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Indian Journal of Pharmacology 2000; 32: S54-S61

N.A. KSHIRSAGAR

DRUG DELIVERY SYSTEMS

N.A. KSHIRSAGAR

Department of Clinical Pharmacology, L.T.N. Medical College & B.Y.L. Nair Ch. Hospital, Mumbai-400 008.

1. Introduction fusion cell. The release rate increased linearly with


increasing drug concentration and PVP fraction in the
Development of new drug molecule is expensive and film but was independent of film thickness, followed a
time consuming. Improving safety efficacy ratio of diffusion controlled model but a burst effect was ob-
“old” drugs has been attempted using different meth- served initially at high concentration. The in vitro skin
ods such as individualizing drug therapy, dose titra- permeation profile showed increased flux values with
tion and therapeutic drug monitoring. Delivering drug increased drug and PVP concentration in the film. Au-
at controlled rate, slow delivery, targeted delivery are thors concluded that films composed of ethylcellulose
other very attractive methods and have been pur- :PVP:diltiazem (8:2:2) or indomethacin (8:2:3) with
sued very vigorously. suitable adhesive layer and backing membrane could
This article reviews the work done in our country on be developed for therapeutic purpose.
drug delivery system. It is interesting to note that
The same group studied 3 permeability of cellulose
considerable work and many publications from USA,
acetate (CA) free films casted from chloroform solu-
Europe are authored by Indian researchers.
tion containing different plasticizers viz. dibutyl
2. Transdermal drug delivery system (TDDS) pthalate (DBP), polyethylene glycol (PEG) and pro-
pylene glycol (PG). Permeability characteristics of
The literature on transdermal delivery of drugs has free films were studied using the drugs such as
been revised1. The transdermal drug delivery sys- diltiazem hydrochloride (DLT) and indomethacin (Ind).
tem has potential advantages of avoiding hepatic first The order of permeability of plasticized films with
pass metabolism, maintaining constant blood levels plasticizers is PEG>PG>DBP. Diffusion of drugs
for longer period of time, decrease side effects, de- through the free films of CA was extended over a
crease gastrointestinal effect that occur due to local longer period of time at a controlled rate and thus,
contact with gastric mucosa and improved compli- these can be used as rate controlling membranes
ance. for the development of a transdermal drug delivery
The release pattern from TDDS is studied by in vitro system.
(ex vivo) models using artificial membranes or ani-
In an attempt to develop TDDS for pulsatile delivery
mal or cavdaveric skin. The hairless guinea pig and
of testosterone (T) Misra et al 4 developed two for-
brattleboro rat appear to be good models for investi-
mulations, one consisting of T and a polymer blend
gating skin/transdermal drug delivery systems, in
dissolved in isopropanol administered by dispensing
vivo.
the solution on skin to cast a film in situ and another
Rao and Diwan2 developed ethylcellulose polyvinyl one an adhensive dispersion patch. In vitro release
pyrrolidone (PVP) film containing diltiazem from the patch was evaluated using a flow through
hydrochoride and indomethacin. The influence of ini- cell interfaced with a HPLC pump and UV detector.
tial drug concentration, film composition, and film Single dose pharmacokinetics were evaluated in
thickness on the in vitro drug release rate as well as castrated Wistar rats and bonnet monkeys immunized
drug permeation through rat abdominal skin were against gonadotropin releasing hormones to deplete
studied using paddle over skin method and full thick- endogeneous T. The two formulations resulted in a
ness rat abdominal skin using a modified Franz dif- burst and sustained phase of drug release.
DRUG DELIVERY SYSTEM S55

