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   shiva
B.pharmacy
ď‚ž   Definition: They are specialized dosage forms designed to
    be instilled onto the external surface of the eye (topical),
    administered inside (intraocular) or adjacent (periocular)
    to the eye or used in conjunction with an ophthalmic
    device.

ď‚ž   Conventional ophthalmic dosage forms (solutions,
    suspensions, ointments, etc) after instillation into the eye,
    are rapidly drained away from the ocular cavity due to
    tear flow and lacrimal nasal drainage.

ď‚ž   The newest dosage forms for ophthalmic drug delivery are:
    liposomes, nanoparticles ,mucoadhesives,ocular inserts.
LIMITATIONS OF CONVENTIONAL DRUG
  DELIVERY
ď‚ž Solution drainage by gravity
ď‚ž Frequent instillation is necessary
ď‚ž Conjuctival absorption


ADVANTAGES OF AVANCED DUG DELIVERY
ď‚ž Sustained and/or controlled drug release
ď‚ž Site-specific targeting
ď‚ž Protect the drug from chemical or enzymatic
  hydrolysis
ď‚ž Increasing contact time and thus improving
  bioavailability
ď‚ž Better patient compliance.
1. Sclera,



 2. Choroids,



  3. Cornea,


   4. Cilliary
Body- Secretion
 of aq. humor,


   5. Lens,



  6. Retina,



7. Conjuctiva,


 8. Vitreous
Compartment,


 9. Lacrimal
    gland.
• Penetration across Sclera & Conjuctiva into Intra
                Ocular tissues
              • Non-Productive: because penetrated drug is
Non-Corneal     absorbed by general circulation
 Absorption


              • Outer Epithelium: rate limiting barrier, with
                pore size 60ĂĄ,Only access to small ionic &
                lipophillic molecules
 Corneal      • Trans cellular transport: transport between
                corneal epithelium & stroma.
Absorption
ď‚ž    Mucoadhesives contain the dosage form which
     remains adhered to cornea until the polymer is
     degraded or mucus replaces itself.

ď‚ž  Types-
1. Naturally Occurring Mucoadhesives- Lectins,
   Fibronectins
2. Synthetic Mucoadhesives-PVA ,Carbopol,
   carboxymethylcellulose,cross-linked
   polyacrylic acid
Drugs incorporated in to this are pilocarpine,
   lidocaine, benzocaine and prednisolone acetate.
•   The      polymer     undergoes
    swelling in water,
•   Entanglement of the polymer
    chains with mucin on the
    epithelial surface.
•   The un-ionized carboxylic acid
    residues on the polymer form
    hydrogen bonds with the
    mucin.
•   The water- swellable yet water-
    insoluble       systems    are
    preferred
ď‚ž   Sterile preparations, with a thin, multilayered,
    drug-impregnated, solid or semisolid consistency
    devices placed into cul-de-sac or conjunctival sac.

Advantages
ď‚ž Increasing contact time and thus improving
  bioavailability.
ď‚ž Providing a prolong drug release and thus a
  better efficacy.
ď‚ž Reduction of systemic side effects and thus
  reduced adverse effects.
ď‚ž Reduction of the number of administrations and
  thus better patient compliance.
*   Ease of handling and insertion
*   Lack of expulsion during wear
*   Reproducibility of release kinetics (Zero-order
    drug delivery)
*   Applicability to variety of drugs
*   Non-interference with vision and oxygen
    permeability.
*   Sterility.
*   Ease of manufacture
1. Ocusert: is a multilayered structure consisting of a
    drug containing core surrounded on each side by a
    layer of copolymer membranes through which the
    drug diffuses at a constant rate.

ď‚ž   The rate of drug diffusion is controlled by:
-   The polymer composition
-   The membrane thickness
-   The solubility of the drug

e.g. The Ocusert® Pilo-20 and Pilo-40 Ocular system
- Designed to be placed in the inferior cul-de-sac
  between the sclera and the eyelid and to release
  pilocarpine continuously at a steady rate for 7days.

- consists of (a) a drug reservoir, pilocarpine (free base),
   and a carrier material, alginic acid: (b) a rate controller
   ethylene vinyl acetate (EVA) copolymer membrane.
2. Contact lens:
ď‚ž   Presoaked Hydrophilic lens.
ď‚ž   Drug Release : within 1st 30 Min.
ď‚ž   Alternate approach : incorporate drug either as soln or
    suspension .e.g. Pilocarpine.
ď‚ž   Release rate is up to : 180 hr.
1. SODI (soluble ocular drug insert):
• Small water soluble made of soluble synthetic polymers.
• Composition : Acryl amide, Vinyl Pyrolidone, Ethylacrylate.
• Weight 15-16 mg.
  In 10-15 sec Softens;
  In 10-15 min. turns in Viscous Liquids;
  After 30-60min. Becomes Polymeric Solution.

