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Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

[AJPRes.]<br />

ISSN- 2231–5683 (Print)<br />

www.<strong>asian</strong><strong>pharma</strong>online.org<br />

ISSN- 2231–5691 (Online) 0974-3618<br />

REVIEW ARTICLE<br />

Floating drug delivery system: An innovative acceptable approach in<br />

Gastro retentive drug delivery.<br />

Nirav Patel 1 , Nagesh C. 1 *, Chandrashekhar S. 1 , Patel Jinal 2 and Jani Devdatt 1<br />

1 Maratha Mandal’s College of Pharmacy, Belgaum-590016, Karanataka.<br />

2 A.P.M.C. college of Pharmaceutical Education and Research, Motipura, Himatnagar-383001, Gujarat.<br />

*Corresponding Author E-mail: nagesh_73@rediffmail.com<br />

ABSTRACT:<br />

Controlled release (CR) dosage forms have been extensively used to improve therapy with several important drugs.<br />

The recent developments of floating drug delivery systems (FDDS) including the physiological and formulation<br />

variables affecting gastric retention, approaches to design single-unit and multiple-unit floating systems, and their<br />

classification and formulation aspects are covered in detail. This review also summarizes the in vitro techniques, in<br />

vivo studies to evaluate the performance and application of floating systems. Floating dosage form can be prepared as<br />

tablets, capsules by adding suitable ingredients as well as by adding gas generating agent. In this review various<br />

techniques used in floating dosage forms along with current & recent developments of stomach specific floating drug<br />

delivery system for gastro retention are discussed.<br />

KEYWORDS: Floating drug delivery systems, mechanism, single unit, multiple units, evaluation Method.<br />

