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THE RISE AND RISE OF
DRUG DELIVERY
ORAL ROUTE
   Released drug is absorbed in small intestine.

   Advantages: - patient acceptance
              - convenient

   Disadvantages: - poor uptake — rapidly metabolized
                - chemical instability in GI tract

   Traditional: Tablets, capsules
Tablets:
A tablet is a hard, compressed medication in
 round, oval or square shape.
Types of tablets:

1- Disintegrating tablet (conventional or
  plain tablet)

   Disintegrating tablet is the most common type
    of tablets that is intended to be swallowed.
Types of Tablets (Cont.)




Single layer tablet
Types of Tablets (Cont.)
2- Chewable tablets
 Chewable   tablets are to be chewed           and   thus
  mechanically disintegrated in the mouth.

   Advantages of chewable tablets:
-   Provide quick and complete disintegration of the tablet
    and thus obtain a rapid drug effect

- Easy administration, especially for infants and elderly
  people.
Types of Tablets (Cont.)
Types of Tablets (Cont.)
3- Effervescent tablets
- Effervescent tablets are dropped into a
   glass of water before administration
   during which CO2 is liberated.
Types of Tablets (Cont.)
   Advantages of effervescent tablets:
1- To obtain rapid drug action, for example analgesics
  and antacids.
Types of Tablets (Cont.)
Types of Tablets (Cont.)
2- To facilitate drug intake, for example vitamins
Types of Tablets (Cont.)
4- Sublingual and Buccal tablets
 They are used for drug release in mouth followed by

  systemic uptake of the drug.

   A rapid systemic drug effect can thus be obtained
    without first-path liver metabolism.

   Sublingual tablets are placed under the tongue.
Types of Tablets (Cont.)
Types of Tablets (Cont.)
   Buccal tablets are placed in the side of the check for
    absorption through oral mucosa.
Types of Tablets (Cont.)
5- Lozenges
 They are tablets that dissolve slowly in the mouth and

  so release the drug dissolved in the saliva.
 Lozenges used for

   - Local medications in the mouth or throat, e.g. local
     anaesthetics, antiseptics and antibiotics.
Types of Tablets (Cont.)
   Hard candy lozenges , e.g. Halls®
Capsules:
   A capsule is a medication in a gelatin container.

1- Hard gelatin capsules
- The capsule consists of two halves and filled with powder.
Capsules:
    2 Soft gelatin capsules:
       The capsule consists of one part and used for oils and
        for active ingredients that are dissolved or suspended in
        oil.




chewable soft gelatin capsules of omega-3
Novel oral delivery
     systems:
   1- Fast dissolving oral film:

-It consists of a very thin polymeric film strip incorporating
and delivering pharmaceutical active ingredients (alone or in
combination).

-It has the size of a stamp and – once placed in the mouth –
dissolves in a few seconds and is swallowed with the saliva
without the need of taking water.
Novel oral delivery
systems:
Advances in Controlled /
    Sustained Release Drug Delivery
    System:
  Benefits of modified drug delivery system:
- Decreased  in dosing frequency

- Sustained & Consistent blood level within the therapeutic
   window.

- Enhanced bioavailability

-   Reduced side effects

- Improved patient compliance
Advances in Controlled /
    Sustained Release Drug Delivery
    System:
     Some technologies of modified release drug delivery
      system:
I. Osmotic Drug Delivery Devices:
They fall in two categories
1- Implantable
E.g. Implantable Miniosmotic pump



Osmotic Drug Delivery
         Devices:
                                  2- Oral osmotic
                                       Pump


       Single chamber              Multi chamber
                                                             Specific types
        osmotic pump               osmotic pump

                               E.g. Push pull osmotic pump
E.g. Elementary osmotic pump                             E.g. Elementary osmotic pum
                               E.g. Osmotic pump with non
                               expanding second chamber
Novel oral delivery
  systems:
2- Controlled drug delivery systems

I. The osmotic-controlled release oral delivery
   system, OROS:
- It is an advanced drug delivery technology that uses
   osmotic pressure as the driving force to deliver
   pharmacotherapy, usually once-daily, in several
   therapeutic areas.
Novel oral delivery
 systems:
A- The elementary osmotic pump
Novel oral delivery
    systems:

   Following ingestion, water is absorbed into the
    system, dissolving the drug, and the resulting
    drug solution is delivered at the same rate as
    the water entering the tablet.

