure No. 6) 14
. The physiology of the proximal and distal colon
differs in several respects that can have an effect on drug absorption at each site. The
physical properties of the luminal content of the colon also change, from liquid in the
cecum to semisolid in the distal colon. The major functions of the colon are (1) the
consolidation of the intestinal contents into feaces by the absorption of the water and
electrolytes and to store the feaces until excretion. The absorptive capacity is very
high, each day about 2000 ml of fluid enters the colon through the ileocecal valve
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 17
from which more than 90% of the fluid is absorbed. (2) Creation of a suitable
environment for the growth of colonic microorganisms such as Bacteroides,
Eubacterium, and Enterobacteriaceae; (3) expulsion of the contents of the colon at a
suitable time; and (4) absorption of water and Na+ from the lumen, concentrating the
fecal content, and secretion of K+ and (HCO3
-) 18.
Table No. 4: Summary of anatomical and physiological
features of small intestine and colon
RReeggiioonn ooff ggaassttrrooiinntteessttiinnaall ttrraacctt Characteristics
Length (cm)
EEnnttiirree ggaassttrrooiinntteessttiinnaall ttrraacctt 500-700
SSmmaallll iinntteessttiinnee Duodenam 20-30
Jejunam 150-200
Ileum 200-350
LLaarrggee iinntteessttiinnee Cecum 6-7
Ascending colon 20
Transverse colon 45
Descending colon 30
Sigmoid colon 40
Rectum 12
Anal canal 3
Internal diameter
Small intestine 3-4
Large intestine 6
pH
Stomoch
Fasted 1.5-3
Fed 2-5
SSmmaallll iinntteessttiinnee 3-4
Duodenam(fasted) 6.1
Duodenam(fed) 5.4
Ileum 7-8
Large intestine
Cecum and coln 5.5-7.7
Rectum 7
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 18
pH in the colon:
The pH of the gastrointestinal tract is subject to both inter and intra subject
variations. Diet, diseased state, and food intake influence the pH of the
gastrointestinal fluid. The change in pH along the gastrointestinal tract has been used
as a means for targeted colon drug delivery 16.
There is a pH gradient in the gastrointestinal tract with value ranging from 1.2
in the stomach through 6.6 in the proximal small intestine to a peak of about 7.5 in the
distal small intestine (Table No. 2). The pH difference between the stomach and small
intestine has historically been exploited to deliver the drug to the small intestine by
way of pH sensitive enteric coatings. There is a fall in pH on the entry into the colon
due to the presence of short chain fatty acids arising from bacterial fermentation of
polysaccharides. For example lactose is fermented by colonic bacteria to produce
large amounts of lactic acid resulting in drop in the pH to about 5.0 21.
Colonic micro flora and their enzymes:
Intestinal enzymes are used to trigger drug release in various parts of the GIT.
Usually, these enzymes are derived from gut microflora residing in high numbers in
the colon. These enzymes are used to degrade coatings/matrices as well as to break
bonds between an inert carrier and an active agent (i.e., release of a drug from a
prodrug). Over 400 distinct bacterial species have been found, 20-30% of which are
of the genus Bacteroides7. The upper region of the GIT has very small number of
bacteria and predominantly consists of Gram-positive facultative bacteria. The
concentration of bacteria in the human colon is 1011- 10
12 CFU/ml. The most
important anaerobic bacteria are Bacteroides, Bifidobacterium, Eubacterium,
Peptococcus, Peptostreptococcus, Ruminococcus. Summary of the most important
metabolic reaction carried out by intestinal bacteria are given in Table No. 517
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 19
Table No. 5: Drug metabolizing enzymes in the colon that catalyze reactions
Transit of material in the colon:
Gastric emptying of dosage forms is highly variable and depends primarily on
whether the subject is fed or fasted and on the properties of the dosage form such as
size and density. The arrival of an oral dosage form at the colon is determined by the
rate of gastric emptying and the small intestinal transit time. The transit times of
small oral dosage forms in GI tract are given in Table No. 6.
Enzymes Microorganism Metabolic reaction
catalyzed
Nitroreductase E. coli, Bacteroids Reduce aromatic and
heterocyclic nitro
compounds
Azoreductase Clostridia, Lactobacilli, E.
Coli
Reductive cleavage of azo
compounds
N-Oxide
reductase,
sulfoxide
reductase
E. coli Reduce N-Oxides and
sulfoxides
Hydrogenase Clostridia, Lactobacilli Reduce carbonyl groups and
aliphatic double bonds
Esterases and
amidases
E. coli, P. vulgaris, B.
subtilis, B. mycoides
Cleavage of esters or
amidases of carboxylic acids
Glucosidase Clostridia, Eubacteria Cleavage of β-glycosidases
of alcohols and phenols
Glucuronidase E. coli, A. aerogenes Cleavage of β-
glucuronidases of alcohols
and phenols
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 20
TThhee mmoovveemmeenntt ooff mmaatteerriiaallss tthhrroouugghh tthhee ccoolloonn iiss ssllooww
aanndd tteennddss ttoo bbee hhiigghhllyy vvaarriiaabbllee aanndd iinnfflluueenncceedd bbyy aa
nnuummbbeerr ooff ffaaccttoorrss ssuucchh aass ddiieett,, ddiieettaarryy ffiibbeerr ccoonntteenntt,,
mmoobbiilliittyy,, ssttrreessss,, ddiisseeaassee,, aanndd ddrruuggss..
IInn hheeaalltthhyy yyoouunngg aanndd aadduulltt mmaalleess,, ddoossaaggee ffoorrmmss
ssuucchh aass ccaappssuulleess aanndd ttaabblleettss ppaassss tthhrroouugghh tthhee ccoolloonn iinn
aapppprrooxxiimmaatteellyy 2200--3300 hhoouurrss,, aalltthhoouugghh tthhee ttrraannssiitt ttiimmee ooff
aa ffeeww hhoouurrss ttoo mmoorree tthhaann 22 ddaayyss ccaann ooccccuurr.. DDiisseeaasseess
aaffffeeccttiinngg ccoolloonniicc ttrraannssiitt hhaavvee iimmppoorrttaanntt iimmpplliiccaattiioonnss ffoorr
ddrruugg ddeelliivveerryy:: ddiiaarrrrhhooeeaa iinnccrreeaasseess ccoolloonniicc ttrraannssiitt aanndd
ccoonnssttiippaattiioonn ddeeccrreeaasseess iitt.. HHoowweevveerr,, iinn mmoosstt ddiisseeaassee
ccoonnddiittiioonnss,, ttrraannssiitt ttiimmee aappppeeaarrss ttoo rreemmaaiinn rreeaassoonnaabbllyy
ccoonnssttaanntt..
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 21
Table No. 6: The transit time of dosage form in GIT.
Approaches to colonic drug delivery via oral route:
Prodrug:
Prodrug is pharmacologically inactive derivative of a parent drug molecule that requires spontaneous or
enzymatic transformation in vivo to release the active drug. For colonic delivery of drugs, prodrugs are designed to
undergo minimal absorption and hydrolysis in the tracts of the upper GIT and undergo enzymatic hydrolysis in the
colon, there by releasing the active drug moiety from the carrier.
A number of other linkages susceptible to bacterial hydrolysis specifically in the colon have been prepared
where the drug is attached to hydrophilic moieties like amino acid, glucuronic acid, glucose, galactose, cellulose, coating
materials over drug cores etc.
Polysaccharides are used as glucuronic prodrugs, which are specifically
degraded by colonic glucuronidases(18)
, and glycosidic prodrugs, which are
specifically degraded by colonic glycosidases. Back in 1942 it was realized that
sulphasalazine given for the treatment of rheumatoid arthritis was also useful in
patients with inflammatory bowel disease (IBD). Furthermore, Khan et al., 1977
found that the active moiety effective in IBD was 5-amino- 3 salicylic acid (5-ASA)
and sulphapyridine (SP) only acted as a carrier. The high site specificity of prodrugs
clearly indicates the involvement of the colon for the prodrug to drug conversion.
AAnnttii-- iinnffllaammmmaattoorryy gglluuccooccoorrttiiccooiiddss ddoo nnoott ppoosssseessss
ccaarrbbooxxyylliicc aacciidd ggrroouuppss aanndd mmuusstt bbee cchheemmiiccaallllyy
Organ Transit time (hr)
Stomach <1 (Fasting)
>3 (Fed)
Small intestine 3-4
Large intestine 20-30
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 22
ttrraannssffoorrmmeedd iinn oorrddeerr ttoo rreeaacctt wwiitthh ddeexxttrraann..
DDeexxaammeetthhaassoonnee aanndd mmeetthhyyll pprreeddnniissoolloonnee wweerree aattttaacchheedd
ttoo ddeexxttrraann uussiinngg ssuucccciinniicc aacciidd aass aa ssppaacceerr aanndd tthhee
rreessuullttaanntt pprrooddrruugg wweerree iinnccuubbaatteedd wwiitthh rraatt GGIITT ccoonntteennttss,,
bbuutt wweerree rraappiiddllyy ddeeggrraaddeedd iinn ccaaeeccaall aanndd ccoolloonniicc
ccoonntteennttss.. TThhiiss iilllluussttrraatteess tthhee uusseeffuullnneessss ooff tthhee
ccoonnjjuuggaatteess ffoorr sseelleeccttiivvee ddeelliivveerryy ooff gglluuccooccoorrttiiccooiiddss ttoo
tthhee llaarrggee iinntteessttiinnee..
pH responsive delivery :
The pH-dependent systems exploit the generally accepted view that pH of the
human GIT increases progressively from the stomach (pH 1-2 which increases to 4
during digestion), small intestine (pH 6-7) at the site of digestion and it increases to 7-
8 in the distal ileum. The coating of pH-sensitive polymers to the tablets, capsules or
pellets provide delayed release and protect the active drug from gastric fluid. The
polymers used for colon targeting, however, should be able to withstand the lower pH
values of the stomach and of the proximal part of the small intestine and also be able
to disintegrate at the neutral of slightly alkaline pH of the terminal ileum and
preferably at the ileocecal junction. Widely used polymers are methacrylic resins
(Eudragit), which are available in water-soluble and water-insoluble forms. Eudragit
L and S are copolymers of methacrylic acid and methyl methacrylate. Colon targeted
drug delivery systems based on methacrylic resins has described for insulin,
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 23
prednisolone, quinolones, salsalazine, cyclosporine, beclomethasone dipropionate and
naproxane20.
In fact, the pH in the distal small intestine is usually around 7.5, while the pH
in the proximal colon is closer to 6.0. These delivery systems therefore have a
tendency to release their drug load prior to reaching the colon. To overcome the
problem of premature drug release, a copolymer of methacrylic acid,
methylmethacrylate and ethylmethacrylate (Eudragit FS), which dissolve at a slower
rate and at a higher threshold pH (7-7.5), has been developed recently 21.
Time responsive delivery:
Time-dependent delivery has also been proposed as a means of targeting the colon.
Time dependent systems release their drug load after a preprogrammed time delay. To
attain colonic release, the lag time should equate the time taken for the system to
reach the colon. This time is difficult to predict in advance, although a lag time of five
hours is usually considered sufficient, given that small intestine transit time is
reported to be relatively constant at three to four hours. A number of systems have
been developed based on this principle, with one of the earliest being the somewhat
complex Pulsincap device 21.
Bacteria responsive delivery:
The bioenvironment inside the human GIT is characterized by the presence of
complex micro flora especially the colon that is rich in microorganisms that are
involved in the process of reduction of dietary component or other materials. Drugs
that are coated with the polymers, which are showing degradability due to the
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 24
influence of colonic micro- Organisms, can be exploited in designing drugs for colon
targeting.
Polysaccharides offer an alternative substrate for the bacterial enzymes present in the
colon. Many of these polymers are already used as excipients in drug formulations or
are constituents of the human diet and are therefore generally regarded as safe. A
large number of polysaccharides have already been studied for their potential as
colon-specific drug carrier systems, such as chitosan, pectin, chondroitin sulphate,
cyclodextrin, dextrans, guar gum, inulin, amylose, sodium alginate and locust bean
gum 22.
Evaluation of Colon-Specific Drug Delivery System 23, 24, 25
A successful colon-specific drug delivery system is one that remains intact in
the physiological environment of stomach and small intestine, but releases the drug in
the colon. Different in-vitro and in-vivo methods are used to evaluate the colonic drug
delivery systems.
In-vitro methods:
In-vitro dissolution testing is important in the development of solid dosage
forms. It provides decisive information on formulation selection, the critical
processing variables, in-vitro/in-vivo correlation and quality assurance during clinical
manufacturing. In order to provide this information, dissolution testing should be
conducted in physiochemical and hydrodynamically defined conditions to simulate
the environment that the dosage form encounters in the GI tract. Conventional
dissolution testing proposed in USP appears unable to discriminate drug mechanisms.
For in-vitro evaluation of colon-specific drug delivery systems, the ideal dissolution
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 25
testing should closely mimic the in-vivo conditions with regard to pH, bacteria, types
of enzymes enzymatic activity, fluid volume and mixing intensity. Apparently, such
dissolution specifications will be very difficult, if possible at all, to be standardized
and validated. Nonetheless, several dissolution methodologies were reported in the
literature for the testing of CSDDS.
Dissolution testing of colon delivery systems with the conventional basket
method has usually been conducted in different buffers for different periods of time to
simulate the GI tract pH and transit time that the colon-specific delivery system might
encounter in-vivo. The ability of the coats/carriers to remain intact in the
physiological environment of the stomach and small intestine is generally assessed by
conduction drug release studies in 0.1N HCL for 2 hours (mean gastric emptying
time) and in pH 7.4 Sorensen’s phosphate buffer for 3 hours (mean small intestinal
transit time) using USP dissolution rate test apparatus or flow through dissolution
apparatus. For example, Takeuchi et al. assessed the dissolution of spray-dried lactose
composite particles containing alginate-chitosan complex as compression coating in
pH 1.2 and 6.8 buffers. Despite the simplicity and convenience, conventional
dissolution testing primarily provides essential information on the processing
specifications of a colon-specific delivery system rather than on the validity of the
system design. For those delivery systems triggered by bacteria in the colon, the
conventional dissolution testing appears unlikely to be predictive of in-vivo
performance. Additional factors that make conventional dissolution testing of colon-
specific drug delivery systems less predictive of its in-vivo performance are scarcity
of fluid and reduced motility in the colon.
To overcome limitation of conventional dissolution testing for evaluating the
performance of CSDDS triggered by colon-specific bacteria, animal caecal contents
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 26
including rats, rabbits, pigs, have been utilized as alternative dissolution medium.
Because of the similarity of human and rodent colonic microflora, predominantly
comprising Bifidobacterium, bacteroides and Lactobacillus, rat caecal contents were
more commonly used in the dissolution studies.
In-vivo methods:
When the system design is conceived and prototype formulation with
acceptable In-vivo characteristics is obtained, In-vivo studies are usually conducted to
evaluate the site specificity of drug release and to obtain relevant pharmacokinetics
information of the delivery system. In-vivo bioavailability tests in human beings are
important in developing controlled-release drug delivery systems. From the results of
bioavailability test, sites of drug liberation In-vivo can be determined, if the
formulation has been administered to the subjects in the fasting state.
Animal models:
Different animal models are used for evaluating in-vivo performance of
CSDDS. Guinea pigs were used to evaluate CSDDS from a glucoside prodrug of
dexamethasone. Other animal models used for the In-vivo evaluation of colon-specific
drug delivery systems include the rat and the pig. Although animal models have
obvious advantages in assessing colon-specific drug delivery drug delivery systems,
human subjects are increasingly utilized for evaluation of this type of delivery
systems with visualization techniques such as γ-scintigraphy imaging.
γ-scintigraphy:
With growing complexity in the design of novel drug delivery systems and
associated fabrication process, it is critical to understand the In-vivo performance of
those delivery systems and demonstrate that the system functions In-vivo in
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 27
accordance with the proposed rationale. γ-scintigraphy is an imaging modality, which
enables the In-vivo performance of drug delivery systems to be visualized under
normal physiological conditions in a non-invasive manner. Since first employed to
investigate the functionality of tablets and capsules In-vivo more than two decades
ago, γ-scintigraphy has become an established technique and extensively used to
monitor the performance of novel drug delivery systems within human GI tract.
Through γ-scintigraphy imaging, the following information regarding the
performance of CSDDS within human GI tract can be obtained: the location as a
function of time, the time and location of both; initial and complete system
disintegration, the extent of dispersion, the colon arrival time, stomach residence and
small intestine transit times. It can also provide information about regional
permeability in the colon. Information about gastrointestinal transit and the release
behavior of dosage forms can be obtained by combining pharmacokinetic studies and
gammascintigraphic studies (pharmacoscintigraphy). Good correlations between
appearance of a drug in plasma and observed disintegration times have been recorded.
In effence, γ-scintigraphy evaluation of a CSDDS provides “proof of concept”.
i.e. visualization of system disintegration event and ascertainment of disintegration
location in the GI tract. Mechanistically, In-vivo functioning of CSDDSs involves the
interaction between the gut physiologies. Thus, it appears that the precise mechanism
responsible for the disintegration of a CSDDS cannot be determined with γ-
scintigraphy imaging.
Table No. 7: Summary of colon-specific drug delivery strategies.26, 24
Design strategy Drug release
triggering-
mechanisms
Advantages Disadvantages
Prodrugs Cleavage of the Able to achieve site It will be
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 28
linkage bond between
drug and carrier via
reduction and
hydrolysis by
enzymes from colon
bacteria. Typical
enzymes include
azoreductase,
glycosidase, and
glucuronidase
specificity. considered as a new
chemical entity
from regulatory
perspective. So far
this approach has
been primarily
constricted to
actives related to
the treatment of
IBD.
pH-dependent
systems
Combination of
polymers with pH-
dependent solubility
to take advantage of
the pH change along
the GI tract.
