DDS Reviewer
DDS Reviewer
DDS Reviewer
■ Polymerization
•Is a reaction between two or more
identical molecules that forms a new and
generally larger molecule
•Example: Formaldehyde
REACTIONS LEADING TO
INSTABILITY OF DRUGS
■ Decarboxylation
•It refers to the decomposition of an
organic compound/acid (RCOOH) and
release of carbon dioxide gas
•Example: Citric acid and tartaric acid
in effervescent granules
REACTIONS LEADING TO
INSTABILITY OF DRUGS
■ Deamination
•Removal of the nitrogen-containing
group from an organic amine
•Example: Insulin deteriorates in acid
solutions
STABILITY STUDIES
time= 6 months
Purposes:
■ To determine the most stable of the
proposed formulations for drug product
■ To predict shelf-life and expiration date
TYPES OF STABILITY
STUDIES
•Non-accelerated Stability Studies
■ Long-term or real-time stability studies
TYPES:
DIVIDED POWDERS
BULK POWDERS
ADVANTAGES AND DISADVANTAGES
Adv Dis
When mixed with water, acids and base react to liberate carbon
dioxide resulting in effervescence.
● Free-flowing
● Stable
● Less tendency to form cake
● Easily wetted by liquids
EFFERVESCENT
GRANULES
■ Are granules or coarse to very coarse
powders containing medicinal agent in a dry
mixture of sodium bicarbonate, citric acid and
tartaric acid
■ Both acids should be used to avoid any
difficulties
■ When added to water, they liberate carbon
dioxide resulting in effervescence
METHODS OF PREPARING
EFFERVESCENT GRANULES
● Dry Method
■ Dry fusion method
■ The water present in citric acid acts as the
binding agent to form granules
■ The product should be dispensed in tightly
closed glass container to protect it against
humidity and air
METHODS OF PREPARING
EFFERVESCENT GRANULES
● Wet Method
■ Wet fusion method
■ It involves the addition of small amounts of
water-alcohol mixture to the dry salts to
obtain a workable or pliable mass which is
then dried and ground to yield the powder or
granule
METHODS OF PREPARING
EFFERVESCENT GRANULES
● Fluidized-bed Procedure
■ Powders are blended and then suspended in
a stream of air in a “Wurster chamber”.
■ Water is sprayed into the chamber, resulting in
a slight reaction and an expansion of the
particles to form granules (10-30 mesh size).
CAPSULES TABLET AND OTHER
DOSAGE FORMS
CAPSULES
Prepared by:
Wet granulation method
Dry granulation method
Direct compression
TABLET EXCIPIENTS
DILUENTS – fillers designed to make up the
desired bulk, flow properties and compression
characteristics.
Examples: Lactose, mannitol, starch, dibasic calcium
phosphate, sorbitol, powdered cellulose
BINDERS – used to cause adhesion of powder
particles in tablet granulations
Examples: Acacia, CMC, gelatin, MC, EthC,
compressible sugar, liquid glucose
TABLET EXCIPIENTS
COLORANTS – FD&C lakes are used
FLAVORING/SWEETENING AGENTS –
usually limited to chewable and buccal tablets
• Direct Compression
– Used for granular chemicals that
possess free-flowing and cohesive
properties that enable them to be
compressed directly in a tableting
machine without need of granulation
MODIFIED RELEASE DOSAGE
FORM
MODIFIED RELEASE DOSAGE FORM
Delayed-release
Sustained-action
Prolonged-action
Sustained-release
Prolonged-release
Timed-release
Slow-release
Extended-action
Extended-release
CLASSIFICATION OF ORAL CONTROLLED-RELEASE
DRUG DELIVERY SYSTEM
I. DIFFUSION CONTROLLED
SYSTEMS
1. COATED BEADS or PELLETS
➢ The drug is distributed into beads,
pellets, granules or other particulate
system
