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N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

IJAPR<br />

Available Online through<br />

www.ijapronline.org<br />

Research Paper<br />

ISSN: 2230 – 7583<br />

DEVELOPMENT OF FIXED DOSE COMBINATION OF ANTI-RETROVIRAL DRUGS<br />

CONTAINING LAMIVUDINE, NEVIRAPINE AND ZIDOVUDINE IN THE FORM OF<br />

A DISPERSIBLE TABLET FOR PEDIATRIC USE<br />

N.Sureshbabu* 1 , Dr.M.SenthilKumar 1 , Dr.V.Sreenivasulu 2 , S.Valarmathi 1 , S.Srinivas Naidu 1 ,<br />

Kasam Naveen Kumar 3 , D.Hariharan 1 .<br />

1 Annai Veilankannie’s Pharmacy College, Chennai-17, India<br />

2 Sri Lakshmi Venkateswara Institute <strong>of</strong> Pharmaceutical Sciences, Prodduturu, A.P, India<br />

3 Department <strong>of</strong> Pharmaceutics, SLC’S College <strong>of</strong> Pharmacy, Hyderabad, India<br />

Received on 22 – 07 - 2012 Revised on 18 – 08- 2012 Accepted on 25– 08 – 2012<br />

ABSTRACT<br />

In AIDS therapy, mono therapy is not recommended because incomplete viral suppression can lead to development<br />

<strong>of</strong> resistance. Combinations <strong>of</strong> antiretrovirals create multiple obstacles to HIV replication to keep the number <strong>of</strong><br />

<strong>of</strong>fspring low <strong>and</strong> reduce the possibility <strong>of</strong> a superior mutation. The present investigation reports development <strong>of</strong> an<br />

in-vitro dispersible fixed dose combination tablet containing Lamivudine(30mg), Nevirapine(50mg) <strong>and</strong><br />

Zidovudine(60mg). The dispersible tablet is intended for ease <strong>of</strong> administration, primarily to pediatric patients. The<br />

tablets were prepared <strong>by</strong> wet granulation techanique <strong>and</strong> evaluated for various parameters like weight variations,<br />

hardness, friability, disintegration time, assay, related impurities <strong>and</strong> dissolation pr<strong>of</strong>ile. The optimized <strong>formulation</strong><br />

contains 12% <strong>of</strong> Lamivudine, 20% <strong>of</strong> Nevirapine <strong>and</strong> 24% <strong>of</strong> Zidovudine as active ingredients, 24.8% <strong>of</strong> Lactose<br />

monohydrate <strong>and</strong> 8% <strong>of</strong> Microcrystalline Cellulose as diluent, 5.2% <strong>of</strong> Sodium Starch Glycolate as disintegrant,<br />

1.4% silicon dioxide as Glidant, 1.6% Sucralose as sweetener, 0.8% strawberry flavor 1% <strong>of</strong> povidone as binder<br />

<strong>and</strong> 1.2% <strong>of</strong> magnesium stearate as lubricant. The optimized <strong>formulation</strong> had a weight variation < 10%, hardness <strong>of</strong><br />

35-50N, percentage friability <strong>of</strong> 0.15, disintegration time <strong>of</strong> 55-60 sec, % assay was 102.2% for Lamivudine,<br />

99.9% for Nevirapine <strong>and</strong> 102.5% for Zidovudine <strong>and</strong> in vitro drug release after 30mins was 100.2 % for<br />

Lamivudine, 99.9% for Nevirapine <strong>and</strong> 100.1% for Zidovudine. Tablets were packed in HDPE containers for<br />

stability study. The <strong>formulation</strong> was stable after three month <strong>of</strong> accelerated stability studies.<br />

Key Words: AIDS, HIV, Dispersible tablets, fixed dose combination, Lamivudine, Nevirapine, wet granulation,<br />

Zidovudine.<br />

INTRODUCTION<br />

The number <strong>of</strong> people living with HIV/AIDS has<br />

risen from around 8 million in 1990 to more than 33<br />

million <strong>and</strong> is still growing. More than 25 million<br />

people have died <strong>of</strong> AIDS since 1981 <strong>and</strong> there is no<br />

immediate cure to curb such untimely deaths. India<br />

has a population <strong>of</strong> more than one billion; around<br />

half <strong>of</strong> them are adults in sexually active group.<br />

Address for Correspondence<br />

N.Sureshbabu<br />

Department <strong>of</strong> Pharmaceutics<br />

Annai Veilankanni’s Pharmacy College<br />

Chennai-17<br />

Mail I d:sureshpharma2012@yahoo.com<br />

The first AIDS in India was detected in 1986, since<br />

then HIV infection has been reported all over the<br />

country. As <strong>of</strong> July 2011 revised estimate, now 3<br />

million people in India are living with AIDS 1 .<br />

During this decade, effective therapies aimed at<br />

continued suppression <strong>of</strong> HIV replication <strong>and</strong><br />

targeted at resting HIV reservoirs such as brain,<br />

lymphatic systems will be critical to prolong survival<br />

<strong>and</strong> renewing hopes for a cure. Thus goals <strong>of</strong><br />

antiretroviral therapy include, reducing the<br />

symptoms <strong>of</strong> HIV infection <strong>and</strong> delay disease<br />

progression to AIDS. Established HIV infection is<br />

diagnosed <strong>by</strong> finding antibodies to HIV in the<br />

plasma <strong>using</strong> various serological testing methods<br />

IJAPR / Sept. 2012/ Vol. 3 /Issue. 9 / 1116 – 1130 1116


N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

such as ELISA, Orasure western blot, SUDS,<br />

Orasure HIV-1. Generally according to the United<br />

States Food <strong>and</strong> Drug Administration <strong>and</strong> World<br />

