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GASTRO RETENTIVE DRUG DELIVERY SYSTEM
ADVANTAGES AND APPROACHES
M.SRINIVAS
M.PHARMACY, II SEMISTER
(PHARMACEUTICS)
VAAGESWARI COLLEGE OF
PHARMACY
2




CONTENTS
• INTRODUCTION
• APPROPRIATE CANDIDATE DRUGS FOR
  GRDDS
• ADVANTAGES
• LIMITATIONS
• APPROACHES
• CONCLUSION
• REFERENCES
3




INTRODUCTION
• Oral drug delivery is widely used in
  pharmaceutical field to treat the diseases.
• Some drugs are absorbed at specific site only
  ,these require release at that specific site.
• Gastro retentive drug delivery(GRDDS) is one of
  the site specific drug delivery for the delivery of
  the drugs at stomach.
• It is obtained by retaining dosage form into
  stomach and drug is being released at controlled
  manner at specific site
4




APPROPRIATE CANDIDATE DRUGS FOR
GRDDS
• Drugs acting locally in the stomach.
   E.g. Antacids and drugs for H. Pylori viz.,
  Misoprostol.
• Drugs that are primarily absorbed in the stomach.
   E.g. Amoxicillin
• Drugs that is poorly soluble at alkaline pH.
   E.g. Furosamide, Diazepam, Verapamil, etc.
• Drugs with a narrow absorption window.
   E.g. Cyclosporine, , Levodopa, Methotrexate etc.
5




• Drugs which are absorbed rapidly from the GI
  tract.
   E.g. Metronidazole, tetracycline.
• Drugs that degrade in the colon.
   E.g. Ranitidine, Metformin.
• Drugs that disturb normal colonic microbes
   E.g. antibiotics against Helicobacter pylori.
6




ADVANTAGES
• Enhanced bioavailability
• Sustained drug delivery/reduced frequency of
  Dosing
• Targeted therapy for local ailments in the upper
  GIT
• Reduced fluctuations of drug concentration
• Improved selectivity in receptor activation
• Reduced counter-activity of the body
7




ADVANTAGES
• Extended effective concentration.
• Minimized adverse activity at the colon.
8




LIMITATIONS
• The drug substances that are unstable in the
  acidic environment of the stomach are not
  suitable candidates to be incorporated in the
  systems.
• These systems require a high level of fluid in the
  stomach for drug delivery to float and work
  efficiently.
9




• Not suitable for drugs that have solubility or
  stability problem in GIT.
• Drugs which are irritant to gastric mucosa are
  also not suitable.
• These systems do not offer significant
  advantages over the conventional dosage forms
  for drugs, which are absorbed throughout GIT.
10


    APPROACHES FOR PROLONGING THE
    GASTRIC RESIDENCE TIME
                                     HD
                                      S
                                 F
•   High-density systems.        S

    (HDS)                    S




                                     A
                                     S
                             S

•   Floating systems. (FS)
•   Swelling and expanding
    systems. (SS)
•   Mucoadhesive &
    Bioadhesive systems.
    (AS)
11

CLASSIFICATION
12




HIGH DENSITY SYSTEM
• Gastric contents have a density close to water
  ( 1.004 g cm−3). When the patient take high-density
  pellets , they sink to the bottom of the stomach
  where they become entrapped in the folds of the
  antrum and withstand the peristaltic waves of the
  stomach wall.
• A density close to 2.5 g cm−3 seems necessary for
  significant prolongation of gastric residence time.
• Barium sulphate , zinc oxide, iron powder, and
  titanium dioxide are examples for excipients used.
13




FLOATING DRUG DELIVERY
These have a bulk density lower than the gastric
content. They remain buoyant in the stomach for a
prolonged period of time, with the potential for
continuous release of drug. They Include:
  Hydrodynamically balanced systems (HBS)
  Gas-generating systems
  Volatile liquid/ vacuum containing systems
  Raft-forming systems
  Low-density systems
14

