Rajkumar T
Rajkumar T
AZITHROMYCIN TABLETS
Dissertation Submitted to
THE TAMIL NADU Dr. M.G.R. MEDICAL UNIVERSITY
Chennai-32
Submitted by
Reg.No: 261210260
DEPARTMENT OF PHARMACEUTICS
J.K.K.NATTRAJA COLLEGE OF PHARMACY
KOMARAPALAYAM-638 183.
TAMIL NADU.
APRIL-2014
CERTIFICATE
Dr.R.SAMBATH KUMAR,M.Pharm.,Ph.D.,
Principal, Head of the Department,
J.K.K. Nattraja College of Pharmacy,
Kumarapalayam —638 183.
Tamil Nadu.
EVALUATION CERTIFICATE
student bearing Reg. No:261210260 to ―The Tamil Nadu Dr. M.G.R. Medical
held on……………………….
Mr.K.Jaganathan,M.Pharm.,(Guide)
Lecturer,
Department of Pharmaceutics,
J.K.K. Nattaraja college of Pharmacy,
Komarapalayam-638183,
Tamil Nadu.
.
DECLARATION
I hereby declare that the dissertation entitled ―Formulation and product development of
azithromucin tablets‖ was carried out by me, under the guidance of MR.K.Jeganathan,
M.Pharm., lecturer, for submission to ―Dr.MGR Medical University‖Chennai, in partial
fulfillment for the award of degree of master of pharmacy in pharmaceutics, the work is
original and has not been submitted in part (or) any degree of this (or) any other
university. The information furnished in this dissertation is genuine to best of my
knowledge and belief.
I would like to thank first and foremost my parents who instilled in me the
desire to do my best at whatever I attempt, and that with hard work I was capable of
anything. Without them I would not be there I am now.
Its very difficult task to acknolwdge the services to thank all those gentle
people.so I would like to thank all those people who helped me directely or indirectely to
complete this project work successfully.
Abbreviations:
Chapter PAGE
TITLE
No. No.
1 INTRODUCTION 1-45
9 CONCLUSION 111
10 BIBLIOGRAPHY 112-115
Chapter 1 Introduction
CHAPTER - 1
INTRODUCTION
The main goal of pharmaceutical formulation is to achieve better therapeutic
activity in the shortest possible time by using smallest quantity of drug administered
by the most suitable route1.
Drugs can be administered through different routes; however, of all the
routes of administration, oral route of administration is most convenient for
administering drugs for systemic effect because of ease of administration and dosage
adjustments2. Parenteral route is not routinely used because of difficulty in self-
administration and hence hospitalization may be required. Topical route is recently
developed and is employed for only few drugs like nitroglycerine, scopolamine, for
systemic effect. Topical route has limitations in its ability to allow effective drug
absorption for systemic drug action. Parenteral administration is employed in case of
emergency and in which the subject is comatose or cannot swallow. Nevertheless it
is possible that at least 90% of all drugs used to produce systemic effect are
administered by oral route3.
Oral route of drug administration has wide acceptable and of the drugs
administered orally in solid dosage forms represents the preferred class of products.
The reasons are follows: ―tablets and capsules represent unit dosage forms in which
one usual dose of drug has been accurately placed‖.
Solid dosage forms of tablets and capsules are more commonly employed,
the tablets have advantages than capsules in that they are tamper resistant and any
adulterant of the tablet after its manufacture is almost certain to be observed. The
adulteration can be easily found if it is done in either liquid form or solid form since
deformation takes place, if it is done in liquid form and powders cannot be added to
the tablet if once they are formed. The major disadvantage of capsules over tablet is
their higher cost. The capsules either hard capsule or soft capsule they are
susceptible to breakage if they are not stored properly.
1.1 TABLETS:
Tablets may be defined as solid pharmaceutical dosage forms containing
drug substances with or without suitable diluents and prepared either by
compression or molding methods. In European pharmacopoeia tablets are also
defined as ―Solid preparations each containing a single dose of one or more active
ingredients and obtained by compressing uniform volume of particles‖. They have
been in widespread use since the latter part of the 19th century and their popularity
continues1, 2.
Tablets remain popular as a dosage form because of the advantages, afforded
both to the manufacturer [e.g.: simplicity & economy of preparation, stability and
convenience in packing, shipping, and dispensing] and the patient [e.g.: accuracy of
dosage, compactness, post ability, blandness of taste and ease of administration].
Although tablets are more frequently discoid in shape, they also may be
round, oval, oblong, cylindrical or triangular. They may differ greatly in size and
weight depending on the amount of drug substance present and the intended method
of administration.
a) Properties of Tablets1:
The attributes of an acceptable tablet are as follows:
The tablet must be sufficiently strong and resistance to shock and
abrasion and to withstand handling during manufacturing, packing,
shipping, and use. Hardness and friability tests measure this property.
Tablet must be uniform in weight and in drug content of the individual
tablet. This is measured by the weight variation and content uniformity
tests.
The drug content of the tablet must be bioavailability. This property is
measured by the dissolution test. Accurate bioavailability can be obtained
from the drug levels of the drug after its administration.
Tablets must be elegant in appearance and must have characteristic
shape, color, and other markings necessary to identify the product.
Tablets must retain all these functional attributes, which include drug
stability and efficacy.
b) Advantages of Tablets2:
They are easy to administer.
They are a unit dosage form, and they offer the greater capabilities of all
oral dosage forms for the greatest dose precision and the least content
variability.
Their cost is lowest of all oral dosage forms.
They are the lightest and most compact of all oral dosage forms.
Product identification is potentially the simplest and cheapest, requiring
no additional processing steps when employing an embossed or
monogrammed punch face.
They are in general the easiest and cheapest to package and ship of all
oral dosage forms.
They may provide the greatest ease of swallowing with the least tendency
for ―hang-up‖ above the stomach. Especially when coated, provided that
tablet disintegration is not excessively rapid.
They lend themselves to certain special release profile products, such as
enteric or delayed release products.
They are better suited to large-scale production than other unit oral
forms.
They have the best-combined properties of chemical, mechanical and
microbiological stability of all the oral forms.
One of the major advantages of tablet over capsules is that the tablet is
essentially ―tamperproof dosage form‖.
c) Disadvantages of Tablets2:
Some drugs resist compression into dense compacts, owing to their
amorphous nature or flocculent, low-density character.
Drugs with poor wetting, slow dissolution properties, intermediate to
large dosages, optimum absorption high in the gastrointestinal tract, or
any combination of these features may be difficult or impossible to
formulate and manufacture as a tablet that will still provide adequate or
full drug bioavailability.
Bitter tasting drugs, drugs with objectionable odor or drugs that the
sensitive to oxygen or atmosphere moisture may require encapsulation or
a special type of coating with may increase the most of the finished
tablets.
d) Types of Tablets1:
Tablets are classified according to their route of administration or function.
The following are the 5 main classification groups:
Vaginal tablets
Tablets used to prepare solutions
Effervescent tablets
Molded tablets or tablet triturates (TT)
Dispensing tablets (DT)
Hypodermic tablets (HT)
1.2 TABLET MANUFACTURING4:
Tablets are compressed powders and their manufacturing is a complex,
multistep process. The ultimate aim is to easily disperse in gastrointestinal fluid and
in complete absorption of API and at the same time, offer stability to the
formulation.
The tablet manufacturing process can be broadly classified as:
1) Granulation method
a. Wet granulation method
b. Dry granulation method
2) Direct compression method
Oral dosage forms mainly solid dosage forms are more popular than other
dosage forms but suffer from problems like solubility, absorption Viz.
bioavailability, therefore patient compliance. Immediate release/conventional dosage
form is one of the approach to achieve the above goal. As dissolution rate is related
to absorption and bioavailability, increased dissolution rate will increase absorption
to give faster onset of action.
