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FORMULATION AND EVALUATION OF EFFERVESCENT GRANULES OF AN ANTI-ALLERGIC DRUG SYNOPSIS FOR M.PHARM DISSERTATION SUBMITTED TO RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE SUBMITTED BY Ms. G. SWETHA M.PHARM PART 1st YEAR DEPARTMENT OF PHARMACEUTICS UNDER THE GUIDENCE OF Mrs. SAYANI BHATTACHARAYYA THE OXFORD COLLEGE OF PHARMACY BANGALORE -68. RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, BANGALORE, KARNATAKA. ANNEXURE – II Proforma for Registration of Subject for Dissertation 1. Name of the candidate and address Ms .G.SWETHA THE OXFORD COLLEGE OF PHARMACY, No.6/9, 1ST CROSS, BEGUR ROAD, HONGASANDRA, BENGALURU –560 068 KARNATAKA. PERMANENT ADDRESS HOUSE NO 1-1-.403/A/1, FLAT NO.G1,SAI RAM NARMADA HOSPITAL, APTS,NEAR GANDHI NAGAR,HYDERABAD ANDHRA PRADESH-500080 2. Name of the institution THE OXFORD COLLEGE OF PHARMACY, NO.6/9, 1st CROSS, BEGUR ROAD, HONGASANDRA,BENGALURU-68 KARNATAKA 3. Course of study and subject Master of Pharmacy in Pharmaceutics 4. Date of admission to course 18/10/ 2010 5. Title of the topic FORMULATION AND EVALUATION OF EFFERVESCENT GRANULES OF AN ANTIALLERGIC DRUG 6.0 BRIEF RESUME OF THE INTENDED WORK: 6.1 Need for the study Allergy is a hypersensitivity disorder of the immune system. Allergic reactions occurs to normally harmless environmental substances known as allergens; these reactions are acquired, predictable, and rapid. Strictly, allergy is one of four forms of hypersensitivity and is called type I (or immediate) hypersensitivity. It is characterized by excessive activation of certain white blood cells called mast cells and basophils by a type of antibody known as IgE , resulting in an extreme inflammatory response1. Several antagonistic drugs are used to block the action of allergic mediators, or to prevent activation of cells and degranulation processes. These include Antihistamines, Glucocorticoids,Epinephrine (Adrenaline), Theophylline and Cromolyn sodium. Anti-leukotrienes, such as Montelukast (Singulair) or Zafirlukast (Accolate), are FDA approved for treatment of allergic diseases. Anticholinergics, decongestants, mast cell stabilizers (Cromone therapy), and other compounds thought to impair Eosinophil chemotaxis, are also commonly used. These drugs help to alleviate the symptoms of allergy, and are imperative in the recovery of acute anaphylaxis, but play little role in chronic treatment of allergic disorders2. Drugs that are difficult to digest or disruptive to the stomach, pH sensitive drugs, drugs requiring a large dose can be formulated as effervescent granules. The use of conventional dosage form is associated with dose related adverse effects and short duration of action. So effervescent granules are formulated to reduce this effects which are intended to be dissolved or dispersed in water before use. This dosage form includes a mixture which when incorporated in water, produces an immediate rate of release of the therapeutic compound for instant release3. Combination of the effervescent granules with the other ingredients can provide effective taste masking of particularly poor tasting compounds. These effervescent granules contain acid substances and carbonates or bicarbonates, and that react rapidly in the presence of water by releasing carbon dioxide3. Effervescent granules of anti-allergic drugs are an instant manner to relieve allergy in emergency situations and improving patient compliance. Effervescent granules are convenient, attractive, and easy to use as premeasured dosage forms. Effervescent tablets are more easily transported than liquid medication because no water is added until it's ready to use. 6.2 Review of literature Literature review for undertaking the study was done by referring to articles published in various National and International Journals, official standard books and referring to various websites on the internet. 