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SEMISOLIDS
                AS
  NOVEL DRUG DELIVERY SYSTEM

PREPARED BY:-
Siju Vinod
M.Pharm Sem-2
INTRODUCTION
 Non greasy since they are made up of water washable
  bases.
 Nanoparticles and Microspheres:       Excellent emollient
  effect, with better spreadability, and less staining than
  oleaginous ointments.

 Preferred for dry, chapped skin in an environment of
  low humidity because of its occlusive properties

 Modification in gel: Release pattern and also some
  thermo reversible gels .
 Oral Insulin delivery,
 Chitosan based bioadhesive gels
 TIMERx technology for controlled release,
 Amphiphilic and non-aqueous gels
Semisolid dosage forms intended
for topical application
IDEAL PROPERTIES OF NOVEL
   SEMISOLIDS: -
 a) Novel ointment bases:
i ) should absorb more water and enhance permeation.
ii) when applied over skin, an oleaginous ointment film
   should formed which prevents moisture evaporation
   from the skin.
iii) should not irritate skin.
 b) Novel semisolids are safe even when applied to
   inflamed skin.
 c) They should be odorless, easy to handle, stable
   and compatible with large range of drugs and should
   be safe.
 d) Use of Novel semisolids in pediatric, geriatrics
  and pregnant women should be safe without
  causing any allergic reaction.
 e) Novel semisolids should able to extend the
  release pattern in a controlled manner.
 f) Novel semisolid should allow its use in different
  routes of administration with safe, odorless, easy
  to handle and compatible with biological
  membrane.
PHYSICAL MEANS
      1.Phonosoresis(sonophoresis):
The movement of drugs through intact skin &
 underlying soft tissues under the influence of an
 ultrasonic perturbation.
 It is safe & effective technique for enhancing drug
 administration in clinical applications when with a
 proper frequency, power level, and duration
 It increases drug permeation through the skin by
 disordering the structured lipids in the stratum
 corneum.
Developing Transdermal drug delivery with the use of
 ultrasound technique(US) for effective and safe
 option to treat cancerous tissue.
Iontophoresis:

It is basically an injection without the needle.
Mechanism:
Repulsive electromotive force using a small
   electrical charge applied to an iontophoretic chamber
   containing a similarly charged active agent and its
   vehicle.
 The drug is applied with an electrode carrying the
 same charge as the drug.
The ground       electrode, which is of the
 opposite charge, is placed elsewhere on the body
 to complete the circuit.
 The drug serves as a conductor of the
 current through the tissue.
• Improve the transdermal delivery of peptide
  and proteins
• By the process of electromigration and
  electro-osmosis, iontophoresis increases the
  permeation    of    charged    and    neutral
  compounds like low (lidocaine) and high
  molecular drugs, such as peptides (e.g.,
  insulin)
FIGURE OF Iontophoresis:
Electrophoresis:

Here the membrane of a cell exposed to high-
 intensity electric field pulses can be temporarily,
 thus becoming highly permeable to exogenous
 molecules in the surrounding media.

The charged molecules were considered
 transporting through existing main routes of the
 skin at transdermal voltage <100 v.

When transdermal voltage was greater than 100v,
 the transcorneocyte pathway was also
 accessible to charged molecules as lipid bilayers
 were electroporated.
TYPES OF
   NOVEL
SEMISOLID
1) OINTMENTS: -

 Rectal Ointment:

 Used
 The symptomatic relief against anal and peri-anal
  pruritus,
 Pain and inflammation associated with hemorrhoids,
 Anal fissure,
 Fistulas and proctitis.

 Rectal ointment should be applied several times in a
  day according to the severity of the condition.
 For intrarectal use, apply the ointment with the help
  of special applicator.
2) CREAMS: -
  a) Creams containing microspheres: -
albumin micro spheres (225 25 µm)


   Emulsion       Vitamin A    Prolonged
   method                      release
 Albumin microsphere containing vitamin A can be
  administered by using creams topically.
 222 ± 25 μm size of microsphere of vitamin A were
  produced by emulsion method.
 The in vivo study in six volunteers revealed that
  these microspheres were able to remain on the skin
  for a long period of time, and as a consequence they
  were able to prolong the release of vitamin A.
b) Lamellar faced creams: -




                              Swelling
Liquid paraffin               in water
in water          cetrimide
emulsions
 They are liquid paraffin in water emulsion prepared
  from cetrimide / fatty alcohol like mixed emulsifiers
  and ternary system formed by dispersing the mixed
  emulsifier in require quantity of water.
 The cationic emulsifying wax showed phenomenal
  swelling in water and this swelling was due to
  electrostatic repulsion which can be suppressed by
  addition of salt and can be reduced by changing
  surfactant counter ion.
c) Cream containing lipid
 Nanoparticles


Nanoparticles
incorporated in   Water in oil creams   Smooth cream
the aqueous       where aqueous
phase
                  phase divided into
                  small droplets
 It increases the penetration of topical drugs by
    using oils and fats like liquid and semisolid paraffin
    in large quantities
                      .


.
 However, such formulations have the limitations
  of poor cosmetic properties since they have
  greasy feel and glossy appearance.
 Nanoparticles were incorporated in the aqueous
  phase. Hence, the oil phase in which the water
  droplets were dispersed served as a lubricant for
  nanoparticles, thereby preventing a rough feel
  during application.
3) GELS
          Controlled release gels

                       Organogels
                   Extended release
                         gels

                     Amphiphilic gels

                      Hydrophilic gels
  GEL
  S                 Non aqueous gels

                         Bioadhesive Gels
                           Thermosensitive sol-gel
                            reversible hydrogels

           Complexation gels
a) Controlled release gels: -

 Gel   formulations with suitable rheological and
  mucoadhesive properties increase the contact time
  at the site of absorption.
 Control the release of uncharged drug substances
  by including surfactants that form micelles in the gel.
 The release depends on lipophilic interactions
  between the drug and the polymer and/or the
  micelles.
 Controlled-release formulations of charged drugs
  could be designed by mixing the drugs with
  oppositely charged surfactants in certain fixed ratios.
 In this way, vesicles in which the drug and
  surfactant    constituted   the    bilayer     formed
  spontaneously.
 The vesicle formation was affected by the presence
  of polymer, and very small vesicles that gave a slow
  release rate were formed when a lipophilically
  modified polymer was used.
 The gels were also evaluated in the chamber
  using porcine nasal mucosa and from the
  results it was found that the rate of transport
  of drugs through the mucosa could be
  controlled by the rate of release from the
  formulation.
 Furthermore, the chamber can be used to
  evaluate the potential toxicity of formulations.
b) Organogels:
 Sorbitan monostearate, a hydrophobic nonionic
  surfactant, gels a number of organic solvents such
  as hexadecane, isopropyl myristate, and a range of
  vegetable oils.
 Gelation is achieved by dissolving/dispersing the
  organogelator in hot solvent to produce an organic
  solution/dispersion, which, on cooling sets to the gel
  state.
 Cooling the solution/dispersion causes a decrease
  in the solvent-gelator affinities, such that at the
  gelation temperature, the surfactant molecules self-
  assemble into toroidal inverse vesicles.
 Further cooling results in the conversion of the
  toroids into rod-shaped tubules.
 Once formed, the tubules associate with others,
  and a three-dimensional network is formed
  which immobilizes the solvent.
 Sorbitan monostearate gels are opaque,
  thermoreversible semisolids, and they are stable
  at room temperature for weeks.
 Such organogels are affected by the presence of
  additives such as the hydrophilic surfactant,
  polysorbate 20, which improves gel stability and
  alters the gel microstructure from a network of
  individual tubules to star-shaped "clusters" of
  tubules.
 Another solid monoester in the sorbitan ester
  family, sorbitan monopalmitate, also gels organic
  solvents to give opaque, thermoreversible
  semisolids.
 Like      sorbitan    monostearate        gels, the
  microstructure of the palmitate gels comprises an
  interconnected network of rod like tubules.
 Unlike the stearate gels, however, the addition of
  small amounts of a polysorbate monoester causes
  a large increase in tubular length instead of the
  "clustering effect seen in stearate gels.
 The sorbitan stearate and palmitate organogels
  may have potential applications as delivery
  vehicles for drugs and antigens.
c) Extended release gels: -

  TIMERx is a controlled release technology
  consists of an agglomerated, hydrophilic
  complex that, when compressed, forms a
  controlled-release matrix.
 The matrix, consisting of xanthan and locust
  bean gums (two polysaccharides) combined with
  dextrose, surrounds a drug core.
 In the presence of water, interactions between
  the matrix components form a tight gel while the
  inner core remains unwetted.
 The drug is encapsulated in the pores of the
  gel, and as the matrix travels through the patient‟s
  digestive system, swells and begins to erode.
 This erosion allows the drug to “back-diffuse” out
  through the gel-matrix at a controlled rate until the
  matrix erodes and a majority of the drug is
  released.
 The fundamental component controlling the rate of
  release lies in the properties of the gel matrix.
 Advantage of this system includes,



 a) Predictable modified release profile like zero
  order or first order or initial immediate release
  kinetics
 b) It can be manufacture on standard
  manufacturing equipment.
 c) Cheap.
d) Amphiphilic gels: -
       • .


