In- Situ Nasal
Gel Drug Delivery: An Overview
Ravindra B. Saudagar1*, Sonika
B. Deore2
1Department of Pharmaceutical Chemistry, R.G.
Sapkal College of Pharmacy, Anjaneri,
Nashik-422213,
Maharashtra, India
2Department
of Quality Assurance Techniques, R. G. Sapkal
College of Pharmacy, Anjaneri, Nashik-
422213, Maharashtra, India.
*Corresponding Author E-mail: ravisaudagar@yahoo.com
ABSTRACT:
Intranasal Therapy has been an accepted form of
treatment in the Ayurvedic system of Indian medicine.
The nasal delivery is a feasible alternative to oral or parenteral
administration for some drug because of the high permeability of the nasal
epithelium , rapid drug absorption across this membrane and avoidance of first
pass metabolism. Prolonged drug delivery can
be achieved by various new dosage
forms like in situ gel. In situ forming
polymeric formulation are drug
delivery system that is in sol form before administration in the body ,
but once administered , undergoes gelation in situ to
form a gel. In situ nasal drug delivery system is the type of mucoadhesive drug delivery system. In situ nasal gel drug
delivery system is advantageous over the conventional drug delivery system like
sustained and prolonged release of drug , reduced frequency
of administration. Thus this review focuses on nasal drug delivery,
various aspects of nasal anatomy and physiology, nasal absorption mechanism,
and In- situ nasal gel evaluation.
KEYWORDS: Nasal
drug delivery, Nasal In-situ gel, Mucoadhesive
Drug Delivery System.
INTRODUCTION:
Oral drug delivery is the most desirable route for the
drug administration. Whenever systemic effects are indented but oral bioavailability
of some compounds has promoted the search of more effective route for the
systemic delivery. Tran mucosal route of drug delivery (i.e. the mucosal lining
of the nasal, rectal, vaginal, ocular, oral cavity) nasal mucosa is the major
route of administration to achieve faster and higher level of drug absorption [1].Therapy
through intranasal administration has been an accepted form of treatment in the
Ayurvedic system of Indian medicine.
In recent years many drugs have been shown to achieve
better systemic bioavailability through nasal route by an oral administration.
Nasal mucosa has been considered as potential administration route to achieve
faster and higher level of drug absorption because it is permeable to more
compound than gastrointestinal tract due to lack of pancreatic and enzymatic
activity, neutral pH of nasal mucous.[2] The history of nasal drug
delivery dates back to earlier topical applications drugs intended for local
effects. Nasal therapy also called ‘Nasya karma’ has
been recognized form of treatment in the Ayurvedic
system of Indian medicines .[3] In addition, intranasal drug
delivery enables dose reduction, rapid attainment of therapeutic blood levels,
quicker onset of pharmacological activity, and fewer side effects .[4]
Smart polymeric systems represent promising means of delivering the drugs,
these polymers undergoes sol-gel transition, once administered. These systems
are injectible fluids that can be introduce into body
in a minimal invasive manner prior to solidifying or gelling within the desired
or nasal cavity.[5] In -situ gel formulation offers an interesting
alternative for achieving systemic drug effects of parenteral
routes , which can be convenient, which can result unacceptability, low
bioavailability and passes first-effect. Majority of products available are
used for treatment of allergic rhinitis, migraine, cold, pain etc. The various
formulations given by nasal route includes nasal gel, spray, powders etc. Thus
nasal route is the promising alternative for other drug delivery systems.[6]
Nasal drug delivery[2]
Intranasal route
is considered for the drugs that are ineffective orally and are used
chronically where rapid entry into the circulation is desired and they require
small doses. The absorption of drugs from the nasal mucosa most probably takes
place via the aqueous channels of the membrane. Therefore, as long as the drug
is in the form of solution and molecular size is small, the drug will be
absorbed rapidly via the aqueous path of membrane. The absorption from the
nasal cavity decrease.
Advantages of intranasal drug delivery:[7,8]
§ Rapid drug absorption via highly vascularizedmucosa
§ Ease of administration, non-invasive
§ Improved bioavailability
§ Improved convenience and compliance
§ Self-administration
§ Avoidance first-pass metabolism
§ Rapid onset of action
§ Lower side effects
§ Convenient route when compared with parenteral route for long term therapy.