The enhancement of oral bioavailability of poorly water soluble drugs
remains one of the challenging aspects of drug development together with the
permeability. The solubility behavior of a drug is key determinate of its oral
bioavailability. There have always been certain drugs for which solubility has
presented a challenge to the development of a suitable formulation for oral
administration. The most important property of a dosage form is its ability to deliver
the active ingredient to its site of action in an amount sufficient to elicit the desired
pharmacological response. This property of the dosage form has been referred to as
its physiological availability.
Bioavailability is defined more precisely as the rate and extent of absorption
of a drug from its dosage form into the systemic circulation. Accordingly the
Dept. of Pharmaceutics 5 JKK Nattraja College of Pharmacy
Chapter 1 Introduction
Dissolution
Disintegration
Drug in solution Drug in
Blood, other
Dissolution
at the fluids &
Tissues
Granules Absorption site
Dissolution
Fine particles
Fig No. 1: Dissolution and Absorption of Drugs from Solid Dosage Forms3
When a drug is administered orally in a solid dosage form such as tablet,
capsule it must be released from the dosage form and dissolved in the gastro
intestinal fluid before it can be absorbed3. The bioavailability of many poorly water
soluble drugs is limited by their dissolution rates, which are in turn controlled by the
surface area that they present for dissolution6. Two consecutive transport processes
can be identified to describe the oral absorption of drugs from solid dosage forms.
1. Dissolution of the drug in vivo to produce a solution
2. Transport of the dissolved drug across the gastrointestinal membrane.
Each process can be characterized by a rate constant. If the rate of
dissolution of the drug is significantly slower than the rate of absorption, the
dissolution of the drug becomes the rate-limiting step in the absorption process, and
the particle size of the drug is of greater importance in the transport from the
gastrointestinal (GI) tract to the site of action Most drugs are passively absorbed and
their rates of absorption are dependent upon the concentration gradients in each
case; by increasing the dissolution rate in GI tract, the absorption rate increases, so
long as the dissolution rate is still the limiting step5. This commonly occurs for
drugs with limited water solubility.
Permeation
Solid Disintegration Solid drug Dissolution Drug in across the Drug in blood
dosage particles solution at the biological circulation
form absorption site membrane
RLS for
RLS for
hydrophilic
lipophilic
drugs
drugs
Fig No. 2: The Two Rate limiting Steps in the Absorption of Drugs from orally
administered formulations3
1.3. THEORIES OF DISSOLUTION:
Dissolution rate may be defined as the amount of drug substance that is
dissolved per unit time under standardized conditions of liquid-solid interface,
temperature and solvent composition. Dissolution can be considered a specific type
of heterogeneous reaction in which a mass transfer results a net effect between the
escape and deposition of solute molecules at a solid surface. The most common
theory for dissolution, the film theory, also known as the diffusion layer model
accepts the assumption that dissolution belongs to a type of heterogeneous reaction
where the rate is determined by the transport process3.
The following is the brief interpretation of this as well as some other
important dissolution theories.
a. Noyes-Whitney and Nernst-Brunner Equations:
Noyes and Whitney in 18976 stated that the rate at which a solid substance
dissolved in its own solution is proportional to the difference between the
concentration of that solution and the concentration of the saturated solution.
Mathematically it can be expressed as
dc
K (Cs Cb )
dt
Where: dc = the dissolution rate
K = proportionality constant
Cs = the solubility of the solute
Cb = the concentration at any time, t
The Noyes - Whitney equation can be explained as:
A thin layer of saturated solution is formed at the surface of the solid and the rate of
dissolution is governed by the rate of diffusion from this layer to the bulk of the solution.
There is negligible change in the surface area with time during dissolutions.
Noyes-Whitney, Brunner7 and Tolloczko8 revised the equation assuming, that
under well-defined conditions of temperature and agitation, the dissolution rate is
proportional to the surface area ‗S', giving.
dc
K1 (Cs Cb )
dt
Where: K1 = called the intrinsic dissolution rate constant.
Applying Fick's law of diffusion to Nernst9 and Brunner10 equation
dc DS
(Cs Cb )
dt hv
Where: D = the diffusion coefficient of the solute.
h = the thickness of the diffusion layers.
V = the volume of the dissolution medium.
S= surface area
This has been referred to as film theory of Nernst Brunner, which applies to some
situations.
b. Cube root law:
Hixson and Crowell12 introduced the concept of changing surface area during
dissolution and derived the "Cube root law" given by.
NP
1/ 3
2 Dcs t
(WO )1/ 3 (W1 )1/ 3
6 hp
Where: W0 = the initial weight of solid.
W1 = the weight of solid at time, t.
N = the number of particles.
P = the density of the solid.
This equation is based on a number of assumptions:
1. Dissolution takes place normal to the surface of the dissolving solid particles.
2. No stagnation of liquid occurs in any region.
3. The same effect of agitation is observed on all areas of the solid surface.
4. Solid particles remain intact during the dissolution process and
5. The stagnant or diffusion layer thickness is independent of the particle diameter
DISEASE PROFILE:
Definition
Community acquired pneumonia (CAP) refers to a serious infection or
inflammation of the lungs that is generally acquired outside of a hospital or long
term care facility. When this infection is acquired, the air sacs in your lungs fill
with pus or other liquid, making it difficult for oxygen to penetrate through your
lungs to reach your bloodstream. If CAP is not treated properly with antibiotics
or spreads throughout your body, it can result in death, especially in the elderly
or in people with weakened immune systems
Causes
Community acquired pneumonia is spread by close person-to-person contact—
usually when an infected person coughs or sneezes on another person. CAP can
be caused by several different organisms, including bacteria, viruses, and fungi.
The most common organism responsible for CAP is the bacterium known as
Streptococcus pneumoniae. Although several "bugs" or organisms have been
confirmed to be causes of CAP, about 30% to 50% of pneumonia cases are
reported to have an unknown cause—meaning the exact "bug" responsible for
the infection is unknown or is not identified via laboratory testing.
About CAP
In the United States, CAP (combined with influenza or "the flu") is the eighth
leading cause of death and the number one cause of death from infectious
diseases. It is estimated that approximately 5.6 million cases of CAP occur
annually and of these 1.1 million require hospitalization. Anyone can be
susceptible to CAP, but it more commonly occurs in very young (less than 2
years of age) or elderly people. CAP is also more common in people who smoke
or have other severe illnesses, such as chronic obstructive pulmonary disease
(COPD), alcoholism, cancer, organ transplants, kidney disease, and immune
system disorders.
Risk Factors
Risk factors are characteristics that may increase the chance for developing a
condition. The more risk factors present, the more likely you are to develop the
condition. You are at an increased risk for developing CAP if you:
Are 65 years or older
Have other medical conditions or a combination of conditions such as:
1. Chronic obstructive lung disease (COPD) or other chronic lung disorders
2. Diabetes mellitus
3. Chronic kidney disease
4. Heart failure
5. Coronary artery disease
6. Cancer
7. Chronic liver disease
8. Cystic fibrosis
Are a smoker
Are exposed to certain chemicals or pollutants such as those used for agriculture,
construction, or industrial chemicals. Exposure to these pollutants can sometimes
cause damage to the lungs and contribute to lung inflammation—thus leaving the
lungs more susceptible to infection.
Suffer from alcoholism and have a weakened immune system
Symptoms
CAP sometimes presents after a cold, the flu, or any condition that damages the
defenses of the airways that would allow bacteria to infect them. The symptoms
of CAP can vary and generally overlap with other symptoms of the common
cold or flu. This variability makes it sometimes difficult to recognize pneumonia.
Many people attribute it to a cold that just won‘t go away. However, CAP can be
life-threatening if it is not properly treated.