                                                         Clear       Cooling
                             Liquid phase                isotropic
 Solid gelator
                                                    60   sol phase


•Sorbitan monostearate.   •Liquid sorbitan esters
•Sorbitan monopalmitate. •polysorbates                               Gel
                                                                     structure
 Amphiphilic gels can prepared by mixing the
  solid gelator like sorbitan monostearate or
  sorbitan monopalmitate and the liquid phase
  like liquid sorbitan esters or polysorbate and
  heating them at 60°C to form a clear isotropic
  sol phase,
 and cooling the sol phase to form an opaque
  semisolid at room temperature.
 Amphiphilic gel microstructures consisted
  mainly of clusters of tubules of gelator
  molecules that had aggregated upon cooling
  of the sol phase, forming a 3D network
  throughout the continuous phase.
 The gels demonstrated thermoreversibility.
e) Hydrophilic gels


 Internal phase   hydrophilic polymer

 3D network
 External phase   liquid vehicle
 It composed of the internal phase made of a polymer
  producing a            coherent three-dimensional net-like
  structure,
 which fixes the liquid vehicle as the external phase.
 Intermolecular forces bind the molecules of the solvent to
  a polymeric net,
 Thus decreasing the mobility of these molecules and
  producing a structured system with increased viscosity.
f) Non aqueous gels: -
 Ethylcellulose was formulated as a nonaqueous gel with
    propylene glycol dicaprylate/dicaprate.
  The gel matrices exhibited prominent viscoelastic
  behavior and thixotropy.
 The solvent molecular conformation was found to play
  a role in affecting the formation of gel networks via
  intermolecular hydrogen bonding between ethyl
  cellulose polymer chains
g)Bioadhesive Gels: -
 Chitosan bioadhesive gel for nasal delivery of insulin.
 A nasal perfusion test was carried out to study the toxicity
  of four absorption enhancers like saponin, sodium
  deoxycholate, ethylendiamine tetra-Acetic Acid (EDTA)
  and lecithin.
 The gels contained
 4000 IU/dl insulin,
 2 or 4% of low and medium molecular weight of chitosan,
 lecithin or EDTA.
 Drug release was studied by a membraneless diffusion
  method and bioadhesion by a modified tensiometry test.
 Formulations containing 2% of low molecular
    weight of chitosan with EDTA :
•   Higher release percentage , dissolution efficiency
    (DE)2.5%,
•   Lower t50% (Time required to release 50% of the
    drug), mean dissolution time, and bioadhesion
•   Increase in insulin absorption
•   Reduction the glucose level by as much as 46% of
    the intravenous route.
•   Insulin was released by a zero-order kinetic from the
    gels.

 Use:     Preparation for controlled delivery of insulin
    through the nasal route.
h) Thermosensitive sol-gel reversible hydrogels:

 They are the aqueous polymeric solutions which
    undergo reversible sol to gel transformation under
    the influence of environmental conditions like
    temperature and pH which results in insitu hydrogel
    formation.
   Advantages of thermosensitive sol-gel reversible
    hydrogels over conventional hydrogels are,
   a) It is easy to mix pharmaceutical solution rather
    than semisolids
   b) Biocompatibility with biological systems
   c) Convenient to administer
   d)The pharmaceutical and biomedical uses of the
    such sol-gel transition include solubilization of low-
 e) Release can be in a controlled fashion.
 f) Helps to deliver labile biomacromolecule such as
  proteins and genes.
 g) Immobilization of cells
 h) And tissue engineering
i) Complexation gels: -
 The goal of oral insulin delivery devices is to protect
   the sensitive drug from proteolytic degradation in the
   stomach and upper portion of the small intestine.
 In this work, the use of pH-responsive, poly
   (methacrylic-g-ethylene glycol) hydrogels as oral
   delivery vehicles for insulin were evaluated.
 Insulin was loaded into polymeric microspheres and
   administered orally to healthy and diabetic Wistar rats.
 In the acidic environment of the stomach, the gels
   were unswollen due to the formation of intermolecular
   polymer complexes.
 The insulin remained in the gel and was protected from
  proteolytic degradation.
 In the basic and neutral environments of the intestine,
  the complexes dissociated which resulted in rapid gel
  swelling and insulin release.
 Within 2 h of administration of the insulin-containing
  polymers, strong dose-dependent hypoglycemic
  effects were observed in both healthy and diabetic
  rats.
 These effects lasted for up to 8 h following
  administration.
NOVEL ADVANCES
           IN
SEMISOLID
APPLICATIONS
A) NASAL
NASAL ADMINISTRATION :


 Intranasal vitamin B-12 gel    produced by
  Schwarz Pharma
 Used as dietary supplement.




 Phenylephrine hydrochloride   produced by Sanofi
 Used as nasal decongestant
a) Introduction:
 Drug delivery to nasal mucosa for either local or
  systemic action faces obstacles like cilia, mucus.
  These routes are protected by effective
  mechanisms.
 Nasal drug administration has been routinely
  used for administration of drugs for the upper
  respiratory tract, like adrenergic agents, and is
  now also being used as a viable alternative for
  the delivery of many systemic therapeutic agents.
 A number of dosage forms are common and
  include solutions, suspensions and gels.
b) The advantages of nasal delivery include,

 (1) Lower doses,
 (2) Rapid local therapeutic effect,
 (3) Rapid systemic therapeutic blood levels,
 (4) rapid onset of pharmacological activity, and
 (5) Few side effects.
 An example of drug that shows effectiveness upon
 administration as a nasal gel, as compared to an oral
 tablet, is vitamin B12, where clinical studies showed a
 six fold increase in maximum blood levels, a doubling of
 speed in entering the bloodstream, and a 2.5 fold
 increase in measurable vitamin B12 in the blood 48
 hours after administration.



c) Risk associated with nasal semisolids:
 The risk of patient-to-patient contamination is very high
 with nasally administered products; patients should be
 advised that a nasal product is for ONE PATIENT ONLY.
d) Formulation aspect:

 In addition to the active drugs, nasal preparations
  contain a number of excipients, including vehicles,
  buffers, preservatives, tonicity adjusting agents,
  gelling agents and possibly antioxidants.
 Important in the formulation process is the use of
  ingredients that are nonirritating and compatible with
  the nose as discussed within each category.
 In general, the same excipients used in ophthalmic
  formulations can also be used in nasal formulations.
B) SKIN
a) Introduction:
 Topical gel formulations provide a suitable delivery
  system for drugs because they are less greasy and
  can be easily removed from the skin.
 Topical dermatologic products are intended for
  localized action on one or more layers of the skin
  (e.g.,   sunscreens,    keratolytic  agents, local
  anesthetics, antiseptics and anti-inflammatory
  agents).
b) Advantage, application and uses:
 This route of drug delivery has gained popularity
  because,
 (1) Provides a largest surface area
 (2) It avoids first-pass effects, gastrointestinal
  irritation, and metabolic degradation associated with
  oral                                   administration.

