Factors Influencing Drug Absorption
Factors Influencing Drug Absorption
A-Physicochemical
Factors
I- Patient Related
Factors Factors
Affecting
Drug
Absorptio
n II- Pharmaceutical
Factors B-Dosage form
Characteristics
and
Pharmaceutical
Ingredients
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II-Pharmaceutical Factors
A-Physicochemical Factors
Particle Size and effective Surface area
Drug Solubility and Dissolution Rate
Chemical Nature
Salt Form
Crystal Form
Amorphous Form
Solvate
Complexation
Drug Pka and pH of Dissolving Medium
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Oral Cavity
Main Secretion: Saliva
pH: 7 (approx.)
Saliva contains
Ptyalin (salivary amylase)-digests starches.
Mucin, a glycoprotein that lubricates food, may also
interact with drugs.
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Esophagus
Connects pharynx and the cardiac orifice of the
stomach.
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Stomach
The stomach is a J -haped expanded bag, located just
left of the midline between the oesophagus and small
intestine.
Fasting pH is 2-6.
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Stomach: Continue…….
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Small Intestine
The small intestine is the site where most of the chemical and
mechanical digestion is carried out.
villi line the small intestine which absorbs digested food into the
capillaries.
Most of the food absorption takes place in the jejunum and the ileum.
lipids (fats) are degraded into fatty acids and glycerol; and
carbohydrates are degraded into simple sugars.
Characteristics:
Large surface area:
Due to folds in intestinal mucosa kerckrings result in 3 fold
increase of surface area.
Surface of folds possesses finger like projections called as villi
(Increases surface area 30times).
The surface of villi protrudes several microvilli (Increases surface
area 600 times)
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Favorable pH range:
pH range is 5 to 7.5 favorable for drugs to remain unionized.
High permeability:
The intestinal epithelium is dominated by absorptive cells.
1. The Duodenum
2. The Jejunum
3. The Ileum
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1. The Duodenum
The duodenum is a hollow jointed tube connecting the
stomach to the jejunum. It is the first and shortest part of the
small intestine.
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2. The Jejunum
The Jejunum is located between the distal end of
duodenum and the proximal part of ileum.
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Structure of Villus
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3. The Ileum
The wall itself is made up of folds, each of which
has many villi, on its surface. In turn, the epithelial
cells which line these villi possess even larger
numbers of micro villi.
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Large Intestine
The large intestine extends from the end of the ileum
to the anus. It is about 5 feet long, being one-fifth of
the whole extent of the intestinal canal.
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GI Motility and
Gastric Emptying
Time
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Gastrointestinal Motility
GI motility tends to move the drug through the alimentary canal,
so the drug may not stay at the absorption site.
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Gastric Emptying
Apart from dissolution of a drug & its permeation through the bio membrane, the
passage from stomach to the small intestine, called as gastric emptying.
Rate limiting step, because the major site of drug absorption is intestine.
Generally drugs are better absorbed in the small intestine (because of the
larger surface area) than in the stomach, therefore quicker stomach emptying
will increase drug absorption.
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Composition of meal
The rate of gastric emptying for various food materials is in the following order:
carbohydrates>proteins>fats.
Physical state:
Liquid meal takes less time as compared to solid meals.
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Body Posture:
Gastric emptying is favored while standing and by lying on the right side since
normal curvature of the stomach provides a downhill path. Whereas lying on the
left side or in supine position retards it.
Exercise:
Vigorous physical training retards gastric empting.
(over-activation of the sympathetic nervous system)
Emotional state:
Stress and anxiety delay gastric emptying.
Drugs:
Drugs that retards gastric emptying: Antacids, Anticholinergics, Narcotic analgesics and tri
cyclic anti depressants etc.
Drugs that stimulates gastric emptying: Metaclopramide, Domperidone, Cisapride etc.
Viscosity:
Rate of emptying is greater for less viscous solutions.