1. This has proved utility of effervescent oral delivery system in the pharmaceutical and dietary industries for decades. Effervescence is the reaction (in water) of acids and bases producing carbon dioxide. Typical acids used in this reaction are Citric, Malic, Tartaric, Adipic, and Fumaric. Citric acid is the most commonly used, and it imparts a citrus-like taste to the product. Malic acid can be used in effervescent formulas for a smoother aftertaste. There are several categories of active ingredients: Those that are difficult to digest or disruptive to the stomach. A classic example is Calcium carbonate, the most widely used form of calcium. In a normal tablet or powder, the Calcium carbonate dissolves in the stomach acid and is carried into the digestive system for absorption, those that are pH-sensitive, such as amino acids and antibiotics. The low pH in the stomach can cause active ingredients to become denatured, lose activity, or cause them to remain inactive; those requiring a large dose, those that are susceptible to light, oxygen, or moisture. Many vitamins fall into this category. To satisfy these criteria’s effervescent granules were formulated3. 2. The present invention concerns orodispersible tablets, which are able to disintegrate in the buccal cavity upon contact with saliva by formation of an easy-to-swallow suspension, in less than 60 seconds, preferably in less than 40 seconds, containing Fexofenadine in the form of coated granules, and a mixture of excipients comprising at least one disintegrating agent, a soluble diluent agent, a lubricant and optionally a swelling agent, a permeabilizing agent, sweeteners, flavoring agents and colors; the process for obtaining such orodispersible tablets and the coated granules incorporated therein and the use of said orodispersible tablets in the treatment of seasonal allergic rhinitis4. 3. The formulation of effervescent tablet has been carried out. Effervescent tablet is a tablet intended to be dissolved or dispersed in water before administration. They show the special features like less irritation and greater tolerability, swallowing can be prevented; more stability is achieved, improved therapeutic effect. In this review formulation, manufacturing and applications of effervescent tablets were covered. The people are very busy with their schedules and have less time to care for health. Even in the treatment, they were searching for quick relief and easily administrable formulations which are effervescent granules5. 4. The formulation of the Niacin in the form of ET dosage form as an alternative to the available marketed few conventional tablets. ET was made up of effervescent granules (EG). EG are prepared by wet granulation method with non-reactive liquids using PVP as a binder with concentration ratios of 1: 2: 4. As the concentration of PVP is increased, the dissolution profile of niacin was decreased. The formulation F8 containing citric acid, tartaric acid and sodium bicarbonate in the ratio of 1:1:1 was considered to be the best formulation. All the prepared EG and ET are evaluated for the official tests and found to be within limits. In- vitro dissolution studies of formulation F8 shows good release by about 95.2% in 3.30 hours. All prepared formulations are slightly acidic (pH 4.0 to 4.2) to augment the taste of the solution. IR Spectra of formulation F8 shows, there is no interaction between niacin and excipients used. And the formulation F8 was most stable at temperature 25˚C to 40˚C. It conclude that, niacin can prepared in the form of “pleasantly flavoured effervescent drink” of ET by compressing EG, which is prepared by wet granulation method with non-reactive liquids6. 5. This proposal includes the formulation of effervescent granules. Effervescent granulation is an important step in the production of fizzy dosage forms that most of the time cannot be avoided to achieve the desired characteristics of the effervescent tablets .It is also very critical in maintaining the stability of the final dosage form. Effervescent granules and tablets have become more and more popular as a dosage form because they are readily soluble and easy to consume just by drinking the glass of water where they are dissolved. Disintegration usually within 2minutes or even less due to evolution of Carbon-Dioxide. They have a pleasant taste due to carbonation which helps to mask the bad taste of certain drugs7. 