D4 Targeting different parts of the digestive system Flashcards

1
Q

state 7 reasons that we coat tablets

A
  • protection from environmental factors
  • mask taste
  • ease of swallowing
  • mask batch wise colour differences
  • easy identification by colour
  • additional mechanical strength
  • control drug release
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2
Q

what environmental factors may tablets need to be coated in order to be protected from?

A

light
moisture

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3
Q

why may a coating be needed to mask batch wise colour differences of tablets?

A
  • different identical batches could have different colour tinges which can be masked with coatings to make sure they all look identical and adherence is maintained
  • patients may panic if their tablets look an unfamiliar colour and they won’t take them
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4
Q

why may tablets need coating for mechanical strength?

A

prevents them crumbling or breaking if they are rattling around in a pot being carrier around

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5
Q

what are the 3 broad categories of tablet coating?

A

film coating
sugar coating
compression coating

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6
Q

what are the 3 different subdivisions of film coatings of tablets?

A

modified release
enteric release
immediate release

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7
Q

what are enteric coats used to do?

A

to prevent the tablets disintegrating (and the drug subsequently dissolving) in the stomach

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8
Q

what reasons may a drug need an enteric coating on its tablet?

A
  • stomach acid ‘damages’ the drug
  • drug ‘damages’ the stomach
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9
Q

how are film coatings applied to tablets?

A

thin film sprayed onto the tablet on a rotated, mixed tablet bed

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10
Q

what types of formulations can be film coated?

A

tablets
capsules
pessaries
granules

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11
Q

what are the typical constituents of film coatings for tablets?

A
  • polymer (5-10%)
  • vehicle / solvent (90%)
  • plasticiser
  • pigments
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12
Q

why is there a drying process in the steps for film coating tablets?

A

removes the solvent and leaves the film coat on the tablet

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13
Q

what additional thing happens when film coating granules as opposed to tablets?

A

granules are sprayed with film coating and circular drum rolls them around so they become fully coated

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14
Q

state polymers that are used for film coating

A

cellulose
cellulose ethers
cellulose acetate phthalate (CAP)
other non-cellulose derivatives

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15
Q

describe cellulose as a polymer used in film coating

A
  • polymers used in film coating are often derivatives of cellulose
  • often derived from natural products
  • polymer of beta glucose
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16
Q

what is done to the hydroxyl groups of cellulose when it is used as a polymer for film coating and why?

A

hydroxyl groups are etherified to prepare polymers that are better suited to film coating

17
Q

describe the use of cellulose ethers as polymers for film coatings

A
  • approx half of the OH groups are methylated in methyl cellulose
  • water solubility of polymer is improved by modifying
18
Q

describe CAP (cellulose acetate phthalate) as a polymer used in film coating

A
  • enteric film coatings are intended to be stable in the strongly acidic stomach environment
  • CAP is a pH-sensitive cellulose derivative
19
Q

which molecules are more soluble in water, free acids or their salts?

20
Q

what does the carboxylic acid group in CAP allow for when it is used as a polymer in film coating?

A
  • available as an aqueous dispersion eliminating the need for organic solvents
  • carboxylic acid group gives potential for ionisation in basic environment
21
Q

ingredients of a typical enteric coating mixture

A
  • cellulose acetate phthalate (5.0%)
  • glyceryl triacetate (1.0%)
  • isopropyl alcohol (17.0%)
  • dichloromethane (68.5%)
  • water (8.5%)
22
Q

why is acetate a common ingredient in film coatings?

A

increases solubility

23
Q

why should enteric coated tablets not be chewed or crushed?

A
  • this would damage the enteric coat and the drug will dissolve in the gastric fluid
  • this means it would have been released early
24
Q

why do some tablets contain enteric coated pellets instead of enteric coating all around them?

A

stomach does not empty completely for around 4 hours so if the pellets are released, they will be allowed to pass through the pyloric sphincter faster because they are smaller

25
Q

what type of medicines is it not a good idea to take with enteric coated medicines?

A
  • antacids
  • rise in pH of gastric fluid means enteric coat may dissolve in stomach
26
Q

describe gastric emptying

A
  • stomach only empties its contents periodically
  • this allows time for digestion to commence
  • small particles can pass through the pyloric sphincter but large intact tablets can’t
27
Q

what does the purloin sphincter do when closed?

A

separates the stomach and duodenum

28
Q

describe enteric coated granules with an example

A
  • granules in omeprazole capsule formulations are EC
  • the gelatin capsule shell dissolves in the stomach but the EC on the granules doesn’t
  • the granules pass through the pyloric sphincter due to being smaller without the stomach emptying
29
Q

what does MUPS stand for?

A

multiple unit pellet system

30
Q

describe MUPS

A
  • EC particles compressed into a tablet
  • polymer coat needs to be flexible because of compression forces in tableting process
31
Q

which polymers seem to be best suited to the EC of particles in MUPS tablets?

A

methacrylic acid copolymers

32
Q

what principle do MUPS tablets work on?

A
  • the same as EC granules in a capsule
  • tablet disintegrates in the stomach and small EC particles can pass through the pyloric sphincter