    Disadvantage:
It is only suitable for the delivery of water-soluble
    drugs.
Novel oral delivery
 systems:
B- The two-layer osmotic push–pull tablet




- The polymeric expanding compartment (push layer) provides additional force on the
    drug layer to ensure that the drug is delivered through the delivery orifice at the
    target rate.
The osmotic push– pull tablet
Novel oral delivery
    systems:
C- The advanced longitudinally compressed tablet
  multilayer formulation
- It consists of an osmotic push layer and can be
  configured to contain several drug layers.

-   The option of multiple drug layers provides increased
    flexibility and control over the pattern of release of
    medication from the system.
The advanced longitudinally
compressed tablet multilayer
       formulation
Novel oral delivery
  systems:
D- The L-OROS system
- provide controlled delivery of liquid drug formulations in
  a capsule form.

- This system consists of a semipermeable membrane
  coating that encloses a liquid drug layer and osmotic
  push layer.
Novel oral delivery
systems:
Novel oral delivery
    systems:
E- Sandwiched Osmotic Tablets (SOTS)
- It is composed of polymeric push layer sandwiched
  between two drug layers with two delivery orifices.

-    When placed in the aqueous environment the middle
    push layer containing the swelling agents swells and the
    drug is released from the two orifices situated on
    opposite sides of the tablet and thus SOTS can be
    suitable for drugs prone to cause local irritation of the
    gastric mucosa.
Sandwiched Osmotic Tablets
Novel oral delivery
    systems:
F- OROS-CT
-  OROS-CT is used as a once or twice a day formulation
   for targeted delivery of drugs to the colon.

-   The OROS-CT can be a single osmotic agent or it can be
    comprise of as many as five to six push pull osmotic unit
    filled in a hard gelatin capsule.
OROS-CT
Novel oral delivery
  systems:
II. pH sensitive systems
Transdermal Route

  Transdermal patch is a medicated
adhesive patch that is placed on the
 skin to deliver a specific dose of medication
through the skin and into the bloodstream.

   Transdermal drug delivery offers an attractive alternative
    to the conventional drug delivery methods of oral
    administration and injection.
                                                            38
Transdermal Route
 Advantages of Transdermal drug delivery
  system over Conventional Dosage Forms:
-Avoids vagaries associated with gastrointestinal
  absorption due to pH, enzymatic activity, drug-food
  interactions etc.

-Substitutes oral administration when the route is
  unsuitable as in case of vomiting, diarrhea.

- Avoids hepatic “first pass” effect.

- Avoids the risks and inconveniences of parenteral
  therapy.
Transdermal Route
-   Reduces daily dosing, thus, improving patient compliance.

-   Rapid termination of drug effect by removal of drug
    application from the surface of the skin.

-   Suitability for self-administration.
Transdermal Route
   Limitations of Transdermal drug delivery:
-   The drug must have some desirable physicochemical
    properties for penetration through stratum corneum.

-    Skin irritation or contact dermatitis due to the drug,
    excipients and enhancers of the drug used to increase
    percutaneous absorption is another limitation.

- The barrier function of the skin changes from one site to
   another on the same person, from person to person
   and with age.
Transdermal Route
    (Cont.)
   Traditional : controlled release patches
Transdermal Route
     (Cont.)
Device Designs
A-membrane based : Release rate constant (rate-limited by
    diffusion through membrane)

laminated layers:
Transdermal Route
  (Cont.)
B- monolithic patch
- C0 >> Cs drug dissolution in polymer matrix controls
  release rate.
             ⇒
Transdermal Route
 (Cont.)
The     Latest  Approaches      for                Enhancing
      Transdermal Drug Delivery

-Various technologies have been developed to bypass or
      modulate the barrier function of the skin.

I. Iontophoresis:
 Iontophoresis is an effective and painless method of delivering
      medication to a localized tissue area by applying electrical
      current to a solution of the medication.
Transdermal Route
    (Cont.)
   The diagram below illustrates the basic mechanism.
    Like electrical charges repel. Therefore, application of a
    positive current will drive positively charged drug
    molecules away from the electrode and into the tissues;
    similarly, a negative current will drive negatively charge
    ions into the tissues.
What is iontophoresis ?
Iontophoretic Patches
Iontophoretic Patches
Iontophoresis & Beauty

• Iontophoresis, a widely
  used method in the fields
  of dermatologist, emits
  feeble electric current to
  the skin to lower the skin
  barriers, and used electical
  repulsion to deliver the
  nutrients of cosmetics to
  deep under the skin
Transdermal Route
    (Cont.)
II. Reverse iontophoresis:
   Iontophoresis can be used in reverse to remove
    molecules from the circulation.

