Ali R. Rajabi-Siahboomi

People have consumed alcoholic drinks for thousands of years and this tradition continues to occupy an important place in many cultures. According to a survey in 2002,

 7–28% of adults in the UK drink alcohol on five or more days a week. US statistical data indicates that a significant proportion of the American population also routinely consumes alcoholic beverages.

	The UK survey shows that older people drink alcohol more frequently than younger people: 21% of men and 11% of women aged 65 years and over had consumed alcohol every day during the week prior to the survey, compared with only 4% of men and 2% of women aged 16–24 years for the same time period. As the prevalence of chronic conditions increase with age, the elderly also consume more drug prescriptions as a percentage of the population for treating cardiovascular, pain management, arthritis and central nervous system conditions. The elderly are also likely to consume more specialized dosage forms because of the continued trend towards extended release (ER) formulations. 

	These trends make it imperative to understand the impact of alcohol consumption on modified release or ER dosage forms.

	Hydrophilic matrix systems are a popular and widely used approach to extending drug release in tablets. Hypromellose (hydroxypropyl methylcellulose [HPMC]) is the most widely used rate-controlling polymer in these systems because of its safety, availability, global compliance and physicochemical/mechanical characteristics.

	Upon contact with aqueous media, HPMC polymer hydrates quickly to form a protective gel layer on the matrix surface. Soluble drugs are released primarily by diffusion through this gel layer while actives with low solubility are released primarily by gel erosion. Drug release typically occurs through a combination of these two mechanisms.

 Rapid polymer hydration and uniform gel formation are critical to the integrity and subsequent performance of HPMC matrix systems.

	Drug release rate from HPMC ER tablets depends on many factors including:

	Drug release rate may also be significantly affected by the medium parameters to which the matrix is exposed, prior to, or upon ingestion, including pH, electrolytes, surfactants and enzymes.

	Taking into account the impact of dissolution medium on gel formation and, therefore, drug release from HPMC matrices, the influence of hydro-alcoholic media for cases when the dosage may be taken with, shortly before or after an alcoholic drink has been recently investigated in a number of studies.

	Accidental poisoning with ER dosage forms, although infrequent, poses special treatment problems that are often not seen with immediate release medication, as failure of an ER product can subject the body to a toxic drug level. Any unintended release of the total or a significant fraction of the active substance from an ER dosage form during a short period of time is referred to as 'dose dumping'.


	The likelihood of dose dumping for certain ER products when administered with food has been investigated previously,

 and FDA has also issued a report to address the issue.

 studies conducted in the 1980s showed that pharmacokinetics and the release properties of ER dosage forms were not influenced by alcohol.

	Labels warning against the concomitant use of alcohol and products that contain alcohol-interactive (AI) drugs are used where appropriate. For other actives (non-AI) that do not have a pharmacokinetic or pharmacodynamic interaction with alcohol, a warning on the adverse consequence of alcohol consumption caused by the potential for dose dumping may not be present on a product label.

. found that 19% of AI and 26% of non-AI drug users reported concomitant alcohol consumption.

	In 2005, FDA issued an alert to healthcare professionals regarding an alcohol-Palladone (Purdue Pharma, CT, USA) interaction.

 This alert cited an increase in the peak plasma concentration of the drug, hydromorphone, to potentially lethal levels because of the breakdown of the dosage form when ingested with significant amounts of alcohol (240 mL of 4, 20 or 40% ethanol). A pharmacokinetic study of healthy volunteers showed that co-ingestion of a Palladone capsule with 240 mL of 40% alcohol caused an average peak drug concentration that was approximately six times greater than when taken with water. One subject also experienced a 16-fold increase when the capsule was ingested with 40% alcohol compared with water. In a few volunteers, 240 mL of 4% alcohol (equivalent to two thirds of a typical serving of beer) resulted in almost twice the peak drug plasma concentration compared with when the capsule was ingested with water.

	Shortly after the FDA alert, Meyer and Hussain reported an overall lack of attention in pharmaceutical science literature and the regulatory assessment process regarding consumption of alcoholic beverages with certain dosage forms, including ER tablets and capsules.

 FDA has subsequently issued advice to minimize the risk of alcohol-induced dose dumping. Therefore, potential effects on the release characteristics of an active substance by alcohol have to be thoroughly evaluated for currently marketed products and new drug applications that utilize an ER mechanism.

