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Excipients are the additives used to convert pharmacol- sule production for reasons similar to those for tablets.
ogically active compounds into pharmaceutical dosage It is worth noting that some of these tableting
forms suitable for administration to patients.[1] Although excipients may exert effects in opposition to each other.
excipients are the non-active ingredients, they are essen- For example, binders and lubricants, because of their
tial in the successful production of acceptable solid respective bonding and waterproofing properties,
dosage forms such as tablets and powders. For example, may hinder the disintegration action of the disinte-
the lack of filling materials would make it exceedingly grants. In addition, some of these tableting excipients
challenging, if not impossible, to produce a 1 mg dose may possess >1 function that may be similar (e.g., talc
tablet of a potent drug. as lubricant and glidant) or opposite (e.g., starch as
The following general criteria are essential for excip- binder and disintegrant) to each other. Furthermore,
ients:[2] physiological inertness; physical and chemical the sequence of adding the excipients during tablet
stablility; conformance to regulatory agency require- production depends on the function of the excipient.
ments; no interference with drug bioavailability; absence Whereas the diluents and the binders are to be mixed
of pathogenic microbial organisms; and commercially with the active ingredient early on for making granules,
available at low cost. disintegrants may be added before granulation (i.e.,
In reality, no single excipient would satisfy all inside the granules), and/or during the lubrication step
the criteria; therefore, a compromise of the different (i.e., outside the granules) before tablet compression.
requirements has to be made. For example, although
widely used in pharmaceutical tablet and capsule
formulations as a diluent, lactose may not be suitable
for patients who lack the intestinal enzyme lactase to EXCIPIENTS IN FREEZE-DRIED
break down the sugar, thus leading to the gastrointes- (LYOPHILIZED) POWDERS
tinal tract symptoms such as cramps and diarrhea. The
role of excipients varies substantially depending on the Freeze-dried (lyophilized) powders are obtained by the
individual dosage form. process of freeze-drying (lyophilization), which
involves freezing of an aqueous-based drug solution
in a glass vial followed by sublimation of the ice in a
vacuum.[3] Because the process is carried out at
EXCIPIENTS IN TABLETS AND CAPSULES low temperatures, it is most suitable for heat-sensitive
compounds. Antibiotics, such as cephalosporins, are
For tablets and capsules, excipients are needed both among the preparations commonly prepared by
for the facilitation of the tableting and capsule-filling freeze-drying.[4] An interesting finding of excipients in
process (e.g., glidants) and for the formulation (e.g., freeze-drying is related to breakage of the glass vial.[5]
disintegrants). Except for diluents, which may be This was observed in excipients, such as mannitol,
present in large quantity, the level of excipient use is which would undergo mechanical expansion during
usually limited to only a few percent and some lubri- warming after fast freezing.
cants will be required at <1%. Details of the types, Excipients are used in freeze-drying for various pur-
uses, and mechanisms of action of various excipients poses. They act as bulking agents to give a pleasing
for tablet and capsule production have been discussed appearance to the freeze-dried products. Buffers are
at length in other articles in this encyclopedia. The present to control the pH of the products that are
types and functions of excipients for tablet production stable only within a narrow pH range in solution, both
are summarized in Table 1. Although binders, during freezing and the subsequent reconstitution.
Encyclopedia of Pharmaceutical Technology DOI: 10.1081/E-EPT-100200037
1646 Copyright # 2007 by Informa Healthcare USA, Inc. All rights reserved.
Excipients: Powders and Solid Dosage Forms 1647
Excipients–
Expiration
Clays, algins, gums, surfactants
Lubricants To reduce the friction between the granules Water-insoluble: metal stearates, stearic acid, talc
and the die wall during compression and Water-soluble: boric acid, sodium chloride,
ejection of the tableting process benzoate and acetate, sodium or magnesium
lauryl sulfate Carbowax 4000 or 6000
Antiadherents To minimize the problem of picking, Talc, cornstarch, metal stearates,
i.e., portion of the tablet face picked out sodium lauryl sulfate
and adhered to the punch face
during tableting
Colorants For identification purposes and visual Natural pigments
marketing values Synthetic dyes
Flavors and sweeteners To improve the taste of chewable tablets Natural, e.g., mannitol
Artificial, e.g., aspartame
However, it is important to realize that certain buffers, alone, with aggregation being a major problem. It
such as the phosphate buffer, in which Na2HPO4 H2O has been found that stability can be greatly improved
crystallizes during freezing, cause a pronounced drop if the proteins are dried in the presence of certain
in pH.[6] This can lead to deleterious effects on the excipients.[8,9] However, not all excipients that can
active ingredients, according to the pH dependence stabilize protein against aggregation are suitable.