   One example, the GlucoWatch, a needleless means of
    monitoring blood glucose levels in diabetic patients, uses
    an electrical signal that is proportional to the amount of
    glucose in the extracellular fluid.
GlucoWatch & principle
Transdermal Route
  (Cont.)
II. Electroporation:
 This process, in which brief, intense electric charges
  create small pores in the phospholipid bilayer of cell
  membranes, can assist in the transdermal delivery of
  drugs.
Electroporation appears to reversibly disrupt the lipid
  bilayers in the stratum corneum, and the channels it
  creates are said to promote the passage of
  hydrophilic drugs through the skin.
Electroporation

        ii) When the electric field is
            applied, the ions move
            according to their charge.

        iii) Pathways are formed
            across the cell membrane
            allowing DNA to enter.

        iv) When the electric field is
           deactivated,           the
           membrane heals.
Electroporation
Transdermal Route
 (Cont.)
III.Phonophoresis (sonophoresis) :
- The use of ultrasound of a suitable frequency to
  enhance skin permeability seems to be a useful
  alternative technique for delivering drugs through the
  skin and can be applied to vaccination and gene
  therapy.
Mechanism of action of
      phonophoresis:




Enhanced Transdermal Permeation by Cavitation upon application of Ultrasound
Phonophoresis
(sonophoresis)
Transdermal Route
    (Cont.)
IV. Microneedles (Microporation):
-  patches coated with hundreds of microscopic needles (microneedles) that
   pierce only the stratum corneum.

-   They are generally one micron in diameter and range from 1-100 microns
    in length.

-   The microneedles are usually drug-coated projections of solid silicon or
    hollow, drug-filled metal needles.

-   They can deliver proteins, nanoparticles, and both small and large
    molecules through the skin.

-   Because the nerves located deeper in the skin are not stimulated, the
    patient does not experience pain or discomfort.

-   Instead, patients feel the texture of sandpaper or a cat's tongue.
Microneedles




An array of stainless silicon microneedles   An array of stainless steel microneedles
Microneedles




Microscope image shows an array of hollow microneedles
next to a hypodermic needle typical of those now used to
               inject drugs and vaccines
Patch Microneedles
Transdermal Route
    (Cont.)
V. Needleless Jet Injectors:
- Needleless jet injectors combine the advantages of
  transdermal and parenteral drug delivery methods.

-    It fires fine, solid particles through the stratum corneum
    using high-pressure helium gas or uses nitrogen gas to
    propel liquid drug formulations through the skin.

-   The high velocity jet stream pierces the skin and the
    drug disperses into the subcutaneous adipose tissue.
Transdermal Route
    (Cont.)
-   Drug delivery is painless because the
    injectors use particles that are too small
    to trigger pain receptors.
Needleless Jet Injectors:
Transdermal Route
 (Cont.)
VI. Medicated Tattoos:
- modified the temporary tattoo popular with children and
   young adults to contain an active drug for transdermal
  delivery

