LIQUID DOSAGE FORMS

SOLUTIONS Some Solvents for Liquid Preparations

- oldest dosage form
- “liquid preparations that contain one or more chemical substances dissolved 1. ALCOHOL, USP: ETHYL ALCOHOL, ETHANOL, C2H5OH
in a suitable solvent or mixture of mutually miscible solvents” - primary solvent for many organic compounds
- it may be classified as oral, otic, ophthalmic, or topical - Alcohol, USP, is 94.9% to 96.0% C2H5OH by volume (i.e., v/v) when
determined at 15.56°C, the US government’s standard temperature for
ADVANTAGES alcohol determinations
 Faster dissolution - well recognized as a solvent and excipient in the formulation of oral
 Easier to administer pharmaceutical products.
 Patient acceptability - Alcohol is often preferred as an alternative vehicle because of its miscibility
 Some products are better in solution than in solid form with water and its ability to dissolve many water- insoluble Ingredients
- U.S. Food and Drug Administration (FDA) has proposed that insofar as
DISADVANTAGES possible manufacturers of over-the-counter (OTC) oral drug products
 Some solutions don’t have the ability to mask unpleasant taste restrict the use of alcohol and include appropriate warnings in the labeling.
 Prone to leakage - For OTC oral products intended for children under
 Suspensions – the powder settles at the bottom 6 years of age, alcohol content limit is 0.5%
 Label can be easily wetted 6 to 12 years of age, the recommended limit is 5%
over 12 years of age and for adults, the recommended limit is 10%.
SOLUBILIZATION METHOD
 Co-solvent 2. DILUTED ALCOHOL, NF
 Temperature - Less concentrated
 Salting – in - prepared by mixing equal volumes of Alcohol, USP, and Purified Water, USP
 Salting – out - the final volume is generally about 3% less than what would otherwise be
 Complex formation expected
- the strength of Diluted Alcohol, NF, is not exactly half that of the more
concentrated alcohol but slightly greater, approximately 49% (bec. Of
contraction of liquid)
- useful hydroalcoholic solvent in various pharmaceutical processes and
Descriptive Term Descriptive Term
preparations
Very soluble <1
Freely soluble 1–10
3. RUBBING ALCOHOL / ALCOHOL RUBBING COMPOUND
Soluble 10–30 - volatile and flammable and should be stored in a tight container remote
Sparingly soluble 30–100 from fire
Slightly soluble 100–1,000 - Rubbing alcohol contains about 70% ethyl alcohol by volume, the remainder
Very slightly soluble 1,000–10,000 consisting of water, denaturants with or without color additives and perfume

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Practically insoluble or insoluble >10,000 oils, and stabilizers
- employed as a rubefacient externally and as a soothing rub for bedridden
patients

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 - germicide for instruments - Syrups containing flavoring agents but not medicinal substances are called
- skin cleanser prior to injection nonmedicated or flavored vehicles (syrups).
- used as a vehicle for topical preparations - Serve as pleasant-tasting vehicles for medicinal substances to be added in
the extemporaneous compounding of prescriptions or in the preparation of
4. GLYCERIN, USP (GLYCEROL), CH2OH·CHOH·CH2OH a standard formula for a medicated syrup, which is a syrup containing a
- clear syrupy liquid with a sweet taste therapeutic agent
- miscible with both water and alcohol -
- has preservative qualities and is often used as a stabilizer SALTY BITTER SOUR
- auxiliary solvent in conjunction with water or alcohol Cinnamon Cacao Raspberry
- used in many internal preparations Orange Cinnamon Other fruity syrups
Cherry Raspberry
5. ISOPROPYL RUBBING ALCOHOL Cacao cherry
- about 70% by volume isopropyl alcohol, the remainder consisting of water Wild cherry
with or without color additives, stabilizers, and perfume oils raspberry
- used externally as a rubefacient and soothing rub
- vehicle for topical products - provide a pleasant means of administering a liquid form of a disagreeable-
- commercially available 91% isopropyl alcohol solution are commonly tasting – drug
employed by diabetic patients in preparing needles and syringes for - particularly effective in the administration of drugs to youngsters
hypodermic injections of insulin and for disinfecting the skin
PREPARATION OF SYRUPS
6. PROPYLENE GLYCOL, USP, CH3CH(OH) CH2OH
- glycol, a viscous liquid, is miscible with water and alcohol 1. SOLUTION WITH THE AID OF HEAT
- frequently substituted for glycerin - when it is desired to prepare the syrup as quickly as possible and when the
syrup’s components are not damaged or volatilized by heat the sugar is
7. PURIFIED WATER, USP, H2O generally added to the purified water, and heat is applied until the sugar is
- obtained by distillation, ion exchange treatment, reverse osmosis, or other dissolved
suitable process - The use of heat facilitates rapid solution of the sugar and certain other
- has fewer solid impurities than ordinary drinking water components of syrups; however, caution must be exercised against
- When evaporated to dryness, it must not yield more than 0.001% of residue becoming impatient and using excessive heat
(1 mg of solids per 100 mL of water) - Storage in a tight container is a requirement for all syrups
- use in the preparation of aqueous dosage forms except those intended for
parenteral administration 2. SOLUTION BY AGITATION WITHOUT THE AID OF HEAT
- not suitable for weak electrolytes - To avoid heat-induced inversion of sucrose, a syrup may be prepared
without heat by agitation
- more time consuming than the use of heat, but the product has maximum
stability
SYRUPS

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- SG 1.313 3. ADDITION OF SUCROSE TO A MEDICATED LIQUID OR TO A
- concentrated aqueous preparations of a sugar or sugar substitute with or FLAVORED LIQUID
without flavoring agents and medicinal substances