 Viable epidermal or dermal sites (such as local
 anesthetics or anti-inflammatory agents) may also
 occasionally include a vasoconstrictor, such as
 epinephrine, in the formulation to retard systemic
 uptake of the drugs and, thereby, prolong its local
 effect.
C)OPHTHALMIC

a) Introduction:
 In ocular drug delivery, many physiological constraints
    prevent a successful drug delivery to the eye due to its
    protective mechanisms. Drug loss occur via,
   (1)Less capacity of cualdy sac
   (2)Dilution of drug due to lachrymal secretion.
   (3)Nasolachrymal drainage
   So formulation is administration by increasing the
    viscosity of dosage form in order to achieve increase in
    contact time with corneal membrane. This can be
    achieved by use of ophthalmic semisolids
POLYMERS USED FOR EXTENDED RELEASE OF
OCCULAR SEMISOLIDS
MARKETED PRODUCTS
b) Ophthalmic administration:
 Ophthalmic semisolid compounds are useful for preventing
  and treating ocular inflammation such as dry eye,
  conjunctivitis, scleritis, keratitis, and uveitis.
   d) Risks of ophthalmic semisolids:
 Visual disturbances, including blurred vision
e) Formulation of ophthalmic semisolids:
 The ophthalmic pharmaceutical composition of the
  invention includes buffers, surfactants, stabilizers,
  preservatives, ophthalmic wetting agents, and ophthalmic
  diluting agents. Semisolid ophthalmic vehicle contain soft
  petrolatum.
 Absorption and water soluble bases generally are used for
  preparation of ophthalmic semisolids are
 Mineral oil is added to petrolatum to lower its fusion point (
  but its addition increases chance of separation and to
  avoid this Ozokerite, Ceresin, Micro crystalline wax in small
  quantity are added.
D)RECTAL

    a) Introduction:
 Rectal preparation includes Ointment, creams; gels
   are used for                    application to perianal
   area. Perianal area is the skin immediately
   surrounding anus.
 Substance applied rectally may be absorbs by
   diffusion into circulation via network of three
   hemorrhoid arteries (superior inferior and middle
   hemorrhoid artery).
    b) Rectal administration:
 Previously this route was use for bowel evacuation.
  But now a          day‟s rectal route is widely use for
RECTAL DELIVERY SYSTEMS


NAME       COMPANY           API         DOSGE      USE
                                         FORM

ANUSOL     GlaxoSmithKline   Starch      Ointment   hemorrhoids

TRONOLANE Ross               Pramoxine   Cream      Analgesic
                             Hcl                    Antipruritic
c)   Advantage,    application   and    uses:   several
    advantages of using rectal semisolids are
   (1)Large surface area
   (2)The ability to bypass first-pass liver metabolism,
   (3)Prolongs the residence time
   (4)And permeability to large molecular weight
    drugs, such as peptides and proteins. (insulin gels
    administered deep rectally )
   Rectal preparation are used to treat anorectal
    pruritis, inflammation (hydrocortisone), discomfort with
    hemorrhoids (hydrocortisone), pain (pramoxine
    hydrochloride).
 d) Risks of Rectal semisolids: less frequent risk with
  rectal administration of drug include skin rash, dizziness,
  pain, headache, abdominal pain, nervousness, diarrhea,
  feeling unsteady or clumsy, and wheezing
 e) Formulation of Rectal semisolids:
 Bases for preparation of ointment and creams are
  e.g. polyethylene glycol 300,
      cetyl alcohol,
      cetyl ester wax,
      white petrolatum
      mineral oil.
PARENTRAL ADMINISTRATION USING ATRIGEL
TECHNOLOGY

              ADVANTAGES
 Compatibility with broad range of
  pharmaceutical compounds.


 Direct delivery to targeted area.


 Less invasive technique.


 Protection of drug.


 Sustained drug release.


 Bio-degradable and Biocompatible.


 Economical.
PATENTED
TECHNOLOGIES IN
  SEMISOLIDS
 A)DELIVERYOF MONOCLONAL ANTIBODY USING
 SEMISOLID DOSAGE FORM: -

 Lysostaphin was formulated into a hydrophilic cream that
  forms an emulsion with the secretions of the nasal mucosa,
  and aqueous formulations were made containing the
  mucoadhesive polymers polystyrene sulfonate and
  chitosan.
 Intranasal pharmacokinetics of the drugs was measured in
  mice and cotton rats.
 Lysostaphin formulated in the cream increased nasal
  retention of the drug as compared to lysostaphin in saline
  drops. Furthermore, the levels of lysostaphin in the nose
  after instillation of cream are still above the minimum
  bactericidal concentration for most bacterial strains.
 The results demonstrate that cream and polymer
 delivery systems significantly decrease the
 clearance rate of lysostaphin from the nose,
 thereby enhancing their therapeutic potential for
 eradicating S. aureus nasal colonization.
B)Advances in the formulation of
 semisolid dosage forms
 The formulation of a suitable semisolid dosage
  form involves the selection of an appropriate
  drug carrier system, with a special emphasis on
  the drug‟s physicochemical properties and
  required therapeutic application.
 Drug delivery by means of semisolid dosage
  forms has seen new challenges in the past few
  years in terms of altered drug-release profiles as
  well as the enhanced stability of active
  pharmaceutical ingredients (APIs).
IN SITU GEL DRUG
            DELIVERY
 In situ is a Latin phrase which translated literally
  as „ In position ’
 In situ gel is drug delivery systems that are in sol
  form before administration in the body, but
  once administered, undergo gelation in situ,
  to form a gel
 Administration route for in situ gel
      oral, ocular, rectal, vaginal, injectable and
  intraperitoneal routes
Advantages of in situ forming
        polymeric delivery systems:
 Ease of administration
 Improved local bioavailability
 Reduced dose concentration
 Reduced dosing frequency,
 improved patient compliance and comfort.
 Its production is less complex and thus lowers the
 investment and manufacturing cost.
APPROACHES OF IN SITU GEL
             DRUG DELIVERY

