Fast Dissolving Tablets- A Review
and Recent Advances in Manufacturing Technologies
K Sonu Sharma1* Rashmi
Sharma3 and G Vidya Sagar2
1Suresh
Gyan Vihar University, Jaipur, Rajasthan.
2Veerayatan institute
of Pharmacy, Bhuj,
Kutch, Gujarat
3Mahatama
Jyoti Rao Phule University, Jaipur, Rajasthan.
ABSTRACT:
Tablet swallowing difficulty primarily affects the
geriatric and pediatric populations whereas unpalatable taste of drugs leads to
patient non-compliance. To reduce these problems, a new dosage form
known as Fast-Dissolving Tablet (FDT), is a tablet that dissolves or disintrigrants in the oral cavity without the need of water
or chewing. It has been developed for oral administration, also called as fast-melt, rapimelts, porous tablets ,or fast disintegrating or orally
disintegrating tablets (ODTs). In April 2007, the FDA issued a draft guidance, Guidance
for Industry: Orally Disintegrating Tablets. Fast dissolving tablets can be
prepared by various conventional methods like direct compression, wet
granulation, moulding, spray drying, freeze drying, Cotton Candy Process and
sublimation. In 1986, the first lyophilized fast-dissolving technology Zydis® was introduced (By Cardinal formerly R. P. Scherer)
after that there was a continuous growth in names by different companies, now a
number of fast-dissolving formulations are in market and the technology is
still improving. Present review focuses on the need of FDTs, their advantages
and comparative evaluation of latest technologies.
KEYWORDS:
fast dissolving
tablet, orasolv, durasolv,
patents
INTRODUCTION:
Fast dissolving tablets (FDT) are solid unit dosage forms
which disintegrate or dissolve rapidly in the mouth without chewing and water.
FDTs are also called as fast melt, fast disintegrating or orally disintegrating
tablets. In April 2007, the FDA issued draft guidance, Guidance for Industry: Orally
Disintegrating Tablets. It considers ODTs to be solid oral preparations
that disintegrate rapidly in the oral cavity with an in vivo disintegration
time of approximately 30 seconds or less, when based upon the USP
disintegration test method or alternative.1
Advantages of FDTs over conventional dosage
forms
FDTs have significant advantages of both solid and liquid
dosage forms. FDTs remain solid till administration and possess dose accuracy
and stability during storage which transform into liquid form within few
seconds after its administration for easy swallowing. Besides this, rapid drug therapy intervention, convenient for administration and patient
compliant for disabled, bedridden patients and for travelers and busy people,
who do not always have access to water and
the risk of chocking or suffocation during oral administration of conventional
formulations due to physical obstruction is also avoided.
Methodology Employed For FDT Formulations:
Melt granulation:
Melt granulation technique is a process by which
pharmaceutical powders are efficiently agglomerated by a meltable
binder. The advantage of this technique compared to a conventional granulation
is that no water or organic solvents is needed. Because there is no drying
step, the process is less time consuming and uses less energy than wet
granulation. It is a useful technique to enhance the dissolution rate of poorly
water-soluble drugs, such as griseofulvin.5 This approach to prepare
FDT with sufficient mechanical integrity, involves the use of a hydrophilic
waxy binder (Superpolystate©,
PEG-6-stearate). Superpolystate© is a waxy
material with a melting point of 33–37°C and a HLB value of 9. So it will not
only act as a binder and increase the physical resistance of tablets but will
also help the disintegration of the tablets as it melts in the mouth and solublises rapidly leaving no residues.6
Phase transition process:
It is concluded that a combination of low and high
melting point sugar alcohols, as well as a phase transition in the
manufacturing process, are important for making FDTs without any special
apparatus. FDT were produced by compressing powder containing erythritol (melting point: 122 °C) and xylitol
(melting point: 93 95 °C), and then heating at about 93 °C for 15 min. After
heating, the median pore size of the tablets was increased and tablet hardness
was also increased. The increase of tablet hardness with heating and storage
did not depend on the crystal state of the lower melting point sugar alcohol.7
Sublimation
In this method a subliming material like
camphor, is removed by sublimation from compressed tablets and high porosity is
achieved due to the formation of many pores where camphor particles previously
existed in the compressed tablets prior to sublimation of the camphor. A high
porosity was achieved due to the formation of many pores where camphor
particles previously existed in the compressed mannitol
tablets prior to sublimation of the camphor. These compressed tablets which
have high porosity (approximately 30%) rapidly dissolved within 15 seconds in
saliva.8 Granules containing nimusulide,
camphor, crospovidone, and lactose were prepared by
wet granulation technique. Camphor was sublimed from the dried granules by
vacuum exposure.9 Conventional methods like dry granulation, wet
granulation and direct compression with highly soluble excipients,
super disintegrants and/or effervescent systems can
also be used.