➢ The granule mixture: Uncoated and
Coated pellets may be filled into
capsules or compressed lightly into
tablets
EXAMPLES:
1. HYDROCOLLOID SYSTEM
The drug is embedded in a slowly eroding
or hydrophilic matrix system
Examples:
1. Valrelease (Roche) – slow release form of
diazepam
2. Oramorph SR tablets (Roxane) – contains
morphine sulfate in HPMC
3. Trilafon tablets (Perphenazine)
2. COMPLEX FORMATION
Drug substances are combined
with other chemical agent to form
complexes that may be only slowly
soluble in body fluids
The slow dissolution provides the
extended release of the drug
Example: Rynatan (Wallace)
3. ENCAPSULATED DISSOLUTION
CONTROLLED SYSTEM
Involves microencapsulation technique or
multiparticulate formulation consisting
beads of varying coating thickness
The coat is made of slowly dissolving
polymeric materials
Products Components
Cardizem CD Diltiazem HCl
Diamox Sequels Acetazolamide
Dexedrine Spansule Dextroamphetamine
Thorazine Spansule Chlorpromazine
NON-ORAL MODIFIED-RELEASE SYSTEMS
1. OCULAR INSERTS
Ocusert – Ocular Pilocarpine therapeutic
system which releases medication over a
7-day period in the treatment of glaucoma
Lacrisert – for the treatment of dry eyes
2. PARENTERAL SYSTEMS
Depo-Provera Contraceptive Injection
Penadur LA injection
Decadron LA injection
NON-ORAL MODIFIED-RELEASE SYSTEMS
3. VAGINAL INSERTS
▪ Cervidil Vaginal insert – contains dinoprostone for
the induction of labor
▪ Crinone Gel – contains progesterone used to assist
reproduction
▪ Estring – vaginal ring containing estradiol for the
treatment of urogenital symptoms associated with
postmenopausal atrophy of the vagina
NON-ORAL MODIFIED-RELEASE SYSTEMS
4. SUBDERMAL IMPLANT
▪ Solid dosage form designed to be inserted under
the skin by special injectors or by surgical
incisions
▪ Zoladex Implant (Zeneca) – contains goserelin
acetate for the treatment of advanced prostatic
cancer
▪ Norplant System (Wyeth-Ayerst) – conatins
levonorgestrel that provides up to 5 years
contraception
TRANSDERMAL DRUG DELIVERY SYTEMS
(TDDS)
▪ Transdermal patches
▪ Controlled release devices
containing the drug for systemic
absorption after topical application
to the skin surface
TYPES OF TDDS
▪ Monolithic System
▪ A TDDS that incorporates a drug matrix between backing
and frontal layers
▪ Examples
▪ Salonpas
▪ Band-aid
▪ Membrane-Controlled System
▪ A TTDS designed to contain a drug reservoir [or a pouch
usually in liquid or gel form], a rate-controlling membrane
and backing, adhesive and protective layer
TDDS DESIGNS
Backing Layer
Liquid Drug Reservoir
supp.
✓ As tranquilizer - Prochlorperazine and
Chlorpromazine supp.
✓ Narcotic analgesic – Oxymorphone supp.
(Paracetamol)
EXAMPLES OF RECTAL
SUPPOSITORIES
Generic Name Brand Name Type of Effect Category
Bisacodyl Dulcolax Local Cathartic
Chlorpromazine Thorazine Systemic Antiemetic and
tranquilizer
Hydrocortisone Anusol-HC Local Antiinflam-
matory
Hydromorphone Dilaudid Systemic Analgesic
Mesalamine Canasa Local Antiinflam-
matory
Oxymorphone Numorphan Systemic Analgesic
Prochlorperazine Compazine Systemic Antiemetic
Promethazine Phenergan Systemic Antihistamine
VAGINAL SUPPOSITORIES
▪ Also called “ PESSARIES”
▪ Globular, oviform, or cone shaped
▪ Weigh about 5 grams when cocoa butter
is used as the base
▪ Employed mainly as contraceptives,
antiseptics in feminine hygiene, and as
specific agents to combat invading
pathogen
▪ Examples: Canesten supp.,Monistat
supp.