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 - a medicated liquid, such as a tincture or fluidextract, is employed as the - may be useful to the pharmacist in the extemporaneous filling of
source of medication in the preparation of a syrup (contain alcohol-soluble prescriptions involving (a) the addition of a therapeutic agent to a pleasant-
constituents and are prepared with alcoholic or hydroalcoholic vehicles) tasting vehicle and (b) dilution of an existing medicated elixir
- When a pharmacist is called on to dilute an existing medicated elixir, the
nonmedicated elixir he or she selects as the diluent should have
approximately the same alcoholic concentration as the elixir being diluted.
4. PERCOLATION Also, the flavor and color characteristics of the diluent should not be in
- either sucrose may be percolated to prepare the syrup or the source of the conflict with those of the medicated elixir, and all components should be
medicinal component may be percolated to form an extractive to which chemically and physically compatible
sucrose or syrup may be added - commonly used nonmedicated elixirs were
- two separate procedures: 1. aromatic elixir
1st preparation of the extractive of the drug 2. compound benzaldehyde elixir
2nd preparation of the syrup 3. isoalcoholic elixir
- water is passed through a bed of sucrose
MEDICATED ELIXIRS
- medicated elixirs are employed for the therapeutic benefit of the medicinal
ELIXIRS agent
- clear, sweetened hydroalcoholic solutions intended for oral use and are - main advantage of having only a single therapeutic agent is that the dosage
usually flavored to enhance their palatability of that single drug may be increased or decreased by simply taking more or
- Compared with syrups, elixirs are usually less sweet and less viscous less of the elixir
because they contain a lower proportion of sugar and consequently are less
effective than syrups in masking the taste of medicinal substances. TINCTURES
- elixirs are better able than aqueous syrups to maintain both water-soluble - 15-80% Alcohol content
and alcohol-soluble components in solution - alcoholic or hydroalcoholic solutions prepared from vegetable materials or
- All elixirs contain flavorings to increase their palatability, and most elixirs from chemical substances
have coloring agents to enhance their appearance - The alcohol content protects against microbial growth and keeps the
- One advantage of elixirs over their counterpart drugs in solid dosage forms alcohol-soluble extractives in solution
is the flexibility and ease of dosage administration to patients who have - The solvent mix of each tincture is important in maintaining the integrity of
difficulty swallowing solid forms the product
- A disadvantage of elixirs for children and for adults who choose to avoid - Because of the alcoholic content, tinctures must be tightly stoppered and
alcohol is their alcoholic content not exposed to excessive temperatures
- elixirs should be stored in tight, light-resistant containers and protected - Stored in light-resistant containers and protected from sunlight
from excessive heat. - Medicated tinctures taken orally include Paregoric, USP, or camphorated
tincture of opium

PREPARATIONS OF ELIXIRS
- simple solution with agitation Proper Administration and Use of Liquid Peroral Dosage Forms

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- admixture of two or more liquid ingredients - Conveniently, these can be measured in a teaspoon or tablespoon,
depending on the desired dosage. Preferably, however, these medicines
NONMEDICATED ELIXIRS should be measured out in calibrated devices

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  nearly black viscous liquid having a characteristic naphthalene-like
Maceration – “soak” 2-3 days ( orange peel, benzoic) odor and a sharp, burning taste
Percolation – belladonna  obtained as a by-product during the destructive distillation of
Simple solution – iodine tincture bituminous coal
 slightly soluble in water and partially soluble in most organic
SPRAYS solvents, including alcohol
Medicine atomizer – device to deliver the drug via spray - the coal tar is mixed with the sand to distribute it mechanically and create
- aqueous or oleaginous solutions in the form of coarse droplets or as finely a large surface area of tar exposed to the solvent action of the alcohol
divided solids to be applied topically, most usually to the nasopharyngeal
tract or to the skin HYDROGEN PEROXIDE TOPICAL SOLUTION / PEROXIDE
- Contains 2.5% to 3.5% (w/v) hydrogen peroxide, or H2O2
ALUMINUM ACETATE TOPICAL SOLUTION/BUROW SOLUTION - Methods of preparation
- colorless and has a faint acetous odor and a sweetish, astringent taste 1. Use the Action of either phosphoric or sulfuric acid on barium peroxide
- widely applied topically as an astringent wash or wet dressing after dilution 2. uses electrolytic oxidation of a cold solution of concentrated sulfuric acid
with 10 to 40 parts of water. to form persulfuric acid, which when hydrolyzed liberates hydrogen
peroxide
ALUMINUM SUBACETATE TOPICAL SOLUTION - clear, colorless liquid that may be odorless or have the odor of ozone
- requirement for the amount of acetic acid differentiates aluminum acetate - tight, light-resistant containers, preferably at a temperature not exceeding
topical solution from aluminum subacetate topical solution 35°C (95°F).
- ratio of aluminum oxide to acetic acid is 1:2.35, whereas in the acetate - local anti-infective for use topically on the skin and mucous membranes
solution, the ratio is 1:3.52
- stronger CHLORHEXIDINE GLUCONATE SOLUTION
- used externally as an astringent wash and wet dressing (modified Burow - employed extensively as a broad-spectrum antiseptic in clinical and
solution) veterinarian medicine
- In a concentration of 4% (Hibiclens, Molnlycke Health Care Inc.), it is used
CALCIUM HYDROXIDE TOPICAL SOLUTION as a surgical scrub, hand wash, and skin wound and general skin cleanser.
- commonly called limewater, liquor calcis Procedures are established for all of these purposes to maximize the
- must contain not less than 140 mg of Ca(OH)2 in each 100 Ml of solution. effectiveness of the chlorhexidine
- less soluble in hot than in cold water, and cool purified water is the solvent - most common side effect of chlorhexidine is the formation of an extrinsic
- stored in well-filled, tightly stoppered containers to deter the absorption of yellow-brown stain on the teeth and tongue after only a few days of use
carbon dioxide and should be kept in a cool place to maintain an adequate
concentration of dissolved solute POVIDONE IODINE TOPICAL SOLUTION
- categorized as an astringent - chemical complex of iodine with polyvinylpyrrolidone
- contains approximately 10% available iodine and slowly releases it when
COAL TAR TOPICAL SOLUTION/LIQUOR CARBONIS DETERGENS/ LIQUOR applied to the skin
PICIS CARBONIS/ LCD - employed topically as a surgical scrub and nonirritating antiseptic solution
- alcoholic solution containing 20% coal tar and 5% polysorbate 80 - Commercial product: Betadine Solution (Purdue)

