Adsorption of Drugs onto Activated Charcoal and Its Effects on Drug Absorption and Toxicity A) Introduction : Activated charcoal has been widely used in the chemistry and pharmacy laboratories as the most effective decolorizing agent in the purification process primarily due to its strong adsorption property . It must not be constructed, however, that it cannot adsorb colorless chemicals. In medicine, activated charcoal has been widely used , especially in Europe , as an antidote for a number of drug poisoning . It is an ingredient of the so-called “ universal antidote.” It can be used orally or as a charcoal artificial kidney ( H . Yatzidis , in Acute Barbiturate poisoning , edited by H . Matthew , Excerpta Medica Foundation , Amsterdam ). In the latter method, the blood is perfused through about 200 g . of activated charcoal granules coated with cellulose acetate at a flow rate of 150 ml . per minute . It is believed that its clinical use in this country will soon increase considerably as physicians and pharmacists are becoming more aware of its rational and efficacy . It is of interest to note that one of the earliest advocates for the use of activated charcoal as an antidote was a French pharmacist, Bernard Touery. When his theories were questioned he demonstrated his faith in them in a manner unlikely to be followed by modern clinicians. At a meeting (around 1830) in the French Academy he swallowed several times the lethal dose of strychine, together with 15 g of charcoal .He remained unaffected by this heroic experiment, yet it did not impress the medical profession. Activated charcoal is usually prepared from destructive distillation of wood pulp ; and it is treated to increase its adsorptive properties . The best activated charcoal has small particle size, large total surface area, and low mineral content. The adsorptive property is due to the interaction of p-orbital electrons ( electrons) of carbon atom with the absorbate in the form of van der Waal force and/or induced dipole-ionic force interactions. Therefore, in a strict sense, the charcoal adsorption is usually classified as a physical rather than chemical phenomenon, which involves covalent bonding. There are many adsorbents used clinically such as Kaolin , aluminium hydroxide , attapulgite , magnesium trisilicate and cholestyramie . Plasma and tissue proteins including receptor sites for drug action can also function as adsorbents for many drugs and endogenous substances . These binding properties have important bearing upon their metabolism , distribution , excretion and biological activities , The displacement of a drug from the binding site by another drug is one of the most important factors causing clinical drug interactions . A pharmacist should be also aware of the possible sorption ( adsorption and absorption ) of drugs and preservatives onto plastic containers , tubes and filter paper ( such as Millipore filter ) . The adsorption and binding phenomena usually follow law of mass action . From a simple mathematic manipulation , one can estimate percent of drugs adsorbed or bound at various concentrations of adsorbents and drugs , maximum adsorbing or binding capacity per unit of adsorbent and the number of binding site on each molecule especially when the adsorbents are in the solution state . Langmuir first proposed a theoretical treatment of the adsorption phenomena. The two assumptions based on which the Languir adsorption isoterm equation is derived are : One) Monomolecular adsorption Two) Adsorption at one site does not affect adsorption at another site. Fraction occupied = = X/X max Fraction unoccupied = ( 1 - ) Rate of adsorption = K1 (1 - ) Ceq = r1 Rate of desorption = K2 ( ) = r2 At equilibrium, r1 = r2 By arrangement: = [(K1 / K2 ) . ( C eq )] / [ (1 + (K1 / K2 ) ) . ( C eq )] (K1 / K2 ) = b = adsorption affinity Substituting for : X/X max = [ b . ( C eq )] / [ (1 + b ) . ( C eq )] = ( X /m ) / (X max / m ) Where “m” is the amount of adsorbent. Multiplying both sides by C eq gives: C eq / ( X / m ) = (1 / (X max / m ) * b) + [C eq / b (X max / m )] Where b is (X max / m ) = Y m and ( X / m ) = Y, Then C eq / Y = [(1 / (Ym * b ] + [C eq / Y m )] A plot of [C eq / ( X / m )] versus C eq should give a straight line with a slope of [1/(X max / m )] and an intercept [1/ b * (X max / m ) ] There are many factors affecting the sorption of drugs onto adsorbents . They mat include (a) pKa of a drug , (b) competitive substances (s) , (e) temperature , (f) molecular size and shape , ( steric effect ) of drug , (g) solubility ( hydrophobic bonding ) of drug , (h) concentration of adsorbent and drug , (i) physico-chemical