MUCOADHESIVE DRUG DELIVERY SYSTEM Done by : Fatima Khalid Third stage Introduction Since the early 1980s, the concept of mucoadhesion has gained considerable interest in pharmaceutical technology. Adhesion can be defined as the bond produced by contact between a pressure sensitive adhesive and a surface. The American Society of Testing and Materials has defined it as the state in which two surfaces are held together by interfacial forces, which may consist of valence forces, interlocking action or both. Mucoadhesive drug delivery systems prolong the residence time of the dosage form at the site of application or absorption. They facilitate an intimate contact of the dosage form with the underlying absorption surface and thus improve the therapeutic performance of the drug. In recent years, many such mucoadhesive drug delivery systems have been developed for oral, buccal, nasal, rectal and vaginal routes for both systemic and local effects. Defination Mucoadhesive drug delivery system may be defined as a drug delivery system which utilize property of bioadhesion of certain water soluble polymers which become adhesive on hydration and hence can be used for targeting a drug to a particular region of the body for extended periods of time. Principle During the 1980s mucoadhesion began to be applied to drug delivery systems .It consists of the incorporation of adhesive molecules into some kind of pharmaceutical formulation intended to stay in close contact with the absorption tissue releasing the drug near to the action site theraby increasing its bioavailability and promoting local or systemic effects . The potential use for mucoadhesive systems as drug carriers lies in its prolongation of the residence time at the absorption site allowing intensified contact with the epithelial barrier .On other hand adhesion of preparation onto mucous membrane can be impaired by the mucociliary clearance system and by using bioadhesive molecules to retain the preparation at the action site and to direct the drug to a specific site or tissue . Mucousl membranes of human organism are relatively permeable and allow fast drug absorption .They are characterized by epithelial layer whose surface is covered by mucus . The mucus contains glycoproteins ,lipids ,inorganic salts and 95%water . There are number of materials used for developing such systems .The most studies material are the polymers derived from polyacrylic acid such as polycarbophil and carbomers , polymers derived from cellulose such as hydroxyethylcellulose. chitosan and derivatives and mor recently,lectins and their derivatives. The mucoadhesive drug delivery system is cumulative for delivering the drugs which have narrow absorption window at the target site to optimize their usefulness. The oral route is the most ancient as well as preferred by the patient being convenient to take similarly in mucoadhesive dosage forms has inclined patients towards due to ease of drug administration and painless administration .There are also nasal ,vaginal,ocular and rectal drug delivery systems . Mucoadhesive drug delivery systems can be delivered by various routes:• • • • • • Buccal delivery system Oral delivery system Vaginal delivery system Rectal delivery system Nasal delivery system Ocular delivery system Bioadhesion and Mucoadhesion The term bioadhesion can be defined as the state in which two materials, at least one biological in nature, are held together for an extended period of time by interfacial forces. In biological systems, bioadhesion can be classified into 3 types: Type 1: adhesion between two biological phases, for example, platelet aggregation and wound healing. Type 2: adhesion of a biological phase to an artificial substrate, for example, cell adhesion to culture dishes and biofilm formation on prosthetic devices and inserts. Type 3: adhesion of an artificial material to a biological substrate, for example, adhesion of synthetic hydrogels to soft tissues and adhesion of sealants to dental enamel. For drug delivery purposes, the term bioadhesion implies attachment of a drug carrier system to a specified biological location. The biological surface can be epithelial tissue or the mucus coat on the surface of a tissue. If adhesive attachment is to a mucus coat, the phenomenon is referred to as mucoadhesion. Leung and Robinson described mucoadhesion as the interaction between a mucin surface and a synthetic or natural polymer. Mucoadhesion should not be confused with bioadhesion; in bioadhesion, the polymer is attached to the biological membrane and if the substrate is mucus membrane the term mucoadhesion is used. Mucoadhesive polymer are classified as follows: Classification Mucoadhesive polymer are classified as follows: First generation polymer: Anionic polymer: poly(-acrylic acid), carbopol, polycarbophil, Cationic polymer: Chitosan Second generation polymer: Lecithins, bacterial adhesion New generation polymer: Thiomers Characteristics of an ideal mucoadhesive polymers: The polymer and its degradation products should be nontoxic and should be nonabsorbable from the gastrointestinal tract. It should be non-irritant to the mucous membrane. It should preferably form a strong non-covalent bond with the mucin-epithelial cell surfaces. It should adhere quickly to most tissue and should possess some site-specificity. It should allow incorporation to the daily dose of the drug and offer no hindrance to its release. The polymer must not decompose on storage or during the shelf life of the dosage form. The cost of polymer should not be high so that the prepared dosage form remains competitive. Mechanism of action: The mechanism of mucoadhesion is generally divided into two steps: 1. the contact stage : is characterized by the contact between the mucoadhesive and the mucus membrane, with spreading and swelling of the formulation, initiating its deep contact with the mucus layer. Materials are activated by the presence of moisture. Moisture plasticizes the system, allowing the mucoadhesive molecules to break free and to link up by weak van der Waals and hydrogen bonds. 