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Proverbs 16:3
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● Solutions
● Suspensions
● Gels
● Ointments
● Drug-impregnated inserts
● Contact lenses and contact lens care products
Ophthalmic Dosage Forms
● Sterility
● Preservation
● Isotonicity
● Buffering
● Viscosity and Thickening
● Clarity
● Finely divided particles for Suspensions
Special considerations for ophthalmic solutions and suspensions include:
TRUE
[SPECIAL CONSIDERATIONS]
TRUE OR FALSE:
Most ophthalmic products CANNOT be sterilized by HEAT since the active principles or polymers used to increase viscosity are not stable to heat.
Autoclaving
[SPECIAL CONSIDERATIONS]
This sterilization method is NOT suitable for PLASTIC containers or heat-sensitive drugs.
Bacterial filtration
[SPECIAL CONSIDERATIONS]
This sterilization method is effective for SOLUTIONS but not suitable for suspensions.
● Benzalkonium chloride
● Benzethonium chloride
● Chlorobutanol
● Phenylmercuric acetate
● Phenylmercuric nitrite
[SPECIAL CONSIDERATIONS]
Preservatives to prevent microbial growth:
TRUE
[SPECIAL CONSIDERATIONS]
TRUE OR FALSE:
Lacrimal fluid is isotonic with blood (~0.9% NaCl).
0.6% - 2%
[SPECIAL CONSIDERATIONS]
Sodium chloride equivalent for isotonic ophthalmic solutions
TRUE
[SPECIAL CONSIDERATIONS]
TRUE OR FALSE:
Some ophthalmic solutions are HYPERTONIC in order to enhance absorption and provide a concentration of the active ingredients strong enough to exert an effective action.
● For greater comfort to the eye
● To render the formulation more stable
● To enhance the aqueous solubility of the drug
● To enhance the drug's bioavailability
● To maximize preservative efficacy
[SPECIAL CONSIDERATIONS]
Purposes of buffering
● Hydroxypropyl methylcellulose
● Polyvinyl alcohol
[SPECIAL CONSIDERATIONS]
Thickeners used in ophthalmic preparations
15-25 centipoise (cp)
[SPECIAL CONSIDERATIONS]
Ophthalmic solutions' optimal viscosity is ___ cp.
Viscosity
[SPECIAL CONSIDERATIONS]
____of the product aids in maintaining the drug in contact with the tissues to enhance therapeutic effectiveness.
TRUE
[SPECIAL CONSIDERATIONS]
TRUE OR FALSE:
Ophthalmic solutions must be sparkling CLEAR and free of all particulate matter.
TRUE
[SPECIAL CONSIDERATIONS]
TRUE OR FALSE:
Drug particles in ophthalmic suspension must be FINELY divided to minimize eye irritation and/or scratching of the cornea.
Small glass bottles with glass or plastic droppers
Most are packaged in soft plastic containers with a fixed built-in dropper.
[PACKAGING]
Packaging of ophthalmic solutions