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how many doses are in a suppository
single dose
what are the sahpe and volume of a suppository suitable for
rectal administriation
what do suppositories contain
one or more activ substance dispersed or dissolved in a suitable bases which may be soluble or dispersible in water and may melt at bodily temperaute
what expients are in a suppository
diluents adsorbents surfactamts lubricants anti-microbial preservatives and colouring matter
what is an advantage of using a suppository
no first pass metabolisn
why might you use a suppositriy
You may have a petient who is not able to take a tablet or want to be (such as when they are nautious,migrane treatment,vomiting
In these cases the tablets will come back out
A patient who is unconscious
Easier if it is availibe in a suppository form
Good for children,
what is the only blood vessels in the gi tract which dont go near the liver
-the rectal weins are the only blood vessels in the GI tract are not connected to the liver and you can then circumvent the liver
what is the ph in the rectum
constant pH of 7.5 in the rectum/the colon
what are the requirements for the bases used in a suppository
1-non-irritant locally,chemically inert and stable
2-compatable with a wide variety of drugs
3-able to shrink slightly on cooling
4-able to incorperatue aqueous and oily liquids
5-capable of melting and solidifying over a narrow temperautre range
what are the 4 availiable suppository bases
1-theobroma oil
2-semi-synthetic glycerides
3-glycerol-gelatin mixtures
4-macrogol
what are the typical content of theobroma oil
steric acid
oleic acid
palmitic acid
linoleic acid
what happens to theobroma oil on storage
becomes rancid
what emulsifying properties does theobroma oil have
poor
what happens to the melting point of theobroma oil with some drugs
-what should you do to combat this
lowers
add beeswax
what form of theobroma oil do we want
the beta form
what are the semi-synthetic glycerides from
vegtable oils
-mixture of mono-di and tri glycerides
is the semi-synthetic glycerides saturated
yes
melting range of the semi -syntheitic glycerides
34-36
what are the disadvantages of semi-synthetic glycerides
-lower viscocity
-become brittles when cooled to rapidly
what is the composotion of the glycerol-gelatin suppository base
gelatin 70g
peurified h20 -14 g
glycerol -dufficnet
does glycerol geltatin melt
no,it dissolves
is glcyerol gelatn hydrocopic
yes very
what is the formulation of macrogol
macrogol 1000-75%
macrogol 4000-25%
is macrogol a non-fatty base
yes
what are the advantages of macrogol
physiologically inert
-not prone to contamination by microbes
disadvantages of macrogol
-incompatable with phenolic drugs
-brittleness and crystal growth upon storage
-more irritating than fatty bases
what is the most common method for extemporaneous compounding
molding
what amount of heat is needed for extemporaneous compounding
minimum heat
define the displacement value of the drug
the amount of the drug that would displace 1g of suppository base