In recent years many advancement has been made in research and development of Oral Drug Delivery System. Concept of Novel Drug Delivery System arose to overcome the certain aspect related to physicochemical properties of drug molecule and the related formulations.
Purpose of this review is to compile the recent literature with special focus on Gastro Retentive Drug Delivery Systems to give an update
on pharmaceutical approaches used in enhancing the Gastric Residence Time (GRT). Various approaches are currently used including Gastro Retentive Floating Drug Delivery Systems(GRFDDS),swelling and expanding system, polymeric bioadhesive systems, modifiedshape
systems, high density system and other delayed gastric emptying devices. These systems are very helpful to different problem solve during the formulation of different dosage form. The present work also focuses on the polymers used in floating drug delivery systems
mostly from natural origin. Floating drug delivery systems are less dense than gastric fluids; hence remain buoyant in the upper GIT for a
prolonged period, releasing the drug at the desired/ predeterminedrate. This review article focuses on the recent technological development in floating drug delivery systems with special emphasis on the principal mechanism of floatation and advantages of achieving gastric
retention, brief collection on various polymers employed for floating drug delivery systems etc. In addition this review also summarizes the In –Vitro and In -Vivo studies to evaluate their performance and also their future potential.
Formulation Development and Evaluation of Gastro Retentive Drug Delivery Systems- A Review
1. Journal of Pharmacy Research Vol.11 Issue 2 February 2017
Raghavendra Kumar Gunda et al. / Journal of Pharmacy Research 2017,11(2),167-178
167-178
ReviewArticle
ISSN: 0974-6943
Available online through
http://jprsolutions.info
*Corresponding author.
Mr.Raghavendra Kumar Gunda M.Pharm
Research Scholar,
School of Pharmaceutical Sciences,
VISTAS, Vels University,
Pallavaram, Chennai,
Tamilnadu, India- 600117.
Formulation Development and Evaluation of
Gastro Retentive Drug Delivery Systems- A Review
RaghavendraKumar Gunda*1
,A.Vijayalakshmi 2
1
Research Scholar, School ofPharmaceutical Sciences, VISTAS, Vels University, Pallavaram, Chennai, Tamilnadu, India- 600117.
2
School of Pharmaceutical Sciences, VISTAS, Vels University, Pallavaram, Chennai,Tamilnadu, India- 600117.
Received on:12-01-2017; Revised on: 19-02-2017; Accepted on: 27-02-2017
ABSTRACT
In recent years many advancement has been made in research and development of Oral Drug Delivery System. Concept of Novel Drug
DeliverySystem arose to overcome the certain aspect related to physicochemical properties of drug molecule and the related formulations.
Purpose of this review is to compile the recent literature with special focus on Gastro Retentive Drug Delivery Systems to give an update
on pharmaceutical approaches used in enhancing the Gastric Residence Time (GRT). Various approaches are currently used including
Gastro Retentive Floating Drug Delivery Systems(GRFDDS),swelling and expanding system, polymeric bioadhesive systems, modified-
shape systems, high density system and other delayed gastric emptying devices. These systems are very helpful to different problem solve
during the formulation of different dosage form. The present work also focuses on the polymers used in floating drug delivery systems
mostlyfrom natural origin. Floating drug delivery systems are less dense than gastric fluids; hence remain buoyant in the upper GIT for a
prolonged period, releasing the drug at the desired/ predeterminedrate. This review article focuses on the recent technological development
in floating drug delivery systems with special emphasis on the principal mechanism of floatation and advantages of achieving gastric
retention, brief collection on various polymers employed for floating drug deliverysystems etc. In addition this review also summarizes the
In –Vitro and In -Vivo studies to evaluate their performance and also their future potential.
KEY WORDS: Controlled release, Floating lag time, Floating duration/ Gastric residence time, Gastro retentive drug delivery systems,
Natural gums, Bioadhesive.
INTRODUCTION
Oral administration is the most convenient andpreferred means of
any drug delivery to thesystemic circulation.The effective oral
drugdeliverypractice depends on various factors likegastricemptying
process, gastrointestinal transit time of dosageform, drug release
from dosage form and site ofabsorption of drug[1-3]
.
Gastric emptying of dosage forms is an extremely variable process
and ability to prolong and control the emptying time is a valuable
asset for dosage forms, which reside in the stomach for a longer
period of time than conventional dosage forms.It has been frequently
observed thatmany drugs which are easily absorbed at
uppergastrointestinal tract (GIT), eliminated quicklyin to lowerGIT
because of the peristaltic movement. So it leads toincomplete
absorption of drugs from upper part of GIT. To overcome this
limitation, the development of oralgastro retentive sustained or
controlled releaseformulations is an attempt to release the drug slowly
atupper GIT to maintain effective drug concentration insystemic
circulation for a prolonged period[3]
. Several difficulties are faced in
designing controlled release systems for better absorption and
enhanced bioavailability[4]
.