Health Organization guidelines, the antiretroviral<br />

therapy is commenced with these observations, such<br />

as when patients experience severe symptoms <strong>of</strong><br />

HIV infection or have been diagnosed with AIDS or<br />

when the viral load in the blood sample is found to<br />

be 50,000 copies/ml or more or when the CD4 cell<br />

count is less than 200-350 cells/mm 3 . 1<br />

Antiretroviral drugs are broadly classified<br />

<strong>by</strong> the phase <strong>of</strong> the retrovirus life cycle that the drug<br />

inhibits 1,3,4 .<br />

‣ Nucleoside <strong>and</strong> nucleotide reverse<br />

transcriptase inhibitors(NRTI) inhibits<br />

reverse transcription <strong>by</strong> being incorporated<br />

into the newly synthesized viral DNA <strong>and</strong><br />

thus preventing further elongation<br />

Examples: Abacavir, Emtricitabine,<br />

Ten<strong>of</strong>ovir, Lamivudine, Didanosine,<br />

Stavudine, Zidovudine, Amdoxovir<br />

‣ Non nucleoside reverse transcriptase<br />

inhibitor (NNRTI) inhibits reverse<br />

transcriptase <strong>by</strong> directly binding to the<br />

enzymes <strong>and</strong> thus interferes with its<br />

function. Examples: Efavirenz, Nevirapine,<br />

Etravirine, Rilpivirine<br />

‣ Protease inhibitors (PI) targets viral<br />

assembly <strong>by</strong> inhibiting the activity <strong>of</strong><br />

protease, an enzyme used <strong>by</strong> HIV to cleave<br />

nascent proteins for final assembly <strong>of</strong> new<br />

virons. Examples: Ritonavir, Saquinavir,<br />

Lopinavir, Fosamprenavir, Saquinavir,<br />

Atazanavi.<br />

‣ Integrase inhibitors (IT) inhibit the<br />

enzyme integrase, which is responsible for<br />

integration <strong>of</strong> viral DNA into the DNA <strong>of</strong><br />

infected cell. Examples: Elvitegravir,<br />

Raltegravir.<br />

‣ Entry inhibitors or Fusion inhibitors (FI)<br />

interferes with binding, fusion <strong>and</strong> entry <strong>of</strong><br />

HIV-1 to the host cell <strong>by</strong> blocking one <strong>of</strong><br />

several stages. Examples: Maraviroc,<br />

Enfuvirtide, Vicriviroc<br />

Combination therapy<br />

Mono-therapy is no longer recommended because<br />

incomplete viral suppression can encourage<br />

development <strong>of</strong> resistance. Similarly, magnitude <strong>and</strong><br />

durability <strong>of</strong> viral suppression is lower with dual<br />

antiretroviral combinations compared with<br />

combinations containing three or more agents. For<br />

example, generally two NRTIs are combined with<br />

antiretroviral from PI or NNRTI class. Similarly,<br />

mono-therapy with PI or NNRTI is also not<br />

advisable in order to prevent the emergence <strong>of</strong><br />

resistance <strong>and</strong> subsequent drug failure.<br />

In the present study, a combination <strong>of</strong> Lamivudine<br />

/Nevirapine/Zidovudine (30mg/50mg/60mg) has<br />

been used to develop in vitro dispersible tablet for<br />

pediatrics use. Since the dose <strong>of</strong> three active<br />

ingredients was more, it is a challenge to<br />

successfully formulate an in- vitro dispersible tablet<br />

<strong>using</strong> limited choice <strong>and</strong> concentration <strong>of</strong> excipients.<br />

In the present study Lactose monohydrate <strong>and</strong> MCC<br />

was used as diluents, SSG used as disintegrant,<br />

Povidone as binder, Colloidal silicon dioxide as<br />

Glidant, Sucralose as sweetener, strawberry as flavor<br />

<strong>and</strong> Mg.St as lubricant. 7<br />

MATERIALS AND METHODS<br />

Lamivudine, Nevirapine, Zidovudine, Lactose<br />

monohydrate, MCC, SSG, Povidone, Colloidal<br />

silicon Di oxide, Strawberry flavour, Mg Stearate<br />

Procured from Alchem Murugan Suppliers Chennai.<br />

Pre<strong>formulation</strong><br />

The following are the pre<strong>formulation</strong> studies<br />

conducted on the active pharmaceutical ingredients:<br />

‣ Description<br />

‣ Solubility<br />

‣ Identification <strong>by</strong> IR, HPLC, DSC<br />

The pre<strong>formulation</strong> parameters considered for<br />

<strong>formulation</strong> aspects are:<br />

‣ Melting point<br />

‣ Bulk density<br />

‣ Tapped density<br />

‣ Particle size analysis<br />

‣ Drug-excipients compatibility studies<br />

Description<br />

Powder was assessed for color, odour,<br />

taste, hydroscopicity, etc.<br />

Solubility: The solubility studies were carried out<br />

for all the three API’s in distilled water <strong>and</strong> also with<br />

other solvents <strong>by</strong> adding excess amount <strong>of</strong> the drug<br />

in to the flask in each case <strong>and</strong> keeping the flask on a<br />

shaker.<br />

Identification <strong>by</strong> IR spectroscopy<br />

IR spectra <strong>of</strong> the pure drug taken in KBr at<br />

moderate scanning speed.<br />

Bulk density <strong>and</strong> Tapped density<br />

Bulk density (D b ) ═ Mass <strong>of</strong> the powder (M) /<br />

Bulk volume (V b )<br />

Tapped density (D t ) ═ Mass <strong>of</strong> the powder (M)<br />

/ Tapped volume (V T )<br />

The Carr ’ s index is the measure <strong>of</strong> propensity <strong>of</strong> the<br />

powder to be compressed. It is calculated <strong>using</strong> the<br />

formula given below.<br />

Carr ’ s index (CI) ═ (D t – D b ) / D t × 100<br />

IJAPR / Sept. 2012/ Vol. 3 /Issue. 9 / 1116 – 1130 1117


N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Angle <strong>of</strong> repose<br />