GAS GENERATING SYSTEMS
• Carbonates or bicarbonates, which react with
  gastric acid or any other acid (e.g., citric or
  tartaric) present in the formulation to produce
  CO2 , are usually incorporated in the dosage
  form, thus reducing the density of the system
  and making it float on the media.
15




MATRIX TABLETS
• Single layer matrix tablet is prepared by incorporating
  bicarbonates in matrix forming hydrocolloid gelling
  agent like HPMC, chitosin, alginate or other polymers
  and drug.
• Bilayer tablet can also be prepared by gas generating
  matrix in one layer and second layer with drug for its SR
  effect.
• Triple layer tablet also prepared having first swellable
  floating layer with bicarbonates, second sustained
  release layer of drug and third rapid dissolving layer of
  bismuth salt.
16



INFLATABLE GASTROINTESTINAL
DELIVERY
•  System is incorporated with an inflatable chamber
   which contains liquid ether -gasifies at body
   temperature to cause the chamber to inflate in
   stomach.
• Inflatable chamber is loaded with a drug reservoir
   which can be a drug, impregnated polymeric then
   encapsulated
 in a gelatin capsule.
17


INTRAGASTRIC OSMOTICALLY CONTROLLED
DDS
  Comprised of both an osmotic pressure controlled drug
   delivery device and an inflatable floating support in a
   biodegradable capsule.
 In stomach, the capsule quickly disintegrates and release the
   intragastric osmotically controlled drug delivery device .
 Inflatable support forms a deformable hollow polymeric bag
   containing liquid that gasifies at body temperature to inflate
   the bag.
Consists of 2 compartments:
• Drug reservoir
• Osmotically active compartment.
18




INTRA-GASTRIC FLOATING GASTROINTESTINAL
DRUG DELIVERY SYSTEMS
• System can be float by flotation chamber, which
  may be vacuum or filled with air or a harmless
  gas

• Drug reservoir is
 encapsulated inside
 a microporous
 compartment
19



HYDRODYNAMICALLY BALANCED SYSYTEMS
 Prepared by incorporating a high level(20-75%w/w) gel-
  forming hydrocolloids. E.g.:- Hydoxyethylcellulose,
  hydroxypropylcellulose, HPMC & Sod. CMC into the
  formulation and then compressing these granules into a
  tablets or capsules.
 It maintains the bulk density less than 1.
20




RAFT FORMING
• This system is used for delivery of antacids and
  drug delivery for treatment of gastrointestinal
  infections and disorders.
• The mechanism involved in this system includes
  the formation of a viscous cohesive gel in contact
  with gastric fluids, forming a continuous layer
  called raft.
21




HOLLOW MICROSPHERES
• Polymers used commonly: Polycarbonates,
  Cellulose acetate, Calcium alginate, Eudragit S,
  agar and methoxylated pectin etc.
22

ALGINATE BEADS                       SUPERPOROUS HYDROGELS
• Prepared by dropping sodium        • Swellable agents have pore
  alginate solution into aqueous       size ranging between 10nm to
  solution of calcium chloride,        10µm.
  causing the precipitation of       • Superporous hydrogels will
  calcium alginate                     swell more than the swelling
• Freeze dry in liquid nitrogen at     ratio 100,This is achieved by
  -40oc for 24h.                       co-formulation of a
                                       hydrophilic particulate
• Beads-spherical and 2.5 mm in        material, and Ac-Di-Sol
  diameter.                            (crosscarmellose).
23
         EXPANDABLE SYSTEMS
1.UNFOLDED SYSTEMS     2.SWELLABLE SYSTEMS


                        The swelling is usually results
                         from osmotic absorption of water.
                        The device gradually decreases in
                         volume and rigidity as a result
                         depletion of drug and expanding
                         agent and/or bioerosion of
                         polymer layer, enabling its
                         elimination.
24

