Professional Documents
Culture Documents
Peter York
1
THE DESIGN OF DOSAGE FORMS
sensitive drugs antioxidants can be included in the ticles, or tablets may be easily swallowed avoiding
formulation and, as with light-sensitive materials, the taste buds.
suitable packaging can reduce or eliminate the The selection of flavour depends upon several
problem. For drugs administered in liquid form, the factors, but particularly on the taste of the drug sub-
stability in solution as well as the effects of pH over stance. Certain flavours are more effective at masking
the gastrointestinal pH range of 1-8 should be various taste elements: for example, citrus flavours
understood. Buffers may be required to control the are frequently used to combat sour or acid-tasting
pH of the preparation to improve stability, or where drugs. The solubility and stability of the flavour in the
liquid dosage forms are sensitive to microbial attack, vehicle are also important. The age of the intended
preservatives are required. In these formulations, patient should also be considered, as children, for
and indeed in all dosage forms incorporating addi- example, prefer sweet tastes, as well as the psycho-
tives, it is also important to ensure that the compo- logical links between colours and flavours (e.g. yellow
nents, which may include additional drug substances is associated with lemon flavour). Sweetening agents
as in multivitamin preparations, do not produce may also be required to mask bitter tastes. Sucrose
chemical interactions themselves. Interactions continues to be used, but alternatives such as sodium
between drug(s) and added excipients, such as saccharin, which is 200-700 times sweeter depending
antioxidants, preservatives, suspending agents, on concentration, are available. Sorbitol is recom-
colourants, tablet lubricants and packaging materi- mended for diabetic preparations.
als, do occur and must be checked for during for- Colours are employed to standardize or improve
mulation. Over recent years data from thermal an existing drug colour, to mask a colour change or
analysis techniques, particularly differential scanning complement a flavour. Although colours are
calorimetry (DSC), when critically examined have obtained both from natural sources (e.g.
been found useful in rapid screening for possible carotenoids) and synthesized (e.g. amaranth), the
drug-additive and drug-drug interactions. For majority used are synthetically produced. Dyes may
example, using DSC it has been demonstrated that be aqueous (e.g. amaranth) or oil soluble (e.g. Sudan
the widely used tableting lubricant magnesium IV) or insoluble in both (e.g. aluminium lakes).
stearate interacts with aspirin and should be avoided Insoluble colours are known as pigments. Lakes
in formulations containing this drug. (which are generally water-insoluble calcium or alu-
minium complexes of water-soluble dyes) are partic-
ularly useful in tablets and tablet coatings because of
Organoleptic properties their greater stability to light than corresponding
Modern medicines require that pharmaceutical dyes, which also vary in their stability to pH and
dosage forms are acceptable to the patient. reducing agents. However, in recent years the inclu-
Unfortunately, many drug substances in use today sion of colours in formulations has become
are unpalatable and unattractive in their natural state extremely complex because of the banning of many
and dosage forms containing such drugs, particu- traditionally used colours in many countries. (A
larly oral preparations, may require the addition of useful summary on colours is given in Martindale,
approved flavours and/or colours. The Extra Pharmacopoeia).
The use of flavours applies primarily to liquid
dosage forms intended for oral administration.
Available as concentrated extracts, solutions,
Other drug properties
adsorbed on to powders or microencapsulated, At the same time as ensuring that dosage forms are
flavours are usually composed of mixtures of natural chemically and physically stable and are therapeuti-
and synthetic materials. The taste buds of the cally efficacious, it is also relevant to establish that
tongue respond quickly to bitter, sweet, salt or acid the selected formulation is capable of efficient and,
elements of a flavour. In addition, unpleasant taste in most cases, large-scale manufacture. In addition
can be overcome by using water-insoluble deriva- to those properties previously discussed, such as par-
tives of drugs which have little or no taste. An ticle size and crystal form, other characteristics, such
example is the use of amitriptyline pamoate. In such as hygroscopicity, flowability and compressibility, are
approaches other factors, such as bioavailability, particularly valuable when preparing solid dosage
must remain unchanged. If an insoluble derivative is forms where the drugs constitute a large percentage
unavailable or cannot be used, a flavour or perfume of the formulation. Hygroscopic drugs can require
can be used. Alternatively, unpleasant drugs can be low-moisture manufacturing environments and need
administered in capsules or prepared as coated par- to avoid water during preparation. Poorly flowing
10
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
100
THE DESIGN OF DOSAGE FORMS
formulations may require the addition of flow agents erally prefer solid dosage forms, primarily because of
(e.g. fumed silica). Studies of the compressibility of their convenience. However, alternative liquid prepa-
drug substances are frequently undertaken using rations are usually available for those unable to take
instrumented tablet machines in formulation labora- tablets and capsules.
tories to examine the tableting potential of the mate- Interest has grown recently in the design of for-
rial, in order to foresee any potential problems mulations that deliver drugs to specific 'targets' in the
during compaction, such as lamination or sticking body, for example the use of liposomes and nanopar-
which may require modification to the formulation ticles, as well as providing drugs over longer periods
or processing conditions. of time at controlled rates. Alternative technologies
for preparing particles with required properties -
crystal engineering - provide new opportunities.
Supercritical fluid processing using carbon dioxide as
THERAPEUTIC CONSIDERATIONS IN a solvent or antisolvent is one such method, allowing
DOSAGE FORM DESIGN fine-tuning of crystal properties and particle design
and fabrication. Undoubtedly these new technologies
The nature of the clinical indication, disease or and others, as well as sophisticated formulations, will
illness against which the drug is intended is an be required to deal with peptide and protein drugs,
important factor when selecting the range of dosage the advent of gene therapy and the need to deliver
forms to be prepared. Factors such as the need for such labile macromolecules to specific cells in the
systemic or local therapy, the duration of action body. Interest is also likely to be directed to individ-
required and whether the drug will be used in emer- ual patient requirements, such as age, weight and
gency situations, need to be considered. In the vast physiological and metabolic factors, features that can
majority of cases a single drug substance is prepared influence drug absorption and bioavailability.
into a number of dosage forms to satisfy both the
particular preferences of the patient or physician and
the specific needs of a certain clinical situation. For
example, many asthmatic patients use inhalation SUMMARY
aerosols from which the drug is rapidly absorbed
into the systematic circulation following deep inhala- This chapter has demonstrated that the formulation
tion for rapid emergency relief, and oral products for of drugs into dosage forms requires the interpreta-
chronic therapy. tion and application of a wide range of information
Patients requiring urgent relief from angina pec- from several study areas. Although the physical and
toris, a coronary circulatory problem, place tablets of chemical properties of drugs and additives need to
nitroglycerin sublingually for rapid drug absorption be understood, the factors influencing drug absorp-
from the buccal cavity. Thus, although systemic tion and the requirements of the disease to be
effects are generally obtained following oral and par- treated also have to be taken into account when
enteral drug administration, other routes can be identifying potential delivery routes. The formula-
employed as the drug and the situation demand. tion and associated preparation of dosage forms
Local effects are generally restricted to dosage forms demand the highest standards, with careful examina-
applied directly, such as those applied to the skin, tion, analysis and evaluation of wide-ranging infor-
ear, eye and throat. Some drugs may be well mation by pharmaceutical scientists to achieve the
absorbed by one route and not another, and must objective of creating high-quality and efficacious
therefore be considered individually. dosage forms.
The age of the patient also plays a role in defining
the types of dosage forms made available. Infants
generally prefer liquid dosage forms, usually solu-
tions and mixtures, given orally. Also, with a liquid BIBLIOGRAPHY
preparation the amount of drug administered can be
readily adjusted by dilution to give the required dose Amidon, G.L., Lennernas, H., Shah, V.P., Crison, J.R.
for the particular patient, taking weight, age and (1995). A theoretical basis for a biopharmaceutical drug
classification: the correlation of in vitro drug product
patient's condition into account. Children can have dissolution and bioavailability. Pharmaceutical Research, 12,
difficulty in swallowing solid dosage forms, and for 413-420.
this reason many oral preparations are prepared as Martindale, W. (1999) The Extra Pharmacopoeia., Royal
pleasantly flavoured syrups or mixtures. Adults gen- Pharmaceutical Society of Great Britain, London.
11
THE DESIGN OF DOSAGE FORMS
Modern Pharmaceutics, 3rd edn. (1999) (Eds Banker, G.S., Physicochemical Principles of Pharmacy, 3rd edn.
Rhodes, C.T.) Marcel Dekker. (1998) Florence, A.T. and Attwood, D., Macmillan,
Pharmaceutical Dosage Forms and Drug Delivery Systems, 7th Basingstoke.
edn. (1999) (Eds Ansel, H.C., Allen, L.V., Popovitch, Shekunov, B.Yu.,York, P. (2000) Crystallization processes in
N.G.) Lippincott Williams &Wilkins, Philadelphia. pharmaceutical technology and drug delivery design.
Physical Pharmacy: Physical Chemical Principles in the Journal of Crystal Growth, 211, 122-136.
Pharmaceutical Sciences, 4th edn. (1993) Martin A.N. and Solid State Chemistry of Drugs, 2nd edn. (1999) Byrn, S.R.,
Bustamanta, P. Lea and Febiger, Philadelphia. Pfeiffer, R.R., Stowell, J.G., SSCI Inc., West Lafayette.
12
PART ONE
SCIENTIFIC PRINCIPLES
OF DOSAGE FORM
DESIGN
13
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2
Dissolution and solubility
Michael Aulton
CHAPTER CONTENTS
Bibliography 32
15
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Solutions are encountered extremely frequently in ity of a substance is the amount of it that passes into
pharmaceutical development, either as a dosage solution when equilibrium is established between
form in their own right or as a clinical trials mater- the solution and excess (undissolved) substance. The
ial. Equally importantly, almost all drugs function in solution that is obtained under these conditions is
solution in the body. This book therefore starts with said to be saturated.
a description of the formation of solutions and a Because the above definitions are general ones
consideration of their properties. they may be applied to all types of solution involv-
This chapter discusses the principles underlying ing any of the three states of matter (gas, liquid,
the formation of solutions from solute and solvent solid) dissolved in any of the three states of matter.
and the factors that affect the rate and extent of the However, when the two components forming a
dissolution process. It will discuss this process par- solution are either both gases or both liquids it is
ticularly in the context of a solid dissolving in a more usual to talk in terms of miscibility rather
liquid, as this is the situation most likely to be than solubility.
encountered during the formation of a drug solu- One point to emphasize at this stage is that the
tion, either during manufacturing or during drug rate of solution (dissolution) and amount which can
delivery. be dissolved (solubility) are not the same and are not
Further properties of solutions are discussed in necessarily related, although in practice high drug
the subsequent chapters in Part One of this book. solubility is usually associated with a high dissolution
Because of the number of principles and properties rate.
that need to be considered, the contents of each of
these chapters should only be regarded as introduc-
tions to the various topics. The student is therefore Expressions of concentration
encouraged to refer to the bibliography at the end of
each chapter in order to augment the present con- Quantity per quantity
tents. The textbook written by Florence and Attwood Concentrations are often expressed simply as the
(1998) is particularly recommended because of the weight or volume of solute that is contained in a
large number of pharmaceutical examples that are given weight or volume of the solution. The majority
used to aid an understanding of physicochemical of solutions encountered in pharmaceutical practice
principles. consist of solids dissolved in liquids. Consequently,
concentration is expressed most commonly by the
weight of solute contained in a given volume of solu-
tion. Although the SI unit is kg m~3 the terms that
DEFINITION OF TERMS are used in practice are based on more convenient or
appropriate weights and volumes. For example, in
This chapter begins by clarifying a number of terms the case of a solution with a concentration of 1 kg
relevant to the formation and concentration of solu- m 3 the strength may be denoted by any one of the
tions following concentration terms, depending on the
circumstances:
Solution, solubility 1 g L -1, 0.1 g per 100 mL, 1 mg mL-1,
A solution may be denned as a mixture of two or 5 mg in 5 mL, or 1 fjig fjiL~l.
more components that form a single phase which is
homogeneous down to the molecular level. The com- Percentage
ponent that determines the phase of the solution is
termed the solvent and usually constitutes the Pharmaceutical scientists have a preference for
largest proportion of the system. The other compo- quoting concentrations in percentages. The concen-
nents are termed solutes, and these are dispersed as tration of a solution of a solid in a liquid is given by:
molecules or ions throughout the solvent, i.e. they
n/ / weight of solute inn
are said to be dissolved in the solvent. concentration in % w / v = x 100
The transfer of molecules or ions from a solid state volume of solution
into solution is known as dissolution. The extent to Equivalent percentages based on weight and volume
which the dissolution proceeds under a given set of ratios (% v/w,% v/v and % w/w expressions) can also
experimental conditions is referred to as the solu- be used for solutions of liquids in liquids and solu-
bility of the solute in the solvent. Thus, the solubil- tions of gases in liquids.
16
DISSOLUTION AND SOLUBILITY
17
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
The process of dissolution may therefore be consid- resulting from the removal of a solute molecule from
ered to involve the relocation of a solute molecule its original environment plus that resulting from its
from an environment where it is surrounded by other new location in the solvent. For example, in the case
identical molecules, with which it forms intermolecu- of a crystalline solid dissolving in a liquid these con-
lar attractions, into a cavity in a liquid, where it is sur- tributions can be described by Eqn 2.3:
rounded by non-identical molecules, with which it
may interact to different degrees.
where the change in crystal lattice enthalpy (AHci) is
the heat absorbed when the molecules (or ions) of
Energy changes the crystalline solute are separated by an infinite dis-
In order for this process to occur spontaneously at a tance against the effects of their intermolecular
constant pressure the accompanying change in free attractive forces. The enthalpy of solvation (AHsolv) is
energy, or Gibbs free energy (AG), must be negative. the heat absorbed when the solute molecules are
The free energy (G) is a measure of the energy avail- immersed in the solvent.
able to the system to perform work. Its value AHci is always positive and Affsolv is most com-
decreases during a spontaneously occurring process monly negative.Thus, in most cases AHcl > AHsolv, so
until an equilibrium position is reached when no that AH is also positive. In these cases heat is
more energy can be made available, i.e. AG = 0 at absorbed when dissolution occurs and the process is
equilibrium. usually defined as an endothermic one. In some
This change in free energy is defined by the gen- systems, where marked affinity between solute and
erally applicable thermodynamic equation: solvent occurs, the negative AHsolv is so great that it
exceeds the positive AHcl. The overall enthalpy
change then becomes negative, so that heat is
where AH, which is known as the change in the evolved and the process is an exothermic one.
enthalpy of the system, is the amount of heat
absorbed or evolved as the system changes its ther-
modynamic state, i.e. in this case when dissolution
occurs T is the thermodynamic temperature and AS DISSOLUTION RATES OF SOLIDS IN
is the change in the so-called entropy, which is a LIQUIDS
measure of the degree of disorder or randomness in
the system. Dissolution mechanisms
The entropy change (AS) is usually positive for
any process, such as dissolution, that involves mixing The dissolution of a solid in a liquid may be
of two or more components. In an ideal solution regarded as being composed of two consecutive
there is, by definition, no net change in the inter- stages.
molecular forces experienced by either solute or 1. First is an interfacial reaction that results in the
solvent when dissolution occurs. In such circum- liberation of solute molecules from the solid
stances AH - 0. Thus, the free energy change AG phase. This involves a phase change, so that
during the formation of an ideal solution is dictated molecules of solid become molecules of solute in
solely by the term TAS. the solvent in which the crystal is dissolving. The
In most real systems dissolution is accompanied solution in contact with the solid will be
by a change in the intermolecular forces experienced saturated (because it is in direct contact with
by the solute and the solvent before and after the undissolved solid). Its concentration will be Cs, a
event. A change in enthalpy will therefore accom- saturated solution.
pany dissolution in such systems. Equation 2.2 indi- 2. After this, the solute molecules must migrate
cates that the likelihood of dissolution will depend through the boundary layers surrounding the
on the sign of AH and, if this sign is positive, on the crystal to the bulk of the solution, at which time
value of AH relative to that of. TAS. In other words, its concentration will be C. This step involves the
it follows from Eqn 2.2 that as TAS is usually posi- transport of these molecules away from the
tive then dissolution will occur if AH is either nega- solid-liquid interface into the bulk of the liquid
tive, zero or very slightly positive (i.e. it must be less phase under the influence of diffusion or
than the value of TAS). convection. Boundary layers are static or slow-
The overall change in enthalpy of dissolution AH moving layers of liquid that surround all wetted
can be regarded as being made up of the change solid surfaces (see Chapter 4 for further details).
18
DISSOLUTION AND SOLUBILITY
Mass transfer takes place more slowly through the bulk of the solution (C2). At equilibrium, the
these static or slow-moving layers, which inhibit solution in contact with the solid (C1) will be satu-
the movement of solute molecules from the rated (concentration = Cs), as discussed above.
surface of the solid to the bulk of the solution. If the concentration of the bulk (C2) is greater
The concentration of the solution in the than this, the solution is referred to as supersatu-
boundary layers changes therefore from being rated and the movement of solid molecules will be in
saturated (Cs) at the crystal surface to being the direction of bulk to surface (as during crystal-
equal to that of the bulk of the solution (C) at its lization), and if C2 is less than saturated the mole-
outermost limit. cules will move from the solid to the bulk (as during
dissolution).
These stages are illustrated in Figure 2.1.
An equation known as the Noyes-Whitney equa-
Like any reaction that involves consecutive stages,
tion was developed to define the dissolution from a
the overall rate of dissolution will depend on
single spherical particle. The rate of mass transfer
whichever of these steps is the slowest (the rate-
of solute molecules or ions through a static diffu-
determining or rate-limiting step). In dissolution the
sion layer (dm/dt) is directly proportional to the
interfacial step ((1) above) is virtually instantaneous
area available for molecular or ionic migration (A),
and so the rate of dissolution will be determined by
the concentration difference (AC) across the
the rate of the slower step ((2) above), of diffusion of
boundary layer, and is inversely proportional to the
dissolved solute across the static boundary layer of
thickness of the boundary layer (h). This relation-
liquid that exists at a solid-liquid interface.
ship is shown in Eqn 2.6, or in a modified form in
The rate of diffusion will obey Pick's law of diffu-
Eqn 2.7.
sion, i.e. the rate of change in concentration of dis-
solved material with time is directly proportional to
the concentration difference between the two sides
of the diffusion layer, i.e.,
19
THE DESIGN OF DOSAGE FORMS
factors can influence their therapeutic performance. maceutical characteristics suitable for a specific appli-
To optimize the bioavailability of drug substances it cation. One such drug is the glucocorticoid pred-
is often necessary to carefully select the most appro- nisolone, used in the suppression of inflammatory and
priate chemical form of the drug. For example, such allergic disorders. Through the use of different chem-
selection should address solubility requirements, ical forms and formulation additives a range of effec-
drug particle size and physical form, and consider tive anti-inflammatory preparations are available,
appropriate additives and manufacturing aids including tablet, enteric-coated tablet, injections, eye
coupled to selecting the most appropriate adminis- drops and enema. The extremely low aqueous solubil-
tration route (s) and dosage form(s). Suitable manu- ity of the base prednisolone and acetate salt makes
facturing processes and packaging are also required. these forms useful in tablet and slowly absorbed intra-
There are numerous dosage forms into which a muscular suspension injection forms, whereas the
drug substance can be incorporated for the conve- soluble sodium phosphate salt enables a soluble tablet
nient and efficacious treatment of a disease. Dosage form, and solutions for eye and ear drops, enema and
forms can be designed for administration by alterna- intravenous injection to be prepared. The analgesic
tive delivery routes to maximize therapeutic paracetamol is also available in a range of dosage
response. Preparations can be taken orally or forms and strengths to meet specific needs of the user,
injected, as well as being applied to the skin or including tablets, dispersible tablets, paediatric
inhaled, and Table 1.1 lists the range of dosage forms soluble tablets, paediatric oral solution, sugar-free oral
that can be used to deliver drugs by the various solution, oral suspension, double-strength oral sus-
administration routes. However, it is necessary to pension and suppositories.
relate the drug substance to the clinical indication It is therefore apparent that before a drug sub-
being treated before the correct combination of drug stance can be successfully formulated into a dosage
and dosage form can be made, as each disease or form many factors must be considered. These can be
illness often requires a specific type of drug therapy. broadly grouped into three categories:
In addition, factors governing the choice of adminis-
1. Biopharmaceutical considerations, including
tration route and the specific requirements of that
factors affecting the absorption of the drug
route which affect drug absorption need to be taken
substance from different administration routes;
into account when designing dosage forms.
2. Drug factors, such as the physical and chemical
Many drugs are formulated into several dosage
properties of the drug substance;
forms of varying strengths, each having selected phar-
3. Therapeutic considerations, including
consideration of the clinical indication to be
treated and patient factors.
Tabte1.1 Dosage forms available for different
administration mutes High-quality and efficacious medicines will be for-
mulated and prepared only when all these factors are
Administration route Dosage forms considered and related to each other. This is the
Oral Solutions, syrups, suspensions, underlying principle of dosage form design.
emulsions, gels, powders, granules,
capsules, tablets
Rectal Suppositories, ointments, creams,
powders, solutions BIOPHARMACEUTICAL ASPECTS OF
Topical Ointments, creams, pastes, lotions, DOSAGE FORM DESIGN
gels, solutions, topical aerosols
Parenteral Injections (solution, suspension, Biopharmaceutics can be regarded as the study of the
emulsion forms), implants, irrigation relationship between the physical, chemical and bio-
and dialysis solutions logical sciences applied to drugs, dosage forms and
Respiratory Aerosols (solution, suspension, drug action. Clearly, understanding the principles of
emulsion, powder forms) this subject is important in dosage form design, par-
inhalations, sprays, gases ticularly with regard to drug absorption, as well as
Nasal Solutions, inhalations drug distribution, metabolism and excretion. In
Eye Solutions, ointments, creams general, a drug substance must be in solution form
Ear Solutions, suspensions, ointments
before it can be absorbed via the absorbing mem-
creams branes and epithelia of the skin, gastrointestinal tract
and lungs into body fluids. Drugs are absorbed in two
2
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Summary of factors affecting dissolution tion factors on the rates of release of drugs into solu-
rates tion from various dosage forms.
These factors may be derived from a consideration
of the terms that appear in the Noyes-Whitney equa-
tion (Eqn 2.7) and a knowledge of the factors that in
Intrinsic dissolution rate
turn affect these terms. Most of the effects of these Because the rate of dissolution is dependent on so
factors are included in the summary given in Table many factors, it is advantageous to have a measure of
2.1. It should be borne in mind that pharmacists are the rate of dissolution which is independent of rate of
often concerned with the rate of dissolution of a agitation, area of solute available etc. In the latter
drug from a formulated product such as a tablet or a case this will change greatly in a conventional tablet
capsule, as well as with the dissolution rates of pure formulation, as the tablet breaks up into granules
solids. Later chapters in this book should be con- and then into primary powder particles as it comes
sulted for information on the influence of formula- into contact with water.
A, surface a'rea of Size of solid particles A c 1/particle size. Particle size will change during
undissolved solid dissolution process, because large particles will become
smaller and small particles will eventually disappear.
Compacted masses of solid may also disintegrate into
smaller particles
Dispersibility of powdered If particles tend to form coherent masses in the
solid in dissolution medium dissolution medium then the surface area available for
dissolution is reduced. This effect may be overcome by
the addition of a wetting agent
Porosity of solid particles Pores must be large enough to allow access of
dissolution medium and outward diffusion of dissolved
solute molecules
Cs solubility of solid in Temperature Dissolution may be an exothermic or an endothermic
dissolution medium. process
Nature of dissolution medium See previous comments on solubility parameters,
cosolvents and pH.
Molecular structure of solute See previous comments on sodium salts of weak acids
and esterification
Crystalline form of solid See previous comments on polymorphism and solvation
Presence of other compounds See previous comments on common ion effect, complex
formation and solubilizing agents
C, concentration of solute in Volume of dissolution medium If volume is small C will approach Cs if volume is large C
solution at time t may be negligible with respect to Cs i.e. apparent 'sink'
conditions will operate
Any process that removes For example, adsorption on to an insoluble adsorbent,
dissolved solute from the partition into a second liquid that is immiscible with the
dissolution medium dissolution medium, removal of solute by dialysis or by
continuous replacement of solution by fresh dissolution
medium
k, dissolution rate constant Thickness of boundary layer Affected by degree of agitation, which depends, in turn,
on speed of stirring or shaking, shape, size and position
of stirrer, volume of dissolution medium, shape and size
of container, viscosity of dissolution medium
Diffusion coefficient of solute Affected by viscosity of dissolution medium and size of
in the dissolution medium diffusing molecules.
20
DISSOLUTION AND SOLUBILITY
21
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
results, but also changes in the experimental vari- same compound, or between the rates of release of a
ables in a given method are likely to lead to changes drug from two formulations. Thus, standardization
in the results. This latter point is particularly impor- of the experimental methodology is essential if such
tant, as dissolution rate tests are usually performed comparisons are to be meaningful.
in a comparative manner to determine, for example, Finally, it should also be realized that although the
the difference between two polymorphic forms of the majority of dissolution testing is concerned with
22
DISSOLUTION AND SOLUBILITY
23
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
2. If B-B A-A, the solvent will not be able to that the strength of these forces can be expressed in
break the binding forces between solute molecules terms of a solubility parameter. The initially intro-
and disperse them. This situation would apply if duced parameters, which are concerned with the
you tried to dissolve sodium chloride in benzene. behaviour of non-polar, non-interacting liquids, are
The sodium chloride crystal is held together by referred to as Hildebrand solubility parameters.
strong electrovalent forces which cannot be broken Although these provide good quantitative predictions
by benzene. A conducting solvent, such as water, of the behaviour of a small number of hydrocarbons,
would be required to overcome the attraction they only provide a broad qualitative description of the
between solute molecules. behaviours of most liquids because of the influence of
3. If A-B > A-A or B-B, or the three forces are of factors such as hydrogen-bond formation and ioniza-
the same order, the solute will disperse and form tion. The concept has been extended, however, by the
a solution. introduction of partial solubility parameters, e.g.
Hansen parameters and interaction parameters, that
The above is a simplified overview of the situation.
have improved the quantitative treatment of systems in
The rest of this chapter will attempt to explain the
which polar effects and interactions occur.
basic physicochemical properties of solutions that
Solubility parameters, in conjunction with the
lead to such observations.
electrostatic properties of liquids, e.g. dielectric con-
stant and dipole moment, have often been linked by
empirical or semiempirical relationships either to
Physicochemical prediction of solubility
these parameters or to solvent properties. Studies on
Similar types of interrnolecular force may contribute solubility parameters are sometimes reported in the
to solute-solvent, solute-solute and solvent-solvent pharmaceutical literature. The use of dielectric con-
interactions. The attractive forces exerted between stants as indicators of solvent power has also
polar molecules are much stronger, however, than received attention, but deviations from the behaviour
those that exist between polar and non-polar mole- predicted by such methods may occur.
cules, or between non-polar molecules themselves. Mixtures of liquids are often used as solvents. If
Consequently, a polar solute will dissolve to a greater the two liquids have similar chemical structures, e.g.
extent in a polar solvent, where the strength of the benzene and toluene, then neither tends to associate
solute-solvent interaction will be comparable to that in the presence of the other, and the solvent proper-
between solute molecules, than in a non-polar ties of a 50:50 mixture would be a mean of those of
solvent, where the solute-solvent interaction will be each pure liquid. If the liquids have dissimilar struc-
relatively weak. In addition, the forces of attraction tures, e.g. water and propanol, then the molecules of
between the molecules of a polar solvent will be too one of them tend to associate with each other and so
great to facilitate the separation of these molecules form regions of high concentration within the
by the insertion of a non-polar solute between them, mixture. The solvent properties of this type of system
because the solute-solvent forces will again be rela- are not so simply related to its composition as in the
tively weak. Thus, solvents for non-polar solutes tend previous case.
to be restricted to non-polar liquids.
The above considerations are often expressed very
generally as 'like dissolves like', i.e. a polar substance
Solubility of solids in liquids
will dissolve in a polar solvent and a non-polar sub- Solutions of solids in liquids are the most common
stance will dissolve in a non-polar solvent. Such a gen- type encountered in pharmaceutical practice. The
eralization should be treated with caution, because the pharmacist should therefore be aware of the general
interrnolecular forces involved in the process of disso- method of determining the solubility of a solid in a
lution are influenced by factors that are not obvious liquid and the various precautions that should be
from a consideration of the overall polarity of a mole- taken during such determinations.
cule; For example, the possibility of interrnolecular
hydrogen-bond formation between solute and solvent
may be more significant than polarity. Determination of the solubility of a solid in a
Solubility parameter Attempts have been made to liquid
define a parameter that indicates the ability of a liquid
The following points should be observed in all solu-
to act as a solvent. The most satisfactory approach is
based on the concept that the solvent power of a liquid bility determinations:
is influenced by its interrnolecular cohesive forces and 1. The solvent and the solute must be pure.
24
DISSOLUTION AND SOLUBILITY
2. A saturated solution must be obtained before tional comments that referred to Eqn 2.3 indicate
any solution is removed for analysis. that when AH is positive the dissolution process is
3. The method of separating a sample of saturated usually an endothermic one, i.e. heat is normally
solution from undissolved solute must be absorbed when dissolution occurs. If this type of
satisfactory. system is heated it will tend to react in a way that will
4. The method of analysing the solution must be nullify the constraint imposed upon it, e.g. the rise in
reliable. temperature. This tendency is an example of Le
5. Temperature must be adequately controlled. Chatelier's principle. Thus, a rise in temperature will
lead to an increase in the solubility of a solid with a
A saturated solution is obtained either by stirring
positive heat of solution. Conversely, in the case of
excess powdered solute with solvent for several hours
the less commonly occurring systems that exhibit
at the required temperature until equilibrium has
exothermic dissolution, an increase in temperature
been attained, or by warming the solvent with an
will give rise to a decrease in solubility.
excess of the solute and allowing the mixture to cool
Plots of solubility versus temperature, which are
to the required temperature. It is essential that some
referred to as solubility curves, are often used to
undissolved solid should be present at the comple-
describe the effect of temperature on a given system.
tion of this stage in order to ensure that the solution
is saturated. Some examples are shown in Figure 2.3. Most of the
curves are continuous; however, abrupt changes in
A sample of the saturated solution is obtained for
slope may be observed with some systems if a change
analysis by separating it from the undissolved solid.
in the nature of the dissolving solid occurs at a
Filtration is usually used, but precautions should be
taken to ensure that: specific transition temperature. For example, sodium
sulphate exist as the decahydrate Na2SO4,10H2O up
1. it is carried out at the temperature of the to 32.5C, and its dissolution in water is an
solubility determination, in order to prevent any endothermic process. Its solubility therefore
change in the equilibrium between dissolved and increases with rise in temperature until 32.5C is
undissolved solute; and reached. Above this temperature the solid is con-
2. loss of a volatile component does not occur. verted into the anhydrous form Na2SO4, and the dis-
solution of this compound is an exothermic process.
The filtration process has been simplified by the
The solubility therefore exhibits a change from a
introduction of membrane filters that can be used in
positive to a negative slope as the temperature
conjunction with conventional syringes fitted with
exceeds the transition value.
suitable inline adapters.
The amount of solute contained in the sample of
saturated solution may be determined by a variety of
methods, e.g. gravimetric or volumetric analysis,
electrical conductivity measurements, ultraviolet
(UV) spectrophotometry and chromatographic
methods. The selection of an appropriate method is
affected by the natures of the solute and the solvent
and by the concentration of the solution.
25
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Molecular structure of solute It should be appreci- incorporation of one or more water-miscible cosol-
ated from the previous comments on the prediction vents, so that a solution containing 500 mg in 10 mL
of solubility that the natures of the solute and the and suitable for parenteral administration in the
solvent will be of paramount importance in deter- treatment of anaerobic infection, can be obtained.
mining the solubility of a solid in a liquid. It should Crystal characteristics: polymorphism and salvation
also be realized that even a small change in the mole- The value of the term AHcl in Eqn 2.3 is determined
cular structure of a compound can have a marked by the strength of the interactions between adjacent
effect on its solubility in a given liquid. For example, molecules (or ions) in a crystal lattice. These inter-
the introduction of a hydrophilic hydroxyl group can actions will depend on the relative positions and ori-
produce a large improvement in water solubility, as entations of the molecules in the crystal. When the
evidenced by the more than 100-fold difference in conditions under which crystallization is allowed to
the solubilities of phenol and benzene. occur are varied, some substances produce crystals
In addition, the conversion of a weak acid to its in which the constituent molecules are aligned in dif-
sodium salt leads to a much greater degree of ionic ferent ways with respect to one another in the lattice
dissociation of the compound when it dissolves in structure. These different crystalline forms of the
water. The overall interaction between solute and same substance, which are known as polymorphs,
solvent is markedly increased and the solubility con- consequently possess different lattice energies, and
sequently rises. A specific example of this effect is this difference is reflected by changes in other prop-
provided by a comparison of the aqueous solubilities erties; for example, the polymorphic form with the
of salicylic acid and its sodium salt, which are 1:550 lowest free energy will be the most stable and possess
and 1:1, respectively. the highest melting point. Other less stable (or
The reduction in aqueous solubility of a parent metastable) forms will tend to transform into the
drug by its esterification may also be cited as an most stable one at rates that depend on the energy
example of the effects of changes in the chemical differences between the metastable and the stable
structure of the solute. Such a reduction in solubility forms. Polymorphs are explained more fully in
may provide a suitable method for: Chapter 9.
The effect of polymorphism on solubility is partic-
1. masking the taste of a parent drug, e.g.
ularly important from a pharmaceutical point of
chloramphenicol palmitate is used in paediatric
view, because it provides a means of increasing the
suspensions rather than the more soluble and
solubility of a crystalline material and hence its rate
very bitter chloramphenicol base;
of dissolution by using a metastable polymorph.
2. protecting the parent drug from excessive
Although the more soluble polymorphs are
degradation in the gut, e.g. erythromycin
metastable and will convert to the stable form the
propionate is less soluble and consequently less
rate of such conversion is often slow enough for the
readily degraded than erythromycin;
metastable form to be regarded as being sufficiently
3. increasing the ease of absorption of drugs from
stable from a pharmaceutical point of view. The
the gastrointestinal tract, e.g. erythromycin
degree of conversion should obviously be monitored
propionate is also more readily absorbed than
during storage of the drug product to ensure that its
erythromycin.
efficacy is not altered significantly. In addition, con-
Nature of solvent: cosolvents The importance of the version to the less soluble and most stable poly-
nature of the solvent has already been discussed in morph may contribute to the growth of crystals in
terms of the statement 'like dissolves like', and in suspension formulations.
relation to solubility parameters. In addition, the Many drugs exhibit polymorphism, e.g. steroids,
point has been made that mixtures of solvents may barbiturates and sulphonamides. Examples of the
be employed. Such mixtures are often used in phar- importance of polymorphism with respect to the
maceutical practice to obtain aqueous-based systems bioavailabilities of drugs and to the occurrence of
that contain solutes in excess of their solubilities in crystal growth in suspensions are given in Chapters
pure water. This is achieved by using cosolvents such 17 and 23, respectively.
as ethanol or propylene glycol, which are miscible The absence of crystalline structure that is usually
with water and which act as better solvents for the associated with a so-called amorphous powder (see
solute in question. For example, the aqueous solu- Chapter 9) may also lead to an increase in the solubil-
bility of metronidazole is about 100 mg in 10 mL. ity of a drug compared to that of its crystalline form.
Chien (1984) has shown, however, that the solubility In addition to the effect of polymorphism the lattice
of this drug can be increased exponentially by the structures of crystalline materials may be altered by
26
DISSOLUTION AND SOLUBILITY
the incorporation of molecules of the solvent from pH If the pH of a solution of either a weakly
which crystallization occurred. The resultant solids acidic drug or a salt of such a drug is reduced then
are called solvates; the phenomenon is referred to the proportion of unionized acid molecules in the
correctly as salvation and sometimes incorrectly and solution increases. Precipitation may therefore occur
confusingly as pseudopolymorphism. The alter- because the solubility of the unionized species is less
ation in crystal structure that accompanies solvation than that of the ionized form. Conversely, in the case
will affect AHcl so that the solubilities of solvated and of solutions of weakly basic drugs or their salts pre-
unsolvated crystals will differ. cipitation is favoured by an increase in pH. Such
If water is the solvating molecule, i.e. if a hydrate precipitation is an example of one type of chemical
is formed, then the interaction between the sub- incompatibility that may be encountered in the for-
stance and water that occurs in the crystal phase mulation of liquid medicines.
reduces the amount of energy liberated when the This relationship between pH and the solubility of
solid hydrate dissolves in water. Consequently, ionized solutes is extremely important with respect
hydrated crystals tend to exhibit a lower aqueous sol- to the ionization of weakly acidic and basic drugs as
ubility than their unhydrated forms. This decrease in they pass through the gastrointestinal tract and expe-
solubility can lead to precipitation of drugs from rience pH changes between about 1 and 8. This will
solutions. affect the degree of ionization of the drug molecules,
In contrast to the effect of hydrate formation, the which in turn influences their solubility and their
aqueous solubilities of other, i.e. non-aqueous, sol- ability to be absorbed. This aspect is discussed in
vates are often greater than those of the unsolvated some detail, elsewhere in this book and the reader is
forms. Examples of the effects of solvation and the referred to Chapters 3 and 17 in particular.
attendant changes in solubilities of drugs on their The relationship between pH and the solubility
bioavailabilities are given in Chapter 17. and pKa value of an acidic drug is given by Eqn 2.11,
Particle size of the solid The changes in interfacial which is a modification of the Henderson-
free energy that accompany the dissolution of parti- Hasselbalch equation (Eqn 3.12):
cles of varying sizes cause the solubility of a sub-
stance to increase with decreasing particle size, as
indicated by Eqn 2.10:
where S is the overall solubility of the drug and SU
is the solubility of its unionized form, i.e. S = S0 +
solubility of ionized form (SI). If the pH of the solu-
where S is the solubility of small particles of radius r, tion is known then Eqn 2.11 may be used to calcu-
S0 is the normal solubility (i.e. of a solid consisting late the solubility of an acidic drug at that pH.
of fairly large particles), y is the interfacial energy, M Alternatively, the equation allows determination of
is the molecular weight of the solid, p is the density the minimum pH that must be maintained in order
of the bulk solid, R is the gas constant and T is the to prevent precipitation from a solution of known
thermodynamic temperature. concentration.
This effect may be significant in the storage of In the case of basic drugs the corresponding
pharmaceutical suspensions, as the smaller particles relationship is given by Eqn 2.12:
in such a suspension will be more soluble than the
larger ones. As the small particles disappear, the
overall solubility of the suspended drug will decrease
and the larger particles will grow. The occurrence of Common ion effect The equilibrium in a saturated
crystal growth by this mechanism is of particular solution of a sparingly soluble salt in contact with
importance in the storage of suspensions intended undissolved solid may be represented by:
for injection (Winfield and Richards, 1998).
The increase in solubility with decrease in particle
size ceases when the particles have a very small
radius, and any further decrease in size causes a From the Law of Mass Action the equilibrium
decrease in solubility. It has been postulated that this constant K for this reversible reaction is given by
change arises from the presence of an electrical Eqn 2.14:
charge on the particles and that the effect of this
charge becomes more important as the size of the
particles decreases.
27
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
where the square brackets signify concentrations of separation of ions prevents any interionic associa-
the respective components. As the concentration of a tion, and the molar concentration (CA+) and activity
solid may be regarded as being constant, then (aA+) of a given ion (A+) are then equal, i.e.:
or
These equations for the solubility product are only
applicable to solutions of sparingly soluble salts.
If Ks' is exceeded by the product of the concen- where/A+ is known as the activity coefficient of A+. If
tration of the ions, i.e. [A+] [B-], then the equilibrium concentrations and activity coefficients are used
shown above, (Eqn 2.13) moves towards the left in instead of activities in Eqn 2.16, then
order to restore the equilibrium, and solid AB is pre-
cipitated. The product [A+] [B~] will be increased by
the addition of more A+ ions produced by the disso- The product of the concentrations, i.e. (CA+-CB_), will
ciation of another compound, e.g. AX > A+ + X , be a constant (/Cs') as shown by Eqn 2.15, and
where A+ is the common ion. Solid AB will be pre- (/A+-/B_) may be equated to /A+B_, where /A+B^ is the
cipitated and the solubility of this compound is mean activity coefficient of the salt AB, i.e.
therefore decreased. This is known as the common
ion effect. The addition of common B~ ions would
have the same effect. BecausefA+B_ varies with the overall concentration of
The precipitating effect of common ions is, in fact, ions present in solution (the ionic strength), and as
less than that predicted from Eqn 2.15. The reason Ks is a constant, it follows that Ks' must also vary
for this is explained below. with the ionic strength of the solution in an inverse
Effect of indifferent electrolytes on the solubility product manner to the variation of fA+B . Thus, in a system
The solubility of a sparingly soluble electrolyte may containing a sparingly soluble electrolyte without a
be increased by the addition of a second electrolyte common ion, the ionic strength will have an appre-
that does not possess ions common to the first, i.e. a ciable value and the mean activity coefficient fA+B_
different electrolyte. will be less than 1.
The definition of the solubility product of a spar- From Eqn 2.17 it will be seen that Ks' will there-
ingly soluble electrolyte in terms of the concentra- fore be greater than Ks. In fact, the concentration
tion of ions produced at equilibrium, as indicated by solubility product Ks' will become larger and larger
Eqn 2.15, is only an approximation from the more as the ionic strength of the solution increases. The
exact thermodynamic relationship expressed by Eqn solubility of AB will therefore increase as the con-
2.16: centration of added electrolyte increases.
This argument also accounts for the fact that if no
allowance is made for the variation in activity with
where Ks' is the solubility product of compound AB ionic strength of the medium, the precipitating effect
and aA+ and aB~ are known as the activities of the of common ions is less than that predicted from the
respective ions. The activity of a particular ion may Law of Mass Action.
be regarded as its 'effective concentration'. In Effect of non-electrolytes on the solubility of electrolytes
general this has a lower value than the actual con- The solubility of electrolytes depends on the dissoci-
centration, because some ions produced by dissocia- ation of dissolved molecules into ions. The ease of
tion of the electrolyte are strongly associated with this dissociation is affected by the dielectric constant
oppositely charged ions and do not contribute so of the solvent, which is a measure of the polar nature
effectively as completely unallocated ions to the of the solvent. Liquids with a high dielectric constant
properties of the system. At infinite dilution the wide (e.g. water) are able to reduce the attractive forces
28
DISSOLUTION AND SOLUBILITY
that operate between oppositely charged ions pro- Provided that no reaction occurs between the gas
duced by dissociation of an electrolyte. and liquid then the effect of pressure is indicated by
If a water-soluble non-electrolyte such as alcohol Henry's law, which states that at constant tempera-
is added to an aqueous solution of a sparingly ture the solubility of a gas in a liquid is directly pro-
soluble electrolyte, the solubility of the latter is portional to the pressure of the gas above the liquid.
decreased because the alcohol lowers the dielectric The law may be expressed by Eqn 2.18:
constant of the solvent and ionic dissociation of the
electrolyte becomes more difficult.
Effect of electrolytes on the solubility of non-electrolytes where w is the mass of gas dissolved by unit volume of
Non-electrolytes do not dissociate into ions in solvent at an equilibrium pressure p and k is a pro-
aqueous solution, and in dilute solution the dissolved portionality constant. Although Henry's law is most
species therefore consists of single molecules. Their applicable at high temperatures and low pressures,
solubility in water depends on the formation of weak when solubility is low it provides a satisfactory
intermolecular bonds (hydrogen bonds) between their description of the behaviour of most systems at
molecules and those of water. The presence of a very normal temperatures and reasonable pressures, unless
soluble electrolyte (e.g. ammonium sulphate), the ions solubility is very high or reaction occurs. Equation
of which have a marked affinity for water, will reduce 2.18 also applies to the solubility of each gas in a solu-
the solubility of a non-electrolyte by competing for the tion of several gases in the same liquid, provided that
aqueous solvent and breaking the intermolecular p represents the partial pressure of a particular gas.
bonds between the non-electrolyte and the water. This The solubility of most gases in liquids decreases as
effect is important in the precipitation of proteins. the temperature rises. This provides a means of
Complex formation The apparent solubility of a removing dissolved gases. For example, water for
solute in a particular liquid may be increased or injections free from either carbon dioxide or air may
decreased by the addition of a third substance which be prepared by boiling water with minimal exposure
forms an intermolecular complex with the solute. to air and preventing the access of air during cooling.
The solubility of the complex will determine the The presence of electrolytes may also decrease the
apparent change in the solubility of the original solubility of a gas in water by a 'salting out' process,
solute. Use is made of complex formation as an aid which is caused by the marked attraction exerted
to solubility in the preparation of solution of mer- between electrolyte and water.
curic iodide (HgI2). The latter is not very soluble in
water but is soluble in aqueous solutions of potas-
sium iodide because of the formation of a water-
Solubility of liquids in liquids
soluble complex, K2(HgI4). The components of an ideal solution are miscible in
Solubilizing agents These agents are capable of all proportions. Such complete miscibility is also
forming large aggregates or micelles in solution observed in some real binary systems, e.g. ethanol
when their concentrations exceed certain values. In and water, under normal conditions. However, if one
aqueous solution the centre of these aggregates of the components tends to self-associate because
resembles a separate organic phase and organic the attractions between its own molecules are greater
solutes may be taken up by the aggregates, thus pro- than those between its molecules and those of the
ducing an apparent increase in their solubilities in other component, i.e. if a positive deviation from
water. This phenomenon is known as solubiliza- Raoult's law occurs, the miscibility of the compo-
tion. A similar phenomenon occurs in organic sol- nents may be reduced. The extent of the reduction
vents containing dissolved solubilizing agents, depends on the strength of the self-association and,
because the centre of the .aggregates in these systems therefore, on the degree of deviation from Raoult's
constitutes a more polar region than the bulk of the law. Thus, partial miscibility may be observed in
organic solvent. If polar solutes are taken up into some systems, whereas virtual immiscibility may be
these regions their apparent solubilities in the exhibited when the self-association is very strong
organic solvents are increased. and the positive deviation from Raoult's law is great.
In cases where partial miscibility occurs under
normal conditions the degree of miscibility is usually
Solubility of gases in liquids dependent on the temperature. This dependency is
The amount of gas that will dissolve in a liquid is indicated by the phase rule, introduced by J.
determined by the natures of the two components Willard Gibbs, which is expressed quantitatively by
and by temperature and pressure. Eqn 2.19:
29
THE DESIGN OF DOSAGE FORMS
general ways, by passive diffusion and by specialized The physical form of the oral dosage form will also
transport mechanisms. In passive diffusion, which is influence absorption rate and onset of action, with
thought to control the absorption of most drugs, the solutions acting faster than suspensions, which in turn
process is driven by the concentration gradient that generally act faster than capsules and tablets. Dosage
exists across the cellular barrier, with drug molecules forms can thus be listed in order of time of onset of
passing from regions of high to those of low concen- therapeutic effect (Table 1.2). However, all drugs, irre-
tration. Lipid solubility and the degree of ionization of
the drug at the absorbing site influence the rate of dif- Table 1 .2 Variation in time of onset of action for
fusion. Several specialized transport mechanisms are different dosage forms
postulated, including active and facilitated transport.
Once absorbed, the drug can exert a therapeutic effect Time of onset of action Dosage forms
either locally or at a site of action remote from that of Seconds i.v. injections
administration. In the latter case the drug has to be
Minutes i.m. and s.c. injections,
transported in body fluids (Fig. 1.1). buccal tablets, aerosols, gases
When the drug is administered from dosage forms
designed to deliver via the buccal, respiratory, rectal, Minutes to hours Short-term depot injections,
solutions, suspensions,
intramuscular or subcutaneous routes, it passes powders, granules, capsules,
directly into the blood-stream from absorbing tissues, tablets, modified-release
but the intravenous route is the most direct of all. tablets
When delivered by the oral route the onset of drug Several hours Enteric-coated formulations
action will be delayed because of the required transit Days Depot injections, implants
time in the gastrointestinal tract, the absorption
Varies Topical preparations
process and hepatoenteric blood circulation features.
Fig. 1.1 Pathways a drug may take following the administration of a dosage form by different route.
3
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Systems showing an increase in miscibility with Fig. 2.4 Temperature-composition diagram for the triethylamine-
water system (at 101 325 kPa, standard atmospheric pressure).
rise in temperature
A positive deviation from Raoult's law arises from a tion allows more rapid solution, and storage of the
difference in the cohesive forces that exist between enema in a cool place is recommended.
the molecules of each component in a liquid
mixture. This difference becomes more marked as
Systems showing upper and lower critical
the temperature decreases, and the positive deviation
solution temperatures
may then result in a decrease in miscibility sufficient
to cause the separation of the mixture into two The decrease in miscibility with increase in temper-
phases. Each phase consists of a saturated solution of ature in systems having a lower GST is not
one component in the other liquid. Such mutually indefinite. Above a certain temperature, positive
saturated solutions are known as conjugate deviations from Raoult's law become important and
solutions. miscibility starts to increase again with further rises
The equilibria that occur in mixtures of partially in temperature. This behaviour produces a closed-
miscible liquids may be followed either by shaking phase diagram, as shown in Figure 2.5, which repre-
the two liquids together at constant temperature and sents the nicotine-water system.
analysing samples from each phase after equilibrium
has been attained, or by observing the temperature
at which known proportions of the two liquids, con-
tained in sealed glass ampoules, become miscible, as
shown by the disappearance of turbidity.
30
DISSOLUTION AND SOLUBILITY
Type of CST Solubility of additive in each component Effect on CST Effect on miscibility
31
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
32
3
Properties of solutions
Michael Aulton
33
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
The kinetic theory of matter indicates that the the solution. It will also depend on the relative
thermal motion of molecules of a substance in its strengths of the attractive forces between adjacent
gaseous state is more than adequate to overcome the solvent molecules on the one hand and between
attractive forces that exist between the molecules. solute and solvent molecules on the other. Therefore,
Thus, the molecules will undergo a completely as the intermolecular forces between solid solutes
random movement within the confines of the con- and liquid solvents tend to be relatively strong, such
tainer. The situation is reversed, however, when the solute molecules do not generally escape from the
temperature is lowered sufficiently so that a con- surface of a solution and contribute to the vapour
densed phase is formed. Thus, the thermal motions pressure. In other words, the solute is generally non-
of the molecules are now insufficient to overcome volatile and the vapour pressure arises solely from
completely the intermolecular attractive forces and the dynamic equilibrium that is set up between the
some degree of order in the relative arrangement of rates of evaporation and condensation of solvent
molecules occurs. If the intermolecular forces are so molecules contained in the solution. In a mixture of
strong that a high degree of order, which is hardly miscible liquids, i.e. a liquid in liquid solution, the
influenced by thermal motions, is brought about molecules of both components are likely to evapo-
then the substance is usually in the solid state. rate and contribute to the overall vapour pressure
In the liquid condensed state the relative exerted by the solution.
influences of thermal motion and intermolecular
attractive forces are intermediate between those in
the gaseous and the solid states. Thus, the effects of
Ideal solutions: Raoult's law
interactions between the permanent and induced The concept of an ideal solution has been intro-
dipoles, i.e. the so-called van der Waals forces of duced to provide a model system that can be used as
attraction, lead to some degree of coherence between a standard against which real or non-ideal solutions
the molecules of liquids. Consequently, unlike gases, can be compared. In the model it is assumed that the
liquids occupy a definite volume with a surface, and strengths of all intermolecular forces are identical.
although there is evidence of structure within liquids Thus solvent-solvent, solute-solvent and solute-
such structure is much less apparent than in solids. solute interactions are the same and are equal, in
Although solids and liquids are condensed systems fact, to the strength of the intermolecular inter-
with cohering molecules, some of the surface mole- actions in either the pure solvent or the pure solute.
cules in these systems will occasionally acquire Because of this equality, the relative tendencies of
sufficient energy to overcome the attractive forces solute and solvent molecules to escape from the
exerted by adjacent molecules. They can therefore surface of the solution will be determined only by
escape from the surface to form a vapour phase. If their relative numbers in the surface.
temperature is maintained constant, equilibrium will Because a solution is homogeneous by definition,
eventually be established between the vapour and the the relative number of these surface molecules will
condensed phases, and the pressure exerted by the be the same as the relative number in the whole of
vapour at equilibrium is referred to as the vapour the solution. The latter can be expressed conve-
pressure of the substance. niently by the mole fractions of the components
All condensed systems have the inherent ability to because, for a binary solution (one with two compo-
give rise to a vapour pressure. However, the vapour nents), x1 + x2 = 1, where x{ and x2 are the mole frac-
pressures exerted by solids are usually much lower tions of the solute and the solvent, respectively.
than those exerted by liquids, because the inter- Thus, the total vapour pressure (P) exerted by such
molecular forces in solids are stronger than those in a binary solution is given by Eqn 3.1:
liquids. Thus, the escaping tendency for surface
molecules is higher in liquids. Consequently, surface
loss of vapour from liquids by the process of evapo- where p1 and p2 are the partial vapour pressures
ration is more common than surface loss of vapour exerted above the solution by solute and solvent,
from solids via sublimation. respectively, and pl and p2 are the vapour pressures
In the case of a liquid solvent containing a dis- exerted by pure solute and pure solvent, respectively.
solved solute, molecules of both solvent and solute If the total vapour pressure of the solution is
may show a tendency to escape from the surface and described by Eqn 3.1, then Raoult's law is obeyed by
so contribute to the vapour pressure. The relative the system. Raoult's law states that the partial vapour
tendencies to escape will depend on the relative pressure exerted by a volatile component in a solu-
numbers of the different molecules in the surface of tion at a given temperature is equal to the vapour
34
PROPERTIES OF SOLUTIONS
pressure of the pure component at the same temper- If the attractive forces between solute and solvent
ature, multiplied by its mole fraction in the solution, molecules are weaker than those exerted between the
i.e.: solute molecules themselves or the solvent molecules
themselves, then the components will have little
affinity for each other. The escaping tendency of the
One of the consequences of the preceding comments surface molecules in such a system is increased com-
is that an ideal solution may be defined as one that pared to that of an ideal solution. In other words, pl5
obeys Raoult's law. In addition, ideal behaviour p2 and P are greater than expected from Raoult's law,
should be expected to be exhibited only by real and the thermodynamic activities of the components
systems comprised of chemically similar compo- are greater than their mole fractions, i.e. a^ > xl and
nents, because it is only in such systems that the con- 3 > x2. This type of system is said to show a positive
dition of equal intermolecular forces between deviation from Raoult's law, and the extent of the
components (as assumed in the ideal model) is likely deviation increases as the miscibility of the compo-
to be satisfied. Consequently, Raoult's law is obeyed nents decreases. For example, a mixture of alcohol
over an appreciable concentration range by relatively and benzene shows a smaller deviation than the less
few systems in reality. miscible mixture of water + diethyl ether, whereas
Mixtures of benzene + toluene, n-hexane + n- the virtually immiscible mixture of benzene + water
heptane and ethyl bromide + ethyl iodide are com- exhibits a very large positive deviation.
monly mentioned systems that exhibit ideal Conversely, if the solute and the solvent have a
behaviour, but a more pharmaceutically interesting strong mutual affinity that results in the formation of
example is provided by binary mixtures of fluori- a complex or compound, then a negative deviation
nated hydrocarbons. These latter mixtures are cur- from Raoult's law occurs. Thus, pl, p2 and P are
rently still used as propellants in therapeutic lower than expected and al < xl and 3 < x2.
aerosols, although their usage is being phased out. Examples of systems that show this type of behav-
Their approximation to ideal behaviour allows Eqn iour include chloroform + acetone, pyridine + acetic
3.1 to be used to calculate the total pressure exerted acid and water + nitric acid.
by a given mixture of propellants. Although most systems are non-ideal and deviate
either positively or negatively from Raoult's law, such
deviations are small when a solution is dilute
Real or non-ideal solutions because the effects of a small amount of solute on
The majority of real solutions do not exhibit ideal interactions between solvent molecules are minimal.
behaviour because solute-solute, solute-solvent and Thus, dilute solutions tend to exhibit ideal behaviour
solvent-solvent forces of interaction are unequal. and the activities of their components approximate
These inequalities alter the effective concentration of to their mole fractions, i.e. a1 approximately equals
each component so that it cannot be represented by xl and 3 approximately equals x2. Conversely, large
a normal expression of concentration, such as the deviations may be observed when the concentration
mole fraction term x that is used in Eqns 3.1 and of a solution is high.
3.2. Consequently, deviations from Raoult's law are Knowledge of the consequences of such marked
often exhibited by real solutions, and the previous deviations is particularly important in relation to the
equations are not obeyed in such cases. These equa- distillation of liquid mixtures. For example, the
tions can be modified, however, by substituting each complete separation of the components of a mixture
concentration term (x) by a measure of the effective by fractional distillation may not be achievable if
concentration; this is provided by the so-called large positive or negative deviations from Raoult's
activity (or thermodynamic activity), a. Thus, Eqn law give rise to the formation of so-called azeotropic
3.2 is converted into Eqn 3.3: mixtures with minimum and maximum boiling
points, respectively
35
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
the oppositely charged ions. Such solutes are termed drug, as it will be too ionized (see Chapter 16).
electrolytes, and their ionization (or dissociation) Absorption will normally have to wait until the more
has several consequences that are often important in alkaline intestine, where the ionization of the dis-
pharmaceutical practice. Some of these are dis- solved base is reduced.
cussed below.
36
PROPERTIES OF SOLUTIONS
lonization constants are usually expressed in terms of the drug and the pH of the solution are known.
of pKa for both acidic and basic drugs. From Eqn 3.7 Such calculations are particularly useful in deter-
it can be seen that the acid dissociation constant (KJ mining the degree of ionization of drugs in various
of a protonated weak base is given by: parts of the gastrointestinal tract and in the
plasma. The following examples are therefore
related to this type of situation.
log ! = 5.0-5.0 = 0
cu
and
Fig. 3.1 Change in degree of ionization and relative solubility
of weakly acidic and weakly basic drugs as a function of pH. c{:cu = antilog 0 = 1 : 1
37
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Buffer solutions and buffer capacity macopoeias. When selecting a suitable buffer the pKa
value of the acid should be close to the required pH
Buffer solutions will maintain a constant pH even and the compatibility of its components with other
when small amounts of acid or alkali are added to ingredients in the system should be considered. The
the solution. Buffers usually contain mixtures of a toxicity of buffer components must also be taken
weak acid and one of its salts, although mixtures of a into account if the solution is to be used for medici-
weak base and one of its salts may be used. The latter nal purposes.
suffer from the disadvantage that arises from the
volatility of many bases.
The action of a buffer solution can be appreciated
by considering a simple system such as a solution of COLLIGATIVE PROPERTIES
acetic acid and sodium acetate in water. The acetic
acid, being a weak acid, will be confined virtually to When a non-volatile solute is dissolved in a solvent
its undissociated form because its ionization will be certain properties of the resultant solution are largely
suppressed by the presence of common acetate ions independent of the nature of the solute and are
produced by complete dissociation of the sodium determined by the concentration of solute particles.
salt. The pH of this solution can be described by Eqn These properties are known as colligative proper-
3.17, which is a rearranged form of Eqn 3.12: ties. In the case of a non-electrolyte the solute parti-
cles will be molecules, but if the solute is an
electrolyte then its degree of dissociation will deter-
mine whether the particles will be ions only or a
It can be seen from Eqn 3.17 that the pH will remain mixture of ions and undissociated molecules.
constant as long as the logarithm of the ratio c{/cu The most important colligative property from a
does not change. When a small amount of acid is pharmaceutical point of view is referred to as
added to the solution it will convert some of the salt osmotic pressure. However, as all colligative prop-
into acetic acid, but if the concentrations of both erties are related to each other by virtue of their
acetate ion and acetic acid are reasonably large then common dependency on the concentration of the
the effect of the change will be negligible and the pH solute molecules, the remaining colligative proper-
will remain constant. Similarly, the addition of a ties (which are lowering of vapour pressure of the
small amount of base will convert some of the acetic solvent, elevation of its boiling point and depression
acid into its salt form, but the pH will be virtually of its freezing point) are of pharmaceutical interest.
unaltered if the overall changes in concentrations of These other observations offer alternative means to
the two species are relatively small. osmotic pressure determinations as methods of
If large amounts of acid or base are added to a comparing the colligative properties of different
buffer then changes in the log c;/cu term become solutions.
appreciable and the pH alters. The ability of a buffer
to withstand the effects of acids and bases is an
Osmotic pressure
important property from a practical point of view.
This ability is expressed in terms of buffer capacity The osmotic pressure of a solution is the external
(/3). This can be defined as being equal to the pressure that must be applied to the solution in order
amount of strong acid or strong base, expressed as to prevent it being diluted by the entry of solvent via
moles of H+ or OH~ ion, required to change the pH a process known as osmosis. This refers to the spon-
of 1 litre of the buffer by one pH unit. From the taneous diffusion of solvent from a solution of low
remarks above it should be clear that buffer capacity solute concentration (or a pure solvent) into a more
increases as the concentrations of the buffer compo- concentrated one through a semipermeable mem-
nents increase. In addition, the capacity is also brane. Such a membrane separates the two solutions
affected by the ratio of the concentrations of weak and is permeable only to solvent molecules.
acid and its salt, maximum capacity (]Smax) being Because the process occurs spontaneously at con-
obtained when the ratio of acid to salt = 1. In such stant temperature and pressure, the laws of thermo-
circumstances pH = pKa of the acid and /3max = dynamics indicate that it will be accompanied by a
0.576 (total buffer concentration). decrease in the so-called free energy (G) of the
The components of various buffer systems and the system. This free energy may be regarded as the
concentrations required to produce different pHs are energy available in the system for the performance of
listed in several reference books, such as the phar- useful work, and when an equilibrium position is
38
PROPERTIES OF SOLUTIONS
39
THE DESIGN OF DOSAGE FORMS
spective of their delivery route, remain foreign sub- lipid solubility of drugs, the pH change that occurs
stances to the human body, and distribution, metabolic along the gastrointestinal tract, from about 1 in the
and elimination processes commence immediately fol- stomach to approximately 7 or 8 in the large intestine,
lowing absorption until the drug is eliminated from the is important to both degree and site of drug absorp-
body via the urine, faeces, saliva, skin or lungs in either tion. As membranes are more permeable to unionized
unchanged or metabolized form. rather than ionized forms, and as most drugs are weak
acids or bases, it can be shown that weak acids, being
largely unionized, are well absorbed from the
Routes of drug administration stomach. In the small intestine (pH about 6.5), with
The absorption pattern of drugs varies considerably its extremely large absorbing surface, both weak acids
between individual substances as well as between the and weak bases are well absorbed.
different administration routes. Dosage forms are The most popular oral dosage forms are tablets,
designed to provide the drug in a suitable form for capsules, suspensions, solutions and emulsions.
absorption from each selected route of administra- Tablets are prepared by compression and contain
tion. The following discussion considers briefly the drugs and formulation additives, which are included
routes of drug administration, and although dosage for specific functions, such as disintegrants which
forms are mentioned this is intended only as an promote tablet break-up into granules and powder
introduction, as they will be dealt with in greater particles in the gastrointestinal tract, thereby facili-
detail in other parts of this book. tating drug dissolution and absorption. Tablets are
often coated, either to provide a protection against
environmental factors for drug stability purposes or
Oral route
to mask unpleasant drug taste, as well as to protect
The oral route is the one most frequently used for drugs from the acid conditions of the stomach
drug administration. Oral dosage forms are usually (enteric coating). Increasing use is being made of
intended for systemic effects resulting from drug modified-release tablet products, such as fast-dis-
absorption through the various epithelia and mucosa solving systems and controlled, delayed or sustained-
of the gastrointestinal tract. A few drugs, however, release formulations. The benefits of
are intended to dissolve in the mouth for rapid controlled-release tablet formulations, achieved for
absorption, or for local effect in the tract, either example by the use of polymeric-based tablet cores
because of the poor absorption by this route or or coating membranes, include reduced frequency of
because of their low aqueous solubility. Compared drug-related side-effects and the maintenance of
with other routes, the oral route is the simplest, most steady drug-plasma levels for extended periods.
convenient and safest means of drug administration. These factors are important when medications are
Disadvantages, however, include the relatively slow delivered for chronic conditions, or where constant
onset of action, the possibilities of irregular absorp- levels are required to achieve optimal efficacy, as in
tion and the destruction of certain drugs by the treating angina and hypertension.
enzymes and secretions of the gastrointestinal tract. Capsules are solid dosage forms containing drug
For example, insulin-containing preparations are and usually appropriate filler(s), enclosed in a hard
inactivated by the action of stomach fluids. or soft gelatin shell. As with tablets, uniformity of
Several specific features relating to drug absorption dose can be readily achieved and various sizes,
from the gastrointestinal tract can be emphasized in shapes and colours of shell are commercially avail-
the context of routes of administration. Changes in able. The gelatin shell readily ruptures and dissolves
drug solubility can result from reactions with other following oral administration, and in most cases the
materials present in the gastrointestinal tract, as for drug is released from a capsule faster than from a
example the interference of absorption of tetracyclines tablet. Recently, renewed interest has been shown in
through the formation of insoluble complexes with filling semisolid and microemulsion formulations
calcium, which can be available from foodstuffs or for- into hard gelatin capsules to provide rapidly dispers-
mulation additives. Gastric emptying time is an ing dosage forms for poorly soluble drugs.
important factor for effective drug absorption from Suspensions, which contain finely divided drugs
the intestine. Slow gastric emptying can be detrimen- suspended in a suitable vehicle, are a useful means of
tal to drugs inactivated by the gastric juices, or slow administering large amounts of drugs that would be
down the absorption of drugs that are more effectively inconvenient if taken in tablet or capsule form. They
absorbed from the intestine. In addition, because are also useful for patients who experience difficulty
environmental pH can influence the ionization and in swallowing tablets and capsules, and for paediatric
4
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
40
4
Rheology
Chris Marriott
41
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
42
RHEOLOGY
Relative and specific viscosities nate will yield the constant kr which is referred to as
the limiting viscosity number or the intrinsic viscosity,
The viscosity ratio or relative viscosity (rjr) of a solu-
[17], when the units of concentration are in g dL"1.
tion is the ratio of the solution viscosity to the vis-
The limiting viscosity number may be used to
cosity of the solvent (ryj:
determine the approximate molecular mass (M) of
polymers using the Mark-Houwink equation:
Intrinsic viscosity
fi
If -^-, the viscosity number or reduced viscosity is
determined at a range of polymer concentrations and
plotted as a function of concentration (Fig. 4.2), then Fig. 4.2 Plot of concentration (g dL^1) against reduced
a linear relationship should be obtained, and the inter- viscosity (T/sp/C), which by extrapolation gives the limiting
cept produced on extrapolation of the line to the ordi- viscosity number or intrinsic viscosity ([17]).
43
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Muggins' constant
Finally, the constant k2 in Eqn 4.11 is referred to as
Huggins' constant and is equal to the slope of the
plot shown in Figure 4.2. Its value gives an indica-
tion of the interaction between the polymer and the
Fig. 4.3 Velocity distributions across a pipe.
solvent, such that a positive slope is produced for a
polymer that interacts weakly with the solvent, and
the slope becomes less positive as the interaction layer adjacent to the wall to zero, represents an
increases. A change in the value of Huggins' con- important barrier to heat and mass transfer. In the
stant can be used to evaluate the interaction of drug case of a capillary tube then the two boundary layers
molecules with polymers. meet at the centre of the tube, such that the velocity
distribution is parabolic (Fig. 4.3). With an increase
in either the diameter of the tube or the fluid veloc-
Boundary layers ity, the proximity of the two boundary layers is
From Figure 4.1 it can be seen that the rate of flow reduced and the velocity profile becomes flattened at
of a fluid over an even surface will be dependent the centre (Fig. 4.3).
upon the distance from the surface. The velocity,
which will be almost zero at the surface, increases
with increasing distance from the surface until the
Laminar, transitional and turbulent flow
bulk of the fluid is reached and the velocity becomes The conditions under which a fluid flows through a
constant. The region over which differences in veloc- pipe, for example, can markedly affect the character
ity are observed is referred to as the boundary layer. of the flow. The type of flow that occurs can be best
Its depth is dependent upon the viscosity of the fluid understood by reference to experiments conducted
and the rate of flow in the bulk fluid: high viscosity by Reynolds in 1883. The apparatus used (Fig. 4.4)
and a low flow rate would result in a thick boundary consisted of a straight glass tube through which the
layer, which will become thinner as either the viscos- fluid flowed under the influence of a force provided
ity falls or the flow rate is increased. The boundary by a constant head of water. At the centre of the inlet
layer, which arises because of the intermolecular of the tube a fine stream of dye was introduced. At
forces between the liquid molecules and those of the low flow rates the dye formed a coherent thread
surface resulting in reduction of movement of the which remained undisturbed in the centre of the
44
RHEOLOGY
tube and grew very little in thickness along the and interchange across the tube is rapid. Thus in the
length. This type of flow is described as stream- latter case, for example, mass will be rapidly trans-
lined or laminar, and the liquid is considered to ported, whereas in streamline flow the fluid layers
flow as a series of concentric cylinders in a manner will act as a barrier to such transfer, which can only
analogous to an extending telescope. occur by molecular diffusion.
If the speed of the fluid is increased a critical veloc-
ity is reached at which the thread begins to waver and
then to break up, although no mixing occurs. This is
Determination of the flow properties of
known as transitional flow. When the velocity is
simple fluids
increased to high values the dye instantaneously A wide range of instruments exist that can be used to
mixes with the fluid in the tube, as all order is lost and determine the flow properties of Newtonian fluids.
irregular motions are imposed on the overall move- However, only some of these are capable of provid-
ment of the fluid. Such flow is described as turbu- ing data that can be used to calculate viscosities in
lent. In this type of flow the movement of molecules fundamental units: the design of many instruments
is totally haphazard, although the average movement precludes the calculation of absolute viscosities, as
will be in the direction of flow. they are capable of providing data only in terms of
Reynolds' experiments indicated that the flow empirical units.
conditions were affected by four factors, namely the It is not possible to describe all of the types of
diameter of the pipe and the viscosity, density and instrument used to measure viscosity, and conse-
velocity of the fluid. Furthermore, it was shown quently this section is limited to simple instruments
that these factors could be combined to give the specified in the European Pharmacopoeia (Ph. Eur.)
following equation: or the British Pharmacopoeia (BP).
Capillary viscometers
where p is the density, u is the velocity and 17 is the A capillary viscometer can be used to determine vis-
dynamic viscosity of the fluid; d is the diameter of the cosity provided that the fluid is Newtonian and the
pipe. Re is known as Reynolds' number and, provided flow is streamlined. The rate of flow of the fluid
compatible units are used, it will be dimensionless. through the capillary is measured under the
Values of Reynolds' number have been deter- influence of gravity or an externally applied pressure.
mined that can be associated with a particular type Ostwald U-tube viscometer Such instruments are
of flow. If it is below 2000 then streamline flow will described in pharmacopoeias and are the subject of
occur, but if it is above 4000 then flow will be tur- a specification of the International Standards
bulent. In between these two values the nature of the Organization. A range of capillary bores are available
flow will depend upon the surface over which the and an appropriate one should be selected so that a
fluid is flowing. For example, if the surface is smooth flow time of approximately 200 s is obtained; the
then streamline flow may not be disturbed and may wider-bore viscometers are thus for use with fluids of
exist at values of Reynolds' number above 2000. higher viscosity. For fluids where there is a viscosity
However, if the surface is rough or the channel tor- specification in the BP, the size of instrument that
tuous then flow may well be turbulent at values must be used in the determination of their viscosity
below 4000, and even as low as 2000. Consequently, is stated. The instrument is shown in Figure 4.5 and
although it is tempting to state that values of flow through the capillary occurs under the influence
Reynolds' number between 2000 and 4000 are of gravity. The maximum shear rate, ym is given by:
indicative of transitional flow, such a statement
would only be correct for a specific set of conditions.
This also explains why it is difficult to demonstrate
transitional flow practically. However, Reynolds' where p is the density of the fluid, g the acceleration
number is still an important parameter and can be due to gravity, rc the radius of the capillary and 17 the
used to predict the type of flow that will occur in a absolute viscosity. Consequently, for a fluid of vis-
particular situation. The importance of knowing the cosity 1 mPa s the maximum shear rate is approxi-
type of flow lies in the fact that with streamline flow mately 2.103 s"1 if the capillary has a diameter of
there is no component at right-angles to the direc- 0.64 mm, but it will be of the order of 102 s"1 for a
tion of flow, so that fluid cannot move across the fluid with a viscosity of 1490 mPa s if the capillary
tube. This component is strong for turbulent flow has a diameter of 2.74 mm.
45
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
The liquid is introduced into the viscometer up to tube W until the meniscus is just above mark E. The
mark G through arm V using a pipette long enough time for the meniscus to fall between marks E and F
to prevent wetting the sides of the tube. is recorded. Determinations should be repeated until
The viscometer is then clamped vertically in a three readings all within 0.5 s are obtained. Care
constant-temperature water bath and allowed to should be taken not to introduce air bubbles and
reach the required temperature. The level of the that the capillary does not become partially occluded
liquid is adjusted and is then blown or sucked into with small particles.
46
RHEOLOGY
Suspended-level viscometer This instrument is a stant, these can be included in a constant and Eqn
modification of the U-tube viscometer which avoids 4.17 can be written for the viscosities of an unknown
the need to fill the instrument with a precise volume of and a standard liquid:
fluid. Also, the fact that the pressure head in the U-
tube is continually changing as the two menisci
approach one another is avoided. This is also described
in the BP and the Ph. Eur. and is shown in Figure 4.6.
Thus, when the flow times for two liquids are com-
A volume of liquid which will at least fill bulb C is
pared using the same viscometer, division of Eqn
introduced via tube V. The only upper limit on the
4.18 by Eqn 4.19 gives:
volume used is that it should not block the ventilating
tube Z. The viscometer is clamped vertically in a con-
stant-temperature water bath and allowed to attain the
required temperature. Tube Z is closed and fluid is
and reference to Eqn 4.4 shows that Eqn 4.20 will
drawn into bulb C by the application of suction
yield the viscosity ratio.
through tube W until the meniscus is just above the
However, as Eqn 4.3 indicates that the kinematic
mark E.Tube W is then closed and tube Z opened so
viscosity is equal to the dynamic viscosity divided by
that liquid can be drawn away from the bottom of the
the density, then Eqn 4.20 may be rewritten as:
capillary. Tube W is then opened and the time the fluid
takes to fall between marks E and F is recorded. If at
any time during the determination the end of the ven-
tilating tube Z becomes blocked by the liquid, the
For a given viscometer a standard fluid such as water
experiment must be repeated. The same criteria for
can be used for the purposes of calibration. Then,
reproducibility of timings described with the U-tube
Eqn 4.21 may be rewritten as:
viscometer must be applied.
Because the volume of fluid introduced into the
instrument can vary between the limits described
where c is the viscometer constant.
above, this means that measurements can be made at
This is the equation that appears in the BP and
a range of temperatures without the need to adjust
explains the continued use of the kinematic viscosity as
the volume.
it means that liquids of known viscosity but of differing
density from the test fluid can be used as the standard.
A series of oils of given viscosity are available commer-
Calculation of viscosity from capillary cially and are recommended for the calibration of vis-
viscometers cometers for which water cannot be used.
Poiseuille's law states that for a liquid flowing
through a capillary tube
Falling-sphere viscometer
This viscometer is based upon Stokes' law (Chapter
6). When a body falls through a viscous medium it
where r is the radius of the capillary, t is the time of
experiences a resistance or viscous drag which opposes
flow, P is the pressure difference across the ends of
the downward motion. Consequently, if a body falls
the tube, L is the length of the capillary and V is the
through a liquid under the influence of gravity, an
volume of liquid. As the radius and length of the cap-
initial acceleration period is followed by motion at a
illary as well as the volume flowing are constants for
uniform terminal velocity when the gravitational force
a given viscometer, then
is balanced by the viscous drag. Equation 4.23 will
then apply to this terminal velocity when a sphere of
density ps and diameter d falls through a liquid of vis-
4
where K is equal to -^ cosity 17 and density pl. The terminal velocity is u and
SL,y g is the acceleration due to gravity:
The pressure difference, P, depends upon the
density, p, of the liquid, the acceleration due to
gravity, g, and the difference in heights of the two
menisci in the two arms of the viscometer. Because The viscous drag is given by the left-hand side of equa-
the value of g and the level of the liquids are con- tion, whereas the right-hand side represents the force
47
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
48
RHEOLOGY
Fig. 4.8 Flow curves or rheograms representing the behaviour of various materials, (a) Newtonian, (b) plastic, (c) pseudoplastic and
(d) dilatant.
49
THE DESIGN OF DOSAGE FORMS
use. Whereas dissolution of drugs is required prior to mentioned, drugs in solution are rapidly absorbed and
absorption following administration, fine particles so injection suspensions are slower acting than solu-
with a large surface area are presented to dissolving tions. In addition, because body fluids are aqueous, by
fluids, which facilitate dissolution in the gastroin- using drugs suspended in oily vehicles a preparation
testinal tract, absorption, and hence the onset of exhibiting slower absorption characteristics can be
drug action. Not all oral suspensions are formulated formulated to provide a depot preparation, providing
for systemic effects however, and several, for a reservoir of drug which is slowly released into the
example kaolin and morphine mixture, are designed systemic circulation. Such preparations are adminis-
for local effects in the gastrointestinal tract. On the tered by intramuscular injection deep into skeletal
other hand, solutions, including formulations such muscles (e.g. several penicillin-containing injections).
as syrups and linctuses, are absorbed more rapidly Alternatively, depot preparations can be achieved by
than solid dosage forms or suspensions, as drug dis- subcutaneous implants or pellets, which are com-
solution is not required. pressed or moulded discs of drug placed in loose sub-
cutaneous tissue under the outer layers of the skin.
Such systems include solid microspheres, polymeric
Rectal route
biodegradable polymeric microspheres (e.g. polylac-
Drugs given rectally in solution, suppository or tide co-glycollic acid homo- and copolymers) con-
emulsion form are generally administered for local taining proteins or pep tides (e.g. human growth
rather than systemic effects. Suppositories are solid hormone and leuprolide). More generally, subcuta-
forms intended for introduction into body cavities neous injections are aqueous solutions or suspensions
(usually rectal, but also vaginal and urethral), where that allow the drug to be placed in the immediate
they melt, releasing the drug, and the choice of sup- vicinity of blood capillaries. The drug then diffuses
pository base or drug carrier can greatly influence into the capillaries. The inclusion of vasoconstrictors
the degree and rate of drug release. This route of or vasodilators in subcutaneous injections will clearly
administration is indicated for drugs that are inacti- influence blood flow through the capillaries, thereby
vated by the gastrointestinal fluids when given orally, modifying the capacity for absorption. This principle
or when the oral route is precluded, as for example is often used in the administration of local anaesthet-
when a patient is vomiting or unconscious. Drugs ics with the vasoconstrictor adrenaline, which delays
administered rectally also enter the systemic circula- drug absorption. Conversely, improved drug absorp-
tion without passing through the liver, an advantage tion can result when vasodilators are included.
for drugs that are significantly inactivated by the liver Intravenous administration involves the injection of
following oral absorption. However, the rectal route sterile aqueous solutions directly into a vein at an
is inconvenient and drug absorption is often irregu- appropriate rate. Volumes delivered can range from a
lar and difficult to predict. few millilitres, as in emergency treatment or for hyp-
notics, up to litre quantities, as in replacement fluid
treatment or nutrient feeding.
Parenteral route
Given the generally negative patient acceptance of
A drug administered parenterally is one injected via this important route of drug delivery, primarily asso-
a hollow needle into the body at various sites and to ciated with pain and inconvenience, recent develop-
varying depths. The three main parenteral routes are ments have focused on 'needle-free' injection
subcutaneous (s.c.), intramuscular (i.m.) and intra- systems which propel drugs in aqueous solution or
venous (i.v.). Other routes, such as intracardiac and powder form at high velocity directly through the
intrathecal, are used less frequently. The parenteral external layers of the skin.
route is preferred when rapid absorption is essential,
as in emergency situations or when patients are
Topical route
unconscious or unable to accept oral medication,
and in cases when drugs are destroyed or inactivated Drugs are applied topically, that is to the skin,
or poorly absorbed following oral administration. mainly for local action. Although this route can also
Absorption after parenteral drug delivery is rapid be used for systemic drug delivery, percutaneous
and, in general, blood levels attained are more pre- absorption is often poor and erratic, although several
dictable than those achieved by oral dosage forms. transdermal patches delivering drug for systemic dis-
Injectable preparations are usually sterile solutions tribution are available (e.g. glyceryl trinitrate patches
or suspensions of drugs in water or other suitable for the prophylaxis and treatment of angina). Drugs
physiologically acceptable vehicles. As previously applied to the skin for local effect include antiseptics,
5
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
50
RHEOLOGY
51
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
the shear stress, as this will affect the degree of Determination of the flow properties of
breakdown. non-Newtonian fluids
In some cases the structure that has been
destroyed is never recovered, no matter how long the With such a wide range of rheological behaviours it is
system is left unsheared. Repeat determinations of extremely important to carry out measurements that
the flow curve will then produce only the downcurve will produce meaningful results. It is crucial therefore
which was obtained in the experiment that resulted not to use a determination of viscosity at one shear
in the destruction. It is suggested that such behav- rate (such as would be acceptable for a Newtonian
iour be referred to as 'shear destruction' rather than fluid), as it could lead to completely erroneous com-
thixotropy which, as will be appreciated from the parative results. Figure 4.12 shows rheograms which
above, is a misnomer in this case. are an example of the four different types of flow
An example of such behaviour are the gels behaviour, all of which intersect at point A, which is
produced by high molecular weight polysaccharides equivalent to a shear rate of 100 s-1.Therefore, if a
which are stabilized by large numbers of measurement were made at this one shear rate, all
secondary bonds. Such systems undergo extensive four materials would be shown to have the same vis-
reorganization during shearing, such that the cosity although they all possess different properties
three-dimensional structure is reduced to a two- and behaviours. Single-point determinations are
dimensional one: the gel-like nature of the original is probably an extreme example but are used to empha-
then never recovered. size the importance of properly designed experiments.
The occurrence of such complex behaviour
creates problems in the quantitative classification Rotational viscometers
because not only will the apparent viscosity change
with shear rate, but there will also be two viscosities These instruments rely on the viscous drag exerted
that can be calculated for any given shear rate (i.e. on a body when it is rotated in the fluid to deter-
from the upcurve and the downcurve). It is usual to mine the viscosity of the fluid. The major advantage
attempt to calculate one viscosity for the upcurve of such instruments is that wide ranges of shear rate
and another for the downcurve. This must of course can be achieved, and often a programme of shear
assume that each of the curves achieves linearity over rates can be produced automatically. Thus, the flow
some of its length, otherwise a denned shear rate curve of a material may be obtained directly. A
must be used; only the former situation is truly sat- number of commercial instruments are available but
isfactory. Each of the lines used to derive the viscos- each shares a common feature in that various mea-
ity may be extrapolated to the shear stress axis to suring geometries can be used: often these have
give an associated yield value. However, only the one been concentric cylinder (or couette) and cone-
derived from the upcurve has any significance, as
that derived from the downcurve will relate to the
broken-down system. Consequently, the most useful
index of thixotropy can be obtained by integration of
the area contained within the loop. This will not of
course take into account the shape of the up- and
downcurves, and consequently two materials may
produce loops of similar area but with completely
different shapes representing totally different flow
behaviours. In order to prevent confusion it is best to
adopt a method whereby an estimate of area is
accompanied by yield value(s). This is particularly
important when complex upcurves exhibiting bulges
are obtained, although it is now acknowledged that
when these have been reported in the literature they
might well have been a consequence of the design of
the instrument, rather than providing information on
three-dimensional structure. The evidence for this is
based on the flow curves produced using more
modern instruments, which do not exhibit the same, Fig. 4.12 Explanation of the effect of single-point viscosity
if any, bulges. determination and the resultant errors.
52
RHEOLOGY
plate, although parallel-plate geometry is sometimes (Fig. 4.13). In older types of instrument the outer
preferred. cylinder is rotated and the viscous drag exerted by
Concentric cylinder In this geometry there are the fluid is transmitted to the inner cylinder as a
two coaxial cylinders of different diameters, the torque, so that it rotates against a transducer such as
outer forming the cup containing the fluid in which a fine torsion wire. The stress on this inner cylinder
the inner cylinder or bob is positioned centrally is indicated by the angular deflection, 6, once equi-
librium (i.e. steady flow) has been attained. The
torque, T, can then be calculated from:
53
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
more modern examples, have been modified to 2. With concentric cylinder geometry the sample
make measurements both easier and more accu- will climb up the spindle of the rotating inner
rate. The common modification is to make one part cylinder (Weissenberg effect).
of the geometry, usually the plate or the outer cylin-
The reason for both these phenomena is the same, in
der, stationary and to rotate the other member at a
that the liquids are not exhibiting purely viscous
constant speed. A torque sensor can then measure
behaviour but are viscoelastic. Such materials display
the developed shear stress. An alternative is to rotate
solid and liquid properties simultaneously, and the
the upper member under a constant stress when the
factor that governs the actual behaviour is time. A
developed shear rate is measured. Such controlled
whole spectrum of viscoelastic behaviour exists,
stress instruments consist of a specially designed
from materials which are predominantly liquid to
induction motor which generates a torque that is
those that are predominantly solid. Under a constant
independent of the degree or rate of rotation. Torque
stress all of these materials will dissipate some of the
is not measured, as it is defined by the way the power
energy in viscous flow and store the remainder,
is fed to the motor, which is connected to the mea-
which will be recovered when the stress is removed.
suring geometry through a rigid drive chain so that
The type of response can be seen in Figure 4.15(a),
no motion is lost in the deflection of a torque sensor.
where a small, constant stress has been applied to a
It is then necessary only to detect the movement of
2% gelatin gel and the resultant change in shape
the drive system and its associated measuring geom-
(strain) is measured. In the region A-B an initial
etry by, for example, an optical encoder, in order to
elastic jump is observed, followed by a curved region
obtain the shear rate or strain. Both designs have
B-C when the material is attempting to flow as a
been the subject of considerable sophistication,
viscous fluid but is being retarded by its solid char-
including the use of microcomputers for program-
acteristics. At longer times equilibrium is estab-
ming and data analysis. Also, having one part of the
lished, such that for a system like this, which is
geometry stationary means that it can be circulated
ostensibly liquid, viscous flow will eventually pre-
with water or other fluid at a temperature appropri-
dominate and the curve will become linear (C-D). If
ate to the measurement.
the concentration of gelatin in the gel had been
Concentric cylinder viscometers are very useful
increased to 30% then the resultant material would
for Newtonian and non-Newtonian fluids provided
be more solid-like and no flow would be observed at
the latter are not too solid-like in nature. Wide ranges
longer times, and the curve would level out as shown
of shear rate can be achieved by varying the diame-
in Figure 4.15(b). In the case of the liquid system,
ters of the cylinders. However, this geometry does
when the stress is removed only the stored energy
suffer from disadvantages, the major one being that
will be recovered, and this is exhibited by an initial
the shear rate across the gap is not constant, and this
elastic recoil (D-E, Fig. 4.15(a)) equivalent to the
is especially the case when the gap is large. Also, the
region A-B and a retarded response E-F equivalent
end effects can be significant, as Eqn 4.32 only takes
to B-C. There will be a displacement from the start-
into account the surfaces of the walls of the cylinders
and not the ends. These end effects are usually
accounted for by calibration of the instrument with a
fluid of known viscosity. Frictional heating can be a
problem at high shear rates, and so temperature
control is essential with such instruments. Filling
and cleaning are often difficult when the gap is small,
but if it is large then the volume of sample required
may be prohibitive.
Viscoelasticity
In the experiments described for rotational vis-
cometers two observations are often made with
pharmaceutical materials:
1. With cone-plate geometry the sample appears to
'roll up' and at high shear rates and is ejected Fig. 4.15 Creep (or compliance) curves for (a) an
from the gap. uncrosslinked system and (b) a crosslinked system.
54
RHEOLOGY
Creep testing
Both the experimental curves shown in Figure 4.15 are
examples of a phenomenon known as creep. If the
measured strain is divided by the stress - which, it
should be remembered, is constant - then a compli-
ance will be produced. The resultant curve, which will
have the same shape as the original strain curve, then
becomes known as a creep compliance curve and, as
compliance is the reciprocal of elasticity, it will have the
units m2 N-1 or Pa'1. If the applied stress is below a
certain limit (known as the linear viscoelastic limit) it
will be directly related to the strain and the creep com-
pliance curve will have the same shape and magnitude
regardless of the stress used to obtain it. This curve
therefore represents a fundamental property of the
system, and derived parameters are characteristic and
independent of the experimental method. For
example, although it is common to use either cone-
plate or concentric cylinders with viscoelastic pharma-
ceuticals, almost any measuring geometry can be used
provided the shape of the sample can be denned.
It is common to analyse the creep compliance
curve in terms of a mechanical model. An example of
such a model is shown in Figure 4.16. This figure
also indicates the regions on the curve shown in
Figure 4.15(a) to which the components of the
model relate. Thus, the instantaneous jump can be
described by a perfectly elastic spring and the region
of viscous flow by a piston fitted into a cylinder con-
taining an ideal Newtonian fluid (this arrangement is
referred to as a dashpot). In order to describe the
behaviour in the intermediate region it is necessary
to combine both these elements in parallel, such that
Fig. 4.16 Mechanical model representation of a creep
the movement of the spring is retarded by the piston; compliance curve.
this combination is known as a Voigt unit. It is
implied that the elements of the model do not move
until the preceding one has become fully extended, lated for the single dashpot (Fig. 4.16) from the rec-
and although it is not feasible to associate the ele- iprocal of the slope of the linear part of the creep
ments of the model with the molecular arrangement compliance curve. This viscosity will be several
of the material it is possible to ascribe viscosities to orders of magnitude greater than that obtained by
the fluids in the cylinders and elasticities (or compli- the conventional rotational techniques, and may be
ances) to the springs. Thus, a viscosity can be calcu- considered to be that of the rheological ground state
55
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
(170) as the creep test is non-destructive and should required to maintain that strain is measured as a func-
produce the same viscosity however many times it is tion of time. In this instance a spring and dashpot in
repeated on the same sample. This is in direct con- series (Maxwell unit) can be used to describe the
trast to continuous shear measurements, which behaviour. Initially the spring will extend, and will then
destroy the structure being measured and with contract as the piston flows in the dashpot. Eventually
which it is seldom possible to obtain the same result the spring will be completely relaxed but the dashpot
on subsequent experiments on the same sample.The will be displaced, and in this case the ratio of viscosity
compliance (J0) of the spring can be measured to elasticity is referred to as the relaxation time.
directly from the height of region A-B (Fig. 4.15(a))
and the reciprocal of this value will yield the elastic-
Dynamic testing
ity, E0. It is often the case that this value, together
with n0, provides an adequate characterization of the Both creep and relaxation experiments are consid-
material. However, the remaining portion of the ered to be static tests. Viscoelastic materials can also
curve can be used to derive the viscosity and elastic- be evaluated by means of dynamic experiments,
ity of the elements of the Voigt unit. The ratio of the whereby the sample is exposed to a forced sinusoidal
viscosity to the elasticity is known as the retardation oscillation and the transmitted stress measured.
time, T, and is a measure of the time taken for the Once again, if the linear viscoelastic limit is not
unit to deform to 1/e of its total deformation. exceeded then the stress will also vary sinusoidally
Consequently, more rigid materials will have longer (Fig. 4.17). However, because of the nature of the
retardation times and the more complex the material material energy will be lost, so that the amplitude of
the greater number of Voigt units that are necessary the stress wave, will be less than that of the strain
to describe the creep curve. wave, it will also lag behind the strain wave. If the
It is also possible to use a mathematical expression amplitude ratio and the phase lag can be measured,
to describe the creep compliance curve: then the elasticity, referred to as the storage
modulus, G', is given by:
Fig. 4.17 Sine waves showing the stress wave lagging behind the strain wave by 60 during dynamic viscosity testing.
56
RHEOLOGY
where co is the frequency of oscillation in rad (s"1)- flow lines around the particles; in this situation the
From Eqns 4.35 and 4.36 it can be seen that: Einstein equation (Eqn 4.6) may apply. As the sus-
pension becomes more concentrated and the parti-
cles come into contact, then dilatancy will occur.
Many pharmaceutical products, particularly those
and tan 8 is known as the loss tangent. Thus, a per- for children, are presented as suspensions and their
fectly elastic material would produce a phase lag of rheological properties are important. In general
0, whereas for a perfect fluid it would be 90. these properties must be adjusted so that:
Finally, the concepts of liquid-like and solid-like 1. the product is easily administered (e.g. easily
behaviour can be explained by the dimensionless poured from a bottle or forced through a syringe
Deborah number (De), which finds expression as:
needle);
2. sedimentation is either prevented or retarded; if
it does occur, redispersion is easy;
3. the product has an elegant appearance.
where T is a characteristic time of the material and T
is a characteristic time of the deformation process.
For a perfectly elastic material r will be infinite, Deflocculated particles in Newtonian vehicles
whereas for a Newtonian fluid it will be zero. High
Deborah numbers can be produced either by high When such systems sediment a compact sediment or
values of r or as small values of T. The latter will cake is produced which is difficult to redisperse.The
occur in situations where high rates of strain are rate of sedimentation can be reduced by increasing
experienced, for example slapping water with the the viscosity of the continuous medium, which will
hand. Also, even solid materials would be predicted remain Newtonian. However, there is a limit to
to flow if a high enough stress were applied for a which this viscosity can be increased because
sufficiently long time. difficulty will be experienced, for example, in
pouring the suspension from a bottle. Furthermore,
if sedimentation does occur, then subsequent redis-
Suspensions persion may be even more difficult.
The rheological properties of suspensions are
markedly affected by the degree of flocculation (see
Deflocculated particles in non-Newtonian
Chapter 6). The reason for this is that the amount of
vehicles
free continuous phase is reduced, as it becomes
entrapped in the diffuse floccules. Consequently, the Only pseudoplastic or plastic dispersion media can
apparent viscosity of a flocculated suspension is nor- be used in the formulation of suspensions and both
mally higher than that of a suspension which is in all will retard the sedimentation of small particles, as
ways similar, with the exception that it is defloccu- their apparent viscosities will be high under the small
lated. In addition, when a disperse system is highly stresses associated with sedimentation. Also, as the
flocculated then the possibility of interaction medium will undergo structural breakdown under
between floccules occurs and structured systems the higher stresses involved in shaking and pouring,
result. If the forces bonding floccules together are both these processes are facilitated.
capable of withstanding weak stresses then a yield The hydrocolloids used as suspending agents,
value will result, and below this value the suspension such as acacia, tragacanth, methylcellulose, gelatin
will behave like a solid. Once the yield value has been and sodium carboxymethylcellulose, all impart non-
exceeded the amount of structural breakdown Newtonian properties - normally pseudoplasticity -
increases with increased shear stress. Therefore, to the suspensions. Thixotropy can occur and this is
flocculated suspensions will exhibit plastic or, more particularly the case with the mineral clays, such as
usually, pseudoplastic behaviour. Obviously, if the bentonite (which must only be used in suspensions
breakdown and reformation of the bonds between for external use). The three-dimensional gel network
floccules is time dependent then thixotropic behav- traps the deflocculated particles at rest and their sed-
iour will also be observed. imentation is retarded and may be completely pre-
The formation of structures does not occur in vented. The gel network is destroyed during shaking
deflocculated suspensions and so their rheological so that administration is facilitated. It is desirable
behaviour is determined by that of the continuous that the gel network is reformed quickly so that dis-
phase together with the effect of distortion of the persion of the particles is maintained.
57
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Flocculated particles in Newtonian vehicles the drug is dissolving will exhibit Newtonian behav-
iour. However, in the stomach the presence of the
Such particles will still sediment, but because the high molecular weight glycoproteins from mucus in
aggregates are diffuse a large volume sediment is acid solution will only be Newtonian up to a con-
produced and, as such, is easier to disperse. These centration of about 2%, beyond which it will exhibit
systems are seldom improved by an increase in the non-Newtonian behaviour. In addition, the use of
viscosity of the continuous phase as this will only hydrocolloids will contribute to this effect and it has
influence the rate of sedimentation. The major been shown that their inclusion in formulations can
problem is one of pharmaceutical inelegance, in that affect bioavailability. However, both increases and
the sediment does not fill the whole of the fluid decreases in bioavailability have been reported, and
volume. Methods of improving such products are it is not clear whether the effect is simply due to the
given in Chapters 6 and 23. modification of rheological properties or whether
there has been an effect on gastrointestinal transit.
Flocculated particles in non-Newtonian vehicles Attempts to predict this decrease in absorption
have been made by the inclusion of natural or syn-
These systems combine the advantages of both thetic polymers in the dissolution medium used for
methods. Furthermore, variations in the properties in vitro studies. Some studies have shown that it is
of the raw materials to be suspended are unlikely to not the bulk viscosity of the dissolution medium that
influence the performance of a product made on is of importance, but rather the 'effective viscosity'.
production scale. Consequently, less difference will Also, it is by no means certain that these polymers
be observed between batches made by the same will behave in the same manner as the macromole-
method and plant. cules that will be encountered in the gastrointestinal
tract. Furthermore, it is impossible to carry out a
Emulsions dissolution test in an environment that relates to
conditions in the region of the gut wall.
Because nearly all but the most dilute of medicinal This viscosity effect will also operate at other drug
emulsions exhibit non-Newtonian behaviour, their delivery sites. For example, the absorption of drugs
rheological characteristics have a marked effect on by the skin and from injection sites will be decreased
their usefulness. The fluid emulsions are usually by an increase in the viscosity of the vehicle. Indeed,
pseudoplastic, and those approaching a semisolid in the case of injections the creation of a depot with
nature behave plastically and exhibit marked yield a highly viscoelastic nature should result in pro-
values. The semisolid creams are usually viscoelastic. longed delivery of the drug.
A considerable variety of pharmaceutical products A proper understanding of rheological behaviour,
can be formulated by altering the concentration of both in the formulation and, if possible, at the absorp-
the disperse phase and the nature and concentration tion site, is essential in any evaluation of bioavailability.
of the emulsifying agent. The latter can be used to
confer viscoelastic properties on a topical cream
merely by varying the ratio of surface-active agent to
long-chain alcohol. These aspects are discussed BIBLIOGRAPHY
further in Chapters 23 and 33.
Barnes, H.A., Hutton, J.F. and Walters, K. (1989) An
Introduction to Rheology, Elsevier Science, Amsterdam.
Barry, B.W. (1974) Advances in Pharmaceutical Sciences, (Eds
H.S. Bean, A.W. Beckett and J.E. Carless), Vol 4, Chapter
THE EFFECT OF RHEOLOGICAL 1, Academic Press, London.
PROPERTIES ON BIOAVAILABILITY Ferry, J.D. (1980) Viscoelastic Properties of Polymers., John
Wiley & Sons, New York.
Lapasin, R. and Pricl, S. (1999) Rheology of Industrial
The presence of the diffusion coefficient which is Polysaccharides: Theory and Applications, Aspen Publishers,
inversely related to viscosity in the constant k of the Gaithersburg.
Noyes-Whitney equation (Chapter 2) means that Ross-Murphy, S.B. (1994) In: Physical Techniques for the Study
the rate of dissolution of a drug particle will be of Food Biopolymers, (Ed. S.B. Ross-Murphy), Chapter 7,
Blackie Academic & Professional, Glasgow.
decreased as the viscosity of the dissolution medium Schott, H. (1990) In: Remington's Pharmaceutical Sciences,
is increased. This will apply to both in vitro and in 18th edn (Ed. R. Gennaro), Chapter 20, Mack Publishing
vivo situations, and usually the medium into which Co., Easton, Pennsylvania.
58
5
Surface and interfacial phenomena
John Fell
59
THE DESIGN OF DOSAGE FORMS
antifungals, anti-inflammatory agents, as well as skin stances to achieve a stable, effective product. These
emollients for protective effects. properties, such as dissolution, crystal size and poly-
Pharmaceutical topical formulations - ointments, morphic form, solid-state stability and drug - addi-
creams and pastes - are composed of drug in a suit- tive interactions, can have profound effects on the
able semisolid base which is either hydrophobic or physiological availability and physical and chemical
hydrophilic in character. The bases play an impor- stability of the drug. By combining such data with
tant role in determining the character of drug release those from pharmacological and biochemical studies,
from the formulation. Ointments are hydrophobic, the most suitable drug form and additives can be
oleaginous-based dosage forms, whereas creams are selected for the formulation of chosen dosage forms.
semisolid emulsions. Pastes contain more solids than Although comprehensive property evaluation will not
ointments and thus are stiffer in consistency. For be required for all types of formulations, those prop-
topical application in liquid form other than solu- erties that are recognized as important in dosage
tion, lotions - suspensions of solids in aqueous solu- form design and processing are listed in Table 1.3,
tion - or emulsions are used. More recently, interest together with the stresses to which the formulation
in transdermal electrotransport systems has grown. might be exposed during processing and manipula-
Here a low electrical potential maintained across the tion into dosage forms, as well as the procedures
skin can improve drug transport. involved. Variations in physicochemical properties,
The application of drugs to other topical surfaces, occurring for example between batches of the same
such as the eye, ear and nose, is common and oint- material or resulting from alternative treatment pro-
ments, creams, suspensions and solutions are utilized. cedures, can modify formulation requirements as
Ophthalmic preparations are required, among other well as processing and dosage form performance. For
features, to be sterile. Nasal dosage forms include instance, the fine milling of poorly soluble drug sub-
solutions or suspensions delivered by drops or fine stances can modify their wetting and dissolution
aerosol from a spray. Ear formulations in general are characteristics, properties that are important during
viscous to prolong contact with affected areas. granulation and product performance, respectively.
Careful evaluation of these properties and under-
standing of the effects of these stresses upon these
Respiratory route
parameters is therefore important in dosage form
The lungs provide an excellent surface for absorp- design and processing, as well as in product perfor-
tion when the drug is delivered in gaseous, aerosol mance.
mist or ultrafine solid particle form. For drug pre-
sented in an aerosol or solid form, particle size
largely determines the extent to which they penetrate
Particle size and surface area
the alveolar region, the zone of rapid absorption. Particle size reduction results in an increase in the
Particles in the region 0.5-1 Jim diameter reach the specific surface (i.e. surface area per unit weight) of
alveolar sacs. Particles outside this range are either powders. Drug dissolution rate, absorption rate,
exhaled or deposited upon larger bronchial airways. dosage form content uniformity and stability are all
This delivery route has been found particularly dependent to varying degrees on particle size, size
useful for the treatment of asthmatic problems, using distribution and interactions of solid surfaces. In
both powder aerosols (e.g. sodium cromoglycate) many cases, for both drugs and additives particle size
and metered aerosols containing the drug in reduction is required to achieve the desired physio-
liquefied inert propellant (e.g. salbutamol sulphate chemical characteristics.
aerosol). Importantly, this delivery route is being It is now generally recognized that poorly aqueous-
increasingly recognized as a means of administering soluble drugs showing a dissolution rate-limiting step
the therapeutic agents emerging from biotechnology, in the absorption process will be more readily
such as peptides and proteins. bioavailable when administered in a finely subdivided
form with larger surface than as a coarse material.
Examples include griseofulvin, tolbutamide,
indomethacin, spironolactone and nifedipine. The
DRUG FACTORS IN DOSAGE FORM fine material, often in micrometre or submicrometre
DESIGN (nanometre) form with large specific surface, dis-
solves at a faster rate, which can lead to improved
Each type of dosage form requires careful study of drug absorption by passive diffusion. On the other
the physical and chemical properties of drug sub- hand, with formulated nitrofurantoin preparations an
6
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
60
SURFACE AND INTERRACIAL PHENOMENA
61
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
62
SURFACE AND INTERRACIAL PHENOMENA
63
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Contact angle tive, hence cos6 must be positive, i.e. the contact
angle, 6, must be less than 90.
If a drop of liquid is placed on a flat, smooth, hori- The determination of contact angles for materials
zontal solid surface it may spread completely, but is
that are available as flat smooth solid surfaces is rel-
more likely to form a drop. This drop will exhibit a atively straightforward. A drop of liquid is placed on
definite angle against the solid, known as the contact the surface and the angle it makes with the surface
angle (Fig. 5.9). By equating the horizontal compo- can be measured directly by magnifying the drop in
nent of the various interfacial tensions, the following some way. Unfortunately, most materials of pharma-
equation (Young's equation) is derived:
ceutical interest are powders, and direct measure-
ment on individual particles is not usually possible.
Direct measurement can be achieved by compress-
The work of adhesion between the solid and the ing the powder into a compact. The problem here is
liquid is given by the appropriate form of the Dupre
that the application of high pressure may change the
equation (Eqn 5.7):
characteristics of the particles and alter the contact
angle. Figure 5.10 shows this has occurred with
amylobarbitone, the measured contact angle chang-
Combining this with Eqn 5.16 gives the following:
ing as the pressure is increased. The h-e method also
uses a compact, but prepared at a lower pressure and
saturated with the test liquid. A liquid drop is then
This means that the work of adhesion between the
formed on the surface of this saturated compact and
solid and the liquid can be determined in terms of the maximum height of this drop is related to the
measurable quantities. contact angle.
In a similar manner to liquids, a spreading Another method that uses a compact is dynamic
coefficient (S) for a liquid on a solid may be defined contact angle analysis. Here the powder is com-
as: pressed into a thin rectangular plate and the method
used is the same as the Wilhelmy plate method for
measuring surface tension. The liquid forms a
which will give a measure of how well a liquid will contact angle with the plate, as shown in Figure 5.11.
spread on a solid. If a liquid is penetrating into a cap- The contact angle is given by:
illary, for example the pores in a powder bed or a
tablet, the value of interest is the adhesion tension
(AT), given by:
64
SURFACE AND INTERRACIAL PHENOMENA
Acetylsalicylic acid 74
Amylobarbitone 102
Diazepam 83
Lactose 30
Magnesium stearate 121
Fig. 5.11 Measurement of contact angles using dynamic
contact angle analysis. Paracetamol 59
Digoxin 49
Ampicillin 35
Compare this to the determination of surface
Indomethacin 90
tension by the Wilhelmy plate.
To measure the contact angle of a powder without Sulphanilamide 64
compaction, the Washburn method can be used.
Here, a powder bed is formed in a tube fitted with a
common. Granulation, prior to tabletting, involves
sintered glass filter at the base. The base of the tube the mixing of a powder with a liquid binder and the
is immersed in liquid and the liquid will penetrate
success of the process will, in part, depend on the
into the capillaries between the powder particles as
spreading of the liquid over the solid. A rational
shown earlier, in Figure 5.8. The rate of penetration
approach to the selection of a granulating agent,
is measured and, if the capillaries in the powder bed
based on the measurement of spreading coefficients
are regarded as being a bundle of capillary tubes, the
and other surface properties, has been described by
rate of penetration is given by: Rowe (1989). Similarly, film coating requires the
spread of liquid over a tablet surface. The successful
dissolution of a tablet or capsule necessitates pene-
tration of the liquid into the pores of the dosage form.
where L is the length penetrated in time t, r is the
In all these examples the contact angle and the
radius of the capillaries, 17 is the liquid viscosity and
surface tension of the liquid are important. Surface-
y and 6 are the surface tension and the contact angle
active agents are commonly employed in formulation
of the liquid, respectively.
as they reduce the contact angle and hence aid in the
L2/t is measured in the experiment, the liquid
wetting of a solid by reducing y^, and also absorb-
characteristics 17 and y are known or can be easily
ing at the solid/liquid interface and reducing ys/v.
measured; the problem is in determining r. This can
be solved by measuring the rate of penetration, L2/t,
into the powder in an identical state of packing,
using a liquid that has a zero contact angle against
ADSORPTION
the powder. Substituting this into Eqn 5.22 gives a
value for r which can then be used in the equation to
Liquid/vapour and liquid/liquid systems
determine the required value of 6.
Examples illustrating the range of contact angle
Surface-active agents
values found for pharmaceutical powders are given
in Table 5.2. Many compounds have structures that contain two
separate regions, a hydrophilic (water-liking) region
which confers on the compound a solubility in
Pharmaceutical applications
water, and a hydrophobic (water-hating) region
Many pharmaceutical processes involve interactions which renders the material soluble in hydrocarbon
at the interfaces described. The preparation of emul- solvents. Because of this dual structure, it is energet-
sions and suspensions, described in Chapters 6 and ically favourable for these materials, when dissolved,
23, involves interactions at the liquid/liquid and to adsorb at interfaces, orientating themselves in
liquid/solid interfaces, respectively. Interactions such a manner that the regions are associated with
between a liquid and a solid are particularly the appropriate solvent or air. Such materials are
65
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
termed surface-active agents (or surfactants). Details where C is the overall solute concentration, R is the
of their structures and properties are given in gas constant, T is the absolute temperature and
Chapters 6 and 23. djuyldC is the change of surface tension with concen-
Pure liquid surfaces have a tendency to contract as tration. The above is applicable to dilute solutions. For
a result of surface tension forces. The packing of the concentrated solutions, activities must be substituted
surface with surface-active molecules favours expan- for concentration. Equation 5.24 has been verified
sion of the surface. The surface-active molecules experimentally by direct measurement of surface con-
reduce the surface tension of the liquid by an centrations after removal of the surface layer with a
amount equal to the expanding (or surface) pres- microtome blade. The equation enables calculation of
sure. Surfactants will lower surface tension to differ- the surface excess from surface tension data.
ent degrees. An approximation, Traube's rule, states As the concentration of a surface-active agent in
that for a particular homologous series of surfactants aqueous solution is increased, the surface layer will
in dilute solution, the concentration necessary to eventually become saturated. Figure 5.12 shows a
produce an equal lowering of surface tension typical plot of surface tension against concentration.
decreases by a factor of three for each additional When the surface layer is saturated, further increases
CH2 group. The formation of the adsorbed surface in concentration can no longer change the surface
layer will not be instantaneous, but will be governed tension and the surfactant molecules form micelles
by the diffusion of the surfactant to the interface. (small aggregates of molecules) as an alternative
The time taken to reach equilibrium will depend on means of 'protecting' the hydrophobic regions.
factors such as molecular size, shape and the pres- Details of these are given in Chapter 6.
ence of impurities. For immiscible liquids, the reduc- The discontinuity of the plot in Figure 5.12 is
tion in interfacial tension may be such that called the critical micelle concentration. Immediately
emulsification takes place readily. Detailed aspects of before this the surfactant molecules are closely packed
this are dealt with in Chapter 6. at the surface, and this gives a method of determining
In certain cases a 'negative adsorption' may occur, the surface area occupied by each molecule, A, from:
i.e. the solute molecules migrate away from the
surface. In these cases, examples of which are solu-
tions of sugars and electrolytes, small increases in
surface tension are observed. Where NA is the Avogadro constant and F is the
surface excess concentration calculated from the
slope of the plot d-y^/d log C immediately before the
Surface excess concentration critical micelle concentration (remember that F is a
concentration expressed in terms of surface area).
The extent of the distribution of a solute between an Because of their structures many drugs are surface
interface and the bulk phase is generally expressed active in nature, and this activity may play a part in
in terms of a surface excess, n. This is the amount their pharmacological effects. Examples are some
of a material present at the interface in excess
of that which would have been there if the bulk
phase extended to the interface without a change in
composition.
The surface excess concentration, 7", is n/A where
A is the area of the interface.
The adsorption of material at any interface is given
by the Gibbs adsorption equation. Its general form is:
66
SURFACE AND INTERRACIAL PHENOMENA
antihistamines, the phenothiazine tranquillizers and be impossible to distinguish between the two. Here
antidepressants. the general term sorption is used. Adsorption may be
by relatively weak non-specific forces (van der Waals
forces), this being termed physical adsorption.
Monomolecular films (monolayers)
Alternatively, the adsorption may be by stronger
Certain insoluble materials can, when dissolved in a specific valence forces - chemisorption. Physical
suitable volatile solvent, be made to spread on the absorption is rapid and reversible, and multilayer
surface of water to form a film one molecule thick. adsorption is possible. Chemisorption is specific,
This may be regarded as an extreme case of adsorp- may require an activation energy, and therefore be
tion, as all the molecules are at the surface. Surface slow and not readily reversible. Only monomolecular
excess concentrations can be calculated directly from chemisorbed layers are possible.
a knowledge of the amount of material and the surface Adsorption studies using gases or vapour gener-
area. The monolayer will reduce the surface tension of ally involve the determination of the amount of gas
the water by an amount equal to the surface pressure. or vapour adsorbed, x, by a given mass, m, of the
The surface pressure, which is the expanding pressure adsorbent at constant temperature. Determinations
due to the monolayer opposing the contracting are carried out at different equilibrium pressures p,
tension of the water, can be measured directly by (the pressure attained after adsorption has taken
enclosing the film between moveable barriers. place) to yield an adsorption isotherm. When
vapours are used the results are generally expressed
in terms of a relative vapour pressure plp0 where p0
where TT is the surface pressure, y0 is the surface is the saturated vapour pressure. Prior to the studies
tension of the 'clean' liquid and ym the surface the solid adsorbent must have any adsorbed mater-
tension of the liquid covered with a monolayer. ial removed by placing it under vacuum or heating.
Monolayers exist in different physical states which The isotherms obtained can generally be classified
are in some ways analogous to the three states of into five types, shown in Figure 5.13.Type I isotherms
matter: solid, liquid and gas. Pharmaceutically, exhibit a rapid rise in adsorption up to a limiting
monolayers have been used to study polymers which value. They are referred to as Langmuir-type
are used for film coating and packaging, and as isotherms and are due to the adsorption being
models for cell membranes. restricted to a monolayer. Hence adsorption of the
chemisorption type will give this type of curve. Type II
isotherms represent multilayer physical adsorption on
Solid/vapour systems non-porous materials. Types III andV occur when the
Although adsorption in solid/liquid systems is of adsorption in the first layer is weak, and are rare. Type
more interest pharmaceutically, the interpretation of IV is considered to be due to condensation of vapour
results is often achieved using equations developed in fine capillaries within a porous solid. There have
for solid/vapour systems. This system will therefore been many attempts to develop equations to fit the
be described first. experimentally observed isotherm. Among the most
If a gas or vapour is brought into contact with a widely used expressions are the following.
solid, some of it will become attached to the surface.
This reduces the imbalance of attractive forces and
Langmuir adsorption isotherm
hence the surface free energy. Adsorption here must
be distinguished from absorption, where penetration The equation was derived by assuming that only
into the solid may take place. In some cases it may monolayer coverage was possible, and so it is only
Fig. 5.13 Classification of isotherms for the adsorption of vapours by solids. Ordinates x/m, abscissae p/p0.
67
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
68
SURFACE AND INTERFACIAL PHENOMENA
container, leading to further volatilization and loss some hospital manufactured eye-drop formulations:
of potency. The adsorption of insulin on to intra- sorption of phenyl mercuric acetate. J. Clin. Hosp. Pharm.,
5,21-30.
venous administration sets has been reported, as has Rowe, R.C. (1989) Binder-substrate interactions in
the sorption of phenylmercuric acetate, used as a granulation: a theoretical approach based on surface free
preservative in eye drops, on to polyethylene con- energy and polarity. Int. J. Pharm.., 52, 149-154.
tainers (Aspinall et al 1980).
BIBLIOGRAPHY
REFERENCES
Adamson, A.W. (1980) Physical Chemistry of Surfaces, 4th
Allwood, M.C. (1982) The adsorption of esters of p- edn. John Wiley, New York.
hydroxybenzoic acid by magnesium trisilicate. Int. J. Florence, A.T. and Attwood, D. (1998) Physicochemical
Pharm., 11, 101-107. Principles of Pharmacy, 3rd edn. Macmillan, London.
Aspinall, J.D., Duffy, T.D., Saunders, M.B. and Taylor, C.G. Shaw, D.J. (1992) Introduction to Colloid and Surface
(1980) The effect of low density polyethylene containers on Chemistry, 4th edn. Butterworths, London.
69
THE DESIGN OF DOSAGE FORMS
Table 1.3 Properties of drug substances important in dosage form design and potential stresses occurring during
processes, with range of manufacturing procedures
optimal particle size of 150 um reduces gastrointesti- pounds can exhibit erratic or incomplete absorption,
nal distress while still permitting sufficient urinary and it might be appropriate to use more soluble salt or
excretion of this urinary antibacterial agent. other chemical derivatives. Alternatively, micronizing,
Rates of drug dissolution can be adversely complexation or solid dispersion techniques might be
affected, however, by unsuitable choice of formula- employed. Solubility, and especially degree of satura-
tion additives, even though solids of appropriate par- tion in the vehicle, can also be important in the
ticle size are used. Tableting lubricant powders, for absorption of drugs already in solution in liquid
example, can impart hydrophobicity to a formula- dosage forms, as precipitation in the gastrointestinal
tion and inhibit drug dissolution. Fine powders can tract can occur and bioavailability be modified.
also increase air adsorption or static charge, leading The solubilities of acidic or basic compounds are
to wetting or agglomeration problems. Micronizing pH dependent and can be altered by forming salt
drug powders can lead to polymorphic and surface forms with different salts exhibiting different equi-
energy changes which cause reduced chemical sta- librium solubilities. However, the solubility of a salt
bility. Drug particle size also influences content uni- of a strong acid is less affected by changes in pH
formity in solid dosage forms, particularly for than is the solubility of a salt of a weak acid. In the
low-dose formulations. It is important in such cases latter case, when pH is lower the salt hydrolyses to an
to have as many particles as possible per dose to extent dependent on pH and pKa, resulting in
minimize potency variation between dosage units. decreased solubility. Reduced solubility can also
Other dosage forms are also affected by particle size, occur for slightly soluble salts of drugs through the
including suspensions (for controlling flow proper- common ion effect. If one of the ions involved is
ties and particle interactions), inhalation aerosols added as a different, more water-soluble salt, the sol-
(for optimal penetration of drug particles to absorb- ubility product can be exceeded and a portion of the
ing mucosa) and topical formulations (for freedom drug precipitates.
from grittiness).
Dissolution
Solubility
As mentioned above, for a drug to be absorbed it
All drugs, by whatever route they are administered, must first be dissolved in the fluid at the site of
must exhibit at least limited aqueous solubility for absorption. For example, an orally administered drug
therapeutic efficiency. Thus relatively insoluble com- in tablet form is not absorbed until drug particles are
7
6
Disperse systems
David Attwood
CHAPTER CONTENTS
70
DISPERSE SYSTEMS
A disperse system consists essentially of one compo- also form lyophilic colloidal systems because of a
nent, the disperse phase, dispersed as particles or similar affinity between the dispersed particles and
droplets throughout another component, the contin- the continuous phase. On the other hand, disper-
uous phase. By definition, dispersions in which the sions of oil droplets in water or water droplets in oil
size of the dispersed particles is within the range are examples of lyophobic dispersions.
10 9m (1 nm) to about 10-6 m (1 /urn) are termed col- It is because of the subdivision of matter in colloidal
loidal. However, the upper size limit is often extended systems that they have special properties. A common
to include emulsions and suspensions, which are very feature of these systems is a large surface-to-volume
polydisperse systems in which the droplet size fre- ratio of the dispersed particles. As a consequence
quently exceeds 1 um but which show many of the there is a tendency for the particles to associate to
properties of colloidal systems. Some examples of col- reduce their surface area. Emulsion droplets, for
loidal systems of pharmaceutical interest are shown in example, eventually coalesce to form a macrophase,
Table 6.1. Many natural systems, such as suspensions thereby attaining a minimum surface area and hence
of microorganisms, blood and isolated cells in culture, an equilibrium state. In this chapter we will examine
are also colloidal dispersions. In this chapter we will how the stability of colloidal dispersions can be under-
examine the properties of both coarse dispersions, stood by a consideration of the forces acting between
such as emulsions, suspensions and aerosols, and fine the dispersed particles. Approaches to the formulation
dispersions, such as micellar systems, which fall within of emulsions, suspensions and aerosols will be
the defined size range of true colloidal dispersions. described and the instability of these coarse disper-
Colloids can be broadly classified as those that are sions will be discussed using a theory of colloid stabil-
lyophobic (solvent-hating) and those that are ity. The association of surface-active agents into
lyophilic (solvent-liking). When the solvent is water micelles and the applications of these colloidal disper-
the terms hydrophobic and hydrophilic are used. sions in the solubilization of poorly water-soluble
Surfactant molecules tend to associate in water into drugs will also be considered.
aggregates called micelles, and these constitute
hydrophilic colloidal dispersions. Proteins and gums
71
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Colloid mills These cause the dispersion of coarse It is possible to prepare membrane filters with a
material by shearing in a narrow gap between a static known pore size, and the use of these allows the par-
cone (the stator) and a rapidly rotating cone (the ticle size of a colloid to be determined. However,
rotor). particle size and pore size cannot be properly corre-
Ultrasonic treatment The passage of ultrasonic lated because the membrane permeability is affected
waves through a dispersion medium produces alter- by factors such as electrical repulsion, when both the
nating regions of cavitation and compression in the membrane and the particle carry the same charge,
medium. The cavities collapse with great force and and particle adsorption, which can lead to blocking
cause the breakdown of coarse particles dispersed in of the pores.
the liquid. Electrodialysis An electric potential may be used
With both these methods the particles will tend to to increase the rate of movement of ionic impurities
reunite unless a stabilizing agent such as a surface- through a dialysing membrane and so provide a
active agent is added. more rapid means of purification. The concentration
Condensation methods These involve the rapid of charged colloidal particles at one side and at the
production of supersaturated solutions of the col- base of the membrane is termed electrodecantation.
loidal material under conditions in which it is Pharmaceutical applications of dialysis Dialysis is
deposited in the dispersion medium as colloidal par- the basis of a method - haemodialysis - whereby
ticles and not as a precipitate. The supersaturation is small molecular weight impurities from the body are
often obtained by means of a chemical reaction that removed by passage through a membrane. Other
results in the formation of the colloidal material. For applications involving dialysis include the use of
example, colloidal silver iodide may be obtained by membranes for filtration, and as models for the dif-
reacting together dilute solutions of silver nitrate and fusion of drugs through natural membranes.
potassium iodide; colloidal sulphur is produced from
sodium thiosulphate and hydrochloric acid solu-
tions.; and ferric chloride boiled with an excess of
Properties of colloids
water produces colloidal hydrated ferric oxide.
Size and shape of colloidal particles
A change of solvent may also cause the production
of colloidal particles by condensation methods. If a Size distribution Within the size range of colloidal
saturated solution of sulphur in acetone is poured dimensions specified above there is often a wide dis-
slowly into hot water the acetone vaporizes, leaving a tribution of sizes of the dispersed colloidal particles.
colloidal dispersion of sulphur. A similar dispersion The molecular weight or particle size is therefore an
may be obtained when a solution of a resin, such as average value, the magnitude of which is dependent
benzoin in alcohol, is poured into water. on the experimental technique used in its measure-
ment. When determined by the measurement of col-
ligative properties such as osmotic pressure a
Dialysis
number average value, Mn, is obtained, which in a
Colloidal particles are not retained by conventional mixture containing nl, n2, n3, ... moles of particle of
filter papers but are too large to diffuse through the mass Ml, M2, M3 ..., respectively, is defined by:
pores of membranes such as those made from regen-
erated cellulose products, e.g. collodion (cellulose
nitrate evaporated from a solution in alcohol and
ether) and cellophane. The smaller particles in solu- In the light-scattering method for the measurement
tion are able to pass through these membranes. Use of particle size, larger particles produce greater scat-
is made of this difference in diffusibility to separate tering and the weight rather than the number of par-
micromolecular impurities from colloidal disper- ticles is important, giving a weight average value,
sions. The process is known as dialysis. The process Mw, defined by:
of dialysis may be hastened by stirring, so as to main-
tain a high concentration gradient of diffusible mol-
ecules across the membrane and by renewing the
outer liquid from time to time. In Eqn 6.2 m1 ,m2, and m3 ... are the masses of each
Ultrafiltration By applying pressure (or suction) species, and mi is obtained by multiplying the mass of
the solvent and small particles may be forced across each species by the number of particles of that species,
a membrane but the larger colloidal particles are that is, mi = niMi A consequence is that Mw > Mn, and
retained. This process is referred to as ultrafiltration. only when the system is monodisperse will the two
72
DISPERSE SYSTEMS
averages be identical. The ratio Mw/Mn expresses the concentration to one of lower concentration. The rate
degree of polydispersity of the system. of diffusion is expressed by Pick's first law:
Shape Many colloidal systems, including emul-
sions, liquid aerosols and most dilute micellar solu-
tions, contain spherical particles. Small deviations
from sphericity are often treated using ellipsoidal where dm is the mass of substance diffusing in time
models. Ellipsoids of revolution are characterized by dt across an area A under the influence of a concen-
their axial ratio, which is the ratio of the half-axis a tration gradient dC/dx (the minus sign denotes that
to the radius of revolution b (Fig. 6.1). Where this diffusion takes place in the direction of decreasing
ratio is greater than unity, the ellipsoid is said to be a concentration). D is the diffusion coefficient and has
prolate (rugby ball-shaped) ellipsoid, and when less the dimensions of area per unit time. The diffusion
than unity an oblate (discus-shaped). coefficient of a dispersed material is related to the
High molecular weight polymers and naturally frictional coefficient, /, of the particles by Einstein's
occurring macromolecules often form random coils law of diffusion:
in aqueous solution. Clay suspensions are examples
of systems containing plate-like particles.
where &B is the Boltzmann constant and T is tem-
perature.
Kinetic properties
Therefore, as the frictional coefficient is given by
This section considers several properties of colloidal the Stokes equation:
systems that relate to the motion of particles with
respect to the dispersion medium. Thermal motion
manifests itself in the form of Brownian motion, dif- where 17 is the viscosity of the medium and a the
fusion and osmosis. Gravity (or a centrifugal field) radius of the particle, (assuming sphericity), then
leads to sedimentation. Viscous flow is the result of
an externally applied force. Measurement of these
properties enables molecular weight or particle size where NA is the Avogadro number and R is the uni-
to be determined. versal gas constant. The diffusion coefficient may be
Brownian motion Colloidal particles are subject obtained by an experiment measuring the change in
to random collisions with the molecules of the dis- concentration, via refractive index gradients, when
persion medium, with the result that each particle the solvent is carefully layered over the solution to
pursues an irregular and complicated zigzag path. If form a sharp boundary and diffusion is allowed to
the particles (up to about 2 um diameter) are proceed. A more commonly used method is that of
observed under a microscope or the light scattered dynamic light scattering, which is based on the fre-
by colloidal particles is viewed using an ultramicro- quency shift of laser light as it is scattered by a
scope, an erratic motion is seen. This movement is moving particle - the so-called Doppler shift. The
referred to as Brownian motion, after Robert diffusion coefficient can be used to obtain the mole-
Brown who first reported his observation of this cular weight of an approximately spherical particle,
phenomenon with pollen grains suspended in water such as egg albumin and haemoglobin, by using Eqn
in 1827. 6.6 in the form
Diffusion As a result of Brownian motion colloidal
particles spontaneously diffuse from a region of higher
73
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
lower size limit of particles obeying Eqn 6.8 is about rotation. A disadvantage of the sedimentation equilib-
0.5 /x.rn. A stronger force than gravity is therefore rium method is the length of time required to attain
needed for colloidal particles to sediment, and use is equilibrium, often as long as several days. A
made of a high-speed centrifuge, usually termed an modification of the method in which measurements
ultracentrifuge, which can produce a force of about are made in the early stages of the approach to equi-
106g. In a centrifuge, g is replaced by w 2 x, where W is librium significantly reduces the overall measurement
the angular velocity and x the distance of the particle time.
from the centre of rotation, and Eqn 6.8 becomes: Osmotic pressure The determination of molecular
weights of dissolved substances from colligative
properties such as the depression of freezing point or
the elevation of boiling point is a standard proce-
The ultracentrifuge is used in two distinct ways in dure. However, of the available methods only
investigating colloidal material. In the sedimenta- osmotic pressure has a practical value in the study of
tion velocity method a high centrifugal field is colloidal particles because of the magnitude of the
applied - up to about 4 x 1 0 5 g - and the movement changes in the properties. For example, the depres-
of the particles, monitored by changes in concentra- sion of freezing point of a 1% w/v solution of a
tion, is measured at specified time intervals. In the macromolecule of molecular weight 70 kDa is only
sedimentation equilibrium method the colloidal 0.0026 K, far too small to be measured with
material is subjected to a much lower centrifugal sufficient accuracy by conventional methods and
field until sedimentation and diffusion tendencies also very sensitive to the presence of low molecular
balance one another, and an equilibrium distribution weight impurities. In contrast, the osmotic pressure
of particles throughout the sample is attained. of this solution at 20C would be 350 N m-2, or
Sedimentation velocity The velocity dx/dt of a par- about 35 mmH2O. Not only does the osmotic pres-
ticle in a unit centrifugal force can be expressed in sure provide an effect that is measurable, but also the
terms of the Svedberg coefficient s: effect of any low molecular weight material that can
pass through the membrane is virtually eliminated.
However, the usefulness of osmotic pressure mea-
Under the influence of the centrifugal force particles surement is limited to a molecular weight range of
pass from position xl at time tl to position x2 at time about 104-106; below 104 the membrane may be per-
t2: the differences in concentration with time can be meable to the molecules under consideration and
measured using changes in refractive index and the above 106 the osmotic pressure will be too small to
application of the schlieren optical arrangement, permit accurate measurement.
whereby photographs can be taken showing these If a solution and a solvent are separated by a semi-
concentrations as peaks. Integration of Eqn 6.10 permeable membrane the tendency to equalize
using the above limits gives: chemical potentials (and hence concentrations) on
either side of the membrane results in a net diffusion
of solvent across the membrane. The pressure neces-
sary to balance this osmotic flow is termed the
By suitable manipulation of Eqns 6.9, 6.10 and 6.11 osmotic pressure.
an expression giving molecular weight M can be For a colloidal solution the osmotic pressure TT can
obtained: be described by
74
DISPERSE SYSTEMS
ments arises from the Donnan membrane effect. then be calculated. This method is suitable for use
The diffusion of small ions through a membrane will with polymers such as the dextrans used as blood
be affected by the presence of a charged macromol- plasma substitutes.
ecule that is unable to penetrate the membrane
because of its size. At equilibrium the distribution of
Optical properties
the diffusible ions is unequal, being greater on the
side of the membrane containing the non-diffusible Light scattering When a beam of light is passed
ions. Consequently, unless precautions are taken to through a colloidal sol some of the light may be
correct for this effect or to eliminate it, the results of absorbed (when light of certain wavelengths is selec-
osmotic pressure measurements on charged colloidal tively absorbed a colour is produced), some is scat-
particles such as proteins will be invalid. tered and the remainder is transmitted undisturbed
Viscosity Viscosity is an expression of the resis- through the sample. Because of the scattered light the
tance to flow of a system under an applied stress. An sol appears turbid: this is known as the Tyndall effect.
equation of flow applicable to colloidal dispersions The turbidity of a sol is given by the expression:
of spherical particles was developed by Einstein:
75
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
an optical constant for a particular system, depend- source of the electron microscope is a beam of high-
ing on the refractive index change with concentra- energy electrons having wavelengths in the region of
tion and the wavelength of light used. A plot of HC/r 0.01 nm, d is thus about 0.5 nm.The electron beams
against concentration results in a straight line of are focused using electromagnets and the whole
slope 2B. The intercept on the HC/r axis is l/M, system is under a high vacuum of about 10-3-10-5 Pa
allowing the molecular weight to be calculated. The to give the electrons a free path. With wavelengths of
molecular weight derived by the light-scattering the order indicated the image cannot be viewed
technique is a weight average value. directly, so use is made of a fluorescent screen.
Light-scattering measurements are particularly One big disadvantage of the electron microscope for
suitable for finding the size of the micelles of surface- viewing colloidal particles is that normally only dried
active agents and for the study of proteins and samples can be examined. Consequently it usually
natural and synthetic polymers. gives no information on solvation or configuration in
For spherical particles the upper limit of the solution, and moreover, the particles may be affected
Debye equation is a diameter of approximately by sample preparation. A recent development that
l/20th of the wavelength A of the incident light, that overcomes these problems is environmental scanning
is, about 20-25 nm. The light-scattering theory electron microscopy (ESSEM), which allows the
becomes more complex when one or more dimen- observation of material in the wet state.
sions exceeds A/20, because the particles can no
longer be considered as point sources of scattered
Electrical properties
light. By measuring the light scattering from such
particles as a function of both the scattering angle o Electrical properties of interfaces Most surfaces
and the concentration C, and extrapolating the data acquire a surface electric charge when brought into
to zero angle and zero concentration, it is possible to contact with an aqueous medium, the principal
obtain information not only on the molecular weight charging mechanisms being as follows.
but also on the particle shape. Ion dissolution Ionic substances can acquire a
Because the intensity of the scattered light is surface charge by virtue of unequal dissolution of the
inversely proportional to the wavelength of the light oppositely charged ions of which they are composed.
used, blue light (A ~ 450 nm) is scattered much more For example, the particles of silver iodide in a solu-
than red light (A ~ 650 nm). With incident white light tion with excess [I~] will carry a negative charge, but
a scattering material will therefore tend to be blue the charge will be positive if excess [Ag+] is present.
when viewed at right-angles to the incident beam, Because the concentrations of Ag+ and I~ determine
which is why the sky appears to be blue, the scatter- the electric potential at the particle surface, they are
ing arising from dust particles in the atmosphere. termed potential determining ions. In a similar way
Ultra-microscopy Colloidal particles are too small H+ and OH~ are potential determining ions for metal
to be seen with an optical microscope. Light scatter- oxides and hydroxides such as magnesium and alu-
ing is made use of in the ultramicroscope first devel- minium hydroxides.
oped by Zsigmondy, in which a cell containing the lonization Here the charge is controlled by the
colloid is viewed against a dark background at right- ionization of surface groupings; examples include
angles to an intense beam of incident light. The par- the model system of polystyrene latex, which fre-
ticles, which exhibit Brownian motion, appear as quently has carboxylic acid groupings at the surface
spots of light against the dark background. The ultra- which ionize to give negatively charged particles. In
microscope is used in the technique of microelec- a similar way acidic drugs such as ibuprofen and
trophoresis for measuring particle charge. nalidixic acid also acquire a negative charge.
Electron microscopy The electron microscope, Amino acids and proteins acquire their charge
capable of giving actual pictures of the particles, is mainly through the ionization of carboxyl and amino
used to observe the size, shape and structure of col- groups to give -COO~ and NH3+ ions. The ionization
loidal particles. The success of the electron micro- of these groups and hence the net molecular charge
scope is due to its high resolving power, defined in depends on the pH of the system. At a pH below the
terms of d, the smallest distance by which two pK, of the COO~ group the protein will be positively
objects can be separated yet remain distinguishable. charged because of the protonation of this group,
The smaller the wavelength of the radiation used the -COO > CO OH, and the ionization of the amino
smaller is d and the greater the resolving power. An group -NH2 > -NH3+, which has a much higher p/C,;
optical microscope, using visible light as its radiation whereas at higher pH, where the amino group is no
source, gives a d of about 0.2 ^tm. The radiation longer ionized, the net charge on the molecule is now
76
DISPERSE SYSTEMS
negative because of the ionization of the carboxyl tude of the electric potentials that occur in the local-
group. At a certain definite pH, specific for each indi- ity of the charged surface. For a fuller explanation of
vidual protein, the total number of positive charges will what is a rather complicated mathematical approach
equal the total number of negative charges and the net the reader is referred to a textbook of colloid science
charge will be zero. This pH is termed the isoelectric (e.g. Shaw 1992). A somewhat simplified picture of
point of the protein and the protein exists as its zwitte- what pertains from the theories of Gouy, Chapman
rion. This may be represented as follows: and Stern follows.
The double layer is divided into two parts
Alkaline solution
(Fig. 6.2(a)), the inner, which may include adsorbed
ions, and the diffuse part where ions are distributed as
influenced by electrical forces and random thermal
Isoelectric point
motion. The two parts of the double layer are sepa-
(zwitterion)
rated by a plane, the Stern plane, at about a hydrated
ion radius from the surface: thus counter-ions may be
held at the surface by electrostatic attraction, and the
Acidic solution
centre of these hydrated ions forms the Stern plane.
A protein is least soluble (the colloidal sol is least The potential changes linearly from i//0 (the
stable) at its isoelectric point and is readily desol- surface potential) to ws, (the Stern potential) in the
vated by very water-soluble salts such as ammonium Stern layer and decays exponentially from i//g to zero
sulphate. Thus insulin may be precipitated from in the diffuse double layer (Fig. 6.2(b)). A plane of
aqueous alcohol at pH 5.2. shear is also indicated in Figure 6.2 (a) and (b). In
Erythrocytes and bacteria usually acquire their addition to ions in the Stern layer a certain amount
charge by ionization of surface chemical groups such of solvent will be bound to the ions and the charged
as sialic acid. surface. This solvating layer is held to the surface and
Ion adsorption A net surface charge can be the edge of the layer, termed the surface or plane of
acquired by the unequal adsorption of oppositely shear, represents the boundary of relative movement
charged ions. Surfaces in water are more often nega- between the solid (and attached material) and the
tively charged than positively charged, because liquid. The potential at the plane of shear is termed
cations are generally more hydrated than anions. the zeta, , or electrokinetic, potential and its magni-
Consequently, the former have the greater tendency tude may be measured using microelectrophoresis or
to reside in the bulk aqueous medium, whereas the any other of the electrokinetic phenomena. The
smaller, less hydrated and more polarizing anions thickness of the solvating layer is ill-defined and the
have a greater tendency to reside at the particle zeta potential therefore represents a potential at an
surface; Surface-active agents are strongly adsorbed unknown distance from the particle surface; its
and have a pronounced influence on the surface value, however, is usually taken as being slightly less
charge, imparting either a positive or negative charge than that of the Stern potential.
depending on their ionic character. In the discussion above it was stated that the Stern
The electrical double layer Consider a solid charged plane existed at a hydrated ion radius from the par-
surface in contact with an aqueous solution contain- ticle surface; the hydrated ions are electrostatically
ing positive and negative ions. The surface charge attracted to the particle surface. It is possible for
influences the distribution of ions in the aqueous ions/molecules to be more strongly adsorbed at the
medium; ions of opposite charge to that of the surface, surface - termed specific adsorption - than by
termed counter-ions, are attracted towards the simple electrostatic attraction. In fact, the
surface; ions of like charge, termed co-ions, are specifically adsorbed ion/molecule may be
repelled away from the surface. However, the distrib- uncharged, as in the case with non-ionic surface-
ution of the ions will also be affected by thermal agi- active agents. Surface-active ions specifically adsorb
tation, which will tend to redisperse the ions in by the hydrophobic effect and can have a significant
solution. The result is the formation of an electrical effect on the Stern potential, causing i//0 and i/>s to
double layer, made up of the charged surface and a have opposite signs as in Figure 6.3(a), or for i//g to
neutralizing excess of counter-ions over co-ions (the have the same sign as i//0 but be greater in magnitude,
system must be electrically neutral) distributed in a as in Figure 6.3(b).
diffuse manner in the aqueous medium. Figure 6.2(b) shows an exponential decay of the
The theory of the electric double layer deals with potential to zero with distance from the Stern plane.
this distribution of ions and hence with the magni- The distance over which this occurs is I/K, referred
77
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Fig. 6.2 The electric double layer, (a) Schematic representation; (b) changes in potential with distance from particle surface.
Fig. 6.3 Changes in potential with distance from solid surface. (a) Reversal of charge sign of Stern potential Vs, due to adsorption of
surface-active or polyvalent counter ion. (b) Increase in magnitude of Stern potential Vs, due to adsorption of surface-active co-ions.
to as the Debye-Huckel length parameter, or the double layer. As ifss stays constant this means that the
thickness of the electrical double layer. The parame- zeta potential will be lowered.
ter K is dependent on the electrolyte concentration of As indicated earlier, the effect of specifically
the aqueous medium. Increasing the electrolyte con- adsorbed ions may be to lower the Stern potential
centration increases the value of K and consequently and hence the zeta potential without compressing
decreases the value of 1/K, that is, it compresses the the double layer. Thus the zeta potential may be
78
DISPERSE SYSTEMS
reduced by additives to the aqueous system in either Other electrokinetic phenomena The other electroki-
(or both) of two different ways. netic phenomena are as follows: sedimentation
Electrokinetic phenomena This is the general potential, the reverse of electrophoresis, is the elec-
description applied to the phenomena that arise tric field created when particles sediment; streaming
when attempts are made to shear off the mobile part potential, the electric field created when liquid is
of the electrical double layer from a charged surface. made to flow along a stationary charged surface, e.g.
There are four such phenomena: electrophoresis, a glass tube or a packed powder bed; and electro-
sedimentation potential, streaming potential and osmosis, the opposite of streaming potential, the
electro-osmosis, all of which may be used to measure movement of liquid relative to a stationary charged
the zeta potential, but electrophoresis is the easiest to surface, e.g. a glass tube, by an applied electric field.
use and has the greatest pharmaceutical application.
Electrophoresis The movement of a charged particle
Physical stability of colloidal systems
(plus attached ions) relative to a stationary liquid
under the influence of an applied electric field is In colloidal dispersions frequent encounters between
termed electrophoresis. When the movement of the the particles occur as a result of Brownian move-
particles is observed with a microscope, or the move- ment. Whether these collisions result in permanent
ment of light spots scattered by particles too small to contact of the particles (coagulation), which leads
be observed with the microscope is observed using an eventually to the destruction of the colloidal system
ultramicroscope, this constitutes microelectrophoresis. as the large aggregates formed sediment out, or tem-
A microscope equipped with an eyepiece graticule porary contact (flocculation), or whether the parti-
is used and the speed of movement of the particle cles rebound and remain freely dispersed (a stable
under the influence of a known electric field is mea- colloidal system), depends on the forces of interac-
sured. This is the electrophoretic velocity, v, and the tion between the particles.
electrophoretic mobility, u, is given by: These forces can be divided into three groups:
electrical forces of repulsion, forces of attraction, and
forces arising from solvation. An understanding of
where v is measured in m s^1, and E, the applied field the first two explains the stability of lyophobic
strength, inV m"1, so that u has the dimensions of m2 systems, and all three must be considered in a dis-
s-1 y-1 Typically a stable lyophobic colloidal particle cussion of the stability of lyophilic dispersions.
may have an electrophoretic mobility of 4 x 10 -8 m2 Before considering the interaction of these forces it
s-i y-i TI^ equation used to convert the elec- is necessary to define the terms aggregation, coag-
trophoretic mobility, u, into the zeta potential ulation and flocculation, as used in colloid science.
depends on the value of xa (K is the Debye-Huckel Aggregation is a general term signifying the col-
reciprocal length parameter described previously lection of particles into groups. Coagulation signifies
and a the particle radius). For values of KO. >100 (as that the particles are closely aggregated and difficult
is the case for particles of radius 1 /^m dispersed in to redisperse - a primary minimum phenomenon of
10~3 mol dm~3 sodium chloride solution) the the DLVO theory of colloid stability (see next
Smoluchowski equation can be used: section). In flocculation the aggregates have an open
structure in which the particles remain a small dis-
tance apart from one another. This may be a sec-
where e is the permittivity and 17 the viscosity of the ondary minimum phenomenon (see the DLVO
liquid used. For particles in water at 25C, = 12.85 theory) or a consequence of bridging by a polymer
x 10~5 u volts, so that for the mobility given above a or polyelectrolyte, as explained later in this chapter.
zeta potential of 0.0514V or 51.4 mV is obtained. For As a preliminary to discussion on the stability of
values of Ka < 100 a more complex relationship which colloidal dispersions a comparison of the general
is a function of Ka and the zeta potential is used. properties of lyophobic and lyophilic sols is given in
The technique of microelectrophoresis finds appli- Table 6.2.
cation in the measurement of zeta potentials, of Stability of lyophobic systems
model systems (such as polystyrene latex disper- DLVO theory In considering the interaction
sions) to test colloid stability theory, of coarse dis- between two colloidal particles Derjaguin and
persions (e.g. suspensions and emulsions) to assess Landau and, independently, Verwey and Overbeek,
their stability, and in the identification of charge in the 1940s produced a quantitative approach to the
groups and other surface characteristics of water- stability of hydrophobic sols. In what has come to be
insoluble drugs and cells such as blood and bacteria. known as the DLVO theory of colloid stability
79
THE DESIGN OF DOSAGE FORMS
dissolved or solubilized by the fluids at some point tance of dissolution testing has been widely recog-
along the gastrointestinal tract, depending on the nized by official compendia, as well as drug registra-
pH-solubility profile of the drug substance. tion authorities, with the inclusion of dissolution
Dissolution describes the process by which the drug specifications using standardized testing procedures
particles dissolve. for a range of preparations.
During dissolution, the drug molecules in the
surface layer dissolve, leading to a saturated solution
Partition coefficient and pKa
around the particles that forms the diffusion layer.
Dissolved drug molecules then pass throughout the As pointed out above, for relatively insoluble com-
dissolving fluid to contact absorbing mucosa, and are pounds the dissolution rate is often the rate-deter-
absorbed. Replenishment of diffusing drug molecules mining step in the overall absorption process.
in the diffusion layer is achieved by further drug dis- Alternatively, for soluble compounds the rate of per-
solution, and the absorption process continues. If dis- meation across biological membranes is the rate-
solution is fast, or the drug is delivered and remains determining step. Whereas dissolution rate can be
in solution form, the rate of absorption is primarily changed by modifying the physicochemical proper-
dependent upon its ability to transverse the absorbing ties of the drug and/or by altering the formulation
membrane. If, however, drug dissolution is slow composition, the permeation rate is dependent upon
owing to its physicochemical properties or formula- the size, relative aqueous and lipid solubility and
tion factors, then dissolution may be the rate-limiting ionic charge of drug molecules, factors that can be
step in absorption and influence drug bioavailability. altered through molecular modifications. The
The dissolution of a drug is described in a simplified absorbing membrane acts as a lipophilic barrier to
manner by the Noyes-Whitney equation: the passage of drugs which is related to the lipophilic
nature of the drug molecule. The partition
dm/dt = M(C S -C) coefficient, for example between oil and water, is a
at measure of lipophilic character.
where ^ is the dissolution rate, k is the dissolution The majority of drugs are weak acids or bases and,
rate constant, A is the surface area of dissolving solid, depending on their pH, exist in an ionized or union-
and Cs is the concentration of drug in the dissolution ized form. Membranes of absorbing mucosa are more
medium at time t. The equation reveals that dissolu- permeable to unionized forms of drugs than to
tion rate can be raised by increasing the surface area ionized species, because of the greater lipid solubility
(reducing particle size) of the drug, by increasing the of the unionized forms and the highly charged nature
solubility of the drug in the diffusing layer and by of the cell membrane, which results in the binding or
increasing k, which incorporates the drug diffusion repelling of the ionized drug, thereby decreasing pen-
coefficient and diffusion layer thickness. During the etration. Therefore, the dominating factors that
early phases of dissolution Cs > C, and if the surface influence the absorption of weak acids and bases are
area A and experimental conditions are kept con- the pH at the site of absorption and the lipid solubil-
stant, then k can be determined for compacts con- ity of the unionized species. These factors, together
taining drug alone. The constant k is now termed the with the Henderson-Hasselbalch equations for cal-
intrinsic dissolution rate constant, and is a character- culating the proportions of ionized and unionized
istic of each solid drug compound in a given solvent species at a particular pH, constitute the pH-parti-
under fixed hydrodynamic conditions. tion theory for drug absorption. However, these
Drugs with k values below 0.1 mg"1 cm~2 usually factors do not describe completely the process of
exhibit dissolution rate-limiting absorption. absorption, as certain compounds with low partition
Paniculate dissolution can also be examined where coefficients and/or which are highly ionized over the
an effort is made to control A, and formulation entire physiological pH range show good bioavail-
effects can be studied. ability, and therefore other factors are clearly
Dissolution rate data, when combined with solu- involved.
bility, partition coefficient and pKa) provide an
insight to the formulator into the potential in vivo Crystal properties: polymorphism
absorption characteristics of a drug. However, in
vitro tests only have significance when they are Practically all drug substances are handled in
related to in vivo results. Once such a relationship powder form at some stage during manufacture into
has been established, in vitro dissolution tests can be dosage forms. However, for those substances com-
used as a predictor of in vivo behaviour. The impor- posed of, or containing, powders or compressed
8
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Effect of electrolytes Very sensitive to added electrolyte, leading to Dispersions are stable generally in the presence of
aggregation in an irreversible manner. electrolytes. May be salted out by high
Depends on: concentrations of very soluble electrolytes. Effect is
(a) type and valency of counter ion of electrolyte, due to desolvation of the lyophilic molecules and
e.g. with a negatively charged sol, depends on the tendency of the electrolyte ions to
La3+ > Ba2+ > Na+ become hydrated. Proteins more sensitive to
(b) Concentration of electrolyte. At a particular electrolytes at their isoelectric points. Lyophilic
concentration sol passes from disperse to colloids when salted out may appear as amorphous
aggregated state. droplets known as a coacervate
For the electrolyte types in (a) the concentrations
are about 1Q-4, 10~3, 10~1 mol dnr3 respectively.
These generalizations, (a) and (b), form what is
known as the Schulze-Hardy rule
Stability Controlled by charge on particles Controlled by charge and solvation of particles
Formation of Dispersions usually of metals, inorganic crystals Generally proteins, macromolecules etc., which
dispersion etc., with a high interfacial surface-free energy disperse spontaneously in a solvent. Interfacial free
due to large increase in surface area on energy is low. There is a large increase in entropy
formation. A positive AG of formation, when rigidly held chains of a polymer in the dry state
dispersion will never form spontaneously and is unfold in solution. The free energy of formation is
thermodynamically unstable. Particles of sol negative, a stable thermodynamic system
remain dispersed due to electrical repulsion
Viscosity Sols of low viscosity, particles unsolvated and Usually high at sufficiently high concentration of
usually symmetrical disperse phase a gel may be formed. Particles
solvated and usually asymmetric
they assumed that the only interactions involved are Attractive forces between particles The energy of
electrical repulsion, VR, and van der Waals attraction, attraction, FA, arises from van der Waals universal
FA, and that these parameters are additive. forces of attraction, the so-called dispersion forces,
Therefore, the total potential energy of interaction the major contribution to which are the electromag-
VT (expressed schematically in the curve shown in netic attractions described by London in 1930. For
Fig. 6.4) is given by: an assembly of molecules dispersion forces are addi-
tive, summation leading to long-range attraction
between colloidal particles. As a result of the work of
Repulsive forces between particles Repulsion de Boer and Hamaker in 1936 it can be shown that
between particles arises because of the osmotic effect the attractive interaction between spheres of the
produced by the increase in the number of charged same radius, a, can be approximated to:
species on overlap of the diffuse parts of the electrical
double layer. No simple equations can be given for
repulsive interactions; however, it can be shown that where A is the Hamaker constant for the particular
the repulsive energy that exists between two spheres material derived from London dispersion forces.
of equal but small surface potential is given by: Equation 6.27 shows that the energy of attraction
varies as the inverse of the distance between particles.
Total potential energy of interaction Consideration
where e is the permittivity of the polar liquid, a the of the curve of total potential energy of interaction
radius of the spherical particle of surface potential KT versus distance between particles, H (Fig. 6.4),
i/>0, K is the Debye-Huckel reciprocal length parame- shows that attraction predominates at small dis-
ter and H the distance between particles. An estima- tances, hence the very deep primary minimum. The
tion of the surface potential can be obtained from attraction at large interparticle distances that pro-
zeta potential measurements. As can be seen, the duces the secondary minimum arises because the
repulsion energy is an exponential function of the fall-off in repulsive energy with distance is more
distance between the particles and has a range of the rapid than that of attractive energy. At intermediate
order of the thickness of the double layer. distances double-layer repulsion may predominate,
80
DISPERSE SYSTEMS
Fig. 6.4 Schematic curve of total potential energy of interaction, Vj, versus distance of separation, H, for two particles. Vr = VR + \/k.
giving a primary maximum in the curve. If this lowered (and the secondary minimum deepened) by
maximum is large compared to the thermal energy adding substances, such as ionic surface-active
kBT of the particles the colloidal system should be agents, which are specifically adsorbed within the
stable, i.e. the particles should stay dispersed. Stern layer. Here a)s is reduced and hence the zeta
Otherwise, the interacting particles will reach the potential; the double layer is usually not compressed.
energy depth of the primary minimum and irre- Stability of lyophilic systems Solutions of macro-
versible aggregation, i.e. coagulation, occurs. If the molecules, lyophilic colloidal sols, are stabilized by a
secondary minimum is smaller than kBT the particles combination of electrical double-layer interaction
will not aggregate but will always repel one another, and solvation, and both of these factors must be
but if it is significantly larger than kBTa loose assem- sufficiently weakened before attraction predominates
blage of particles will form which can be easily redis- and the colloidal particles coagulate. For example,
persed by shaking, i.e. flocculation occurs. gelatin has a sufficiently strong affinity for water to
The depth of the secondary minimum depends on be soluble even at its isoelectric pH, where there is
particle size, and particles may need to be of radius no double-layer interaction.
1 /am or greater before the attractive force is Hydrophilic colloids are unaffected by the small
sufficiently great for flocculation to occur. amounts of added electrolyte that cause hydrophobic
The height of the primary maximum energy sols to coagulate; however, when the concentration
barrier to coagulation depends upon the magnitude of electrolyte is high, particularly with an electrolyte
of FR, which is dependent on w0 and hence the zeta whose ions become strongly hydrated, the colloidal
potential. In addition, it depends on electrolyte con- material loses its water of solvation to these ions and
centration via K, the Debye-Huckel reciprocal length coagulates, i.e. a 'salting-out' effect occurs.
parameter. The addition of electrolyte compresses * Variation in the degree of solvation of different
the double layer and reduces the zeta potential: this hydrophilic colloids affects the concentration of
has the effect of lowering the primary maximum and soluble electrolyte required to produce their coagula-
deepening the secondary minimum (Fig. 6.5). This tion and precipitation. The components of a mixture of
latter means that there will be an increased tendency hydrophilic colloids can therefore be separated by a
for particles to flocculate in the secondary minimum process of fractional precipitation, which involves the
and is the principle of the controlled flocculation 'salting out' of the various components at different
approach to pharmaceutical suspension formulation concentrations of electrolyte. This technique is used in
described later. The primary maximum may also be the purification of antitoxins.
81
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Fig. 6.5 Schematic curves of total potential energy of interaction, Vj, versus distance of separation, H, showing the effect of adding
electrolyte at constant surface potential.
