WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences SJIF Impact Factor 2.786 Volume 4, Issue 04, 610-626. Review Article ISSN 2278 – 4357 APPROACHES TO IMPROVE SOLUBILITY OF POORLY WATER SOLUBLE DRUGS Sweta Savla*, Ankita Surjusee, Vishal Rokade, Sneha Sawant and Pramod Kadu Department of Pharmaceutics, SVKM’s Dr. Bhanuben Nanavati College of Pharmacy, VileParle(West), Mumbai - 400 056, India. Article Received on 25 Jan 2015, ABSTRACT Revised on 18 Feb 2015, Accepted on 14 March 2015 give a homogenous system. Amongst the newly discovered chemical Solubility is the phenomenon of dissolution of solid in liquid phase to entities nearly 40% drugs are poorly water soluble. Poorly water soluble drugs often require high doses in order to reach therapeutic *Correspondence for Author plasma concentrations after oral administration. Orally administered Sweta Savla drugs completely absorb only when they show fair solubility in gastric Department of medium and such drugs show good bioavailability. The solubility and Pharmaceutics, SVKM’s dissolution properties of drugs play an important role in the process of Dr. Bhanuben Nanavati formulation development. Problem of solubility is a major challenge College of Pharmacy, VileParle (West), Mumbai – 400 056, India. for formulation scientist which can be solved by different technological approaches during the pharmaceutical product development work. Various techniques used for solubility enhancement of poorly water soluble drugs include solid dispersion, particle size reduction, hydrotrophy, complexation etc. The present review describes important techniques for enhancing drug solubility to reduce the percentage of poorly soluble drug candidates eliminated from further formulation development. KEYWORDS: Solubility, dissolution rate, solubility enhancement, solid dispersion. INTRODUCTION The Biopharmaceutics Classification System (BCS) is a system to differentiate the drugs on the basis of their solubility and permeability. It is a guide for predicting the intestinal drug absorption provided by the U.S. Food and Drug Administration (FDA). According to BCS classification, Class 2 drugs have low solubility and high permeability. It has been a proven www.wjpps.com Vol 4, Issue 04, 2015. 610 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences fact that solubility, dissolution and gastrointestinal permeability are the most important parameters which control rate and extent of drug absorption and its bioavailability. The water solubility of a drug plays a crucial role in the absorption of the drug after oral administration. Poor aqueous solubility of newer drugs is the major obstacle with their design and development.[1,2] Poor solubility results in poor dissolution rate in the gastrointestinal tract and hence variant and unpredictable bioavailability. Due to administration of higher doses to attain desired plasma levels of such drugs, chances of adverse reactions and the overall cost of therapy increases leading to poor patient compliance and reduced pharmacological response.[3] Solubility enhancement of BCS Class 2 drugs is essential to increase their oral bioavailabilty. Various techniques for solubility enhancement are listed below.[4] 1. Particle Size Reduction. 2. Solid Dispersion. 3. Nanosuspension. 4. Supercritical Fluid Technology. 5. Cryogenic Technology. 6. Inclusion Complex Formation Techniques. SOLID DISPERSION Solid dispersions (SD) have been an effective way to improve the bioavailability of BCS Class 2 compounds, i.e. compounds exhibiting high permeability but low solubility and/or dissolution rate. The concept of solid dispersions was originally proposed by Sekiguchi and Obi, who investigated the generation and dissolution performance of eutectic melts of a sulfonamide drug and a water-soluble carrier in the early 1960s.[5] Solid dispersion is defined as a dispersion of one or more active ingredients in an inert carrier or matrix at solid state. Solid dispersion consists of at least two different solid products- a hydrophilic matrix and a hydrophobic drug. The matrix can be either crystalline or amorphous. Mechanism SD enhances the solubility by slowing devitrification, and increased wettability due to hydrophilic nature.[6] The major role of the polymer added in solid dispersion is to decrease the molecular mobility of the drug in order to avoid the phase separation and recrystallization of the drug. The increase in solubility of the drug is due to amorphous form of the drug which is associated with a higher energy state as compared to crystalline counterpart and thus requires less external energy to dissolve. The main reasons for the improvement in www.wjpps.com Vol 4, Issue 04, 2015. 