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What is a suspension?
Two-phase system with finely divided solid dispersed in a liquid; can be oral, topical, or parenteral
Define flocculated suspension
Loose aggregates that settle rapidly but are easily redispersed; held together by Van der Waals forces
Define deflocculated suspension
Individual particles that repel each other, settle slowly, form a hard cake
What are the methods for particle size reduction?
-Trituration
-Levigation
-Pulverization by intervention
-Mechanical
Define trituration particle size reduction
Grinding in mortar & pestle
Define levigation particle size reduction
Trituration with small amount of liquid in which drug is insoluble
Define pulverization by intervention particle size reduction
Dissolve in volatile solvent → evaporate
Define mechanical particle size reduction
Grinders, ball mills
How do you prepare a suspension?
Reduce particle size → wet particles → add vehicle gradually with stirring → use suspending agents
How does viscosity affect sedimentation?
↑ Viscosity → ↓ Sedimentation rate
What is the BUD for aqueous suspensions?
Non-preserved: 14 days, Preserved: 35 days
What counseling points for suspensions?
Shake well, use proper measuring device, store at room temp or fridge depending on drug
Name the common suspending agents & their final concentrations
-Acacia NF: 2-5%
-CMC USP: 0.5-1.5%
-Methylcellulose USP: 0.5-5%
-Tragacanth NF: 0.5-2%
What is a common commercial vehicle pH?
-Ora-Plus: 4.0-4.5
-Versa-Plus: 4.5-5.0
What is an emulsion?
Thermodynamically unstable mixture of immiscible liquids stabilized by an emulsifier
What are the different types of emulsions?
-Oil-in-water (o/w)
-Water-in-oil (w/o)
Describe an oil-in-water (o/w) emulsion
Water external, non-greasy, washable
Describe an water-in-oil (w/o) emulsion
Oil external, greasy, occlusive
What are factors that determinine emulsion type?
Nature of emulsifier (HLB value) and phase in which emulsifier is more soluble
What are the emulsion instabilities?
-Creaming: reversible
-Coalescence/breaking: irreversible
-Phase inversion: o/w ↔ w/o
What are the emulsion stabilization methods?
-Reduce droplet size
-Increase viscosity
-Optimize oil:water ratio
HLB system
<10 → lipophilic → w/o, ≥10 → hydrophilic → o/w
Pharmaceutical uses of emulsions
Creams, lotions, taste-masking, IV lipid nutrition
BUD for emulsions
Same as suspensions: aqueous non-preserved 14 days, preserved 35 days
What are some counseling points for emulsions?
-Shake well
-Store properly
-Watch for phase separation
What are examples of carbohydrate emulsifiers?
Acacia, Pectin, Tragacanth
What is an example of a protein emulsifier?
Egg yolk (Lecithin)
What are examples of high MW alcohol emulsifiers?
-Cetyl/Stearyl Alcohol
-Glyceryl Monostearate
What are examples of solid emulsifiers?
-Aluminum Hydroxide
-Bentonite
-Magnesium Hydroxide
What is a gel?
Semisolid system with liquid trapped in polymer network
What are the two types of gels?
-Hydrogel
-Orangogels
Describe a hydrogel
Water-based, dispersible or soluble; can be inorganic (metal oxides) or organic (long polymer chains)
Describe an organogel
Oil-based, include hydrocarbon, natural fats, soap-base, or hydrophilic organogels
What are some advantages of gels?
Versatile, water-washable, cosmetically elegant
What is the BUD of a non-preserved aqueous gel?
14 days
What is the BUD of a preserved aqueous gel?
35 days
What is the BUD of a non-aqueous gel?
180 days
What are some important counseling points for gels?
-Proper application
-Avoid contamination
-Store in a tight container
What are some examples of hydrogels?
-Methylcellulose
- CMC
-Pluronic F-127
What is an example of an organogel?
Hydrophilic (Carbowax bases)
What are the advantages of transdermal patches?
-Avoid first-pass
-Constant drug delivery
-Removable
-Noninvasive
What is a limitation of a patch?
Only potent drugs (<500 Da, logP 1-3) can be used
What are the layers contained in a matrix patch in order from furthest to closest to the skin?
-Film backing
-Drug/adhesive layer
-Protective line
What are the layers contained in a reservoir patch in order from furthest to closest to the skin?
-Film backing
-Drug layer
-Rate-controlling membrane
-Contact adhesive
-Protective peel strip
Define a matrix patch
A system in which the drug is incorporated directly into the adhesive, rather than into a separate layer
Define a reservoir patch
A system in which the drug has a separate layer from the adhesive
What are some counseling points for patches?
-Apply to intact skin
-Rotate sites
-Do not cut (ok is some matrix)
-Remove after use
Define ointment
Semisolid, greasy, occlusive, soften at body temp, spread easily; used for dry scaly lesions
Define creams
Emulsions (o/w or w/o), cosmetically acceptable; used for moist, weeping lesions
Define pastes
Stiff semisolids with ≥20% solids, protective, not rubbed in
Define an oleaginous base
-No water
-No absorption
-Not washable
-Emollient, Occlusive
-Example: White Petrolatum
Define an absorption base
-No water
-Has absorption
-Not washable
-Emollient, Occlusive
-Example: Hydrophilic Petrolatum
Define a W/O base
-No water
-Has absorption
-Not washable
-Emollient, Occlusive
-Example: Cold Cream
Define an O/W base
-Has water
-Has absorption
-Is washable
-Non-occlusive, non-greasy
-Example: Hydrophilic Ointment
Define a water-soluble base
-Has water
-Has absorption
-Is washable
-Non-occlusive, non-greasy
-Example: PEG Ointment
What type of skin penetration does an oleaginous base have?
Epidermic
What type of skin penetration does an absorption base have?
Endodermic
What type of skin penetration does an emulsion/water-soluble base have?
Diadermic
What is the BUD for an aqueous preserved ointment?
35 days
What is the BUD for an non-aqueous preserved ointment?
180 days
What are some counseling points for ointments?
-Apply thin film
-Do not wash off immediately
-Store properly
-Avoid contamination
What are the advantages of powders?
-Flexible dosing
-Rapid onset
-Large surface area
What are the disadvantages of powders?
-Poor taste
-Stability with moisture
-Not convenient
What are the powder types?
Hygroscopic, Deliquescent, Efflorescent, Effervescent salts
What are the BUD for powders?
Usually 6 months (non-aqueous, USP/NF ingredients)
How should bulk oral powders be stored/dispensed?
glass/plastic/metal wide-mouth containers
How should divided powders be stored/dispensed?
individually folded
How should topical powders be stored/dispensed?
sifter or powder shakers
How should insufflation powders be stored/dispensed?
plastic puffer units; Avoid polyethylene
Define a hygroscopic powder
A powder that absorbs moisture from the surrounding air through adsorption or absorption
Define a deliquescent powder
A solid substance that absorbs so much moisture from the surrounding air that it dissolves into a liquid solution
Define an efflorescent powder
A crystalline substance that contains water of crystallization, which it can spontaneously release into a low-humidity atmosphere
Define an effervescent salt powder
A granulated or coarse powder containing a medicinal agent mixed with an acid and a carbonate or bicarbonate
What are some counseling points for powders?
-Store in a dry container
-Measure properly if bulk oral
-Mix with specified liquid/food
-Avoid premixing unless instructed