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OSPE 2555 Rx 28-29

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

3
10

12

14

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20

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27

22

28
29

37

//
/

41

47
53
75
85
89

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


101

108
111
114



..2510

116

..2518
..2522

125
131

..2537

137


..2538

139

143

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


/

1-2
5


Bulk powders



Mucilln (Isphagula husk)

Agiolax (Isphagula husk+Senna)


GRANULES


Divided powders


Mucilln (Isphagula husk)

ORS



Dusting powders

( )



Granules


0.24 mm

Agiolax (Isphagulahusk+Senna)

Fluimucil (Carbocysteine)

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


ENO

Effervescent granules


Hard gelatin capsules


capsule gelatin
cap
body

(pellets)
Soft gelatin capsules
capsule gelatin

Vitamin E

Isotretinoin




Plain compressed tablets

Filmcoated tablets
Multiple compressed tablets

Magesto

Decolgen

Effervescent tablets



CDR

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


Sugar-coated tablets





Film-coated tablets





Lozenges, Troches

Pastilles, Jujubes

Pills


OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


Rectal suppositories




Vaginal suppositories,
Pessaries



Solutions

Syrups




Elixirs

alcohol


OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

Spirits ()

alcohol
alcohol
Spirit


Mixtures

colloid


Suspensions

()




Emulsions

Scott's emulsion (Cod liver oil)

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


Lotions




Suspensions Solutions
Emulsions
Liniments




emulsions
Creams


emulsion

Ointments ( )




Pastes




OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

Gels

Emulsion gels, Emulgels






Paints ()

Transdermal patches
( )

(eye, ear, nose and throat preparations)


(parenteral products)
(controlled released products)
(drug delivery systems)

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29







1.
tight container

(desiccant)
salicylic acid aspirin

Hard Gelatin Capsules Soft Gelatin Capsules



Uncoated Tablets


(
mottling)
Coated Tablets

Dry Powders and Granules



Effervescent Tablets, Granules, and Powders

10

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


dead mixture
Rectal suppositories
(2-8 C)
Vaginal suppositories

2.


Solutions, Elixirs, Syrups

Emulsions (cracking)

Suspensions (caking)


Tinctures Fluidextracts

Sterile Liquids


3.
Creams (crystal growth)


Ointments
(bleeding)

11

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

1.
(expiration date)
5 2-3
/


2. (beyond-use date)

-
1 (dispensed)



-

(tight, light-resistant containers stored at controlled room temperature)
1) (non-aqueous)
25%
6 diazepam tablet 1
3 (25% 1 )
6 Diazepam USP powder
2)
14
Diazepam oral suspension Diazepam tablet Diazepam USP powder
14 60
14
3) (duration of therapy)
30

12

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

30 Diazepam suppositories Diazepam tablet ( 1 )


Diazepam USP powder 3 (25% 1 Diazepam tablet)
6 ( 6 Diazepam USP powder) 30

4)



13

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




1.
- (freezer) -25 C -10 C
- (cold) 8 C
-

(refrigerator) 2-8 C
(cool) 8-15 C (in a cool place)
(room temperature)
(controlled room temperature, CRT) 20-25 C
(warm) 30-40 C

(excessive heat) 40 C
(protection from freezing) 0 C
(dry place) CRT (20-25 C) (relative humunity, RH)
40%


CRT
15 C

2-8 ( 10) C

2.
/

3.

4.
Salicylic Acid Lotion BP

14

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


/
closure immediate
container
(strength) (quality) (purity)

- (child resistant packaging)


- (tamper resistant packaging, tamper evident packaging, tamper proof
packaging)

- (light-resistant container)

light-resistant container
protect from light ( )
- (well-closed container)

- (tight container)

(efflorescence) (deliquescence)

(hermetic container) single dose
- (hermetic container)

- (single-unit container)
(single dose) immediate container
/ tamper-resistant packaging single-unit container
/ (lot number)

15

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

- (single-dose container) single-unit


container pre-filled
syringes, cartridges, fusion-sealed containers closure-sealed containers
- (unit-dose container) single-unit container

- (multiple-unit container)


- (multiple-dose container) multiple-unit container

16

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


Certificate 1
2

Certificate
Certificate of analysis
Product Name

: CALTAB-1250

Registered No.

: 1A 251/45

Batch Size

: 400,000 tablets

Lot & Control No.

: CUT1204

Mfg. Date

: 11-01-12

Analytical No.

: 1201/135

Exp. Date

: 11-01-16

Active Ingredients

: Each tablet contains :

Calcium carbonate

1250.0 mg

Equivalent to calcium

500.0 mg

Description

White ,oblong ,biconvex, with engraved CALTAB on one side and 1250 on the other

TESTS
Identification
Range of mean weight
Uniformity of dosage units

REQUIREMENT

RESULTS

Positive

Positive

293.0-332.6 mg/tab

1406.64 mg/tab

Acceptance value is not more than L1

1.9%

(Weight variation)

(L1 = 15.0)

Disintegration time

Not more than 10 mins

6 mins 54 seconds

Not less than 75% (Q)of LA of Calcium carbonate

Min. 87.2%, Max 98.0%

is dissolved in 30 minutes

Av. 93.3%

Not less than 5 mEq of acid is consumed by the

23.2 mEq/tab

Dissolution
Acid neutralizing capacity

minimum single dose recommended in the


labeling and not less than 22.5 mEq/tab
Assay
Reference

92.5-107.5 %LA of Calcium carbonate


: USP 30

Raw material : Calcium Carbonate Light Batch No. 12610

99.7%

17

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29


1.
2.

3.
:

Active ingredient
Metabolite

Description

Identification
- Chemical test
- Chromatographic method
HPLC, IR

Uniformity of dosage unit


2
- Weight variation ( )
- Content uniformity ( )

Type

25 mg 25%

< 25 mg < 25%

Uncoated

WV

CU

Film coated

WV

CU

Other coated

CU

CU

Thickness
punch-die
- Teclock micrometer caliper
- 1 3 mm

Hardness
- Stoke-Monsanto hardness tester
- 1 kg

18

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

Friability
% = ( ) 100

USP 30
1.
2. % target value (<1.0%)

3. % target value
2 1.0 %

Disintegration time

Dissolution /
- Apparatus 1 basket
- Apparatus 2 paddle capsule
-

2 Unit sample Pooled sample ( monograph Unit sample)

Acid neutralizing capacity

pH -

Particulate matter

Sterility

Loss on drying

Bacterial endotoxins test


Assay

Degradation product

Average weight (Range of mean weight)

Heavy metal

T MAX

T 1/2

19

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




station 2 station station
station
( )


1.
- :
- : (
)

810 cm
- 1
-

( volumetric flask)

2. :
(Petrolatum/Vaseline) (Iodine) /
(NaOH, KOH)
3. :
4. :
** White bee wax, Stearyl alcohol, Cetyl alcohol ------
** Wool fat, White petrolatum
------

1 :
2 :
3 :

20

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

(top loading balance)


1.
2.
3. (
)
4. Tare
5. 1 ( )
6. 2 ( )
7.
8.
9.
10. Tare
11.
12. 3 ( )




------
------

(calibrate)

spatula 2 spatula
------
------

21

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




Station

1.
20%

(mL)

(mL)

10

25

50

10

100

20

500

100

2.
3. 1 ( )
4.
5.
6. 2 ( )
7.
lower meniscus

8.
9. 3 ( )

22

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

:
- (, ) ------ lower miniscus
- (Mineral oil, Glycerin, Syrup) ------ lower miniscus
- ( /Potassium permanganate, Iodine soluton) ------
upper meniscus

(calibration
dropper)
A 0.8 mL
1.
2. 20%
3.
A

mL

0.8

mL

4.