§ Bioavailability of larger drug molecules
can be improved by means of absorption
§ enhancer or other approach
Disadvantages of intranasal drug delivery
§ Some drug may cause irritation to the nasal
mucosa.
§ Nasal congestion due to cold or allergies
may interfere with absorption of drug.
§ Drug delivery is expected to decrease with
increasing molecular weight.
§ The amount of drug reaches to different
regions of the brain and spinal cord varies with each agent.
§ Frequency use of this route leads to
mucosal damage.
Anatomy and physiology of nose:
The nasal cavity
is divided into two halves by the nasal septum and extends posterior to the nasopharynx, while the most anterior part of the nasal
cavity, the nasal vestibule, opens to the face through the nostril Breathing
and olfaction are the major function of human nose. But is also functioned as
filtration and humidification of inhaled air before reaching in lowest airway.
Nasal cavity has mucus layer and hairs, those helpful in filtration of
particles trapped in inhaled air. Additionally metabolism of endogenous
substances, mucociliary clearance also functions of
nose. The human nasal cavity has a total volume of about 16-19ml and total
surface area of about 180cm2 and is divided into two nasal cavities via septum.
The volume of each cavity is approximately 7.5ml having surfaced around 75cm2.[9]
Fig. 1 Structure of the Nose
Three region can be distinguished in each part
1) The
Respiratory region
The respiratory
region is the largest having the highest degree of vascularity,
and is mainly responsible for systemic drug absorption. The respiratory
epithelium is composed of four types of cells namely-non ciliated, ciliated columnar
cells, basal cells, goblet cells. These cells facilitate active transport
processes such as the exchange of water and ions between cells and motility of
cilia. (10,11)
2) The
Olfactory region:
It is of about
10 cm2 in surface area and it plays a vital role in transportation of drugs to
the brain and the CSF. The olfactory region is located on the roof of the nasal
cavities, just below the cribriform plate of the ethmoid bone, which separates the nasal cavities from the
cranial cavity. The olfactory tissue is often yellow in color, in contrast to
the surrounding pink tissue. The olfactory epithelial layer predominantly
contains three cell types: the olfactory neural cells, the subtentacula
cells and the basal cells. [12,13]
3) The
Vestibular region:
It is anterior
part of nasal cavity. Surface area is is 0.6 cm 2
.Nasal portion is covered by a stratified squamous
keratinized epithelial with sebaceous gland. It is located at the opening of
nasal passages and is responsible for filtering out the air borne particles.
Drug absorption is very difficult in this region but it afforded high
resistance against toxic environment. [14,15]
Mechanism of drug absorption by nasal route:
The absorbed
drugs from the nasal cavity must pass through the mucous layer. It is the first
step in absorption. Small, unchanged
drugs easily pass through this layer but large, charged drugs are difficult to
cross it. The principle protein of the mucous is mucin
has the tendency to bind to the solute, hindering diffusion. [16]
The three mechanism are as
follows:
1) First mechanism- Also
known as paracellular transport this utilizes the
aqueous route of transport and is slow and passive. . There is an inverse log-log
correlation between intranasal absorption and the molecular weight of water
soluble compounds. The molecular weight greater than 1000 Daltons show poor
bioavailability .[15]
2) second mechanism- also known as trancellular route which utilizes the lipoidal
route for transport of lipophilic drugs.
3) Drugs also cross cell membrane by an active
transport routevia carrier mediated or transport
through the opening of tight junction.
