Extemporaneous compounding Flashcards
liquid preparations that contain one or more chemical substances dissolved in a suitable solvent or mixture of mutually miscible solvents” ( aqueous or non –aqueous)
Solution
Characteristic of solution
- Homogenous mixture
- The particles of a solution cannot be seen even with a microscope.
- true solution does not scatter light
- It is very stable
is used in outpatient or ambulatory settings.
Prescription
It is a written direction or order for the preparing and use of medicine.
Prescription
Indication: Treatment of Urinary Tract Infection
and Otitis media due to susceptible pathogens
Trimethoprim
is defined as a heterogeneous mixture in
which the solid particles are spread throughout the liquid without dissolving in it.
Suspension
The size of particles of __ is large enough to be visible from naked eyes.
Suspension
Suspension shows __ because of their large size of particles.
Tyndall effect
The particles of suspension can be separated through the process of _
filtration.
a mixture of two or more immiscible liquids- one being oil based and the other water based, or aqueous
Emulsion
Two basic types of emulsion
oil-in-water
water-in-oil
Types of emulsion based on droplet size
Macro emulsions- (0.1-5 um)
Microemulsions (5-50 nm)
Nano emulsions (20-100 nm)
Types of emulsion based on mode of administration.
Oral emulsions
External emulsions
Parenteral emulsions
Rectal emulsions
solid dosage form which contains a mixture of finely divided drugs or chemicals in a dry form meant for internal or external use.
Powders
3 methods of comminution
Trituration
Pulverization by intervention
Levigation
Continuous rubbing or grinding of the powder
Trituration
Result of trituration
Hard, fracturable powders
Uses intervening solvent to dissolve the compound and is mixed to enhance the evaporation of solvent. When the solvent evaporates, the powder will recrystallize out of solution as fine particles
Pulverization by intervention
Result of Pulverization by intervention
Hard crystalline powders that do not crush or triturate easily
Trituration with a small amount of liquid in which the solvent is not soluble
Levigation
Result of Levigation
Reduces particle size of insoluble materials (ointments and suspensions)
Comminution is also called as
Particle size reduction
The glass mortar with a smooth working surface is preferred for particle reduction along with powder mixing. Using a porcelain mortar with a rough inner surface is the best method for blending powder and reducing particle size.
Trituration
The powders are mixed on a pill tile (ointment slab) or in a mortar. This method is adequate for mixing small amounts of powders and combinations of powders having the same densities.
Spatulation
Processes like this produce an extremely light, fluffy product and are not suitable for the inclusion of potent drugs into diluent solutions.
Sifting
A process of mixing powders by shaking or rotating them in a closed container. This method is used when two or more powders have considerable density differences. This mode of mixing does not yield particle size reduction and compaction.
Tumbling
solid dosage forms in which the drug substance is enclosed within either a hard or soft soluble shell, usually formed from gelatin.
Capsule
Types of tablet
Molded tablet
Compressed tablet
Usually made from moist material using triturate mold that gives them the shape of cut sections of a cylinder.
Molded tablet
Prepared from mixtures of medicinal substances and a diluent usually consisting of lactose and powdered sucrose in varying proportions.
Molded tablet
- Dampened with solutions containing high percentage of alcohol.
- Pressed into molds, removed, and allowed to dry
Molded tablet
completely and readily water- soluble ingredients that is intended for making hypodermic injection no longer used in most countries
Hypodermic Tablets
Hypodermic Tablets example
Dilaudid – Dihydromorphinone HCl
Nitroglycerin Tablets
- provide a convenient quantity of potent drug that can be incorporated readily into powders and liquids.
supplied primarily as a convenience for extemporaneous compounding and should never be dispensed as a dosage form. - no longer in use and had the dangerous potential
Dispensing Tablets
used for making tablet molds or troche molds.
Tablet triturate mold
Too much solvent
hard shrinkage
Too little solvent
soft tablet
Poor water content
tend to powder and wear on edges
High water content
harder and less soluble
Content uniformity of molded tablets
(85.0 to 115.0%)
Evaluation of molded tablets
Content uniformity
Dissolution test
Disintegration test
Compounded tablets last within _?
30 days
Nitroglycerin tablets shelf life
- Potent for 2 yrs
- 3 to 5 months once the original bottle is opened
Two types of suppositories
- Local action
- Systemic action
Once inserted, the suppository base melts, softens or dissolves, distributing the medicaments it carries to the tissues of the region or at the first site of contact
Local action
- once inserted the effects will be felt in tissues distant from the site of contact
Systemic action
Vaginal suppositories, also called _. That weigh
pessaries, about 5 grams
The modern rectal suppository is a __ shape that is about __ cm in length
conical or torpedo-shaped, 2-3 cm
Suppositories for adults weigh __ grams each and
children’s suppositories weigh __ gram each.
2 grams each (adult)
1 gram each (children)
Urethral suppositories for males weigh __ grams each and for females, they weigh _ grams each.
4 g each, 2 g each
are pencil-shaped suppositories similar in shape to urethral suppositories but shorter in length about 32mm long
Aural suppositories
is the oldest and simplest method of suppository preparation. It may be used when only a few suppositories are to be prepared in a cocoa butter base.
Hand rolling
a method of preparing suppositories from a mixed mass of grated suppository base and medicaments which is forced into a special compression mold.
Compression Molding
Involves first melting the suppository base and then dispersing or dissolving the drug in the melted base.
Fusion Molding
A semisolid emulsion products which are viscous with an opaque appearance
Cream
Two types of creams
- Aqueous creams
- Oily creams
Also referred to as wet grinding
Levigation
In this technique, drugs and other solids are dissolved in an ointment base and then combined by melting the ingredient into the base, the soluble constituents are dissolve
Fusion
Is a corticosteroid. It is used on the skin to reduce dwelling, redness, itching, and allergic reactions
Fluocinolone Acetonide
Used to treat the itching, redness, dryness, crusting, scaling, inflammation, and discomfort of various skin conditions
Tramcinolone Acetonide
It is used mainly to treat acne, sun-damaged skin, and fine wrinkles
Tretinoin
Are homogeneous, translucent, viscous, semi-solid preparation intended for external application to skin or mucuous membranes
Ointment
Ointment is also called as
Unguents
2 types of ointment
- Medicated
- Non medicated
Preparations intended for application to the skin
Paste
Sometimes called jellies
Gels
Semi-solid systems consisting of dispersions of small or large molecules in an aqueous liquid vehicle, rendered jellylike by the addition of a gelling agent
Gels
Gel classes
- Single phase gels- two phase gels
Consist of organic macromolecules are uniformly distributed
Single-phase gel
Often referred to as “magma”
Two phase gel