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Pharmaceutics 356C
Chapter 13
Solutions
Dr. Bill Williams
PHR 4.214 471-4681
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Recalls and Safety Alerts• Recalls are actions taken by a firm to remove a product from the
market. • Recalls may be conducted on a firm's own initiative, by FDA
request, or by FDA order under statutory authority. • Class I Recall
– A Class I recall is a situation in which there is a reasonable probability that the use of or exposure to a violative product will cause serious adverse health consequences or death.
• Class II Recall– A Class II recall is a situation in which use of or exposure to a violative
product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote.
• Class III Recall– A Class III recall is a situation in which use of or exposure to a violative
product is not likely to cause adverse health consequences.
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Recalls and Safety Alerts
• A market withdrawal occurs when a product has a minor violation that would not be subject to FDA legal action. The firm removes the product from the market or corrects the violation. For example, a product removed from the market due to tampering, without evidence of manufacturing or distribution problems, would be a market withdrawal.
• A medical device safety alert is issued in situations where a medical device may present an unreasonable risk of substantial harm. In some case, these situations also are considered recalls.
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Recent Recalls• RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III• _____________________________
PRODUCTa) Children's Tylenol (Acetaminophen) Oral Suspension, 160 mg, 4 Fl oz (120mL) bottles, Bubblegum Flavor, NDC #50580-407-04. Recall # D-096-3.b) Children's Tylenol (Acetaminophen) Oral Suspension, 160mg, 4 Fl oz (120mL), Grape Flavor, NDC #50580-296-04.Recall # Recall D-097-3.CODEa) Lot #EFM041 exp 7/04;b) Lot #EFM040 exp 7/04.RECALLING FIRM/MANUFACTURERMcNeil Consumer & Specialty Pharmaceuticals, Fort Washington, PA, by letter on November 20, 2002. Firm initiated recall is ongoing.REASONDefective container; product packaged with incorrect dosing cups marked with metric measurements rather than with U.S. standard measurementsVOLUME OF PRODUCT IN COMMERCE116172 bottles.DISTRIBUTIONNationwide.
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Recent Recalls• RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III• _____________________________ PRODUCT
a) R-Tanna S Pediatric Suspension (Chlorpheniramine Tannate 4.5mg and Phenylephrine tannate 5 mg) 4 fl oz (118mL) bottles, Rx only. Recall # D-055-3;b) CP-Tannic Suspension (Chlorpheniramine tannate 4.5mg and Phenylephrine tannate 75mg) 4fl oz (118mL) and 16fl oz (473mL) bottles, Rx only. Recall # D-056-3.CODEa) Lot# GB024; b) Lot# GA984, GA986, GB005, GB033 and GB036.RECALLING FIRM/MANUFACTURERRecalling Firm: Kiel Laboratories, Inc., Gainesville, GA, by fax on/about September 12, 2002. Firm initiated recall is ongoing.REASONSUBPOTENT; R-Tanna S Pediatric Suspension for phenylephrine tannate (3 month stability); CP-Tannic Suspension for chlorpheniramine tannate ( 1 month stability). VOLUME OF PRODUCT IN COMMERCEa) 5463 bottles; b) 12817 bottles. DISTRIBUTIONOH and MS.
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Recent Recalls• RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II• _____________________________ PRODUCT
Robinul Forte Tablets (glycopyrrolate tablets USP) 2mg, physician sample cartons of 8 tablets (2 cards @4 tablets per card), Rx only. Recall # D-058-3.CODELot Number H020572.RECALLING FIRM/MANUFACTURERRecalling Firm: First Horizon Pharmaceutical Corp., Alpharetta, GA, by letters dated September 6, 2002.Manufacturer: Mikart, Inc., Pharmaceutical Manufacturers, Atlanta, GA. Firm initiated recall is ongoing.REASONProduct contains glass particles.VOLUME OF PRODUCT IN COMMERCE386 cartons (8 tablets each/2 blister cards of 4 tablets per card).DISTRIBUTIONNationwide.
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PHR 356C
• Moving to lecture notes
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Solubility(Chapter 13)
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Introduction
• You, as the Pharmacist, must be aware of the solubility characteristics of the solutes and the features of the common pharmaceutical solvents
• Each chemical agent has its own solubility in a given solvent
• For many medicinal agents, their solubilities are stated in the USP, Merck Index, other reference books
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Solubility• Solubility: Concentration of a solute in a saturated
solution at a given temperature• Saturated Solution: When a solvent at a certain temperature has dissolved all of the solute that it can
• Supersaturated Solution--Crystallization • The solubility of a pure chemical substance at a
given temperature and pressure is constant (USP, Merck)--However, its RATE of Solution depends on the particle size of the substance and the extent of agitation
• Solubility given usually as “1 gram in X ml” of water, alcohol, etc.