82
DISPERSE SYSTEMS
Fig. 6.6 Diagram of floes formed by (a) polymer bridging and (b) polyelectrolyte bridging in the presence of divalent ions of opposite
charge.
of two particles with adsorbed polymer layers results polymer chains decreases the entropy as these chains
in a steric interaction when the layers overlap, become more ordered. Such a process is not sponta-
leading to repulsion. In general, the particles do not neous: work must be expended to interpenetrate and
approach each other closer than about twice the compress any polymer chains existing between the
thickness of the adsorbed layer, and hence passage colloidal particles, and this work is a reflection of the
into the primary minimum is inhibited. An addi- repulsive potential energy. The enthalpy of mixing of
tional term has thus to be included in the potential these polymer chains will also be negative.
energy of interaction for what is called steric stabi- Stabilization by these effects occurs in non-aqueous
lization, Vs: dispersions.
Again, a positive AG occurs if both AH and AS
are positive and TAS > AH. Here enthalpy aids
The effect of Vs on the potential energy against dis- stabilization, entropy aids aggregation.
tance between particles curve is seen in Figure 6.7, Consequently, this effect is termed enthalpic sta-
showing that repulsion is generally seen at all shorter bilization and is common with aqueous disper-
distances provided that the adsorbed polymeric sions, particularly where the stabilizing polymer has
material does not move from the particle surface. polyoxyethylene chains. Such chains are hydrated in
Steric repulsion can be explained by reference to aqueous solution due to H-bonding between water
the free energy changes that take place when two molecules and the 'ether oxygens' of the ethylene
polymer-covered particles interact. Free energy AG, oxide groups. The water molecules have thus
enthalpy AH and entropy AS changes are related become more structured and lost degrees of
according to: freedom. When interpenetration and compression of
ethylene oxide chains occurs there is an increased
probability of contact between ethylene oxide
The second law of thermodynamics implies that a groups, resulting in some of the bound water mole-
positive value of AG is necessary for dispersion sta- cules being released (Fig. 6.8). The released water
bility, a negative value indicating that the particles molecules have greater degrees of freedom than
have aggregated. those in the bound state. For this to occur they must
A positive value of AG can arise in a number of be supplied with energy, obtained from heat absorp-
ways, for example when AH and AS are both nega- tion, i.e. there is a positive enthalpy change.
tive and TAS > AH. Here the effect of the entropy Although there is a decrease in entropy in the inter-
change opposes aggregation and outweighs the action zone, as with entropic stabilization, this is
enthalpy term; this is termed entropic stabiliza- overridden by the increase in the configurational
tion. Interpenetration and compression of the entropy of the released water molecules.
83
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Fig. 6.7 Schematic curves of the total potential energy of interaction versus distance for two particles, showing the effect of the steric
stabilization term Vs (a) in the absence of electrostatic repulsion, the solid line representing UT = \/A + Vs; (b) in the presence of
electrostatic repulsion, the solid line representing VT = VR + VA + \/s.
Fig. 6.8 Enthalpic stabilization, (a) Particles with stabilizing polyoxyethylene chains and H-bonded water molecules, (b) Stabilizing
chains overlap, water molecules released - + AH.
84
DISPERSE SYSTEMS
85
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
86
DISPERSE SYSTEMS
Hydrophobic Hydrophilic
Anionic
Sodium dodecanoate
Sodium dodecyl (lauryl) sulphate
Sodium dioctyl sulphosuccinate
Cationic
Hexadecyl trimethyl ammonium bromide
(Cetrimide)
Non-ionic
Hexaoxyethylene monohexadecyl ether
Polyoxyethylene sorbitan mono-oleate
(polysorbate 80)
Sorbitan mono-oleate
Ampholytic
A/-dodecyl alanine
Lecithin
energy. The contracted surface thus represents a between water molecules. The contracting power of
minimum free energy state, and any attempt to the surface is thus reduced and so, therefore, is the
expand the surface must involve an increase in the surface tension.
free energy. The surface tension is a measure of the A similar imbalance of attractive forces exists at
contracting power of the surface. Surface-active mol- the interface between two immiscible liquids. The
ecules in aqueous solution orientate themselves at the value of the interfacial tension is generally between
surface in such a way as to remove the hydrophobic those of the surface tensions of the two liquids
group from the aqueous phase and hence achieve a involved, except where there is interaction between
minimum free energy state. As a result, some of the them. Intrusion of surface-active molecules at the
water molecules at the surface are replaced by non- interface between two immiscible liquids leads to a
polar groups. The attractive forces between these reduction of interfacial tension, in some cases to
groups and the water molecules, or between the such a low level that spontaneous emulsification of
groups themselves, are less than those existing the two liquids occurs.
87
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
88
DISPERSE SYSTEMS
sizes the increase in internal freedom of the hydro- dent on the ionic strength of the solution and is
carbon chains that occurs when these chains are greatly compressed in the presence of electrolyte.
transferred from the aqueous environment, where Non-ionic micelles have a hydrophobic core sur-
their motion is restrained by the hydrogen-bonded rounded by a shell of oxyethylene chains which is
water molecules, to the interior of the micelle. It has often termed the palisade layer (Fig. 6.12b). As
been suggested that the increased mobility of the well as the water molecules that are hydrogen
hydrocarbon chains, and of course their mutual bonded to the oxyethylene chains, this layer is also
attraction, constitutes the principal hydrophobic capable of mechanically entrapping a considerable
factor in micellization. number of water molecules. Micelles of non-ionic
It should be emphasized that micelles are in surfactants tend, as a consequence, to be highly
dynamic equilibrium with monomer molecules in hydrated. The outer surface of the palisade layer
solution, continuously breaking down and reforming. forms the shear surface; that is, the hydrating mole-
It is this factor that distinguishes micelles from other cules form part of the kinetic micelle.
colloidal particles and the reason why they are called
association colloids. The concentration of surfac-
Solubilization
tant monomers in equilibrium with the micelles stays
approximately constant at the CMC value when the As mentioned previously, the interior core of a
solution concentration is increased above the CMC, micelle can be considered as having the properties of
i.e. the added surfactant all goes to form micelles. a liquid hydrocarbon and is thus capable of dissolv-
A typical micelle is a spherical or near-spherical ing materials that are soluble in such liquids. This
structure composed of some 50-100 surfactant process, whereby water-insoluble or partly soluble
molecules. The radius of the micelle will be slightly substances are brought into aqueous solution by
less than that of the extended hydrocarbon chain incorporation into micelles, is termed solubilization.
(approximately 2.5 nm), with the interior core having The site of solubilization within the micelle is closely
the properties of a liquid hydrocarbon. For ionic related to the chemical nature of the solubilizate. It
micelles, about 70-80% of the counter-ions will be is generally accepted that non-polar solubilizates
attracted close to the micelle, thereby reducing the (aliphatic hydrocarbons, for example) are dissolved
overall charge. The compact layer around the core of in the hydrocarbon core (Fig. 6.13a). Water-insolu-
an ionic micelle, which contains the head groups and ble compounds containing polar groups are orien-
the bound counter-ions, is called the Stern layer tated with the polar group at the surface of the ionic
(Fig. 6.12a).The outer surface of the Stern layer is micelle among the micellar charged head groups,
the shear surface of the micelle. The core and the and the hydrophobic group buried inside the hydro-
Stern layer together constitute what is termed the carbon core of the micelle (Fig. 6.13b). Slightly
'kinetic micelle'. Surrounding the Stern layer is a polar solubilizates without a distinct amphiphilic
diffuse layer called the Gouy-Chapman electrical structure partition between the micelle surface and
double layer that contains the remaining counter- the core (Fig. 6.13c). Solubilization in non-ionic
ions required to neutralize the charge on the kinetic polyoxyethylated surfactants can also occur in the
micelle. The thickness of the double layer is depen- polyoxyethylene shell (palisade layer) that surrounds
Fig. 6.12 Schematic representation of micelles of (a) ionic and (b) non-ionic surfactants.
89
THE DESIGN OF DOSAGE FORMS
powders in the finished product, the crystal proper- formation or, during drying, a solvated or hydrated
ties and solid-state form of the drug must be care- molecule may be lost to form an anhydrous material.
fully considered. It is well recognized that drug Consequently, the formulator must be aware of these
substances can be amorphous (i.e. without regular potential transformations, which can result in unde-
molecular lattice arrangements), crystalline, anhy- sirable modified product performance even though
drous, at various degrees of hydration or solvated routine chemical analyses may not reveal any
with other entrapped solvent molecules, as well as changes. Reversion from metastable forms, if used,
varying in crystal hardness, shape and size. In addi- to the stable form may also occur during the lifetime
tion, many drug substances can exist in more than of the product. In suspensions this may be accompa-
one form, with different molecular packing arrange- nied by changes in the consistency of the preparation
ments in the crystal lattice. This property is termed which affect its shelf life and stability. Such changes
polymorphism, and different polymorphs may be can often be prevented by the inclusion of additives,
prepared by manipulating the conditions of particle such as hydrocolloids and surface-active agents.
formation during crystallization, such as solvent,
temperature and rate of cooling. It is known that
only one form of a pure drug substance is stable at a
Stability
given temperature and pressure, with the other The chemical aspects of formulation generally
forms, termed metastable, converting at different centre around the chemical stability of the drug and
rates of the stable crystalline form. The different its compatibility with the other formulation ingredi-
polymorphs vary in physical properties such as dis- ents. In addition it should be emphasised that the
solution and solid-state stability, as well as process- packaging of the dosage form is an important con-
ing behaviour in terms of powder flow and tributing factor to product stability and must be an
compaction during tableting in some cases. integral part of stability testing programmes. Only a
These different crystalline forms can be of consid- brief summary is given at this point. It has been
erable importance in relation to the ease or difficulty mentioned previously that one of the principles of
of formulation and as regards stability and biological dosage form design is to ensure that the chemical
activity. As might be expected, higher dissolution integrity of drug substances is maintained during the
rates are obtained for metastable polymorphic usable life of the product. At the same time, chemi-
forms; for example, the metastable form of chlorte- cal changes involving additive and any physical
tracyline hydrochloride exhibits improved rate and modifications to the product must be carefully mon-
extent of bioavailability. In some cases, amorphous itored to optimize formulation stability.
forms are more active than crystalline forms. In general, drug substances decompose as a result
The polypeptide hormone insulin, widely used in of the effects of heat, oxygen, light and moisture. For
the regulation of carbohydrate, fat and protein example, esters such as aspirin and procaine are sus-
metabolism, also demonstrates how differing degrees ceptible to solvolytic breakdown, whereas oxidative
of activity can result from the use of different crys- decomposition occurs for substances such as ascor-
talline forms of the same agent. In the presence of bic acid. Drugs can be classified according to their
acetate buffer, zinc combines with insulin to form an sensitivity to breakdown:
extremely insoluble complex of the proteinaceous
1. Stable under all conditions (e.g. kaolin)
hormone. This complex is an amorphous precipitate
2. Stable if handled correctly (e.g. aspirin)
or crystalline product, depending on environmental
3. Moderately stable even with special handling
pH.The amorphous form, containing particles of no
(e.g. vitamins)
uniform shape and smaller than 2 Jim, is absorbed
4. Very unstable (e.g. certain antibiotics in solution
following i.m. or s.c. injection and has a short dura-
form).
tion of action, whereas the crystalline product, con-
sisting of 10-40 micrometre-sized rhombohedral Although the mechanisms of solid-state degradation
crystals, is more slowly absorbed and has a longer are complex and often difficult to analyse, a full
duration of action. Insulin preparations that are understanding is not a prerequisite in the design of a
intermediate in duration of action are prepared by suitable formulation containing solids. For example,
taking physical mixtures of these two products. in cases where drug substances are sensitive to
Polymorphic transitions can also occur during hydrolysis, precautions such as minimum exposure
milling, granulating, drying and compressing opera- to moisture during preparation, low moisture
tions (e.g. transitions during milling for digoxin and content specifications in the final product, and mois-
spironolactone). Granulation can result in solvate ture resistant packaging can be used. For oxygen-
9
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
90
DISPERSE SYSTEMS
micelle. An important factor in considering the break- hence absorption. Aqueous suspensions may also be
down of a drug located close to the micellar surface is used for parenteral and ophthalmic use, and provide
the ionic nature of the surface-active agent. For base- a suitable form for the applications of dermatologi-
catalysed hydrolysis anionic micelles should give an cal materials to the skin. Suspensions are similarly
enhanced protection owing to repulsion of the attack- used in veterinary practice, and a closely allied field
ing OH~ group. For cationic micelles there should be is that of pest control. Pesticides are frequently pre-
the converse effect. Although this pattern has been sented as suspensions for use as fungicides, insecti-
found, enhanced protection by cationic micelles also cides, ascaricides and herbicides.
occurs, suggesting that in these cases the positively An acceptable suspension possesses certain desir-
charged polar head groups hold the OH~ groups and able qualities, among which are the following: the
thus block their penetration into the micelle. suspended material should not settle too rapidly; the
Protection from oxidative degradation has also particles that do settle to the bottom of the container
been found with solubilized systems. must not form a hard mass but should be readily dis-
As indicated earlier, drugs may be surface active. persed into a uniform mixture when the container is
Such drugs form micelles and this self-association shaken; and the suspension must not be too viscous
has been found in some cases to increase the drug's to pour freely from the bottle or to flow through a
stability. Thus micellar solutions of penicillin G have syringe needle.
been reported to be 2.5 times as stable as The physical stability of a pharmaceutical suspen-
monomeric solutions under conditions of constant sion may be defined as the condition in which the par-
pH and ionic strength. ticles do not aggregate and in which they remain
uniformly distributed throughout the dispersion. As
this ideal situation is seldom realized it is appropriate
Detergency
to add that if the particles do settle they should be
Detergency is a complex process whereby surfac- easily resuspended by a moderate amount of agitation.
tants are used for the removal of foreign matter from The major difference between a pharmaceutical
solid surfaces, be it the removal of dirt from clothes suspension and a colloidal dispersion is one of size of
or the cleansing of body surfaces. The process the dispersed particles, with the relatively large par-
includes many of the actions characteristic of specific ticles of a suspension liable to sedimentation owing
surfactants. Thus the surfactant must have good to gravitational forces. Apart from this, suspensions
wetting characteristics, so that the detergent can show most of the properties of colloidal systems. The
come into intimate contact with the surface to be reader is referred to Chapter 23 for a detailed
cleaned. The detergent must have the ability to account of the formulation of suspensions.
remove the dirt into the bulk of the liquid; the
dirt/water and solid/water interfacial tensions are
Controlled flocculation
lowered, and thus the work of adhesion between the
dirt and solid is reduced, so that the dirt particle may A suspension in which all the particles remain dis-
be easily detached. Once removed, the surfactant can crete would, in terms of the DLVO theory, be con-
be adsorbed at the particle surface, creating charge sidered to be stable. However, with pharmaceutical
and hydration barriers that prevent deposition. If the suspensions, in which the solid particles are very
dirt is oily it may be emulsified or solubilized. much coarser, such a system would sediment
because of the size of the particles. The electrical
repulsive forces between the particles allow them to
slip past one another to form a close-packed
COARSE DISPERSE SYSTEMS arrangement at the bottom of the container, with
the small particles filling the voids between the
Suspensions larger ones. The supernatant liquid may remain
A pharmaceutical suspension is a coarse dispersion cloudy after sedimentation owing to the presence of
in which insoluble particles, generally greater than colloidal particles that remain dispersed. Those par-
1 /am in diameter, are dispersed in a liquid medium, ticles lowermost in the sediment are gradually
usually aqueous. pressed together by the weight of the ones above.
An aqueous suspension is a useful formulation The repulsive barrier is thus overcome, allowing the
system for administering an insoluble or poorly particles to pack closely together. Physical bonding,
soluble drug. The large surface area of dispersed leading to 'cake' or 'clay' formation, may then occur
drug ensures a high availability for dissolution and owing to the formation of bridges between the
91
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
particles resulting from crystal growth and hydra- in terms of the DLVO theory. The appearance of the
tion effects, forces greater than agitation usually supernatant liquid should be noted and the redis-
being required to disperse the sediment. persibility of the suspension evaluated.
Coagulation in the primary minimum, resulting It should be pointed out that in using the con-
from a reduction in the zeta potential to a point trolled flocculation approach to suspension formula-
where attractive forces predominate, thus produces tion it is important to work at a constant, or narrow,
coarse compact masses with a 'curdled' appearance, pH range because the magnitude of the charge on
which may not be readily dispersed. the drug particle can vary greatly with pH.
On the other hand, particles flocculated in the sec- Other additives, such as flavouring agents, may
ondary minimum form a loosely bonded structure, also affect particle charge.
called a flocculate or floe. A suspension consisting
of particles in this state is said to be flocculated.
Steric stabilization of suspensions
Although sedimentation of flocculated suspensions
is fairly rapid, a loosely packed, high-volume sedi- As described earlier, colloidal particles may be
ment is obtained in which the floes retain their struc- stabilized against coagulation in the absence of a
ture and the particles are easily resuspended. The charge on the particles by the use of non-ionic
supernatant liquid is clear because the colloidal par- polymeric material - the concept of steric stabiliza-
ticles are trapped within the floes and sediment with tion or protective colloid action. This concept may
them. Secondary minimum flocculation is therefore be applied to pharmaceutical suspensions where
a desirable state for a pharmaceutical suspension. naturally occurring gums such as tragacanth, and
Particles greater than 1 /Am radius should, unless synthetic materials such as non-ionic surfactants
highly charged, show a sufficiently deep secondary and cellulose polymers, may be used to produce
minimum for flocculation to occur because the satisfactory suspensions. These materials may
attractive force between particles, FA, depends on increase the viscosity of the aqueous vehicle and
particle size. Other factors contributing to secondary thus slow the rate of sedimentation of the particles,
minimum flocculation are shape (asymmetric parti- but they will also form adsorbed layers around the
cles, especially those that are elongated, being more particles so that the approach of their surfaces and
satisfactory than spherical ones) and concentration. aggregation to the coagulated state is hindered.
The rate of flocculation depends on the number of Repulsive forces arise as the adsorbed layers
particles present, so that the greater the number of interpenetrate and, as explained above, these have
particles the more collisions there will be and the an enthalpic component owing to the release of
more flocculation is likely to occur. However, it may water of solvation from the polymer chains, and an
be necessary, as with highly charged particles, to entropic component due to movement restriction.
control the depth of the secondary minimum to As a result the particles will not usually approach
induce a satisfactory flocculation state. This can be one another closer than twice the thickness of the
achieved by the addition of electrolytes or ionic adsorbed layer.
surface-active agents that reduce the zeta potential However, as indicated above in the discussion on
and hence FR, resulting in the displacement of the controlled flocculation, from a pharmaceutical point
whole of the DLVO plot to give a satisfactory sec- of view an easily dispersed aggregated system is
ondary minimum, as indicated in Figure 6.5. The desirable. To produce this state a balance between
production of a satisfactory secondary minimum attractive and repulsive forces is required. This is not
leading to floe formation in this manner is termed achieved by all polymeric materials, and the equiva-
con trolled flocculation. lent of deflocculated and caked systems may be pro-
A convenient parameter for assessing a suspension duced. The balance of forces appears to depend on
is the sedimentation volume ratio, F, which is both the thickness and the concentration of the
defined as the ratio of the final settled volume Fu to polymer in the adsorbed layer. These parameters
the original volume F0. determine the Hamaker constant and hence the
attractive force, which must be large enough to cause
aggregation of the particles comparable to floccula-
The ratio F gives a measure of the aggregated- tion. The steric repulsive force, which depends on
deflocculated state of a suspension and may usefully the concentration and degree of solvation of the
be plotted, together with the measured zeta poten- polymer chains, must be of sufficient magnitude to
tial, against concentration of additive, enabling an prevent close approach of the uncoated particles, but
assessment of the state of the dispersion to be made low enough so that the attractive force is dominant,
92
DISPERSE SYSTEMS
leading to aggregation at about twice the adsorbed to be dilatant.This means that the apparent viscosity
layer thickness. It has been found, for example, that of flocculated suspensions is relatively high when the
adsorbed layers of certain polyoxyethylene-poly- applied shearing stress is low, but it decreases as the
oxypropylene block copolymers will product satis- applied stress increases and the attractive forces pro-
factory flocculated systems, whereas many nonyl ducing the flocculation are overcome. Conversely,
phenyl ethoxylates will not. With both types of sur- the apparent viscosity of a concentrated defloccu-
factant the molecular moieties producing steric lated suspension is low at low shearing stress, but
repulsion are hydrated ethylene oxide chains, but the increases as the applied stress increases. This effect is
concentration of these in the adsorbed layers varies, due to the electrical repulsion that occurs when the
giving the results indicated above. charged particles are forced close together (see the
DLVO plot of potential energy of interaction
Wetting problems between particles; Fig. 6.4), causing the particles to
rebound and creating voids into which the liquid
One of the problems encountered in dispersing solid flows, leaving other parts of the dispersion dry. In
materials in water is that the powder may not be addition to the rheological problems associated with
readily wetted (see Chapter 5). This may be due to particle charge, the sedimentation behaviour is also
entrapped air or to the fact that the solid surface is of course influenced by the rheological properties of
hydrophobic. The wettability of a powder may be the liquid continuous phase.
described in terms of the contact angle, 9, that the
powder makes with surface of the liquid. This is
described by: Emulsions
An emulsion is a system consisting of two immisci-
ble liquid phases, one of which is dispersed through-
or out the other in the form of fine droplets. A third
component, the emulsifying agent, is necessary to
stabilize the emulsion.
where ys/v, ys/L and yuv are the respective interfacial The phase that is present as fine droplets is called
tensions. the disperse phase and the phase in which the
For a liquid to wet a powder completely there droplets are suspended is the continuous phase.
should be a decrease in the surface free energy as a Most emulsions will have droplets with diameters of
result of the immersion process. Once the particle is 0.1-100 /Am and are inherently unstable systems;
submerged in the liquid, the process of spreading smaller globules exhibit colloidal behaviour and the
wetting becomes important. In most cases where stability of a hydrophobic colloidal dispersion.
water is involved the reduction of contact angle may Pharmaceutical emulsions usually consist of water
only be achieved by reducing the magnitude of y^ and an oil. Two main types can exist: oil-in-water
and ys/L by the use of a wetting agent. The wetting (o/w) and water-in-oil (w/o), depending upon
agents are surfactants that not only reduce y^ but whether the continuous phase is aqueous or oily.
also adsorb on to the surface of the powder, thereby More complicated emulsion systems may exist: for
reducing ys/v. Both of these effects reduce the contact example, an oil droplet enclosing a water droplet
angle and improve the dispersibility of the powder. may be suspended in water to form a water-in-oil-in-
Problems may arise because of the build-up of an water emulsion (w/o/w). Such systems or their o/w/o
adherent layer of suspension particles on the walls of counterparts are termed multiple emulsions and
the container just above the liquid line that occurs as are of interest as delayed-action drug delivery
the walls are repeatedly wetted by the suspension. systems. Traditionally, emulsions have been used to
This layer subsequently dries to form a hard, thick render oily substances such as castor oil and liquid
crust. Surfactants reduce this adsorption by coating paraffin in a more palatable form. It is possible to
both the glass and particle surfaces such that they formulate together oil-soluble and water-soluble
repel each other. medicaments in emulsions, and drugs may be more
easily absorbed owing to the finely divided condition
of emulsified substances.
Rheological properties of suspensions
A large number of bases used for topical prepara-
Flocculated suspensions tend to exhibit plastic or tions are emulsions, water miscible being o/w type
pseudoplastic flow, depending on concentration, and greasy bases w/o. The administration of oils and
whereas concentrated deflocculated dispersions tend fats by intravenous infusion, as part of a total par-
93
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
enteral nutrition programme, has been made possi- produce stable emulsions. Acacia forms a strong
ble by the use of suitable non-toxic emulsifying viscous interfacial film around the globules, and it is
agents such as lecithin. Here, the control of particle thought that the characteristics of the interfacial film
size of the emulsion droplets is of paramount impor- are most important in considering the stability of
tance in the prevention of embolus formation. emulsions.
Micro emulsions Unlike the coarse emulsions Pioneering work on emulsion stability by
described above, microemulsions are homogeneous, Schulman and Cockbain in 1940 showed that a
transparent systems that are thermodynamically mixture of an oil-soluble alcohol such as cholesterol
stable. Moreover, they form spontaneously when the and a surface-active agent such as sodium cetyl
components are mixed in the appropriate ratios. (hexadecyl) sulphate was able to form a stable
They can be dispersions of oil in water or water in complex condensed film at the oil/water interface.
oil, but the droplet size is very much smaller - 5-140 This film was of high viscosity, sufficiently flexible to
nm - than in coarse emulsions. They are essentially permit distortion of the droplets, resisted rupture,
swollen micellar systems, but obviously the distinc- and gave an interfacial tension lower than that pro-
tion between a micelle containing solubilized oil and duced by either component alone. The emulsion
an oil droplet surrounded by an interfacial layer produced was stable, the charge arising from the
largely composed of surfactant, is difficult to assess. sodium cetyl sulphate contributing to the stability, as
An essential requirement for their formation and described for lyophobic colloidal dispersions. For
stability is the attainment of a very low interfacial complex formation at the interface the correct
tension. It is generally not possible to achieve the 'shape' of molecule is necessary, thus Schulman and
required lowering of interfacial tension with a single Cockbain found that sodium cetyl sulphate stabil-
surfactant, and it is necessary to include a second ized an emulsion of liquid paraffin when elaidyl
amphiphile, usually a medium chain length alcohol, alcohol (the trans isomer) was the oil-soluble com-
in the formulation. The second amphiphile is ponent, but not when the cis isomer, oleyl alcohol,
referred to as the cosurfactant. was used.
Although microemulsions have many advantages In practice, the oil-soluble and water-soluble com-
over coarse emulsions, particularly their trans- ponents are dissolved in the appropriate phases and
parency and stability, they require much larger when the two phases are mixed the complex is formed
amounts of surfactant for their formulation, which at the interface. Alternatively, an emulsifying wax may
restricts the choice of acceptable components. be used consisting of a blend of the two components.
The wax is dispersed in the oil phase and the aqueous
phase is added at the same temperature. Examples of
Theory of emulsion stabilization
such mixtures are given in Table 6.4.
Interfacial films When two immiscible liquids, This principle is also applied with the non-ionic
e.g. liquid paraffin and water, are shaken together a emulsifying agents. For example, mixtures of sorbi-
temporary emulsion will be formed. The subdivision tan mono-oleate and polyoxyethylene sorbitan esters
of one of the phases into small globules results in a (e.g. polysorbate 80) have good emulsifying proper-
large increase in surface area and hence the interfa- ties. Non-ionic surfactants are widely used in the
cial free energy of the system. The system is thus production of stable emulsions and have the advan-
thermodynamically unstable, which results first in tages over ionic surfactants of being less toxic and
the dispersed phase being in the form of spherical
droplets (the shape of minimum surface area for a Table 6.4 Emulsifying waxes
given volume), and secondly in coalescence of these
droplets, causing phase separation, the state of Product Oil-soluble Water-soluble component
minimum surface free energy. component
The adsorption of a surface-active agent at the
Emulsifying wax Cetostearyl Sodium lauryl (dodecyl)
globule interface will lower the o/w interfacial
(anionic) alcohol sulphate
tension, the process of emulsification will be made
easier and the stability may be enhanced. However, Cetrimide Cetostearyl Cetrimide (hexadecyl
emulsifying wax alcohol trimethyl ammonium
if a surface-active agent such as sodium dodecyl sul- (cationic) bromide)
phate is used, the emulsion, after standing for a short
Cetomacrogol Cetostearyl Cetomacrogol
while, will still separate out into its constituent emulsifying wax alcohol (polyoxyethylene
phases. On the other hand, substances such as (non-ionic) monohexadecyl ether)
acacia, which are only slightly surface active,
94
DISPERSE SYSTEMS
less sensitive to electrolytes and pH variation. These magnesium hydroxides and clays such as bentonite
emulsifying agents are not charged and there is no are preferentially wetted by water and thus stabilize
electrical repulsive force contributing to stability. It is o/w emulsions, e.g. liquid paraffin and magnesium
likely, however, that these substances, and the hydroxide emulsion. Carbon black and talc are more
cetomacrogol emulsifying wax included in Table 6.4, readily wetted by oils and stabilize w/o emulsions.
sterically stabilize the emulsions, as discussed above.
Hydrophilic colloids as emulsion stabilizers A
Emulsion type
number of hydrophilic colloids are used as emulsify-
ing agents in pharmacy. These include proteins When an oil, water and an emulsifying agent are
(gelatin, casein) and polysaccharides (acacia, cellu- shaken together, what decides whether an o/w or w/o
lose derivatives and alginates). These materials, emulsion will be produced? A number of simultane-
which generally exhibit little surface activity, adsorb ous processes have to be considered, for example
at the oil/water interface and form multilayers. Such droplet formation, aggregation and coalescence of
multilayers have viscoelastic properties, resist droplets, and interfacial film formation. When oil
rupture and presumably form mechanical barriers to and water are shaken together both phases initially
coalescence. However, some of these substance have form droplets. The phase that persists in droplet
chemical groups that ionize, e.g. acacia consists of form for longer should become the disperse phase,
salts of arabic acid, and proteins contain both amino and it should be surrounded by the continuous
and carboxylic acid groupings, thus providing elec- phase formed from the more rapidly coalescing
trostatic repulsion as an additional barrier to coales- droplets. The phase volumes and interfacial tensions
cence. Most cellulose derivatives are not charged. will determine the relative number of droplets pro-
There is evidence, however, from studies on solid duced and hence the probability of collision, i.e. the
suspensions, that these substances sterically stabilize greater the number of droplets the higher the chance
and it would appear probable that there will be a of collision, so that the phase present in greater
similar effect with emulsions. amount should finally become the continuous phase.
Solid particles in emulsion stabilization Emulsions However, emulsions containing well over 50% of dis-
may be stabilized by finely divided solid particles if perse phase are common.
they are preferentially wetted by one phase and A more important consideration is the interfacial
possess sufficient adhesion for one another so that film produced by the adsorption of emulsifier at the
they form a film around the dispersed droplets. o/w interface. Such films significantly alter the rates
Solid particles will remain at the interface as long of coalescence by acting as physical and chemical
as a stable contact angle, 6, is formed by the barriers to coalescence. As indicated in the previous
liquid/liquid interface and the solid surf ace. The par- section, the barrier at the surface of an oil droplet
ticles must also be of sufficiently low mass for gravi- may arise because of electrically charged groups pro-
tational forces not to affect the equilibrium. If the ducing repulsion between approaching droplets, or
solid is preferentially wetted by one of the phases, because of the steric repulsion, enthalpic in origin,
then more particles can be accommodated at the from hydrated polymer chains. The greater the
interface if the interface is convex towards that phase. number of charged molecules present, or the greater
In other words, the liquid whose contact angle (mea- the number of hydrated polymer chains at the inter-
sured through the liquid) is less than 90 will form face, the greater will be the tendency to reduce oil
the continuous phase (Fig. 6.14). Aluminium and droplet coalescence. On the other hand, the interfa-
cial barrier for approaching water droplets arises pri-
marily because of the non-polar or hydrocarbon
portion of the interfacial film. The longer the hydro-
carbon chain length and the greater the number of
molecules present per unit area of film, the greater
the tendency for water droplets to be prevented from
coalescing. Thus it may be said generally that it is the
dominance of the polar or non-polar characteristics
of the emulsifying agent that plays a major contribu-
tion to the type of emulsion produced.
Fig. 6.14 Emulsion stabilization using solid particles, It would appear, then, that the type of emulsion
(a) Preferential wetting of solid by water, leading to an o/w
emulsion; (b) preferential wetting of solid by oil, leading to a w/o formed, depending as it does on the polar/non-polar
emulsion. characteristics of the emulsifying agent, is a function
95
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
of the relative solubility of the emulsifying agent, the ionic emulsifying agents with polyoxyethylene
phase in which it is more soluble being the continu- hydrophilic groups, it has since been applied with
ous phase. This is a statement of what is termed the varying success to other surfactant groups, both
Bancroft rule, an empirical observation made in ionic and non-ionic.
1913. By means of this number system an HLB range of
The foregoing helps to explain why charged optimum efficiency for each class of surfactant is
surface-active agents such as sodium and potassium established, as seen in Figure 6.15. This approach is
oleates, which are highly ionized and possess strong empirical but it does allow comparison between dif-
polar groups, favour o/w emulsions, whereas calcium ferent chemical types of emulsifying agent.
and magnesium soaps, which are little dissociated, There are several formulae for calculating HLB
tend to produce w/o emulsions. Similarly, non-ionic values of non-ionic surfactants. We can estimate
sorbitan esters favour w/o emulsions, whereas o/w values for polysorbates (Tweens) and sorbitan esters
emulsions are produced by the more hydrophilic (Spans) from:
polyoxyethylene sorbitan esters.
Because of the stabilizing mechanism involved,
polar groups are far better barriers to coalescence where E is the percentage by weight of oxyethylene
than their non-polar counterparts. It is thus possible chains and P is the percentage by weight of polyhy-
to see why o/w emulsions can be made with greater dric alcohol groups (glycerol or sorbitol) in the
than 50% disperse phase, and w/o emulsions are molecule. If the surfactant contains only poly-
limited in this respect and invert (change type) if the oxyethylene as the hydrophilic group then we can
amount of water present is significant. use a simpler form of the equation:
Hydrophile-lipophile balance The fact that a more
hydrophilic interfacial barrier favours o/w emulsions
whereas a more non-polar barrier favours w/o emul-
Alternatively, we can calculate HLB values directly
sions is made use of in the hydrophile-lipophile
from the chemical formula using empirically deter-
balance (HLB) system for assessing surfactants and
mined group numbers. The formula is then:
emulsifying agents, which was introduced by Griffin
in 1949. Here an HLB number is assigned to an
emulsifying agent which is characteristic of its rela-
tive polarity. Although originally conceived for non-
9<3
DISPERSE SYSTEMS
97
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
confused with creaming (see below). The former is is milk, an o/w emulsion, with cream rising to the top
due to the interaction of attractive and repulsive of the emulsion.
forces and the latter to density differences in the two As mentioned earlier, flocculation may occur as
phases; both may occur. well as creaming, but not necessarily so. Droplets of
Phase inversion As indicated under the section the creamed layer do not coalesce, as may be found
on emulsion type, phase volume ratio is a contribu- by gentle shaking which redistributes the droplets
tory factor to the type of emulsion formed. throughout the continuous phase. Although not so
Although it was stated there that stable emulsions serious an instability factor as cracking, creaming is
containing more than 50% of disperse phase are undesirable from a pharmaceutical point of view
common, attempts to incorporate excessive because a creamed emulsion is inelegant in appear-
amounts of disperse phase may cause cracking of ance, provides the possibility of inaccurate dosage,
the emulsion or phase inversion (conversion of an and increases the likelihood of coalescence as the
o/w emulsion to w/o, or vice versa). It can be shown globules are close together in the cream.
that uniform spheres arranged in the closest Those factors that influence the rate of creaming
packing will occupy 74.02% of the total volume are similar to those involved in the sedimentation
irrespective of their size. Thus Ostwald suggested rate of suspension particles and are indicated by
that an emulsion which resembles such an arrange- Stokes' law, as follows:
ment of spheres would have a maximum disperse
phase concentration of the same order. Although it
is possible to obtain more concentrated emulsions
than this, because of the non-uniformity of size of where v is the velocity of creaming, a the globule
the globules and the possibility of deformation of radius, a and p the densities of disperse phase and
shape of the globules, there is a tendency for emul- dispersion medium, respectively, and 17 the viscosity
sions containing more than about 70% disperse of the dispersion medium. A consideration of this
phase to crack or invert. equation shows that the rate of creaming will be
Further, any additive that alters the hydrophile- decreased by:
lipophile balance of an emulsifying agent may alter
1. a reduction in the globule size
the emulsion type, thus the addition of a magnesium
2. a decrease in the density difference between the
salt to an emulsion stabilized with sodium oleate will
two phases
cause the emulsion to crack or invert.
3. an increase in the viscosity of the continuous
The addition of an electrolyte to anionic and
phase.
cationic surfactants may suppress their ionization
owing to the common ion effect, and so a w/o emul- A decrease of creaming rate may therefore be
sion may result even though normally an o/w emul- achieved by homogenizing the emulsion to reduce
sion would be produced. For example, White the globule size and increasing the viscosity of the
Liniment BP is formed from turpentine oil, ammo- continuous phase 17 by the use of thickening agents
nium oleate, ammonium chloride and water. With such as tragacanth or methyl cellulose. It is seldom
ammonium oleate as the emulsifying agent an o/w possible to adjust the densities of the two phases
emulsion would be expected, but the suppression of satisfactorily.
ionization of the ammonium oleate by the ammo- Assessment of emulsion stability Approximate
nium chloride (the common ion effect) and a rela- assessments of the relative stabilities of a series of
tively large volume of turpentine oil produce a w/o emulsions may be obtained from estimations of the
emulsion. degree of separation of the disperse phase as a dis-
Emulsions stabilized with non-ionic emulsifying tinct layer, or from the degree of creaming. Whereas
agents such as the polysorbates may invert on separation of the emulsion into two layers, i.e. crack-
heating. This is caused by the breaking of the Pi- ing, indicates gross instability, a stable emulsion may
bonds responsible for the hydrophilic characteristics cream, creaming being due simply to density differ-
of the polysorbate; its HLB value is thus altered and ences and easily reversed by shaking. Some coales-
the emulsion inverts. cence may, however, take place owing to the close
Creaming Many emulsions cream on standing. proximity of the globules in the cream, similar prob-
The disperse phase, according to its density relative lems occur with flocculation.
to that of the continuous phase, rises to the top or However, instability in an emulsion results from
sinks to the bottom of the emulsion, forming a layer any process that causes a progressive increase in
of more concentrated emulsion. A common example particle size and a broadening of the particle size
98
DISPERSE SYSTEMS
distribution, so that eventually the dispersed parti- tension over small regions of the liquid film.
cles become so large that they separate out as free These regions are rapidly pulled out by
liquid. Accordingly, a more precise method for surrounding regions of higher tension, small
assessing emulsion stability is to follow the globule areas of film are therefore thinned out and left
size distribution with time. An emulsion approach- without the properties to resist rupture.
ing the unstable state is characterized by the appear- 2. Foam inhibitors, such as polyamides and
ance of large globules as a result of the coalescence silicones. It is thought that these are adsorbed at
of others. the air/water interface in preference to the
foaming agent, but they do not have the
Foams requisite ability to form a stable foam. They have
a low interfacial tension in the pure state and
A foam is a coarse dispersion of a gas in a liquid
may be effective by virtue of rapid adsorption.
which is present as thin films or lamellae of colloidal
dimensions between the gas bubbles.
Foams find application in pharmacy as aqueous Aerosols
and non-aqueous spray preparations for topical,
Aerosols are colloidal dispersions of liquids or solids
rectal and vaginal medications and for burn dress-
in gases. In general, mists and fogs possess liquid dis-
ings. Equally important, however, is the destruction
perse phases whereas smoke is a dispersion of solid
of foams and the use of antifoaming agents. These
particles in gases. However, no sharp distinction can
are important in manufacturing processes, prevent-
be made between the two kinds because liquid is often
ing foam in liquid preparations, for example. In addi-
associated with the solid particles. A mist consists of
tion, foam inhibitors such as the silicones are used in
fine droplets of liquid that may or may not contain
the treatment of flatulence, for the elimination of
dissolved or suspended material. If the concentration
gas, air or foam from the gastrointestinal tract prior
of droplets becomes high it may be called a fog.
to radiography, and for the relief of abdominal dis-
Although all the disperse systems mentioned above
tension and dyspepsia.
are less stable than colloids that have a liquid as dis-
Because of their high interfacial area (and surface
persion medium, they have many properties in
free energy) all foams are unstable in the thermody-
common with the latter and can be investigated in the
namic sense. Their stability depends on two major
same way. Particle size is usually within the colloidal
factors, the tendency for the liquid films to drain and
range, but if it is larger than 1 /urn the life of an aerosol
become thinner, and their tendency to rupture due to
is short because the particles settle out too quickly.
random disturbances such as vibration, heat and dif-
Preparation of aerosols In common with other col-
fusion of gas from small bubbles to large bubbles. Gas
loidal dispersions, aerosols may be prepared by
diffuses from the small bubbles to the large because
either dispersion or condensation methods. The
the pressure in the former is greater. This is a phe-
latter involve the initial production of supersaturated
nomenon of curved interfaces, the pressure difference
vapour of the material that is to be dispersed. This
Ap being a function of the interfacial tension, y, and
may be achieved by supercooling the vapour. The
the radius, r, of the droplet according to Ap = 2-y/r.
supersaturation eventually leads to the formation of
Pure liquids do not foam. Transient or unstable
nuclei, which grow into particles of colloidal dimen-
foams are obtained with solutes such as short-chain
sions. The preparation of aerosols by dispersion
acids and alcohols which are mildly surface active.
methods is of greater interest in pharmacy and may
However, persistent foams are formed by solutions
be achieved by the use of pressurized containers
of surfactants. The film in such foams consists of
with, for example, liquefied gases such as propel-
two monolayers of adsorbed surface-active mole-
lants. If a solution or suspension of active ingredients
cules separated by an aqueous core. The surfactants
is contained in the liquid propellant, or in a mixture
stabilize the film by means of electrical double-layer
of this liquid and an additional solvent, then when
repulsion or steric stabilization, as described for
the valve on the container is opened the vapour pres-
colloidal dispersions.
sure of the propellant forces the mixture out of the
Foams are often troublesome, and knowledge of
container. The large expansion of the propellant at
the action of substances that cause their destruction
room temperature and atmospheric pressure pro-
is useful. There are two types of antifoaming agent:
duces a dispersion of the active ingredients in air.
1. Foam breakers, such as ether and w-octanol. Although the particles in such dispersions are often
These substances are highly surface active and larger than those in colloidal systems, these disper-
are thought to act by lowering the surface sions are still generally referred to as aerosols.
99
7
Kinetics and product stability
John Pugh
101
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Order
This is the number of concentration terms that
determine the rate. In an unimolecular process a
molecule will react if it has sufficiently high-energy.
The number of high-energy molecules depends on Thus a plot of In c against t is a straight line with
how many molecules are present, i.e. their concen- intercept c0 and gradient -k.
tration in solution (or pressure in a gas). In a bimol- The units of k are given by rearranging Eqn 7.1:
ecular process two molecules must collide to react,
and the likelihood of collision depends on the con-
centrations of each species. The law of mass action i.e. the rate constant has the dimensions of time"1
states that the rate depends on the product of con- and typical units of s"1.
centrations of the reactants. Note that because k contains no concentration
Thus in the first step of the example reaction, term it is not necessary to convert experimental data
N2O5 = 2NO2 +102 to concentration values in order to estimate it. Any
convenient property of the system that is directly
the rate of reaction = k\ [N2O5], i.e. there is only one proportional to concentration can be used, such as
concentration term and the reaction is known as UV absorbance, conductivity, pressure or radioactiv-
first order. ity. For example, absorbance (A) is related to con-
In the second step, centration, c, by Beer's law, i.e. c = aA, where a is a
10 2 +|0 2 proportionality constant.
Substitution into Eqn 7.2 gives: In aA In aA0 - kt
the rate of reaction = k2 [1 O2] [1 O2] = k2 [~ O2]2, hence \nA = ]n.A0- kt. Thus, although the intercept
where kl and k2 are the reaction rate constants. Thus of the graph will alter, the gradient remains the same.
there are two concentration terms and the reaction is
known as second order.
Each of these is discussed in more detail below. Example 7.1
102
KINETICS AND PRODUCT STABILITY
Example 7.2
103
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Zero order
In a zero-order reaction the rate of reaction (decom-
position, dissolution, drug release) is independent of
the concentration of the reactants, i.e. the rate is con-
stant. A constant rate of drug release from a dosage
form is highly desirable. Zero-order kinetics often
apply to processes occurring at phase boundaries,
where the concentration at the surface remains con-
stant either because reaction sites are saturated
(enzyme kinetics, drug receptor interaction) or are
constantly replenished by diffusion of fresh material
from within the bulk of one phase. This diffusion cri-
terion applies to the hydrolysis of drugs in suspen-
sions or delivery from controlled-release dosage
forms such as transdermal patches. Fig. 7.3 Zero order.
Half-life (fi)
This is the time taken for the concentration (of, say, a
drug in solution) to reduce by a half. Rearrangement
of the integrated equations for t (Eqns 7.2, 7.4 and
7.6) gives:
Zero order First order Second order
Thus, a plot of c against t is a straight line with gra- t= (c-cjlk In (cjc}lk (1/c- 1/O/&
dient k. Units of k from Eqn 7.5 are cone time"1,
with typical units of mole L"1 s^1 or similar. and substituting c = cJ2 at t\
t. cJ2k 0.693/6 l/cnk
Example 7.3 Note that for first-order reactions the half life, tl3 is
independent of concentration.
The concentration of steroid remaining in a Table 7.1 summarizes the parameters for zero-
transdermal patch is as follows: order, first-order and second-order processes.
Time (h) 0 30 60 90 120 150 Determination of order and rate constant
Amount (^tg) 20 16.4 12.8 9.2 5.6 2 from experimental data
This can achieved in two ways:
Note: strictly speaking, 'amount' is not the same as
'concentration'. In this case concentration is fjLg 1. Substituting the data into the integrated equations
patch"1. and observing which plot is a straight line;
104
KINETICS AND PRODUCT STABILITY
Half-life method
This involves the selection of a set of convenient
'initial' concentrations and then determining the
times taken to fall to half these values.
Example 7.5
V 10 6 4 2
t at V 0 5 11 18 32
t at 'c0'/2 12 18 24 32 45
ti 12 13 13 14 13
'Co' 10 8 6 4 2
'c0'/2ti 0.42 0.31 0.23 0.14 0.08
Fig. 7.4 (a) Plot of concentration against time, (b) Plot of
1/concentration against time: (c) Plot of In (concentration) l/V*i 0.008 0.009 0.013 0.018 0.038
against time.
105
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Thus neither set of values is constant, confirming refers to the reverse of a reaction numbered 1 (A > B
that the reaction is neither zero or second order. + C): it does not mean that if kl is 0.5 h'1 then the rate
The first-order rate constant is found from the constant for the reverse reaction is -0.5 tr1.
mean ti value of 13 h, i.e. k = 0.693/fi = 0.053 Ir1.
2 2
Michaelis-Menten equation
Complex reactions These three basic reaction types can be combined in
different ways. One important combination describes
The theories so far have assumed that a single reac-
processes that occur at interfaces. These appear
tion pathway is involved and that the product does
repeatedly in the life sciences, e.g. enzyme-substrate,
not affect the kinetics. Neither of these assumptions
transmitter-receptor, drug-receptor binding. The
may be true and the overall order, being the result of
kinetics are described by the Michaelis-Menten
several reactions, may not be zero, first or second
equation, which assumes that the enzyme E and the
order but have a fractional value.
substrate 5 form an unstable complex ES., which can
There are three basic types of complex behaviour:
either reform 5 or form a new product, P:
Parallel (side) reactions
Here reactants A form a mixture of products:
Reversible reactions
Here the product reforms the reactants:
and rearrangement gives:
106
KINETICS AND PRODUCT STABILITY
L J
The overall rate of reaction, F, is given by the Fig. 7.6 Michaelis-Menten plot for enzyme-catalysed reaction.
Michaelis-Menten equation:
107
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
108
KINETICS AND PRODUCT STABILITY
will react if it has energy > E. The collision and ori- stability at proposed storage conditions. These may
entation factors are inapplicable and A is now the be at 25C for ambient room temperature (or 30C
proportionality constant a, although it is still termed for use in hot climates), or 0-4C for a refrigerator.
the frequency factor. The amount of decomposition that is acceptable in
fixing an expiry date depends on the particular drug.
This will be small if the therapeutic index (ratio of
toxic dose/effective dose) is low, e.g. digoxin, or if the
ACCELERATED STABILITY TESTING decomposition products are toxic. It might be
decided to fix the shelf-life as being the time taken
All medicinal products decompose with time. for 10% of the drug to decompose at 25C.
Paradoxically, when this decomposition is being
assessed the skilled formulator becomes a victim of
Stability testing protocols
his own expertise, as a good formulation will take a
long time to decompose. Instabilities in modern for- Accelerated stability testing requires the careful
mulations are often detectable only after consider- design of protocols which must define clearly the fol-
able storage periods under normal conditions. To lowing:
assess the stability of a formulated product it is usual
1. The temperature and humidity for storage
to expose it to 'high stress', i.e. conditions of tem- 2. Storage time before sampling
perature, humidity and light intensity that are known
3. The number of batches to be sampled
from experience to be likely causes of breakdown.
4. The number of replicates within each batch
High stress conditions enhance the deterioration of
5. A suitable light challenge
the product and therefore reduce the time required
6. Details of assay.
for testing. This enables more data to be gathered in
a shorter time, which in turn will allow unsatisfac- Although all pharmaceutical products have to satisfy
tory formulations to be eliminated early in a study government regulatory authorities, surprisingly there
and will also reduce the time for a successful product are no nationally or internationally standardized
to reach the market. It must be emphasized that storage conditions. Storage conditions during stabil-
extrapolations to 'normal' storage conditions must ity testing vary from company to company and even
be made with care, and that the formulator must be within a single company. Often different types of
sure that such extrapolations are valid. It is advisable products are given different challenges. Two alterna-
therefore to run concurrently a batch under tive stability protocol strategies are discussed below.
expected normal conditions to confirm later that
these assumptions are valid.
Factorial analysis
The objectives of such accelerated tests may be
defined as: Factorial analysis is a simple approach for gauging the
likely effect of additional factors for which no simple
1. The rapid detection of deterioration in different
descriptive relationship such as the Arrhenius equation
initial formulations of the same product. This is
exists. For example, it may reasonably be suspected
of use in selecting the best formulation from a
that light and humidity cause the degradation of a
series of possible choices;
freeze-dried antibiotic powder. The powder is there-
2. The prediction of shelf-life, which is the time a
fore stored under low and high stresses in sealed
product will remain satisfactory when stored
vessels over water or desiccant on windowsills and in
under expected or directed storage conditions; cupboards. After a suitable time the amount of
3. The provision of a rapid means of quality
decomposition is measured and typical results are:
control, which ensures that no unexpected
change has occurred in the stored product. hi = 8%; HI = 39%; hL = 16%; HL = 47%.
(where, for example, hL = low humidity, high light
Good formulations will invariably break down more
intensity).
slowly than poor ones. Even though no absolute con-
clusions can be drawn about their predicted stability Average decomposition at high humidity,
under normal storage from data obtained under H = (39 +47)/2 = 42%
stress conditions, such tests allow formulations to be Average decomposition at low humidity, h = 12%
optimized relatively quickly.
When the perceived optimal formulation is Thus the scaled effect of humidity is (42 - 12) = 30%.
decided, attempts can be made to predict its likely Similarly, the effect of light is 8%.
109
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Thus although both light and humidity cause of liquid products may be stored in an inverted posi-
decomposition, humidity poses the greater threat to tion to check for interaction between the ingredients
stability. and the liner of the cap.
It is important that stability studies are performed
A structured approach at all stages of product development. Stability testing
A typical protocol is shown in Table 7.2. At least two, during preformulation is discussed in Chapter 8 of
possibly three, batches are stored as indicated and this book and by Monkhouse (1984). Stability pro-
subsequently tested in duplicate. Products are grammes for formulation studies have been dis-
usually stored in their final container. If at this stage cussed by Dukes (1984) and during clinical trials
the final pack has not been confirmed, a range of and scale-up by Lantz (1984). Stability programmes
packs and pack materials must be tested. For for marketed batches are described by Kaminski
example, tablets may be stored in glass bottles, (1984) and Thompson (1984). The products may
HDPE containers, aluminium foil and PVC or also be exposed to an additional light challenge.This
PVC/PVDC blisters (see Chapter 36). Some batches may be in the form of a standard fluorescent-tube
light cabinet or more simply, a south facing window.
Table 7.2 A typical storage and testing protocol for
accelerated stability assessment of pharmaceutical
products
Prediction of shelf-life from accelerated
stability testing data
Storage temperature (C) and The mathematical prediction of shelf-life is based on
humidity (%RH)
the application of the Arrhenius equation, Eqn 7.12,
Time of sampling 4 RT 30 37 37/75% 50 75 which indicates the effect of temperature on the rate
constant, k, of a chemical reaction. Figure 7.8 shows
6 weeks S S T T T T that a graph of In k versus the reciprocal of thermo-
3 months S S T T T T T dynamic temperature, l/T, is a straight line. If the
6 months S S T T T T slope of this line is determined from the results of
accelerated tests at high temperatures it is possible to
12 months S S T T
determine the value of the rate constant at other
18 months S S T T temperatures (e.g. normal room temperature) by
2 years S S T T extrapolation. Substitution of this value of k into the
3 years S S T appropriate order of reaction (i.e. the rate equation
4 years S S T
that applies to the reaction involved in the particular
decomposition) allows the amount of decomposition
5 years T T T
after a given time to be calculated. As pointed out,
Notes this approach involves a knowledge of the order of
the reaction involved, and preliminary experiments
Apart from one, or rarely two, high humidity challenges, the
remaining storage temperatures are at ambient humidities. are therefore necessary to determine this order.
Several difficulties and limitations are involved in
RT: (room temperature) - often an uncontrolled cabinet in
which the temperature can be between 15 and 25C.
this aspect of accelerated stability testing. First, as in
all accelerated tests, there is the possibility that the
S: the 4C and 25C samples are often retained as
spares in the event of any problems with the analysis
application of high stresses may cause reactions that
of any of the other samples. would not take place under the lower stresses associ-
ated with normal storage conditions. Secondly, the
T: testing is performed on these samples. To give an
example - in the case of tablets these tests may uncertainty surrounding the term 'normal storage
consist of: conditions' introduces a difficulty when attempting to
assay for active ingredient(s) by HPLC; forecast the shelf-life of a product. Unless the storage
assay for degradation product(s) by TLC; conditions are defined precisely on the container,
an assessment of appearance;
tablet weight;
allowance should be made for variations in the condi-
tablet thickness; tions likely to be encountered under normal storage.
friability; Attempts to allow for such a contingency often involve
crushing strength; accepting the shortest shelf-life for the range of condi-
moisture content;
disintegration;
tions likely to be encountered. The climate of the
dissolution. country in which a product is to be marketed is par-
ticularly important in defining this range.
110
KINETICS AND PRODUCT STABILITY
111
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Thus, r10o/o = 527 days (95% confidence interval = use of glass plates to reduce such an effect is recom-
354-773 days). mended, otherwise it is difficult to separate the
accelerated decomposition caused by light from that
A scheme for continually increasing the storage caused by increased temperatures.
temperature is sometimes employed. Curvature of
the final plot indicates a change in reaction mecha-
nism, and data collected at low temperatures are used Concluding comments
in the assessment, thereby reducing extrapolation Even if the Arrhenius equation can be applied suc-
errors. cessfully to predict the effect of temperature, and the
The Arrhenius equation involves only one rate effect of other factors, such as the influence of light
constant and therefore applies to a simple (single and humidity can now be predicted with some cer-
step) decomposition mechanism. It cannot be used tainty, other factors beyond the control of the for-
for complex reactions (consecutive, parallel etc.) or mulator must be foreseen. The end user may store
heterogeneous processes involving phase bound- bottles lying down, so that reaction with materials in
aries. Here additional factors, such as rate of disso- the cap may occur; if the preparation is to be used as
lution, diffusion from within a matrix, and melting, bulk stock, e.g. 2 L of a cough mixture, it may well
are important determinants of decomposition. All be left half-filled with air after opening for a pro-
sorts of confounding factors may invalidate the pro- longed period and oxidation may occur; stock con-
cedure. For example, the higher temperatures may tainers of tablets will be continually opened and
reduce the moisture content of the product, thus resealed, admitting moisture from the atmosphere.
slowing hydrolysis, gelatin may soften or melt, tablet It must be remembered that although accelerated
coatings may split; the effects of temperature on pho- storage testing is a useful tool for formulation
tochemical and microbiological destruction are studies, the results can only be a guide and may not
unpredictable. apply to actual usage. It is essential that final formu-
lations in their final packaging be stored under con-
Humidity challenge ditions that will be encountered in practice, to
provide acceptable data for the licensing authorities.
Storage of the product in atmospheres of high
humidity will accelerate decompositions that result
from hydrolysis. Marked acceleration will be
obtained if the 'naked' product (i.e. not enclosed in
a container) is subjected to these tests, which usually
REFERENCES
indicate the minimum humidity tolerated by the Bolton, S. (1984) Pharmaceutical Statistics. Marcel Dekker,
product without undue decomposition, and are New York, pp. 198-200
therefore useful in determining the degree of protec- Dukes, G.R. (1984) Stability programs for formulation
tion that should be afforded by a container. studies. Drug Dev. Ind. Pharm., 10(8&9), 1413-1424.
Kaminski, E.E. (1984) Stability program for marketed
batches. Drug Dev. Ind. Pharm., 10(8&9), 1433-1448.
Light challenge Lanz, R.J. (1984) Stability aspects of clinical supplies and
scale-up studies. Drug Dev. Ind. Pharm., 10(8&9),
A source of artificial light is used to accelerate the 1425-1432.
effects of sunlight or sky light. The source should Martin, A. (1993) Physical Pharmacy, 4th edn. Lea and
Febiger, Philadelphia, pp. 297-298
emit a similar distribution of radiant energy to that Monkhouse, D.C. (1984) Stability aspects of preformulation
in sunlight because photochemical reactions involve and formulation of solid pharmaceutical. Drug Dev. Ind.
the absorption of light of definite wavelengths. Pharm., 10(8&9), 1373-1412.
Daylight fluorescent lamps provide a satisfactory Thompson, K. (1984) Stability programs for marketed
batches. Drug Dev. Ind. Pharm., 10(8&9), 1449-1462.
source, and banks of such lamps may be used to York, J.L. (1992) Enzymes: classification, kinetics and
accelerate the effects of light. However, although control. Chapter 4 in Textbook of Biochemistry, 3rd edn.
these lamps do not have a marked heating effect the (ed.) T.M. Devlin. Wiley, New York, pp. 157-162.
112
8
Pharmaceutical preformulation: the
physicochemical properties of drug substances
James Wells
CHAPTER CONTENTS
113
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Almost all new drugs are marketed as tablets, cap- Dosage form Frequency (%)
sules or both (Table 8.1). Although only a few are
marketed as an injection (25% of those marketed as Tablets 46
tablets) the intravenous route is always required Liquid oral 16
during early toxicity, metabolic, bioavailability and Capsules 15
clinical studies to provide a precise drug and dose Injections 13
deposition. Other dosage forms may be required
Suppositories and pessaries 3
(Table 8.1) but these are drug specific and depend to
a large extent on the successful development of Topicals 3
tablets, capsules and injections. Eye preparations 2
Prior to the development of these three major Aerosols (inhalation) 1
dosage forms, it is essential that certain fundamen-
Others 1
tal physical and chemical properties of the drug
molecule and other derived properties of the drug
powder are determined. This information dictates
Independent of this pharmaceutical profiling
many of the subsequent events and approaches in
(Table 8.2), analysts will generate data (Table 8.3)
formulation development. This first learning phase is
known as prefor mutation. to confirm structure and purity, and this should be
A recommended list of the information required used to complement and confirm pharmaceutical
data. Their greater training and knowledge in
in preformulation is shown in Table 8.2. This is
analysis will assist in the identification of suitable
assembled, recognizing the relative importance and
stability-indicating assays by high-performance
probable existence of only limited quantities of new
liquid chromatography (HPLC).
bulk drug (mg rather than g). Investigators must be
pragmatic and generate data of immediate rele-
vance, especially if the likely dosage forms are
known.
Two fundamental properties are mandatory for a SPECTROSCOPY
new compound:
The first step in preformulation is to establish a
1. Intrinsic solubility (C0), simple analytical method. Most drugs absorb light in
2. Dissociation constant (pKJ. the ultraviolet wavelengths (190-390 run) as they are
Test Method/function/characterization
114
PHARMACEUTICAL PREFORMULATION
115
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Fig. 8.1 Effect of drug: solvent ratio on solubility when the drug is impure. Assuming the compound is a base and the estimate of its
solubility in 0.1 M NaOH was 1 mg mLr1, four solutions of 3 ml_ should be set up containing 3, 6, 12 and 24 mg of drug. These give the
phase ratios shown here. 3 ml is the smallest volume that can be manipulated for either centrifugation or filtration and dilution of UV
analysis. The vials should be agitated continuously overnight and then the concentration in solution determined.
116
PHARMACEUTICAL PREFORMULATION
117
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
higher than that of gastric fluid (which is approxi- each potential salt will behave differently and require
mately 1.5) because of its buffering action. The pH separate preformulation screening. The regulatory
is the saturated unbuffered aqueous solution (calcu- authorities also treat each salt as a different chemical
lated pH in Table 8.6) and the dissolution rate is gov- entity, particularly in the context of toxicity testing.
erned by this pH and not the bulk medium pH.
In the intestine the salt does not depress the pH,
Solvents
unlike the acid which is neutralized, and the diffusion
layer pH is again raised to promote dissolution. It is generally necessary to formulate an injection
Providing that the acid forming the salt is strong, the even if there is no intention to market. The first-
pH of the solution adjacent to the dissolving surface choice solvent is obviously water. However, although
will be that of the salt, whereas for the dissolving free the drug may be freely soluble, it may be unstable in
base it will be the pH of the bulk dissolving medium. aqueous solution. Chlordiazepoxide HC1 is such an
With weak bases, their salts dissolve rapidly in the example. Accordingly, water-miscible solvents are
stomach but there is no absorption, as the drug is used:
ionized and absorption is delayed until the intestine.
1. in formulations to improve solubility or stability
Any undissolved drug, as salt, rapidly dissolves, as the
2. in analysis to facilitate extraction and separation
higher diffusion layer pH compensates for the higher
(e.g. chromatography).
bulk pH, which would be extremely unfavourable to
the free base. Data for chlordiazepoxide are shown in Oils are used in emulsions, topicals (creams and
Table 8.5. The maleate salt has a predicted solubility ointments), intramuscular injections and liquid-fill
of 57 mg mLr1 but, more importantly, reduces the oral preparations (soft and hard gelatin capsules)
pH by 5 units. By controlling diffusion layer pH the when aqueous pH and solvent solubility and stabil-
dissolution rate can increase manyfold, indepen- ity are unattainable Table 8.7 shows a range of sol-
dently of its position in the gastrointestinal tract. This vents to fulfil these needs.
is particularly important in the development of con- Aqueous methanol is widely used in HPLC and is
trolled-release products. the standard solvent in sample extraction during
Different salts of a drug rarely change pharmacol- analysis and stability testing. It is often made acidic
ogy, but only physical properties. This statement has or alkaline to increase solvent power and ensure con-
been qualified to acknowledge that salts do affect the sistent ionic conditions for UV analysis. Other phar-
intensity of response. However, the salt form does maceutical solvents are available but are generally
change the physiochemical properties of the drug. only required in special cases. The most acceptable
Changes in dissolution rate and solubility affect the non-aqueous solvents pharmaceutically are glycerol,
rate and extent of absorption (bioavailability), and propylene glycol and ethanol. Generally for a
changes on hygroscopicity and stability influence lipophilic drug (i.e. a partition coefficient (log P >1),
formulation. solubility doubles through this series.
Consequently each new drug candidate has to be Where bulk is limited and the aqueous solubility is
examined to choose the most suitable salt, because inadequate, it is better to measure the solubility in
Table 8.6 Dissolution rates of weak acids and their sodium salts
Drug pKa pH (at Cs) Dissolution rate (mg cm-2 min-1) x 102
Dissolution media
118
PHARMACEUTICAL PREFORMULATION
aqueous solvent mixtures rather than in a pure approaches do not allow easy estimates for the
organic solvent. Whereas solubilities at other levels behaviour of crystalline solids. For a wide range of
and their mixtures can be predicted, the solubility in drugs it is possible to relate solvent solubility and the
pure solvent is often inconsistent because of cosol- partition coefficient (log K^ = log P). Yalkowsky and
vent effects. Furthermore, formulations rarely use Roseman (1981) derived the following expression
pure non-aqueous solvent, particularly injections. for 48 drugs in propylene glycol:
For example, ethanol should only be used up to 10%
in an injection to prevent haemolysis and pain at the
injection site, and include isotonic salts. Equation 8.4 can be applied more generally by intro-
ducing a factor </> to account for the relative solvent
power of pharmaceutical solvents (see Table 8.8 for
Partition coefficient (K)
examples).
Partition coefficient (the solvent:water quotient of For a wide range of solvents Eqn 8.4 now
drug distribution) has a number of applications becomes:
which are relevant to preformulation:
1. Solubility: both aqueous and in mixed solvents
2. Drug absorption in vivo: applied to a
Methodology and structure activity prediction
homologous series for structure activity
relationships (SAR) Choice of non-aqueous solvent (oil) The oilrwater
3. Partition chromatography: choice of column partition (.K^) is a measure of the relative lipophilic-
(HPLC) or plate (TLC) and choice of mobile ity (oil-loving) nature of a compound, usually in the
phase (eluant). unionized state (HA or B), between an aqueous
phase and an immiscible lipophilic solvent or oil.
Solvent solubility
The relative polarities of solvents can be scaled using Table 8,8 Solvent power (<f) of some pharmaceutical
dielectric constant (e), solubility parameter (8), solvents
interfacial (y) and hydrophilic-lipophilic balance
Solvent Relative solvent power (4>)
(HLB). The best solvent in any given application is
one whose polarity matches that of the solute; an Glycerol 0.5
ideal, fully compatible solution exists when Ssolvent = 1
Propylene glycol
Solute- This can be ascertained by determining solu-
bility maxima, using a substituent contribution PEG 300 or 400 1
approach or the dielectric requirement of the system. Ethanol 2
The most useful scale of polarity for a solute is K%, DNA, DMF 4
(oil:water partition coefficient), as the other
119
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Many partition solvents have been used. The largest the values of log P tend to be close, whereas with
database has been generated using n-octanol. The heptane and other inert hydrocarbons the differences
solubility parameter of octanol (8 = 10.24) lies in solute lipophilicities are exaggerated. w-Octanol
midway in the range for drugs (8-12), although generally gives a range consistent with other physico-
some non-polar (8 < 7) and polar drugs (8 > 13) are chemical properties when compared to drug absorp-
encountered. This allows measurable results between tion in the GI tract. Hyperdiscriminating solvents
equal volumes of oil and aqueous phases. reflect more closely the transport across the
In the shake flask method the drug, dissolved in blood-brain barrier, whereas hypodiscriminating sol-
one of the phases, is shaken with the other partition- vents give values consistent with buccal absorption
ing solvent for 30 minutes, allowed to stand for (Fig. 8.2). In rationalizing the effects of different par-
5 minutes, and then the majority of the lower titioning solvents, a good correlation was found to
aqueous phase (density of octanol = 0.8258 g mL L) exist between the solvent water content at saturation
is run off and centrifuged for 60 minutes at and solvent lipophilicity.
2000 rpm. The aqueous phase is assayed before (2G) Certainly it is imperative to standardize on
and after partitioning (Cw) [the aqueous concentra- methodology, especially for the solvent. Where solu-
tion] to give K^ = CSC - CW)/(CJ. bility constraints allow, this should be w-octanol,
If the transfer of solute to the oil phase is small, especially as the existing data bank is extensive.
ZiCw is small, and any analytical error increases Structure-activity relationships Since the pioneer-
error in the estimate of K,. Indeed, to encourage ing work of Meyer and Overton numerous studies
greater aqueous loss (>ACW~) a considerably more on correlating molecular structure and biological
polar solvent, w-butanol, has been used. Where the activity have been reported. These structure-activity
partition coefficient is high, it is usual to reduce the relationships (SAR) can rationalize drug activity
ratio of the oil phase from 1:1 to 1:4 or 1:9 in order and, particularly in modern medicinal chemistry,
to increase the aqueous concentration (Cw) to a facilitate a scientific approach to the design of more
measurable level. effective, elegant structural analogues.
For a 1:9 oil:water ratio K* = (10 C - CW)/CW). The application of SAR depends on a sound
The partition of a polar solute between an inert knowledge of the physicochemical properties of each
non-polar hydrocarbon e.g. hexane, and water is quite new drug candidate in a therapeutic class, and
different from that of hydrogen bonding solvents such preformulation is an essential information source.
as octanol. The behaviour of the weak acid phenol It is assumed in SAR that:
(pKa = 1 0 ) and weak base nicotine (pKa = 3.1) is
worthy of note. For phenol, Kaanl = 29.5, whereas
^hexane = Q.ll. The acidic solvent chloroform sup- This relationship holds for all polar and semipolar sol-
presses partition (K = 2.239), whereas ethyl acetate vents, but with non-polar solvents (hexane to iso-
and diethyl ether are more polar. The basic behaviour octane) correlations are poor, and this seems to be
of the solvents give higher K%, values. With solvents related to water content. Given the importance of
capable of both hydrogen donation and acceptance water, it is imperative that the octanol is saturated
(octanol, nitrobenzene and oleyl alcohol), K%, is inter- with the aqueous phase and the aqueous phase with
mediate. For nicotine the behaviour is reversed, and octanol prior to any determination, otherwise the par-
the hydrogen donor (acidic) solvent chloroform parti- titioning behaviour of the drug will be confounded by
tions most strongly K%, - 77.63), even though the the mutual partitioning of the two solvents.
neutral solvent nitrobenzene, which is marginally Although the aqueous phase is often water, it is
more lipophilic (logP= 1.87 against 1.96 for chloro- better to measure log P under controlled pH. All
form), gives similar values for both phenol and nico- drugs capable of ionization and with a measurable
tine. Clearly both solute and solvent characteristics pKa will have intrinsic buffer capacity that affects the
are important. aqueous pH. Depending on the degree of dissocia-
In general, polar solvents are advocated to corre- tion, this will lead to an apparent K%, rather than the
late biological activity with physicochemical proper- true (absolute) value, when the drug is unionized.
ties. Solvents less polar than octanol, measured by Because the ionized species will have greater
water solvency, have been termed hyperdiscriminat- aqueous solubility and lower lipophilicity to HA or
ing, whereas more polar solvents such as butanols BOH, the measured K%, (apparent) will be inevitably
and pentanols, are hypodiscriminating. This concept lower. Accordingly, fQ (true) should be measured at
refers to the discriminating power of a partitioning >2 pH units away from the pKa (pKa - 2 (acid); pKa
solvent within a homologous series. With w-butanol + 2 (base)) and the aqueous phase should contain a
120
PHARMACEUTICAL PREFORMULATION
Fig. 8.2 Discriminating power of partitioning solvents as a function of their water capacity
suitable buffer. Given the importance of log P (log membranes and dependent on the lipophilicity of
K) in SAR, comparative data generated in a thera- the drug, and the rate of penetration is proportional
peutic class (RnX, where X is the therapeutic nucleus to the drug partition coefficient in vitro. Clearly the
and n is a number of substituents R) should also be ionic condition in vivo will affect any correlation
determined at physiological pH 7.4. and, accordingly, for dissociating drugs the in vitro
Quantitative SAR (QSAR) is based on the premise conditions should be similar. The widespread use of
that drug absorption is a multipartitioning process octanol in these studies and the existence of many
(repeated adsorption and desorption) across cellular excellent correlations in vivo is probably not
121
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
fortuitous. Octanol exhibits hydrogen bonding values of the steric effect parameter, s, indicate
acceptor and donor properties typical of many bio- significant steric effects, with intra- and intermolec-
logical macromolecules. The partial polarity of ular hindrance to a reaction or finding at the active
octanol allows the inclusion of water, which is also a site.
feature of biological lipid membranes and leads to a The hydrophobic component is measured by the
more complex partitioning behaviour than a less distribution between an aqueous phase and an
polar, essentially anhydrous solvent. immiscible lipid phase and parallels drug adsorption
The effect of salt formation on the measured log P and distribution in vivo. A relationship between
is shown in Table 8.9. Generally the log P differs partition coefficients has been demonstrated within
between 3 and 4 (K* from 1000 to 10 000). The a series by quantifying differences using an additive
lipophilicity falls by three to four orders of magni- substituent constant (TT). The constant is related
tude, which accounts for the significant increase in almost completely to the effect of a particular sub-
solubility of the salt. The physicochemical model for stituent and much less to the parent compound, and
biological activity assumes that activity of a com- this allows the prediction of the partition
pound is related to the following factors associated coefficient, log P, of a new derivative with reason-
with molecular structure: able accuracy. In addition, TT can be related to bio-
Electronic (charge) logical effect as it is an additive component of the
Steric (spatial size) partition coefficient, and this has led to the wider
Hydrophobic effects (partitioning). application of SAR, with other modifications,
notably taking into account of aromatic electron
Account must also be taken of structural and theo- density and steric effects, to give quantitative SAR
retical aspects, so that: (i.e. QSAR).
Biological activity = / [(electronic) + (steric) + Although all these substituents are useful, log P
(hydrophobic) + structural/theoretical) remains the most useful physical parameter and
undoubtedly the most reliable data and correlations
The electronic parameter in Eqn. 8.7 is quantified by still come from experimentally derived partition
the sigma (or) substituent constant of Hammett and values for the analogues in a series.
reflects chemical reactivity in a homologous series.
The substituent constant (<r) is positive for electron
withdrawal (acids), whereas electron donor groups Dissolution
(bases) give a negative value. It can be used to The dissolution rate of a drug is only important
predict pKa (Perrin et al 1981). where it is the rate-limiting step in the absorption
Steric effects occur when there is a direct interac- process. Kaplan (1972) suggested that provided the
tion between the substituent and the parent nucleus, solubility of a drug exceeded 10 mg mL"1 at pH <7,
and is related to substituent bulk. High positive no bioavailability- or dissolution-related problems
were to be expected. Below 1 mg mL^1 such prob-
lems were quite possible, and salt formation could
Table 8.9 The effect of salt formation on the log P of improve absorption and solubility by controlling the
some weakly basic drugs
pH of the microenvironment independently of the
drug and dosage forms' position within the GI tract.
Free base and hydrochloride salt log P 4log P
122
PHARMACEUTICAL PREFORMULATION
(dcldf) from a constant surface area (A) will be con- The equation derived from the Henderson-
stant and related solely to solubility. Under sink con- Hasselbalch equation:
ditions (Cs >C) gives:
123
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
as nitrate, sulphate and phosphate, have also been mation about the melting range but it is difficult to
implicated. They are usually inorganic, because of assign an accurate melting point.
their small size.
To identify a common ion interaction the IDR of
Hot stage microscopy
the hydrochloride (or inorganic) salt should be com-
pared between: This is the visual observation of melting under a
microscope equipped with a heated and lagged
water and water containing 1.2% w/v NaCl, and
sample stage. The heating rate is controllable and up
0.05 M HC1 and 0.9% w/v NaCl in 0.05 M HC1.
to three transitions can be registered. It is more
Both saline media contain 0.2M Cl~, which is typi- precise as the phase transitions (first melt, 50% melt
cally encountered in fluids in vivo. and completion) can be registered on a recorder as
A common ion effect with Cl~ will result in a the melting proceeds, and because of the high
significantly reduced IDR in the presence of sodium magnification the values are more accurate.
chloride. Other salt forms are then indicated, e.g.
tosylate, mesylate etc., but the parent molecule will
Differential scanning calorimetry and thermal
still remain sensitive to Cl and solubilities will be
analysis
suppressed in the presence of saline, although not to
the same extent as Cl~ is not involved in the dissolv- Neither of the previous methods is as versatile as
ing microenvironment. Any improvement with the either differential thermal analysis (DTA) or differ-
new salt can be assessed by again measuring the IDR ential scanning calorimetry (DSC). An additional
with and without saline. As some compounds are advantage is that the sample size required is only
sensitive to other counter-ions, e.g. nitrate, sulphate 2-5 mg.
and phosphate can be demonstrated by including the DTA measures the temperature difference
appropriate sodium salt in the dissolution medium. between the sample and a reference as a function of
Phase solubility studies have indicated that basic temperature or time when heating at a constant rate.
amine drugs are more soluble in organic acids than DSC is similar to DTA, except that the instrument
inorganic. Where a hydrochloride salt exh'ibits sub- measures the amount of energy required to keep the
optimal solubility then the next logical choice is sample at the same temperature as the reference, i.e.
probably a salt of toluene sulphonic acid (tosylate: it measures the enthalpy of transition.
pKa = - 1.34). Mesylate, napsylate, besylate and When no physical or chemical change occurs
maleate salts offer progressively more weaker acidic within the sample then there is neither a temperature
alternatives. change nor input energy to maintain an isotherm.
With low-solubility amine drugs, the salts of poly- However, when phase changes occur then latent heat
hydroxy acids, e.g. lactate, often give the greatest suppresses a temperature change and the isothermal
aqueous solubility because of their accessible energy required registers as an electrical signal gen-
hydroxy groupings. erated by thermocouples. Crystalline transitions,
fusion, evaporation and sublimation are obvious
changes in state which can be quantified (Fig. 8.3).
The major concern in preformulation is polymor-
MELTING POINT phism, and the measurement of melting point and
other phase changes is the primary diagnostic tool.
Techniques Confirmation by IR spectroscopy and X-ray diffrac-
tion is usually required.
The melting point of a drug can be measured using
three techniques:
Polymorphism
1. Capillary melting
2. Hot stage microscopy A polymorph is a solid material with at least two dif-
3. Differential scanning calorimetry or thermal ferent molecular arrangements that give distinct
analysis. crystal species. These differences disappear in the
liquid or the vapour state. Of concern are their rela-
tive stabilities and solubility. The highest-melting
Capillary melting species is generally stable; other polymorphs are
Capillary melting (the observation of melting in a metastable and convert to the stable form. There are
capillary tube in a heated metal block) gives infor- also potentially large differences in their physical
124
PHARMACEUTICAL PREFORMULATION
properties so that they behave as distinct chemical What is the solubility of each form?
entities. Solubility (particularly important in suspen- Will a more soluble form survive processing and
sions and biopharmaceutically), melting point, storage?
density, crystal shape, optical and electrical proper-
ties and vapour pressure are often very different for
each polymorph. Pseudopolymorphism (solvates)
Polymorphism is remarkably common, particu-
Prior to this, the presence of solvates or false poly-
larly within certain structural groups: 63% of barbi-
morphs, sometimes (incorrectly and confusingly)
turates, 67% of steroids and 40% of sulphonamides
called pseudopolymorphs, should be identified, as
exhibit polymorphism.
most polymorphs can be obtained by changing the
The steroid progesterone has five polymorphs,
recrystallizing solvent. Typical solvents inducing
whereas the sulphonamide sulphabenzamide has
polymorphic change are water, methanol, ethanol,
four polymorphs and three solvates. The importance
acetone, chloroform, n-propanol, isopropanol
of polymorphism is illustrated by the biopharmaceu-
alcohol, w-butanol, n-pentanol, toluene and benzene.
tical data for fluprednisolone (Fig. 8.4).
Trace levels of solvent are usual in early batches of
It is convention to number the polymorphs in
new drug candidates (residues from the final crystal-
order of stability at room temperature, starting with
lization). These can become molecular additions to
form I using Roman numerals. Form I usually has
the crystal and change habit. These hydrates (water)
the highest melting point and the lowest solubility; in
and solvates (e.g. methanolate, ethanolate) have
suspension formulation it is essential to use the least
been confused with true polymorphism and have led
soluble polymorph because of Ostwald ripening.
to the term pseudopolymorphism.
Accordingly, in preformulation the following
The distinction between these false forms and true
should be considered.
polymorphs can be ascertained by observing the
How many polymorphs exist? melting behaviour of the compound dispersed in sil-
How stable are the metastable forms? icone oil using hot-stage microscopy.
Is there an amorphous glass? Pseudopolymorphs will evolve a gas (steam or
Can the metastable forms be stabilized? solvent vapour), causing the oil to bubble. True
125
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Fig. 8.4 The relationship between in vitro and in vivo release from fluprednisolone implants.
polymorphs merely melt, forming a second globular transformation occurs. This can be suppressed by
phase. The temperature at which the solvent volatilizes using small samples, as individual crystals of even
will be close to the boiling point of the solvent. highly unstable forms can be melted.
If it appears that polymorphism is occurring or
likely, then a cooperative study with the bulk chemists
True polymorphism
should determine the most stable form (chemical and
After the study of pseudopolymorphism (see also physical). Differences in solubility and melting point
Chapter 9 for further discussion on polymorphism), must also be assessed and then a decision made to
the evaluation of true polymorphism can proceed determine which form to progress through to the
unconfounded. Most polymorphs are obtained by next stage of formulation. Small differences in stabil-
solvent manipulation. Others can be produced ity but higher solubility of a relatively metastable
without the presence of solvent by thermal tech- form may lead to a preferential choice of a poly-
niques, notably sublimation and recrystallization morph other than form I, but this is unlikely and is
from the melt. Supercooling of the melt is particu- not encouraged by regulatory authorities.
larly useful in discovering unstable modifications.
The initial difficulty is to measure the melting point
Crystal purity
of the metastable form, and here heating rate is critical.
Too-rapid heating will obscure the endotherm, Thermal analysis has been widely used as a method
whereas too slow a heating rate may allow transition or of purity determination and the USP includes an
encourage decomposition. Often, therefore, compari- appendix describing the methods. This is particularly
son at two rates, e.g. 2 and 20C mirr1, is necessary. pertinent at the preformulation stage, because early
The difference in melting point (AT^ between samples of a new drug are inevitably 'dirty' while
polymorphs is a measure of the metastable poly- improvements in synthetic route are made. Thermal
morph stability. Where ATm < 1C then neither is analysis is rapid and will discriminate 0.002 mole%
significantly more stable and either may be obtained of impurity.
upon conventional crystallization. If ATm is 25-50C
then the lower melting species will be difficult to
Solubility
crystallize and will rapidly revert. The closer the two
melting points (ATm - 1-25C) then the unstable The most important reason to determine melting
form(s) can be obtained easily before a solid-solid point during preformulation is crystalline solubility.
126
PHARMACEUTICAL PREFORMULATION
Such studies are particularly important because the be different in the alternative forms. This effect is
scarcity of available drug powder often precludes shown in Figure 8.5 for riboflavine.
accurate solubility determinations.
Melting point and solubility are related via the
latent heat of fusion, which is the amount of heat
generated during melting or fusion. A crystal with ASSAY DEVELOPMENT
weak bonds has a low melting point and low heat of
fusion. Conversely, a strong crystal lattice leads to a The assumption that the drug is stable may not be
high melting point and a high heat effusion. Because valid as drugs are notoriously unstable, particularly
solubility also requires the disruption of crystal as hydrolysis is often the predominant cause. In
structure to allow molecular dispersion in the order to follow drug stability, in both solution and
solvent, it is also influenced by intermolecular forces. solid phase, it is mandatory to have suitable stabil-
Polymorphs differ in melting point and solubility. ity-indicating assays. In some cases UV spec-
The existence of different crystal arrangements for troscopy can be used, but in general chromato-
the same compound inevitably leads to differences in graphy is required to separate the drug from its
crystal lattice energy, as intermolecular distances will degradation products and any excipients. Thin-layer
Fig. 8.5 The relationship between melting point and solubility for three polymorphs of riboflavine.
127
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
128
PHARMACEUTICAL PREFORMULATION
performed by eluting under pressure. By pumping phase usually contains methanol, ACN and/or THF
the eluting solvent (mobile phase) under a pressure of to modify solvent polarity by matching the lipophilic-
up to 40 MPa (6000 psi) and a flow rate of up to ity of the solutes in order to facilitate good chro-
3 mL min"1, the column can be much smaller and use matography. lonization control can be achieved in the
much smaller particle size packing material (station- range pH 2-8. The inclusion of 1-2% acetic acid or
ary phase). This results in shorter retention times diethylamine is used to suppress the ionization of
(solute time on column), high sensitivity (typically weak acids and bases respectively (ion-suppression
1 ng), the need for only a small sample volume chromatography is used to increase lipophilicity
(0-50 )LiL) and yet high selectivity (separation power) and improve the retention of polar solutes).
for the resolution of complex mixtures. In general polar solutes have short retention times
HPLC methods can be divided into two distinct on reverse phase, whereas non-polar compounds are
modes. retained. Increasing the mobile phase polarity (by
increasing the water concentration) shortens reten-
tion for polar solutes while retaining fewer polar
Normal-phase HPLC
compounds. Decreasing solvent polarity (by
Normal phase HPLC is performed by eluting a decreasing water concentration) helps retain polar
silica-packed column, which is hydrophilic, with a compounds, but more lipophilic solutes are eluted
non-polar mobile phase. The mobile phase is usually more rapidly. Non-aqueous reverse phase (NARP
hexane, to which is added one or more of the fol- HPLC, where THF or methylene chloride replaces
lowing, in increasing order of polarity: chloroform water in the mobile phase) is used to separate
(CHC13), tetrahydrofuran (THF), acetonitrile lipophilic solutes.
(ACN), isopropyl alcohol (IPA) or methanol The great flexibility of choice in mobile phase (by
(MeOH). Separation is achieved by partition with using solvents ranging from water to hexane), the
differential adsorption and desorption of both the increasing number of available stationary phases
solute and solvents during passage down the (particularly bonded phases) and the inherent sensi-
column. Polar solutes are retained, but more tivity of HPLC produces a powerful analytical tech-
lipophilic molecules are not. By increasing the polar- nique. It is the method of choice in preformulation
ity of the mobile phase (e.g. by adding MeOH or stability studies.
IPA), polar solutes are eluted more quickly, whereas
non-polar solutes are better retained and their order
of retention is changed. Decreasing solvent polarity
increases polar solute retention and facilitates the DRUG AND PRODUCT STABILITY
elution of lipophilic molecules.
In general, normal-phase HPLC is used for mod- Wherever possible, commercial pharmaceutical
erately polar solutes (freely soluble in methanol). products should have a shelf-life of 3 years. The
Non-polar hydrocarbon-soluble solutes are difficult potency should not fall below 95% under the re-
to retain and very polar and water-soluble solutes are commended storage conditions and the product
difficult to elute sufficiently. should still look and perform as it did when first
manufactured.
Reverse-phase HPLC By investigating the intrinsic stability of the drug
it is possible to advise on formulation approaches
When the solute is eluted by a polar (largely and indicate types of excipient, specific protective
aqueous) mobile phase over a hydrophobic station- additives and packaging which are likely to improve
ary phase, the chromatography is known as reverse the integrity of the drug and product. Typical stress
phase. Solute behaviour is the reverse of that conditions are shown in Table 8.11.
described for normal phase HPLC, which uses a Drug degradation occurs by four main processes:
hydrophilic silica stationary phase. Separation
between the stationary phase and the mobile phase is Hydrolysis
solvophobic, analogous to partitioning. Oxidation
Hydrophobicity of the stationary phase is achieved Photolysis
by bonding a coating on to the silica support. The Trace metal catalysis.
most common bonded phases are alkyl silanes of C18 Hydrolysis and oxidation are the most common
(octodecysiolane, ODS), C8 (octysilane, OS), and CL pathways, and in general light (c) and metal ions
(trimethysilane).The predominantly aqueous mobile catalyse a subsequent oxidative process.
129
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Test Conditions
Solid
Heat (C) 4, 20, 30, 40, 40/75% RH, 50 and 75
Moisture uptake 30, 45, 60, 75 and 90% RH at RTa'b
Physical stress Ball milling
Aqueous solution
pH 1,3, 5, 7, 9 and 11 at RT and 37C. Reflux in 1 M HCI and 1 M NaOH
Light0 UV (254 and 366 nm) and visible (south-facing window) at RT
Oxidation0 Sparging with oxygen at RT; UV may accelerate breakdown
a
RT is ambient room temperature. Can vary between 1 5 and 25C.
b
Saturated solutions of MgBr2, KNO2, NaBr, NaCI and KNO3 respectively.
0
At pH of maximum stability in simple aqueous solution.
130
PHARMACEUTICAL PREFORMULATION
Where maximum stability dictates wider values, it is is a complimentary reaction (redox) and there is a
important for injections that there is low buffer mutual exchange of electrons. Oxidation is a loss of
capacity to prevent unnecessary challenge to the electrons and an oxidizing agent must be able to take
homeostatic pH (7.4) of blood. electrons. In organic chemistry, oxidation is synony-
Weakly acidic and basic drugs are most soluble mous with dehydrogenation (the loss of hydrogen)
when ionized, and it is then that instability is most and this is the mode of action of polyhydroxphenol
likely as they are charged. This leads to a problem, as antioxidants, e.g. hydroquinone. However, most
many potent drugs are extremely poorly soluble and antioxidants function by providing electrons or labile
pH ionization is the most obvious method to obtain H+, which will be accepted by any free radical to ter-
a solution. In some cases, therefore, the inclusion of minate the chain reaction. A prerequisite for effective
a water-miscible solvent in the formulation will antioxidant activity in any particular preparation is
increase stability by: that the antioxidant is more readily oxidized than the
drug.
1. Suppressing ionization
2. Reducing the extreme of pH required to achieve
solubility Chelating agents
3. Reducing water activity by reducing the polarity
Chelating agents are complexes, unlike simple
of the solvent, e.g. 20% propylene glycol in
ligands, e.g. ferrocyanide (Fe(CN64 ), which form
chlordiazepoxide HC1 injection.
complex salts by a single bond provided by a lone
Reactions in aqueous solution are usually catalysed electron pair. Chelating agents are capable of
by pH, and this is monitored by measuring degrada- forming more than one bond. For example, ethylene
tion rates (usually pseudo first order) against pH, diamine is bidentate (two links), tripyridyl is triden-
keeping temperature, ionic strength and solvent con- tate (three) and ethylene diamine tetra-acetic acid
centration constant. Suitable buffers include acetate, (EDTA) is hexadentate (six), which makes it partic-
citrate, lactate, phosphate and ascorbate (an intrinsic ularly effective as a pharmaceutical chelating agent.
antioxidant).
Photolysis
Solvolysis
Oxidation, and to some extent hydrolysis, is often
Where the reacting solvent is not water, then break- catalysed by light. The energy associated with this
down is termed solvolysis. Furthermore, the radiation increases as wavelength decreases, so that
definition can be extended to include any change in the energy of UV visible is greater than that of IR and
solvent polarity (usually measured as dielectric con- is independent of temperature (Table 8.12).
stant) as a result of increased ionic strength. When molecules are exposed to electromagnetic
Phenobarbitone is considerably more stable in radiation they absorb light (photons) at characteris-
preparations containing water-miscible solvents, tic wavelengths which causes an increase in energy,
whereas aspirin, which undergoes extensive hydroly- which can:
sis, is degraded further by aqueous solvents. Both
cause decomposition
effects are directly related to the dielectric constant
be retained or transferred
(polarity) of the solvent. In general, if a compound
be converted to heat
produces degradation products which are more
result in light emission at a new wavelength
polar then the addition of a less polar solvent will sta-
(fluorescence, phosphorescence).
bilize the formulation. If the degradation products
are less polar, then the vehicle should be more polar
to improve stability. With the hydrolysis of neutral Table 8.12 Relationship between wavelength and
non-polar drugs, e.g. steroids, the transition state associated energy of various forms of light
will be non-polar with no net charge. In this case sol-
vents will not affect the rate of decomposition and Type of radiation Wavelength (nm) Energy
can be used with impunity to increase solubility. (kcal moM)
UV 50-400 287-72
Oxidation
Visible 400-750 72-36
Oxidation is controlled by the environment, i.e. light, IR 750-10000 36-1
trace metals, oxygen and oxidizing agents. Reduction
131
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Natural sunlight lies in the wavelength range scopic. Ambient RH (0% poles and desert, 55%
290-780 nm, of which only the higher energy (UV) temperate and 87% tropics) can vary widely and
range (290-320 nm) causes photodegradation of continually depending on the weather and air tem-
drugs, and sunburn. Fluorescent lighting tubes emit perature, and these cyclic changes lead to constant
visible light and potentially deleterious UV radiation variations in the moisture content of unprotected
in the range 320-380 nm, whereas conventional bulk drug and excipients. The constant sinusoidal
tungsten filament light bulbs are safe, emitting change in day and night temperatures is the major
radiations > 390 nm. influence. For this reason pharmaceutical air condi-
Thus photolysis is prevented by suitable packag- tioning is usually set below 50% RH, and very
ing: low actinic amber glass bottles, cardboard hygroscopic products, e.g. effervescents, which are
outers and aluminium foil overwraps and blisters. particularly moisture sensitive, are stored and made
Clear flint glass absorbs around 80% in the below 40% RH. Tablets and capsules must be
290-320 nm range, whereas amber glass absorbs hydrophilic to facilitate wetting and the process of
more than 95%. Plastic containers, by comparison, deaggregation and drug dissolution. As a paradox
absorb only 50%. they must have limited hygroscopicity to ensure
good chemical and physical stability under all rea-
sonable climatic conditions. Good packaging will
Solid-state stability accommodate moisture challenge, e.g. glass bottles,
Many of the processes of composition apply gener- foil blisters and dessicant. However, preformulation
ally, particularly when the drug is in solution. studies on the drug and potential excipient combin-
However, certain important distinctions arise with ations should provide the basis for more robust
the stability of drugs in the solid state, e.g. in tablets formulations and a wider, more flexible and cheaper
and capsules. There is limited information in the choice of pack, while still reducing significantly any
pharmaceutical literature, owing largely to the com- hydrolytic instability due to absorbed free moisture.
plexities of formulated systems and the difficulties in Pharmaceutical bulk, i.e. drug salts, should be
obtaining quantitative data. This paucity of data chosen as being non-hygroscopic. As a working limit
must not be interpreted to mean that this area is this should be <0.5% H2O at <95% RH.
unimportant, especially given the popularity of
tablets and capsules.
In all solid dose formulations there will be some Stability assessment
free moisture (contributed by excipients as well as
The testing protocols used in preformulation to
the drug), and certainly in tablets a significant per-
ascertain the stability of formulated products must
centage, typically 2% w/w, is required to facilitate
be performed in solution and in the solid state since
good compression. This free water acts as a vector for
the same drug (salt) will be used in both an injec-
chemical reactions between drug and excipients, and
tion and a capsule, for example. These protocols are
the adsorbed moisture films are saturated with drug
discussed briefly in Chapter 7, and a suggested
compared to the dilute solutions encountered in
scheme for preformulation samples has been shown
injectables. The ionic equilibria are quite different
in Table 8.11.
and comparison is meaningless. They should not be
extrapolated glibly to the solid state.
Hygroscopicity
MICROSCOPY
A substance that absorbs sufficient moisture from
the atmosphere to dissolve itself is deliquescent. A The microscope has two major applications in phar-
substance that loses water to form a lower hydrate or maceutical preformulation:
becomes anhydrous is termed efflorescent. These are
extreme cases, and most pharmaceutical compounds 1. Basic crystallography, to determine crystal
are usually either impassive to the water available in morphology (structure and habit),
the surrounding atmosphere or lose or gain water polymorphism and solvates
2. Particle size analysis.
from the atmosphere, depending on the relative
humidity (RH). Materials unaffected by RH are Most pharmaceutical powders have crystals in the
termed non-hygroscopic, whereas those in dynamic range 0.5-300 /Jim. However, the distributions are
equilibrium with water in the atmosphere are hygro- often smaller, typically 0.5-50 /mi, to ensure good
132
PHARMACEUTICAL PREFORMULATION
blend homogeneity and rapid dissolution. These are Particle size analysis
the major reasons for particle size control.
A lamp-illuminated mono-objective microscope Small particles are particularly important in low-dose
fitted with polarizing filters above and below the high-potency drug candidates, as large particle popu-
stage is more than adequate. For most preformula- lations are necessary to ensure adequate blend homo-
tion work a 10 x eyepiece and a 10 x objective are geneity (coefficient of variation <l-2%), and for any
ideal, although occasionally, with micronized drug whose aqueous solubility is poor (<1 mg mLr1),
powders and when following solid-solid and as dissolution rate is directly proportional to surface
liquid-liquid transitions in polymorphism, 10 x 20 area (inversely proportional to particle size).
may be required. There are numerous methods of particle sizing.
Sieving is usually unsuitable during preformulation
owing to the lack of bulk material. The simplest (but
Crystal morphology unfortunately the most tedious) method for small
quantities is the microscope. The Coulter Counter (a
Crystals are characterized by repetition of atoms or conductivity method based on electrolyte displace-
molecules in a regular three-dimensional structure, ment as the sample is drawn through a small hole)
which is absent in glasses and some polymers. There and laser light scattering are widely used for routine
are six crystal systems (cubic, tetragonal, orthorhom- bulk analysis and research.
bic, monoclinic, triclinic and hexagonal) which have
different internal structures and spatial arrange-
ments. Although not changing their internal struc-
ture, which occurs with polymorphism, crystals can POWDER FLOW PROPERTIES
adopt different external structures. This is known as
crystal habit, of which five types are recognized: Of primary importance when handling a drug
powder is flow. When limited amounts of drug are
Tabular: moderate expansion of two parallel faces available this can be evaluated by measurements of
Platy: plates bulk density and angle of repose. These are
Prismatic: columns extremely useful derived parameters to assess the
Acicular: needle-like impact of changes in drug powder properties as new
Bladed: flat acicular. batches become available. Changes in particle size
These occur in all six crystal systems. and shape are generally very apparent; an increase in
Conditions during crystallization will contribute crystal size or a more uniform shape will lead to a
to changes in crystal habit and may be encountered smaller angle of repose and a smaller Carr's index.
in early batches of a new drug substance until the
synthetic route has been optimized. Crystal habit Bulk density
can be modified by:
A simple test has been developed to evaluate the
1. Excessive supersaturation, which tends to flowability of a powder by comparing the poured
transform a prism or isodiametric (granular) (fluff) density (pBmin) and tapped density (psmax) of a
crystals to a needle shape. powder and the rate at which it packed down. A
2. Cooling rate and agitation, which changes habit useful empirical guide is given by Carr's compress-
as it changes the degree of supersaturation. ibility index ('Compressibility' is a misnomer, as
Naphthalene gives thin plates (platy) if rapidly compression is not involved):
recrystallized in cold ethanol or methanol,
whereas slow evaporation yields prisms.
3. The crystallizing solvent affects habit by
preferential absorption on to certain faces,
inhibiting their growth. Resorcinol produces This is a simple index that can be determined on
needles from benzene and squat prisms from small quantities of powder and may be interpreted as
butyl acetate. in Table 8.13.
4. The addition of cosolvents or other solutes and A similar index has been defined by Hausner
ions which change habit by poisoning crystal (1967):
growth in one or more directions. Sodium
chloride is usually cubic, but urea produces an
octahedral habit.
133
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
Table 8.13 Carr's index as an indication of powder flow Table 8.14 Angle of repose as an indication of
powder flow properties
Carr's index (%) Type of flow
Angle of repose (degrees) Type of flow
5-15 Excellent
<20 Excellent
12-16 Good
20-30 Good
18-21 Fair to passable3
30-34 Passable8
23-35 Poor3
>40 Very poor
33-38 Very poor
a
>40 Extremely poor May be improved by a glidant, e.g 0.2% Aerosil.
a
May be improved by glidant, e.g. 0.2% Aerosil.
spatula and estimating the angle of the triangular
Values less than 1.25 indicate good flow (= 20% section of the powder heap viewed from the end of
Carr), whereas greater than 1.25 indicates poor flow the spatula. This is obviously crude but is useful
(= 33% Carr). Between 1.25 and 1.5, added glidant during preformulation, when only small quantities of
normally improves flow. drug are available.
Carr's index is a one-point determination and
does not always reflect the ease or speed with which
the powder consolidates. Indeed, some materials
have a high index (suggesting poor flow) but may COMPRESSION PROPERTIES
consolidate rapidly. Rapid consolidation is essential
for uniform filling on tablet machines, when the The compression properties of most drug powders
powder flows at pBmin into the die and consolidates, are extremely poor and necessitate the addition of
approaching pBmaxJ at compression. An empirical compression aids. When the dose is less than 50 mg,
linear relationship exists between the change in bulk tablets can usually be prepared by direct compres-
density and the log number of taps in a jolting vol- sion with the addition of modern direct compression
umeter. Non-linearity occurs up to two taps and bases. At higher doses the preferred method would
after 30 taps when the bed consolidates more slowly. be wet massing.
The slope is a measure of the speed of consolidation Nonetheless, information on the compression
and is useful for assessing powders or blends with properties of the pure drug is extremely useful.
similar Carr's indices and the benefit of glidants. Although it is true that the tableted material should
be plastic, i.e. capable of permanent deformation, it
should also exhibit a degree of brittleness (fragmen-
Angle of repose tation). Thus if the drug dose is high and it behaves
A static heap of powder, with only gravity acting upon plastically, the chosen excipients should fragment,
it, will tend to form a conical mound. One limitation e.g. lactose, calcium phosphate. If the drug is brittle
exists: the angle to the horizontal cannot exceed a or elastic, the excipients should be plastic, i.e. micro-
certain value, and this is known as the angle of repose crystalline cellulose, or plastic binders should be
(0). If any particle temporarily lies outside this limiting used in wet massing. Obviously, as the dose is
angle, it will slide down the adjacent surface under the reduced this becomes less important as the diluent
influence of gravity until the gravitational pull is bal- vehicle dominates compressibility.
anced by the friction caused by interparticulate forces. The compression properties (elasticity, plasticity,
Accordingly, there is an empirical relationship between fragmentation and punch filming propensity) for
6 and the ability of the powder to flow. However, the small quantities of a new drug candidate can be
exact value for angle of repose does depend on the established by the sequence outlined in Table 8.15.
method of measurement. The angles of repose given in An interpretation of the results follows.
Table 8.14 may be used as a guide to flow.
A simple relationship between angle of repose,
Plastic material
Carr's index and the expected powder flow is shown
in Figure 8.6. When only small quantities of powder When materials are ductile they deform by changing
are available, an alternative is to determine the 'angle shape (plastic flow). As there is no fracture, no new
of spatula' by picking up a quantity of powder on a surfaces are generated during compression and a
134
PHARMACEUTICAL PREFORMULATION
Fig. 8.6 Relationship between angle of repose, Carr's index of a powder and its flow characteristics.
Sample code A B C
more intimate mix of magnesium stearate (as in method of manufacture outlined in Table 8.15 are
sample C, Table 8.15) leads to poorer bonding. likely to exhibit fragmenting properties during com-
Because these materials bond after viscoelastic pression, with a high friability.
deformation, and because this is time dependent,
increasing the dwell time at compression (B") will
Elastic material
increase bonding strength. Thus, a material exhibit-
ing crushing strengths in order B > A > C would Some materials, e.g. paracetamol, are elastic and
probably have plastic tendencies. there is very little permanent change (either plastic
flow or fragmentation) caused by compression: the
material rebounds (recovers elastically) when the
Fragmentation
compression load is released. If bonding is weak the
If a material is predominantly fragmenting, neither compact will self-destruct and the top will detach
lubricant mixing time (C) nor dwell time (B} should (capping), or the whole cylinder cracks into horizon-
affect tablet strength. Thus materials which show tal layers (lamination). An elastic body will give as
crushing strengths which are independent of the follows:
135
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
136
PHARMACEUTICAL PREFORMULATION
Fig. 8.7 Scheme to identify chemically compatible excipients using DSC with confirmatory TLC.
The advantages of DSC over more traditional, Where confirmation is required by TLC, samples
routine compatibility screens, typically TLC, is that (50:50 mixtures of drug and excipient) should be
no long-term storage of the mixture is required prior sealed in small neutral glass test tubes and stored for
to evaluation, nor is any inappropriate thermal stress either 7 days at 50C or 14 days at 37C.
(other than the DSC itself, which had drug and It is important to view the results of such incom-
excipient controls) required to accelerate the inter- patibility testing with caution. For example, magne-
actions. This, in itself, may be misleading if the mode sium stearate is notoriously incompatible with a wide
of breakdown changes with temperature and ele- range of compounds when tested, yet because it is
vated temperatures fail to reflect the degradation only used at low levels - typically 0.5-1% - such
path occurring under normal (room temperature) apparent incompatibility rarely produces a problem
storage. in practice in long-term storage and use.
Fig. 8.8 A generic development pathway: the relationship between preformulation and formulation in dosage form development. The
formulation stages are shown in boxes and the preformulation stages are unboxed.
137
SCIENTIFIC PRINCIPLES OF DOSAGE FORM DESIGN
CONCLUSIONS REFERENCES
Preformulation studies have a significant part to Albert, A.A. and Serjeant, E.P. (1984) lonization Constants of
Acids and Bases. Wiley, New York.
play in anticipating formulation problems and iden- Kaplan, S.A. (1972) Drug Metab. Rev, 1, 15-32.
tifying logical paths in both liquid and solid dosage Meyer, H. (1899) Arch. Exp. Pathol. Pharmacol., 42, 109
form technology (Fig. 8.8). The need for adequate Perrin, D.D. Dempsey, B. and Serjeant, E.P. (1981) pKa
drug solubility cannot be overemphasized. The Predictions for Organic Acids and Bases. Chapman & Hall,
availability of good solubility data should allow the London.
Yalkowski, S.H. and Roseman, TJ. (1981) Techniques of
selection of the most appropriate salt for develop- Solubilization of Drugs, ed. S.H. Yalkowski, Marcel Dekker,
ment. Stability studies in solution will indicate the New York, Chapter 3.
feasibility of parenteral or other liquid dosage
forms, and can identify methods of stabilization. In
parallel, solid-state stability by DSC, TLC and BIBLIOGRAPHY
HPLC, and in the presence of tablet and capsule
excipients, will indicate the most acceptable vehicles Albert, A.A. and Serjeant, E.P. (1984) lonization Constants of
for solid dosage forms. Acids and Bases, Wiley, New York
By comparing the physicochemical properties of Davies, S.S. and Higuchi,T. (1970) J. Pharm Sci., 59, 1376.
Hamilton, RJ. and Sewell, P.A. (1977) Introduction to High
each drug candidate within a therapeutic group Performance Liquidity Chromatography. Chapman & Hall,
(using Cs, pKa, melting point, K%) the preformula- London.
tion scientist can assist the synthetic chemist to iden- Jones,T.M. (1981) Int. J. Pharm. Tech. Prod. Mfr., 2, 17.
tify the optimum molecule, provide the biologist Kennon, L. (1964) J. Pharm. Sci. 53, 815-818.
Pryde, A. and Gilbert M.T. (1979) Applications of High
with suitable vehicles to elicit pharmacological Performance Liquid Chromatography. Chapman & Hall,
response, and advise the bulk chemist about the London.
selection and production of the best salt with appro- Smith, A. (1982) Anal. Proc., 19, 559.
priate particle size and morphology for subsequent Yalkowski, S.H., Amidon, G.L., Zografi, G. and Flynn, G.L.
processing. (1975) J. Pharm Sci., 64, 48.
Yalkowski, S.H. and Roseman, T.J. (1981) Techniques of
Solubilization of Drugs, Chapter 3, ed. S.H. Yalkowski,
Marcel Dekker, New York.
138
PART TWO
PARTICLE SCIENCE
AND POWDER
TECHNOLOGY
139
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9
Solid-state properties
Graham Buckton
141
PARTICLE SCIENCE AND POWDER TECHNOLOGY
POLYMORPHISM
Fig. 9.1 Representation of two polymorphic forms of a crystal If the crystallization conditions are changed in any
consisting of a molecule represented by a 'hockey-stick' shape. way, it is possible that the molecules may start to
142
SOLID-STATE PROPERTIES
form crystals with a different packing pattern from rate of dissolution, because the one with the lowest
that which occurred when the original conditions melting point will most easily give up molecules to
were used. The change in conditions could be a dif- dissolve, whereas the most stable form (highest
ferent solvent, or a change in the stirring, or different melting point) will not give up molecules to the
impurities being present. Figure 9.1(b) shows an solvent.
alternative packing arrangement from that which
High melting point = strong lattice = hard to remove
occurred for the same molecule in Figure 9.1 (a). As
a molecule = low dissolution rate (and vice versa).
both the packing arrangements in Figure 9.1 are
repeating ordered systems, they are both crystals; It is relatively easy to understand that changes in
these would be called polymorphic forms. polymorphic form can cause changes in the rate at
By looking at the packing arrangements in Figure which a drug will dissolve. However, it is less easy to
9.1 it can be seen that the molecules in (a) are more understand why this can lead to a change in the
spaced out than those in (b), which means that the apparent solubility. None the less, it is true that
two crystal forms would have different densities (i.e. when a metastable polymorphic form is dissolved it
the same mass of material would be housed in dif- can give a greater amount of material in solution
ferent volumes). It looks as though it would be easier than the saturated solubility. In other words,
to physically pull a molecule off structure (a) than off metastable forms can dissolve to give supersaturated
(b), as the molecules in (b) are more interwoven into solutions. These supersaturated solutions will even-
the structure. If this were the case then (a) would tually return to the equilibrium solubility, owing to
have a lower melting point than (b) and might dis- the stable crystal form precipitating from solution,
solve more easily. Also, if an attempt were made to but this process may not be instantaneous. In fact,
mill the two crystals, it appears that (a) would break the supersaturated solution can often exist long
easily, as there are natural break lines (either verti- enough to cause an increase in bioavailability of a
cally or horizontally), whereas (b) does not seem to poorly soluble drug. Figure 9.2 shows the solubility
have an obvious weak line to allow easy breakage. of two different polymorphs of sulphamethoxydi-
This could mean that the milling and compaction azine. It can be seen that Form III has a higher sol-
(tabletting) properties of the two forms will differ. In ubility than Form II, and that this lasts throughout
summary, a change in the packing arrangement of
the same molecule, giving two different crystal
forms, could result in significant changes in the
properties of the solid.
Many organic molecules, including drugs and
excipients, exhibit polymorphism. Usually this is of a
form known as monotropic, which means that only
one polymorphic form is stable and any other poly-
morph that is formed will eventually convert to the
stable form. However, some materials exhibit
enantropic polymorphism, which means that under
different conditions (temperature and pressure) the
material can reversibly transform between alterna-
tive stable forms; however, this type of behaviour is
less common and will not be considered further.
Considering the more usual monotropic polymor-
phism, the true stable form has the highest melting
point and all other forms are described as
metastable.This means that the other forms exist for Fig. 9.2 The solubility time relationship for
sulphamethoxydiazine. O, solubility of polymorphic Form III,
a period of time and thus appear stable, but given a
which rises to the drug's equilibrium solubility and plateaus. ,
chance they will convert to the true stable form. solubility of polymorphic Form II, which dissolves to twice the
Different metastable forms can exist for very short extent of Form III and then shows a gradual decline with time, as
times or for many months before they convert to the the stable form crystallizes from solution. A, the effect of adding
stable form, depending upon the conditions under crystals of Form III to the solution of Form II at the peak of
solubility. It can be seen that the amount dissolved falls rapidly
which they are stored. from the supersaturated level to the true equilibrium solubility
In general there will be a correlation between the because the added crystals of Form II act as nucleation sites.
melting point of the different polymorphs and the (Reproduced from Ebian et al 1973, with permission.)
143
PARTICLE SCIENCE AND POWDER TECHNOLOGY
the 90-minute experiment. However, if crystals of anything other than the stable form of a drug, as
Form II are added to the solution of Form III, then other polymorphic forms could convert to the stable
the solubility reverts rapidly to that of Form II form during the shelf-life of the product, which
because the excess solute in the supersaturated solu- could result in a reduction in bioavailability and
tion will have seed crystals of Form II on which to hence the therapeutic effect of the product.
precipitate. In conclusion, the stable polymorphic form will
have the slowest dissolution rate, and so there may
be occasions when it would be desirable to speed the
Polymorphism and bioavailability
dissolution by using a metastable form. However, the
Many drugs are hydrophobic and have very limited risk associated with using the metastable form is that
solubility in water. Owing to the limited aqueous sol- it will convert back to the stable form during the
ubility of such drugs the rate at which they dissolve product's life, and give a consequent change in prop-
(slow dissolution rate) can result in only a small per- erties. As polymorphism can have such serious con-
centage of the administered drug actually being sequences for the bioavailability of drugs with low
available to the patient (low bioavailability). A classic aqueous solubility, it is essential that manufacturers
example of the importance of polymorphism on check for the existence of polymorphism and ensure
bioavailability is that of chloramphenicol palmitate that they use the same appropriate polymorphic
suspensions. In Figure 9.3 the blood serum level is form every time they make a product.
plotted as a function of time after dosing. It can be As mentioned above, many properties other than
seen that the stable a-polymorph produces low rate of solution can change when a material is in a
serum levels, whereas the metastable /3-polymorph different polymorphic form. For example, paraceta-
yields much higher serum levels when the same dose mol is a high-dose drug with poor compression
is administered. properties, which can make it difficult to form into
For drugs that are freely soluble in water the tablets. Consequently, researchers have tried to use
bioavailability is not likely to be limited by the disso- different polymorphic forms of paracetamol to find
lution, so it would be surprising for polymorphism to one that is more compressible.
influence bioavailability in this way. However, for
drugs with low aqueous solubility the polymorphic
form must be well controlled to ensure that the
bioavailability is the same each time the product is HYDRATES AND SOLVATES
made, and throughout the shelf-life of the product. It
would be risky to deliberately make a product using It is possible for materials to crystallize and in so
doing to trap molecules of the solvent within the
lattice. If the solvent used is water, the material will
be described as a hydrate. This entrapment is often in
an exact molar ratio with the crystallizing material:
for example, a monohydrate will have one molecule
of water for each molecule of the crystallizing mater-
ial. It is possible to have many different levels of
hydrate: for example, some drugs can exist as a
monohydrate, a dihydrate and a trihydrate (respec-
tively one, two and three molecules of water to each
molecule of drug). Morris (1999) notes that about
11 % (over 16000 compounds) of all structures
recorded on the Cambridge Structural Database
exist as hydrates. Of the classes of hydrate materials
that were similar to drugs, about 50% were monohy-
drates (one water molecule for each one of host), over
20% were dihydrates (two water molecules to one of
Fig. 9.3 Comparison of mean blood serum levels after the host), 8% were trihydrates (three water molecules to
administration of chloramphenicol palmitate suspensions using one host) and 8% were hemihydrates (one water mol-
varying ratios of the stable (a) and the metastable (/3)
polymorphs. M, 100% a polymorph; N, 25:75 p\a; O, 50:50 (3:a; ecule to two of host); other hydrate levels (up to 10
P, 75:25 p.a; L, 100% j8 polymorph. (Reproduced from Aguiar water to one host) became progressively less
et al 1976, with permission.) common.
144
SOLID-STATE PROPERTIES
If solvents other than water are present in a crystal true equilibrium solubility, whereas the anhydrous
lattice the material is called a solvate. For example, if form had initially formed a supersaturated solution
ethanol is present it would be an ethanolate. In (as has been described for metastable polymorphic
general it is undesirable to use solvates for pharma- forms above).
ceuticals as the presence of retained organic vapours Although anhydrous forms are usually more
would be regarded as an unnecessary impurity in the rapidly soluble than the hydrate, there are examples
product. If the organic vapour were toxic in any way of the opposite being true. In such circumstances
it would obviously be inappropriate for pharmaceu- one could think of water as a wedge pushing two
ticals. For this reason discussion will be limited to molecules apart and preventing the optimum inter-
hydrates. action between the molecules in the lattice. Here
Hydrates often have very different properties from water would be weakening the lattice and would
the anhydrous form, in the same way as two different result in a more rapid dissolution rate. An example
polymorphs have different properties from each of the hydrate form speeding up dissolution is shown
other. For this reason the difference between in Figure 9.5 for erythromycin.
hydrates and anhydrous forms is described as
pseudopolymorphism. With polymorphism the
stable form has the highest melting point and the
slowest dissolution rate (see above); however, with THE AMORPHOUS STATE
hydrates it is possible for the hydrate form to have
either a faster or a slower dissolution rate than the When a material is in the solid state but the mole-
anhydrous form. The most usual situation is for the cules are not packed in a repeating long-range
anhydrous form to have a faster dissolution rate than ordered fashion, it is said to be amorphous.
the hydrate; an example of this is shown in Figure Amorphous solids have very different properties from
9.4 for theophylline. In this situation, water could the crystal form of the same material. For example,
hydrogen bond between two drug molecules and tie crystals have a melting point (the break-up of the
the lattice together; this would give a much stronger, crystal lattice), whereas the amorphous form does
more stable lattice and hence a slower dissolution not (as it does not have a crystal lattice to break).
rate. It can be seen from Figure 9.4 that the anhy- Polymeric materials (or other large molecular
drous theophylline rises to a high concentration in weight species) have molecules that are so large and
solution and then falls again until the amount dis- flexible that it is not possible for them to align per-
solved is the same as that recorded for the hydrate. fectly to form crystals. For these materials it will be
The reason for this is that the hydrate has reached usual to have ordered regions within the structure
145
PARTICLE SCIENCE AND POWDER TECHNOLOGY
surrounded by disorder, so they are described as storage temperature the increased molecular mobil-
semicrystalline. For materials such as these it will not ity allows rapid conversion to the crystalline form.
be possible to produce a completely crystalline The glass transition temperature of an amorphous
sample; however, the degree of crystallinity can vary material can be lowered by adding a small molecule,
depending upon processing conditions. This can called a plasticizer, that fits between the glassy mole-
affect the properties of the material and hence how cules, giving them greater mobility. Water is a good
they function in pharmaceutical products. plasticizer for many materials, and so the glass tran-
For low molecular weight materials the amor- sition temperature will usually reduce in the pres-
phous form may be produced if the solidification ence of water vapour. Most amorphous materials are
process was too fast for the molecules to have a able to absorb large quantities of water vapour.
chance to align in the correct way to form a crystal Absorption is a process whereby one molecule
(this could happen when a solution is spray-dried). passes into the bulk of another material and should
Alternatively, a crystal may be formed but then not be confused with adsorption, which is when
broken, for example if the crystal were exposed to something concentrates at the surface of another
energy, such as milling. A simple analogy that can be material. Figure 9.6 shows the way in which water
used here is that a crystal is like a brick wall, which can access amorphous regions. Figure 9.7 shows the
has ordered long-range packing. If the wall is hit amount of water that is adsorbed to a crystalline
hard, perhaps during demolition, the bricks will sep- material (Figure 9.7(a)), compared to that absorbed
arate (Figure 9.6). Unlike the brick wall, however, a into an amorphous form of the same material
disrupted crystal will be unstable and will revert (Figure 9.7(b)). It can be seen that the amount
back to the crystal form. This conversion may be absorbed is many times greater than that adsorbed.
rapid or very slow and, as with polymorphism, its This large difference in water content at any selected
pharmaceutical significance will depend on how long relative humidity is important in many materials. For
the partially amorphous form survives. example, it is possible that certain drugs can degrade
Amorphous forms have a characteristic tempera- by hydrolysis when amorphous, but remain stable
ture at which there is a major change in properties. when crystalline. The extent of hydrolysis of an
This is called the glass transition temperature (Tg). If antibiotic which had been processed to yield differ-
the sample is stored below the Tg the amorphous ent levels of crystalline:amorphous forms is shown in
form will be brittle and is described as the glassy Table 9.1; the extent of degradation is greater when
state. If the sample is above its Tg it becomes the amorphous content is increased.
rubbery. The Tg, although not well understood, is a In Figure 9.7 it can be seen that the amorphous
point where the molecules in the glass exhibit a form absorbs a very large amount of water until
major change in mobility. The lack of mobility when 50% RH, after which there is a weight loss, the
the sample is glassy allows the amorphous form to reason for which is that the sample has crystallized.
exist for longer, whereas when Tg is below the Crystallization occurs because the absorbed water
has plasticized the sample to such an extent that the
7g has dropped below room temperature and
allowed sufficient molecular mobility that the mole-
cules are able to align and crystallize. The water is
lost during this process, as absorption can only
occur in the amorphous form and so cannot endure
Crystalline 0 100
Freeze dried 12 100
Freeze dried 46 85
Fig. 9.6 The disruption of a crystal (represented as a brick
wall), giving the possibility for water vapour absorption in the Spray dried 53 44
amorphous region
146
SOLID-STATE PROPERTIES
into the crystalline state. However, some water is Fig. 9.8 The amorphous content induced in crystalline lactose
as a consequence of milling in an air-jet mill at different air
retained in this example (Fig. 9.7(a) and (b)), pressures. (Redrawn from Briggner et al 1994, with permission.)
because lactose is able to form a monohydrate. The
amount of water required to form a monohydrate
with lactose is 5% w/w (calculated from the mole-
cular weight of lactose and water), which is much
less than the 11 % that was present in the amorphous
form (Figure 9.7(b)).
In Figure 9.8 the amorphous content of lactose is
seen to increase in proportion to the length of time it
was left in an air-jet mill (micronizer). In Figure 9.9
it can be seen that a drug substance became partially
amorphous when treated in a simple ball mill, and
extensively amorphous when micronized. Although
the example in Figure 9.9 is an extreme behaviour it Fig. 9.9 The amorphous content of a model drug substance
is not unusual for highly processed materials to following milling in a ball mill and a micronizer. (Redrawn from
become partially amorphous. Although milling does Ahmed et al 1996, with permission.)
147
PARTICLE SCIENCE AND POWDER TECHNOLOGY
CRYSTAL HABIT
148
SOLID-STATE PROPERTIES
@ Sphere: \\ Needle:
radius 20 (am \\ length 335 |im, width
volume 33,515 urn3 \\ and thickness 10 jam
surface area 5,027 ^m2 \\ volume 33,500 u,m3
'A surface area 13,600 urn2
O Cube: \^
length, width and
thickness 32.2 u.m
volume 33,386 um3
surface area 6,221 u,m2
Fig. 9.11 The relative surface areas of a sphere, a cube and a
needle that each have similar volumes of material.
Fig. 9.12 A hypothesis that surface roughness may relate to
dry release from carrier particles in dry powder inhalers, (a)
It is technically possible to engineer changes in Micronized drug trapped in the rough regions of the carrier
crystal habit by deliberately manipulating the rate of particle, giving low inhaled dose, (b) Micronized drug can be
growth of different faces of the crystal. This is done readily removed from a smooth carrier particle, (c) Micronized
drug may be removed readily (hence a high inhaled dose) if the
by intentionally adding a small amount of impurity carrier is first treated with micronized carrier particles in order to
to the solution. The impurity must interact preferen- fill the rough voids.
tially with one face of the growing crystal, and in so
doing it will stop growth on that face, causing the
remaining face(s) to grow more rapidly. The impu- the drug is free to detach, as the micronized carrier
rity would either be a very similar molecule to that of is trapped in all the crevices on the carrier surface.
the crystallizing material, so that part of the mole- The hypothesis relating to the use of fine carrier par-
cule is included in the lattice but the remainder ticles to enhance the delivery of micronized drug
blocks further layers from attaching, or it may be a from large carrier particles is not proved beyond
surfactant that adsorbs to one growing face. doubt. It remains possible that interactions between
the fine carrier and fine drug may be the reason for
the enhanced delivery.
For products such as these it is becoming increas-
ingly important first to measure the surface nature of
SURFACE NATURE OF PARTICLES
samples and then to control the form in order to
achieve the desired delivery of drug. The surface
Dry powder inhalers
shape of the carrier is an important consideration for
Dry powder inhalers (see Chapter 31) often have a the design of this type of product. A further concern
micronized drug, which must be small enough to be is the surface energy, as this can influence the way in
inhaled, mixed with a larger carrier particle which is which the drug and the carrier are attached to each
often lactose. The carrier particle is there to make other.
the powder suitable for handling and dosing, as
micronized particles have poor flow properties. The
shape and surface properties of the drug and/or
Surface energy
carrier particles can be critical in controlling the Molecules at the surface of a material have a net
dose of drug that is delivered. It may be necessary to inward force exerted on them from the molecules
adjust the surface roughness of carrier particles. In in the bulk: this is the basis of surface energy.
Figure 9.12(a) there is a cartoon of a rough carrier Surface energy is important, as every interaction
particle: this would hold the micronized drug too (except the mixing of two gases) starts with an
strongly, essentially trapped within the rough regions initial contact between two surfaces. If this surface
of the carrier, and so the inhaled dose would be very interaction is favoured then the process will proba-
low. In Figure 9.12(b) a smooth particle of the same bly proceed, whereas if it is not favoured then it will
carrier is seen: here the drug will be easily displaced be limited. A good example of the role of surface
from the carrier during inhalation, but it may not energy is the wetting of a powder by a liquid, where
stay mixed with the carrier during filling of the the powder cannot dissolve until the liquid makes
inhaler and dosing. In Figure 9.12(c) a rough carrier good contact with it. A practical example is instant
particle has been mixed first with micronized carrier coffee, where some brands are hard to wet and dis-
and then with micronized drug. Using this approach solve whereas others dissolve easily. Changes in the
149
PARTICLE SCIENCE AND POWDER TECHNOLOGY
wetting of powders can affect the processes of wet A preferred option by which to assess the surface
granulation, suspension formation, film coating and energy of powders would be vapour sorption.
drug dissolution.
The measurement and understanding of surface
Vapour sorption
energy is relatively simple for pure liquids, because
there is a single value of surface energy (= surface When a powder is exposed to a vapour or gas, the
tension). However, for solids, and especially interaction will take one of the following forms:
powders, the situation is far more complex. Even on
1. Adsorption of the vapour to the powder surface
the same crystal form it would be expected that
(adsorption is described in Chapter 5)
every crystal face, edge and defect could experience
2. Absorption into the bulk
different forces pulling from the bulk, and so could
3. Deliquescence
have a different surface energy. From the discussion
4. Hydrate/solvate formation.
above, it would be reasonable to assume that differ-
ent physical forms of the same drug could have quite Absorption into the bulk can occur if the sample is
different surface energies. Thus for the same drug it amorphous, whereas the interaction will be limited
is possible that changes in habit and/or polymorphic to adsorption if the powder is crystalline. The extent
form and/or the presence of a solvate or hydrate and energetics of interaction between vapours and
would change the surface energy. For amorphous powder surfaces allows the surface energy to be cal-
forms the molecules at the surface have greater culated. The other processes listed are deliques-
freedom to move and reorientate than do molecules cence, which is where the powder dissolves in the
in crystal surfaces, and so the amorphous form could vapour, and hydrate formation, which is discussed
have changes in surface energy with time (and with above.
physical state in relation to 7"g). It is therefore possible to use adsorption and/or
The conventional way of determining the surface absorption behaviour to determine powder surface
energy of a solid is to place a drop of liquid on to the energy. There are three basic approaches to this:
solid surface and measure the contact angle. This is gravimetric, calorimetric and chromatographic.
defined as the angle between the solid surface and Each of these techniques has found application in
the tangent drawn at the three-phase interface, mea- studies of batch-to-batch variability of materials. An
sured through the liquid. Examples of contact angles example of a critical case could be that a certain
are shown in Chapter 5. Perfect wetting of a solid by drug shows extensive variability in respirable dose
a liquid will result in a contact angle of 0. Contact from a dry powder inhaler. Assuming that the size
angles are the result of a balance of three interfacial distribution was acceptable in all cases, it would be
forces yLV being the liquid surface tension, yLS necessary to understand why some batches yielded
between the liquid and the solid, and ysv between unacceptable doses. These vapour sorption tech-
the solid and the vapour. The relative magnitude of niques could then be used to assess the surface
these forces will determine whether the drop of energy and define values that would be acceptable in
liquid spreads on the solid or not, and consequently, order to obtain good drug dosing, and equally to
by use of the contact angle (0) it is possible to calcu- define batches of drug that will give unacceptable
late the solid surface energy if the surface tension of products.
the liquid is known: Gravimetric methods use sensitive microbalances
as a means of determining the extent of vapour sorp-
tion to a powder surface. The calorimetric
This is known as Young's equation. approaches measure the enthalpy change associated
For smooth solid surfaces contact angles are an with vapourpowder interaction, which gives clear
ideal way of assessing surface energy; however, information on the nature of the powder surface.
powders present a problem as it is not possible to Using the principles of gas chromatography it is pos-
place a drop of liquid on their surface. sible to pack the powder for which the surface energy
Consequently, a compromise will always be required is required into a column, and then to inject differ-
when measuring a contact angle for powdered ent vapours into the column with a carrier gas.
systems. An example of such a compromise would be Obviously the time taken for the vapour to come out
to make a compact of the powder so as to produce a of the other end of the column is a measure of how
smooth flat surface; the disadvantage of this is that favourable was the interaction between the powder
the process of compaction may well change the and the vapour. It is then possible to calculate the
surface energy of the powder. surface energy of the powder from the retention time
150
SOLID-STATE PROPERTIES
of different vapours in the column. Gas chromatog- Ebian, A.R., Moustafa, M.A., Khalil, S.A. and Motawi,
raphy is normally used with a column of known M.M. (1973) J. Pharm. Pharmacol, 25, 13-20.
Morris, K.R. (1999) Structural aspects of hydrates and solvates.
properties with unknown vapours; however, in this In Brittain, H.G. (ed.) Polymorphism in Pharmaceutical Solids.
experiment the unknown is the solid column and the Marcel Dekker, New York, pp. 125-181.
materials with known properties are the injected Pikal, M.J., Lukes, A.L., Lang, J.E. and Gaines, K. (1978) J.
vapours. For this reason this technique is called Pharm. Sci., 67, 767-773.
Shefter, E. and Higuchi,T. (1963) J. Pharm. Sci., 52, 781-791.
inverse phase gas chromatography.
REFERENCES BIBLIOGRAPHY
Aguiar, A.J., Krc, JJr., Kinkel, A.W. and Sanyn, J.C. (1967) J. Brittain, H.G. (ed.) (1999) Polymorphism in Pharmaceutical
Pharm. Sci, 56, 847-853. Solids. Marcel Dekker, New York.
Ahmed, H., Buckton, G. and Rawlins, D.A. (1996) Int. J. Buckton, G. (1995) Interfacial Phenomena in Drug Delivery
Pharm., 130, 195-201. and Targeting. Harwood Academic Press, Amsterdam.
Allen, P.V., Rahn, P.D., Sarapu, A.C. and Vanderwielen, AJ. Florence, A.T. and Attwood, D. (1998) Physicochemical
(1978) J. Pharm. Sci., 67, 1087-1093. Principles of Pharmacy, 3rd edn. Macmillan, London.
Briggner, L.-E., Buckton, G., Bystrom, K. and Darcy, P. Mersmann, A. (ed.) (1994) Crystallization Technology
(1994) Int.J. Pharm., 105, 125-135. Handbook. Marcel Dekker, New York.
151
10
Particle-size analysis
John Staniforth
152
PARTICLE-SIZE ANALYSIS
PARTICLE SIZE
Dimensions
When determining the size of a relatively large solid
it would be unusual to measure fewer than three
dimensions, but if the same solid was broken up and
the fragments milled, the resulting fine particles
would be irregular with different numbers of faces
and it would be difficult or impractical to determine
Fig. 10.1 Schematic representation of the lifetime of a drug. more than a single dimension. For this reason a solid
particle is often considered to approximate to a
sphere which can then be characterized by deter-
mining its diameter. Because measurement is then
based on a hypothetical sphere, which represents
only an approximation to the true shape of the par-
ticle, the dimension is referred to as the equivalent
diameter of the particle.
where C is the concentration of solute in solution at
time, t, Cs is the solubility of solute and c is a con- Equivalent diameters
stant which can be determined from a knowledge of
It is possible to generate more than one sphere which
solute solubility. The constant c was more precisely
is equivalent to a given irregular particle shape.
denned by Danckwerts, who showed that the mean
Figure 10.2 shows the two-dimensional projection of
rate of solution per unit area under turbulent condi-
tions was given by: a particle with two different diameters constructed
about it.
The projected area diameter is based on a circle of
equivalent area to that of the projected image of a
where D is a diffusion coefficient and a is the rate solid particle; the projected perimeter diameter is
of production of fresh surface. Da can be inter- based on a circle having the same perimeter as the
particle. Unless the particles are unsymmetrical in
preted as a liquid film mass transfer coefficient,
three dimensions then these two diameters will be
which will tend to vary inversely with particle size
independent of particle orientation. This is not true
as a reduction in size generally increases the
specific surface area of particles. Thus particles for Feret's and Martin's diameters (Fig. 10.3), the
values of which are dependent on both the orienta-
having small dimensions will tend to increase the
rate of solution. For example, the drug griseofulvin tion and the shape of the particles. These are statis-
tical diameters which are averaged over many
has a low solubility by oral administration but is
rapidly distributed following absorption; the solu- different orientations to produce a mean value for
bility of griseofulvin can be greatly enhanced by each particle diameter. Feret's diameter is deter-
mined from the mean distance between two parallel
particle size reduction, so that blood levels equiva-
lent to, or better than, those obtained with crys-
talline griseofulvin can be produced using a
microcrystalline form of the drug. A reduction of
particle size to improve rate of solution and hence
bioavailability is not always beneficial. For example,
small particle-size nitrofurantoin has an increased
rate of solution which produces toxic side-effects
because of its more rapid absorption.
It is clear from the lifetime of a drug outlined
above that a knowledge and control of particle size is
of importance both for the production of medicines
containing particulate solids and in the efficacy of Fig. 10.2 Different equivalent diameters constructed around
the medicine following administration. the same particle.
153
PARTICLE SCIENCE AND POWDER TECHNOLOGY
Fig. 10.4 Frequency distribution curves corresponding to (a) a normal distribution, (b) a positively skewed distribution and (c) a
bimodal distribution.
154
PARTICLE-SIZE ANALYSIS
where a is the median diameter and b and c are the where x is any particle diameter, x is mean particle
lower and upper quartile points (Fig. 10.5). diameter and n is number of particles.
The IQCS can take any value between -1 and +1. Again, a large number of data points are required
If the IQCS is zero then the size distribution is prac- to provide an accurate analysis.
tically symmetrical between the quartile points. To The mean of the particle population referred
ensure unambiguity in interpreting values for IQCS to above in Eqn 10.5, together with the median
a large number of size intervals are required. (Fig. 10.5) and the mode (Fig. 10.4) are all measures
155
PARTICLE SCIENCE AND POWDER TECHNOLOGY
156
PARTICLE-SIZE ANALYSIS
Alternative techniques
Another form of sieve analysis, called air-jet sieving,
uses individual sieves rather than a complete nest of
Fig. 10.7 Sieve diameter ds for various shaped particles sieves. Starting with the finest-aperture sieve and pro-
gressively removing the undersize particle fraction by
sequentially increasing the apertures of each sieve, par-
Range of analysis ticles are encouraged to pass through each aperture
The International Standards Organization (ISO) sets under the influence of a partial vacuum applied below
a lowest sieve diameter of 45 ^im and, as powders are the sieve mesh. A reverse air jet circulates beneath the
usually denned as having a maximum diameter of sieve mesh, blowing oversize particles away from the
1000 /Jim, this could be considered to be the upper mesh to prevent blocking. Air-jet sieving is often more
limit. In practice sieves can be obtained for size analy- efficient and reproducible than using mechanically
sis over a range from 5 to 125 000 /mi. These ranges vibrated sieve analysis, although with finer particles
are indicated diagrammatically in Figure 10.8. agglomeration can become a problem.
Range of analysis
This is shown diagrammatically in Figure 10.9.
157
PARTICLE SCIENCE AND POWDER TECHNOLOGY
analysis of agglomerated particles Specimens for microscopy is particularly appropriate when a three-
scanning electron microscopy are prepared by fixing dimensional particle image is required; in addition,
to aluminium stubs before sputter coating with a the very much greater depth of field of an SEM
film of gold a few nm in thickness. Specimens for compared to a light microscope may also be
transmission electron microscopy are often set in beneficial. Both SEM and TEM analysis allow the
resin, sectioned by microtome and supported on a lower particle-sizing limit to be greatly extended over
metal grid before metallic coating. that possible with a light microscope.
Alternative techniques
Alternative techniques to light microscopy include
scanning electron microscopy (SEM) and transmis-
sion electron microscopy (TEM). Scanning electron Fig. 10.10 Particle comparator.
158
PARTICLE-SIZE ANALYSIS
Range of analysis
This is shown in Figure 10.12
159
PARTICLE SCIENCE AND POWDER TECHNOLOGY
momentarily occupies the orifice and displaces its own through the sensing zone. Some instruments of this
volume of electrolyte. The volume of suspension type use the change in reflectance, whereas others
drawn through the orifice is determined by the suction use the change in transmittance of light. It is also
potential created by a mercury thread rebalancing in a possible to use ultrasonic waves generated and
convoluted U-tube (Fig. 10.14). The volume of elec- monitored by a piezoelectric crystal at the base of
trolyte fluid which is displaced in the orifice by the a flowthrough tube containing particles in fluid
presence of a particle causes a change in electrical suspension.
resistance between the electrodes that is proportional
to the volume of the particle. The change in resistance
is converted into a voltage pulse which is amplified
Laser light scattering methods
and processed electronically. Pulses falling within
Equivalent diameters
precalibrated limits or thresholds are used to split the
particle size distribution into many different size Area diameter, da) volume diameter d^ following
ranges. In order to carry out size analysis over a wide computation in some instruments.
diameter range it will be necessary to change the
orifice diameter used, to prevent coarser particles
Range of analysis
blocking a small-diameter orifice. Conversely, finer
particles in a large-diameter orifice will cause too small This is shown in Figure 10.15.
a relative change in volume to be accurately quantified.
Sample preparation and analysis conditions
Alternative techniques
Depending on the type of measurement to be carried
Since the Coulter principle was first described there out and the instrument used, particles can be pre-
have been some modifications to the basic method sented either in liquid or in air suspension.
such as use of alternative orifice designs and hydro-
dynamic focusing, but in general the particle detec-
Principles of measurement
tion technique remains the same.
Another type of stream sensing analyser utilizes Both the large-particle and small-particle analysers are
the attenuation of a light beam by particles drawn based on the interaction of laser light with particles.
160
PARTICLE-SIZE ANALYSIS
161
PARTICLE SCIENCE AND POWDER TECHNOLOGY
linearly with time, t, but according to the following determine molecular weights, diffusion coefficients,
relationship: zeta potential or electrophoretic mobility.
Automatic methods
A basic property of molecular kinetics is that each
particle or macromolecule has the same average Most of the instruments based on laser light scatter-
thermal or kinetic energy, E, regardless of mass, size ing produce a full particle-size analysis automati-
or shape: cally. The data are often presented in graphical and
tabular form, but in some instruments only a mean
diameter is produced.
where k is Boltzmann's constant and T is absolute
temperature (Kelvin). Sedimentation methods
Thus at T = 0 K, molecules possess zero kinetic
energy and therefore do not move. E can also be Equivalent diameters
equated with the driving force, F, of particle motion:
dfd, frictional drag diameter, a sphere having an
equivalent drag force to a particle of the same diam-
eter in the same fluid at the same velocity; Jst, Stokes
At equilibrium diameter, the diameter of a particle measured
during sedimentation at constant rate in laminar
flow conditions.
where FD is the drag force resisting particle motion.
According to Stokes' theory, discussed below,
Range of analysis
This is represented in Figure 10.18.
where dh is the hydrodynamic diameter, z>st the Stokes
velocity of the particle ahd 17 the fluid viscosity, i.e.
Sample preparation and analysis conditions
Particle-size distributions can be determined by
but examining the powder as it sediments out. In cases
and where the powder is not uniformly dispersed in a
fluid it can be introduced as a thin layer on the
Substituting, E = ?>TT dh 17 D surface of the liquid. If the powder is hydrophobic it
Since E = kt, may be necessary to add a dispersing agent to aid
wetting. In cases where the powder is soluble in
water it will be necessary to use non-aqueous
liquids, or carry out the analysis in a gas.
or
Principles of measurement
Techniques of size analysis by sedimentation can be
Equation 10.8 is known as the Stokes-Einstein divided into two main categories according to the
equation and is the basis for calculation of particle method of measurement used. One type is based on
diameters using photon-correlation spectroscopy.
Alternative techniques
There is a wide variety of different instruments
based on laser Doppler anemometry or velocimetry,
and diffraction measurements. The instruments vary
according to their ability to characterize different
particle-size ranges, produce complete size distribu-
tions, measure both solid and liquid particles, and Fig. 10.18 Range of analysis for sedimentation methods.
162
PARTICLE-SIZE ANALYSIS
163
Table 10.4 Summary of particle size analysts instrument characteristics
Analysis method Sample measurement environment Size Approximate size range (yam) Initial cost
Hoto
UdLd
Gas Aqueous Non-aqueous Replica Other Rapid printout 0.001- 1-10 10- 100- High Low
liquid liquid functions analysis available 10 100 1000
Sieve V V V V V V
0)
Q.
o Manual V V V V V V V
8 Light
Q
Semi-automatic V V V V V V V
O Automatic V V V V V V V V V V
5 Electron V V V V V V
Sedimentation Gravitational V V V V V V V V
X X
Centrifugal V V V V V V V
X X
PARTICLE-SIZE ANALYSIS
in the same position in the centrifugal field and alternatively, size analysis of aerosol particles would
hence move with the same velocity. probably not be carried out using an electric sensing
zone method. As a general guide it is often most
appropriate to determine the particle size distribu-
Automatic methods
tion of a powder in an environment that most closely
In general, gravity sedimentation methods tend to be resembles the conditions in which the powder will be
less automated than those using centrifugal forces. processed or handled. There are many different
However, an adaptation of a retention zone gravity factors influencing the selection of an analysis
sedimentation method is known as a Micro- method: these are summarized in Table 10.4 and
merograph and measures sedimentation of particles may be used together with information from a pre-
in a gas rather than a fluid. The advantages of this liminary microscopic analysis and any other known
method are that sizing is carried out relatively rapidly physical properties of the powder, such as solubility,
and the analysis is virtually automatic. density, cohesivity, in addition to analysis require-
ments such as speed of measurement, particle size
data processing or the physical separation of differ-
ent particle-size powders for subsequent processing.
SELECTION OF A PARTICLE SIZE
ANALYSIS METHOD
165
11
Particle-size reduction
John Staniforth
166
PARTICLE-SIZE REDUCTION
Surface hardness
In addition to the toughness of the material
described above, size reduction may also be
influenced by surface hardness. The hardness of a
material can be described by its position in a scale
devised by a German mineralogist called Mohs.
Mohs' scale is a table of materials, at the top of
which is diamond with Mohs hardness >7, which
has a surface so hard that it can scratch anything
below it; at the bottom of the table with Mohs hard-
ness <3 is talc, which is soft enough to be scratched
by anything above it.
Fig. 11.1 Stress concentrations at the edges of a disc-shaped
A more quantitative measurement of surface hard-
crack; ris the radius of curvature of the crack tip; L is the crack ness was devised by Brinell; such determinations of
length. hardness may prove useful as a guide to the ease with
which size reduction can be carried out: in general,
harder materials are more difficult to comminute and
considered to have occurred at molecular level can lead to abrasive wear of metal mill parts, which
between atomic surfaces separated by a distance of then cause product contamination. Conversely, mate-
2 x 10 10 m for a crack 3 /am long, which gives a rials with a large elastic component, such as rubber,
stress multiplier of approximately 245. The stress are extremely soft yet difficult to size reduce.
concentration diminishes towards the mean stress Materials such as rubber which are soft under
according to the distance from the crack tip ambient conditions, waxy substances such as stearic
(Fig. 11.1). Once a crack is initiated the crack tip acid which soften when heated, and 'sticky' materi-
propagates at a velocity approaching 40% of the als such as gums are capable of absorbing large
speed of sound in the solid. This crack propagation amounts of energy through elastic and plastic defor-
is so rapid that excess energy from strain relaxation mation without crack initiation and propagation.
is dissipated through the material and concentrates This type of polymeric material, which resists com-
at other discontinuities, where new cracks are prop- minution at ambient or elevated temperatures, can
agated. Thus a cascade effect occurs and an almost be more easily size reduced by lowering the temper-
instantaneous brittle fracture occurs. ature below the glass transition point of the material.
Not all materials exhibit this type of brittle When this is carried out the material undergoes a
behaviour and can resist fracture at much larger transition from plastic to brittle behaviour and crack
stresses. This occurs because these tougher materi- propagation is facilitated.
als can undergo plastic flow, which allows strain Other factors that influence the process of size
energy relaxation without crack propagation. When reduction include the moisture content of the feed
plastic flow occurs, atoms or molecules slip over material. In general, a moisture content below 5% is
one another and this process of deformation suitable for dry grinding and greater than 50% if wet
requires energy. Brittle materials can also exhibit grinding is to be carried out.
plastic flow and Irwin and Orowan suggested a
modification of Griffiths' crack theory to take this
into account; the new relationship has a fracture
Energy requirements of size reduction
stress which varies inversely with the square root of process
crack length: Only a very small amount of the energy put into a
comminution operation actually effects size reduc-
tion. This has been estimated to be as little as 2% of
the total energy consumption, the remainder being
where Ep is the energy required to form unit area of lost in many ways, including elastic deformation of
double surface. particles, plastic deformation of particles without
It can therefore be seen that the ease of comminu- fracture, deformation to initiate cracks that cause
tion depends on the brittleness or plasticity of the fracture, deformation of metal machine parts, inter-
material and their relationship with crack initiation particle friction, particle-machine wall friction, heat,
and propagation. sound and vibration.
167
PARTICLE SCIENCE AND POWDER TECHNOLOGY
A number of hypotheses and theories have been possible solution where neither Kick's nor Rittinger's
proposed in an attempt to relate energy input to the theory is appropriate.
degree of size reduction produced. Rittinger's hypo- Other workers have found that n cannot be
thesis is usually interpreted according to the energy, E, assumed to be constant, but varies according to a
used in a size-reduction process, which is proportional particle size function, so that:
to the new surface area produced, Sn, or:
or
where 5; is the initial surface area and KR is
Rittinger's constant of energy per unit area.
Kick's theory states that the energy used in
deforming or fracturing a set of particles of equiva- As the particle size increases f(d) tends to 1, and as
lent shape is proportional to the ratio of the change the size reduces f(d) tends to 2.
in size, or:
168
PARTICLE-SIZE REDUCTION
Cutting methods
Size reduction range
This is indicated in Figure 11.5.
Principle of operation
A cutter mill (Fig. 11.6) consists of a series of knives
Fig. 11.3 Transformation of approximate normal particle size attached to a horizontal rotor which act against a
distribution into finer bimodal population following milling. series of stationary knives attached to the mill
casing. During milling, size reduction occurs by
fracture of particles between the two sets of knives,
which have a clearance of a few millimetres. A
screen is fitted in the base of the mill casing and acts
to retain material in the mill until a sufficient degree
of size reduction has been effected.
The high shear rates present in cutter mills are
useful in producing a coarse degree of size reduction
of dried granulations prior to tableting and of fibrous
crude drugs such as roots, peels or barks prior to
extraction.
Compression methods
Size reduction range
These are indicated in Figure 11.7.
Principle of operation
Fig. 11.8 Size reduction range for impact methods.
Size reduction by compression can be carried out
on a small scale using a mortar and pestle. End- During milling the hammers swing out radially from
runner and edge-runner mills are mechanized forms the rotating central shaft. The angular velocity of the
of mortar and pestle-type compression comminu- hammers produces strain rates up to 80 s"1, which
tion (Fig. 11.7). In the end-runner mill a weighted are so high that most particles undergo brittle frac-
pestle is turned by the friction of material passing ture. As size reduction continues the inertia of parti-
beneath it as the mortar rotates under power; the cles hitting the hammers reduces markedly and
edge-runner mill has the pestle equivalent mounted subsequent fracture is less probable, so that hammer
horizontally and rotating against a bed of powder, so mills tend to produce powders with narrow size dis-
that size reduction occurs by attrition as well as tributions. Particles are retained within the mill by a
compression. Such techniques are now rarely used screen, which allows only adequately comminuted
in pharmaceutical production. particles to pass through. Particles passing through a
given mesh can be much finer than the mesh aper-
tures, as particles are carried around the mill by the
Alternative techniques
hammers and approach the mesh tangentially. For
Another form of compression mill uses two cylindri- this reason square, rectangular or herringbone slots
cal rolls mounted horizontally and rotated about are often used. According to the purpose of the oper-
their long axes. In roller mills, one of the rolls is ation, the hammers may be square-faced, tapered to
driven directly while the second is rotated by friction a cutting edge or have a stepped form.
as material is drawn through the gap between the
rolls. This form of roller mill should not be confused
Alternative techniques
with the type used for milling ointments, where both
rolls are driven but at different speeds, so that size An alternative to hammer milling which produces
reduction occurs by attrition. size reduction is vibration milling (Fig. 11.10).
Vibration mills are filled to approximately 80% total
volume with porcelain or steel balls. During milling
Impact methods the whole body of the mill is vibrated and size reduc-
tion occurs by repeated impaction. Comminuted
Size reduction range
particles fall through a screen at the base of the mill.
These are shown in Figure 11.8.
Principle of operation
Size reduction by impact is carried out using a
hammer mill (Fig. 11.9). Hammer mills consist of a
series of four or more hammers, hinged on a central
shaft which is enclosed within a rigid metal case.
Product
Fig. 11.7 Size reduction range for compression methods. Fig. 11.9 Hammer mill.
170
PARTICLE-SIZE REDUCTION
Alternative techniques
Fluid energy milling is another form of size-reduc-
Fig. 11.11 Size reduction range for attrition methods. tion method which acts by particle impaction and
171
PARTICLE SCIENCE AND POWDER TECHNOLOGY
attrition. A typical form of fluid energy or jet mill is size classifier is incorporated in the system so that
shown in Fig. 11.14. This type of mill or 'micronizer' particles are retained in the toroid until sufficiently
consists of a hollow toroid which has a diameter of fine and remain entrained in the air stream that is
20-200 mm, depending on the height of the loop, exhausted from the mill.
which may be up to 2 m. A fluid, usually air, is Other types of fluid energy mill replace the turbu-
injected as a high-pressure jet through nozzles at the lence zone technique with horizontally opposed air
bottom of the loop. The high velocity of the air gives jets through which the feed material is forced; alter-
rise to zones of turbulence into which solid particles natively, a single air jet is used to feed particles
are fed. The high kinetic energy of the air causes the directly on to a target plate, where impaction causes
particles to impact -with other particles with fracture.
sufficient momentum for fracture to occur. In addition to ball mills and fluid energy mills,
Turbulence ensures that the level of particle-particle there are other methods of comminution that act by
collisions is high enough to produce substantial size producing particle impact and attrition. These
reduction by impact and some attrition. A particle- include pin mills, in which two discs with closely
spaced pins rotate against one another at high speeds
(Fig. 11.15). Particle-size reduction occurs by
impaction with the pins and by attrition between
pins as the particles travel outwards under the
influence of centrifugal force.
172
PARTICLE-SIZE REDUCTION
Table 11 ,1 Selection of size reduction mills according to particle properties and product size required
173
12
Particle-size separation
John Staniforth
Size-separation efficiency
The efficiency with which a powder can be sepa-
rated into different particle size ranges is related to
the particle and fluid properties and the separation
method used. Separation efficiency is determined
as a function of the effectiveness of a given process
in separating particles into oversize and undersize
fractions.
In a continuous size-separation process the pro-
duction of oversize and undersize powder streams
174
PARTICLE-SIZE SEPARATION
from a single feed stream can be represented by the of a size-separation process for oversize material in
following equation: the oversize stream is given by:
SIZE-SEPARATION METHODS
175
PARTICLE SCIENCE AND POWDER TECHNOLOGY
176
PARTICLE-SIZE SEPARATION
177
PARTICLE SCIENCE AND POWDER TECHNOLOGY
Elutriation methods
Separation ranges
These are shown in Figure 12.7.
Principles of operation
In sedimentation methods the fluid is stationary and
the separation of particles of various sizes depends
solely on particle velocity. Therefore, the division of
particles into size fractions depends on the time of
sedimentation.
Elutriation is a technique in which the fluid flows
in an opposite direction to the sedimentation move-
ment, so that in gravitational elutriators particles
move vertically downwards while the fluid travels ver-
tically upwards. If the upward velocity of the fluid is
less than the settling velocity of the particle, sedi-
mentation occurs and the particle moves downwards
against the flow of fluid. Conversely, if the settling
velocity of the particle is less than the upward fluid
velocity, the particle moves upwards with the fluid
flow. Therefore, in the case of elutriation, particles are
divided into different size fractions depending on the
velocity of the fluid. Elutriation and sedimentation
are compared in Figure 12.8, where the arrows are
Fig. 12.5 Multiple-chamber separation centrifuge. vectors, that is, they show the direction and magni-
tude of particle movement. This figure indicates that
if particles are suspended in a fluid moving up a
column, there will be a clear cut into two fractions of
particle size. In practice this does not occur, as there
is a distribution of velocities across the tube in which
a fluid is flowing - the highest velocity is found in the
centre of the tube and the lowest velocity at the tube
walls. Therefore, the size of particles that will be sep-
arated depends on their position in the tube, the
largest particles in the centre, the smallest towards
the outside. In practice, particles can be seen to rise
178
PARTICLE-SIZE SEPARATION
(a) (b)
Fig. 12.10 Upward airflow elutriator.
Fig. 12.8 Comparison of (a) sedimentation and (b) elutriation
Cyclone methods
Separation range
This is shown in Figure 12.11.
Particle outlets
179
PARTICLE SCIENCE AND POWDER TECHNOLOGY
Principle of operation process. At the tip of the conical section the vortex of
fluid is above the critical velocity at which it can
Cyclone separation can take the form of a centrifu- escape through the narrow outlet and forms an inner
gal elutriation process similar to the one described vortex which travels back up the cyclone and out
above, or a centrifugal sedimentation process in through a central outlet or vortex finder. Coarser
which particles sediment out of a helical gas or liquid particles separate from the fluid stream and fall out
stream. of the cyclone through the dust outlet, whereas finer
Probably the most common type of cyclone used particles remain entrained in the fluid stream and
to separate particles from fluid streams is the leave the cyclone through the vortex finder. In some
reverse-flow cyclone (Fig. 12.12). In this system, cases, the outer vortex is allowed to enter a collector
particles in air or liquid suspension are often intro- connected to the base of the cyclone, but the coarser
duced tangentially into the cylindrical upper section particles still appear to separate from the fluid
of the cyclone, where the relatively high fluid veloc- stream and remain in the collector. A series of
ity produces a vortex that throws solid particles out cyclones having different flow rates or different
on to the walls of the cyclone. The particles are dimensions could be used to separate a powder into
forced down the conical section of the cyclone under different particle-size ranges.
the influence of the fluid flow - gravity interactions
are a relatively insignificant mechanism in this
BIBLIOGRAPHY
Allen, T. (1981) Particle Size Measurement, 3rd edn,
Chapman and Hall, London and New York.
Svarovsky, L. (1981) Solid Gas Separation (Handbook of
Fig. 12.12 Reverse-flow cyclone separation. Powder Technology, Vol. 3), Elsevier, Amsterdam.
180
13
Mixing
Andrew Twitchell
181
PARTICLE SCIENCE AND POWDER TECHNOLOGY
182
MIXING
Fig. 13.1 Different states of powder mixing, (a) Complete segregation, (b) An ideal or 'perfect' mix. (c) A random mix.
