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Sustained release dosage
forms

October 23, 2013

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Introduction-definition
Concept
Objectives
Advantages and disadvantages
Dose considerations
Formulation
Types of SR systems
Diffusion systems
Dissolution systems
Ion exchange sys

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• Oral SR delivery systems
design and types
• Parentral SR dosage forms
types and routes
• References

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IDEAL DRUG DELIVERY SYSTEM
• should deliver drug at a rate dictated by the needs of the
body over the period of the treatment.
• should channel the active entity solely to the site of action.
• This is achieved by development of new various modified
drug release dosage forms, like-






Control release dosage forms
Time release dosage forms
Sustained release dosage forms
Site specific or targeted drug delivery systems etc.

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“Drug Delivery systems that are designed to achieve
prolonged therapeutic effect by continuously
releasing medication over an extended period of time
after administration of single dose.”

Basic goal of the therapy
to achieve steady state blood level that is
therapeutically effective
& non toxic for an
extended period of time.

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Sustained release drug
profile

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Objectives of drug delivery
• Temporal drug delivery:
controlling the rate or specific time
of drug delivery to the target tissue.
• Spatial drug delivery:
targeting a drug to a specific organ
or tissue.

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advantages
Reduction in fluctuation in steady state levels
Increased safety of high potency drugs
Total amount of dose is decreased
Improved patient compliance

disadvantages
Poor in vivo-in vitro correlation
Possibility of dose dumping
Retrieval of drug is difficult
October 23, 2013

Dose adjustments is difficult

8
• Biopharmaceutical properties:
Molecular size
Aqueous solubility
Partition coefficient
Dissociation constant

less than 600 Daltons
more than 0.1 mg/ml
between 1 to 2
pka acidic drugs pka>2.5
Basic drugs pka<11
Absorption mechanism
passive but not through
Window
Ionisation at physiological pH NMT 95%
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Pharmacokinetic properties
• Absorption rate constant ka high(btw 0.170.23/hr)
• Elimination half life t1/2
2-6 hrs
• Metabolism rate
not too high
• Dosage form index(ratio of cssmax /css min)
One

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Pharmacodyanamic properties
Dose

max 1.0g
(in a controlled release form)
Therapeutic range wide
Therapeutic index wide
 PK/PD relationship good

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• Divided into two considerations

1.Release rate consideration
Release rate consideration :-

In conventional dosage form Kr>Ka - release of
drug from dosage form is not rate limiting step.

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(Kr>>Ka) in immediate release
non immediate (Kr<<<Ka) i.e. release is rate
limiting step.

The release should follow zero order kinetics

(clinically equivalent to constant release in many
cases)

Kr = rate in = rate out = Ke.Vd.Cp

Ke = Elimination rate constant (first order
kinetics).

Vd = Total volume of distribution.
Cp = Plasma drug concentration.

Kr = zero order release rate constant
October 23, 2013

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b)Dose consideration:
for zero order release

core
Maintenance dose

Immediate release
component

a) Initial (primary) dose Di
b)Maintenance dose
Dm = kr .Td
Td=total time required for extended release dosage form
therefore, total dose W
October 23, 2013

W= Di + Dm
W=Di +Kr.Td

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If maintenance dose begins to release the drug
during dosing t=0 then,

W = Di + K r. Td – Kr.Tp
Tp = time of peak drug level.

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First order release
rate in=rate out
Dm.kr=ke.Cp.Vd
Dm=ke.Cp.Vd/kr
W=Di+Dm
W=Di+(keCp/kr)Vd

kr= first order release rate constant
ke=elimination rate constant
Cp=plasma drug concentration
If drug begins to release maintenance dose at T=0

W=Di+(keCp/kr)Vd - DmkeTp

Tp= time of peak plasma drug concentration
October 23, 2013

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Diffusion systems
• Porous matrix controlled system
Rate controlling element-water swellable material e.g.
xanthan gums ,guar gum , high viscosity grades of
HPMC,HPC, alginates or non- swellable water insoluble
polymers such as ethylcellulose

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• Porous membrane controlled system
rate controlling element – non-swellable
water insoluble polymer e.g. ethylcellulose,
PMA. Drug release controlled through
micropores.

