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INTRODUCTION:
An ideal dosage regimen in the drug therapy of any disease is the one, which
immediately attains the desire therapeutic concentration of drug in plasma (or at the site of
action and maintains it constant for the entire duration of treatment! This is possi"le through
administration of con#entional dosage form in a particular dose and at a particular fre$uency!
Thus drug may "e administered "y #ariety of routes in a #ariety of dosage forms!
%
Drugs are more fre$uently ta&en "y oral administration! Compared with alternate
routes, the oral route of drug administration is the most popular and has "een successfully
used for con#entional deli#ery of drug! It is considered most natural, uncomplicated,
con#enient, safe means of administering drugs, greater fle'i"ility in dosage form design, ease
of production!
Among the drugs that are administered orally, solid dosage form represent the
preferred class of product! They are #ersatile, fle'i"le in dosage strength, relati#ely sta"le,
present lesser pro"lem in formulation, pac&aging and it is con#enient to manufacture, store,
handle and use! (olid dosage form pro#ides "est protection to the drug against light,
temperature, humidity, o'ygen, and stress during transportation
! Amongst the solid oral
dosage form ta"lets are widely used!
1 ) TABLETS
:
Ta"lets may "e defined as solid pharmaceutical dosage forms containing
medicament or medicaments with or without suita"le e'cipients ) prepared either "y
compression or molding!
*
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INTRODUCTION
1 (a) Advantages of tablets
2
:
(ome of the potential ad#antages of ta"lets are as follows!
They are the unit dosage form ha#ing greatest capa"ilities amongst all the oral dosage
form for the dose precision and least content #aria"ility!
Their cost is lowest amongst all the oral dosage forms!
They are the lightest and the most compact amongst all the oral dosage form!
They are easiest and cheapest for pac&aging and transportation!
They lend themsel#es to certain special release profile products such as enteric or delayed
release products!
Ta"lets are "etter suited to large+scale production than other unit oral dosage forms!
They ha#e the "est+com"ined properties of chemical, mechanical, micro"iological
sta"ility amongst all the oral dosage forms!
1(b) Classf!aton of tablets:
,ased on the route of administration or the function, the ta"lets are classified as follows!
-
% Ta"lets ingested orally!
Compressed ta"let
.ultiple compressed ta"let
i /ayered Ta"let
ii Compression coated Ta"let
Repeat action Ta"let
Delayed action and enteric+coated Ta"let
(ugar and chocolate+coated ta"let
a 0ilm coated ta"let
" Chewa"le Ta"let
1 Ta"lets used in the oral ca#ity!
,uccal Ta"let
(u"lingual Ta"let
Troches and /o2enges
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INTRODUCTION
Dental cones
* Ta"lets administered "y other routes!
Implantation Ta"let
3aginal Ta"lets
- Ta"lets used to prepare solution!
4ffer#escent Ta"let
Dispensing Ta"let
5ypodermic Ta"let
Ta"lets Triturates
1) !) Tablet "an#fa!t#$ng "et%ods
Ta"lets are manufactured "y 6et granulation, Dry granulation or Direct compression
method!
7
& 'et ($an#laton:
6et granulation is the process in which a li$uid is added to a powder in a #essel
e$uipped with any type of agitation that will produce agglomeration or granules! These
granules after drying are compressed to form ta"lets!
& D$) ($an#laton:
In this techni$ue, there is no use of li$uids! The process in#ol#es the formation of
slugs! Then the slugs are screened or milled to produce granules! The granules formed are
then compressed to form ta"lets!
& D$e!t Co*+$esson:
The term direct compression is used to define the process "y which ta"lets are
compressed directly from powder "lends of acti#e ingredient and suita"le e'cipients, which
will flow uniformly in the die ca#ity ) forms a firm compact!
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INTRODUCTION
Table No,1,1: 8rocessing (teps Commonly re$uired in the 3arious Ta"let 9ranulation
preparation techni$ues
7
-$o!essng
ste+s
'et ($an#laton D$)
($an#laton
D$e!t Co*+$esson
Raw materials
6eight
(creen
.i' +
Compress
(slug
+ +
6et mass + +
.ill + +
Dry + +
.ill +
.i' +
Compress
1)d) Advantages of D$e!t Co*+$esson "et%od
.