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Intestinal Motility
and Transit Time
Intestinal Motility
Intestinal motility is a continuation of the gastric motility,
and display motility patterns similar to gastric motility.
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Fasted Pattern
Each motility cycle takes approximately 140-150 min to complete,
which is similar to gastric motility under fasted condition.
1. Phase I - Basal activity
2. Phase II- Random activity
3. Phase III - Intense contraction that moves large
unabsorbable substance to large intestine. One
contraction starts at the duodenum, whereas the other
starts at ileocolonic junction.
4. Phase IV - Transition between phase III and I.
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Fed Pattern
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Blood Perfusion
of GIT
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Gastrointestinal PH
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Dissolution :
A large no of drugs whose solubility is greatly affected by
pH are either weak acids or weak bases.
Stability :
GI pH also affect the chemical stability of drugs .
e.g., the acidic stomach pH gives a degradation of
penicillin G and erythromycin. So such drugs to be
formulated by preparing prodrugs Ex. Erythromycin
estolate or in any other way .
Absorption:
Depending upon the pKa and weither it is an acidic
or basic drug the amount of drug that would exist in the
unionized form at site of absorption.
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Disease State
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GI diseases
Diarrhea
Decreases absorption because of decreased contact time.
Malabsorptive Syndrome
Decreases absorption
Achlorhydria
Many weak-base drugs that cannot form soluble salts will remain
because the free base readily precipitates out due to the weak basicity.
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Celiac disease:
(characterized by destruction of villi and microvilli) abnormalities
associated with this disease are increase GI emptying rate and GI
permeability, alter intestinal drug metabolism.
Crohn’s disease:
Crohn's disease is an inflammatory disease of the distal small intestine
and colon. The disease is accompanied by regions of thickening of the
bowel wall, overgrowth of anaerobic bacteria, and sometimes obstruction
and deterioration of the bowel. The effect on drug absorption is
unpredictable, although impaired absorption may potentially occur
because of reduced surface area and thicker gut wall for diffusion.
CVS Diseases
In CVS diseases blood flow to GIT decrease, causes decreased
drug absorption.
Hepatic Diseases
Disorders like hepatic cirrhosis influences bioavailability of
drugs which under goes first pass metabolism.
Lungs Diseases
e.g., Emphysema (air sacs of the lungs are damaged and
enlarged). Emphysema affects the absorption of volatile gases
through the pulmonary route.
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Other Diseases
Parkinsons disesase
Parkinson's disease may have difficulty swallowing and greatly
diminished gastrointestinal motility. A case was reported in which the
patient could not be controlled with regular oral levodopa medication
because of poor absorption. Infusion of oral levodopa solution gave
adequate control of his symptom.
Gastrointestinal
Contents
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@
a) delay absorption
b) decreased absorption :
c)increased absorption :
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Contact Time
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The average normal small intestine transit time is 4-8 hrs (during
fasted state) and may take 8-12 hrs (during fed state).
Surface Area
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II. Pharmaceutical
Factors
A-Physicochemical
Factors
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Particle size and surface area are inversely related with each other,
“Smaller the particle size, the greater the surface area, and the
high the dissolution rate.”
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“The greater the effective surface area, the more intimate contact
between the solid surface and aqueous solvent and the faster the
dissolution.”
Example
1. In Griseofulvin, where particle size reduction from 10 micrometer to
2.7 micrometer, results in increase in surface area of 0.4 m2 to 1.5 m2,
increasing the absorption twice.
REASONS
Three basic reasons
a) Hydrophobic surface of the drug adsorb air onto their surface which
inhibit the wettability and such powder floats on the dissolution
medium.
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c) Extreme particle size reduction may impart surface charges that may
prevent wetting and contact between drug and dissolution medium.
1 Phenobarbitone 1 : 1000
2 Phenacetin 1 : 1300
3 Aspirin 1 : 300
4 Digoxin Insoluble
5 Nitrofurontoin Insoluble
6 Sulphadiazine Insoluble
7 Naproxen Insoluble
8 Ibuprofen Insoluble
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NOTE :
Particle size reduction and subsequent increase in effective
surface area in not always advisable especially when drugs are
unstable and degraded in solution form.
