1M.Pharm, Department of pharmaceutics, Sri Vijay Vidyalaya College of Pharmacy, Nallampalli, Dharmapuri.
2HOD, Sri Vijay Vidyalaya College of Pharmacy, Nallampalli, Dharmapuri.
3Principal, Sri Vijay Vidyalaya College of Pharmacy, Nallampalli, Dharmapuri
Development and evaluation of bilayer floating tablet containing ulcer and antibiotic drugs. This study aims to develop a bilayer tablet containing an anti-ulcer and anti-antibiotic combination, with omeprazole as the immediate release layer and tinidazole as the sustained release layer, and to conduct in vitro release studies of the formulation. The combination of these drugs, which have complementary mechanisms of action, is intended to achieve a fixed dose, improve patient compliance, optimize formulation that enhances safety, and increase the therapeutic efficacy of the drugs. Several methods have been developed, including floating drug delivery systems, swelling and expanding systems, bio-adhesive systems, modified form systems, and high-viscosity systems. Locally active medicines, with a short window for immersion in the stomach or upper small intestine, are unstable in the intestinal or colonic region and have low solubility at high pH situations and are particularly interested in floating drug delivery systems. From this discussion it is concluded the bilayer tablet containing Anti-ulcer (Omeprazole) and anti-biotic (Tinidazole) containing bilayer tablet were prepared by using super disintegrating agent for immediate release and hydrophilic mucoadhesive / swellable polymer for achieving sustained release layer are a good means of promising therapy which achieving higher patient compliance.
oral drug delivery is convenient, non-invasive, and has a high patient compliance rate, it continues to be the most popular and preferred method of medicine administration. The majority of therapy treatments begin with this approach because it is not only the most economical butalso the easiest to use[ 1,2].It lowers the frequency of dosage and increases patient adherence[3]. Lipowski, a trailblazing formulation chemist, first presented this idea in the late 1930s[4]. His research paved the way for the development of contemporary sustained-release technologies, which are today essential to oral medication delivery. The limitations of traditional drug delivery techniques, which frequently lead to variable drug levels and related side effects, are intended to be addressed by sustained-release systems[5]. An illustration of this cutting-edge strategy are bilayer pills, which can deliver two distinct medications with separate release profiles. With an emphasis on boosting patient compliance, managing release patterns, and increasing medication bioavailability, oral drug delivery systems have undergone substantial development[5,6].It lowers the frequency of dosage and increases patient adherence. Lipowski,
a trailblazing formulation chemist, first presented this idea in the late 1930s[7].His research paved the way for the development of contemporary sustained-release technologies, which are today essential to oral medication delivery. The limitations of traditional drug delivery techniques, which frequently lead to variable drug levels and related side effects, are intended to be addressed by sustained-release systems[8] Tablets are the solid unit dosage forms which containing one or more active pharmaceutical ingredients and additives obtained by compression of uniform volume of particles[9]. The tablets are in the shapes by their formulation spherical, oval, oblong, triangle. The particles present in the tablets which consist of one or more active pharmaceutical ingredient with or without excipients such as diluents, lubricants, glidants, disintegrating agents, gastro intestinal behaviour modifying agents, flavouring and colouring agents. The various tablets are swallow tablets, chewing able Tablet, Mucoadhesive tablets, dispersed or dissolving tablets, sublingual tablets.