Gastroretentive systems can remain in the gastric region for several
hours and hence significantly prolong the gastric residence time of
drugs. Prolonged gastric retention improves bioavailability, reduces
drug waste, and improves solubility for drugs that are less soluble in
a high pHenvironment. It has applications alsofor local drug delivery
to the stomach and proximal small intestines.Gastric retention helps
to provide better availability of new products with new therapeutic
possibilities and substantial benefits for patients.
The controlled gastric retention of solid dosage forms may be
achieved by the mechanisms of mucoadhesion, flotation,
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sedimentation (High density), expansion, modified shape systems,
or by the simultaneous administration of pharmacological agents
that delay gastric emptying.Several recent examples have been
reported showing the efficiency of such systems for drugs with
bioavailability problems[4-6]
.
Approaches to increase gastric residence time include
High-density systems
Bioadhesive or Mucoadhesive systems
Swelling and Expanding Systems
Superporous Hydrogels
Ion Exchange Resins
Bioadhesive Liposomal Systems
Raft-forming systems
Gas-generating systems
Low-density systems (Floating systems /
Hydrodynamically Balanced Systems )
Floating Drug Delivery Systems (GRFDDS)
These are the low density systems having their density lesser than
the gastric fluid (1.004 gm/cm3
) and thus remain buoyant in the
stomach without affecting the gastric emptying rate for a prolonged
period. GRFDDS are classified into two major categories[7-13]
.
Effervescent systems/ Gas generating systems
In this system floatability can be achieved by the generation of gas
bubbles. They are formulated in such a way that when in contact
with the acidic gastric contents, CO2
is liberated and gets entrapped
in swollen hydrocolloids, which provides buoyancy to the dosage
forms. In vitro, the lag time before the unit floats is < l minute and
buoyancyis prolonged for 8-10 hours. Bilayer or multilayer systems
have also been designed in which drug and excipients can be
formulated independently, and the gas generating unit can be
incorporated into any of the layers of multiple unit systems, which
avoids the ‘all-or-nothing’ emptying process encountered in single
unit systems[14-15]
. It must form a cohesive gel barrier. It should release
contents slowly to serve as a reservoir[16]
.
Gas-generating (Effervescent) systems.(a) Bilayer gas-generating systems, with
(c) or without (b) semi permeable membrane.
Hydrodynamically balance systems are best suited for drugs having
a better solubilityin acidic environment and alsofor the drugs having
specific site of absorption in the upper part of the small intestine.
To remain in the stomach for a prolonged period of time the dosage
form must have a bulk density of less than 1. It should stay in the
stomach, maintain its structural integrity, and release drug constantly
from the dosage form. HBS are single-unit dosage form, containing
one or more gel-forming hydrophilic polymers. Hydroxypropyl
methylcellulose(HPMC), hydroxethyl cellulose(HEC), hydroxypropyl
cellulose (HPC), sodium carboxymethyl cellulose (NaCMC),
polycarbophil, polyacrylate, polystyrene, agar, carrageenans or alginic
acid are commonly used excipients to develop these systems[17-18]
.
The polymer is mixed with drug and usuallyadministered in a gelatin
capsule. The capsule rapidly dissolves in the gastric fluid at body
temperature and hydration.
Table 1:Polymers and other ingredients used for increasing GRT [19]
Polymers and other ingredients Example
Hydrocolloids (20%-75%) Acacia, Pectin, Chitosan, Agar, Casein, Bentonite,
Veegum, HPMC (K4M, K100M and K15M),
Gellan gum, Sodium CMC, MC, Calcium alginate,
Eudragit S100, Eudragit RL, Propylene foam,
Eudragit RS,ethyl cellulose, Polyethylene oxide,
β Cyclodextrin, CMC, Polyethylene glycol,
polycarbonate, PVA, Sodium alginate, HPC-L,
CP 934P, HPC, Eudragit S, Metolose S.M. 100,
PVP, HPC-H, HPC-M, HPMC K15, Acrylic
polymer, E4 M and Carbopol.
Inert fatty materials (5%- 75%) Beeswax, fatty acids, long chain fatty alcohols,
Gelucires® 39/01 and 43/01.
Effervescent agents Sodium bicarbonate, citric acid, tartaric acid, Di-
SGC (Di-Sodium Glycine Carbonate), CG
(Citroglycine).
Release rate accelerants (5%-60%) Lactose, Mannitol
Release rate retardants (5%-60%) Dicalcium phosphate, Talc, Magnesium stearate
Buoyancy increasing agents (upto80%) Ethyl cellulose
Low density material Polypropylene foam powder (Accurel MP
1000®).
Effervesant Layers
(Inner and outer sublayer)
Conventional sustain
release pills)
Swelable membrane layer
H2
O
A
B
(A) Multiple-unit oral floating drug delivery system.
(B) Working principle of effervescent floating drug delivery
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High-density systems
These systems, which have a density of ~3 g/cm3
, are retained in the
rugae of the stomach and are capable of withstanding its peristaltic
movements. Above a threshold density of 2.4–2.8 g/cm3
, such
systems can be retained in the lower part of the stomach.