6. The formulation of granules using wet granulation method. Granules are by definition agglomerates made of primary particles. e the wet granulation methods where solvents or binder solutions are used to agglomerate powders. Wet granulation methodologies are the fluid bed granulation, high shear granulation or the spray drying processes. Nowadays granules are usually used as intermediates for compression of tablets, the most often dosage form, or for filling of capsules. Originally granules were administered in sachets as a multiple unit dosage form. Granules offer several advantages in comparison to pharmaceutical powders. In some cases they are as well necessary for the production of a solid dosage form: a prerequisite for the tablet production are good flowing properties which are improved with larger particle size. Thus free-flowing granules assure a good dosing accuracy during a tablet compression or capsule filling process. Another advantage is the increase in bulk density after an agglomeration step which enables a better control of drug content uniformity at low drug concentrations and avoids de-mixing or segregation processes. Furthermore granulation leads also to a reduction in dusting, an especially important fact for the production of high potent drugs8. 7. The formulation of effervescent granules using Hot-melt extrusion is one of the most widely applied processing technologies in the plastic, rubber and food industry. Today this technology has found its place in the array of pharmaceutical manufacturing operations. Melt extrusion process are currently applied in the pharmaceutical field for the manufacture of a variety of dosage forms and formulations such as granules, pellets, tablets, suppositories, implants, stents, Tran dermal systems and ophthalmic inserts. This review article in detail describes the melt extrusion equipment and process. Industrial application of this process along with specific areas on pharmaceutical industry is illustrated. This article concludes with the overview of published examples of melt extrusion process9. 8. This proposal has given information that Effervescence can be defined as the evolution of bubbles of gas in a liquid. Effervescent mixtures have been known and used medicinally for many years. As discussed in this text, and as commonly employed, an effervescent granule is dissolved in water to provide a carbonated or sparkling liquid drink. In such a drink the effervescence helps to mask the taste of medicaments. However, the use of effervescent granules to prepare a beverage including medicament, is not convenient. It requires preparatory steps before administration of the drug and also requires the presence of a suitable mixing container10. 9. The work disclosed a water soluble effervescent composition prepared by hotmelting (1) an active component and (2) an acid and a carbonate for effervescent, with (3) a water soluble adjuvant whose melting point is not lower than 40°C, for addition to drinking water. The effervescent composition was prepared by mixing the active agent, the acid, the carbonate and the water soluble adjuvant and then heating the entire mixture to melt the adjuvant and subsequently cooling the mixture to room temperature while stirring to form effervescent particles. Thus, there is no teaching or suggestion in the art of preparing effervescent granules by hot-melt extrusion. Despite prior efforts towards developments of suitable effervescent granules, there have been unmet needs heretofore for improved effervescent granules having controllable rates of effervescence and for methods for their preparation11. 10. This work presented the central composite study design was used to determine the moisture scavenging effect of 0–2% w/w Potassium carbonate in an effervescent dosage form containing 0.2–1.3% w/w total moisture. Total moisture content of the tablets was calculated by adding the water contribution of each ingredient based on loss on drying or Karl Fischer data. Tablets were directly compressed on a rotary tablet press, packaged in cold form foil: foil blisters, and then thermally stressed by exposure to 75°C for 3 h. In this study, exposure of effervescence in such a manner has been shown to release water of hydration from dextrose monohydrate, thus giving a convenient means of adding water and then ‘activating’ it to perform rapid moisture stability studies. After thermal stressing, tablets were given a rating from 0–7 (least to most) as to the degree of tablet mottling due to effervescent base degradation. Response surface regression of the data resulted in a quadratic equation with an adjusted R2 of 0.92 and no evidence of lack of fit (P_0.85). Analysis of the data showed the optimal level of potassium carbonate to be 1.3% w:w for the formulations tested. This level of potassium carbonate will accommodate total moisture levels up to 0.4% w:w and still prevent effervescent base degradation12. 