23

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




station station


(Communication)
(Trituration)

>>

Activated charcoal, >>

Calamine Sulfur
(Levigation)
( levigating agent)

glycerine, mineral
oil slab & spatula
(Pulverization by
interventon)
Camphor, Menthol


geometric dilution
1.
2.
3.

24

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

(trituration)
1)
2)

3)

4) geometric dilution
5) spatula
spatula

6)
slab spatula (spatulation)
1) slab slab slab
2) slab spatula spatula
spatula
3) levigating agent solvent
smooth paste
4) slab spatula geometric
dilution
(Incorporation)
1)

levigating agent smooth paste


geometric dilution

levigating agent levigating agent (base)

25

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29

Water in oil cream base

Oil in water cream base

(Levigating agent = Mineral oil*)

(Levigating agent = Glycerin, Propylene glycol)

- Water in oil cream base


- White ointment USP
- Wool alcohols ointment USP
- Simple ointment USP

- Oil in water cream base


- Water soluble ointment base
- Hydrophilic ointment USP
- Macrogol ointment BP (PEG ointment USP)

- Emulsifying ointment BP
- Paraffin ointment
- Hydrophobic petrolatum USP
- Petrolatum**
- Cold cream

- PEG base
- Vanishing cream

* Mineral oil Liqid petrolatum, Liquid paraffin


** Petrolatum Vaseline, Yellow soft paraffin, Soft paraffin
levigating agent
levigating agent
levigating agent
, glycerin, mineral oil
2) ( )

( base)

3)

26

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




station Solution

1.
0.5-1 cm

(Plain Filter) 60

(Plaited Filter)
32


2 4 ( )

2. separatory funnel
3. flask
flask
4.

-water (Perpermint water) ------

-sprit ------

5. 45

6.

27

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




1.
1) (direct heat)
(burner) (hot plate)

collar
(air intake) nonluminous flame

(tripod) wire gauze
wire gauze
wire gauze beaker, casserole

2) (water bath)
100 C wax, fat

water bath
wire guaze

( )
2.
100 C

casserole beaker
( order of melting point)


( )

28

OSPE 2555 Rx 2829 PSU Dutch 099 Rx 29




1-3 suspension, syrup
( + ) station 6
- Mucilages ; Magmas ; Gels : bentonite, carbopol, MC, suspension, syrup Etc.
- ( )





aa,

mEq

ad

mg

div

ml., mL.

d.t.d, DTD

mmol

DW

mOsm, mOsmol

et

No., #

ft.,Ft.

oz.

ounce = 30 g

fl.oz.

fluid ounce = 30 ml

q.s. ad

g.

Rx

gr.

= 65 ml

Sig

gutt.

tbsp.

= 15 ml

M.

Tsp.

= 5 ml

29

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


1 kg
= 2.2 lb (pound)

1 pint
2 pint
4 quart
1 gallon
1 grain

1 oz.
1 fl.oz.

=
=
=
=
=

16 fl.oz. = 400 mL
1 quart
1 gallon
3840 mL
65 mg

= 30 g
= 30 mL


1 Metronodazole oral suspension Metronidazole tablet 200 mg
Rx
Metronidazole
Syrup
Purified water q.s. to

100 mg/tsp
15 ml
2 fl.oz.

1. metronidazole 200 mg
Metronidazole
200 mg

=
=
=
=

(100 mg/5 ml) 60 ml


1200 mg
1200 mg/ 200 mg
6

6
2.
1) 6 syrup
smooth paste
2) syrup ( 2 ) (
draining time )
3)
60 ml
4)

30

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

2 Tetracycline solution 2.5 % w/v Tetracycline capsule 250 mg


Rx
Tetracycline HCl
M.Ft. Solution

2.5 % w/v
1 fl.oz.(1*30 = 30 ml)

1. tetracycline 250 mg
Tetracycline HCl
= (2.5g/100 ml) 30 ml
= 0.75 g
= 750 mg ( !!!!)
250 mg = 750 mg/ 250 mg
= 3
3
2.
1)
3
2) (3/4 30 ml = 22 ml)
3) 30 ml

4) additive
(32 )

Clindamycin gel 1 % w/w Clindamycin injection 300 mg/2 ml
Rx
Clindamycin Phosphate
Carbopol 940
Purified water q.s. ad

1 % w/v
2 % w/v
1 fl.oz.

1. Clindamycin Carbopol
Clindamycin Phosphate
= (1 g/100 mL) 30 mL
= 0.3 g
= 300 mg
Clindamycin injection

= 2 ml = 1 ampule

31

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Carbopol
Carbopol

= (2 g/100 mL) 30 mL
= 0.6 g
= 0.6 g

2.
1) gel base 30 Carbopol 0.6 g ( Carbopol
2 )
2) Carbopol

= 30 g - Carbopol 0.6 g
29.4

= 29.4 g
= 22 ml

Carbopol
22 ml 30 ml
2 22 ml Carbopol
30 ml
3) Clindamycin (2 ml)

4) Carbopol Triethanolamine pH

Sodium citrate 2 % w/v


Rx
Sodium citrate
2 % w/v
Purified Water q.s. ad 50 ml

1. Sodium citrate = (2 g / 100 ml) 50 ml = 1.00 g
2. sodium citrate 1
3.
= 50 1 g < >

= 50 ml - 0.5 ml
= 49.5 ml

32

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

4.
= 49.5 ml = 37 ml
5. 37 ml 50 ml

6.
50
ml
7.

alcohol,
stock solution
benzakonium chloride 1:2500
Rx
benzakonium chloride 1:2500
M.Ft. Solution
50 ml
Benzakonium chloride 1% w/v

1. stock solution
1 : 2500 = (1 g/ 2500 ml) 100 = 0.04 %

N 1V 1 = N 2V 2
(0.04% 50 ml) = (1% V 2 ml)
V 2 = 2 ml
2. Benzakonium chloride 1% w/v
10 ml
3.
= 50
= 50 ml 2 ml = 48 ml

= 48 ml = 36 ml
4. 36 ml ( )

5. 50 ml

33

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


(Mucilages) ,Magmas, Gels polymer


2

- Acacia
- (dispersing agent) glycerin , alcohol

- Bentonite, Sodiumcarboxymethylcellulose,
Carbopol
- Bentonite,Veegum
- Methylcellulose

1 Acacia mucilage
Rx
Acacia
10 g (10% w/v) ()
Purified water to make 100 ml

1. acacia acacia
2.
= 100 -
= 100 ml - 5 ml = 95 ml

= 95 ml = 71.25 ml 72 ml
3. 72 ml acacia acacia
4. acacia mucilage ( )
acacia mucilage 100 ml

34

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

2 Bentonite magma
Rx
Bentonite
5 % w/w ( )
Purified water to make 100 g

1.

2.
= 100
= 100 ml 5 ml = 95 ml

= 95 ml = 71.25 72 ml
3. 72 ml
4. Bentonite
24 .
5. 100
3 Methylcellulose solution
Rx
Methylcellulose 1500 1 % w/w
Purified water to make 100 ml

Methylcellulose
1. 1/3 30 ml

2. methylcellulose methylcellulose
3. 2/3 60 ml
4.

Allegation method
Allegation method :
%

35

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


1. ( A)
2. ( B)
3.
( C)
4. 3

Allegation method
0.1%

0.01 ( 0.01% - 0.0%)


0.01%

0.0%

0.09 ( 0.1% - 0.01%)

(column A)

(column B)

(column C)

Iso-alcoholic elixir alcohol


alcohol
Iso-alcoholic elixir alcohol 40 %v/v 100 ml alcohol 9 % 75 %v/v
9

35
40

75

+
31
66

66 ml alcohol 9 % 35 ml

100 ml alcohol 9 % (35/66)100 = 53 ml


-

66 ml alcohol 75 % 31 ml

100 ml alcohol 75 % (31/66)100 = 47 ml


Iso-alcoholic elixir alcohol 40 % v/v alcohol 9 % 75 %
53 ml 47 ml

36

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


/

1-4 ( 2-3 )

1.
2.



