MANUF Flashcards

1
Q

small-scale preparation of drug products with reference from a prescription order for an individual patient

A

extemporaneous compounding

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2
Q
  • The complete set of activities to produce a drug that comprise production and quality
    control from dispensing of materials to the release for distribution of the finished
    product.
  • LARGE-scale
A

manufacturing

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3
Q

primary manufacturing activities

A

raw materials

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4
Q

secondary manufacturing activities

A

drug delivery systems

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5
Q

tertiary manufacturing activities

A

packaging, labelling, repacking

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6
Q

Any organization or company involved in the manufacture, import, packaging and/or
distribution of drugs or medicines

A

Drug Establishment

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7
Q

Registered owner of the drug product but subcontracts toll
manufacturers of such products to a licensed manufacturer.

A

Drug Trader

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8
Q

any drug establishment that procures raw materials, active
ingredients and/or finished products from local establishments
for local distribution on a wholesale Basis

A

wholesaler

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9
Q

Standard document which gives instructions to the Production Department to produce
a pharmaceutical product for distribution/sale in the market.

A

manufacturing order

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10
Q

A specified quantity of a drug of uniform specified quality produced according to a single manufacturing order during the same cycle of manufacture

A

Batch

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11
Q

Batch OR portion of batch having uniform specified quality and a distinctive identifying lot number

A

Lot

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12
Q

Ensures that batches were properly made, and quality control tests were performed

A

Batch Manufacturing Record (BMR)

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13
Q

Process of addition of an EXCESS of an active ingredient in an unstable
pharmaceutical preparation to compensate for its lost during the manufacture of the period

A

overages

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14
Q

maximum overage limits of dry dosage forms

A

15%

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15
Q

maximum overage limits of fluids

A

20%

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16
Q

maximum overage limits of semisolids

A

25%

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17
Q

maximum overage limits of vitamins

A

30%

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18
Q
  • Develops new or improves existing products
  • Prepares the master formula; Justifies __________
  • Handles research activities
  • Facilities: _______, __________, _________
A

Research Department
overages
library, pilot plants, animal house

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19
Q
  • Receives materials and supplies
  • Oversees warehousing and storage and shipping of the final product
  • Plans the production
  • Manufactures and packages products
  • Accomplishes __________________
A

Production Department

Batch Manufacturing Record

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20
Q
  • Promotes the maximum volume of sales of products
  • Provides professional service through intelligent presentation
  • Handles advertising
  • Sponsors conventions, meetings
A

Marketing Department

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21
Q
  • Performs sampling, testing, and assaying of products
  • Performs In-Process Quality Control and __________ _____________
  • Records and compiles results
A

Quality Control

environmental testing

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22
Q
  • Assures that all operations meet required standards for safety and efficacy and ensures
    cGMP compliance
  • Auditing, cGMP monitoring, environmental control
  • Prepares _________
A

Quality Assurance

SOP

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23
Q
  • Locates, installs, repairs, and maintains equipment
  • Maintains ______ services
A

