Floating Drug Delivery
Systems: An updated Review
Shaik. Mohammad Farooq, Syed.
Sunaina, M. Durga Srinivas Rao, P. Venkatesh, D. Hepcykalarani, R. Preama
Jagan’s Institute of
Pharmaceutical Sciences, Jangalakandriga (v) - 524 326, Muthukur (M), Nellore
(Dist.), A.P., India.
*Corresponding Author E-mail: skfarooqpharma@gmail.com
ABSTRACT:
Recent
technological and scientific research has been devoted to develop special focus
on principal mechanism of floating drug delivery systems (FDDS) to over Come
physiological and formulation variables affecting gastric Residence times and
unpredictable gastric emptying times approaches to design single-unit and multiple-unit
floating systems. The present review explains briefly about Floating drug
delivery systems. It also summarizes the in vivo and in vitro
studies to develop performance and applications of floating systems. This
system are more useful to solve various problems that raised during the
development of pharmaceutical dosage forms.
KEYWORDS: Floating drug
delivery systems (FDDS), single units, multiple units, applications.
INTRODUCTION:
Gastric emptying of dosage
forms is an extremely variable process and ability to prolong and control the
emptying time is valuable asset for dosage forms, which reside in the stomach
for a longer period of time than conventional dosage forms several difficulties
are faced in designing controlled release systems for better absorption and
enhanced bioavailability.1-3 to confine the dosage form in the
desired area of gastrointestinal tract .several approaches are currently
utilized in th prolongation of gastric residence times, including swelling and
expanding systems and floating drug delivery systems, shape systems and other
delayed gastric emptying device .
The controlled gastric
retention of solid dosage forms may be achieved by the mechanism of
mucoadhesion, flotation, sedimentation, expansion, modified shape systems or by
simultaneous administration of pharmacological agents that delay gastric
emptying based on this approaches classification of FDDS has been described in
detail.4-6 In vivo / in vitro evaluation of FDDS has been
discussed by scientists to assess the efficiency and application of such
systems .several recent examples have been reported showing the efficiency of
such systems for drugs with bioavailability problems.7-9 The
successful development of oral controlled drug delivery systems requires an
understanding of three aspects of the system namely:
·
Physiochemical
characteristics of the drug
·
Anatomy
and physiology of GIT
·
Characteristics
of dosage forms
Which reside in the stomach
for longer period of time than conventional dosage form. to overcome this
physiological problem, several drug delivery systems with prolonged gastric
retention time have been investigated. Attempts are being made to develop a
controlled drug delivery system that can provide therapeutically effective
plasma drug concentration levels for longer durations, there by minimizing
fluctuations in plasma drug concentration at steady state by reproducible
manner that are less soluble in high pH environment.10-12
Basic gastrointestinal tract
physiology:
Anatomically the stomach is
divided into 3 regions fundus, body and antrum (pylorus). The main function of
the stomach is to process and transport food. The roximal art made of fundus
and body acts as a reservoir for undigested material, whereas the ntrum is the
main site for mixing motions and acts as a pump for gastric emptying by
propelling actions. gastric emptying occurs fasting as well as fed states. The
pattern of motility is however distinct in the 2 states. During fasting state
an interdigestive series of electrical events take place , which cycle both
throug stomach and intestine every 2 to 3 h. This is called the interdigestive
myloelectric cycle or migrating myloelectric cycle (MMC), which is further
divided into following 4 phases as described by Wilson and Washington.13-15
Fig.1. Structure of stomach
Phase I (basal phase):
Last from 30 to 60 min with
rare concentration.
Phase II (preburst phase):
Lasts for 20 to 40 min with
intermittent action potential and contractions. As the phase progresses
the intensity and frequency also gradually increases.
Phase III (burst phase):
Lasts for 10 to 20 min. It
includes intense and regular contractions for short period. It is due to this
wave That all the undigested material is swept out of the stomach down to the
small intestine. Also known housekeeper wave.
Phase IV:
Lasts for 0 to 5 minutes and
occurs between phase III and I of 2 consecutive cycles. contractions changes
from fasted to that of fed state. This is also known as digestive motility
pattern and comprises contractions as in phase II of fasted state. These
contractions result in reducing the size of food particles 9 (to less than 1
mm), which are propelled toward the pylorus in a suspension from. During the
fed state onset of MMC is delayed resulting in slowdown of gastric emptying
rate.16-18
Fig.2. Motility pattern in GIT
FDDS:
Floating systems or hydro
dynamically controlled systems are low-density systems that have sufficient
buoyancy to float over the gastric contents and remain buoyant in in the
stomach without affecting the gastric emptying rate for a prolonged period of
time. While the system is floating on the gastric contents, the drug is
released slowly at the desired rate from the system. After release of drug, the
residual system is emptied from the stomach. This result is seen an increased
GRT and a better control of the fluctuations in plasma drug concentration.