Tablets are the unit dosage formulation which offers highest capabilities..Dose precision and very less content variability[10].Packaging and strips are very economical and minimum time required. Suitable for large scale production. Identification is easy..Easy to administration and self-administration is possible. Gastric ulcers are a break in the mucosa of the stomach lining that penetrates through the muscular is mucosa and extends more than 5 mm in diameter. When alterations occur to the defense mechanisms of the stomach, it can cause changes in the gastric mucosa which will eventually result in erosion and then ulceration. This activity reviews the evaluation and management of gastric ulcers and explains the role of the inter professional team in improving care for patients with this condition. Gastric ulcers are a common clinical presentation in the United States and often lead to the expenditure of millions of healthcare dollars. They are a break in the mucosal barrier of the stomach lining that penetrates through the muscularis mucosa and are greater than 5 mm in diameter[9,10]. The body has natural ways to protect the stomach mucosa from the harmful acidic environment that is the gastric lumen. When alterations occur to these defenses, it can lead to changes in the gastric mucosa which will eventually cause erosion and then ulceration. Gastric mucosa protection is via prostaglandins, mucous, growth factors, and adequate blood flow. Known damaging factors of this barrier include smoking, hydrochloric acid, ischemia, NSAID medications, hypoxia, alcohol, and Helicobacter pylori infection. Gastric ulcers are a part of peptic ulcer disease, which carries a lifetime prevalence of 5 to 10% of patients, which is likely an underestimation of the disease as some patients may remain asymptomatic. Studies have shown that the prevalence of gastric ulcers increases with age and with the chronicity of NSAID use[11]. Research shows that smoking leads to a relative risk of times that of non smokers for developing gastric ulcers. There is no difference between men and women in the prevalence of gastric ulcers. The prevalence of Helicobacter pylori infection at age 60 approximates 50% in the US population. Estimates are that 25% of chronic NSAID users will develop gastric ulcers. The pathophysiology of gastric ulcer development depends on the insult. Since about 80 to 90% of gastric ulcers result from either Helicobacter pylori and/or NSAID[12]. First, regarding Helicobacter pylori these bacteria colonize about 45-50% of the stomach mucosa worldwide. It is a bacterium that people are inoculated with at an early age, especially in developing countries with lower socioeconomic status and crowded households. These bacteria induce an inflammatory response in the host that leads to an epithelial response, degeneration, and injury, known as gastritis[13]. Typically, patients with this infection develop pan gastritis. This damages the antral somatostatin release, which leads to an increase in gastrin secretion, which stimulates increased acid production. Patients who develop gastric ulcers are those in whom the bacteria have remained in the antrum. Parietal cells of the more proximal gastric body still have full production capabilities preventing ulcer genesis in this area. Of note, not all patients with this infection are symptomatic; this depends on the virulence of the bacteria and other host risk factors[14]. A common bacterial virulence factor is the production of cag A, which leads to more cytokine cell destruction and mucosal damage. Antibiotics that disrupt DNA synthesis in anaerobic organisms (H. pylori): The 5 nitroimidazoles, metronidazole and tinidazole, were found to bind to the same subset of proteins, including thioredoxin reductase. E. histolytica and T. vaginalis , none of the other bound proteins in G. lamblia are likely candidates for involvement in the thioredoxin mediated redox network. Notably, translation elongation factor EF 1?, essential for protein synthesis, was extensively degraded following treatment with 5 nitroimidazoles. All tested nitroimidazoles reduced intracellular thiol pools in G. lamblia , but metronidazole had the least effect, differing significantly from its impact on the other two parasites. This indicates that nitroimidazole drugs affect G. lamblia in a fundamentally different manner than they do E. histolytica and T. vaginalis . The selective toxicity of 5 nitroimidazoles to microaerophiles and anaerobes is thought to be due to the presence of factors in these organisms that can transfer electrons to the nitro group, thereby activating the prodrug metronidazole to its active form. Tinidazole is a prodrug and antiprotozoal agent. The nitro group of tinidazole is reduced in Trichomonas by a ferredoxin mediated electron transport system. The