 Mechanisms used for triggering the in situ gel
  formation of biomaterials
 Physiological stimuli
   (e.g., temperature and pH)
 Physical changes in biomaterials
   (e.g., solvent exchange and swelling)
 Chemical reactions
   (e.g. enzymatic, chemical and photo-initiated
  polymerization)
In situ formation based on
           physiological stimuli
A. Thermally trigged system
 Temperature-sensitive hydrogels are classified
 into
   Negatively thermosensitive
   Positively thermosensitive
   Thermally reversible gels
Positively
  thermosensitive
 A positive temperature sensitive hydrogel has an
  upper critical solution temperature (UCST), such
  hydrogel contracts upon cooling below the UCST.
 E.g. poly(acrylic acid) (PAA)
          polyacrylamide ( PAAm )
        polysaccharides-
 [carrageenan,gellan,amylose,agarose]
mechanism
 Gelation mechanism of polysaccharides.
1. At high temperatures a random coil
   conformation is assumed.
2. With decreasing temperature, formation of
   double helices that act as knots is observed.
3. The aggregation of such helices forms the
   physical junctions of gels.
Negatively thermosensitive
 Negative temperature-sensitive hydrogels have a
  lower critical solution temperature (LCST) and
  contract upon heating above the LCST
 E.g. . methyl cellulose
         hydroxy propyl cellulose
         Poly(N- isopropylacrylamide )[ PNIPAAm ]
B. pH triggered systems
 With increases external pH, Swelling of hydrogel
  increases if polymer contains weakly acidic (anionic)
  groups , decreases if polymer contains weakly basic
  (cationic) groups.
 E.g. poly ( acrylic acid) (PAA) ( Carbopol ®, carbomer
  ),      cellulose acetate phthalate(CAP) latex,
  polymethacrilic acid(PMMA), polyethylene glycol
  (PEG), pseudolatexes
In situ formation based on
            physical mechanism
 Swelling :
 Myverol (glycerol mono- oleate ), which is polar
  lipid that swells in water to form lyotropic liquid
  crystalline phase structures.
 It has some Bioadhesive properties and can be
  degraded invivo by enzymatic action.
 Diffusion :
 This method involves the diffusion of solvent
  from polymer solution into surrounding tissue
  and results in precipitation or solidification of
  polymer matrix.
 N-methyl pyrrolidone (NMP) has been shown
  to be useful solvent for such system .
In situ formation based on
         chemical reactions
 Following chemical reaction cause
  gelation :
    Enzymatic cross-linking,
    Ionic crosslinking,
    Photo-initiated processes
Ionic crosslinking
 Ionic crosslinking:
 K- carrageenan forms rigid, brittle gels in presence
  of K + .
 I- carrageenan forms soft, elastic gels in presence
  of Ca 2+ .
 Gellan gum undergoes in situ gelling in the
  presence of mono- and divalent cations , including
  Ca 2+ , Mg 2+.
 Alginic acid undergoes gelation in presence of
  divalent/polyvalent cations .
Enzymatic cross-
                 linking
 Cationic    pH-sensitive     polymers     containing
  immobilized insulin and glucose oxidase can swell
  in response to blood glucose level, releasing the
  entrapped insulin in a pulsatile fashion.
 Adjusting the amount of enzyme also provides a
  convenient mechanism for controlling the rate of
  gel formation, which allows the mixtures to be
  injected before gel formation
Photo-polymerisation
 A solution of monomers or reactive macromer and
  initiator can be injected into a tissue site and the
  application of electromagnetic radiation used to form
  gel .
 long wavelength ultraviolet and visible wavelengths
  are used.
 Short wavelength ultraviolet is not used because it
  has limited penetration of tissue and biologically
  harmful .
 Initiator 2,2 dimethoxy-2-phenyl acetophenone in
  ultraviolet light systems Camphorquinone and ethyl
  eosin in visible light systems.
Classification of In situ
  polymeric systems
Oral-delivery:
 Pectin, xyloglucan and gellan gum are used
  for in situ forming oral drug delivery systems.
 An orally administered in situ gelling pectin
  formulation for the sustained delivery of
  paracetamol has been reported.
 Main advantage of using pectin for these
  formulations is that it is water soluble, so
  organic solvents are not necessary in the
  formulation
 In situ gelling gellan formulation as vehicle for
  oral delivery of theophylline is reported.
 The formulation consisted of gellan solution
  with calcium chloride and sodium citrate
  complex.
 When administered orally, the calcium ions are
  released in acidic environment of stomach
  leading to gelation of gellan thus forming a gel
  in situ
Ocular- delivery
 Polymer used :-
        Gellan gum, alginic acid and xyloglucan
 Drug used for Ocular in situ drug delivery:-
     Antimicrobial agents and anti inflammatory
  agents used to relieve intraocular tension in
  glaucoma
 Conventional delivery systems often result in
  poor bioavailability and therapeutic response
  because high tear fluids turn over cause rapid
  elimination of the drug from the eye .
 So, to overcome bioavailability problems,
  ophthalmic in situ gels were developed.
 Drug release from these in situ gels is
  prolonged due to longer pre-corneal contact
  times of the viscous gels compared with
  conventional eye drops.
Nasal -drug delivery
                   system:
 for nasal delivery of insulin- The formulation was
  in solution form at room temperature that
  transformed to a gel form when kept at 37 C.
 Nasal in situ drug delivery system is suitable for
  protein and peptide drug delivery & brain
  targetted disease through nasal route.
Rectal and vaginal -
                delivery:
 xyloglucan based thermo reversible gels used
 for rectal drug delivery of indomethacin.

 prolonged release vaginal gel incorporating
 clotrimazole - β- cyclodextrin complex was
 formulated for the treatment of vaginitis

 They observe that in situ gel has broad drug
 absorption peak and a longer drug residence
 time as compared to commercial preparation.
Injectable-Drug Delivery
               Systems:
 A novel, injectable, thermosensitive in situ
  gelling hydrogel was developed for tumor
  treatment.
 This hydrogel consisted of drug loaded
  chitosan solution neutralized with β-
  glycerophosphate
EVALUATION OF IN SITU
              GEL
1) Viscosity and rheology
 Measured using Brookfield rheometer or some
 other type of viscometers such as Ostwald's
 viscometer.

2) Clarity
 The clarity of formulated solutions determined
 by visual inspection under black and white
 background.
3) Texture analysis
 Firmness,    consistency and cohesiveness of
  formulation are assessed using texture analyzer
  which mainly indicates the syringeability of sol so
  the formulation can be easily administered in-vivo.
 Higher values of adhesiveness of gels are needed
  to maintain an intimate contact with surfaces like
  tissues
4) Determination of mucoadhesive Force:
 Mucoadhesive force was the minimum weight
 required to detach two vials.
5) Gel Sol-Gel transition temperature & gelling
   time

 sol-gel transition temperature may be defined as
  that temperature at which the phase transition from
  sol meniscus to gel meniscus is occurred.
 Gel formation is indicated by a lack of movement
  of meniscus on tilting the tube
 Gelling time is the time for first detection of gelation.
6) Gel-Strength
 This parameter can be evaluated using a rheometer .
 Method:
 The changes in the load on the probe can be measured
 as a function of depth of immersion of the probe below
 the gel surface.
7) Thermogravimetric analysis
 can be conducted for in situ forming polymeric
  systems to quantitate the percentage of water in
  hydrogel.
 Differential scanning calorimetry is used to observe if
  there are any changes in thermograms as compared
  with the pure ingredients used thus indicating the
  interactions .
8) In-vitro drug release studies
 The drug release studies are carried out by using the
  plastic dialysis cell which is made up of two half cells,
  donor compartment and a receptor compartment .
 Both half cells are separated with the help of
  cellulose membrane.
 Sol form of formulation is placed in donor
  compartment.
 The assembled cell is then shaken horizontally in an
  incubator.
 The total volume of the receptor solution can be
  removed at intervals and replaced with the fresh
  media.
 This receptor solution is analyzed for the drug
  release using analytical technique
9) For injectable in situ gels
 The   formulation is placed into vials containing
  receptor media and placed on a shaker water bath at
  required temperature and oscillations rate.
 Samples are withdrawn periodically and analyzed
Drug            Polymer used           Route of                      Results
                                          administration


 Theophylline          Gellan gum              Oral             Four – five fold increase of
                                                            bioavailability in rats and three fold
                                                           in rabbits as compared to comercial
                                                                      oral formulation

 Doxorubicine     Human serum albumin       Injectable      Sustained delivery of anti cancer
                     and tartric acid                      drug for a long period app. 100 hr.
                       derivative

Paracetamol and          Pectin                Oral               Sustained oral delivery
   Ambroxol

Metoclopramide     Poloxamer 407 and          Nasal        Ease of administration, accuracy of
 hydrochloride     polyethylene glycol                     dosing, prolonged nasal residence
                                                            and improved drug bioavailability

  Cinnarizine     4% of sodium alginate        Oral        Formulation having sustained drug
                   with 0.5% of calcium                           action for 12 hours.
                        carbonate
Drug           Polymer used        Route of                   Results
                                     administration
 Sumatriptan       Pluronic F127          Nasal               prolonging nasal
                    (PF127) and                              residence time and
                   Carbopol 934P                         increase nasal absorption

Timolol Maleate    Carbopol and          Ocular                 Therapeutically
                     Chitosan                             efficacious and showed a
                                                         diffusion controlled type of
                                                         release behaviour over 24
                                                                   h periods.
clarithromycin    Sodium alginate          Oral           Sustained oral delivery
      and          and CaCO 3
metronidazole
   benzoate
 Itraconazole      Polaxamer with    oral topical gels      increase in Buccal
   (1%w/w).         carbopol 934     ( mucoadhesive         residence time and
                                        buccal gel)           patient comfort

  Salbutamol      carbopol 934 and        nasal            sustained release and
   Sulphate            HPMC                                 higher bioavailability
   Swarbrick J, Boylan J. C., Encyclopedia of Pharmaceutical Technology. Vol. 2, 1996.
    Marcel Deckker Inc. 2402-2456.