:/
This process is more economical! It re$uires fewer manufacturing steps, less
processing time ) thus reduces la"our cost ) less process #alidation!
The processing steps re$uired no need of moisture, heat, and high compaction
pressure!
There is an optimi2ation of ta"let disintegration, in which each primary drug particle
is li"erated from the ta"let mass ) is a#aila"le for dissolution!
Disintegrating agents li&e starch are more effecti#e when processed "y direct
compression than wet granulation techni$ue!
In the present aging society, easy+to+use dosage forms for elderly patient, whose
swallowing function is often decreased, are in great demand
*-
! The use of con#entional
ta"lets, capsules, and li$uid or syrup preparations were not always easy+to+use dosage forms
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INTRODUCTION
for elderly patients "ecause of there decrease motor function! (imilarly the use of
con#entional ta"lets is challenging to pediatric, geriatric, and uncooperati#e patients who
may ha#e difficulty to swallow ta"lets and is also pro"lematic when water is una#aila"le or
when patients ha#e a persistent cough or gag+reflu'!
These pro"lems ha#e "een addressed "y the recent introduction of orally
disintegrating ta"lets(ODT which also &nown as A $uic&+dissol#ing ta"let (also &nown as
fast+dissol#ing, fast+dissol#ing multiparticulate, rapid+dissol#ing, mouth+dissol#ing, fast+
melting, orodispersing ta"lets is an oral ta"lets that does not re$uire water for swallowing!
.any patients e'press difficulty in swallowing ta"lets and capsules tending to noncompliance
) ineffecti#e therapy!
1, A) 0AST DISSOL1IN( 2 DISINTE(RATIN( TABLET:
Orally Disintegrating ta"lets are also called as Oro+dispersi"le ta"lets, :uic&
disintegrating ta"lets, .outh dissol#ing ta"lets, 0ast disintegrating ta"lets, Rapid dissol#ing
ta"lets, 8orous ta"lets and Rapimelts!
;
A B C
0g#$e 1,1: A+ Disintegration of Oro dispersi"le ta"let after 7 seconds
,+ Disintegration of Oro dispersi"le ta"let after %< seconds
C+ Disintegration of Oro dispersi"le ta"let after 1< seconds
Ad#antages of this drug deli#ery system includes administration without water ,accuracy of
dosage form , easy porta"ility ,alternati#e to li$uid dosage form ,ideal for pediatric )
geriatric patients and rapid onset of action !
Recently, 4uropean 8harmacopoeia has used the term Oro+dispersi"le ta"lets that
disperses readily and within * min in mouth "efore swallowing!
;,%*
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INTRODUCTION
United (tate 0ood and Drug Administration (0DA defined Oro+dispersi"le
ta"lets as, =A solid dosage form containing medicinal su"stance of acti#e ingredient which
disintegrates usually within a matter of seconds when placed upon the tongue!>
;
30ast dissol#ing ta"lets is solid dosage form that contains medicinal su"stances
and that disintegrate and dissol#e rapidly without water (within seconds when placed on the
tongue!>
The need for deli#ering drugs to patients efficiently and with few side effects has
prompted pharmaceutical companies to engage in the de#elopment of new drug deli#ery
systems! A solid dosage form that dissol#es or disintegrates rapidly in oral ca#ity, resulting
in solution or suspension without the need of water is &nown as fast dispersing dosage form
or mouth dissol#ing ta"lets! 6hen this type of ta"let is placed into the mouth, the sali#a will
ser#e to rapidly dissol#e the ta"let!
Target populations for these new fast+dissol#ing?disintegrating dosage forms ha#e
generally "een pediatric, geriatric, "edridden or de#elopmentally disa"led patients! 8atient
with persistant nausea, who are tra#eling or who ha#e little or no access of water are also
good candidates for fast dissol#ing ? disintegrating ta"lets
. Other groups that may e'perience
pro"lems using con#entional oral dosage form include the mentally ill and patients who are
uncooperati#e! A difficulty in swallowing (dysphagia ta"lets or capsules is common pro"lem
among all age groups, especially in elderly and pediatrics! 0or this reasons, ta"lets that can
dissol#e or disintegrate in oral ca#ity, ha#e attracted a great deal of attention!