``Some symptoms that you may notice with community acquired pneumonia
include, but are not limited to:
Shaking and chills ,Fever
A cough that produces sputum—usually rust colored (or burnt orange)
Shortness of breath and Chest pain worsened by deep breathing or
coughing and Night sweats
Dept. of Pharmaceutics 12 JKK Nattraja College of Pharmacy
Chapter 1 Introduction
Treatment
Treatment for CAP varies according to the organism responsible for the
infection. If the cause is bacterial, then the goal of treatment is to cure the
infection with antibiotics, which can typically be taken orally at home if the
infection is not severe. If the infection is severe, if the person is having difficulty
breathing, or has other chronic medical conditions, then intravenous (IV—
injected into a vein) antibiotics may be needed and are usually administered in a
hospital. If the infection is viral, the goal is to alleviate any signs and symptoms
of the infection through supportive care (such as fever reduction with
acetaminophen) since there is no cure for a virus.
Because several treatment guidelines are available, the specific drug(s) that your
doctor may use to treat your CAP may vary. Clinical expertise/preference and
antibiotic drug resistance in a particular area are two factors that may affect a
doctor‘s drug of choice for treating CAP.
At the initial visit to the doctor, he or she will question you about your past
medical history and perform a physical examination. It may be necessary to
perform a chest X-ray. Next, your doctor will determine how much your
infection places your life at risk. Your doctor may need to send samples of your
sputum, blood or urine to the laboratory to confirm your CAP diagnosis. Doctors
will usually prescribe "empiric therapy"—prescribing therapy based on the
suspected cause (bacteria, virus, or fungi) using clinical or practical expertise—
because the specific organism responsible for the infection is usually not yet
identified before treatment is started. After the organism is identified, therapy
can be tailored to treat that specific organism. The following chart describes the
guidelines from the Infectious Diseases Society of America and American
Thoracic Society for patients that don't need to be hospitalized.
Definition
Description
Anyone can be infected by T. gondii, but usually only those individuals with
weakened immune systems (immunocompromised) develop symptoms of the
disease. For them, toxoplasmosis can be severe, debilitating, and fatal.
Definition
Trachoma is an eye infection caused by Chlamydia trachomatis, which may
result in chronic scarring and blindness if left untreated.
Alternative Names
Granular conjunctivitis; Egyptian ophthalmia
Causes, incidence, and risk factors
If the eyelids are severely irritated, the eyelashes may turn in and rub against the
cornea. This can cause eye ulcers, further scarring, visual loss, and even
blindness.
Trachoma occurs worldwide -- primarily in rural settings in developing
countries. It frequently affects children, although the consequences of scarring
may not be evident until later in life. While trachoma is rare in the United States,
certain populations marked by poverty, crowded living conditions, and/or poor
hygiene are at higher risk for this illness.
Trachoma is acquired via direct contact with eye or nose-throat secretions from
affected individuals or by contact with inanimate objects that are contaminated
with these secretions, such as towels or clothes. In addition, certain flies that
have fed on these secretions can transmit trachoma.
Symptoms
Conjunctivitis
Discharge from the eye
Swollen eyelids
Turned-in eyelashes
Swelling of lymph nodes just in front of the ears
Cloudy cornea
Signs and tests
Trachoma is definitely diagnosed by detection of the organism or antigen in
conjunctival scrapings or by isolation of the bacteria in culture.
Treatment
Systemic therapy with oral antibiotics can prevent long-term complications if
used early in the infection. Active antibiotics include erythromycin and its
derivatives, or doxycycline. In certain cases, eyelid surgery for lid deformities
may be needed to prevent chronic scarring which can lead to blindness if not
corrected
Expectations (prognosis)
Early treatment before the development of scarring and lid deformities has an
excellent prognosis.
Complications
Scarring of the conjunctiva and cornea
Lid deformities
Turned-in eyelashes
Visual loss -- if severe, may result in blindness
Calling your health care provider
Call your health care provider if you or your child recently visited an area of the
world where trachoma is common and there are symptoms of conjunctivitis.
Prevention
Trachoma is spread by direct contact with eye, nose, and throat secretions from
affected individuals or by contact with objects that may have been in contact
with these secretions.
Improved sanitation and not sharing toilet articles such as towels are important
measures for limiting the spread/acquisition of trachoma.
Risk factor
Risk factors for developing MAC include having fewer than 50 CD4 cells, a
high viral load (greater than 90,000 copies per/ml), and having had another
opportunistic infection such as CMV (cytomegalovirus).
MAC. All of the drugs are pills except amikacin, which is given intravenously
(IV).
In cases where people with MAC either do not respond to treatment at all or
relapse after first responding to treatment, many doctors recommend a type of
drug test that checks to see if the medications will work on the type of MAC a
person has. This is called a drug susceptibility test. Susceptible means that the
drugs will likely work, while resistant means that the drugs probably will not
work. Susceptibility testing is recommended mainly for clarithromycin,
azithromycin, and rifabutin, though other drugs might be tested as well.
MAC and the drugs used for treatment are hard on the body. You might consider
visiting a nutritionist when you are first diagnosed with MAC so you can keep
your weight up and prevent wasting. There are also medications available to help
ease common MAC symptoms such pain, nausea, vomiting, and diarrhea, so do
not be shy in asking for them.
STAGE 10
Container Closure
System Choices
STAGE 11 DEVELOPMENT BATCHES
Manufacturing Process Evaluation
STAGE 12
Bulk Active Purchase
STAGE 13
Analytical Evaluation
STAGE 14
Prepared full written protocol Process Optimization
For PO scale up & PQ batches PO Batch
STAGE 15
Analytical development PROCESS OPTIMIZATION
STAGE 16.
SCALE – UP
STAGE 17
PROCESS
QUALIFICATION
STAGE 18 PIVOTAL BATCHES
PIVOTAL BATCH
PRODUCTION
STAGE 19
BIO-EQUIVALENTS
BIO STUDY EVALUATION STUDY
Review all raw data development STAGE 20
& lab note book. Evaluate all interim ANDA PRE-SUBMISSION
Report that from part of the AUDIT
b) Ranging
Process-ranging studies will test whether identified parameter are critical to the
product and process being developed. These studies determined the:
a. Feasibility of the design process
b. Criticality of the parameter
c. Failure limits for each of the critical variable
d. Validity of the test methods
This is usually a transition stage between the laboratory and the projected final
process.
c) Characterization
Process characterization provides a systematic examination of critical variables
found during process ranging. The objectives of these studies are:
a) Confirm key process control variables and quality their effect on product
attributes.
b) Establish product conditions for each unit operation.
c) Determine in process operating limits to guarantee acceptable finished product
and yield.
d) A carefully planned and coordinate experimental program is essential in order to
achieve this objective.
d) Verification
Prior to a process being scale-up and transferred to production, verification is
required. This ensures that it behave as designed under simulated production
conditions and Determines its reproducibility. Key elements of the process-
verification runs should be evaluated using well-designed in-process sampling
procedure. These should be focused on potentially critical unit operations.
Validated in-process and final product analytical procedures should always be
used. Sufficient replicate batches should be produced to determine between and
within-batch variations.
The facility design plan a critical role in addressing each of their technical aspects,
however scientific and pilot plant staff involved in manufacturing operations with in
the pilot facility also play a key role in ensuring smooth and timely transfer of
process technology to the manufacturing site.
In the part, the transfer of formulation and, manufacturing technology was some
times discretely processed from development staff with little interaction. Today,
however, it is commonly recognize the interaction of these groups at an early
development stage is critical in obtaining an efficient and successful transfer.
Scientific and pilot plants staff a key role in demonstrating new product
manufacturing techniques to produce personal in the pilot plant environment.
A team orientation approach to the manufacture of pilot or large scale batches in the
pilot plant will allow key production site personnel to view and comment on the
process and make a specific recommendation for improvement based on the
knowledge of the manufacturing site.