   Lachman L, Lieberman H. A, Kanig J. L., Theory and Practice of Industrial Pharmacy.
    4th Indian Edition. 1991, Verghese Publishing House. 534-563.

   Remington, The Science and Practice of Pharmacy. Vol. 1. 19th Edition. 1995. Mack
    publishing Company. 304-310.

   Martin A. Bustamante P. Chun A. H. C., Physical Pharmacy, Lippincott Williams &
    Wilkins. 4th Indian Edition. 2005. B. I. Publication Pvt. Ltd. 500-501.

   Loyd V.Allen,Jr., Nicholas G.Popovich, Howard C. Ansel, Ansel’s Pharmaceutical
    Dosage Forms and Drug Delivery Systems 8th Edition. 276-297.

   Atmaram Pawar, R.S Gaud., Modern Dispensing Pharmacy, 2nd Edition, 214-248.

   Aulton M. E., Pharmaceutics The Science of Dosage Form Design: 2nd Edition. 1995.
    ELBS Churchill Livingstone. 499-530

   Chater S.J., Cooper and Gunn Dispensing For Pharmaceutical Students. 12th Edition.
    2001. CBS Publication. 192-231.
The journey of a thousand miles begins with a
                 single step..

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Novel Semisolids for Topical Drug Delivery

  • 1. SEMISOLIDS AS NOVEL DRUG DELIVERY SYSTEM PREPARED BY:- Siju Vinod M.Pharm Sem-2
  • 2. INTRODUCTION  Non greasy since they are made up of water washable bases.  Nanoparticles and Microspheres: Excellent emollient effect, with better spreadability, and less staining than oleaginous ointments.  Preferred for dry, chapped skin in an environment of low humidity because of its occlusive properties  Modification in gel: Release pattern and also some thermo reversible gels .  Oral Insulin delivery,  Chitosan based bioadhesive gels  TIMERx technology for controlled release,  Amphiphilic and non-aqueous gels
  • 3. Semisolid dosage forms intended for topical application
  • 4. IDEAL PROPERTIES OF NOVEL SEMISOLIDS: -  a) Novel ointment bases: i ) should absorb more water and enhance permeation. ii) when applied over skin, an oleaginous ointment film should formed which prevents moisture evaporation from the skin. iii) should not irritate skin.  b) Novel semisolids are safe even when applied to inflamed skin.  c) They should be odorless, easy to handle, stable and compatible with large range of drugs and should be safe.
  • 5.  d) Use of Novel semisolids in pediatric, geriatrics and pregnant women should be safe without causing any allergic reaction.  e) Novel semisolids should able to extend the release pattern in a controlled manner.  f) Novel semisolid should allow its use in different routes of administration with safe, odorless, easy to handle and compatible with biological membrane.
  • 6.
  • 7. PHYSICAL MEANS 1.Phonosoresis(sonophoresis): The movement of drugs through intact skin & underlying soft tissues under the influence of an ultrasonic perturbation.  It is safe & effective technique for enhancing drug administration in clinical applications when with a proper frequency, power level, and duration  It increases drug permeation through the skin by disordering the structured lipids in the stratum corneum. Developing Transdermal drug delivery with the use of ultrasound technique(US) for effective and safe option to treat cancerous tissue.
  • 8. Iontophoresis: It is basically an injection without the needle. Mechanism: Repulsive electromotive force using a small electrical charge applied to an iontophoretic chamber containing a similarly charged active agent and its vehicle.  The drug is applied with an electrode carrying the same charge as the drug. The ground electrode, which is of the opposite charge, is placed elsewhere on the body to complete the circuit.  The drug serves as a conductor of the current through the tissue.
  • 9. • Improve the transdermal delivery of peptide and proteins • By the process of electromigration and electro-osmosis, iontophoresis increases the permeation of charged and neutral compounds like low (lidocaine) and high molecular drugs, such as peptides (e.g., insulin)
  • 11. Electrophoresis: Here the membrane of a cell exposed to high- intensity electric field pulses can be temporarily, thus becoming highly permeable to exogenous molecules in the surrounding media. The charged molecules were considered transporting through existing main routes of the skin at transdermal voltage <100 v. When transdermal voltage was greater than 100v, the transcorneocyte pathway was also accessible to charged molecules as lipid bilayers were electroporated.
  • 12. TYPES OF NOVEL SEMISOLID
  • 13. 1) OINTMENTS: -  Rectal Ointment:  Used  The symptomatic relief against anal and peri-anal pruritus,  Pain and inflammation associated with hemorrhoids,  Anal fissure,  Fistulas and proctitis.  Rectal ointment should be applied several times in a day according to the severity of the condition.  For intrarectal use, apply the ointment with the help of special applicator.
  • 14. 2) CREAMS: - a) Creams containing microspheres: - albumin micro spheres (225 25 µm) Emulsion Vitamin A Prolonged method release
  • 15.  Albumin microsphere containing vitamin A can be administered by using creams topically.  222 ± 25 μm size of microsphere of vitamin A were produced by emulsion method.  The in vivo study in six volunteers revealed that these microspheres were able to remain on the skin for a long period of time, and as a consequence they were able to prolong the release of vitamin A.
  • 16. b) Lamellar faced creams: - Swelling Liquid paraffin in water in water cetrimide emulsions
  • 17.  They are liquid paraffin in water emulsion prepared from cetrimide / fatty alcohol like mixed emulsifiers and ternary system formed by dispersing the mixed emulsifier in require quantity of water.  The cationic emulsifying wax showed phenomenal swelling in water and this swelling was due to electrostatic repulsion which can be suppressed by addition of salt and can be reduced by changing surfactant counter ion.
  • 18. c) Cream containing lipid Nanoparticles Nanoparticles incorporated in Water in oil creams Smooth cream the aqueous where aqueous phase phase divided into small droplets
  • 19.  It increases the penetration of topical drugs by using oils and fats like liquid and semisolid paraffin in large quantities . .  However, such formulations have the limitations of poor cosmetic properties since they have greasy feel and glossy appearance.  Nanoparticles were incorporated in the aqueous phase. Hence, the oil phase in which the water droplets were dispersed served as a lubricant for nanoparticles, thereby preventing a rough feel during application.
  • 20. 3) GELS Controlled release gels Organogels Extended release gels Amphiphilic gels Hydrophilic gels GEL S Non aqueous gels Bioadhesive Gels Thermosensitive sol-gel reversible hydrogels Complexation gels
  • 21. a) Controlled release gels: -  Gel formulations with suitable rheological and mucoadhesive properties increase the contact time at the site of absorption.  Control the release of uncharged drug substances by including surfactants that form micelles in the gel.  The release depends on lipophilic interactions between the drug and the polymer and/or the micelles.
  • 22.  Controlled-release formulations of charged drugs could be designed by mixing the drugs with oppositely charged surfactants in certain fixed ratios.  In this way, vesicles in which the drug and surfactant constituted the bilayer formed spontaneously.  The vesicle formation was affected by the presence of polymer, and very small vesicles that gave a slow release rate were formed when a lipophilically modified polymer was used.
  • 23.  The gels were also evaluated in the chamber using porcine nasal mucosa and from the results it was found that the rate of transport of drugs through the mucosa could be controlled by the rate of release from the formulation.  Furthermore, the chamber can be used to evaluate the potential toxicity of formulations.
  • 24. b) Organogels:  Sorbitan monostearate, a hydrophobic nonionic surfactant, gels a number of organic solvents such as hexadecane, isopropyl myristate, and a range of vegetable oils.  Gelation is achieved by dissolving/dispersing the organogelator in hot solvent to produce an organic solution/dispersion, which, on cooling sets to the gel state.  Cooling the solution/dispersion causes a decrease in the solvent-gelator affinities, such that at the gelation temperature, the surfactant molecules self- assemble into toroidal inverse vesicles.