Three-dimensional Printing (3DP):
Three-dimensional printing (3DP) is a rapid prototyping
(RP) technology. Prototyping involves constructing specific layers that uses
powder processing and liquid binding materials. A novel fast dissolving drug
delivery device (DDD) with loose powders in it was fabricated using the three
dimensional printing (3DP) process. Based on computer-aided design models, the
DDD containing the drug acetaminophen were prepared automatically by 3DP
system.10 It was found that rapidly
disintegrating oral tablets with proper hardness can be prepared using TAG. The
rapid disintegration of the TAG tablets seemed due to the rapid water
penetration into the tablet resulting from the large pore size and large
overall pore volume.11
Mass Extrusion:
This technology involves softening of the active blend
using the solvent mixture of water-soluble polyethylene glycol and methanol and
subsequent expulsion of softened mass through the extruder or syringe to get a
cylinder of the product into even segments using heated blade to form tablets.
Spray Drying:
Maximum drug release and minimum disintegration time were
observed with Kollidon CL excipient base as compared
to tablets prepared by direct compression, showing the superiority of the spray
dried excipient base technique over direct compression technique.12
Cotton Candy Process:
This process is so named as it utilizes a unique spinning
mechanism to produce floss-like crystalline structure, which mimic cotton
candy. Cotton candy process involves formation of matrix of
polysaccharides or saccharides by simultaneous action
of flash melting and spinning. The matrix formed is partially recrystallized to have improved flow properties and
compressibility. This candy floss matrix is then milled and blended with active
ingredients and excipients and subsequently
compressed to ODT. This process can accommodate larger drug doses and offers
improved mechanical strength. However, high-process temperature limits the use
of this process.
Molding:
The molding technology results in tablets with an
appropriate dissolution time, even though they are characterized by poor
mechanical properties (hardness).
Lyophilization or Freeze-Drying:
Freeze-drying allows immediate dissolution of the tablets
because of their high porosity, and enhances drug stability, especially for
moisture-sensitive substances; on the other hand, a porous network is
associated with low physical resistance and high friability. Special packaging
is required in some cases.
Patented FDTs Technologies:
Zydis technology:
Zydis® was introduced By R. P. Scherer Corporation (a wholly
owned subsidiary of Cardinal Health, Inc.) in 1986. The Zydis
process requires the active ingredient to be dissolved or suspended in an
aqueous solution of water-soluble structure forming additives then the mixture
is poured into the preformed blister pockets of a laminate film and
freeze-dried. This results in a tablet shaped dosage form that spontaneously
disintegrates in mouth in seconds. The two most commonly used structural
additives are gelatin and mannitol although some
other (e.g., starches, gums, etc.) may be used depending on the properties of
the active ingredient. As a general rule, the best physical characteristics are
achieved by using a mixture of a water-soluble polymer and a crystalline sugar
alcohol or amino acid at a typical combined concentration of 10% w/w in the
matrix solution. The polymer gives the strength and resilience while the
crystalline component gives the hardness and texture.13
Lyoc (Laboratoires L. Lafon, Maisons Alfort , France ) :
Lyoc utilizes a freeze drying process but differ from Zydis in that the product is frozen on the freeze dryer
shelves. To prevent in homogeneity by sedimentation during this process, these
formulations require a large proportion of undissolved
inert filler (mannitol), to increase the viscosity of
the in process suspension. The high proportion of filler reduces the potential
porosity of the dried dosage form and results in denser tablets with
disintegration rates that are comparable with the loosely compressed fast melt
formulations.13
Flashtab technology:
This is patented by Ethypharm France . This technology includes granulation of excipients by wet or dry granulation method followed by
compression into tablets. Excipients used in this
technology are of two types. Disintegrating agents include reticulated polyvinylpyrrolidine or carboxy
methylcellulose. Swelling agents include carboxymethylcellulose,
starch, modified starch, microcrystalline cellulose, carboxy
methylated starch, etc. These tablets have
satisfactory physical resistance
Orasolv technology:
This technology is patented by CIMA Labs. This includes
use of effervescent disintegrating agents compressed with low pressure to
produce the ODT. The evolution of carbon dioxide from the tablet produces
fizzing sensation, which is a positive organoleptic
property. Concentration of effervescent mixture usually employed is 20-25% of
tablet weight.
