Soft Capsules: Keith G. Hutchison Josephine Ferdinando
Soft Capsules: Keith G. Hutchison Josephine Ferdinando
in
34 Soft capsules
612
www.konkur.in
Soft capsules CHAPTER 34
dissolved on contact with gastrointestinal media. In polyethylene glycols), lipophilic (e.g. triglyceride
order to convert a liquid formula into a solid dosage vegetable oils), or a combination of hydrophilic and
form, it may be encapsulated into soft gelatin capsules, lipophilic ingredients (see also Fig. 34.1).
also known as softgels. Significant advances have been made in recent
This chapter explains: years regarding the formulation of softgel fill matrices
• why softgels are selected for formulation (Gullapalli, 2010). These include self-emulsifying
development; microemulsions and nanoemulsions encapsulated as
• how they are formulated; and preconcentrates in softgels. The term ‘preconcen-
trate’ means that the softgel fill matrix which is a
• how they are manufactured and tested.
combination of lipophilic and hydrophilic liquids as
well as surfactant components disperses after oral
administration to form an emulsion, with a droplet
Description of the soft gelatin size in either the micrometre or the nanometre
capsule dosage form (softgels) size range.
The softgel capsule shell consists of gelatin, water
Softgels consist of a liquid or a semisolid matrix and a plasticizer. The shell may be transparent or
inside a one-piece outer gelatin shell (Fig. 34.1). opaque and can be coloured and flavoured if desired.
Ingredients that are solid at room temperature can Preservatives are not normally required owing to the
also be encapsulated into softgels providing they are low water activity in the finished product. The softgel
at least semisolid below approximately 40 °C. The can be coated with enteric-resistant or delayed-release
drug compound itself may be either in solution or coating materials. Although virtually any shape of
in suspension in the capsule-fill matrix. The charac- softgel can be made, oval or oblong shapes are usually
teristics of the fill matrix may be hydrophilic (e.g. selected for oral administration.
613
www.konkur.in
PART FIVE Dosage form design and manufacture
Fig. 34.2 • Swallowable softgel capsules. Fig. 34.3 • Twist-off softgel capsules.
Table 34.1 Key features and advantages of the softgel dosage form
Features Advantages
Improved drug absorption Increased rate and extent of absorption and/or reduced variability, mainly for poorly water-soluble
drugs
Patient adherence and Easy to swallow. Absence of poor taste or other sensory problems. Convenient administration of a
consumer preference liquid-drug dosage form
Safety – potent and Avoids dust-handling problems during dosage form manufacture; better operator safety and
cytotoxic drugs environmental controls
Oils and low melting Overcomes problems with manufacture as compressed tablet or hard capsules
point drugs
Dose uniformity for Liquid flow during dosage form manufacture is more precise than powder flow. Drug solutions provide
low-dose drugs better homogeneity than powder or granule mixtures
Product stability Drugs are protected against oxidative degradation by lipid vehicles and softgel capsule shells
614
www.konkur.in
Soft capsules CHAPTER 34
615
www.konkur.in
PART FIVE Dosage form design and manufacture
616
www.konkur.in
Soft capsules CHAPTER 34
protected from moisture. As for all dosage forms, the two plates enabled individual capsules to be cut
thorough stability evaluation is required, including out from the die mould, and these capsules were
excipient compatibility studies, to check against subsequently dried.
negative drug stability effects, caused, for example, However, it was not until the invention of the
by component migration between the fill formulation rotary die encapsulation machine by Robert Pauli
and the capsule shell, exposure to moisture during Scherer in 1933 that liquid-fill capsules could be
manufacture or interaction between the drug and manufactured on a production scale. The rotary die
the fill excipients. This may result in the requirement process involves continuous formation of a heat seal
of refrigerated storage (Klein et al., 2007). between two ribbons of gelatin simultaneous with
dosing of the fill liquid into each capsule. Although
the speed and efficiency of the manufacturing process
Manufacture of softgels have improved greatly in recent years, the basic
manufacturing principle remains essentially unchanged.