Orally disintegrating ta"lets are characteri2ed "y high porosity, and low hardness, when
administered an in+situ suspension is created in the oral ca#ity as the ta"let disintegrates and
is su"se$uently swallowed!
(ome ta"lets are designed to dissol#e in sali#a remar&a"ly fast,
within a few seconds, and are true fast+dissol#ing ta"lets! Others contain agents to enhance
the rate of ta"let disintegration in the oral ca#ity, and are more appropriately termed fast+
disintegrating ta"lets, as they may ta&e up to a minute to completely disintegrate! 6hen put
on tongue, this ta"let disintegrates instantaneously, releasing the drug, which dissol#es or
disperses in the sali#a! (ome drugs are a"sor"ed from the mouth, pharyn' and oesophagus as
the sali#a passes down into the stomach! In such cases, "ioa#aila"ility of drug is significantly
greater than those o"ser#ed from con#entional ta"let dosage form
%%
!
The disintegration time
of these ta"lets depend largely on si2e and hardness parameters!
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INTRODUCTION
On placing orodispersi"le ta"let in the mouth, sali#a ser#es to rapidly dissol#e the
dosage form! The sali#a containing the dissol#ed or dispersed medicament is then swallowed
and the drug is a"sor"ed in the normal way! (ome drugs are a"sor"ed from the mouth,
pharyn' and oesophagus as the sali#a passes down into the stomach ) it may produce rapid
onset of action!
%%
1, B) / ) Advantages of Oro-dispersible Tablets
Orally disintegrating ta"lets offer all ad#antages of solid dosage forms and li$uid
dosage forms along with special ad#antages, which include
%1
@
4ase of administration to patients who cannot swallow, such as the elderly, stro&e
#ictims and "edridden patientsA patients who should not swallow, such as renal
failure patientsA and who refuse to swallow, such as paediatrics, geriatric and
psychiatric patients!
8atientBs compliance for disa"led "edridden patients and for tra#elling and "usy
people who do not ha#e ready access to water!
9ood mouth feel property of .DDD( helps to change the "asic #iew of
medication as C"itter pillC, particularly for paediatric patients due to impro#ed
taste of "itter drugs!
Con#enience of administration and accurate dosing as compared to li$uid
formulations!
.ore rapid drug a"sorption from the pre+gastric area i!e! mouth, pharyn' and
oesophagus which may produce rapid onset of action!
8re+gastric a"sorption can result in impro#ed "ioa#aila"ility, reduced dose and
impro#ed clinical performance "y reducing side effects!
1,B) / ) Dsadvantages of O$o/ds+e$sble Tablet
Orally disintegrating ta"lets offer following disad#antages
%*
@+
Ta"lets are #ery fragile and lac& physical resistance! ,ecause the ta"lets are #ery
porous and low compression forces are used to prepare them! They cannot "e
pac&ed in con#entional strips or in "ottles and special pac&aging is re$uired!
,itter drugs ha#e to "e taste mas&ed "y #arious techni$ues which in turn increases
the time and cost of production
The growing importance of fast dissol#ing ?disintegrating ta"let was under lined recently
when 4uropean 8harmacopoeia adopted the term =Oro+dispersi"le Ta"let> as a ta"let that to
"e placed in the mouth where it disperses rapidly "efore swallowing
,
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INTRODUCTION
1,B)/) BASIC A--ROAC4ES TO DE1ELO- "DTS
The fast+dissol#ing property of the .DTs is attri"uted to $uic& ingress of water into
ta"let matri' resulting in rapid disintegration! 5ence, the "asic approaches to de#elop mouth
dissol#ing ta"lets include
%-
@
.a'imi2ing the porous structure of the ta"let matri'!
Incorporating the appropriate disintegrating agent?agents!
Using highly water+solu"le e'cipients in the formulation!
1,B) / v) +ossble benefts of o$all) dsnteg$atng d$#gs,
Cln!al:
Impro#ed drug a"sorption!
0aster onset of action!
.inimi2ed first pass effect!
Impro#ed "ioa#aila"ility!
