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Challenges in development of

orally disintegrating and


dispersible tablets.

By
V.SRUJANA
M.Pharm ( 1st SEM )
DEPARTMENT OF PHARMACEUTICS
CONTENTS

 Introduction
 Advantages over conventional tablet dosage forms
 Challenges in formulation and development
 Materials required
 Mechanism of drug release
 Formulation techniques
Conventional methods
Patented technologies
 Marketed products
 Evaluation tests
 Future developments
 Conclusion
 References
INTRODUCTION
Definitions of ODTs:

According to US FDA:

“A solid dosage form containing medicinal substance, which


disintegrates rapidly usually within a matter of seconds,
when placed upon the tongue”.

According to European pharmacopoeia:

“A tablet that is to be placed in the mouth where it disperses rapidly before


swallowing”.
Terminologies for ODTs
Rapidly dissolving tablets are also known as
 Melt in Mouth tablets

 Mouth dissolving tablets (MDT)

 Fast disintegrating tablets (FDT)

 Orally disintegrating tablets

 Rapid disintegrating tablets (RDT)

 Oro dispersible tablets (ODT)

 Quick dissolving tablets.


Advantages over the conventional dosage form
 No risk of choking.

 Requires no water intake.

 Overcomes unacceptable taste of the Drugs.

 Quick disintegration and dissolution of the dosage form.

 Facilitates faster onset of therapeutic action.

 Improved bioavailability can be achieved.

 Avoids First Pass Metabolism due to pregastric absorption.

 Ideal dosage form for Peadiatric and geriatric patients.

 Ease of administration for patients who are mentally ill, disabled and un
co-operative.
Challenges in the product design, formulation
and manufacture of ODTs.

 Palatability
 Mechanical strength
 Amount of drug
 Size of tablet
 Hygroscopicity
 Aqueous solubility
 Short half-life
 Cost of the tablet
PALATABILITY

 As most of the drugs are unpalatable, orally disintegrating drug delivery

systems usually contain the medicament in a taste masked form.

 Delivery systems disintegrate or dissolve in patient’s oral cavity, thus

releasing the active ingredients which come in contact with the taste buds;

hence taste masking of drugs become critical to patient compliance.


General taste masking technologies in oral solid dosage
forms:

1. Taste masking with hydrophilic vehicle


Hydrophilic vehicles- carbohydrates, proteins, gelatin, Zeolite
Ion Exchange resins- Indion 204, 214, 224, 234
Cyclodextrins
Flavors, sweeteners, amino acids.

7. Taste masking with lipophilic vehicle


Ex: fats, fatty acids.

10. Miscellaneous masking agents


Ex: Effervescent agents, Rheological modifications, salt preparations, solid
dispersions etc.
Detection threshold of sensors compared to Human receptors

 Pharmaceutical taste assessment requires human test panel that increases


time and money to the development process. During the last decade, a
multisensor system and a device for the liquid analysis that can be collected
under the term “Electronic tongue” was developed.

Taste Taste basic Human tongue Electronic


substance tongue
Sweetness Sucrose 1x10-2 2x10-6

Bitterness Caffeine 0.7x10-3 1x10-6

Sourness HCl 9x10-4 5x10-6


The active moiety in pharmaceutical product cannot be therapeutically
beneficial unless it has preference and acceptance by the patient. Thus,
pleasant taste is important for the therapeutic success of the drug
formulation.

 Human tongue with taste


receptors.
 Sample Electronic
tongue
Objectives of electronic tongue:

 Identification between bitter, sweet and sour substances by using electronic


tongue.

 Separating the different substances eliciting the same taste (sour, bitter,
sweet).

 Identify drug preparations containing active substance and placebo


substance.

 Quantification of the effect of taste masking of bitter substances by sweet


ones.
MECHANICAL STRENGTH

 In order to allow ODTs to disintegrate in the oral cavity, they are made of

either very porous and soft-molded matrices or compressed into tablets with

very low compression force, which makes the tablets friable and/or brittle,

difficult to handle, and often requiring specialized peel-off blister packing that

may add to the cost.


AMOUNT OF DRUG

 Application of technologies used for ODTs is limited by the amount of

drug that can be incorporated into each unit dose.