The tablet breaks to primary particles by one or more of the mechanisms listed
below:-
1) By capillary action
2) By swelling
3) Because of heat of wetting
4) Due to disintegrating particle/particle repulsive forces
5) Due to deformation
6) Due to release of gases
7) By enzymatic action
1) By capillary action
Disintegration by capillary action is always the first step. When we put the tablet
into suitable aqueous medium, the medium penetrates into the tablet and replaces
the air adsorbed on the particles, which weakens the intermolecular bond and
breaks the tablet into fine particles. Water uptake by tablet depends upon
hydrophilic of the drug /excipient and on tableting conditions. For these types of
disintegrants maintenance of porous structure and low interfacial tension towards
aqueous fluid is necessary which helps in disintegration by creating a
hydrophilic network around the drug particles.
2) By swelling
Perhaps the most widely accepted general mechanism of action for tablet
disintegration is swelling Tablets with high porosity show poor disintegration
due to lack of adequate swelling force. On the other hand, sufficient swelling
force is exerted in the tablet with low porosity. It is worthwhile to note that if the
packing fraction is very high, fluid is unable to penetrate in the tablet and
disintegration is again slows down.
The method of addition of disintegrants is also a crucial part. Disintegrating agent can
be added either prior to granulation (intragranular) or prior to compression (after
granulation i.e. extragranular) or at the both processing steps. Extragranular fraction of
disintegrant (usually, 50% of total disintegrant requires) facilitates breakup of tablets to
granules and the intragranular addition of disintegrants produces further erosion of the
granules to fine particles.
1.13.1 Types of Disintegrants
1) Starch
Starch was the first disintegrating agent widely used in tablet manufacturing. Before
1906 potato starch and corn starch were used as disintegrants in tablet formulation.
However, native starches have certain limitations and have been replaced by certain
modified starches with specialized characteristics.
The mechanism of action of starch is wicking and restoration of deformed starch
particles on contact with aqueous fluid and in doing so release of certain amount of
stress which is responsible for disruption of hydrogen bonding formed during
compression.
Lowenthal & Wood proved that the rupture of the surface of a tablet employing starch
as disintegrant occurs where starch agglomerates were found. The conditions best suited
for rapid tablet disintegration are sufficient number of starch agglomerates, low
compressive pressure and the presence of water.
The concentration of starch used is also very crucial part. If it is below the optimum
concentration then there are insufficient channels for capillary action and if it is above
optimum concentration then it will be difficult to compress the tablet.
2) Pregelatinized starch
Pregelatinized starch is produced by the hydrolyzing and rupturing of the starch grain. It
is a directly compressible disintegrants and its optimum concentration is 5-10%. The
main mechanism of action of Pregelatinized starch is through swelling.
3) Modified starch
To have a high swelling properties and faster disintegration, starch is modified by
carboxy methylation followed by cross linking, which is available in market as cross
linked starch. One of them is sodium starch glycolate. Even low andsubstituted
carboxymethyl starches are also marketed as Explotab Primojel®.
Mechanism of action of this modified starches are rapid and extensive swelling with
minimum gelling. And its optimum concentration is 4-6 %. If it goes beyond its limit,
then it produces viscous and gelatinous mass which increases the disintegration time by
resisting the breakup of tablet. They are highly efficient at low concentration because of
their greater swelling capacity.
Table.2.2.2 List of disintegrants
Concentration in
Special comments
Disintegrations granules
(%w/w)
Higher amount is required,
Starch USP 5-20
poorly compressible
Direct compression 5-15 --
Lubricant properties and
Avicel®(PH 101, PH 102) 10-20
directly compressible
Solka floc® 5-15 Purified wood cellulose
Alginic acid 1-5 Acts by swelling
Na alginate 2.5-10 Acts by swelling
Sodium starch glycolate,
Explotab® 2-8
superdisintegrant
Polyplasdone®(XL) 0.5-5 Crosslinked PVP
Amberlite® (IPR 88) 0.5-5 Ion exchange resin
Methyl cellulose, Na CMC,
5-10 --
HPMC
AC-Di-Sol® 1-3 Direct compression
4) Cellulose and its derivatives
Sodium carboxy methylcellulose (NaCMC and CARMELLOSE sodium) has highly
hydrophilic structure and is soluble in water. But when it is modified by internally
crosslinking we get modified crosslinked cellulose i.e. Crosscarmellose sodium which is
nearly water insoluble due to cross linking. It rapidly swells to 4-8 times its original
volume when it comes in contact with water.
5) Microcrystalline cellulose (MCC)
MCC exhibit very good disintegrating properties because MCC is insoluble and act by
wicking action. The moisture breaks the hydrogen bonding between adjacent bundles of
MCC. It also serves as an excellent binder and has a tendency to develop static charges
in the presence of excessive moisture content. Therefore, sometimes it causes separation
in granulation. This can be partially overcome by drying the cellulose to remove the
moisture.
6) Alginates
Alginates are hydrophilic colloidal substances which has high sorption capacity.
Chemically, they are alginic acid and salts of alginic acid. Alginic acid is insoluble in
water, slightly acidic in reaction. Hence, it should be used in only acidic or neutral
granulation. Unlike starch and MCC, alginates do not retard flow and can be
successfully used with ascorbic acid, multivitamin formulations and acid salts of
organic bases.
7) Ion-exchange resin
Ion exchange resin (Ambrelite®IPR-88) has highest water uptake capacity than other
disintegrating agents like starch and Sodium CMC. It has tendency to adsorb certain
drugs.
8) Miscellaneous
This miscellaneous category includes disintegrants like surfactants, gas producing
disintegrants and hydrous aluminium silicate. gas producing disintegrating agents is
used in soluble tablet, dispersible tablet and effervescent tablet.
Polyplasdone®XL and Polyplasdone®XL10 act by wicking, swelling and possibly
some deformation recovery. Polyplasdone®XL do not reduce tablet hardness, provide
rapid disintegration and improved dissolution. Polyplasdone® as disintegrating agent
has small
Particle size distributions that impart a smooth mouth feel to dissolve quickly. Chewable
tablet does not require addition of disintegrant.
9) Superdisintegrants
As day‘s passes, demand for faster disintegrating formulation is increased. So,
pharmacist needs to formulate disintegrants i.e. Superdisintegrants which are effective
at low concentration and have greater disintegrating efficiency and they are more
effective intragranularly. But have one drawback that it is hygroscopic therefore not
used with moisture sensitive drugs.
And this superdisintegrants act by swelling and due to swelling pressure exerted in the
outer direction or radial direction, it causes tablet to burst or the accelerated absorption
of water leading to an enormous increase in the volume of granules to promote
disintegration.
4) Effect of surfactant
Table.2.2.3 the effects of various surfactants
Surfactant Remarks
Sodium lauryl sulfate
Good-various drugs Poor - various drugs
Polysorbate 20 Good
Polysorbate 40 & 60 Poor
Polysorbate 80 Good
Tweens Poor
Poly ethylene glycol Poor
Definition: These are agents which are used for the to kill or inhibit the bacteria.
Class-3 reaction
Class-3 reaction are particularly good targets for selective toxicity because
every cell has to make its own macromolecules. These cannot be picked up from
the environment and there are very distinct differences b/w mammalian cells in
the pathways involved in class-3 reaction. In the class-3 reaction protein are
synthesized.
