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 Introduction
CONTENTS
 Advantages over conventional tablet dosage forms
 Challenges in formulation and development
 Materials required
 Mechanism of drug release
 Formulation techniques
      Conventional methods
      Patented technologies
 Marketed products
 Evaluation tests
 Future developments
 Conclusion
 References
INTRODUCTION
  Definitions of ODTs:

  According to US FDA:

  “A solid dosage form containing medicinal substance,
       which disintegrates rapidly usually within a matter of
       seconds, when placed upon the tongue”.


  According to European pharmacopoeia:

  “A tablet that is to be placed in the mouth where it disperses rapidly
       before swallowing”.
Terminologies for ODTs also known as
Rapidly dissolving tablets are
 Melt in Mouth tablets

 Mouth dissolving tablets (MDT)

 Fast disintegrating tablets (FDT)

 Orally disintegrating tablets

 Rapid disintegrating tablets (RDT)

 Oro dispersible tablets (ODT)

 Quick dissolving tablets.
Advantages over the conventional dosage form
 No risk of choking.

 Requires no water intake.

 Overcomes unacceptable taste of the Drugs.

 Quick disintegration and dissolution of the dosage form.

 Facilitates faster onset of therapeutic action.

 Improved bioavailability can be achieved.

 Avoids First Pass Metabolism due to pregastric absorption.

 Ideal dosage form for Peadiatric and geriatric patients.

 Ease of administration for patients who are mentally ill, disabled and
  un co-operative.
Challenges in the product design, formulation and
manufacture of ODTs.

Palatability
Mechanical strength
Amount of drug
Size of tablet
Hygroscopicity
Aqueous solubility
Short half-life
Cost of the tablet
PALATABILITY

   As most of the drugs are unpalatable, orally disintegrating drug
    delivery

systems usually contain the medicament in a taste masked form.

   Delivery systems disintegrate or dissolve in patient’s oral cavity,
    thus

releasing the active ingredients which come in contact with the taste
   buds;

hence taste masking of drugs become critical to patient compliance.
General taste masking technologies in oral solid dosage forms:
1.    Taste masking with hydrophilic vehicle
Hydrophilic vehicles- carbohydrates, proteins, gelatin, Zeolite
Ion Exchange resins- Indion 204, 214, 224, 234
Cyclodextrins
Flavors, sweeteners, amino acids.

2.     Taste masking with lipophilic vehicle
Ex: fats, fatty acids.

3.    Miscellaneous masking agents
Ex: Effervescent agents, Rheological modifications, salt preparations,
      solid dispersions etc.
Detection threshold of sensors compared to Human receptors
 Pharmaceutical taste assessment requires human test panel that
   increases
 time and money to the development process. During the last decade, a
multisensor system and a device for the liquid analysis that can be
  collected under the term “Electronic tongue” was developed.
   Taste              Taste basic         Human tongue    Electronic
                      substance                           tongue
   Sweetness          Sucrose             1x10-2          2x10-6

   Bitterness         Caffeine            0.7x10-3        1x10-6

   Sourness           HCl                 9x10-4          5x10-6
The active moiety in pharmaceutical product cannot be therapeutically
beneficial unless it has preference and acceptance by the patient. Thus,
pleasant taste is important for the therapeutic success of the drug formulation.




  Human tongue with taste
                                            Sample Electronic
    receptors.
                                               tongue
Objectives of electronic tongue:
 Identification between bitter, sweet and sour substances by using
  electronic tongue.

 Separating the different substances eliciting the same taste (sour,
  bitter, sweet).

 Identify drug preparations containing active substance and placebo
  substance.


 Quantification of the effect of taste masking of bitter substances by
  sweet ones.
MECHANICAL STRENGTH
 In order to allow ODTs to disintegrate in the oral cavity, they are
  made of

either very porous and soft-molded matrices or compressed into tablets
   with

very low compression force, which makes the tablets friable and/or
  brittle,

difficult to handle, and often requiring specialized peel-off blister
   packing that

may add to the cost.
AMOUNT OF DRUG
 Application of technologies used for ODTs is limited by the amount of


  drug that can be incorporated into each unit dose.

 In case of Lyophilized dosage forms, drug dose must be
     less than 400mg – insoluble drugs
     less than 60mg -- soluble drugs

 This parameter is particularly challenging when formulating a fast-
  dissolving oral films.
SIZE OF TABLET
 The degree of ease when taking a tablet depends on its size. It has
  been

   reported that the easiest size of tablet to swallow is 7-8 mm. While
  the

   easiest size to handle was one larger than 8 mm.

 Therefore, the tablet size that is both easy to take and easy to handle
  is

   difficult to achieve
HYGROSCOPICITY
 Several orally disintegrating dosage forms are hygroscopic and cannot


  maintain physical integrity under normal conditions of temperature
  and

  humidity. Hence, they need protection from humidity which calls for

  specialized product packaging.
AQUEOUS SOLUBILITY
 Water soluble drugs pose various formulation challenges because they
  form

  eutectic mixtures, which result in freezing point depression and the

  formation of a glassy solid that may collapse upon drying because loss
  of

  supporting structure during the sublimation process.

 This collapse can be prevented by using various matrix-forming
  excipients

  like Mannitol which induces crystallinity and hence impart rigidity to
  the
SHORT HALF-LIFE
 ODTs being immediately releasing dosage forms and the absorption
  of

  maximum amount of dose takes place in the pre-gastric region, these
  have

  sort half life.