Durasolv technology:
This technology is patented by CIMA Labs. The tablets
produced by this technology utilize the conventional tableting
equipment. Tablets in this are formulated by using drug, nondirect
compression fillers, and lubricants.
WOW tab technology:
Yamanouchi patented this technology. WOW means without
water. This technology utilizes conventional granulation and tableting methods to produce ODT employing low- and
high-moldable saccharides. It is used for both
water-soluble and insoluble drugs, the breakthrough WOWTAB™ technology provides
quick, convenient and consistent dosing for patients of all ages having
swallowing difficulties.
Pharmaburst technology:
Pharmaburst™ is a “Quick Dissolve” delivery system patented by SPI Pharma. Pharmaburst is a
co-processed excipient system with specific excipients,
which allows rapid disintegration and low adhesion to punch faces.14
Advantol™ 200:
Advantol™ 200 is a directly compressible excipient system
offering "Soft-Melt" functionality and specially formulated for nutraceutical applications. SPI Pharma’s
Advantol platform uses proprietary co-processing
technology. Advantol requires no special
manufacturing equipment or tooling. Advantol
formulations utilize a standard rotary tablet press with standard tooling under
normal tableting temperature and humidity conditions
to make robust “soft-melt” tablets.15
Frosta technology:
Akina patents this technology. It utilizes the concept of
formulating plastic granules and compressing them at low pressure to produce
strong tablets with high porosity. Plastic granules composed of porous and
plastic material, water penetration enhancer, and binder. The process involves
mixing the porous plastic material with water penetration enhancer followed by
granulating with binder. The tablets obtained have excellent hardness and rapid
disintegration time ranging from 15 to 30 sec depending on size of tablet.
Advatab:
AdvaTab tablets disintegrate rapidly in the mouth, typically in
less than 30 seconds, to allow for convenient oral drug administration without
water. These tablets are especially suited to those patients that experience
difficulty in swallowing capsules and tablets. AdvaTab
is distinct from other ODT technologies as it can be combined with Eurand’s complimentary particle technologies like its world
leading Microcaps® taste-masking
technology and its Diffucaps® , controlled
release technology. The pairing of AdvaTab with Microcaps creates products that offer the dual advantage of
a patient preferred dosage form, together with a superior taste and smooth
mouth feel. This is a critical advantage as the unpleasant taste of drugs is a
significant restriction in the application of other ODT technologies.16
There are no particular limitations as long as it is a
substance which is used as a pharmaceutical active ingredient.
Aloxiprin, Auranofin, Azapropazone, Benorylate, Diflunisal, Etodolac, Fenbufen, Fenoprofen Calcim, Flurbiprofen, Ibuprofen, Indomethacin, Ketoprofen, Meclofenamic Acid, Mefenamic
Acid, Nabumetone, Naproxen, Oxaprozin,
Oxyphenbutazone, Phenylbutazone,
Piroxicam, Sulindac.
Albendazole, Bephenium Hydroxynaphthoate,
Cambendazole, Dichlorophen,
Iverrnectin, Mebendazole, Oxarnniquine, Oxfendazole, Oxantel Embonate, Praziquantel, Pyrantel Embonate, Thiabendazole.
Anti-Arrhythmic Agents:
Amiodarone, Disopyramide, Flecainide Acetate, Quinidine Sulphate,
Benethamine Penicillin, Cinoxacin,
Ciprofloxacin, Clarithromycin, Clofazimine,
Cloxacillin, Demeclocycline,
Doxycycline, Erythromycin, Ethionamide,
Imipenem, Nalidixic Acid, Nitrofurantoin, Rifampicin, Spiramycin, Sulphabenzamide, Sulphadoxine, Sulphamerazine, Sulphacetamide, Sulphadiazine, Sulphafurazole, Sulphamethoxazole,
Sulphapyridine, Tetracycline, Trimethoprim.
Dicoumarol, Dipyridamole, Nicoumalone, Phenindione.
Anti-Depressants: Amoxapine, Ciclazindol,
Maprotiline, Mianserin, Nortriptyline, Trazodone, Trimipramine Maleate., Acetohexamide, Chlorpropamide,
Glibenclamide, Gliclazide, Glipizide,
Tolazamide, Tolbutamide.
Beclamide, Carbamazepine, Clonazepam, Ethotoin, Methoin, Methsuximide, Methylphenobarbitone, Oxcarbazepine,
Paramethadione, Phenacemide,
Phenobarbitone, Phenytoin, Phensuximide, Primidone, Sulthiame, Valproic Acid.