Formulation well
protected in the
stomach.
Unpredictable site-
specificity of drug
release because of
inter-/intra subject
variation and
similarity of pH
between small
intestine and the
colon.
Time-dependent
systems
The onset of drug
release is aligned
with positioning the
delivery system in
the colon by
incorporating a time
factor simulating the
system transit in
upper GIT.
Small intestine
transit time fairly
consistent
Substantial
variation in gastric
retention times
makes it
complicated in
predicting the
accurate location of
drug release.
Microflora
activated system
Primarily
fermentation of non-
starch
polysaccharides by
colon anaerobic
bacteria. The
polysaccharides are
incorporated into the
delivery system via
film-coating and
matrix formation.
Good site
specificity with pro
drugs and
polysaccharides
Diet and disease
can affect colonic
microflora;
enzymatic
degradation may be
excessively slow.
Introduction to Tablet-in-capsule: 27, 28
Based on the concept that a formulation given once a time daily, a two-pulse
drug release system proposed for oral administration can be designed, for achieving
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 29
the selective delivery of drugs at appropriate time, which is a chronopharmaceutical
approach for the better treatment of disease with circadian rhythms. This novel system
is a so-called “tablets in capsule device.” The designed capsule device consists of an
impermeable capsule body and a soluble cap. The multi-layered tablets formulation
prepared is filled within the capsule body and sealed with the water-soluble cap.
A two tablet system in capsule, one of which serves to give first pulse to
provide a loading dose and second tablet after a lag time of 4 to 5 hrs gives the second
pulse. Both tablets are inserted into an impermeable capsule body with a water-
soluble cap. On reaching body fluid, the cap dissolved and the first pulse released,
following which the modulating barrier swelling and eroded which cause a lag phase
preceding the onset of release of the second pulse. The modulating barrier of the bi-
layered tablet performs the same role. Lag time can be successfully controlled by
adjusting the ratio of barrier materials in the coating.
Figure No. 7: Schematic diagram of Tablet in Capsule device
Nocturnal asthma
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 30
Asthma is a common chronic inflammatory disease of the airways,
characterized by hyperresponsiveness to a variety of stimuli. It may be classified as
mild intermittent or mild, moderat, or severe persistent. 29
Asthma affects 14 to 15 million persons in the United States. An estimated 4.8
million children have asthma, which makes it the most common chronic disease of
childhood. With the increased understanding of the role inflammation plays in asthma
and the addition of new pharmacologic agents, the management of this disease has
improved.
Pathophysiology of asthma:
Airway inflammation is the primary problem in asthma. An initial event in
asthma appears to be the release of inflammatory mediators (e.g., histamine, tryptase,
leukotrienes and prostaglandins) triggered by exposure by exposure to allergens,
irritants, cold air or exercise. The mediators are released from bronchial mast cells,
alveolar macrophages, T lymphocytes and epithelial cells. Some mediators directly
cause acute brochoconstriction, termed the “early-phase asthmatic response.” The
inflammatory mediators also direct the activation of eosinophils and neutrophils, and
their migration to the airways, where they cause injury. This is so-called “late-phase
asthmatic response” results in epithelial damage, airway edema, mucus hypersecretion
and hyperresponsiveness of bronchial smooth muscle (Figure No. 8). Varying airflow
obstruction leads to recurrent episodes of wheezing, breathlessness, chest tightness
and cough.29
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 31
FigureNo. 8: pathophysiolofy of asthma: according to the current view, several inflammatory cells
interact in a complex manner and release multiple inflammatory mediators that act on various target
cells in the airways to produce the characteristic pathophysiology of asthma.
It has been recognized that asthma is worse in night. One of the earliest
observations of a day-night pattern in asthma was made by Aurelianus Caelius in the
5th century A.D. in the 1880s, Slater wrote that “sleep favors asthma......spasm of the
bronchial tubes is prone to occur during the insensibility and lethargy of sleep than
during the waking hours.”
NOCTURNAL ASTHMA is defined as a variable nighttime exacerbation of
the underlying asthma condition associated with increase in symptoms and need for
medication, increased airway responsiveness, and/or worsening of lung function.
Approximately two-thirds of asthmatics suffer from nighttime symptoms. Lung
function (e.g., peak expiratory flow rate or FEV1) is usually highest at 4 PM and
lowest at 4 AM.
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 32
Figure No. 9: Diurnal variations in lung function in healthy (top curve) and asthmatic (bottom curve)
subjects. PEFR = peak expiratory flow rate; FEV 1 = forced volume in one second.
The mechanisms of nocturnal asthma are intimately related to circadian
rhythms, which influence inflammatory cells and mediators, hormone levels and
cholinergic tone. Patients with nocturnal asthma symptoms may have greater
nighttime activation of inflammatory cells and mediators, lower levels of epinephrine
and increased vagal tone. In addition, underlying differences in the glucocorticoid
receptor and β-receptors in these patients may diminish their ability to respond to
therapy. While sleep appears to play a role in the pathophysiology of nocturnal
asthma, it is not essential to it.
Management of Nocturnal Asthma: chronotherapy 30
Chronotherapeutics is the synchronization of medication levels in time with
reference to need, taking into account biologic rhythms in the pathophysiology of
medical conditions, and/or rhythmodependencies in patient tolerance for given
chemical interventions. It is based on importance of biologic rhythms in the
pathophysiology of medical conditions and uses the timing of medication to provide
P
E
F
R
O
r
F
E
V
1
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 33
maximal efficacy and minimal toxicity. Available therapy includes inhaled and oral
corticosteroids, sustained release salbutamol sulphate, long-acting β-agonists,
leukotriene-modifying agents and anticholinergic medication.
Three chronotherapies have been proposed: 31
• Inhaled corticosteroids administered at 5:30 PM rather than 8 AM.
• Time-release Theophylline formulation (Theo-24) dose ingested at 3 PM
• Β2 agonists administered at 3 PM rather than 8 AM.
A chronotherapeutic approach to Nocturnal asthma: 30
AM 3 PM 6-7 PM Qhs
LA-β-Agonist Oral SR-Salbutamol
Sulphate
Corticosteroid
Leukotriene modifier
LA-β-agonist
Anti-cholinergic
QHS=at bedtime; LA=long acting; SR=sustained release
Certain SR formulations of Salbutamol Sulphate can be administered so that a
rising blood level of the drug occurs when airway obstruction is increasing, while
adverse effects are reduced. For this purpose, SR Salbutamol sulphate is administered
once daily, in the evening, for the management of nocturnal asthma. Another aspect of
Salbutamol sulphate therapy is how it can work in conjunction with inhaled
corticosteroids as part of a chronotherapeutic regimen. This interaction is important,
since inhaled corticosteroid therapy used in patients with moderate to severe asthma
failed to control a significant percentage of nocturnal asthmatic symptoms.
Chapter – 1 Introduction
Department of Pharmaceutics, KLE University, Belgaum 34
Classification of Anti-asthamatic drugs 32
1. Bronchodialators
a) Sympathomimetics : Adrenaline, Ephedrine, Salbutamol, terbutaline
b)Methyl Xanthines: Theophylline, Aminophylline
c) Anticholinergics: Atropine, Methonitrate, Ipratropium bromide
2. Mast cells Stabilizers Sodium Cromoglycate, Ketotifen
3. Corticosteroids
a) Sytemic Hydrocortisone, Prednisolone
b) Inhalation Beclomethasone dipropionate
4. Miscellaneous
Antihistamines Mepyramine
Chapter 2 Research Objective
Department of Pharmaceutics, KLE University, Belgaum 34
RESERCH OBJECTIVE
The rational of this study is to design and evaluate an oral site-specific,
pulsatile drug delivery system containing Salbutamol Sulphate, which can be targeted
to colon in a pH and time dependent manner, to modulate the drug level in synchrony
with the circadian rhythm of nocturnal asthma. In the present research work, we have
attempted to develop a novel dosage form by using a chronopharmaceutical approach.
A pulsatile ‘Tablet in Capsule’ dosage form, taken at bed time with a programmed
start of drug release early in morning hours, can prevent a sharp increase in the
incidence of asthmatic attacks, during the early morning hours (nocturnal asthma), a
time when the risk of asthmatic attacks is the greatest.
Salbutamol Sulphate is selected as a model drug for following reasons:
ϒ It is mainly used for the relief from several diseases including asthma,
bronchitis, apnoea and other respiratory tract infection.
ϒ Salbutamol Sulphate may be useful in the treatment of nocturnal asthma when
administered at specific times in relation to onset of symptoms.
ϒ It represents an appropriate and effective therapeutic option for patients with
wide range of asthmatic symptoms and is popularly prescribed.
ϒ It is having shorter biological half-life which varies from 1.6-4 hrs, can be
used as sustained release product. Salbutamol Sulphate is having narrow
“therapeutic window”, so can be used as a controlled release product.
ϒ Colonic absorption of Salbutamol Sulphate could prevent unwanted systemic
side effect and subsequently a lower dose of life saving drug may be sufficient
to treat nocturnal asthma.
Chapter 2 Research Objective
Department of Pharmaceutics, KLE University, Belgaum 35
A pulsatile, chronopharmaceutical drug delivery system of Salbutamol sulphate
was developed for the following reasons.
To synchronize drug delivery to the circardian rhythm of asthma.
Overlapping of drug release characteristic with onset of pharmacological
symptoms make the drug delivery system ideal for chronotherapy of
asthma.
To prolong therapeutic effect by continuously releasing the medication
over as extended period of time after administration of single dose.
To delay the releases of drug hence control the onset of drug action.
To minimize the frequency of drug administered at bed time.
Improved therapy can be provided as the drug exerts its action at a time
when it is needed most and dose related side effect could be minimized.
Patient convenience and compliance could be achieved.
OBJECTIVES OF THE STUDY:
To design and characterize an oral, pulsatile drug delivery system of
Salbutamol Sulphate intended to approximate the chronobiology of asthma, proposed
for colonic targeting. It is a chronopharmaceutical approach for the better treatment of
nocturnal asthma.
Based on the concept that a formulation on leaving the stomach, arrives at the
ileocaecal junction in about 5 to 6 hours after administration and difference in pH
throughout GIT, a time and pH dependent pulsatile drug delivery system was
designed.
This novel system is a so-called “Tablets in Capsule device” The designed
capsule device consists of an impermeable capsule body and a soluble cap. The two
Chapter 2 Research Objective
Department of Pharmaceutics, KLE University, Belgaum 36
tablets formulation prepared is filled within the capsule body and sealed with the
water-soluble cap.
A two tablet system in capsule, one of which serves to give first pulse to
provide a loading dose and second tablet after a lag time of 4 to 5 hrs gives the second
pulse. Both tablets are inserted into an impermeable capsule body with a water-
soluble cap. On reaching body fluid, the cap dissolved and the first pulse released,
following which the modulating barrier erodes which cause a lag phase preceding the
onset of release of the second pulse. The modulating barrier of the bi-layered tablet
performs the same role. Lag time can be successfully controlled by adjusting the ratio
of the barrier materials in the coating.
PLAN OF RESEARCH WORK
Preformulation studies:
§ Selection of polymers and its combination suitavle for the pulsatile drug
delivery system.
§ Drug-excipient compatibility study.
§ Preparation of standard graph of Salbutamol Sulphate using
spectrophotometric methods.
Experimental designing for formulation and evaluation of salbutamol Sulphate
Tablet in capsule device:
§ Preparation of Salbutamol sulphate tablet (1. First pulse dose and 2. Second
pulse dose after lag time)
§ Determination of physicochemical parameter of prepared granules and tablets.
§ Optimization of best coating ration/concentration of coating polymers for
second pulse tablet.
§ In-vitro dissolution profile of second pulse release tablet.
Chapter 2 Research Objective
Department of Pharmaceutics, KLE University, Belgaum 37
Development of Tablet in Capsule device:
§ Filling of tablet i.e. first pulse and second pulse tablet in “0” size capsule.
§ Evaluation of the dosage forms for their physicochemical parameters, drug
content, In-vitro release rate and in-vivo gamma scintigraphic studies.
§ Stability studies to assess shelf life of the developed drug delivery system.
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 38
REVIEW OF LITERATURE
DRUG PROFILE:
SALBUTAMOL SULPHATE:
Various Specification of Salbutamol Sulphate 33-36
Generic name: Salbutamol sulphate
CAS: 18559-94-9
Synonym: Albuterol sulphate
Structure:
Chemical name: (RS)-1-(4- hydroxy – 3 hydroxy – Methyl Phenyl) – 2 –
(tertbutylamino) ethanol sulphate
Empirical Formula: (C13H21NO3)2 • H2SO4
Molecular Weight: 576.7 g/mol
FDA Drug Class: Antiasthmatics/Bronchodilators; Antihypertensive
Generic Class : ß-2 adrenergic bronchodilator
Medicine Classification: Prescription Medicine
Description: A white or almost white, crystalline powder, odorless.
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 39
Solubility: Freely soluble in water, slightly soluble in ethanol (95 %)
and in ether; Very slightly soluble in dichloromethane.
Equivalent: 1mg of Salbutamol Sulphate is approximately equivalent to
830 ug of Salbutamol
pKa: 9.3
Melting point: 157-158 oC (with decomposition)
Storage Condition: Stored in well closed, light resistant container.
Pharmacological Properties 34, 35, 39
Salbutamol is a selective β2 adrenoceptor agonist. At therapeutic doses it acts
on the β2 adrenoceptors of bronchial muscle, with little or no action on the β2
adrenoceptors of the heart. It is suitable for the management and prevention of attack
in asthma.
Pharmacodynamic Properties:
Mechanism of action:
The mechanism of the antiasthmatic action of short acting β-adrenergic
receptor agonists is undoubtedly linked to the direct relaxation of airway smooth
muscle and consequent bronchodilation. Stimulating these receptors leads to
activation of adenyl cyclase, increase in cellular cyclic AMP, and consequent
reduction of muscle tone. β2-adrenergic receptors agonists also have been shown to
increase the conductance of potassium channels in airway muscle cells leading to
membrane hyperpolarisation and relaxation. This occurs, in part, by mechanism
independent of adenylyl cyclase activity and cyclic AMP production.
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 40
Pharmacokinetic Properties 37-39
Salbutamol is well absorbed from the gastrointestinal tract and undergoes
considerable first-pass metabolism. The major metabolite is sulphate conjugate, which
is inactive. Salbutamol administered intravenously has a half-life of 2 to 4 hours and
is cleared partly renally and partly by metabolism to the inactive 4'-0- sulphate
(phenolic sulphate) which is also excreted primarily in the urine. Peak plasma
concentration after a single oral dose of 4 mg salbutamol is reported to range from 10
to 16.9 microgram per liter. After ingestion of slow release prepration, peak plasma
levels are seen at 5-6 hour and lower than after same dose of conventional formulation
(2-3 h); however, the areas under the curves of plasma concentration versus time are
similar, indicating equivalent bioavailability of the two formulations. The
bioavailability of orally administered salbutamol is about 85%.The proportion of
circulating drug that is protein bound is approximately 10%. The mean volume of
distribution calculated from the data of Fairfax and others is 3.4 +0.6 liter per kg.
Pre-clinical safety data
In common with other potent selective β2 receptor agonists, salbutamol has
been shown to be teratogenic in mice when given subcutaneously. In a reproductive
study, 9.3% of fetuses are found to have cleft palate, at 2.5mg/kg, 4 times the
maximum human oral dose. In rats, treatment at the levels of 0.5, 2.32, 10.75 and
50mg/kg/day orally throughout pregnancy resulted in no significant fetal
abnormalities. The only toxic effect was an increase in neonatal mortality at the
highest dose level as the result of lack of maternal care. A reproductive study in
rabbits revealed cranial malformations in 37% of fetuses at 50mg/kg/day, 78 times the
maximum human oral dose.
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 41
Side effects of Salbutamol Sulphate
� The side effects of Salbutamol generally result from the drugs action on
muscles such as cramps or tremors. Other side effects come from the drugs
action on beta1 adrenoceptors in cardiac muscle (500 times less binding than
beta 2) generally causing vasodilatation with resulting effect on blood pressure
and the heart.
� More common side effects include: Aggression, agitation, cough, diarrhoea,
dizziness, excitement, general bodily discomfort, headache, heartburn,
increased appetite, increased blood pressure, indigestion, irritability, laboured
breathing, light-headedness, muscle cramps, nausea, nervousness, nightmares,
nosebleed, over activity, palpitations, rapid heartbeat, rash, ringing in the ears,
shakiness, sleeplessness, stomach ache, stuffy nose, throat irritation, tooth
discoloration, tremors, vomiting, wheezing, worsening bronchospasm.
� Less common side effects include: Chest pain or discomfort, difficulty
urinating, drowsiness, dry mouth and throat, flushing, high blood pressure,
muscle spasm, restlessness, sweating, unusual taste, vertigo, weakness.
� Rare side effects following the use of inhaled salbutamol include: Hoarseness,
skin rash or hives, hypokalemia, myocardial insufficiency, heart failure,
angina-pectoris, hypertension, severe cardiovascular disease, diabetes-
mellitus, maternal-thyrotoxicosis.
Posology of Salbutamol sulphate
Salbutamol has the duration of action of 4 to 6 hours in most patients. As there
may be adverse effects associated with excessive dosing, the dosage or frequency of
administration should only be increased on medical advice.
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 42
Adults:- The usual effective dose of salbutamol is 4 milligrams three or four
times per day. Some patients obtain adequate relief with 2 milligrams
salbutamol three or four times daily.
Children:- 2-6 years :1-2mg salbutamol three or four times daily.
6-12 years:2mg salbutamol three or four times daily.
Over 12 years: 2-4mg salbutamol three or four times daily
Overdose:
The preferred antidote for overdosage with salbutamol is a cardioselective β-
blocking agent. However, β-blocking agents should be used with caution in patients
with a history of bronchospasm.Hypokalaemia may occur following overdose with
salbutamol. Serum potassium levels should be monitored.
