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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5415_Библиотеки_им_академика_М_И_Перельмана
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particles that occurs as a result of particle collisions with molecules of the surrounding medium. The result of Brownian motion is that particles in the colloidal range
remain suspended without sedimentation indenitely. As particle size increases, the
tendency for particles to sediment increases.
Particles in a colloidal dispersion will diffuse from an area of high concentration
to an area of lower concentration according to Fick’s law (shown below).
dC
where
J=mass ux
D=diffusion coefcient
dC/dx=concentration gradient
The diffusion coefcient is described by the Stokes-Einstein equation:
D
where
D=diffusion coefcient
k=Boltzmann constant
T=absolute temperature
η = viscosity of the medium
R=hydrodynamic radius of the particle, droplet, or phase
dx
kT
R
6
7 Disperse Systems: Suspensions
As demonstrated by the two equations, the magnitude of the diffusion is inversely
proportional to the size of the particle (dispersed phase) and the viscosity of the
medium. Smaller particles (or droplets) will exhibit faster diffusion, while a more
viscous medium will result in slower diffusion.
7.5.3 Nanoparticles inSuspensions
Delivery of particles within the nanometer range can increase the dissolution rate of
a poorly water-soluble drug substance in the GI uids, thereby improving bioavailability in many cases. Reduction in particle size results in increases in particle surface areas and also decreases the diffusion layer thickness, resulting in a higher
dissolution rate. However, this reduction in particle size also leads to a more unstable suspension as a result of the increased surface energy created through particle
size reduction methods. Particles will thus have a tendency toward agglomeration in
order to reduce the surface area and free energy. The inclusion of a physical stabilizing agent (e.g., a surfactant) is necessary to prevent the particles from

7.5 Colloidal Dispersions
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agglomerating. The amount of the stabilizer must be carefully balanced. While too
little stabilizer will allow particle agglomeration, too much stabilizer can promote
Ostwald ripening through solubility changes.
Stabilization of nanosuspensions may be achieved through:
(a) Thermodynamic stabilization, which utilizes a coating of surfactant or polymer
around the particles
(b) Kinetic stabilization, which utilizes additional energy input to compensate for
the increased free energy in the system.
Several technologies are used to manufacture drug nanoparticles for inclusion in
suspensions. As examples, stable nanosuspension formulations have been achieved
using wet ball milling and high-pressure homogenization in the presence of stabilizing excipients.
Wet ball milling is a process in which coarse drug particles are fed into a suitable
container and lled with milling media (i.e., grinding media) and a stabilizing agent
(e.g., surfactant) to reduce particle aggregation (Fig.7.6). High shear forces fracture
the drug crystals into nanometer-size particles.
High-pressure homogenization uses jet-stream homogenization by pumping
drug, dispersion medium, surfactants, and stabilizers under high pressure through a
micro uidizing nozzle (Fig.7.7). Particle size reduction in this case is caused by
cavitation forces, shear forces, and collision.
Fig. 7.6 Horizontal cross-section of a wet ball mill

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Fig. 7.7 Schematic of a high-pressure homogenizer
7 Disperse Systems: Suspensions
7.6 Excipients Used inSuspension Formulations
Excipient selection will depend on the route of administration, properties of the
drug, and the target patient population. For example, in formulations intended for
neonates, preservatives, colorings, avorings, or alcohol should be avoided as they
may cause toxicity. Particularly for suspension formulations, the effect of excipients
on vehicle viscosity, particle aggregation, and drug solubility must be considered, as
this can affect the stability of the dosage form.
7.6.1 Suspending Agents
Suspending agents may be added to the suspension formulation to increase viscosity and reduce particle settling. Examples of suspending agents are provided in
Table 7.1. Suspending agents that increase viscosity are also called viscosityenhancing agents.
7.6.2 Surfactants
A surfactant is an amphiphilic molecule (contains both hydrophilic and lipophilic
components) that, due to its amphiphilic nature, preferentially adsorbs at the interface of two immiscible phases. Generally, the surfactant molecules can replace the
molecules at the original (higher energy) interface and thus minimize the surface
free energy.

