INTRODUCTION Tablets are solid preparations each containing asingle dose of one or more active substances andusually obtained by compressing uniform volumes ofparticles. Tablets are intended for oraladministration. Some are swallowed whole, after being chewed, some are dissolved or dispersedin water before being administered and some areretained in the mouth where the active substance isliberated [1] .Tablets are the most widely used dosage formbecause of its convenience in terms of self administration, compactness and ease in manufacturing. But paediatric and geriatric patients may encounter inconvenience in swallowing it. To overcome INTERNATIONAL J OURNAL OF MODERN PHARMACEUTICAL RESEARCH Research Article ABSTRACT
In present research work, dispersible tablets of cefixime were formulated using direct compression technique using various granulation techniques and different disintegrating agents by various Pharmaceutical Exicipients. Cefixime is an advanced-generation, broad-spectrum cephalosporin antibiotic approved for the treatment of acute bacterial exacerbation of chronic bronchitis (AECB), group-A beta haemolytic streptococcal pharyngotonsillitis, and uncomplicated skin/skin structure infections in adult and adolescent patients. Cefixime has slightly bitter taste, poor flow propertyand poor water solubility. In this research work, initially the poor flow property was improved by comparing various granulation techniques via Trial-1 wet granulation, Dry granulation Trial-2 Lactose, Micro crystalline cellulose powder (MCCP), Carboxymethylcellulose (CMC) Calcium, Sodium lauryl Sulphate (SLS), and Croscarmellose Sodium (CCS) and Polyvinylpyrrolidone (PVP) K30 and Trial-3 by Dry granulation MCCP, Maize starch and PVP K30. The optimized formulation i.e. Trial-3MCCP, Maize starch, PVP K30 was incorporated with various Disintegrnat like SSG, CCS and Crospovidone which is encoded as Trial-3A, Trial-3B and Trial-3C respectively. The prepared tablets were evaluated by various post-compession parameters. Among 3 Batches Trial-3C using Crospovidone was found optimized since it had expressed Disintegrating Timeof 20 sec and 99.98 0.023 % CDR within 55min and furthermore also found better when compared with other marketed ODT of Cefixime.
ISSN 2319 5878
Available at www.ijmpronline.com 32 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
this problem, in recent years increasingattention has been focused in formulating fastdissolving and dispersible tablets that are intended todissolve or disintegrate rapidly in the mouth. Tabletdisintegration has been considered as the ratelimiting step in faster drug release. [2]
Recent advances in Novel Drug Delivery System(NDDS) aims to enhance safety and efficacy of drugmolecule by formulating a convenient dosage formfor administration and to achieve better patientcompliance. Tablets are the most widely utilized oraldose format. A novel tablet concept which offers easeof oral administration and increasedpatient compliance is the fastdissolving/disintegrating tablet (FDDT) [3] . Dispersible tablets are uncoated tablets intended tobe dispensed in water before administration giving ahomogenous dispersion. The tablets produced musthave the ability to form adequate dispersion which isuniform and stable when placed in water. The chiefadvantage is quicker absorption and onset of clinicaleffects. They are generally prepared for geriatric or paediatric patients or for those who are havingdifficulty in swallowing tablets. They comprise oftotally water soluble excipients and components.Dispersible tablets disintegrate either rapidly inwater, to form a stabilized suspension, so, its preferred for paediatric patients who cannot swallow asolid dosage form and the API is unstable ifformulated in liquid formulation, also helpful forpatients having prolonged illness who are prone tonauseatic sensations if they have to swallow a tablet.The added advantage of this formulation is fasteronset of action as compared to standard compressedtablet. [4] The properties of the water dispersible tablet,such as porosity, hardness, disintegration time andincrease in viscosity after dispersion are necessary toinvestigate during manufacturing which decides theproduct performance. Dispersible tablets as definedin Ph. Eur. are uncoated or film coated tabletsintended to be dispersed in water beforeadministration giving a homogeneous dispersion.Typically a dispersible tablet is dispersed in about 5-15 ml of water and the resulting dispersion isadministered to the patient. [5]
Cefixime is an advanced-generation, broad-spectrum cephalosporin antibiotic approved for the treatment of acute bacterial exacerbation of chronic bronchitis (AECB), group-A betahemolytic streptococcal pharyngotonsillitis, anduncomplicated skin/skin structure infections in adult and adolescent patients. Cefixime has slightly bitter taste, poor flow propertyand poor water solubility.So in case of acutebacterial exacerbation of chronic bronchitis (AECB) group-A beta-haemolytic streptococcal pharyngo tonsillitis, and uncomplicated skin/skin structure infections it requireimmediate release of drug from the dosage form, which make Cefixime suitable candidate for dispersible tablets. [6] The purpose Available at www.ijmpronline.com 33 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
of the study to formulate Dispersible tablet of Cefixime is to provide fast release of drug, enhanced dissolution and solubility of drug, rapid onset of action may improved bioavaibility and improve dispersion of the drug in water bycompression technique using various granulation techniques and different disintegrating agents by various Pharmaceutical Exicipients and also not compared with the marketed formulations which have not been done yet. Flow properties of Pure drug and Granules Bland Angle of repose [8-13]
Where h =height of the heap and r =radius of the heap. Density and compressibility measurement [8-13]
Bulk density
Tapped density
Carrs index (or) % compressibility Carrs index (%) =[(TBD LBD) 100] / TBD Where, Dt is the tapped density of the powder. Db is the bulk density of the powder. Hausners ratio Hausner ratio is an indirect index of ease of powder flow. It is calculated by the following formula.
