Roorkee College of Pharmacy.
Since their debut into pharmacotherapy, proton pump inhibitors (PPIs) have been widely utilized to treat a variety of disorders characterized by excessive stomach acid output. Despite this, there are still unmet demands in terms of availability for patients of all ages. Their low stability prevents the creation of formulations with easily adjustable doses. The purpose of this review is to outline the discovery and development of PPIs, explore formulation concerns, and provide current solutions, prospects, and challenges in formulation development. The review discusses the physicochemical features of PPIs, their relationship to pharmacokinetic and pharmacodynamic qualities, and their stability, including the identification of the most essential variables influencing them. The majority of the review focuses on presenting the state-of-the-art in the development of novel formulations with PPIs, including nanoparticles, microparticles, minitablets, pellets, bilayer, floating, and mucoadhesive tablets, as well as parenteral, transdermal, and rectal preparations. It also predicts future potential for the development of PPI dose formulations. It is aimed specifically at researchers creating new formulations involving PPIs, as it addresses the most critical formulary concerns that must be considered before making a formula selection decision. It may aid in avoiding superfluous efforts in this process and selecting the optimum strategy.
Proton Pump Inhibitors (PPIs) are a class of drugs commonly used to treat acid-related disorders like gastroesophageal reflux disease (GERD), peptic ulcers, and gastritis. These drugs work by inhibiting the proton pump in the stomach, thereby reducing gastric acid secretion. Pantoprazole, omeprazole, and esomeprazole are examples of widely used PPIs. To improve the pharmacokinetics of PPIs, drug formulations often include a combination of sustained-release (SR) and immediate-release (IR) components. This approach is designed to achieve both rapid onset for immediate relief of symptoms and extended therapeutic effects over time. Coating technologies are critical in controlling the release profile of such dosage forms, and coating uniformity plays a pivotal role in ensuring predictable and consistent drug release. Proton pump inhibitors (PPIs) are a class of drugs widely used to treat acid-related disorders, such as gastroesophageal reflux disease (GERD), peptic ulcers, and Zollinger-Ellison syndrome. These drugs act by irreversibly inhibiting the H+/K+-ATPase enzyme in gastric parietal cells, thereby reducing stomach acid secretion. Due to their pH-sensitive nature and instability in acidic environments, PPIs require specialized formulations to ensure their efficacy and stability. Among the various formulation approaches, sustained and immediate release systems have gained significant attention for PPIs. Sustained release formulations provide a prolonged therapeutic effect by maintaining steady plasma concentrations, reducing dosing frequency, and improving patient compliance. Conversely, immediate release systems are designed to rapidly increase drug concentration in the bloodstream, offering fast relief from symptoms. The uniformity of the coating applied to pellets or tablets plays a critical role in achieving the desired drug release profile. Coating uniformity ensures consistent drug release, prevents dose dumping, and protects the drug from environmental factors. Variations in coating thickness or quality can lead to suboptimal therapeutic outcomes or adverse effects, especially for drugs like PPIs, where precise release control is essential. Optimizing coating parameters, including polymer selection, spray rate, drying conditions, and coating thickness, is critical to achieving the desired release kinetics. Advanced coating techniques, such as fluidized bed coating and pan coating, enable precise application of functional coatings to meet the dual objectives of sustained and immediate release. Evaluation methods, including dissolution testing, scanning electron microscopy (SEM), and content uniformity analysis, further aid in assessing coating quality and performance. It is critical to increase the availability of more advanced formulations that are simple to prepare and administer, such as minitablets, orodispersible tablets, and films, particularly those incorporating functional micro- or nanoparticles. Standard enteric-coated tablets or capsules are not appropriate for all people, resulting in typical issues such as dosage adjustments, crushing, or grinding of such forms. Additionally, it has a detrimental impact on patients' compliance and drug adherence. The majority of currently produced formulations are aimed at overcoming these challenges and improving the efficacy and safety of PPI treatment. The physicochemical features of PPIs are briefly presented, with a focus on their pharmacokinetic and pharmacodynamic qualities, stability, and qualitative or quantitative analytical methods. We investigated the content and formulation of PPI-containing commercial medicines. The most important section of this review discusses the various approaches to developing different dosage forms with PPIs, including nanoparticles, microparticles, minitablets, pellets, bilayer tablets, gastroprotective tablets, and mucoadhesive tablets, as well as dosage forms administered via non-oral routes such as parenteral, transdermal, and rectal preparations. Proton Pump Inhibitors (PPIs) are antisecretory medicines [1, 2]. Along with histamine H2-receptor antagonists and potassium-competitive acid blockers (PCAB), they are used to treat gastroesophageal reflux disease (GERD) and other conditions characterized by excessive stomach acid production [3,4,5,6]. According to the IQVIA study on Medicine Spending and Affordability in the United States, omeprazole and pantoprazole were among the top 20 most often prescribed medications in 2020 [7].
