syrups Flashcards

1
Q

syrup

A

concentrated aqueous preparation of sugar with OR without flavoring agents and drugs

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2
Q

all syrups are

A
  1. sweet
  2. viscous
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3
Q

are regular syrups suitable for diabetic patients?

A

no

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4
Q

do nonmedicated syrups contain medicinal substances?

A

no (duh)

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5
Q

nonmedicated syrups

A

pleasant-tasting vehicles to add in extemporaneous compounding of prescriptions

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6
Q

do medicated syrups contain medicinal substances?

A

yes (duh)

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7
Q

nonmedicated syrups examples

A

syrup/simple syrup
cherry syrup, orange syrup
cocoa syrup
raspberry syrup
oral-sweet/oral-sweet SF

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8
Q

syrup/simple syrup

A

basic for flavored or medicated syrups

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9
Q

cherry syrup/orange syrup

A

vehicles for drugs stable in acidic medium

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10
Q

cocoa syrup

A

administration bitter-tasting drugs for kids

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11
Q

raspberry syrup

A

to mask salty or sour taste of medications

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12
Q

oral-sweet/oral sweet SF

A

sugar free

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13
Q

advantages of medicated syrups (3)

A

pleasant taste of unpleasant-tasting drugs
little or no alcohol
used when patients (children, elderly) cannot swallow solid dosage forms (tablets, capsules)

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14
Q

appropriate viscosity of medicated drugs

A

improves palatability of oral liquid formulations

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15
Q

pleasant taste of medicated drugs gives us

A

desirable “mouth feel”

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16
Q

proper selection of syrup

A

solubility of a drug
stability
compatibility between the drug and the other components of syrup

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17
Q

syrups are stable in

A

aqueous solution
acidic, basic, neutral medium

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18
Q

sucrose-based syrups are

A

glycogenic compounds

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19
Q

glycogenic compounds are

A

materials that convert to glucose

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20
Q

(T/F) glycogenic compounds are 60-80% of the formulation

A

true

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21
Q

glycogenic compounds examples

A

sucrose (sugar)
sorbitol
glycerin
propylene glycol

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22
Q

sorbitol, glycerin, propylene glycol comparison to sucrose

A

60% as sweet as sucrose

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23
Q

glycogenic compounds are responsible for

A

proper viscosity, sweetness, and flavor

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24
Q

components of medicated sucrose-based syrups (8)

A

drug
purified water
cosolvent (alcohol) (if a drug is insoluble in water)
sugar (sucrose) or other glycogneetic compounds or syrup
antimicrobial preservative
flavorant
colorant

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25
Q

sucrose NF

A

simple syrup

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26
Q

simple syrup

A

solution of sucrose in purified water

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27
Q

85 g of sucrose to make

A

100 mL of syrup

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28
Q

does a simple syrup need additional preservation if it is used soon?

A

no
stable and resistant to growth of microorganisms
preservative are only for storage

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29
Q

why are simple syrups stable and resistant to microbial growth?

A

due to relative absence of water

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30
Q

(T/F) not all commercially available syrups are preserved

A

false
they are ALL preserved

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31
Q

saturated solution (syrup)

A

85 g of sucrose in less than 95 mL of syrup

32
Q

can sucrose precipitate in saturated solution?

33
Q

is saturated solution suitable for microbial growth?

34
Q

Sucrose NF is used

A

as the basis for flavored or medicated syrups
sugar coating to tablets

35
Q

Sorbitol NF is available as (2)

A

powder
70% Sorbitol Solution USP

36
Q

is oral sorbitol a laxative?

A

yes
at dose more than 20g a day

37
Q

can sucrose-based syrups be substituted?

