W11 Capsules and Suppositories Flashcards

1
Q

Capsules

A
  • Solid dosage forms
  • With hard or soft shells of various shapes and capacities
  • Usually containing a single dose of active substance
  • Intended for oral administration
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2
Q

What are the advantages of capsules?
Patient compliance & Drug delivery…?

A
  1. Patient compliance
    * Easier to swallow- Smooth & slippery
    * Tasteless and odourless- Eliminate all contact between drug and mouth)
    * Can be opened up- Contents sprinkled on food
    * Clear, high-gloss coloured film- Can be printed on
  2. Drug delivery
    * Fast acting- Breakdown of capsule shell
    occurs readily ≈ disintegration of
    tablet
    * Beads/pellets/granules in
    addition to dry powder fills- A mixture of beads with different release rates
    * Other dosage forms in a capsule- Mini tablets and liquids
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3
Q

Hard capsules
What are the 2 types?

A

Made of a cap and a body

  1. Gelatin- Bovine, porcine, fish
    * Collagen of animal bones
    and hides (subjected to maceration and purification with acids and alkalis)
    * 13 – 16% moisture, contributing to shell
    flexibility
  2. Alternative polymers (vegetarian)
    * HPMC, pullulan
    * HPMC: 4 – 6% moisture,
    suitable for moisture-sensitive/hygroscopic
    formulation
    * Pullulan (polysaccharide from corn syrup): 12% moisture
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4
Q

What is the process of Hard capsule manufacture and filling?

A
  1. Gel solution preparation
  2. Capsule dipping
  3. Capsule drying
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5
Q

What are some Hard capsule examples?

A
  1. Oruvail Prolonged-release Hard
    Capsules= Prolonged-release pellets in capsule
  2. Omeprazole Gastro-resistant Hard
    Capsules= Enteric-coated pellets in capsule
  3. Practical Applications for Single Pill Com
    binations in the Cardiovascular Continuum
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6
Q

Dissolution from hard capsules

A
    1. Hard gelatin capsules containing only hydrophobic drug particles
  • In GI fluids, hard gelatin capsule shell dissolves, thereby exposing contents of fluids
  • Contents remain as capsule-shaped
    plug. Hydrophobic nature of contents
    impedes penetration of GI fluids
  • Dissolution of drug occurs only
    from surface of plug-shaped mass.
    Relatively low rate of dissolution

Faster action:
* 2. Hard gelatin capsules containing
hydrophobic drug particles () and
hydrophilic diluent particles** (
)
* Particles of hydrophilic diluent dissolve in
GI fluids leaving a porous mass of drug
* GI fluids can penetrate porous mass Effective surface area of drug and hence dissolution rate is increased
* Effective surface area of drug and hence
dissolution rate is increased

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7
Q

What are the 2 types of Soft capsule shell?

A
  • Hermetically sealed one piece
  1. Gelatin
  2. Vegetarian softgels
    Modified starch, carrageenan (extract of red
    seaweed), disodium phosphate, glycerol and/or
    sorbitol, purified water
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8
Q

What are soft capsule examples?

A
  1. Ibuprofen e.g .Flarin
  2. Loperamide e.g. Imodium
  3. Peppermint oil e.g. BuscoMint
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9
Q

Dissolution from soft capsules (for info)
What occurs?

A

Swell to a certain size, break up. Small particles inside are released from soft gel into stomach acid or small intestine

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10
Q

What quality control tests are done for tablets and capsules?

A

Uniformity of dosage Units- T, C
Dissolution test T, C
Disintegration test- T
Resistance to Crushing- T
Friability- T

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11
Q

What are suppositories?

A

Solid dosage forms
* Rectally – suppository
* Vaginally – pessary
* Designed to melt, dissolve or disperse so that a local or systemic effect is exerted
* Come in a few shapes (cone, bullet or torpedo-shaped)

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12
Q

What are the different suppository applications? (2)
What can they be used to treat?

A
  1. Local effect (rectum/lower colon)
    * Laxative effect
    * Treat haemorrhoids (piles)
    * Inflammation in lower third of the colon (ulcerative colitis)
  2. Systemic effect
    * Oral dosage not possible (vomiting)
    * Bypass liver first-pass metabolism
    * Prolonged effect (e.g. pain relief at night)
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13
Q

Suppository bases
What are the types? (2)
Examples?

A
  • The drug is either incorporated in a base which melts or dissolves
  1. Fat-soluble
    * Cocoa butter
    * Soap as a lubricant
    * Made with a suppository mould (reusable or disposable)
  2. Water-soluble
    * Polyethylene glycol
    * Lubricant often not required
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14
Q

Suppository manufacture
What are the steps?

A
  1. Apply lubricant- with a brush not with a cotton wool
  2. Pouring molten base and drug- In excess to overfill mould
    (heated base and drug, cool in fridge or freezer)
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15
Q

What are some suppository making problems? (3)

A

Aim: to have the same amount of drug in each pessary and that it is evenly dispersed
* Common problems:
1. Uneven amounts of drug, usually gather in tip
Causes:
* Did not stir continuously
* Poured at too high a temperature
* Drug particles too coarse
2.Bubbles
Causes: Uneven pouring
3. Broken in half
Causes:
* Not cooled properly
* Not enough lubricant

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16
Q

How to use suppositories-counsel? (4)

A

1.Wash hands
2. Stand with one foot up on chair OR Lie down on side with top leg bent towards stomach, bottom leg straight
3. Insert with narrow end first
* Adult: 1 inch
* Children: ½ inch
4. Sit or lie still for 10 min

17
Q

Suppository vs enema (liquid and foam)
Which is better?

A
  • Equal efficiency= Depends on Patient tolerance/acceptability/preferences