Hydro-alcoholic media and the performance of ER formulations

	Since the FDA alert, there have been a number of reports on the influence of hydro-alcoholic media on the performance of ER systems.

 claimed increased permeability, elasticity and swelling of cellulose acetate (CA): polyethylene glycol (99:1 w/w) semipermeable membranes used for osmotic ER drug delivery in 0–60% ethanol solutions.

 Although a slight increase in drug release from the OROS (ALZA Corp., CA, USA) ER systems was recorded, the CA membrane maintained its functionality and no dose dumping was observed.

 studied the influence of hydro-ethanolic media on the release of mesalamine from Pentasa (Ferring, Switzerland) tablets comprising ethylcellulose coated granules.

 The time required for releasing 50% of the drug (T

) was 120 min and 170 min in the absence and presence of ethanol, respectively. This was explained by the lower solubility of mesalamine in the presence of ethanol.

 studied the influence of hydro-ethanolic media on the dissolution rate of aspirin from HPMC (METHOCEL K4M; Dow Chemical Co., MI, USA) matrix tablets.

 They found that aspirin release increased with increasing alcohol concentration in the dissolution media, correlating with the drug's solubility, but did not result in dose dumping. In 40% ethanol, an initial rapid aspirin dissolution rate was reported that was explained by a slower initial interaction between alcohol and HPMC. Using cloud point study results, the authors indicated that ethanol retarded the hydration of the polymer.

 investigated the influence of hydro-alcoholic media on the swelling properties and drug release from HPMC ER matrices.

 The influence of media composition (0–50% v/v ethanol) on the swelling and erosion properties of HPMC (METHOCEL K100 LV CR, K4M CR and K100M CR) compacts was determined using a modified version of the method described by Tahara 

 It was shown that in water and hydro-alcoholic solutions, all compacts underwent swelling and gelation without any disruption to the matrix integrity. The compact wet weight appeared to be similar in water and aqueous ethanol solutions for the METHOCEL grades studied (Figure 1), but the extent of their relative swelling was found to increase with increasing viscosity of HPMC from 100 cps (K100 LV CR) to 4000 cps (K4M CR).

	No significant difference in compact swelling was observed for METHOCEL K4M CR and K100M CR, which was further supported by the findings of Missaghi

 who reported little effect of hydro-alcoholic media (0–40% v/v ethanol) on the textural and rheological performance of HPMC matrices.

investigated the effect of hydro-alcoholic media on three HPMC ER matrix (12 h release) formulations (metformin HCl 500 mg, felodipine 5 mg and gliclazide 30 mg).

 The manufactured matrices were subjected to 5% or 40% v/v ethanol aqueous solutions for 1 or 12 h. The results were compared with drug release in non-hydro-alcoholic media. The tablets retained their hydrated structural integrity when exposed to 5 and 40% v/v ethanol solutions, respectively, for 12 h without any failure of the matrices resulting in dose dumping.

For felodipine and gliclazide, despite increased solubility in hydro-alcoholic media, drug release profiles remained similar to those in water with 

 values greater than 50, indicating statistical similarity.

	When metformin HCl tablets were exposed to 40% v/v ethanol solution for 12 h, a slower drug release was observed compared with exposure to water (Figure 2). This can be explained by a change in drug solubility in the various media. However, when the metformin HCl matrices were exposed to hydro-alcoholic media for only 1 h, the change in drug release profile was not significant.

	Following the advice from FDA to minimize the risk of alcohol-induced dose-dumping from modified release dosage forms, the effect of hydro-alcoholic media on HPMC matrices was evaluated. None of the published papers reported dose dumping from HPMC ER tablets in hydro-ethanolic media. The results of the studies reviewed here indicate that well-designed, robust HPMC ER matrix formulations are safe in situations when the dosage form is taken with, shortly before or after the consumption of alcohol.

 is Global Technical Manager, Modified Release Technologies, at Colorcon Ltd (UK).

 is Global Technical Director at Colorcon Inc. (PA, USA).

	1. National Statistics, "Living in Britain General Household Survey 2002" (2002). 

	3. M.A. Longer and J.r. Robinson, "Sustained-release drug delivery systems," in A.R. Gennaro, Ed., 

 (Mack Publishing, Easton, PA, USA, 1990) pp 1676–1693.

	5. A.R. Rajabi-Siahboomi and M.P. Jordan, 

	10. J.L. Ford, M.H. Rubinstein and J.E. Hogan,

	13. M.E. Campos-Aldrete and L. Vallafuerte-Robles, 

	14. R Espinoza, E. Hong and L. Villafuerte, 

., "Hydrophilic cellulose derivatives as drug delivery carriers: Influence of substitution type on the properties of compressed matrix tablets," in D. L. Wise, Ed., 

Handbook of Pharmaceutical Controlled Release Technology

 (Marcel Dekker, Inc., New York, NY, USA, 2000) pp 1–30.