A

yes
in whole or in part by other glycogenic compounds

38
Q

antihistamine syrup

A

bolded components on the slide: glycerin, syrup, sorbitol solution
an example of a substitution

39
Q

(T/F) non-sucrose-based syrups are for patients with controlled diet

40
Q

non-sucrose-based syrups contain

A

artificial sweeteners
viscosity-inducing agents

41
Q

artificial sweeteners

A

aspartame, saccharin
produce a taste of a true syrup

42
Q

viscosity inducing agents

A

water-insoluble particles
hydrate strongly
syrup like vehicles with good viscosity
not absorbed into blood

43
Q

example of viscosity inducing agents

A

methylcellulose
carboxymethylcellulose
hydroxyehtylcellulose

44
Q

viscosity inducing agents are commercially available as

A

1% gel - liquid vehicle
5% gel - semisolid gel

45
Q

components of medicated non-sucrose-based syrups (8)

A

drug
purified water
cosolvent (alcohol)
artificial sweetener or sugar-free syrup
viscosity inducing agent
antimicrobial preservative
flavorant
colorant

46
Q

artificial sweetener vs. sucrose

A

sucrose provide sweetness and viscosity, artificial sweetener provides sweetness only

47
Q

saccharin NF and Saccharin Sodium USP are

A

artificial sweeteners

48
Q

saccharin sodium usp

A

500 times as sweet as sucrose
effective concentration: 0.02-0.5%
powder or soluble tablets

49
Q

aspartame

A

closest to sugar’s taste out of all artificial sweeteners
good aqueous solubility
200 times sweeter than sucrose

50
Q

syrup’s preservatives

A

benzoic acid/sodium benzoate 0.2%
combinations of methyl-, propyl- and butylparabens (total) 0.1%
alcohol 15-20% (free water)
high concentration of sucrose
store at low temperature

51
Q

paraben stock solution

A

9% methyl- 1% propylparaben in proplyne glycol
2 mL of stock preserve 100 mL of drug

52
Q

flavorants

A

syrup pleasant taste
water soluble

53
Q

(T/F) small amount of alcohol can be added to a syrup to dissolve a poorly-water soluble flavorant

54
Q

colorants

A

enhance the appeal of the syrup
color stable at pH range
should be correlated with the flavorant (pink-strawberry, brown-chocolate)

55
Q

preparations of syrups

A

aid of heat
agitation or the simple admixture of liquid components
addition of sucrose to a medicated liquid/flavored liquid

56
Q

are most official syrups available commercially?

57
Q

how do you store syrups?

A

tight containers

58
Q

aid of heat

A

fast preparation
syrup’s components must NOT be heat sensitive solids

59
Q

method for aid of heat

A
  1. add sugar to purified water and heat until sugar is dissolved
  2. add heat-stable components and adjust volume by adding purified water
  3. add heat labile or volatile compounds/liquids (flavoring oil, alcohol) after cooling
60
Q

excessive heat

A

inverse sucrose (disaccharide) into dextrose and fructose (monosaccharides)

61
Q

(T/F) speed of inversion increases in acidic medium

62
Q

results of inversion

A

syrups are less stable due to demarcation and microbial growth
sweetness is altered
color is changed (amber color)

63
Q

solution by agitation

A

avoid heat-induced inversion of sucrose
time consuming method
dissolution of solids in syrups is very slow

64
Q

avoid heat-induced inversion of sucrose

A

product has maximum stability

65
Q

time consuming method (agitation)

A

sucrose is added to purified water and agitated
other solid ingredients a re added to syrup and agitated

66
Q

dissolution of solids in syrups is very slow

A

viscosity of syrups
limited amount of water

67
Q

mixture of liquid components

A

dissolve drug in SMALL amount of water, incorporate solution into syrup
other liquids can be added to non-medicated syrup, mix to uniform product

68
Q

addition of sucrose to medicated/flavored liquid

A

preparation of medicated liquids
miscible medicated liquids should be added directly to simple or flavored syrup
example: ipecac syrup

69
Q

preparation of medicated liquids

A

tinctures
extracts

70
Q

ipecac syrup is for

A

emetic, management of poisoning

71
Q

ipecac syrup preparation

A

active alkaloids extracted from powdered ipecac by percolation with hydroalcoholic solvent
addition of syrup and glycerin

72
Q

active alkaloids

A

emetine, cephalic, psychotrine

73
Q

types of medicated syrups

A

analgesic
antiviral
antihistamines
antipsychotic

74
Q

analgesic

A

meperidine HCL - demerol

75
Q

antiviral

A

lamividine - epivir
ritonavir - norvir

76
Q

antihistamiens

A

hydroxyzine HCL - atarax syrup

77
Q

antipsychotic

A

citalopram - celexa