11. This work has been carried out on melt extrusion: from process to drug delivery system starting from the plastic industry, today melt extrusion has found its place in the array of pharmaceutical manufacturing operations. This article reviews the process technology with regard to the set up and specific elements of the extruder as well as its application. Melt extrusion processes are currently applied in the pharmaceutical field for the manufacture of a variety of dosage forms and formulations such as granules, pellets, tablets, suppositories, implants, stents, transdermal systems and ophthalmic inserts. As a specific area the manufacture of solid dispersions, in particular, solid molecular dispersions using the melt extrusion process is reviewed. Melt extrusion is considered to be an efficient technology in this field with particular advantages over solvent processes like co-precipitation. Potential drawbacks like the influence of heat stress and shear forces on the drug active have been overcome in a number of examples with drugs of different chemical structure. Examples of suitable excipients and recent findings like selfemulsifying preparations are presented. The article concludes with a number of published examples of melt extrudates applying the principle of solid molecular dispersions. Improved bioavailability was achieved again demonstrating the value of the technology as a drug delivery tool13. 12. The purpose of the present study was to develop and characterize mouth dissolving tablets of Levocetrizine Hydrochloride by using direct compression technique. Formulations were designed by factorial design technique. Sodium starch glycolate, Crospovidone and Croscarmellose sodium were used as a superdisintegrants while microcrystalline cellulose was used as diluents. The powder blends were prepared and evaluated for the properties such as angle of repose, loose bulk density, tapped bulk density, Carr’s compressibility index and Hausner’s ratio. Tablets were evaluated for hardness, friability, drug content, disintegration time, water absorption ratio, in vitro drug release in 0.1N HCl. Formulation containing Crospovidone and Croscarmellose sodium in higher concentration showed a rapid disintegration, wetting and in vitro drug release as compared to other formulations. Differential scanning calorimetric studies indicated no possibility of interaction between Levocetrizine Hydrochloride and superdisintegrants used in formulation. The optimized formulation showed no change in physical appearance, drug content, and disintegration time and dissolution pattern after storage at 40oC/75% RH for three months14. 13. This invention provides a novel and therapeutically advantageous solid, rapidly disintegrating, effervescent, rapidly dissolving dosage form for oral administration of Cetrizine. The dosage form contains organic edible acid, alkali metal and an alkaline earth metal carbonate and bicarbonate and optionally a pharmaceutically acceptable auxiliary ingredient along with the drug. The formulation of this invention when dissolved in water yields a solution having a pleasant taste with improvement in patient compliance. This oblivates the need of tedious process of coating the individual crystal of Cetrizine for masking the bitter taste. The patent describes the first ever effervescent preparation of Cetrizine, which is very effective against allergic disorders15. 6.3 Objectives of the study: In the present work attempt will be made 1. To formulate Effervescent granules of anti-allergic drug against allergic attacks in emergency situations and thereby improving patient compliance. 