Membrane permeation controlled TDDS for nifedipine high molecular weight peptides and nonelectrolytes
using collagen (from calf fetus skin) and chitosan due to the indirect effect of electric current i.e. cou-
membranes has been developed5. Alginate gel was pled flow of water (ion to hydrokinesis). The relative
used to increase stability of nifedipine in the system. conductivity of skin is proportional to its water con-
Transdermal devices were prepared by adhesive tent, stratum cornium is the major barrier for permea-
sealing technique. In vitro release studies were car- tion of ionic compounds. Conventional direct current
ried out using modified Franz diffusion cells. Drug (dc) iontophoresis inevitably develops a skin polari-
release was found to depend on the type of mem- zation potential which reduces the efficacy of ionto-
branes used to control the drug delivery. phoretic transdermal delivery. It may also cause irri-
tation and burns. A prolonged iontophoretic delivery
In another study6 Chitosan membranes with differ- therefore cannot be used.
ent permeability to propranolol hydrochloride were
obtained by controlled cross-linking with glutaralde- These limitations can be overcome by using depo-
hyde to regulate the drug release in the devices. larizing or pulsatile current. Nanda et al 9 showed
Chitosan gel was used as the drug reservoir. The that iontophoresis caused a significant increase in
ability of these devices to deliver the drug while sup- transdermal permeation of propranolol hydrochloride
ported on rabbit pinna skin was tested by conduct- in vitro through skin. They also studied10 the effect of
ing in vitro studies in modified Franz diffusion cells. pulsed dc wave form on transdermal delivery of pro-
The drug release profiles showed that the drug de- pranolol hydrochloride in rats having normal blood
livery is completely controlled by the devices. The pressure and in those made hypertensive with in fu-
rate of drug release was found to be dependent on sion of noradrenaline. Unlike after passive diffusion,
the type of membrane used. propranolol, delivered in vivo into rat by iontophore-
sis, was detected in blood and it blocked response to
Krishna et al 7 formulated a carboxy methylcellulose
isoprenaline and decreased the rise in mean arterial
sodium based TDD for propranolol and evaluated it
pressure due to noradrenaline.
for in vitro and in vivo performance. In vitro studies
using excised hair free rat skin model in a modified Transdermal (TD) films of terbutaline hydrochloride
Franz diffusion cell resulted in 66.54% permeation was formulated11 using hydroxypropyl methyl cellu-
at the end of 24 hr in a zero order permeation profile. lose as monolithic matrix, for evaluation of pharma-
Skin irritation studies in rats evaluated for flare and cokinetic and pharmacodynamic parameters. The
wheal with respect to a formalin control indicated that skin irritation study revealed no signs of erythema or
drug containing patch invoked only a mild response edema in rabbits. TD formulation was more effective
over a 7 day period. than oral dosage form as evident from the pharma-
codynamic studies carried out on guinea pig, using
Bhat et al 8 prepared betamethasone dipropionate histamine aerosol induced bronchospasm model.
ointment and studied the effect of permeation en-
hancers such as surfactants, B cyclodextrin, bile salt, Bioadhesive drug delivery system was prepared12
iontophoresis, sonophoresis and hyperthermia, us- using polymer carboxy methyl cellulose, polyvinyl
ing Sigma dialysis membrane and rat skin. Histamine pyrrolidone, sodium alginate, hydroxy propyl cellu-
wheal suppression technique was used to assess lose, hyroxymethyl cellulose, 100 cps, K4M, carbopol
permeation. It was seen that in vivo 0.2% Span 20 93%. The adhesion strength of the polymer was as-
and 0.1% sodium lauryl sulphate and 0.45% sodium sessed by a shear stress detachment method. The
chloride promoted permeation of drug; sonophoresis bio-adhesion strength was measured using a modi-
and iontophoresis enhanced permeation through rat fied Martii Marvola method. Hydroxypropylmethyl
skin. cellulose K4M and 100 cps tablets exhibited maxi-
mum bio-adhension. X-ray studies in rabbits con-
Iontophoresis involves transport of ionic (charged) firmed the bio-adhesion. Tablets had adhesion of
molecule into a tissue by passage of a direct electric more that 7 hours.
current through an electrolyte solution containing
ionic molecule to be delivered using an appropriate Transdermal films to terbutaline sulphate were
electrode polarity, and enhancement of transport of formulated13 as monolithic matrices using cellulose
S56 N.A. KSHIRSAGAR