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- final content is 81% to 86% ethyl alcohol
- Coal tar THIMEROSAL TOPICAL SOLUTION

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 - water-soluble organic mercurial antibacterial agent used topically for its
bacteriostatic and mild fungistatic properties IODINE TINCTURE
- used mainly to disinfect skin prior to surgery and as a first aid application - 44% and 50% alcohol,
to wounds and abrasions - popular local anti-infective agent applied to the skin in general household
- The solution is affected by light and must be maintained in light-resistant first aid
containers - The reddish-brown color, which produces a stain on the skin, is useful in
- Commercial product: Merthiolate Solution (Lilly) delineating the application over the affected skin area.
- The tincture should be stored in a tight container to prevent loss of alcohol

COMPOUND BENZOIN TINCTURE

- categorized as a protectant
VAGINAL AND RECTAL SOLUTIONS - used to protect and toughen skin in the treatment of bedsores, ulcers,
cracked nipples, and fissures of the lips and anus
VAGINAL DOUCHES - commonly used as an inhalant in bronchitis and other respiratory conditions,
- Powders are used to prepare solutions for vaginal douche, that is, for 1 teaspoonful commonly being added to a pint of boiling water
irrigation cleansing of the vagina - Compound tincture of benzoin serves as a delivery vehicle of podophyllum
- Douche powders are used for their hygienic effects in the treatment of venereal warts
- tight, light-resistant containers. Exposure to direct sunlight or to excessive
ENEMA – to cause evacuation or to bring about systemic or local action heat should be avoided
- synonyms:
RETENTION ENEMAS friar’s balsam
- number of solutions are administered rectally for local effects (e.g., Turlington drops
hydrocortisone) or for systemic absorption (e.g., aminophylline) Persian balsam
- Corticosteroids are administered as retention enemas or continuousdrip as Swedish balsam
adjunctive treatment of some patients with ulcerative colitis Jerusalem balsam
- For nourishment and medication purposes Wade drops
- Anesthetic effect Turlington balsam of life

EVACUATION ENEMAS
- Fleet enema MISCELLANEOUS SOLUTIONS
- Rectal enemas are used to cleanse the bowel
- agents are solutions of sodium phosphate and sodium biphosphate, glycerin AROMATIC WATERS
and docusate potassium, and light mineral oil - clear, aqueous solutions saturated with volatile oils or other aromatic or
- patient should be advised to gently insert the tip of the product with steady volatile substances
pressure and be told that it is not absolutely necessary to squeeze all of the
contents out of the disposable plastic bottle. DILUTED ACIDS
- The patient should be told that the product will most probably work within - aqueous solutions prepared by diluting the corresponding concentrated

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5 to 10 minutes acids with purified water

TOPICAL TINCTURES SPIRITS

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 - 50% - 90 % alcohol content - The resulting solution is highly volatile and flammable and should be
- used pharmaceutically as flavoring agents and medicinally for the preserved in a tight container remote from fire at a temperature not
therapeutic value of the aromatic solute exceeding 30°C
- spirits may be taken orally, applied externally, or used by inhalation, - capable of forming a protective film on application to the skin and the
depending upon the particular preparation volatilization of the solvent
- Depending on the materials, spirits may be prepared by simple solution, - its presence on the skin is uncomfortable because of its inflexible nature
solution by maceration, or distillation
- The spirits most recently official in the USP–NF are aromatic ammonia spirit, FLEXIBLE COLLODION
camphor spirit, compound orange spirit, and peppermint spirit - prepared by adding 2% camphor and 3% castor oil to collodion

SALICYLIC ACID COLLODION

- 10% solution of salicylic acid in flexible collodion
NONAQUEOUS SOLUTIONS - used for its keratolytic effects, especially in the removal of corns from the
toes
LINIMENTS - Because salicylic acid can irritate normal, healthy skin, every attempt must
- alcoholic or oleaginous solutions or emulsions of various medicinal be made to ensure application directly on the corn or wart
substances intended to be rubbed on the skin
- alcoholic or hydroalcoholic vehicle are useful when rubefacient, METHODS OF EXTRACTION
counterirritant, or penetrating action is desired
- oleaginous liniments are employed primarily when massage is desired MACERATION
- oleaginous liniments are less irritating to the skin than alcoholic liniments - Latin macerare, meaning to “soak”
- Liniments are not applied to skin areas that are broken or bruised because - process in which the properly comminuted drug is permitted to soak in the
excessive irritation might result menstruum until the cellular structure is softened and penetrated by the
- should bear a label indicating that they are suitable only for external use menstruum and the soluble constituents are dissolved
and must never be taken internally - period usually ranging from 2 to 14 days
- Maceration is usually conducted at a temperature of 15°C to 20°C for 3 days
COLLODIONS or until the soluble matter is dissolved
- liquid preparations composed of pyroxylin dissolved in a solvent mixture
usually composed of alcohol and ether with or without added medicinal PERCOLATION
substances - Latin per, meaning through, and colare, meaning to strain
- Pyroxylin (i.e., nitrocellulose, soluble gun cotton, collodion cotton), obtained - may be described generally as a process in which a comminuted drug is
by the action of a mixture of nitric and sulfuric acids on cotton, consists extracted of its soluble constituents by the slow passage of a suitable
chiefly of cellulose tetranitrate solvent through a column of the drug
- One part of pyroxylin is slowly but completely soluble in 25 parts of a mixture - the flow of the menstruum over the drug column is generally downward to
of 3 volumes of ether and 1 volume of alcohol the exit orifice, drawn by the force of gravity as well as the weight of the
- Collodions are intended for external use column of liquid
- The shapes of percolators in common laboratory and small-scale use are