If any two adjacent particles are selected from the sidered as 16 different blocks of 25 particles, then it
random mix shown: can be seen that the number of grey particles in the
blocks varies from 6 to 19 (i.e. 24-76% of the total
the chance of picking two grey particles = 1 in 4 (25%)
number of particles in each block). Careful examina-
the chance of picking two white particles = 1 in 4 (25%) tion of Figure 13.1(c) shows that as the number of
particles in the sample increases then the closer will
and the chance of picking one of each = 2 in 4 (50%).
be the proportion of each component to that which
If any two adjacent particles are selected from the would occur with a perfect mix. This is a very impor-
perfect mix shown, there will always be one grey and tant consideration in powder mixing, and is discussed
one white particle. in more detail in the sections that follow.
Thus if the samples taken from a random mix
contain only two particles, then in 25% of cases the
sample will contain no white particles and in 25% it
Scale of scrutiny
will contain no grey particles. Often a mixing process produces a large 'bulk' of
It can be seen that in practice the components will mixture that is subsequently subdivided into indi-
not be perfectly evenly distributed, i.e. there will not vidual dose units (e.g. a tablet, capsule or 5 mL
be full mixing. However, if an overall view is taken the spoonful) and it is important that each dosage unit
components can be described as being mixed, as in contains the correct amount/concentration of active
the total sample (Fig. 13.1c) the amounts of each component(s). It is the weight/volume of the
component are approximately similar (48.8% grey dosage unit that dictates how closely the mix must
and 51.2% white). If, however, Figure 13.1(c) is con- be examined/analysed to ensure it contains the
183
PARTICLE SCIENCE AND POWDER TECHNOLOGY
184
MIXING
Mathematical treatment of the mixing Thus in this latter case the content will deviate from
process theoretical content on average by 10%, which would
be unacceptable for a pharmaceutical product.
It must be appreciated that there will always be some It might be considered that the variation in
variation in the composition of samples taken from a content could be reduced by increasing the sample
random mix. The aim during formulation and pro- size (scale of scrutiny), as this would increase the
cessing is to minimize this variation to acceptable number of particles in each sample. The dose of a
levels by selecting an appropriate scale of scrutiny, drug will, however, be fixed, and any increase in the
particle size and mixing procedure (choice of mixer, sample size will cause a reduction in the proportion
rotation speed etc). The following section uses a of the active component. The consequence of
simplified statistical approach to illustrate some of increasing the sample size depends on the initial pro-
the factors that influence dose variation within a portion of the active component. If p is relatively
batch of a dosage form, and demonstrates the diffi- high initially, increasing the sample size causes the
culties encountered with drugs that are active in low %CV in content to increase. Ifp is small, increasing
doses (i.e. potent drugs). the sample size has little effect. Inserting the appro-
Consider the situation where samples are taken priate values into Eqn 13.1 can substantiate this.
from a random mix in which the particles are all of In a true random mix the content of samples taken
the same size, shape and density. The variation in the from the mix will follow a normal distribution. With a
proportion of a component in samples taken from normal distribution, 68.3% of samples will be within
the random mix can be calculated from: 1 SD of the overall proportion of the component (p),
95.5% will be within 2 SD of p, and 99.7% of
samples will be within 3 SD of p. For example, if
p = 0.5 and the standard deviation in content is 0.02,
where SD is the standard deviation in the proportion then for 99.7% of samples the proportion of the com-
of the component in the samples (content sample ponent will be between 0.44 and 0.56. In other words,
deviation), p is the proportion of the component in if 1000 samples were analysed, 997 would contain
the total mix and n is the total number of particles in between 44% and 56% of drug (mean = 50%).
the sample. A typical specification for a pharmaceutical
Equation 13.1 shows that as the number of parti- product is that the active component should not
cles present in the sample increases the content stan- deviate by more than 5% of the mean or specified
dard deviation decreases (i.e. there is less variation in content, i.e. the acceptable deviation p x (5/100) or
sample content), as illustrated previously by the data p x 0.05. (NB: this is not the same as a standard
in Figure 13.2 and Table 13.1. The situation with deviation of 5%.)
respect to the effect of the proportion of the active If a product contains an active component which
component in the sample is not as clear from Eqn makes up half of the weight of the dosage form
13.1. As p is decreased the value of the content stan- (p = 0.5) and it is required that the content of 99.7%
dard deviation decreases, which may lead to the of samples is within 5% of p, then the number of
incorrect conclusion that it is beneficial to have a low particles required in the product can be estimated as
proportion of the active component. A more useful described below.
parameter to determine is the percentage coefficient As 99.7% of samples will be within 3 SD and
of variation (%CV), which indicates the average devi- 5% ofp, then Eqn 13.2 can be used to calculate the
ation as a percentage of the mean amount of active standard deviation required:
component in the samples. Thus, %CV = (content 3 x SD = p x (% acceptable deviation/100) (13.2)
standard deviation/mean content) x 100. The value of
%CV will increase as p decreases, as illustrated below. In this case, 3 x SD = 0.5 x 0.05
Consider the situation where n 100 000 and so 0.5 x 0.05 _ I/>(!-/>)
p - 0.5. Using Eqn 13.1, it can be calculated that 3 \ n
SD = 1.58 x 10 3 and %CV = (1.58 x lQ-3/0.5) x 100 6.94 x 10-5 = 0.5 (1 -0.5)/n
= 0.32%. Thus on average the content will deviate
from the mean content by 0.32%, which is an accept- and therefore n = 3600.
ably low value for a pharmaceutical product. The above calculation indicates that 3600 part-
However, ifp is reduced to 0.001 and n remains at icles are required in each sample or dosage form in
100 000 there is a reduction in SD to 9.99 x 10"5, order to be 99.7% sure that the content is within
but the %CV = (9.99 x lQ-5/0.001) x 100 = 10%. 5% of the theoretical amount.
185
PARTICLE SCIENCE AND POWDER TECHNOLOGY
If, however, the product contains a potent drug and the importance of both the number of particles
where p = 1 x 10~3, the number of particles needed in the scale of scrutiny and the proportion of the
to meet the same criteria can be estimated to be active component.
3.6 x 106.
186
MIXING
187
PARTICLE SCIENCE AND POWDER TECHNOLOGY
All three mixing mechanisms are likely to occur in Segregation will cause an increase in content varia-
a mixing operation. Which one predominates and tion in samples taken from the mix and may cause a
the extent to which each occurs will depend on the batch to fail a uniformity of content test. If segrega-
mixer type, mixing process conditions (mixer tion of granules occurs in the hopper of a filling
load, speed etc.) and the flowability of the powder machine an unacceptable variation in weight may
components. result.
Segregation arises because powder mixes encoun-
tered practically are not composed of mono-sized
Liquids
spherical particles, but contain particles that differ in
The three main mechanisms by which liquids are size, shape and density. These variations mean that
mixed are bulk transport, turbulent mixing and particles will tend to behave differently when forced
molecular diffusion. to move and hence, tend to separate. Particles
Bulk transport is analogous to the convective exhibiting similar properties tend to congregate
mixing of powders and involves the movement of a together, giving regions in the powder bed which
relatively large amount of material from one position have a higher concentration of a particular compo-
in the mix to another, e.g. due to a mixer paddle. It nent. Segregation is more likely to occur, or may
too tends to produce a large degree of mixing fairly occur to a greater extent, if the powder bed is sub-
quickly, but leaves the liquid within the moving jected to vibration and when the particles have
material unmixed. greater flowability.
Turbulent mixing arises from the haphazard
movement of molecules when forced to move in a
Particle-size effects
turbulent manner. The constant changes in speed
and direction of movement means that induced tur- A difference in the particle sizes of components of a
bulence is a highly effective mechanism for mixing. formulation is the main cause of segregation in
Within a turbulent fluid there are, however, small powder mixes in practice. Smaller particles tend to
groups of molecules moving together as a unit, fall through the voids between larger ones and so
referred to as eddies. These eddies tend to reduce in move to the bottom of the mass. This is known as
size and eventually break up, being replaced by new percolation segregation. It may occur in static
eddies. Turbulent mixing alone may therefore leave powder beds if the percolating particles are so small
small unmixed areas within the eddies and in areas that they can fall into the void spaces between larger
near the container surface which will exhibit stream- particles, but occurs to a greater extent as the bed
lined flow (see Chapter 4). Mixing of individual mol- 'dilates' on being disturbed. Domestically, percola-
ecules in these regions will occur by the third tion segregation is often observed in cereal packets
mechanism, which is molecular diffusion (analogous or jars of coffee, where the smaller 'particles' con-
to diffusive mixing in powders). This will occur with gregate towards the bottom of the container.
miscible fluids wherever a concentration gradient Percolation can occur whenever a powder bed
exists and will eventually produce a well-mixed containing particles of different size is disturbed in
product, although considerable time may be such a way that particle rearrangement occurs, e.g.
required if this is the only mixing mechanism. In during vibration, stirring or pouring.
most mixers all three mechanisms will occur, bulk During mixing, larger particles will tend to have
transport and turbulence arising from the movement greater kinetic energy imparted to them (owing to
of a stirrer or mixer paddle set at a suitable speed. their larger mass) and therefore move greater dis-
tances than smaller particles before they come to
rest. This may result in the separation of particles of
Powder segregation (demixing)
different size, an effect referred to as trajectory
Segregation is the opposite effect to mixing, i.e. com- segregation. This effect, along with percolation seg-
ponents tend to separate out. This is very important regation, accounts for the occurrence of the larger
in the preparation of pharmaceutical products, particles at the edge of a powder heap when it is
because if it occurs, a mix may change from being poured from a container.
random to being non-random, or a random mix may During mixing, or when a material is discharged
never be achieved. Care must be taken to avoid seg- from a container, very small particles ('dust') in a
regation during handling after powders have been mix may tend to be 'blown' upwards by turbulent
mixed, e.g. during transfer to filling machines, or in air currents as the mass tumbles, and remain sus-
the hopper of a tablet/capsule/sachet-filling machine. pended in the air. When the mixer is stopped or
188
MIXING
Particle-density effects
If components are of different density, the more
dense material will have a tendency to move down-
wards even if the particle sizes are similar. Trajectory
segregation may also occur with particles of the
same size but different densities, owing to their dif-
ference in mass. The effect of density on percolation
segregation may be potentiated if the more dense
Mixing time/number of mixer rotations
particles are also smaller. Alternatively, size and
density effects may cancel each other out if the Fig. 13.5 Possible effect of extended mixing time on the
content standard deviation of samples taken from a mix prone to
larger particles are more dense. Often materials
segregation. SACT represents the content standard deviation of
used in pharmaceutical formulations have similar samples taken from the mix, SE the estimated acceptable
density values and density effects are not generally standard deviation and SR the standard deviation expected from
too important. An exception to this is in fluidized a random mix.
beds, where density differences are often more
serious than particle size differences.
where the two effects are balanced. This is illustrated
in Figure 13.5, which demonstrates that, if factors
Particle-shape effects exist that might cause segregation, a random mix will
Spherical particles exhibit the greatest flowability not be achieved and there may be both an optimum
mixing time and a time range over which an accept-
and are therefore more easily mixed, but they also
segregate more easily than non-spherical particles. able mix can be produced.
Irregularly or needle-shaped particles may become If segregation is a problem with a formulation
interlocked, reducing the tendency to segregate once there are a number of approaches that may be
mixing has occurred. Non-spherical particles will attempted to rectify the situation. These include:
also have a greater surface area to weight ratio Selection of particular size fractions (e.g. by
(specific surface area), which will tend to decrease sieving to remove fines or lumps) to achieve drug
segregation by increasing any cohesive effects and excipients of the same narrow particle size
(greater contact surface area), but will also increase range;
the likelihood of'dusting out'. Milling of components (size reduction) either to
reduce the particle size range (this may need to
It should be remembered that the particle size be followed by a sieving stage to remove fines) or
distribution and particle shape may change during to ensure that all particles are below
processing (owing to attrition, aggregation etc.), and approximately 30 /mi - at which size segregation
therefore the tendency to segregate may also does not tend to cause serious problems (but
change. may give rise to aggregation);
Non-segregating mixes will improve with continued Controlled crystallization during production of
increases in mixing time, as shown in Figure 13.3. the drug/excipients to give components of a
This may not, however, occur for segregating mixes, particular crystal shape or size range;
where there is often an optimum mixing time. This is Selection of excipients which have a density
because the factors causing segregation generally similar to the active component (s); there is
require longer to take effect than the time needed to usually a range of excipients that will produce a
produce a reasonable degree of mixing. During the product with the required properties;
initial stages of the process the rate of mixing is greater Granulation of the powder mix (size
than the rate of demixing. After a period of time, enlargement) so that large numbers of different
however, the rate of demixing may predominate until particles are evenly distributed in each
eventually an equilibrium situation will be reached segregating 'unit'/granule; (see Fig. 25.1).
189
PARTICLE SCIENCE AND POWDER TECHNOLOGY
Reduce the extent to which the powder mass is Ordered mixing has been shown to be important
subjected to vibration or movement after mixing; in direct compression formulations (see Chapter 27)
Use filling machine hoppers designed so that in preventing the segregation of drug from direct
powder residence time is minimized; compression bases.
Use equipment where several operations can be Dry powder inhaler formulations also use ordered
carried out without transferring the mix, e.g. a mixing to deliver drugs to the lungs (see Chapter
fluidized-bed drier or a high-speed mixer/ 31). In this case the drug needs to be in a micronized
granulator for mixing and granulating; form in order to reach its site of action. By adsorb-
Production of an 'ordered' mix. ing the drug on to larger carrier particles (usually
lactose) it is possible to manufacture a product that
This latter technique, which may also be referred to
will provide an even dosage on each inhalation.
as adhesive or interactive mixing, is described in
greater detail below.
Segregation in ordered mixes
Although ordered mixes can reduce or prevent seg-
Ordered mixing regation, it may still occur if:
It would be expected that a mix comprised of very 1. The carrier particles vary in size. Different-
small and much larger particles would segregate sized particles will have different surface area to
because of the size differences. Sometimes, however, weight ratios and will contain different amounts
if one powder is sufficiently small (micronized) it of adsorbed material per unit mass. If the
may become adsorbed on to the 'active sites' on the different-sized carrier particles separate (e.g. by
surface of a larger 'carrier' particle and exhibit great percolation segregation), drug-rich areas where
resistance to being dislodged. This has the effect of the smaller carrier particles congregate may
minimizing segregation while maintaining good flow result. This is referred to as ordered unit
properties. It was first noticed during the mixing of segregation.
micronized sodium bicarbonate with sucrose crys- 2. There is competition for the active sites on
tals, when the mixture was found to exhibit minimal the carrier particle. If another component
segregation. The phenomenon is referred to as competes for sites on the carrier it may displace
ordered mixing, as the particles are not independent the original adsorbed material, which may then
of each other and there is a degree of order to the segregate owing to its small size. This is known
mix. If a carrier particle is removed then some of the as displacement segregation, and has been
adsorbed smaller particles will automatically be shown to occur under certain circumstances
removed with it. Ordered mixing has also been used with the addition of the lubricant magnesium
in the production of dry antibiotic formulations to stearate to tablet formulations.
which water is added before use to form a liquid or 3. There are insufficient carrier particles.
syrup product. In these cases the antibiotic in fine Each carrier particle can only accommodate a
powder form is blended with, and adsorbed on to, certain amount of adsorbed material on its
the surface of larger sucrose or sorbitol particles surface. If there is any excess small-sized
(Nikolakakis and Newton 1989). material that is not adsorbed on to the carrier
Ordered mixing probably occurs to a certain particles this may quickly separate. This is
extent in every pharmaceutical powder mix, owing to referred to as saturation segregation, and
interactions and cohesive/adhesive forces between may limit the proportion of the active
constituents. It is most likely to occur when smaller component that can be used in the
particles exist, as these have a high specific surface formulation.
area and so the attractive forces holding the particles
to the adsorption site are more likely to be greater With an ordered mix particles may be dislodged if
than the gravitational forces trying to separate the the mix is subjected to excessive vibration. The
components. extent to which this occurs depends on the forces of
Pharmaceutical mixes are therefore likely to be attraction between the components and therefore on
partly ordered and partly random, the extent of each how tightly the adsorbed particles are attached to the
depending on the component properties. With an surface. The orientation of the particles is also
ordered mix it may be possible to achieve a degree of important, those protruding from the surface being
mixing which is superior to that of a random mix, more likely to be dislodged than those lying parallel
which may be beneficial for potent drugs. to it.
190
MIXING
191
PARTICLE SCIENCE AND POWDER TECHNOLOGY
High-speed mixer-granulators
Fig. 13.7 Typical intermediate bulk container.
In pharmaceutical product manufacture it is often
preferable to use one piece of equipment to carry out
downwards under gravity, and so diffusive mixing more than one function. An example of this is the
occurs. Too high a rotation speed will cause the use of a mixer-granulator (one design of which is
material to be held on the mixer walls by centrifugal shown diagrammatically in Figure 13.9). As the
force, and too low a speed will generate insufficient name suggests, it can both mix and granulate a
bed expansion and little shear mixing. The addition product, thereby removing the need to transfer the
of 'prongs', baffles or rotating bars will also cause product between pieces of equipment and so reduc-
convective mixing, for example the V-mixer with agi- ing the opportunity for segregation to occur.
tator bar in Figure 13.6. The centrally mounted impeller blade at the
Tumbling mixers are available to mix from bottom of the mixer rotates at high speed, throwing
approximately 50 g, e.g. for laboratory-scale devel- the material towards the mixer bowl wall by cen-
opment work, to over 100 kg at a production scale. trifugal force. The material is then forced upwards
The material typically occupies about a half to two- before dropping back down towards the centre of the
thirds of the mixer volume. The rate at which the mixer. The particulate movement within the bowl
product is mixed will depend on mixer design and tends to mix the components quickly owing to high
rotation speed, as these influence the movement of shear forces (arising from the high velocity) and the
the material in the mixer. expansion in bed volume that allows diffusive
Tumbling mixers are good for free-flowing mixing. Once mixed, granulating agent can be added
powders/granules but poor for cohesive/poorly and granules formed in situ using a slower impeller
speed and the action of the side-mounted chopper
blade. Further details of granule production using
this method can be found in Chapter 25.
Fluidized-bed mixers
The main use of fluidized-bed equipment is in the
drying of granules (Chapter 26) or the coating of
multiparticulates (Chapter 28). Fluidized-bed equip-
ment can, however, be used to mix powders prior to
granulation in the same bowl. This is discussed in
detail in Chapter 25.
Agitator mixers
This type of mixer depends on the motion of a blade
or paddle through the product, and hence the main
mixing mechanism is convection. Examples include
the ribbon mixer (Fig. 13.10), the planetary mixer
(Fig. 13.11) and the Nautamixer (Fig. 13.12). In the
first, mixing is achieved by the rotation of helical
blades in a hemispherical trough. 'Dead spots' are Fig. 13.12 Nautamixer (courtesy of Nautamixer Ltd).
difficult to eliminate in this type of mixer and the
shearing action caused by the movement of the blades may be insufficient to break up drug aggre-
gates. The mixer does, however, mix poorly flowing
material and is less likely to cause segregation than a
tumbling mixer. The Nautamixer consists of a conical
vessel fitted at the base with a rotating screw, which is
fastened to the end of a rotating arm at the upper
end. The screw conveys the material to near the top,
where it cascades back into the mass. The mixer thus
Fig. 13.10 Ribbon agitator powder mixer.
combines convective mixing (as the material is raised
by the helical conveyor) and shear and diffusive
mixing (as the material cascades downwards).
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PARTICLE SCIENCE AND POWDER TECHNOLOGY
MIXING OF MISCIBLE LIQUIDS AND stirrer depends for its action on a satisfactory axial
SUSPENSIONS and radial flow pattern, which will not occur if the
fluid is sufficiently viscous. There must be a fast flow
Mobile liquids with a low viscosity are easily mixed of fluid towards the propeller, which can only occur
with each other. Similarly, solid particles are readily if the fluid is mobile.
suspended in mobile liquids, although the particles
are likely to settle rapidly when mixing is discontin- Turbine mixers
ued. Viscous liquids are more difficult to stir and
mix, but they reduce the sedimentation rate of sus- A turbine mixer may be used for more viscous
pended particles (see Chapter 23). fluids and a typical construction is shown in Figure
13.14. The impeller has four flat blades surrounded
by perforated inner and outer diffuser rings. The
Propeller mixers rotating impeller draws the liquid into the mixer
A common arrangement for medium-scale fluid 'head' and forces the liquid through the perfora-
mixing is a propeller-type stirrer which may be tions with considerable radial velocity, sufficient to
clamped to the edge of a vessel. A propeller has overcome the viscous drag of the bulk of the fluid.
angled blades, which cause the fluid to circulate in One drawback is the absence of an axial compo-
both an axial and a radial direction. An off-centre nent, but a different head with the perforations
mounting discourages the formation of a vortex, pointing upwards can be fitted if this is desired.
which may occur when the stirrer is mounted cen- As the liquid is forced through the small orifices
trally. A vortex forms when the centrifugal force of the diffuser rings at high velocity large shear
imparted to the liquid by the propeller blades causes forces are produced. When mixing immiscible
it to back up around the sides of the vessel and liquids, if the orifices are sufficiently small and
create a depression at the shaft. As the speed of rota- velocity sufficiently high, the shear forces produced
tion is increased air may be sucked into the fluid by enable the generation of droplets of the dispersed
the formation of a vortex; this can cause frothing phase which are small enough to produce stable dis-
and possible oxidation (Figure 13.13(a)). Another persions (water-in-oil or oil-in-water). Turbine
method of suppressing a vortex is to fit vertical mixers of this type are therefore often fitted to
baffles into the vessel. These divert the rotating fluid vessels used for the large-scale production of emul-
from its circular path into the centre of the vessel, sions and creams.
where the vortex would otherwise form (Figure Turbine-type mixes will not cope with liquids of
13.13(b)). very high viscosity, as the material will not be drawn
The ratio of the diameter of a propeller stirrer to into the mixer head. These liquids are best treated as
that of the vessel is commonly 1:10-1:20, and it typ- semisolids and handled in the same equipment as
ically operates at speeds of 1-20 rps. The propeller used for such materials.
194
MIXING
Sigma-blade mixer
This robust mixer will deal with stiff pastes and oint-
ments and depends for its action on the close inter-
meshing of the two blades which resemble the Greek
letter ^ in shape. The clearance between the blades
and the mixing trough is kept small by the shape
Fig. 13.14 Turbine mixer. shown in Figure 13.15.
MIXING OF SEMISOLIDS
The problems that arise during the mixing of semi-
solids (ointments and pastes) stem from the fact
that, unlike powders and liquids, semisolids will not
flow easily. Material that finds its way to 'dead' spots
will remain there. For this reason, suitable mixers
must have rotating elements with narrow clearances
between themselves and the mixing vessel wall and
they must produce a high degree of shear mixing, as
diffusion and convection cannot occur.
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PARTICLE SCIENCE AND POWDER TECHNOLOGY
196
14
Powder flow
John Staniforth
197
PARTICLE SCIENCE AND POWDER TECHNOLOGY
PARTICLE PROPERTIES
Adhesion and cohesion Fig. 14.1 Diagrammatic representation of Jenike shear cell.
198
POWDER FLOW
Table 14.1 Some properties relating to powder cohesion and flowability which can be obtained from Mohr diagrams
1 Acute angle of the extrapolated yield locus Angle of internal friction, $ Difficulty of maintaining constant volume
at the shear stress axis flow
2 Tan <|> or slope of the yield locus Coefficient of friction Indirect measurement of powder flowability
3 Diameter of circle with tangent to t linking Stress equilibrium in powder Minimum opening dimensions to prevent
minor stress at a = 0 to major unconfined arch when no flow occurs arching
yield stress CTU
4 Extrapolation of yield locus to cut normal <ra, apparent tensile strength Resistance to failure in tension
stress axis of powder bed
5 Shear stress, fe, at zero normal stress, <TO Cohesion coefficient Cohesion, when powder is non-cohesive,
yield locus passes through origin and
shear stress = 0
199
PARTICLE SCIENCE AND POWDER TECHNOLOGY
Particle-size effects
Because cohesion and adhesion are phenomena that
occur at surfaces, particle size will influence the
flowability of a powder. In general, fine particles with
very high surface to mass ratios are more cohesive
than coarser particles which are influenced more by
gravitational forces. Particles larger than 250 /jum are
usually relatively free flowing, but as the size falls
Fig. 14.5 Cohesive powder poured in a heap and showing below 100 /am powders become cohesive and flow
different angles of repose: am maximum angle formed by problems are likely to occur. Powders having a parti-
cohesive particles o-s shallowest angle formed by collapse of
cohesive particle heap, resulting in flooding. In some cases a
cle size less than 10 /xm are usually extremely cohe-
third angle, <TJ is identifiable as an intermediate slope produced sive and resist flow under gravity, except possibly as
by cohesive particles stacking on flooded powder. large agglomerates.
200
POWDER FLOW
Particle shape
Powders with similar particle sizes but dissimilar
shapes can have markedly different flow properties
owing to differences in interparticle contact areas.
For example, a group of spheres has minimum inter-
particle contact and generally optimal flow proper-
ties, whereas a group of particle flakes or dendritic
particles has a very high surface-to-volume ratio and
poorer flow properties.
Fig. 14.7 Different geometric packings of spherical particles:
(a) cubic packing; (b) rhombohedral packing.
Particle density (true density)
Because powders normally flow under the influence
of gravity, dense particles are generally less cohesive
than less dense particles of the same size and shape.
The bulk density of a powder is always less than the
true density of its component particles because the
Packing geometry powder contains interparticle pores or voids. This
A set of particles can be filled into a volume of space statement reveals that whereas a powder can only
to produce a powder bed which is in static equilib- possess a single true density it can have many differ-
rium owing to the interaction of gravitational and ent bulk densities, depending on the way in which
adhesive/cohesive forces. By slight vibration of the the particles are packed and the bed porosity.
bed, particles can be mobilized so that if the vibration However, a high bulk density value does not neces-
is stopped, the bed is once more in static equilibrium sarily imply a close-packed low-porosity bed, as bulk
but occupies a different spatial volume than before. density is directly proportional to true density.
The change in bulk volume has been produced by
rearrangement of the packing geometry of the parti-
cles. In general, such geometric rearrangements i.e.
result in a transition from loosely packed particles to or
more tightly packed ones, so that the equilibrium
balance moves from left to right in Eqn 14.2 and
cohesion increases. This also means that more tightly
packed powders require a higher driving force to The constant of proportionality, k, is known as the
produce powder flow than more loosely packed packing fraction or fractional solids content.
particles of the same powder. For example, the packing fraction for dense, ran-
domly packed spheres is approximately 0.63,
Characterization of packing geometry by whereas the packing fraction for a set of dense, ran-
porosity and bulk density domly packed discs is 0.83.
Also:
A set of monosized spherical particles can be
arranged in many different geometric configurations.
At one extreme, when the spheres form a cubic where e is the fractional voidage of the powder bed,
arrangement, the particles are most loosely packed which is usually expressed as a percentage and
and have a porosity of 48% (Fig. 14.7(a)). At the termed the bed porosity. Another way of expressing
other extreme, when the spheres form a rhombohe- fractional voidage is to use the ratio of particle
dral arrangement, they are most densely packed and volume VP to bulk powder volume FB, i.e.
have a porosity of only 26% (Fig. 14.7(b)). The
porosity used to characterize packing geometry is
linked to the bulk density of the powder. Bulk
density, pE, is a characteristic of a powder rather than A simple ratio of void volume Vv to particle volume
individual particles and is given by the mass, M, of FP represents the voids ratio:
powder occupying a known volume, V, according to
the relationship:
PARTICLE SCIENCE AND POWDER TECHNOLOGY
202
POWDER FLOW
Fig. 14.10 Development of flow through an orifice. The horizontal lines are formed by indicator particles to show the course of the
discharge.
203
PARTICLE SCIENCE AND POWDER TECHNOLOGY
movement is most rapid and the particle packing bed strength at a given point in the hopper is great
is least dense. In a zone just above the orifice, enough to resist the driving forces promoting flow,
the particles are in free flight. then a stable arch will be formed. At all other points
in the powder the bed strength will not be high
Important practical consequences of this flow
enough to support an arch against the stresses within
pattern are that if a square-bottomed hopper or bin
it, and flow will occur. The stresses acting on a stable
is repeatedly refilled and partially emptied, the parti-
arch are proportional to the width of the container
cles in a zone towards the base and sides of the con-
and vary with diameter, as exemplified in Figure
tainer (Fig. 14.10(f)) will not be discharged and may
14.12(a) and (b).The relationship between the stress
degrade; alternatively, this static zone may provide a
on the arch and the arch strength, resulting in part
segregation potential for previously homogeneous
from consolidating pressures at different points in
powders.
the hopper (Fig. 14.12(c)), shows that with the
exception of a region close to the hopper outlet and
another at the point where the cylindrical section
Factors affecting flow rates through orifices meets the conical section of the hopper, powder
The flow patterns described above, together with arches are weaker than the stresses on them. This
powder flow rates through orifices, are dependent on suggests that powder flow will occur in all other
many different factors, some of which are particle regions (Fig. 14.12(d)) and allows the hopper design
related and some process related. Particle-related to be adjusted so that the minimum hopper widths
effects, notably particle size, are discussed above. are always large enough to produce arch stresses
Process-related effects include the following. greater than arch strengths, and thereby ensure con-
Orifice diameter Flow rate a DA0. The rate of tinuous, uniform powder flow.
powder flow through an orifice is proportional to a Head size Figure 14.12(b) shows the way in
function of orifice diameter, D0 (A is a constant with which solids' pressure changes with powder head
a value of approx, 2.6). Provided that the height of size (powder depth). The pressure below the upper
the powder bed, called the head of powder, remains free surface increases to a constant governed by fric-
considerably greater than the orifice diameter, flow tional factors. The pressure again falls off towards
rate is virtually independent of powder head. This the hopper outlet and drops below atmospheric at
situation is unlike that relating to liquid flow through the orifice, causing air to be drawn up into the region
an orifice, where the flow rate falls off continuously close to the base so as to equalize this negative pres-
as the head diminishes. The constant rate of flow for sure and allow flow to continue.
powders is a useful property as it means that if a bulk Hopper wall angle It was noted above in the
powder is filled into dies, sachets, capsules or other description of flow through an orifice, that a flat-bot-
enclosures, they will receive equal weights if filled for tomed bin retains a certain volume of powder in the
equal times. form of a drained cone centred on the orifice. In
Hopper width At different positions within a order to prevent this behaviour and to ensure that all
powder bed the consolidating stresses and shear or the powder is discharged from a hopper, the walls
tensile strengths are different (Fig. 14.12(b)). If the are frequently angled inwards as the outlet is
204
POWDER FLOW
Indirect methods
Angle of repose
Angles of repose have been used as indirect methods
of quantifying powder flowability, because of their
relationship with interparticle cohesion. There are
Fig. 14.13 Influence of hopper wall angle and particle-wall many different methods of determining angles of
friction on powder flow. repose and some of these are shown in Table 14.2.
205
PARTICLE SCIENCE AND POWDER TECHNOLOGY
The different methods may produce different values to differences in the way the samples were handled
for the same powder, although these may be self-con- prior to measurement. For these reasons, angles of
sistent. It is also possible that different angles of repose tend to be variable and are not always repre-
repose could be obtained for the same powder, owing sentative of flow under specific conditions.
206
POWDER FLOW
207
PARTICLE SCIENCE AND POWDER TECHNOLOGY
IMPROVEMENT OF POWDER
FLOWABILITY
where F' is the angle of form, which is the obtuse
angle between the contracting powder dome and the
Alteration of particle size and size
horizontal, and tan 0 is a coefficient of friction. distribution
An alternative critical orifice method for deter-
mining powder flowability uses a cylinder with a Because coarse particles are generally less cohesive
series of interchangeable base plate discs having dif- than fine particles and an optimum size for free flow
ferent diameter orifices. Using this system, flowabil- exists, there is a distinct disadvantage in using a finer
ity indices related to orifice diameters have been grade of powder than is necessary.
208
POWDER FLOW
The size distribution can also be altered to improve Where powder flowability is impaired through
flowability by removing a proportion of the fine parti- increased moisture content, a small proportion of
cle fraction or by increasing the proportion of coarser very fine magnesium oxide may be used as a flow
particles, such as occurs through granulation. activator. Used in this way, magnesium oxide
appears to disrupt the continuous film of adsorbed
water surrounding the moist particles.
Alteration of particle shape or texture The use of silicone-treated powder, such as sili-
In general, for a given particle size more spherical par- cone-coated talc or sodium bicarbonate, may also be
ticles have better flow properties than more irregular beneficial in improving the flowability of moist or
particles. The process of spray-drying can be used to hygroscopic powder.
produce near-spherical excipients, such as spray-dried
lactose. Under certain circumstances, drug particles
that are normally acicular can be made more spheri-
Alteration of process conditions
cal by temperature-cycling crystallization.
Use of vibration-assisted hoppers
The texture of particles may also influence powder
flowability, as particles with very rough surfaces will be In cases where the powder arch strength within a bin
more cohesive and have a greater tendency to interlock or hopper is greater than the stresses in it, due to
than smooth-surfaced particles. The shape and texture gravitational effects, powder flow will be interrupted
of particles can also be altered by control of production or prevented. If the hopper cannot be redesigned to
methods, such as crystallization conditions. provide adequate stresses and if the physical proper-
ties of the particles cannot be adjusted or the formu-
lation altered, then extreme measures are required.
Alteration of surface forces One method of encouraging powder flow where
Reduction of electrostatic charges can improve arching or bridging has occurred within a hopper, is
powder flowability and this can be achieved by alter- to add to the stresses due to gravitational interac-
ing process conditions to reduce frictional contacts. tions by vibrating the hopper mechanically. Both the
For example, where powder is poured down chutes or amplitude and the frequency of vibration can be
conveyed along pipes pneumatically, the speed and altered to produce the desired effect, and may vary
length of transportation should be minimized. from a single cycle or shock produced by a com-
Electrostatic charges in powder containers can be pre- pressed-air device or hammer, to higher frequencies
vented or discharged by efficient earth connections. produced, for example, by out-of-balance electric
The moisture content of particles is also of impor- motors mounted on a hopper frame.
tance to powder flowability, as adsorbed surface mois-
ture films tend to increase bulk density and reduce
Use of force feeders
porosity. In cases where moisture content is excessive
powders should be dried and, if hygroscopic, stored The flow of powders that discharge irregularly or
and processed under low-humidity conditions. flood out of hoppers can be improved by fitting
vibrating baffles, known as live-bottom feeders, at
the base of the conical section within a hopper.
Formulation additives: flow activators The outflowing stream from a hopper can be
Flow activators are commonly referred to pharma- encouraged to move towards its required location
ceutically as 'glidants', although some also have using a slightly sloping moving belt, or in the case of
lubricant or antiadherent properties. Flow activators some tabletting machines, the use of mechanical
improve the flowability of powders by reducing force feeders. Force feeders are usually made up of a
adhesion and cohesion. single or two counter-rotating paddles at the base of
Some commonly used glidants include talc, maize the hopper just above the die table in place of a feed
starch and magnesium stearate, which may have their frame. The paddles presumably act by preventing
effect by reducing or altering electrostatic interactions. powder arching over dies, and thereby improve die
A flow activator with an exceptionally high specific filling especially at high turret speeds.
surface area is colloidal silicon dioxide, which may act
by reducing the bulk density of tightly packed
powders. Colloidal silicon dioxide also improves flowa-
Caution!
bility of formulations, even those containing other gli- In most pharmaceutical technology operations it is
dants, although in some cases it can cause flooding. difficult to alter one process without adversely
209
PARTICLE SCIENCE AND POWDER TECHNOLOGY
210
PART THREE
BIOPHARMACEUTICAL
PRINCIPLES OF DRUG
DELIVERY
211
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15
Introduction to biopharmaceutics
Marianne Ashford
Background
Apart from the intravenous route, where a drug is
introduced directly into the bloodstream, all other
routes of administration where a systemic action is
required, involve the absorption of the drug into the
blood from the route of administration. Once the
drug reaches the bloodstream it partitions between
the plasma and the red blood cells, the erythrocytes.
Drug in the plasma partitions between the plasma
proteins (mainly albumin) and the plasma water. It
is this free or unbound drug in plasma water, and not
the drug bound to the proteins, that can pass out of
the plasma through the capillary endothelium and
reach other body fluids and tissues and hence the
site(s) of action.
A dynamic equilibrium exists between the concen-
tration of the drug in the blood plasma and the drug
at its site(s) of action. This is termed distribution,
the degree of which will depend largely on the physic-
ochemical properties of the drug, in particular its
lipophilicity. As it is often difficult to access the drug
at its site(s) of action, its concentration in the plasma
is often taken as a surrogate for its concentration at its
213
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
site(s) of action. Even though the unbound drug in plasma and also at its site(s) of action.
the plasma would give a better estimate of the con- Biopharmaceutics is concerned with the first stage,
centration of the drug at its site(s) of action, this getting the drug from its route of administration to
requires a much more complex and sensitive assay the blood.
than a measurement of the total concentration of the
drug (i.e. the sum of the bound and unbound drug)
within the blood plasma. Thus it is this total drug con-
centration within the plasma that is usually measured THE CONCEPT OF BIOAVAILABILITY
for clinical purposes. Therefore, plasma protein
binding is a critical parameter to consider when inves- If a drug is given intravenously it is administered
tigating the therapeutic effect of a drug molecule. directly into the blood, and therefore we can be sure
The concentration of the drug in blood plasma that all the drug reaches the systemic circulation.
depends on numerous factors. These include the The drug is therefore said to be 100% bioavailable.
amount of an administered dose that is absorbed However, if a drug is given by another route there is
and reaches the systemic circulation; the extent of no guarantee that the whole dose will reach the sys-
distribution of the drug between the systemic cir- temic circulation intact. The fraction of an adminis-
culation and other tissues and fluids (which is tered dose of the drug that reaches the systemic
usually a rapid and reversible process); and the rate circulation in the unchanged form is known as the
of elimination of the drug from the body. The drug bioavailable dose. The relative amount of an
can either be eliminated unchanged or be enzymati- administered dose of a particular drug that reaches
cally cleaved or biochemically transformed, in which the systemic circulation intact and the rate at which
case it is said to have been metabolized. The study this occurs is known as the bioavailability.
and characterization of the time course of drug Unavailability is therefore defined as the rate and
absorption, distribution, metabolism and elimina- extent of drug absorption. The bioavailability exhib-
tion (ADME) is termed pharmacokinetics. ited by a drug is thus very important in determining
Pharmacokinetics is used in the clinical setting to whether a therapeutically effective concentration will
enhance the safe and effective therapeutic manage- be achieved at the site(s) of action.
ment of individual patients. In defining bioavailability in these terms it is
Figure 15.1 illustrates some of the factors that can assumed that the intact drug is the therapeutically
influence the concentration of the drug in the blood active form. This definition would not be valid in the
214
INTRODUCTION TO BIOPHARMACEUTICS
case of prodrugs, whose therapeutic action normally by the same routes of administration but
depends on their being converted into a therapeuti- different types of dosage form, e.g. a tablet, a
cally active form prior to or on reaching the systemic hard gelatin capsule and an aqueous suspension
circulation. It should also be noted that, in the administered by the peroral route;
context of bioavailability, the term systemic circula- in the same type of dosage form by the same
tion refers primarily to venous blood (excluding the route of administration but with different
hepatic portal vein, which carries blood from the formulations of the dosage form, e.g. different
gastrointestinal tract to the liver in the absorption formulations of an oral aqueous suspensions.
phase) and the arterial blood, which carries the
Variability in the bioavailability exhibited by a given
intact blood to the tissues.
drug from different formulations of the same type of
Therefore, for a drug which is administered orally
dosage form, or from different types of dosage
to be 100% bioavailable, the entire dose must move
forms, or by different routes of administration, can
from the dosage form to the systemic circulation.
cause the plasma concentration of the drug to be too
The drug must therefore be:
high and therefore cause side effects, or too low and
completely released from the dosage form therefore the drug will be ineffective. Figure 15.2
fully dissolved in the gastrointestinal fluids. shows the plasma concentration-time curve follow-
stable in solution in the gastrointestinal fluids ing a single oral dose of a drug, indicating the para-
pass through the gastrointestinal barrier into the meters associated with a therapeutic effect.
mesenteric circulation without being metabolized Poor biopharmaceutical properties often result in:
pass through the liver into the systemic
poor and variable bioavailability
circulation unchanged.
difficulties in toxicological evaluation
Anything which adversely affects either the release of difficulties with bioequivalence of formulations
the drug from the dosage form, its dissolution into multi-daily dosing
the gastrointestinal fluids, its permeation through the requirement for a non-conventional delivery
and stability in the gastrointestinal barrier or its sta- system
bility in the hepatic portal circulation will influence long and costly development times.
the bioavailability exhibited by that drug from the
dosage form in which it was administered.
THE CONCEPT OF
BIOPHARMACEUTICS
Many factors have been found to influence the rate
and extent of absorption, and hence the time course
of a drug in the plasma and therefore at its site(s) of
action. These include the foods eaten by the patient,
the effect of the disease state on drug absorption,
the age of the patient, the site(s) of absorption of the
administered drug, the coadministration of other
drugs, the physical and chemical properties of the
administered drug, the type of dosage form, the com-
position and method of manufacture of the dosage
form, the size of the dose and the frequency of
administration.
Thus, a given drug may exhibit differences in its
bioavailability if it is administered:
in the same type of dosage form by different
routes of administration, e.g. an aqueous solution Fig. 15.2 A typical blood plasma concentration-time curve
of a given drug administered by the oral and obtained following the peroral administration of a single dose of
intramuscular routes; a drug in a tablet.
215
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
The following chapters (Chapters 16 and 17) deal in Dressman J.B., Lennernas, H. (2000), Oral Drug Absorption,
Prediction & Assessment, Marcel Dekker, New York.
more detail with the physiological factors, dosage Gibaldi, M. (1991). Biopharmaceutics and Clinical
form factors and intrinsic properties of drugs that Pharmacokinetics, 4th edn, Lea & Febiger, Philadelphia.
influence the rate and extent of absorption. Chapter Johnson, L.R. (1994). Physiology of the Gastro-intestinal Tract,
18 looks at means of assessing the biopharmaceuti- Volume 2, 3rd edn. Raven Press, New York.
cal properties of compounds. Macheras, P., Reppas, C. & Dressman, J.B. (1995)
Biopharmaceutics of Orally Administered Drugs, Ellis
A thorough understanding of the biopharmaceuti- Horwood, London.
cal properties of a candidate drug are important Washington, N. and Wilson, C. (2000) Physiological
both in the discovery setting, where potential drug Pharmaceutics 2nd edn. Taylor and Francis, London.
candidates are being considered, and in the develop-
ment setting, where it is important to anticipate for-
mulation problems and assess whether the drug is a
candidate for a controlled-release formulation.
216
16
The gastrointestinal tract - physiology and
drug absorption
Marianne Ashford
217
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
rate and extent of drug absorption into the systemic stomach empties the drug into the small intestine, the
circulation, a schematic illustration of the steps rate at which the drug is metabolized by enzymes in
involved in the release and absorption of a drug from the intestinal mucosal cells during its passage through
a tablet dosage form is presented in Figure 16.2. It them into the mesenteric blood vessels, and the rate of
can be seen from this that the rate and extent of metabolism of drug during its initial passage through
appearance of intact drug in the systemic circulation the liver, often termed the 'first-pass' effect.
depends on a succession of kinetic processes.
The slowest step in this series, which is known as
the rate-limiting step., controls the overall rate and
extent of appearance of intact drug in the systemic PHYSIOLOGY OF THE
circulation. The particular rate-limiting step will vary GASTROINTESTINAL TRACT
from drug to drug. For a drug which has a very poor
aqueous solubility the rate at which it dissolves in the The gastrointestinal tract is a muscular tube approx-
gastrointestinal fluids is often the slowest step, and imately 6 m in length with varying diameters. It
the bioavailability of that drug is said to be dissolu- stretches from the mouth to the anus and consists of
tion-rate limited. In contrast, for a drug that has a four main anatomical areas: the oesophagus, the
high aqueous solubility its dissolution will be rapid stomach, the small intestine and the large intestine
and the rate at which the drug crosses the gastroin- or colon. The luminal surface of the tube is not
testinal membrane may be the rate-limiting step smooth but very rough, thereby increasing the
(permeability limited). Other potential rate-limiting surface area for absorption.
steps include the rate of release of the drug from the The wall of the gastrointestinal tract is essentially
dosage form (this can be by design in the case of con- similar in structure along its length, consisting of
trolled-release dosage forms), the rate at which the four principal histological layers (Fig. 16.3):
218
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
The oesophagus
The mouth is the point of entry for most drugs (so-
called peroral - via the mouth - administration). At
this point contact with the oral mucosa is usually
Fig. 16.3 Cross-section through the gastrointestinal tract. brief. Linking the oral cavity with the stomach is the
oesophagus. This is composed of a thick muscular
1. The serosa, which is an outer layer of epithelium layer approximately 250 mm long and 20 mm in
and supporting connective tissue; diameter. It joins the stomach at the gastro-
2. The muscularis externa, which contains two oesophageal junction, or cardiac orifice as it is some-
layers of smooth muscle tissue, a thinner outer times known.
layer which is longitudinal in orientation, and a The oesophagus, apart from the lowest 20 mm
thicker inner layer, whose fibres are oriented in a which is similar to the gastric mucosa, contains a well
circular pattern. Contractions of these muscles differentiated squamous epithelium of non-prolifera-
provide the forces for movement of tive cells. Epithelial cell function is mainly protective:
gastrointestinal contents; simple mucous glands secrete mucus into the narrow
3. The submucosa, which is a connective tissue lumen to lubricate food and protect the lower part of
layer containing some secretory tissue and which the oesophagus from gastric acid. The pH of the
is richly supplied with blood and lymphatic oesophageal lumen is usually between 5 and 6.
vessels. A network of nerve cells, known as the Materials are moved down the oesophagus by the
submucous plexus, is also located in this layer; act of swallowing. After swallowing, a single peristaltic
219
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
220
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
221
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
hepatic clearance, are resecreted in the bile. This The colon is permanently colonized by an extensive
process is known as enterohepatic recirculation. number (about 1012 per gram of contents) and
The main functions of the bile are promoting the variety of bacteria. This large bacterial mass is
efficient absorption of dietary fat, such as fatty capable of several metabolic reactions, including
acids and cholesterol, by aiding its emulsification hydrolysis of fatty acid esters and the reduction of
and micellar solubilization, and the provision of inactive conjugated drugs to their active form. The
excretory pathways for degradation products. bacteria rely upon undigested polysaccharides in
the diet and the carbohydrate components of secre-
tions such as mucus for their carbon and energy
The colon sources. They degrade the polysaccharides to
The colon is the final part of the gastrointestinal produce short-chain fatty acids (acetic, proprionic
tract. It stretches from the ileocaecal junction to the and butyric acids), which lower the luminal pH, and
anus and makes up approximately the last 1.5 m of the gases hydrogen, carbon dioxide and methane.
the 6 m of the gastrointestinal tract. It is composed Thus the pH of the caecum is around 6-6.5. This
of the caecum (~85 mm in length), the ascending increases to around 7-7.5 towards the distal parts of
colon (-200 mm), the hepatic flexure, the transverse the colon.
colon (usually greater than 450 mm), the splenic Recently there has been much interest in the
flexure, the descending colon (~300 mm), the exploitation of the enzymes produced by these bac-
sigmoid colon (~400 mm) and the rectum, as shown teria with respect to targeted drug delivery to this
in Figure 16.6. The ascending and descending region of the gastrointestinal tract.
colons are relatively fixed, as they are attached via
the flexures and the caecum. The transverse and
sigmoid colons, however, are much more flexible.
The colon, unlike the small intestine has no spe- THE TRANSIT OF PHARMACEUTICALS
cialized villi. However, the microvilli of the absorp- IN THE GASTROINTESTINAL TRACT
tive epithelial cells, the presence of crypts, and the
irregularly folded mucosae serve to increase the As the oral route is the one by which the majority of
surface area of the colon by 10-15 times that of a Pharmaceuticals are administered, it is important to
simple cylinder. The surface area nevertheless know how these materials behave during their
remains approximately l/30th that of the small passage through the gastrointestinal tract. It is
intestine. known that the small intestine is the major site of
The main functions of the colon are: drug absorption, and thus the time a drug is present
in this part of the gastrointestinal tract is extremely
the absorption of sodium ions, chloride ions and
significant. If sustained- or controlled-release drug
water from the lumen in exchange for
delivery systems are being designed, it is important
bicarbonate and potassium ions. Thus the colon
to consider factors that will affect their behaviour
has a significant homeostatic role in the body.
and, in particular, their transit times through certain
the storage and compaction of faeces.
regions of the gastrointestinal tract.
In general, most dosage forms, when taken in an
upright position, transit through the oesophagus
quickly, usually in less than 15 seconds. Transit
through the oesophagus is dependent both upon the
dosage form and posture.
Tablets/capsules taken in the supine position,
especially if taken without water, are liable to lodge
in the oesophagus. Adhesion to the oesophageal wall
can occur as a result of partial dehydration at the site
of contact and the formation of a gel between the
formulation and the oesophagus. The chances of
adhesion will depend on the shape, size and type of
formulation. Transit of liquids, for example, has
always been observed to be rapid, and in general
faster than that of solids. A delay in reaching the
Fig. 16.6 The anatomy of the colon. stomach may well delay a drug's onset of action or
222
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
cause damage or irritation to the oesophageal wall, these include the postural position, the composition
e.g. potassium chloride tablets. of the food, the effect of drugs and disease state. In
general, food, particularly fatty foods, delays gastric
emptying and hence the absorption of drugs.
Gastric emptying Therefore, a drug will reach the small intestine most
The time a dosage form takes to traverse the rapidly if it is administered with water to a patient
stomach is usually termed the gastric residence whose stomach is empty. Metoclopramide, which is
time, gastric emptying time or gastric empty- a drug that increases gastric emptying rate, has been
ing rate. shown to increase the rate of absorption of paraceta-
Gastric emptying of Pharmaceuticals is highly mol, whereas proprantheline, a drug which delays
variable and is dependent on the dosage form and gastric emptying, has been shown to delay its rate of
the fed/fasted state of the stomach. Normal gastric absorption (Nimmo et al 1973).
residence times usually range between 5 minutes and
2 hours, although much longer times (over 12 hours)
have been recorded, particularly for large single Small intestinal transit
units. In the fasted state the electrical activity in the There are two main types of intestinal movement,
stomach - the interdigestive myoelectric cycle, or propulsive and mixing. The propulsive movements
migrating myoelectric complex (MMC) as it is primarily determine the intestinal transit rate and
known - governs its activity and hence the transit of hence the residence time of the drug or dosage form
dosage forms. It is characterized by a repeating cycle in the small intestine. As this is the main site of
of four phases. absorption in the gastrointestinal tract for most drugs,
Phase I is a relatively inactive period of 40-60 the small intestinal transit time (that is, the time of
minutes with only rare contractions occurring. transit between the stomach and the caecum) is an
Increasing numbers of contractions occur in phase II, important factor with respect to drug bioavailability.
which has a similar duration to phase I. Phase III is Small intestinal transit has been found to be rela-
characterized by powerful peristaltic contractions tively constant, at around 3 hours. In contrast to the
which open the pylorus at the base and clear the stomach, the small intestine does not discriminate
stomach of any residual material. This is sometimes between solids and liquids, and hence between
called the housekeeper wave. Phase IV is a short dosage forms, or between the fed and the fasted state.
transitional period between the powerful activity of Small intestinal residence time is particularly
phase III and the inactivity of phase I. The cycle important for dosage forms that release their drug
repeats itself every 2 hours until a meal is ingested and slowly (e.g. controlled- sustained- prolonged-release
the fed state or motility is initiated. In this state, two systems) as they pass along the length of the gas-
distinct patterns of activity have been observed. The trointestinal tract; enteric-coated dosage forms
proximal stomach relaxes to receive food and gradual which release drug only when they reach the small
contractions of this region move the contents distally. intestine; drugs that dissolve slowly in intestinal
Peristalsis - contractions of the distal stomach - serve fluids; and drugs that are absorbed by intestinal
to mix and break down food particles and move them carrier-mediated transport systems.
towards the pyloric sphincter. The pyloric sphincter
allows liquids and small food particles to empty while
other material is retropulsed into the antrum of the Colonic transit
stomach and caught up by the next peristaltic wave for
The colonic transit of Pharmaceuticals is long and
further size reduction before emptying.
variable and depends on the type of dosage form,
Thus in the fed state liquids, pellets and disinte-
diet, eating pattern and disease state.
grated tablets will tend to empty with food, yet large
Contractile activity in the colon can be divided
sustained or controlled release dosage forms can be
retained in the stomach for long periods of time. In into two main types:
the fasted state the stomach is less discriminatory Propulsive contractions or mass movements,
between dosage form types, with emptying appear- which are associated with the aboral (away from
ing to be an exponential process and being related to the mouth) movement of contents;
the point in the MMC at which the formulation is Segmental or haustral contractions, which serve
ingested. to mix the luminal contents and result in only
Many factors influence gastric emptying, as well as small aboral movements. Segmental contractions
the type of dosage form and the presence of food: are brought about by contraction of the circular
223
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
muscle and predominate, whereas the propulsive riers can prevent some or all of the drug reaching the
contractions, which are due to contractions of the systemic circulation, and can therefore have a detri-
longitudinal muscle, occur only 3-4 times daily mental effect on its bioavailability.
in normal individuals.
Colonic transit is thus characterized by short bursts The environment within the lumen
of activity followed by long periods of stasis. The environment within the lumen of the gastroin-
Movement is mainly aboral, i.e. towards the anus. testinal tract has a major effect on the rate and extent
Colonic transit can vary from anything between 2 of drug absorption.
and 48 hours. In most individuals mouth-to-anus
transit times are longer than 24 hours.
Gastrointestinal pH
The pH of fluids varies considerably along the length
of the gastrointestinal tract. Gastric fluid is highly
BARRIERS TO DRUG ABSORPTION acidic, normally exhibiting a pH within the range
1-3.5 in healthy people in the fasted state. Following
Some of the barriers to absorption that a drug may the ingestion of a meal the gastric juice is buffered to
encounter once it is released from its dosage form a less acidic pH, which is dependent on meal com-
and has dissolved into the gastrointestinal fluids are position. Typical gastric pH values following a meal
shown in Figure 16.7. The drug needs to remain in are in the range 3-7. Depending on meal size the
solution and not become bound to food or other gastric pH returns to the lower fasted-state values
material within the gastrointestinal tract. It needs to within 2-3 hours. Thus only a dosage form ingested
be chemically stable in order to withstand the pH of with or soon after a meal will encounter these higher
the gastrointestinal tract, and it must be resistant to pH values. This may be an important consideration
enzymatic degradation in the lumen. The drug then in terms of the chemical stability of a drug, or in
needs to diffuse across the mucous layer, without achieving drug dissolution or absorption.
binding to it, across the unstirred water layer, and Intestinal pH values are higher than gastric pH
subsequently across the gastrointestinal membrane, values owing to the neutralization of the gastric acid
its main cellular barrier. After passing through this with bicarbonate ions secreted by the pancreas into
cellular barrier the drug encounters the liver before the small intestine. There is a gradual rise in pH
it reaches the systemic circulation. Any of these bar- along the length of the small intestine from the duo-
224
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
225
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
response to food may result in the degradation of variety of mechanisms. Drug-food interactions are
drugs that are susceptible to enzymatic metabolism, often classified into five categories: those that cause
and hence in a reduction in their bioavailability. The reduced, delayed, increased and accelerated absorp-
ingestion of food, particularly fats, stimulates the tion, and those on which food has no effect. The
secretion of bile. Bile salts are surface active agents reader is referred to reviews by Fleischer et al.
and can increase the dissolution of poorly soluble (1999), Welling (1996) and Evans (2000) for more
drugs, thereby enhancing their absorption. However, detailed information on the effect of food on the rate
bile salts have been shown to form insoluble and and extent of drug absorption.
hence non-absorbable complexes with some drugs,
such as neomycin, kanamycin and nystatin.
Disease state and physiological disorders
Competition between food components and drugs for
specialized absorption mechanisms In the case of Disease states and physiological disorders associated
those drugs that have a chemical structure similar to with the gastrointestinal tract are likely to influence
nutrients required by the body for which specialized the absorption and hence the bioavailability of orally
absorption mechanisms exist, there is a possibility of administered drugs. Local diseases can cause alter-
competitive inhibition of drug absorption. ations in gastric pH that can affect the stability, dis-
Increased viscosity of gastrointestinal contents The solution and/or absorption of the drug. Gastric
presence of food in the gastrointestinal tract provides surgery can cause drugs to exhibit differences in
a viscous environment which may result in a reduc- bioavailability than that in normal individuals. For
tion in the rate of drug dissolution. In addition, the example, partial or total gastrectomy results in drugs
rate of diffusion of a drug in solution from the lumen reaching the duodenum more rapidly than in normal
to the absorbing membrane lining the gastrointesti- individuals. This increased rate of presentation to the
nal tract may be reduced by an increase in viscosity. small intestine may result in an increased overall rate
Both of these effects tend to decrease the bioavail- of absorption of drugs that are primarily absorbed in
ability of drug. the small intestine. However, drugs that require a
Food-induced changes in presystemic metabolism period of time in the stomach to facilitate their dis-
Certain foods may increase the bioavailability of solution may show reduced bioavailability in such
drugs that are susceptible to presystemic intestinal patients.
metabolism by interacting with the metabolic
process. Grapefruit juice, for example, is capable of
inhibiting the intestinal cytochrome P450 (CYP3A
The unstirred water layer
family) and thus, taken with drugs that are suscepti- The unstirred water layer or aqueous boundary layer
ble to CYP3A metabolism, is likely to result in their is a more or less stagnant layer of water, mucus and
increased bioavailability. Clinically relevant inter- glycocalyx adjacent to the intestinal wall. It is
actions exist between grapefruit juice and the anti- thought to be created by incomplete mixing of the
histamine terfenadine, the immunosuppresant luminal contents near the intestinal mucosal surface,
cyclosporin, the protease inhibitor saquinavir and and to be around 30-100 /mi in thickness. This layer
the calcium channel blocker verapamil. can provide a diffusion barrier to drugs. Some drugs
Food-induced changes in blood flow Blood flow to are also capable of complexing with mucus, thereby
the gastrointestinal tract and liver increases shortly reducing their availability for absorption.
after a meal, thereby increasing the rate at which
drugs are presented to the liver. The metabolism of
some drugs (e.g. propranolol, hydralazine, dextro-
The gastrointestinal membrane
propoxyphene) is sensitive to their rate of presenta-
The structure of the membrane
tion to the liver: the faster the rate of presentation the
larger the fraction of drug that escapes first-pass The gastrointestinal membrane separates the lumen
metabolism. This is because the enzyme systems of the stomach and intestines from the systemic cir-
responsible for their metabolism become saturated by culation. It is the main cellular barrier to the absorp-
the increased rate of presentation of the drug to the tion of drugs from the gastrointestinal tract. The
site of biotransformation. For this reason, the effects membrane is complex in nature, being composed of
of food serve to increase the bioavailability of some lipids, proteins, lipoproteins and polysaccharides, and
drugs that are susceptible to first-pass metabolism. has a bilayer structure (Fig. 16.8).The barrier has the
It is evident that food can influence the absorption characteristics of a semipermeable membrane, allow-
of many drugs from the gastrointestinal tract by a ing the rapid transit of some materials and impeding
226
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
227
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
available for drug absorption. Thus the small intes- The passive absorption process is driven solely by
tine, primarily the duodenum, is the major site of the concentration gradient of the diffusable species
drug absorption, owing principally to the presence of of the drug that exists across the gastrointestinal-
villi and microvilli which provide such a large surface blood barrier. Thus Eqns 16.1 and 16.2 can be
area for absorption (see earlier). combined and written as:
Equation 16.1 also indicates that the rate of drug
absorption depends on a large concentration gradi-
ent of drug existing across the gastrointestinal mem-
brane. This concentration gradient is influenced by and because for a given membrane D, A and h can
the apparent partition coefficients exhibited by the be regarded as constants, Eqn 16.3 becomes:
drug with respect to the gastrointestinal mem-
brane/fluid interface and the gastrointestinal mem-
brane/blood interface. It is important that the drug Equation 16.4 is an expression for a first-order
has sufficient affinity (solubility) for the membrane kinetic process (see Chapter 7) and indicates that
phase that it can partition readily into the gastroin- the rate of passive absorption will be proportional
testinal membrane. In addition, after diffusing across to the concentration of absorbable drug in solution
the membrane the drug should exhibit sufficient sol- in the gastrointestinal fluids at the site of absorption,
ubility in the blood such that it can partition readily and therefore that the gastrointestinal absorption of
out of the membrane phase into the blood. most drugs follows first-order kinetics.
On entering the blood in the capillary network in It has been assumed in this description that the
the lamina propria, the drug will be carried away from drug exists solely in one single absorbable species.
the site of absorption by the rapidly circulating gas- Many drugs, however, are weak electrolytes that exist
trointestinal blood supply and will become diluted by in aqueous solution as two species, namely the
distribution into a large volume of blood (i.e. the sys- unionized species and the ionized species. Because it
temic circulation), distribution into body tissues and is the unionized form of a weak electrolyte drug that
other fluids, and by metabolism and excretion. In exhibits greater lipid solubility compared to the cor-
addition, the drug may bind to plasma proteins in the responding ionized form, the gastrointestinal mem-
blood which will further lower the concentration of brane is more permeable to the unionized species.
free (i.e. diffusable) drug in the blood. Consequently, Thus the rate of passive absorption of a weak elec-
the blood acts as a 'sink' for absorbed drug and trolyte is related to the fraction of total drug that
ensures that the concentration of drug in the blood at exists in the unionized form in solution in the gas-
the site of absorption is low in relation to that in the trointestinal fluids at the site of absorption. This
gastrointestinal fluids at the site of absorption, i.e. fraction is determined by the dissociation constant of
Cg Cb. The 'sink' conditions provided by the sys- the drug (i.e. its pKa value) and by the pH of the
temic circulation ensure that a large concentration aqueous environment, in accordance with the
gradient is maintained across the gastrointestinal Henderson-Hasselbalch equations for weak acids
membrane during the absorption process. and bases (see Chapters 3 and 8). The gastrointesti-
228
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
nal absorption of a weak electrolyte drug is enhanced There are a large number of carrier-mediated
when the pH at the site of absorption favours the for- active transport systems or membrane transporters
mation of a large fraction of the drug in aqueous in the small intestine, which can be present either
solution that is unionized. This forms the basis of the on the apical (brush border) or on the basolateral
pH-partition hypothesis (see Chapter 17). membrane. These include the peptide transporters,
Carrier-mediated transport As already stated, the the nucleoside transporters, the sugar transporters,
majority of drugs are absorbed across cells (i.e. trans- the bile acid transporters, the amino acid trans-
cellularly) via passive diffusion. However, certain porters, the organic anion transporters and the
compounds and many nutrients are absorbed trans- vitamin transporters.
cellularly by a carrier-mediated transport mecha- Many nutrients, such as amino acids, sugars, elec-
nism, of which there are two main types, active trolytes (e.g. sodium, potassium, calcium, iron, chlo-
transport and facilitated diffusion or transport. ride, bicarbonate), vitamins (thiamine (Bt), nicotinic
Active transport In contrast to passive diffusion, acid, riboflavin (B2), pyroxidine (B6) and B12) and
active transport involves the active participation by bile salts are actively transported. Each carrier
the apical cell membrane of the columnar absorption system is generally concentrated in a specific
cells. A carrier or membrane transporter is responsi- segment of the gastrointestinal tract. The substance
ble for binding a drug and transporting it across the that is transported by that carrier will thus be
membrane by a process illustrated in Figure 16.11. absorbed preferentially in the location of highest
Carrier-mediated absorption is often explained by carrier density. For example, the bile acid trans-
assuming a shuttling process across the epithelial porters are only found in the lower part of the small
membrane. The drug molecule or ion forms a intestine, the ileum. Each carrier/transporter has its
complex with the carrier/transporter in the surface of own substrate specificity with respect to the chemi-
the apical cell membrane of a columnar absorption cal structure of the substance that it will transport.
cell; the drug-carrier complex then moves across the Some carriers/transporters have broader specificity
membrane and liberates the drug on the other side of than others. Thus if a drug structurally resembles a
the membrane. The carrier (now free) returns to its natural substance which is actively transported, then
initial position in the surface of the cell membrane the drug is also likely to be transported by the same
adjacent to the gastrointestinal tract, to await the carrier mechanism.
arrival of another drug molecule or ion. Many peptide-like drugs, such as the penicillins,
Active transport is a process whereby materials cephalosporins, angiotensin-converting enzyme
can be transported against a concentration gradient inhibitors (ACE) inhibitors and renin inhibitors,
across a cell membrane, i.e. transport can occur from rely on the peptide transporters for their efficient
a region of lower concentration to one of higher con- absorption. Nucleosides and their analogues for
centration. Therefore, active transport is an energy- antiviral and anticancer drugs depend on the nucle-
consuming process. The energy arises either from the oside transporters for their uptake. L-dopa and a-
hydrolysis of ATP or from the transmembranous methyldopa are transported by the carrier-mediated
sodium gradient and/or electrical potential. process for amino acids. L-dopa has a much faster
Fig. 16.11 Diagrammatic representation of active transport of a drug across a cell membrane.
229
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
permeability rate than methyldopa, which has been show temperature dependence;
attributed to the lower affinity of methyldopa for the can be competitively inhibited by substrate
amino acid carrier. analogues.
Unlike passive absorption, where the rate of
absorption is directly proportional to the concentra- Active transport also plays an important role in the
tion of the absorbable species of the drug at the intestinal, renal and biliary excretion of many drugs.
absorption site, active transport proceeds at a rate Facilitated diffusion or transport This carrier-
that is proportional to the drug concentration only at mediated process differs from active transport in that
low concentrations. At higher concentrations the it cannot transport a substance against a concentra-
carrier mechanism becomes saturated and further tion gradient of that substance. Therefore, facilitated
increases in drug concentration will not increase the diffusion does not require an energy input but does
rate of absorption, i.e. the rate of absorption remains require a concentration gradient for its driving force,
constant. Absorption rate-concentration relation- as does passive diffusion. When substances are trans-
ships for active and passive processes are compared ported by facilitated diffusion they are transported
in Figure 16.12. down the concentration gradient but at a much
Competition between two similar substances for faster rate than would be anticipated based on the
the same transfer mechanism, and the inhibition of molecular size and polarity of the molecule. The
absorption of one or both compounds, are other process, like active transport, is saturable and is
characteristics of carrier-mediated transport. subject to inhibition by competitive inhibitors. In
Inhibition of absorption may also be observed with terms of drug absorption, facilitated diffusion seems
agents such as sodium fluoride, cyanide or dinitro- to play a very minor role.
phenol, which interfere with cell metabolism. More information on carrier-mediated transport
Some substances may be absorbed by simultane- of drugs within the intestines can be obtained from
ous carrier-mediated and passive transport reviews by Oh et al. (1999),Tsuji andTamia (1996)
processes. For example, certain pyrimidines, such as and Yang et al. (1999).
uracil and thymine, are absorbed both passively and Endocytosis Endocytosis is the process by which
via a carrier-mediated process. The contribution of the plasma membrane of the cell invaginates and the
the carrier-mediated process to the overall absorp- invaginations become pinched off, forming small
tion rate decreases with concentration, and at a intracellular membrane-bound vesicles that enclose a
sufficiently high concentration is negligible. volume of material. Thus material can be transported
In summary, active transport mechanisms: into the cell. After invagination the material is often
transferred to other vesicles or lysosomes and
must have a carrier molecule;
digested. Some material will escape digestion and
must have a source of energy;
migrate to the basolateral surface of the cell, where it
can be inhibited by metabolic inhibitors such as
is exocytosed. This uptake process is energy depen-
dinitrophenol;
dent. Endocytosis can be further subdivided into four
main processes: fluid-phase endocytosis or pinocyto-
sis; receptor-mediated endocytosis; phagocytosis; and
transcytosis. Endocytosis is thought to be the primary
mechanism of transport of macromolecules. The
process and pathways of endocytosis are complex.
Pinocytosis Fluid-phase endocytosis or pinocyto-
sis is the engulfment of small droplets of extracellu-
lar fluid by membrane vesicles. The cell will
internalize material regardless of its metabolic
importance to that cell. The efficiency of this process
is low. The fat-soluble vitamins A, D, E and K are
absorbed via pinocytosis.
Receptor-mediated endocytosis Many cells within
the body have receptors on their cell surfaces that are
capable of binding with suitable ligands to form
Fig. 16.12 Relationship between rate of absorption and
ligand-receptor complexes on the cell surface. These
concentration at the absorption site for active and passive complexes cluster on the cell surface and then invagi-
processes. nate and break off from the membrane to form coated
230
THE Gl TRACT - PHYSIOLOGY AND DRUG ABSORPTION
vesicles. The binding process between the ligand and The convective component is the rate at which the
the receptor on the cell surface is thought to trigger a compound is carried across the epithelium via the
conformational change in the membrane to allow this water flux.
process to occur. Once within the cytoplasm of the
cell the coated vesicles rapidly lose their coat, and the Efflux of drugs from the intestine
resulting uncoated vesicles will promptly deliver their It is now known that there are countertransport
contents to early endosomes. Within the endosomes efflux proteins that expel specific drugs back into
the ligands usually dissociate from their receptors the lumen of the gastrointestinal tract after they
many of which are then recycled to the plasma mem- have been absorbed. One of the key countertrans-
brane. The dissociated ligands and solutes are next port proteins is P-glycoprotein. P-glycoprotein is
delivered to prelysosomes and finally to lysosomes, expressed at high levels on the apical surface of
the end-stage of the endocytic pathway. Lysosomes columnar cells (brush border membrane) in the
are spherical or oval cell organelles surrounded by a jejunum. It is also present on the surface of many
single membrane. They contain digestive enzymes other epithelia and endothelia in the body, and on
which break down bacteria and large molecules, such the surface of tumour cells. P-glycoproteins were
as protein, polysaccharides and nucleic acids, which originally discovered because of their ability to
have entered the cell via endocytosis. cause multidrug resistance in tumour cells by pre-
Phagocytosis Phagocytosis can be defined as the venting the intracellular accumulation of many
engulfment by the cell membrane of particles larger cytotoxic cancer drugs by pumping the drugs back
than 500 nm. This process is important for the out of the tumours. Certain drugs with wide struc-
absorption of polio and other vaccines from the gas- tural diversity (Table 16.2) are susceptible to efflux
trointestinal tract. from the intestine via P-glyocprotein. Such efflux
Transcytosis Transcytosis is the process by which may have a detrimental effect on drug bioavail-
the material internalized by the membrane domain is ability. These countertransport efflux proteins pump
transported through the cell and secreted on the
opposite side.
Table 16.2 Examples of transport mechanisms of
Paracellular pathway i commonly used drugs across the gastrointestinal
The paracellular pathway differs from all the other absorptive epithelia (adapted from Bray den 1997)
absorption pathways as it is the transport of materials
in the aqueous pores between the cells rather than Route Examples Therapeutic class
across them. The cells are joined together via closely Transcellular Propranol j3-Blocker
fitting tight junctions on their apical side. The inter- passive Testosterone Steroid
cellular spaces occupy only about 0.01% of the total diffusion Ketoprofen Non-steroidal
surface area of the epithelium. The tightness of these anti-inflammatory
Cisapride Antispasmodic
junctions can vary considerably between different
Oestradiol Sex hormone
epithelia in the body. In general, absorptive epithelia, Naproxen Non-steroidal
such as that of the small intestine, tend to be leakier anti-inflammatory
than other epithelia. The paracellular pathway Paracellular Cimetidine H2 antagonist
decreases in importance down the length of the gas- Loperamide Antidiarrhoeal
trointestinal tract, and as the number and size of Atenolol 0-Blocker
pores between the epithelial cells decrease. Mannitot Sugar used as
paracellular marker
The paracellular route of absorption is important Tiludronate Bisphosphonate
for the transport of ions such as calcium and for the
Carrier mediated Cephalexin Anti-bacterial
transport of sugars, amino acids and peptides at con-
Captopril ACE inhibitor
centrations above the capacity of their carriers. Small Bestatin Anticancer
hydrophilic and charged drugs that do not distribute Levodopa Dopaminergic
into cell membranes cross the gastrointestinal epithe- Foscarnet Antiviral
lium via the paracellular pathway. The molecular Transcellular Cyclosporine Immunosuppressant
weight cut-off for the paracellular route is usually diffusion subject Nifedipine Calcium channel blocker
considered to be 200 Da, although some larger drugs to P-glycoprotein Verapamil Calcium channel blocker
efflux Paclitaxel Anticancer
have been shown to be absorbed via this route. Celiprolol j3-Blocker
The paracellular pathway can be divided into a Digoxin Cardiac glycoside
convective ('solvent drag') and diffusive component.
231
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
drugs out of cells in a similar way to which nutri- to such an extent as to render the gastrointestinal
ents, and drugs are actively absorbed across the gas- route of administration ineffective, or to necessitate
trointestinal membrane. This process therefore an oral dose which is many times larger than the
requires energy, can work against a concentration intravenous dose, e.g. propranolol. Although propra-
gradient, can be competitively inhibited by struc- nolol is well absorbed, only about 30% of an oral
tural analogues or be inhibited by inhibitors of cell dose is available to the systemic circulation owing to
metabolism, and is a saturable process. the first-pass effect. The bioavailability of sustained-
Table 16.2 summarizes the main mechanisms of release propranolol is even less as the drug is pre-
drug transport across the gastrointestinal epithelia sented via the hepatic portal vein more slowly than
for a number of commonly used drugs. from an immediate-release dosage form, and the
liver is therefore capable of extracting and metabo-
lizing a larger portion. Other drugs which are sus-
Presystemic metabolism ceptible to a large first-pass effect are the anaesthetic
As well as having the ability to cross the gastroin- lidocaine, the tricyclic antidepressant imipramine
testinal membrane by one of the routes described, and the analagesic pentazocine.
drugs also need to be resistant to degradation/
metabolism during this passage. All drugs that are
absorbed from the stomach, small intestine and
upper colon pass into the hepatic portal system and SUMMARY
are presented to the liver before reaching the sys-
temic circulation. Therefore, if the drug is going to There are many physiological factors that influence
be available to the systemic circulation it must also the rate and extent of drug absorption; these are ini-
be resistant to metabolism by the liver. Hence, an tially dependent on the route of administration. For
oral dose of drug could be completely absorbed but the oral route the physiological and environmental
incompletely available to the systemic circulation factors of the gastrointestinal tract, the gastrointesti-
because of first-pass or presystemic metabolism nal membrane and presystemic metabolism can all
by the gut wall and/or liver. influence drug bioavailability.
Gut-wall metabolism
It is only relatively recently that the full extent of gut- REFERENCES AND BIBLIOGRAPHY
wall metabolism has been recognized. Watkins and
co-workers were the first to report that a major Benet, L.Z., Wu, C., Hevert, M.WacherV.J. (1996) Intestinal
drug metabolism and antitransport processes: a potential
cytochrome P450 enzyme, CYP3A, that is present in paradigm shift in oral drug delivery. J. Cont. Rel. 39,
the liver and is responsible for the hepatic metabo- 139-143.
lism of many drugs, is present in the intestinal Brayden, D. (1997) Human intestinal epithelial monolayers
mucosa and that intestinal metabolism may be as prescreens for oral drug delivery. Pharmaceutical News,
4 (1), 11-13.
important for substrates of this enzyme (Watkins et Evans A.M. (2000) Influence of dietary components on the
al. 1987, Kolars et al. 1992). This effect can also be gastrointestinal metabolism and transport of drugs. 22,
known as first-pass metabolism by the intestine. 131-136.
One drug that is susceptible to extensive gut metab- Fleisher, D. Cheng, L. Zhou,Y. Li-Heng, P and Karim, A
olism that results in a significant reduction in its (1999) Drug, meal and formulation interactions
influencing drug absorption after oral administration.
bioavailability is cyclosporin (Benet et al, 1996). Clin Pharmacokinet, 36, 233-254.
Gray, V. and Dressman J. (1996) Simulated intestinal fluid
TS - Change to pH 6.8. Pharmacopeial Forum 22,
Hepatic metabolism 1943-1945.
Kolars, J.C., Schmiedlin-Ren, P., Schuetz, J.D., Fang, C. and
The liver is the primary site of drug metabolism and Watkins, P.B. (1992) Identification of rifampicin-inducible
thus acts as a final barrier for oral absorption. This P450IIIA4 (GYP 3A4) in human bowel enterocytes.
first pass of absorbed drug through the liver may J. Clin. Invest. 90, 1871-1878.
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Nimmo, J. Heading, R.C.,Tothill, P. and Prescott, L.F.
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Oh, D.M. Han, H.K. and Amidon, G.L. (1999) Drug transport inducible cytochromes P-450 in intestinal mucosa of rats
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Tsuji, A. andTamia, I. (1996) Carrier-mediated intestinal Welling, P.G. (1996) Effects of food on drug absorption,
transport of drugs. Pharm. Res. 13, 963-977. Annu. Rev. Nutr., 16, 383-414.
Watkins, P.B., Wrighton, S.A., Schuetz, E.G., Molowa, D.T. Yang, C.Y., Dantzig, A H, Pidgeon, C. (1999) Pharm. Res.
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233
17
Bioavailability - physicochemical and dosage
form factors
Marianne Ashford
234
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
Table 17.1 Physicochemical and physiological factors affecting drug dissolution in the gastrointestinal tract (adapted
from Dressman et at, 1998)
Effect surface area of drug Particle size, wettability Surfactants in gastric juice and bile
Solubility in diffusion layer Hydrophilicity, crystal structure, solubilization pH, buffer capacity, bile,
food components
Amount of drug already dissolved Permeability, transit
Diffusivity of drug Molecular size Viscosity of luminal contents
Boundary layer thickness Motility patterns and flow rate
Volume of solvent available Gastrointestinal secretions,
co-administered fluids
The limitations of the Noyes-Whitney equation in tion (Eqn 17.1) and hence the dissolution rate of a
describing the dissolution of drug particles are dis- drug. For instance, the diffusion coefficient, ), of the
cussed in Chapter 2. Despite these limitations, the drug in the gastrointestinal fluids may be decreased
equation serves to illustrate and explain how various by the presence of substances that increase the vis-
physicochemical and physiological factors can cosity of the fluids. Hence the presence of food in the
influence the rate of dissolution in the gastrointesti- gastrointestinal tract may cause a decrease in disso-
nal tract. These are summarized in Table 17.1 and lution rate of a drug by reducing the rate of diffusion
are discussed in more detail in the next section. of the drug molecules away from the diffusion layer
Figure 17.1 illustrates the dissolution of a spheri- surrounding each undissolved drug particle.
cal drug particle in the gastrointestinal fluids. Surfactants in gastric juice and bile salts will affect
both the wettability of the drug, and hence the effec-
tive surface area, A, exposed to gastrointestinal
Physiological factors affecting the dissolution
fluids, and the solubility of the drug in the gastroin-
rate of drugs
testinal fluids via micellization. The thickness of the
The environment of the gastrointestinal tract can diffusion layer, h, will be influenced by the degree of
affect the parameters of the Noyes-Whitney equa- agitation experienced by each drug particle in the
Fig. 17.1 Schematic representation of the dissolution of a drug particle in the gastrointestinal fluids.
235
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
gastrointestinal tract. Hence an increase in gastric of drug absorbed in humans. Many poorly soluble,
and/or intestinal motility may increase the dissolu- slowly dissolving drugs are routinely presented in
tion rate of a sparingly soluble drug by decreasing micronized form to increase their surface area.
the thickness of the diffusion layer around each drug Examples of drugs where a reduction in particle
particle. The concentration, C, of drug in solution in size has been shown to improve the rate and extent of
the bulk of the gastrointestinal fluids will be oral absorption and hence bioavailability are shown
influenced by such factors as the rate of removal of in Table 17.2. Such improvements in bioavailability
dissolved drug by absorption through the gastroin- can result in an increased incidence of side-effects,
testinal-blood barrier, and by the volume of fluid thus for certain drugs it is important that the particle
available for dissolution, which will be dependent on size is well controlled, and many Pharmacopoeia
the position of the drug in the gastrointestinal tract state the requirements of particle size.
and the timing with respect to meal intake. In the For some drugs, particularly those that are
stomach the volume of fluid will be influenced by the hydrophobic in nature, micronization and other dry
intake of fluid in the diet. According to the particle size-reduction techniques can result in aggre-
Noyes-Whitney equation a low value of C will favour gation of the material, with a consequent reduction in
more rapid dissolution of the drug by virtue of the effective surface area exposed to the gastrointesti-
increasing the value of the term (Cs - C). In the case nal fluids and hence their dissolution rate and
of drugs whose absorption is dissolution-rate bioavailability. Aspirin, phenacetin and phenobarbi-
limited, the value of C is normally kept very low by tone are all prone to aggregation during particle size
absorption of the drug. Hence dissolution occurs reduction; one approach that may overcome this
under sink conditions, that is, under conditions such problem is to micronize or mill the drug with a
that the value of (Cs - C) approximates to Cs. Thus wetting agent or hydrophilic carrier. To overcome
for the dissolution of a drug from the gastrointestinal aggregation and to achieve particle sizes in the nano-
tract under sink conditions the Noyes-Whitney size region, wet milling in the presence of stabilizers
equation can be expressed as: has been used. The relative bioavailability of danazol
has been increased 400% by administering particles
DACr
dCfdt = (17.2) in the nano- rather than the micrometre size range.
As well as milling with wetting agents the effective
surface area of hydrophobic drugs can be increased
Drug factors affecting dissolution rate by the addition of a wetting agent to the formulation.
The presence of polysorbate-80 in a fine suspension
Drug factors that can influence the dissolution rate
of phenacetin (particle size less than 75 jum) greatly
are the particle size, the wettability, the solubility and
improved the rate and extent of absorption of the
the form of the drug (whether a salt or a free form,
phenacetin in human volunteers compared to the
crystalline or amorphous).
Surface area and panicle size According to Eqn
17.1, an increase in the total surface area of drug in
Table 17.2 Examples of drugs where a reduction in
contact with the gastrointestinal fluids will cause an particle size has led to improvements in bioavailability
increase in dissolution rate. Provided that each par-
ticle of drug is intimately wetted by the gastrointesti- Drug Therapeutic class
nal fluids, the effective surface area exhibited by the
drug will be directly proportional to the particle size Digoxin Cardiac glycoside
of the drug. Hence the smaller the particle size, the Nitrofurantoin Antifungal
greater the effective surface area exhibited by a given Medoxyprogesterone Hormone
mass of drug, and the higher the dissolution rate. acetate
Particle size reduction is thus likely to result in Danazol Steroid
increased bioavailability, provided the absorption of
Tolbutamide Antidiabetic
the drug is dissolution-rate limited.
One of the classic examples of particle size effects Aspirin Analgesic
on the bioavailability of poorly soluble compounds is Sulphadiazine Antibacterial
that of griseofulvin, where a reduction of particle size Naproxen Non-steroidal anti-inflammatory
from about 10 ^tm (specific surface area = 0.4 m2 g"1) Ibuprofen Non-steroidal anti-inflammatory
to 2.7 /itm (specific surface area = 1.5 m2 g'1) was
Phenacetin Analgesic
shown to produce approximately double the amount
236
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
same-size suspension without a wetting agent. differences in dissolution rate will be expected in dif-
Polysorbate-80 helps by increasing the wetting and ferent regions of the gastrointestinal tract.
solvent penetration of the particles and by minimiz- The solubility of weakly acidic drugs increases with
ing aggregation of suspended particles, thereby pH, and so as a drug moves down the gastrointestinal
maintaining a large effective surface area. Wetting tract from the stomach to the intestine, its solubility
effects are highly drug specific. will increase. Conversely, the solubility of weak bases
If an increase in the effective surface area of a drug decreases with increasing pH, i.e. as the drug moves
does not increase its absorption rate it is likely that down the gastrointestinal tract. It is important there-
the dissolution process is not rate limiting. For drugs fore for poorly soluble weak bases to dissolve rapidly in
such as penicillin G and erythromycin, which are the stomach, as the rate of dissolution in the small
unstable in gastric fluids, their chemical degradation intestine will be much slower. The antifungal drug
will be minimized if they remain in the solid state. ketoconazole, a weak base, is particularly sensitive to
Thus particle size reduction would not only serve to gastric pH. Dosing ketoconazole 2 hours after the
increase their dissolution rate, but would also administration of the H2 blocker cimetidine, which
increase chemical degradation and therefore reduce reduces gastric acid secretion, results in a significantly
the amount of intact drug available for absorption. reduced rate and extent of absorption (van der Meer et
Solubility in the diffusion layer, Cs The dissolution al 1980). Similarly, in the case of the antiplatelet
rate of a drug under sink conditions, according to the dipyrimidole, pretreatment with the H2 blocker famo-
Noyes-Whitney equation, is directly proportional to its tidine reduces the peak plasma concentration by a
intrinsic solubility in the diffusion layer surrounding factor of up to 10 (Russell et al 1994).
each dissolving drug particle, Cs. The aqueous solubil- Salts The dissolution rate of a weakly acidic drug
ity of a drug is dependent on the interactions between in gastric fluid (pH 1-3.5) will be relatively low. If the
molecules within the crystal lattice, intermolecular pH in the diffusion layer could be increased, then the
interactions with the solution in which it is dissolving, solubility, Cs, exhibited by the acidic drug in this layer,
and the entropy changes associated with fusion and and hence its dissolution rate in gastric fluids, would
dissolution. In the case of drugs that are weak elec- be increased even though the bulk pH of gastric fluids
trolytes, their aqueous solubilities are dependent on remained at the same low value. The pH of the diffu-
pH (see Chapter 2). Hence in the case of an orally sion layer would be increased if the chemical nature of
administered solid dosage form containing a weak the weakly acidic drug were changed from that of the
electrolyte drug, the dissolution rate of the drug will be free acid to a basic salt, for example the sodium or
influenced by its solubility and the pH in the diffusion potassium form of the free acid. The pH of the diffu-
layer surrounding each dissolving drug particle. The sion layer surrounding each particle of the salt form
pH in the diffusion layer - the microclimate pH - for a would be higher (e.g. 5-6) than the low bulk pH
weak electrolyte will be affected by the pKa and solu- (1-3.5) of the gastric fluids because of the neutralizing
bility of the dissolving drug and the pKa and solubility action of the strong anions (Na+ or K+) ions present in
of the buffers in the bulk gastrointestinal fluids. Thus the diffusion layer (Fig. 17.2).
Fig. 17.2 Schematic representation of the dissolution process of a salt form of a weakly acidic drug in gastric fluid.
237
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Because the salt form of the weakly acidic drug has absorbed faster and is more effective in newer indi-
a relatively high solubility at the elevated pH in the cations, such as mild to moderate pain (Sevelius et al
diffusion layer, dissolution of the drug particles will 1980).
take place at a faster rate. When dissolved drug dif- Conversely, strongly acidic salt forms of weakly
fuses out of the diffusion layer into the bulk of the basic drugs, for example chlorpromazine hydrochlo-
gastric fluid, where the pH is lower than that in the ride, dissolve more rapidly in gastric and intestinal
diffusion layer, precipitation of the free acid form is fluids than do the free bases (e.g. chlorpromazine).
likely to occur. This will be a result of the overall sol- The presence of strongly acidic anions (e.g. Cl~ ions)
ubility exhibited by the drug at the lower bulk pH. in the diffusion layer around each drug particle
Thus the free acid form of the drug in solution, which ensures that the pH in that layer is lower than the
is in excess of its solubility at the bulk pH of gastric bulk pH in either the gastric or the intestinal fluid.
fluid, will precipitate out, leaving a saturated (or near- This lower pH will increase the solubility of the drug
saturated) solution of free acid in gastric fluid. Often Cs in the diffusion layer. The oral administration of a
this precipitated free acid will be in the form of very salt form of a weakly basic drug in a solid oral dosage
fine, non-ionized wetted particles which exhibit a form generally ensures that dissolution occurs in the
very large total effective surface area in contact with gastric fluid before the drug passes into small intes-
gastric fluids. This large total effective surface area tine, where pH conditions are unfavourable. Thus
will facilitate rapid redissolution of the precipitated the drug should be delivered to the major absorption
particles of free acid when additional gastric fluid site, the small intestine, in solution. If absorption is
becomes available as a consequence of either dis- fast enough, precipitation of the dissolved drug is
solved drug being absorbed, additional fluid accumu- unlikely to significantly affect bioavailability. It is
lating in the stomach, or the fine precipitated important to be aware that hydrochloride salts may
particles being emptied from the stomach to the experience a common ion effect owing to the pres-
intestine. This rapid redissolution will ensure that the ence of chloride ions in the stomach (see Chapter 8).
concentration of free acid in solution in the bulk of The in vitro dissolution of a sulphate salt of an HIV
the gastric fluids will be at or near to saturation. protease inhibitor analogue is significantly greater in
Thus the oral administration of a solid dosage hydrochloric acid than that of the hydrochloride salt.
form containing a strong basic salt of a weakly acidic The bioavailability of the sulphate salt is more than
drug would be expected to give a more rapid rate of three times greater than that of the hydrochloride
drug dissolution and (in the case of drugs exhibiting salt. These observations are attributed to the
dissolution rate limited absorption) a more rapid rate common ion effect of the hydrochloride (Loper et al
of drug absorption than the free acid form of the 1999).
drug. The sodium salts of acidic drugs and the
Many examples can be found of the effects of salts hydrochloride salts of basic drugs are by far the most
improving the rate and extent of absorption. The dis- common. However, many other salt forms are
solution rate of the oral hypoglycaemic tolbutamide increasingly being employed (see Chapter 8). Some
sodium in 0.1 M HC1 is 5000 times faster than that salts have a lower solubility and dissolution rate than
of the free acid. Oral administration of a non-disin- the free form, for example aluminium salts of weak
tegrating disc of the more rapidly dissolving sodium acids and palmoate salts of weak bases. In these
salt of tolbutamide produced a very rapid decrease in cases insoluble films of either aluminium hydroxide
blood sugar level (a consequence of the rapid rate of or palmoic acid are found to coat the dissolving
drug absorption), followed by a rapid recovery. In solids when the salts are exposed to a basic or an
contrast, a non-disintegrating disc of the tolbu- acidic environment, respectively. In general, poorly
tamide free acid produced a much slower rate of soluble salts delay absorption and may therefore be
decrease of blood sugar (a consequence of the slower used to sustain the release of the drug. A poorly
rate of drug absorption) that was maintained over a soluble salt form is generally employed for suspen-
longer period of time. The barbiturates are often sion dosage forms.
administered in the form of sodium salts to achieve Although salt forms are often selected to improve
a rapid onset of sedation and provide more pre- bioavailability, other factors, such as chemical stabil-
dictable effects. ity, hygroscopicity, manufacturability and crys-
The non-steroidal anti-inflammatory drug tallinity, will all be considered during salt selection
naproxen was originally marketed as the free acid for and may preclude the choice of a particular salt. The
the treatment of rheumatoid and osteoarthritis. sodium salt of aspirin, sodium acetylsalicylate, is
However, the sodium salt (naproxen sodium) is much more prone to hydrolysis than is aspirin,
238
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
acetylsalicylic acid, itself. One way to overcome Amorphous solids In addition to different poly-
chemical instabilities or other undesirable features of morphic crystalline forms, a drug may exist in an
salts is to form the salt in situ or to add basic/acidic amorphous form (see Chapter 9). Because the amor-
excipients to the formulation of a weakly acidic or phous form usually dissolves more rapidly than the
weakly basic drug. The presence of the basic excipi- corresponding crystalline form(s), the possibility
ents in the formulation of acidic drugs ensures that a exists that there will be significant differences in the
relatively basic diffusion layer is formed around each bioavailabilities exhibited by the amorphous and
dissolving particle. The inclusion of the basic ingre- crystalline forms of drugs that show dissolution-rate
dients aluminium dihydroxyaminoacetate and mag- limited bioavailability.
nesium carbonate in aspirin tablets was found to A classic example of the influence of amorphous
increase their dissolution rate and bioavailability. versus crystalline forms of a drug on its gastroin-
testinal bioavailability is provided by that of the
Crystal form antibiotic novobiocin. The more soluble and rapidly
Polymorphism Many drugs can exist in more than dissolving amorphous form of novobiocin was
one crystalline form, e.g. chloramphenicol palmitate, readily absorbed following oral administration of an
cortisone acetate, tetracyclines and sulphathiazole. aqueous suspension to humans and dogs. However,
This property is referred to as polymorphism and the less soluble and slower-dissolving crystalline
each crystalline form is known as a polymorph (see form of novobiocin was not absorbed to any
Chapter 9). As discussed in Chapter 2, a metastable significant extent. The crystalline form was thus
polymorph usually exhibits a greater dissolution rate therapeutically ineffective. A further important
than the corresponding stable polymorph. observation was made in the case of aqueous sus-
Consequently, the metastable polymorphic form of a pensions of novobiocin. The amorphous form of
poorly soluble drug may exhibit an increased novobiocin slowly converts to the more thermody-
bioavailability compared to the stable polymorphic namically stable crystalline form, with an accompa-
form. nying loss of therapeutic effectiveness. Thus unless
A classic example of the influence of polymor- adequate precautions are taken to ensure the stabil-
phism on drug bioavailability is provided by chlo- ity of the less stable, more therapeutically effective
ramphenicol palmitate. This drug exists in three amorphous form of a drug in a dosage form, then
crystalline forms designated A, B and C. At normal unacceptable variations in therapeutic effectiveness
temperature and pressure A is the stable polymorph, may occur.
B is the metastable polymorph and C is the unstable Several delivery technologies for poorly soluble
polymorph. Polymorph C is too unstable to be drugs rely on stabilizing the drug in its amorphous
included in a dosage form, but polymorph B, the form to increase its dissolution and bioavailability.
metastable form, is sufficiently stable. The plasma Solvates Another variation in the crystalline form
profiles of chloramphenicol from orally administered of a drug can occur if the drug is able to associate
suspensions containing varying proportions of the with solvent molecules to produce crystalline forms
polymorphic forms A and B were investigated. The known as solvates. When water is the solvent, the
extent of absorption of chloramphenicol increases as solvate formed is called a hydrate. Generally the
the proportion of the polymorphic form B of chlo- greater the solvation of the crystal, the lower are the
ramphenicol palmitate is increased in each suspen- solubility and dissolution rate in a solvent identical
sion. This was attributed to the more rapid in vivo to the solvation molecules. As the solvated and non-
rate of dissolution of the metastable polymorphic solvated forms usually exhibit differences in dissolu-
form, B, of chloramphenicol palmitate. Following tion rates, they may also exhibit differences in
dissolution, chloramphenicol palmitate is hydrolysed bioavailability, particularly in the case of poorly
to give free chloramphenicol in solution, which is soluble drugs that exhibit dissolution-rate limited
then absorbed. The stable polymorphic form A of bioavailability.
chloramphenicol palmitate dissolves so slowly and A valuable example is that of the antibiotic ampi-
consequently is hydrolysed so slowly to chloram- cillin: the faster-dissolving anhydrous form of ampi-
phenicol in vivo that this polymorph is virtually inef- cillin was absorbed to a greater extent from both hard
fective. The importance of polymorphism to the gelatin capsules and an aqueous suspension than was
gastrointestinal bioavailability of chloramphenicol the slower-dissolving trihydrate form. The anhydrous
palmitate is reflected by a limit being placed on the form of the hydrochloride salt of an HIV protease
content of the inactive polymorphic form, A, in inhibitor, an analogue of indinavir, has a much faster
Chloramphenicol Palmitate Mixture. dissolution rate than the hydrated form in water; this
239
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
is reflected by a significantly greater rate and extent of cyclodextrin molecule to form reversible complexes,
absorption and overdoubling of the bioavailability of although other stoichiometries are possible. For
the anhydrous form (Loper et al 1999). example the antifungal miconazole shows poor oral
bioavailability owing to its poor solubility. However,
in the presence of cyclodextrin the solubility and
Factors affecting the concentration of drug in
dissolution rate of miconazole are significantly
solution in the gastrointestinal fluids
enhanced (by up to 55- and 255-fold, respectively).
The rate and extent of absorption of a drug depend This enhancement of dissolution rate resulted in a
on the effective concentration of that drug, i.e. the more than doubling of the oral bioavailability in a
concentration of drug in solution in the gastroin- study in rats (Terjarla et al 1998).There are numer-
testinal fluids which is in an absorbable form. ous examples in the literature of drugs whose solu-
Complexation, micellar solubilization, adsorption bility and hence bioavailability have been increased
and chemical stability are the principal physico- by the use of cyclodextrins: they include piroxicam,
chemical properties that can influence the effective itraconazole, indamethacin, pilocarpine, naproxen,
drug concentration in the gastrointestinal fluids. hydrocortisone, diazepam and digitoxin. The first
Complexation Complexation of a drug may occur product on the UK market containing a cyclodex-
within the dosage form and/or in the gastrointestinal trin is the poorly soluble antifungal itraconazole,
fluids, and can be beneficial or detrimental to which has been formulated as a liquid dosage form
absorption. with the more soluble derivative of ^-cyclodextrin,
Mucin, a normal component of gastrointestinal hydroxypropyl-jS-cyclodextrin.
fluids, complexes with some drugs. The antibiotic Micellar solubization Micellar solubilization can
streptomycin binds to mucin, thereby reducing the also increase the solubility of drugs in the gastroin-
available concentration of the drug for absorption. It testinal tract. The ability of bile salts to solubilize
is thought that this may contribute to its poor drugs depends mainly on the lipophilicity of the
bioavailability. Another example of Complexation is drug (Naylor et al 1995). Further information on
that between drugs and dietary components, as in solubilization and complex formation can be found
the case of the tetracyclines, which is discussed in in Florence and Attwood (1998).
Chapter 16. Adsorption The concurrent administration of
The bioavailability of some drugs can be reduced drugs and medicines containing solid adsorbents
by the presence of excipients within the dosage (e.g. antidiarrhoeal mixtures) may result in the
forms. The presence of calcium (e.g. from the diluent adsorbents interfering with the absorption of drugs
dicalcium phosphate) in the dosage form of tetracy- from the gastrointestinal tract. The adsorption of a
cline reduces its bioavailability via the formation of a drug on to solid adsorbents such as kaolin or char-
poorly soluble complex. Other examples of com- coal may reduce its rate and/or extent of absorption,
plexes that reduce drug bioavailability are those owing to a decrease in the effective concentration of
between amphetamine and sodium carboxymethyl- the drug in solution available for absorption. A con-
cellulose, and between phenobarbitone and polyeth- sequence of the reduced concentration of free drug
ylene glycol 4000. Complexation between drugs and in solution at the site of absorption will be a reduc-
excipients probably occurs quite often in liquid tion in the rate of drug absorption. Whether there is
dosage forms. also a reduction in extent of absorption will depend
Complexation is sometimes used to increase drug on whether the drug-absorbent interaction is readily
solubility, particularly of poorly water-soluble reversible. If the absorbed drug is not readily
drugs. One class of complexing agents that is released from the solid absorbent in order to replace
increasingly being employed is the cyclodextrin the free drug that has been absorbed from the gas-
family. Cyclodextrins are enzymatically modified trointestinal tract, there will also be a reduction in
starches. They are composed of glucopyranose units the extent of absorption from the gastrointestinal
which form a ring of either six (a-cyclodextrin), tract.
seven (/3-cyclodextrin) or eight (y-cyclodextrin) Examples of drug-adsorbent interactions that give
units. The outer surface of the ring is hydrophilic reduced extents of absorption are promazine-
and the inner cavity is hydrophobic. Lipophilic mol- charcoal and linomycin-kaopectate. The adsorbent
ecules can fit into the ring to form soluble inclusion properties of charcoal have been exploited as an anti-
complexes. The ring of /3-cyclodextrin is the correct dote in drug intoxification.
size for the majority of drug molecules, and nor- Care also needs to be taken when insoluble excip-
mally one drug molecule will associate with one ients are included in dosage forms to check that the
240
BIOAVAILABILITY- PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
drug will not adsorb to them. Talc, which can be of drugs, such as the HIV protease inhibitors, the
included in tablets as a glidant, is claimed to inter- glycoprotein Ilb/IIIa inhibitors, and many anti-infec-
fere with the absorption of cyanocobalamin by virtue tive and anticancer drugs. Medicinal chemists are
of its ability to adsorb this vitamin. using approaches such as introducing ionizable
Further details of the biopharmaceutical implica- groups, reducing melting points, changing poly-
tions of adsorption can be found in Florence and morphs or introducing prodrugs to improve solubil-
Attwood (1998). ity. Further information on these approaches can be
Chemical stability of the drug in the gastrointestinal obtained from reviews by Lipinski et al (1997) and
fluids If the drug is unstable in the gastrointestinal Panchagnula and Thomas (2000). Pharmaceutical
fluids the amount of drug that is available for absorp- scientists are also applying a wide range of formula-
tion will be reduced and its bioavailability reduced. tion approaches to improve the dissolution rate of
Instability in gastrointestinal fluids is usually caused poorly soluble drugs. These include formulating in
by acidic or enzymatic hydrolysis. When a drug is the nano-size range; formulating in a solid solution
unstable in gastric fluid its extent of degradation or dispersion or self-emulsifying drug delivery
would be minimized (and hence its bioavailability system; stabilizing the drug in the amorphous form
improved) if it exhibited minimal dissolution in or formulating with cyclodextrins. Many drug
gastric fluid but still rapid dissolution in intestinal delivery companies thrive on technologies designed
fluid. The concept of delaying the dissolution of a to improve the delivery of poorly soluble drugs.
drug until it reaches the small intestine has been
employed to improve the bioavailability of ery-
thromycin in the gastrointestinal tract. Enteric
Drug absorption
coating of tablets containing the free base ery- Once the drug has successfully passed into solution
thromycin is one method that has been used to it is available for absorption. In Chapter 16 many
protect this drug from gastric fluid. The enteric physiological factors were shown to influence drug
coating resists gastric fluid but disrupts or dissolves absorption. Absorption, and hence the bioavailability
at the less acid pH range of the small intestine (see of a drug once in solution, is also influenced by many
later and Chapter 28). An alternative method of pro- drug factors, in particular its pK,, lipid solubility,
tecting a susceptible drug from gastric fluid, which molecular weight, the number of hydrogen bonds in
has been employed in the case of erythromycin, is the molecule and its chemical stability.
the administration of chemical derivatives of the
parent drug. These derivatives, or prodrugs, exhibit
limited solubility (and hence minimal dissolution) in
Drug dissociation and lipid solubility
gastric fluid but, once in the small intestine, liberate The dissociation constant and lipid solubility of a
the parent drug to be absorbed. For instance, ery- drug, and the pH at the absorption site, often
thromycin stearate, after passing through the influence the absorption characteristics of a drug
stomach undissolved, dissolves and dissociates in the throughout the gastrointestinal tract. The inter-
intestinal fluid, yielding the free base erythromycin relationship between the degree of ionization of a
that is absorbed. weak electrolyte drug (which is determined by its
Instability in gastrointestinal fluids is one of the dissociation constant and the pH at the absorption
reasons why many peptide-like drugs are poorly site) and the extent of absorption is embodied in the
absorbed when delivered via the oral route. pH-partition hypothesis of drug absorption, first
proposed by Overton in 1899. Although it is an over-
simplification of the complex process of absorption,
Poorly soluble drugs
the pH-partition hypothesis provides a useful frame-
Poorly water-soluble drugs are increasingly becom- work for understanding the transcellular passive
ing a problem in terms of obtaining the satisfactory route of absorption, which is that favoured by the
dissolution within the gastrointestinal tract that is majority of drugs.
necessary for good bioavailability. It is not only exist- pH-partition hypothesis of drug absorption According
ing drugs that cause problems, but it is the challenge to the pH-partition hypothesis, the gastrointestinal
of medicinal chemists to ensure that new drugs are epithelia acts as a lipid barrier towards drugs which
not only active pharmacologically but have enough are absorbed by passive diffusion, and those that are
solubility to ensure fast-enough dissolution at the lipid soluble will pass across the barrier. As most
site of administration, often the gastrointestinal drugs are weak electrolytes, the unionized form of
tract. This is a particular problem for certain classes weakly acidic or basic drugs (i.e. the lipid-soluble
241
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
form) will pass across the gastrointestinal epithelia, weak acids are still quite well absorbed from the
whereas the gastrointestinal epithelia is impermeable small intestine. In fact, the rate of intestinal absorp-
to the ionized (i.e. poorly lipid-soluble) form of such tion of a weak acid is often higher than its rate of
drugs. Consequently, according to the pH-partition absorption in the stomach, even though the drug is
hypothesis, the absorption of a weak electrolyte will unionized in the stomach. The significantly larger
be determined chiefly by the extent to which the surface area that is available for absorption in the
drug exists in its unionized form at the site of small intestine more than compensates for the high
absorption. degree of ionization of weakly acidic drugs at intesti-
The extent to which a weakly acidic or basic drug nal pH values. In addition, a longer small intestinal
ionizes in solution in the gastrointestinal fluid may residence time and a microclimate pH, that exists at
be calculated using the appropriate form of the the surface of the intestinal mucosa and is lower than
Henderson-Hasselbalch equation (see Chapter 3). that of the luminal pH of the small intestine, are
For a weakly acidic drug having a single ionizable thought to aid the absorption of weak acids from the
group (e.g. aspirin, phenylbutazone, salicylic acid) small intestine.
the equation takes the form of: The mucosal unstirred layer is another recognized
component of the gastrointestinal barrier to drug
absorption that is not accounted for in the pH-parti-
tion hypothesis. During absorption drug molecules
where pKa is the negative logarithm of the acid dis- must diffuse across this layer and then on through
sociation constant of the drug, and [HA] and [A~] the lipid layer. Diffusion across this layer is liable to
are the respective concentrations of the unionized be a significant component of the total absorption
and ionized forms of the weakly acidic drug, which process for those drugs that cross the lipid layer very
are in equilibrium and in solution in the gastroin- quickly. Diffusion across this layer will also depend
testinal fluid. pH refers to the pH of the environment on the relative molecular weight of the drug.
of the ionized and unionized species, i.e. the gas- The pH-partition hypothesis cannot explain the fact
trointestinal fluids. that certain drugs (e.g. quaternary ammonium com-
For a weakly basic drug possessing a single ioniz- pounds and tetracyclines) are readily absorbed despite
able group (e.g. chlorpromazine) the analogous being ionized over the entire pH range of the gastro-
equation is: intestinal tract. One suggestion for this is that the gas-
trointestinal barrier is not completely impermeable to
ionized drugs. It is now generally accepted that ionized
forms of drugs are absorbed in the small intestine but
where [BH+] and [B] are the respective concentra- at a much slower rate than the unionized form.
tions of the ionized and unionized forms of the weak Another possibility is that such drugs interact with
basic drug, which are in equilibrium and in solution endogenous organic ions of opposite charge to form
in the gastrointestinal fluids. an absorbable neutral species - an ion pair - which is
Therefore, according to these equations a weakly capable of partitioning into the lipoidal gastrointesti-
acidic drug, pKa 3.0, will be predominantly unionized nal barrier and be absorbed via passive diffusion.
in gastric fluid at pH 1.2 (98.4%) and almost totally Another, physiological, factor that causes devia-
ionized in intestinal fluid at pH 6.8 (99.98%), whereas tions from the pH-partition hypothesis is convec-
a weakly basic drug, pKa 5, will be almost entirely tiveflow or solvent drag. The movement of water
ionized (99.98%) at gastric pH of 1.2 and predom- molecules into and out of the gastrointestinal tract
inantly unionized at intestinal pH of 6.8 (98.4%).This will affect the rate of passage of small water-soluble
means that, according to the pH-partition hypothesis, molecules across the gastrointestinal barrier. Water
a weakly acidic drug is more likely to be absorbed movement occurs because of differences in osmotic
from the stomach where it is unionized, and a weakly pressure between blood and the luminal contents,
basic drug from the intestine where it is predom- and differences in hydrostatic pressure between the
inantly unionized. However, in practice, other factors lumen and the perivascular tissue. The absorption of
need to be taken into consideration. water-soluble drugs will be increased if water flows
Limitations of the pH-partition hypothesis The from the lumen to the blood, provided that the drug
extent to which a drug exists in its unionized form is and water are using the same route of absorption;
not the only factor determining the rate and extent this will have greatest effect in the jejunum, where
of absorption of a drug molecule from the gastroin- water movement is at its greatest. Water flow also
testinal tract. Despite their high degree of ionization, effects the absorption of lipid-soluble drugs. It is
242
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
thought that this is because the drug becomes more The lipophilicity of a drug is critical in the drug dis-
concentrated as water flows out of the intestine, covery process. Polar molecules, i.e. those that are
thereby favouring a greater drug concentration gra- poorly lipid soluble (log P < 0) and relatively large,
dient and increased absorption. such as gentamicin, ceftriaxone, heparin and strep-
Lipid solubility A number of drugs are poorly tokinase, are poorly absorbed after oral administra-
absorbed from the gastrointestinal tract despite the tion and therefore have to be given by injection.
fact that their unionized forms predominate. For Smaller molecules that are poorly lipid soluble, i.e.
example, the barbiturates, barbitone and thiopen- hydrophilic in nature, such as the /3-blocker atenolol,
tone, have similar dissociation constants - pKa 7.8 can be absorbed via the paracellular route. Lipid-
and 7.6, respectively - and therefore similar degrees soluble drugs with favourable partition coefficients
of ionization at intestinal pH. However, thiopentone (i.e. log P > 0) are usually absorbed after oral admin-
is absorbed much better than barbitone. The reason istration. Drugs which are very lipid soluble (log P >
for this difference is that the absorption of drugs is 3) tend to be well absorbed but are also more likely to
also affected by the lipid solubility of the drug. be susceptible to metabolism and biliary clearance.
Thiopentone, being more lipid soluble than barbi- Although there is no general rule that can be applied
tone, exhibits a greater affinity for the gastrointestinal across all drug molecules, within a homologous series
membrane and is thus far better absorbed. drug absorption usually increases as the lipophilicity
An indication of the lipid solubility of a drug, and rises. This has been shown for a series of barbiturates
therefore whether that drug is liable to be transported by Schanker (1960) and for a series of /3-blockers by
across membranes, is given by its ability to partition Taylor et al (1985).
between a lipid-like solvent and water or an aqueous Sometimes, if the structure of a compound cannot
buffer. This is known as the drug's partition be modified to yield lipid solubility while maintain-
coefficient, and is a measure of its lipophilicity. The ing pharmacological activity, medicinal chemists
value of the partition coefficient P is determined by may investigate the probability of making lipid pro-
measuring the drug partitioning between water and a drugs to improve absorption. A prodrug is a chemi-
suitable solvent at constant temperature. As this ratio cal modification, frequently an ester of an existing
normally spans several orders of magnitude it is drug, which converts back to the parent compound
usually expressed as the logarithmn. The organic as a result of metabolism by the body. A prodrug has
solvent that is usually selected to mimic the biological no pharmocological activity itself. Examples of pro-
membrane, because of its many similar properties, is drugs which have been successfully used to improve
octanol. the lipid solubility and hence absorption of their
parent drugs are shown in Table 17.3.
concentration of drug Molecular size and hydrogen bonding Two other
.. -,, . in organic phase drug properties that are important in permeability
Partition coefficient =
concentration in are the number of hydrogen bonds within the mole-
aqueous phase cule and the molecular size
The effective partition coefficient, taking into For paracellular absorption the molecular weight
account the degree of ionization of the drug, is should ideally be less than 200 Da; however, there
known as the distribution coefficient and again is are examples where larger molecules (up to molecu-
normally expressed as the logarithm (log D); it is lar weights of 400 Da) have been absorbed via this
given by the following equations for acids and bases:
For acids:
Table 17.3 Prodrugs with improved lipid solubility
and oral absorption
243
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
route. Shape is also an important factor for paracel- influenced by many physiological factors and by
lular absorption. many physicochemical properties associated with the
In general, for transcellular passive diffusion a drug itself. The bioavailability of a drug can also be
molecular weight of less than 500 Da is preferable. influenced by factors associated with the formulation
Drugs with molecular weights above this may be and production of the dosage form. Increasingly
absorbed less efficiently. There are few examples of many dosage forms are being designed to affect the
drugs with molecular weights above 700 Da being release and absorption of drugs, for example con-
well absorbed. trolled-release systems (see Chapter 20) and delivery
Too many hydrogen bonds within a molecule are systems for poorly soluble drugs. This section focuses
detrimental to its absorption. In general, no more than on summarizing how the type of dosage form and the
five hydrogen bond donors and no more than 10 excipients used in conventional oral dosage forms can
hydrogen bond acceptors (the sum of nitrogen and affect the rate and extent of drug absorption.
oxygen atoms in the molecule is often taken as a rough
measure of hydrogen bond acceptors) should be
present if the molecule is to be well absorbed. The large Influence of the type of dosage form
number of hydrogen bonds within peptides is one of
the reasons why peptide drugs are poorly absorbed. The type of dosage form and its method of prepara-
tion or manufacture can influence bioavailability.
Thus, whether a particular drug is incorporated and
Summary administered in the form of a solution, a suspension
There are many properties of the drug itself that will or solid dosage form can influence its rate and/or
influence its passage into solution in the gastrointesti- extent of absorption from the gastrointestinal tract.
nal tract and across the gastrointestinal membrane, The type of oral dosage form will influence the
and hence its overall rate and extent of absorption. number of possible intervening steps between
administration and the appearance of dissolved drug
in the gastrointestinal fluids, i.e. the type of dosage
form will influence the release of drug into solution
in the gastrointestinal fluids (Fig. 17.3).
DOSAGE FORM FACTORS INFLUENCING
In general, drugs must be in solution in the gas-
BIOAVAILABILITY
trointestinal fluids before absorption can occur.
Thus the greater the number of intervening steps,
Introduction the greater will be the number of potential obstacles
The rate and/or extent of absorption of a drug from to absorption and the greater will be the likelihood of
the gastrointestinal tract have been shown to be that type of dosage form reducing the bioavailability
Fig. 17.3 Schematic outline of the influence of the dosage form on the appearance of drug in solution in the gastrointestinal tract.
244
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
exhibited by the drug. Hence the bioavailability of a Complexation, i.e. the formation of a complex
given drug tends to decrease in the following order between the drug and an excipient included to
of types of dosage form: aqueous solutions > increase the aqueous solubility, the chemical
aqueous suspensions > solid dosage forms (e.g. hard stability of the drug or the viscosity of the dosage
gelatin capsules or tablets). Although this ranking is form;
not universal, it does provide a useful guideline. In Solubilization, i.e. the incorporation of the drug
general, solutions and suspensions are the most suit- into micelles in order to increase its aqueous
able for administering drugs intended to be rapidly solubility;
absorbed. However, it should be noted that other The viscosity of a solution dosage form, particularly
factors (e.g. stability, patient acceptability etc.) can if a viscosity-enhancing agent has been included.
also influence the type of dosage form in which a
drug is administered via the gastrointestinal route. Information concerning the potential influence of
each of the above factors was given earlier. Further
details concerning the formulation of oral solution
Aqueous solutions dosage forms are given in Chapter 21.
For drugs that are water soluble and chemically
stable in aqueous solution, formulation as a solution Aqueous suspensions
normally eliminates the in vivo dissolution step and
An aqueous suspension is a useful dosage form for
presents the drug in the most readily available form
administering an insoluble or poorly water-soluble
for absorption. However, dilution of an aqueous solu-
drug. Usually the absorption of a drug from this type
tion of a poorly water-soluble drug whose aqueous
of dosage form is dissolution-rate limited. The oral
solubility had been increased by formulation tech-
administration of an aqueous suspension results in a
niques such as cosolvency, complex formation or sol-
large total surface area of dispersed drug being
ubilization can result in precipitation of the drug in
immediately presented to the gastrointestinal fluids.
the gastric fluids. Similarly, exposure of an aqueous
This facilitates dissolution and hence absorption of
solution of a salt of a weak acidic compound to
the drug. In contrast to powder-filled hard gelatin
gastric pH can also result in precipitation of the free
capsule and tablet dosage forms, dissolution of all
acid form of the drug. In most cases the extremely
drug particles commences immediately on dilution
fine nature of the resulting precipitate permits a more
of the suspension in the gastrointestinal fluids. A
rapid rate of dissolution than if the drug had been
drug contained in a tablet or hard gelatin capsule
administered in other types of oral dosage forms,
may ultimately achieve the same state of dispersion
such as aqueous suspension, hard gelatin capsule or
in the gastrointestinal fluids, but only after a delay.
tablet. However, for some drugs this precipitation can
Thus a well formulated, finely subdivided aqueous
have a major effect on bioavailability. The same dose
suspension is regarded as being an efficient oral drug
of an experimental drug was given to dogs in three
delivery system, second only to a non-precipitating
different solution formulations, a polyethlyene glycol
solution-type dosage form.
solution and two different concentrations of hydroxy-
Factors associated with the formulation of aqueous
propyl-/3-cyclodextrin. Bioavailabilities of 19%, 57%
suspension dosage forms that can influence the
and 89% were obtained for polyethylene glycol, the
bioavailabilities of drugs from the gastrointestinal
lower concentration and the higher concentration of
tract include:
hydroxypropyl-/3-cyclodextrin, respectively. The dif-
ference in bioavailability of the three solutions was The particle size and effective surface area of the
attributed to the difference in precipitation rates of dispersed drug;
the candidate drug from the three solutions on dilu- The crystal form of the drug;
tion. The experimental drug was observed to precipi- Any resulting complexation, i.e. the formation of
tate most quickly from the polyethylene glycol a non-absorbable complex between the drug and
solution, and slowest from the most concentrated an excipient such as the suspending agent;
hydroxypropyl-/3-cyclodextrin solution. The inclusion of a surfactant as a wetting,
Factors associated with the formulation of flocculating or deflocculating agent;
aqueous solutions that can influence drug bioavail- The viscosity of the suspension.
ability include:
Information concerning the potential influence of
The chemical stability exhibited by the drug in the above factors on drug bioavailability is given in
aqueous solution and the gastrointestinal fluids; earlier sections. Further information concerning the
245
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
formulation and uses of suspensions as dosage forms Many poorly water-soluble drugs have been found
is given in Chapter 23. to exhibit greater bioavailabilities from liquid-filled
capsule formulations. The cardiac glycoside digoxin,
when formulated as a solution in a mixture of poly-
Liquid-filled capsules
ethylene glycol, ethanol and propylene glycol in a
Liquids can be filled into capsules made from soft or soft gelatin capsule, has been shown to be absorbed
hard gelatin. Both types combine the convenience of a faster than the standard commercial tablets.
unit dosage form with the potentially rapid drug More recently, far more complex capsule formula-
absorption associated with aqueous solutions and sus- tions have been investigated to improve the absorption
pensions. Drugs encapsulated in liquid-filled capsules of poorly soluble drugs. Cyclosporin is a hydrophobic
for peroral administration are dissolved or dispersed in drug with poor solubility in gastrointestinal fluids. It
non-toxic, non-aqueous vehicles. Such vehicles may be showed low and variable oral bioavailability from its
water immiscible (i.e. lipophilic) or water miscible (i.e. original liquid-filled soft gelatin capsule formulation
hydrophilic). Vegetable oils are popular water-immisci- (Sandimmun) and was particularly sensitive to the
ble vehicles, whereas polyethylene glycols and certain presence of fat in diet and bile acids. In its new for-
non-ionic surfactants (e.g. polysorbate-80) are water mulation (Sandimmun Neoral), which is a complex
miscible. Sometimes the vehicles have thermal proper- mixture of hydrophilic and lipophilic phases, surfac-
ties such that they can be filled into capsules while hot, tants, cosurfactants and a cosolvent, it forms a non-
but are solids at room temperature. precipitating microemulsion on dilution with
The release of the contents of gelatin capsules is gastrointestinal fluids. It has a significantly improved
effected by dissolution and splitting of the flexible bioavailability with reduced variability that is indepen-
shell. Following release, a water-miscible vehicle dis- dent of the presence of food (Drewe et al 1992).
perses and/or dissolves readily in the gastrointestinal Many protease inhibitors (antiviral drugs) are
fluids, liberating the drug (depending on its aqueous peptidomimetic in nature. They have high molecular
solubility) as either a solution or a fine suspension, weights and low aqueous solubility, are susceptible
which is conducive to rapid absorption. In the case of to degradation in the lumen and extensive hepatic
gelatin capsules containing drugs in solution or sus- metabolism, and consequently have poor bioavail-
pension in water-immiscible vehicles, release of the ability (Barry et al 1997). Saquinavir has recently
contents will almost certainly be followed by disper- been reformulated from a powder-filled hard gelatin
sion in the gastrointestinal fluids. Dispersion is facili- capsule (Invirase) to a complex soft gelatin formula-
tated by emulsifiers included in the vehicle, and also tion (Fortovase). The latter shows a significant
by bile. Once dispersed, the drug may end up as an improvement in bioavailability (3-4 times) over the
emulsion, a solution, a fine suspension or a nano/ standard hard gelatin formulation, and as a conse-
microemulsion. Well formulated liquid-filled capsules quence, a significantly greater viral load reduction
aimed at improving the absorption of poorly soluble (Perry and Noble 1998)
drugs will ensure that no precipitation of drug occurs Factors associated with the formulation of liquid-
from the nano- or microemulsion in the gastrointesti- filled gelatin capsules which can influence the bioavail-
nal fluids. If the lipophilic vehicle is a digestible oil and abilities of drugs from this type of dosage form include:
the drug is highly soluble in the oil, it is possible that
the drug will remain in solution in the dispersed oil the solubility of the drug in the vehicle (and
phase and be absorbed (along with the oil) by fat gastrointestinal fluids);
absorption processes. For a drug that is less lipophilic the particle size of the drug (if suspended in the
or is dissolved in a non-digestible oil, absorption prob- vehicle);
ably occurs following partitioning of the drug from the the nature of the vehicle, i.e. hydrophilic or
oily vehicle into the aqueous gastrointestinal fluids. In lipophilic (and whether a lipophilic vehicle is a
this case the rate of drug absorption appears to digestible or a non-digestible oil);
depend on the rate at which drug partitions from the the inclusion of a surfactant as a
dispersed oil phase. The increase in interfacial area of wetting/emulsifying agent in a lipophilic vehicle
contact resulting from dispersion of the oily vehicle in or as the vehicle itself;
the gastrointestinal fluids will facilitate partition of the the inclusion of a suspending agent (viscosity-
drug across the oil/aqueous interface. For drugs sus- enhancing agent) in the vehicle;
pended in an oily vehicle release may involve dissolu- the complexation, i.e. formation, of a non-
tion in the vehicle, diffusion to the oil/aqueous absorbable complex between the drug and any
interface and partition across the interface. excipient.
246
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
Powder-filled capsules
appears to be a complex function of the rates of dif-
Generally the bioavailability of a drug from a well ferent processes, such as the dissolution rate of the
formulated powder-filled hard gelatin capsule gelatin shell, the rate of penetration of the gastroin-
dosage form will be better than or at least equal to testinal fluids into the encapsulated mass, the rate at
that from the same drug in a compressed tablet. which the mass deaggregates (i.e. disperses) in the
Provided the hard gelatin shell dissolves rapidly in gastrointestinal fluids, and the rate of dissolution of
the gastrointestinal fluids and the encapsulated mass the dispersed drug particles.
disperses rapidly and efficiently, a relatively large The inclusion of excipients (e.g. diluents, lubricants
effective surface area of drug will be exposed to the and surfactants) in a capsule formulation can have a
gastrointestinal fluids, thereby facilitating dissolu- significant effect on the rate of dissolution of drugs,
tion. However, it is incorrect to assume that a drug particularly those that are poorly soluble and
formulated as a hard gelatin capsule is in a finely hydrophobic. Figure 17.4 shows that a hydrophilic
divided form surrounded by a water-soluble shell, diluent (e.g. sorbitol, lactose) often serves to increase
and that no bioavailability problems can occur. The the rate of penetration of the aqueous gastrointestinal
overall rate of dissolution of drugs from capsules fluids into the contents of the capsule, and to aid the
In gastrointestinal fluids, hard gelatin capsule shell dissolves, thereby exposing contents to fluids
Fig. 17.4 Diagrammatic representation of how a hydrophilic diluent can increase the rate of dissolution of a poorly soluble,
hydrophobic drug from a hard gelatin capsule.
247
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
dispersion and subsequent dissolution of the drug in administration of a tablet. Because the effective surface
these fluids. However, the diluent should exhibit no area of a poorly soluble drug is an important factor
tendency to adsorb or complex with the drug, as either influencing its dissolution rate, it is especially impor-
can impair absorption from the gastrointestinal tract. tant that tablets containing such drugs should disinte-
Both the formulation and the type and conditions grate rapidly and completely in the gastrointestinal
of the capsule-filling process can affect the packing fluids if rapid release, dissolution and absorption are
density and liquid permeability of the capsule con- required. The overall rate of tablet disintegration is
tents. In general, an increase in packing density (i.e. influenced by several interdependent factors, which
a decrease in porosity) of the encapsulated mass will include the concentration and type of drug, diluent,
probably result in a decrease in liquid permeability binder, disintegrant, lubricant and wetting agent, as
and dissolution rate, particularly if the drug is well as the compaction pressure (see Chapter 27).
hydrophobic, or if a hydrophilic drug is mixed with a The dissolution of a poorly soluble drug from an
hydrophobic lubricant such as magnesium stearate. intact tablet is usually extremely limited because of
If the encapsulated mass is tightly packed and the the relatively small effective surface area of drug
drug is hydrophobic in nature, then a decrease in dis- exposed to the gastrointestinal fluids. Disintegration
solution rate with a concomitant reduction in parti- of the tablet into granules causes a relatively large
cle size would be expected, unless a surfactant had increase in effective surface area of drug and the dis-
been included to facilitate liquid penetration. solution rate may be likened to that of a coarse,
In summary, formulation factors that can aggregated suspension. Further disintegration into
influence the bioavailabilities of drugs from hard small, primary drug particles produces a further
gelatin capsules include: large increase in effective surface area and dissolu-
tion rate. The dissolution rate is probably compara-
the surface area and particle size of the drug
ble to that of a fine, well dispersed suspension.
(particularly the effective surface area exhibited
Disintegration of a tablet into primary particles is
by the drug in the gastrointestinal fluids);
thus important, as it ensures that a large effective
the use of the salt form of a drug in preference to
surface area of a drug is generated in order to facili-
the parent weak acid or base;
tate dissolution and subsequent absorption.
the crystal form of the drug;
However, simply because a tablet disintegrates
the chemical stability of the drug (in the dosage
rapidly this does not necessarily guarantee that the
form and in gastrointestinal fluids);
liberated primary drug particles will dissolve in the
the nature and quantity of the diluent, lubricant
gastrointestinal fluids, and that the rate and extent of
and wetting agent;
absorption are adequate. In the case of poorly soluble
drug-excipient interactions (e.g. adsorption,
drugs the rate-controlling step is usually the overall
complexation);
rate of dissolution of the liberated drug particles in
the type and conditions of the filling process;
the gastrointestinal fluids. The overall dissolution rate
the packing density of the capsule contents;
and bioavailability of a poorly soluble drug from an
the composition and properties of the capsule
uncoated conventional tablet is influenced by many
shell (including enteric capsules);
factors associated with the formulation and manufac-
interactions between the capsule shell and its
ture of this type of dosage form. These include:
contents.
the physicochemical properties of the liberated
drug particles in the gastrointestinal fluids, e.g.
Tablets wettability, effective surface area, crystal form,
chemical stability;
Uncoated tablets Tablets are the most widely used
the nature and quantity of the diluent, binder,
dosage form. When a drug is formulated as a com-
disintegrant, lubricant and any wetting agent;
pressed tablet there is an enormous reduction in the
drug-excipient interactions (e.g. complexation),
effective surface area of the drug, owing to the granu-
the size of the granules and their method of
lation and compression processes involved in tablet
manufacture;
making. These processes necessitate the addition of
the compaction pressure and speed of
excipients, which serve to return the surface area of the
compression used in tabletting;
drug back to its original precompressed state.
the conditions of storage and age of the tablet.
Bioavailability problems can arise if a fine, well dis-
persed suspension of drug particles in the gastroin- Because drug absorption and hence bioavailability
testinal fluids is not generated following the are dependent upon the drug being in the dissolved
248
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
state, suitable dissolution characteristics can be an ble film-coating materials, such as ethylcellulose or
important property of a satisfactory tablet, particu- certain acrylic resins, are used (see Chapter 28), the
larly if it contains a poorly soluble drug. On this resulting film coat acts as a barrier which delays
basis, specific in vitro dissolution test conditions and and/or reduces the rate of drug release. Thus these
dissolution limits are included in the British types of film-coating materials form barriers which
Pharmacopoeia for tablets (and hard gelatin capsules) can have a significant influence on drug absorption.
containing certain drugs, e.g. digoxin. That a partic- Although the formation of such barriers would be
ular drug product meets the requirements of a com- disadvantageous in the case of film-coated tablets
pendial dissolution standard provides a greater intended to provide rapid rates of drug absorption,
assurance that the drug will be released satisfactorily the concept of barrier coating has been used (along
from the formulated dosage form in vivo and be with other techniques) to obtain more precise control
absorbed adequately (see also Chapter 18). over drug release than is possible with conventional
Coated tablets Tablet coatings may be used simply uncoated tablets (see Chapter 20). In this context,
for aesthetic reasons to improve the appearance of a film coating has been used to provide limited control
tablet or to add a company logo, or may be employed over the site at which a drug is released from a tablet
to mask an unpleasant taste or odour or to protect an into the gastrointestinal tract.
ingredient from decomposition during storage. Enteric-coated tablets The use of barrier coating to
Currently the most common type of tablet coat is film; control the site of release of an orally administered
however, several older preparations, such as vitamins drug is well illustrated by enteric-coated tablets. An
and ibuprofen, still have sugar coats. The presence of a enteric coat is designed to resist the low pH of gastric
coating presents a physical barrier between the tablet fluids but to disrupt or dissolve when the tablet enters
core and the gastrointestinal fluids: coated tablets the higher pH of the duodenum. Polymers such as
therefore not only possess all the potential bioavailabil- cellulose acetate phthalate, hydroxypropyl methylcel-
ity problems associated with uncoated conventional lulose phthalate, the copolymers of methacrylic acid
tablets, but are subject to the additional potential and their esters and polyvinyl acetate phthalate, can
problem of being surrounded by a physical barrier. In be used as enteric coatings. These materials do not
the case of a coated tablet which is intended to disin- dissolve over the gastric pH range but dissolve rapidly
tegrate and release drug rapidly into solution in the at the less acid pH (about 5) values associated with
gastrointestinal fluids, the coating must dissolve or the small intestine. Enteric coating should preferably
disrupt before these processes can occur. The physico- begin to dissolve at pH5 in order to ensure the avail-
chemical nature and thickness of the coating can thus ability of drugs which are absorbed primarily in the
influence how quickly a drug is released from a tablet. proximal region of the small intestine. Enteric coating
In the process of sugar coating the tablet core is thus provides a means of delaying the release of a drug
usually sealed with a thin continuous film of a poorly until the dosage form reaches the small intestine.
water-soluble polymer such as shellac or cellulose Such delayed release provides a means of protecting
acetate phthalate. This sealing coat serves to protect drugs which would otherwise be destroyed if released
the tablet core and its contents from the aqueous fluids into gastric fluid. Hence, enteric coating serves to
used in the subsequent steps of the sugar-coating improve the oral bioavailability exhibited by such
process. Hence the presence of this water-imperme- drugs from uncoated conventional tablets. Enteric
able sealing coat can potentially retard drug release coating also protects the stomach against drugs which
from sugar-coated tablets. In view of this potential can produce nausea or mucosal irritation (e.g. aspirin,
problem, annealing agents such as polyethylene glycols ibuprofen) if released at this site.
or calcium carbonate, which do not substantially In addition to the protection offered by enteric
reduce the water impermeability of the sealing coat coating, the delayed release of drug also results in a
during sugar coating, but which dissolve readily in significant delay in the onset of the therapeutic
gastric fluid, may be added to the sealer coat in order response of a drug. The onset of the therapeutic
to reduce the barrier effect to rapid drug release. response is largely dependent on the residence time of
The coating of a tablet core by a thin film of a the enteric-coated tablet in the stomach. Gastric emp-
water-soluble polymer, such as hydroxypropyl methy- tying of such tablets is an all-or-nothing process, i.e.
cellulose, should have no significant effect on the rate the tablet is either in the stomach or in the duodenum.
of disintegration of the tablet core and subsequent Consequently, drug is either not being released or
drug dissolution, provided that the film coat dissolves being released. The residence time of an intact
rapidly and independently of the pH of the gastroin- enteric-coated tablet in the stomach can vary from
testinal fluids. However, if hydrophobic water-insolu- about 5 minutes to several hours (see Chapter 16).
249
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Hence there is considerable intra- and intersubject ability is provided by the Australian outbreak of
variation in the onset of therapeutic action exhibited phenytoin intoxication which occurred in epileptic
by drugs administered as enteric-coated tablets. patients as a consequence of the diluent in sodium
The formulation of an enteric-coated product in phenytoin capsules being changed. Many epileptic
the form of small individually enteric-coated granules patients who had been previously stabilized with
or pellets (multiparticulates) contained in a rapidly sodium phenytoin capsules containing calcium sul-
dissolving hard gelatin capsule or a rapidly disinte- phate dihydrate as the diluent, developed clinical
grating tablet, largely eliminates the dependency of features of phenytoin overdosage when given sodium
this type of dosage form on the all-or-nothing gastric phenytoin capsules containing lactose as the diluent
emptying process associated with intact (monolith) even though the quantity of drug in each capsule for-
enteric coated tablets. Provided the coated granules mulation was identical. It was later shown that the
or pellets are sufficiently small (less than 1 mm diam- excipient calcium sulphate dihydrate had been
eter), they will be able to empty from the stomach responsible for decreasing the gastrointestinal
with liquids. Hence enteric-coated granules and absorption of phenytoin, possibly because part of the
pellets exhibit a gradual but continual release from administered dose of drug formed a poorly
the stomach into the duodenum. This type of release absorbable calcium-phenytoin complex. Hence,
also avoids the complete dose of drug being released although the size of dose and frequency of adminis-
into the duodenum, as occurs with an enteric-coated tration of the sodium phenytoin capsules containing
tablet. The intestinal mucosa is thus not exposed calcium sulphate dihydrate gave therapeutic blood
locally to a potentially toxic concentration of drug. levels of phenytoin in epileptic patients, the
Further information on coated tablets and multi- efficiency of absorption of phenytoin had been
particulates is given in Chapter 28. lowered by the incorporation of this excipient in the
hard gelatin capsules. Hence, when the calcium sul-
phate dihydrate was replaced by lactose without any
Influence of excipients for conventional alteration in the quantity of drug in each capsule, or
dosage forms in the frequency of administration, an increased
Drugs are almost never administered alone but bioavailability of phenytoin was achieved. In many
rather in the form of dosage forms that generally patients the higher plasma levels exceeded the
consist of a drug (or drugs) together with a varying maximum safe concentration for phenytoin and pro-
number of other substances (called excipients}. duced toxic side-effects.
Excipients are added to the formulation in order to
facilitate the preparation, patient acceptability and
Surfactants
functioning of the dosage form as a drug delivery
system. Excipients include disintegrating agents, Surfactants are often used in dosage forms as
diluents, lubricants, suspending agents, emulsifying emulsifying agents, solubilizing agents, suspension
agents, flavouring agents, colouring agents, chemical stabilizers or wetting agents. However, surfactants in
stabilizers etc. Although historically excipients were general cannot be assumed to be 'inert' excipients as
considered to be inert in that they themselves should they have been shown to be capable of either increas-
exert no therapeutic or biological action, or modify ing, decreasing or exerting no effect on the transfer
the biological action of the drug present in the of drugs across biological membranes.
dosage form, they are now regarded as having the Surfactant monomers can potentially disrupt the
ability to influence the rate and/or extent of absorp- integrity and function of a biological membrane.
tion of the drug. For instance, the potential influence Such an effect would tend to enhance drug penetra-
of excipients on drug bioavailability has already been tion and hence absorption across the gastrointestinal
illustrated by virtue of the formation of poorly barrier, but may also result in toxic side-effects.
soluble, non-absorbable drug-excipient complexes Inhibition of absorption may occur as a consequence
between tetracyclines and dicalcium phosphate, of a drug being incorporated into surfactant
amphetamine and sodium carboxymethylcellulose, micelles. If such surfactant micelles are not
and phenobarbitone and polyethylene glycol 4000. absorbed, which appears usually to be the case, then
solubilization of a drug may result in a reduction of
the concentration of 'free' drug in solution in the
Diluents
gastrointestinal fluids that is available for absorption.
The classic example of the influence that excipients Inhibition of drug absorption in the presence of
employed as diluents can have on drug bioavail- micellar concentrations of surfactant would be
250
BIOAVAILABILITY - PHYSICOCHEMICAL AND DOSAGE FORM FACTORS
expected to occur in the case of drugs that are nor- cant during tablet compression and capsule-filling
mally soluble in the gastrointestinal fluids, i.e. in the operations. Its hydrophobic nature often retards
absence of surfactant. Conversely, in the case of liquid penetration into capsule ingredients, so that
poorly soluble drugs whose absorption is dissolu- after the shell has dissolved in the gastrointestinal
tion-rate limited, the increase in saturation solubility fluids a capsule-shaped plug often remains, especially
of the drug by solubilization in surfactant micelles when the contents have been machine-filled as a con-
could result in more rapid rates of dissolution and solidated plug (Chapter 29). Similar reductions in
hence absorption. dissolution rate may be observed when magnesium
The release of poorly soluble drugs from tablets stearate is included in tablets. However, these effects
and hard gelatin capsules may be increased by the can usually be overcome by the simultaneous
inclusion of surfactants in their formulations. The addition of a wetting agent (i.e. a water-soluble
ability of a surfactant to reduce the solid/liquid inter- surfactant) and the use of a hydrophilic diluent.
facial tension will permit the gastrointestinal fluids
to wet the solid more effectively, and thus enable it
Disintegrants
to come into more intimate contact with the solid
dosage forms. This wetting effect may thus aid the Disintegrants are required to break up capsules,
penetration of gastrointestinal fluids into the mass of tablets and granules into primary powder particles in
capsule contents that often remains when the hard order to increase the surface area of the drug
gelatin shell has dissolved, and/or reduce the ten- exposed to the gastrointestinal fluids. A tablet that
dency of poorly soluble drug particles to aggregate in fails to disintegrate or disintegrates slowly may result
the gastrointestinal fluids. In each case, the resulting in incomplete absorption or a delay in the onset of
increase in the total effective surface area of drug in action of the drug. The compaction force used in
contact with the gastrointestinal fluids would tend to tablet manufacture can affect disintegration: in
increase the dissolution and absorption rates of the general, the higher the force the slower the disinte-
drug. It is interesting to note that the enhanced gas- gration time. Even small changes in formulation may
trointestinal absorption of phenacetin in humans result in significant effects on dissolution and
resulting from the addition of polysorbate-80 to an bioavailability. A classic example is that of tolbu-
aqueous suspension of this drug was attributed to tamide, where two formulations, the commercial
the surfactant preventing aggregation and thus product and the same formulation but with half the
increasing the effective surface area and dissolution amount of disintegrant, were administered to healthy
rate of the drug particles in the gastrointestinal volunteers. Both tablets disintegrated in vitro within
fluids. 10 minutes meeting pharmacopoeial specifications,
The possible mechanisms by which surfactants but the commercial tablet had a significantly greater
can influence drug absorption are varied and it is bioavailability and hypoglycaemic response.
likely that only rarely will a single mechanism
operate in isolation. In most cases the overall effect
Viscosity-enhancing agents
on drug absorption will probably involve a number
of different actions of the surfactant (some of which Viscosity-enhancing agents are often employed in
will produce opposing effects on drug absorption), the formulation of liquid dosage forms for oral use in
and the observed effect on drug absorption will order to control such properties as palatability, ease
depend on which of the different actions is the over- of pouring and, in the case of suspensions, the rate of
riding one. The ability of a surfactant to influence sedimentation of the dispersed particles. The viscos-
drug absorption will also depend on the physico- ity-enhancing agent is often a hydrophilic polymer.
chemical characteristics and concentration of the There are a number of mechanisms by which a
surfactant, the nature of the drug and the type of viscosity-enhancing agent may produce a change in
biological membrane involved. the gastrointestinal absorption of a drug. Complex
formation between a drug and a hydrophilic polymer
could reduce the concentration of drug in solution
Lubricants
that is available for absorption. The administration of
Both tablets and capsules require lubricants in their viscous solutions or suspensions may produce an
formulation to reduce friction between the powder increase in viscosity of the gastrointestinal contents.
and metal surfaces during their manufacture. This could lead to a decrease in dissolution rate
Lubricants are often hydrophobic in nature. and/or a decrease in the rate of movement of drug
Magnesium stearate is commonly included as a lubri- molecules to the absorbing membrane.
251
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Normally, a decrease in the rate of dissolution estimate the solubility and permeability in drug discovery
would not be applicable to solution dosage forms and development settings. Adv. Drug Del. Rev. 23, 3-29.
Loper, A., Hettrick, L., Novak, L., Landis, E.,Yeh, S.,
unless dilution of the administered solution in the gas- Asgharnejad, M., Gehret, J. and Ostovic, D. (1999) Factors
trointestinal fluids caused precipitation of the drug. influencing the absorption of an HIV protease inhibitor
In the case of suspensions containing drugs with analogue of indinavir in beagle dogs. AAPS Pharm. Sci,
bioavailabilities that are dissolution-rate dependent, 4243.
Naylor, L.J. et al. (1995) Dissolution of steroids in bile salt
an increase in viscosity could also lead to a decrease and lecithin solutions, with references to bile salt
in the rate of dissolution of the drug in the gastroin- concentrations in the GI tract. Eur. J. Pharm. Biopharm.,
testinal tract. 41, 346-353.
Panchagnula, R. and Thomas, N.S. (2000) Biopharmaceutics
and pharmacokinetics in drug research. Int. J. Pharm.., 201,
Summary 131-150.
Perry, C.M. Noble, S. (1998) Saquinavir soft-gel capsule
As well as physiological and drug factors, the dosage formulation. A review of its use in patients with HIV
form can play a major role in influencing the rate and infection. Drugs (3) 461-486.
extent of absorption. Often this is by design. Russell T.L. et al (1994). Influence of gastric pH and emptying
on dipyridamole absorption. Pharm. Res., 11; 136-143.
However, even with conventional dosage forms it is Sevelius, H. et al. (1980); Bioavailability of naproxen sodium
important to consider whether changing the dosage and its relationship to clinical analgesic effects. Br. J. Clin.
form or excipients will affect the bioavailability of the Pharmacol., 10, 259.
drug. Some drugs will be more susceptible to Taylor, D.C., Pownall, R., Burke, W. (1985). Absorption of
changes in rate and extent of absorption through beta-adrenoceptor antagonists in the rat in situ small
intestine. J. Pharm. Pharmacol., 37, 280-283.
dosage form changes than others: this will depend on Terjarla, S., Puranjoti, P., Kasina, P., Mandal, J. (1998)
the biopharmaceutical properties of the drug (see Preparation, characterisation and evaluation of
Chapter 18). miconazole-cyclodextrin complexes for improved oral and
topical delivery. J. Pharm. Sci., 87; 425-429.
REFERENCES
BIBLIOGRAPHY
Barry, M., Gribous, Back D., Mulcahy F. (1997) Protease
inhibitors in patients with HIV disease. Clinically Brayden, D. (1997) Human intestinal epithelial monolayers
important pharmacokinetic considerations. Clin as prescreens for oral drug delivery. Pharm. News, 4 (1).
Pharmacokinet 32 (3) 194-209. 11-13.
Dressman, J.B., Amidon, G.L., Reppas, C., Shah, V.P. (1998). Dressman, J.B., Amidon, G.L., Reppas, C., Shah, V.P. (1998).
Dissolution testing as a prognostic tool for oral drug Dissolution testing as a prognostic tool for oral drug
absorption; immediate release dosage forms. Pharm. Res, absorption; immediate release dosage forms. Pharm. Res,
15, 11-22. 15, 11-22.
Drewe, J., Meier, R., Vonderscher, J., Kiss, D., Posanki, U., Lennernas, H. (1998) Human intestinal permeability.
Kissel,T, Gyr, K. (1992). Br. J. Clin. Pharmacol., 34, 60. J. Pharm. Sci., 87, 403-410.
Florence, A.T. and Attwood, D. (1998). Physicochemical vander Meer, J.W., Keuning, J.J., Scheijgrond, H.W.,
principles of Pharmacy, 3rd edn. Macmillan Press. Heykants, J., Van Cutsem J., Brugmans, J. (1980) The
Lipinski, C.A., Lombardo, F., Dominy, B.W. and Feeney, P.J. influence of gastric acidity on the bioavailability of
(1997) Experimental and computational approaches to ketoconazole. Antimicrob. Chemother, 6 (4). 552-554.
252
18
Assessment of biopharmaceutical properties
Marianne Ashford
253
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
254
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
255
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
time it reaches the colon. If the drug is absorbed across membranes that are used to gain an assess-
along the length of the gastrointestinal tract, and is ment of oral absorption in humans. These range
susceptible to degradation or metabolism by the bac- from computational (in silico) predictions and both
terial enzymes within the tract, its absorption and physicochemical and biological methods. The bio-
hence its bioavailability is liable to be reduced. logical methods can be further subdivided into in
Similarly, for sustained- or controlled-release prod- vitro, in situ and in vivo methods. In general, the
ucts that are designed to release their drug along the more complex the technique the more information
length of the gastrointestinal tract, the potential of that can be gained and the more accurate is the
degradation or metabolism by bacterial enzymes assessment of oral absorption in humans. The range
should be assessed. If the drug is metabolized to a of techniques is summarized in Table 18.4. Some of
metabolite which can be absorbed the potential tox- the more popular ones are discussed below.
icity of this metabolite should be considered.
Partition coefficients
Permeability One of the first properties of a molecule that can be
There is a wealth of techniques available for either predicted or measured is its partition coefficient
estimating or measuring the rate of permeation between an oil and a water phase (log P). This gives
I
i Table 18.4 Some of the models available for predicting or measuring drug absorption
Model type Model Description
256
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
a measure of the lipophilicity of a molecule, which ment to overall lipophilicity (often called the
can be used as a prediction as to how well it will be cLogP). Another method used to calculate log P is
able to cross a biological membrane. As discussed in the Moriguchi method, which uses 13 parameters
Chapter 17, octanol is usually chosen as the solvent for hydrophobic and hydrophilic atoms, proximity
for the oil phase as it has similar properties to bio- effects, unsaturated bonds, intramolecular bonds,
logical membranes. If the aqueous phase is at a par- ring structures, amphoteric properties and several
ticular pH, the distribution coefficient at that pH is specific functionalities to obtain a value for the par-
measured (log D); this then accounts for the ioniza- tition coefficient. This is often called the mLogP.
tion of the molecule at that pH. In the case of a The advantages of these methods are in drug dis-
weakly acidic or a weakly basic drug, the log D mea- covery, where an estimate of the lipophilicity of
sured at an intestinal pH (e.g. 6.8) is liable to give a many molecules can be obtained before they are
better prediction of the drug's ability to cross the actually synthesized.
lipid gastrointestinal membrane than its partition Another more sophisticated physicochemical
coefficient, log P, which does not take the degree of means of gaining a view as to how well a drug will
ionization into account. partition into a lipophilic phase is by investigating
One of the most common ways of measuring par- how well the molecule can be retained on a high-
tition coefficients is to use the shake flask method. performance liquid chromatography column
This relies on the equilibrium distribution of a drug (HPLC). HPLC columns can be simply coated with
between an oil and an aqueous phase. Prior to the octanol to mimic octanol-aqueous partition, or more
experiment the aqueous phase should be saturated elaborately designed to mimic biological membranes,
with the oil phase and vice versa. The experiment for example the Immobilized Artificial Membrane
should be carried out at constant temperature. The (LAM). This technique provides a measure of how
drug should be added to the aqueous phase and the well a solute (i.e. the drug) in the aqueous phase will
oil phase which, in the case of octanol, as it is less partition into biological membranes (i.e. be retained
dense than water, will sit on top of the water. The on the column). Good correlations between these
system is mixed and then left to reach equilibrium methods and biological in vitro methods of estimat-
(usually at least 24 hours). The two phases are sepa- ing transcellular passive drug absorption have been
rated and the concentration of drug is measured in obtained.
each phase and a partition coefficient calculated
(Fig. 18.2). As discussed in Chapter 17, within a
Cell culture techniques
homologous series increasing lipophilicity (log PID)
tends to result in greater absorption. A molecule is Cell culture techniques for measuring the intestinal
unlikely to cross a membrane (i.e. be absorbed via absorption of molecules have been increasingly used
the transcellular passive route) if it has a log P less over recent decades and are now a well accepted
than 0. model for absorption.
Instead of measuring log P computational The cell line that is most widely used is Caco-2.
methods can be used to estimate it, and there are a Caco-2 cells are a human colon carcinoma cell line
number of software packages available to do this. that was first proposed and characterized as a model
There is a reasonably good correlation between the for oral drug absorption by Hidalgo in 1989. In
calculated and the measured values. Log P can be culture, Caco-2 cells spontaneously differentiate to
estimated by breaking down the molecule into frag- form a monolayer of polarized enterocytes. These
ments and calculating the contribution of each frag- enterocytes resemble those in the small intestine, in
that they contain microvilli and many of the trans-
port systems present in the small intestine, for
example those for sugars, amino acids, peptides and
the P-glycoprotein efflux transporter. Adjacent
Caco-2 cells adhere through tight junctions.
However, the tightness of these junctions is more like
those of the colon than those of the leakier small
intestine.
There are many variations on growing and carrying
out transport experiments with Caco-2 monolayers.
Fig. 18.2 Diagram of the shake-flask method for determining In general the cells are grown on porous supports,
partition coefficient. usually for a period of 15-21 days in typical cell
257
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 18.3 Diagram of a Caco-2 cell culture system for determining apparent permeability.
258
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
also inhibited by the presence of compounds that are layer. HT-29-18C1, a subclone of a human intestinal
known inhibitors of P-glycoprotein, such as vera- adenocarcinoma cell line, can differentiate in culture
pamil, this gives a further indication that the drug is to produce both absorptive cells containing a
susceptible to P-glycoprotein efflux. microvillus structure and mucus secreting goblet
To help elucidate whether other membrane trans- cells. It also has a resistance similar to that of the
porters are involved in the absorption of a particu- small intestine, and so it can be argued that this cell
lar drug, further competitive inhibition studies can line is preferable to Caco-2 in that it will give better
be carried out with known inhibitors of the particu- information about the transcellular and paracellular
lar transporter. For example, the dipeptide glycosyl- routes of absorption. However, this cell line has yet
sarcosine can be used to probe whether the to be well characterized as an absorption model, and
dipeptide transporter is involved in the absorption therefore its use is not widespread.
of a particular drug. Further information on the use of Caco-2 mono-
To evaluate whether a compound is absorbed via layers as an absorption model can be obtained from
the paracellular or the transcellular pathway, the Artusson et al (1996).
tight junctions can be artificially opened with com-
pounds such as EDTA, which chelates calcium.
Tissue techniques
Calcium is involved in keeping the junctions
together. If the apparent permeability of a com- A range of tissue techniques have been used as
pound is not affected by the opening of these junc- absorption models (Table 18.4). Two of the more
tions, which can be assessed by using a paracellular popular ones are the use of isolated sheets of intesti-
marker such as mannitol, one can assume the drug nal mucosa and of everted intestinal rings. These are
transport is via a transcellular pathway. discussed in more detail below.
If the disappearance of drug on the apical side of Isolated sheets of intestinal mucosa are prepared by
the membrane is not mirrored by its appearance on cutting the intestine into strips; the musculature is
the basolateral side, and/or the mass balance at the then removed and the sheet mounted and clamped in
end of the transport experiment does not account for a diffusion chamber or an Ussing chamber filled with
100% of the drug, there may be a problem with appropriate biological buffers (Fig. 18.5). The
binding to the membrane porous support. This will transepithelial resistance is measured across the tissue
need investigation, or the drug may have a stability to check its integrity. The system is maintained at
issue. The drug could be susceptible to enzymes 37C and stirred so that the thickness of the unstirred
secreted by the cells and/or to degradation by water layer is controlled and oxygen provided to the
hydrolytic enzymes as it passes through the cells, or tissue. The drug is added to the donor chamber and
it may be susceptible to metabolism by cytochrome
P450 within the cell. Thus the Caco-2 cells are not
only capable of evaluating the permeability of drugs
but have value in investigating whether two of the
other potential barriers to absorption, stability and
presystemic metabolism, are likely to affect the
overall rate and extent of absorption.
Caco-2 cells are very useful tools for understand-
ing the mechanism of absorption of drugs and have
furthered significantly our knowledge of the absorp-
tion of a variety of drugs. Other advantages of Caco-
2 cells are that they are a non-animal model, require
only small amounts of compound for transport
studies, can be used as a rapid screening tool to
assess the permeability of large numbers of com-
pounds in the discovery setting, and can be used to
evaluate the potential toxicity of compounds to cells.
The main disadvantages of Caco-2 monolayers as
an absorption model are that, because of the tight-
ness of the monolayer, they are more akin to the
paracellular permeability of the colon rather than
that of the small intestine, and that they lack a mucus Fig. 18.5 Diagram of a diffusion chamber.
259
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
the amount accumulating in the receiver chamber is Caco-2 model. A similarly shaped curve for the per-
measured as a function of time. The permeability centage of drug absorbed in humans versus apparent
across the tissue can then be calculated. permeability or uptake (mole per weight of tissue)
Similar to cell monolayers, the two sides of the for the isolated sheet and everted ring methods,
tissue can be sampled independently and thus fluxes respectively, is obtained.
from mucosal to serosal and from serosal to mucosal
can be measured. Any pH dependence of transport
Perfusion studies
can be determined by altering the pH of the buffers
in the donor and/or receiver chambers. This system Many variations of intestinal perfusion methods have
can also therefore be used to probe active transport. been used as absorption models over the years. Again,
One advantage of this technique over cell culture in general, because of its relative ease of use and sim-
techniques is that permeability across different ilarity to the permeability of the human intestine, the
regions of the intestine can be assessed. It is particu- rat model is preferred. In situ intestinal perfusion
larly helpful to be able to compare permeabilities models have the advantage that the whole animal is
across intestinal and colonic tissue, especially when used, with the nerve, lymphatic and blood supplies
assessing whether a drug is suitable for a controlled- intact, and therefore there should be no problem with
release delivery system. In addition, different animal tissue viability and all the transport mechanisms
tissues can be used, which permits an assessment of present in a live animal should be functional.
permeability in different preclinical models. The rat The animal is anaesthetized and the intestine
intestine is usually preferred for absorption studies exposed. In the open loop method a dilute solution of
as its permeability correlates well with that of human drug is pumped slowly through the intestine and the
intestine. Human tissue and cell monolayers have difference in drug concentration between the inlet
also been used in this system. and outlet concentrations is calculated (Fig. 18.6).