Contra-indications:
Salbutamol is contra-indicated in patients with a history of hypersensitivity to
any of its components. Although intravenous salbutamol and occasionally salbutamol
tablets are used in the management of premature labour, uncomplicated by conditions
such as placenta praevia, ante-partum haemorrhage or toxaemia of pregnancy,
salbutamol presentations should not be used for threatened abortion.
Table No. 8 Interaction with other medicaments and other forms of interaction
Drug interaction
Beta-blockers Severe bronchospasm may be produced in
asthmatic patients taking Salbutamol
Digoxin Salbutamol may decrease serum digoxin
levels.
Diuretics ECG changes and hypokalemia
associated with these diuretics may
worsen with co administration of
Salbutamol.
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 43
The adverse drug reaction associated with the salbutamol sulphate are listed as below.
Cardiovascular Palpitation, tachycardia, elevated B.P.,
chest tightness, angina.
CNS (central nervous system) Tremor, Dizziness, hyperactivity,
nervousness, drowsiness, headache,
insomnia, weakness, restlessness.
EENT Dry mouth, throat infection
Gastro intestinal Nausea, womiting, heartburn, diarrhea.
GU Urinary retention
Respiratory Cough, bronchospasm, wheezing,
dyspnea.
other Flushing, sweating, anorexiaa, unusual
sensory changes.
Pregnancy and lactation:
Administration of medicines during pregnancy should only be considered if
the expected benefit to the mother is greater than any possible risk to the fetus.
Because no consistent pattern of defects can be discerned, and baseline rate for
congenital anomalies is 2-3%, a relationship with salbutamol use cannot be
established. As salbutamol is probably secreted in breast milk, its use in nursing
mothers is not recommended unless the expected benefits outweigh any potential risk.
It is not known whether salbutamol in breast milk has a harmful effect on the neonate.
Market preparations: 33, 39
1. Oral form:
Ventolin Tablets (2 mg; 4 mg) – Glaxo wellcome, USA
Volmax Tablets (4 mg; 8 mg) – Muro, USA
Ventolin Syrup (2 mg/5 ml) - Glaxo wellcome, USA
Ventrolin Capsule ER (4mg, 8mg) - GSK, India
Asthalin SA 4mg tablets – Cipla, India
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Department of Pharmaceutics, KLE University, Belgaum 44
2. Parentral form:
Ventolin Injection – Allen and Hanbury’s, UK
Ventolin Intravenous Infusion – Allen and Hanbury’s, UK
3. Inhalation form:
Ventolin Aerosol Inhalation (90mcg/actuation) – Glaxo wellcome, USA
Ventolin Rotacaps (200 mcg) – Glaxo wellcome, USA.
REVIEW OF WORK DONE ON SALBUTAMOL SULPHATE:
Samanta M.K. et al., developed pulsincap like system with salbutamol
suphate as drug that release drug in colon. Body was coated with ethyl cellulose and
plug made by gelatin. Microcapsule of salbutamol sulphate was made using eudragit
by emulsion solvent evaporation methods. The in-vitro dissolution result indicated
that the onset of drug release was after 7 to 8 hours of the experiment stated and
revealed its better sustaining efficacy over a period of 24 hr. thus this pulsincap
dosage form of salbutamol sulphate may be used or colon specific drug delivery.
When it administered in the evening, it may prevent nocturnal attack of asthma and
there by may reduced the unexpected mortality rate.6
Ahuja et. al. prepared a time dependent pulsed release system consisting of an
effervescent core containing Salbutamol Sulphate surrounded by consecutive layers of
swelling and rupturable polymers. The cores were prepared by direct compassion
using microcrystalline cellulose and effervescent agents and were coated sequentially
with inner swelling layer containing hydrocolloid, HPMC and outer rupturable layer
having Eudragit RL/RS. Effects of processing ad formulative parameter on the
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Department of Pharmaceutics, KLE University, Belgaum 45
performance of various systems were studied. The study showed lag time of
Salbutamol Sulphate decreased by increasing the inner swelling layer and increased
by increasing the rupturing layer. 40
Bhalla et. al., reported the sustained release formula of Salbutamol Sulphate
tablet achieved by use of wax and acrylic resin matrices. It was concluded that
Eudragit RS 100 and RL 100 (Acrylic resin polymers) used possess pH dependant
release pattern and had better stability than wax based matrices. 41
Vyas et al., developed an oral osmotic system which can deliver theophylline
and salbutamol sulphate simultaneously for extended period of time was developed
and characterized in a view to reduce the problems associated with the multidrug
therapy of asthma. Simple controlled porosity osmotic pump contained both drugs (in
freely soluble form) did not provide satisfactory extended release of theophylline. A
modified two-layered, push–pull osmotic system was developed by using the basic
designs of various oral osmotic pumps, such as controlled porosity osmotic pump
(CPOP), elementary osmotic pump (EOP) and push–pull osmotic pump (PPOP).
Scanning electron microscopy of cellulose acetate coating membrane after dissolution
revealed that 25% (w/w) of sorbitol can be used as an optimized concentration of pore
forming agent with 25% (w/w) of plasticizer, which was kept constant. Formulations
were initially developed for theophylline and the release was optimized by using two
different soluble forms of theophylline with varying amount of hydrophilic polymer
mixture in upper layer and polyethylene oxide (expandable hydrogel) in lower layer.
Further, the release of salbutamol sulphate was optimized by keeping the drug in
upper or lower layer or both layers. In vitro release studies showed satisfactory
controlled release profiles of both drugs. The release profiles of both drug statistically
compared with respective marketed controlled release formulations. An optimized
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Department of Pharmaceutics, KLE University, Belgaum 46
system was selected to study the effect of concentration of pore forming agent and
orifice diameter on the release of both drugs.42
Sayed H et al., utilized ion exchange resin for the sustained release of
Salbutamol Sulphate. Effect of drug concentration and resin forms on the loading
capacity of resins and drug release patterns were tested. Results showed that release
rates were too high to get sustained release property. However on microencapsulation
with cabufucon A coatings showed sustained release rates.43
Bahnja et al., microencapsulated Salbutamol Sulphate using Eudragit RS 100.
Dissolution studies were performed on different size of microcapsules. Data analysis
showed that Higuchi Mechanism predominates over first and zero order release
mechanism. The diffusion co-efficient was decreases as the diameter of the
microcapsule decreases.44
Amperiadou et al., prepared Microcapsules of salbutamol sulphate with ethyl
cellulose were prepared using an emulsion-solvent evaporation technique and by the
use of two different stirrer types, propeller and magnet. Different amounts of drug
were added in order to obtain various drugs to polymer ratios. They evaluated
physical properties, loading efficiency and dissolution rate depended on the emulsion-
solvent evaporation technique and on the drug to polymer ratio using Tween-80 as a
dispersing agent. They further investigated the type of drug release mechanism taking
place, the dissolution data were plotted according to the four different kinetic models.
In vitro dissolution studies showed that first-order and square-root of time (Higuchi
model) release characteristics were exhibited.45
Bogin et al., investigated the use of a pulsed-released albuterol in ten patients
with nocturnal symptoms of asthma. In a randomized, double-blind, placebo-
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Department of Pharmaceutics, KLE University, Belgaum 47
controlled, crossover designed study; they tested the use of 8 mg of pulsed-release
albuterol sulphate (Proventil Repetabs) vs. placebo. The pulsed-release albuterol
significantly blunted the overnight drop in FEy,, improved peak flow readings in the
morning, and decreased subjective awakenings from sleep. They also concluded that
pulsed-released albuterol is an effective therapeutic option in patients with nocturnal
asthma.46
POLYMER DATA: 47, 48
Polymethacrylates:
Synonym: Eudragit; Methacrylic acid
Non-proprietary Names:
NF: Methacrylic acid copolymer; Polymeric methacrylates
Chemical Name:
Copolymers synthesized from dimethyl aminoethyl methacrylate and other
neutral methacrylic esters.
Functional category:
Film former and tablet binder.
Density: 12.5; 0.825g/cm3
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Department of Pharmaceutics, KLE University, Belgaum 48
Structural Formula:
CH2
C
O
OC
CH2
C
O
OC
CH2
C
O
OC
C
O
OC
CH2
R1R3R3 R1
R2 R2R4 R4
Type S and Type L
R1 = - CH3 R3 = -CH3
R2 = -H R4 = CH3
Molecular Weight: ≥100,000 and approximately 135,000
CAS Registry Number: None
Description:
Polymethacrylates are film coatings and matrix structures based on polymeric
methacrylates.They are synthetic cationic and anionic polymers of
dimethylaminoethylmethacrylates, methacrylic ratios.
Type L (easily soluble in intestinal fluid) is 50% methacrylic acid and Type S
(barely soluble in intestinal fluid) is 30% methacrylic acid; both are anionic polymers
of methacrylic acid and methacrylic acid esters in different ratios available as 12.5%
solution in isopropanol without plasticizer (L 12.5, S 12.5); and as 12.5% ready to use
solution in isopropanol with 1.25% dibutylphthalate as plasticizer (L 12.5p, S 12.5p);
colorless, with the characteristic odor of the solvent.
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Department of Pharmaceutics, KLE University, Belgaum 49
Solubility:
1g of Eudragit L100 0r Eudragit S100 dissolves in 7g methanol, ethanol, in
aqueous isopropyl alcohol and acetone, as well as in 1 N sodium hydroxide to give
clear to slightly cloudy solutions. Eudragit L100 and Eudragit S100 are practically
insoluble in ethyl acetate, methylene chloride, petroleum ether and water.
Viscosity:
Eudragit L100=18mm2/s
Eudragit S100= 29mm2/s
Acid value:
Eudragit L100=316mgKOH/gDS
Eudragit S 100=190mgKOH/gDS
Incompatibilities:
Incompatibilities occur with acid and/or alkaline conditions depending upon
which polymer is being used.
Stability and storage condition:
Dry powder forms appear to be stable at room temperature. Dispersions are
stable for about 1 yr after manufacturing and stored at room temperature in tight
containers protect against moisture.
Safety:
Acute toxicity studies have been performed in rats, rabbits and dogs. No toxic
effects were observed. Chronic toxicity studies were performed in rats over a period
of 3 months. No significant changes were found in the animal organs.
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Department of Pharmaceutics, KLE University, Belgaum 50
Application in pharmaceutical formulation or technology:
Eudragit S 100 and eudragit L100 are employed as film coating agents
resistant to gastric fluid with solubility above pH 6.0 and Ph 7.0 respectively, for
enteric coating of formulations.
Comments:
For spray coating, the lacquer solutions and dispersions must be thinned with
suitable solvents. Suitable solvents are ethanol, methanol, isopropyl alcohol, diethyl
ether, acetone, mehtylene chloride and water. Suitable plasticizer are glyceryl
triacetate, pthalic acid esters, polyethylene glycols, triacetin, dibutyl phthalate and
citric acid esters.
REVIEW OF WORK DONE ON POLYMERS:
Shivakumar et al., formulated oral controlled onset system of meloxicam that
match chronobiology. The multiparticulate system comprising of drug loaded non
pareil seed coated with Eudragit S-100 was designed utilized powder layering
technique in a conventional coating pan. In-vitro dissolution studies of the coated
pellets shows that pellet with lower coat weight (>10%) controlled the drug release
below 6 pH but fail to controlled the release at higher pH 7 followed by rapid release.
Since meloxicam is a drug which exhibits a pH dependent solubility, a coating weight
of 12% weight gain was sufficient to minimized the effectively target the drug to the
colon.49
Prasad et al., evaluated oral formulations of Gentamycin containing labrasol
in beagle dogs. The past work done on the gentamicin (GM) was a polarized water-
soluble compound having very poor intestinal membrane permeability resulting in
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Department of Pharmaceutics, KLE University, Belgaum 51
low oral bioavailability. Labrasol was found to improve the intestinal absorption of
GM in rats. In the present study, GM formulations containing labrasol were evaluated
in beagle dogs after filling into hydroxypropylmethyl cellulose (HPMC) capsules
wrapped with Eudragit L100 (Eud L) and Eudragit S100 (Eud S) films. The results of
the in vitro drug release studies could not differentiate between two kinds of enteric
capsules and among the three kinds of GM formulations. Oral administration of GM
solution at a dose of 50.0 mg per dog of GM and 0.60 ml per dog of labrasol has
resulted in Cmax values of 2.38 ± 0.50_g/ml and 2.30±0.42_g/ml with Eudragit L100
and Eudragit S100 capsules, respectively. The AUC values obtained were also higher
at 4.35±1.31_g h/ml and 5.34±0.95_g h/ml with Eud L and Eud S capsules,
respectively. Formulation of GM as a suspension in labrasol has resulted in the
decrease of Cmax values by two to four times and AUC values by >2.5 times
compared to the solution formulation. The above results indicate that solution
formulation was better over the suspension. An absorbent, synthetic sponge was used
to Absorb GM solution formulation and encapsulated with Eudragit L and Eudragit S
capsules. The Cmax and AUC values obtained with sponge formulation were higher
than those of suspension formulations but were lower than solution formulations.
There was no significant difference in the extent of GM absorption between Eudragit
L and Eudragit S capsules used for encapsulating GM formulations.50
Akhghari et al., studied stastical optimization of indomethacin pellets coated
with pH-dependent methacrylic polymers for possible colonic drug delivery. The
effect of two factors (ratio of Eudragit S100 and Eudragit L100 and the coating level)
on indomethacin release from pellets was studied in order to optimize coating
formulations for colonic delivery. Coating formulations were designed based on the
full factorial design. Two independent variables were the ratio of Eudragit S100:
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Department of Pharmaceutics, KLE University, Belgaum 52
Eudragit L100 (1:4, 1:1 and 1:0) and the level of coating (10%, 15% and 20%, w/w),
respectively. Polymers were coated onto the pellets containing 20% (w/w)
indomethacin, using a fluidized bed coating apparatus. Dissolution test was carried
out in media with different pH (1.2, 6.5, 6.8 and 7.2). The dissolution data revealed
that the level of coating and the ratio of polymers are very important to achieve
optimum formulation. Using responses and resulted statistical equations, optimum
formulation consisted of Eudragit S100:L100 in 4:1 ratio and the level of coating
(20%) was predicted.. The results of this study revealed that factorial design is a
suitable tool for optimization of coating formulations to achieve colon delivery. It was
shown that coating formulation consisted of Eudragit S100: Eudragit L100 in 4:1 ratio
at 20% coating level has potential for colonic delivery of indomethacin loaded pellets.
The optimized formulation produced dissolution profiles that were close to predicted
values.51
Sinha V.R. et al., studied the comparison of the usual entering coating
polymers viz. Eudragit, a cellulose acetate phthalate with shellac and ethyl cellulose,
as carriers for colon specific drug delivery. Lactose based indomethacin tablets were
prepared. These were coated with one of the coating polymers to a varying coat
thickness. Comparative dissolution data revealed that, of all the various polymers and
coat thicknesses used, a 3% (m/m) coat of shellac was most suitable for colonic drug
delivery. It retarded drug release by 3–4 h (the usual small intestinal transit time) in
simulated small intestinal fluid, where after a rapid drug release was observed. 52
Chan W.A. et al., coated the freeze-dried beads Eudragit S100 in an aqueous
phase using a fluidised-bed spray coater. The release profile of the drug was measured
in two solutions, both designed to mimic the environment in the human intestine.
These are a phosphate buffer, frequently used for this purpose and a physiological salt
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Department of Pharmaceutics, KLE University, Belgaum 53
solution (Hank’s pH 7.4) which resembles the pH and ion concentration in the fluid of
the small intestine. From the results obtained, it was found that the drug release rate in
the phosphate buffer was significantly faster than that in Hank’s solution. This effect
was even more pronounced when the coating thickness was increased. 53
Khan M.Z.I et al., studied Manipulation of drug release using Eudragit L100-
55 and Eudragit S100 combinations. Mesalazine containing tablets were coated using
various combinations of two methacrylic acid copolymers, Eudragit L100-55 and
Eudragit S100, by spraying from aqueous systems. The Eudragit L100-55–Eudragit
S100 combinations (w/w) studied were 1:0, 4:1, 3:2, 1:1, 2:3, 1:4, 1:5 and 0:1. The
coated tablets were tested in vitro for their suitability for pH dependent colon targeted
oral drug delivery. Dissolution studies performed on the mesalazine tablets further
confirmed that the release profiles of the drug could be manipulated by changing the
Eudragit L100-55 and Eudragit S100 ratios within the pH range of 5.5 to 7.0 in which
the individual polymers are sol respectively, and a coating formulation consisting of a
combination of the two copolymers can overcome the issue of high gastrointestinal
(GI) pH variability among individuals. The results also demonstrated that a
combination of Eudragit L100-55 and Eudragit S100 can be successfully used from
aqueous system to coat tablets for colon targeted delivery of drugs and the
formulation can be adjusted to deliver drug at any other desirable site of the intestinal
region of the GI tract on the basis of pH variability. For colon targeted delivery of
drugs the proposed combination system is superior to tablets coated with either
Eudragit L100-55 or Eudragit S100 alone. 54
Siepmann J. et al., studied physicochemical characterization and drug release
patterns of blends of enteric and GIT-insoluble polymers used for film coating. A
broad range of drug release patterns from coated pellets could be achieved by varying
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Department of Pharmaceutics, KLE University, Belgaum 54
the GIT-insoluble:enteric polymer blend ratio. With increasing relative amounts of
Eudragit L, the release rates in both media significantly increased. The increase at low
pH could be attributed to an increase in water uptake, as observed with thin films.
