Final CR SR Report
Final CR SR Report
Sukanya Patil*1
1
*Faculty of Pharmaceutics, H. K. College of Pharmacy, Oshiwara- 400102, Maharashtra, India.
Email ID: [email protected]
ABSTRACT
In order to overcome the drawbacks of conventional drug delivery systems, several technical advancements have led to the
development of controlled drug delivery system that could revolutionize method of medication and provide a number of
therapeutic benefits like multiple dosing and single doses of sustained and controlled delivery formulations. Oral controlled
release drug delivery is a drug delivery system that provides the continuous oral delivery of drugs at predictable and
reproducible kinetics for a predetermined period throughout the course of GI transit and also the system that target the
delivery of a drug to a specific region within the GI tract for either a local or systemic action. Over the past decades an
entirely new technique for the delivery of a drug and other biologically active agents has been developed this technique for
the drug administration is termed Sustained release or controlled release. These tablet owing a twofold or greater reduction
in frequency of administration of a drug in comparison with the frequency required by a conventional dosage form. It is
designed to maintain constant levels of a drug in the patient's bloodstream by releasing the drug over an extended period.
Maintaining constant blood levels of the drug in the bloodstream increases the therapeutic effectiveness of the drug. All the
pharmaceutical products formulated for systemic delivery via the oral route of administration, irrespective of the mode of
delivery (immediate, sustained or controlled release) and the design of dosage form (either solid dispersion or liquid), must
be developed within the intrinsic characteristics of GI physiology.
KEYWORDS
Controlled release drug delivery system (CRDDS), Sustained release drug delivery system (SRDDS), Classification,
Advantages, Disadvantages, Drug design, Polymers used and Market formulations.
2
Cw = Equilibrium concentration of all forms in an system [7].
aqueous phase.
In general, drugs with an extremely large value of K are PROTEIN BINDING
very oil soluble and will partition into membranes quite It is well-known that many drugs bind to plasma proteins
readily. The relationship between tissue permeation and with concomitant influence on the duration of drug
partition coefficient for the drug is generally defined by action. Since blood proteins are four the most part re-
the Hansch correlation, which describe a parabolic circulated and not eliminated, drug protein binding can
relationship between the logarithm of its partition serve as the depot for drug producing a prolonged release
coefficient as shown in Fig. 2 [6,8]. profile, especially if a high degree of drug binding
occurs. The drug interaction and the period of binding
DRUG PKA AND IONIZATION AT with mucin-like protein also influence the rate and extent
PHYSIOLOGICAL PH of oral absorption [10,12,13].
Drugs existing largely in an ionized form are poor
candidates. Absorption of the unionized drugs is well DOSE SIZE
whereas permeation of ionized drug is negligible because For orally administered systems, there is an upper limit
the absorption rate of the ionized drug is 3-4 times less to the bulk size of the dose to be administered. In general,
than that of the unionized drug. The pKa range for an a single dose of 0.5-1.0 g is considered maximal for a
acidic drug whose ionization is pH sensitive is around conventional dosage form. This also holds for sustained-
3.0-7.5 and pKa range for a basic drug whose ionization release dosage forms. Those compounds that require
is pH sensitive is around 7.0-11.0 are ideal for optimum large dosing size can sometimes be given in multiple
positive absorption. Drug shall be unionized at the site to amounts or formulated into liquid system. Another
an extent 0.1-5.0% [7,9]. consideration is the margin of safety involved in the
administration of large amounts of a drug with narrow
therapeutic range [14].
BIOLOGICAL FACTORS
a. Absorption
b. Distribution
c. Metabolism
d. Biological half-life/duration of action
e. Margin of safety/therapeutic index
f. Side effect
g. Disease state.
