Exam 3 Flashcards

(73 cards)

1
Q

liquid dosage forms that only contain one phase

A

monophasic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

liquid dosage forms that have dispersion

A

biphasic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

coarse vs colloidal

A

types of dispersions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

classification of liquid dosage forms - ready to use liquids

A

solutions, suspensions, emulsions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

classification of liquid dosage forms - powders for reconstitution

A

chemically unstable drugs, solution or suspension, oral, topical, injectable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

injectable, ophthalmic, some nebulized liquids, vehicles (SW, NS, etc.)

A

sterile liquid dosage forms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

we must ensure a low bioburden by proper procedures during manufacture, storage, distribution, dispensing (classification of liquid dosage forms)

A

non-sterile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

easier to swallow than solids (pediatric, geriatric, dysphagia), faster absorption rate, easier to adjust the dose (can be diluted, compounded), liquids are best dosage form for some routes (IV) or for some drugs

A

advantages of liquid dosage forms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

increased chemical instability, prone to microbial contamination, inconvenient and bulky, taste issues, less accurate dosing, leakage/loss, too rapid absorption, controlled release difficult to achieve

A

limitations of liquid dosage forms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

solvents/cosolvents, solubilizers, preservatives, sweeteners, surfactants, suspending agents, antioxidants, flavoring agents, buffering agents

A

excipients for liquid dosage forms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

to inhibit the growth of microorganisms that might be introduced from repeatedly drawing doses (sterile), to protect from microbiological growth (non-sterile)

A

why preserve a product

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

activity against various microorganisms, safety, pKa of preservative, pH of product, solubility of preservative, stability of preservative, suppliers/cost/regulatory limits

A

preservative considerations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

physiologically compatible, maintain stability, improve solubility

A

pH of liquids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

routes of administration, volume of product (small vs large), way of administration (infusion or bolus injection), buffered or unbuffered, occasional dosing or repeated use

A

acceptable pH ranges depends on these things

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pH of formulation, presence of micelles, presence of hydrophilic polymers

A

factors affecting preservative efficacy in solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

_________ is a preservative that is affected by the pH of the formulation

A

benzoic acid because it is ionized acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

if the pH is higher than the pKa more of the acid will be in the ionized form thus potentially rendering the preservative ineffective, when the preservative is ionized it is soluble in water so it won’t have antimicrobial activity because it essentially just goes away, need to have some unionized preservative to be effective, benzoic acid only effective at pH lower than 4

A

preservative-pH relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

something surrounded by phospholipids

A

micelles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

free concentration of preservative in solution is reduced in the presence of hydrophilic polymers due to chemical interaction, preservative may be incompatible with hydrophilic polymers in formulation due to electrostatic interaction (cationic hydrophilic polymers should not be used in conjunction with acidic preservatives)

A

presence of hydrophilic polymers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

faster onset of activity (no rate limiting dissolution process), good for children and elderly (easy to swallow), homogenous/always uniform unlike suspensions and emulsions, flexible dosing (dose titration), given by many routes of administration (including IV infusion)

A

advantages of solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

expensive to ship and bulky for patient to carry, leakage from container, unsuitable for therapeutic agents that are chemically unstable in the presence of water (less stability that solids), poor solubility of certain therapeutic agents may prohibit their formulation as solutions, more pronounced taste

A

disadvantages of solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

oral, topical (dermal, ophthalmic, nasal, otic, inhalants, enemas/douches), parenteral

A

types of solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

homogenous mixtures of solutes dissolved in solvents

A

solutions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

aqueous solutions containing a high concentration of sugar or sugar substitute with or without medicinal substances

