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INTRODUCTION
Controlled drug delivery is one which delivers the drug
at a predetermined rate, for locally and systemically ,for a specified period of time. Continuous oral delivery of drugs at predictable &reproducible kinetics for predetermined period through out the course of GIT. Difference between sustained and controlled release CDDR follows the zero order and concentration remain constant and in sustained release follows the first order of kinetics where concentration varies with time to time. ADVANTAGES 1) Reduction in frequency of drug administration 2) Improved patient compliance 3) Reduction in drug level fluctuation in blood 4) Reduction in total drug usage when compared with conventional therapy 5) Reduction in drug accumulation with chronic therapy 6) Reduction in drug toxicity (local/systemic) 7) Stabilization of medical condition (because of more uniform drug levels) 8) Improvement in bioavailability of some drugs because of spatial control 9) Economical to the health care providers and the patient DISADVANTAGES 1) Delay in onset of drug action 2) Possibility of dose dumping in the case of a poor formulation strateg 3) Increased potential for first pass metabolism 4) Greater dependence on GI residence time of dosage form 5) Possibility of less accurate dose adjustment in some cases 6) Cost per unit dose is higher when compared with conventional doses 7) Not all drugs are suitable for formulating into ER dosage form DRUG SELECTION CRITERIA FOR ORAL SUSTAINED AND CONTROLLED DRUG DELIVERY SYSTEM
1. Physicochemical properties of drug
2. Pharmacokinetic properties of drug 3. Pharmacodynamic properties of drug Application of SR and CRDDS in following drug delivery system a. Oral controlled drug delivery system b. GRDDS c. Ocular drug delivery system d. Trasdermal drug delivery system e. Intestinal drug delivery system f. colonic drug delivery system Physicochemical properties of drug 1. Mol.wt of drug 2. Aqueous solubility 3. Partition coefficient of drug 4. Drug stability 5. Mechanism and site of action 6. Route of administration Pharmacokinetic properties of drug 1. Absorption rate 2. Elimination half life 3. Rate and extent of metabolism 4. Dosage form index 5. Plasma protein binding Pharmacodynamic properties of drug
1. Therapeutic index or range
2. Plasma concentration response relation BIOPHARMACEUTIC AND PHARMACOKINETIC ASPECTS IN THE DESIGN OF CONTROLLED RELEASE PER ORAL DRUG DELIVERY SYSTEMS Controlled release drug delivery systems are dosage forms from which the drug is released by a predetermined rate which is based on a desired therapeutic concentration and the drug’s pharmacokinetic characteristics 1) Biological half-life (t ½) The shorter the t ½ of a drug the larger will be the fluctuations between the maximum steady state concentration and maximum steady state concentration upon repetitive dosing. Thus drug product needs to be administered more frequently. 2)Minimum effective concentration (MEC) If a minimum effective concentration, MEC is required either frequent dosing of a conventional drug product is necessary or a controlled release preparation may be chosen. 3)Dose size and Extent of duration The longer the extent of duration the larger the total dose per unit delivery system needs to be. Hence there is a limitation to the amount of drug that can be practically incorporated into such a system. 4)Molecular weight or size Small molecules may pass through pores of a membrane by convective transport. This applies to both, the drug release from the dosage form and the transport across a biologic membrane. For biologic membranes the limit may be a molecular weight of 150 and 400 respectively for spherical molecules and chain like compounds respectively. 5)Solubility For all mechanisms of absorption the drug must be present at the site of absorption in the form of solution. During the Preformulation study it is necessary to determine the solubility of the drug at various pH values. If the solubility is less than 0.1 μg/ml (in acidic medium) one may expect variable and reduced bioavailability. If the solubility is less than 0.01 μg/ml absorption and availability most likely become dissolution limited dissolution limited. Hence driving force for diffusion may be inadequate. It seems that drugs are well absorbed by passive diffusion from the small intestine upon per oral administration if at least 0.1 to 1% is non ionised form. Classification of oral sustained and controlled drug delivery system
SR/CR
DELAYED TRANSIT AND DELAYED
CONTINUOUS RELEASE CONTINUOUS RELEASE RELEASE SYSTEM SYSTEM SYSTEM Control release dosage form Release Formulation Designs These systems release the drug continuously for prolonged period of time along the entire length of GIT with normal transit time . 1. Dissolution controlled release system 2. Diffusion controlled release system 3. Dissolution and diffusion 4. Ion exchange resin complex 5. Ph-dependent formulation 6. Osmotic pressure controlled release system 7. Hydrodynamic pressure controlled release system Characteristics That may Make A Drug Unsuitable For Control release Dosage Form 1) Short elimination half-life 2) Long elimination half-life 3) Narrow therapeutic index 4) Poor absorption 5) Active absorption 6) Low or slow absorption 7) Extensive first pass effect a) Intestinal release system :A drug may be enteric coated for intestinal release for Several known reason to prevent gastric irritation, destabilization in gastric pH. b) Colonic release system :Drug are poorly absorbed through colon but may be delivered to such a site for two reason- 1. Local action as in the treatment of ulcerative colitis 2. Systemic absorption of protein and peptide drug like insulin and vasopressin.