FORMULATION AND OPTIMIZATION OF MUCOADHESIVE BUCCAL FILM FOR NICOTINE REPLACEMENT THERAPY

Authors

  • AADITAYA PRAKASH Industrial Pharmacy Research Lab, Department of Pharmacy, Shri G. S. Institute of Technology and Science, 23, Park Road Indore-452003 (M. P.), India
  • PRAKASH K. SONI Industrial Pharmacy Research Lab, Department of Pharmacy, Shri G. S. Institute of Technology and Science, 23, Park Road Indore-452003 (M. P.), India https://orcid.org/0000-0002-2202-3778
  • SURESH K. PASWAN Industrial Pharmacy Research Lab, Department of Pharmacy, Shri G. S. Institute of Technology and Science, 23, Park Road Indore-452003 (M. P.), India
  • T. R. SAINI Industrial Pharmacy Research Lab, Department of Pharmacy, Shri G. S. Institute of Technology and Science, 23, Park Road Indore-452003 (M. P.), India

DOI:

https://doi.org/10.22159/ijap.2023v15i3.47412

Keywords:

Mucoadhesive buccal film, Box-Behnken design, Nicotine replacement therapy, Rapid onset, Prolonged release

Abstract

Objective: Nicotine replacement therapy (NRT) is a widely used method for reducing the desire to smoke and managing withdrawal symptoms during smoking cessation efforts. The research work aims to prepare and optimize a mucoadhesive nicotine buccal film by solvent casting method to provide the rapid onset and prolonged effects of cigarette smoking.

Methods: Mucoadhesive nicotine buccal films were developed from the polymers Carbopol 934, Eudragit RLPO, and HPMC E15 by solvent casting method. The optimization of the mucoadhesive nicotine buccal film was performed using a three-factor, three-level Box-Behnken design where Carbopol 934, Eudragit RLPO, and HPMC E15 were selected as independent variables, while the swelling index, adhesion time, mucoadhesive strength, and cumulative % drug release were selected as response variables.

Results: The optimized mucoadhesive nicotine buccal film showed uniform thickness and drug content. It had a swelling index of 188.21%, adhesion time of 7 h 45 min, and mucoadhesive strength of 0.23 N. The film showed a burst release followed by a steady release of 76.55 % over 360 min. It exhibited a 2-fold enhancement in buccal mucosal permeation as compared to a lozenge.

Conclusion: The mucoadhesive nicotine buccal film prepared by the solvent casting method provides a rapid onset of action and prolonged effect for an extended period which replicates the effects of cigarette smoking. The findings show that it will reduce the frequency of administration, as a result of decreased nicotine cravings and reduced withdrawal symptoms, compared to currently available NRTs, ultimately helping individuals quit smoking.

Downloads

Download data is not yet available.

References

West R. Tobacco smoking: health impact, prevalence, correlates and interventions. Psychol Health. 2017;32(8):1018-36. doi: 10.1080/08870446.2017.1325890, PMID 28553727.

Benowitz NL. Nicotine addiction. N Engl J Med. 2010;362(24):2295-303. doi: 10.1056/NEJMra0809890.

Hartmann Boyce J, Chepkin SC, Ye W, Bullen C, Lancaster T. Nicotine replacement therapy versus control for smoking cessation. Cochrane Database Syst Rev. 2018;5(5):CD000146. doi: 10.1002/14651858.CD000146.pub5. PMID 29852054.

Thompson GH, Hunter DA. Nicotine replacement therapy. Ann Pharmacother. 1998;32(10):1067-75. doi: 10.1345/aph.17382, PMID 9793600.

Kamala K, Sankethguddad S, Sujith S. An update on nicotine replacement therapy. J Oral Res Rev. 2019;11(2):41-7. doi: 10.4103/jorr.jorr_9_18.

Sachdev R, Garg K. Nicotine replacement therapy: effective tool in smoking cessation: a review. Glob J Res Anal. 2018;7:456-7.

Wadgave U, Nagesh L. Nicotine replacement therapy: an overview. Int J Health Sci (Qassim). 2016;10(3):425-35. doi: 10.12816/0048737, PMID 27610066.

Herman AI, Sofuoglu M. Comparison of available treatments for tobacco addiction. Curr Psychiatry Rep. 2010;12(5):433-40. doi: 10.1007/s11920-010-0134-6, PMID 20623259.

Abd El Azim H, Nafee N, Ramadan A, Khalafallah N. Liposomal buccal mucoadhesive film for improved delivery and permeation of water-soluble vitamins. Int J Pharm. 2015;488(1-2):78-85. doi: 10.1016/j.ijpharm.2015.04.052, PMID 25899288.

Adrover A, Di Muzio L, Trilli J, Brandelli C, Paolicelli P, Petralito S. Enhanced loading efficiency and mucoadhesion properties of gellan gum thin films by complexation with hydroxypropyl-β-cyclodextrin. Pharmaceutics. 2020;12(9):3-21. doi: 10.3390/pharmaceutics12090819, PMID 32872207.

