Poorly Water Soluble Drugs Flashcards

1
Q

WHY does low water solubility reduce oral bioavailability?

A

Because absorption for poorly water soluble drugs is dissolution rate limited. The solid drug must first undergo dissolution to become a drug in solution before it can permeate the intestinal membranes.

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2
Q

What are the TWO main problems for delivery of poorly water soluble compounds?

A

1) Low bioavailability
2) Variable plasma profiles

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3
Q

What TWO main variables of the dissolution formula can be manipulated to increase dissolution (and therefore absoroption)

A
  • *S** = Solubility
  • *Cs **= Surface Area (concentration)

You can’t change h because you can’t ‘stir’ and mix the intestines to decrease the diffusion layer thickness

You can’t change D (diffusion co-efficient) because it’s the molecular property, especially if it is of a small molecular weight.

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4
Q

What THREE things must a drug do to be able to go into solution in water?

A
  1. Break apart solute (drug) molecules in the solid state.
    (energy needed to break solute-solute bonds; melting point)
  2. Create a ‘cavity’ in the solvent
    (break bonds b/w solvent molecules: easier than solute molecules)
  3. Insert solute molecule (drug) into cavity in solvent.
    (favourable solute-solvent interactions, eg. polarity & ionisation)
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5
Q

Name SIX methods can be used to enhance oral bioavailability.

A
  1. Isolation of salts
  2. Alteration to crystal structure (Polymorphs)
  3. Particle size reduction
  4. Solid dispersions
  5. Use of surfactants
  6. Lipid based formulations
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6
Q

WHY does isolation of WEAK acids and bases as a salt increase solubility?

A

It stabilises the drug as an ionised salt form to increase it’s ability to interact with a polar solvent (e.g. water), thus making this ionised drug more soluble.

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7
Q

HOW can a WEAK acid or base be isolated as a more water soluble salt?

A

For example, to form the Sodium (Na) salt of Para Aminosalicyclic acid (PAS):

  1. Free acid of PAS (**acid) dissolved in organic solution
  2. Sodium Hydroxide (base) added
  3. Sodium salt (Na PAS) precipitates and is isolated
  4. Sodium salt (Na PAS) is then dissolved back into water
  5. Ionised acid (PAS-) (more soluble) and base reformed.
    [The pH of the saturated solution of Na PAS will be basic]
  6. Enhanced solute-solvent interaction
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8
Q

What is the rationale behind altering crystal structure to change solubility? And what is the downside of increasing solubility via this method?

A

Reducing the strength of the intermolecular solute-solute interactions increases solubility.

It reduces the melting point, leading to to ‘high energy’ crystal forms (Polymorphs, Amorphous forms, Solvates). BUT it has the potential for instability on storage because of being thermodynamically unstable.

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9
Q

Can reducing the particle size generally increase solubility?

A

No. Reducing the particle size can only increase the rate of dissolution by increasing the surface area available to be in contact with the solvent.

It doesn’t change the intermolecular (solid state) properties since it is still going to interact in the solution the same way.

But, it will get the particles in contact with the solution faster, so will only allow it to reach its highest solubility point faster. Therefore, it’s useless for drugs with low solubility.

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10
Q

What is a solid dispersion and how is it usually formed?

A

It is a solid dose form where the drug is present in a molecularly dispersed form of a drug in carrier (often in the amorphous state).

It is produced via:

  1. Mixing a drug with a water soluble carrier (e.g. polymer) in the liquid state (molten or in a solvent)
  2. Rapidly solidified via cooling or solvent evaporation
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11
Q

What are THREE advantages to solid dispersions

A
  1. Stabilise high energry crystal forms (e.g. amorphous) that have higher aqueous solubility
    (polymer prevents 2 drug molecules from aggregating to a crystal)
  2. Super-saturated solutions
  3. High dissolution rate, despite precipitation.
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12
Q

Name two polymers as carriers that can be utilised to produce solid dispersions, and list their advantages.