Engineering Department

Plant

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24
Q

Purchases, receives, and inventories supplies

A

Purchasing Department

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25
* Conducts physical and medical examination of new employees and applicants * Performs Clinical Studies: ______ ________ ________ * Prepares literature and package inserts * Publishes house organ; Handles scholarships
Medical Department Clinical Research Associate
26
* Ensures compliance of company and its products with pertinent regulations and laws
Regulatory Department
27
An economical means of providing presentation, protection, preservation, identification, information, containment, convenience, and compliance for a drug product
Packaging
28
Device that holds a drug and is or may be in direct contact with the drug
Containers
29
direct contact w the drug ex. blister packs, bottles
primary container
30
indirect contact w drug ex. boxes
secondary
31
multiple secondary packs corrugated boxes
tertiary
32
Protects against extraneous solids
well closed container
33
* Protects from extraneous solids, liquids, or vapors * Protects from efflorescence, deliquescence, evaporation
tight containers
34
* Impervious to air or any other gas * Generally sterile
Hermetic container
35
Protects from photochemical deterioration Amber, opaque, blue
Light-resistant
36
Glass 1
Highly Resistant Borosilicate Parenteral Solutions
37
Glass 2
Treated Soda Lime Glass Parenteral solutions, buffered or acidic
38
Glass 3
Soda Lime Glass Dry powder for parenterals
39
Glass 4
General Soda Lime Glass Non-parenteral
40
Plastic Type 1
Polyethylene terephthalate beverages
41
Plastic Type 2 (PET)
High Density Polyethylene (HDPE)
42
Plastic Type 3
Polyvinyl Chloride (PVC) Blister pack
43
Plastic Type 4
Low Density Polyethylene (LDPE) Squeeze bottles
44
Plastic Type 5
Polypropylene (PP) Autoclavable
45
Plastic Type 6
Polystyrene (PS) General Purpose
46
Plastic Type 7
Others
47
freezer
-20 to -10 deg c
48
refrigerated
2 to 8 deg c
49
cold
nmt 8 deg c
50
cool
8 to 15 deg c
51
room temperature
temperature prevailing in the work area
52
controlled room temperature
20 to 25 deg c
53
warm
30 to 40 deg c
54
excessive heat
40 deg c
55
For stability testing -- I
Temperate 21 deg c or 45 RH
56
For stability testing -- II
Subtropical and Mediterranean 25 deg c or 65 RH
57
For stability testing -- III
Hot and Dry 30 deg c or 35% RH
58
For stability testing -- IVA
Hot and Humid 30 deg c or 65% RH
59
For stability testing -- IVB
Hot and Very Humid 30 deg c or 75% RH
60
* Size reduction occurs by fracture of particles between two sets of knives * Results in a coarse degree of size reduction * FOR: __________________
Cutter Mill fibrous crude drugs
61
* Series of 4 or more hammers hinged on a central shaft * FOR: ________________
Hammer Mill brittle and dry drugs
62
Filled up to 80% with porcelain or steel balls
Vibration Mill
63
Weighed pestle is turned by the friction of material passing beneath it as the mortar rotates.
End runner mill
64
Pestle equivalent (________) mounted horizontally and rotating against a bed of powder.
Edge runner mill muller
65
Crushes materials between 2 metal cylindrical rolls rotating and rubbing against each other
Roller Mill
66
A narrow cylinder contains balls of different diameters and rotates
Ball Mills
67
2 discs with closely spaced pins rotate against one another
Pin Mills
68
Consists of a hollow toroid where a fluid is injected as a high-pressure jet through nozzles at the bottom of the loop. Aka: ________________
fluid energy/set mills micronizer
69
* Cylindrical that rotates horizontally * Poor cross flow; Solve by: Baffles, Slants
Drum
70
Conical shaped at both ends Better cross flow
Double-cone
71
* Alternately combines and draws the ingredients apart. * S-S blending → most commonly used
V-shell/Twin-shell
72
* Consists of through-like shell with mounted spiral or helical blades * Difficult to clean
Ribbon
73
* Double through shaped shell with 2 sigma shaped blades fitted horizontally * Solid-liquid blending
Sigma blade
74
Screw type impellers rotating inside a conical shell
Vertical impeller
75
Paddle moves around its own axis and around the central axis
Planetary
76
* Most common, produces the best quality and cohesive granules * Disadvantage: NOT for moisture sensitive and heat labile; TIME-consuming
Wet Granulation
77
Formation of spherical particles
Spheronization
78
Brings together highly dispersed liquids and a sufficient volume of hot air to produce evaporation and drying of liquid droplets