611 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences bioavailability are the formation of small particle size with better porosity, wettability and surface area.[7,8] Mostly three methods of preparing solid dispersions have been used in commercial production. These are melt extrusion, used for drugs with not-very-high melting points, spray drying, useful for drugs soluble in at least one volatile solvent, and coprecipitation, applicable to drugs with high melting point and low solubility in common organic solvents. Other methods employed to prepare amorphous solid dispersions are hot melt extrusion, fusion, spray drying, freeze drying, kneading, and solvent evaporation. Solvent evaporation Tachibana and Nakumara were the first to dissolve both the drug and the carrier in a common solvent and evaporate the solvent under vacuum to form a solid solution of the lipophilic bcarotene in the water soluble carrier polyvinylpyrrolidone (PVP). An important prerequisite for the preparation of a solid dispersion with the solvent method is that both the drug and the carrier are sufficiently soluble in the solvent. The carrier and the solvent dissolve in the common solvent and then the solvent is evaporated till constant weight of the mixture is obtained. The process is explained in Fig. 1. Temperatures used for solvent evaporation usually lie in the range 23±650C.[14,15] The advantage of the solvent method is that thermal decomposition of drugs or carriers can be prevented because of the low temperature required for the evaporation of organic solvents. However, the disadvantages of this method are the difficulty in completely removing the organic solvent (may cause toxicity), higher cost of preparation and the selection of a common volatile solvent. Hot melt method Sekiguchi and Obi originally used a hot melt method to prepare simple eutectic mixtures of Sulphathiazole and urea which were melted together at a temperature above the eutectic point and finally cooled in an ice bath. Supersaturation occurs because of cooling, but due to solidification the dispersed drug becomes trapped within the carrier matrix.[16] An important consideration to prepare of solid solutions by the hot melt method is the miscibility of the drug and the carrier in the molten form. A limitation to the hot melt method is the thermostability of the drug and the carrier. The drug may decompose or evaporate due to high temperature. www.wjpps.com Vol 4, Issue 04, 2015. 612 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences Advantages and Disadvantages of Solid Dispersion Porosity of drug particles is dependent upon selection of carrier. Drug particles dispersed in carriers of solid dispersion have higher degree of porosity as compared to other formulations. Increase in porosity leads to faster drug release which eventually increases the bioavailability of the drug. Thermodynamic stability of SD is major drawback in commercialization. Effect of moisture on the storage stability of amorphous pharmaceuticals is also a major concern, since it may increase drug mobility and promote drug crystallization. Examples A study on ibuprofen solid dispersions (SDs) prepared by melt dispersion technique using macrogol 4000 and macrogol 6000 as Carriers were with the dissolution profile of physical mixtures of the drug and the same carriers. Solid dispersion containing macrogol 6000 at the ratio of 1:1.5 (drug: carrier) showed faster and higher drug release and was found to be most effective among all the solid dispersions.[17] Some examples of marketed drugs with solid dispersion technique used for their preparation are given in Table 2. The aim of the research work done by Anjan et al.[18] was to enhance the dissolution rate of Fenofibrate preparing its Solid dispersions (SDs) and physical mixtures (PMs) with polyethylene glycols (PEG 6000 and 8000). The dissolution of Fenofibrate increased with increasing amount of PEGs. The FTIR spectroscopic studies showed the stability of Fenofibrate and absence of well-defined drug polymer interaction. Table 1 describes the various carriers to be used for preparation of solid dispersions and their properties and examples. Table 1: Materials Used as Carrier for Solid Dispersion[19,20] S. No 1 2 3 4 Category Sugars Carriers Dextrose, sucrose, galactose, sorbitol, maltose, xylitol, mannitol, lactose Acids Citric acid, succinic acid Polymeric materials