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General Rules of Solubility
• Inorganic (examples)1. If both the cation and anion of an ionic compound are monovalent, the solute-solute attractive forces are usually easily overcome, and therefore these compounds are generally water soluble (NaCl, LiBr, KI)
2. If both the cation and anion are multivalent, the solute-solute interaction may be too great to be overcome by the solute-solvent interaction and the compound may have poor water solubility (CaSO4, BaSO4)
3. Salts of alkali metals (Na, K, Li) – usually water soluble
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Solubility
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Dissolution Profile
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General Rules of Solubility
4. Ammonium and quaternary ammonium salts – water soluble5. Nitrates, nitrites, acetates, chlorates, lactates – generally water soluble6. Sulfates, sulfites, thiosulfates – generally water soluble7. Acid salts of corresponding insoluble salt – tend to be more water soluble than original salt
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Solubility
• Inorganic (examples)8. Hydroxides and oxides – generally water insoluble
9. Sulfides – generally water insoluble
10. Phosphates, carbonates, silicates, borates, hypochlorites – generally water insoluble
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Solubility
• Organic (examples)1. Molecules with one polar functional group--Usually soluble to total chain lengths of five carbons2. Branched chains--More soluble than straight chained3. Decrease in water solubility with an increase in molecular weight4. Increased structural similarity between solute and solvent is accompanied by an increased solubility
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Important Terms
• Definitions:– Solution– Solute– Solvent
• Examples:– Alcohol USP– Diluted Alcohol NF– Glycerin USP– Propylene Glycol USP– Purified Water USP
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Expression of Solubility
• Percent solubilities:
--%w/v g/100 ml solution
--%v/v ml/100 ml solution
--%w/w g/100 g solution• Ratio strength
--volume-in-volume (ml solute/ml solution)
--weight-in-volume (g solute/ml solution)
--weight-in-weight (g solute/g solution)
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Polarity
• Solubility due in large part to polarity of solvent• Three categories:
1. Polar (water)--High dielectric constant--Break covalent bonds of strong electrolytes by
acid/base rxns.--Dipole interaction forces (hydrogen bonding)
2. Semi-Polar (Ketones, alcohols)--Induces polarity in nonpolar solvents--Co-Solvents
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Co-Solvents
• Used to increase aqueous solubility of weak electrolytes and non-polar molecules
• Solute more soluble in mixture of solvents (alcohol/water mixture)
• Examples:
--Propylene glycol
--Polyethylene glycol
--Glycerin
--Alcohol
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Co-Solvent Example
• Valium (Diazepam) Injection 5mg/mL– 40% Propylene Glycol– 10% Alcohol– 5% Na Benzoate/Benzoic Acid– 1.5% Benzyl Alcohol– QS Purified Water
• Diazepam – crystalline, insoluble in water• Inject NGT 1mL/min to avoid venous thrombosis, phlebitis,
irritation• Do not mix with other solution or drug in IV or infusion
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Polarity
• 3. Non-Polar Solvents (Carbon tetrachloride, Benzene, Mineral Oil)
--Low dielectric constant
--Cannot reduce attraction, break covalent bonds, nor
ionize weak electrolytes
• Dielectric Constant:--Measure of polarizability of a molecule
--Polarizability (Increase DC--Increase Polarizability)
--”like dissolves like”
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Solubility and Rate of Dissolution
• Solid drug must pass into solution to be absorbed
• Rate of dissolution may influence therapeutic response and blood levels
• Decreasing particle size and increasing surface area will increase rate of dissolution at a given temperature – (Sw = 6/d)
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Am
ount
Dis
solv
ed
Time
In Vitro Dissolution Curve
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Dissolution Process
• Influenced by:– Free surface energy (surfactant)– Shape of particles (surface area)– Temperature– Agitation (type and degree; diffusion layer)– Amount already in solution (near saturation)– Viscosity, volume of solvent
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Am
ount
Dis
solv
ed
Time
Effect of PSD of Phenobarbital on Dissolution
M50 = 150 micron
M50 = 710 micron
M50 = 710 micron(with 0.2% Tween 80 in media)
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Noyes-Whitney Equation
• dC/dt = KS (Cs – Ct) – where
• K=D/h• dC/dt – dissolution rate• K – dissolution rate constant• S – surface area of exposed solid• Cs – concentration of saturated solution• Ct – concentration at time t• D – diffusion coefficient of solute in solution• h – thickness of diffusion layer
• Sink conditions – if Ct << Cs, then omit Ct
• So dC/dt = KSCs
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Stagnant Diffusion Layer
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Concentration Gradient
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Isomers
• Definition:
Fumaric AcidSublimes at 200oC0.72g/100mLMore Stable
Maleic Acid130oC78g/100mL
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Polymorphs
• Polymorphs– Definition– Properties
• Amorphous Solids– Definition– Examples (cefuroxime axetil)
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pH and Solubility
• Many drugs are weak acids or weak bases• Many insoluble in water• Water soluble salts formed by reaction
with strong acid or strong base• Examples
– Phenobarbital (1:1000) + NaOH Phenobarbital Na (1:1) + HOH– Codeine (1:120) + Sulfuric Acid Codeine Sulfate (1:30) + HOH
• Solubility depends on pH– What if adjust pH in wrong direction??