INTRODUCTION:<br />

Oral administration is the most versatile, convenient and<br />

commonly employed route of drug delivery for systemic<br />

action. Indeed, for controlled release system, oral route of<br />

administration has received the more attention and success<br />

because gastrointestinal physiology offers more flexibility<br />

in dosage form design than other routes. Development of a<br />

successful oral controlled release drug delivery dosage form<br />

requires an understanding of three aspects:<br />

(1) Gastrointestinal (GI) physiology<br />

(2) Physiochemical properties of the drug and<br />

(3) Dosage form characteristics 1, 2 .<br />

Gastric emptying of dosage forms is an extremely variable<br />

process and ability to prolong and control the emptying<br />

time is a valuable asset for dosage forms, which reside in<br />

the stomach for a longer period of time than conventional<br />

dosage forms 3 .<br />

1.Phase I (Basal phase) lasts from 30 to 60 minutes with<br />

rare contractions.<br />

2. Phase II (Preburst phase) lasts for 20 to 40 minutes with<br />

intermittent action potential and contractions. As the phase<br />

progresses the intensity and frequency also increases<br />

gradually.<br />

3. Phase III (burst phase) lasts for 10 to 20 minutes. It<br />

includes intense and regular contractions for short period. It<br />

is due to this wave that all the undigested material is swept<br />

out of the stomach down to the small intestine. It is also<br />

known as the housekeeper wave.<br />

4. Phase IV lasts for 0 to 5 minutes and occurs between<br />

phases III and I of 2 consecutive cycles 4 . (Figure 1)<br />

Gastric emptying occurs during fasting as well as fed states.<br />

The pattern of motility is however distinct in the 2 states.<br />

During the fasting state an interdigestive series of electrical<br />

events take place, which cycle both through stomach and<br />

intestine every 2 to 3 hours. This is called the interdigestive<br />

myloelectric cycle or migrating myloelectric cycle (MMC),<br />

which is further divided into following 4 phases<br />

Received on 09.01.2012 Accepted on 24.02.2012<br />

© Asian Pharma Press All Right Reserved<br />

Asian J. Pharm. Res. 2(1): Jan.-Mar. 2012; Page 07-18<br />

7<br />

Fig. 1: Motility pattern in GIT


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

Gastroretentive systems can remain in the gastric region for<br />

several hours and hence significantly prolong the gastric<br />

residence time of drugs. Prolonged gastric retention<br />

improves bioavailability, reduces drug waste, and improves<br />

solubility for drugs that are less soluble in a high pH<br />

environment. It has applications also for local drug delivery<br />

to the stomach and proximal small intestines. Slowed<br />

motility of the gastrointestinal tract by concomitant<br />

administration of drugs or <strong>pharma</strong>ceutical excipients also<br />

increase gastric retention of drug 5 .<br />

These efforts resulted in GRDFs that were designed, in<br />

large part, based on the following approaches. (Figure 2)<br />

1. Low density form of the DF that causes buoyancy in<br />

gastric fluid 6, 7<br />

2. High density DF that is retained in the bottom of the<br />

stomach 8, 9<br />

3. Bioadhesion to stomach mucosa 10<br />

4. Expansion by swelling or unfolding to a large size<br />

which limits passage of dosage form through the<br />

pyloric sphincter 11<br />

[AJPRes.]<br />

FACTORS AFFECTING GASTRIC RESIDENCE<br />

TIME OF FDDS<br />

a) Formulation factors<br />

Size of tablets<br />

Retention of floating dosage forms in stomach depends on<br />

the size of tablets. Small tablets are emptied from the<br />

stomach during the digestive phase, but large ones are<br />

expelled during the house keeping waves 4 .<br />

Floating and nonfloating capsules of 3 different sizes<br />

having a diameter of 4.8 mm (small units), 7.5 mm<br />

(medium units), and 9.9 mm (large units), were formulated<br />

and analyzed for their different properties. It was found that<br />

floating dosage units remained buoyant regardless of their<br />

sizes on the gastric contents throughout their residence in<br />

the gastrointestinal tract, while the nonfloating dosage units<br />

sank and remained in the lower part of the stomach.<br />

Floating units away from the gastroduodenal junction were<br />

protected from the peristaltic waves during digestive phase<br />

while the nonfloating forms stayed close to the pylorus and<br />

were subjected to propelling and retropelling waves of the<br />

digestive phase 15 .<br />

Density of tablets<br />

Density is the main factor affecting the gastric residence<br />

time of dosage form. A buoyant dosage form having a<br />

density less than that of the gastric fluids floats, since it is<br />

away from the pyloric sphincter, the dosage unit is retained<br />