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• Can be in following ways:Slow dissolution of drug
1. Drug with inherently slow dissolution rate.
2. Drugs that transforms into a slow dissolving form.

Slow dissolution rate of reservoir memb. &
matrix
1. Embedment in slowly dissolving, degrading erodible matrix.
2. Encapsulation or coating with slowly dissolving degrading erodible
subs.

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• slowly soluble and erodible materials:Ethylcellulose,
PVP with cellulose
PMA(eudragits),
Waxes(glyceryl monostearate)

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Erosion controlled
Polymer or wax degradation brought about by:
enzyme,
pH change
osmotic pressure

• Bulk erosion(A)
homogeneous erosion
• Surface erosion(B)
heterogenous erosion
when water penetration is restricted to surface
October 23, 2013

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ORAL SUSTAINED RELEASE
DESIGN
• Continuous release systems-release drug
continuosly over extended period of time.
• Pulsatile release systems:characterize by a lag time then rapid &
complete /extended release.
Advantages:1. Drugs with extended first pass e.g. Propranolol
2. Targeting e.g. in intestinal inflammations
3. Protection of gastric or upper intestinal mucosa from
irritating drugs.
October 23, 2013

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Following methods can be used to prepare
sustained release oral preparation:• Increasing the particle size of the drug
• Embedding the drug in a polymeric matrix.
• Coating the drug or dosage form containing
drug(microencapsulation).
• Forming complexes of the drug with material such
as ion exchange resins.
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1)Increasing the particle size of the drug
• Increasing particle size decreases the surface
to volume ratio slow the rate of drug availability.
•This method is limited to poorly soluble drug .

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2) Embedding the drug in matrix
• Matrix is a uniform dispersion of drug with polymer
matrix
• Continuous external phase of the dispersion effectively
impede the passage of the drug from the matrix.
• Drug release through-diffusion
• Least complicated approaches to manufacture sustained
release dosage form involves the direct compression of
drug, materials & additives to form a tablet .

October 23, 2013

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polymers
•Insoluble, inert - polyethylene, polyvinyl
chloride, methyl acrylate, ethylcellulose.
•Insoluble, erodible – carnauba wax, stearyl
alcohol, castor wax.
•Hydrophilic – methyl cellulose, hydroxyl ethyl
cellulose, sodium carboxymethyl cellulose,
sodium alginate.
October 23, 2013

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3) Microencapsulation

• method for retarding drug release by coating its
surface with a material(polymers) that retards
penetration by the dispersion fluid.

• it is a means of applying relatively thin coating
to small particles of solid or droplets of liquids and
dispersion.
Can be done byspray congealing
spray drying
October 23, 2013

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Polymers:
•
•
•
•
•
•
•
•
•

Polyvinyl alcohol
Polyacrylic acid
Ethyl cellulose(pH sensitive)
Polyethylene
Polymethacrylate
Poly (ethylene-vinyl acetate)
Cellulose nitrite
Silicones
Poly (lactide-co-glycolide)

October 23, 2013

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3)Ion exchange resins
• Sustained delivery of ionizing acidic & basic drug
can be obtained by complexing them with insoluble
non-toxic anion exchanger & cation exchanger resin
respectively.
• Release by diffusion .
• The complex can be prepared by incubating the
drug-resin solution or passing the drug solution
through a column containing ion exchange resin.

October 23, 2013

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Advantages
• Resinates prevent dose dumping
• Uniform release of drug
• Flexibity in designing various dosage forms

October 23, 2013

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Types of resinates
• Simple resinates
• Microencapsulated or coated resinates-rate

controlling membrane of polymers(EC,waxes etc)
polymer

Drug+resin

polymer

October 23, 2013

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• Pennkinetic systems
drug resinate is pre treated with PEG 400
Coated with water insoluble polymer
PEG-controls rate of swelling of resinate mixture in water.
EC-modifies diffusion pattern of ions in & out.
• Hollow fibre systems-resinates filled into
hollow fibres of suitable polymeric materials
October 23, 2013

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ADVANTAGES
• Convenience and ease of administration
• Flexibility in DFD
• Ease of production.

