* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download protocol - Rajiv Gandhi University of Health Sciences
Survey
Document related concepts
Discovery and development of proton pump inhibitors wikipedia , lookup
Tablet (pharmacy) wikipedia , lookup
Specialty drugs in the United States wikipedia , lookup
Polysubstance dependence wikipedia , lookup
Orphan drug wikipedia , lookup
Pharmaceutical marketing wikipedia , lookup
Psychopharmacology wikipedia , lookup
Compounding wikipedia , lookup
Neuropsychopharmacology wikipedia , lookup
Pharmacogenomics wikipedia , lookup
Theralizumab wikipedia , lookup
Drug design wikipedia , lookup
Neuropharmacology wikipedia , lookup
Pharmacognosy wikipedia , lookup
Drug interaction wikipedia , lookup
Drug discovery wikipedia , lookup
Pharmacokinetics wikipedia , lookup
Transcript
“FORMULATION DEVELOPMENT AND EVALUATION OF TASTEMASKING EFFICIENCY OF PEDIATRIC FORMULATIONS USING SYNTHETIC AND NATURAL SOURCES” M. PHARM DISSERTATION PROTOCOL SUBMITTED TO RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE, KARNATAKA By SEMBETI NAVEEN KUMAR B.PHARM Under the guidance of Dr. K. V. SANDHYA, PROFESSOR & HOD, DEPT. OF PHARMACEUTICS. Under the Co-guidance of Ms. D. AGILANDESWARI, ASST. PROFESSOR, DEPT. OF PHARMACEUTICS. DEPARTMENT OF PHARMACEUTICS, T. JOHN COLLEGE OF PHARMACY, GOTTIGERE, BANGALORE – 83, KARNATAKA 2012-2013 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA BANGALORE ANNEXURE-II PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION 1. Name of the Candidate and Address (in block letters) 2. Name of the Institution 3. Course of Study and Subject SEMBETI NAVEEN KUMAR B-11-296/6, SUHASINI NAGAR, BUCHIREDDY PALEM, S.P.S.R, NELLORE DISTRICT, ANDRAPRADESH. T. JOHN COLLEGE OF PHARMACY, GOTTIGERE, BANGALORE – 83 KARNATAKA M. PHARM. (PHARMACEUTICS) 4. 5. Date of Admission to Course Title of the Topic. 05-09-2012 ‘FORMULATION DEVELOPMENT AND EVALUATION OF TASTE-MASKING EFFICIENCY OF PEDIATRIC FORMULATIONS USING SYNTHETIC AND NATURAL SOURCES’ 6. BRIEF RESUME OF THE INTENDED WORK 6.1 Need for the Study: In earlier days it was believed that the drugs having bitter taste are more efficient as well as more curable. This concept has been reversed with development of numerous formulation techniques. In recent era oral administration of bitter drugs with an acceptable degree of palatability becomes key issue for the health care providers, especially for pediatric and geriatric patients. Palatability is the combination of sensory perceptions including taste and smell and to a lesser extent texture, appearance and temperature of the products. Taste transduction involves the interaction of molecule with taste receptor cells, which reside in specific structures known, as TASTE BUDS. The function of taste buds is to relay information about the taste of the molecule to the central nervous system. Each taste type affects the receptor cells through distinct mechanisms. The transduction of most bitter and sweet compounds is mediated by G protein gustducin while for salty and sour, is done by ion channels. Dissociation of gustducin into alpha and beta subunit decreases cAMP level and activate phospholipase C, which generates second messenger IP3 and DAG. This complex cascade of bio chemical events results in taste cells sending a signal to the brain that is interpreted as bitter and unpleasant. Thus preventing interaction between active molecule and taste bud could mask bitter taste. Numbers of therapeutically active herbal and synthetic molecules are having bitter taste. The unpleasant and unacceptable taste can be modified using below mentioned suitable techniques. Since last two decades’ large numbers of industrially viable techniques, are very well explored for the taste masking of bitter drugs1,2. Based upon the recent theory that taste cells can interpret and process all the different stimuli, a method of diminishing the overall response to one stimulus would be to introduce a second stimulus. This is based upon the assumption that differences among responses to stimuli are not so much a distinction between firing and non-firing of the neurons, but instead the difference in the amount of firing. This theory is the basis for the current research being presented in this paper: the ability to transform the responses of certain stimuli by introducing other stimuli. Effective blocking of the taste receptors can be accomplished by either coating the surface pore or competing within the channel