CHAPTER - 2
(2R, 3S, 4R, 5R, 8R, 10R, 11R, 12S, 13S, 14R)-13-[(2,6-dideoxy-3-C-methyl-3-
O-methyl-α-L-ribo-hexopyranosyl)oxy]-2-ethyl-3,4,10-trihydroxy-
3,5,6,8,10,12,14-heptamethyl-11-[[3,4,6-trideoxy-3-(dimethylamino)-β-D-xylo-
hexopyranosyl]oxy]-1-oxa-6-azacyclopentadecan-15-one
Structure:
Mol. Formula
Anhydrous C38H72N2O12
Dihydrate C38H72N2O12. 2H2O
Mol. Wt
Anhydrous 748.98
Dihydrate 785.0
% Composition C- 60.94%
H- 9.69%
N-3.74%
O- 25.63%
Odor Odorless
Taste not available
M.P 113- 115 ºC (for anhydrous)
126 ºC (for dihydrate)
Color white
pH 9.0 to 11.0
Azithromycin Tablet:-
Azithromycin Tablet contain not less than 90.0% and not more than 110.0% of
the labeled amount of Azithromycin
Description:
White tablet or film coated tablets with White or almost white coar.
Identification
Dissolution:
Assay:
Storage:
References:
2. 2 Pharmacokinetics
Absorption
Distribution
Azithromycin is distributes widely throughout the body, except to the brain and
CSF. Azithromycin has unique pharmacokinetic properties include extensive
tissue distribution and high drug concentration within cells(including
phagocytes)resulting in much greater concentration of drug in tissue or secretion
compared to simultaneous serum concentration. Tissue fibroblast acts as the
natural reservoir for the drug in vivo. Protein binding is 50% at very low plasma
concentration and less at higher concentration..
2. 2.1 Resistance:
(i) Drug efflux by an active pump mechanism (en coded by mrsA, mefA, or mefE in
staphylococci,group A. streptococci ,or S.pneumoniae, respectively.
(iv) Chromosomal mutation that alter a 50s ribosomal protein (found in B.sub ilis,
complyobacter spp, mycobacteria and gram-positive cocci.
Fig no- 1
Do not take Azithromycin if you are taking pimozide; increased adverse effects on
the heart may result.
Adverse reactions
In clinical trials, most of the reported side effects were mild to moderate in severity
and were reversible upon discontinuation of the drug. Approximately 0.7% of the
patients from the multiple-dose clinical trials discontinued azithromycin therapy
because of treatment-related side effects. Most of the side effects leading to
discontinuation were related to the gastrointestinal tract, e.g., nausea, vomiting,
diarrhea, or abdominal pain. Rarely but potentially serious side effects were
angioedema and cholestatic jaundice
Storage :
Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat
or moisture may cause the medicine to break down.
Do not keep outdated medicine or medicine no longer needed. Be sure that any
discarded medicine is out of the reach of children
CHAPTER - 3
The macrolides antibiotics do not interfere with humans’ ability to make protein.
For better bioavailability drug should release fast from formulation to media.
This can be performing with a disintegrant agent.
Physical properties show that poor flow properties so we can conclude about the
key ingredients of our formulation to make a fast release tablet.
CHAPTER - 4
LITERATURE REVIEW
21
Suhagia BN ET AL Determination of Azithromycin in pharmaceutical dosage forms
by spectrophotometric methodA simple and sensitive spectrophotometric method has
been developed for determination of Azithromycin in its pharmaceutical dosage forms.
In the proposed method, azithromycin is oxidized with potassium permanganate to
liberate formaldehyde, which is determined in situ using acetyl acetone, in the presence
of ammonium acetate. A yellow coloured chromogen was obtained, having absorption
maxima at 412 nanometer. The method is found to be linear in the concentration range
of 10-75 microgram per milliliter, with regression coefficient of 0.9978. Various
parameters such as concentration of potassium permanganate and reagent, time required
for oxidation, and maximum colour intensity were optimized. The method was
validated, and can be used successfully to assay azithromycin in its pharmaceutical
dosage forms viz. tablets, capsules and injections.
22
Hooda AK ETAL Azithromycin in the treatment of gingival hyperplasia in renal
allograft recipients of cyclosporineBackground: Gingival hyperplasia is a known
complication of Cyclosporine therapy. We studied the efficacy of Azithromycin in the
treatment of gum hyperplasia in renal transplant patients on follow-up in our center.
Methods: All renal transplant recipients with symptomatic gum hyperplasia were given
Azithromycin for a period of 5 days in a dose of 500 mg on day 1 followed by 250 mg
OD on days 2-5. The ratio of crown height and width in each of the 8 incisors was
measured before starting therapy, at 4 weeks and at 8 weeks after therapy. Results:
There were 122 renal transplant recipients on our follow-up. Of these, 115 were on
Cyclosporine. Out of these, 11 patients (Males 9, Females 2) had symptomatic gum
hyperplasia (9.56 percent). The symptoms in patients with gum hyperplasia were pain
and bleeding from the gums. The average duration on Cyclosporine therapy in these
patients was 25.8 months (3 to 36 months). Symptomatic relief was seen in all patients
after Azithromycin therapy. The average value of ratio of crown height and width
increased from pre-treatment baseline of 1.06 plus 0.11 to 1.18 plus 0.11 (at 4 weeks)
Dept. of Pharmaceutics 57 JKK Nattraja College of Pharmacy
Chapter 4 Literature Review
and to 1.24 plus 0.09 at 8 weeks after therapy (p less than 0.001). The drug was well
tolerated and none of the patients reported any side effects. There was no significant
change in the creatinine level at 1 month after Azithromycin therapy. Cyclosporine C2
assays done in 3 patients before and 4 weeks after therapy also showed no significant
change. Conclusion: We conclude that Azithromycin is a safe and effective therapy for
Cyclosporine induced gum hyperplasia.
23
Singhi MK et all Comparison of oral Azithromycin pulse with daily Doxycycline in
the treatment of acne vulgarisIntroduction: Oral Azithromycin has been advocated by
some in the treatment of acne. However, its efficacy has not been established. Material
and Methods: This non-randomized controlled trial was conducted on 70 outpatients
with acne vulgaris to compare the efficacy and safety of Azithromycin and doxycycline
in the treatment of inflammatory acne. In the first group, azithromycin was administered
500 mg daily before meals for 3 consecutive days in a 10-day cycle, with the remaining
seven days in each cycle being drug-free days. The second group was given doxycycline
100 mg daily after meals. Topical erythromycin was prescribed to all patients. Clinical
assessment was done at 10-day intervals for both the groups up to three months. We
followed the severity index described by Michaelsson for assessment of outcome
measures. Results: There was 77.26 percent improvement in Aazithromycin treated
group in comparison to 63.74 percent in the doxycycline treated group. There was a
statistically significant reduction in severity in the azithromycin treated group.
Conclusion: The study showed that a combination of Azithromycin with topical
erythromycin was significantly better than doxycycline with topical erythromycin in the
treatment of acne vulgaris. The incidence and severity of side effects were also lower
with Aazithromycin.
25
H. Rautelin1 et al Azithromycin resistance in Campylobacter jejuni and
Campylobacter coliAbstract The MICs of erythromycin, Azithromycin and
ciprofloxacin were determined for 60 human fecal isolates ofCampylobacter. Of these,
30 strains selected on the basis of their resistance to erythromycin by disk diffusion
were highly resistant to both erythromycin and Azithromycin. Nine of these selected
isolates were resistant to ciprofloxacin. The remaining 30 strains were non-selected,
consecutive isolates ofCampylobacter susceptible to erythromycin by disk diffusion and
were shown to be two- to five-fold more susceptible to Azithromycin than to
erythromycin as determined by MIC testing.