2. To evaluate dispersible effervescent granules containing an anti-allergic drug. 3. To conduct stability studies of the formulations. Preparation: The uncompressed effervescent granules can be prepared by any of the following methods: a) Dry fusion method b) Wet granulation method c) Hot melt-extrusion Evaluation of the formulation: This includes: Flow properties - Angle of repose. Bulk density. Physical characterization of the microspheres which includes. a) Particle size analysis b) Determination of Particle shape and c) Surface morphology. Water content & Moisture Uptake Studies Uniformity of dispersion studies Stability studies on the selected formulations 7.0 Materials and Methods: The suitable drug candidates for this proposal can be Cetrizine, Levo cetrizine, Zafirlukast, Montirlukast, Fexofenadine etc, and anyone of the above mentioned drug will be selected for the project work depending on the availability. The materials will be chosen after the compatibility studies with the active ingredient. Method : Dry fusion method, Wet granulation method, Hot melt-extrusion 7.1 Source of data: Data was obtained from drug invention today, Pub med, Science direct, Medline, US patent office Website& other Internet facilities, Journals available at Jgate - Helinet of the Rajiv Gandhi University Of Health Sciences Website , Literature search and Related Articles from library of The Oxford College of Pharmacy. 7.2 Method of collection of data: The data will be collected from, 1. Compatibility study by FTIR/IR. 2. Preparation of reproducible batches of formulations. 3. Evaluation of the product a. Flow properties- Angle of repose. b. Bulk density. c. Water content & moisture uptake studies. d. Uniformity of dispersion studies. e. Stability studies on the selected formulations18. 7.3 Does the study require any investigation or interventions to be conducted on patients or other humans or animals? No. 7.4 Has ethical clearance been obtained from your institution in case of 7.3? NA 8. List of References: 1. Kay AB. Overview of allergy and allergic diseases with a view to the future 2000; 56 (4): 843–864. 2. Saha S, Siddiqui S, Bradding P. A synopsis on pharmacotherapy for Allergic Diseases. World allergy organization 2007 April. 3. Lee RE. Effervescent tablets. The key facts about the unique effective dosage form. 14. 4. Ethypharm (Houdan, FR). Orodispersible tablets containing Fexofenadine. United States Patent 6: 723,348. 5. Prabhakar C, Bala Krishna K. A review on effervescent tablets.International J. Pharmacy &Technology 2011; 3: 704-712. 6. Mutahar RKM, Nagesh C, Ramesh R, Omer S. Formulation, development and in vitro evaluation of effervescent tablets of Niacin for dyslipidemia. Biomedical and Pharmacology J. 2008 June 1; 1. 7. Bertuzzi G. Effervescent granules. Hand book of pharmaceutical granulation technology. 3rd ed. 365-384. 8. Von V, Djuric D, Lemgo A. Continuous granulation with twin screw extruder 2008 June: 1-2. 9. Chokshi R, Zia H. Hot melt extrusion method. Iranian J. Pharmaceutical Research 2004; 3: 3-16. 10. Dekker M, Lieberman A. In chapter 6 in Pharmaceutical Dosage Forms. 2nd ed. 1. 11. Kond et al., in U. S. Pat. No. 5: 223-246. 12. Wells ML, Wood DL, Sanftleben R, Shaw K, Hottovy J, Weber T et al., Potassium carbonate as a desiccant in effervescent tablets. International J. Pharmaceutics 1997: 227–235. 13. Breitenbach J. Melt extrusion from process to drug delivery technology. European J. Pharmaceutics and Bio pharmaceutics 2002: 107–117. 14. Aitha S, Ayyappan T, Shanmugam S, Sundaramoorthy K, Vetrichelvan T. Optimization, Formulation and In-Vitro Evaluation of Mouth Dissolving Tablets of Levocetrizine Hydrochloride for the Treatment of Allergic Rhinitis. J. Of Pharmaceutical Sciences and Research 2010; 2 (9): 555-561. 15. Asta Medica AG (DE). Solid, rapidly disintegrating formulation. Patent 6; 2001: 245,353. 16. European pharmacopoeia 5, Dosage forms 2005; 0499: 605-606. 17. Lindberg (Acta). Pharm. Suec 1988; 2: 239-246. 18. ICH Topic Q1A.Stability Testing Guidelines: Stability Testing Of New Drug Substances and Products. http://www.eudra.org/emea.html. 9. Signature of the Candidate G.SWETHA 10. Remarks of the Guide: The above information is true to the best of my knowledge and the work will be done under my guidance. 11. Name & Designation (in BLOCK LETTERS) 11.1 Guide Mrs. SAYANI BHATTACHARYYA ASSISTANT PROFESSOR, DEPT. OF PHARMACEUTICS. 11.2 Signature of Guide 11.3 Name of the co-guide -NA 11.4 Signature of the co-guide -NA 11.5 Head of the Department Dr. KALYANI PRAKASAM 11.6 Signature of HOD: Dr. KALYANI PRAKASAM 12. 12.1 Remarks of the Principal: The above mentioned information is correct and I recommend the same for approval. R 12.2 Signature of the Principal Dr. PADMAA M. PAARAKH The oxford college of pharmacy.