Fonseca Santos B, Chorilli M. An overview of polymeric dosage forms in buccal drug delivery: state of art, design of formulations and their in vivo performance evaluation. Mater Sci Eng C Mater Biol Appl. 2018;86:129-43. doi: 10.1016/j.msec.2017.12.022, PMID 29525088.

Kontogiannidou E, Ferrari M, Deligianni AD, Bouropoulos N, Andreadis DA, Sorrenti M. In vitro and ex vivo evaluation of tablets containing piroxicam-cyclodextrin complexes for buccal delivery. Pharmaceutics. 2019;11(8). doi: 10.3390/pharmaceutics11080398, PMID 31398833.

Salehi S, Boddohi S. Design and optimization of kollicoat ® IR based mucoadhesive buccal film for co-delivery of rizatriptan benzoate and propranolol hydrochloride. Mater Sci Eng C Mater Biol Appl. 2019;97:230-44. doi: 10.1016/j.msec.2018.12.036, PMID 30678908.

Abruzzo A, Bigucci F, Cerchiara T, Cruciani F, Vitali B, Luppi B. Mucoadhesive chitosan/gelatin films for buccal delivery of propranolol hydrochloride. Carbohydr Polym. 2012;87(1):581-8. doi: 10.1016/j.carbpol.2011.08.024, PMID 34663007.

Hearnden V, Sankar V, Hull K, Juras DV, Greenberg M, Kerr AR. New developments and opportunities in oral mucosal drug delivery for local and systemic disease. Adv Drug Deliv Rev. 2012;64(1):16-28. doi: 10.1016/j.addr.2011.02.008, PMID 21371513.

Abdella S, Afinjuomo F, Song Y, Upton R, Garg S. Mucoadhesive buccal film of estradiol for hormonal replacement therapy: development and in vivo performance prediction. Pharmaceutics. 2022;14(3):1-24. doi: 10.3390/pharmaceutics14030542, PMID 35335917.

Sindhu GD, Nallaguntla L, Kulkarni GS. Buccal mucoadhesive films. Int J Curr Pharm. 2021;13(4):14-20.

Tejada G, Piccirilli GN, Sortino M, Salomón CJ, Lamas MC, Leonardi D. Formulation and in vitro efficacy of antifungal mucoadhesive polymeric matrices for the delivery of miconazole nitrate. Mater Sci Eng C Mater Biol Appl. 2017;79:140-50. doi: 10.1016/j.msec.2017.05.034, PMID 28629000.

Abruzzo A, Nicoletta FP, Dalena F, Cerchiara T, Luppi B, Bigucci F. Bilayered buccal films as child-appropriate dosage form for systemic administration of propranolol. Int J Pharm. 2017;531(1):257-65. doi: 10.1016/j.ijpharm.2017.08.070, PMID 28811117.

Krampe R, Visser JC, Frijlink HW, Breitkreutz J, Woerdenbag HJ, Preis M. Oromucosal film preparations: points to consider for patient centricity and manufacturing processes. Expert Opin Drug Deliv. 2016;13(4):493-506. doi: 10.1517/17425247.2016.1118048, PMID 26559519.

Ferreira SLC, Bruns RE, Ferreira HS, Matos GD, David JM, Brandão GC. Box-behnken design: an alternative for the optimization of analytical methods. Anal Chim Acta. 2007;597(2):179-86. doi: 10.1016/j.aca.2007.07.011, PMID 17683728.

Haju SS, Yadav S. Formulation and evaluation of cilnidipine mucoadhesive buccal film by solvent casting technique for the treatment of hypertension. Int J Pharm Pharm Sci. 2021;13(9):34-43. doi: 10.22159/ijpps.2021v13i9.42641.

Abouhussein DMN, El El-bary AA, Shalaby SH, El Nabarawi MAE. Chitosan mucoadhesive buccal films: effect of different casting solvents on their physicochemical properties. Int J Pharm Pharm Sci. 2016;8(9):206-13. doi: 10.22159/ijpps.2016.v8i9.12999.

Haju S, Yadav S, Baig R, Sawant G. Buccal film: a novel approach for oral mucosal drug delivery system. Asian J Pharm Clin Res. 2021;14(1):27-35. doi: 10.22159/ajpcr.2021.v14i1.39687.

Karki S, Kim H, Na S, Shin D, Jo K, Lee J. Thin films as an emerging platform for drug delivery. Asian Journal of Pharmaceutical Sciences. 2016;11(5):559-74. doi: 10.1016/j.ajps.2016.05.004.

Yasmin Begum M, Alqahtani A, Ghazwani M. Preparation of carbopol 934 based ketorolac tromethamine buccal mucoadhesive film: in vitro, ex vivo, and in vivo assessments. Int J Polym Sci. 2021;2021:1-11.

Roy Biswas G. Hydroxypropyl methylcellulose: different aspects in drug delivery. J Pharm Pharmacol. 2016;4:381-5.

Patra CN, Priya R, Swain S, Kumar Jena G, Panigrahi KC, Ghose D. Pharmaceutical significance of eudragit: a review. Future J Pharm Sci. 2017;3(1):33-45. doi: 10.1016/j.fjps.2017.02.001.

