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122 Cards in this Set

  • Front
  • Back
the science that deals with the dosage forms design, which includes formulatiom, manufacturing, stability and effectiveness of pharmaceutical dosage forms

the science that converts a drug into a medicine
Pharmaceutics
the physical form in which the drug is available for administration
Dosage Form
means of administering drugs to the body in a safe, efficient, reproducible and convenient manner
Drug delivery system
Dosage form from simple to complex
Solutions
Capsules
Tablets
Ointments, Creams
Transdermal systems
Inhalation Products
Liposomes
Drug eluting stents
Disadvantages of Buccal and Sublingual route
unacceptable palatability for bitter drugs
dissolution problems for dry mouth conditions
possibility of swallowing
drug load might be limited (only smaller dose can be administered)
the more rapid and complet the absorption, the more _______ and ________ the pharmacological response becomes
the more rapid and complet the absorption, the more uniform and reproducible the pharmacological response becomes
process by which a drug enters the blood stream without being chemically altered

or

movement of a drug from its site of administration into the blood or lymphatic system
Absorption
4 Steps of Absorption
1. Delivery of drug to its site of absorption
2. Getting the drug into solution
3. Movement of dissolved drug through the absorption membranes
4. movenment of the absorbed drug away from the site of absorption into the general circulation
Organs with low surface area

Organs with high surface area
eye, nasal, buccal, rectum, stomach, large intestines

small intestines, lungs
thickness of absorption membrane

put in order:

sublingual, buccal, nasal, vaginal, epithelial
Thickest to Thinnest

buccal
vaginal- sublingual
epithelial
nasal
pH of:

Oral Cavity
Stomach
Small Intestine
Colon
Rectum
Oral Cavity~ 7
Stomach~ 1.5-6
Small Intestine~ 6-8
Colon~ 5.5-8
Rectum~ 7
What things delay gastric emptying, causing a longer onset time
fatty foods
viscous food
cold drinks
anticholinergics
narcotics

laying on left sisde will slow down absoprtion
Time for drug to pass through stomach and intestine

Fasting:

Fed:
Fasting: 4-8 hours

Fed: 8-12 hours
Intestinal flow is _______ than gastric flow
greater
Food decreases or increases absorption of drugs?
Both

decrease absorption of antibiotics

but in general it delays gastric emptying and can reduce the rate and extent of absorption
Dosage forms that do not require disintegration or dissolution

Dosage form that requires dissoltion, but not disintegration
Solutions
Syrups
Injections

Suspensions and emulsions
Exipients that increase and decrease dissolution
Increase:
Disintegrants
Lubricants
Surfactants
Buffers
Complexing agents

Decreases:
Vehicles
Binders, granulating agents, and coating agents
Diluents, coloring, nd flavoring agents
Affect of lipophilic and hydrophilic properties on dissolution
Lipophilic- decrease dissoltion

Hydrophilic- increase dissoltion
Noyes-Whitney Equation

dC/dt= D A (Cs-Cg)/h
describes dissoltion rate based on physiochemical fators that affect it like:

diffusion coefficient
surface area pf drug particles
thickness of diffusion stagnant layer of solvent around the drug particle
saturation solubility of teh drug in the diffusion layer
concentration of the drug in the bulk solution of the gut
Difference between hydrophilic and lipophilic drugs on effective surface area for smaller particles
Hydrophilic: smaller particle= increases effectiveness on surface area

Lipophilic: smaller particle= decrease effective surface area
The salt form of the drug is more or less soluble than the nonionized form of teh drug
Solubility

Salt > nonionized form

ionized > nonionezed
As the pH increases from stomach to intestines, the solubility of:

weak acids

weak bases
weak acids- increases solubility

weak baes- decreases solubility
Affect of polymorphism on solubility and stability
Amorphous form is more soluble, but less stable

aged products with more stable polymorph form are less soluble and reduce bioavailability

amorphous more soluble than crystalline form
drugs mixed with solvent form?

drugs mixed with water form?
solvates

hydrates
absorption occurs under ______ conditions
sink conditions (high concentration gradient)

bulk solution concentration is much smaller than saturated solubility of drug in diffusion layer
Pathways for Drug Transport
Trancellular Transport:
1. passive Non-ionic diffusion (simple)- most drugs
2. passive channel-mediated transport (small water soluble drugs)
3. Carrier mediated transport
-facilitated diffusion (conc gradient)
-Active transport (against conc gradient)

