Formulation and Evaluation of Once Daily Sustained Release Matrix Tablets of Terbutaline Sulphate for the Treatment of Nocturnal Asthma

 

Mohd Abdul Hadi, A. Srinivasa Rao, P. Vineeth, Md. Azharuddin

Dept. of Pharmaceutics, Bhaskar Pharmacy College, (J.B.I.E.T), Moinabad, R.R District, Hyderabad-500075, A.P. India.

 

ABSTRACT:

Terbutaline sulphate is a β2-adrenergic agonist bronchodilator and used to treat bronchospasm associated with lung diseases such as asthma, bronchitis, and emphysema. Bioavailability of terbutaline sulphate about 14.8 %. The drug half-life is 3-4 hrs. In nocturnal asthma, lung function is usually highest at 4 PM and lowest at 4 AM, the latter time is generally when asthma symptoms are most prevalent. Based on these findings drug delivery and therapy should be modified to achieve an effective drug level at the required time. This can be achieved by adapting a sustained drug delivery system of a suitable drug which when administered during night releases the drug till early morning hours. So, in order to improve bioavailability and efficacy we have designed once a day sustained release tablets of terbutaline sulphate. The tablets were prepared by wet granulation technique using HPMC K200M, Ethylcellulose and combination of both. The sustained release tablets were subjected to preformulation studies, in- vitro drug release, post-compression studies, kinetic studies and stability studies. FTIR studies shown there was no interaction between drug and polymers. The percentage of drug content from the tablets was determined by UV-Spectroscopy and ranged from 97.20±0.50 to 99.12±0.92. The in-vitro percentage release of terbutaline sulphate from the optimized tablets at the end of 24hrs was 99.69±0.91 %. The kinetic studies revealed that the drug was released by first-order kinetics. The optimized formulation was subjected to stability studies and shown there were no significant changes in drug content, physicochemical parameters and release pattern.

 

KEYWORDS: Terbutaline sulphate, Nocturnal asthma, Sustained drug delivery system, wet granulation technique, HPMC K200M, Ethylcellulose.

 

INTRODUCTION:

Chronotherapeutic refers to a clinical practice of synchronizing drug delivery in a manner consistent with the body's circadian rhythm including disease states to produce maximum health benefit and minimum harm. Asthma is a chronic obstructive lung disease characterized by airways, inflammation and hyperactivity. In most patients, the condition worsens at night with acute exacerbation being most common. Clinical and epidemiological studies verify that asthma is several hundred folds more likely at night than during the day with disturbance of sleep. The worsening of asthma at night commonly referred to as nocturnal asthma (NA).

 

It is a variable exacerbation of the underlying asthma conditions associated with increases in symptoms, need for medication, airway responsiveness, and/or worsening of lung function.


Generally a reduction in peak flow or forced expiratory volume in one second of at least 20% is implicit in this definition. Approximately two-thirds of asthmatics suffer from night time symptoms. In a large study involving 8,000 asthmatics it is observed that 70% awakened one night per week, 64% awakened 3 nights per week and 39% had their sleep disturbed on a nightly basis. The patients who self-characterized their asthma as mild, 26% has nightly awakenings and 53% of asthma deaths occurred during the night time hours. A drug delivery system administered at bed time but releasing drug during morning hours would be ideal in this case. The possibility of deferring the drug release for a programmed time interval after oral administration of the dosage form is to perform chronotherapy is quite appealing for those diseases the symptoms of which recur mainly at night times or in the early morning, such as    asthma1, 2.

 

Terbutaline sulphate is a β2-adrenergic agonist bronchodilator and used to treat bronchospasm (wheezing, shortness of breath) associated with lung diseases such as asthma, bronchitis, and emphysema. The main drawback of conventional Terbutaline sulphate formulation is that it undergoes hepatic first pass metabolism. Thus, it shows plasma or biological half- life 3 to 4 hrs, thereby decreasing bioavailability up to 14.8%. The present work describes such delivery system, which will improve the biological half-life as well as bioavailability of Terbutaline sulphate3-7. This makes Terbutaline sulphate a candidate for incorporation in sustained release dosage form and was used as a model drug.

