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53 Cards in this Set

  • Front
  • Back
Pharmaceutics
science that deals with the dosage forms design, includes formulation, manufacturing, stability and effectivness
dosage form
physical form drug administered in
-convienient delivery of accurate dose
-protection from environment
-mask bitterness etc
-provide liquid prep for insolubles
-reduce freq. drug admin.
-localized drug action
-avoid gastric destruction
drug delivery systems
means of administering drugs to body in safe efficient reproducible manner
Classifications by physical form
solid dosage
molded solid dose
semi solid dose
piquid dose
sterile dose
classification--> routes admin
Oral
most frequent
convenient, effective
absorb through GI

-ves
slow onset
absorption variability
unconsious cant use
Classification route type
Buccal/sublingual
high blood flow (rapid absorp sublingual)
slow absorp- buccal
no destructive GI
convientent
can be used for unconscious patient

-ves
bitter sucks
dry mouth
could swallow
load may be limited
Classification route type
Rectal vaginal
rapid absorp
local or systemic effects for rectal
for unconscious
bypass GI and metab
vaginal feels awesome

-ve
inconvenient
absorb variable
refridgration
Classification route type
topical/ transdermal
local effect but can do systemic
absorb slow in systemic
bypass GI and metab

-ve
inconvientent
absorb variable
Classification route type
parental
local and systemic
fast onset
unconscious
bypass GI metab
large volume via IV

-ve
not patient friendly
cost
side effects due to injection
Classification route type
pulmonary
local systemic
fsat onset
bypass Gi/ metab

-ve
may need training
low drug load (only good for potent)
Classification route type
nasal
-local systemic
fast onset
bypass GI / metab

-ve
low drug load
local irritation
Classification route type
ocular route
local

-ve
wash out most drug
small dose
poor absorb
Classification route type
otic
drops
local

-ve
low dose
shit absorb
Classification route type
overall idea
no single route is good for all
absorption
drug goes into blood w/o alteration
factor affect aborption
anatomical
surface area
thickness membrane
pH
gastric emptying time
blood flow
food
factor affect aborption
drug related
dosage form type
dosage form design (delayed/sustained release)
manufacturing factors (hardness, size..)
excipients
Noyes-Whitney equation
related absorption to factors of dissolution

dC/dt= D . A . (Cs-Cg) / h
dc\dt= dissolution rate
dc = amount of dissolved drug
D= diffusion coefficient of drug in body fluids
A = surface area of drug particles
h = thickness of the diffusion “stagnant ” layer of solvent around the drug particle
Cs= saturation solubility of the drug in the diffusion layer “h”
Cg= concentration of the drug in the bulk solution of the gut
surface area
lipo
hydro
L-smaller the particle the smaller the S.A.

H- larger the particle the larger the S.A.
Saturation solubility of the drug (Cs):
can be modified by pH
turning ionized and unionized

amorphous, more soluble but less stable
polymorphous opposite

can be affected by complexation
Concentration of dissolved drug in the bulk solution (Cg) :
if little crap in GI, drug distributes and reduces conc gradient and dissolution decreases
Thickness of the diffusion layer (h):
h decreases with increasing GI motility and increases with increasing the drug particles.
•drug particles dissolve, they reduce in size, cause h to decrease, increases the dissolution
Diffusion coefficient (D):
•D dependsmainly on the radiusof the drug particle and the viscosityof the GIT fluids
•Increasingviscositywill decrease drug dissolutionand will slowgastric emptying, therefore delay absorption
Parenterals
Parenterals“injectables” are sterileand pyrogen-free preparations injected through skin into internal body compartments
Recently, there is a growth in the use of Parenterals, why?
•New and better administration techniques
•Increase in the number of drugs that can be administered only by the parenteral route
•Simultaneous administration of the multiple drugs in hospitalized patients
•Extension of parenteral therapy to home
•New forms of nutritional therapy
What is the role of a hospital pharmacist?
–Clinical use
–IV admixtures
–Stability
–Incompatibilities
–Unit-dosing packaging
–Handling
Intravenous (I.V.):
Injected into a vein using needles (venipuncture) or indwelling catheters
-bevel up, blood backflow
–infusion rate range from 42-150 mL/hour, or at a lower rate to keep catheter open.
risks-thrombus, embilism
–Only clear, aqueous, non-precipitating, isotonic, and
emulsionscan be injected.
Patient Controlled Analgesia (PCA) Device
-automated I.V. delivery system
-constant and uniform analgesia
-used for I.V., S.C., and epidural
administration
Intramuscular (I.M.):
Injected into a skeletal muscle.
5ml butt
2ml arm
no blood enter
-–Aqueous or oleaginous“oily” solutions, and suspensionscan be injected.
risk- if miss cause neuro damage
Subcutaneous (S.C., S.Q., Sub-Q, hypodermic):
between the skin and the muscle tissue
injected, up to 1.3-2 mL,
no blood
–Absorption and eliminationare slower than I.M.
Intradermal(I.D.):
Injections into the skin“dermis” of the anterior surface of the forearm
–Vey small volume (0.1 ml)
diagnostic purposes(
Parenteral Dosage Forms
•Solutions
–Most injectable products are solutions.
–The vehicle can be aqueous or nonaqueous.
Parenteral Dosage Forms
•Suspensions
The most difficult dosage form to formulate.
–Requires delicate balance of several physical and rheological factors
Official “USP” Types of Injections
•[DRUG] Injection
•[DRUG] for injection
•[DRUG] Injectable Emulsion
•[DRUG] Injectable Suspension
•[DRUG]for Injectable Suspension
Aq Vehicles for Injection
-Sterile Water for Injection, USP
–BacteriostaticWater for Injection, USP:(not for newborns)
–Sodium Chloride Injection, USP
–Dextrose Injection, USP
–Bacteriostatic Sodium Chloride Injection, USP (not for newborn)
–Ringer’s Injection, USP
–Lactated Ringer’s Injection, USP
Non Aqueous vehicles for Injection
when the drug substance has limited water solubility or stability
-Fixed vegetable oils