However, besides a minimal gastric content needed to allow the proper
achievement of the buoyancy retention principle, a minimal level of floating
force (F) is also required to keep the dosage form reliably buoyant on the
surface of the meal. Many buoyant systems have been developed based on
granules, powders, capsules, tablets, laminated films and hallow microspheres.19
Classification of FDDS20:
Single unit
floating systems:
Non-effervescent systems
(hydro dynamically balanced systems)
Effervescent systems
(gas-generating systems)
Multiple unit floating
systems:
Non-effervescent systems
(hydro dynamically balanced systems)
Effervescent systems
(gas-generating systems)
Hallow microspheres
Raft forming systems
Approches to desgin FDDS:
The fallowing approaches have
been used for the design of floating dosage forms of single-multiple-unit
systems.
Fig.3. Intragastric residence
positions of floating and non-floating DDS
Single-unit dosage forms:
In low-density approach the
globular shells apparently having lower density than that of gastric fluid can
be used as a carrier for drug for its controlled release. A buoyant dosage form
can also be obtained by using a fluid-filled system that floats in the stomach.
In coated shells popcorn, poprice and polystyrol have been exploited as drug
carriers. Sugar polymeric materials such as methacrylic polymer and cellulose
acetate phthalate have been used to undercoat these shells. These are further
coated with a drug-polymer mixture.The polymer of choice can be either
ethylcellulose or hydroxypropyl cellulose depending on the type of release
desired . finally, the product floats on the gastric fluid while releasing the
drug gradually over a prolonged duration. Fluid filled floating chamber is a
type of dosage forms includes incorporation of gas-filled floatation chamber
into an microporous component that houses a drug reservoir. Apertures or
openings are present along the top and bottom walls through which the
gastrointestinal tract fluid enters to dissolve the drug. The other two walls
in contact with the fluid are sealed so that the un-dissolved drug remains
therein. The fluid present could be air, under partial vacuum or any other
suitable gas, liquid, or solid having an appropriate specific gravity and
an inert behavior. Hydro dynamically balanced systems (HBS) are designed to
prolong the stay of the dosage forms in the gastro intestinal tract and aid in
enchancing the absorption. such systems are best suited for drugs having a
better solubility in acidic environment nd also for the drugs having specific
site of absorption in the upper part of the small intestine. To remain in the
stomach or prolonged period of time the dosage form must have a bulk density of
less than 1. The success of HBS capsule as a better system is best exemplified
with chlordiazeopoxide hydrochloride. the drug is a classical example of a
solubility problem wherein it exhibits a 4000-fold difference in solubility
going from pH 3 to 6 (the solubility of chlordiazeopoxide hydrochloride is 150
mg/mL and is ~0.1mg/mL at neutral pH). HBS of chlordiazeopoxide hydrochloride
had comparable blood level time profile as of there 10-mg commercial capsules.
HBS can either be formulated as floating tablet or capsule. Many polymers and polymers
combinations with wet granulation as a manufacturing technique have been
explored to yield floatable tablets. Various type of tablets (bilayered and
matrix) have been show to have floatable characteristics. Some of the polymers
used hydroxypropyl cellulose, hydroxypropyl methylcellulose, crosspovidone,
sodium carboxymethyl cellulose, and ethyl cellulose. Self correcting floatable
asymmetric configuration drug delivery system employs a disproportionate
3-layer matrix technology to control drug release. Single-unit formulations are
associated with problems such as sticking together or being obstructed in the
gastrointestinal tract, which may have a potential danger of producing
irritation.21
Non-effervescent systems/HBS:
These are single-unit dosage
forms. non-effervescent floating dosage forms use a gel forming or swellable
cellulose type of hydrocolloids, polysaccharides, and matrix- forming polymers
like polycarbonate, polyacrylate, polymethacrylate, and polystyrene. The
formulation method includes a simple approach of thoroughly mixing the drug and
the gel-forming hydrocolloid. After oral administration this dosage form swells
in contact with gastric fluids and attains a bulk density of <
1. The air entrapped within the swollen matrix imparts buoyancy to the dosage
form. The so formed swollen gel-like structure acts as a reservoir and
allows sustained release of drug through the gelatinous mass. Effective drug
delivery depends on the balance of drug loading and the effect polymer on its
release profile.22
Fig.4. Working
principle of HBS
Gas-generating systems:
These are matrix types of
systems prepared with the help of swellable polymers such as
methylcellulose and chitosan and various effervescent compounds, eg ,sodium
bicarbonate, citric acid floatability can also be achieved by generation of gas
bubbles. CO2 can be generated in suit by incorporation of carbonates
or bicarbonates which react with acid ,either the natural gastric acid or
co-formulated as citric or tartaric acid. The optimal stoichiometric ratio of
citric acid and sodium bicarbonate for gas generation is reported to be 0.76:1.