ABSORPTION
Fig. 2: A relationship between drug action and partition The constant blood or tissue concentration of drug can be
coefficient obtained from the oral SR systems through uniform and
consistent release as well as absorption of the drug. The
DRUG STABILITY desirable quality of the sustaining system is that it should
Drugs undergo both acid/base hydrolysis and enzymatic release completely absorbed. Apparently, the release of
degradation when administered oral route. Drugs that are the drug from the system is the rate limiting step, where
unstable in gastric pH can be developed as slow-release rapid absorption relative to the drug release is always
dosage form and drug release can be delayed until the expected, i.e., Kr << Ka [10].
dosage form reaches the intestine. Drugs that undergo If we assume the transit time of dosage forms in the
gut wall metabolism and show instability in the small absorptive areas of GI tract is about 8-12 hrs, the
intestine are not suitable for SR system. In such case, the maximum half-life for absorption should be
drug can be modified chemically to form prodrugs, approximately 3-4 hrs. Otherwise, the dosage form will
which may possess different physicochemical properties pass out of absorptive regions before drug release is
or a different route of administration should be chosen complete. Therefore, the compounds with lower
[10,11]. absorption rate constants are poor candidates. Some
possible reasons for the low extent of absorption are poor
MOLECULAR WEIGHT AND DIFFUSIVITY water solubility, small partition co-efficient, protein
Diffusivity is defined as the ability of a drug to diffuse binding, acid hydrolysis and metabolism or site specific
through the membrane. Diffusivity depends on size and or dose-dependent absorption. Drugs with the high
shape of the cavities of the membrane. The diffusion co- apparent volume of distribution, which influence the rate
efficient of intermediate drug molecular weight is 100- of elimination of the drugs, are a poor candidate for oral
400 Daltons; through flexible polymer range is 10−6- SR DDS. A drug which extensively metabolizes is not
10−9 cm2 /seconds. Molecular size or weight is suitable for SR DDS. A drug capable of inducing
indirectly proportional to the diffusibility. Drugs with metabolism, inhibiting metabolism, metabolized at the
larger molecular size are a poor candidate for oral SR site of absorption or first-pass effect is the poor candidate
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for this delivery, as it could be difficult to maintain state drug concentration, the zero-order rate of release of
constant blood level. Drugs that are metabolized before a drug from its dosage form is directly proportional to its
absorption, either in the lumen or the tissues of the rate of elimination. Thus, drug with very short half-lives
intestine, can show decreased bioavailability from the require faster rate of release, for a modest duration of
sustained releasing systems [7]. time while dosage form requires large dosage. In general,
drugs with half-lives shorter than 2 hrs are poor
DISTRIBUTION candidates for sustained-release preparations.
The distribution of drug molecules into the tissue and Compounds with long half-lives, more than 8 hrs, are
cells can be the primary factor in particularly drug also generally not used in sustaining forms, since their
elimination kinetics. Since it not only lowers the effect is already sustained [10, 11,12].
concentration of circulating drug, but it also can be rate
limiting in its equilibrium with blood and extravascular MARGIN OF SAFETY/THERAPEUTIC INDEX
tissue. The distribution includes the binding of the drug Margin of safety of a drug can be described by
to the tissues and blood proteins. Protein-bound drugs considering therapeutic index, which is the ration of
molecules are considered as inactive and unable to median toxic dose and median effective dose.
permeate biological membranes, and a high degree of Therapeutic index = TD50/ED50
protein binding provides prolonged therapeutic action. A drug is considered to be relatively safe with
The apparent volume of distribution is one of the therapeutic index more than 10 i.e., larger the ratio the
important parameters of the drugs that describes the more safely is the drug. Margin of the safety of the drugs
magnitude of distribution as well as protein binding determined on the basis of therapeutic index is the range
within the body. The apparent volume of distribution is of plasma concentration in which the drug is considered
the proportionality constant of the plasma concentration to the safe and therapeutically effective. The drugs with
of the drug to the total drug amount in the body. Thus, narrow therapeutic indices the release pattern should be
for the design of sustain release products, one must have more precise to maintain the plasma concentration within
information of the disposition of drug [10,13]. the narrow therapeutic and safety range. The unfavorable
therapeutic index of a drug can be overcome by suitable
METABOLISM employment of the SR mechanisms [10,11].
