Compounding: Ingredients/Uses Flashcards
Binders
- Allows tablet contents to stick together, providing strength and stability
- EX: Acacia, starch paste, sucrose syrup
Diluent
- AKA fillers, bulking up a small amount
- EX: Lactose, starches, calcium salts, cellulose power in capsules/tablets
- Petrolatum in topicals
Disintegrants
- Facilitates breakup of the tablet was administered to be dissolves and absorbed
- EX: Alginic acid, cellulose, starches, polacrillin potassium
Non-caloric Sweeteners
- Aspartame
- Sucralose
Caloric Sweeteners
- Glycerin
- Dextrose
- Mannitol/sorbitol/xylitol (sugar alcohols)
- Stevia
Lubricants
- AKA glidants or non-adherents
- Prevents ingredients from sticking to each other and equipment
- Improves powder flowability
- EX: Magnesium stearate (stearate in general)
Preservatives
- Slow/prevent microorganism growth
- Do NOT use in neonates
- EX: Chlorhexidine (also antiseptic to surgical scrubs), povidone iodine (also topical antiseptic), sodium benzoate (benzoic generally), sorbic acid/potassium sorbate, methyl/ethyl/propyl parabens, EDTA, thimerosal, cetylpyridinium chloride
Buffers
- Keep pH stable in a certain range
- Which ones used depends on the goal pH range
- Acids for acidic pH, hydroxides or -ate for basic, lots of phosphate examples for neutral pH
Hydrophilic Solvents
- Water (sterile and otherwise)
- Alcohols
- Glycols
Water
- Potable - used to wash hands and equipment
- Distilled - used to reconstitute and prepare non-sterile compounding products
- SWFI - free of bacterial endotoxins (pyrogens) and used to sterile compounding
Alcohols
- High miscibility with water and can dissolve solutes that would be insoluble in water alone
- Benzyl alcohol: also used as a preservative and for its fragrence
- 70% IPA: preferred disinfectant in sterile compounding
Glycols
- Low freezing points and high boiling points
- PEG is used as a surfactant, solvent, plasticizer, lubricant, and a base (water soluble and miscible)
- PEG also has an increased half life when bound to a protein drug
- Polybase - PEG mixture used as a suppository base, good emulsifier
Hydrophobic Solvents
- Oils/Fats - used as delivery vehicles, lipophilic/hydrophobic compounds
- EX: Mineral oil (ingredient in BabyOil)
Ointments
- 0-20% water, some are mixed with humectants to draw water into skin
- Ex bases: petrolatum, Polybase, Aquaphor, Aquabase
Oleaginous Ointments
-No water, only oil containing
AKA Hydrocarbon base
-Ex: Petrolatum (Vaseline, petroleum jelly)
Creams
- More water than oil (at least 20% water, no more than 50% oil)
- Often w/o or o/w emulsions
- Ex Bases: lipoderm, eucerin, cetaphil
Gels
- Semisolid preparations with small inorganic or large organic particles penetrated in liquid
- Aqueous solutions of poloxamers are liquid when refrigerated and gel at room temperature (reversible)
- EX: PLO gel (poloxamer, contains hydrophobic chain and two hydrophilic chains)
Suppository Bases
- Must stay intact for insertion and melt once administered
- EX: Polybase, cocoa butter, hydrogenated vegetable oils (palm, coconut), gelatin
Adsorbents
- Keep powders dry and prevent hydrolysis
- EX: Magnesium oxide/carbonate, kaolin
Anti-foaming Agents
- Breaks up/inhibits foams
- EX: Simethicone
Coatings (regular)
- Prevent degradation
- Ex: Shellac, gelatin, gluten (food grade)
Emulsifiers
- Reduce surface tension between two liquids, type of surfactant
- EX: Acacia, PEG
Enteric-Coating
- Placed on drugs that would be destroyed by stomach’s acidic environment
- EX: Cellulose acetate phthalate
Gelling/Thickeners
- Increase viscosity/stability of mixture
- Ex: cellulose, gelatin, and bentonite are commonly used; others include agar, alginates, various gums, carbomer, starches, poloxamer gels
Humectant
- Prevents preparations from becoming dry and brittle
- Ex: Glycerin, glycerol, propylene glycol, PEG
Levigating Agent
- Used to reduce particle size and surface tension
- Ex: mineral oil, glycerin
Avoid alcohol in….
Children
Avoid aspartame in…
those with PKU (contains phenylalanine)
Avoid gelatin in…
Vegans/vegetarians/those avoiding pork (derived from pork)
Avoid gluten in….
Celiac disease/those avoiding gluten
Avoid lactose in…
Lactose intolerant/allergy
Avoid preservatives in…
Neonates
Avoid sorbitol in…
IBS
Avoid sucrose in…
Diabetics
Avoid xylitol in….
Dogs (xylitol toxicosis), can cause GI distress in some humans as well