Professional Documents
Culture Documents
of a Drug Design
Agnes L. Castillo, PhD
RATE-LIMITING STEPS IN
DRUG ABSORPTION
disintegration of the drug product and subsequent
release of the drug,
dissolution of the drug in an aqueous environment, and
absorption across cell membranes into the systemic
circulation
drugs that have very poor aqueous solubility, the rate at
which the drug dissolves (dissolution ) is rate limiting step
often the slowest step
Disintegration
Complete disintegration is defined by the
USP () as "that state in which any residue
of the tablet, except fragments of insoluble
coating, remaining on the screen of the
test apparatus in the soft mass have no
palpably firm core.
Exceptions: troches, chewable tablets,
and modified-release drug products
Dissolution
Process in which a solid drug substance
becomes dissolved in a solvent
dynamic property
an important prior condition for systemic
absorption
dissolution tests may be used to predict
bioavailability and may be used to
discriminate formulation factors that affect
drug bioavailability
Steps in dissolution
drug dissolution at the
surface of the solid particle
forming a saturated
solution around the particle
called stagnant layer
This diffuses to the bulk of
the solvent from regions of
high drug concentration to
regions
of
low
drug
concentration
Drug dissolution
Noyes-Whitney
equation
Dissolution
Absorption
Permeation of drug across the gut wall (a model lipid
membrane) is affected by the ability of the drug to diffuse
(D ) and to partition between the lipid membrane.
A favorable partition coefficient (K oil/water ) will facilitate
drug absorption
An increase in temperature will increase the kinetic
energy of the molecules and increase the diffusion
constant, D .
Moreover, an increase in agitation of the solvent medium
will reduce the thickness, h , of the stagnant layer,
allowing for more rapid drug dissolution.
Physicochemical Properties
Nonionized form
lipid-soluble and diffusible
Ionized form
lipid-insoluble and nondiffusible
Salt formation
Depends on the physical, chemical or
pharmacologic properties
Provide slower dissolution, slower
bioavailability or longer duration of action
Basic drug more soluble in stomach forms
soluble salt
Acid drug more soluble in intestine form
soluble salt
Salt formation
Some soluble salt forms are less stable
than the non-ionized forms (e.g. sodium
aspirin)
Buffering agents- form an alkaline medium
in the GI tract to enhance dissolution
Inc. sol of ASA adding alkaline buffer
Salt formation
Buffering agents- form an alkaline medium
in the GI tract to enhance dissolution
Dissolved salt form diffuses into the bulk
fluid of the GI tract fine precipitate that
redissolves rapidly available for
absorption
Salt formation
Effervescent granules or tablets
Acid drug + NaHCO3, tartaric acid or citric
acid added to water just before oral
administration
Excess NaHCO3 forms an alkaline solution
in which the drug dissolves
CO2 is a by-product
Salt formation
Weak acids = Na, K salts are more soluble
than divalent cation salts (Ca, Mg) or
trivalent cation salts (Al) e.g. Voltaren,
Cataflam, Fern-C
Weak bases = HCl, SO4, citrate and
gluconate salts, estolate, napsilate and
stearate salts are less water soluble
e.g. L_______ HCl, E_______ estolate
Polymorphism
The ability of a drug to exist in more than one crystalline form
arrangement of a drug substance in various crystal forms or
polymorphs
Same chemical structure with different physical properties
(e.g. melting point, dissolution rate)
Amorphous forms are noncrystalline forms
solvates are forms that contain a solvent(solvate) or water
(hydrate),
desolvated solvates are forms that are made by removing the
solvent from the solvate.
Dissolution rate: amorphous, non-crystalline form (>,<,=?)
crystalline form
Polymorphism
In general, the crystalline form of drugs are more rigid
and thermodynamically more stable than the amorphous
form.
The crystal form with the lowest free energy is the most
stable polymorph.
