Lecture Suppo 49

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    Production and Quality control

    Dr. Theera Ritt irod, Tel. 01-5441686

    E-mail : [email protected]

    Suppositories

    What will you know about ?What is Suppository ? + ClassificationAdvantages / Disadvantages

    Composition of SuppositoryHow to make it ?How to test it ?Marketed Suppository

    mailto:[email protected]:[email protected]
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    SuppositoriesnSolid dosage forms

    n 1. Active ingredient + 2. Base

    + 3. Additives

    nOval, Bullet and Torpedo Shape

    Bullet Shape

    Advantages of Suppository1. Available for Pt. who can not swallow

    Baby / Geriatric / or Pt. with Nausea +Vomiting

    2. Drug with GI irritation problems3. Once daily use

    4. For some drug which act locally

    5. Avoid of Hepatic first pass metabolism

    No..

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    Disadvantages of SuppositorynUn-comfort

    nVariation of Absorption

    nIrritation for mucous

    caused by some drugs or bases

    Classification of Suppository

    Via Routes of Administration :

    1. Rectal S.2. Vaginal S./ Pessaries

    3. Urethral S./ Bougies Not available

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    Rectal SuppositorynBullet and Torpedo Shape

    nDosage 1 g. for Baby & 2 g. for Adult

    n For Local / Systemic action

    Torpedo Shape

    Vagina SuppositoriesnRound or Oval Shape

    n3-4 g, D. 12 mm, L. 33-35 mm

    nLocal action eg. antibacterial (Trichomonasspp.), contraceptive, anti-fungal

    nVaginal tablet : Wet granulation productionused water soluble diluent (lactose)

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    Type of SuppositoryClassification via Position of Action

    nLocal action

    n

    Systemic action

    Local Action SuppositorynSuup. will be melted and released drug.

    Hemorrhoid (astringent, local anesthetic,

    vasoconstrictor, anti-pruritic, antiseptic);Fungal infection; Bacterial infection;

    Chronic inflammation; Constipation (Glycerin S.)

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    Systemic Action SuppositorynAfter Rectal Insertion : 50-70% of Drug will be

    absorbed in blood Circulation.

    nMain Blood Circulation

    1. Inferior haemorrhoidal vein

    2. Middle HV. 3. Superior (upper) HV.

    neg. anti-emitic, transquilizer, vasodilator,

    analgesic, hypnotic, antipyretic, anti-asthmatic

    Composition of Suppositories

    nActive ingredients

    nAdditivesnSuppository Base

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    Active IngredientsLocal Actionnantifungal :

    Clotrimazolenantibacterial :

    Framycetin

    nastringent : Bismuthsubgallatenanti-inflammation :

    Hydrocortisone

    Systemicn low bioavailability :

    Propranolol HClnGI irritation :

    Indomethacin

    nanti-emetic :Domperidonenanalgesic :

    Oxymorphone HCl

    Pharmaceutical Additives

    nTo Improve Quality

    neg. plasticizer - Cetyl alcohol, Propylene glycol

    antioxidant, dispersant - Surfactant,

    Absorbance enhancer

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    Ideal Suppository Base1. Melted all at 37 oC2. Release Drug3. Stable4. Non Absorb / Irritation

    5. Compatible with Drugs6. Easy Handing and Economy Cost

    Suppository Base1. Fatty / Oleaginous / Hydrophobic base)

    1.1 Cocoa butter (Theobroma oil)

    1.2 Semisynthesis glycerides

    2. Hydrophilic base / water soluble Base

    1. Glycero-gelatin base

    2. Polyethylene glycol polymer

    (PEG, Macrogols, Carbowax)

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    Theobroma oilnNatural source / Melted at 30-36oC

    semi-solid form, Yellow color

    nConpose of glyceryl ester of fatty acid

    eg. stearic, palmitic, oleic acid

    Not suitable for tropical countries

    Theobroma oil (Cont.)1. polymorphism and rancidity when Heatn 4 forms of theobroma crytal1. beta crystal (mp 34-36oC)

    2. beta crystal* (mp 27o

    C)3. alpha crystal* (mp 22oC)4. gamma crystal* (mp 18oC)

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    Theobroma oil2. lubrication Process3. low melting point

    after mixed with volatile oil, chloralhydrate, methyl paraben, phenol, camphor

    4. Low Water absorbed

    Theobr oma Oil as Suppo. Base

    Non Solidified Theobr oma Oil

    as Polymor phism

    Theobroma Oil Suppo.

    After kept in Refrigerater

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    Semisynthesis glyceridesnVegetable oil + Hydrogenation

    Unsaturated glyceride Sat. Gly.nFor BP & EP Call as Hard fat

    Marketed Fatty BaseWitepsol; W-H 15, W-H 25, W-H 55Wacobee seriesSuuposire seriesMore data in Text or References

    Fatty Base

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    Semi-synthesis glycerides (Cont.)

