DEVELOPMENT OF A BUCCAL BIOADHESIVE NICOTINE TABLET FORMULATION FOR SMOKING CESSATION G. İkinci1, S. Şenel1, C.G. Wilson2, M. Şumnu1 1 2 Hacettepe University, Faculty of Pharmacy, Department of Pharmaceutical Technology, 06100 Ankara-Turkey University of Strathclyde, Department of Pharmaceutical Sciences, SIBS, Glasgow G4 0NR, Scotland-UK INTRODUCTION Nicotine has a potential use as a therapeutic drug for aiding smoking cessation. Chewing gums, transdermal patches, inhalators, sublingual tablets and intranasal sprays are commercially available but still with some practical and cost problems. Nicotine, which is a diacidic base (pKa values=3.4 and 8.2), is ionized at low pH values (1). To increase its absorption from the oral mucosa it is necessary to keep the pH of the mouth above 8. Carbomer and alginic acid sodium salt are widely used as bioadhesive polymers for buccal drug delivery (2, 3). The aim of this study was to prepare a suitable tablet formulation using bioadhesive polymers for nicotine delivery via the buccal route. Nicotine hydrogen tartrate (NHT), which is more stable than nicotine base (4), was used in the formulations. A pH-increasing additive was also added into the formulations, which would increase the absorption of NHT from the buccal mucosa. MATERIALS AND METHODS Materials Nicotine hydrogen tartrate and alginic acid sodium salt (NaAlg) (medium viscosity) (Sigma, St. Louis, USA), hydroxypropyl methylcellulose (HPMC) (Methocel K4M, Colorcon, England), carbomer (CP) (Carbopol 974P NF, BF Goodrich, Cleveland, USA), magnesium stearate (MgSt) and magnesium hydroxide (E. Merck, Germany) were used as received. Preparation of Tablets Tablets were prepared by direct compression of the mixture of the bioadhesive polymers, NHT and the pH-increasing additive (magnesium hydroxide). 1 % magnesium stearate was used as lubricant. Tablets were compressed on a single punch-tablet machine Korsch EK/O using flat non-beveled punch of 12 mm diameter. Thickness of the tablets were between 1.0-1.2 mm. Composition of the formulations is given in Table 1. Table 1. Composition of the tablet formulations (mg) NHT A1 A2 A3 A4 20 20 20 20 CP:HPMC 20:80 40:60 60:40 80:20 Mg(OH)2 MgSt 30 30 30 30 1,5 1,5 1,5 1,5 30 30 30 30 1,5 1,5 1,5 1,5 NaAlg:HPMC B1 B2 B3 B4 20 20 20 20 20:80 40:60 60:40 80:20 In vitro release of NHT Release of NHT from tablets was studied using a modified Franz diffusion cell. The dissolution medium was 22 mL phosphate buffer saline (PBS) (pH 7.4). Uniform mixing of the medium was provided by magnetic stirring. To provide unidirectional release, each bioadhesive tablet was embedded in paraffin wax in a glass die having a central hole 12 mm in diameter, which was placed at the top of the receptor site. Samples of 1 mL were taken from the medium at certain time intervals and replaced with the same amount of PBS. The samples were filtered and assayed for NHT at 259 nm using a UV 160A Shimadzu spectrophotometer. pH of the samples were measured during the release studies. RESULTS AND DISCUSSION Release of NHT from formulations containing CP and NaAlg is shown in Figs.1 and 2, respectively. In all formulations, the released amount of NHT increased with decreasing HPMC content. Release of NHT from these formulations appears to be controlled by diffusion. These formulations remained intact during the 8 h period. Only with formulation A4, a diphasic release was obtained which can be attributed to the rapid hydration and erosion of the tablet. the pH around 8 whereas with tablets containing NaAlg, the pH change was rather under control. 7,6 A2 A3 A4 3 4 5 7,2 80 pH % Released A1 7,4 100 7,0 6,8 60 6,6 A1 A2 A3 A4 40 20 6,4 0,5 1 2 6 7 8 Time (h) 0 0 1 2 3 4 5 6 7 8 Time (h) Fig. 3. Changes in the pH of the medium during release studies of formulations containing CP:HPMC 8,6 Fig. 1. Release of NHT from formulations containing CP:HPMC pH % Released B1 B2 B3 B4 8,2 7,8 100 7,4 80 7,0 6,6 60 0,5 B1 B2 B3 B4 40 20 1 2 3 4 5 6 7 2 3 4 5 6 7 8 Time (h) 0 0 1 8 Time (h) Fig. 2. Release of NHT from formulations containing NaAlg:HPMC Changes in pH of the dissolution medium during release studies are shown in Figs. 3 and 4. Significant changes were observed in pH for polymers used at different ratios. With increasing amount of CP, the pH decreased significantly whereas with NaAlg containing formulations, pH increased with the increased amount of the polymer. These results can be explained by the anionic structure of CP and cationic structure of NaAlg. In our preliminary studies, it was found that magnesium hydroxide increased the pH during permeation studies and enhanced permeation of NHT through bovine buccal mucosa. The amount of magnesium hydroxide incorporated into the tablet formulations containing CP was not sufficient enough to keep Fig. 4. Changes in the pH of the medium during release studies of formulations containing NaAlg:HPMC CONCLUSION Controlled release of NHT was achieved using two different polymer mixtures (CP:HPMC and NaAlg:HPMC). Bioadhesive properties and in vivo performance of the developed tablets are under investigation. References 1. İkinci G, Y Çapan, S Şenel, E Alaaddinoğlu, T Dalkara, A A Hıncal, Pharmazie, 55, 762-765, 2000 2. Save T, Venkitachalan P, Drug Dev Ind Pharm, 20, 3005-30015, 1994 3. Oakley D M, Swarbrick J, J Pharm Sci, 76, 866871, 1987 4. Cheng Y, Watts P, Hinchcliffe M, Hotchkiss P,Nankervis R, Faraj N F, Smith A, Davis S S, Illum L, J Control Rel, 79, 243-254, 2002