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COLLODION - (a) cylindrical, with little, if any, taper except for the lower orifice; ( b)
- clear or slightly opalescent viscous liquid prepared by dissolving pyroxylin roundish, but with a definite taper downward; and ( c) conical, or funnel
(4%w/v) in a 3:1 mixture of ether and alcohol shaped

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EXAMPLE PREPARATIONS PREPARED BY EXTRACTION PROCESSES

FLUIDEXTRACTS
- liquid preparations of vegetable drugs prepared by percolation
- contain alcohol as a solvent, preservative, or both and are made so that
each milliliter contains the therapeutic constituents of 1 g of the standard
drug that it represents

EXTRACTS
- concentrated preparations of vegetable or animal drugs obtained by
removal of the active constituents of the respective drugs with suitable
menstrua, evaporation of all or nearly all of the solvent, and adjustment of
the residual masses or powders to the prescribed standards
- potent preparations, usually between two and six times as potent on a
weight basis as the crude drug
- Extracts are made in three forms:
(a) semiliquid extracts or those of a syrupy consistency prepared without
the intent of removing all or even most of the menstruum,
(b) pilular or solid extracts of a plastic consistency prepared with nearly all
of the menstruum removed
(c) powdered extracts prepared to be dry by the removal of all of the
menstruum insofar as is feasible or practical

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 PARTICLE SIZE OF DISPERSION PHASE

Classifications Size Examples

Colloidal Dispersion 1 nm- 0.5 mcm Cheese, butter and milk  The particles in coarse dispersion have a greater tendency to separate
Coarse Dispersion 10 to 50 mcm Suspension and emulsion from the dispersion medium than do the particles of a fine dispersion.
Fine Dispersion 0.5 to 10 mcm Magma and gel  Most solid in dispersion tend to settle in the bottom of the container
because of their greater density than the dispersion medium

SUSPENSION
DISPERSED SYSTEM
- Preparations contain finely divided drug particles (the suspensoid)
 Magma distributed somewhat uniformly throughout a vehicle in which the drug
 Suspension exhibits a minimum degree of solubility.
 Emulsion - Generally, this type of product is a powder mixture containing the drug
and suitable suspending and dispersing agents to be diluted and agitated
DISPERSED PHASE with a specified quantity of vehicle, most often purified water.
- Particles are usually solid material that are insoluble in the dispersion CHARACTERISTIC IDEAL SUSPENSION
medium.
- In the case of the emulsions, it is a liquid that is neither soluble nor 1. UNIFORM DISPERSION
miscible with the liquid of the dispersing phase. - Minimize tension of drug
- Internal phase - Suspensoid should be properly wetted
- In the case of aerosol, it may be small air bubbles throughout a solution or - Increase density and viscosity of vehicle
emulsion - slow particles
- Dispersion also consist of droplets of liquid (solution or suspension) in
air. 2. SLOW TO SETTLE
- Increased density and viscosity of vehicle
DISPERSION MEDIUM - Small particle size of suspensoid
- Serves as a liquid vehicle and also called as dispersing phase
3. READILY DISPERSE
- External phase
 Must form cake or floccule
EMULSIFICATION
4. CONSTANT PARTICLE SIZE

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- Results in the dispersion of liquid drug as a fine droplets throughout the 5. EASILY TO POUR WHEN ADMINISTER
dispersing system. - to attain or to maintain product stability

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REASON (SUSPENSION): - Antacid and antibacterial suspension
- Needs recommendation; ready to use
 to mask undesirable taste of the drug they add as flavouring agent
- Dry powder for suspension
 for children who have swallowing problem
EXAMPLES: Augmentin, Co-amoxiclav
MAIN REASON:
ANTACID ORAL SUSPENSION
- Drug stability
- Are intended to counteract the effects of gastric hyperacidity such as
peptic ulcer patients
- Its ability is to neutralize gastric acid varies with the chemical agent

DIFFERENT TYPES OF SUSPENDING AGENT ANTIBACTERIAL ORAL SUSPENSIONS

1. HYDROPHILIC COLLOIDS - Include preparation of antibiotics substances
- Increases the viscosity of the product by binding water molecule. - The dispersing phase of antibiotic suspensions is aqueous and usually
colored, sweetened, and flavoured to render the liquid more appealing and
EXAMPLES:
palatable.
 Acacia 35% as suspending agent
RECTAL SUSPENSION
 Tragacanth 5%
 Methyl cellulose and; 2. SUSPENSION FOR INJECTION
 Carboxyl cellulose - Particle size must be exhibit syringe ability
- Product must have the ability to administer using syringe and does not
2. CLAYS clog in syringe
- Silicate of anionic aqueous dispersion
- Strongly hydrated the product isotropy 3. OPTHALMIC SUSPENSION
- While exhibit thixoropy - Must not exceed in micron particle
EXAMPLES:
4. SUSPENSION FOR TROPICAL USE
- Benthonite magma - It should be impalpable (incapable to be felt)

3. AGAR, GELATIN, AND GELATINIC STARCH 5. RECTAL SUSPENION

- a diagnostic agent to visualize GI tract
- Example: Barium Sulfate

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TYPES OF SUSPENSION PREPARATION OF SUSPENSION
1. ORAL SUSPENSION

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 - Wetting of particles  Acacia- used in the preparation of extemporaneous emulsion
- Blending of all the ingredients  Tragacanth and Agar – thickening agent in acacia-emulsified
product
CLASSESS OF SUSPENSION
 Chondrus
1. LOTIONS  Pectin
- For external application
- Intendended to be applied on unbroken skin 2. SYNTHETIC
- Low to medium viscosity - 3 CATEGORIES
 ANIONIC- Derivatives of soap such as triethanolamine oleate and
TYPES: sodium lauryl sulfate
 ALKALI- oil in water emulsion
A. MEDICATED
Example: SORBITAN
- EXAMPLE: Kwell (Lindane)
 CATIONIC- 1% concentration of of benzalconium chloride as
Calamine- antipuritic
surfactants that is use as resistant effect on acids and electrolytes
B. NON MEDICATED
- EX: Nivea- emollient and moisturizer EMULSIFYERS AND STABILIZERS