7.6 Excipients Used inSuspension Formulations
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Table 7.1 Examples of suspending agents
Classication Examples
Cellulose derivatives Sodium carboxymethylcellulose
Microcrystalline cellulose
Hydroxyethyl cellulose
Hydroxypropyl methylcellulose (HPMC, also known as hypromellose)
Hydroxypropyl cellulose
Hydroxypropyl ethylcellulose
Carboxymethylcellulose
Clays Bentonite
Magnesium aluminum silicate (Veegum)
Silicon dioxides
Gums and derivatives Acacia
Gellan gum
Pectin
Tragacanth
Xanthan gum
Locust bean gum
Guar gum
Natural polymers Agar
Alginate
Carrageenan
Synthetic polymers Carbomer (Carbopol)
Polyvinyl alcohol (PVA)
Povidone (also known as polyvinylpyrrolidone)
Polyethylene oxide
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The surfactant molecule will orient itself according to the interface that is present
(e.g., drug particle surface and liquid vehicle). At a solid-liquid interface, such as a
hydrophobic particle in water, the hydrophobic end will be oriented toward the solid
and the hydrophilic end toward the liquid which increases wettability (Fig.7.8). At
a liquid-liquid interface, such as in the case of two immiscible liquids, the hydrophilic end of the surfactant will be oriented toward the more polar liquid while the
hydrophobic end will point toward the less polar liquid.
Surfactants are included in suspension formulations to aid in the dispersion of
the particles, especially if the powder is not wettable. They may also be incorporated in order to achieve a process of “controlled occulation” via their electrostatic
attraction and bridging between particles.
7.6.2.1 Surfactants asWetting Agents
It can be difcult to disperse particles within a suspension due to the layer of
adsorbed gas molecules upon the surface of the particle. This results in clumping of
particles or oating of particles on the surface of the vehicle. A wetting agent is a
surfactant that lowers the contact angle and aids in displacing the air phase at the
surface, replacing it with a liquid phase.

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7 Disperse Systems: Suspensions
Fig. 7.8 Surfactant molecules surround a hydrophobic drug particle suspended in an aqueous
vehicle. Surfactants enhance wettability and dispersion by reducing the interfacial tension and
lowering the contact angle between the solid and liquid surfaces
Fig. 7.9 The contact angle is used to assess the wetting of a substance by a liquid
The term contact angle refers to the angle between the surface of a solid and a
liquid (Fig.7.9). The size of the contact angle predicts the wetting of a substance by
a liquid. If the contact angle is less than 90 degrees, wetting of the solvent by the
liquid will take place. If the contact angle is greater than 90 degrees, wetting will not
take place. Ideally the contact angle should be as close as possible to zero to ensure
that wetting occurs.

7.6 Excipients Used inSuspension Formulations
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7.6.2.2 Surfactants asStabilizing Agents
Surfactants can increase the physical stability of suspensions through electrostatic
or steric means. Electrostatic stabilization occurs through an increase in the electrostatic repulsion between particles as a result of adsorption of surface active ions.
This results in a decreased tendency of the particles to coagulate. Steric stabilization
is a process in which surfactants form a hydrophilic shell around a particle, preventing close contact between particles. Electrosteric stabilization is a combination of
the two.
7.6.2.3 Micelles
As the surfactant concentration increases, all the interfacial surfaces become saturated with surfactant molecules. In order to shield the hydrophobic component of
the surfactant molecules from the aqueous phase, an aggregation of surfactant molecules known as micelles are formed. The point at which increasing concentration
of surfactant leads to micelle formation is called the critical micelle concentration
(CMC) (Fig.7.9). The CMC is important to consider in a suspension formulation,
as the tendency of a surfactant to adsorb onto the solid-liquid interface and act as a
wetting agent is in competition with the surfactants tendency to form micelles
(Fig.7.10).
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7.6.2.4 Categories ofSurfactants
Surfactants can be classied based upon the presence or lack of an ionic charge.
Anionic surfactants possess a hydrophilic group that carries a negative charge, while
cationic surfactants possess a hydrophilic group that carries a positive charge.
Ampholytic surfactants, also known as zwitterionic surfactants, contain groups with
both negative and positive charges. Nonionic surfactants have no charge and instead
derive their water solubility from highly polar groups. Polymers can also function
as stabilizers, as is the case for polymeric emulsiers (e.g., Pemulen), which contain both hydrophilic and hydrophobic components to their structure. Polymeric
emulsiers can form stable O/W emulsions through generation of a gel network
around the suspended oil droplets. They are used in topical, transdermal, and ophthalmic drug delivery. Examples of surfactants are listed in Table7.2.
7.6.3 Flocculating Agents
Flocculating agents are included in suspension formulations to induce weakly
bonded conglomerates of particles (ocs). They include surfactants, hydrophilic
polymers, and electrolytes such as potassium chloride, sodium chloride, citrates, or
phosphates.