Sedimentation has been employed as a retention mechanism for
pellets that are small enough to be retained in the rugae or folds of
the stomach body near the pyloric region, which is the part of the
organ with the lowest position in an upright posture. Dense pellets
(approximately3g/cm3) trapped in rugae also tend to withstand the
peristaltic movements ofthe stomach wall. With pellets, the GI transit
time can be extended from an average of 5.8–25 hours, depending
more on density than on the diameter of the pellets. A density close
to threshold density seems necessary for significant prolongation
of gastric residence time. Commonly used excipients are barium
sulphate, zinc oxide, titanium dioxide and iron powder, etc. These
materials increase density by up to 1.5–2.4g/cm3 [20-23]
.
Swelling and Expanding Systems
Swelling and expanding systems are dosage forms that, after
swallowing, swell to an extent that prevents their exit from the
pylorus[24]
. As a result, the dosage form is retained in the stomach
for a long period. These systems may be called ‘plug type systems’,
since they exhibit a tendency to be logged at the pyloric sphincter.
Swelling and controlled release of the drug may be achieved on
contact of the drug delivery system with gastric fluid; the polymer
imbibes water and swells. Extensive swelling of the polymer is the
result of the presence of physical-chemical crosslinks in the
hydrophilic polymer network. The bulk enables gastric retention and
maintains the stomach in a ‘fed’ state, suppressing housekeeper
waves[25,26]
. Medicated polymer sheets or swelling balloon hydrogels
are examples of such delivery systems. A balance between the rate
and extent of swelling and the rate of erosion of the polymer is
crucial to achieve optimum benefit and to avoid adverse effects.
They are explained as follows (Non-Effervescent systems)[27]
.
Colloidal gel barrier systems
These systems incorporate a high level (20-75% w/w) of one or more
gel forming, highly swellable,cellulose type hydrocolloids,
polysaccharides and matrix forming polymers. On coming in contact
withgastric fluid, the hydrocolloids in the system hydrate and form a
colloidal gel barrier around its surface.This gel barrier controls the
rate of fluid penetration into the device and consequent release of
the drug[27]
.
inside a micro-porous compartment with apertures along its top and
bottom walls. The peripheral walls ofthe drug reservoir compartment
are completelysealed to prevent any direct contact of the gastric
mucosal surface with the undissolved drug.
Multiparticulate system Floating Beads
In these systems, the dosage of the drug substances is divided on a
plurality of subunit, typically consisting ofthousands of spherical
particleswith diameter of0.05-2.00mm.Thus multi particulatedosage
forms arepharmaceutical formulations in which the active substance
is present as a number of small independent subunits.To deliver the
recommended total dose, these subunits are filled into a sachet.
Microballons
various approaches are made in delivering substances to the target
site in a controlled release fashion. Oneof such approach is using
polymeric microballoons as carrier for drugs. Hollow microspheres
are known as themicroballoons. Microballoons were floatable in vitro
for 12 hrs, when immersed in aqueous media. Radio graphicalstudies
proved that microballoons orally administered to human were
dispersed in the upper part of stomach andretained there for three hr
against peristaltic movements.
Super porous Hydrogels
In this approach toimprove gastric retention time(GRT) super porous
hydrogels of average pore size >100 micrometer, swell to equilibrium
size within a minute due to rapid water uptake by capillary wetting
through numerous interconnected open pores. Theyswell to a large
size (swelling ratio: 100 or more) and are intended to have sufficient
mechanical strength to withstand pressure by gastric contraction.
This is achieved by co-processing with a hydrophilic particulate
material, croscarmellose sodium. Which forms a dispersed phase
within the continuous polymer matrix during the synthesis
(‘superporous hydrogel composites’). The superporous hydrogel
composites stay in the upper GIT for >24 hours. Recent advances in
the field have led to “superporous hydrogel hybrids”, which are
prepared byadding a hydrophillic or water dispersible polymer that
can be cross-linked after the superporous hydrogel is formed.
Examples of hybrid agents include polysaccharides such as sodium
alginate, pectin and chitosan[28-30]
.
Ion-Exchange Resins
A coated ion exchange resin bead formulation has been shown to
have gastric retentive properties, which was loaded with bicarbonates.
Ion exchange resins are loaded with bicarbonate and a negatively
charged drug is bound to the resin, resultant beads were thenThis technology is based on the encapsulation of a drug reservoir
Micro porous compartment systems
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encapsulated in a semipermeable membrane to overcome the rapid
loss of carbon dioxide. Upon arrival in the acidic environment of the
stomach and exchange of chloride and bicarbonate ions take place.
As a result of this reaction carbon dioxide was released and trapped
in a membrane thereby carrying beads towards the top of gastric
content and producing a floating layer of resin beads in contrast the
uncoated beads, which will sink quickly[31-34]
.
Bioadhesive or Mucoadhesive Systems
The term “mucoadhesion” is commonly used to describe an
interaction between the mucin layer that lines the entire GIT and a
bioadhesive polymer. Bioadhesive drug delivery systems (BDDS)
are used as a delivery device within the lumen to enhance
drugabsorption in a site specific manner. This approach involves the
use of bioadhesive polymers, which can adhere to the epithelial
surface in the stomach. Thus, they prolong the gastric retention
time[35-36]
.