In-Situ Gelling System:
a) Gel:
Gel is the state which exists between solid and liquid
phase. The solid component comprises a three dimensional network of interlinked
molecules which immobilizes the liquid -
In-situ gelation is a process of gel formation at the
site of action after the phase .[16]
b) In–situ
delivery system:
Formulation has been applied at the site. In-situ gel
phenomenon based upon liquid solution of drug formulation and converted into
semi- solid mucoadhesive key depot. It permits the
drug must be delivered in a liquid form or solution form.[17]
In-Situ gelation is a
process of gel formation at the site of application after the composition or
formulation has been applied to the site. In the field of human and animal
medicine, the sites, topical application sites, surgical sites and other agents
are brought into contact with tissues or body fluids. As a drug delivery agent,
the in-situ gel has an advantage related to the gel being formed in-situ
providing sustained release of the drug. At the same time, it permits the drug
to be delivered in liquid form. This new concept of production a gel in –situ
was suggested first time in early 1980s. In-situ means a Latin word at the
place. Both natural and synthetic polymers are used for production of in-situ
gels. In-situ gel forming drug delivery system are principle, capable of
releasing drug in sustained manner maintaining relatively plasma profiles. [18]
Principle
of gelling system:
The principle involving the In-situ gelling of nasal
formulation is that the formulation imbibe in the nasal fluid after administration and forms
gel into the nasal cavity. In the nose, the
mucous lower layer comes and goes
around the cilia, forwarding the propulsion phase, backward in the preparatory
phase, cilia extremity scrapes the upper layer of mucous penetrating it almost
0.5 mm. Ciliary
situated backwards help to remove
any obstacle if there is any interference in the propulsion phase. After
the formulation of the gel, dissolution occurs and the mucociliary removal
towards the nasopharynx occurs. [6]
Ideal drug
candidate:[19,20]
·
Appropriate nasal
absorption properties.
·
The drug should not cause nasal irritation.
· Low dose. Generally, ≤ 25 mg per dose.
· The drug must not possess toxic nasal
metabolites.
·
No offensive odours/aroma
associated with the drug.
·
The drug has aqueous
solubility to provide to the desired in a 25-150μl volume of formulation
administered per nostril.
·
Suitable stability characteristics.
Advantages
of In-situ nasal gel[21]
§ Prolong drug release
§ Reduced systemic side effect
§ Reduced number of application
§ Ease of administration
§ Reduced frequency of administration
§ Better patient compliance
Properties
of Nasal In-situ Gel[22]
a) It should be low viscous.
b) It should be free flowing to allow for reproducible
administration to the nasal cavity, as droplet mist or as spray.
c) Nasal in-situ gel should have long residence time.
d) The nasal in-situ gel follows phase transition
mechanism and to stand with shear forces in the nasal cavity wall .
Approaches
of an In-situ Gelling system:
The various approaches for in situ gelling system
1)Stimuli
response in situ gel system
a)Temperature induced in situ gel system
b)pH induced in
sit gel systems
2)Osmotic ally induced in situ gelling system
3) Chemically induced in situ gelling system
a)Ionic cross
liking
b)Enzymatic
cross linking
c)Photo-polymerization
1) Stimuli responsive in situ gelling system:
Physical or chemical
changes in response to small external changes in the environmental condition
a) Temperature induced in situ gel system:
Temperature is
the most widely used stimulus in environmentally responsive polymer systems.
The change of temperature is not only relatively easy to control, but also
easily applicable both in vitro and in vivo. In this system, gelling of the
solution is triggered bychange in temperature, thus
sustaining the drug release. These hydrogels are liquid
at room temperature (20–25°C) and undergo gelation
when in contact with body fluids (35– 37°C), due to an increase in temperature
The polymers which show temperature induced gelation arepoloxamers or pluronics,
cellulose derivatives (methyl cellulose, HPMC, ethyl (hydroxyl- ethyl) cellulose
(EHEC) and xylogluca etc. [23,24]
b) pH induced in situ gel system:
Polymers
containing acidic or alkaline functional groups that respond to changes in pH
are called pH sensitive polymers.
Gelling of the solution is triggered by a change in pH.
At pH 4.4 the formulation is a free-running solution which undergoes
coagulation when the pH is raised by the body fluid to pH 7.4. The polymers
which shows pH induced gelation are cellulose acetate
phthalate(CAP)Latex, Carbomer and its derivatives polyvinylacetyldiethyl amino acetate (AEA), Polymeth- acrilic acid (PMMA),
polyethylene glycol (PEG).
2) Osmotic ally induced in –situ gelling system:
In this method,
gelling of the solution instilled is triggered by change in the ionic strength.
It is assumed that the rate of gelation depend on the
osmotic gradient across the surface of the gel.
