Routes of Administration - oral solutions Flashcards

1
Q

Define pharmaceutical solutions.

A

Liquid preparations in which the therapeutic agent and excipients are dissolved in a liquid solvent system

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2
Q

How are the drugs present in oral solutions.

A

The drug is present as molecules or ions throughout the solvent - needs to be fully solubilised in the solution

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3
Q

What are the advantages of oral solutions?

A
  • fast onset of action
  • dose uniformity is assured
  • volume of liquid dose can be measured accurately to tailor doses
  • easy to swallow
  • easy to manufacture
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4
Q

What are the disadvantages of oral solutions?

A
  • Less stable than solid dosage forms
  • Many drugs are poorly soluble in water
  • Unpleasant taste and odours are difficult to mask
  • Packaging costs, transportation and storage
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5
Q

What are the major signs of instability?

A
  • Colour change
  • Precipitation
  • Microbial growth
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6
Q

State the properties of oral solutions.

A
  • Must be stable
  • Palatable: flavouring, colouring and sweetening agents added
  • Appropriate viscosity for palatability and pour ability
  • Dose in multiples of 5 ml for convenience
  • At physiological pH where possible
  • Drug concentration needs to well below saturation solubility to avoid drug precipitation
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7
Q

Why is water the most commonly used solvent?

A
  • Lack of toxicity
  • Low cost
  • However tap water contains dissolved substances that could interfere with the drug formulation
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8
Q

How is purified water manufactured?

A

By distillation, ion exchange, or reverse osmosis

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9
Q

State the function of viscosity enhancers.

A
  • Improves pouring quality
  • e.g. glycerol
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10
Q

State the function of preservatives.

A
  • Prevent microbial growth
    e.g. benzoic acid
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11
Q

State the function of sweeteners.

A
  • Improve palatability of oral solutions
    e.g. sucrose
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12
Q

State the function of antioxidants.

A
  • Improve stability of the solutions by minimising oxidation
    e.g. ascorbic acid
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13
Q

State the function flavouring agents

A
  • Mask unpleasant taste of drugs
    e.g. vanilla
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14
Q

State the function of colouring agents.

A
  • Correlate with the flavouring agent
    e.g. green with mint
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15
Q

Which properties must remain the same for the duration of the solution shelf life?

A

– Physical (e.g. colour, viscosity, odour, taste, clarity).
– Chemical (e.g. within limits for API, total impurities).
– Microbiological (e.g. resistant to microbial growth).
– Therapeutic (e.g. maintain efficacy).
– Toxicological (e.g. no significant increase in toxicity).

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16
Q

State the factors affecting chemical degradation.

A
  • High temp
  • pH
  • Oxygen
  • UV light
  • Catalysis
17
Q

State the ways to enhance solution stability.

A
  • Formulate at a suitable pH.
  • Include excipients to enhance product stability.
  • Include antioxidants or metal chelators to reduce oxidation.
  • Packaged in containers that reduce light transmission.
  • Purging solution with nitrogen to create nitrogen
    headspace.
18
Q

What is the reason for the enhancement of drug solubility?

A

Achieve desired dose and effect/BA
Avoid drug precipitation

19
Q

What does drug aqueous solubility depend on?

A

Molecular and crystal structure
solvent
pKa
pH of the medium

20
Q

How can the solubility of a drug be increased?

A

pH modification
Co-solvents
Complexation
Surfactants

21
Q

What are most drugs? (pH)

A

Either weak acids or weak bases

22
Q

What is ionisation governed by?

A

by pKa and the Henderson-Hasselbalch equations
pH = pKa + log [A-]/[HA]

23
Q

What does altering pH of the medium lead to?

A
  • Can increase drug ionisation - which increases drug solubility
24
Q

How is the final solvent pH chosen?

A
  • With a balance between drug solubility and formulation stability
25
Describe the protonated form of a weak acid.
Non-ionised
26
Describe the protonated form of a weak base.
Ionised
27
What is a co-solvent system?
- One in which a water miscible or partially miscible organic solvent is mixed with water to form a modified aqueous solution - The phenomenon is called cosolvency
28
What is the reason for cosolvents?
* Many drugs are not water-soluble. * Mostly used for non-ionic drugs where solubility cannot be adjusted by pH control. * ‘Like dissolves like’ principle. * Non-polar drugs generally dissolve in non-polar solvents, i.e. poorly soluble in water. Reducing the polarity of the solvent can increase solubility.
29
What are cyclodextrins?
A family of compounds made up of sugar molecules bound together in a ring
30
What is the overall effect of cyclodextrins?
- To increase aqueous solubility of drug - Upon oral administration drug is released from cyclodextrins and the free drug can be absorbed
31
What are the two regions of surfactants?
- Hydrophobis - Hydrophilic
32
What is the function of surfactants?
- Reduces the surface tensions of liquids - Self-assemble to form micelles at the critical micelle concentration
33
How can poorly water soluble drugs be enhanced?
- They can be solubilised in micelles to enhance drug solubility
34
What are some considerations when switching between oral formulations of the same drug.
* Administration times * Bioavailability differences * Excipients (allergy) * Modified release formulations * Site of action * Narrow therapeutic index, medicines * Some formulations are not interchangeable
35
Which medicines require extra care when switching between liquid and tablet/capsule formulations?
- Carbamazepine - Citalopram - Digoxin