Lec 20- MR systems- ODT Flashcards

1
Q

Terminology

A
  • Fast-dissolving
  • Orodispersible- hypo-Salivation can lead to poor dissolving
  • Fast-melting
  • Orally dissolving- Needs to disintegrate in under 3 minutes
  • FDA has adopted the term
    • Orally disintegrating tablets (ODT’s)
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2
Q

Orally disintegrating tablets

A
  • Advantages
    • Administration to patients who cannot, should not or will not swallow
      • Children, elderly, vets, stroke patient
    • Convenience (no water needed)
    • Taste masking is crucial-superior taste
    • Rapid intervention
    • Altered absorption profile
      • In solution when reach stomach or buccal absorption
        • Decreased onset time
        • Enhanced bioavailability
      • New business opportunity
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3
Q

Bioavailability

A
  • Some tablets are designed to dissolve in saliva remarkably fast, within a few seconds and are true fast-dissolving tablets
  • Others contain agents to enhance the rate of tablet disintegration in the oral cavity and are more appropriately termed fast-disintegrating tablets as they may take up to 1 minute to completely disintegrate
  • Increased bioavailability using such formulations is possible if there is sufficient absorption via the oral cavity prior to swallowing
  • If the amount of swallowed drug varies
    • There is the potential for inconsistent bioavailability
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4
Q

Challanges

A
  • Taste- masking is crucial
    • Flavouring agent- spray drying
  • Dose
  • Moisture sensitivity- we normally have to use hygroscopic materials
    • Excessive water: microbial contamination, drug stability, disintegration of the tablet (or just weakness)
  • Friability- low compression means tha
  • High prosit, low density low hardnes
  • Taste masking is crucial
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5
Q

Technologies

A
  • Zydis
  • Orasolv/Durasolv
  • Flashdose
  • Flashtab
  • Wowtab
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6
Q

Zydis

A
  • Freeze-drying methods
  • Suspend excipients in liquid and freeze
  • Sublimation then occurs (going from a solid to a gas without the liquid stage)- this will leave behind poors- encouraging disintegration- this is done by lowering the pressure
    • Zydis
      • E.g. lorazepam, piroxicam, loperamide, loratidine, enalapril, selegiline
    • Ideal for poorly water-soluble drugs
    • Water-insoluble
      • Dose<400mg, size<100um, acceptable taste
    • Water soluble
      • Dose- <500mg, acceptable taste, high eutectic temperature- the higher this point the easier it is to freeze this dosage form
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7
Q

Composition

The matrix consists of

A
  1. Water soluble polymer (gelatine, dextran or alginate)
    • Give the shape and resilience of the tablets
  2. Saccharide (mannitol or sorbitol)- mouth feel
    • Give crystallinity, hardness and elegance
  3. Lyoprotectant (Glycine)
    • Protects against collapsing of tablets during freeze drying- because we have to increase the temperature after freezing which can breakdown due to heat, this stops this
  4. Other excipients (flavours, sweeteners and colouring agents)
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8
Q

Zydis

preparation

A
  • Preparation
    • Solution of polymer and saccharide in water
    • Drug suspended or dissolved in carrier solution
    • Precise dosing into pre-formed blisters
    • Frozen in liquid nitrogen
    • Rapidly freeze-dried
    • Heat-seal process for blisters to ensure stability and protect the fragile tablet during removal by the patient
  • Complex nature of manufacture and scale up results in a relatively high manufacturing cost
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9
Q

Zydis

A
  • Porous matrix
    • Network of water-soluble carriers
    • Active ingredient
  • Microencapsulation and complexation with ion-exchange resins can be used along with other flavours and sweeteners for taste-masking for bitter drugs
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10
Q

Characterisation

A
  • Successful tablet formulation must have adequate mechanical strength
    • The tablet dosage forms are exposed to various mechanical stresses during the manufacturing steps (e.g. packaging process), shipping and handling by patients
  • Conventional tablets are usually assessed in terms of hardness and friability
    • Do you think the same can be used for freeze-dried tablets
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11
Q

Flashdose

A
  • Modified tabletting technology
    • Granulation of a low moldable sugar with a high moldable sugar to produce a fast disintegrating formulation
    • The inclusion of effervescing agents using microparticulate systems
    • Expensive
    • Formulations are friable and moisture sensitive, therefore requiring specialized packaging
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12
Q

Tablet compression

A
  • Durasolv (Cima Labs) and Ziplets (Eurand)
  • Excipients play a major role in the successful formulation and uperdisintegrants, hydrophilic polymers and effervescent compounds are included
  • Effective taste-masking is required for ALL formulation
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13
Q

Tablet compression

A
  • Blending and compression of excipients- e.g. direct compression
  • Dry granulation e.g. roller compaction
  • Wet granulation
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14
Q

Therapeutic area’s

A
  • PPI (e.g. Zoton Fastab®)
  • Migraine (e.g.Maxalt Melt®, Zomig Rapimelt®)
  • Reflux (e.g.Pepcid®, Propulsid®, Domperidone®)
  • Antihistamine/antiemetic (e.g.Zofran®, Clarityn®)
  • Analgesia/NSAID (e.g.Calpol®, Feldene®, Zamadol melt®)
  • Antidiarrhoeal (e.g.Imodium®)
  • Antipyschotic (e.g.Risperdal Quicklet)
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15
Q

Maxalt melt

A
  • Convenient (Fast) relief of migraine
    • In addition to tablets, nasal spray and injection
  • Rizatriptan (10mg) in wafer
    • Without liquids
    • To reduce risk of nausea
    • Oral lyophilisates
      • Contain gelatin mannitol, glycine, aspartame, peppermint
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16
Q

Zomig Rapimelt

A
  • Rapid and long lasting
  • AstraZeneca with CIMA
  • Contain zolmitriptan in OraSolv technology
    • Taste masking
17
Q

Zomig Rapimelt

A
18
Q

Counselling

A
  • The majority of patients receiving ODT preparations have little understanding of this new dosage form
  • Pharmacists are in the ideal position to become familiar with the different technologies and educate their patients on what to expect upon taking their first dose
  • Patients may be surprised when tablets begin to dissolve in the mouth. They might expect a faster onset of therapeutic action
    • Clarification from the pharmacist can avoid any confusion or misunderstanding
19
Q

Zyprexa Zydis/ Velotab

A
  • 10,15 and 20mg olanzipine in orally disintegrating tablets
  • Patient instructions
    • To use Zyprexa Velotab, open the sachet, peel back the foil on the blister pack, remove the tablet, and place the entire tablet in the mouth
    • Do not push the tablet through the foil
    • The medication can be taken with or without water; the saliva in your mouth will cause the tablet to dissolve
20
Q

Counselling

A
  • Patients who concurrently take anticholinergic medications may not be the best candidates for this formulation
    • Decreased volume of saliva may slow the rate of dissolution/disintegration and decrease the bioavailability of the product