( VS VS )

technical term
technical term











37

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29





( )
( )


1.


(wheeze)


3 -4
2.





3.




38

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

39




4.



phenytoin, antihistamin drug/ anticholinergic

5.


6.

cancer drug/ wafarin/ pyrazinamide/ rifam

//



7.

/

isoniazid/ alcoholism

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

8.






9.
10.

40

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


//

review 2545 2555 station
1-2 Station
1. ( )

2.

station



- , HN, ,
/




/ / / ,

30


- ,
, ( ) , , ,

41

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


regimen 2


------ / / /,
------
/

Cloxacillin /


14 ac

Dicloxacillin 500 mg
Amoxycillin 500 mg

-
- - 1
2

14 pc 22 pc

Amoxycillin+Clavulanate 650
mg, 1000 mg

q 8 hrs

Azithromycin 250 mg
Roxitromycin 150 mg

12 ac

-
- - 1
2

Erythromycin 250 mg

14 ac

-
-
- - 1
2

Norfloxacin 400 mg

12 ac

-
-
-

42

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Doxycycline 500 mg


12 pc

-
-
-

Tetracycline 500 mg

12 pc

-
-
-

Ketoconazole 200 mg, 400 mg

11 pc

-
-
-

Metronidazole (trichromoniasis)
1000 mg SD
-
Metronidazole ( )
400 mg 13 pc 5 -
200 mg 14 pc 5
NSAIDs

11 pc, 13pc
( )

Sulfa

-

-


( SABA )

1 2 puff prn


( steroid )

1 2 puff OD

- (
)

Simvastatin 10, 20 mg
Metformin 500 , 850 mg
Furosemide 5 mg
HCTZ

11 hs

max dose 2550 mg/day -


11 12

-
-

11

-
-

43

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Drug interaction
Substrate

Inhibitor

Itraconazole,
Ketoconazole

Simvastatin,

Protease

Lovastatin

inhibitor
(CYP 3A4)

Amitriptyline

Fluoxetine/
Sertraline

Inducer

Phynytoin
(CYP 3A4)


metabolism
Itraconazole,
Ketoconazole

Rifampicin
(CYP 3A4)

Rifampicin

Fluconazole

Simvastatin


rhabdomyolysis

Atorvastatin,
Pravastatin


Amitriptyline

Amitriptyline


2-4 weeks

Amitriptyline
fluvoxamine

(CYP 2D6)

Theophylline

Cimetidine
(CYP 1A2)


Theophylline

Ranitidine

Norfloxacin/
Ciprofloxacin
(CYP 1A2)


Theophylline


Levofloxacin
Ofloxacin

Erythromycin
(CYP 1A2)

Erythromycin Amoxycillin
Roxithromycin

Theophylline
all make theophylline inc dose//

44

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Substrate

Inhibitor

Wafarin

Cimetidine

Inducer

(CYP 1A2)

Wafarin
bleeding

Norfloxacin/
Ciprofloxacin
(CYP 1A2)
Fluoxetine
(CYP 1A2)
Phenytoin

Cimetidine
(CYP 2C9/19)

Omeprazole


Phenytoin


Ranitidine, Lansoprazole

warfarin

PT INR

(CYP 2C9/19)
S-warfarin

Cabamazepine
(CYP 2C19)
Phenobarbital
(CYP 2C9/19)
Phenytoin
(CYP 2C9)
Rifampicin
(CYP 2C9)

G6PD

Acetanilide
Aceophenetidine (phenaceti)
Amindopyrine (amiopyrine)
Antipyrine

Chloroquine
Hydroxychloroquine
Mepacrine (quinacrine)
Pamaquine

Aspirin
Phenacetin
Probenicid
Pyramidone

Pentaquine
Primaquine
Quinine
Quinocide

45

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Dapsone

Sulfacetamide
Sulfamethoxazole (Bactrim)
Sulfamethoxypyrimidine
Sulfanilamide
Sulfapyridine

Sulfasalazine
Sulfisoxazole

Procainamide
Quinidine

Alpha-methyldopa

Ascobic acid
Dimercapol (BAL)
Hydrazine
Mestranol
Methylene blue

Nalidixic acid
Naphthalene
Niridazole
Phenylhydrazine

Toluidine blue
Trinitrotoluene
Urate oxidase
Vitamin K (water soluble)
Pyridium

46

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


/

1 3 pc 7









5




( )



( )
-
( )

47

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

-
-

-
-

-
-

-
-
-
- (mixtures)

- 1-2

........................

-
- 1

- Antihistamine: Brompheniramine,
- Chlorpheniramine, Dimenhydrinate,Diphenhydramine,

Hydroxyzine, Triprolidine
- Sedative: Alprazolam, Bromazepam,
- Chlordiazepoxide, Clonazepam, Diazepam, Haloperidol,
Lorazepam, Midazolam, Zolpidem
- Antidepressants: Amitriptyline, Nortriptyline,
- Doxepin, Imipramine,
- Anticonvulsants: Carbamazepine, Phenobaebital,
- Primidone
- Analgesic: Methadone, Morphine, Pentazocine
- Atc: Cinnaricine, Disulfuram, Methyldopa,
- Orphenadrine. Pizotifen

48

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

- Disulfuram, Chlorpropamide, Glibenclamide,


- Metronidazole, Tinidazole

- Tetracyclines: Chlortetracycline, Demeclocyclin,


- Oxytetracycline, tetracycline Doxycycline, Minocyclin

-
- 2-4 :
Azithromycin, Cefpodoxime, Gabapentin, Itraconazole,
Ketoconazole, Sucralfate
- Enteric coat: Bisacodyl, Diclofenac, Lansoprazole,
- Omeprazole, Sodium valproate, Sulfasalazine,

- Ciprofloxacin, Norfloxacin, Ofloxacin, Doxycycline,


- Minocycline, Penicillamine Cefdinir

- /
-
-
- Glucocorticosteroids: cortisone, Dexamethasone,
- Prednisolone
- : Allopurinol, Dapsone

- Amiodarone, Demeclocycline, Doxycycline,


- Griseofulvin, Minocycline, Ofloxacin, Chlorpromazine

49

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

- Metamucil,

- Ascorbic acid effervescent, Calcium effervescent tablet,


Cholestyramine powder

- : Levodopa
- : Nitrofurantoin
- : Rifampicin, Rifabutin
- : Phenolphthalein
- : Triamterene
- : Ferrous fumarate, Ferrous
Gluconate, Ferrous Sulfate
- : Activated Charcoal

- Steroid: Dexamethasone, Prednisolone


- NSAIDs: Aspirin, Diclofenac, Ibuprofen, Ketoprofen,
- Indomethacin, Mefenamic acid, Naproxen, Piroxicam,
Sulindac, Tenoxicam
- Xanthine der.: Aminophyline, Theophyline
- Atc: Allopurinol, Bezafibrate, Bromocriptine,
- Clofibrate, Cyprosterone, Fenofibrate, Ferrous salt,
Gancyclovir, Griseofulvin, Itraconazole, Ketoconazole,
Levodopa, Lithium carbonate, Metformin, Metronidazole,
Nicotinic acid, Nifendipine, Nitrofurantoin, Pantazocin
Potassium chloride, Thiabendazole, Tinidazole