Softgels were used in the 19th century as a means The overall layout of a soft gelatin encapsulation
of administering bitter-tasting or liquid medicines. machine is shown in Fig. 34.6.
These were manufactured individually by preparing Before the encapsulation process occurs, two
a small sack of gelatin and allowing it to set. Each subprocesses are often performed simultaneously,
sack, or gelatin shell, was then filled with the medica- yielding the two components of a softgel. These are
tion and heat sealed. This method of manufacture (1) the gel mass which will provide the softgel shell
was improved using a process that involved the sealing and (2) the fill matrix for the softgel contents.
of two sheets of gelatin film between a pair of The gel mass is prepared by dissolving the gelatin
matching flat brass dies. Each die contained pockets in water at approximately 80 °C under a vacuum,
into which the gelatin sheet was pressed and which followed by the addition of the plasticizer (e.g.
were filled with the medication. The pressure between glycerol). Once the gelatin has fully dissolved, other
Pump stroke
Pump case indicator Leads
Wedge
assembly Dryer
baskets
Ribbon
guide Green
wash
Spreader Dryer
box console
Die
pressure
gauge
Casting
drum
Yoke
Green wash
Shaker conveyor
Oil bank screens
rolls
617
www.konkur.in
PART FIVE Dosage form design and manufacture
Wedge heaters
Lower lead plate Wedge
Dies
Ribbon guide roll
Yoke
Ribbon guide
Yoke tightening
knobs
components such as colours, an opacifier and flavours oxygen-sensitive drugs are protected by mixing under
may be added. The hot gel mass is then supplied to a vacuum and/or inert gas; in some cases, an anti-
the encapsulation machine through heated transfer oxidant component may be added to the formulation.
pipes by a casting method that forms two separate Additionally, if the drug substance is present as a
gelatin ribbons, each with a width of typically 150 mm. suspension in the liquid fill matrix, then it is important
During the casting process, the gelatin passes through to ensure that the particle size of the drug does not
the sol–gel transition and the thickness of each gel exceed approximately 200 μm. By doing this, it is
ribbon is controlled to ±0.1 mm in the range from possible to ensure that drug particles do not become
0.5 mm to 1.5 mm. The thickness of the gel ribbons entrapped within the capsule seal, potentially leading
is checked regularly during the manufacturing process. to loss of integrity of the softgel.
The two gel ribbons are then carried through rollers In the rotary die encapsulation process, the gel
(at which a small quantity of vegetable oil lubricant ribbon and the unit dose of liquid fill matrix are
is applied) and onwards to the rotary die encapsulation combined to form the softgel. The process involves
tooling (Fig. 34.7). Each gel ribbon provides one half careful control of three parameters:
of the softgel. It is possible to make bicoloured softgels • Temperature. This controls the heat available for
using gel ribbons of two different colours. capsule seal formation.
The liquid fill matrix containing the active drug
• Timing. The timing of the dosing of unit
substance is manufactured separately from the
quantities of liquid fill matrix into the softgel
preparation of the molten gel. Manufacture of the
during its formation is critical.
active fill matrix involves dispersing or dissolving
the drug substance in the nonaqueous liquid vehicle • Pressure. The pressure exerted between the two
using conventional mixer-homogenizers. rotary dies controls the softgel shape and the
A number of different parameters are controlled final cut-out from the gel ribbon.
during preparation of the active fill matrix, depending Fig. 34.8 shows a simplified diagram representing
on the properties of the drug substance. For example, the mechanism of softgel formation using
618
www.konkur.in
Soft capsules CHAPTER 34
619
www.konkur.in
PART FIVE Dosage form design and manufacture
Colourants/opacifiers
Colourants (soluble dyes or insoluble pigments or
lakes) and opacifiers are typically used at low con-
centrations in the wet gel formulation. Colourants
can be either synthetic or natural and are used to
impart the desired shell colour for product identifica-
tion. An opacifier, usually titanium dioxide, may be
added to produce an opaque shell when the fill
formulation is a suspension or to prevent photodeg-
radation of light-sensitive fill ingredients. Titanium
dioxide can either be used alone to produce a white
opaque shell or in combination with pigments to
produce a coloured opaque shell.
