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60 Cards in this Set

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define: gels
semisolid systems consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid
What are the advantages of using a gel?
--useful for the oral, topical, vaginal, and rectal routes of administration
--can be clear
define: mucilages
single-phase gels made from synthetic or natural macromolecules
define: magma
a gel in which the particle size in the two-phase system is large
Which gels can be ingested?
Carbopol 934P, methylcellulose, hydroxypropylmethylcellulose, sodium carboxymethylcellulose
Name three common neutralizers:
sodium hydroxide, potassium hydroxide, triethanolamine
What are the components of Pluronic gels?
polyoxyethylene and polyoxypropylene
What is PLO gel made of?
lecithin, isopropyl palmitate solution, and Pluronic F-127
Define: ointment
semisolid preparation intended for external application to the skin or mucous membrane

--for our purpose: all semisolid dosage forms intended for external application
What are the four general class of ointment bases?
hydrocarbon, absorption, water-removable, and water-soluble
List advantages and disadvantages of:

hydrocarbon or oleaginous bases
Advantages:
-inexpensive
-non-reactive
-non-irritating
-good protectant/emollient properties
-not water-washable so they stay on the skin and keep medicine in contact with skin

Disadvantages:
-poor patient acceptance because of greasiness
-not removed easily (mineral oil required)
-do not absorb water so liquid ingredients are not taken up and skin secretions cannot dissipate
What are the two types of absorption bases?
anhydrous absorption bases

water-in-oil emulsions
What are the advantages of absorption bases?
What are the disadvantages?
Advantages:
-moderate protection/emollience
-do not wash off easily
-can absorb liquids

Disadvantages:
-poor patient acceptance (greasy, sticky, or stinky)
-not easily removed with washing
-can be sensitizing
-soap type emulsifiers in some bases can cause compatibility issues
-can cause hydrolysis of ingredients
-subject to microbial growth (water)
What are creams?
water-removable bases
o/w emulsions
What are the advantages/disadvantages of creams?
Advantages
-nongreasy
-water removable
-can absorb water/alcohol (eventually turns to lotion)
-allow the dissipation of fluids

Disadvantages
-less protective, less emollient, less occlusive
-compatibility problems
-hydrolysis
-microbial growth
-dry out if exposed to air
What are the advantages/disadvantages of water-soluble bases or gels?
Advantages
-washable in water
-no oily residue
-can absorb water/alcohol

Disadvantages
-irritating to skin
-no emollience
-compatibility problems (PEG, H2O)
When is levigation not used?
-fine particle size
-quantity of solid to incorporate is small
-soft ointment base
-final product is to be a stiff ointment or paste
What are the two most commonly used levigating agents?
mineral oil, glycerin
What is Peruvian balsam levigated with?
Ichthammol?
Castor Oil
glycerin
List five factors that determine the amount of levigating agent needed:
-quantity and properties of the solids to be incorporated
-selected levigating agent
-properties of the ointment base
-desired spreading consistency of the ointment
-amounts of levigating agents used in other reference books/products
What % is needed for levigation?
5%
Which ingredient is used in the cosmetic industry as a surfactant in shampoos and hair conditioners, as an emollient and as an emulsifier and thickening agent in the manufacture of skin creams and lotions?
cetyl alcohol
Define: pastes
semisolid dosage forms that contain one or more drug substances intended for topical application
Define: creams
-semisolid dosage forms containing one or more drug substances dissolved or dispersed in a suitable base
-typically o/w or w/o emulsions
define: emollient
an agent that softens the skin or soothes irritation in skin or mucous membranes
define: protective
a substance that protects injured or exposed skin surfaces from harmful or annoying stimuli
define: emulsion
a thermodynamically unstable two-phase system consisting of at least two immiscible liquids, one of which is dispersed in the form of small droplets throughout the other, and an emulsifying agent
Distinguish between o/w and w/o emulsions
---o/w: oils/hydrocarbons are dispersed in an aqueous solution; typically formed when the aqueous phase constitutes >45% of the total weight and a hydrophilic emulsifier is used
---w/o: aqueous solution is dispersed in an oleaginous medium; typically formed if the aqueous phase is less than 45% of the total weight and a lipophilic emulsifier is used
Explain the uses of o/w and w/o emulsions
o/w: most common emulsion type; preferred for oral products when an oily feel is undesirable; used topically when easy removal is desired
w/o: used topically wen emollient, lubricating properties, or protective properties are desired; many ointments are w/o emulsions
When are oral emulsions used?
only when absolutely needed; they feel gross in the mouth and usually taste like shit
What are the three desired properties of a liquid emulsion?
-fine droplets
-slow aggregation of the droplets and creaming of the product
-ease of redispersion when shaken
When are emulsions used parenterally?
--o/w emulsions are used for sustained-release depot preparations
--w/o emulsions are used SC for allergy tests
--a mixture of medium and long chain triglycerides are used for critically ill patients (MCT/LCT)
What are the roles of emulsifying agents?
--Emulsifying agents are surfactants which concentrate at the interface of the two immiscible phases and prevent coalescence of the droplets.
--Some emulsifying agents also increase the viscosity of the system, slowing aggregation of the droplets and decreasing the rate of creaming.
List several cationic, anionic, and nonionic emulsifying agents.
Cationic--benzalkonium chloride, benzethonium chloride