Aim And Objectives
The purpose of this study is to summarize the historical context of proton pump inhibitor discovery and development, address formulation concerns linked to this medication class, show modern solutions, and evaluate future potential and challenges in formulation development. This study aims to optimize and evaluate the coating uniformity in sustained and immediate release formulations of proton pump inhibitors, ensuring robust drug performance and therapeutic efficacy. By addressing the challenges of coating application and uniformity, this research seeks to enhance the reliability and clinical utility of PPI formulations. The physicochemical characteristics of PPIs are briefly explained, especially in relation to their pharmacokinetic and pharmacodynamic properties, stability, and methods of qualitative or quantitative analysis. We analyzed the composition and kind of formulation in commercially available preparations with PPIs. The most important part of this review describes the numerous approaches to formulate different dosage forms with PPIs: nanoparticles, microparticles. Rabepeazole sodium treats acid-related gastroduodenal diseases by lowering stomach acid output. Proton pump inhibitors are substituted benzimidazoles with identical core structures and modes of action, but differ in substituent groups. Delayed release dose forms are ideal for medications that are degraded in stomach juices, cause gastric discomfort, or are absorbed more efficiently in the intestine. These preparations include an alkaline core material with the active ingredient, a separating layer, and an enteric coating layer.
Objectives-
Drug Profile
Rabeprazole Sodium-
Rabeprazole sodium is an antiulcer drug in the class of proton pump inhibitors. It is a prodrug - in the acid environment of the parietal cells it turns into active sulphenamide form. Rabeprazole inhibits the H+, K+ATPase of the coating gastric cells and dosedependent oppresses basal and stimulated gastric acid secretion.
Chemical structure
IUPAC Name: 2-({[4-(3-Methoxypropoxy)-3-methyl-2 pyridyl] methyl} sulfinyl) -1H-benzimidazole sodium.
Molecular formula: C18H20N3NaO3S.
Molecular weight: 381.42.
Description: A White or almost white powder. Melting point: 170-173 °C
Solubility: Soluble in water.
Half-life: 1-2 hours (in plasma).
Absorption: Absolute bioavailability is approximately 52%.
Volume of distribution: 160 litre.
Protein binding: 96.3% (bound to human plasma proteins).
Pharmacodynamics- Rabeprazole inhibits the formation of stomach acid. It alleviates symptoms and avoids damage to the esophagus or stomach in people with GERD or ulcers. Rabeprazole can help treat Zollinger-Ellison syndrome, which causes excessive stomach acid production. Rabeprazole can be taken alongside medicines to eliminate germs linked to some ulcers. Rabeprazole, an irreversible proton pump inhibitor, reduces stomach acid production by inhibiting the H+, K+-ATPase at the secretory surface of parietal cells. This restricts the passage of hydrogen ions into the stomach lumen by exchanging them with potassium.
Mechanism of action- Rabeprazole is a type of antisecretory compound (substituted benzimidazole proton-pump inhibitor) that suppresses gastric acid secretion by inhibiting the gastric H+/K+ATPase (hydrogen-potassium adenosine triphosphatase) at the secretory surface of the gastric parietal cell. It does not have anticholinergic or histamine H2-receptor antagonist properties. Because this enzyme is recognized as the Rabeprazole acts as a stomach acid (proton) pump in the parietal cell. Proton pump inhibitor. Rabeprazole inhibits the last stage of stomach acid output. Rabeprazole is converted to active sulfenamide in gastric parietal cells by protonation and accumulation. In vitro studies show that rabeprazole activates at pH 1.2 and has a half-life of 78 seconds.
Metabolism- Rabeprazole is extensively metabolized. Throatier and sulphone are the main metabolites detected in human plasma. These metabolites did not show considerable antisecretory action. Rabeprazole is principally metabolized in the liver by cytochromes P450 3A (sulphone metabolite) and 2C19. Rabeprazole reduction produces the throatier metabolite.
MATERIALS AND METHODS
METHODOLOGY
The research methodology for the optimization and evaluation of coating uniformity in sustained and immediate release formulations of PPIs involves a systematic approach combining formulation development, coating optimization, uniformity evaluation, and drug release analysis. The methodology can be divided into the following key steps:
1. Formulation of PPI Pellets/Tablets:
2. Optimization of Coating Process:
The coating parameters to be optimized include:
3. Evaluation of Coating Uniformity:
4. In Vitro Dissolution Testing:
The release rate for both immediate and sustained phases should be carefully monitored to ensure they meet therapeutic requirements.
5. Stability Studies:
6. Bioavailability Evaluation (Optional):
7. Data Analysis:
RESULTS AND DISCUSSION
Preformulation Studies-
Description-
Table No. 1: Description of Rabeprazole Sodium
S. No |
Tests |
Results |
1 |
Colour |
White |
2 |
Odour |
Unpleasant |
3 |
Nature |
Crystalline |
4 |
Taste |
Bitter |
Discussion: The colour, odour, nature and taste of the API were evaluated. It was found to be as per the monograph.
Solubility-
Table No. 2 Solubility of drug
Raw material |
Solubility |
Rabeprazole sodium |
Soluble in water |
Soluble in menthol |
|
|
Soluble in ethanol |
Discussion: Thus the results revealed that the drug was soluble in water, methanol and ethanol
Compatibility Studies By FT-IR-
Figure 1: FTIR Spectra of Rabeprazole Sodium
REFERENCES
Saksham Sharma*, Amit Kumar, Optimization & Evaluation of Coating Uniformity in Sustained and Immediate Release of Proton Pump Inhibitor (PPIS), Int. J. of Pharm. Sci., 2025, Vol 3, Issue 4, 3123-3130 https://doi.org/10.5281/zenodo.15294873