Roorkee college of pharmacy, Uttarakhand.
Domperidone, a peripherally selective dopamine D2 receptor antagonist, is frequently prescribed for the treatment of gastrointestinal motility disorders, including nausea, vomiting, and delayed gastric emptying. Despite its therapeutic potential, its oral bioavailability remains a significant challenge due to its poor solubility and instability in acidic environments, such as the stomach. To overcome these limitations, pharmaceutical scientists have developed enteric-coated pellet formulations designed to bypass the gastric region and enable targeted release in the alkaline milieu of the small intestine, where domperidone exhibits improved solubility and absorption. This review provides an in-depth evaluation of the formulation, optimization, and evaluation of enteric-coated domperidone pellets, with a particular focus on advanced techniques such as powder layering technology and the incorporation of pH-sensitive polymers like Eudragit L100-55. The use of these polymers ensures that the pellets remain intact in the stomach but promptly release the drug upon reaching the intestinal pH, thus enhancing therapeutic efficacy and patient compliance. Moreover, the review explores the critical role of dissolution testing in acidic and buffer media to characterize the pH-dependent release kinetics of the enteric-coated formulations. Emphasis is placed on the behavior of domperidone in simulated gastric fluid (0.1N HCl) and its release profile in phosphate buffer at pH 6.8, illustrating how the structural integrity of the coating governs the temporal and spatial release of the drug.In addition to in vitro drug release evaluation, the article highlights the importance of stability assessment, particularly through physical indicators such as color changes in the pellet formulation. These visual cues, which can signify oxidative degradation or interactions with excipients, are increasingly being recognized as valuable, low-cost markers of product integrity during shelf life and accelerated stability testing.To ensure comprehensive characterization and quality assurance, several analytical methodologies are discussed, including High-Performance Liquid Chromatography (HPLC) for quantification, UV-Visible spectroscopy for monitoring drug content and degradation, Differential ScanningCalorimetry (DSC) for thermal behaviour, and Fourier Transform Infrared Spectroscopy (FTIR) for detecting potential drug-excipient interactions. By consolidating findings from recent scientific literature and regulatory guidelines, this review aims to provide a holistic understanding of the design, evaluation, and quality control of domperidone enteric-coated pellets. It also underscores the significance of incorporating both instrumental and observational techniques, such as colour monitoring, to enhance formulation stability and ensure reliable therapeutic outcomes.
Oral drug delivery is the most widely accepted method for administering pharmaceutical agents due to its ease of use, affordability, and strong patient adherence. However, the success of any oral formulation is highly dependent on the drug’s physicochemical characteristics and how it interacts with the gastrointestinal (GI) tract’s dynamic environment. For drugs that exhibit poor solubility or are unstable under acidic conditions, specialized delivery systems such as enteric-coated pellets are essential to ensure efficacy and protection during transit through the stomach. Domperidone, a peripheral dopamine D2 receptor antagonist, is commonly prescribed to manage conditions related to delayed gastric emptying, such as nausea, vomiting, and bloating. Unlike centrally acting dopamine antagonists, domperidone does not readily cross the blood-brain barrier, making it a safer therapeutic option with fewer central nervous system side effects. Despite its benefits, the oral bioavailability of domperidone is considerably low due to its poor solubility in acidic environments and its degradation in gastric pH.To address these challenges, the pharmaceutical industry has focused on the development of enteric-coated drug delivery systems. These coatings serve to protect the drug from stomach acid by delaying release until the dosage form reaches the more neutral to alkaline pH of the small intestine, where domperidone's solubility and absorption are significantly enhanced.Among the various pelletization techniques used in pharmaceutical manufacturing, powder layering has become particularly popular for its efficiency, uniformity, and compatibility with scale-up processes. This method involves the deposition of a drug layer onto inert pellet cores, typically using a binding solution, followed by coating with enteric polymers such as Eudragit L100-55. These polymers are designed to resist disintegration in acidic pH but dissolve readily in higher pH conditions, ensuring targeted drug release in the intestine. The composition, thickness, and uniformity of the enteric layer play critical roles in determining how and when the drug is released.Evaluating the performance of enteric-coated domperidone pellets requires thorough in vitro dissolution testing. This typically involves a two-step process, where the pellets are first exposed to simulated gastric fluid to test acid resistance, followed by exposure to intestinal buffer to evaluate release characteristics. An ideal formulation exhibits minimal drug release in the stomach phase but a rapid and complete release once it reaches the intestinal phase, aligning with the absorption window of domperidone.Beyond dissolution behavior, formulation stability over time is a key quality consideration. One often-overlooked but valuable indicator of instability is color change. Discoloration during storage, particularly under stressed conditions such as high humidity and temperature, can signal chemical changes such as oxidation or interactions with excipients. For example, a yellowing effect observed in some domperidone pellet formulations under accelerated stability conditions suggests early signs of degradation. While visual changes alone may not conclusively determine stability issues, they provide an accessible, early-warning system that warrants further investigation through analytical techniques.To comprehensively assess both release performance and stability, pharmaceutical scientists employ a combination of analytical tools. These include High-Performance Liquid Chromatography (HPLC) for precise drug quantification, UV-Visible spectroscopy for evaluating concentration and degradation, Differential Scanning Calorimetry (DSC) for thermal characterization, and Fourier Transform Infrared Spectroscopy (FTIR) for detecting possible interactions between the drug and formulation components.This review aims to provide an extensive overview of domperidone enteric-coated pellet systems, emphasizing their release behavior in acidic environments and the emerging role of visual color monitoring in stability assessment.