	19. P.V. Wilder, M.R. Detaevernier and Y. Michotte, 

	21. K. Mitchell et al., Int. J. Pharm., 66(1–3), 233–242 (1990).

 "Particle swelling and the mechanism of failure of HPMC matrices" at the Proc. 3rd Assoc. UK Academy of Pharmaceutical Sciences Conference (London, UK, 1994).

	23. J.L. Johnson, J. Holinej and M.D. Williams, 

	24. L. Hendeles, P. Wubbena and M. Weinberger, 

Guidance for Industry: Food Effect Bioavailability and Fed Bioequivalance Studies

	30. R.J. Meyer and A.S. Hussain, "Awareness Topic: Mitigating the Risk of Ethanol Induced Dose Dumping from Oral Sustained/Controlled Release Dosage Forms," at FDA's ACPS Meeting (October, 2005).

	32. FDA Alert for Healthcare Professionals - Hydromorphone hydrochloride extended-release capsules (marketed as Palladone), Alcohol-Palladone interaction, (July 2005).

	33. J. Koziara, J. So and N. Agarwal, "The effect of ethanol on semipermeable cellulose acetate-based membranes," at AAPS Annual Meeting and Exposition (San Antonio, TX, USA), 29 October–2 November 2006.

	34. H.Fadda, Y. AlBasarah and A. Basit, "Impairment of modified release formulations by alcohol in dissolution media and influence on drug release," at AAPS Annual Meeting and Exposition (San Antonio, TX, USA), 29 October–2 November 2006.

 "The influence of ethanol on aspirin release from hypromellose matrix tablets," at the British Pharmaceutical Conference & Exhibition (Manchester, UK), 4–6 September 2006.

	36. H. Vuong, M. Levina and A.R. Rajabi-Siahboomi, "The influence of hydro-alcoholic media on hypromellose matrix systems," at AAPS Annual Meeting and Exposition (San Antonio, TX, USA), 29 October–2 November 2006.

	37. K. Tahara, K. Yamamoto and T. Nishihata, 

	39. S. Missaghi, K. Fegely and A.R. Rajabi-Siahboomi, "Evaluation of the Effect of hydro-alcoholic Media on Textural and Rheological Characteristics of Hypromellose Matrices," at CRS Annual Meeting and Exposition, (Long Beach, CA, USA, 7–11 July 2007).

	40. S. Missaghi, K. Fegely and A.R. Rajabi-Siahboomi, "Investigation of the Effect of Hydro-Alcoholic Media on Rheological and Textural Properties of Various Grades of Hypromellose," at AAPS Annual Meeting and Exposition, San Diego, CA, USA, 11–15 November).

	41. M. Levina, H. Vuong and A.R. Rajabi-Siahboomi, 

Articles

Research shows that both drug prescription and alcohol consumption increase within the elderly population. It is, therefore, necessary to fully understand the impact of alcohol consumption on solid oral dosage forms, especially extended release formulations.

The influence of concomitant use of alcoholic beverages on hypromellose matrix tablets

A hydrophilic matrix tablet is the simplest and most cost-effective method of fabricating an extended release (ER) solid oral dosage form. The majority of commercially available matrix formulations are in the form of tablets, and their method of manufacture is similar to conventional tablet formulations: granulation, blending, compression and coating. In its simplest form, a typical ER matrix formulation consists of a drug, one or more water-swellable hydrophilic polymers, excipients such as fillers or binders, a flow aid (glidant) and a lubricant. Other functional ingredients, such as buffering agents, stabilizers, solubilizers and surfactants, may also be included to improve or optimize the release and/or stability performance of the formulation system. Various water-soluble or water-swellable polymers with high molecular weight have been used in hydrophilic matrices, such as hypromellose (hydroxypropyl methylcellulose (HPMC)), hydroxypropylcellulose (HPC) and polyethylene oxide (PEO). HPMC is identified as the most popular polymer in matrix applications because of a number of key features and advantages:

 Excellent stability and non-ionic nature (resulting in pH-independent performance). 

 Ease of manufacture through direct compression or granulation. 

 Versatility and suitability for various drugs and release profiles (because of different chemistries and viscosity grades being available).  