Gastric floating drug delivery system (GFDDS) offers numerous advantages over
other gastric retention systems . these systems have bulk density lower than
gastric fluid and thus remain buoyant in the stomach without affecting the
gastric emptying rate or a prolonged period of time. While the systems is
floating on the gastric contents , the drug is released slowly at desired
rate from the stomach.23
Fig.5. Gas-generating systems
Multiple-unit dosage forms:
The purpose of designing
multiple-unit dosage form is to develop a reliable formulation that has all the
advantages of single-unit form and also is devoid of any of the above
mentioned disadvantages of single-unit formulations. In pursui of this endeavor
many multiple-unit floatable dosage forms have been designed. Microspheres have
high loading capacity and many polymers have been used such as albumin,
gelatin, starch, polymethacrylate, polyacrylamine, and polyalkylcyanoacrylate.
Spherical polymeric microsponges, also referred to as ‘microballoons, have been
prepared. microspheres have a characteristic internal hallow structureand show
an excellent in vitro floatability. In carbon dioxide- generating
multiple-unit oral formulations several devices with features that extend,
un-fold, or are inflated by CO2 generated in the devices after
administration have been described in the recent patent literature.24
Hallow microspheres:
Hallow microspheres loaded
with drug in their outer polymer shelf wre prepared by novel emulsion solvent
diffusion method. The ethanol/dichloromethane solution of the drug and an
enteric acrylic polymer was poured into an agitated solution of poly
vinyl alcohol (PVP) that was thermally controlled as 400oC.
The gas phase is generated in the dispersed polymer droplet by the evaporation
of dichloromethane formed and internal cavity in the microsphere of the polymer
with drug. The microballoon floated continuously over the surface of an acidic
dissolution media containing surfactant for more than 12 h.25
Raft forming systems:
Raft forming systems have been
received much delivery for gastrointestinal infections and disorders. The
mechanism involved in the raft formations includes the formation of viscous
cohesive gel in contact with gastric fluids, wherein each portion of the liquid
swells forming a continuous layer called a raft. This raft floats on gastric
fluids because of low bulk density created by the formation of carbon dioxide.
Usually, the system contains a gel forming agent and alkaline bicarbonates or
carbonates responsible for the formation of CO2 to make the system
less dense and float on the gastric fluids an antacid raft forming
floating systems.26
Mechanism of FDDS:
FDDS have bulk density lesser
than gastric fluid, so they remain buoyant in the stomach without affecting the
gastric emptying rate for a prolonged period of time. While the systems is
floating on the gastric contents, the drug is released slowly at the desired
rate from the system. However, besides a minimal level of floating force (F) is
also required to keep the dosage form reliably buoyant on the surface of the
meal. To measure the floating force kinetics, a novel apparatus for
determination of resultant weight has been reported in the literature. The
apparatus operates by measuring continuously the force equivalent to F (as a
function of time) that is required to maintain the submerged object. This
apparatus helps in optimizing FDDS with respect to stability and durability of
floating forces produced in order to prevent the drawbacks of unforeseeable
intragastric buoyancy capability variations.27
Advantages of FDDS28:
·
Enhanced bioavailability
·
Sustained drug delivery /reduced frequency of dosing
·
Targeted therapy for local aliments in the upper GIT
·
Reduced fluctuations of drug concentration
·
Improved selectivity in receptor activation
·
Reduced counter-activity of the body
·
Extended effective concentration
·
Minimized
adverse activity at the colon
Disadvantages of FDDS29:
·
The
drug substance that are unstable in the acidic environment of the stomach are
not suitable candidates to be incorporated in the systems.
