Compounding (Complete) Flashcards
What is compounding?
To mix or combine two or more ingredients
What is are extemporaneous compounds?
Compounds that are needed on demand
What are bulk compounds?
Compounds that are prepared in large quantities in advance for future use.
What standards must be followed for non-sterile compounding?
USP 795
What standards must be followed for sterile compounding?
USP 797
What does QA stand for?
Quality Assurance
What is Quality Assurance?
A program of activities used to ensure that the procedures used in the preparation of compounded products lead to products that meet certain standards.
What does QC stand for?
Quality Control
What is Quality Control?
A set of testing activities used to determine the quality of compounded products.
What are the three main vehicles used in solutions?
Aqueous, alcoholic, hydro-alcoholic
What is a syrup?
A sugar based solution that has medication dissolved in them, which helps improve the taste of the drug.
What are elixirs?
They contain dissolved medication in a hydro-alcoholic base that has been sweetened.
What auxiliary label must suspensions always have?
Shake well
What is a suspension?
A liquid that has very small, solid particles suspended in the vehicle.
What are the non-soluble particles in a suspension referred to as?
suspensoids
What is an emulsion?
A mixture of water and oil that should be binded together with an emulsifier.
What is used to bind the water and oil of an emulsion together?
Emulsifier - agent that binds oil and water, and holds them together.
What are the two types of emulsions?
w/o = Water in a oil base o/w = Oil in a water base
What are the two kinds of enemas?
Retention enema
Evacuation enema
What is the larger half of a capsule called? The smaller half?
The larger is the body, and the smaller is the cap
How are capsules sized?
000 are the largest, and those numbered 5 are the smallest
000 - 00 - 0 - 1 - 2 - 3 - 4 - 5
What is a spasule?
A capsule that can be pulled apart to sprinkle that contents into food for children
What does API stand for?
Active Pharmaceutical Ingredient
What are multiple compression tablets?
They are either tablets on top of tablets or tablets within tablets
What is content uniformity?
To have the same amounts of ingredients in each tablet
What are enteric coated tablets?
Helps protect the drug through the acidic environment of the stomach until it reaches the intestine
What does EC stand for in terms of tablet coating?
Enteric Coated
Why are tablets sugar coated?
Improve the taste and flavor, and cover unpleasant odors
What are the main advantages of using tablets?
Cheap, convenient, no measuring, and safe.
What are buccal lozenges?
To be put in between the cheek pouch and the gums and let dissolve
What are medicated sticks used for?
Topical application of topical anesthetics, sunscreen, antivirals and antibiotics
What are the three types of medicated sticks?
Hard sticks
Soft opaque sticks
soft clear sticks
What are the three main functions of semi solid dosage forms?
Protect an injured area
Hydrate skin
Treat or medicate locally or systemically
What is the main use of pastes?
A protective barrier
Whats the difference between pastes and ointments?
Pastes are more solid and stiff
What is a positive about creams?
No heavy, oily residue
Whats the difference between lotions and creams?
Lotions are thinner than creams because the base has more water
What are liniments?
Extracts of a plant added to alcohol or vinegar and applied topically - usually for muscle aches and pains
What is a collodion?
Clear, highly flammable, syrupy liquid compounded of pyroxylin, ether, and alcohol which dries to a film to close small wounds
Explain how to take a reading from a graduated cylinder?
Eye level - take the reading from the bottom of the meniscus
State examples of a solution classified by a vehicle
-Alcohol based
Syrups
Aromatic waters
Elixirs (sugar, water, alcohol)
What auxiliary label is always attached to suspensions?
Shake well before use
Give an example of a suspension - include both names, indication, and classification
Amoxil - amoxicillin - Bacterial Infections - Penicillin Antibiotic
What is a emulsifier?
Used in emulsions
Used to mix 2 things that do not mix.
What are some commonly used emulsifiers?
gelatin
acacia
alcohol
aluminum hydroxide
What is a mortar? What is a pestle?
A mortar is the cup shaped object used to hold the object, and the pestle is the stick used to grind and crush
What can mortar and pestles be made out of? What is most common and why?