Chemically, HPMC is mixed alkyl-hydroxyalkyl cellulose ether containing methoxyl and hydroxypropyl groups. A general structure of cellulose ether polymers is shown in Figure 1, where the R-group can be a single or a combination of substituents. Type and distribution of the substituent groups affect the physicochemical properties of the polymers. These properties coupled with the molecular weight distribution of cellulose ethers make them versatile for use in ER formulation of a wide range of drugs with varying solubilities and doses. Also, as cellulose ethers are non-ionic water-soluble polymers, the possibility of chemical interaction or complexation with other formulation components is greatly reduced and their matrices exhibit pH-independent drug release. Additionally, aqueous solutions of HPMC are stable within a wide pH range and are resistant to enzymatic degradation.

HPMC is manufactured by The Dow Chemical Company (MI, USA), under the trade name of Methocel.

  Methocel used for ER hydrophilic matrix applications utilizes two types of chemical substituent groups signified by either 'E' or 'K' designations.

  Methocel polymers are also graded based on their viscosity (in cPs) of a 2% weight/volume aqueous solution at 20 °C, as shown in Table 1.   

Typical HPMC grades utilized for ER formulations range in viscosity from 50 to 100000 cps at 20 °C, and include Methocel E50 Premium LV, K100 Premium LV CR, K4M Premium CR, K15M Premium CR, K100M Premium CR, E4M Premium CR and E10M Premium CR. The chemical substitution specification and viscosity grades are detailed in Table 1.   

The mechanism of drug release from hydrophilic matrix tablets following ingestion is complex, but is known to be based on dissolution of the drug (if soluble), diffusion of the drug through the hydrated portion of the matrix and erosion of the outer hydrated polymer on the surface of the matrix. Typically, when the matrix tablet is exposed to an aqueous solution or gastrointestinal fluids, the surface of the tablet is wetted and the polymer hydrates to form a jelly-like structure around the matrix, which is commonly referred to as the 'gel layer'. This process is also termed as a glassy-to-rubbery state transition of the polymer (surface layer). The core of the tablet remains essentially dry at this stage. In the case of a highly soluble, high-dose drug, this phenomenon may lead to an initial burst release because of the presence of the drug on the surface and periphery of the matrix tablet. The gel layer (rubbery state) grows with time as more water permeates into the core of the matrix, increasing the thickness of the gel layer and providing a diffusion barrier to drug release.

  Simultaneously, as the outer layer becomes fully hydrated, the polymer chains become completely relaxed and can no longer maintain the integrity of the gel layer, leading to disentanglement and erosion from the surface of the matrix. Water continues to penetrate towards the core of the tablet, through the gel layer, until it has been completely eroded. Whereas soluble drugs are released by this combination of diffusion and erosion mechanisms, erosion is the predominant mechanism for insoluble drugs, regardless of dose.

  For successful ER of drugs, either soluble or insoluble, it is essential that polymer hydration and surface gel layer formation are quick and consistent to prevent immediate tablet disintegration and premature drug release. For this reason, polymers for hydrophilic matrices can be supplied in small particle size ranges to better ensure rapid hydration and consistent formation of the gel layer on the surface of the tablet.

Table 1 Pharmaceutical grades of Methocel cellulose ethers and their USP specifications.			

Although developing an HPMC matrix formulation may initially seem simple, the formulation scientist is required to consider a number of variables that influence drug release profiles, as well as the manufacturing and processing of these matrices.

  The release rate from the matrix is dependent upon factors including polymer type and level; drug solubility and dose; polymer: drug ratio; filler type and level; polymer to filler ratio; particle size of drug and polymer; and the porosity and shape of the matrix.

Drug solubility is an important factor determining the mechanism of drug release from HPMC hydrophilic matrices as it influences the choice of polymer viscosity, chemistry grade and excipients. The use of an appropriate viscosity grade will enable a formulation scientist to design matrices based on diffusion, diffusion and erosion, or erosion mechanisms. Depending on drug solubility, it may be necessary to combine different viscosity grades of HPMC to effect an intermediate viscosity and achieve desired release kinetics.

In HPMC matrices, the effect of polymer concentration and viscosity (i.e., molecular weight) on drug release rates can be predicted using the Phillipof equation.

  This mathematical relationship can be used in combining different viscosity grades of HPMC to obtain an intermediate viscosity for achieving the desired release characteristics. The influence of mixing different polymer viscosity grades on an eroding HPMC matrix of a practically insoluble drug (nifedipine) is represented in Figure 2.