A

syrups

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
sweetened hydroalcoholic solutions, ethanol
elixirs
26
solutions of aromatic materials in alcohol, commonly used as flavoring agents or inhalation for syncope (respiratory stimulant, ammonia)
spirits
27
solutions of aromatic materials in water
aromatic waters
28
alcoholic solutions prepared by extracting active constituents from crude drugs
tinctures
29
solutions (or suspensions, emulsions) intended for external application to the skin (need not be rubbed forcefully)
lotions
30
liquid preparations intended to be rubbed with friction and massaged onto unbroken skin (more viscous than lotions)
liniments
31
solutions of pyroxylin in ether and alcohol that are intended to be painted onto the skin and left to dry (forms a protective film)
collodions
32
aqueous or oily based solutions in the form of droplets to be applied topically to the nasopharyngeal tract/skin
sprays
33
solutions introduced to the rectum to empty the bowel
enema
34
administered to a body cavity (vagina) to disinfect or remove debris
douches
35
solutions designed to wash the bladder, eyes, or open wounds
irrigations
36
designed to cleanse a part of the body
washes
37
designed to treat diseases that impact the throat
gargles
38
sterile solutions that can be administered subcutaneously, intramuscularly, or intravenously
injections
39
solvents, pH adjusting agent or buffer, solubility improving agents, stability improving agents, preservatives, colors, flavors, sweeteners, tonicity agents
solution excipients
40
nature and composition of solvent medium (polarity, pH, buffer), nature of API (chemical and physical properties), solubilizing and dissolution process
factors affect solubility of therapeutic agents
41
optimization of pH of formulation, solubilization using cosolvents, use of non-aqueous as a solvent, add a solubilizing agent (surfactant, complexing agent), change the chemical structure of the drug (appropriate selection of drug form/salt, complex)
formulation methods to enhance/optimize the solubility of therapeutic agents
42
ethanol, propylene glycol, isopropyl alcohol, glycerin (glycerol), low MW PEGs
common cosolvents
43
dispersed system with insoluble solid particles, some of the drug does dissolve in the medium to the extent of solubility (degradation of the API), dispersion medium (aqueous, non-aqueous, oils)
suspensions
44
uniform dispersion, sediment slowly and resuspend easily upon shaking, no significant particle growth through shelf life, desirable flow properties, should be acceptable to patient (appearance, color, flavor, grittiness, taste)
requirements of suspensions
45
administering a poorly water-soluble drug in liquid form compared to solids (easier to swallow, dose easier to adjust), better chemical stability and longer shelf life compared to solutions (bad taste easier to mask, higher dose possible)
advantages of suspensions
46
physical stability problems (heterogeneous systems and will sediment/cake), shelf life may be limited by chemical stability (drugs are more prone to chemical instability compared to solids), dosing accuracy (measuring inaccuracy, lack of uniformity), not as portable and convenient as solids
disadvantages of suspensions
47
wetting agents, suspending agents, flocculating agents
excipients in suspensions
48
random movement in all directions, rate of diffusion is inversely proportional to particle diameter
brownian motion
49
net charge at the outer boundary of the double layer of a particle
zeta potential
50
encourage suspended particles to form loose flocs of low density, flocs will sediment faster than primary particles, neutralize the zeta potential by adding excipients, polymers to form bridges to promote this
controlled flocculation
51
any electrolytes that carry a charge opposite to that of the zeta potential of the suspended particles
flocculating agents
52
particles in _________ must dissolve before absorption
suspension
53
oil/water, increased bioavailability of lipophilic drugs, oil soluble/oily drug
oral emulsions
54
creams (o/w or w/o), semisolids, lotions, non-medicated or medicated
dermal emulsions
55
oil/water, intravenous lipid emulsions (IVLE), 0.1-0.5 micrometers
parenteral emulsions
56
surfactants (tweens, spans), particulate colloid emulsifiers (fine particles, bentonite, veegum, magnesium, aluminum hydroxide), polymers (pectin, lecithin, cellulose derivatives)
emulsifying agents
57
glycerol, PEG, carbomer
viscosity enhancers for emulsions
58
o/w or w/o emulsions
macroemulsions
59
o/w/o or w/o/w, sustained release dosage forms
multiple emulsions
60
clear, thermodynamically stable emulsions
microemulsions
61
water is the dispersion medium and oil is the dispersed phase, high HLB value, preferred for internal use, used externally as vanishing cream, non-greasy and easily removable from the skin
o/w emulsions
62
oil is the dispersion medium, low HLB value, preferred for external use (lotions, creams, moisturize and treat skin conditions), greasy and oily, used externally to prevent evaporation of moisture
w/o emulsions
63
make it viscous (semisolid emulsion, no/slow sedimentation/creaming, shaking not needed), make it colloidal emulsion (microemulsions), minimize/delay flocculation and coalescence (increase zeta potential, emulsifying agents)
improving physical stability of emulsions
64
API degradation, oils and lipids in emulsions are susceptible to oxidation or enzymatic hydrolysis (rancidity - unpleasant odors/flavors), hydrolysis of triglycerides releases free fatty acids which lowers the pH of the emulsion and changes the zeta potential, commonly used excipients to improve stability are antioxidants and chelating agents
chemical stability of emulsions
65
emulsions need antimicrobial preservatives, emulsions contain water, natural oils and emulsifiers are good media for microorganisms to grow, microbial enzymes can degrade oil, emulsifier, causes rancidity, discoloration, change pH, breakage of emulsion
microbiological stability of emulsions
66
aqueous solutions used to treat or prevent infections (topical antibiotics), pleasant taste/odor, can be available in concentrated forms with directions for dilution or used undiluted, maintain contact with mucous membrane
oral rinse, gargle, mouthwash
67
viscous liquid preparations used for mouth and throat infections, glycerin common base (adheres to mucous membrane for long period, possesses a sweet taste)
throat paints
68
small volume to prevent spillage, concentration is used to adjust a dose instead of increasing volume, non-irritating, isotonic, viscous, sterile, preserved if necessary
ophthalmic liquids
69
solutions, suspensions, oily liquids, sterile, preserved, isotonic, more volume than eyes
otic liquids
70
rapid onset of action comparable to IV, ease of delivery (painless, non-invasive, needle-free, self-medication), improve bioavailability by bypassing GI and liver first pass metabolism, lower dose so less ADR
nasal drops/sprays
71
rectal liquid (solution or suspension), administered/injected into the rectum, may be administered for cleansing/evacuation effect or provide local drug effect
rectal enema
72
aerosol/inhalation (nebulizers, MDIs), instillation/endotracheal administration (tracheal tube - catheter, surfactant delivered to premature infants)
pulmonary drug delivery
73
3-in-1 or total nutrient admixture (TNA - dextrose, amino acids, IV fat emulsion) or dextrose and amino acids (2-in-1) with separate fats infusion
parenteral nutrition (PN)