–Miscible solvents (cosolvents): glycerin, polyethylene glycol (PEG), propylene glycol (PG), alcohol
Added Substances in Parenteral Formulations
Antimicrobial preservatives
Buffers
Antioxidants
Solubilizers
Tonicity modifiers
Chelating Agents
Protectants
Overages
excess amount withdrawn into syringe
PyrogenTesting
Rabbit’s Test, USP
Bacterial EndotoxinTest, USP
Particulate Mater Testing
Sources of particulate matter:
•dust
•Cloth fibers
•Glass fragments
•Materials leaching form the glass or plastic container or seal

–Individual final products must inspected visually or automatically
Container/Closure Integrity Testing:
–Vial and bottles are not subjected to this test

–For ampoules sealed by fusion
immersing the ampoule in dye solution
Apply negative pressure then release
Facilities Requirements
Clean room (grade A air)
•“Aseptic Area”, the design must allow sanitization with disinfectants
•Support area can be designed with less standards (clean room grade D)

•Evaluation
–Count the number of particles in the air
–Microbiological sampling using agar culture plates
Why pharmacuetical liquids?
easier to swallow
only suitable dosage form
irritation
flexibility
immediate drug availability
disadvantages
relative chemical stability
medium for microbial growth
bulky
more pronouced distaste
potential dosing errors
Collodions
-put on skin, wait solvent evap, impervious layer remain

-Collodion USP
-Flexible Collodion USP
-Salocyclic acid Collodion USP
Bacteriostatic examples and warning
-not for youngins

-Thimerosal
Phenylmercuric nitrate
chlorobutanol
phenol
cresol
methyl para hydroxy benzoate
propyl para hydroxy benzoate
benzyl alcohol
benzalkonium chloride
Waters and process manu
purified water- only ion exchange allowed
water for injection
sterile water for inject-songle dose
sterile water for irragation- single dose
bacteriostatic water for injection
sterile water for inhalation
Oils differ?
Vegatable-fixed
Almond, Peanut, Sesame, Cottenseed, Soybean
(Fatty acid ester and Liquid paraffin)
Volitile- wintergreen, turpentine

fixed- used I.M. produce depot action
Solvent vehicles for piq. preps
alcohol
diluted alcohol
glycerin
propylene glycol
isopropyl rubbing alcohol
oils
waters
solubility rules
organic vs inorganic
organic-
basically stuff with lots of carbons and not charges
big = organical

inorganic
charged
ates ites ores thios mates ides shits
most of those x-ep
phosphates, carbonates, silicates, borate, hipochlorites
Relative terms solubility
Very soluble
< 1
Freely soluble
1 to 30
Soluble
10 to 30
Sparingly soluble
30 to 100
Slightly soluble
100 – 1000
Very slightly soluble
1000 to 10000
Practically insoluble, or insoluble
10000 and over
Noyes Whitney equ
loss of wieght per unit time = constant K * Surface area ( Conc. saturate - conc. instant)
factor affect dissolution
free surface energy and shape of particle
-temp
-type agitation
-amount of material already in
-viscosity and volume solvent
-conc of dissolved solute