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Perspective in Pharmacy, Summaries of Pharmacy

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Typology: Summaries

2021/2022

Uploaded on 11/25/2022

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Midterms
Angel Javier | PIP | SEM 01 2022
1
DEFINITION OF TERMS
Pharmaceutics
- is the study of the preparations of drug
dosage forms and drug delivery systems
with their use in patient care.
- It is a branch of pharmacy that includes the
study of formulation of drugs into dosage
forms.
- It provides the knowledge of
interrelationship between physical
pharmacy, biopharmaceutics,
pharmacokinetics, dosage form design,
formulation, small and large scale
manufacture and the clinical application of
dosage forms in patient care.
Drug
- is an agent used for the diagnosis,
mitigation, treatment, cure or prevention of
diseases in humans or animals. Dosage
forms
- Barium enema for radiocontrast media
Dosage Form
- are the means through which drugs are
delivered in the body towards its site of
action.
- They are the final product containing drugs
that are administered to the patients.
-Dosage forms (medicine) include/consist
of active drug ingredients and
pharmaceutical excipients.
API - gives therapeutic effect on body; main
ingredient
Excipients - cannot be seen on the generic name
but are in the medicine; used as a bulky ingredient;
starch, lubricants
IMPORTANCE OF DIFFERENT DOSAGE FORMS
1. To provide accurate dose
2. To deliver in a convenient form to the patient
3. To Increase the stability of the drug
- Medications are more stable if there
is no water in the ingredient because
water permits or promotes the
growth of microbial microorganisms
- Drugs last for 7 days in room
temperature and 14 days in
refrigerator
4. To enhance therapeutic activity of the drug
substance
THE NEED FOR DOSAGE FORMS
Besides providing the mechanism for the safe and
convenient delivery of accurate dosage,
pharmaceutical dosage forms are needed for the
following additional reasons:
1. To provide drug products that bypass the
first-pass metabolism
- When the drug arrived at the liver
where it will be metabolized, first
pass effect will occur; usually, orally
administered medicines will undergo
first pass metabolism
- LADMER (liberation, absorption,
distribution, metabolism, elimination,
and response)
- e.g., injections, topical dosage forms
etc.
2. To protect the drug substance from the
destructive influence of atmospheric oxygen
or humidity
- e.g., coated tablets.
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Angel Javier | PIP | SEM 01 2022 1 DEFINITION OF TERMS Pharmaceutics

  • is the study of the preparations of drug dosage forms and drug delivery systems with their use in patient care.
  • It is a branch of pharmacy that includes the study of formulation of drugs into dosage forms.
  • It provides the knowledge of interrelationship between physical pharmacy, biopharmaceutics, pharmacokinetics, dosage form design, formulation, small and large scale manufacture and the clinical application of dosage forms in patient care. Drug
  • is an agent used for the diagnosis, mitigation, treatment, cure or prevention of diseases in humans or animals. Dosage forms
  • Barium enema for radiocontrast media Dosage Form
  • are the means through which drugs are delivered in the body towards its site of action.
  • They are the final product containing drugs that are administered to the patients.
  • Dosage forms (medicine) include/consist of active drug ingredients and pharmaceutical excipients. API - gives therapeutic effect on body; main ingredient Excipients - cannot be seen on the generic name but are in the medicine; used as a bulky ingredient; starch, lubricants IMPORTANCE OF DIFFERENT DOSAGE FORMS
  1. To provide accurate dose
  2. To deliver in a convenient form to the patient
  3. To Increase the stability of the drug
  • Medications are more stable if there is no water in the ingredient because water permits or promotes the growth of microbial microorganisms
  • Drugs last for 7 days in room temperature and 14 days in refrigerator
  1. To enhance therapeutic activity of the drug substance THE NEED FOR DOSAGE FORMS Besides providing the mechanism for the safe and convenient delivery of accurate dosage, pharmaceutical dosage forms are needed for the following additional reasons:
  2. To provide drug products that bypass the first-pass metabolism
  • When the drug arrived at the liver where it will be metabolized, first pass effect will occur; usually, orally administered medicines will undergo first pass metabolism
  • LADMER (liberation, absorption, distribution, metabolism, elimination, and response)
  • e.g., injections, topical dosage forms etc.
  1. To protect the drug substance from the destructive influence of atmospheric oxygen or humidity
  • e.g., coated tablets.