EXAMPLES OF VAGINAL
SUPPOSITORIES AND INSERTS
Generic Name Brand Name Category
Sulfanilamide AVC Antifungal
Suppositories
Miconazole Monistat 7 Antifungal
nitrate Suppositories
Clotrimazole Mycelex – G Antifungal
Vaginal tablets
Nonoxynol-9 Semicid Vaginal Contraceptive
Contraceptiive
Insert
URETHRAL SUPPOSITORIES
🖉 Also known as “BOUGIES”
🖉 Slender, pencil-shaped
2 types:
1. Male Urethral suppository – 3 to 6 mm in
diameter and approx. 140 mm in length;
weigh about 4 grams when cocoa butter
is used as the base
2. Female Urethral suppository – 70 mm in
length and weigh about 2 grams when
cocoa butter is used as the base
SUPPOSITORY BASES
A. HAND ROLLING
B. COMPRESSION
C. FUSION METHOD
- Molding from a melt
OINTMENTS AND OTHER
MEDICATED APPLICATIONS
OINTMENTS
Are semisolid preparations intended
for external application of such
consistency that they may be readily
applied to the skin with or without
inunction (rubbing)
Are typically used as:
🟒 Emollients
🟒 Protective barriers
🟒 Vehicles
TYPES OF OINTMENTS
MEDICATED
> Those with medicaments for the treatment
of cutaneous infections
> Examples: Sulfur Ointment, Zinc oxide
Ointment, Whitfield Ointment, Compound
Resorcinol Ointment
NON-MEDICATED
* Also referred to as “Ointment bases”
* Used as protectants, emollients or
lubricants
FOUR GENERAL GROUPS OF
OINTMENT BASES
(1) HYDROCARBON BASES OR OLEAGINOUS BASE
Water free and contain petrolatum and/or modified petroleum
waxes or paraffin oil
Retained on the skin for prolonged periods
Do not permit the escape of moisture from the skin
Difficult to wash-off (greasy)
Used for emollient and occlusive action
FOUR GENERAL GROUPS OF
OINTMENT BASES
(2) ABSORPTION BASES
Are not easily removed from the skin
with water washing
Useful as pharmaceutical adjuncts to
incorporate small volumes of aqueous
solutions into hydrocarbon bases
FOUR GENERAL GROUPS OF
OINTMENT BASES
(3) WATER-REMOVABLE BASES
Are Oil-in-Water emulsion resembling creams in appearance
Are easily washed from the skin and are often called “WATER-
WASHABLE” bases
May be diluted with water or with aqueous solutions
They have the ability to absorb serous discharges
Example: Hydrophilic Ointment, USP
FOUR GENERAL GROUPS OF
OINTMENT BASES
(4) WATER-SOLUBLE BASES
Commonly referred to as “greaseless”
ointment bases
Water-washable, because of the absence of
oleaginous material
Soften with the addition of large amount of
aqueous solutions
Example: Polyethylene Glycol Ointment,NF –
contains PEG 3350 (40%) and PEG 400 (60%)
METHODS OF PREPARATION
1. LEVIGATION
2. MECHANICAL INCORPORATION
3. FUSION
CREAMS
🞛 Are viscous liquids or semisolid
emulsions either the Oil-in-
Water (O/W) or Water-in-Oil
(W/O) type
🞛 Easier to spread and remove
than ointments
🞛 Prepared by fusion method
TYPES OF CREAMS
❖ O/W CREAMS
Foundation Cream
Shaving Cream
Hand Cream
Vanishing Cream
❖ W/O CREAMS
Cold Cream – Petrolatum Rose Water Ointment
Emollient Cream
PASTES
• Thicker and stiffer than ointments
• More absorptive and less greasy than ointments
• Effective employed to absorb serous secretions and therefore
preferred for crusting and oozing lesions
• Not generally suited for application to hairy parts of the body
• Example: Zinc oxide Paste –Lassar’s Plain Zinc Paste
PLASTERS
• Are solid or semisolid adhesive masses
spread upon a suitable backing material and
intended for external application to a part of
the body to provide prolonged contact at that
site
COMPONENTS
