MALAY
MALAY
*Corres.author: [email protected]
Abstract: The need for delivering drugs to patients efficiently with minimum side effects has prompted
pharmaceutical industries to be engaged in development of new drug delivery systems. Pediatric and
geriatric patients find it difficult to swallow solid dosage forms like tablets. Mouth dissolving tablet that
dissolve or disintegrate rapidly in oral cavity result in solution, is an ultimate remedy for this problem. In
addition they give pleasing mouth feeling. ODT has advantages such as patient compliance, quick onset of
action, improved bioavailability, etc. Therefore, mouth dissolving tablets are attractive alternative to liquid
and conventional tablet dosage forms. In recent past, several manufacturing technologies such as
sublimation technique, spray drying technique… etc. are employed to overcome the limitations of
conventional tablet dosage forms. Once the mouth dissolving tablets are prepared they are required to be
evaluated for various parameters so as to have long term stability and better therapeutic efficacy.
Keywords: Fast Dissolving Tablets, Superdisintegrants, Oral Route.
4. It provides rapid drug delivery from the How it beneficial for patients21
dosage forms. Ease of administration to patients who refuse
5. A relatively rapid onset of action can be to swallow a tablet, such as pediatric and
achieved as compared to the oral route, and geriatric patients and, psychiatric patients.
formulation can be removed after Convenience in administration of drug and
discontinuation of therapy. accurate dosing as compared to liquid
6. Drug administration through buccal mucosa is formulations.
easy. Water is not required for swallowing the
7. Buccal mucosa is less permeable than the dosage from, which is convenient feature for
sublingual area, the buccal mucosa is having patients who are traveling and do not have
rich blood supply, and drugs can be rapidly immediate access to water.
absorbed into the circulation system Good mouth feels properly of ODTs helps to
underneath the oral mucosa. change the basic view of medication as
8. The large contact area of the oral cavity "bitter pill", particularly for pediatric
contributes to rapid and extensive drug patients.
absorption. Fast dissolution of medicament and
9. Patient compliance is more. absorption which will leads to rapid, onset of
10. Having rapid onset of action which may leads action.
to an improved bioavailability. Some drugs are absorbed from the month
11. Patient having difficulty in swallowing tablet pharynx and esophagus as the saliva passes
can easily administer this type of dosage form. down into the stomach, in such cases
12. Useful for pediatric, geriatric and psychiatric bioavailability of drugs is increased.
patients. It provides advantages of liquid formulations
13. Suitable during traveling where water is may in the form of solid dosage form.
not be available.
Pregastric absorption can result in improved
14. Gives accurate dosing as compared to liquids.
bioavailability and as a result of reduced
15. Good chemical stability.
dosage, improved clinical performance
16. Free of need of measuring, an essential
through a reduction of unwanted effects.
drawback in liquids.
Criteria of selection of drug ODT9: provides rapid disintegration of tablet after putting
The ideal characteristics of a drug for in vivo in mouth, and release the drug in saliva.
dissolution from an FFDT include Bioavailability of certain drugs may be increased
No bitter taste due to absorption of drugs in oral cavity and may
Dose lower than 20mg be due to pregastric absorption of saliva which
Small to moderate molecular weight contains dispersed drugs which pass down into the
Good stability in water and saliva stomach. The amount of drug which is subject to
Partially non ionized at the oral cavities pH undergo first pass metabolism is reduced.
Ability to diffuse and partition into the
epithelium of the upper GIT (log P>1, or
preferably>2) 1. Superdisintegrants1
Ability to permeate oral mucosal tissue As ODT require faster disintegration. So,
Passive diffusion drug absorption pharmacist needs to formulate Disintegrates i.e.
Bcs-class 2 Superdisintegrants which are effective at low
Molecular weight below 500 da. concentration and have greater disintegrating
efficiency and they are more effective
MECHANISM OF DRUG RELEASE: intragranularly. But have one drawback that it is
hygroscopic therefore not used with moisture
Overall Mechanism of drug release of ODT:
sensitive drugs.
