Chapter 3 Drug and Excipients profile CHAPTER-III DRUG AND EXCIPIENTS PROFILE 3.1. PROFILE OF ACTIVE DRUG ISOTRETINOIN (Martindale Extra pharmacopoeia, 2007) Chemical name : Retinoic acid, 13-cis-.3,7-Dimethyl-9-(2,6,6-trimethyl1-cyclohexen-1-yl)2-cis-4-trans-6-trans-8-transnonatetraenoic acid. Molecular formula : C20H28O2 Molecular weight : 300.44 Excretion : Renal and faeces cLogP : 4.65 LogP : 6.74 BCS class : Class II Therapeutic indications Severe forms of acne (such as nodular or conglobate acne or acne at risk of permanent scarring) resistant to adequate courses of standard therapy with systemic anti-bacterials and topical therapy. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 64 Chapter 3 Drug and Excipients profile Posology and method of administration Isotretinoin should only be prescribed by or under the supervision of physicians with expertise in the use of systemic retinoids for the treatment of severe acne and a full understanding of the risks of Isotretinoin therapy and monitoring requirements. The capsules should be taken with food once or twice daily. Adults including adolescents and the elderly Isotretinoin therapy should be started at a dose of 0.5 mg/kg daily. The therapeutic response to Isotretinoin and some of the adverse effects are doserelated and vary between patients. This necessitates individual dosage adjustment during therapy. For most patients, the dose ranges from 0.5-1.0 mg/kg per day. Long-term remission and relapse rates are more closely related to the total dose administered than to either duration of treatment or daily dose. It has been shown that no substantial additional benefit is to be expected beyond a cumulative treatment dose of 120-150 mg/kg. The duration of treatment will depend on the individual daily dose. A treatment course of 16-24 weeks is normally sufficient to achieve remission. In the majority of patients, complete clearing of the acne is obtained with a single treatment course. In the event of a definite relapse a further course of Isotretinoin therapy may be considered using the same daily dose and cumulative treatment dose. As further improvement of the acne can be observed up to 8 weeks after discontinuation of treatment, a further course of treatment should not be considered until at least this period has elapsed. Patients with severe renal insufficiency In patients with severe renal insufficiency treatment should be started at a lower dose (e.g. 10 mg/day). The dose should then be increased up to 1 mg/kg/day or until the patient is receiving the maximum tolerated dose. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 65 Chapter 3 Drug and Excipients profile Children Isotretinoin is not indicated for the treatment of prepubertal acne and is not recommended in patients less than 12 years of age due to a lack of data on efficacy and safety. Patients with intolerance In patients who show severe intolerance to the recommended dose, treatment may be continued at a lower dose with the consequences of a longer therapy duration and a higher risk of relapse. In order to achieve the maximum possible efficacy in these patients the dose should normally be continued at the highest tolerated dose. Contra indications Isotretinoin is contraindicated in women who are pregnant or breastfeeding. Isotretinoin is contraindicated in women of childbearing potential unless all of the conditions of the Pregnancy Prevention Programme are met. Isotretinoin is also contraindicated in patients with hypersensitivity to Isotretinoin or to any of the excipients. Isotretinoin is also contraindicated in patients • With hepatic insufficiency • With excessively elevated blood lipid values • With hypervitaminosis A • Receiving concomitant treatment with tetracyclines Special warnings and precaution for use This medicinal product is TERATOGENIC. Isotretinoin is contraindicated in women of childbearing potential unless all of the following conditions of the Pregnancy Prevention Programme are met. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 66 Chapter 3 Drug and Excipients profile Interaction with other medicinal products and other forms of interaction Patients should not take vitamin A as concurrent medication due to the risk of developing hypervitaminosis A. Cases of benign intracranial hypertension (pseudotumor cerebri) have been reported with concomitant use of Isotretinoin and tetracyclines. Therefore, concomitant treatment with tetracyclines must be avoided. Concurrent administration of Isotretinoin with topical keratolytic or exfoliative anti-acne agents should be avoided as local irritation may increase. Table 3.1. Adverse Drug Reactions of Isotretinoin Infections: Very Rare ( 1/10 000) Gram positive (mucocutaneous) bacterial infection Blood and lymphatic system disorders: Very common ( 1/10) Anaemia, red blood cell sedimentation rate increased, thrombocytopenia, thrombocytosis Common ( 1/100, < 1/10) Neutropenia Very Rare ( Lymphadenopathy 1/10 000) Immune system disorders: Rare ( 1/10 000,< 1/1000) Allergic skin reaction, anaphylactic reactions, hypersensitivity Metabolism and nutrition disorders: Very Rare ( 1/10 000) Diabetes mellitus, hyperuricaemia Psychiatric disorders: Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 67 Chapter 3 Drug and Excipients profile Rare ( 1/10 000,< 1/1000) Depression, depression aggravated, aggressive tendencies, anxiety, mood alterations. Very Rare ( 1/10 000) Abnormal behaviour, psychotic disorder, suicidal ideation suicide attempt, suicide Nervous system disorders: Common ( 1/100, < 1/10) Headache Very Rare ( Benign intracranial hypertension, convulsions, 1/10 000) drowsiness, dizziness Eye disorders: Very common ( Very Rare ( 1/10) Blepharitis, conjunctivitis, dry eye, eye irritation 1/10 000) Blurred vision, cataract, colour blindness (colour vision deficiencies), contact lens intolerance, corneal opacity, decreased night vision, keratitis, papilloedema (as sign of benign intracranial hypertension), photophobia, visual disturbances. Ear and labyrinth disorders: Very Rare ( 1/10 000) Hearing impaired Vascular disorders: Very Rare ( 1/10 000) Vasculitis (for example Wegener's granulomatosis, allergic vasculitis) Respiratory, thoracic and mediastinal disorders: Common ( 1/100, < 1/10) Epistaxis, nasal dryness, nasopharyngitis Very Rare ( Bronchospasm (particularly in patients with 1/10 000) asthma), hoarseness Gastrointestinal disorders: Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 68 Chapter 3 Very Rare ( Drug and Excipients profile 1/10 000) Colitis, ileitis, haemorrhage, dry throat, gastrointestinal haemorrhagic diarrhoea and inflammatory bowel disease, nausea, pancreatitis Hepatobiliary disorders: Very common ( Very Rare ( 1/10) 1/10 000) Transaminase increased Hepatitis Skin and subcutaneous tissues disorders: Very common ( 1/10) Cheilitis, dermatitis, dry skin, localised exfoliation, pruritus, rash erythematous, skin fragility (risk of frictional trauma) Rare ( 1/10 000,< 1/1000) Alopecia Very Rare ( Acne fulminans, acne aggravated (acne flare), 1/10 000) erythema (facial), exanthema, hair disorders, hirsutism, nail dystrophy, paronychia, photosensitivity reaction, pyogenic granuloma, skin hyperpigmentation, sweating increased Frequency unknown* Erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis Musculo-skeletal and connective tissue disorders: Very common ( 1/10) Arthralgia, myalgia, back pain (particularly in children and adolescent patients) Very Rare ( 1/10 000) Renal and urinary disorders: Arthritis, calcinosis (calcification of ligaments and tendons), epiphyses premature fusion, exostosis, (hyperostosis), reduced bone density, Glomerulonephritis tendonitis General disorders and administration site conditions: Very Rare ( 1/10 000) Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 69 Chapter 3 Very Rare ( Drug and Excipients profile 1/10 000) Granulation tissue (increased formation of), malaise Investigations: Very common ( 1/10) Blood triglycerides increased, high density lipoprotein decreased Common ( 1/100, < 1/10) Blood cholesterol increased, blood glucose increased, haematuria, proteinuria Very Rare ( 1/10 000) Blood creatine phosphokinase increased * cannot be estimated from the available data The incidence of the adverse events was calculated from pooled clinical trial data involving 824 patients and from post-marketing data. Overdose Isotretinoin is a derivative of vitamin A. Although the acute toxicity of isotretinoin is low, signs of hypervitaminosis A could appear in cases of accidental overdose. Manifestations of acute vitamin A toxicity include severe headache, nausea or vomiting, drowsiness, irritability and pruritus. Signs and symptoms of accidental or deliberate overdosage with isotretinoin would probably be similar. These symptoms would be expected to be reversible and to subside without the need for treatment. Pharmacodynamic properties Mechanism of action Isotretinoin is a stereoisomer of all-trans retinoic acid (tretinoin). The exact mechanism of action of Isotretinoin has not yet been elucidated in detail, but it has been established that the improvement observed in the clinical picture of severe acne is associated with suppression of sebaceous gland activity and a Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 70 Chapter 3 Drug and Excipients profile histologically demonstrated reduction in the size of the sebaceous glands. Furthermore, a dermal anti-inflammatory effect of Isotretinoin has been established. Efficacy Hypercornification of the epithelial lining of the pilosebaceous unit leads to shedding of corneocytes into the duct and blockage by keratin and excess sebum. This is followed by formation of a comedone and, eventually, inflammatory lesions. Isotretinoin inhibits proliferation of sebocytes and appears to act in acne by re-setting the orderly program of differentiation. Sebum is a major substrate for the growth of Propionibacterium acnes so that reduced sebum production inhibits bacterial colonisation of the duct. Pharmacokinetic properties Absorption The absorption of Isotretinoin from the gastro-intestinal tract is variable and dose-linear over the therapeutic range. The absolute bioavailability of Isotretinoin has not been determined, since the compound is not available as an intravenous preparation for human use, but extrapolation from dog studies would suggest a fairly low and variable systemic bioavailability. When Isotretinoin is taken with food, the bioavailability is doubled relative to fasting conditions. Distribution Isotretinoin is extensively bound to plasma proteins, mainly albumin (99.9 %). The volume of distribution of isotretinoin in man has not been determined since isotretinoin is not available as an intravenous preparation for human use. In humans little information is available on the distribution of isotretinoin into tissue. Concentrations of isotretinoin in the epidermis are only half of those in serum. Plasma concentrations of isotretinoin are about 1.7 times those of whole blood due to poor penetration of isotretinoin into red blood cells. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 71 Chapter 3 Drug and Excipients profile Metabolism After oral administration of Isotretinoin, three major metabolites have been identified in plasma: 4-oxo-isotretinoin, tretinoin, (all-trans retinoic acid), and 4oxo-tretinoin. These metabolites have shown biological activity in several in vitro tests. 4-oxo-isotretinoin has been shown in a clinical study to be a significant contributor to the activity of Isotretinoin (reduction in sebum excretion rate despite no effect on plasma levels of isotretinoin and tretinoin). Other minor metabolites includes glucuronide conjugates. The major metabolite is 4-oxoisotretinoin with plasma concentrations at steady state, that are 2.5 times higher than those of the parent compound. Isotretinoin and tretinoin (all-trans retinoic acid) are reversibly metabolised (interconverted), and the metabolism of tretinoin is therefore linked with that of Isotretinoin. It has been estimated that 20-30 % of an Isotretinoin dose is metabolised by isomerisation. Enterohepatic circulation may play a significant role in the pharmacokinetics of Isotretinoin in man. In vitro metabolism studies have demonstrated that several CYP enzymes are involved in the metabolism of Isotretinoin to 4-oxo-isotretinoin and tretinoin. No single isoform appears to have a predominant role. Isotretinoin and its metabolites do not significantly affect CYP activity. Elimination After oral administration of radiolabelled Isotretinoin approximately equal fractions of the dose were recovered in urine and faeces. Following oral administration of Isotretinoin, the terminal elimination half-life of unchanged drug in patients with acne has a mean value of 19 hours. The terminal elimination halflife of 4-oxo-isotretinoin is longer, with a mean value of 29 hours. Isotretinoin is a physiological retinoid and endogenous retinoid concentrations are reached within approximately two weeks following the end of Isotretinoin therapy. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 72 Chapter 3 Drug and Excipients profile Pharmacokinetics in special populations Since Isotretinoin is contraindicated in patients with hepatic impairment, limited information on the kinetics of Isotretinoin is available in this patient population. Renal failure does not significantly reduce the plasma clearance of Isotretinoin or 4-oxo-isotretinoin. Preclinical safety data Acute toxicity The acute oral toxicity of Isotretinoin was determined in various animal species. LD50 is approximately 2000 mg/kg in rabbits, approximately 3000 mg/kg in mice, and over 4000 mg/kg in rats. Chronic toxicity A long-term study in rats over 2 years (Isotretinoin dosage 2, 8 and 32 mg/kg/d) produced evidence of partial hair loss and elevated plasma triglycerides in the higher dose groups. The side effect spectrum of Isotretinoin in the rodent thus closely resembles that of vitamin A, but does not include the massive tissue and organ calcifications observed with vitamin A in the rat. The liver cell changes observed with vitamin A did not occur with Isotretinoin. All observed side effects of hypervitaminosis A syndrome were spontaneously reversible after withdrawal of Isotretinoin. Even experimental animals in a poor general state had largely recovered within 1–2 weeks. Teratogenicity Like other vitamin A derivatives, Isotretinoin has been shown in animal experiments to be teratogenic and embryotoxic. Due to the teratogenic potential of Isotretinoin there are therapeutic consequences for the administration to women of a childbearing age. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 73 Chapter 3 Drug and Excipients profile Fertility Isotretinoin, in therapeutic dosages, does not affect the number, motility and morphology of sperm and does not jeopardise the formation and development of the embryo on the part of the men taking Isotretinoin. Mutagenicity Isotretinoin has not been shown to be mutagenic in in-vitro or in-vivo animal tests. Dosage forms existing in market: Isotretinoin 20mg and 10mg soft gelatin Capsules, Isotretinoin gel. 3.2. PROFILE OF EXCIPIENTS USED IN FORMULATION 3.2.1. Polyoxyethylene Sorbitan Fatty Acid Esters (Rowe, et al., 2003) 1. Nonproprietary Name Polysorbate 80 2. Synonyms Atlas E; Armotan PMO 20; Capmul POE-O; Cremophor PS 80; Crillet 4; Crillet 50; Drewmulse POE-SMO; Drewpone 80K; Durfax 80; Durfax 80K; E433; Emrite 6120; Eumulgin SMO; Glycosperse O-20; Hodag PSMO-20; Liposorb O20; Liposorb O-20K; Montanox 80; polyoxyethylene 20 oleate; polysorbatum 80; Protasorb O-20; Ritabate 80; (Z)-sorbitan mono-9-octadecenoate poly(oxy1,2ethanediyl) derivatives; Tego SMO 80; Tego SMO 80V; Tween 80. 3. Chemical Name and CAS Registry Number Chemical Name: Polyoxyethylene 20 sorbitan monooleate CAS Registry Number: [9005-65-6] Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 74 Chapter 3 Drug and Excipients profile 4. Empirical Formula and Molecular Weight Empirical Formula: C64H124O26 Molecular Weight: 1310 5. Structural Formula 6. Functional Category Dispersing agent; emulsifying agent; nonionic surfactant; solubilizing agent; suspending agent; wetting agent. 7. Applications in Pharmaceutical Formulation Polyoxyethylene sorbitan fatty acid esters (polysorbates) are a series of partial fatty acid esters of sorbitol and its anhydrides copolymerized with approximately 20, 5 or 4 moles of ethylene oxide for each mole of sorbitol and its anhydrides. The resulting product is therefore a mixture of molecules of varying sizes rather than a single uniform compound. Polysorbates containing 20 units of oxyethylene are hydrophilic nonionic surfactants that are used widely as emulsifying agents in the preparation of stable oil-in-water pharmaceutical Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 75 Chapter 3 Drug and Excipients profile emulsions. They may also be used as solubilizing agents for a variety of substances including essential oils and oil-soluble vitamins, and as wetting agents in the formulation of oral and parenteral suspensions. They have been found to be useful in improving the oral bioavailability of drug molecules that are substrates for p-glycoprotein. Polysorbates are also widely used in cosmetics and food products. Table 3.2. Uses of Polysorbates S.No. Uses Concentration (%) 1. Emulsifying agent - 2. Used alone in oil-in-water emulsions 1–15 3. Used in combination with hydrophilic emulsifiers in oil-in-water emulsions 1–10 4. Used to increase the water-holding properties of ointments 1–10 5. Solubilizing agent - 6. For poorly soluble active constituents in lipophilic bases 1–10 7. Wetting agent - 8. For insoluble active constituents in lipophilic bases 0.1–3 8. Pharmacopoeial Specifications (Official in USP 29-NF32) Polysorbate 80 is an oleate ester of sorbitol and its anhydrides copolymerized with approximately 20 moles of ethylene oxide for each mole of sorbitol and sorbitol anhydrides. Packaging and storage: Preserve in tight containers. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 76 Chapter 3 Drug and Excipients profile Identification A: To 5 mL of a solution (1 in 20) add 5 mL of sodium hydroxide TS. Boil for a few minutes, cool, and acidify with 3 N hydrochloric acid: the solution is strongly opalescent. B: To 2 mL of a solution (1 in 20) add 0.5 mL of bromine TS, dropwise: the bromine is decolorized. C: A mixture of 60 volumes of it and 40 volumes of water yields a gelatinous mass at normal and lower than normal room temperatures. Specific gravity: Between 1.06 and 1.09. Viscosity: Between 300 and 500 centistokes when determined at 25. Acid value: Weigh 10.0 g into a wide-mouth, 250-mL conical flask, and add 50 mL of neutralized alcohol. Heat on a steam bath nearly to boiling, shaking thoroughly occasionally while heating. Invert a beaker over the mouth of the flask, cool under running water, add 5 drops of phenolphthalein TS, and titrate with 0.1 N sodium hydroxide VS: not more than 4 mL of 0.100 N sodium hydroxide is required, corresponding to an acid value of 2.2. Hydroxyl value: Between 65 and 80. Saponification value: Between 45 and 55. Water: Not more than 3.0%. Residue on ignition: Not more than 0.25%. Heavy metals: 0.001%. 9. Stability and Storage Conditions Polysorbates are stable to electrolytes and weak acids and bases; gradual Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 77 Chapter 3 Drug and Excipients profile saponification occurs with strong acids and bases. The oleic acid esters are sensitive to oxidation. Polysorbates are hygroscopic and should be examined for water content prior to use and dried if necessary. Also, in common with other polyoxyethylene surfactants, prolonged storage can lead to the formation of peroxides. Polysorbates should be stored in a well-closed container, protected from light, in a cool, dry place. 10. Incompatibilities Discoloration and/or precipitation occur with various substances, especially phenols, tannins, tars, and tar like materials. The antimicrobial activity of paraben preservatives is reduced in the presence of polysorbates. 11. Method of Manufacture Polysorbates are prepared from sorbitol in a three-step process. Water is initially removed from the sorbitol to form a sorbitan (a cyclic sorbitol anhydride). The sorbitan is then partially esterified with a fatty acid, such as oleic or stearic acid, to yield a hexitan ester. Finally, ethylene oxide is chemically added in the presence of a catalyst to yield the polysorbate. 12. Safety Polysorbates are widely used in cosmetics, food products, and oral, parenteral and topical pharmaceutical formulations, and are generally regarded as nontoxic and nonirritant materials. There have, however, been occasional reports of hypersensitivity to polysorbates following their topical and intramuscular use. Polysorbates have also been associated with serious adverse effects, including some deaths, in low-birthweight infants intravenously administered a vitamin E preparation containing a mixture of polysorbates 20 and 80. When heated to decomposition, the polysorbates emit acrid smoke and irritating fumes. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 78 Chapter 3 Drug and Excipients profile The WHO has set an estimated acceptable daily intake for polysorbates 20, 40, 60, 65, and 80, calculated as total polysorbate esters, at up to 25 mg/kg bodyweight. Moderately toxic by IV route. Mildly toxic by ingestion. Eye irritation. Experimental tumorigen, reproductive effects. Mutagenic data. LD50 (mouse, IP): 7.6 g/kg LD50 (mouse, IV): 4.5 g/kg LD50 (mouse, oral): 25 g/kg LD50 (rat, IP): 6.8 g/kg LD50 (rat, IV): 1.8 g/kg 13. Handling Precautions Observe normal precautions appropriate to the circumstances and quantity of material handled. Eye protection and gloves are recommended 14. Regulatory Status Polysorbates 60, 65, and 80 are GRAS listed. Polysorbates 20, 40, 60, 65, and 80 are accepted as food additives in Europe. Polysorbates 20, 40, 60, and 80 are included in the FDA Inactive Ingredients Guide (IM, IV, oral, rectal, topical, and vaginal preparations). Polysorbates are included in parenteral and nonparenteral medicines licensed in the UK. Polysorbates 20, 21, 40, 60, 61, 65, 80, 81, 85, and 120 are included in the Canadian List of Acceptable Nonmedicinal Ingredients. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 79 Chapter 3 Drug and Excipients profile 3.2.2. Sorbitan monooleate (Rowe, et al., 2003) 1. Nonproprietary Names Span 80 2. Synonym Ablunol S-80; Arlacel 80; Armotan MO; Capmul O; Crill 4; Crill 50; Dehymuls SMO; Drewmulse SMO; Drewsorb 80K; E494; Glycomul O; Hodag SMO; Lamesorb SMO; Liposorb O; Montane 80; Nikkol SO-10; Nissan Nonion OP80R; Norfox Sorbo S-80; Polycon S80 K; Proto-sorb SMO; Protachem SMO; SMaz 80K; Sorbester P17; Sorbirol O; sorbitan oleate; Sorgen 40; Sorgon S-40-H; Span 80; Tego SMO. 3. Chemical name (Z)-Sorbitan mono-9-octadecenoate 4. Structure 5. Empirical formula and molecular weight Empirical formula: C24H44O6 Molecular weight: 429 6. Colour and form Yellow viscous liquid Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 80 Chapter 3 Drug and Excipients profile 7. Typical properties of Sorbitan monooleate S.No. Properties Value 1. Acid value ≤ 8.0 2. Density (g/cm3) 1.01 3. HLB value 4.3 4. Hydroxyl value 193 - 209 5. Saponification value 149 - 160 6. Viscosity at 25°C (mPas) 970 - 1080 7. Water content (%) ≤ 0.5 8. Functional Category Dispersing agent; emulsifying agent; nonionic surfactant; solubilizing agent; suspending agent; wetting agent. 9. Applications in Pharmaceutical Formulation or Technology Sorbitan monoesters are a series of mixtures of partial esters of sorbitol and its mono- and dianhydrides with fatty acids. Sorbitan diesters are a series of mixtures of partial esters of sorbitol and its monoanhydride with fatty acids. Sorbitan esters are widely used in cosmetics, food products, and pharmaceutical formulations as lipophilic nonionic surfactants. They are mainly used in pharmaceutical formulations as emulsifying agents in the preparation of creams, emulsions, and ointments for topical application. When used alone, sorbitan esters produce stable water-in-oil emulsions and microemulsions, but are frequently used in combination with varying proportions of a polysorbate to produce water-in-oil or oil-in-water emulsions or creams of varying consistencies, and also in self-emulsifying drug delivery systems for poorly soluble compounds. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 81 Chapter 3 Drug and Excipients profile 10. Stability and Storage Conditions Sorbitan esters should be stored in a well-closed container in a cool, dry place. 11. Safety Sorbitan esters are widely used in cosmetics, food products, and oral and topical pharmaceutical formulations, and are generally regarded as nontoxic and nonirritant materials. However, there have been occasional reports of hypersensitive skin reactions following the topical application of products containing sorbitan esters. When heated to decomposition, the sorbitan esters emit acrid smoke and irritating fumes. The WHO has set an estimated acceptable daily intake of sorbitan monopalmitate, monostearate, and tristearate and of sorbitan monolaurate and monooleate at up to 25 mg/kg body-weight calculated as total sorbitan esters. 12. Regulatory Status Certain sorbitan esters are accepted as food additives in the UK. Sorbitan esters are included in the FDA Inactive Ingredients Database (inhalations; IM injections; ophthalmic, oral, topical, and vaginal preparations). Sorbitan esters are used in nonparenteral medicines licensed in the UK. Sorbitan esters are included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.3. Polyoxylglycerides 1. Nonproprietary Names BP: Caprylocaproyl Macrogolglycerides Lauroyl Macrogolglycerides PhEur: Caprylocaproyl Macrogolglycerides Lauroyl Macrogolglycerides USP-NF: Caprylocaproyl Polyoxylglycerides Lauroyl Polyoxylglycerides Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 82 Chapter 3 Drug and Excipients profile 2. Synonyms Polyoxylglycerides are referred to as macrogolglycerides in Europe. Lauroyl polyoxylglycerides - Gelucire 44/14; hydrogenated coconut oil PEG 1500 esters; hydrogenated palm/palm kernel oil PEG 300 esters; macrogolglyceridorum laureates. 3. Chemical Name and CAS Registry Numbers Chemical Name: Lauric acid, diester with glycerol; poly(oxy-1,2-ethanediyl), α(1-oxododecyl)-ω-[(1-oxododecyl)oxy]CAS Registry Numbers: [57107- 95-6]; [27194-74-7] 4. Empirical Formula and Molecular Weight Lauroyl polyoxylglycerides - Mixtures of monoesters, diesters, and triesters of glycerol and monoesters and diesters of polyethylene glycols with mean relative molecular mass between 300 and 1500. They are obtained by partial alcoholysis of saturated oils mainly containing triglycerides of lauric (dodecanoic) acid, using polyethylene glycol, or by esterification of glycerol and polyethylene glycol with saturated fatty acids, or by mixing glycerol esters and condensates of ethylene oxide with the fatty acids of these hydrogenated oils. 5. Functional Category Dissolution enhancer; emulsifying agent; nonionic surfactant; penetration agent; solubilizing agent; sustained-release agent. 6. Applications in Pharmaceutical Formulation or Technology Polyoxylglycerides are used as self-emulsifying and solubilizing agents in oral and topical pharmaceutical formulations. They are also used in cosmetic and food products. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 83 Chapter 3 Drug and Excipients profile 7. Description Polyoxylglycerides are inert liquid or semi-solid waxy materials and are amphiphilic in character. Caprylocaproyl polyoxylglycerides are pale-yellow oily liquids. Lauroyl polyoxylglycerides and stearoyl polyoxylglycerides occur as pale-yellow waxy solids. Oleoyl polyoxylglycerides and linoleoyl polyoxylglycerides occur as amber oily liquids, which may give rise to a deposit after prolonged periods at 20°C. 8. Typical Properties Solubility - Caprylocaproyl and lauroyl polyoxylglycerides: dispersible in hot water; freely soluble in methylene chloride. 9. Stability and Storage Conditions Polyoxylglycerides should be preserved in their original containers, and exposure to air, light, heat, and moisture should be prevented. 10. Safety Polyoxylglycerides are used in oral and topical pharmaceutical formulations, and also in cosmetics and food products. They are generally regarded as relatively nonirritant and nontoxic materials. Lauroyl polyoxylglycerides: LD50 (rat, oral) : >2004 mg/(kg day). 11. Regulatory Status Lauroyl polyoxylglycerides and stearoyl polyoxylglycerides are approved as food additives in the USA. Included in the FDA Inactive Ingredients Database (oral route: capsules, tablets, solutions; topical route: emulsions, creams, lotions; vaginal route: emulsions, creams). Oleyl polyoxylglycerides are included in a topical cream formulation licensed in the UK. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 84 Chapter 3 Drug and Excipients profile 3.2.4. Polyoxyethylene Castor Oil Derivatives 1. Nonproprietary Names BP: Polyoxyl Castor Oil Hydrogenated Polyoxyl Castor Oil PhEur: Macrogolglycerol Ricinoleate Macrogolglycerol Hydroxystearate USP-NF: Polyoxyl 35 Castor Oil Polyoxyl 40 Hydrogenated Castor Oil 2. Synonyms Polyoxyl 40 hydrogenated castor oil Cremophor RH 40; Croduret 40; Eumulgin HRE 40PH; glycerol polyethyleneglycol oxystearate; Hetoxide HC40; hydrogenated castor oil POE-40; Jeechem CAH-40; PEG-40 hydrogenated castor oil; polyethoxylated hydrogenated castor oil; polyoxyethylene 40 hydrogenated castor oil; Lipocol HCO-40; Lipocol LAV HCO 40; Nikkol HCO 40 Pharma; Nonionic GRH-40; Protachem CAH-40. 3. Chemical Name and CAS Registry Number Chemical Name: Polyethoxylated castor oil CAS Registry Number: [61791-12-6] 4. Functional Category Emulsifying agent; solubilizing agent; wetting agent. 5. Applications in Pharmaceutical Formulation or Technology Polyoxyl 40 hydrogenated castor oil may be used in preference to polyoxyl 35 castor oil in oral formulations as a solubilizer for fat soluble vitamins, essential Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 85 Chapter 3 Drug and Excipients profile oils and other hydrophobic pharmaceuticals. It has very little odor and it is almost tasteless. In aqueous alcoholic or completely aqueous solutions, polyoxyl 40 hydrogenated castor oil can be used to solubilize vitamins, essential oils, and certain drugs. Using 1 mL of a 25% v/v aqueous solution of polyoxyl 40 hydrogenated castor oil, it is possible to solubilize approximately 88 mg of vitamin A palmitate, or approximately 160 mg of vitamin A propionate. Other materials that can be solubilized are alfadolone, alfaxalone, anise oil, clotrimazole, diazepam, eucalyptol, gramicidin, hexachlorophene, hexetidine, levomepromazine, miconazole, propanidid, sage oil and thiopental. Polyoxyl 40 hydrogenated castor oil is also used as an emulsifier of fatty acids and alcohols. Cremophor RH 40 and RH 60 have been used as additives to enhance the drug release from suppository formulations 6. Description Polyoxyl 40 hydrogenated castor oil occurs as a white to yellowish, semisolid paste at 20°C that liquefies at 30°C. It has a very faint characteristic odor and is almost tasteless in aqueous solution. 7. Typical Properties S.No. Properties Value 1. Acid value ≤ 1.0 2. Melting point (°C) ≈30 3. HLB value 14 - 16 4. Hydroxyl value 60 - 75 5. Saponification value 50 - 60 6. Solidification point (°C) 16 - 26 7. Water content (%) ≤ 2.0 Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 86 Chapter 3 Drug and Excipients profile 8. Stability and Storage Conditions Polyoxyethylene castor oil derivatives should be stored in a well-filled, airtight container, protected from light, in a cool, dry place. They are stable for at least 2 years if stored in the unopened original containers at room temperature (maximum 25°C). 9. Safety Polyoxyethylene castor oil derivatives are used in a variety of oral, topical, and parenteral pharmaceutical formulations. Acute and chronic toxicity tests in animals have shown polyoxyethylene castor oil derivatives to be essentially nontoxic and nonirritant materials; Polyoxyl 40 hydrogenated castor oil (Cremophor RH 40) Mouse (IP) >12.5 Mouse (IV) >12.0 Rat (oral) >16.0 10. Regulatory Status Included in the FDA Inactive Ingredients Database (IV injections and ophthalmic solutions). Included in parenteral medicines licensed in the UK. Included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.5. Polyethylene Glycol 1. Nonproprietary Names BP: Macrogols JP: Macrogol 400 Macrogol 1500 Macrogol 4000 Macrogol 6000 Macrogol 20000 Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 87 Chapter 3 Drug and Excipients profile PhEur: Macrogols USP-NF: Polyethylene Glycol 2. Synonyms Carbowax; Carbowax Sentry; Lipoxol; Lutrol E; macrogola; PEG; Pluriol E; polyoxyethylene glycol. 