PHARMACEUTICAL FACTORS AFFECTING DRUG ABSORPTION CONTENTS Introduction Disintegration Time Dissolution time Manufacturing/Processing variable Method of granulation Compression forces Pharmaceutical ingredients and excipients Nature and type of dosage Form Product age and storage conditions Summary Introduction Absorption of drug via aforementioned mechanism depends on the several factors grouped as patient related factors (physiological factors and clinical factors) and Pharmaceutical factors.Pharmaceutical factors are further classified into two categories- Pharmaceutical factors related to physicochemical properties of drug and factors related to the formulation. Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption DISINTEGRATION TIME Rapid disintegration is important to have a rapid absorption so lower disintegration time is required. Disintegration time of tablet is directly proportional to –amount of binder and compression force. It is important to note that in vitro disintegration test gives no means of a guarantee of drugs B.A. because if the disintegrated drug particles do not dissolve then absorption is not possible. DISSOLUTION TIME: Dissolution is a process in which a solid substance solubilizes in a given solvent ie… mass transfer from the solid surface to the liquid phase. Dissolution time is also an important factor which affect the drug absorption . MANUFACTURING/PROCESSVARIABLES: Several manufacturing processes influence drug dissolution from solid dosage forms. For example: For tablet it is Method of granulation Compression force Process variables Method of granulation and compression force are most important process variables that affect the drug absorption of solid dosage forms. Tablets prepared by wet granulation dissolve at faster rate than those prepared by other granulating methods. However, this method of granulation has limitations like chemical degradation, formation of Crystal Bridge and deleterious effect of the drying step on thermoliable drugs. The agglomerative phase of communition (APOC) is new development in granulation technology that involves extensive grinding of drug so that spontaneous agglomerated particles are formed. The granules prepared by this method have higher surface area and hence higher dissolution rate. The most important factors that affect drug absorption from tablet include use of lubricants and compression force for tableting. Lubricants are hydrophobic substances that produce acceptable tablet. They form hydrophobic film over the drug particles and retard wetting of Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption particles with gastric fluid thereby diminish drug dissolution. Further, hardness of tablet affects wettability that leads to long DT. The hardness of tablet depends on method of manufacturing and binder used. Tablet hardness is directly affected by compression force. Tablet compressed at high compression force are harder than tablet compressed at low or medium compression force. High compression force increases the strength of internal structure of granules and retards disintegration of granules. Compression force has inverse effect on wettability and disintegration. Higher compression gives rise to harder tablets. However, compression force causes crushing of particle that may result in higher effective surface area thereby causing a decrease in DT. Compression force affects hardness, porosity and density of granules that may affect drug disintegration. Therefore, effect of compression force should thoroughly be studied at the stage of product development. A change in crystal form of drug during manufacturing of tablet may cause cracking of tablet. Sometimes drug interact with solvent used in granulation and convert into solvate forms. They are called as hydrate when water is used as solvent. The hydrate form has quite different solubility than anhydrous form of drug. For example ampicillin trihydrate is less absorbed than anhydrous ampicillin due to faster dissolution of trihydrate form Fig Influence of compression force on the dissolution rate of tablets The compression force employed in tableting process influence density, porosity, hardness, disintegration time and dissolution rate of tablets. Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption PHARMACEUTICAL INGREDIENTS/EXCIPIENTS More the number of Excipients in the dosage form, more complex it is & greater the potential for absorption and Bioavailability problems. A) Vehicle Rate of absorption – depends on its miscibility with biological fluid. Miscible vehicles (aqueous or water miscible vehicle) causes rapid absorption e.g. propylene glycol. Immiscible vehicles – Absorption depends on its partitioning from oil phase to aqueous body fluid. B) Diluents Hydrophilic diluents – Imparts Absorption Hydrophobic diluents – Retards Absorption Also, there is a drug-diluent interaction, forming insoluble complex and retards the absorption. E.g. Tetracycline-DCP C) Binders & granulating agent Hydrophilic binders – Imparts hydrophilic properties to the granule surface – gives better dissolution properties of the poorly wettable drugs. E.g. Starch, Gelatin. PVP. But more amount of binder increases the hardness of the tablet and retards the absorption rate. D) Disintegrants Mostly hydrophilic in nature. Decrease in amount of disintegrants – significantly lowers B.A. E) Suspending agents/viscosity agent Stabilized the solid drug particles and thus affect drug absorption. Macromolecular gum forms un-absorbable complex with drug e.g. Na CMC. Viscosity imparters – act as a mechanical barrier to diffusion of drug from its dosage form and retard GI transit of drug. G) Surfactants May enhance or retards drug absorption by interacting with drug or membrane or both. Physiologic surfactants – bile salts – promotes absorption – e.g. Griseofulvin, steroids It may decrease absorption when it forms the un-absorbable complex with drug above CMC. H) Coating In general, deleterious effects of various coatings on the drug dissolution from a tablet dosage form are in the following order. Enteric coat > sugar coat > non-enteric coat. The dissolution profile of certain coating materials change on aging; e.g. shellac coated tablets, on prolonged storage, dissolve more slowly in the intestine. This can be however, be prevented by incorporating little PVP in the coating formulation. F) Lubricants Commonly hydrophobic in nature – therefore inhibits penetration of water into tablet and thus dissolution and disintegration. I) Buffers Buffers are sometimes useful in creating the right atmosphere for drug dissolution as was Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption observed for buffered aspirin tablets. However, certain buffer systems containing potassium cations inhibit the drug absorption as seen with Vitamin B2 and sulfanilamide. J) Colourants Even a low concentration of water soluble dye can have an inhibitory effect on dissolution rate of several crystalline drugs. The dye molecules get absorbed onto the crystal faces and inhibit the drug dissolution. For example: Brilliant blue retards dissolution of sulfathiazole 5) NATURE AND TYPE OF DOSAGE FORM Apart from the proper selection of the drug, clinical success often depends to a great extent on the proper selection of the dosage form of that drug. For a given drug, a 2 to 5 fold or perhaps more difference could be observed in the oral bioavailability of a drug depending upon the nature and type of dosage form. As a general rule, the bio-availability of a drug form various dosage forms decrease in the following order: Solutions > Emulsions > Suspensions > Capsules > Tablets > Coated Tablets > Enteric Coated Tablets > Sustained Release Products. Bio-availability risk and absorption of various dosage forms. Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption Fig : 1.0 Introduction Absorption of drug via aforementioned mechanism depends on the several factors grouped as patient related factors (physiological factors and clinical factors) and Pharmaceutical factors. Pharmaceutical factors are further classified into two categories- Pharmaceutical factors related to physicochemical properties of drug and factors related to the formulation. Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption Product age and storage conditions Product age and storage condition can also affect drug absorption. Some drug products deteriorate or become physically unstable if stored in improper condition or kept too long and hence drug product become ineffective. For example precipitation of drug in solution and particle growth in suspension stored under improper storage condition adversely affect drug absorption. Moreover, hardening of tablet stored at higher temperature may result in low absorption. The drug product must be stored under prescribed storage conditions like cool and dry place or in the refrigerator or in dark place. Therefore product aging and effect of storage condition of drug absorption and stability should be studied. 3.0 Summary Drug absorption is amount of unchanged drug that reach to general systemic circulation from the site of administration. Drug can be absorbed by passive diffusion, pore transport, facilitated diffusion, active transport and pinocytosis. Absorption of drug depends on various factors among of which is pharmaceutical factors disintegration time manufacturing method, type of dosage form, pharmaceutical ingredients and product age & storage conditions. Therefore effect these factors on drug absorption should be studied at product development stage to design stable, safe and effective dosage form. Pharmaceutical sciences Biopharmaceutics & Pharmacokinetics Pharmaceutical factors affecting drug absorption