Amphotericin, Butoconazole Nitrate, Clotrimazole, Econazole Nitrate, Fluconazole, Fiucytosine, Griseofulvin, Itraconazole, Ketoconazole, Miconazole, Natamycin, Nystatin, Sulconazole Nitrate, Terbinafine,
Terconazole, Tioconazole, Undecenoic Acid.
Allopurinol, Probenecid, Sulphinpyrazone.
Amlodipine, Carvedilol, Benidipine, Darodipine, Dilitazem, Diazoxide, Felodipine, Guanabenz Acetate, Indoramin, Isradipine, Minoxidii, Nicardipine, Nifedipine, Nimodipine, Phenoxybenzamine, Prazosin, Reserpine, Terazosin.
Amodiaquine, Chloroquine, Chlorproguanil, Halofantrine, Mefloquine, Proguanil, Pyrimethamine, Quinine Sulphate.
Anti-Migraine Agents: Dihydroergotamine Mesyiate, Ergotamine Tartrate, Methysergide Maleate, Pizotifen Maleate, Sumatriptan Succinate.
Atropine, Benzhexol,
Biperiden, Ethopropazine, Hyoscine Butyl Bromide, Hyoscyarnine,
Mepenzolate Bromide, Orphenadrine,
Oxyphencylcimine, Tropicamide.
Aminoglutethimide, Amsacrine, Azathiopnne, Busulphan, Chlorambucil, Cyclosporin, Dacarbazine, Estramustine, Etoposide, Lomustine, Melphalan, Mercaptopurine, Methotrexate, Mitomycin, Mitotane, Mitozantrone, Procarbazine, Tamoxifen Citrate, Testolactone.
Benznidazole, Clioquinol, Decoquinate, Diiodohydroxyquinoline,
Diloxanide Furoate, Dinitolmide, Furzolidone, Metronidazole, Nimorazole, Nitrofurazone, Omidazole, Tinidazole.
Carbimazole, Propylthiouracil.
Alprazolam, Amyiobarbitone, Barbitone, Bentazeparn, Bromazepam, Bromperidol, Brotizoiam, Butobarbitone, Carbromal, Chlordiazepoxide, Chlormethiazole, Chlorpromazine, Clobazam,
Clotiazepam, Clozapine,
Diazepam, Droperidol, Ethinamate,
Flunanisone, Flunitrazepam,
Fluopromazine, Flupenuiixol
Decanoate, Fluphenazine Decanoate, Flurazepam,
Haloperidol, Lorazepam, Lormetazepam,
Medazepam, Meprobamate, Methaqualone, Midazolam, Nitrazepam, Oxazepam, Pentobarbitone, Perphenazine Pimozide, Prochlorperazine, Suipiride, Temazepam, Thioridazine, Triazolam, Zopiclone.
Acebutolol, Alprenolol, Atenoiol, Labetalol, Metoptolol, Nadolol, Oxprenolol, Pindolol, Propranolol.
Amrinone, Digitoxin, Digoxin, Enoximone, Lanatoside C, Medigoxin.
Corticosteroids:
Beclomethasone, Betamethasone, Budesonide, Cortisone Acetate, Desoxymethasone,
Dexamethasone, Fludrocortisone
Acetate, Flunisolide, Flucortolone,
Fluticasone Propionatu,
Hydrocortisone, Methylprednisolone, Prednisolone, Prednisone, Triamcinolone.
Acetazolarnide, Amiloride, Bendrofluazide, Bumetanide, Chlorothiazide, Chlorthalidone, Ethacrynic Acid, Frusemide, Metolazone,
Spironolactone, Triamterene.
Enzymes
: All The Enzymes.
Bromocriptine Mesylate, Lysuride
Maleate.
Bisacodyi, Cimetidine, Cisapride, Diphenoxylate, , Domperidone, Famotidine, Loperamide, Mesalazine, Nizatidine, Omeprazole, Ondansetron,
Ranitidine, Sulphasaiazine.
Acrivastine, Astemizole, Cinnarizine, Cyclizine, Cyproheptadine, Dimenhydrinate, Flunarizine, Loratadine, Meclozine, Oxatomide, Terfenadine, Triprolidine.
Bezafibrate, Clofibrate,Fenofibrate,
Gemfibrozil, Probucol.
Lidocaine
Pyridostigmine.
Amyl Nitrate, Glyceryl Trinitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Pentaerythritol Tetranitrate.