 In case of Lyophilized dosage forms, drug dose must be


less than 400mg – insoluble drugs
less than 60mg -- soluble drugs

 This parameter is particularly challenging when formulating a fast-


dissolving oral films.
SIZE OF TABLET

 The degree of ease when taking a tablet depends on its size. It has been

reported that the easiest size of tablet to swallow is 7-8 mm. While the

easiest size to handle was one larger than 8 mm.

 Therefore, the tablet size that is both easy to take and easy to handle is

difficult to achieve
HYGROSCOPICITY

 Several orally disintegrating dosage forms are hygroscopic and cannot

maintain physical integrity under normal conditions of temperature and

humidity. Hence, they need protection from humidity which calls for

specialized product packaging.


AQUEOUS SOLUBILITY

 Water soluble drugs pose various formulation challenges because they


form

eutectic mixtures, which result in freezing point depression and the

formation of a glassy solid that may collapse upon drying because loss of

supporting structure during the sublimation process.

 This collapse can be prevented by using various matrix-forming excipients

like Mannitol which induces crystallinity and hence impart rigidity to the

amorphous composite.
SHORT HALF-LIFE

 ODTs being immediately releasing dosage forms and the absorption of

maximum amount of dose takes place in the pre-gastric region, these have

sort half life.

 This character may render drug unsuitable for delivery as prolonged


release

or sustained release dosage form.


COST OF THE TABLET

 As ODTs are easily fragile, these products require special unit-dose

packaging which may add to the cost of the dosage form.


Materials required:

 Drug

 Excipients
THE IDEAL CHARACTERISTICS OF DRUG

 For disintegration and dissolution in oral cavity i.e., the pre-gastric


absorption from an ODT include,

3. No bitter taste
4. Dose lower than 20mg
5. Small to moderate molecular weight
6. Good solubility in water and saliva
7. Partially nonionized at the oral cavity’s pH.
8. Ability to diffuse and partition into the epithelium of upper GIT.
9. Ability to permeate oral mucosal tissue.
EXCIPIENTS

 FILLER  SUPERDISINTEGRANTS

Eg: More potent drugs like codeine are


required in very low amount which Eg: Cross povidone,
require diluent such as lactose to makeup Crosscarmellose sodium,
volume of drug. Sodium starch glycolate,
calcium carboxy methyl cellulose,
 Various fillers used are
Lactose, Alginates,
Directly compressed spray Micro crystalline cellulose,
dried mannitol, Amberlite IRP 88,
Sorbitol, Guargums,
Calcium carbonate, Modified corn starch,
Pregelatinised starch, Pregelatinized starch
Magnesium trisilicate, Chitin chitosan
Al(OH)3 etc. Smecta
 BINDERS  ANTIFRICTIONAL
AGENTS
Acacia
GLIDANTS
Cellulose derivatives corn starch, talc, silica
derivatives
Gelatin
LUBRICANTS
Stearic acid, magnesium
Polyvinyl pyrollidine stearate, talc, PEG, liquid
paraffin
Tragacanth
ANTIADHERENTS
talc, corn starch, colloidal
silica, sodium lauryl
sulphate.
OTHER EXCIPIENTS

 COLOURS
Eg: Carotene, chlorophyll, brilliant blue, Indigotene, Erythrosine

 FLAVOURING AGENTS
Eg: Menthol, Vanilla, Liquorice, Citrus fruits flavour, Anise oil, Clove oil,
Pippermint oil, Eucalyptus oil.

 SWEETENERS
Eg: Natural- Mannitol, Lactose, Sucrose, Dextrose
Artificial- Saccharin, Aspartame, Cyclamate
MECHANISMS OF DRUG RELEASE

 The drug releases from the FDT due to the action of super disintegrants
and generally by swelling of the porous matrix.
MECHANISM OF SUPERDISINTEGRANTS

 Due to deformation

 Due to disintegrating particle/repulsive forces

 Capillary action and porosity (wicking)

 Chemical reaction (acid-base)


DEFORMATION AND REPULSION

a. Deformation b. Repulsion
WICKING AND SWELLING

a. Wicking b. Swelling
FORMULATION TECHNIQUES

COVENTIONAL TECHNIQUES

 Tablet moulding

 Direct compression

 Spray drying

 Sublimation

 Freeze drying (or) Lyophilization

 Mass extrusion

 Cotton candy process


Tablet Molding

 Molded tablets are prepared by using water soluble ingredients so that the

tablets dissolve completely and rapidly.