themselves to reduce the net effect of the bitter stimuli firings. While the introduction of competing stimuli is part of the masking system, specific flavours and sweetness profiles are essential to complete the experience and produce a pleasant taste for the consumer3-5. There are number of factors that are taken into consideration during the tastemasking formulation like, i. Extent of the bitter taste of the active component, ii. total dose of the drug, iii. drug particulate shape and size distribution, iv. Solubility and ionic characteristics of drug, v. formulations characteristics in terms of disintegration and dissolution rate, vi. desired release rate and bioavailability and vii. type of dosage form6-11 Taste masking has always been the integral part of formulation especially for pediatric formulations. During almost last three decades advanced novel formulation techniques have been utilized to improve the aesthetics of the final products. Some of the techniques adopted for taste masking are as follows. 1. Taste masking by amino acids, sweeteners, flavors and proteins 2. Taste-masking by Increase in viscosity 3. Taste masking using Lipids 4. Taste masking using anesthetic agents and taste potentiators 5. Taste masking using anesthetic agents and taste potentiators 6. Taste masking with effervescent formulations 7. Taste masking by Prodrug formulation of the drug 8. Coating Techniques 9. Taste masking by solid dispersion 10. Taste masking using inclusion complex 11. Taste masking by Ion exchange resin 12. Nanotechnology based taste masking techniques i. Microencapsulation ii. Liposomes and multiple emulsions The use of a number of drugs including antibiotics which have undesirable tastes has been increasing12. The objective of the work is to develop efficient method to mask the taste of a bitter antibiotic by adopting various techniques using synthetic and natural sources which would be suitable for pediatric patients. 6.2 Review of Literature: Momin et al (2012)13 Taste masking is the main factor in the development of the dosage form. It opens the doors for new inventions and patents. Many techniques have been developed which not only improve the taste of molecule but also the formulation and performance of the molecule. The main objective of present review is to explore different method, technologies and evaluations to mask the obnoxious taste of drugs, so that patients can use these drugs without hesitation of taste. Kayumba et al (2011)14 developed a taste-masked quinine sulphate dosage form as a flexible pediatric formulation tool. Pellets were produced as they offer more flexibility to body weight dose adaptation and therefore represent an alternative to tablet breaking in pediatrics. Quinine sulphate pellets were produced via extrusionspheronisation. His observations correlated well with the bitterness score of the formulations determined via the Astree electronic tongue and its Bitterness Prediction Module, showing that 20% (w/w) Eudragit E PO was required to obtain a homogeneous film and to delay quinine sulphate release sufficiently to mask the bitterness after drug administration. In acid medium immediate quinine sulphate release was obtained. Tripathi et al (2011)15 explained that taste is an important parameter in case of drugs administering orally. Taste masking becomes a prerequisite for bitter drugs to improve the patient compliance especially in the pediatric and geriatric population. The problem of bitter taste of drug in pediatric formulations is a challenge to the formulators in the present scenario. Masking the bitter taste of drugs is a potential tool for the improvement of patient compliance which intern decides the commercial success of the product. Two approaches are commonly utilized to overcome the bad taste of the drug. The first includes reduction of drug solubility in the saliva and second approach is to alter the ability of the drug to interact with taste receptor. Chiapetta Singh A et al (2011)16 developed Indinavir pediatric anti-HIV/AIDS formulations enabling convenient dose adjustment, ease of oral administration, and improved organoleptic properties by means of the generation of drug-loaded microparticles made of a polymer that is insoluble under intake conditions and dissolves fast in the stomach in order to completely release the active agent. His work explored the production of indinavir-containing microparticles based on a common pharmaceutical excipient as a means for the improvement