- ,
- Mebendazole, Niclosamide

- Penicillin: Ampicillin, Cloxacillin, Dicloxacillin,


- Cephalexin, Cefaclor
- Macrolide: Azithromycin, Erythromycin,
- Tetracycline: Doxycycline, tetracycline
- Atc: Penicillamine, Sucralfate, Domperidone,
- Metoclopramide

50

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


2 1


Paracetamol

8
24 5

6 24
10 1

Ergotamine tartrate

Corticosteroid

Isordil

- Allopurinol, Chloral hydrate, Cyclophosphamide,


- Ferrous sulfate, Iodine solution, Metronidazole, Phenytoin,
Potassium chloride

- Furosemide, HCTZ,

- Enteric coat: Bisacodyl,Diclofenac, Lansoprazole,


- Omeprazole, Sodium valproate, Sulfasalazine
- Sustain release

(protect from light)


Acetaminophen(Paracetamol)
Alprazolam
Atenolol

Acyclovir
Amiodarone
Azathiopine

Benzocaine
Betamethasone
Buspirone
Calcitriol
Chlortetracycline HCl
Cisplatin
Clonidine

Benzyl benzoate
Bromocriptine
Calcifediol
Carbamazepine
Cimetidine
Clarithromycin
Colchicine

Allopurinol
Ascorbic acid (Vitamin C)
Azidothymidine
(AZT, Zidovudine)
Betacarotene
Brompheniramine maleate
Calciferol, cholecalciferol
Carbidopa
Ciprofloxacin
Clomiphene
Co-trimoxazole

51

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Cromolyn sodium
Diphenhydramine
Ephedrine
Estradiol
Felodipine
Floctafenine
Fluvastatin
Furazolidone
Glyceryl trinitrate
Isoniazid(INH)
Itraconazole
Levodopa
Losartan
Methotrexate(MTX)
Metoprolol
Morphine
Neostigmine
Nifedipine
Nitrofurantoin
Norfloxacin
Orphenadrine citrate
Para-aminosalicylic acid(PAS)
Phenylephrine
Piperazine
Propanolol
Ranitidine
Salbutamol
Tetracycline
Timolol
Vitamin A

Dexamethasone
Disulfiram
Ergotamine
Estrone
Ferrous salts
Fluocinolone acatonide
Folic acid
Furosemide(Frusemide)
Griseofulvin
Isotretinoin
Kanamycin
Leflunomide
Melphalan
Methydopa
Metronidazole
Naphazoline nitrate
Neomycin sulphate
Nimodipine
Nitrofurazone
Nortriptyline
Omeprazole
Pentoxifylline
Phenytoin
Prednisolone
Pyrimethamine
Riboflavine
Sulphonamides
Theophylline
Triamcinolone acetonide
Warfarin

Digitoxin/Digoxin
Doxycycline
Erythromycin
Ethinylestradiol
Finasteride
Fluoxymesterone
Folinic acid(Leucovorin)
Glipizide
Indomethacin
Isosorbide dinitrate
Ketoconazole
Levothyroxine
Methimazole
Metoclopramide
Miconazole nitrate
Naproxen
Nicardipine
Nitrazepam
Norethisterone
Nystatin
Oxyetracycline
Perphenazine
Pilocarpine
Provastatin
Pyridoxine
Rifampicin
Tamoxifen
Thyroxine
Verapamil

52

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




1-4 ( 2-3 )


(Eye drops)

1 50 (
).

1.
2. Chloramphenicol eye drop
2 4
3.
4.

5.
6.
7. 1

8. ( 30 )


- 1 1
1 1 5
- 2 5 -10
10

-

53

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

-
-


-
-


-
- 1
-


-

-

(Eye ointment)

1.
2. Terramycin eye ointment
1
3.
4.
5.
6.
7.



8.
9.
10.

54

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


- 2 10
10
-
-


-
-

(Nasal spray)
1.
2.
- Rhinocort 1 puff ( 1 )

- Otrivin 1 puffs
3. ()
4.
( )
5.
6.
7.

8. 2-3
9. ( 2 )
10. 2 1 2
2
11.

-

55

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

2
-
-
-


(Nasal drops)

1.
2. Oxymetazoline 2
3.
4.
5.
6.
7.

()



8. 5
9. ( )
10.

- 3-

5
-
-
(Nasal wash, Nasal douche) (0.9% normal saline)

1.
2. 0.9% Normal saline nasal wash
3. 0.9% Normal saline

4.

56

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

5 -10 cc





0.5-1 cc
5.
6.
(Metered Dose Inhaler MDI)

1.
2.

- Seretide Evohaler 1 puff ( 1 )


- Ventolin Evohaler 2 puffs

3.
3-4 (

)
4.
5.
(
)
3-4 1-2
(

)
6. 1
7. 10

57

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

8.
9. 1-2
10.

11.

2
2

5

-
-


-
-
2
-
1-4

-

Accuhaler

1.
2. Seretide accuhaler
1 2 -
3.
4. accuhaler

5.
6.

58

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


7.
( MDI)
8.
9.

10. 10
11.


12.


-
- accuhaler
- accuhaler

- 0
Turbuhaler

1.
2. Budesonide 1
2
3.
4.
5. ( )
( )
6.
( MDI)
7.
8.

59

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

9. 10

10. 1
11.

12.



-
-
2
-
-

1-4

- 20

(dose)

(Ear drops)

1.
2. Neomycin ear drop
3.
4.
5.
6.

4 4



3-5

7.
8.
2-3

60

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

(Sublingual tablets)

1.
2. Isosorbide dinitrate 5 mg

3.
4. 1

5. 5
2 3

6.

7. 5-10
(Rectal suppositories)

1.
2. Glycerol suppository 2250 mg

3.
4.

5.
6.


7.

61

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

8. ( 15 ) 15-20


(Rectal enema)

1.
2. Sodium Chloride enema 250 ml

3.
4.

5.

6.
( )
7.
8. 2-3
9. 15-30


(Vaginal suppositories)

1.
2. Clotrimazole 500 mg

3.
4. ( 1-2 )

62

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

5.
6.

7. 15

(Vaginal suppositories)

1.
2. Clotrimazole 500 mg

3.
4.
5.
-
-
6.
7.
-

-


-
8. 15

63

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

(Insulin injection)

1.
2.
regular insulin 60
15-30
3.
4.

5. ()

6. (syringe)( syringe
insulin )

7.

8.

9.


1.
2.
() ( )
3.
4.

5. ()

64

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

65

6. (syringe)

7. (syringe)


8.

9. (syringe)


1.
2.

45-90

3.
4.




-
- 1

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

-

(Insulin pen)

1.
2. Mixtard 30 HM Penfill
15 unit 30
3.

4.
5.
6. 10

7.

8.
9.


10.

66

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

(Pregnancy test)

1.
2. Human Chorionic Gonadotropin (HCG)
1
3. ( )

-

:
30? 10-15
30 (
) 1-5
:

3
1-5
- : 1 5

4.
- 1 C
- 2 C T
- 1 T

(Nicotine gum)

1.
2. 2 mg
3.
4. ( )

67

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

5. ( 1
)
6. 30
7.

- 15
- (heart burn)
-
< 25 / 2 mg 30 /
> 25 / 4 mg 15 /
(Nicotine patch)

1.
2.
3.
4.


5.
6.
7. 10

8. 24
16
9.
10.
11.
12.
< 20 / 20 cm 2 1 6-8
10 cm 2 1 3-4

68

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

> 20 / 30 cm 2 1 3-4
20 cm 2 1 3-4 10 cm 2 1 3-4
Nitroglycerin

1.
2. Nitroglycerin
3.


4.
5.
6. 10
7. 12-14
Nitrate free interval time 12
8.
9.
10.
(Powder for reconstitution)
(Dry syrup)
1


1.
2. Amoxicillin
2.5 ml 3
3.
4.
5.
6.
7.