Anionic--alkali soaps (sodium or potassium oleate), amine soaps (triethanolamine stearate), detergents (sodium lauryl sulfate ,sodium dioctyl solfosuccinate, sodium docusate)

Nonionic--sorbitan esters (Spans), polyoxyethylene derivatives of sorbitan esters (Tweens), or glyceryl esters
Natural emulsifying agents: list several vegetable and animal derivatives; list semi-synthetic agents and synthetic agents
vegetable derivatives: acacia, tragacanth, agar, pectin, carrageenan, lecithin

animal derivatives: gelatin, lanolin, cholesterol

semi-synthetic agents: methylcellulose, carboxymethylcellulose

synthetic agents: carbopols
What is the ratio of acacia, water, and oil in acacia emulsions?
o:w:a
4:2:1
Explain the dry gum method for making acacia emulsions
--triturate oil and acacia in a wedgewood mortar
--add aqueous phase with hard and fast trituration
--continue until crackling is heard or until TA tells you that you suck and you should start over
What else needs to be added to acacia emulsions besides oil, water, and acacia?
drug
preservative (benzoic acid or sorbic acid)
What % of emulsifier is used?
5%
Describe HLB
-a system that indicates the hydrophilicity of a molecule;
-low HLB indicates low hydrophilicity (Spans)
-high HLB indicates high hydrophilicity (Tweens)
Which phase (oil or water) do you add Span and Tween to?
can be put in corresponding phase but usually both put in oil phase
define: creaming and coalescence
creaming: migration of the droplets of the internal phase to the top or bottom of the emulsion

coalescence: the merging of small droplets into larger droplets with eventual complete separation of phases so that the droplets cannot be re-emulsified by simple shaking (also called cracking)
Where should emulsions be stored and what is the typical expiration?
internal preparations should be stored in the fridge; external preparations should be stored at room temperature

internal preparations are usually good for 14 days; external preparations are good for 1 month
What auxiliary labels go on emulsions?
shake well
(external use only, refrigerate as appropriate)
When are we allowed to compound for animals?
--when there are no effective FDA approved products available
--when available dosage forms are inappropriate
--when multiple and concurrent disease states are present
--when an additive therapeutic effect could be obtained from simultaneous administration of two or more products
--minimize side effects
--when economic realities would preclude treatment with the approved product
--when compounding would encourage compliance of dosage/therapeutic regimens
What drug should not be given to cats?
APAP because they have a deficiency in glucuronyl transferase
List four characteristics of dogs that affect drug delivery:
--shorter GI transit time
--longer intestinal villi; more surface area
--higher bile salt secretion, increases solubility of poorly water-soluble drugs
--lower basal acid secretion
Which foods are not good to give to your dog?
alcohol
chocolate
coffee and tea
ham fat trimmings
grapes and raisins
milk and dairy products
onions and garlic
When making a carbomer gel, what are the main ingredients?
carbomer, neutralizer (NaOH or triethanolamine), preservative (parabens)
What is amitriptyline used for in pets?
prevent spraying
What are the three components of a PLO gel?
poloxaer (Pluronic), lecithin, isopropyl palmitate
What types of insulin are used for pets?
dogs--bovine insulin
cats--porcine insulin
zoonosis
disease that can be passed from animals, whether wild or domesticated, to humans

--can happen through contact with feces, direct contact with animal, consumption of eggs, consumption of raw meat, insect vectors
List four examples of zoonotic diseases:
anthrax, bovine spongiform encephalopathy, lyme disease, Q-fever
What zoonotic disease can the following animals carry: bats, cats, dogs, horses, cattle, pigs, sheep and goats, rabbits, birds
bats: rabies
cats: anthrax
dogs: Rocky Mountain Spotted Fever
horses: Salmonella
Cattle: encephalitis
pigs: influenza
sheep and goats: rabies
rabbits: plague and Q-fever
Birds: big words
What is the expiration date for suppositories and which auxiliary labels do we add?
90 days
external use only
refrigerate
keep out of reach of children
for vaginal/rectal use only
Which type of suppositories are more comfortable?
fatty base suppositories (non-irritating)
PEG bases can be irritating; adding 10% of water can be helpful; dunk in water before sticking up your butt
Which type of suppository is frequently used for vaginal or urethral suppositories?
PEG because these regions do not have sphincter muscles to hold in leakages
Qualify the release rate for the following drug/base combinations for suppositories:

oily drug in oily base
water drug in oily base
oily drug in water base
water drug in water base
oily drug in oily base: slow release
water drug in oily base: rapid release
oily drug in water base: moderate release rate
water drug in water base: moderate release based on diffusion
Explain the Paddock Method for determining the density factor, df:
df= B / (A-C+B) where A equals the average weight of a blank suppository, B equals the weight of active drug per suppository, C equals the average weight of a medicated suppository