Formulation of eye drops Flashcards
For ophthalmic products;
A) What are eye drops? What is the BP definition?
B) What are eye lotions?
C) What are eye ointments?
D) What are contact lenses
A)
Aqueous or oily solutions or suspensions for instilling into the conjunctival sac
- BP definition: eye drops are sterile aqueous or oily solutions, emulsions or suspensions of one or more active substances intended for instillation into the eye
B)
Aqueous solutions used undiluted for bathing the eye in first aid or the home
C)
Ointments for placing in the conjunctival sac or applying to the margins of the eyelids –> nighttime, long lasting, blurred vision
D)
Aqueous solutions for lubricating, cleaning and hydrating contact lenses
Eye drops are used as … provide SEVEN uses for eye drops.
- anaesthetics
- anti-inflammatory agents
- anti-microbial
- diagnostic agents
- miotics
- mydriatics
- artificial tears
What are the FOUR major factors to consider when formulating eye drops? Briefly explain why.
- Sterility
- Most important requirement
- P. aeruginosa (most dangerous organism)
-
Foreign particles
* Inflamed eye -
Pain and irritation
* Unfavourable tonicity, pH (needs to be close to pH of lacrimal fluid), medicament, preservative -
Viscosity
* Easy to filter, sterilise and compatible with other ingredients
What are FIVE formulation components of eye drops?
- Active Ingredient (s)
- Vehicle
- Antimicrobial preservative –> single-use/ multi-use container is a factor
- sterility
4. Adjuvants - pH, viscosity, tonicity (important to not cause irritation)
5. Suitable container (part of formulation) - sterilisation, stability, storage
For antimicrobial preservative;
A) why are they used in eye drops?
B) for eyes with damaged epithelia (compromised defences), what happens?
C) cornea has a lack of vascularity, what happens?
D) Should eye drops for surgical use contain a preservative?
E) Are they needed in multi-dose eye drops that expires in 28 days after opening
A)
- To maintain sterility during use and will not introduce contamination into the eyes being treated
B)
- Easily colonised by microorganism
C)
- Very susceptible and difficult to treat once infection is established
D)
- Should NOT contain a preservative
E)
- Yes
What are the antimicrobial preservatives commonly used in eye drops? Provide FOUR examples.
- Benzalkonium chloride
- Chlorhexidine acetate or gluconate
- Chlorobutanol
- Organic mercurials
What tonicity do eye drops require? What is used to make it this tonicity?
Should be made isotonic with lachrymal fluid (~0.9% NaCl)
> active ingredient may not be isotonic –> adjust accordingly
eyes will tolerate 0.7-1.5% NaCl
What is the formula for tonicity adjustment?
Ciso = 0.52/FD1%
> where the FD1% the freezing point depression of a 1% solution
To calculate: w = (0.52 – a)/ b
w = the percentage w/v of the adjusting material
a = the freezing point depression of the unadjusted solution
b = the FD1% of the adjusting material
For Viscosity requirement;
A) What does increased viscosity result in?
B) What is the viscosity for most commercial products in millipascal second (mPas.s)?
C) How long does it take to drain a large proportion of a typical 50 ul drop from the conjunctival sac (capacity 25ul)?
A)
- Affects residence time of the drop in the eye –> increased viscosity results in a increased residence time and better penetration
B)
- 15-25 millipascal seconds (mPas.s)
C)
- Within 30 seconds
> there will be no trace of the drop after 20 minutes
What are some of the properties for the ideal thickening agent? Provide SIX properties.
- Non-toxic
- Non-irritant
- Easy to filter
- Easy to sterilise
- Compatible with other ingredients
- Have required refractive index and clarity level –> don’t want thickening agent to cause blurred vision
What are 2 examples of viscosity adjusting agents?
- Hypyromellose (thickening agent)
- Polyvinyl alcohol (moisturising/thickening agent)
Polyvinylpyrrolidone, polyethylene glycol, and dextrin have also been used as viscolizing agents
For hypromellose (thickening agent –> viscosity adjusting agent);
A) What derivative of methylcellulose is it?
B) What solubility characteristics does it have?
C) What optical clarity is it?
D) What is the concentration in %w/v? Where do higher concentrations tend to form?
A)
- Hydroxypropyl
B)
- Good solubility characteristics
- Soluble in cold but insoluble in hot water
C)
- Good optical clarity
D)
- 0.5-2.0% w/v
- Higher concentrations tend to form crusts on the eyelids
For polyvinyl alcohol (moisturising/thickening agent –> viscosity adjusting agent);
A) What is the concentration in %w/v?
B) Does it have good or bad contact time on the eye surface?
C) Does it have good or bad optical qualities?
D) What is the concentration in %w/v? Where do higher concentrations tend to form?
A)
- 1.4% w/v
B)
- Good contact time on the eye surface
C)
- Good optical qualities
D)
- Withstanding autoclaving (high temps) –> can be filtered through a 0.22 ʅm filter.
Lachrymal fluid has a pH of 7.2-7.4, with considerable buffering capacity –> what are some factors that make the basis of choosing what pH to use?
pH offering the best:
- Solubility
- Product stability
- Therapeutic activity
- Comfort of the patient
What are the three classes of buffering agents? What pH are their buffering capabilities at?
- Borate buffer (boric acid/borax): pH 6.8-9.1
- Phosphate buffer (sodium acid phosphate/sodium phosphate): pH 4.5-8.5
- Citrate buffer (citric acid/sodium citrate): pH 2.5-6.5