polymers like hydroxypropyl methyl cellulose (HPMC), renal damage. It was effective in patients resistant to
sodium carboxymethyl cellulose (CMC), PEG 400 fluconazole and plain amphotericin. Unlike Ambisome
and propyleneglycol were used as enhancer in vari- (USA) which needs to be used in dose of 3 mg/kg/
ous ratios. In vitro diffusion studies were carried out day this is effective at 1 mg/kg/day dose. The same
across isolated stratum corneum of fresh human group studied different dosage regimens of liposomal
cadaver skin using a polycarbonate feeding bottle amphotericin using Aspergillus murine model17. It was
modified as a diffusion cell. The release of drug from found that liposomal amphotericin was more effec-
formulation followed a zero order kinetics. The tive than equal dose of free amphotericin B given
transdermal permeability across human skin was after fungal spore challenge. A large single dose of
enhanced with the increasing plasticiser concentra- liposomal amphotericin was more effective, whether
tion. The release rate was greater in case of HPMC given before or after spore challenge, than given as
films, which may be due to low viscosity and greater two divided doses.
hydrophilicity of the polymer than CMC. PEG 400 was
found to be better permeation enhancer compared It was investigated18 in patients with visceral leish-
to propylene glycol. The drug permeability was not maniasis and found to be effective in patients who
enhanced when % w/w of plasticizer was doubled had not responded to antimony, pentamidine and
from 20 to 40. Combination of plasticizers resulted in amphotericin. Because of its safety, it can be given
significant increase in permeability. at 3 mg/kg/day dose thus reducing total duration of
treatment. It was successfully used in a child suffer-
Tatapudy and Madan14 described preparation of ing from visceral leishmaniasis19. This is the first
benzolyl peroxide microcapsules. Benzoyl peroxide liposomal preparation developed outside of USA,
is used for treatment of acne but it explodes in which has been used in patients.
micronized drug state and is a known skin irritant.
In an attempt to improve efficacy and reduce toxicity
Microencapsulation would result in slow release for
further, liposomes with grafted ligand have been de-
prolonged period thus avoiding toxic effect.
veloped. Pentamidine isethionate and its methoxy
3. Liposomal and targetted drug delivery system derivative were encapsulated in sugar grafted
liposomes and tested against experimental leishma-
Liposomes are concentric bilayered structures made niasis in vivo 20. It was seen that sugar grafted
of amphipathic phospholipids and depending on the liposomes specially the mannose grafted ones were
number of bilayer, liposomes are classified as potent in comparison to normal liposome encapsu-
multilamellar (MLV), small unilamellar (SUVs) or large lated drug or free drug.
unilamellar (LUVs). They range in size from 0.025µ -
10µ in diameter. The size and morphology of 3.2. Anticancer drugs
liposomes are regulated by the method of prepara-
tion and composition. Liposomes are used for deliv- Mukhopadhyay21 developed conjugate of antineoplas-
ery of drugs, vaccines and genes for a variety of dis- tic drug daunomycin (DNM) with maleylated bovine
orders. serum albumin. It was taken up with high efficiency
by multi drug resistant variant JD100 of the murine -
3.1. Infectious diseases macrophage tumor cell line J774A.1 through the
scavenger receptors resulting in cessation of DNA
Bacchawat and coworkers developed liposomal am-
synthesis.
photericin and investigated it in animal models of fun-
gal infection and leishmaniasis. Kshirsagar and A thermosensitive liposomal taxol formulation (heat
coworkers15,16 modified the formulation, developed a mediated targeted drug delivery) in murine melanoma
“Patient Worthy” sterile pyrogen free liposomal am- was developed and studied by another group of work-
photericin preparation and investigated it in patients ers22. Cremophor which is used as excipient due to
with systemic fungal infections and leishmaniasis. It the low aqueous solubility of taxol has toxic side ef-
was found to be safe producing significantly less ad- fects. Temperature sensitive liposomes encapsulat-
verse effects compared to plain amphotericin in pa- ing taxol were prepared using egg phosphati-
tients with systemic fungal infection, did not produce dylcholine and cholesterol in combination with
nephrotoxicity and could be given to patients with ethanol. The liposomes have a phase transition
DRUG DELIVERY SYSTEM S57