2. Formulation Strategies for Domperidone Pellets
The formulation of oral drug delivery systems for domperidone requires specialized approaches due to the compound’s limited solubility in acidic environments and its chemical instability in the stomach. One of the most effective solutions to these challenges is the development of enteric-coated pellet dosage forms, which protect the drug from gastric degradation and allow for delayed, site-specific release in the intestine.
2.1 Overview of Pelletization Technology
Pelletization refers to the process of transforming powders into small, spherical units, generally ranging between 500 and 1500 micrometers in diameter. These multi-unit dosage forms offer several advantages over conventional tablets, such as improved drug dispersion, uniform gastrointestinal transit, reduced risk of dose dumping, and minimized local irritation.For drugs like domperidone, pelletization facilitates controlled release profiles and enhances drug absorption by ensuring that release occurs only in the small intestine, where the drug is most effectively absorbed.
2.2 Powder Layering Method
One of the most frequently used pelletization techniques for domperidone is powder layering. In this method, a dry blend of the drug and pharmaceutical excipients is layered onto an inert core using a binding solution. This process is typically carried out in a coating pan or a fluid bed processor.The formulation process generally includes the following steps:
This technique is valued for its scalability, uniform drug distribution, and ability to precisely control the amount of drug per pellet.
2.3 Role of Enteric Polymers
To safeguard domperidone from acidic degradation and control its release in the intestine, enteric polymers are used as functional coatings. These polymers remain intact in the acidic pH of the stomach but dissolve in the alkaline environment of the intestine.Commonly used enteric polymers include:
The choice of polymer, solvent system, and coating method plays a critical role in determining the release profile and overall performance of the final dosage form.
2.4 Critical Formulation Parameters
A number of formulation and process variables significantly influence the quality and functionality of domperidone pellets:
Each of these parameters must be carefully controlled to achieve the desired release profile, stability, and manufacturability.
2.5 Application of Solid Dispersion in Pellets
In some formulations, solid dispersion techniques are used to enhance the solubility of domperidone before it is layered onto the pellets. These involve dispersing domperidone in a hydrophilic polymer matrix, such as Eudragit or polyethylene glycol (PEG), which can transform the drug into a more soluble amorphous form. Incorporating such dispersions into the drug layer can significantly enhance the rate and extent of release in intestinal conditions.
2.6 Benefits of Enteric-Coated Pellet Formulations
The use of enteric-coated pellets for domperidone offers numerous formulation and therapeutic advantages:
3. Dissolution Profiles in Acidic Media
Dissolution testing is a fundamental part of evaluating and developing oral drug delivery systems. For acid-sensitive drugs such as domperidone, which have low solubility and stability in the acidic environment of the stomach, understanding and controlling the dissolution profile in acidic conditions is essential. This is particularly important for enteric-coated pellet formulations, where the primary goal is to protect the drug from gastric degradation and facilitate controlled release once the formulation reaches the small intestine.
3.1 Role of Acid Resistance in Enteric-Coated Systems
Domperidone, which is poorly soluble at low pH and can degrade in gastric fluid, benefits from an enteric coating that serves two key purposes:
For an enteric-coated pellet formulation to be successful, it should offer complete protection in the stomach for at least 2 hours and ensure rapid release of the drug once it reaches the intestinal tract.