free nitro radical generated as a result of this reduction is believed to be responsible for the antiprotozoal activity. It is suggested that the toxic free radicals covalently bind to DNA,causing DNA damage and leading to cell death. The mechanism by which tinidazole exhibits activity against Giardia and Entamoeba species is not known, though it is probably similar. For the treatment of the trichomoniasis caused by T. vaginalis in both female and male patients. Also for the treatment of giardiasis caused by G. duodenalis in both adults and pediatric patients older than three years of age and for the treatment of intestinal amebiasis and amebic liver abscess caused by the E. histolytica in both adults and pediatric patients older than three years of age. Omeprazole is heavily metabolized in the liver by the cytochrome P450 (CYP) enzyme system. The main part of its metabolism depends on the polymorphically expressed CYP2C19, which is responsible for the formation of hydroxyomeprazole, the major metabolite found in plasma. The remaining part depends on CYP3A4, responsible for the formation of the omeprazole
sulphone. Omeprazole, according to the FDA label is a proton pump inhibitor (PPI) used for the following purposes: Treatment of active duodenal ulcer in adults. Eradication of Helicobacter pylori to reduce the risk of duodenal ulcer recurrence in adults. Treatment of active benign gastric ulcer in adults . Reduction of risk of upper gastrointestinal (GI) bleeding in critically ill adult patients. Treatment of symptomatic gastroesophageal reflux disease (GERD) in patients 1 year of age and older. Treatment of erosive esophagitis (EE) due to acid mediated GERD in patients 1 month of age and older. Maintenance of healing of due to acid mediated GERD in patients 1 year of age and older. pathologic hypersecretory conditions in adults
MATERIALS AND METHODS
Omeprazole and Tinidazole purchased from Sigma Aldrich, Micro crystalline cellulose and starch purchased from Nice chemicals,Magnesium stearate,Sodium starch glycolate,Quinolin yellow, Talc purchased from LOBA chemie
PREFORMULATION STUDIES[15]
As a starting point to developing dosage forms, various physical and chemical properties of the drug substance need to be documented. These investigations are termed preformulation studies. In the rational development of dosage form Preformulation studies are the important and initial step. The aim of preformulation study is to develop information about the drug substances, so that this information would be useful to develop a formulation. It is an essential study for physical and chemical properties of a drug substances alone and in combination with excipients. Preformulation investigation is designed to identify the physiochemical properties of drugs and excipients that may influence the formulation design, method of formulation pharmacokinetic and biopharmaceutical properties of the resulting product. These studies are performed for the preformulation investigation.
Melting point:
The powdered drug is placed into a capillary tube, which is then sealed at one end. The capillary tube should be 6 7 cm in length and 1 mm in diameter, with the drug standing 3 4 mm from the bottom. The tube is moistened with a liquid from the bath and positioned in an iron stand attached to a thermometer. Adjust the setup so that the drug in the capillary is aligned with the middle of the thermometer’s mercury bulb. The thermometer is then lowered into a beaker filled with paraffin oil. The beaker is heated slowly while maintaining a uniform temperature with constant stirring. Once the drug in the capillary starts to show signs of melting, removethe burner while continuing to stir. Record the temperature at which the drug fully melts and becomes transparent.
Preparation of Buffer Solutions:
Dissolve 8.40 grams of sodium dihydrogen phosphate (NaH?PO?) and 15.62 grams of disodium hydrogen phosphate (Na?HPO?) in 1000 ml of water. Stir until fully dissolved.
Pipette 8.34 ml of concentrated hydrochloric acid (HCl) into a 1 liter volumetric flask.
Dilute with distilled water up to 1000 ml and Mix thoroughly to ensure even distribution.
Formulation Trials:
To develop an optimized bilayer tablet formulation, several trials were conducted.
The general procedures for each layer in all formulation trials are outlined below.\
Formulation Procedure for Layer 1:
Dispensing:
Dispense the materials required for the first layer into separate poly bags to keep them organized and ready for the next steps.
Sifting:
Pass the materials through selected sieves to achieve a uniform particle size and ensure better mixing.
Formulation Procedure for Layer I:
In a mortar, mix the API with microcrystalline cellulose, lactose monohydrate, and sodium starch glycolate for approximately 10 minutes until thoroughly blended.