temperature of 43oC. A significant reduction in tumor controlled drug delivery system has been studied26.
volume was noted in tumour bearing mice treated Mesophasic proliposomal system for levonorgestral
with a combination of hyperthermia and theromo- was prepared27. The vesicles were mostly unilamellar
sensitive liposome encapsulated taxol, compared to and some were multilamellar. Release was of zero
animals treated with free taxol with or without hyper- order kinetics. Alcohol as compared to oils had
thermia in B16F 10 murine melanoma transplanted greater effect on transdermal flux.
into C57BI/6 mice.
In vivo studies showed that a significant lag phase
Sharma et al 23 also investigated the use of polyvi- was observed before the therapeutic levels were
nylpyrrolidone nanoparticles containing taxol pre- reached indicating the requirement for a loading dose.
pared by reverse micro-emulsion method. The size This proliposomes system was found to be superior
of nanoparticle was found to be 50-60 nm. The to PEG based ointment system.
antitumor effect of taxol was evaluated in B16F10
Liposomal reservoir system bearing local anesthetic
murine melanoma transplanted in C57 B 1/6 mice.
benzocaine was developed28 for controlled and lo-
In vivo efficacy of taxol containing nanoparticles as
calized delivery via topical route. The liposomal sus-
measured by reduction in tumor volume and in-
pension was incorporated into an ointment and gel
creased survival time was significantly greater than
base. The systems delivered the drug at a controlled
that of an equivalent concentration of free taxol.
rate ever 24 hr compared to plain ointment which
3.3. Lung specific drug delivery had a rapidly decreased release rate. The drug de-
In Chandigarh lung specific liposomes was developed livery across human cadaver skin was very slow. In
and investigated in animal models of tuberculosis24. vivo studies showed a longer duration of action in
the case of liposomal formulation.
Liposomes tagged with O.stearlylamylopectin
(O-SAP) resulted in increased affinity towards lung 3.6. Miscellenous
tissue of mice. Liposomes containing egg phos-
phatidylcholine cholesterol dicetylphosphate, O-SAP, Nabar 29 studied the effect of size and charge of
monosialo-ganglioside (GMI)/DSPE PEG 2000 were liposome in the bio-distribution of 99m TC-DTPA en-
found to be more stable in serum. These liposomes capsulated in liposome after intravenous injection in
accumulated more in lungs than in reticulo endothe- rats. They observed that multilamellar vesicles (MLV)
lial system of normal and tuberculosis mice. were taken up to a greater extent as compared to
Liposomes were stable in vivo and released contents SUVs in liver spleen and lungs. Positively charged
slowly. INH and rifampicin encapsulated in liposomes MLVs than negative or neutral ones, were taken up
were less toxic to peritoneal macrophages and also more in liver, positively charged SUVs were taken
in vivo as compared to free drug. up more in kidneys and neutral MLVs were taken up
more in lungs than charged ones.
3.4. Targeting to brain
An attempt was made 30 to improve stability of
Jain et al 25 developed dopamine hydrochloride bear- liposome by coupling the drug with the lipid bilayer
ing positively charged small liposomes by sonicating using a cross linking agent. Soya phosphatidylcholine
multilamellar vesicles and studied their physical at- (SPC) containing liposomes were prepared by cal-
tributes and drug leakage and release pattern. In vivo cium induced fusion method. Positively charged
performance was assessed by periodic measurement stearylamine was introduced in the bilayer. The
of chlorpromazine induced catatonia in Sprague Daw- liposomes were coupled to entrapped ibuprofen by
ley rats and was compared with plain dopamine hy- EDAC (1-ethyl 3-(3-dimethyl aminopropyl) car-
drochloride, dopamine and levodopa carbidopa. The bodiimide HCI) and the coupling was confirmed by
studies showed that dopamine can be effectively UV spectrum. It was observed that EDAC in SPC
delivered into the brain and its degradation in circu- containing stearylamine liposomes retarded the re-
lation can be prevented by incorporating it into lease of ibuprofen significantly.
liposomes.
In albino rats, the various factors affecting systemic
3.5. Transdermal delivery absorption of nasally applied gentamycin sulphate
Bioadhesive liposomes bearing levonorgestrel as using in situ nasal perfusion technique was studied31.
S58 N.A. KSHIRSAGAR