3 ) Chemically induced in situ gelling system:
The chemical
reaction which forms in situ gel system are cross linking, enzymatic cross
linking , and photo-polymerization .
a) Ionic cross linking
Certain ion
sensitive polysaccharides such as carragenan, Gellan gum (Gelrite), Pectin,
Sodium Alginate undergo phase transition in presence of various ions such as K+
, Ca2+, Mg2+,Na+. These polysaccharides fall into the class of ion-sensitive
ones. For example, Alginic acid undergoes gelation in presence of divalent/polyvalent cations e. g. Ca2+ due to the interaction.[26]
b) Enzymatic cross linking:
In situ
formation catalyzed by natural enzymes has not been investigated widely but
seems to have some advantages over chemical and photochemical approaches. For
example, an enzymatic process operates efficiently under physiologic conditions
without need for potentially harmful chemicals such as monomers and initiators
.[27]
c) Photo- polymerization:
In sit
photo-polymerization has been used in biomedical applications for over more
than decade. A solution of monomers or reactive macromere and initiator can be
injected into a tissues site and the application of electromagnetic radiation used
to form gel. Acryl ate or similar polymerizable
functional groups are typically used as the polymerizable
groups on the individual monomers and macromere because they rapidly undergo
photo-polymerization in the presence of suitable photo initiator .[28]
Ideal Characteristics of Polymer used on Nasal In-situ
gel:[2,29]
· It should be non -toxic
· It should be biodegradable and
biocompatible.
· It should have Mucoadhesive
properties .
· It should have good tolerance.
Polymer used for the preparation of in situ gelling
system:[2]
Polymers
1 pH Sensitive Polymers-
§ Carbomer
§ Polyacrylic acid
§ Cellulose acetate phthalate
2) Temperature sensitive polymer
§ Poloxomer
§ Methyl cellulose
§ Chitosan
§ Hydroxylpropyl methyl cellulose
3) Ion sensitive polymer
§ Xanthum gum
§ Gellan gum
§ Sodium alginate
1) Polymers used in pH sensitive
In-Situ gelling system:[2]
Carbomer:
It is high molecular weight, cross linked polyacrylic acid derivative and has a strong Mucoadhesive property. Carbopol
polymers are having very good water
sorption property. Carbopol
934 and Carbopol 981 are mostly used as gelling
agent. They swell in water upto 1000 times their
original volume and 10 times their original diameter to form a gel when exposed
to a pH environment above 4.0-6.0 because the pKa of
these polymers is 6.0 ± 0.5. If there is an addition of cellulose then it will
reduce polymer concentration and improve gelling property.
2) Temperature sensitive polymers:[2,4]
Poloxamer:
Poloxamer are water soluble
tri-block copolymer consisting of two polyethylene oxide and polypropylene
oxide core in an ABA configuration. Poloxamer
commercially also known as pluronic and has good
thermal setting property and increased drug residence time. It is used as
gelling agent, and solubilizing agent. Poloxamer gives
colorless, transparent gel. Depending upon the ratio and distribution of
hydrophilic and hydrophobic chain several molecular weights available, having
different gelling property. [ 5 , 31]
3) Polymers used of ion sensitive
in-situ gelling system:
a) Sodium alginate:[2]
Sodium alginate is a salt of alginic
acid extracted from brown algae. It is a linear block polysaccharide consisting
of two type monomers β-D-Mannuronic acid and
α-L glucuronic acid residues joined by 1,4 glycosidic linkages. It is biodegradable and non-toxic and
exhibit good Mucoadhesive property due to its
carboxylic group.