2. GELS 1. PROTEIN SUBSTANCES

3. MAGMAS AND MILK  GELATIN- its disadvantage is the emulsion frequently is too fluid and
- Suspension in acqueous vehicle becomes more fluid upon standing
- For oral administration  EGG YOLK
- EX: Milk of magnesia- for constipation and as a laxative  CASEIN
4. MIXTURES
2. HIGH MOLECULAR WEIGHT ALCOHOLS
 STEARYL ALCOHOL employed primarily
EMULSIONS  CETYL ALCOHOL as thickening agent
 GLYCERYL MONOSTREATE
- A dispersion in which the dispersed phase is composed of small globules of
liquid distributed throughout another liquid, in which it is immiscible
- A two-phase system in which one immiscible liquid is intimately dispersed
in another liquid THEORIES OF EMULSIFICATION

1. SUFACE-TENSION THEORY
 The use of surface-active and wetting agent as emulsifiers and stabilizers
PREPARATION OF EMULSIONS lowers the interfacial tension of the two immiscible liquid , reducing the
repellant force between liquid and diminishing each liquid ‘s attraction for
TYPES OF EMULSION

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its own molecules
1. NATURALLY OCCURING
- EXAMPLE 2. ORIENTED-WEDGE THEORY

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  Assumes monomolecular layer of emulsifying agent curved around a - Also referred as 4:2:1 method because every 4 parts by volume of oil, 2
droplet of the internal phase of the emulsion parts of water and 1 part of gum are added in preparing the initial or
primary emulsion
3. INTERFACIAL FILM OR PLASTIC FILM THEORY - Wedgwood or porcelain mortar is used.
 Places the emulsifying agent at the interface between the oil and water,
surrounding at the droplets of the internal phase as a thin layer of film 2. ENGLISH OR WET GUM METHOD
absorbed on the surface of the drops. - The same proportion of oil, water and gum but the order of mixing is
different and the proportion of ingredients may be varied during the
4. VISCOSITY THEORY preparation of the primary emulsion
 Increases the viscosity of the product if the content are agitated by - Mucilage of the gum is prepared by triturating in a mortar granular acacia
applying stress. with twice its weight. The oil is added slowly in portions and the mixtures
is triturated to emulsifying oil.
POTENTIAL PROBLEMS 3. BOTTLE OR FORBES BOTTLE METHOD
A. FLAVORS PARTITIONING TO INTERNAL PHASE - Useful for the extemporaneous preparation of emulsion from volatile oils
- Not compatible or oleageninous substances of low viscosities.
B. PRESERVATIVES PARTITIONING TO INTERNAL PHASE - This method is not suitable for viscous oils because they cannot be
C. CREAMING thoroughly aggitated in the bottle when mixed with the emulsifying agent.
- Migration of droples to top or bottom due to density differences
D. COALESCENCE 4. AUXILLARY METHODS
- Separation of external and internal phase - An emulsion is prepared by either the wet gum or the dry gum method
E. PHASE INVERSION can generally be increased in quality by passing it through a hand
homogenizer

5. NASCENT SOAP METHOD

HLB SYSTEM (HYDROPHILIC- LIPOPHILIC BALANCE)
- Performed by mixing equal portion of oil and alkali solution to form a soap
ACTIVITY ASSIGNED HLB that act as emulsifying agent
Antifoaming 1-3 - Olive oil, calcium oleate for calamine lotion
Emulsifiers (w/o) 3-6
Wetting agents 7-9
Emulsifiers (o/w) 8-18 GELS
Solubilizers 15-20 - Semi solid system consisting of dispersions made up of either small
detergents 13-15 inorganic particels or large organic molecules enclosing and
interpenetrated by a liquid.
- Semi rigid system is which movement of the dispersing medium is
METHODS IN EMULSION PREPARATION

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restricted by an interlacing three-dimensional network of particles of
1. CONTINENTAL OR DRY GUM METHOD phase.

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 - Some gels system are as clear as water and others are turbid because the - Is formed by grouping or association of molecules that exhibit both
ingredients may not be completely molecularly dispersed. lyophilic and lyophobic properties
- The concentration of gelling agent is mostly <10%, usually in 0.5% to
2.0% range THIXOTROPY
- A change in temperature can cause certain gels to resume the sol or liquid - Some gels become fluid on agitation, only to resume their solid or
state. semisolid state after remaining undisturbed for a period of time
- is a reversible gel-sol formation with no change in volume or temperature
SINGLE-PHASE GELS NATURAL COLLOIDS
- Gels in which the macromolecules are distributed so that no apparent - They are self dispersing upon addition to the dispersing medium like
boundaries exist between them and the liquids acacia

MAGMA OR MILK ARTIFICIAL COLLOIDS

- When the gel mass consist of floccules of small, distinct particles, the gel - Require special means for prompt dispersion
is classified as a two-phase - They may require fine pulvurization of coarse particles to colloidal size by
colloid mill or micropulvurizer
COLLOIDAL DISPERSION
- Contain opaque particles that do not scatter light and appear turbid. TERMIMOLOGY RELATED TO GEL
1. IMBIBITION
SOL - Is a taking up of a certain amount of liquid without a measurable
- general term to designate a dispersion of a solid substance in a liquid, increase im volume.
solid and gaseous medium.
2. SWELLING
TRUE SOLUTION - Is a taking up of a liquid by a gel with an increase in volume.
- do not scatter light and its appearance is clear. - Swelling of protein gels is influenced by the pH and the presence of
electrolytes
TYPES OF COLLOIDAL SOL
3. SYNERESIS
1. LYOPHILIC - Occurs between the interacion of particles of the dispersed phase become
- If the disperse phase interacts appreciably with the dispersion medium so great that on standing, the dispersion medium is squeezed out in
- Solvent loving droplets and gels shrink
- Large organic molecules capable of being solvated or associated with the - The syneresis of an acidic gel from Plantago albicans seed gum may be
molecules of the dispersing phase. decreased by the addition of electrolyte, glucose, and sucrose