Bioadhesion can be explained by[37-38]
The absorption theory
The electron theory
The wetting theory
The diffusion theory
Bioadhesive mechanism
Bioadhesive liposomal Systems
Mucoadhesive liposomal systems are formulated by coating a
polymer to facilitate enteral absorption of poorly absorbed drugs.
Liposomes are generally coated with mucoadhesivepolymers such
as chitosan, carbopol, Carboxymethyl chitin and carboxymethyl
chitosan. The mucoadhesion of the resultant liposomes leads to an
enhanced GRT of the dosage forms[39-40]
.
Raft forming systems
Raft forming systems have received much attention for the drug
deliveryfor gastrointestinal infections and disorders. Floating Rafts
have been used in the treatment of Gastric esophageal reflux disease
(GERD). The mechanism involved in the raft formation includes the
formation of viscous cohesive gel in contact with gastric fluids,
where in each portion ofthe liquid swells forming a continuous layer
called a raft. This raft floats on gastric fluids because of low bulk
density created by the formation of CO2
. Usually, the system
ingredients includes a gel forming agent and alkaline bicarbonates
or carbonates responsible for the formation ofCO2 tomake the system
less dense and float on the gastric fluids . Jorgen et al described an
antacid raft forming floating system. The system contains a gel
forming agent (e.g. sodium alginate), sodium bicarbonate and acid
neutralizer, which forms a foaming sodium alginate gel (raft), which
when comes in contact with gastric fluids, the raft floats on the
gastric fluids and prevents the reflux of the gastric contents (i.e.
gastric acid) into the esophagus by acting as a barrier between the
stomach and esophagus[41-42]
.
FACTORSAFFECTINGGastro Retention Time of Floating Drug
Delivery Systems
The various factors which influence the efficacy of Gastro Retentive
Drug Formulation‘s as a gastro-retentive systems are:
Formulation Factors and Idiosyncratic Factors[27,43]
Formulation Factors
Density
GRT is a function of dosage form buoyancythat is dependent on the
density. The densityofa dosage form alsoaffects the gastric emptying
rate. Abuoyant dosage form having a density of less than that of the
gastric fluids floats. Since it is away from the pyloric sphincter, the
dosage unit is retained in the stomach for a prolonged period. Drug
floatation is a function of time and it could least until hydrodynamic
equilibrium is achieved. Dosage forms having larger density then
the gastric content sink at the bottom of the atrium where they settle
and release the active compound in a controlled manner over a
prolonged period of time.
Size
Dosage form units with a diameter of more than 7.5 mm are reported
to have an increased GRT compared with thosewith a diameter of 9.9
mm. Larger dosage forms tend to have longer gastric retention time
than smaller ones because they are emptied in the digestive phase
(weaker MMC) and also because their passage through the pyloric
sphincter into the small intestine is hindered.
Shape of dosage form:
Tetrahedron and ring shaped devices with a flexural modulus of 48
and 22.5 kilo pounds per square inch (KSI) are reported to have
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better GRT = 90% to100% retention at 24 hours compared with other
shapes.
Under fasting conditions, the GI motility is characterized byperiods
of strong motor activity or the MMC that occurs every 1.5 to 2
hours. The MMC sweeps undigested material from the stomach and,
if the timing ofadministration of the formulation coincides with that
of the MMC, the GRT of the unit can be expected to be very short.
However, in the fed state, MMC is delayed and GRT is considerably
longer.
Viscosity Grade of Polymer:
Drug release and floating properties of GRFDDS are greatlyaffected
byviscosityofpolymers and their interaction. Low viscositypolymers
(e.g., HPMC K100 LV) were found to be morebeneficial than high
viscosity polymers (e.g., HPMC K4M) in improving floating
properties. In addition, adecrease in the release rate was observed
with an increase in polymer viscosity.
Nature of meal
Feeding of indigestible polymers or fatty acids salts can change the
motility pattern of the stomach to a fed state, thus decreasing the
gastric emptying rate and prolonging drug release. Type of meal and
its caloric content, volume, viscosityand co-administered drugs affect
gastric secretions and gastric emptying time. The rate of emptying
primarily depends on caloric contents of the ingested meal. It does
not differ for proteins, fats and carbohydrates as longas their caloric
contents are the same. Generally gastric emptying is slowed down
because of increased acidity, osmolarityand calorific values.Gastric
residence time increases in the presence of food, leading to increased
drug dissolution of the dosage form at the most favorable site of
absorption. A GRT of 4-10 hours has been reported after a meal of
fats and proteins.
Frequency of feed
The GRT can be increased by over 400 minutes when successive
meals are given compared with a single meal due to the lowfrequency
ofMMC.
Idiosyncratic Factors
Idiosyncrasy is genetically determined abnormality to a chemical.
The drug interacts with some unique feature of theindividual, not
found in majority of subjects, and produces the uncharacteristic
reaction. The type of reaction isrestricted to individuals with a
particular genotype. It may also depends on-
Gender
their age and race matched female counterparts (4.6±1.2 hours),
regardless of theweight, height and body surface.Mean ambulatory
GRT in males (3.4 ± 0.6 hours) is less compared with their age and
racematched female counter parts (4.6 ± 1.2 hours) regardless ofthe
weight, height and body surface.