3.2 Standardized Dissolution Testing in Acidic Media
The dissolution profile of enteric-coated domperidone pellets is usually tested using a two-stage dissolution method, as recommended by pharmacopeial standards such as the USP, IP, and EP.
This two-step dissolution method is designed to assess both acid resistance (in the stomach phase) and intended drug release in the more alkaline conditions of the intestine.
3.3 Desired Dissolution Profile and Evaluation
An ideal dissolution profile for domperidone enteric-coated pellets would exhibit:
If the dissolution test shows that excessive drug release occurs during the acidic phase, this may indicate issues such as:
Such issues would likely require adjustments to the formulation or coating process to ensure compliance with quality standards and improve the product's overall performance.
3.4 Factors Influencing the Dissolution in Acidic Media
Various formulation and processing parameters can influence the dissolution profile of enteric-coated domperidone pellets in acidic media:
Each of these factors must be carefully optimized during formulation development to achieve the desired dissolution profile and ensure high-quality performance.
3.5 Regulatory and Clinical Implications of Dissolution Testing
Dissolution testing is not just a quality control tool; it also serves as a predictor of in vivo performance. Regulatory authorities like the FDA and EMA require that formulations meet specific dissolution criteria to ensure that the drug is released appropriately in the body. Additionally, conducting bio-relevant dissolution studies using media that simulate different physiological conditions (such as fed vs. fasted states) can provide further insights into how the formulation will behave in real-world clinical settings. This can be important for understanding variability in drug absorption based on diet or other factors.
4. Monitoring Techniques
The formulation of domperidone enteric-coated pellets involves rigorous monitoring throughout various stages of the product development process. These monitoring techniques ensure the drug’s stability, consistent performance, and quality. Monitoring includes a range of methods for evaluating dissolution, detecting color changes, and assessing long-term stability, ensuring the formulation meets all the necessary specifications.
4.1 Color Change Monitoring during Dissolution Testing
Color change monitoring is an effective method used to assess the integrity of the enteric coating during dissolution testing, particularly for acid-sensitive drugs like domperidone. The color shift of the pellets in response to pH changes provides key insights into the dissolution behavior of the formulation and ensures that the drug is released at the appropriate time and location within the gastrointestinal tract.
Features of Color Change Monitoring:
4.2 Instrumental Techniques for Drug Release Monitoring
In addition to color change monitoring, several instrumental methods are employed to monitor the dissolution and release of domperidone from the enteric-coated pellets. These methods provide highly accurate, reproducible data on drug release.
4.3 Stability Testing and Long-Term Monitoring
Stability testing is essential for ensuring that domperidone pellets maintain their efficacy and meet regulatory requirements throughout their shelf life. A variety of techniques are used to monitor both the physical and chemical stability of the formulation over time:
4.4 Microbiological Testing and Contamination Control
To ensure the safety and quality of enteric-coated domperidone pellets, microbiological testing is performed to detect any potential microbial contamination. This testing typically includes:
These tests ensure the pellets are free from harmful microorganisms, which is particularly important for formulations stored for long periods.
5. Stability Studies for Domperidone Enteric-Coated Pellets
Stability studies play a vital role in assessing the ability of pharmaceutical formulations to maintain their desired properties over time. For domperidone enteric-coated pellets, these studies are essential to ensure the product retains its therapeutic effectiveness, safety, and quality throughout its shelf life. Regulatory authorities like the FDA, EMA, and ICH provide comprehensive guidelines for conducting stability studies, which evaluate various aspects of drug stability under different environmental conditions.The stability of domperidone pellets can be influenced by factors such as formulation composition, the choice of excipients, storage conditions, and packaging materials. These studies focus on evaluating the drug's performance, dissolution behavior, and potential degradation over time, ensuring the product remains stable and effective.
5.1 Types of Stability Studies
The stability testing process includes different types of assessments that help ensure the reliability and safety of the domperidone enteric-coated pellet formulation. These types of studies include:
Each testing type has its specific role in evaluating the product under different conditions and ensuring the formulation performs consistently over time.
5.2 Accelerated Stability Testing
Accelerated stability testing is a method used to estimate the long-term stability of the formulation within a shortened timeframe by exposing the product to higher temperatures and increased humidity. This testing is designed to simulate the product’s performance under stressful conditions to predict how it will hold up over extended periods.