MUCOADHESIVE SYSTEMS
• The basis of mucoadhesion is that a dosage form can stick to the
  mucosal surface by different mechanisms.
• Examples for Materials commonly used for bioadhesion are
  poly(acrylic acid) (Carbopol®, polycarbophil), chitosin, Gantrez®
  (Polymethyl vinyl ether/maleic anhydride copolymers),
  cholestyramine, tragacanth, sodium alginate
25


MAGNETIC SYSTEM

 •Based upon the principle that dosage form contains
 a small internal magnet ,and a magnet placed on the
 abdomen over the position of stomach can enhance
 the GRT.
26

Marketed Products of GRDDS
Brand name         Delivery system            Drug (dose)                 Company
                                                                          name
Valrelease®        Floating capsule           Diazepam (15mg)             Hoffmann-LaRoche,
                                                                          USA
Madopar® HBS       Floating, CR capsule       Benserazide (25mg) and L-   Roche Products,
(Prolopa® HBS)                                dopa (100mg)                USA
Liquid Gaviscon®   Effervescent Floating      Al hydroxide (95 mg), Mg    GlaxoSmithkline,
                   liquid alginate            Carbonate (358 mg)          India
                   preparations
Topalkan®          Floating liquid alginate   Al – Mg antacid             Pierre Fabre Drug,
                   Preparation                                            France
Conviron®          Colloidal gel forming      Ferrous sulphate            Ranbaxy, India
                   FDDS
Cytotech®          Bilayer floating capsule   Misoprostol (100μg/200μg)   Pharmacia, USA

Cifran OD®         Gas-generating floating    Ciprofloxacin (1gm)         Ranbaxy, India
                   form
27




CONCLUSION
• Gastro retentive drug delivery systems have
  emerged as a current approache of controlled
  delivery of drugs that exhibit an absorption window.
• All these drug delivery systems have their own
  advantages and drawbacks.
• To design a successful GRDDS, it is necessary to
  take into consideration the physicochemical
  properties of the drug, physiological events in the
  GIT,     formulation     strategies,   and    correct
  combination of drug and excipients.
28




REFERENCE
• N K Jain. Gastroretentive drug delivery systems:
  Garima Chawla, Piyush Gupta and Aravind K.
  Bansal, editors. Progress in controlled and novel drug
  delivery systems.New delhi.
• S.P.vyas, roop K.khar controlled drug delivery
  concepts and advances page no.196-217.
29




             O U
       K   Y
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gastro retentive drug delivery system advantages and approaches