 

Objective:

The objective is to formulate and evaluate a sustained drug delivery system of terbutaline sulphate which when administered during night releases the drug till early morning hours and can be used for the treatment of Nocturnal Asthma. To reduce the frequency of dosage and to improve the half-life of terbutaline sulphate.

 

MATERIALS AND METHODS:

Materials:

Terbutaline sulphate was obtained as a gift sample by Franco Indian Pharmaceuticals Pvt Ltd., (Mumbai). Microcrystalline cellulose (MCC), polyvinyl pyrrolidone K-90 (PVP K-90) and magnesium stearate were purchased from Rajesh chemicals, Mumbai. All other chemical and reagent were of analytical grade.

 

Experimental Methods:

Preformulation studies:

Drug-excipient compatibility studies:

Assessment of possible incompatibilities between an active drug substance and different excipients forms an important part of the pre-formulation stage during the development of solid dosage form. Therefore, the pure drug and the formulations mixed with polymers were subjected to infra-red (IR) studies.

 

Fourier Transform Infrared (FTIR) spectral analysis:

The compatibility of drugs and excipients used under experimental condition were studied. The study was performed by taking 2 mg sample in 200 mg KBr (Perkin Elmer, spectrum-100, Japan). The scanning range was 400 to 4000 cm-1 and the resolution was 1cm-1. This spectral analysis was employed to check the compatibility of drugs with the excipients used8.

 

Micromeritic properties9:

Angle of repose:

The fixed funnel and free standing cone methods employ a funnel that is secured with its tip at a given height, h, which was kept 2cm above graph paper that is placed on a flat horizontal surface. With r being the radius, of base of conical pile, angle of repose can be determined by following equation:

 

Ө = tan-1 (h/r)

Where, Ө is the angle of repose,

h is height of pile, r is radius of base of the pile

 

Bulk density and tapped density:

\Both loose bulk density and tapped bulk density were determined. A quantity of 2gm of granules from each formula, previously light Shaken for the break of any agglomerates formed, was introduced into the 10ml of measuring cylinder. After the initial volume was observed, the cylinder was allowed to fall down its own weight from the hard surface from a height of 2.5cm at 2 sec Intervals. The tapping was continued until no further change in the volume was noted

 

LBD and TBD were calculated using the following formulas:

 

LBD: Weight of the powder/volume of the packing.

 

TBD: Weight of the powder/Tapped volume of the packing.

 

Compressibility index:

The compressibility index of the granules was determined by Carr’s Compressibility index.

Carr’s index (%) = [(TBD-LBD) * 100] / TBD

 

Where,

LBD: Weight of the powder/volume of the packing.

TBD: Weight of the powder/Tapped volume of the packing.

 

Hausner’s ratio:

Hausner’s ratio can be determined by the following equation,

Hausner’s ratio = TBD / LBD

 

Where, TBD -Tapped bulk densities & LBD- Loose bulk densities

 

Preparation of tablets10:

The tablets were prepared by wet granulation technique using different polymers   (HPMC K200M, Ethyl Cellulose, and HPMC K200M-Ethyl cellulose combination) as shown in Table 1. Drug and polymers were passed through 60 # sieve and then dry blend of drug were granulated with PVP K-90 as a binder which was dissolved in isopropyl alcohol. The mass was dried at 50°C and sized through 22 # sieve. Finally, magnesium stearate were mixed as glidant, and then tablet blend weighing 200 mg was compressed using 8 mm round convex punches in a rotary tablet press (Rimek mini press, model RSB-4, M/S: Karnavati engineering, Ahmedabad).

 

Table 1: Composition of Sustained release tablets of Terbutaline sulphate

Ingredients

F1

F2

F3

F4

Terbutaline sulphate

15

15

15

15

HPMC K 200M

50

 

 

 

EC

 

50

 

 

HPMC K 200M: EC

 

 

25:25

20:40

Dibasic Calcium

phospate anhydrous

q.s

q.s

q.s

q.s

Magnesium stearate

3

3

3

3

Aerosil

3

3

3

3

Total

150

150

150

150

 

Evaluation of physical properties of matrix tablet 9:

Hardness test:

The hardness of the tablets was determined using Monsanto Hardness tester. It is expressed in kg/cm2. Six tablets were randomly picked from each formulation and the mean and standard deviation values were calculated.