 ADVANTAGES:
•Single SODI application : replaces 4-12 eye drops Instillation, or
 3-6 application of Ointments.
•Once a day treatment of Glaucoma.
2.Lacrisert:
• Sterile, Rod Shaped device.

•   Composition: HPC.
•   Weight:5mg,
•   Dimension:Diameter:12.5mm, Length:3.5mm
•   Use:-Dry eye treatment.

3.Minidisc:
ď‚ž It is made up of counter disc with Convex front & Concave back
  surface in contact with eye ball.
ď‚ž 4-5mm in diameter.
ď‚ž Composition : Silicon based polymer.
ď‚ž Drug release upto170 hr.
ď‚ž   Vesicle composed of phospholipid bilayer enclosing
    aqueous compartment in alternate fashion.
ď‚ž   Biodegradable, Non-toxic in nature.
ď‚ž   Types :1.MLV
             2.ULV-SUV( upto 100 nm)
             3. LUV(more than 100 nm)
ď‚ž   Polar drugs are incorporated in aqueous compartment while
    lipophilic drug are intercalated into the liposome membrane.
ď‚ž   Phospholipids used- Phophotidylcholine, Phosphotidic
    acid, Phosphotidyleserine,Cardiolipine
ď‚žADVANTAGES
   Drugs delivered intact to various body tissues.
   Liposomes can be used for both hydrophilic
    and hydrophobic drug.
   Possibility of targeting and decrease drug
    toxicity.
   The size, charge and other characteristics can
    be altered according to drug and desired tissue.
ď‚ž DISADVANTAGES OF LIPOSOMES
     They need many modification for drug delivery to special
      organs.
     Cost .
ď‚ž For water soluble drugs
ď‚ž Size is about 10-1000 nm
ď‚ž Drug is dispersed, encapsulated or absorbed
ď‚ž Produced by emulsion polymerization
ď‚ž Polymerization is carried out by chemical
  initiation, or by irradiation with gamma rays, uv or
  visible light.
ď‚ž Polymer used are biodegradable.
ď‚ž E.g: Nanoparticles of pilocarpine have shown an
  enhanced miotic response by about 22-23%.
Advantages of Nanoparticles

ď‚ž Sustained drug release and prolonged therapeutic
  activity
ď‚ž Site-specific targeting
ď‚ž Higher cellular permeability
ď‚ž Protect the drug from chemical or enzymatic
  hydrolysis
ď‚ž Efficient in crossing membrane barriers -blood
  retinal barrier
ď‚ž Act as an inert carrier.
Eye