Paracellular Transport (Aqueous)
small polar substances
smaller than 500 Da
Factors influencing drug Absorption
1. Anatomical and Physiological Factors
2. Dosage Form Factors
3. Physiochemical Factors of Drug
4. Pathways for Drug Transport
5. Biochemical Factors
sterile and pyrogen-free preparations injected through skin into one or more layers of skin, or into internal body compartments
Parenterals "injectables"
free from viable microorgansims
sterile
free from fever producing organic substances
pyrogen-free
What type of solutions and emulsions can be injected?
clear
aqueous
non-precipitating
isotonic
pyrogen-free
USP limits for Large and Small volume
Large:
<50 particles (>10/ml)
<5 particles (>25/ml)

Small:
<10,000 particles (>10/ml)
<1000 particles (>25)
Intra-arterial
Intra-articular
Intracardiac
Intraspinal
Intrasynovial
Intrathecal
Intra-arterial: injected into arteries
Intra-articular: injected into the joints
Intracardiac: injected into heart chamber
Intraspinal: injected into spinal column
Intrasynovial: injected into joint-fluid (synovial fluid)
Intrathecal: injected into spinal fluid
the most difficult dosage form to formulate
suspensions
a dispersion on one immiscible liquid in another using emulsifying agent
Emulsions
Type of emulsions used for:

SC inj
IM inj
TPN preparations
SC inj- W/O emulsion
IM inj- O/W emulsion
TPN preparations- lipid emulsion
USP types of injections

Drug injection
Drug for injection
Drug injectable emulsion
Drug injectable suspension
Drug for injectable suspension
USP types of injections

Drug injection- ready liquid preparations of drug in a solution form

Drug for injection- dry solid the require the addition of suitable vehicle to yield solution similar to inection

Drug injectable emulsion- Ready liquid preparation of drug substances dissolved or dispersed in a suitable emulsion medium

Drug injectable suspension- Ready liquid preparation of solid drug substances suspended in a suitable liquid medium

Drug for injectable suspension- Dry solid that require the addition of suitable vehicle "reconstitution" to yield preparation similar to injectable suspension
Name location of injection and volume that can be injected:

Intramuscular
Subcutaneous
Intradermal
Intramuscular- skeletal muscle; max 5 ml in buttock and max 2 ml in deltoid muscle; 20-22G

Subcutaneous- loose interstitial tissue; max 2 ml; 24-26G

Intradermal- skin; max 0.1ml;23-26G
Vehicles for Injection:

Sterile water
Bacteriostatic water
sodium chloride
dextrose
bacteriostatic sodium chloride
ringer's injection
lactated ringer's injection
Vehicles for Injection:

Sterile water- for reconstitution; not for I.V. administration

Bacteriostatic water- contains antimicrobial agents; not for newborns; for reconstitution; only small volume <5 mL

sodium chloride- for reconstitution, IV administration, 2 mL to flush the IV lines after each use or every 8 hrs if not used

dextrose- isotonic; for reconstitution and IV administration

bacteriostatic sodium chloride- for reconstitution of onluy small volume <5 mL; for flushing IV lines; not for use in newborns

ringer's injection- for reconstitution and for IV administration; isotonic; contains NaCl, KCl, CaCl2

lactated ringer's injection- contains sodium lactate with other electrolytes; used as replenisher and systemic alkalizer
When to use non aqueous vehicles
when drug substance has limited water solubility or stability
atleast 1 antimicrobial preservative required for mutlidose containers

examples of these antimicroial preservatives are?
Benzethonium chloride and benzalkonium chloride 0.01%

Chlorobutanol, phenol, and cresol 0.5%
Buffers used to keep IV, IM, and SC pH in range?
IV: 3-10.5 pH
IM/SC: 4-9 pH

salts of citrate, acetates, phosphates
The air in multiple-dose preparation should be frequently replaced with what?
inert gas such as nitrogen
Exampls of Solubilizers
ethanol, glycerin, PEG, tween 80, Cyclodextrins
Tonicity modifiers
NaCl and dextrose
Chelating agent
used to inactivate metals

EDTA
Protectants
used to protect against degradation of the drug

sucrose and trehalose and HSA
Three Sterilization Methods
1. Thermal
2. Mechanical (pore size of 0.22 micrometer)
3. Chemical
Dry powder is prepared by?
lyophilization (freeze drying)
crystallization
spray-drying
USP allows for overages in excess of the labeled size or volume of single dose and multiple dose containers

how much excess for 50 or more size?
2% for mobile liquids

3% for viscous liquids
Typical volume size for withdrawal:

single dose container

Mulipler dose container
single- 1 L

multiple- 30 mL; usually about 10 doses per vial
Sterility Testing USP 71

Pyrogen Testing

Particulate Matter Testing

Container/Closure Integrity Testing
Sterility Testing USP 71- confirm absense of microorganisms using biologic indicators/ strip of filter paper