in the stomach for a prolonged period. A density of less<br />

than 1.0g/ml i.e. less than that of gastric contents has been<br />

reported. However, the floating force kinetics of such<br />

dosage form has shown that the bulk density of a dosage<br />

form is not the most appropriate parameter for describing its<br />

buoyancy capabilities 16 .<br />

Shape of tablets<br />

The shape of dosage form is one of the factors that affect its<br />

gastric residence time. Six shapes (ring tetrahedron,<br />

cloverleaf, string, pellet, and disk) were screened in vivo for<br />

their gastric retention potential. The tetrahedron (each leg<br />

2cm long) rings (3.6 cm in diameter) exhibited nearly 100%<br />

retention at 24 hr 17 .<br />

Fig. 2: Different approaches of gastric retention<br />

Novel oral controlled dosage form that is retained in the<br />

stomach for prolonged and predictable period is of major<br />

interest among academic and industrial research groups.<br />

One of the most feasible approaches for achieving<br />

prolonged and predictable drug delivery profile in the GI<br />

tract is to control gastric residence time (GRT). Dosage<br />

form with prolonged GRT or gastro-retentive dosage form<br />

(GRDF) provides an important therapeutic option 12 . Various<br />

approaches for preparation of gastroretentive drug delivery<br />

system include floating systems, swellable and expandable<br />

systems, high density systems, bioadhesive systems, altered<br />

shape systems, gel forming solution or suspension system<br />

and sachet systems. Among these, the floating dosage form<br />

has been used most commonly 13, 14 .<br />

Viscosity grade of polymer<br />

Drug release and floating properties of FDDS are greatly<br />

affected by viscosity of polymers and their interaction. Low<br />

viscosity polymers (e.g., HPMC K100 LV) were found to<br />

be more beneficial than high viscosity polymers (e.g.,<br />

HPMC K4M) in improving floating properties. In addition,<br />

a decrease in the release rate was observed with an increase<br />

in polymer viscosity 18 .<br />

b) Idiosyncratic factors<br />

Gender<br />

Women have slower gastric emptying time than do men.<br />

Mean ambulatory GRT in meals (3.4±0.4 hours) is less<br />

compared with their age and racematched female<br />

counterparts (4.6±1.2 hours), regardless of the weight,<br />

height and body surface 19 .<br />

8


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

Age<br />

Low gastric emptying time is observed in elderly than do in<br />

younger subjects. Intrasubject and intersubject variations<br />

also are observed in gastric and intestinal transit time.<br />

Elderly people, especially those over 70 years have a<br />

significantly longer GRT 20 .<br />

Posture<br />

i) Upright position<br />

An upright position protects floating forms against<br />

postprandial emptying because the floating form remains<br />

above the gastric contents irrespective of its size 20 . Floating<br />

dosage forms show prolonged and more reproducible GRTs<br />

while the conventional dosage form sink to the lower part<br />

of the distal stomach from where they are expelled through<br />

the pylorus by antral peristaltic movements 21 .<br />

ii) Supine position<br />

This position offers no reliable protection against early and<br />

erratic emptying. In supine subjects large dosage forms<br />

(both conventional and floating) experience prolonged<br />

retention. The gastric retention of floating forms appear to<br />

remain buoyant anywhere between the lesser and greater<br />

curvature of the stomach. On moving distally, these units<br />

may be swept away by the peristaltic movements that<br />

propel the gastric contents towards the pylorus, leading to<br />

significant reduction in GRT compared with upright<br />

subjects 22 .<br />

Concomitant intake of drugs<br />

Drugs such as prokinetic agents (e.g., metoclopramide and<br />

cisapride), anti Cholinergics (e.g., atropine or<br />

propantheline), opiates (e.g., codeine) may affect the<br />

performance of FDDS. The coadministration of GImotility<br />

decreasing drugs can increase gastric emptying time 22 .<br />

Feeding regimen<br />

Gastric residence time increases in the presence of food,<br />

leading to increased drug dissolution of the dosage form at<br />

the most favorable site of absorption. A GRT of 410 h has<br />

been reported after a meal of fats and proteins 23 .<br />

[AJPRes.]<br />

FLOATING DRUG DELIVERY SYSTEM:<br />

Mechanism of floating systems:<br />

Various attempts have been made to retain the dosage form<br />

in the stomach as a way of increasing the retention time.<br />

These attempts include introducing floating dosage forms<br />

(gas-generating systems and swelling or expanding<br />

systems), mucoadhesive systems, high-density systems,<br />

