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Figure 23.3.1 Dissolution and Absorption
If absorption is slow relative to dissolution then all we are concerned with is absorption. However, if dissolution is the slow, rate determining step (the step controlling the overall rate) then factors affecting dissolution will control the overall process. This is a more common problem with drugs which have a low solubility (below 1 g/100 ml) or which are given at a high dose, e.g. griseofulvin.
There are number of factors which affect drug dissolution. One model that is commonly used is to consider this process to be diffusion controlled through a stagnant layer surrounding each solid particle.
Figure 23.3.2 Diagram Representing Diffusion Through the Stagnant Layer
A physical model is shown in Figure 23.3.2
First we need to consider that each particle of drug formulation is surrounded by a stagnant layer of solution.
After an initial period we will have a steady state set-up where drug is steadily dissolved at the solid-liquid interface and diffuses through the stagnant layer. If diffusion is the rate determining step we can use Fick's first law of diffusion to describe the overall process.
Figure 23.3.3 Plot of Concentration Gradient
If we could measure drug concentration at various distances from the surface of the solid we would see that a concentration gradient is developed.
Equation 23.3.1 Fick's first Law of Diffusion applied to Dissolution
where D is the diffusion coefficient, A the surface area, Cs the solubility of the drug, Cb the concentration of drug in the bulk solution, and h the thickness of the stagnant layer. If Cb is much smaller than Cs then we have so-called "Sink Conditions" and the equation reduces to
Equation 23.3.2 Fick's First Law - Sink Conditions
with each term in this equation contributing to the dissolution process.
Methods of particle size reduction include mortar and pestle, mechanical grinders, fluid energy mills, solid dispersions in readily soluble materials (PEG's).
Figure 23.3.3 Plot of Concentration versus Distance for Dissolution into a Reactive Medium
The apparent thickness of the stagnant layer can be reduced when the drug dissolves into a reactive medium. For example, with a weakly basic drug in an acidic medium, the drug will react (ionize) with the diffusing proton (H+) and this will result in an effective decrease in the thickness of the stagnant layer.
The effective thickness is now h' not h. Also the bulk concentration of the drug is effectively zero. For this reason weak bases will dissolve more quickly in the stomach.
Figure 23.3.4 Plot of Dissolved Drug Concentration versus Time
Salts of weak acids and weak bases generally have much higher aqueous solubility than the free acid or base, therefore if the drug can be given as a salt the solubility can be increased and we should have improved dissolution. One example is Penicillin V.
Figure 23.3.5 Plot of Cp versus Time
This can lead to quite different Cp versus time results after oral administration.
The tpeak values are similar thus ka probably the same. Cpeak would show a good correlation with solubility. Maybe site limited (only that in solution by the time the drug gets to the 'window' is absorbed). Use the potassium salt for better absorption orally. These results might support the use benzathine or procaine for IM depot use.
Figure 23.3.6 Plot of Cp versus Time for Three Formulations of Chloramphenicol Palmitate
Redrawn from Figure 6 in the paper by Aguiar et al. 1967
Some drugs exist in a number of crystal forms or polymorphs. These different forms may well have different solubility properties and thus different dissolution characteristics. Chloramphenicol palmitate is one example which exists in at least two polymorphs. The B form is apparently more bioavailable.
The recommendation might be that manufacturers should use polymorph B for maximum solubility and absorption. However, a method of controlling and determining crystal form would be necessary in the quality control process. Shelf-life could be aproblem as the more soluble (less stable( form may transform into the less soluble form. In time the suspension may be much less soluble with variable absorption.
Copyright 2001-3 David W. A. Bourne (email@example.com)