A
  1. Polyethylene glycol (PEG)
    (i) Wide range of molecular weights (1K - 20K)
    (ii) Stabilised metastable forms due to increase in viscosity of solid
    (iii) Increase solubility by re-arranging water structure around itself to increase rate of dissolution
  2. Polyvinylpyrollidine (PVP)
    (i) High melting point >275oC
    (ii) Wide range of molecular weights (10k - 700k)
    (iii) Stops recrystillisation by H bond interactions with drug
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13
Q

Can you use the ‘melting technology’ for Polyvinylpyrollidine (PVP)?

A

No. PVP has a melting point > 275oC. Most drugs would degrade to match that melting point.

Therefore, you’d use the solvent method, where you end up with a drug and polymer contained in a liquid state. Then, rapidly solidified to create an amorphous form.

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14
Q

List THREE possible effects of surfactants.

A
  1. Increase Wetting
  2. Decrease Aggregation
  3. Increase solubilisation in surfactant micelles (at conc > CMC [Critical Micelle Concentratio])
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15
Q

“The addition of surfactants to solid dose forms is primarily used for its wetting effects. Not to increase solubilisation of surfactant micelles” True or False. Explain.

A

True.

The amount of surfactant used isn’t sufficient enough to generate a concentration in GIT to be > CMC (Critical Micelle Concentratio).

Therefore, the wetting effects are most important to change the interfacial tensions between the solid & water to allow it to go into solution. Also, to decrease aggregation.

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16
Q

Name FOUR lipid based formulations to enhance bioavailability.

A
  1. Lipid Solutions
  2. Emulsions
  3. Self Emulsifying Drug Delivery Systems (SEDDS)
  4. Self Micro-Emulsifying Drug Delivery Systems (SMEDDS)
17
Q

What is the rationale behind Lipid based delivery systems?

A

Lipid based delivery system is a formulation of poorly water soluble compounds in lipids to increase bioavailability and increase reproducibility.

It’s based on the rationale of integrating drug molecules into lipid digestion cascade to ‘piggy back’ the normal absorption processes for dietary lipids.

18
Q

What TWO things are secreted by stimulation of lipids in the GIT? And what is their purpose?

A
  1. Bile salts (from gall bladder)
  2. Lipase enzymes (from pancreas)

Together, they stimulte solubilisation of lipids (& co-administered drug) in intestinal mixed micelles via:

  • Chemical digestion (Lipase)
    • Breaks down lipids to less hydrophobic (more polar) form
    • TG -> DG -> MG + FA
  • Physical solubilisation (Bile salts)
    • Bile acts as a ‘surfactant’ to solubilise lipids
    • Lipid -> emulsion -> vesicles -> mixed micelle
19
Q

Give an example of Lipid solution.

A

Soft gelatin capsules filled with lipid solution of drug or vitamin.

20
Q

What is the disadvantage of an emulsion as a lipid based delivery system?

A

The taste. It reduces the patient acceptability.

21
Q

What is the basic formulation method of a Self emulsifying drug delivery system (SEDDS)?

A
  • Isotropic mixture of oil/lipid (containing drug) and surfactant
  • Filled into a soft gelatin capsule
22
Q

How do SEDDS work? And what is their advantage over normal emulsions?

A
  1. Once the SEDDS capsule reaches the stomach, it ruptures and dissolves.
  2. The contents inside are then in contact with water
  3. Instaneous emulsion
  4. This promotes dispersion to increase surface area available for interaction with enzymes, bile salts etc.

The advantage of SEDDS over normal emulsion formulations is that the patient doesn’t have to drink an emulsion with a terrible taste.

23
Q

What is the difference between SEDDS and SMEDDS? Ang give an example where SMEDDS had a better bioavailability than SEDDS

A

SMEDDS produce systems of smaller particle size

<50 nm

Comparison of Neoral (SMEDDS) and Sandimmune (SEDDS):

  • Both are formulations of cyclosporin
  • Sandimmune:
    • cyclosporin dissolved in oil + small amounts of alcohol = forms crude dispesions BA ~ 30%
  • Neoral:
    • very small particle size SMEDDS formulation
    • BA ~ 60-70%
    • Advantages:
      • improved Cmax, AUC
      • lower food effect
      • lower variability in plasma levels