modified shape systems, gastric-emptying delaying devices<br />

and co-administration of gastric emptying delaying drugs.<br />

Among these, the floating dosage forms are the most<br />

commonly used. Floating drug delivery systems (FDDS)<br />

have a bulk density less than gastric fluids and so remain<br />

buoyant in the stomach without affecting the gastric<br />

emptying rate for a prolonged period of time. While the<br />

system is floating on the gastric contents (given in the Fig.<br />

3A), the drug is released slowly at the desired rate from the<br />

system. After release of drug, the residual system is<br />

eliminated from the stomach. This results in an increased<br />

GRT and a better control of the fluctuations in plasma drug<br />

concentration. However, besides a minimal gastric content<br />

needed to allow the proper achievement of the buoyancy<br />

retention effect, a minimal level of floating force (F) is also<br />

required to maintain the buoyancy of the dosage form on<br />

the surface of the meal. To measure the floating force<br />

kinetics, a novel apparatus for determination of resultant<br />

weight has been reported in the literature. The apparatus<br />

operates by measuring continuously the force equivalent to<br />

F (as a function of time) that is required to maintain a<br />

submerged object. The object floats better if F is on the<br />

higher positive side (Fig. 3B). This apparatus helps in<br />

optimizing FDDS with respect to stability and sustainability<br />

of floating forces produced in order to prevent any<br />

unforeseeable variations in intragastric buoyancy 12 .<br />

F = Fbuoyancy – Fgravity = (Df – Ds) g v<br />

Where, F = total vertical force,<br />

Df = fluid density,<br />

Ds = object density,<br />

v = volume and<br />

g = acceleration due to gravity 24 .<br />

Fig. 3. Mechanism of floating systems.<br />

9


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

CLASSIFICATION:<br />

Floating Oral Drug Delivery System (FDDS) are retained in<br />

the stomach and are useful for drugs that are poorly soluble<br />

or unstable in intestinal fluids. Floating drug delivery<br />

system (FDDS) have a bulk density less than gastric fluids<br />

and so remain buoyant in the stomach without affecting the<br />

gastric emptying rate for a prolonged period of time 13 .<br />

While the system is floating on the gastric contents, the<br />

drug is released slowly at the desired rate from the system<br />

(Figure 4). After release of drug, the residual system is<br />

emptied from the stomach. This results in an increased GRT<br />

and a better control of fluctuations in plasma drug<br />

concentration.<br />

Fig. 4: Intragastric residence positions of floating unit.<br />

[AJPRes.]<br />

A. Single unit floating system<br />

a) Noneffervescent system<br />

Hydrodyanamic balanced systems<br />

Sheth and Tossounian first designated this<br />

‘hydrodynamically balanced system’. Such a system<br />

contains drug with gel-forming hydrocolloids meant to<br />

remain buoyant on the stomach content. This prolongs GRT<br />

and maximizes the amount of drug that reaches its<br />

absorption sites in the solution form for ready absorption<br />

(Figure 5). This system incorporates a high level of one or<br />

more gel-forming highly soluble cellulose type<br />

hydrocolloid, e.g., hydroxypropylcellulose, hydoxyethyl<br />

cellulose, hydroxypropyl methyl cellulose (HPMC),<br />

polysaccharides and matrix-forming polymer such as<br />

polycarbophil, polyacrylate and polystyrene. On coming in<br />

contact with gastric fluid, the hydrocolloid in the system<br />

hydrates and forms a colloid gel barrier around its surface 25 .<br />

Yang et al developed a swellable asymmetric triple-layer<br />

tablet with floating ability to prolong the gastric residence<br />

time of triple drug regimen (tetracycline, metronidazole,<br />

and clarithromycin) in Helicobacter pylori–associated<br />

peptic ulcers using hydroxy propyl methyl cellulose<br />

(HPMC) and poly (ethylene oxide) (PEO) as the rate<br />

controlling polymeric membrane excipients. Bismuth salt<br />

was included in one of the outer layers for instant release.<br />

The floatation was accomplished by incorporating a gas<br />

generating layer consisting of sodium bicarbonate: calcium<br />

carbonate (1:2 ratios) along with the polymers 26 . (Figure 6).<br />

Fig.5: Hydrodynamically balanced system (HBS). The gelatinous polymer barrier formation results from hydrophilic polymer swelling.<br />

Drug is released by diffusion and erosion of the gel barrier.<br />

Fig. 6: Schematic presentation of working of a triple-layer system. (A) Initial configuration of triple-layer tablet. (B) On contact with the<br />

dissolution medium the bismuth layer rapidly dissolves and matrix starts swelling. (C) Tablet swells and erodes. (D) and (E) Tablet<br />