  Erosion is the principal mechanism of drug release for such poorly soluble drugs, and generally a low viscosity grade of polymer (e.g., Methocel K100 Premium LV CR) is used in such formulations.  

It was observed that the dissolution profile of the initial formulation was slower than the United States Pharmacopeia (USP) requirement and showed dependency on 

 testing conditions as a faster dissolution rate was observed when the paddle speed was increased from 100 to150 rpm (Figure 2). Such 

 release rate and, possibly, 'food effect'.

  The study showed that a blend of high-viscosity grade HPMC (Methocel K15M Premium CR) to increase the gel strength, and a low viscosity grade HPMC (Methocel E15 Premium LV) to allow for consistent erosion — as indicated by the Phillipof equation — can be used to achieve the desired release profile and meet USP requirements. Mixing these two viscosity grade polymers also produced matrices with improved physical characteristics that exhibited similar dissolution profiles at agitation speeds of 100 and 150 rpm (Figure 2). This example demonstrates that combining HPMC polymers not only modulated the release profile to the desired degree, but also produced a more robust matrix system. 

Combinations of HPMC with ionic and non-ionic polymers

Combining polymers of different chemistries or viscosities has been extensively studied as a means of achieving and optimizing extended drug release from hydrophilic matrices. HPMC is typically used as the primary polymer in such systems, but its functionality can be augmented by a variety of other polymers; for example, HPMC of different viscosity grades has been combined with ionic or non-ionic polymers to modulate drug release.

Among ionic polymers, anionic polymers have been widely investigated in combination with HPMC for modulating the release profile of various drugs. The examples of anionic polymers studied include sodium carboxymethylcellulose (Na CMC);

  polymers of acrylic acid or carbomers (Carbopol 934, 940, 974P NF);

  enteric polymers such as polyvinyl acetate phthalate (PVAP),

  methacrylic acid copolymers (Eudragit L 100, L 30D 55, S and FS 30D),

  hypromellose acetate succinate (AQOAT HPMCAS);

  Incorporation of cationic polymers has also been noted, specifically utilizing Eudragit E 100 (dimethylaminoethyl methacrylate copolymer). 

 advocated combining HPMC with Na CMC to effect a zero order release of the drugs propranolol hydrochloride, metoprolol tartrate and alprenolol hydrochloride.

  The hypothesis was that the polymers showed a synergistic increase in viscosity that allowed erosion to occur at a rate equating to the movement of the front between the glassy and rubbery polymer. However, it was later confirmed that enhancement in viscosity was not solely responsible for modulating the drug release profile, and that the complex formation between the anionic polymer and cationic drug also played an important role.

  Similar interaction with cationic drugs has also been demonstrated for methacrylic acid copolymers (Eudragit S and Eudragit L 100-55).

Combining HPMC with sodium alginate has also been proposed for obtaining a pH-independent release profile for basic drugs.

  When the matrix is exposed to an acidic environment, the HPMC (pH-independent polymer) hydrates to form a gel layer at the surface of the tablet while the sodium alginate remains insoluble, acting as a barrier to diffusion of the drug. As the pH increases with passage of the tablets from the stomach to the intestinal tract, the sodium alginate in the matrix begins to swell and hydrate, contributing to the overall barrier to drug diffusion and matrix erosion. It has been claimed that drug release from this system remains independent of pH.

Carbomer (Carbopol) is an anionic polymer used in formulating matrices, but its performance is reported to be variable with fluctuations in release.

  Combining carbomers (Carbopol 940 and 974P NF) with HPMC produces a synergistic increase in viscosity of the matrix because of stronger hydrogen bonding between the carbomer and HPMC.

  This stronger cross-link between the two polymers results in a more rigid structure through which drug diffusion can occur. The net result of this interaction is increased consistency of drug release profile 

Incorporation of anionic polymers, most notably enteric polymers, in HPMC matrices is attractive for developing a pH-independent release profile for weakly basic drugs.

  When formulated with HPMC matrices alone, these drugs lead to a pH-dependent drug release profile that exhibits a higher release in acidic pH and a lower release in basic pH because of the pH-dependent solubility of the drug.  

The incorporation of anionic polymers in the matrix can influence drug release in basic media by lowering the microenvironmental pH, and can also retard the drug release in acidic media by forming an insoluble mass that acts as a barrier to drug diffusion. A combination of these two opposing effects can result in pH-independent release of the drug. Moreover, as these enteric polymers have comparatively high molecular weights, they show longer residence time within the matrix gel layer, possibly facilitating their pH modulation effect to last longer compared with 'smaller molecular weight' acids such as citric acid.