 This character may render drug unsuitable for delivery as prolonged
  release

   or sustained release dosage form.
COST OF THE TABLET

 As ODTs are easily fragile, these products require special unit-dose


  packaging which may add to the cost of the dosage form.
 Drug


 Excipients
THE IDEAL CHARACTERISTICS OF DRUG
    For disintegration and dissolution in oral cavity i.e., the pre-gastric
     absorption from an ODT include,

1.   No bitter taste
2.   Dose lower than 20mg
3.   Small to moderate molecular weight
4.   Good solubility in water and saliva
5.   Partially nonionized at the oral cavity’s pH.
6.   Ability to diffuse and partition into the epithelium of upper GIT.
7.   Ability to permeate oral mucosal tissue.
EXCIPIENTS

     FILLER                                SUPERDISINTEGRANTS

Eg: More potent drugs like codeine are
       required in very low amount which   Eg: Cross povidone,
    require diluent such as lactose to     Crosscarmellose sodium,
       makeup volume of drug.              Sodium starch glycolate,
                                           calcium carboxy methyl cellulose,
    Various fillers used are
     Lactose,                              Alginates,
    Directly compressed spray              Micro crystalline cellulose,
     dried mannitol,                       Amberlite IRP 88,
    Sorbitol,                              Guargums,
    Calcium carbonate,                     Modified corn starch,
     Pregelatinised starch,                Pregelatinized starch
     Magnesium trisilicate,                Chitin chitosan
    Al(OH)3 etc.                           Smecta
BINDERS                ANTIFRICTIONAL
                          AGENTS
Acacia
                        GLIDANTS
Cellulose derivatives     corn starch, talc, silica
                         derivatives
Gelatin
                        LUBRICANTS
                          Stearic acid, magnesium
Polyvinyl pyrollidine    stearate, talc, PEG, liquid
                         paraffin
Tragacanth
                        ANTIADHERENTS
                          talc, corn starch,
                         colloidal silica, sodium
                         lauryl sulphate.
OTHER EXCIPIENTS
 COLOURS
  Eg: Carotene, chlorophyll, brilliant blue, Indigotene, Erythrosine

 FLAVOURING AGENTS
 Eg: Menthol, Vanilla, Liquorice, Citrus fruits flavour, Anise oil, Clove
  oil, Pippermint oil, Eucalyptus oil.

 SWEETENERS
 Eg: Natural- Mannitol, Lactose, Sucrose, Dextrose
     Artificial- Saccharin, Aspartame, Cyclamate
MECHANISMS OF DRUG RELEASE
 The drug releases from the FDT due to the action of super
  disintegrants and generally by swelling of the porous matrix.
MECHANISM OF SUPERDISINTEGRANTS

   Due to deformation

   Due to disintegrating particle/repulsive forces

   Capillary action and porosity (wicking)

   Chemical reaction (acid-base)
DEFORMATION AND REPULSION
      a. Deformation        b. Repulsion
WICKINGa. Wicking
        AND SWELLING   b. Swelling
FORMULATION TECHNIQUES
  COVENTIONAL TECHNIQUES

 Tablet moulding


 Direct compression


 Spray drying


 Sublimation


 Freeze drying (or) Lyophilization


 Mass extrusion


 Cotton candy process
Tablet Molding
 Molded tablets are prepared by using water soluble ingredients so that
  the

   tablets dissolve completely and rapidly.

 The powder blend is moistened with a hydro-alcoholic solvent and is


   molded into tablets under pressure lower than that used in
  Conventional

   tablet compression. The solvent is then removed by air-drying.

Eg: Benadryl, Fastmelt(diphenhydramine citrate, pseudoephidrine HCl)
  – Allergy, sinus
DIRECT COMPRESSION
 Easiest way to manufacture tablets is direct compression.


 Low manufacturing cost, conventional equipments and limited
  number of

  processing steps led this technique to be a preferable one.

 However disintegration and dissolution of directly compressed tablets


  depend on single or combined effect of disintegrant, water soluble

  excipients and effervescing agents.
SPRAY DRYINGcan produce highly porous and fine powders that dissolve
  Spray drying

   rapidly.

 The formulations are incorporated by hydrolyzed and non hydrolyzed
   gelatins as supporting agents, Mannitol as Bulking agent, sodium
   starch
   glycolate or crosscarmellose sodium as disintegrating and an acidic
   material (e.g. citric acid) and / or alkali material (e.g. I sodium
   bicarbonate) to enhance disintegration and dissolution.

 Tablet compressed from the spray dried powder disintegrated within
   20 seconds when immersed in an aqueous medium
SUBLIMATION
 To generate porous matrix in ODTs, volatile ingredients are
  incorporated in the formulation which is subjected to sublimation (by
  vacuum drying) leaving behind the porous matrix.
FREEZE DRYING OR LYOPHILIZATION
 It is a process in which water is sublimed from the product after
  freezing.

  Lyophilization is a pharmaceutical technology which allows drying of

  HEAT SENSITIVE DRUG and biological at low temperature under

 conditions that allow removal of water by sublimation.