69

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

8. 7 2
9. 2

Sodium thaiosulfate for solution



1.
2. Sodium thaiosulfate for solution

3. 1/2 4.
5.
6.
7.

2/3


2
7

8.
(Oral rehydration salt)

1.
2. ORS

-
3. 250, 750 ml 1

4. 24

70

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Cholestylamine

1.
2. Cholestylamine 3

3. 1 60-90 ml
4.
5.
6. 3
(Syringe)

1.
2. (household measurement)

3.
4.
5.
(Oral contraceptive tablets)

21
1 21 1
( 1) 5

( ) 7 2 -4
7

71

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

28
1 21 7




combined pills
1.
2. ethinylestradiol 30-35 g 1 2 ( 1
2 ) ethinylestradiol 20 g ( 1 )
1

2 ( ethinylestradiol 30-35 g)

-

-

- 2

3. ethinylestradiol 30-35 g 3 ( 3
) ethinylestradiol 20 g 2 ( 2 )

72

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


7
- 1 ( 1-7)

- 3 ( 15-21)
7 ( )
( 28 )

1.
1

2. tetracyclines, penicillins, quinolones, cephalosporins


metronidazole


progestin
3. rifampicin enzyme inducer

4
rifampicin enzyme inducer

1. 2-3

2.

3.

73

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

4.

5.
2 -3



: Levonorgestrel 750 mcg/tablets (Madonna, Postinor)

Levonorgestrel 750 mcg 2 12
72
1 12 4 (2
)
Levonorgestrel 750 mcg
72-120


( 2
1 )

74

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




0-2 ( 1 )
1.
2.



Digoxin

digoxin ... / ...(
)

digoxin ..... g ..... ..... (
)

( 12 )
12
2



( )


digoxin 2
digoxin

75

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Phenytoin (Dilantin )

phenytoin .....
.....( )

phenytoin .....mg ..... ..... (
)






phenytoin



phenytoin





phenytoin
phenytoin

76

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


phenytoin
Theophylline

Theophylline ..... .....(
)

theophylline .....mg ..... ..... (
)


2 (shortness of breath)



theophylline


( )



theophylline

77

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Warfarin

warfarin .....
( )

warfarin .....mg ..... .....
( )
12
2











Warfarin

Warfarin
Warfarin

Warfarin

78

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Methotrexate

Methotrexate .....
..... ( )

Methotrexate ..... / ..... (
)

1
( 12 ) 12 .

1
2
:

:
-

:
-

( ) (
HIV) Methotrexate

79

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Methotrexate

Cyclophosphamide

Cyclophosphamide

Cyclophosphamide ..... ..... (
)

12 12

2



/




Cyclophosphamide

80

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


10


Cyclophosphamide
Cyclophosphamide


Isoniazid

Isoniazid

Isoniazid ..... .. ( )
2 (
)







6

81

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29



Isoniazid 1
Isoniazid



Rifampin

Rifampin ..... .....( )

Rifampin ..... .. ( )
1 2 (
)






( )
Rifampin
Rifampin

82

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Rifampin



Rifampin
Rifampin
Rifampin
Rifampin

Pyrazinamide

Pyrazinamide

Pyrazinamide ..... ..... ( )







Pyrazinamide

83

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Pyrazinamide
Ethambutol

Ethambutol

Ethambutol .. .. (
)

12 12

2



Ethambutol






2
ethambutol

Ethambutol

84

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




Maculopapular rash, Urticaria ( )
Steven-Johnson syndrome 3
1.
( )

2.





Maculopapular rash




Urticaria ( )


85

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Fixed drug eruption




Eczematous drug eruption


MP
rash

Erythema multiforme (EM)


3


1

Steven - Johnson syndrome (SJS)


EM
3

10
1

86

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Toxic Epidermal Necrolysis (TEN)





MP rash



SJS
WHO criteria
1. Certain ( )
(1)
(2)
(3)
(4)
2. Probable ()
(1)
(2)
(3)
(4)

3. Possible ()
(1)
(2)
(3)
4. Unlikely ( )
(1)
(2)
: 4 certain
Certain 4
Probable 3
Possible 2

Unlikely

87

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Naranjos algorithm

1.

+1

2.

+2

-1

3.
( specific
antagonist)

+1

4.

+2

-1

5.
( )

-1

+2

6.

-1

+1

7. (
)

+1

8.

+1

9.

+1

10.

+1

9
5-8
1-4
0

Definite
Probable
Possible
Doubtful

()

88

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




1 2
1. lab +
2. ( ) + lab+

Lipid profile

- LDL, lab ( goal )
- LDL; mg/dL, mg% ( TG < 400 mg/dL)

Lab

NCEP ATP III


Lab

Goal

Total cholesterol (TC)

< 200

Triglyceride (TG)

< 150

VLDL (VLDL TG/5 )

< 50

HDL

40-59

LDL CHD
Risk

LDL goal

CHD/ CHD risk equivalent

< 100

Risk factor 2

< 130

Risk factor = 0-1

< 160

89

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

CHD and CHD risk equivalent


1. Coronary heart disease (CHD) = CHD
-

Acute miocardial infarction

Silent miocardial infarction or miocardia ischemia =

Unstable angina pectoris or stable angina pectoris =

Coronary procedure (coronary angioplasty, coronary surgey) =


2. CHD risk equivalent = CHD



Other clinical atherosclerotic diseases =
-

Peripheral arterial disease =

Abdominal aortic aneurysm =

Carotid artery disease on angiography or ultrasound =


50%

Renal artery disease =

Risk factors
Risk factor

55

45

+1


CHD

( (
) CHD
) CHD
55 65

+1

+1

+1

HDL

< 40mg/dL

+1

60mg/dL

-1

90

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29





( )



(aerobic exercise) 30 3

- -



- (
stage )
- HCTZ Enalapril



SBP
Optimal

<120

Prehypertension

120-139

Stage 1 Hypertension

140-159

Stage 2 Hypertension

160

DBP
and

<80
80-89

or
+20

90-99
100 +10

91

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Goal (mmHg)
Pt.

<140/90

Pt. Chronic kidney disease / Diabetes mellitus

<130/80

Pt. Protienuria

<125/75






/







(
)




(aerobic exercise) 30 3

92

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29



- FBS Hb A1C


lab
FBS 8
Hb A1C Hemoglobin ( ) 3

FBS Hb A1C
diagnosis DM

Goal

Fasting blood sugar (FBS)

126

70-130

Hb A1C

6.5%

< 7%

93

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

-


-
-


(aerobic exercise) 30 3


Thyroid function

- lab


Thyroid disorders

TT 4 & TT 3

TSH

Hyperthyrodism
Hypothyrodism
1. Hyperthyrodism

Hypermetabolism & Sympathetic


( )

94

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Graves disease ( )


(
)
Amiodarone (
)

Atrail fibrillation, Hypothyrodism, (Congestive heart failure), ,

2. Hypothyrodism

Hypometabolism

( )
( )

Hasimotos thyroid

Lithium (Lithium Thyroid hormone ),
Amiodarone



*** Amiodarone Hyperthyrodism Hypothyrodism ***

95

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Hematorogy

- lab



Lab





96

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Liver function test



- lab ( lab ) + lab ( review
AST, ALT Alkaline phosphatase) +
+

lab
AST ALT

Alkaline phosphatase (ALP)

Billirubin by product heme heme bilirubin
conjugation Conjugated bilirubin
urobilirubin
Billirubin 2 Direct Bilirubin (Conjugated)
Indirected Bilirubin (Unconjugated) Total Bilirubin

- Total Bilirubin (TB)/ Bilirubin =


(Juandice)
- Direct Bilirubin (DB) = (Conjugated) (
)
- Indirect Bilirubin ( TB- DB)
(Unconjugated Bilirubin)