  In addition to the control of microenvironmental pH, anionic polymers may alter the gel strength and erosion rate of the matrix and, therefore, the release rate of the drug.  

Combining PVAP with HPMC to formulate matrices containing verapamil hydrochloride (HCl) has been reported.

  When the formulation was subjected to dissolution according to USP 28 (method 1) in simulated gastric fluid (0–1 h) followed by intestinal fluid (2–8 h), slower drug release was observed from multipolymer compositions when compared with the single HPMC polymer matrix (Figure 3). As PVAP is soluble in simulated intestinal fluid, it is expected to behave as a soluble-filler and result in a faster drug release rate. It is proposed that the retardation of drug release is attributable to the synergistic interaction between PVAP and HPMC, resulting in the formation of a stronger gel layer and, consequently, slower diffusion and erosion rates.  

Similar to the development of pH-independent matrices for basic drugs, incorporation of cationic polymers in HPMC matrices has been reported for developing pH-independent ER matrices for weakly acidic drugs.

  Combining Eudragit E 100 with HPMC matrices has been shown to result in pH-independent release for acidic drugs (such as divalproex sodium). This effect has been attributed to enhanced solubility and, hence, the release of the drug in acidic media and retardation of the drug release in basic media.   

Combinations of HPMC with non-ionic polymers

Addition of non-ionic polymers to HPMC has been shown to slow dissolution rate; for example, it has been reported that the addition of HPC to HPMC matrices caused further retardation to the release profiles.

  This retardation has been attributed to a stronger gel layer of the resultant matrix, reducing the diffusion and erosion rate characteristics of the gel layer.

  Another non-ionic polymer of interest for mixing with HPMC is PEO (POLYOX; The Dow Chemical Company, MI, USA).

  PEO is available in various molecular weight grades, ranging from 100000 to 7000000 Da and is the fastest hydrating water-soluble polymer among the hydrophilic polymers. The inclusion of PEO in HPMC matrices could be beneficial in cases where slower initial drug release is required or when a shift in mechanism of drug release is desirable.

Combinations of HPMC and water insoluble polymers

Highly water-soluble drugs formulated with HPMC matrices may be characterized with an initial burst effect. Mixing of water-insoluble polymers with HPMC could circumvent this problem as they decrease the penetration of water in the matrix, leading to decreased diffusion of the drug and slower initial release. The water-insoluble polymers that could be incorporated in the HPMC matrix include ethylcellulose (e.g., ETHOCEL or Surelease), cellulose acetate, methycrylic acid copolymers (e.g., Eudragit NE 30D), ammonio-methacrylate copolymers (e.g., Eudragit RL 100 or PO RS100) and polyvinyl acetate.

Combinations of HPMC and water-insoluble fatty acids, alcohols or waxes have also been investigated with varied degrees of success.

  Low melting lipophilic materials blended at low concentrations (≤7.5% w/w) with HPMC have shown potential in achieving ER of metformin, a high-solubility active, suggesting the possibility of niche applications for such matrix blends.

  However, combinations of HPMC with lipophilic materials at higher concentrations have produced mixed results. While one researcher suggested levels of 20% w/w or more to tailor the drug release profile, other sources have shown the failure of such systems to provide extended release.

Figure 4 shows the use of an insoluble polymer, ethylcellulose, in combination with HPMC to reduce the initial burst release.

  Here, a highly soluble API (venlafaxine HCl) has been granulated with an aqueous dispersion of ethylcellulose (Surelease; Colorcon, PA, USA) before incorporation into an HPMC matrix. The formulation was further modified by coating the matrices with a barrier membrane (ethylcellulose film) to suppress the initial burst effect.

HPMC hydrophilic matrix systems have been widely studied and many successful products in the market utilize this versatile extended release technology. Different chemistries and viscosities of HPMC can be combined to modulate release profile and, in some cases, result in a more robust formulation. HPMC matrices offer a platform for mixing other polymers to provide flexibility to the formulator in achieving the desired release profile. Ionic, non-ionic and insoluble polymers have been used in HPMC matrices to successfully modulate the release profile of various drugs. The addition of ionic polymers has been shown to not only modify the drug release profile, but also allow microenvironmental pH control of the gel layer, which may enhance the solubility or stability of drugs.

Different chemistries and viscosities of HPMC can be combined to modulate release profile and, in some cases, result in a more robust formulation.