Properties of soft gelatin shells Fig. 34.9 • Relationship between oxygen permeability
coefficient and the glycerol concentration in the shell of
softgels at room temperature and a range of relative
Oxygen permeability humidities. RH, relative humidity. From Hom et al., 1975.
The gelatin shell of a soft gelatin capsule provides a
good barrier against the diffusion of oxygen into the
contents of the product. The quantity of oxygen (q)
that passes through the gelatin is governed by the
permeability coefficient (P), the area (A), the thickness
(h) of the shell, the pressure difference (p1 – p2) and
the time of diffusion (t) by the following equation:
PAt( p1 − p2 )
q=
h
(34.1)
The permeability coefficient (P) is related to the
diffusion coefficient (D) and the solubility coefficient
(S) by the equation P = DS. This relationship,
described by Henry’s law, assumes no interaction
between the gas and the polymeric film, but P is
clearly affected by the formulation of the gelatin
Fig. 34.10 • Relationship between equilibrium water
shell, as shown in Fig. 34.9. content and the concentration of glycerol in the shell of
Fig. 34.9 shows the relationship between the soft gelatin capsules at room temperature and a range
oxygen permeability coefficient and the glycerol of relative humidities. RH, relative humidity. From Hom
concentration in the gelatin shell of softgels at room et al., 1975.
temperature and relative humidity from 31% to 80%.
The oxygen permeability decreases with the relative
humidity and the glycerol content in the gelatin shell if they are dissolved or dispersed in an oily liquid fill
formulation (Hom et al., 1975). For maximum material and encapsulated as a soft gelatin capsule.
protection against the ingress of oxygen, the gelatin Fig. 34.10 shows the relationship between the
shell should be dry and formulated to contain equilibrium water content and the concentration of
approximately 30% to 40% glycerol. glycerol in the gelatin shell of a softgel, stored at
room temperature and environmental relative humidi-
ties of between 31% and 80%. The data show that
Residual water content minimum water content is found at glycerol levels
Softgels contain little residual water, and compounds in the shell of between 30% and 40%. Such a formula-
which are susceptible to hydrolysis may be protected tion dried at 31% relative humidity has a water
620
www.konkur.in
Soft capsules CHAPTER 34
content in the shell of approximately 7% (Hom et al., approximately 400 Da. Smaller hydrophilic molecules,
1975), and a water content in the fill in equilibrium such as ethanol or indeed water, can be incorporated
with the atmosphere. The residual water content of in the softgel fill matrix in low levels, typically below
most pharmaceutical compounds stored at 20% rela- 10% by weight. If included at higher levels, they may
tive humidity (the drying condition for softgels) is cause physical instability as they can migrate into
low and the water levels in the fills of softgels the shell. Additional excipients may be included with
therefore are very low. hydrophilic liquids to increase the drug solubility in
the matrix, such as polyvinylpyrrolidone, (PVP) or
using a counterion approach as developed for the
Formulation of softgel fill materials enhanced solubility system for drugs such as ibuprofen
(Seager, 1993).
In terms of formulation requirements, the softgel
should be considered as a biphasic dosage form: a Self-emulsifying drug delivery
solid-phase capsule shell and a liquid-phase capsule systems (SEDDS)
fill matrix. Although it is possible to incorporate a
A combination of a pharmaceutical oil and a surfactant
drug in the shell of a softgel, the overwhelming
such as polyoxyethylene sorbitan monooleate can
majority of products have the active ingredient(s)
provide a formulation which emulsifies and disperses
within the fill matrix. The liquid-phase fill matrix is
rapidly in the gastrointestinal fluid. The resulting
selected from components with a wide range of
droplets enable rapid transfer of the drug to the
different physicochemical properties. The choice of
mucosa and subsequent drug absorption. If the droplets
components is made according to one or more of a
formed on contact with aqueous media are in the
number of criteria, including the following:
micrometre size range, then the emulsion formed is
• capacity to dissolve the drug (if a solution fill is known as a microemulsion; if they are in the nanometre
required); range, then it is known as a nanoemulsion.