A change in crystal form may cause problems in
manufacturing the product. For example, a change in
crystal structure of the drug may cause cracking in a
tablet or even inability for a granulation to be
compressed to form a tablet
Chirality
Ability of a drug to exist as optically active
stereoisomers or enantiomers
Individual enantiomers (S & R) may not
have the same pharmacokinetic and
pharmacodynamic activity
Chirality
Most chiral drugs are racemic mixtures
results of studies with such mixtures may
be misleading because the drug is
assumed to behave as a single entity
Chirality
Ibuprofen exists as the R- and Senantiomer; only the S-enantiomer is
pharmacologically active
When taken orally, R-enantiomer
undergoes presystemic inversion in the
gut to the S-enantiomer
Rate and extent of inversion are site
specific and formulation dependent,
activity may vary considerably
Pharmacodynamic effects
S)-ibuprofen is over 100-fold more potent
an inhibitor of cyclo-oxygenase I than (R)ibuprofen
(R)-methadone has a 20-fold higher
affinity for the opioid receptor than (S)methadone
(S)-citalopram is over 100-fold more
potent an inhibitor of the serotonin
reuptake transporter than (R)-citalopram
Pharmacodynamic effects
cardiotoxicity of bupivacaine is mainly
associated with the (R)-enantiomer, the
psychomimetic effects of ketamine are
more associated with the (R)-enantiomer,
and (S)-baclofen antagonizes the effects
of (R)-baclofen
Pharmacokinetic effects
the bioavailability of (R)-verapamil is more
than double that of (S)-verapamil due to
reduced hepatic first-pass metabolism
the volume of distribution of (R)methadone is double that of (S)methadone due to lower plasma binding
and increased tissue binding
Pharmacokinetic effects
the clearance of (R)-fluoxetine is about
four times greater than (S)-fluoxetine due
to a higher rate of enzyme metabolism
the renal clearance of (R)-pindolol is 25%
less than (S)-pindolol due to reduced renal
tubular secretion
enantiomers of warfarin can be
metabolized by different enzymes
Hydrates
Hydrated, solvated or anhydrous
Dissolution rates differ for hydrated and
anhydrous form
Dissolution rate: anhydrous form of
ampicillin (>,<,=?) hydrated form of
ampicillin
Erythormycin .2 H20 faster dissolution
Ampicillin .3H20 slow dissolution
Complex formation
Complex species formed by the
reversible or irreversible association of two
or more interacting molecules or ions
Complex formation
Chelates complexes that typically
involve a ring-like structure formed by the
interaction between a partial ring of atoms
and a metal
Complex formation
Alters the physical and chemical
properties of the drug
Chelate of t_________ with Ca is less
water soluble and poorly absorbed
Aminophylline ( + ethylenediamine) is
more water soluble than theophylline
parenteral and rectal administration
Complex formation
Cyclodextrins + drug = enhance water
solubility
Complex formation
Drug complexes cannot cross the cell
membrane easily
Solution
Homogenous mixtures of one or more
solutes dispersed molecularly in a
dissolving medium
Most bioavailable and consistent form
Reference preparation for solid peroral
formulations (e.g. relative bioavailability)
Solution
Elixir has a good bioavailability
Alcohol aids drug solubility = drug is
diluted in the GI tract fluid & other gut
contents (e.g. food) form a finely
divided precipitate extensive dispersion
& large surface area redissolution =
rapid absorption
Solution
Viscous drug solution (e.g. _______)
interfere with dilution & mixing in the GI
tract contents
Decreases gastric emptying rate
= d _ _ _ _ _ _ a______________
Suspension
Dispersion of finely divided solid particles
in a liquid medium in which a drug is not
readily soluble
Liquid medium comprises a saturated
solution of the drug in equilibrium with the
solid drug
Suspension
Bioavailability may be similar to a solution
finely divided particles are dispersed
Dependent on dissolution rate (e.g. good
or poor water solubility)
Suspension
Suspending agents (e.g. cellulose