erodes completely.<br />

10


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

[AJPRes.]<br />

Floating chamber<br />

Fluid- filled floating chamber which includes incorporation<br />

of a gas-filled floatation chamber into a microporous<br />

component that houses a drug reservoir. Apertures or<br />

openings are present along the top and bottom walls<br />

through which the gastrointestinal tract fluid enters to<br />

dissolve the drug. The other two walls in contact with the<br />

fluid are sealed so that the undissolved drug remains<br />

therein. The fluid present could be air, under partial vacuum<br />

or any other suitable gas, liquid, or solid having an<br />

appropriate specific gravity and an inert behaviour. The<br />

device is of swallowable size, remains a float within the<br />

stomach for a prolonged time, and after the complete<br />

release the shell disintegrates, passes off to the intestine,<br />

and is eliminated 27 . (Figure 7)<br />

b) Effervescent Floating Dosage Forms Gas Generating<br />

Systems:<br />

Floating systems containing effervescent components<br />

These are matrix type of systems prepared with the help of<br />

swellable polymers such as methylcellulose and chitosan<br />

and various effervescent compounds, e.g., sodium<br />

bicarbonate, tartaric acid, and citric acid. They are<br />

formulated in such a way that when in contact with the<br />

acidic gastric contents, co 2 is liberated and gets entrapped in<br />

swollen hydrocolloids, which provide buoyancy to the<br />

dosage forms. In vitro, the lag time before the unit floats is<br />


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

[AJPRes.]<br />

Programmable drug delivery<br />

A programmable, controlled release drug delivery system<br />

has been developed in the form of a non-digestible oral<br />

capsule (containing drug in a slowly eroding matrix for<br />

controlled release) was designed to utilize an automatically<br />

operated geometric obstruction that keeps the device<br />

floating in the stomach and prevents it from passing through<br />

the remainder of the GIT. Different viscosity grades of<br />

hydroxypropyl-methyl-cellulose were employed as model<br />

eroding matrices. The duration during which the device<br />

could maintain its geometric obstruction (caused by a builtin<br />

triggering ballooning system) was dependent on the<br />

erosion rates of the incorporated polymers (the capsule inhosed<br />

core matrix). After complete core matrix erosion, the<br />

ballooning system is automatically flattened off so that the<br />

device retains its normal capsule size to be eliminated by<br />

passing through the GIT 32 .<br />

B. Multiple unit floating system<br />

a) Non-effervescent Systems:<br />

Alginate beads<br />

Alginates have received much attention in the development<br />

of multiple unit systems. Alginates are nontoxic,<br />

biodegradable linear copolymers composed of L-glucuronic<br />

and L-mannuronic acid residues. Multiple unit floating<br />

dosage forms have been developed from freezedried<br />

calcium alginate. Spherical beads of approximately 2.5 mm<br />

in diameter can be prepared by dropping a sodium alginate<br />

solution in to aqueous solutions of calcium chloride,<br />

causing precipitation of calcium alginate. The beads are<br />

then separated snap and frozen in liquid nitrogen, and freeze<br />

dried at -40°C for 24 hours, leading to the formation of<br />

porous system, which can maintain a floating force over 12<br />

hours 33, 34 . A multiple unit system can be developed<br />

comprising of calcium alginate core and calcium<br />

alginate/PVA membrane, both separated by an air<br />

compartment. Air compartment provides bouncy to beads.<br />

In presence of water, the PVA leaches out and increases the<br />

membrane permeability, maintaining the integrity of the air<br />

compartment. Increase in molecular weight and<br />

concentration of PVA, resulted in enhancement of the<br />

floating properties of the system 35 .<br />

(A)<br />

(B)<br />

Fig. 9: (A) Multiple-unit oral floating drug delivery system. (B)<br />

Working principle of effervescent floating drug delivery system.<br />

C) Hollow Microspheres:<br />

Hollow microspheres are considered as one of the most<br />

promising buoyant systems, as they possess the unique<br />

advantages of multiple unit systems as well as better<br />

floating properties, because of central hollow space inside<br />

the microsphere(Figure 10). The general techniques<br />

involved in their preparation include simple solvent<br />

evaporation, and solvent diffusion and evaporation.<br />

Polycarbonate, Eudragit S, cellulose acetate, calcium<br />

alginate, agar and low methoxylated pectin are commonly<br />

used as polymers in preparation of hollow microsphere.<br />

Buoyancy and drug release are dependent on quantity of<br />

polymer, the plasticizer–polymer ratio and the solvent<br />

used 7, 37, 38 .<br />

b) Effervescent systems:<br />

Floating pills<br />

Ichikawa et al developed a new multiple type of floating<br />

dosage system composed of effervescent layers and<br />

swellable membrane layers coated on sustained release<br />

pills. The inner layer of effervescent agents containing<br />

sodium bicarbonate and tartaric acid was divided into 2<br />

sublayers to avoid direct contact between the 2 agents. This<br />

is surrounded by a swellable polymer membrane containing<br />