• rate of dispersion in the gastrointestinal tract In order to produce a microemulsion or a nanoe-
after the softgel shell ruptures and releases the mulsion in the gastrointestinal tract, a ‘preconcentrate’
fill matrix; is formulated in the softgel fill matrix. The precon-
• capacity to retain the drug in solution in the centrate fill matrix contains a lipid component and
gastrointestinal fluid; one or more surfactants, which spontaneously form
• compatibility with the softgel shell; and a microemulsion or a nanoemulsion on dilution in an
• ability to optimize the rate, extent and aqueous environment such as gastrointestinal fluid
consistency of drug absorption. (Fig. 34.11).
Hydrophilic liquids
Polar liquids with a sufficiently high molecular weight
are commonly used in softgel formulation either to
dissolve or to suspend the drug. Polyethylene glycol
(PEG) is the most frequently used, for example PEG Fig. 34.11 • Proposed nanoemulsion/microemulsion
400, which has an average molecular mass of dissolution mechanism.
621
www.konkur.in
PART FIVE Dosage form design and manufacture
Microemulsion and nanoemulsion systems have lipids in the softgel fill matrix. The quantity of a
the advantage of a high capacity to solubilize drug 1.0 M sodium hydroxide titrant is directly propor-
compounds, and can retain the drug in solution even tional to the extent of lipolysis.
after dilution in gastrointestinal fluids. In addition, The mixed intestinal micelles produced as a result
the microemulsion droplets have a high surface area, of this lipolysis process are of physiological importance
and are essentially surfactant micelles swollen with because these structures can transport high concentra-
solubilized oil and drug. This high surface area tions of hydrophobic molecules across the aqueous
facilitates the rapid diffusion of the drug from the boundary layer which separates the absorptive
dispersed oil phase into the aqueous intestinal fluids, membrane from the intestinal lumen. Thus lipolytic
until an equilibrium distribution is established. products (i.e. fatty acids and monoglycerides) and
Thereafter, as the drug is removed from the intestinal hydrophobic drug, if present, reside in the hydro-
fluids through absorption, it is quickly replenished phobic core regions of mixed intestinal micelles. In
by the flow of fresh material from the microemulsion contrast, the surface of the micelles remains hydro-
droplets. Improved pharmacokinetic characteristics philic, and this facilitates rapid micellar diffusion
may be achieved with this formulation approach. across the aqueous boundary layer to the intestinal
membrane. In the microclimate adjacent to the
Lipolysis systems intestinal membrane, the pH is lower than in the
In addition to promoting the solubility of drug intestinal lumen. This promotes demicellization,
compounds, lipid formulations can also facilitate leading to the formation of a supersaturated solution
dissolution by taking advantage of the natural process of lipolytic products (and hydrophobic drug, if
of lipolysis. Lipid components of a softgel fill matrix, present) close to the enterocyte surface. These
which comprise triglycerides or a partial glyceride materials are then readily absorbed across the cell
(monoglyceride/diglyceride), are often subject to membrane by passive diffusion.