October 23, 2013

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October 23, 2013

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INJECTABLES
SOLUTIONS
Both aqueous & oily

aqueous solution
•
•
•
•

High viscosity solutions
For cmpds more than ml wt 750
For water soluble drugs
Gelling agents & viscosity enhancers are used

October 23, 2013

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drug release is controlled by:• By increasing viscosity of vehicle by mc,cmc
pvp
• Forming a complex with macromolecules
• Forming complex & decreasing solubility of
drug

October 23, 2013

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Oil solutions
• Release drug by partioning the drug between
oil &aqueous body fluid.

• Vegetable oils like-arachis oil,cottonseed
oil

October 23, 2013

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• Emulsions- o/w,
adm of liquid oily drugs
(i.v, s.c,i.m)

• Suspensions-solid particles in aqueous vehicle
solid content 0.5%-5.0%, size <10Îź
(s.c,i.m)
for drugs insoluble in water

• Microspheres-polymeric particles,
site specific delivery

October 23, 2013

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• Liposomes- liquid based vesicles
diameter range 25nm-10000nm
phospholipids
i.v,s.c,i.m,intra-CSF

• Nanoparticles-polymeric liquid particles
biodegradable polymers
i.v,s.c, i.m

• Niosomes-

surfactant vesicles
non-ionic surfactant
i.v,i.m,s.c

October 23, 2013

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Drug loading-immersing in buffered hypotonic
solution
Resealing-restoring isotonicity & incubation at
37
Target organs-liver &spleen
• Advantages
biodegradable & non-immunogenic
carry large doses
targeted drug delivery
October 23, 2013

40
• Leon lachman – The theory and practic of
industrial pharmacy
• D.M. Brahmankar and Sunil B. Jaiswal, Biopharmaceutics
and Pharmacokinetics: A Treatise. 1995, 1st Edn, Published by
M. K. Jain for Vallabh Prakashan

• .Remington, The science and practice of
pharmacy, 21st Edition.

October 23, 2013

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October 23, 2013

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Sustained release dosage forms sr