97

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Lab

AST(Aspatate transaminase, SGOT)

0-35

ALT(Alanine transaminase, SGPT)

0-35

Alkaline phosphatase (ALP)

30-120

Total bilirubin (TB)

0-1.4

Direct bilirubin (DB)

0-0.30




( )

- (Pyrazinamide, Isoniazid, Rifampin)


- Statins (Atorvastin, Simvastatin, Lovastatin, Pravastatin,
Rosuvastatin) Fibric acid derivatives (Gemfibrozil, Clofibrate, Benzafibrate)
- Methotrexate
- Paracetamol

98

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

(Hepatitis B virus)

-

Lab
AST ALT

HBsAg ( + )
AntiHBs Ag (+)
HBeAg ( + ) ( / )
AntiHBe Ag (+) /

HBV DNA ( + )
HBsAg ( + ) + AntiHBs Ag (+) = +
HBsAg ( - ) + AntiHBs Ag (+) =
AntiHBe Ag (+) + AntiHBs Ag (+) =

Acute ( 6 )
-
- ALT (ALT > 2.5 upper limit )
Chronic ( 6 )
- 6
- AST > ALT
- HBeAg ( + ) = Active ( / )
HBeAg ( - ) = Persistance
Carrier
-
- normal AST & ALT

****

99

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

- HBeAg ( + ) = Asymtomatic ( )
HBeAg ( - ) = Active ( )

( ) (
)








Paracetamol, Isoniazid, Erythromycin

100

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




1 3 station
Key word
Drug information handbook ,
MIMs , Drug interaction facts


AHFS Drug Information

/
index
Availability & Indentification USA
Drug information

-

MIMS Annual

Use
Dosage & administration
Caution
Pregnancy & lactation

Pharmacology
Mechanism of action
Pharmacokinetic
Chemistry & stability

Generic & brand name index



- Trade name, Generic name
- Dosage & Administration
- Description
-

Indication
Storage
Presentation
Action

- Pharmacology
- Pharmacokinetic

101

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Drug information handbook

International brand names index International


trade names index
A- Z

- Generic name /U.S. Brand name/Canadian Brand name
- Pharmacology categories - Additional appendix information
-

Uses/Unlabeled use
Pregnancy
Medical safety issues
Warning/precaution

Restrictions
Lactation
Contraindication
Adverse reaction

Overdose/Toxicity
Stability
Pharmacokinetic
Administration
Reference range

Drug interaction
Mechanism of action
Dosage
Dosage form
Monitoring parameter

- Test interaction
- Extemporaneous prep.
Drug fact & comparison

- Additional information
- Appendix table of contents

index


- Information
- Indications
-

Administration & Dosage


Actions
Contraindications
Warnings & Precautions
Drug Interactions

- Adverse reactions
- Overdosage
- Patient information

102

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Handbook on

index

Injectable Drug


- Products (size, strength, volume, form)
- Administration
- Stability
- Compatibility & additional Information ( )
(Solution, Additive, Drug in syringe, Y-site)
-

Drug interaction facts

index , , trade name


significant rate

- Drugs or drug classes
-

Significance 1-5
Onset ,Severity, Documentation
Effects
Mechanism

- Management
- Discussion
Drug in pregnancy &
lactation

index

- Fatal risk summary & recommendation
- Breast feeding summary & recommendation

103

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


MIMS Thailand

/
index trade names & generic name

- manufacturer
- Content (C)
- Dosage (D)
- Contraindication (CI)
- Adverse reaction (AR)
- Presentation/price (P/P)
- Poison classification

Distributor
Indication (I)
Administration of oral drugs (A)
Special precaution (SP)

- Drug interaction (DI)


- Pregnancy category

- P2 = 2
- P3&P4 = 3&4

- N3 = 3

- S =

- D =

- NDD =

- E D = exteranal


a pathophysiologic approach index

Pharmacotherapy :

-
-

Remington

index

- -
-

-
-

104

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Merck index

/
index 2 name index formula index
index A-Z 0-9





-
-
-
-
-
-
- therapeutic category, antidote

Martindale

index

-
-
-
-
-
-
-
- Interaction Pharmacokinetic
-
-
-

105

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


British pharmacopoeia (BP)

/
(BP 1993, 1998, 2001) 2 Volume
- Appendix Vol.2
- Content of appendix A3 Vol.2
BP 2011 6 Volume
- Vol.1& 2 --> Medicinal substance -->
- Vol.3 --> tablets, suspensions
- Vol. 4 --> Blood Product, Immune, Radiopharmacy
etc.
- Vol.5 --> Appendix and index
- Vol.6 -->
Appendices BP General Chapter
USP
monograph Appendix IIIA
2.2.27
Appendix
- 2.2.27 European Pharmacopoiea Appendix
BP
- monograph 2.2.27
Appendices 2.2.27 App. IIIA
App.IIIA A122 Thin-Layer
Chromatography

106

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

U.S. Pharmacopeia National

USP(30) 2007 USP(34) 2011 2 3

Formulary (USP)

Volume
- Volume 1 --> General Chapter (
<xxx>) <621> Chromatography
Page 29 Vol.1 <621>

Vol.1 monograph
Excipients, Dietary Supplements **
Vol.1
- Volume 2 -->Monograph A-L (USP 30/2007)
A-I (USP 34/2011)
- Volume 3 -->Monograph M-Z(USP 30/2007)
J-Z (USP 34/2011)

-

Microbial limit test

Dissolution -->Tolerance --> Q

107

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




1 2

1. mL + + ( Paracetamol
drop 60 mg/0.6 ml 15 ml Paracetamol syrup 125 mg/5 ml 60 ml) +
2. mL + +
review regimen regimen
Paracetamol (10-15 mg/kg/dose)


10 kg Amoxicillin 125
mg/5ml 60 ml
Rx

Amoxicillin 80 mg/kg/day devided 2 dose for 14 days



Paracetamol

10-15 mg/kg/dose

CPM

0.35 mg/kg/day in divided dose q 4-6 hr

Ibuprofen

Analgesic

: 4-10 mg/kg/dose q 6-8 hr

Antipyretic

: 5-10 mg/kg/dose q 6-8 hr

Otitis media
GAS pharyngitis

: 80-90 mg/kg/day divided 2-3 dose 10 days


: 40-50 mg divided 2-3 dose 10-14 days

Amoxicillin

Sinusitis;
: 40-50 mg divided 2-3 dose 10-14 days
High risk
: 80-90 mg divided 2-3 dose 10-14 days
( ATB 1-3 / nursery)

108

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Body Mass Index (BMI)
( : kg/m 2)


BMI (kg/m 2)

18.5-22.9

23

25

Body Surface Area (BSA)


2
1.
( : m 2)

2. Nomogram
( : m 2)

109

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Ideal Body Weight (IBW)



( : kg)

( : kg)

Creatinine clearance (CrCl)


( : mL/min, L/hr)

0.85

( : mL/min, L/hr)

110

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




1. Osmol:
Osmol = molar x ion
2. drip, drop
1 ml = 60 microdrop
3. % Labeled amout
% Labeled amout = ( / ) x 100
4. Molarity, Normality
Eq. wt = MW / Valency
Mole = g/MW
Molarity = (g/MW) /L

Number of Eq. = g/Eq.wt


Normality = (g/Eq.wt) /L

N = M x valency
1

Rx

Boric acid

1.24

Sodium borate
0.02
Sodium chloride
0.29
Water qs.
100
NaCl mOsmol/L ( NaCl MW = 58)