intestinal fat digestion or lipolysis. Lipolysis is the Mixed intestinal micelles comprising bile salts and
action of the enzyme pancreatic lipase on triglycerides lipolytic products can enhance the bioavailability of
and partial glycerides to form 2-monoglycerides and hydrophobic drugs whose absorption is normally
fatty acids. These 2-monoglycerides and fatty acids, dissolution-rate limited. This is because mixed
known as lipolytic products, then interact with bile intestinal micelles can be very potent solubilizing
salts to form small droplets or vesicles. These vesicles agents for a wide range of hydrophobic drugs, much
are broken down into smaller and smaller vesicles, more so than simple bile salt micelles formed in the
ultimately resulting in the formation of mixed micelles absence of lipolytic products. For example, under
that are approximately 3 nm to 10 nm in size. simulated physiological conditions, the aqueous solu-
If a drug substance possesses higher solubility in bility of cinnarizine in simple bile salt micelles is
lipolytic products than in triglyceride oils, then it is 4 μg mL−1, compared with 0.5 μg mL−1 in aqueous
advantageous for lipolysis to occur in the intestinal buffer. However, in the presence of mixed micelles,
lumen. In this way the process of lipolysis promotes the solubility of cinnarizine is further enhanced to
the formation of an excellent dissolution medium approximately 44 μg mL−1 (Embleton et al., 1995).
for the drug, namely lipolytic products. On the other Taking cinnarizine as an example, it would be
hand, the absorption of a drug compound may be advantageous to formulate a softgel fill matrix that
adversely affected by the presence of bile salts, and allows lipolysis to occur in the intestinal lumen
in such a case it may be advantageous for lipolysis because of the high drug solubility in lipolytic
to be reduced or blocked completely. It has been products. If the inhibition of lipolysis by a hydrophobic
found that certain hydrophilic and lipophilic sur- surfactant were allowed to occur, then it is highly
factants have the ability to block or promote lipolysis likely that cinnarizine absorption would be impaired
(MacGregor et al., 1997). These hydrophilic and because of the reduced flow of drug into mixed
lipophilic surfactants are often used in softgel fill micelles. However, if certain lipophilic surfactants
matrix formulations. with a hydrophile–lipophile balance (HLB) less than
Measurement of the rate and extent of lipolysis 10 are added to the formulation, then the inhibitory
for a softgel fill matrix formulation can be achieved effects of hydrophilic surfactants on lipolysis can be
by an in vitro pH stat measurement technique. In reduced or eliminated.
this, lipolysis is quantified by the amount of free Two formulations containing cinnarizine, a hydro-
fatty acids liberated by enzymatic digestion of the phobic drug whose absorption is normally
622
www.konkur.in
Soft capsules CHAPTER 34
Fig. 34.12 • Plasma concentration versus time curves for three formulations of cinnarizine in the dog (n = 6). AUC,
area under the plasma concentration versus time curve. From Embleton et al., 1995.
dissolution-rate limited, have been compared (Fig. investigated further in an in vivo study. This study
34.12; Embleton et al., 1995). Formulation A was compared the bioavailability of cinnarizine (30 mg)
prepared as a lipolysing formulation and formulation orally administered as a lipolysing formulation
B was prepared as a nonlipolysing formulation, as (formulation A) or a nonlipolysing formulation
demonstrated by the in vitro model. Formulation A (formulation B) to six beagle dogs with a commercially
was composed of a digestible triglyceride oil, a available tablet (formulation C). The area under the
hydrophilic surfactant and a lipophilic surfactant, plasma concentration–time curve (0 h to 24 h) for
which was chosen on the basis of its ability to formulation A compared with the tablet preparation
overcome the inhibitory effects of the hydrophilic was significantly increased by 64% and for formulation
surfactant on the in vitro triglyceride lipolysis. In A compared with formulation B was increased by
vitro, this formulation exhibited 79% lipolysis after 48%. Cmax of formulation A was approximately 75%
60 minutes compared with the digestible oil alone. higher than that of both formulation B and formulation
In contrast, formulation B contained a lipophilic C (Fig. 34.12).
surfactant that did not overcome the inhibitory effects The results of this study have given valuable insight
of the hydrophilic surfactant on the lipolysis of the into the effect of the microemulsion formulation on
triglyceride oil and was shown to exhibit 3% lipolysis. absorption of a hydrophobic drug in the gastrointestinal
It was proposed that the oil in formulation A, which tract, and information as to how the lipolysis process
forms a fine oil-in-water emulsion on aqueous dilution, may influence bioavailability (Lacy et al., 2000).