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Drug delivery

  • 1. THE RISE AND RISE OF DRUG DELIVERY
  • 2. ORAL ROUTE  Released drug is absorbed in small intestine.  Advantages: - patient acceptance - convenient  Disadvantages: - poor uptake — rapidly metabolized - chemical instability in GI tract  Traditional: Tablets, capsules
  • 3. Tablets: A tablet is a hard, compressed medication in round, oval or square shape. Types of tablets: 1- Disintegrating tablet (conventional or plain tablet)  Disintegrating tablet is the most common type of tablets that is intended to be swallowed.
  • 4. Types of Tablets (Cont.) Single layer tablet
  • 5. Types of Tablets (Cont.) 2- Chewable tablets  Chewable tablets are to be chewed and thus mechanically disintegrated in the mouth.  Advantages of chewable tablets: - Provide quick and complete disintegration of the tablet and thus obtain a rapid drug effect - Easy administration, especially for infants and elderly people.
  • 7. Types of Tablets (Cont.) 3- Effervescent tablets - Effervescent tablets are dropped into a glass of water before administration during which CO2 is liberated.
  • 8. Types of Tablets (Cont.)  Advantages of effervescent tablets: 1- To obtain rapid drug action, for example analgesics and antacids.
  • 10. Types of Tablets (Cont.) 2- To facilitate drug intake, for example vitamins
  • 11. Types of Tablets (Cont.) 4- Sublingual and Buccal tablets  They are used for drug release in mouth followed by systemic uptake of the drug.  A rapid systemic drug effect can thus be obtained without first-path liver metabolism.  Sublingual tablets are placed under the tongue.
  • 12. Types of Tablets (Cont.)
  • 13. Types of Tablets (Cont.)  Buccal tablets are placed in the side of the check for absorption through oral mucosa.
  • 14. Types of Tablets (Cont.) 5- Lozenges  They are tablets that dissolve slowly in the mouth and so release the drug dissolved in the saliva.  Lozenges used for - Local medications in the mouth or throat, e.g. local anaesthetics, antiseptics and antibiotics.
  • 15. Types of Tablets (Cont.)  Hard candy lozenges , e.g. Halls®
  • 16. Capsules:  A capsule is a medication in a gelatin container. 1- Hard gelatin capsules - The capsule consists of two halves and filled with powder.
  • 17. Capsules: 2 Soft gelatin capsules:  The capsule consists of one part and used for oils and for active ingredients that are dissolved or suspended in oil. chewable soft gelatin capsules of omega-3
  • 18. Novel oral delivery systems: 1- Fast dissolving oral film: -It consists of a very thin polymeric film strip incorporating and delivering pharmaceutical active ingredients (alone or in combination). -It has the size of a stamp and – once placed in the mouth – dissolves in a few seconds and is swallowed with the saliva without the need of taking water.
  • 20. Advances in Controlled / Sustained Release Drug Delivery System:  Benefits of modified drug delivery system: - Decreased  in dosing frequency - Sustained & Consistent blood level within the therapeutic window. - Enhanced bioavailability - Reduced side effects - Improved patient compliance
  • 21. Advances in Controlled / Sustained Release Drug Delivery System:  Some technologies of modified release drug delivery system: I. Osmotic Drug Delivery Devices: They fall in two categories 1- Implantable E.g. Implantable Miniosmotic pump 
  • 22. Osmotic Drug Delivery Devices: 2- Oral osmotic Pump Single chamber Multi chamber Specific types osmotic pump osmotic pump E.g. Push pull osmotic pump E.g. Elementary osmotic pump E.g. Elementary osmotic pum E.g. Osmotic pump with non expanding second chamber
  • 23. Novel oral delivery systems: 2- Controlled drug delivery systems I. The osmotic-controlled release oral delivery system, OROS: - It is an advanced drug delivery technology that uses osmotic pressure as the driving force to deliver pharmacotherapy, usually once-daily, in several therapeutic areas.
  • 24. Novel oral delivery systems: A- The elementary osmotic pump
  • 25. Novel oral delivery systems:  Following ingestion, water is absorbed into the system, dissolving the drug, and the resulting drug solution is delivered at the same rate as the water entering the tablet.  Disadvantage: It is only suitable for the delivery of water-soluble drugs.
  • 26. Novel oral delivery systems: B- The two-layer osmotic push–pull tablet - The polymeric expanding compartment (push layer) provides additional force on the drug layer to ensure that the drug is delivered through the delivery orifice at the target rate.
  • 27. The osmotic push– pull tablet
  • 28. Novel oral delivery systems: C- The advanced longitudinally compressed tablet multilayer formulation - It consists of an osmotic push layer and can be configured to contain several drug layers. - The option of multiple drug layers provides increased flexibility and control over the pattern of release of medication from the system.
  • 29. The advanced longitudinally compressed tablet multilayer formulation
  • 30. Novel oral delivery systems: D- The L-OROS system - provide controlled delivery of liquid drug formulations in a capsule form. - This system consists of a semipermeable membrane coating that encloses a liquid drug layer and osmotic push layer.
  • 32. Novel oral delivery systems: E- Sandwiched Osmotic Tablets (SOTS) - It is composed of polymeric push layer sandwiched between two drug layers with two delivery orifices. - When placed in the aqueous environment the middle push layer containing the swelling agents swells and the drug is released from the two orifices situated on opposite sides of the tablet and thus SOTS can be suitable for drugs prone to cause local irritation of the gastric mucosa.
  • 34. Novel oral delivery systems: F- OROS-CT - OROS-CT is used as a once or twice a day formulation for targeted delivery of drugs to the colon. - The OROS-CT can be a single osmotic agent or it can be comprise of as many as five to six push pull osmotic unit filled in a hard gelatin capsule.