• Backing Material
• Adhesive material
• Medicinal Substances
TYPES OF PLASTERS
MEDICATED
🟒 Salicylic Acid Plaster (Corn Plaster) –
Keratolytic
🟒 Chili Plaster
🟒 Antiseptic Plaster
🟒 Salonpas
NON-MEDICATED
🟒 Used to provide protection or mechanical
support
🟒 Examples: Leukoplast, Micropore,
Bandages
GLYCEROGELATINS
• Are plastic masses intended for topical
application and containing:
✯Gelatin – 15 %
✯Glycerin – 40 %
✯Water – 35 % and
✯An added Medicinal substance as Zinc
Oxide – 10 %
• Melted prior to application, cooled and
applied with a fine brush
• Official glycerogelatin is ZINC GELATIN (Zinc
Gelatin Boot) – used in the treatment of
varicose ulcers
CATAPLASMS/POULTICES
Are ointment like preparations
intended for warm, external
application to a body surface for the
purpose of reducing inflammation
and/or allaying pain
Should be warmed before application
and applied with a piece of cloth
Example: Numotizine® Cataplasm
CERATES
Harder than ointments since it contains
higher percentage of wax
CEMENTS
Dental preparations
DRESSINGS
Paraffin Dressing, NF
Surgical Dressing
LIQUID DOSAGE
FORMS
SOLUTIONS
A. SUGAR-BASED SYRUP
Sucrose is commonly employed
Imparts a characteristic “body” to the
preparation
Glycogenetic
Sorbitol or glycerin may be added to
prevent crystallization
Are clear, sweetened,
hydroalcoholic solutions
intended for oral use, and
are usually flavored to their ELIXIRS
palatability
ELIXIRS
ALCOHOL CONTENT
– VARY FROM 5 – 40 %
1. HIGH ALCOHOLIC ELIXIR (HAE) – 75 to 78% alcohol
2. LOW ALCOHOLIC ELIXIR (LAE) – 8 to 10 % alcohol
COMPONENTS:
▪ Alcohol and water – primary solvents
▪ Adjunct solvents – glycerin and propylene glycol
▪ Sweeteners
▪ Flavorants and colorants
▪ Medicinal substances
ELIXIRS
PREPARATION OF ELIXIRS
▪ By simple solution method
▪ By admixture of two or more liquids
▪ STORAGE:
Stored in a tight, light-resistant
containers and protected from excessive
heat
SPIRITS OR ESSENCES
●Are alcoholic or hydroalcoholic solutions of
volatile substances
TOOTHACHE DROPS
Preparations used for the temporary relief of
toothache
Applied using a small pledget of cotton
saturated with the product into the tooth cavity
Contains clove oil and mixtures of phenol with
camphor or creosote
EXTRACTIVES
TINCTURES
FLUIDEXTRACTS
EXTRACTS
Are alcoholic or
hydroalcoholic
TINCTURES
solutions of chemicals
or soluble constituents
of vegetable drugs
METHODS OF EXTRACTION
MACERATION
PERCOLATION
INFUSION
DIGESTION
DECOCTION
TOPICAL TINCTURES
Can cause stinging sensation when applied
to abraded or broken skin
Examples:
1. Compound Benzoin Tincture – topical
protectant
2. Iodine Tincture - germicide
3. Thimerosal Tincture – antiseptic
Carboxymethylcellulose
SUSPENDING AGENTS
2. CLAYS
Silicates that are anionic in aqueous dispersion
Strongly hydrated
Exhibit thixotropy
Examples: Bentonite (as 5% magma), Veegum
3. OTHER AGENTS
Agar, chondrus (carrageenan),gelatin, pectin,
gelatinized starch
TYPES OF SUSPENSION
1. ORAL SUSPENSIONS
Ready to use
Dry powders for reconstitution
Uses: Antacid, anthelmintic, antibacterial (see table 14.1
pp.399-401 for examples)
2. SUSPENSIONS FOR INJECTION
Particles must exhibit “ syringebility”
TYPES OF SUSPENSION
3. OPHTHALMIC SUSPENSIONS
Particle size must not exceed 10 microns
4. SUSPENSIONS FOR TOPICAL USE
Fine particles are desired to avoid grittiness when applied
to the skin
The smaller the particle size, the greater the covering and
protective power of the preparation.