Spray Drying
79
Melting of solids and reducing them to beads or powder by spraying molten feed into a stream of cold air or other gas
Spray Chilling / Congealing
80
Powders are suspended in the air through the high velocity air and granulating fluid sprayed in the powders inside the vessel
Fluidized Bed Granulator
81
* Used for drugs which do not compress well after wet granulation and are sensitive to moisture. * Make bigger pieces then break them down by oscillating granulator
Dry Granulation
82
* Formation of slugs. * Uses ___________
Slugging Tablet Press
83
* Formation of sheets. * Uses ____________
Roller Compaction Roller Compactor
84
Steps in Making Gelatin
* Manufactured in separate processes (Dipping pegs made of manganese bronze in a melted gelatin mixture) Dip-spin-dry-strip-trim-join-polish
85
Steps in Filling Gelatin Capsules
A. Pin Method/Reciprocating Die Method – most common B. Punch Method – small-scale 1. Rectification 2. Separation 3. Filling 4. Sealing/Joining/Closing 5. Ejection
86
oldest method of soft gelatin capsule
Plate Process
87
more efficient method of soft gelatin capsule
rotatory and reciprocating die process
88
reacts with free radicals ex ______________
True Antioxidants Vitamin E, BHT, BHA, Propyl Gallate
89
selectively oxidized instead of the drug ex ________________
Reducing Agents Vitamin C (most unstable vitamin) Hypophosphites Sulfites
90
Reacts with heavy metals, w/c catalyzes oxidation ex _____________________
Antioxidant Synergists Citric acid, Tartaric Acid, EDTA, Lecitin
91
Mixing of flavors ex _________________
blending fruit+sour
92
Addition of flavor whose intensity is longer and stronger ex ______________
overshadow methyl salicylate glycyrrhiza
93
Formation of insoluble compounds Emulsification, Increasing viscosity, Coating
Physical
94
Formation of chelates ex_________________
chemical caffeine + gentisic acid
95
Anesthetize taste buds ex ____________________
Physiological menthol, mint
96
A type of sweetening agent not absorbed by the small intestine
Non-nutritive
97
the standard nutritive sweetening agent
sucrose
98
sweetest sugar nutritive sweetening agent
fructose
99
d-glucose
dextrose
100
(sugar alcohol) non nutritive sweetening agents
mannitol, sorbitol, xylitol, erythritol
101
artificial sweetener 1000x sweeter than sucrose
sucralose
102
artificial sweetener 500x sweeter than sucrose
saccharin
103
artificial sweetener 300x sweeter than sucrose
Na saccharin
104
artificial sweetener 180-200x sweeter than sucrose
Acesulfame K Aspartame
105
artificial sweetener 30x sweeter than sucrose
Na cyclamate
106
a tablet colorants that is water soluble and organic
dyes
107
a tablet colorant that is water insoluble ; dye absorbed on a bed of inorganic oxide
Lakes
108
Examples of Dyes
FD&C Red 40 FD&C Yellow 6 FD&C Yellow 5 FD&C Green 3 FD&C Blue 1 FD&C Blue 2
109
Examples of Lakes
FD&C Red 3 D&C Yellow 10 D&C Red 22 D&C Red 28
110
FD&C Red 40
Allura red
111
FD&C Yellow 6
Sunset Yellow
112
FD&C Yellow 5
Tartrazine
113
FD&C Green 3
Fast Green
114
FD&C Blue 1
Brilliant Blue
115
FD&C Blue 2
Indigotine
116
FD&C Red 3
Erythrosine
117
D&C Yellow 10
QUINOLINE
118
D&C Red 22
Eosin Y
119
D&C Red 28
Phloxine Red
120
An inert substance added to increase tablet size to a manageable size
Diluents/Fillers/Bulking Agents
121
Most common tablet diluent/filler/bulking agent, NO reaction with most drugs 1. Anhydrous – __________ 2. Monohydrate – ______________ 3. Spray dried
Lactose direct compression wet granulation
122
a tablet diluent used as sweeteners
sucrose, dextrose
123
a tablet diluent that has good flow properties Diluent of choice : _______________
Microcrystalline Cellulose (BN: Avicel) Direct compression
124
sucrose based tablet diluent binder
Nutab
125
Only inorganic salt used as a diluent
Dibasic CaPO4
126
a tablet diluents used in chewable tablets
mannitol, xylitol
127
Used as diluent, binder, and disintegrant Modified starch: _________________
Starch Sta-Rx 1500, Cellutab
128
Promotes breaking of tablet after administration
Disintegrants
129
mechanism of disintegration: exposure to water → disintegrant swells (starch paste, alginates)
swelling
130
mechanism of disintegration: forms pores/spaces around tab, capillary action (MCC, calcium silicate
Wicking
131
mechanism of disintegration: effervescent tablets (release of what CO2
Release of Gas
132
Add _________ Disintegrant → ______________
Internal Granulation or External Compression
133
Running powder: _____________+______________