Metabolism of the drug is either an inactivation of an
active drug or conversion of an inactive drug to an active SIDE EFFECT
metabolite. Metabolism of the drug occurs in a variety of The side effects of some drugs are mainly developed due
tissues, which are containing more enzymes. Drugs that to fluctuation in the plasma concentrations. The
are significantly metabolized before absorption, either in incidences of side effects can be minimized by
the lumen or tissue of the intestine, can show decreased controlling the concentration within therapeutic range at
bioavailability from slower-releasing dosage forms. any given time. The SR drug delivery is the most widely
Most intestinal wall enzyme systems are saturable. As used to incidences of the GI (local) side effects rather
the drug is released at a slower rate to these regions, less than a systemic side effect of the drug. The drug
total drug is presented to the enzymatic process during a properties which induce local or systemic side effect can
specific period, allowing more complete conversion of be circumvented or modified by their incorporation in a
the drug to its metabolites. The formulation of these suitable oral SR delivery system that employs a specific
enzymatically susceptible compounds as prodrugs is controlled release mechanism [10].
another viable solution. Drugs that are capable of either
inducing or inhibiting enzyme synthesis, they are the DISEASE STATE
poor candidate for SR delivery system due to difficulty Disease state and circadian rhythm are not drug
in maintaining uniform blood levels. Drugs possessing properties, but they are equally important as drug
variation in bioavailability due to the first-pass effect or properties in considering a drug for SR.
intestinal metabolism are not suitable for SR DDS For example: -
[10,12]. • Aspirin is a drug of choice for rheumatoid arthritis
though it is not suitable for SR dosage form. Still, aspirin
BIOLOGICAL HALF-LIFE/DURATION OF SR dosage form could be advantageous to maintain
ACTION therapeutic concentrations, particularly throughout the
The usual goal of an oral sustained-release product is to night, thus alleviating morning stiffness.
maintain therapeutic blood levels over an extended • Asthma attacks are commonly occurring before
period. The duration of action significantly influences bedtime, due to a low cortisol level. The highest cortisol
the design of oral SR delivery system and it is dependent level occurred between 12 midnight and 4 a.m. These
on the biological half-life. Factors influencing the variations entail for the design an oral SR delivery in
biological half-life of a drug include its elimination, accordance to circadian rhythm [10,11].
metabolism and distribution patterns. Drugs with short
half-lives required frequent dosing to minimize POLYMERS USED
fluctuations in the blood levels. SR dosage forms would Since the structural and physicochemical characteristics
appear very desirable for such drugs. For a given steady of the polymer are decisive in the drug release
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mechanism, some will be more suitable than others, Where, D = diffusion coefficient in area/ time dc/dx =
depending on the aim pursued and the drug desired change of concentration 'c' with distance 'x'
[15,16]. Diffusion systems are characterized by release rate of
drug is dependent on its diffusion through inert water
Hydrophilic polymers insoluble membrane barrier. [17,18]
There are basically two types of diffusion devices.
a) Cellulosic
• Methylcellulose (a) Reservoir Type
• Hydroxypropylmethylcellulose (Hypromellose, In the system, a water insoluble polymeric material
HPMC) encloses a core of drug, which controls release rate. Drug
• Hydroxypropylcellulose (HPC) will partition into the membrane and exchange with the
• Hydroxyethylcellulose (HEC) fluid surrounding the particle or tablet. Additional drug
• Ethylhydroxyethylcellulose (E-HEC) will enter the polymer, diffuse to the periphery and
• Sodium carboxymethylcellulose (Na-CMC) exchange with the surrounding media. The polymers
commonly used in such devices are Ethyl cellulose and
b) Non-cellulosic Poly-vinyl acetate.
• Sodium alginate
• Xanthan gum
• Carrageenan
• Chitosan
• Guar gum
• Pectin
• Cross-linked high amylose starch
• Polyethylene oxide
• Homopolymers and copolymers of acrylic acid
Hydrophobic polymers
• Ethyl cellulose
• Hypromellose acetate succinate
Fig 3: Schematic Representation of Reservoir
• Cellulose acetate
Diffusion Controlled Drug Delivery Device
• Cellulose acetate propionate
• Methacrylic acid copolymers
The rate of drug released (dm/dt) can be calculated using
• Polyvinyl acetate
the following equation
Apart from these two types, waxes and insoluble
polymers are also used.
Waxes
Carnauba wax, bees wax, candelilla wax, micro Where, A = Area, D = Diffusion coefficient, K =
crystalline wax, ozokerite wax, paraffin waxes and low Partition coefficient of the drug between the drug core
molecular weight polyethylene. and the membrane, ℓ = Diffusion pathlength and ∆C=
Concentration difference across the membrane.