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pH and Solubility
• To enhance stability, it may be necessary to form poorly water soluble salts:– Examples
• Erythromycin stearate• Erythromycin estolate• Chloramphenicol palmitate• Hydroxyzine pamoate
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USP Terms of Solubility
Descriptive Term Parts Solvent for 1 Part Solute
Very soluble Less than 1
Freely soluble From 1 to 10
Soluble From 10 to 30
Sparingly soluble From 30 to 100
Slightly soluble From 100 to 1000
Very slightly soluble From 1000 to 10,000
Practically insoluble or Insoluble More than 10,000
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Pharmaceutical Liquids
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Advantages and Disadvantages of Liquids
• Advantages1. Inability to swallow capsules and tablets
2. Only suitable dosage form--Often the case with deliquescent or hygroscopic powders
3. Irritation--Some drugs may be less of an irritant when dissolved in a soothing liquid
4. Dosing Flexibility--Can have a greater variation of drug combinations and dosages in liquid formulations
• Disadvantages1. Leakage
2. Costly to ship
3. Patient compliance
4. Taste
5. Preservative(s)--Bacteriostatic Agents (WATER*)
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Waters
• Six USP Monographs:• Purified Water, USP
--Less than 0.001% total solids—--Intended for oral and topical dosage forms--Prepared by distillation or reverse osmosis
1. Distillation 2. Ion-exchange3. Reverse Osmosis
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orwater
waterwater
saline
saline saline
Pressure
Osmosis ReverseOsmosis
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Waters
• Water for Injection, USP--Prepared by distillation or RO
--Total Solids not more than 1mg/100 ml
--Use within 24 hours
--Free from pyrogens (bacterial byproduct)
--Intended for injections which are to be sterilized after manufacture
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Waters
• Sterile Waters—Four grades1. Sterile Water for Injection, USP
--Package less than or equal to 1 liter
--Single use only
2. Sterile Water for Irrigation, USP--Package in larger containers
--Single use
--Type I—Highly resistant borosilicate glass
--Type II—Treated soda-lime glass
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Sterility Tests
• Fluid Thioglycate Medium– Range of microbes– 30 – 35C for 7 days
• Soybean-Casein Digest Medium– Molds and fungi– 20-25C for 7 days
• Test Results: NO GROWTH
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Waters
• Sterile Waters—Four grades, cont.3. Bacteriostatic Water for Injection, USP
--Sterile--Contains antimicrobial agents which must be stated on
label—toxicity issues--Preserve in single-dose or multi-dose vials NGT 30 ml--Not for seniors or newborns
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Bacteriostatic Agents
• Methyl paraben 0.1%• Propyl paraben 0.01%• Benzyl alcohol 0.9-2.0%• Benzalkonium chloride 0.01%• Phenol 0.25-0.5%• Thimerosal 0.01%• Chlorobutanol 0.25-0.5%• Phenylmercuric nitrate 0.01%
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Waters
4. Sterile Water for Inhalation, USP--Distillation or RO
--No antimicrobial agent
--Labeling
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Waters Schematic
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Other Solvents
• Alcohol, USP• Glycerin, USP• Propylene Glycol, USP• Polyethylene glycols, USP• Oils
--Vegetable Oils
--Synthetic fatty acid esters (ethyl oleate; propylene glycol dicaprylate caprate)--Liquid paraffin (MO)
• Note: All EXCEPT the OILS may be used in internal, external and parenteral products either alone or in conjunction with water
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Oils
• Used as solvents in External products--i.e. Liniments and ear-drops--Nose drops—danger of lipid pneumonia
• Used alone or as co-solvent• Most substances are more soluble in vegetable oils
or synthetic fatty acid esters than in liquid paraffin• Heavy liquid petroleum or MO is used as a laxative• Always use the Oil Soluble or Free Base of the drug
to form an oil solution
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Aromatic Waters