CLASSES OF SUSPENSION
I. LOTIONS
II. GELS
III. MAGMAS AND MILKS
IV. MIXTURES
LOTIONS
Suspensions for external application
Prepared by:
(1) Trituration method
(2) By chemical reaction method
TYPES OF LOTIONS
I. MEDICINAL LOTION
II. COSMETIC LOTION
MEDICINAL LOTIONS
CALAMINE LOTION – antipruritic; use to
relieve itching and pain of sunburn, insect
bites and other minor irritations
BENZYL BENZOATE LOTION – used for scabies
❑ Propellant
ADVANTAGES
Convenience
Stability
Wide range of products to be dispensed as sprays,
foams, or semisolids
DISADVANTAGE
Environment hazard
METHODS OF FILLING AEROSOLS
I. Cold Filling
Product concentrate and propellant
are cooled at -34.5 to -40°C
Biologicals
■
IM SC
Irrigation Fluids
■
Dialysis Solutions
■
kidneys
Pellets or Implants
■
intradermal
Ophthalmic Preparations
■ eyes
semi permeable yung eyes so easy to penetrate yung gamot so need sterile
replacement therapy
Examples: Ringer’s Inj., Mannitol Inj.,
Sodium Chloride Inj., Dextrose Inj.
BIOLOGICAL PRODUCTS
Vaccines, Toxoids, Antitoxins, Immune Serum, Antivenins, Blood
temperature of -15°C
Sterility
Preservation
Isotonicity
Buffering
Viscosity
Ocular
bioavailability
Packaging
RADIOPHARRMACEUTICALS
RADIOPHARMACEUTICALS
Usedfor
diagnostic or
therapeutic
procedures
Frequently
prepared as
parenteral
dosage form
RADIOPHARMACEUTICALS
DRUG PRIMARY USES
111In capromab pendetide Monoclonal antibody for imaging prostate cancer
(ProstaScint)
123I,
sodium iodide and 131I, Thyroid imaging and uptake
sodium iodide
99mTc pertechnetate Imaging of thyroid, salivary glands, ectopic gastric
mucosa, parathyroid glands, dacryocystography,
cystography
99mTc red blood cells (Ultratag) Imaging of GI bleeding, cardiac chambers, cardiac
first-pass
99mTc sulfur colloid Imaging of reticuloendothelial system, bone marrow,
gastric emptying, GI bleeding, lymphoscintigraphy,
arthrograms
133Xe
Pulmonary ventilation imaging
90Y microspheres (TheraSphere) Therapy for biopsy-proven, unresectable
hepatocellular carcinoma
166Ho-DOTMP and 186Re-HEDP Bone cancer therapy
POSITRON EMISSION TOMOGRAPY (PET)
RADIOPHARMACEUTICALS
- Used for imaging procedures
PET Pharmaceuticals include:
1. Carbon-11
As a tracer, used to study myocardial
metabolism
11C glucose is use for cerebral glucose
metabolism
2. Nitrogen-13
Used as tracer for cerebral and
myocardial blood flow
PET RADIOPHARMACEUTICALS
3. Oxygen-15
Four 15O are available for clinical use:
15OO (oxygen gas)
used in the study of oxygen metabolism
C15O (carbon monoxide) –
administered via inhalation; serves as tracer for RBC
volume
CO15O (carbon dioxide)
H215O (water)
commonly used as tracer of cerebral and
myocardial perfusion
PET RADIOPHARMACEUTICALS
4. Flourine-18
For cerebral glucose metabolism,
myocardial glucose metabolism and tumor
glucose metabolism
5. Gallium-68
Binds with transferrin forming 68Ga-
transferrin
68Ga-transferrin is employed in pulmonary
studies of vascular permeability
DRUG ANTIDOTE FOR
RADIATION EXPOSURE
PRUSSIAN BLUE
ferric
hexacyanoferrate
Radiogardase capsule