of the product stability. Other excipients that may Other considerations required of the excipients for
be present in freeze-dried powders include: solubility use in protein pharmaceuticals include:
enhancers (e.g., surfactants or cosolvents), osmotic
agents (e.g., saline and sugars), antioxidants (e.g., Redox reaction potential: reducing sugars such
ascorbic acid), and preservatives for multiple-injection as lactose and sucrose may not be suitable if
containers (e.g., benzyl alcohol and chlorobutanol). they react with the protein (e.g., via the lysine
In addition, freeze-dried biological powders may residue) resulting in protein glycosylation (e.g.,
also contain excipients that function to reduce protein lactosylation of recombinant deoxyribonuclease
adsorption onto the container surface (e.g., surfactants I by lactose[10]) and other reaction products.
and albumins).[7] A particularly important use of However, glycosylation alone may not necessar-
excipients for therapeutic protein formulations is the ily be a problem if the glycosylated proteins do
stabilization of the protein molecules in the dry state, not cause toxicity and immunogenicity while
as discussed later. maintaining the therapeutic efficacy.
Parenteral use suitability: excipients such as treha-
lose, which has not been used in any products
Therapeutic Protein Formulations
acceptable by regulatory authorities, may create
concerns over toxicity.
Therapeutic proteins are usually prepared in liquid
formulations or as freeze-dried powders that are to be Non-parenteral use feasibility: for example, inha-
reconstituted immediately before use. A number of the lation drug delivery; lactose has been used
proteins have been found to be unstable when dried for marketed aerosol products and hence
1648 Excipients: Powders and Solid Dosage Forms
may be more suitable for inhalation protein Moisture was known to increase the mobility of the
formulations. surface groups of protein as measured by solid-state
nuclear magnetic resonance spectroscopy[19,20] The
distribution of water between the protein and the excip-
Table 2 gives some examples of excipients used as ients in a freeze-dried powder depends on the crystal-
stabilizers for proteins in freeze-dried formulations. line or amorphous nature of the excipients.[21] For
Among others, saccharides are the most widely used example, if a protein is formulated with an amorphous
excipients for stabilizing freeze-dried therapeutic pro- excipient and stored in a sealed container, water would
teins. There are exceptions to the need for stabilizing distribute according to the water affinity of the protein
excipients, e.g., recombinant (a-Antitrypsin was stable and excipients.[21] When the amorphous excipient
when freeze-dried alone or with lactose, sucrose, and crystallizes (e.g., because of elevated temperatures), it
polyvinylpyrrolidone.[11] will expel its sorbed water, which may cause stability
The mechanism of the protective effects imparted by problems in the protein.[8]
the excipients has not been fully elucidated. Empirical
Excipients–
Expiration
Recombinant factor IX Polysorbate 80 as protectant for freezing; sucrose as protectant for drying; histidine as [23]
pH buffer; glycine for cake appearance
Recombinant human interleukin-6 Aggregation prevented by amorphous trehalose, sucrose or a combination of sucrose, [24]
and glycine or mannitol
Recombinant human interleukin-1 receptor antagonist Sucrose, sorbitol, trehalose and alanine as protectants against aggregation and deamidation; [25]
mannitol and glycine as bulking agent; sodium citrate as buffer
FK906 tripeptide Sugars (sucrose, lactose, trehalose, maltose), polymer (dextran) and salts (NaCl, KCl) [26]
to modify the glass transition temperatures of the freeze-dried powders
Recombinant human albumin Organic acid excipient molecules with either a carboxyl group or an amino group present [27]
at C-1 position completely stabilized rHA against aggregation
Lactate dehydrogenase phosphofructokinase Polyethylene glycol as protectant for freezing; sugars (mannitol, lactose, trehalose) [28]
as lyoprotectants against loss of bioactivity
Alkaline phosphatase Lactose and trehalose maintain activity longer at elevated temperatures than mannitol [29]
Recombinant bovine somatotropin, lysozyme Both the excipient type (sucrose, sorbitol, glycerol) and moisture content [30]
affected protein degradation
Hemoglobin Mannitol protected protein from phase separation induced damage [31]
during freeze drying
Recombinant human factor XIII Trehalose and sucrose preserved the native dimeric structure of the protein [32]
and prevented aggregates formation
1649
Excipients–
Expiration
1650 Excipients: Powders and Solid Dosage Forms
the antiasthmatic drug salbutamol sulfate was signifi- the active ingredient in the same particle. For example,
cantly higher with the recrystalline lactose as carrier using sodium chloride as a crystalline excipient, the
than with regular or spray-dried lactose. The difference fine particle fraction of rhDNase in the aerosol was
was attributed to the lower surface rugosity (roughness) increased linearly with the amount of excipient
of the recrystalline lactose.[35] With another antiasth- present.[38] The enhancement was correlated with the
matic compound, salmeterol xinofoate, a formulation degree of crystallinity of the powder in Fig. 2.