  • 25.  Further cooling results in the conversion of the toroids into rod-shaped tubules.  Once formed, the tubules associate with others, and a three-dimensional network is formed which immobilizes the solvent.  Sorbitan monostearate gels are opaque, thermoreversible semisolids, and they are stable at room temperature for weeks.  Such organogels are affected by the presence of additives such as the hydrophilic surfactant, polysorbate 20, which improves gel stability and alters the gel microstructure from a network of individual tubules to star-shaped "clusters" of tubules.
  • 26.  Another solid monoester in the sorbitan ester family, sorbitan monopalmitate, also gels organic solvents to give opaque, thermoreversible semisolids.  Like sorbitan monostearate gels, the microstructure of the palmitate gels comprises an interconnected network of rod like tubules.  Unlike the stearate gels, however, the addition of small amounts of a polysorbate monoester causes a large increase in tubular length instead of the "clustering effect seen in stearate gels.  The sorbitan stearate and palmitate organogels may have potential applications as delivery vehicles for drugs and antigens.
  • 27. c) Extended release gels: -  TIMERx is a controlled release technology consists of an agglomerated, hydrophilic complex that, when compressed, forms a controlled-release matrix.  The matrix, consisting of xanthan and locust bean gums (two polysaccharides) combined with dextrose, surrounds a drug core.  In the presence of water, interactions between the matrix components form a tight gel while the inner core remains unwetted.
  • 28.  The drug is encapsulated in the pores of the gel, and as the matrix travels through the patient‟s digestive system, swells and begins to erode.  This erosion allows the drug to “back-diffuse” out through the gel-matrix at a controlled rate until the matrix erodes and a majority of the drug is released.  The fundamental component controlling the rate of release lies in the properties of the gel matrix.
  • 29.  Advantage of this system includes,  a) Predictable modified release profile like zero order or first order or initial immediate release kinetics  b) It can be manufacture on standard manufacturing equipment.  c) Cheap.
  • 30. d) Amphiphilic gels: - • . Clear Cooling Liquid phase isotropic Solid gelator 60 sol phase •Sorbitan monostearate. •Liquid sorbitan esters •Sorbitan monopalmitate. •polysorbates Gel structure
  • 31.  Amphiphilic gels can prepared by mixing the solid gelator like sorbitan monostearate or sorbitan monopalmitate and the liquid phase like liquid sorbitan esters or polysorbate and heating them at 60°C to form a clear isotropic sol phase,  and cooling the sol phase to form an opaque semisolid at room temperature.  Amphiphilic gel microstructures consisted mainly of clusters of tubules of gelator molecules that had aggregated upon cooling of the sol phase, forming a 3D network throughout the continuous phase.  The gels demonstrated thermoreversibility.
  • 32. e) Hydrophilic gels  Internal phase hydrophilic polymer 3D network  External phase liquid vehicle
  • 33.  It composed of the internal phase made of a polymer producing a coherent three-dimensional net-like structure,  which fixes the liquid vehicle as the external phase.  Intermolecular forces bind the molecules of the solvent to a polymeric net,  Thus decreasing the mobility of these molecules and producing a structured system with increased viscosity.
  • 34. f) Non aqueous gels: -  Ethylcellulose was formulated as a nonaqueous gel with propylene glycol dicaprylate/dicaprate.  The gel matrices exhibited prominent viscoelastic behavior and thixotropy.  The solvent molecular conformation was found to play a role in affecting the formation of gel networks via intermolecular hydrogen bonding between ethyl cellulose polymer chains
  • 35. g)Bioadhesive Gels: -  Chitosan bioadhesive gel for nasal delivery of insulin.  A nasal perfusion test was carried out to study the toxicity of four absorption enhancers like saponin, sodium deoxycholate, ethylendiamine tetra-Acetic Acid (EDTA) and lecithin.  The gels contained  4000 IU/dl insulin,  2 or 4% of low and medium molecular weight of chitosan,  lecithin or EDTA.  Drug release was studied by a membraneless diffusion method and bioadhesion by a modified tensiometry test.
  • 36.  Formulations containing 2% of low molecular weight of chitosan with EDTA : • Higher release percentage , dissolution efficiency (DE)2.5%, • Lower t50% (Time required to release 50% of the drug), mean dissolution time, and bioadhesion • Increase in insulin absorption • Reduction the glucose level by as much as 46% of the intravenous route. • Insulin was released by a zero-order kinetic from the gels.  Use: Preparation for controlled delivery of insulin through the nasal route.
  • 37. h) Thermosensitive sol-gel reversible hydrogels:  They are the aqueous polymeric solutions which undergo reversible sol to gel transformation under the influence of environmental conditions like temperature and pH which results in insitu hydrogel formation.  Advantages of thermosensitive sol-gel reversible hydrogels over conventional hydrogels are,  a) It is easy to mix pharmaceutical solution rather than semisolids  b) Biocompatibility with biological systems  c) Convenient to administer  d)The pharmaceutical and biomedical uses of the such sol-gel transition include solubilization of low-
  • 38.  e) Release can be in a controlled fashion.  f) Helps to deliver labile biomacromolecule such as proteins and genes.  g) Immobilization of cells  h) And tissue engineering
  • 39. i) Complexation gels: -  The goal of oral insulin delivery devices is to protect the sensitive drug from proteolytic degradation in the stomach and upper portion of the small intestine.  In this work, the use of pH-responsive, poly (methacrylic-g-ethylene glycol) hydrogels as oral delivery vehicles for insulin were evaluated.  Insulin was loaded into polymeric microspheres and administered orally to healthy and diabetic Wistar rats.  In the acidic environment of the stomach, the gels were unswollen due to the formation of intermolecular polymer complexes.
  • 40.  The insulin remained in the gel and was protected from proteolytic degradation.  In the basic and neutral environments of the intestine, the complexes dissociated which resulted in rapid gel swelling and insulin release.  Within 2 h of administration of the insulin-containing polymers, strong dose-dependent hypoglycemic effects were observed in both healthy and diabetic rats.  These effects lasted for up to 8 h following administration.
  • 41. NOVEL ADVANCES IN SEMISOLID APPLICATIONS
  • 43. NASAL ADMINISTRATION :  Intranasal vitamin B-12 gel produced by Schwarz Pharma  Used as dietary supplement.  Phenylephrine hydrochloride produced by Sanofi  Used as nasal decongestant
  • 44. a) Introduction:  Drug delivery to nasal mucosa for either local or systemic action faces obstacles like cilia, mucus. These routes are protected by effective mechanisms.  Nasal drug administration has been routinely used for administration of drugs for the upper respiratory tract, like adrenergic agents, and is now also being used as a viable alternative for the delivery of many systemic therapeutic agents.  A number of dosage forms are common and include solutions, suspensions and gels.
  • 45. b) The advantages of nasal delivery include,  (1) Lower doses,  (2) Rapid local therapeutic effect,  (3) Rapid systemic therapeutic blood levels,  (4) rapid onset of pharmacological activity, and  (5) Few side effects.
  • 46.  An example of drug that shows effectiveness upon administration as a nasal gel, as compared to an oral tablet, is vitamin B12, where clinical studies showed a six fold increase in maximum blood levels, a doubling of speed in entering the bloodstream, and a 2.5 fold increase in measurable vitamin B12 in the blood 48 hours after administration. c) Risk associated with nasal semisolids:  The risk of patient-to-patient contamination is very high with nasally administered products; patients should be advised that a nasal product is for ONE PATIENT ONLY.
  • 47. d) Formulation aspect:  In addition to the active drugs, nasal preparations contain a number of excipients, including vehicles, buffers, preservatives, tonicity adjusting agents, gelling agents and possibly antioxidants.  Important in the formulation process is the use of ingredients that are nonirritating and compatible with the nose as discussed within each category.  In general, the same excipients used in ophthalmic formulations can also be used in nasal formulations.