2. LYOPHOBIC 4. XEROGEL
- If the degree of attraction is small - Formed when the liquid is removed from a gel and only the
- Solvent hating frameworks remains.
- Composed of inorganic particles and do not spontaneously dispersed

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CLASSIFICATION AND TYPES OF GELS
3. AMPHIPHILIC COLLOID OR ASSOCIATION
CLASS DESCRIPTION EXAMPLES

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 Inorganic Usually two-phase system Aluminum hydroxide gel 2. CARBOMER
Bentonite magma - Are ingredients in variety of dosage system like controlled release tablets,
Organic Usually single-phase sytem Carbopol oral suspension and topical gels.
tragacanth - Carbomer 934 is highly effective in thick formulations such as viscous
Hydrogels Organic hydrogels Pectin paste, tragacanth gels
jelly - Primarily used in aqueous systems
Natural and synthetic gums Methylcellulose, sodium
CMC, Pluronic 3. CMC sodium
Inorganic hydrogels Bentonite gel (10%- - Is a soluble in water at all temperatures
25%), veegum, silica
Organogels Hydrocarbon type Petrolatum, Mineral GEL FORMULATION CONSIDERATION
oil/polyethylene gel  The powdered polymers in preparing gels, when added to water may
(plastibase) form temporary gels that slow dissolution
Animals, vegetbale fats Lard, cocoa butter  As a hot colloidal dispersion cools, the gelatin macromolecules loose
Soap base greases Aluminum stearate with kinetic energy.
heavy mineral oil gel  Polymer solutions tend to be cast as gels because of the solute consist
Hydrophilic organogels Carbowax bases (PEG of long flexible chains of molecules such as thickness.
ointment)  Inorganic salts will compete with the water in a gel and cause gelation
Polar at lower concentration
nonionic  Aqueous polymer should be store for approximately 48 hours after
dissolution to promote full hydration and maximum viscosity and
clarity

PREPARATION OF MAGMAS AND GELS

 Precipitating the disperse phase to achieve a fine degree of the
subdividion of particles and a gelatinous to those particles. EXAMPLES OF MAGMAS AND GELS
 Directly hydrating the inorganic chemical which produces the dispersed 1. BENTONITE MAGMA, NF
phase of the dispersion - Is a preparation of 5% bentonite, a native colloidal hydrated silicate in
I purified water
*Gels and magmas should be shaken before use - It may be prepared mechanically in blender
- The mixture must be allowwed to stand for 24 hours before it may be
EXAMPLE OF GELING AGENTS stirred
- Suspending agent
1. ALGINIC ACID
- Is obtained from seaweed throughout the world and the prepared product 2. ALUMINUM HYDROXIDE GEL, USP
is tasteless, odorless, white to yellowish-white color of the fibrous powder - Is an aqueous suspension of gelatinous precipitate composed of insoluble
and the concentration is 1% to 5% as thickening agent in gels. aluminum hydroxide

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- Can be dispersed in water vigorously stirred for approximately 30 minutes - Suitable for microbial agents
- DISADVANTAGE: Constipating effect
- Should be stored in tight container and freezing should be avoided

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  a portio of medication can be easily withdrawn from the package
3. MILK OF MAGNESIA without contamination or exposure to the remaining material
- It contains 7% to 8.5% magnesium hydroxide  the aerosol container protects the medicinal agents adversely affected
- Possesses reasonable acid-neutralizing ability by atmospheric oxygen and moisture. Opaque container protects the
aerosol from light.
AEROSOL  Topical aerosol may be applied in a uniform thin layer of the skin
- Pressurized dosage forms that emite a fine dispersion of liquid and/or solid without anything else touching the affected area. It reduces the
materials containing one or more ingredients in gaseous medium irritation
 The physical form and particle size of the emitted product may be
PRESSURIZED PACKAGE controlled, which may contribute to efficacy of a drug. Through the
- Is commonly used when referring to the aerosol or completed product. use of metered valves dosage may be controlled
SPACE SPRAYS  Aerosol application is clean process requiring little or no washup bu
- Aerosol used to provide airborne mints the user.
- Usually operate at 30-40 psig at 21 degress Celcius
SURFACE SPRAYS OR SURFACE COATINGS COMPONENTS OF AEROSOL
- Aerosols intended to carry active ingredient to a surface 1. PRODUCT CONCENTRATE
- Example is dermatologic aerosols,  Active ingredient of the aerosol combined with the required adjuncts such
as antioxidant, surface-active agents and solvents
TYPES OF AEROSOLS 2. PROPELLANT
P
1. INHALATION AEROSOLS OR METERED-DOSE INHALER AEROSOL SYSTEM
- Are intended to produce fine particles or droplets for inhalation through  The pressure of an aerosol is critical to its performance and it can be
the mouth and deposition in the pulmonary tree. controlled by:
- Intended to release measured quantities and of the appropriate quality of  The type and amount of propellant
the active substance with each actuation  The nature and amount of product concentrate

2. NASAL AEROSOL
- Aka Nasal MDI TWO-PHASED SYSTEM
- produce fine particles or droplets for delivery through the nasal vestibule - Consist of a liquid phase, containing the liquefied propellant and product
and deposition in the nasal cavity. concentrate and the vapor phase.