Tween 80 which is a surfactant increases drug. Another group 35 formulated sustained release
permeation by altering membrane structure and capsules of nifedipine containing an initial rapidly
permeability. In this study Tween 80 upto 1% W/V available loading dose in the form of solid dispersion
concentrations, increased permeability. Betacyclo- and a sustained release part as micro particles
dextrin at 0.25% W/V concentration, another per- coated with polyvinyl acetate (m.wt 45000) film us-
meability enhancer was found to significantly in- ing a modified Wurster coating apparatus. The prod-
crease permeability initially but was found to pla- ucts provided release of initial therapeutic dose of
teau off later on. However both these permeability drug in less than 45 min and sustained release over
enhancer were found to decrease stability and po- 11-12 hours. The same group developed36 a diffu-
tency of gentamycin. sion cell for the determination of drug release from a
topical aerosol formulation.
4. Other controlled drug delivery systems
4.2. Parenteral
Extended release, slow release and sustained re-
lease preparation have been developed by pharma- Kushwaha 37 used a blend of synthetic polymer poly-
ceutical industry and pharmacy departments and vinyl alcohol and natural macromolecule gum arabica
investigated in vitro for release pattern and in vivo and found that duration and release of drug depends
for bio-equivalence. on the amount of drug loaded in the matrix and solu-
bility of the drug in the matrix and the release me-
4.1. Oral dium. The advantage of this system is that the re-
There is a great need in oral delivery of protein and lease kinetics of the drug from the system can be
peptide drugs, suitable devices for delivering the tailored by adjusting the plasticizer, homopolymer and
therapeutic agent incorporated microspheres selec- cross linker composition.
tively in the intestine. Gelatin capsules were coated Chitosan microspheres of 45-300 micros were used
with various concentrations of sodium alginate and for controlled delivery of progesterone 38. In vitro and
cross-linked with appropriate concentrations of cal- in vivo release was tested. It was seen that highly
cium chloride and tested in vitro for resistance to cross linked spheres released only 35% of incorpo-
gastric and intestinal medium. Gelatin capsules rated steroids in 40 days compared to 70% from
coated with 20% w/v of the polymer, which gave the lightly cross linked spheres. Determination of in vivo
most promising result in vitro, were evaluated in hu- bioavailability of the steroid from microsphre formu-
man volunteers for their in vivo gastro intestinal tract lation by intramuscular injection in rabbits showed
behaviour. The radiographical studies show that that a plasma concentration of 1-2 ng/ml was main-
while the un-coated gelatin capsules disintegrated tained upto 5 months without a high burst effect. The
in the stomach within 15 min of ingestion, the algi- data suggests that cross linked chitosan
nate coated gelatin capsules remained intact as long microspheres would be an interesting system for long
as they were retained in the stomach (up to 3 h) and term delivery of steroids.
then migrated to the ileocecal region of the intestine
and disintegrated32. Cross linked dextran beads were developed as a car-
rier for development of a single contact vaccine de-
Vanarase and Nagarsenkar33 prepared pellets of livery system39.
1mm and 1.65 mm size of prochlorperazine maleate
using a modern pelletization technique. The pellets There has been extensive research on drug delivery
were coated with ethylcellulose and evaluated for in by biodegradable polymeric devices since bio-
vitro release, using USP dissolution apparatus. They resorbable surgical sutures entered the market two
noted that release of PCPM can be reduced with decades ago. Among the different classes of biode-
increasing amount of ethylcellulose. gradable polymers, the thermoplastic aliphatic poly
(esters) such as poly (lactide) (PLA), poly (glycolide)
Rangaiah et al prepared and studied34 the sustained (PGA), and especially the copolymer of lactide and
release tablets of theophylline using Eudragit RLPM, glycolide referred to as poly (lactide-co-glycolide)
RSPM and HPMC. Bioavailability studies in volun- (PLGA) have generated tremendous interest because
teers showed that HPMC and Eudragit formulation of their excellent bio-compatibility, biodegradabi-
produced sustained plasma concentration of the lity, and mechanical strength 40. They are easy to
DRUG DELIVERY SYSTEM S59