  • 2. • • • • • • • Introduction-definition Concept Objectives Advantages and disadvantages Dose considerations Formulation Types of SR systems Diffusion systems Dissolution systems Ion exchange sys October 23, 2013 2
  • 3. • Oral SR delivery systems design and types • Parentral SR dosage forms types and routes • References October 23, 2013 3
  • 4. IDEAL DRUG DELIVERY SYSTEM • should deliver drug at a rate dictated by the needs of the body over the period of the treatment. • should channel the active entity solely to the site of action. • This is achieved by development of new various modified drug release dosage forms, like-     Control release dosage forms Time release dosage forms Sustained release dosage forms Site specific or targeted drug delivery systems etc. October 23, 2013 4
  • 5. “Drug Delivery systems that are designed to achieve prolonged therapeutic effect by continuously releasing medication over an extended period of time after administration of single dose.” Basic goal of the therapy to achieve steady state blood level that is therapeutically effective & non toxic for an extended period of time. October 23, 2013 5
  • 7. Objectives of drug delivery • Temporal drug delivery: controlling the rate or specific time of drug delivery to the target tissue. • Spatial drug delivery: targeting a drug to a specific organ or tissue. October 23, 2013 7
  • 8. advantages Reduction in fluctuation in steady state levels Increased safety of high potency drugs Total amount of dose is decreased Improved patient compliance disadvantages Poor in vivo-in vitro correlation Possibility of dose dumping Retrieval of drug is difficult October 23, 2013 Dose adjustments is difficult 8
  • 9. • Biopharmaceutical properties: Molecular size Aqueous solubility Partition coefficient Dissociation constant less than 600 Daltons more than 0.1 mg/ml between 1 to 2 pka acidic drugs pka>2.5 Basic drugs pka<11 Absorption mechanism passive but not through Window Ionisation at physiological pH NMT 95% October 23, 2013 9
  • 10. Pharmacokinetic properties • Absorption rate constant ka high(btw 0.170.23/hr) • Elimination half life t1/2 2-6 hrs • Metabolism rate not too high • Dosage form index(ratio of cssmax /css min) One October 23, 2013 10
  • 11. Pharmacodyanamic properties Dose max 1.0g (in a controlled release form) Therapeutic range wide Therapeutic index wide  PK/PD relationship good October 23, 2013 11
  • 12. • Divided into two considerations 1.Release rate consideration Release rate consideration :- In conventional dosage form Kr>Ka - release of drug from dosage form is not rate limiting step. October 23, 2013 12
  • 13. (Kr>>Ka) in immediate release non immediate (Kr<<<Ka) i.e. release is rate limiting step. The release should follow zero order kinetics (clinically equivalent to constant release in many cases) Kr = rate in = rate out = Ke.Vd.Cp Ke = Elimination rate constant (first order kinetics). Vd = Total volume of distribution. Cp = Plasma drug concentration. Kr = zero order release rate constant October 23, 2013 13
  • 14. b)Dose consideration: for zero order release core Maintenance dose Immediate release component a) Initial (primary) dose Di b)Maintenance dose Dm = kr .Td Td=total time required for extended release dosage form therefore, total dose W October 23, 2013 W= Di + Dm W=Di +Kr.Td 14
  • 15. If maintenance dose begins to release the drug during dosing t=0 then, W = Di + K r. Td – Kr.Tp Tp = time of peak drug level. October 23, 2013 15
  • 16. First order release rate in=rate out Dm.kr=ke.Cp.Vd Dm=ke.Cp.Vd/kr W=Di+Dm W=Di+(keCp/kr)Vd kr= first order release rate constant ke=elimination rate constant Cp=plasma drug concentration If drug begins to release maintenance dose at T=0 W=Di+(keCp/kr)Vd - DmkeTp Tp= time of peak plasma drug concentration October 23, 2013 16
  • 17. Diffusion systems • Porous matrix controlled system Rate controlling element-water swellable material e.g. xanthan gums ,guar gum , high viscosity grades of HPMC,HPC, alginates or non- swellable water insoluble polymers such as ethylcellulose October 23, 2013 17
  • 18. • Porous membrane controlled system rate controlling element – non-swellable water insoluble polymer e.g. ethylcellulose, PMA. Drug release controlled through micropores. October 23, 2013 18
  • 19. • Can be in following ways:Slow dissolution of drug 1. Drug with inherently slow dissolution rate. 2. Drugs that transforms into a slow dissolving form. Slow dissolution rate of reservoir memb. & matrix 1. Embedment in slowly dissolving, degrading erodible matrix. 2. Encapsulation or coating with slowly dissolving degrading erodible subs. October 23, 2013 19
  • 20. • slowly soluble and erodible materials:Ethylcellulose, PVP with cellulose PMA(eudragits), Waxes(glyceryl monostearate) October 23, 2013 20
  • 21. Erosion controlled Polymer or wax degradation brought about by: enzyme, pH change osmotic pressure • Bulk erosion(A) homogeneous erosion • Surface erosion(B) heterogenous erosion when water penetration is restricted to surface October 23, 2013 21