External disintegrant + lubricant
134
tablet disinetegrant : 5-20%
starch
135
1. ___________ (Natural Clay) 2. __________ (Synthetic clay)
clays bentonite veegum
136
Ion-exchange resin
Polacrillin K
137
Other disientegrants
Na CMC Cellulose Alginates Polyvinyl pyrrolidone Gums (Acacia, Tragacanth)
138
Effective at lower levels Hygroscopic
SUPERDISINTEGRANTS
139
Cross-linked cellulose derivatives
Crosscarmellose Na (Ac Disol)
140
Cross-linked polyvinylpyrrolidone
Crospovidone (Kollidon)
141
Cross-linked starch polymer aka ______________
Na Starch Glycolate (Explotab, Primojel) Na carboxymethylstarch
142
Agent that acts between surfaces in relative motion to prevent friction and wear Facilitates ejection from the die
Lubricant
143
Material that improves the flow characteristics of granules by aiding in the flow of materials through smaller apertures in the tablet press to the die
Glidant
144
Agent that prevents granules from picking to the faces of the punches and sticking to die walls
anti-adherent
145
LUBRICANT, GLIDANT, ANTI-ADHERENT
Stearates (Mg, Na, Ca)
146
LUBRICANT, ANTI-ADHERENT
Purified Talc
147
GLIDANTS
Colloidal Talc Colloidal SiO2 (Cab-O-Sil)
148
Added to promote adhesion among the particles of the formulation
Binders/Adhesives
149
ADHESIVE ACTIVITY
GLUCOSE > ACACIA > GELATIN > SIMPLE SYRUP > STARCH
150
Protein Substance
Gelatin
151
Gums
Acacia, Tragacanth
152
Cellulose Derivatives
Na CMC Methylcellulose HPMC
153
Binder of Choice for chewable tablet
PVP (Polyvinylpyrrolidone)
154
Adsorb fluids and moisture, keep products dry ex ___________________
Adsorbents * Magnesium oxide * Magnesium carbonate * Bentonite * Silicon dioxide - dessicants
155
Examples of Products that undergo direct compression
KCl (Kalium) Ascorbic Acid
156
Examples of Products that undergo dry granulation
aspirin
157
Examples of Products that undergo wet granulation
acetaminophen standard
158
Steps in wet granulation
Milling → Mixing → Add liquid binder → Wet screening → Drying → Dry screening → Add running powder → Compression → Coating
159
Steps in Dry granulation
Milling → Mixing → Slugging (or roller compaction) → Dry screening → Add running powder → Compression → Coating
160
Steps in Direct Compression
Milling → Mixing → Compression → Coating
161
part of a tablet press used for Storing of materials for compression
Hopper
162
part of a tablet press used for Distribution of materials into the die
Feed Shoe
163
part of a a tablet press used for compaction and determines the hardness of tablet
Punch
164
part of atablet press used to determine the size and and shape
die
165
part of a tablet press used for guiding the movement of the punches
Camtrack/ die table
166
removal of top and bottom crown of the tablets
capping
167
separation of two or more layers
lamination
168
due to raid expansion of tablets when deep concave punches are used
cracking
169
removal of small porion of granules or edge of tablets
Chipping
170
adherence to die wall; punch face
sticking
171
adherence to punch; punch tip
picking
172
due to free rotation of the punches and dies which have some engraving on the punch faces
double impression
173
uneven colored material due to excipients and process
mottling
174
method of tablet coating that is most widely used
pan coating
175
method of tablet coating characterized by increased in efficiency
pan spraying
176
method of tablet coating used for viscous solutions
pan pouring
177
Steps in Sugar coating: To protect tablet core from water ex _______________
Sealing/Waterproofing 10-30% alcoholic Shellac solution
178
Steps in Sugar coating: MOST CRITICAL STEP → MOST INCREASE IN WT. To round-off the contour, rapid-build up of size ex _______________________
Subcoating 70% Gelatin-acacia solution
179
To finalize the rounding off of tablet and smooth out the subcoated surfaces
smoothing/syruping/final rounding
180
1. ________: develop color, color base 2. _________: builds up color 3. __________: final color
Coloring Grossing Heavy Syruping Regular Syruping
181
Employs “jogging” Quick on-off process to attain final smoothness
Finishing
182
For sheen or gloss ex_______________
Polishing Beeswax
183
smooth thin films ex _____________
Film Formers Shellac, MC, Methacrylate, PVA, PVP
184
Provides water-solubility ex________________________
Alloying sub PEG
185
Imparts flexibility, elasticity ex ___________________
Plasticizer Castor oil/Glycerin
186
Enhances spreadability of films ex_________________________
Surfactants Tweens/Polysorbates
187
Provide luster ex ___________________