Pyrogen Testing- tests for thermostable pyrogens that remain in water, they can be removed by oxidizing them using: potassium permanganate; Rabbit's Test USP 151- temp did not increase by 0.5 ceclius, total temp can not rise more than sum of 3.3 celius for 5 rabbits; Bacterial Endotoxin USP 85- LAL

Particulate Matter Testing- dust, fibers, glass fragments inspected visually or automatically, product is passes against light source

Container/Closure Integrity Testing- immerse in dye, apply negative pressure for 15 min, release rapidle, just used for ampules
HEPA filters remove
99.99% efficient

0.3 micrometer particles
Reasons for liquid preparations
1. Easier to swallow
2. Only suitable dosage form
3. Irritation
4. Flexibility- more drug combinations and dosage forms
5. Immediate drug availability
Liquid preparation that contain one or more chemical substances dissolved in a suitable solvent or mixture of mutually miscible solvents
Pharmaceutical Solution
aqueous solutions containing sugar
Syrup
sweetened hydroalcoholic solutions
Elixir
Alcoholic solutions of aromatic materials
Spirits
Aqueous solutions of aromatic materials
Aromatic waters
Solutions prepared by extracting active constituents from crude drugs
Tinctures or Fluidextracts
Can soltions be aqueous or non-aqueous?
yes
disadvantages of solutions
chemical stability
microbial growth
bulky
more pronounce distaste
potential dosing errors
3 main steps of dissolution
separate particles of solute in the crystal

separate molecules of solvent

energy needed with interaction
used to increase aqueous solubility of weak electrolytes and non-polar molecules
Co-Solvents

ex:
Propylene glycol
PEG
Glycerin
Alcohol
measure of polarizability of a molecule
Dielectric constant
Rate of dissolution depends on?
free surface energy and shape of particle
temperature
type of agitation
amount of material already in solution
viscosity and volume of solvent
concentration of the dissolved solute
What are sink conditions?
if Ct << Cs

Ct= Concentration at time t
Cs= Concentration at saturation
Purpose of Noyes-Whitney Equation
Equation for rate of weight loss of particle per unit time

R= KS (Cs-Ct)

diffusion coefficient
surface area
conc at saturation
conc at time t

K=D/h

D= diffusion coefficient
h= thickness of diffusion layer
How do we get insoluble organic weak acids and bases to mix readily in slution with water?
form water soluble salts by using either strong acids or strong bases

solubility of these salts depends upon the pH; could cause it to precipitate if too much added
Rules for solubility

Inorganic
and
Organic
Inorganic:
both are monovalent
one is monovalent
salts of Na, K, Li
quaternary ammonium salts
Nitrates, Nitrites, acetates, chlorates, lactates
sulfactes, sulfites, thiosulfates
chlorides, bromides, iodides
sulfides- insoluble
hydroxides and oxides- insoluble
phosphates, carbonates, silicates, borates, hipochlorites- water insoluble

Organic:
one polar functional group=soluble to total chain length of five carbons
Fixed Oils
Almond
Peanut
Sesame
Cottonseed
Soybean
Volatile oils
Wintergreen
or
Turpentine
Ways to purify water
1. Distillation
2. Ion-exchange
3. Reverse osmosis
Water-insoluble synthetic polymerized resins used for Ion-Exchange
1. Phenolic
2. Carboxylic
3. Amino
4. Sulfonated
What is Type 1 and Type 2 glass
1- highly resisant borosilicate glass

2- treated Soda-lime glass

Used for packaging sterile water for irrigation
Examples of Bacteriostatic agents
Thimerosal
Phenylmercuric nitrate
chlorobutanol
Phenol
Cresol
methyl para hydroxy benzoate
propyl para hydroxy benzoate
benzyl alcohol
benzalkonium chloride
Rubbing alcohol contains what?
70% V/V of ethanol

each 100 ml contains

355 mg of sucrose octaacetate
1.4 mg of denatonium benzoate
Basic composition of any syrup
sugar or sugar substitute
Preservative
flavors
colors

85g sucrose in 100 ml of syrup
Agents other than sucrose used to prepare syrups

What is used for diabetics?
1. Detrose
2. Glycerin
3. Sorbitol

hydroxyethylcellulose or methylcellulose
What is inversion?
when di-saccharides are hydrolyzed by heat into two monosaccharides

resulting combination are invert sugars
Ways to prepare syrups
1. Solution with aid of heat
2. Solution by admixture in the cold (not heat/ just shake)
3. Dissolution of sucrose in a medicated or flavored liquid
4. By percolation (water passes slowly through a column of crystalline sucrose to dissolve it)
Examples of syrups prepared by percolation
1. Syrup
2. Tolu Balsam Syrup
3. Ipecac Syrup
Glycerin is a stabilizer
True