formulate into various devices for carrying a variety odontal sites using ethyl cellulose strips and mark-
of drug classes such as vaccines, peptides, proteins edly suppress the subgingival bacteria over a period
and micromolecules. Most importantly, they have of several days. The tetracycline showed a faster re-
been approved by the United States Food and Drug lease; however, the metronidazole required a lesser
Administration (FDA) for drug delivery. concentration to achieve complete reduction of the
subgingival flora.
Dhiman and Khuller41 found that mice immunized with
microparticles of poly (DL-lactide-co-glycolide) (DL- A saliva activated bio-adhesive drug delivery system
PLG) as delivery vehicles for 71-KDa cell wall asso- was developed44 for lidocaine hydrochloride and com-
ciated protein of mycobacterium tuberculosis H37 pared its effect with topical gel preparation in den-
Ra, exhibited significantly higher T cell stimulation tistry. It was found that DDS adhered to gingival within
and cytokine release in comparison to 71-KDa emul- a minute and produced peak effect in 15 minutes
sified in Freund’s incomplete adjuvant (FIA) as well and produced greater depth of anesthesia than the
as BCG vaccinated group. Further the protective ef- marketed topical gel.
fect of 71KDa- PLG was compared with 71KDa FIA
on the basis of survival rates and viable bacilli load
4.4. Colon specific drug delivery
in different organs at 30 days post challenge and me- Specific targeting of drugs to the colon is recognized
dian lethal dose(LCD50) of M. tuberculosis H37Rv. to have several therapeutic advantages. Drugs, which
71KDa PLG was more effective when challenge was are destroyed by the stomach acid and / or metabo-
given 16 week after immunization. Further 71KaDa- lized by pancreatic enzymes, are slightly affected in
PLG immunized group exhibited a significantly higher the colon, and sustained colonic release of drugs
clearance of bacterial load from the lungs and livers can be useful in the treatment of nocturnal asthma,
in comparison to the 71KDa FIA immunized group. angina and arthritis. Treatment of colonic diseases
such as ulcerative colitis, colorectal cancer and
Poly (lactide-co-glycolide) (PLG) was used42 to de- Crohn’s disease is more effective with direct delivery
liver diclofenac in the form of microspheres and in of drugs to the affected area. Likewise, colonic deliv-
situ gel-forming systems, subcutaneously. The phar- ery of vermicides and colonic diagnostic agents re-
macokinetic and pharmacodynamics studies in the quire smaller doses.
adjuvant - induced arthritic rats showed that micro
spheres produced steady therapeutic levels of the Prasad et al 45 developed a colon specific oral tablet
drug in the plasma for about 16 days following a sin- using guar gum as carrier. Drug release studies un-
gle subcutaneous injection. The in situ gel-forming der conditions mimicking mouth to colon transit have
provided significantly higher maximum plasma con- showed that guar gum protects the drug from being
centration and inhibition of inflammation was main- released completely in the physiological environment
tained for about 10 days. of stomach and small intestine. Guar gum at pH 6.8
is susceptible to colonic bacterial enzyme action, with
4.3. Dental product drug release. Pre-treatment of rats orally with aque-
ous dispersion of guar gum for 3 days, induced en-
Somayaji et al 43 used an ethylcellulose strip as de- zyme specifically acting on guar gum. Thereby in-
livery medium for tetracycline and metronidazole to creasing drug release. The result indicates useful-
reduce sub-gingival microorganisms in periodontal ness of guar gum as a potential carrier for colon spe-
pockets. Patients were given supragingival scaling cific drug delivery.
and then divided into 5 groups, depending on the
length of time the medication was in place. Sites were A novel colon specific drug delivery system based
marked for tetracycline, metronidazole, and placebo. on a polysaccharide, guar gum was evaluated46 in
Sites were wiped and isolated, and baseline micro- healthy human male volunteers, with gamma scinti-
biology samples were taken for gram staining and graphic study using technetium 99m-DTPA as tracer.
culture methods. After treatment, subgingival micro- It was seen that some amount of tracer present on
biological samples were taken again. The ethyl cel- the surface of the tablets was released in stomach
lulose strips were removed and analyzed for any re- and small intestine and the bulk of the tracer present
maining drug. Results showed that tetracycline and in the tablet mass was delivered to the colon. The
metronidazole could both be applied locally to peri- colonic arrival time of the tablets was 2-4 hr. On
S60 N.A. KSHIRSAGAR

entering the colon, the tablets were found to degrade. for the controlled delivery of propranolol hydrochloride.
Biomaterials 1995;16:145-8.
Methacryloyloxy azobenzene and hydrogel was pre-
pared by copolymerizing with hydroxyethyl methacr- 7. Krishna R, Pandit JK. Carboxymethylcellulose-sodium
based transdermal drug delivery system for propranolol. J
ylate47. In vitro release studies of the incorporated
Pharm Pharmacol 1996;48:367-70.
5-flurouracil was carried out in simulated gastric and
intestinal fluids. In vitro release profile in hte pres- 8. Bhat M, Shenoy DS, Udupa N, Srinivas CR. Optimization
ence of azoreductase in the culture of intestinal flora of delivery of betamethasone - dipropionate from skin
followed a zero order pattern. preparation. Indian Drugs 1995;32: 211 -4.

9. Nanda A, Khar RK. Drug Dev Indian Pharm 1994;20: 3033-


5. Conclusion 44.

Pharmaceutical development of drug delivery sys- 10. Nanda A, Khar RK. Pulsed mode constant current
tem is being pursued enthusiastically in many labo- iontophonetic transdermal delivery of propranalol hydro-
ratories in India. These are being investigated in vitro chloride in acute hypertensive and normotensive rats. In-
for release pattern and in some cases in vivo in ani- dian Drugs 1998;35:274-80.
mals for pharmacokinetics but less frequently for ef-
11. Murthy SN, Shobha Rani HS. Comparative pharmacoki-
ficacy. There is a paucity of data on clinical studies netic and phar macodynamic evaluation of oral vs
and utility of the DDS in patients. It is necessary that transdermal delivery of terbutaline sulphate. Indian Drugs
pharmacologists should be involved in the investiga- 1998;35:34-6.
tion of pharmacokinetics and pharmacodynamics of
DDS if the products have reach their meaningful out 12. Rao MY, Vani G, Chary BR. Design and evaluation of
mucoadhesive drug delivery systems. Indian Drugs 1998;
come - the clinical use. 35:558-65.