    1. No polymorphism2. Tolerance of oxidation3. Rapid Solidify4. Better Contraction5. Good looking

    Advantages

    Glycero-gelatin baseUSP: Glycerin 70%, Gelatin 20% + water 10%

    BP : Glycerin 70%, Gelatin 14% + water 16%

    n2 Types of gelatins

    1. Gelatin A for acidic /cation drug

    2. Gelatin B for alkaline / anion drug

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    Glycero-gelatin base (Cont..)1. Laxative properties2. Many process3. Hygroscopic (glycerin)

    4. Incompat. with tannic acid6. Overheat

    : glycerin release toxic volatile

    PEGn Synthetic productn eg. PEG 400, PEG 1500, PEG 4000n Advantages

    1. mp ~ 40o

    C2. Slowly melt and Slow release3. Ratio adjustment for suitable base4. Contraction, Not stricky5. High Viscosity

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    PEGnDisadvantages

    1. Incompat with bismuth salt,tannin, phenol, Reduce antimicrobial

    activity, dissolved some plastic.

    2. High MW. PEG Slow release

    Pre-Formulation Consideration

    1. Drug can be absorbed or not

    2. Irritation : crystal, size reduction

    3. Small particle : bioavailability

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    Preparation of Suppositories1. Cold Process

    nHand rolling used with Cocoa Butter base

    nCompression mold used with

    Cocoa butter base & PEG base

    2. Hot Process / Fusion

    nSoluble drugs

    nInsoluble drugs

    Calibration moldn Displacement value (D.V.)

    Weight of Drug which occupied of one 1 of Base

    n Calculation of D.V.

    1. Make 6 suppo. (no drug)

    then calculate the average wt. ( X = g)

    2. Weigh drug for 3 suppo. = 3 x drug for 1 suppo.

    3. Melted Mixed and cooling then poured in Mold

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    Calibration mold (Cont.)4. Melt and Mixed then Poured in Mold5. Weigh and Calculate Average weight

    n Ex X .base = 2.0 g X .Med.suppo. = 2.3 g1 suppo. Contain 0.5 g of DrugX .Med.sup - Drug = 2.3 - 0.5 = 1.8 g

    Base 2-1.8 = 0.2 g Replace with Drug as 0.5 gBase 1 g Replace with Drug as 2.5 g (= D.V.)

    oluble Drugn To Prevention of Precipitation

    of Drug powder

    1. Melt the Base in order of melting point2. Add Drug Powder after remove from water bat3. Pouring into Mold and Let it solidify

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    Insoluble Drug1. Melt the Base in Casserole2. Grind & Mixed

    with Viscous Melted base on slab

    3 Warm again on Water bath4 Pour into Mold

    5 Cooling wait for Solidify

    Lubricant / Lubricating Agent

    1. Fatty Base / Hydrophilic

    nRx

    Soft soap 10 mlGlycerol 10 ml

    95%EtOH 50 ml

    2. Water soluble Base

    n Liquid paraffin

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    Production and Quality Control

    of Suppository

    Dr. Theera Rittirod, June 2006

    Pr oduction and QA of Suppository

    1. Conventional Suppository

    2. Hollow Type Suppository3. Quality control apparatus

    4. In vitro / In vivo test (Animal par t)

    5. Marketed Suppository

    You must lear n about

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    Many Steps in

    suppositories production

    Suppository Mold

    Stainless Steel Mold

    For Hollow Type

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    For 6 suppositor iesStainless Steel Suppository Mold

    Suppository Mold

    Torpedo Shape

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    Plastic Mold for Suppositories

    Glasswar e and Pr eparation Tools

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    Lubricant

    Lubricating Agent

    Cleaning and Lubr icating Mold

    Cleaned and Lubr icated Mold

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    Add Drug powder and Slowly mix

    Cooling down Process

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    early Congealed Medicated BaseContinuously pour into mold

    Medicated Basewas poured in

    Mold and wait forSolidify

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    Do not forget some appar atus

    Solidify Suppo. Star t from the edge

    Solidification Pr ocess

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    Warm the Spatula using Hot Plate

    Remove excess par t via warmed Spatula

    PEG base

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    Glycerogelatin Base

    Remove excess par t via warmed Spatula

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    How to Remove Suppository

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    Finished Suppositor ies

    Theobr oma Oil as Suppo. Base

    Non Solidified Theobr oma Oil

    as Polymor phism

    Theobroma Oil Suppo.

    After kept in Refrigerater

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    Non Solidified Theobroma Oil

    Theobr oma oil + Non Lubr icated Mold

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    Fatty Base Suppository

    PEG Base Suppository