AN OVERVIEW ON FLOATING DRUG DELIVERY SYSTEM
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Transcript of AN OVERVIEW ON FLOATING DRUG DELIVERY SYSTEM
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 124
AN OVERVIEW ON FLOATING DRUG DELIVERY SYSTEM
Author - Avinash Jiddewar
Principal
Navjivan Shikshan Prasarak Madal,
College of Pharmacy, Darva, Maharashtra, India
Mobile no. – 09527597232
E-mail i.d. – [email protected]
ABSTRACT
The purpose this review on floating drug delivery systems (FDDS) was to compile the
recent literature with special focus on the principal mechanism of floatation to achieve
the physiological and formulation variables affecting gastric retention, approaches to
design Effervescent and Noneffervescent floating systems, and their classification and
formulation aspects. It is known that differences in gastric physiology (such as, gastric
pH, motility) exhibit both intra- as well as inter-subject variability demonstrating
significant impact on gastric retention time and drug delivery behavior The floating or
hydrodynamically controlled drug delivery systems are useful in such application. From
the formulation and technological point of view, the floating drug delivery system is
comparatively easy and logical approaches are discussed.
KEY WORD:-
Floating drug delivery system, Effervescent, Noneffervescent, Evaluation, gastric
physiology.
INTRODUCTION
In 1968, Davis firstly discovered the concept of floating drug delivery system (FDDS)
after experience gagging or choking by some persons while swallowing medicinal pills.
The GI-tract is the most important route for the delivery of drugs to the systemic
circulation.1 Effective oral drug delivery process depends upon the factors such as gastric
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 125
emptying process, gastrointestinal transit time of dosage form, drug release from the
dosage form and site of absorption of drugs First it would be single dose, which releases
the active ingredient over an extended period of time. Floating drug delivery system
(FDDS) have a bulk density less than gastric fluids and so remain buoyant in the stomach
without affecting the gastric emptying rate for a prolonged period of time (Yie W. Chein
et al, 1992). While the system is floating on the gastric contents, the drug is released
slowly at the desired rate from the system. After release of drug, the residual system is
emptied from the stomach. This results in an increased GRT and a better control of
fluctuations in plasma drug concentration.2 Oral administration is the most versatile,
convenient and commonly employed route of drug delivery for systemic action. Indeed,
for controlled release system, oral route of administration has received the more attention
and success because gastrointestinal physiology offers more flexibility in dosage form
design than other routes. Development of a successful oral controlled release drug
delivery dosage form requires an understanding of three aspects:
Gastrointestinal (GI) physiology
Physiochemical properties of the drug and
Dosage form characteristics.3
CLASSIFICATION:
Floating Oral Drug Delivery System (FDDS) are retained in the stomach and are useful
for drugs that are poorly soluble or unstable in intestinal fluids. Floating drug delivery
system (FDDS) have a bulk density less than gastric fluids and so remain buoyant in the
stomach without affecting the gastric emptying rate for a prolonged period of time. While
the system is floating on the gastric contents, the drug is released slowly at the desired
rate from the system. After release of drug, the residual system is emptied from the
stomach. This results in an increased GRT and a better control of fluctuations in plasma
drug concentration. Floating drug Delivery systems are classified depending on the use of
2 formulation variables:
EFFERVESCENT and NON-EFFERVESCENT SYSTEMS: -
A. Effervescent Floating Dosage Forms:-
1) Volatile liquid containing system: -
The GRT of a drug delivery system can be sustained by incorporating an inflatable
chamber, which contains a liquid e.g. ether, cyclopentane, that gasifies at body
temperature to cause the infatuation of the chamber in the stomach. The device may also
consist of a bioerodible plug made up of PVA, Polyethylene, etc. that gradually dissolves
causing the inflatable chamber to
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 126
Release gas and collapse after a predetermined time to permit the spontaneous ejection of
the inflatable systems from the stomach. developed floating capsules composed of a
plurality of granules that have different residence times in the stomach and consist of an
inner foamable layer of gas-generating agents. This layer was further divided into 2
sublayers, the outer containing sodium bicarbonate and the inner containing tartaric acid.