b) Gellan Gum:
Gellan gum (commercially available as Gelrite TM or Kelcogel TM ) is an
anionicdeacetylatedexocellular polysaccharide secreted by Pseudomonas elodea
with atetrasaccharide repeating unit of one α-L-rhamnose,
one β-D-glucuronic acid and two β-Dglucuronic acid residues It has the tendency of gelation which is temperature dependent or cations induced . This gelation
involves the formation of double helical junction zones followed by aggregation
of the double helical segments to form a three-dimensional network by complication
with cations and hydrogen bonding with water.35The
sol-gel transition process is induced by the presence of monovalent
or divalent ions such as Na+ and Ca2+.such as temperature and pH responsive
gels, have, on the other hand, appeared more frequently in nasal drug delivery
studies and have been shown to increase the residence time and improve drug
absorption.[31]
Cellulose
Derivative:
There are many
pharmaceutical grade derivatives of cellulose widely used in different
Administration routes. Several cellulose derivatives have proved to be
effective on enhancing. The intranasal absorption of drugs, including soluble
cellulose derivatives such as Hydroxypropyl
methylcellulose, hydroxypropyl cellulose [HPC],
methylcellulose [MC], and insoluble
cellulose derivatives such as ethyl cellulose and microcrystalline cellulose
[MCC]. Using celluloses as absorption enhancer can lead to improved intranasal
absorption and increased bioavailability.[32]
Evaluation of in-situ gel:
1)Clarity:
The clarity of
formulated solution can be determined by visual inspection under and white
background.[33]
2)Viscosity:
The viscosity
and rheological properties of the polymeric formulation, either in solution or
in gel made with artificial tissue fluid were determined with different
viscometer like Brookfield viscometer. [34]
3)Texture analysis:
The firmness,
consistency and cohesiveness of formulation are assessed using texture analyzer
which mainly indicates the syringability of sol so
the formulation can be easily administered in vivo. [33, 34]
4) Gel Strength:
This parameter
can be evaluated using a rheometer. Depending on the
mechanism of the gelling agent used, a specified amount of gel is prepared in a beaker ,from
the sol form .This gel containing beaker is raised at a certain rate, so
pushing a probe slowly through the gel. The can be measured as a function of
depth of immersion of the probe below the gel surface. [35]
5 ) In vitro drug
release studies:
For the in situgel formulations to be administered by oral, ocular or
rectal routes, the drug release studies
are carried out by using the plastic dialysis cell. The cell is made up of two
half cells, donor compartment and a receptor compartment. Both half cells are
separated with the help of cellulose membrane. The sol form of the formulation
is placed in the donor compartment. The assembled cell is then shaken
horizontally in an incubator. The total volume of the receptor solution can be
removed at intervals and replaced with the fresh media. This receptor solution
is analyzed for the drug release using analytical technique. For inject able in
sit gels, the formulation is placed into vials containing receptor media and
placed on a shaker water bath at required temperature and oscillations rate.
Samples are withdrawn periodically and analyzed. [36, 37]
6) Sol-Gel
transition temperature and gelling time:
For in situgel forming systems, the sol-gel transition temperature
and pH should be determined. Gelling time is the time required for first
detection of gelation of in situgellingsystem. Thermo
sensitive in –situgel should be checked for in situgelling at body temperature.[38, 39]
7) pH of the gel:
For determining
the pH of the formulation of nasal in situ gel, taken 1 ml quantity of each
formulation transferred into a different beaker and diluted it with distilled
water up to 25 ml and then pH of each formulation was determined by using
pH meter.[40]
Advancement in the nasal dosage forms:
Nasal Drops:
Nasal drops are
one of the most simple and convenient system developed for nasal delivery. Due
to ease of self- administration it is becoming more popular.
Nasal Sprays:
Suspension
formulations can be formulated into nasal sprays. Due to the availability of
metered dose pumps and actuators, a nasal both solution and spray can deliver
an exact dose.
Nasal Powders:
These
formulations are developed when there is problem with stability.
Nasal Gel:
The nasal gel
showed growing interest due to reduction of post-nasal drip, high viscosity,
and reduction of taste impact due to reduced swallowing ,target delivery to
mucosa for better absorption.
Nasal Inserts:
Nasal inserts
are novel , bioadhesive, solid dosage forms for
prolonged systemic drug delivery via the nasal route.
CONCLUSION:
Nasal drug
delivery is a novel platform and it is a promising alternative route of
administration. This route provides future potential for several drugs through
the development of safe and efficacious formulation for simple, painless and
long –term therapy. Sustained and prolonged release of the drug, stability and
biocompatibility makes the in situ system very reliable. In the in situ gelling
nasal formulation, there is no need to remove the dosage form from the nasal
cavity; therefore this formulation will become the efficient way of the drug
delivery. In the future, the in situ gelling nasal drug delivery will continue
to advance and will represent a viable alternative to the oral and inject able
routes of administrations. Bioavailability of nasal drug products is one of the
major challenges in the nasal product development.
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Received on 29.10.2015 Modified on 24.12.2015
Accepted on 08.01.2016 ©A&V Publications All right reserved
Res. J. Pharm.
Dosage Form. & Tech. 8(1): Jan.-Mar. 2016; Page 09-14
DOI: 10.5958/0975-4377.2016.00001.X