Glass, wedgwood, porcelain. Glass is most common because it does not stain because it wont absorb
What is the definition of a retention enema and an evacuation enema?
Evacuation = Meant to get what is there, out. ASAP Retention = Remain in the rectum longer to lubricate
What are some qualities of a well made suspension?
Drug stability Settle slowly Re-dispersed by shaking Easy to pour and swallow Mask unpleasant taste
Other than an ointment slab, what can you use to prepare a compound?
A glass mortar and pestle
State an example of a solution classified by its contents
Elixir - alcohol, sugar and water.
What are suspancoids?
Particles in a suspension, suspended in a vehicle, dont dissolve.
What does immiscible? What does this term mainly apply to and why
Unmixable
Emulsions, because its mixing water and oil
What are the two kinds of balances, and describe the difference
Torsion = Weighs small amounts Counter = weighs up to 5kg, your regular electronic counter weigh scale.
How can you measure more viscous liquids?
Pour directly into the middle of the graduated cylinder, or use a syringe.
What are aromatic waters?
Clear, saturated aqueous solutions of oil usually
What happens to suspensions once you add water? In regards to its expiration dates.
Shortens the time till it expires. Usually shortens to 14 days.
What are the three different types of spatulas?
Plastic - scoop, commonly for creams
Rubber - scrape / cleaning
Stainless steel - for powder and compounding
What is a solute? What is a solvent?
Solute - the active ingredient
Solvent - liquid vehicle that dissolves the solute
Why is sugar added to a solution?
Change taste
Mask bitterness or bad smell
Easier for children to consume
Thickens it up
What happens if you touch scales with your bare hands?
Residue from your hands becomes stuck to the scale and changes the weight
What is glassine paper?
Resistant to grease
What is titration?
The process of reducing solids into fine particles by grinding or rubbing them in with a mortar and pestle
What are some advantages of liquid oral dosage forms?
For people that cant swallow pills
Older people and children
Different tastes
Easy to adjust dosage
What are some disadvantages to liquid oral dosage forms?
Storage, Has to be kept in fridge, not portable, more expensive than tablets.
What are some advantages to solid oral dosage forms?
Cheap, easy to make and carry, longer expiry dates.
What are some disadvantages of solid oral dosage forms?
Can be hard to swallow, cant adjust the dosage as easily.
What is the main difference between suspensions and emulsions?
There is no oil in suspensions
What are the differences between syrups and elixirs?
Elixirs have alcohol, syrups are more sugar based so they are thicker
What are the two parts of the capsule called?
The cap and the body
What sizes do capsules come in?
000, 00, 0, 1, 2, 3, 4, 5 (Largest to smallest)
What is the difference between a tablet and a pill?
Tablets are compressed powder, a pill is made from puddy
What does EC stand for in terms of solid dosage? What does it mean?
Enteric Coated - PProtects tablet from stomach acid
What does FCT stand for in terms of solid dosage? What does it mean?
Film Coated Tablet - masks the taste and makes it go down smoother if it is not powdery
What does LA stand for in terms of solid dosage?
Long Acting
What does XL stand for in terms of solid dosage?
Extra Long
What does SR mean in terms of solid dosage?
Sustained Release
What does CD mean in terms of solid dosage?
Controlled diffusion
What does spansule mean in terms of solid dosage?
Little beads of medication within a capsule - can be opened and beads can be sprinkled in food / applesauce.
What does MCT mean in terms of solid dosage?
Multiple Compression Tablet - combines incompatible substances. Tablet on tablet or tablet IN tablet.
What is an example of a MCT?
Adalat XL
What does eutectic mean? Give an example.
When two solids are mixed together and it makes a liquid.
Camphor and Menthol
Describe cream
water based, hydrophilic, not oily
Describe lotion
Water based, thinner than cream
Describe iontment
Oil based, hydrophobic
Describe paste
Liquid and powder mixed, thick and dry. Used as a protective barrier
What is collodion?
A liquid bandaid, flammable when wet
What are the three coatings used for tablets?
Film coating
Sugar coating
Enteric coating