  • 36. Novel oral delivery systems: II. pH sensitive systems
  • 37.
  • 38. Transdermal Route  Transdermal patch is a medicated adhesive patch that is placed on the skin to deliver a specific dose of medication through the skin and into the bloodstream.  Transdermal drug delivery offers an attractive alternative to the conventional drug delivery methods of oral administration and injection. 38
  • 39.
  • 40. Transdermal Route  Advantages of Transdermal drug delivery system over Conventional Dosage Forms: -Avoids vagaries associated with gastrointestinal absorption due to pH, enzymatic activity, drug-food interactions etc. -Substitutes oral administration when the route is unsuitable as in case of vomiting, diarrhea. - Avoids hepatic “first pass” effect. - Avoids the risks and inconveniences of parenteral therapy.
  • 41. Transdermal Route - Reduces daily dosing, thus, improving patient compliance. - Rapid termination of drug effect by removal of drug application from the surface of the skin. - Suitability for self-administration.
  • 42. Transdermal Route  Limitations of Transdermal drug delivery: - The drug must have some desirable physicochemical properties for penetration through stratum corneum. - Skin irritation or contact dermatitis due to the drug, excipients and enhancers of the drug used to increase percutaneous absorption is another limitation. - The barrier function of the skin changes from one site to another on the same person, from person to person and with age.
  • 43. Transdermal Route (Cont.)  Traditional : controlled release patches
  • 44. Transdermal Route (Cont.) Device Designs A-membrane based : Release rate constant (rate-limited by diffusion through membrane) laminated layers:
  • 45. Transdermal Route (Cont.) B- monolithic patch - C0 >> Cs drug dissolution in polymer matrix controls release rate. ⇒
  • 46. Transdermal Route (Cont.) The Latest Approaches for Enhancing Transdermal Drug Delivery -Various technologies have been developed to bypass or modulate the barrier function of the skin. I. Iontophoresis: Iontophoresis is an effective and painless method of delivering medication to a localized tissue area by applying electrical current to a solution of the medication.
  • 47. Transdermal Route (Cont.)  The diagram below illustrates the basic mechanism. Like electrical charges repel. Therefore, application of a positive current will drive positively charged drug molecules away from the electrode and into the tissues; similarly, a negative current will drive negatively charge ions into the tissues.
  • 51. Iontophoresis & Beauty • Iontophoresis, a widely used method in the fields of dermatologist, emits feeble electric current to the skin to lower the skin barriers, and used electical repulsion to deliver the nutrients of cosmetics to deep under the skin
  • 52. Transdermal Route (Cont.) II. Reverse iontophoresis:  Iontophoresis can be used in reverse to remove molecules from the circulation.  One example, the GlucoWatch, a needleless means of monitoring blood glucose levels in diabetic patients, uses an electrical signal that is proportional to the amount of glucose in the extracellular fluid.
  • 54. Transdermal Route (Cont.) II. Electroporation: This process, in which brief, intense electric charges create small pores in the phospholipid bilayer of cell membranes, can assist in the transdermal delivery of drugs. Electroporation appears to reversibly disrupt the lipid bilayers in the stratum corneum, and the channels it creates are said to promote the passage of hydrophilic drugs through the skin.
  • 55. Electroporation ii) When the electric field is applied, the ions move according to their charge. iii) Pathways are formed across the cell membrane allowing DNA to enter. iv) When the electric field is deactivated, the membrane heals.
  • 57. Transdermal Route (Cont.) III.Phonophoresis (sonophoresis) : - The use of ultrasound of a suitable frequency to enhance skin permeability seems to be a useful alternative technique for delivering drugs through the skin and can be applied to vaccination and gene therapy.
  • 58. Mechanism of action of phonophoresis: Enhanced Transdermal Permeation by Cavitation upon application of Ultrasound
  • 60. Transdermal Route (Cont.) IV. Microneedles (Microporation): - patches coated with hundreds of microscopic needles (microneedles) that pierce only the stratum corneum. - They are generally one micron in diameter and range from 1-100 microns in length. - The microneedles are usually drug-coated projections of solid silicon or hollow, drug-filled metal needles. - They can deliver proteins, nanoparticles, and both small and large molecules through the skin. - Because the nerves located deeper in the skin are not stimulated, the patient does not experience pain or discomfort. - Instead, patients feel the texture of sandpaper or a cat's tongue.
  • 61. Microneedles An array of stainless silicon microneedles An array of stainless steel microneedles
  • 62. Microneedles Microscope image shows an array of hollow microneedles next to a hypodermic needle typical of those now used to inject drugs and vaccines
  • 64. Transdermal Route (Cont.) V. Needleless Jet Injectors: - Needleless jet injectors combine the advantages of transdermal and parenteral drug delivery methods. - It fires fine, solid particles through the stratum corneum using high-pressure helium gas or uses nitrogen gas to propel liquid drug formulations through the skin. - The high velocity jet stream pierces the skin and the drug disperses into the subcutaneous adipose tissue.
  • 65. Transdermal Route (Cont.) - Drug delivery is painless because the injectors use particles that are too small to trigger pain receptors.
  • 67. Transdermal Route (Cont.) VI. Medicated Tattoos: - modified the temporary tattoo popular with children and young adults to contain an active drug for transdermal delivery