It is the maximum angle possible between the<br />

surface <strong>of</strong> a pile <strong>of</strong> the powder <strong>and</strong> the horizontal<br />

plane.<br />

Tan θ =h/r<br />

Where,<br />

h = height in cms<br />

r = radius in cms<br />

Compatibility studies<br />

The drug <strong>and</strong> excipients were mixed as per table 4.4<br />

<strong>and</strong> were distributed equally in 10ml moulded glass<br />

vials with 20mm grey coloured rubber plugs. They<br />

were loaded for stability study at 25 ± 2 0 C / 60 ±<br />

5%RH <strong>and</strong> 40 ± 2 0 C / 75 ± 5% RH. The samples<br />

were drawn in the intervals <strong>of</strong> zero (initial) <strong>and</strong><br />

fourth week <strong>and</strong> analyzed for drug stability <strong>by</strong> HPLC<br />

method.<br />

Precompression parameters:<br />

Following properties were evaluated as<br />

Precompression parameters<br />

‣ Loss on drying<br />

‣ Bulk density<br />

‣ Tapped density<br />

‣ Particle size distribution<br />

Compression parameters:<br />

Following parameters were evaluated during<br />

compression<br />

‣ Average weight<br />

‣ Hardness test<br />

‣ Friability test<br />

‣ Disintegration test<br />

‣ Dissolution<br />

Post compression parameters:<br />

Following parameters were evaluated as<br />

post compression parameters<br />

‣ Physical parameters like Bulk density,<br />

Tapped density <strong>and</strong> Carr’s index<br />

‣ Disintegration<br />

‣ Assay<br />

‣ Related substances<br />

‣ Dissolution<br />

Formulation development:<br />

RESULTS AND DISCUSSION<br />

Drug – Excipients compatibility studies were<br />

performed for a period <strong>of</strong> 4 weeks at 40±2 0 C/75±5%<br />

RH. The results showed that the impurities were<br />

found to be with in limit. The results are shown in<br />

Table 5.4. The impurities were compared with<br />

samples (Table 5.4), <strong>and</strong> found with in the limit.<br />

From this we can conclude that there was no<br />

interaction between lamivudine,nevirapine <strong>and</strong><br />

zidovudine with selected excipients.<br />

‣ F-1 was dropped as poor flow<br />

properties, torrent sticking to<br />

punches.<br />

‣ Dispersion in the water is poor.<br />

‣ This (F-2) was <strong>formulation</strong><br />

dropped as sticking problem was<br />

observed.<br />

‣ So wet granulation is selected for<br />

next <strong>formulation</strong>.<br />

In the third <strong>formulation</strong> F-3 (Table 4.9) the wet<br />

granulation was selected <strong>using</strong> Cros-povidone as a<br />

disintegrating agent, used both intra <strong>and</strong> extra<br />

granularly. The granulation was done <strong>using</strong> FBP.<br />

Dispersion in water was satisfactory <strong>and</strong> taste was<br />

bl<strong>and</strong>. However, <strong>formulation</strong> F-3 was dropped as rat<br />

hole was observed during compression in hopper &<br />

slight sticking to lower punch. The fourth<br />

<strong>formulation</strong> F-4 (Table 4.9) wet granulation was<br />

done RMG <strong>using</strong> cross-povidone as disintegrating<br />

agent, in both intra <strong>and</strong> extra granulation process.<br />

The approach was dropped as flow <strong>of</strong> the granules<br />

was poor. So next <strong>formulation</strong> including excipients<br />

which increase flow.<br />

In the fifth <strong>formulation</strong> F-5(Table 4.10),<br />

povidone was used as a binder <strong>and</strong> CCS used as a<br />

binder. Flow property <strong>of</strong> granules was satisfactory<br />

<strong>and</strong> taste <strong>of</strong> dispersion was sweet so sucralose to be<br />

used for further batches. This <strong>formulation</strong> F-5 was<br />

dropped as after dispersion in water slight bigger<br />

granules settled at the bottom. So Polyplasdone Xl-<br />

10 used as a disintegrate in the next batch.<br />

The sixth <strong>formulation</strong> F-6(Table 4.11) the<br />

average weight <strong>of</strong> tablet was increased to 250mg<br />

from 220mg <strong>using</strong> lactose monohydrate as a diluent<br />

<strong>and</strong> Polyplasdone Xl-10 used as disintegrant,<br />

granulation was done in RMG. Granules flow was<br />

satisfactory so granulation was carried out in RMG<br />

was further batch. Dispersion in water gave<br />

flavoured, sweet taste strawberry flavour was used<br />

for further batch. Few granules were retained after<br />

pouring on 30# mesh. The weight <strong>of</strong> tablet increased<br />

to 250mg for further batch this approach was<br />

dropped as rat hole in the hopper is observed <strong>and</strong><br />

sticking to lower punch is observed.<br />

The seventh <strong>formulation</strong> F-7 (table 4.12)<br />

was <strong>by</strong> changing the disintegrate (SSG) used,<br />

dispersion in water is good it took 1 min disintegrate<br />

in water <strong>and</strong> dispersion passing through #30 mesh.<br />

Dispersion in water gave flavoured, sweet taste <strong>and</strong><br />

flow <strong>of</strong> granules is good. The stability data for 3<br />

moths studied the amount <strong>of</strong> impurity within the<br />

limit <strong>and</strong> drug release is more 80% within 15 min. so<br />

this batch is optimized.<br />

Post compression parameters <strong>of</strong> F-7 were as<br />

follows,<br />

Average weight: The average weight <strong>of</strong> the tablet<br />

was 250 mg.<br />

Thickness: The thicknesses <strong>of</strong> the tablets were<br />

found between 3.0mm to 3.2mm.<br />

IJAPR / Sept. 2012/ Vol. 3 /Issue. 9 / 1116 – 1130 1118


N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Hardness: The hardness <strong>of</strong> all <strong>formulation</strong>s was<br />

between 35 – 50 N.<br />

Friability: Friability <strong>of</strong> the tablet is not the <strong>of</strong>ficial<br />

test but required for the shipment <strong>of</strong> the product. The<br />

percentage <strong>of</strong> friability <strong>of</strong> the final lab scale<br />