Interestingly, only partial Eudragit L leaching occurred in phosphate buffer pH 7.4
even at high enteric polymer contents, indicating that the GIT-insoluble polymer
effectively hindered the dissolution of the entrapped Eudragit L. At high pH, both
polymer leaching and polymer swelling contributed to the control of drug release. The
determined apparent drug diffusion coefficients take the two effects adequately into
account. 55
Shimono N. et al., studied Chitosan dispersed system for colon-specific drug
delivery. A chitosan dispersed system (CDS), which was composed of active
ingredient reservoir and the outer drug release regulating layer dispersing chitosan
powder in hydrophobic polymer, was newly developed for colon-specific drug
delivery. An aminoalkyl methacrylate copolymer RS (Eudragit† RS) was selected as a
hydrophobic polymer because it is hardly dissolved in acidic medium in which easily
dissolves chitosan. In order to obtain the bi-functional releasing characteristics, i.e.
time dependent and site specific, capsules containing the active ingredient (Drug
Capsules) were coated by the chitosan dispersed hydrophobic polymer, resulting in
CDS Capsules. It was found that the release rate could be controlled by changing the
thickness of the layer. 56
Gang et al., investigated Time- and pH-dependent colon-specific drug
delivery systems (CDDS) for orally administered diclofenac sodium (DS) and 5-
aminosalicylic acid (5-ASA), respectively. DS tablets and 5-ASA pellets were coated
by ethylcellulose (EC) and methacrylic acid copolymers (Eudragit® L100 and S100),
respectively. The in vitro release behavior of the DS coated tablets and 5-ASA coated
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Department of Pharmaceutics, KLE University, Belgaum 55
pellets were examined, and then in vivo absorption kinetics of DS coated tablets in
dogs were further studied. Two types of CDDS, prepared herein by means of the
regular coating technique, are able to achieve site-specific drug delivery targeting at
colon following oral administration, and provide a promising strategy to control drug
release targeting the desired lower gastrointestinal region.57
EXCIPIENTS DATA: 47
Starch:
Nonproprietary Names:
BP: Maize starch
USPNF: Corn starch
JP: Corn starch
Synonyms:
Amido; amidon; amilo; amylum
Chemical Name:
Starch
Empirical Formula and Molecular Weight: (C6H10O5)n and 50 000–160 000
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Department of Pharmaceutics, KLE University, Belgaum 56
Structural Formula:
Functional Category:
Glidant; tablet and capsule diluent; tablet and capsule disintegrant; tablet
binder
Description:
Starch occurs as an odorless and tasteless, fine, white-colored powder
comprising very small spherical or ovoid granules whose size and shape are
characteristic for each botanical variety.
Stability and Storage Conditions:
Dry, unheated starch is stable if protected from high humidity. When used as a
diluent or disintegrant in solid-dosage forms, starch is considered to be inert under
normal storage conditions. However, heated starch solutions or pastes are physically
unstable and are readily attacked by microorganisms to form a wide variety of starch
derivatives and modified starches that have unique physical properties.
Applications in Pharmaceutical Formulation or Technology:
Starch is used as an excipient primarily in oral solid-dosage formulations
where it is utilized as a binder, diluent, and disintegrant. In tablet formulations,
freshly prepared starch paste is used at a concentration of 5–25% w/w in tablet
granulations as a binder. Starch is one of the most commonly used tablet disintegrants
at concentrations of 3–15%W/w.
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Department of Pharmaceutics, KLE University, Belgaum 57
SODIUM STARCH GLYCOLATE:
Nonproprietary Names
NF: sodium starch glycolate
BP: sodium starch glycolate
Synonyms:
Sodium carboxy, methyl starch, explotab, primojel
Functional category:
USP: Tablet disintegrant
Others: Tablet and capsule disintegrant
Chemical names:
Starch carboxyl methyl ether, sodium salt
Description:
White to off- white, odourless, tateless, free flowing powder microscopic: oval
or spherical granules, 30-100µm in diameter with some less spherical granules
ranging from 10-35 µm in diameter.
Typical properties:
Density: 1.5 gm/cm3
Bulk volume: 1.4 gm/cm3; sodium chloride: 5% (Max); viscosity [ 2% solution,
Brookfield : 25cps (max) ]
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Department of Pharmaceutics, KLE University, Belgaum 58
Solubility: at 2% W/V, it disperses in cold water and settles in the form of a highly
form a highly saturated layer. Insoluble in organic solvents.
Stability and storage conditions:
Stable, store in a well closed container to protect it from wide variations in
humidity and temperature that may cause caking. It has long shelf life stability.
Incompatibilities:
No citation found.
Application in pharmaceutical formulations or technology:
It is used in tablet/capsule as disintegrant (wet granulation or direct
compression) with concentration range 2-10 %.
MAGNESIUM STEARATE:
Non- proprietary Name:
NF: Magnesium Stearate
BP: Magnesium Stearate
Synonyms:
Metallic stearic, Magnesium salt.
Functional category:
Tablet and capsule lubricant
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Department of Pharmaceutics, KLE University, Belgaum 59
Chemical Names:
Octadecanoic acid; Magnesium salt; magnesium Stearate.
Structurla Formula:
Emperical Formula:
C36H70MgO4
Molecular Weight:
591.3
Description:
It is a fine, white, precipitated, or milled, impalpabale powder of low bulk
density, having a faint characteristic odour and taste. The powder is greasy to touch
and readily adheres to the skin.
Typical properties:
Solubility
Practically insoluble in ethanol, ethanol(95%), ether and water, slightly
soluble in benzene and warm ethanol(95%)
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Department of Pharmaceutics, KLE University, Belgaum 60
Stability and storage conditions:
Stable, non-self polymerizable. Store in a cool, dry place in a well closed
container.
Incompatibilities:
Incompatible with strong acids, alkalies, iron salts and with strong oxidizing
material.
Applications in Pharmaceuticals Formulation or Technology:
Tablet and capsule lubricant, glidant and antiadherent in the concentration
range of 0.25-2.0%.
POVIDONE:
Nonproprietary Names:
BP: Povidone
JP: Povidone
PhEur: Povidonum
USP: Povidone
Synonyms:
Kollidon; Plasdone
Chemical Name:
1- Ethenyl-2-pyrrolidinone homopolymer
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Department of Pharmaceutics, KLE University, Belgaum 61
Empirical Formula:
(C6H9NO) n
Molecular Weight:
50, 000
Structural Formula:
Functional Category:
Disintegrant; dissolution aid; suspending agent; tablet binder
Description:
Povidone occurs as a fine, white to creamy-white colored, odorless or almost
odorless, hygroscopic powder. Povidones with K-values equal to or lower than 30 are
manufactured by Spray-drying and occur as spheres.
Method of Manufacture:
Povidone is manufactured by the Reppe process. Acetylene and formaldehyde
are reacted in the presence of a highly active copper acetylide catalyst to form
butynediol, which is hydrogenated to butanediol and then cyclodehydrogenated to
form butyrolactone. Pyrrolidone is produced by reacting butyrolactone with ammonia.
This is followed by a vinylation reaction in which pyrrolidone and acetylene are
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Department of Pharmaceutics, KLE University, Belgaum 62
reacted under pressure. The monomer, vinylpyrrolidone, is then polymerized in the
presence of a combination of catalysts to produce povidone.
Typical Properties:
Density
1.180 g/cm 3
Melting point
Softens at 150°C.
Solubility
Freely soluble in acids, chloroform, ethanol (95%), ketones, methanol, and
water; practically insoluble in ether, hydrocarbons, and mineral oil.
Incompatibilities:
Povidone is compatible in solution with a wide range of inorganic salts,
natural and synthetic resins, and other chemicals. It forms molecular adducts in
solution with sulfathiazole, sodium salicylate, salicylic acid, phenobarbital, tannin,
and other compounds.
Stability and Storage Conditions:
Povidone darkens to some extent on heating at 150°C, with a reduction in
aqueous solubility. It is stable to a short cycle of heat exposure around 110–130°C;
steam sterilization of an aqueous solution does not alter its properties. Aqueous
solutions are susceptible to mold growth and consequently require the addition of
suitable preservatives. Povidone may be stored under ordinary conditions without
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Department of Pharmaceutics, KLE University, Belgaum 63
undergoing decomposition or degradation. However, since the powder is hygroscopic,
it should be stored in an airtight container in a cool, dry place.
Application in Pharmaceutical Formulation and Technology:
Although povidone is used in a variety of pharmaceutical formulations, it is
primarily used in solid-dosage forms. In tableting, povidone solutions are used as
binders in wet-granulation processes. Povidone is also added to powder blends in the
dry form and granulated in situ by the addition of water, alcohol, or hydroalcoholic
solutions. Povidone is used as a solubilizer in oral and parenteral formulations and has
been shown to enhance dissolution of poorly soluble drugs from solid-dosage forms.
Povidone solutions may also be used as coating agents.
Lactose:
Functional category:
Tablet and capsule diluent
Chemical Names:
4-O- β-D galactopyranosyl-α-D-glucocpyranose,
4-( β-D-galactosido)-D-glucose.
Emperical formula:
C22H22O11
Description:
White to off white crystalline particles or powder, odorless and slightly sweet
tasting.
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Typical properties:
Solubility:
Freely soluble in water, practically insoluble in chloroform, ethanol and ether.
Stability and storage conditions:
Under humid conditions (80%RH and above) mold growth may occur. It
should be stored in a well closed container in a cool, dry place.
Incompatibilities:
A millard type condensation reaction is likely to occur between lactose and
compounds with a primary amine group to form brown coloured products.
Applications in pharmaceutical formulation or technology:
As a filler or diluent in tablets (wet granulation and direct compression) and
capsules, in lyophilized products and infant fed formulas.
AEROSIL:
Nonproprietary Names:
BP: Colloidal anhydrous silica
USPNF: Colloidal silicon dioxide
Synonyms:
Colloidal silica; fumed silica; light anhydrous silicic acid; silicic anhydride;
silicon dioxide fumed.
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Chemical Name:
Silica
Empirical Formula and Molecular Weight:
SiO2 and 60.08
Functional Category:
Adsorbent; anticaking agent; emulsion stabilizer; glidant; suspending agent;
tablet disintegrant; thermal stabilizer; viscosity-increasing agent.
Description:
Aerosil is submicroscopic fumed silica with a particle size of about 15 nm. It
is a light, loose, bluish-white-colored, odorless, tasteless, nongritty amorphous
powder.
Stability and Storage Conditions:
Aerosil is hygroscopic but adsorbs large quantities of water without
Liquefying. Colloidal silicon dioxide powder should be stored in a well-closed
container.
Applications in Pharmaceutical Formulation or Technology:
Aerosil is also used to stabilize emulsions and as a thixotropic thickening and
suspending agent in gels and semisolid preparations. Colloidal silicon dioxide is also
used as a tablet disintegrant and as an adsorbent dispersing agent for liquids in
powders.
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Department of Pharmaceutics, KLE University, Belgaum 66
REVIEW OF WORK DONE ON PULSATILE DRUG DELIVERY SYSTEM:
Mastiholimath V.S. et al., formulated and investigated of an oral colon
specific, pulsatile device to achieve time and/or site specific release of theophylline,
based on chrono pharmaceutical consideration. The basic design consists of an
insoluble hard gelatin capsule body, filled with Eudragit microcapsules of
theophylline and sealed with a hydrogel plug. The entire device was enteric coated, so
that the variability in gastric emptying time can be over come and a colon-specific
release can be achieved. The theophylline microcapsules were prepared in four
batches, with Eudragit L-100 and S-100 (1:2) by varying drug to polymer ratio and
evaluated for the particle size, drug content and in vitro release profile and from the
obtained results; one better formulation was selected for further fabrication of
pulsatile capsule. Different hydrogel polymers were used as plugs, to maintain a
suitable lag period and it was found that the drug release was controlled by the
proportion of polymers used. In vitro release studies of pulsatile device revealed that,
increasing the hydrophilic polymer content resulted in delayed release of theophylline
from microcapsules. The gamma scintigraphic study pointed out the capability of the
system to release drug in lower parts of GIT after a programmed lag time for
nocturnal asthma. Programmable pulsatile, colon-specific release has been achieved
from a capsule device over a 2–24 h period, consistent with the demands of chrono
therapeutic drug delivery. 58
Janugade BU et al., developed an oral press-coated tablet by direct
compression and wet granulation methods to achieve the predetermined lag time. This
press-coated tablet containing montelukast sodium in the inner core was formulated
with an outer barrier layer by different compositions of hydrophobic polymer
ethylcellulose and hydrophilic polymer low-substituted hydroxypropylcellulose. The
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Department of Pharmaceutics, KLE University, Belgaum 67
effect of formulation composition on the barrier layer comprising both hydrophobic
and hydrophilic excipients on the lag time of drug release was investigated. It was
observed that lag time decreases with increasing concentration of low-substituted
hydroxypropylcellulose. Press coated tablets coated by dry mixing and by wet
granulation showed variations in lag time. As compared to dry mixed blend method
wet granulation method gives less lag time.59
Zhu et al., studied a programmed drug delivery from a novel system, which
contains a water-soluble cap, impermeable capsule body, and two multi-layered
tablets. Types of materials for the modulating barrier and its weight can significantly
affect the lag time. Sodium alginate and hydroxy-propyl methyl cellulose (HPMC E5)
were chose as the candidate modulating barrier material. Through adjusting ratio of
sodium alginate and lactose, lag time was controllable between the first two pulsatile
releases. Linear relationship was observed between the ratio and the lag time.
Through adjusting the ratio of HPMC E5/lactose, lag time between the second and the
third pulse can be successfully modulated. In further studies, drug release rate of the
second pulsatile dose can be improved by adding a separating layer between the third
and the modulating barrier layer in the three-layered tablet. To evaluate contribution
of bulking agent to drug release rate, lactose, sodium chloride, and effervescent blend
were investigated. No superiority was found using sodium chloride and effervescent
blend. However, lactose favored it. The results reveal that programmed drug delivery
to achieve pulsatile drug release for three times daily can be obtained from these
tablets in capsule system by systemic formulation approach.60
Efentakis et al., investigated a novel oral pulsatile drug delivery system based
on a core-in-cup dry coated tablet, where the core tablet surrounded on the bottom and
circumference wall with inactive material, is proposed. The system consists of three
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 68
different parts, a core tablet, containing the active ingredient, an impermeable outer
shell, and a top cover layer-barrier of a soluble polymer. The core contained either
diclofenac sodium or ketoprofen as model drugs. The impermeable coating cup
consisted of cellulose acetate propionate and the top cover layer of hydrophilic
swellable materials, such as polyethylene oxide, sodium alginate or sodium
carboxymethyl cellulose. The effect of the core, the polymer characteristics and
quantity at the top cover layer, on the lag time and drug release was investigated. The
results show that the system release of the drug after a certain lag time generally due
to the erosion of the top cover layer. The quantity of the material, its characteristics
and the drug solubility was found to modify lag time and drug release.61
Gohel et al., studied a programmed drug delivery from hard gelatin capsules
containing a hydrophilic plug (HPMC or guar gum). The significance of factors such
as type of plug (powder or tablet), plug thickness and the formulation of fill material
on the release pattern of diltiazem HCl, a model drug, was investigated. A linear
relationship was observed between weight of HPMC K15M and log % drug released
at 4 h from the capsules containing the plug in powder form. In order to accelerate the
drug release after a lag time of 4 h, addition of an effervescent blend, NaHCO3 and
citric acid, in the capsules was found to be essential. The plugs of HPMC in tablet
form, with or without water soluble adjuvant (NaCl or lactose) were used for
obtaining immediate drug release after the lag time. The results indicate that the drug
release was also dependant on the type of swellable hydrophilic agent (HPMC or guar
gum) and molecular weight of HPMC (K15M or 20 cPs). The results reveal that
programmed drug delivery can be obtained from hard gelatin capsules by systemic
formulation approach.63
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 69
Ying-huan Li et al., developed a multifunctional an multiple unit system,
which contains versatile mini tablet in a hard gelatin capsule, as Rapid- release Mini-
tablets (RMTs), Sustained-release Mini-tablets (SMTs), Pulsetile Mini-tablets (PMTs)
and Delayed onset Sustained-release Mini tablets (DSMTs), each with various lag
time of release.63
Gazzaniga et al., evaluated an oral system (ChronotopicE) designed to
achieve time and/or site-specific release. The system consists in a drug-containing
core, coated by a hydrophilic swellable polymer. For this study, tablets prepared cores
containing antipyrine as the model drug and both the retarding and enteric coatings
were applied in fluid bed. The in vivo testing performed on healthy volunteers,
determine the antipyrine salivary concentration. The obtained results showed the
capability of the system in delaying drug release for a programmable period of time
and the possibility of exploiting such delay to attain colon-targeted delivery according
to a time-dependent approach.64
Ying et al., developed theophylline pulsatile release tablets consisting of fast
swelling core with water insoluble ethyl cellulose. Effect of coating material, amount
of the plasticizer, subcoating, the type of the disintegrant, and coating level on drug
release profile were investigated. They concluded that ethyl cellulose was the best
candidate polymer for pulsatile release tablets. Rupture time increased with increasing
the amount of the plasticizer, but 15% plasticizer provided the best release profiles.
The lag time of tablets containing different disintegrants increased in the following
order: Ac-Di-sl < sodium starch glycolate < lowsubstituted hydroxypropyl cellulose <
crospovidone. A mathematical model was presented to predict the lag time prior to
rupture and it correlate with experimental data.65
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Department of Pharmaceutics, KLE University, Belgaum 70
Yang et al., designed dry-coated tablet with optimal lag time to simulate the
dosing time of drug administration according to the physiological needs. The
formulations containing different weight ratios of coarse/fine particles of EC powders
or 167.5 µm EC powder/ excipients in the upper layer of the outer shell to influence
the release behavior of diclofenac sodium from dry-coated tablet were also explored.