nature of the adsorbent . It has been reported ( A.H. Andersen , Acta . Pharm. Tox . , 2 , 69 ( 1946 )) that 1 g of activated charcoal could adsorb the following amount of chemicals in water : Chemicals Mercuric chloride Sulfanilamide Strychnine nitrate Morphine hydrochloride Atropine sulfate Nicotine Barbital Barbital sodium Phenobarbital sodium Aprobarbital sodium Allobarbital sodium Hexobarbital sodium Cyclobarbital calcium Salicylic acid Phenol Alcohol Potassium cyanide Molecular Weights Maximal Adsorption(mg) 271.5 172.2 397.4 375.8 694.8 162.2 184.2 206.2 254.2 232.2 208.2 258.3 236.3 (for cyclobarbital ) 138.1 94.1 46.1 65.1 1,800 1,000 950 800 700 700 700 150 300 – 350 300 – 350 300 – 350 300 – 350 300 – 350 550 400 300 35 It has also been reported that one gram of activated charcoal absorb 250 mg of imipramine ( M.W. 284.4 ) , an antidepressant . Tsuchiya and Levy ( J. Pharm .Sci. , 6, 586 , (1972)) reported the adsorption capacity of activated charcoal at various pH’s and its effect on absorption in humans for three types of drugs ( weak acid , weak base and a compound largely unionized in GI tract ). TABLE I : Adsorption capacity of activated charcoal at various pH’s in term of milligrams ( millimoles ) per gram at 37o C . Drug ( pKa ) Aspirin ( 3.5 ) Salicylamide ( 8.2 ) Phenylpropanolamine (9.0) pH 1.0 283 (1.57) 370 (2.70) 95 (0.63) 8.2 10 12 133 (0.74) 367 (2.68) 250 (1.82) 128 (0.85) 303 (2.0) TABLE II : Effect of activated charcoal on absorption in humans .The drugs were given in solution together with activated charcoal on an empty stomach . The data were obtained from the average of four subjects studied. Aspirin (1g ) Salicylamide (1g ) Phenylpropanolamine (50 mg) Activated charcoal given , g % of dose recovered in urine Activated charcoal given , g % of dose recovered in urine Activated charcoal given , g % of dose recovered in urine 0 99.7 0 92.5 0 80 1.9* 87.4 1.5* 71.8 0.5* 42 10 60.6 10 21.4 5 6.5 These doses which could adsorb 50 % of the drugs were calculated from adsorption isotherms. B ) Objectives : The following objectives are hoped to accomplished after the completion of the experiment: 1. Understanding of basic principles and factors affecting sorption and binding phenomenon. 2. To be able to apply the Langmuir adsorption isotherm equation to predict fraction of drug adsorbed and maximum adsorbing capacity of adsorbent. 3. To understand and predict the clinical implications and applications of sorption and binding phenomenon. 4. To show students the efficacy of activated charcoal as an antidote for strychnine sulfate. Adsorption process can be presented by : A solute + S ( K1 / K2 ) AS Where A solute = Concentration of the adsorbent present in the medium . S = Vacant sites on adsorbent AS = Occupied sites Freundlich equation can be linearized by taking the logarithmic from ( Eq. 3 ) of Eq.1 . However Langmuir equation can be linearized by taking the reciprocal of the equation as shown in equation 4 & 5 : Log ( X / m ) = ( 1/ n ) Log C + log K ------------------------------------ ( 3 ) 1/Y = 1 / Ym + ( 1/ Ym .b ) ( 1/ Ce ) --------------------------- ( 4 ) Ce / Y = 1/ Ym .b + ( Ce / Y ) ------------------------------------ ( 5 ) In this experiment oxalic acid will be used as the adsorbate and charcoal will be used as adsorbent . Experimental 1. 2. 3. 4. 5. 6. Procedure : In each of 6 Erlenmeyer flasks introduce 5 g of the adsorbent ( charcoal ). To each of them add 50 ml of a known dilution of a standard solution of oxalic acid provided ( e.g. 1N , 0.8N , 0.4N and 0.1N ) according to Table III . Shake occasionally for 15 minutes and set a side for half hour to achieve equilibrium . Filter , reject the first portion of the filtrate after washing the receiver with it . Titrate , 25 ml of the aliquot filtrate in each case with 0.5N sodium hydroxide using phenolphthalein as an indicator ( 2 drops) Calculate the amount adsorbed in each case and list your result in Table IV. Data Analysis : 1. Each group of students should cooperate to run the experiment. 2. From Table IV , plot X/m vs. Ce , Log X/m vs. Log Ce and Ce / (X/m) vs. Ce . 3. Analyze each graph and write your report . TABLE III Flask 1 2 3 4 5 6 1 ml of 1N oxalic 50 40 30 20 10 5 Distilled water 0 10 20 30 40 45 Normality of oxalic 1N 0.8N 0.6N 0.4N 0.2N 0.1N TABLE IV Oxalic acid conc. ml from 1N oxalic mls of H2O to 50 Initial conc. g/50 ml cl End point mls of 0.5N NaOH Equilibrium conc. (Ce )= [E.P(0.0225)/vol.] 50 Amount adsorbed Log Ce Log (X/m) X/ m 1N 0.8N 0.6N 0.4N 0.2N 0.1N * 1 ml of N/2 NaOH = 0.0225 g oxalic acid . x= [ initial conc. (g/50 ml ) – Equilibrium conc. (g/50 ml) ] m= 5 g .