 Lyophilization results in preparations, which are highly porous, with a
  very

  high specific surface area, which dissolves rapidly and show improved

 absorption and bioavailability.
MASS EXTRUSION
 This technology involves softening the active blend using the solvent


  mixture of water soluble polyethylene glycol, using methanol and
  expulsion

   of softened mass through the extruder or syringe to get a cylinder of
  the

  product into even segments using heated blade to form tablets.

 The dried cylinder can also be used to coat granules of bitter tasting
  drugs

  and thereby masking their bitter taste.
COTTON CANDY PROCESS
 Cotton candy process is also known as “candy floss” process and forms the

  basis of the technologies such as Flash Dose (Fuisz technology).

 An ODT matrix is formed from saccharides or polysaccharides processed

  into amorphous floss by a simultaneous action of flash melting and

  centrifugal force.

 The matrix is cured or partially recrystallised to provide a compound with

  good flow properties and compressibility. The candy floss can then be
  milled

  and blended with active ingredients and Excipients and subsequently

  compressed into ODT.
 Limitation: The high processing temperature limits the use of this
  technology to Thermo stable compounds only
PATENTED TECHNOLOGIES
    Zydis Technology

    Orasolv Technology

    Durasolv Technology

    Wow tab Technology

    Flash Dose Technology ( Ceform Technology )

    Flash Tab Technology

    Oraquick Technology

    Quick-Dis Technology

    Nanocrystal Technology
ZYDIS TECHNOLOGY
 A Zydis tablet is produced by lyophilizing or freeze-drying the drug in
  a

  matrix usually consisting of gelatin. The product is very lightweight
  and

  fragile, and must be dispensed in a special blister pack.

 Patients should be advised not to push the tablets through the foil
  film, but

  instead peel the film back to release the tablet. The Zydis product is
  made to
 dissolve on the tongue in 2 to 3 seconds.
ORASOLV TECHNOLOGY

 In this system active medicament is taste masked.


 It also contains effervescent disintegrating agent.


 Tablets are made by direct compression technique at low compression
  force in order to minimize oral dissolution time.

Eg: Remeron ( mirtazapine) - Depression
DURASOLV TECHNOLOGY
 The tablets made by this technology consist of a drug, fillers and a


  lubricant.

 Tablets are prepared by using conventional tableting equipment and
  have

  good rigidity. These can be packed into conventional packaging
  system like

  blisters.

Eg: Fazaclo (clozapine) - antipsychotic
WOWTAB TECHNOLOGY
 Yamanauchi pharmaceutical company patented this technology.


 ‘Wow’ means ‘without water’. The active ingredients may constitute up
  to

  50% w/w of the tablet.

 In this technique, saccharides of both low and high mouldability are
  used to

  prepare the granules. Mouldability is the capacity of a compound to
  be

  compressed.

Eg: Fast melt (diphenhydramine citrate, pseudoephidrine HCl) – allergy
FLASH DOSE TECHNOLOGY
 This technology is patented by Fuisz.

 A sugar based matrix, called ‘Floss’ is used, which is made up of a

  combination of excipients (crystalline sugars) alone or in combination
  with

  drugs.

Eg: Nurofen meltlet, a new form of Ibuprofen, as a mouth-dissolving
  tablet is the first commercial product prepared by this technology and
  launched by Biovail Corporation.
FLASH TAB TECHNOLOGY
 Prographarm labs have a patent over this technology.

 In this technology, microgranules of the taste-masked active drug are
  used.

 Micro granules may be prepared by using conventional techniques
  like coacervation, micro encapsulation, and extrusion-spheronisation.
  All these processes utilize conventional tabletting technology.

 These taste-masked micro crystals of active drug, disintegrating agent,
  a swelling agent and other excipients like soluble diluents etc are
  compressed to form a multiparticulate tablet that disintegrates
  rapidly.

Eg: Excedrin Quick Tabs (acetaminophen, caffeine) – head ache
DRUGS INCORPORATED IN ODTs
 Analgesics and Anti-inflammatory Agents
 Anthelmintics
 Anti-gout Agents
 Anti-hypertensive Agents
 Anti-malarials
 Anti-migraine Agents
 Anti- muscarinic Agents
 Anti- neoplastic Agents and Immunosuppressant's
 Anti- protazoal Agents
 Anti-thyroid Agents
 ß-Blockers
 Cardiac Inotropic Agents
 Corticosteroids Diuretics
 Anti- parkinsonian Agents
 Gastro-intestinal Agents
 Histamine H,-Receptor Antagonists etc…
PREFORMULATION STUDIES
 Compatability studies = FTIR / DSC


 Angle of repose Ө = tan -1 (h/r)


 Determination of Bulk density = W / Vo


 Tapped density = W / Vf


 Hauser’s Ratio= Tapped density/Bulk density


 compressibility index : CI = 100 (Vo – Vf )/ Vo


 Moisture content
Some of the Marketed ODTs in India
      Name of product                  Active Ingredient


Feldene Melt              Piroxicam(10-20 mg)
Zyprexa Zydis             Olanzapine (5, 10, 15 or 20 mg)
Nimulid -MD               Nimesulide
Claritin Reditab          Micronized Loratadine
Pepcid RPD                Famotidine (20-40 mg)
EVALUATION TESTS

 WEIGHT VARATION TEST


      I.P. procedure for uniformity of weight was followed, twenty
  tablets were taken and their weight was determined individually and
  collectively on a digital weighing balance. The average weight of one
  tablet was determined from the collective weight.