·
These
systems require a high level of fluid in the stomach for drug delivery to float
and work efficiently
·
Gastric
retention is influenced by many factors such as gastric motility, pH, and
presence of food . these factors are never constant and hence the buoyancy
cannot be predicted.
·
Drugs
that cause irritation and lesion to gastric mucosa are not suitable to be
formulated as FDDS.
Approches to
gastroretenation30:
Several
techniques are reported in the literature
to increase the gastric retention of
drugs.
High density
systems:
These systems,
which have a density of ~3g/cc, are
retained in the rugae of stomach and
capable of withstanding its peristaltic movements. The
only major drawback with these systems is that it is technically
difficult to manufacture them with
a large amount of drug (> 50%) and achieve
required density of 2.4-2.8g/cc.
Diluents such as barium sulphate
(density = 4.9g/cc), zinc oxide < titanium oxide
< and iron powder must be
used to manufacture such high-density
formulation.
Swelling and
expanding systems:
These
systems are also called as “plug type
systems”, since they exhibit tendency to
remain logged in the pyloric
sphincters. These polymeric matrices remain
in the gastric cavity for several
hours even in fed state by
selection of polymer with the
proper molecular weight and swelling
properties controlled and sustained drug
release can be achieved. Upon coming
in contact with gastric fluid, the
polymer imbibes water and swells
Mucoadhesive and bioadhesive
systems:
Bioadhesive drug delivery
systems are used to localize a delivery device within the lumen to enhance the
drug absorption in a site-specific manner. This approach involves the use of
bioadhesive polymers, which can adhere to the epithelial surface in the
stomach. Some of the most promising excipients that have been used commonly in
the these systems include polycarbophil, carbopol, lectins, chitosan, CMC and
gelatin, etc
Floating systems:
Floating systems have a bulk
density less than gastric fluids and so remain buoyant in the stomach without
affecting the gastric emptying rate for a prolonged period of time. While the
systems is floating on the gastric contents, the drug is released slowly at the
desired rate from the systems. After release of drug, the residual system
is emptied from the stomach. Floatation of a drug delivery system in the
stomach can be achieved by incorporating floating chamber filled with vacuum,
air, or inert gas
Modified systems:
Systems with non
disintegrating geometric shape molded from silastic Elastomers or extruded from
polyethylene blends, which extended the GRT depending on size, shape and
flexural modules of drug delivery device.
Factors affecting gastric
retenation31,32:
Density:
GRT is a function of dosage
from buoyancy that is dependent on the density
Size:
Dosage form units with a
diameter of more than 9.5mm are reported to have an increased GRT.
Shape of dosage form:
Is one of the factors that
affect its gastric residence time. Six shapes (ring, tetrahedron, clover leaf,
string, pellet, and disk) were screened in vivo for their gastric
retention potential. The tetrahedron (each leg 2cm long) rings (3.6 cm in
diameter) exhibited nearly 100% retention at 24 h.
Frequency of feed:
The GRT can increase by over
400 min when successive meals are given compared with a single meal due to low
frequency of MMC.
Age:
Elderly people, especially
those over 70yr, have a significantly longer GRT.
Evaluation of FDDS:
There are different studies
reported in the literature indicate that pharmaceutical dosage exhibiting
gastric residence in vitro floating behaviour show prolonged gastric
residence in vivo. However, it has to be pointed out that good in
vitro floating behaviour alone is not sufficient proof for efficient
gastric retention in vivo. These effects of the simultaneous presence
are difficult to estimate. Obviously, only in vivo studies can provide
definite proof that prolonged gastric residence is obtained.33-36
Pre-compression studies:
The blends of FDDS were
evaluated for their flow and compression properties.37
Angle of Repose (θ):
Was determined by funneling
method, the blend was poured through the walls of a funnel, which was fixed at
a position such that its lower tip was at a height of exactly 2 cm above hard
surface. The blend was poured till the time when the upper tip of the pile
surface touched the lower tip of the funnel. The θ is calculated by the
equation.
θ=tan–1h/r
Eq. No.
(1)
Where,
θ = angle of repose, h = height of the heap and r = radius of base
of heap circle.
Bulk density (BD): BD was determined
by pouring into a graduated cylinder a weighed amount of blend and measuring
its volume.
Tapped density (TD):
TD was determined by by
pouring into a graduated cylinder a weighed amount of blend. The cylinder was
permitted to drop at 2-second intervals on a surface below its own weight from
the height of 10cm. The tapping continued until no additional volume shift was
observed.
Compressibility Index (CI):
By using Carr’s index the
compressibility of the blends can be determined.