The results indicate that diclofenac sodium released from all the dry-coated tablets
exhibited an initial lag period, followed by a stage of rapid drug release. Its lag time
might be freely modulated, depending on the amount of EC powder added. Once
different excipients were respectively incorporated into the upper layer of the outer
shell, different release mechanisms were observed as follows: time-controlled
explosion for Explotab, disruption for Avicel and spray-dried lactose, erosion for
dibasic calcium phosphate anhydrate, and sigmoidal profile for hydroxypropyl
methylcellulose.66
Bodmeier et al., developed and evaluated a rupturable pulsatile drug delivery
system based on soft gelatin capsules with or without a swelling layer and an external
water-insoluble but -permeable polymer coating, which released the drug after a lag
time. Croscarmellose sodium (Ac-Di-Sol) as swelling agent and ethyl cellulose (EC)
and cellulose acetate propionate (CAPr), rupturing agent and therefore more complete
drug release than the flexible polymer coating, Eudragit RS. The lag time of the
release system increased with higher polymer coating levels with an increasing
amount of the intermediate swelling layer. Soft gelatin capsule-based systems showed
shorter lag times compared to hard gelatin capsules because of the higher
hardness/filling state of the soft gelatin capsules.67
Bodmeier et al., studied variable affecting the performance based drug
delivery system with pulsatile drug release they filled capsules with lactose, MCC,
Chapter – 3 Review of Literature
Department of Pharmaceutics, KLE University, Belgaum 71
Aerosil, and then coated with swellable layer of Ac-di-sol and ruptureable layer of
ethyl cellulose. They evaluate disintegrating time of swelling layer, lag time for
release of content form capsules, weight uniformity of coating. They concluded that
capsule to capsule uniformity in both coating layers, which affect the lag time and
optimize by deceasing batch size, increasing pan speed. Full filled hard gelatin
capsules had short lag time than half filled hard gelatin capsules. Lag time was stable
over 240 days period in stability study. 68
Krishnaiah YSR et al., reviewed γ scintigraphy: an imaging technique for
non invasive in- vivo evaluation of oral dosage forms. These article reviews the radio
nuclitides used in γ scintigraphy, the various imagining device and their
applications.69
Ishibashi T et al., performed scintigraphic evaluation of a new capsule type
colon specific drug delivery system in healthy volunteers. The human data validates
the designed concept behind the release mechanisms, in that capsule disintegration
and hence the drug release, did not start until 5 hours after gastric emptying,
irrespective of whether the product was administered to fated or fed subjects.70
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 72
MATERIAL AND METHODOLOGY
MATERIAL USED:
Table No.: 9. List of Material used
Sr No. Material Manufacturer
1 Salbutamol Sulphate Jayco chemical industries
2 Eudragit S-100 Molychem, Mumbai.
3 Eudragit L-100 Molychem, Mumbai.
4 Hydrochloric acid S. D. Finechem Ltd., Mumbai
5 Isopropyl alcohol Ranchem Ltd.
6 Acetone Ranchem Ltd.
7 Magnesium stearate Vasa Pharmachem P. Ltd., Ahmedabad
8 Mannitol Shandong Tianli Pharmaceutical Co Ltd.
9 Lactose monohydrate B.P. S.D. Fine Chem Ltd, Mumbai
10 Micro crystalline cellulose Gujarat Microwax Pvt. Ltd.
11 Polyvinyl pyrrolidone NaNHang Industrial Co. Ltd.
12 Sodium starch glycolate FMC Biopolymers
13 Potassium dihydrogen phosphate
Ranbaxy Fine Chemicals Ltd., Navi Mumbai
14 Sodium hydroxide pellets Ranbaxy Fine Chemicals Ltd., Navi Mumbai
15 Aerosil Gujarat Ambuja Export Ltd.
16 Talcum powder Gujarat Microwax Pvt. Ltd.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 73
EQUIPMENT OR INSTRUMENTS USED:
Table No.: 10. List of equipments and instruments used
Sr No. List of Instrument Manufacturer
1 Coating machine Avon Engineering Works, Mumbai.
2 Double rotary tablet compression machine (CMB4-35 station) Cadmach Machinery Co Ltd., Ahmedabad
3 Digital weighing balance (BT 124 S) (120 g)
Sartorius Biotech (India) Pvt. Ltd., Bangalore
4 Digital weighing balance (6 Kg) Elder Instruments Pvt. Ltd.
5 Dissolution automated sampling system Labindia Instruments Pvt. Ltd., Thane
6 Dissolution test system (8000) Labindia Instruments Pvt. Ltd., Thane
7 Fluidized bed dryer Avon Engineering Works, Mumbai.
8 Friability test apparatus EF-2 (USP) Electrolab, Mumbai.
9 FTIR (8400 S) Shimadzu Corporation, Kyoto, Japan
10 Hardness tester Ketan Dial Hardness Tester
11 Hot air oven Ambika Eng. Works, Ahmedabad
12 Hot plate (EHP 200 TC) Electron Equipment Co
13 Moisture analyzer (HB43-S) Mettler Toledo, Switzerland.
14 Octagonal blender Avon Engineering Works, Mumbai.
15 pH meter Labindia Instruments Pvt. Ltd., Thane
16 Rapid mixer granulator Avon Engineering Works, Mumbai.
17 Scanning electron microscope Philips XL 30 ESEM TMP + EDAX
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 74
18 Stability chamber (106 Model) EIE Instruments Pvt. Ltd.
19 Tap density tester ((USP) (ETD-1020) Electrolab, Mumabai.
20 Thickness gauge Absolute Digimatic
21 UV spectrophotometer (1800) Shimadzu Corporation, Kyoto, Japan
22 Vibratory sifter Avon Engineering Works, Mumbai.
Introduction
Nocturnal asthma, a condition prevalent in two-thirds of the asthmatics, is
defined as a variable night time exacerbation of the underlying asthma condition
associated with increase in symptoms and need for the medication, increased airway
responsiveness and worsening of lung function. Symptoms typically occur between
midnight and 8 a.m., especially around 4 a.m. It is inconvenient to take the medication
at midnight.
Thus, present study attempts to design and evaluate a chronomodulated drug
delivery system of salbutamol sulphate, a selective β2 receptor agonist for the
treatment of nocturnal asthma using a novel technique “Tablet in Capsule” device.
The system can be used for daily programmed drug delivery and eliminate mid-night
medication, thereby increasing patient compliance.
Preformulation Studies: 71
Preformulation testing is the first step in the rationale development of dosage
forms of a drug substance. It can be defined as an investigation of physical and
chemical properties of a drug substance alone and when combined with excipients.
The overall objective of preformulation testing is to generate information useful to the
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 75
formulator in developing stable and bioavailable dosage forms, which can be mass-
produced.
Following preformulation studies were performed…
PREFORMULATION STUDIES OF PURE DRUG:
Identification of pure drug:
Identification of Salbutamol Sulphate was carried out by Infrared Absorption
Spectroscopy.
Melting point determination:
Melting point of Salbutamol Sulphate was determined by Open capillary
Method.
Bulk Density:
a) Loose Bulk Density: Accurately weighed 5 g of drug (M), which was previously
passed through 20 # sieve, was transferred in 50 ml graduated cylinder. The powder in
the cylinder was leveled without compacting, and the unsettled apparent volume (V0)
was noted. The apparent bulk density (gm/ml) was calculated by the following
formula
Bulk density = Weight of powder / Bulk volume …………….. (1)
b) Tapped bulk density: Accurately weighed 5g of drug, which was previously
passed through 20 # sieve, was transferred in 50 ml graduated cylinder. Then the
cylinder containing the sample was mechanically tapped by raising the cylinder and
allowing it to drop under its own weight using mechanically tapped density tester that
provides a fixed drop of 14± 2 mm at a nominal rate of 300 drops per minute. The
cylinder was tapped 500 times initially and the tapped volume (V1) was measured to
the nearest graduated units, the tapping was repeated an additional 750 times and the
tapped volume (V2) was measured to the nearest graduated units. If the difference
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 76
between two volumes is less than 2% then the final volume (V2). The tapped bulk
density in gm/ml was calculated by the following formula:
Tapped Density = Weight of powder / Tapped volume ………….. (2)
5.3.4 Carr’s Index
The Compressibility Index of the powder blend was determined by Carr’s
compressibility index. It is a simple test to evaluate the BD and TD of a powder and
the rate at which it is packed down. The formula for Carr’s Index is as below:
Carr’s Index (%) = [(TD-BD) x100]/TD ………….. (3)
5.3.5 Hausner’s Ratio
The Hausner’s ratio is a number that is correlated to the flowability of a powder
or granular material.
Hausner’s Ratio = TD / BD ……………. (4)
Table No. 11: Effect of Carr’s Index and Hausner’s Ratio on flow property
Carr’s Index (%) Flow Character Hausner’s Ratio
< 10 Excellent 1.00–1.11
11–15 Good 1.12–1.18
16–20 Fair 1.19–1.25
21–25 Passable 1.26–1.34
26–31 Poor 1.35–1.45
32–37 Very poor 1.46–1.59
>38 Very, very poor >1.60
Angle of repose
The angle of repose of API powder was determined by the funnel method. The
accurately weight powder blend were taken in the funnel. The height of the funnel
was adjusted in such a way the tip of the funnel just touched the apex of the powder
blend. The powder blend was allowed to flow through the funnel freely on to the
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 77
surface. The diameter of the powder cone was measured and angle of repose was
calculated using the following equation.
tan θθθθ = h/r …………….(5)
Where, h and r are the height and radius of the powder cone respectively.
Table No. 12: Effect of Angle of repose (ф) on Flow property
Angle of Repose (Ф) Type of Flow
< 20 Excellent
20-30 Good
30-34 Passable
>35 Very poor
Particle Size Analysis
Particle size of drug was determined by Malvern particle size analyzer.
D (10, 13.42), D (50, 55.32), D (90, 149.21).
Drug - excipient Compatibility Studies: 73
A successful formulation of a stable and effective solid dosage form depends
on careful selection of excipients that are added to facilitate administration, promote
the consistent release and bioavailability of the drug and protect it from degradation.
If the excipients are new and not been used in formulation containing the active
substance, the compatibility studies are of paramount importance.
Compatibility of salbutamol sulphate with the respective polymers that is
Eudragit L100 and S100, individual excipients and physical mixture of main
formulation was established by Infrared Absorption Spectral Analysis (FTIR). Any
changes in the chemical composition after combining with the excipients were
investigated with IR spectral analysis.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 78
Table No. 13: Drug excipients compatibility study
Drug + Excipient Ratio
25ºCº±2°C /
60%RH± 5 %
RH
40ºC±2°C /
75%RH± 5 %
RH
Drug 1 4 Weeks 4 Weeks
Drug : Lactose 1:1 4 Weeks 4 Weeks
Drug : Starch 1:1 4 Weeks 4 Weeks
Drug: P.V.P. K-30 1:0.25 4 Weeks 4 Weeks
Drug : Mg Stearate 1:1 4 Weeks 4 Weeks
Drug : Aerosil 1:1 4 Weeks 4 Weeks
Drug+ Lactose + starch Proportional
Mixture 4 Weeks 4 Weeks
Drug + Lactose + Starch +
P.V.P. K-30 + Mg. Stearate+
Aerosil
Proportional
Mixture 4 Weeks 4 Weeks
Drug : Eudragit S100 1:0.25 4 Weeks 4 Weeks
Drug : Eudragit L100 1:0.25 4 Weeks 4 Weeks
Analytical Method:
Standard Calibration curve of Salbutamol Sulphate:
Calibration curve of Salbutamol Sulphate was taken in four different media
i.e. in pH 1.2, 5.5, 6.8, and pH 7.4 phosphate buffer media.
Ø Preparation of solution:
Preparation of 0.1 N HCl solution:
0.1M HCl was prepared by diluting 8.5 ml of concentrated Hydrochloric acid
to 1000 ml distilled water.
Preparation of 6.8 pH phosphate buffer solution:
27.22g of monobasic potassium phosphate was weighed and diluted up to
1000 ml to get stock solution of monobasic potassium phosphate. 8g Sodium
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 79
hydroxide was weighed and diluted up to 1000ml to get 0.2M sodium hydroxide
solution. 50 ml of the monobasic potassium phosphate solution was taken from the
stock solution in a 200-mL volumetric flask and 22.4 ml of sodium hydroxide solution
from stock solution of 0.2M sodium hydroxide solution was added and then water was
used to make up the volume.
Preparation of 5.5 pH phosphate buffer solution:
27.22g of monobasic potassium phosphate was weighed and diluted up to
1000 ml to get stock solution of monobasic potassium phosphate. 8g Sodium
hydroxide was weighed and diluted up to 1000ml to get 0.2M sodium hydroxide
solution.50 ml of the monobasic potassium phosphate solution from stock solution
was taken in a 200-mL volumetric flask and 22.4 ml of sodium hydroxide solution
from stock solution of 0.2M sodium hydroxide solution was added to it. The
remaining volume was made up with water.
Preparation of 7.4 pH phosphate buffer solution:
27.22g of monobasic potassium phosphate was weighed and diluted up to
1000 ml to get stock solution of monobasic potassium phosphate. 8g of Sodium
hydroxide was weighed and diluted up to 1000ml to get 0.2M sodium hydroxide
solution.
50 ml of the monobasic potassium phosphate solution from stock solution was
taken in a 200-mL volumetric flask, and 39.1 ml of sodium hydroxide solution from
stock solution of 0.2M sodium hydroxide solution was added, the remaining volume
was made up with water.
Standard (Stock) solution:
The stock solution was prepared by adding 10 mg of drug in 100ml with
respective buffer. From this solution serial dilution were performed to prepare 10-100
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 80
µg/ml of drug concentration were made using respective buffer solutions. All samples
were analyzed by UV spectrophotometer by measuring the absorbance at 276 nm.
Calculation of First pulse Dose
The pharmacokinetic parameters of Salbutamol Sulphate were utilized for the
calculation of theoretical drug release profile for pulsatile release dosage form. The
immediate release part of salbutamol sulphate was calculated using following
equation.
F
VdCssFPD
×= (1)
Where Css is steady-state plasma concentration, Vd is volume of distribution, and F is
fractional bioavailability. The total dose of salbutmaol sulphate required for pulsatile
release release profile was calculated using following equation.
(2)
Where, t is time up to which controlled release is required and t½ is half-life drug
TTaabbllee NNoo::----1144 PPhhaarrmmaaccookkiinneettiicc ppaarraammeetteerrss ooff SSaallbbuuttaammooll SSuullpphhaattee
Bioavailability
Steady State concentration (µµµµg/ml)
Volume of distribution (lit/kg)
Half life (hour)
Clearance (ml/min)
85% 9.5-16 0.21 2 – 2.5 1.2
Preparation of core tablets:
The core tablets (average weight 70 mg) of salbutamol sulphate were prepared
by wet granulation technique using PVP-K30 and Starch solution as binders. The
composition of core tablets is given in Table 5.1 and Table 5.2. Lactose was used as a
diluent and SSG (2mg) was added to obtain a fast disintegrating tablet.
Dose = FPD {1 + (0.693 x t/t1/2)}
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 81
Table: No. 15: Composition of first pulse tablets of salbutamol sulphate
Ingredients Quantity (mg/tablet)
Salbutamol sulphate 2.4
Lactose 35.4
Starch (intragranular) 25.2
Starch (binder solution) 3.5
Pvpk-30 (binder solution) 0.5
Magnesium stearate 1
Aerosil 1
Sodium Starch Glycolate 1
Total weight 70
Table: No. 16: Composition of second pulse tablets of salbutamol sulphate
Ingredients Quantity (mg/tablet)
Salbutamol sulphate 4.8
Lactose 33
Starch (intragranular) 25.2
Starch (binder solution) 3.5
PVPK-30 (binder solution) 0.5
Magnesium stearate 1
Aerosil 1
Sodium Starch Glycolate 2
Total weight 70
Procedure:
1. Starch paste containing PVPK-30 was used as a binder solution.
2. PVPK-30 was dissolved in required quantity of water.
3. Starch paste was prepared by dispersing starch in boiling water.
4. Solution obtained in step-2 was added in starch paste and mixed thoroughly.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 82
5. Salbutamol, lactose, and starch were passed through the 40 # sieve and thoroughly
mixed then granulated using PVP-K30 and starch solution as the binder.
6. The granules so obtained were dried at 60 °C for 2 hr in the oven.
7. Dried granules were passed through 20 # sieve and the fines were separated using
40 # sieve to obtain 20-40 # granules.
8. SSG and Aerosil were passed through 40 # sieve and mixed with dried granules.
9. These granules were lubricated with magnesium stearate. The lubricated granules
were compressed into tablets using Minipress Tablet Compression Machine.
(Rimek minipress-11 MT, Karnavati Engineering Ltd., Ahmedabad, India).
10. Weight variation, hardness, friability, and disintegration test were performed for
the core tablets.
Evaluation of core tablets:
Precompressional Studies: 71
Angle of repose:
The angle of repose of blend was determined by the funnel method. The
accurately weight blend was taken in the funnel. The height of the funnel was
adjusted in such a way that the tip of the funnel just touched the apex of the blend.
The blend was allowed to flow through the funnel freely on to the surface. The
diameter of the powder cone was measured and angle of repose was calculated using
the following equation.
tan θθθθ = h/r
Where, h and r are the height and radius of the powder cone.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 83
Bulk density and Tapped Density:
Both loose bulk density (LBD) and tapped bulk density (TBD) were
determined. A quantity of 2 gm of blend from each formula, previously shaken to
break any agglomerates formed, was introduced in to 10 ml measuring cylinder. After
that the initial volume was noted and the cylinder was allowed to fall under its own
weight on to a hard surface from the height of 2.5 cm at second intervals. Tapping
was continued until no further change in volume was noted. LBD and TDB were
calculated using the following equations.