3. Chemical Name and CAS Registry Number Chemical Name: α-Hydro-ω-hydroxypoly(oxy-1,2-ethanediyl) CAS Registry Number: [25322-68-3] 4. Empirical Formula and Molecular Weight HOCH2(CH2OCH2)mCH2OH where m represents the average number of oxyethylene groups.Alternatively, the general formula H(OCH2CH2)nOH may be used to represent polyethylene glycol, where n is a number m in the previous formula + 1. The average molecular weights of typical polyethylene glycols are given in below table Grade m Average molecular weight PEG 200 4.2 190–210 PEG 600 13.2 570–613 PEG 8000 181.4 7 000–9 000 Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 88 Chapter 3 Drug and Excipients profile 5. Structural Formula 6. Functional Category Ointment base; plasticizer; solvent; suppository base; tablet and capsule lubricant. 7. Applications in Pharmaceutical Formulation or Technology Polyethylene glycols (PEGs) are widely used in a variety of pharmaceutical formulations, including parenteral, topical, ophthalmic, oral, and rectal preparations. Polyethylene glycol has been used experimentally in biodegradable polymeric matrices used in controlled-release systems. Polyethylene glycols are stable, hydrophilic substances that are essentially nonirritant to the skin. They do not readily penetrate the skin, although the polyethylene glycols are water-soluble and are easily removed from the skin by washing, making them useful as ointment bases. Solid grades are generally employed in topical ointments, with the consistency of the base being adjusted by the addition of liquid grades of polyethylene glycol. Mixtures of polyethylene glycols can be used as suppository bases for which they have many advantages over fats. For example, the melting point of the suppository can be made higher to withstand exposure to warmer climates; release of the drug is not dependent upon melting point; the physical stability on storage is better; and suppositories are readily miscible with rectal fluids. Polyethylene glycols have the following disadvantages: they are chemically more reactive than fats; greater care is needed in processing to avoid inelegant contraction holes in the suppositories; the rate of release of water-soluble medications decreases with the increasing molecular weight of the polyethylene glycol; and polyethylene glycols tend to be more irritating to mucous membranes than fats. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 89 Chapter 3 Drug and Excipients profile Aqueous polyethylene glycol solutions can be used either as suspending agents or to adjust the viscosity and consistency of other suspending vehicles. When used in conjunction with other emulsifiers, polyethylene glycols can act as emulsion stabilizers. Liquid polyethylene glycols are used as water-miscible solvents for the contents of soft gelatin capsules. However, they may cause hardening of the capsule shell by preferential absorption of moisture from gelatin in the shell. In concentrations up to approximately 30% v/v, PEG 300 and PEG 400 have been used as the vehicle for parenteral dosage forms. In solid-dosage formulations, higher-molecular-weight polyethylene glycols can enhance the effectiveness of tablet binders and impart plasticity to granules. However, they have only limited binding action when used alone, and can prolong disintegration if present in concentrations greater than 5% w/w. When used for thermoplastic granulations a mixture of the powdered constituents with 10–15% w/w PEG 6000 is heated to 70–75°C. The mass becomes paste like and forms granules if stirred while cooling. This technique is useful for the preparation of dosage forms such as lozenges when prolonged disintegration is required. Polyethylene glycols can also be used to enhance the aqueous solubility or dissolution characteristics of poorly soluble compounds by making solid dispersions with an appropriate polyethylene glycol. Animal studies have also been performed using polyethylene glycols as solvents for steroids in osmotic pumps. In film coatings, solid grades of polyethylene glycol can be used alone for the film-coating of tablets or can be useful as hydrophilic polishing materials. Solid grades are also widely used as plasticizers in conjunction with film-forming polymers. The presence of polyethylene glycols in film coats, especially of liquid grades, tends to increase their water permeability and may reduce protection against low pH in enteric-coating films. Polyethylene glycols are useful as Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 90 Chapter 3 Drug and Excipients profile plasticizers in microencapsulated products to avoid rupture of the coating film when the microcapsules are compressed into tablets. Polyethylene glycol grades with molecular weights of 6000 and above can be used as lubricants, particularly for soluble tablets. The lubricant action is not as good as that of magnesium stearate, and stickiness may develop if the material becomes too warm during compression. An antiadherent effect is also exerted, again subject to the avoidance of overheating. Polyethylene glycols have been used in the preparation of urethane hydrogels, which are used as controlled-release agents. Polyethylene glycol has also been used in insulin-loaded microparticles for the oral delivery of insulin it has been used in inhalation preparations to improve aerosolization; polyethylene glycol nanoparticles have been used to improve the oral bioavailability of cyclosporine; it has been used in self-assembled polymeric nanoparticles as a drug carrier; and copolymer networks of polyethylene glycol grafted with poly(methacrylic acid) have been used as bioadhesive controlled drug delivery formulations. 8. Typical Properties Density 1.11–1.14 g/cm3 at 25°C for liquid PEGs; 1.15–1.21 g/cm3 at 25°C for solid PEGs. Flash point 182°C for PEG 200; 250°C for PEG 600. Freezing point <−65°C PEG 200 sets to a glass; 15–25°C for PEG 600. Melting point 55–63°C for PEG 6000; 60–63°C for PEG 8000; Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 91 Chapter 3 Drug and Excipients profile Moisture content - Liquid polyethylene glycols are very hygroscopic, although hygroscopicity decreases with increasing molecular weight. Solid grades, e.g. PEG 4000 and above, are not hygroscopic. Refractive index n25D = 1.459 for PEG 200; n25D = 1.467 for PEG 600. Solubility All grades of polyethylene glycol are soluble in water and miscible in all proportions with other polyethylene glycols (after melting, if necessary). Aqueous solutions of higher-molecular-weight grades may form gels. Liquid polyethylene glycols are soluble in acetone, alcohols, benzene, glycerin, and glycols. Solid polyethylene glycols are soluble in acetone, dichloromethane, ethanol (95%), and methanol; they are slightly soluble in aliphatic hydrocarbons and ether, but insoluble in fats, fixed oils, and mineral oil. Surface tension Approximately 44 mN/m (44 dynes/cm) for liquid polyethylene glycols; approximately 55 mN/m (55 dynes/cm) for 10% w/v aqueous solution of solid polyethylene glycol. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 92 Chapter 3 Drug and Excipients profile Viscosity (kinematic) Type Viscosity Viscosity (dynamic) (kinematic) [mPas (cP)] [mm2/s (cSt)] 340–394 80–105 71–94 15–25 178–197 15–20 13.9–18.5 1.080 55–61 16–22 200–270 185–250 1.080 55–62 12–16 260–510 240–472 Density Freezing Hydroxyl (g/cm3) point (°C) value 200 1.120 — 600 1.080 6000 8000 of PEG 9. Stability and Storage Conditions Polyethylene glycols are chemically stable in air and in solution, although grades with a molecular weight less than 2000 are hygroscopic. Polyethylene glycols do not support microbial growth, and they do not become rancid. Polyethylene glycols should be stored in well-closed containers in a cool, dry place. Stainless steel, aluminum, glass, or lined steel containers are preferred for the storage of liquid grades. 10. Description The USP32–NF27 describes polyethylene glycol as being an addition polymer of ethylene oxide and water. Polyethylene glycol grades 200–600 are liquids; grades 1000 and above are solids at ambient temperatures. Liquid grades (PEG 200–600) occur as clear, colorless or slightly yellow-colored, viscous liquids. They have a slight but characteristic odor and a bitter, slightly burning taste. PEG 600 can occur as a solid at ambient temperatures. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 93 Chapter 3 Drug and Excipients profile Solid grades (PEG>1000) are white or off-white in color, and range in consistency from pastes to waxy flakes. They have a faint, sweet odor. Grades of PEG 6000 and above are available as free-flowing milled powders. 11. Safety Polyethylene glycols are widely used in a variety of pharmaceutical formulations. Generally, they are regarded as nontoxic and nonirritant materials. Adverse reactions to polyethylene glycols have been reported, the greatest toxicity being with glycols of low molecular weight. However, the toxicity of glycols is relatively low. Polyethylene glycols administered topically may cause stinging, especially when applied to mucous membranes. Hypersensitivity reactions to polyethylene glycols applied topically have also been reported, including urticaria and delayed allergic reactions. The most serious adverse effects associated with polyethylene glycols are hyperosmolarity, metabolic acidosis, and renal failure following the topical use of polyethylene glycols in burn patients. Topical preparations containing polyethylene glycols should therefore be used cautiously in patients with renal failure, extensive burns, or open wounds. Oral administration of large quantities of polyethylene glycols can have a laxative effect. Therapeutically, up to 4 L of an aqueous mixture of electrolytes and high-molecular-weight polyethylene glycol is consumed by patients undergoing bowel cleansing. Liquid polyethylene glycols may be absorbed when taken orally, but the higher-molecular-weight polyethylene glycols are not significantly absorbed from the gastrointestinal tract. Absorbed polyethylene glycol is excreted largely unchanged in the urine, although polyethylene glycols of low molecular weight Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 94 Chapter 3 Drug and Excipients profile may be partially metabolized. The WHO has set an estimated acceptable daily intake of polyethylene glycols at up to 10 mg/kg body-weight. In parenteral products, the maximum recommended concentration of PEG 300 is approximately 30% v/v as hemolytic effects have been observed at concentrations greater than about 40% v/v. LD50 (g/kg) PEG grade Guinea pig 200 PEG 600 PEG 6000 Rat (IP) (IV) (oral) (oral) (IV) — 7.5 — 34 19.9 — — — 28.0 — — — 47 — — — — 38.1 50 — — — — — 6.8 — — (oral) PEG Mouse Mouse Mouse Rabbit Rabbit Rat Rat (IP) (IV) (oral) 12. Regulatory Status Included in the FDA Inactive Ingredients Database (dental preparations; IM and IV injections; ophthalmic preparations; oral capsules, solutions, syrups, and tablets; rectal, topical, and vaginal preparations). Included in nonparenteral medicines licensed in the UK. Included in the Canadian List of Acceptable Nonmedicinal Ingredients. 