Insoluble polymers
Ammoniomethacrylate co-polymers (Eudragit RL100, Advantage: By this system Zero order delivery is
PO, RS100, PO), ethyl cellulose, cellulose acetate possible, release rates variable with polymer type.
butyrate, cellulose acetate propionate and latex
dispersion of meth acrylic ester copolymers. Disadvantages: System must be physically removed
from implant sites. Difficult to deliver high molecular
CLASSIFICATION weight compound, generally increased cost per dosage
Based upon the mechanism used for obtaining sustained unit, potential toxicity if system fails. [19,20]
and controlled release of drug, these systems are
classified as follows, (b) Matrix Type
A solid drug is homogenously dispersed in an insoluble
1. Diffusion Controlled System matrix and the rate of release of drug is dependent on the
Basically, diffusion process shows the movement of drug rate of drug diffusion and not on the rate of solid
molecules from a region of a higher concentration to one dissolution.
of lower concentration. The flux of the drug J (in amount
/ area -time), across a membrane in the direction of Advantages: Easier to produce than reservoir or
decreasing concentration is given by Fick’s law. encapsulated devices, can deliver high molecular weight
J= - D dc/dx compounds.
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Disadvantages: Cannot provide zero order release,
removal of remaining matrix is necessary for implanted
system. [21,22]
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5. Methods using Ion Exchange
This system is designed to provide the controlled release
of an ionic or ionizable drug. It is prepared by first
absorbing an ionized drug onto the ion-exchange resin
granules such as codeine base with Amberlite, and then
after filtration from the alcoholic medium, coating the
drug resin complex granules with a water permeable
polymer, e.g. a modified copolymer of polyacrylic and
methacrylic ester, and then spray drying the coated
granules to produce the polymer coated drug resin
preparation. The drug is released by exchanging with
appropriately charged ions in the GIT. The drug is then
diffuse out of the resin.
Fig 7: Dissolution and Diffusion Controlled Release
System Resin+ - drug- + X- resin+ - X- + drug-
Where, X- are ions in the GI tract.
4. Water Penetration Controlled Systems
In water penetration-controlled delivery systems, rate The rate of diffusion control by: the area of diffusion,
control is obtained by the penetration of water into the diffusion path length and rigidity of resin.
system. [30] Thus, drug release depends on the ionic environment
(pH, electrolyte conc.) and the properties of resin.
(a) Swelling Controlled Systems Advantage - for those drugs which are highly
Swelling controlled release systems are initially dry and susceptible to degradation by enzymatic processes since
when placed in the body absorbs water or other body it offers a protective mechanism by temporarily altering
fluids and swells. Swelling increases the aqueous solvent the substrate.
content within the formulation as well as the polymer Limitation - The release rate is proportional to the
mesh size, enabling the drug to diffuse through the conc. of the ions present in the vicinity of administration
swollen network into the external environment. [31] site. So variable diet, water intake & intestinal contents
affect the release rate of drug.
(b) Osmotically Controlled Release Systems
These systems are fabricated by encapsulating an They are mainly of 2 types - cation exchange and
osmotic drug core containing an osmotically active drug anion exchange resin.
(or a combination of an osmotically inactive drug with
an osmotically active salt eg NaCl) within a semi Cationic Drugs
permeable membrane made from biocompatible A cationic drug forms a complex with an anionic ion-
polymer, e.g. cellulose acetate. A gradient of osmotic exchange resin e.g. a resin with a SO - group. In the GI
pressure is they created, under which the drug solutes are tract Hydronium ion (H+) in the gastrointestinal fluid
continuously pumped out of tablet through small penetrates the system and activity the release of cationic
delivery orifice in tablet coating over a prolonged period drug from the drug resin complex.
of time through the delivery orifice. This type of drug
system dispenses drug solutes continuously at a zero- H+ + Resin – SO3 - Drug + Resin – SO3 - H+ +
order rate. Release of drug is independent on the Drug+
environment of the system. [32,33]
Anionic Drugs
An anionic drug forms a complex with a cationic ion
exchange resin, e.g. a resin with a [N (CH ) +] group. In
the GI tract, the Chloride ion (Cl-) in the gastrointestinal
fluid penetrates the system and activates the release of
anionic drug from the drug resin complex. [34-36]
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smaller moieties. It is of two types and they are Erodible
systems and Pendent chain system.
8. Hydrogels
Hydrogels are water swollen three dimensional
structures composed of primarily hydrophilic polymers.