    The weight variation test would be a satisfactory method of
  determining the drug content uniformity
 The pharmacopoeial limit of friability test for a tablet is not more than
FRIABILITY TEST friability apparatus, carried out at 25 rpm for 4 min
   1% using Tablet
  (100 rotations).
 This test is again not applicable for lyophilized and flash dose tablets,
  but is always recommended for tablets prepared by direct
  compression and moulding techniques to ensure that they have
  enough mechanical strength to withstand the abrasion during
  shipping and shelf life.

   Percentage friability = 100(initial weight-final weight)/initial weight
WETTING TIME AND WATER ABSORPTION RATIO
 Wetting time and water absorption ratio reported the use of a piece of
    double folded tissue paper placed in a Petri dish containing 6 ml of
    water. One tablet was placed on this paper and the time for complete
    wetting of tablet was noted as wetting time. The wetted tablet was
    then weighed and the water absorption ratio, R, was determined
    according to equation.


                 R = 100 (Wa−W b) /Wb
    Wb and Wa are the weights of tablet before and after water absorption
HARDNESS TEST

 The tablet tensile strength is the force required to break a tablet by
  compressing it in the radial direction and is measured using a tablet
  hardness tester.
 Monsanto hardness tester                 Phyzer type hardness tester
MOISTURE UPTAKE TEST

 The test can be carried out by keeping ten tablets along with calcium
  chloride in a desiccator maintained at 37 °C for 24 hrs to ensure
  complete drying of the tablets.

 The tablets are then weighed and exposed to 75% RH, at room
  temperature for 2 weeks. The required humidity can be achieved by
  keeping saturated sodium chloride solution in the dessicator for 24
  hrs.

 The tablets are reweighed and the percentage increase in weight is
  recorded. If the moisture uptake tendency of a product is high, it
  requires special dehumidified area for manufacturing and packing.
MEASUREMENT OF TABLET POROSITY


 The mercury penetration porosimeter can be used to measure the
  tablet

 porosity which is a relative assessment of the degree of water
  penetration in

 the formulation, responsible for its fast disintegration.
IN-VITRO DISPERSION TIME
 The test is performed by placing two tablets in 100 ml water and
  stirring it gently, till the tablets get completely disintegrated.
 The formulation is considered to form a smooth dispersion if the
  complete dispersion passes through a sieve screen with a nominal
  mesh aperture of 710 μm without leaving any residue on the mesh.
IN-VITRO DISINTEGRATION TEST
This test are carried out by using any one of the following method

 Tablet disintegration apparatus


 Modified dissolution apparatus (as per J.Pharm)


 Disintegration Test on Shaking Water Bath


 Disintegration Test with Rotary Shaft Method


 Disintegration Test using Texture Analyzer


 Disintegration Test using Electro Force
DISINTEGRATION APPARATUS
 Apparatus with wire basket in a beaker.
DISINTEGRATION USING TEXTURE ANALYZER
 The in vitro disintegration behavior of fast dissolving systems
  manufactured by the main commercialized technologies was studied
  using the texture analyzer (TA) instrument.
IN-VITRO DISSOLUTION STUDY
 The dissolution method for oral disintegrating tablets is the same as
  that of conventional tablets.

 USP 2 paddle apparatus is most suitable and common choice for
  dissolution test of oral disintegrating tablets, where the paddle speed
  is 50 rpm is used.

 The USP 1 (basket) apparatus may have certain application for such
  tablets but is used less, frequently due to specific physical properties
  of tablets.

 Specifically tablet fragments or disintegrating tablet masses become
  trapped on the inside top of the basket spindle where little or no
  effective stirring occurs, yielding irreproducible results in dissolution
  profiles.
FUTURE DEVELOPMENTS
 ODTs can offer several biopharmaceutical advantages over
  conventional solid dosage forms such as,

 Improved efficacy

 Require small amount of the drug to be effective

 Offer better drug bioavailability

 ODTs may be suitable for oral delivery of drugs such as proteins and
  peptide based therapeutics that has limited bioavailability when
  administered by conventional tablets.

 Because drugs delivered in ODTs may be absorbed in the pre gastric
  sites of highly permeable buccal and mucosal tissues of the oral cavity,
  they may be suitable for delivering relatively low-molecular weight
  and highly permeable drugs.
CONCLUSION

 Orally disintegrating tablets (FDTs) have better patient acceptance
  and compliance and may offer improved biopharmaceutical
  properties, improved efficacy, and better safety compared with
  conventional oral dosage forms.

 Prescription FDT products initially were developed to overcome the
  difficulty in swallowing conventional tablets with water among
  pediatric, geriatric, and psychiatric patients with dysphagia.

