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Chemical
the name that describes the molecular structure of a drug
Code or laboratory
the name given to a drug by the research and development investigators
Compendial
the name listed in the United States Pharmacopeia
Official
usually the same as the compedial or generic name
Generic
common name chosen by the company
Proprietary or trade
the name chose by the manufacturing company
Factors that influence the development of a drug and things to consider
The physical and chemical characteristics of the active pharmaceutical ingredient (API)
The intended use of the dosage form
Formulation that includes excipients to insure that the product delivers the drug in a manner defined by the pharmacologist/clinical expert
Method of manufacturing
Injectable formulations
Solutions, suspensions, and a range of sustained release formulations
Drenches
a large volume of aqueous suspension or solution containing the API that is pumped into the animal’s rumen
Medicated articles
a formulation intended for administration in feed
Topical products
Skin, ophthalmics, otics, and anti-inflammatory formulations
Transdermal products
skin but systemically absorbed
Transvaginal products
drug release in the urogenital tract and subsequent absorption across the vaginal epithelium
CRYSTALLINE FORM
Condition variables of importance include temperature, pressure, rate of cooling, and time.
PARTICLE GEOMETRY
Plays are role on how the medicine is delivered and how it interacts with the body – cellular uptake, tissue penetration, and biodistribution.
DISSOCIATION CONSTANTS / pKa
The pKa of a drug influences lipophilicity, solubility, protein binding, and membrane permeability.
PARTITION COEFFICIENTS
Ability of drug to cross the biological membranes before entering the bloodstream.
SOLUTIONS
clear, homogeneous liquid dosage form that contains one or more APIs dissolved within a vehicle
SUSPENSIONS
A liquid suspension is a dosage form containing solid particles dispersed in a liquid vehicle.
EMULSIONS
Emulsions are a fluid system consisting of two immiscible phases, leading to liquid droplets (containing the API) which are dispersed in the solvent.
SUSPOEMULSION
a combination of a suspension and emulsion.
PASTES
a semisolid dosage form containing a large proportion of solids finely dispersed in a fatty vehicle
GELS
a semisolid dosage form in which a liquid phase is constrained within a three-dimensional cross-linked matrix
LOTIONS
suspensions intended for external applications
CREAM
a semisolid emulsion system (o/w, w/o) containing more than 10% of water
OINTMENT
a highly viscous or semisolid preparation intended for external application
TABLETS
compressed powders prepared by one of three general methods: wet granulation, dry granulation, and direct compression
BOLUS
is a very large tablet that is intended to be retained in the rumen
IMPLANTS
is a very small tablet that is manufactured in the same way as a tablet. It is a nonoral dosage form that can remain in the body of the animal for many months
CAPSULES
solid dosage forms in which the drug is enclosed in a hard or soft soluble shell. The shells are usually made from a gelatin, cellulose, or polymeric material.
Compounding (RA 10918 Pharmacy Law)
refers to the sum of processes performed by a pharmacist in drug preparation including the calculations, mixing, assembling, packaging, or labeling of a drug: (1) as the result of a prescription or drug order by a physician, dentist, or veterinarian; or (2) for the purpose of, or in relation to, research, teaching, or chemical analysis
Compounding (FDA)
The process of combining, mixing, or altering ingredients to create a medication tailored to the needs of an individual patient. Compounding includes the combining of two or more drugs. Compounded drugs are not FDA approved.
Componding (USP old)
The preparation, mixing, assembling, altering, packaging, and labeling of a drug, drug-delivery device, or device in accordance with a licensed practitioner’s prescription, medication order, or initiative based on the practitioner/patient/pharmacist/compounder relationship in the course of professional practice
Componding (USP 2022 revision)
combining, admixing, diluting, pooling, reconstituting other than as provided in the manufacturer’s labeling, or other altering a drug product or bulk drug substance to create a nonsterile preparation
Animal Medicinal Drug Use Clarification Act of 1994
AMDUCA stands for
AMDUCA
permits veterinarians to prescribe extra-label use of certain approved new animal drugs and approved human drugs for animals under certain conditions.
food animals and nonfood animals
AMDUCA divided patients into ___ based on intended use and described when off-label use would be appropriate for each group
Dosage Form, Dosage Strength, Flavoring, Eliminating Ingredients, Availability
Benefits of Compounded Products
Binder, Coating, Coloring Agent, Disintegrants, Emulsifiers, Fillers/Diluents, Flavor Agents, Flow Agents, Humectants, Preservatives, Sweetening agents, Thickening agents
Inactive ingredients
Oral, Transdermal, Topical, Subcutaneous, Intravenous, Intramuscular
ROUTES OF ADMINISTRATION
DOSAGE FORM
Wide variety of species and size variation within many animal species it is not practical to have products readily available in the appropriate dosage forms for every patient.
DOSAGE FORM
There may also be specific patient and caregiver preferences regarding which dosage forms is easiest to administer.
DOSAGE STRENGTH
The same species and size variety also creates a need for dosage strengths that are not commercially available.
DOSAGE STRENGTH
When compounding for the purpose of creating a new dosage strength, it is important to ensure that there is a clinical difference between the compound and the commercially available option
FLAVORING
Addition of flavoring can be helpful to facilitate compliance.
FLAVORING
A wide variety of flavor can be added to oral medications to create an enticing smell and/or an acceptable taste for a patient.
ELIMINATING INGREDIENTS
Sometimes there is an FDA approved product available in the desired strength and dosage form, but it contains an inactive ingredient that is toxic to the species, or a particular patient is not able to tolerate
ELIMINATING INGREDIENTS
Presence of XYLITOL is avoided in making drugs for small animals
Birch sugar, Wood sugar, Birch bark extract, “XYL”, “Other sugar alcohol”
OTHER NAMES OF XYLITOL
AVAILABILITY ISSUES
It is important to note that when the approved product becomes available again, the compounding of the duplicate must cease.
INCORRECT POTENCY, INCORRECT INGREDIENT, LACK OF STABILITY, LACK OF EFFICACY, LACK OF SAFETY, EXCESSIVE MICROBIAL GROWTH OR LACK OF STERILITY
Risk of Compounded Products