derivatives, acacia, xanthan gum)
increases viscosity, inhibits agglomeration
and decrease the rate at which the
particles settle
_prolong gastric emptying time, slow drug
dissolution and _decreases absorption
rate
Capsules
Solid dosage forms with hard or soft
gelatin shells that contain a drug, usually
admixed with excipients
Coating affects bioavailability
Capsules
Hard gelatin capsules contain a powder
blend
Simpler & less compacted than a
compressed tablet
Capsules
Gelatin softens, swells and begins to
dissolve after ingestion
Released rapidly & dispersed easily, good
bioavailability
Preferred dosage forms for early clinical
trials
Capsules
Soft gelatin capsules may contain a
nonaqueous solution, powder or drug
suspension
Vehicle may be water-miscible (e.g. PEG)
Digoxin dispersed in a water-miscible
vehicle (Lanoxicaps) has better
bioavailability than compressed tablets
(Lanoxin)
Capsules
Soft gelatin capsule containing a drug
dissolved in a hydrophobic vehicle has a
poorer bioavailability than a compressed
tablet formulation
Capsules
Aging and storage conditions moisture
content of the gelatin component of the
capsule shell and bioavailability
Low moisture levels brittle and easily
ruptures
High moisture levels moist, soft &
distorted moisture may be transferred to
the capsule contents (esp. if hygroscopic)
Compressed tablets
Solid dosage forms in which high pressure
is used to compress a powder blend or
granules that contain the drug and other
ingredients, or excipients, into a solid
mass
Compressed tablets
Excipients (d________(fillers), d______,
b_____, l_______, g_______, s______,
d _ _, flavoring agents
Permit efficient manufacture of
compressed tablets
affect the physical & chemical
characteristics of the drug
affect bioavailability: higher the ratio of
excipient to active drug = greater likelihood
that the excipients affect bioavailability
Excipients of Compressed
Tablets
added to a formulation to provide certain functional properties
to the drug and dosage form.
Some of these functional properties of the excipients are used
to improve the compressibility of the active drug, stabilize the
drug against degradation, decrease gastric irritation, control the
rate of drug absorption from the absorption site, increase drug
bioavailability
Disintegrant
e.g. starch, croscamellose, sodium starch
glycolate
Vary in action depending on:
1. concentration
2. method by which they are mixed with
the powder formulation or granulation
3. degree of tablet compaction
Disintegrant
Tablet disintegration is usually faster than
dissolution
Can affect bioavailability if it fails
Lubricants
usually hydrophobic, water-insoluble
substances (e.g. stearic acid, magnesium
stearate, hydrogenated vegetable oil, talc)
Reduce wetting of the surface of drug
particles _______ dissolution rate,
_______ bioavailability
Mg stearate in xss, retard drug dissolution
and slow rate of absorption
Lubricants
water-soluble lubricants (e.g. L-leucine)
do not interfere with bioavailability &
dissolution
Glidants
Improve the flow properties of a dry
powder blend before it is compressed
May reduce tablet-to-tablet variability and
improve product efficacy
Surfactants
Reduce interfacial tension (surface tension)
between solid drug and liquid
Improve the wettability (contact) of solid
drug particles by the solvent
Enhance drug dissolution and bioavailability
( at low conc)
!! High concentration of surfactants
micelle formation reduced bioavailability
Coating
Purpose:
1.
2.
3.
4.
Enteric coating
Minimize contact between the drug and
the gastric contents or gastric mucosa
Insoluble at acidic pHs
Resist attrition and remain whole long
enough for the tablet to leave the mucosa
May decrease bioavailability
Enteric coating
Function:
1. minimize irritation of the gastric mucosa
by the drug
2. Prevent the inactivation or degradation
of the drug in the stomach
3. delay the release of the drug until the
tablet reaches the small intestine, where
conditions for absorption may be optimal