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drug compounds
active pharmaceutical ingredient (API) which can come from natural or synthesized sources
dosage forms
a unit containing the API. Ex: tablet, injection, solution.
drug product
dosage forms that has been placed in a container and properly labeled
offical compendia
standards deemed official by the USP are enforceable by the U.S. FDA for medicines manufactured and marketed in the Untied States
United States Pharmacopeia (USP)
drugs dosage forms, and drug products
National formulary (NF)
excipients
value of USP/NF
sets specifications for drugs and products, test conditions, definitions, storage, packaging, etc. Enforceable by law.
general notices
applying to tests, assays, and definitions.
ex: definitions of water and alcohol
general chapters
give information on equipment, procedures, and are referenced from individual monographs.
drug monograph
a publication that contains specific information for a drug (or class of related drugs)
structure (drug monograph component)
chemical name, molecular weight
definition (drug monograph component)
percent of API present (purity)
identification (drug monograph component)
qualitative chemical tests
assay (drug monograph component)
chemical qualification of API
Impurities
specific chemicals and their assay and allowed amounts
dissolution (drug monograph component)
how fast unit releases drug and it dissolves
uniformity of dosage units (drug monograph component)
allowed variation of API content in each dosage form (ex: tablets)
compounding
the process of combining or altering ingredients to prepare a medication by a pharmacist for an individual patient based on a prescription
- preparation cannot be commercially available
Non sterile compounds
ex: oral or topicals
sterile compounds
ex: IV preps or eye drops
non-hazardous, non-sterile compounds
USP 795
hazardous, non-sterile compounds
USP 795 & 800
non-hazardous, sterile compounds
USP 797
hazardous, sterile compounds
USP 797 & 800
non-sterile compounding
primarily used to prepare a dose or formulation that is not commercially available
potable water
drinkable, from the tap; used for hand and equipment washing
purified water
distilled; used for water containing formulations and rising equipment and utensils
sterile compounding
must be conducted with strict procedures to prevent contamination of the drug
sterile hoods for sterile compounding
have horizontal laminar air flow, high efficiency particulate air (HEPA) filters pick up particles when air is passed through the filters in the back to the front
carcinogenic
cancer causing
teratogenic
causes fetal disabilities or malformations or reproductive toxicity
genotoxic
damages DNA, can cause cancer
beyond use date (BUD)
a type of expiration date based on general experimental evidence of drug degradation, microbial contamination, or container failure. only applies to compounded prescriptions in the absence of stability information
BUD with preservative present
35 days
BUD without preservative present
14 days (refigerated)
BUD of Not aqueous, oral liquid
90 days
BUD of aqueous, not oral liquid
180 days