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Fig. 7.10 The point at which increasing concentration of surfactant leads to micelle formation is
called the critical micelle concentration (CMC). For exemplary purposes, if drug solubility is
increased by presence of micelles, then the gure represents graphically what happens to drug
solubility as surfactant concentration is increased and more micelles are formed
7 Disperse Systems: Suspensions
Table 7.2 Examples of surfactants
Category Examples
Anionic Potassium laurate
Cationic Cetrimide
Nonionic Poloxamer 407
Polymeric emulsiers
(high molecular weight copolymers of acrylic acid and
C10-C30 alkyl acrylate crosslinked with allyl
pentaerythritol)
Sodium dodecyl sulfate (i.e., sodium
lauryl sulfate)
Benzalkonium chloride
Benzethonium chloride
Polysorbate (Tween®) 20, 40, 60, 80
Sorbitan esters (Span®) 40, 60, 80
Polyoxyethylene castor oil
(Cremophor® RH)
Polyoxyl 15 hydroxystearate (Solutol
®
HS 15)
Pemulen polymer TR-1 NF (USP/NF
Carbomer copolymer Type B)
Pemulen polymer TR-2 (USP/NF
Carbomer copolymer Type A)

7.6 Excipients Used inSuspension Formulations
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Upon addition of electrolytes, the particles will adsorb the positively charged
cations or negatively charged anions in a tight layer on their surface, and the particle
zeta potential (see Sect. 7.2.4) will be reduced (see Sect. 7.2.4). In contrast, a large
zeta potential (positive or negative) is indicative of particle repulsion and a deocculated system. Controlled occulation can thus be achieved through addition of
electrolytes. The occulating power of electrolytes increases with increasing
valency of the ions. However, if too much electrolyte is added to the system, the
particle surfaces can be neutralized, and aggregation and caking may occur.
Both surfactants and hydrophilic polymers may act as occulating agents by
adsorbing to suspended particles and creating a repulsive electric layer around the
particles, preventing irreversible agglomeration. Just beyond this repulsive layer,
however, a weak attraction layer exists that allows for occulation to occur between
particles through weak interactions and crosslinking of surfactant or polymer molecules between particles. If too high a concentration of surfactant or polymer is
added, deocculation will occur and particles will remain separated. Examples of
occulating agents are listed in Table7.3.
7.6.4 Sweetening Agents andFlavors
Sweetening agents and avors are often added to suspensions to enhance palatability. Examples of sweetening agents are listed in Table7.4.
7.6.5 Other Excipients
Suspensions may additionally include excipients such as buffering agents, avors,
colorants, and preservatives.
Table 7.3 Examples of occulating agents
Category Examples
Surfactant Docusate sodium
Hydrophilic polymer Carboxymethylcellulose sodium
Electrolyte Aluminum chloride
Polysorbate 80
Sodium lauryl sulfate
Sorbitan monolaurate
Methylcellulose
Polyethylene glycol
Tragacanth
Xanthan gum
Potassium dihydrogen phosphate
Sodium chloride

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7 Disperse Systems: Suspensions
Table 7.4 Examples of
sweetening agents
Aspartame
Alitame
Acesulfame potassium
Dextrose
Erythritol
Fructose
Glucose, liquid
Glycerin
Inulin
Isomalt
Lactitol
Maltose
Mannitol
Saccharin sodium
Sorbitol
Trehalose
Xylitol
Sucrose
7.7 Sterility andSterilization ofDispersed Systems
Dispersed systems administered by injection (e.g., intravenous, intramuscular, subcutaneous, intravitreal) must be sterile. Sterilization is performed on the nal drug
product (i.e., terminal sterilization) or while the product is being manufactured (i.e.,
aseptic sterilization). Several sterilization techniques are described and are as
follows:
(1) Steam sterilization (autoclaving): This method uses high-pressure steam to heat
the injectable suspension to a specic temperature (e.g., 121°C) for a set period
of time. The heat and moisture effectively kill the microorganisms present in
the product.
(2) Radiation sterilization (gamma radiation or electron beam radiation): This
method uses high-energy rays that disrupt the DNA or RNA of the microorganisms, effectively rendering them nonviable.
(3) Gas sterilization (ethylene oxide): This method uses ethylene oxide gas, which
penetrates the packaging and inactivates the microorganisms by alkylation of
their proteins and nucleic acids.
(4) Sterile ltration: This method is used to aseptically sterilize the product using a
sterile membrane with a dened pore size to remove the microorganisms from
the suspension product. This method is a terminal sterilization, and must be
carefully designed to ensure the suspended particles of drug can pass through
the sterile membrane while the microorganisms cannot.

Further Reading
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Further Reading
Suggested readings for the student include the following texts:
Iyer, etal. Exploiting the enhanced permeability and retention effect for tumor targeting. Drug
Discov Today. 2006;11(17):812–8.
Jermain SV, Brough C, Williams RO III.Amorphous solid dispersions and nanocrystal technolo-
gies for poorly water-soluble drug delivery–an update. Int J Pharm. 2018;535(1–2):379–92.
Leleux, Williams. Recent advances in mechanical reduction methods: particulate systems. Drug
Dev Ind Pharm. 2014;40(3):289–300.
Wong J, etal. Suspensions for intravenous (IV) injection: a review of development, preclinical and
clinical aspects. Adv Drug Deliv Rev. 2008;60:939–54.
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