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UCL SCHOOL OF PHARMACY

BRUNSWICK SQUARE

Formulation of small molecules

Prof Abdul Basit


UCL SCHOOL OF PHARMACY
BRUNSWICK SQUARE

Course outline

• Lectures/workshops

• Overview, oral drug delivery, oro-mucosal delivery,


skin delivery, inhalation, ocular delivery, rectal
delivery, vaginal delivery

• Assessment
• 2 x 1000 words essays (67%)
• Exam – 1 hour (33%)
UCL SCHOOL OF PHARMACY
BRUNSWICK SQUARE

Recommended reading
UCL SCHOOL OF PHARMACY
BRUNSWICK SQUARE

Big business….
UCL SCHOOL OF PHARMACY
BRUNSWICK SQUAREDeveloping a medicine
100,000 100 10 3 1
Successful
Medicines

Research Create
it
Make
Technical it
Safety Test it
(pre-clinical)
Medical
Test it
Regulatory (man)
Register
it
Commercial Sell
it

Years 1 2 3 4 5 6 7
UCL SCHOOL OF PHARMACY
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Pharmacognosy & Pharmacology & Physiology


Phytotherapy • Actions - analgesic, antipyretic,
• Natural products anti-inflammatory, anti-platelet

Pharmaceutics & Biochemistry


Formulation ASPIRIN • Mechanism
• Preparation of medicine COOH • Metabolism
• Side effects
O C CH3
O

(Acetylsalicylic acid)

Pharmaceutical
Chemistry Pharmacokinetics &
•Structure and analysis Drug Delivery
• Synthesis, properties

Therapeutics
Pharmacy Practice
• Uses, side effects, drug
Law & Ethics
interactions, doses
• Preparations and uses
• OTC limitations on sale
UCL SCHOOL OF PHARMACY
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Effectiveness of medicines

[Spear et al., 2001]


UCL SCHOOL OF PHARMACY
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What is pharmaceutics?
• Conversion of a drug into a medicinal product
UCL SCHOOL OF PHARMACY
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Pharmaceutics
• Pharmaceutics is the study of drug formulations and
the processes by which they are designed,
manufactured and delivered to the body.
UCL SCHOOL OF PHARMACY
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Formulation
• Formulation involves the presentation of a therapeutic
substance in a manner in which it can be suitably
administered to a patient to achieve a predictable
therapeutic response

• This may require the inclusion in the product of


pharmacologically inert ingredients (excipients)
UCL SCHOOL OF PHARMACY
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Paracetamol
UCL SCHOOL OF PHARMACY
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Paracetamol products

Suspension contains: maltitol, glycerol, sorbitol solution, dispersible


cellulose, xanthan gum, methyl parahydroxybenzoate (E218), propyl
parahydroxybenzoate (E216), acesulfame potassium, strawberry
flavouring and purified water.
UCL SCHOOL OF PHARMACY
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Main routes of drug administration


1. Buccal (inside mouth)
2. Oral (swallow)
3. Sublingual (under tongue)
4. Nasal
5. Rectal
6. Vaginal
7. Inhalation (to lungs)
8. Eye
9. Ear
10. Parenteral
a) Intravenous
b) Subcutaneous
c) Intramuscular
d) Intraspinal

Topical – skin (any site)


UCL SCHOOL OF PHARMACY
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Pathways a drug may take following


administration by different routes
UCL SCHOOL OF PHARMACY
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Plasma concentration-time plot for equivalent doses of


same drug given by intravenous bolus injection and as
an oral solution
Simplistically, bioavailability
indicates the proportion of drug
that enters systemic circulation
following administration

Here, same dosage form,


different route, bioavailability
<100%

F = AUC (oral)
AUC (IV)
UCL SCHOOL OF PHARMACY
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Variation in time of onset of action for


different dosage forms
Time of onset of action Dosage Forms

Seconds i.v. injections

Seconds/minutes i.m. and s.c. injections, buccal


tablets, aerosols, gases
Minutes to hours Short-term depot injections,
solutions, suspensions, powders,
granules, capsules, tablets,
modified-release tablets
Several hours Enteric-coated formulations