<strong>formulation</strong> (F-7) was not more than 0.15% which<br />

was within the limit (NMT 1%).<br />

Weight variation: As the weight <strong>of</strong> the tablet is<br />

250.0mg the accepted variation is ± 2% <strong>and</strong> it was<br />

found that all the successful <strong>formulation</strong>s were<br />

within the limits.<br />

In-Vitro Dissolution study: The % CDR after<br />

15minute was more than 80%.<br />

Assay: The percentage drug content was found to be<br />

within 90.0% to 105%.<br />

Disintegration time: The disintegration time <strong>of</strong> All<br />

the <strong>formulation</strong>s were evaluated <strong>and</strong> results are<br />

represented in table no 5.7. The disintegration time<br />

should not be more than 3 minutes for tablets. Based<br />

on the Precompression <strong>and</strong> post compression<br />

parameters F-7 was optimized. After obtaining the<br />

stability reports, scale up batch was performed with<br />

bigger batch size 10,000 tablets.<br />

Stability studies: F–7 were subjected for stability<br />

studies <strong>and</strong> was analyzed for physical appearance,<br />

drug content, dissolution pr<strong>of</strong>ile <strong>and</strong> related<br />

substances.<br />

Physical appearance: It was found that<br />

there was no significant change in the color,<br />

visual appearance in all the tablets during<br />

<br />

1 st , 2nd <strong>and</strong> 3 rd month stability study.<br />

Disintegration: There was no significant<br />

difference in DT w.r.t. initial DT.<br />

Drug content: The drug content in F -8<br />

showed no significant change w.r.t. to<br />

initial values.<br />

Dissolution pr<strong>of</strong>ile: Dissolution was<br />

carried out for F – 7 at the intervals 1 st 2 nd<br />

<strong>and</strong> 3 rd months <strong>and</strong> it was found that there<br />

were no significant changes.<br />

Hence, the developed dispersible tablet <strong>of</strong> LNZ <strong>of</strong><br />

formula (F-7) was suitable from pre-compression<br />

characteristics including dispersion time (DT) <strong>and</strong><br />

also stable over 3- months<br />

CONCLUSION<br />

In the present study, an attempt was made to<br />

formulate a FDC tablet having three ARV drugs. The<br />

ARV drugs were Nevirapine an NNRTI, Lamivudine<br />

an NRTI <strong>and</strong> Zidovudine an NRTI. From the study<br />

carried out, following conclusions were made as<br />

given below:<br />

‣ FT-IR studies revealed that there is no<br />

chemical interaction between LNZ <strong>and</strong> the<br />

excipients used in the study.<br />

‣ The tablets prepared were found to be good<br />

without any chipping, capping <strong>and</strong> sticking<br />

‣ Formulated tablets gives satisfactorily result<br />

for various physico-chemical evaluations <strong>of</strong><br />

tablets like tablet dimension, hardness,<br />

friability, weight variation, in vitro<br />

dispersion time, wetting time <strong>and</strong> drug<br />

content.<br />

‣ Based on in vitro dispersion time,<br />

<strong>formulation</strong> F 7 were found to be promising<br />

<strong>and</strong> displayed a dispersion time <strong>of</strong><br />

approximately 55-60 s.<br />

‣ Initial Analysis <strong>using</strong> Simultaneous<br />

estimation <strong>by</strong> HPLC method was possible<br />

to show promising assay results.<br />

‣ In vitro release pr<strong>of</strong>ile <strong>of</strong> the dispersible<br />

tablets were satisfactory <strong>and</strong> complete drug<br />

release was achieved within 30 minutes.<br />

‣ The drug release pr<strong>of</strong>ile compared with<br />

individual drug liquid oral suspension form<br />

<strong>of</strong> available marketed products. So it’s same<br />

as marketed product.<br />

‣ The dosage form was optimized with<br />

respect to <strong>formulation</strong> <strong>and</strong> processing<br />

parameters, which indicated that<br />

<strong>formulation</strong> F-7, was having the desired<br />

optimum characteristics for taking up<br />

stability studies.<br />

‣ Stability studies were carried out as per ICH<br />

guidelines. After 3 months <strong>of</strong> accelerated<br />

stability studies, it was found that the F-7<br />

was sufficiently stable.<br />

‣ After successfully optimizing the<br />

<strong>formulation</strong>, scale up batch was taken <strong>by</strong><br />

increasing the batch size.<br />

Table: 1 - Compositions for compatibility study<br />

Sl.No Combination Composition code<br />

01 Lamivudine+ Nevirapine+ Zidovudine A<br />

02 Lamivudine+ Nevirapine+ Zidovudine + lactose monohydrate + MCC+ B<br />

SSG+ Povidone + Colloidal silicon di oxide+ Mg-st+ Strawberry flavor<br />

03 Lamivudine+Nevirapine+ Zidovudine+Lactose monohydrate C<br />

04 Lamivudine+ Nevirapine+ Zidovudine+MCC D<br />

05 Lamivudine+nevirapine+zidovudine+SSG E<br />

IJAPR / Sept. 2012/ Vol. 3 /Issue. 9 / 1116 – 1130 1119


N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Table-2: Formulation <strong>of</strong> F-1<br />