Age
Low gastric emptying time is observed in elderly than do in younger
subjects. Intra subject and inter subjectvariations also are observed
in gastric and intestinal transit time. Elderly people, especiallythose
over 70 years havea significantly longer GRT. Elderly people,
especially those above 70, have a significantlylonger GRT.
Posture
GRT can vary between supine and upright ambulatory states of the
patient
Upright Position:
An upright position protects floating forms against postprandial
emptying because the floatingform remains above the gastric
contents irrespective of its size. Floating dosage forms show
prolonged and morereproducible GRTs whilethe conventional dosage
form sink to the lower part of the distal stomach from wheretheyare
expelled through the pylorus by astral peristaltic movements.
Supine Position:
This position offers no reliable protection against early and erratic
emptying. In supine subjectslarge dosage forms (both conventional
and floating) experience prolonged retention. The gastric retention
offloating forms appear to remain buoyant anywhere between the
lesser and greater curvature of the stomach.
On moving distally, these units may be swept away by the peristaltic
movements that propel the gastric contentstowards the pylorus,
leading to significant reduction in GRT compared with upright
subjects.
Concomitant Intake of Drugs:
Drugs such as prokineticagents (e.g., metoclopramide and cisapride),
anticholinergics (e.g., atropine or propantheline), opiates (e.g.,
codeine) may affect the performance of GRFDDS. The co-
administration of GI-motility decreasing drugs can increase gastric
emptying time.
Biological factors
Diseases like gastroenteritis, gastric ulcer, pyloric stenosis, diabetes
and hypothyroidism retard gastric emptying. Partial or total
gastrectomy, duodenal ulcer and hypothyroidism promote gastric
emptying rate.
Women have slower gastric emptying time than men. Mean
ambulatory GRT in meals (3.4±0.4 hours) is less as compared with
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Advantages of GRFDDS
Increasing the GRT with either of the approaches offers several
advantages such as:
Acidic drug substances like aspirin cause irritation on the
stomach wall when come in to contact with it. Hence HBS
formulation maybe useful for the administration of aspirin
and other similar drugs.
The Floating systems are advantageous for drugs meant
for local action in the stomach. e.g., antacids.
The GRFDDS are advantageous for drugs absorbed through
the stomach ex: Ferrous salts, Antacids. Improved drug
absorption, because of increased GRT and more time spent
by the dosage form at its absorption site.
Controlled delivery of drugs.Minimizing the mucosal
irritation due to drugs, bydrug releasing slowlyat controlled
rate.The controlled, slow delivery of drug to the stomach
provides sufficient local therapeutic levels and limits the
systemic exposure to the drug. This reduces side effects
that are caused by the drug in the blood circulation. In
addition the prolonged gastric availabilityfrom a sitedirected
delivery system may also reduce the dosing frequency.
Administration of prolongs release floating dosage forms,
tablet or capsules, will results in dissolution of the drug in
the gastric fluid. Theydissolve 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 the floating dosage forms if it
remains in the solution form even at the alkaline pH of the
intestine.
When there is vigorous intestinal movement and a shorted
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.
As sustained release systems, floating dosage forms offer
various potential advantages. Drugs that have poor
bioavailability because their absorption is limited to upper
GI tract can be delivered efficientlytherebymaximizing their
absorption and improving their absolute bioavailability.
Floating dosage forms with SR characteristics can also be
expected to reduce the variability in transit performance. In
addition, it might provide a beneficial strategy for gastric
and duodenal cancer treatment.
The concept of GRFDDS has also been utilized in the development
of various anti- reflux formulations
Disadvantages/Limitations of GRFDDS:
Floating system is not feasible for those drugs that have
solubilityor stabilityproblem in G.I. tract.
These systems require a high level of fluid in the stomach
for drug deliveryto float and work efficiently.
Drugs showing absorption window at stomach region are
only considered to be better candidates.
Drugs such as Nifedipine, which is well absorbed along the
entire GI tract and also undergo significant first-pass
metabolism, maynot be suitable candidates for increasing
the GRT since the slowgastric emptying maylead toreduced
systemic bioavailability. Also there are limitations to the
applicabilityofGRFDDS for drugs that are irritant to gastric
mucosa.
The dosage form should be administered with a full glass of
water (200-250ml).
These systems do not offer significant advantages over
the conventional dosage forms for drugs, which are
absorbed throughout the gastrointestinal tract.