Days to months to years Depot injections, implants

Varies Topical preparations


UCL SCHOOL OF PHARMACY
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Pharmaceutical products
UCL SCHOOL OF PHARMACY
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Factors to be considered in formulation

Biopharmaceutical factors
a) Drugs must be in solution to be absorbed via absorbing
membranes
b) Absorption is generally by passive diffusion
c) Site of action may be distant from site of absorption
d) Onset and duration of activity may depend on site of
administration
e) Rate and extent of absorption may be affected by food,
disease state, age of patient, co-administration of other
drugs, physicochemical properties of the drug, type of dosage
form
UCL SCHOOL OF PHARMACY
BRUNSWICK SQUARE

Challenges to formulators and


manufacturers
Products must be:
• Safe
• Effective
• Appropriate quality

Requirements of regulatory bodies, e.g. MHRA, EMA,


FDA who approve all marketed medicinal products
UCL SCHOOL OF PHARMACY
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Variability Saliva volume


pH and β
Liver enzymes (CYP3A4) Age Saliva enzymes
Hepatic blood flow Ionic compositions
Pregnancy
Bile secretion and MMC Weight
Pancreatic enzymes
Bile salts
Bicarbonate secretion Gastric pH and acid output
Gut Hormones Fluid Volume and
Composition
pH and β
Disease Height
Gastric Enzymes
Ionic composition and Gastric Emptying Time
bicarbonate secretion
Fluid volume and composition

Blood flow Microbiota


Race Gender
Ionic composition Microbial enzymes and
Transit and motility
Fluid volume and metabolites
Genetics
composition Mucus thickness
Mucosal enzymes
pH and β Transit and motility
Mucus thickness
UCL SCHOOL OF PHARMACY
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Gastrointestinal tract
UCL SCHOOL OF PHARMACY
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Stomach
•Reservoir for food
•Production of chyme
•Capacity ≈ 1.5 L
•Gastric secretions include:
hydrochloric acid
gastrin
pepsins
mucus
•Little drug absorption here; small
surface area
•Rate of gastric emptying controls
onset of absorption
•Normal gastric residence time:
5 min-2 h
UCL SCHOOL OF PHARMACY
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Small intestine: villus


•4-5 m long, 25-30 mm diameter
•Main functions: digestion and absorption
•Divided into:
duodenum (20-30 cm)
jejunum (2 m)
ileum (3 m)
•Walls richly supplied by blood
•Potential for hepatic presystemic clearance
•Fats are absorbed into the lymphatic system
•Surface area enhanced by:
Folds of Kerckring
villi
microvilli
•Secretions: bicarbonate, enzymes, bile salts
•Normal transit time: 3-4 h
UCL SCHOOL OF PHARMACY
BRUNSWICK SQUARE

Colon

•≈ 1.5 m
•No villi
•Surface area increased by:
folded mucosa
microvilli
•Main functions:
absorption of Na+ and Cl-
storage/compaction of faeces
•≈ 1012 bacteria/g contents
•Transit time: 2-48 h
•Normal total GI transit time: 12-36 h
UCL SCHOOL OF PHARMACY
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Barriers to drug absorption


UCL SCHOOL OF PHARMACY
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Respiratory tract
UCL SCHOOL OF PHARMACY
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Pulmonary epithelium

Bronchi Bronchioles
UCL SCHOOL OF PHARMACY
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Factors affecting particle deposition


• Drug
• Dosage form
• Lung morphology
• Oral vs nasal breathing
• Inspiratory flow rate
• Co-ordination of aerosol generation with inspiration
• Tidal volume
• Breath holding
• Disease states
UCL SCHOOL OF PHARMACY
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Inhaled insulin for


treatment of diabetes
UCL SCHOOL OF PHARMACY
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Human skin
UCL SCHOOL OF PHARMACY
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Pathways across the skin barrier

1: across stratum corneum


2: via hair follicles
3: via sweat glands
UCL SCHOOL OF PHARMACY
BRUNSWICK SQUARE

Needleless injection

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