Everted intestinal rings use whole intestinal seg- An absorption rate constant or effective permeability
ments rather than just sheets. The musculature is coefficient across the intestine can be calculated as
therefore intact. Intestinal segments are excised, follows:
again usually from rats; the segment is then tied at
Peff = Q . In (Q - C0)/277r/ (18.2)
one end and carefully everted by placing it over a
glass rod, and cut into small sections or rings. These where Peff is the effective permeability coefficient
rings are incubated in stirred oxygenated drug- (cm/s), Q is the flow rate in mL/s, Q is the initial
containing buffer at 37C. After a set period of time, drug concentration, C0 is the final drug concentra-
drug uptake is quenched by quickly rinsing the ring tion, r is the radius of the intestinal loop (cm), and,
with ice-cold buffer and carefully drying it. The ring / is the length of intestinal loop (cm).
is then assayed for drug content and the amount of In the closed loop method a dilute solution of
drug taken up per gram of wet tissue over a specific drug is added to a section of the intestine and the
period of time is calculated (mol g"1 time"1). The
advantage of using intestinal rings is that the test is
relatively simple and quick to perform. A large
number of rings can be prepared from each segment
of intestine, which allows each animal to act as its
own control. In addition, the conditions of the exper-
iment can be manipulated and so provide an insight
into the mechanisms of absorption.
The disadvantages of this system are that it is bio-
logical and that care must be taken to maintain the
viability of the tissue for the duration of the experi-
ment. As the drug is taken up into the ring, the tissue
needs to be digested and the drug extracted from it
before it is assayed, which results in lengthy sample
preparation and complicates the assay procedure. In
addition, as this is an uptake method no polarity of
absorption can be assessed.
Both these absorption models can be calibrated
with a standard set of compounds similar to the Fig. 18.6 Diagram of an in situ rat perfusion.
260
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
intestine closed. The intestine is then excised and liver, and determining the relative importance of the
drug content analysed immediately and after an intestine and liver in presystemic metabolism.
appropriate time or time intervals, depending on the The disadvantages of these perfusion systems is
expected rate of absorption. Again, assuming a first- that as they become more complex, a larger number
order rate process and hence an exponential loss of of animals are required to establish suitable perfusion
drug from the intestine, an absorption rate constant conditions and the reproducibility of the technique.
and effective permeability can be calculated. Like the However, in general, as the complexity increases so
intestinal ring method, the closed loop in situ perfu- does the amount of information obtained.
sion model requires a lengthy digestion, extraction
and assay procedure to analyse the drug remaining
Assessment of permeability in humans
in the intestinal loop.
There is a lot of fluid moving in and out of the intes- Intestinal perfusion studies Until relatively recently
tine, and so the drug concentrations in both these in the most common way to evaluate the absorption of
situ perfusion methods need to be corrected for fluid drugs in humans was by performing bioavailability
flux. This is normally done by gravimetric means or by studies and deconvoluting the data available to cal-
using a non-absorbable marker to assess the effect of culate an absorption rate constant. This rate con-
fluid flux on the drug concentration. As with other stant, however, is dependent on the release of the
absorption models, correlations have been made with drug from the dosage form, and is affected by ifttesti-
standard compounds where the fraction absorbed in nal transit and presystemic metabolism. Therefore,
humans is known, and similar-shaped curves have very often it does not reflect the true intrinsic intesti-
been obtained (Fig. 18.4). In these models the 'absorp- nal permeability of a drug.
tion rate' is calculated by measuring the disappearance Extensive studies have been carried out using a
of the drug from the lumen and not its accumulation regional perfusion technique which has afforded a
in the plasma. It is therefore important to check that greater insight into human permeability (Loc-I-
the drug is not degraded in the lumen or intestinal Gut). The Loc-I-Gut is a multichannel tube system
wall, as drug that has disappeared will be erroneously with a proximal and a distal balloon (Fig. 18.7).
assumed to have been absorbed. These balloons are 100 mm apart and allow a
More sophisticated techniques are those involving segment of intestine 100 mm long to be isolated and
vascular perfusion. In these techniques, either a pair perfused. Once the proximal balloon passes the liga-
of mesenteric vessels supplying an intestinal ment of Treitz both balloons are filled with air
segment or the superior mesenteric artery and thereby preventing mixing of the luminal contents in
portal vein perfusing almost the entire intestine are the segment of interest with other luminal contents.
cannulated.The intestinal lumen and sometimes the A non-absorbable marker is used in the perfusion
lymph duct are also cannulated for the collection of solution to check that the balloons work to occlude
luminal fluid and lymph, respectively. This model, the region of interest. A tungsten weight is placed in
although complicated, is very versatile as drug can front of the distal balloon to facilitate its passage
be administered into the luminal or the vascular per- down the gastrointestinal tract.
fusate. When administered to the intestinal lumen, Drug absorption is calculated from the rate of dis-
drug absorption can be evaluated from both its dis- appearance of the drug from the perfused segment.
appearance from the lumen and its appearance in This technique has afforded greater control in human
the portal vein. Using this method both the rate and intestinal perfusions, primarily because it isolates the
extent of absorption can be estimated, as well as
carrier-mediated transport processes. Collection of
the lymph allows the contribution of lymphatic
absorption for very lipophilic compounds to be
assessed. One of the other advantages of this system
is the ability to determine whether any intestinal
metabolism occurs before or after absorption.
A further extension of this model is to follow the
passage of drugs from the intestine through the liver,
and several adaptations of rat intestinal-liver perfu-
sion systems have been investigated. Such a com-
bined system gives the added advantage of assessing
the first-pass or presystemic metabolism through the Fig. 18.7 Diagram of the Loc-I-Gut.
261
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
luminal contents of interest, and has greatly facilitated lism. Drugs are incubated with either brush border
the study of permeability mechanisms and the metab- membrane preparations or gut wall homogenate at
olism of drugs and nutrients in the human intestine 37C and the drug content analysed.
(Knutson et al 1989, Lennernas et al 1992). Various liver preparations, for example subcellular
Non-invasive approaches There is concern that fractions such as microsomes, isolated hepatocytes
the invasive nature of perfusion techniques can affect and liver slices, are used to determine hepatic metab-
the function of the gastrointestinal tract, in particu- olism in vitro. Microsomes are prepared by high-
lar the fluid content, owing to the intubation process speed centrifugation of liver homogenates (100 000 g)
altering the absorption and secretion balance. To and are composed mainly of fragments of the endo-
overcome this problem, several engineering-based plasmic reticulum. They lack cystolic enzymes and
approaches have been developed to evaluate drug cofactors and are therefore only suitable to evaluate
absorption in the gastrointestinal tract. These some of the metabolic processes the liver is capable of,
include high-frequency (HF) capsules (Fuhr et al known as phase I metabolism. Hepatocytes must be
1994) and the InteliSite capsule (Wilding 1997). freshly and carefully prepared from livers and are only
The transit of the high-frequency capsule down the viable for a few hours. It is therefore difficult to obtain
gastrointestinal tract is followed by X-ray fluoroscopy. human hepatocytes. Hepatocytes are very useful for
Once the capsule reaches its desired release site drug hepatic metabolism studies as it is possible to evaluate
release is triggered by a high-frequency signal, which most of the metabolic reactions, i.e. both phase I and
leads to rupturing of a latex balloon that has been II metabolism. Whole liver slices again have the ability
loaded with drug. Concerns about X-ray exposure to evaluate both phase I and II metabolism. Because
and the difficulties of loading the drug into the they are tissue slices rather than cell suspensions, and
balloon have limited the use of this technique. because they do not require enzymatic treatment in
The InteliSite capsule is a more sophisticated their preparation, this may be why a higher degree of
system for measuring drug absorption. Either a in vivo correlation can be achieved with liver slices
liquid or a powder formulation can be filled into the than with hepatocytes and microsomes. The reader is
capsule, the transit of which is followed by gamma- referred to a review by Carlile et al (1997).
scintigraphy (see later). Once the capsule reaches its
desired release site it is activated by exposure to a
radiomagnetic field, which induces a small amount
of heat in the capsule's electronic assembly. The heat ASSESSMENT OF BIOAVAILABILITY
causes some shape-memory alloys to straighten,
rotating the inner sleeve of the capsule with respect The measurement of bioavailability gives the net
to an outer sleeve and allowing a series of slots in the result of the effect of the release of drug into solution
two sleeves to become aligned and the enclosed drug in the physiological fluids at the site of absorption, its
to be released. For both these systems blood samples stability in those physiological fluids, its permeability
need to be taken to quantify drug absorption. and its presystemic metabolism on the rate and extent
of drug absorption by following the concentration-
Presystemic metabolism time profile of drug in a suitable physiological fluid.
The concentration-time profile also gives informa-
Presystemic metabolism is the metabolism that occurs tion on other pharmacokinetic parameters, such as
before the drug reaches the systemic circulation. the distribution and elimination of the drug. The
Therefore, for an orally administered drug this most commonly used method of assessing the
includes the metabolism that occurs in the gut wall and bioavailability of a drug involves the construction of
the liver. As discussed above, perfusion models that a blood plasma concentration-time curve, but urine
involve both the intestines and the liver allow an eval- drug concentrations can also be used and are
uation of the presystemic metabolism in both organs. discussed below.
In other models it is sometimes possible to design mass
balance experiments that will assess whether presys-
temic intestinal metabolism is likely to occur. Plasma concentration-time curves
Intestinal cell fractions, such as brush border When a single dose of a drug is administered orally
membrane preparations which contain an abun- to a patient, serial blood samples are withdrawn and
dance of hydrolytic enzymes, and homogenized the plasma assayed for drug concentration at specific
preparations of segments of rat intestine, can also be periods of time after administration, a plasma con-
used to determine intestinal presystemic metabo- centration-time curve can be constructed.
262
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
Figure 18.8 shows a typical plasma concentra- exceeds the rate absorption. Therefore, the concen-
tion-time curve following the administration of an tration of the drug in the plasma declines.
oral tablet. Eventually drug absorption ceases when the
At zero time, when the drug is first administered, bioavailable dose has been absorbed, and the con-
the concentration of drug in the plasma will be zero. centration of drug in the plasma is now controlled
As the tablet passes into the stomach and/or intestine only by its rate of elimination by metabolism and/or
it disintegrates, the drug dissolves and absorption excretion. This is sometimes called the elimination
occurs. Initially the concentration of drug in the phase of the curve. It should be appreciated,
plasma rises, as the rate of absorption exceeds the rate however, that elimination of a drug begins as soon as
at which the drug is being removed by distribution it appears in the plasma.
and elimination. Concentrations continue to rise until Several parameters based on the plasma
a maximum (or peak) is attained. This represents the concentration-time curve which are important in
highest concentration of drug achieved in the plasma bioavailability studies are shown in Figure 18.9, and
following the administration of a single dose, and is are discussed below.
often termed the Crmax
n . It is reached when the rate of Minimum effective (or therapeutic) plasma concentra-
appearance of drug in the plasma is equal to its rate of tion It is generally assumed that some minimum
removal by distribution and elimination. concentration of drug must be reached in the plasma
The ascending portion of the plasma concentration- before the desired therapeutic or pharmacological
time curve is sometimes called the absorption effect is achieved. This is called the minimum effec-
phase. Here the rate of absorption outweighs the tive (or therapeutic) plasma concentration. Its
rate of removal of drug by distribution and elimina- value not only varies from drug to drug but also from
tion. Drug absorption does not usually stop abruptly individual to individual, and with the type and sever-
at the time of peak concentration, but may continue ity of the disease state. In Figure 18.9 the minimum
for some time into the descending portion of the effective concentration is indicated by the lower line.
curve. The early descending portion of the curve can Maximum safe concentration The concentration
thus reflect the net result of drug absorption, distri- of drug in the plasma above which side-effects or
bution, metabolism and elimination, but in this toxic effects occur is known as the maximum safe
phase the rate of drug removal from the blood concentration.
Fig. 18.8 A typical blood plasma concentration-time curve obtained following the peroral administration of a single dose of a drug in
a tablet.
263
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
264
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
Fig. 18.10 Plasma concentration-time curves for three different formulations of the same drug administered in equal single doses by
the same extravascular route.
This, together with the slower rate of absorption ent rates of absorption, metabolism, excretion and
from formulation C (the time of peak concentration distribution, different distribution patterns and dif-
is longer than for formulations A and B), results in ferences in their binding phenomena, all of which
the peak plasma concentration not reaching the would influence the concentration-time curve.
minimum effective concentration, i.e. formulation C Therefore it would be extremely difficult to attribute
does not produce a therapeutic effect and conse- differences in the concentration-time curves
quently is clinically ineffective as a single dose. obtained for different drugs presented in different
This simple hypothetical example illustrates how formulations to differences in their bioavailabilities.
differences in bio availability exhibited by a given drug
from different formulations can result in a patient
being either over, under, or correctly medicated.
Cumulative urinary drug excretion
It is important to realize that the study of bioavail-
curves
ability based on drug concentration measurements Measurement of the concentration of intact drug
in the plasma (or urine or saliva) is complicated by and/or its metabolite(s) in the plasma can also be
the fact that such concentration-time curves are used to assess bioavailability.
affected by factors other than the biopharmaceutical When a suitable specific assay method is not avail-
factors of the drug product itself. Factors such as able for the intact drug in the urine, or the specific
body weight, sex and age of the test subjects, disease assay method available for the parent drug is not
states, genetic differences in drug metabolism, excre- sufficiently sensitive, it may be necessary to assay the
tion and distribution, food and water intake, con- principal metabolite or intact drug plus its metabo-
comitant administration of other drugs, stress and lite (s) in the urine to obtain an index of bioavailabil-
time of administration of the drug are some of the ity. Measurements involving metabolite levels in the
variables that can complicate the interpretation of urine are only valid when the drug in question is not
bioavailability studies. As far as possible, studies subject to metabolism prior to reaching the systemic
should be designed to control these factors. circulation. If an orally administered drug is subject to
Although plots such those in as Figure 18.10 can intestinal metabolism or first-pass liver metabolism,
be used to compare the relative bioavailability of a then measurement of the principal metabolite, or of
given drug from different formulations, they cannot intact drug plus metabolites, in the urine would give
be used indiscriminately to compare different drugs. an overestimate of the systemic availability of that
It is quite usual for different drugs to exhibit differ- drug. It should be remembered that the definition of
265
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
266
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
Fig. 18.12 Cumulative urinary excretion curves corresponding to the plasma concentration-time curves shown in Fig. 18.10 for three
different formulations of the same drug administered in equal single doses by the same extravascular route.
excreted from these two formulations is the same, i.e. curve than do formulations A and B. Thus one can
the cumulative urinary excretion curves for formula- conclude that cumulative urinary excretion curves
tions A and B eventually meet and merge. As the total may be used to compare the rate and extent of
amount of intact drug excreted is assumed to be absorption of a given drug presented in different for-
related to the total amount absorbed, the cumulative mulations, provided that the conditions mentioned
urinary excretion curves for formulations A and B previously apply.
indicate that the extent of drug absorption from these
two formulations is the same. This is confirmed by the
Absolute and relative bioavailability
plasma concentration-time curves for formulations A
and B in Figure 18.10, which exhibit similar areas
Absolute bioavailability
under their curves.
Thus both the plasma concentration-time curves The absolute bioavailability of a given drug from a
and the corresponding cumulative urinary excretion dosage form is the fraction (or percentage) of the
curves for formulations A and B show that the extent administered dose which is absorbed intact into the
of absorption from these formulations is equal, systemic circulation. Absolute bioavailability may be
despite being at different rates from the respective calculated by comparing the total amount of intact
formulations. drug that reaches the systemic circulation after the
Consideration of the cumulative urinary excretion administration of a known dose of the dosage form
curve for C shows that this formulation not only via a route of administration, with the total amount
results in a slower rate of appearance of intact drug that reaches the systemic circulation after the admin-
in the urine, but also that the total amount of drug istration of an equivalent dose of the drug in the
that is eventually excreted is much less than from the form of an intravenous bolus injection. An intra-
other two formulations. Thus the cumulative urinary venous bolus injection is used as a reference to
excretion curve suggests that both the rate and compare the systemic availability of the drug admin-
extent of drug absorption are reduced in the case of istered via different routes, because when a drug is
formulation C.This is confirmed by the plasma con- delivered intravenously the entire administered dose
centration-time curve shown in Figure 18.10 for for- is introduced directly into the systemic circulation,
mulation C, i.e. formulation C exhibits a longer peak i.e. it has no absorption barriers to cross and is there-
concentration time and a smaller area under the fore considered to be totally bioavailable.
267
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
The absolute bioavailability of a given drug using where Dabs is the size of the single dose of drug
plasma data may be calculated by comparing the administered via the absorption site, and Div is the
total areas under the plasma concentration-time size of the dose of the drug administered as an intra-
curves obtained following the administration of venous bolus injection. Sometimes it is necessary to
equivalent doses of the drug via an absorption site use different dosages of drugs via different routes.
and via the intravenous route in the same subject on Often the dose administered intravenously is lower
different occasions. Typical plasma concentration- to avoid toxic side-effects and for ease of formula-
time curves obtained by administering equivalent tion. Care should be taken when using different
doses of the same drug by the intravenous route dosages to calculate bioavailability data, as some-
(bolus injection) and the gastrointestinal route are times the pharmacokinetics of a drug are non-linear
shown in Figure 18.13. and different doses will then lead to an incorrect
For equivalent doses of administered drug: figure for the absolute bioavailability calculated
using a simple ratio, as in Eqn 18.4.
Absolute bioavailability using urinary excretion
data may be determined by comparing the total
where (AUCT)abs is the total area under the plasma cumulative amounts of unchanged drug ultimately
concentration-time curve following the administration excreted in the urine following administration of the
of a single dose via an absorption site and (AUCT)iv is drug via an absorption site and the intravenous route
the total area under the plasma concentration-time (bolus injection), respectively, on different occasions
curve following administration by rapid intravenous to the same subject.
injection. For equivalent doses of administered drug:
If different doses of the drug are administered by
both routes, a correction for the sizes of the doses
can be made as follows:
where (Xu)abs and (Xu)iv are the total cumulative
amounts of unchanged drug ultimately excreted in
the urine following administration of equivalent
Fig. 18.13 Typical plasma concentration-time curves obtained by administering equivalent doses of the same drug by intravenous
bolus injection and by the peroral route.
268
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
single doses of drug via an absorption site and as an the same route of administration to the same subject
intravenous bolus injection, respectively. on different occasions, may be calculated from the
If different doses of drug are administered, corresponding plasma concentration-time curves as
follows:
269
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
the systemic bioavailability of a given drug. Numerous time and/or cumulative urinary excretion curves
dosage form factors can influence the bioavailability of would be superimposable. In such a case there
a drug. These include the type of dosage form (e.g. would be no problem in concluding that these prod-
tablet, solution, suspension, hard gelatin capsule), dif- ucts were bioequivalent. Nor would there be a
ferences in the formulation of a particular type of problem in concluding bioinequivalence if the para-
dosage form, and manufacturing variables employed meters associated with the plasma concentration-
in the production of a particular type of dosage form. time and/or cumulative urinary excretion profiles
A more detailed account of the influence of these for the test differed from the standard product by,
factors on bioavailability is given in Chapter 17. for instance, 50%. However, a problem arises in
deciding whether the test and standard drug
products are bioequivalent when such products
Bioequivalence
show relatively small differences in their plasma
An extension of the concept of relative bioavailability, concentration-time curves and/or cumulative
which essentially involves comparing the total urinary excretion curves.
amounts of a particular drug that are absorbed intact The problem is how much of a difference can be
into the systemic circulation from a test and a recog- allowed between two chemically equivalent drug
nized standard dosage form, is that of determining products and still permit them to be considered
whether test and standard dosage forms containing bioequivalent. Should this be 10%, 20%, 30% or
equal doses of the same drug are equivalent or not in more? The magnitude of the difference that could
terms of their rates and extents of absorption (i.e. sys- be permitted will depend on the significance of
temic availabilities). This is called bioequivalence. such a difference on the safety and therapeutic
Two or more chemically equivalent products (i.e. efficacy of the particular drug. This will depend on
products containing equal doses of the same thera- such factors as the toxicity, the therapeutic range
peutically active ingredient (s) in identical types of and the therapeutic use of the drug. In the case of
dosage form which meet all the existing physico- a drug with a wide therapeutic range, the toxic
chemical standards in official compendia) are said to effects of which occur only at relatively high plasma
be bioequivalent if they do not differ significantly in concentrations, chemically equivalent products
their bioavailability characteristics when adminis- giving quite different plasma concentration-time
tered in the same dose under similar experimental curves (Fig. 18.14) may still be considered satisfac-
conditions. Hence in those cases where bioavailabil- tory from a therapeutic point of view, although they
ity is assessed in terms of plasma concentration-time are not strictly bioequivalent.
curves, two or more chemically equivalent drug In the case of the hypothetical example shown in
products may be considered bioequivalent if there is Figure 18.14, provided that the observed difference
no significant difference between any of the follow- in the rates of absorption (as assessed by the times of
ing parameters: maximum plasma concentrations peak plasma concentration), and hence in the times
(Cmax), time to peak height concentration (T"max) and of onset, for formulations X and Y is not considered
areas under the plasma concentration-time curves to be therapeutically significant, both formulations
(AUC). may be considered to be therapeutically satisfactory.
In conducting a bioequivalence study it is usual However, if the drug in question was a hypnotic, in
for one of the chemically equivalent drug products which case the time of onset for the therapeutic
under test to be a clinically proven, therapeutically response is important, then the observed difference
effective product which serves as a standard against in the rates of absorption would become more
which the other 'test' products may be compared. If important.
a test product and this standard product are found to If the times of peak plasma concentration for for-
be bioequivalent then it is reasonable to expect that mulations X andY were 0.5 and 1.0 hour, respec-
the test product will also be therapeutically effective, tively, it is likely that both formulations would still be
i.e. the test and the reference products are therapeu- deemed to be therapeutically satisfactory despite a
tically equivalent. Bioequivalence studies are there- 100% difference in their times of peak plasma con-
fore important in determining whether chemically centration. However, if the times of peak plasma
equivalent drug products manufactured by different concentration for formulations X andY were 2 and
companies are therapeutically equivalent, i.e. 4 hours, respectively, these formulations might no
produce identical therapeutic responses in patients. longer be regarded as being therapeutically equiva-
If two chemically equivalent drug products are lent even though the percentage difference in their
absolutely bioequivalent, their plasma concentration- peak plasma concentration was the same.
270
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
Fig. 18.14 Plasma concentration-time curves for two chemically equivalent drug products administered in equal single doses by the
same extravascular route.
It is difficult to quote a universally acceptable per- these parameters differed by more than 20% then
centage difference that can be tolerated before two there might have been a problem with the bioequiv-
chemically equivalent drug products are regarded alence of the test product (s) with respect to the stan-
as being bioinequivalent and/or therapeutically dard product. However, recently some regulatory
inequivalent. In the case of chemically equivalent authorities have been adopting more stringent
drug products containing a drug which exhibits a requirements for bioequivalence, involving statistical
narrow range between its minimum effective plasma models and considerations of average, population
concentration and its maximum safe plasma concen- and individual pharmacokinetics.
tration (e.g. digoxin), the concept of bioequivalence A further crucial factor in establishing bioequiva-
is fundamentally important, as in such cases small lence, or in determining the influence of the type of
differences in the plasma concentration-time curves dosage form, the route of administration etc., have on
of chemically equivalent drug products may result in the bioavailability of a given drug, is the proper design,
patients being overmedicated (i.e. exhibiting toxic control and interpretation of such experimental
responses) or undermedicated (i.e. experiencing studies.
therapeutic failure). These two therapeutically unsat-
isfactory conditions are illustrated in Figure 18.15a
& b respectively. ASSESSMENT OF SITE OF RELEASE IN
Despite the problems of putting a value on the VIVO
magnitude of the difference that can be tolerated
before two chemically equivalent drug products are There are many benefits of being able to assess the
deemed to be bioinequivalent, a value of 20% for the fate of a dosage form in vivo and the site and release
tolerated difference used to be regarded as suitable pattern of the drug. Particularly for drugs that show
as a general criterion for determining bioequiva- poor oral bioavailability, or in the design and devel-
lence. Thus if all the major parameters in either the opment of controlled- or sustained-release delivery
plasma concentrationtime or cumulative urinary systems, the ability to follow the transit of the
excretion curves for two or more chemically equiva- dosage form and the release of drug from it is
lent drug products differed from each other by less advantageous. The technique of gamma scintigra-
than 20%, these products would have been judged to phy is now used extensively and enables a greater
be bioequivalent. However, if any one or more of knowledge and understanding of the transit and fate
271
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 18.15 Plasma concentration-time curves for chemically equivalent drug products administered in equal single doses by the
same extravascular route, showing potential consequences of bioinequivalence for a drug having a narrow therapeutic range, i.e.,
(a) overmedication and (b), undermedication. (After Chodos and Di Santo 1973.)
of pharmaceuticals in the gastrointestinal tract to be The signals are assembled by computer software to
gained. form a two-dimensional image of the dosage form in
Gamma scintigraphy is a versatile, non-invasive the gastrointestinal tract. The anatomy of the
and ethically acceptable technique which is capable gastrointestinal tract can be clearly seen from liquid
of obtaining information both quantitatively and dosage forms, and the site of disintegration of solid
continuously. The technique involves the radio- dosage forms identified. The release of the radiolabel
labelling of a dosage form with a gamma-emitting from the dosage form can be measured by following
isotope of appropriate half-life and activity. the intensity of the radiation. By co-administration
Technetium-99m is often the isotope of choice for of a radiolabelled marker and a drug in the same
pharmaceutical studies because of its short half-life dosage form, and simultaneous imaging and taking
(6 hours). The radiolabelled dosage form is of blood samples, the absorption site and release
administered to a subject who is positioned in front rate of a drug can be determined (for example with
of a gamma camera. Gamma radiation emitted from the InteliSite capsule; see earlier). When used in
the isotope is focused by a collimator and detected this way, the technique is often referred to as
by a scintillation crystal and its associated circuitry. pharmacoscintigraphy.
272
ASSESSMENT OF BIOPHARMACEUTICAL PROPERTIES
273
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
studies with induced livers involving diazepam. Drug Metab. Hidalgo, I.J., Raub,TJ., Borchardt, R.T. (1989)
Dispos. 25, 903-911. Characterization of the human colon carcinoma cell line
Chodos, DJ. and Di Santo, A.R. (1973) Basis of (Caco-2) as a model system for intestinal epithelium
Bioavailability. The Upjohn Company, Kalamazoo, permeability. Gastroenterology, 96, 736-749.
Michigan. Knutson, L., Odlind, B., Hallgren, R. (1989) A new
Dressman, J.B., Amidon, G.L., Reppas, C. and Shah,V.P. technique for segmental jejunal perfusion in man. Am. J.
(1998) Dissolution testing as a prognostic tool for oral Gastroenterol, 84, 1278-1284.
drug absorption: immediate release dosage forms. Pharm. Lennernas, H., Abrenstedt, O., Hallgren, R., Knutson L.,
Res., 15, 11-22. Ryde, M., Paalzow, L.K. (1992) Regional jejunal perfusion,
Fuhr U, Staib, A.M., Harder, S. et al. (1994) Absorption of a new in vivo approach to study oral drug absorption in
ipsapirone along the human gastrointestinal. Br. J. Clin. amn. Pharm. Res., 9, 1243-1251.
Pharmacol, 38, 83-86. Wilding (1997) Non invasive techniques to study human
drug absorption. Eur.J. Pharm. Sci., 5 518-519.
274
19
Dosage regimens
275
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 19.1 One-compartment open model of drug disposition for a perorally administered drug.
276
DOSAGE REGIMENS
body compartment will also increase with time. As a single dose of drug. This interplay explains why
the rate of drug output is increasing with time while increases in dose size and formulation changes in
the rate of input into the body compartment is dosage forms which produce increases in the effec-
decreasing with time, the situation is eventually tive concentration of drug at the absorption site(s),
reached when the rate of drug output just exceeds result in higher peak plasma and body concentra-
that of drug input. Consequently, the net concentra- tions being obtained for a given drug. It should
tion of drug in the body compartment will reach a also be noted that any unexpected decrease in the
peak value and then begin to fall with time. The rate of drug output relative to that of drug input,
ensuing decreases in the net concentration of drug in which may occur as the result of renal impairment,
the body will also cause the rate of drug output to is also likely to result in higher plasma and body
decrease with time. concentrations of drug than expected, and the pos-
These changes in the rates of drug input and sibility of the patient exhibiting undesirable side-
output relative to each other with time are responsi- effects. The adjustment of dosage regimens in
ble for the characteristic shape of the concentra- cases of patients having severe renal impairment is
tion-time course of a drug in the body shown in considered later in this chapter.
Figure 19.2 following peroral administration of a
single dose of drug.
Elimination rate constant and biological
It is evident from the above discussion and
Figure 19.2, that the greater the rate of drug input
half-life of a drug
relative to that of drug output from the body com- In the case of a one-compartment open model the
partment over the net absorption phase, the higher rate of elimination or output of a drug from the body
will be the peak concentration achieved in the compartment follows first-order kinetics (Chapter 7)
body or plasma following peroral administration of and is related to the concentration of drug, Ct,
Fig. 19.2 Concentration-time course of a drug in the body following peroral administration of a single dose of drug which confers
one-compartment open model characteristics on the body.
277
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
278
DOSAGE REGIMENS
4. The aim of drug therapy is to achieve promptly tion of the previous dose, then the resulting plasma
and maintain a concentration of drug at the concentration-time curve exhibits the characteristic
appropriate site(s) of action which is both profile shown in Figure 19.4.
clinically efficacious and safe for the desired Figure 19.4 shows that at the start of this multiple-
duration of treatment. This aim is assumed to be dosage regimen the maximum and minimum plasma
achieved by the prompt attainment and concentrations of drug observed during each
maintenance of plasma concentrations of drug dosing time interval tend to increase with succes-
which lie within the therapeutic range of that sive doses. This increase is because the time inter-
drug. val between successive doses is less than that
required for complete elimination of the previous
If the interval between each perorally administered absorbed dose. Consequently, the total amount of
dose is longer than the time required for complete the drug remaining in the body compartment at
elimination of the previous dose, then the plasma any time after a dose is equal to the sum of that
concentration-time profile of a drug will exhibit a remaining from all the previous doses. The accumu-
series of isolated single-dose profiles, as shown in lation of drug in the body and plasma with succes-
Figure 19.3. sively administered doses does not continue
Consideration of the plasma concentration-time indefinitely. Provided drug elimination follows first-
profile shown in Figure 19.3 in relation to the order kinetics, the rate of elimination will increase as
minimum effective and maximum safe plasma con- the average concentration of drug in the body (and
centrations (MEG and MSC, respectively) for the plasma) rises. If the amount of drug supplied to the
drug reveals that the design of this particular dosage body compartment per unit dosing time interval
regimen is unsatisfactory. The plasma concentration remains constant, then a situation is eventually
only lies within the therapeutic concentration range reached when the overall rate of elimination from
of the drug for a relatively short period following the the body over the dosing time interval becomes
administration of each dose, and the patient remains equal to the overall rate at which drug is being
undermedicated for relatively long periods. If the supplied to the body compartment over that inter-
dosing time interval is reduced so that it is now val, i.e. the overall rate of elimination has effectively
shorter than the time required for complete elimina- caught up with the overall rate of supply. This effect
Fig. 19.3 Plasma concentration-time curve following peroral administration of equal doses of a drug at time intervals that allow
complete elimination of the previous dose. (MSC, maximum safe plasma concentration of the drug; MEC, minimum effective plasma
concentration of the durg.)
279
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 19.4 Plasma concentration-time curve following peroral administration of equal doses, D, of a drug every 4 hours. (MSC,
maximum safe plasma concentration of the drug; MEC, minimum effective plasma concentration of the drug.)
is due to the elimination rate increasing as the steady-state value corresponding to the particular
residual concentration of drug in the plasma rises multiple dosage regimen is 4.3 times the biological
(as elimination is first order here). half-life of the drug. The corresponding figure for
When the overall rate of drug supply equals 99% is 6.6 times. Therefore, depending on the mag-
the overall rate of drug output from the body nitude of the biological half-life of the drug being
compartment, a steady state is reached with respect administered, the time taken to attain the average
to the average concentration of drug remaining in steady-state plasma concentration may range from a
the body over each dosing time interval. At steady few hours to several days.
state, the amount of drug eliminated from the body From a clinical viewpoint the time required to
over each dosing time interval is equal to the amount reach steady state is important, because for a prop-
that was absorbed into the body compartment fol- erly designed multiple-dosage regimen the attain-
lowing administration of the previous dose. ment of steady state corresponds to the achievement
Figure 19.5 shows that the amount of drug in the and maintenance of maximal clinical effectiveness of
body, as measured by the plasma concentration, the drug in the patient.
fluctuates between maximum and minimum values It should be noted that for a drug such as pheny-
which remain more or less constant from dose to toin, whose elimination is not described by first-
dose. At steady state the average concentration of order kinetics, the peroral administration of equal
drug in the plasma, Q*erage, over successive dosing doses at fixed intervals may not result in the attain-
time intervals remains constant. ment of steady-state plasma levels. If the concentra-
For a drug administered repetitively in equal doses tion of such drug in the body rises sufficiently
and at equal time intervals, the time required for the following repetitive administration, the pathway
average plasma concentration to attain the corre- responsible for its elimination may become satu-
sponding steady-state value is a function only of the rated. If this occurred the rate of elimination would
biological half-life of the drug, and is independent of become maximal and could not increase to cope
both the size of the dose administered and the length with any further rises in the average concentration of
of the dosing time interval. The time required for the drug in the body. Hence the overall rate of elimina-
average plasma concentration to reach 95% of the tion would not become equal to the overall rate of
280
DOSAGE REGIMENS
Fig. 19.5 Fluctuation of concentration of drug in the plasma at steady state resulting from repetitive peroral administration of equal
doses, D, of drug at a fixed interval of time, T. C^ax, C^in and C|verage represent the maximum, minimum and average plasma
concentrations of drug, respectively, achieved at steady state.
supply over each dosing time interval, and the con- of the administered dose is increased, the higher
dition necessary for the attainment of steady state are the corresponding maximum, minimum and
would not be achieved. If repetitive administration average plasma drug levels, Qax, C^in and C^erage,
continued at the same rate, the average concentra- respectively, achieved at steady state. What may not
tion of drug in the body and plasma would tend to be so well appreciated is that the larger the dose the
continue to accumulate, rather than to reach a larger is the fluctuation between C^ax and C^in
plateau. during each dosing time interval. Large fluctua-
tions between C^ax and C^in can be hazardous,
particularly with a drug such as digoxin, which has
a narrow therapeutic range. In such cases, it is
IMPORTANT FACTORS INFLUENCING possible that C^ax could exceed the maximum safe
STEADY-STATE PLASMA DRUG plasma concentration. Figure 19.6 also illustrates
CONCENTRATIONS that the time required to attain steady-state plasma
concentrations is independent of the size of the
Dose size and frequency of administered dose.
administration
In designing a multiple-dosage regimen that bal- Interval between successive equal doses
ances patient convenience with the achievement and
maintenance of maximal clinical effectiveness, only Figure 19.7 illustrates the effects of constant doses
two parameters can be adjusted for a given drug: the administered at various dosing intervals, which are
size of dose and the frequency of administration. multiples of the biological half-life of the drug r1/2.
Consider how the maximum, minimum and average The uppermost plasma concentration-time curve in
steady-state plasma concentrations of drug are Figure 19.7 shows that the repetitive administration
influenced by these parameters. of doses at a time interval which is less than the bio-
logical half-life of the drug results in higher steady-
state plasma drug concentrations being obtained.
Size of dose This is a consequence of the extent of elimination of
Figure 19.6 illustrates the effects of changing the the drug from the body over a dosing time interval
dose size on the concentration of drug in the equal to 0.5 tl/2 being smaller than that which is
plasma following repetitive administration of eliminated when the dosing time interval is equal to
peroral doses at equal intervals of time. As the size r1/2 (see Table 19.1).
281
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 19.6 Diagrammatic representation of the effect of dose size on the plasma concentration-time curve obtained following peroral
administration of equal doses of a given fixed drug at fixed intervals of time equal to the biological half-life of the drug. Curve A, dose ;
250 mg. Curve B, dose = 100 mg. Curve C, dose = 40 mg.
Figure 19.7 also shows that repetitive administra- concentration, following repetitive peroral adminis-
tion of doses at intervals greater than the biological tration of equal doses, have revealed the following
half-life of the drug results in the lower steady-state relationships:
plasma drug concentrations being obtained. This is a
1. The magnitude of the fluctuations between the
consequence of a greater proportion of the drug
maximum and minimum steady-state amounts
being eliminated over a dosing time interval equal to
of drug in the body is determined by the size of
2r1/2> compared to that which is eliminated when the
dose administered or, more accurately, by the
dosing time interval is equal to r1/2.
amount of drug absorbed following each dose
administered.
2. The magnitude of the fluctuations between the
Summary of the effects of dose size and
maximum and minimum steady-state plasma
frequency of administration
concentrations are an important consideration
Consideration of the effects of dose size and the for any drug that has a narrow therapeutic
dosage interval on the amount of a given drug range, e.g. digoxin. The more frequent
achieved in the body, as measured by the plasma administration of smaller doses is a means of
282
DOSAGE REGIMENS
Fig. 19.7 Diagrammatic representation of the effect of changing the dosing time interval, T, on the plasma concentration-time curve
obtained following repetitive peroral administration of equal size doses of a given drug. Curve A, dosing time interval = 3 hours (0.5tL).
Curve B, dosing time interval = 6 hours (t,_). Curve C, dosing time = 12 hours (2fL).
reducing the steady-state fluctuations without 5. If the maximum safe and minimum effective
altering the average steady-state plasma plasma drug concentrations are represented by
concentration. For example, a 500 mg dose the dashed lines shown in Figures 19.6 and
given every 6 hours will provide the same C^erage 19.7, respectively, then it is evident that the
value as a 250 mg dose of the same drug given proper selection of dose size and dosage time
every 3 hours, whereas the Cmax and Cmin interval are important with respect to achieving
fluctuation for the latter dose will be decreased and maintaining steady-state plasma
by half. concentrations that lie within the therapeutic
The average maximum and minimum amounts range of the particular drug being administered.
of drug achieved in the body at steady state are
influenced by either the dose size, the dosage It is evident from the preceding discussion that the
time interval in relation to the biological half-life proper selection of the dose size and the dosage time
of the drug, or both. The greater the dose size interval is crucial in ensuring that a multiple-dosage
and the smaller the dosage time interval relative regimen provides steady-state concentrations of
to the biological half-life of the drug, the greater drug in the body which are both clinically efficacious
are the average, maximum and minimum steady- and safe.
state amounts of drug in the body. Mathematical relationships that predict the values
For a given drug, the time taken to achieve of the various steady-state parameters achieved in
steady state is independent of dose size and the body following repetitive administration of doses
dosage time interval. at constant intervals of time have been used to assist
283
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
the design of clinically acceptable multiple dosage where the average steady-state plasma concentration
regimens. For example, a useful equation for pre- of drug, Coverage? is 16 mg L"1, the fraction of each
dicting the average amount of drug achieved in the administered dose absorbed, F = 0.9, the size of
body at steady state, /^average? following repetitive administered dose, D = 250 mg, the biological half-
peroral administration of equal doses, D, at a fixed life of the drug, r1/2 - 3 h, and the apparent volume of
time interval, T is: distribution, VA = 0.2 L kg"1 of patient's body weight.
Hence, for a patient weighing 76 kg the value of
284
DOSAGE REGIMENS
Fig. 19.8 Diagrammatic representation of how the initial administration of a loading dose followed by equal maintenance doses at
fixed intervals of time ensure rapid attainment of steady-state plasma levels for a drug having a long biological half-life of 24 hours.
Curve A represents the plasma concentration-time curve obtained following peroral administration of a loading dose of 500 mg
followed by a maintenance dose of 250 mg every 24 hours. Curve B represents the plasma concentration-time curve obtained
following peroral administration of a 250 mg dose every 24 hours.
285
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 19.9 Diagrammatic representation of the effect of changing the biological half-life of a given drug on the plasma
concentration-time curve exhibited by the drug following peroral administration of one 250 mg dose every 6 hours. Curve A, biological
half-life of drug = 6 hours. Curve B, biological half-life of drug = 12 hours.
before steady-state drug levels are achieved. The In order to illustrate this concept, consider that
greater degree of drug accumulation is a conse- curves A and B in Figure 19.9 correspond to the
quence of a smaller proportion of the drug being plasma concentration-time curves obtained for a
eliminated from the body over each fixed dosage given drug in patients having normal renal function
time interval when the biological half-life of the drug and severe renal impairment, respectively, and that
is increased. the upper and lower dashed lines represent the
Patients who develop severe renal impairment maximum safe and minimum effective plasma con-
normally exhibit smaller apparent elimination rate centrations, respectively. It is thus evident that the
constants and consequently longer biological half- administration of a drug according to a multiple-
lives for drugs which are eliminated substantially by dosage regimen which produces therapeutic steady-
renal excretion than do patients with normal renal state plasma levels in patients with normal renal
function. For instance, the average apparent elimina- function, will give plasma concentrations that exceed
tion rate constant for digoxin may be reduced from the maximum safe plasma concentration of the drug
0.021 h"1 in patients with normal renal function to in patients with severe renal impairment. Hence the
0.007 h"1 severe renal impairment. The average adjustment of multiple-dosage regimens in terms or
steady-state amount of drug in the body is only dose size, frequency of administration or both is nec-
achieved and maintained when the overall rate of essary if patients suffering with renal disease are to
supply equals the overall rate of elimination over suc- avoid the possibility of overmedication.
cessive dosing time intervals. Any reduction in the
overall rate of elimination of a drug as a result of
renal disease, without a corresponding compen-
Influence of the 'overnight no-dose
satory reduction in the overall rate of supply, will
period'
result in increased steady-state amounts of drug in So far we have considered that multiple-dosage reg-
the body. This effect in turn may lead to side-effects imens comprise of doses being administered at
and toxic effects if the increased steady-state levels uniform time intervals around the clock, but in prac-
exceed the maximum safe concentration of the drug. tice this is unusual. If a multiple-dosage regimen
286
DOSAGE REGIMENS
requires a dose to be administered 'four times a day' maximum and minimum values over successive
it is unlikely that a dose will be administered at dosage time intervals, as would occur if the doses
6-hourly intervals around the clock. Instead, the four were administered every 4 hours around the clock.
doses are likely to be administered during 'waking' Furthermore, Figure 19.11 shows that even if a
hours, e.g. 10 am-2 pm -6 pm-10 pm or 9 am-1 loading dose of 120 mg were included in the dosage
pm-5 pm-9 pm.The significant feature of both these regimen to ensure that a true steady state was
schedules is that the patient will experience an obtained before the first overnight no-dose period, the
overnight no-dose period of 12 hours. Although steady state would not be re-established after the first
this will undoubtedly give the patient periods of overnight no-dose period. If the upper and lower
undisturbed sleep, it may also cause problems in dashed lines in Figures 19.10 and 19.11 represent the
maintaining therapeutic steady-state plasma concen- therapeutic range of the drug, then the patient would
trations of drug in the body. experience periods during which the level of drug in
It is conceivable that overnight no-dose periods of the plasma and body would fall below that necessary
8-12 hours could result in substantial decreases in to elicit the therapeutic effect. Hence, unless the ther-
the amount of a drug in the plasma and body, par- apeutic range of the drug is sufficiently large to
ticularly for drugs having biological half-lives which accommodate the fluctuations in concentration asso-
are relatively short compared to the overnight no- ciated with overnight no-dose periods, problems
dose period. For instance, in the case of a drug could arise with regard to maintaining therapeutic
having a biological half-life of 4 hours, an overnight drug levels in patients. The potential problems associ-
no-dose period of 12 hours would correspond to the ated with overnight no-dose periods are even further
elapse of three biological half-lives and consequently complicated by patients who forget to take one of their
a large reduction in the amount of drug in the body. daytime doses.
The potential problems of overnight no-dose
periods with respect to maintaining therapeutic
steady-state drug levels is illustrated in Figure 19.10.
Concluding comments
This shows that for a drug having a biological half- This chapter explains the interrelationship between
life of 4 hours, a multiple-dosage regimen compris- the rate at which drug enters the body and the rate
ing one 60 mg dose administered perorally four at which it leaves. It also discusses how, in turn, this
times each day according to the timetable 9 am-1 balance influences the concentration of drug in the
pm-5 pm-9 pm does not permit a true steady state plasma at any given time. It is clearly important for
to be attained. Thus the concentration of drug in the pharmaceutical scientists to come to terms with this
plasma does not fluctuate between constant problem and then overcome it by finding ways of
Fig. 19.10 Diagrammatic representation of the variation in the concentration of a drug in the plasma accompanying the peroral
administration of a single dose of 60 mg four times a day according to the time schedule 9 am-1 pm-5 pm-9 pm. The biological half-
life of the drug is 4 hours.
287
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 19.11 Diagrammatic representation of the variation in the concentration of drug in the plasma accompanying the peroral
administration of a loading dose of 120 mg followed by single maintenance doses of 60 mg four times a day according to the time
schedule 9 am-1 pm-5 pm-9 pm. The biological half-life of the drug is 4 hours.
288
20
Modified-release peroral dosage forms
CHAPTER CONTENTS
Design of peroral modified-release drug delivery Membrane-controlled drug delivery systems 302
systems 295 Components of a membrane-controlled
Factors influencing design strategy 295 system 302
The physiology of the gastrointestinal tract and Core 302
drug absorption 295 Coating 302
Physicochemical properties of the drug 295 Single-unit systems 302
Choice of the dosage form 296 Core formulation for single-unit systems 302
Drug-release mechanisms 296 Multiple-unit systems 303
Constant release 296 Release-controlling membrane 303
Declining release 296 Advantages of membrane-controlled
Bimodal release 296 systems 303
Disadvantages of membrane-controlled
Formulation of modified-release dosage systems 304
forms 296 Osmotic pump systems 304
Components of a modified-release delivery Components of osmotic pump systems 304
system 296 Advantages of osmotic pump systems 304
Monolithic matrix delivery systems 297 Disadvantages of osmotic pump systems 304
Lipid matrix systems 297 Delivery systems for targeting to specific sites in
Principle of design 297 the gastrointestinal tract 304
Matrix formers 298 Gastric retentive systems 304
Chanelling agents 298 Colonic delivery systems 305
Solubilizers and pH modifiers 298
Antiadherent/glidant 298 References 305
Insoluble polymer matrix systems 298
Drug release from insoluble matrices 298 Acknowledgement 305
289
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
290
MODIFIED-RELEASE PERORAL DOSAGE FORMS
291
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Fig. 20.2 Typical plasma concentration - time profiles for MR peroral products which, following rapid attainment of a therapeutic
plasma concentration of drug, provide a period of prolonged therapeutic action by either (a) maintaining a constant therapeutic plasma
concentration (curve A) or, (b) ensuring that the plasma concentration of drug remains within the therapeutic range for a satisfactorily
prolonged period of time (curve B).
Kinetic pattern of drug release required release and subsequent absorption of the initial
for the ideal modified controlled-release priming dose is the rapid attainment of a therapeutic
peroral dosage form concentration of drug in the body. This priming dose
provides a rapid onset of the desired therapeutic
If it is assumed that the drug which is to be incorpo-
response in the patient.
rated into the ideal MR dosage form confers upon
Following this period of rapid drug release, the
the body the characteristics of a one-compartment
portion Dm of drug remaining in the dosage form
open model, then the basic kinetic design of such a
is released at a slow but defined rate (see step 3 in
product may be represented diagrammatically as
Fig. 20.3). In order to maintain a constant plasma
shown in Figure 20.3.
level of drug, the maintenance dose, Dm, must be
To achieve a therapeutic concentration promptly
released by the dosage form according to zero-order
in the body and then to maintain that concentration
kinetics. It thus follows that the rate of release of
for a given period of time requires that the total drug
drug will remain constant and be independent of the
in the dosage form consists of two portions, one that
amount of the maintenance dose remaining in the
provides the initial priming/loading dose, Di3 and
dosage form at any given time. The rate of release of
one that provides the maintenance or sustained
the maintenance dose may be characterized by the
dose, Dm.
zero-order rate constant k^.
The initial priming dose of drug Di is released
Two further conditions must be fulfilled in order
rapidly into the gastrointestinal fluids immediately
to ensure that the therapeutic concentration of drug
following administration of the MR dosage form (see
in the body remains constant.
step 1 in Fig. 20.3). The released dose is required to
be absorbed into the body compartment rapidly fol- 1. The zero-order rate of release of drug from the
lowing a first-order kinetic process that is character- maintenance dose must be rate determining
ized by the apparent absorption rate constant, kla with respect to the rate at which the released
(see step 2 in Fig. 20.3). The aim of this initial rapid drug is subsequently absorbed into the body.
292
MODIFIED-RELEASE PERORAL DOSAGE FORMS
Fig. 20.3 A one-compartment open model of drug disposition in which the source of drug input is an ideal MR peroral drug product.
Dj is the initial priming dose of drug in dosage form; Dm is the maintenance dose of drug in the dosage form; /r1a is the first-order
apparent absorption rate constant of drug from the priming dose; /tm is the zero-order release rate constant of drug from the
maintenance dose.
The kinetics of absorption of the maintenance simply as MR products and may be differentiated
dose will thus be characterized by the same from their ideal counterparts by the following
zero-order release rate constant, k^ (step 3 in definition. A modified-release product/dosage form
Fig. 20.3). is a system in which a portion (the initial priming
2. The rate at which the maintenance dose is dose) of the drug is released immediately in order to
released from the dosage form, and hence the achieve the desired therapeutic response promptly.
rate of absorption (input) of drug into the body, The remaining dose of drug (the 'maintenance'
must be equal to the rate of drug output from dose) is then released slowly, thereby resulting in a
the body when the concentration of drug in the therapeutic drug/tissue drug concentration which is
body is at the required therapeutic value (see prolonged but not maintained constant.
step 4 in Fig. 20.3).
In practice, the design of an ideal modified- or Formulation methods of achieving
controlled-release product, which is capable of modified drug release
releasing the maintenance dose at a precise con-
trolled rate which is in mass balance with the rate of It is evident from the preceding discussion that for-
drug elimination corresponding to the required mulation techniques that permit rapid release of the
therapeutic concentration of drug in the plasma, is priming dose, followed by slow release of the main-
difficult to achieve. There are problems in achieving tenance dose, are required in order to design peroral
and maintaining zero-order release and absorption MR products. All MR formulations use a chemical
of the maintenance dose of drug in the presence of or physical 'barrier' to provide slow release of the
all the variable physiological conditions associated maintenance dose. Many formulation techniques
with the gastrointestinal tract (see Chapter 16). In have been used to 'build' the barrier into the peroral
addition, the apparent elimination rate constant of a dosage form. These include the use of coatings,
given drug varies from patient to patient, depending embedding of the drug in a wax or plastic matrix,
on such factors as genetic differences, age differ- microencapsulation, chemical binding to ion-
ences and differences in the severity of disease. exchange resins, and incorporation in an osmotic
Consequently it is likely that most peroral MR pump. The initial rapidly releasing priming dose may
products in current use will not fall into the cate- be provided by incorporating that portion of the
gory of ideal MR/controlled-release peroral dosage drug in a separate, rapidly releasing form in the
forms. However, such products may be referred to dosage form, for instance as uncoated, rapidly releas-
293
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
ing granules or pellets in a tablet or hard gelatin Potential limitations of peroral modified-
capsule. Alternatively, immediate and rapid release release dosage forms
of the priming dose has been achieved by that
portion of the drug being positioned at the surface of 1. Variable physiological factors, such as
a porous wax or plastic matrix. gastrointestinal pH, enzyme activities, gastric
and intestinal transit rates, food and severity of
disease, which often influence drug
Potential advantages of modified-release bioavailability from conventional peroral dosage
dosage forms over conventional dosage forms, may also interfere with the precision of
forms control of release and absorption of drugs from
peroral MR dosage forms. The achievement and
1. Improved control over the maintenance of maintenance of prolonged drug action depends
therapeutic plasma drug concentration of drugs on such control.
permits: 2. The rate of transit of MR peroral products along
(a) improved treatment of many chronic the gastrointestinal tract limits the maximum
illnesses where symptom breakthrough period for which a therapeutic response can be
occurs if the plasma concentration of drug maintained following administration of a 'single
drops below the minimum effective dose' to approximately 12 hours, plus the length
concentration, e.g. asthma, depressive of time that absorbed drug continues to exert its
illnesses; therapeutic activity.
(b) maintenance of the therapeutic action of a 3. MR products, which tend to remain intact, may
drug during overnight no-dose periods, e.g. become lodged at some site along the
overnight management of pain in terminally gastrointestinal tract. If this occurs, slow release
ill patients permits improved sleep; of the drug may produce a high localized
(c) a reduction in the incidence and severity of concentration that causes local irritation to the
untoward systemic side-effects related to high gastrointestinal mucosa. MR products which are
peak plasma drug concentrations; formulated to disperse in the gastrointestinal
(d) a reduction in the total amount of drug fluids are less likely to cause such problems.
administered over the period of treatment. 4. There are constraints on the types of drugs that
This contributes to the reduced incidence of are suitable candidates for incorporation into
systemic and local side-effects observed in peroral MR formulations. For instance, drugs
the cases of many drugs administered in MR having biological half-lives of 1 hour or less are
formulations. difficult to formulate for modified release. The
2. Improved patient compliance, resulting from high rates of elimination of such drugs from the
the reduction in the number and frequency of body mean that an extremely large maintenance
doses required to maintain the desired dose would be required to provide 8-12 hours of
therapeutic response, e.g. one peroral MR continuous therapy following a single
product every 12 hours contributes to the administration. Apart from the potential hazards
improved control of therapeutic drug of administering such a large dose, the physical
concentration achieved with such products. size of the MR dosage form could make it
3. There is a reduction in the incidence and difficult to swallow. Drugs having biological half-
severity of localized gastrointestinal side-effects lives between 4 and 6 hours make good
produced by 'dose dumping' of irritant drugs candidates for inclusion in MR formulations.
from conventional dosage forms, e.g. potassium Factors other than the biological half-life can
chloride. The more controlled, slower release of also preclude a drug from being formulated as
potassium chloride from its peroral MR an MR product. Drugs that have specific
formulations minimizes the build-up of localized requirements for their absorption from the
irritant concentrations in the gastrointestinal gastrointestinal tract are poor candidates. In
tract. Consequently, potassium chloride is now order to provide a satisfactory period of
administered perorally almost exclusively in MR prolonged drug therapy, a drug is required to be
form. well absorbed from all regions as the dosage
4. It is claimed that cost savings are made from the form passes along the gastrointestinal tract.
better disease management that can be achieved 5. MR products normally contain a larger total
with MR products. amount of drug than the single dose normally
294
MODIFIED-RELEASE PERORAL DOSAGE FORMS
administered in a conventional dosage form. The aqueous solubility and intestinal permeability
There is the possibility of unsafe overdosage if of drug compounds are of paramount importance. A
an MR product is improperly made and the total classification has been made (Amidon et al 1995)
drug contained therein is released at one time or whereby drugs can be considered to belong to one of
over too short a time interval. Consequently, it four categories:
may be unwise to include very potent drugs in
high solubility and high permeability (best case);
such formulations.
high solubility and low permeability;
6. As a general rule, MR formulations cost more
low solubility and high permeability;
per unit dose than conventional dosage forms
low solubility and low permeability (worst case).
containing the same drug. However, fewer 'unit
doses' of an MR formulation should be required. This is now codified as the Biopharmaceutical
Classification System (see Chapter 18 for further
details).
Consider first the influence of solubility. A drug
DESIGN OF PERORAL MODIFIED- that is highly soluble at intestinal pH and absorbed
RELEASE DRUG DELIVERY SYSTEMS by passive diffusion (i.e. not site-specific absorption)
would probably present the ideal properties for
Factors influencing design strategy inclusion in an MR dosage form. However, there
may be some problems associated with the choice of
Having made the decision that a drug is to be actual formulation. At the other end of the scale,
included in a modified-release delivery system compounds that have a low aqueous solubility (< 1 mg
intended for oral administration, it is necessary to mL^1) may already posses inherent sustained-release
take account of the physiology of the gastrointestinal potential as a result of their low solubility. The innate
tract; the physicochemical properties of the drug; the advantages of low aqueous solubility in relation to
design of the dosage form; the drug release mecha- modified release would be negated if the drug also
nism; the particular disease factors; and the biologi- had low membrane permeability.
cal properties of the drug. All of these can influence Having achieved dissolution of the drug in the gas-
or interact with one another. trointestinal tract then permeability considerations
become important. An indication of drug permeabil-
The physiology of the gastrointestinal tract and ity values can be obtained using Caco-2 tissue
drug absorption culture models (see Chapter 18). More than 90%
absorption in vivo may be expected for compounds
The influence of gastrointestinal physiology on drug with permeability, P, values > 4 x 10~6 mm s"1,
delivery is discussed in detail in Chapter 16. It whereas less than 20% absorption is expected when
should also be noted that the residence time of a P is <0.5 x 10~6 mm s'1 (Bailey et al 1996). Drug
dosage form in the gastrointestinal tract is influenced candidates with a permeability <0.5 x 10^6 mm s*1
by both stomach emptying time and intestinal transit are likely to be unsuitable for presentation as MR
time. It has been reported that:
preparations.
solution and pellets (<2 mm) leave the stomach Drug compounds that satisfy the solubility and
rapidly; permeability requirements should also ideally have:
single dose units (>7 mm) can stay in the a biological half-life of between two and six
stomach for up to 10 hours if the delivery system
hours so that accumulation in the body does not
is taken with a heavy meal; occur
the transit time through the small intestine is
a lack of capability to form pharmacologically
approximately 3 hours. active metabolites by, for example, first-pass
metabolism. Modified release is actually used for
Physicochemical properties of the drug drugs which undergo first-pass metabolism but
Several physicochemical properties of the active this should not be to such an extent that only
drug can influence the choice of dosage form. This is inactive metabolites are left after absorption
discussed fully in Chapter 17; these properties a dosage not exceeding 125-325 mg in order to
include aqueous solubility and stability; pK^, parti- limit the size of the delivery system. There are a
tion coefficient (or, more appropriately, permeability few examples where this dose is exceeded, e.g.
values) and salt form. Brufen Retard.
295
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Choice of the dosage form Bimodal release Although constant drug release
may be ideal, this may not always be the case. If the
The first decision to be made is whether to formu- gastrointestinal tract behaves as a one-compartment
late the active ingredient as a single or a multiple model (Chapter 19), i.e. the different segments are
unit system. Single-unit dosage forms include homogeneous, then the situation is ideal. However,
tablets, coated tablets, matrix tablets and some cap- we know from Chapter 16 that absorption rate is not
sules. A multiple-unit dosage form includes gran- invariant along the gastrointestinal tract. So, whatever
ules, beads, capsules and microcapsules. happens, the rate of release from the dosage form
Modified-release dosage forms include inert insol- must regulate drug absorption - in other words,
uble matrices, hydrophilic matrices, ion-exchange release rate must always be slower than absorption
resins, osmotically controlled formulations and rate. This situation may not be easy to achieve: a
reservoir systems. release rate suited to absorption from the intestine
The selection of the appropriate dosage form will may be far too great for that required in the stomach
need to take account of an acceptable level of vari- or colon. One possible solution to this problem is to
ability of performance, the influence of GI tract prepare a dosage form that provides a rapid initial
structure and function on the delivery system, and delivery of drug followed by a slower rate of delivery
the release mechanism and release profile of the and then an increased rate at a later time.
dosage form.
Drug-release mechanisms
The two basic mechanisms controlling drug release
FORMULATION OF MODIFIED-RELEASE
are dissolution of the active drug component and the
DOSAGE FORMS
diffusion of dissolved or solubilized species. Within
the context of these mechanisms there are four
For convenience of description oral modified release
processes operating:
delivery systems can be considered under the follow-
Hydrating of the device (swelling of the ing headings:
hydrocolloid or dissolution of the channelling
Monolithic or matrix systems
agent)
Reservoir or membrane-controlled systems
Diffusion of water into the device
Osmotic pump systems.
Dissolution of the drug
Diffusion of the dissolved (or solubilized) drug These are the main classes of delivery system and
out of the device. they are considered in turn below. However, there
are other systems and the above is not an exhaustive
These mechanisms may operate independently,
list.
together or consecutively.
There is a basic principle that governs all these
Drug delivery systems can be designed to have
systems. In a solution, drug diffusion will occur from
either continuous release, a delayed gastrointestinal
a region of high concentration to a region of low
transit while continuously releasing, or delayed release.
concentration. This concentration difference is the
Drug release may be constant, declining or bimodal.
driving force for drug diffusion out of a system.
Constant release The general belief has been that Water diffuses into the system in an analogous
the ideal MR system should provide and maintain manner. There is an abundance of water in the sur-
constant drug plasma concentrations. This led to
rounding medium and the system should allow water
considerable effort being put into developing
penetration. The inside of the system normally has a
systems that release drugs at a constant rate.
lower water content initially than the surrounding
(Although with the advent of chronotherapy, i.e.
medium.
drug delivered at both the appropriate time and rate,
zero-order release may not be such a desirable goal
in the future.) In general these systems rely on diffu- Components of a modified-release
sion of the drug or, occasionally, osmosis. delivery system
Declining release Drug release from these systems These include:
is commonly a function of the square root of time or
follows first-order kinetics. These systems cannot active drug;
maintain a constant plasma drug concentration but release-controlling agent(s): matrix formers,
can provide sustained release. membrane formers;
296
MODIFIED-RELEASE PERORAL DOSAGE FORMS
297
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
298
MODIFIED-RELEASE PERORAL DOSAGE FORMS
Drug dissolved in the matrix and diffusion occurs On contact with water the hydrophilic colloid compo-
through water-filled pores in the matrix; nents swell to form a hydrated matrix layer. This then
Drug dispersed in the matrix and then, after controls the further diffusion of water into the matrix.
dissolution, diffusion occurs through water-filled Diffusion of the drug through the hydrated matrix
pores. layer controls its rate of release. The outer hydrated
matrix layer will erode as it becomes more dilute; the
The amount of drug released from matrix dosage
rate of erosion depends on the nature of the colloid.
forms is normally proportional to the square root of
Hydrophilic colloid gels can be regarded as a
the time of exposure to the dissolution medium:
network of polymer fibrils that interlink in some way.
There is also a continuous phase in the interstices
between the fibrils through which the drug diffuses.
where Mt is the amount of drug released with time r,
These interstices connect together and are analo-
and K is a constant.
gous to the tortuous capillaries seen in wax matrices.
The amount of drug released decreases with time of
The tortuosity of the diffusion path and the 'micro-
exposure to the dissolution medium. The reason for
viscosity' and interactions within the interstitial con-
this is that the drug is released initially from the
tinuum govern the diffusion of the drug through the
surface region, and there is then only a short diffusion
hydrated gel layer, and hence the release of the drug.
pathway. As the period of dissolution progresses, the
area of drug exposed to dissolution medium
Types of hydrophilic matrix
decreases. Also, an ever-increasing 'zone of depletion'
True gels These systems interact in the presence
is formed within the matrix as the drug dissolves, and
of water to form a crosslinked polymeric structure
so the diffusion pathway increases in length.
with a continuous phase trapped in the interstices of
A simple exponential relationship has been used to
the gel network. The crosslinks are more than just
characterize drug release from non-swelling delivery
random hydrogen bonds between adjacent polymer
svstems:
chains (e.g. alginic acid in the presence of di or triva-
lent cations, gelatin): here they limit the mobility of
the polymer chains and give a structure to the gel
where MJMa is the fractional solute release, K is a (Fig. 20.4). The crosslinks can be chemical bonds or
constant and n is the diffusional exponent. physical bonds, e.g. triple-helix formations in gelatin
The numerical value of the diffusional exponent is gels which are based on hydrogen bonds. The por-
indicative of the release mechanism and is influenced tions of the polymer chains between crosslinks can
by the matrix aspect ratio (i.e. diameter:length move, but the crosslinks restrict the overall move-
ratio). If the matrix is presented as a thin film a value ment of the chains.
of n = 0.5 would be indicative of Fickian diffusion, Viscous or 'Viscolized' matrices Not all matrix
whereas values of n not equal to 0.5 are indicative of systems form 'true' gels: in reality some are more
anomalous or non-Fickian process. Zero-order
release is considered to be happening if n - 1.0. In
other words, the rate of surface erosion is controlling
the rate of drug release and not its rate of diffusion
within the matrix.
299
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
300
MODIFIED-RELEASE PERORAL DOSAGE FORMS
Hydration and swelling are the key factors in the Lubricants for hydrophilic delivery systems As with
functioning of a hydrophilic matrix, as has already any tablet compacted on a tablet machine, a lubricant
been stated. is necessary. Lubricants can have four functions:
Gel modifiers for hydrophilic matrix delivery systems
These are materials that are incorporated into the Reduce interparticulate friction during
matrix to modify the diffusional characteristics of the compression and compaction;
gel layer, very often to enhance drug diffusion and Reduce die-wall friction;
hence release of the drug. Examples include sugars, Prevent sticking to the punches;
polyols and soluble salts. Improve flow of the formulation on to the
The type of modifier will depend very much on machine and into the die.
the chemical nature of the hydrocolloid(s) used. The requirement for lubricants for hydrophilic
They may also modify the rate and extent of hydra- matrix tablets are no different from those for any
tion of the hydrophilic matrix material. other tablet, and are thus analogous to those for con-
Gel modifiers can have a number of other func- ventional immediate-release tablets and capsules.
tions. For example, they may act: Generally the choice is not governed by the same
to allow more complete, more uniform hydration constraints as in immediate release. For example,
of the gel matrix; overblending or excess magnesium stearate may not
to allow more rapid hydration of the gel matrix; be a major problem here.
to associate with the matrix molecules and thus It is not essential that the lubricant is soluble.
to influence the interactions at a molecular level, Such lubricants are available but are generally not
e.g. crosslinking; very effective and tend to be reserved for efferves-
to modify the environment in the interstices of the cent products.
gel, either to speed up or slow down diffusion; Suitable lubricants and recommended concentra-
to suppress or promote the ionization of ionizable tions to be included in the formulation are listed in
polymers. Table 20.3.
Drug release from hydrophilic colloid matrices The
Few materials will have only a single action. It is classic description of the events following immersion
more likely that they will work in several ways. of a matrix in aqueous media are as follows:
Solubilizers and pH modifiers for drugs in
hydrophilic matrices Many drugs will not dissolve Surface drug (if water soluble) dissolves and
sufficiently in gastrointestinal fluids to allow them gives a 'burst effect'.
to be released from a hydrophilic colloid matrix. The hydrophilic polymer hydrates and an outer
Dissolution can be improved by the inclusion of gel layer forms.
solubilizing agents (e.g. PEGs, polyols, surfactants The gel layer becomes a barrier to uptake of
etc.). The only restriction is that the formulation further water and to the transfer of drug.
can be formed into a tablet and that the material is
acceptable. Many drugs are ionizable. The inclu- Table 20.3 Concentration of lubricants used in
sion of appropriate counter-ions can facilitate hydrophilic matrix systems
release from the system. Some materials can act as
both dissolution enhancer and matrix modifier: the Lubricants %
amount of excipient needed will be determined by
Hydrophobia lubricants
the amount of drug. Magnesium stearate 0.25-2
The above relates to the drug molecule, rather Calcium stearate 0.25-2
than the matrix material. It is necessary for any drug Stearic acid 1-4
to be in solution for diffusion to occur. For insoluble Hydrogenated vegetable oil 1-4
drugs, solubilization is therefore an important con- Hydrophilic lubricants (the latter two examples are only
sideration. partially soluble in water)
With some gel materials the use of certain ions Glyceryl palmitostearate 0.5-5
Glyceryl behenate 2-5
causes changes in the nature of the gel matrix. Sodium stearyl fumarate 0.25-2
The solubilizers and pH modifiers might also
Inorganic lubricants
influence the release process through a direct effect Colloidal silicon dioxide 0.05-0.25 as glidant
on the matrix. Different materials could augment 0.2-0.5 as antiadherent
crosslinking, whereas others might perhaps weaken Talc 1-4 as antiadherent
the crosslinks.
301
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Drug (if soluble) release occurs by diffusion Aqueous medium diffusing into the system and
through the gel layer; insoluble drug is released forming a continuous phase through the membrane
by erosion followed by dissolution. initiates drug diffusion and release.
Following erosion the new surface becomes The essential difference between a membrane
hydrated and forms a new gel layer. and a matrix system is that in the former the
polymer membrane is only at the surface of the
It may be anticipated that the relative importance of
system, whereas in the latter the polymer is through-
each release mechanism will depend on the physico-
out the whole system. In both cases the hydration of
chemical properties of the gel layer; the aqueous sol-
the polymer is the step that allows the drug to
ubility of the drug; and the mechanical attrition of
diffuse. With the classic membrane system there are
the matrix in the aqueous environment.
the two diffusion processes: 'water in' followed by
When a drug/glassy polymer matrix is placed in an
'drug out'.
aqueous environment, the water penetrates the
The delivery systems may be presented either as
polymer network. As the amount of water increases a
single or as multiple unit.
transition from a glassy to a rubbery state occurs as
the glass transition temperature is decreased by the
presence of water to the temperature of the medium. Components of a membrane-controlled system
The intake of solvent (water) induces stresses within Core
the matrix polymer. Eventually the matrix polymer Active drug
relaxes, and this manifests itself as swelling. It is pos- Filler or substrate
sible to differentiate three 'fronts' during hydration: (Solubilizer)
eroding, diffusing and swelling. Lubricant/glidant.
The actual drug release mechanism depends on
the relative contributions of swelling and dissolu- The exact composition of the core formulation will
tion. Drug release from swellable, soluble matrices depend on the formulation approach adopted.
is constant when swelling and eroding fronts syn- Coating
chronize, but is non-linear when this is not the case. Membrane polymer
The release of sodium diclofenac from PVA and Plasticizer
from HPMC matrices has been investigated. It was (Membrane modifier)
noted that if the fronts synchronized then the gel (Colour/opacifier).
layer thickness was constant and zero-order release
was observed. When synchronization did not take Single-unit systems
place the gel layer tended to increase in thickness
This is essentially a tablet formulation, but with dif-
and there was a decrease in the amount released,
ferences from conventional dosage forms in that
providing non-linear kinetics.
modified-release tablet cores should not disintegrate
but dissolve; and a formulation is required that
Membrane-controlled drug delivery allows water to penetrate and the drug to dissolve so
systems that diffusion can occur.
Membrane-controlled delivery systems function as Core formulation for single-unit systems Generally,
follows. The rate-controlling part of the system is a water-insoluble materials that compact by brittle
membrane through which the drug must diffuse. To fracture are not suitable if used alone. Suitable
allow the drug to diffuse out, the membrane has to fillers include lactose, microcrystalline cellulose,
become permeable, e.g. through hydration by water dextrose, sucrose and polyols (mannitol, sorbitol,
normally present in the gastrointestinal tract, or by xylitol etc.).
the drug being soluble in a membrane component, Care is needed in the choice of soluble fillers to
such as the plasticizer. Unlike hydrophilic matrix minimize osmotic effects. An inappropriate choice
systems, the membrane polymer does not swell on will result in increased internal osmotic pressure fol-
hydration to form a hydrocolloid matrix, and does lowed by rupture of the release-controlling mem-
not erode. brane. The choice of solubilizer (if required) will be
A drug reservoir, e.g. a tablet or multiparticulate governed by the solubility characteristics of the drug.
pellet, is coated with a membrane. The drug should Materials that have been used include buffers, sur-
not diffuse in the solid state, although loading of the factants, polyols and PEGs.
membrane might be an advantage if an initial release Because single-unit cores are most often com-
on contact with dissolution medium is desired. pressed tablets, a satisfactory lubricant system will
302
MODIFIED-RELEASE PERORAL DOSAGE FORMS
also be required. Again, this is the same as for any choice of plasticizer will probably be a compromise
tablet except that soluble lubricants may not be nec- of all these different requirements.
essary. Suitable lubricants are listed in Table 20.3. Examples of suitable plasticizers for ethyl cellu-
lose films include dibutyl phthalate, diethyl phtha-
late, dibutyl sebecate and citric acid esters. These
Multiple-unit systems
are water-insoluble materials; a water-soluble plasti-
As the name implies, this type of dosage unit com- cizer might increase the permeability of the mem-
prises more than one discrete unit. Typically, such brane excessively. The amount of plasticizer
systems comprise coated spheroids (pellets approxi- required will depend on the several factors men-
mately 1 mm in diameter) filled into a hard gelatin tioned above, but is typically 10-25% of the
capsule shell or, less commonly, compressed into a polymer dry weight.
tablet. The smallest amount of plasticizer is used that will
There are two main approaches that can be adapted produce the most consistent result, i.e. complete
to the manufacture of drug-containing multiple units: coalescence of the droplets to form the film without
making it too elastic, plastic, soft or permeable. The
The use of inert sugar spheres ('nonpareils')
plasticizer is not present only for processing but is
coated first with drug and then with the release-
added to have an effect on the mechanical properties
controlling membrane;
of the film, i.e. film flexibility should be induced and
The formulation of small spheroids containing
maintained. Plasticizers should be permanent to
the drug using an extrusion/spheronization
avoid stability problems.
process (see Chapter 25). This approach is better
It may be necessary to add components to the
if a high drug loading is required.
coating formulation to modify the release character-
Typical formulations comprise drug with combina- istics of the film, particularly to increase the rate of
tions of lactose and microcrystalline cellulose. Other release. Typically this will be a less hydrophobic,
materials can be used. A typical formulation for a wet water-soluble component. Examples of such materi-
mass for extrusion/spheronization might comprise: als include polyethylene glycols, propylene glycol,
glycerol or other polyols, and water-soluble poly-
Parts by weight mers. Some of these may also act as plasticizers. It
Active drug 1-20 is important to recognize that many materials can
Lactose 60 have different functions in a formulation, and also
Microcrystalline cellulose 40 to understand what the implications of these differ-
Binder 2-4 ent functionalities are for the finished product.
Water 40 Advantages of membrane-controlled systems
After spheronization the material is dried prior to For multiple-unit systems the gastrointestinal
coating. transit of small particulates is more consistent
Release-controlling membrane The membrane is a than that of a larger single-unit system.
critical part of the formulation as it controls the Multiple-unit systems are also less likely to suffer
release of the drug. The requirement is that the from the problems associated with total dose
polymer remain intact for the period of release, i.e. dumping due to overall catastrophic failure of a
there should be no swelling or subsequent erosion, as film around a monolith (tablet), which would
seen in hydrophilic matrices. Typical polymers used then release the whole dosage.
include ethyl cellulose, acrylic copolymers, e.g. In addition, multiple-unit systems allow the
Eudragit RL and RS grades, shellac and zein. Shellac release mechanism to be optimized for individual
and zein are natural products and their quality can drugs in a system delivering two or more active
vary. components.
The release-controlling polymer is film-coated on Disadvantages of membrane-controlled systems
to the system. For the coating to be successful the Dose dumping can occur from single-unit system
coating droplets must coalesce. The plasticizer is as a result of film failure.
used to lower the glass transition temperature (T"g) of Multiple-unit systems can be difficult to retain in
the film (see Chapter 28). The choice of plasticizer the higher gastrointestinal tract.
will depend on the polymer used, the active drug and The control of the membrane characteristics in
the desired release characteristics. In addition, the film-coated membranes can be difficult.
plasticizer may modify the diffusional characteristics Filling of the multiunit spheroids into capsules can
of the membrane with respect to the drug. The final be a problem owing to build-up of static charge.
303
BIOPHARMACEUTICAL PRINCIPLES OF DRUG DELIVERY
Osmotic pump systems They are suitable for a wide range of drugs.
The coating technology is straightforward.
In one sense osmotic pump systems are another They typically give a zero-order release profile
form of membrane-controlled release drug delivery
after an initial lag.
system and work in the following way. A drug is
Disadvantages of osmotic pump systems
included in a tablet core which is water soluble, and
Size of hole is critical.
which will solubilize (or suspend) the drug in the
Laser drilling is capital intensive.
presence of water. The tablet core is coated with a Integrity and consistency of the coating is
semipermeable membrane which will allow water to
essential:
pass through into the core, which then dissolves. As - If the coating process is not well controlled
the core dissolves, a hydrostatic pressure builds up
there is a risk of film defects, which could
and forces (pumps) drug solution (or suspension)
result in dose dumping.
through a hole drilled in the coating. The rate at - The film droplets or particles must be induced
which water is able to pass in through the mem- to coalesce into a film with consistent
brane, and how quickly the drug solution (or sus-
properties.
pension) can pass out of the hole, govern the rate of
release.
The rate at which the drug solution/suspension is
Delivery systems for targeting to
forced out can be modified by changes in the viscos- specific sites in the gastrointestinal tract
ity of the solution formed inside the system. The
essential difference between an osmotic pump Systems that target specific sites in the gastrointesti-
system and a 'classic' membrane-controlled system is nal tract are a form of modified-release delivery
that for the osmotic pump only one diffusion process system and are considered briefly here. Targeting of
is required (in this case, 'water in'). As mentioned drugs in the gastrointestinal tract is considered
above, in the 'classic' system two processes are key: useful as a means of taking advantage of and/or over-
water in, drug out. coming efflux systems (Chapter 16) and intestinal
cell metabolism; specific carrier mechanisms; and
cell recognition sites. It can be achieved by gastric
Components of osmotic pump systems retentive delivery systems and by colonic drug deliv-
Core This consists of the active drug, a filler or
ery systems.
substrate, a (viscosity modifier), (solubilizer) and,
lubricant/glidant.
Coating Coatings contain a membrane polymer, Gastric retentive systems
a plasticizer, a (membrane modifier) and (colour/ The advantages of using these drug delivery systems
opacifier). include reduced variability of drug release, local
This is the same list of components as for matrix- drug delivery and action, and enhanced bioavailabil-
controlled systems, and the types of excipient used ity for those drugs with a restricted absorption
are essentially similar. However, it is important to window in the gastrointestinal tract.
remember that the diffusing species is only water; an Methods to achieve gastric retention are:
agent must be included in the core which is soluble
enough to generate the osmotic pressure; and there the addition of passage-delaying agents, such as
must be a hole through which the drug solution/sus- food material, for example triethanolamine
pension can be pumped out. Otherwise, the same myristate, or drugs, for example propantheline;
considerations apply for the formulation of the core the use of high-density materials: high-density
as with other membrane-controlled systems. The particles (>2.5g/cm3) have prolonged gastric
coating must also be fully coalesced and be free from residence times. This can be achieved by the
unintentional pinholes, and it should act as a semi- addition of materials such as barium sulphate;
permeable membrane. modification of the size/shape of delivery system
Advantages of osmotic pump systems by the use of unfolding polymer sheets, swelling
They are well characterized and understood. hydrogel balloons, or polymer units that are too
The diffusing species is water. large to pass through the pyloric sphincter.
Modification of the rate of water diffusion is bioadhesive systems. Systems have been used
more straightforward than for many drugs. which will adhere to surfaces such as the mucosa.
The release mechanism is not dependent on the The problems when these systems are used for
drug. gastrointestinal delivery are that first, high local
304
MODIFIED-RELEASE PERORAL DOSAGE FORMS
concentrations of drug may result, and second, colonic bacteria. The principle here is to coat the
there is a turnover of mucosa, leading to drug/delivery system with a polymer that is
detachment of the delivery system; sensitive to bacteria in the colon. Degradation of
the use of floating dosage forms. These systems the polymer permits release of the active drug.
resist gastric emptying by floating on the stomach Polymers used include glassy amylase (mixed
contents. They should not alter the intrinsic with ethylcellulose); or pectin as a thick
emptying rate of the stomach and their specific compression coat, crosslinked with calcium, with
gravity should be less than that of the stomach different degrees of methoxylation or amidation,
contents. Systems used are (a) hydrodynamically or mixed with ethylcellulose.
balanced systems; (b) carbon dioxide-generating
systems; (c) freeze-dried systems.
REFERENCES
Colonic delivery systems Amidon, G.L., Lenneras, H, Shah, V.P. and Crison, J.R.
Applications for these systems include local delivery (1995) Pharm. Res., 10, 413.
Bailey, C.A., Bryla, P. and Malick, A.W. (1996) Adv. Drug
for the treatment of inflammatory diseases, infec- Dev. Rev., 22, 85.
tions, and diarrhoea; and systemic delivery. ChienY.W. (1995) Novel drug delivery systems. Marcel
Design principles for these delivery systems make Dekker, New York.
use of:
the specific pH of the colon: pH-sensitive
polymers are used in their manufacture, e.g. ACKNOWLEDGEMENT
combinations of Eudragit 100-55 (pH 5.5) with
Eudragit S (pH 7.0). The principle is that drug is The authors wish to thank, Dr L.G. Martini and Dr
released at a specific pH environment; P.B. Geraghty (Glaxo SmithKline Pharmaceuticals,
small-intestine transit time. These depend on Harlow, UK) for their assistance and advice in the
timed release of the active drug; preparation of this chapter.
305
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PART FOUR
307
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21
Solutions
Michael Billany
CHAPTER CONTENTS
309
DOSAGE FORM DESIGN AND MANUFACTURE
310
SOLUTIONS
Most liquid preparations are designed so that the ergotamine maleate, require Water for Injections BP
normal dosage of the drug is present in 5 mL, or free from dissolved air to be used.
a multiple of 5 mL, of product. Accurate dosage These are both obtained from apyrogenic distilled
depends on the ability of the patient to use a water in the same way as before, but are then boiled
5 mL spoon or a volumetric dropper. for at least 10 minutes, cooled, sealed in their
The taste of a drug, which is usually unpleasant, containers while excluding air, and then sterilized by
is always more pronounced when in solution than autoclaving. For further details on parenteral solu-
in a solid form. Solutions can, however, easily be tions see Chapter 35.
sweetened and flavoured to make them more
palatable.
Approaches to the improvement of aqueous
solubility
Although water is very widely used for inclusion in
CHOICE OF SOLVENT pharmaceutical preparations, it may not be possible
to ensure complete solution of all ingredients at all
Aqueous solutions normal storage temperatures. Strongly ionized mate-
rials are likely to be freely soluble in water over a
Water is the solvent most widely used as a vehicle for wide pH range. Similarly, weak acids and bases
pharmaceutical products, because of its physiologi- should be adequately soluble at favourable pHs.
cal compatibility and lack of toxicity. It possesses a Even if in solution, it is still important to ensure that
high dielectric constant, which is essential for the concentration of any material is not close to its
ensuring the dissolution of a wide range of ionizable limit of solubility, as precipitation may occur if the
materials. In some cases this property may be an product is cooled or if any evaporation of the vehicle
advantage, but the lack of selectivity can be respon- should occur. For unionized drugs or for weak elec-
sible for aqueous solutions containing unwanted trolytes at a pH that is unfavourable for extensive
substances such as inorganic salts and organic ionization, one or more of the following methods
impurities. This is one reason why water is rarely should be used to improve aqueous solubility.
used for the extraction of active constituents from Cosolvency The solubility of a weak electrolyte or
vegetable sources. non-polar compound in water can often be improved
by altering the polarity of the solvent. This can be
Types of pharmaceutical water achieved by the addition of another solvent that is
both miscible with water and in which the com-
For many preparations potable water can be used. pound is also soluble. Vehicles used in combination
This is water freshly drawn from the mains system to increase the solubility of a drug are called
and which is suitable for drinking. If this type cosolvents, and often the solubility in this mixed
is unobtainable, then a suitable, though more expen- system is greater than can be predicted from the
sive, alternative is pharmacopoeial Purified Water material's solubility in each individual solvent.
BP, which has been freshly boiled and cooled Because it has been shown that the solubility of a
immediately before use to destroy any vegetative given drug is maximal at a particular dielectric con-
microorganisms that might be present. Purified stant of any solvent system, it is possible to eliminate
Water must, however, be used on all occasions where those solvent blends possessing other dielectric con-
the presence of salts - often dissolved in potable stants. In some cases, however, it has been shown
water - is undesirable. Purified Water is normally that the chemical nature of the solvent system used
prepared by the distillation or deionization of may be of greater importance. A more detailed
potable water, or by the process of reverse osmosis. explanation of the effects of the molecular structure
Water for Injections must be used for the formula- of the solute and the physicochemical properties of
tion of parenteral solutions and is obtained by the solvent can be found in Chapter 2.
sterilizing pyrogen-free distilled water immediately The choice of suitable cosolvents is somewhat
after its collection. For the formulation of aqueous limited for pharmaceutical use because of possible
solutions of drugs, such as phenobarbitone sodium toxicity and irritancy, particularly if required for oral
or aminophylline, which are sensitive to the presence or parenteral use. Ideally, suitable blends should
of carbon dioxide, Water for Injections free from possess values of dielectric constant between 25 and
carbon dioxide must be used. Similarly, drugs which 80. The most widely used system that will cover
are liable to oxidation, such as apomorphine and this range is a water/ethanol blend. Other suitable
311
DOSAGE FORM DESIGN AND MANUFACTURE
solvents for use with water include sorbitol, glycerol, values may differ in the final formulation owing to
propylene glycol and syrup. For example, a blend of the presence of other ingredients. For example, the
propylene glycol and water is used to improve the inclusion of cosolvents such as alcohol or propylene
solubility of co-trimoxazole, and paracetamol is for- glycol with water will lower the dielectric constant of
mulated as an elixir by the use of alcohol, propylene the vehicle and therefore increase the solubility of
glycol and syrup. For external application to the the unionized form of the drug. This lowering of the
scalp, betamethasone valerate is available dissolved polarity of the solvent system will also reduce the
in a water/isopropyl alcohol mixture. degree of dissociation of the drug and increase its
For further details covering the suitability of dif- pKa. As this effect will increase the concentration of
ferent cosolvents see under their individual headings the unionized (less soluble) species, an increase in
in this chapter. the pH of the system may be necessary in order to
pH control A large number of drugs are either maintain solubility.
weak acids or weak bases, and therefore their It must be appreciated that maximum solubility
solubilities in water can be influenced by the pH of may best be achieved by a judicious balance between
the system. A quantitative application of the pH control and concentration of cosolvent, and can
Henderson-Hasselbalch equation will enable the be determined, as before, by the Henderson-
solubility of such a drug in water at a given pH to be Hasselbalch equation, substituting the new values
determined, provided its pKa and the solubility of its both for pKj and for the molar solubilities of the
unionized species are known (see Chapter 3). The unionized species.
solubility of a weak base can be increased by lower- Suitable buffer systems for the control of pH are
ing the pH of its solution, whereas the solubility of a discussed later in this chapter, but care must be
weak acid is improved by an increase in pH. Some taken because the solubilities of sparingly soluble
compounds will accept or donate more than one electrolytes can be decreased still further by the
hydrogen ion per molecule, and will therefore addition of a soluble electrolyte, should they contain
possess more than one pKa value and so will exhibit a common ion. The opposite can be true if they do
a more complex solubility profile. not possess common ions.
In controlling the solubility of a drug in this way, it As solutions of non-electrolytes are not
must be ensured that the chosen pH does not conflict significantly affected by pH, other methods of
with other product requirements. For example, the improving their solubilities must be found.
chemical stability of a drug may also depend on pH, Solubilization The solubility of a drug that is
and in many cases the pH of optimum solubility does normally insoluble or poorly soluble in water can
not coincide with the pH of optimum stability. This often be improved by the addition of a surface-active
may also be true for other ingredients, especially agent. These molecules form different types of
colours, preservatives and flavours. micelles, ranging from simple spherical structures to
The pH of solutions for parenteral and ophthalmic more complex liposomes and liquid crystals. Details
use, for application to mucous membranes or for use of their formation can be found in Chapter 6. This
on abraded skin must also be controlled, as extremes phenomenon of micellar solubilization has been
can cause pain, irritation and even tissue damage. widely used for the formulation of solutions of
This is particularly true for subcutaneous, intramus- poorly soluble drugs. In aqueous systems, non-polar
cular and intraspinal injections because the solutions molecules will dissolve in the interior of the micelle,
will not be rapidly diluted after administration. which consists of the lipophilic hydrocarbon moiety.
In some instances the bioavailability of drugs may The amount of surfactant to be used for this
be influenced by the pH of their solutions purpose must be carefully controlled. A large excess
(Chapter 17), and changes in pH can also affect a is undesirable because of cost, possible toxicity and
preservative's activity by altering the extent to which its effect on product aeration during manufacture.
it is ionized. Often a compromise must be reached Excessive amounts may also reduce the bioavailabil-
during formulation to ensure that the stability and ity of a drug if it is strongly adsorbed within the
solubility of all ingredients, physiological compatibil- micelle. An insufficient amount of surfactant,
ity and bioavailability are all adequate for the however, may not solubilize all the drug, or may lead
product's intended purpose. to precipitation either on storage or on dilution of
The values of molar solubilities and dissociation the product.
constants of drugs that are reported in the literature, Reference to Fig. 6.15 will show that hydrophilic
or determined during preformulation studies, are surfactants possessing HLB values above 15 will be
usually for the drug alone in distilled water. These particularly valuable as solubilizing agents.
312
SOLUTIONS
The surfactant chosen must be non-toxic and to each of a series of vials containing the solvent.
non-irritant, bearing in mind its intended route of Ensuring adequate temperature control, varying
administration. It must also be miscible with the amounts of solubilizate (the material to be solubi-
solvent system, compatible with the other ingredi- lized) are added to each vial in ascending order of
ents, free from disagreeable odour and taste and be concentration. The maximum concentration of drug
non-volatile. that will form a clear solution with a given concen-
Examples include the solubilization of fat-soluble tration of surfactant can be determined visually or by
vitamins such as phytomenadione using polysorbates. optical density measurement (Fig. 21.1 (a)), and is
This enables their inclusion with water-soluble known as the maximum additive concentration
vitamins in the same aqueous-based formulation. For (MAC). This method can be repeated for different
parenteral administration of these vitamins, a mixture amounts of surfactant to enable a graph to be con-
of glycocholic acid and lecithin provides a mixed structed of MAC against surfactant concentration,
micelle system. from which the optimum amount of solubilizing
The solubility of amiodarone hydrochloride can agent can be chosen for any required amount of drug
similarly be improved, although this drug can exhibit (Fig.21.1(b)).
autosolubilization at high concentrations. Alternatively, a ternary-phase diagram can be con-
The solubilization of iodine to produce structed (Fig. 21.2) that will present a more com-
iodophores is achieved by the use of macrogol prehensive picture of the effects of solubilizate,
ethers. These products exhibit several advantages surfactant and solvent concentrations on the physical
over simple iodine solutions, including an improved characteristics of the system.
chemical stability, reduced loss of active agent due to The three axes form the three sides of an equilat-
sublimation, less corrosion of surgical instruments eral triangle, each axis representing 0-100% of one
and, in some cases, enhanced activity. of the components. Point A thus represents a formu-
Polyoxyethylated castor oil is used as a solubilizing lation consisting of 50% solubilizate, 20% surfactant
agent for a number of intravenous injections, includ- and 30% water. By plotting at each point a number
ing the immunosuppressant cyclosporin as an intra-
venous infusion. Care must be taken with this
surfactant, as anaphylactic reactions are known to
occur when it is injected.
Other drugs that have been solubilized include
antibiotics such as griseofulvin, which has been for-
mulated with cetomacrogol. Poloxamers (polyoxy-
ethylene/polyoxypropylene copolymers), some of
which are also suitable for parenteral administration,
are used to maintain the clarity of solutions for oral
use (Garcia Sagredo et al 1994). Lanolin derivatives
have also been used for the solubilization of volatile
and essential oils.
The solubility of phenolic compounds such as
cresol and chloroxylenol, which are normally soluble
in water up to 2% and 0.03% respectively, can be
improved by solubilization with soaps. Lysol con-
tains 50% cresol in an aqueous system by the use of
the potassium soaps of oleic, linoleic and linolenic
acids.
It may also be possible to combine the beneficial
effects of solubilization and cosolvency in one for-
mulation. A 5% chloroxylenol solution can be for- Fig. 21.1 (a) Graph of optical density of a
mulated by the inclusion of potassium ricinoleate. solubilizate/surfactant/solvent system against solubilizate
This soap is formed in situ by the reaction between concentration showing the maximum additive concentration
potassium hydroxide and castor oil. Ethanol and ter- (MAC), (b) Determination of the MAC for a range of
concentrations of a given surfactant will provide the data for this
pineol are included as cosolvents. graph, enabling the optimum concentration of the surfactant to
To ensure that the optimum concentration of sur- be chosen for the solubilization of a given concentration of active
factant is chosen, a known weight or volume is added agent.
313
DOSAGE FORM DESIGN AND MANUFACTURE
representing one particular system (e.g. 1 = clear excipient such as a cosolvent. These values must,
solution, 2 = emulsion, 3 = transparent gel etc.) and however, be plotted as percentage drug plus excipi-
enclosing each system within a boundary, a phase ent to ensure a maximum value of 100%.
diagram can be constructed. Suitable formulations, Alternatives to the use of surface-active agents as
which will be clear solutions, become immediately solubilizing agents include the cyclodextrins (Szejtli
apparent and the best can then be chosen, bearing in 1994). This range of compounds is based on a series
mind the properties required for this type of of glucopyranose units that form cyclical structures
product. resembling hollow cylinders (Fig. 21.3). As the inside
It is also important to ensure that the formulation surface of the ring is hydrophobic, owing to the pres-
chosen does not lie too close to a phase boundary, as ence of -CH2 groups, drugs that are poorly soluble in
the positions of these can depend on the storage water can be accommodated here. The outer part of
temperature of the product. In general the degree of the structure is hydrophilic and therefore freely
solubilization of a drug increases as the temperature soluble in water (Stella and Rajewski 1997).
increases. From this type of phase diagram the phys-
ical composition of diluted preparations can also be
shown. Point B, for example, represents a product
consisting of 40% solubilizate and 60% surfactant.
The construction of a straight line from here to point
C represents the dilution of the product with
increasing concentrations of water.
Should the concentration of drug to be included
in the product be fixed, then the third axis can be
used to represent varying concentrations of a third Fig. 21.3 Representation of the structure of cyclodextrins.
314
SOLUTIONS
315
DOSAGE FORM DESIGN AND MANUFACTURE
Injection, is less viscous than the oils described Injection, and some formulations of Diazepam
above and therefore more easily injected intramus- Injection, Co-trimoxazole Intravenous Infusion and
cularly. Of similar viscosity is benzyl benzoate, which as the diluent for both Chloramphenicol Ear Drops
can be used as an alternative solvent for dimercaprol. and some brands of hydrocortisone ear drops, and in
Some fixed oils are sufficiently tasteless and many preparations for oral use.
odourless to be suitable for oral use as solvents for The lower molecular weight polyethylene glycols
such materials as vitamins A and D. Fractionated (PEG) or macrogols have the general formula:
coconut oil is occasionally used as the solvent for
some antibiotics, which would otherwise hydrolyse
rapidly if formulated as aqueous systems. and are available in a range of viscosity grades. PEG
Veterinary formulations may also contain these 400, for example, is used as a solvent in clotrimazole
solvents, arachis oil, for example, being used for topical solution. They are also widely used as cosol-
hexachlorophene in the treatment of fascioliasis in vents with alcohol or water, although their main use
ruminants. is in the formulation of water-miscible ointment
Oils tend to be unpleasant to use externally, bases. There are also other glycols available which,
however, unless presented as an emulsion. Arachis although rarely included in products for human use,
oil is one of the few examples and is used as the can be used for extraction processes or as solvents in
solvent in Methyl Salicylate Liniment. the formulation of veterinary and horticultural solu-
tions. Examples include dipropylene glycol, diethyl-
ene glycol, ethylene glycol and their monoethyl
Alcohols
ethers. Glycerol, an alcohol possessing three
Ethyl alcohol is the most widely used solvent in this hydroxyl groups per molecule, is also widely used,
class, particularly for external application, where its particularly as a cosolvent with water for oral use. At
rapid evaporation after application to the skin higher concentrations it is used in, for example,
imparts a cooling effect to such products as salicylic Phenol and Glycerol Injection.
acid lotion. It is also particularly useful for the
extraction of crude drugs, being more selective than
Dimethylsulphoxide
water. At concentrations greater than 15% ethanol
exhibits antimicrobial activity, but because of its This is a highly polar compound and is thought to
toxicity it is used orally or parenterally only at low aid the penetration of drugs through the skin.
concentrations, usually as a cosolvent with water. Although used mainly as a solvent for veterinary
If required for external use then industrial methy- drugs, it is used as a carrier for idoxuridine, an
lated spirit (IMS), which is free from excise duty, is antiviral agent, for application to human skin.
usually included rather than the more expensive
ethanol. Because industrial methylated spirit contains
Ethyl ether
5% methyl alcohol as a denaturant it is rendered too
toxic for internal use. This material is widely used for the extraction of
An alcohol possessing similar properties is iso- crude drugs, but because of its own therapeutic
propyl alcohol, which is used externally as a solvent activity it is not used for the preparation of formula-
for dicophane. Its main advantage is that it is less tions for internal use. It is, however, used as a
likely to be abused than ethanol and that denatura- cosolvent with alcohol in some collodions.
tion is not necessary.
Liquid paraffin
Polyhydric alcohols
The oily nature of this material makes it unpleasant
Alcohols containing two hydroxyl groups per mole- to use externally, although it is often used as a
cule are known as glycols, but because of their toxi- solvent for the topical application of drugs in emul-
city they are rarely used internally. One important sion formulations. At one time light liquid paraffin
exception to this is propylene glycol. was widely used as the base for oily nasal drops.
(These are now rarely used because of the possibility
of causing lipoidal pneumonia if they are inhaled
which is often used in conjunction with water or into the lungs.) It has a minor use in veterinary for-
glycerol as a cosolvent. It is used, for example, in the mulation as a solvent in, for example, anthelminthic
formulation of Digoxin Injection, Phenobarbital drenches containing carbon tetrachloride.
316
SOLUTIONS
317
DOSAGE FORM DESIGN AND MANUFACTURE
antimicrobial activities. It is only by full micro- range. Less widely used are aspartame (E951),
biological challenge testing that the efficiency of a which is a compound of L-aspartic acid and L-pheny-
preservative system can be properly assessed. lalanine, acesulfame potassium (E950), thaumatin
A more comprehensive discussion on the preserva- (E957), sodium cyclamate (E952) and neohesperi-
tion of Pharmaceuticals can be found in Chapter 42. dine DC (E959). The main disadvantage of all
artificial sweeteners is their tendency to impart a
bitter or metallic aftertaste, and they are therefore
Reducing agents and antioxidants often formulated with sugars to mask this.
The decomposition of pharmaceutical products by
oxidation can be controlled by the addition of reduc-
ing agents such as sodium metabisulphite, or anti-
Flavours and perfumes
oxidants such as butylated hydroxyanisole or The simple use of sweetening agents may not be
butylated hydroxytoluene. For unit-dose parenteral sufficient to render palatable a product containing a
products, such as injections of nicotinamide and drug with a particularly unpleasant taste. In many
ascorbic acid, it is possible to use Water for Injections cases, therefore, a flavouring agent can be included.
free from dissolved air and to replace the air in the This is particularly useful in paediatric formulation
headspace by nitrogen or another inert gas. to ensure patient compliance. The inclusion of
flavours has the additional advantage of enabling the
easy identification of liquid products.
Sweetening agents Flavouring and perfuming agents can be obtained
Low molecular weight carbohydrates, and in partic- from either natural or synthetic sources. Natural
ular sucrose, are traditionally the most widely used products include fruit juices, aromatic oils such as
sweetening agents. Sucrose has the advantage of peppermint and lemon, herbs and spices, and dis-
being colourless, very soluble in water, stable over a tilled fractions of these. They are available as concen-
pH range of about 4-8 and, by increasing the viscos- trated extracts, alcoholic or aqueous solutions, syrups
ity of fluid preparations, will impart to them a pleas- or spirits, and are particularly widely used in the
ant texture in the mouth. It will mask the tastes of manufacture of products for extemporaneous use.
both salty and bitter drugs and has a soothing effect Artificial perfumes and flavours are of purely syn-
on the membranes of the throat. For this reason, thetic origin, often having no natural counterpart.
despite its cariogenic properties, sucrose is particu- They tend to be cheaper, more readily available, less
larly useful as a vehicle for antitussive preparations. variable in chemical composition and more stable
Polyhydric alcohols such as sorbitol, mannitol and, than natural products. They are usually available as
to a lesser extent glycerol, also possess sweetening alcoholic or aqueous solutions or as powders.
power and can be included in preparations for The choice of a suitable flavour can only be made
diabetic use, where sucrose is undesirable. Other as a result of subjective assessment and, as consumer
less widely used bulk sweeteners include maltilol, preferences vary considerably, this is not easy. Some
lactilol, isomalt, fructose and xylitol. Treacle, honey guidance can, however, be given by reference to
and liquorice are now very rarely used, having only Table 21.1, which shows that certain flavours are
a minor application in some extemporaneously particularly useful for the masking of one or more of
prepared formulations. the basic taste sensations of saltiness, bitterness,
Artificial sweeteners can be used in conjunction sweetness and sourness. These tastes are detected by
with sugars and alcohols to enhance the degree of sensory receptors on various areas of the tongue,
sweetness, or on their own in formulations for
patients who must restrict their sugar intake. They Table 21.1 Suitable masking flavours for various
are also termed intense sweeteners because, weight product tastes
for weight, they are hundreds and even thousands of
times sweeter than sucrose and are therefore rarely Taste of Suitable masking flavour
required at a concentration greater than about product
0.2%.
Salty Apricot, butterscotch, liquorice, peach, vanilla
Only about six artificial sweeteners are permitted
for oral use within the European Union, the most Bitter Anise, chocolate, mint, passion fruit, wild cherry
widely used being the sodium or calcium salts of sac- Sweet Vanilla, fruits, berries
charin (E954). Both exhibit high water solubility and Sour Citrus fruits, liquorice, raspberry
are chemically and physically stable over a wide pH
318
SOLUTIONS
whereas the more subtle flavours are detected by the the water-soluble dye amaranth is also known as
olfactory receptors. Bordeaux S, Cl Food Red 9 and Cl Acid Red 27. It
In some cases there is a strong association between has been allocated the Colour Index Number 16185
the use of a product and its flavour or perfume by the Society of Dyers and Colourists and the
content. For example, products intended for the American Association of Textile Chemists and
relief of indigestion are often mint flavoured. This is Colorists. Under the USA Food, Drug and Cosmetics
because for many years mint has been used in such Act it is known as FD and C Red Number 2, and a
products for its carminative effect, but even in prod- directive of the Council of European Communities
ucts containing other active agents the odour and has allocated it the reference number E 123.
taste of mint are now firmly associated with antacid As with flavours and perfumes, there is a range of
activity. Similarly, the odour of terpineol is often both natural and synthetic colours. The former,
associated with antiseptic activity and, in a competi- which tend to be more widely acceptable, can be
tive market, it may therefore be unwise to alter these classified into carotenoids, chlorophyll, antho-
flavours or perfumes to any appreciable extent. cyanins, and a miscellaneous group which includes
The fact that personal preferences for flavours and riboflavines, caramel and extracts of beetroot. They
perfumes often vary with age can also aid the for- can, however, exhibit the usual problems associated
mulator. Children, in general, prefer fruity tastes and with natural products, namely variations in availabil-
smells, whereas adults choose flowery odours and ity and chemical composition, both of which may
acid flavours. Other suitable materials for the cause formulation difficulties.
masking of unpleasant tastes include menthol, pep- Synthetic or 'coal tar' dyes tend to give bright
permint oil and chloroform. In addition to having colours and are generally more stable than natural
their own particular tastes and odours they also act materials. Most of those that are suitable for pharma-
as desensitizing agents by exerting a mild anaesthetic ceutical use are the sodium salts of sulphonic acids,
effect on the sensory taste receptors. and therefore they may be incompatible with cationic
Flavour-enhancing agents such as citric acid for drugs. Care must also be taken to ensure that any dye
citrus fruits and glycine or monosodium glutamate used is not adversely affected by pH or by ultraviolet
for general use are now becoming more widely used. radiation, or by the inclusion of oxidizing or reducing
agents or surfactants.
Colours
Once a suitable flavour has been chosen, it is often
useful to include a colour associated with that TYPES OF PREPARATION
flavour in order to improve the attractiveness of the
product. Another reason for the inclusion of colours The terminology used for the titles of different forms
is to enable easy product identification, particularly of liquid preparation for both oral and topical use
of poisonous materials, including weedkillers and can sometimes be confusing, with overlap between
mineralized methylated spirit, and, for example, to definitions and more than one definition being
differentiate between the many types of antiseptic appropriate for one particular product. Further-
solution used in hospitals for the disinfection of skin, more, definitions can vary between different official
instruments, syringes etc. compendia and may be at variance with definitions
The presence of a strongly coloured degradation used within the pharmaceutical industry. This
product, which does not affect the use of the section attempts to give an overview of the types of
product, may occasionally be masked by the use of a pharmaceutical solution available.
suitable colour. It is however, essential to ensure that
any colour chosen is acceptable in the country in
which the product is to be sold. A colour that is Liquids for cutaneous application
acceptable in one country may not be acceptable in
another, and as aspects of colour legislation can Lotions, liniments, paints and collodions
change quite frequently it is necessary to ensure that Lotions can be formulated as solutions, and are
only the latest regulations are consulted. The legal designed to be applied to the skin without friction.
departments of most dye manufacturers are usually They may contain humectants, so that moisture is
willing to supply up-to-date information. retained on the skin after application of the product,
The proliferation of nomenclature that exists for or alcohol, which evaporates quickly, imparting a
most colours can also cause confusion. For example, cooling effect and leaving the skin dry.
319
DOSAGE FORM DESIGN AND MANUFACTURE
Liniments, however, are intended for massage into of nasal mucus is low, formulation at a pH of 6.8 is
the skin and can contain such ingredients as methyl necessary. Nasal drops should also be made isotonic
salicylate or camphor as counterirritants. with nasal secretions using sodium chloride, and
Liquids for application to the skin or mucous viscosity can also be modified using cellulose deriva-
membranes in small amounts are often termed tives if necessary. Active agents for administration by
paints, and are usually applied with a small brush. this route for local use include antibiotics, anti-
The solvent is normally alcohol, acetone or ether, inflammatories and decongestants.The nasal route is
which evaporates quickly leaving a film on the skin also of major importance for specific types of drugs,
that contains the active agent. A viscosity modifier and a full description of this method of drug delivery
such as glycerol is often added to ensure prolonged can be found in Chapter 32.
contact with the skin.
Collodions are similar preparations which, after
evaporation of the solvent, leave a tough, flexible film
Oral liquids
that will seal small cuts or hold a drug in intimate This is a general term used to describe a solution,
contact with the skin. The film former is usually suspension or emulsion in which the active ingredi-
pyroxylin (nitrocellulose) in an alcohol/ether or ent is dissolved or dispersed in a suitable liquid
alcohol/acetone solvent blend. Often a plasticizer vehicle.
such as castor oil and an adherent such as colophony
resin are included.
Elixirs
The terms mixture and elixir are often confused,
Ear preparations although an elixir is strictly a solution of a potent or
Also known as otic or aural products, these are nauseous drug. If the active agent is sensitive to
simple solutions of drugs in either water, glycerol, moisture, it may be formulated as a flavoured
propylene glycol or alcohol/water mixtures for local powder or granulation by the pharmaceutical indus-
use, and include antibiotics, antiseptics, cleansing try and then simply dissolved in water immediately
solutions and wax softeners. They are applied to the prior to administration. The dosage is usually taken
external auditory canal as drops, sprays or washes. using a 5 mL medicine spoon, although smaller
volumes can be given using a volumetric dropper.
Eye preparations
Linctuses
These are small-volume sterile liquids designed to be
instilled on to the eyeball or within the conjunctival A linctus is a viscous preparation, usually prescribed
sac for a local effect. for the relief of cough. It normally consists of a simple
solution of the active agent in a high concentration of
sucrose, often with other sweetening agents. This type
Irrigations of product, which is also designed to be administered
Irrigations are sterile, large-volume aqueous-based in multiples of 5 mL, should be sipped slowly and not
solutions for the cleansing of body cavities and be diluted beforehand. The syrup content has a
wounds. They should be made isotonic with tissue demulcent action on the mucous membranes of the
fluid. throat. For diabetic use the sucrose is usually
replaced by sorbitol and/or synthetic sweeteners.
Mouthwashes and gargles
Mixtures and draughts
Aqueous solutions for the prevention and treatment
of mouth and throat infections can contain antisep- Mixtures are usually aqueous preparations that can
tics, analgesics and/or astringents. They are usually be in the form of either a solution or a suspension.
diluted with warm water before use. Most preparations of this type are manufactured on a
small scale as required, and are allocated a shelf-life
of a few weeks before dispensing. Doses are usually
Nasal products given in multiples of 5 mL using a metric medicine
These are formulated as small-volume solutions in spoon. A draught is a mixture of which only one or
an aqueous vehicle, oils being no longer used for two large doses of about 50 mL are given, although
nasal administration. Because the buffering capacity smaller doses are often necessary for children.
320
SOLUTIONS
321
DOSAGE FORM DESIGN AND MANUFACTURE
322
22
Clarification
Andrew Twitchell
Centrifugation 331
Solid/liquid filtration There are numerous appli-
Principles of centrifugation 331 cations of solid/liquid filtration in pharmaceutical
Industrial centrifuges 332 processing, some of which are listed below:
Perforated-basket centrifuges (centrifugal
filters) 332 Improvement of the appearance of solutions,
Tubular-bowl centrifuges (centrifugal mouthwashes etc. to give them a 'sparkle' or
sedimenters) 332 'brightness'; this is often referred to as 'clarifying'
a product;
Bibliography 333
Removal of potential irritants, e.g. from eye-drop
preparations or solutions applied to mucous
membranes;
323
DOSAGE FORM DESIGN AND MANUFACTURE
Recovery of desired solid material from a be filtered to ensure that any entrained oil or water
suspension or slurry, e.g. to obtain a drug or droplets are removed. This is an example of a liquid/
excipient after a crystallization process; gas filtration process.
Certain operations, such as the extraction of
vegetable drugs with a solvent, may yield a turbid
Mechanisms of filtration
product with a small quantity of fine suspended
colloidal matter; this can be removed by The mechanisms by which material may be retained
filtration; by a filter medium (i.e. the surface on or in which
Sterilization of liquid or semisolid products material is deposited) are discussed below.
where processes involving heat (such as auto-
claving) are not appropriate;
Straining/sieving
Detection of microorganisms present in liquids.
This can be achieved by analysing a suitable filter If the pores in the filter medium through which the
on which the bacteria are retained. This method fluid is flowing are smaller than the material that is
can also be used to assess the efficiency of required to be removed, the material will be retained.
preservatives. Filtration occurs on the surface of the filter in this
case, and therefore the filter can be very thin. Filter
Solid/gas filtration There are two main applications
media of this type are referred to as membrane
of solid/gas filtration in pharmaceutical processing.
filters. Because filtration occurs on the surface there
One of particular importance in manufacturing is the
is a tendency for them to become blocked unless the
removal of suspended solid material from air in order
filter is carefully designed (see later). On a small
to supply air of the required standard for either pro-
scale, filters using the straining mechanism are used
cessing equipment or manufacturing areas. This
where the contaminant level is low or small volumes
includes the provision of air for equipment such as
need to be filtered.
fluidized-bed processors (see Chapters 25 and 26),
Examples of the use of membrane filters include
film-coating machinery (Chapter 28) and bottle-
the removal of bacteria and fibres from parenteral
cleaning equipment, so that product appearance and
preparations.
quality are maintained. The use of suitable filters also
enables the particulate contamination of air in manu-
facturing areas to be at an appropriate level for the Impingement
product being manufactured; for example, air free
As a flowing fluid approaches and passes an object,
from microorganisms can be supplied to areas where
for example a filter fibre, the fluid flow pattern is dis-
sterile products are being manufactured.
turbed, as shown in Figure 22.1. Suspended solids
It is also often necessary to remove particulate
may, however, have sufficient momentum that they
matter generated during a manufacturing operation
do not follow the fluid path but impinge on the filter
from the process air in order to prevent the material
fibre and are retained, owing to attractive forces
being vented to the atmosphere. Examples of this
between the particle and the fibre. Where the pores
include filtering of exhaust air from fluidized-bed
between filter fibres are larger than the material
and coating processes.
being removed some particles may follow the fluid
Fluid/fluid filtration
Flavouring oils are sometimes added to liquid prepa-
rations in the form of a spirit, i.e. dissolved in alcohol.
When these spirits are added to aqueous-based for-
mulations some of the oil may come out of solution,
giving the product a degree of turbidity. Removal of
the oil droplets by passing them through an appropri-
ate filter (a liquid/liquid filtration process) is used to
produce the desired product appearance.
Compressed air is used in a number of pharma-
ceutical processes (e.g. film-coating spray guns,
bottle-cleaning equipment and fluid energy mills; see
Chapter 11). Before use the compressed air needs to Fig. 22.1 Mechanisms of filteration by impingement.
324
CLARIFICATION
Attractive forces
Electrostatic and other surface forces may exert
sufficient hold on the particles to attract and retain
them on the filter medium (as occurs during the
impingement mechanism).
Air can be freed from dust particles in an electro-
static precipitator by passing the air between highly
charged surfaces, which attract the dust particles.
Autofiltration
Autofiltration is the term used to describe the situa-
tion when filtered material (termed the filter cake)
acts as its own filter medium. This mechanism is used
by the metafilter which is covered later in this
chapter.
325
DOSAGE FORM DESIGN AND MANUFACTURE
3. The viscosity of the fluid passing through the Increase the pressure difference across the filter cake
filter, i.e. the filtrate (fjL Pa s). A viscous fluid will The simplest filters, e.g. the laboratory filter funnel,
filter more slowly than a mobile one owing to use the gravitational force of the liquid 'head' to
the greater resistance to movement offered by provide the driving force for filtration. Often this
more viscous fluids (see Chapter 4). driving force is too low for a sufficiently quick filtra-
4. The thickness of the filter medium and any tion and there is a requirement to increase it. If a
deposited cake (L, m).The cake will increase in vacuum is 'pulled' on the far side of the filter medium
thickness as filtration proceeds, so if this is not (see Fig. 22.1) then the pressure difference can be
removed the rate of filtration will fall. increased up to atmospheric pressure, i.e. approxi-
mately 1 x 105 Pa, or 1 bar. In practice, however, it will
The above factors are combined in the Darcy
be less, as the liquids will boil in the collecting vessel
equation:
if the pressure is reduced to too low a value (see
Chapter 39). Despite the limited pressure difference
generated, vacuum filtration is used in the laboratory
where there are safety advantages when using glass-
In this equation the driving force for this particular
ware, because if the glassware is damaged it will
'rate process' is the pressure difference across the
implode rather than explode. One important indus-
filter, and the resistance to the process is a function
trial filter - the rotary vacuum filter - also utilizes a
of the properties of the filter bed, its thickness, and
vacuum; this is described later in this chapter.
the viscosity of the filtrate. The contribution to resis-
With industrial-scale liquid filtration, commonly
tance to filtration from the filter medium is usually
used means of obtaining a high-pressure difference
small compared to that of the filter cake, and can
are either pumping the material to be filtered
often be neglected in calculations.
into the filter using a suitable pump, or using a pres-
The proportionality constant K (m2) expresses the
surized vessel to drive the liquid through the filter.
permeability of the filter medium and cake and will
Most industrial filters have positive-pressure feed,
increase as the porosity of the bed increases. It is
the pressure used being limited only by the pump
clearly desirable that the K value should be large in
and the ability of the filter to withstand the high-
order to maximize the filtration rate. If Kis taken to
pressure stress. Pressures up to 15 x 105 Pa (15 bar)
represent the permeability of the cake it can be
are commonly used.
shown that K is given by:
Although increasing the AP value in the absence of
any other changes will cause a proportional increase
in filtration rate, care needs to be taken to ensure that
a phenomenon known as cake compression does
where e is the porosity of the cake and 5 is the not occur. Too high an applied pressure may cause
surface area of the particles comprising the cake. If the particles making up the cake to deform and there-
the solid material is one that forms an impermeable fore decrease the voidage (bed porosity). It can be
cake the filtration rate may be improved by adding a seen from Eqn 22.2 that small decreases in the value
filter aid (see later), which aids the formation of of the porosity (e} lead to large decreases in cake per-
open porous cakes. meability (K), and therefore in the filtration rate. The
effect on decreasing K greatly outweighs any increase
in filtration rate arising from a thinner cake. There is
Methods used to increase filtration rate
also a danger of 'blinding' the filter medium at high
Darcy's equation can be used to determine ways in pressures by forcing particles into it. This is most
which the filtration rate can be increased or con- likely in the early stages before a continuous layer of
trolled in practice. These are discussed below. cake has formed. As a general rule filtration should
Increase the area available for filtration The total start at moderate pressure, which can be increased as
volume of filtrate flowing through the filter will be filtration proceeds and the cake thickness builds up.
directly proportional to the area of the filter, and Decrease the filtrate viscosity The flow through a
hence the rate of filtration can be increased by filter cake can be considered as the total flow
using either larger filters or a number of small units through a large number of capillaries formed by the
in parallel. Both of these approaches will also dis- voids between the particles of the cake. The rate of
tribute the cake over a larger area and thus flow through each capillary is governed by
decrease the value of L, thereby further increasing Poiseuille's law, which is a mathematical relationship
the rate. that includes viscosity as a factor contributing to the
326
CLARIFICATION
resistance to flow. To increase the filtration rate the There are a number of product-related factors
viscosity of the filtrate can be reduced in most cases that should be considered when selecting a filter for
by heating the formulation to be filtered. Many a particular process. These include:
industrial filters, e.g. the metafilter, can be fitted with
the chemical nature of the product. Interactions
a steam jacket which can control temperature and
with the filter medium may lead to leaching of
hence viscosity. Care needs to be taken with this
the filter components, degradation or swelling of
approach, however, when filtering formulations con-
the filter medium or adsorption of components
taining volatile components, or if components are
of the filtered product on the filter. All of these
thermolabile. In such cases dilution of the formula-
may influence the efficiency of the filtration
tion with water may be an alternative means of
process or the quality of the filtered product;
reducing the viscosity providing that the increase in
the volume to be filtered and the filtration rate
filtration rate exceeds the effect of increasing the
required. These dictate the size and type of
total volume to be filtered.
equipment and the amount of time needed for
Decrease the thickness of filter cake Darcy's equa-
the filtration process;
tion (Eqn 22.1) shows that the filtration rate falls off
the operating pressure needed. This is important
as the cake increases in thickness. This effect is com-
in governing the filtration rate (Eqn 22.1) and
monly observed when filtering in the laboratory
influences whether a vacuum filter (where the
using filter paper in a funnel. In some cases if the
pressure difference is limited to 1 x 105 Pa) is
cake is allowed to build up the process slows to an
appropriate. High operating pressures require
unacceptable rate, or may almost stop altogether. In
that the equipment be of sufficient strength and
these situations it may be necessary to remove the
that appropriate safe operating procedures be
cake periodically or maintain it at a constant thick-
adopted;
ness, as occurs for example with the rotary drum
the amount of material to be removed. This will
filter. As previously mentioned, the cake thickness
influence the choice of filter, as a large 'load' may
can be kept lower by using a large filter area.
necessitate the use of prefilters or may require a
Increase the permeability of the cake One way of
filter where the cake can be continuously removed;
increasing the permeability of the cake is to include
the degree of filtration required. This will dictate
filter aids. A filter aid is a material that, when included
the pore size of membrane filters or the filter
in the formulation to be filtered, forms a cake of a
grade to be used. If sterility is required then the
more open porous nature and thus increases the K
equipment should itself be capable of being
value in Darcy's equation. In addition, it may reduce
sterilized, and must ensure that contamination
the compressibility of the cake and/or prevent the
does not occur after the product has passed the
filtered material blocking the filter medium. Filter aids
filter;
that are used include diatomite (a form of diatoma-
the product viscosity and filtration temperature.
ceous earth) and perlite, which is a type of volcanic
A high product viscosity may require elevated
glass. The use of filter aids is obviously not appropriate
pressures to be used. The incoming formulation
if the filtered material is the intended end product.
can be heated, or steam-heated jackets be fitted
to the equipment. Care should be taken to
ensure the equipment seals etc. can operate at
elevated temperatures.
FILTRATION EQUIPMENT
327
DOSAGE FORM DESIGN AND MANUFACTURE
and cheap, and are frequently used in laboratory of septa by radial partitions. The outer cylinder is
filtration, where volumes are small and a low filtra- perforated and covered with a filter cloth. Each
tion rate is relatively unimportant. septum has a radial connection to a complicated
rotating valve, whose function is to perform the
sequence of operations listed in Table 22.1.
Vacuum filters
The cylinder rotates slowly in the slurry, which is
The rotary vacuum filter In large-scale filtration kept agitated, and a vacuum applied to the segments
continuous operation is often desirable, and this may draws filtrate into the septa, depositing cake on the
be difficult when it is necessary to filter slurries con- filter cloth. When the deposited cake leaves the slurry
taining a high proportion of solids. The rotary bath vacuum is maintained to draw air through the
vacuum filter is continuous in operation and has a cake, thus aiding drainage. This is followed by
system for removing the cake so that it can be run for washing and then further drainage in the drying
long periods handling concentrated slurries. A rotary zone. The cake is removed by the scraper blade,
drum filter is shown in section in Figure 22.3. It can aided by compressed air forced into the septa. It is
be visualized as two concentric cylinders with the the function of the rotary valve to direct these ser-
annular space between them divided into a number vices into the septa where they are required.
In some cases, for example when the solid is the required product, the same receiver may he used for filtrate and for wash water.
328
CLARIFICATION
329
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 22.5 Metafilter. Construction of the filter element (courtesy of Metafiltration Co. Ltd.).
The advantages of the metafilter can be summa- very fine particles, means that the metafilter is used
rized as follows: almost exclusively for clarifying liquids where the
contaminant level is low.
1. It possesses considerable strength and high Furthermore, the strength of the metafilter
pressures can be used with no danger of bursting permits the use of high pressures (up to 15 bar),
the filter medium. making the method suitable for viscous liquids.
2. As there is no filter medium as such, the running Specific examples of pharmaceutical uses include
costs are low and it is very economical. the clarification of syrups, injection solutions, and
3. The metafilter can be made from materials (such products such as insulin liquors.
as stainless steel) that can provide excellent Cartridge filters Cartridge filters are now com-
resistance to corrosion and avoid contamination monly used in the preparation of pharmaceutical
of the product. products, as they possess a very large filtration area
4. By selecting of a suitable grade of material to in a small unit and are easy and relatively cheap to
form the filter bed it is possible to remove very operate. In simple form they consist of a cylindrical
fine particles; in fact, it is possible to sterilize a cartridge containing highly pleated material (e.g.
liquid using this filter PTFE or nylon) or 'string-wound' material (i.e.
Uses of the metafilter The small surface area of the wound like a ball of string). This cartridge then fits
metafilter restricts the amount of solid that can be in a metal supporting cylinder and the product is
collected. This, together with the ability to separate pumped under pressure into one end of the cylinder
330
CLARIFICATION
surrounding the filter cartridge. The filtrate is forced Uses The method has been used for fractionation
through the filter cartridge from the periphery to the of biological products by first using a filter of pore
inner hollow core, from where it exits through the size sufficient to let all the wanted molecules
other end of the support cylinder. The filter car- through, and then passing the permeate through a
tridges are often disposable and are good for appli- filter which will retain the required molecules while
cations where there is a low contaminant level, e.g. passing smaller unwanted molecules. It is claimed
during the filtration of liquid products as they are that blood plasma can be processed to remove
filled into bottles. alcohol and water and prepare concentrated purified
Cross-flow microfihration It is possible to form albumin. The process has been suggested for the
membrane filters within 'hollow fibres'. The recovery of antibiotics from fermentation media.
membrane, which may consist of polysulphone, acry-
lonitrile or polyamide, is laid down within a fibre
which forms a rigid porous outer support (Fig. 22.6).
The lumen of each fibre is small - typically 1-2 /mi - CENTRIFUGATION
but a large number of them can be contained in a
surrounding shell to form a cartridge which may have Centrifugal force can be used either to provide the
an effective filtration area of over 2 m2. driving force (AP) for the filtration process (refer to
In use the liquid to be treated is pumped through Darcy's law above, Eqn 22.1) or to replace the grav-
the cartridge in a circulatory system, so that it passes itational force in sedimentation processes (refer to
through many times. The filtrate, which in this tech- Stokes' law, Chapter 4). Centrifuges are often used
nique is often called the 'permeate', flows radially in the laboratory to separate solid material from a
through the membrane and porous support. The liquid, the solid typically forming a 'plug' at the
great advantage of this mode of operation is that the bottom of the test tube at the end of the process.
high fluid velocity and turbulence minimize blocking
of the membranes. Fresh liquid enters the system
from a reservoir as filtration proceeds. Because the
Principles of centrifugation
fluid flows across the surface, rather than at right- If a particle (mass = m kg) spins in a centrifuge
angles, this technique is known as cross-flow (radius r m) at a velocity (v m s-1) then the centrifu-
microfiltration. gal force (F N) acting on the particle equals m v2/r.
331
DOSAGE FORM DESIGN AND MANUFACTURE
The same particle experiences gravitational force The centrifugal filter has been used for separating
(G, N) = m g (where g = gravitational constant). crystalline materials from the preparation liquor, e.g.
The centrifugal effect (C) is the ratio of these in the preparation of aspirin, and for removing pre-
two forces, so C = F/G, i.e. C indicates how much cipitated proteins from insulin. It has the advantages
greater F is than G. Therefore, C = v2/g r. If the of being compact and efficient, aim centrifuge
velocity is taken to be TT d n, where n is rotation being able to process about 200 kg in 10 minutes. It
speed (s-1) and d is diameter of rotation (m), then can also handle concentrated slurries which might
C = 2.01 dn2. block other filters, and gives a product with a very
In order to increase the centrifugal effect it is low moisture content (typically around 2% w/w),
therefore more efficient to increase the centrifuge which saves energy during drying.
speed than to use a larger diameter at the same The centrifuge described above is operated batch-
speed. wise but continuous centrifuges are available for
Larger centrifuges also generate greater pressures large-scale work. These have means for automatic
on the centrifuge wall for the same value of C, and discharge of the cake from a basket, which rotates
are therefore more costly to make. around a horizontal axis in contrast to the vertical
axis. Most of the energy required to run a centrifuge
Industrial centrifuges is used to bring it up to operating speed and little
more is needed to maintain that speed. Continuous
There are two main types of centrifuge used to centrifuges are therefore cheaper to run, but the
achieve separation on an industrial scale, those using initial cost is considerably more.
perforated baskets, which perform a filtration-type
operation (work like a spin-dryer) and those with a
solid walled vessel, where particles sediment towards Tubular-bowl centrifuges (centrifugal
sedimenters)
the wall under the influence of the centrifugal force.
These consist of a cylindrical 'bowl', typically
Perforated-basket centrifuges (centrifugal filters) around 100 mm in diameter and 1 m long, which
rotates at 300-1000 s"1. The product enters at the
A diagram of a perforated basket centrifuge is shown bottom and centrifugal force causes solids to be
in Figure 22.7. It consists of a stainless steel deposited on the wall as it passes up the bowl, the
perforated basket (typically 1-2 m in diameter) lined liquid overflowing from the top (Fig. 22.8).This type
with a filter cloth. The basket rotates at a speed which of centrifuge can also be adapted to separate immis-
is typically <25 s~', higher speeds tending to stress the cible liquids. The inlet rate needs to be controlled so
basket excessively. The product enters centrally and is
thrown outwards by centrifugal force and held against
the filter cloth. The filtrate is forced through the cloth
and removed via the liquid outlet; the solid material is
retained on the cloth. The cake can be washed if
required by spraying water into the centrifuge.
that there is sufficient time for sedimentation to These centrifuges are compact, have a high sepa-
occur before the product leaves the bowl. rating efficiency and are good for separating
The uses of centrifugal sedimenters include 'difficult' solids, but have a limited capacity and are
liquid/liquid separation, e.g. during antibiotic manu- complicated to construct to achieve the required
facture and purification of fish oils, the removal of speed and minimize vibration.
very small particles, the removal of solids that are
compressible or 'slimy' and which easily block the
filter medium, the separation of blood plasma from
whole blood (need C ~ 3000), the separation of dif-
Bibliography
ferent particle size fractions, and examining the sta- Meltser,T.H. (1987) Filtration in the Pharmaceutical Industry,
bility of emulsions. Marcel Dekker.
333
23
Suspensions and emulsions
Michael Billany
CHAPTER CONTENTS
introduction 335 Types of emulsion 342
Tests for identification of emulsion type 342
Physical properties of well-formulated
suspensions and emulsions 335 Formulation of emulsions 342
Choice of emulsion type 342
Pharmaceutical applications of suspensions 356 Choice of oil phase 343
Suspensions as ora! drug delivery systems 336 Emulsion consistency 344
Suspensions for topical administration 336 Volume concentration of the dispersed
Suspensions for parenterat use and inhalation phase 344
therapy 336 Particle size of the dispersed phase 344
Solubility and stability considerations 336 Viscosity of the continuous phase 344
Viscosity of the dispersed phase 345
Formulation of suspensions 337 Nature and concentration of the emulsifying
Particle size control 337 system 345
The use of wetting agents 337 Choice of emulsifying agent 345
Surface-active agents 337 Toxicity and irritancy considerations 345
Hydrophilte colloids 338 Formulations by the HLB method 345
Solvents 338 The use of phase-inversion temperature 347
Flocculation and deflocculated systems 338
Controlled ffocculation 339 Classification of emulsifying agents 347
Flocculating agents 339 Synthetic and semisynthetic surface-active
Electrolytes 339 agents 347
Surfactants 339 Anionic surfactants 347
Polymeric flocculating agents 339 Alkali metal and ammonium soaps 347
Soaps of divalent and trivalent metals 347
Rheology of suspensions 340 Amine soaps 347
Sulphated and sulphonated compounds 348
Viscosity modifiers 340 Cationic surfactants 348
Polysaccharides 340 Cetrimide 348
Acacia 340 Non-ionic surfactants 348
Tragacanth 340 Glyeol and glycerol esters 348
Alginates 340 Sorbitan esters 349
Starch 341 Polysorbates 349
Xanthan gum 341 Fatty alcohol polyglycol ethers 349
Water-soluble celluloses 341 Fatty acid polyglycol esters 349
Methylcellulose 341 Poloxalkols 349
Hydroxyethylcellulose 341 Higher fatty alcohols 349
Carmeiose sodium 341 Amphoteric surfactants 350
Microcrystalline cellulose 341
Hydrated silicates 341 Naturally occurring materials and their
Bentonite 341 derivatives 350
Magnesium aluminium silicate 341 Potysaccharides 350
Hectorite 342 Semisynthetic polysaccharides 350
Carbomers 342 Sterol-containing substances 350
Colloidal silicon dioxide 342
334
SUSPENSIONS AND EMULSIONS
335
DOSAGE FORM DESIGN AND MANUFACTURE
336
SUSPENSIONS AND EMULSIONS
Prolonged contact between the solid drug parti- adsorb on to the surface of each particle, may also
cles and the dispersion medium can be considerably help to prevent crystal growth.
reduced by preparing the suspension immediately Different polymorphic forms of a drug may
prior to issue to the patient. Amoxicillin, for exhibit different solubilities, the metastable state
example, is provided by the manufacturer as the being the most soluble. Conversion of the metastable
trihydrate salt mixed with the other powdered or form, in solution, to the less soluble stable state, and
granulated ingredients. The pharmacist then makes its subsequent precipitation, will lead to changes in
the product up to volume with water immediately particle size.
before issue to the patient, allocating a shelf-life of 14
days at a temperature at or below 25C.
The use of wetting agents
A drug that degrades in the presence of water may
alternatively be suspended in a non-aqueous vehicle. Some insoluble solids may be easily wetted by water
Fractionated coconut oil is used as the vehicle for and will disperse readily throughout the aqueous
some formulations of antibiotics for oral use, and in phase with only minimal agitation. Most, however,
some countries tetracycline hydrochloride is dis- will exhibit varying degrees of hydrophobicity and
persed in a similar base for ophthalmic use. will not be easily wetted. Some particles will form
large porous clumps within the liquid, whereas others
remain on the surface and become attached to the
upper part of the container. The foam produced on
shaking will be slow to subside because of the stabil-
FORMULATION OF SUSPENSIONS izing effect of the small particles at the liquid/air
interface.
Particle size control
To ensure adequate wetting, the interfacial tension
It is first necessary to ensure that the drug to be sus- between the solid and the liquid must be reduced so
pended is of a fine particle size prior to formulation. that the adsorbed air is displaced from the solid sur-
This is to ensure a slow rate of sedimentation of the faces by the liquid. The particles will then disperse
suspended particles. Large particles, if greater than readily throughout the liquid, particularly if an
about 5 /Jim diameter, will also impart a gritty intense shearing action is used during mixing. If a
texture to the product, and may cause irritation if series of suspensions is prepared, each containing
injected or instilled into the eyes. The ease of admin- one of a range of concentrations of wetting agent,
istration of a parenteral suspension may depend then the concentration to choose will be the lowest
upon particle size and shape, and it is quite possible that provides adequate wetting.
to block a hypodermic needle with particles over The following is a discussion of the most widely
about 25 /am diameter, particularly if they are acicu- used wetting agents for pharmaceutical products.
lar in shape rather than isodiametric. A particular
particle size range may also be chosen in order to
Surface-active agents
control the rate of dissolution of the drug and hence
its bioavailability. Figure 6.15 shows that surfactants possessing an
Even though the particle size of a drug may be HLB value between about 7 and 9 would be suitable
small when the suspension is first manufactured, for use as wetting agents. The hydrocarbon chains
there is always a degree of crystal growth that occurs would be adsorbed by the hydrophobic particle
on storage, particularly if temperature fluctuations surfaces, whereas the polar groups project into the
occur. This is because the solubility of the drug may aqueous medium and become hydrated. Wetting of
increase as the temperature rises, but on cooling, the the solid occurs as a result of a fall both in interfacial
drug will crystallize out. This is a particular problem tension between the solid and the liquid and, to a
with slightly soluble drugs such as paracetamol. lesser extent, between the liquid and air.
If the drug is polydispersed, then the very small Most surfactants are used at concentrations of up
crystals of less than 1 /am diameter will exhibit a to about 0.1% as wetting agents and include, for oral
greater solubility than the larger ones. Over a period use, the polysorbates (Tweens) and sorbitan esters
of time the small crystals will become even smaller, (Spans). For external application, sodium lauryl
whereas the diameters of the larger particles will sulphate, sodium dioctylsulphosuccinate and quillaia
increase. It is therefore advantageous to use a sus- extract can also be used.
pended drug of a narrow size range. The inclusion of The choice of surfactant for parenteral adminis-
surface-active agents or polymeric colloids, which tration is obviously more limited, the main ones used
337
DOSAGE FORM DESIGN AND MANUFACTURE
being the polysorbates, some of the poloxamers and is the most serious of all the physical stability
(polyoxyethylene/polyoxypropylene copolymers) and problems encountered in suspension formulation.
lecithin. The aggregation of particles in a flocculated
Disadvantages in the use of this type of wetting system will lead to a much more rapid rate of sedi-
agent include excessive foaming and the possible for- mentation or subsidence because each unit is com-
mation of a deflocculated system, which may not be posed of many individual particles and is therefore
required. larger. The rate of settling will also depend on the
porosity of the aggregate, because if it is porous the
dispersion medium can flow through, as well as
Hydrophilic colloids
around, each aggregate or floccule as it sediments.
These materials include acacia, bentonite, traga- The nature of the sediment of a flocculated system
canth, alginates, xanthan gum and cellulose deriva- is also quite different from that of a deflocculated one.
tives, and will behave as protective colloids by coating The structure of each aggregate is retained after sedi-
the solid hydrophobic particles with a multimolecular mentation, thus entrapping a large amount of the
layer. This will impart a hydrophilic character to the liquid phase. As explained in Chapter 6, aggregation in
solid and so promote wetting. These materials the primary minimum will produce compact floccules,
are also used as suspending agents and may, like sur- whereas a secondary minimum effect will produce
factants, produce a deflocculated system, particularly loose floccules of higher porosity. Whichever occurs,
if used at low concentrations. the volume of the final sediment will still be large and
will easily be redispersed by moderate agitation.
In a flocculated system the supernatant quickly
Solvents
becomes clear, as the large floes that settle rapidly are
Materials such as alcohol, glycerol and glycols, composed of particles of all sizes. Figure 23.1 illus-
which are water miscible, will reduce the liquid/air
interfacial tension. The solvent will penetrate the
loose agglomerates of powder displacing the air from
the pores of the individual particles, so enabling
wetting to occur by the dispersion medium.
338
SUSPENSIONS AND EMULSIONS
trates the appearance of both flocculated and charge density is imparted to the suspended particles
deflocculated suspensions at given times after shaking. then deflocculation will be the result.
In summary, deflocculated systems have the If it is necessary for the suspension to be con-
advantage of a slow sedimentation rate, thereby verted from a deflocculated to a partially flocculated
enabling a uniform dose to be taken from the con- state, this may be achieved by the addition of elec-
tainer, but when settling does occur the sediment is trolytes, surfactants and/or hydrophilic polymers.
compacted and difficult to redisperse. Flocculated Electrolytes The addition of an inorganic elec-
systems form loose sediments which are easily redis- trolyte to an aqueous suspension will alter the zeta
persible, but the sedimentation rate is fast and there potential of the dispersed particles and, if this value
is a danger of an inaccurate dose being administered; is lowered sufficiently, flocculation may occur.
also, the product will look inelegant. The Schultz-Hardy rule shows that the ability of
an electrolyte to flocculate hydrophobic particles
depends on the valency of its counter-ions. Although
Controlled flocculation
they are more efficient, trivalent ions are less widely
A deflocculated system with a sufficiently high vis- used than mono- or divalent electrolytes because
cosity to prevent sedimentation would be an ideal for- they are generally more toxic. If hydrophilic poly-
mulation. It cannot be guaranteed, however, that the mers, which are usually negatively charged, are
system would remain homogenous during the entire included in the formulation they may be precipitated
shelf-life of the product. Usually a compromise is by the presence of trivalent ions.
reached in which the suspension is partially floccu- The most widely used electrolytes include the
lated to enable adequate redispersion if necessary, sodium salts of acetates, phosphates and citrates, and
and viscosity is controlled so that the sedimentation the concentration chosen will be that which pro-
rate is at a minimum. duces the desired degree of flocculation. Care must
The next stage of the formulation process, after be taken not to add excessive electrolyte or charge
the addition of the wetting agent, is to ensure that reversal may occur on each particle, so forming,
the product exhibits the correct degree of floccula- once again, a deflocculated system.
tion. Underflocculation will give those undesirable Surfactants Ionic surface-active agents may also
properties that are associated with deflocculated cause flocculation by neutralizing the charge on each
systems. An overflocculated product will look inele- particle, thus resulting in a deflocculated system.
gant and, to minimize settling, the viscosity of the Non-ionic surfactants will, of course, have a negligi-
product may have to be so high that any necessary ble effect on the charge density of a particle but may,
redispersion would be difficult. because of their linear configurations, adsorb on to
Controlled flocculation is usually achieved by a more than one particle, thereby forming a loose
combination of particle size control, the use of elec- flocculated structure.
trolytes to control zeta potential, and the addition of Polymeric flocculating agents Starch, alginates,
polymers to enable crosslinking to occur between cellulose derivatives, tragacanth, carbomers and sil-
particles. Some polymers have the advantage of icates are examples of polymers that can be used to
becoming ionized in an aqueous solution, and can control flocculation. Their linear branched-chain
therefore act both electrostatically and sterically. molecules form a gel-like network within the system
These materials are also termed polyelectrolytes. and become adsorbed on to the surfaces of the dis-
persed particles, thus holding them in a flocculated
state. Although some settling can occur, the sedi-
Flocculating agents
mentation volume is large, and usually remains so
In many cases, after the incorporation of a non-ionic for a considerable period.
wetting agent a suspension will be found to be Care must be taken to ensure that, during manu-
deflocculated, either because of the reduction in facture, blending is not excessive as this may inhibit
solid/liquid interfacial tension, or because of the the crosslinking between adjacent particles and
hydrated hydrophilic layer around each particle result in the adsorption of each molecule of polymer
forming a mechanical barrier to aggregation. The use on to one particle only. If this should occur then a
of an ionic surfactant to wet the solid could produce deflocculated system may result, because the forma-
either a flocculated or a deflocculated system, tion of the hydrophilic barrier around each particle
depending on any charge already present on the par- will inhibit aggregation. A high concentration of
ticles. If particles are of opposite charge to that of the polymer may have a similar effect if the whole
surfactant then neutralization will occur. If a high surface of each particle is coated. It is essential that
339
DOSAGE FORM DESIGN AND MANUFACTURE
340
SUSPENSIONS AND EMULSIONS
Starch Starch is rarely used on its own as a sus- where x represents the degree of substitution, usually
pending agent but is one of the constituents of about 0.7, which in turn affects its solubility. The vis-
compound tragacanth powder, and it can also be cosity of its solution depends on the value of n, which
used with carmellose sodium. Sodium starch glycol- represents the degree of polymerization. The numer-
late (Explotab, Primojel), a derivative of potato ical suffix gives an indication of the viscosity of a 2%
starch, has also been evaluated for its use in the solution. For example sodium carboxymethylcellu-
extemporaneous preparation of suspensions. lose 50 at a concentration of 2% will have a viscosity
Xanthan gum (Keltrol) This is an anionic of 50 mPa s.This material produces clear solutions in
heteropolysaccharide produced by the action of both hot and cold water, which are stable over a pH
Xanthomonas campestris on corn sugars. It is very range of about 5-10. Being anionic, this material is
soluble in cold water and is one of the most widely incompatible with polyvalent cations and the acid will
used thickening agents for the extemporaneous be precipitated at low pHs. Heat sterilization of either
preparation of suspensions for oral use. It is used in the powder or its mucilage will reduce the viscosity,
concentrations up to about 2% and is stable over a and this must be taken into account during formula-
wide pH range. tion. It is widely used at concentrations of up to 1 %
in products for oral, parenteral or external use.
Microcrystalline cellulose This material consists of
Water-soluble celluloses
crystals of colloidal dimensions which disperse readily
Several cellulose derivatives are available that will dis- in water (but are not soluble) to produce thixotropic
perse in water to produce viscous colloidal solutions gels. It is a widely used suspending agent and the rhe-
suitable for use as suspending agents. ological properties of its dispersions can often be
Methylcellulose (Celacol, Methocel) This is a semi- improved by the incorporation of additional hydrocol-
synthetic polysaccharide of the general formula: loid, in particular carboxymethylcellulose, methylcel-
lulose and hydroxypropylmethylcellulose. These will
aid dispersion and also stabilize the product against
and is produced by the methylation of cellulose. the flocculating effects of added electrolyte.
Several grades are available, depending on their
degree of methylation and on the chain length. The
longer the chain, the more viscous is its solution. For Hydrated silicates
example, a 2% solution of methylcellulose 20
There are three important materials within this
exhibits an apparent viscosity of 20 millipascal
classification, namely bentonite, magnesium alu-
seconds (mPa s) and methylcellulose 4500 has value
minium silicate and hectorite, and they belong to a
of 4500 mPa s at 2% concentration. Because these
group called the montmorillonite clays. They hydrate
products are more soluble in cold water than in hot,
readily, absorbing up to 12 times their weight of
they are often dispersed in warm water and then, on
water, particularly at elevated temperatures. The gels
cooling with constant stirring, a clear or opalescent
formed are thixotropic and therefore have useful sus-
viscous solution is produced. Methylcelluloses are
pending properties. As with most naturally occurring
non-ionic and therefore stable over a pH range of
materials they may be contaminated with spores, and
3-11, and are compatible with many ionic additives.
this must be borne in mind when considering a ster-
When these dispersions are heated, the methylcellu-
ilization process and choosing a preservative system.
lose molecules become progressively dehydrated and
Bentonite This has the general formula:
eventually gel at about 50C; on cooling the original
form is regained.
Hydroxyethylcellulose (Natrosol) This compound
It is used at concentrations of up to 2 or 3% in
has hydroxyethyl instead of methyl groups attached
preparations for external use, such as calamine
to the cellulose chain and is also available in differ-
lotion. As this product may contain pathogenic
ent viscosity grades. It has the advantage of being
spores it should be sterilized before use.
soluble in both hot and cold water and will not gel
Magnesium aluminium silicate (Veegum) Also
on heating. Otherwise it exhibits the same properties
known as attapulgite, this is available as insoluble
as methylcellulose.
flakes that disperse and swell readily in water by
Carmellose sodium (sodium carboxymethylcellulose)
absorbing the aqueous phase into its crystal lattice.
This material can be represented by:
Several grades are available, differing in their particle
size, their acid demand and the viscosity of their
341
DOSAGE FORM DESIGN AND MANUFACTURE
dispersions. They can be used both internally and example, many small water droplets can be enclosed
externally at concentrations of up to about 5%, and within larger oil droplets, which are themselves then
are stable over a pH range of 3.5-11. Veegurn/water dispersed in water. This gives a water-in-oil-in-water
dispersions will exhibit thixotropy and plasticity with (w/o/w) emulsion. The alternative o/w/o emulsion is
a high yield value, but the presence of salts can alter also possible.
these rheological properties because of the flocculat- If the dispersed globules are of colloidal dimen-
ing effect of their positively charged counter-ions. sions (1 nm to 1 [Am diameter) the preparation,
Some grades, however, have a higher resistance to which is quite often transparent or translucent, is
flocculation than others. called a microemulsion. This type has similar
This material is often combined with organic properties to a micellar system and will therefore
thickening agents such as sodium carboxymethylcel- exhibit the properties of hydrophobic colloids. As the
lulose or xanthan gum to improve yield values and size of the dispersed droplets increases more of the
degree of thixotropy, and to control flocculation characteristics of coarse dispersions will be exhibited
(Ciullo 1981). (see Chapter 6).
Hectorite This material is similar to bentonite and
can be used at concentrations of 1-2% for external
use. It is also possible to obtain synthetic hectorites Tests for identification of emulsion type
(Laponite) that do not exhibit the batch variability or Several simple methods are available for distinguish-
level of microbial contamination associated ing between o/w and w/o emulsions (Table 23.1).
with natural products, and which can also be used The most common of these involve:
internally.
As with other clays it is often advantageous to miscibility tests with oil or water. The emulsion
include an organic gum to modify its rheological will only be miscible with liquids that are
properties. miscible with its continuous phase;
conductivity measurements. Systems with
aqueous continuous phases will readily conduct
electricity, whereas systems with oily continuous
This material is a totally synthetic copolymer of phases will not;
acrylic acid and allyl sucrose. It is used at concentra- staining tests. Water-soluble and oil-soluble dyes
tions of up to 0.5%, mainly for external application, are used, one of which will dissolve in, and
although some grades can be taken internally. When colour the continuous phase.
dispersed in water it forms acidic, low-viscosity solu-
tions which, when adjusted to a pH of between 6 and
11, become highly viscous.
FORMULATION OF EMULSIONS
Colloidal silicon dioxide (Aerosil) Because of the very wide range of emulsifying agents
When dispersed in water this finely divided product available, considerable experience is required to
will aggregate, forming a three-dimensional network. choose the best emulgent system for a particular
It can be used at concentrations of up to 4% for product. The final choice will depend to a large
external use, but has also been used for thickening extent on the properties and use of the final product
non-aqueous suspensions. and the other materials required to be present.
342
SUSPENSIONS AND EMULSIONS
Miscibility tests
Are miscible with water but immiscible with oil Are miscible with oil but not with water
Staining tests by incorporation of an oil-soluble dye
Macroscopic examination
Paler colour than a w/o emulsion More intense colouration than with an o/w emulsion
Microscopic examination
Coloured globules on a colourless background Colourless globules against a coloured background
Conductivity tests
Water, being the continuous phase, will conduct electricity A preparation in which oil is the continuous phase
throughout the system. Two electrodes, when placed in such a will not conduct electricity. The lamp will not glow,
preparation with a battery and suitable light source connected in or will only flicker spasmodically
series, will cause the lamp to glow
Emulsions for intravenous administration must and safflower oil are used for their high calorific
also be of the o/w type, although intramuscular value in emulsions for intravenous feeding, and
injections can also be formulated as w/o products if examples of externally applied oils that are formu-
a water-soluble drug is required for depot therapy. lated as emulsions include turpentine oil and benzyl
Emulsions are most widely used for external appli- benzoate.
cation. Semisolid emulsions are termed creams and Many emulsions for external use contain oils that
more fluid preparations are called either lotions or, if are present as carriers for the active agent. It must be
intended for massage into the skin, liniments. Both realized that the type of oil used may also have an effect
o/w and w/o types are available. The former is used both on the viscosity of the product and on the trans-
for the topical application of water-soluble drugs, port of the drug into the skin (see Chapter 33). One of
mainly for local effect. They do not have the greasy the most widely used oils for this type of preparation is
texture associated with oily bases and are therefore liquid paraffin. This is one of a series of hydrocarbons,
pleasant to use and easily washed from skin surfaces. which also includes hard paraffin, soft paraffin and
Water-in-oil emulsions will have an occlusive light liquid paraffin. They can be used individually or
effect by hydration of the upper layers of the stratum in combination with each other to control emulsion
corneum and the inhibition of evaporation of eccrine consistency. This will ensure that the product can be
secretions. This, in turn, may influence the absorp- spread easily but will be sufficiently viscous to form a
tion rates of drugs from these preparations. coherent film over the skin. The film-forming capabil-
This type of emulsion is also useful for cleansing ities of the emulsion can be further modified by the
the skin of oil-soluble dirt, although its greasy inclusion of various waxes, such as beeswax, carnauba
texture is not always cosmetically acceptable. Oil-in- wax or higher fatty alcohols. Continuous films can
water emulsions are less efficient as cleansers but are therefore be formed that are sufficiently tough and
usually more acceptable to the consumer, particu- flexible to prevent contact between the skin and
larly for use on the hands. Similarly, moisturising aqueous-based irritants. These preparations are called
creams, designed to prevent moisture loss from the barrier creams, and many are of the w/o variety. The
skin and thus inhibit drying of the stratum corneum, inclusion of silicone oils, such as dimethicone at
are more efficient if formulated as w/o emulsions, 10-20%, which have exceptional water-repellent prop-
which produce a coherent, water-repellent film. erties, may also permit the formulation of o/w products
that are equally effective.
A variety of fixed oils of vegetable origin are also
Choice of oil phase available, the most widely used being arachis, sesame,
In many instances the oil phase of an emulsion is the cottonseed and maize. Those expressed from seeds or
active agent, and therefore its concentration in the fruits are often protein rich and contain useful vita-
product is predetermined. Liquid paraffin, castor oil, mins and minerals. They are often, therefore, formu-
cod liver oil and arachis oil are all examples of lated for oral use as emulsions. Because of their lack
medicaments which are formulated as emulsions for of toxicity they can be used both internally and exter-
oral administration. Cottonseed oil, soya bean oil nally as vehicles for other materials.
343
DOSAGE FORM DESIGN AND MANUFACTURE
344
SUSPENSIONS AND EMULSIONS
Hydrocolloids, when used as emulsifying agents in polysaccharides, as well as glycerol esters, cellulose
o/w emulsions, will stabilize them not only by the for- ethers, sorbitan esters and polysorbates.
mation of multimolecular layers around the dispersed It will be noted that most of these are non-ionic,
globules, but also by increasing the continuous phase having a tendency to be less irritant and less toxic
viscosity. They do not have the disadvantage of alter- than their anionic, and particularly their cationic
ing the density of this phase. If oil is the continuous counterparts. The concentrations of ionic emulsify-
phase, then the inclusion of soft or hard paraffin or ing agents necessary for emulsification will be irri-
certain waxes will increase its viscosity. tant to the gastrointestinal tract and have a laxative
effect, and should not be used for oral emulsions.
Cationic surfactants in general are toxic even at
Viscosity of the dispersed phase
lower concentrations. The emulgent cetrimide is
For most practical applications it is doubtful limited to externally used preparations, where its
whether this factor would have any significant effect antiseptic properties are of use.
on total emulsion viscosity. It is possible, however, Some emulgents, such as the anionic alkali soaps,
that a less viscous dispersed phase would, during often have a high pH and are thus unsuitable for
shear, be deformed to a greater extent than a more application to broken skin. Even on normal intact
viscous phase, and thus the total interfacial area skin with a pH of 5.5, the application of such alka-
would increase slightly. This may affect double-layer line materials can cause irritation. Some emulsifiers,
interactions and hence the viscosity of the emul- in particular, wool fat can cause sensitization reac-
sion. tions in susceptible people.
When choosing an emulgent for parenteral use it
must be realized that only certain types of non-ionic
Nature and concentration of the emulsifying
material are suitable. These include lecithin,
system
polysorbate 80, methylcellulose, gelatin and serum
It has already been shown that hydrophilic colloids, albumin.
as well as forming multimolecular films at the
oil/water interface, will also increase the viscosity of
the continuous phase of an o/w emulsion. Obviously,
Formulation by the HLB method
as the concentration of this type of emulgent It has already been shown that physically stable
increases so will the viscosity of the product. emulsions are best achieved by the presence of a
Surface-active agents forming condensed condensed layer of emulgent at the oil/water inter-
monomolecular films will, by the nature of their face, and that the complex interfacial films formed
chemical structure, influence the degree of floccula- by a blend of an oil-soluble emulsifying agent with a
tion in a similar way, by forming linkages between water-soluble one produces the most satisfactory
adjacent globules and creating a gel-like structure. A emulsions.
flocculated system will exhibit a greater apparent vis- A useful method has been devised for calculating
cosity than its deflocculated counterpart and will the relative quantities of these emulgents necessary
depend on surfactant concentration. to produce the most physically stable emulsion for a
particular oil/water combination. This is called the
hydrophile-lipophile balance (HLB) method.