Ikram M, Gilhotra N, Gilhotra RM. Formulation and optimization of mucoadhesive buccal patches of losartan potassium by using response surface methodology. Adv Biomed Res. 2015;4:239. doi: 10.4103/2277-9175.168606, PMID 26682205.

Aframian DJ, Davidowitz T, Benoliel R. The distribution of oral mucosal pH values in healthy saliva secretors. Oral Dis. 2006;12(4):420-3. doi: 10.1111/j.1601-0825.2005.01217.x, PMID 16792729.

Dixit GR, Chavhan JI, Upadhye PK, Misra S. Formulation and characterization of mucoadhesive buccal film of ranitidine hydrochloride using sterculla foetida gum as polymer. Asian J Pharm Clin Res. 2015;8(3):68-71.

Semalty A, Semalty M, Nautiyal U. Formulation and evaluation of mucoadhesive buccal films of enalapril maleate. Indian J Pharm Sci. 2010;72(5):571-5. doi: 10.4103/0250-474X.78522, PMID 21694987.

Bodini RB, Guimaraes J, Monaco Lourenço CA, Aparecida de Carvalho R. Effect of starch and hydroxypropyl methylcellulose polymers on the properties of orally disintegrating films. J Drug Deliv Sci Technol. 2019;51:403-10. doi: 10.1016/j.jddst.2019.03.028.

Khan MA, Ameen S, Zia A, Ijaz U. Formulation of fast dissolving oral films of nicotine. Contemp Pharm Pract. 2018;2(1):1-7.

Kumar A, Bali V, Kumar M, Pathak K. Comparative evaluation of porous versus nonporous mucoadhesive films as buccal delivery system of glibenclamide. AAPS PharmSciTech. 2013;14(4):1321-32. doi: 10.1208/s12249-013-0014-6, PMID 23990119.

Konda M, Chinnala KM, Samineni L, Naznin Y, Avirneni J, Kondamalla KC. Formulation and characterization of nicotine thin films for smoking cessation through buccal delivery. Intern Jour Contemp Microbiol 2016;9(12):2079. doi: 10.5958/0974-360X.2016.00424.8.

Shaikh R, Raj Singh TR, Garland MJ, Woolfson AD, Donnelly RF. Mucoadhesive drug delivery systems. J Pharm Bioallied Sci. 2011;3(1):89-100. doi: 10.4103/0975-7406.76478, PMID 21430958.

Bahri Najafi R, Rezaei Z, Peykanpour M, Shabab L, Solooki R, Akbari P. Formulation of nicotine mucoadhesive tablet for smoking cessation and evaluation of its pharmaceuticals properties. Adv Biomed Res. 2013;2:88. doi: 10.4103/2277-9175.122515, PMID 24524034.

Jacob S, Nair AB, Boddu SHS, Gorain B, Sreeharsha N, Shah J. An updated overview of the emerging role of patch and film-based buccal delivery systems. Pharmaceutics. 2021;13(8):1-39. doi: 10.3390/pharmaceutics13081206, PMID 34452167.

Boateng J, Okeke O. Evaluation of clay-functionalized wafers and films for nicotine replacement therapy via buccal mucosa. Pharmaceutics. 2019;11(3):104. doi: 10.3390/pharmaceutics11030104, PMID 30832244.

Pothu R, Shayeda YM. Development and in vitro evaluation of nicotine troches for smoking cessation. Asian J Pharm Clin Res. 2014;7(2):68-75.

Maheswara Reddy D, Kumar V, Harshini P, Lahari P. Formulation and evaluation of nicotine transdermal patches by the using of hydrophilic and hydrophobic polymers. World J Pharm Res. 2018;7(16):1101-15.

Surini S, Gotalia F, Putri KSS. Formulation of mucoadhesive buccal films using pregelatinized cassava starch phthalate as a film-forming polymer. Int J App Pharm. 2018;10(1):225-9. doi: 10.22159/ijap.2018.v10s1.50.

Ngono F, Willart JF, Cuello GJ, Jimenez Ruiz M, Yelles CH, Affouard F. Impact of amorphization methods on the physicochemical properties of amorphous lactulose. Mol Pharm. 2020;17(1):1-9. doi: 10.1021/acs.molpharmaceut.9b00740. PMID 31647674.

Higuchi T. Mechanism of sustained‐action medication. Theoretical analysis of rate of release of solid drugs dispersed in solid matrices. J Pharm Sci. 1963;52(12):1145-9. doi: 10.1002/jps.2600521210, PMID 14088963.

Kheawfu K, Panraksa P, Jantrawut P. Formulation and characterization of nicotine microemulsion-loaded fast-dissolving films for smoking cessation. Molecules. 2022;27(10). doi: 10.3390/molecules27103166, PMID 35630643.

Published

07-05-2023

How to Cite

PRAKASH, A., SONI, P. K., PASWAN, S. K., & SAINI, T. R. (2023). FORMULATION AND OPTIMIZATION OF MUCOADHESIVE BUCCAL FILM FOR NICOTINE REPLACEMENT THERAPY. International Journal of Applied Pharmaceutics, 15(3), 100–112. https://doi.org/10.22159/ijap.2023v15i3.47412

Issue

Section

Original Article(s)