ORAL DRUG DELIVERY
Dr. Budipratiwi W., S.Farm., MSc., Apt.
FAKULTAS FARMASI UNIVERSITAS JEMBER
Oral Drug Delivery
Preferential route of administration
Simple and most economical
Most convenient CHALLENGES
non-invasive and safe
Improvements in oral drug delivery technology
2
Swallowing difficulty
Irritant and unpalatable drugs
GI destruction of labile molecules
Low level of macromolecular absorption
Slow onset of action
Very little control over release of the drug
Non-specific delivery site
Dosing frequency
I. Ease of Administration
A. Oral Disintegrating Tablets (ODT)
Fast Dissolving Tablets (FDT) = Fast-melt = Fas
disintegrating
Tablets with optimal mechanical strength and
disintegrating within 60 seconds in the oral cavity
I. Ease of Administration
B. Oral Controlled Release Drug Delivery
Systems (OCRDDS)
Reduce dosing frequency, improved patient
compliance and reduce level of local or systemic
side effects
Increase the safety margin (better control of
plasma levels), increase bioavailability
LEADS to shorter treatment period → Reduction in
health care cost
OCRDDS design to:
a. Deliver an initial burst of a drug for fast
therapeutic effects, followed by controlled release
at a constant rate
b. Deliver a drug to specific sites within patient’s GIT
By constructing a multilayered tablet having a water
soluble/ swelling as well as erosion occurs
simultaneously → contributes to the drug release
Using polymer matrix such as: HPMC, Povidone
II. DEVELOP GASTRIC RETENTION
Needed for API:
Locally active in the stomach
Have an absorption window in the stomach or
in the upper small intestine
Unstable in the intestinal environment
Exhibit low solubility at high pH values
Gastro-Retentive Drug Delivery (GRDD)
1) Altering API particles density
2) Using muco-adhesive polymers
3) Altering the size of dosage form
1) Altering API particles density
a. Drug pellets having density higher than GI fluid
density (1.4 g/cc), preferable above 1.6 g/cc
The drug is covered on the heavy core and then covered by
a diffusion controlled membrane
Using iron oxide, titanium dioxide, and barium sulphate
b. Drug pellets having density less than that of GI
fluids (Low density pellets)
Hydro-dynamically balanced system, float on the gastric
fluid for an extended time while slowly releasing the drug
Impregnating a water miscible liquid (glycerol, sodium
chloride) in the lipophilic matrix
A gas filled flotation chamber can be attached to a
membrane coated tablet for making it buoyant
Using HPMC, HEC, HPC, lipophilic polymers (silicon
elastomer)
2) Using muco-adhesive polymers
Drug retention in the stomach membrane achieved
using microspheres based mucoadhesive formulation
Microsphere system sustained release drug;
mucoadhesive system good mucoadhesion between
drug matrix and stomach mucosa
Polymer used: Chitosan, Thiolated Chitosan, Carbopol,
and Methocel
3) Altering the size of dosage form
Dosage form 2.5 mm size delayed emptying time
Disadvantages difficult to swallow
III. Small Intestine Delivery Formulation of
Poorly Soluble and High Molecular Weight API
A. Enhancing Delivery of Poor Water Soluble API
1. Solid Dispersion
2. Microemulsions
3. Self-Emulsifying Systems
B. Solid Self-Nanoemulsifying Systems (SSNES)
C. Nano and Micro-particle Approach
D. Enhancing Delivery of BCS class 3 API
E. Delivery of Proteinous Drugs
A. Enhancing Delivery of Poorly Water Soluble Drugs
I. Solid dispersion
The dispersion of one or more API in an inert carrier or matrix
in solid state that can be prepared by various method such as:
a. Melting method
b. Solvent methods
c. Melting solvent method (melt evaporation)
d. Melt extrusion methods
e. Lyophilization techniques
f. Melt agglomerations Process
g. The use of surfactant
h. Electro spinning
i. Super Critical Fluid (SCF) technologies
Based on their molecular arrangement, solid dispersion can be
classified as:
Type1- Simple eutectic mixture
Type2-Amorphous precipitations in crystalline matrix
Type3-Solid solutions
Type4-Glass suspension
Type6-Glass solution
• Matrix components: PEG, Povidone, Poloxamer, HPMC,
crystalline urea, other polymer
II. Microemulsion
Liquid dispersions of water and oil
Homogenous, transparent, thermodynamically stable
Stabilize by a surfactant, usually in combination with a co-
surfactants
III. Self-Emulsifying System (SEDDS)
Emulsify spontaneously to produce fine oil-in-water
emulsion when introduced into an aqueous phase
under gentle agitation and spread readily in the GIT
SEDDS spread readily in the GIT and the digestive
motility of the stomach and the intestine provide
the agitation necessary for self-emulsification
Occurs when the entropy change that favors
dispersion is greater than the energy required
to increase the surface area of the dispersion
Comprises a hydrophilic surfactant with HLB value
greater than 10.