27
J Retsema, et al Spectrum and mode of action of Azithromycin (CP-62,993), a new
15-membered-ring macrolide with improved potency against gram-negative
organisms.The macrolide antibiotic Azithromycin (CP-62,993; 9-deoxo-9a-methyl-9a-
aza-9a-homoerythromycin A; also designated XZ-450 [Pliva Pharmaceuticals, Zagreb,
Yugoslavia]) showed a significant improvement in potency against gram-negative
organisms compared with erythromycin while retaining the classic erythromycin
spectrum. It was up to four times more potent than erythromycin against Haemophilus
influenzae and Neisseria gonorrhoeae and twofold more potent against Branhamella
catarrhalis, Campylobacter species, and Legionella species. It had activity similar to that
of erythromycin against Chlamydia spp. Azithromycin was significantly more potent
versus many genera of the family Enterobacteriaceae; its MIC for 90% of strains of
Escherichia, Salmonella, Shigella, and Yersinia was less than or equal to 4
micrograms/ml, compared with 16 to 128 micrograms/ml for erythromycin.
Azithromycin inhibited the majority of gram-positive organisms at less than or equal to
1 micrograms/ml. It displayed cross-resistance to erythromycin-resistant
Staphylococcus and Streptococcus isolates. It had moderate activity against Bactericides
fragilis and was comparable to erythromycin against other anaerobic species.
Azithromycin also demonstrated improved bactericidal activity in comparison with
erythromycin. The mechanism of action of azithromycin was similar to that of
erythromycin since Azithromycin competed effectively for [14C] erythromycin
ribosome binding sites.
maximum absorbance at 720 nm and Beer's law was obeyed in the concentration range
of 25-150 micro-g/ml. Results of analysis for both the methods were validated
statistically and by recovery studies. ottom of Form
Becker C, Dressman JB, et al 29 Biowaiver monographs for immediate release solid oral
dosage forms: IsoniazideBecker C et al Literature data relevant to the decision to allow
a waiver of in vivo bioequivalence (BE) testing for the approval of immediate release
(IR) solid oral dosage forms containing isoniazid as the only active pharmaceutical
ingredient (API) are reviewed. Isoniazid's solubility and permeability characteristics
according to the Biopharmaceutics Classification System (BCS), as well as its
therapeutic use and therapeutic index, its pharmacokinetic properties, data related to the
possibility of excipient interactions and reported BE/bioavailability (BA) problems were
taken into consideration. Isoniazid is "highly soluble" but data on its oral absorption and
permeability are inconclusive, suggesting this API to be on the borderline of BCS Class
I and III. For a number of excipients, an interaction with the permeability is extreme
unlikely, but lactose and other deoxidizing saccharides can form condensation products
with isoniazid, which may be less permeable than the free API. A biowaiver is
recommended for IR solid oral drug products containing isoniazid as the sole API,
provided that the test product meets the WHO requirements for "very rapidly
dissolving" and contains only the excipients commonly used in isoniazid products, as
listed in this article. Lactose and/or other deoxidizing saccharides containing
formulations should be subjected to an in vivo BE study.
30
Dumont ML et al Probability of passing dissolution acceptance criteria for an
immediate release tablets Dumont ML et al During development of solid dosage
products, a pharmaceutical manufacturer is typically required to propose dissolution
acceptance criteria unless the product falls into Biopharmaceutics Classification System
(BCS) class I, in which case a disintegration test may be used. At the time of filing the
new drug application (NDA) or common technical document (CTD), the manufacturer
has already met with regulatory agencies to discuss and refine dissolution strategy. The
dissolution acceptance criteria are based on stability and batch history data and are often
arrived at by considering the percentage of batches that pass United States
Pharmacopeia (USP) criteria at Stage 1 (S(1)), when in fact, the product is deemed
unacceptable only when a batch fails USP criteria at Stage 3 (S(3)) [H. Saranadasa,
Disso. Technol. 7 (2000) 6-7, 18 [1]]. Calculating the probability of passing (or failing)
31
Qureshi SA et al Applications of a new device (spindle) for improved
characterization of drug release (dissolution) of pharmaceutical products Qureshi SA et
al a crescent spindle (patent pending) is described which may be used in place of the
USP paddle component in USP dissolution apparatus 2. The new spindle is curve
shaped, corresponding to the bottom of a dissolution vessel, with attached bristles to fill
in the gap between the spindle and the surface of the vessel. The geometry of the new
spindle provides more efficient mixing than the USP paddle and prevents accumulation
of disintegrated material (no cone formation). Using the new spindle, in comparison
with the USP paddle, dissolution characteristics of three drug products: 250 mg
amoxicillin capsules, 15.6 g acetylsalicylic acid (ASA) boluses and 200 mg
carbamzepine tablets were evaluated. The experimental conditions for dissolution
testing with the two stirring devices included; 900 ml of 0.05 M phosphate buffer, pH
6.8 with 50 rpm, 900 ml of 0.05 M acetate buffer, pH 4.5-ethanol (7:3) with 50 rpm, and
water containing 1% sodium lauryl sulphate with 75 rpm for amoxicillin capsules, ASA
boluses and carbamazepine tablets, respectively. Uncharacteristic of the test products,
which are fast release, the USP paddle provides significantly slower drug release. For
example, 90 min for <80% drug release vs. 10 min for >90% for amoxicillin capsules
and 6 h for 80% vs. 30 min for >90% for ASA boluses with USP paddle vs. the new
spindle. In case of the carbamazepine tablets, three products which are bioequivalent
and prescribed interchangeably, the USP paddle method shows significantly different
dissolution characteristics. However, with the new device, all these products show
similar drug release characteristics, a better reflection of product release characteristics
and in vivo drug release behaviour. Compared with the USP paddle, the suggested
device (spindle) provides improved stirring and mixing which appears to provide more
appropriate (biorelevant) characterization of pharmaceutical products.
33
Shah VP et al The dissolution procedure serves as a quality control test to assure
batch-to-batch uniformity and bioequivalence of a product once the bioavailability of
the product has been established. It can also be used to detect manufacturing and/or
process variations that could reduce product bioavailability. Dissolution testing must be
conducted at an appropriate agitation rate. Tests conducted at high agitation rates may
lose the ability to differentiate between good and bad products. Although the effect of
high agitation rates has been known for some time, several immediate-release drug
products still have United States Pharmacopeia (USP) monograph dissolution
procedures that require very high agitation rates. A systematic survey was conducted on
marketed tablets of chloroquine phosphate, griseofulvin, hydroxychloroquine sulfate,
isocarboxazide, primaquine phosphate, and sulfadiazine. Each of these products has a
USP monograph requiring a dissolution test at a paddle speed of 100 rpm. To study the
influence of agitation rate on the dissolution rate of these products, dissolution studies
were conducted at paddle speeds of 50, 75, and 100 rpm with the USP apparatus 2
(paddle method). The dissolution rate increased with an increase in the agitation rate
from 50 to 75 rpm. However, no significant increase in the dissolution rate was noted
with an increase in the agitation rate from 75 to 100 rpm. The data support the position
that the higher agitation rate of 100 rpm is not necessary for a quality control procedure
or a compendia standard for the products tested.
3 Patent Survey:
Abraxis
A stable, sterile liquid formulation comprising lyophilized
WO200611549
Azithromycin, ethanol, citric acid &/or NaoH.
4
CHAPTER – 5
Formulation development
5.1 Objective:
Manufacturing Process:
The same manufacturing process and the equipments used during development
would be similar to the intended commercial scale equipments.
Sourcing
when the dosage forms are compressed with binder. Disintegrates help rupturing
the dosage form matrix by swelling or capillary action when moisture is
absorbed into the dosage form.
Later on, it was decided to comply with I.P draft monograph dissolution test
Fig – no 2
120
100
% drug release
80
B.NO 250/015
60 B.NO 250/018
B.NO 250/020
40
20
0
0 10 20 30 40 50
Time(min)
Trial no:-2
In this trial API is milled through the 0.3 mm screen and passed through
mesh # 80
Trial no: - 3
Trial no: -4
Trial no: - 5
Trial no: - 6
Remark: We increased binder addition & kneading time and sizing with 1.2 mm
in place of 1.00 mm
Trial no: - 7
In this trial we increased binder addition time kneading time and sizing
through 1.2 mm screen
Strength: 250 mg
6.4 Granulation:
1-2 min. 2-3 min. 3-4 min. 5-7 min. 1 min. 2 min 3 min 5 min
Not good
Not good wetted Good granules Uniform
wetted and Dusting problem during granulation.
and no granules are not addition and
no granules Granules become hard in nature.
forms found. good granule
forms
The dry mix powder is not bulky, so impeller slow is good for granulation. Binder
addition with 5 to 7 minutes gives satisfactory result. Chopper will off during
binder addition to prevent dusting of powder.
