Professional Documents
Culture Documents
1
C.U. Shah College of Pharmacy and Research, Wadhwan , Surendranagar, Gujarat, India.
2
Shankersinh Vaghela Bapu Institute of Pharmacy, Vasan, Gandhinagar, Gujarat, India.
3
Moradabad Educational Trust Group of Institutions, Faculty of Pharmacy, Uttar Pradesh, India.
*Corresponding Author:
Dr Satyajit Sahoo,
Associate Professor,
C.U. Shah College of Pharmacy and Research, Gujarat, India
E mail: satyajitccpr@gmail.com
ABSTRACT :
The aim of this work was to formulate and evaluate sublingual tablets of Enalapril maleate for
rapid management of Hypertension. In the present work, the metallic taste of Enalapril maleate
was masked by using Kyron T-114 in 1:2 ratio. The Drug-Resin Complex was formulated as
sublingual tablets using Cross Povidone (X1) and Avicel PH102 (X2) by direct compression
method. The sublingual tablets were evaluated such as thickness, hardness, % Friability, Wetting
time, disintegration time, Water absorption ratio and % CDR. In this study, the fast release of
tablets depends on the concentration of Cross Povidone (X1) and Avicel PH102 (X2). The
selected formulation showed the fastest release of the tablets in 45 s. Stability study was
performed by taking an optimized formulation and it was observed stable. The sublingual tablets
showed acceptable results in all studies. The results indicate that the formulation can be used for
rapid management of Hypertension. Also, Enalapril maleate’s bioavailability may be increased
by selecting sublingual route of administration.
Key words: Sublingual tablets, Hypertension, Enalapril Maleate, Cross Povidone, Avicel PH
102, Kyron T- 114, 32 full factorial designs
INTRODUCTION:
Development of a formulation involves a great deal of study and experimental work to get
optimum results. First pass metabolism can be overcome by sublingual drug delivery, and quick
drug delivery into the systemic circulation can be obtained. Sublingual administration can offer
an attractive alternative route of administration. The advantage of the sublingual drug delivery is
that the drug can be directly absorbed into systemic circulation bypassing enzyme degradation in
the gut and liver. These formulations are particularly beneficial to pediatric and geriatric patients.
In addition sublingual mucosa and abundance of blood supply at the sublingual region allow
excellent drug penetration to achieve high plasma drug concentration with rapid onset of an
action [1]. Oral mucosal drug delivery is an alternative method of systemic drug delivery that
offers several advantages over both injectable and enteral methods. Because the oral mucosa is
highly vascularised, drugs that are absorbed through the oral mucosa directly enter the systemic
circulation, bypassing the gastrointestinal tract and first-pass metabolism in the liver [2].
Sublingual means literally ‘under the tongue’ refers to a method of administering substances via
the mouth in such a way that the substances are rapidly absorbed via the blood vessels under the
tongue rather than via the digestive tract [3]. Medically, sublingual drug administration is applied
in the field of cardiovascular drugs, steroids, some barbiturates and enzymes. It has been a
developing field in the administration of many vitamins and minerals which are found to be
readily and thoroughly absorbed by this method [4]. The absorption of the drug follows in this
way: Sublingual > Buccal > Gingival > Palatal. Due to high permeability and rich blood supply,
the sublingual route can produce rapid onset of action [5]. Factors affecting the sublingual
absorption are Lipophilicity of drug, Solubility in salivary secretion, pH and pKa of the saliva,
binding to oral mucosa, Thickness of oral epithelium and Oil-to-water partition coefficient [6-9].
Direct compression does not require the use of water or heat during the formulation procedure
and is the ideal method for moisture and heat- labile medications [10]. Hypertension is a common
cardiovascular disorder, which is an important risk factor for coronary artery diseases.