is rapidly digested, forming mixed intestinal micelles More recently, several studies have been performed
with endogenous bile. These micelles transport the to improve the understanding of drug disposition
drug to the intestinal membrane, where the pH of from lipid-based formulation systems (Porter et al.,
the microclimate promotes micellar breakdown, 2008). A lipid formulation classification system has
facilitating enterocyte transport to the systemic been devised to organize drug–lipid compositions
circulation. In contrast, on dilution with aqueous according to the type of excipients used (Pouton,
fluids, formulation B forms a translucent microemul- 2006):
sion (as indicated by a blue tinge resulting from the
Tyndall effect). As a result of this formulation failing type I: oils (triglycerides or mixed monoglycerides
to undergo lipolysis and thereby remaining unaffected and diglycerides);
by enzymic activity, the drug is maintained within type II: water-insoluble surfactants with HLB <
the oil phase, inhibiting the production of mixed 12;
intestinal micelles, hence restricting absorption of type III: water-soluble surfactants with HLB > 12;
the drug. and
The significance of the lipolysis process in enhanc- type IV: hydrophilic cosolvents such as
ing the bioavailability of hydrophobic drugs was polyethylene glycol.
623
www.konkur.in
PART FIVE Dosage form design and manufacture
The tendency for drugs to precipitate from lipid • the gel ribbon thickness;
formulas in gastrointestinal fluid can be mitigated by • softgel seal thickness at the time of
the presence of polymeric precipitation inhibitors encapsulation;
such as cellulosic excipients (Warren et al., 2010). • fill matrix weight and capsule shell weight; and
• softgel shell moisture level and softgel hardness
Product quality considerations at the end of the drying stage.
Appropriate control levels for these parameters are
established during process development for each
Ingredient specifications softgel product, and are applied in routine production-
scale manufacture.
All the ingredients of a softgel dosage form are
controlled and tested to ensure compliance with
pharmacopoeial specifications. Additional specification Finished product testing
tests may be added for certain excipients to ensure
manufacture of a high-quality softgel product. For Finished softgels are subjected to a number of tests
example, it is important to limit certain trace impuri- in accordance with compendial requirements for
ties such as aldehydes and peroxides that may be unit dose capsule products. These normally include
present in polyethylene glycol. The presence of high capsule appearance, active ingredient assay and
levels of these impurities gives rise to cross-linking related substances assay, as well as fill weight, content
of the gelatin polymer, leading to nonsolubilization uniformity, microbiological testing and dissolution
through further polymerization. On prolonged storage, testing. Development of a dissolution test using
this can lead to slow dissolution of the capsule shell traditional media can be a challenge for certain softgel
and subsequent retarded drug release. formulations, including those with oily fills or those
Gelatin also requires careful control of quality to which rely on physiological conditions to release the
ensure a manufacturable and stable product. The drug. Some have argued that disintegration testing
quality of gelatin is controlled by parameters such may be more suitable for certain softgels (Han &
as the viscosity of a hot solution and the Bloom Gallery, 2006), whilst others use surfactant-based
strength of the gel. The Bloom strength is a measure or enzyme-based media to achieve full dissolution
of gel rigidity (see also Chapter 33). in vitro.
References
Aboul-Einien, M.H., 2009. Formulation orally administered cinnarizine in Gullapalli, R.P., 2010. Review: Soft
and evaluation of felodipine in self-emulsifying oily vehicles. gelatin capsules (softgels). J. Pharm.
softgels with a solubilized core. American Association of Sci. 99, 4107–4148.