 Future possibilities for improvements in FDTs and drug delivery are
  bright, but the technology is still relatively new.
1. International journal of research in Ayurveda and Pharmacy.
REFERENCES
 2. Journal of Chemical and Pharmaceutical Research, 2009, 1(1): 336-341.
 3. The Indian Pharmacist, Volume 3, Issue 19, p.72-75 (2004).
 4. United States Pharmacopoeia 24/NF 19. The Official Compendia of
     Standards. Asian ed. Rockville, MD: United States Pharmacopoeial
     Convention Inc; 2000:1913-1914.
 5. Bentham science Publishers- Recent patents on Drug delivery and
     Formulations, Volume 4, Number 3, November 2010.
 6. Aulton’s Pharmaceutics- The design and manufacture of medicines,
     Edited by Michael E.Aulton- 3rd Edition, 2008.
  7. FDA, Guidance for Industry: Orally Disintegrating Tablets Draft
     Guidance, (Rockville, MD, April 2007).
  8. Review article- Recent Patents and Trends in Orally Disintegrating
     Tablets by Farhan A. AlHusban, Amr M. El-Shaer, Rhys J. Jones and
     Afzal R. Mohammed
Challenges in development of orally disintegrating and dispersible tablets

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Challenges in development of orally disintegrating and dispersible tablets