DRUG-EXCIPIENT PHYSICAL COMPATIBILITY STUDY [8,12] Differential scanning calorimetry (DSC) measurements were carried out on a scanning calorimeter (DSC Q10 V9.0 Build 275, UniversalV4.1D TA Instruments). The instrument was calibrated using indium as standard. Samples (5-10mg) were placed in sealed aluminium Available at www.ijmpronline.com 34 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
pans and heatedfrom 70oC to 160oC at a rate of 10oC/min undernitrogen atmosphere (60 ml/min), with empty pan asreference. General Formulation Design Cefixime Dispersible Tablet
Table 1: General Formulation Design Cefixime Dispersible Tablet Ingredients Drug excipients ratio Binder 3% Disintegrant 0.5% Diluent 1:1 Wetting agent 0.5% Lubricants 2% Glidant 1% Sweetener 2.5% Flavour 2.5%
Procedure for granulation Accurately weigh all the ingredients, Pass Lactose, MCCP, CMC Calcium, SLS, CCS from sieve no. 40#, Mix all the above sifted materials and granulate manually by binder solution of water and PVP K30, Dry the above wet mass at 60 o C for 1 hours in FBD. Dried materials sift through sieve 20#. Final sifting the remaining ingredients except Cefixime and aerosil, through sive no 40#.Cefixime and aerosil is passed through Sieve no 30#and co-sift. Magnesium stearate is sifted and kept separately.Mix all the above sifted materials with granules in polybag except magnesium stearate than mix the magnesium stearate at the time of compression for 5 minutes. [6,8]
Determination Flow properties of Granules Blend: The various flow properties like Angle of repose, Bulk density, tapped density, carrs compressibility and hausner ratio as per procedure mentioned above.
Available at www.ijmpronline.com 35 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Trial 2 by compaction of API and CMC Calcium. Trial 3 by compaction of API, CMC Calcium, CCS, SLS. Qty. taken for 1 tablet in (mg) Cefixime 100 100 100 Lactose monohydrate --- ---- ---- Granules 177 160 160 MCCP --- ---- ---- CMC Calcium --- 17 17 SLS --- ---- 2 CCS --- ---- 6 PVP K30 --- ---- ---- Pipperment DC 117 2.5 2.5 2.5 Bitter masking agent 2.5 2.5 2.5 Neotam 1 1 1 Crospovidone 2 2 2 Aerosil 3 3 3 Magnesium Stearate 3 3 3 Water Q.S ---- ----
Crosspovidone is added because of its erodision effect and better super disintegrant compare to CCS and incorporation of CCS is because of its good swelling effect which necessary to formulate a better dispersible tablet. Available at www.ijmpronline.com 36 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
Table 4: Formulation Design for using Disintegrants before Compression of Optimized Trial-3
Ingredients Trial 3A SSG Trial 3B CCS Trial 3C CROSSPOVIDONE qty. taken for 1 tablet in (mg) Cefixime 100 100 100 Granules (MCCP+MAIZE STRACH+PVP K30+WATER)
SLS added in both as intragranular and as well as extra granular because SLS intragranular plays a vital role as it act as a surface active agent which helps to disintegrate the granules while SLS added in extra granular because its help in immediate disrupt of the dispersible tablet when comes in contact with water due to insoluble in water. EVALUATION OF DISPERSIBLE TABLETS [6,8,11-14]
Weight variation Twenty tablets were weighed individually and the average weight was determined. The % deviation was calculated and checked for weight variation. Not more than 2 of the individual weight deviate from the average weight and none deviate by more than twice of that percentage. Thickness The thickness of prepared tablets was measured using a Verniercaliper. Five tablets from each batch were used for this test. The mean and standard deviation of each batch were calculated.