of medicines of drugs involved in the treatment of HIV/AIDS. For systems containing about 15% drug, taste studies confirmed the acceptability of the formulation. In pediatric regimes, this composition would require an acceptable amount of formulation (0.7–1.5 g). Sharma D et al (2012)17 worked on a novel approach for the improvement of organoleptic properties of pharmaceutical substances. They used different types of “Taste Masking Techniques” such as coating of drugs, microencapsulation, multiple emulsion, viscosity modifiers, ion exchange resins...etc. They also used sugars, flavours, sweeteners, lipoproteins, adsorbents in the above techniques. These techniques were found to enhance the bioavailability and performance of the drug dosage form. Kruthi et al (2012)18 worked on orodispersible tablets of the bitter drug Drotaverine HCL, used in the treatment of paedriatic and geriatric patients. The bitter taste of the drug was masked by using techniques such as melt granulation and kneading method. The carriers used include glyceryl Behenate - (compritol 888 ATO), glyceryl pamito stearate (precirol ATO 5) & sucrose fatty acid ester (D 1811). Sona PS et al (2011)19 worked on taste masking of bitter taste of Diclofenac Sodium and formulated an orally disintegrating tablet (ODT).They employed various physical & chemical methods that prevented the drug substance from interacting with the taste buds. They used veegum (magnesium aluminium silicate) as the taste masking agent and sodium starch glycolate and croscarmellose sodium as superdisintegrants. Dhoka MV et al, (2011)20 worked on the taste masking of Cefpodoxime Proxetil , a 3rd generation broad spectrum β- Lactam cephalosporin class of antibiotic administered orally in paediatric and adult patients and is extremely bitter in taste. Floating microspheres of cefpodoxime proxetil with eudragit E100 plus HPMC and Eudragit E100 plus PEG were prepared by the emulsion solvent diffusion method to mask the bitter taste of an antibiotic. The effect of different polymers with different drug–polymer ratios on the taste masking and the characteristics of the microspheres were investigated. It was found that Eudragit E100 masked the taste but retarded the drug release whereas combination of Eudragit E100 with PEG and with HPMC showed the better result for masking the unpleasant taste of Cefpodoxime Proxetil with floating ability as well as provide good drug release. 6.3 Objectives of the Study: The present study is planned with the following objectives: Preformulation studies of the drug and polymers, drug-excipient compatibility by DSC, X-ray diffraction, FTIR methods. To develop suitable analytical method for the estimation of the drugs. Taste masking of the method using suitable polymers and methods. Evaluation studies Formulation of suitable dosage form like suspensions, solution of the tastemasked drug Evaluation of the prepared suspension formulation by different physicochemical characterization studies such as viscosity, sedimentation volume, Rheological parameters & stability studies. The optimal formulation(s) would be subjected for accelerated studies as per ICH guidelines. 7. MATERIALS AND METHODS: Drug : Antibiotics Polymers & Excipients : Alginates, Methylcellulose, Hydroxyethylcellulose, Carboxymethylcellulose, Sodium Carboxymethylcellulose, Microcrystalline cellulose, Acacia, Tragacanth, Xanthan gum, Bentonite, Carbomer, Carageenan, Powdered cellulose, Gelatin…etc. 7.1 Source of Data: 1) Review of literature from: a. Journals: such as - Indian Journal of Pharmacy & Pharmaceutical Science - International Journal of Pharmaceutical. - International Research Journal of Pharmacy. - Journal of Global Pharma Technology. - International Journal of Applied Pharmaceutics. - International Journal of Drug Delivery. b. Internet browsing. 2) e-Library: T. John college of Pharmacy. 7.2 Methods of collection of data (including sampling procedures, if any) 1. Laboratory studies which include, preformulation studies, formulation and evaluation studies such as amount of drug released rate kinetics &stability studies etc. 2. Data of physiochemical properties of the drug and polymers used such as solubility in various solvents, pH will be collected through literature search. 