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RESEARCH ARTICLE
ABSTRACT:
Common cold is the most frequently recurring disease in the world and is a leading cause of doctor visits and
missed days from school and work. Cold reliever medicated chewing gum (MCG) will be a definitive patient
acceptable solution for this condition. Dextromethorphan hydrobromide and guaifenesin will be easily released
from chewing gum into the salivary fluid within few minutes of chewing and can be easily permeated from oral
mucosa by the pressure created by the chewing action and absorbed to a larger extent into the systemic
circulation. Therefore, ultimately patients will get quick relief from symptoms of common cold with greater
compliance compared to other conventional dosage forms. This study mainly focuses on taste masking of
dextromethorphan hydrobromide and guaifenesin with Kyron T-114, its formulation development in the MCG
form and its quality and performance evaluation with the study of potential factors affecting drug release by 3 2
full factorial experimental design. Formulation ingredients, such as elastomers, softeners, bulking agents, play an
important role in the feel of the final product and its consistency; while sweeteners and flavours play a very
essential character in its sensory properties. Inter individual variation in chewing frequency and chewing
intensity is the main factor which affects release of active ingredient from MCG; while salivary dilution and
involuntary swallowing are main reasons for variability in the absorption site, i.e., either from buccal mucosa or
from gastrointestinal tract.
KEYWORDS: Medicated chewing gum, taste masking, quality performance, full factorial experimental
design, Dissolution.
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Research J. Pharm. and Tech. 14(5): May 2021
Why use chewing gum as a drug delivery system?5: neutralization, fresh breath, disinfection, anti-caries,
Chewing gum provides new competitive advantages over antiplaque, antifungal, antibacterial are available9.
conventional drug delivery system. They have fast onset
of action and high bioavailability, with pleasant taste. MATERIALS AND METHODS:
They exhibit higher compliance (easy and discreet MATERIALS USED:
administration without water) and ready for use. They Dextromethorphan, Aspartame, Titanium Dioxide
have high acceptance by children. (Caplin Point), Guaiphenesin (Sterile Gene), Kyron T-
114 (Corell Pharma), Health in gum (Cafosa Gum),
Absorption of drug across the oral mucosa6: Peppermint oil, Menthol, Talc, PEG, Magnesium
The oral cavity is point of entry for oral drug stearate (KMCH college of Pharmacy).
formulations but their contact with the oral mucosa is
brief. So, in to order to take advantages of these METHODOLOGY:
properties or to treat the mucosa locally, this delivery Analytical method for dextromethorphan
system have been designed to prolong residence in this hydrobromide and guaiphenesin:
area. The total surface area available for drug absorption Preparation of standard stock solution:
is quite limited being only approximately 100cm2. The A standard stock solution containing 1mg/ml is prepared
oral cavity is rich in blood vessels and lymphatic, so by dissolving 100mg of DXM in 100ml of water. A
rapid onset of action and high blood levels obtained standard stock solution containing 1mg/ml is prepared
quickly. In order to absorb orally, the drug must be by dissolving 100mg of GUA in 100ml of water.
dissolved in saliva. Extremely hydrophobic materials
will not dissolve well and are likely to be swallowed Preparation of working standard solution:
intact unless a specialized delivery system is used to From stock solution 10ml is further dilute to 100ml with
prevent them to mucosa. distilled water to get the solution having concentration
100μg/ml. From the above stock solution 10ml is further
Procedure for preparing chewing gum7: dilute to 100ml with distilled water to get the solution
Three types of manufacturing processes are available for having concentration 10μg/ml.
the production of chewing gum.
1. Melting method or conventional production process Determination of absorption maximum:
2. Cooling, grinding and tableting method Dextromethorphan hydrobromide:
3. Direct compression process From the above working standard solution, Transfer 5ml
into a 10ml volumetric flask and make up the volume to
Therapeutic uses of medicated chewing gum: the mark with distilled water to prepare a concentration
The use of sugar free gum to counteract dental caries by of 5μg/ml. Then scan the sample in UV-VIS
stimulation of saliva secretion has led to a more Spectrophotometer in the range 200-400nm using
widespread use and acceptance of gums. It has been reagent blank and find the wavelength corresponding to
proved that chewing non-MCG increases plaque pH, maximum absorbance (λ max)10.
stimulates saliva flow and decrease decay8. MCG
containing Chlorhexidine for treatment of gingivitis and Guaiphenesin:
plaque has been available. The use of Medicated From the above working standard solution, Transfer 5ml
Chewing Gum in the treatment of oral infections has also into a 10ml volumetric flask and make up the volume to
been reported [18]. The active ingredient is released from the mark with distilled water to prepare a concentration
the Medicated Chewing Gum and sufficient of 5μg/ml. Then scan the sample in UV-VIS
concentration is achieved in the oral cavity to prevent or Spectrophotometer in the range 200-400nm using
treat local conditions of oral cavity. Chewing Gum is reagent blank and find the wavelength corresponding to
also useful delivery system for agents intended for maximum absorbance (λ max)11.