  • 48. B) SKIN a) Introduction:  Topical gel formulations provide a suitable delivery system for drugs because they are less greasy and can be easily removed from the skin.  Topical dermatologic products are intended for localized action on one or more layers of the skin (e.g., sunscreens, keratolytic agents, local anesthetics, antiseptics and anti-inflammatory agents).
  • 49. b) Advantage, application and uses:  This route of drug delivery has gained popularity because,  (1) Provides a largest surface area  (2) It avoids first-pass effects, gastrointestinal irritation, and metabolic degradation associated with oral administration.  Viable epidermal or dermal sites (such as local anesthetics or anti-inflammatory agents) may also occasionally include a vasoconstrictor, such as epinephrine, in the formulation to retard systemic uptake of the drugs and, thereby, prolong its local effect.
  • 50. C)OPHTHALMIC a) Introduction:  In ocular drug delivery, many physiological constraints prevent a successful drug delivery to the eye due to its protective mechanisms. Drug loss occur via,  (1)Less capacity of cualdy sac  (2)Dilution of drug due to lachrymal secretion.  (3)Nasolachrymal drainage  So formulation is administration by increasing the viscosity of dosage form in order to achieve increase in contact time with corneal membrane. This can be achieved by use of ophthalmic semisolids
  • 51. POLYMERS USED FOR EXTENDED RELEASE OF OCCULAR SEMISOLIDS
  • 53. b) Ophthalmic administration:  Ophthalmic semisolid compounds are useful for preventing and treating ocular inflammation such as dry eye, conjunctivitis, scleritis, keratitis, and uveitis. d) Risks of ophthalmic semisolids:  Visual disturbances, including blurred vision
  • 54. e) Formulation of ophthalmic semisolids:  The ophthalmic pharmaceutical composition of the invention includes buffers, surfactants, stabilizers, preservatives, ophthalmic wetting agents, and ophthalmic diluting agents. Semisolid ophthalmic vehicle contain soft petrolatum.  Absorption and water soluble bases generally are used for preparation of ophthalmic semisolids are  Mineral oil is added to petrolatum to lower its fusion point ( but its addition increases chance of separation and to avoid this Ozokerite, Ceresin, Micro crystalline wax in small quantity are added.
  • 55. D)RECTAL a) Introduction:  Rectal preparation includes Ointment, creams; gels are used for application to perianal area. Perianal area is the skin immediately surrounding anus.  Substance applied rectally may be absorbs by diffusion into circulation via network of three hemorrhoid arteries (superior inferior and middle hemorrhoid artery). b) Rectal administration:  Previously this route was use for bowel evacuation. But now a day‟s rectal route is widely use for
  • 56. RECTAL DELIVERY SYSTEMS NAME COMPANY API DOSGE USE FORM ANUSOL GlaxoSmithKline Starch Ointment hemorrhoids TRONOLANE Ross Pramoxine Cream Analgesic Hcl Antipruritic
  • 57. c) Advantage, application and uses: several advantages of using rectal semisolids are  (1)Large surface area  (2)The ability to bypass first-pass liver metabolism,  (3)Prolongs the residence time  (4)And permeability to large molecular weight drugs, such as peptides and proteins. (insulin gels administered deep rectally )  Rectal preparation are used to treat anorectal pruritis, inflammation (hydrocortisone), discomfort with hemorrhoids (hydrocortisone), pain (pramoxine hydrochloride).
  • 58.  d) Risks of Rectal semisolids: less frequent risk with rectal administration of drug include skin rash, dizziness, pain, headache, abdominal pain, nervousness, diarrhea, feeling unsteady or clumsy, and wheezing  e) Formulation of Rectal semisolids:  Bases for preparation of ointment and creams are e.g. polyethylene glycol 300, cetyl alcohol, cetyl ester wax, white petrolatum mineral oil.
  • 59. PARENTRAL ADMINISTRATION USING ATRIGEL TECHNOLOGY ADVANTAGES  Compatibility with broad range of pharmaceutical compounds.  Direct delivery to targeted area.  Less invasive technique.  Protection of drug.  Sustained drug release.  Bio-degradable and Biocompatible.  Economical.
  • 61.  A)DELIVERYOF MONOCLONAL ANTIBODY USING SEMISOLID DOSAGE FORM: -  Lysostaphin was formulated into a hydrophilic cream that forms an emulsion with the secretions of the nasal mucosa, and aqueous formulations were made containing the mucoadhesive polymers polystyrene sulfonate and chitosan.  Intranasal pharmacokinetics of the drugs was measured in mice and cotton rats.  Lysostaphin formulated in the cream increased nasal retention of the drug as compared to lysostaphin in saline drops. Furthermore, the levels of lysostaphin in the nose after instillation of cream are still above the minimum bactericidal concentration for most bacterial strains.
  • 62.  The results demonstrate that cream and polymer delivery systems significantly decrease the clearance rate of lysostaphin from the nose, thereby enhancing their therapeutic potential for eradicating S. aureus nasal colonization.
  • 63. B)Advances in the formulation of semisolid dosage forms  The formulation of a suitable semisolid dosage form involves the selection of an appropriate drug carrier system, with a special emphasis on the drug‟s physicochemical properties and required therapeutic application.  Drug delivery by means of semisolid dosage forms has seen new challenges in the past few years in terms of altered drug-release profiles as well as the enhanced stability of active pharmaceutical ingredients (APIs).
  • 64. IN SITU GEL DRUG DELIVERY  In situ is a Latin phrase which translated literally as „ In position ’  In situ gel is drug delivery systems that are in sol form before administration in the body, but once administered, undergo gelation in situ, to form a gel  Administration route for in situ gel oral, ocular, rectal, vaginal, injectable and intraperitoneal routes
  • 65. Advantages of in situ forming polymeric delivery systems:  Ease of administration  Improved local bioavailability  Reduced dose concentration  Reduced dosing frequency,  improved patient compliance and comfort.  Its production is less complex and thus lowers the investment and manufacturing cost.
  • 66. APPROACHES OF IN SITU GEL DRUG DELIVERY  Mechanisms used for triggering the in situ gel formation of biomaterials  Physiological stimuli (e.g., temperature and pH)  Physical changes in biomaterials (e.g., solvent exchange and swelling)  Chemical reactions (e.g. enzymatic, chemical and photo-initiated polymerization)
  • 67. In situ formation based on physiological stimuli A. Thermally trigged system  Temperature-sensitive hydrogels are classified into  Negatively thermosensitive  Positively thermosensitive  Thermally reversible gels
  • 68. Positively thermosensitive  A positive temperature sensitive hydrogel has an upper critical solution temperature (UCST), such hydrogel contracts upon cooling below the UCST.  E.g. poly(acrylic acid) (PAA) polyacrylamide ( PAAm ) polysaccharides- [carrageenan,gellan,amylose,agarose]
  • 69. mechanism  Gelation mechanism of polysaccharides. 1. At high temperatures a random coil conformation is assumed. 2. With decreasing temperature, formation of double helices that act as knots is observed. 3. The aggregation of such helices forms the physical junctions of gels.
  • 70.
  • 71. Negatively thermosensitive  Negative temperature-sensitive hydrogels have a lower critical solution temperature (LCST) and contract upon heating above the LCST  E.g. . methyl cellulose hydroxy propyl cellulose Poly(N- isopropylacrylamide )[ PNIPAAm ]
  • 72.
  • 73. B. pH triggered systems  With increases external pH, Swelling of hydrogel increases if polymer contains weakly acidic (anionic) groups , decreases if polymer contains weakly basic (cationic) groups.  E.g. poly ( acrylic acid) (PAA) ( Carbopol ®, carbomer ), cellulose acetate phthalate(CAP) latex, polymethacrilic acid(PMMA), polyethylene glycol (PEG), pseudolatexes
  • 74. In situ formation based on physical mechanism  Swelling :  Myverol (glycerol mono- oleate ), which is polar lipid that swells in water to form lyotropic liquid crystalline phase structures.  It has some Bioadhesive properties and can be degraded invivo by enzymatic action.  Diffusion :  This method involves the diffusion of solvent from polymer solution into surrounding tissue and results in precipitation or solidification of polymer matrix.  N-methyl pyrrolidone (NMP) has been shown to be useful solvent for such system .