Hypertension (HTN) is the term used to denote elevated blood pressure (BP). It is defined as the
condition in which BP remains consistent to systolic blood pressure (SBP) >140 mmHg and
diastolic blood pressure (DBP) >90 mmHg [11]. Hypertension as worldwide recognized public
health problem is one of the leading causes of death influenced by cardiovascular diseases
(CVD) like heart failure (HF), coronary heart disease (CHD), myocardial infarction (MI) and
stroke. According to World Health Organization (WHO) and International Society of
Hypertension (ISH) from 2003 it is estimated that hypertension cause 4.5% of global disease
burden and is a prevalent in many developing countries as in the developed world [12]. Under a
threshold of 140/90 mmHg, the World Health Organization estimates that nearly 1 billion people
in developed and developing countries are affected with hypertension. About 1 in 8 deaths
worldwide is due to hypertension and 4 million people die annually thus making it the third
largest killer in the world [13].
Pharma Chem, India. Avicel PH102 was obtained from Chemdyes Chemicals, India. All the
polymers received were of pharmaceutical grade. Other materials used were of analytical grade.
Drug Resin complex was prepared by using Kyron T114 as a resin. Remaining ingredients was
weighed except Talc. All the ingredients were passed through 40# sieve. The Powder blend was
mixed thoroughly in a polythene bag. Finally the blend was lubricated with Talc. The blend was
compressed using rotary tablet compression machine using 7 mm punch set [16].
The aim was to formulate, develop and optimize sublingual tablet of Enalapril Maleate
containing various polymers. For the selection of particular polymer various preliminary trial
batches were carried out with Crosspovidone, Sodium starch glycolate and Crosscarmellose
sodium. Different concentrations of polymer were used to prepare sublingual tablets as shown in
Table 2. The prepared formulations were evaluated.
Based on results obtained in trial batches the Factors and level of factors were decided. It was
observed that Cross Povidone alone was not able to produce fast disintegration. So, it was
combined with Avicel PH102 polymer to increase the fast disintegration of the prepared tablets.
The main characteristic of sublingual tablet is to dissolve quickly. In order to dissolve quickly
rapid disintegration of tablet is required. So, concentration of super disintegrating agent plays a
crucial role in formulation of tablets. Hence, the two factors for Factorial design were:
i) Concentration of Cross Povidone (X1)
ii) Concentration of Avicel PH102 (X2)
Two levels for each factor were selected to study the effect of X1 and X2.
To achieve the formulation with desired strength, quick disintegration and drug release, the
formulation prepared by using different combination of Cross Povidone and Avicel PH102
were optimized and evaluated using 32- full factorial design.
In The 32- full factorial design 2 independent factors were evaluated, each at 3 levels, and
experimental trials were performed for all 9 possible combinations. The design layout of 32- full
factorial design as shown in table 3 and table 4.
Figure 1.1 FT-IR spectra of Enalapril Maleate Figure 1.2 FT-IR spectra of Drug and Resin
(Enalapril Maleate and Kyron T114 )
Figure 1.3 FT-IR spectra of Drug Resin Complex , Crosspovidone and Avicel PH102
EVALUATION PARAMETER:
Thickness
The average thickness of all the formulations was between 2.6 to 3.1 mm [18].
Weight variation
The average weight of tablet formulations was within the range of 97.3±2.08 to 101±4.35 mg.
So, all tablets passed weight variation test as the % weight variation was within the
pharmacopoeial limits of 10% of the weight [19].
Hardness
The measured hardness of tablets of each batch ranged between 2.2±0.15 to 3.1±0.17 kg/cm2.
This ensure good handling characteristics of all batches.[20].
% Friability
The % friability of all the batches was between 0.40 to 0.81 % which was less than 1%. So %
friability was within the limit [21].
Disintegration time
The disintegration time of all the batches was between 45 to 52 sec. It was observed that as the
concentration of Cross Povidone increases, then disintegration time decreases. On the other
hand, as the concentration of Avicel PH102 increases, then disintegration time increases [22].
Wetting time
The wetting time of all the batches was found to be between 43 to 52 sec [23].
Drug content
The percentage drug content of the all batches was between 96.93% to 99.12%, which is within
acceptable limits indicate dose uniformity in each batch [24].