This layer was surrounded by an expansive polymeric film (composed of poly vinyl
acetate [PVA] and shellac), which allowed gastric juice to pass through, and was found to
swell by foam produced by the action between the gastric juices and the gas-generating
agents. It was shown that the Swellable membrane layer played an important role in
maintaining the buoyancy of the pills for an extended period of time.
2) Gas-generating Systems:
These buoyant delivery systems utilize effervescent reactions between
carbonate/bicarbonate salts and citric/tartaric acid to liberate CO2, which gets entrapped
in the gellified hydrocolloid layer of the systems thus decreasing its specific gravity and
making it to float over chyme.5, 6.
B. Non-effervescent systems:
1. Colloidal gel barrier systems Hydrodymamically balance system (HBSTM) was first
design by Sheth and Tossounian in 1975.Such systems contains drug with gel forming
hydrocolloids meant to remain buoyant on stomach contents. This system incorporate a
high level of one or more gel forming highly swellable cellulose type
hydrocolloids.e.g.HEC, HPMC, NaCMC, Polysacchacarides and matrix forming polymer
such as polycarbophil, polyacrylates and polystyrene, incorporated either in tablets or in
capsule. On coming in contact with gastric fluid, the hydrocolloid in the system hydrates
and forms a colloidal gel barrier around the gel surface. The air trapped by the swollen
polymer maintains a density less than unity and confers buoyancy to this dosage forms. 7
2. Microporous Compartment System This technology is based on the encapsulation of
drug reservoir inside a Microporous compartment with aperture along its top and bottom
wall. The peripheral walls of the drug reservoir compartment are completely sealed to
prevent any direct contact of the gastric mucosal surface with the undissolved drug. In
stomach the floatation chamber containing entrapped air causes the delivery system to
float over the gastric contents. Gastric fluid enters throughthe apertures, dissolves the
drug, and carries the dissolve drug for continuous transport across the intestine for
absorption.
3. Alginate beads Multiple unit floating dosage forms have been developed from freeze-
dried calcium alginate. Spherical beads of approximately 2.5 mm in diameter can be
prepared by dropping a sodium alginate solution in to aqueous solutions of calcium
chloride, causing precipitation of calcium alginate. The beads are then separated snap and
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 127
frozen in liquid nitrogen, and freeze dried at - 40°C for 24 hours, leading to the formation
of porous system, which can maintain a floating fource over 12 hours.
4. Hollow Microspheres Hollow microspheres (microballons), loaded with ibuprofen in
their outer polymer shells were prepared by a novel emulsion-solvent diffusion method.
The ehanol: dichloromethane solution of the drug and an enteric acrylic polymer was
poured in to an agitated aqueous solution of PVA that was thermally controlled at
40°C.The gas phase generated in dispersed polymer droplet by
evaporation of dichloromethane formed in internal cavity in microspheres of the polymer
with drug. The microballons floated continuously over the surface of acidic dissolution
media containing surfactant for greater than 12 hours in vitro.
Mechanism of floating systems:
Various attempts have been made to retain the dosage form in the stomach as a way of
increasing the retention time. These attempts include introducing floating dosage forms
(gas-generating systems and swelling or expanding systems), mucoadhesive systems,
high-density systems, modified shape systems, gastric-emptying delaying devices and co-
administration of gastric emptying delaying drugs. Among these, the floating dosage
forms are the most commonly used. Floating drug delivery systems (FDDS) have a bulk
density less than gastric fluids and so remain buoyant in the stomach without affecting
the gastric emptying rate for a prolonged period of time. While the system is floating on
the gastric contents (given in the Fig. 2A), the drug is released slowly at the desired rate
from the system. After release of drug, the residual system is eliminated from the
stomach. This results in an increased GRT and a better control of the fluctuations in
plasma drug concentration. However, besides a minimal gastric content needed to allow
the proper achievement of the buoyancy retention effect, a minimal level of floating force
(F) is also required to maintain the buoyancy of the dosage form on the surface of the
meal. To measure the floating force kinetics, a novel apparatus for determination of
resultant weight has been reported in the literature. The apparatus operates by measuring
continuously the force equivalent to F (as a function of time) that is required to maintain
a submerged object. The object floats better if F is on the higher positive side (Fig. 2B).