Prepare the binder solution by mixing starch with a sufficient amount of purified water to enhance the mechanical strength of the formulation layer.
Add the prepared binder solution to the dry mixed materials. Mix thoroughly to ensure uniform distribution and pass the mixture through a #60 sieve.
Load the granulated blend into a rapid dryer and dry it at an internal temperature of 50°C with an airflow rate of 50 until the loss on drying falls within the range of 1.5% to 2.5%.
Add talc and magnesium stearate to the dried blend to improve its flow properties.
Formulation Procedure for Layer II:
Dispensing:
Dispense the materials required for the second layer into separate poly bags and prepare them for the next steps.
Sifting:
Pass the materials through a series of specified mesh sizes to achieve uniform particle size and ensure effective mixing.
Formulation Procedure for Layer II:
Dispense the materials required for the second layer into separate poly bags and prepare them for processing.
Sift the materials through a series of specified mesh sizes to ensure uniform particle size and effective mixing.
Prepare the binder solution by mixing starch with an adequate amount of purified water to enhance the mechanical strength of the formulation.
Mix the API II with microcrystalline cellulose and Tartrazine yellow in a mortar for approximately 10 minutes until thoroughly combined.
Add the prepared binder solution to the dry mixed materials and mix thoroughly. Pass the mixture through a #60 mesh sieve.
Load the granulated blend into a rapid dryer and dry at an internal temperature of 50°C with an airflow rate of 50 until the loss on drying falls within the range of 1.5% to 2.5%.
Sift the dried blend through a #20 mesh size. Retain the granules and mill them, then pass the blend through a #20 mesh again before pre lubrication.
Sift guar gum polymer and set it aside. Add it to the blend and mix for 20 minutes.
Add talc and magnesium stearate to the pre lubricated blend to improve its flow properties.
Pre compression parameters: (M.Sunitha reddy et al.,2018) The formulated blends have undergone following preformulation studies,
Bulk density (Db):
The bulk density depends on the particle size distribution, cohesiveness and shape of the particles. 10gm powder is accurately weighted and poured in to a graduated measuring cylinder through a funnel and shaken without tapping, the volume which is measured is called initial bulk. Bulk density is expressed in gm/cc is given by,
Bulk density (D b) = ???????????????? ???????? ???????????? ????????????????????(????????)
???????????????? ???????????????????????? ???????? ????????????????????????(????????)
Tapped density (Dt):
10gm of powder is taken for the determination of bulk density is dropped from the particular height in to a measuring cylinder. The cylinder is tapped constantly until there is no change in the volume of the powder and tapped volume was read. The tapped volume is expressed in gm/cc is given by,
Tapped density (D t) = ???????????????? ???????? ???????????? ????????????????????????(????????)
???????????????????????? ???????????????????????? ???????? ????????????????????????(????????)
Angle of repose (?):
The fractional force in a loose powder can be determined by the angle of repose. This is the maximum angle possible between the surface of pile of powder and the horizontal plane. The powder is allowed to fall through the fixed funnel in a definite height. Angle of repose is calculated by measuring the height and radius of the heap of powder produced
? = tan -1 ( h / r )
Carr’s index(CI)
The percentage compressibility of powder is direct measurement of the potential powder arch or the bridge strength and stability. Carr’s index of each formulation was calculated by the equation given below,
CI= ???????? ? ????????
???? × ????????????
Where, Df = tapped density,
D0 = bulk density
Hausner’s ratio(IH):
Is calculated from the df and do using the following expression
Hausner’s ratio (IH) = ???????????????????????? ????????????????????????????
???????????????? ????????????????????????????
Limits of pre compression parameters :
POST COMPRESSION PARAMETERS
Thickness and diameter:
The thickness and diameter of tablets will result in uniform size and shape of the tablets. This may improve the patient compliance, the tablet thickness was measured in mm by using Vernier calibre.