Sl/no Ingredients Qty/unit(mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 MCC-200 62<br />

5 CCS 12<br />

6 Sucralose 2<br />

7 Purified talc 2<br />

8 Magnesium stearate 2<br />

Table: 3- Formulation <strong>of</strong> F- 2<br />

Sl/no Ingredients Qty/unit(mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 MCC-200 62<br />

5 CCS 12<br />

6 Sucralose 2<br />

7 Purified talc 2<br />

8 Colloidal silicon dioxide 2<br />

9 Magnesium stearate 2<br />

Table: 4 Formulation <strong>of</strong> F- 3 (1-5 intragranular <strong>and</strong> 6-11 extra granular)<br />

Sl/no Ingredients Qty/unit (mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 Cross Povidone 6<br />

5 MCC 40<br />

6 Sucralose 3<br />

7 MCC-200 19<br />

8 Cross Povidone 6<br />

9 Colloidal silicone dioxide 2<br />

10 Purified talc 2<br />

11 Magnesium stearate 2<br />

Table: 5- Formulation <strong>of</strong> F- 4 (1-5 intragranular <strong>and</strong> 6-11 extra granular)<br />

Sl/no Ingredients Qty/unit(mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 MCC(101) 40<br />

5 Purified water Q S<br />

6 Sucralose 5<br />

7 MCC 19<br />

8 Cross-povidone 12<br />

9 Colloidal silicone dioxide 2<br />

10 Magnesium stearate 2<br />

IJAPR / Sept. 2012/ Vol. 3 /Issue. 9 / 1116 – 1130 1120


N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Table:6 - Formulation <strong>of</strong> F- 5 (1-5 intragranular <strong>and</strong> 6-11 extra granular)<br />

Sl/no Ingredients Qty/unit(mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 MCC 40<br />

5 CCS 6<br />

6 Povidone k-30 3<br />

7 Purified water Q S<br />

8 Sucralose 5<br />

9 Colloidal silicone dioxide 2<br />

10 CSS 6<br />

11 MCC-200 14<br />

12 Strawberry flavour 1<br />

13 Magnesium stearate 2<br />

Table: 7- Formulation <strong>of</strong> F- 6 (1-5 intragranular <strong>and</strong> 6-11 extra granular)<br />

Sl/no Ingredients Qty/unit(mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 MCC 65<br />

5 Purified water Q S<br />

6 Sucralose 5<br />

7 Povidone 2.5<br />

8 MCC-200 19<br />

9 Polyplasdone XL-10 15<br />

10 Colloidal silicone dioxide 2<br />

11 Strawberry flavor 2<br />

12 Magnesium stearate 2<br />

Table: 8- Formulation <strong>of</strong> F- 7 (1-5 intragranular <strong>and</strong> 6-11 extra granular)<br />

Sl/no Ingredients Qty/unit(mg)<br />

1 Lamivudine 30<br />

2 Nevirapine 50<br />

3 Zidovudine 60<br />

4 Lactose monohydrate 62<br />

5 MCC 20<br />

6 SSG 6<br />

7 Povidone 2.5<br />

8 Purified water Q S<br />

9 Sucralose 4<br />

10 Colloidal silicone dioxide 3.5<br />

11 SSG 7<br />

12 Strawberry flavor 2<br />

13 Magnesium stearate 3<br />

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Table-9- Monograph analysis <strong>of</strong> Lamivudine<br />