polyvinyl acetate and purified shellac. When this system<br />

was immersed in the buffer at 37ºC, produce swollen pills<br />

(like balloons) with a density less than 1.0 g/mL due to<br />

incorporation of co 2 36 .(Figure 9)<br />

12<br />

Fig. 10: Micro balloons


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

[AJPRes.]<br />

D. Raft forming system<br />

Raft-forming systems<br />

On contact with Gastric fluid A gel-forming solution (e.g.<br />

sodium alginate solution containing carbonates or<br />

bicarbonates) swells and forms a viscous cohesive gel<br />

containing entrapped CO 2 bubbles. This forms raft layer on<br />

top of gastric fluid which releases drug slowly in stomach.<br />

Such formulation typically contains antacids such as<br />

aluminium hydroxide or calcium carbonate to reduce gastric<br />

acidity. They are often used for gastro esophageal reflux<br />

treatment as with Liquid Gaviscon (GlaxoSmithKline) 39 .<br />

(Figure 11)<br />

Fig. 11: Barrier formed by a raft-forming system<br />

Drugs Used In the Formulations of Stomach Specific<br />

Floating Dosage Forms<br />

1. Floating microspheres – Aspirin, Griseofulvin,<br />

pnitroaniline, Ibuprofen, Ketoprofen 40 , Piroxicam,<br />

Verapamil HCl, Cholestyramine, Theophylline,<br />

Nifedipine, Nicardipine, Dipyridamol, Tranilast 41 and<br />

Terfinadine 42<br />

2. Floating granules - Diclofenac sodium, Indomethacin<br />

and Prednisolone<br />

1. Films 43 – Cinnarizine, Albendazole<br />

1. Floating tablets and Pills - Isosorbide mononitrate 37 ,<br />

Diltiazem 44 , Acetylsalicylic acid 45 , Piretanide 46 ,<br />

Sotalol 47 , carbamazepine, Furosamide 48 ,<br />

Pentoxyphylline 49 , captopril 50 , Nimodipine 51 ,<br />

Acetaminophen 52 , Amoxicillin trihydrate 53 , Diazepam 54<br />

2. Floating Capsules –Diazepam 55 , Ursodeoxycholic<br />

acid 49 , Verapamil HCl 56 , Nicardipine 57 , Furosemide 58 ,<br />

Misoprostal 4<br />

Table 1. Marketed Preparations of Floating Drug Delivery<br />

Systems:<br />

S.<br />

no.<br />

Product Active Ingredient Reference<br />

No.<br />

1 Madopar Levodopa and benserzide 59<br />

2 Valrelease Diazepam 25<br />

3 Topalkan Aluminum magnesium<br />

60<br />

antacid<br />

4 Almagate Antacid 61<br />

flatcoat<br />

5 Liquid<br />

gavison<br />

Alginic acid and sodium<br />

bicarbonate<br />

62<br />

13<br />

Application:<br />

Floating drug delivery offers several applications for drugs<br />

having poor bioavailability because of the narrow<br />

absorption window in the upper part of the gastrointestinal<br />

tract. It retains the dosage form at the site of absorption and<br />

thus enhances the bioavailability. These are summarized as<br />

follows.<br />

1. Sustained Drug Delivery<br />

HBS systems can remain in the stomach for long periods<br />

and hence can release the drug over a prolonged period of<br />

time. The problem of short gastric residence time<br />

encountered with an oral CR formulation hence can be<br />

overcome with these systems. These systems have a bulk<br />

density of G1 as a result of which they can float on the<br />

gastric contents. These systems are relatively large in size<br />

and passing from the pyloric opening is prohibited.<br />

Recently sustained release floating capsules of nicardipine<br />

hydrochloride were developed and were evaluated in vivo.<br />

The formulation compared with commercially available<br />

MICARD capsules using rabbits. Plasma concentration time<br />

curves showed a longer duration for administration (16<br />

hours) in the sustained release floating capsules as<br />

compared with conventional MICARD capsules (8 hours)<br />

57 . Similarly a comparative study between the Madopar<br />

HBS and Madopar standard formulation was done and it<br />

was shown that the drug was released up to 8 hours in vitro<br />

in the former case and the release was essentially complete<br />

in less than 30 minutes in the latter case 59 .<br />

2. Site-Specific Drug Delivery<br />

These systems are particularly advantageous for drugs that<br />

are specifically absorbed from stomach or the proximal part<br />

of the small intestine, e.g. riboflavin and furosemide.<br />

Furosemide is primarily absorbed from the stomach<br />

followed by the duodenum. It has been reported that a<br />

monolithic floating dosage form with prolonged gastric<br />

residence time was developed and the bioavailability was<br />

increased. AUC obtained with the floating tablets was<br />

approximately 1.8 times those of conventional furosemide<br />

tablets 58 . A bilayer-floating capsule was developed for local<br />

delivery of misoprostol, which is a synthetic analog of<br />

prostaglandin E1 used as a protectant of gastric ulcers<br />

caused by administration of NSAIDs. By targeting slow<br />

delivery of misoprostol to the stomach, desired therapeutic<br />

levels could be achieved and drug waste could be reduced 4 .<br />

3. Absorption Enhancement:<br />

Drugs that have poor bioavailability because of sitespecific<br />

absorption from the upper part of the gastrointestinal tract<br />

are potential candidates to be formulated as floating drug<br />

delivery systems, thereby maximizing their absorption.<br />

E.g. A significantly increase in the bioavailability of<br />

floating dosage forms(42.9%) could be achieved as<br />

compared with commercially available LASIX tablets<br />

(33.4%) and enteric coated LASIX-long product (29.5%) 57 .