Available at www.ijmpronline.com 37 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
Appearance The general appearance and elegance of tablet was identified visually, which include tablet size, shape, color, presence or absence of an odor, taste, surface texture etc. Hardness Tablet hardness (tablet crushing strength) is defined as the force required for breaking a tablet in a diametric compression test. Tablets required a certain amount of hardness or strength to withstand mechanical shocks of manufacturing, packaging, and shipping. Hardness of the 5 tablets from each batch was measured using Monsanto hardness tester. Friability Friability test is performed to assess the effect of friction and shocks, which may often cause tablet to chip, cap or break. Friability of the tablets was determined using Roche Friabilator (Erection and Instrumentation Engineers). This device subjects the tablets to the combined effect of abrasions and shock in a plastic chamber revolving at 25 rpm and dropping the tablets at a height of 6 inches in each revolution. Preweighed sample of tablets were placed in the Friabilator and were subjected to 100 revolutions. Tablets were deducted using a soft muslin cloth and reweighed. The friability (f) is given by the formula.
Disintegration test The device to test disintegration use is 6 glass tubesthat are 3 inches long, open at the top and heldagainst a 10 mesh screen at the bottom end to thebasket rack assembly. To test for disintegration time,one tablet is placed in each tube, and the basket rack is positioned in a 1 litre beaker of water, Phosphate buffer pH 6.8 at body temperature such that the tablet remain 2.5 cm belowthe surface of the liquid on their upward movementand descend not closer than 2.5 cm from the bottomof beaker. A standard motor device is use to move thebasket assembly containing the tablet up and down through a distance of 5-6 cm at a frequency of 28-32cycles per minute. To be in compliance with USPstandards the tablets must disintegrate and all theparticles must pass through 10 mesh sieve in the timespecified Dissolution test of optimized Trial batch [6,8]
The tablets were evaluated for in vitro drug release was carried out using USP dissolution apparatus. The following conditions were applied. For dispersible tabletUSP Dissolution apparatus Type II (Paddle) Media Phosphate buffer pH 6.8 Volume of dissolution medium 900ml Speed of paddle rotation 50 RPM temperature 37.0 0.5C Sampling point 5, 10, 15, Available at www.ijmpronline.com 38 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
30, 45, & 60 min interval, 5ml sample withdrawn and further diluted. The absorbance was taken at 257 nm determined by UV (shimadzu-1800). Stability study [17]
The stability study was carried out for optimized formulation as per ICH guidelines (Feb. 2003). Various ICH storage conditions are available which are as 25C 2C (60% 5%RH), 30C 2C (65% 5%RH) and 40C 2C (75% 5%RH). The Cefixime DT of the best formulation were placed in screw capped glass and stored at various ICH storage condition for a period of 60 days. The samples were analyzed for physical appearance, Disintegrating Time and for the % CDR at regular interval of 15 day. [17]
RESULTS AND DISCUSSION Preformulation parametersphysical mixture Table 5: Preformulation parameters Sr. No. Bulk density gm/ml Tapped density gm/ml Carrs index % Hausners ratio Angle of repose Pure Drug 0.276 0.368 25% 1.33 46 Trial 1 0.482 0.597 14% 1.17 25 Trial 2 0.529 0.616 13% 1.14 23 Trial 3 0.623 0.717 11% 1.11 20
The taste of the Cefixime was checked and it was found very bitter, odour found pungent and colour was found yellowish white.The angle of repose for the Cefixime found 46 0 .It is compared with which indicates poor flow property.The bulk density for Cefixime was found 0.276gm/ml. The tapped density for Cefixime was found 0.368gm/ml. The Carrs index for Cefixime found 25.00%. It is compared with which indicates poor flow property. The Hausners ratio for Cefixime found to 1.33, It is compared with which indicates poor flow property. The angle of repose for the physical mixture of Cefixime found in range 20 0 to 25 0 .The bulk density for the physical mixture of Cefixime was found in range 0.482gm/ml to 0.623gm/ml.The tapped density for the physical mixture of Cefixime was found in range0.597gm/ml to 0.717gm/ml. The Carrs index for the physical mixture of the Cefixime was found in range 11% to 14%. The Hausners ratio for the physical mixture of the Available at www.ijmpronline.com 39 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