  • 1.
  • 2.  Introduction CONTENTS  Advantages over conventional tablet dosage forms  Challenges in formulation and development  Materials required  Mechanism of drug release  Formulation techniques Conventional methods Patented technologies  Marketed products  Evaluation tests  Future developments  Conclusion  References
  • 3. INTRODUCTION Definitions of ODTs: According to US FDA: “A solid dosage form containing medicinal substance, which disintegrates rapidly usually within a matter of seconds, when placed upon the tongue”. According to European pharmacopoeia: “A tablet that is to be placed in the mouth where it disperses rapidly before swallowing”.
  • 4. Terminologies for ODTs also known as Rapidly dissolving tablets are  Melt in Mouth tablets  Mouth dissolving tablets (MDT)  Fast disintegrating tablets (FDT)  Orally disintegrating tablets  Rapid disintegrating tablets (RDT)  Oro dispersible tablets (ODT)  Quick dissolving tablets.
  • 5. Advantages over the conventional dosage form  No risk of choking.  Requires no water intake.  Overcomes unacceptable taste of the Drugs.  Quick disintegration and dissolution of the dosage form.  Facilitates faster onset of therapeutic action.  Improved bioavailability can be achieved.  Avoids First Pass Metabolism due to pregastric absorption.  Ideal dosage form for Peadiatric and geriatric patients.  Ease of administration for patients who are mentally ill, disabled and un co-operative.
  • 6. Challenges in the product design, formulation and manufacture of ODTs. Palatability Mechanical strength Amount of drug Size of tablet Hygroscopicity Aqueous solubility Short half-life Cost of the tablet
  • 7. PALATABILITY  As most of the drugs are unpalatable, orally disintegrating drug delivery systems usually contain the medicament in a taste masked form.  Delivery systems disintegrate or dissolve in patient’s oral cavity, thus releasing the active ingredients which come in contact with the taste buds; hence taste masking of drugs become critical to patient compliance.
  • 8. General taste masking technologies in oral solid dosage forms: 1. Taste masking with hydrophilic vehicle Hydrophilic vehicles- carbohydrates, proteins, gelatin, Zeolite Ion Exchange resins- Indion 204, 214, 224, 234 Cyclodextrins Flavors, sweeteners, amino acids. 2. Taste masking with lipophilic vehicle Ex: fats, fatty acids. 3. Miscellaneous masking agents Ex: Effervescent agents, Rheological modifications, salt preparations, solid dispersions etc.
  • 9. Detection threshold of sensors compared to Human receptors  Pharmaceutical taste assessment requires human test panel that increases time and money to the development process. During the last decade, a multisensor system and a device for the liquid analysis that can be collected under the term “Electronic tongue” was developed. Taste Taste basic Human tongue Electronic substance tongue Sweetness Sucrose 1x10-2 2x10-6 Bitterness Caffeine 0.7x10-3 1x10-6 Sourness HCl 9x10-4 5x10-6
  • 10. The active moiety in pharmaceutical product cannot be therapeutically beneficial unless it has preference and acceptance by the patient. Thus, pleasant taste is important for the therapeutic success of the drug formulation.  Human tongue with taste Sample Electronic receptors. tongue
  • 11. Objectives of electronic tongue:  Identification between bitter, sweet and sour substances by using electronic tongue.  Separating the different substances eliciting the same taste (sour, bitter, sweet).  Identify drug preparations containing active substance and placebo substance.  Quantification of the effect of taste masking of bitter substances by sweet ones.
  • 12. MECHANICAL STRENGTH  In order to allow ODTs to disintegrate in the oral cavity, they are made of either very porous and soft-molded matrices or compressed into tablets with very low compression force, which makes the tablets friable and/or brittle, difficult to handle, and often requiring specialized peel-off blister packing that may add to the cost.
  • 13. AMOUNT OF DRUG  Application of technologies used for ODTs is limited by the amount of drug that can be incorporated into each unit dose.  In case of Lyophilized dosage forms, drug dose must be less than 400mg – insoluble drugs less than 60mg -- soluble drugs  This parameter is particularly challenging when formulating a fast- dissolving oral films.
  • 14. SIZE OF TABLET  The degree of ease when taking a tablet depends on its size. It has been reported that the easiest size of tablet to swallow is 7-8 mm. While the easiest size to handle was one larger than 8 mm.  Therefore, the tablet size that is both easy to take and easy to handle is difficult to achieve
  • 15. HYGROSCOPICITY  Several orally disintegrating dosage forms are hygroscopic and cannot maintain physical integrity under normal conditions of temperature and humidity. Hence, they need protection from humidity which calls for specialized product packaging.
  • 16. AQUEOUS SOLUBILITY  Water soluble drugs pose various formulation challenges because they form eutectic mixtures, which result in freezing point depression and the formation of a glassy solid that may collapse upon drying because loss of supporting structure during the sublimation process.  This collapse can be prevented by using various matrix-forming excipients like Mannitol which induces crystallinity and hence impart rigidity to the
  • 17. SHORT HALF-LIFE  ODTs being immediately releasing dosage forms and the absorption of maximum amount of dose takes place in the pre-gastric region, these have sort half life.  This character may render drug unsuitable for delivery as prolonged release or sustained release dosage form.
  • 18. COST OF THE TABLET  As ODTs are easily fragile, these products require special unit-dose packaging which may add to the cost of the dosage form.
  • 20. THE IDEAL CHARACTERISTICS OF DRUG  For disintegration and dissolution in oral cavity i.e., the pre-gastric absorption from an ODT include, 1. No bitter taste 2. Dose lower than 20mg 3. Small to moderate molecular weight 4. Good solubility in water and saliva 5. Partially nonionized at the oral cavity’s pH. 6. Ability to diffuse and partition into the epithelium of upper GIT. 7. Ability to permeate oral mucosal tissue.
  • 21. EXCIPIENTS  FILLER  SUPERDISINTEGRANTS Eg: More potent drugs like codeine are required in very low amount which Eg: Cross povidone, require diluent such as lactose to Crosscarmellose sodium, makeup volume of drug. Sodium starch glycolate, calcium carboxy methyl cellulose,  Various fillers used are Lactose, Alginates, Directly compressed spray Micro crystalline cellulose, dried mannitol, Amberlite IRP 88, Sorbitol, Guargums, Calcium carbonate, Modified corn starch, Pregelatinised starch, Pregelatinized starch Magnesium trisilicate, Chitin chitosan Al(OH)3 etc. Smecta
  • 22. BINDERS ANTIFRICTIONAL AGENTS Acacia GLIDANTS Cellulose derivatives corn starch, talc, silica derivatives Gelatin LUBRICANTS Stearic acid, magnesium Polyvinyl pyrollidine stearate, talc, PEG, liquid paraffin Tragacanth ANTIADHERENTS talc, corn starch, colloidal silica, sodium lauryl sulphate.