 

Friability:

A friability test was conducted on the tablets using a veego friabilator. Twenty tablets were selected from each batch and any loose dust was removed with the help of a soft brush. The tablets were initially weighed (Winitial) and transferred into friabilator. The drum was rotated at 25 rpm for 4 minutes after which the tablets were removed. Any loose dust was removed from the tablets as before and the tablets were weighed again (Wfinal).The percentage friability was then calculated by,

 

F = 100 x (W initial- Wfinal) / Winitial

% Friability of tablets less than 1% is considered acceptable.

 

Weight variation:

The weight variation test was conducted by weighing 20 randomly selected tablets individually, calculating the average weight and comparing the individual tablet weights to the average. The specification of weight variation is 10%.

 

Uniformity of thickness:

The tablet thickness was measured using screw gauge.

 

Estimation of Terbutaline sulphate11:

Preparation of standard calibration curve of Terbutaline sulphate:

The standard calibration curve was prepared using 6.8 phosphate buffer.

 

Standard solution:

200 mg of Terbutaline sulphate is dissolved in 100 ml of phosphate buffer (ph-6.8) to give a concentration of 2 mg/ml (2000μg/ml).

 

Stock solution:

From the standard solution pipette out 10 ml of solution into 100ml volumetric flask and dilute it up to 100 ml with phosphate buffer (ph-6.8) to produce 200 μg/ml concentration. From this solution pipette out 1, 2, 3, 4, 5, 6, 7 and 8 ml into 10 ml volumetric flask and dilute them up to 10 ml with phosphate buffer (ph-6.8) to produce concentration as 20, 40, 60, 80, 100, 120, 140 and 160 μg/ml respectively. The absorbance of prepared solution of TBS is measured at 278 nm in Shimadzu UV/visible 1700 spectrophotometer against 6.8 phosphate buffer solution as blank.

 

Estimation of drug content11:

Drug content of prepared tablet of each batch of the formulation was determined. From each batch 20 tablets were taken, weighted and finely grounded. An amount of powder equivalent to 5 mg of powder was accurately weighted and dissolved in 6.8 phosphate buffer. The resulting solution was suitably diluted and analysed on UV spectrophotometer Shimadzu 1601 at 278 nm.

 

Dissolution testing11:

Dissolution test of Terbutaline Sulphate was performed in 6.8 phosphate buffer at 50 rpm using USP dissolution test apparatus type II (paddle type). Five ml aliquots were withdrawn with a pipette and replaced with 5 ml fresh dissolution medium at different time intervals. The aliquots were passed through Whatman filter paper number 41 to remove any suspended impurity which may interfere during spectroscopic estimation. The absorbance of samples was taken on UV spectrophotometer (Shimadzu 1601) at 278 nm against blank and correspondingly concentration of the drug was determined at various time intervals.

 

RESULTS AND DISCUSSION:

Drug excipients interaction studies:

Compatibility study:

 Spectra of the pure drug, excipient and physical mixture of drug and excipient were recorded in between 400-4000 wave number (cm-1) (as shown in Figure 1). The FTIR spectral analysis showed that there is no appearance or disappearance of any characteristic peaks of pure drug glimepiride and in the physical mixture which confirms the absence of chemical interaction between drug and polymers.

 

Micromeritic properties:

Granules of all the formulations were subjected for various pre-compressional evaluations such as angle of repose, bulk and tapped density, compressibility index and Hausner’s ratio. Results of all the pre-compressional parameters performed on granules for formulations shown in Table 2. The bulk densities of granules were found to be range between 0.437±0.14 to 0.445±0.67 g/cm3.Carr’s index was found to be range between 13.38±0.56 to 14.48±0.73. The angle of repose was found to be range between 22 ş.90±0.41 to 24 ş.88±0.20. The results of Hausner’s ratio were found to be lesser than 1.25 which indicates better flow properties. The results of angle of repose (<30) indicates good flow properties of the powder. This was further supported by lower compressibility index values. These results indicate that granules were of good flow properties.