Choice of emulsifying agent Although originally applied to non-ionic surface-
Toxicity and irritancy considerations active agents, its use has been extended to ionic
emulgents. Each surfactant is allocated an HLB
The choice of emulgent to be used will depend not number representing the relative proportions of the
only on its emulsifying ability, but also on its route of lipophilic and hydrophilic parts of the molecule.
administration and, consequently, on its toxicity. High numbers (up to a theoretical maximum of 20)
Although there is no approved list of emulsifying therefore indicate a surfactant exhibiting mainly
agents for use in pharmaceutical products there is an hydrophilic or polar properties, whereas low
approved list of emulsifiers as food additives for use numbers represent lipophilic or non-polar character-
in the European Union. It can be assumed that istics. Table 23.2 gives HLB values for some com-
emulsifiers contained in this list would be suitable monly used emulsifying agents. The concept of HLB
for internally used pharmaceutical emulsions. The values is discussed more fully in Chapter 6.
regulations mainly include naturally occurring mate- Each type of oil used will require an emulgent of a
rials and their semisynthetic derivatives, such as the particular HLB number in order to ensure a stable
345
DOSAGE FORM DESIGN AND MANUFACTURE
346
SUSPENSIONS AND EMULSIONS
assess the suitability of other emulgent blends that Synthetic and semisynthetic surface-
may give a better emulsion than the one containing active agents
the emulgent used for the initial trials.
It must be remembered that, in choosing an There are four main categories of these materials,
emulsifier blend, the effect of chemical structure on depending on their ionization in aqueous solutions:
the type of interfacial film must be taken into account. anionic, cationic, non-ionic and amphoteric.
Condensed films are produced by emulgents having
long, saturated hydrocarbon groups, thus providing Anionic surfactants
maximum cohesion between adjacent molecules. In
most cases it has been found that the most stable In aqueous solutions these compounds dissociate
emulsions are formed when both emulsifying agents to form negatively charged anions that are respon-
are of the same hydrocarbon chain length. sible for their emulsifying ability. They are widely
used because of their cheapness, but because of
their toxicity are only used for externally applied
The use of phase inversion temperature preparations.
Alkali metal and ammonium soaps Emulgents in
The use of the HLB system has several disadvan- this group consist mainly of the sodium, potassium
tages, including the inability to take into account the or ammonium salts of long-chain fatty acids, such as:
effects of temperature, the presence of additives and
the concentration of the emulsifier. It is possible to
overcome some of these problems. They produce stable o/w emulsions but may in some
An o/w emulsion stabilized by non-ionic emulgents instances require the presence of an auxiliary non-
will, on heating, invert to form a w/o product. This is ionic emulsifying agent in order to form a complex
because, as the temperature increases, the HLB value monomolecular film at the oil/water interface.
of a non-ionic surfactant will decrease as it becomes Because in acidic conditions, these materials will
more hydrophobic. At the temperature at which the precipitate out as the free fatty acids, they are most
emulgent has equal hydrophilic and hydrophobic efficient in an alkaline medium.
tendencies (the phase inversion temperature) the This type of emulgent can also be formed in situ
emulsion will invert. during the manufacture of the product by reacting
The stability of an emulsion has been related an alkali such as potassium, sodium or ammonium
to the phase inversion temperature (PIT) of its hydroxide with a fatty acid. The latter may be a
emulsifying agent (see Chapter 6). constituent of a vegetable oil. Oleic acid and
ammonia, for example, are reacted together to form
the soap responsible for stabilizing White Liniment.
These emulgents are incompatible with polyvalent
CLASSIFICATION OF EMULSIFYING cations, often causing phase reversal, and it is there-
AGENTS fore essential that deionized water is used in their
preparation.
The inclusion of an emulsifying agent or agents is Soaps of divalent and trivalent metals Although
necessary to facilitate actual emulsification during many different divalent and trivalent salts of fatty
manufacture, and also to ensure emulsion stability acids exist, and would produce satisfactory emulsions,
during the shelf-life of the product. only the calcium salts are commonly used. They are
The different methods by which emulsifying often formed in situ during preparation of the product
agents (also called emulsifiers or emulgents) exert by interacting the appropriate fatty acid with calcium
their effects have been detailed in Chapter 6, but the hydroxide. For example, oleic acid is reacted with
one factor common to all of them is their ability to calcium hydroxide to produce calcium oleate, which is
form an adsorbed film around the dispersed droplets the emulsifying agent for both Zinc Cream BP and
between the two phases. There are many types of some formulations of oily calamine lotion.
emulgent available, but for convenience they can be These emulgents will only produce w/o emulsions.
divided into two main classifications: synthetic or Amine soaps A number of amines form salts with
semisynthetic surface-active agents, and naturally fatty acids. One of the most important of those used
occurring materials and their derivatives. is based on triethanolamine N(CH2CH2OH)3 and is
These divisions are quite arbitrary and some materi- widely used in both pharmaceutical and cosmetic
als may justifiably be placed in more than one category. products. For example, triethanolamine stearate
347
DOSAGE FORM DESIGN AND MANUFACTURE
forms stable o/w emulsions and is usually made in giving o/w products. It is usual for a combination of
situ by a reaction between triethanolamine and the a water-soluble with an oil-soluble emulgent to be
appropriate fatty acid. Although these emulgents are used in order to obtain the complex interfacial film
usually pH neutral they are still restricted to exter- necessary for optimum emulsion stability. Non-ionic
nally used preparations. They are also incompatible emulgents are particularly useful because of their
with acids and high concentrations of electrolytes. low toxicity and irritancy; some can therefore be
Sulphated and sulphonated compounds The alkyl used for orally and parenterally administered prepa-
sulphates have the general formula ROSO3 M+, rations. They also have a greater degree of compati-
where R represents a hydrocarbon chain and M+ is bility with other materials than do anionic or
usually sodium or triethanolamine. An example is cationic emulgents, and are less sensitive to changes
sodium lauryl sulphate, which is widely used to in pH or to the addition of electrolytes. They do,
produce o/w emulsions. Because of its high water however, tend to be more expensive.
solubility and its inability to form condensed films at Being non-ionic, the dispersed globules may not
the oil/water interface, it is always used in conjunc- possess a significant charge density. To reduce the
tion with a non-ionic oil-soluble emulsifying agent in tendency for coalescence to occur in an oil-in-water
order to produce a complex condensed film. It is emulsion, it is necessary that the polar groups be
used with cetostearyl alcohol to produce Emulsifying well hydrated and/or sufficiently large to prevent
Wax, which stabilizes such preparations as Aqueous close approach of the dispersed droplets in order to
Cream and Benzyl Benzoate Application. compensate for the lack of charge.
Sulphonated compounds are much less widely Most non-ionic surfactants are based on:
used as emulgents. Materials of this class include
a fatty acid or alcohol (usually with 12-18 carbon
sodium dioctylsulphosuccinate, and are more often
atoms), the hydrocarbon chain of which provides
used as wetting agents or for their detergency.
the hydrophobic moiety;
an alcohol (-OH) and/or ethylene oxide grouping
Cationic surfactants (-OCH2CH2-), which provide the hydrophilic
part of the molecule.
In aqueous solutions these materials dissociate to
form positively charged cations that provide the By varying the relative proportions of the hydrophilic
emulsifying properties. The most important group of and hydrophobic groupings many different products
cationic emulgents consists of the quaternary ammo- can be obtained.
nium compounds. Although these materials are If the hydrophobic part of the molecule predom-
widely used for their disinfectant and preservative inates, then the surfactant will be oil-soluble. It will
properties, they are also useful o/w emulsifiers. Like not concentrate at the oil/water interface but rather
many anionic emulgents, if used on their own they tend to migrate into the oil phase. Similarly, a
will produce only poor emulsions, but if used with water-soluble surfactant will migrate into the
non-ionic oil-soluble auxiliary emulgents they will aqueous phase and away from the oil/water inter-
form stable preparations. face. The best type of non-ionic surfactant to use is
Because of the toxicity of cationic surfactants they one with an equal balance of hydrophobic and
tend to be used only for the formulation of antiseptic hydrophilic groupings. An alternative would be to
creams, where the cationic nature of the emulgent is use two emulgents, one hydrophilic and one
also responsible for the product's antiseptic properties. hydrophobic. The cohesion between their hydrocar-
Cationic emulsifying agents are incompatible with bon chains will then hold both types at the oil/water
anionic surface-active agents and polyvalent anions, interface.
and are unstable at high pH. Glycol and glycerol esters Glyceryl monostearate
Cetrimide The most useful of these cationic (a polyhydric alcohol fatty acid ester) is a strongly
emulgents is cetrimide (cetyl trimethylammonium hydrophobic material that produces weak w/o emul-
bromide) CH3(CH2)15N+(CH3)3Br~. Cetrimide is sions. The addition of small amounts of sodium,
used at a concentration of 0.5% with 5% cetostearyl potassium or triethanolamine salts of suitable fatty
alcohol for the formulation of Cetrimide Cream BP. acids will produce a 'self-emulsifying' glyceryl mono-
stearate, which is a useful o/w emulsifier. Self-emul-
sifying monostearin is glyceryl monostearate to
Non-ionic surfactants
which anionic soaps (usually oleate or stearate) have
These products range from oil-soluble compounds been added. This combination is used to stabilize
stabilizing w/o emulsions to water-soluble materials Hydrocortisone Lotion.
348
SUSPENSIONS AND EMULSIONS
Other polyhydric alcohol fatty acid esters are also propylene glycol monostearate, can be incorporated
available either in the pure form or in the 'self-emul- with polysorbates to produce 'self-emulsifying'
sifying' form containing small proportions of a preparations. For example, Polawax contains cetyl
primary emulsifier, and include glyceryl mono- alcohol with a polyoxyethylene sorbitan ester.
oleate, diethylene glycol monostearate and propylene Polysorbates are compatible with most anionic,
glycol mono-oleate. cationic and non-ionic materials. They are pH neutral
Sorbitan esters These are produced by the and are stable to the effects of heat, pH change and
esterification of one or more of the hydroxyl groups of high concentrations of electrolyte. Their low toxicity
sorbitan with either lauric, oleic, palmitic or stearic renders them suitable for oral use and some are also
acids. The structure of sorbitan monostearate is shown used in parenteral preparations. They have the disad-
below. vantage, however, of an unpleasant taste, and care
must be taken when selecting a suitable preservative
as many are inactivated by complexation with
polysorbates.
Fatty alcohol polyglycol ethers These are conden-
sation products of polyethylene glycol and fatty
alcohols, usually cetyl or cetostearyl:
This range of surfactants exhibits lipophilic proper- where R is a fatty alcohol chain.
ties and tends to form w/o emulsions. They are, Perhaps the most widely used is macrogol
however, much more widely used with polysorbates cetostearyl ether (22) or cetomacrogol 1000, which
to produce either o/w or w/o emulsions. is polyethylene glycol monocetyl ether. This is a very
Polysorbates Polyethylene glycol derivatives of the useful water-soluble o/w emulgent, but because of
sorbitan esters give us polysorbates. These have the its high water solubility it is necessary to include an
general formula: oil-soluble auxiliary emulsifier when formulating
emulsions. Cetomacrogol Emulsifying Ointment
includes cetomacrogol 1000 and cetostearyl alcohol
and is used to stabilize cetomacrogol creams.
They can also be produced with shorter poly-
oxyethylene groups as lipophilic w/o emulsifiers.
Combinations of lipophilic and hydrophilic ethers
can be used together to produce stable emulsions.
These materials can be salted out by the addition
of high concentrations of electrolyte, but are stable
over a wide pH range.
Fatty acid polyglycol esters The stearate esters or
where R represents a fatty acid chain. Variations in polyoxyl stearates are the most widely used of this
the type of fatty acid used and in the number of type of emulgent. Polyoxyethylene 40 stearate (in
oxyethylene groups in the polyethylene glycol chains which 40 represents the number of oxyethylene
produce a range of products of differing oil and units) is a water-soluble material often used with
water solubilities. Polyoxyethylene 20 sorbitan stearyl alcohol to give o/w emulsions.
mono-oleate, for example, contains 20 oxyethylene Poloxalkols Poloxalkols are polyoxyethylene/
groups in the molecule. This number must not be polyoxypropylene copolymers with the general
confused with the one given as part of the official formula:
name (Polysorbate 80) or in the trade name (Tween
80), which is included in order to identify the type of
fatty acid in the molecule. and comprise a very large group of compounds,
Polysorbates are generally used in conjunction some of which are used as emulsifying agents for
with the corresponding sorbitan ester to form a intravenous fat emulsions.
complex condensed film at the oil/water interface Higher fatty alcohols The hexadecyl (cetyl) and
(see Formulation by the HLB method, earlier). octadecyl (stearyl) members of this series of satu-
Other non-ionic oil-soluble materials, such as rated aliphatic monohydric alcohols are useful auxil-
glyceryl monostearate, cetyl or stearyl alcohol or iary emulsifying agents. Part of their stabilizing effect
349
DOSAGE FORM DESIGN AND MANUFACTURE
350
SUSPENSIONS AND EMULSIONS
Montmorillonite clays (such as bentonite and is butylated hydroxytoluene (BHT), which is recom-
aluminium magnesium silicate) and colloidal silicon mended as an alternative to tocopherol at a concen-
dioxide are used mainly for external use. Aluminium tration of 10 ppm to stabilize liquid paraffin. Other
and magnesium hydroxides are also used internally. antioxidants widely used for emulsion formulation
For example, Liquid Paraffin and Magnesium include the propyl, octyl and dodecyl esters of gallic
Hydroxide Oral Emulsion BP is stabilized by the acid, recommended for use at concentrations up to
incorporation of the magnesium hydroxide. 0.001% for fixed oils and fats and up to 0.1% for
essential oils.
Other formulation additives The efficiency of an antioxidant in a product will
depend on many factors, including its compatibility
Buffers with other ingredients, its oil/water partition
coefficient, the extent of its solubilization within
The inclusion of buffers (see Chapters 3, 21 and 35)
micelles of the emulgent, and its sorption on to the
may be necessary to maintain chemical stability,
container and its closure. It must be realized, there-
control tonicity or ensure physiological compatibil-
fore, that the choice of antioxidant and the concen-
ity. It must be remembered, however, that the addi-
tration at which it is to be used can only be
tion of electrolytes may have profound effects on the
determined by testing its effectiveness in the final
physical stability of suspensions and emulsions.
product and in the package in which the product is
to be sold.
Density modifiers
From a qualitative examination of Stokes' law Flavours, colours and perfumes
(Chapter 6) it can be seen that if the disperse and
The use of these ingredients is discussed in
continuous phases both have the same densities then
Chapter 21 and the information there will be directly
sedimentation or creaming will not occur. Minor
applicable to suspension and emulsion formulation.
modifications to the aqueous phase of a suspension
Adsorption of these materials on to the surfaces of
or emulsion by incorporating sucrose, dextrose,
the dispersed phase of a suspension may occur, and
glycerol or propylene glycol can be achieved, but
because of the high surface area of the dispersed
because of the differing coefficients of expansion this
powders in this type of formulation, their effective
can only be possible over a small temperature range.
concentrations in solution may be significantly
reduced. The finer the degree of subdivision of the
Humectants
disperse phase, the paler may appear the colour of
Glycerol, polyethylene glycol and propylene glycol the product for a given concentration of dye.
are examples of suitable humectants that can be It must also be realized that the inclusion of these
incorporated at concentrations of about 5% into adjuvants may alter the physical characteristics of
aqueous suspensions for external application. They both suspensions and emulsions. Either the presence
are used to prevent the product from drying out after of electrolytes or their effect on pH can influence the
application to the skin. degree of flocculation.
They can also be added to an emulsion formula-
tion in order to reduce the evaporation of the water, Sweetening agents
either from the packaged product when the closure
Suitable sweeteners are discussed in Chapter 21.
is removed or from the surface of the skin after
High concentrations of sucrose, sorbitol or glycerol,
application. High concentrations, if used topically,
which will exhibit Newtonian properties, may
may actually remove moisture from the skin, thereby
adversely affect the rheological properties of the sus-
dehydrating it.
pension. Synthetic sweeteners may be salts and can
affect the degree of flocculation.
Antioxidants
Before including an antioxidant in emulsion formu-
lations, it is essential to ensure that its use is not
Preservation of suspensions and
restricted in whichever country it is desired to sell
emulsions
the product. In Britain, butylated hydroxyanisole
Preservation of suspensions
(BHA) is widely used for the protection of fixed oils
and fats at concentrations of up to 0.02% and for The section covering the preservation of emulsions is
some essential oils up to 0.1%. A similar antioxidant applicable also to suspension formulation. It is
351
DOSAGE FORM DESIGN AND MANUFACTURE
essential that a suitable preservative be included, more soluble in oil than in water, then increasing
particularly if naturally occurring materials are to be the proportion of oil will decrease the aqueous
used. This is to prevent the growth of micro- phase concentration. Allowance must be made
organisms that may be present in the raw material for this when choosing the phase-volume ratios;
and/or introduced into the product during use. compatibility with the other ingredients and with
Some of the natural products, particularly if they are the container. Certain preservatives are
to be applied to broken skin, should be sterilized incompatible with particular groups of
before use. Bentonite, for example, may contain emulsifying agent. Phenols and the esters of
Clostridium tetani but can be sterilized by heating the p-hydroxybenzoic acid, for example, will complex
dry powder at 160C for 1 hour or by autoclaving with some non-ionic emulgents, owing to either a
aqueous dispersions. reaction with oxyethylene groups or solubilization
As with emulsion formulation, care must be taken within micelles of excess surfactant. In many
to ascertain the extent of inactivation, if any, of the cases it is possible, by chemical assay, to detect
preservative system caused by interaction with other the correct concentration of preservative in the
excipients. Solubilization by wetting agents, interac- product even though some of it may not be
tion with polymers or adsorption on to suspended available for antimicrobial activity. If some of the
solids, particularly kaolin or magnesium trisilicate, added preservative has been inactivated it may be
may reduce the availability of preservatives. possible to overcome this problem by increasing
the amount of preservative in the product to give
Preservation of emulsions a satisfactory concentration of free preservative in
the aqueous phase. It is important to ensure that,
Problems associated with the growth of micro-
during manufacture, the preservative is added
organisms in pharmaceutical products are discussed
after the emulgent has concentrated at the oil/
in Chapter 43. Those microbiological factors of
water interface;
specific importance to the stability of emulsions are
stability and effectiveness over a wide range of
discussed later in this chapter. The necessity of
pH and temperatures;
including a preservative in an emulsion formulation is
freedom from colour and odour;
discussed below.
retention of activity in the presence of large
Unfortunately there is no theoretical way of
numbers of microorganisms. Uptake of
choosing a suitable preservative system, the only
preservative by bacterial cells may deplete the
reliable methods being based on the results of suit-
concentration of preservative in solution, thereby
able challenge tests. These methods of testing
rendering it insufficient to maintain adequate
preservative activity are given in official compendia,
bactericidal activity.
but essentially involve the addition to the test
products of a mixture of Gram-positive and Gram-
Because of the complex systems involved and the
negative bacteria, yeasts and moulds, and comparing
many factors to be taken into consideration, it is
their survival with a control sample containing no
necessary to test the efficiency of a new preservative
preservative.
in the finished product and container by suitable
The desirable features of a preservative suitable for
challenge testing procedures.
use in an emulsion include:
The most widely used preservatives in emulsions
a wide spectrum of activity against all bacteria, include benzoic and sorbic acid and their salts,
yeasts and moulds; p-hydroxybenzoic acid esters, chlorocresol, phenoxy-
bactericidal rather than bacteristatic activity. A ethanol, bronopol, quaternary ammonium com-
preservative having a minimal bacteristatic pounds and, to a lesser extent, organic mercurials.
activity may lose it if any physical or chemical Because of the irritancy and toxicity of certain
changes occur in the system; preservatives, the initial choice will depend on the
freedom from toxic, irritant or sensitizing activity; route of administration of the product. Further
high water solubility. Because the growth of details of the use of preservatives in emulsions can be
microorganisms occurs in the aqueous phase, it is found in Chapter 42.
important that the preservative has a low It must be realized that no single preservative
oil/water partition coefficient. The more polar the exhibits all of the desirable properties outlined
oil phase, the more difficult it is to preserve the earlier. In many cases a combination is required, the
product adequately, owing to the solubility of the most widely used being a mixture of methyl and
preservative in both phases. If the preservative is propyl ^-hydroxybenzoates at a ratio usually of 10:1.
352
SUSPENSIONS AND EMULSIONS
A stable emulsion is one in which the dispersed Reduction in the density difference between the
globules retain their initial character and remain two phases
uniformly distributed throughout the continuous
phase. Various types of deviation from this ideal Creaming could be prevented altogether if the
behaviour can occur. Explanations for emulsion densities of the two phases were identical. In practice
stability have been given in Chapter 6. This section this method is never used, as it could only be
will concentrate on methods of improving emulsion achieved over a very narrow temperature range
stability in practice. owing to differences in the coefficients of expansion
between different ingredients.
Creaming and its avoidance
Control of disperse phase concentration
This is the separation of an emulsion into two
regions, one of which is richer in the disperse phase It is not easy to stabilize an emulsion containing less
than the other. A simple example is the creaming of than 20% disperse phase, as creaming will readily
milk, when fat globules slowly rise to the top of the occur. A higher disperse phase concentration would
product. This is not a serious instability problem as a result in a hindrance of movement of the droplets
uniform dispersion can be reobtained simply by and hence in a reduction in rate of creaming.
353
DOSAGE FORM DESIGN AND MANUFACTURE
354
SUSPENSIONS AND EMULSIONS
degradation products of unpleasant odour and taste. rate of creaming, owing to a fall in apparent viscos-
These problems can also occur with certain emulsi- ity of the continuous phase. The temperature
fying agents, such as wool fat or wool alcohols. increase will also cause an increased kinetic motion,
Oxidation of microbiological origin is controlled by both of the dispersed droplets and of the emulsifying
the use of antimicrobial preservatives, and atmos- agent at the oil/water interface. This effect on the dis-
pheric oxidation by the use of reducing agents or, perse phase will enable the energy barrier to be easily
more usually, antioxidants. Some examples are men- surmounted and thus the number of collisions
tioned earlier in this chapter. between globules will increase. Increased motion of
the emulgent will result in a more expanded mono-
layer, and so coalescence is more likely. Certain
Microbiological contamination macromolecular emulsifying agents may also be
The contamination of emulsions by microorganisms coagulated by an increase in temperature.
can adversely affect the physicochemical properties At the other extreme, freezing of the aqueous
of the product, causing such problems as gas pro- phase will produce ice crystals that may exert
duction, colour and odour changes, hydrolysis of fats unusual pressures on the dispersed globules and
and oils, pH changes in the aqueous phase, and their adsorbed layer of emulgent. In addition, dis-
breaking of the emulsion. Even without visible signs solved electrolyte may concentrate in the unfrozen
of contamination an emulsion can contain many water, thus affecting the charge density on the
bacteria and, if these include pathogens, may consti- globules. Certain emulgents may also precipitate at
tute a serious health hazard. Most fungi and many low temperatures.
bacteria will multiply readily in the aqueous phase of The growth of microorganisms within the
an emulsion at room temperature, and many moulds emulsion can cause deterioration and it is therefore
will also tolerate a wide pH range. Some of the essential that these products are protected as far as
hydrophilic colloids, which are widely used as emul- possible from the ingress of microorganisms during
sifying agents, may provide a suitable nutritive manufacture, storage and use, and that they contain
medium for use by bacteria and moulds. Species of adequate preservatives.
the genus Pseudomonas can utilize polysorbates,
aliphatic hydrocarbons and compounds. Some fixed
oils, including arachis oil, can be used by some
Aspergillus and Rhizopus species, and liquid paraffin
by some species of Penicillium. STABILITY TESTING OF EMULSIONS
A few emulgents, particularly those from natural
sources, may introduce heavy contamination into Methods of assessing stability
products in which they are used. Because bacteria
can reproduce in resin beds, deionized water may be Macroscopic examination
unsatisfactory and even distilled water, if incorrectly
stored after collection, can be another source of The physical stability of an emulsion can be assessed
contamination. Oil-in-water emulsions tend to be by an examination of the degree of creaming or coa-
more susceptible to microbial spoilage than water- lescence occurring over a period of time. This is
in-oil products as, in the latter case the continuous carried out by calculating the ratio of the volume of
oil phase acts as a barrier to the spread of micro- the creamed or separated part of the emulsion and
organisms throughout the product, and the less the total volume. These values can be compared for
water there is present the less growth there is likely different products.
to be.
It is therefore, necessary to include an anti-
Globule size analysis
microbial agent to prevent the growth of any microor-
ganisms that might contaminate the product. If the mean globule size increases with time (coupled
Suitable candidates are discussed in Chapter 42. with a decrease in globule numbers), it can be
assumed that coalescence is the cause. It is therefore
possible to compare the rates of coalescence for a
Adverse storage conditions variety of emulsion formulations by this method.
Adverse storage conditions may also cause emulsion Microscopic examination or electronic particle
instability. It has already been explained that an counting devices, such as the Coulter counter, or
increase in temperature will cause an increase in the laser diffraction sizing are most widely used.
355
DOSAGE FORM DESIGN AND MANUFACTURE
356
SUSPENSIONS AND EMULSIONS
mixed with the concentrated suspension and then rate of creaming in an emulsion. The size of these
made up to volume. globules can also affect the viscosity of the product,
It is often preferable, particularly on a larger scale, and in general it has been found that the best emul-
to make a concentrated dispersion of the suspending sions with respect to physical stability and texture
agent first. This is best accomplished by adding the exhibit a mean globule diameter of between 0.5 and
material slowly to the vehicle while mixing. Suitable 2.5 ^m. The choice of suitable equipment for the
mixers are described under Manufacture of emul- emulsification process depends mainly on the inten-
sions, but can include either an impeller type of sity of shearing required to produce this optimum
blender or a turbine mixer. This stage is important, particle size. Other considerations, however, include
as it is necessary to ensure that agglomerates of the the volume and viscosity of the emulsion and the
suspending agent are fully broken up. If they are not, interfacial tension between the oil and the water. The
then the surface of each agglomerate may gel and presence of surfactants, which will reduce interfacial
cause the powder inside to remain non-wetted. Very tension, will aid the process of emulsification as well
intense shearing, however, can destroy the polymeric as promoting emulsion stability.
structure of the suspending agent, and it may be In many cases simple blending of the oil and water
better to use milder shearing and then allow the dis- phases with a suitable emulgent system may be
persion to stand until full hydration has been sufficient to produce satisfactory emulsions. Further
achieved. This may be instantaneous or may, as with processing using a homogenizer can also be carried
tragacanth, take several hours. If the suspending out to reduce globule size still further. The initial
agent is blended with one of the water-soluble ingre- blending may be accomplished on a small scale by
dients, such as sucrose, this will also aid dispersion. the use of a pestle and mortar or by using a mixer
The drug to be suspended is then added in the fitted with an impeller type of agitator, the size and
same way, along with the wetting agent. For very type of which will depend primarily on the volume
hydrophobic drugs, wetting may be facilitated by and viscosity of the emulsified product.
mixing under reduced pressure. This has the A more intense rate of shearing can be achieved
additional advantage of de-aerating the product and using a turbine mixer such as the Silverson
thus improving its appearance. Other ingredients mixer-homogenizer. In this type of machine the
should now be added, preferably dissolved in a short, vertical or angled rotor blades are enclosed
portion of the vehicle, and the whole made up to within a stationary perforated ring and connected by
volume if necessary. Finally, homogenization (see a central rod to a motor. The liquids are therefore
under Manufacture of emulsions) would ensure subjected to intense shearing, caused initially by the
complete dispersion of the drug and the production rotating blades, and then by the forced discharge
of a smooth and elegant preparation. through the perforated ring. Different models are
It is also possible, though much less widely used, available for a variety of batch sizes up to several
to suspend an insoluble drug by precipitating it from thousand litres, and can include inline models.
a solution. This can be accomplished either by The mixing vessel may also be fitted with baffles in
double decomposition or, if it is a weak acid or a order to modify the circulation of the liquid, and
weak base, by altering the pH of its solution or by may be jacketed so that heating or cooling can be
precipitating the drug from a water-miscible solvent applied.
on the addition of water. This method may be of use Homogenizers are often used after initial mixing
if the drug is required to be sterile but is degraded by to enable smaller globule sizes to be produced. They
heat or irradiation. A soluble form of the drug is all work on the principle of forced discharge of the
dissolved in a suitable vehicle, sterilized by filtration emulsion under pressure through fine interstices,
and then precipitated to form a suspension. formed by closely packed metal surfaces, in order to
In normal circumstances aqueous suspensions can provide an intense shearing action.
be autoclaved, as long as the process does not If two immiscible liquids are subjected to ultra-
adversely affect either physical or chemical stability. sonic vibrations, alternate regions of compression
and rarefaction are produced. Cavities are then
formed in the regions of rarefaction, which then col-
lapse with considerable force causing emulsification.
MANUFACTURE OF EMULSIONS The required frequency of vibration is usually pro-
duced electrically, but mechanical methods are also
It has already been explained that the smaller the available. Unfortunately this method of emulsifi-
globules of the disperse phase, the slower will be the cation is limited to small-scale production.
357
DOSAGE FORM DESIGN AND MANUFACTURE
Colloid mills are also suitable for the preparation Dissolution therefore occurs immediately. The rate of
of emulsions on a continuous basis. The intense absorption of the drug into the bloodstream is there-
shearing of the product between the rotor and the fore usually faster than for the same drug in a solid
stator, which can be variably separated, will produce dosage form, but not as fast as that from a solution.
emulsions of very small globule size. The rate of release of a drug from a suspension is also
It is important to ensure that methods of manu- dependent upon the viscosity of the product. The more
facture developed on a laboratory scale can be easily viscous the preparation, the slower is likely to be the
extended to large-scale production, and without any release of the drug. Care must therefore be taken to
change in the quality of the product. ensure that the physical characteristics of the suspen-
During manufacture it is usual to add the disperse sion do not change on addition to an acid medium, if
phase to the continuous phase during the initial this should affect the rate of release of the drug.
mixing. The other ingredients are dissolved, prior to Because the rate of release of an active agent from
mixing, in the phase in which they are soluble. This is a suspension is usually slower than the release from
particularly important when making w/o emulsions. solution, drugs are often formulated as suspensions
Oil-in-water emulsions, however, are sometimes for intramuscular, intraarticular or subcutaneous
made by the phase-inversion technique, in which the injection in order to prolong drug release. This is
aqueous phase is slowly added to the oil phase during often termed depot therapy. Methylprednisolone, for
mixing. Initially a w/o emulsion is formed but, as example, which is available as the water-soluble
further aqueous phase is added the emulsion inverts sodium succinate salt, can be synthesized as the
to form the intended product. This method often pro- insoluble acetate ester. After intramuscular injection
duces emulsions of very low mean droplet size. as a suspension, the rate of release is sufficiently
Should any of the oily ingredients be of solid or slowed to maintain adequate blood levels for up to
semisolid consistency they must be melted before 14 days.
mixing. It is also essential that the aqueous phase be Release will occur even more slowly if the drug is
heated to the same temperature, to avoid premature suspended in an oil, which after injection will remain
solidification of the oil phase by the colder water on as a globule, so providing a minimal area of contact
mixing but before emulsification has taken place. with tissue fluid.
This also has the advantage of reducing the viscosity Sustained release preparations formulated as sus-
of the system, so enabling shear forces to be pensions for oral use are less common, but one
transmitted through the product more easily. Because example is the use of the Pennkinetic system. This
of the increased kinetic motion of the emulgent involves the complexation of drugs such as hydrocor-
molecules at the oil/water interface, however, it is tone and dextromethorphan with tiny ion exchange
necessary to continue stirring during the cooling resin particles, which are then coated with ethylcellu-
process to avoid demulsification. lose (Chang 1992). After ingestion the drug is slowly
Volatile ingredients, including flavours and released by exchanging with ions present in the gas-
perfumes, are usually added after the emulsion has trointestinal tract. One of the main difficulties in the
cooled. It must, however, be sufficiently fluid to formulation of this type of product is to ensure that
enable adequate blending. Ingredients that may ions are not present in any of its ingredients.
influence the physical stability of the emulsion, such
as alcoholic solutions or electrolytes, require to be
diluted as much as possible before adding slowly and
Drug release from emulsions
with constant mixing. The main commercial use of emulsions is for the
oral, rectal and topical administration of oils and oil-
soluble drugs. Lipid emulsions are also widely used
for intravenous feeding, although the choice of emul-
gent is very limited and globule size must be kept
RELEASE OF DRUGS FROM
below 4 yam diameter to avoid the formation of
SUSPENSION AND EMULSION
emboli. Quite often, however, the high surface area
FORMULATIONS of dispersed oil globules will enhance the rate of
absorption of lipophilic drugs.
Drug release from suspensions The emulsion can also be used as a sustained-
After the oral administration of a suspension the drug, release dosage form. The intramuscular injection of
which is already in a wetted state, is presented to the certain water-soluble vaccines formulated as w/o
gastrointestinal fluids in a finely divided form. emulsions can provide a slow release of the antigen
358
SUSPENSIONS AND EMULSIONS
359
24
Powders and granules
Malcolm Summers
360
POWDERS AND GRANULES
361
DOSAGE FORM DESIGN AND MANUFACTURE
362
POWDERS AND GRANULES
363
25
Granulation
CHAPTER CONTENTS
364
GRANULATION
To improve the flow properties of the mix process, and dry methods in which no liquid is
used.
Many powders, because of their small size, irregular
In a suitable formulation a number of different
shape or surface characteristics, are cohesive and do
excipients will be needed in addition to the drug.
not flow well. Poor flow will often result in a wide
The common types used are diluents, to produce a
weight variation within the final product owing to
unit dose weight of suitable size, and disintegrating
variable fill of tablet dies etc. Granules produced agents, which are added to aid the break-up of the
from such a cohesive system will be larger and more
granule when it reaches a liquid medium, e.g. on
isodiametric, both factors contributing to improved
ingestion by the patient. Adhesives in the form of a
flow properties. dry powder may also be added, particularly if dry
granulation is employed. These ingredients will be
To improve the compaction characteristics of the mixed before granulation.
mix
Some powders are difficult to compact even if a Dry granulation
readily compactable adhesive is included in the mix, In the dry methods of granulation the primary
but granules of the same formulation are often more
powder particles are aggregated under high pressure.
easily compacted and produce stronger tablets. This
There are two main processes. Either a large tablet
is associated with the distribution of the adhesive
(known as a 'slug') is produced in a heavy-duty
within the granule and is a function of the method
tabletting press (a process known as 'slugging') or
employed to produce the granule. Often solute
the powder is squeezed between two rollers to
migration (see Chapter 26) occurring during the
produce a sheet of material ('roller compaction').
postgranulation drying stage results in a binder-rich
In both cases these intermediate products are broken
outer layer to the granules. This in turn leads to
using a suitable milling technique to produce granu-
direct binder-binder bonding, which assists the con- lar material, which is usually sieved to separate the
solidation of weakly bonding materials. desired size fraction. The unused fine material may
be reworked to avoid waste. This dry method may be
Other reasons used for drugs that do not compress well after wet
granulation, or those which are sensitive to moisture.
The above are the primary reasons for the granula-
tion of pharmaceutical products, but there are other
reasons that may necessitate the granulation of pow- Wet granulation (involving wet massing)
dered material: Wet granulation involves the massing of a mix of
1. The granulation of toxic materials will reduce the dry primary powder particles using a granulat-
hazard associated with the generation of toxic ing fluid. The fluid contains a solvent which must be
dust that may arise when handling powders. volatile so that it can be removed by drying, and be
Suitable precautions must be taken to ensure that non-toxic. Typical liquids include water, ethanol and
such dust is not a hazard during the granulation isopropanol, either alone or in combination. The
process. Thus granules should be non-friable and granulation liquid may be used alone or, more
have a suitable mechanical strength. usually, as a solvent containing a dissolved adhesive
2. Materials which are slightly hygroscopic may (also referred to as a binder or binding agent}
adhere and form a cake if stored as a powder. which is used to ensure particle adhesion once the
Granulation may reduce this hazard, as the granule is dry.
granules will be able to absorb some moisture and Water is commonly used for economical and
yet retain their flowability because of their size. ecological reasons. Its disadvantages as a solvent are
3. Granules, being denser than the parent powder that it may adversely affect drug stability, causing
mix, occupy less volume per unit weight. They hydrolysis of susceptible products, and it needs a
are therefore more convenient for storage or longer drying time than do organic solvents. This
shipment. increases the length of the process and again may
affect stability because of the extended exposure to
heat. The primary advantage of water is that it is
Methods of granulation non-flammable, which means that expensive safety
Granulation methods can be divided into two precautions such as the use of flameproof equipment
types: wet methods, which use a liquid in the need not be taken. Organic solvents are used when
366
GRANULATION
water-sensitive drugs are processed, as an alternative 2. Interfacial forces in mobile liquid films within
to dry granulation, or when a rapid drying time is the granules;
required. 3. The formation of solid bridges after solvent
In the traditional wet granulation method the wet evaporation;
mass is forced through a sieve to produce wet gran- 4. Attractive forces between solid particles;
ules which are then dried. A subsequent screening 5. Mechanical interlocking.
stage breaks agglomerates of granules and removes
Different types of mechanism were identified in each
the fine material, which can than be recycled.
group and the ones discussed below are those that
Variations of this traditional method depend on the
are relevant to pharmaceutical granulations.
equipment used, but the general principle of initial
particle aggregation using a liquid remains in all of
the processes. Adhesion and cohesion forces in immobile films
If sufficient liquid is present in a powder to form a
Effect of granulation method on granule very thin, immobile layer, there will be an effective
structure decrease in interparticulate distance and an increase
in contact area between the particles. The bond
The type and capacity of granulating mixers strength between the particles will be increased
significantly influences the work input and time nec- because of this, as the van derWaals forces of attrac-
essary to produce a cohesive mass, adequate liquid tion are proportional to the particle diameter and
distribution and intragranular porosity of the granu- inversely proportional to the square of the distance
lar mass. The method and conditions of granulation of separation.
affect intergranular and intragranular pore structure This situation will arise with adsorbed moisture
by changing the degree of packing within the and accounts for the cohesion of slightly damp
granules. It has been shown that precompressed powders. Although such films may be present as
granules, consisting of compressed drug and binder residual liquid after granules prepared by wet granu-
particles, are held together by simple bonding during lation have been dried, it is unlikely that they con-
compaction. Granules prepared by wet massing tribute significantly to the final granule strength. In
consist of intact drug particles held together in a dry granulation, however, the pressures used will
sponge-like matrix of binder. Fluidized-bed granules increase the contact area between the adsorption
are similar to those prepared by the wet massing layers and decrease the interparticulate distance, and
process, but possess greater porosity and the granule this will contribute to the final granule strength.
surface is covered by a film of binding agent. With Thin, immobile layers may also be formed by
spray-dried systems the granules consist of spherical highly viscous solutions of adhesives, and so the
particles composed of an outer shell and an inner bond strength will be greater than that produced by
core of particles. Thus the properties of the granule the mobile films discussed below. The use of starch
are influenced by the manufacturing process. mucilage in pharmaceutical granulations may
produce this type of film.
367
DOSAGE FORM DESIGN AND MANUFACTURE
1. partial melting
2. hardening binders
3. crystallization of dissolved substances.
Partial melting Although not considered to be a
predominant mechanism in pharmaceutical materi-
als, it is possible that the pressures used in dry
granulation methods may cause melting of low
melting-point materials where the particles touch
and high pressures are developed. When the pressure
is relieved, crystallization will take place and bind the
particles together.
Hardening binders This is the common mecha-
nism in pharmaceutical wet granulations when an
adhesive is included in the granulating solvent. The
liquid will form liquid bridges, as discussed above,
and the adhesive will harden or crystallize on drying
to form solid bridges to bind the particles.
Fig. 25.2 Water distribution between particles of a granule
Adhesives such as polyvinylpyrrolidone, the cellu-
during formation and drying.
lose derivatives (such as carboxymethylcellulose)
and pregelatinized starch function in this way.
Crystallization of dissolved substances The solvent
the particles the capillary state is reached, and the
used to mass the powder during wet granulation may
particles are held by capillary suction at the liquid/air
partially dissolve one of the powdered ingredients.
interface, which is now only at the granule surface.
When the granules are dried, crystallization of this
The funicular state represents an intermediate
material will take place and the dissolved substance
stage between the pendular and capillary states.
then acts as a hardening binder. Any material soluble
Moist granule tensile strength increases about three
in the granulating liquid will function in this manner,
times between the pendular and the capillary state.
e.g. lactose incorporated into dry powders granulated
It may appear that the state of the powder bed is
with water.
dependent upon the total moisture content of the
The size of the crystals produced in the bridge will
wetted powders, but the capillary state may also be
be influenced by the rate of drying of the granules:
reached by decreasing the separation of the particles.
the slower the drying time, the larger the particle
In the massing process during wet granulation, con-
size. It is therefore important that the drug does not
tinued kneading/mixing of material originally in the
dissolve in the granulating liquid and recrystallize,
pendular state will densify the wet mass, decreasing
because it may adversely affect the dissolution rate of
the pore volume occupied by air and eventually pro-
the drug if crystals larger than that of the starting
ducing the funicular or capillary state without
material are produced.
further liquid addition.
In addition to these three states, a further state,
Attractive forces between solid particles
the droplet, is illustrated in Figure 25.2. This will be
important in the process of granulation by spray- In the absence of liquids and solid bridges formed by
drying of a suspension. In this state, the strength of binding agents, there are two types of attractive force
the droplet is dependent upon the surface tension of that can operate between particles in pharmaceutical
the liquid used. systems.
These wet bridges are only temporary structures Electrostatic forces may be important in causing
in wet granulation because the moist granules will be powder cohesion and the initial formation of
dried. They are, however, a prerequisite for the for- agglomerates, e.g. during mixing. In general they do
mation of solid bridges formed by adhesives present not contribute significantly to the final strength of
in the liquid, or by materials that dissolve in the the granule.
granulating liquid. Van der Waals forces, however, are about four
orders of magnitude greater than electrostatic forces
and contribute significantly to the strength of gran-
Solid bridges ules produced by dry granulation. The magnitude of
These can be formed by: these forces will increase as the distance between
368
GRANULATION
adjacent surfaces decreases, and in dry granulation tinued, granule coalescence will continue and
this is achieved by using pressure to force the parti- produce an unusable, overmassed system, although
cles together. this is dependent upon the amount of liquid added
and the properties of the material being granulated.
Although ball growth produces granules that may
Mechanisms of granule formation be too large for pharmaceutical purposes, some
In the dry methods, particle adhesion takes place degree of ball growth will occur in planetary mixers
because of applied pressure. A compact or sheet is and it is an essential feature of some spheronizing
produced which is larger than the granule size equipment.
required, and therefore the required size can be The four possible mechanisms of ball growth are
attained by milling and sieving. illustrated in Figure 25.3.
In wet granulation methods, liquid added to dry Coalescence Two or more granules join to form a
powders has to be distributed through the powder by larger granule.
the mechanical agitation created in the granulator. Breakage Granules break into fragments which
The particles adhere to each other because of liquid adhere to other granules, forming a layer of material
films, and further agitation and/or liquid addition over the surviving granule.
causes more particles to adhere. The precise mecha- Abrasion transfer Agitation of the granule bed
nism by which a dry powder is transformed into a leads to the attrition of material from granules. This
bed of granules varies for each type of granulation abraded material adheres to other granules, increas-
equipment, but the mechanism discussed below ing their size.
serves as a useful broad generalization of the process. Layering When a second batch of powder mix is
The proposed granulation mechanism can be added to a bed of granules the powder will adhere to
divided into three stages. the granules, forming a layer over the surface and
increasing the granule size. This mechanism is only
relevant to the production of layered granules using
Nucleation
spheronizing equipment.
Granulation starts with particle-particle contact and There will be some degree of overlap between
adhesion due to liquid bridges. A number of parti- these stages and it will be very difficult to identify a
cles will join to form the pendular state illustrated in given stage by inspection of the granulating system.
Figure 25.2. Further agitation densities the pendular For end-product uniformity it is desirable to finish
bodies to form the capillary state, and these bodies every batch of a formulation at the same stage, and
act as nuclei for further granule growth. this may be a major problem in pharmaceutical
production.
Using the slower processes, such as the planetary
Transition
mixer, there is usually sufficient time to stop the
Nuclei can grow in two possible ways: either single par- process before overmassing occurs. With faster granu-
ticles can be added to the nuclei by pendular bridges, lation equipment the duration of granulation can only
or two or more nuclei may combine. The combined be used as a control parameter when the formulation
nuclei will be reshaped by the agitation of the bed. is such that granule growth is slow and takes place at
This stage is characterized by the presence of a a fairly uniform rate. In many cases, however, the tran-
large number of small granules with a fairly wide size sition from a non-granulated to an overmassed system
distribution. Providing that this distribution is not is very rapid, and monitoring equipment is necessary
excessively large, this is a suitable end-point for gran- to stop the granulation at a predetermined point,
ules used in capsule and tablet manufacture, as rela- known as granulation end-point control.
tively small granules will produce a uniform tablet
die or capsule fill. Larger granules may give rise to
problems in small-diameter dies owing to bridging
across the die and uneven fill.
PHARMACEUTICAL GRANULATION
EQUIPMENT
Ball growth
Further granule growth produces large, spherical
Wet granulators
granules and the mean particle size of the granulat- There are three main types of granulator used in the
ing system will increase with time. If agitation is con- pharmaceutical industry for wet granulation.
369
DOSAGE FORM DESIGN AND MANUFACTURE
Shear granulators
planetary action of the blade when mixing is similar
In the traditional granulation process a planetary to that of a household mixer.
mixer is often used for wet massing of the powders, The moist mass has then to be transferred to a gran-
e.g. Hobart, Collette, Beken (Fig. 25.4). Powder ulator, such as an oscillating granulator (Fig. 25.5).
mixing usually has to be performed as a separate The rotor bars of the granulator oscillate and force the
operation using suitable mixing equipment. With moist mass through the sieve screen, the size of which
some formulations, such as those containing two determines the granule size. The mass should be
or three ingredients in approximately equal quan- sufficiently moist to form discrete granules when
tities, however, it may be possible to achieve a suit- sieved. If excess liquid is added, strings of material will
able mix in the planetary mixer without a separate be formed and if the mix is too dry the mass will be
stage. sieved to powder and granules will not be formed.
The mixed powders are fed into the bowl of the The granules can be collected on trays and trans-
planetary mixer and granulating liquid is added as ferred to a drying oven, although tray drying suffers
the paddle of the mixer agitates the powders. The from three major disadvantages:
370
GRANULATION
High-speed mixer/granulators
This type of granulator (e.g. Diosna, Fielder) is used
extensively in pharmaceutics. The machines have a
stainless steel mixing bowl containing a three-bladed
main impeller, which revolves in the horizontal
plane, and a three-bladed auxiliary chopper (breaker
blade) which revolves either in the vertical or the
horizontal plane (Fig. 25.6).
The unmixed dry powders are placed in the bowl
and mixed by the rotating impeller for a few minutes.
Granulating liquid is then added via a port in the lid
of the granulator while the impeller is turning. The
granulating fluid is mixed into the powders by the
impeller. The chopper is usually switched on when
the moist mass is formed, as its function is to break
up the wet mass to produce a bed of granular mate-
rial. Once a satisfactory granule has been produced,
the granular product is discharged, passing through
a wire mesh which breaks up any large aggregates,
into the bowl of a fluidized-bed drier.
The advantage of the process is that mixing,
massing and granulation are all performed within a
few minutes in the same piece of equipment. The
Fig. 25.5 Oscillationg granulator process needs to be controlled with care as the gran-
ulation progresses so rapidly that a usable granule
can be transformed very quickly into an unusable,
1. The drying time is long.
overmassed system. Thus it is often necessary to use
2. Dissolved material can migrate to the upper
a suitable monitoring system to indicate the end of
surface of the bed of granules, as the solvent is
the granulation process, i.e. when a granule of the
only removed from the upper surface of the bed
desired properties has been attained. The process is
on the tray.
also sensitive to variations in raw materials, but this
3. Granules may aggregate owing to bridge
may be minimized by using a suitable end-point
formation at the points of contact of the
monitor.
granules.
A variation of the Diosna/Fielder type of design is
To deaggregate the granules and remix them, a the Collette-Gral mixer (Fig. 25.7). This is based on
sieving stage is necessary after drying. the bowl and overhead drive of the planetary mixer,
An alternative method is to dry the granules using but the single paddle is replaced by two mixing shafts.
a fluidized-bed drier. This is quicker and, as it One of these carries three blades, which rotate in
keeps the individual granules separated during the horizontal plane at the base of the bowl, and the
371
DOSAGE FORM DESIGN AND MANUFACTURE
372
GRANULATION
Disadvantages of fluidized-bed granulation On the This long and very product-specific development
downside, the equipment is initially expensive and opti- process has proved to be a serious problem with
mization of process (and product) parameters affecting fluidized-bed granulation in the pharmaceutical
granulation needs extensive development work, not industry. There are numerous apparatus, process and
only during initial formulation work but also during product parameters that affect the quality of the final
scale-up from development to production. Similar granule. These are listed in Table 25.1. The extent of
development work for the traditional process and that this list, coupled with the fact that each formulation
using high-speed granulators is not as extensive. presents its own individual development problems,
Table 25.1 Apparatus, process and product variables influencing fluidized-bed granulation
373
DOSAGE FORM DESIGN AND MANUFACTURE
374
GRANULATION
The process
Dry mixing of ingredients This uses normal
powder-mixing equipment. Fig. 25.9 Schematic representation of production extruders.
375
DOSAGE FORM DESIGN AND MANUFACTURE
376
GRANULATION
from the air chamber, which also acts as a positive- coating solution on to the rotating dried pellets. In
pressure seal during granulation. addition, layered pellets can be produced by using
Using this technique it is possible to continue the uncoated pellets as nuclei in a second granulation with
process and coat the pellets by subsequently spraying a powder mix of a second ingredient or ingredients.
Fig. 25.13 Roller compaction: (a) Alexanderwerk and (b) Hutt types.
377
DOSAGE FORM DESIGN AND MANUFACTURE
378
26
Drying
Michael Aulton
CHAPTER CONTENTS
379
DOSAGE FORM DESIGN AND MANUFACTURE
380
DRYING
381
DOSAGE FORM DESIGN AND MANUFACTURE
382
DRYING
Physical characteristics of the material pipes are positioned as shown, so that the air is peri-
The necessity for asepsis odically reheated after it has cooled by passage over
Nature of the liquid to be removed the wet material on one shelf before it passes over
The scale of the operation the material on the next.
Available sources of heat (steam, electrical). The required latent heat of evaporation is trans-
ferred convectively from the air and the rate of heat
The general principles for efficient drying can be transfer may be written as:
summarized as follows:
Rate of heat transfer, (dH/dt) = h^A AT
Large surface area for heat transfer;
Efficient heat transfer per unit area (to supply where hc is a heat transfer coefficient (Chapter 38)
sufficient latent heat of vaporization or heat of for convective heat transfer. The value of hc is com-
sublimation in the case of freeze-drying); monly around only 10-20 W irr2 1C1. Heat transfer
Efficient mass transfer of evaporated water from air is therefore relatively inefficient and so con-
through any surrounding boundary layers, i.e. vective drying is slow and wet materials can take up
sufficient turbulence to minimize boundary layer to 24 hours to dry.
thickness; There is another important factor controlling the
Efficient vapour removal, i.e. low relative rate of drying: the water vapour must pass through
humidity air at adequate velocity. the boundary layers present at the surface into the
turbulent airstream. For this to occur the relative
It is convenient to categorize pharmaceutical driers humidity of the air must be kept well below the sat-
according to the heat transfer method they use, i.e. uration level and the boundary layers small. These
convective, conductive or radiant. conditions are achieved by having a brisk turbulent
air flow over the surface and by the periodic reheat-
ing of the air as the temperature falls, so that it can
pick up further moisture.
CONVECTIVE DRYING OF WET SOLIDS
Fixed (or static) bed convective drying Rate of drying in fixed beds
The factors affecting drying in this manner can be The rate at which drying occurs has been found to
illustrated by reference to the construction and use show certain phases (Fig. 26.5) in which the change
of a simple form of drier - the tray (shelf or com- in moisture content is plotted against time. From A
partment) drier. to B the relationship is linear, which is known as the
constant-rate period, whereas from B to C the
rate of loss of moisture decreases and is known as the
Tray drier falling-rate period. The end of the constant rate
An efficient type of tray drier is the directed circula- period, B, is referred to as the critical moisture
tion form shown in Figure 26.4. Air flows in the content.
direction of the arrows over each shelf in turn. The The first falling-rate period has a linear rela-
wet material is spread on shallow trays resting on tionship, that is, the decrease in drying rate is
the shelves. Electrical elements or steam-heated uniform, whereas in the second falling-rate
period there is a continuous decrease in the rate of
drying until the equilibrium moisture content is
reached. Each of these periods will be considered in
more detail.
Constant-rate period For given conditions of tem-
perature and humidity, most substances dry at a
similar rate in the constant-rate period. It is found
that the evaporation rate from the drying bed is
similar to that of the solvent alone from a free liquid
surface under the same conditions, indicating that
the evaporation takes place from the wet surface of
the solid, and that the surface remains wet in this
period as a result of the liquid being replaced from
Fig. 26.4 Directed-circulation tray drier. below as fast as it is vaporized.
383
DOSAGE FORM DESIGN AND MANUFACTURE
384
DRYING
further, that is, the bed expands without appreciable constant rate and the failing-rate period (when
change in the pressure drop, until E, when the air the danger of overheating is greatest) is very
velocity is sufficient to entrain the solid particles and short.
transport them out of the top of the bed. The temperature of a fluidized bed is uniform
In the region D-E fluidization is irregular, much throughout and can be controlled precisely.
of the air flowing through in bubbles, the term The turbulence in a fluidized bed causes some
boiling bed being commonly used to describe it. attrition to the surface of the granule. This
The important fact is that it produces conditions of produces a more spherical free-flowing product.
great turbulence, the particles mixing with good The free movement of individual particles
contact between them and the air. Hence if hot air is eliminates the risk of soluble materials
used the turbulent conditions lead to high heat and migrating, as may occur in static beds (see later).
mass transfer rates; the fluidized-bed technique The containers can be mobile, making handling
therefore offers a means of rapid drying. The and movement around the production area
arrangement of such a drier is shown in Figure 26.7. simple and so reducing labour costs.
Sizes are available with capacities from 1 kg in the Short drying times mean that the unit has a high
laboratory to 200-500 kg in production. output from a small floor space.
Advantages of fluidized-bed drying Disadvantages of fluidized-bed drying
1. Efficient heat and mass transfer give high drying The turbulence of the fluidized state may cause
rates, so that drying times are shorter than with excessive attrition of some materials, with
static-bed convection driers. A batch of tablet damage to some granules and the production of
granules, for example, can be dried in 20-30 too much dust.
minutes, whereas a tray drier would require Fine particles may become entrained in the
many hours. Apart from obvious economic fluidizing air and must be collected by bag filters,
advantages, the heat challenge to thermolabile with care to avoid segregation and loss of fines.
materials is minimized. The vigorous movement of particles in hot dry
2. The fluidized state of the bed ensures that air can lead to the generation of static electricity
drying occurs from the surface of all the charges, and suitable precautions must be taken.
individual particles and not just from the surface A mixture of air with a fine dust of organic
of the bed. Hence, most of the drying will be at materials such as starch and lactose can explode
385
DOSAGE FORM DESIGN AND MANUFACTURE
violently if ignited by sparking caused by static The main advantage of a vacuum oven is that
charges. The danger is increased if the fluidized drying takes place at a low temperature, and as there
material contains a volatile solvent such as is little air present there is minimum risk of oxida-
isopropanol. Adequate electrical earthing is tion. The temperature of the drying solid will rise to
essential. the steam or water temperature at the end of the
drying, but this is not usually harmful.
Generation and action of microwaves tinuous removal of evaporated solvent. The radia-
Microwaves are produced by an electronic device tion is generated by multiple magnetrons, each pro-
known as a magnetron. Microwave energy can be ducing 0.75 kW at 2450 MHz. The radiation passes
reflected down a rectangular duct (termed a wave- through the polypropylene window into the drying
guide) or simply beamed through a transparent chamber, where it is absorbed by the liquid in the
polypropylene window into the drying chamber. To wet granules contained on a tray. The heat gener-
avoid interference with radio and television it is per- ated in the mass drives off the moisture and the
mitted to operate only at certain frequencies, which evolved vapour is drawn away in the air flow as it is
are normally 960 and 2450 MHz. formed. When drying is nearly complete the radia-
The penetration of microwaves into the wet tion field intensity will rise, as the dry solids do not
product is so good that heat is generated uniformly absorb as readily as water. This rise is detected and
within the solid. the magnetrons are progressively turned off auto-
When microwaves fall on substances of suitable matically, to give an accurate control of the final
electronic structure (small polar molecules, such as moisture content and minimize the danger of over-
water), the electrons in the molecule attempt to res- heating.
onate in sympathy with the radiation and the result- Advantages of microwave drying The following
ing molecular 'friction' results in the generation of advantages are claimed for microwave drying:
heat. Dry solids do not resonate as well as water, so 1. It provides rapid drying at fairly low
further heating may be avoided once the water is temperatures.
removed. This is indicated clearly by the loss factors 2. The thermal efficiency is high, as the drier
listed in Table 26.1. The loss factor is a measure of casing and the air remain cool. Most of the
the ratio of the microwave energy absorbed by indi- microwave energy is absorbed by the liquid in
vidual molecules; the higher the number the greater the wet material.
the absorption of microwave energy. Table 26.1 lists 3. The bed is stationary, avoiding the problems of
these values for some common solvents and excipi- dust and attrition.
ents. Clearly, the absorption of the microwave energy 4. Solute migration is reduced as there is uniform
is far greater for small polar molecules than for larger heating of the wet mass.
and less polar molecules. 5. Equipment is highly efficient and refined. All the
requirements of product and operator safety
have been incorporated into machines without
A microwave drier for granulates
detracting from GMP considerations.
Figure 26.9 is a sketch of a microwave drier used for 6. Granulation end-point is possible by measuring
drying granulates. It is designed to operate under a the residual microwave energy (as this rises
slight vacuum. This in itself is not essential for the sharply when there is little solvent left to
use of microwaves, but the air flow allows the con- evaporate).
387
DOSAGE FORM DESIGN AND MANUFACTURE
388
DRYING
389
DOSAGE FORM DESIGN AND MANUFACTURE
Spray-dried products are easily recognizable, 6. Labour costs are low, the process yielding a dry,
being uniform in appearance. The particles have a free-flowing powder from a dilute solution in a
characteristic shape, in the form of hollow spheres single operation with no handling.
sometimes with a small hole. This arises from the Disadvantages of the spray drying process
drying process, as the droplet enters the hot air 1. The equipment is very bulky, and with the
stream and dries on the outside to form an outer ancillary equipment is expensive. In a large
crust with liquid still in the centre. This liquid then installation the drying chamber alone may be as
vaporizes, and the internal vapour escapes by much as 15 m in height and 6 m in diameter.
blowing a hole in the sphere. Figure 26.13 shows 2. The overall thermal efficiency is rather low, as
the mechanism of formation of the spherical the air must still be hot enough when it leaves
product. the drier to avoid condensation of moisture.
Also, large volumes of heated air pass through
Advantages of the spray drying process
the chamber without contacting a particle,
1. There are millions of small droplets which give a
thus not contributing directly to the drying
large surface area for heat and mass transfer, so
process.
that evaporation is very rapid. The actual drying
time of a droplet is only a fraction of a second, Uses of the spray drying process The spray drier
and the overall time in the drier only a few can be used for drying almost any substance, in solu-
seconds. tion or in suspension. It is most useful for thermola-
2. Because evaporation is very rapid, the droplets bile materials, particularly if handled continuously
do not attain a high temperature. Most of the and in large quantities; outputs of 2000 kg h-1 can be
heat is used as latent heat of vaporization and so attained, although pharmaceutical plants are usually
the temperature of the particles is kept low by somewhat smaller.
evaporative cooling. Examples of both soluble and insoluble sub-
3. The characteristic particle form gives the stances that are spray dried include citric acid,
product a high bulk density and, in turn, rapid sodium phosphate gelatin, starch, barium sulphate,
dissolution (large surface area). calcium phosphate, and some powdered antibiotic
4. Provided that a suitable atomizer is used the formulations for reconstitution into syrup.
resulting powder will have a uniform and Spray drying is also capable of producing spheri-
controllable particle size. cal particles in the respirable range of 1-7 mm that
5. The product is free flowing, with almost have been used satisfactorily for the delivery of drugs
spherical particles, and is especially convenient from dry powder inhalers.
for tablet manufacture as it has excellent flow It is possible to operate spray driers aseptically
and compaction properties. using heated filtered air to dry products such as
serum hydrolysate. Also, some spray driers operate
in a closed-circuit mode with an inert gas to mini-
mize oxidation of the product. Volatile solvents can
be recovered from such systems.
Modern pharmaceutical spray drying has been
reviewed by Wendel and Celik (1997) and the reader
is referred to this article if additional information is
required.
FREEZE DRYING
390
DRYING
is reduced and the water removed by sublimation. 3. the reduction of the vapour pressure exerted by
Thus a liquid-to-vapour transition takes place, as ice as the temperature is reduced (CO).
with all the previous driers discussed, but here there
On heating at constant atmospheric pressure ice
are three states of matter involved: liquid to solid,
will melt when the temperature rises to 0C. At this
then solid to vapour.
constant temperature and pressure it will then
The theory and practice of freeze drying is based,
change to water. Continued heating will raise the
therefore, on an understanding and application of
temperature of the water to 100C where, if heat
the phase diagram for the water system.
addition is continued, the liquid water will be con-
verted into water vapour at 100C.
The phase diagram for water If, however, solid ice is maintained at a pressure
below the triple point then on heating the ice will
The phase diagram for the water system is shown in
sublime and pass directly to water vapour without
Figure 26.14. The diagram consists of three separate
passing through the liquid phase. This sublimation,
areas, each representing a single phase of water,
and therefore drying, can occur at a temperature
either solid, liquid or vapour. Two phases can coexist
below 0C. This will only happen if the pressure is
along a line under the conditions of temperature and
prevented from rising above the triple point pressure
pressure defined by any point on the line. The point
and, to ensure that this is the case, the vapour
O is the one unique point where all three phases can
evolved must be removed as fast as it is formed. It
coexist, and is known as the triple point. Its coordi-
may be thought that as the process takes place at a
nates are a pressure of 610 Pa and a temperature of
low temperature the heat required to sublime the ice
0.0075C.
will be small. In fact, the latent heat of sublimation
The lines on the phase diagram represent the
of ice at 2900 kj kg-1 is appreciably greater than the
interphase equilibrium lines, which show:
latent heat of evaporation of water at atmospheric
1. the boiling point of water as it is lowered by pressure, and this heat must be supplied for the
reduction of the external pressure above the process to take place.
water (BO in Fig. 26.14);
2. the variation of the melting point of ice on
reduction of the external pressure above it.
Application of the phase diagram of water to
There is a very slight rise in the melting point
freeze drying
(AO);
The freeze drying of products such as blood plasma,
although simple in theory, presents a number of
practical problems.
1. The depression of the freezing point caused by
the presence of dissolved solutes means that the
solution must be cooled to well below the
normal freezing temperature for pure water, and
it is usual to work in the range -10 to -30C. In
part this is because it is obviously not pure water
that is being dried, and thus the presence of
dissolved solutes will shift the pure-water phase
diagram.
2. Sublimation can only occur at the frozen surface
and is a slow process (approximately 1 mm
thickness of ice per hour). For all but very small
volumes the surface area must therefore be
increased and the liquid thickness prior to
freezing be reduced in order to reduce the
thickness of ice to be sublimated.
3. At low pressures large volumes of water vapour
are produced which must be rapidly removed to
Fig. 26.14 The phase diagram for water (not to scale) with prevent the pressure rising above the triple point
freeze drying process superimposed (see text for explanation). pressure.
391
DOSAGE FORM DESIGN AND MANUFACTURE
4. The dry material often needs to be sterile, and it solid which still contains about 0.5% moisture after
must also be prevented from regaining moisture primary drying.
prior to final packing. Primary drying Primary drying can reduce the
moisture content of a freeze-dried solid to around
0.5%. Further reduction can be effected by sec-
Stages of the freeze drying process ondary drying. During the primary drying, the latent
Freezing stage heat of sublimation must be provided and the vapour
removed.
The liquid material is frozen before the application
Heat transfer Heat transfer is critical: insufficient
of vacuum to avoid frothing, and several methods are
heat input prolongs the process, which is already
used to produce a large frozen surface.
slow, and excess heat will cause melting.
Shell freezing This is employed for fairly large
Prefrozen bottles - of blood, for example - are
volumes such as blood products. The bottles are
placed in individually heated cylinders, or are con-
rotated slowly and almost horizontally in a refriger-
nected to a manifold when heat can be taken from
ated bath. The liquid freezes in a thin shell around
the atmosphere.
the inner circumference of the bottle. Freezing is
Shelf-frozen materials are heated from the drier
slow and large ice crystals form, which is a drawback
shelf, whereas ampoules may be left on the cen-
of this method as they may damage blood cells and
trifuge head or may be placed on a manifold, but in
reduce the viability of microbial cultures.
either case heat from the atmosphere is sufficient.
In vertical spin freezing the bottles are spun indi-
In all cases the heat transfer must be controlled, as
vidually in a vertical position so that centrifugal force
only about 5 W m-2 K-1 is needed and overheating
forms a circumferential layer of solution, which is
will lead to melting. It is important to appreciate
cooled by a blast of cold air. The solution supercools
here that although a significant amount of heat is
and freezes rapidly, with the formation of small ice
required there should be no significant increase in
crystals.
temperature - the added heat should be sufficient to
Centrifugal evaporative freezing This is a similar
provide the latent heat of sublimation only and little
method, where the solution is spun in small contain-
sensible heat.
ers within a centrifuge. This prevents foaming when
Vapour removal The vapour formed must be con-
a vacuum is applied. The vacuum causes boiling at
tinually removed to avoid a pressure rise that would
room temperature and this removes so much latent
stop sublimation. To reduce the pressure sufficiently
heat that the solution cools quickly and snap freezes.
it is necessary to use efficient vacuum pumps,
About 20% of the water is removed prior to freeze
usually two-stage rotary pumps on the small scale,
drying and there is no need for refrigeration.
and ejector pumps on the large scale. On the small
Ampoules are usually frozen in this way, a number
scale, vapour is absorbed by a desiccant such as
being spun in a horizontal angled position in a
phosphorus pentoxide, or is cooled in a small con-
special centrifuge head so that the liquid is thrown
denser with solid carbon dioxide. Mechanically
outwards and freezes as a wedge.
refrigerated condensers are used on the large scale.
For vapour flow to occur the vapour pressure at
Vacuum application stage the condenser must be less than that at the frozen
The containers and the frozen material must be con- surface, and a low condenser temperature is neces-
nected to a vacuum source sufficient to drop the sary. On the large scale vapour is commonly
pressure below the triple point and remove the large removed by pumping, but the pumps must be of
volumes of low-pressure vapour formed during large capacity and not affected by moisture. The
drying. Again an excess vacuum is normal in prac- extent of the necessary pumping capacity will be
tice, to ensure that the product in question is below realized from the fact that, under the pressure con-
its triple point. ditions used during primary drying, 1 g of ice will
Commonly a number of bottles or vials are form 1000 L of water vapour. Ejector pumps are
attached to individual outlets of a manifold, which is most satisfactory for this purpose.
connected to a vacuum. Rate of drying The rate of drying in freeze drying
is very slow, the ice being removed at a rate of about
only 1 mm depth per hour. The drying rate curve
Sublimation stage
illustrated in Figure 26.15 shows a similar shape to a
Heat of sublimation must be supplied. Under these normal drying curve, the drying being at constant
conditions the ice slowly sublimes, leaving a porous rate during most of the time.
392
DRYING
393
DOSAGE FORM DESIGN AND MANUFACTURE
or granule and be deposited there when the solvent Loss of active drug
evaporates. Solute migration during drying can lead to
The periphery of each granule may become
localized variability in the concentration of soluble
enriched, with the interior suffering a depletion. This
drugs and excipients within the dried product.
will be of no consequence unless the enriched outer
Migration associated with drying granules can be
layer is abraded and lost, as may happen during
of two types, intergranular (between granules) and
fluidized-bed drying, when the fine drug-rich dust
intragranular (within individual granules).
can be eluted in the air and carried to the filter bag
or lost. The granules suffer a net loss of drug and, as
Intergranular migration a result, will be below specification with respect to
quantity of active ingredient.
Intergranular migration, where the solutes move from
granule to granule, may result in gross maldistribution
of the active drug. It can occur during the drying of Mottling of coloured tablets
static beds of granules (e.g. tray drying), as the solvent Coloured tablets can be made by adding soluble
and accompanying solute (s) move from granule to colour during wet granulation. Intragranular migra-
granule towards the top surface of the bed where tion of the colour may give rise to dry granules with a
evaporation takes place. When the granules are com- highly coloured outer zone and a colourless interior
pressed the tablets may have a deficiency or an excess (Fig. 26.16). During compaction granules are frac-
of drug. For example, experiments found that only tured and the colourless interior is exposed. The eye
12% of tablets made from a tray-dried warfarin gran- then sees the coloured fragments against a colourless
ulate were within the USP limits for drug content. background and the tablets appear mottled.
Migration may be reduced by using the insoluble
Intragranular migration aluminium 'lake' of the colouring material (in which
the soluble dye is adsorbed strongly on to insoluble
Drying methods based on fluidization and vacuum alumina particles) in preference to the soluble dye
tumbling keep the granules separate during drying itself. This is not the complete answer, as factors
and so prevent the intergranular migration that may such as an unfavourable pH can allow dyes to detach
occur in fixed beds. However, intragranular migra- from lakes and then migrate. They suggest that small
tion, where the solutes move towards the periphery granules, which do not fracture so readily, are prefer-
of each granule, may take place. able to larger ones if mottling is troublesome.
394
DRYING
a 'hoop stress' resistance, making the granules harder drying bed, as the process of drying is slow enough
and more resistant to abrasion. This migration can to maintain a capillary flow of solvent/solute to the
aid the bonding process during tablet compaction as surface over a long period of time.
a result of binder-binder (rather than drug-drug or Drying by microwave radiation results in the
drug-excipient) contact, and is therefore sometimes uniform heating that is a characteristic of this tech-
beneficial. nique, which in turn minimizes solute migration.
Many other factors, such as granulate formula- Drying methods that keep the granules in motion
tion, drying method and moisture content, have will abolish the problem of intergranular migration,
been shown to affect solute migration. but intragranular migration can still occur. This is
marked in fluidized granules. Vacuum tumbling
methods, on the other hand, greatly reduce migration.
The influence of formulation factors on
solute migration
Initial moisture content
Nature of substrate The initial moisture content of the granulate will
The principles governing solute migration are similar also influence the extent of migration. The greater
to those of thin-layer chromatography. Thus, if the the moisture content, the greater will be the mois-
granule substrate has an affinity for the solute then ture movement before the pendular state is reached,
migration will be impeded. Luckily, many of the at which migration cannot continue as there is no
common tablet excipients seem to possess this affinity. longer a continuous layer of mobile liquid water
It is likely, therefore, that the presence of absorbent within the wet solid (see Fig. 25.2).
materials, such as starch and microcrystalline cellu-
lose, will minimize tablet solute migration. Some practical means of minimizing
The use of water-insoluble aluminium lakes (pig- solute migration
ments) rather than water-soluble dyes reduces mot-
tling. This effect has also been seen with film-coat It may be useful to list the measures that can be
colours. taken to minimize migration.
1. Use the minimum quantity of granulating fluid
Viscosity of granulating fluid and ensure that it is well distributed. High-speed
mixer/granulators give better moisture
The popular granulating fluids are solutions of poly- distribution than earlier equipment, and
mers whose viscosity is appreciably greater than that granulates prepared in this way show less
of water alone. This viscosity impedes the movement migration.
of moisture by increasing the fluid friction. 2. Prepare the smallest granules that will flow
Increasing the concentration and therefore the vis- easily. These are generally satisfactory if mottling
cosity of PVP solution has been shown to slow the is troublesome.
migration of drugs in fixed beds of wet granules. 3. Avoid tray drying unless there is no alternative.
Solutions of methylcellulose with comparable vis- 4. If tray drying is unavoidable, the dry granules
cosities gave similar migration rates, showing that the should be remixed before compression. This will
effect is due to viscosity alone and not to any specific ensure that a random mix of enriched and
action of either of the binders. depleted granules will be fed to the tablet
machines. This remixing will be more effective if
The influence of process factors on the granule size is small, as there will be a
solute migration greater number of granules per die fill.
5. If intragranular migration is likely to be
Drying method troublesome, consider vacuum or microwave
drying as an alternative to fluidized-bed drying.
Intergranular migration in fixed beds of granules will
occur whenever a particular method of drying
creates a temperature gradient. This results in
greater evaporation from the hotter zones. REFERENCES
In slow convective drying (e.g. during static tray
drying) the maximum concentration of migrated Wendel, S. and Celik, M. (1997) An overview of spray-drying
solute will normally occur in the surface of the applications. Pharm. Technol, 10, 124-144
395
DOSAGE FORM DESIGN AND MANUFACTURE
396
27
Tablets and compaction
Goran Alderborn
CHAPTER CONTENTS
397
DOSAGE FORM DESIGN AND MANUFACTURE
398
TABLETS AND COMPACTION
7. The tablet should be formulated into a product The process of tabletting can be divided into three
acceptable by the patient. stages (sometimes known as the compaction cycle)
8. The tablet should be packed in a safe manner. (Fig. 27.1).
Die filllng
TABLET MANUFACTURING
This is normally accomplished by gravitational flow
Stages in tablet formation of the powder from a hopper via the die table into
the die (although presses based on centrifugal die
Tablets are prepared by forcing particles into close filling are also used). The die is closed at its lower
proximity to each other by powder compression, which end by the lower punch.
enables the particles to cohere into a porous, solid
specimen of denned geometry. The compression takes Tablet formation
place in a die by the action of two punches, the lower
and the upper, by which the compressive force is The upper punch descends and enters the die and
applied. Powder compression is denned as the reduc- the powder is compressed until a tablet is formed.
tion in volume of a powder owing to the application of During the compression phase, the lower punch can
a force. Because of the increased proximity of particle be stationary or can move upwards in the die. After
surfaces accomplished during compression, bonds are maximum applied force is reached, the upper punch
formed between particles which provides coherency to leaves the powder, i.e. the decompression phase.
the powder, i.e. a compact is formed. Compaction is
denned as the formation of a porous specimen of Tablet ejection
denned geometry by powder compression.
During this phase the lower punch rises until its tip
reaches the level of the top of the die. The tablet is
subsequently removed from the die and die table by
a pushing device.
Tablet presses
There are two types of press in common use during
tablet production: the single-punch press and the
rotary press. In addition, in research and develop-
ment work hydraulic presses are used as advanced
equipment for the evaluation of the tabletting prop-
erties of powders and the prediction of scale-up on
the properties of the formed tablets (scale-up refers
to the change to a larger apparatus for performing a
certain operation on a larger scale).
399
DOSAGE FORM DESIGN AND MANUFACTURE
particle surfaces which are not covered with a lubri- heat. They are often mixed with the granules as an
cant film are formed during particle fragmentation, alcohol solution.
and that these clean surfaces will bond differently
from the lubricant-covered particle surfaces.
To explain the effect of lubricant film formation on Colourant
the tensile strength of tablets, a coherent matrix Colourants are added to tablets to aid identification
model has been developed. This suggests that when a and patient compliance. Colouring is often accom-
continuous matrix of lubricant-covered particle sur- plished during coating (see Chapter 28 for further
faces exists in a tablet, along which a fracture plane information), but a colourant can also be included in
can be formed, the tablet strength is considerably the formulation prior to compaction. In the latter
lower than that of tablets formed from unlubricated case the colourant can be added as an insoluble
powder. However, if the mixing and compression powder or dissolved in the granulation liquid. The
processes do not result in such a coherent lubricant latter procedure may lead to a colour variation in the
matrix within the tablet, for example due to irregular tablet caused by migration of the soluble dye during
substrate particles or particle fragmentation, the the drying stage (see Chapter 26 for more informa-
lubricant sensitivity appears to be lower. tion on the phenomenon of solute migration).
Antiadherent
The function of an antiadherent is to reduce adhe-
TABLETTYPES
sion between the powder and the punch faces and
thus prevent particles sticking to the punches. Many
Classification of tablets
powders are prone to adhere to the punches, a phe-
nomenon (known in the industry as sticking or Based on their drug-release characteristics, tablets can
picking) which is affected by the moisture content be classified into three types, immediate release,
of the powder. Such adherence is especially prone to extended release and, delayed release. For immediate-
happen if the tablet punches are engraved or release tablets the drug is intended to be released
embossed. Adherence can lead to a build-up of a rapidly after administration, or the tablet is dissolved
thin layer of powder on the punches, which in turn and administered as a solution. This is the most
will lead to an uneven and matt tablet surface with common type of tablet and includes disintegrating,
unclear engravings. chewable, effervescent, sublingual and buccal tablets.
Many lubricants, such as magnesium stearate, Modified-release tablets should normally be swal-
have also antiadherent properties. However, other lowed intact. The formulation and thus also the type
substances with limited ability to reduce friction can of excipients used in such tablets might be quite dif-
also act as antiadherents, such as talc and starch. ferent from those of immediate-release tablets. The
drug is released from an extended-release tablet
slowly at a nearly constant rate. If the rate of release
Sorbent is constant during a substantial period of time, a zero-
Sorbents are substances that are capable of sorbing order type of release is obtained, i.e. M = kt (where
some quantities of fluids in an apparently dry state. M is the cumulative amount of drug released and t is
Thus, oils or oil-drug solutions can be incorporated the release time). This is sometimes described as an
into a powder mixture which is granulated and com- ideal type of extended-release preparation. However,
pacted into tablets. Microcrystalline cellulose and for most type of extended-release tablets a perfect
silica are examples of sorbing substances used in zero-order release is not obtained.
tablets. For delayed-release tablets the drug is liberated
from the tablet some time after administration. After
this period has elapsed, the release is normally rapid.
Flavour The most common type of delayed-release tablet is
Flavouring agents are incorporated into a formula- an enteric tablet, for which the drug is released in the
tion to give the tablet a more pleasant taste or to upper part of the small intestine after the preparation
mask an unpleasant one. The latter can be achieved has passed the stomach. However, a delayed-release
also by coating the tablet or the drug particles. can also be combined with a slow drug release, e.g.
Flavouring agents are often thermolabile and so for local treatment in the lower part of the intestine
cannot be added prior to an operation involving or in the colon.
410
TABLETS AND COMPACTION
Disintegrating tablets
The most common type of tablet is intended to be
swallowed and to release the drug in a relatively short
time thereafter by disintegration and dissolution, i.e.
the goal of the formulation is fast and complete drug
release in vivo. Such tablets are often referred to as
conventional or plain tablets. A disintegrating tablet
includes normally at least the following type of excip-
ients: filler (if the dose of the drug is low), disinte-
grant, binder, glidant, lubricant and antiadherent.
As discussed above, the drug is released from a
disintegrating tablet in a sequence of processes,
including tablet disintegration, drug dissolution and
drug absorption (see Fig. 27.7). All these processes
will affect, and can be rate-limiting steps for, the rate
of drug bioavailability. The rate of the processes is
affected by both formulation factors and production
conditions.
The disintegration time of the tablet can be
markedly affected by the choice of excipients, espe-
cially disintegrant (Fig. 27.11). The type of filler and
lubricant can also be of significant importance for
tablet disintegration. Fig. 27.11 The dissolution rate of salicylic acid, as assessed
Tablet disintegration may also be affected by by an in vitro dissolution method based on agitated baskets,
production conditions during manufacture. from tablets formed from mixtures of salicylic acid (325 mg) and
Important examples are the design of the granula- a series of different types of starches as disintegrant. (From
tion procedure (which will affect the physical prop- Underwood, T.W. and Cadwallader, D.E., J. Pharm. Sci. 61, 239,
1972.) a potato starch, arrowroot starch, A rice starch, corn
erties of the granules), mixing conditions during the starch, A compressible starch.
addition of lubricants and antiadherents, and the
applied punch force during tabletting and the punch
force-time relationship. It has been reported that an
increased compaction pressure can either increase or
decrease disintegration time, or give complex rela-
tionships with maximum or minimum disintegration
times.
For poorly water-soluble drugs the dissolution rate
is often the rate-limiting step for bioavailability. The
dissolution rate is a function of the solubility and the
surface area of the drug (see Chapter 2). Thus,
dissolution rate will increase if the solubility of the
drug is increased, e.g. by the use of a salt of the drug.
It is also possible to speed up the dissolution process
by incorporating into the formulation a substance
that forms a salt with the drug during dissolution.
This has been a common means to increase the dis-
solution rate of aspirin by using magnesium oxide in
Fig. 27.10 Schematic representation of the cumulative amount the formulation.
of drug released from immediate-, extended- and delayed- The drug dissolution rate will also increase with
release tablets. an increase in the surface area of the drug. Thus,
411
DOSAGE FORM DESIGN AND MANUFACTURE
control of drug particle size is important to control former is antacid tablets. In the latter case, the
drug dissolution. However, a reduced particle size elderly and children in particular have difficulty in
will make a powder more cohesive. A reduction in swallowing tablets, and so chewable tablets are
drug particle size might thus give aggregates of par- attractive forms of medication. Important examples
ticles which are difficult to break up, with the conse- are vitamin tablets. Another general advantage of a
quence that the drug dissolution rate from the tablet chewable tablet is that this type of medication can be
will be reduced. It is thus important to ensure that taken when water is not available.
the tablet is formulated in such a way that it will dis- Chewable tablets are similar in composition to
integrate, and the aggregates thus formed break up conventional tablets except that a disintegrant is nor-
into small drug particles so that a large surface area mally not included in the composition. Flavouring
of the drug is exposed to the dissolution medium. and colouring agents are common, and sorbitol and
For drugs with poor absorption properties the mannitol are common examples of fillers.
absorption can be affected (see Chapter 17) by mod-
ifying the drug lipophilicity, e.g. by esterification of
Effervescent tablets
the drug. The use of substances in the formulation
that affect the permeability of the gastrointestinal Effervescent tablets are dropped into a glass of water
cell membranes, often referred to as absorption before administration, during which carbon dioxide
enhancers, is also a possible means to increase the is liberated. This facilitates tablet disintegration and
drug absorption rate and degree. drug dissolution; the dissolution of the tablet should
Single disintegrating tablets can also be prepared be complete within a few minutes. As mentioned
in the form of multilayers, i.e. the tablet consists of above, the effervescent carbon dioxide is created by a
two or three layers cohered to each other (double- reaction in water between a carbonate or bicarbonate
and triple-layered tablets). During the preparation of and a weak acid such as citric or tartaric.
multilayer tablets the die is filled in two or three con- Effervescent tablets are used to obtain rapid drug
secutive steps with different granulations from sepa- action, for example for analgesic drugs (Fig. 27.12),
rate feed stations. Each layer is normally compressed or to facilitate the intake of the drug, for example for
after each fill. vitamins.
Multilayer tablets are made primarily to separate The amount of sodium bicarbonate in an efferves-
incompatible drugs from each other, i.e. incompati- cent tablet is often quite high (about 1 g). After dis-
ble drugs can be incorporated into the same tablet. solution of such a tablet, a buffered water solution
Although intimate contact exists at the surface will be obtained which normally temporarily
between the layers, the reaction between the incom- increases the pH of the stomach. The result is a rapid
patible drugs is limited. The use of layered tablets emptying of the stomach and the residence time of
where the layers are differently coloured represents the drug in the stomach will thus be short. As drugs
an approach to preparing easily identifiable tablets.
Another variation of the disintegrating tablet is
coated tablets which are intended to disintegrate and
release the drug quickly (in contrast to coated tablets
intended for modified release). The rationale for
using coated tablets and detailed descriptions of
the procedures used for tablet coating (sugar
coating, film coating and press coating) are given in
Chapter 28.
Chewable tablets
Chewable tablets are chewed and thus mechanically
disintegrated in the mouth. The drug is, however,
normally not dissolved in the mouth but swallowed
and dissolves in the stomach or intestine. Thus,
chewable tablets are used primarily to accomplish a Fig. 27.12 Concentration of salicylates in plasma after
administration of acetylsalicylic acid tablets (1 g). Circles,
quick and complete disintegration of the tablet - and effervescent tablet; squares, conventional tablet. (From Ekenved,
hence obtain a rapid drug effect - or to facilitate the G., Elofsson, R. and Solvell, L. Acta Pharm. Suec. 12, 323,
intake of the tablet. A common example of the 1975.)
412
TABLETS AND COMPACTION
are absorbed more effectively in the small intestine the drug. A rapid systemic drug effect can thus be
than in the stomach, effervescent tablets can thus obtained without first-pass liver metabolism.
show a fast drug bioavailability, which can be advan- Sublingual tablets are placed under the tongue and
tageous, for example, for analgesic drugs. Another buccal tablets are placed in the side of the cheek.
aspect of the short residence time of the drug in the Sublingual and buccal tablets are often small and
stomach is that drug-induced gastric irritation can porous, the latter facilitating fast disintegration and
be avoided, e.g. for aspirin tablets, as the absorption drug release.
of aspirin in the stomach can cause irritation.
Effervescent tablets also often include a flavour
and a colourant. A water-soluble lubricant is prefer-
Extended-release tablets
able in order to avoid a film of a hydrophobic lubri-
Classification of extended-release tablets
cant on the surface of the water after tablet
dissolution. A binder is normally not included in the In recent years there has been great interest in the
composition. development and use of tablets which should be swal-
Effervescent tablets are prepared by both direct lowed and thereafter slowly release the drug in the
compaction and by compaction via granulation. In gastrointestinal tract. Such tablets are denominated
the latter case, traditional wet granulation is seldom in various ways, such as slow release, prolonged
used; instead, granules are formed by the fusion of release, sustained release and extended-release. In the
particles as a result of their partial dissolution during European Pharmacopoeia the term extended-release
wet massing of a moistened powder. has been chosen as denominator for these types of
Effervescent tablets should be packaged in such a tablets and so is used here. Extended-release tablets
way that they are protected against moisture. This is are often referred to as controlled-release prepara-
accomplished with waterproof containers, often tions. This latter term is somewhat misleading, as all
including a dessicant, or with blister packs or alu- tablets, irrespective of their formulation and use,
minium foils. should release the drug in a controlled and repro-
ducible way. (The nomenclature for extended-release
preparations is subject to some debate and no world-
Lozenges wide acceptable system exists. The reader is referred
Lozenges are tablets that dissolve slowly in the to Chapter 20 for further discussion on this subject.)
mouth and so release the drug dissolved in the saliva. After the release of the drug from the tablet the
Lozenges are used for local medication in the mouth drug should normally be absorbed into the systemic
or throat, e.g. with local anaesthesia, antiseptic and circulation. The aim is normally to increase the time
antibiotic drugs. They can thus be described as slow- period during which a therapeutic drug concentra-
release tablets for local drug treatment. tion level in the blood is maintained. However, the
Disintegrants are not used in the formulation, but aim can also be to increase the release time for drugs
otherwise such tablets are similar in composition to that can cause local irritation in the stomach or
conventional tablets. In addition, lozenges are often intestine if they are released quickly. Examples of the
coloured and include a flavour. The choice of filler latter are potassium chloride and iron salts. In addi-
and binder is of particular importance in the tion, drugs for local treatment of diseases in the large
formulation of lozenges, as these excipients should intestine are sometimes formulated as extended-
contribute to a pleasant taste or feeling during tablet release tablets.
dissolution. The filler and binder should therefore be An extended-release tablet contains one dose of
water soluble and have a good taste. Common exam- the drug which is released for a period of about
ples of fillers are glucose, sorbitol and mannitol. A 12-24 hours. The release pattern can vary, from
common binder in lozenges is gelatin. being nearly continuous to two or more pulses. In
Lozenges are normally prepared by compaction at the latter case the pulses can correspond to a rapid
high applied pressures in order to obtain a tablet of release of the drug, or can be a combination of a
high mechanical strength and low porosity which rapid release of one portion of drug followed by a
can dissolve slowly in the mouth. slow release of a second portion.
An extended-release preparation can also be cate-
gorized as a single-unit or a multiple-unit dosage
Sublingual and buccal tablets
form. In the first case the drug dose is incorporated
Sublingual and buccal tablets are used for drug into a single-release unit, and in the latter is divided
release in the mouth followed by systemic uptake of into a large number of small release units. A multi-
413
DOSAGE FORM DESIGN AND MANUFACTURE
pie-unit dosage form is often considered to give a is thus established between the interior and the
more reproducible drug action. exterior of the release unit.
There are a series of rationales behind the 2. The dissolved drug will diffuse in the pores of
increased interest in administering drugs orally for the release unit or the surrounding membrane
systemic uptake in the form of extended-release and thus be released, or, alternatively, the
tablets. However, the drug must fulfil certain criteria dissolved drug will partition into the membrane
in order to render itself suitable for sustained-release surrounding the dose unit and diffuse in the
medication, otherwise another type of tablet is a membrane.
more feasible alternative. These rationales and crite-
A dissolution step is thus normally involved in the
ria, as well as the pharmacokinetic aspects of
release process, but the diffusion step is the rate-con-
extended-release drug administration, are described
trolling step. The rate at which diffusion will occur
elsewhere in this book (Chapters 19 and 20). In
depends on four variables: the concentration gradi-
Chapter 20 the formulation principles used to
ent over the diffusion distance, the area and distance
achieve extended drug release are described.
over which diffusion occurs; and the diffusion
Extended-release tablets are often classified accord-
coefficient of the drug in the diffusion medium.
ing to the mechanism of drug release. The following
Some of these variables are used to modulate the
are the most common means used to achieve a slow,
release rate in the formulation.
controlled release of the drug from tablets:
Reservoir systems In a reservoir system the diffu-
Drug transport control by diffusion sion occurs in a thin film surrounding the release
Dissolution control unit (Fig. 27.13).This film is normally formed from
Erosion control a high molecular weight polymer. The diffusion
Drug transport control by convective flow distance will be constant during the course of the
(accomplished by, for example, osmotic release and, as long as a constant drug concentration
pumping) gradient is maintained, the release rate will be
Ion-exchange control. constant, i.e. a zero-order release (M = Rt).
One possible process for the release of the drug
from a reservoir system involves partition of the
Diffusion-controlled release systems
drug dissolved inside the release unit to the solid
In diffusion-controlled extended-release systems the membrane, followed by transport by diffusion of the
transport by diffusion of dissolved drugs in pores drug within the membrane. Finally, the drug will
filled with gastric or intestinal juice or in a solid (nor- partition to the solution surrounding the release
mally polymer) phase is the release-controlling unit. The driving force for the release is the concen-
process. Depending on the part of the release unit in tration gradient of dissolved drug over the mem-
which the drug diffusion takes place, diffusion- brane. The release rate can be described in a
controlled release systems are divided into matrix simplified way by the following equation, which also
systems (also referred to as monolithic systems) and summarizes the formulation factors by which the
reservoir systems. The release unit can be a tablet or release rate can be controlled, i.e.
a nearly spherical particle of about 1 mm in diame-
ter (a granule or a millisphere). In both cases the
release unit should stay more or less intact during where C is the solubility of the drug in the liquid, A
the course of the release process. In matrix systems and h are the area and thickness of the membrane, D
diffusion occurs in pores located within the bulk of is the diffusion coefficient of the drug in the
the release unit, and in reservoir systems diffusion
takes place in a thin water-insoluble film or mem-
brane, often about 5-20 um thick, which surrounds
the release unit. Diffusion through the membrane
can occur in pores filled with fluid, or in the solid
phase that forms the membrane.
Drug is released from a diffusion-controlled
release unit in two steps:
1. The liquid that surrounds the dosage form
penetrates the release unit and dissolves the Fig. 27.13 Schematic illustration of the mechanism of drug
drug. A concentration gradient of dissolved drug release from a diffusion-based reservoir tablet (t = time).
414
TABLETS AND COMPACTION
membrane and K the partition coefficient for the drug polyvinyl chloride (Fig. 27.14). Initially, drug parti-
between the membrane and the liquid at equilibrium. cles located at the surface of the release unit will be
In practice, the membrane surrounding the release dissolved and the drug released rapidly. Thereafter,
unit often includes a water-soluble component. This drug particles at successively increasing distances
can be small particles of a soluble substance, such as from the surface of the release unit will be dissolved
sucrose, or a water-soluble polymer, such as a water- and released by diffusion in the pores to the exterior
soluble cellulose derivative (e.g. hydroxypropyl of the release unit. Thus, the diffusion distance of
methylcellulose). In the latter case the polymer is dissolved drug will increase as the release process
used together with a water-insoluble polymer as the proceeds. The drug release, in terms of the cumula-
film-forming materials that constitute the coating. In tive amount of drug (M) released from a matrix in
such a membrane the water-soluble component will which drug particles are suspended is proportional
dissolve and form pores filled with liquid in which to the square root of time i.e. M = Rl/2.
the drug can thereafter diffuse. The area and length The main formulation factors by which the release
of these pores will thus constitute the diffusion area rate from a matrix system can be controlled are
and distance. These factors can be estimated from the amount of drug in the matrix, the porosity of the
the porosity of the membrane (E) and the tortuosity release unit, the length of the pores in the release
(T) of the pores (the tortuosity refers to the ratio unit (dependent on the size of the release unit and
between the actual transport distance in the pores the pore tortuosity) and the solubility of the drug
between two positions and the transport distance in (which regulates the concentration gradient). The
a solution). The release rate can thus be described in characteristics of the pore system can be affected by,
a simplified way as follows: for example, the addition of soluble excipients and
by the compaction pressure during tabletting.
Matrix systems are traditionally designed as
The membrane porosity and pore tortuosity can be single-unit systems, normally tablets, prepared by
affected by the addition of water-soluble compo- tabletting. However, alternative preparation proce-
nents to the membrane. dures are also used, especially for release units that
For oral preparations the film surrounding the are smaller than tablets. Examples of such tech-
release units is normally based on high molecular niques are extrusion, spray-congealing and casting.
weight, water-insoluble polymers, such as certain
cellulose derivatives (e.g. ethyl cellulose) and acry-
Dissolution-controlled release systems
lates.The film often also includes a plasticizer. In the
case of drug release through liquid-filled pores a In dissolution-controlled extended-release systems
small amount of a water-soluble compound is also the rate of dissolution in the gastrointestinal juices
added, as described above. Reservoir systems today of the drug or another ingredient is the release-
are normally designed as multiple-unit systems controlling process. It is obvious that a sparingly
rather than single units. water-soluble drug can form a preparation of a dis-
Matrix systems In a matrix system the drug is dis- solution-controlled extended-release type. A
persed as solid particles within a porous matrix reduced drug solubility can be accomplished by
formed of a water-insoluble polymer, such as preparing poorly soluble salts or derivatives of the
Fig. 27.14 Schematic illustration of the mechanism of drug release from a diffusion-based matrix tablet (t = time).
415
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 27.16 Schematic illustration of the mechanism of drug release from an erosion tablet.
416
matrix. Thus, a mathematical description of drug
release from an erosion system is complex. However,
drug release can often approximate zero-order for a
significant part of the total release time.
The eroding matrix can be formed from different
substances. One example is lipids or waxes, in which
the drug is dispersed. Another example is polymers
that gel in contact with water (e.g. hydroxyethyl
cellulose). The gel will subsequently erode and
release the drug dissolved or dispersed in the gel.
Diffusion of the drug in the gel may occur in parallel.
417
DOSAGE FORM DESIGN AND MANUFACTURE
The test for uniformity of weight is carried out by have been developed and examples are described as
collecting a sample of tablets, normally 20, from a official standards in pharmacopoeias.
batch and determining their individual weights. The The test is carried out by agitating a given number
average weight of the tablets is then calculated. The of tablets in an aqueous medium at a defined tem-
sample complies with the standard if the individual perature, and the time to reach the end-point of the
weights do not deviate from the mean more than is test is recorded. The preparation complies with the
permitted in terms of percentage. test if the time to reach this end-point is below a
If the drug substance forms the greater part of the given limit. The end-point of the test is the point at
tablet mass, any weight variation obviously reflects which all visible parts of the tablets have been elimi-
variations in the content of active ingredient. nated from a set of tubes in which the tablets have
Compliance with the standard thus helps to ensure been held during agitation. The tubes are closed at
that uniformity of dosage is achieved. However, in the lower end by a screen and the tablet fragments
the case of potent drugs which are administered in formed during the disintegration are eliminated
low doses, the excipients form the greater part of the from the tubes by passing the screen openings, i.e.
tablet weight and the correlation between tablet disintegration is considered to be achieved when no
weight and amount of active ingredient can be poor tablet fragments remain on the screen (fragments of
(Fig. 27.18).Thus, the test for weight variation must coating may remain).
be combined with a test for variation in content of A disintegration apparatus (Fig. 27.19) consists
the drug substance. Nevertheless, the test for unifor- normally of six chambers, i.e. tubes open at the
mity of weight is a simple way to assess variation in upper end and closed by a screen at the lower. Before
drug dose, which makes the test useful as a quality disintegration testing, one tablet is placed in each
control procedure during tablet production. tube and normally a plastic disc is placed upon it.
The test for uniformity of drug content is carried The tubes are placed in a water bath and raised and
out by collecting a sample of tablets, normally 10, lowered at a constant frequency in the water in such
followed by a determination of the amount of drug a way that at the highest position of the tubes, the
in each. The average drug content is calculated and screen remains below the surface of the water.
the content of the individual tablets should fall Tests for disintegration do not normally seek to
within specified limits in terms of percentage devia- establish a correlation with in vivo behaviour. Thus,
tion from the mean. compliance with the specification is no guarantee of an
acceptable release and uptake of the drug in vivo and
hence an acceptable clinical effect. However, it is rea-
Disintegration sonable that a preparation that fails to comply with the
As discussed above, the drug release process from test is unlikely to be efficacious. Disintegration tests
immediate-release tablets often includes a step at are, however, useful as a means to assess the potential
which the tablet disintegrates into smaller fragments. importance of formulation and process variables on
In order to assess this, disintegration test methods the biopharmaceutical properties of the tablet, and as
Fig. 27.18 Correlation between amount of active ingredient and tablet weight for (a) a low dose (drug content 23% of tablet weight)
and (b) a high dose (drug content 90% of tablet weight) tablet. (From Airth, J.M., Bray, D.F., and Radecka, C. (1967). J. Pharm. Sci., 56,
233-235.
418
TABLETS AND COMPACTION
419
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 27.20 Diagram of a dissolution instrument based on the rotating paddle method for the testing of tablet dissolution rate. (From
Banakar, U.V. Pharmaceutical Dissolution Testing. Marcel Dekker, Inc., New York 1992.)
The amount of drug dissolved is normally affect the surface tension of the liquid and the solubil-
analysed more or less continuously as the concentra- ity of the drug. Such fluids are often referred to as
tion in the vessel at a series of consecutive times. simulated gastric or intestinal fluids. Also, other dis-
However, sometimes a single measurement can be solution media might be used, such as solvent mix-
performed if required in the Pharmacopoeia or tures, if the solubility of the drug is very low.
product specification, i.e. the amount of drug dis-
solved within a certain time period is determined.
Mechanical strength
The composition of the dissolution medium might
vary between different test situations. Pure water may The mechanical strength of a tablet is associated
be used, but in many cases a medium that shows a with the resistance of the solid specimen towards
closer resemblance to some physiological fluid is used. fracturing and attrition. An acceptable tablet must
In such media the pH and ionic strength can be con- remain intact during handling between production
trolled, and surface-active agents might be added to and administration. Thus, an integrated part of the
420
TABLETS AND COMPACTION
Fig. 27.21 Diagram of a dissolution instrument based on the rotating-basket method for the testing of tablet dissolution rate. (From
Banakar, U.V. Pharmaceutical Dissolution Testing. Marcel Dekker, Inc., New York 1992.)
formulation and production of tablets is the deter- Especially for the use of strength data to assess
mination of their mechanical strength. Such testing material properties, a number of test methods
is carried out for several reasons, such as: originating from materials science are used, such as
beam bending and uniaxial tensile testing. In
To assess the importance of formulation and
this context also the hardness of a tablet can be
production variables for the resistance of a tablet
measured by indentation. The hardness of a
towards fracturing and attrition during
specimen is associated with its resistance to local
formulation work, process design and scaling up;
permanent deformation, and is thus not a
To control the quality of tablets during
measure of the resistance of the tablet towards
production (in-process and batch control);
fracturing.
To characterize the fundamental mechanical
The most commonly used methods for strength
properties of materials used in tablet formulation.
testing can be subcategorized into two main groups:
A number of methods are available for measuring attrition-resistance methods and fracture-resistance
mechanical strength and they give different results. methods.
421
DOSAGE FORM DESIGN AND MANUFACTURE
422
TABLETS AND COMPACTION
423
DOSAGE FORM DESIGN AND MANUFACTURE
particles but rather of granules, i.e. porous sec- event. However, for irregular, rough granules some
ondary particles formed from small dense primary attrition might occur. Deformation and densification
particles. For granules, a larger number of processes of granules have been suggested to occur by the
are involved in their compression. These can be repositioning of primary particles within the gran-
classified into two groups: ules, i.e. these processes involves an internal flow of
primary particles. In this context, the terms degree
Physical changes in the granules, i.e. the
and mode of deformation have been used to
secondary particles;
describe granule deformation. Degree of deforma-
Physical changes in the primary particles from
tion refers to some quantitative change in the shape
which the granules are formed.
of the granules, whereas mode of deformation refers
The latter concern changes in the dimensions of the to the type of shape change, such as a flattening of
primary particles due to elastic and plastic deforma- the granule, or a more complicated shape change
tion and fragmentation. Such processes may be towards irregular granules.
significant for the strength of tablets. It is, for The dominating compression mechanisms for
example, common for a capping-prone substance, dense particles and granules are summarized in
when compacted as dense particles, to also be prone Table 27.2. The relative occurrence of fragmenta-
to cap or laminate during compaction in the form of tion and deformation of solid particles during com-
granules, such as substrate-binder granules. pression is related to the fundamental mechanical
However, in terms of the evolution of the tablet struc- characteristics of the substance, such as their elas-
ture, the physical changes in the granules that occur ticity and plasticity. For granules, both the mechan-
during compression are of primary importance. ical properties of the primary particles from which
At low compression forces the reduction in the granules are formed and the physical structure
volume of the bed of granules can occur by a of the granule, such as their porosity and shape, will
rearrangement within the die. However, granules are affect the relative occurrence of each compression
normally fairly coarse, which means that they spon- mechanism.
taneously form a powder bed of relatively low
voidage (i.e. the porosity of the intergranular
spaces). Therefore, this initial rearrangement phase
Evaluation of compression behaviour
is probably of limited importance with respect to the
Procedures
total change in bed volume of the mass. With
increased loading, a further reduction in bed volume The procedures used in research and development
therefore requires changes in the structure of the work to evaluate the compression behaviour of par-
granules. The granules can deform, both elastically ticles and the mechanisms of compression involved
and permanently, but also density, i.e. reduce their in the volume reduction process are of two types:
intragranular porosity. By these processes granules
Characterization of ejected tablets;
can still be described as coherent units, but their
Characterization of the compression and
shape and porosity will change.
decompression events.
Granules can also be broken down into smaller
units by different mechanisms: Concerning the characterization of ejected tablets,
the most important procedures used are inspection
1. Primary particles might be removed from the
and the determination of the pore structure of the
surface of granules when they slide against each
other or against the die wall. This can be
described as erosion or attrition, rather than Table 27.2 Dominating compression mechanisms for
fracturing. This mechanism occurs primarily for dense particles and granules (porous particles)
granules with a rough surface texture.
2. Granules can fracture into a number of smaller Dense particles Granules
ones i.e. granule fragmentation.
Repositioning of particles Repositioning of granules
Studies on the compression properties of granules Particle deformation Granule deformation
formed from pharmaceutical substances have elastic (permanent)
plastic Granule densification
indicated that granules are not prone to fracture into viscous/viscoelastic Granule attrition
smaller units during compression over a normal Particle fragmentation Deformation of primary
range of applied pressures. Thus, permanent defor- particles
mation and densification dominate the compression
424
TABLETS AND COMPACTION
tablet, in terms of a mean pore size, pore size deaggregated tablets have indicated that powder
distribution and specific surface area. A less common compression can effectively reduce the size of parti-
approach is to calculate ratios between the cles and result in a wider particle size distribution of
mechanical strengths of tablets measured in different the cohered particles within a tablet.
directions.
Concerning characterization of the compression
Pore structure and specific surface area of
and decompression events, these procedures are
tablets
based on relationships between parameters that can
be derived from the compaction process One of the most important ways to study the evolu-
(Table 27.3). Some of the most common approaches tion of tablet structure during compression is to
used in this context are described below. measure some characteristic of the pore structure of
the tablet. Information on pore size distribution can
be obtained by mercury intrusion measurements
Inspection of tablets
and by gas adsorption-desorption. However, the
The inspection of tablets, e.g. by scanning electron most common way to evaluate the pore system of a
microscopy, is an important means to study changes tablet has been to measure the surface area of the
in the physical properties of particles during com- tablet by air permeability or gas adsorption. The
pression. Such changes include fragmentation into former has also been used to derive an indication of
smaller particles, permanent shape changes due to the mean pore size in a tablet.
deformation, and finally, the formation of cracks Fragmentation is a size reduction process and so
within the particles. Such inspection will also give can be assessed by measuring the specific surface
information about the relative positions of particles area of a particulate solid before and after com-
within the tablet and hence the interparticulate pore paction, or measuring changes in tablet surface area
structure. The fracture path during strength testing, with compaction pressure. The surface area of tablets
i.e. failure around or across the particles, can also be can be determined by several procedures, including
estimated from inspection of the tablet fracture gas adsorption and mercury intrusion. Both these
surface. methods can provide useful information on particle
In addition to the inspection of intact tablets, fragmentation. However, by these methods it is
studies of the fragmentation of particles during difficult to differentiate between inter- and intra-
compression can be obtained by analysing the size particulate pores, and the procedure might thus
and size distribution of particles obtained by not reflect particle fragmentation only, but also the
deaggregation of a tablet. Such deaggregation can formation or closure of cracks or intraparticulate
occur spontaneously by disintegration of the tablet in pores.
a liquid, or be created mechanically. Studies on such A method which measures the external surface
area is thus advantageous in this context. Air perme-
ametry is one such method which also has the
Table 27.3 Parameters used in procedures to advantage of being simple and fast. The procedure
describe compression and decompression events
involves the formation of tablets at a series of applied
Upper punch force/pressure versus compression time* pressures, followed by the measurement of the
tablet's specific surface area. The slope of the rela-
Lower punch force/pressure versus compression timef
tionship between tablet surface area and applied
Upper punch force/pressure versus lower punch force/ pressure represents the degree of fragmentation and
pressure
can be used to classify materials with respect to their
Upper punch force versus die-wall force fragmentation propensity (Fig. 27.25). It should be
Punch force versus punch displacement (mainly upper pointed out that the calculation of tablet surface area
punch) from air permeability measurements may give erro-
Tablet volume versus upper punch pressure/force neous values as a result of the assumptions made in
Tablet porosity versus upper punch pressure/force the derivation of the calculation procedure. In spite
of this, the method has been shown to give useful
* Used both during ordinary compression and also as data in terms of describing the fragmentation
prolonged loading after maximum applied force/pressure propensity of a substance.
has been reached (referred to as stress relaxation
measurements),
The relationship between tablet surface area and
t Used primarily to describe the ejection phase. applied pressure is, however, strongly dependent on
the original surface area of the powder, i.e. the tablet
425
DOSAGE FORM DESIGN AND MANUFACTURE
426
TABLETS AND COMPACTION
427
DOSAGE FORM DESIGN AND MANUFACTURE
different substances, it is important to standardize of solid particles. It should be emphasized that the
the experimental conditions, such as tablet dimen- interpretation of 1/K in terms of a mean yield stress
sions and speed of compaction. for the particles is under debate. Nevertheless,
Figure 27.27 shows a typical Heckel profile. This support has been presented that such an interpreta-
often shows an initial curvature (phase I) which has tion is valid for solid (non-porous) particles. For
been suggested to reflect particle fragmentation and porous particles, i.e. granules and pellets, the Heckel
repositioning. Thereafter, the relationship is often procedure is inadequate for the derivation of a
linear over a substantial range of applied pressures measure of deformability or granule strength. The
(phase II), and thus obeys the expression. From the problem of applying the Heckel approach to the com-
gradient of this linear part the yield pressure can be pression of porous particles is related to the need to
calculated, which is thus a measure of the particle assess the porosity of the reactant pore system. The
plasticity. Finally, during decompression an expan- pore space of interest in relation to the Heckel equa-
sion in tablet height is represented by increased tion is intergranular, and the problem of quantifying
tablet porosity (phase III). From this decompression this is discussed above.
phase a measure of the particle elasticity can be cal- Kawakita equation A promising means of assess-
culated as the relative change in tablet porosity or ing the compression mechanics of granules is to cal-
height. culate a compression shear strength from the
Strain-rate sensitivity Another proposed use of Kawakita equation. This was derived from the
yield pressure values from Heckel profiles is to assess assumption that, during powder compression in a
the time-dependent deformation properties of parti- confined space, the system is in equilibrium at all
cles during compression by comparing yield pressure stages, so that the product of a pressure term and a
values derived under compression at different punch volume term is constant. The equation can be
velocities. A term denoted the strain-rate sensitiv- written in the following linear form:
ity (SRS) has been proposed (Roberts and Rowe
PIC = (1/db) + (P/a}
1985) as a characteristic of the time dependency of
a powder: where P is applied pressure, C the degree of volume
reduction and a and b are constants. The degree of
SRS = (Py - Py")/Py"
volume reduction relates the initial height of the
where Py' is the yield pressure derived at a high powder column (h0) to the height of the powder
punch velocity and Py" is that derived at a low punch column (the compact) at an applied pressure P (hp)
velocity. Py' is normally higher than Py" and the SRS as follows:
is thus a positive value.
C=(h0- hp}lh0
The discussion on the use of Heckel profiles to
derive a measure of the compression yield pressure is The equation has been applied primarily to powders
applicable to the compression of powders consisting of solid particles. However, it has been suggested
(Adams et al 1994) that the compression parameter
lib corresponds to the strength of granules in terms
of a compression strength. The procedure thus rep-
resents a possible means to characterize the mechan-
ical property of granules from a compression
experiment.
428
TABLETS AND COMPACTION
429
DOSAGE FORM DESIGN AND MANUFACTURE
with the lower punch and the die wall. In this situa- and bonding due to the formation of solid bridges.
tion, the tablet will apply a force to both the lower Mechanical interlocking between particles is also
punch and the die wall. The magnitude of these considered as a possible but less significant bond
forces is dependent on the mechanical character of type in tablets.
the particles formed into the tablet, but also by the Bonding by intermolecular forces is sometimes
friction conditions at the interface between tablet and also known as adsorption bonding, i.e. the bonds
die wall. are formed when two solid surfaces are brought into
The ejection of the tablet will result in an increased intimate contact and subsequently adsorb to each
force signal from the lower punch, referred to as the other. Among the intermolecular forces, dispersion
ejection force. This is a function of the lateral die-wall forces are considered to represent the most import-
force, but also of the friction condition at the inter- ant bonding mechanism. This force operates in
face between tablet and die wall. The maximum ejec- vacuum and in a gaseous or liquid environment up
tion force is thus also used as a measure of friction to a separation distance between the surfaces of
between tablet and die wall. One approach to assess approximately 10-100 nm.
friction during ejection is to calculate the dimension- The formation of solid bridges, also referred to as
less friction coefficient (u) as the ratio between the the diffusion theory of bonding, occurs when two
ejection force (Fe) and the die-wall force (Fw) at the solids are mixed at their interface and accordingly
beginning of the ejection phase, i.e.: form a continuous solid phase. Such a mixing
process requires that molecules in the solid state are
U = Fe/Fw movable, at least temporarily, during compression.
To summarize, the following procedures are mainly An increased molecular mobility can occur due to
used to derive measures of friction between powder melting, or as a result of a glass-rubber transition of
or tablet and the die wall from force signals during an amorphous solid phase.
tabletting in a single-punch press: Mechanical interlocking is the term used to
describe a situation where strength is provided by
Force difference between upper and lower punch;
interparticulate hooking. This phenomenon usually
Force ratio between lower and upper punch;
requires that the particles have an atypical shape,
Maximum ejection force;
such as needle-shaped, or highly irregular and rough
Friction coefficient during ejection.
particles.
For tablets of a porosity in the range 5-30% it is
normally assumed that bonding by adsorption is the
dominant bond type between particles. In tablets
FUNDAMENTAL ASPECTS OF THE formed from amorphous substances or from sub-
COMPACTION OF POWDERS stances with low melting points, it is possible that
solid bridges can be formed across the particle-par-
Bonding in tablets ticle interface. It is also reasonable that if tablets of a
The transformation of a powder into a tablet is fun- very low porosity, i.e. close to zero, are formed, par-
damentally an interparticulate bonding process, i.e. ticles can fuse together to a significant degree.
the increased strength of the assembly of particles is Often granules, i.e. secondary particles formed by
the result of the formation of bonds between them. the aggregation of primary particles, are handled in a
The nature of these bonds is traditionally subdivided tabletting operation. When granules are compacted,
into five types - known as the Rumpf classification: bonds will be formed between adjacent granule sur-
faces. For granules that do not include a binder the
1. Solid bridges fusion of adjacent surfaces during compaction is
2. Bonding by liquids (capillary and surface tension probably not a significant bonding mechanism. Thus,
forces) intermolecular bonding forces acting between inter-
3. Binder bridges (viscous binders and adsorption granular surfaces in intimate contact will probably be
layers) the dominant bond type in such tablets.
4. Intermolecular and electrostatic forces Granules often include a binder. When such
5. Mechanical interlocking. binder-substrate granules are compacted it is
In the case of compaction of dry powders, two of the reasonable to assume that the binder also plays an
suggested types of bond are often considered to important role in the formation of intergranular
dominate the process of interparticulate bond bonds. The binder may fuse together locally and form
formation, i.e. bonding due to intermolecular forces binder bridges between granule surfaces which
430
TABLETS AND COMPACTION
431
DOSAGE FORM DESIGN AND MANUFACTURE
between tablet strength and tablet porosity, and the factor, the tensile strength of the solid is considered
relationship between tablet strength and the work to relate to the flaw size (c) and the critical stress
done by the punches during tablet formation. intensity factor (Klc) in the following way:
Compaction is fundamentally a bonding process,
i.e. strength is provided by bonds formed at the
interparticulate junctions or contact sites during the The critical stress intensity factor varies with tablet
compression process. Studies on the structure of porosity. It has therefore been suggested that for
fractured tablets indicate that a tablet generally fails compacts, such as tablets, factors such as the size of
by the breakage of interparticulate bonds, i.e. an the particles within the tablet and the surface energy
interparticulate fracture process. However, espe- of the material will affect the critical stress intensity
cially for tablets of low porosity, the tablet can also factor (Kendall 1988).These factors are also consid-
fracture by breakage of the particles that form the ered to control the interparticulate bond structure in
tablet, i.e. a combination of an inter- and an intra- a tablet.
particulate fracture process. In general terms it Procedures to determine the critical stress intensity
seems, though, that the interparticulate contacts in factor for a particulate solid have been described.
a tablet represent the preferred failure path during Such a procedure involves normally the formation of
fracturing. This conclusion is applicable both to a beam-shaped compact in which a notch is formed.
tablets formed from solid particles and to tablets When the compact is loaded, the fracture is initiated
formed from porous secondary particles (granules at the notch. The force needed to fracture the
and pellets). Consequently, factors that affect the compact is determined and the critical stress inten-
microstructure at the interparticulate junctions have sity factor thereafter calculated. In order to assess a
been considered significant for the compactability material characteristic, compacts of a series of porosi-
of a powder. ties are formed and the series of values for the critical
Our understanding of the mechanical strength of stress intensity factor subsequently determined is
a solid is based on the resistance of a solid body to plotted as a function of the compact porosity
fracture while loaded. It might seem reasonable that (Fig. 27.33).The relationship is thereafter sometimes
the sum of the bonding forces that cohere the mole- extrapolated to zero porosity, and the value thus
cules forming the solid will represent the strength of derived is sometimes considered a fundamental
that solid. However, solids fail by a process of crack material characteristic.
propagation, i.e. the fracture is initiated at a specific In addition to the fundamental studies on the
point within the solid and is thereafter propagated strength of solids, indices and expressions have
across a plane, thereby causing the solid to break. been derived within pharmaceutical science which
The consequence in terms of the strength of the can be described as indicators of the compactability
solid is that the sum of the bonding forces acting
over the fracture surface will be higher than the
stress required to cause failure. It is known, for
example, that for crystalline solids the theoretical
strength due to the summation of intermolecular
bonds is much higher than the measured strength of
the solid.
In order to understand the strength of solids, the
process of fracture has attracted considerable inter-
est in different scientific areas. In this context impor-
tant factors associated with the fracturing process
and the strength of a specimen are the size of the
flaw at which the crack is initiated and the resistance
of the solid towards fracturing. The latter property
can be described by the critical stress intensity
factor, which is an indication of the stress needed to
propagate a crack. Another fracture mechanics para-
meter, which is related to the critical stress intensity Fig. 27.33 A log-linear relationship between the critical stress
intensity factor and the compact porosity for beams formed from
factor, is the strain energy release rate, which is a polyethylene glycols of different molecular weight (From Al-
measure of the energy that is released during crack Nasassrah, M.A., Podczeck, F., Newton, J.M. Eur. J. Pharm.
propagation. By using the critical stress intensity Biopharm. 46, 31, 1998.)
432
TABLETS AND COMPACTION
of a powder. There are several applications of behaviour of particles for the evolution of bond
such indicators during pharmaceutical development, structure and tablet strength.
such as: Examples of such equations have been given by
Leuenberger (1982) and Alderborn and co-workers
the evaluation of the compactability of small
(Eriksson and Alderborn 1995, Sebhatu and
amounts of particles;
Alderborn 1999). In both cases the bond structure is
the selection of drug candidates during
modelled and related to an end-point representing
preformulation based on technical performance;
the maximum tensile strength (atmax) that can be
the detection of batch variations of drugs and
obtained for tablets of a specific powder. This
excipients;
maximum tensile strength can thus be described
the selection of excipients and the evaluation of
as reflecting the bond strength. Leuenberger's
the compactability of formulations.
approach is based on the concept of effective
Examples of such indicators which have found number of interparticulate bonds in a cross-section
industrial use are the indices of tabletting perfor- of the tablet. It is assumed that over a cross-section
mance derived by Hiestand and co-workers (1996). of a tablet a number of bonding and non-bonding
Hiestand derived three indices of tabletting perfor- sites exist. This number depends on the applied
mance, among which the bonding index (BI) and pressure during compression (P) and the tablet
the brittle fracture index (BFI) are suggested to relative density (p, which is equivalent to 1 minus the
reflect the compactability of the powder. These tablet porosity). In the derivation of the expression
indices are dimensionless ratios between mechanical the term compression susceptibility (y) was
properties of compacts formed at some porosity. The introduced, which described the compressibility of
bonding index is proposed to reflect the ability of the powder and has the unit 1/pressure. The
particles to form a tablet of high tensile strength, equation takes the following form:
whereas the brittle fracture index is proposed to
reflect the ability of a tablet to resist fracturing and
lamination during handling. These indices are Alderborn's approach is based on the concept of
denned as follows: effective contact area between particles in a cross-
section of the tablet. In the derivation it was assumed
that both particle fragmentation and particle perma-
and nent deformation are bond-forming processes, and
that the former controlled the number of bonds in a
tablet cross-section and the latter the area of contact
where T is the tensile strength of a normal compact, between a pair of particles in that section. The
T0 is the tensile strength of a compact with a small expression indicates that the propensity of particles
hole and H is the hardness of the compact. to deform irreversibly during compression is a
Other approaches to derive an indicator of the dominant factor for the microstructure of the
compactability of a powder aim to describe the formed tablet, which thus is considered to be of
microstructure of a tablet in terms of an interpartic- significant importance for the resistance of a tablet
ulate bond structure. They are based on the view that towards fracturing (Fig. 27.34).
bond formation during compaction is significant for
the development of coherence, i.e. it is postulated
that the tensile strength of a tablet has some propor-
Post-compaction tablet strength
tionality to the interparticulate bonds that act over
changes
the fracture area. The latter can be modelled in The compactability of a powder is normally under-
terms of, for example, the effective number of bonds stood in terms of the ability of particles to cohere
and the effective contact area of the bonds. Such during the compression process and hence to form a
models can thus be described as bond summation porous specimen of defined shape. However, the
approaches, and it is implicit that all bonds are sep- mechanical strength of tablets can change, increase
arated simultaneously. This is not consistent with the or decrease, during storage without the application
real mode of failure of a solid and the models are of any external mechanical force. The underlying
thus not fundamental approaches to understanding mechanisms for such changes are often a complex
the strength of a tablet. They can, however, be function of the combination of ingredients in the
described as pragmatic models, with the aim of tablet and the storage conditions, such as relative
describing the importance of the compression humidity and temperature. In order to describe
433
DOSAGE FORM DESIGN AND MANUFACTURE
434
TABLETS AND COMPACTION
Explanations for observed changes in tablet structure of particles, from a less to a more stable
strength due to the presence of amorphous material in crystal form, i.e. a polymorphic transformation.
tablets have been presented. If the amorphous sub-
stance absorbs or desorbs moisture, the mechanical
strength of the tablet can change. This is probably
related to an effect of absorbed moisture on the RELATIONSHIPS BETWEEN MATERIAL
PROPERTIES AND TABLET STRENGTH
mechanical properties of the amorphous material. If
the uptake of moisture allows the amorphous material
to change from a glassy to a rubbery state, the amor- Factors of importance for powder
phous phase may crystallize. Such crystallization can compactability
subsequently affect - normally increase - tablet A number of empirical studies exists in the pharma-
strength. ceutical literature with the aim of mapping factors
Another mechanistic explanation for a storage- that affect the structure of a tablet and its mechanical
related increase in tablet strength which involves strength, i.e. tensile strength, resistance towards attri-
amorphous material is a process described as a tion and capping tendencies. These factors can be
restructuring of parts of the pore system due to a classified into three group: material and formulation
rearrangement of solid material. It has been reported, factors; processing factors (choice of tablet machine
for example, that a marked increase in tablet strength and operation conditions); and environmental factors
during storage occurred in parallel with a change to a (relative humidity etc.).
more open pore structure. Moreover, these changes Of special importance from a formulation per-
do not necessarily occur immediately after com- spective are the physical and mechanical properties
paction, but can be initiated by exposure of the tablet of the particles used in the formulation and how
to humid air for a certain period after compaction these particles are combined in granulation and
(Fig. 27.35). The restructuring of the pore system mixing steps. Relationships for powders consisting
might be due to a diffusion-like transport of mole- both of one component and of two components,
cules or ions at the surface of particles, followed by a such as a filler and a lubricant or a dry binder, have
localization of material in zones where particle been discussed in this context.
surfaces are close to each other. Such a mobility of
molecules in the solid state has been shown by an
amorphous phase. The compaction of solid particles
Finally, an increase in tablet strength during storage It is often assumed that the evolution of the inter-
has also been explained by a change in the.crystal particulate structure of a tablet, in terms of bonds
between particles and the pores between the parti-
cles, will be significant for the mechanical strength of
the tablet. Thus, the material-related factors that
control the evolution of the microstructure of the
tablet have been discussed as important factors for
the compactability of a powder. In this context, the
compression behaviour and the original dimensions
of the particles have received special interest.
As discussed above, the degree of fragmentation
and permanent deformation that particles undergo
during compression are significant for tablet struc-
ture and strength. It has been suggested that both
fragmentation and deformation are strength-produc-
ing compression mechanisms. The significance of
particle fragmentation has been considered to be
related to the formation of small particles which con-
Fig. 27.35 The tensile strength of sodium chloride tablets as a stitute the tablet, with the consequence that a large
function of storage time for tablets stored at different relative number of contact sites between particles at which
humidities. Open symbols: tablets stored 4 days at low, 4 days at bonds can be formed will be developed. The
high and 3 days at low relative humidity. Closed symbols: tablets
stored 4 days at high, 4 days at low and 3 days at high relative significance of permanent deformation has been
humidity. (From Eriksson, M. and Alderborn, G. Int. J. Pharm. explained in terms of an effect on the area of contact
109, 59, 1994.) of the interparticulate contact sites, with a subse-
435
DOSAGE FORM DESIGN AND MANUFACTURE
quent increased bonding force. The relative impor- the particles with particle size. It seems also that
tance of these mechanisms for the bonding between increased compaction pressure stresses the relation-
particles in a tablet and the resistance of a tablet ship between original particle size and tablet strength
towards fracturing has, not however, been fully in absolute terms.
clarified. Concerning elastic deformation, which is Expressions quantifying the relationship between
recoverable, this is considered as a disruptive rather tablet strength and original particle size have been
than a bond-forming mechanism. Poor compactabil- presented in the literature, such as the following:
ity, in terms of low tablet strength and capping/lam-
ination, has been attributed to elastic properties of
the solid. A summary of proposed advantages and where F is the force (N) needed to break the
disadvantages of the different particle compression compact, d is the diameter (m) of the particle, and,
mechanisms for the ability of the particles to form Kand a are constants. The expression thus describes
tablets is given in Table 27.6. the general assumption that tablet strength increases
It is sometimes considered that one of the most with a reduced original particle size. The com-
important properties of particles for the mechanical pactability of sodium chloride and hexamine is
strength of a tablet is their size before compaction. A described by this equation (Fig. 27.36).
number of empirical relationships between particle Some studies have specifically reported on the
dimensions before compaction and the mechanical effect of original particle shape on tablet strength.
strength of the resultant tablet can thus be found in the The results indicate that, for particles that fragment
literature. As a rule, it is normally assumed that a to a limited degree during compression, an increased
smaller original particle size increases tablet strength. particle irregularity improved their compactability.
However, it is also suggested that the effect of original However, for particles that fragmented markedly
particle size is in relative terms limited for powder during compression the original shape of the particles
compactability, with the possible exception of very did not affect tablet strength. Moreover, an increased
small (i.e. micronized) particles. Reported data show, compaction pressure increased the absolute differ-
however, that different and sometimes complex rela- ence in strength of compacts of different original
tionships between particle size and tablet strength can particle shape. Thus, the shape characteristics of
be obtained, with maximum or minimum tablet particles that fragment markedly during compression
strength values. Complex relationships might be asso- seem not to affect the microstructure and the tensile
ciated with a change in the shape, structure (such as strength of tablets, but the converse applies for
the formation of aggregates) or degree of disorder of particles that showed limited fragmentation.
Table 27.6 Proposed advantages and disadvantages of the different compression mechanisms in relation to the tablet-
forming ability of the powder
Fragmentation No effect of particle shape May cause fracturing Bond-forming ability (and tablet strength)
of tablets (capping etc.) dependent on degree of particle
Low sensitivity to additives fragmentation
Strain-rate insensitive
Plastic deformation Resistant towards Sensitive to additives Bond-forming ability (and tablet strength)
fracturing of tablets and variations in original dependent on degree of particle
(capping etc.) particle shape deformation
Strain-rate insensitive
Elastic deformation - May cause fracturing -
of tablets (capping etc.)
Time-dependent Strain rate sensitive
deformation Prone to change tablet
strength after compaction
due to stress relaxation
436
TABLETS AND COMPACTION
437
DOSAGE FORM DESIGN AND MANUFACTURE
i.e. difficult to break. Secondly, binders are often the compactability of granules. This observation was
comparatively deformable substances, which can explained by assuming that, owing to extensive
reduce the compression shear strength of the whole deformation and some attrition of granules during
granule and thus facilitate the deformation of the compression, new extragranular surfaces will be
granules during compression. An increased degree of formed originating from the interior of the granule.
granule deformation is sometimes proposed to When the binder is distributed homogenously, such
increase the compactability of the granules. Thus, the compression-formed surfaces will show a high
binder might have a double role in the compactabil- capacity for bonding.
ity of granules, i.e. increase granule deformation and Figure 27.38 gives an overview of the physical
increase bond strength. Except for the presence of a granule properties that affect the compactability of
binder in the granules, the combination of fillers in granules.
terms of the hardness and dimensions of the particles
can affect the compression shear strength and hence
The compaction of binary mixtures
the deformation properties of the granules during
compression. Most of the fundamental work on powder com-
In the preparation of binder-substrate granules paction has been carried out on one-component
the intention is normally to spread out the binder powders. It is, however, of obvious interest to derive
homogenously within the granules, i.e. all substrate knowledge that enables the prediction of the
particles are more or less covered with a layer of compactability of mixtures of powders from
binder. However, it is possible that the binder will be the information from the compaction behaviour of
concentrated at different regions within the gran- the individual components. In this context, powder
ules, e.g. due to solute migration during drying. The mixtures of two components, i.e. binary mixtures,
question of the importance of a relatively homoge- have been the system of choice in pharmaceutical
nous distribution versus a peripheral localization of studies. Binary mixtures can be of two types: simple
the binder, i.e. concentration at the granule surface, physical mixtures, i.e. nearly randomized mixtures of
has been addressed in the literature. It has been particles, and interactive (ordered) mixtures. Most
argued that a peripheral localization of the binder in of the studies in this context are empirical, although
the granules before compression should be advanta- models for the compaction of binary powder mix-
geous, as the binder can thereby be used most effec- tures have been derived.
tively for the formation of intergranular bonds. Concerning simple binary mixtures, the impor-
However, the opposite has also been suggested, i.e. a tance of the relative proportions of the ingredients
homogenous binder distribution is advantageous for has been studied in relation to the compactability of
Fig. 27.38 Overview of proposed physical granule properties of importance for the compactability of granules.
438
TABLETS AND COMPACTION
the respective single component. The mixture can The dilution capacity of interactive mixtures
show a change in compactability, as can be predicted between granules and lubricants or dry binders
proportionally from the compactability of the single seems to be related to the degree of deformation the
powders, but deviations from such a simple linear granules undergo during compression, i.e. a high
relationship, both positively and negatively, have also degree of deformation will give a lower sensitivity to
been reported. Such non-linear behaviour has been a lubricant but also a less positive effect of a dry
explained in terms of differences between the com- binder.
ponents in their mechanical and adhesive properties.
Interactive mixtures, especially their compactabil-
ity after the admixture of lubricants and dry binders,
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Banakar, U.V. (1992) Pharmaceutical Dissolution Testing.
Marcel Dekker, Inc., New York.
Chien,Y.W. (1992) Novel Drug Delivery Systems, 2nd edition.
Fig. 27.39 The tensile strength of tablets formed from three Marcel Dekker, Inc., New York.
substrate substances of different fragmentation propensities in Chulia, D., Deleuil, M. and Pourcelot,Y. (1991) Powder
binary mixtures with some fine particulate dry binders i.e. Technology and Pharmaceutical Processes (Handbook of
microcrystalline cellulose, methylcellulose and Powder Technology, vol. 9). Elsevier, Amsterdam.
polyvinylpyrrolidone of different particle size. The dotted lines Duberg,. M. and Nystrom, C. (1986) Studies on direct
represent the tensile strength of tablets formed from the single compression of tablets. XVII. Porosity-pressure curves for
substrate substances. (From Nystrom, C. and Glazer, M. Int. J. the characterization of volume reduction mechanisms in
Pharm. 23, 255, 1985.) powder compression. Powder Technol. 46, 67.
439
DOSAGE FORM DESIGN AND MANUFACTURE
Eriksson, M. and Alderborn, G. (1994) Mechanisms of post- Nystrom, C. and Glazer, M. (1985) Studies on direct
compaction changes in tensile strength of sodium chloride compression of tablets. XIII. The effect of some dry
compacts prepared from particles of different dimensions. binders on the tablet strength of compounds with
Int. J. Pharm. 109, 59. different fragmentation propensity. Int. J. Pharm.
European Pharmacopoeia 3rd edition 1997. Council of 23,255.
Europe, Strasbourg. Podczeck, F. (1998) Particle-particle Adhesion in
Holzer, A.H. and Sjogren, J. (1981) Evaluation of some Pharmaceutical Powder Handling. Imperial College Press,
lubricants by the comparison of friction coefficients and London.
tablet properties. Acta Pharm. Suec. 18, 139. Sandell, E. (1993) Industrial Aspects of Pharmaceutics. Swedish
Lieberman, H.A., Lachman, L. and Schwartz, J.B. (1989) Pharmaceutical Press, Stockholm.
Pharmaceutical Dosage Forms: Tablets (2nd edition, volumes Stanley-Wood, N.G. (1983) Enlargement and Compaction of
1-3). Marcel Dekker, Inc, New York. Paniculate Solids. Butterworths, London.
440
28
Coating of tablets and multiparticulates
John Hogan
Definition 441
Types of tablet coating 441 Tablet coating is the application of a coating material
Reasons for coating tablets 441 to the exterior of a tablet with the intention of
Film coating 442 conferring benefits and properties to the dosage form
Process description 442 over the uncoated variety.
Coating suspension formulation 442 In its widest sense the technology is also applica-
Ideal characteristics of a film coating polymer 442 ble to multiparticulate systems intended for
Solubility 442
Viscosity 443 modified-release applications. To a much lesser
Permeability 443 extent coatings may also be applied to hard-shell and
Mechanical properties 443 soft elastic capsules.
Types of polymer available 443
Cellulose derivatives 443
Methacrylate amino ester copolymers 443
Aqueous polymer dispersions 443 Types of tablet coating
Plasticizers 444
Colourants 444 Three main types are in use:
Solvents 444
Process details 444 Film coating
Basic process requirements for film coating 444 Sugar coating
Ideal characteristics of film-coated tablets 445 Press coating.
Coating faults 445
Sugar coating 445 Of these, film coating is the major technique: virtu-
Stages involved in the production of sugar-coated ally all new coated products introduced on to the
tablets 445 market are film coated. Sugar coating is the more
Process details 446
Ideal characteristics of sugar-coated tablets 446 traditional technology and has seen no real develop-
Coating faults 446 ments in recent years. As a proportion of the total
Press coating 446 output of coated tablets on a global basis, though, it
Functional coatings 447
is still of some economic importance.
Controlled-release coatings 447
Types of multiparticulate 447
Extruded/spheronized granulates 447 Reasons for coating tablets
Non-pareils 447
Mechanisms of drug release from multiparticulates 447 The reasons why tablets are coated are varied. The
Diffusion 447 major ones can be summarized as follows:
Erosion 447
Osmosis 447 1. Ingredients may need protection from
Enteric coating 448 the environment, particularly light and
Enteric film coating 448
Enteric sugar coating 448 moisture.
Standards for coated tablets 448 2. Many drugs have a bitter or otherwise
unpleasant taste: coating is an efficient way to
References 448
mask such tastes. Tablets that are coated are
Bibliography 448 also somewhat easier to swallow than uncoated
tablets.
441
DOSAGE FORM DESIGN AND MANUFACTURE
Tablets
Appearance Rounded with high degree of polish Retains contour of original core.
Usually not as shiny as sugar coat types
Weight increase due to 30-50% 2-3%
coating materials
Logo or 'break' lines Not possible Possible
Other solid dosage forms Coating possible but little industrial importance Coating of multiparticulates very
important in modified release forms
Process
Stages Multistage process Usually single stage
Typical batch coating time Eight hours, but easily longer 1 .5-2 hours
Functional coatings Not usually possible apart from enteric coating Easily adaptable for controlled release
442
COATING OF TABLETS AND MULTIPARTICULATES
action is required then a polymer system of low of monographs in the major international pharma-
water solubility or permeability will be chosen. copoeia.
Other cellulosic derivatives used in film coating
include methylcellulose and hydroxypropyl
Viscosity
cellulose.
In general, polymers should have a low viscosity for
a given concentration. This will permit the easy,
Methacrylate amino ester copolymers
trouble-free spraying of their solutions in industrial
film coating equipment. Basically these polymers are insoluble in water below
pH 4, but in neutral or alkaline media the films
achieve solubility by swelling and increased perme-
Permeability
ability. For simple formulations the disintegration of
Film coating can be used to optimize the shelf-life of the coating can be optimized by the incorporation of
a tablet preparation, as some polymers are efficient water-soluble materials and also by starches.
barriers against the permeability of water vapour or Chemically an example is the polymer poly(butyl-
other atmospheric gases. These properties vary methacrylate) (2-dimethylaminoethyl) methacrylate
widely between the individual polymers. methylmethacrylate.
For coatings designed to confer a modified-
release aspect to the final dosage form, more
Mechanical properties
water-insoluble polymers are used. These include
The particular polymer chosen for a film coat for- ethylcellulose and the ammonio methacrylate
mulation must be one with adequate strength to copolymers. Yet another group of polymers is
withstand the impact and abrasion encountered in designed to provide an enteric protection to the
normal handling. Insufficient coating strength will dosage form. This effect is achieved by a pH selec-
be demonstrated by the development of cracks and tivity of the polymer where it is insoluble at the low
other imperfections in the coating. pH environment of the stomach yet becomes
It should be mentioned that the polymer chosen soluble as the higher pH of the duodenum and the
must also comply with the relevant regulatory and distal portion of the gastrointestinal system is
pharmacopoeial requirements current in the reached.
intended marketing area.
Aqueous polymer dispersions
Types of polymer available Industrially, specialized dispersions of water-
insoluble polymers such as ethylcellulose and
Cellulose derivatives
ammonio methacrylate copolymers for use in
Most are substituted ethers of cellulose. aqueous media are frequently encountered in the
Hydroxypropyl methylcellulose is the most coating of beads and granules for use in modified-
widely used of the cellulosic polymers (Fig. 28.1). It release preparations (Zhang et al 1989). The
is soluble in aqueous media and forms films which advantage of these materials is that they permit the
are mechanically tough and relatively easy to apply. aqueous processing of otherwise water-insoluble
The resultant film can be clear or coloured with polymers, with the consequent benefits of this
permitted pigments. The polymer is the subject method of processing (see 'Solvents', below).
443
DOSAGE FORM DESIGN AND MANUFACTURE
444
COATING OF TABLETS AND MULTIPARTICULATES
Coating faults
Stages involved in the production of
These arise from two distinct causes: sugar-coated tablets
1. Processing: for example, inadequate drying Sugar coating is a multistage process and can be
conditions will permit coating previously divided into the following steps:
deposited on the tablet surface to stick against
1. Sealing of the tablet cores
neighbouring tablets. When parted, this will
2. Subcoating
reveal the original core surface underneath.
3. Smoothing
2. Formulation faults: film cracking or 'bridging' of
4. Colouring
break lines are examples of this type. After
5. Polishing
taking due account of the mechanical properties
6. Printing.
of the film, reformulation will almost certainly
be successful in overcoming the problem Initially the tablet cores to be sugar coated are sealed
(Rowe 1981). against the entry of water by the application of a
water-impermeable polymer. Shellac has tradition-
ally been used for this purpose and is indeed still
used a great deal today, although more reliable mate-
SUGAR COATING rials, such as cellulose acetate phthalate and
polyvinyl acetate phthalate, also find favour.
Sugar coating may be considered the traditional To attain the typically rounded profile of a sugar-
method of coating tablets. It involves the successive coated tablet the sealed tablet core must be built up
445
DOSAGE FORM DESIGN AND MANUFACTURE
to gain the desired profile. This process of subcoat- colour coverage. Most manufacturers take advantage
ing is usually performed by adding bulking agents of the aesthetic appeal of a sugar-coated tablet and
such as calcium carbonate or talc to the applied polish to a high gloss. Any printing should be
sucrose solutions. A gum such as acacia is also added distinct, with no smudging or broken print.
to the applied suspension.
After the correct profile has been obtained the
Coating faults
subcoated tablets will almost certainly have a rough
surface, which will have to be made smooth before These are usually associated with process defects,
the next stage can be commenced. This is accom- such as splitting of the coat on storage, caused by
plished by the application of a few coats of sucrose inadequate drying during the coating application.
syrup.
Nearly all sugar-coated tablets are coloured, as aes-
thetic appearance is usually considered to be of great
importance with this dosage form. The pigments PRESS COATING
used are those permitted by the national legislation of
the country where the products are to be marketed. The technology of press coating differs radically
After the colour-coating stage the tablets will from the previously described film- and sugar-
require a separate polishing stage for them to acquire coating techniques. Press coating involves the
an acceptable appearance. Several methods can be compaction of granular material around an already
used, but commonly beeswax and carnauba wax are preformed core (Fig. 28.3) using compressing
used in the process. equipment similar to that used for the core itself, e.g.
To facilitate identification sugar-coated tablets are Manesty Drycota.
usually printed with a manufacturer's logo or code. Today press coating is used mainly to separate
The use of indented monograms for this purpose, as chemically incompatible materials, one or more
for film-coated tablets, would not be feasible as the being placed in the core and the other(s) in the
considerable thickness of sugar coating would coating layer. However, there is still an interface of
obliterate any core markings. The printing process contact left between the two layers. In cases where
used is an offset gravure in conjunction with special even this is important then the process of press
edible inks, although the inkjet process is starting to coating can be taken one stage further. It is possible
make an impact. to apply two press coatings to a tablet core using
suitable equipment, e.g. Manesty Bicota.This equip-
ment produces press-coated tablets with perfect
Process details
separation between active core and coating, as the
Typically tablets are sugar coated by a panning tech- two can be separated by an inert middle layer.
nique. The simplest form would be a traditional The formulation and processing of the coating
sugar-coating pan with a supply of drying air (prefer- layer requires some care. Large or irregularly sized
ably of variable temperature and thermostatically agglomerates of granules will cause the core to tilt in
controlled) and a fan-assisted extract to remove the second die used for compression of the coating.
dust- and moisture-laden air. Thus there is the possibility of an incomplete
Methods of applying the coating syrup include coating, with the core being visible at the tablet
manually using a ladle, and, automatic control. In surface.
modern equipment some form of automatic control The disadvantages of the process arise from the
is available for the application of coating syrups. relative complexities of the mechanism used in the
In general, the equipment listed under film compressing equipment.
coating can, with suitable modification, be used for
sugar-coating techniques.
446
COATING OF TABLETS AND MULTIPARTICULATES
Types of multiparticulate
Extruded/spheronized granulates
These are produced in modified granulating equip-
ment, with the drug granulation extruded through a Fig. 28.4 Differences between multiparticulate types.
447
DOSAGE FORM DESIGN AND MANUFACTURE
448
29
Hard gelatin capsules
Brian Jones
Gelatin
Gelatin is the major component of the capsule and
has been the material from which they have tradi-
tionally been made. The reason for this is that gelatin
possesses five basic properties:
1. It is non-toxic, widely used in foodstuffs, and
acceptable for use worldwide.
449
DOSAGE FORM DESIGN AND MANUFACTURE
2. It is readily soluble in biological fluids at body into the gel. The gelatin used in hard capsule manu-
temperature. facture is of a higher bloom strength (200-250 g)
3. It is a good film-forming material, producing a than that used for soft capsules (150 g) because a
strong flexible film. The wall thickness of a hard more rigid film is required for the manufacturing
gelatin capsule is about 100 jam. process.
4. Solutions of high concentration, 40% w/v, are Many materials used in the manufacture of phar-
mobile at 50C. Other biological polymers, such maceuticals are manufactured from raw materials of
as agar, are not. bovine origin, e.g. stearates and gelatin. The outbreak
5. A solution in water or in a water-plasticizer of BSE, which started in the UK, has led to strict
blend undergoes a reversible change from a sol rules being introduced by the EU to minimize the
to a gel at temperatures only a few degrees above risk of transmitting animal spongiform encephalo-
ambient. This is in contrast to other films pathy agents (TSEs). All parts of the bovine animals
formed on dosage forms, where either volatile have been rated for infectivity and the high-risk parts,
solvents or large quantities of heat are required such as the brain and spinal cord, are removed before
to cause this change of state, e.g. tablet film any processing takes place. The EU rules specify that
coating. These films are formed by spraying and the animals used must come from herds free from
have a structure that could be described as BSE, be subjected to pre- and postmortem veterinary
formed of overlapping plates, whereas the gelatin inspection, and be processed by defined manu-
films are homogenous in structure, which gives facturing processes by quality assured companies. No
them their strength. animal material from the UK, Eire, Switzerland or
Portugal is permitted to be used. Pharmaceuticals
Gelatin is a substance of natural origin that does and medicines are controlled specifically through a
not occur as such in nature. It is prepared by the guidance document (CPMP/BWP/1230/98) issued
hydrolysis of collagen, which is the main protein by the European Agency for the Evaluation of
constituent of connective tissues (Jones 1987). Medicines Products (EMEA).
Animal skins and bones are the raw materials used
for the manufacture. There are two main types of
Colourants
gelatin: type A, which is produced by acid hydrolysis,
and type B, which is produced by basic hydrolysis. The colourants that can be used are of two types:
The acid process takes about 7-10 days and is used water-soluble dyes or insoluble pigments. To make a
mainly for animal skins, because they require less range of colours dyes and pigments are mixed
pretreatment than do bones. The basic process takes together as solutions or suspensions. The dyes used
about 10 times as long and is used mainly for bovine are mostly synthetic in origin and can be subdivided
bones. The bones must first be decalcified by in the azo dyes - those that have an -N=N- linkage
washing in acid to give a soft sponge-like material, - and the non-azo dyes, which come from a variety
called ossein; calcium phosphates are produced as a of chemical classes. Most dyes used currently are of
byproduct. The ossein is then soaked in lime pits for the non-azo class, and the three most widely used are
several weeks. erythrosine (El27), indigo carmine (El32) and
After hydrolysis the gelatin is extracted from the quinoline yellow (E104). Two types of pigment are
treated material using hot water. The first extracts used: iron oxides (El72), black, red and yellow, and
contain the gelatin with the highest physical proper- titanium dioxide (El71), which is white and used to
ties, and as the temperature is raised the quality falls. make the capsule opaque. The colourants that can be
The resulting weak solution of gelatin is concen- used to colour medicines are governed by legislation,
trated in a series of evaporators and then chilled to which varies from country to country despite the fact
form a gel. This gel is than extruded to form strands, that it is based on toxicological testing (Jones 1993).
which are then dried in a fluidized-bed system. The In the last few years there has been a move away
dried material is graded and then blended to meet from soluble dyes to pigments, particularly the iron
the various specifications required. The properties of oxides, because they are not absorbed on ingestion.
gelatin that are most important to the capsule man-
ufacturers are the Bloom strength and the viscosity.
Process aids
The Bloom strength is a measure of gel rigidity. It is
determined by preparing a standard gel (6.66% w/v) The USNF describes the use of gelatin containing
and maturing it at 10C. It is defined as the load in not more than 0.15% w/w of sodium lauryl sulphate
grams required to push a standard plunger 4 mm for use in hard gelatin capsule manufacture. This
450
HARD GELATIN CAPSULES
functions as a wetting agent, to ensure that the lubri- capsule body. The machines are also divided into two
cated metal moulds are uniformly covered when levels, an upper and a lower. The moulds, commonly
dipped into the gelatin solution. referred to as 'pins', are made of stainless steel and are
Preservatives were formerly added to hard mounted in sets on metal strips, called 'bars'. There
capsules as an in-process aid in order to prevent are approximately 40 000 mould pins per machine.
microbiological contamination during manufacture. The machines are housed in large rooms where the
Manufacturers operating their plants to GMP guide- humidity and temperature are closely controlled.
lines no longer use them. In the finished capsules the The sequence of events in the manufacturing
moisture levels, 13.0-16.0% w/v, are such that they process is shown in Figure 29.1. At the front end of
will not support bacterial growth because the mois- the machine is a hopper, called a 'dip pan' or 'pot'.
ture is too strongly bonded to the gelatin molecule. This holds a fixed quantity of gelatin at a constant
temperature, between 45 and 55C. The level of
solution is maintained automatically by a feed from
the holding hopper. Capsules are formed by dipping
MANUFACTURE sets of moulds, which are at room temperature,
22C, into this solution. A film is formed on the
The process in use today is the same as that described surface of each mould by gelling. The moulds are
in the original patent of 1846 (Jones 2000). Metal slowly withdrawn from the solution and then rotated
moulds at room temperature are dipped into a hot during their transfer to the upper level of the
gelatin solution which gels to form a film. This is machine, in order to form a film of uniform thick-
dried, cut to length, removed from the moulds and ness. Groups of 'pin bars' are then passed through a
the two parts are joined together. The difference series of drying kilns, in which large volumes of con-
today is that the operation is now fully automated, trolled humidity air are blown over them. When they
carried out as a continuous process on large reach the rear of the machine the bars are transferred
machines housed in air-conditioned buildings. There back to the lower level and pass through further
are only a comparatively few specialist companies drying kilns until they reach the front of the
that manufacture empty capsule shells for supply to machine. Here the dried films are removed from the
the pharmaceutical and health-food industries, who moulds, cut to the correct length, the two parts
fill them with their own products. Two companies, joined together and the complete capsule delivered
which have done most of the pioneering work in the from the machine. The mould pins are then cleaned
field, have been making capsules for 100 years: and lubricated for the start of the next cycle.
Shionogi Qualicaps (formerly Eli Lilly & Co.) since The machines are normally operated on a 24-hour
1897, and Warner Lambert's Capsugel (formerly basis 7 days per week, stopping only for mainte-
Parke Davis) since 1902. nance. The output per machine is about 1 million
The first step in the process is the preparation of capsules per day, depending upon the size: the
the raw materials. A concentrated solution of gelatin, smaller the capsule the higher the output.
35-40%, is prepared using demineralized hot water, The assembled capsules are not fully closed at this
60-70C, in jacketed pressure vessels. This is stirred stage and are in a 'prelocked' position, which pre-
until the gelatin has dissolved and then a vacuum is vents them falling apart before they reach the filling
applied to remove any entrapped air bubbles. machine. The capsules now pass through a series of
Aliquots of this solution are then dispensed into suit- sorting and checking processes, which can be either
able containers and the required amounts of dye manual, mechanical or electronic, to remove as
solutions and pigment suspensions added. The many defective ones as possible. The quality levels
viscosity is measured and adjusted to a target value are checked through the process using standard sta-
by the addition of hot water. This latter parameter is tistical sampling plans based on the Military
used to control the thickness of the capsule shells Inspection Standards. If required, capsules can be
during production: the higher the viscosity the printed at this stage. This is done using an offset
thicker the shell wall produced. The prepared mixes gravure roll printing process using an edible ink
are then transferred to a heated holding hopper on based on shellac. The information printed is typically
the manufacturing machine. either the product name or strength, a company
The manufacturing machines are approximately name or logo, or an identification code. The capsules
10m long, 2 m wide and 3 m high. They consist of are finally packed for shipment in moisture-proof
two parts, which are mirror images of each other: on liners, preferably heat-sealed aluminium foil bags, in
one half the capsule cap is made and on the other the cardboard cartons. In these containers they can be
451
DOSAGE FORM DESIGN AND MANUFACTURE
.Fig. 29.1 The sequence of two-piece hard gelatin capsule shell manufacture.
stored for long periods without deterioration in during disintegration and dissolution testing.
quality, provided they are not subjected to localized Because of this most Pharmacopoeiae have set a limit
heating or sudden temperature changes that will of 37 1C for the media for carrying out these
affect their moisture content and dimensions. tests. Capsules made from HPMC have a different
solubility profile, being soluble at temperatures as
low as 10C (Chiwele et al 2000).
Empty capsule properties
Empty capsules contain a significant amount of
water that acts as a plasticizer for the gelatin film and
Capsule filling
is essential for their function (Jones 2000). During
Capsule sizes
industrial filling and packaging operations they are
subjected to mechanical handling, and because the Hard gelatin capsules are made in a range of fixed
gelatin walls can flex these forces can be absorbed sizes; the standard industrial sizes in use today for
without any adverse effect. The standard moisture human medicines are from 0 to 4 (Table 29.1). For
content specification for hard gelatin capsules is a powder the simplest way in which to estimate the
between 13.0% and 16.0% w/w. This value can vary fill weight is to multiply the body volume by its
depending upon the conditions to which they are tapped bulk density (Jones 1998). For liquids, the
exposed: at low humidities they will lose moisture fill weight is calculated by multiplying the specific
and become brittle, and at high humidities they will
gain moisture and soften. The moisture content can
Table 29.1 Capsule size and body fill volumes
be maintained within the correct specification
by storing them in sealed containers at an even Capsule size Body volume (ml_)
temperature.
Capsules are readily soluble in water at 37C. 0 0.67
When the temperature falls below this their rate of 1 0.48
2 0.37
solubility decreases. At below about 30C they are 3 0.28
insoluble and simply absorb water, swell and distort. 4 0.20
This is an important factor to take into account
452
HARD GELATIN CAPSULES
453
DOSAGE FORM DESIGN AND MANUFACTURE
Industrial-scale filling
The contact parts of these machines were originally
The machines for the industrial-scale filling of hard made from cast iron, but are now made from stain-
gelatin capsules come in great variety of shapes and less steel to comply with GMP requirements. The
sizes, varying from semi- to fully automatic and machines are manufactured by many different
ranging in output from 5000 to 15 000 per hour. makers, but are all based on the original Colton
Automatic machines can be either continuous in Model No. 8 design. Their output varies between
motion, like a rotary tablet press, or intermittent, 15 000 and 25 000 per hour and is dependent upon
where the machine stops to perform a function and the skill of the operator.
then indexes round to the next position to repeat the Independent dosing systems Most industrial ma-
operation on a further set of capsules. chines in use in Europe and the USA are fully auto-
The dosing systems can be divided into two matic and use dosing mechanisms that form a 'plug'
groups: of powder. This is a soft compact formed at low com-
pression forces - between 10 and 100 N - which are
Dependent: dosing systems that use the capsule
significantly less than those used in tabletting. The
body directly to measure the powder. Uniformity
reason the plug is soft is because it is not the final
of fill weight can only be achieved if the capsule
dosage form, unlike the tablet, as the material will be
is filled completely.
contained inside a capsule shell. There are two types
Independent: dosing systems where the powder is
of plug-forming machine: those that use a 'dosator'
measured independently of the body in a special
system and those that use a 'tamping finger and
measuring device. Weight uniformity is not
dosing disc' system.
dependent on filling the body completely. With
Dosators This consists of a dosing tube inside
this system the capsule can be part filled.
which there is a movable spring-loaded piston, thus
forming a variable-volume chamber in the bottom of
Dependent dosing systems the cylinder (Fig. 29.3). The tube is lowered open
The auger Empty capsules are fed into a pair of ring end first into a bed of powder, which enters the tube
holders (Fig. 29.2), the caps being retained in one half to fill the chamber and form a plug. This can be
and the bodies in the other. The body holder is placed further consolidated by applying a compression
on a variable-speed revolving turntable; the powder force with the piston. The assembly is then raised
hopper is pulled over the top of this plate, which from the powder bed and positioned over the
revolves underneath it. In the hopper a revolving capsule body. The piston is lowered, ejecting the
auger forces powder down into the capsule bodies. powder plug into the capsule body. The weight of
The weight of powder filled into the body is depen- powder filled can be adjusted by altering the position
dent mainly upon the time the body is underneath the of the piston inside the tube, i.e. increasing or
hopper during the revolution of the plate holder. decreasing the volume, and by changing the depth of
These machines are semiautomatic in operation, the powder bed.
requiring an operator to transfer the capsule holders This system is probably the most widely used in
from one operation to the next. It was the first devel- the world and is the one that is described the most in
oped for large-scale use at the beginning of the 20th the literature. Examples of machines that use this
century and is still widely used in many countries. system are:
454
HARD GELATIN CAPSULES
Pellet filling
Preparations formulated to give modified-release
patterns are often produced as granules or coated
pellets. They are filled on an industrial scale using
machines adapted from powder use. All have a
dosing system based on a chamber with a volume
that can easily be changed. Pellets are not com-
pressed in the process and may have to be held inside
Fig. 29.4 A dosing disc and tamping finger machine, Hofliger the measuring devices by mechanical means, e.g.