For example, Penicillin G and erythromycin
Particle size will increase the effective surface area, will
result in their chemical degradation in gastric fluid, and
reduction in absorption of intact drug.
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SOLUBILITY
“The amount of solute dissolved per unit volume of solvent at
specific temperature and pressure to give a saturated solution is
called solubility.”
Intrinsic solubility
Solubility of drugs in unionized form is called intrinsic
solubility.
DISSOLUTION
“The process in which a solid substance solubalize in a given
solvent i.e., mass transfer from solid surface to liquid phase is
called dissolution.”
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DRUG DISSOLUTION
PROCESS
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3. The next step involves the releasing of the drug into solution
(dissolution)
4. Absorption.
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NSAIDS,
I High High Well Gastric Emptying Metoprolol,
Paracetamol
Carbamazepine,
II Low High Variable Dissolution Digoxin,
Spironolactone
Captopril,
III High Low Variable Permeability Insulin,
Frusemide
Neomycin,
IV Low Low Poor Case by case
Taxol
THEORIES OF DISSOLUTION
Three Theories:
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where,
dC/dt = dissolution rate of the drug
k = dissolution rate constant
Cs= concentration of drug in stagnant layer
Cb= concentration of drug in the bulk of the solution at time t
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Nernst and Brunner incorporated Fick’s first law of diffusion and modified
the Noyes-Whitney’s equation to :
Limitation :
The Noyes-Whitney’s equation assumes that the surface area of the dissolving solid
remains constant during dissolution, which is practically not possible for dissolving
particles.
Hence, dissolution methods that involves use of constant surface area discs are
employed to determine the rate of dissolution.
To account for the particle size decreases and change in the surface area
accompanying dissolution, Hixson and Crowell’s cubic root law of dissolution is used:
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2) Danckwert’s model
1. Danckwert takes into account the eddies or packets that are present in the agitated
fluid which reach the solid-liquid interface, absorb the solute by diffusion and carry
it into the bulk of solution.
2. These packets get continuously replaced by new ones and expose to new solid surface
each time, thus the theory is called as surface renewal theory.
where,
m = mass of solid dissolved
γ = rate of surface renewal
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G = Ki (Cs-Cb)………(5)
where,
G = dissolution rate per unit area
Ki = effective interfacial transport constant
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Chemical Nature
Salt Form
Crystal Form
Amorphous Form
Solvate
Complexation
Drug Pka and pH of Dissolving Medium
Salt Form
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Salts of weak acids and weak bases generally have much higher aqueous
solubility than the free acid or base.
The dissolution rate of a weakly acidic drug in gastric fluid (pH 1 – 3.5)
will be relatively low.
If the pH in the diffusion layer increased, the solubility, Cs, of the acidic
drug in this layer, and hence its dissolution rate in gastric fluids would be
increased.
The pH of the diffusion layer would be higher (5-6) than the low
bulk pH (1-3.5) of the gastric fluids because of the neutralizing
action of the strong (Na+, K+ ) ions present in the diffusion layer.
The drug particles will dissolve at a faster rate and diffuse out of
the diffusion layer into the bulk of the gastric fluid, where a
lower bulk pH.
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Thus the free acid form of the drug in solution, will precipitate
out , leaving a saturated solution of free acid in gastric fluid.
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One example is the dissolution and bioavailability profiles of Penicillin V with various
salts.
Some salts have lower solubility and dissolution than in free form
For example Al and pamoate salts
In these cases, insoluble film of Al(OH)3 and pamoic acid are formed
……………………………
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Crystal Form
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Amorphous Form
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Solvates
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Complexation
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BENEFICIAL COMPLEXATION
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Manufacturing/Processing
Variables
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Pharmaceutical Ingredients
(Excipients)
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ABSORPTION OF
DIFFERENT ORAL
DOSAGE FORMS
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