7.3 Does the study require any investigations or interventions to be conducted on patients or other humans or animals? If so, please describe briefly. ---- No ---- 7.4 Has ethical clearance been obtained from your institution in case of 7.3. ---- Not Applicable ---8. REFERENCES: 1. Shah PP and Mashru RC. Development and evaluation of Artemether taste masked rapid disintegrating tablets with improved dissolution using solid dispersion technique. AAPS Pharm SciTech. 2008; 9: 494–500. 2. Strickley RG and Dahl TC. Pediatric drugs - a review of commercially available oral formulations.J Pharm Sci. 2008; 97(5): 1731-774. 3. Sohi H, Sultana Y and Khar RK. Taste masking technologies in oral pharmaceuticals: recent developments and approaches. Drug Dev Ind Pharm. 2004; 30(5) : 429-48. 4. Cerea M. A novel powder coating process for attaining taste masking and moisture protective films applied to tablets. Int J Pharm. 2004; 27: 127-39. . 5. Al-Omran MF, Al-Suwayeh SA, El-Helw AM, Saleh SI. Taste masking of diclofenac sodium using microencapsulation. J Microencapsul, 2002; 19(1): 4552. 6. Bora D, Borude P, Bhise K. Taste masking by spray-drying technique. Pharm Sci Tech. 2008; 9(4): 1159-64. 1. Xu J, Bovet LL, Zhao K. Taste masking microspheres for orally Disintegrating tablets. Int J Pharm. 2008; 359(1-2): 63-9. 2. Bhise K, Shaikh S, Bora D. Taste mask, design and evaluation of an oral formulation using ion exchange resin as drug carrier. Pharm Sci Tech. 2008; 9(2): 557-62. 3. Agresti C and Liang JF. Specific interactions between Diphenhydramine and alpha-helical poly (glutamic acid)--a new ion-pairing complex for taste masking and pH-controlled Diphenhydramine release. Eur J Pharm Biopharm. 2008; 70(1): 226-33. 4. Uchida T, Tanigake A and Miyanaga Y. Evaluation of the bitterness of antibiotics using a taste sensor. J Pharm Pharmacol, 2003; 55(11): 1479-485. 5. Li L, Naini V and Ahmed SU. Utilization of a modified special-cubic design and an electronic tongue for bitterness masking formulation optimization. J Pharm Sci, 2007; 96(10): 2723-734. 6. Abhijeet Y. Patil, Pravin K. Bhoyar. Jagdish R. Baheti, Satish M. Kardel, Chandrakant T. Karanjekar and Dhanashri B. Nagulwar. Design and Optimization of Ambroxol Hcl Microparticles for bitter taste masking. World Journal of Pharmacy and Pharmaceutical Sciences. 2012; 1(1): 368-75. 7. Munira Momin*, Sudha Rathod and Swapan Kar. Taste masking techniques for bitter drugs-an overview.International Journal of Pharmacy and Technology. 2012; 4(2): 2100-118. 8. Kayumba P C, Huyghebaert N, Cordella C, Ntawukuliryayo J D, Vervact C and Remon J P. Quinine sulphate pellets for flexible pediatric drug dosing: Formulation Development and Evaluation of taste-masking efficiency using electronic tongue. European Journal of Pharmaceutics and Biopharmaceutics. 2007; 9. Aditi Tripathi, Dipika Parmar, Upendra Patel, Ghanshyam Patel, Dhiren Daslaniya and Bhavin Bhimani. Taste Masking: A Novel Approach for Bitter and Obnoxious Drugs.Journal of Pharmaceutical Science and Bioscientific Research. 2011; 1(3): 136-42. 10. Diego A Chiappetta, Ángel M Carcaboso, Carlos Bregni, Modesto Rubio, Guillermo Bramuglia and Alejandro Sosnik. Indinavir-Loaded pHsensitive microparticles for taste masking: Toward Extemporaneous Pediatric Anti-HIV/AIDS Liquid Formulations with improved patient compliance. AAPS PharmSciTech. 2009; 10(1): 1-6. 11. Sharma S and Lewis S. Taste Masking Technologies: A Review, Int J Pharm Pharm Sci. 2010; 2(2): 6-13. 12. Kruthi M, Rani AS and Kumar KS. Development and Evaluation of Taste Masked Orodispersible Tablets of Drotaverine HCL. International e-Journal of Pharmaceutical Sciences. 2012; 1(1): 1-17. 13. Sona P S and Muthulingam C. Formulation and Evaluation of Taste Masked Orally Disintegrating Tablets of Diclofenac sodium. International Journal of Pharm Tech Research. 2011; 3(2): 819-826. 14. Dhoka MV, Nimbalkar1 UA and Pande A. Preparation of Cefpodoxime Proxetil Polymeric Microspheres by the Emulsion Solvent Diffusion Method for Taste Masking. International Journal Of Pharmtech Research. 2011; 3(1): 411-419. 9. SIGNATURE OF CANDIDATE [Mr. SEMBETI NAVEEN KUMAR] 10 REMARKS OF GUIDE RECOMMENDED WORK. 11 NAME AND DESIGNATION OF (IN BLOCK LETTERS) 11.1 GUIDE. FOR DISSERTATION Dr. K. V. SANDHYA, M.Pharm., Ph.D. PROFESSOR & HOD, DEPT. OF PHARMACEUTICS, T. JOHN COLLEGE OF PHARMACY, GOTTIGERE, BANGALORE. 11.2 SIGNATURE OF THE GUIDE 11.3 HEAD OF THE DEPARTMENT. Dr. K. V. SANDHYA, M.Pharm., Ph.D. PROFESSOR & HOD, DEPT. OF PHARMACEUTICS, T. JOHN COLLEGE OF PHARMACY, GOTTIGERE, BANGALORE. 11.4 12 12.1 12.2 SIGNATURE OF THE HOD REMARKS OF THE PRINCIPAL. SIGNATURE OF THE PRINCIPAL. FORWARDED AND RECOMMENDED FOR DISSERTATION WORK.