• Clear aqueous solutions saturated with volatile oils or other aromatic or volatile substances
• Peppermint Water, USP—Flavoring Agent• Strong Rose Water, USP—Fragrance• Hamamelis Water—”Witch Hazel”—An
Astringent• Stability Issues
--Store in tight, light resistant glass containers--Prone to oxidation
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Syrups
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Syrups
• Concentrated aqueous solutions of a sugar or sugar substitute with or without flavoring agent
• Vehicle--Better taste, increased palatability • Components of Syrups
--Sugar or sugar substitute --Preservative(s)--Flavors--Color(s)
• Some contain medicament and are a complete preparation in themselves--Medicated syrups
Example: Chloral Hydrate Syrup
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Syrups
• Syrup, NF (Simple Syrup)--Contains 85g sucrose in 100 ml syrup--High concentration of sucrose
1. Give desired sweetness2. Prevent microbial growth
--Specific gravity: 1.313--May crystallize in warmer weather – “cap lock”--Diluted--need preservatives--subject to mold and
fungi growth (i.e. Parabens)—WHY?
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Non-Sucrose Syrups
• Alternative components of syrups--Dextrose
--Glycerin--Sorbitol (64%w/w—60% sweetness of sucrose—produces gas and GI motility)
--Also Sorbitol used to prevent crystallization around cap of bottles
--Xylitol (Expensive)--Aspartame (Expensive—Some problems)
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Non-Sucrose Syrups
• Syrups for Diabetics
--Methyl cellulose—Non-caloric, good suspending agent also, masks bitter tasting drugs—Increases viscosity
--Other celluloses—Hydroxyethylcellulose, etc.
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Preparation of Syrups
• Preparation of Syrups:1. Solution with the aid of heat
2. Solution by admixture in the cold
3. Dissolution of sucrose in a medicated or flavored liquid
4. By percolation
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Preparation of Syrups
• Solution with Heat:--Quick
--Can hydrolyze sucrose (a di-saccharide)—Dextrose and Fructose
(Inversion and result is Invert Sugar—Darker color—Too much heat and is said to be caramelized)
--Caramelized sugars are more subject to fermentation and microbial contamination
--Example using heat:
--Acacia Syrup
--Benzoic Acid 0.1%--WHY?
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Preparation of Syrups
• Preparation by Admixture:
--Prepared without heat to avoid inversion or damage to actives
--Mix with vigorous agitation
--Example: Ferrous Sulfate Syrup—Turns green
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Ferrous Sulfate Syrup USP
• Composition – function of each?– Ferrous sulfate– Citric Acid (weak chelating agent)– Peppermint Spirit– Sucrose (reducing agent)– Purified Water
• Ferrous Sulfate Fe+2SO4-2 7 H2O (soluble)
• Ferric Hydroxide Fe+3(OH)3-1 (insoluble)
• Ferric Ion Fe+3
• Ferrous Ion Fe+2 (oxidizes to Fe+3 )
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Oral Solutions
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Oral Solutions
• Two categories:1. Colored and flavored aqueous solutions of medicaments2. Dry powder mixtures for reconstitution
--Usually antibiotics which are unstable in aqueous solution
--Usually refrigerate—Use within 7-14 days
--Dry granules—Contain flavors and other additives
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Preparation of Oral Solutions
• By Simple Admixture--Method depends on the nature of the solute and solvent
• By Chemical Interaction--For water insoluble salt in an aqueous vehicle--Options:
1. Change the solvent (alcohol, etc.)2. Use a soluble form of the drug--Example:
Strong Iodine Solution (Lugol’s Solution)
I2 + KI KI3
--Water insoluble Iodine in a salt solution of Potassium Iodide (soluble salt complex)
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Preparation of Oral Solutions
• Isotonic Solutions:--Same osmotic pressure as biological fluids with which they are
being compared (Tears, blood, etc.)--Body fluids have an osmotic pressure corresponding to that of a
0.9% solution of Sodium Chloride--Primarily Ophthalmic solutions
• Hypotonic Solutions:--Osmotic Pressure < 0.9% NaCl solution--Hemolysis--Why?