Glossant Beeswax
188
Vehicle to spread other components ex______________________
Volatile solvent ROH + Acetone
189
Enhance appearance ex_____________________
Opaquant/Colorant TiO2, FD&C
190
Palatability ex ________________
Sweetener Saccharin Flavorant, Aromatic Vanillin
191
Often associated with exposure of the tablet cores to the coating process condition rather than a direct effect of applied coating
Delayed Dissolution of IR
192
Partially spray dried materials accumulate within the logo, causing an unclear logo design
Logo Infilling
193
When the coating itself fills in the letters or logo of the tablet
Logo Bridging
194
Thermal Expansion of tablet cores caused by overdrying
Type 1 Cracking (HOT)
195
Core Swelling caused by excessive moisture uptake
Type 2 Cracking (COLD)
196
Partial spray drying or of overwetting causing the soft coating to rub
Rough coating
197
Tablets stick to each other ex ______________
Tablet Twinning Caplets
198
Removal of Coating from the tablet surface due to friction among themselves
Tablet Core Erosion
199
Tablets break during pan loading or unloading or while tumbling in the pan
Tablet Breakage
200
Film becomes chipped and dented, usually at the edges
Edge Chipping
201
Uneven color distribution
Mottling
202
marking are obscured
Bridging
203
Presence of an oily film on the coat of surface to the migration of additives to the surface
sweating
204
Craters appear exposing the tablet surface due to coating solution penetrating parts of the surface where it is more porous
cratering
205
Detachment of the film due to the entrapment of gas
Blistering
206
Manufacture of Select Solution (Aromatic Waters) a. by distillation _____________, _______________, __________
Strong Rose H20, Orange Flower H20, Hammamelis H20
207
Manufacture of Select Solution (Aromatic Waters) a. Simple solution _____________, _______________, __________
Camphor H2O, Chloroform H2O, Concentrated Peppermint H2O
208
Manufacture of Select Solution (Aromatic Waters) a. alternate solution by intervention _____________, _______________, __________
Cinnamon H2O
209
method used to manufacture select solutions specifically syrup which is faster risk __________________
solution by heat caramelization
210
Manufacture of Select Solution (syrup) a. percolation _____________, _______________, __________
column, ipecac syrup, simple syrup
211
Manufacture of Select Solution (syrups) a. reconstitution _____________
senna syrup
212
Manufacture of Select Solution (tinctures) a. simple solution _________, _____________
I2 tincture, Thimerosal
213
Manufacture of Select Solution (tincture) a. percolation __________, ____________
belladonna tincture, vanilla tincture
214
Manufacture of Select Solution (tincture) a. maceration _________, _________, _______
soaking, sweet orange peel, compound benzoin tincture
215
Manufacture of Select Solution (spirit) a. simple solution ___________________
Aromatic NH3 spirit
216
Manufacture of Select Solution (spirit) a. solution w/ maceration __________________
peppermint spirit
217
Manufacture of Select Solution (spirit) a. chemical reaction _______________________
ethylnitrite
218
Manufacture of Select Solution (spirit) a. distillation _________, ___________
brandy, whisky
219
General Manufacture of solution: Preparation of formulation, materials, and equipment
Dispensing
220
General Manufacture of solution: * Charge the solute to the solvent * Agitate with the use of mixers until solution is homogenous * Heat may be employed to increase solubility * Solutes in small conc. (ex. Dyes) must be pre-dissolved prior to mixing with the whole batch
COMPOUNDING/MIXING
221
Mixing Tanks: Most widely used stainless steel ___% Cr ___% Ni
SS304 18% 8%
222
Mixing Tanks: Most inert esp. for chlorinated solutions ___% Cr ___% Ni ___% Mo
SS316 16% 10% 2%
223
* Aim for 3-5 microns * Filter media: (1) ________; (2) ________; (3) _________; (4) _______
FILTRATION/CLARIFICATION cellulose nitrate polyamde polyvinylidene chloride nylon
224
Types of filtration that contains 1 filter and is faster
Parallel
225
Type of filtration that contains more than 1 filter and is more efficient
series
226
type of filter used for slow, difficult filtration (ex ______)
gravity magma
227
types of filter used for large quantities
vacuum (pull)
228
type of filter that is fast and achieves a highly polished product
pressure (push)
229
The use of a clarifying agent (________) to allow complete blending of all the components and enhance the odor and flavor.
ageing/clarification bentonite