  • 1. 1 GASTRO RETENTIVE DRUG DELIVERY SYSTEM ADVANTAGES AND APPROACHES M.SRINIVAS M.PHARMACY, II SEMISTER (PHARMACEUTICS) VAAGESWARI COLLEGE OF PHARMACY
  • 2. 2 CONTENTS • INTRODUCTION • APPROPRIATE CANDIDATE DRUGS FOR GRDDS • ADVANTAGES • LIMITATIONS • APPROACHES • CONCLUSION • REFERENCES
  • 3. 3 INTRODUCTION • Oral drug delivery is widely used in pharmaceutical field to treat the diseases. • Some drugs are absorbed at specific site only ,these require release at that specific site. • Gastro retentive drug delivery(GRDDS) is one of the site specific drug delivery for the delivery of the drugs at stomach. • It is obtained by retaining dosage form into stomach and drug is being released at controlled manner at specific site
  • 4. 4 APPROPRIATE CANDIDATE DRUGS FOR GRDDS • Drugs acting locally in the stomach. E.g. Antacids and drugs for H. Pylori viz., Misoprostol. • Drugs that are primarily absorbed in the stomach. E.g. Amoxicillin • Drugs that is poorly soluble at alkaline pH. E.g. Furosamide, Diazepam, Verapamil, etc. • Drugs with a narrow absorption window. E.g. Cyclosporine, , Levodopa, Methotrexate etc.
  • 5. 5 • Drugs which are absorbed rapidly from the GI tract. E.g. Metronidazole, tetracycline. • Drugs that degrade in the colon. E.g. Ranitidine, Metformin. • Drugs that disturb normal colonic microbes E.g. antibiotics against Helicobacter pylori.
  • 6. 6 ADVANTAGES • Enhanced bioavailability • Sustained drug delivery/reduced frequency of Dosing • Targeted therapy for local ailments in the upper GIT • Reduced fluctuations of drug concentration • Improved selectivity in receptor activation • Reduced counter-activity of the body
  • 7. 7 ADVANTAGES • Extended effective concentration. • Minimized adverse activity at the colon.
  • 8. 8 LIMITATIONS • The drug substances that are unstable in the acidic environment of the stomach are not suitable candidates to be incorporated in the systems. • These systems require a high level of fluid in the stomach for drug delivery to float and work efficiently.
  • 9. 9 • Not suitable for drugs that have solubility or stability problem in GIT. • Drugs which are irritant to gastric mucosa are also not suitable. • These systems do not offer significant advantages over the conventional dosage forms for drugs, which are absorbed throughout GIT.
  • 10. 10 APPROACHES FOR PROLONGING THE GASTRIC RESIDENCE TIME HD S F • High-density systems. S (HDS) S A S S • Floating systems. (FS) • Swelling and expanding systems. (SS) • Mucoadhesive & Bioadhesive systems. (AS)
  • 12. 12 HIGH DENSITY SYSTEM • Gastric contents have a density close to water ( 1.004 g cm−3). When the patient take high-density pellets , they sink to the bottom of the stomach where they become entrapped in the folds of the antrum and withstand the peristaltic waves of the stomach wall. • A density close to 2.5 g cm−3 seems necessary for significant prolongation of gastric residence time. • Barium sulphate , zinc oxide, iron powder, and titanium dioxide are examples for excipients used.
  • 13. 13 FLOATING DRUG DELIVERY These have a bulk density lower than the gastric content. They remain buoyant in the stomach for a prolonged period of time, with the potential for continuous release of drug. They Include: Hydrodynamically balanced systems (HBS) Gas-generating systems Volatile liquid/ vacuum containing systems Raft-forming systems Low-density systems
  • 14. 14 GAS GENERATING SYSTEMS • Carbonates or bicarbonates, which react with gastric acid or any other acid (e.g., citric or tartaric) present in the formulation to produce CO2 , are usually incorporated in the dosage form, thus reducing the density of the system and making it float on the media.
  • 15. 15 MATRIX TABLETS • Single layer matrix tablet is prepared by incorporating bicarbonates in matrix forming hydrocolloid gelling agent like HPMC, chitosin, alginate or other polymers and drug. • Bilayer tablet can also be prepared by gas generating matrix in one layer and second layer with drug for its SR effect. • Triple layer tablet also prepared having first swellable floating layer with bicarbonates, second sustained release layer of drug and third rapid dissolving layer of bismuth salt.
  • 16. 16 INFLATABLE GASTROINTESTINAL DELIVERY • System is incorporated with an inflatable chamber which contains liquid ether -gasifies at body temperature to cause the chamber to inflate in stomach. • Inflatable chamber is loaded with a drug reservoir which can be a drug, impregnated polymeric then encapsulated in a gelatin capsule.