Insoluble or enteric polymer www.wjpps.com Polyvinyl pyrrolidone(PVP), polyethylene glycol (PEG), hydroxypropyl methyl cellulose (HPMC), methyl cellulose (MC), hydroxy ethyl cellulose, cyclodextrin, hydroxy propyl cellulose, pectin, galactomannan Hydroxy propyl methyl cellulose phthalate (HPMCP), Vol 4, Issue 04, 2015. Example Rofecoxib from sorbitol and mannitol Felodipine, rofecoxib from citric acid Temazepam , felodipine, etoricoxib rofecoxib from PEG 4000 & 6000 and troglitazone and rofecoxib from PVP K30 Indomethacin from eudragit E100 613 Sweta et al. 5 Surfactants World Journal of Pharmacy and Pharmaceutical Sciences eudragitL100, eudragit E100, eudragit RL, eudragit RS Polyoxyethylene stearate, poloxamer 188, deoxycholic acid, tween HYDROTROPHY Hydrotrophy was first coined by Neuberg[21] to describe the increase in the aqueous solubility of poorly soluble solutes i.e BCS class 2 molecules by the addition of high concentrations of alkali metal salts of various organic acids. Hydrotropy is a molecular phenomenon whereby adding a second solute (the hydrotrope) results in an increase in the aqueous solubility of poorly soluble solutes. Solubility enhancement is one of the advantages of hydrotropes. Hydrophobic drugs can be extracted using hydrotropic solutions without the aid of organic solvents. Concentrated aqueous hydrotropic solutions of sodium benzoate, sodium salicylate, urea, nicotinamide, sodium citrate and sodium acetate have been observed to enhance the aqueous solubilities of many poorly water-soluble drugs.[22] Mechanism The prerequisite for a hydrotrope is an anionic group which is responsible for bringing high aqueous solubility. On the other side, planarity of hydrophobic part also helps in hydrotropic solubilisation mechanism. Hydrotropism refers to as salting in of non electrolytes which are highly soluble in water. A hydrotrope is a compound that solubilises hydrophobic compounds in aqueous solutions. Hydrotropic solubilization process involves combined intermolecular interaction with many molecular forces, unlike a single specific complexation or a process dominated by cosolvency or salting-in. Hydrotropes do not have a critical concentration above which self-aggregation 'suddenly' starts to occur. Instead, some hydrotropes aggregate in a stepwise process, slowly increasing aggregation size. However, many hydrotropes solubilize before self-aggregation. Advantages of Hydrotropic Solubilization Hydrotropy is suggested to be better than other solubilization method, such as miscibility, micellar solubilization, cosolvency and salting in, because the solvent character is independent of pH, has high selectivity and does not require emulsification It only requires mixing the drug with the hydrotrope in water. It does not require chemical modification of hydrophobic drugs, use of organic solvents, or preparation of emulsion system. www.wjpps.com Vol 4, Issue 04, 2015. 614 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences Hydrotropes with cationic hydrophilic group are rare, e.g. salts of aromatic amines, such as procaine hydrochloride. Apart from enhancing the solubilization of compounds in water, they are known to affect the surfactant aggregation leading to micelle formation, phase manifestation of multicomponent systems with reference to nanodispersions and conductance percolation, clouding of surfactants and polymers, etc. Specific examples include ethanol,[23] aromatic alcohols like resorcinol, pyrogallol, catechol, a- and b-naphthols and salicylates, alkaloids like caffeine and nicotine,[24] ionic surfactants like diacids,[25] SDS (sodium dodecyl sulphate)[26] and dodecylated oxidibenzene.[27] The aromatic hydrotropes with anionic head groups are mostly studied compounds. Examples of hydrotropic agents used for various drugs are listed in Table 2. Table 2: Hydrotropic Solubilization Study Of Various Poorly Water-Soluble Drugs[28-32] Drug Hydrotropic agent ProcaineHCl, PABA HCl, CinchocaineHCl, Resorcinol, Pyrogallol Sodium benzoate, Sodium p-hydroxybenzoate, Sodium m- hydroxybenzoate, Sodium o-hydroxybenzoate, Sodium 2,4- dihydroxybenzoate, Sodium 2,5-dihydroxybenzoate, Sodium 2,6-dihydroxybenzoate, Sodium 2,4, 6-trihydroxybenzoate Urea Riboflavin Chartreusin Paracetamol, Diclofenac sodium Cefprozil Potassium acetate, Potassium citrate, Sodium acetate, Sodium citrate, Urea Theophylline Sodium salicylate Progesterone, Testosterone 17- βEstradiol, Diazepam and Griseofulvin Nicotinamide, Isonicotinamide, Nipecotamide, N- methylnicotinamide, N, N-dimethylnicotinamide