3.2.6. Propylene Glycol 1. Nonproprietary Names BP: Propylene Glycol Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 95 Chapter 3 Drug and Excipients profile JP: Propylene Glycol PhEur: Propylene Glycol USP: Propylene Glycol 2. Synonyms 1,2-Dihydroxypropane; E1520; 2-hydroxypropanol; methyl ethylene glycol; methyl glycol; propane-1,2-diol; propylenglycolum. 3. Chemical Name and CAS Registry Number Chemical Name: 1,2-Propanediol [57-55-6]; CAS Registry Number : [57-55-6] Chemical Name: (−)-1,2-Propanediol; CAS Registry Number: [4254-14-2] Chemical Name: (+)-1,2-Propanediol; CAS Registry Number: [4254-15-3] 4. Empirical Formula and Molecular Weight C3H8O2 76.09 5. Structural Formula 6. Functional Category Antimicrobial preservative; disinfectant; humectant; plasticizer; solvent; stabilizing agent; water-miscible cosolvent. 7. Applications in Pharmaceutical Formulation or Technology Propylene glycol has become widely used as a solvent, extractant, and preservative in a variety of parenteral and nonparenteral pharmaceutical Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 96 Chapter 3 Drug and Excipients profile formulations. It is a better general solvent than glycerin and dissolves a wide variety of materials, such as corticosteroids, phenols, sulfa drugs, barbiturates, vitamins (A and D), most alkaloids, and many local anesthetics. As an antiseptic it is similar to ethanol, and against molds it is similar to glycerin and only slightly less effective than ethanol. Propylene glycol is commonly used as a plasticizer in aqueous filmcoating formulations. Propylene glycol is also used in cosmetics and in the food industry as a carrier for emulsifiers and as a vehicle for flavors in preference to ethanol, since its lack of volatility provides a more uniform flavor. 8. Description Propylene glycol is a clear, colorless, viscous, practically odorless liquid, with a sweet, slightly acrid taste resembling that of glycerin. 9. Typical Properties Autoignition temperature - 371°C Boiling point - 188°C Density - 1.038 g/cm3 at 20°C Flammability Upper limit -12.6% v/v in air; lower limit, 2.6% v/v in air. Flash point - 99°C (open cup) Heat of combustion -1803.3 kJ/mol (431.0 kcal/mol) Heat of vaporization - 705.4 J/g (168.6 cal/g) at b.p. Melting point - −59°C Osmolarity - A 2.0% v/v aqueous solution is iso-osmotic with serum. Refractive index - n 20D = 1.4324 Specific rotation [α]20D = −15.0° (neat) for (R)-form; Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 97 Chapter 3 Drug and Excipients profile [α]20D = +15.8° (neat) for (S)-form. Solubility Miscible with acetone, chloroform, ethanol (95%), glycerin, and water; soluble at 1 in 6 parts of ether; not miscible with light mineral oil or fixed oils, but will dissolve some essential oils. Specific heat - 2.47 J/g (0.590 cal/g) at 20°C. Surface tension - 40.1 mN/m (40.1 dynes/cm) at 25°C. Vapor density (relative) - 2.62 (air = 1) Vapor pressure - 9.33 Pa (0.07 mmHg) at 20°C. Viscosity (dynamic) - 58.1 mPas (58.1 cP) at 20°C. 10. Stability and Storage Conditions At cool temperatures, propylene glycol is stable in a well-closed container, but at high temperatures, in the open, it tends to oxidize, giving rise to products such as propionaldehyde, lactic acid, pyruvic acid, and acetic acid. Propylene glycol is chemically stable when mixed with ethanol (95%), glycerin, or water; aqueous solutions may be sterilized by autoclaving. Propylene glycol is hygroscopic and should be stored in a well-closed container, protected from light, in a cool, dry place. 11. Safety Propylene glycol is used in a wide variety of pharmaceutical formulations and is generally regarded as a relatively nontoxic material. It is also used extensively in foods and cosmetics. Probably as a consequence of its metabolism and excretion, propylene glycol is less toxic than other glycols. Propylene glycol is rapidly absorbed from the gastrointestinal tract; there is also evidence that it is absorbed topically when applied to damaged skin. It is extensively metabolized in Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 98 Chapter 3 Drug and Excipients profile the liver, mainly to lactic and pyruvic acids, and is also excreted unchanged in the urine. In topical preparations, propylene glycol is regarded as minimally irritant, although it is more irritant than glycerin. There have been some reports of contact dermatitis associated with propylene glycol. Some local irritation is produced upon application to mucous membranes or when it is used under occlusive conditions. Parenteral administration may cause pain or irritation when propylene glycol is used in high concentration. On the basis of metabolic and toxicological data, the WHO has set an acceptable daily intake of propylene glycol at up to 25 mg/kg body-weight. Formulations containing 35% propylene glycol can cause hemolysis in humans. In animal studies, there has been no evidence that propylene glycol is teratogenic or mutagenic. Rats can tolerate a repeated oral daily dose of up to 30 mL/kg body-weight in the diet over 6 months, while the dog is unaffected by a repeated oral daily dose of 2 g/kg in the diet for 2 years. LD50 (mouse, IP): 9.72 g/kg LD50 (mouse, IV): 6.63 g/kg LD50 (mouse, oral): 22.0 g/kg LD50 (mouse, SC): 17.34 g/kg LD50 (rat, IM): 0.01 g/kg LD50 (rat, IP): 6.66 g/kg LD50 (rat, IV): 6.42 g/kg LD50 (rat, oral): 0.02 g/kg LD50 (rat, SC): 22.5 g/kg 12. Regulatory Status GRAS listed. Accepted for use as a food additive in Europe. Included in the FDA Inactive Ingredients Database (dental preparations; IM and IV injections; Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 99 Chapter 3 Drug and Excipients profile inhalations; ophthalmic, oral, otic, percutaneous, rectal, topical, and vaginal preparations). Included in nonparenteral and parenteral medicines licensed in the UK. Included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.7. Diethylene Glycol Monoethyl Ether 1. Nonproprietary Names Diethylene Glycol Monoethyl Ether 2. Synonyms Dowanol 17, Dowanol DE, Ektasolve DE, Solvolsol, Transcutol, Transcutol P, Transcutol HP DEGEE 3. Chemical Names and CAS Registry Number Chemical Names: 2-(2-Ethoxyethoxy)ethanol (IUPAC name) Carbitol, Carbitol solvent, Diethylene glycol monoethyl ether, 3,6-Dioxa-1-octanol, Diethylene glycol ethyl ether, , Diglycol monoethyl ether, Dioxitol, Ethanol, 2,2'-oxybis-, monoethyl ether, Ethyl carbitol, Ethyl diethylene glycol, Ethyl digol, CAS Registry Number: 111-90-0 4. Empirical Formula and Molecular Weight C6H14O3 134.2 5. Structural Formula Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 100 Chapter 3 Drug and Excipients profile 6. Functional Category High performance solubilizer, solvent. 7. Purity, composition and substance codes The applicant states that from May 1998, the manufacturing process of DEGEE was improved in order to decrease the content in residual impurities. Transcutol CG: > 99.5% (cosmetics only) Transcutol P: > 99.7% (pharmaceutical, topical forms) Transcutol HP: > 99.9% (pharmaceutical, other administration routes) 8. Applications in Pharmaceutical Formulation or Technology Purified DEGEE (>99%) is used in cosmetics and dermatological preparations and as solvent in some medicine products. Its physical properties make DEGEE useful to solubilise lipophilic and hydrophilic compounds. Moreover DEGEE enhances the percutaneous absorption through the skin and mucosal barriers. It is used in some drugs to enhance absorption. In its previous opinions (SCCP/1044/06, SCCP/1200/08), the SCCP positively evaluated the use of DEGEE in cosmetic products up to 1.5% and in hair dyes up to 7.0% in oxidative and 5% in non-oxidative formulations, based on the data available at the time. According to the recent application to the Commission, the applicant requested to increase the maximal concentration of DEGEE as a solvent in cosmetic products in a concentration up to 5.5% in leave-on products and up to 10% in rinse-off products, based on new studies provided. 9. Typical Properties Solubility : Miscible with water and oils Partition coefficient (Log Pow): - 0.54 (exp) Appearance: colourless liquid Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 101 Chapter 3 Drug and Excipients profile Melting point: - 76 °C Boiling point: 197 – 205 °C Density: 0.988 Rel. vapour density: / Vapour Pressure: 0.19 hPa Conversion: 1 ppm = 5.58 mg/m³ 1 mg/m3 = 0.179 ppm 10. Stability and Storage Conditions Shelf life: At least 3 years of storage under recommended conditions of original hermetically closed container (The product is packed under nitrogen and must be used shortly after opening). 11. Safety Acute oral toxicity The acute toxicity after oral administration of DEGEE has been determined in several experiments. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 102 Chapter 3 Drug and Excipients profile The studies reported that there were no test substance-related clinical findings or effects on body weight or food consumption during the escalating-dose phase of the study, where dose levels of 500, 1000, 1500 and 2000 mg/kg were administered. They concluded that the oral (gavage) administration of Transcutol® HP to one female Beagle dog did not result in any test substancerelated effects following single oral doses of 500, 1000, 1500 and 2000 mg/kg . Human In an isolated case report, an alcoholic male (aged 44) drank approximately 300 ml of a liquid containing 47% DEGEE (about 2000 mg/kg). Severe symptoms of central nervous and respiratory injury (dyspnoea) thirst and acidosis occurred. The urine contained albumin. The subject recovered following symptomatic treatment. Skin irritation Transcutol was tested for potential irritation on human skin in a primary irritation single patch test as undiluted material. It was applied once at the dose level of about 0.02 ml per volunteer, on a surface of about 50 mm2 of skin on the back of 10 volunteers. Transcutol was kept in contact with the skin under an occlusive patch test for 48 hours. This application was performed in parallel and under same condition with patch test alone as “negative” control. Cutaneous macroscopic examinations were performed about 30 min after removal of the patches. Evaluation of the erythematous and oedematous reactions was made according to a given numerical scale. After the removal of the patches, only 1 volunteer showed an erythema of grade 1 out of 4 grades (i.e. very slight), while all other volunteers showed no erythema. It was concluded that the single epicutaneous application of Transcutol under the experimental conditions used was “well tolerated”. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 103 Chapter 3 Drug and Excipients profile 12. Regulatory Status GRAS listed. Accepted for use as a food additive in Europe. Included in the FDA Inactive Ingredients Database. 3.2.8. Tetraglycol 1. Nonproprietary Names None adopted. 2. Synonyms Glycofurol 75; tetraglycol; α-(tetrahydrofuranyl)-ω-hydroxy-poly(oxyethylene); tetrahydrofurfuryl alcohol polyethylene glycol ether; THFP. Note: tetraglycol is also used as a synonym for tetrahydrofurfuryl alcohol. 3. Chemical Name and CAS Registry Number Chemical Name: α-[(Tetrahydro-2-furanyl)methyl]-ω-hydroxy-poly(oxy-1,2- ethanediyl) CAS Registry Number: [31692-85-0] 4. Empirical Formula and Molecular Weight Empirical Formula: C9H18O4 (average); Molecular Weight: 190.24 (average) 5. Structural Formula Glycofurol 75: n = 1–2 6. Functional Category Penetration agent; solvent. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 104 Chapter 3 Drug and Excipients profile 7. Applications in Pharmaceutical Formulation or Technology Glycofurol is used as a solvent in parenteral products for intravenous or intramuscular injection in concentrations up to 50% v/v. It has also been investigated, mainly in animal studies, for use as a penetration enhancer and solvent in topical and intranasal formulations. Glycofurol has also been used at 20% v/v concentration in a rectal formulation. 8. Description Glycofurol is a clear, colorless, almost odorless liquid, with a bitter taste; it produces a warm sensation on the tongue. 9. Typical Properties Boiling point - 80–100°C for Glycofurol 75 Density - 1.070–1.090 g/cm3 at 20°C Hydroxyl value - 300–400 Moisture content - 0.2–5% at ambient temperature and 30% relative humidity. Refractive index - n 40D = 1.4545 Solubility Solvent Solubility at 20°C Arachis oil Immiscible Castor oil Miscible(a) Ethanol (95%) Miscible in all proportions Glycerin Miscible in all proportions Isopropyl ether Immiscible Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 105 Chapter 3 Drug and Excipients profile Solvent Solubility at 20°C Petroleum ether Immiscible Polyethylene glycol 400 Miscible in all proportions Propan-2-ol Miscible in all proportions Propylene glycol Miscible in all proportions Water Miscible in all proportions(a) a. Cloudiness may occur. Viscosity (dynamic) - 8–18 mPas (8–18 cP) at 20°C for Glycofurol 75. 10. Stability and Storage Conditions Stable if stored under nitrogen in a well-closed container protected from light, in a cool, dry place. 11. Safety Glycofurol is mainly used as a solvent in parenteral pharmaceutical formulations and is generally regarded as a relatively nontoxic and nonirritant material at the levels used as a pharmaceutical excipient. Glycofurol can be irritant when used undiluted; its tolerability is approximately the same as propylene glycol. Glycofurol may have an effect on liver function and may have a low potential for interaction with hepatoxins or those materials undergong extensive hepatic metabolism. LD50 (mouse, IV): 3.5 mL/kg Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 106 Chapter 3 Drug and Excipients profile 12. Regulatory Status Included in parenteral medicines licensed in Europe. 3.2.9. Triacetin 1. Nonproprietary Names BP: Triacetin PhEur: Triacetin USP: Triacetin 2. Synonyms Captex 500; E1518; glycerol triacetate; glyceryl triacetate; triacetinum; triacetyl glycerine. 3. Chemical Name and CAS Registry Number Chemical Name: 1,2,3-Propanetriol triacetate CAS Registry Number: [102-76-1] 4. Empirical Formula and Molecular Weight C9H14O6 218.21 5. Structural Formula Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 107 Chapter 3 Drug and Excipients profile 6. Functional Category Humectant; plasticizer; solvent. 7. Applications in Pharmaceutical Formulation or Technology Triacetin is mainly used as a hydrophilic plasticizer in both aqueous and solvent-based polymeric coating of capsules, tablets, beads, and granules; typical concentrations used are 10–35% w/w. Triacetin is used in cosmetics, perfumery, and foods as a solvent and as a fixative in the formulation of perfumes and flavors. 8. Description Triacetin is a colorless, viscous liquid with a slightly fatty odor. 9. Typical Properties Autoignition temperature: 432°C Boiling point: 258°C Density: 1.16 g/cm3 at 25°C Explosive limits: 1.05% at 189°C lower limit; 7.73% at 215°C upper limit. Flash point: 153°C (open cup) Freezing point: 3.2°C (supercools to about –70°C) Melting point: −78°C Refractive index: n 25D = 1.4296 Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 108 Chapter 3 Drug and Excipients profile Solubility Solvent Solubility at 20°C Carbon disulfide Miscible Chloroform Miscible Ethanol Miscible Ethanol (95%) Miscible Ether Miscible Toluene Miscible Water 1 in 14 Vapor density (relative) : 7.52 (air = 1) Vapor pressure : 133 Pa (1 mmHg) at 100°C Viscosity (dynamic) : 1111 mPas (1111 cP) at –17.8°C; 107 mPas (107 cP) at 0°C; 17.4 mPas (17.4 cP) at 25°C; 1.8 mPas (1.8 cP) at 100°C. 10. Stability and Storage Conditions Triacetin is stable and should be stored in a well-closed, nonmetallic container, in a cool, dry place. 11. Safety Triacetin is used in oral pharmaceutical formulations and is generally regarded as a relatively nontoxic and nonirritant material at the levels employed as an excipient. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 109 Chapter 3 Drug and Excipients profile LD50 (dog, IV): 1.5 g/kg LD50 (mouse, IP): 1.4 g/kg LD50 (mouse, IV): 1.6 g/kg LD50 (mouse, oral): 1.1 g/kg LD50 (mouse, SC): 2.3 g/kg LD50 (rabbit, IV): 0.75 g/kg LD50 (rat, IP): 2.1 g/kg LD50 (rat, oral): 3 g/kg LD50 (rat, SC): 2.8 g/kg 12. Regulatory Status GRAS listed. Accepted in Europe as a food additive in certain applications. Included in the FDA Inactive Ingredients Database (oral capsules and tablets and gels). Included in nonparenteral medicines licensed in the UK. Included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.10. Medium-chain Triglycerides 1. Nonproprietary Names BP: Medium-chain Triglycerides PhEur: Triglycerides, Medium-Chain USP-NF: Medium-Chain Triglycerides 2. Synonyms Crodamol GTCC-PN; Bergabest; caprylic/capric triglyceride; Captex 300; Captex 355; glyceryl tricaprylate/caprate; Labrafac CC; Labrafac Lipo; MCT oil; Miglyol 810; Miglyol 812; Myritol; Neobee M5; Nesatol; oleum neutrale; oleum vegetable tenue; thin vegetable oil; triglycerida saturata media; Waglinol 3/9280. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 110 Chapter 3 Drug and Excipients profile 3. Chemical Name and CAS Registry Number Chemical Name: Medium-chain triglycerides CAS Registry Number: [73398-61-5] 4. Empirical Formula and Molecular Weight ≈ 500 (average) The PhEur 6.0 describes medium-chain triglycerides as the fixed oil extracted from the hard, dried fraction of the endosperm of Cocos nucifera L. or from the dried endosperm of Elaeis guineenis Jacq. They consist of a mixture of triglycerides of saturated fatty acids, mainly of caprylic acid and of capric acid. They contain not less than 95% of saturated fatty acids. 5. Structural Formula 6. Functional Category Emulsifying agent; solvent; suspending agent; therapeutic agent. 7. Applications in Pharmaceutical Formulation or Technology Medium-chain triglycerides have been used in a variety of pharmaceutical formulations including oral, parenteral, and topical preparations. In oral formulations, medium-chain triglycerides are used as the base for the preparation of oral emulsions, microemulsions, self-emulsifying systems, solutions, or suspensions of drugs that are unstable or insoluble in aqueous media, e.g. calciferol. Medium-chain triglycerides have also been investigated as Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 111 Chapter 3 Drug and Excipients profile intestinal-absorption enhancers and have additionally been used as a filler in capsules and sugar-coated tablets, and as a l ubricant or antiadhesion agent in tablets. In parenteral formulations, medium-chain triglycerides have similarly been used in the production of emulsions, solutions, or suspensions intended for intravenous administration. In rectal formulations, medium-chain triglycerides have been used in the preparation of suppositories containing labile materials. In cosmetics and topical pharmaceutical preparations, medium-chain triglycerides are used as a component of ointments, creams, and liquid emulsions. Therapeutically, medium-chain triglycerides have been used as nutritional agents. Diets containing medium-chain triglycerides are used in conditions associated with the malabsorption of fat, such as cystic fibrosis, since mediumchain triglycerides are more readily digested than long-chain triglycerides. Medium-chain triglycerides have been particularly investigated for their use in total parenteral nutrition (TPN) regimens in combination with long-chain triglycerides. 8. Description A colorless to slightly yellowish oily liquid that is practically odorless and tasteless. It solidifies at about 0°C. 9. Typical Properties Acid value ≤0.1 Cloud point ≤5°C Color ≤60 (Hazen color index) Density 0.94–0.96 g/cm3 Freezing point −5°C Hydroxyl value ≤8 Iodine number ≤1.0 Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 112 Chapter 3 Drug and Excipients profile Moisture content ≤0.15% w/w Peroxide value ≤1.0 Refractive index 1.4485–1.4500 Saponification value 325–345 Solubility Soluble in all proportions at 20°C in acetone, benzene, 2-butanone, carbon tetrachloride, chloroform, dichloromethane, ethanol, ethanol (95%), ether, ethyl acetate, petroleum ether, special petroleum spirit (boiling range 80–110°C), propan-2-ol, toluene, and xylene. Miscible with long-chain hydrocarbons and triglycerides; practically insoluble in water. Surface tension 32.2 mN/m Viscosity (dynamic) 27–30 mPas (27–30 cP) 10. Stability and Storage Conditions Medium-chain triglycerides are stable over the wide range of storage temperatures that can be experienced in tropical and temperate climates. Ideally, however, they should be stored at temperatures not exceeding 25°C and not exposed to temperatures above 40°C for long periods. Medium-chain triglycerides may be sterilized by maintaining at 170°C for 1 hour. Medium-chain triglycerides should be stored protected from light in a well-filled and well-closed container. When stored dry, in sealed containers, medium-chain triglycerides remain stable for many years. 11. Safety Medium-chain triglycerides are used in a variety of pharmaceutical formulations including oral, parenteral, and topical products, and are generally regarded as essentially nontoxic and nonirritant materials. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 113 Chapter 3 Drug and Excipients profile In acute toxicology studies in animals and humans, no irritant or other adverse reactions have been observed; for example, when they were patch-tested on more than 100 individuals, no irritation was produced on either healthy or eczematous skin. Medium-chain triglycerides are not irritating to the eyes. Similarly, chronic toxicology studies in animals have shown no harmful adverse effects associated with medium-chain triglycerides following inhalation or intraperitoneal, oral, and parenteral administration. In humans, administration of 0.5 g/kg body-weight medium-chain triglycerides to healthy individuals produced no change in blood or serum triglycerides compared to subjects receiving the same dose of the long-chain triglyceride triolein. In patients consuming diets based on medium-chain triglycerides, adverse effects reported include abdominal pain and diarrhea. LD50 (mouse, IV): 3.7 g/kg LD50 (mouse, oral): 29.6 g/kg LD50 (rat, oral): 33.3 g/kg 12. Regulatory Status GRAS listed. Included in the FDA Inactive Ingredients Database (topical preparations). Included in nonparenteral and parenteral medicines licensed in Europe. Included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.11. Labrafil M1944 cs 1. Nonproprietary Names EP: Oleoyl macrogol-6 glycerides USP-NF: Oleoyl polyoxyl-6 glycerides Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 114 Chapter 3 Drug and Excipients profile 2. Synonyms Apricot Kernel Oil PEG-6 Esters, Unsaturated polyglycolysed glycerides. 3. Chemical Name and CAS Registry Number Chemical Name: Apricot Kernel Oil PEG-6 Esters CAS Registry Number: 69071-70-1 (or 68424-61-3 + 9004-96-0) 4. Functional Category solvent; suspending agent. 5. Applications in Pharmaceutical Formulation or Technology This product is a pharmaceutical ingredient. It is recommended for use in pharmaceutical formulations administered by oral, topical and/or rectal/vaginal routes. Oral drug delivery: Excipient used in formulations for solubility and bioavailability enhancement. Oral drug delivery: Water dispersible surfactant for SELF (self-emulsifying lipidic formulation). Oral/Dermal drug delivery: Solubilizer for actives. Dermal drug delivery: W/O surfactant. It improves the stability of emulsions. 6. Description A colorless to slightly yellowish oily liquid 7. Typical Properties Appearance Liquid Odour Faint Colour (gardner scale) < 5.0 Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 115 Chapter 3 Drug and Excipients profile Specific gravity at 20°c (D20/4) 0.935 to 0.955 Refractive index at 20°c 1.465 to 1.475 Viscosity at 20°c 75 to 95 mpa.s Acid value < 2.00 mgkoh/g Saponification value 150 to 170 mgkoh/g Iodine value 75 to 95 gI2/100g Hydroxyl value 45 to 65 mgkoh/g Peroxide value < 12.0 meqo2/kg Alkaline impurities < 80 ppm naoh Water content < 0.50 % Free glycerol content < 3.0 % Heavy metals content (pb) < 10 ppm Palmitic acid (c16) 4.0 to 9.0 % Stearic acid (c18) < 6.0 % Oleic acid (c18:1) 58.0 to 80.0 % Linoleic acid (c18:2) 15.0 to 35.0 % Linolenic acid (c18:3) < 2.0 % Arachidic acid (c20) < 2.0 % Eicosenoic acid (c20:1) < 2.0 % 1.4-dioxane content < 10 ppm Ethylene oxide content < 1 ppm Solubility Ethanol 96°: Insoluble Methylene chloride: Very soluble n-Hexane: Soluble Water: Dispersible Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 116 Chapter 3 Drug and Excipients profile 8. Stability and Storage Conditions A partial crystallization of the product may occur during storage at low temperature with no effect on the properties of the product. It disappears after heating and homogenization. Container packaged under nitrogen. Special temperature storage conditions are not required. Store the product in its original packaging sealed tightly, protected from light and moisture. 9. Safety Acute toxicity by oral route : Species : Rat Concentration : 100 % Result : DL 0 : >= 20 ml/kg (TOX 7979) Expert conclusion : Not classified Primary cutaneous irritation : Concentration : 100 % Result : 0,38 (TOX 7978) Expert conclusion : Non irritant 10. Regulatory Status GRAS listed. Included in the FDA Inactive Ingredients Database (topical preparations). Included in EP and USP-NF. 3.2.12. Labrafil M 2125 Cs 1. Nonproprietary Names EP: Linoleoyl macrogol-6 glycerides USP-NF: Linoleoyl polyoxyl-6 glycerides Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 117 Chapter 3 Drug and Excipients profile 2. Synonyms Corn oil PEG-6 esters 3. Chemical Name and CAS Registry Number Chemical Name: Corn oil PEG-6 esters CAS Registry Number: 61789-25-1 4. Functional Category Solvent; w/o surfactant. 5. Applications in Pharmaceutical Formulation or Technology This product is a pharmaceutical ingredient. It is recommended for use in pharmaceutical formulations administered by oral, topical and/or rectal/vaginal routes. Dermal drug delivery: W/O surfactant. It improves the stability of emulsions. Oral/Dermal drug delivery: Solubilizer for actives. Oral drug delivery: Water dispersible surfactant for SELF (selfemulsifying lipidic formulation). Oral drug delivery: Excipient used in formulations for solubility and bioavailability enhancement. Bioavailability enhancer: increased oral bioavailability is potentially associated with the long chain tryglyceride composition and selective absorption of highly lipophilic APIs by the lymphatic transport system reducing hepatic firstpass metabolism. 6. Description A colorless to slightly yellowish oily liquid Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 118 Chapter 3 Drug and Excipients profile 7. Typical Properties Form: liquid Colour: Yellow Odour: Light Boiling point/Boiling range: > 150 °C Flash point: > 150 °C Self igniting : Product is not selfigniting. Density : 0,935 - 0,955 (20°C) Solubility in / Miscibility with Water: Dispersible. Organic solvents: Soluble in many organic solvents 8. Stability and Storage Conditions Container packaged under nitrogen. Special temperature storage conditions are not required. Store the product in its original packaging sealed tightly, protected from light and moisture. 9. Regulatory Status FDA IIG listed. Included in the FDA Inactive Ingredients Database. Included in medicines licensed in Europe. 3.2.13. Sesame Oil 1. Nonproprietary Names BP: Refined Sesame Oil JP: Sesame Oil PhEur: Sesame Oil, Refined USP-NF: Sesame Oil Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 119 Chapter 3 Drug and Excipients profile 2. Synonyms Benne oil; gingelly oil; gingili oil; jinjili oil; Lipovol SES; sesami oleum raffinatum; teel oil. 3. Chemical Name and CAS Registry Number Chemical Name: Sesame oil CAS Registry Number: [8008-74-0] 4. Empirical Formula and Molecular Weight A typical analysis of refined sesame oil indicates the composition of the acids, present as glycerides, to be: arachidic acid 0.8%; linoleic acid 40.4%; oleic acid 45.4%; palmitic acid 9.1%; and stearic acid 4.3%. Sesamin, a complex cyclic ether, and sesamolin, a glycoside, are also present in small amounts. The monographs for Sesame Oil in the USP32–NF27 and Refined Sesame Oil in the PhEur 6.3 specify the acceptable range of eight triglycerides found in sesame oil. 5. Structural Formula A typical analysis of refined sesame oil indicates the composition of the acids, present as glycerides, to be: arachidic acid 0.8%; linoleic acid 40.4%; oleic acid 45.4%; palmitic acid 9.1%; and stearic acid 4.3%. Sesamin, a complex cyclic ether, and sesamolin, a glycoside, are also present in small amounts. 6. Functional Category Oleaginous vehicle; solvent. 7. Applications in Pharmaceutical Formulation or Technology The major use of sesame oil in pharmaceutical formulations is as a solvent in the preparation of sustained-release intramuscular injections of steroids, such as Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 120 Chapter 3 Drug and Excipients profile estradiol valerate, hydroxyprogesterone caproate, testosterone enanthate, and nandrolone decanoate, or other oil-soluble drug substances, such as the decanoates or enanthate esters of fluphenazine. The disappearance of sesame oil from the injection site, following subcutaneous or intramuscular administration to pigs, has been reported to have a half-life of about 23 days. The in vitro drug release rates from oily depot formulations containing sesame oil intended for intra-articular administration have been reported. Sesame oil may be used as a solvent in the preparation of subcutaneous injections, oral capsules, rectal suppositories, and ophthalmic preparations; it may also be used in the formulation of suspensions and emulsions. Multiple-emulsion formulations, in which sesame oil was one of the oil phases incorporated, have been investigated as a prolonged-release system for rifampicin; microemulsions containing sesame oil have been prepared for the transdermal delivery of ketoprofen. Sesame oil has also been included in self-microemulsifying drug delivery systems, and fast-disintegrating lyophilized dry emulsion tablets for oral administration. It has also been used in the preparation of liniments, pastes, ointments, and soaps. A sesame paste (tahini), composed of crushed sesame seeds in sesame oil, has been investigated as a novel suspending agent. Sesame oil is additionally used as an edible oil and in the preparation of oleomargarine. 8. Description Refined sesame oil is a clear, pale-yellow colored liquid with a slight, pleasant odor and a bland taste. It solidifies to a soft mass at about −4°C. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 121 Chapter 3 Drug and Excipients profile 9. Typical Properties Density 0.916–0.920 g/cm3 Flash point 338°C (open cup) Freezing point −5°C Refractive index n 40D = 1.4650–1.4665 Solubility Insoluble in water; practically insoluble in ethanol (95%); miscible with carbon disulfide, chloroform, ether, hexane, and light petroleum. Specific rotation [α]25D = +1° to +9° Viscosity (dynamic) 43 mPas (43cP) 10. Stability and Storage Conditions Sesame oil is more stable than most other fixed oils and does not readily become rancid; this has been attributed to the antioxidant effect of some of its characteristic constituents. The PhEur 6.3 permits the addition of a suitable antioxidant to sesame oil. Sesame oil may be sterilized by aseptic filtration or dry heat. It has been reported that suitable conditions for the sterilization of injections containing sesame oil are a temperature of 170°C for 2 hours; it has been suggested that 150°C for 1 hour is inadequate.However, it has been demonstrated that dry heat sterilization of sesame oil at 150°C for 1 hour was sufficient to kill all added Bacillus subtilis spores. Sesame oil should be stored in a well-filled, airtight, light-resistant container, at a temperature not exceeding 40°C. Sesame oil intended for use in the manufacture of parenteral dosage forms should be stored under an inert gas in an airtight glass container. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 122 Chapter 3 Drug and Excipients profile 11. Safety Sesame oil is mainly used in intramuscular and subcutaneous injections; it should not be administered intravenously. It is also used in topical pharmaceutical formulations and consumed as an edible oil. Although it is generally regarded as an essentially nontoxic and nonirritant material, there have been rare reports of hypersensitivity to sesame oil, with sesamin suspected as being the primary allergen. Anaphylactic reactions to sesame seeds have also been reported. However, it is thought that the allergens in the seeds may be inactivated or destroyed by heating as heat-extracted sesame seed oil or baked sesame seeds do not cause anaphylactic reactions in sesame seed-allergic individuals. 12. Regulatory Status Included in the FDA Inactive Ingredients Database (IM and SC injections; oral capsules, emulsions, and tablets; also topical preparations). Included in parenteral (IM injections) and nonparenteral (oral capsules) medicines licensed in the UK. Included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.14. Soybean Oil 1. Nonproprietary Names BP: Refined Soya Oil JP: Soybean Oil PhEur: Soya-Bean Oil, Refined USP: Soybean Oil 2. Synonyms Aceite de soja; Calchem IVO-114; Lipex 107; Lipex 200; Shogun CT; soiae oleum raffinatum; soja bean oil; soyabean oil; soya bean oil. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 123 Chapter 3 Drug and Excipients profile 3. Chemical Name and CAS Registry Number Chemical Name: Soybean oil CAS Registry Number: [8001-22-7] 4. Empirical Formula and Molecular Weight A typical analysis of refined soybean oil indicates the composition of the acids, present as glycerides, to be: linoleic acid 50–57%; linolenic acid 5–10%; oleic acid 17–26%; palmitic acid 9–13%; and stearic acid 3–6%. Other acids are present in trace quantities. 5. Structural Formula A typical analysis of refined soybean oil indicates the composition of the acids, present as glycerides, to be: linoleic acid 50–57%; linolenic acid 5–10%; oleic acid 17–26%; palmitic acid 9–13%; and stearic acid 3–6%. Other acids are present in trace quantities. 6. Functional Category Oleaginous vehicle; solvent. 7. Applications in Pharmaceutical Formulation or Technology In pharmaceutical preparations, soybean oil emulsions are primarily used as a fat source in total parenteral nutrition (TPN) regimens. Although other oils, such as peanut oil, have been used for this purpose, soybean oil is now preferred because it is associated with fewer adverse reactions. Emulsions containing soybean oil have also been used as vehicles for the oral and intravenous administration of drugs; drug substances that have been incorporated into such emulsions include amphotericin, diazepam, retinoids, vitamins, poorly watersoluble steroids, fluorocarbons, ibuprofen, and insulin. In addition, soybean oil Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 124 Chapter 3 Drug and Excipients profile has been used in the formulation of many drug delivery systems such as liposomes, microspheres,dry emulsions, self-emulsifying systems, microemulsions, nanoemulsions and nanocapsules, solid-in-oil suspensions, and multiple emulsions. Soybean oil may also be used in cosmetics and is consumed as an edible oil. As soybean oil has emollient properties, it is used as a bath additive in the treatment of dry skin conditions. 8. Description The USP 32 describes soybean oil as the refined fixed oil obtained from the seeds of the soya plant Glycine max Merr. (Fabaceae); if an antoxidant is added, the name and quantity must be specified on the label. The PhEur 6.2 defines refined soybean oil as the fatty oil obtained from the seeds of Glycine soja Sieb. and Zucc. and Glycine max (L.) Merr. (G. hispida (Moench) Maxim.) by extraction and subsequent refining; it may contain a suitable antioxidant. Soybean oil is a clear, pale-yellow colored, odorless or almost odorless liquid, with a bland taste that solidifies between −10 and −16°C. 9. Typical Properties Autoignition temperature 445°C Density 0.916–0.922 g/cm3 at 25°C Flash point 282°C Freezing point −10 to −16°C Hydroxyl value 4–8 Interfacial tension 50 mN/m (50 dynes/cm) at 20°C. Refractive index n 25D = 1.471–1.475 Solubility Practically insoluble in ethanol (95%) and water; miscible with carbon disulfide, chloroform, ether, and light petroleum. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 125 Chapter 3 Drug and Excipients profile Surface tension 25 mN/m (25 dynes/cm) at 20°C. Viscosity (dynamic) 172.9 mPas (172.9 cP) at 0°C; 99.7 mPas (99.7 cP) at 10°C; 50.09 mPas (50.09 cP) at 25°C; 28.86 mPas (28.86 cP) at 40°C. 10. Stability and Storage Conditions Soybean oil is a stable material if protected from atmospheric oxygen. The formation of undesirable flavors in soybean oil is accelerated by the presence of 0.01 ppm copper and 0.1 ppm iron, which act as catalysts for oxidation; this can be minimized by the addition of chelating agents. Prolonged storage of soybean oil emulsions, particularly at elevated temperatures, can result in the formation of free fatty acids, with a consequent reduction in the pH of the emulsion; degradation is minimized at pH 6–7. However, soybean oil emulsions are stable at room temperature if stored under nitrogen in a light-resistant glass container. Plastic containers are permeable to oxygen and should not be used for long-term storage since oxidative degradation can occur. The stability of soybean oil emulsions is considerably influenced by other additives in a formulation. Soybean oil should be stored in a well-filled, airtight, light-resistant container at a temperature not exceeding 25°C. 11. Safety Soybean oil is widely used intramuscularly as a drug vehicle or as a component of emulsions used in parenteral nutrition regimens; it is also consumed as an edible oil. Generally, soybean oil is regarded as an essentially nontoxic and nonirritant material. However, serious adverse reactions to soybean oil emulsions Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 126 Chapter 3 Drug and Excipients profile administered parenterally have been reported. These include cases of hypersensitivity, CNS reactions, and fat embolism. Interference with the anticoagulant effect of warfarin has also been reported. Anaphylactic reactions have also been reported following the consumption of foods derived from, or containing, soybeans. Recently there has been concern at the concentration of phytoestrogens in some soy-derived products. Administration of soy protein to humans has resulted in significantly decreased serum lipid concentrations. LD50 (mouse, IV): 22.1 g/kg LD50 (rat, IV): 16.5 g/kg 12. Regulatory Status Included in the FDA Inactive Ingredients Database (IV injections, oral capsules, and topical preparations). Included in nonparenteral (chewable tablets; oral capsules; oral lozenges; topical bath additives) and parenteral (emulsions for IV injection or infusion) medicines licensed in the UK. Included in the Canadian List of Acceptable Non-medicinal Ingredients. 3.2.15. Peppermint Oil Peppermint oil is extracted from Mentha piperita of the Labiatae family and is also known as brandy mint and balm mint. This cooling and refreshing essential oil is used in aromatherapy to stimulate the mind, increase mental agility and to increase focus, while cooling the skin, reducing redness and calming irritation and itchiness. It furthermore helps to ease spastic colon, migraine, headaches, sinus and chest congestion and boosts the digestive system. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 127 Chapter 3 Drug and Excipients profile 1. Oil properties Peppermint oil has a fresh, sharp, menthol smell, is clear to pale yellow in color and watery in viscosity. 2. Origin of peppermint oil It is a native of the Mediterranean, but is now also cultivated in Italy, USA, Japan and Great Britain. It is a perennial herb that grows up to 1 meter (3 feet) high and has slightly hairy serrated leaves with pinkish-mauve flowers arranged in a long conical shape. It has underground runners by which it easily propagates. This herb has many species, and peppermint piperita is a hybrid of watermint (M. aquatica) and spearmint (M. spicata). It has been cultivated since ancient times in Japan and China. Evidence of use was found in Egypt in a tomb dating back from 1000 BC. 3. Extraction Peppermint oil is extracted from the whole plant above ground just before flowering. The oil is extracted by steam distillation from the fresh or partly dried plant and the yield is 0.1 - 1.0 %. 4. Chemical composition The chemical components of peppermint oil are menthol, menthone, 1,8cineole, methyl acetate, methofuran, isomenthone, limonene, b-pinene, a-pinene, germacrene-d, trans-sabinene hydrate and pulegone. 5. Precautions Peppermint oil is non-toxic and non-irritant in low dilutions, but sensitization may be a problem due to the menthol content. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 128 Chapter 3 Drug and Excipients profile It can cause irritation to the skin and mucus membranes and should be kept well away from the eyes. It should be avoided during pregnancy and should not be used on children under seven. 6. Therapeutic properties The therapeutic properties of peppermint oil are analgesic, anesthetic, antiseptic, carminative, antigalactagogue, cephalic, antiphlogistic, cholagogue, cordial, antispasmodic, decongestant, astringent, emmenagogue, expectorant, febrifuge, hepatic, nervine, stimulant, stomachic, sudorific, vasoconstrictor and vermifuge. 7. Uses Peppermint oil is excellent for mental fatigue and depression, refreshing the spirit and stimulating mental agility and improving concentration. It helps for apathy, shock, headache, migraine, nervous stress, vertigo and faintness and in general respiratory disorders, as well as dry coughs, sinus congestion, asthma, bronchitis, pneumonia, tuberculosis and cholera. For the digestive system, peppermint oil is effective for a range of ailments, as it stimulates the gall bladder and the secretion of bile. It is used for colic, cramps, dyspepsia, spastic colon, flatulence and nausea and can relieve pain in cases of toothache, aching feet, rheumatism, neuralgia, muscular pains and painful periods. On the skin, peppermint oil is used to relieve skin irritation and itchiness and also helps to reduce skin redness, where inflammation is present. It is used for dermatitis, acne, ringworm, scabies and pruritus and also relieves itching, sunburn and inflammation of the skin, while at the same time having a cooling action. Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 129 Chapter 3 Drug and Excipients profile 8. Safety Information Avoid Peppermint Oil in cardiac fibrillation, epilepsy, fever. Peppermint Oil is a mucous membrane irritant and neurotoxic (toxic to the nerves). Some of this information applies to oral use, but is provided for informational purposes (no essential oil should be taken internally without the guidance of a qualified aromatherapy practitioner). Design and Development of a Self Nano Emulsifying Drug Delivery System (SNEDDS) for Isotretinoin with enhanced Oral Bioavailability and Improved Stability 130