  • 17. 17 INTRAGASTRIC OSMOTICALLY CONTROLLED DDS  Comprised of both an osmotic pressure controlled drug delivery device and an inflatable floating support in a biodegradable capsule.  In stomach, the capsule quickly disintegrates and release the intragastric osmotically controlled drug delivery device .  Inflatable support forms a deformable hollow polymeric bag containing liquid that gasifies at body temperature to inflate the bag. Consists of 2 compartments: • Drug reservoir • Osmotically active compartment.
  • 18. 18 INTRA-GASTRIC FLOATING GASTROINTESTINAL DRUG DELIVERY SYSTEMS • System can be float by flotation chamber, which may be vacuum or filled with air or a harmless gas • Drug reservoir is encapsulated inside a microporous compartment
  • 19. 19 HYDRODYNAMICALLY BALANCED SYSYTEMS  Prepared by incorporating a high level(20-75%w/w) gel- forming hydrocolloids. E.g.:- Hydoxyethylcellulose, hydroxypropylcellulose, HPMC & Sod. CMC into the formulation and then compressing these granules into a tablets or capsules.  It maintains the bulk density less than 1.
  • 20. 20 RAFT FORMING • This system is used for delivery of antacids and drug delivery for treatment of gastrointestinal infections and disorders. • The mechanism involved in this system includes the formation of a viscous cohesive gel in contact with gastric fluids, forming a continuous layer called raft.
  • 21. 21 HOLLOW MICROSPHERES • Polymers used commonly: Polycarbonates, Cellulose acetate, Calcium alginate, Eudragit S, agar and methoxylated pectin etc.
  • 22. 22 ALGINATE BEADS SUPERPOROUS HYDROGELS • Prepared by dropping sodium • Swellable agents have pore alginate solution into aqueous size ranging between 10nm to solution of calcium chloride, 10µm. causing the precipitation of • Superporous hydrogels will calcium alginate swell more than the swelling • Freeze dry in liquid nitrogen at ratio 100,This is achieved by -40oc for 24h. co-formulation of a hydrophilic particulate • Beads-spherical and 2.5 mm in material, and Ac-Di-Sol diameter. (crosscarmellose).
  • 23. 23 EXPANDABLE SYSTEMS 1.UNFOLDED SYSTEMS 2.SWELLABLE SYSTEMS  The swelling is usually results from osmotic absorption of water.  The device gradually decreases in volume and rigidity as a result depletion of drug and expanding agent and/or bioerosion of polymer layer, enabling its elimination.
  • 24. 24 MUCOADHESIVE SYSTEMS • The basis of mucoadhesion is that a dosage form can stick to the mucosal surface by different mechanisms. • Examples for Materials commonly used for bioadhesion are poly(acrylic acid) (Carbopol®, polycarbophil), chitosin, Gantrez® (Polymethyl vinyl ether/maleic anhydride copolymers), cholestyramine, tragacanth, sodium alginate
  • 25. 25 MAGNETIC SYSTEM •Based upon the principle that dosage form contains a small internal magnet ,and a magnet placed on the abdomen over the position of stomach can enhance the GRT.
  • 26. 26 Marketed Products of GRDDS Brand name Delivery system Drug (dose) Company name Valrelease® Floating capsule Diazepam (15mg) Hoffmann-LaRoche, USA Madopar® HBS Floating, CR capsule Benserazide (25mg) and L- Roche Products, (Prolopa® HBS) dopa (100mg) USA Liquid Gaviscon® Effervescent Floating Al hydroxide (95 mg), Mg GlaxoSmithkline, liquid alginate Carbonate (358 mg) India preparations Topalkan® Floating liquid alginate Al – Mg antacid Pierre Fabre Drug, Preparation France Conviron® Colloidal gel forming Ferrous sulphate Ranbaxy, India FDDS Cytotech® Bilayer floating capsule Misoprostol (100μg/200μg) Pharmacia, USA Cifran OD® Gas-generating floating Ciprofloxacin (1gm) Ranbaxy, India form
  • 27. 27 CONCLUSION • Gastro retentive drug delivery systems have emerged as a current approache of controlled delivery of drugs that exhibit an absorption window. • All these drug delivery systems have their own advantages and drawbacks. • To design a successful GRDDS, it is necessary to take into consideration the physicochemical properties of the drug, physiological events in the GIT, formulation strategies, and correct combination of drug and excipients.
  • 28. 28 REFERENCE • N K Jain. Gastroretentive drug delivery systems: Garima Chawla, Piyush Gupta and Aravind K. Bansal, editors. Progress in controlled and novel drug delivery systems.New delhi. • S.P.vyas, roop K.khar controlled drug delivery concepts and advances page no.196-217.
  • 29. 29 O U K Y A N TH