They are insoluble because of chemical or physical
cross-links. The physical cross-links include crystallites,
entanglements or weak associations like hydrogen bonds
or vander waals forces. These cross- links provide the
physical integrity and network structure. Hydrogels
provide desirable protection of labile drugs, peptides and
proteins. [40,41]
8
MARKETED FORMULATIONS 2008;6(1): www. pharmainfo.net/review. Available
from: http://www.pharmainfo.net/ reviews/controlled-
released-system-review.
7. Ratnaparkhi MP, Gupta JP. Sustained release oral drug
delivery system – An overview. Int J Pharm Res Rev
2013;2:11-21.
8. Ratilal DA, Gaikwad PD, Bankar VH, Pawar SP.
Areview on: Sustained release technology. Int J Res
Ayurveda Pharm 2011;2:1701-8.
9. B. K. Bansal, Shakya. V, Rewar. S. A New Trend in
Oral Sustained Release Technology; As J Pharm Res Dev
2014;2:91-5.
10. Vyas SP, Khar RK. Controlled Drug Delivery:
Concepts and Advance. New Delhi: Vallabh Prakashan;
2002. p. 155-95.
11. Robinson JR, Lee VH; Controlled Drug Delivery
Fundamentals and Applications. Revised and expanded.
2nd ed. New York: Marcel Dekker; 1987.
12. Khalane L, Alkunte A, Birajdar A. Sustained release
drug delivery system: A concise review. Available from:
http://www.pharmatutor. org/articles/sustained-release-
drug-delivery-system-concise review?page=0,0.
13. Ankit B, Rathore RP, Tanwar YS, Gupta S, Bhaduka
G. Oral sustained release dosage form: An opportunity to
prolong the release of drug. Int J Adv Res Pharm Biosci
CONCLUSION 2013;3(1):7-14
14. Pundir S, Badola A, Sharma D. Sustained release
Now a day’s modern technologies including target matrix technology and recent advance in matrix drug
concept have emerged for successful oral controlled delivery system: A review. Int J Drug Res Tech 2013;3:12-
delivery. Oral controlled release products provide 15. Lapidus H, Lordi NG. Studies on controlled release
advantages over conventional dosage form by formulations. J Pharma Sci 1968; 57: 1292- 1301.
optimizing bio-pharmaceutics, pharmacokinetics and 16. Sprockel OL, Price JC. Development of an emulsion-
pharmacodynamics properties of drug in such a way that solvent evaporation technique for microencapsulation of
it reduces dosing frequency to an extent that once daily drug-resin complex. Drug Dev Ind Pharm 1990; 16: 361-
dose is sufficient for therapeutic management through 76
uniform plasma concentration provide maximum utility 17. Crank, J. (1975). The Mathematics of Diffusion. New
of drug. From the above discussion it is concluded that York: Oxford Press.
the oral controlled release drug delivery system has been 18. Leon, L., & Herbert, L.A. (2002). Pharmaceutical
commonly adopted and most convenient route for drug Dosage Forms. New York: Marcel Dekker.
delivery. 19. Kar RK, Mohapatra S and Barik BB. Design and
characterization of controlled release matrix tablets of
REFERENCES Zidovudine. Asian J Pharm Cli Res, 2009;2: 54.
20. Salsa T, Veiga F and Pina ME. Oral controlled release
1. John, C., & Morten, C. (2002). The Science of Dosage dosage form. I. Cellulose ether polymers in hydrophilic
Form Design Aulton: Modified release peroral dosage matrices. Drug Develop Ind Pharm,1997; 23: 929-938.
forms. Churchill Livingstone. 21. Kumar S, Shashikant and Bharat P. Sustained release
2. Nalla C, Gopinath H, Debjit B, Williamkeri I and drug delivery system: a review. Int J Inst Pharm Life Sci,
Reddy TA. Modified release dosage forms. J Chem 20122(3): 356-376.
Pharm Sci,2013; 6(1): 13-21. 22. Cristina M, Aranzaz;u Z and Jose ML. Critical
3. Niraj*1 , V. K. Srivastava1 , N. Singh1 , T. Gupta1 , factors in the release of drugs from sustained release
U. Mishra1; Sustained and controlled drug delivery hydrophilic matrices. J Control Rel,2011; 154: 2011, 2-19.
system - as a part of modified release dosage form; / 23. Theeuwes, F. Elementary Osmotic Pump. J Pharm Sci,
International Journal of Research in Pharmaceutical and 1975;64, 1987–1991.