100 ml
1000 ml

g
g
g
ml

NaCl = 0.29 g
NaCl = 2.9 g
= 2.9/58 = 0.05 mol
= 50 mmol
mOsmol

NaCl 100 mOsmol/L

= mmol x ion
= 50 x 2 = 100 mOsmol

111

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

2
Dopamine (1:1) 5 mcg/kg/min 60 kg microdrop / min

Dopamine 5 mcg/kg/min
60 kg ;
5 x 60 = 300 mcg/min
= 300/1000 mg/min ----------------- > mcg mg
= 0.3 mg/min
= 0.3 ml/min ------------------------ > Dopamine 1 mg : 1 ml
= 0.3 x 60 microdrop / min --------> 1 ml = 60 microdrop
= 18 microdrop / min
3
Dopamine (2:1) rate 5 microdrop/min 50 kg dopamine
mcg/kg/min

Dopamine 5 microdrop/min =

ml/min -------------------------- > 1 ml = 60 microdrop

mg/min --------------------- > Dopamine 2 mg : 1 ml

mg/kg/mi -------------- > 50 kg

mcg/kg/min --- > mg mcg

= 3.33 mcg/kg/min
4
% label amount 5 95.68, 97.42, 99.16, 105.42
101.68 mg 100 mg active ingredient/tab
% label amount 95.0-105.0 %

% Labeled amout
% Label amount

= ( / ) x 100
= (95.68 + 97.42 + 99.16 + 105.42 + 101.68)/5

( 5 )

= 99.87 mg

112

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

5
1
Sodium chloride
Trisodium citrate dehydrate
Potassium chloride
Glucose anhydrous
1 L

2.9 g
2.9 g
1.5 g
13.5 g

sodium mEq/L (MW Sodium chloride = 58, Trisodium citrate dehydrate =


290, Potassium chloride = 74)

Sodium 2 Sodium chloride Trisodium citrate dehydrate


Sodium chloride

Trisodium citrate dehydrate

2.9 g

2.9 g

=
=
=
=
=

2900 mg
2900/58
50 x 1
2900 mg
2900/290

= 10 x 3
sodium 50 + 30 = 80 mEq/L

= 50 mmol
= 50 mEq
= 10 mmol

N = M x valency
Eq = mol x valency

= 30 mEq

113

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29




1.
Displacement Value = g Theobroma oil 1 g
2. (Tonicity adjustment)
E = g NaCl 1 g
3. Required HLB

1
10
Rx

Aspirin
300 mg
PEG base
q.s.
displacement value aspirin = 1.5
1 = 2.2 g

Aspirin
Aspirin
PEG base
PEG base

1.5 g
0.3 x 10 g
1
10

1 g
(1 x 0.3 x 10)/1.5 = 2 g
2.2 g
2.2 x 10 = 22 g

22 2 = 20 g

2
sodium chloride gentamicin 1
mg/mL 50 mL isotonic
E gentamicin 0.3 E NaCl 1

114

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

gentamicin 1 mg/mL 50 mL 50 mg = 0.05 g


E gentamicin 0.3 ;
1 g
= NaCl 0.3 g
0.05g
NaCl 9%
NaCl 0.9% 50 mL NaCl

= NaCl 0.015 g
= ( 0.9/100) x 50 = 0.45 g

NaCl= 0.45 0.015 = 0.435 g


3
required HLB emulsifier
Mineral oil
30 g (HLB = 12)
Wool fat
2g
(HLB=10)
Stearyl alcohol 1.5 g (HLB = 14)
Emulsifier
10 g
Water
56.5 g
Span 80 Tween 80 HLB = 4.3 15.0


HLB
Mineral oil
Wool fat
Stearyl alcohol

Tween 80

30%
2%
1.5%
33.5%

12
10
14

15.0

30/33.5 = 0.896
2/33.5 = 0.060
1.5/33.5 = 0.045

HLB
0.896 x 12 = 10.75
0.060 x 10 = 0.597
0.045 x 14 = 0.627
required HLB = 11.974

7.7
12

Span 80

4.3

3.0
10.7 10

Tween 80 (7.7/10.7) x 10 = 7.2 g


Span 80 10 7.2

= 2.8 g

115

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


..2510

Station 3
1. (
) Station
1
2. 5 1 -5


3. Station
Station

55 Pseudoephedrine Codeine

.. 2510

.
4

(1)
(2)

(3)
(4)




116

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

1


2
12

13 12
(1)

(2)

(3)



(4)
(5)

(1) (5)
14

(8)

(9) 38 39 40 40 41 42 43
44
(9)

15

117

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

( 31
.. )

3
19
(1)


/ ...

4

38 20

(1) 79..........(
)
(5) 25(6).........( )
39 21

(1) 26 (2) (3)
(2)
(3)
(4)
(5)

26 (5)
( )
26 (4)


(6)

(7) ()
(8)

118

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

45



*** ...

***
5
6
7
5 - 7 2 - 4
8
72
(1)
(2)
(3)
(4)
(5)



.... Kamagra (Sidenafil )

...
Sibutamine
(6)
(4)

73
(1)
(2)
(3)
(4)
(5)
79

119

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

74
(1)
79
73(5)
(2)
79
86
75
(1)
(2) ()
74
75




9
76
10
79



79 79
(1)
(2)
(3)

(4)

120

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

80 79
11
88
(1)


(2)
(3)

(4)
(5)
(6)
(7)
(8)
7
(5) (6) (1) (4) (5)
(6) (7) (8)

88

(1)
(2)
12
91
(1)

(2)
13
95

121

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29



14
109 38 39 40 40
41 42 43 44
110 45
117 72 (1)

73 (2) (3) (4) 72 (1)


119 72
(1)


122
72 (4)
122 75

124 88 88 89 90



Aluminium Hydroxide 200-600 mg. 4 10


Magnesium Hydroxide 200-400 mg.

Asafetida 20 %w/v

15, 30 60 ml

ORS

1 250 ml

122

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


Glycerin suppository 91%

1.5 g

2.55 g

Sennosides
Sennoside B 7.5 mg

4 10

NaCl enema 15 %w/v

10 20 ml

Mebendazole 100 mg

Paracetamol 500 mg

4 10

Paracetamol 325 mg

4 10

Paracetamol 325 mg/5 ml

30 60 ml

Chlorpheniramine maleate 2 mg

4 10

60 ml

Dimenhydrinate 50 mg

Gentian Violet 1 %w/v

15 30 ml

15 30 ml

15 30 ml

Isopropyl Alcohol Solution 70%v/v

30 ml

Ethyl Alcohol Solution 70%v/v

30 ml

Sodium Chloride 0.9 %w/v

500 ml

Benzyl Benzoate 25 %w/v

30 60 ml

Coal Tar 1 %w/w

5 g 15 g

Calamide 8-15 %w/v

60, 120, 180 ml

Zinc Oxide 3-12 %w/v


(B 1 5 mg + B 2 2 mg +
B 6 2 mg + Nicotinamide 20 mg)
Vitamin C (Ascorbic Acid) 100 mg
Ferrous Sulfate
Equivalent to Iron 60 mg

4 10

4 10

4 10

4 10 Cap

A D

123

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

Paracetamol 500 mg + CPM 2 mg NSAIDs


10
Antituberculosis

Anti-neoplastic

HCTZ 50 mg 4 10

Antimalarial

NSAIDs

Antihelmintic :

CPM 2 mg 4 20

- Albendazole 200 mg

General Anesthetic

Aminophylene 100 4

Fluoxetine

Corticosteroid

Penicillin V Potassium equivalent


to Penicillin V 200,000 unit
60 ml

Manoxidil

Clofibrate

Amitriptyline

Chlorampinical

Mebendazole 100 mg 6
Mebendazole 500 mg 1

Steroid

Dextromethophan HBr 15 mg

Erythropoietin

Dimenhydrinate 50 mg

Cafergot

Gancyclovir

4 10

Ambroxal HCl 30 mg

Barbiturate

Steroid

Valproic acid

mucolic ???

