Suppositories - sheet 11 Flashcards

1
Q

What are the four methods of manufacturing suppositories?

A

1️⃣ Hand Rolling
2️⃣ Cold Compression
3️⃣ Pour Molding (Fusion Method)
4️⃣ Tablet Machine Compression

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2
Q

What is the Hand Rolling Method?

A

✅ Used for small quantities (not common today).
✅ Process:
🔹 Powder API finely.
🔹 Mix API into the suppository base by kneading/trituration.
🔹 Roll into cylindrical rods or vaginal balls of required weight.
🔹 Use starch/talcum powder to prevent sticking.
🔹 Cut and shape – One end is pointed for easier insertion.

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3
Q

What is the Compression Molding Method?

A

✅ Best for thermo-labile drugs & bases (No heat needed).
Steps:
1️⃣ Grate the base.
2️⃣ Mix with API.
3️⃣ Place mass in a cylinder.
4️⃣ Use piston to extrude into molds.

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4
Q

What are the advantages of Compression Molding?

A

✔ Simple method.
✔ More elegant than hand rolling.
✔ Prevents sedimentation of solids.
✔ Suitable for heat-sensitive drugs.

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5
Q

What are the disadvantages of Compression Molding?

A

❌ Too slow for large-scale production.
❌ Air entrapment may cause oxidation.
❌ Not suitable for glycerol-gelatin or PEG bases.

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6
Q

What is the Pour Molding (Fusion Method)?

A

✅ Most commonly used (Small & Large scale).
Steps:
1️⃣ Melt base (use water/steam bath to prevent overheating).
2️⃣ Mix API (emulsified or suspended).
3️⃣ Pour into chilled metal molds (chrome/nickel-plated).

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7
Q

What are the lubrication tips for suppositories?

A

✔ Helps create smooth, elegant suppositories.
✔ Lubricant must differ from the base (prevents absorption).
✔ Water-soluble lubricant → Fatty bases.
✔ Oily lubricant → Water-soluble bases.

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8
Q

What is the Automatic Molding Machine?

A

✅ Fully automated process for large-scale production.
Production Cycle:
1️⃣ Mass fed into hopper (kept mixed & at constant temperature).
2️⃣ Mold lubrication (sprayed or brushed).
3️⃣ Mold filled with heated mass & allowed to solidify.
4️⃣ Excess material removed (scraped off & reused).
5️⃣ Ejection – Steel rods push out solid suppositories.
6️⃣ Cycle repeats (Mold re-lubricated & refilled).

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9
Q

What are the packaging requirements for suppositories?

A

✅ Each suppository must be wrapped separately to prevent sticking.
✅ Common packaging materials:
🔹 Tin or aluminum foil
🔹 Paper or plastic strips

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10
Q

What are the storage conditions for suppositories?

A

✔ Cocoa butter & glycerinated gelatin → Refrigerate ❄️
✔ Polyethylene glycol (PEG) suppositories → Room temperature 🌡️ (No refrigeration needed)

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11
Q

What issues arise from using water in suppository formulation?

A

❌ Avoid using water as a solvent in suppository bases.
🔴 Problems:
⚠️ Oxidation of fats.
⚠️ Crystallization if water evaporates.
⚠️ Microbial growth, requiring preservatives.

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12
Q

What are hygroscopicity issues in suppositories?

A

✔ Glycerinated gelatin suppositories → Lose moisture in dry climates, absorb moisture in humid conditions.
✔ Polyethylene glycol (PEG) bases → Also hygroscopic.
✔ Moisture change in PEG depends on:
🔹 Humidity & temperature
🔹 Chain length of molecules – Higher molecular weight reduces hygroscopicity.

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13
Q

What are incompatibilities in PEG bases?

A

❌ PEG bases are incompatible with:
🔹 Aspirin
🔹 Benzocaine
🔹 Sulfonamides
🔹 Silver salts
🔹 Tannic acid
🔹 Quinine
⚠️ Crystallization risk in PEG:
🔹 Sodium barbital
🔹 Salicylic acid
🔹 Camphor

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14
Q

What viscosity considerations are there in suppository formulation?

A

✔ Viscosity of melted mass affects suppository manufacturing & rectal behavior.
✔ Low viscosity: Cocoa butter & some substitutes.
✔ High viscosity: Glycerinated gelatin & PEG bases.
⚠️ Low-viscosity bases → Risk of sedimentation!
🔹 Solutions:
✔ Use a base with a narrow melting range (closer to body temp).
✔ Add 2% aluminum monostearate → Increases viscosity & prevents sedimentation.
✔ Cetyl/stearyl alcohols or stearic acid → Improves consistency.

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15
Q

What causes brittleness in suppositories?

A

✔ Cocoa butter suppositories → Elastic, less brittle ✅
❌ Synthetic fat bases (high hydrogenation & stearate content) → More brittle at room temperature.
⚠️ Causes of brittleness:
🔹 Shock cooling (rapid chilling in an extremely cold mold).
🔹 Difficulties in manufacturing, handling, wrapping, & use.

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16
Q

What are solutions to reduce brittleness in suppositories?

A

✔ Minimize temperature difference between melted base & mold.
✔ Add plasticizers:
🔹 Tween 80
🔹 Castor oil
🔹 Glycerin
🔹 Propylene glycol

17
Q

Why is density important in suppositories?

A

✔ Needed to calculate drug per suppository.
🔹 Fixed mold volume → Weight depends on density of mass.

18
Q

What is volume contraction in suppositories?

A

✔ Occurs in melted suppository bases after cooling.
✔ Effects:
🔹 Good mold release → Mass pulls away from mold sides ✅
🔹 No need for mold release agents (lubricants) ✅
❌ Hole formation at the open end → Reduced weight & imperfect shape.