This apparatus helps in optimizing FDDS with respect to stability and sustainability of
floating forces produced in order to prevent any unforeseeable variations in intragastric
buoyancy 8.
F = Fbuoyancy – Fgravity = (Df – Ds) g v
Where, F = total vertical force,
Df = fluid density,
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 128
Ds = object density,
v = volume and
g = acceleration due to gravity 9.
Fig. 2. Mechanism of floating systems.
Factors Affecting the Floating and Floating Time -
Density: - Floating is a function of dosage form buoyancy that is dependent on the
density.
Shape of dosage form: - Tetrahedron and ring shaped devices with flexural modules of 48
and 22.5 kilo pounds per square inch (KSI) are reported to have better floating, 90% to
100% retention at 24 hours compared with other shapes 10
.
Concomitant drug administration: - Anticholinergics like atropine and
propantheline,opiates like codeine and prokinetic agents like metoclopramide and
cisapride; can affect floating time.
Fed or unfed state: - Under fasting conditions, the GI motility is characterized by periods
of strong motor activity or the migrating myoelectric complex (MMC) that occurs every
1.5 to 2 hours 11
Nature of meal: - Feeding of indigestible polymers or fatty acid salts can change the
motility pattern of the stomach to a fed state, thus decreasing the gastric emptying rate
and prolonging drug release 12
.
Caloric content and feeding frequency: - Floating can be increased by four to 10 hours
with a meal that is high in proteins and fats. The floating can increase by over 400
minutes when successive meals are given compared with a single meal due to the low
frequency of MMC.
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 129
Age: - Elderly people, especially those over 70, have a significantly longer; floating 13
.
Disease condition such as diabetes and crohn’s disease etc also affect drug delivery.
Posture: - Floating can vary between supine and upright ambulatory states of the patient 14
.
ADVANTAGES OF FLOATING DRUG DELIVERY SYSTEM
The Gastroretentive systems are advantageous for drugs absorbed through the
stomach. E.g. Ferrous salts, antacids.
Acidic substances like aspirin cause irritation on the stomach wall when come in
contact with it. Hence HBS formulation may be useful for the administration of
aspirin and other similar drugs.
Administration of prolongs release floating dosage forms, tablet or capsules, will
result in dissolution of the drug in the gastric fluid. They dissolve in the gastric
fluid would be available for absorption in the small intestine after emptying of the
stomach contents. It is therefore expected that a drug will be fully absorbed from
floating dosage forms if it remains in the solution form even at the alkaline pH of
the intestine.15,16
The gastro retentive systems are advantageous for drugs meant for local action in
the Stomach. E.g. antacids.
When there is a vigorous intestinal movement and a short transit time as might
occur in certain type of diarrhea, poor absorption is expected. Under such
circumstances it may be advantageous to keep the drug in floating condition in
stomach to get a relatively better response.
The gastroretentive systems are advantageous for drugs absorbed through the
stomach, e.g. ferrous salts, antacids.
Acidic substances like aspirin cause irritation on the stomach wall when come in
contact with it. Hence, HBS formulation may be useful for the administration of
aspirin and other similar drugs.
Administration of prolongs release floating dosage forms, tablet or capsules, will
result in dissolution of the drug in the gastric fluid. They dissolve in the gastric
fluid would be available for absorption in the small intestine after empty-ing of
the stomach contents. It is therefore expected that a drug will be fully absorbed
from floating dosage forms if it remains in the solution form even at the alkaline
pH of the intes-tine.
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 130
The gastro retentive systems are advantageous for drugs meant for local action in
the stomach. E.g. antacids.
FDDS improves patient compliance by decreas-ing dosing frequency.
Bioavailability enhances despite first pass effect because fluctuations in plasma
drug concentration are avoided; a desirable plasma drug concentration is
maintained by continuous drug release.
Better therapeutic effect of short half-life drugs can be achieved.
Gastric retention time is increased because of buoyancy.
Enhanced absorption of drugs which solubilize only in stomach.