 The powder blend is moistened with a hydro-alcoholic solvent and is

molded into tablets under pressure lower than that used in Conventional

tablet compression. The solvent is then removed by air-drying.

Eg: Benadryl, Fastmelt(diphenhydramine citrate, pseudoephidrine HCl) –


Allergy, sinus
DIRECT COMPRESSION

 Easiest way to manufacture tablets is direct compression.

 Low manufacturing cost, conventional equipments and limited number of

processing steps led this technique to be a preferable one.

 However disintegration and dissolution of directly compressed tablets

depend on single or combined effect of disintegrant, water soluble

excipients and effervescing agents.


SPRAY DRYING

 Spray drying can produce highly porous and fine powders that dissolve

rapidly.

 The formulations are incorporated by hydrolyzed and non hydrolyzed


gelatins as supporting agents, Mannitol as Bulking agent, sodium starch
glycolate or crosscarmellose sodium as disintegrating and an acidic material
(e.g. citric acid) and / or alkali material (e.g. I sodium bicarbonate) to
enhance disintegration and dissolution.

 Tablet compressed from the spray dried powder disintegrated within 20


seconds when immersed in an aqueous medium
SUBLIMATION
 To generate porous matrix in ODTs, volatile ingredients are incorporated
in the formulation which is subjected to sublimation (by vacuum drying)
leaving behind the porous matrix.
FREEZE DRYING OR LYOPHILIZATION

 It is a process in which water is sublimed from the product after freezing.

Lyophilization is a pharmaceutical technology which allows drying of

HEAT SENSITIVE DRUG and biological at low temperature under

conditions that allow removal of water by sublimation.

 Lyophilization results in preparations, which are highly porous, with a very

high specific surface area, which dissolves rapidly and show improved

absorption and bioavailability.


MASS EXTRUSION

 This technology involves softening the active blend using the solvent

mixture of water soluble polyethylene glycol, using methanol and


expulsion

of softened mass through the extruder or syringe to get a cylinder of the

product into even segments using heated blade to form tablets.

 The dried cylinder can also be used to coat granules of bitter tasting drugs

and thereby masking their bitter taste.


COTTON CANDY PROCESS
 Cotton candy process is also known as “candy floss” process and forms the

basis of the technologies such as Flash Dose (Fuisz technology).

 An ODT matrix is formed from saccharides or polysaccharides processed

into amorphous floss by a simultaneous action of flash melting and

centrifugal force.

 The matrix is cured or partially recrystallised to provide a compound with

good flow properties and compressibility. The candy floss can then be milled

and blended with active ingredients and Excipients and subsequently

compressed into ODT.


 Limitation: The high processing temperature limits the use of this technology to
Thermo stable compounds only
PATENTED TECHNOLOGIES
 Zydis Technology

 Orasolv Technology

 Durasolv Technology

 Wow tab Technology

 Flash Dose Technology ( Ceform Technology )

 Flash Tab Technology

 Oraquick Technology

 Quick-Dis Technology

 Nanocrystal Technology
ZYDIS TECHNOLOGY

 A Zydis tablet is produced by lyophilizing or freeze-drying the drug in a

matrix usually consisting of gelatin. The product is very lightweight and

fragile, and must be dispensed in a special blister pack.

 Patients should be advised not to push the tablets through the foil film, but

instead peel the film back to release the tablet. The Zydis product is made to

dissolve on the tongue in 2 to 3 seconds.

Eg: Maxalt-MLT (rizatriptan benzoate) - Migraine


ORASOLV TECHNOLOGY

 In this system active medicament is taste masked.

 It also contains effervescent disintegrating agent.

 Tablets are made by direct compression technique at low compression


force in order to minimize oral dissolution time.

Eg: Remeron ( mirtazapine) - Depression


DURASOLV TECHNOLOGY

 The tablets made by this technology consist of a drug, fillers and a

lubricant.

 Tablets are prepared by using conventional tableting equipment and have

good rigidity. These can be packed into conventional packaging system


like

blisters.

Eg: Fazaclo (clozapine) - antipsychotic


WOWTAB TECHNOLOGY
 Yamanauchi pharmaceutical company patented this technology.