Hardness:
The mechanical strength of the tablets was performed by the hardness test. The tablets hardness is measured by the pressure applied on tablet to form a crack along its axis. It is tested by using the Monsanto hardness tester. The tablet was held between a fixed and moving jaw scale was adjusted to zero, pressure was gradually increased until the tablet fractured. The value of the pressure applied to break the tablet in noted. The tablets were randomly picked and hardness of the tablets was determined.
1N =22.4 Kg/cm2
Friability:
The tablet strength was tested by using the TECH-NU friabilator.20 tablets was weighed and placed in a friability apparatus. Operate to set the rpm 100 for 4 min, after that take the tablets and reweigh it. 1% of tablet friability is generally acceptable. The percentage weight loss can be determined by using the following formula. Twenty tablets are selected randomly, individually weighted in a single pan electronic balance and the average weight was calculated. The uniformity of weight was determined according to IP specification. From the standard value in IP, not more than two of individual weight should deviate from average weight by more than 5% and none deviate more the twice that percentage
CONCLUSION:
Omeprazole is used to treat excess stomach acid in conditions stomach ulcers, gastroesophageal reflux disease (GERD), active duodenal ulcer, Zollinger-Ellison syndrome and erosive esophagitis. Omeprazole may prescribe together with antibiotics to treat gastric ulcer caused by infection with Helicobacter pylori (H. pylori). Tinidazole is a nitro imidazole antimicrobial agent. It is effective against protozoa and anaerobic organisms, including H. pylori. Anti-ulcer (Omeprazole) and anti-biotic (Tinidazole) containing bilayer tablet were prepared by using super disintegrating agent for immediate release and hydrophilic mucoadhesive / swellable polymer for achieving sustained release. The formulated bilayer tablets were validated in terms of thickness, hardness, weight variation, friability, drug content, swelling index, in-vitro drug release study, stability study and FT-IR studies. All the formulations were shown fairly acceptable data for all the parameters evaluated for the quality control test for bilayer tablets. The quality control tests to assess the physiochemical properties and release characteristics of all formulations. The release of API from the layer I exhibited that the super disintegrate plays a good role in the disintegration process. In the formulated layer II, the formulations SRL4 have a higher ratio of polymer which results in percentage of drug release below 80 % at the end of 12 hours and the formulation SRL1 &SRL2 shows the percentage drug release above 80% at the end of 8 hours. The formulation SRL 3 has achieved above 80% of drug release at the end of 12 hours. The polymer ability to retard the drug release rate is related to swelling index. The swelling ability and the muco adhesiveness of the guar gum in the aqueous medium. The formulation SRL 3 complies with all the release limits and giving 86.99% at the end of 12 hours, Hence the SRL 3 is considered as best formulae. In the formulation SRL 3 containing guar gum was found to release the drug in sustained manner up to 12 hours is considered for optimum stability studies. From the various kinetic model for sustained release layer, it can be concluded that the srl 3 showing Korsmeyer Peppas kinetic as the plot of the model shown higher regression (R2=0.995). The release mechanism can be concluded that diffusion controlled mechanism. From the results of stability data provided, it can be concluded that the formulation was stable at the condition 400c /75 % RH for one month. All the parameters like drug content of the tablet and consistency in dissolution studies even after simulating extreme consistency during their storage. From this discussion it is concluded the bilayer tablet containing Anti-ulcer (Omeprazole) and anti-biotic (Tinidazole) containing bilayer tablet were prepared by using super disintegrating agent for immediate release and hydrophilic mucoadhesive / swellable polymer for achieving sustained release layer are a good means of promising therapy which achieving higher patient compliance.
REFERENCE:
G. Ranjani , A. Vasanthan , K. L. Senthil kumar , Development And Evaluation Of Bilayer Floating Tablet For Helicobacter Pyloric Induced Ulcer Treatment Using Omeprazole And Tinidazole, Int. J. of Pharm. Sci., 2024, Vol 2, Issue 10, 724-743. https://doi.org/10.5281/zenodo.13926424