The use of large single-unit dosage forms sometimes poses
a problem of permanent retention ofrigid large-sized single-
unit forms especially in patients with bowel obstruction,
intestinal adhesion, gastropathy, or a narrow pyloric
opening (mean resting pyloric diameter 12.8 ± 7.0 mm)
POTENTIALDRUGCANDIDATEFORGRFDDS
GRFDDS is beneficial for drug candidate which have
stabilityproblems at alkaline pH (captopril, ranitidine HCl,
metronidazole)
Drugs having narrow absorption window in stomach, or
upper part of small intestine
(L-DOPA, p- aminobenzoic acid, furosemide, riboflavin)
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Drugs those are locally active in the stomach (misroprostol,
antacids)
Drugs that exhibit low solubility at high pH values (e.g.,
diazepam, chlordiazepoxide, verapamil)
Drugs that disturbnormal colonic microbes (e.g., antibiotics
used for the eradication of Helicobacter pylori, suchas
tetracycline, clarithromycin, amoxicillin)
Table 2: ThePotential Candidates forGRFDDS
Formulation Drug candidates
Floating microspheres Aspirin, Griseofulvin, p-nitroaniline,
Ibuprofen, Ketoprofen , Piroxicam,
Verapamil, Cholestyramine,
Theophylline, Nifedipine, Nicardipine,
Dipyridamol , Tranilast and Terfinadine
Floating granules Diclofenac sodium, Indomethacin and
Prednisolone
Films Cinnarizine, Albendazole
Floating tablets and PillsAcetaminophen, Acetylsalicylic acid,
Ampicillin, Amoxycillintrihydrate,
Atenolol, Fluorouracil, Isosorbide
mononitrate, Para- aminobenzoic acid,
Piretanide, Theophylline, Verapamil
hydrochloride, Chlorpheniramine
maleate, Aspirin, Calcium Carbonate,
Fluorouracil, Prednisolone, Sotalol ,
pentoxyfilline and DiltiazemHCl,
Atenolol, ciprofloxacin.
Floating Capsules Chlordiazepoxide hydrogen chloride,
Diazepam , Furosemide, Misoprostol, L-
Dopa, Benserazide, Ursodeoxycholic
acid and Pepstatin, and Propranolol
Formulation of Floating Dosage Form
The following types of the ingredients can be incorporated in to
GRFDDS
Hydrocolloids
Inert fatty materials
Release rate accelerants
Release rate retardant
Buoyancy increasing agents
Miscellaneous
Hydrocolloids:
Suitable hydrocolloids are synthetic, anionic or non-ionic like
hydrophilic gums, modifiedcellulose derivatives. e.g., Acacia, pectin,
agar, alginates, gelatin, casein, bentonite, veegum, MC, HPC, HEC,
and SCMC can be used. The hydrocolloids must hydrate in acidic
medium i.e., gastric fluid is having pH 1.2.Althoughthe bulk density
of the formulation may initially be more than one, but when gastric
fluid is enter in the system, itshould be hydro-dynamicallybalanced
to have a bulk density of less than one to assure buoyancy.
Table 3: Polymers andtheirApplications in GRFDDS19,27
Name of Pharmaceutical A Application in GRFDDS
the polymer pplications
Pectin Adsorbent, Pectin gel beads have been
emulsifying agent, shown to be an effective
Gelling agent, medium for controlling the
thickening agent, release of a drug within the
stabilizing agent. gastrointestinal (GI) tract.
Acacia Emulsifying and Used in novel tablet
suspending agent, formulations and modified
binder, viscosity- release tablets
enhancer
Agar Emulsifying agent, It has been investigated in a
stabilizing agent, number of experimental
suppository base, pharmaceutical applications
suspending agent, including as a Sustained
tablet binder, release agent in gels, beads,
thickening agent, microspheres, and tablets.
viscosity-increasing
agent
Gelatin Coating agent, Low-molecular-weight
film-former, gelatin has been investigated
Gelling agent, for its ability to enhance the
suspending agent, dissolution of orally
tablet binder, ingested drugs. Ibuprofen–
viscosity-increasing gelatin micro pellets have
agent. been prepared for the
controlled release of the
drug.
Alginic Acid Stabilizing agent, Alginate gel beads capable
suspending agent, of floating in the gastric
sustained release cavity have been prepared,
adjuvant, tablet binder, the release properties of
tablet disintegrant, which were reported to be
Viscosity increasing applicable for sustained
agent release of drugs, and for
targeting the gastric mucosa.
Chitosan Coating agent, Chitosan has been processed
disintegrant, into several pharmaceutical
filmformer, forms including gels, films,
mucoadhesive, binder, beads, microspheres, tablets
viscosity-increasing and coatings for liposomes.
agent.
Ethylcellulose Coating agent, Studies have also suggested
flavoring fixative, ethylcellulose for use in
Tablet binder, floating microparticles
tablet filler, viscosity- Based on low-density foam
Increasing agent. powder, for gastro retentive
drug delivery systems
Polycarbophil Adsorbent, Floating-bioadhesive
bioadhesive, microspheres coated with
Controlled release poly carbophil have been
tablet binder, found to be a useful gastro
emulsifying agent, retentive drug delivery
thickening agent, system for the treatment of
suspending agent. Helicobacter pylori.
Sodium Alkalizing agent, Sodium bicarbonate has
bicarbonate therapeutic agent. been used as a gas-forming
agent in alginate raft
systems and in floating,
controlled-release oral
dosage forms of furosemide
and cisapride.