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Eye

  • 1. By shiva B.pharmacy
  • 2. ď‚ž Definition: They are specialized dosage forms designed to be instilled onto the external surface of the eye (topical), administered inside (intraocular) or adjacent (periocular) to the eye or used in conjunction with an ophthalmic device. ď‚ž Conventional ophthalmic dosage forms (solutions, suspensions, ointments, etc) after instillation into the eye, are rapidly drained away from the ocular cavity due to tear flow and lacrimal nasal drainage. ď‚ž The newest dosage forms for ophthalmic drug delivery are: liposomes, nanoparticles ,mucoadhesives,ocular inserts.
  • 3. LIMITATIONS OF CONVENTIONAL DRUG DELIVERY ď‚ž Solution drainage by gravity ď‚ž Frequent instillation is necessary ď‚ž Conjuctival absorption ADVANTAGES OF AVANCED DUG DELIVERY ď‚ž Sustained and/or controlled drug release ď‚ž Site-specific targeting ď‚ž Protect the drug from chemical or enzymatic hydrolysis ď‚ž Increasing contact time and thus improving bioavailability ď‚ž Better patient compliance.
  • 4. 1. Sclera, 2. Choroids, 3. Cornea, 4. Cilliary Body- Secretion of aq. humor, 5. Lens, 6. Retina, 7. Conjuctiva, 8. Vitreous Compartment, 9. Lacrimal gland.
  • 5. • Penetration across Sclera & Conjuctiva into Intra Ocular tissues • Non-Productive: because penetrated drug is Non-Corneal absorbed by general circulation Absorption • Outer Epithelium: rate limiting barrier, with pore size 60ĂĄ,Only access to small ionic & lipophillic molecules Corneal • Trans cellular transport: transport between corneal epithelium & stroma. Absorption
  • 6. ď‚ž Mucoadhesives contain the dosage form which remains adhered to cornea until the polymer is degraded or mucus replaces itself. ď‚ž Types- 1. Naturally Occurring Mucoadhesives- Lectins, Fibronectins 2. Synthetic Mucoadhesives-PVA ,Carbopol, carboxymethylcellulose,cross-linked polyacrylic acid Drugs incorporated in to this are pilocarpine, lidocaine, benzocaine and prednisolone acetate.
  • 7. • The polymer undergoes swelling in water, • Entanglement of the polymer chains with mucin on the epithelial surface. • The un-ionized carboxylic acid residues on the polymer form hydrogen bonds with the mucin. • The water- swellable yet water- insoluble systems are preferred
  • 8. ď‚ž Sterile preparations, with a thin, multilayered, drug-impregnated, solid or semisolid consistency devices placed into cul-de-sac or conjunctival sac. Advantages ď‚ž Increasing contact time and thus improving bioavailability. ď‚ž Providing a prolong drug release and thus a better efficacy. ď‚ž Reduction of systemic side effects and thus reduced adverse effects. ď‚ž Reduction of the number of administrations and thus better patient compliance.
  • 9. * Ease of handling and insertion * Lack of expulsion during wear * Reproducibility of release kinetics (Zero-order drug delivery) * Applicability to variety of drugs * Non-interference with vision and oxygen permeability. * Sterility. * Ease of manufacture
  • 10.
  • 11. 1. Ocusert: is a multilayered structure consisting of a drug containing core surrounded on each side by a layer of copolymer membranes through which the drug diffuses at a constant rate. ď‚ž The rate of drug diffusion is controlled by: - The polymer composition - The membrane thickness - The solubility of the drug e.g. The Ocusert® Pilo-20 and Pilo-40 Ocular system - Designed to be placed in the inferior cul-de-sac between the sclera and the eyelid and to release pilocarpine continuously at a steady rate for 7days. - consists of (a) a drug reservoir, pilocarpine (free base), and a carrier material, alginic acid: (b) a rate controller ethylene vinyl acetate (EVA) copolymer membrane.
  • 12. 2. Contact lens: ď‚ž Presoaked Hydrophilic lens. ď‚ž Drug Release : within 1st 30 Min. ď‚ž Alternate approach : incorporate drug either as soln or suspension .e.g. Pilocarpine. ď‚ž Release rate is up to : 180 hr.
  • 13. 1. SODI (soluble ocular drug insert): • Small water soluble made of soluble synthetic polymers. • Composition : Acryl amide, Vinyl Pyrolidone, Ethylacrylate. • Weight 15-16 mg. In 10-15 sec Softens; In 10-15 min. turns in Viscous Liquids; After 30-60min. Becomes Polymeric Solution. ADVANTAGES: •Single SODI application : replaces 4-12 eye drops Instillation, or 3-6 application of Ointments. •Once a day treatment of Glaucoma.
  • 14. 2.Lacrisert: • Sterile, Rod Shaped device. • Composition: HPC. • Weight:5mg, • Dimension:Diameter:12.5mm, Length:3.5mm • Use:-Dry eye treatment. 3.Minidisc: ď‚ž It is made up of counter disc with Convex front & Concave back surface in contact with eye ball. ď‚ž 4-5mm in diameter. ď‚ž Composition : Silicon based polymer. ď‚ž Drug release upto170 hr.
  • 15. ď‚ž Vesicle composed of phospholipid bilayer enclosing aqueous compartment in alternate fashion. ď‚ž Biodegradable, Non-toxic in nature. ď‚ž Types :1.MLV 2.ULV-SUV( upto 100 nm) 3. LUV(more than 100 nm) ď‚ž Polar drugs are incorporated in aqueous compartment while lipophilic drug are intercalated into the liposome membrane. ď‚ž Phospholipids used- Phophotidylcholine, Phosphotidic acid, Phosphotidyleserine,Cardiolipine
  • 16. ď‚žADVANTAGES  Drugs delivered intact to various body tissues.  Liposomes can be used for both hydrophilic and hydrophobic drug.  Possibility of targeting and decrease drug toxicity.  The size, charge and other characteristics can be altered according to drug and desired tissue. ď‚ž DISADVANTAGES OF LIPOSOMES  They need many modification for drug delivery to special organs.  Cost .
  • 17. ď‚ž For water soluble drugs ď‚ž Size is about 10-1000 nm ď‚ž Drug is dispersed, encapsulated or absorbed ď‚ž Produced by emulsion polymerization ď‚ž Polymerization is carried out by chemical initiation, or by irradiation with gamma rays, uv or visible light. ď‚ž Polymer used are biodegradable. ď‚ž E.g: Nanoparticles of pilocarpine have shown an enhanced miotic response by about 22-23%.
  • 18. Advantages of Nanoparticles ď‚ž Sustained drug release and prolonged therapeutic activity ď‚ž Site-specific targeting ď‚ž Higher cellular permeability ď‚ž Protect the drug from chemical or enzymatic hydrolysis ď‚ž Efficient in crossing membrane barriers -blood retinal barrier ď‚ž Act as an inert carrier.

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