CI = (TD-BD)
×100/TD
Eq.
No. (4)
Hausner’s
Ratio (HR):
Is
a number that correlates to the flow ability of a powder. It is calculated by
the equation.
HR
=TD/BD Eq.
No. (5)
Post-compression studies38-40:
Tablet dimensions:
Thickness and diameter were
measured using a calibrated vernier caliper. three tablets of each formulation
were picked randomly and thickness was measured individually
Hardness:
Hardness indicates the ability
of a tablet to withstand mechanical shocks while handling . the hardness of the
tablet was determined using Monsanto hardness tester. It was expressed in kg/cm2.
Three tablets were randomly picked and hardness of the tablet was determined
Weight variation
test:
Ten tablets were selected
randomly from each batch And weighed individually to check for weight
variation. A little variation was allowed in the weight of tablet by U.S.
pharmacopoeia. The following percentage deviation in weight variation was
allowed show in table
Tablet density:
Tablet density was an
important parameter for floating tablets. The tablets would floats only when
its density was lass than that of gastric fluid (1.004g/cc). the density
was determined using following relationship
v=r2h
Eq.
No. (6)
d=m/v
Eq.
No. (7)
Where: b = volume of tablet
(cc), r = radius of tablet (cm), h = crown thickness of tablet (g/cc) and m = mass
of tablet (g)
Friability test:
The friability of tablets
was determined by using roche friabilator. It was expressed in percentage
(%). Ten tablets were initially weighed (W0) and transferred
into friabilator. The friabilator was operated at 25rpm for 4 minutes or run up
to 100 revolutions . the tablets were weighed again (W). The % friability was
then calculated by
% F=(W0-W)×100/W0 Eq. No. (8)
In vitro buoyancy studies:
The floating behaviour was
evaluated with resultant weight measurements. The experiment was carried out in
two different media, de-ionised water in order to monitor possible difference.
The apparatus and its mechanism are explained earlier in this article. The
results showed that higher molecular weight polymers with slower rate of
hydration had enhanced floating behaviour and it was observed more in simulated
meal medium compared to deionized water.
In vitro dissolution
studies:
The test for floating time
measurement is usually performed in stimulated gastric fluid or 0.1mol/L HCI
maintained at 37oC. it is determined by using USP dissolution
apparatus containing 900ml of 0.1mol/L HCL as the dissolution medium 37oC.
The time taken by the dosage from to float is termed as floating lag time and
the time for which the dosage form floats is termed as the floating or
flotation time. A more revelant in-vitro dissolution method proposed to
evaluate a FDDS (tablet). A 100mL glass beaker was modified by
adding a side arm at the bottom of the beaker so that the beaker can hold 70mL
of 0.1mol/L HCL dissolution medium and allow collection of samples. A burette
was mounted above the beaker to deliver the dissolution medium at a flow rate
2mL/min to mimic gastric acid secretion rate. The performance of the modified
dissolution apparatus was compared with USP dissolution. Apparatus 2
(paddle): the problem of adherence of the tablet to the shaft of the paddle was
observed with the USP dissolution apparatus. The tablet did not stick to the
agitating device in the proposed dissolution curves was observed between the USP
method and the proposed method at 10% difference level (f2=57). The proposed
test may show good in vitro-in vivo correlation since an attempt is made
to mimic the in vivo conditions such as gastric volume, gastric emptying, and
gastric acid secretion rate. Dissolution testes are performed using
dissolutions apparatus, samples are withdrawn periodically from the dissolution
medium with replacement and the analyzed for their drug content after an
appropriate dilution
X-ray/ gamma
scintigraphy:
X-ray/ gamma scintigraphy is a
very popular evaluation parameter for floating dosage form now a days. It
helps to locate dosage from in the GIT and by which one can predict and
correlate the gastric emptying time and the passage of dosage form in the GIT .
here the inclusion of a radio-opaque material into a solid dosage form enables
it to be visualized by x-rays. similarly ,the inclusion of a γ-emitting
radionuclide in a formulation allows indirect external observation using a
γ-camera or scinti-scanner. In case of γ-scintigraphy, the
γ-rays emitted by the radionuclide are focused on a camera, which helps to
monitor the location of the dosage form in the GI tract
Formulation
of FDDS41:
Polymers:
The following
polymers used in preparations of
floating drugs - HPMC K4, HPMC K4 M, HPMC K15,
calcium alginate, eudragit s100, eudragit RL, Mthocel
K4M, polyethylene oxide, a cyclodextrin , HPMC,
CMC, polyethyleneglycol, polycarbonate, PVA, polycarbonate, sodium
alginate, HPC-L, CP 934P, HPC, Eudragit RS,
ethyl cellulose, poly methyl methacrylate ,
PVP, HPC-H, HPC-M, polyox, acrylic polymer E4M and carbopol.
