Tablets Flashcards
What is the physical description of molded tablets?
Soft, soluble and designed for rapid dissolution
How is molded tablets prepared?
They are prepared with molding rather than by compression
When is an inappropriate situation to use molded tablets?
For potent drugs due to difficulties with content uniformity
What does molded tablets not contain?
Disintegrates
Lubricants
Coatings
Explain the process of molding
Powder blend is moistened with hydroalcoholic solvent
Molded under pressure lower that compression
Solvent is removed by air during
Definition of chewable tablets
Intended to disintegrate in the mouth
What is the primarily intent for chewable tablets?
For children who prefer chewing a flavoured medication
Advantages of Chewable tablets
Pleasant taste
No bitter or unpleasant aftertaste
Convenience and pt acceptance
Rapid onset of bioactivity
What is the limitation of chewable tablets?
Number of drug that can be put into chewable tablets
What is the most common excipient in chewable tablets?
Mannitol
What makes mannitol better for chewable tablets
70% sweetness compared to sucrose
Cool taste and mouth fell
Non-hydroscopic
What is used for sugar free chewable tablets?
Xylitol
What is important counselling point for chewable tablets?
Do not swallow whole
Chew to break the tablet
Examples of Chewable tablets
antacids – Maalox, Tums
vitamins – Vitamin C, calcium
analgesics - aspirin – children’s chewable – often used for pets, acetaminophen
Anticonvulsant: carbamazepine
Angina pain medication: Isosorbide dinitrate*
antibiotics – amoxicillin
Define effervescent tablets
Large wafer like tablets which dissolve rapidly in water
What is the benefit of effervescent tablets?
Large surface area allows for faster rate of solution
What is released when effervescent tablets are breaking up?
Carbon dioxide generated from sodium bicarbonate and citric or tartaric acid
When is the chemical reaction initiated with effervescent tablets?
When it is placed in water
What is important considerations of effervescent tablets?
Binders, fillers and lubricants are water soluble
Moisture excluded during manufacturing
Packaged in moisture-proof containers to avoid degradation
Tablets individually wrapped in foil strip or wrapped and stacked in tubes
Flavoured & sweetened
Examples of effervescent tablets
Vitamin C
Calcium
Alka-seltzer
Important counselling for dispensing effervescent tablets?
Dissolve in water at room temperature
Once effervescence stops, wait >5 min and stir the solution for about 10 seconds then drink
Store away from humid conditions
Where is the tablet placed for sublingual tablets?
Under the tongue
Where is the tablet placed for buccal tablets?
In the side of the cheek
What is the purpose of sublingual tablets?
Designed to produce an immediate systemic effect by enabling drug to be directly absorbed through the oral mucosa
What is general physical description of sublingual tablets?
Are small, soft and flat
What is the purpose of buccal tablets?
They are designed to erode relatively slowly
What is RDT and ODT?
Rapidly dissolving tablets
Orally disintegrating tablets
What is the difference between sublingual and buccal tablets?
Require more than a minute to dissolve in the mouth
FDA definition of RDTs
A solid dosage form containing medicinal substances, which disintegrates rapidly, usually within a matter of seconds when placed upon the tongue
What is the benefit of ODT?
Enchanted clinical effects through pre-gastric absorption front eh mouth, pharynx and esophagus
Increase the bioavailability
What is done in packaging to protect ODT from moisture?
Packaged in blister packs
Patient information for ODT
Do not try to administer tablets with wet hands
Store tablets in a dry place
Certain products may cause a burning or prickling sensation on the tongue
Challenges of ODT and (sublingual)
Drug loading
Taste masking and palatability
Friability
Extra cost of packaging
What is the challenge of friability?
Balance difficult to maintain a between friability and speed of dissolution
What is benefit of lozenges
Promote saliva flow (which is soothing)
May be used for systemic effect (if absorbed by buccal lining)
Examples of lozenges
Fentanyl (lollipop)
Nicotine
Sore throat
Flurbiprofen
Zinc
What patients who lozenges are useful for?
Difficult swallowing
Paediatric pt
Geriatric pt
Pt with GI blockage
How are lozenges prepared?
Prepared by molding or compression
What is another name for molded lozenges?
Pastilles
What is another name for harder lozenges?
Troches
Compressed lozenges are different
They are harder
So they will slowly dissolve or disintegrate
What is the basic properties of a good lozenge?
Slow uniform dissolution or erosion over 5-10 minutes period
Smooth surface texture
Pleasant flavour masking drug taste
What are some therapeutic use for lozenges?
local anaesthetics (benzocaine)
antiseptics/antimicrobial
antitussives (cough drops)
decongestants
Antihistamines
anti-nausea
analgesics
What are the ingredient in a compounded lozenges?
Sugars to form a hard lozenge
PEG to form a soft lozenge
Gelatin to form a chewable lozenge
Composition of hard lozenges
Might be considered solid syrups
What is the percentage of sucrose and corn syrup for hard lozenges?
55-65% sucrose
35-45% corn syrup
What is a critical step for hard lozenges?
To follow all formation instructions and pay particular attention to temps
Is hard lozenges high or low moisture content?
Low (0.5-1.5%)
So the water is evaporated off by boiling the sugar mixture during the compounding process
What is the benefit of soft lozenges?
Can be hand rolled
Then cut into pieces which contain the correct amount of active ingredient
More convenient dispensing method
What is the composition of soft lozenges
PEG 1000 or 1450
Chocolate
Sugar acacia base
Silica gel
What is acacia
Used to add texture and smoothness
What is silica gel
Used as a suspending agent to keep materials from settling to the bottom of the mold cavity during the cooling process
What should be changed in the compounding steps if using PEGs?
The mixture will need to be overfilled as PEG contract once cooler
What is the composition of chewable lozenges?
Glycerinated gelatin suppository formula which consists of glycerin, gelatin and water
What is capping?
The partial or complete separation of the top or bottom crowns of a tablet from the main body of the tablets
What is lamination?
The separation of a tablet into 2 or more distinct layers (transverse cracking and separation of tablets)
List the causes of lamination/capping
Air entrapment in light and fluffy powders
Excessive “fines”
Too little moisture in granulation
Weak granules or too weak a binder
Improver adjustment of machinery
What is picking?
The surface material from a tablet that is sticking and being removed from the tablet surface by a punch
What is sticking?
Tablet material adhering to the die wall
List causes of picking/sticking
Inadequate lubrication
Insufficiently dried wet granulation
Poor finish on punch surfaces
What is whispering?
Fine edge attached but not broken off tablet
End up with high friability values since whiskers are removed in friability testing
List causes of whiskering
Especially deep concave punches
Punches worn and in poor condition