Inert fatty materials:
Edible, pharmaceutical inert fattymaterial, having a specific gravity
8. Journal of Pharmacy Research Vol.11 Issue 2 February 2017
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167-178
less than one can beadded to the formulation to decrease the
hydrophilic property of formulation and hence increases the
buoyancy e.g.Purified grades of beeswax, fatty acids, long chain
alcohols, glycerides, and mineral oils can be used.
Release rate accelerant:
The release rate of the medicament from the formulation can be
modified by includingexcipient like lactose and/or mannitol. These
may be present from about 5-60 % byweight. (Super Disintegrant)
Release rate retardants:
Insoluble substances such as di-calcium phosphate, talc, magnesium
stearate decreases thesolubility and hence retard the release of
medicaments.
Buoyancy Increasing agents:
Materials like ethyl cellulose, which has bulk density less than one,
can be used forenhancing the buoyancy of the formulation. It may
be adapted up to 80 % by weight.
Table 4: List ofMarketed Products with increased GRT44
Brand name Drug (dose) Company, country Dosage form
Madopar® Levodopa(l00mg), benserazide(25mg) Roche Products, US Floating controlled release capsule
Valrelease® Diazepam (15mg) Hoffmann-La Roche, US Floating capsule
Liquid Gaviscon® Al. hydroxide (95mg), Mg. carbonate (358mg) GlaxoSmithKline, India Raft-forming liquid alginate preparation
Topalkan® Aluminium-magnesium antacid Pierre Fabre Drug, France Floating liquid alginate preparation
Conviron® Ferrous sulphate Ranbaxy, India gel-forming floating system
Cifran OD® Ciprofioxacin (500mg & 1g) Ranbaxy, India Gas-generating floating tablet
Oflin OD® Ofloxacin (400mg) Ranbaxy, India Gas-generating floating tablet
Cytotec® Misoprostol (100ng) Pharmacia, US Bilayer floating capsule
Miscellaneous:
Pharmaceuticallyacceptable adjuvant like preservatives, stabilizers,
and lubricants can beincorporates in the dosage forms as per the
requirements. Theydo not adverselyaffect the hydrodynamic balance
ofthe systems.Alist of Polymers and their Applications in GRFDDS
are given in Table 3.
Evaluation of Floating Drug Delivery System:
Evaluation of a formulation andparameters tobeevaluated is a critical
aspect in formulation technology. Aschematic on evaluation of
GRFDDS is shown as in Schematic Diagram.
Evaluation of Powder Blend as per general Pharmacopoeial
specifications such as Angle of Repose, Bulk Density, Tapped
Density, Hausners Ratio, CompressibilityIndex etc.
Evaluation of Floating Tablets
Pharmacopoeial Tests
Hardness[46]
The hardness of the tablets was tested by diametric compression
using a Monsanto Hardness Tester. A tablet hardness of about 2-4
Kg/cm2
is considered adequate for mechanical stability.
Friability[46]
The friability of the tablets was measured in a Roche Friabilator. 20
Tablets were taken, Weighed and Initial weight was noted (W0
) are
dedustedin a drumfor afixedtime(100Freefalls,in aRocheFriabilator)
and weighed (W) again. Percentagefriabilitywas calculated from the
loss in weight as given in equation as below. The weight loss should
not be more than 1 %
Friability (%) = [(Initial weight- Final weight) / (Initial weight)] x
100
Content Uniformity[46]
In this test, 20 tablets were randomly selected and the percent drug
content was determined, the tablets contained not less than 85% or
not more than 115% (100±15%) of the labeled drug content can be
considered as the test was passed.
Schematic Diagramof EvaluationofFloatingDrug DeliverySystem
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Assay[47]
The drug content in each formulation was determined bytriturating
20 tablets and powder equivalent to average weight was dissolved
in 100ml of 0.1N Hydrochloric acid by sonication for 30 min. The
solution was filtered through a 0.45μ membrane filter, diluted suitably
and the absorbance of resultant solution was measured
spectrophotometricallyat λmax ofAPI(nm) using 0.1 N Hydrochloric
acid as blank .
Thickness[46]
Thickness of the all tablet formulations were measured using
verniercalipers by placing tablet between two arms of the
verniercalipers.
In-Vitro Buoyancy Studies[48-49]
The tablets wereplaced in a 100-mL beaker containing0.1N HCl. The
time required for the tablet to rise to the surface and float was
determined as floating lag time.
Buoyancy (%) = Wf
/Wf
+Ws
*100
Where, Wf
and Ws
are the weights of floating and settled
microspheres respectively.
In-Vitro Dissolution Study[50-51]
The In-vitro dissolution study for the Floating tablets were carried
out in USP XXIII type-II dissolution test apparatus (Paddle type)
using 900 ml of 0.1 N HCl as dissolution medium at 50 rpm and
temperature 37±0.5°C. At predetermined time intervals, 5 ml of the
samples were withdrawn bymeans of a syringe fitted with a pre-filter,
the volume withdrawn at each interval was replaced with same
quantity of fresh dissolution medium. The resultant samples were
analyzed for the presence of the drug release by measuring the
absorbance at λmax ofAPI( nm) using UVVisible spectrophotometer
after suitable dilutions. The determinations were performed in
triplicate(n=3)
Kinetic modelling of drug release[52-57]
The dissolution profile of all the formulations was fitted in to zero-
order, first-order, Higuchi and Korsmeyer-peppas models to ascertain
the kinetic modelling of drug release.