Avoidance of gastric irritation, because of sustained release effect, floatability and
uniform release of drug through multi particulate sys-tem.16
DISADVANTAGES OF FLOATING DRUG DELIVERY SYSTEM
Floating system is not feasible for those drugs that have solubility or stability
problem in G.I. tract.
These systems require a high level of fluid in the stomach for drug delivery to
float and work efficiently coat, water.
The drugs that are significantly absorbed through out gastrointestinal tract, which
undergo significant first pass metabolism, are only desirable candidate.
Floating system is not feasible for those drugs that have solubility or stability
problem in G.I. tract.
Some drugs present in the floating system causes irritation to gastric mucosa
APPLICATION OF FLOATING DRUG DELIVERY SYSTEMS
Floating drug delivery offers several applications for drugs having poor bioavailability
because of the narrow absorption window in the upper part of the gastrointestinal tract. It
retains the dosage form at the site of absorption and thus enhances the bioavailability.
These are summarized as follows.
1. Sustained Drug Delivery
HBS systems can remain in the stomach for long periods and hence can release the drug
over prolonged period of time. The problem of short gastric residence time encountered
with an oral CR formulation hence can be overcome with these systems. These systems
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 131
have a bulk density of <1 as a result of which they can float on the gastric contents. These
systems are relatively large in size and passing from the pyloric opening is prohibited.
Eg. Sustained release floating capsules of nicardipine hydrochloride were developed and
were evaluated in vivo. The formulation compared with commercially available
MICARD capsules using rabbits. Plasma concentration time curves showed a longer
duration for administration (16 hours) in the sustained release floating capsules as
compared with conventional MICARD capsules (8 hours).17
2. Site-Specific Drug Delivery
These systems are particularly advantageous for drugs that are specifically absorbed from
stomach or the proximal part of the small intestine, eg, riboflavin and furosemide. Eg.
Furosemide is primarily absorbed from the stomach followed by the duodenum. It has
been reported that a monolithic floating dosage form with prolonged gastric residence
time was developed and the bioavailability was increased. AUC obtained with the
floating tablets was approximately 1.8 times those of conventional furosemide tablets.18
3. Absorption Enhancement
Drugs that have poor bioavailability because of sitespecific absorption from the upper
part of the gastrointestinal tract are potential candidates to be formulated as floating drug
delivery systems, thereby maximizing their absorption. Eg. A significantly increase in the
bioavailability of floating dosage forms(42.9%) could be achieved as compared with
commercially available LASIX tablets (33.4%) and enteric coated LASIX-long product
(29.5%).19
Evaluation of Floating Drug Delivery Systems
Various parameters that need to be evaluated in gastroretentive formulations include
floating duration, dissolution profiles, specific gravity, content uniformity, hardness, and
friability in case of solid dosage forms 20
. In the case of multiparticulate drug delivery
systems, differential scanning calorimetry (DSC), particle size analysis, flow properties,
surface morphology, and mechanical properties are also performed.
A. In Vitro Methods
1) Floating lag time and floating time: The test for floating time measurement is usually
performed in stimulated gastric fluid or 0.1 N HCl maintained at 37 0C. It is determined
by using USP dissolution apparatus containing 900 ml of 0.1 N HCl as dissolution
medium at 37 0C. The time taken by the dosage form to float is termed as floating lag
time and the time for which the dosage form floats is termed as the floating or flotation
time. The system to check continuous floating behavior contains a stainless steel basket
connected to a metal string and suspended from a Sartorius electronic balance 21
.A lotus-
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 132
spread sheet could automatically pick up the reading on the balances. Test medium used
in floating kinetics measurements was 900 ml simulated gastric fluid (pH 1.2) maintained
at 37°C, data was collected at 30 sec interval; baseline was recorded and subtracted from
each measurement. Dissolution basket had a holder at the bottom to measure the
downward force.