3. LINGUAL AEROSOL THREE-PHASED SYSTEM

- produce fine particles or droplets for deposition on the surface of the - Consist of a layer of water-immiscible liquid propellant a layer of highly
tongue aquoues product concentarte and the vapor phase.
- release one dose with each actuation
CONTAINERS
4. TOPICAL AEROSOL  Glass, uncoated or plastic coated

CMGT
- produce fine particles or droplets for application of the skin  Metal including thin-plated steel, aluminum, and stainless steel
 Plastics
ADVANTAGES OF THE AEROSOL DOSAGE FORM

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  Glass presents fewer problems with respect to chemical compatibility with
the formula than do metal containers and its not subjected to corrosion. METERED-DOSE INHALATION
 Plastic coatings are commonly applied to the outer space of the glass - Are employed when the formulation is potent medication
containers to render them to more resistant to accidental breakage and in
the event breaking the plastic prevents the scattering of glass fragments PACKAGING, LABELLING AND STORAGE
 Tin-plated steel containers are most widely used metal containers for  Most aerosol products have a protective cap or cover that protects the
aerosol valve against contamination with dust and dirt
 Exposure to temperatures above 45 degrees Celcius may burst an aerosol
VALVE ASSEMBLY container.
- Permit expulsion of the contents of the can in the desired form,  Generally recommended for storage between 15 to 3o degrees celcius
desired rate and in the case of metered valves  Shake before use
PARTS:  Proper holding

1. ACTUATOR TOPICAL AEROSOL

- Permits easy opening and closing of the valve - Provides the patient a means of applying the drug in convenient manner.
FOAMS
2. STEM - Is an emulsion dosage form containing dispersed gas bubbles.
- Supports the actuator and delivers the formulation in the proper form - MEDICATED FOAMS:
to the chamber of the actuator emulsion
packaged in pressurized containers
3. GASKET fluffy, semisolid consistency
- Placed snugly with the stem and prevents leakage of the formulation intended to treat severely injured skin or open wound must be sterile
when the valve is close

4. SPRING
- Holds the gasket in place and is the mechanism by which the actuator
retracts when pressure is release returning the valve to the close
position

5. MOUNTING CUP
- Attached to the aerosol can or container and holds the valve in place

6. HOUSING
- Directy below the mounting cup, the housing links the dip tube and
the steam and actuator

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7. DIP TUBE
- Extends the housing down to the product
- Brings the formulation to the container to the valve

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 Pyrogens
∙ or bacterial endotoxins, are organic metabolic products shed from gram-negative
bacteria, which can cause fever and hypotension in patients when they are in
excessive amounts in intravenous (IV) injections

Parenteral Routes of Administration

∙ joints (intraarticular) ∙ vein (intravenous, IV)
∙ joint fluid area (intrasynovial) ∙ muscle (intramuscular, IM)
∙ spinal column (intraspinal) ∙ skin (intradermal, ID; intracutaneous)
∙ spinal fluid (intrathecal) ∙ under the skin (subcutaneous, SC; sub-
∙ arteries (intra-arterial) Q, SQ; hypodermic, hypo
∙ heart (intracardiac)

Intravenous
STERILE DOSAGE FORMS Route
PARENTALS ∙ 35-40֯
∙ IV medication was first given to humans by Johann Daniel Major of Kiel in 1662 but
Injections was abandoned for a period because of thrombosis and embolism in the patients
∙ sterile, pyrogen-free (endotoxin units [EU] limited) preparations intended to be so treated.
administered parenterally ∙ flow rates for IV fluids are expressed in milliliters per hour and range from 42 to

CMGT
∙ parenteral refers to the injectable routes of administration 150 mL/h.
∙ para (outside) and enteron (intestine) and denotes routes of administration other
than the oral route

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 ∙ A thrombus is a blood clot formed within the blood vessel (or heart), usually ∙ Syringes with up to 3-mL capacities and 24- to 26-gauge needles are used. These
because of slowing of the circulation or an alteration of the blood or vessel wall. needles have cannula lengths of three-eighths of an inch to an inch
∙ Once such a clot circulates, it becomes an embolus, carried by the blood stream ∙ Most typically, SC insulin needles are 25 to 30 gauge with length of five-sixteenth
until it lodges in a blood vessel, obstructing it and resulting in a block or occlusion to five-eighth of an inch
referred to as an embolism
Intradermal Route
Intramuscular Route ∙ 15-30֯
∙ 90֯ ∙ Used for skin test
∙ IM injections of drugs provide effects that are less rapid but generally longer ∙ isotonic solution
lasting than those obtained from IV administration ∙ used for diagnostic determinations, desensitization, or immunization
∙ Aqueous or oleaginous solutions or suspensions of drug substances may be ∙ The usual site for ID injection is the anterior forearm
administered intramuscularly A short (three-eighth of an inch) and narrow (23- to 26-gauge) needle is usually
∙ Used for IM administration employed
 Peanut oil ∙ needle is inserted horizontally into the skin, with the bevel facing up. The injection
 Cotton oil is made with the bevel just disappearing into the corium. Usually, only about 0.1
 Sesame oil mL may be administered in this manner
 Corn oil
∙ Injuries to patients from IM injection include paralysis resulting from neural OFFICIAL TYPES OF INJECTIONS
damage, abscess, cyst, embolism, hematoma, sloughing of the skin, and scarring 1. Injection: Liquid preparations that are drug substances or solutions thereof (e.g.,
∙ In adults, the upper outer quadrant of the gluteus maximus is the most frequently Insulin Injection, USP)
used site for IM injection 2. For injection: Dry solids that, upon addition of suitable vehicles, yield solutions
∙ in infants and young children, the deltoid muscles of the upper arm or the conforming in all respects to the requirements for injections (e.g., Cefuroxime for
midlateral muscles of the thigh are preferred. An injection in the upper or lower Injection, USP)
portion of the deltoid would be well away from the radial nerve 3. Injectable emulsion: Liquid preparation of drug substance dissolved or dispersed
∙ volume of medication generally to a maximum of 5 mL in the gluteal region and 2 in a suitable emulsion medium (e.g., Propofol, USP)
mL in the deltoid of the arm 4. Injectable suspension: Liquid preparation of solid suspended in a suitable liquid
medium (e.g., Methylprednisolone Acetate Suspension, USP)
5. For injectable suspension: Dry solid that, upon addition of suitable vehicle, yields
preparation conforming in all respects to the requirements for injectable
suspensions (e.g., Imipenem and Cilastatin for Injectable Suspension, USP)
Subcutaneous Route
∙ 15-30֯ SOLVENTS AND VEHICLES FOR INJECTIONS
∙ Injection of a drug beneath the skin is usually made in the loose interstitial tissue
∙ Water for Injection, USP
of the outer upper arm, the anterior thigh, or the lower abdomen