  • 22. ORAL SUSTAINED RELEASE DESIGN • Continuous release systems-release drug continuosly over extended period of time. • Pulsatile release systems:characterize by a lag time then rapid & complete /extended release. Advantages:1. Drugs with extended first pass e.g. Propranolol 2. Targeting e.g. in intestinal inflammations 3. Protection of gastric or upper intestinal mucosa from irritating drugs. October 23, 2013 22
  • 23. Following methods can be used to prepare sustained release oral preparation:• Increasing the particle size of the drug • Embedding the drug in a polymeric matrix. • Coating the drug or dosage form containing drug(microencapsulation). • Forming complexes of the drug with material such as ion exchange resins. October 23, 2013 23
  • 24. 1)Increasing the particle size of the drug • Increasing particle size decreases the surface to volume ratio slow the rate of drug availability. •This method is limited to poorly soluble drug . October 23, 2013 24
  • 25. 2) Embedding the drug in matrix • Matrix is a uniform dispersion of drug with polymer matrix • Continuous external phase of the dispersion effectively impede the passage of the drug from the matrix. • Drug release through-diffusion • Least complicated approaches to manufacture sustained release dosage form involves the direct compression of drug, materials & additives to form a tablet . October 23, 2013 25
  • 26. polymers •Insoluble, inert - polyethylene, polyvinyl chloride, methyl acrylate, ethylcellulose. •Insoluble, erodible – carnauba wax, stearyl alcohol, castor wax. •Hydrophilic – methyl cellulose, hydroxyl ethyl cellulose, sodium carboxymethyl cellulose, sodium alginate. October 23, 2013 26
  • 27. 3) Microencapsulation • method for retarding drug release by coating its surface with a material(polymers) that retards penetration by the dispersion fluid. • it is a means of applying relatively thin coating to small particles of solid or droplets of liquids and dispersion. Can be done byspray congealing spray drying October 23, 2013 27
  • 28. Polymers: • • • • • • • • • Polyvinyl alcohol Polyacrylic acid Ethyl cellulose(pH sensitive) Polyethylene Polymethacrylate Poly (ethylene-vinyl acetate) Cellulose nitrite Silicones Poly (lactide-co-glycolide) October 23, 2013 28
  • 29. 3)Ion exchange resins • Sustained delivery of ionizing acidic & basic drug can be obtained by complexing them with insoluble non-toxic anion exchanger & cation exchanger resin respectively. • Release by diffusion . • The complex can be prepared by incubating the drug-resin solution or passing the drug solution through a column containing ion exchange resin. October 23, 2013 29
  • 30. Advantages • Resinates prevent dose dumping • Uniform release of drug • Flexibity in designing various dosage forms October 23, 2013 30
  • 31. Types of resinates • Simple resinates • Microencapsulated or coated resinates-rate controlling membrane of polymers(EC,waxes etc) polymer Drug+resin polymer October 23, 2013 31
  • 32. • Pennkinetic systems drug resinate is pre treated with PEG 400 Coated with water insoluble polymer PEG-controls rate of swelling of resinate mixture in water. EC-modifies diffusion pattern of ions in & out. • Hollow fibre systems-resinates filled into hollow fibres of suitable polymeric materials October 23, 2013 32
  • 33. ADVANTAGES • Convenience and ease of administration • Flexibility in DFD • Ease of production. October 23, 2013 33
  • 35. INJECTABLES SOLUTIONS Both aqueous & oily aqueous solution • • • • High viscosity solutions For cmpds more than ml wt 750 For water soluble drugs Gelling agents & viscosity enhancers are used October 23, 2013 35
  • 36. drug release is controlled by:• By increasing viscosity of vehicle by mc,cmc pvp • Forming a complex with macromolecules • Forming complex & decreasing solubility of drug October 23, 2013 36
  • 37. Oil solutions • Release drug by partioning the drug between oil &aqueous body fluid. • Vegetable oils like-arachis oil,cottonseed oil October 23, 2013 37
  • 38. • Emulsions- o/w, adm of liquid oily drugs (i.v, s.c,i.m) • Suspensions-solid particles in aqueous vehicle solid content 0.5%-5.0%, size <10Îź (s.c,i.m) for drugs insoluble in water • Microspheres-polymeric particles, site specific delivery October 23, 2013 38
  • 39. • Liposomes- liquid based vesicles diameter range 25nm-10000nm phospholipids i.v,s.c,i.m,intra-CSF • Nanoparticles-polymeric liquid particles biodegradable polymers i.v,s.c, i.m • Niosomes- surfactant vesicles non-ionic surfactant i.v,i.m,s.c October 23, 2013 39
  • 40. Drug loading-immersing in buffered hypotonic solution Resealing-restoring isotonicity & incubation at 37 Target organs-liver &spleen • Advantages biodegradable & non-immunogenic carry large doses targeted drug delivery October 23, 2013 40
  • 41. • Leon lachman – The theory and practic of industrial pharmacy • D.M. Brahmankar and Sunil B. Jaiswal, Biopharmaceutics and Pharmacokinetics: A Treatise. 1995, 1st Edn, Published by M. K. Jain for Vallabh Prakashan • .Remington, The science and practice of pharmacy, 21st Edition. October 23, 2013 41