  • 23. OTHER EXCIPIENTS  COLOURS Eg: Carotene, chlorophyll, brilliant blue, Indigotene, Erythrosine  FLAVOURING AGENTS Eg: Menthol, Vanilla, Liquorice, Citrus fruits flavour, Anise oil, Clove oil, Pippermint oil, Eucalyptus oil.  SWEETENERS Eg: Natural- Mannitol, Lactose, Sucrose, Dextrose Artificial- Saccharin, Aspartame, Cyclamate
  • 24. MECHANISMS OF DRUG RELEASE  The drug releases from the FDT due to the action of super disintegrants and generally by swelling of the porous matrix.
  • 25. MECHANISM OF SUPERDISINTEGRANTS  Due to deformation  Due to disintegrating particle/repulsive forces  Capillary action and porosity (wicking)  Chemical reaction (acid-base)
  • 26. DEFORMATION AND REPULSION a. Deformation b. Repulsion
  • 27. WICKINGa. Wicking AND SWELLING b. Swelling
  • 28. FORMULATION TECHNIQUES COVENTIONAL TECHNIQUES  Tablet moulding  Direct compression  Spray drying  Sublimation  Freeze drying (or) Lyophilization  Mass extrusion  Cotton candy process
  • 29. Tablet Molding  Molded tablets are prepared by using water soluble ingredients so that the tablets dissolve completely and rapidly.  The powder blend is moistened with a hydro-alcoholic solvent and is molded into tablets under pressure lower than that used in Conventional tablet compression. The solvent is then removed by air-drying. Eg: Benadryl, Fastmelt(diphenhydramine citrate, pseudoephidrine HCl) – Allergy, sinus
  • 30. DIRECT COMPRESSION  Easiest way to manufacture tablets is direct compression.  Low manufacturing cost, conventional equipments and limited number of processing steps led this technique to be a preferable one.  However disintegration and dissolution of directly compressed tablets depend on single or combined effect of disintegrant, water soluble excipients and effervescing agents.
  • 31. SPRAY DRYINGcan produce highly porous and fine powders that dissolve  Spray drying rapidly.  The formulations are incorporated by hydrolyzed and non hydrolyzed gelatins as supporting agents, Mannitol as Bulking agent, sodium starch glycolate or crosscarmellose sodium as disintegrating and an acidic material (e.g. citric acid) and / or alkali material (e.g. I sodium bicarbonate) to enhance disintegration and dissolution.  Tablet compressed from the spray dried powder disintegrated within 20 seconds when immersed in an aqueous medium
  • 32. SUBLIMATION  To generate porous matrix in ODTs, volatile ingredients are incorporated in the formulation which is subjected to sublimation (by vacuum drying) leaving behind the porous matrix.
  • 33. FREEZE DRYING OR LYOPHILIZATION  It is a process in which water is sublimed from the product after freezing. Lyophilization is a pharmaceutical technology which allows drying of HEAT SENSITIVE DRUG and biological at low temperature under conditions that allow removal of water by sublimation.  Lyophilization results in preparations, which are highly porous, with a very high specific surface area, which dissolves rapidly and show improved absorption and bioavailability.
  • 34. MASS EXTRUSION  This technology involves softening the active blend using the solvent mixture of water soluble polyethylene glycol, using methanol and expulsion of softened mass through the extruder or syringe to get a cylinder of the product into even segments using heated blade to form tablets.  The dried cylinder can also be used to coat granules of bitter tasting drugs and thereby masking their bitter taste.
  • 35. COTTON CANDY PROCESS  Cotton candy process is also known as “candy floss” process and forms the basis of the technologies such as Flash Dose (Fuisz technology).  An ODT matrix is formed from saccharides or polysaccharides processed into amorphous floss by a simultaneous action of flash melting and centrifugal force.  The matrix is cured or partially recrystallised to provide a compound with good flow properties and compressibility. The candy floss can then be milled and blended with active ingredients and Excipients and subsequently compressed into ODT.  Limitation: The high processing temperature limits the use of this technology to Thermo stable compounds only
  • 36. PATENTED TECHNOLOGIES  Zydis Technology  Orasolv Technology  Durasolv Technology  Wow tab Technology  Flash Dose Technology ( Ceform Technology )  Flash Tab Technology  Oraquick Technology  Quick-Dis Technology  Nanocrystal Technology
  • 37. ZYDIS TECHNOLOGY  A Zydis tablet is produced by lyophilizing or freeze-drying the drug in a matrix usually consisting of gelatin. The product is very lightweight and fragile, and must be dispensed in a special blister pack.  Patients should be advised not to push the tablets through the foil film, but instead peel the film back to release the tablet. The Zydis product is made to dissolve on the tongue in 2 to 3 seconds.
  • 38. ORASOLV TECHNOLOGY  In this system active medicament is taste masked.  It also contains effervescent disintegrating agent.  Tablets are made by direct compression technique at low compression force in order to minimize oral dissolution time. Eg: Remeron ( mirtazapine) - Depression
  • 39. DURASOLV TECHNOLOGY  The tablets made by this technology consist of a drug, fillers and a lubricant.  Tablets are prepared by using conventional tableting equipment and have good rigidity. These can be packed into conventional packaging system like blisters. Eg: Fazaclo (clozapine) - antipsychotic
  • 40. WOWTAB TECHNOLOGY  Yamanauchi pharmaceutical company patented this technology.  ‘Wow’ means ‘without water’. The active ingredients may constitute up to 50% w/w of the tablet.  In this technique, saccharides of both low and high mouldability are used to prepare the granules. Mouldability is the capacity of a compound to be compressed. Eg: Fast melt (diphenhydramine citrate, pseudoephidrine HCl) – allergy
  • 41. FLASH DOSE TECHNOLOGY  This technology is patented by Fuisz.  A sugar based matrix, called ‘Floss’ is used, which is made up of a combination of excipients (crystalline sugars) alone or in combination with drugs. Eg: Nurofen meltlet, a new form of Ibuprofen, as a mouth-dissolving tablet is the first commercial product prepared by this technology and launched by Biovail Corporation.
  • 42. FLASH TAB TECHNOLOGY  Prographarm labs have a patent over this technology.  In this technology, microgranules of the taste-masked active drug are used.  Micro granules may be prepared by using conventional techniques like coacervation, micro encapsulation, and extrusion-spheronisation. All these processes utilize conventional tabletting technology.  These taste-masked micro crystals of active drug, disintegrating agent, a swelling agent and other excipients like soluble diluents etc are compressed to form a multiparticulate tablet that disintegrates rapidly. Eg: Excedrin Quick Tabs (acetaminophen, caffeine) – head ache