Conclusion:
Binder addition time was optimized as 5 to 7 mint with impeller slow and
chopper off... This gives satisfactory result.
6.5 Kneading:
Kneading time – High kneading retard the dissolution due to hard granules
formed.
Low kneading produce better result but it is unable to break the lumps and
produce less uniformity of granulation process.
Kneading time High (5-6 mints) Optimum(2-4 Low (1-3 mints)
mints)
Dissolution time in % drug released
minutes
5 35 45.8 60.8
10 42.6 56.5 65.8
15 48.6 60.5 70.4
20 55.9 65.3 75.3
30 75.5 78.9 80.5
45 82.5 88.4 88.5
Conclusion:
Set the temp as 60° C for 20 mints and drying up to us got the LOD
becomes 3 to 4 %.
6.7 Sizing
6.8 Blending
Blending time is optimized with trial at different period of blending.
Sample no. 5 min. 8 min. 10 min. 12 min.
S-1 90.30 92.40 95.13 97.32
S-2 91.33 97.72 94.50 98.52
S-3 88.91 94.45 96.17 94.65
S-4 87.92 97.58 96.48 97.57
S-5 78.36 96.26 96.76 97.41
S-6 89.04 95.54 96.00 96.98
S-7 92.33 95.14 96.34 96.00
S-8 97.62 96.15 96.42 94.53
S-9 92.58 95.31 96.79 96.35
S-10 95.71 97.34 96.40 96.80
Avg 90.41 95.79 96.10 96.71
SD 5.22 1.69 0.76 0.80
Composite 94.80 97.00 95.62 96.05
assay
Conclusion: 10 minutes gives low SD value and good assay result.
6.9 Lubrication:
Lubrication time is optimizing with trial at different period of mixing.
RPM was set as 10 to 20.
Sample no. 3 mints 5 mints 7mints
L–1 95.2 99.2 98.6
L–2 91.1 99.4 94.6
L–3 95.5 97.5 97.5
L–4 96.2 98.8 99.8
L–5 98.7 100.2 99.4
L–6 99.4 99.1 100.1
L–7 94.3 98.3 99.7
L–8 95.3 98.9 96.4
L–9 98.3 99.7 99.2
L – 10 99.5 99.9 98.7
Avg 96.35 99.1 98.4
SD 2.52 0.75 1.66
Composite Assay 96.4 100.1 98.6
Conclusion: ok
Product Composition:
Strength: 250 mg
Lot A: Granulation
USP
/EP
15 Purified water BP/I Qs Qs 1382.0
P/
IH
Note:
$
Quantity of Azithromycin (as dihydrate) USP taken considering 100% assay
on as such basis, its quantity to be adjusted with Microcrystalline cellulose IP.
@ 60 % extra coating solution to be prepared to compensate loss during coating
262.00 mg of Azithromycin USP (as dihydrate) equivalent to 250.00 mg
Azithromycin anhydrous.
A x (100 – W)
= 114.36gm – (Q – 1572.00) gm
Remark: Record B. No., Assay (anhydrous basis) & water by K.F. of API used.
Mechanical Sifter
Microcrystalline Cellulose (80#)
Croscarmellose Sodium Co-sifting
Pre gelatinized starch
Mechanical Sifter
(40#)
Dry Mixing (RMG)
Dry mix B.D: 0.40 gm/cc
Time: 5 minute, Impeller: slow,
LOD: 3-4% at 105°C
chopper: off
Drying (FBD)
Temp: 60°C ± 5°C LOD@105°C: 3-4%
250 mg
Sr.No Test Limit
Assay
Related Substances
(Optimum Hardness)
4 To be monitored
Single Max impurity 0.74%
Optimum Hardness
98.4 (2.68)
Low Hardness NLT 75%(D)
92.3 (1.5)
High Hardness
99.5 (1.49)
4 Related Substances
(optimum hardness) To be
Single Max impurity monitored 0.94%
Total impurities 1.89%
5. Dissolution pH 6.0,phosphate buffer,600 mg trypsin
added,900 ml/paddle/100 rpm/time point:45
min
6 % Drug Release
(45 min)
optimum hardness NLT 75%(D) 99.8 (1.43)
(RSD)
6.11.15 Conclusion/Recommendation
1. Water addition rate should be control with peristaltic pump with in binder
addition time period as Mentioned.
2. Granulation should be perform with slow addition of binder solution and
kneading with impeller slow & chopper off to get desired granule characteristics.
2. Wet milling should be performed after granulation.
3. Drying should not perform at more than 55±5°C temp.
4. During coating product temp should not be more than 40°C± 5°C
6.11.16 Stability study
Demo Batch
30 °C, 75 % RH
Observation: Stability data show that drug product is stable upto 2 month in
intermediate condition.
Observation: Stability data show that drug product is stable upto 2 month in
normal condition
Microcrystalline
2 2000185 40# Satisfactory
cellulose
The above API was co-sifted with dry mix excipients sifted on vibratory sifter.
6.11.10 compressions:
S.No. Parameters Observation
250 mg
Machine Name Cad mach rotary compression machine 20
01
station
02 Machine rpm 25
Punch description 12/32" Circular Biconvex, Plain/Plain (D
03
tooling) punches plain on both the sides.
04 No. of punch sets 2 sets
05 Machine run time 3 hr
6.11.11 Compression parameters:
Batch no. Demo
Dimension 12/32"
U/P plain
L/P plain
Tooling D
311.39mg
Low hardness
(308.0 mg to 314.0 mg)
Average weight (mg)
312.16mg
Optimum hardness 312.0 ± 3 %
(311.6 mg to 313.0 mg)
(302.64 to 321.36 mg)
308.2mg
High hardness
(306.8 mg to 309.5mg)
63.70N
Low hardness
(61 N to 75 N)
Hardness
125.10N
Optimum hardness 115 N ± 20 N
(113 N to 140 N)
(95 N to 135 N)
165.60N
High hardness
(138 N to 182 N)
5.29mm
Low hardness
(5.21 mm to 5.39 mm)
Thickness
5.10mm
Optimum hardness0 5.00 ± 0.3 mm
(4.96 mm to 5.31 mm)
(4.70 to 5.30 mm)
4.82mm
High hardness
(4.78 mm to 4.87 mm)
Low hardness 54 sec
DT
Optimum hardness 1.0 min 40 sec
NMT 15 mins.