systemic delivery. Drug that is released from gum within
oral cavity can be absorbed via buccal mucosa. The Preparation of calibration curve:
MCG can also be used as an alternative tool to buccal
and sublingual tablets which are intended to act From the above working standard stock solution transfer
systemically because active ingredient is released more 2ml, 4ml, 6ml, 8ml, 10ml into series of 10ml volumetric
uniformly and cover greater area of absorption in oral flask and the volume is made up to the mark with
cavity. Oral diseases are prevented or cured with distilled water to prepare a concentration of 2µg/ml,
Medicated Chewing Gum. MCG for systemic effect in 4µg/ml, 6µg/ml, 8µg/ml, 10µg/ml.
conditions like vitamin C deficiency, pain and fever, • Measure the absorbance of DXM hydrobromide at
alertness, motion sickness, smoking cessation, as well as maximum absorbance (λ max) against reagent blank
for local effect in the conditions like plaque acid and a calibration curve is constructed. Measure the
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Research J. Pharm. and Tech. 14(5): May 2021
absorbance of the sample solution, and determine the FORMULATION OF DRUG – RESIN COMPLEX:
amount of the drug by referring to the calibration Accurately weighed 31.5 gm of resin was dispersed in a
curve or computed from the regression equation. beaker containing 300 ml of distilled water and allowed
• Measure the absorbance of GUA is measured at to swell for 25-30 minutes. The pH of resin solution was
maximum absorbance (λ max) against reagent blank adjusted to 6.0-6.5 by using 1 M KOH. Accurately
and a calibration curve is constructed. Measure the weighed 10.5gm of dextromethorphan and guaiphenesin
absorbance of the sample solution, and determine the was added slowly and stirred for 3-4 hr. During stirring,
amount of the drug by referring to the calibration pH of solution was measured frequently and adjusted to
curve or computed from the regression equation. 6.0-6.5 by using 1 M KOH. After 3-4 hr, the drug resin
complex (DRC) was separated from dispersion by
DRUG EXCIPIENT COMPATIBILITY STUDIES: filtration and washed with three portions of 75 ml of
FT-IR Spectroscopy: distilled water [17]. Complex was dried and then
IR spectra was compared and checked for any shifting in evaluated for taste and drug-loading efficiency [18].
functional peaks and non-involvement of functional
group. The samples were studied using FTIR JASCO Effect of drug-resin ratio:
4100 in the wavenumber range from 500 to 4,000 cm−1 Ratio of drug to resin can greatly impact on complex
12 formation and ultimately affects taste masking ability. It
.
was necessary to find out the optimum drug to resin
PREFORMULATION EVALUATION: ratio. To optimize the ratio, different proportion of drug
Evaluate the Pre-compression parameters such as Bulk to resin was taken as mentioned in Table 4. As per
Density, tapped density, Carr’s Index and Hausner’s different proportion, drug-resin complex was formed as
ratio which are indicative parameters for flow and shown in procedure which was mentioned earlier19.
compressibility with formulated chewing gum13.