& Karg (from Jones 2000, with permission). either by inverting the dosator or by applying a
455
DOSAGE FORM DESIGN AND MANUFACTURE
456
HARD GELATIN CAPSULES
Formulation for filling properties chemical properties which, except for the particle
size, are out of the control of the formulator.
There are three main factors in powder formulation: It has been shown that the particle size influences
Good flow, (using free-flowing diluent and the rate of absorption for several compounds. For
glidant) sulfisoxazole (Fig. 29.5) three different particle sizes
No adhesion (using lubricant) were filled into capsules and administered to dogs;
Cohesion (plug-forming diluent). the smallest particle gave the highest peak blood
level. This can be explained simply by the fact that
The factor that contributes most to the uniform the solution rate is directly proportional to the
filling of capsules is good powder flow. This is surface area of the particles: the smaller the particle
because the powder bed, from which the dose is the greater the relative surface area. However, this is
measured, needs to be homogeneous and packed not a panacea for formulation problems because
reproducibly in order to achieve uniform fill weights. small particles tend to aggregate together and the
Packing is assisted by mechanical devices on the effect is lost. It has been shown that the important
filling machines. Low-dose actives can be made to factor with particle size was the 'effective surface
flow well by mixing them with free-flowing diluents, area', which is the area of the active available to the
e.g. lactose. The diluent is chosen also for its plug- dissolution fluid. This is related to the packing of
forming properties: the most frequently used ones particles and is a measure of how well the fluid can
are lactose, maize starch and microcrystalline cellu- penetrate into the mass.
lose. When space is limited then either glidants, Diluents are the excipients that are usually present
which are materials that reduce interparticulate fric- in the greatest concentration in a formulation. They
tion, such as colloidal anhydrous silica, or lubricants, were classically defined as inert materials added to a
which are materials that reduce powder to metal mixture to increase its bulk to a more manageable
adhesion, e.g. magnesium stearate, are added, quantity. Although they are relatively inert chemi-
enabling the dosing devices to function efficiently. cally, they do play a role in release.The case that first
Both of these types of material exert their effect by demonstrated this happened in Australia in the late
coating the surfaces of the other ingredients, and 1960s. A capsule was reformulated that contained
thus the mixing of these into the bulk powder has a diphenylhydantoin, which is used for the treatment
significant effect on their functioning.
457
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 29.6 Effect of diluent on bioavailability (after Tyrer et al Fig. 29.8 Effect of lubricant on in vitro release of rifampicin
1970, with permission). (after Nakagama et al 1980, with permission).
458
HARD GELATIN CAPSULES
459
DOSAGE FORM DESIGN AND MANUFACTURE
suggested that for some compounds the best way to been used successfully for many years for products for
improve their absorption is for the dosage form to be inhalation. The active ingredient, which is micronized,
retained in the stomach so that it will dissolve slowly, is filled into the capsule either 'as is' or dispersed on a
releasing a continuous flow of solution into the carrier particle. The weight filled into a capsule is
intestines. 'Floating capsules' have been made which much lower than for other types of product, typically
contain various hydrophilic polymers, such as less than 25 mg. These formulations are filled on auto-
methylcellulose, that swell on contact with water and matic machines that have microdosing devices, and
form a mass that can float on the gastric liquids. the product is administered by using a special inhaler.
Some compounds are destroyed at acid pHs, and an A capsule is placed in the device and the powder is
enteric product can be made by either coating the released either by the halves of the capsule being
filled capsule with an enteric film in a similar manner forced apart or by the capsule wall being punctured by
to a tablet, or by formulating the contents as pellets sharp pins. The device is breath actuated. When the
and coating them with an enteric polymer. patient breathes in a turbulent airflow dislodges the
Much has been written in the literature about the carrier particles (if present) and the active powder is
advantages or disadvantages of making prolonged- inhaled into the lungs. The system has the added
release dosage forms as monolithic or as multi- advantage over an aerosol device in that the patient
particulate systems. The current consensus is that can see how many doses they have taken by counting
multiparticulates are better because they will be the number of capsules remaining.
released in a stream from the stomach when the
capsule shell disintegrates, and will not be retained
for variable periods of time as would a monolithic
product. They also avoid the risk of the dose being
dumped at one point, which could cause problems of
REFERENCES
local gastric irritation. Armstrong, N.A. and James, K.C. (1996) Pharmaceutical
Certain compounds are absorbed only at specific experimental design and interpretation. Taylor & Francis,
locations along the intestines. If this window of London.
absorption is known then a formulation can be made Augsburger, L.L. (1988) S.T.P. Pharma, 4, 116-122.
Botzolakis, J.E. and Augsburger, L.L. (1988) J. Pharm.
to release its contents in that region. There is cur-
Pharmacol, 36, 77-84.
rently an interest in targeting compounds to the distal Britten, J.R., Barnett, M.I., Armstrong, N.A. (1995) Pharm.
parts of the intestines. This has been achieved in two Res., 12, 196-200.
ways. Products can be formulated to give a prolonged Chiwele, I., Jones, B.E., Podczeck, R, Chem. Pharm. Bull,
release and filled into a capsule that is enteric coated, 2000 (in press).
Fincher, J.H., Adams, H.M. and Beal, H.M. (1965) J. Pharm.
e.g. Colpermin (Pharmacia Upjohn), an enteric- Sci., 54, 704-708.
coated capsule filled with a prolonged-release formu- Jones, B.E. (1987) S.T.P. Pharma, 3, 777-783.
lation of peppermint oil. The capsule disintegrates in Jones, B.E. (1991) S.T.P. Pharma Pratiques, 2, 128-134.
the duodenum and the contents slowly release the Jones, B.E. (1993) Pharm. Tech. Int. 5(4), 14-20.
Jones, B.E. (1995) Pharm. Tech. Europe, 7(10), 25, 28-30, 34.
peppermint oil, which acts as a smooth muscle relax-
Jones, B.E. (1998) S.T.P. Pharma Sci., 8(5), 277-283.
ant as it passes through the remainder of the tract. Jones, B.E. (2001) Hard capsules. In: Swarbrick, J. and
Products have also been prepared that have been Boylan, J.C. (eds) Encyclopedia of Pharmaceutical Technology,
coated with polymers that are enteric and are soluble 2nd edn. Vol. 1 Marcel Dekker, New York.
only at higher pHs, 6-7. This pH is not reached until Jones, R.T. (1987) Gelatin structure and manufacture and
Gelatin physical and chemical properties. In: Ridgway K.
further along the small intestine, and so the contents (ed) Hard Capsules, Development and Technology.
are delivered to the more distal parts. Currently many Pharmaceutical Press, London, Chs 2 & 3.
new chemical entities are proteins or polypeptides, Lai, S., Podczeck, K, Newton, J.M., Daumesnil, R. (1996)
and to make an oral dosage form it is necessary to Pharm. Tech. Europe, 8(9), 60, 62, 64, 66, 68.
Nagata, S. and Jones, B.E. (2001) Eur. Pharm. Rev. 5(2),
deliver them to the colon, thereby avoiding the prote- 41-46.
olytic enzymes in the stomach and small intestine. Nakagawa, H., Mohri, K., Nakashima, K., Sugimoto, I.
The release mechanisms for these capsules are based (1980) Yakugaku Zasshi, 100, 1111-1117.
on specific colonic conditions, e.g. coatings that are Ogura,T. and Matsuura, S. (1998) Pharm. Tech. Europe,
disrupted by colon-specific enzymes or by pressure 10(11), 32, 34, 36, 40, 42.
Simmons, D.L., Frechette, M., Ranz, R.J. Chen,W.S. and
(Nagata and Jones 2001). Patel, N.K. (1972) Can. J. Pharm. Sci., 1, 62-65.
Not all capsules administered by the oral route are Tyrer, J.M., Eacke, M.J., Sutherland, J.M., Hopper, W.D.
intended for the gastrointestinal tract. Capsules have (1970) Br. Med.J., IV, 271-273.
460
30
Soft gelatin capsules
461
DOSAGE FORM DESIGN AND MANUFACTURE
matrix may be a mixture of both hydrophilic and Orally administered softgels containing solutions
lipophilic ingredients. or suspensions that release their contents in the
Significant advances have been made in recent stomach in an easy to swallow, convenient unit
years in the formulation of softgel fill matrices dose form (Fig. 30.2).This is the most common
(Fig. 30.1). These include microemulsions and type of softgel, already described above;
nanoemulsions encapsulated as preconcentrates in Chewable softgels, where a highly flavoured shell
softgels. The term 'preconcentrate' means that the is chewed to release the drug liquid fill matrix.
softgel fill matrix is a combination of lipophilic and The drug(s) may be present in both the shell and
hydrophilic liquids as well as surfactant components, the fill matrix;
which after oral administration disperse to form, for Suckable softgels, which consist of a gelatin shell
example, a microemulsion. If the dispersion results containing the flavoured medicament to be
in even smaller droplets in the nanoparticle range, sucked and a liquid matrix or just air inside the
then the dispersion is known as a nanoemulsion. capsule;
The softgel capsule shell consists of gelatin, water Twist-off softgels, which are designed with a tag
and a plasticizer. It may be transparent or opaque, to be twisted or snipped off, thereby allowing
and can be coloured and flavoured if desired. access to the fill material. This type of softgel can
Preservatives are not required owing to the low water be very useful for unit dosing of topical
activity in the finished product. The softgel can be
coated with enteric-resistant or delayed-release
material. Although virtually any shape softgel can be
made, oval or oblong shapes are usually selected for
oral administration.
Softgels can be formulated and manufactured to
produce a number of different drug delivery
systems:
Fig. 30.2 Swallowable softgel capsules.
462
SOFT GELATIN CAPSULES
Table 30.1 Summary of the key features and advantages of the softgel dose form
Features Advantages
Improved drug absorption Improved rate and extent of absorption and/or reduced variability,
mainly for poorly water-soluble drugs
Patient compliance and Easy to swallow. Absence of poor taste or other sensory problem.
consumer preference Convenient administration of a liquid-drug dosage form
Safety - potent and cytotoxic drugs Avoids dust handling problems during dosage form manufacture:
better operator safety and environmental controls
Oils and low melting-point drugs Overcomes problems with manufacture as compressed tablet or hard-shell capsules
Dose uniformity for low-dose drugs Liquid flow during dosage form manufacture is more precise than powder flow.
Drug solutions provide improved homogeneity over powder or granule mixtures
Product stability Drugs are protected against oxidative degradation by lipid vehicles and
softgel capsule shells
463
DOSAGE FORM DESIGN AND MANUFACTURE
be achieved using a solution-softgel formulation Softgel formulations may contain excipients, for
compared to a tablet. example one or more surfactants which can aid the
stability, wettability or even permeability of the drug
(Aungst 2000).
Increased bioavailability
As well as increasing the rate of absorption, softgels
Decreased plasma variability
may also improve the extent of absorption. This can
be particularly effective for hydrophobic drugs with a High variability in drug plasma levels is a common
relatively high molecular weight. An example of such characteristic of drugs with limited bioavailability.
a product is the protease inhibitor saquinavir, which By dosing drug optimally in solution, the plasma
has been formulated as a solution-softgel product level variability of such drugs can be significantly
(Perry and Noble 1988).The solution-softgel formu- reduced. The cyclic polypeptide drug cyclosporine
lation provided around three times the bioavailability (Sandimmun Neoral) benefits from such an
of saquinavir as measured by the area under the approach by using a microemulsion preconcentrate
plasma-time curve (AUC), compared to a hard-shell in a softgel (Drewe et al 1992, Meinzer 2000).
capsule formulation.
In some cases a drug may be solubilized in a
vehicle that is capable of spontaneously dispersing
Patient compliance and consumer
into an emulsion on contact with gastrointestinal
preference
fluid. This is known as a self-emulsifying system. In A number of self-medicating consumer preference
other cases a drug may be dissolved in an oil/ studies have been carried out in an attempt to gauge
surfactant vehicle that produces a microemulsion or the relative perception of softgels compared to hard-
a nanoemulsion on contact with gastrointestinal shell capsules and tablets. The results showed con-
fluids. A nanoemulsion of progesterone has been sistently that softgels were perceived to be appealing
developed that provides a good example of this type dosage forms to most consumers, and outperformed
of formulation. The vehicle, consisting of oils and all other dosage forms in answering patient needs.
surfactants in appropriate proportions, when in Consumers expressed their preference for softgels in
contact with aqueous fluids, produces an emulsion terms of (a) ease of swallowing, (b) absence of taste
with an average droplet size less than 100 nm. The and (c) convenience.
solubility of the drug is maintained as long as One further aspect of improved compliance is that
possible, delivering solubilized drug directly to the if, by using a drug solution in a softgel delivery
enterocyte membrane. This produces increased bio- system, its bioavailability is enhanced, it may be pos-
availability compared to formulations where the drug sible to reduce the dose administered in order to
is dosed in the solid state. Figure 30.5 shows the achieve therapeutic effectiveness. In this way it may
plasma concentration-time profile for progesterone also be possible to reduce the capsule size, which will
absorbed from the nanoemulsion formulation. further improve patient compliance.
Fig. 30.5 Pharmacokinetic evaluation of progesterone comparing a softgel nanoemulsion solution of progesterone with a softgel
containing a suspension of the drug in an oil following single-dose administration in 12 healthy human volunteers (Ferdinando 2000).
464
SOFT GELATIN CAPSULES
Safety for potent and cytotoxic drugs excipients, an understanding of the drug degrada-
tion pathways and appropriate preformulation
The mixing, granulation and compression/filling studies are vital to achieving a stable product.
processes used in preparing tablets and hard-shell
capsules can generate a significant quantity of air-
borne powders. This can be of great concern for
highly potent or cytotoxic compounds in terms of MANUFACTURE OF SOFTGELS
the operator and environmental protection required
for satisfactorily safe product manufacture. Softgel capsules were used in the 19th century as a
By preparing a solution or suspension of drug, means of administering bitter-tasting or liquid med-
where the active component is essentially protected icines. These were manufactured individually by
from the environment by the liquid, such safety con- preparing a small sack of gelatin and allowing it to
cerns can be significantly reduced. set. Each sack, or gelatin shell, was then filled with
the medication and heat-sealed. This method of
Oils and low melting-point drugs manufacture was improved using a process that
involved sealing two sheets of gelatin film between a
When the pharmaceutical active is an oily liquid, has pair of matching flat brass dies. Each die contained
a melting point less than about 75C or proves pockets into which the gelatin sheet was pressed and
difficult to compress, liquid filling of softgels is an into which the medication was filled. The pressure
obvious approach to presenting a solid oral dosage between the two plates enabled individual capsules
form. If the drug is an oily liquid, then it can be to be cut out from the die mould, and these capsules
encapsulated directly into a softgel without adding a were subsequently dried.
further diluent. Other low melting-point drugs may However, it was not until the invention of the
be formulated with a diluent oil in order to ensure rotary die encapsulation machine by Robert Pauli
satisfactory liquid flow and dosing into softgels. Scherer in 1933 that liquid-fill capsules could be
manufactured on a production scale. The rotary die
Dose uniformity of low-dose drugs process involves the continuous formation of a heat
seal between two ribbons of gelatin, simultaneous
In pharmaceutical manufacture liquid dosing avoids with dosing of the fill liquid into each capsule.
the difficulties of poor powder flow and therefore Although the speed and efficiency of the manufac-
poor content uniformity. This is an important benefit turing process have improved greatly in recent years,
for formulations containing drug doses in the micro- the basic manufacturing principle remains essen-
gram region. Attempts to produce adequate tially unchanged. The overall layout of a soft gelatin
mixtures of small quantities of a low-dose drug in encapsulation machine is shown in Figure 30.6.
larger quantities of powdered excipients for tablet- Before the encapsulation process takes place, there
ting or hard-shell filling are often unsatisfactory. In are two subprocesses that are often carried out simul-
contrast, improved homogeneity is achieved by dis- taneously, yielding the two components of a softgel.
solving the drug in a liquid and then encapsulating These are (a) the gel mass which will provide the
the liquid matrix in a softgel. softgel shell, and (b) the fill matrix for the contents.
The gel mass is prepared by dissolving the gelatin
Product stability in water at approximately 80C and under vacuum,
followed by the addition of the plasticizer, for
If a drug is subject to oxidative or hydrolytic example glycerol. Once the gelatin is fully dissolved
degradation, the preparation of a liquid-filled softgel then other components, such as colours, opacifier,
may prove beneficial. The liquid is prepared and flavours and preservatives, may be added. The hot
encapsulated under a protective nitrogen atmos- gel mass is then supplied to the encapsulation
phere and the subsequently dried shell has very low machine through heated transfer pipes by a casting
oxygen permeability. By formulating in a lipophilic method that forms two separate gelatin ribbons,
vehicle and packaging in well designed blister packs each approximately 150 mm wide. During the
using materials of low moisture transmission, the casting process the gelatin passes through the sol-gel
drug can be protected from moisture. Conversely, it transition and the thickness of each gel ribbon is
is well accepted that, in a solution, the drug may be controlled to 0.1 mm, in the range of about
more reactive than in the dry state and therefore 0.5-1.5 mm. The thickness is checked regularly
potentially less stable. The appropriate choice of during the manufacturing process.
465
DOSAGE FORM DESIGN AND MANUFACTURE
The two gel ribbons are then carried through rollers tooling (Fig. 30.7). Each ribbon provides one half of
(at which a small quantity of vegetable oil lubricant is the softgel. It is possible to make bicoloured softgels
applied) and onwards to the rotary die encapsulation using gel ribbons of two different colours.
466
SOFT GELATIN CAPSULES
The liquid fill matrix containing the active drug system is itself heated to approximately 40C. The
substance is manufactured separately from prepara- injection of liquid between the ribbons forces the gel
tion of the molten gel. Manufacture of the active fill to expand into the pockets of the dies, which govern
matrix involves dispersing or dissolving the drug the size and shape of the softgels. The ribbon con-
substance in the non-aqueous liquid vehicle using tinues to flow past the heated wedge injection system
conventional mixer-homogenizers. and is then pressed between the die rolls. Here the
A number of different parameters are controlled two softgel capsule halves are sealed together by the
during the preparation of the active fill matrix, application of heat and pressure. The capsules are
depending on the properties of the drug substance. cut automatically from the gel ribbon by raised rims
For example, oxygen-sensitive drugs are protected around each die on the rollers.
by mixing under vacuum and/or inert gas; and in After manufacture the capsules are passed
some cases an antioxidant component may be added through a tumble drier and then, to complete the
to the formulation. Also, if the drug substance is drying process, spread on to trays and stacked in a
present as a suspension in the liquid fill matrix then tunnel drier that supplies air at 20% relative humid-
it is important to ensure that particle size of the drug ity. The tunnel drying process may take 2 or 3 days,
does not exceed approximately 200 /an. By doing or possibly as long as 2 weeks, depending on the
this it is possible to ensure that drug particles do not specific softgel formulation. Finally, the softgels are
become trapped within the capsule seal, potentially inspected and packed into bulk containers in order
leading to loss of integrity of the softgel. to prevent further drying and for storage.
Rotary die encapsulation is the process by which
the gel ribbon and the unit dose of liquid fill matrix
are combined to form the softgel. The process
involves careful control of three parameters: FORMULATION OF SOFTGELS
1. Temperature. This controls the heat available for
capsule seal formation. Gelatin shell formulation
2. Timing. The timing of the dosing of unit Typical softgel shells are made up of gelatin, plasti-
quantities of fill matrix into the softgel during its cizer, and materials that impart the desired appear-
formation is critical. ance (colourants and/or opacifiers), and sometimes
3. Pressure. The pressure exerted between the two flavours. The following sections describe each of
rotary dies controls the softgel shape and the these materials, their functions, types, and amounts
final cut-out from the gel ribbon. most often used in manufacturing softgel shells.
Figure 30.8 is a simplified diagram representing the
mechanism of softgel formation using contrarotating Gelatin
dies and the wedge-shaped fill-matrix injection
system. A large number of different gelatin shell formula-
Accurately metered volumes of the liquid fill tions are available, depending on the nature of the
matrix are injected from the wedge device into the liquid fill matrix. Most commonly the gelatin is
space between the gelatin ribbons as they pass alkali- (or base-) processed (type B) and it normally
between the die rolls. The wedge-shaped injection constitutes 40% of the wet molten gel mass. Type A
acid-processed gelatin can also be used.
Plasticizers
Plasticizers are used to make the softgel shell elastic
and pliable. They usually account for 20-30% of the
wet gel formulation. The most common plasticizer
used in softgels is glycerol, although sorbitol and
propylene glycol are also frequently used, often in
combination with glycerol. The amount and choice
of the plasticizer contribute to the hardness of the
final product and may even affect its dissolution or
disintegration characteristics, as well as its physical
Fig. 30.8 Softgel formation mechanism. and chemical stability. Plasticizers are selected on
467
DOSAGE FORM DESIGN AND MANUFACTURE
468
SOFT GELATIN CAPSULES
Fig. 30.10 The relationship between equilibrium water content and the concentration of glycerol in the shell of soft gelatin capsules
at room temperature and a range of relative humidity values. (See Horn et al (1975), as Fig. 30.9.)
between 30 and 40%. Such a formulation dried at used alone, however, their capacity to dissolve drugs is
31% relative humidity has a water content in the limited. Nevertheless, active ingredients such as
shell of about 7% and a water content in the fill in hydroxycholecalciferol and other vitamin D analogues,
equilibrium with the atmosphere. The residual water plus steroids such as oestradiol, can be formulated into
content of most pharmaceutical compounds stored simple oily solutions for encapsulation in softgels.
at 20% relative humidity (the drying condition for Hydrophilic liquids Polar liquids with a
softgels) is low, and the water levels in the fills of sufficiently high molecular weight are commonly
softgels are therefore very small. used. Polyethylene glycol (PEG) is the most fre-
quently used, for example PEG 400, which has an
average molecular weight of approximately 400 Da.
Formulation of softgel fill materials Smaller hydrophilic molecules, such as ethanol or
In terms of formulation requirements, the softgel indeed water, can be incorporated in the softgel fill
should be considered as a biphasic dosage form: a matrix in low levels, typically below 10% by weight.
solid-phase capsule shell and a liquid-phase fill Self-emulsifying oils A combination of a pharma-
matrix. Although it is possible to incorporate a drug ceutical oil and a non-ionic surfactant such as poly-
in the shell of a softgel, the overwhelming majority of oxyethylene sorbitan mono-oleate can provide an
products have the active ingredient(s) within the fill oily formulation which disperses rapidly in the
matrix. The liquid-phase fill matrix is selected from gastrointestinal fluid. The resulting oil/surfactant
components with a wide range of different physico- droplets enable rapid transfer of the drug to the
chemical properties. The choice of components is absorbing mucosa and subsequent drug absorption.
made according to one or more of a number of Microemulsion and nanoemulsion systems A micro-
criteria, including the following: emulsion of a lipid-surfactant-polar liquid system is
characterized by its translucent single-phase appear-
Capacity to dissolve the drug; ance. The droplet size is in the submicrometre range,
Rate of dispersion in the gastrointestinal tract and light scattering by these droplets results in a
after the softgel shell ruptures and releases the fill faint blue colouration known as the Tyndall effect.
matrix; A nanoemulsion is a similar system but contains
Capacity to retain the drug in solution in the emulsion droplets in the 100 nm size range.
gastrointestinal fluid; Microemulsion and nanoemulsion systems have the
Compatibility with the softgel shell; advantage of a high capacity to solubilize drug com-
Ability to optimize the rate, extent and pounds and to retain the drug in solution even after
consistency of drug absorbed. dilution in gastrointestinal fluids.
In order to produce a microemulsion or nano-
emulsion in the gastrointestinal tract a 'preconcen-
Types of softgel fill matrices
trate' is formulated in the softgel fill matrix. In other
Lipophilic liquids/oils Triglyceride oils, such as soya words, the preconcentrate fill matrix contains a lipid
bean oil, are commonly used in softgels. When component and one or more surfactants, which
469
DOSAGE FORM DESIGN AND MANUFACTURE
470
SOFT GELATIN CAPSULES
because they can transport high concentrations of exhibited 79% lipolysis after 60 minutes, compared to
hydrophobic molecules across the aqueous boundary the digestible oil alone. In contrast, the non-lipolysing
layer that separates the absorptive membrane from the formulation contained a lipophilic surfactant that did
intestinal lumen. Thus, lipolytic products (e.g. fatty not overcome the inhibitory effects of the hydrophilic
acids and monoglycerides) - and hydrophobic drug, if surfactant on the lipolysis of the triglyceride oil, and
present - reside in the hydrophobic core regions of was shown to lipolyse to an extent of only 3%. It is
mixed intestinal micelles. In contrast, the surface of proposed that the oil in formulation [A], which forms
the micelles remains hydrophilic and this facilitates a fine oil-in-water emulsion on aqueous dilution, is
rapid micellar diffusion across the aqueous boundary rapidly digested, forming mixed intestinal micelles
layer to the intestinal membrane. In the microclimate with endogenous bile. These micelles transport the
adjacent to the intestinal membrane the pH is lower drug to the intestinal membrane, where the pH of the
than in the intestinal lumen. This promotes demicel- microclimate promotes micellar breakdown, facilitat-
lization, leading to the formation of a supersaturated ing enterocyte transport to the systemic circulation. In
solution of lipolytic products (and hydrophobic drug, contrast, on dilution with aqueous fluids, formulation
if present) in close proximity to the enterocyte surface. [B] forms a translucent microemulsion (as indicated
These materials are then readily absorbed across the by a blue tinge resulting from the Tyndall effect). As a
cell membrane by passive diffusion. result of this formulation failing to lipolyse and
Mixed intestinal micelles comprising bile salts and thereby remaining unaffected by enzymic activity, the
lipolytic products can enhance the bioavailability of drug is maintained within the oil phase, inhibiting the
hydrophobic drugs whose absorption is normally production of mixed intestinal micelles and restricting
dissolution-rate limited. This is because mixed drug absorption.
intestinal micelles can be very potent solubilizing The significance of the lipolysis process in enhanc-
agents for a wide range of hydrophobic drugs, much ing the bioavailability of hydrophobic drugs was
more so than simple bile salt micelles formed in the investigated further with an in vivo study
absence of lipolytic products. For example, under (Fig. 30.12). This compared the bioavailability of
simulated physiological conditions the aqueous cinnarizine (30 mg) administered orally as the
solubility of cinnarizine in simple bile salt micelles is lipolysing formulation [A] and non-lipolysing for-
4 /xg/mL, compared to 0.5 /ug/mL in aqueous buffer. mulation [B] with a commercially available tablet,
However, in the presence of mixed micelles the formulation [C], to six beagle dogs. The AUC(0-24
solubility of cinnarizine is further enhanced to h) for formulation [A] was significantly increased by
approximately 44 /xg/mL (Embleton et al 1995). 64% (P < 0.01) compared to the tablet preparation,
Taking cinnarizine as an example, it would be and by 48% (P < 0.001) compared to formulation
advantageous to formulate a softgel fill matrix that [B]. The Cmax of formulation [A] was approximately
allows lipolysis to occur in the intestinal lumen 75% higher than both formulations [B], (P < 0.001)
because of the high drug solubility in lipolytic prod- and [C] (P< 0.01).
ucts. If the inhibition by a hydrophobic surfactant The results of this study have given a valuable
were allowed to occur, then it is highly likely that insight into the effect of microemulsion formulation
cinnarizine absorption would be impaired because of on the absorption of a hydrophobic drug in the
the reduced flow of drug into mixed micelles. gastrointestinal tract, and new information as to how
However, if certain lipophilic surfactants, with a the lipolysis process may influence bioavailability
HLB less than 10, are added to the formulation, (Lacy et al 2000).
then the inhibitory effects of hydrophilic surfactants
on lipolysis can be reduced or eliminated.
Two formulations containing cinnarizine, a hydro-
phobic drug whose absorption is normally dissolu- PRODUCT QUALITY CONSIDERATIONS
tion-rate limited, have been compared (Embleton et al
1995). Formulation [A] was prepared as a lipolysing
Ingredient specifications
formulation and [B] as a non-lipolysing formulation, All of the ingredients of a softgel are controlled and
as demonstrated by the in vitro model. Formulation tested to ensure compliance with pharmacopoeial
[A] was composed of a digestible triglyceride oil, a specifications. However, additional specification
hydrophilic surfactant and a lipophilic surfactant, tests may be added for certain excipients in order to
which was chosen for its ability to overcome the ensure the manufacture of a high-quality softgel
inhibitory effects of the hydrophilic surfactant on the product. For example, it is important to limit certain
in vitro triglyceride lipolysis. In vitro this formulation trace impurities, such as aldehydes and peroxides
471
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 30.12 Plasma concentration versus time curves for three formulations of cinnarizine in the dog (n=6) (Embleton 1995).
which may be present in polyethylene glycol. The unit dose capsule products. These normally include
presence of high levels of these impurities gives rise capsule appearance, active ingredient assay and
to cross-linking of the gelatin polymer, leading to related substances assay, as well as fill weight,
insolubilization through further polymerization. On content uniformity and microbiological testing.
prolonged storage this can lead to slow dissolution of
the capsule shell and subsequent retarded drug
release.
The ingredient requiring the most careful control REFERENCES
is gelatin itself. Once a particular grade of gelatin is
used in a softgel formulation the quality is controlled Aungst B.J. (2000) Mini Review Intestinal Permeation
using parameters such as the viscosity of a hot Enchancers. J. Pharm. Sci. 89(4): 429-442.
Drewe J., Meier R., Yonderscherer J., et al. (1992)
solution and the bloom strength of the gel (bloom Enhancement of the oral absorption of cyclosporin in man.
strength is a measure of the hardness of a gel). Br.J. Clin. Pharmacol. 34: 60-64.
Embleton J., Hutchison K.G., Lacy J., et al. (1995) The
effect of in-vivo lipolysis in improving the bioavailability of
In-process testing orally administered cinnarizine in self-emulsifying oily
vehicles. American Association of Pharmaceutical Sciences
During the encapsulation process the four most Conference, Miami Beach.
important tests are: Ferdinando J.C. (2000) Formulation Solutions - Softgels.
Manufacturing and Packaging; 69-73.
The gel ribbon thickness; Lacy J.E., Embleton J.K., Perry E.A. (2000) Delivery systems
Softgel seal thickness at the time of for hydrophobic drugs: US Patent 6,096,338.
encapsulation; MacGregor K.J., Embleton J.K., Lacy J.E, et al. (1997)
Influence of lipolysis on drug absorption from the
Fill matrix weight and capsule shell weight;
gastrointestinal tract. Advd Drug Del. Rev. 25: 33-46.
Softgel shell moisture level and softgel hardness Meinzer A. (1993) Sandimmun Neoral Soft Gelatin
at the end of the drying stage. Capsules. International Industrial Pharmaceutical Research
Appropriate control levels for these parameters Conference. Wisconsin USA.
are established during process development for Perry C.M., Noble S. (1998) Saquinavir Softgel Capsule
Formulation. Drugs 55:(3).
each softgel product, and are applied in routine Saano V., Paronen P., Peura P., et al. (1991) Relative
production scale manufacture. pharmacokinetics of three oral 400 mg ibuprofen dosage
forms in healthy volunteers. Int. J. Clin. Pharmacol. Ther.
Toxicol. 29(10): 381-385.
Finished product testing
Finished softgels are subjected to a number of tests
in accordance with compendial requirements for
472
31
Pulmonary drug delivery
Kevin Taylor
473
DOSAGE FORM DESIGN AND MANUFACTURE
(respiratory bronchioles and alveolar regions), a two-phase system of solid particles or liquid
although there is no clear demarcation between droplets dispersed in air or other gaseous phase,
them (Fig. 31.1). The upper respiratory tract com- having sufficiently small size to display considerable
prises the nose, throat, pharynx and larynx; the lower stability as a suspension.
tract comprises the trachea, bronchi, bronchioles The deposition of a drug/aerosol in the airways is
and the alveolar regions. Simplistically, the airways dependent on four factors: the physicochemical
can be described by a symmetrical model in which properties of the drug, the formulation, the delivery/
each airway divides into two equivalent branches or liberating device and the patient (breathing patterns
generations. In fact, the trachea (generation 0) and clinical status).
branches into two main bronchi (generation 1), of The most fundamentally important physical
which the right bronchus is wider and leaves the property of an aerosol for inhalation is its size. The
trachea at a smaller angle than the left, and hence is particle size of an aerosol is usually standardized by
more likely to receive inhaled material. Further calculation of its aerodynamic diameter, da, which
branching of the airways ultimately results in termi- is the physical diameter of a unit density sphere
nal bronchioles. These divide to produce respiratory which settles through air with a velocity equal to the
bronchioles, which connect with alveolar ducts particle in question. Therapeutic aerosols are
leading to the alveolar sacs (generation 23). These heterodispersed (polydispersed), and the distribution
contain approximately 2-6 x 108 alveoli, producing a of sizes is generally represented by the geometric
surface area of about 70-80 m2 in an adult male. standard deviation (GSD or crg), when size is log-
The conducting airways are lined with ciliated normally distributed.
epithelial cells. Insoluble particles deposited on the For approximately spherical particles
airways walls in this region are trapped by the mucus
and swept upwards from the lungs by the beating
cilia and swallowed. where dp is physical diameter, p is particle density
and p0 is unit density, i.e. 1 g/cm3.
When dp is the mass median diameter (MMD), da
Inhalation aerosols and the importance is termed the mass median aerodynamic diameter
of size distribution (MMAD).
To deliver a drug into the airways it must be pre-
sented as an aerosol. In pharmacy this is denned as
The influence of environmental humidity on
particle size
As a particle enters the respiratory tract, the change
from ambient to high relative humidity (approxi-
mately 99%) results in condensation of water on to
the particle surface, which continues until the
vapour pressure of the water equals that of the sur-
rounding atmosphere. For water-insoluble materials
this results in a negligibly thin film of water;
however, with water-soluble materials a solution is
formed on the particle surface. As the vapour pres-
sure of the solution is lower than that of pure solvent
at the same temperature, water will continue to con-
dense until an equilibrium between vapour pressures
is reached, i.e. the particle will increase in size. The
final equilibrium diameter reached is constrained by
the Kelvin effect, i.e., the vapour pressure of a
droplet solution is higher than that for a planar
surface, and is a function of the particle's original
diameter (Pritchard, 1987). Hygroscopic growth will
affect the deposition of particles, resulting in deposi-
Fig. 31.1 Schematic representation of the human airways.
tion higher in the respiratory tract than would have
(Reproduced with permission from Wilson and Washington been predicted from measurements of their initial
1989.) size.
474
PULMONARY DRUG DELIVERY
Particle deposition in the airways being the principal mechanism for deposition in the
nose, mouth, pharynx and larynx and the large con-
The efficacy of a clinical aerosol is dependent on its ducting airways. With the continuous branching of
ability to penetrate the respiratory tract. To penetrate the conducting airways, the velocity of the airstream
to the peripheral (respirable) regions, aerosols require decreases and impaction becomes a less important
a size less than about 5 or 6 /mi, with less than 2 /mi mechanism for deposition.
being preferable for alveolar deposition. Literature The probability of impaction is proportional to:
values for 'respirable' size vary and must be consid-
ered alongside the environmental changes in size
described above and the heterodispersed nature of
inhalation aerosol size distributions. Larger particles where 6 is the change in airways direction, U is
or droplets are deposited in the upper respiratory airstream velocity and r is the airway's radius.
tract and are rapidly cleared from the lung by the
mucociliary action, with the effect that drug becomes Brownian diffusion
available for systemic absorption and may potentially
cause adverse effects. Steroid aerosols of sufficiently Collision and bombardment of small particles by
large size may deposit in the mouth and throat, with molecules in the respiratory tract produce Brownian
the potential to cause oral candidiasis. The size of motion. The resultant movement of particles from
aerosolized drug may be especially important in the high to low concentrations causes them to move
treatment of certain conditions where penetration to from the aerosol cloud to the airways walls. The rate
the peripheral airways is particularly desirable, for of diffusion is inversely proportional to the particle
instance the treatment and prophylaxis of the alveo- size, and thus diffusion is the predominant mecha-
lar infection Pneumocystis carinii pneumonia. nism for particles smaller than 0.5 /mi.
There are three main mechanisms responsible for
particulate deposition in the lung: gravitational sedi- Other methods of deposition
mentation, impaction and diffusion. Although impaction, sedimentation and diffusion are
the most important mechanisms for drug deposition
Gravitational sedimentation in the respiratory tract, other mechanisms may occur.
These include interception., whereby particles having
From Stokes' law, particles settling under gravity will extreme shapes, such as fibres, physically catch on to
attain a constant terminal settling velocity, Ut: the airways' walls as they pass through the respiratory
tract, and electrostatic attraction, whereby an elec-
trostatic charge on a particle induces an opposing
charge on the walls of the respiratory tract, resulting
where p is particle density, g is the gravitational con- in attraction between particle and walls.
stant, d is particle diameter and 17 is air viscosity.
Thus, gravitational sedimentation of an inhaled Different deposition mechanisms are important for
particle is dependent on its size and density, in differently sized particles. Those greater than 5 /mi
addition to its residence time in the airways. Sedi- will deposit predominantly by inertial impaction in
mentation is an important deposition mechanism for the upper airways. Particles sized between 1 and
particles in the size range 0.5-3 /mi, in the small 5 /mi deposit predominantly by gravitational
airways and alveoli, for particles that have escaped sedimentation in the lower airways, especially during
deposition by impaction. slow, deep breathing, and particles less than 1 /mi
deposit by Brownian diffusion in the stagnant air of
the lower airways. Particles of approximately 0.5 /mi
Inertial impaction are inefficiently deposited, being too large for effec-
Where a bifurcation occurs in the respiratory tract, tive deposition by Brownian diffusion and too small
the airstream changes direction and particles within for effective impaction or sedimentation, and they are
the airstream, having sufficiently high momentum, often immediately exhaled. This size of minimum
will impact on the airways' walls rather than follow deposition should thus be considered during formu-
the changing airstream. This deposition mechanism lation, although for the reasons of environmental
is particularly important for large particles having a humidity discussed previously, the equilibrium diam-
diameter greater than 5 /mi, and particularly greater eter in the airways may be significantly larger than the
than 10 /mi, and is common in the upper airways, original particle size in the formulation.
475
DOSAGE FORM DESIGN AND MANUFACTURE
476
PULMONARY DRUG DELIVERY
temperature or increasing pressure. The head space where xa and xb are the mole fractions and and pg
of the aerosol is filled with propellant vapour, are the partial vapour pressures of components a and
producing the saturation vapour pressure at that b, respectively.
temperature. On spraying, medicament and propel- The reaction of CFCs with the ozone in the earth's
lant are expelled and the head volume increases. To stratosphere, which absorbs ultraviolet radiation at
re-establish the equilibrium, more propellant evapo- 300 nm, and their contribution to global warming is
rates and so a constant pressure system with consis- a major environmental concern. CFCs pass to the
tent spray characteristics is produced. The CFCs stratosphere, where in the presence of UV they liber-
currently employed in MDI formulations are ate chlorine, which reacts with ozone. The depletion
trichlorofluoromethane (CFC-11), dichlorodifluoro- of stratospheric ozone results in increased exposure
methane (CFG-12) and dichlorotetrafluoroethane to the UV-B part of the UV spectrum, resulting in a
(CFG-114). Formulations generally comprise number of adverse effects, in particular an increased
blends of CFC-11 and CFC-12 or CFC-11, CFC- incidence of skin cancer. The Montreal Protocol of
12, and CFC-114 (Table 31.1.), together with a sur- 1987 was a global ban on the production of the five
factant such as a sorbitan ester, oleic acid or lecithin, worst ozone-depleting CFCs by the year 2000. This
which acts as a suspending agent and lubricates the was amended in 1992, so that production of CFCs in
valve. developed countries was phased out by 1 January
CFCs and HFAs are numbered using a universal 1996. In the European Union, all ozone-depleting
system. The first digit is the number of carbon atoms CFCs had been banned by the end of 1995.
minus 1 (omitted if zero), the second is the number Pharmaceutical aerosols are currently exempted, but
of hydrogen atoms plus 1, and the third is the this exemption is reviewed annually. In household
number of fluorine atoms. Chlorine fills any remain- and cosmetic aerosols CFCs have been replaced by
ing valencies, given the total number of atoms hydrocarbons such as propane and butane.
required to saturate the compound. If asymmetry is Alternatively, compressed gases such as nitrogen
possible, this is designated by a letter. The symmet- dioxide, nitrogen and carbon dioxide may be used,
rical isomer is assigned the number described above; for instance in food products. However, compressed
of the asymmetrical isomers, that designated the gases do not maintain a constant pressure within the
letter a is the most symmetrical, b the next most canister throughout its use, as the internal pressure is
symmetrical, and so on. The CFCs are perfectly inversely proportionate to the head volume, and so
miscible with each other and suitable blends give a product performance changes with age. For reasons
useful intermediate vapour pressure, usually about of toxicity and inflammability, hydrocarbons are not
450 kPa. The vapour pressure of the mixture of pro- considered appropriate alternatives to CFCs for
pellants is given by Raoult's law, i.e. the vapour pres- inhalation products, and so non-ozone depleting
sure of a mixed system is equal to the sum of the alternatives to CFCs are being developed.
mole fraction of each component multiplied by its Propellants HFA-134a (trifluoromonofluoro-
vapour pressure: ethane) and HFA-227 (heptafluoropropane) are
non-ozone depleting, non-flammable HFAs, also
called hydrofluorocarbons (HFCs), which have been
where P is the total vapour pressure of the system widely investigated as alternatives to CFC-12
and pa and pb are the partial vapour pressures of the (Table 31.2). However, these gases contribute to
components, a and b: global warming and further replacements will no
doubt be required in the future.
HFA-134a and HFA-227 have some physical
properties, including density, which are similar to
Table 31.1 Formulae and physicochemical properties of chlorofluorocarbons (CFCs) used in MDI formulations
Number Formula Boiling point (C) Vapour pressure (kPa at 20C) Density (g/mL at 20C)
477
DOSAGE FORM DESIGN AND MANUFACTURE
Table 31.2 Formulae and physicochemical properties of hydrofluoroalkanes (HFAs) used in MDI formulations
Number Formula Boiling point (C) Vapour pressure (kPa at 20C) Density (g/mL at 20C)
those of CFC-12 and, to a lesser extent, CFC-114. patient. MDI valves are complex in design and must
However, they present major formulation problems: protect the product from the environment, while also
in particular they are poor solvents for the surfac- protecting against product loss during repeated use.
tants commonly used in MDI formulation and no The introduction of HFA propellants with different
alternative to CFC-11 is currently available. Ethanol solvent properties has necessitated the development
is approved for use in formulations containing HFAs of new valve elastomers. The valve stem fits into the
to allow dissolution of surfactants, and is included in actuator, which is made of polyethylene or poly-
marketed non-CFC MDI products. However, propylene. The dimensions of the orifice in the actu-
ethanol has low volatility and may consequently ator plays a crucial role, along with the propellant
increase the droplet size of the emitted aerosols. vapour pressure, in determining the shape and speed
of the emitted aerosol plume.
Metering valve
Formulating metered-dose inhalers
The metering valve of an MDI permits the repro-
ducible delivery of small volumes (25-100 fjJL) of Pressurized aerosols may be formulated as either
product. Unlike the non-metering continuous-spray solutions or suspensions of drug in the liquefied
valves of conventional pressurized aerosols, the propellant. Solution preparations are two-phase
metering valve in MDIs are used in the inverted posi- systems. However, the propellants are poor solvents
tion (Fig. 31.3). Depression of the valve stem allows for most drugs. Cosolvents such as ethanol or iso-
the contents of the metering chamber to be dis- propanol may be used, although their low volatility
charged through the orifice in the valve stem and retards propellant evaporation. In practice, pressur-
made available to the patient. After actuation, the ized inhaler formulations have, until recently, been
metering chamber refills with liquid from the bulk almost exclusively suspensions. These three-phase
and is ready to dispense the next dose. A corollary of systems are harder to formulate and all the problems
this is that the MDI needs to be primed, i.e. the of conventional suspension formulation, such as
metering chamber filled, prior to the first use by a caking, agglomeration, particle growth etc. must be
considered. Careful consideration must be given to
the particle size of the solid (usually micronized to
between 2 and 5 /mi), valve clogging, moisture
content, the solubility of active compound in propel-
lant (a salt may be desirable), the relative density of
propellant and drug, and the use of surfactants as
suspending agents, e.g. lecithin, oleic acid and sorbi-
tan trioleate (usually included at concentrations
between 0.1 and 2.0% w/w). These surfactants are
very poorly soluble ( 0.02% w/w) in HFAs, and
so either ethanol must be used as a cosolvent or
alternative surfactants such as fluorinated polymers
must be developed (Byron et al 1994). Recently
solution formulations of beclomethasone dipropi-
onate have been marketed. Evaporation of HFA pro-
pellant following actuation of these formulations
results in smaller particle sizes than with conven-
tional suspension formulations of the same drug,
Fig. 31.3 The metering valve. (Reproduced with permission with consequent changes in its pulmonary distribu-
from Moren 1981.) tion and bioavailability.
478
PULMONARY DRUG DELIVERY
Filling metered-dose inhaler canisters turer, is their incorrect use by patients. Reported
problems include:
Canisters are filled by liquefying the propellant at
reduced temperature or elevated pressure. Failure to remove the protective cap covering the
In cold filling, active compound, excipients and mouthpiece, the inhaler being used inverted;
propellant are chilled and filled at about -30C. Failure to shake the canister;
Additional propellant is then added at the same tem- Failure to inhale slowly and deeply;
perature and the canister sealed with the valve. In Inadequate breath-holding;
pressure filling, a drug/propellant (CFC-11) con- Poor inhalation/actuation synchronization.
centrate is produced and filled at effectively room Correct use by patients is vital for effective drug
temperature and pressure (in fact, usually slightly deposition and action. Ideally, the MDI should be
chilled to below 20C). The valve is crimped on to actuated during the course of slow, deep inhalation,
the canister and additional propellant (e.g. CFG-12) followed by a period of breath-holding. Many
is filled at elevated pressure through the valve, in a
patients find this difficult, especially children and the
process known as gassing. Pressure filling is most elderly. The misuse of MDIs through poor inhala-
frequently employed for inhalation aerosols. tion/actuation coordination can be significantly
However, no ozone-sparing replacement propellant reduced with appropriate instruction and coun-
has the properties (high boiling point: 23.7C) of selling. However, it should be noted that even using
CFC-11, which is a major problem for the pharma-
the correct inhalation technique only 10-20% of the
ceutical industry.
stated emitted dose is delivered to the site of action.
Once filled, the canisters are leak tested by placing
them in a water bath at elevated temperature, usually
50-60C. Following storage to allow equilibration of Spacers and breath-actuated metered-dose
the formulation and valve components, the contain- inhalers
ers are weighed to check for further leakage, prior to
Some of the disadvantages of MDIs, namely inhala-
spray testing and insertion into actuators. tion/actuation coordination and the premature
deposition of large propellant droplets high in the
airways, can be overcome by using extension devices
Advantages and disadvantages of metered-dose or 'spacers' positioned between the MDI and the
inhalers patient (Fig. 31.4). The dose from an MDI is dis-
The major advantages of MDIs are their portability, charged directly into the reservoir prior to inhala-
low cost and disposability. Many doses (up to 200) tion. This reduces the initial droplet velocity, permits
are stored in the small canister and dose delivery is efficient propellant evaporation and removes the
reproducible. The inert conditions created by the need for actuation/inhalation coordination. The
propellant vapour, together with the hermetically disadvantage of spacers is that they may be cumber-
sealed container, protects drugs from oxidative some, e.g. Fisonair (Rhone-Poulenc Rorer),
degradation and microbiological contamination. Nebuhaler (AstraZeneca), and Volumatic (Glaxo
However, MDIs have disadvantages. They are SmithKline). Alternatively, extension tubes may be
inefficient at drug delivery. On actuation, the first built into the design of the MDI itself, e.g. Syncroner
propellant droplets exit at a high velocity, which may (Rhone-Poulenc Rorer) and Spacer Inhalers
exceed 30 m/s. Consequently, much of the drug is (AstraZeneca). The Autohaler (3M) is an MDI with
lost through impaction of these droplets in the
oropharyngeal areas. The mean emitted droplet size
typically exceeds 40 ^t,m, and propellants may not
evaporate sufficiently rapidly for their size to decrease
to that suitable for deep lung deposition. Vaporization
of the droplets is hindered by the low volatility of
CFC-11, which is present in concentrations of at
least 25% in most CFC-based formulations.
Evaporation, such that the aerodynamic diameter of
the particles is close to that of the original micronized
drug, may not occur until 5 seconds after actuation.
An additional problem with MDIs, which is Fig. 31.4 The Nebuhaler spacer device, fitted with a face mask
beyond the control of the formulator and manufac- for use by a child. Courtesy of AstraZeneca.
479
DOSAGE FORM DESIGN AND MANUFACTURE
an inspiratory demand valve. This breath-actuated 'carrier' particles (usually 30-60 yum) of an inert
device overcomes the coordination problems of a excipient, usually lactose. This not only improves
conventional MDI without adding bulk to the liberation of the drug from the inhalation device by
device. However, a substantial inspiratory flow rate is improving powder flow, but also improves the uni-
required for its operation. formity of capsule or device filling. Once liberated
from the device, the turbulent air flow generated
Dry powder inhalers within the inhalation device should be sufficient for
the deaggregation of the drug/carrier aggregates. The
In dry powder inhaler (DPI) systems, drug is
larger carrier particles impact in the throat, whereas
inhaled as cloud of fine particles. The drug is either
smaller drug particles are carried in the inhaled air
preloaded in an inhalation device or filled into hard
deeper into the respiratory tract.
gelatin capsules or foil blister discs which are
The success of DPI formulations depends on the
loaded into a device prior to use. DPIs have several
adhesion of drug and carrier during mixing and
advantages over MDIs. DPI formulations are pro-
filling of devices or hard gelatin capsules, followed by
pellant free and do not contain any excipient, other
the ability of the drug to desorb from the carrier
than a carrier (see below) - which is almost invari-
during inhalation such that free drug is available to
ably lactose. They are breath actuated, avoiding the
penetrate to the peripheral airways. Adhesion and
problems of inhalation/actuation coordination
desorption will depend on the morphology of the
encountered with MDIs, and consequently they are
particle surfaces and surface energies, which may be
particularly useful for young children. DPIs can
influenced by the chemical nature of the materials
also deliver larger drug doses than MDIs, which are
involved and the nature of powder processing.
limited by the volume of the metering valve and the
The performance of DPI systems is thus strongly
maximum suspension concentration that can be
dependent on formulation factors, and also on
employed without causing valve clogging. However,
the construction of the delivery device and the
DPIs have several disadvantages. Liberation of
inhalation technique.
powders from the device and the deaggregation of
particles are limited by the patient's ability to
inhale, which in the case of respiratory disease may Unit-dose devices with drug in hard gelatin
be impaired. An increase in turbulent air flow capsules
created by an increase in inhaled air velocity
The first DPI device developed was the Spinhaler
increases the deaggregation of the emerging parti-
(Rhone-Poulenc Rorer) for the delivery of sodium
cles, but also increases the potential for inertial
cromoglycate (Fig. 31.5). Each dose, contained in a
impaction in the upper airways and throat, and so a
hard gelatin capsule, is loaded individually into the
compromise has to be found. Further, DPIs are
device. The capsule, placed in a loose-fitting rotor, is
exposed to ambient atmospheric conditions, which
pierced by two metal needles an either side of the
may reduce formulation stability. For instance, ele-
capsule. Inhaled air flow though the device causes a
vated humidity may cause powders to clump.
Finally, DPIs are generally less efficient at drug
delivery than MDIs, such that twice the dose is
usually required for delivery from a DPI than from
the equivalent MDI (Melchor et al 1993).
480
PULMONARY DRUG DELIVERY
481
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 31.8 The Accuhaler/Diskus Inhaler, showing (a) a schematic diagram and (b) a cross-sectional representation of the device.
(Reproduced with permission from Prime et al 1996.)
482
PULMONARY DRUG DELIVERY
dose and dry powder systems in that drug may be leaves the nebulizer directly; the remaining, large,
inhaled during normal tidal breathing through a non-respirable droplets impact on baffles or the
mouthpiece or face-mask, and thus they are useful for walls of the nebulizer chamber and are recycled into
patients such as children, the elderly and patients the reservoir fluid.
with arthritis, who experience difficulties with MDIs. Nebulizers are operated continuously, and
There are two categories of commercially available because the inspiratory phase of breathing consti-
nebulizer: jet and ultrasonic. tutes approximately one-third of the breathing cycle
a large proportion of the emitted aerosol is not
inhaled but is released into the environment. Open-
Jet nebulizers
vent nebulizers, incorporating inhalation and exhala-
Jet nebulizers (also called air-jet or air-blast nebuliz- tion valves, e.g. the Pari LC nebulizer (Pari) have
ers) use compressed gas (air or oxygen) from a com- recently been developed in which the patient's own
pressed gas cylinder, hospital air-line or electrical breath boosts nebulizer performance, with aerosol
compressor to convert a liquid (usually an aqueous production matching the patient's tidal volume and
solution) into a spray. The jet of high-velocity gas is greatly enhancing drug delivery. On exhalation, the
passed either tangentially or coaxially through a aerosol being produced is generated only from the
narrow Venturi nozzle, typically 0.3-0.7 mm in compressor gas source, thereby minimizing drug
diameter. An area of negative pressure, where the air wastage.
jet emerges, causes liquid to be drawn up a feed tube The rate of gas flow driving atomization is the
from a fluid reservoir by the Bernoulli effect major determinant of the aerosol droplet size and
(Fig. 31.10). Liquid emerges as fine filaments, which rate of drug delivery for jet nebulizers: for instance,
collapse into droplets owing to surface tension. A there may be up to a 50% reduction in the mass
proportion of the resultant (primary) aerosol median aerodynamic diameter (MMAD, see below)
when the flow rate is increased from 4 to 8 L/min,
with a linear increase in the proportion of droplets
less than 5 /zm (Clay et al 1983).
Ultrasonic nebulizers
In ultrasonic nebulizers the energy necessary to
atomize liquids comes from a piezoelectric crystal
vibrating at high frequency. At sufficiently high ultra-
sonic intensities a fountain of liquid is formed in the
nebulizer chamber. Large droplets are emitted from
the apex and a 'fog' of small droplets is emitted
from the lower part (Fig. 31.11). Some models have
a fan to blow the respirable droplets out of the
device, whereas in others the aerosol only becomes
available to the patient during inhalation.
483
DOSAGE FORM DESIGN AND MANUFACTURE
Formulating nebulizer fluids atomized may not always be reflected in the size
distribution of the emitted aerosol. In general, the
Nebulizer fluids are formulated in water, occasion-
size of aerosol droplets is inversely proportional to
ally with the addition of cosolvents such as ethanol viscosity for jet nebulizers and directly proportional
or propylene glycol, and with the addition of to viscosity for ultrasonic nebulisers (McCallion et al
surfactants for suspension formulations. Because
1995), with more viscous solutions requiring longer
hypoosmotic and hyperosmotic solutions may cause
to nebulize to dryness and leaving larger residual
bronchoconstriction, as may high hydrogen ion
volumes in the nebulizer following atomization.
concentrations, iso-osmotic solutions of pH greater
Surface tension effects are more complex, but
than 5 are usually employed (Snell 1990). Stabilizers
usually a decrease in surface tension is associated
such as antioxidants and preservatives may also be
with a reduction in mean aerosol size.
included, although these may also cause bron-
chospasm, and for this reason sulphites in particular
Temperature effects during nebulization
are generally avoided as antioxidants in such formu-
lations. Although chemically preserved multidose The aerosol output from a jet nebulizer comprises
preparations are commercially available, nebulizer drug solution and solvent vapour, which saturates
formulations are generally presented as sterile, the outgoing air. This causes solute concentration to
isotonic unit doses (usually 1-2.5 mL) without a increase with time and results in a rapid decrease in
preservative. the temperature of the liquid being nebulized by
Whilst most nebulizer formulations are solutions, approximately 10-15C.
suspensions of micronized drug are also available for This temperature decrease may be important
delivery from nebulizers. In general suspensions are clinically, as some asthma sufferers experience bron-
poorly delivered from ultrasonic nebulizers, whereas choconstriction on inhalation of cold solutions.
with jet nebulizers the efficiency of drug delivery Further, the cooling effect within the reservoir fluid
increases as the size of suspended drug is decreased, will reduce drug solubility and result in increased
with little or no release of particles when they exceed liquid surface tension and viscosity. Precipitation is
the droplet size of the nebulized aerosol. uncommon with bronchodilators, which have high
As the formulation of fluids for delivery by nebuliz- aqueous solubility, but problems may arise with less
ers is relatively simple, these devices are frequently the soluble drugs. In such instances the use of an ultra-
first to be employed when investigating the delivery of sonic nebulizer may be appropriate, as the operation
new entities to the human lung. Recently, they have of such devices increases solution temperature by
been used for the delivery of peptides and liposomes. approximately 10-15C.
In general, ultrasonic nebulizers have not been suc-
cessful for delivering either peptides or liposomes, Duration of nebulization and 'dead volume'
because of denaturation resulting from the elevated Clinically, liquids may be nebulized for a specified
temperatures produced. Consequently, ultrasonic period of time, or more commonly, they may be
nebulizers are expressly excluded for the delivery of
nebulized to 'dryness', which may be interpreted as
recombinant human deoxyribonuclease in the man-
sputtering time, which is the time when air is
agement of cystic fibrosis. Jet nebulizers have been
drawn up the feed tube and nebulization becomes
successfully used to deliver some peptide and lipo- erratic, although agitation of the nebulizer permits
some formulations, although the shearing forces that
treatment to be continued; clinical time, which is
occur in the nebulizer may produce time-dependent the time at which therapy is ceased following
damage to some materials (Niven and Brain 1994).
sputtering; or total time, which is the time at which
the production of aerosol ceases.
Physicochemical properties of nebulizer fluids Regardless of the duration of nebulization, not all
The viscosity and surface tension of a liquid being the fluid in the nebuliser can be atomized. Some
nebulized may affect the output of nebulizers, as liquid, usually about 1 mL, remains as the 'dead' or
energy is required to overcome viscous forces and to 'residual' volume, associated with the baffles, inter-
create a new surface. However, the size-selectivity of nal structures and walls of the nebulizer. The pro-
the nebulizer design and dimensions, with more than portion of drug retained as 'dead' volume is more
99% of the primary aerosol mass being recycled into marked for smaller fill volumes, hence for a 2 mL fill
the reservoir liquid, means that changes in the size volume, approximately 50% of fluid will remain
distribution of the primary aerosol resulting from associated with the nebulizer and be unavailable for
changes in the properties of the solution being delivery to the patient. This reduces to approxi-
484
PULMONARY DRUG DELIVERY
mately 25% with a 4 mL fill volume, although there is drawn through the device at a known flow rate.
is a commensurate increase in the time necessary to Traditional cascade impactors are constructed from
nebulize to dryness. metal. The most commonly used comprises eight
stages, with metal collection plates followed by a
Variability between nebulizers terminal filter. Multistage liquid impingers, working
on the same principle, are constructed from glass or
Many different models of nebulizer and compressor
glass and metal and have three, four or five stages,
are commercially available, and the size of aerosols
with wet sintered glass collection plates followed by
produced and the dose delivered can vary enor-
a terminal filter. Large dense particles will deposit
mously. For instance, in a study of 18 different com-
higher in the impactor, whereas smaller, less dense
mercially available jet nebulizers, operated according
particles will follow the air flow and only deposit
to the manufacturers' guidelines, aerosols were pro-
when they have been given sufficient momentum as
duced with MMADs ranging from 0.9 to 7.2 /xm
they are accelerated through the finer jets lower in
(Waldrep et al 1994). Variability may not only exist
the impactor (Fig. 31.12). The first stage of the
between different nebulizers but also between indi-
impactor is usually preceded by a 90 bend of metal
vidual nebulizers of the same type, and repeated use
or glass to mimic the human throat. The cut-off
of a single nebulizer may cause variability due to
diameters for each stage at a particular air-flow rate
baffle wear and non-uniformity of assembly.
can be determined using monodisperse aerosols or
Nebulizers, unlike the DPI and MDI devices, are not
calculated using calibration curves. When determin-
manufactured by the producers of nebulizer solu-
ing the size of an aerosol, cumulative percentage
tions and suspension. The choice of nebulizer
undersize plots of deposited aerosol on each
employed for their delivery is thus usually beyond
stage are plotted against the cut-off diameter for that
the influence of the pharmaceutical manufacturer.
stage to allow calculation of the MMAD.
The five-stage liquid impinger (MSLI)
(Fig. 31.13), with an appropriate induction port and
METHODS OF AEROSOL SIZE mouthpiece adapter, is used to determine the aerody-
ANALYSIS namic size of DPIs (USP and EP), MDIs and nebu-
lizers (EP). The MSLI may be operated at a flow rate
The regional distribution of aerosols in the airways between 30 and 100 L/min. At 60 L/min (i.e. 1 L/s)
can be measured directly using gamma scintigraphy, the effective cut-off diameters of stages 1, 2, 3 and 4
by radiolabelling droplets or particles, usually with are 13.0, 6.8, 3.1 and 1.7 //,m, respectively. The fifth
the short half-life gamma emitter technetium- stage comprises an integral filter which captures par-
99m(99mTc). However, more commonly in vitro mea- ticles smaller than 1.7 /xm.When testing DPIs to USP
surements of aerosol size are used to predict clinical requirements, an airflow rate (Q) calculated to
performance. The principal methods that have been produce a pressure drop of 4.0 kPa over the inhaler is
employed for size characterization of aerosols are employed. If this exceeds 100 L/min, then 100 L/min
microscopy, laser diffraction and cascade impaction. is used. The cut-off diameters of each stage at flow
Optical methods of measuring the physical size of rate (Q) can be calculated from:
deposited aerosols using microscopy are laborious
and do not give an indication of their likely deposi-
tion within the humid airways while being carried in
an airstream. With methods of analysis based on laser
Fraunhofer diffraction, aerosolized droplets or parti-
cles are sized as they traverse a laser beam to give a
volume median diameter. Again the aerodynamic
properties of an aerosol are not being measured. In
addition, spraying droplets into a beam exposes them
to ambient conditions of temperature and humidity,
which may result in solvent evaporation.
485
DOSAGE FORM DESIGN AND MANUFACTURE
where D50'Q is the cut-off diameter at the flow rate Q following a predetermined inhalation profile
and n refers to the nominal cut-off values (Brindley et al 1994).
determined when Qn is 60 L/min (values given Cascade impactor methods are invasive, laborious
above). and time-consuming, but necessary to derive infor-
The use of cascade impaction methods to mation about median aerosol size and the polydisper-
determine the size of aerosols has a number of dis- sity of the aerosol. To ensure that inhalation products
advantages. The high flow rates employed (typically are likely to be clinically effective, quality control mea-
28.3-60 L/min) result in rapid solvent evaporation, surements usually involve measurement of the
and droplets may be re-entrained in the airstream emitted dose and the 'fine particle fraction', (that frac-
whereas particles may 'bounce off metal collection tion of the emitted dose less than a stated size, often 5
plates, although this latter effect may be reduced by or 6.4 /mi), which are combined to give a 'useful' or
coating the collection surface, for instance with a 'respirable' dose or mass (Ganderton, 1995). For
silicone fluid or glycerol. These effects can result in a routine analysis, a simplified two-stage (twin)
significant decrease in the measured aerosol size. impinger is frequently employed (Fig. 31.14). Aerosol
Also, these measuring devices are operated at a con- collected in the throat and the upper stage (stage 1) is
stant air-flow rate. However, the dispersion of dry considered 'non-respirable', whereas that collected in
powder formulations and the deposition profile of the lower stage (stage 2) is considered 'respirable'. For
inhaled aerosols will very considerably with flow this glass device, the cut-off diameter for stage 2 is 6.4
rate. To overcome the limitations of measurement at ^im, i.e. aerosols collected in this stage have an aero-
a single flow rate the Electronic Lung (The dynamic diameter less than 6.4 /xm and are for this
Technology Partnership) has been developed, which measurement technique considered 'respirable'. This
uses a computer-controlled piston to draw air twin impinger is included in the BP as a method for
through the inhaler and into an impaction sizer, determining the emitted dose from MDIs and DPIs.
486
PULMONARY DRUG DELIVERY
487
DOSAGE FORM DESIGN AND MANUFACTURE
Sciarra, JJ. (1996) Pharmaceutical Aerosols. In: Modern Timsina, M.P., Martin G.P., Marriott, C., Ganderton,
Pharmaceutics. 3rd edn., (Eds. G.S. Banker and C.T. D.,Yianneskis, M. (1994) Drug delivery to the respiratory
Rhodes), Marcel Dekker, New York, pp 547-574. tract using dry powder inhalers. Int. J. Pharm., 101, 1-13.
Sciarra, J.J. and Cutie A.J. (1990) Aerosols. In: Remington's Wilson, C.G. and Washington N. (1989) Physiological
Pharmaceutical Sciences. 18th ed. (Eds. A.R. Gennaro et al). Pharmaceutics: Biological Barriers to Drug Absorption. Ellis
Mack Publishing Company, Easton, pp 1694-1712. Horwood, Chichester.
488
32
Nasal drug delivery
Peter Taylor
489
DOSAGE FORM DESIGN AND MANUFACTURE
Table 32.1 Examples of topical nasal preparations (taken from the British National Formulary 39)
Table 32.2 Examples of marketed systemic nasal preparations (taken from the British National Formulary 39 and Behl
eta!1998a)
Table 32.3 Examples of drugs under investigation for nasal delivery (taken from Behl et ai 1998a)
Cyanocobalamin (Vitamin B12) Gel Vitamin B12 deficiency NDA submitted (USA)
17-p-oestradiol Relief of menopausal symptoms Human studies
Glucagon Treatment of hypoglycaemia Human studies
Interferon Antiviral agent Human studies
Insulin Treatment of diabetes Human studies
Metoclopramide HCI Antiemetic Human studies
Vaccines Influenza, measles, polio etc. Human studies
The normal functioning of the nose is closely the turbinates (see Fig. 32.1) cause turbulent flow,
related to its anatomy, for not only is it a sensory bringing the air into close contact with the nasal
organ, it also conditions inspired air, heating and lining. The large surface area of the nasal cavity and
humidifying it before it reaches the lungs. Air passes the rich underlying vasculature cause rapid heat and
through the constriction of the nasal valve with a moisture transfer to the air; these are also factors
high linear velocity, but the sharp change in direction that predispose the nasal cavity to being a good site
of the flow into the nasal cavity and the presence of for drug absorption.
490
NASAL DRUG DELIVERY
Fig. 32.1 Cross-section of human nasal cavity, showing major structures relevant to nasal drug administration.
491
DOSAGE FORM DESIGN AND MANUFACTURE
phase II conjugative enzymes. Although these These data, even though they relate to a small
enzymes have usually been investigated for toxico- group of compounds, show the utility of the nasal
logical reasons, they may interfere with the efficient route, and they led to the proposal that the drugs
absorption of drugs. This is especially true for (which tended to be hydrophilic) were absorbed by
peptide- and protein-based drugs, as various non-specific diffusion through aqueous channels
enzymes, such as aminopeptidases, can significantly between the cells, although other routes were a pos-
decrease the drug's bioavailability. It is now recog- sibility. The molecular weight cut-off occurs because
nized that proteins and peptides are faced with only molecules that are smaller than the channels
substantial enzymatic, as well as physical, barriers to can diffuse through them. The hypothesis that trans-
absorption across mucosal surfaces (Lee et al 1992). port can occur through aqueous channels has
The development of new nasal dosage forms received support in other studies using homologous
should therefore include some consideration of the series of hydrophilic compounds, such as poly (ethyl-
nature, extent and location of the drug's metabolism ene glycols) (Donovan et al 1990) and labelled dex-
in the nose. Not all metabolism is undesirable, trans with molecular weights between 1260 and
however, and certain enzymes, such as esterases, 45 500 Da (Fisher et al 1992).
open the possibility of using prodrugs as a means of
improving nasal delivery.
The effect of pH and the partition
coefficient
Although molecular size is undoubtedly an
PHYSICOCHEMICAL FACTORS important factor in influencing nasal absorption, the
INFLUENCING DRUG ABSORPTION IN evidence in the preceding section tends to be based
THE NASAL CAVITY upon water-soluble compounds. More lipophilic
compounds are likely to travel through one of the
Investigation of how the physicochemical properties alternative routes, probably by partitioning across
of various drugs influence their nasal absorption has the mucosal cell membranes and diffusing through
provided some insight into the various mechanisms the cells at a rate slower than through intercellular
and routes of drug absorption. The most important channels. Most drugs can be ionized, and their
properties are probably the size of the drug mole- partition coefficients are dependent upon environ-
cule, its charge and its degree of hydrophilicity (or mental pH (unionized compounds will have a higher
lipophilicity). oil/water partition coefficient than ionized ones).
The pH at the surface of the mucosal cells has
been reported to be 7.39 (Hirai et al 198la); the
Molecular size and weight mucus layer is slightly acidic, at pH 5.5-6.5 (Chien
McMartin et al (1987) compiled literature data for 1992). It should be mentioned that the local pH can
over two dozen compounds ranging in molecular be modified by a nasal formulation. Hirai et al
weight from 160 to 34 000 Da. Wherever possible, (198la) studied absorption in a perfused rat model
comparisons were made between absorption of the of two model drug compounds at various pHs, a
same compound after delivery by the nasal route in base (aminopyrine) and an acid (salicylic acid). The
humans and rats and oral administration in humans. rate of absorption for both drugs increased as they
All three models showed similar effects: the absorp- became less ionized. Aminopyrine is absorbed more
tion of small compounds (approx. 100 Da) was high, quickly at higher pHs, and the curve of absorption
at around 80%, but this decreased markedly as rate versus pH closely followed the degree of ioniza-
molecular weight increased. Nasal absorption of a tion versus pH curve. This suggests that the more
drug with a given molecular weight was slightly lipophilic, unionized form of the drug is absorbed by
higher in rats than in humans, but the greatest dif- passive diffusion through the mucosal cells. The
ference was seen between oral absorption and nasal salicylic acid was also absorbed more quickly in its
absorption in humans. Drug absorption after nasal unionized form (at low pH); the rate of absorption
administration was very much higher than after oral did not correspond with the degree of ionization:
delivery of a particular compound. Also, the molec- instead, it was higher than predicted. In this case it
ular weight cut-off, beyond which absorption was was suggested that there was another mechanism
negligible, was about two orders of magnitude better working alongside the slower diffusion through the
for nasal administration (about 20 000 Da compared cells, possibly the salicylic acid enhancing its own
to around 200 Da for peroral delivery). absorption. It is worth noting that despite both of the
492
NASAL DRUG DELIVERY
model compounds being relatively small, there was Other physicochemical factors affecting
no suggestion in this study of a fast absorption nasal absorption
through intercellular channels.
Other mechanisms of drug absorption are also The solubility of the drug and its dissolution rate are
present in the nose. The absorption of benzoic acid important, especially if it is presented as a solid
decreases as pH increases, but there was still appre- dosage form (e.g. a powder), as it must be able to
ciable absorption at pHs where the acid is com- cross the mucous layer before it can be absorbed by
pletely ionised (Huang et al 1985), suggesting the the epithelial cells. In addition, powder morphology
existence of two methods of absorption. It is possible and particle size influence the deposition of the drug
that low pHs can have a direct action on the nasal inside the nasal cavity. All of these factors must be
mucosa: the absorption of secretin was greater at low considered in the design of formulations and will be
pHs, and histological examination of the epithelial addressed later in this chapter.
cells found changes in their structure at pH 3
(Ohwaki et al 1987). Physicochemical properties and
The effect of pH on peptide drugs is more mechanisms of absorption - a summary
complex than on conventional drugs, as peptides
have a large number of ionizable groups of either The above discussion has shown that the influence of
charge. Peptides are characterized by their isoelectric various properties on the absorption of drugs can
point, the pH at which they have no net charge and provide valuable indicators about the mechanisms of
drug absorption. It is also clear that the nasal
where their solubility is often lowest. The nasal
absorption of insulin (isoelectric point at pH 5.4), as absorption of drugs is a complicated affair, and there
measured by the reduction in blood sugar in dogs, is rarely a single way in which a drug can be
was greatest at a solution pH of 3.1 (net positive absorbed. Chien (1992) has written about the
charge on insulin) and lowest at pH 6.1, near its various absorption mechanisms; the summary given
isoelectric point. The absorption mechanisms of below is a broad generalization.
peptides are however, complex, owing to their size Aqueous channels between the cells provide a
and structure, and it is unlikely that the effect of pH relatively good route for water-soluble compounds,
on insulin absorption is due to a more favourable with absorption being limited mostly by molecular
partitioning of the protein. Indeed, there could well size. Other drugs are absorbed by passive diffusion,
have been direct effects on the epithelial cells at possibly using a transcellular route, and there is
pH3.1. evidence for active transport of some amino acids.
The role of the partition coefficient so far has Whatever the mechanism, combined literature data
largely been inferred from the relative proportions of suggest that molecules with a molecular weight up to
the ionized to the unionized forms of the drug, but about 1000 Da should have a relatively good
this relationship is not pronounced. The absorption systemic bioavailability without the need for absorp-
tion promoters. Absorption promoters could
of a series of barbiturates was studied at pH 6.0,
when they would be largely unionized, and only a increase this molecular weight limit to about
fourfold variation in absorption was found despite a 6000 Da, but beyond this weight it is unlikely that
nearly 50-fold range in the chloroform/water parti- large molecules could be absorbed without causing
tion coefficient (Huang et al 1985). An investigation unacceptable damage to the nasal cavity.
into the dependence of the absorption of a series of
progesterone derivatives on their octanol/water
partition coefficients gave a similar finding: absorp-
tion increased with partition coefficient, but to a
STRATEGIES FOR IMPROVING DRUG
markedly lower extent (Corbo et al 1989).The latter
AVAILABILITY IN NASAL
workers determined partition coefficients in a nasal
ADMINISTRATION
mucosa-buffer system and found a much better cor-
There are three main ways to maximize the
relation with absorption than the conventional
systemic bioavailability of drugs administered
oil/water models give. It is clear from these findings
nasally:
that an appropriate measure of partitioning must be
used in order to determine the role of partitioning in Improve nasal residence time
nasal absorption, but in general it appears that Enhance nasal absorption
partitioning is rarely the only factor controlling Modify drug structure to change physicochemical
absorption. properties.
493
DOSAGE FORM DESIGN AND MANUFACTURE
494
NASAL DRUG DELIVERY
The most likely of these mechanisms for increasing naturally as part of cell membranes and, as might be
the absorption of peptides is the opening of intercel- expected, one mechanism of action of phosphatidyl-
lular channels, rather than increasing cell permeabil- cholines is to disrupt the cell membrane and increase
ity; the latter would probably require massive its permeability. They may also inhibit proteolytic
disruption of the cell before substantial quantities of enzymes, and lysophosphatidylcholine is mucolytic.
peptide could pass. Although bile salts are claimed to They are effective enhancers of protein absorption
be safer than surfactants they can still cause damage and, despite their proposed mechanism of action, do
to epithelial cells. Again there is a positive correlation not cause the expected damage to the nasal lining.
between their enhancing activity and the damage Dodecanoyl-L-a-phosphatidylcholine (DPPC) is
caused. one derivative which has been developed with a high
Merkus et al (1993) have documented the activity and low toxicity profile. It is undergoing
damage potential of a number of bile salts and sur- development as an enhancer for insulin. Early
factants, using an index of morphological damage studies showed that DPPC increases the absorption
and a measurement of toxicity on the cilia of insulin in humans with little or no irritation to the
(specifically the ciliary beat frequency, CBF). nose, although more recent work suggests that the
Decreases in CBF correspond to cellular damage, amount of insulin absorbed by this route may not be
and measurement of CBF has the advantage of therapeutically useful (Hinchcliffe and Ilium 1999).
providing a relatively easy quantitative measure of Cyclodextrins (CD) are hollow cylindrical mole-
toxicity which can be used to show the change in cules made up of glucose units in a cyclic arrange-
toxicity with time, including any reversal. ment: a-CD has six glucose units, /3-CD has seven
Ciliotoxicity can also furnish another explanation and y-CD has eight. These compounds have found a
for increased absorption, because a lower CBF wide range of pharmaceutical uses, from solubility
tends to increase nasal residence time. enhancement to taste masking, because of their
Sodium tauro-24,25-dihydrofusidate (STDHF) is ability to form 'inclusion complexes'. Here, part or all
an enhancer with a structure similar to bile salts that of a drug molecule inserts itself in the hollow central
has been widely studied as an enhancer for proteins. cavity of the cyclodextrin molecule. The complexed
It has good aqueous stability and solubility (>10% drug molecule takes on some of the physicochemical
w/v) and is surface active, forming micelles at a crit- properties of the cylcodextrin molecule. Derivatives
ical micelle concentration of 2.5mM. One study has of the cyclodextrins can be used to modify these
found an approximately tenfold increase in the properties. Cyclodextrins have polar outer surfaces
bioavailability of human insulin and increases in the and less polar interiors, so they tend to be water-
bioavailability of labelled dextrans ranging from soluble but have the ability to accommodate
about fourfold (40 000 Da dextran) up to 72 times hydrophobic molecules as part of the inclusion
(4000 Da) (Lee and Baldwin 1992). The degree of complex. This results in an increased aqueous
penetration enhancement depends on the concentra- solubility for the included species.
tion of the STDHF, reaching a maximum at around Cyclodextrins increase the bioavailability of
0.3%. As this is over the critical micelle concentra- lipophilic compounds by increasing their aqueous
tion, any further increase in STDHF concentration solubility, and hence their availability, at the surface
will see a rise in the number of micelles, not individ- of the nasal epithelium (Merkus et al 1999). As an
ual enhancer monomers. It can be concluded that example, dimethyl-j6-cyclodextrin (DM/3CD) gives
the monomer concentration is more important for an absolute bioavailability for oestradiol of 95% in
producing the enhancing effect than the number rats and 67% in rabbits, a three- to five-fold increase
of micelles. The same authors claim that STDHF compared with a control preparation. This has been
produces only a temporary increase in absorption supported by clinical data in humans showing that
and causes relatively little cell damage, although nasally administered oestradiol is effective as an
Merkus et al (1993) show that STDHF is ciliotoxic oestrogen-replacement therapy in ovariectomized
at its optimum enhancing concentration. It should postmenopausal women.
be noted, however, that the ciliotoxicity depends on Data are available to show the enhancement of
the model used, with a much lower degree of toxic- absorption of other lipophilic compounds and
ity in human tissue than in the animal model used even hydrophilic drugs. Hydrophilic drugs which
(chicken trachea). have an enhanced absorption include peptides (e.g.
Another group of surface-active materials is the buserelin) and proteins (e.g. calcitonin).The bioavail-
phosphatidylcholines, for example lysophosphatidyl- ability of insulin is not increased to a therapeutic
choline. These are similar to compounds that occur level. Insulin is one of the major goals for therapeutic
495
DOSAGE FORM DESIGN AND MANUFACTURE
496
NASAL DRUG DELIVERY
dynamic particle size are the means by which the for- mulation is expelled through a plain orifice without
mulator can influence this type of deposition. any type of valve system, is subject to contamination
Sedimentation Sedimentation happens when the by 'suck-back', as external material can be drawn back
air is moving slowly and the particles settle slowly into the container as the pressure on it is released.
under the force of gravity. This mode of deposition is Metered-dose pump systems Metered-dose pump
described by Stokes' equation. The only control the systems offer greater control over dosing than any of
formulator can have over this practically is to ensure the previous systems. They can deliver solutions,
a slow flow rate and by modifying the drug particle suspensions or emulsions, with a predetermined
size or formulation droplet size. volume between 25 and 200 /zL, thus offering depo-
Diffusion The final method of deposition, diffu- sition over a large area. The formulation scientist is
sion, occurs by Brownian motion and is thus limited able to incorporate a high degree of control over the
to very small particles (< 0.5 /mi). Normally size and localization of the dose by changing various
diffusion is not important, as the inspired particles factors, such as the rheological and surface tension
are too large. characteristics of the formulation and the design and
geometry of the pump.
The interactions between these factors are
Nasal dosage forms
complex, but one example will show the type of
Nasal dosage forms will usually contain the drug in control that is available. The angle at which the spray
a liquid or powder formulation delivered by a leaves the nozzle (the cone angle) will affect where
pressurized or pump system. There have been several the formulation is deposited. A small cone angle
studies that have looked at the influence of dosage (about 35) tends to be deposited towards the back
form and delivery system on the deposition and of the nasal cavity and larger angles (tending towards
absorption of drugs, and useful summaries are given 90) will go further forward.
by Kublik and Vidgren (1998) and Su (1991). Metered-dose systems are also available as pres-
Liquid formulation Liquid formulations are surized products. These permit the delivery of solid
usually aqueous solutions of the drug and thus have particulate preparations and present special formu-
the general benefits and drawbacks of pharmaceuti- lation challenges because of the requirement to form
cal solutions. They are relatively simple to develop a stable dispersion of the drug in the propellant
and manufacture compared to solid dosage forms, system. Pressurized metered-dose systems give a
but often have a lower microbiological and chemical good distribution of the formulation in the nasal
stability, requiring the use of various preservatives. cavity, but there is evidence that it is not as even as
The liquid form can be soothing to the nasal lining the distribution from metered-dose pumps.
but this may be countered by the excipients, such as Particle size and dose volume are two important
the antimicrobial preservatives, which can cause factors for controlling delivery from metered-dose
irritation or ciliotoxicity. The simplest way to give a systems. The optimum particle size for deposition in
liquid is by nose drops, but their cheapness and con- the nasal cavity is 10 jam (mass median diameter;
venience are usually outweighed by the inaccuracy of Su 1991). In addition, particulate formulations tend
dosing volume and the likelihood of too-rapid to have a longer residence time in the nasal cavity
clearance by the liquid running straight into the than liquids, because they are removed more slowly
oesophagus. Dosing accuracy can be improved by by mucociliary clearance.
using unit-dose packs containing a predetermined The volume of formulation that can be delivered is
volume, but it is still the case that accurate placing of obviously limited by the size of the nasal cavity, and
the drops requires some skill and dexterity on the larger volumes tend to be cleared faster despite cover-
part of the user. ing a larger area. Better absorption is often achieved
Squeezed bottles Squeezed bottles are often used by administering two doses, one in each nostril, rather
for nasal decongestants and work by spraying a par- than a single large dose (e.g. two 80 ^iL doses rather
tially atomized jet of liquid into the nasal cavity. They than one 140 /xL; Kublik and Vidgren 1998).
give a better absorption of drug by directing the
formulation into the anterior part of the cavity and
covering a large part of the nasal mucosa. Deposition
and volume are still subject to the technique of the CONCLUDING REMARKS
user - whether the patient squeezes the bottle
smoothly or in a series of vigorous squirts, for The nasal route is one of many which is receiving a
example. This type of delivery system, where the for- large amount of attention as a way of delivering
497
DOSAGE FORM DESIGN AND MANUFACTURE
drugs into the systemic circulation. Attention is Huang, C., Kimura, R., Nassar, R., Hussain, A.A. (1985)
focused particularly on peptide and protein drugs, Mechanism of nasal absorption of drugs I:
Physicochemical parameters influencing the rate of in-situ
and several have reached the market. Delivery nasal absorption of drugs in rats. J. Pharm. Sci., 74,
systems for these drugs will often need to incorpo- 608-611.
rate absorption enhancers or some means of increas- Ilium, L. (1998) Chitosan and its use as a pharmaceutical
ing the time that the drug is in contact with the nasal excipient. Pharm. Res. 15, 1326-1331.
Ilium, L., Jorgensen, H., Bisgaard, H. (1987) Bioadhesive
lining.
microspheres as a potential nasal drug delivery system.
Recent advances uphold the promise of the nasal Im.J. Pharm., 39, 189-199.
route as a convenient way to administer a wide range Junginger, H.E. (1990) Bioadhesive polymer systems for
of drugs. peptide delivery. Acta Pharm. Tech., 36, 110-126.
Krishnamoorthy, R., Mitra, A.K. (1998) Prodrugs for nasal
drug delivery. Adv. Drug Del. Rev., 29, 135-146.
Kublik, H.,Vidgren, M.T. (1998) Nasal delivery systems and
their effect on deposition and absorption. Adv. Drug Del.
Rev., 29, 157-177.
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Hinchcliffe, M., Ilium, L. (1999) Intranasal insulin delivery Sarkar, M.A. (1992) Drug metabolism in the nasal mucosa.
and therapy. Adv. Drug Del. Rev. 35, 199-234. Pharm. Res., 9, 1-9.
Hirai, S.,Yahika,T., Matsuzawa,T., Mima. H. (1981a) Schipper, N.G.M., Verhoef, J.C., Merkus, F.W.H.M. (1991)
Absorption of drugs from the nasal mucosa of rat. Int. J. The nasal mucociliary clearance: relevance to nasal drug
Pharm. 7,317-325. delivery. Pharm. Res., 7, 807-814.
Hirai, S.,Yashiki,T., Mima, H. (1981b) Mechanisms for the Su, K.S.E. (1991) Nasal delivery. In Lee, V.H.L. (ed)
enhancement of the nasal absorption of insulin by Peptide and Protein Drug Delivery. Marcel Dekker,
surfactants. Int. J. Pharm., 9, 173-184. New York, Ch 13.
498
33
Transdermal drug delivery
Brian Barry
CHAPTER CONTENTS
499
DOSAGE FORM DESIGN AND MANUFACTURE
500
TRANSDERMAL DRUG DELIVERY
anger, and the sweating of anxiety). The integument Topical and systemic drugs, toiletries and cosmetics
identifies individuals through the characteristics par- and many diseases may all harm the skin.
ticular to humans, e.g. colour, hair, odour and
texture.
Anatomy and physiology
Skin damages easily: mechanically, chemically,
biologically and by radiation. Thus the tissue suffers The human skin comprises three tissue layers: the
cuts, bruises, burns, bites and stings; detergents, stratified, avascular, cellular epidermis, the under-
chemical residues, organic solvents and pollutants lying dermis of connective tissue, and the subcuta-
attack and penetrate the surface; and micro- neous fat (Fig. 33.1 (a)). Hairy skin contains hair
organisms and plants deliver contact allergens. follicles and sebaceous glands; the glabrous skin of
Fig. 33.1 Simplified diagram of skin structure and routes of drug penetration, (a) Macroroutes: (1) via the sweat ducts; (2) across the
continuous stratum corneum; or (3) through the hair follicles with their associated sebaceous glands, (b) Representation of the stratum
corneum membrane, illustrating two possible microroutes for permeation.
501
DOSAGE FORM DESIGN AND MANUFACTURE
the soles and palms produces a thick epidermis with synthesizes and stores readily available high-energy
a compact stratum corneum, but there are no hair chemicals.
follicles or sebaceous glands.
The skin appendages
The epidermis
The eccrine sweat glands (2-5 million) produce
The multilayered epidermis varies in thickness, sweat (pH 4.0-6.8) and may also secrete drugs, pro-
ranging from about 0.8 mm on the palms and soles to teins, antibodies and antigens. Their principal func-
0.006 mm on the eyelids. The cells of the basal layer tion is to aid heat control, but emotional stress can
(stratum germinativum) divide and migrate upwards also provoke sweating (the clammy palm syndrome).
to produce the stratum corneum or horny layer. The apocrine sweat glands develop at the
Humans survive in a non-aqueous environment pilosebaceous follicle to provide the characteristic
because of the almost impermeable nature of this adult distribution in the armpit (axilla), the breast
dead, dense layer, which is crucially important in con- areola and the perianal region. The milky or oily
trolling the percutaneous absorption of drugs arid secretion may be coloured and contains proteins,
other chemicals. The stratum corneum may be only lipids, lipoproteins and saccharides. Surface bacteria
10 (Jim thick when dry but swells severalfold in water. metabolize this odourless liquid to produce the char-
There are two main types of horny layer: the pads of acteristic body smell.
the palms and soles, which are adapted for weight Hair follicles develop over all skin except the red
bearing and friction, and the remaining flexible, rather part of the lips, the palms and soles, and parts of the
impermeable membranous layer. The basal cell layer sex organs. One or more sebaceous glands, and in
also includes melanocytes, which produce and distrib- some body regions an apocrine gland, open into the
ute melanin granules to the keratinocytes. Langerhans' follicle above the muscle that attaches the follicle to
cells (important in defence mechanisms operated by the dermoepidermal junction.
the immune system) are prominent in the epidermis. Sebaceous glands are most numerous and largest
on the face, the forehead, in the ear, on the midline
of the back and on anogenital surfaces; the palms
The dermis
and soles usually lack them. These holocrine glands
The dermis (or coriurri), at 3-5 mm thick, consists produce sebum from cell disintegration; its principal
of a matrix of connective tissue woven from fibrous components are glycerides, free fatty acids, choles-
proteins (collagen, elastin and reticulin) that are terol, cholesterol esters, wax esters and squalene.
embedded in an amorphous ground substance of Abnormal sebaceous activity may lead to seborrhoea
mucopolysaccharide. Nerves, blood vessels and lym- (excess sebum), gland hyperplasia without clinical
phatics traverse the matrix and skin appendages seborrhoea, obstruction of the pilosebaceous canal
(eccrine sweat glands, apocrine glands, and piloseba- (acne and comedones - whiteheads or blackheads),
ceous units) pierce it. The dermis needs an efficient and other types of dysfunction - the dyssebacias.
blood supply to convey nutrients, remove waste prod- The nails, like hair, consist of 'hard' keratin with
ucts, regulate pressure and temperature, mobilize a relatively high sulphur content, mainly as cysteine.
defence forces and contribute to skin colour. Branches Unlike the stratum corneum, the nail behaves as a
from the arterial plexus deliver blood to sweat glands, hydrophilic matrix with respect to its permeability.
hair follicles, subcutaneous fat and the dermis itself.
This supply reaches to within 0.2 mm of the skin
surface, so that it quickly absorbs and systematically
Functions of the skin
dilutes most compounds passing the epidermis. The The skin performs many varied functions but here
generous blood volume in the skin usually acts as a we need consider only some aspects of its contain-
'sink' for diffusing molecules reaching the capillaries, ment and protective roles.
keeping penetrant concentrations in the dermis very
low, maximizing epidermal concentration gradients,
Mechanical function
and thus promoting percutaneous absorption.
The dermis provides the mechanical properties of
skin, with the epidermis playing a minor part. Skin is
The subcutaneous tissue
elastic, but once it has taken up its initial slack it
The subcutaneous fat (subcutis, hypoderrri) pro- extends further only with difficulty. With age, the
vides a mechanical cushion and a thermal barrier; it skin wrinkles and becomes more rigid. The thin
502
TRANSDERMAL DRUG DELIVERY
horny layer is quite strong and depends for its plia- disease, malignant melanoma and basal cell
bility on a correct balance of lipids, water-soluble carcinoma may evolve.
hygroscopic substances (the natural moisturising Heat barrier and temperature regulation The stratum
factor - NMF) and particularly water. The tissue corneum is so thin over most body areas that it does
requires some 10-20% of moisture to act as a plasti- not effectively protect the underlying living tissues
cizer and so maintain its suppleness. from extremes of cold and heat; it is not an efficient
heat insulator. The skin, however, is the organ pri-
marily responsible for maintaining the body at 37
Protective function
C.To conserve heat, the peripheral circulation shuts
Microbiological barrier The stratum corneum pro- down to minimize surface heat loss; shivering gener-
vides a microbiological barrier and the sloughing of ates energy when chilling is severe. To lose heat,
groups of corneocytes (squames), with their adher- blood vessels dilate, eccrine sweat glands pour out
ing microorganisms, aids the protective mechanism. their dilute saline secretion, water evaporates, and
However, microbes penetrate superficial cracks and removal of the heat of vaporization cools the body.
damaged stratum corneum may allow access to the Electrical barrier In dry skin, resistance and
lower tissues, where infection may develop. The so- impedance are much higher than in other biological
called acid mantle (produced by sebaceous and tissues.
eccrine secretions, at pH 4.2-5.6) probably does not Mechanical shock An acute violent blow bruises
defend the skin against bacteria via its acidity, as was and blisters the skin; friction may blister or thicken
once thought. However, skin glands also secrete the epidermis, producing callosities and corns.
short-chain fatty acids that inhibit bacterial and Accidental minor trauma to patients on cortico-
fungal growth. Nitric oxide, produced from nitrates steroids may severely damage their skin, when the
in sweat, may help to prevent infections from skin collagen is thinned by drug overuse.
pathogens, just as acidified nitrite has an antimicro-
bial action in the oral and gastrointestinal tracts.
Rational approach to drug delivery to
Bacteria are unlikely to enter the tiny opening of the
inner duct of the eccrine gland; the entrances to the
and via the skin
apocrine gland and the hair follicle are much wider, There are three main ways to attack the problem of
and these appendages may become infected. formulating a successful topical dosage form:
Chemical barrier An important function of human
1. We can manipulate the barrier function of the
skin is to bar the entry of unwanted molecules from
skin: for example, topical antibiotics and
outside while controlling the loss of water, elec-
antibacterials help a damaged barrier to ward off
trolytes and other endogenous constituents. The
infection; sunscreen agents and the horny layer
horny layer is very impermeable to most chemicals
protect the viable tissues from ultraviolet
and usually contributes the rate-limiting step in
radiation; and emollient preparations restore
transdermal absorption. The intact skin is a very
pliability to a desiccated horny layer.
effective barricade because the diffusional resistance
2. We can direct drugs to the viable skin tissues
of the horny layer is large and the permeable
without using oral, systemic or other routes of
appendageal shunt route provides only a small frac-
therapy.
tional area (about 0.1%).
3. The third approach uses skin delivery for
Radiation barrier For skin exposed to sunlight,
systemic treatment. For example, transdermal
ultraviolet light of 290-400 nm is the most damaging.
therapeutic systems provide systemic therapy for
Three main acute reactions follow irradiation:
conditions such as motion sickness, angina and
erythema, pigmentation and epidermal thickening.
pain.
Ultraviolet light stimulates melanocytes to produce
melanin, which partially protects the skin. In a severe Dermatologists aim at five main target regions: skin
photosensitive disease such as xeroderma pigmento- surface, horny layer, viable epidermis and upper
sum, sunlight may induce changes even in patients dermis, skin glands and systemic circulation
whose intense racial pigmentation makes them less (Figs. 33.1 and 33.2).
susceptible to sunburn. Chronic reactions to sunlight
include skin 'ageing', premalignancy and malignancy.
Surface treatment
Sun-damaged skin may produce solar keratoses,
progressing to a squamous cell carcinoma. Bowen's We care for the skin surface mainly by using a simple
camouflage or cosmetic application, by forming a
503
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 33.2 The macroroutes by which drugs penetrate the skin and examples of treatments appropriate to disorders of the various
strata (Reproduced with permission from Barry (1983).)
protective layer, or by attacking bacteria and fungi. confirm that the formulation releases and does not
Some examples include protective films, sunscreens, bind the medicament.
and barriers that hinder moisture loss and so avert
chapping. For topical antibiotics, antiseptics and
Stratum corneum treatment
deodorants, the surface microorganisms are the
target. Then, effective surface bioavailability requires The main therapies aimed at the horny layer improve
that the formulation should release the antimicrobial emolliency by raising water content, or stimulate
so it can penetrate the surface skin fissures and reach sloughing (keratosis) with, for example, salicylic
the organisms. Developmental studies should at least acid. The insertion of moisturizing agents or kera-
504
TRANSDERMAL DRUG DELIVERY
tolytics into the stratum corneum involves their malignant skin tumours, and treat psoriasis. The
release from the vehicle and penetration into the psoralens (particularly in conjunction with ultra-
tissue. Ideally, the medicament should not enter violet light - PUVA therapy) mitigate psoriasis; and
viable skin, but this is difficult to prevent. 5-aminolaevulinic acid (with visible light irradiation
- photodynamic therapy) treats skin cancer.
Skin appendage treatment
We may reduce hyperhydrosis of the sweat glands Transcutaneous immunization
with antiperspirants such as aluminium or other The skin has a highly effective immunological
metal salts. In acne we use topical exfolients such as surveillance and effector system. A new therapy
salicylic acid, tretinoin (retinoic acid) or isotretinoin, involves developing transcutaneous immunization
and benzoyl peroxide and antibiotics such as via the topical application of vaccine antigens. The
erythromycin and clindamycin. Other topical anti- process uses an adjuvant such as cholera toxin added
biotics applied in skin treatment include framycetin to a vaccine antigen (e.g. diphtheria toxoid) to
and neomycin sulphates, fusidic acid, polymyxins induce antibodies to the diphtheria toxoid. The adju-
and mupirocin. Depilatories usually contain stron- vant and the antigen target Langerhans' cells, potent
tium or barium sulphides, or thioglycolates; male- antigen-presenting cells in the epidermis. Simple
pattern baldness may be treated with minoxidil and application of the vaccine formulation to the skin of
finasteride. Topical imidazoles (clotrimazole, econo- experimental animals and human volunteers has
zole, miconazole, ketoconazole and sulconazole), produced positive responses.
amoralfine and terbinafme treat fungal diseases of
the nails, stratum corneum and hair.
Delivering the medicament to the diseased site is Systemic treatment via transdermal absorption
a problem with appendage treatment. For example, Generally, in the past healthy skin has not been used
it is difficult to achieve a high antibiotic concentra- as a drug route during systemic attacks on disease,
tion in a sebaceous gland when, as in acne, a horny with the noteworthy exceptions of nitroglycerin and
plug blocks the follicle. When delivered through the antileprotics. The body absorbs drugs slowly and
skin, the drug may not be sufficiently hydrophobic to incompletely through the stratum corneum, and
partition from the water-rich viable epidermis and much of the preparation is lost by washing, by adher-
dermis into the sebum-filled gland. ence to clothes and by shedding with stratum
corneum scales. Other problems include marked
Viable epidermis and dermis treatment variations in skin permeability with regard to
subject, site, age and condition, which make control
We can treat many diseases provided that the prepa- difficult. However, in recent years considerable
ration delivers drug to the receptor efficiently. scientific work has led to the route being used to
However, many potentially valuable drugs cannot be treat several conditions by means of transdermal
used topically as they do not readily cross the patches (see later).
stratum corneum. Hence, investigators may use Figure 33.2 illustrates drug penetration routes and
stratagems such as adding penetration enhancers to examples of treatments appropriate to various skin
diminish this layer's barrier function (see later). strata.
Another approach develops prodrugs, which reach
the biological receptor and release the pharmacolog-
ically active fragment. The efficacy of many topical
steroids depends partly on molecular groups that
promote percutaneous absorption but which may
DRUG TRANSPORT THROUGH THE SKIN
not enhance drug-receptor binding.
Drug examples include topical steroidal and non-
Basic principles of diffusion through
steroidal anti-inflammatory agents; corticosteroids
membranes
may also be used in psoriasis. Antibiotics include A useful way to study percutaneous absorption is first
those listed above. Anaesthetic drugs such as benzo- to consider how molecules penetrate inert (artificial)
caine, amethocaine and lignocaine reduce pain, and membranes, and then move on to the special situ-
antipruritics and antihistamines alleviate itch, but ation of skin transport. An understanding of the basic
they may cause sensitization. Topical 5-fluorouracil principles of permeation through membranes is also
and methotrexate eradicate premalignant and some valuable in all other areas of biopharmaceutics: oral,
505
DOSAGE FORM DESIGN AND MANUFACTURE
506
TRANSDERMAL DRUG DELIVERY
several strata. We can treat skin in terms of a lami- diseased. Furthermore, in the intact skin substances
nate, each layer of which contributes a diffusional penetrate at rates that may differ 10 000-fold. It is
resistance, R, which is directly proportional to the important that pharmaceutical scientists predict and
layer thickness h and indirectly proportional to the control this selective permeability by relating the
product of the layer diffusivity D and the partition physiological and physicochemical attributes of the
coefficient Kwith respect to the external phase. The skin to the properties of the penetrant in a vehicle. We
total diffusional resistance of all the layers in a three- need to correlate the intrinsic properties of the skin
ply membrane such as skin (stratum corneum, viable barrier with the molecular requirements for breach-
epidermis and dermis) is given by the expression: ing it, as modified by interactions with the compo-
nents of topical vehicles. The eventual aim in
dermatological biopharmaceutics is to design drugs
with selective penetrability for incorporation into
Here RT is the total resistance to permeation, PT is vehicles or devices that deliver the medicament to the
the thickness-weighted permeability coefficient, and active site, at a controlled rate and concentration, for
the numerals refer to the separate skin layers. the necessary time.
If one segment has a much greater resistance than
the other layers (e.g. the stratum corneum compared
Routes of penetration
to the viable epidermis or dermis) then the single
high-resistance phase determines the composite When a molecule reaches intact skin it contacts
barrier properties. Then PT = Kv Dl/hl) where the cellular debris, microorganisms, sebum and other
subscript 1 refers to the resistant phase. materials. The diffusant then has three potential
Barriers in parallel Human skin is pierced by entry routes to the viable tissue: through the hair
shunts and pores, such as hair follicles and sweat follicles with their associated sebaceous glands, via
glands (Fig. 33.1). Investigators often idealize this the sweat ducts; or across the continuous stratum
complex structure and consider the simple situation corneum between these appendages (see Fig. 33.1).
in which the diffusional medium consists of two or We can summarize the relevant features before
more diffusional pathways linked in parallel. Then arriving at a general conclusion.
the total diffusional flux per unit area of composite,
7T, is the sum of the individual fluxes through the
Sebum and surface material
separate routes. Thus:
The layer of sebum mixed with sweat, bacteria
and dead cells is thin (0.4-10 yam), irregular and dis-
where /15 /2 etc. denote the fractional areas for each continuous; it hardly affects transdermal absorption.
diffusional route and Jl3 J2 etc. are the fluxes per This lack of significant effect may seem surprising,
unit area of each separate route. In general, for inde- particularly as over 300 volatile compounds have
pendent linear parallel pathways during steady-state been detected on the skin surface, as well as many
diffusion non-volatiles.
Skin appendages
where P13 P2 ... represent the thickness-weighted
permeability coefficients. Their fractional area available for absorption is small
If only one route allows diffusant to pass, i.e. the (about 0.1%) and this route usually does not
other routes are impervious, then the solution contribute appreciably to the steady-state flux of a
reduces to the simple membrane model with the drug. However, the route may be important for ions
steady-state flux determined by the fractional area and large polar molecules that cross intact stratum
and the permeation rate through the open channel. corneum with difficulty. Skin appendages may also
act as shunts, important at short times prior to
steady state diffusion, e.g. in bioassays that use phar-
Skin transport macological reactions. Thus minute concentrations
The skin is very effective as a selective penetration of nicotinates or corticosteroids penetrating rapidly
barrier. The epidermis provides the major control down the shunt route may quickly trigger erythema
element - most small water-soluble non-electrolytes or blanching, respectively.
diffuse into the capillary system 1000 times more Although we usually ignore the hair follicle route
rapidly when the epidermis is absent, damaged or for molecular flux under steady-state conditions,
507
DOSAGE FORM DESIGN AND MANUFACTURE
very large molecules and particles of colloidal However, the dermis may bind a hormone such as
dimensions can target the follicle. Thus, 'naked' testosterone, decreasing its systemic removal. If the
DNA has been used for immunization by topical penetrant is very lipophilic it crosses the horny layer
application. It was speculated that normal follicles to meet an aqueous phase, in which it is poorly
have efficient mechanisms for inducing immune soluble. The chemical potential immediately below
responses to proteins in the follicle. A preparation the barrier may then become high, approaching that
made from antibodies from transgenic plants, when in the barrier. The potential gradient (stratum
rubbed into the scalp, neutralized the hair-loss corneum to viable tissue) thus falls, together with
effects of toxic chemicals used in cancer chemo- the flux. The rate-determining step in percutaneous
therapy. Colloidal particles, such as liposomes and absorption then becomes barrier clearance, not
small crystals, are useful for targeting the hair folli- barrier penetration.
cle. In general, particles larger than 10 /mi remain
on the skin surface, those between approximately
3 and 10 yu-m concentrate in the hair follicle, and
Conclusions
when less than 3 ^trn they penetrate follicles and The stratum corneum develops as a thin, tough,
stratum corneum alike. relatively impermeable membrane which usually
provides the rate-limiting step in transdermal drug
delivery. The entire horny layer, not just some spe-
Epidermal route
cialized region, provides the diffusional resistance.
The epidermal barrier function thus resides mainly The membrane allows no drug to pass readily, but
in the stratum corneum. This has a 'bricks and nearly all low molecular weight molecules penetrate
mortar' structure, analogous to a wall (Fig. 33.1(b)). to some extent. The lipid bilayers of the intercellular
The corneocytes, consisting of hydrated keratin, route provide the main pathway. Diffusion is passive,
comprise the 'bricks'. These are embedded in the governed by physicochemical laws in which active
'mortar', which is composed of a complex lipid transport plays no part.
mixture of ceramides, fatty acids, cholesterol and For electrolytes and large molecules with low
cholesterol esters, formed into multiple bilayers. diffusion coefficients, such as polar steroids and
Most molecules penetrating through the skin use antibiotics, and for some colloidal particles, the
this intercellular microroute. appendages may provide the main entry route.
Because stratum corneum is dead, it is assumed Once past the horny layer, molecules permeate
that there are no active transport processes and no rapidly through the living tissues and sweep into the
fundamental differences between in vivo and in systemic circulation.
vitro permeation processes. However, there may be The fraction of a drug that penetrates the skin via
discrepancies in how some substances permeate any particular route depends on:
excised skin and skin in vivo. These differences may
the physicochemical nature of the drug,
arise because we manipulate the skin to insert it
particularly its size, solubility and partition
into the diffusion apparatus, including possibly
coefficient;
damaging it.
the timescale of observation;
Topically applied agents such as steroids, hexa-
the site and condition of the skin;
chlorophane, griseofulvin, sodium fusidate and
the formulation;
fusidic acid may form a depot or reservoir by binding
how vehicle components temporarily change the
within the stratum corneum.
properties of the stratum corneum.
Diseases that disrupt the horny layer, such as
eczema and exfoliative dermatitis, may allow easier
access.
The viable layers (particularly the epidermis) may
metabolize and inactivate a drug, or activate a
PROPERTIES THAT INFLUENCE
prodrug. The dermal papillary layer contains so
TRANSDERMAL DELIVERY
many capillaries that the average residence time of a
When a preparation is applied to diseased skin the
drug in the dermis may only be about a minute
clinical result arises from a sequence of processes:
before it is washed away. Usually, the deeper dermal
layers do not influence transdermal absorption, 1. Release of the medicament from the vehicle;
although drugs such as non-steroidal anti- 2. Penetration through the skin barriers;
inflammatory agents reach as far down as muscle. 3. Activation of the pharmacological response.
508
TRANSDERMAL DRUG DELIVERY
Effective therapy optimizes these steps as they are drug or it may interact at a receptor site. After passing
affected by three components, the drug, the vehicle into the dermis, additional depot regions and
and the skin. metabolic sites may intervene as the drug moves to a
Figure 33.4, which represents the movement of capillary, partitions into its wall and out into the
drug molecules arising from, for example, a transder- blood for systemic removal. A fraction of the diffu-
mal drug delivery system with a rate-controlling sant may partition into the subcutaneous fat to form
membrane, illustrates the complexity of percuta- a further depot. A portion of the drug can reach deep
neous absorption. Any drug particles must first muscle layers, as illustrated by, for example, the
dissolve so that molecules may diffuse towards the efficacy of non-steroidal anti-inflammatory drugs.
membrane within the patch. The penetrant partitions However, there are further complications. The
into the membrane, diffuses across the polymer and following factors may be important: the non-
partitions into the skin adhesive. The molecules homogeneity of the tissues; the presence of lymphat-
diffuse towards the vehicle/stratum corneum inter- ics; interstitial fluid; hair follicles and sweat glands;
face. They then partition into the stratum corneum cell division; cell transport to and through the
and diffuse through it. Some drug may bind at a stratum corneum; and cell surface loss. The disease,
depot site; the remainder permeates further, meets a the healing process, the drug and vehicle compo-
second interface, and partitions into the viable nents may progressively modify the skin barrier. As
epidermis. For a lipophilic species this partition vehicle ingredients diffuse into the skin, cellular
coefficient may be unfavourable, i.e. less than 1. debris, sweat, sebum and surface contaminants pass
Within the epidermis, enzymes may metabolize the into the dermis, changing its physicochemical char-
acteristics. Emulsions may invert or crack when
rubbed in, and volatile solvents may evaporate.
To discuss this complicated process in a simple
fashion, we review the material under the headings
of biological factors and physicochemical factors.
However, because transdermal delivery is a dynamic
process it should be borne in mind that, as one vari-
able changes, it usually causes several effects on drug
flux. The various factors are separated for conve-
nience, but in practice this is an artificial distinction,
useful for discussion (and learning) purposes.
Biological factors
Skin condition
The intact, healthy skin is a tough barrier but many
agents can damage it. Vesicants such as acids and
alkalis injure barrier cells and thereby promote pene-
tration, as do cuts, abrasions and dermatitis. In heavy
industry, workers' skins may lose their reactivity or
'harden' because of frequent contact with irritant
chemicals.
Many solvents open up the complex dense struc-
ture of the horny layer. Mixtures of non-polar and
polar solvents, such as chloroform and methanol,
remove the lipid fraction, forming artificial shunts
through which molecules pass more easily.
Disease commonly alters skin condition;
fortunately, for biopharmaceutical purposes we
need only an elementary understanding of the gross
changes in deranged skin. We are interested mainly
Fig. 33.4 Some stages in drug delivery from a transdermal in visible damage. Is the skin inflamed, with loss of
patch. (Modified from Barry (1983), with permission.) stratum corneum and altered keratinization? Then
509
DOSAGE FORM DESIGN AND MANUFACTURE
permeability increases. Is the organ thickened, with in different healthy volunteers; the most permeable
corns, calluses and warts, or as in ichthyosis? Drug regions in some individuals compare with the least
permeation should now decrease. In diseases permeable sites in others. Investigators produce dif-
characterized by a defective stratum corneum, ferent rank orders for the permeabilities of skin sites
percutaneous absorption usually increases. Thus, a in general; such permeabilities depend on both the
psoriatic plaque may take up twice as much intrinsic resistance to permeation per unit thickness of
8-methoxypsoralen as does uninvolved skin. stratum corneum and the overall thickness of the
After injury or removal of the stratum corneum, tissue. As an example, plantar and palmar callus may
within 3 days the skin builds a temporary barrier that be 400-600 /zm thick compared to 10-20 /xm for
persists until the regenerating epidermis can form other sites. However, despite this greater thickness the
normal keratinizing cells. Even the first complete tissue is less resistant per unit thickness, so that the
layer of new stratum corneum cells formed over a flux of diffusing drug is not so decreased compared to
healing layer can markedly reduce permeation. other sites, as might be expected.
Because of the relatively high permeability and
ease of access of the site, the hyoscine Transderm
Skin age
system employs the postauricular skin (i.e. behind
It is often assumed that the skin of the young and the the ear) to insert drugs into the bloodstream.
elderly is more permeable than adult tissue, but there Originally this site was selected because it was
is little evidence for any dramatic difference. Children thought that the layers of stratum corneum are
are more susceptible to the toxic effects of drugs and thinner and less dense, there are more sweat and
chemicals, partly because of their greater surface area sebaceous glands per unit area, and many capillaries
per unit body weight; thus potent topical steroids, reach closer to the surface, increasing its tempera-
boric acid and hexachlorophane have produced ture by 4-6C relative to the thigh. However, facial
severe side-effects and death. Premature infants may skin in general is more permeable than other body
be born with no stratum corneum. This can be sites, such as the limbs or torso.
turned to advantage by treating breathing difficulties
with caffeine or pain with buprenorphine, via simple
Skin metabolism
topical application instead of intravenous injection
through tiny, delicate veins. The skin metabolizes steroid hormones, chemical
carcinogens and some drugs. Such metabolism may
determine the therapeutic efficacy of topically
Blood flow
applied compounds (particularly prodrugs) and the
Theoretically, changes in the peripheral circulation carcinogenic responses in the skin. It has been
could affect transdermal absorption; an increased estimated that the skin can metabolize some 5% of
blood flow could reduce the amount of time a candidate topical drugs.
penetrant remains in the dermis, and also raise the
concentration gradient across the skin. Usually the
Species differences
effect is not clinically important (although it can be
shown experimentally). In clinically hyperaemic Mammalian skins differ widely in characteristics
skin, any increase in absorption almost always arises such as horny layer thickness, sweat gland and hair
because the disease damages the skin barrier. Potent follicle densities, and pelt condition. The capillary
rubefacients, such as nicotinic acid esters, would also blood supply and the sweating ability differ between
only have a significant effect after damaging the skin. humans and common laboratory animals. Such
Potent vasoconstricting agents, such as topical factors affect the routes of penetration and the resis-
steroids, could reduce their own clearance rate or tance to permeation. Subtle biochemical differences
that of another drug. between human and animal skins may alter reactions
between penetrants and skin. Frequently, mice, rats
and rabbits are used to assess percutaneous absorp-
Regional skin sites
tion, but their skins have more hair follicles than
Variations in cutaneous permeability around the body human skin and they lack sweat glands. Comparative
depend on the thickness and nature of the stratum studies on skin penetration indicate that, in general,
corneum and the density of skin appendages. monkey and pig skins are most like that of humans.
However, the absorption rate varies widely for a Hairless mouse skin has some similar characteristics:
specific substance passing through identical skin sites it has been widely used, but its stratum corneum is
510
TRANSDERMAL DRUG DELIVERY
fragile; hairless rat and fuzzy guinea pig may be Commercial products are often promoted as skin
better models for humans. softeners, with the presumption that they increase
Snake skin has also been selected as it has the the skin's moisture content. However, they may
benefits that no sacrifice is required (the snake sheds contain humectants such as glycerol, propylene
its skin), it is readily available, and there is little glycol or polyethylene glycol and emulsifiers that
leaching of chemicals to confuse UV assays. actually withdraw moisture from the skin.
Animal skin has been much used to obtain skin Table 33.1 summarizes the effects that skin deliv-
penetration data but it is best to use human skin ery systems may exert on stratum corneum hydra-
whenever possible. tion and permeability.
Table 33.1 Expected effects of skin delivery systems on horny layer hydration and skin permeability - in approximate
order of decreasing hydration
Occlusive dressing Plastic film, unperforated Prevents water loss; full hydration Marked increase
waterproof plaster
Occlusive patch Most transdermal patches Prevents water loss; full hydration Marked increase
Lipophilic material Paraffins, oils, fats, waxes, Prevents water toss; Marked increase
fatty acids and alcohols, may produce full hydration
esters, silicones
Absorption base Anhydrous lipid material Prevents water loss; marked hydration Marked increase
plus water/oil emulsifiers
Emulsifying base Anhydrous lipid material Prevents water loss; marked hydration Marked increase
plus oil/water emuisifiers
Water/oil emulsion Oily creams Retards water loss; raised hydration Increase
Oil/water emulsion Aqueous creams May donate water; slight hydration increase Slight increase?
Humectant Water-soluble bases, May withdraw water, decreased hydration Can decrease or act as
glycerol, glycols penetration enhancer
Powder Clays, organics, inorganics, Aid water evaporation, decreased excess Little effect on stratum
'shake' lotions hydration corneum
511
DOSAGE FORM DESIGN AND MANUFACTURE
aqueous solubility than the neutral species, in satu- consider it. Thus, the thermodynamic activity of a
rated or near-saturated solutions, they may make a penetrant in the donor phase or the membrane may
significant contribution to the total flux (i.e. be radically altered by, for example, pH change,
although K may be small for ionized species, C0 may complex formation, or the presence of surfactants,
be very high - see Eqn 33.3). micelles or cosolvents. Such factors also modify the
The stratum corneum is remarkably resistant to effective partition coefficient.
alterations in pH, tolerating a range of 3-9.
Partition coefficient
Diffusion coefficient
The partition coefficient (K, see Chapter 2) is
The diffusional speed of a molecule depends mainly important in establishing the flux of a drug through
on the state of matter of the medium. In gases and the stratum corneum (Eqn 33.3). When the mem-
air, diffusion coefficients are large because the void brane provides the sole or major source of diffusional
space available to the molecules is great compared to resistance, then the magnitude of the partition
their size, and the mean free path between molecular coefficient is very important: this can differ by a
collisions is large. In liquids the free volume is much factor of 108, drug to drug or (for one penetrant)
smaller, mean free paths are decreased and diffusion vehicle to vehicle. The stratum corneum-to-vehicle
coefficients much reduced. In skin, the diffusivities partition coefficient is then crucially important in
drop progressively and reach their lowest values establishing a high initial concentration of diffusant
within the compacted stratum corneum matrix. For in the first layer of the membrane.
a constant temperature, the diffusion coefficient of a Once it was incorrectly thought that good skin
drug in a topical vehicle or in skin depends on the penetration required a K close to unity. However,
properties of the drug and the diffusion medium and many congeneric series of molecules display an
on the interaction between them. optimal K, well below which they are too water
However, the measured value of D may reflect soluble to partition well into the horny layer. At
influences other than intrinsic mobility. For higher values the compounds are so lipid soluble that
example, some drug may bind and become immobi- they do not readily pass from the stratum corneum
lized within the stratum corneum, and this process into the water-rich viable tissue. For a drug series
affects the magnitude of D as determined from the this behaviour produces a parabolic or bilinear rela-
lag time (Eqn 33.4). However, regardless of such tion between pharmacological activity and partition
complications, the value of D measures the penetra- coefficient.
tion rate of a molecule under specified conditions Topical steroids provide a good example of the
and is therefore useful to know. importance of the partition coefficient. Thus, triam-
cinolone is five times more active systemically than
hydrocortisone, but it exhibits only about one-tenth
Drug concentration
the topical activity. Triamcinolone acetonide, with a
It was seen previously that the flux of solute is more favourable K value, shows a 1000-fold increase
proportional to the concentration gradient across the in cutaneous activity. Betamethasone possesses only
entire barrier phase (Eqn 33.3). Thus, drug perme- 10 times the topical potency of hydrocortisone,
ation usually follows Pick's law. One requirement for although it is some 30 times stronger systemically. Of
maximal flux in a thermodynamically stable situ- the 23 esters of betamethasone tested, the 17-valerate
ation is that the donor solution should be saturated. has the highest topical activity and this coincides with
A formulator can optimize the solubility of a drug the most balanced lipid/water partition coefficient.
such as a corticosteroid by controlling the solvent The anti-inflammatory responses to hydrocortisone
composition of the vehicle. Then a saturated solution and its C-21 esters behave similarly. As the side chain
may be obtained at a selected concentration of the lengthens from 0 to 6 carbon atoms, the partition
drug by experimenting with a series of solvents or, coefficient increases, as does the anti-inflammatory
more usually, by blending two liquids to form a mis- index. Thereafter the activity declines as the
cible binary mixture with suitable solvent properties. homologous series extends and the partition
Although the concentration differential is usually coefficient further increases.
considered to be the driving force for diffusion, the Polar cosolvent mixtures, such as propylene glycol
chemical potential gradient or activity gradient is with water, may produce saturated drug solutions and
actually the fundamental parameter. Often the dis- so maximize the concentration gradient across the
tinction is unimportant, but sometimes we must stratum corneum. However, the partition coefficient
512
TRANSDERMAL DRUG DELIVERY
of a drug between the membrane and the solvent determined if the effect of size could be separated
mixture generally falls as the solubility in the solvent from the resultant change in solubility characteris-
system rises. Thus, these two factors - increase in sol- tics. This is difficult to do, as the role of the partition
ubility and decrease in the magnitude of the partition coefficient is so dominant. With rare exceptions, we
coefficient - may oppose each other in promoting flux cannot experimentally increase the size of a molecule
through the membrane, when the system is not satu- without also dramatically changing its partition
rated. Hence it is important not to oversolubilize a coefficient.
drug if the aim is to promote penetration: the formu- It is even more difficult to determine the effect of
lation should be at or near saturation. molecular shape, separated from partition coefficient
Surface activity and micellization affect trans- domination, and so nothing is known about this
dermal delivery. There are two main complicating factor in skin permeation.
situations in membrane transport, one where the
drug is surface active and forms micelles, and the
other where additional surfactant is present. When
Ideal molecular properties for drug
the drug micellizes its total apparent solubility
penetration
increases dramatically but the apparent partition From the above considerations, we can deduce the
coefficient decreases. However, the free monomer ideal properties that a molecule would require so as
concentration remains constant, as does the true to penetrate the stratum corneum well. In brief,
(monomer) partition coefficient. Then, if the micelle these are:
cannot cross the membrane this aggregate has little
A low molecular mass, preferably less than
effect on the permeation process other than by
600 Da, when the diffusion coefficient will tend
serving as a reservoir to replace monomers as
to be high;
they leave to enter the skin, and by maintaining a
An adequate solubility in oil and water, so that
constant donor concentration.
the concentration gradient in the membrane can
When drug and surfactant are present, the effect
be high;
of surfactant on drug transport is complicated. The
A balanced partition coefficient;
drug in the surfactant solution partitions between
A low melting point; this correlates with good
the micellar and the non-micellar pseudophases.The
ideal solubility.
skin absorption of micellar drug may be negligible
and the effective concentration of the unassociated These features explain why transdermal patches can
diffusing species may be so lowered that its flux falls deliver adequate amounts of nicotine to be effective
drastically. However, all these effects are more in smoking cessation therapy - this drug illustrates
important for more permeable membranes such as all these requirements well.
gastrointestinal or buccal tissue.
Surfactants also have effects on skin that relate to
the lowering of interfacial tension at the skin surface
and in hair follicles, and changes in protein confor- DRUG PERMEATION THROUGH SKIN
mation and disruption of intercellular lipid packing
in the stratum corneum. They then function as pen- Stratum corneum rate controlling
etration enhancers - see later.
Complex formation is analogous in many ways to It is useful here to summarize the basic concepts
micellar solubilization in the manner in which it used in considering transdermal drug delivery, when
affects drug permeation. Thus, when complexes the drug, the skin and the vehicle interact. Usually
form, the apparent solubility and the apparent parti- the relative impermeability of the stratum corneum
tion coefficient of the drug change. An increase in provides the rate-limiting step in percutaneous
the apparent partition coefficient may promote drug absorption. The assumptions made in analysing
absorption, e.g. some caffeine-drug complexes. relevant data include:
Stratum corneum provides the rate-limiting step.
Molecular size and shape Skin is a homogenous intact membrane;
appendages are unimportant.
Absorption is apparently inversely related to molec- Only a single non-ionic drug species is
ular weight: small molecules penetrate faster than important, dissolving to form an ideal solution
large ones. However, the specific effect of the size of unaffected by pH, and dissolution is not rate
the penetrating molecule on the flux could only be limiting.
513
DOSAGE FORM DESIGN AND MANUFACTURE
Only drug diffuses from the vehicle. Formulation Stratum corneum not rate controlling
components neither diffuse nor evaporate, and
skin secretions do not dilute the vehicle. Next we consider situations in which the imperme-
Diffusion coefficient is constant with time or ability of the stratum corneum is not important, i.e.
position in the vehicle or horny layer. we are concerned only with drug and vehicle
Penetrant reaching viable tissue sweeps into the interactions. Then the release of the drug from the
circulation, maintaining sink conditions below vehicle provides the rate-limiting step and the skin
the stratum corneum. functions as a sink. This could happen in a patient
Donor phase depletes negligibly, i.e. constant with a disrupted or absent horny layer, or when drug
drug concentration in the vehicle. diffusion in the vehicle is exceptionally slow. The
Vehicle does not alter skin permeability during an vehicle also provides the rate-controlling mechanism
experiment by, for example, changing stratum in many release studies that use either no membrane
corneum hydration or by acting as a penetration or an artificial porous membrane. Such experiments
enhancer. may correlate with clinical treatment only for
Drug remains intact and unaltered. patients with severely damaged skin.
Flux estimates are steady-state values. When diffusion within the vehicle provides the
rate-controlling step, our mathematical treatment
Most analyses use Eqn 33.3, assume that h, the assumes that the skin is a sink. Thus, it maintains
stratum corneum thickness, is constant, and relate essentially zero concentration of the penetrating
changes in the penetration rate to variations in the material by passing it rapidly to the circulation. Then
other three parameters. the concentration gradient develops solely in the
An important alternative form of Eqn 33.3 uses applied formulation. Two important situations are
thermodynamic activities. Thus: absorption from solution and from suspension.
514
TRANSDERMAL DRUG DELIVERY
Absorption from suspensions: skin a perfect sink Fig. 33.6 In vitro release of betamethasone 17-benzoate from
gel formulations as a function of the square root of time: steroid
The amount and rate of release of a drug suspended strength indicated on the plots. (Reproduced with permission
in a vehicle, such as an ointment, may be related to from Barry (1983).)
time and to the variables of the system. The relevant
equations are derived for a simple model system 4. The surface to which the vehicle is applied is
under the following conditions: immiscible with the vehicle, i.e. skin secretions
do not enter the vehicle.
1. The suspended drug is micronized so that
5. Only the drug diffuses out of the vehicle; vehicle
particle diameters are much smaller than the
components neither diffuse nor evaporate.
vehicle layer thickness.
6. The receptor, which is the skin, operates as a
2. The particles are uniformly distributed and do
perfect sink.
not sediment in the vehicle.
3. The total amount of drug, soluble and We can then obtain an equation that relates m to t in
suspended, per unit volume (A) is much the form:
greater than Cs, the solubility of the drug in
the vehicle.
Fig. 33.5 In vitro release of betamethasone-17-benzoate from gel formulations as a function of time: steroid strength indicated on
plots. (Reproduced from Barry (1983), with permission.)
515
DOSAGE FORM DESIGN AND MANUFACTURE
This equation holds essentially for all times less than What is the rate-limiting step in permeation -
that corresponding to complete depletion of the sus- drug dissolution or diffusion within the vehicle
pended phase. If we differentiate Eqn 33.11 with or patch; partitioning into, or diffusion
respect to time, we obtain the instantaneous rate of through, the skin layers; or removal by the
release, dm/dt, given by: blood, lymph or tissue fluids?
How do skin condition, age, site, blood flow
and metabolism affect topical bioavailability?
Are differences between animal species
For a common condition in which the solubility of the important?
drug in the vehicle is very small and A is appreciable How do vehicles modify the release and
(i.e. A Cs), Eqn. 33.11 simplifies to: absorption of the medicament? What is the
optimal formulation for a specific drug - an
aerosol spray, a solution, suspension, gel,
powder, ointment, cream, paste, tape or
delivery device?
Are vehicle components inert, or do they
modify the permeability of the stratum
corneum, if only by changing its hydration
These equations indicate that the formulator can state?
manipulate drug bioavailability from ointment sus- To increase drug flux, should we use
pensions by altering the diffusion coefficient, the stratagems such as penetration enhancers,
total concentration or the solubility. However, iontophoresis etc.?
Eqn 33.14 predicts that dm/dt = A112; doubling A 10. Is the formulation designed correctly to treat
only increases dm/dt by about 40%. intact stratum corneum, thickened epidermis
For obvious reasons Eqns 33.9-33.14 are often or damaged skin?
referred to as 'square root of time' relationships; they 11. Should the experimental design produce a
may also be called Higuchi equations, after the phar- pharmacokinetic profile, measuring absorption,
maceutical scientist who developed them. The distribution, metabolism and excretion in vivo?
amount of drug released is proportional to the square No single method can answer all questions and
route of time; the flux is an inverse function of time1/2. provide a full picture of the complex process of
transdermal absorption. We will therefore deal with
the important general techniques, dividing them into
in vivo and in vitro procedures. The former uses the
METHODS FOR STUDYING skins of living humans or experimental animals in
TRANSDERMAL DRUG DELIVERY situ, whereas the latter employs isolated membranes
and includes simple release studies.
Experiments in percutaneous absorption may be
designed to answer many questions, such as:
In vitro methods
1. What is the drug flux through the skin and how
do the apparent diffusion coefficient, partition These are valuable techniques for screening and for
coefficient, and structure-activity relationships measuring fluxes, partition coefficients and diffusion
control it? coefficients because the investigator can closely
2. What is the main penetration route - across the control laboratory conditions.
stratum corneum or via the appendages?
3. Which is more important clinically or
Excised skin
lexicologically - transient diffusion (possibly
down the appendages) or steady-state Excised skins from rats, mice and guinea pigs
permeation (usually across the intact stratum (normal and hairless), rabbits, hamsters, pigs, hairless
corneum)? dogs, snake, monkeys etc. have been mounted in dif-
4. Does the drug bind to the stratum corneum, fusion cells. However, mammalian skin varies widely
the viable epidermis or the dermis; does it form in stratum corneum properties and the number
a depot in the subcutaneous fat or penetrate to density of appendages. Thus, it is best to obtain
the deep muscle layers? human skin from autopsies, amputations or cosmetic
516
TRANSDERMAL DRUG DELIVERY
surgery. Investigators use either stratum corneum, also Fig. 33.3 and Eqns 33.3 and 33.4) and that
epidermis, dermatomed skin or whole skin clamped remaining in the membrane.
in a diffusion cell. They measure the compound Diffusion cells aimed more at simulating in vivo or
passing from the stratum corneum side through to a clinical conditions use an agitated receptor solution
fluid bath. We can consider two main situations and to correspond to the blood and an unmixed donor
illustrate just some of the many types of diffusion cell phase to represent the formulation (Fig. 33.9). The
used. donor compartment may be closed or open to
In diffusion cells designed to examine steady-state ambient conditions or to controlled temperature and
flux and deduce fundamental parameters, a well- humidity; the skin may be washed, or materials
stirred donor solution at constant concentration added during an experiment. The test formulation
releases penetrant through a membrane into an may be a solid deposited from a volatile solvent, a
agitated 'sink' receptor liquid simulating the blood liquid, a semisolid, a film or a drug device.
supply (Fig. 33.7). Figure 33.8 shows how three A technique known as attenuated total reflectance
important quantities vary with time: the amount spectroscopy may also be used to measure passage
entering the membrane, that passing through (see across stratum corneum to determine the diffusion
Fig. 33.7 Diffusion cells for zero-order or steady-state flux experiments (not to scale), (a) Bank of two cells drilled from a Perspex
block, (b) Simple glass diffusion cell suitable for human skin, (c) Glass cell with continuously circulating donor and receptor solutions,
(d) Glass cell used for determining vapour diffusion through the skin. D, donor compartment; R, receptor compartment; M, membrane;
R sampling port; BM, bar magnet; SS, stainless steel support; TS, Teflon support; W, well; Dr, drierite. (Reproduced with permission
from Barry (1983).)
517
DOSAGE FORM DESIGN AND MANUFACTURE
Artificial membranes
Because human skin is variable and difficult to
obtain, workers often use other materials, for Fig. 33.9 Diffusion cells for simulation of in vivo conditions (not
example cellulose acetate, silicone rubber or iso- to scale), (a) Teflon and glass cell, (b) Glass cell with stainless
propyl myristate; or lamellar systems designed to steel support for the membrane, (c) Stainless steel cell with flow
through receptor solution. D, donor compartment; R, receptor
mimic the intercellular lipid of the stratum corneum. compartment; M, membrane; P, sampling port; BM, bar magnet;
However, these membranes are not as complex as S, polyethylene sail; SS, stainless steel support. (Reproduced
human skin and care must be taken if the results with permission from Barry (1983).)
of such experiments are to be extrapolated to the
clinical situation.
In vivo methods
Release methods without a rate-limiting
membrane Often, in vivo methods use animals. However, most
animals differ significantly from humans in features
These procedures record drug release to a simple that affect percutaneous absorption: the thickness
immiscible phase. They measure only those and nature of the stratum corneum, the density of
drug/vehicle interactions that affect release charac- hair follicles and sweat glands, the nature of the pelt,
teristics, and they do not determine skin absorption. the papillary blood supply and biochemical aspects.
Such procedures are mainly valuable in quality Only a few techniques produce animal diseases that
control protocols. Typical arrangements are shown in are similar to human afflictions. Thus animal models
Figure 33.10; Eqns 33.9-33.14 may be used to are valuable for studying the anatomy, physiology
analyse results. and biochemistry of skin, for screening topical
518
TRANSDERMAL DRUG DELIVERY
Fig. 33.10 Release methods without a rate-limiting membrane (not to scale), (a) Stirrer agitates three phases, which represent the
formulation, the skin and the blood supply, (b) Release from an open container to a stirred immiscible receptor phase, (c) Release
through a simple dialysis membrane. (Reproduced with permission from Barry (1983).)
agents, for detecting possible hazards, and for pre- Substances emit a and /3 rays, and there may be con-
liminary biopharmaceutical investigations. However, siderable scattering on the autoradiogram; reducing
experience with animals cannot fully substitute for substances reacting with the photographic emulsion
human studies; regulatory bodies will usually request - or an incorrect technique - can produce shadow-
additional data from human studies before granting ing. Tritium-labelled isotopes are useful because of
a product licence. their weak emissions; strong (3 emitters darken areas
up to 2 or 3 mm away, a great distance at the cellu-
lar scale.
Histology
Confocal microscopy can provide information at
Experimenters may try to locate skin penetration different depths in the skin.
routes from microscopic sections; however, the
cutting, handling and development of skin sections
Surface loss
encourages leaching and the translocation of
materials away from their original sites, a problem In theory, we should be able to determine the flux of
with histological methods in general. material into skin from the loss rate from the vehicle.
Histochemical techniques have been used for those However, because of skin impermeability, the con-
few compounds that produce coloured end-products centration decrease in the vehicle would generally be
after chemical reaction. A mistake in the past was to small and analytical techniques would have to be
colour a penetrant with a dye and examine skin sec- sensitive and accurate. Also, those differences that
tions to locate the penetrant. However, each chemical could be detected would probably arise because the
species partitions and diffuses separately, and so the vehicle changed by evaporation or by dilution with
dyed complex dissociates and results are valid only sweat or transepidermal water, and not simply by
for the dye itself. Added dye, or other different tracer drug partitioning into the skin. Alternatively, any
molecules, should not be used. drug decrease may only reflect deposition on the
A few compounds fluoresce, revealing their skin surface or combination with the stratum
behaviour by microscopy, e.g. vitamin A, tetracycline corneum, rather than penetration to the systemic cir-
and benzpyrene. Tumours fluoresce in photodynamic culation. Loss techniques have in the past been used
therapy when treated with 5-aminolaevulinic acid. mainly to monitor radioactive species; advances in
Microscopic autoradiography is difficult to apply HPLC analysis have made the methods more widely
to diffusable substances without modification. applicable.
519
DOSAGE FORM DESIGN AND MANUFACTURE
Microdialysis
Microdialysis probes are inserted in the dermis and
perfused with buffer. Drug molecules pass from the
extracellular fluid into the buffer through pores in
the membrane, which exclude large molecules,
particularly proteins. The resulting drug solution is
collected and analysed. For highly protein-bound
drugs the technique requires very sensitive methods
of analysis, as the drug concentrations in the samples
are reduced accordingly.
520
TRANSDERMAL DRUG DELIVERY
steroid bioassays include antigranuloma, thymus quence that all saturated solutions of a specific drug
involution, inflammation, cytological techniques and in any vehicle (providing it does not modify the
psoriasis bioassays. properties of the stratum corneum) should provide
the same maximal flux.
However, it is possible to produce supersatu-
rated solutions, either deliberately or via mixed
MAXIMIZING THE BIOAVAILABILITY OF vehicles evaporating on the skin. The theoretical
DRUGS APPLIED TO SKIN maximum flux appropriate to thermodynamically
stable vehicles may then increase manyfold using
Most drugs penetrate human skin poorly, and many such supersaturated systems. Because supersatu-
major research efforts have attempted to maximize rated preparations are inherently unstable, manufac-
the input of such drugs. The great challenge for the turers find it difficult to formulate them. An
future is to deliver the therapeutic peptides and pro- alternative is to employ controlled supersaturation in
teins arising from the biotechnology revolution. The the rather special environments of transdermal
fundamental problem has two major aspects: not only patches; it is thought that this may offer the best
is the stratum corneum a resistant barrier to penetra- hope of success. In practice, therefore, patients
tion, but there is great biological variability in its usually only meet the effects of supersaturation from
impermeability. This section will therefore consider volatile systems evaporating on their skin.
some ways in which pharmaceutical scientists have
attempted to circumvent the horny layer barrier. Hydration
Hydration of the stratum corneum is one of the most
Drug or prodrug selection important factors in increasing the penetration rate
The simplest way to consider factors that affect the of most substances: water opens up the compact
permeation rate of a drug through the stratum layer of the horny layer. Moisturizing factors, occlu-
corneum is via the simple equation for steady-state sive films, hydrophobic ointments and transdermal
flux (Eqn 33.3). When, as is usual, the stratum patches all enhance skin bioavailability (see earlier,
corneum provides the major source of diffusional Skin hydration, and Table 33.1).
resistance of the skin, the partition coefficient of the
drug is crucially important in establishing a high Ultrasound (phonophoresis)
initial concentration in the first layer of this
membrane. If the drug does not possess the correct This technique, used primarily in physiotherapy and
physicochemical properties (usually it has too low a sports medicine, involves placing the topical prepa-
partition coefficient), we may be able to design a ration on the skin over the area to be treated and
prodrug with an optimal partition coefficient for massaging the site with an ultrasound source. The
entering the skin barrier. After absorption and diffu- ultrasonic energy disturbs the lipid packing in the
sion to the viable tissues, enzymes convert the intercellular spaces of the stratum corneum by
prodrug to the active species. Very many steroid heating and cavitation effects, and thus enhances
derivatives have topical anti-inflammatory activity drug penetration into the tissue. A problem with the
greater than that of their parent steroids; with their technique is, of course, the need for an ultrasonic
optimized partition coefficients they act as prodrugs probe, correctly focused to work in the stratum
(see earlier in this chapter). corneum. The method is therefore not readily suit-
able for home use.
Chemical potential adjustment
Iontophoresis
One scheme for optimizing the bioavailability of a
topical medicament is to ensure that the drug Iontophoresis, the electrical driving of charged
exhibits its maximum chemical potential, and thus molecules into tissue, has applications in dentistry,
its maximum thermodynamic activity, within the ophthalmology, surgery and general medicine. As
vehicle (Eqn 33.8). usually practised, the procedure involves passing a
Under ideal conditions, the drug flux through small direct current (approximately 0.5 mA/cm2)
the skin should be directly proportional to the drug through a drug-containing electrode in contact with
activity in the vehicle, provided that D, y and h the skin. A grounding electrode placed elsewhere on
remain constant. This has the important conse- the body completes the electrical circuit. The trans-
521
DOSAGE FORM DESIGN AND MANUFACTURE
port of the charged molecules is driven primarily by pulse. The resultant photomechanical wave produces
electrical repulsion from the driving electrode. stresses in the horny layer that enhance drug delivery.
However, polar neutral molecules can also be The technique is likely to remain experimental.
delivered by a current-induced convective flow of
water (electro-osmosis). Considerable interest is
Needle array
now being shown in the possible transdermal
delivery of therapeutic peptides and proteins, as well The stratum corneum can be simply bypassed by an
as many other drugs. injection, and one development of this approach is a
A problem with the technique is that, although the device consisting of 400 microneedles to insert drug
apparent current density per unit area is low, nearly just below the barrier. The feel to the skin is rather
all the current penetrates via the low-resistance like a cat's tongue, or sharkskin. The solid silicon
route, i.e. the appendages, particularly the hair folli- needles (coated with drug) or hollow metal needles
cles. Thus the actual current density in the follicle (filled with drug solution) penetrate the horny layer
may be high enough to damage growing hair. There without breaking and without stimulating nerves
is also concern about other possible irreversible in the deeper tissues. Flux increases of up to
changes to the skin. 100 000-fold are claimed. The technique may also be
As with ultrasound there is the problem of home combined with iontophoresis.
use, although considerable work has been done
on miniaturizing systems for patient use, e.g. paper
Penetration enhancers
batteries and wristwatch-like devices.
Substances exist which temporarily diminish the
impermeability of the skin. Such materials, known
Electroporation
also as accelerants or sorption promoters, if they
Electroporation is the creation of aqueous pores in are safe and non-toxic, can be used clinically to
the lipid bilayers by the application of short (micro- enhance the penetration rate of drugs and even to
to millisecond) electrical pulses of approximately treat patients systemically by the dermal route. The
100-1000 V/cm. Flux increases of up to 10 000-fold attributes of the ideal penetration enhancer are:
have been obtained for charged molecules. Again,
1. The material should be pharmacologically inert.
there is the problem of instrumentation for home use
2. It should be non-toxic, non-irritating and
for this potent technique.
non-allergenic.
Electroporation may combine with iontophoresis
3. The action should be immediate and the effect
to enhance the permeation of peptides such as vaso-
should be suitable and predictable.
pressin, LHRH (luteinizing hormone-releasing
4. Upon removal of the material, the skin should
hormone), neurotensin and calcitonin.
immediately and fully recover its normal
barrier property.
Stratum corneum removal 5. The enhancer should not cause loss of body
fluids, electrolytes or other endogenous
Laser ablation uses high-powered pulses from a laser
materials.
to vaporize a section of the horny layer so as to
6. It should be compatible with all drugs and
produce permeable skin regions. The apparatus is
excipients.
costly and requires expert operation to avoid damage
7. The substance should be a good solvent for
such as burns - it is hardly appropriate for home use.
drugs.
Hot needles have also been proposed.
8. The material should be cosmetically acceptable
Adhesive tape can remove the horny layer prior to
(good spreadability and skin 'feel').
drug application, as can controlled mechanical dermal
9. The chemical should formulate into all the
abrasion. One other method forms a bleb (blister) by
variety of preparations used topically.
suction, an epidermatome removes the raised tissue,
10. It should be odourless, tasteless, colourless and
after which a morphine solution delivered directly to
inexpensive.
the exposed dermis produces fast pain relief.
No single material possesses all these desirable
properties. However, very many substances exhibit
Photomechanical wave
several of these attributes and they have been
A drug solution is placed on the skin, covered by a investigated clinically or in the laboratory. A sample
black polystyrene target, and irradiated with a laser summary includes:
522
TRANSDERMAL DRUG DELIVERY
523
DOSAGE FORM DESIGN AND MANUFACTURE
of the liposome. Thus, sizes up to 200-300 nm can However, there have been problems with bruising of
penetrate intact skin. Two particular features are the skin and particles bouncing off the skin surface.
claimed to be important when using transfer somes: A similar device is the Intraject, which is a devel-
they require a hydration gradient to encourage skin opment of the vaccine gun designed to deliver
penetration, so that they only exhibit their marked liquids through the skin without the use of needles.
delivery abilities when applied to the skin under non-
occluded conditions. Then the hydration gradient
operating from the (relatively) dry skin surface
towards the waterlogged viable tissues drives the
transfersomes through the horny layer (Fig. 33.12).
TRANSDERMAL THERAPEUTIC
Secondly, they work best under in vivo conditions.
SYSTEMS
Truly remarkable results are claimed for transfer-
Probably the most innovative practical step in the
somes. Data indicate that as much as 50% of a
science of transdermal delivery in recent years has
topical dose of a protein or peptide (such as insulin)
been the introduction into medicine of skin patches.
penetrates the skin in vivo in 30 minutes.
The original Transdermal Therapeutic System
(TTS) or Transdermal (Drug) Delivery System
High-velocity particles (T(D)DS) was introduced as a device that would
release drug to the skin at a controlled rate, well
The Powderject system fires solid particles through
below the maximum the tissue can accept. Thus,
the stratum corneum into the lower skin layers, using
the device, not the stratum corneum, would control
a supersonic Shockwave of helium gas travelling at
the rate at which a drug diffuses through the skin,
Mach 2-3. The claimed advantages of the system
as the intended flux would be much lower than the
include:
maximum skin flux.
pain-free delivery - the particles are too small to A TTS tries to provide systemic therapy in a more
trigger the pain receptors in the skin; convenient and effective way than parenteral or oral
improved efficacy and bioavailability; therapy. The claimed advantages for the percuta-
targeting to a specific tissue, such as a vaccine neous over the oral route include:
delivered to epidermal cells;
1. Drug administration through the skin eliminates
sustained release, or
variables that influence gut absorption, such as
fast release;
changes in pH along the gastrointestinal tract,
accurate dosing;
food and fluid intake, stomach emptying time
overcomes needle phobia;
and intestinal motility and transit time, and the
safety - the device avoids
presence of human and bacterial enzymes.
- skin damage
2. Drug enters the systemic circulation directly,
- infection from needles or splashback of body
eliminating the 'first-pass' effect of enzymes in
fluids, particularly important for HIV and
the gut and the liver, the body's main
hepatitis B virus.
metabolizing organ (but note that skin has its
own enzymes and may thus metabolize some 5%
of drug types).
3. Transdermal input may provide controlled,
constant drug administration, displaying a single
pharmacological effect. The continuity of input
may permit the use of drugs with short half-lives
and improve patient compliance.
4. Percutaneous administration could eliminate
pulse entry into the circulation. Peaks in plasma
concentrations often produce undesirable effects
and troughs may be subtherapeutic.
5. The transdermal route can use drugs with a low
Fig. 33.12 Ultradeformable transfersome squeezing through therapeutic index.
minute pores in the stratum corneum, driven by the water
concentration gradient. The modified liposome thus penetrates
6. Patches may be readily removed, although there
from the horny layer surface (relatively dry) to the wet viable is a reservoir effect and blood levels do not fall
tissues. immediately to zero after TTS removal.
524
TRANSDERMAL DRUG DELIVERY
Transdermal systems usually contain potent drugs matrix, which comprises a suspension of drug in
that should not irritate or sensitize the skin; they equilibrium with its saturated solution (maximum
must be stable and have the correct physicochemical thermodynamic activity). An adhesive layer contains
properties to partition into the stratum corneum and dissolved drug in equilibrium with that in the matrix,
permeate to the vasculature. and attaches the patch to the skin. A protective
strippable film is removed prior to application.
Device design
Rate-limiting membrane system
Manufacturers design patches in a variety of ways,
but for simplicity they may be categorized into one As these patches include a membrane, we might
of two main types, the monolith (or matrix) or the expect that the release profile would follow the simple
rate-limiting membrane configurations. In consider- Fickian conditions considered at the beginning of this
ing these two designs, it is convenient initially to chapter. Thus, at steady state we would expect the
accept the original assumption that the skin under amount of drug released to the skin to be directly
the patch operates as a perfect sink, even though no related to time (see Eqn 33.3 and Fig. 33.3). However,
TTS produced to date works perfectly on this basis. such a profile only follows when the membrane is ini-
tially free of drug. The lag time then represents the
period during which the membrane equilibrates with
Monolith or matrix system
drug after application to the sink (in this case the
In these patches, the Higuchi square root of time law skin). In practice this does not happen, because the
is usually obeyed. Equations 33.9-33.14 illustrate the drug equilibrates in all patch components on storage,
relationships when the drug is dissolved in the matrix before the patient receives the patch.
or exists as a suspension; Figure 33.13 illustrates Figure 33.15 illustrates the situation; a typical
release profiles, plotted both linearly and as square patch in this category consists of a backing layer, a
route functions of time. Figure 33.14 illustrates the reservoir containing the drug, the membrane, a skin
fundamental construction for a suspension-type adhesive and the protective film. On storage, the
TTS. An occlusive backing layer protects the drug drug equilibrates into the membrane and adhesive.
This portion of the drug more readily releases into
the skin, as it does not have to permeate through all
of the membrane. The result is to produce a so-
called burst effect that leads to the type of plot
illustrated in Figure 33.16. Such profiles may be
confused with Higuchi plots, i.e. with matrix release
plots, as illustrated in the first plot of Figure 33.13.
An advantage is that the burst component can
provide a quick-acting, priming dose of drug.
Future trends
Fig. 33.13 Release profiles, plotted both linearly and as It gradually became apparent to pharmaceutical
square route function of time, for matrix or monolith patches scientists how difficult it was to formulate a TTS in
operating under Higuchi conditions (see Eqn 33.13).
525
DOSAGE FORM DESIGN AND MANUFACTURE
526
TRANSDERMAL DRUG DELIVERY
as liver enzymes are not stimulated, the beneficial The TTSs provide an alternative to treatment via
effects on serum lipids are absent. nicotine chewing gum, lozenges, sublingual tablets,
Large increases in oestrone (the major metabolite nasal sprays and inhalers. The patches, designed to
of oestradiol) are avoided and the be worn for 16 or 24 hours, are available in different
oestrone: oestradiol ratio restores to the strengths so as to provide a weaning process. The
premenopausal value. concept is to try to match the plasma trough levels of
nicotine produced by cigarette smoking, but not to
Originally, the oestrogen patch was marketed only
mimic the 'hit' arising from inhalation. (A bolus
for women who had undergone a hysterectomy,
of nicotine reaches the brain within seconds
because unopposed oestrogen (that which is given
after inhaling from a cigarette - this is the main
alone) can cause endometrial hyperplasia and
physiological component of addiction).
increase the risk of endometrial cancer. Now women
The nicotine patch can also maintain labour when
with an intact uterus can use combination patches
there is danger of a premature delivery, and a patient
that deliver oestradiol for 2 weeks, followed by a
with Parkinson's disease has claimed that the device
further 2 weeks of a progestin such as norethysterone
had 'restored him to his pre-Parkinson's self.
acetate or levonorgestrel.
Tourette's syndrome is a bizarre disorder character-
Patches are applied once or twice weekly and are
ized by jerky motions, rage and a propensity to
effective in treating menopausal and post-
utter obscenities: nicotine patches improved the
menopausal symptoms such as flushing and vaginal
effectiveness of drugs used in the treatment of
atrophy. They also appear to be valuable in treating
afflicted children.
osteoporosis. Their contribution to reduction in the
Nicotine is an ideal skin penetrant as it has a
risk of cardiovascular disease remains to be clarified.
low molar mass, is liquid (low melting point), has a
balanced partition coefficient and is miscible with oil
Transdermal clonidine and water (see Ideal properties for drug penetration,
earlier in this chapter).
This formulation was originally introduced to treat
hypertension. It was then reported to ameliorate
some of the short-term symptoms associated with Transdermal testosterone
stopping smoking (craving, irritability, anxiety,
restlessness and hunger). Hypogonadism (arising from pituitary or testicular
After its introduction, clinical trials revealed a high disorder) afflicts 1 in 200 men, and testosterone
incidence of topical irritation to clonidine (up to 50% deficiency may also arise from accidents and
of patients were affected). This finding emphasizes orchidectomy. The first patch developed was applied
the importance of screening drug candidates for such to the shaved scrotum, as scrotal skin is the most
side-effects before committing significant resources permeable skin site in males. With developments in
to a transdermal delivery programme. formulation, more convenient areas, such as the
back, abdomen, thigh or upper arm, may be used.
Transdermal fentanyl
This opioid analgesic patch treats chronic intractable
General conclusions on the usage of
pain, such as that produced by cancer, over a
transdermal patches
72-hour period. A TTS providing 25 jug of fentanyl In recent years the formulation of transdermal
per hour is approximately equivalent to the oral patches has been a vibrant developmental area
administration of 90 mg of morphine sulphate daily. within the pharmaceutical industry.
However, the original concept that the patch, not
the skin, should control drug input to the patient
Transdermal nicotine
has not been realized; no marketed patch fully
There are several such patches available and com- controls the drug flux.
mercial competition is intense because of the huge There has been a move from a complex patch
worldwide market for smoking cessation therapy. structure towards a simpler matrix formulation.
Within the first year of introduction, total sales Future progress will depend on:
exceeded that for any other drug in history. However, - correct choice of drug
as is common to most forms of antismoking treat- - synthesis of prodrugs
ment, subsequent yearly sales fell dramatically. - development of suitable penetration enhancers.