CMGT
∙ Purified Water for Injection, USP
∙ maximum amount of medication injected subcutaneously is about 1.3 mL
∙ Sterile Water for Injection, USP
∙ amounts greater than 2 mL will most likely cause painful pressure
∙ Bacteriostatic Water for injection, USP

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 ∙ Sodium chloride injection, USP - by gamma rays and by cathode rays, but application of such techniques is
∙ Bacteriostatic sodium chloride, USP limited because of the highly specialized equipment required and the effects
∙ Ringer’s Injection, USP Lactated Ringers Injection, USP of irradiation on the products and their containers.

NONAQUEOUS VEHICLES ADVANTAGES

∙ Quick onset of action
∙ Fixed vegetable oil
∙ Useful for unconscious or vomiting patients.
∙ Glycerin
∙ Duration of action can be prolonged by modifying formulation.
∙ Polyethylene glycols
∙ Suitable for nutritive like glucose & electrolyte
∙ Propylene glycol
∙ Suitable for the drugs which are inactivated in GIT or GI fluid
∙ Alcohol
DISADVANTAGES
METHODS OF STERILIZATION
∙ Once injected cannot be controlled
∙ Steam Sterilization ∙ Injections may cause pain at the site of injection
- conducted in an autoclave and employs steam under pressure. It is usually ∙ Only trained person is required If given by wrong route, difficult to control
the method of choice if the product can withstand it adverse effect
∙ Difficult to save patient if overdose
∙ Dry Heat Sterilization ∙ Requires strict control of sterility & non pyrogenicity than other formulation.
- carried out in ovens designed for this purpose. The ovens may be heated
either by gas or electricity and are generally thermostatically controlled.
Because dry heat is less effective in killing microorganisms than is moist
heat, higher temperatures and longer periods of exposure are required.

∙ Sterilization by Filtration
- which depends on the physical removal of microorganisms by adsorption on
the filter medium or by a sieving mechanism, is used for heat-sensitive
solutions

∙ Gas Sterilization
- exposure to ethylene oxide or propylene oxide gas than by other means.
These gases are highly flammable when mixed with air but can be employed
safely when properly diluted with an inert gas such as carbon dioxide or a
suitable fluorinated hydrocarbon

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∙ Sterilization by Ionizing Radiation

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 ∙ biotechnology now encompasses the use of tissue culture, living cells, or cell
enzymes to make a defined product.
∙ rDNA and monoclonal antibody (MAb) technologies have provided exciting
opportunities for the development of more pharmaceuticals and approaches to
the diagnosis, treatment, and prevention of disease.

Pharmacogenomics is the application of genomic technology to genetic variation in

response to pharmaceutical compounds

∙ Specialty products are conveniently placed into one of the three categories:
a. self-administered therapies (e.g., rheumatoid arthritis, multiple sclerosis,
psoriasis);
b. products injected or infused in an office or clinical setting (e.g., vaccines,
asthma, immune disorders); and
c. office-/clinic-administered chemotherapeutic agents (e.g., cancer,
neutropenia, anemia)

Reconstitution
∙ Water for injection
∙ 0.09 NaCl injection
∙ 50% dextrose injection

Lepirudin (Refludan®)
 Anticoagulant
 Hirudo medicinalis
 It binds to one molecule of thrombin and blocks its activity

Efavirenz (Sustiva®)
 First anti-HIV drug to be approved by the FDA
 reduces plasma viral RNA to below quantifiable levels in a majority of HIV-1
 OD

Epoetin alfa (Epogen®)

 Treatment for anemia

CMGT
PRODUCTS OF BIOTECHNOLOGY  Contains AA in an identical sequence of endogenous human erythropoietin.
IV or SC

19
 Shake: n/a
Tocilizumab (Actemra®) Protect from light: No
 first IL-6 receptor inhibiting MAb for the treatment of rheumatoid arthritis. SALAD: Avinza
 Infusion Other: Pregnancy Category X

Trastuzumab (Herceptin®) Drug: Varimax

 Treatment for cancer Storage: -15 ˚C
 binds to the surface of normal cells and plays a role in regulating cell growth. Freeze: Yes
Black box warning Shake: No
 IV infusion Protect from light: Yes
SALAD: N/A
Rasburicase (Elitek®) Other: Administer within 30 mins
 Initial management of elevated plasma uric acid levels in children
 Black box warning
 IV Infusion
TRENDS IN PHARMACEUTICAL
PATIENT INFORMATION FROM THE PHARMACIST INDUSTRY
∙ For products that can be parenterally self-administered, the pharmacist
should instruct patients in the use of aseptic technique 19th century Pharmaceutical Innovations
Discover and Develop
Role of Pharmacist Chemical synthesis
∙ Aseptic technique
∙ Counsel 20th century Pharmaceutical Innovations
∙ Closely monitor patients Discover and Develop
Chemistry and physiology
Drug: Aranesp
Storage: 2-8 ˚C Trends in Pharmaceutical Industry
Freeze: No Prevention and Treatment
Shake: No  Adjusting life-style
Protect from light: Yes  Supplements Prevention over treatment
SALAD: Epoetin alfa Turning Back to Nature
Other: Do not dilute with other drug
 Biological labs
Crowdsourcing the solution

CMGT
Drug: Evista
 Empowered and know-how patients
Storage: 15-30 ˚C
Open Innovation VS Confidentiality
Freeze: No
 Do not share with each other

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Nano Technology
 Nanomedicine
Personalized Medicine
 Customization
3D Printing
 Spritam
Artificial Intelligence
 Cognitive computers
Body sensor
 Integrated body chips

CMGT
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