Sl. No Test Results Specification<br />

1. Description A white solid A white to <strong>of</strong>f white solid.<br />

2. Solubility Soluble in water Soluble in water.<br />

3. Identification A <strong>by</strong> IR<br />

Complies<br />

The sample spectrum should<br />

exhibit maxima only at the same<br />

wave length as that <strong>of</strong> the<br />

Identification B <strong>by</strong><br />

HPLC<br />

Complies<br />

st<strong>and</strong>ard.<br />

HPLC-The retention time <strong>of</strong> the<br />

major peak in the chromatogram<br />

<strong>of</strong> the Assay preparation should<br />

correspond to that in the<br />

chromatogram <strong>of</strong> the st<strong>and</strong>ard<br />

preparation, as obtained in the<br />

Assay.<br />

4. Light absorption at 440mm 0.0013 NMT 0.0015<br />

5. Water content <strong>by</strong> KF Nil NMT 0.2%<br />

6. Melting Range 178 0 C 172 0 C-178 0 C<br />

7. Residue on ignition 0.013%w/w NMT 0.2%w/w<br />

8. Heavy Metals Less than 20ppm NMT 20ppm<br />

9. Bulk density 0.64g/ml For information only<br />

10. Tapped density 0.85g/ml For information only<br />

11. Particle size <strong>by</strong> Malvern<br />

Master sizer.<br />

d 10<br />

d 50<br />

d 90<br />

7.39µm<br />

33.30 µm<br />

128.65 µm<br />

12. Foreign Matter The sample is free from<br />

black particles <strong>and</strong><br />

foreign matter<br />

13. Limit <strong>of</strong> lamivudine<br />

Enantiomer<br />

NMT 90 µm<br />

NMT 480 µm<br />

0.03% NMT 0.30%<br />

14. Assay <strong>by</strong> HPLC 99.4% 98.0%-102.0%<br />

15. Chromatographic purity <strong>by</strong><br />

HPLC: Any peak at RRT <strong>of</strong><br />

about 0.4<br />

0.0251% NMT0.3%<br />

16. Any peak at RRT <strong>of</strong> about<br />

0.9 salicylic acid Any other<br />

individual impurity total<br />

impurities<br />

0.0656%<br />

Not detected<br />

0.0661%<br />

0.173%<br />

The sample should be free from<br />

black particles <strong>and</strong> foreign<br />

matter.<br />

NMT 0.2%<br />

NMT 0.1%<br />

NMT 0.1%<br />

NMT 0.6%<br />

Table-10- Monograph analysis <strong>of</strong> Nevirapine<br />

Si.no Test Results Specification limit<br />

1. Description White crystalline powder White to <strong>of</strong>f–white, odorless to<br />

nearly odorless crystalline power.<br />

2. Solution Insoluble in water, slightly<br />

soluble in Alcohol <strong>and</strong> in<br />

Methanol.<br />

3. Identification A<br />

Complies<br />

Practically insoluble in water,<br />

slightly soluble in Alcohol <strong>and</strong> in<br />

Methanol.<br />

The sample spectrum should exhibit<br />

maxima only at the same wave<br />

length as that <strong>of</strong> the st<strong>and</strong>ard.<br />

4. Identification B HPLC-The retention time <strong>of</strong> the<br />

major peak in the chromatogram <strong>of</strong><br />

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Complies the Assay preparation should<br />

correspond to that in the<br />

chromatogram <strong>of</strong> the st<strong>and</strong>ard<br />

preparation, as obtained in the<br />

Assay.<br />

5. Water content <strong>by</strong> KF 2.0% Not more than 3.1% to 3.9%<br />

6. Residue on ignition 0.012% Not more than 0.1% w/w<br />

7. Heavy metals Less than 0.001%w/w Not more than 0.001%w/w<br />

8. Organic volatile<br />

impurities<br />

1,4 Dioxan<br />

Chlor<strong>of</strong>orm<br />

Methylene chloride<br />

Trichloroethylene<br />

Less than 380 ppm<br />

Less than 60ppm<br />

Less than 600ppm<br />

Not more than 380 ppm<br />

Not more than 60 ppm<br />

Not more than 600 ppm<br />

Less than 80 ppm<br />

Not more than 80 ppm<br />

9. Assay <strong>by</strong> HPLC 99.5% 98.0% 102.0%<br />

10. Foreign matter The sample should be free<br />

from black particles <strong>and</strong><br />

foreign matter<br />

The sample should be free from<br />

black particles <strong>and</strong> foreign matter.<br />

11. Melting range 245 0 C Between 240 0 C <strong>and</strong> 250 0 C<br />

12. Residual solvent<br />

O-Xylene<br />

Dimethyl formamide<br />

Methanol<br />

Ethyl acetate<br />

Less than 500 ppm<br />

Less than 500 ppm<br />

Not more than 500 ppm<br />

Not more than 500 ppm<br />

Less than 500 ppm<br />

Less than 2000 ppm<br />

Not more than 500 ppm<br />

Not more than 2000 ppm<br />

13. Bulk density 0.56g/ml For information only<br />

14. Tapped density 0.75g/ml For information only<br />

15. Particle size <strong>by</strong><br />

Malvern Master<br />

sizer.<br />

d 90<br />

16. Chromatographic<br />

purity <strong>by</strong> HPLC<br />

a) Nevirapine<br />

related<br />

compound B<br />

b) Nevirapine<br />

related<br />

compound B<br />

c) Nevirapine<br />

related<br />

compound C<br />

d) any other<br />

individual<br />

unspecified impurity<br />

e) Total impurity<br />

9 µm Not more than 10µm<br />

Less than 0.2%<br />

Less than 0.2%<br />

Less than 0.2%<br />

Less than 0.1%<br />

Less than 0.6%<br />

NMT 0.2%<br />

NMT 0.2%<br />

NMT 0.2%<br />

NMT 0.1%<br />

NMT 0.6%<br />

Table-11 Monograph analysis <strong>of</strong> Zidovudine<br />

Sl.no. Test Result Specification<br />

1. Description White powder White to yellowish powder or<br />

brownish powder.<br />

2. Solubility Sparingly soluble in water<br />

soluble in ethanol.<br />

Sparingly soluble in water.<br />

Soluble in ethanol.<br />

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3. Identification <strong>by</strong> IR The IR absorption spectrum <strong>of</strong><br />