527
DOSAGE FORM DESIGN AND MANUFACTURE
There is a need to solve problems relating to, and for dry skin a lipophilic base is best. Most vehi-
e.g.: cles are blended from one or more of three main
- irritancy, components aqueous solvents, powder and oil
- sensitization, together with thickening and emulsifying agents,
- cutaneous metabolism, buffers, antioxidants, preservatives, colours, propel-
- localized body load of drug, lants etc. We shall consider typical examples of the
- wearability of the patch for up to 7 days; the main types of skin preparation.
device must:
be thin, flexible and unobtrusive
Dermatological formulations
adhere well when the patient sweats,
exercises and bathes
Liquid preparations
not encourage microbial growth
not collect dirt around the periphery (where Liquid preparations for external application include
the adhesive contacts the environment). simple soaks or baths, applications, liniments, lotions,
paints, varnishes, tinctures, and ear drops. A simple
soak provides an active ingredient in aqueous solu-
tion or suspension, sometimes with water-miscible
FORMULATION OF DERMATOLOGICAL solvents. Gums and gelling agents may vary the con-
VEHICLES sistency, from mobile liquids to stiff ringing gels. Bath
additives such as Oilatum Emollient deposit a layer of
People apply many skin preparations, ranging from liquid paraffin on the stratum corneum in an attempt
powders, through semisolids to liquids. Formulators to maintain its moisture content by occlusion.
have often in the past developed such preparations Applications may be liquid or viscous and often
for stability, compatibility and patient acceptability incorporate parasiticides, e.g. dicophane, benzyl
rather than considering the influences that the com- benzoate, gamma benzene hexachloride and
ponents may have on drug bioavailability. Modern malathion. Liniments may be alcoholic or oily
formulation methods nowadays, however, have to solutions or emulsions, which should not be applied
concentrate on biopharmaceutical principles. to broken skin. Lotions are aqueous solutions or
A valuable approach in designing a vehicle to suspensions from which water evaporates to leave a
produce optimum bioavailability is to use funda- thin uniform coating of powder. Evaporation cools
mental permeation theories, while remembering that and soothes the skin, making lotions valuable for
the treatment regimen and the diseased skin usually treating acutely inflamed areas. Alcohol enhances the
violate the constraints of simple diffusion theory. cooling effect and glycerol sticks the powder to the
However, with our present knowledge, such a formal skin. Lotions may also be dilute emulsions, usually of
approach may often limit the investigator to a single- the oil-in-water type. Paints, varnishes and tinctures
phase system such as a polar gel; multiphase systems present solutions of active ingredients in volatile
usually provide intractable theoretical problems. But solvents such as water, industrial methylated spirits,
physicians usually want a topical application to acetone or ether. Ear drops are often aqueous
provide several therapeutic effects, as well as good solutions, although glycerol and alcohol may also be
absorption. These aims include anti-inflammatory used.
efficacy in acute inflammation, symptomatic relief of
pain and itch, protection from irritation, cleansing, Gels (jellies)
and lubricant and emollient actions. A single-phase
vehicle cannot readily achieve so much: complex Gels are two-component semisolid systems rich in
multicomponent bases are necessary. Patients also liquid. Their one characteristic feature is the
tend to favour creams rather than gels or ointments. presence of a continuous structure providing solid-
This section considers the formulation of vehicles like properties. In a typical polar gel, a natural or syn-
mainly in terms of unmedicated preparations. A thetic polymer builds a three-dimensional matrix
good base must foster the remarkable recuperative throughout a hydrophilic liquid. Typical polymers
capability of skin. For minor conditions it is often as used include the natural gums tragacanth, carragee-
important to select a vehicle that promotes healing nan, pectin, agar and alginic acid; semisynthetic
and does no further damage, as it is to apply a materials such as methylcellulose, hydroxyethylcellu-
therapeutic agent. A general rule is that for wet lose, hydroxypropylmethylcellulose and carboxy-
lesions the patient should use an aqueous dressing, methylcellulose; and the synthetic polymer Carbopol
528
TRANSDERMAL DRUG DELIVERY
(carbomer). Certain clays such as bentonite, Veegum light and high temperatures, and may turn rancid.
and Laponite may be also used. Provided that the Trace metal contaminants catalyse oxidative reac-
drug does not bind to the polymer or clay, such gels tions which the formulator combats with antioxi-
release medicaments well; the pores allow relatively dants, such as butylated hydroxytoluene, butylated
free diffusion of molecules that are not too large. hydroxyanisole or propyl gallate, or with chelating
agents such as the salts of ethylenediaminetetra-
acetic acid (EDTA). However, antioxidants may be
Powders
incompatible with the drug or they may sensitize
Dusting powders for application to skin folds are some patients.
finely divided (impalpable) insoluble powders which Silicones Dimethicones, or dimethyl polysiloxanes,
dry, protect and lubricate, e.g. talc, zinc oxide, starch have properties similar to hydrocarbon bases. They
and kaolin. Dusting powders should not contain are water repellent with a low surface tension and are
boric acid, as abraded skin may absorb it in toxic incorporated into barrier creams to protect the skin
amounts. against water-soluble irritants.
Absorption bases Absorption bases soak up water to
form water-in-oil emulsions while retaining their
Ointments
semisolid consistencies. Generally, they are anhydrous
Ointments are greasy, semisolid preparations, often vehicles composed of a hydrocarbon base and a mis-
anhydrous and containing dissolved or dispersed cible substance with polar groups that functions as a
medicaments. water-in-oil emulsifier, e.g. lanolin, lanolin isolates,
Hydrocarbon bases These usually consist of soft cholesterol, lanosterol and other sterols, acetylated
paraffin or mixtures with hard paraffin. Paraffins sterols, or the partial esters of polyhydric alcohols
form a greasy film on the skin, inhibiting moisture such as sorbitan monostearate or mono-oleate. Bases
loss and improving hydration of the horny layer in such as Wool Alcohols Ointment BP and Simple
dry scaly conditions. This hydration is also a main Ointment BP deposit a greasy film on the skin, similar
reason why ointments are so effective in encouraging to a hydrocarbon base, but they suppress less the
percutaneous absorption of a drug. transepidermal water loss. However, they may hydrate
The Plastibases are a series of hydrocarbons the stratum corneum by applying a water-in-oil emul-
containing polyethylene, which forms a structural sion, thereby prolonging the time during which the
matrix in systems which are fluid at the molecular horny layer can absorb moisture. Some individuals are
scale but are typical dermatological semisolids. They sensitive to lanolin. This may be important because
are soft, smooth, homogenous, neutral, colourless, the sensitization occurs unexpectedly and physicians
odourless, non-irritating, non-sensitizing, extremely frequently overlook it, especially in atopic patients,
stable vehicles. Plastibases are compatible with most who may apply large quantities of lanolin-containing
medicaments and they maintain their consistency emollients for protracted periods. Modern purified
even at high concentrations of solids and under lanolin preparations are less sensitizing.
extremes of temperature. The bases apply easily and Emulsifying bases These essentially anhydrous
spread readily, adhere to the skin, imparting a bases contain oil-in-water emulsifying agents which
velvety, non-greasy feel, and can readily be removed. make them miscible with water and so washable or
Soap-based greases may be produced by, for 'self-emulsifying'. There are three types, depending
example, incorporating aluminium stearate in a on the ionic nature of the water-soluble emulsifying
heavy mineral oil. A random arrangement of metal- agents: anionic (e.g. Emulsifying Ointment), cationic
lic soap fibres weaves throughout the oil, producing (e.g. Cetrimide Emulsifying Ointment) and non-
a product which changes its consistency only slightly ionic (e.g. Cetomacrogol Emulsifying Ointment).
when heated; the base readily incorporates drugs Because they contain surfactants, emulsifying bases
and the addition of lanolin permits the absorption of may help to bring the medicament into more inti-
a little water. mate contact with the skin. The bases mix with
Fats and fixed-oil bases Dermatological vehicles aqueous secretions and readily wash off the skin;
have frequently contained fixed oils of vegetable thus they are useful for scalp treatments.
origin, consisting essentially of the mono-, di- and Water-soluble bases Formulators prepare water-
triglycerides of mixtures of saturated and unsaturated soluble bases from mixtures of high and low molecu-
fatty acids. The most common oils include peanut, lar weight polyethylene glycols (macrogols,
sesame, olive, cottonseed, almond, arachis, maize and Carbowaxes). Suitable combinations provide
persic. Such oils can decompose on exposure to air, products with an ointment-like consistency, which
529
DOSAGE FORM DESIGN AND MANUFACTURE
soften or melt on skin application. They are non- The possibility of phase inversion or cracking of
occlusive, mix readily with skin exudates and do not the emulsion when applied to the skin.
stain sheets or clothing; washing quickly removes any
Drug may also be trapped in the micelles and the gel
residue. The macrogols do not hydrolyse, deteriorate,
and liquid crystalline phases present in the continu-
support mould growth or irritate the skin. Examples
ous phase. Emulsions are complex systems and so all
include Macrogol Ointment and Polyethylene Glycol
medicaments must be considered individually with
Ointment; because they are water-soluble, they will
respect to emulsion design. There are few worthwhile
not take up more than 8% of an aqueous solution
formulation guidelines additional to the principles
before losing their desirable physicochemical charac-
already discussed.
teristics. To enable a base to incorporate more water
stearyl alcohol can be substituted for some of the
macrogol component. Macrogol bases are used with Pastes
local anaesthetics such as lignocaine, but they are
incompatible with many chemicals, including Pastes are ointments containing as much as 50%
phenols, iodine, potassium iodide, sorbitol, tannic powder dispersed in a fatty base. They may be useful
acid, and the salts of silver, mercury and bismuth. for absorbing noxious chemicals in babies, such as
The bases diminish the antimicrobial activity of qua- the ammonia that bacteria release from urine.
ternary ammonium compounds and methyl and Because of their consistency, pastes localize the
propyl parahydroxybenzoates, and rapidly inactivate action of an irritant or staining material, such as
bacitracin and penicillin. dithranol or coal tar. They are less greasy than oint-
ments because the powder absorbs some of the fluid
hydrocarbons. Pastes lay down a thick, unbroken,
Creams relatively impermeable film that can be opaque and
act as an efficient sun filter. Skiers use such formu-
Creams are semisolid emulsions for external applica- lations on the face to minimize windburn (excessive
tion. Oil-in-water emulsions are most useful as water- dehydration) and to block out the sun's rays.
washable bases, whereas water-in-oil emulsions are
emollient and cleansing. Patients often prefer a w/o
cream to an ointment because the cream spreads Aerosols
more readily, is less greasy, and the evaporating water Aerosols may function as drug delivery systems for
soothes the inflamed tissue. O/w creams ('vanishing' solutions, suspensions, powders, semisolids and
creams) rub into the skin; the continuous phase evap- emulsions.
orates and increases the concentration of a water- Solution aerosols are simple products with the
soluble drug in the adhering film. The concentration drug dissolved in a propellant or a propellant/solvent
gradient for drug across the stratum corneum there- mixture. Typical agents incorporated are steroids,
fore increases, promoting percutaneous absorption. antibiotics and astringents. The powder aerosol
To minimize drug precipitation, a formulator may methodology is useful for difficult soluble com-
include a less volatile, water-miscible cosolvent. An pounds such as steroids and antibiotics. Semisolid
o/w cream is non-occlusive because it does not preparations, such as ointments and creams, may be
deposit a continuous film of water-impervious liquid. prepared in a flexible bag with compressed nitrogen
However, such a cream can deposit lipids and other used for expulsion instead of a volatile propellant.
moisturizers on and into the stratum corneum and so Emulsion systems produce foams that may be
restore the tissue's hydration ability, i.e. the prepara- aqueous or non-aqueous and stable or quick-break-
tion has emollient properties. ing. Medicinal stable foams are aqueous formulations
It is difficult to predict the role that an emulsion used, for example, for preoperative shaving and for
plays in percutaneous absorption. This is because, contraception. The stable foam, which is similar to a
added to all the physiological and physicochemical medicated shaving cream, varies in stability depend-
considerations already discussed, the following must ing on the surfactant, solvent and propellant used.
also be considered:
Partitioning of the medicament between the
Cosmetic or aesthetic criteria for
emulsion phases;
dermatological formulations
The addition of preservatives;
Determination of a true viscosity for the diffusing However well designed a topical vehicle for
molecules in the vehicle; maximum drug bioavailability is, the preparation
530
TRANSDERMAL DRUG DELIVERY
must still be acceptable to the patient. A product that The first difficulty arises in assessing the chemical
is poor in appearance may lead to non-compliance. stabilities of the drug (in its complex vehicle) and the
Patients generally prefer a formulation which is easy adjuvants. A general method establishes a shelf-life
to transfer from the container, spreads readily and by using an accelerated stability test at elevated
smoothly, leaves no detectable residue, and adheres temperatures and the Arrhenius relationship.
to the treated area without being tacky or difficult to However, for a multiphase system such as a cream,
remove. The dosage of such preparations is typically heat may change the phase distribution and may
in the range of 1-5 mg/cm2 of skin. even crack the emulsion. Thus, the investigator may
Stiff pastes may be hard to rub into the skin or to have to assess the preparation for a long time at the
apply evenly; application to damaged areas may storage temperature. Because of vehicle complexity,
therefore be painful. However, a thick layer of mater- it may be difficult to separate the labile components
ial can occlude the tissue or protect it from mechan- for analysis.
ical, chemical or light damage. Ointments and pastes Many dermatologicals contain volatile solvents,
do this, and the viscous drag imposed on application and batches may lose some solvent through the walls
may dislodge scales, dead tissue and the remnants of of plastic containers or through faulty seams or
previous doses. The medicament then makes intimate ill-fitting caps.
contact with the diseased site. A stiff preparation also Heterogeneous systems may suffer phase changes
helps to delineate the area of treatment. when stored incorrectly. Emulsions may crack and
The sensations of greasiness and tackiness arise cream, suspensions can agglomerate and cake,
from those constituents that form the skin film. For and ointments and gels may 'bleed' as their matrices
creams, stearic acid and cetyl alcohol produce non- contract and squeeze out constituents. High
tacky films. Formulations that include synthetic or temperatures can produce or accelerate such adjust-
natural gums should use the minimum amount, as ments. Multipoint rheological assessments can
the polymers tend to leave a tacky coating on the readily quantify structural changes in colloidal
skin. systems; viscoelastic determinations, such as creep
Insoluble solids leave an opaque layer that often and oscillation, are also valuable.
appears powdery or crusty. However, as therapy For suspensions and emulsions, a particle size
requires such solids in lotions and pastes, the formu- analysis may often detect a potentially unstable
lator can do little to vary the film's nature and formulation long before any other parameter
patients accept the residue as part of the treatment. changes markedly. Emulsion globules may grow
through coalescence as gel networks break down on
storage; crystals may enlarge or change their habit,
Physicochemical criteria for or revert to a more stable, less active polymorphic
dermatological formulations form. Such alterations in crystal form may affect the
therapeutic activity of the formulation.
The developer of dosage forms must note the The apparent pH of a topical product may change
physical and chemical behaviour of the drug and the on storage. Although pH measurements of
dosage form during preformulation studies, complex vehicles have no fundamental meaning,
throughout bench-scale work, pilot studies and investigators sometimes use a pH electrode to
batch processing, at the manufacturing level, and monitor formulations as they age.
during storage and use of a product. Some general It can be difficult to manufacture creams and oint-
factors that a pharmaceutical scientist evaluates for a ments completely free from foreign particles.
new semisolid during developmental studies and Aluminium and tin tubes may contaminate a topical
storage include: with 'flashings' - metal slivers and shavings formed
Stability of the active ingredients during container fabrication. Their presence is par-
Stability of the adjuvants ticularly undesirable in ophthalmic ointments, and
Rheological properties - consistency, various pharmacopoeial tests limit the extent of such
viscoelasticity, extrudability contamination. Plastic tubes are now generally used.
Loss of volatiles, including water In addition to instrumental tests, the pharmaceu-
Phase changes - inhomogeneity, bleeding, tical scientist should note any qualitative changes
cracking during product storage. The colour may vary, e.g.
Particle size distribution of dispersed phase natural fats, oils and lanolin brown as they oxidize,
Apparent pH becoming rancid with a disagreeable odour. The
Particulate contamination. texture may alter as phase relationships vary.
531
DOSAGE FORM DESIGN AND MANUFACTURE
532
TRANSDERMAL DRUG DELIVERY
533
34
Rectal and vaginal drug delivery
Josef Tukker
534
RECTAL AND VAGINAL DRUG DELIVERY
535
DOSAGE FORM DESIGN AND MANUFACTURE
Thus keeping the drug in the lower part of the some specific points concerning rectal absorption will
rectum would be advisable. be discussed here. Table 34.1 gives a survey of the
The insertion of a suppository into the rectum physiological factors in rectal absorption.
results in a chain of effects leading to the bioavail- The quantity of fluid available for drug dissolution
ability of the drug. This is represented in a simplified is very small (approximately 3 mL, spread in a layer
scheme in Figure 34.2. approximately 100 um thick over the organ). Only
Depending on the character of its vehicle (see under non-physiological circumstances is this
later) a suppository will either dissolve in the rectal volume enlarged, e.g. by osmotic attraction by
fluid or melt on the mucous layer. Because the water-soluble vehicles or by diarrhoea. Thus the
volume of rectal fluid is so small, dissolution of the dissolution of slightly soluble substances, for
complete vehicle will be difficult and require extra example phenytoin, can easily be the slowest step in
water. Owing to osmotic effects (of the dissolving the absorptive process.
vehicle) water is attracted, with the unpleasant The properties of the rectal fluid, such as compo-
consequence of a painful sensation for the patient. sition, viscosity and surface tension, are essentially
Independent of the vehicle type, drugs that are dis- unknown and have to be estimated from data avail-
solved in the suppository will diffuse out towards the able for other parts of the GI tract. The pH and the
rectal membranes. Suspended drugs will first have to buffer capacity of the rectum were mentioned earlier
leave the vehicle (if it is water immiscible) under the in this chapter. The rectum is usually empty, except
influence of either gravity or motility movements, temporarily when faecal matter arrives from higher
and can then start dissolving in the rectal fluid. The parts of the colon. This material is either expelled or
dissolved drug molecules will have to diffuse through
the mucous layer and then into and through the
epithelium forming the rectal wall. Table 34.1 Physiological factors affecting absorption
The process of absorption will be a passive diffu- from the rectum
sion process, as it is throughout the whole GI tract
Quantity of fluid available
for almost all drugs; active transport processes, as
shown in the upper regions of the GI tract, have not Properties of rectal mucus
been shown to be present in the rectal area. Contents of the rectum
For a generalized discussion on drug absorption the Motility of the rectal wall
reader is referred to Part Three of this book. However,
536
RECTAL AND VAGINAL DRUG DELIVERY
transported back into the colon, depending on the ones. Although the ideal vehicle has not been found,
voluntary control exhibited on the anal sphincter. the large variety of bases that are available enables a
The rectal wall may exert a pressure on a supposi- well considered choice for every drug that has to be
tory present in the lumen by two distinct formulated as a suppository.
mechanisms. First, the abdominal organs may Choosing the optimum base requires a lot of prac-
simply press on to the rectum, especially when the tical experience and at present this can only partly be
body is upright. This may stimulate spreading and guided by scientifically sound data. Much remains to
thus promote absorption. The second source of pres- be learned here. However, some general guidelines
sure is the motility of the muscles of the rectal wall, can be given.
which may originate from the normally occurring Requirements of the vehicle There is no doubt that
colonic motor complexes. These are waves of a suppository should either melt after insertion in
contractions running over the wall of the colon in a the body or dissolve in (and mix with) the available
caudal direction and are associated with the volume of rectal fluid. For fatty bases this means a
presence of food residues in the colon. melting range lower than approximately 37C (one
In contrast with the upper part of the GI tract, in must be aware of the fact that the body temperature
the rectum no esterase or peptidase activity is present, might be as low as 36C at night).The melting range
resulting in a much greater stability of peptide-like should be small enough to give rapid solidification
drugs. Administration of these compounds using the after preparation, thereby preventing the separation
rectal or vaginal route has been satisfactory, but only of suspended, especially high-density, drug particles
if absorption enhancers such as surfactants were used and agglomeration. When the solidification rate is
concomitantly. All kinds of surfactants seem to do the high this may result in fissures, especially when rapid
promoting work, of which polyoxyethylene lauryl cooling is applied. On the other hand, the melting
alcohol ether appears to be the most powerful. One range should be large enough to permit easy
major drawback of these enhancers, however, is the preparation, which on an industrial scale may take a
irritation of the rectal mucosa in the long term; less considerable length of time.
irritating enhancers are needed to explore this inter- During solidification a suppository should exhibit
esting area in greater depth. enough volume contraction to permit removal from
the mould or plastic former. The viscosity of the
molten base plays an important role both from a
Formulation of suppositories technological and from a biopharmaceutical point of
Suppositories are used mainly for the administration view. During preparation the viscosity determines
of drugs via the rectal route, but not exclusively. the flow into the moulds, but also the separation of
Application via other routes, such as the vagina, is less drug particles. Clearly a compromise has to be found
common but of distinct use in the treatment of locally here. During and after melting in the rectal cavity
occurring infections. Other suppository-type products the suppository mass is forced to spread over the
(bougies) used through other body orifices, e.g. the absorbing surface, the rate of which may be deter-
ear, nose and urethra, are very uncommon and are not mined partly by its viscosity. Drug particles that have
discussed here. Alternative dosage forms for the rectal to be transported through the base to the interface
and or vaginal route are tablets, capsules, ointments with the rectal fluid, and have to pass this interface
and enemas. These will be discussed later, and to be released, will evidently also see viscosity as a
concentrate first on rectal suppositories. Suppositories determining factor in their journey.
are formulated in different shapes and sizes (usually A good suppository base should further be chem-
1-4 g). Their drug content varies widely, from less ically and physically stable during storage as a bulk
than 0.1% up to almost 40%. A more detailed product, and after preparation into a suppository. It
description, together with the methods of preparation should have no incompatibility with drug molecules
can be found in Pharmaceutical Practice (Winfield and and should permit an optimal release of the drug it
Richards 1998). Generally the suppository consists of contains.
a vehicle in which the drug is incorporated, and in Clearly this list of requirements cannot always be
some cases additives are coformulated. completely fulfilled, and often an acceptable com-
promise is the best that one can expect.
Fatty vehicles The fatty vehicles in use nowadays
The vehicle (suppository base)
are almost exclusively semi- or fully synthetic ones.
There are two main classes of vehicles in use, the Cocoa butter is no longer used because of its many
glyceride-type fatty bases and the water-soluble disadvantages, such as its well known polymorphic
537
DOSAGE FORM DESIGN AND MANUFACTURE
behaviour, its insufficient contraction at cooling, low high melting point they are especially suited for
softening point, chemical instability, poor water- application in tropical climates, but several disad-
absorptive power and its price. vantages must be considered. They are hygroscopic
The semisynthetic type of fatty vehicles (some- and therefore attract water, resulting in a painful
times termed adeps solidus) have few or none of sensation for the patient. The incorporation of at
the problems mentioned above. A comparison is least 20% water and moistening before insertion can
made in Table 34.2. help to reduce this problem. A considerable number
The general composition of both types is mixed of incompatibilities with various drugs (e.g. phenols,
triglycerides with C12-C18 acids. In the semisynthetic sulphonamides) has been reported. Owing to the
vehicles these acids are saturated, whereas cocoa solubilizing character of this base (low dielectric
butter contains a considerable amount of the unsatu- constant) drugs may tend to remain in the base and
rated oleic acid (see iodine number in the table, release may be slow.
which for reducing drugs should be <0.5). The Choice of vehicle A summary of the points that
presence of oleic acid is almost solely responsible for are important for the choice of a suppository base is
the special properties of this vehicle. The melting given in Table 34.3. The parameters mentioned are
range of the (semi) synthetic bases is usually approx- evidently not independent of each other, and one
imately 3C and higher than that of cocoa butter; the interesting parameter can be added to this list, i.e.
acid content is lower (mostly <0.5), which is one the volume of the suppository. Usually suppositories
of the reasons that the ageing of aminophylline for adults are 2 mL and those for children 1 mL. It
suppositories is slower when (semi) synthetic vehicles has been suggested that the larger volume may
are used. The hydroxyl number in the table refers provoke a reaction in the rectal wall, thus helping to
directly to the amount of mono- and diglycerides spread the melt over a larger area. Indeed the
present in the fatty base. A high number means that increase in volume of, for example, paracetamol
the power to absorb water is high. This may lead to an suppositories, resulted in faster and more complete
increased rate of decomposition for drugs that are drug absorption.
easily hydrolysed, such as acetylsalicylic acid. It
should be realized that this capacity could lead to the
The drug
formation of a w/o emulsion in the rectum, which is
generally to be avoided because of its very low drug Table 34.4 lists the factors related to the drug
release rate. An advantage of a high hydroxyl number substance that are of possible consequence for the
is the larger melting and solidifying range, which quality of suppositories.
permits easier manufacture. Drug solubility in vehicle The drug solubility in
Water-soluble vehicles Water-soluble (or miscible) the vehicle is of particular interest from the biophar-
vehicles are much less used, for reasons to be maceutical point of view, as it directly determines the
discussed below. They comprise the classic
glycerol-gelatin or soap bases, which are used
exclusively for laxative purposes or in vaginal
Table 34.3 Formulation parameters of suppository
therapy. bases
The macrogols are also used. They consist of mix-
tures of polyethylene glycols of different molecular Composition
weight. The melting point is well over body temper- Melting behaviour
ature, which means that they mix with the rectal
Rheological properties
fluid. For true dissolution the available volume of
rectal fluid (1-3 mL) is too small. Because of their
538
RECTAL AND VAGINAL DRUG DELIVERY
type of product, i.e. solution or suspension supposi- achieved particles may form agglomerates. This
tory. The drug solubility in the rectal fluid adversely affects final content uniformity by creating
determines the maximum attainable concentration an increased tendency to separate. If wetting by the
and thus the driving force for absorption. When a vehicle has taken place displacement by rectal fluid
drug has a high vehicle to water partition coefficient will be required to let the drug go into solution,
it is likely to be in solution to an appreciable extent which is the prerequisite for absorption. This is the
(or completely) in the vehicle. This generally means underlying reason why people have tried the addition
that the tendency to leave the vehicle will be small of surfactants to their formulation (see below).
and so the release rate into the rectal fluid will be Particle size The particle size of the drug is an
low. This is obviously unfavourable for rapid absorp- important parameter, both technologically and
tion. On the other hand, a certain lipid solubility is biopharmaceutically. To prevent undue sedimenta-
required for penetration through the rectal tion during or after preparation the particle size
membranes (see above, under Absorption of drugs should be limited. The available literature data do
from the rectum). The optimal balance between not allow us to define an exact limit; however, the
these two requirements is usually found using the use of particles smaller than approximately 150 /xm
rules listed in Table 34.5. This table assumes that the is an indication rather than a rule.
release from the dosage form is considered as the It is, of course, assumed that no agglomeration is
rate-limiting step. Thus the tendency to remain in taking place. The smaller the particles the less the
the base should be lowered as much as possible possible mechanical irritation to the patient (esp.
(rules 1 and 2). When the solubility in fat and water < 50 yu,m) and the higher the dissolution rate, and
are both low no definite rule can be given. It may therefore drugs with a low water solubility will be
well be that the dissolution rate will become the dispensed in small, preferably micronized, particles.
controlling step, and thus it seems advisable to use One should, however, be aware of the increased ten-
micronized drug particles. dency of these particles to agglomerate as a result of
It should be stated as a general rule that emulsion- strongly increased van derWaals forces in this case.
type suppositories (w/o) are strongly discouraged. Also, an unnecessary size reduction operation should
The transfer of drug molecules present in dissolved be avoided if possible.
state in the inner phase will be very slow, and so the There are good indications that size reduction is
absorption will be very much retarded. not a good decision for all drugs. It has been shown,
It seems logical, therefore, that the first choice of a especially for readily water-soluble drugs, that large
formulation would be a readily water-soluble form of particles give blood levels that are higher than or at
the drug dispersed in a fatty base. This lays special least equivalent to small particles. This would lead to
emphasis on the water solubility of drugs and the the suggestion to use particles in the size range
methods to improve this. The role of pKa in this 50-100 yam. The lower limit of 50 /xm to increase
respect should also be considered. For a detailed dis- transport through the molten vehicle (see Fig. 34.2)
cussion of these points, see Chapters 2, 3, 8 and 17. and the upper limit of 100 /mi is a safe protection
Surface properties The surface properties of drug against undue sedimentation during preparation.
particles are also important, as these particles will be There is, however, no clear-cut picture, as to which
transferred from one phase to another (see solubility class this would apply to. For example,
Fig. 34.2). This happens first when the drug is paracetamol (solubility in water approximately
brought into contact with the vehicle and air has to 15mg mL"1) gave the best blood levels when the
be displaced from its surface. When this is not particle size was smaller than 45 yum.
It should also be borne in mind that the spreading
suppository mass should drag the suspended parti-
Table 34.5 Drug solubility and suppository cles along to maximize the absorption surface. For
formulation heavy compounds it has become clear that this is a
problem, but so far little or no proof is available that
Solubility in
Choice of base organic drugs (density usually 1.2-1.4 g cnr3) suffer
Fat Water from this disadvantage when dispersed in, for
example, 150 ^im sized particles. Principally this
Low High Fatty base (rule 1 ) may be expected, but care is needed to prevent too-
High Low Aqueous base (rule 2) rapid formulation decisions in this respect.
Low Low Indeterminate Amount of drug A complicating factor is the
amount of drug present in a suppository. If the
539
DOSAGE FORM DESIGN AND MANUFACTURE
number of particles increases, this would also placement of base by rectal fluid) is a real problem.
increase the rate of agglomerates formation. This will Surfactants may also act as 'deglomerators', which
depend very much on particle size and the may prevent the formation of cake in the melting sup-
presence of additives. The theory describing the pository, which in turn would certainly slow down
agglomeration behaviour of dispersed systems drug release. Also here no firm conclusions can be
(DLVO theory, see Chapter 6) can be applied in the drawn, as very little research work has been per-
non-aqueous systems we are dealing with, but certain formed on agglomeration in non-aqueous media. The
refinements are necessary. Another consequence of role of surfactants as spreading enhancers has never
the presence of suspended particles is the increased been clarified either, and this factor is strongly related
viscosity of the molten base. Also in this case we have to the occurrence of rectal motility. There are good
to rely largely on empirical data, rather than on indications that the presence of surfactants in a con-
theory. It therefore seems advisable to include a centration higher than the critical micelle concentra-
decision on particle size in the development plan for tion can retard drug release from the suppository.
an actual suppository formulation.
The finished product
Other additives
Manufacture
For several widely varying reasons, formulators of
suppositories make use of additives to improve their Suppositories are manufactured both on a small
product. Most of these additions are based on scale in batches of 10-20 and on a (semi)automatic
empirical data and will be dealt with in the accomp- scale in batches up to 20 000 per hour. Essentially
anying volume on dispensing (in preparation). The the mode of manufacture is similar in both cases,
dispensing aspects include formulations for specific and involves melting of the vehicle, mixing the drug
drugs that affect the melting point of the suppository; and the molten vehicle, dispensing in a former,
it may become depressed (by a soluble liquid cooling to solidify and, if necessary, packing in the
compound) or increased (by a high amount of final container. This includes a number of techno-
soluble high-melting active compound). The impor- logical processes for which the relevant theory
tant point to consider in these situations is the possi- should be considered (see, for example, Chapter 13
ble influence of formulation changes on the release for the mixing of semisolids). Most suppositories are
characteristics. We will further limit the discussion to nowadays packed individually in a plastic (PVC) or
fatty suppositories, where this plays a particular role. aluminium foil pack. Requirements leading to a
The addition of viscosity-increasing additives (e.g. good protection against moisture and oxygen can be
colloidal silicon oxide or aluminium monostearate, deduced from the individual needs of the drug and
both approximately 1-2%) will create a gel-like the properties of the packaging material.
system with a slower release rate of the drug. Data
from the literature are not consistent on this point.
Quality control
In vitro this can be easily established, but whether
the actual release in vivo will also be depressed A list of properties that should be controlled is given
cannot be easily predicted, as rectal motility will in in Table 34.6.
certain cases be able to overcome this problem. The The appearance of a suppository includes its
addition of lecithin is a worthy possibility when high odour, colour, surface condition and shape. These
amounts of solid drug are used. The reason why has
clearly to be found in a decreased attraction between
the drug particles, altering the flow properties of the Table 34,6 Control parameters of suppositories
dispersion in the positive sense.
The addition of surface-active agents has been Appearance
extensively practised but still remains a source of Weight
great uncertainty. When these compounds are used to Disintegration
create an emulsion system (thus w/o) this must cer-
Melting (dissolution) behaviour
tainly be discouraged, as the release will be unaccept-
ably slow. It may well be, however, that surfactants act Mechanical strength
as wetting agents. This can influence the release in a Content of active ingredient
positive sense, but so far very little convincing infor- Release
mation is available showing that wetting (i.e. dis-
540
RECTAL AND VAGINAL DRUG DELIVERY
are organoleptically controlled and will be discussed the parameters to be examined in testing suppository
in the accompanying volume (in preparation). The release in vitro.
requirements for weight and disintegration are The temperature to be chosen for testing rectal
given in the European and national pharmacopoeias. dosage forms is easily defined as the body tempera-
The melting and dissolution behaviour is in fact ture. Although for most practical purposes this can
reflected in the disintegration test. Many other be set at 37C, this is not the case for especially fatty
methods are available, but none of them has been suppository testing, for example. Most available
shown to provide more relevant information. The vehicles have melting ranges below 37C, but this
European Pharmacopoeia method proves to be does not necessarily mean that their viscosity at
rather insensitive and not too much value should be 37C is the same. As the body temperature may be
placed on the passing of this test. as low as 36C at night, this implies that the release
The mechanical strength can be valuable to rate at 37C may be an overestimate. Also, compar-
avoid problems with formulations in which the ing bases at 37C may lead to erroneous conclu-
melting range has been depressed. This can be tested sions. The temperature at which testing is performed
in several ways, including a tablet-crushing strength might be crucial, especially when ageing has
tester. occurred. Special attention should therefore be given
No official requirements are published as yet with to the actual testing temperature.
regard to content uniformity. This has, however, In the set-up shown in Figure 34.3 the tempera-
been shown to be a potential problem in the semi- ture at the surface of the water layer inside the tube,
automatic manufacture of batches of a few kilo- where molten suppository material is gathered, may
grams, when, owing in particular to sometimes be a few degrees lower than the bulk temperature. By
insufficient mixing, the uniformity of content was choosing the right dimension and closing the tube
insufficient. Paying careful attention to the design on the upper side this problem is eliminated here.
and control of the filling apparatus could solve most
of these problems. However, the beginning and the
end of the production process still give poor results,
necessitating some degree of rejection.
Temperature
Contact area
Release medium
Movements
Membranes Fig. 34.3 Tube apparatus for sedimentation-controlled release
testing from suppositories.
541
DOSAGE FORM DESIGN AND MANUFACTURE
The contact area in the rectum over which bioavailability testing and in vitro/in vivo correla-
spreading occurs cannot be standardized without tions, see Chapter 18.
introducing either an over- or an underestimate. In
Figure 34.3 the area is relatively small (i.e. approxi-
mately 10 cm2) compared to the total surface area of Rectal formulations other than
the rectum (approximately 300 cm2). This type of suppositories
apparatus therefore is clearly intended to be used for Apart from suppositories, many formulations can be
comparative studies only, and not for a complete in used for the rectal administration of drugs. For the
vivo simulation. At present no method is available treatment of local disturbances, such as haemor-
that closely mimics the in vivo situation. rhoids, fatty ointments are widely used. In the
Another parameter to be considered is the release treatment of rectocolitis large-volume enemas are
medium. Because not enough information is avail- used, e.g. 100 mL.This enables the drug to reach the
able on the actual composition and structure of the upper part of the rectum and the sigmoid colon.
rectal fluid, a choice is usually made for a relatively For the systemic administration of drugs,
large volume of water or buffer solution. As the rate- delivery forms such as tablets, capsules and micro-
limiting step in the bioavailability of fatty supposito- enemas are used. Tablets are not very attractive
ries is very often drug release from the suppository, it because they cannot disintegrate rapidly, owing to
seems reasonable enough not to include mucins that the small amount of water present in the rectum.
control the viscosity in vivo. The large volume in most Tablets that release CO2 after insertion can be used,
in vitro methods would then not be so important thereby stimulating defecation.
either. More difficult is the choice of buffer, and espe- Capsules used to achieve a systemic effect are
cially its strength, as little is known about this factor usually filled with a solution or suspension of the
in vivo (see above). For water-soluble vehicles the drug in vegetable oil or paraffin. Such capsules are
problem is even greater, and essentially no ideal solu- mostly of the soft-shell type. Limited experience has
tion has yet been found to the problem of choosing been obtained with this dosage form, but it seems
the volume and composition of the release medium. that there are no striking differences between the
Interest has been created in the inclusion of one or bioavailability from rectal capsules and that from
another way of incorporating a pressure feature in fatty suppositories.
release testing. It is clear that rectal motility exists and Microenemas are solutions or dispersions of the
that it may influence bioavailability, but it is not yet drug in a small volume (approximately 3 mL) of
clear how to incorporate this knowledge in the design water or vegetable oil. This form is supplied in a
of a release tester. Attempts have been made, but no small plastic container equipped with an application
conclusive answer has yet been found. tube. After insertion of the tube, the container is
Very often membranes have been used in release emptied by compressing the bulb. The advantage of
testers, usually to envelop the suppository in a small this delivery system is obvious, as no melting and
volume of release medium. This has the enormous dissolution process is necessary before drug release
drawback that the release as measured in the outer can start, if water is used as a vehicle. Many good
compartment is not equal to the actual release taking results have been obtained with drugs delivered in
place in the inner compartment. Most published microenemas, but this form is still of limited applic-
results do not take into account that the membrane ability because of its relatively high cost compared to
may form a resistance to passing drug molecules, suppositories, for example. Moreover, administra-
and that the actual release may be underestimated. tion cannot be performed easily by patients them-
By a calculation procedure it is possible to obtain the selves, and it is rather difficult to deliver the total
actual release if certain conditions can be met. It content of the plastic container.
seems advisable, therefore, to avoid membranes in a
release tester whenever possible.
The actual true validation of in vitro release
testing remains the in vivo performance. Several
VAGINAL DRUG DELIVERY
possibilities exist to obtain such data. Bioavailability
determination should consider both rate and extent
Vaginal administration of drugs
of absorption. Whenever possible these data should
be obtained in humans, as at present no sufficiently The vaginal route is mainly used for the achievement
reliable animal model is available. For a more of local effects, e.g. in the case of Trichomonas and
detailed discussion on the general aspects of Candida infections. Some drugs are, however,
542
RECTAL AND VAGINAL DRUG DELIVERY
administered vaginally to achieve systemic effects. In Vaginal suppositories (pessaries) are mostly pre-
some cases the drugs given by intravaginal route pared with glycerol-gelatin bases, as this mixture is
have a higher bioavailability than with the oral route, well tolerated. Polyethylene glycols are less common
because the drug enters immediately into the sys- because they are said to promote irritation. Also,
temic circulation without passing the metabolizing fatty excipients are not much used. Most delivery
liver (as is the case with drugs absorbed from the forms for vaginal application demand an auxiliary
lower part of the rectum). device to obtain deep insertion of the delivery
The vaginal wall is very well suited for the absorp- system.
tion of drugs for systemic use, as it contains a vast
network of blood vessels. Only a few drugs are admin-
istered by this route at present, however. Among these
are oestrogens and prostaglandin analogues, which are
usually administered as vaginal creams or hydrogels. BIBLIOGRAPHY
Progesterone has been given as vaginal suppositories
de Blaey, C.J. and Polderman, J. (1989) Rationales in the
(pessaries) for some years, and better results are design of rectal and vaginal delivery forms of drugs.
obtained in this way than after oral dosing. In: Drug Design,Vol. 9 (ed. E.J. Ariens). Academic Press,
New York, pp. 237-266.
de Boer, A.G., Molenaar, R, de Leede, L.G.J., Breimer,
Formulation of vaginal dosage forms D.D. (1982) Rectal drug administration: clinical
pharmacokinetic considerations. Clin. Pharmacokinetics,
Many different types of formulations have been and 7,285-311.
are applied vaginally, e.g. tablets, capsules, pessaries, Miiller, B. (ed) (1986) Suppositorien. Wissenschaftliche
solutions, sprays, foams, creams and ointments. Verlagsgesellschaft mbH, Stuttgart.
Because of the rather low moisture content under Rytting, J.H. (1990) Rectal route of peptide and protein
delivery. In: Peptide and Protein Drug Delivery (ed. V.H.
normal physiological conditions, additives are used Lee). Marcel Dekker, New York, pp 579-594.
to improve the disintegration of vaginal tablets, e.g. Thoma, K. (1980) Arzneiformen zur rectalen und vaginalen
bicarbonate together with an organic acid, which Applikation. Werbe- und Vertriebsgesellschaft Deutscher
results in CO2 release. A good filler for vaginal Apotheker mbH, Frankfurt am Main, Germany.
Tondury G. (1981) Angewandte und Topographische Anatomie,
tablets is lactose, as this is a natural substrate for the 5th edn. Georg Thieme Verlag, Stuttgart.
vaginal microflora, which converts lactose into lactic Winfield, A.J. and Richards, R.M.E. (1998). Pharmaceutical
acid, resulting in a pH value of 4-4.5. Practice, 2nd ed. Churchill Livingstone, Edinburgh.
543
35
Delivery of pharmaceutical proteins
544
DELIVERY OF PHARMACEUTICAL PROTEINS
as those encountered in the gastrointestinal tract is Isolation of the expressed protein from the culture
slow unless specific transporter molecules are avail- medium is a multistep process consisting of several
able. Moreover, the conditions in the lumen of the different (chromatographic/filtration) steps. For
GI tract are extremely hostile to these proteins. every protein a 'tailor-made' purification protocol
(Enzymatic) degradation is fast. Therefore, the large has to be developed to remove impurities while
majority of pharmaceutical proteins are delivered via ensuring integrity.
the parenteral route (i.e. by the needle).The issue of Biotech-derived molecules may make up the
alternative routes of administration is discussed later majority of protein drugs, but there are still proteins
in this chapter. of major therapeutic importance isolated from blood
Conserving the integrity of these large molecules is from humans or animals. Examples are albumin,
essential to ensure an optimal therapeutic effect and to blood clotting factors (such as Factor VIII from
minimize effects such as the induction of unwanted blood from human volunteers), and antisera from
immune responses. An immune response may neutral- patients or animals such as horses and sheep. Here
ize the therapeutic activity in chronic dosing schedules again, special purification protocols have to be
and cause serious side-effects. Protein stability con- developed, with particular emphasis on reduction of
cerns both their chemical and their physical structure. viral contamination (see later).
There are many functional groups in the amino acid
chain available for chemical degradation, and the pre-
ferred three-dimensional structure is readily irre-
Specific challenges
versibly disturbed (e.g. through heat, changes in pH or It is clear that pharmaceutical proteins offer special
ionic strength). Some analytical approaches to monitor challenges to the pharmaceutical formulator. They
the protein structure are discussed later. are delicate, large molecules with many functional
The preferred shelf-life for pharmaceutical prod- groups. Their structure, being stabilized by relatively
ucts is a minimum of 2 years. Most proteins degrade weak physical bonds, is readily and irreversibly
too fast when formulated as aqueous solutions, even changed. In vivo this may directly affect the interac-
when kept in the refrigerator. Therefore, they have to tion with the receptor, change their pharmacokinetic
be stored in a dry form and be reconstituted before characteristics, e.g. their clearance, or make them
administration. These delicate structures are usually immunogenic. Moreover, their epithelial penetration
dried by freeze-drying (see Chapter 26). The choice capability is very low unless the proper transporter
of the proper excipients (e.g. lyoprotectants) has molecules are available. Thus, as a rule, pharmaceu-
proved to be extremely important. tical proteins are administered parenterally.
In the sections that follow several issues will be
dealt with in more detail.
Sources of pharmaceutical proteins
Nowadays most proteins used in therapy or under
development are produced by recombinant DNA or
hybridoma technology (known as biotechnology or
FORMULATION OF PHARMACEUTICAL
biotech products). Examples are human insulin, ery-
PROTEINS FOR PARENTERAL
thropoietin, monoclonal antibodies, cytokines and
ADMINISTRATION
interferons. They are all produced in cell cultures by
prokaryotic or eukaryotic cells, ranging from
Stability issues
Escherichia coli to mammalian cells such as Chinese In the introduction to this chapter it was pointed out
hamster ovary cells, or transgenic animals. From the that pharmaceutical proteins are high molecular
examples listed, one may conclude that many of the weight molecules with amino acid building blocks
pharmaceutical proteins are basically endogenous that are sensitive to degradation and with a specific
products. However, a number of currently used three-dimensional structure. Table 35.1 lists the
biotech products are not exactly identical to the pathways for degradation of proteins.
endogenous product. For example, the glycosylation
patterns of the recombinant form may be repro-
Physical instability
ducibly produced on a large scale, but not completely
match the endogenous product. Extensive evaluation Degradation rates depend on environmental
of these products in clinical trials has proved their conditions and the formulator should carefully select
efficacy and safety. conditions for optimal stability. For example,
545
DOSAGE FORM DESIGN AND MANUFACTURE
Fragmentation
Isomerization
Deamidation
Oxidation
Disulphide scrambling
Oligomerization
Aggregation
Cross-linking
Denaturation
546
DELIVERY OF PHARMACEUTICAL PROTEINS
elevated temperatures can cause denaturation of used as excipients (Table 35.2), but reducing sugars
proteins in aqueous solution. Interestingly, low can react with free primary amino groups of the
temperatures may also induce destabilization. protein molecule via the so-called Maillard reaction
Besides, protein aggregation is often initiated by (even in the dry state) and form brownish reaction
adsorption of the protein monomer on the walls of products. Reducing sugars (e.g. lactose) should
the container. Proteins may also aggregate by therefore be excluded from protein-containing
shaking or by exposure to shear forces. Hydrophobic formulations.
parts of the molecule are then exposed to hydro-
phobic interfaces (air/water), the protein unfolds and
aggregation occurs.
Excipients used
Table 35.2 lists the excipients used in protein-
containing parenteral dosage forms. Not all of the
Chemical instability
ingredients listed are always needed, e.g. many phar-
Because of the many amino acids involved, full maceutical proteins are sufficiently soluble in water.
prevention of all chemical degradation reactions is This is in particular true for highly glycosylated mol-
difficult. The formulator should consider which ecules. In this case no solubility-enhancing sub-
chemical degradation pathways are relevant. Under stances are needed. However, if solubility
neutral conditions the peptide bonds between amino enhancement is necessary, the selection of the
acids are stable; only the asparagine-glycine and proper pH conditions should first be considered.
asparagine-proline bonds are relatively labile. Protein solubility depends on its net charge. In
Deamidation is a rather common degradation general, as with low molecular weight drugs,
reaction in water. Asparagine and glutamine are the uncharged protein molecules (at the pH of their iso-
amino acids that can be deamidated. Deamidation electric point, i.e.p.) have the lowest solubility in
reaction kinetics depend on pH and neighbouring water. Therefore, choosing pH conditions 'away'
amino acids. from the i.e.p. can solve the protein (and the
Oxidation is not limited to methionine and cys- problem). Some amino acids (e.g. arginine and
teine (Table 35.1): histidine, tryptophan and tyro- lysine) increase protein solubility and reduce aggre-
sine are also sensitive to oxidation reactions. gation reactions by a not-well understood mecha-
Oxidation is catalysed by traces of transition metal nism. Detergents such as polysorbate 20 and 80 or
ions. An oxidative milieu may also cause free cysteine sodium dodecyl sulphate can also be used to prevent
units to form disulphide bridges or disulphide bond aggregation. These compounds prevent the adsorp-
scrambling. tion of proteins to interfaces (air/water and con-
Naturally occurring amino acids are in the L form. tainer/water) and thereby interface-induced protein
Isomerization to the D form is possible and will unfolding. Human serum albumin has a strong ten-
change the structure of the protein. dency to adsorb to interfaces and may therefore be
Improper choice of excipients may also cause added to therapeutic protein formulations as an anti-
degradation reactions. For example, sugars are often aggregation agent.
Table 35.2 Excipients used in parenterat dosage forms and their function
547
DOSAGE FORM DESIGN AND MANUFACTURE
Oxidation reactions are catalysed by heavy metals. Lyoprotectants replace water as stabilizing agent
Chelating agents are used to reduce oxidation ('water replacement theory') of the protein;
damage through binding of the ions. This approach Lyoprotectants increase the glass transition
cannot be used if the metal ion is necessary as an temperature in the frozen system and in the dried
integral part of the protein structure. Examples are system, avoiding collapse of the porous cake which
zinc ions in insulin formulations and iron ions in would slow down water removal from the frozen
haemoglobin. Then, antioxidants such as sulphites cake (during freeze drying) and interfere with a
may be added to reduce the oxidation tendency. In rapid reconstitution of the freeze-dried cake;
the case of vials for multiple dosing, preservatives Lyoprotectants slow down the secondary drying
have to be included in the formulation. Benzyl process and minimize the chances of overdrying
alcohol and phenol are often used for this purpose. of the product in the secondary drying stage.
Buffered aqueous protein solutions may be stable
for 2 years under refrigerator conditions. Some mon-
oclonal antibody formulations, for example, are
Microbiological requirements
available as aqueous solutions, but the more Typically, pharmaceutical proteins are administered
common situation is that the formulation has to be via the parenteral route. This implies that the
freeze-dried in the vials to avoid degradation and to product should be sterile. In addition, virus and
ensure that the product can be readily reconstituted. pyrogen removal steps should be part of the
During freeze-drying (Chapter 26) water is purification and production protocol.
removed by sublimation. In the freeze-drying Pharmaceutical proteins cannot be sterilized by
process three discrete phases can be discerned. The autoclaving, gas sterilization or ionizing radiation,
first is freezing of the solution to temperatures typi- because these procedures damage the molecules.
cally around -35 to -40C, followed by a sublima- Therefore, sterilization of the end-product is not pos-
tion phase with temperatures of around -35C and sible. This leaves aseptic manufacturing as the only
low pressures to remove the frozen water (phase 2), option.
and a final, secondary drying stage to remove most All utensils and components must be presterilized
residual water. The pressure must remain low, but (by heat sterilization, ionizing radiation or mem-
the temperature can rise up to about 20C without brane filtration) before assembling the final formula-
collapse of the porous cake (see below). A lyoprotec- tion to minimize the bioburden. Protein products are
tant (e.g. sugar) is necessary to stabilize the product manufactured under aseptic conditions in class 100
as the removal of water may irreversibly affect the areas (fewer than 100 particles > 0.5 /u,m per cubic
protein structure. Moreover, sugar lyoprotectants foot). This low level contamination is reached by
also happen to form readily reconstitutable porous filtration of air through HEPA (high-efficiency par-
cakes. ticulate air) filters. Finally, the product is filled into
The freezing temperature should be low enough to the containers through sterile filters with 0.22 yu,m
convert the aqueous solution with the sugar and the pores before capping or freeze drying/capping.
protein into a glass. Glass formation in sugar solu- Pharmaceutical proteins are produced by living
tions usually occurs around -30C. Just below the organisms. Viruses can be introduced into the
glass transition temperature the sublimation process product either by the use of contaminated culture
can begin during the lowering of the pressure in the media or via infected (mammalian) production cells.
chamber. The sublimated water is collected on a It is therefore important that purification and manu-
condenser with a considerably lower temperature facturing protocols contain viral decontamination
(typically -60C). As sublimation extracts a large steps. Viral decontamination can be accomplished by
amount of latent heat from the system, the tempera- virus removal and/or by viral inactivation. The
ture in the vials containing the frozen protein solu- problem faced when selecting inactivation tech-
tion could fall even lower than the starting niques is that there is often a narrow window
temperature, slowing down sublimation. The vials between successful viral inactivation and preserva-
are therefore heated in a controlled way to keep them tion of the integrity of the pharmaceutical protein
at temperatures low enough to preserve their glassy structure.
texture, but high enough to let the sublimation Viruses can be removed by filtration, precipitation
process proceed at a sufficiently high speed. or chromatography. For virus inactivation, heat treat-
The mechanism (s) of action of lyoprotectants ment (pasteurization), radiation or crosslinking agents
(non-reducing sugars) are not fully understood. The (e.g. /3-propiolactone) can be used. As no single
following may play a role: process guarantees complete virus removal, often
548
DELIVERY OF PHARMACEUTICAL PROTEINS
several different decontamination steps are introduced molecule is a complex three-dimensional structure
in series in the 'downstream' purification process and of amino acids, often coupled to saccharide, phos-
in the manufacturing of the final formulation. phate or sulphate moieties. The total structure is
Gram-negative host cells, such as E. coli, are often responsible for the pharmacodynamic (e.g. receptor
used as production cells for non-glycosylated interaction) and pharmacokinetic (e.g. clearance,
proteins. Gram-negative cells contain large amounts targeting) effect. It is not possible to define the struc-
of endotoxins in their membranes. These endotoxins ture of a pharmaceutical protein with the same
are heat stable, amphipatic, negatively charged precision as small, low molecular weight molecules,
lipopolysaccharides and are potent pyrogens. where a combination of analytical techniques
Pyrogens have to be removed in order to meet provides unequivocal structural evidence.
pharmacopoeial criteria, and this can be done, for Therefore, a set of pharmacological, immunological,
example, through anion-exchange chromatography. spectroscopic, electrophoretic and chromatographic
approaches is used to characterize the protein as
closely as possible. Table 35.3 lists a number of regu-
larly used analytical techniques and the information
ANALYTICAL TECHNIQUES TO that is obtained.
CHARACTERIZE PROTEINS Quality assessment used to be based on func-
tional tests in vivo (relevant animal models). An
It is clearly important to be able to guarantee the example is the pharmacopoeial test for insulin: the
integrity of a protein. As mentioned earlier, a protein lowering of the blood glucose level in rabbits upon
549
DOSAGE FORM DESIGN AND MANUFACTURE
550
DELIVERY OF PHARMACEUTICAL PROTEINS
Table 35.4 Alternative routes of administration to the oral route for biopharmaceuticals (adapted from Crommelin and
Sindelar 1998)
Nasal Easily accessible, fast uptake, proven track record Reproducibility (in particular under
with a number of 'conventional' drugs, probably lower pathological conditions), safety (e.g.
proteolytic activity than in the Gl tract, avoidance of first-pass effect, ciliary movement), low bioavailability
spatial containment of absorption enhancers is possible for proteins
Pulmonary Relatively easy to access, fast uptake, proven track record Reproducibility (in particular under
with 'conventional' drugs, substantial fractions of insulin pathological conditions, smokers/
are absorbed, lower proteolytic activity than in the Gl tract, non-smokers), safety (e.g.
avoidance of hepatic first-pass effect, spatial containment of immunogenicity), presence of
absorption enhancers (?) macrophages in the lung with high
affinity for particulates
Rectal Easily accessible, partial avoidance of hepatic first-pass effect, Low bioavailability for proteins
probably lower proteolytic activity than in the upper parts
of the Gl tract, spatial containment of absorption enhancers is
possible, proven track record with a number of 'conventional' drugs
Buccal Easily accessible, avoidance of hepatic first-pass effect, probably Low bioavailability of proteins, no
lower proteolytic activity than in the lower parts of the Gl tract, proven track record yet (?)
spatial containment of absorption enhancers is possible, option
to remove formulation if necessary
Transdermal Easily accessible, avoidance of hepatic first-pass effect, Low bioavailability of proteins
removal of formulation is possible if necessary, spatial containment
of absorption enhancers is possible, proven track record with
'conventional' drugs, sustain/controlled release possible
551
DOSAGE FORM DESIGN AND MANUFACTURE
552
DELIVERY OF PHARMACEUTICAL PROTEINS
has been formulated for human growth hormone. attention is given to those aspects where biotech
These microspheres are prepared using a double products clearly differ from low molecular weight
emulsion technique whereby the proteins are exposed drugs.
to organic solvents, and protein encapsulation
efficiency is rather low. Alternatively, a dextran-based
microsphere preparation protocol has been devel-
oped without the use of organic solvents and with BIBLIOGRAPHY
extremely high loading efficiencies.
Baudys, M. and Kim, S.W., eds. (1999) Insulin Delivery.
Adv. Drug Del. Rev. 35, 141-335.
Crommelin, D.J.A. and Sindelar R.D. (1998) Pharmaceutical
Biotechnology. Harwood Academic Publishers,
CONCLUDING REMARKS Amsterdam.
Franssen, O.,Vandervennet, P. Roders, P. and Hennink,W.E.
Protein drugs are rapidly gaining in importance, and (1999) Chemically degrading dextran hydrogels: controlled
release of a model protein from cylinders and
both market volume and market share are expected microspheres. J. Controlled Release, 59, 219-228.
to rise. Biotechnological techniques permit the Manning, M.C., Patel, K. and Borchardt, R.T. (1989)
design and synthesis of active proteins. It is the task Stability of proteins, Pharm. Res. 6, 903-917.
of the pharmaceutical formulation scientist to turn Wang,W. (1999) Instability, stabilization and formulation of
liquid protein Pharmaceuticals. Int. J. Pharm. 185,
the pure substance into a formulation that can be 129-188.
safely administered to the patient, exerting optimal Van de Weert, M., Hennink, W.E. and Jiskoot, W. (2000)
therapeutic benefits. In this chapter different aspects Protein instability in Poly(lactic-co-glycolic acid
of this formulation process are described and special microparticles. Pharm. Res., 17, 1159-1167.
553
36
Packs and packaging
Dixie Dean
CHAPTER CONTENTS
The role of the pack 555 The distribution System 560
Manufacturing facilities 560
The pack as a protection 555
Mechanical hazards 556 Packaging materials 560
Shock or impact damage 556 Glass and glass containers 560
Compression 556 Metal and metal containers 561
Vibration 556 Plastics and plastic containers 561
Abrasion 556 Types and uses 561
Puncture or piercing 556 Disadvantages 562
Climatic or environmental hazards 556 Additives 562
Moisture 556 Fabrication of plastics 563
Temperature 556 Paper and board 563
Pressure 556 Films, foils and laminates 563
Light 557 Rubber-based compounds 564
Atmospheric gases 557
Solid airborne contamination (particulates) 557 Closures 564
Biological hazards 557 Functions of a closure 564
Microbiological 557 Determination of closure efficiency 565
Other forms of infestation 557 Heat seals 566
Pilferage and adulteration risks 557 Other sealing methods 566
Chemical hazards 557
Filling 566
Stages in the development of a pack-product Packaging lines 566
combination 558 Organization of packaging lines 566
Development stages 558 Packaging of certain products 567
Preformulation 558 Aerosols 567
Product formulation 558 Parenterats 567
Consideration of container materials 559 Glass 567
Pack feasibility tests 559 Rubber 567
Formal stability tests 559 Plastics 568
Ongoing stability 559 Sterilization 568
Complaints 559 Labelling 568
554
PACKS AND PACKAGING
Packaging can be defined as an economical possible display and finally use or administration,
means of providing presentation, protection, directly by a patient or indirectly by a health profes-
identification/information, containment, con- sional. In certain cases the pack may form part of the
venience and compliance for a product during administration system, as is seen with aerosols
storage, carriage, display and use until such metered dose nasal pumps, prefilled syringes etc. As
time as the product is used or administered. these total pack requirements become increasingly
This total timescale must be within the shelf-life of extensive and sometimes conflicting, it is not surpris-
the product, which is controlled by the selection of ing to find that the final choice is inevitably a com-
the right combination of product and pack. In promise, hence the question 'What is an ideal pack?'
looking at the above definition emphasis on any one rarely has a simple answer. For example, the external
factor may change with time, advancements in image of the pack must not only compliment product
science and technology, or trends in product form. confidence, provide clear and concise product
For instance, there has been a distinct move from the identification, adequate information related to the
use of unpleasant oral liquids to the solid dose form, contents (including legal requirements), the route of
which has recently concentrated on delayed- or sus- administration, storage conditions, batch number,
tained-release products. Such changes can have a expiry date, manufacturer's name and address and
positive influence on the type of pack used, as shown product licence number, but also assist in patient
by the increasing applications of blister and strip compliance. Producing an aesthetically acceptable
packaging. Both sustained-release and these unit- design is therefore only one stage where compromise
type packs offer obvious patient convenience, as a has to be exercised.
selected number of units can be readily detached In addition to this aesthetic requirement the
and carried as a day's treatment, possibly leading to majority of the remaining pack factors are associated
improved compliance. However, packaging can offer with its function. The primary pack consists of those
convenience factors anywhere along its lifecycle, e.g. packaging components that form the part of the
reel-fed materials used for the production of blisters pack directly containing the product (i.e. bottle, cap,
and strips need relatively little storage space com- cap liner, label etc.). The main functions of the
pared to any preformed bottle, which literally wastes primary pack are to contain and to restrict any
space by storing air prior to being filled. Further chemical, climatic or biological or occasionally
examples of packs offering patient convenience mechanical hazards that may cause or lead to
include a range of unit dose presentations that product deterioration. Because the primary pack
permit immediate disposal after use, metered dose also represents the pack of 'use', it must also func-
aerosols and nasal sprays which combine conve- tion in the hands of the user as a means of drug
nience with dosage control, squeeze eyedrop packs administration. The packaging external to the
(compared to the earlier bottle, dropper and teat primary pack, known as the secondary packaging,
assembly) etc. mainly provides the additional physical protection
necessary to ensure the safe warehousing and deliv-
ery of the product to the point where bulk quantities
The role of the pack are broken down into individual or specific units.
The role of the pack and the packaging operation
needs emphasis as the shelf-life of all pharmaceutical
products, irrespective of whether they are ethicals,
semiethicals or proprietaries (over-the-counter or THE PACK AS A PROTECTION
OTC), is largely dependent on certain functions of the
pack. The pack must be economical and therefore Although each function of the pack has to assume a
contribute to overall profitability; it must provide pro- certain level of importance, protection is almost
tection against climatic, biological, physical and invariably the most critical factor as it controls the
chemical hazards; it must provide an acceptable pre- total shelf-life of the product. Asking the question
sentation which will contribute to or enhance product 'protection against what?' produces a whole list of
confidence while at the same time maintaining ade- possible hazards, many of which are listed below.
quate identification and information; and last but not These are not identified in any particular order of
least it must contribute in terms of convenience and importance as those that are relevant to a specific
compliance. Each of these aspects has to be consid- product will vary in both number and criticality.
ered against the total (shelf) life of the product, which They cover mechanical, climatic, biological and
involves periods of storage (static), carriage (motion), chemical factors.
555
DOSAGE FORM DESIGN AND MANUFACTURE
556
PACKS AND PACKAGING
equivalent to about 3000 m above sea level; hence particulates will inevitably increase microbiological
there is a -0.25 bar differential compared to takeoff. contamination risk.
Goods filled in factories at sea level and sent to
mountainous areas, or vice versa, will suffer from
similar patterns, i.e. goods packed in Johannesburg,
Biological hazards
South Africa, at 2000 m and then sent to Durban at
Microbiological
sea level will be exposed both to a positive pressure
and probably to a temperature change. There is a general tendency towards improved
microbial control for all products. This means that
the packaging materials must be reasonably clean
Light initially and, when put together to form a finished
Light consists of wavelengths from the UV zone pack, restrict any further contamination as much as
through the visible to infrared. Although UV is a possible. In the case of sterile products the pack and
potential source of photochemical change, such its closure must maintain a 100% effective seal
changes may not always be visible. Printed or deco- against microbiological ingress, i.e. bacteria, moulds
rated packaging materials may also suffer from dis- and yeasts. Ingress of yeasts is critical with sugar-
colouration (white may go yellow, deeper colours may based products, e.g. syrups, as fermentation may
fade), and this may be seen as implying a change in occur. Mould will also grow on cellulose-based
product efficacy or strength. Although light can be materials, i.e. paper and board, if these are kept
excluded by using selected materials, tin plate, foil under humid conditions.
etc., opacity and/or colour may reduce penetration or
filter out selected wavelengths. The additional use of
Other forms of infestation
UV absorbers in plastics may also restrict light rays
entering the pack. It should also be noted that many In common with foods, other sources of infestation
products are protected by a carton, outer etc. for a that can contaminate pharmaceutical products
larger proportion of their life. Protection may then include attack by insects, termites, vermin, rodents
only be necessary for a relatively short display or use or any other bird- or animal-contaminating source.
period when exposure to light occurs. Although this is more likely to happen under poorly
controlled conditions of hygiene and housekeeping,
such infestation can still occasionally cause problems
Atmospheric gases
even in the UK.
These include oxygen, carbon dioxide, nitrogen and
any other airborne gases. Oxygen leading to oxida-
Pilferage and adulteration risks
tion is the more obvious hazard. Carbon dioxide,
however, can cause a pH shift (unbuffered solution Pilferage being a human failing is broadly another
in plastic bottles, particularly LDPE, which is rela- biological hazard. The example of the Tylenol poi-
tively permeable to CO2) and/or lead to precipitation sonings, in 1982 has placed greater emphasis on the
of some products. The permeation of the common need for tamper-resistant packs. Prior to this, various
gases through plastic is typically in the ratio of 1:4:20 seals were used to indicate whether any product had
for nitrogen, oxygen and carbon dioxide, respec- been removed or replaced, rather than as a means of
tively, the latter being the most permeable. protecting against deliberate adulteration. Security
Odorous gases, or volatile ingredients associated seals, a possibly preferred phrase to tamper evidence,
with perfumes, flavours and product formulations are widely used for pharmaceutical products as a
may also pass into or out of a pack. If a volatile ingre- means of increasing and maintaining user
dient is lost from a flavour, an unpleasant odour or confidence in the product and pack.
taste may result.
Chemical hazards
Solid airborne contamination (particulates)
As chemical interaction, if inherent to the formula-
Particulates may be carried by or in the atmosphere. tion, cannot normally be reduced or avoided by pack
In the case of most plastic contamination may be selection (unless it is associated with exchange
increased by electrostatic attraction under dry con- between the product and external atmosphere), the
ditions whereby particulates are drawn from the main risk must relate to interaction or incompa-
atmosphere by electrical charges. The presence of tibility between product and pack. Compatibility
557
DOSAGE FORM DESIGN AND MANUFACTURE
investigations must basically cover any exchange that pack employed is relevant for all developmental
can occur between the product and the pack, and stages of a dosage form, from preformulation studies
vice versa. These may be associated with interaction right through to the finally chosen pack. The placing
or contamination, covering migration, absorption, of formulations on test without reference to the pack-
adsorption, extraction, corrosion, erosion etc, aging material, the closing system, the torque to
whereby ingredients may be lost or gained. Such which a screw cap has to be closed etc. is condemned.
exchange may be identifiable as organoleptic Attempts to accelerate deterioration by the use of
changes, increase in toxicity/irritancy, degradation, excessively high temperatures should also not be
loss or gain of microbial effectiveness, precipitation, employed. In the same way that products may
haze, turbidity, colour change, pH shift etc. Again change when exposed to accelerated conditions,
other external influences may catalyse, induce or packs and packaging materials may similarly suffer
even nullify chemical changes. changes, e.g. caps can tighten and crack (if plastic)
Some examples of chemical interaction between a or loosen and become ineffective as closures. It is
product and its pack and the resulting contamination therefore advised that packs generally should not be
are described below. exposed to temperatures of more than 45C, and
even at this condition the time period should not
1. Adsorption of chemical entities on to component
exceed 12 months, with a maximum of 6 months
surfaces occasionally occurs. Losses of EDTA
being preferable.
and certain preservatives (e.g. benzalkonium
With modern analytical techniques, TGA, DTA,
chloride, thiomersal and other mercurials) have
GC, GPC, DSC, HPLC, IR, UV,TLC etc., changes
been observed.
in product or pack are becoming easier to detect and
2. The more volatile preservatives, e.g. chlorbutol,
define in terms of actual change. It is also interesting
phenol, 2-phenylethanol, show fairly rapid loss
to note the change in emphasis from identifying
through low-density polythene by absorption
product purity to the identification and
and surface evaporation. If an external overwrap,
quantification of impurity and degradation products
which is not permeable to the preservative, is
which in earlier years would have remained
added, then loss can usually be restricted to
unidentified. These can now be fully quantified by
relatively low levels, i.e. less than 10%.
the analytical techniques available. However, the
3. Other surface-active ingredients which may be
student is warned that total reliance on so-called
found in plastics may also enter the product by
scientific methods is not enough. Sensual observa-
dissolution, surface abrasion etc. These include
tions related to feel, appearance, texture, colour,
antistatic additives, slip additives, antislip
smell and taste (where safe) should also be used, as
additives, mould release agents, antiblock agents,
these simple observations can occasionally detect
lubricants etc.
change before any analytical procedure has been
4. Detachment of glass spicules may occur when
developed.
alkaline solutions of citrates, tartrates, chlorides
The stages broadly associated with packaging
and salicylates are stored in soda glass
development are as follows.
containers. This may occasionally occur when
treated or even neutral glass is autoclaved in the
presence of similar alkaline salts. Preformulation
5. Organoleptic changes may occur, caused by
All preformulation studies need some form of
permeation of volatile or odorous substances
container. It is therefore important to understand the
through plastic materials, e.g. solvents from
limitations associated with any packaging contact
printing inks.
material used to contain or retain the material under
test even at this very early stage of product
development.
STAGES IN THE DEVELOPMENT OF A
PACK-PRODUCT COMBINATION Product formulation
Formulations and any intermediates all require to be
Development stages contained and stored. It is therefore necessary to
To follow the theme that no pharmaceutical excipi- make certain that all packaging contact materials are
ent, drug entity, intermediate or finished product can defined and that all pack parameters (torque, heat
exist without a pack means that knowledge of the seal etc.) are identified, controlled and documented
558
PACKS AND PACKAGING
(all part of good laboratory practice (GLP) and good major regulatory bodies in Europe, the USA and
pharmaceutical manufacturing practice (GMP)) Japan. Normally three large-scale batches of product
during formulation studies. in each pack variant are stored at 25C and 60% RH
for long-term stability purposes, and at 40C and
75% RH for accelerated stability, and sampled over a
Consideration of container materials
period of 5 years at examination intervals of
It is important to have a basic knowledge of all 0 (initial), 3, 6, 9, 12, 18, 24, 30, 36, 48 and 60
packaging materials, their properties, characteristics months. The data generated are sent to the regulatory
etc., and the processes by which they are fabricated/ authorities as part of the Marketing Authorization
decorated as a packaging container or component, as Application.
well as how these and any subsequent processes may
affect their properties, e.g. sterilization by ethylene
oxide can lead to ethylene oxide and ethylene glycol Ongoing stability
residues. Gamma irradiation of low-density poly- This consists of repeated stability on random
ethylene not only marginally reduces material batches from production in order to confirm that the
flexibility owing to molecular cross-linkage, but can shelf-life does not change.
give rise to formic acid and formaldehyde residues.
Complaints
Pack feasibility tests
This is the final means of monitoring the success of
This is the stage where a product (preferably the the product and pack. It is somewhat similar to the
formulation selected for ultimate sale) is tested in a monitoring and recording of adverse reactions in
range of possible packs, usually over a range of con- that it is a safeguard to both the company producing
ditions from say -20C to 45C, together with some the drug and the person receiving it.
cycling conditions covering a temperature-humidity In all the above tests analytical and packaging
range. Note the weakness of testing under constant technological support is essential to check both the
temperature conditions, when in actual practice all product and the pack. Some of the types of test
conditions are cycling and therefore variable. In addi- employed are identified in this chapter. The aims
tion to the storage tests indicated above the immer- quoted earlier bear repeating as without them there
sion of pieces of pack, or pack components if plastic, is no assurance that a satisfactory product pack has
in the product or a simulant - i.e. an extractive-type been achieved, i.e.
test - may also be employed. Extractive tests are
usually mandatory for plastics used for injectables 1. a specifiable product;
and ophthalmic products. All materials used for these 2. a specifiable pack;
tests should be given a provisional specification and 3. a specifiable series of processes controlling all
thoroughly checked (more rigorous quality control operations, from raw material to the assembly of
tests) prior to any use. Feasibility tests usually extend the finished pack, as this ultimately becomes the
over 1-12 months, with 3-6 months normally being basis for the control of all future production.
the minimum before a decision to proceed with a To achieve these specifiable parameters requires the
certain pack is taken. However, decisions based on cooperation and coordination of virtually all
accelerated conditions are sometimes difficult to company disciplines so that the final aim of having a
interpret, as limited failure at, say, 45C or severe successful product which is effective, safe and
cycling conditions, e.g. 15-37C, 50-90% relative profitable is met. The pack must therefore carry the
humidity (RH) over 12-hourly cycles, does not nec- product image literally from inception to disposal.
essarily mean a pack (or the product) will fail under
more realistic climatic conditions.
559
DOSAGE FORM DESIGN AND MANUFACTURE
consideration of the product, the market, the distri- of the venture. For example, an entirely new facility
bution system, manufacturing facilities and other for the introduction of a packed product by an
considerations. These are discussed below. aseptic or a terminal autoclaving process would be
more expensive than that required for a solid or
liquid dosage form.
The product
Product detail must include chemical and physical
characteristics of the drug entity, the excipients and
the formulation. It must also cover any recognized PACKAGING MATERIALS
routes of deterioration or degradation, the dosage
and frequency of dosage, the mode of administration Packaging types, styles and systems can be broadly
and type of patient (baby, child, teenager, adult, defined by the material of construction, e.g. glass,
elderly, infirm etc.), any of which could influence the plastic, metal, rubber, paper etc., and the process
product and pack style and any controlling legislative used for fabrication, e.g. blow moulding, injection
detail. Whether the product is seasonal or has a moulding etc.
year-round use may be a further influence on pack
selection.
Glass and glass containers
Glass has had a successful history for pharma-
The market
ceutical products in that it offers transparency,
The eventual channels of sale should be considered, sparkle, easy cleaning, effective closure and reclosure
i.e. where, when, how and by whom it is to be used where applicable, high-speed handling, good rigidity
or administered (e.g. doctor, dentist, nurse, patient and stackability, and depending on the selection of
etc.). Where the product may be used (i.e. clinic, the correct type of glass, is generally inert. The two
home, hospital), whether for home trade and/or main disadvantages, fragility and heavy weight, have
export, the quantity per pack and the predicted sales partially been reduced by surface coatings to
for initial launch and follow-up sales, must increase the surface lubricity and careful design. The
all be carefully considered during pack design and latter includes the avoidance of sharp angles and the
selection. use of adequate radii. Plastic-coated or plastic-
sleeved containers are likely to allow even thinner
glass containers to be produced. The specific gravity
The distribution system
of glass normally lies between 2.25 and 2.5, whereas
The distribution system should be carefully thought most plastics are well below 1.5 (PVC is 1.4-1.45).
out, for example conventional wholesale/retail Glass is basically of three types: neutral, (type I),
outlets, or direct to selected outlets. How a product surface-treated soda glass (type II) and soda or alkali
is to be distributed may be more relevant to export glass (types III and IV). These materials may be
markets where less sophisticated transport systems converted into components by pressing, blowing
(mules, donkeys, camels etc.) may be used, and into a mould, or the shaping of glass cane (tubular
where climatic conditions may be more severe, containers). Typical compositions of type I (neutral)
particularly if intermediate storage facilities are non- and type III (soda or alkali) glass are as follows
existent (e.g. no dockside warehouses) so that (Table 36.1).
the consignment will be directly exposed to the
atmosphere.
560
PACKS AND PACKAGING
In type I glass the alkaline element is largely The production of collapsible tubes made by a
eliminated by the use of boric oxide to neutralize process known as impact extrusion has been fairly
the oxides of potassium and sodium. Neutral glass static recently, first because of the growth in plastic
has a higher melt temperature (around 1750C) tubes, and more recently because of the introduction
and a narrower working temperature range, which, of a multi-ply lamination, once known as
together with the higher cost of boric oxide and 'Glaminates'. Metal collapsible tubes in the UK are
the greater likelihood of imperfections, usually largely made in aluminium (plain or lacquered) with
means a cost of two to three times that of soda a few in pure tin. As aluminium work hardens during
glass for containers made by the blow-moulding impact extrusion (i.e. it becomes less flexible and
process. more springy) aluminium tubes have to undergo an
Surface-treated glass (type II) is made by treating annealing process to ensure that the metal becomes
the hot surface of type III (soda) glass with sulphur flexible and capable of being shaped and folded. If
dioxide, ammonium sulphate or, in some countries, any interaction between the product and metal is
ammonium chloride. This neutralizes some of the likely an internal protective lacquer, usually based on
surface alkali radicals, producing a more neutral vinyl or epoxide resins, can be added. As metal tubes
surface. The process, which may also be referred to have a shoulder bearing an orifice (which takes a
as sulphuring or sulphating, invariably leaves a hazy closure) and an open end (through which the
surface bloom (normally sodium sulphate) and so contents are filled and after which the metal is folded
washing is essential prior to use. Soda glass (type III) and crimped), they have in effect two closures and
is the most widely used material where extraction of two areas of seal. Whereas the dispensing end can be
alkali metal ions is not critical to the product. Type sealed, with a blind nozzle and/or a screw cap to
IV glass has a similar composition to type III, but it make a good seal, the folded metal is less reliable in
cannot be guaranteed to have the same quality. All terms of searching or mobile products. The fold can
glass types are available in clear (white flint) and therefore be improved by the addition of a latex or
amber, with other colours, including green, being heat-seal band. Although the number of folds in the
produced as special makings. Although the majority filling end can also be varied (e.g. saddleback (triple)
of all glass containers are made by a blow-moulding fold, double fold etc.) the longer tube length required
process, vials, ampoules and cartridge tubes, pro- for the former (say + 9 mm) will add to the cost.
duced by 'shaping' glass softened by heat from a Tubes with elongated nozzles and a controlled
length cut from glass cane, find wide application for orifice size are used for eye ointments. Nearly all
pharmaceutical and cosmetic products. caps on metal tubes are wadless, being plastic and
moulded in polyethylene and polypropylene.
Metal and metal containers
Metal, mainly as tin plate or aluminium, was at one
Plastics and plastic containers
time widely used for rigid containers for tablets, cap-
Types and uses
sules, pastilles, powders and even liquid products. A
significant part of this usage has been lost to other Past years have seen a significant expansion in
materials over the last 10 years. Light flexible gauges the use of plastics, from a few thermoset caps
of metal (aluminium, tin and tin-coated lead) were and the odd container (for menthol cones and
widely used for collapsible tubes. Thin gauges of alu- shaving sticks) to a point where plastics have
minium are widely used as foil in combination with become a major packaging material. Plastics now
other support or heat-sealing polymer films. used are related mainly to the thermoplastic resins.
Although all the above uses for metals still exist, The most economic four are polyethylene (low,
there has been a gradual reduction in their use other medium and high densities), polyvinyl chloride
than for foil and for aerosols. In addition to contain- (unplasticized and plasticized), polypropylene
ers, tin plate, aluminium and aluminium alloy have (homopolymer and copolymer) and polystyrene
been widely employed for ancillary components, (general purpose and impact modified). Other
including closures. Although the use of tin plate and selected materials find specialized usages for con-
certain types of aluminium screw closures has tainers, devices, components, plies or coatings.
reduced, the special aluminium alloy developed for These include nylon (PA), arcylonitrile butadiene
rolled-on and rolled-on pilfer-proof closures has styrene (ABS), styrene acrylonitrile (SAN), poly-
remained in use owing mainly to recent events carbonate (PC), polysulphone, polyvinylidene chlo-
related to security and tamper evidence. ride (PVdC), polymonochlorotrifluoroethylene
561
DOSAGE FORM DESIGN AND MANUFACTURE
(PCTFE), polyester (PET) and polytetrafluoroeth- immediately suggesting that a conventional squeeze
ylene (PTFE). Plastic resins or polymers offer pack was unsuitable.The LDPE bottle was, however,
many attributes, in choice of material and grade, enclosed in a PVC blister impermeable to the
processes of fabrication and decoration, a wide volatile preservative and fitted with a peelable foil lid
selection in design, and physical and chemical (also impermeable). As a result of this combination
properties, all on an economical basis. the loss of preservative was restricted to less than 5%
of the total, i.e. preservative soluble in the LDPE,
and preservative in the air space of the PVC blister
Disadvantages
reached a point where equilibrium was achieved
In theory plastics appear to have certain dis- between product, LDPE and the surrounding air
advantages, e.g. possible extraction, interaction, space.
adsorption, absorption, lightness and hence poor
physical stability; all are permeable to some degree to
Additives
moisture, oxygen, carbon dioxide etc; and most
exhibit electrostatic attraction, allow penetration of Because plastics still tend to be seen as relatively
light rays unless pigmented black etc. It is necessary new materials, those used for ophthalmic solutions
to be aware of other possible negative features. These and injectables have a specific extractives procedure
include: to pass. However, a knowledge of the constituents
that may be found in a plastic material is equally
1. stress cracking: a phenomenon related to low-
important.The constituents fall into four categories:
density polythene and certain stress cracking
the polymer, residues associated with the polymer-
agents such as wetting agents, detergents and
ization process, additives (those constituents added
some volatile oils;
to modify the plastic in a specific way) and any pro-
2. panelling or cavitation: whereby a container
cessing aids (which are used to assist any part of the
shows inward distortion or partial collapse owing
process). The list of residues, additives and process-
to absorption of gases from the headspace,
ing aids varies according to the plastic involved.
absorption causing swelling of the plastic, or
Natural polyethylenes usually are low in residues
dimpling following a steam autoclaving
and are likely to contain only a small quantity of
operation;
an antioxidant. Polyvinylchloride, on the other
3. crazing: a surface reticulation which can occur
hand, invariably contains a stabilizer to restrict any
particularly with polystyrene and certain
degradation that may occur during the heat pro-
chemical substances (isopropyl myristate first
cessing.
causes crazing, which ultimately reaches a state
The residues, additives and processing aids that
of total embrittlement and disintegration);
may be used, and therefore possibly extracted from,
4. poor key of print: certain plastics, such as the
a plastic include the following:
polyolefins, need pretreating before ink will key.
Additives that migrate to the surface of the Monomer residues Modifiers
plastic may also cause printing problems; Catalysts Emulsifiers
5. poor impact resistance: both polystyrene and Accelerators Antioxidants
PVC have poor impact resistance. This can be Solvents Mould-release agents
improved by the inclusion of impact modifiers, Extenders Lubricants
such as rubber in the case of polystyrene and Fillers Stabilizers
methyl methacrylate butadiene styrene for PVC. Slip additives Colourants - pigments and
However, both increase the permeability of Antislip additives dyes
each. Antistatic agents Whiteners and opacifiers
Antiblocking UV absorbers
The majority of these effects can be either overcome
agents Flame retardants
or minimized by one means or another. An industrial
Plasticizers Light excluders (e.g. carbon
example will illustrate the point.
Release agents black)
It was required to pack a nasal spray formulation
in a plastic squeeze bottle which was available world- Most plastics will include only a few of the
wide. This immediately called for a low-density poly- constituents listed above. However, depending on the
ethylene pack. The product, however, contained a additive used, other properties of the plastic can be
volatile preservative system which both dissolved in changed, e.g. fillers such as chalk or talc are likely to
LDPE and was lost from it by volatilization, thereby increase moisture permeation.
562
PACKS AND PACKAGING
Fabrication of plastics film. Although paper, even when waxed, has relatively
poor protective properties against moisture, both
Unlike glass, plastic containers and components can paper and board (ointment, pill and tablet boxes)
be fabricated by a far greater number of processes. were once widely used for primary packs, particularly
These include injection moulding, injection and for dispensing operations.
extrusion blow moulding, injection stretch and
extrusion stretch blow moulding, thermoforming,
scrapless forming process (SFP), reaction injection Films, foils and laminates
moulding (RIM) and solid-phase pressure forming The development of plastic films (early 1950s
(SPPF), all of which relate mainly to thermoplastic onwards) as distinct from regenerated cellulose film
resins. Designs, rate of moulding and cost all vary based on viscose, and the process of laminating two
according to the process chosen and the number of or more plies selected from films, cellulose coatings,
moulds involved, i.e. single or multiple cavity. foil and paper, has seen an ever increasing use of the
Irrespective of the process, all moulding operations various combinations. These materials fall into dif-
operate to a 'cycle' whereby the basic resin is heated, ferent roles, such as supportive, barrier, heat seal
softened, shaped in a mould or moulds, and cooled and decorative. Paper, for example, is usually a sup-
to a temperature at which the article can be handled portive ply which can readily be printed to give dec-
without distortion. Virtually all plastics shrink in the orative appeal. Aluminium foil, even in the thinnest
moulding/cooling operation and allowance has to be gauges (particularly when laminated or coated with
made for this. After moulding plastics can be a plastic ply), offers the best barrier properties,
decorated or printed by another wide range of which are not approached even by the most imper-
processes, i.e. silk screen, dry offset letterpress, hot meable plastics. Metallization, a relatively new
die stamping, cliche or tampon printing, therimage, process whereby particles of metal are laid down on
letraset, or labelled by heat-sensitive, self-adhesive to a surface under vacuum, can significantly
labels or plain paper labels using a special adhesive. improve the barrier properties of a material but
Knowledge of both the fabrication and decoration of these do not approach the properties of pure foil.
plastics is essential when a plastic material is to be The reflective properties of both metallization and
used in contact with a pharmaceutical product. foil can add to the decorative appeal of a pack.
Plastics, as either films or coatings, can be used for
decoration, flexibility, to provide various barrier
Paper and board properties, heat scalability, see-through properties
The use of paper-based materials (cellulose fibre) (i.e. transparency), and to protect the other plies
remains a significant part of pharmaceutical packag- within the lamination.
ing in spite of the fact that paper is rarely used on its In terms of cost, paper/plastic (paper/LDPE or
own for a primary pack. However, the list of paper paper/PVdC) or single plies of coated regenerated
usages covers labels, cartons, bags, outers, trays for cellulose film or coated polypropylene represent the
shrink wraps, layer boards on pallets etc., and combin- more economical materials that can be used for strip
ations of paper, plastic and foil which are discussed packs, sachets, overwraps etc. Although in general
separately. Cartons are used for a high percentage of costs increase as the number of plies increases, newer
pharmaceutical products for a number of reasons, techniques such as coextrusion, where a number of
increasing display area, providing better stacking for plastic plies are extruded in combination, can
display of stock items, and the collating of leaflets produce complete laminations cheaper than those
which would otherwise be difficult to attach to many produced by individual bonding. However, lamina-
containers. Cartons also provide physical protection, tion bonding is still essential for plies containing
especially to items such as metal collapsible tubes. paper and foil, as these materials cannot be extruded.
Cartons therefore tend to be a traditional part of Uses for films, foils laminations are numerous, e.g.
pharmaceutical packaging. Fibreboard outers, either sachets, diaphragm seals for bottles, strip packs,
as solid or as corrugated board, also find substantial blister packs, liners for large containers, overwraps,
application for bulk shipments. flow wraps, and liners for boxes, either attached (e.g.
Regenerated cellulose film (trade names Cekatainer and Hermetet cartons) or loose bag-in-
Cellophane and Rayophane) are still used as an box systems and bags. Each of the above is likely to
overwrapping material either for individual cartons or use different materials or combinations of materials
to collate a number of cartons. However, it is being for a number of reasons. For example, a blister pack
substantially replaced by orientated polypropylene consists of a thermoformed tray with a lid made from
563
DOSAGE FORM DESIGN AND MANUFACTURE
board, paper, foil or film with coatings, which will (descriptions for the means by which particles are
either tenaciously adhere to the tray and act as a created when a needle is passed through a rubber),
push-through material or be peelable, so that the lid but is poorer in respect to ageing, multiple auto-
can be peeled back to gain access to the contents. The claving, extractives, moisture and gas permeation and
thermoformable portion, i.e. the tray, can again be the absorption of preservative systems. Synthetic
made from a single material, e.g. polystyrene, rubbers tend to reverse all of the above properties and
polyvinyl chloride, polyester etc., or be a combina- some formulations actually contain natural rubber in
tion, e.g. PVC coated with PVdC, PVC/PVdC/PE/ order to improve resealability, fragmentation and
PVdC/PVC, PVC/PCTFE (i.e. Aclar). coring. However, most rubber formulations are rela-
The thermoforming operation, whereby a heated tively complex and may contain one or more of the
and softened plastic ply, or sheet is drawn into a following: vulcanizing agents (many of which are
cooled mould, can be done by vacuum, positive air sulphur based), accelerators, fillers, activators, pig-
pressure, mechanically by a die, or a combination of ments, antioxidants, lubricants, softeners or waxes.
these. If thicker foil is incorporated into the basic The main types of rubber used for pharmaceutical
web to give a combination of nylon or polypropy- products include natural rubber, neoprene, nitrile,
lene/40-50 fjim foil/PVC or polyethylene, then cold butyl, chlorobutyl, bromobutyl and silicone. Of these
forming, whereby a web is stretched without perfo- silicone is the most expensive and, although the most
rating, can be carried out. Foil blisters, as these are inert, is readily permeable to moisture, gases and
known, when sealed with a foil lid, can provide a absorbent to certain preservatives.
hermetic pack, i.e. one that excludes virtually any As indicated above, rubber components are likely
exchange of gases between the product and the to contain more additives than plastics. They are
surrounding atmosphere. Similar protection can be therefore tested by basically similar extractives and
achieved by using a foil-bearing laminate for a strip product contact procedures before they are used for
pack. In this case either the foil laminate is stretched injectable or i.v.-type products.
by the insertion of an item in the 'pocket area' when Rubber gaskets are also found in aerosols and
it is held against a recess in a heat-sealing roller, or metered-dose pump systems.
the pocket area is prestretched prior to reaching the
intermeshing heat-sealing roller position. In all
cases the blister or pocket has to be especially
designed for the item to be filled if the maximum
CLOSURES
economy of material and machine is to be achieved.
The volume and area of a blister pack is very
Functions of a closure
product/machine dependent, and although it may
be practical to put an item in a larger size of blister Closures may be required to perform any of the
or pocket (at additional cost in material and possi- following functions:
ble slower production speed), it is usually impossi-
1. To provide a totally hermetic seal. This is a
ble to make packs smaller without technical risks
closure that permits no exchange between the
being taken, e.g. product sticking to foil lid in a
contents and the outside of the pack, e.g. a fused
blister pack; product causing pocket to perforate in
glass ampoule.
a strip pack etc.
2. To provide an effective microbiological seal, e.g.
Both blister and strip packs appear to offer a
rubber bung and metal overseal. As rubber is
reasonable degree of child resistance, particularly if
permeable to moisture and gases to some
the materials are opaque (opinion based on actual
degree, a bacteriological seal may not be strictly
recorded poisonings or accidents).
hermetic.
3. To provide an effective seal which is acceptable
Rubber-based components to the product, i.e. a closure which is not
hermetic or a total guarantee against bacterial
Rubber components may be made from either natural
ingress, but adequate for the product.
or synthetic sources. The majority of rubber usage is
related to the closure of sterile products (aqueous or Providing a 'seal' frequently depends on the
oil-based and freeze-dried or powdered solids). marriage of a hard material with a softer, more
Although natural rubber is being replaced by synthet- resilient one, so that the former makes a physical
ics it offers advantages in terms of resealing (multi- impression on the latter. Closures generally require
dose injections), fragmentation and coring consideration of the following:
564
PACKS AND PACKAGING
1. To be resistant and compatible with the product selective usage. Flowed-in linings, although slightly
and the product/air space. NB Product contact inferior in barrier properties and inertness, offer pro-
will vary according to how the pack is stood: duction-line advantages in that there is no wad to fall
upright, upside down, on side, intermittent out whereby a pack is left without an effective
contact during transportation, movement etc.; closure. Wadless caps also have this same advantage.
2. If of a reclosable variety, to be readily openable The knowledge required to understand closure
and effectively resealed; systems is frequently underrated.
3. To be capable of high-speed application where Rolled-on (RO) and rolled-on pilfer-proof
necessary for automatic production without loss (ROPP) aluminium alloy metal caps have always
of seal efficiency; been popular for the security of export products. The
4. To be decorative and of a shape that blends in RO and ROPP closure consists of a plain metal shell
with the main container; containing a wadding or flowed-in system, which is
5. To offer such additional functions as may be placed over the container neck and top pressure
deemed necessary - to aid pouring, metering, applied to give a good impression on the wad. While
administration, child resistance, tamper evidence the pressure is still held, the threads are formed by a
etc.; mechanical inwards pressure. In the case of the
6. To prevent or limit exchange with the outside pilfer-proof closure an additional perforated collar is
atmosphere, to a permissible level. As well as rolled under a lower bead. This type of closure
moisture exchange, this may have to cover gases, system is capable of maintaining an excellent seal
vapours and actual liquid seepage or leakage. and does not suffer from the occasional tearing of
the wad facing that occurs when a conventional
Although a closure can be affected by various basic
screw cap is applied to a substandard bottle finish. In
means, i.e. adhesion, heat sealing, welding, crimp-
the case of a rubber wad it also avoids any watch-
ing, mechanical impression, interlocking, stapling,
spring affect. However, a RO or ROPP cap does
sewing etc., the majority of systems are related to
require a slightly higher standard for the quality of
physical compression or heat sealing.
the bottle neck.
The physical compression systems include:
1. screw caps - in metal or plastic; prethreaded or
rolled on, with or without a wadding system (i.e. Determination of closure efficiency
wadless);
Closure efficiency, i.e. the ability to prevent undesir-
2. plug in - a friction push-in fit;
able exchanges between the product and the outside
3. push over - where a flanged or raised ring
atmosphere, can be determined by numerous
portion is pressed over a bead or lip.
methods:
Some closure systems endeavour to combine one or
1. Placing a desiccant in a pack stored under high
more of these systems and thereby achieve a multi-
RH and detecting any moisture gain;
ple seal: for example, a seal may press externally on
2. Putting liquid inside the pack, storing at high
a sealing surface and also on an internal bore.
temperature and low RH, and then detecting any
Wadless thermoplastic caps using a 'crab's claw' seal
moisture loss as a reduction in weight;
or a skirted bore seal are becoming increasingly
popular. 3. Holding the empty pack under water, applying a
vacuum and observing for leakage or liquid
Wadded screw caps either contain a wad plus a
ingress. Adding a dye and a wetting agent to the
facing, a disc of resilient plastic, or have a flowed-in
water may assist the defection of leaks;
plastic compound. The wad may be of compocork,
4. Putting liquid in the pack, inverting and
feltboard, pulpboard or expanded polyethylene,
applying a vacuum. A poor seal is detected by
faced with such materials as aluminium foil, tin foil
liquid seeping or leaking out;
(expensive), polyethylene, a vinyl material or PVdC
(Saran). The latter, which has good barrier proper- 5. Checking that cap-removal torque (assumes
quality of bottle and cap) is satisfactory. Torque
ties and is reasonably inert, is now the most widely
can be time-temperature related, particularly on
used. Foil or waxed foil is slightly preferable if a
plastic bottles, and so measurement should be
higher barrier material is required. The wadding
made against a standard condition and test
materials mentioned above are occasionally used,
period;
usually waxed, on their own. Plasticized PVC, poly-
6. Checking on compression 'ring' seal in cap liner
ethylene or foamed polyethylene have also found
when the system contains a liner or lining
565
DOSAGE FORM DESIGN AND MANUFACTURE
566
PACKS AND PACKAGING
567
DOSAGE FORM DESIGN AND MANUFACTURE
chemical changes may occur. Rubber generally will or drug entities is identified, recorded and cleared
not withstand dry heat. for use at all stages. This should also include the
Plastics Only a few plastics will withstand dry storage of intermediates, and all tests irrespective of
heat. whether they are investigational or formal in nature,
Sterilization Sterilization is possibly by steam, coupled to the procedures that control the pack, e.g.
ethylene oxide, y-irradiation and a process not a product is to be stored in a glass bottle with a
previously mentioned - accelerated electrons - plastic cap with a liner/facing.
which is in essence a milder form of y-irradiation.
1. Glass bottles should be described by type
This rather sweeping statement has to be supported
(amber/white flint), type of glass (I, II, III etc.)
by adequate testing, as each case must be considered
and closure type (e.g. screw neck), and cleared
on its own merits. In the case of ethylene oxide treat-
as meeting a provisional specification in terms of
ment, degassing may be a critical stage as residues of
dimensions, quality etc.
ethylene oxide, ethylene glycol (hydrolysed ethylene
2. The closure should be defined terms of material
oxide) and epichlorhydrin (if chloride ions are
(black phenol formaldehyde and wadding, i.e.
present) are all toxic in nature, y-radiation can cause
pulpboard faced with 20 gm~2 Saran) and
physical (due to molecular crosslinking) and chemi-
identified and cleared in terms of material,
cal changes to a plastic.
dimensions, quality etc.
If these materials are then used for a test at least the
Labelling on and off torques should be recorded within, say,
If the pack is not already printed, labelling normally 1 hour of application. The climatic conditions (tem-
follows closuring. Although the preferred labelling perature and RH) may in certain circumstances need
system in Europe and the UK is reel-fed self- recording, e.g. in the packing of a moisture-sensitive
adhesive labels, with limited use of plain labels and product. This information and the associated docu-
adhesive and heat-seal labels, this is not necessarily mentation - probably a laboratory notebook - is all
the case in other countries. The USA, for example, is part of GLP. The recording, examining and passing
more orientated towards heat-sealing (reel-fed and of bottles prior to acceptance for any type of test is
cut singles) than any self-adhesive system. part of quality control. To put testing into perspec-
Both self-adhesive and heat-seal labels contain tive, no test should be performed without good
constituents that may prove to be migratory when knowledge of the pack, the product, and how the two
adhered to certain plastics. Inactivation of benzalko- items were assembled. For example, moisture gain
nium chloride when self-adhesive labels have been by a sensitive product coupled with the finding of
applied to LDPE has been recorded. loose caps immediately poses the questions 'Were
the caps adequately tightened?', 'Are the bottles and
caps satisfactory?'. These questions cannot be
answered unless a disciplined approach is used and
QUALITY CONTROL OF PACKAGING adequate detail recorded. This attitude should apply
to all developmental work, as well as the more
In the UK pharmaceutical products are broadly important items such as clinical trial supplies,
controlled by guidelines related to good manufactur- human volunteer studies etc. Tests between products
ing practice (GMP) and good laboratory practice and packs which are carried out to define a suitable
(GLP).These cover all stages in the discovery, devel- pack/product are usually termed either feasibility or
opment, production, testing and sale of a pharma- investigational studies. Once this stage has been
ceutical entity, and the means of providing records completed, coupled with the development of analyt-
and documentation. Many of the aspects are related ical methods and analytical data, usually from accel-
to quality assurance and quality control. However, erated storage tests, there should be a high
any approval of a new drug discovery must involve confidence that the pack product combination
thorough attention to detail, with the effective chosen has an acceptable shelf-life or stability
recording of information through all initial evalua- profile. The final proof that this opinion is correct
tion stages of drug preformulation, formulation, lies with the formal stability programme, where the
clinical and safety evaluation, packaging develop- product is produced in the pack to be sold (or a near
ment and formal stability, leading to a produc- replica of it), by the final product method, and
tion/marketing operation. In terms of packaging this placed on test for a period of up to 5 years. The
should mean that any 'container' used for excipients storage conditions in such a programme may range
568
PACKS AND PACKAGING
from 4 to 50C, with challenges associated with low The ultimate of all pack clearance procedures is a
and high RH, light, etc. with analytical periods of 0 pack specification that becomes the lead document
(initial), 3, 6, 9, 12, 18, 24, 30, 36, 48 and 60 for purchase and clearance of future deliveries of
months. Regulatory bodies dictate the number of packaging materials.
batches to be put on test: usually a minimum of three Whereas quality assurance is the establishing of
production-scale batches. procedures that maintain quality, quality control is
'Analysis' normally involves purity, identification the actual testing activity. For instance, incoming
of degradation products, loss or gain of moisture if packaging materials are first examined as a bulk
relevant, microbial levels, effectiveness of preserva- delivery, then sampled on a statistical sampling
tive system, any exchange, interaction, adsorption, basis, and finally examined in terms of variables
absorption between product and pack, and last but and attributes for critical, major and minor faults
not least assessment of appearance, flavour, smell to agreed acceptable quality levels (AQLs). As
etc., as these aspects are sometimes more readily examination covers dimensional, aesthetic and
quantified by an observer than by a pure chemical functional aspects plus identification, (particularly
analytical method. Specific analytical methods are relevant with plastics), it ensures that the material
essential for the main drug entity. specified has been received. As production lines
Because certain drugs degrade according to an become faster, stoppages due to repairs, malfunc-
Arrhenius plot a range of test temperatures can be tion etc. have become more critical as ineffective
chosen, i.e. 4C, 15C, 25C, 35C (or 37C), 45C. and inefficient production can significantly affect
The temperatures required are 25C and 40C to costs. As an alternative to the statistical sampling
equate with temperate and tropical parts of the of deliveries arriving in house, two other options
world. However, it should be emphasized that most are:
medicines finish up in the bathroom or kitchen
1. a random sample taken at the point of
(preferably out of the reach of children), and so even
manufacture which is isolated and identified so
home conditions can be particularly severe while the
that it can be checked by the user;
product is being used or simply stored. Although
2. purchasing on warranty certification, which
disposal of drugs is recommended for dispensed
confirms that the quality specified is met as per
medicines after the course of treatment has been
agreed statistical testing scheme operated by the
completed both these and OTC products are
manufacturer.
inevitably stored for longer periods.
The procedures and controls for drug develop- With many, items where a high quality of cleanliness
ment are both intense and rigorous, and the same is essential sampling of the bulk delivery may lead to
type of control is maintained throughout produc- an additional risk of paniculate or microbial conta-
tion, marketing etc., finishing with the monitoring of mination. In such circumstances the alternative
any complaints and/or adverse reactions. Products schemes indicated above may be used to maintain
once launched are also sampled, say, one batch in 50 the integrity of the incoming stock. Inspection and
and put on a further stability test - known as quality control play a further role with ongoing
ongoing or existing product stability - to ensure that stock inspection, control on production lines, i.e. of
the shelf-life profile is maintained. Any change the packaged product and the monitoring of
following launch to processes, pack or product is not finished (saleable) warehoused stock. As mentioned
only similarly monitored but needs further input earlier, the final success of any product and its pack
from packaging expertise. can only in the long run be equated to sales and
Packaging development, whether carried out by a complaints.
formulator or a special packaging section, must be
based on a thorough knowledge of all packaging
materials, packaging processes, basic test procedures
Concluding comment
as applied to paper, plastic, glass, metal, laminations This introduction to the packaging of pharma-
etc., and devise programmes that provide the level of ceuticals should serve to establish the broad indepth
confidence that is essential between product and knowledge required by the packaging technologist.
pack. In many cases this will involve packs that act as The fact that all products only have a shelf-life when
devices, or separate devices and user/patient type packed emphasizes the importance of what has
tests designed to establish functional efficiency frequently been seen as a minor role in the past. The
and/or what will go wrong under conditions of success of any product depends on an effective
misuse. marriage between product and pack.
569
DOSAGE FORM DESIGN AND MANUFACTURE
Briston, J.H. (1983) Plastics in Packaging. Properties BP 2000, Appendix XIX Containers
and Application, Institute of Packaging Melton Mowbray, A Introduction (Ph. Eur. 3.2)
UK.
Briston, J.H. (1983) Plastics in Packaging. Conversion B Glass containers for pharmaceutical use (Ph.
Processes, Institute of Packaging, Melton Mowbray, UK. Eur. 3.2.1)
Dean, D.A. (1984) Pharmaceutical Packaging-present and C Plastic containers and closures (Ph. Eur. 3.2.2)
future trends. Mang Chem. Aerosol News, March 10th, D Containers for blood and blood products (Ph.
pp 282-284.
Dean, D.A. (1992) Packaging of Pharmaceuticals:
Eur. 3.2.3-3.2.8)
packages and closures; Institute of Packaging Melton E Rubber closures for containers for aqueous
Mowbray. parenteral preparations (Ph. Eur. 3.2.9)
Montresor, J.M., Mostyn, H.P. and Paine, F.A. (1983)
Packaging Evaluation. Institute of Packaging. Melton BP 2000, Appendix XX Materials used for manu-
Mowbray, UK. facture of containers (Ph. Eur. 3.1)
Moody, B.E. (1977) Packaging in Glass. Hutchinson,
London. A Materials based on PVC (Ph. Eur. 3.1.1-3.1.2)
Oswin, C.R. (1983) Packaging Life. Institute of Packaging, B Polyolefines (Ph. Eur. 3.1.3)
Melton Mowbray, UK. C Polyethylene (Ph. Eur. 3.1.4-3.1.5)
Remington's Pharmaceutical Sciences (latest edition), Lea and
Febiger, New York.
D Polypropylene for containers and closures for
Ross, C.F. (1983) Packaging of pharmaceutical products, parenteral and ophthalmic preparations (Ph.
sterilisation and safety. Institute of Packaging, Melton Eur. 3.1.6)
Mowbray, UK. F Silicone (Ph. Eur. 3.1.8-3.1.12)
Swinbank, C. Intermediate Bulk Containers. Institute of G Plastic additives (Ph. Eur. 3.1.13)
Packaging, Stanmore, Middx.
H Rubber for closures for containers for aqueous
parenteral preparations and powders for freeze-
dried products (Ph. Eur. 3.1.12)
570
37
Pharmaceutical plant design
CHAPTER CONTENTS
571
DOSAGE FORM DESIGN AND MANUFACTURE
This chapter comprises three separate sections relat- Considerations when selecting a new site
ing to the facilities and equipment in which medici-
Most major pharmaceutical companies are multi-
nal products are manufactured. The first part
national and have numerous disciplines contributing
discusses manufacturing facilities and describes the
to the production of the final product (e.g. chemical
selection, design and utilization of a manufacturing
synthesis, pharmacological and toxicological testing,
facility, and introduces the concept of process valid-
product development and product manufacture),
ation. The second describes the properties and selec-
which may be located in many different countries.
tion of the materials used in the construction of
Increasingly, however, there is a tendency to concen-
pharmaceutical facilities. The final part describes the
trate specific disciplines in a small number of sites,
types, causes and prevention of chemical corrosion
and this may dictate where the production site is
of pharmaceutical plant.
located. If this is not the case, then the advantages
and disadvantages of locating in different countries
need to be considered. Many countries, particularly
developing countries, offer incentives to pharmaceu-
MANUFACTURING FACILITIES FOR tical companies to attract them to build manufactur-
PHARMACEUTICAL PRODUCTS ing facilities in particular areas. These may, for
example, take the form of tax incentives, such as no
After a considerable investment of both time and local taxes for a number of years, free land or
money in developing and testing many new chemical building grants. Other factors that vary considerably
entities and products, some will reach the stage between different countries and which may influence
where there is the requirement to manufacture the where the site is located include labour costs and
product in large quantities. This section summarizes availability, energy and construction costs, environ-
some of the factors that need to be taken into con- mental legislation, likely opposition from the local
sideration when building a facility for producing residents and local employment legislation.
pharmaceutical products on a large scale. This is The chosen location must also have an acceptable
only intended as an overview and the reader is local infrastructure, including suitable road links,
referred to the work of Cole (1998) for a more services such as electricity and water, and the
detailed description of the design of pharmaceutical availability of a suitably qualified workforce.
production facilities.
Design and utilization of manufacturing
facilities
Manufacturing site selection
Pharmaceutical manufacturing facilities require Aims of manufacturing facility design
considerable capital expenditure and are likely to be The major requirements when designing and
used for many years. It is therefore necessary to think using manufacturing facilities should be to ensure
very carefully about where the facility is to be the following:
located, as well as how it is constructed. One impor-
tant consideration is whether the company should 1. Acceptable product quality.
develop a new site or refurbish an existing one. Each unit dose should contain the correct
Upgrading or redesigning an existing site may often component (s) in the correct concentration and
be a more cost-effective option, but may not always have the desired release properties. There
be feasible. For example, there may be insufficient should be negligible cross-contamination
space to expand an existing site. It may be 'outdated' between products or chemical contamination
and not suitable for upgrading, or the company may from operators. This is particularly important
be introducing a new product type where there is no when using highly sensitizing materials (e.g.
existing plant, or the existing site may not be in a penicillins) and very potent substances (e.g.
suitable location. hormones and cytotoxic drugs). In these later
Local planning regulations which may delay the cases 'dedicated' facilities should ideally be
development of an existing site also need to be used.
considered, as even small delays in bringing a The facility must be designed to maximize
pharmaceutical product to market can have consid- protection against the entry of insects/
erable cost implications. animals.
572
PHARMACEUTICAL PLANT DESIGN
Microbiological contamination must be the manufacturing process can be met. The specific
acceptably low both to protect the patient and conditions required depend on the product being
to ensure a satisfactory product shelf-life. manufactured. The following are illustrative exam-
The factory should be designed to ensure that ples.
no unauthorized personnel gain entry to
For a tabletting operation, typical environmental
processing or storage areas.
conditions might be a temperature of 21 C, a
Each product must be correctly packaged and
relative humidity of 35-40% and an air filtration
labelled to ensure the patient takes the correct
target of 95% removal of particles less than
medication and that it reaches the patient in a
5 /zm. These figures are such because powder
satisfactory condition. If the product is not of
flow is influenced by both air temperature and,
the required quality this will have considerable
particularly, relative humidity.
cost implications - for example if the batch has
Hard gelatin capsule filling processes, on the
to be destroyed. If the batch has to be recalled
other hand, are typically carried out at
after distribution, owing to errors such as
temperature of 24C and a relative humidity of
incorrect labelling, this is very costly both
approximately 30%. These figures are necessary
financially and in damage to the company's
because capsule shells become brittle and crack if
reputation.
the relative humidity and temperature are too
2. An acceptable working environment. low, and become soft and sticky and tend to jam
It is the duty of the pharmaceutical company the capsule filler if the relative humidity and
to ensure that the manufacturing area is temperature are too high.
designed and operated so that the exposure of Air relative humidity is also vital when
personnel to drugs, solvents etc. is at an manufacturing deliquescent products, where
acceptably low level. This may be achieved in levels as low as 20% may be required.
some circumstances by controlling the air flow With clean preparation areas the air particulate
and quality in the area, but with more toxic level is very important and the filtration target
materials special breathing apparatus with may be for more than 99% removal of particles
appropriate filters may be necessary. of 1 /Jim or less.
Comfortable working conditions should be
Typical 'comfortable' working conditions for opera-
provided for process operators wherever
tors are 18-24C and 30-60% relative humidity.
possible, bearing in mind any particular
The temperature of the air may be controlled either
product requirements, such as the need to
by passing it through a steam-based or electrical
prepare a product at a low temperature or
heating system, or over refrigerant coils. The
humidity.
relative humidity may be increased by spraying water
3. Manufacturing efficiency. Correctly designed and (of small droplet size) into the airstream, or decreased
located facilities within the manufacturing area by using refrigeration systems or desiccant wheels.
will improve the efficiency of the manufacturing In order to maintain the required conditions in the
process and thus reduce the cost of product manufacturing area, the stale air must be frequently
manufacture. Careful consideration needs to be 'replaced' with 'conditioned' air. The frequency at
given to all the different stages involved in the which this needs to occur will depend on factors
process and how material will be transferred such as the nature of the production process, the
between stages, so that the production facility number of operators present and whether the room
layout is optimized. For example, the use of is 'in use'. It may vary from approximately 20
gravity feeding of material between stages might changes per hour (typical solid dose production) to
require the facility to be sited on different levels, 500 (rooms for sterile production).
whereas the use of pneumatic or vacuum systems Architectural considerations Manufacturing areas
allow the facility to be sited on one level. should be of a suitable size, construction and location
to facilitate proper operation, cleaning and mainte-
nance. Any pipework, light fittings or ventilation points
Achievement of manufacturing aims should be designed and sited to avoid the creation of
Environmental conditions Control of the air recesses which might collect 'dust' and are difficult to
temperature, relative humidity and particulate and clean. If possible, they should be accessible from
microbial content is important so that the aims of outside the manufacturing area for maintenance.
573
DOSAGE FORM DESIGN AND MANUFACTURE
574
PHARMACEUTICAL PLANT DESIGN
A typical specification would be that the contaminant effect of heavy metals on penicillins. The appearance
level in the product taken by a patient is not greater of a product may also be affected by changes in
than a 1000th of its lowest daily therapeutic dose. colour due to contamination from the materials of
Once a piece of equipment has been cleaned the plant.
following a documented procedure, it is 'analysed' to It should be remembered that contamination from
detect the level of any product residue remaining. some materials may be innocuous, the products
This may be achieved, for example, by: being non-toxic.
Our increasing knowledge of materials of plant
swabbing the equipment over a 100 cm2 area at
construction is assisting greatly in providing plant
positions likely to be contaminated and analysing
that will be resistant to attack and deterioration in use
the swabs;
from the effects of acids, alkalis, oxidizing agents etc.
collecting and analysing rinsings from final
Alloys having special physical and chemical proper-
cleaning water (e.g. for cream manufacturing
ties have been developed, and materials such as
vessels);
plastics have been introduced to meet the problems
producing a placebo batch of the product in the
encountered.
cleaned container.
Visual and tactile inspection is also useful for
detecting contamination (except for very potent Physical factors
drugs).
An ideal construction material would satisfy all the
It is a good idea for the product selected to validate following criteria. In practice no material is ideal
the cleaning procedure to be the one that is likely to and the selection procedure must be based on
be the most difficult to clean of those produced in the compromise.
equipment. Care must also be taken to ensure that Strength Sufficient mechanical strength is an
any cleaning materials used are pharmaceutically obvious necessity and will be suited to the size of the
acceptable, and that they are present in suitably low plant and the stresses to which it will be subjected.
amounts. Once a cleaning process has been validated, Weight In most cases weight should be reduced
operators must always follow the designated proce- to a minimum, other factors being satisfactory, and
dure to ensure a consistently successful process. especially in plant that may have to be moved about
from place to place.
Wearing qualities These are particularly impor-
tant where there is a possibility of friction between
MATERIALS OF FABRICATION moving parts, an extreme case being the material
used for the grinding surfaces of size-reduction mills.
Desirable properties and selection Ease of fabrication It must be possible to process
the material in order to manufacture the various
In selecting materials for the construction of satis- units of the plant. Properties that enable materials to
factory plant the pharmaceutical engineer encoun- be cast, welded, bent or machined are of prime
ters problems involving chemical, physical and importance.
economic factors. The following brief outline indi- Thermal expansion The design of plant may be
cates something of the scope and limitations of the greatly complicated by the use of material that has a
choice of materials available. high coefficient of expansion. This increases the
stresses and the risk of fracture with temperature
changes, and the temperature range over which the
Chemical factors plant will be operated is likely to be considerably
Two aspects of chemical action must be considered restricted.
under this heading, namely, the possible contamina- Thermal conductivity In heat-transfer plant, such as
tion of the product by the material of the plant, steam or water-heated vessels, good thermal conduc-
and any effect on the material of the plant by the tivity is desirable. It must be remembered, however,
drugs and chemicals being processed. The impor- that the bulk of the resistance to heat transfer may lie
tance of the first of these becomes evident when it is in the boundary layer films (see Chapter 38).
realised that impurities often have considerable toxi- Cleaning Smooth polished surfaces simplify
cological effects, and even trace amounts of impurity cleaning processes, and materials that can be
may initiate decomposition mechanisms in the 'finished' with such surfaces are ideal when scrupu-
product. An example of the latter is the inactivating lous cleanliness is necessary.
575
DOSAGE FORM DESIGN AND MANUFACTURE
Sterilization Where sterility is essential the Cast iron The effect of increasing the carbon
material should be capable of withstanding the nec- content beyond 1.5% is to lower the melting point of
essary treatment, usually steam under pressure. This iron so that it can easily be melted and cast into sand
factor is to some extent bound up with the previous moulds to form objects of intricate shape. Cast iron
one, as cleaning is a normal preliminary to the is resistant to corrosion but it reacts with materials
sterilization of apparatus and plant equipment. such as phenols to give coloured compounds. Most
Transparency This may be a useful property Pharmaceuticals are required to pass a limit test for
where it is necessary to observe the process. iron, and if they are handled in cast-iron vessels they
Borosilicate glass is used in the construction of phar- may fail to comply. Such vessels may be lined with
maceutical plant. resistant materials to take advantage of the strength
of cast iron while shielding the product from the
metal.
Economic factors
Cast iron is hard and brittle and can be welded
Cost and maintenance of plant must, of course, be and machined only with great difficulty. The hard-
economic. Here the main concern is not simply to ness and corrosion resistance can be increased by
obtain the least costly material: better wearing adding silicon, though such high-silicon iron is
qualities and lower maintenance may well mean that extremely brittle.
a higher initial cost is more economical in the long Stainless steels These steels contain a proportion
run. of nickel and chromium which confer a high degree
of corrosion resistance. The stainless steels can be
easily fabricated and polished to a high mirror finish.
They are extensively used in the food, pharmaceuti-
MATERIALS USED IN FABRICATION cal, cosmetic and fermentation industries, where
their high cost can be fully justified.
A brief description of materials which are suitable The most common type is the so-called austenitic
for the fabrication or construction of pharmaceutical stainless steel, where the nickel and chromium
apparatus and manufacturing plant is given below. content stabilizes austenite at normal room temper-
atures. As can be seen from the phase diagram
(Fig. 37.1) an alloy containing 18% chromium and
Metals 8% nickel (which is more costly than chromium) is
the most economical form of austenitic stainless
Ferrous metals - steels steel. The steel is often stabilized by the addition of
The element iron is abundant in nature in the form 1% titanium or niobium, which prevents 'weld
of its ores and, despite the tendency for the metal to decay'. This can result from the removal of
corrode, it is still widely used. Steel consists of iron chromium as chromium carbide along the line of any
with added carbon, which may exist in the free state welding that might be performed. Such depleted
(graphite) or in chemical combination as iron steel is then prone to corrosion.
carbide, Fe3C. The phase diagram for the Stainless steel owes its resistance to a tenacious
iron/carbon system is complex. Iron can exist in two oxide layer that forms on the surface. Materials such
allotropic forms. At temperatures below 940C the as nitric acid, which are oxidizing agents, can be
stable form is a-iron (ferrite) but the y form (austen- handled in it but chlorides can penetrate the film and
ite) can persist at normal temperatures if other stainless steel equipment should not be used for
metals such as chromium and nickel are alloyed with hydrochloric acid.
the iron. When steel is in the molten condition, One minor objection to stainless steel is its low
austenite is able to dissolve carbon. Various eutectics thermal conductivity compared to other metals, but
and solid solutions may form on cooling, giving rise this is not usually significant as the main resistance
to steels of differing properties. These properties to heat transfer may reside in the boundary layers
depend on the carbon content and any heat treat- (see Chapter 38).
ment that the steel may receive. Stainless steels can be used for most pharmaceuti-
Mild steel This is the commonest form of steel cal plant equipment. Small apparatus commonly
for general purposes and has a carbon content made from stainless steel includes funnels, buckets
between 0.15 and 0.3%. It is ductile and can be and measuring vessels. Sinks and benchtops are also
welded to give structures of high mechanical made of stainless steel where a smooth surface with
strength, but its resistance to corrosion is poor. high corrosion-resisting qualities is necessary.
576
PHARMACEUTICAL PLANT DESIGN
The high cost often excludes its use, but often this Copper piping is easy to make because of the
may be justified even on a very large scale. For ductility of the metal and it is used extensively for
example, a great deal of the plant used in the services such as cold water, gas, vacuum, and low-
production of penicillin is of this material, as it is by pressure steam. Where necessary, copper piping may
far the most satisfactory, being strong, corrosion- be tinned, e.g. for distilled water, but nowadays
resistant, non-contaminating and readily cleaned stainless steel piping is used for this purpose.
and sterilized. Copper alloys These include alloys with zinc, tin,
aluminium, silicon and nickel, all of which have their
special uses.
Non-ferrous metals
Aluminium Aluminium has good corrosion resist-
Copper Copper is malleable and ductile and ance to many substances, although it is attacked by
thus easily fabricated. It has a thermal conductivity mineral acids (it is resistant to strong nitric acid),
eight times greater than steel but is corroded by a caustic alkalis, mercury and its salts. Its resistance is
number of substances, particularly oxidizing often due to the formation of a film on the surface.
agents. It is attacked by nitric acid in all concentra- For example, acetic acid forms a film of gelatinous
tions, by hot concentrated hydrochloric and aluminium subacetate, which is then resistant to
sulphuric acids, and by some organic acids. acetic acid, and pure strong ammonia solutions form
Ammonia reacts with it readily to form blue a resistant film of aluminium hydroxide. It is also
cuproammonium compounds. Many drug con- highly resistant to oxidizing conditions, as it forms a
stituents react with it, and for this reason copper is compact oxide film.
usually protected by a lining of tin when used for Pure aluminium is soft but more corrosion resist-
pharmaceutical plant. It was formerly used for ant than most of its alloys, such as Duralumin. Alloys
evaporators and pans used for sugar coating combining corrosion resistance with strength are
(Chapter 28). Because of its susceptibility to attack formed with the addition of small percentages of
by pharmaceutical materials there is a tendency manganese, magnesium or silicon. Plant is easily fab-
today to replace it with stainless steel. ricated and has excellent thermal conductivity.
577
DOSAGE FORM DESIGN AND MANUFACTURE
For plant producing medicinal substances its most The special advantages of glass are that it can be
valuable property is probably the non-toxicity of its easily cleaned and sterilized and, also, that the con-
salts, which are, moreover, colourless. As it is also tents of vessels can be readily examined for colour
non-toxic to microorganisms it has considerable use and clarity. A disadvantage is the difficulty of joining
in biosynthetic processes, such as the production of sections of glass plant together. Ground-glass joints
citric and gluconic acids, and of streptomycin by are sometimes satisfactory, especially in small-scale
deep culture methods. The metal is also suitable for apparatus, but are rigid. Gaskets of rubber and plastic
plant used for preparing culture media and for are used to form a flexible jointing, but these must be
absorption and extraction vessels used in preparing chosen with care as they are normally less resistant to
antibiotics. As a result of the formation of resistant attack than glass. For this reason gaskets are now
film it is used for acetic acid plant and storage vessels often made from PTFE, but careful alignment of the
for ammonia. Because of its low density it is most sections is required for their successful use.
useful for transport containers, such as drums and Glass pipeline is useful for transporting liquids
barrels. from stage to stage in various operations. Such
Lead Much lead is used in the chemical industry pipeline is available from 15 mm to 300 mm in
because of its remarkable resistance to corrosion and diameter, with fittings for the assembly of complete
the great ease with which it can be made into systems.
complicated shapes. The lead-chamber process for All-glass stills are used for preparing pharmaceuti-
manufacturing sulphuric acid is one example from cal quality Water for Injections and other distilled
many in the heavy chemical industry. It is little used preparations. Vessels up to 100 L are used, and larger
in pharmaceutical practice, however, because of the tanks can be made by clamping glass plates in
risk of contamination by traces of poisonous lead frames.
salts. Pharmaceutical materials must comply with a Glass fibres are excellent for heat insulation or
limit test for lead. refrigeration plant. Woven fibre may be used for filter
Tin Tin has a high resistance to a great variety of cloths and glass may be sintered in the preparation of
substances and, as its salts are non-toxic, it is widely filters.
used throughout the food industry. It is, however, Fused silica Fused silica (Vitreosil) has an
weak, its main use being to provide a protective extremely low coefficient of thermal expansion and
coating for steel, copper, brass etc. The coating of vessels made from it can be heated to red heat and
other metals with tin has been known for over 2000 plunged into cold water without breaking. It has a
years, and today more than half the output of the high melting point and it is difficult to fuse it com-
metal is used for this purpose. 'Tin plate' - sheet pletely, so that equipment tends to be opaque,
steel coated with tin - is used for containers. although transparent forms are available.
Glass linings and coatings Metal may be coated
with glass to give a protective lining. The dangers of
Non-metals such apparatus are those of uneven expansion of
metal and glass, and of the glass surface accidentally
Inorganics
chipping. Great care must therefore be taken in
Glass Glass is widely used in the laboratory and heating and cooling, and in protecting the glass
glass equipment can be obtained for manufacturing lining from accidental damage.
on a larger scale. Ordinary soda glass is used for Vessels of up to 50 000 L capacity, pipeline and
bottles and other cheap articles, but is not satisfac- fittings, valves, condensers, columns, pumps, stirrers
tory for large-scale plant or for containers where and mixers are among the many glass-coated items
alkali contamination might be a serious drawback. still in use, although they have been largely replaced
For these purposes borosilicate glass is used, which with stainless steel vessels.
has several advantages over soda glass. It is, for Its high resistance to corrosion and ease of clean-
example, less brittle. It has a low thermal expansion ing make glass valuable for pharmaceutical use.
and can be used safely over wide temperature
ranges. However, its thermal conductivity is low and
Organics
therefore it should be heated gradually to avoid frac-
turing. Pipeline may be used with pressures up to 8 Plastics The range of materials known collec-
bar if the pipe diameter is less than 50 mm, and tively as plastics is so wide that only a brief account
pipelines with larger diameters are used with pres- can be given. It is convenient to group them under
sures up to 4 bar. the following headings:
578
PHARMACEUTICAL PLANT DESIGN
579
PHARMACEUTICAL PLANT DESIGN
and the cathodic reaction is: oxidize readily. This also explains why gold and
2H+ + 2e- H2 silver are found as free metals in their native
state, whereas aluminium and iron are found
The overall reaction is therefore:
only combined as oxides.
Fe + 2H2O - Fe(OH)2 + H2 4. The greater the difference in potential between
two metals, the greater will be the rate of
The important consequence of this reaction is that
corrosion. For example, sodium reacts violently
structurally strong metal leaves the anode as a metal
with water, iron slowly rusts, yet lead is not
ion in solution. The metal is therefore weakened and
attacked by water.
the solution contaminated with corrosion product.
5. When two metals are in contact, the corrosion
rate of the anodic member of the couple is
Corrosion between metals accelerated.
6. A metal will replace another metal in solution if
This is important because joints, flanges, seals, bolts
the latter is lower in the series. This is best
etc. are often constructed of different metals. A cell
understood by examination of Figure 37.3.
is set up between the metals, one becoming the
7. The table therefore indicates whether or not a
anode and the other the cathode. The potential
metal is attacked by acids or water, as metals
difference between the metals depends on the elec-
above hydrogen are attacked because they
trode potentials of the metals. A knowledge of the
replace hydrogen in solution,
electromotive series of metals is therefore important.
These are summarized in Table 37.1, from which the e.g. Al + HCl(in solution) -> AlCl3(in solution)
following points can be noted:
Fe + H2O(in solution) > Fe(OH)2(in solution)
1. A negative sign in the fourth column implies
that the reaction in the direction of element to
Cathodic protection
ion is spontaneous, i.e. it requires negative
energy to proceed in that direction. This term is used to describe the technique whereby
2. When two metals are coupled or in indirect a structurally important metal is forced to become
contact with each other via the electrolyte a wholly cathodic (and therefore protected from
metal higher in the series will be the anode and corrosion) by attaching a more electronegative
one lower will act as the cathode. second metal to it. An example is galvanization, in
3. Metals high in the table have less corrosion which steel is coated with a layer of zinc. The zinc
resistance. For example, metals above copper becomes the anode, thereby protecting the steel. The
advantage of this technique over normal coatings is
that even if the galvanized coating is scratched the
Table 37.1 The electromotive series of some exposed metal surface will remain cathodic. Metal
commonly used metals objects can be protected in a similar way by attach-
ing to them replaceable pieces of a more electro-
Element Ion produced Standard negative metal (e.g. a small aluminium block
electrode
potential (V) attached to a steel object).
581
DOSAGE FORM DESIGN AND MANUFACTURE
Fig. 37.3 (a) Reaction of iron in copper sulphate solution. The copper ions in solution are being replaced by iron ions (lower in table)
at the same time as the copper from solution is being deposited as copper metal on the iron sheet, (b) Similarly, the hydrogen in the
HCI solution is replaced by aluminium ions and the hydrogen is evolved as gas bubbles
inorganic acids, is in fact used in the production of fails, e.g. sheet-iron roof, zinc in acid. Uniform corro-
sulphuric acid (lead-chamber process). In this sion is the easiest to predict, discover and stop by
example an impervious, unreactive layer of lead sul- means of the use of (a) more suitable materials, (b)
phate is formed on the outside of the lead sheets. inhibitors either in the metal or in the product, and (c)
protective coatings (paint, plastic etc.).
Types of corrosion
The various types of corrosion can be classified by Galvanic corrosion
the form in which they manifest themselves. The
This is corrosion between two dissimilar metals (see
eight most common types of corrosion are:
above). An example could be the case of a concentric
1. Uniform attack or general, overall corrosion pipe heat exchanger in which the main structure is of
2. Galvanic or two-metal corrosion steel but the heat-exchange pipes are made of copper
3. Concentration-cell corrosion to improve heat transfer. In domestic central heating
4. Pitting systems the commonest situation is to have steel
5. Intergranular corrosion radiators joined by copper piping.
6. Parting (or dezincification) Control of galvanic corrosion Use only one metal if
7. Stress corrosion this is possible. If not:
8. Erosion corrosion.
1. Select combinations of metals as close together
as possible in the electrochemical series.
Uniform attack
2. Avoid combinations where the area of the more
This is the most common form of corrosion. It is nor- active metal (i.e. the anode) is small, as this
mally an electrochemical reaction in which the anode increases the anodic reaction rate. It is therefore
and cathode move slowly over the surface of the metal. better to have the more noble metal or alloy for
The metal becomes thinner and thinner and eventually fastenings, bolts etc.
582
PHARMACEUTICAL PLANT DESIGN
3. Insulate dissimilar metals completely wherever 5. Use solid, non-absorbent gaskets, such as Teflon,
possible. wherever possible.
4. Apply coatings such as paint, bitumen or plastic, 6. Use welded pipes rather than the rolled-in type.
but with caution. Small holes in the coating over
an anodic region will result in rapid attack. Pitting
Therefore, it is important to keep the coating in
good repair. This is a form of extremely localized attack where
5. Add chemical inhibitors to the corrosive the anode remains as one spot. This results in rapid
solution. The nature of these inhibitors depends corrosion and deep penetration (small anode area,
on the specific nature of the solution to be large cathode). Pits may be isolated or close
inhibited. Particular care must be taken in their together, the latter appearing as a rough surface. The
selection when the corrosive solution is the pits usually occur at impurities in the metal, grain
pharmaceutical product, or is an intermediate boundaries, small scratches, rough surfaces etc.
for drug synthesis. Pitting is one of the most destructive forms of corro-
6. Avoid joining metals with threaded connections, sion. It is difficult to detect in a laboratory corrosion
as the threads will deteriorate excessively; spilled test because the pits are very small and there will be
liquids or condensates can concentrate in thread little loss in weight.
grooves. Welded joints (using welds of the same Pitting is responsible for more unexpected plant
alloy) are preferred. equipment failures than any other form of corrosion.
Additionally, the liquid in the pit becomes stagnant,
resulting in metal-ion and/or oxygen concentration-
Concentration-cell corrosion cell corrosion. Furthermore, metal ions from the
corrosion will accumulate in the pit. The process is
Cells can form because of differences in the environ- therefore self-accelerating.
ment rather than differences in the metal itself. Control of pitting This is very difficult, but most
These are known as concentration (or solution) of the points mentioned under concentration cells
cells. There are two types, metal-ion cells and oxygen will help. If a test material shows the slightest signs
cells. of pitting in a laboratory test using microscopy, it
Metal-ion cells These can form in areas where must never be used.
stagnant liquid collects. Metal-ion concentration
cells are caused, as their name suggests, by differ-
Intergranular corrosion
ences in metal-ion concentration in the corroding
solution. A build-up of metal ions can occur in Solid metals consist of a large number of grains (actu-
stagnant conditions caused by holes, gaskets, lap ally metal crystals) and thus have a granular (or poly-
joints, surface deposits (scale, dirt) and crevices crystalline) structure. Intergranular corrosion is
under bolt heads and rivet heads. They can also be localized attack at grain boundaries, with relatively
caused by material, such as plastic, rubber etc. lying little corrosion of the grains themselves. Because of
on the surface of the metal. Figure 37.4 shows the stresses and structural imperfections at the grain
formation of a metal-ion concentration cell at a lap boundaries (plus the increased concentration of impu-
joint. rities there), they are usually anodic. As corrosion pro-
Oxygen cells These are similar to metal-ion cells ceeds the grains fall out and the metal or alloy
in a number of ways, but here the corrosion is caused disintegrates. This type of corrosion occurs in stainless
by differences in the dissolved oxygen content of the steel, particularly after welding (known as weld
solution. The formation of an oxygen concentration decay}.
cell at a lap joint is shown in Figure 37.5. Control of intergranular corrosion This can be
Control of concentration-cell corrosion This can be achieved in the following ways:
achieved in the following ways:
1. High-temperature post-weld heat treatment
1. Use welded butt joints instead of riveted or (solution quenching) can be used. This involves
bolted joints in new apparatus. heating the metal to about 1000 K and then
2. Existing lap joints should be welded, sealed or cooling it rapidly by quenching in water. This
soldered to close the crevices. reduces the precipitation of carbon at the grain
3. Design vessels for complete drainage; avoid boundaries.
sharp corners and stagnant areas. 2. Add stabilizers to the metal, such as columbium,
4. Inspect and clean deposits frequently. tantalum or titanium. These combine strongly
583
DOSAGE FORM DESIGN AND MANUFACTURE
with free carbon to form carbides, leaving no tion of 1% tin to brass (to give Admiralty Brass)
free carbon at the grain boundaries. results in good resistance to seawater.
3. Lower the carbon content of the steel to below
0.03%. Below this figure carbon is usually
Stress corrosion
completely soluble.
Generally a high stress in a piece of metal tends to
make it more anodic. The greater the stress, the
Parting (or dezincification)
greater this effect. There are two main categories.
This is a general term referring to selective corrosion Stress-accelerated corrosion This is a decrease in
of one or more components from a solid solution corrosion resistance as a result of continuous static
alloy. The removal of zinc, particularly from brass (a stress, such as applied stresses or residual stresses
70/30 copper/zinc alloy), is common. after welding (i.e. as occurs in pressure vessels).
Control of parting This is not easy. Reduction of Stress corrosion cracking This is an increase in
the corrosive environment and cathodic protection the tendency of the metal to crack or show brittle
are suggested. Small amounts of arsenic, antimony fracture. It is usually caused by alternating stresses
or phosphorus can be used as 'inhibitors'. The addi- (i.e. vibrations).
584
PHARMACEUTICAL PLANT DESIGN
Erosion corrosion
BIBLIOGRAPHY
Erosion is a mechanical process, corrosion is electro-
chemical. They combine in situations where corro- Cole G.C. (1998) Pharmaceutical Production Facilities -
sive products which might have protected metals Design and Applications. 2nd edn., Taylor and Francis.
from further corrosion are eroded by mechanical London.
wear or rapid fluid flow. This maintains a fresh metal Rules and Guidance for Pharmaceutical Manufacturers,
current edition. HMSO 'The Orange Guide.'
surface in contact with the corrosive environment.
585
38
Heat transfer and the properties and use of
steam
Andrew Twitchell
586
HEAT TRANSFER AND USE OF STEAM
587
DOSAGE FORM DESIGN AND MANUFACTURE
Many of the principles to be discussed in this The insert in Figure 38.1 shows a section of the
chapter can be illustrated by the operation of a labo- dish wall in greater detail. If this is considered to
ratory 'water bath', as illustrated in Figure 38.1. be rotated into a vertical position and straightened
Heat energy from the gas burner is transferred slightly it would appear as in Figure 38.2. A temper-
through the container wall to the water in the bath, ature drop occurs from the temperature of the con-
which therefore increases in temperature until its densing steam to the lower temperature of the liquid
boiling point is reached. The heat gained is referred in the dish. If this liquid is assumed to be of a lower
to as sensible heat, as it produces an appreciable boiling point than water, then eventually it will boil at
rise in temperature and the change can be detected this lower constant temperature and the temperature
by the senses. gradients would appear as in Figure 38.2. Ts denotes
When the boiling point has been reached further the steam temperature, T"L the temperature of the
heating generates steam without any increase in boiling liquid and To and Ti are the temperatures of
temperature. This heat gain by the steam is termed the outer and inner surfaces of the dish.
latent heat of evaporation and is used to change In many pharmaceutical processes it is important
the water from liquid into vapour at constant tem- to know or control the rate at which heat can be
perature. The steam produced rises and contacts the transferred, i.e. the quantity of heat transferred in
dish wall, which initially is at room temperature. unit time. This must be carefully distinguished from
The steam condenses on the cool outer surface of the total quantity of heat that needs to be supplied.
the dish and, in doing so, gives up the latent heat it Consider heating a beaker of water using a Bunsen
contains, forming a layer of condensate on the dish burner flame. Under a low flame it might take
which runs down over the surface and drops back 20 minutes to boil, whereas using a full flame it may
into the bath. Fresh condensate is continually only take 5 minutes. If heat losses to the environ-
formed to take its place, so that a layer of conden- ment are neglected (i.e. the heat transfer process is
sate will always be present. The latent heat that is assumed to be 100% efficient), and the initial water
liberated passes by conduction through the wall of temperature was the same each time, the total quan-
the dish and into the contents to be heated. Heat is tity of heat required to boil the water would be the
then transferred through the fluid by natural con- same in each case. The rate of heat transfer, however,
vection and conduction. The term 'water bath' is
therefore a misnomer and the equipment is
described more accurately as a 'steam bath'.
The steam functions as a heat transfer agent
whereby the heat from the gas burner is transferred
by the liberation of the latent heat into the liquid in
the dish. There are advantages in this indirect
heating in that the temperature can never exceed
100C (at atmospheric pressure), and therefore there
is less chance of localized overheating. In addition,
because the steam circulates over the whole dish
surface, heating is much more uniform than it would Fig. 38.2 Temperature gradients between steam and a boiling
be if the dish were heated directly over the gas flame. liquid.
588
HEAT TRANSFER AND USE OF STEAM
then
Equation 38.1 indicates that to increase the heat
transfer rate (i.e. conduct heat more quickly)
through a layer of material the value of A, AT or K Therefore, 425 J of heat energy will be transferred
may be increased or the value of L decreased. every second, and in 4 minutes (240 s) the total heat
By rearranging Eqn 38.1 and using appropriate SI transferred will be 425 x 240 J = 102 000 J = 102 kj.
units, thermal conductivity can be shown to have
units of W/mK. Table 38.1 gives some typical repre-
sentative thermal conductivity values and shows that Heat transfer through multiple layers
metals are the best conductors, followed by non- In most practical circumstances heat needs to be
metallic solids, liquids and gases. It should be noted transferred through multiple layers (as illustrated in
that the K values will vary with temperature and also Figure 38.1). In order to calculate the rate of heat
with the composition of the material (e.g. from 13 to transfer through more than one layer the thermal
19 W/mK in the case of stainless steel). conductivity and thickness values of each layer need
Illustrative calculation for heat transfer by conduction to be taken into account. It is not possible, however,
Q Calculate the quantity of heat passing in a period of to generate a value for the overall conductivity
4 minutes through a stainless steel dish whose effec- simply by adding the individual K values, as each
tive heating surface area is 25 cm2 and whose thick- layer offers a resistance to heat transfer. The overall
ness is 1 mm if the temperatures at the outer and inner thermal conductivity (/Co) of a system is inversely
surfaces of the dish are 90C and 80C, respectively. proportional to the overall thermal resistance (Ro),
A The first step is to convert all values into SI units. which in turn is the sum of the thermal resistance of
Thus: the individual layers.
589
DOSAGE FORM DESIGN AND MANUFACTURE
590
HEAT TRANSFER AND USE OF STEAM
is produced, its heat content, and how the heat If only half the water had been converted to
content varies with pressure and temperature. steam the latent heat content would have been
0.5 x 2.26 x 106 J = 1.13 MJ. Steam in this state is
said to have a dryness fraction of 0.5, where
Heat content of steam dryness fraction is defined as the weight fraction of
Consider heating 1 kg of ice-cold water in a closed steam in a steam/water mixture. The dryness fraction
container at atmospheric pressure. Initially all the is important because it governs the latent heat
heat supplied will be sensible heat, to raise the content of the steam, this being at a maximum when
temperature of the water to the boiling point (100C the dryness fraction = 1.
in this case). The quantity of heat (Q, joules) Once all the water has been converted to steam
required to raise the temperature of a material can be any further heat energy input increases the steam
calculated using Eqn 38.6: temperature, i.e. the steam gains sensible heat.
Steam at a temperature above the saturation temper-
ature is called superheated steam. It only takes
where M is the mass heated (kg), 5" is the specific about 50 kj of heat energy to raise the temperature
heat capacity of the material (J/kg K) and AT is the of steam at 100C at atmospheric pressure to steam
change in temperature (K or C). The specific heat at 200C at atmospheric pressure.
capacity is therefore the quantity of heat (J) required The changes in the properties of water/steam with
to raise 1 kg by 1C or IK. increasing heat input at atmospheric pressure are
For water at atmospheric pressure (1.013 bar/ shown in Figure 38.3.The total heat content is mea-
1.013 x 105 Pa), 5 = 4.2 kj/kg K, and therefore the sured from a datum at 0C and is the sum of the sen-
quantity of heat required to raise the temperature sible heat, latent heat and superheat.
from 0C to 100C = 4200 x 1 x 100 J = 420 000 J If superheated steam at 200C (A on Fig. 38.3) is
(420 kj). cooled (e.g. if it contacts a colder surface) then it will
It should be noted that the value of 5" for lose heat energy. First, the steam will decrease in
water varies slightly with changes in temperature and temperature until the small amount of superheat is
pressure. given up and the steam reaches the saturation tem-
Once the water has reached boiling point further perature. Only when the steam temperature has
heat energy input will not raise the temperature of reduced to 100C (B on Fig. 38.3) will the steam
the water but will convert the boiling water at 100C condense and the latent heat energy be released.
to vapour at 100C, i.e. steam at 100C. Steam at a When half the steam (0.5 kg) has condensed (C on
temperature corresponding to the water boiling Fig. 38.3), 1.13 MJ of latent heat energy will have
point at that pressure (as in this case) is referred to been given up and the saturated steam will have a
as saturated steam. dryness fraction of 0.5. While there is still steam
The energy required to change unit mass from a present, the temperature of the steam and any con-
liquid to a vapour at constant temperature is called densate formed that is in contact with the steam will
the latent heat of vaporization (L, J/kg). For water at remain at 100C. Once all steam has condensed (D
atmospheric pressure L = 2.26 x 106 J/kg. L is not a
constant value and depends on the steam pressure
and temperature, e.g. L is 2.20 MJ/kg at 120C and
2.14 MJ/kg at 140C.The quantity of heat required
to cause vaporization is calculated using the
Eqn 38.7:
591
DOSAGE FORM DESIGN AND MANUFACTURE
on Fig. 38.3) the condensate will lose sensible heat Adverse effects of air in steam
and decrease in temperature until the temperature
gradient is reduced to zero. If the temperature of the There are two potential ways in which air may
surface in contact with the condensate is at 0C then contaminate steam. First, water always contains
point E on Figure 38.3 will be reached. dissolved air, and this air will be driven off when the
It is important to note that most of the heat energy water is converted to steam. Second, air will be
of steam (over 80%) is in the form of latent heat, and present in equipment in the steam space when the
that when latent heat energy is released there is no process is started, and the incoming steam may not
drop in temperature. This latter point is important in entirely flush this air out.
sterilization processes and in maintaining tempera- Air is a permanent gas which remains when the
ture gradients when heating. steam condenses to form a condensate layer, and thus
forms an air layer in contact with the condensate.
The adverse effects caused by the contamination
Effect of pressure on steam properties of air are twofold:
The temperature at which water boils depends on 1. Air is a very poor conductor of heat (see
the pressure exerted on the water surface. If the pres- Table 38.1) and forms a formidable barrier to
sure is above atmospheric water will boil above heat flow. A very thin layer of air can markedly
100C, and if it is below atmospheric, for example if reduce the overall heat transfer coefficient (see
a vacuum is applied, water boils at a temperature calculation 4 at the end of this chapter), and the
below 100C.The saturation temperature (and the presence of as little as 1 % of air in steam can
temperature at which steam condenses) will also result in a 50% reduction in the OHTC.
therefore be dependent on pressure. This is utilized Because the rate of heat transfer is proportional
in sterilization processes, where adjustment of the to the OHTC, there will be a corresponding
pressure allows selection of the temperature at which reduction in the rate of heat transfer and thus an
steam condenses and therefore the temperature at increase in heating-up times, process times and
which the articles to be sterilized are exposed. process costs.
Similarly, in heat transfer processes the desired 2. Air will cause the steam temperature at any
temperature gradient can be achieved by adjusting measured pressure to be lower than that of air-
the steam pressure. Some examples of how steam free steam. Steam containing air will not,
temperature changes with increasing pressure are therefore, be saturated. This arises from
given in Table 38.2. Dalton's law of partial pressures, which states
that the total pressure in a system is the sum of
Steam tables the partial pressures of each of the components.
Thus in an air/steam mixture the total pressure
The values in Table 38.2, along with temperatures at (PT) is the sum of the partial pressure of the
other steam pressures, can be found in steam steam (Ps) and the partial pressure of the air
tables, as can values for the sensible and latent heat (PA).Therefore if PT is 2 x 105 Pa and the steam
content at different pressures. It should be noted that contains 10% air, then PA will be 0.2 x 105 Pa
there is not a linear relationship between steam pres- and Ps will be 1.8 x 105 Pa. The steam
sure and steam temperature, and that the increase in temperature, however, depends solely on the
steam temperature becomes less pronounced as the partial pressure exerted by the steam (not the
pressure increases. total pressure), and will be 117.3C (it would
be 120.4C if no air were present and the
pressure were 2 x 105 Pa). Thus 10% of air has
Table 38.2 Relationship between steam pressure and
caused a reduction in the steam temperature at
steam temperature 2 x 105 Pa of 3.1C.This is important in
heating processes, where the temperature
Steam pressure (10s Pa) Steam saturation gradient will be lower than expected and thus
temperature (C) the heating-up rate will be lower. NB: This
effect is in addition to that caused by the poor
1.013 100.0
2.000 120.4 thermal conductivity of air.
3.000 133.7
4.000 143.8 Both of the effects described above may also have
potentially serious effects if air contaminates steam
592
HEAT TRANSFER AND USE OF STEAM
in autoclaves. Its presence will give rise to an increase tors and reduce heat loss to the environment. In
in the heating time required for the heating-up phase installations used for heating products using steam,
and the required sterilization temperature will not be the steam is usually generated in a remote boiler
reached. Sterilization processes use steam at a house that will supply steam to many different loca-
specific pressure with the implicit assumption that tions and pieces of equipment. The steam is usually
the steam will be saturated (i.e. no air is present) and generated at high pressures and temperatures (typi-
will thus be at the saturation temperature. If this cally 6-8 x 105 Pa and 160-170C), which enables it
does not occur the material may not be exposed to a to be delivered to the equipment where required.
sufficient temperature for a sufficient time and the Suitably strong pipes are used which need to be well
material may not be sterilized. Steam pressure alone lagged to avoid heat loss and condensation.
should therefore never be used as an indirect The ancillary equipment shown in Figure 38.4 is
measure of sterilization temperature. discussed in more detail below.
Most heating installations use steam at about
1.5-3 x 105 Pa and a temperature of liO-135C.
Steam generation and use This usually gives a sufficient temperature gradient
to heat the product at the required rate, but reduces
Manufacturing installations for liquid and
the chances of localized overheating. A reducing
semisolid products
valve (1 on Fig. 38.4) is used to reduce and
A diagrammatic representation of a jacketed installa- control/adjust the pressure to the desired level. This
tion typical of that used for the preparation of liquid may be operated manually or, on larger equipment,
and semisolid products is shown in Figure 38.4. This controlled automatically via a control panel (7 on
type of installation is available in sizes capable of Fig. 38.4) and electronic signals from the pressure
manufacturing products from development scale gauge (2 on Fig. 38.4).
(approximately 20 L) up to full production-scale A control valve (5 on Fig. 38.4) regulates the
batches of 20 000 L. They are constructed from a entry of steam into the jacket. As with the reducing
suitable grade of stainless steel, as this has acceptable valve, this may be either manually operated, for
thermal conductivity, is strong and easily fabricated, example on smaller development units, or automati-
resists corrosion and is easily cleaned and sterilized cally controlled so that the product is heated to the
(see Chapter 37).The outer surface of the jacket may desired temperature and at the desired rate. An auto-
be suitably lagged with materials having poor matically operated system may function by selecting
thermal conductivity, in order to protect the opera- on the control panel the heating-up rate required,
e.g. 2C/min, and the final product temperature. A
temperature probe in contact with the product sends
a signal to the control panel, which in turn will cause
the control valve to open if the product temperature
is below the set value. When the control valve opens
steam enters the jacket and the product starts to heat
up. The panel will continuously monitor the product
temperature, and the extent to which the control
valve is opened will be controlled so that the product
heats up at the required rate. When the desired tem-
perature is reached a signal from the control panel
closes the control valve and so no further steam
enters. After a short time the product will start to
cool slowly, as it is at a higher temperature than the
surrounding environment. The temperature control
system will detect this drop and reopen the control
valve, so that more steam enters and the process is
repeated. Using this type of control system the tem-
Fig. 38.4 Diagrammatic representation of an industrial steam- perature of the product may be maintained within
jacketed vessel. 1. Reducing valve; 2. pressure gauge; 3. 2-3C of the required value. Examples of where
temperature gauge; 4. safety valve; 5. control valve; 6. this may be used include maintaining a temperature
temperature probe; 7. temperature controller; 8. steam trap; 9. air
vent; 10. stirrer; 11. homogenizer of between 60 and 70C during cream manufacture,
or a temperature of 80-90C when preparing
593
DOSAGE FORM DESIGN AND MANUFACTURE
solution products where poorly soluble preservatives be the case in the manufacture of emulsion, lotion
are employed. and cream products, then a homogenizer (see
The pressure and temperature gauges (2 and Chapter 13) can be used. This will normally be sited
3 on Fig. 38.4) allow the monitoring and recording at the bottom of the vessel, as shown in Figure 38.4.
of the steam properties and, as mentioned previ- Where aqueous and oily phases need to be mixed
ously, the latter may be used to control the steam when they are both at elevated temperatures, two
pressure used. jacketed vessels need to be sited close together and
Because steam is generated at high pressures there the appropriate phase pumped into the vessel
is the potential to expose the equipment to pressures containing the homogenizer.
higher than it can safely withstand. To prevent this, a The presence of a vessel lid protects the product
safety valve (4 on Fig. 38.4) is positioned before from the operator and environment and vice versa.
the control valve and is set to open and direct steam In addition, if the lid can be sealed then negative or
away from the installation if the pressure reaches a positive pressures can be applied above the product's
value in excess of that of the safe operating pressure surface. A negative pressure (vacuum) is useful to
of the system. minimize the incorporation of air during the manu-
When steam first enters the jacket surrounding the facture of viscous products, especially when the
product it contacts the cooler surface, condenses, homogenizer is used. This can avoid the manufac-
and releases latent heat, which is then transferred ture of a product with an unsightly appearance and
through the various layers (condensate, vessel wall can reduce stability problems. A positive pressure
etc.) to the product. On condensing, steam contracts can be used to aid emptying of the vessel.
to a small volume (e.g. at 121C, 850 mL of steam Steam traps To ensure maximum heating efficiency
will condense to approximately 1 mL of conden- the apparatus should minimize the amount of air and
sate), which creates an area of lower pressure within condensate present in the jacket. If the condensate is
the jacket into which more steam will then flow. allowed to build up it will gradually reduce the area
Steam will therefore continue to enter the jacket to over which steam can condense, and therefore
maintain the desired pressure until the product progressively slow down the heating process. If the
temperature reaches the steam temperature and no condensate completely fills the jacket then heating
further condensation occurs. will stop. The consequences of not removing the air
If products are heated to temperatures above 60C from the jacket are described above. Fitting a simple
(as is often the case in cream or solution manufac- drainage pipe to the jacket would be ineffective, as
ture) then if left to cool naturally they will take a con- this, as well as removing condensate and air, would
siderable time to cool to ambient temperature. This also allow steam to escape, which would be both
will be exacerbated as the volume in the vessel wasteful and potentially dangerous. Condensate and
increases and if the vessel if efficiently lagged. Some air can be removed and steam retained by using a
products will need to be cool before volatile compo- suitably designed device known as a steam trap.
nents (e.g. flavourings) are added, and to use the The simplest form of steam trap is a mechanical
manufacturing vessels efficiently the cooling of these device, an example of which is shown in Figure 38.5.
products will need to be accelerated. This can be These devices rely on the fact that condensate is
achieved by circulating a cold fluid, e.g. water or more dense than water and will thus tend to collect
'brine' (a concentrated salt solution), through the at the bottom of the jacket. When sufficient conden-
vessel jacket. The latter can be at a temperature sate has entered into the trap, the float will rise and
below 0C and so will give a greater temperature gra-
dient and faster cooling. If the rate of cooling is
important (e.g. to avoid the formation of 'lumps' of
higher melting-point components in cream and
ointment manufacture) then the inlet and outlet of
the cooling fluid can be controlled by a system
similar to that used to control the heating rate.
The presence of a sttrrer (10 in Fig. 38.4) helps
ensure the product is evenly heated. The flow created
will reduce the thickness of the boundary layer
adjacent to the heating surface and thus speed up the
heating process, and will mix the components of the
product. If more intense mixing is required, as will Fig. 38.5 Float-type mechanical steam trap.
594
HEAT TRANSFER AND USE OF STEAM
open the outlet, allowing the condensate to drain that they will also vent air from the jacket. Because
away. air is more dense than steam, air will tend to collect
Mechanical traps are robust but have the major at the bottom of the jacket and enter the steam trap.
disadvantage that they do not allow air to escape, as Contamination of steam with air will cause the
there will always be condensate in contact with trap steam temperature to be lower than the water boiling
outlet. The alternative type of steam traps are point at any operating pressure (see above), and once
referred to as thermostatic devices, and these rely on sufficient air is in the trap to reduce the steam
the fact that condensate can lose sensible heat and temperature to below the boiling point of the liquid
thus be at a temperature which is lower than the in the bellows, the bellows will contract and the air-
steam. A common form of thermostatic steam trap is contaminated steam will be removed.
the balanced pressure thermostatic steam trap Generally there are at least two traps on a heating
shown diagrammatically in Figure 38.6. This installation, one at the bottom of the jacket to
contains a capsule in the form of a bellows, in which remove condensate and air generated during the
is a liquid having a boiling point a few degrees below heating process, and one towards the top of the
that of water. Thus, when the capsule is surrounded jacket on the opposite side to which steam enters.
by steam the liquid in the capsule boils and causes This latter trap (which is of the thermostatic type)
the bellows to expand and close the outlet. When acts as an air vent and will be open when the equip-
condensate enters the trap it will lose sensible heat ment is started and therefore help to flush out the air
and decrease in temperature; the trap is usually initially present in the jacket. It will close when the
constructed of a material with good thermal con- temperature of the steam exiting the vent is sufficient
ductivity, e.g. copper, to hasten this heat loss. The to cause the liquid in the bellows to boil.
condensate then cools the capsule, the liquid in the The condensate released from the jacket will
capsule ceases to boil (condenses) and the bellows possess significant heat energy and may be fed back
contract, thereby opening the outlet and discharging to the steam boiler or used for other manufacturing
the condensate. When the condensate is removed plant, such as air-conditioning systems.
steam surrounds the bellows, causing the trap to
close again. These traps will operate over a wide
pressure range, as any increase in steam pressure not Example calculations involving the use
only raises the boiling point of water but, because the of steam
same pressure acts on the surface of the bellows, will
This chapter concludes with some calculations that
elevate the boiling point of the liquid in the bellows
illustrate various points raised in the text.
by a similar amount. Hence the alternative title
applied to this type - balanced pressure expansion 1. Q What is the energy requirement to produce
trap - as it will always operate a few degrees below 13 kg of dry saturated steam at a pressure of
the saturation temperature of the steam. 2 x 105 Pa (2 bar absolute/1 bar gauge) from
Although these devices tend to be less robust than water at 18.4C? Assume the specific heat
mechanical traps they have one major advantage in capacity of water is 4.21 kj/kg K and the
latent heat of evaporation is 2.20 J/kg.
A The saturation temperature at 2 x 105 Pa is
120.4C.The heat energy required to raise
13 kg of water to 120.4C = 13 x 4210 x
102 J= 5.582X 106J.
The heat energy required to convert 13 kg
of water at 120.4C to steam at 120.4C =
1 3 x 2 . 2 x 10 6 J= 2.86x 107J.