 

Figure 1: IR Spectras of 1) Terbutaline sulphate 2) Ethylcellulose

3) HPMC K 200 M 4) Formulation F1

 


 

Table 2: Evaluation of powder Blend

Powder Blend

Angle of repose (°)

Bulk Density (g/mL)

Tapped Density (g/mL)

Carr’s Index (%)

Hausner’s ratio

F1

23 ş.16±0.16

0.437±0.14

0.511±0.30

14.48±0.73

1.17±0.53

F2

22 ş.90±0.41

0.445±0.67

0.515±0.17

13.59±0.11

1.15±0.15

F3

24 ş.76±0.32

0.440±0.33

0.508±0.12

13.38±0.56

1.15±0.44

F4

24 ş.88±0.20

0.438±0.18

0.507±0.49

13.60±0.63

1.15±0.39

 

Table 3: Evaluation of Tablets

Formulation

 

Weight Variation

(mg)

Hardness

(kg/cm2)

Thickness

(mm)

Friability

 

Drug Content

(%)

F1

150±1.42

6.2±0.44

4.32±0.22

0. 40±0.10

99.12±0.92

F2

148±1.30

6.1±0.57

4.26±0.31

0. 63±0.18

98.20±0.26

F3

150±1.16

6.2±0.29

4.28±0.38

0. 53±0.25

97.20±0.50

F4

149±1.47

6.3±0.11

4.19±0.10

0. 33±0.19

98.92±0.44


 


Table 4: Data of In-Vitro Drug Release Studies of sustained-release matrix tablets of Terbutaline sulphate

Time

F1

F2

F3

F4

 

0

0

0

0

1

21.94±0.41

14.31±0.62

19.79±0.28

17.41±0.33

2

48.65±0.12

31.00±0.93

46.03±0.52

44.60±0.73

4

59.15±0.37

47.94±0.55

56.76±0.11

54.14±0.84

6

71.07±0.16

63.20±0.27

68.45±0.81

65.11±0.69

8

77.51±0.10

68.45±0.16

75.37±0.20

72.98±0.45

10

80.14±0.98

74.89±0.39

77.75±0.42

75.13±0.26

12

85.86±0.72

79.66±0.80

83.71±0.0.66

81.09±0.82

16

90.39±0.40

85.86±0.78

88.01±0.0.17

85.62±0.94

20

96.36±0.86

90.63±0.83

92.30±0.90

89.92±0.54

24

99.69±0.91

94.92±0.16

97.31±0.81

96.59±0.10



Evaluation of prepared tablets:

The results of physical evaluation of tablets were given in Table 3. The tablets of different batches were found uniform with respect to hardness within the range of 6.1±0.57 to 6.3±0.11 kg/cm2. Another measure of a tablet's strength is friability. Conventional compressed tablets that lose less than 1% of their weight are generally considered acceptable. Results of friability test were also has been found within limit. In weight variation test, the pharmacopoeial limit for percentage deviation for tablets of more than 250 mg is ±5% and all the formulations were found to comply with the specifications given in I.P. for weight variation test. Good uniformity in drug content was found among the formulations, and percentage of drug content was more than 95%. All the tablet formulations showed acceptable pharmaco technical properties.

 

In - vitro drug release study:

Tablets were prepared using plain hydrophilic and plain hydrophobic as well as blend of Hydrophilic-hydrophobic combination. From the results (as shown in Table 4 and   Figure 2) of in vitro-dissolution study it was found that Formulations F1 prepared with HPMC K200M polymer shown 99.69±0.91 % release at the end of 24hrs. Whereas, formulations F2 prepared with ethylcellulose polymer released 94.92±0.16 % of drug at the end of 24hrs respectively. This slow release is due to the hydrophobic nature of ethylcellulose polymer which retards release for longer period. But when, Formulation F3 and F4 was prepared with combination of hydrophilic and hydrophobic polymer they released 97.31±0.81 and 96.59±0.10 % at the end of 24hrs respectively. Based on the above results it was known that only formulations F1 shown a good release profile at the end of 24hrs. It is due to the hydrophilic nature of HPMC K200M polymer which increased the release profile.