Angel Javier | PIP | SEM 01 2022 2

  1. To protect the active pharmaceutical ingredients (APIs) from the destructive influence of gastric acid following oral administration of the dosage form - e.g., enteric-coated tablets.
  2. To mask the bitter, salty, or undesirable taste or odor of drug substances - e.g., capsules, coated tablets, taste-masked suspensions, and flavored syrup.
  3. To provide useful dosage form for administering substances that are either insoluble or unstable in the desired vehicle - e.g., suspensions
  4. To provide rate-controlled drug action
    • Fast release (alaxan fr), sustained release, controlled release tablets
    • Has time to release medicine inside the body (modified or engineered)
    • e.g., various controlled-release tablets, capsules, and suspensions.
  5. To provide drug products that are stable, effective, and safe for consumption under specified suitable storage conditions - e.g., powders for reconstitution.
  6. To provide optimal drug action from topical administration sites - e.g., creams, transdermal patches, ointments, and ophthalmic, ear, and nasal preparations.
  7. To provide sterile, clear, and particulate-free liquid dosage forms of substances - Those ophthalmic preparations and otic (ears) preparations should be prepared in a sterile and aseptic technique or way to avoid risk to the patient - e.g., injections and eye and ear drops.
  8. To provide site-specific and local drug delivery
    • e.g., rectal and vaginal suppositories. 11. To target the drug at the desired site of action - e.g., nanoparticulate systems, liposomes, etc. 12. To achieve rapid onset of action through inhalation therapy - e.g., inhalants and inhalation aerosols. TYPES OF DOSAGE FORMS - Pharmaceutical dosage forms are classified either based on the methods/route of administration or based on the physical form of the dosage form. CLASSIFICATION OF PHARMACEUTICAL DOSAGE FORM - According to the mode of Administration - According to Physical Nature

Angel Javier | PIP | SEM 01 2022 4 I. LIQUID DOSAGE FORMS LIQUID DOSAGE FORMS ADVANTAGES Patient Convenience

  • For use in infants, geriatric, & psychiatric patients.
  • Easier to swallow than solid dosage forms. Patient Acceptability
  • Colors can vary.
  • Flavors can be added for better taste (ex. sweet, better texture). Flexibility of Dosage
  • May vary dosage by teaspoonful tablespoonful, pr milliliter (as opposed to solid dosage forms that are more difficult to vary). Absorption Rate
  • Absorbed more quickly than solid dosage forms because the drugs are already dissolved. A. Solution
  • A homogeneous mixture that is prepared by dissolving a solid or liquid or gas in another liquid
  • It represents a group of preparations in which the molecules of the solute or dissolved substance are dispersed among those of the solvent A.1 Aqueous Solution WATER is used as a vehicle and as a solvent for the desired flavoring or medicinal ingredients a. Aromatic Water
  • Aka Medicated water
  • Clear saturated aqueous solutions of volatile oils or other aromatic or volatile substance
  • They are used mainly as flavored or perfume vehicle b. Aqueous Acids
  • Are official inorganic acids and certain acids
  • minor significance as therapeutic agents
  • Great importance in chemical and pharmaceutical manufacturing
  • expressed in % by weight c. Diluted Acids
  • solutions of acids of suitable strength usually in 10% w/v (except Diluted Acetic acid- 6% w/v)
  • Used for internal administration for the manufacture of the other preparation
  • HCl d. Solutions
  • Used for specific therapeutic effects of the solute either internally or externally e. Douches
  • Are directed against a part into a cavity of the body
  • They function as a cleansing agent or antiseptic agent
  • this is a liquid preparation intended for the irrigative cleansing of the nostril (nasal douches) or the vagina f. Enemas
  • Rectal injections employed to evacuate the bowel
  • Used to induce defecation
  • Retention enemas to influence the general systems by absorption or to effect locally the seat of the disease Retention Enema: A- Local effect:
  • e.g. a barium enema is used as a