LBD= Weight of the Granules/Untapped Volume of the packing
TBD=Weight of the Granules/Tapped Volume of the packing
Compressibility Index:
The Compressibility Index of the blend was determined by Carr’s
compressibility index. It is a simple test to evaluate the LBD and TBD of a powder
and the rate at which it packed down. The formula for Carr’s Index is as below:
Carr’s Index (%) = [(TBD-LBD) x100]/TBD
Hausner’s Ratio:
Hausner’s Ratio was determined by Following Equation:
Hausner’s Ratio = Tapped Density / Bulk Density
Post-compressional Studies:
Shape and appearance: 71
Tablets were examined under a lens for the shape of the tablet, and color was
observed by keeping the tablets in light.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 84
Uniformity of thickness: 71
Thickness and diameter of both core tablets and coated tablets were measured
using a calibrated dial calipers. Three tablets of each formulation were picked
randomly and dimensions determined. It is expressed in mm and standard deviation
was also calculated.
Weight variation test: 71
To study weight variation 20 tablets of each pulse dose formulation were
weighed separately using a Sartorius electronic balance and the test was performed
according to the official method.
Hardness test: 71
Hardness indicates the ability of a tablet to withstand mechanical shocks while
handling. Hardness of core tablets was determined using a validated dial type
hardness tester. It is expressed in kg/cm2. Three tablets were randomly picked from
each batch and analyzed for hardness. The mean and standard deviation were also
calculated.
Friability test: 71
For each pulse dose tablet formulation, the friability of 6 tablets was
determined using the Roche friabilator (Camp-bell Electronics, Mumbai, India).
Friability can be determined by following equation:
Tablet dosage forms assay: 73
Tablet containing 4.8 mg of drug was dissolved in 100 ml of simulated gastric
fluid (SGF) pH 1.2. The drug was allowed to dissolve in the solvent, the solution was
filtered, and 1ml of filtrate was suitably diluted with simulated gastric fluid pH 1.2
and analyzed spectrophotometrically at 276 nm. The amount of Salbutamol sulphate
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 85
was estimated by using standard calibration curve of the drug. Drug content studies
were carried out in triplicate for each batch of formulation.
In-vitro Disintegration test for first pulse tablet: 73
Tablet disintegration was carried by placing one tablet in each tube of the
basket and top portion of the each tube was closed with disc and run the apparatus
containing pH 1.2 SGF (simulated gastric fluid) maintained at 37±20C as the
immersion liquid. The assembly was raised and lowered between 30 cycles per
minute. The time taken for complete disintegration of the tablet with no palpable mass
remaining in the apparatus was measured and recorded. The experiment was carried
out in triplicate.
Preparation of coating solution:
Coating solution was made using different ratios of material like Eudragit
L100 and Eudragit S100.. Required quantity of polymers were dissolved in mixture of
solvents and stirred on magnetic stirrer to get homogeneous coating solution. Diethyl
Phthalate was added in above solution as plasticizer (1%w/v). After getting
homogeneous coating solution; coating was done on tablets.
Parameter Value
Inlet Air Temperature 40-450C
Exhaust Temperature 30-350C
Bed Temperature 380C
Atomization (bar) 2
Spray rate (gm/min) 10
Pan RPM 10
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 86
Percentage weight gain calculated by following equation1:
Percentage Weight Gain = [(Wt-Wo)/Wo]*100
Where,
Wt = Weight of table after coating
Wo = initial weight of tablet
Trials of Coating with Eudragit S100:
Coating was done using Eudragit S100. Three formulations were formulated
by varying the weight gain on tablet upon coating. The coated tablets were evaluated
for In-vitro drug release profile.
Table No. 17: Composition of Coating solution
In-vitro drug release studies of tablets coated with Eudragit S100: 74
Drug release studies of coated tablets were carried out using a USP XXIII
dissolution rate test apparatus (Apparatus 2, 100 rpm, 37 °C) for 2 hr in 0.1 M HCl
(900 ml) as the average gastric emptying time is about 2 hr. Then the dissolution
medium was replaced with pH-5.5 phosphate buffer (900 ml) for 1hr and then in pH
6.8 phosphate buffer (900 ml) for 2 hr as the average small intestinal transit time is
about 3 hr. After 5 hr, the dissolution medium was replaced with pH 7.4 phosphate
buffer (900 ml) and tested for drug release up to complete drug release. At the end of
the time period 10 ml of the samples were taken and analyzed for Salbutamol
Ingredients F1 F2 F3
Eudragit S100 25 25 25
Diethyl Pthalate 3 3 3
Acetone 250 250 250
Isopropyl Alcohol 250 250 250
% coating 8 10 12
Quantity in gms
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 87
Sulphate content. A 10 ml Volume of fresh and filtered dissolution medium was
added to make the Volume after each sample withdrawal. Sample was analyzed using
UV spectrophotometer at 276 nm.
Trials of coating with Combination of Eudragit L100 and Eudragit S100
Coating was done using Eudragit S100 and Eudragit L100 in combination.
Three formulations were formulated by varying the weight gain on tablet upon
coating. The coated tablets were evaluated for In-vitro drug release profile.
Table No. 18: Composition of coating solution
In-vitro drug release studies of coated tablet of Salbutamol Sulphate with
Eudragit L100 and Eudragit S100: 74
Drug release studies of coated tablets were carried out using a USP XXIII
dissolution rate test apparatus (Apparatus 2, 100 rpm, 37 °C) for 2 hr in 0.1 M HCl
(900 ml) as the average gastric emptying time is about 2 hr. Then the dissolution
medium was replaced with pH-5.5 phosphate buffer (900 ml) for 1hr and then in pH
6.8 phosphate buffer (900 ml) for 2 hr as the average small intestinal transit time is
about 3 hr. After 5 hr, the dissolution medium was replaced with pH 7.4 phosphate
buffer (900 ml) and tested for drug release up to complete drug release. At the end of
Ingredients F4 F5 F6
Eudragit L100 15 15 15
Eudragit S100 15 15 15
Diethyl Phthalate 3 3 3
Acetone 250 250 250
Isopropyl Alcohol 250 250 250
% coating 8 10 12
Quantity in gms
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 88
the time period 10 ml of the samples were taken and analyzed for Salbutamol
Sulphate content. A 10 ml Volume of fresh and filtered dissolution medium was
added to make the Volume after each sample withdrawal. Sample was analyzed using
UV spectrophotometer at 276 nm.
Optimization by using 32 full factorial designs: 51
In the present study, a 32 full factorial design was employed to study the effect
of independent variables, i.e. Ratio of Eudragit L100: Eudragit S100 (X1) and %
Coating (X2) on dependent variables, % drug release at Q5 & Q6. A statistical model
(see equation) incorporating interactive and polynomial terms was utilized to evaluate
the responses.
Y = b0 + b1X1+b2X2 + b12X1X2 + b11X12 + b22X2
2
Where, Y is the dependent variables, b0 is the arithmetic mean response of the
nine runs, and b1 is the estimated coefficient for the factor X1. The main effects (X1
and X2) represent the average result of changing one factor at a time from its low to
high value. The interaction terms (X1X2) show how the response changes when two
factors are simultaneously changed. The polynomial terms (X12 and X2
2) are included
to investigate non-linearity. The results indicate that all the dependent variables are
strongly dependent on the selected independent variables as they show a wide
variation among the nine batches (F7 to F15). The fitted equations (Full model)
relating the responses, i.e., % drug release at Q5 & Q6 are shown in Table 5.6. The
polynomial equation can be used to draw conclusions after considering the magnitude
of coefficient and the mathematical sign it carries, i.e. positive or negative. The high
values of correlation coefficient (Table No:--17) for the dependent variables indicate a
good fit. The equation may be used to obtain estimate of the response because small
error of variance was noticed in the replicates.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 89
Table No. 19: 32 Full Factorial Design Layout
Batch No. Independent variables
X1 X2
F7 -1 -1
F8 -1 0
F9 -1 1
F10 0 -1
F11 0 0
F12 0 1
F13 1 -1
F14 1 0
F15 1 1
Concentration of Independent variable
Level Ratio of Eudragit L100: S100 % Coating
-1 1:1 12
0 1:2 15
1 1:3 18
Table No. 20: Formula of Factorial batches
Ingredients F7 F8 F9 F10 F11 F12 F13 F14 F15
Eudragit L100 15 15 15 15 15 15 15 15 15
Eudragit S100 15 15 15 30 30 30 45 45 45
Diethyl Phthalate 3 3 3 3 3 3 3 3 3
Acetone 250 250 250 250 250 250 250 250 250
Isopropyl Alcohol 250 250 250 250 250 250 250 250 250
% coating 12 15 18 12 15 18 12 15 18
Quantity in gms
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 90
In-vitro release studies of factorial batches: 74
Drug release studies of coated tablets were carried out using a USP XXIII
dissolution rate test apparatus (Apparatus 2, 100 rpm, 37 °C) for 2 hr in 0.1 M HCl
(900 ml) as the average gastric emptying time is about 2 hr. Then the dissolution
medium was replaced with pH-5.5 phosphate buffer (900 ml) for 1hr and then in pH
6.8 phosphate buffer (900 ml) for 2 hr as the average small intestinal transit time is
about 3 hr. After 5 hr, the dissolution medium was replaced with pH 7.4 phosphate
buffer (900 ml) and tested for drug release up to complete drug release. At the end of
the time period 10 ml of the samples were taken and analyzed for Salbutamol
Sulphate content. A 10 ml volume of fresh and filtered dissolution medium was added
to make the volume after each sample withdrawal. Sample was analyzed using UV
spectrophotometer at 276 nm.
Preparation of “Tablet in Capsule” device:
Tablet in capsule device was formed by filling size “0” capsule with two tablets, one
of each pulse, i.e., one for first pulse release and other for second pulse release.
Evaluation of “Tablet in Capsule” device:
In-vitro drug release studies of device: 74
Conducting in vitro drug release studies assessed the “Tablet in capsule”
device of Salbutamol to release the drug in two pulses with immediate first pulse as
loading dose and remaining second pulse after the required lag time. Drug release
studies were carried out using a USP XXIII dissolution rate test apparatus (Apparatus
2, 100 rpm, 37 °C) for 2 hr in 0.1 M HCl (900 ml) as the average gastric emptying
time is about 2 hr. Then the dissolution medium was replaced with pH-5.5 phosphate
buffer (900 ml) for 1hr and then in pH 6.8 phosphate buffer (900 ml) for 2 hr as the
average small intestinal transit time is about 3 hr. After 5 hr, the dissolution medium
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 91
was replaced with pH 7.4 phosphate buffer (900 ml) and tested for drug release up to
complete drug release. At the end of the time period 10 ml of the samples were taken
and analyzed for salbutamol sulphate content. A 10 ml volume of fresh and filtered
dissolution medium was added to make the volume after each sample withdrawal.
Sample was analyzed using UV spectrophotometer at 276 nm.
Effect of paddle speed on the lag time and release characteristics: 40
Devices were subjected to in-vitro dissolution study at different paddle speed
(50, 75 and 100 rpm). Other conditions remained as described above. Effect of paddle
speed on release behavior and lag time was observed and analyzed using a
spectrophotrometer10
In-vivo Gamma-Scintigraphic Studies: 58, 69, 70
Rabbit was used for scintigraphy study. The radio labeled capsule was
administered and then rabbit was immobilized and seated comfortably in the rabbit
cage. The rabbit had small sealed source of 0.06MBq 99mT firmly taped to the skin at
the position of its shoulder joint and hip joint on the same side, which was depicted as
an anatomical reference marker. The source was also used for repositioning when the
images were taken. Scintiscans were taken after 30 min, 2 hrs, 4 hrs and after 5.5 hrs.
Stability study of “Tablet in Capsule” device: 75
Reproduced large scale batch F 16 was placed for stability study at 40˚C/75%
RH for 1 month. Sample was collected at every 10 days interval and evaluated for In-
vitro drug release study in 0.1N HCl, pH 5.5, pH 6.8 and pH 7.4 Phosphate buffer
solutions, USP- II paddle apparatus, 50rpm.
Chapter 4 Material and Methodology
Department of Pharmaceutics, KLE University, Belgaum 92
Plate No.: 1. Core Tablets
Plate No.: 2. Coated Tablets
Plate No.: 3. “Tablet-in-Capsule Device”
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 93
RESULTS AND DISCUSSION
PREFORMULATION STUDIES OF PURE DRUG:
Identification of Drug:
The IR spectrum of pure drug (Figure No.10) was found to be similar to the
reference standard IR spectrum of Salbutamol Sulphate given in British
pharmacopoeia.
Melting point determination
Melting point of salbutamol sulphate was found to be in the range of 158°C to
160°C with decomposition as reported in pharmacopoeia, thus indicating purity of the
drug sample.
Other preformulation studies
Data obtained from the preformulation studies of the pure drug are shown in
Table No.21 from the results it can be concluded that inherent flow properties of the
pure drug is poor. So, it requires modifying its flow properties in order to obtain the
tablets having uniform weight.
Drug - excipient Compatibility Studies:
Compatibility studies of pure drug Salbutamol sulphate with polymers and
other excipients were carried out prior to the preparation of tablets. I.R spectra of pure
drug salbutamol sulphate, and that of with polymers and other ingredients were
obtained, which are shown in figure No.11 to 20. All the characteristic peaks of
Salbutamol sulphate were present in spectra thus indicating compatibility between
drug and excipients. It shows that there was no significant change in the chemical
integrity of the drug. The results of compatibility study are shown in Table No.22.
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 94
Analytical Method
Table No.23 to Table No.26 shows the absorbance reading of salbutamol
sulphate standard solution containing 10 – 100 µg/ml of drug in pH 1.2, phosphate
buffer pH 5.5, pH 6.8 and pH 7.4 at the maximum wavelength of 276 nm.
Figure No.21 to Figure No.24 shows the standard calibration curve for
salbutamol sulphate with slope, intercept and regression co-efficient. The calculations
of drug contents and in-vitro drug release study are based on this standard curve.
Calculation of First pulse Dose
From the equation the dose of first pulse tablet was found to be 2.4 mg and
total dose was found to be 6 mg of salbutamol sulphate.
EVALUATION OF CORE TABLETS:
Precompressional parameters:
Granules of all the formulations were subjected for various precompressional
evaluation such as angle of repose, bulk and tapped density, compressibility index and
Hausner’s Ratio.
Results of all the pre-compression parameters performed on the granules for
batch T1 and T2 are shown in Table No.27.
The result of angle of repose was found to be 28.36 and 27.36 for batch T1
and T2 respectively. Compressibility index was found to be 13.84 and 13.95 for batch
T1 and T2. The results of Hausner’s ratios were found to be 1.15 and 1.13
respectively for batch T1 and T2. The results of angle of repose (<30) indicate good
flow properties of the powder based on Table No.12. This was further supported by
lower compressibility index values. Generally, compressibility index values up to
15% results in good to excellent flow properties.
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 95
Post-compressional parameters:
All the tablet formulations were subjected for evaluation according to various
official specifications and other parameters. Shape, thickness, hardness, friability,
weight variation, tablet dosage form assay and in vitro disintegration time.
Shape and appearance:
Formulations prepared were randomly picked from each batch examined
under lens for shape and in presence of light for color. Tablets showed standard
concave surfaces with circular shape. Tablets were white in color.
Uniformity of thickness:
Thickness of the tablets was measured using calibrated dial calipers by picking
three tablets randomly from all the batches. The results of thickness for tablets are
shown in Table No. 28. The mean thickness of tablets (n=3) of batch T1 and T2 were
2.8±0.1mm. The standard deviation values indicated that all the formulations were
within the range.
Weight variation test:
The weight variation of both the formulations is shown in Table No.28. All the
tablets passed the weight variation test, i.e., average percentage weight variation was
found within the pharmacopoeial limits of ±10%.
Hardness test:
Hardness or crushing strength of the tablets of both the formulation was found
to be 3.0±0.28 for batch T1 and 3.5±0.5 for batch T2. The mean hardness test results
are tabulated in Table No.28.
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 96
The low standard deviation values indicated that the hardness of all the
formulations was almost uniform and the tablets possess good mechanical strength
with sufficient hardness.
Friability test:
Friability values for batch T1 and T2 were found 0.56 and 0.42% respectively.
The obtained results were found to be well within the approved range (<1%) in all the
designed formulations. That indicated tablets possess good mechanical strength. The
results are tabulated in Table No.28.
Tablet dosage form assay:
Tablet dosage form assay for both the formulations was carried out. Three
replicates of each test were carried out. The average value and standard deviations
were calculated. In assay of both the formulation, the tablets of batch T1 and T2
showed 98.17±0.33% and 98.56±0.30%drug content respectively. The results are
tabulated in Table No.28.
The results were within the limit (90% to 110%) specified in pharmacopoeia. The
cumulative percentage drug released from each tablet in the in-vitro release studies
was based on the average drug content present in the tablet.
In-vitro disintegration time of first pulse tablet:
In-vitro disintegration time for T1formulations was found to be 2.5±0.25
minutes. The formulation showed the in–vitro DT within the limit specified in
pharmacopoeia.
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 97
Trials of Coating with Eudragit S100:
The In-vitro release studies were carried out using – XXIII dissolution
assembly. Cumulative % drug release after 7 hrs was found to be 79.14%, 75.29% and
79.16% for formulation F1, F2 and F3 respectively. The release before completion of
lag time was found to be 36.49%, 30.16% and 25.74% for formulation F1, F2 and F3
respectively. The results clearly indicate that, tablet coated with Eudragit S100 alone
failed to achieve a lag time, required burst effect after completion of lag time and
therefore release profile was not desirable. So further study was planned by using
some combination of Eudragit S100 and Eudragit L100 in different concentration.
The results obtained in the in-vitro drug release study are tabulated in Table
No. 29. The cumulative percentage release of salbutamol sulphate as a function of
time for all the formulations are shown in Figure No.25.
Trials of coating with Combination of Eudragit L100 and Eudragit S100:
The In-vitro release studies were carried out using – XXIII dissolution
assembly. Cumulative % drug release after 7 hrs was found to be 82.62%, 81.16% and
84.15% for formulation F4, F5 and F6 respectively. The release before completion of
lag time was found to be 36.49%, 37.19% and 33.33% for formulation F1, F2 and F3
respectively.