2. the consolidation stage : Essentially, there are two theories explaining the consolidation step: the diffusion theory and the dehydration theory. According to the diffusion theory, the mucoadhesive molecules and the glycoproteins of the mucus mutually interact by means of interpenetration of their chains and the building of secondary bonds. For this to take place, the mucoadhesive device has features favoring both chemical and mechanical interactions. For example, molecules with hydrogen bond building groups (–OH, –COOH), an anionic surface charge, high molecular weight, flexible chains and surface-active properties, which help in spreading throughout the mucus layer, can present mucoadhesiveproperties. . Mucoadhesion theories Mucoadhesion is a complex process and numerous theories have been proposed to explain the mechanisms involved. These theories include : 1. The wetting theory: It explains the contact angle of liquids on the substrate surface is lower, then there is a greater affinity for the liquid to the substrate surface. 2. The diffusion theory: Due to the presences of polymeric chains on the substrate surfaces, across the adhesive interface thereby forming a networked structure. 3. The mechanical theory: It explains the diffusion of the liquid adhesives into the micro-cracks and irregularities present on the substrate surface thereby forming an interlocked structure which gives rise to adhesion. 4. The electronic theory: Due to the transfer of electrons amongst the surfaces resulting in the formation of an electrical double layer, giving rise to attractive forces. 5. The adsorption theory: Due to the presence of intermolecular forces (hydrogen bonding) and Vander Waal forces, results in adhesive interaction amongst the substrate surfaces. 6. The cohesive theory: The phenomena of bioadhesion are mainly due to the intermolecular interactions amongst like-molecules. Advantages 1. MDDS offer several advantages over other controlled oral controlled release systems by virtue of prolongation of residence of drug in GIT. 2. Targeting & localization of the dosage form at a specific site. 3. High drug flux at the absorbing tissue. 4. MDDS will serve both the purposes of sustain release & presense of dosage form at the site of absorption. 5. Excellent accessibility. 6. Painless administration. 7. Low enzymatic activity & avoid of first pass metabolism. Disadvantage 1. drus which irritate the oral mucosa have a bitter or unpleasant taste ,odour,can be administered by this rout. 2. drugs,which are unstable at buccal pH can not be administered by this rout. 3. only drug with small does requirments can be administered. 4. drug may swllow with saliva and loses the advantagesof buccal rout. 5. only those drugs,which are absorbed by passive diffusion can be administered by this rout. 6. eating and drinking may become restricted. *TABLE: Commercial Mucoadhesive Drug Delivery System FUTURE POTENTIAL AND RESEARCH DIRECTION Research in buccal drug delivery has revealed remarkable growth and advances in the past few decades. The buccal mucosa holds a great promise for systemic delivery of orally inefficient drugs as well as a feasible and attractive alternative for non-invasive delivery of potent peptide and protein drug molecules. Mucoadhesive drug delivery systems offer unique carrier system for many pharmaceuticals and can be modified to adhere to any mucosal tissue, including those found in oral cavity, gastrointestinal tract, vagina, eye etc. One of the areas of interest is the novel buccal adhesive delivery system, where the drug delivery is directed towards buccal mucosa by protecting the local environment. In spite of significant advances in the field of mucoadhesion, there is no consensus between scientists in relation to the mechanisms of the interaction between materials and components of mucosal tissue. Many scientists have addressed the development of MBDDS and studied the efficacy of their use, though here too there remain significant gaps, as there is no generally accepted method for assessing mucoadhesive properties. The lack of standardized techniques often leads to discordant and unclear results. Efforts have to be made to develop standardized in vitro and ex vivo biological models that allow one to characterize and compare different materials and formulations in terms of their capability to promote drug absorption via the buccal route. Looking into the future, researchers find the fate of buccal adhesive drug delivery turning towards vaccine formulations and delivery of small proteins/peptides. Microparticulate bioadhesive systems are particularly interesting because they offer protection to therapeutic entities as well as the enhanced absorption that result from increased contact time provided by the bioadhesive component. Mucoadhesion can clearly play a fundamental role as non-parenteral drug delivery systems for protein formulations, as well as vaccines able to attach to mucous membranes to stimulate local immunity. At the current global scenario, scientists are finding ways to develop buccal adhesive systems through various approaches to improve the bioavailability of orally less/inefficient drugs by manipulating the formulation strategies. Polymeric science needs to be explored to find newer mucoadhesive polymers with the added attributes of being biodegradable, biocompatible, non-toxic, mucoadhesive for specific cells or mucosa. THANK YOU……..