sample preparation exhibit<br />

maxima only at the same<br />

wavelengths as that <strong>of</strong> the<br />

st<strong>and</strong>ard preparation.<br />

Identification B <strong>by</strong><br />

HPLC<br />

Complies<br />

The IR absorption spectrum <strong>of</strong><br />

sample preparation should<br />

exhibit maxima only at the<br />

same wavelengths as that <strong>of</strong> the<br />

st<strong>and</strong>ard preparation.<br />

HPLC-The retention time <strong>of</strong> the<br />

major peak in the<br />

chromatogram <strong>of</strong> the Assay<br />

preparation should correspond<br />

to that in the chromatogram <strong>of</strong><br />

the st<strong>and</strong>ard preparation, as<br />

obtained in the Assay.<br />

4. Melting Range 124 0 C 121 0 C – 127 0 C<br />

5. Specific rotation at 25 0 C<br />

62.7 0 C +60.5 0 - +63.0 0<br />

6. Water <strong>by</strong> KF 0.17% NMT 1.0%w/w<br />

7. Loss on drying 0.36% NMT 1.0%w/w<br />

8. Residue on ignition 0.031% NMT 0.25% w/w<br />

9. Heavy Metals Less than 20ppm NMT 20ppm<br />

10. Particle size<br />

d 10<br />

d 50<br />

d 90<br />

3.12µm<br />

9.55µm<br />

31.39µm<br />

11. Foreign matter The sample is free from black<br />

particles <strong>and</strong> foreign matter<br />

NMT 25µm<br />

NMT 50µm<br />

NMT 150µm<br />

The sample should be from<br />

black particles <strong>and</strong> foreign<br />

matter.<br />

12. Bulk density 0.46 g/ml For information only.<br />

13. Tapped density 0.65 g/ml For information only.<br />

14. Assay <strong>by</strong> HPLC 100.0% 97.0% - 102.0%<br />

15. Chromatographic purity<br />

A)By TLC (before spray)<br />

a)Any individual impurity<br />

b)sum <strong>of</strong> the impurities <strong>by</strong><br />

TLC(After spray)<br />

a)Any individual impurity<br />

b)Triphenylmethanol<br />

c)sum <strong>of</strong> the impurities<br />

B)<strong>by</strong> HPLC<br />

a)zidovudine related<br />

compound A (stavudine)<br />

b) zidovudine related<br />

compound B<br />

c) zidovudine related<br />

compound C<br />

d) Thymidine<br />

e) any individual<br />

unknown impurity<br />

Total impurities<br />

Total impurities <strong>by</strong> TLC<br />

<strong>and</strong> HPLC<br />

Less than 0.5%<br />

Less than 3.0%<br />

Less than0 .5%<br />

ND<br />

Less than0.5%<br />

Not detected<br />

Not detected<br />

Not detected<br />

Not detected<br />

0.006%<br />

0.016%<br />

0.516%<br />

NMT 0.5%<br />

NMT 3.0%<br />

NMT 0.5%<br />

NMT 0.5%<br />

NMT 3.0%<br />

NMT 0.2%<br />

NMT 1.0%<br />

NMT 2.0%<br />

NMT .15%<br />

NMT 0.1%<br />

NMT 3.0%<br />

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Init<br />

ial<br />

1. I<br />

n<br />

i<br />

t<br />

i<br />

a<br />

l<br />

N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Figure: 1- IR spectrum <strong>of</strong> Lamivudine<br />

Figure: 2- IR spectrum <strong>of</strong> Nevirapine<br />

Figure: 3- IR spectrum <strong>of</strong> Zidovudine<br />

Test→<br />

Period<br />

↓<br />

Table 12: compatibility study result at40 0 C ± 2 0 C /75% ± 5% RH<br />

IMPURITIES IN PERCENTAGE<br />

Thymine Cytosine Carboxyli<br />

c acid<br />

stavudine<br />

Specified<br />

impunity-1<br />

Specified<br />

impunity-2<br />

Unknown<br />

total<br />

Total<br />

A 0.05 0.02 0.16 0.13 0.28 0.37 0.74 1.75<br />

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4 th week<br />

N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

B 0.05 0.03 0.16 0.14 0.29 0.38 0.76 1.81<br />

C 0.04 0.02 0.15 0.13 0.30 0.36 0.79 1.78<br />

D 0.06 0.02 0.16 0.14 0.27 0.35 0.75 1.75<br />

E 0.05 0.03 0.15 0.14 0.29 0.38 0.78 1.82<br />

A 0.06 0.02 0.18 0.12 0.30 0.30 0.78 1.93<br />

B 0.07 0.03 0.18 0.13 0.31 0.28 0.80 1.97<br />

C 0.08 0.02 0.18 0.14 0.33 0.29 0.79 1.99<br />

D 0.06 0.04 0.19 0.13 0.32 0.30 0.80 2.01<br />

E 0.08 0.03 0.18 0.12 0.35 0.29 0.77 2.02<br />

CODE<br />

A<br />

B<br />

C<br />

D<br />

E<br />

Key for table 5.4<br />

EXPANSION<br />

Lamivudine+ Nevirapine+ Zidovudine<br />

Lamivudine+ Nevirapine+ Zidovudine + lactose monohydrate + MCC+ SSG+<br />

Povidone + Colloidal silicon di oxide+ Mg-st+ Strawberry flavor<br />

Lamivudine+Nevirapine+ Zidovudine+Lactose monohydrate<br />

Lamivudine+ Nevirapine+ Zidovudine+MCC<br />

Lamivudine+nevirapine+zidovudine+SSG<br />

Table: 13: Pre compression parameters<br />

Formulations Bulk density in gm/ml Tapped density in Carr’s index in %<br />

gm/ml<br />

F-1 NP NP NP<br />

F-2 0.5515 0.689 26.56<br />

F-3 0.576 0. 735 27.6<br />

F-4 0.5614 0.725 22.56<br />

F-5 0.4200 0.572 26.3<br />

F-6 0.4541 0.5802 21.75<br />

F-7 05520 0.6675 17.14<br />

Table: 14: Post compression parameters<br />

Formulations<br />

Hardness in<br />

Newton<br />

Thickness<br />

in mm<br />

Weight<br />

in mg<br />

F-1 40-50 2.8-2.9 220-225<br />

F-2 30-35 2.2-2.6 220-225<br />

F-3 40-50 3.0-3.2 220-230<br />

F-4 35-42 3.1-3.2 220-230<br />

F-5 40-50 3.2-3.3 250-255<br />

F-6 44-50 3.2-3.3 250-260<br />

F-7 35-50 3.1-3.2 250-255<br />

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Table: 15: Friability, disintegration <strong>and</strong> Assay<br />