Used as an emetic in poisonings
4 Methods for preparing spirits
1. Simple Solution
2. Maceration
3. Distillation
4. Chemical Reaction
Primary solvents or vehicles found in elixirs
water
alcohol
glycerin
propylene glycol
examples of medicated elixirs
Antihistamine elixirs
Sedative and hypnotic elixirs
Expectorants
cardiotonic elixirs
Isotonic solutions equal what percent sodium chloride
0.9 % NaCl
What are Tinctures and Fluid Extracts?
Products prepared by extraction
Two prinicple methods of extraction
1. Maceration- uses menstruum (extracting solvent)
2. Percolation- powdered drog is extracted by the slow passage of a suitable solvent through a column of the drug
What are the following?

Percolator

Marc

Percolate
Percolator- extraction vessel

Marc- residue remaining after extraction

Percolate- liquid extract
liquid preparations of vegetable drugs containing alcohol
Fluidextracts
Examples of Fluidextracts
Cascar Sagrade Fluidextract
Senna Fluid extract
Aromatic Cascara Fluidextract
solution of pyroxylin dissolved in a mixture of ethanol and ether
Collodians

when solvent evaporates a water impervious layer is left on the skin over the wound or sore
3 Common Collodion products
Collodion USP
Flexible Collodion USP
Salicylic acid Collodoin USP
consist of primary particles existing individually of with some loose agglomeration through adhesive forces
Powders
consist of large particles formed by joining of binding together of primary particles whose identity can still be visible in the final agglomerate form
agglomerates
consist of particles formed by the progressive enlargement of primary particles until their original identity is no longer visible
Granules
spherical particulates produced during a precise forming and mechanical handling
Pellets
Powders vs granules
Powder- small particles with known identity

Granules- enlarged particles, with unknown identity
Advantages and Disadvantages of Powders
Advantages:
more stable in solid state
no difficulty swallowing
easy to adjust dose
can have rapid onset of action
feasible to be made into other dosage formulations

Disadvantages:

patient could misunderstand dose
bitter tasting drug
difficult to protect from decomposition
expensive to make
lack convenience of handling
leack ease of identification
lack ease of administration by patient
science and technology of small particles
Micromeritics
Methods to determine particle size
Sieves
Optical Microscopes
Electron Microscope
Sedimentation method
centrifugation method
light scattering method
Higher sieve number means
finer powder
Official USP definition of Powders for animals and vegetables

Very course
coarse
Moderately course
fine
Very fine
Very course- 8
coarse- 20
Moderately course- 40
fine- 60
Very fine- 80
Particle size reduction on large scale
Ball mill
Hammer mill
granumill
Rhombohedral
vs
Cubic Packing
Rhombohedral is more ideal because it has less percent porosisty

large spaces of cubic packing allow for other particles to get in and cause packing
Equation for Bulkiness
Bulkiness = 1/Density
Bulkiness increases as particle size _________
decreases
Granules flow _____ than powders
better
Reasons for granulation
better flow
better compression
more uniform
longer shelf-life
greater stability
decrease caking
more easily wetted by a liquid
Examples of Diluents or fillers
Lactose
Microcrystalline cellulose (sugar-free)
Modified Dextrose
Examples of binders
Starch
Polyvinylpyrrolidone (PVP)
Examples of Lubricants
prevents formulation from sticking to machinery

Magnesium stearate
Talc
Examples of Glidants
improves flowability

Silica derivatives
Talc
flavors vs sweeteners
flavors- longer shelf-life

sweeteners-short shelf-life, but more potent
Accubreak Technology
tablet that you can break in half and have exactly expected dose of drug on each half; no active ingredient in center of tablet
Desyrel
Tablet is scored so that it can be broke into thirds or in half
Methods of Tablet Preparation
Direct compression
Wet Granulation
Slugging (dry granulation)
Novel Methods
problems with high dose drugs

problems with low dose drugs
high- compressibility

low- content uniformity
What is slugging
Dry granulation method

compact large masses of powder mixture, crush and size pieces into smaller granules, lubricate tablet, active or diuent must have cohesive properties, drugs that degrade in moisture or heat
Problems in Tableting
Capping
Improper fill
Picking or sticking
Crumbling
Mottled tablets
non-disintegrating tablets
Disintegration Testing
Basket rack device
operates by reciprocating action
disintegration fluids include water, gastic fluid, intestinal fluid, buffer solution
record time required for disintegration