ACKNOWLEDGMENTS 13. Murthy NS, Satheesh M. Enhancer synergism of propyl-


ene glycol and PEG -400 in terbutaline sulphate
We thank Ms.Babita Kirodian for helping in the prepa- transdermal drug delivery systems. Indian Drugs 1997;
34:224-6.
ration of the manuscript and Mrs.Sangita Gurav for
typing of the manuscript. 14. Tatapudy H, Madan PL. Benzoyl peroxide microcapsules
I. preparation of core material. Indian Drugs 1995;32: 239-
REFERENCES 48.

1. Panchagnula R. Transdermal delivery of drugs. Indian J 15. Kshirsagar NA, Gokhale PC, Pandya SK. Liposomes as
Pharmacol 1997;29:140-56. drug delivery system in leishmaniasis. J Assoc Physicians
India 1995;43:46-8.
2. Rao PR, Diwan PV. Formulation and in vitro evaluation of
polymeric films of diltiazem hydrochloride and indometh- 16. Kshirasagar NA, Bodhe PV, Kotwani RN. Targeted drug
acin for transdermal administration. Drug Dev Indian delivery in visceral leishmaniasis. J Par Dis 1997;21:21-4.
Pharmac 1998;24:327-36.
17. Kotwani RN, Gokhale PC, Kshirsagar NA, Pandya SK.
3. Rao PR, Diwan PV. Permeability studies of cellulose ac- Optimizing dosage regimens of liposomal amphotericin B
etate free films for transdermal use: influence of plasticiz- using Aspergillus murine model. Indian J Pharmacol
ers. Pharmaceutica Acta Helvetiae 1997;72:47-51. 1996;28:88-92.

4. Misra A, Pal R, Majumdar SS, Talwar GP, Singh O. Biphasic 18. Gokhale PC, Kshirsagar NA, Khan MU, Pandya SK,
testosterone delivery profile observed with two different Meisheri YV, et al . Successful treatment of resistant vis-
transdermal formulations. Pharm Res 1997;14:1264-8. ceral leishmaniasis with liposomal amphotericin B. Trans
Roy Soc Trop Med Hyg 1994;88:228.
5. Thacharodi D, Rao KP. Rate-controlling biopolymer mem-
branes as transdermal delivery systems for nifedipine: de- 19. Karande SC, John Boby KF, Kshirsagar NA. Successful
velopment and in vitro evaluations. Biomaterials 1996; treatment of antimony - resistant visceral leishmaniasis
17:1307-11. with liposomal amphotericin B (L-amp-LRC) in child. Trop
doctor 1995;25:80-1.
6. Thacharodi D, Rap KP. Development and in vitro evalua-
tion of chitosan- based trandermal drug delivery system 20. Banerjee G, Nandi G, Mahato SB, Pakrashi A, Basu MK.
DRUG DELIVERY SYSTEM S61

Drug delivery system: targeting of pentamidines to spe- Indian Drugs 1995;32:543-7.


cific sites using sugar grafted liposomes. J Antimicrob
Chemother 1996;38:145-50. 35. Asgar A, Sharma SN. Sustained release through coated
microparticles of nifedipine. Indian Drugs 1996;33:30-5.
21. Mukhopadhyay A, Mukhopadhyay B, Basu K. Circumven-
tion of multidrug resistance in neoplastic cells through scav- 36. Asgar A, Radha S, Agarwal SP. Fabrication of a diffusion
enger receptor mediated drug delivery. FEBS letters cell for the determination of drug release from topical aero-
1995;276:95-8. sol formulations. Indian Drugs 1997;34:715-7.