Conditions for Accelerated Stability Testing:
Purpose of Accelerated Stability Testing:
Example:
5.3 Real-Time Stability Testing
Real-time stability testing involves storing the formulation under typical ambient conditions over a prolonged period, simulating actual storage environments. This test provides more precise data on how the domperidone pellets perform under real-life conditions.
Conditions for Real-Time Stability Testing:
Purpose of Real-Time Stability Testing:
5.4 Long-Term Stability Testing
Long-term stability testing assesses how the drug product maintains its efficacy, safety, and quality under typical storage conditions over an extended period. This testing plays a critical role in confirming that the product remains stable throughout its entire intended shelf life.
Conditions for Long-Term Stability Testing:
Purpose of Long-Term Stability Testing:
5.5 Stress Testing
Stress testing evaluates how the formulation reacts to extreme conditions that go beyond typical storage environments. It helps identify how the formulation might degrade or lose effectiveness when exposed to extreme temperatures, light, or other environmental factors.
Conditions for Stress Testing:
Purpose of Stress Testing:
5.6 Packaging Stability Studies
The packaging used for domperidone enteric-coated pellets is designed to protect the product from various environmental factors, such as moisture, light, and oxygen, which could all affect the drug’s stability. Packaging stability studies ensure that the selected packaging materials maintain the formulation's integrity throughout its shelf life.
Conditions for Packaging Stability Testing:
Purpose of Packaging Stability Studies:
5.7 Microbiological Stability Testing
Microbiological testing ensures that the domperidone enteric-coated pellets remain free from microbial contamination during production, storage, and distribution. This type of testing is crucial for ensuring the safety of the product, particularly if the formulation is sensitive to contamination.
Conditions for Microbiological Testing:
Purpose of Microbiological Stability Testing:
6. CONCLUSION
Ensuring the stability of domperidone enteric-coated pellets is a fundamental aspect of the formulation's development and long-term market success. Stability testing is crucial in determining the safety, efficacy, and quality of the formulation from production through its shelf life. These studies are essential not only to comply with regulatory requirements but also to ensure that the drug product remains effective and safe for consumers throughout its intended use.The findings from various stability tests, including accelerated, real-time, long-term, and stress testing, provide comprehensive data on how the formulation will behave over time. These tests help assess the degradation process and predict the shelf life of the product. Importantly, they evaluate the chemical stability of both the active pharmaceutical ingredient (API) and the enteric coating. This is crucial for maintaining the therapeutic effectiveness of the drug, as the enteric coating must remain intact to protect the drug from gastric acid and ensure it is released in the intestinal tract, where it is most effective.Additionally, stability studies allow for the detection of any degradation products that could alter the safety or efficacy of the formulation. Monitoring dissolution profiles is also a key component of stability testing, as it ensures the drug maintains its intended release characteristics and bioavailability over time. This is especially important for enteric-coated formulations, where any failure in the coating’s integrity could lead to premature release or incomplete absorption.The role of packaging in maintaining the stability of the formulation is also critical. Packaging studies assess how well the materials protect the drug from environmental factors such as moisture, light, and oxygen, which could degrade the drug’s quality. Effective packaging ensures that the formulation remains intact and effective until it reaches the patient. Furthermore, microbiological testing ensures that the product remains free from microbial contamination, which is crucial for maintaining its safety and sterility.In summary, stability studies not only ensure that domperidone enteric-coated pellets remain effective, safe, and of high quality throughout their shelf life but also provide regulatory assurance that the product meets required standards. These studies confirm the drug’s release profile, chemical stability, and packaging effectiveness. Moreover, by thoroughly evaluating the formulation through various stability testing methods, manufacturers can anticipate potential issues and ensure that the product remains consistent under different storage conditions.Ultimately, stability studies ensure that domperidone pellets continue to deliver the intended therapeutic outcomes for patients, thereby supporting both patient safety and satisfaction. Adhering to stringent stability testing protocols enables pharmaceutical companies to provide reliable and high-quality products that can be trusted for their safety, efficacy, and long-term performance.
REFERENCES
Shivi Kashyap*, Drug Dissolution and Colour Cheque Monitoring in Acidic Dissolution of Domperidone Pellets Ip (Enteric Coated), Int. J. of Pharm. Sci., 2025, Vol 3, Issue 5, 3358-3371. https://doi.org/10.5281/zenodo.15471925