Table 1: Composition of drug/ resin formulation: Drug:Resin (1:3)
- (110:330) [ DRUG-Dextromethorphan(10mg),
POST FORMULATION EVALUATION: DRUG/RESIN QUANTITY FOR EACH TABLET
Texture analysis, Uniformity of mass (weight variation (mg)
test), Uniformity of content, Friability test, In-vitro drug Ratio 1:1 1:2 1:3 1:4
release study [14-16]. Dextromethorphan 10 10 10 10
Guaiphenesin 100 100 100 100
Kyron T -114 110 220 330 440
Table 2: Selection and optimization of excipient in dextromethorphan and guaiphenesin MCG formulation Guaiphenesin(100mg) :
RESIN-Kyron T-114(330mg)]
S. No INGREDENTS F1 F2 F3 F4 F5 F6 F7 F8 F9 F10 F11 F12
1 DRUG: RESIN 440 440 440 440 440 440 440 440 440 440 440 440
2 HEALTH IN GUM 649 638 627 616 605 594 615 614 612 611 610 610
3 MENTHOL 11 11 11 11 11 11 11 11 11 11 11 11
4 PEPPERMINT OIL 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4
5 ASPARTAME 11 22 33 44 55 33 33 33 33 33 33
6 AEROSIL 1.1 2.2 3.3 4.4 5.5 4.4
7 TALC 11
8 Mg- STEARATE
9 PEG
10 Tio2
TOTAL 1100 1100 1100 1100 1100 1100 1100 1100 1100 1100 1100 1100
S. No INGREDENTS F13 F14 F15 F16 F17 F18 F19 F20 F21 F22 F23
1 DRUG: RESIN 440 440 440 440 440 440 440 440 440 440 440
2 HEALTH IN GUM 598 587 567 556 593 588 582 577 571 566 555
3 MENTHOL 11 11 11 11 11 11 11 11 11 11 11
4 PEPPERMINT OIL 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4
5 ASPARTAME 33 33 33 33 33 33 33 33 33 33 33
6 AEROSIL 4.4 4.4 4.4 4.4 4.4 4.4 4.4 4.4 4.4 4.4 4.4
7 TALC 22 33 44 55 22 22 22 22 22 22 22
8 Mg- STEARATE 5.5 11 16.5 11 11 11 11
9 PEG 5.5 11 16.5 11
10 Tio2 11
TOTAL 1100 1100 1100 1100 1100 1100 1100 1100 1100 1100 1100
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Research J. Pharm. and Tech. 14(5): May 2021
EVALUATION OF FACTORS AFFECTING DRUG the validity of the model generated. Subsequently, the
RELEASE FROM MCG: resultant actual experimental data of the response
Selection and optimization of factors affecting % drug properties were quantitatively compared with those of
release from MCG by 32 Full Factorial Experimental the predicted values by regression as well as x2 values.
Design Independent significant factors [chewing time Then linear regression plot between observed and
(A) and amount of gum base (B)] affecting the predicted values of the response properties was drawn
dependent factor (% CTZ release from MCG) were first using MS-Excel.
extracted out by means of ANOVA and then extracted
Table 4: Experimental testing runs along with their variable
factors were optimized by 32 Full factorial experimental factors
design. Here full factorial 32 designs were used for the Experimental test run Chewing time Chewing gum
optimization procedure, because it is suitable for 1 10 70
investigating the quadratic response surfaces and for 2 10 80
3 15 75
constructing a second order polynomial model, thus
4 10 75
enabling optimization of the chewing time and the 5 15 80
amount of gum base to achieve sufficient drug release 6 5 75
from MCG20. Mathematical modeling, evaluation of the 7 5 80
ability to fit to the model, and response surface 8 15 70
methodology(RSM) were performed by employing 9 5 70
Design-Expert® software(Version 7.1.2, Stat-Ease Inc., RESULTS and DISCUSSION:
Minneapolis, MN). RSM is a collection of mathematical Estimation of absorption maximum (λmax):
and statistical techniques useful for the modeling and The λmax of DXM and GUA was estimated by scanning
analysis of problems in which a response of interest is the 10µg/ml concentration of the drug solution in buffer
influenced by several variables and the objective is to solution of phosphate pH 6.8. It showed the λmax for
optimize this response21. The most extensive dextromethorphan at 273nm and guaiphenesin at 278nm.
applications of RSM are in the industrial world,
particularly in situations where several input variables Preparation of standard curves:
potentially influence some performance measure or The standard curves of DXM and GUA prepared
quality characteristic of the product or the process. This separately by using phosphate buffer pH (6.8). The linear
performance measure or quality characteristic is called correlation coefficient was found to be 0.994 for
the response. DXMand 0.999 for GUA obeys the Beer’s law within
the concentration range of 2 to 10µg/ml.
Table 3: Independent and dependent variables along with their
levels
Factors Levels used Response
(Independent variable) (dependent variable)
-1 0 +1 Drug release Drug
A Chewing time 5 10 15 (DXM) release
B Chewing gum 70 75 80 (GUA)
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Research J. Pharm. and Tech. 14(5): May 2021
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Research J. Pharm. and Tech. 14(5): May 2021
Table 11: Composition of optimum and random checkpoint formulations, the predicted and experimental values of responses and
percentage prediction error
Formulation composition Observed value Predicted value Chicalvalue %Relative error
DXM GUA DXM GUA DXM GUA DXM GUA
15:80 93.8 94.2 94.019 94.064 0.0005 0.0002 -0.233 +0.145
12.265:79.248 90.3 89.8 90.800 90.147 0.0028 0.0013 -0.550 +0.169
10.594:78.262 88.1 86.4 87.915 87.316 0.0004 0.0096 +0.210 -1.049
8.116:74.384 80.1 81.2 81.493 81.916 0.024 0.0063 -1.70 -0.874
5:70 72.8 71.6 72.619 71.931 0.0006 0.0015 +0.249 -0.460
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