Suppositories and Inserts Flashcards

1
Q

What are the some fatty oleaginous bases

A

coca butter
hydrogenated fatty acids of vegetable oils-cottonseed oil and palm kernel oil
glycerin + high molecular weight fatty acids: examples are glyceryl monosterate and glyceryl monopalmitate

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2
Q

What is cocoa butter NF

A
  • the triglyceride fat from roasted seed of Therobroma cacoa
  • 40% of fatty acid is unsaturated; melts at 30-36 degrees C; solid @ room temperature
  • polymorphism; can form a metastable form that melts at room temp and won’t solidify @ room temp.
  • used beewax 4% if drugs lower melting point
  • Fattibase, Wecobee base, Witepsol base
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3
Q

What is glycerinated gelatin

A

Made by dissolving gelatin 20% in glycerin 70% and adding a solution containing drug which is 10%

Melt and mix fluids slower, slower release

Used for vaginal suppositories not for rectal

Hygroscopic protect from moisture to maintain shape

Local irrational upon insertion; moisten before insertion

Used for urethral suppositories at different ratios (60% gelatin, 20% glycerin, and 20% drug)

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4
Q

What is polyethylene glycols

A

Fusion of two types for desired suppository base

Don’t melt at body temp, dissolve in body fluid

Release drug at slower rate, no refrigeration

Contain less than 20% water; need to be dipped in water

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5
Q

What are miscellaneous bases

A

Polyoxyl 40 sterate

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6
Q

What is polycyclic 40 sterate

A

A surface active agent with several bases to form a water in oil emulsion that disperses in aqueous fluids

Increase drug absorption and interacts with active ingredient

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7
Q

What temp are cocoa butter suppositories stored at

A

2-8 degrees C, refrigerator

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8
Q

How are glycerinated gelatin and PEG suppositories stored

A

At 20-25 degrees celcius

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9
Q

What is liquefaction time

A

The time required for a suppository to liquefy under pressure similar to conditions in rectum which is about 37 degrees C it should be less than 30 min

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10
Q

What is the mechanical strength/crushing test

A

It is used to measure the mass in kilograms that a suppository can stand without breaking

Should be 1.8-2kg of pressure

Performed to verify that the suppository can be transported under normal conditions, and administered to patient

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11
Q

Describe the steps of determining content uniformity

A
  1. Use 10 units, with the range of 85 to 115% of label claim it passes
  2. If not but no unit is beyond 75 to 125 % of label test 20 more units
  3. One unit of thirty is in first range and none or out side of second range pass
  4. If not reject
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12
Q

Paraguard, duramed(non hormonal)

A

A t shapes copper contraceptive, gives 10 years of contraception; intrauterine device

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13
Q

Progestasert

A

A progesterone intrauterine device, releases drug for a year

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14
Q

Mirena(hormonal)

A

Intrauterine device; releases a small amount of levonorgestrel into uterus, contraception for 5 years

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15
Q

Estring

A

Intravaginal ring; treatment of postmenopausal vagina atrophy

Estradiol is released continuously for 3 months

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16
Q

Femring

A

Similar to eatting

17
Q

Nuvaring

A

Worn continuously for birth control has etonogesterel (progesterone) and ethinyl estradiol an estrogen released continuously for 3 weeks

18
Q

Cinone Gel

A

supplementing or replacing progesterone in infertile women with progestrone deficiency; has 90mg of progesterone

19
Q

Cervidil Gel

A

contains dinoprostone (prostaglandin E2) 10mg vaginal insert used for labor induction

frozen until used between -20 and -10 C