Can improve bioavailability of BCS class 2 API
B. Solid Self-Nanoemulsifying Systems (SSNES)
Combines the advantages of liquid SNEDDS with those of
a solid dosage form and overcomes the limitations
associated with liquid formulations
S-SNEDDS also exhibited more commercial potential and
patient acceptability
Many techniques are offered to convert conventional
liquid SNEDDS to solid form such as spray drying,
adsorptions to solid carriers, spray cooling, melt
extrusion, melt granulation, supercritical fluid based
methods and high pressure homogenization.
The resulting powder may then be filled directly into hard
gelatin capsules or mixed with suitable excipients before
compression into tablets.
C. Nano and Micro-particle Approach
A decrease in particle size increased surface area
faster dissolution increase in bioavailability
Breaking down API’s crystal lattice → API nanocrystals
and or amorphous API → stabilize with biologically inert
and biocompatible carriers → disperse in GIT fluids
Particle engineering technology:
Controlled Precipitation
Template Emulsion
Spray Freezing into Liquid (SFL)
Evaporative Precipitation into Aqueous Solution (EPAS)
• Polymeric nanoparticles and Nanoparticles-in-
microsphere oral system (NiMOS)
Pure nanoparticles (poorly water-soluble), encapsulated
within mucoadhesive microparticles to increase its oral
bioavailability
These microparticles : not stable in the gastric fluids → re-
encapsulated within gastro-resistant capsules to prevent
disintegration and fast drug release in the stomach
D. Enhancing Delivery of BCS class 3 API
BCS class 3 API????
Lipid base carriers optimal absorption of the API
across the epithelial cell membranes of the intestinal tract
The technology enables oral delivery of API that are
currently delivered only by invasive route
(polysaccharides, peptides, genetic materials, cytokines,
and protein)
E. Delivery of Proteinous Drugs
Major challenge : vast number of functional groups that
can undergo chemical degradation
Creating a suitable and stable oral dosage form of
therapeutic protein microparticles of protein,
polypeptide and peptide drugs
TECMs (Thiolated Eudragit-coated CMs) loaded with
BSA (bovine serum albumin)
Eligen® technology
Enable therapeutic macromolecules transport across biological
GIT membrane, without altering its chemical integrity
Allowing the therapeutic molecules to exert their desire
pharmacological effect
Molecule size : 500 to > 150.000 Dalton
IV. Targeting to the Colon
Objectives:
1. To reduce dosing frequency
2. To achieve high local concentration of API in the
treatment of distal gut disease
3. To delay delivery to a time appropriate to treat
acute phases of disease (chronotherapy)
4. To deliver API to a region that is less hostile
metabolically
Common Approaches used for Colon Targeting
A. Prodrug
B. pH Controlled System/ Colon Targeting by Coating
C. Matrix Based System
D. Time-Delayed System
E. Colon-Specific Swell-able (Biodegradable) Polymers
F. Pressure Controlled Delivery
G. Osmotic Controlled Delivery
H. Pulsincap system