 ‘Wow’ means ‘without water’. The active ingredients may constitute up to

50% w/w of the tablet.

 In this technique, saccharides of both low and high mouldability are used
to

prepare the granules. Mouldability is the capacity of a compound to be

compressed.

Eg: Fast melt (diphenhydramine citrate, pseudoephidrine HCl) – allergy &


sinus
FLASH DOSE TECHNOLOGY

 This technology is patented by Fuisz.

 A sugar based matrix, called ‘Floss’ is used, which is made up of a

combination of excipients (crystalline sugars) alone or in combination with

drugs.

Eg: Nurofen meltlet, a new form of Ibuprofen, as a mouth-dissolving tablet is


the first commercial product prepared by this technology and launched by
Biovail Corporation.
FLASH TAB TECHNOLOGY

 Prographarm labs have a patent over this technology.

 In this technology, microgranules of the taste-masked active drug are used.

 Micro granules may be prepared by using conventional techniques like


coacervation, micro encapsulation, and extrusion-spheronisation. All these
processes utilize conventional tabletting technology.

 These taste-masked micro crystals of active drug, disintegrating agent, a


swelling agent and other excipients like soluble diluents etc are
compressed to form a multiparticulate tablet that disintegrates rapidly.

Eg: Excedrin Quick Tabs (acetaminophen, caffeine) – head ache


DRUGS INCORPORATED IN ODTs
 Analgesics and Anti-inflammatory Agents
 Anthelmintics
 Anti-gout Agents
 Anti-hypertensive Agents
 Anti-malarials
 Anti-migraine Agents
 Anti- muscarinic Agents
 Anti- neoplastic Agents and Immunosuppressant's
 Anti- protazoal Agents
 Anti-thyroid Agents
 ß-Blockers
 Cardiac Inotropic Agents
 Corticosteroids Diuretics
 Anti- parkinsonian Agents
 Gastro-intestinal Agents
 Histamine H,-Receptor Antagonists etc…
PREFORMULATION STUDIES

 Compatability studies = FTIR / DSC

 Angle of repose Ө = tan -1 (h/r)

 Determination of Bulk density = W / Vo

 Tapped density = W / Vf

 Hauser’s Ratio= Tapped density/Bulk density

 compressibility index : CI = 100 (Vo – Vf )/ Vo

 Moisture content
Some of the Marketed ODTs in India

Name of product Active Ingredient

Feldene Melt Piroxicam(10-20 mg)


Zyprexa Zydis Olanzapine (5, 10, 15 or 20 mg)
Nimulid -MD Nimesulide
Claritin Reditab Micronized Loratadine
Pepcid RPD Famotidine (20-40 mg)
EVALUATION TESTS

 WEIGHT VARATION TEST

I.P. procedure for uniformity of weight was followed, twenty tablets


were taken and their weight was determined individually and collectively
on a digital weighing balance. The average weight of one tablet was
determined from the collective weight.

The weight variation test would be a satisfactory method of determining


the drug content uniformity
FRIABILITY TEST
 The pharmacopoeial limit of friability test for a tablet is not more than 1%
using Tablet friability apparatus, carried out at 25 rpm for 4 min (100
rotations).
 This test is again not applicable for lyophilized and flash dose tablets, but
is always recommended for tablets prepared by direct compression and
moulding techniques to ensure that they have enough mechanical strength
to withstand the abrasion during shipping and shelf life.

Percentage friability = 100(initial weight-final weight)/initial weight


WETTING TIME AND WATER ABSORPTION
RATIO
 Wetting time and water absorption ratio reported the use of a piece of
double folded tissue paper placed in a Petri dish containing 6 ml of water.
One tablet was placed on this paper and the time for complete wetting of
tablet was noted as wetting time. The wetted tablet was then weighed and
the water absorption ratio, R, was determined according to equation.

 R = 100 (Wa−W b) /Wb

Wb and Wa are the weights of tablet before and after water absorption
HARDNESS TEST

 The tablet tensile strength is the force required to break a tablet by


compressing it in the radial direction and is measured using a tablet
hardness tester.
 Monsanto hardness tester Phyzer type hardness tester
MOISTURE UPTAKE TEST

 The test can be carried out by keeping ten tablets along with calcium
chloride in a desiccator maintained at 37 °C for 24 hrs to ensure complete
drying of the tablets.