According to official publication European
And this superdisintegrants act by swelling and
Pharmacopoeia the ODT should be disperses or
due to swelling pressure exerted in the outer
disintegrates in less than three minutes. The
direction or radial direction, it causes tablet to
fundamental approach used in development of
burst or the accelerated absorption of water
ODT is the use of superdisintegrants like sodium
leading to an enormous increase in the volume of
starch glycol ate (Primo gel, Explotab)
granules to promote disintegration.
carboxymelhylcellulose (Croscarmeliose), Poly
vinylpyrrolidone (Polyplasdone) etc. which
Crosslinked starch Sodium starch Swells 7-12 folds Swells in three dimensions and high level
glycolate in <30 seconds serve as sustain release matrix
Cross linked Alginic acid NF Rapid swelling Promote disintegration in both dry or wet
alginic acid in aqueous medium granulation
or wicking action
Natural Soya Rapid Dissolving Does not contain any starch or sugar. Used
super Disintegrates polysaccharides in nutritional products.
Malay Kumar B Chotaliya et al /Int.J.PharmTech Res.2012,4(4) 1715
medium components in water and the solution or passed through liquid nitrogen freezing tunnel to
suspension is frozen. Then dry the matrix by freeze the drug Solution or dispersion. Then the
removing water using an excess of alcohol frozen blister packs are placed in refrigerated
(solvent extraction). Thus the product formed has cabinets to continue the freeze-drying. After
uniform porosity and adequate strength for Freeze-drying the aluminum foil backing is useful
handling. on a blister sealing Machine. Finally the blisters
are packaged and shipped. Advantages of freeze
Ziplet technology18 drying the major advantage of using this technique
In ziplet technology water insoluble drugs or drugs is that the tablets Produced by this technology
as coated microparticles are used. The addition of have a very low disintegration Time and have
a suitable amount of water-insoluble inorganic great mouth feel due to fast melting effect.
excipients combined with
Disintegrants imparted an excellent physical Disadvantages of freeze drying
conflict to the oral dissolving tablet (ODT) and the This technique is expensive and time consuming;
simultaneously maintained optimal disintegration. fragility makes conventional packaging unsuitable
The use of water-insoluble inorganic excipients for these products and poor stability under stressed
offer better enhancement of disintegration in condition.
comparison to the most commonly used water Sublimation6
soluble sugars or salts. Tablets primarily of water The slow dissolution of the compressed tablet
soluble components often tend to dissolve rather having even highly water soluble components is
than disintegrate and concentrated viscous solution due to the fact that the low Porosity of the drugs
is formed which reduces the rate of water diffusion reduces water dispersion into the matrix. After
into the tablet core. inert volatile solid ingredients like ammonium
Oraquick19 Bicarbonate, ammonium carbonate, benzoic acid,
The oraquick fast-dissolving tablet preparation camphor, hexamethylene tetra mine, naphthalene,
utilizes a patented taste masking technology. The phthalic anhydride, urea and urethane were
taste masking method does not develop solvents of additional too along with other tablet excipients
any kind, and consequently leads to faster and and the blend were compressed into a tablet which
additional efficient production. Also, lower heat of is finally subjected to a process of sublimation
manufacture than alternative fast- resulting in exceedingly porosity. These
dissolving/disintegrating technologies makes compressed tablets exhibition Good mechanical
Oraquick suitable for heat-sensitive drugs strength and have high penetrability quickly
Dissolved within 15 seconds in saliva.
Techniques for preparing ODTS7
The various techniques are being utilized or Mass extrusion7
adopted to Prepare ODTs This technology contains softening the active
• Freeze drying or Lyophilization blend using the Solvent mixture of water soluble
• Sublimation polyethylene glycol, using Methanol and
• Mass extrusion expulsion of softened mass through the extruder or
• Melt Granulation syringe to get a cylinder designed extrude which
• Spray drying finally cut into even segments using heated blade
• Molding to form tablets. This Process can also be used to
• Nanonization coat granules of bitter drugs to mask their taste.
• Direct compression This method used for preparing taste masked
• Cotton candy process Granules. The tablet was prepared with different
• Phase transition process Super disintegrate. E.g. sodium starch glycolate,
Freeze drying or Lyophilization19 croscarmellose Sodium and crosspovidone etc.