using lactose carrier produced a higher fine particle As pointed out at the beginning, excipients are not
fraction than formulations containing sucrose or the active ingredients and should be physiologically
spray-dried sorbitol.[36] The implication is that using a inert. However, a special use of excipients in dry
suitable excipient as carrier it is possible to generate powder aerosols has been for bronchial provocation
the desirable amount of fine drug particles in an aerosol testing in asthmatics[43,44] and for the enhancement of
with a minimal inspiratory effort. Recombinant human mucociliary clearance in both normal and asthmatic
deoxyribonuclease I (rhDNase), the first therapeutic subjects.[45,46] In both cases they acted as the active
protein approved by the Food and Drug Administra- ingredients. The excipients are osmotic agents such
tion (FDA) in the United States for inhalation use as sodium chloride and mannitol. They change the
in the treatment of cystic fibrosis,[37] generated a osmolarity of the airway fluid, leading to the physio-
twofold increase in the fine particle fraction in the logic effects of enhanced clearance in the lungs or
aerosol when blended with excipients lactose, mannitol, bronchoconstriction in hyperresponsive subjects.
or sodium chloride.[38] In this case, the increase was
independent of both the type and relative amount of
the excipient used. EXCIPIENTS IN SPRAY-DRIED POWDERS
Besides surface texture, excipient particle size also
plays an important role in the fine particle generation Spray-drying is a process where a drug solution is
as shown by budesonide, where the highest fine particle atomized to fine droplets followed by evaporation in
fraction was obtained with small-sized (<32 mm) a stream of warm air to form dry particles.[47] The
lactose as the carrier.[39] Additionally, fine particle properties of the spray-dried products are controlled
excipients such as fine lactose or polyethylene glycol by both the process and formulation parameters.[48]
were reported to improve the performance of carrier- During the process, the active ingredients are subjected
based protein dry powder aerosols.[40] However, there to mechanical shears from atomization and heat stress
are some cases where carriers improved total powder from the drying air at elevated temperature. Because of
emission but reduced the percent of active powders in the tremendous surface area exposure of the atomized
the aerosol.[41] To be useful carriers, the excipients must droplets, the drug will also be subjected to degrada-
be physically stable. The important physicochemical tions such as oxidation and surface denaturation.
characteristics for drug carrier selection are discussed Excipients can be used as stabilizers or protectants
in Ref.[42]. against degradation of the active ingredients. Autoxi-
In addition to being used as carrier, excipients can dation of the analgesic and anti-inflammatory agent
enhance the aerosol performance by cospray-drying aminopyrine was eliminated by excipients such as anti-
with the active ingredient. In this case, instead of being oxidants, chelating agents, and clay.[49,50] Denaturation
external to the drug particles, the excipient exists with of the model protein b-galactosidase was prevented
Excipients: Powders and Solid Dosage Forms 1651
80 Dispersibility
Crystallinity
Dispersibility (%) or
60
Crystallinity (%)
40
20
0
8 27 45 60 88
Sodium chloride (% weight)
Excipients–
Expiration
Fig. 2 Relationship between dispersibility (expressed as percent
weight of particles less than 7 mm in the aerosol) and crystallinity
(by X-ray powder diffraction) of rhDNase powders with differ-
ent sodium chloride contents. (Adapted from Ref.[38].)
complexes. Details of reactivities and incompatibilities lization, these excipient materials will act as buffers or
of individual excipients are given in Ref.[1]. Incompati- sorbents to hold the excess moisture which, depending
bility attributable to excipients is commonly studied on the water activity, may not be accessible to the
under accelerated testing conditions or using thermal active ingredient that is thus be protected from moist-
analyses such as differential scanning calorimetry. ure-mediated decomposition. However, when excipient
However, the results of this rapid testing could be crystallization occurs, the expelled water will become
misleading and thus of very limited value.[75] available to react, leading to instability of the drug.