"ed!nal:
No ta"let or capsule to swallow or chew!
,etter taste, no water needed!
Impro#ed safety and efficacy!
Impro#ed compliance!
Te!%n!al:
Can use sugars and other e'cipients that are generally recogni2ed as safe!
-
M
(:uarernary
ammonium group!
7-
The most common properties of all ion e'changers which ha#e "een
used&
They are almost insolu"le in water and organic sol#ents, li&e "en2ene,
car"on tetrachloride, ether, etc!
They are comple' in nature and in fact they are polymeric!
They contain acti#e of counter ions that will e'change re#ersi"ility
with other ions in a surrounding solution without any su"stantial change in
the materials!
0igure %!P@ Classf!aton of Ion E7!%ange Resns
>
1,.,a) T%eo$) of on e7!%ange :
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INTRODUCTION
Ion e'change is a stoichiometric process in which any counter ions that lea#e the
ion e'change are replaced "y an e$ui#alent amount of other counter ions! This is a
conse$uence of the electro neutrality re$uirement! The ion e'change is essentially a
diffusion process, "ut also has relation to chemical reaction &inetics! Usually the ion
e'changers are selecti#eA they ta&e up some counter ions in preference to others! The rate+
determining step in ion e'change is diffusion either within the ion+e'changer itself or in
the diffusion "oundary layer! Rechen"erg proposed that at low concentration of counter
ion, the rate of e'change is controlled "y film diffusion and at high concentrations "y
particle diffusion! The e$uili"rium distri"ution of the drug species "etween the resin and
e'ternal solution phases results from "oth electrostatic and hydropho"ic interactions! In the
ion e'change resins the ions are &nown to "ind to the ion+e'changer "y two mechanisms!
Drug in an ionic form (usually in solution is mi'ed with the appropriate I4R to
form a comple' , &nown as HresinateB! The performance of resinate is go#erned "y se#eral
factor, such as
--@
p5 and temperature of the drug solution
.olecular weight and charge intensity of the drug and I4R
.i'ing speed
Ionic strength of the drug solution
Degree of cross lin&ing and particle si2e of the I4R
Nature of sol#ent
Contact time "etween the drug species and the I4R
Drug release from Drug@ resin comple' (Resinate depends upon two factors
-1
@
%! The ionic en#ironment (i!e! p5 and electrolyte concentration within the
gastrointestinal tract!
1! The properties of resin
Drug molecules attached to the resins are released "y appropriate
charged ions in the gastrointestinal tract, followed "y diffusion of free drug molecules
out of the resin as shown "elow!
Resin
+
Drug
M
M S
M
T Resin
+
+++++S
M
M Drug
M
Resin
+
Drug
M
M G
M
T Resin
+
++++++G
M
M Drug
M
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INTRODUCTION
6here S and G are ions in the gastrointestinal tract
0g#$e 1,1B: 0actors that affect I4R process in#ol#ed in the deli#ery of cationic drug
--
1,.,b) -$o+e$tes of Ion E7!%ange Resns
--
1, -a$t!le s9e: The rate of ion e'change reactions depends on the si2e of resin particles!
Decreasing the si2e significantly decreases the time re$uired for the reaction to reach
e$uili"rium with surrounding medium! I4Rs are a#aila"le in wide si2e range from 1 to *
mm spherical "eads to powder as fine as few microns!
2, -o$ost) and s5ellng: 8orosity is defined as the ratio of the #olume of the material to
its mass! The limiting si2e of ions that can penetrate into the resin matri' depends strongly
on the porosity, which depends mainly on the amount of cross +lin&ing agent, and also on
polymeri2ation process! (welling is directly proportional to num"er of hydrophilic
functional groups and in#ersely proportional to degree of cross+lin&ing!
8, C$oss/ln6ng: 8ercentage of cross+lin&ing affects purely physical structures of resin
particles! Resins with low cross+lin&ing can swell into structure that is soft and gelatinous
when ta&e up water, while resins with high cross lin&age are somewhat hard and "rittle!
<, Avalable !a+a!t): The capacity of an ion e'changer is a $uantitati#e measure of its
a"ility to ta&e up counter ions and is therefore of maFor importance! This depends mainly
on accessi"ility of the drug to the site of e'change!