Cefixime was found in range 1.11 to 1.17. It shows that the improved flow property of the Cefixime after granulation technique and different formulation used in three trial. From Trial-1 using granules,Trial-2 using granules and compaction of API and CMC Calcium, Trial-3 using granules and compaction of API, CMC calcium, CCS, SLS.The bulk density, tapped density, carrs index,hausners ratio and angle of repose of the trial 3 shows the excellent flow property when compared to others. Post-compression parameters Post-compression parameters show all batches was evaluated for Thickness, Hardneess, D.T. and % friability and was found within I.P. limit. Trial-3 i.e. base granule-2 batch shows better results having thickness 3.81-3.85 mm, hardness 5.5-6 kg/cm 2 , friability 0.75% and lowest Disintegrating Time of 1.5 mins which was found better than other batches. So Batch Trial-3 was optimized batch for further tableting procedure. Above optimized batch Trial-3 was further incorporated with different Disintegrating agent viz SSG, CCS and Crosspovidone and batches encoded as TRIAL-3A, TRIAL-3B andTRIAL-3C respectively. The resultant formulation shows little variation in Thickness, Hardneessand % friability but remarkable difference in Disintegrating Time. The Disintegrating Time was found 2 Mins, 54 secs and 20 sec of TRIAL-3A, TRIAL-3B and TRIAL-3C respectively and further proceed for evaluating.
TRIAL- 3A (SSG) TRIAL- 3B (CCS) TRIAL-3C (CROSSPOV IDONE) Thickness 3.81-3.84 mm 3.82-3.85 mm 3.81-3.85 mm 4.81-4.84 mm 4.82-4.85 mm 4.91-5.00 mm Hardness 4-6 kg/cm 2 5-7 kg/cm 2
5.5-6 kg/cm 2
6-8 kg/cm 2
5-7 kg/cm 2
4-6 kg/cm 2
D.T. 8 mins 12 mins 1.5 mins 2 mins 54 secs 20 secs % Friability 0.7 % 0.78 % 0.75 % 0.67 % 0.8 % 0.55 % Avg. Wt. 300mg 300mg 300mg 300mg 300mg 300mg
Comparison of optimized Formulation Trial -3c with Marketed Formulations: The Optimized Batch Trial-3C was compared with marketed Cefixime brands. There were no much more differences found in all 3 compared tablets in Shape, hardness, taste, colour and % friability but D.T. was minimum of optimized formulation i.e. 20 secs comparing to Brand-1 54 secs Available at www.ijmpronline.com 40 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
and Brand-2, 1.1 mins. So it provesTrial-3C was formulation which shows better disintegration time of Cefixime Dispersible Tablet than the marketed brands.
Table 8: Comparison of Optimized Formulation Trial-3C with marketed Dispersible Formulations PARAMETERS Brand-1 Brand-2 CP DT (OPTIMIZED BATCH Trial- 3C) Avg. Wt. 300 mg 300 mg 300 mg Thickness 3.9-3.93 mm 4.13-4.15 mm 4.91-5.00 mm Hardness 5.5 kg/cm 2 4.5 kg/cm 2 4.2kg/cm 2
In-vitro Dissolution profile. The in- vitro dissolution profile of optimized batch Trial-3C shows 99.98 .5 % CDR within just 40 to 55 mins of time which is impacting that Crosspovidone fast disintegrating agent comparing to SSG and CCS
Figure 1: Dissolution Profile of Optimized Formulation Trial-3C
CONCLUSION In case of acute bacterial exacerbation of chronic bronchitis (AECB) group-A beta- haemolytic streptococcal pharyngotonsillitis, and uncomplicated skin/skin structure infections it require immediate release of drug from the dosageform, which make Cefixime suitable candidate for dispersible tablets. Initially the poor flow property was improved by comparing Available at www.ijmpronline.com 41 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
various granulation techniques and Trial-3 by Dry granulation MCCP, Maize starch and PVP K30 gives satisfactory improvement in flow properties of drug. The optimized formulation i.e. Trial-3 MCCP, Maize starch, PVP K30 was incorporated with various Disintegrnats like SSG, CCS and Crospovidone which is encoded as Trial-3A, Trial-3B and Trial-3C respectively. Among 3 Batches Trial-3C using Crospovidone was found optimized since it had expressed Disintegrating Time of 20 sec and 99.98 0.023 % CDR within 55min and furthermore also found better when compared with other marketed ODT of Cefixime.