• Hypertonic Solutions:--Osmotic Pressure > 0.9% NaCl solution--Crenation or cell shrinking—Why?
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Preparation of Oral Solutions
• Sodium Chloride Equivalents:--Dextrose, etc.
Example: For Atropine SulfateSCE = 0.12, so 1 g Atropine Sulfate
equals the tonic effect of 0.12 g NaCl
See text
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Osmolality (mOsmol/Kg)
• Classifications: > 350 Hypertonic 329 – 350 Slightly Hypertonic 270 – 328 Isotonic 250 – 269 Slightly Hypotonic 0 – 249 Hypotonic
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Example – FDA aware of 4 deaths due to hemolysis – (since 1994)
• Albumin (Human) 25% (plasma exchange)
Albumin (Human) 5%
Dilute 1 part to 4 parts SWFI
Trissel’s Handbook on Injectable Drugs (1994) – states “…prepare a 5% From a 25% with 1 part of the 25% and 4 parts of SWFI, NS, or D5W.
Hospital pharmacists relied on this information!Plasmapheresis – replacement mixture accounts for significant
fraction of the patient’s calculated blood volume
Revised in 1996 – NO SWFI
Hypotonic albumin solutions prepared with SWFI; large volumes with plasma-pheresis accounting for significant fraction of patient’s blood
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Examples of Oral Solutions
• Powders for Reconstitution to Oral Solutions1. Cloxacillin sodium for Oral Solution, USP (antibiotic)2. Nafcillin sodium for Oral Solution, USP (antibiotic)3. Oxacillin sodium for Oral Solution, USP (antibiotic)4. Penicillin V Potassium for Oral Solution, USP (antibiotic)5. Potassium Chloride for Oral Solution, USP (Potassium Supplement)
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Examples of Oral Solutions
• Oral Solutions
1. Furosemide Oral Solution (Lasix)—for edema and hypertension
2. Cimetidine HCl Liquid (Tagamet)—Peptic ulcer disease & hypersecretory disorders
3. Ergocalciferol Solution—Vitamin D2 in propylene glycol
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Oral Liquid Vehicles
• Used for their solvent, suspending and/or emulsifying properties
• Used to dilute drugs to suitable volume for dosing
• Used to enhance flavor and palatability
• Used to provide stable and elegant preparations
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Oral Liquid Vehicles (Official)
• Aromatic Elixir NF (Simple Elixir)• Compound Benzaldehyde Elixir NF• Peppermint Water NF• Sorbitol Solution USP• Suspension Structured Vehicle NF• Sugar-Free Suspension Structured Vehicle NF• Syrup NF (Simple Syrup)• Xanthan Gum Solution NF
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Oral Liquid Vehicles (Nonofficial)
• Acacia Syrup• Cherry Syrup• Citric Acid Syrup (Syrup of Lemon)• Cocoa Syrup (Cacao Syrup, Chocolate Syrup)• Raspberry Syrup• Tolu Syrup (Tolu Balsum Syrup, Syrup of Tolu)• Wild Cherry Syrup• Coca-Cola Syrup• Ora-Sweet Syrup Vehicle• Ora-Sweet SF Sugar-Free Syrup Vehicle• Syrpalta
• See reference: L. Allen, Int. J. Pharm. Compounding, 5(1)2001,65-67.