The results obtained in the In-vitro drug release study are tabulated in Table
No.30. The cumulative percentage of salbutamol sulpahte released as a function of
time for all the formulations are shown in Figure No.26.
Coating of tablets with Eudragit L100: Eudragit S100 in combination showed
the lag time of nearly 5 hrs before burst effect. From the result, concluded that the
combination of Eudragit L100: Eudragit S100 can be successfully utilized to create
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 98
desire release profile similar to the targeted release profile in future study. On the
basis of the preliminary trials in the present investigation a 32 full factorial design was
applied to study the effect of independent variables, i.e. ratio of Eudragit L100:
Eudragit S100 (X1) and % coating of tablets (X2) on dependent variables like, % drug
release at Q5 & Q6.
Effect of Independent variables on dependent variables by 32 full factorial design
of Salbutamol sulphate for Pulsatile Release:
The factorial batches were prepared by using independent variables like ratio
of Eudragit S100: Eudragit L100 and % coating and to check its effect on dependent
variables like Q5 and Q6 which are tabulated in Table No.31.
Factorial batches of Salbutamol Sulphate for pulsatile release were evaluated
for the In-vitro drug release and by its regression analysis. The results obtained in the
in-vitro drug release study are tabulated in Table No.32. The cumulative percentage of
salbutamol sulpahte released for all the formulations (F7 to F15) are shown in Figure
No.27 to Figure No.29. The effect of the individual polymer and combination of the
polymers was studied. The summary of regression analysis for pulsatile release tablet
shown in Table No.33.
The result of regression analysis showed that all the co-efficient bear a
different sign, which indicate that both the Independent variables shows significant
effect on dependent variables.
Drug release at 5th hr (Q5) gives correlation co-efficient 0.97736071. The P
value for variable X1 and X2 were 0.002 and 0.0380 respectively (P<0.05), it indicate
that both variables shows significant effect on drug release and combination co-
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 99
efficient was negative but the P value was not less than 0.05, which indicates that
combination of independent variable does not show significant effect at 5th hr.
Q5 =22.28 - 0.0816X1 – 0.0285X2 – 0.00767X1X2 – 0.0491X12 – 0.0069X2
2 …… (9)
Drug release at 6th hrs (Q6) has less linearity compared to Q5 with correlation
co-efficient 0.76426095. The P value for variable X1 and X2 were 0.56 and 0.18
(P<0.05), it indicate that both variables does not show significant effect on the drug
release at 6h, also the combination co-efficient was negative but the P value was not
less than 0.05 so, we say that the combination of independent variable does not give
the significant effect at 6h release. The co-efficient of X1 and X2 were negative
indicating that when concentration of both the variable increases than drug release
decreases.
Q6 = 77.99 – 0.0107X1 – 0.0282X2 – 0.0073X1X2 – 0.0604X12 – 0.0372X2
2 …. (10)
The Q5 and Q6 for all the batches F7 to F15 varied from 33.33 % to 12.79% and
87.77% to 71% with correlation coefficient as 0.9773 and 0.7643 respectively.
Formulation F15 showed the least drug release at Q5 with only 12% drug release but it
failed to completely release the drug at second pulse with only 71% drug release.
Formulation F11 showed 17.23% drug release at Q5 but it showed maximum release
at Q6 with 87.77% drug release and hence on this basis it was considered as best
formulation.
The response surface plot was plotted against X variable, Y variable and Z
variable. X variable taken as ratio of Eudragit S100:L100, Y variable taken as %
coating and Z variable considered as drug release at 5th and 6th hour as shown in Plot
No. 1 and Plot No. 2.
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 100
Preparation of “Tablet in Capsule” device:
Each part of the novel system can be prepared separately and fabricated in
the final step. Whole dosage form “Tablets in capsule” was formulated by filling a
first pulse tablet and a second pulse tablets in an empty “0” size capsule shell and
evaluated for the in-vitro drug release, effect of paddle speed on lag time and release
characteristic, stability, and in-vivo Gamma scintigraphic studies.
Evaluation of “Tablet in Capsule” device:
In-vitro drug release studies of device:
The best promising formulation F16 was selected for the study of in vitro drug
release profile. The 100% drug released from the first pulse tablet within 15 minutes
and 87.77% drug released after a completion of lag time. Drug released before lag
completion of lag time was found to be 17.23%.
The results obtained in the In-vitro drug release study are tabulated in Table
No.34. The cumulative percentage of salbutamol sulpahte released from “Tablet-in –
Capsule” device as a function of time for all the formulations F16 is shown in Figure
No.30.
The drug release profile showed sigmoidal release pattern which is considered
to be an ideal for the pulsatile drug delivery system.
Effect of paddle speed on the lag time and release characteristics:
Drug release from the device, need to be independent of agitational intensity
of the release media. In order to verify effect of agitational intensity, the dissolution
studies were conducted at three different rpm (75, 100, and 150). Formulation F16
was considered for this study. Dissolution studies were carried out using USP- Type II
Chapter – 5 Results and Discussion
Department of Pharmaceutics, KLE University, Belgaum 101
dissolution apparatus and results are given in the Table No. 35 and release profile of
F16 is plotted as shown in the Figure No. 31. The cumulative percentages of drug
released from the device were found to be 92.74, 94.15 and 95.74% respectively for
50, 75, and 100 rpm. A perusal to Figure 30 showed there was no drastic change in
release profiles.
No significant difference in drug release was observed for release study in
under different rotational speed. This shows an advantage for the system, as it predicts
no change in the performance of the system as increased gastric motility.
In-vivo Gamma-Scintigraphic Studies
Gamma scintigraphy, a noninvasive technique, is a reliable tool for evaluating
the In-vivo performance of dosage form in the different regions of GIT. Plat no. 4 to 7
showes the scinti scans taken on the rabbit during gamma scintigraphic studies.
Stability study of “Tablet in Capsule” device:
The stability study was carried out at 40°C/75% RH for formulation F16 up to
30 days. At every 10 days time interval, the devices were analyzed for drug content
uniformity and In-vitro drug release. The results of accelerated stability study are
tabulated in Table No.36 and release profile of F16 after stability study is plotted as
shown in the Figure No.32.
The results of accelerated stability study showed that there was no change in
the formulation after one month. In-vitro drug release study showed that after 10, 20
and 30 days; values obtained were 95.62%, 94.84% and 93.62% respectively. The
drug release throughout 7 hours obtained within range of targeted release profile.
After 1 month accelerated stability study the assay result was stable.
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 102
Figure No. 10: FT-IR Spectra of pure Salbutamol sulphate
750900105012001350150016501800195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
%T
3481.6
33464.2
73446.9
13377.4
7
3275.2
4
3144.0
73117.0
73097.7
83080.4
22983.9
82947.3
32933.8
3
2777.5
9
2690.7
92650.2
8
2559.6
2
2457.3
92422.6
72349.3
82316.5
8
1635.6
91616.4
0
1508.3
81489.1
01471.7
41446.6
61437.0
21394.5
81361.7
91330.9
31311.6
4
1246.0
6
1203.6
2
1139.9
7 1091.7
51062.8
11043.5
2 1030.0
2
979.8
7 947.0
8916.2
2
881.5
0
840.9
9
790.8
4771.5
5748.4
1 732.9
7713.6
9675.1
1
SALBUTAMOL SULPHATE PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 103
Table No. 21: Result of Preformulation study of Salbutamol Sulphate
Drug Angle of Repose (0)
Loose Bulk Density (g/ml)
Tapped Bulk Density (g/ml)
Carr’s Index (%) Hausner’s Ratio
Drug 27.34 0.375 0.516 30 1.37
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 104
Figure No. 11: FT-IR Spectra of Salbutamol sulphate + Eudragit S 100
7509001050120013501500 16501800195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
100
110
120
%T
3269.453257.883248.23
3136.363120.93
3103.57
2982.052953.12
2775.66
2729.372690.792669.572654.142559.62
2482.47
2457.39
2360.95
2349.38
1732.13
1616.40
1506.461489.101467.88
1438.94
1394.58
1377.22
1361.791330.93
1311.64
1246.061195.911132.25
1114.89
1085.961080.17
1060.88
1031.95
1012.66
977.94
947.08916.22
881.50
839.06
792.77
767.69 748.41
731.05
SALBUTAMOL+EUDRAGIT S-100
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 105
Figure No. 12: FT-IR Spectra of Salbutamol sulphate + Eudragit L-100
75090010501200135015001650180019502100240027003000 3300360039001/cm
0
10
20
30
40
50
60
70
80
90
100
110
120
130
%T
3149.863144.073126.71
3101.64
2983.982972.402953.12
2783.372775.66
2721.652692.722667.642656.07
2582.77
2559.62
2482.47
2457.39
2360.95
2322.37
1732.131716.70
1616.40
1506.46
1489.101465.951438.94
1394.58
1377.22
1361.791330.93
1309.71
1244.131193.981132.251114.89
1085.96
1060.88
1031.95
1012.66
977.94
947.08916.22
881.50
839.06
790.84
773.48 748.41
731.05 719.47
SALBUTAMOL+EUDRAGIT L-100
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 106
750900105012001350150016501800195021002400270030003300360039001/cm
0
7.5
15
22.5
30
37.5
45
52.5
60
67.5
75
82.5
90
%T
3566.5
0
3466.2
03446.9
13377.4
73335.0
33257.8
83163.3
63153.7
23140.2
23126.7
13068.8
53024.4
82972.4
02933.8
32889.4
62862.4
62781.4
42727.4
42694.6
52688.8
62559.6
22482.4
72457.3
92422.6
72362.8
82341.6
62333.9
4
1635.6
91616.4
0
1506.4
6
1456.3
01438.9
4
1394.5
8
1361.7
91330.9
31311.6
4
1244.1
3
1197.8
3
1134.1
81112.9
61084.0
31058.9
61030.0
21010.7
3989.5
2
939.3
6916.2
2
862.2
1839.0
6
771.5
5
721.4
0
STARCH PDDS
Figure No. 13: FT-IR Spectra of Salbutamol sulphate + Starch
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 107
Figure No. 14: FT-IR Spectra of Salbutamol sulphate + Lactose
750900105012001350150016501800195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
100
%T
3524.0
63479.7
03466.2
0
3271.3
8
3171.0
83151.7
93117.0
73088.1
42980.1
22933.8
32901.0
42872.1
02781.4
42729.3
72694.6
52673.4
32586.6
32559.6
22482.4
72457.3
92422.6
72359.0
22341.6
62330.0
9 1616.4
0
1506.4
6 1489.1
01467.8
81438.9
4
1394.5
81377.2
21361.7
91338.6
41309.7
1
1259.5
61244.1
3
1203.6
2 1166.9
71134.1
81114.8
91085.9
61060.8
81031.9
5
987.5
9977.9
4947.0
8916.2
2898.8
6877.6
4839.0
6
771.5
5748.4
1
711.7
6
669.3
2
LACTOSE PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 108
Figure No. 15: FT-IR Spectra of Salbutamol sulphate + PVP K30
750900105012001350150016501800195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
100
%T
3481.6
3
3250.1
63153.7
23138.2
93099.7
13086.2
12982.0
52970.4
82949.2
62933.8
32781.4
42723.5
82690.7
9
2559.6
2
2457.3
92420.7
42357.0
9 2341.6
6
1616.4
0
1506.4
6 1489.1
01467.8
81438.9
4
1394.5
81377.2
21361.7
91330.9
31311.6
4
1244.1
3
1205.5
5
1132.2
51114.8
91085.9
6 1060.8
81035.8
11010.7
3977.9
4
947.0
8916.2
2
839.0
6
771.5
5748.4
1
P.V.P.K-30 PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 109
Figure No. 16: FT-IR Spectra of Salbutamol sulphate + Magnesium stearate
750900 10501200 13501500 16501800 195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
100 %T
3524.063479.703466.20
3271.383171.083151.79
3117.07
3088.14
2980.122933.83
2901.042872.10
2781.44
2729.372694.652673.43
2586.63
2559.62
2482.472457.39
2422.67
2359.02
2341.66
2330.09
1616.40
1506.46
1489.10
1467.881438.94
1394.581377.22
1361.791338.64
1309.71
1259.56
1244.131203.62
1166.97
1134.181114.89
1085.96
1060.88
1031.95
987.59 977.94
947.08
916.22
898.86877.64
839.06771.55
748.41
711.76 669.32
MG. STEARATE
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 110
Figure No. 17: FT-IR Spectra of Salbutamol sulphate + Aerosil
750900105012001350150016501800195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
100
110
120
%T
3273.3
1
3151.7
93144.0
73124.7
93084.2
82983.9
82974.3
32949.2
62933.8
32787.2
32777.5
92723.5
82692.7
22584.7
02559.6
2
2457.3
92420.7
42362.8
82341.6
6
1616.4
0
1508.3
81489.1
01465.9
51438.9
41394.5
81379.1
51361.7
91330.9
31309.7
1
1238.3
4
1195.9
1
1114.8
91087.8
91062.8
11033.8
8
977.9
4
947.0
8916.2
2
839.0
6
794.7
0773.4
8748.4
1
AEROSIL PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 111
Figure No. 18: FT-IR Spectra of Salbutamol sulphate + S.S.G.
750900105012001350150016501800195021002400270030003300360039001/cm
0
7.5
15
22.5
30
37.5
45
52.5
60
67.5
75
82.5
%T
3466.2
03446.9
1
3271.3
83244.3
83149.8
63132.5
03120.9
33099.7
13078.4
92982.0
52947.3
32933.8
32783.3
72725.5
12692.7
2 2559.6
2 2457.3
9
2351.3
02322.3
7
1749.4
91734.0
61716.7
0
1616.4
0
1506.4
61489.1
01471.7
41438.9
4
1394.5
81377.2
21361.7
91330.9
31311.6
4
1244.1
3
1199.7
6
1132.2
51112.9
61085.9
6 1060.8
81030.0
21010.7
3977.9
4
947.0
8916.2
2
881.5
0
839.0
6
794.7
0771.5
5746.4
8729.1
2717.5
4
S.S.G PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 112
Figure No. 19: FT-IR Spectra of Salbutamol sulphate + Lactose + Starch
750900105012001350150016501800195021002400270030003300360039001/cm
0
10
20
30
40
50
60
70
80
90
%T
3566.5
03524.0
63466.2
03444.9
83383.2
6
3273.3
13257.8
83180.7
23149.8
63080.4
22978.1
92933.8
32901.0
42885.6
02872.1
02862.4
62783.3
72733.2
22694.6
52671.5
02584.7
02559.6
22482.4
72457.3
92422.6
72362.8
82341.6
6
1616.4
0
1506.4
61489.1
01456.3
01437.0
2
1394.5
8
1361.7
91332.8
61307.7
8
1259.5
61244.1
3
1201.6
9
1134.1
81112.9
61085.9
61074.3
91060.8
81033.8
81004.9
5989.5
2945.1
5916.2
2898.8
6875.7
1839.0
6
771.5
5750.3
3 705.9
7
669.3
2
LACTO-STARCH-SAL PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 113
Figure No. 20: FT-IR Spectra of whole formulation
750900105012001350150016501800195021002400270030003300360039001/cm
0
7.5
15
22.5
30
37.5
45
52.5
60
67.5
75
%T3626.2
93566.5
03524.0
63479.7
03466.2
03446.9
13427.6
23379.4
03331.1
83273.3
13259.8
13161.4
33149.8
63140.2
23128.6
43117.0
73088.1
42980.1
22933.8
32901.0
42879.8
22862.4
62775.6
62692.7
22675.3
62582.7
72559.6
22482.4
72455.4
62420.7
42360.9
52343.5
92146.8
42088.9
82040.7
62017.6
11992.5
31942.3
81923.0
91909.5
91869.0
81844.0
11791.9
31749.4
91734.0
61716.7
01681.9
8
1635.6
91616.4
0
1489.1
01456.3
01438.9
4
1394.5
8
1361.7
91329.0
01311.6
4
1244.1
3
1203.6
2
1132.2
51114.8
91085.9
61060.8
81035.8
11010.7
3989.5
2
945.1
5916.2
2898.8
6875.7
1868.0
0839.0
6
771.5
5746.4
8723.3
3713.6
9
659.6
8
MIX SAMPLE PDDS
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 114
Drug + Excipient Initial Observation After 1 month at 40ºC±2°C / 75%RH± 5 %
RH Drug (Salbutamol sulphate) A white to offwhite powder Compatible
Drug + Lactose A white to offwhite powder Compatible
Drug + Starch A white to offwhite powder Compatible
Drug + P.V.P. K-30 A white to offwhite powder Compatible
Drug + Mg. Stearate A white to offwhite powder Compatible
Drug + Aerosil A white to offwhite powder Compatible
Drug + Eudragit S100 A white to offwhite powder Compatible
Drug + Eudragit L100 A white to offwhite powder Compatible
Drug + Mix sample A white to offwhite powder Compatible
Table No. 22: Result of Drug excipients compatibility study After 1 month at 40ºC±2°C / 75%RH± 5 % RH
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
115 Table N
o. 23: Standard calibration curve of Salbutamol Sulphate in 0.1 N
HCL
Sr.no Concentration (ug/m
l) Absorbance
Average
Absorbance
1
2 3
1
10 0.055
0.056 0.055
0.055 2
20 0.11
0.11 0.112
0.11 3
30 0.175
0.175 0.177
0.175 4
40 0.23
0.232 0.24
0.232 5
50 0.29
0.29 0.29
0.29 6
60 0.35
0.35 0.35
0.35 7
70 0.41
0.42 0.42
0.42 8
80 0.47
0.47 0.48
0.47 9
90 0.525
0.527 0.526
0.526 10
100 0.586
0.586 0.586
0.586 Absorbance = 0.0059x - 0.0035
Correlation co-efficient R
2 = 0.9999
Figure N
o. 21: Standard calibration curve of Salbutamol Sulphate in 0.1 N
HCL
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
116
Table N
o. 24: Standard calibration curve of salbutmaol sulphate in pH
5.5
Phosphate buffer
Sr.no Concentration (ug/m
l) Absorbance
Average
Absorbance
1
2 3
1 10
0.094 0.094
0.095 0.094
2 20
0.17 0.17
0.17 0.17
3 30
0.243 0.244
0.244 0.244
4 40
0.308 0.309
0.308 0.308
5 50
0.379 0.379
0.379 0.379
6 60
0.448 0.448
0.449 0.448
7 70
0.499 0.499
0.500 0.499
8 80
0.548 0.548
0.549 0.548
9 90
0.578 0.578
0.578 0.578
10 100
0.63 0.64
0.63 0.630
Absorbance = 0.0062x + 0.0326
Regression co-efficient R
2 = 0.9943
Figure N
o. 22: Standard calibration curve of salbutmaol sulphate in pH
5.5 Phosphate buffer
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
117
Table N
o. 25: Standard calibration curve of Salbutamol Sulphate in pH
6.8 phosphate buffer
Sr.no Concentration (ug/m
l) Absorbance
Average
Absorbance
1
2 3
1
10 0.075
0.075 0.076
0.075 2
20 0.142
0.143 0.143
00143 3
30 0.208
0.208 0.209
0.208 4
40 0.276
0.276 0.277
0.276 5
50 0.326
0.326 0.327
0.326 6
60 0.395
0.394 0.395
0.395 7
70 0.465
0.465 0.465
0.465 8
80 0.516
0.517 0.516
0.516 9
90 0.576
0.576 0.576
0.576 10
100 0.642
0.642 0.6436
0.642 Absorbance = 0.0063x + 0.0124
Regression co-efficient R
2 = 0.9989
Figure N
o. 23: Standard calibration curve of Salbutamol Sulphate in pH
6.8 phosphate buffer
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
118
Table N
o. 26: Standard calibration curve of salbutmaol sulphate in pH
7.4
Phosphate buffer
Figure N
o. 24: Standard calibration curve of salbutmaol sulphate in pH
7.4 Phosphate buffer
Sr.no Concentration (ug/m
l) Absorbance
Average
Absorbance
1
2 3
1
10 0.065
0.065 0.066
0.065 2
20 0.121
0.121 0.120
0.121 3
30 0.183
0.183 0.183
0.183 4
40 0.24
0.25 0.24
0.24 5
50 0.308
0.309 0.308
0.308 6
60 0.362
0.362 0.362
0.362 7
70 0.424
0.424 0.425
0.424 8
80 0.483
0.483 0.484
0.483 9
90 0.548
0.549 0.548
0.548 10
100 0.604
0.604 0.605
0.604 Absorbance = 0.006x + 0.0015
Regression co-efficient R
2 = 0.9998
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
119
Table N
o. 27: Pre-com
pression evaluation of the prepared granules
Batch
T1*
T2*
Angle of R
epose 28.36
27.36
Bulk D
ensity (gm/cc)
0.59 0.62
Tapped density (gm
/cc) 0.78
0.74
Carr’s Index
13.84 13.95
Hausner’s R
atio 1.15
1.12
T1* :- First pulse tablet
T2* :- Second Pulse T
ablet
Table N
o. 28: Post-com
pression evaluation of the prepared Tablets
Batch
T1*
T2*
Uniform
ity of thickness (mm)
2.8 ± 0.1 2.8 ± 0.1
Weight variation (m
g) 70.15 ± 0.64
70.60 ± 0.64
Hardness
3.0 ± 0.28 3.5 ± 0.5
Friability (%
) 0.56
0.42
% Drug C
ontent 98.17 ± 0.33
98.56±0.30
Disintegration T
ime
2.5 ± 0.25 4.5 ± 0.25
T1* :- First pulse tablet
T2* :- Second Pulse T
ablet
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
120 Table N
o. 29: In-vitro drug release study of tablets coated with E
udragit S100
Dissolution medium
Time (H
rs)
% Cum
ulative Drug R
elease
F1
F2
F3
0.1 N HCL
1 5.23
0 0
2
12.42 8.19
5.26
5.5 pH buffer
3 19.43
14.84 11.84
6.8 pH buffer
4 27.36
22.16 19.63
5
36.49 30.16
25.74
7.4 PH buffer
6 68.23
62.16 60.36
7
79.14 75.29
79.16
0
10
20
30
40
50
60
70
80
90
01
23
45
67
8
Time
(hrs.)