High hardness 3.0 min 10 sec
100R-0.28 200R–0.39%
Low hardness
300 R - 0.46 %
Friability %w/w 100R-0.1% 200R-0.27%
Optimum hardness
NMT 1.0 % w/w 300 R - 0.37 %
100R-0.20% 200R-0.26%
High hardness
300 R - 0.41 %
Time Inlet Temp Product temp Pan rpm Spray rpm Spray rate
12:05 56 40 1 - -
12:15 57 40 1 - -
12:17 57 38 2 2 3
12:25 62 39 3 3 5
12:30 60 39 3 3 6
12:40 67 39 3 4 6
12:45 66 40 3 5 6
12:55 66 38 3 3 6
13:05 63 37 3 3 5
13:15 64 37 3 3 5
13:25 45 35 2 - -
Product Composition:
Qty
Qty./ba
S. Spec. Functi %w/ /Tab.
Item code Ingredients tch
No * on w (In
(In kg)
mg)
Dry mix:
Azithromycin 81.8 262.0
1 1000494 USP Active 19.65$
(as dihydrate) 8 0
Azithromycin
2 1000494 USP Active -- -- 0.20#
(as dihydrate)
Microcrystalline Diluen
3 2000185 IP 5.96 19.06 1.43$
cellulose t
Croscarmellose USP/ Disint
4 2000054 0.91 2.90 0.218
Sodium NF egrant
Pregelatinized
5 2000227 USP Binder 3.75 12.00 0.900
Starch
Granulation :
Wettin
Sodium Lauryl
6 2000329 IP g 0.20 0.64 0.048
Sulphate
agent
USP/P
Granul
h.Eur/ 7.500*
7 1822352 Purified water ating Qs Qs
BP/ *
fluid
IP/IH
Dried sized granules weight 296.60 22.246
Qty
S. Item Spec %w/ Qty./batch
Ingredients /Tab.
No code .* w (In kg)
(In mg)
Blending of Lot A and Lot B : 296.60 44.492
Lubrication :
Croscarmellose USP
8 2000054 1.81 5.80 0.870
Sodium /NF
Silicon Dioxide
USP
9 2000446 (Syloid 244 1.50 4.80 0.720
-NF
FP)
Magnesium
10 2000156 IP 1.50 4.80 0.720
Stearate
Core tablet 97.5
312.00 46.802
weight 0
Coating Ingredients@ :
11 Hydroxyl
2000115 Propyl Methyl IP 1.89 6.05 1.452
Cellulose (6cps)
12 2000198 PEG -6000 IP 0.27 0.85 0.204
13 2000352 Talc IP 0.16 0.50 0.120
14 Titanium
2000358 IP 0.120
dioxide 0.16 0.50
15 Quinoline
2000241 IH 0.024
yellow 0.03 0.10
USP/P
h.
16 1822352 Purified water Eur/B Qs Qs 17.280**
P/IP/
IH
Coated tablet weight 100.00 320.00 48.000
Note:
# 1.0% w/w extra API to be dispensed to compensate for milling loss and 19.65 kg
milled API with assay compensation is to be used for the further processing. The
excess API, if Any, is to be discarded after milling.
Formula Calculation:
7.1 Calculation for actual quantity of Azithromycin dihydrate USP:
Actual Quantity of
Azithromycin Assay on anhydrous basis Assay on as is basis
=
dihydrate USP
18.75 x 100 x 100 or 18.75 x 100
Required in kg (Q) A x (100 – W) B
per batch
Where:
Note:
API of multiple A.R. No’s may be used for which assay calculation has to be
done accordingly
Packaging
Ensure that all the area is cleaned and free from previous product material before taking
any batch
Ensure that all the input materials used in a batch bear QA approved labels.
Ensure that all the personals in the manufacturing area wear protective clothing.
Ensure that the Room Temperature is NMT 27°C and Relative humidity is below 60 %
RH.
Ensure that all the activities are carried out as per MFC and recorded in the BMR.
7.3.2 Milling of API: Mill the Azithromycin dihydrate USP through 0.3mm screen impact
Forward at fast speed in Cadmill.
7.3.3 Dispensing:
Check all the dispensed ingredients as per the material requisition note and record in
BMR.
7.3.4 Sifting
1 Sift the calculated quantity of milled API through 80 # mesh on Vibratory sifter.
Load the sifted materials from step 9.4.3 into a clean and dry Rapid Mixer
Granulator fitted with co-mill having 8.0 mm SS Screen and mix for 5 minutes
with Chopper off and impeller at slow speed.
X Y Z
Figure No. 8.1: Sampling locations in Rapid mixer Granulator (Not to scale)
7.3.6 Granulation
Add binder solution prepared at step 7.5.1 to the dry mixed of step 7.4
by using peristaltic
3) Kneading
Carry out kneading for 4 to 7 minutes at impeller slow and chopper off.
If required, add
Mass. Record the extra quantity added in BMR.Unload the wet mass
(Granules) through
7.3.7 Drying
Dry the wet mass of Step of 7.5.3 at inlet air temperature 55 ± 5°C
to get LOD 3.5% to
7.3.8 Sizing:
Pass the dried granules of step 7.6 through Oscillating granulator fitted
with 1.2 mm SS
Screen. Collect the granules into clean & dry suitable container.
Lot B: Granulation
Blending the Lot A and Lot B sized granules in Bunker with Conta blender
for 10 min.
7.4.2 Blend the granules of step 7.8 with Croscarmellose sodium USP/NF and
Silicon Dioxide (Syloid 244 FP) USP-NF for 10 minutes in Bunker with Conta
blender.
7.5 Lubrication:
7.5.2 Send the sample of blend material to Q.C along with sample test request
slip for Analysis.
Sampling Instruction:
Dept. of Pharmaceutics 94 JKK Nattraja College of Pharmacy
Chapter 7 Materials and Methods
Insert the unit dose sampler at an angle of 45-600 in closed position, such that the
slot is facing upwards at the nearest locations identified in the figure.
S
1
S
S
S 3
S 9
7
5
SS S
41 2
0
S
6
S
8
Bunker
X Y Z
7.6 Compression:
Dept. of Pharmaceutics 95 JKK Nattraja College of Pharmacy
Chapter 7 Materials and Methods
7.7 Coating
7.7.3 Add suspension of step 7.12.2 in solution of step 7.12.1 with continuous
stirring.
7.8.1 Prior to loading the tablets in coating pan, record average mass (A) of 50
tablets.
7.8.2 Spray the coating suspension on the tablets in pan according to conditions
given above till required weight gain is achieved. After completion of coating
process, allow the tablets to dry in the pan in inching mode for 10 minutes in a
stream of air temperature at 40°C ±5°C.
7.8.3 Record the average mass of coated tablets in the BMR. Weight gain should
be 2.5 + 0.5% w/w on the average mass (A).
7.8.5 Send the sample of coated tablets along with Test Request Form to QC
dept.for analysis as per finish product release specification.
CHAPTER - 8
Table No 11
Azithromycin 32o85”
Table No 12
Table No 13
8.5 Solubility:
Table No 14
Table No 15
Test Specification Observation
Table No 23
INGRIDIENT
F1 F2 F3 F4 F5 F6
NAME (mg)
Purified water QS QS QS QS QS QS
Coating
Hydroxyl Propyl
6.05 6.05 6.05 6.05 6.05 6.05
Methyl Cellulose
(6cps)
Purified water Qs Qs Qs Qs Qs Qs
Table No 24
Weight
variation Disintegration Drug Thickness
Formul- Friability Hardness
(n=20) Time content (mg ±
ations (%) (Newton)
(mg ± SD) (seconds) (%) SD)
Table No 25
Time
(min) CUMULATIVE PERCENT DRUG RELEASE (%)
F1 F2 F3 F4 F5 F6
0 0 0 0 0 0 0
Table No 26
0 0 0
15 50.04 39.63
30 71.19 68.25
45 99.92 93.07
60 -- 99.48
Hardness
Friability
Weight variation
Drug content
Descriptions:
Observation: Stability data show that drug product is stable upto 2 month in
accelerated condition
Observation: Stability data show that drug product is stable upto 2 month in
intermediate condition.
Observation: Stability data show that drug product is stable upto 2 month in
normal condition
CHAPTER - 9
CONCLUSION
From the present work , it can be concluded that the results suggested
that the prepared formulations were stable and globally acceptable. In the wake
of patentability of immediate release dosage forms
The results of the present research work gives idea about the formulation
of various bacteriostatic drugs as immediate release dosage forms. The research
work was done with economical, commercial and regulatory point of view. The
final products developed in the research may be commercialized after the
establishment of the safety and efficacy in the human volunteers.
CHAPTER - 10
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