Statistical Analysis
The statistical analysis of the factorial design batches was performed by multiple linear
regression analysis. The hardness (Y1), disintegration time (Y2) and % drug release after 25 min
of Enalapril maleate (Y3) were selected as dependent variables. Table 7 shows list of variables.
where Y is dependent variable, β0 arithmetic mean response of nine batches, and β1 estimated
coefficient for factor X1. The main effects (X1 and X2) representthe average result of changing
one factor at a time from its low to high value. The interaction term “X1X2” shows how the
response changes when the two factors change simultaneously. The polynomial terms (X12and
X22) are included to investigate nonlinearity [26,27].
X2 Y2 Y3
X1 Y1
(conc. of Disintegr % Cumulative
Batch (conc. of Cross Hardness
Avicel ation Drug release
Povidone) (kg/cm2)
PH102) time (sec) after 15 min.
The fitted equations (full model) relating the responses that is, hardness (Y1), disintegration time
(Y2) and % cumulative drug release after 15 min of Enalapril maleate (Y3) to the transformed
factor are shown in Table 7. The polynomial equations can be used to draw conclusions after
considering the magnitude of coefficient and the mathematical sign it carries (i.e. positive or
negative). Data were analyzed using Design of Expert version 9.
R2 values for hardness (Y1), disintegration time (Y2) and % drug release after 15 min of Enalapril
maleate (Y3) were 0.9962, 0.9681 and 0.9525 respectively indicating good correlation between
dependent and independent variables. There was no need to develop reduced models because
response variable were significant i.e. P < 0.05. The terms with P < 0.05 were considered
statistically significance and retained in the full model.
The results of ANOVA suggested that F values calculated for hardness (Y1), disintegration time
(Y2) and % drug release after 15 min. of Enalapril maleate (Y3) were 157.80, 18.24 and12.03
respectively (Table 9).Calculated F values were greater than tabulated for all dependent variables
therefore factors selected have shown significant effects. From the results of multiple regression
analysis, it was found that both factors had statistically significant influence on all dependent
variables as p <0.05 (Table 8).
2.87344 2.7
0.00
2.70092 2.4
2.52839 2.1
-0.50
Fig 3.1 : Contour plot showing the effect of Cross Fig 3.2 : Response surface plot showing the effect of
Povidone (X1) and Avicel PH 102 (X2) on Hardness Cross Povidone (X1) and Avicel PH 102 (X2) on
(Y1) Hardness (Y1)
reduced model. The coefficients β0, β11 and β22 were found to be significant at P < 0.05.
Hence, they were retained in the reduced model.
The reduced model for Disintegration time was:
Disintegration time = +45.58 +2.26* X1 X2 + 2.91* X22
Design-Expert® Software
Design-Expert® Software Disintegration Time
1.00
48.7522
Disintegration Time
Disintegration Time Design points above predicted value
48.7522
Design Points Design points below predicted value
52 52
52
45 45
0.50
Disintegration Time
50.25
X2 = B: conc. of Avicel PH102
B: conc. of Avicel PH102
0.00
46.75
45
46.611
-0.50
1.00 1.00
0.50 0.50
0.00 0.00
49.8227
-0.50 -0.50
50.8933 48.7522 49.8227 B: conc. of Avicel PH102 A: conc. of Cross Povidone
-1.00 -1.00 -1.00
For disintegration time, the significant levels of the coefficients β12 and β11 were found to
have P value of 0.4289 and 0.3602. So, it was omitted from the full model to generate a reduced
model. The coefficients β0, β1, β2 and β22 were found to be significant at P < 0.05. Hence,
they were retained in the reduced model.