Nicotinamide, Ascorbic acid, Dimethyl urea, Resorcinol Urea, Methyl Urea, 1-3-dimethyl urea Nicotinamide, Sodium benzoate, Sodium salicylate Saquinavir Benzoic acid, Salicylic acid Rofecoxib, celecoxib, melocoxib Examples Suzuki et al,[33] measured the aqueous solubility of nifedipine in presence of nicotinamide, urea, and their analogues and concluded that the significant contributor to the hydrotropic solubilization of nifedipine with nicotinamide was therefore the ligand hydrophobicity rather than the aromaticity of the pyridine ring. Rasool A.A. et al,[34] enhanced the solubility of five poorly water-soluble drugs, diazepam, griseofulvin, progesterone, 17-estradiol, and www.wjpps.com Vol 4, Issue 04, 2015. 615 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences testosterone, in the presence of nicotinamide and related compounds. All solubilities were found to increase in a nonlinear fashion as a function of nicotinamide concentration. INCLUSION COMPLEX FORMATION-BASED TECHNIQUES Inclusion complexes are formed by the insertion of the nonpolar molecule (known as guest) into the cavity of another molecule or group of molecules (known as host). The cavity of host must be large enough to accommodate the guest and small enough to eliminate water, so as to minimize the total contact between the water and the nonpolar regions of the host and the guest.[35] The most commonly used host molecules are cyclodextrins. In cyclodextrin inclusion usually a single guest molecule interacts with the cavity of a cyclodextrin molecule to become entrapped and form a stable complex. Cyclodextrins are nonreducing, crystalline, water soluble and cyclic oligosaccharides consisting of glucose monomers arranged in a donut shaped ring having hydrophobic cavity and hydrophilic outer surface this is due to the arrangement of hydroxyl group within the molecule. Three naturally occurring CDs are αCyclodextrin, β-Cyclodextrin, and γ-Cyclodextrin.[36] Mechanism The main driving force for complex formation is proposed to be the release of enthalpy-rich water molecules from the cavity that lowers the energy of system. Inclusion complexes thus formed can be isolated as stable crystalline substances. The inclusion results in hydrophilization of the host molecule with a concomitant improvement of its solubility and dissolution rate. The kinetics of cyclodextrin inclusion complexation involves a one-step reaction or a consecutive two-step reaction involving intracomplex structural transformation as a second step. Cyclodextrins help in enhancing the solubility of poorly soluble drugs. It was found that cyclodextrins increased the paclitaxel solubility by 950 fold.[38] Complex formation of rofecoxib,[39] celecoxib,[40] clofibrate,[41] melarsoprol,[42] taxol,[43] cyclosporin A,[44] etc. with cyclodextrins improves the solubility of particular drugs. Following methods can be used to prepare solid inclusion complexes. www.wjpps.com Vol 4, Issue 04, 2015. 616 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences Fig.1 shows different methods for preparation of inclusion complexes.[46-50] Fig.1: Different methods for preparation of inclusion complexes. Advantages of Inclusion Complexation Improves bioavailability from solid and semisolid formulations Stability and shelf life can be increased Side effects can be reduced G I irritation can be reduced Can be used to mask unpleasant odour and taste www.wjpps.com Vol 4, Issue 04, 2015. 617 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences The major disadvantage is hepatotoxic effect of cyclodextrins used for inclusion complexation Examples Chandrakant D.S et al successfully improved solubility and dissolution rate of practically insoluble drug Ramipril by the preparation of inclusion complexes using β-cyclodextrin and 2- hydroxypropyl β-cyclodextrin.[51] SUPERCRITICAL FLUID (SCF) PROCESS A solubilisation technology whose application has gained importance in recent years is particle size reduction via supercritical fluid (SCF) processes. When gases are placed under high pressure they become liquids. If the gas is heated above a specific temperature, no amount of pressure will cause it to become a liquid. This temperature is called the critical temperature and is unique to a given gas. A gas above its critical temperature (Tc) and critical pressure (Pc) is called a supercritical fluid (Figure 2). Supercritical fluids are fluids whose temperature and pressure are greater than its critical temperature (Tc) and critical pressure (Tp), hence these fluids have properties of both liquid