 The tablets are then weighed and exposed to 75% RH, at room temperature
for 2 weeks. The required humidity can be achieved by keeping saturated
sodium chloride solution in the dessicator for 24 hrs.

 The tablets are reweighed and the percentage increase in weight is


recorded. If the moisture uptake tendency of a product is high, it requires
special dehumidified area for manufacturing and packing.
MEASUREMENT OF TABLET POROSITY

 The mercury penetration porosimeter can be used to measure the tablet

porosity which is a relative assessment of the degree of water penetration in

the formulation, responsible for its fast disintegration.


IN-VITRO DISPERSION TIME
 The test is performed by placing two tablets in 100 ml water and stirring it
gently, till the tablets get completely disintegrated.
 The formulation is considered to form a smooth dispersion if the complete
dispersion passes through a sieve screen with a nominal mesh aperture of
710 μm without leaving any residue on the mesh.
IN-VITRO DISINTEGRATION TEST

This test are carried out by using any one of the following method

 Tablet disintegration apparatus

 Modified dissolution apparatus (as per J.Pharm)

 Disintegration Test on Shaking Water Bath

 Disintegration Test with Rotary Shaft Method

 Disintegration Test using Texture Analyzer

 Disintegration Test using Electro Force


DISINTEGRATION APPARATUS

 Apparatus with wire basket in a beaker.


DISINTEGRATION USING TEXTURE ANALYZER

 The in vitro disintegration behavior of fast dissolving systems


manufactured by the main commercialized technologies was studied using
the texture analyzer (TA) instrument.
IN-VITRO DISSOLUTION STUDY

 The dissolution method for oral disintegrating tablets is the same as that of
conventional tablets.

 USP 2 paddle apparatus is most suitable and common choice for


dissolution test of oral disintegrating tablets, where the paddle speed is 50
rpm is used.

 The USP 1 (basket) apparatus may have certain application for such tablets
but is used less, frequently due to specific physical properties of tablets.

 Specifically tablet fragments or disintegrating tablet masses become


trapped on the inside top of the basket spindle where little or no effective
stirring occurs, yielding irreproducible results in dissolution profiles.
FUTURE DEVELOPMENTS

 ODTs can offer several biopharmaceutical advantages over conventional


solid dosage forms such as,

 Improved efficacy

 Require small amount of the drug to be effective

 Offer better drug bioavailability

 ODTs may be suitable for oral delivery of drugs such as proteins and
peptide based therapeutics that has limited bioavailability when
administered by conventional tablets.

 Because drugs delivered in ODTs may be absorbed in the pre gastric sites
of highly permeable buccal and mucosal tissues of the oral cavity, they
may be suitable for delivering relatively low-molecular weight and highly
permeable drugs.
CONCLUSION

 Orally disintegrating tablets (FDTs) have better patient acceptance and


compliance and may offer improved biopharmaceutical properties,
improved efficacy, and better safety compared with conventional oral
dosage forms.

 Prescription FDT products initially were developed to overcome the


difficulty in swallowing conventional tablets with water among pediatric,
geriatric, and psychiatric patients with dysphagia.

 Future possibilities for improvements in FDTs and drug delivery are


bright, but the technology is still relatively new.
REFERENCES
1. International journal of research in Ayurveda and Pharmacy.
2. Journal of Chemical and Pharmaceutical Research, 2009, 1(1): 336-341.
3. The Indian Pharmacist, Volume 3, Issue 19, p.72-75 (2004).
4. United States Pharmacopoeia 24/NF 19. The Official Compendia of
Standards. Asian ed. Rockville, MD: United States Pharmacopoeial
Convention Inc; 2000:1913-1914.
5. Bentham science Publishers- Recent patents on Drug delivery and
Formulations, Volume 4, Number 3, November 2010.
6. Aulton’s Pharmaceutics- The design and manufacture of medicines, Edited
by Michael E.Aulton- 3rd Edition, 2008.
7. FDA, Guidance for Industry: Orally Disintegrating Tablets Draft
Guidance, (Rockville, MD, April 2007).
8. Review article- Recent Patents and Trends in Orally Disintegrating Tablets
by Farhan A. AlHusban, Amr M. El-Shaer, Rhys J. Jones and Afzal R.
Mohammed
THANK YOU

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