The reduced model for % CDR was:
% CDR = +96.12 + 2.15*X1 + 3.04*X2 – 3.64*X22
88.25
93.6235
-0.50
85
91.6172
89.6108
87.6044 1.00 1.00
Fig 5.1 : Contour plot showing the effect of Cross Fig 5.2 : Contour plot showing the effect of Cross
Povidone (X1) and Avicel PH 102 (X2) on % CDR Povidone (X1) and Avicel PH 102 (X2) on %CDR (Y3)
(Y3)
Hardness
Disintegration Time
%CDR 0.50
Design Points
B: conc. of Avicel PH102
%CDR: 96 Hardness: 3
X1 = A: conc. of Cross Povidone
X2 = B: conc. of Avicel PH102
0.00
Hardness: 2.73885
Disintegration 47.3922
%CDR: 93.8173
X1 0.49
-0.50 X2 -0.62
Hardness: 2.5 Disintegration Time: 47
Disintegration Time: 50
%CDR: 88
Disintegration Time: 50
-1.00
RESULT: Generally for sublingual drug delivery fast dissolving tablets are available. Problem
associated with sublingual tablet formulations is that there is always a risk that the patients will
swallow part of the dose before the active substance has been released and absorbed locally into
the systemic circulation. This could result an unwanted prolongation of the pharmacological
effect. Preliminary screening was performed to mask the metallic taste of Enalapril maleate by
using resin Kyron T-114. Also, for selection of polymers (superdisintegrants) and its
concentration by using different superdisintegrants like Cross Povidone, Sodium Starch
Glycolate and Cross Carmelose Sodium. It was observed that Cross Povidone shows the best
results among the three superdisintegrants. Preformulation studies were carried out in order to
establish the compatibility between the drug resin complex and polymers by infrared
spectroscopy. The studies revealed that, drug resin complex and polymers were satisfactorily
compatible. The sublingual tablets were prepared by using 32 full factorial design by employing
Cross Povidone and Avicel PH102 to decrease disintegration time. From the results obtained
from the preliminary screening, two factors were selected i.e. concentration of Cross Povidone
(X1) and concentration of Avicel PH 102 (X2) as independent variables. Dependent variables
selected were Hardness (Kg/cm2), Disintegration time (sec) and % CDR. The prepared
formulations were evaluated for different parameters like Hardness, Disintegration time, weight
variation, thickness, friability, content uniformity, water absorption ratio and drug release
studies.
CONCLUSION
Sublingual tablets of Enalapril maleate were prepared by direct compression method. Firstly, the
metallic taste of Enalapril maleate was masked by using Kyron T-114 in 1:2 ratio . Later on this
Drug-Resin Complex was formulated as sublingual tablets using Cross Povidone (X1) and
Avicel PH102 (X2). In direct compression method tablets parameters such as hardness,
disintegration time and % CDR were found to be acceptable. Selected batch showed Hardness
2.8±0.10 , disintegration time 45 sec and percentage cumulative drug release was found 97.15 in
15 minutes. The 32 factorial design was used to select optimized batch. Sublingual tablets
showed no significant changes in percentage cumulative drug release after storage of two weeks.
Faster dissolution of drug could be achieved which indicates faster onset of action. Thus the
system was suitable for obtaining rapid dissolution of dosage form in sublingual drug delivery
system.
ACKNOWLEDGEMENT
The authors are thankful to West Coast Pharmaceuticals, India for supplying a gift sample of
Enalapril maleate. Sodium starch glycolate and Avicel PH102 were obtained from Chemdyes
Chemicals, India. Crospovidone and Cross Carmellose Sodium were obtained from Seva fine
Chemicals, India. Kyron T114 was obtained from Corel Pharma Chem, India.
REFERENCES
26. Sahoo Satyajit, Malviya Kirti, Vaidya Santosh Kumar, Golwala Dharmesh and
Mohapatra Prasant Kumar,“Formulation and evaluation of sublingual tablets of
Asenapine maleate by using 32 full factorial design”, Aegaeum Journal, vol. 8, no. 3,
(2020), pp. 1236-1250.
27. Bolton S and Bon C, “Pharmaceutical Statistics: Practical and clinical Applications”,
CRC Press. India, Edition 4, vol. 135, (2007), pp. 506-517.
28. Stability testing of new drug substances and products [Q1A(R2)], “The International
Conference on Harmonisation of Technical Requirements for Registration of
Pharmaceuticals for Human Use (ICH)”, (2003).