  • 75. In situ formation based on chemical reactions  Following chemical reaction cause gelation :  Enzymatic cross-linking,  Ionic crosslinking,  Photo-initiated processes
  • 76. Ionic crosslinking  Ionic crosslinking:  K- carrageenan forms rigid, brittle gels in presence of K + .  I- carrageenan forms soft, elastic gels in presence of Ca 2+ .  Gellan gum undergoes in situ gelling in the presence of mono- and divalent cations , including Ca 2+ , Mg 2+.  Alginic acid undergoes gelation in presence of divalent/polyvalent cations .
  • 77. Enzymatic cross- linking  Cationic pH-sensitive polymers containing immobilized insulin and glucose oxidase can swell in response to blood glucose level, releasing the entrapped insulin in a pulsatile fashion.  Adjusting the amount of enzyme also provides a convenient mechanism for controlling the rate of gel formation, which allows the mixtures to be injected before gel formation
  • 78. Photo-polymerisation  A solution of monomers or reactive macromer and initiator can be injected into a tissue site and the application of electromagnetic radiation used to form gel .  long wavelength ultraviolet and visible wavelengths are used.  Short wavelength ultraviolet is not used because it has limited penetration of tissue and biologically harmful .  Initiator 2,2 dimethoxy-2-phenyl acetophenone in ultraviolet light systems Camphorquinone and ethyl eosin in visible light systems.
  • 79. Classification of In situ polymeric systems
  • 80. Oral-delivery:  Pectin, xyloglucan and gellan gum are used for in situ forming oral drug delivery systems.  An orally administered in situ gelling pectin formulation for the sustained delivery of paracetamol has been reported.  Main advantage of using pectin for these formulations is that it is water soluble, so organic solvents are not necessary in the formulation
  • 81.  In situ gelling gellan formulation as vehicle for oral delivery of theophylline is reported.  The formulation consisted of gellan solution with calcium chloride and sodium citrate complex.  When administered orally, the calcium ions are released in acidic environment of stomach leading to gelation of gellan thus forming a gel in situ
  • 82. Ocular- delivery  Polymer used :- Gellan gum, alginic acid and xyloglucan  Drug used for Ocular in situ drug delivery:- Antimicrobial agents and anti inflammatory agents used to relieve intraocular tension in glaucoma
  • 83.  Conventional delivery systems often result in poor bioavailability and therapeutic response because high tear fluids turn over cause rapid elimination of the drug from the eye .  So, to overcome bioavailability problems, ophthalmic in situ gels were developed.  Drug release from these in situ gels is prolonged due to longer pre-corneal contact times of the viscous gels compared with conventional eye drops.
  • 84. Nasal -drug delivery system:  for nasal delivery of insulin- The formulation was in solution form at room temperature that transformed to a gel form when kept at 37 C.  Nasal in situ drug delivery system is suitable for protein and peptide drug delivery & brain targetted disease through nasal route.
  • 85. Rectal and vaginal - delivery:  xyloglucan based thermo reversible gels used for rectal drug delivery of indomethacin.  prolonged release vaginal gel incorporating clotrimazole - β- cyclodextrin complex was formulated for the treatment of vaginitis  They observe that in situ gel has broad drug absorption peak and a longer drug residence time as compared to commercial preparation.
  • 86. Injectable-Drug Delivery Systems:  A novel, injectable, thermosensitive in situ gelling hydrogel was developed for tumor treatment.  This hydrogel consisted of drug loaded chitosan solution neutralized with β- glycerophosphate
  • 87. EVALUATION OF IN SITU GEL 1) Viscosity and rheology  Measured using Brookfield rheometer or some other type of viscometers such as Ostwald's viscometer. 2) Clarity  The clarity of formulated solutions determined by visual inspection under black and white background.
  • 88. 3) Texture analysis  Firmness, consistency and cohesiveness of formulation are assessed using texture analyzer which mainly indicates the syringeability of sol so the formulation can be easily administered in-vivo.  Higher values of adhesiveness of gels are needed to maintain an intimate contact with surfaces like tissues
  • 89. 4) Determination of mucoadhesive Force:  Mucoadhesive force was the minimum weight required to detach two vials.
  • 90. 5) Gel Sol-Gel transition temperature & gelling time  sol-gel transition temperature may be defined as that temperature at which the phase transition from sol meniscus to gel meniscus is occurred.  Gel formation is indicated by a lack of movement of meniscus on tilting the tube  Gelling time is the time for first detection of gelation.
  • 91. 6) Gel-Strength  This parameter can be evaluated using a rheometer .  Method:  The changes in the load on the probe can be measured as a function of depth of immersion of the probe below the gel surface.
  • 92. 7) Thermogravimetric analysis  can be conducted for in situ forming polymeric systems to quantitate the percentage of water in hydrogel.  Differential scanning calorimetry is used to observe if there are any changes in thermograms as compared with the pure ingredients used thus indicating the interactions .
  • 93. 8) In-vitro drug release studies  The drug release studies are carried out by using the plastic dialysis cell which is made up of two half cells, donor compartment and a receptor compartment .  Both half cells are separated with the help of cellulose membrane.  Sol form of formulation is placed in donor compartment.  The assembled cell is then shaken horizontally in an incubator.  The total volume of the receptor solution can be removed at intervals and replaced with the fresh media.  This receptor solution is analyzed for the drug release using analytical technique
  • 94. 9) For injectable in situ gels  The formulation is placed into vials containing receptor media and placed on a shaker water bath at required temperature and oscillations rate.  Samples are withdrawn periodically and analyzed
  • 95. Drug Polymer used Route of Results administration Theophylline Gellan gum Oral Four – five fold increase of bioavailability in rats and three fold in rabbits as compared to comercial oral formulation Doxorubicine Human serum albumin Injectable Sustained delivery of anti cancer and tartric acid drug for a long period app. 100 hr. derivative Paracetamol and Pectin Oral Sustained oral delivery Ambroxol Metoclopramide Poloxamer 407 and Nasal Ease of administration, accuracy of hydrochloride polyethylene glycol dosing, prolonged nasal residence and improved drug bioavailability Cinnarizine 4% of sodium alginate Oral Formulation having sustained drug with 0.5% of calcium action for 12 hours. carbonate
  • 96. Drug Polymer used Route of Results administration Sumatriptan Pluronic F127 Nasal prolonging nasal (PF127) and residence time and Carbopol 934P increase nasal absorption Timolol Maleate Carbopol and Ocular Therapeutically Chitosan efficacious and showed a diffusion controlled type of release behaviour over 24 h periods. clarithromycin Sodium alginate Oral Sustained oral delivery and and CaCO 3 metronidazole benzoate Itraconazole Polaxamer with oral topical gels increase in Buccal (1%w/w). carbopol 934 ( mucoadhesive residence time and buccal gel) patient comfort Salbutamol carbopol 934 and nasal sustained release and Sulphate HPMC higher bioavailability
  • 97. Swarbrick J, Boylan J. C., Encyclopedia of Pharmaceutical Technology. Vol. 2, 1996. Marcel Deckker Inc. 2402-2456.  Lachman L, Lieberman H. A, Kanig J. L., Theory and Practice of Industrial Pharmacy. 4th Indian Edition. 1991, Verghese Publishing House. 534-563.  Remington, The Science and Practice of Pharmacy. Vol. 1. 19th Edition. 1995. Mack publishing Company. 304-310.  Martin A. Bustamante P. Chun A. H. C., Physical Pharmacy, Lippincott Williams & Wilkins. 4th Indian Edition. 2005. B. I. Publication Pvt. Ltd. 500-501.  Loyd V.Allen,Jr., Nicholas G.Popovich, Howard C. Ansel, Ansel’s Pharmaceutical Dosage Forms and Drug Delivery Systems 8th Edition. 276-297.  Atmaram Pawar, R.S Gaud., Modern Dispensing Pharmacy, 2nd Edition, 214-248.  Aulton M. E., Pharmaceutics The Science of Dosage Form Design: 2nd Edition. 1995. ELBS Churchill Livingstone. 499-530  Chater S.J., Cooper and Gunn Dispensing For Pharmaceutical Students. 12th Edition. 2001. CBS Publication. 192-231.
  • 98. The journey of a thousand miles begins with a single step..