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Done By: Sanaa Otoom Advanced Technology Lecture# 2 Last lecture we discussed the problems that affect bioavailability, which are solubility, stability and permeability, and how we can solve them. The solutions for solubility problem was the simplest since we can change the physiochemical properties of drug or provide our drug in a form that is available for absorption by drug design system “in molecular solution state”. In comparison with solubility, solutions for stability and permeability are harder, some solutions for stability can be straight forward like: - enteric coated tablets of drug that has hydrolytic instability in stomach. - - Gastro-retentive system in which all release process occurs before absorption window to improve bioavailability of drugs that have narrow absorption window “through active transport process in proximal small intestine” such as gabapentin. For alendronate sodium, solubility very high but bioavailability low (0.1% 0.001%) we need to change its permeability by either change its chemical structure “pro-drug” or change the diffusional barrier by permeation enhancers such as simple surfactants that make disruption of cellular barrier function or efflux inhibitors “P-gb inhibitors”, the problem when we use permeation enhancers is that we interfere with the normal function of our GI system, remember example cyclosporine (its formula contains micro surfactants as emulsifying agents to emulsify the drug but they affect both permeability and efflux system which leads to chronic inflammation and histo-pathological changes of intestinal mucosa). We discussed the intrinsic solubility, it describes the worst case of solubility of the drug “weak acid or weak base” , the intrinsic solubility is the basic for our classification of drugs “BCS classification system” : We depend on BCS classification on Dose number = (Maximum dose of drug/250 ml)/ Aq. Solubility (mg/ml) Which aq. Solubility we use? We take the least or worst solubility at different media with different PHs will be close to intrinsic solubility. Page 1 Done By: Sanaa Otoom Advanced Technology Lecture# 2 Now if the Dose/250 ml > Aq. Solubility ((Dose Number > 1 )) : poorly soluble Sometimes we use another term for classification which is the intrinsic dissolution: Intrinsic dissolution rate: dissolution rate of material in Aq. Media from constant area of solid surface ( (mg/min)/cm² ) Dissolution rate depends on surface area. When we use this term? 1- It’s used when we need to compare the interaction between the solid and solvent when other variables are constant. 2- When we compare the solubility or dissolution properties of different solid forms “like different crystal forms of drug” or comparing pro-drug with its parent compound, or comparing different salts of compound “sodium, potassium, procaine salt, benzathine salt” and their parent acids when we talk about salts we know that the solubility of sodium and potassium salts higher than parent drug, in benzathine or procaine salts like benzathine penicillin its solubility less than parent compound. Another Example: protamine insulin is poorly soluble salt (polyelectrolyte complex) because when we add protamine to insulin they form precipitate. The procedure of measuring dissolution rate: Prepare disks of drug and salts or pro-drug with its parent compound and compress the disk in which only one surface available then put it in dissolution tester, take samples with time and the relationship between M “amount of dissolved material” and T will be as follow: M Time Slope = intrinsic dissolution rate Page 2 Done By: Sanaa Otoom - - - Advanced Technology Lecture# 2 The primary problems for class 2 and class 4 compounds are solubility and dissolution. Change the dissolution rate of compound might affect the dissolution rate only but not solubility or might change the dissolution rate by its change on solubility, how? Milling techniques we change the dissolution rate by changing surface area but solubility doesn’t change. Same applies upon using Wetting agents hydrophilic polymers. But when we change the solid state of the compound “convert it from crystalline form A to crystalline form B or amorphous form” in this case we change the solubility and dissolution accordingly. The same for salts and cocrystals. From slide 15: Pro-drug (?) why question mark? Because prodrug may either increase or decrease the solubility by this approach. Example: phenytoin is antiepileptic drug poorly soluble compound class 2 drug, fosphenytoin is phosphate ester prodrug of phenytoine used for IV administration of phenytoin in status epilepticus. Another cause for question mark is high cost of this process, if we have justification of preparation of prodrug to solve the problem of poor solubility poor dissolution rate poor bioavailability we can use it. Solid solutions and solid dispersions: they enhance the dissolution rate of compounds and provide the drug in solution state but this molecular solution is not liquid in its overall it will be in solid state “drug in carrier will give solid solution, if this carrier is water soluble the molecules of drug that are suspended inside carrier will be exposed suddenly to Aq. Environment, so we don’t have dissolution for drug we have dissolution for the carrier itself. In case of dispersions we can have solid particles dispersed in carrier. For a conclusion solid dispersions and solutions can work through two mechanisms increase dissolution rate of the compound or presentation the compound in solution to the absorptive process. Page 3 Done By: Sanaa Otoom Advanced Technology Lecture# 2 1- For class two compounds, formulation design can change the problem of solubility. 2- Class three or class 4 compounds “low permeability” we need lead optimization: change the structure of the compound to change the permeability problems, we can use formulation approaches but they are limited in their efficacy here. 3- Class 4 drugs the low permeability might be due to the narrow absorption window, here we can use gastro-retentive forms to optimize bioavailability. Now how we can pick the right technique to be used? o Low cost: most important one. o Simple manufacturing procedures: this insures that manufacturing procedure contain least number of variables to insure robustness of our procedure. o Robust: lower variables, resemble precision in analytical methods. We can reduce variables by reducing number of excipients, reducing manufacturing steps. - o Simple and favorable regulatory position: if we need to use a lot of excipients, a lot of manufacturing processes, organic solvents have certain Toxicity , the regulatory agencies put restrictions on accepting our product. Also the formulation technology must provide easy release rate profile: carvidelol % released T An ideal technology will allow me to produce different products for different therapeutic agents with different release rate that is suitable to product’s requirments. – Patent protection: technology to be used must not under patent protection, do not use the same technology of the patented product, you need to develop your own technology. Good Luck ^_^ Page 4