Angel Javier | PIP | SEM 01 2022 5 contrast substance in the radiological imaging of the bowel. Changes color when subjected to radiation. Used for diagnostic test B- Systemic effect: e.g. the administration of substances into the bloodstream. This may be done in situations where it is impossible to deliver a medication by mouth, such as antiemetics. e.g. nutrient enema which contains carbohydrates, vitamins & minerals

  • Can be either parenteral or rectal Evacuant Enema:
  • used as a bowel stimulant to treat constipation
  • defecation g. Gargles
  • Used for treating the pharynx of the naso-pharynx by forcing air from the lungs through the gargle which is held in the throat
  • Are medicated unlike mouthwash h. Mouthwashes
  • Most often used for their deodorant, refreshing or antiseptic effects i. Juices
  • Prepared from fresh ripe fruit
  • Used in making syrups (vehicle) j. Nasal Solutions
  • Designed to be administered to the nasal passages in drops or spray form k. Otic Solutions
  • Dispensed in a container which permits the administration of drops to the ears
  • Used when there is ear infection such as otitis media or wax

A.2 SWEET OR OTHER VISCID AQUEOUS

SOLUTION

a. Syrups

  • Are concentrated solutions of sugar such as sucrose in water or other aqueous liquids
  • Used as flavored syrup or medicated syrup
  • No shake formula b. Honey
  • Thick liquid preparations allied to syrup
  • Use as base instead of syrup
  • Sore throat for soothing effect (non pharmacologic interventions) c. Mucilages
  • Thick, viscid, adhesive liquids produced by dispersing gum in water or extracting with water the mucilaginous principles from vegetable substances
  • Used to aid in suspending insoluble substances in liquid (to prevent immediate sedimentation) d. Jellies
  • Class of gels in which the structural coherent matrix contains a high proportion of liquid, usually water
  • Used as lubricants for surgical gloves, catheter and rectal thermometer A.3 NON AQUEOUS SOLUTIONS
  • Vehicle is not water. Alcohol is an example that can be used as a vehicle a. Collodion
  • Are liquid preparations composed of PYROXYLIN (soluble gun cotton, collodion cotton) dissolved in a solvent mixture usually composed of ethanol and ether

Angel Javier | PIP | SEM 01 2022 7

  • Solutions or mixtures of medicinal substances in not less than 50% by weight of glycerin
  • Used as a medicinal agent or as an aid in dissolving other drugs in water or alcohol
  • Starch Glycerite – pill excipient
  • Tannic Acid glycerite – astringent
  • Phenol glycerite FORMULATION COMPONENTS :
  • Glycerin – nlt 50% w/w
  • Purified water
  • Gelatin
  • Medicament (active ingredient) G. Oleovitamins
  • Fish liver oils diluted with edible vegetable oil
  • Solutions of volatile substances of the Indicated vitamins or vitamin concentrates in fish liver oils (Vitamin A and D)
  • Fish oil is good for brain
  • Contained in soft gelatin capsules H. Spirits
  • Essences and volatile oils
  • Alcoholic or hydroalcoholic solutions of volatile substances
  • Used as a flavoring agents I. Toothache Drops
  • Used for the temporary relief of toothache by the application of cotton saturated with the product into the tooth cavity
  • From clove oil
  • Active therapeutic ingredient is eugenol J. Linctus
  • Linctuses are viscous liquid preparation containing one or more medicaments dissolved in a vehicle that usually contains a high proportion of sucrose or other sugars. Linctuses are administered in small dose volumes and should be sipped and swallowed slowly without the addition of water.
  • Considered as regulated drug and is used for cough B. EMULSION
  • Are two phases system prepared by combining two immiscible liquids
  • Consists of globules
  • Emulsifying agent ( to prevent separation of two phases; surfactant)
  • mayonnaise OIL-IN-WATER EMULSION
  • Oil phase dispersed in water WATER-IN-OIL EMULSION
  • Water phase dispersed in oil C. SUSPENSIONS
  • A two phase system consisting of finely divided solids dispersed in a solid, liquid or gas
  • Suspending agent is added to ensure appropriate dispersion of the solid in the vehicle
  • Particles/solutes are bigger than solution
  • Needs to shake because usually particles suspended in the bottom; sedimentation happens when suspension is not shaked for a long time a. Gels
  • Semi-solid system of either suspension made up of small inorganic particles or large organic molecules interpenetrated by a liquid
  • Xylogel is used for teething babies
  • Voltaren is used for arthritis that contains diclofenac, a pain reliever Thixotropy , reversible behavior of certain gels