REFERENCES 1. Rakesh P, Mona P, Prabodh S, Dhirender K, Sanju n. Orally disintegrating tablets - friendly to pediatrics and geriatric. Archives of applied science research. 2: 35-48 (2010). 2. Raymond C, Paul J, Marian. Handbook of pharmaceutical exicipients. Pharmaceutical press, 6th ed. 405, 691 (2005). 3. Formulation of tablets/Disintegrants// The Free Pharmaceutical Encyclopedia. 4. Remington. The science & practice of pharmacy published by lippincoat William &wilkein. 1: 677, 893 (2005). 5. Sureh B, Rajendra M, Ramesh G, Yamsai M,Orodispersable tablet: An overview- Asian journal of pharmaceutics. 1-11 (2008). 6. Kakumanu V, Arora K, Bansal A. Investigation of factors responsible for low oral bioavailability of cefixime. Int J Pharmaceutics. 317: 155-60 (2006). 7. Yourong, Shicheng Y.Orally fast disintegrating tablets: Developments, technologies, Taste-masking and clinical studies.Critical reviews in therapeutic drug carrier systems. 21(6):433475 (2004). 8. Rahul k, Rajarajan S. Development and characterization of antibiotic oro dispersible tablets.Int J Pharm Res. 3(3):0975-7066 (2011). 9. Lisa S, Lorraine L. Antibiotic prophylaxis with azithromycin or penicillin for childhood-onset neuropsychiatric disorders.Department of health and human services. www.elsevier.com/locate/biopsych. 10. Nahata M. Drug interactions with azithromycin and the macrolides; an overview. J antimicrobial chemo. 37:133-142 (1996). Available at www.ijmpronline.com 42 Int J Mod Pharm Res/Vol 1/Issue 2/Sup/Dec 12
Hiral et al.,Dispersible tablets of cefixime
11. Banakar U, Makoid MC. Pharmaceutical issues in drug development in The Drug Development Process for increasing Efficiency and Cost-Effectiveness. PG Well-ing, New York, NY. 117168 (1996). 12. Jefferson medical college, Philadelphia, USA. Macrolides and ketolides: azithromycin, Clarithromycin, telithromycin infectious disease clinics of North America.Infect dis clin n am. 18: 621649 (2004). 13. Effaee, Bukirwa H.Azithromycin for treating uncomplicated typhoid and Paratyphoid fever (enteric fever) (review), The Cochrane library. 4 (2008). 14. Foulds G, Luke D. The absence of an effect of food on the bioavailability of azithromycin administered as tablets, sachet or suspension. J of Antimicrobial Chemo. 37:37-44 (1996). 15. Yash P, Sarvan T, Bhupender Singh.Formulation and evaluation of taste masked dispersible tablets of zidovudine. UniverInst of Pharm Sci.4: 11-18 (2010). 16. Nilesh J, Suman M, J itendra B.Effect of super disintegrants on formulation of taste masked fast disintegrating Ciprofloxacin tablets. Int J Pharm Res. 3(1):097-106 (2010). 17. Stability information. Available at http://www.microntech.com/anlyst/stability /index.html.
American Journal of Kidney Diseases Volume 38 Issue 2 2001 (Doi 10.1053/ajkd.2001.26118) Ali Owda Sayed Osama - Hemodialysis in Management of Hypothermia
Annals of Allergy, Asthma & Immunology Volume 102 Issue 1 2009 [Doi 10.1016%2FS1081-1206%2810%2960101-9] Nelson, Harold S.; Carr, Warner; Nathan, Robert; Portnoy, Jay M. -- Update on the Safety of Long-Acting Β-Agonis