Retinoids

Anti HIV (AIDs)

Tramadol

Clozapine

Amoxycillin

Sidenafil

Phenylephene 10 mg +
Paracetamol 325 mg + CPM

Azethromycin

Cisapride

Norfloxacin

Misoprostol

Bromphenniramine 4 mg

Finesteride

Lamivudine Hepatitis B

Phenylephene 10 mg + CPM Sumatriptan


Bromphenniramine 4 mg
Cinnarizine

Oseltamivir

Chloramphenicol eye drop

Aspirin 81 mg

Antipsychotic drugts
Haloperidol
Nimesulide ( NSAIDs)

124

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


..2518

4
















1


2
13 1

125

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

13 2
2
6 (4 )


15 13
(1) 2


(2) 2

(3) 2

(4) 2


14
16 3 4

17 16
(1) 3 4


(2) 3 4


(3) 3 4


(4) 3 4

126

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

(5) 3 4


16
3

3 4
/

4
33 3 4

(1)
(5)
34 3 4

(1) 28 (2)
(3)
(5)


(7)
(8) (5)

(9)
5
36
(1)

127

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

(2)
(3)
(4)
(5)
37, 38, 39
6
40 3 4



41 40
7
48
(1)

(2)
8
49





9
53


128

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


4

1. 1 :
1
Cathinone

Mescaline analog

4-methylaminorex

DET

Escaline

Parahexyl

DMHP

Isoproscaline
Proscaline

PCE

DMT
Etryptamine
GHB (Gamma-hydroxybutyrate)
Methcathinone
Mescaline
Mescaline derivatives

PHP(PCPY)

4-Thiomescaline 4-TM
4-Thioescaline 4-TE
4-Thioproscaline 4-TP
3-Thiomescaline 3-TM

Psilocine
Psilocybine
TCP
Tetrahydrocannabinol

3-Thioescaline 3-TE
3-Thiometaescaline 3-TME

2. 2 :

2
Amfepramone

Flunitrazepam

Nimetazepam

Secobarbital

(diethylpropion)

Flurazepam

* Nitrazepam

Temazepam

Amineptine

Haloxazolam

Pemoline

Triazolam

Aminorex

* Ketamine ()

Phenylpropanolamine

Zaleplon

Butorphanol

Loprazolam

* Phencyclidine

Zipeprol

Brotizolam

Lormetazepam

Phendimetrazine

Zolpidem

Cathine

Mazindol

Phenmetrazine

Zopiclone

* Ephedrine

Methylphenidate

* Phentermine

Buprenorphine

Estazolam

Mesocarb

Pipradrol

Fencamfamin

* Midazolam

Pseudoephedrine

Fenethylline

N-Ethylamphetamine

Quazepam

129

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

3. 3 :

3
Amobarbital

Glutethimide

Meprobamate

Butalbital

Pentazocine

Cyclobarbital

Pentobarbital

4. 4 :

4
Inorganic bromide (
Clorazepate
Allobarbital

2 ?

Lithium bromide

Potassium bromide

Technical grade sodium


(Clorazepic acid)
bromide technical grade
)

Pinazepam

* Alprazolam

Clortermine

Ketazolam

Prazepam

Barbital

Clotiazepam

Lorazepam

Propylhexedrine

Benzphetamine

Cloxazolam

Medazepam

Pyrovalerone

Bromazepam

Diazepam

Mefenorex

Secbutabarbital

Butobarbital

Delorazepam

Methyprylon

SPA

Camazepam

Ethchlorvynol

Methylphenobarbital

Tetrazepam

Ethinamate

Nordazepam

Tofisopam

Chlordiazepoxide

Ethyl loflazepate

Oxazepam

Vinylbital

Chlorphentermine

Fenproporex

Oxazolam

Clobazam

Fludiazepam

Perlapine

Clonazepam

Halazepam

Phenobarbital

Chloral hydrate and its


adducts

130

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


..2522

4







1


2
15
1
16 2

17 2

20
3

(1) 3


(2) 3

131

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

26
4 5

3

/ ...

4
36 3
(1)
(2)
(3)
(4)


3 29 (3)

3 31

(5)
37 3

(1) 3 31 (2)
(2) 31 (3)
(3)
(4)
5 3
3 9 3

(1)
(2)
(3)
(4)

40
41
42
43

(5) 46
40, 41, 42 3

132

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

6 3
43 3



7
48
(1) 2 3


(2) 2 3 4
2 3 4


8
49
(1)


(2)


(3)

(4)
(5)

133

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

9
52





10
57 1 5
58 2

17
11
12
70 3 20

71
3 20 20

3 20

82 3
19 (1)
83 3 39 (1)

84 3
3 39 (2) (3)

85 3
3 39 (2) (3)

134

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

5
1. 1
1
*MDMA (

*Amphetamine

*Methamphetamine

Ectasy Adam)

( )

()

*MDA ( )

*Heroin

Etorphine

PMA

Thiofentanyl

Desomorphine

Dexamphetamine

Dihydroetophine

*LSD (d-lysergic acid)

2. 2
2
*Opium

*Medicinal Opium

( )

*Cocaine

*Fentanyl

*Dextropropoxyphene

*Morphine

*Pethidine
ROPECT

*Coca bush

*Codeine

*Methadone

*Diphenoxylate

Trimepridine

8 (1)
(Medicinal Opium)

3. 3 2

3
1. codeine

60

2. codeine phosphate
3. dextropropoxyphene
4. dihydrocodeine tartrate
5. diphenoxylate

lomotil

6. 60

135

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

4. 4 1 2 ( ergot alkaloid
cafergot
)

acid acid

4
*Acetic Anhydride

*Acetyl Chloride

*Lysergic Acid

Safrole

Piperonal

Phenylacetic Acid

*Ergotamine

*Ergometrine

Ethylidine Diacetate

Chlorpseudoephedrine

5. 5 1 4
3
1. (Cannabis) ( Cannabis sativa L. Cannabis
indica Auth)

2. (Mitragyna speciosa Korth)



3.
Papaver somiferum Linn Papaver bracteatum


4. Psilocybe cubensis
Psilocybin

1, 2, 4 5
1.
2. 1 2
3. 1 2

136

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


..2537
5
28

(1)
(2)



(3)



(4)


29




30



137

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

31


33

44 28



45
44 50

46



138

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29


..2538
2 3(4) () ..253 7


1

1
2
3
4
5

6
7
8
9

139

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

10

11
12


13

14

3

15

(1)
(2)
(3)

16

(1)

(2)

(3)
(4)
17

16

140

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

18

17
19

4

20
21
22
5

23
24
25
6

26

27



28

141

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29



29



30


31

142

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

1.
2.
3.
4.

Rx 27
Rx 28
Rx 28
Rx 28

Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Care
Pharmaceutical Care

077
131
2002
2020

5.
6.
7.
8.

Rx 28
Rx 29
Rx 29
Rx 29

Pharmaceutical Care
Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences

2031
008
009
011

9.
10.
11.
12.

Rx 29
Rx 29
Rx 29
Rx 29

Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences

019
024
026
055

13.
14.
15.
16.
17.

Rx 29
Rx 29
Rx 29
Rx 29
Rx 29

Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences

070
073
075
081
090

18.
19.
20.
21.

Rx 29
Rx 29
Rx 29
Rx 29

Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences
Pharmaceutical Sciences

098
099
109
117

22.
23.
24.

Rx 29
Rx 29
Rx 29

Pharmaceutical Sciences 119


Pharmaceutical Sciences 130
Pharmaceutical Sciences 131

143

OSPE Rx 2829 PSU OSPE 2555 Dutch 099 Rx 29

144

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