Angel Javier | PIP | SEM 01 2022 8 that liquefy when they are shaken, stirred, or otherwise disturbed and reset after being allowed to stand. E.g ketchup b. Lotions

  • Liquid suspensions or dispersion intended for external applications to the body c. Magmas and Milk
  • Aq. Suspension of insoluble inorganic drugs
  • Differ from gels mainly in that the suspended particles are larger
  • Used as antacids milk of magnesia d. Mixtures
  • Aq. Liquid preparation in which contain suspended insoluble, solid substances intended for internal use II. EXTRACTS
  • Solution of active constituents of a crude drug obtained by maceration or percolation ready for use as a medicinal agent or may be further process to produced solid or semisolid extracts
  • Not used as medicine but used as a process to make medicines
  • Masiration (pagbabad of pulverized leaves, stem, etc.) Percolator a. Tinctures
  • Are alcoholic or hydroalcoholic solutions prepared from vegetable materials or from chemical substance
  • Iodine tincture (betadine) b. Fluidextracts
  • Are liq. Preparation of vegetable drugs containing alcohol as solvent or preservative or both
  • Each ml contains the therapeutic constituents of 1g of the standard drug that it represents
  • As constituent, not as medicine anymore III. PARENTERAL PRODUCTS A. Parenteral Preparations
  • Sterile preparations intended to be administered by injection under or through one or more layer of the skin or mucous membrane
  • They are usually packaged in ampoules or vials
  • Solutions ready for injections
  • Dry, soluble products ready to be combined with a solvent just prior to the use
  • Suspension ready for injection
  • Dry, insoluble products ready to be combined with a vehicle just prior to use
  • Emulsion IV. INTRAVENOUS ADMIXTURES A. Intravenous Fluids
  • Sterile
  • Large volume solutions intended to be administered by intravenous infusion
  • They contain sugar, amino acids or electrolytes

Angel Javier | PIP | SEM 01 2022 10 substances in an aqueous vehicle containing suitable suspending and dispersing agent c. Ophthalmic Ointment

  • Intended for the eyes
  • Placed on eyelids
  • They contain medicinal agent added to the ointment base of white petrolatum, and mineral oil either as a solution or as a micronized powder
  • They are limited to bedtime installations d. Lens Care Products
  • Sterile preparations intended to protect the lens - WETTING SOLUTION
  • Preparations designed to furnish hydrophilic coating over the characteristically hydrophilic surface of hard contact lens surface - CLEANSING SOLUTIONS
  • Used to remove surface contaminants, lipids and proteins - DISINFECTION SOLUTION
  • Isotonic
  • In an acceptable pH range (pH of the eye is normally neutral (7.0 to 7.3)
  • Non-reactive with lens material and sterile solution which exhibits disinfecting activity - SOAKING SOLUTION
  • Used to store and hydrate lard lenses and to disinfect such lenses - ARTIFICIAL TEARS
  • Solution intended to rewet hard lenses in situ ads referred to as rewetting solutions or artificial tears - Most effective way to cleanse contact lens is by using tears —----------------------------------------------------------------- SOLID DOSAGE FORMS ADVANTAGES Manufacturer Convenience
  1. Simplicity & economy of preparation.
  2. Stability & convenience in packaging.
  3. Ease in shipping & dispensing. Patient Convenience
  4. Compact & portable.
  5. Bland in taste.
  6. Ease in administration. Accuracy of dosage (as opposed to liquid dosages that must be poured & measured using measuring devices). CLASSIFICATION OF SOLIDS Solid Oral Dosage Forms
  7. Tablets
  8. Capsules
  9. Powder
  10. Granules Semi-solid
  11. Cream
  12. Paste
  13. Gel
  14. ointment VI. MEDICATION APPLICATIONS Routes of skin penetration There are two diffusional routes to penetrate intact skin:
  15. Hair follicles and sebaceous glands
  16. Sweat glands These routes avoid penetration through the stratum