Nano Sciences. 4(5), 2015, 347 – 364. 24. Mamidala R, Ramana V, Lingam M, Gannu R and Rao
4. Remington. The Science and Practice of pharmacy. MY. Review article factors influencing the design and
Lippincott Williams & Wilkins, 20th Edition 2006. performance of oral sustained/controlled release dosage
5. Bramhamankar DM, Jaiswal SB. Biopharmaceutics form. Int J Pharm Sci Nanotechnology,2009; 2, 583.
and Pharmacokinetics: Pharmacokinetics. 2nd ed. New 25. Chugh I, Seth N, Rana AC and Gupta S. Oral
Delhi: Vallabh Prakashan; 2009. p. 399-401. sustained release drug delivery system: an overview. Int
6. Wani MS, Controlled release system-A. Rev Res J Pharm, 2012;3(5): 57-62.
9
26. Bhargava A, Rathore RPS, Tanwar YS, Gupta S and
Bhaduka G. Oral sustained release dosage form: an
opportunity to prolong the release of drug. Int J Adv Res
Pharm Bio Sci, 3(1), 2013, 7- 14.
27. Thakor RS, Majmudar FD, Patel JK and Rajpit JC.
Review: osmotic drug delivery systems current
scenario. J Pharm Res, 2010;3(4):771- 775.
28. Parashar T, Soniya, Singh V, Singh G, Tyagi S, Patel
C and Gupta A. Novel oral sustained release technology: a
concise review. Int Res J Dev Pharm Life Sci, 2013;
2(2): 262-269.
29. Modi K, Modi M, Mishra D, Panchal M, Sorathiya
U and Shelat P. Oral controlled release drug delivery
system: an overview. Int Res J Pharm, 2013;4(3): 70-
76.
30. Ratnaparkhi MP and Gupta JP, Sustained release oral
drug delivery system - an overview. Int J Pharm Res
Rev, 2013; 2(3): 11-21.
31. Shah N, Patel N, Patel KR and Patel D. A review on
osmotically controlled oral drug delivery systems. J
Pharm Sci Bio Res, 2012;2(5): 230- 237.
32. Thombre NA, Aher AS, Wadkar AV and Kshirsagar
SJ. A review on sustained release oral drug delivery
system. Int J Pharm Res Sch, 2015;4(2): 361-371.
33. Dusane AR, Gaikwad PD, Bankar VH and Pawar SP.
A review on: sustained released technology. Int J Res Ayu
Pharm, 2011;2(6): 1701-1708.
34. Swabrick, J., & Boylan, J.C. (1996). Encyclopedia of
pharmaceutical technology. Newyork: Marcel Dekker.
35. Patel PN, Patel MM, Rathod DM, Patel JN, Modasiya
MMK. Sustain Release Drug Delivery: A Theoretical
Prospective. J Pharm Res, 2012; (8): 4165-4168.
36. Shamma SP, Haranath C, Reddy CPS and Sowmya C.
An overview on SR tablet and its technology. Int J Pharm
Drug Ana,2014; 2(9): 740-747.
37. Chauhan MJ and Patel SA. A concise review on
sustained drug delivery system and its opportunities. Am J
Pharm Tech Res, 2012;2(2): 227-238.
38. Allen, L.V., Popvich, G.N., & Ansel, H.C. (2004).
Ansel’s Pharmaceutical dosage forms and drug delivery
system.
39. Robinson, J.R., & Lee, V.H. (1987). Controlled drug
delivery. Marcel Dekker.
40. Kube RS, Kadam VS, Shendarkar GR, Jadhav SB and
Bharkad VB. Sustained release drug delivery system:
review. Int J Res Pharm Biotech,2015; 3(3) 246:-251.
41. Mali AD and Bathe AS. A review on sustained release
drug delivery system. GCC J Sci Tech,2015; 1(4): 107-
123.
42. Lapidus H and Lordi NG. Studies on controlled release
formulations. J Pharm Sci, 1968;57, 1292.
43. Kamboj S and Gupta GD. Matrix Tablets: An
important tool for oral controlled release dosage forms.
Pharmainfonet, 2009;7, 1-9.
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