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INTRODUCTION
>, A!d base st$engt%: Resin containing sulfonic, phosphoric or car"o'ylic acid e'change
groups ha#e appro'imate pJa #alues of 1+*, -+E respecti#ely! Anionic e'changers are
$uaternary, tertiary or secondary ammonium groups ha#ing apparent pJa #alues of U%*, D+
P and 7 to P respecti#ely! Acid "ase strength is significant for the reason that the strength
of "ond and su"se$uent rate of release of drug depends on this strengthA also the p5
en#ironment needed for loading and release of drug can "e predicted!
., Sele!tvt) of $esn fo$ !o#nte$ on: (ince ion e'change in#ol#es electrostatic forces,
selecti#ity mainly depends on relati#e charge, and ionic radius of hydrated ions competing
for an e'change site and to some e'tent on hydropho"icity of competitor ion!
?, Stablt): The I4Rs are remar&a"ly inert su"stances! They are resistant to attac& "y
chemicals and heat to large e'tent! The limitation is degradation in presence of strong
gamma rays!
C, To7!t): The resins are insolu"le solids that are not a"sor"ed "y the "odyA hence, they
do not ha#e significant associated side effects or to'icity! 5owe#er, commercial products
canBt "e used as such as they contain impurities that can cause to'icity! Therefore careful
purification of resins is re$uired prior to treatment with drugs,
1,.,!) ED#lb$#* +%eno*enon
( drug can be loaded onto an ion-e)change resin by an
e)changing reaction* and hence a drug-resin comple) is formed& The
principal properties of these resins are their e'change capacity to e'change its insolu"le
ions with those in solution! (olu"le ions may "e remo#ed from the solution through
e'change with the counter ions a"sor"ed on the resin as illustrated in this e$uation@
Re+ (o*
+
Na
M
Drug
M
T Re+ (o*
+
Drug
M
M Na
M
Re+N (C5**cl
+
MDrug
M
T Re+N(C5**
M
+Drug
+
M cl
O
These are e$uili"rium reactions in which e'tent of e'change is go#erned "y the
relati#e affinity of the resin for particular ions! Relati#e affinity "etween ions may "e
e'pressed as a selecti#e coefficient deri#ed from the mass action e'pression as gi#en
"elow!
J
D.
N VDW
r
V.W
(
? VDW
(
V.W
r
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INTRODUCTION
6here,
VDW
r
N drug concentration in resin!
V.W
(
N counter ion concentration in the solution!
VDW
(
N drug concentration in the solution
V.W
r
N counter ion concentration in resin!
1,.,d) E7!%ange !a+a!t)
The e'change capacity refers to num"er of ionic sites per unit weight of or #olume
of ion e'change resin (me$! per gram! The weight "asis #alue (me$! per gram is
generally much higher than the #olume "ased e'change capacity since the wet resin is
highly hydrated! The e'change capacity may limit the amount of drug that may "e
a"sor"ed on a resin and hence the potency of a comple'! Car"o'ylic acid resins are
deri#ed from the acrylic acid polymer and ha#e higher e'change capacities (a"out %< me$!
per gram than sulfonic acid (a"out - me$! per gram or amine resins "ecause of "ul&ier
ionic su"stitute and polystyrene matri'! Therefore, higher drug percentage may often "e
achie#ed with car"o'ylic acid resins!
1.7 ) Ion E7!%ange Resn : A++l!atons n D$#g Delve$) Resea$!%
%! Taste mas&ing
1! Ta"let disintegration
*! Drug sta"ili2ation
-! (ustained release
7! Targeted drug deli#ery
Table No, 1,8: Drugs taste mas&ed "y #arious grades of ion e'change resin
-1
!
Na*e of t%e d$#g
Ion e7!%ange $esn
Ciproflo'acin Indion+1*-
A2ithromycin Indion+1%-
Chloro$uine 8hosphate Indion+1*-
Oflo'acin Tulsion+**7
De'tromethorphan 5ydro"romide Indion+1*-
:uinine (ulphate Indion+1<-, Indion+1*-
Norflo'acin Indion+1<-
Ro'ithromycin Tulsion+**7
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INTRODUCTION
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