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

[AJPRes.]<br />

EVALUATION OF GASTRORETENTIVE<br />

DOSAGEFORM<br />

A) IN-VITRO EVALUATION 62 , 63<br />

i) Floating systems<br />

a) Buoyancy Lag Time<br />

It is determined in order to assess the time taken by the<br />

dosage form to float on the top of the dissolution medium,<br />

after it is placed in the medium. These parameters can be<br />

measured as a part of the dissolution test 64 .<br />

b) Floating Time<br />

Test for buoyancy is usually performed in SGF-Simulated<br />

Gastric Fluid maintained at 37 0 C. The time for which the<br />

dosage form continuously floats on the dissolution media is<br />

termed as floating time 65 .<br />

c) Specific Gravity / Density<br />

Density can be determined by the displacement method<br />

using Benzene as displacement medium.<br />

d) Resultant Weight<br />

Now we know that bulk density and floating time are the<br />

main parameters for describing buoyancy. But only single<br />

determination of density is not sufficient to describe the<br />

buoyancy because density changes with change in resultant<br />

weight as a function of time.<br />

For example a matrix tablet with bicarbonate and matrixing<br />

polymer floats initially by gas generation and entrapment<br />

but after some time, some drug is released and<br />

simultaneously some outer part of matrixing polymer may<br />

erode out leading to change in resultant weight of dosage<br />

form. The magnitude and direction of force/resultant weight<br />

(up or down) is corresponding to its buoyancy force<br />

(Fbuoy) and gravity force (Fgrav) acting on dosage form<br />

F = F buoy - F grav F = D f g V – D s g V F = (D f – D s ) g V<br />

F = (D f – M/V) g V<br />

Where,<br />

F = resultant weight of object<br />

D f = Density of Fluid<br />

D S = Density of Solid object<br />

g = Gravitational force<br />

M = Mass of dosage form<br />

V = Volume of dosage form<br />

So when Ds, density of dosage form is lower, F force is<br />

positive gives buoyancy and when it is Ds is higher, F will<br />

negative shows sinking 21 .<br />

ii) Swelling systems<br />

a) Swelling Index<br />

After immersion of swelling dosage form into SGF at 37 0 C,<br />

dosage form is removed out at regular interval and<br />

dimensional changes are measured in terms of increase in<br />

tablet thickness / diameter with time.<br />

b) Water Uptake<br />

It is an indirect measurement of swelling property of<br />

swellable matrix. Here dosage form is removed out at<br />

regular interval and weight changes are determined with<br />

respect to time. So it is also termed as Weight Gain.<br />

Water uptake = WU = (Wt – Wo) * 100 / Wo<br />

Where, Wt = weight of dosage form at time t<br />

Wo = initial weight of dosage form<br />

B) IN-VITRO DISSOLUTION TESTS<br />

A. In vitro dissolution test is generally done by using USP<br />

apparatus with paddle and GRDDS is placed normally as<br />

for other conventional tablets. But sometimes as the vessel<br />

is large and paddles are at bottom, there is much lesser<br />

paddle force acts on floating dosage form which generally<br />

floats on surface. As floating dosage form not rotates may<br />

not give proper result and also not reproducible results.<br />

Similar problem occur with swellable dosage form, as they<br />

are hydrogel may stick to surface of vessel or paddle and<br />

gives irreproducible results. In order to prevent such<br />

problems, various types of modification in dissolution<br />

assembly made are as follows.<br />

B. To prevent sticking at vessel or paddle and to improve<br />

movement of dosage form, method suggested is to keep<br />

paddle at surface and not too deep inside dissolution<br />

medium.<br />

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[AJPRes.]<br />

Fig. 12 dissolution of floating dosage form<br />

C. Floating unit can be made fully submerged, by attaching<br />

some small, loose, non- reacting material, such as few turns<br />

of wire helix, around dosage form. However this method<br />

can inhibit three dimensional swelling of some dosage form<br />

and also affects drug release.<br />

D. Other modification is to make floating unit fully<br />

submerged under ring or mesh assembly and paddle is just<br />

over ring that gives better force for movement of unit.<br />

E. Other method suggests placing dosage form between 2<br />

ring/meshes.<br />

F. In previous methods unit have very small area, which<br />

can inhibit 3D swelling of swellable units, another method<br />

suggest the change in dissolution vessel that is indented at<br />

some above place from bottom and mesh is place on<br />

indented protrusions, this gives more area for dosage form.<br />

G. Inspite of the various modifications done to get the<br />

reproducible results, none of them showed co-relation with<br />

the in-vivo conditions. So a novel dissolution test apparatus<br />

with modification of Rossett-Rice test Apparatus was<br />

proposed 65, 67 .<br />

C) IN-VIVO EVALUATION<br />

a) Radiology<br />

X-ray is widely used for examination of internal body<br />

systems. Barium Sulphate is widely used Radio Opaque<br />

Marker. So, BaSO 4 is incorporated inside dosage form and<br />

X-ray images are taken at various intervals to view GR.<br />

b) Scintigraphy<br />

Similar to X-ray, emitting materials are incorporated into<br />

dosage form and then images are taken by scintigraphy.<br />

Widely used emitting material is 99 Tc.<br />

c) Gastroscopy<br />

Gastroscopy is peroral endoscopy used with fiber optics or<br />

video systems. Gastroscopy is used to inspect visually the<br />