22. Sharma D, Chelvi TP, Kaur J, Ralhan R. Thermosensitive 37. Kushwaha V, Bhowmick A, Behera BK, Ray AR. Sustained
liposomal taxol formulation: heat-mediated targeted drug release of antimicrobial drugs from polyvinylalcohol and
delivery in murine melanoma. Melan Res 1998;8:240-4. gum arabica blend matrix. Art Cells Blood Subst Immobili-
zation Biotechnol 1998;26:159-72.
23. Sharma D, Chelvi TP, Kaur J, Chakravorty K, De TK, Maitra
A, Ralhan R. Novel taxol formulation : polyvinylpyrrolidone 38. Jameela SR, Kumary TV, Lal AV, Jayakrishnan A. Progres-
nanoparticle-encapsulated taxol for drug delivery in can- sive loaded chitosan microspheres: a long acting biode-
cer therapy. Oncol Res 1996;8:281-6. gradable controlled delivery system. J Cont Rel 1998;52:17-
24.
24. Deol P, Khuller GK. Lung specific stealth liposomes: sta-
bility, biodistribution and toxicity of liposomal antitubercu- 39. Diwan M, Misra A, Khar RK, Talwar GP. Long-term high
lar drugs in mice. Biochimica Biophysi Acta 1997;1334: immune response to diphtheria toxoid in rodents with diph-
161-72. theria toxoid conjugated to dextran as a single contact point
delivery system. Vaccine 1997;15:1867-71.
25. Jain NK, Rana Ac, Jain SK. Brain drug delivery system
bearing dopamine hydrochloride for effective management 40. Jain R, Shah NH, Malick AW, Rhodes CT. Controlled drug
of parkinsonism. Drug Dev Ind Pharm 1998;24:671-5. delivery by biodegradable poly (ester) devices : different
preparative approaches. Drug Dev Indian pharm 1998;
26. Uppadhyay AK, Dixit VK. Bioadhesive liposomes bearing 24:703-27.
levonorgestrel as controlled drug delivery system.
Pharmazie 1998;53:421-2. 41. Dhiman N, Khuller GK. Protective efficacy of mycobacte-
rial 71-KDa cell wall associated protein using poly (DL-
27. Deo Mr, Sant VP, Parekh SR, Khopade AJ, Banakar UV. lactide-co-glycolide) microparticles as carrier vehicles.
Proliposome-based transdermal delivery of levonorgestrel. FEMS Immunol Med Microbiol 1998;21:19-28.
J Biomat App 1997;12:77-88.
42. Chandrashekar G, Udupa N. Biodegradable injectable im-
28. Singh R, Vyas SP. Topical liposomal system for localized plant systems for long term drug delivery using poly (lac-
and controlled drug delivery. J DermatoI Sci 1996;13:107- tic-co-glycolic) acid copolymers. J Pharm Pharmacol 1996;
11. 48:669-74.

29. Nabar SJ, Nadkarni GD. Effect of size and charge of 43. Somayaji BV, Jariwala U, Jayachandran P, Vidyalakshmi
liposomes on biodistribution of encapsulated 99mTc - DTPA K, Dudhani RV. Evaluation of antimicrobial efficacy and
in rats. Indian J Pharmacol 1998;30:199-202. release pattern of tetracycline and metronidazole using a
local delivery system. J Periodontol 1998;69:409-13.
30. Sivakumar PA, Mythily S, Alamelu S, Rao PK. Liposome -
ibuprofen conjugate and the release characteristics of 44. Taware CP, Mazumdar S, Pendharkar M, Adani MH,
ibuprofen. Indian Drugs 1994;31:568-73. Devarajan PV. A bioadhesive delivery system as an alter-
native to infiltration anesthesia. Oral Sur Oral Med Oral
31. Martin DB, Udupa N. Nasal drug delivery of gentamycin Pathol Oral Radiol Endodontics 1997;84:609-15.
sulphate. Indian Drugs 1994;31:365-69.
45. Prasad YV, Krishnaiah YS, Satyanarayana S. In vitro evalu-
32. Narayani R, Rao KP. Polymer-coated gelatin capsules as ation of guar gum as a carrier for colon-specific drug deliv-
oral delivery devices and their gastrointestinal tract be- ery. J Cont Rel 1998;51:281-7.
haviour in humans. J Biomat Sc i Polymer Edition. 1995;7:
39-48. 46. Krishnaiah YS, Satyanarayana S, Rama Prasad YV,
Narasimha Rao S. Gamma scintigraphic studies on guar
33. Vanarase SY, Nagarsenkar MS. In-vitro release studies of gum matrix tablets for colonic drug delivery in healthy hu-
prochlorperazine pellets coated with ethylcellulose. Indian man volunteers. J Cont Rel 1998;55:245-52.
Drugs 1995;32:134-8.
47. Shantha KL, Ravichandran P, Rao KP. Azo polymeric
34. Rangaiah KV, Madhusudhan S, Verma PRP. Sustained hydrogels for colon targeted drug delivery. Biomat 1995;
release of theophylline from HPMC and Eudragit tablet. 16:1313-8.

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