% C.D.R.
F1
F2
F3
Figure N
o. 25: In-vitro drug release profile of tablets coated with E
udragit S100
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
121
Table N
o. 30: In-vitro drug release study of tablets coated with E
udragit L100:
Eudragit S100
Dissolution medium
Time (hrs)
% Cum
ulative Drug R
elease
F4
F5
F6
0.1 N HCL
1 3.16
0 0
2
14.16 9.46
8.75
5.5 pH buffer
3 22.74
17.64 16.62
6.8 pH buffer
4 28.75
28.16 25.84
5
36.49 37.19
33.33
7.4 PH buffer
6 82.62
82.16 84.15
7
91.52 84.17
82.16
0
10
20
30
40
50
60
70
80
90
10
0
01
23
45
67
8
Time (hrs.)
% C.D.R.
F4F5
F6
Figure N
o. 26: In-vitro drug release profile of tablets coated with E
udragit L100:
Eudragit S100
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
122
Table N
o. 31: Effect of Independent variable on dependent variable by 3
2 full factorial design of Salbutam
ol Sulphate for Pulsatile R
elease
Batch N
o. Independent variable
Dependent variable
X1
X2
Q5
Q6
F6
-1 -1
33.33%
85.55%
F8
-1 0
32.16%
82.40%
F9
-1 +1
31.00%
75.65%
F10
0 -1
24.34%
79.12%
F11
0 0
17.23%
87.77%
F12
0 +1
15.46%
79.16%
F13
+1 -1
18.41%
71.42%
F14
+1 0
16.08%
68.23%
F15
+1 +1
12.79%
66.49%
Independent
Variables
Real V
alue
Low
(-1) Medium
(0) High (+1)
Eudragit S100:
Eudragit L100 (X
1 ) 1:1
1:2 1:3
% Coating (X
2 ) 12
15 18
Chapter – 5 R
esult and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum 123
Table No. 32: In-vitro drug release study of factorial batches
Dissolution medium Time (hrs) % Cumulative Drug Release
F7 F8 F9 F10 F11 F12 F13 F14 F15
0 0 0 0 0 0 0 0 0 0
0.1 N HCL 1 0 0 0 0 0 0 0 0 0
2 8.75 7.98 5.16 2.35 0 0 0 0 0
5.5 pH buffer 3 16.62 14.13 11.47 10.156 8.74 7.62 6.67 4.54 3.13
6.8 pH buffer 4 25.84 24.1 21.03 18.46 12.86 11.98 11 8.58 5.89
5 33.33 32.16 30.74 24.34 17.23 15.46 18.41 16.08 12.79
7.4 PH buffer 6 85.55 82.4 75.65 79.12 87.77 79.16 71.42 68.23 66.49
7 92.41 91.63 93.75 92.17 95.09 97.43 94.13 91.45 88.114
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
124
0 10 20 30 40 50 60 70 80 90
100
01
23
45
67
8Tim
e (hrs)
% C.D.R.
F7F8
F9
Figure N
o. 27: In-vitro drug release profile of factorial batches F7 to F
9
0
20
40
60
80
100
120
01
23
45
67
8Tim
e (hrs)
%C.D.R.
F10F11
F12
Figure N
o. 28: In-vitro drug release profile of factorial batches F10 to F
12
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
125
0
10
20
30
40
50
60
70
80
90
10
0
01
23
45
67
8Tim
e (hrs)
%C.D.R.
F13F14
F15
Figure N
o. 29: In-vitro drug release profile of factorial batches F13 to F
15
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
126
Table N
o. 33: Summary of regression analysis of Salbutam
ol Sulphate tablet for Pulsatile release
Coefficients
b0
b1
b2
b12
b11
b22
R2
Q5
22.28 -0.0816
-0.0285 -0.0076
0.0491 0.0069
0.97736071
Q6
77.99 0.0107
-0.0282 -0.0073
-0.0604 -0.0372
0.76426095
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
127
Plot N
o. 1: surface response curve at 5th hour
Design-Expert® Software
Q5Design points above predicted valueDesign points below predicted value33.33
12.79
X1 = A: Ratio of L:SX2 = B: %
coating
-1.00 -0.50
0.00 0.50
1.00
-1.00
-0.50
0.00
0.50
1.00
10
15
20
25
30
35
Q 5
A: Ratio of L:S B: %
coating
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
128
.
Plot N
o. 2: surface response curve at 6th hour.
Design-Expert® Software
Q6Design points above predicted valueDesign points below predicted value87.77
66.49
X1 = A: Ratio of L:SX2 = B: %
coating
-1.00
-0.50
0.00
0.50
1.00
-1.00
-0.50
0.00
0.50
1.00
65
70
75
80
85
90
Q 6
A: Ratio of L:S B: %
coating
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
129
Table N
o. 34: In-vitro drug release study of ‘Tablet in C
apsule’ device
Dissolution M
edium
Time (hrs)
% Cum
ulative Drug R
elease
First P
ulse Second P
ulse
0
0 0
0.1 N HCL
1 100
0
2
100 0
5.5 pH buffer
3 -
8.74
6.8 pH buffer
4 -
12.86
5
- 17.23
7.4 PH buffer
6 -
87.77
7
- 95.09
-20 0
20
40
60
80
10
0
12
0
01
23
45
67
8
Time (hrs)
% C.D.R.
Series1Series2
Figure N
o. 30: In-vitro drug release profile of ‘Tablet in C
apsule’ device
Chapter – 5 R
esults and Discussion
Departm
ent of Pharm
aceutics, KLE University, B
elgaum
130
Table N
o. 35: In-vitro drug release study of ‘Tablet in C
apsule’ device with
different rotational speed
Dissolution M
edium
Time (hrs)
Initial % Cum
ulative Drug R
elease
50 RPM
75 RPM
100RPM
0
0 0
0 0
0.1 N HCL
1 33
33 33
33
2 33
33 33
33 5.5 pH
buffer 3
41.74 40.54
41.36 41.74
6.8 pH buffer
4 45.86
43.16 43.95
45.86
5 50.23
49.32 51.49
50.23 7.4 P
H buffer
6 87.77
85.74 86.66
87.77
7 95.74
92.74 94.15
95.74
0
20
40
60
80
10
0
12
0
01
23
45
67
8Tim
e (hrs)
% C.D.R.
Initial50 RPM
75 RPM100RPM
Figure N
o. 31: In-vitro drug release profile of ‘Tablet in C
apsule’ device with
different rotational speed
Chapter – 5 R
esults and Discussion
Departm
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131 In-vivo G
amma-Scintigraphic Studies
Plate N
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in
Plate N
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Chapter – 5 R
esults and Discussion
Departm
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132
Plate N
o. 6: Image taken after 4 hrs
Plate N
o. 7: Image taken after 5.5 hrs
Chapter – 5 R
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Departm
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133
Table N
o. 36: In-vitro drug release study of ‘Tablet in C
apsule’ device for stability testing
Dissolution M
edium
Time
(hrs) Initial
% Cum
ulative Drug R
elease
10 days 20 days
30 days
0
0 0
0 0
0.1 N HCL
1 33
33 33
33
2
33 33
33 33
5.5 pH buffer
3 41.74
41.41 40.36
40.1
6.8 pH buffer
4 45.86
45.12 44.92
44.12
5
50.23 50.23
49.56 48.22
7.4 PH buffer
6 87.77
87.77 86.12
85.75
7
95.74 95.62
94.84 93.62
0 20 40 60 80
100
120
01
23
45
67
8
Time (hrs)
%C.D.R.
Initial10 days
20 days30 days
Figure N
o. 32: In-vitro drug release profile of ‘Tablet in C
apsule’ device for stability testing
Chapter – 6 Conclusion
Department of Pharmaceutics, KLE University, Belgaum 134
CONCLUSION
The aim of this study was to explore the feasibility of time and pH dependent
colon specific, pulsatile drug delivery system of salbutamol sulphate to treat the
nocturnal symptoms of asthma. A satisfactory attempt was made to develop new
‘Tablet in Capsule’ device using pH dependent polymers (Eudragit S100 and Eudragit
L100) and evaluated for In vitro characterization studies.
From the results obtained of the executed experiments it can be conclude that:
ü From the above IR Study and physical observation it can be concluded that
there is no significant Drug- Excipient interaction. So we can conclude that
drug and other excipients are compatible with each other.
ü First and second pulse tablets of salbutamol sulpahte were developed to a
satisfactory level, in terms of hardness, thickness, weight variation, In-vitro
disintegration, and content uniformity.
ü Appropriate factorial design and optimization technique can be successfully
used in the development of coating formulations based on Eudragit S100 and
Eudragit L100 to achieve colon delivery.
ü Optimization enabled formulation of Salbutmaol sulphate tablets coated with
combination of pH sensitive polymethacrylates with the desired release
profile. It was shown that coating formulation consisted of Eudragit L100:
Eudragit S100 in ratio of 1:2 at 20% coating level has potential for colonic
delivery of salbutamol sulphate. The optimized formulation showed release
profiles and responses which were close to predicted responses.
ü The release of drug from coated tablet was found to be proportional to the
concentration of the polymer; where the % coating increases lag time
increases.
Chapter – 6 Conclusion
Department of Pharmaceutics, KLE University, Belgaum 135
ü On the basis of in-vitro release studies and effective lag time, F11 was selected
as an optimized formulation for designing Tablet-in-capsule device.
ü In-vitro release study was shown in two pulses. First was immediate and
second was after effective lag time. The graph shows sigmoidal release pattern
which was ideal for pulsatile drug delivery system.
ü No significant difference in drug release was observed for drug release study
in different pH or under different rotational speeds. This shows an advantage
for the system, as it predicts no change in the performace of the system at
increased gastric motility.
ü In- vivo test in rabbit, by gamma scintigraphic studies indicated that the
second pulse tablet remained intact in the stomach and intestine and released
upon reaching the colon. Hence it can be concluded that the fabricated device
could be a promising, satisfactory for colon targeting.
ü Accelerated stability studies, proved that the formulation is quite stable.
ü A tablet in capsule device with controllable drug release lag time was
developed. The system can be used for daily programmed drug delivery for
two pulses. The proposed device was manufactured using currently applicable
pharmaceutical technologies and materials recognized as safe. Optimized
coated tablet and rapidly release tablet could be studied and prepared,
respectively, as multi-layered tablets were employed. In the present study,
each part of the novel system can be prepared separately and fabricated in the
final step, which profited industrialization. It can be considered one of the
promising formulation technique for preparing pulsatile drug release system.
Chapter – 7 Summary
Department of Pharmaceutics, KLE University, Belgaum 136
SUMMARY
ü Over the past two decades there has been a growing appreciation on the
importance of circadian rhythms on Git physiology and on disease states,
together with the realization of the significance of time-of-day of drug
administration on resultant pharmcodynamic and pharmacokinetics
parameters. The significance of these day-night variation has not been over
looked from the drug delivery perspective and pharmaceutical scientist have
displayed considerable
ü Ingenuity in the development of time delayed drug delivery systems to address
emerging chronotherapeutic formualtuions.
ü The colon is a site where both local and systemic delivery of drugs can take
place. Treatment could be made more effective if it were possible for dugs to
be targeted directly on the colon. Colon-specific systems could also be used in
diseases that have diurnal rhythms. In the present study, attempt was made to
target the drug to the colon, and intentionally delaying the drug absorption
from therapeutic point of view in the treatment of nocturnal asthma, where
peak symptoms are observed in the early morning.
ü Prior to formulation, preformulation studies were carried out in order to
established compatibility between drug and polymers by IR spectroscopy. The
results revealed that the drug and polymers were satisfactorily compatible,
without any significant changes in the chemical nature of the drug.
ü First pulse tablet and second pulse tablets were prepared using wet-granulation
technique and evaluated for various parameters like % drug content, hardness,
thickness, friability and In-vitro disintegration time.
Chapter – 7 Summary
Department of Pharmaceutics, KLE University, Belgaum 137
ü Second pulse tablets were coated with Eudragit S100 and Eudragit L100 and
optimization was done using 32 full factorial designs. From the optimization
study it was found that formulation F11 (1:2 ratio of Eudragit L100: Eudragit
S100 with 15% coating) was the best for pulsatile drug delivery system.
ü F11 was found to be optimum formulation and design ‘Tablet-in-Capsule’
with first pulse tablet.
ü From the in-vitro release studies of device, it was observed that with all
formulation, there was absolutely no drug release in simulated gastric fluid
(acidic pH 1.2) for 2 hours. Small amount of drug release was observed in
simulated intenstinal fluid (pH 6.8 phosphate buffer). Burst effect was found
in colonic medium (pH 7.4 phosphate buffer).
ü The polymer used in study are suitable for colon targeting. With the Eudragit
S100 and Eudragit L100 combination, the release was found to be proportional
to its concentration. Increase in the polymer content (% coating and ratio)
resulted in a reduction in release of salbutmol sulphate. The obtained results
showed the capability of the system in delaying drug release for a
programmable period of time and the possibility of exploiting such delay to
attain colon targeting.
ü In- vivo gamma scintigraphic studies revealed that the second pulse tablet
remained intact in the stomach and small intestine and released upon reaching
the colon.
ü From the accelerated stability studies, it was observed that there were no
significant change in the drug content and % release. of drug, therefore the
formulations are quite stable.
Chapter – 8 Bibliography
Department of Pharmaceutics, KLE University, Belgaum 138
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