In-Vivo Evaluation for Gastro-Retention:
X-ray/ Gamma Scintigraphy:
X ray/Gamma Scintigraphy is a very popular evaluation parameter
for floatingdosage form nowadays. It helps to locate dosage form in
the gastrointestinal tract (GIT), bywhich one can predictand correlate
the gastric emptying time and the passage of dosage form in the GIT.
Here the inclusion of aradio opaque material into a solid dosage form
enables it to be visualized by X rays. Similarly, the inclusion of a
emitting radionuclide in a formulation allows indirect external
observation using a camera or scintiscanner. Incase ofscintigraphy,
the rays emitted by the radionuclide are focused on a camera,
which helps to monitor thelocation of the dosage form in the GIT.
TheFormulated Tablets (TranilastEudragit S (BaSO4) Isardipine
(HPMC) system)and for In-Vivo studies two healthymale volunteers
administered hard gelatin capsules packed with microballons (1000
mg) with 100 mLwater. X-ray photographs at suitable intervals were
taken[58-60]
.
Two phases: Phase I (fasted conditions): Five healthy volunteers
(3 males and 2 females) in an open randomized crossover design,
capsules ingested in sitting position with 100 mL of tap water.
Phase II (fed states): Four subjects received normal or MR capsules
in a crossover design after standard breakfast. Venous blood samples
were taken in heparinized tubes at predetermined time intervals after
dosing.
In-Vivo behavior of coated and uncoated beads, prepared floating
beads was monitored using a single channel analyzing study in 12
healthy human volunteers of mean age 34 yrs by Gamma
scintigraphy[31]
.
Tablet density
Tablet density is an important parameter for floating tablets. The
tablet would floats only when its density is less than that of gastric
fluid (1.004). The density is determined using following
relationship[61]
V = r2
hd =m/v
v = volume of tablet (cc)
r = radius of tablet (cm)
h = crown thickness of tablet (g/cc)
m = mass of tablet
FOR MULTIPLE UNIT DOSAGE FORMS (MICROSPHERES/
MICROBALLONS)[60]
In case of multiparticulatedrug deliverysystems, differential scanning
calorimeter (DSC), particle size analysis, flow properties, surface
morphology, mechanical properties and x-ray diffraction studies are
performed.
Size and shape evaluation
Theparticle sizeand shapeplays a major role in determiningsolubility
rate of the drugs and thus potentially its bioavailability. The particle
size of the formulation can be determined using Sieve analysis, Air
elutriation analysis, Photo analysis, Optical microscope, Electro
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167-178
résistance counting methods, Sedimentation techniques, Laser
diffraction methods[31,62]
.
Morphology and surface topography
The surface topography and structures were determined using
scanning electron microscope (SEM) operated with an acceleration
voltage of 10k.v, Contact angle meter, Atomic force microscopy
(AFM), Contact profiliometer[62]
.
Percentage drug entrapment
Percentage entrapment efficiency was reliable for quantifying the
phase distribution of drug in the pre-pared formulations. The drug is
extracted bya suitable method, analyzed and is calculated from:
PDE = Practical Drug Loading /Theoretical Drug Loading * 100
FUTUREPOTENTIAL AND CONCLUSION
The development of GRFDDS products is currentlyone of the most
important challenges in pharmaceutical research. From the above
review we conclude that GRFDDS products by virtue of formulation
and product design provide drug release in a modified form distinct
from that of the conventional dosage forms mainlyat stomach region,
aptly applicably to drugs showing absorption at stomach site. The
physicochemical properties of the drug, polymer and the drug to
polymer ratio govern the release of drug from the formulation. The
use of one kind of polymer or another can affect the release kinetics,
the presence of burst effect and the mechanisms involved in the
release. Natural polymers have been used significantly in designing
and synthesis of novel drug delivery systems because of their
biodegradable, biocompatible, ecofriendly nature and vast
availability. Hence these natural polymers will expand the scope of
new drug delivery systems in the future. With proper selection of
natural polymers and their blending with other polymers better
floating dosage forms with improved floating lag time, floating
duration and drug release can be achieved. The use of Natural
Polymers can be a good replacement for synthetic polymers in the
Formulation development ofcontrolled release floating dosage forms,
Formulations prepared by such renewable and eco-friendly plant
resources can be considered as promising floating matrix forming
agents to bring about sustained release action with site specific
delivery for improved bioavailability. FDDS approach may be used
for various potential active agents with narrow absorption window,
e.g. antiviral, antifungal and antibiotic agents (sulphonamides,
quinolones, penicillins, cephalosporins, aminoglycosides and
tetracyclines).
The kinetic study of drug release helps in obtaining meaningful
parameters which are employedfor comparative purposes and relating
the release parameter with important parameters such as
bioavailability which further aids in studying the influence of
formulation factors on the drug release for optimization.
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