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Pharmaceutical Manufacturing Handbook: Production and

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836 VAGINAL DRUG DELIVERY<br />

5.12.4.12 Packaging <strong>and</strong> Vaginal Applicators<br />

Vaginal packaging <strong>and</strong> applicators are an integral part of vaginal products. Packaging<br />

is designed to accommodate <strong>and</strong> protect formulations, while applicators should<br />

allow their convenient administration in the vagina. Several materials have been<br />

used to manufacture these devices, such as plastics (e.g., polypropylene <strong>and</strong> polyethylene)<br />

<strong>and</strong> nonlatex rubber. Besides compatibility, stability, <strong>and</strong> suitability issues,<br />

these materials should be selected regarding the fi nal cost of packaging <strong>and</strong><br />

applicators.<br />

Applicators are intended to be introduced in the vagina, adequately deliver the<br />

product, <strong>and</strong> then be removed. Their design relates to safety (e.g., relationship with<br />

product purity <strong>and</strong> stability, avoidance of local trauma associated with insertion or<br />

use), effi cacy (e.g., consistent delivery of the required amount of product in the<br />

intended location), <strong>and</strong> acceptability (comfort, ease of use, convenience, aesthetic<br />

appeal) [174] . In general, they can be divided as single - use or reusable applicators.<br />

Single - use applicators are usually prefi lled, while reusable applicators are fi lled by<br />

women prior to vaginal insertion. Several applicator designs have been used, such<br />

as barrel - <strong>and</strong> - plunger <strong>and</strong> squeeze tube, but they all should be easy to insert, comfortable,<br />

<strong>and</strong> deprived of cutting edges. Also, some specifi c formulations, such as<br />

those intended for vaginal douching, require other types of applicators. Typically,<br />

squeeze plastic bottles with variable volumes (approximately 100 – 200 mL) are<br />

used.<br />

5.12.5 PHARMACEUTICAL EVALUATION OF VAGINAL DRUG<br />

DELIVERY SYSTEMS<br />

Evaluation of pharmaceutical systems is consensually recognized as an important<br />

component of their development <strong>and</strong> quality control. Although evaluation of general<br />

features (e.g., drug content) is also required for vaginal formulations, this section<br />

focuses only upon some of the most important parameters that are intimately<br />

related to drug delivery systems specifi cally designed to be administered by this<br />

route.<br />

5.12.5.1 Legal <strong>and</strong> Offi cial Compendia Requirements<br />

There is a lack of well - defi ned guidelines <strong>and</strong> regulations for vaginal products in<br />

most countries as well as offi cial compendia information <strong>and</strong> requirements on<br />

quality control <strong>and</strong> other important aspects of vaginal drug delivery systems [39] .<br />

In fact, the latest editions of the U.S. Pharmacopeia, European Pharmacopoeia, <strong>and</strong><br />

Japanese Pharmacopeia include limited or even no information related to the quality<br />

control <strong>and</strong> evaluation of vaginal drug delivery systems. Thus, most of the currently<br />

used evaluation procedures require st<strong>and</strong>ardization, making it diffi cult to compare<br />

results obtained by different research groups.<br />

5.12.5.2<br />

Drug Release <strong>and</strong> Permeability<br />

When formulating vaginal drug delivery systems, it is important to consider the<br />

release of the active substances, as different formulations can greatly affect the

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