  • 43. DRUGS INCORPORATED IN ODTs  Analgesics and Anti-inflammatory Agents  Anthelmintics  Anti-gout Agents  Anti-hypertensive Agents  Anti-malarials  Anti-migraine Agents  Anti- muscarinic Agents  Anti- neoplastic Agents and Immunosuppressant's  Anti- protazoal Agents  Anti-thyroid Agents  ß-Blockers  Cardiac Inotropic Agents  Corticosteroids Diuretics  Anti- parkinsonian Agents  Gastro-intestinal Agents  Histamine H,-Receptor Antagonists etc…
  • 44. PREFORMULATION STUDIES  Compatability studies = FTIR / DSC  Angle of repose Ө = tan -1 (h/r)  Determination of Bulk density = W / Vo  Tapped density = W / Vf  Hauser’s Ratio= Tapped density/Bulk density  compressibility index : CI = 100 (Vo – Vf )/ Vo  Moisture content
  • 45. Some of the Marketed ODTs in India Name of product Active Ingredient Feldene Melt Piroxicam(10-20 mg) Zyprexa Zydis Olanzapine (5, 10, 15 or 20 mg) Nimulid -MD Nimesulide Claritin Reditab Micronized Loratadine Pepcid RPD Famotidine (20-40 mg)
  • 46. EVALUATION TESTS  WEIGHT VARATION TEST I.P. procedure for uniformity of weight was followed, twenty tablets were taken and their weight was determined individually and collectively on a digital weighing balance. The average weight of one tablet was determined from the collective weight. The weight variation test would be a satisfactory method of determining the drug content uniformity
  • 47.  The pharmacopoeial limit of friability test for a tablet is not more than FRIABILITY TEST friability apparatus, carried out at 25 rpm for 4 min 1% using Tablet (100 rotations).  This test is again not applicable for lyophilized and flash dose tablets, but is always recommended for tablets prepared by direct compression and moulding techniques to ensure that they have enough mechanical strength to withstand the abrasion during shipping and shelf life. Percentage friability = 100(initial weight-final weight)/initial weight
  • 48. WETTING TIME AND WATER ABSORPTION RATIO  Wetting time and water absorption ratio reported the use of a piece of double folded tissue paper placed in a Petri dish containing 6 ml of water. One tablet was placed on this paper and the time for complete wetting of tablet was noted as wetting time. The wetted tablet was then weighed and the water absorption ratio, R, was determined according to equation.  R = 100 (Wa−W b) /Wb Wb and Wa are the weights of tablet before and after water absorption
  • 49. HARDNESS TEST  The tablet tensile strength is the force required to break a tablet by compressing it in the radial direction and is measured using a tablet hardness tester.  Monsanto hardness tester Phyzer type hardness tester
  • 50. MOISTURE UPTAKE TEST  The test can be carried out by keeping ten tablets along with calcium chloride in a desiccator maintained at 37 °C for 24 hrs to ensure complete drying of the tablets.  The tablets are then weighed and exposed to 75% RH, at room temperature for 2 weeks. The required humidity can be achieved by keeping saturated sodium chloride solution in the dessicator for 24 hrs.  The tablets are reweighed and the percentage increase in weight is recorded. If the moisture uptake tendency of a product is high, it requires special dehumidified area for manufacturing and packing.
  • 51. MEASUREMENT OF TABLET POROSITY  The mercury penetration porosimeter can be used to measure the tablet porosity which is a relative assessment of the degree of water penetration in the formulation, responsible for its fast disintegration.
  • 52. IN-VITRO DISPERSION TIME  The test is performed by placing two tablets in 100 ml water and stirring it gently, till the tablets get completely disintegrated.  The formulation is considered to form a smooth dispersion if the complete dispersion passes through a sieve screen with a nominal mesh aperture of 710 μm without leaving any residue on the mesh.
  • 53. IN-VITRO DISINTEGRATION TEST This test are carried out by using any one of the following method  Tablet disintegration apparatus  Modified dissolution apparatus (as per J.Pharm)  Disintegration Test on Shaking Water Bath  Disintegration Test with Rotary Shaft Method  Disintegration Test using Texture Analyzer  Disintegration Test using Electro Force
  • 54. DISINTEGRATION APPARATUS  Apparatus with wire basket in a beaker.
  • 55. DISINTEGRATION USING TEXTURE ANALYZER  The in vitro disintegration behavior of fast dissolving systems manufactured by the main commercialized technologies was studied using the texture analyzer (TA) instrument.
  • 56. IN-VITRO DISSOLUTION STUDY  The dissolution method for oral disintegrating tablets is the same as that of conventional tablets.  USP 2 paddle apparatus is most suitable and common choice for dissolution test of oral disintegrating tablets, where the paddle speed is 50 rpm is used.  The USP 1 (basket) apparatus may have certain application for such tablets but is used less, frequently due to specific physical properties of tablets.  Specifically tablet fragments or disintegrating tablet masses become trapped on the inside top of the basket spindle where little or no effective stirring occurs, yielding irreproducible results in dissolution profiles.
  • 57. FUTURE DEVELOPMENTS  ODTs can offer several biopharmaceutical advantages over conventional solid dosage forms such as,  Improved efficacy  Require small amount of the drug to be effective  Offer better drug bioavailability  ODTs may be suitable for oral delivery of drugs such as proteins and peptide based therapeutics that has limited bioavailability when administered by conventional tablets.  Because drugs delivered in ODTs may be absorbed in the pre gastric sites of highly permeable buccal and mucosal tissues of the oral cavity, they may be suitable for delivering relatively low-molecular weight and highly permeable drugs.
  • 58. CONCLUSION  Orally disintegrating tablets (FDTs) have better patient acceptance and compliance and may offer improved biopharmaceutical properties, improved efficacy, and better safety compared with conventional oral dosage forms.  Prescription FDT products initially were developed to overcome the difficulty in swallowing conventional tablets with water among pediatric, geriatric, and psychiatric patients with dysphagia.  Future possibilities for improvements in FDTs and drug delivery are bright, but the technology is still relatively new.
  • 59. 1. International journal of research in Ayurveda and Pharmacy. REFERENCES 2. Journal of Chemical and Pharmaceutical Research, 2009, 1(1): 336-341. 3. The Indian Pharmacist, Volume 3, Issue 19, p.72-75 (2004). 4. United States Pharmacopoeia 24/NF 19. The Official Compendia of Standards. Asian ed. Rockville, MD: United States Pharmacopoeial Convention Inc; 2000:1913-1914. 5. Bentham science Publishers- Recent patents on Drug delivery and Formulations, Volume 4, Number 3, November 2010. 6. Aulton’s Pharmaceutics- The design and manufacture of medicines, Edited by Michael E.Aulton- 3rd Edition, 2008. 7. FDA, Guidance for Industry: Orally Disintegrating Tablets Draft Guidance, (Rockville, MD, April 2007). 8. Review article- Recent Patents and Trends in Orally Disintegrating Tablets by Farhan A. AlHusban, Amr M. El-Shaer, Rhys J. Jones and Afzal R. Mohammed