effect of prolongation in stomach. It can also give the<br />

detailed evaluation of GRDDS.<br />

d) Magnetic Marker Monitoring<br />

In this technique, dosage form is magnetically marked with<br />

incorporating iron powder inside, and images can be taken<br />

by very sensitive bio-magnetic measurement equipment.<br />

Advantage of this method is that it is radiation less and so<br />

not hazardous.<br />

e) Ultrasonography<br />

Used sometimes, not used generally because it is not<br />

traceable at intestine.<br />

f) 13 C Octanoic Acid Breath Test<br />

13 C Octanoic acid is incorporated into GRDDS. In stomach<br />

due to chemical reaction, octanoic acid liberates CO 2 gas<br />

which comes out in breath. The important Carbon atom<br />

which will come in CO 2 is replaced with 13 C isotope. So<br />

time up to which 13 CO 2 gas is observed in breath can be<br />

considered as gastric retention time of dosage form. As the<br />

dosage form moves to intestine, there is no reaction and no<br />

CO 2 release. So this method is cheaper than other.<br />

ADVANTAGES:<br />

1. Enhanced bioavailability the bioavailability of some<br />

drugs (e.g. riboflavin and levodopa) CR-GRDF is<br />

significantly enhanced in comparison to administration of<br />

non- GRDF CR polymeric formulations 68 .<br />

2. Enhanced first-pass biotransformation when the drug<br />

is presented to the metabolic enzymes (cytochrome P-450,<br />

in particular CYP-3A4) in a sustained manner, the<br />

presystemic metabolism of the tested compound may be<br />

considerably increased rather than by a bolus input 69 .<br />

3. Sustained drug delivery/reduced frequency of dosing<br />

the drugs having short biological half life, a sustained and<br />

slow input from FDDS may result in a flip-flop<br />

<strong>pharma</strong>cokinetics and it reduces the dose frequency. This<br />

feature is associated with improved patient compliance and<br />

thus improves the therapy 69 .<br />

4. Targeted therapy for local ailments in the upper GIT<br />

the prolonged and sustained administration of the drug from<br />

15


Asian J. Pharm. Res. 2012; Vol. 2: Issue 1, Pg 07-18<br />

[AJPRes.]<br />

FDDS to the stomach may be useful for local therapy in the<br />

stomach.<br />

5. Reduced fluctuations of drug concentration the<br />

fluctuations in plasma drug concentration are minimized,<br />

and concentration-dependent adverse effects that are<br />

associated with peak concentrations can be prevented. This<br />

feature is of special importance for drugs with a narrow<br />

therapeutic index 70 .<br />

6. Improved receptor activation selectivity FDDS reduces<br />

the drug concentration fluctuation that makes it possible to<br />

obtain certain selectivity in the elicited <strong>pharma</strong>cological<br />

effect of drugs that activate different types of receptors at<br />

different concentrations 69 .<br />

7. Reduced counter-activity of the body slow release of<br />

the drug into the body minimizes the counter activity<br />

leading to higher drug efficiency.<br />

8. Extended time over critical (effective) concentration<br />

the sustained mode of administration enables extension of<br />

the time over a critical concentration and thus enhances the<br />

<strong>pharma</strong>cological effects and improves the clinical<br />

outcomes.<br />

9. Minimized adverse activity at the colon Retention of<br />

the drug in GRDF at stomach minimizes the amount of<br />

drugs that reaches the colon and hence prevents the<br />

degradation of drug that degraded in the colon.<br />

10. Site specific drug delivery a floating dosage form is a<br />

widely accepted approach especially for drugs which have<br />

limited absorption sites in upper small intestine.<br />

71, 72<br />

Limitations/Disadvantages<br />

1. These systems require a high level of fluid in the<br />

stomach for drug delivery tom float and work<br />

efficiently-coat, water.<br />

2. Not suitable for drugs that have solubility or stability<br />

problem in GIT.<br />

3. Drugs such as Nifedipine which is well absorbed along<br />

the entire GIT and which undergoes first pass<br />

metabolism, may not be desirable.<br />

4. Drugs which are irritant to Gastric mucosa are also not<br />

desirable or suitable.<br />

5. The drug substances that are unstable in the acidic<br />

environment of the stomach are not suitable candidates<br />

to be incorporated in the systems.<br />

6. The dosage form should be administered with a full<br />

glass of water (200-250 ml).<br />

These systems do not offer significant advantages over the<br />

conventional dosage forms for drugs, which are absorbed<br />

throughout the gastrointestinal tract.<br />

CONCLUSION:<br />

Drug absorption in the gastrointestinal tract is a highly<br />

variable procedure and prolonging gastric retention of the<br />

dosage form extends the time for drug absorption. FDDS<br />

16<br />

promises to be a potential approach for gastric retention.<br />

The FDDS proves advantageous for drugs that are absorbed<br />

primarily in the upper segments of GI tract, i.e., the<br />

stomach, duodenum, and jejunum when compared to the<br />

conventional dosage form. Due to the complexity of<br />

<strong>pharma</strong>cokinetic and <strong>pharma</strong>codynamic parameters, in vivo<br />

studies are required to establish the optimal dosage form for<br />

a specific drug. For a certain drug, interplay of its<br />

<strong>pharma</strong>cokinetic and <strong>pharma</strong>codynamic parameters will<br />

determine the effectiveness and benefits of the CRGRDF<br />

compared to the other dosage forms.<br />

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