Formulations Friability Disintegration<br />

Assay in %<br />

In % (seconds) Lamivudine Nevirapine Zidovudine<br />

F-1 Failed 25-28 102.1 91.7 92.5<br />

F-2 0.5 25-30 NP NP NP<br />

F-3 0.2 40-50 103.1 92.7 98.6<br />

F-4 0.18 30-35 99.8 92.9 101<br />

F-5 0.17 45-50 102.3 93.8 99.8<br />

F-6 Nil 15-20 105.1 96.8 100.8<br />

F-7 0.15 55-60 102.2 99.9 102.5<br />

Table: 16: Dissolution data<br />

Formula-tions 5 mins 10 mins 15 mins 30 mins<br />

Lami Nevi Zido Lami Nevi Zido Lami Nevi Zido Lami Nevi Zido<br />

F-1 42.1 20.2 43.8 74.9 42.8 73.3 92.5 60.5 91.5 102.1 91.7 92.5<br />

F-2 NP NP NP NP NP NP NP NP NP NP NP NP<br />

F-3 50.5 30.5 55.8 77.5 60.6 74.9 98.9 91.3 95.7 103.1 92.7 98.6<br />

F-4 91.3 80.5 92.3 92.2 81.2 93.9 96.8 90.8 98.7 99.8 92.9 101<br />

F-5 90.8 82.7 92.9 91.7 83.5 98.7 98.5 91.8 98.9 102.3 93.8 99.8<br />

F-6 93.8 84.5 93.0 94.5 85.8 100.1 100.5 94.8 98.8 105.1 96.8 100.8<br />

F-7 94.5 87.9 91.9 96.8 89.8 101.2 100.8 97.6 101.5 102.2 99.9 102.5<br />

Zidovudine) Lami‏)٭ is Lamivudine, nevi is Nevirapine <strong>and</strong> Zido is<br />

Note: NP: Not performed<br />

Figure: 3 Comparison <strong>of</strong> dissolution pr<strong>of</strong>ile <strong>of</strong> LNZ <strong>of</strong> F-7.<br />

120<br />

%c dr <strong>of</strong> L ami<br />

%<br />

C<br />

D<br />

R<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

0 10 20 30 40<br />

TIME IN MIN<br />

Figure: 4 Dissolution pr<strong>of</strong>ile <strong>of</strong> Lamivudine from F-7<br />

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N.Sureshbabu et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

120<br />

%c dr NVP<br />

100<br />

%<br />

C<br />

D<br />

R<br />

80<br />

60<br />

40<br />

20<br />

0<br />

0 10 20 30 40<br />

T IME IN MIN<br />

Figure: 5- Dissolution pr<strong>of</strong>ile <strong>of</strong> Nevirapine from F-7.<br />

%c dr Zido<br />

120<br />

%<br />

C<br />

D<br />

R<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

0 10 20 30 40<br />

T IME IN MIN<br />

Figure: 6- Dissolution pr<strong>of</strong>ile <strong>of</strong> Zidovudine from F-7<br />

Table-17. Stability data <strong>of</strong> optimized <strong>formulation</strong> for F-7<br />

Duration →Test↓ First month Second month Third month<br />

Stability condition 40ºC ±2ºC /<br />

75% RH<br />

40ºC ±2ºC /<br />

75% RH<br />

40ºC ±2ºC /<br />

75% RH<br />

description<br />

White coloured round, circular<br />

tablet plain on both sides<br />

White coloured<br />

round, circular<br />

tablet plain on both<br />

sides<br />

White coloured round,<br />

circular tablet plain on<br />

both sides<br />

DT limit<br />

45 sec 50 sec 45 sec<br />

NMT 3min<br />

Water content 4.92% 4.24% 4.34%<br />

Dissolution<br />

Lamivudine 95.4-98.7% 96.9-100.1% 96.7-101.8%<br />

Limit: NLT 75%(Q) <strong>of</strong> Nevirapine 90.1-93.3% 93.8-96.1% 90.9-97.1%<br />

labeled amt <strong>of</strong> drug should<br />

dissolve in 30 min Zidovudine 93.9-96.5% 95.9-99.1% 94.4-100.3%<br />

Assay<br />

Each tablet contains<br />

(90-105% <strong>of</strong> labeled claim )<br />

Lamivudine 100.6% 99.9% 102.4%<br />

Nevirapine 96.4% 97.5% 99.1%<br />

Zidovudine 96.5% 96.1% 100.0%<br />

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Fig-7. HPLC for st<strong>and</strong>ard graph <strong>of</strong> LNZ<br />

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Majuru S.Oral Heparin: Status Review.<br />

Thromb J. 2006;4(6).<br />

19. Kristensen J, Hansen VW. Wet Granulation<br />

in Rotary Processor <strong>and</strong> Fluid Bed:<br />

Comparison <strong>of</strong> Granule <strong>and</strong> Tablet<br />

Properties. AAPS PharmSciTech.<br />

2006; 7(1): Article 22.<br />

20. Blouza IL, Charcosset C, Sfar S, Fessi H.<br />

Preparation <strong>and</strong> Characterization <strong>of</strong><br />

Spironolactone-loaded Nanocapsules for<br />

Paediatric use. Int J Pharm.2006; 325 (1-2).<br />

21. Limayem Blouza I, Charcosset C, Sfar S,<br />

Fessi H., Preparation <strong>and</strong> characterisation <strong>of</strong><br />

Spironolactone-loaded nanocapsule for<br />

paediatric use. Int J Pharm.2006; 325 (1-2).<br />

INTERNATIONAL CONGRESS IN PHARMACY AND HEALTH SCIENCES<br />

Pharma Science Tech Association, Foundation No: AP/PSTA/56/2012.<br />

Please visit for Details: www.icphsmembership.com<br />

Totally three types<br />

FICPHS (Fellowship in International Congress in Pharmacy <strong>and</strong> Health Sciences), MICPHS (Member in International Congress in<br />

Pharmacy <strong>and</strong> Health Sciences), AMICPHS (Associate Member in International Congress in Pharmacy And Health Sciences)<br />

Eligibility<br />

FICPHS: Ph.D in Chemistry/ Pharmacy / M.Sc / M.Pharm with 2 years experience, MICPHS: M.Sc / M.Pharm (or) B.Sc / B.Pharm with<br />

2 years experience, AMICPHS: B.Sc (or) B.Pharmacy<br />

IJAPR / Sept. 2012/ Vol. 3 /Issue. 9 / 1116 – 1130 1130

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