and gas. Mechanism Supercritical fluid has many of the flow characteristics and the low viscosity of a gas where it can diffuse into matrices much faster than a traditional solvent. However, it also has the superior dissolving and extracting properties of a traditional solvent, therefore allowing the supercritical fluid to dissolve and remove analytes at much elevated rates in comparison to traditional solvent extraction methods. By controlling the density (pressure) and temperature, one can control and tune the selectivity of the supercritical fluid to solvate and remove targeted analytes from matrices. The most common that are in use today are carbon dioxide and water. SCFs, are highly compressible at near critical temperatures enabling moderate changes in pressure to alter the density and mass transport properties of the fluid that largely determine its solvent power.Current SCF processes have demonstrated the ability to create nanoparticulate suspensions of particles 5–2,000nm in diameter. Several methods of SCF processing have been developed.[52, 53] www.wjpps.com Vol 4, Issue 04, 2015. 618 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences Rapid Expansion of Supercritical Solutions A supercritical solvent saturated with a solute of interest is allowed to expand at a very rapid rate, causing the precipitation of the solute. The rapid expansion/decompression is achieved by allowing it to pass through a nozzle at supersonic speeds. This leads to super saturation of the solute in it and subsequent precipitation of solute particles with narrow particle size distributions. This process is also known as supercritical fluid nucleation (SFN). The SF is pumped through a pre-heater into the vessel containing the solid solute at a particular temperature and pressure. The SF dissolves and gets saturated with the solute, and the resultant solution is introduced into a precipitation chamber by expansion through capillary or laser-drilled nozzle. Typically, by altering the pressure, the precipitation unit is maintained at conditions where the solute has much lower solubility in the SF. During expansion or decompression phase, the density and solubilising power of the SF decreases dramatically, resulting in a high degree of solute super saturation and subsequent precipitation.[55] Gas Antisolvent Recrystallisation A poor solvent of a particular solute can be added to the solution to precipitate the solute and induce rapid crystallization. This is called salting out and is done by introducing the antisolvent gas into the solution having the solute. However, this method requires the carrier solvent and the SF antisolvent to be atleast partially miscible. Disadvantages of this technique are presence of residual solvents and poor control over the precipitated crystal morphology, size distribution etc Solution-enhanced Dispersion by Supercritical Fluids This technique was found to be better than the RESS and GAS methods. The drug solution and the SF are introduced simultaneously into the chamber forming particles through a nozzle arrangement causing rapid dispersion, mixing and extraction of the drug solution solvent by SF causing very high super saturation ratios. The temperature and pressure alongwith accurate metering of flow rates of drug solution and SF provide uniform conditions for the formation of particles. This enables better control of the particle size of the product and manipulation of particle morphology can be done by choosing an appropriate solvent. Advantages of Super Critical Fluid Based Technology The advantages offered by this technology include the formulation of poorly watersoluble compounds, obtaining particles of uniform size and shape, avoiding multistep processes, and reducing the excessive use of toxic organic solvents. www.wjpps.com Vol 4, Issue 04, 2015. 619 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences The most commonly used SCFs for a variety of applications include supercritical fluid carbon dioxide (SC-CO2), nitrous oxide, water, methanol, ethanol, ethane, propane, n-hexane and ammonia. SC-CO2 is an attractive solvent or anti-solvent as it is safe, inexpensive, readily available, and an ideal substitute for many hazardous and toxic solvents. SC-CO2 exists when both the temperature and pressure equal exceed the critical point of 31°C and 73 atm and has both gas-like and liquid-like qualities, and it is this dual characteristic of SCFs that provides the ideal conditions for extracting compounds with a high degree of recovery in a short period of time. Examples Table 3 describes the supercritical fluid techniques used for various drugs. Table 3: Pharmaceutical compounds converted in amorphous form by using super critical fluid based techniques to improve their dissolution and oral bioavailability.