Freeze drying is the technique in which water is
sublimed from the product when it is frozen. This Melt granulation
technique creates an amorphous porous Melt granulation system is a process through
construction that can dissolve rapidly. A Typical which Pharmaceutical powders are efficiently
process involved in the manufacturing of ODT agglomerated through a melt able binder. The
using this technique. The active drug is dissolved/ benefit of this method associated to a
dispersed in an aqueous solution of a carrier or Conventional granulation is that no water or
polymer. The mixture is dosed through weight and organic solvents is necessary. For there is no
poured in the wells of the preformed Blister drying step, the process is less time consuming and
packages. The trays holding the blister packs are uses less energy than wet granulation. It is a
Malay Kumar B Chotaliya et al /Int.J.PharmTech Res.2012,4(4) 1718
Characteristics: It can accommodate high doses and rapid onset of action had drawn the attention
of drug and offers improved mechanical strength. of many manufactures over a decade. The
introduction of fast dissolving dosage forms has
Phase transition process solved some of the problems encountered in
It is concluded that a combination of low and high administration of drugs to the pediatric and elderly
melting point sugar alcohols, as well as a phase patient, which constitutes a large proportion of the
transition in the manufacturing process, are world's population. Hence, patient demand and the
important for making MDTs without any special availability of various technologies have increased
apparatus. MDT was produced by Compressing the market share of Fast dissolving tablets, which
powder containing erythritol (melting point: in turn prolongs the patent life of a drug. Keeping
122°C) and xylitol (melting point: 93°, 95°C), and in view of the advantages of the delivery system,
then heating at about 93°C for 15 min. after rapidly disintegrating dosage forms have been
heating, the median pore size of the tablets was successfully commercialized, and because of
increased and tablet hardness was also Increased. increased patient demand, these dosage forms are
The increase of the tablet hardness with heating expected to become more popular. Thus ODT may
and storage did not depend on the crystal state of be developed for most of the available drugs in
the lower melting Point sugar alcohol13. near future.
CONCLUSIONS
The ODTs have potential advantages over
conventional dosage forms, with their improved
patient compliance; convenience, bioavailability
REFERENCES:
1. International Journal of PharmTech Research 8. Abdelbary G., Prinderre P., Eouani C.,
CODEN (USA): IJPRIF ISSN : 0974-4304 Joachim J., Reynier J P. and Piccerelle P.
Vol.1, No.4, pp 1079-1091, Oct-Dec 2009. The preparation of orally disintegrating
2. Dr.Avani F. Amin Emerging Trends In The tablets using a hydrophilic waxy binder. Int.
Development Of Orally Disintegrating Tablet J. Pharm. 2004; 278: 423-33.
Technology pharmainfo.net 01/26/2006 9. Dobetti L. Fast-melting tablets: Development
3. Yajaman S, Ketousetuo K, Bandyopadhyay and technologies. Pharm. Technol. Drug
A, Buccal bioadhesive drug delivery-a Deliv. 2001;44-45.
promising option for orally efficient drugs 10. Allen L.V. Flavors and flavouring. Int .J
Buccal Adhesive Research Laboratory, Pharm. 1997; 1: 90-92. CIMA Labs, Inc.
Division of Pharmaceutics, Department of CIMA-Technologies, 2001
Pharmaceutical Technology, Jadavpur 11. Seager H.J., Drug delivery products and
University, Kolkata 700032, India, April 26 zydis fast dissolving dosage forms, Pharm.
2006 Pharmacol.1998;50:375-382
4. Adel M, Semreen M K, Qato M K. 2005. 12. Allen L.V., Wang B. and Davis J.D. US
Fast dissolving dosage forms – technique. patent 5: 807 & 567, 1997. Acosta C., Tabare
Pharm Tech. 2005; 25: 68-75.. R. and Ouali A. US patent 5: 807, 1998..
5. Sahu et al., Novel Science International 13. .Kuno Y., Kojima M., Ando S. and
Journal of Pharmaceutical Science (2012), Nakagami H. Evaluation of rapidly
1(3):204-211. disintegrating tablets manufactured by phase
6. Kizumi K., Watanabe Y., Morita K., transition of sugar alcohols. J. Control
Utoguchi N. and Matsumoto M. New method Release. 2005; 105: 16-22.
of preparing high porosity rapidly saliva 14. A review on new innovation and technology
soluble compressed tablets using Manitou in the formulation of odt.
with camphor: A sublimating material. Int. J. 15. Biradar S.S., Bhagavati S.T. and Kuppasad
Pharm. 1997; 152: 127-31. I.J. Fast dissolving drug delivery systems: A
7. Dong Y., Kulkarni R., Behme R.J. and brief overview. Internet. J. Pharmacology.
Kotiyan P.N. Effect of the melt granulation 2006; 4(2): 122-155.
technique on the dissolution characteristics of 16. Dong Y., Kulkarni R., Behme R.J. and
griseofulvin. Int. J. Pharm. 2007; 329: 72-80. Kotiyan P.N. Effect of the melt granulation
Malay Kumar B Chotaliya et al /Int.J.PharmTech Res.2012,4(4) 1720
*****