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Non-Aqueous Solutions
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Non-Aqueous Solutions
• Hydrocarbons--Aliphatic hydrocarbons (Mineral Oil)--Chlorinated hydrocarbons (Trichloroethane)
• Oils--Used for liniments, sunscreens, lotions (i.e. Topicals) – reduces irritation
1. Fixed Oil—Almond, Peanut, Sesame2. Volatile Oil—Wintergreen Oil, Turpentine
Oil, Peppermint
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Alcohols
• Ethanol for Internal Preparations--Glycerin is a high molecular weight alcohol
• Rubbing Alcohol, USP--70% v/v ethanol with water, denaturants, perfume oils, and color additives--must contain: 355mg sucrose octaacetate or 1.40mg denatonium benzoate--Regulated by ATF-- Denaturants:
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Alcohols
• Isopropyl Rubbing Alcohol, USP
--70% v/v IPA with water, stabilizers, perfume oils and color additives
--Used as a Disinfectant (skin, equipment)
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Collodions
• Formed from reaction of:Cotton Pyroxylin (cellulose tetranitrate)
HNO3
H2SO4
--Forms protective layer on skin
• Three USP Collodion products1. Collodion USP—To protect cuts, lacerations
2. Flexible Collodion, USP—Camphor and Castor oil
3. Salicylic Acid Collodion, USP—Keratolytic agent (warts)
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Spirits and Elixirs
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Spirits• Spirits
--Alcoholic or hydro-alcoholic solutions of volatile or aromatic substances--Alcohol > 60%--”Salting Out”—Too much water added, aromatic substance will salt out--Methods of Preparation:
1. Simple solution2. Maceration3. Distillation4. Chemical reaction
Official USP Spirits:1. Aromatic Ammonia Spirit, USP (For fainting, syncope)2. Camphor Spirit, USP3. Peppermint Spirit, USP
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Elixirs
• Elixirs:--Clear, sweetened hydro-alcoholic solution intended for oral use--Palatability--Range of 4 to 40% alcohol--Often contain co-solvents--Alcohol as preservative
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Elixirs
--Classes of Elixirs:1. Non-medicated
--Vehicle and Diluent2. Medicated (pg. 321 in text for other
examples)--Examples: 1. Antihistamine (Benadryl—
Diphenhydramine HCl Elixir
2. Sedative and Hypnotic Elixirs—Phenobarbital Elixir
3. Expectorants—Terpin Hydrate Elixir 4. Cardiotonic Elixirs--Digoxin
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Tinctures and Fluid Extracts(Liniments & Liquefied Phenol)
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Tinctures and Fluid Extracts
• Prepared by extraction• Protect from air, light, heat—tightly sealed bottles• Inactive plant compounds extracted from actives• Pectin, celluloses, extraneous material removed• Methods of extraction:
1. Maceration (“soak”)Example: Cascara Sagrada Fluid Extract
2. PercolationUses column containing drug
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Tinctures
• Alcoholic or hydro-alcoholic solutions from vegetable substances or chemical substances
• Contain extracts or chemical agents• Alcohol Content: 15-80%• Stability and Storage• Preparation of tinctures:
1. Maceration—Compound Benzoin Tincture2. Percolation—Opium Tincture, Belladonna Tincture
3. Solution—Iodine Tincture (I2 + KI KI3)
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Tinctures
• Official Tinctures:
--Belladonna Tincture
--Iodine Tincture
--Strong Iodine Tincture
--Compound Benzoin Tincture
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Fluid Extracts
• Liquid preparations of vegetable drugs (plant extracts) containing alcohol
• Adjusted (standardized) so 1 ml tincture contains 1g of drug
• Preparation—Percolation• Official Fluid Extracts—Laxatives
--Aromatic Cascara Fluidextract--Cascara Sagrada Fluidextract--Senna Fluidextract
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Liniments
• Oily or alcoholic liquids or semi-solids for External Use (Ben-Gay, Theragesic)
• Counter-irritant• Oils less irritating to skin than alcohols in base• Actives ingredients:
--Methyl salicylate--Camphor--Menthol--Thymol--Various Oils
• There is no Official Liniment
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Pyrogens and Pyrogen Testing• Pyrogens: Fever-producing organic substances arising
from microbial contamination and are responsible for many of the febrile reactions which occur in patients following injection
• Material is thought to be a lipopolysaccharide (endotoxin) from the outer cell wall of the bacteria; and endotoxins are soluble
• Is thermostable and may remain in water even after sterilization by autoclaving or by bacterial filtration
• Are oxidized (Potassium permanganate—oxidizing agent)• USP Pyrogen Test:
--Uses healthy rabbits— inject, check rabbit temperature for norms--Replaced now by Limulus amebocyte lysate (LAL test)
(test solution + cell lysate from amebocytes of horseshoe crab)Protein fraction of amebocyte coagulates if endotoxin present
--USP Bacterial Endotoxins Test utilizes LAL
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Pyrogens and Pyrogen Testing
• Gram (–) bacilli are most potent• Pyrogens come from:
– Water used as solvent– Container used in preparation– Chemicals used in preparation
• Remove pyrogens by:– Dry heat (250C for 30 min; 180 C for 3-4 hours)– Washing with pyrogen free Water For Injection USP to remove
water soluble pyrogens– Too small to filter out; SO PREVENT
• Pyrogens cause chills, fever, headache, pain in legs and limbs