[56,57] Drug Method 5 fluorouracil Tetracycline Sulphamethoxazole Phenytoin Naproxen Tartaric acid Solution enhanced dispersion by SCF (SEDS) Supercritical antisolvents processes (SAS), Supercritical antisolvents processes (SAS), Gas Anti Solvent Recrystallization (GAS) Rapid Expansion of Supercritical Solutions (RESS) Precipitation with compressed antisolvents process (PCA), CRYOGENIC TECHNIQUES Cryogenic techniques have been developed to enhance the dissolution rate of drugs by creating nanostructured amorphous drug particles with high degree of porosity at very low temperature conditions. Cryogenic inventions can be defined by the type of injection device (capillary, rotary, pneumatic, ultrasonic nozzle), location of nozzle (above or under the liquid level) and the composition of cryogenic liquid (hydrofluoroalkanes, N2, Ar, O2, organic solvents). After cryogenic processing, dry powder can be obtained by various drying processes like spray freeze drying, atmospheric freeze drying, vacuum freeze drying and lyophilisation.[58-60] Spray freezing onto cryogenic fluids Briggs and Maxwell[61] invented the process of spray freezing onto cryogenic fluid. In this technique, the drug and the carrier (mannitol, maltose, lactose, inositol or dextran) were dissolved in water and atomized above the surface of a boiling agitated fluorocarbon www.wjpps.com Vol 4, Issue 04, 2015. 620 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences refrigerant. Sonication probe can be placed in the stirred refrigerant to enhance the dispersion of aqueous solution. Spray freezing into cryogenic fluids (SFL) The SFL particle engineering technology has been used to produce amorphous nanostructured aggregates of drug powder with high surface area and good wettability. It incorporates direct liquid – liquid impingement between the automized feed solution and cyogenic liquid to provide more intense atomization into microdroplets and consequently significantly faster freezing rates. The frozen particles are then lyophilized to obtain dry and free‐flowing micronized powders.[62] Hua et al produced the rapid dissolving high potency Danazol powders by using Spray Freezing into liquid process.[63] Spray freezing into vapor over liquid (SFV/L) Freezing of drugs solution in cryogenic fluid vapors and subsequent removal of frozen solvent produces fine drug particles with high wettability. During SFV/L the atomized droplets typically start to freeze in the vapor phase before they contact the cryogenic liquid. As the solvent freezes, the drug becomes supersaturated in the unfrozen regions of the atomized droplet, so fine drug particles may nucleate and grow.[64] Ultra-Rapid Freezing (URF) Ultra‐rapid freezing is a novel cryogenic technology that creates nanostructured drug particles with greatly enhanced surface area and desired surface morphology by using solid cryogenic substances. Application of drugs solution to the solid surface of cryogenic substrate leading to instantaneous freezing and subsequent lyophilization for removal of solvent forms micronized drug powder with improved solubility. Ultra rapid freezing hinders the phase separation and the crystallization of the pharmaceutical ingredients leading to intimately mixed, amorphous drug‐carrier solid dispersions and solid solutions. This technique has been investigated for the solubility enhancement of repaglinide.[65] CONCLUSION For orally administered drugs, solubility is one of the major rate limiting parameter to obtain desired concentration in systemic circulation for pharmacological response. Solubility study also yields information about the structure and inter-molecular forces of drugs. Dissolution enhancement of poorly water soluble drugs constitute an novel approach, which overcome the problems of solubility and provide a quick onset of action. Many techniques mentioned www.wjpps.com Vol 4, Issue 04, 2015. 621 Sweta et al. World Journal of Pharmacy and Pharmaceutical Sciences above can be used alone or in combination to enhance solubility of hydrophobic drugs and hence improve their bioavailability. The selection of the techniques should be based on their mechanism and biocompatibilty of the drug and excipients used in the formulation. REFERENCES 1. Bittner B, Mountfield R.J. 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