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what is a dosage form?
the physical form in which a medication is produced and administered, it includes the drug and other ingredients that help deliver the medication effectively
give examples of types of dosage forms
tablets
capsules
liquids
topicals
inhalers
why do we need dosage forms
in order to get the right drug into the right place at the right dose at the right rate as patient cant be expected to do this themselves
example- intravenous injections = seconds ,enteric -coated formulations= several hours
what are the requirements dosage forms must meet ( 7)
1. dosing accuracy- deliver the correct amount of API+ minimise toxicity
2.stability-must protect the drug during its shelf life from degradation due to light, moisture , temperature or oxidation + shouldn't react with container or delivery device
3.bioavailibility- must release the drug in a way that it reaches the intended site of action
4. safety-non toxic, free from contamination, no adverse effects
5.patient acceptability- palatable, taste and odour masking + easy to administer
6. manufacturability- must be feasible to produce consistently at scale
7. regulatory compliance - should meet pharmacopeial standards
what are the different type of solid oral dosage forms
tablets
caplets
capsules ( hard and soft shelled )
effervescence tablets
granules/powders
Oro dispersible tablets and films
explain characteristics of tablets
hard compressed powder
usually round or ovals
stable, cost effective and customisable release forms ( using coating or layered tablets )
cons: can be hard to swallow and may have objectionable taste if uncoated - may not appeal to patients
explain the characteristics of caplets
same as tablets just easier to swallow due to being oval and smooth
explain the characteristics of capsules
the formulation is contained within a shell of gelatine ( or veg alternative made of plant derived polysaccharides ) which dissolves in the stomach
hard-shelled= contain dry formulations including powders granules and pellets
soft shelled =used for oils or drugs that are difficult to formulate as solids
explain the characteristics of effervescence tablets
uncoated tablets that with an acid react rapidly in water by releasing co2
very rapid tablet dispersion
can be made palatable with addition of flavour and sweeteners
packaging is critical for stability must protect from moisture
explain the characteristics of orodispersible tablets
solid dosage forms that dissolve rapidly in the oral cavity without water
dosage form disperses in saliva
some absorption occurs before the gastrointestinal tract
the tablet formulation are ready to take up water/porous and flat - good for patients with difficulty in swallowing
cons: fragile and difficult to handle specific peel-off packaging
flavoured
explain the characteristics of sublingual and buccal dosage forms
tablets or film designed to be placed under the tongue or between the gum and cheek - straight into circulation = rapid effect
bypass the stomach and the liver
list all the liquid oral dosage forms
solutions- clear liquid preparation with API and excipients dissolved in a solvent
emulsion- stabilised oil-in-water/water -in oil dispersions may contain dissolved solid
suspensions ( used for poorly soluble drugs )- one or more API dissolved as solid particles in a suitable vehicle e.g. purified water and thickening gums
syrups- concentrated aq sugar solutions with dissolved API and excipients, flavoured is good for masking taste
elixirs - nicely flavoured, sweetened clear solutions of nauseous drugs in aq alcohol
linctus -viscous dosage forms prescribed for the relief of coughs coating the throat, contains a high proportion of syrup and glycerol
drops- concentrated solutions administered in small volumes, usually for paediatric use
what are parenteral dosage forms ( include intramuscular, intravenous and subcutaneous )
liquid drug formulations injected through a hollow needle using a syringe they also include implants ( must be sterile )
intravenous = large proximal vein, rapid and predictable response
intramuscular=into the muscle, small volume of injection rapid absorption, used for controlled release of formulations e.g. vaccines
subcutaneous= into subcutaneous tissue slower onset of action used for insulin and proteins
what are topical dosage forms
the application of medicines to the skin/ directly applying API to an infected area
creams- semi solid emulsions either oil in water or water in oil , oil in water is more comfortable and less greasy and easier to wash off, water in oils more difficult to handle but tend to release API more readily also more moisturizing e.g sudocream
ointments- viscous, semi soild, greasy applied to the skin, rectum and nasal mucosa
gels- clear non greasy water based semi-solids used for medication and lubrication
What are transdermal dosage forms?
drug delivery across the skin barrier e.g. patches
they deliver drugs steadily over hours or days over a fixed rate
minimises side effects
improved patient compliance, easy to use and non invasive
avoids interactions with GI tract so reduces irritation
drug delivery can be stopped by removing the patch
explain inhaled dosage forms
administration of a formulation by inhalation via the nose or mouth for pulmonary drug delivery ( delivers to lungs )
the drug is formulated as a solution or suspension or powder
the drug particles need to be very small to enter deep into the lungs
e.g. pMDI -> DPI -> nebulizer
explain rectal and vaginal dosage forms
solid dosage forms that melt, soften or dissolve into the body cavity
can be used for sustained and controlled delivery
what are excipients
all of the ingredients in a formulation other than the API
explain the features of an excipient
chemically active in the formulation- interact with other excipients or the environment
biologically active-penetration enhances in transdermal system or mucoadhesive agents
functional agents-serve a protective role e.g. preservatives antioxidants
what are advanced drug delivery forms
Advanced drug delivery forms refer to sophisticated systems that control, modify, or target the release of therapeutic agents in the body to achieve improved efficacy and reduced toxicity
give examples of advanced delivery forms
nanoparticles
microneedles
microchips