Asian J. Pharm. Sci. 4, 144–160. Pharmaceutical Sciences Conference, Han, J.-H., Gallery, J., 2006. A risk
Aungst, B.J., 2000. Mini review: Miami Beach. based approach to in vitro
intestinal permeation enhancers. J. Ferdinando, J.C., 2000. Formulation performance testing: a case study on
Pharm. Sci. 89, 429–442. solutions – softgels. Pharm. Manuf. the use of dissolution vs.
Drewe, J., Meier, R., Vonderscherer, J., and Pack. Sourcer Spring Issue, disintegration for liquid filled soft
et al., 1992. Enhancement of the 69–73. gelatine capsules. Amer. Pharm. Rev.
oral absorption of cyclosporin in Gao, P., Charton, M., Morozowich, W., 9, 152–157.
man. Br. J. Clin. Pharmacol. 34, 2006. Speeding development of Hom, F.S., Veresh, S.A., Ebert, W.R.,
60–64. poorly soluble/poorly permeable 1975. Soft gelatin capsules II:
Embleton, J., Hutchison, K.G., Lacy, J., drugs by SEDDS/S-SEDDS oxygen permeability study of
1995. The effect of in-vivo lipolysis formulations and prodrugs (part II). capsule shells. J. Pharm. Sci. 64,
in improving the bioavailability of Amer. Pharm. Rev. 9, 16–23. 851–857.
624
www.konkur.in
Soft capsules CHAPTER 34
Jones, W.J., Francis, J.J., 2000. Softgels: MacGregor, K.J., Embleton, J.K., Lacy, Pouton, C.W., 2006. Formulation of
consumer perceptions and market J.E., 1997. Influence of lipolysis on poorly water-soluble drugs for oral
impact relative to other oral drug absorption from the administration: physicochemical and
dosage forms. Adv. Ther. 17 (5), gastrointestinal tract. Adv. Drug physiological issues and the lipid
213–221. Deliv. Rev. 25, 33–46. formulation classification system.
Klein, C.E., Chiu, Y.-L., Awani, W., Meinzer, A., 1993. Sandimmun® Eur. J. Pharm. Sci. 29, 278–287.
et al., 2007. The tablet formulation Neoral® soft gelatin capsules. Saano, V., Paronen, P., Peura, P., 1991.
of lopinavir/ritonavir provides similar International Industrial Relative pharmacokinetics of three
bioavailability to the soft-gelatin Pharmaceutical Research Conference, oral 400 mg ibuprofen dosage forms
capsule formulation with less Wisconsin. in healthy volunteers. Int. J. Clin.
pharmacokinetic variability and Perlman, M.E., Murdande, S.B., Pharmacol. 29, 381–385.
diminished food effect. J. Acquir. Gumkowski, M.J., et al., 2008. Seager, H., 1993. Soft gelatin capsule
Immune Defic. Syndr. 44, 401–410. Development of a self-emulsifying technology – a route to improved
Lacy, J.E., Embleton, J.K., Perry, E.A., formulation that reduces the food drug delivery. Pharm. Manuf. Rev. 5,
2000. Delivery systems for effect for torcetrapib. Int. J. Pharm. 9–10.
hydrophobic drugs. US Patent 351, 15–22. Warren, D.B., Benameur, H., Porter,
6,096,338. Perry, C.M., Noble, S., 1988. C.J., et al., 2010. Using polymeric
Lissy, M., Scallion, R., Stiff, D.D., Saquinavir softgel capsule precipitation inhibitors to improve
et al., 2010. Pharmacokinetic formulation. Drugs 55, 461–486. the absorption of poorly water
comparison of an oral diclofenac Porter, C.J., Pouton, C.W., Cuine, J.F., soluble drugs: a mechanistic basis
potassium liquid-filled soft gelatin et al., 2008. Enhancing intestinal for utility. J. Drug Target. 18,
capsule with a diclofenac potassium drug solubilization using lipid-based 704–731.
tablet. Expert Opin. Pharmacother. delivery systems. Adv. Drug Deliv.
11, 701–708. Rev. 60, 673–691.
625