Betacarotene, Vitamin A, Vitamin B 2 ,
Vitamin D, Vitamin E, Vitamin K.
Codeine, Dextropropyoxyphene, Diamorphine,
Dihydrocodeine, Meptazinol, Methadone, Morphine, Nalbuphine, Pentazocine.
Vaccines Designed To Prevent Or
Reduce The Symptoms Of Diseases Of Which The Following Is A Representative
Influenza, Tuberculosis, Meningitis, Hepatitis, Whooping
Cough, Polio, Tetanus, Diphtheria, Malaria, Cholera, Herpes, Typhoid, Hiv, Aids, Measles, Lyme Disease, Travellers
Diarrhea, Hepatitis A, B And C, Otitis Media, Dengue
Fever, Rabies, Parainfluenza, Rubella, Yellow Fever,
Dysentery, Legionnaires Disease, Toxoplasmosis, Q-Fever, Haemorrhegic Fever, Argentina Haemorrhagic
Fever, Caries, Chagas Disease, Urinary Tract
Infection Caused By E.Coli, Pneumoccoccal
Disease, Mumps, File://H:\Gits Mdt\Fast Dissolving
Tablet The Future Of Compaction And Chikungunya.
Insulin(Hexameric/Dimeric/Monomeric Forms), Glucagon, Growth Hormone (Somatotropin), Polypeptides Or Their Derivatives,
(Preferably With A Molecular Weight From 1000 To 300,000), Calcitonins
And Synthetic Modifications Thereof, Enkephalins, Interferons (Especially Alpha-2 Inter Feron
For Treatment Of Common Colds).
Clomiphene Citrate, Danazol, Ethinyloestradiol, Medroxyprogesterone
Acetate, Mestranol, Methyltestosterone,
Norethisterone, Norgestrel,
Oestradiol, Conjugated Oestrogens,
Progesterone, Stanozolol, Stiboestrol,
Testosterone, Tibolone.
Amphetamine, dexamphetamine, dexfenfluramine, fenfluramine, mhazindol, pemoline.
There are no particular limitations on the amount of
these drugs to be mixed as long as it is the usual effective treatment amount.
It should be around 50 weight/weight % or below of the entire tablet, and is
preferably 20 weight/weight % or below.
Optimal disintegration properties often have medium to
small size and /or high friability and low hardness. Breakage
of tablet edges during handling and tablet rupture during the opening of
blister alveolus, all result from insufficient physical resistance.
Evaluation Of Fast Dissolving Tablet21, 22
The mouth disolving tablets are to be evaluated
for following tests:
General appearance, size and shape, table in vivo dsintegration
testt thickness, uniformity of weight, tablet
hardness, friability, wetting time, and stability testing of drug
(temperature dependent stability studies)
Marketed Fast Dissolving Tablets in India
Name
of the |
Active |
Imodium
Lingual |
Imodium |
Pepcidin Rapitab |
Quick
releasing antiulcer |
Mosid – MT |
Mouth
melt tablet of Mosapride |
Calritin Reditabs |
Immediate
Dissolving formulation of Calritin |
Nimulid – MD |
Nimesulide |
Zyrof Meltab |
Rofecoxib |
Claritin
Reditab |
micronized
loratadine |
Feldene Melt |
piroxicam (10 or 20 mg), |
Maxalt-MLT |
rizatriptan (5 or 10 mg), |
Pepcid RPD |
famotidine (20 or 40 mg), |
Zyprexa Zydis |
olanzapine (5, 10, 15 or 20 mg), |
Zofran ODT |
ondansetron (4 or 8 mg), |
Remeron Soltab |
mirtazepine (15, 30, or 45 mg), |
CONCLUSIONS:
The FDTs have potential advantages
over conventional oral dosage forms with their improved patient compliance;
convenience, bioavailability and rapid onset of action which drawn the
attention of many manufactures over a decade. FDT formulations obtained by some
of these technologies have sufficient mechanical strength, quick
disintegration/dissolution in the mouth. Many drugs can be incorporated in FDT
especially unpalatable drugs. The research is still going on. More products
need to be commercialized to use this technology properly. Thus FDT may be
developed for most of the available drugs in near future.
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15. http://www.spipharma.com/default.asp?contentID=621
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delivery system containing piroxicam, Eur. J. Pharm.
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Received on 19.12.2009
Accepted on 12.02.2010
© A&V Publication
all right reserved
Research
Journal of Pharmaceutical Dosage Forms and Technology. 2(2): March –April.
2010, 120-124