Besides direct excipient–drug interactions, excipients
can lead to instability of the active ingredient by an
indirect role through moisture distribution. Residual CONCLUSIONS
water content is known to affect the stability of
solid dosage forms and powders.[76] Decomposition of Although excipients are the non-active ingredients,
cephalothin sodium and benzylpenicillin potassium they are indispensable for the successful production
decomposition in freeze-dried preparation was believed of acceptable solid dosage forms. The important roles
Excipients–
Expiration
to be partly attributed to the effect of water binding played by excipients in tablets and capsules, freeze-
to excipients.[4] The degradation rate of cephalothin dried, and spray-dried powders, as well as powder
sodium increased with the water content of excipients aerosol formulations, were discussed. Some recent
corn starch and celluloses.[77] The results were corre- applications of excipients in controlled, release formu-
lated with the water mobility in the presence of the lations for biologicals were also highlighted. Finally,
excipients.[4,77] A study of the effect of various excipi- incompatibility problems attributable to excipients
ents on the solid-state crystal transformation of the were considered with an emphasis on the indirect role
antimalarial compound mefloquine hydrochloride of excipients through moisture distribution.
revealed that microcrystalline cellulose promoted the
transformation from form E into form D.[78] However,
methylcellulose, hydroxyethylcellulose, b-cyclodextrin, ARTICLES OF FURTHER INTEREST
crospovidone, and hydrous lactose had no effect. The
effect was again explained by the difference in the Tablet Compression: Machine Theory, Design,
water uptake behavior by the excipients. Aspirin was and Process Troubleshooting, p. 3611.
formulated with a sugar diluent containing approxi- Tablet Formulation, p. 3641.
mately 8% moisture, which did not cause instability
problems.[79] This was ascribed to the moisture present
in the formulation being unavailable to react with the
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Excipients: Safety Testing
Marshall Steinberg
International Pharmaceuticals Council, Kennett Square,
Pennsylvania, U.S.A.
Florence K. Kinoshita
Hercules Incorporated, Wilmington, Delaware, U.S.A.
The safety issues concerning pharmaceutical excipients intention of IPEC is to ensure that these guidelines
can be classified into three categories: quality, toxicology, reflect the concerns and intentions of responsible par-
and improper use.[1] Various regulatory directives ties in the United States, the European Union (EU),
address the quality category. In addition, the Inter- and Japan. In other words, the guidelines are
national Pharmaceutical Excipient Council’s (IPEC) harmonized so that excipients that meet the require-
guideline publications address this issue by following ments of a harmonized monograph can be sold and
the Organization of International Standardization used in these three areas of the world. The use of these
(ISO) 9000 structure. IPEC is an industry association and other national guidelines ensure the quality of
with worldwide membership that includes over 200 excipients.
pharmaceutical, chemical, and food processing firms These guidelines, using an ISO 9000 format, not
that develop, manufacture, sell, and use pharmaceutical only provide a way to assess whether systems are in
excipients. IPEC comprises three regional organizations place, but provide a means for evaluating the effective-
located in the United States, Europe, and Japan each ness of the systems. They also provide guidance on
with the same objectives. how to conduct an audit of a manufacturing operation
that produces excipients[4] and in turn, give guidelines
on auditing their distribution and repackaging.[5]
Quality
Good Manufacturing Guide for Bulk Pharmaceuti- Excipient impurity profiles and how to evaluate this
cal Excipients. important aspect of excipient manufacture, parti-
Good Manufacturing Practices (GMP) Audit cularly in light of the International Conference on
Guideline for Distributors of Bulk Pharmaceutical Harmonization (ICH) guidance published in 1999,[6]
Excipients. also are addressed. Care must also be taken that
IPEC-Americas Significant Change Guide for Bulk residual solvent levels do not exceed those prescribed
Pharmaceutical Excipients. in the ICH Guidance for Residual Solvents published
GMP Audit Guideline for Suppliers of Bulk in 1999. Solvents are divided into three classes:
Pharmaceutical Excipients.
New Excipient Safety Evaluation Guidance. 1. Class 1 solvents: Solvents to be avoided. These
IPEC-Americas Guide for the Development of an include known human carcinogens, strongly
Impurity Profile. suspected human carcinogens, and environmen-
Format and Required Content of Certificates of tal hazards.
Analyses. 2. Class 2 solvents: Solvents to be limited. These
include non-genotoxic animal carcinogens or
The IPEC-Americas Safety Guidelines (modified) possible causative agents of other irreversible
are presented as an information chapter in United toxicity, such as neurotoxicity or teratogenicity
States Pharmacopoeia (USP) 24/NF 19.[2] The Good and solvents suspected of other significant but
Manufacturing Guide or Practices for Bulk Pharma- reversible toxicities.
ceutical Excipients also has been published as an infor- 3. Class 3 solvents: Solvents with low toxic poten-
mation chapter in USP 24/NF 19. The guideline also tial. These include solvents with low toxic
Encyclopedia of Pharmaceutical Technology DOI: 10.1081/E-EPT-100001052
1656 Copyright # 2007 by Informa Healthcare USA, Inc. All rights reserved.