2) Dissolution study Gohel et al proposed a more relevant in vitro dissolution method to
evaluate a floating drug delivery system (for tablet dosage form). A 100-mL glass beaker
was modified by adding a side arm at the bottom of the beaker so that the beaker can hold
70 ml of 0.1 mole.lit-1 HCl dissolution medium and allow collection of samples. A
burette was mounted above the beaker to deliver the dissolution medium at a flow rate of
2 ml/min to mimic gastric acid secretion rate. The performance of the modified
dissolution apparatus was compared with USP dissolution Apparatus 2 (Paddle). The
problem of adherence of the tablet to the shaft of the paddle was observed with the USP
dissolution apparatus 22
. The tablet did not stick to the agitating device in the proposed
dissolution method. The drug release followed zero-order kinetics in the proposed
method. The proposed test may show good in vitroin vivo correlation since an attempt is
made to mimic the in vivo conditions such as gastric volume, gastric emptying, and
gastric acid secretion rate 23
.
3) Swelling index An in vitro measuring apparatus has been conceived to determine the
real floating capabilities of buoyant dosage forms as a function of time. It operates by
measuring the force equivalent to the force F required to keep the object totally
submerged in the fluid24
.This force determines the resultant weight of the object when
immersed and may be used to quantify its floating or no floating capabilities 25
. The
magnitude and direction of the force and the resultant weight corresponds to the vectorial
sum of buoyancy (F bouy) and gravity (F grav) forces acting on the object as shown in
thee quation
F = F buoy – F grav
F = d f gV – d s gV = (d f - d s) gV
F = (df – M / V) gV
in which F is the total vertical force (resultant weight of the object), g is acceleration due
to Gravity, d f is the fluid density, d s is the object density, M is the object mass, and V is
the volume of the object. By convention, a positive resultant weight signifies that the
force F is exerted upward and that the object is able to float, whereas a negative resultant
weight means that the force F acts downward and that the object sinks 26,27
.
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 133
B. In vivo method
1) X-Ray method - X-Ray is a very popular evaluation parameter for floating dosage
form now a day. It helps to locate dosage form in the g.i.t. and by which one can predict
and correlate the gastric emptying time and the passage of dosage form in the GIT. Here
the inclusion of a radio-opaque material into a solid dosage form enables it to be
visualized by Xrays 26
.
2) gamma-Scintigraphy - Gamma -Emitting radioisotopes compounded into CR-DFs has
become the state-of-art for evaluation of gastroretentive formulation in healthy
volunteers. A small amount of a stable isotope e.g. Sm, is compounded into DF during its
preparation. The main drawbacks of gamma - scintigraphy are the associated ionizing
radiation for the patient, the limited topographic information, low resolution inherent to
the technique and the complicated and expensive preparation of radiopharmaceuticals 27
.
3) Gastroscopy - It comprises of peroral endoscopy, used with a fibereoptic and video
systems. It is suggested that gastroscopy may be used to inspect visually the effect of
prolonged stay in stomach milieu on the FDDS. Alternatively, FDDS may be drawn out
of the stomach for more detailed evaluation 28
, 29
.
4) Ultrasonography - Ultrasonic waves reflected substantially different acoustic
impedances across interface enable the imaging of some abdominal organs. Most DFs do
not have sharp acoustic mismatches across their interface with the physiological milieu.
Therefore, Ultrasonography is not routinely used for the evaluation of FDDS. The
characterization included assessment of intragastric location of the hydrogels, solvent
penetration into the gel and interactions between gastric wall and FDDS during peristalsis
30.
CONCLUSION
Recently many drugs have been formulated as floating drug delivery systems with an
objective of sustained release and restricting the region of drug release to stomach. The
principle of buoyant Preparation offers a simple and practical approach to achieve
increased gastric residence time for the dosage form and sustained drug release. The
currently available polymer‐ mediated non effervescent and effervescent FDDS,
designed on the basis of delayed gastric emptying and buoyancy principles, appear to be
a very much effective approach to the modulation of controlled oral drug delivery. The
most important criteria which has to be looked into for the productions of a floating drug
delivery system is that the density of the dosage form should be less than that of gastric
fluid. And hence, it can be concluded that these dosage forms serve the best in the
treatment of diseases related to the GIT and for extracting a prolonged action from a drug
with a short half life.
IRJMST Vol 5 Issue 6 [Year 2014] ISSN 2250 – 1959 (0nline) 2348 – 9367 (Print)
International Research Journal of Management Science & Technology http://www.irjmst.com Page 134
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