Sustained release polymers:
These are the polymers which are
used for sustained release action. E.g, HPMC, polycarbonate, polyethylene
glycol, sodium alginate, carbopol, eudragit
Effervescent generating
system:
Citric acid, tartaric acid,
sodium bicarbonate, citroglycine etc
Hydro colloids:
Suitable hydrocolloids are
synthetics, anionic or non ionic like hydrocolloids are synthetics, cellulose
derivatives. E.g. Accasia, pectin, agar, alginates, gelatin, casein, bentonite,
veegum, HPC, HEC, and sodium CMC can be used. the hydrocolloids must hydrate in
acidic fluid is having pH 1.2. Although the bulk density of the
formulation may initially be more than one, but when gastric fluid is enter in
the system, it should be hydro-dynamically balanced to have a bulk density of
less than one to assure buoyancy
Inert fatty materials:
Edible, pharmaceutical inert
fatty material, having a specific gravity less than one can be added to
formulation to decrease the hydrophilic property of formulation and hence
increases the buoyancy. Eg. Purified grades of beeswax, fatty acids, long chain
alcohols , glycerides and mineral oils can be used.
Release rate accelerates:
The release rate of the
medicament from the formulation can be modified by including excipient like
lactose and /or mannitol. These may be present from about 5-60% by weight
Release rate retardant:
Insoluble substance such as
di-calcium phosphate , talc, magnesium state decreased the solubility and hence
retard the release of medicaments
Buoyancy increasing agents:
Materials like ethyl
cellulose, which has bulk density less than one, can be used for enhancing the
buoyancy of the formulation. It may be adapted up to 80% by weight
Low density material:
Polypropylene foam powder
Miscellaneous:
Pharmaceutically acceptable
adjuvant like preservatives, stabilizers, and lubricants can be
incorporates in the dosage forms as per the requirements . they do not
adversely affect the hydrodynamic balance of systems.
Applications of FDDS 42, 43:
Sustained drug
delivery:
Oral CR formulations are
encountered with problems such as gastric residence time in the GIT. These
problems can be overcome with the HBS systems which can remain in the stomach
for long periods and have bulk density <1 as a result of which they can
float on the gastric contents. These systems are relativity larger in size and
passing from the pyloric opening is prohibited.
Site-specific drug
delivery:
These systems are particularly
advantages for that are specifically absorbed from stomach or the proximal part
of the small intestine , e.g, riboflavin and furosemide is primarily absorbed
from the stomach followed by the duodenum. It has been reported that a
monolithic floating dosage form with prolonged gastric residence time was
developed and the bioavailability was increased. AUC obtained with the floating
tablets was approximately 1.8 times those of conventional furosemide
tablets
Absorption or
bioavailability enhancement:
Drugs that have poor
bioavailability because of site-specific absorption from the upper part of the
gastrointestinal tract are potential candidates to be formulated as floating
drug delivery systems, thereby maximizing their absorption . A significant
increase in the bio-availability of floating dosage forms (42.9%)could be
achieved as compared with commercially available LZASIX tablets (33.4%)
and enteric-coated LASIX-long product (29.5%)
Reduced
fluctuations of drug concentration:
Continuous input of the drug
following CR-GRDF administration produces blood drug contractions within a
narrower range compared to the immediate dosage forms. Thus, fluctuations in
the drug effects are minimized and concentration dependent adverse effects that
are associated with peak concentration can be prevented. This feature is of
special importance for drugs with a narrow therapeutic index
CONCLUSION:
Drug absorption in the
gastrointestinal tract is highly variable procedure and prolonging gastric
retention of the dosage form extends the time for drug adsorption. FDDS
promises to be a potential approach for gastric retention. Although there are
number of difficulties to be worked out to achieve prolonged gastric retention,
a large number of companies are focusing toward commercializing this technique.
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Received on 13.12.2019
Modified on 16.01.2020
Accepted on 05.02.2020 ©Asian Pharma Press All
Right
Reserved
Asian J. Pharm. Res. 2020; 10(1): 39-47.
DOI: 10.5958/2231-5691.2020.00009.X