 

Drug release study:

The kinetic data of all the formulations are shown in Table 5. When the data were plotted according to zero-order equation, the formulations showed correlation coefficient values between  0.7324  to 0.7998. But when the data were plotted according to the first order equation, the formulations showed significantly higher correlation coefficient vales than the zero-order plots i.e. from 0.9048 to 0.9902. Hence, the results revealed that all the formulations (F-1 to F-4) release the drug by first-order kinetics. To ascertain, the drug release mechanism the in-vitro release data were also subjected to Higuchis diffusion plots and Peppas plots and the correlation coefficient values were in the range of 0.9279 to 0.9579 and 0.5677 to 0.6701 respectively. So it confirms that, the calculated r values for Higuchi plot and Peppas plots were nearer to one (1) in all the cases suggesting that drug released by diffusion mechanism. The value of n indicates the drug release mechanism related to the geometrical shape of the delivery system, if the exponent n = 0.5, then the drug release mechanism is Fickanian diffusion. If n < 0.5 the mechanism is quasi-Fickanian diffusion, and 0.5 < n < 1.0, then it is non-Fickanian or anamolous diffusion and when n = 1.0 mechanism is non-Fickanian case ІІ diffusion, n > 1.0 mechanism is non-Fickanian super case ІІ. In the present study the mean diffusional exponent values (n) ranged from 0.88 to 0.91 indicating that all these formulations presented a dissolution behaviour controlled by non- Fickian Diffusion (When 0.5 < n < 1.0).

 

Stability studies:

The results of accelerated stability studies shown in Table 6 carried out according to ICH guidelines indicated that the tablets did not show any physical changes (color change, friability and hardness), assay and dissolution characteristics during the study period.

 

Figure 2: In-vitro drug release profile of Once daily sustained release matrix tablets of Terbutaline sulphate

 


 

Table 5: Kinetic Values Obtained from Different Plots of Formulations F-1 to F-4

Formulations

Zero order (R)

First order (R)

Higuchi’s (R)

Peppa’s

(R)

(N)

F-1

0.7324

0.9048

0.9279

0.5677

0.88

F-2

0.7998

0.9902

0.9579

0.6701

0.96

F-3

0.7359

0.9725

0.9290

0.5826

0.89

F-4

7539

0.9641

0.9365

0.6009

0.91

Table 6: Summary of physical properties of F-3 before and after accelerated stability studies

Parameter

Before stability studies  (Initial)

After stability studies

After 1 month

After 2 months

After 3 months

Thickness (mm)

4.32±0.22

4.32±0.28

4.32±0.12

4.32±0.56

Hardness (kg/cm2)

6.2±0.44

6.2±0.57

6.1±0.23

6.1±0.41

Friability (%)

0. 40±0.10

0. 32±0.15

0. 29±0.11

0. 26±0.19

Drug content (%)

99.12±0.92

99.02±0.92

98.87±0.11

98.75±0.51

In-vitro release study (at the end of 12 hours)

99.69±0.91 %.

99.27±0.46 %.

98.98±0.62 %.

99.81±0.38 %.

Number of trials (n) = 5

 

 


CONCLUSION:

The study was undertaken with the aim to Formulation and evaluation of once daily sustained-release matrix tablets of terbutaline sulphate using various polymers. From the above results and discussion, it is concluded that the formulation of sustained release tablet of terbutaline sulphate containing HPMC K200M and Ethylcellulose which are taken as ideal or optimized formulation for 24 hours release fulfills all the requirement of sustained release tablet. Hence, the prepared tablet improves the half-life of drug and reduces the frequency of dosage and can be successfully useful in the treatment of nocturnal asthma.

 

ACKNOWLEDGEMENTS:

Authors thank to Franco Indian Pharmaceuticals Pvt Ltd., Mumbai for providing a gift sample of Terbutaline sulphate. The authors are also thankful to Mr. Devilal, Assistant professor, Bhaskar Pharmacy College, R.R. District for their valuable suggestion in carrying out this research work. The authors are also thankful to Mr. Joginpally Bhaskar Rao Garu, Chairman, and Dr. A. Srinivasa Rao, Principal, Bhaskar Pharmacy College, Moinabad, R.R. District for providing the research lab facilities to carry out this research work.

 

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Received on 02.12.2012

Modified on 20.12.2012

Accepted on 02.01.2013     

© A&V Publication all right reserved

Research Journal of Pharmaceutical Dosage Forms and Technology. 5(1): January- February, 2013, 27-32