The total heat energy required therefore =
5.582 x 106 + 2.86 x 107 = 3.418 x 107 J
(34.18MJ).
2. Q What temperature would be reached if the
steam produced in Question 1 was used in a
steam-jacketed vessel to heat 150 kg of water
whose initial temperature was 21.8C?
Assume there are no heat losses to the
Fig. 38.6 Balanced pressure thermostatic steam trap. environment.
595
DOSAGE FORM DESIGN AND MANUFACTURE
596
PART FIVE
PHARMACEUTICAL
MICROBIOLOGY
597
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39
Fundamentals of microbiology
Geoff Hanlon
CHAPTER CONTENTS
599
PHARMACEUTICAL MICROBIOLOGY
600
FUNDAMENTALS OF MICROBIOLOGY
metrical patterns. Additionally, many of the larger Complex - the poxviruses and bacterial viruses
viruses possess a lipoprotein envelope surrounding (bacteriophages) make up a group whose
the capsid arising from the membranes within the members have a geometry that is individual and
host cell. In many instances the membranes are virus complex.
modified to produce projections outwards from the
envelope, such as haemagglutinins or neu-
raminidase. The enveloped viruses are often called Reproduction of viruses
ether sensitive, as ether and other organic solvents Because viruses have no intrinsic metabolic
may dissolve the membrane. capability they require the functioning of the host
The arrangement of the capsomeres can be of a cell machinery in order to manufacture and assem-
number of types: ble new virus particles. The replication of viruses
Helical - the classic example is tobacco mosaic within host cells can be broken down into a number
virus (TMV), which resembles a hollow tube of stages.
with capsomeres arranged in a helix around the
central nucleic acid core. Other examples include Adsorption to host cell
mumps and influenza virus.
Icosahedral - these often resemble spheres on The first step in the infection process involves virus
cursory examination, but when studied more adsorption on to the host cell. This usually occurs via
closely they are made up of icosahedra that have an interaction between protein or glycoprotein
20 triangular faces, each containing an identical moieties on the virus surface with specific receptors
number of capsomeres. Examples include the on the host cell outer membrane. Different cells
poliovirus and adenovirus. possess receptors for different viruses.
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PHARMACEUTICAL MICROBIOLOGY
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FUNDAMENTALS OF MICROBIOLOGY
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PHARMACEUTICAL MICROBIOLOGY
Typical bacteria
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FUNDAMENTALS OF MICROBIOLOGY
discrete capsule, firmly adhered to the cell, or a more vents capsule formation and hence eliminates
diffuse layer of slime. Not all bacteria produce a plaque.
capsule, and even those that can will only do so A similar picture emerges with Staph. epidermidis.
under certain circumstances. Many encapsulated This bacterium forms part of the normal microflora
pathogens, when first isolated, give rise to colonies of the skin and until recently was thought of as non-
on agar which are smooth (S), but subculturing leads pathogenic. With the increased usage of indwelling
to the formation of rough colonies (R). This S > R medical devices coagulase-negative staphylococci, in
transition is due to loss in capsule production. particular Staph. epidermidis, have emerged as the
Reinoculation of the R cells into an animal results in major cause of device-related infections. The normal
the resumption of capsule formation, indicating that microbial flora have developed the ability to produce
the capacity has not been lost irrevocably. extracellular polysaccharide, which enables the cells
The function of the capsule is generally regarded to form resistant biofilms attached to the devices.
as protective, as encapsulated cells are more resistant These biofilms are very difficult to eradicate and
to disinfectants, desiccation and phagocytic attack. have profound resistance to antibiotics and disinfec-
In some organisms, however, it serves as an adhesive tants. It is now apparent that the dominant mode of
mechanism, for example Streptococcus mutans is an growth for aquatic bacteria is not planktonic (free
inhabitant of the mouth that metabolizes sucrose to swimming) but sessile, i.e. attached to surfaces and
produce a polysaccharide capsule enabling the cell covered with protective extracellular polysaccharide
to adhere firmly to the teeth. This is the initial step or glycocalyx.
in the formation of dental plaque, which is a Cell wall Bacteria can be divided into two broad
complex array of microorganisms and organic matrix groups by the use of the Gram staining procedure
that adheres to the teeth and ultimately leads to (see later for details), which reflects differences in
decay. The substitution of sucrose by glucose pre- cell wall structure. The classification is based upon
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PHARMACEUTICAL MICROBIOLOGY
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FUNDAMENTALS OF MICROBIOLOGY
isotonic, the resulting cell will survive. These cells are Flagella A flagellum is made up of protein called
called protoplasts and, as the cytoplasmic membrane flagellin and it operates by forming a rigid helix that
is now the limiting structure, the cell assumes a spher- turns rapidly like a propeller. This can propel a
ical shape. Protoplasts of Gram-negative bacteria are motile cell up to 200 times its own length in
difficult to obtain because the layer of lipopolysaccha- 1 second. Under the microscope bacteria can be
ride protects the peptidoglycan from attack. In these seen to exhibit two kinds of motion, swimming and
cases mixtures of EDTA and lysozyme are used and tumbling. When tumbling the cell stays in one
the resulting cells, which still retain fragments of cell position and spins on its own axis, but when swim-
envelope, are termed spheroplasts. ming it moves in a straight line. Movement towards
Nuclear material The genetic information neces- or away from a chemical stimulus is referred to as
sary for the functioning of the cell is contained chemotaxis. The flagellum arises from the cytoplas-
within a single circular molecule of double-stranded mic membrane and is composed of a basal body,
DNA. When unfolded this would be about 1000 hook and filament. The number and arrangement of
times as long as the cell itself, and so exists within flagella depends upon the organisms and varies
the cytoplasm in a considerably compacted state. It from a single flagellum (monotrichous) to a
is condensed into discrete areas called chromatin complete covering (peritrichous).
bodies, which are not surrounded by a nuclear mem- Pili (fimbriae) These are smaller than flagella
brane. Rapidly dividing cells may contain more than and are not involved in motility. A number of differ-
one area of nuclear material, but these are copies of ent types of pili have been identified, of which the
the same chromosome, not different chromosomes, most important are the common pili and the F-pili.
and arise because DNA replication proceeds ahead The common pili are found all over the surface of
of cell division. certain bacteria and are believed to be associated
Mesosomes These are irregular invaginations of with adhesiveness and pathogenicity. They are also
the cytoplasmic membrane which are quite promi- antigenic. F-pili are larger and of a different struc-
nent in Gram-positive bacteria but less so in Gram- ture to common pili, and are involved in the transfer
negative bacteria. They are thought to have a variety of genetic information from one cell to another. This
of functions, including cross-wall synthesis during is of major importance in the transfer of drug resist-
cell division and furnishing an attachment site for ance between cell populations.
nuclear material, facilitating the separation of segre- Endospores Under conditions of specific nutrient
gating chromosomes during cell division. They have deprivation some genera of bacteria, in particular
also been implicated in enzyme secretions and may Bacillus and Clostridium, undergo a differentiation
act as a site for cell respiration. process and change from an actively metabolizing
Ribosomes The cytoplasm of bacteria is densely vegetative form to a resting spore form. The process
populated with ribosomes, which are complexes of of sporulation is not a reproductive mechanism as
RNA and protein in discrete particles 20 nm in found in certain actinomycetes and filamentous
diameter. They are the sites of protein synthesis fungi, but serves to enable the organism to survive
within the cell and the numbers present reflect the periods of hardship. A single vegetative cell differen-
degree of metabolic activity of the cell. They are tiates into a single spore. Subsequent encounter with
frequently found organized in clusters called polyri- favourable conditions results in germination of the
bosomes or polysomes. Prokaryotic ribosomes have spore and the resumption of vegetative activities.
a sedimentation coefficient of 70S, compared to SOS Endospores are very much more resistant to heat,
ribosomes of eukaryotic cells. This distinction aids disinfectants, desiccation and radiation than are
the selective toxicity of a number of antibiotics. The vegetative cells, making them difficult to eradicate
70S ribosome is made up of RNA and protein and from foods and pharmaceutical products. Heating at
can dissociate into one 30S and one 50S subunit. 80C for 10 minutes would kill most vegetative bac-
Inclusion granules Certain bacteria tend to accu- teria, whereas some spores will resist boiling for
mulate reserves of materials after active growth has several hours. The sterilization procedures now
ceased, and these become incorporated within the routinely used for pharmaceutical products are thus
cytoplasm in the form of granules. The most designed specifically with reference to the destruc-
common are glycogen granules, volutin granules tion of the bacterial spore. The mechanism of this
(containing polymetaphosphate) and lipid granules extreme heat resistance was a perplexing issue for
(containing poly /3-hydroxybutyric acid). Other many years, and at one time it was thought to be due
granules, such as sulphur and iron, may also be to the presence of a unique spore component,
found in the more primitive bacteria. dipicolinic acid (DPA). This compound is found
607
PHARMACEUTICAL MICROBIOLOGY
only in bacterial spores, where it is associated in a The sequence of events involved in sporulation is
complex with calcium ions. The isolation of heat- illustrated in Figure 39.5 and is a continuous
resistant DPA-less mutants, however, led to the process, although for convenience it is divided into
demise of this theory. Spores do not have water six stages. The complete process takes about 8 hours,
content appreciably different from that of vegetative although this may vary depending on the species and
cells, but the distribution within the different com- the conditions used. Occurring simultaneously with
partments is unequal and this is thought to generate the morphological changes are a number of
the heat resistance. The central core of the spore biochemical events that have been shown to be asso-
houses the genetic information necessary for growth ciated with specific stages and occur in an exact
after germination, and this becomes dehydrated by sequence. One important biochemical event is the
expansion of the cortex against the rigid outer production of antibiotics. Peptides possessing
protein coats. Water is thus squeezed out of the antimicrobial activity have been isolated from the
central core. Osmotic pressure differences also help majority of Bacillus species and many of these have
to maintain this water imbalance. found pharmaceutical applications. Examples of
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FUNDAMENTALS OF MICROBIOLOGY
antibiotics include bacitracin, polymyxin and grami- Differential stains A large number of differential
cidin. Similarly, the proteases produced by Bacillus stains have been developed and the reader is referred
species during sporulation are used extensively in a to the bibliography for more details. Only a few of
wide variety of industries. those available will be discussed here.
Gram's stain By far the most important in terms
of use and application is the Gram stain, developed
Microscopy and staining of bacteria
by Christian Gram in 1884 and subsequently
Bacterial cells contain about 80% water by weight modified. The fixed film of bacteria is flooded initially
and this results in a very low refractility, i.e. they are with a solution of methyl violet. This is followed by a
transparent when viewed under ordinary transmitted solution of Gram's iodine, which is an iodine-potas-
light. Consequently, in order to visualize bacteria sium iodine complex acting as a mordant, fixing the
under the microscope the cells must be killed and dye firmly in certain bacteria and allowing easy
stained with some compound that scatters the light removal in others. Decolourization is effected with
or, if live preparations are required, special adapta- either alcohol or acetone or mixtures of these. After
tions must be made to the microscope. Such adapta- treatment some bacteria retain the stain and appear a
tions are found in phase-contrast, dark-ground and dark purple colour and these are called Gram posi-
differential-interference contrast microscopy. tive. Others do not retain the stain and appear
The microscopic examination of fixed and stained colourless (Gram negative). The colourless cells may
preparations is a routine procedure in most labora- be stained with a counterstain of contrasting colour,
tories but it must be appreciated that not only are such as 0.5% safranin, which is red.
the cells dead, but they may also have been altered This method, although extremely useful, must be
morphologically by the often quite drastic staining used with caution as the Gram reaction may vary
process. The majority of stains used routinely are with the age of the cells and the technique of the
basic dyes, i.e. the chromophore has a positive operator. For this reason, known Gram-positive and
charge and this readily combines with the abundant Gram-negative controls should be stained alongside
negative charges present both in the cytoplasm in the the specimen of interest.
form of nucleic acids and on the cell surface. These ZiehlNeelsen 's acid-fast stain Mycobacterium tuber-
dyes remain firmly adhered even after washing with culosis contains within its cell wall a high propor-
water. This type of staining is called simple staining tion of lipids, fatty acids and alcohols, which render
and all bacteria and other biological material are the bacterium resistant to normal staining proce-
stained the same colour. Differential staining is a dures. The inclusion of phenol in the dye solution,
much more useful process as different organisms or together with the application of heat, enables the dye
even different parts of the same cell can be stained (basic fuchsin) to penetrate the cell and, once
distinctive colours. attached, to resist vigorous decolourization by strong
To prepare a film ready for staining the glass acids, e.g. 20% sulphuric acid. These organisms are
microscope slide must be carefully cleaned to therefore called acid fast. Any unstained material can
remove all traces of grease and dust. If the culture of be counterstained with a contrasting colour, e.g.
bacteria is in liquid form then a loopful of suspen- methylene blue.
sion is transferred directly to the slide. Bacteria Fluorescence microscopy Certain materials, when
from solid surfaces require suspension with a small irradiated by short-wave illuminations, e.g. UV light,
drop of water on the slide to give a faintly turbid become excited and emit visible light of a longer
film. A common fault with inexperienced workers is wavelength. This phenomenon is termed fluorescence
to make the film too thick. The films must then be and will persist only for as long as the material is irra-
allowed to dry in air. When thoroughly dry the film diated. A number of dyes have been shown to
is fixed by passing the back of the slide through a fluoresce and are useful in that they tend to be
small Bunsen flame until the area is just too hot to specific to various tissues, which can then be demon-
touch on the palm of the hand. The bacteria are strated by UV irradiation and subsequent fluores-
killed by this procedure and also stuck on to the cence of the attached fluorochrome. Coupling
slide. Fixing also makes the bacteria more perme- antibodies to the fluorochromes can enhance speci-
able to the stain and inhibits lysis. Chemical fixation ficity, and this technique has found wide application
is commonly carried out using formalin or methyl in microbiology. As with the staining procedures
alcohol: this causes less damage to the specimen but described above, this technique can only be applied to
tends to be used principally for blood films and dead cells. The three following techniques have been
tissue sections. developed for the examination of living organisms.
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PHARMACEUTICAL MICROBIOLOGY
Dark-ground microscopy The usual function of 0.8 ^un and objects less than 0.3 u,m will not be
the microscope condenser is to concentrate as much clearly resolved, i.e. even if the magnification were
light as possible through the specimen and into the increased no more detail would be seen. In order to
objective. The dark-ground condenser performs the increase the resolution it is necessary to use light of
opposite task, producing a cone of light that comes a shorter wavelength, such as UV light. This has been
to a focus on the specimen. The rays of light in the done and resulted in some useful applications but
cone are at an oblique angle, such that after passing generally, for the purposes of increased definition,
across the specimen they continue without meeting electrons are now used and they can be thought of as
the front lens of the objective, resulting in a dark behaving like very short wavelength light.
background. Any objects present at the point of Transmission electron microscopy requires the
focus scatter the light, which then enters the objec- preparation of ultrathin (50-60 nm) sections of
tive to show up as a bright image against the dark material mounted on copper grids for support.
background. Because of the severe conditions applied to the
Specimen preparation is more critical, as very specimen during preparation, and the likelihood of
dilute bacterial suspensions are required, preferably artefacts, care must be taken in the interpretation
with all the objects in the same plane of focus. Air of information from electron micrographs.
bubbles must be absent both from the film and the
immersion oil, if used. Dust and grease also scatter
Growth and reproduction of bacteria
light and destroy the uniformly black background
required for this technique. The growth and multiplication of bacteria can be
Phase-contrast microscopy This technique allows examined in terms of individual cells or populations
us to see transparent objects well contrasted from of cells. During the cell division cycle a bacterium
the background in clear detail and is the most widely assimilates nutrients from the surrounding medium
used image enhancement method used in micro- and increases in size. When a predetermined size has
biology. The theory is too complex to explain in been reached a cross-wall will be produced, dividing
detail here, but in essence an annulus of light is pro- the large cell into two daughter cells. This process is
duced by the condenser and focused on the back known as binary fission. In a closed environment,
focal plane of the objective. Here a phase plate, such as a culture in a test tube, the rate at which cell
comprising a glass disc containing an annular division occurs varies according to the conditions,
depression, is situated. The direct rays of the light and this manifests itself in characteristic changes in
source annulus pass through the annular groove and the population concentration. When fresh medium is
any diffracted rays pass through the remainder of the inoculated with a small number of bacterial cells the
disc. Passage of the diffracted light through this number remains static for a short time while the cells
thicker glass layer results in retardation of the light, undergo a period of metabolic adjustment. This
thereby altering its phase relationship to the direct period is called the lag phase (Fig. 39.6) and its
rays and increasing contrast. length depends on the degree of readjustment nec-
Differential-interference contrast microscopy This essary. Once the cells are adapted to the environ-
method uses polarized light and has other applica- ment they begin to divide in the manner described
tions outside the scope of this chapter, such as above, and this division occurs at regular intervals.
detecting surface irregularities in opaque specimens. The numbers of bacteria during this period increase
It offers some advantages over phase-contrast in an exponential fashion, i.e. 2, 4, 8, 16, 32, 64, 128
microscopy, notably the elimination of haloes etc., and this is therefore termed the exponential or
around the object edges, and enables extremely logarithmic phase. When cell numbers are plotted on
detailed observation of specimens. It does, however, a log scale against time a straight line results for this
tend to be more difficult to set up. phase.
Electron microscopy The highest magnification During exponential growth (Fig. 39.6) the
available using a light microscope is about 1500 medium undergoes continuous change, as nutrients
times. This limitation is imposed not by the design of are consumed and metabolic waste products
the microscope itself, as much higher magnifications excreted. The fact that the cells continue to divide
are possible, but by the wavelength of light. An exponentially during this period is a tribute to their
object can only be seen if it causes a ray of light to physiological adaptability. Eventually, the medium
deflect. If a particle is very small indeed then no becomes so changed due to either substrate exhaus-
deflection is produced and the object is not seen. tion or excessive concentrations of toxic products,
Visible light has a wavelength between 0.3 and that it is unable to support further growth. At this
610
FUNDAMENTALS OF MICROBIOLOGY
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PHARMACEUTICAL MICROBIOLOGY
Organotrophs (synonym: heterotrophs) Organo- result, very low temperatures (-70C) are used to
trophs utilize organic carbon sources and can preserve cultures of organisms for many years.
similarly be divided into: Temperatures in excess of the maximum growth
temperature have a much more injurious effect and
Chemoorganotrophs, which obtain their energy
will be dealt with in more detail later (see
from oxidation or fermentation of organic
Chapter 41).
compounds;
pH Most bacteria grow best at around neutrality
Photo-organotrophs, which utilize light energy.
in the pH range 6.8-7.6. There are, however, excep-
Oxygen requirements As mentioned above, all bac- tions, such as the acidophilic organism lactobacillus,
teria require elemental oxygen in order to build up the a contaminant of milk products, which grows best at
complex materials necessary for growth and metabo- pHs between 5.4 and 6.6. Yeasts and moulds prefer
lism, but many organisms also require free oxygen as acid conditions with an optimum pH range of 4-6.
the final electron acceptor in the breakdown of carbon The difference in pH optima between fungi and bac-
and energy sources. These organisms are called teria is used as a basis for the design of media per-
aerobes. If the organism will only grow in the presence mitting the growth of one group of organisms at the
of air it is called a strict aerobe, but most organisms expense of others. Sabouraud medium, for example,
can either grow in its presence or its absence and are has a pH of 5.6 and is a fungal medium, whereas
called facultative anaerobes. A strict anaerobe cannot nutrient broth, which is used routinely to cultivate
grow and may even be killed in the presence of oxygen, bacteria, has a pH of 7.4. The adverse effect of
because some other compound replaces oxygen as the extremes of pH has for many years been used as a
final electron acceptor in these organisms. A fourth means of preserving foods against microbial attack,
group of microaerophilic organisms has also been for example pickling.
recognized which grow best in only trace amounts of Osmotic pressure Bacteria tend to be more resist-
free oxygen and usually prefer an increased carbon ant to extremes of osmotic pressure than other cells
dioxide concentration. owing to the presence of a very rigid cell wall. The
Influence of environmental factors on the growth of concentration of intracellular solutes gives rise to an
bacteria The rate of growth and metabolic activity osmotic pressure equivalent to between 5 and
of bacteria is the sum of a multitude of enzyme reac- 20 bar, and most bacteria will thrive in a medium
tions, and so it follows that those environmental containing around 0.75% w/v sodium chloride.
factors that influence enzyme activity will also affect Staphylococci have the ability to survive higher than
growth rate. Such factors include temperature, pH normal salt concentrations, and this has enabled the
and osmolarity. formulation of selective media such as mannitol salt
Temperature Bacteria can survive wide limits of agar containing 7.5% w/v sodium chloride, which
temperature but each organism will exhibit mini- will support the growth of Staphylococci but restrict
mum, optimum and maximum growth temperatures, other bacteria. Halophilic organisms can grow at
and on this basis fall into three broad groups: much higher osmotic pressures, but these are all
saprophytic and are non-pathogenic to humans.
Psychrophils: grow best below 20C but have a
High osmotic pressures generated by either sodium
minimum about 0C and a maximum of 30C.
chloride or sucrose have for a long time been used as
These organisms are responsible for low-
preservatives. Syrup BP contains 66.7% w/w sucrose
temperature spoilage.
and is of sufficient osmotic pressure to resist
Mesophils: exhibit a minimum growth
microbial attack. This is used as a basis for many oral
temperature of 5-10C and a maximum of
pharmaceutical preparations.
45-50C. Within this group two populations can
be identified: saprophytic mesophils, with an
optimum temperature of 20-30C, and parasitic Handling and storage of microorganisms
mesophils with an optimum temperature of
Because microorganisms have such a diversity of
37C.The vast majority of pathogenic organisms
nutritional requirements there has arisen a bewilder-
are in this latter group.
ing array of media for the cultivation of bacteria,
Thermophils: can grow at temperatures up to
yeasts and moulds. Media are produced either as
70-90C but have an optimum of 50-55C and a
liquids or solidified with agar. Agar is an extract of
minimum of 25-40C.
seaweed, which at concentrations of between 1 and
Organisms kept below their minimum growth tem- 2% sets to form a firm gel below 45C. Unlike
perature will not divide but can remain viable. As a gelatin, bacteria cannot use agar as a nutrient and so
612
FUNDAMENTALS OF MICROBIOLOGY
even after growth the gel remains firm. Liquid media colony is a descendant from the initial single cell or
are stored routinely in test tubes or flasks, depending group of cells, and so the colony is assumed to be a
upon the volume, both secured with either loose- pure culture with each cell having identical charac-
fitting caps or plugs of sterile cotton wool. Small teristics. The formation of single colonies is one of
amounts of solid media are stored in Petri dishes or the primary aims of surface inoculation of solid
slopes (also known as slants), whereas larger media and allows the isolation of pure cultures from
volumes may be incorporated in Roux bottles or specimens containing mixed flora.
Carrell flasks. Inoculation of agar surfaces by streaking The agar
Bacteria may only be maintained on agar in Petri surface must be smooth and without moisture,
dishes for a short time (days) before the medium which could cause the bacteria to become motile and
dries out. For longer storage periods the surface of the colonies to merge together. To dry the surface of
an agar slope is inoculated, and after growth the the agar the plates are placed in an incubator or
culture may be stored at 4C for several weeks. If drying cabinet until the surface appears wrinkled. An
even longer storage periods are required then the inoculating loop is made of either platinum or
cultures may be stored at low temperatures (-70C), nichrome wire twisted along its length to form a loop
usually in the presence of a cryoprotectant such as 2-3 mm in diameter at the end. Nichrome wire is
glycerol, or freeze-dried (lyophilized) before being cheaper than platinum but has similar thermal prop-
stored at 4C. Vegetative cells that survive this erties. The wire is held in a handle with an insulated
process may retain their viability for many years in grip and the entire length of the wire is heated in a
this way. Bunsen flame to red heat to sterilize it. The first few
When a single cell is placed on the surface of an centimetres of the holder are also flamed before the
overdried agar plate it becomes immobilized but can loop is set aside in a rack to cool.
still draw nutrients from the substrate, and conse- When cool the loop is used to remove a small
quently grows and divides. Eventually the numbers portion of liquid from a bacterial suspension and this
of bacterial cells are high enough to become visible is then drawn across the agar surface from A to B, as
and a colony is formed. Each of the cells in that indicated in Figure 39.7.The loop is then resterilized
613
PHARMACEUTICAL MICROBIOLOGY
and allowed to cool. At this stage the loop is not containing many organisms, which settle locally and
reinoculated but streaked over the surface again, contaminate surfaces in the vicinity of the operator.
ensuring a small area of overlap with the previous These may initiate infections if personnel touch the
streak line. The procedure is repeated as necessary. surfaces and subsequently transfer the organisms to
The pattern of streaking (see other examples in Fig. eyes, nose or mouth. The second type of aerosol
39.7) is dictated largely by the concentration of the contains droplets less than 5 /jum in size, which dry
original bacterial suspension. The object of the exer- instantly to form droplet nuclei that remain
cise is to dilute the culture such that, after incuba- suspended in the air for considerable periods. This
tion, single colonies will arise in the later streak lines allows them to be carried on air currents to situ-
where the cells were sufficiently separated. All plates ations far removed from the site of initiation. These
are incubated in an inverted position to prevent con- particles are so small that they are not trapped by the
densation from the lid falling on the surface of the usual filter mechanisms and may be inhaled, giving
medium and spreading the colonies. rise to infections of the lungs. The aerosols just
Inoculation of slopes A wire needle may be used to described may be produced by a variety of means,
transfer single colonies from agar surfaces to the such as heating wire loops, placing hot loops into
surface of slopes for maintenance purposes. The liquid cultures, splashing during pipetting, rattling
needle is similar to the loop except that the wire is loops and pipettes inside test tubes, opening screw-
single and straight, not terminating in a closed end. capped tubes and ampoules etc. All microbiologists
This is flamed and cooled as before and a portion of should have an awareness of the dangers of aerosol
a single colony picked off the agar surface. The production and learn the correct techniques to
needle is then drawn upwards along the surface of minimize them.
the slant. Before incubation the screw cap of the
bottle should be loosened slightly to prevent oxygen
Cultivation of anaerobes
starvation during growth. Some slopes are prepared
with a shallower slope and a deeper butt to allow the Anaerobic microbiology is a much-neglected subject
needle to be stabbed into the agar when testing for owing principally to the practical difficulties involved
gas production. in growing organisms in the absence of air. However,
Transference of liquids Graduated pipettes and with the increasing implication of anaerobes in
Pasteur pipettes may be used for this purpose, the certain disease states and improved cultivation
latter being short glass tubes one end of which is systems the number of workers in this field is
drawn into a fine capillary. Both types should be growing.
plugged with sterile cotton wool and filled via pipette The most common liquid medium for cultivation
fillers of appropriate capacity. Mouth pipetting of anaerobes is thioglycollate medium. In addition
should never be permitted. Automatic pipettes have to sodium thioglycollate the medium contains
generally replaced glass graduated pipettes in most methylene blue as a redox indicator, and it permits
areas of science for the measurement of small the growth of aerobes, anaerobes and micro-
volumes of liquid. Provided they are properly main- aerophilic organisms. When in test tubes the medium
tained and calibrated they have the advantage of may be used after sterilization until not more than
being easy to use and reliable in performance. one-third of the liquid is oxidized, as indicated by
Release of infectious aerosols During all of these the colour of the methylene blue indicator. Boiling
manipulations two considerations must be borne in and cooling of the medium just prior to inoculation
mind. First, the culture must be transferred with the is recommended for maximum performance. In
minimum risk of contamination from outside some cases the presence of methylene blue poses
sources. To this end all pipettes, tubes, media etc. are toxicity problems and under these circumstances the
sterilized and the manipulations carried out under indicator may be removed.
aseptic conditions. Second, the safety of the operator Anaerobic jars have considerably improved in
is paramount. During operations with micro- recent years, making the cultivation of even strict
organisms it must be assumed that all organisms are anaerobes now relatively simple. The most common
capable of causing disease and that any route of ones consist of a clear polycarbonate jar with a lid
infection is possible. Most infections acquired in housing a cold catalyst in a mesh container, and are
laboratories cannot be traced to a given incident but designed to be used with disposable H2/CO2 genera-
arise from the inadvertent release of infectious tors. The agar plates, which may need to be
aerosols. Two types of aerosols may be produced. prereduced prior to inoculation, are placed in the jar
The first kind produces large droplets (>5 /mi), together with a gas generator and an anaerobic indi-
614
FUNDAMENTALS OF MICROBIOLOGY
Counting bacteria
Estimates of bacterial numbers in a suspension can
be evaluated from a number of standpoints, each
equally valid depending upon the circumstances and
the information required. In some cases it may be
necessary to know the total amount of biomass pro-
duced within a culture, irrespective of whether the
cells are actively metabolizing. In other instances
only an assessment of living bacteria may be
required. Bacterial counts can be divided into total Fig. 39.8 Counting chamber for microscopic estimation of cell
counts and viable counts. numbers.
Total counts These counts estimate the total
number of bacteria present within a culture, both Calculation
dead and living cells. A variety of methods are avail-
Assume the mean cell count per small square was 6.
able for the determination of total counts and the
Each small square
one chosen will depend largely upon the characteris-
tics of the cells being studied, i.e. whether they
aggregate together.
Microscopic methods Microscopic methods
If the volume above each square contains 6 cells
employ a haemocytometer counting chamber
then
(Fig. 39.8), which has a platform engraved with a
grid of small squares each 0.0025 mm2 in area. The
platform is depressed 0.1 mm and a glass coverslip is
placed over the platform, enclosing a space of
known dimensions. The volume above each square is Another microscopic technique is Breed's method. A
0.00025 mm3. For motile bacteria the culture microscope slide is marked with a square of known
is fixed by adding two to three drops of 40% area (usually 1 cm2), and 0.01 mL of bacterial suspen-
formaldehyde solution per 10 mL of culture to sion is spread evenly over the square. This is allowed to
prevent the bacteria from moving across the field of dry, fixed and stained. A squared-eyepiece micrometer
view. A drop of the suspension is then applied to the is then used to determine the original count, knowing
platform at the edge of the coverslip. The liquid is the dilution and the size of each square.
drawn into the space by capillary action. It is impor- Spectroscopic methods These methods are simple
tant to ensure that liquid does not enter a trench that to use and very rapid, but require careful calibration
surrounds the platform: the liquid must fill the if meaningful results are to be obtained. Either
whole space between the coverslip and the platform. opacity or light scattering may be used, but both
This slide is examined using phase-contrast or methods may only be used for dilute, homogenous
dark-ground microscopy and, if necessary, the suspensions as at higher concentrations the cells
culture is diluted to give 2-10 bacteria per small obscure each other in the light path and the relation-
square. A minimum of 300 bacterial cells should be ship between optical density and concentration is not
counted to give statistically significant results. linear. Simple colourimeters and nephelometers can
615
PHARMACEUTICAL MICROBIOLOGY
be used, but more accurate results are obtained using 1 mL of dilution B added to 9 mL of sterile
a spectrophotometer. diluent call dilution C (dilution C has been diluted
Electronic methods A variety of automated methods by a factor of 105).
are available for bacterial cell counting,, including elec- 1 mL of dilution C added to 9 mL of sterile
tronic particle counting, micro-calorimetry, changes diluent call dilution D (dilution D has been diluted
in impedance or conductivity, and radiometric and by a factor of 106).
infrared systems for monitoring CO2 production. 1 mL of dilution D added to 9 mL of sterile
Other methods If an organism is prone to exces- diluent call dilution E (dilution E has been diluted
sive clumping, or if a measure of biomass is needed by a factor of 107).
rather than numbers, then estimates may be made by 0.2 mL of each dilution plated in triplicate.
performing dry weight or total nitrogen determina- Mean colony counts for each dilution after incu-
tions. For dry weight a sample of suspension is cen- bation at 37C:
trifuged and the pellet washed free of culture
Dilution A too many to count
medium by further centrifugation in water. The
Dilution B too many to count
pellet is collected and dried to a constant weight in a
Dilution C 400 colonies
desiccator. Total nitrogen measures the total quantity
Dilution D 45 colonies
of nitrogenous material within a cell population. A
Dilution E 5 colonies.
known volume of suspension is centrifuged and
washed as before and the pellet digested using The result for dilution C is unreliable, as the count
sulphuric acid in the presence of a CuSO4-K2SO4- is too high. If the colony count exceeds 300 errors
selenium catalyst. This produces ammonia, which is arise because the colonies become very small and
removed using boric acid and estimated either by some may be missed. This is why the colony count
titration or colourimetrically. for dilution C does not exactly correspond to 10 x
Viable counts These are counts to determine the that found for dilution D. Similarly, the count for
number of bacteria in a suspension that are capable of dilution E is unreliable because at counts below
division. In all these methods the assumption is made about 30 small variations introduce high percentage
that a colony arises from a single cell, although clearly errors.
this is often not the case, as cells frequently clump or The result from dilution D is therefore taken for
grow as aggregates, e.g. Staphylococcus aureus. In these calculation, as the colony count lies between 30 and
cases the count is usually given as colony-forming 300.
units (c.f.u.) per mL rather than cells per mL. 45 colonies in 0.2 mL, therefore
Spread plates A known volume, usually 0.2 mL, = 45 x 5 colonies per mL
of a suitably diluted culture is pipetted on to an over- = 225 cfu/mL in dilution D.
dried agar plate and distributed evenly over the
surface using a sterile spreader made of wire or glass This was diluted by a factor of 106 (100 x 100 x 10
capillary. The liquid must all be allowed to soak in x 10) and so the count in the stock suspension was
before the plates are inverted. A series of tenfold 225 x 106 = 2.25 x 108 cru/mL.
dilutions should be made in a suitable sterile diluent Pour plates A series of dilutions of original
and replicates plated out at each dilution, in order to culture is prepared as before, ensuring that at least
ensure that countable numbers of colonies (30-300) one is in the range 30-300 organisms/mL. One-
are obtained per plate. millilitre quantities are placed into empty sterile Petri
The viable count is calculated from the average dishes and molten agar, cooled to 45C, is poured on
colony count per plate, knowing the dilution and the to the suspension and mixed by gentle swirling. After
volume pipetted onto the agar. setting the plates are inverted and incubated.
Because the colonies are embedded within the agar
they do not exhibit the characteristic morphology
Example calculation seen with surface colonies. In general they assume a
Serial dilution scheme lens shape and are usually smaller. As the oxygen
Stock bacterial suspension, 1 mL added to 99 mL of tension below the surface is reduced this method is
sterile diluent call dilution A (the stock solution not suitable for strict aerobes. Calculations are
has therefore been diluted by a factor of 100 (102). similar to that given above, except that no correction
1 mL of dilution A added to 99 mL of sterile is necessary for volume placed upon the plate.
diluent call dilution B (dilution B has been diluted Membrane filtration This method is particularly
by a factor of 104). useful when the level of contamination is very low,
616
FUNDAMENTALS OF MICROBIOLOGY
such as in water supplies. A known volume of A selective enrichment broth is initially inoculated
sample is passed through a membrane filter, typi- with the mixed population of cells and this inhibits the
cally made of cellulose acetate/nitrate, of sufficient growth of the majority of the background population.
pore size to retain bacteria (0.2-0.45 ^im). The At the same time the growth of the organism of inter-
filtrate is discarded and the membrane placed bac- est is encouraged. After incubation in these media the
teria-uppermost on the surface of an overdried agar cultures are streaked out on to solid selective media,
plate, avoiding trapped air between membrane and which frequently contain indicators to further differ-
surface. Upon incubation the bacteria draw nutri- entiate species on the basis of fermentation of specific
ents through the membrane and form countable sugars.
colonies.
ATP determination There are sometimes
instances when viable counts are required for Classification and identification
clumped cultures or for bacteria adhered to surfaces,
for example in biofilms. Conventional plate count Taxonomy is the ordering of living organisms into
techniques are not appropriate here and ATP deter- groups on the basis of their similarities. In this way
minations can be used. The method assumes that we can construct a hierarchy of interrelationships
viable bacteria contain a relatively constant level of such that species with similar characteristics are
ATP, but this falls to zero when the cells die. ATP is grouped within the same genus, genera which have
extracted from the cells using a strong acid such as similarities are grouped within the same family, fam-
trichloroacetic acid, and the extract is then neutral- ilies grouped into orders, orders into classes and
ized by dilution with buffer. The ATP assay is based classes into divisions. The classification of bacteria
upon the quantitative measurement of a stable level does pose a problem because a species is defined as
of light produced as a result of an enzyme reaction a group of closely related organisms that reproduce
catalysed by firefly luciferase. sexually to produce fertile offspring. Of course, bac-
teria do not reproduce sexually, and so a bacterial
species is simply defined as a population of cells with
similar characteristics.
Nomenclature Bergey's Manual of Determinative
The amount of ATP is calculated by reference to Bacteriology lists 562 bacterial genera and each of
light output from known ATP concentrations and these contains many species. It is therefore extremely
the number of bacterial cells is calculated by refer- important to be sure there is no confusion when
ence to a previously constructed calibration plot. describing any one particular bacterial species.
Although we are familiar with the use of trivial
names in ornithology and botany (we understand
Isolation of pure bacterial cultures what we mean when we describe a sparrow or a daf-
Mixed bacterial cultures from pathological speci- fodil) such an approach could have disastrous conse-
mens or other biological materials are isolated first quences in clinical microbiology. For this reason the
on solid media to give single colonies, and the resul- binomial system of nomenclature is used that
tant pure cultures can then be subjected to Carolus Linnaeus developed in the 18th century. In
identification procedures. The techniques used for this system every bacterium is given two names, the
isolation depend upon the proportion of the species first being the genus name and the second the
of interest compared to the background contamina- species name. By convention the name is italicized or
tion. Direct inoculation can only be used when an underlined, and the genus name always begins with
organism is found as a pure culture in nature. a capital letter whereas the species name begins in
Examples include bacterial infections of normally lower case.
sterile fluids such as blood or cerebrospinal fluid. Identification The organization of bacteria into
Streaking is the most common method employed, groups of related microorganisms is based upon the
and if the proportions of bacteria in the mixed similarity of their chromosomal DNA. Although this
culture are roughly equal then streaking on an ordi- provides a very accurate indicator of genetic related-
nary nutrient medium should yield single colonies of ness it is far too cumbersome a tool to use for the
all microbial types. More usually the organism of identification of an unknown bacterium isolated
interest is present only as a very small fraction of the from a sample. In this instance a series of rapid and
total microbial population, necessitating the use of simple tests is required that probe the phenotypic
selective media. characteristics of the microorganism. The tests are
617
PHARMACEUTICAL MICROBIOLOGY
conducted in a logical series of steps, the results and inoculated by means of a stab wire. After incu-
from each providing information on the next stage of bation it is important to refrigerate the gelatin prior
the investigation. An example of such a procedure is to examination, otherwise false positives may be pro-
given below: duced. Proteases can also be detected using milk
agar, which is opaque. Protease producers form
Morphology: microscopical investigations
colonies with clear haloes around them where the
using a wet mount to deter-
enzyme has diffused into the medium and digested
mine cell size, shape, for-
the casein.
mation of spores,
Oxidase is produced by Neisseria and Pseudomonas
aggregation, motility etc.
and can be detected using 1% tetramethylpara-
Staining reactions: Gram stain, acid-fast stain,
phenylene diamine. The enzyme catalyses the trans-
spore stain
port of electrons between electron donors in the
Cultural reactions: appearance on solid media
bacteria and the redox dye. A positive reaction is
(colony formation, shape,
indicated by a deep purple colour in the reduced
size, colour, texture, smell,
dye. The test is carried out by placing the reagent
pigments etc.); aerobic/
directly on to an isolated colony on an agar surface.
anaerobic growth, tempera-
Alternatively, a filter paper strip impregnated with
ture requirements, pH
the dye is moistened with water and, using a
requirements
platinum loop, a bacterial colony spread across the
Biochemical reactions: enzymatic activities are
surface. If positive, a purple colour will appear
probed to distinguish
within 10 seconds. Note that the use of iron loops
between closely related
may give false positive reactions.
bacteria. Can be performed
The indole test distinguishes those bacteria
in traditional mode or
capable of decomposing the amino acid tryptophan
using kits.
to indole. Any indole produced can be tested by a
Biochemical tests These are designed to examine colourimetric reaction with p-dimemylaminoben-
the enzymatic capabilities of the organism. As there zaldehyde. After incubation in peptone water 0.5 mL
are a large number of biochemical tests that can be Kovacs reagent is placed on the surface of the
performed, the preliminary steps help to narrow culture, shaken, and a positive reaction is indicated
down the range to those that will be most discrimi- by a red colour. Organisms giving positive indole
natory. Given below are a few examples of reactions include E. coli and Proteus vulgaris.
commonly used biochemical tests. Catalase is responsible for the breakdown of
Sugar fermentation is very frequently used and hydrogen peroxide into oxygen and water. The test
examines the ability of the organism to ferment a may be performed by adding 1 mL of 10-vol hydro-
range of sugars. A number of tubes of peptone water gen peroxide directly to the surface of colonies
are prepared, each containing a different sugar. An growing on an agar slope. A vigorous frothing of the
acid-base indicator is incorporated into the medium surface liquid indicates the presence of catalase.
that also contains a Durham tube (a small inverted Staphylococcus and Micrococcus are catalase positive,
tube filled with medium) capable of collecting any whereas Streptococcus is catalase negative.
gas produced during fermentation. After inoculation Urease production enables certain bacteria to
and incubation the tubes are examined for acid pro- break down urea to ammonia and carbon dioxide:
duction, as indicated by a change in the colour of the
indicator, and gas production as seen by a bubble of
gas collected in the Durham tube.
Proteases are produced by a number of bacteria, This test is readily carried out by growing the
e.g. Bacillus species and Pseudomonas, and they are bacteria on a medium containing urea and an
responsible for the breakdown of protein into acid-base indicator. After incubation the production
smaller units. Gelatin is a protein that can be added of ammonia will be shown by the alkaline reaction of
to liquid media to produce a stiff gel similar to agar. the indicator. Examples of urease-negative bacteria
Unlike agar, which cannot be utilized by bacteria, include E. coli and Enterococcus faecalis.
those organisms producing proteases will destroy the Simmons citrate agar was developed to test for the
gel structure and liquefy the medium. A medium presence of organisms that could utilize citrate as the
made of nutrient broth solidified with gelatin is nor- sole source of carbon and energy and ammonia as
mally incorporated in boiling tubes or small bottles the main source of nitrogen. It is used to differenti-
618
FUNDAMENTALS OF MICROBIOLOGY
ate members of the Enterobacteriaceae. The The tests described so far will enable differentia-
medium, containing bromothymol blue as indicator, tion of an unknown bacterium to species level.
is surface inoculated on slopes and citrate utilization However, it is apparent that not all isolates of the
demonstrated by an alkaline reaction and a change same species behave in an identical manner. For
in the indicator colour from a dull green to a bright example, E. coli isolated from the intestines of a
blue. E. coli, Shigella, Edwardsiella and Yersinia do not healthy person is relatively harmless compared to the
utilize citrate, whereas Serratia, Enterobacter, well publicized E. coli O157.H7, which causes
Klebsiella and Proteus do and so give a positive result. intense food poisoning and haemolytic uraemic syn-
The methyl red test is used to distinguish organ- drome. On occasions it is therefore, necessary to dis-
isms that produce and maintain a high level of tinguish further between isolates from the same
acidity from those that initially produce acid but species. This can be performed using, among other
restore neutral conditions with further metabolism. things, serological tests and phage typing.
The organism is grown on glucose phosphate Serological tests Bacteria have antigens associated
medium and, after incubation, a few drops of methyl with their cell envelopes (O-antigens), with their
red are added and the colour immediately recorded. flagella (H-antigens) and with their capsules (K-anti-
A red colour indicates acid production (positive), gens). When injected into an animal, antibodies will
whereas a yellow colour indicates alkali (negative). be produced directed specifically towards those anti-
Some organisms can convert carbohydrates to gens and able to react with them. Specific
acetyl methyl carbinol (CH3-CO-CHOH-CH3).This antisera are prepared by immunizing an animal with
may be oxidized to diacetyl (CH3-CO-CO-CH3), a killed or attenuated bacterial suspension and taking
which will react with guanidine residues in the blood samples. Serum containing the antibodies can
medium under alkaline conditions to produce a then be separated. If a sample of bacterial suspension
colour. This is the basis of the Voges Proskauer test, is placed on a glass slide and mixed with a small
which is usually carried out at the same time as the amount of specific antiserum, then the bacteria will
methyl red test. The organism is again grown in be seen to clump when examined under the micro-
glucose phosphate medium and, after incubation, scope. The test can be made more quantitative by
40% KOH is added together with 5% a-naphthol in using the tube dilution technique, where a given
ethanol. After mixing, a positive reaction is indicated amount of antigen is mixed with a series of dilutions
by a pink colour in 2-5 minutes gradually becoming of specific antisera. The highest dilution at which
darker red up to 30 minutes. Organisms giving posi- agglutination occurs is called the agglutination titre.
tive Voges Proskauer reactions usually give negative Phage typing Many bacteria are susceptible to
methyl red reactions, as the production of acetyl- lytic bacteriophages whose action is very specific.
methyl carbinol is accompanied by low acid produc- Identification may be based on the susceptibility of a
tion. Klebsiella species typically give a positive Voges culture to a set of such type-specific lytic bacterio-
Proskauer reaction. phages. This method enables very detailed
Rapid identification systems With the increasing identification of the organisms to be made, e.g. one
demand for quick and accurate identification of serotype of Salmonella typhi has been further subdi-
bacteria a number of micromethods have been vided into 80 phage types using this technique.
developed combining a variety of biochemical tests
selected for their rapidity of reading and high
discrimination. The API bacterial identification
system is an example of such a micromethod and FUNGI
comprises a plastic tray containing dehydrated
substrates in a number of wells. Culture is added to Fungus is a general term used to describe all yeasts
the wells, dissolving the substrate and allowing the and moulds, whereas a mould is a filamentous
fermentation of carbohydrates, or the presence of fungus exhibiting a mycelial form of growth. The
enzymes similar to those just described, to be study of fungi is called mycology. Yeasts and moulds
demonstrated. In some cases incubation times of are eukaryotic microorganisms possessing organized
2 hours are sufficient for accurate identification. demonstrable nuclei enclosed within an outer
Kits are available with different reagents, membrane, a nucleolus, and chromatin strands that
permitting the identification of Enterobacteriaceae, become organized into chromosomes during cell
Streptococcaceae, staphylococci, anaerobes, yeasts division. Fungal cell walls are composed predomi-
and moulds. Accurate identification is made by nantly of polysaccharide, and in most cases this is
reference to a table of results. chitin mixed with cellulose, glucan and mannan.
619
PHARMACEUTICAL MICROBIOLOGY
Proteins and glycoproteins are also present, but within the gut can lead to symptoms of inexplicable
peptidoglycan is absent. The polysaccharide poly- fatigue and malaise, which is difficult to diagnose.
mers are crosslinked to provide a structure of con- Predisposing factors may include poor diet, diabetes,
siderable strength which gives the cell osmotic alcoholism and long-term treatment with steroids.
stability. The fungal membrane contains sterols such
as ergosterol and zymosterol not found in mam-
Dimorphic fungi
malian cells, and this provides a useful target for
antifungal antibiotics. The role of fungi in nature is These grow as yeasts or as filaments depending upon
predominantly a scavenging one and in this respect the cultural conditions. At 22C, either in the soil or
they are vital for the decomposition and recycling of in culture media, filamentous mycelial forms and
organic materials. Of the more than 100 000 species reproductive spores are produced, whereas at 37C
of known fungi fewer than 100 are human in the body the microorganisms assume a yeast-like
pathogens, and most of these are facultative and not appearance. Histoplasma capsulatum is an important
obligate parasites. pathogen that gives rise to respiratory illness. The
infectious form is the spore, which is borne on the
wind and is inhaled. It has been postulated that a
Fungal morphology single spore can elicit an infection. On entering the
The fungi can be divided into five broad groups on body the spores germinate to give rise to the yeast
the basis of their morphology. form. Primary infections are often mild, but progres-
sive disseminated histoplasmosis is a very severe
disease that can affect many organs of the body.
Yeasts
These are spherical or ovoid unicellular bodies
Filamentous fungi
2-4 /xm in diameter which typically reproduce by
budding. In liquid cultures and on agar they behave This group comprises those multicellular moulds
very much like bacteria. Examples include that grow in the form of long, slender filaments
Saccharomyces cerevisiae, strains of which are used in 2-10 yum in diameter called hyphae. The branching
baking and in the production of beers and wines. hyphae, which constitute the vegetative or somatic
Cryptococcus neoformans is the only significant structure of the mould, intertwine and gradually
pathogen and this gives rise to a respiratory tract spread over the entire surface of the available
disease called cryptococcosis, which in most cases is substrate, extracting nutrients and forming a dense
relatively mild. However, the microorganism may mat or mycelium. The hyphae may be non-septate
disseminate, leading to multiorgan disease, including (coenocytic) or septate, but in each case the nutri-
meningitis. Cryptococcosis is of particular ents and cellular components are freely diffusible
significance in immune-compromised patients. If along the length of the filament. This is facilitated by
left untreated, 80% of patients with disseminated the presence of pores within the septa.
cryptococcosis will die within 1 year.
Mushrooms and toadstools
Yeast-like fungi
This group is characterized by the production of
These organisms normally behave like a typical large reproductive fruiting bodies of complex
budding yeast but under certain circumstances the structure. They also possess elaborate propagation
buds do not separate and become elongated. The mechanisms. Some of these fungi are edible and are
resulting structure resembles a filament and is called used in cooking, but others, such as Amanita
a pseudomycelium. It differs from a true mycelium phalloides (Death Angel), produce potent mycotoxins
in that there are no interconnecting pores between that may result in death if eaten.
the cellular compartments comprising the hyphae.
The most important member of this group is
Reproduction of fungi
Candida albicans, which is usually resident in the
mouth, intestines and vagina. Under normal condi- In the somatic portion of most fungi the nuclei are
tions Candida does not cause problems but if the very small and the mechanism of nuclear division is
environmental balance is disturbed then problems uncertain. Under the correct environmental condi-
can arise. These include vaginal thrush (vaginitis) tions the organisms will switch from the somatic or
and oral thrush. Overgrowth of Candida albicans vegetative growth phase to a reproductive form, so
620
FUNDAMENTALS OF MICROBIOLOGY
that the fungus may propagate the species by pro- new individual. A scar is left behind on the parent cell
ducing new mycelia on fresh food substrates. Two and each parent can produce up to 24 buds.
types of reproduction are found, asexual and sexual. Fungi growing in a filamentous form may employ
hyphal fragmentation as a means of asexual propa-
gation. The hyphal tips break up into component
Asexual reproduction
segments (called arthroconidia or arthrospores),
Asexual reproduction is in general more important for each of which can disperse on the wind to other
the propagation of the species and mechanisms environments and fresh food substrates.
include binary fission, budding, hyphal fragmentation The formation of specialized spore-bearing
and spore formation. Each progeny is an exact replica structures containing reproductive spores is the most
of the parent and no species variation can occur. common method of asexual reproduction
Some yeasts (e.g. Schizosaccharomyces rouxii) (Fig. 39.9). The spores can be borne in a spo-
reproduce by binary fission in the same way as bac- rangium, supported on a sporangiophore. A limiting
teria. The parent cell enlarges, its nucleus divides membrane surrounds the sporangium and the spores
and, when a cross-wall is produced across the cell, contained within it are called sporangiospores. The
two identical daughter cells form. spores are released when the sporangium ruptures.
Budding occurs in the majority of yeasts and is the This type of reproduction is found in the lower fungi
production of a small outgrowth or bud from the possessing non-septate hyphae (e.g. Mucor and
parent cell. As the bud increases in size the nucleus Rhizopus). Separate spores produced at the tips of
divides and one of the pair migrates into the bud. The specialized conidiophores are called conidiospores,
bud eventually breaks off from the parent to form a and a diverse range of structures is found in nature.
621
PHARMACEUTICAL MICROBIOLOGY
Zygomycetes
These are terrestrial saprophytes possessing non- BIBLIOGRAPHY
septate hyphae and are sometimes referred to as the Bannister, B.A., Begg, N.T. and Gillespie, S.H. (1996)
lower fungi. Apart from their hyphae they can be dis- Infectious Disease. Blackwell Science Ltd, Oxford.
tinguished from other filamentous fungi by the pres- Collins, C.H., Lyne, P.M. and Grange, J.M. (1995)
ence of sporangia. Examples are Mucor and Microbiological Methods, 7th edn. Butterworth Heinemann,
Rhizopus, which are important in the manufacture of Oxford.
Davies, B.D., Dulbecco, R., Eisen H.N. and Ginsberg H.S.
organic acids and the biotransformation of steroids. (eds) (1990) Microbiology 4th edn. J.B. Lippincott
They are also common spoilage organisms. Company, Philadelphia.
Holt, J.G., Krieg, N.R., Sneath, P.H.A., J. Stanley, T. and
Williams, S.T. (eds) (1994) Bergey's Manual of
Ascomycetes Determinative Bacteriology 9th edn. Williams and Wilkins,
Baltimore.
Ascomycetes possess septate hyphae and the sexual or Hugo,W.B. and Russell, A.D. (1998) Pharmaceutical
perfect stage is characterized by the presence of a sac- Microbiology, 6th edn. Blackwell Scientific Publications,
like reproductive structure called an ascus. This typi- Oxford.
cally contains eight ascospores. The asexual or Mims, C., Playfair, J., Roitt, I., Wakelin D. and R. Williams
(eds) (1998) Medical Microbiology 2th edn. Mosby
imperfect stage involves conidiospores. An example is International Ltd., London.
Claviceps purpurea., which is a parasite of rye and is Neidhardt, R, Ingraham, J.L. and Schaechter, M. (1990)
important as a source of ergot alkaloids used to Physiology of the Bacterial Cell: A Molecular Approach.
control haemorrhage and in treating migraine. A sub- Sinauer Associates, Massachusetts.
Russell, A.D. and Chopra, I. (1990) Understanding
class of the Ascomycetes is the Hemiascomycetes, and Antibacterial Action and Resistance. Ellis Horwood,
this includes the yeasts such as Saccharomyces and Chichester.
Cryptococcus, together with Torulopsis and Candida. Stryer, L. (1995) Biochemistry, 4th edn. Freeman and Co.
622
40
Pharmaceutical applications of microbiological
techniques
Norman Hodges
623
PHARMACEUTICAL MICROBIOLOGY
624
MICROBIOLOGICAL TECHNIQUES
The activity of several antibiotics, notably period recovered to the original level within 2 days.
tetracyclines and aminoglycosides, is reduced by the There is the potential for a similar phenomenon to
presence of high concentrations of di- or trivalent arise in other situations, e.g. in minimum inhibitory
cations in the medium. concentration (MIC) determinations of bacteristatic
agents (those that do not kill, but merely inhibit the
growth of the test organism), although it is not
Exposure and incubation conditions
common in MICs because the exposure (incubation)
The temperature, duration and redox conditions of time is much shorter than that in preservative testing.
exposure to the antimicrobial chemical (or incuba- The effect of some antibiotics may be influenced
tion of survivors after exposure) may all have a by the redox conditions during their period of
significant effect on its measured activity. Increasing contact with the test organism. Aminoglycosides, for
the temperature of exposure of the test organism to example, are far less active, and metronidazole is far
the chemical increases the antimicrobial activity by a more active, under conditions of low oxygen avail-
factor which is quantified by the temperature ability. Such effects may even be seen during agar-dif-
coefficient (Qw value: the number of -fold increase fusion antibiotic assays, in which the antibiotic
in activity for a 10C rise in temperature). Alcohols diffuses from a well into an agar gel inoculated with
and phenols, for example, may respectively exhibit the test organism; the diameter of the zone of growth
Q10 values of 3-5 and >10, and so a variation of 5C inhibition that surrounds a well filled with neomycin
in the temperature of exposure (which is permitted solution, for example, may be significantly greater at
by pharmacopoeial preservative efficacy tests, for the surface of the agar (where there is abundant
example) may lead to a markedly different rate of kill oxygen) than at its base, where the oxygen concen-
of the organism in question. tration is limited by its poor diffusion through the gel.
The period of time for which the test organism is
exposed to the antimicrobial chemical may influence
Inoculum concentration and physiological state
the recorded result because it is possible for the
organism to adapt and become resistant to the It is perhaps not surprising that the concentration of
presence of the chemical. In preservative efficacy the inoculum can markedly affect antimicrobial
tests the exposure period is normally 28 days, which action, with high inoculum levels tending to result in
is sufficient time for any cells that are not killed reduced activity. There are two main reasons for this.
during the first 24-48 hours to recover and start to First, there is the phenomenon of drug adsorption
reproduce, so that the final bacterial concentration on to the cell surface or absorption into the interior
may be much higher than that at the start. This is of the cell. If the number of drug molecules in the
illustrated in Figure 40.1, which shows the effect test tube is fixed yet the number of cells present is
of the quaternary ammonium preservative benzetho- increased, this obviously results in fewer molecules
nium bromide on Pseudomonas aeruginosa. available per cell and consequently the possibility of
The concentration of bacteria was reduced to a diminished effect. In addition to this there is the
approximately 0.01 % of the initial value during the second, more specialized case, again concerning
first 6 hours, but the bacteria that survived this early antibiotics, where it is frequently observed that
certain species of bacteria can synthesize antibiotic-
inactivating enzymes, the most common of which are
the various types of /3-lactamase (those destroying
penicillin, cephalosporin and related antibiotics).
Thus a high inoculum means a high carryover of
enzyme with the inoculum cells, or at least a greater
potential synthetic capacity.
Perhaps less predictable than the inoculum con-
centration effect is the possibility of the inoculum
history influencing the result. There is a substantial
amount of evidence to show that the manner in
which the inoculum of the test organism has been
grown and prepared can significantly influence its
Fig. 40.1 The survival and recovery of Pseudomonas
susceptibility to toxic chemicals. Features such as the
aeruginosa exposed to be'nzethonium chloride during a nature of the culture medium, e.g. nutrient broth or
preservative efficacy test a defined glucose-salts medium, the metal ion
625
PHARMACEUTICAL MICROBIOLOGY
composition of the medium and hence of the cells used when the alternatives are inappropriate, espe-
themselves and the physiological state of the cells, cially when the active antibiotic cannot readily be
i.e. 'young' actively growing cells from the logarith- separated from inactive impurities, degradation prod-
mic growth phase or 'old' non-dividing cells from the ucts or interfering substances, or it cannot easily be
stationary phase, all have the potential to influence assayed by HPLC without derivatization to enhance
the observed experimental values. ultraviolet absorption (e.g. aminoglycosides). These
situations may arise:
1. when the antibiotic is present in a solution
Antibiotic assays containing a wide variety of complex substances
Methods of assaying antibiotics may be broadly that would interfere with a chemical assay, e.g.
divided into three groups: fermentation broth, serum or urine;
Conventional chemical assays, e.g. titrations, 2. when the antibiotic is present together with
spectrophotometry and high-performance liquid significant concentrations of its breakdown
chromatography (HPLC); products, e.g. during stability studies as part of
Enzyme-based and immunoassays, where the product development;
antibiotic is, respectively, the substrate for a 3. when it has been extracted from a formulated
specific enzyme or the antigen with which a medicine, for example a cream or linctus, when
specific antibody combines; excipients might cause interference;
Biological assays in which biological activity - in 4. where the commercially available product is a
this case bacterial growth inhibition - of the 'test' mixture of isomers that have inherently different
solution is compared with that of a reference antimicrobial activities, which cannot easily be
standard. distinguished chemically and which may differ in
proportion from batch to batch (e.g. neomycin
Biological methods offer the advantage that the
and gentamicin).
parameter being measured in the assay (growth inhi-
bition) is the property for which the drug is used, Biological antibiotic assays, or bioassays as they are
and so inactive impurities or degradation products frequently known, may be of two main types, agar
will not interfere and lead to an inaccurate result. diffusion and turbidimetric. The European
Biological methods also offer other advantages Pharmacopoeia (1997) section 2.7.2 describes
(Table 40.1), but they have several significant limita- experimental details for both methods, e.g. test
tions and non-biological methods are now generally microorganisms, solvents, buffers, culture media and
preferred. incubation conditions. In each case a reference
Enzyme-based and immunoassay kits are used in material of known activity must be available. When
hospitals, notably for therapeutic monitoring of toxic antibiotics were in their infancy few could be
antibiotics (e.g. aminoglycosides and vancomycin), produced in the pure state free from contaminating
whereas HPLC tends to be preferred in the pharma- material, and specific chemical assays were rarely
ceutical industry, particularly for quality assurance available. Thus the potency or activity of reference
applications. Biological assays are most likely to be standards was expressed in terms of (international)
Enzyme and immunological methods are HPLC can only assay samples
usually assay kits, which give reliable sequentially, so unusually large sample
results with inexperienced operators numbers may cause problems
626
MICROBIOLOGICAL TECHNIQUES
units of activity. There are few antibiotics for which square of the diameter must be plotted to achieve lin-
dosage is still normally expressed in units: nystatin earity over a wide range. A plot such as that in Figure
and polymyxin are two of the remaining examples. 40.3 may, quite correctly, be used to calculate the con-
More commonly, potencies are recorded in terms of centration of a test solution of antibiotic. In practice,
/xg mL"1 of solution or /JL antibiotic mg"1 of salt, however, it is found to be more convenient to obtain
with dosages expressed in mg. Antibiotic assay reliable mean zone diameters for the standard at just
results are usually in the form of a potency ratio of two or three concentrations, rather than somewhat
the activity of the unknown or test solution divided less reliable values for six or seven concentrations.
by that of the standard. There is no reason why an assay should not be based
upon a two- or three-point line, provided that those
Agar diffusion assays points are reliable and that preliminary experiments
have shown that the plotted relationship over the con-
In this technique the agar medium in a Petri dish or centration range in question is linear.
a larger assay plate is inoculated with the test It is not common to conduct antibiotic assays in
organism, wells are created in it by removing Petri dishes because too few zones may be accom-
circular plugs of agar, and these wells are filled with modated on a standard-sized dish to permit the
a solution of the chemical under test (Fig. 40.2). replication necessary to obtain the required accuracy
The chemical diffuses through the gel from A and precision. Antibiotic assays, when performed on
towards B and the concentration falls steadily in that a large scale, are more often conducted using large
direction. The concentration in the region A to X is assay plates 300 mm or more square. The wells are
sufficiently high to prevent growth, i.e. it is an created in a square design and the number that may
inhibitory concentration. Between X and B the con- be accommodated will depend upon the anticipated
centration is subinhibitory and growth occurs. The
concentration at X at the time the zone edge is
formed is known as the critical inhibitory concentra-
tion (CIC). After incubation the gel between A and
X is clear and that between X and B is opaque as a
result of microbial growth which, with the common
test organisms, is usually profuse. A zone of
inhibition is therefore created, the diameter of which
will increase as the concentration of chemical in the
well increases.
A graph may be constructed which relates zone
diameter to the logarithm of the concentration of the
solution in the well (Fig. 40.3). It is normally found to
be linear over a small concentration range, but the Fig. 40.3 Calibration plots for agar diffusion assays.
627
PHARMACEUTICAL MICROBIOLOGY
628
MICROBIOLOGICAL TECHNIQUES
great effect on the accuracy of the potency ratio that growth is stopped in the same order by the
obtained, but the precision may be affected. The addition of formalin, heating or other means.
volume of liquid in the well is of minimal impor- The incubation period must be appropriate to the
tance; it is usually of the order of 0.1 mL and is inoculum level so that the cultures do not achieve
delivered by semiautomatic pipette. As an alternative maximal growth. At the concentrations used for such
to wells the antibiotic may be introduced on to the assays the antibiotics usually reduce growth rate but
agar using absorbent paper discs, metal cylinders or do not limit total growth. Therefore, if the incuba-
'fish spine' beads (beads having a hole drilled in tion period is sufficiently long, all of the cultures
them which contains the liquid). may achieve the same cell density regardless of the
For many antibiotics, the test organism is a antibiotic concentration.
Bacillus species and the inoculum is in the form of There are certain other limitations to the use of
a spore suspension, which is easy to prepare, stan- turbidimetric assays. Because it is the 'cloudiness' of
dardize and store. Alternatively, frozen inocula from the culture that is measured, standard and test
liquid nitrogen may be used as a means of improving solutions in which the organisms are suspended
reproducibility. should, ideally, be clear before inoculation. Cloudy
Careful storage and preparation of the reference or hazy solutions which may result from the extrac-
standards are essential. The reference antibiotic is tion of the antibiotic from a cream, for example, can
usually stored at low temperature in a freeze-dried only be determined after similarly compensating the
condition. standards or otherwise eliminating the error. Test
organisms that produce pigments during the course
of the incubation period should be avoided; so too
Turbidimetric assays
should those that normally clump in suspension.
In this case antibiotic standards at several concen- The rate of growth of the test organism may vary
trations are incorporated into liquid media and the significantly from one batch of medium to another.
extent of growth inhibition of the test organism is Thus it is important to ensure that all the tubes in the
measured turbidimetrically using a nephelometer or assay contain medium from the same batch, and were
spectrophotometer. The unknown or test antibiotic prepared and sterilized at the same time. Many liquid
preparation is run simultaneously, again at several media become darker brown on prolonged heating,
concentrations, and the degree of growth inhibition and so samples from the same batch may differ in
compared. Such assays are less commonly used than colour if the sterilizing time is not strictly controlled.
agar diffusion methods because their precision is
rather inferior, but they do have the advantage of
speed: the result may be available after an incubation
Minimum inhibitory concentration
period as short as 3-4 hours. They are also more
determinations (MICs)
sensitive than diffusion assays and consequently may The MIC is the lowest concentration of an anti-
be applied to low-activity preparations. microbial chemical found to inhibit the growth of a
The shape and slope of the dose-response plot for particular test organism. It is therefore a funda-
a turbidimetric assay may be more variable than that mental measure of the intrinsic antimicrobial activ-
for agar diffusion, and non-linear plots are common. ity (potency) of a chemical, which may be an
Typical dose-response plots are shown in Hewitt antiseptic, disinfectant, preservative or antibiotic.
and Vincent (1989). The plotted points are usually MIC determinations are applied to chemicals in the
the mean turbidity values obtained from replicate pure state, i.e. they are particularly relevant to raw
tubes, and the assay may be conducted using a Latin materials rather than to the final formulated medi-
square arrangement of tubes incubated in a shaker, cines; the latter are usually subject to preservative
which is necessary to ensure adequate aeration and efficacy (challenge) tests to assess their antimicro-
uniform growth throughout the tube. bial activity. MIC values are usually expressed in
Practical aspects of the conduct of turbidimetric assays terms of /ug mL'1 or, less commonly, as in the case
Incubation time is critical in two respects. First, it is of some antibiotics, units mL-1. It is important to
necessary to ensure that the culture in each of the recognize that the test organism is not necessarily
many tubes in the incubator has exactly the same killed at the MIC. Whether or not the cells die or
incubation period, because errors of a few minutes merely cease growing depends upon the mode of
become significant in a total of only 3-4 hours' action of the antimicrobial agent in question.
incubation. Care must therefore be taken to ensure An MIC is an absolute value which is not based
that the tubes are inoculated in a precise order, and upon a comparison with a standard/reference prepa-
629
PHARMACEUTICAL MICROBIOLOGY
ration, as in the case of antibiotic assays and certain solution of the chemical would normally be mixed
disinfectant tests. For this reason inadequate control with an equal volume of double-strength growth
of experimental conditions is particularly likely to medium in the first tube in the series, then half the
have an adverse effect on results. Discrepancies in contents of the first tube added to an equal volume of
MIC values measured in different laboratories are sm^/e-strength medium in the second, and so on. In
often attributable to slight variations in such condi- this case half the contents of the last tube in the series
tions, and care must be taken to standardize all the would have to be discarded prior to inoculation in
factors previously stated to influence the result. It is order to maintain the same volume in each tube.
important also to state the experimental details Control tubes may be included to demonstrate
concerning an MIC determination. A statement (a) that the inoculum culture was viable and that the
such as 'the MIC for phenol against E. coli is 0.1% medium was suitable for its growth (a tube contain-
w/v' is not, by itself, very useful. It has far more value ing medium and inoculum but no test chemical), and
if the strain of E. coli, the inoculum concentration (b) that the operator was not contaminating the tubes
and the culture medium etc. are also stated. with other organisms during preparation (a tube with
no test chemical or added inoculum). It is possible to
use an arithmetic series of concentrations of test
MIC test methods
chemical, e.g. 0.1, 0.2, 0.3, 0.4 ... rather than 0.1,
The most common way to conduct MIC determina- 0.2, 0.4, 0.8 ... /jig mLAThe potential problem with
tions is to incorporate the antimicrobial chemical at this approach is that there may be merely a gradation
a range of concentrations into a liquid medium, the in growth inhibition, rather a sharp point of demar-
containers of which are then inoculated, incubated cation, with obvious growth in one tube in the series
and examined for growth. and no growth in the next.
Test tubes may be used, but microtitre plates All the solutions used must be sterilized; it
(small rectangular plastic trays with, usually, 96 wells must not be assumed that the test chemical is self-
each holding approximately 0.2 mL liquid) and other sterilizing. Most disinfectants, antiseptic and
miniaturized systems are common. It is possible to preservative chemicals are bactericidal, but they are
incorporate the chemical into molten agar, which is unlikely to kill bacterial spores. Also, several anti-
then poured into Petri dishes and allowed to set. Two biotics act by inhibiting growth, and so would not
advantages of using a series of agar plates are that necessarily kill vegetative cells with which they might
several organisms can be tested at the same time be contaminated. If the experiment is conducted in
using a multipoint inoculator, and there is a greater tubes, all the tube contents must be mixed before
chance of detecting contaminating organisms (as inoculation as well as after, otherwise there is the pos-
uncharacteristic colonies) on the agar surface than in sibility of the inoculum cells being killed by an
liquid media. Usually the presence or absence of artificially high concentration of the test chemical
growth is easier to distinguish on the surface of agar towards the top of the tube. If there is any risk of
than in liquid media. In tubes showing only faint tur- precipitation of the test chemical or the medium
bidity it is often difficult to decide whether growth components during incubation a turbidity compari-
has occurred or not. Regardless of the method used son must be available for each concentration (same
the principle is the same, and the MIC is the lowest tube contents without inoculum); alternatively, in the
concentration at which growth is inhibited. case of bactericidal chemicals the liquid in each tube
In addition to the other experimental details that may be subcultured into pure medium to see whether
should be described in order to make the measured the inoculum has survived. Each of the tubes in the
result meaningful, it is necessary to specify the incre- series may be prepared in duplicate or triplicate if it
ment by which the concentration of test chemical is considered desirable. This is the case where the
changes from one container to the next. The operator incremental change in concentration is small.
could, for example, change the concentration 10-fold
from one tube to the next in the rare circumstance
where even the likely order of magnitude of the MIC
Preservative efficacy tests (challenge
is not known. Far more commonly, however, the con-
tests)
centration changes by a factor of 2, and this is almost These are tests applied to the formulated medicine in
invariably the case when antibiotic MIC values are its final container to determine whether it is
determined; thus, reference is made to 'doubling adequately protected against microbial spoilage.
dilutions' of the antibiotic. If, for example, an MIC Preservative efficacy tests are used for this purpose
was to be measured using test tubes, an aqueous (rather than chemical assays of preservatives) because
630
MICROBIOLOGICAL TECHNIQUES
it is not normally possible to predict how the activity (which is used for testing all product types in the
of a preservative chemical will be influenced by the USP test but for oral products only in the EP test),
active ingredients, the excipients and the container together with the yeasts/moulds Candida albicans and
itself. Aspergillus niger (plus the osmophilic Zygosaccha-
Certain products may contain no added preserva- romyces rouxii in the EP test for oral syrups). The
tive, either because the active ingredients have current EP recommends that the designated organ-
sufficient antimicrobial activity themselves or isms be supplemented, where appropriate, by other
because they already contain high concentrations of strains or species that may represent likely contami-
sugar or salts which restrict the growth of microor- nants to the preparation. A similar recommendation
ganisms. However, such products are rare, and was contained in all previous versions of the USP
multidose injections or eye drops, the majority of oral preservative test, but this has been deleted from the
mixtures, linctuses and similar preparations, together current test (USP 2000). One problem with adding
with creams and lotions, all contain preservatives. other organisms (such as those isolated from the
They are not normally required in anhydrous manufacturing environment) is that they are not uni-
products, e.g. ointments, or in single-dose injections. versally available, and so a particular product could
Again it must not be assumed that products be tested at different manufacturing sites of the same
containing antimicrobial agents as the active ingredi- company and pass in one location yet fail in another
ents are self-sterilizing, It is quite possible for an simply because the organisms used locally were not
antibiotic cream, for example, to be active against the same. The possibility of using resistant strains iso-
certain bacteria yet fail to restrict the growth of lated from previous batches of spoilt product has
contaminating yeasts or moulds in the cream itself. been advocated, but this too may pose problems, in
The basic principle of a preservative test is to that organisms may rapidly lose their preservative
inoculate separate containers of the product with resistance unless routinely grown on media supple-
known concentrations of a variety of test organisms, mented with the preservative in question.
then remove samples from each container over a Previous versions of the British Pharmacopoeial
period of time and determine the proportion of the test have recommended consideration of extending
inoculum that has survived. When first introduced the sampling period beyond 28-days, and reinoculat-
into national pharmacopoeias, preservative efficacy ing the product after the first 28-day sampling
tests differed to some extent in experimental detail period is complete. Both of these practices, however,
and differed markedly in the required performance militate against the development of an international
criteria for preservatives to be used in different standardized test which is capable of providing
product categories. In the late 1990s moves towards reproducible results in different laboratories; conse-
international harmonization of preservative testing quently, both procedures are no longer part of the
procedures in the European, United States and current EP or USP tests.
Japanese pharmacopoeias (EP, USP and JP, respec- The inoculum concentration of 105-106 micro-
tively) meant that many (but not all) of the discrep- organisms mL-1 or g'1 of the preparation under test
ancies in experimental detail were eliminated. The has been criticized as being unrealistic, as it is much
differences in performance criteria remain, however, higher than that which would be acceptable in a
with the EP generally requiring a greater degree of freshly manufactured product. It is adopted,
microbial inactivation for the preservative to be con- however, in order for the 1000-fold fall in microbial
sidered satisfactory than the USP and JP which, in concentration that would be required from an
this respect, are very similar. effective parenteral or ophthalmic preservative to be
The EP (2000) recommends the routine use of easily measured. The test organisms are added
four test organisms, each at a final concentration of separately to different containers rather than as a
105-106 cells mL"1 or g~L in the product. Counts are mixed inoculum.
performed on samples removed at 0 h, 6 h, 24 h,
48 h, 7 days, 14 days and 28 days. Various aspects of
Inactivation of preservative
the test are considered in more detail below.
It is quite possible for sufficient of the preservative to
be contained in, and carried over with, the sample
Choice of test organisms and inoculum
removed from the container to prevent or retard
concentration
growth of colonies on the Petri dishes. If the inocu-
The test organisms used are the bacteria Staphy- lum level of the test organism initially is about 106
lococcus aureus, Pseudomonas aeruginosa and E. coli cells mL'1 or g-1 of product, the problem of carry-
631
PHARMACEUTICAL MICROBIOLOGY
over may not arise because a dilution factor of 103 or in turn exceeds that for an oral product preservative
104 would be required to achieve a countable (Table 40.2).
number of colonies on a plate; at this dilution most In the case of the first two product categories the
preservatives would no longer be active. When a high EP specifies two alternative performance criteria,
proportion of the cells in the product have died, designated A and B. The A criteria express the rec-
however, little or no such dilution is required, so ommended efficacy to be achieved, whereas the B
preservative carryover is a real problem which may criteria must be satisfied in justified cases where the
artificially depress the count even more. To avoid A criteria cannot be attained, for example because of
this, preservative inhibitors or antagonists may be an increased risk of adverse reactions. The baseline
used. There are several of these, common examples used as the reference point to assess the extent of
being glycine for aldehydes, thioglycollate or cysteine killing is the concentration of microorganisms
for heavy metals, and mixtures of lecithin and expected to arise in the product after addition and
polysorbate-80 with or without Lubrol W for quater- mixing of the inoculum, as calculated from a
nary ammonium compounds, chlorhexidine and viable count performed on the concentrated
parabens. The use of these and other inactivators has inoculum suspension prior to its addition to
been reviewed by Russell (1981). the product. The viable count on the time-zero
An alternative method of removing residual sample removed from the inoculated product is not
preservative is to pass the sample of inoculated the baseline.
product through a bacteria-proof membrane, so that
surviving organisms are retained and washed on the
Disinfectant evaluation
surface of the membrane and the preservative is thus
physically separated from them. After washing, the A variety of tests have been described over many
membrane is transferred to the surface of a suitable years for the assessment of disinfectant activity.
agar medium and colonies of microorganisms Those developed during the early part of the 20th
develop on it in the normal way. It is necessary to century, e.g. the Rideal-Walker and Chick-Martin
incorporate controls (validate the method) to tests, were primarily intended for testing phenolic
demonstrate both that the inactivator really works disinfectants against pathogenic organisms such as
and that it is not, itself, toxic. The former usually Salmonella typhi. Such phenol coefficient tests are
involves mixing the inactivator with the concentra- now rather outmoded because 5. typhi is no longer
tions of preservative likely to be carried over, then endemic in Britain and phenolics are no longer pre-
inoculating and demonstrating no viability loss. eminent; in a recent survey, phenolics represented
Details of these validation procedures and other only 26% of the total biocides used for floor disin-
aspects of the test are described more fully elsewhere fection in aseptic dispensing areas in British hospital
(Hodges, 1999). pharmacies (Murtough et al 2000).
One further control is a viable count of the inocu- In the second half of the 20th century several other
lum performed by dilution in peptone water to check testing procedures were described for use in the UK
the actual number of cells introduced into the which reduced the sampling or other problems asso-
product. This is necessary because even a 'zero time ciated with the early phenol coefficient tests; these
sample' of the product will contain cells that have included the Berry and Bean method, the British
been exposed to the preservative for a short period, Standard 3286 test for quaternary ammonium com-
as it usually takes 15-45 seconds or more to mix the pounds and the Kelsey-Sykes test. Other countries
inoculum with the product and then remove the adopted procedures that were similar in concept but
sample. Some of the cells may be killed even in such which differed in experimental detail, e.g. the
a short time, and so a viable count of the inoculum American Association of Official Analytical Chemists
culture will reflect this. (1990) described a collection of methods applicable
to a variety of situations. These and other tests used
in the UK, Europe and the USA are described by
Interpretation of results Reybrouck (1999). At present there is no interna-
The extent of microbial killing required at the tionally applicable and officially recommended disin-
various sampling times for a preservative to be fectant testing procedure, although a measure of
considered acceptable for use in parenteral or uniformity has emerged in Europe with the establish-
ophthalmic products is greater than that required for ment by the European Committee for
a preservative to be used in topical products, which Standardization in 1990 of Technical Committee
(TC) 216, which has a responsibility for chemical
632
MICROBIOLOGICAL TECHNIQUES
Table 40.2 Log reductions required in viable counts of microorganisms used in EP (2000) preservative efficacy tests
disinfectants and antiseptics. The European Standard procedures invariably attempt to take this into
BS EN 1276 (1997) was the first result of the work consideration. Thus, yeast, albumin or other
ofTC 216; this deals with assessment of bactericidal material is added in known concentration to the
activity of disinfectants on bacteria in aqueous sus- disinfectant/microorganism mixture.
pension. Other procedures applicable to more spe- Regardless of the method by which the
cialized situations, e.g. disinfection of solid surfaces, antimicrobial activity is assessed (see below), it
are currently under development byTC 216. is a fundamental principle of disinfectant
A confusing variety of methods for describing and testing, just as it is with preservative efficacy
categorizing test procedures are in use. Thus, some tests, that the antimicrobial activity of the
schemes classify tests according to the organisms to be disinfectant must be halted (also referred to as
killed (bactericidal, fungicidal, virucidal etc.), but neutralized, inactivated or quenched) in the
classification based upon test design is more common, sample when it is removed from the
e.g. suspension tests; capacity tests which measure the disinfectant/organism mixture. Clearly,
extent to which the disinfectant can withstand meaningful results cannot be obtained if it is
repeated additions of test organisms; carrier tests, impossible to distinguish what fraction of the
where the organism is loaded or dried on to a carrier; microbial killing occurred during the timed
and in-use tests, which are intended to simulate actual period of exposure to the disinfectant from that
conditions of use as closely as possible. arising due to carryover of disinfectant into the
Although most suspension tests of disinfectants incubation step that follows exposure.
have in common the addition of a defined concen- Verification that the disinfectant inactivation
tration of test organism to the disinfectant solution method is effective and that any chemical
at a specified temperature, followed by assessment of neutralizers used are, themselves, non-toxic to
viability in samples removed after suitable time the test organisms, is an integral part of the test.
periods, there are four aspects of disinfectant testing It is in viability assessment that there is a
that merit special note: fundamental difference of approach between
recently developed tests (exemplified by BS EN
1. Because disinfectants are normally used in 1276) and many of the tests that originated
circumstances where there is a significant before the 1980s. The simplest method of
amount of organic 'dirt' present, modern testing viability assessment, which was employed in the
633
PHARMACEUTICAL MICROBIOLOGY
Rideal-Walker and Kelsey-Sykes tests, for permitted at all (Table 40.3). Similar specifications
example, is to transfer the sample from the arise in the U S and other pharmacopoeias.
disinfectant/microorganism mixture to a known The required microbiological quality of the
volume of neutralizing broth, incubate and manufactured medicine cannot be achieved by the
examine for growth (manifest as turbidity). This application of an antimicrobial process (heating, radi-
procedure contains the inherent defect that any ation etc.) as the final production step for two
growth in the tubes of broth may result from the reasons: first, an approach that uses poor-quality raw
transfer of very few surviving cells, or from materials and manufacturing procedures and then
many. Thus, it is possible for the disinfectant to attempts to 'clean up' the product at the end is not
kill a high proportion of the inoculum within a acceptable to the licensing authorities; and secondly,
short period yet fail to kill a small fraction of the some products would not withstand such antimicro-
cells, possibly mutants, which have atypically bial treatment, e.g. heating an emulsion may cause
high resistance. In this case there is the risk that cracking or creaming. Thus, the most reliable
the disinfectant may be dismissed as approach to ensure that the manufactured medicine
insufficiently active despite the fact that it complies with the pharmacopoeial specification is to
achieved a rapid and extensive initial kill. For ensure that the raw materials are of good quality and
this reason it has become common for that the manufacturing procedures conform to the
disinfectant and preservative efficacy tests to be standards laid down in the Rules and Guidance for
very similar in design, in that both employ viable Pharmaceutical Manufacturers and Distributors (1997).
counting methods to assess microorganism Implicit in these standards is the principle that the
survival, but the former utilize a sampling period extent of product contamination originating from
of minutes or hours, whereas the latter use a the manufacturing environment and production per-
28-day period. sonnel should be subject to regular monitoring and
4. When viable counting is used to assess the control.
survival of test organisms the adoption of
disinfection performance criteria based upon a
required reduction in the number of surviving Environmental monitoring
organisms is a logical strategy, just as it is in Environmental monitoring is normally taken to
preservative testing. Thus, the so-called 5-5-5 mean regular monitoring of the levels of microbial
testing principle has found much favour. Here, contamination of the atmosphere, of solid surfaces
five test organisms are (separately) exposed for and, less frequently, of the personnel in the produc-
5 minutes to the disinfectant, which is tion areas. Water used to clean floors, benches and
considered satisfactory if a 5-log reduction in equipment (as distinct from water incorporated in
viable numbers (a 105 fall in viable cells mL"1) the product) may be considered as part of environ-
is recorded in each case. This principle is mental monitoring, but will not be considered here
adopted in the BS EN 1276, although only four as the procedures for counting microorganisms in
bacterial strains are recommended for routine water are described below.
use; there is, however, the option to supplement Atmospheric monitoring is most commonly under-
the standard organisms with others more taken by means of settle plates, which are simply Petri
relevant to the intended use of the disinfectant dishes containing media suitable for the growth of
in question. bacteria and/or yeasts and moulds, e.g. tryptone soya
agar, which are exposed to the atmosphere for
periods of, typically, 1-4 hours. Microorganisms in
MICROBIOLOGICAL QUALITY OF the air may exist as single cells, e.g. mould spores, but
PHARMACEUTICAL MATERIALS more commonly they are attached to dust particles,
so that any organisms in the latter category (for which
Non-sterile products the culture medium is suitable) will grow into visible
colonies during incubation after dust particles have
Non-sterile pharmaceutical products obviously differ settled on the agar surface. The colony counts
from sterile products in that they are permitted to recorded on the plates are obviously influenced; by:
contain some microorganisms, but the European
Pharmacopoeia (1997) specifies in section 5.1.4 the the duration of exposure;
maximum concentrations acceptable in different types the degree of air turbulence, which determines
of product and the species of organism that are not the volume of air passing over the plate;
634
MICROBIOLOGICAL TECHNIQUES
Table 40.3 European Pharmacopoeia (2000) specifications for the microbiological quality of pharmaceutical products*
Oral products containing Not more than 104 aerobic bacteria Salmonella
raw materials of natural and not more than 102 fungi per g or mL Escherichia coli
origin for which Not more than 102 enterobacteria Staphylococcus aureus
antimicrobial pretreatment and certain other Gram-negative bacteria per g or mL
is not feasible
Herbal remedies Not more than 107 aerobic bacteria and
made with boiling water not more than 105 fungi per g or mL
Not more than 102 Escherichia coll per g or mL
Other herbal remedies * Not more than 105 aerobic bacteria and Escherichia coli
not more than 104 fungi per g or mL Salmonella
Not more than 103 enterobacteria and
certain other Gram-negative bacteria per g or mL
the intrinsic level of atmospheric contamination presents a convex surface that projects above the rim
(microorganisms per litre of air), which in turn is of the plate. When the plate is inverted on to the
often a reflection of the number and activity level surface to be sampled, microorganisms are
of the operating personnel, as skin scales shed by transferred directly on to the agar.
the operators are usually the most potent source Sampling of manufacturing personnel usually
of atmospheric contaminants. consists of sampling clothing, face masks or, more
commonly, gloves. 'Finger dabs' is the phrase used to
The disadvantage of settle plates is that it is not
describe the process whereby an operator rolls the
possible to relate colony counts directly to air
gloved surface of each finger over a suitable solid
volume. This limitation is overcome in active sam-
medium in a manner similar to that in which finger-
pling methods, whereby a known volume of air is
prints are taken. Operator sampling by any means
drawn over, or caused to impact upon, the agar
other than finger dabs is rare, particularly outside
surface. These methods and the equipment available
aseptic manufacturing areas.
for active sampling have been reviewed recently by
Baird (2000).
Counting of microorganisms in pharmaceutical
Surface and equipment sampling is most
products
frequently undertaken by swabbing or the use of
contact plates (also known as RODAC - replicate Most pharmaceutical raw materials are contaminated
organism detection and counting - plates). Swabbing with micro organisms. The levels of contamination are
a known area of bench, floor or equipment with a often a reflection of the source of the raw material in
culture medium-soaked swab is convenient for question, with 'natural' products derived from veg-
irregular surfaces. The organisms on the swab may be etable or animal sources, or mined minerals such as
counted after they have been dispersed, by agitation, kaolin and talc, being more heavily contaminated
into a fixed volume of suspending medium, but it is than synthetic materials whose microbial burden has
not easy to quantify either the proportion of total been reduced by heat, extremes of pH or organic sol-
organisms removed from the swabbed surface or the vents during the course of manufacture. Determining
proportion dispersed in the diluent. This second the bioburden in these materials is often straightfor-
limitation is overcome using contact plates, which are ward, utilizing without modification the viable count-
simply specially designed Petri dishes slightly ing procedures described in Chapter 41. Occasionally
overfilled with molten agar which, on setting, the physical nature of the raw material makes this
635
PHARMACEUTICAL MICROBIOLOGY
difficult or impossible, and this is often found to be colonies. High concentrations may obscure the
the case with the finished manufactured medicine, colonies and make counting impossible.The alterna-
where problems of dispersibility, sedimentation or tive is to dislodge the microbial cells from the solid
viscosity cause complications. As a consequence, to which they are attached, allow the solid to sedi-
modifications to the standard viable counting proce- ment out and then sample the supernatant. Methods
dures are necessary to reduce errors. Some of of removal include vigorous manual shaking, use of
modifications and the circumstances that necessitate a vortex mixer, or instruments designed for the
them are considered below. purpose, e.g. the Colworth 'stomacher', in which the
Very low concentrations of microorganisms in aqueous aqueous suspension is placed in a sealed sterile bag
solutions The reliability of calculated viable cell which is repeatedly agitated by reciprocating
concentrations becomes much reduced when they paddles. The use of ultrasonics to dislodge the cells
are based upon colony counts much lower than carries the risk of damage to or lysis of the cells
about 10-15 per Petri dish. Using a surface-spread themselves.
method it is rarely possible to place more than about Assuming the suspended material has no antimi-
0.5 mL of liquid on to the agar surface in a standard crobial activity, plating the 'whole suspension' is
Petri dish because it will not easily soak in. By a probably the easiest and most reliable method. The
pour-plate method 1 mL or more may be used, but alternative strategy of sampling the supernatant
a point is reached where the volume of sample involves the assumption that all the cells have been
significantly dilutes the agar and nutrients. Thus removed from the solid, but this would have to be
using a conventional plating technique the lowest confirmed by control (validation) experiments in
concentration conveniently detectable is of the order which a known quantity of similar organisms were
of 10-50 cells mL"1. When the cell concentration is artificially dried on to sterile samples of the material.
below this value it is necessary to pass a known The second method also relies upon the solid sedi-
quantity of the liquid - 10-100 mL or more - menting sufficiently rapidly for it to be separated
through a filter membrane having a pore size from the bacteria in aqueous suspension above. If all
sufficiently small to retain bacteria. The membrane is or part of the sample has a particle size similar to
then placed with the organisms uppermost on to the that of bacteria, yeasts or mould spores, i.e. approx-
agar surface in a Petri dish, which is incubated imately 1-5 ^tm, then a separation cannot easily be
without inversion. As a result of diffusion of nutri- achieved.
ents through the membrane colonies grow on the Oils and hydrophobic ointments These materials
surface in the normal way. Diffusion may be assisted are usually not heavily contaminated because they
by the inclusion of a medium-soaked pad between are anhydrous and microorganisms will not multiply
the membrane and the agar. It is important to ensure without water. Thus the microorganisms contained
that all of the membrane is in contact with the pad in oily products have usually arisen by contamina-
or agar, otherwise elevated areas may become dry tion from the atmosphere, equipment used for man-
and no colonies will appear upon them. ufacture, and from storage vessels. To perform a
Insoluble solids It is necessary to suspend an viable count the oil sample must be emulsified or
insoluble solid in a medium that will permit uniform solubilized without the aid of excessive heat or any
dispersion and adequate wetting of the suspended other agent that might kill the cells.
material. Nutrient broth, peptone water or a An oil-in-water emulsion must be produced using
buffered salt solution are frequently used and a low a suitable surfactant; non-ionic emulsifiers generally
concentration of a surfactant incorporated to have little antimicrobial activity. The proportion of
promote wetting, e.g. polysorbate 80 (0.01-0.05%). surfactant to use must be determined experimentally
Suspension in distilled water alone carries the risk of and validation experiments conducted to confirm
osmotic damage to sensitive cells, with a conse- that the surfactant is not, itself, toxic to the species
quently low count; for this reason it is best avoided. that typically arise as contaminants of the sample in
Having obtained the suspension, there are two question; Millar (2000) has described the use of up
options available depending upon the nature and to 5.0 g of polysorbate-80 added to a 10.0 g sample.
concentration of the suspended material. Such an emulsion may be diluted in water or
The first is to remove a sample of the mixed sus- buffered salts solution if necessary, and aliquots
pension, dilute if necessary, and plate in or on a suit- placed on or in the agar medium in the usual way.
able medium using a pour- or spread-plate method. Alternatively, the oil may be dissolved in a sterile
If the concentration of suspended material is low it non-toxic solvent and passed through a membrane
may still be possible to see clearly the developing filter. Isopropyl myristate, for example, is recom-
636
MICROBIOLOGICAL TECHNIQUES
mended in pharmacopoeial sterility testing proce- common contaminants of the products to which the
dures as a solvent for anhydrous materials, but it tests are applied, or their presence may be indicative
may kill a significant fraction of the cells of some of the quality of the raw material or finished manu-
sensitive species, even during an exposure period of factured product. E. coli, for example, is a natural
only a few minutes. inhabitant of mammalian intestines and so its pres-
Creams and lotions Oil-in-water emulsions do not ence in a material such as gelatin (which originates in
usually represent a problem because they are misci- the slaughterhouse) would indicate unacceptable
ble with water and thus easily diluted. Water-in-oil quality. The most likely source of Staphylococcus aureus
creams, however, are not miscible and cannot be in a manufactured medicine is the production per-
plated directly because bacteria may remain trapped sonnel, so that if this origin were confirmed it would
in a water droplet suspended in a layer of oil on the indicate the need for higher manufacturing standards.
agar surface. Such bacteria are unlikely to form In general the tests are applied to pharmaceutical raw
colonies because the diffusion of nutrients through materials of 'natural' origin, e.g. carbohydrates, cellu-
the oil would be inadequate. These creams are best lose derivatives, gums and vegetable drugs. In addi-
diluted, dispersed in an aqueous medium and mem- tion, there is a requirement that topical products
brane filtered, or converted to an oil-in-water type should be free of both Pseudomonas aeruginosa and
and then counted by normal plating methods. Staphylococcus aureus. Table 40.4 summarises the EP
Dilution and emulsification of the cream in broth (2000) testing schemes for the four principal organ-
containing LubrolW, polysorbate-80 or Triton X 100 isms of interest. These schemes are described in more
is probably the best procedure, although the addition detail elsewhere, together with photographs of the
of approximately 0.1 g of the w/o emulsion sample to typical appearance of the organisms in question
25 g of isopropyl myristate followed by membrane (Hodges 2000).
filtration may be satisfactory.
Microbiological assays of B-group vitamins
Detection of specific hazardous organisms
Microbiological assays of B-group vitamins employ
In addition to placing limits on the maximum similar techniques to turbidimetric assays of antibi-
concentration of microorganisms that is acceptable otics (see earlier in this chapter). A culture medium
in different materials, pharmacopoeias usually is used which is suitable for the assay organism,
specify certain organisms that must not be present at except for the omission of the vitamin in question.
all. In practice, this means that detection methods The extent of bacterial growth in the medium is thus
which are described in the pharmacopoeia must be directly proportional to the amount of reference
applied to a known weight of material (typically standard or test vitamin added. It is important to
1-50 g), and the sample passes the test if no organ- select an assay organism that has an absolute
isms arise on the culture plates that conform to the requirement for the substance in question and is
standard textbook descriptions of those to be unable to obtain it by metabolism of other medium
excluded. Typically the pharmacopoeial methods components; species of Lactobacillus are often used
involve preliminary stages using selective liquid for this purpose. 'Carryover' of the vitamin with the
culture media; these are designed to increase the inoculum culture must be avoided because this
concentration of the organism that is the subject of results in some growth even when none of the test
the test ('target' organism) and so render it more material has been added. Growth may be deter-
readily detectable. There are, too, supplementary mined turbidimetrically or by acid production from
biochemical tests used to confirm the identity of sugars.
any isolates having the typical appearance of the Just as HPLC has become the favoured method of
target organisms. antibiotic assay, so too has it become the method of
Both the EP (2000) and the USP (2000) describe choice for assaying B-group vitamins. Turbidimetric
detection tests for Staphylococcus aureus, Pseudomonas assays are still used, however, for example when
aeruginosa, Escherichia coli and salmonellae; in addi- insurmountable problems arise in resolving the
tion, the EP describes a test for clostridia, but this is many peaks that might arise on an HPLC chro-
unlikely to be applied to any material other than matogram from a multivitamin product (which
mined minerals, e.g. talc and bentonite. The four might contain 10 or more active ingredients plus
organisms common to both pharmacopoeias are the excipients, all of which may cause assay interfer-
subject of these tests primarily because of their poten- ence) . Further details of vitamin assays are provided
tial to cause infections, but they may also represent by Hewitt and Vincent (1989).
637
PHARMACEUTICAL MICROBIOLOGY
Table 40.4 Procedures recommended by the EP (2000) in tests for specified microorganisms
Medium Organism
Liquid MacConkey broth Tetrathionate bile Casein soya bean Casein soya bean
enrichment brilliant green broth digest broth digest broth
(tryptone soya broth) (tryptone soya broth)
Appearance
Agar media MacConkey agar Deoxycholate Yellow colonies Growth on Baird-Parker
(primary test) citrate agar, with grey or black cetrimide agar agar (black colonies
(appearance: pink centre immediately
colonies with Xylose lysine surrounded by
precipitation of deoxycholate Red colonies with zones of opacity
bile due to acid (XLD) agar and black centres beyond which are
production) zones of clearing)
Brilliant green agar Pink colonies
Result(s) of Production of Reactions Black precipitate Absence of growth Positive coagulase
secondary tests indole at 44C characteristic of of iron sulphide at 41-43C or
which confirm Salmonella on deoxyribonuclease
the presence of triple sugar iron Yellow (acid) butt tests
organism in agar and other (i.e. subsurface),
question biochemical or with pink (alkaline)
serological tests slope (i.e. surface)
638
MICROBIOLOGICAL TECHNIQUES
probability of non-sterility in an item selected at grown microorganisms, and is not capable of afford-
random from a batch should be no more than 1 in 1 ing a guarantee of sterility in any sample that passes.
million. This sterility assurance level (SAL) may be The experimental details of these procedures are
demonstrated in the case of some terminally steril- described in the European Pharmacopoeia (2000).
ized products simply by reference to data derived This section is therefore restricted to an account of
from bioburdens, environmental monitoring and in- the major features of the test and a more detailed
process monitoring of the sterilization procedure consideration of those practical aspects that are
itself. In this case the sterility test is unnecessary and important or problematical.
omitted; the term 'parametric release' is used to It is obviously important that materials to be tested
describe the release of products for sale or use under for sterility are not subject to contamination from
these circumstances. the operator or the environment during the course of
the test. For this reason it is essential that sterility
tests are conducted in adequate laboratory facilities
Sterilization monitoring
by competent and experienced personnel. Clearly,
Sterilization processes may be monitored physically, the consequences of recording an incorrect sterility
chemically or biologically. Physical methods are result may be very severe. If a material which was
exemplified by thermocouples, which are routinely really sterile were to fail the test it would need to be
incorporated at different locations within an auto- resterilized or, mote probably, discarded, with
clave load, whereas chemical indicators usually significant cost implications. If, on the other hand, a
exhibit a colour change after exposure to a heat contaminated batch were to pass a test for sterility
sterilization process. Biological indicators consist of and be released for use this would obviously repre-
preparations of spores of the Bacillus species that sent a significant health hazard. For these reasons
exhibits the greatest degree of resistance to the sterility testing procedures have improved signifi-
sterilizing agent in question. The principle of their cantly in recent years and failures are now viewed
use is simply that if such spores are exposed to the very seriously by the regulatory authorities. If a
sterilization process and fail to survive it can be product does fail, it means either that the item in
assumed that all other common organisms will also question was really contaminated, in which case the
have been killed and the process is safe. Spores of manufacturing procedures are seriously inadequate,
Bacillus stearothermophilus are used to monitor or it means that the item was in fact sterile but the
autoclaves and gaseous hydrogen peroxide or per- testing procedure was at fault. Either way, it is not
acetic acid sterilization processes, whereas Bacillus possible to dismiss a failure lightly.
subtilis var niger is the organism normally employed Sterility tests may be conducted in clean rooms or
for dry heat, ethylene oxide and low-temperature laminar flow cabinets which provide a grade A
steam-formaldehyde methods; Bacillus pumilus is atmosphere as defined by the Rules and Guidance for
used in radiation sterilization procedures. Pharmaceutical Manufacturers and Distributors
Such biological indicators are regularly employed (1997). However, it is becoming increasingly
for validation of a sterilization process which is common for testing to be undertaken in an isolator,
under development for a new product, or when a which physically separates the operator from the test
new autoclave is being commissioned; they are less materials and so reduces the incidence of false
commonly used for routine monitoring during positive test results due to extraneous contamination
product manufacture. Spores possess the advantage introduced during the test itself. Such isolators are
that they are relatively easy to produce, purify and similar in principle to a glove box, and typically
dry on to an inert carrier, which is frequently an consist of a cabinet (supported on legs or a frame)
absorbent paper strip or disc, or a plastic or metal which is sufficiently large for the operator, who is
support. Spore resistance to the sterilizing agent covered by a transparent hood of moulded flexible
must be carefully controlled, and so rigorous stan- plastic forming the cabinet base, to sit or stand
dardization of production processes followed by within it.
observance of correct storage conditions and expiry A sterility test may be conducted in two ways. The
dates is essential. direct inoculation method involves the removal of
samples from the product under test and their
transfer to a range of culture media that might be
Tests for sterility
expected to support the growth of contaminating
It is sufficient here to repeat that the test is really one organisms. After incubation the media are examined
of the absence of gross contamination with readily for evidence of growth which, if present, is taken to
639
PHARMACEUTICAL MICROBIOLOGY
indicate that the product may not be sterile. It is not do support the growth of the common contaminants
certain that the product is contaminated because the for which they are intended. Staphylococcus aureus,
organisms responsible for the growth may have Bacillus subtilis and Pseudomonas aeruginosa are the
arisen from the operator or have been already three aerobic bacteria used, Clostridium sporogenes the
present in the media to which the samples were anaerobic bacterium and Candida albicans and
transferred, i.e. the media used for the test were not Aspergillus niger the fungi. Organisms having particu-
themselves sterile. Thus, in conducting a sterility test lar nutritional requirements, such as blood, milk or
it is necessary to include controls that indicate the serum, are not included; therefore they, in addition
likelihood of the contaminants arising from these to the more obvious omissions such as viruses, may
sources. The size and number of the samples to be not be detected in a routine sterility test because
taken are described in the EP (2000). suitable cultural conditions are not provided. On the
Again it is necessary to inactivate any antimicro- other hand, it is impossible to design an all-purpose
bial substances contained in the sample. These may medium, and sterilization processes that kill the
be the active drug, e.g. antibiotic, or a preservative spore-forming bacteria and other common contami-
in an eye drop or multidose injection. Suitable in nants are likely also to eradicate the more fastidious
activators may be added to the liquid test media to pathogens such as streptococci and Haemophilus
neutralize any antimicrobial substances, but in the species, which would be more readily detected on
case of antibiotics particularly, no such specific blood-containing media. This argument does not,
inactivators are available (with the exception of however, cover the possibility of such pathogens
/3-lactamases which hydrolyse penicillins and entering the product, perhaps via defective seals or
cephalosporins). This problem may be overcome packaging, after the sterilization process itself and
using a membrane nitration technique. This then going undetected in the sterility test.
alternative method of conducting sterility tests is The second control (validation test) is intended to
obviously only applicable to aqueous or oily solu- demonstrate that any preservative or antimicrobial
tions that will pass through a membrane having a substance has been effectively neutralized. This
pore size sufficiently small to retain bacteria. The requires the addition of test organisms to containers
membrane, and hence the bacteria retained on it, is of the various media as before, but in addition,
washed with isotonic salts solution, which should samples of the material under test must also be
remove any last traces of antimicrobial substances. added to give the same concentrations as those
It is then placed in a suitable liquid culture medium. arising in the test itself. For the sterility test as a
This method is certainly to be preferred to direct whole to be valid growth must occur in each of the
inoculation because there is a greater chance of containers in these controls.
effective neutralization of antimicrobial substances. It is necessary also to incubate several tubes of the
Solids may be dissolved in an appropriate solvent; various media just as they are received by the opera-
almost invariably water is used because most other tor. If the tubes are not opened but show signs of
common solvents have antimicrobial activity. If no growth after incubation this is a clear indication that
suitable solvent can be found the broth dilution the medium is, itself, contaminated. This should be
method is the only one available. If there is no specific an extremely rare occurrence, but in view of the
inactivator available for antimicrobial substances that small additional cost or effort the inclusion of such a
may be present in the solid then their dilution to an control is worthwhile.
ineffective concentration by use of a large volume of A control to check the likelihood of contamina-
medium is the only course remaining. tion being introduced during the test may be
The controls associated with a sterility test are included in the programme of regular monitoring of
particularly important because incomplete control of test facilities. The European Pharmacopoeia 2000
the test may lead to erroneous results. Failure to recommends the use of 'preparations known to be
neutralize a preservative completely may lead to sterile', which may be employed to check the ade-
contaminants in the batch going undetected and quacy of facilities and operator technique. These
subsequently initiating an infection when the items, identical to the sample to be tested, are
product is introduced into the body. manipulated in exactly the same way as the test
The EP (2000) recommends four controls be samples. If, after incubation, there are signs of
incorporated. The so-called growth promotion test microbial growth in the media containing these
simply involves the addition of low inocula (10-100 'known steriles', the conclusion is drawn that the
cells or spores per container) of suitable test organ- contamination arose during the testing process
isms into the media used in the test to show that they itself.
640
MICROBIOLOGICAL TECHNIQUES
Some items present particular difficulties in Two main procedures are used for the detection of
sterility testing because of their shape or size, e.g. pyrogens. The traditional method requires the
surgical dressings and medical devices. These prob- administration of the sample to laboratory rabbits,
lems are most conveniently overcome simply by whose body temperature is monitored for a period of
testing the whole sample rather than attempting to time thereafter. The alternative procedure, which is
withdraw a portion of it. So, for example, large clear now by far the most common, is to use the Limulus
plastic bags which have been radiation sterilized may Amoebocyte Lysate Test (LAL), in which the
be used to hold the entire medical device or com- pyrogen-containing sample causes gel formation in
plete roll or pack of dressings, which would then be the lysis product of amoebocyte cells of the giant
totally immersed in culture medium. This method horseshoe crab Limulus polyphemus. A detailed
would only be valid if the culture medium gained account of endotoxin testing is outside the scope of
access to the entire sample; otherwise the possibility this chapter but the review by Weary (1996)
exists, for example, of aerobic bacterial spores describes both LAL and rabbit testing.
trapped within it failing to grow owing to insufficient
diffusion of oxygen. This approach has the advantage
of imposing a more rigorous test because a much
larger sample is used. In the case of dressings, it may
also reduce the risk of operator-induced contamina- REFERENCES
tion compared to the alternative approach, which
AOAC (Association of Official Analytical Chemists) (1990)
would require the withdrawal of representative Disinfectants. In: Official Methods of Analysis. AOAC Inc.
samples for testing from different areas of the roll or Arlington. Ch 6, 133-146.
pack. Baird, R.M. (2000) Sampling. In: Baird R M,
The final aspect of the test which is worthy of Hodges N A, Denyer S.P. Handbook of
comment is the interpretation of results. If there is Microbiological Quality Assurance. Taylor & Francis,
London, 22-37.
evidence that any of the test samples is contaminated BS EN 1276 (1997) Quantitative suspension test for the
the batch fails the test. If, however, there is convinc- evaluation of bactericidal activity of chemical
ing evidence that the test was invalid because the disinfectants and antiseptics used in food, industrial,
testing facility, procedure or media were inadequate, domestic and institutional areas. British Standards
Institute, London.
a single retest is permitted; this contrasts with European Pharmacopoeia (2000) 3rd edn. Council of Europe,
earlier pharmacopoeial protocols, which under Strasbourg, pp. 259-260.
certain circumstances permitted two retests. Hewitt, W., Vincent, S. (1989) Theory and Application of
Microbiological Assay, Academic Press, London.
Hodges, N.A. (2000) Pharmacopoeial methods for the
Endotoxin and pyrogen testing detection of specified microorganisms In: Baird, R.M.,
Hodges, N.A., Denyer, S.P. Handbook of Microbiological
This is an aspect of microbial contamination of med- Quality Assurance. Taylor & Francis, London, 86106.
icines which is not normally considered part of Hodges, N.A. (1999) Assessment of preservative activity
microbiology but is discussed here because pyrogens during stability studies. In: Mazzo D J (ed) International
Stability Testing. Interpharm Press, Buffalo Grove, US
are normally the products of microbial growth. A 161-192.
pyrogen is a material which when injected into a Millar, R. (2000) Enumeration In: Baird, R.M., Hodges,
patient will cause a rise in body temperature N.A., Denyer, S.P. Handbook of Microbiological Quality
(pyrexia). The lipopolysaccharides that comprise a Assurance. Taylor & Francis, London, 54-68.
major part of the cell wall of Gram-negative bacteria Murtough, S.M., Hiom, S.J., Palmer, M., Russell, A.D.
(2000) A survey of disinfectant use in hospital pharmacy
are called endotoxins, and it is these that are the aseptic preparation areas. Pharm. J. 264, 446-448.
most commonly encountered pyrogens (although Reybrouck, G. (1999) Evaluation of the antibacterial and
any other substance that causes a rise in body antifungal activity of disinfectants. In: Russell, A.D.,
temperature may be classified under the same Hugo, W.B. and Ayliffe, G.AJ. (eds) Principles and
Practice of Disinfection, Preservation and Sterilization,
heading). Bacterial cells may be pyrogenic even 3rd edn. Blackwell Science, Oxford, 124-144.
when they are dead and when they are fragmented, Rules and Guidance for Pharmaceutical Manufacturers and
and so a solution or material that passes a test for Distributors (1997) HMSO, London.
sterility will not necessarily pass a pyrogen test. It Russell, A.D. (1981) Neutralization procedures in the
follows from this that the more heavily contaminated evaluation of bacterial activity. In: Collins, C.H., Allwood,
M.C., Bloomfield, S.F., Fox, A. (eds) Disinfectants: their use
with bacteria an aqueous injection becomes during and Evaluation of Effectiveness. Society for Applied
manufacture, the more pyrogenic it is likely to be at Bacteriology, Technical Series No. 16, Academic Press,
the end of the process. London.
641
PHARMACEUTICAL MICROBIOLOGY
642
41
The action of physical and chemical agents on
microorganisms
Geoff Hanlon, Norman Hodges
643
PHARMACEUTICAL MICROBIOLOGY
kinetics (the exceptions will be considered later), an 0.1 cells mL 1. It is clearly nonsense to talk of a frac-
initial population of N0 cells per mL will, after a time tion of a viable cell per mL, but this value corresponds
t minutes, be reduced to Nt cells per mL, according to one whole cell in 10 mL of liquid. The next point,
to the following equations in which k is the inactiva- -2.0, corresponds to one cell in 100 mL, and so on.
tion rate constant; Sterility is the complete absence of life, i.e. zero cells
mL"1, which has a log value of-. Guaranteed steril-
ity would therefore require an infinite exposure time.
644
ACTION OF PHYSICAL AND CHEMICAL AGENTS
645
PHARMACEUTICAL MICROBIOLOGY
Table 41 ,2 A 'league table' of heat resistances of different microorganisms and infectious agents
Organism or agent Heat resistance (values are for fully hydrated organisms unless otherwise stated)
Prions The most heat-resistant infectious agent. May survive steam sterilization at 134- 138C for 1 hour
Bacterial spores Little or no inactivation at <80C. Some species survive boiling for several hours
(endospores)
Fungal spores Ascospores of Byssochlamys species may survive 88C for 60 minutes but most fungal spores
are less resistant
Actinomycete spores Spores of Nocardia sebivorans reported to survive for 10 minutes at 90C, but the majority of
species are less resistant
Mycobacterium tuberculosis May survive for 30 minutes at 100C in the dry state but when hydrated is killed by pasteurization
(63C for 30 minutes or 72C for 15 seconds)
Yeasts Ascospores and vegetative cells show little difference in resistance. Survival for 20 minutes at
60C is typical
Most non-sporing bacteria D60 of 1-5 minutes is typical of staphylococci and many Gram-negative enteric organisms.
of pharmaceutical or Enterococci may be more resistant, and pneumococci may survive for 30 minutes at 1 10C
medical importance when dry
Fungi and actinomycetes Vegetative mycelia exhibit similar resistance to that of non-sporing bacteria described above
Viruses Rarely survive for > 30 minutes at 55-60C except perhaps in blood or tissues, but
papovaviruses and hepatitis viruses are more resistant
Protozoa and algae Most are no more resistant than mammalian cells and survive only a few hours at 40-45C,
but cysts of Acanthamoeba species are more resistant
646
ACTION OF PHYSICAL AND CHEMICAL AGENTS
various microbial groups. Tabulation of D values at a Resistance to dry heat by different groups of
designated temperature is perhaps the most conve- infectious agents and microorganisms usually follows
nient way of comparing resistance, but this is only a pattern similar to that in aqueous environments.
suitable for first-order kinetics. Alternative methods Again, prions head the 'league table' by exhibiting
of comparison include the time to achieve a particu- extreme heat resistance, and endospores are substan-
lar percentage kill or the time required to achieve no tially more resilient than other cell types, with those
survivors; the latter is, of course, dependent upon of B. stearothermophilus and B. subtilis usually more
the initial population level. resistant than other species. Exposures of 2 hours at
The most heat-resistant infectious agents (as 160C are required by the European Pharmacopoeia
distinct from microbial cells) are prions, which are (1997) to achieve an acceptable level of sterility
proteins rather than living cells and the cause of assurance for materials sterilized by dry heat.
spongiform encephalopathies e.g. Creutzfeldt-Jakob Cells of pneumococci have been reported to
disease (CJD) and bovine spongiform encephalopa- survive dry heat at 110C for 30'minutes,'but this
thy (BSE, or 'mad cow disease')- Prion proteins are represents exceptional resistance for vegetative cells,
so resistant to heat inactivation that an autoclave most of which may be expected to die after a few
cycle of 134-138C has been recommended for the minutes, heating at 100C or less.
decontamination of prion-contaminated materials, Valid comparisons of dry heat resistance among
and the efficacy of even this extreme heat treatment dissimilar organisms are even less common than those
has been questioned. for aqueous environments because there is the addi-
Bacterial endospores are invariably found to be tional problem of distinguishing the effects of drying
the most heat resistant cell type, and those of certain from those of heat. For many cells desiccation is itself
species may survive boiling water for many hours. a potentially lethal process, even at room temperature,
(The term endospores refers to the spores produced so that experiments in which the moisture content of
by Bacillus and Clostridium species and is not to be the cells is uncontrolled may produce results that are
confused with the spores produced by other bacte- misleading or difficult to interpret. This is particularly
ria, such as actinomycetes, which do not develop so when the cells are heated under conditions where
within the vegetative cell.) The majority of Bacillus their moisture content is changing and they become
and Clostridium species normally form spores which progressively drier during the experiment.
survive in water for 15-30 minutes at 80C without
significant damage or loss of viability. Because
endospores are more resistant than other cells they
Factors affecting heat resistance and its
have been the subject of a considerable amount of
measurement
research in the food and pharmaceutical industry The major factors affecting heat resistance are listed
over the last 50 years, and much of the earlier work in the previous section and will be considered in
has been reviewed by Russell (1999). some detail here. The subject has been extensively
Mould spores and those of yeasts and actino- studied, and again many of the experimental data
mycetes usually exhibit a degree of moist heat and consequently many of the examples quoted in
resistance intermediate between endospores and this section come from the field of spore research.
vegetative cell forms; survival at 60C for several The measurement of heat resistance in fully
hours but death at 80C or higher would be typical hydrated cells, i.e. those suspended in aqueous solu-
of such cells. Bacterial and yeast vegetative cells and tions or exposed to dry saturated steam, does not
mould mycelia all vary significantly in heat resist- normally represent a problem when conducted at
ance: mycobacteria, which possess a high proportion temperatures less than 100C, but errors may occa-
of lipid in their cell wall, tend to be more resistant sionally arise when spore heat resistance is measured
than others. Protozoa and algae are, by comparison, at higher temperatures. In these circumstances it is
susceptible to heat and, when in the vegetative necessary to heat suspensions sealed in glass
(uncysted) state, like mammalian cells they rapidly ampoules immersed in glycerol or oil baths or to
die at temperatures much in excess of 40C. expose the spores to steam in a modified autoclave.
Information on the heat resistance of viruses is Monitoring and control of heat-up and cool-down
limited, but the available data suggest that they niay times become important, and failure to pay adequate
vary significantly between types. The majority of attention to these aspects may lead to apparent
viruses are no more heat resistant than vegetative differences in resistance, which may be due simply to
bacteria, but hepatitis viruses have been reported to factors such as variations in the thickness of glass in
be less susceptible than others. two batches of ampoules.
647
PHARMACEUTICAL MICROBIOLOGY
Species and strain differences ance. Insufficient attention has been paid to this
potential source of variation in a substantial part of
Variations in heat resistance between the species the research conducted during the first half of the
within a genus are very common, although it is 20th century, and the same criticism might even be
difficult to identify from the published reports the made of some of that reported more recently. Not
precise magnitude of these differences because differ- infrequently, insufficient details of the cultivation
ent species may require different growth media and procedures are described in the scientific reports, or
incubation conditions which, together with other materials of variable composition, e.g. tap water or
factors, might influence the results. Murrell and Warth soil extracts, were used in media without regard to
(1965), for example, described a 700-fold variation in the possible differences that might have arisen
spore heat resistance within 13 Bacillus species, but to between successive batches or populations of cells.
produce the spore crops for testing they necessarily Factors such as growth temperature, medium pH
had to use eight culture media, three incubation tem- and buffering capacity, oxygen availability and
peratures and six procedures for cleaning the spores. concentrations of culture medium components may
Differences between strains of a single species are, not all affect resistance.
surprisingly, more limited; Dgo values ranging from Thermophilic organisms are generally more heat
4.5 to 120 minutes have been reported for five strains resistant than mesophils, which in turn tend to be
of Clostridium perfringens spores. more resistant than psychrophils. If a 'league table'
of spore heat resistance were constructed it is
Cell form probable that B. stearothermophilus, B. coagulans and
Whether or not the heated cells exist in the Cl. thermosaccharolyticum would head the list; all
vegetative or the spore form may in some cases be three have growth optima of 50-60C. Variable
related to the age of the culture or the cell population results have arisen when single species have been
being heated. In cultures of Bacillus and Clostridium grown at a variety of temperatures. Escherichia coli
species the proportion of spores usually increases as and Streptococcus faecalis have both been the subject
the incubation period is extended and the culture ages. of conflicting reports on the influence of growth
This may be due to more and more of the vegetative temperature on heat resistance, whereas spores of B.
cells producing spores, in which case the spore count cereus produced at temperatures between 20 and
increases. Alternatively, the spore count may remain 41C showed maximal resistance at 30C.
unchanged but the vegetative cell count falls as a result The effects of medium pH, buffering capacity,
of the action of lytic enzymes produced by the cells oxygen availability and the concentrations of culture
themselves. Among the common mesophilic Bacillus medium components are often complex and
species spore formation is largely complete 6-10 hours interrelated. An unsuitable pH, inadequate buffer or
after the end of exponential growth under optimal cul- insufficient aeration may all limit the extent of
tural conditions. The degree of heat resistance and the growth, with the result that the cells that do grow
concentration of spores would not be expected to rise each have available to them a higher concentration of
much after this time. Conducting heat-resistance nutrients than would be the case if a higher cell
studies on a mixture of spores and vegetative cells is density had been achieved. The levels of intracellular
undesirable because the likely result is a rapid initial storage materials and metal ions may therefore differ
fall in count due to killing of the vegetative cells, and a and so influence resistance to heat and other lethal
subsequent slower rate due to death of spores. If nec- agents. Cells existing in or recently isolated from their
essary the vegetative cells can usually be removed by 'natural' environment, e.g. water, soil, dust or phar-
addition of the enzymes lysozyme and trypsin. maceutical raw materials, have often been reported to
The degree of heat resistance shown by vegetative have a greater heat resistance than their progeny,
cells may also be influenced by the stage of growth which have been repeatedly subcultured in the
from which the cells were taken. It is normally found laboratory and then tested under similar conditions.
that stationary-phase cells are more heat resistant than
those taken from the logarithmic phase of growth, pH and composition of heating menstruum
although several exceptions have been reported.
It is frequently found that cells survive heating more
readily when they are at neutrality (or their optimum
Cultural conditions pH for growth, if this differs from neutrality). The
The conditions under which the cells are grown is combination of heat and an unfavourable pH may be
another factor that can markedly affect heat resist- additive or even synergistic in killing effects; thus
648
ACTION OF PHYSICAL AND CHEMICAL AGENTS
B. stearothermophilus spores survive better at 110C medium, whereas little or no difference can be
in dilute pH 7.0 phosphate buffer than at 85C in detected between the two when unheated cells are
pH 4.0 acetate buffer. Differences in heat resistance used. Adsorbents such as charcoal and starch have
may also result merely from the presence of the been found to have beneficial effects in this context.
buffer, regardless of the pH it confers. Usually an
apparent increase in resistance occurs when cells are
heated in buffer rather than in water alone. A similar
increase is often found to occur on the addition of IONIZING RADIATIONS
other dissolved or suspended solids, particularly
those of a colloidal or proteinaceous nature, e.g. Ionizing radiations can be divided into electro-
milk, nutrient broth, serum. Because dissolved solids magnetic and particulate (corpuscular) types.
can have such a marked effect on heat resistance, Electromagnetic radiations include y-rays and
great care must be taken in attempting to use X-rays, whereas particulate radiation includes a and
experimental data from simple solutions to predict /3 particles, positrons and neutrons.
the likely heat treatment required to kill the same
cells in a complex formulated medicine or food
material. An extreme case of protection of cells from Particulate radiation
a lethal agent is the occlusion of cells within crystals. The nuclear disintegration of radioactive elements
When spores of B. subtilis var. niger were occluded results in the production of charged particles, a
within crystals of calcium carbonate their resistances particles are heavy and positively charged, being
to inactivation were approximately 900 times and 9 equivalent to the nuclei of helium atoms. They travel
times higher than for unoccluded spores when relatively slowly in air, and although they cause a
subjected to steam and dry heat, respectively; an great deal of ionization along their paths they have
exposure period of 2.5 hours at 121C (moist heat) very little penetrating power, their range being just a
was required to eliminate survivors within the few centimetres in air. a particles have no applica-
crystals. It is to minimize the risk of such situations tion in this aspect of pharmacy and will not be con-
arising that there is a requirement in the Guide to sidered further. /3 particles are negatively charged
Good Manufacturing Practice that medicines be pre- and have the same mass as an electron. In air the
pared in clean conditions. penetrating power of these particles is a few metres,
The solute concentrations normally encountered but they will be stopped by a thin sheet of alu-
in dilute buffer solutions used as suspending media minium. (3 particles resulting from radioactive decay
for heat-resistance experiments cause no significant are therefore not sufficiently penetrative for use in
reduction in the vapour pressure of the solution sterilization processes, but the production of acceler-
relative to that of pure water, i.e. they do not reduce ated electrons from man made machines (cathode
the water activity, Aw, of the solution (which has a rays) results in particles of great energy with
value of 1.0 for water). If high solute concentrations enhanced penetrating power.
are used or the cells are heated in a 'semi-dry' state
the Aw is significantly lower and the resistance is
increased, e.g. a 1000-fold increase in D value has
Electromagnetic radiation
been reported for B. megaterium spores when the y radiation results when the nucleus still has too
water activity was reduced from 1.0 to between 0.2 much energy even after the emission of a or
and 0.4. (3 particles. This energy is dissipated in the form of
very short wavelength radiation which, as it has no
Recovery of heat-treated cells mass or charge, travels with the speed of light,
penetrating even sheets of lead. Although travelling
The recovery conditions available to cells after expo- in a wave form y radiation behaves as if composed of
sure to heat may influence the proportion of cells discrete packets of energy called quanta (photons).
that produce colonies. A heat-damaged cell may A 60Co source emits y-rays with photons of 1.17 and
require an incubation time longer than normal to 1.33 MeV, and the source has a half-life of 5.2 years.
achieve a colony of any given size, and the optimum X-rays are generated when a heavy metal target
incubation temperature may be several degrees is bombarded with fast electrons, and they have
lower. The composition of the medium may also similar properties to y-rays despite originating from
affect the colony count, with nutritionally rich media a shift in electron energy rather than from the
giving a greater percentage survival than a 'standard' nucleus.
649
PHARMACEUTICAL MICROBIOLOGY
650
ACTION OF PHYSICAL AND CHEMICAL AGENTS
Factors affecting the radiation resistance energy for this and merely causes the electrons to
of microorganisms become excited. It has much less penetrating power
than ionizing radiations and tends to be used for the
Across the spectrum of microorganisms viruses are destruction of microorganisms in air and on surfaces.
the most resistant forms to the effects of radiation, fol- The bactericidal effect of UV light is due to the
lowed by bacterial endospores, then Gram- formation of linkages between adjacent pyrimidine
positive cells and finally, Gram-negative cells. bases in the DNA molecule to form dimers. These
Resistance to radiation is genetically determined and are usually thymine dimers, although other types
a particularly resistant bacterium called Deinococcus have been identified. The presence of thymine
radiodurans can withstand a radiation dose up to three dimers alters the structural integrity of the DNA
times that which would kill a normal bacterium. chain, thereby hindering chromosome replication.
Fortunately, this organism does not have any clinical Certain cells can repair damaged DNA in a variety
significance. It is worth noting that microbial products of ways, enhancing their radiation resistance.
such as endotoxins will not be inactivated by normal Exposure of UV-damaged cells to visible light
doses of ionizing radiations, and so it is important to (photoreactivation) enables a light-dependent pho-
ensure that initial bioburden levels are low. toreactivating enzyme to split the thymine dimers
Oxygen has already been mentioned as having a into monomers. A second mechanism is not light
significant effect on radiation resistance as the dependent and is called dark recovery. In this case
increased levels of hydroperoxyl radicals lead to the thymine dimers are removed by a specific
marked increases in sensitivity. Vegetative cells such as endonuclease enzyme that nicks the damaged DNA
E. coli and Pseudomonas aeruginosa are three to four strand either side of the dimer. DNA polymerase
times more sensitive in the presence of oxygen than in then replaces the missing nucleotides and the ends
its absence. The presence of moisture will influence are joined by a ligase enzyme.
sensitivity, and dehydration increases resistance owing
to an indirect effect on the formation and mobility of Factors affecting resistance to UV light
free radicals. Freezing also increases radiation resis-
tance owing to the reduction of mobility of free radi- As already mentioned, UV light has very little
cals in the menstruum, preventing them from penetrating power and anything that acts as a shield
diffusing to sites of action at the cell membrane. around the cells will afford a degree of protection. The
Above the freezing point there is very little effect of formation of aggregates of cells will result in those
temperature. cells at the centre of the aggregate surviving an other-
A variety of organic materials provide a protective wise lethal dose of radiation. Similarly, microorgan-
environment for microorganisms, and comparison of isms suspended in water withstand considerably
radiation resistance is greatly complicated by differ- higher doses of radiation than in the dry state owing
ent complexities of the media used. Sulphydryl to lack of penetration of the radiation. Suspension of
groups, such as may be found in amino acids and bacteria in broth containing organic matter such as
proteins, have a protective effect on microorganisms proteins increases the resistance of the cells still
owing to their interaction with free radicals. In con- further. The stage of growth of the culture will affect
trast, compounds that combine with -SH groups, the sensitivity of the cells, with maximum sensitivity
such as halogenated acetates, tend to increase sensi- being shown during the logarithmic phase.
tivity. Some naturally occurring materials, particu- Other factors shown to influence radiation
larly foods, may have a profound protective effect on resistance include pH, temperature and humidity,
contaminant bacteria, and this is of concern to the although the effect of the last parameter is still
food processing industry. somewhat confused.
GASES
ULTRAVIOLET RADIATION
The use of gases as antimicrobial agents has been doc-
Although UV radiation has a range of wavelength from umented for centuries, although it is only recently that
approximately 15 nm to 330 nm its range of maximum their mechanisms of action and factors affecting activ-
bactericidal activity is much narrower (220-280 nm), ity have been elucidated. A wide variety of gaseous
with an optimum of about 265 nm. Whereas ionizing agents have been used for their antimicrobial proper-
radiations cause electrons to be ejected from atoms in ties, but owing to the constraints of space only a few
their path, UV radiation does not possess sufficient of the major ones will be dealt with here.
651
PHARMACEUTICAL MICROBIOLOGY
652
ACTION OF PHYSICAL AND CHEMICAL AGENTS
653
PHARMACEUTICAL MICROBIOLOGY
kill and those that inhibit growth without killing is (64-fold), whereas for a mercurial compound,
doubtful. In many instances concentration and ry = 1, the same dilution would only reduce activity
time of contact are the critical factors. The term twofold (21). Further details and tabulations of both
preservative describes those antimicrobial agents temperature coefficients and concentration exponents
used to protect medicines, pharmaceutical formu- may be found in Denyer and Wallhaeusser (1990).
lations, cosmetics, foods and general materials
against microbial spoilage, and biocide is a The range of chemical agents
general term for antimicrobial chemicals, but it
The broad categories of antibacterial chemical
excludes antibiotics and other agents used for sys-
compounds have remained surprisingly constant
temic treatment of infections.
over the years, with phenolics and hypochlorites
The mechanisms whereby biocides exert their
comprising the major disinfectants and quaternary
effects have been intensively investigated and the prin-
ammonium compounds widely used as antiseptics.
cipal sites of their attack upon microbial cells
The compounds capable of use as preservatives in
identified. These are the cell wall, the cytoplasmic
preparations for oral, parenteral or ophthalmic
membrane and the cytoplasm. Chemical agents may
administration are obviously strictly limited by
weaken the cell wall, thereby allowing the extrusion of
toxicity requirements. As concerns over toxicity have
cell contents, distortion of cell shape, filament forma-
intensified the range of available preservatives has
tion or complete lysis. The cytoplasmic membrane,
diminished: mercury-containing compounds, for
controlling as it does permeability, and being a site of
example, are now very little used for the preservation
vital enzyme activity, is vulnerable to a wide range of
of parenteral and ophthalmic products, and the high
substances that interfere with reactive groups or can
cost of research and testing coupled with the poor
disrupt its phospholipid layers. Chemical and electri-
prospects for an adequate financial return militate
cal gradients exist across the cell membrane and these
against the introduction of new agents. For this
represent a proton-motive force which drives such
reason there is a tendency towards the use of exist-
essential processes as oxidative phosphorylation,
ing preservatives in combination, with a view to
adenosine triphosphate (ATP) synthesis and active
achieving one or more of the following benefits:
transport; several agents act by reducing the proton-
synergy; a broader antimicrobial spectrum; or
motive force. The cytoplasm, site of genetic control
reduced human toxicity resulting from the use of
and protein synthesis, presents a target for those
lower concentrations. The subjects of preservative
chemical agents that disrupt ribosomes, react with
toxicity and their potentiation and synergy are
nucleic acids or generally coagulate protoplasm.
reviewed by Denyer and Wallhaeusser (1990), and
Hugo and Russell (1999) have described in detail
Principal factors affecting activity characteristics of the commonly used biocides.
The factors most easily quantified are temperature
and concentration. In general an increase in temper- Phenolics
ature increases the rate of kill for a given concentra-
Various phenolic compounds are shown in
tion of agent and inoculum size. The commonly used
Figure 41.4.
nomenclature is Q10 (temperature coefficient), which
Various distillation fractions of coal tar yield
is the change in activity of the agent per 10C rise in
phenolic compounds, including cresols, xylenols and
temperature (e.g. Q10 phenol = 4).
phenol itself, all of which are toxic and caustic to
The effect of change in concentration of a chemi-
skin and tissues. Disinfectant formulations tradition-
cal agent upon the rate of kill can be expressed as:
ally described as 'black fluids' and 'white fluids' are
prepared from higher-boiling coal tar fractions. The
former make use of soaps to solubilize the tar
where Cl and C2 represent the concentrations of fractions in the form of stable homogenous
agent required to kill a standard inoculum in times tl solutions, whereas the latter are emulsions of the tar
and r 2 -The concentration exponent 17 represents the products and unstable on dilution.
slope of the line when log death time (t) is plotted Remarkable success has been achieved in modify-
against log concentration (C). ing the phenol molecule by the introduction of
When values of 17 are greater than 1, changes of chlorine and methyl groups, as in chlorocresol and
concentration will have a pronounced effect. Thus, in chloroxylenol.This has the dual effect of eliminating
the case of phenol, when 17 = 6, halving the toxic and corrosive properties while at the same time
concentration will decrease its activity by a factor of 26 enhancing and prolonging antimicrobial activity.
654
ACTION OF PHYSICAL AND CHEMICAL AGENTS
Thus, chlorocresol is used as a bactericide in injec- skin before injection, and is most effective at con-
tions and to preserve oil-in-water creams, whereas centrations of 60-70%. It is rapidly lethal to bacter-
chloroxylenol is employed as a household and hospi- ial vegetative cells and fungi, but has no activity
tal antiseptic. Phenol may itself be rendered less against bacterial endospores and little effect on
caustic by dilution to 1 % w/v or less for lotions and viruses. The effect of aromatic substitution is to
gargles, or by dissolving in glycerol for use as ear produce a range of compounds which are less
drops. Bisphenols, such as hexachlorophane and tri- volatile and less rapidly active and find general use as
closan (Irgasan), share the low solubility and preservatives, e.g. phenylethanol for eye drops and
enhanced activity of the other phenol derivatives contact lens solutions, benzyl alcohol in injections,
described, but have a substantive effect which makes Bronopol (2-bromo-2-nitropropane-l,3-diol) in
them particularly useful as skin antiseptics. shampoos and other toiletries. Phenoxyethanol,
Formulated as creams, cleansing lotions or soaps, which has good activity against Ps. aeruginosa, has
they have proved valuable in reducing postoperative been used as an antiseptic. In general the alcohols
and cross-infection. Again toxicity concerns have act by disrupting the bacterial cytoplasmic mem-
emerged, and so, for example, hexachlorophane is brane and can also interfere with the functioning of
restricted in the UK both in respect of the concen- specific enzyme systems contained within the mem-
trations that may be employed and the type of brane.
product in which it may be used. Formaldehyde and glutaraldehyde are both pow-
Phenols generally are active against vegetative bac- erful disinfectants, denaturing protein and destroy-
teria and fungi, are readily inactivated by dilution ing vegetative cells and spores. Formaldehyde is
and organic matter, and are most effective in acid used in sterilization procedures both as a gas and as
conditions. Depending on concentration, phenols a solution in ethyl alcohol. Glutaraldehyde solutions
may cause cell lysis at low concentrations, or general are also used to sterilize surgical instruments.
coagulation of cell contents at higher concentrations. The organic acids, sorbic and benzoic and their
esters, because of their low toxicity, are well estab-
lished as preservatives for food products and medi-
Alcohols, aldehydes, acids and esters
cines (see Chapter 42). The exact mode of action of
Ethyl alcohol has long been used, usually as 'surgical these agents on microorganisms is still uncertain, but
spirit' for rapid cleansing of preoperative areas of they have been shown to influence the pH gradient
655
PHARMACEUTICAL MICROBIOLOGY
656
ACTION OF PHYSICAL AND CHEMICAL AGENTS
used for domestic hygiene. Unionized hypochlorous solutions. Aluminium foil has been used as a wound
acid (HOC1) is an extremely potent and widely used covering in the treatment of burns and venous
bactericidal agent which acts as a non-selective ulcers, and has been shown to adsorb micro-
oxidant, reacting readily with a variety of cellular organisms and inhibit their growth.
targets. Well-known pharmaceutical formulations
containing chlorine are Eusol (Chlorinated Lime The acridities
and Boric Acid Solution BPC 1973) and Dakin's
Solution (Surgical Chlorinated Soda Solution BPC This group of compounds interferes specifically with
1973), both of which are designed to provide slow nucleic acid function and has some ideal antiseptic
release of chlorine. properties, thus aminacrine hydrochloride is
An alternative method of obtaining more non-toxic, non-irritant, non-staining and active
prolonged release of chlorine is by the use of organic against Gram-positive and Gram-negative bacteria
chlorine compounds such as Chloramine T (sodium even in the presence of serum.
p-toluene-sulphonchloramide) and Halazone BPC This brief survey has given some indication of the
1973 (p-sulphondichloramide benzoic acid), the variety of antimicrobial compounds available. Each
former used as a skin antiseptic and the latter for of these has a defined spectrum of utility and in the
treating contaminated drinking water. The high correct conditions of use can substantially
chemical reactivity of chlorine renders it lethal to contribute to the control of microbial proliferation
bacteria, fungi and viruses, and to some extent and infection.
spores and this activity is optimal at acid pH levels
around 5.0.
Iodine, like chlorine a highly reactive element, REFERENCES
denatures cell proteins and essential enzymes by its
powerful oxidative effects. Traditionally it has been Denyer, S.P.,Wallhaeusser, K.H. (1990) Antimicrobial
used in alcoholic solutions such as Tincture of preservatives and their properties. In: Denyer, S.P., Baird,
Iodine (BP 1973) or complexed with potassium R. (eds) Guide to Microbiological Control in Pharmaceuticals.
Ellis Horwood, Chichester, pp. 251-273.
iodide to form an aqueous solution (Lugol's Iodine European Pharmacopoeia (2000) 3rd edn. Strasbourg:
BP 1973). The staining and irritant properties of Council of Europe, p 284.
iodine have resulted in the development of Hugo,W.B., Russell, A.D. (1999) Types of antimicrobial
iodophores, mixtures of iodine with surface-active agents. In: Russell, A.D., Hugo, W.B., Ayliffe, G.A.J.
agents, which hold the iodine in micellar combina- (eds) Principles and Practice of Disinfection Preservation
and Sterilisation, 3rd edn. Blackwell Science. Oxford,
tion from which it is released slowly. Such a prepa- pp. 5-94.
ration is Betadine (polyvinylpyrrolidone-iodine), Russell, A.D. (1999) Destruction of bacterial spores by
used as a non-staining, non-irritant antiseptic. thermal methods. In: Russell, A.D., Hugo, W.B., Ayliffe,
G.A.J. (eds) Principles and Practice of Disinfection,
Preservation and Sterilisation, 3rd edn. Blackwell Science.
Metals Oxford, pp. 640-656.
657
42
Microbiological contamination and
preservation of pharmaceutical products
Malcolm Parker (updated by Norman Hodges)
658
MICROBIOLOGICAL CONTAMINATION AND PRESERVATION
659
PHARMACEUTICAL MICROBIOLOGY
mixture can increase substantially during storage, some form of microorganism. Although this ability
particularly in those cases in which the formulation varies considerably according to the nutritive proper-
contains no preservative. ties and moisture content of the materials concerned,
A major potential source of microbial contamina- it is unwise to assume that, for instance, a dry powder
tion is that represented by the personnel preparing or a tablet is safe from microbial spoilage. The
medicines and the patients using them (Table 42.1). problem can be appreciated by considering the range
In the environment generally it is people who gener- of habitats of microorganisms, encompassing as they
ate most of the airborne bacteria. Body movements, do volcanic regions to the Antarctic wastes and nutri-
exhaling, speaking and, of course, coughing and ent sources as unlikely as glass and concrete. The
sneezing, represent significant sources of contamina- majority of medicines present a ready source of nutri-
tion. The microorganisms that can be disseminated in ents and moisture and there are many reports of the
this way include staphylococci, present on the skin effects of microbial proliferation within them, with
and in the nostrils of healthy persons, streptococci, attendant odours and visible spoilage. Troublesome
sometimes present in the throat, and a variety of and expensive as this obvious deterioration may be, a
Enterobacteriaceae, including salmonellae and col- more serious problem is the development of micro-
iforms present in the intestines. Other microflora that organisms without obvious signs or involving delayed
may be found as contaminants of medicines, and effects. For this reason it is important to have a
which are not normally associated with humans, are knowledge of the microbial content of all drugs and
the airborne spores of both bacteria and moulds, medicines, rather than restrict attention to those
including several wild yeasts, anaerobic inhabitants of required to be sterile and those shown to be particu-
soil and earths such as the clostridia and low-demand larly spoilage prone. A study of the interaction of
water-borne bacteria, usually Gram-negative forms. microorganisms in foods such as milk or meat prod-
There is considerable potential for microorgan- ucts has shown how pioneer forms can prepare the
isms to enter medicines during both manufacture way for later invaders by degrading complex nutri-
and use, and in this situation it is not surprising that ents, altering pH levels, or making more moisture
whenever non-sterile preparations and their ingredi- available until the final spoilage population is estab-
ents are screened for microbial contamination, lished. The initial invaders, in either foods or medi-
organisms are detected. As has been discussed, the cines, can reach high levels without visible effects,
incidence of microflora in medicines as issued from and furthermore, when the finally spoiled product is
the dispensary or manufacturers is dictated very investigated, they may have been completely dis-
much by the nature of the ingredients, i.e. whether placed by a final spoilage form. Unless this chain
natural or synthetic, the quality of the vehicle, and reaction of spoilage is appreciated harmful effects of
the care and attitude of personnel involved. apparently stable medicines can be unresolved and
The situation is very different for sterile prepara- the importance of some contaminants not realized.
tions in that detection of any microorganisms Thus, syrup or mixtures rich in sugar may become
represents an unacceptable situation usually indicative initially contaminated by osmophilic yeasts which can
of a breakdown in the sterilization process. Thus when thrive at high sugar concentrations and, by utilizing
in 1972 infusion fluids used in a Plymouth hospital the sugars create conditions that allow secondary, less
were found to be contaminated, the Secretary of State specialized organisms to become established. When
required the Medicines Commission to 'review mea- such syrups are examined there may be little evidence
sures which should be taken in the course of the pro- of the yeasts that initiated the spoilage process, and so
duction, distribution, storage and use of medicinal their role may be overlooked.
products to prevent their becoming vehicles of infec-
tion'. It is indicative of the rarity of such incidents that
an inquiry was deemed to be necessary.
CONSEQUENCES OF CONTAMINATION
660
MICROBIOLOGICAL CONTAMINATION AND PRESERVATION
presence of Salmonella in a medicine which, although bacteria, may cause fever following injection (see
causing little or no visible spoilage, would represent Chapter 40). Moulds produce mycotoxins, which
a serious health hazard. from early times have been implicated in illnesses
The instances in which there have been serious such as ergotism, and more recently with gastroen-
consequences attending contaminations have been, teritis, both caused by using contaminated grain.
in the main, concerned with those preparations which The involvement of mycotoxins, particularly
are required to be supplied sterile. This might be aflatoxin, in cancer has added an urgency to our
anticipated, as sterile preparations are usually admin- study of them.
istered parenterally or into the eyes, and in these cir-
cumstances extraneous microorganisms present a
particular danger. Intravenous infusion fluids are rec-
ognized as a potential area for concern, particularly SCREENING FOR CONTAMINATION
because of their implication in the case previously
mentioned, where contaminated fluid resulted in the A consideration of Figure 42.1 will show that if con-
death of several patients. The established practice of tamination is to be minimized then a knowledge of
adding drugs to infusions, often at patient level in the microbial levels associated with all aspects of the
hospital wards, can present an additional microbio- production of a medicine is required. Thus, examin-
logical hazard unless closely supervised by skilled ing prepared medicines for their contamination will
staff. Preparations for ophthalmic use, including not, in itself, further our efforts to reduce this unless
contact lens solutions, have been responsible for parallel screening is done upon the manufacturing
serious infections of the eye, some resulting in blind- process and environment, including air, equipment,
ness, as a result of microbial contamination. personnel and raw materials.
Considered against the background of the high Methods for the detection, enumeration and
volume of medicinal products used annually by the identification of microorganisms have been described
public, the serious consequences of contamination in Chapters 39 and 40. Some of these can be applied
are very few. Where they do occur, however, the to determine the number and type of microorganisms
public is justifiably worried and the implications for present at any stage in the preparation or manufac-
the profession are grave. ture of a medicine. The most relevant are discussed
Apart from possible infection of patients the below and are considered also in Chapter 40).
other important effect of contamination of medi-
cines is that of general spoilage. This may result in
obvious changes, such as discolouration, break- Air sampling
down of emulsions and the production of gas and The usual methods for sampling from air are by free
various odours. Such comparatively dramatic fall or settling, forced air flow and filtration.
effects of deterioration do have the virtue of direct-
ing the consumer's attention to the problem and,
hopefully, discouraging their use of the medicine. Free fall or settling
In other cases, however, active ingredients may be As the name implies, this involves the sampling of
utilized by invading microorganisms without overt organisms deposited naturally from the atmosphere.
visible signs of spoilage. Thus, salicylates (including This is typically carried out by exposing plates of
aspirin), paracetamol, atropine, chloramphenicol, suitable nutrient medium for selected periods in the
prednisolone and hydrocortisone can be degraded locations to be sampled. The procedure is empirical,
to a variety of therapeutically inactive products. with the counts obtained depending upon time of
Preservatives, intended to protect formulations exposure, the nature of any activity in the area and
against microorganisms, can themselves present a the siting of the plates in relation to such activity.
ready source of microbial nutrition, particularly if
their levels become depleted and if they are
aromatic in structure. Forced air flow
Bacteria can produce various toxic substances Forced air flow samplers allow a measured volume of
which are a potential danger in contaminated prod- air to be examined by directing it on to a solid agar
ucts, even when a sterilization procedure has been surface or drawing it through sterile saline or
applied and only dead cells or their residues remain. nutrient broth from which plate counts can be made.
In parenteral preparations endotoxins, which are A variety of commercially available apparatus may be
lipopolysaccharide components of Gram-negative used to apply this method.
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Therapeutically active ingredients in the form of In most cases more than one factor is involved, as for
suspended solids in mixtures, such as magnesium example when benzoic acid is used to preserve
trisilicate and kaolin, have been shown to deplete kaolin mixtures. The dual problem here is that the
preservative concentrations, probably by adsorption. adsorption of the benzoic acid by the light kaolin
Similarly, fillers and disintegrants cause problems in diminishes at pH values above 5, whereas the acid
tablet preservation owing to their interaction with preservative is most efficient at lower values. In this
added preservatives such as methylhydroxybenzoate. situation the formulator faces opposing choices,
opting for an alternative preservative or using a
mixture of preservatives. Kaolin mixture has the
Effects of containers added interest that in order to render it attractive to
Preparations packed in traditional glass containers children, raspberry syrup flavouring is used and so
can be expected to retain their preservative content the pH is reduced to 3.5, at which value about 83%
provided the closure is suitably airtight. The greatly of benzoic acid is present in the biologically active
increased use of plastics in packaging has brought undissociated form but adsorption on to the kaolin
with it a number of difficulties, ranging from is favoured.
permeation of preservatives through the container to The majority of preservatives are less dependent
interaction with it. There is a great deal of published upon pH, although cationic active quaternary ammo-
work describing the losses of preservative to plastic nium compounds are more active at high pH values.
medicine bottles, contact lenses and their containers
and plastic syringes. Given the complexity of modern Preservatives in combination
plastics, with their differences in thickness, surface
characteristics, filler and plasticizer content, it is nec- The use of a single preservative to protect a pharma-
essary to choose the material for the pack of a pre- ceutical preparation may be unrealistic. Increasing
served formulation on the basis of adequate trials. attention has been focused on the use of mixtures of
Although rubber reacts with many preservatives it preservatives and the addition of various potentia-
still finds use for teats and closures. These are tors to achieve better results. The justification for
required to be pretreated with the preservatives they using mixtures of antimicrobial compounds must
are to be in contact with, in order to minimize reside in an increased spectrum of antimicrobial
subsequent uptake during storage. activity, a synergistic effect enabling decreased levels
of component preservatives to be used, an attendant
decrease in toxicity, and a reduction in the emer-
Influence of pH gence of resistant forms. One of the oldest examples
An appreciation of the many obstacles that may of a preservative mixture used in pharmacy is the
prevent a preservative attaining an adequate protec- former vehicle for eye drops, 'Solution for Eyedrops',
tive concentration in a given preparation must be which contained a mixture of methyl and propyl
complemented by some understanding of the inter- esters of p-hydroxybenzoic acid designed to exert
action between that preservative and any micro- antibacterial and antifungal effects. Modern formu-
organisms present as contaminants. Thus, not only lations for eye drops and contact lens solutions
must free preservative be available in a formulation, include phenylethyl alcohol and phenoxetol, in
but it must be present in an active form. This is par- conjuction with benzalkonium chloride to widen the
ticularly important when activity is related to degree antimicrobial spectrum and aid access to susceptible
of ionization, as is the case with both anion- and sites on the microorganisms. The chelating agent
cation-active antimicrobial agents. An example is that ethylenediamine tetra-acetate (EDTA) has also been
of a weak acid preservative such as benzoic acid, used with preservatives other than those yielding
which requires to be predominantly in the undissoci- metallic ions, to enhance activity by interfering with
ated form in order to exert antimicrobial activity. vital metal ion balance and associated permeability.
Since this acid has a pKa value of 4.2, an ambient pH A rather different mechanism is to increase the avail-
below this is needed for efficient preservative activity. ability of lipophilic preservatives by reducing their
The relationship between degree of dissociation loss to emulgents in the formulation, as with the
and pH is given by: addition of propylene glycol to emulsions preserved
with parabens to reduce loss to micelles.
Fraction of undissociated preservative = A correctly designed preservative system is the
appropriate complement to hygienic manufacture.
Both demand a rational approach based on an appre-
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Index
669
INDEX
670
INDEX
671
INDEX
672
INDEX
673
INDEX
674
INDEX
675
INDEX
676
INDEX
ingredient specifications, 471-2 Solvates, 27, 144-5, 239 Stern potential, 77-8
in-process testing, 472 Solvatoin, 27 Sticking, 136, 410
manufacture, 465-7 Solvent drag, 242 Stirred-vessel test methods, 419
oils and low melting-point drugs, Solvents, 16, 118-19, 338, 444 Stokes' law and equation, 47, 163,
465 solubility, 119 177,475
patient compliance, 464 Solvolysis, 131 Stokes-Einstein equation, 40, 162
product quality considerations, Sorbent, 410 Stomach, 220
471-2 Sorption promoters, 522 Strain-rate sensitivity (SRS), 428
product stability, 465 Specific viscosity, 43 Stratum corneum, 508
properties of shells, 468-9 Spectroscopy, 114-15 hydration, 521
rationale for selection, 463-5 Spheronization, 374 not rate controlling, 514
safety for potent and cytotoxic Spinhaler, 480 rate controlling, 513-14
drugs, 465 Spray drying, 389 removal, 522
Softgels see Soft gelatin capsules granulation by, 374 treatment, 504-5
Solid bridges, 430 Spreading of liquids, 61 Streaming potential, 79
bonding in granules, 368 Spring and dashpot mechanical Streamlined flow, 45
Solid-liquid interface, 19 models, 55 Stress corrosion, 584
Solid/liquid systems, 68 Sputtering time, 484 Structure activity relationships, 119-20
Solid particles, 141 Stability, 9 Subcutaneous tissue, 502
Solid-state properties, 141-51 Arrhenius relationship, 130 Sugar coating of tablets, 441,445-6
Solid-state stability, 132 assessment see Stability testing Sulphamethoxydiazine, 143
Sols chelating agents, 131 Supersaturated solutions, 521
gelation, 85 humidity challenge, 112 Suppositories, 536
lyophilic, 80 hydrolysis, 130 additives, 540
gelation, 85 hygroscopicity, 132 contact area in rectum, 542
lyophobic, 80 in physiological fluids, 255-6 content uniformity, 541
gelation, 85 light challenge, 112 control parameters, 540
Solubility, 7, 15-32, 23, 115, 143 of emulsions, 353-4 disintegration, 541
crystalline, 126-7 chemical, 354-5 drug release, 541
curves, 25 physical, 353-4 drug solubility in vehicle, 538
in diffusion layer, 237 of solutions, 321 drug-substance related factors, 538
methods of expressing, 23 of suspensions, 353 formulation, 537-40
of drugs, 234-41 order of reaction, 130 manufacture, 540
of electrolytes, 28 oxidation, 131 mechanical strength, 541
of gases in liquids, 29 pH effects, 130-1 membranes, 542
of liquids in liquids, 29 photolysis, 131 release medium, 542
of solids in liquids, 24 preformulation considerations, sedimentation-controlled release,
physicochemical prediction, 24 129-2 541
poorly soluble drugs, 241 shelf-life prediction, 110 temperature effects, 541
prediction, 23 solid-state, 132 testing, 541
preformulation considerations, solvolysis, 131 vaginal, 543
115-24, 126-7 temperature challenge, 111-12 weight, 541
product, 28 temperature effects, 130 Surface active agents, 65-6, 88-91
Solubility-time relationship, 143 Stability testing, 129-32 in emulsions, 345-50
Solubilization, 89-91, 312 accelerated, 109-12, 356 in suspensions, 337-8
applications, 90 Arrhenius relationship, 130 see also Surfactants
drug stability, 90 emulsions, 355-6 Surface activity of drugs, 86-7
Solubilizers, 298, 301 packs, 559 Surface and interfacial phenomena, 59
Solubilizing agents, 29 protocols, 109-10 Surface area
Solutes, 16 Standards effect on drug dissolution rate, 236
migration during drying, 393-5 microbiological, 667 of powders, 6
Solutions, 16, 33-40, 245, 309-22 tablet coats, 448 Surface energy, 149-50
absorption from, 514-15 States of matter, 17 Surface excess concentration, 66-7
aerosols, 530 Static bed convective drying, 383 Surface forces in powders, influence
aqueous, 311-15 Static disc methods, 21 on powder flow, 209
as a dosage form, 309-11 Steady-state plasma drug Surface free energy, 59
binder, 408 concentrations, 281-8 Surface hardness of powders, 167
formulation, 311-17 Steam Surface nature of particles, 149-51
ideal, 34 as heating medium, 590-6 Surface tension, 59
ionization of solutes, 35 calculations, 595-6 measurement of, 61-3
manufacture, 322 effect of pressure, 592 of some liquids, 61
non-aqueous, 315-17 generation and use, 593-5 Surfactants, 65-6, 250-1
non-ideal, 35 traps, 594-5 see also Surface active agents
real, 35 Sterile products, 638-41 Suspended level viscometer, 46-7
stability, 321 Sterility, testing, practice, 639 Suspensions, 91-3,245,470
types, 33 Stern plane, 77 absorption from, 515-16
677
INDEX
678
INDEX
Voigt unit mechanical model, 55-6 Wet bulb temperature, 381 Work of cohesion, 61
Volume-applied pressure profiles, 427 Wet granulation, 369, 403
Wet solids, drying of, 380-2 Yeasts, 620
Water Wetting agents, 93 Yield pressure, 427
for softgel shell, 468 in suspensions, 337 Yield stress, 427
types, 311 Wetting problems, 93 Young's equation, 150
Water-soluble bases, 529-30 Wilhelmy plate, 62
Water-soluble vehicles, 538 Work of adhesion, 61 Z values, 644
679