19
Q

How can volume contraction be prevented?

A

✔ Pour mass slightly above congealing temp into a warmed mold.
✔ Overfill the mold → Scrap off excess after cooling.

20
Q

What are lubricants in suppository manufacturing?

A

✔ Cocoa butter tends to adhere to molds due to low volume contraction.
❌ Problem: Difficult to remove suppositories from molds.
🔧 Solutions:
🔹 Mineral oil
🔹 Aqueous solution of sodium lauryl sulfate
🔹 Silicones

21
Q

What factors influence weight & volume control in suppositories?

A

✔ Factors influencing drug amount per suppository:
🔹 Concentration of active ingredient in the mass.
🔹 Specific gravity of the base.
🔹 Volume variation between molds (should be within ±2%).
❗ Weight variation tolerance:
🔹 ±5.0% (due to manufacturing inconsistencies like mold closure and scraping).

22
Q

What is rancidity in suppositories?

A

✔ Rancidity occurs due to oxidation of unsaturated fats, producing:
🔹 Aldehydes
🔹 Ketones
🔹 Acids
❗ Result: Strong unpleasant odors.

23
Q

What is the purpose of calibration of the mold?

A

✔ Molds usually hold 1-2 grams of suppository mass.
✔ Why calibration is necessary:
🔹 Mold size remains constant but weight varies due to different densities of bases and medicaments.
✔ Solution: The mold should be calibrated for each base and medicament.

24
Q

What is the displacement value?

A

✔ Definition:
🔹 The amount of suppository base displaced by a given amount of API (Active Pharmaceutical Ingredient).
🔹 Or, it’s the amount of drug that displaces 1g of base.
✔ How density affects displacement:
🔹 If drug density = base density, the drug will displace the same amount of base.
🔹 If drug density > base density, the drug will displace less base.
🔹 If drug density < base density, the drug will displace more base.

25
Q

What are the evaluation criteria for appearance and uniformity of suppositories?

A

✔ Uniformity:
🔹 Suppositories should be uniform in size and shape.
🔹 Internal and external surfaces should match when cut longitudinally.
✔ Examine for defects:
🔹 Look for cracks or pits caused by air entrapment in the molten mass.
✔ Color:
🔹 Verify color intensity, nature, and homogeneity.
✔ Odor:
🔹 Ensure the odor is consistent to avoid confusion with other suppositories.
🔹 Changes in odor can indicate degradation.

26
Q

What is the method for uniformity of weight in suppositories?

A

✔ Method:
🔹 Weigh 20 suppositories individually.
🔹 Calculate average weight and check the % deviation.
✔ Acceptance criteria:
🔹 No more than 2 suppositories should deviate more than 5% from the average.
🔹 None should deviate by more than 10%.

27
Q

What is the purpose of the mechanical strength/crushing (breakage test)?

A

✔ Purpose:
🔹 Evaluate the brittleness or elasticity of suppositories.
🔹 Test the tensile strength, which measures the force required to break or crush the suppository.
✔ Tensile Strength:
🔹 Indicates the maximum force a suppository can withstand during production, packing, and handling.
🔹 Higher tensile strength = less tendency to fracture.
✔ Test Method:
🔹 Place suppository upright.
🔹 Gradually add weights until the suppository collapses.
✔ Result:
🔹 A good result = at least 1.8–2 kg pressure.

28
Q

What is the purpose of the content uniformity test?

A

✔ Purpose:
🔹 Ensure dose-to-dose uniformity of active ingredients in suppositories.
✔ Test Method:
🔹 Assay of the individual content of the drug substance(s) as per the monograph.
✔ Official Limits:
🔹 Active content should be between 95%–105% of the labeled amount.
✔ Goal:
🔹 All suppositories must contain the same labeled quantity of the drug.

29
Q

What is the purpose of the melting range test?

A

✔ Purpose:
🔹 Ensure the suppository melts at or below 37°C.
✔ Test Method:
🔹 Place the suppository on water at 37°C and verify it melts completely within a few minutes.
🔹 Also known as the macromelting range test.
✔ Ideal Outcome:
🔹 The suppository should melt completely at 37°C in a short time (usually within a few minutes).

30
Q

What is the purpose of the disintegration test?

A

✔ Purpose:
🔹 Breaks up solid dosage units into small fragments to increase the surface area for enhanced drug dissolution.
✔ Test Method:
🔹 Suppositories are placed in each tube of the disintegration apparatus.
🔹 Basket rack assembly is submerged in a 1-liter beaker containing water or simulated gastric/intestinal fluid at 37°C ± 2°C.
🔹 The suppository must remain 2.5 cm from the bottom of the beaker.
🔹 A standard motor moves the basket up and down through a distance of 5-6 cm, at a frequency of 28-32 CPM (cycles per minute).
✔ Acceptance Criteria:
🔹 Passes if all suppositories disintegrate and the particles pass through the mesh screen within 30 minutes.

31
Q

What is the purpose of the dissolution test?

A

✔ Purpose:
🔹 Measures the rate and extent of drug release from the suppository.
✔ Test Method:
🔹 The suppository is placed in a beaker containing medium at 37°C ± 0.5°C.
🔹 At different time intervals, samples are taken and drug content is determined.
🔹 UV-visible spectrophotometry is used to analyze the drug, with absorbance measured using a suitable blank solution.
✔ Why it’s important:
🔹 Tests for hardening and polymorphic transitions of active ingredients and suppository bases.
✔ Final Calculation:
🔹 The drug release rate is calculated using the calibration curve and a suitable equation.