230
Should be carefully monitored and allow constant mixing
Filling and Packing
231
Weighing according to weight For large containers, highly viscous liquids, mobile and frothy solutions
Gravimetric
232
Positive displacement of piston action or by the pumping of a liquid at a constant pressure and gives constant volume
Volumetric
233
uses the container as the means for controlling the fill. Adjusted by height.
Constant-Level
234
Viscosity-increasing agents used to reduce sedimentation rate of particles in a vehicle
SUSPENDING AGENTS
235
example of clays as suspending agent
Veegum, bentonite, kaolin
236
example of hydrocolloids as supending agent
acacia, tragacanth, cellulose derivatives
237
other suspending agents
Agar, Gelatin, Pectin, Gelatinized starch
238
Displaces air from the crevices of drug particles to allow penetration of water ex______________
Wetting Agents Glycerin, sorbitol solution, syrup
239
Decreases zeta potential of the suspended charged particles that cause aggregation. ex__________
Flocculating agents Electrolytes (NaCl, KCl, AlCl3)
240
method of suspension wherein Finely divided solid drug is wetted first before dispersion in the liquid vehicle
Dispersion
241
method of suspension wherein Finely divided solid drug is reacted with another substance ex ___________________
Precipitation Milk of Magnesia
242
Acts as a bridge between two immiscible phases Stabilizer of the internal phase Retards coalescence of the globules
EMULSIFYING AGENTS
243
a natural emulsifier that forms hydrophilic colloids ex _____________
carbohydrates acacia, tragacanth, pectin, cellulose derivatives
244
a natural emulsifier that produces o/w emulsions but can become too fluid upon standing ex _______________
proteins agg yolk, gelatin, asein
245
Form o/w emulsions when the insoluble material is added to the aq. Phase if there is a greater volume of the aqueous phase than of the oleaginous phase ex _____________
Finely Divided Solids bentonite magma, veegum
246
Thickening agents and stabilizers for o/w emulsions of certain topical preparations ex ______________________
High Molecular weight alcohols stearyl/cetyl alcohol, glyceryl monostearate (o/w), cholesterol derivatives (w/)
247
emulsifier that contains both hydrophilic and lipophilic groups
synthetic wetting agents
248
a type of synthetic wetting agents that is negative, effective at basic ph ex __________________
anionic SLS, soap, sarcosinates
249
a type of synthetic wetting agent that is positive, effective at acidic ph ex _________________
cationic benzalkonium cl, cetylpyridinium cl
250
a type of synthetic wetting agent not affected by ph ex ___________________
nonionic sorbitan esters/SPANS, Polysorbates/TWEENS
251
a type of synthetic wetting agent that is both cationic and anionic ex ___________
amphoteric lecithin, betaine
252
a method of ointment preparation by mixing components to achieve a uniform preparation via levigation or geometric dilution equipment __________________
incorporation ointment roller mills, unguator
253
a method of ointment preparation : Components are combined by melting together (70-75C) and cooled with constant stirring until congealed equipment ___________________
Fusion stem-jacketed kettle
254
Molding of suppository by using fingers
Hand rolling
255
a method of sppository by using a mold
compression
256
Should be carried out in clean areas, entry to which should be thru airlocks for personnel, equipment and materials This is why we use HEPA: _____________
Sterile Dosage Forms High Efficiency Particulate Air
257
An area with defined environmental control of particulate and microbical contamination, constructed and used in such a way as to reduce the introduction, generation, and retention of contaminants within the area. measure by : ______________________
Clean Area number of particles > or = 0.5 micron in 1 cubic foot of sampled air
258
An enclosed space with 2 or more doors, which is interposed between two or more rooms
airlock
259
Step 1 in Cleaning Areas
Cleaning
260
Step 2 in Cleaning Areas
Compounding
261
Step 3 in Cleaning Areas
Filtering
262
Step 4 in Cleaning Areas
Filling
263
Step 5 in Cleaning Areas 1. ______________: made by melting the tip of the neck of an ampule to form a bead; not efficient, slower 2. ______________ made by heating the neck of a rotating ampule below the tip and pulling the glass away; more efficient
Sealing Tip seal (bead seal) Pull seal
264
Step 6 in Cleaning Areas
Sterilization and Quality Control
265
Step 7 in Cleaning Areas
Packaging
266