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PHARMACEUTICS 21 | LECTURE

CHAPTER 1: INTRODUCTION TO DRUGS & PHARMACY


1ST SEMESTER | S.Y. 2022 – 2023
LECTURER: IVORY DIANE C. AMANCIO

WHEN DO WE NEED TO USE DRUG for MEDICATION? AYURVEDA


➢ traditional Hindu system of medicine, which is
➢ For treatment of a certain disease.
based on the idea of balance in bodily systems
➢ For prevention of diseases
and uses diet, herbal treatment, and yogic
➢ Use in the diagnosis for disease
breathing.
FOOD DRUG AND COSMETIC ACT OF 1938
➢ A drug is defined as an agent intended for use in the NATUROPATHY
diagnosis, mitigation, treatment, cure, or ➢ system of alternative medicine based on the
prevention of disease in humans or in other animals. theory that diseases can be successfully treated
or prevented without the use of drugs, by
DIVERSITY OF DRUGS techniques such as control of diet, exercise, and
➢ This quality enables their selective use in the massage.
treatment of a range of common conditions
involving every body organs, tissues, and cell. HOMEOPATHY
➢ the treatment of disease by minute doses of
DRUGS ARE SELECTIVE natural substances that in a healthy person would
➢ Mydriatic - ex. Oxytocin produce symptoms of disease.
➢ Sleep Hormone – ex. Melatonin
➢ Antidepressants – ex. SNRIs THE FIRST APOTHECARY
➢ Miotics (parasympathomemetics) – ex. Pilocarpine APOTHECARY
➢ is the art of preparing medicinal material from
DRUG DISCOVERY AND DEVELOPMENT plants.
HERITAGE OF PHARMACY QUALIFICATIONS:
TRADITIONAL MEDICINE ➢ Who have Knowledge of the healing qualities of
➢ Drug existed along with human existence plants and been gathered through experience or
(vegetation and minerals)
handed down by word of mouth.
➢ The instinct to survive from a disease led to their
➢ Must have a connection with the world of spirits
discovery throughout the ages
➢ Includes spiritual therapies, manual techniques and
and thus perform as intermediates between the
exercises and applied singularly or in combination to seen and the unseen.
treat, diagnose and prevent illnesses or maintain
well-being
➢ Examples:
o bathing wounds to cool water
o Use of fresh leaf for soothing pain
o Decoction of fresh leaves to relieve cough

SPIRITUAL INCANTATIONS
SHAMANISM
➢ conducted by a Shaman
➢ The goal of this is usually to direct these spirits or
spiritual energies into the physical world, for healing
or some other purpose SUCCESS OF THERAPY:
➢ Depends on compassion of a god, the observance of
TRADITIONAL ALTERNATIVE MEDICINE ceremonies, the absence of evil spirits and the
healing intent of the dispenser
ACUPUNCTURE
➢ involves pricking the skin or tissues with
needles, used to alleviate pain and to treat
various physical, mental, and emotional
conditions.
EARLY DRUGS DIOSCORIDES
GEORGE EBERS ➢ Greek Physician and Botanist
➢ discovered an Egyptian papyri, whose contents ➢ First to deal botany as an applied science of Pharmacy
concerned with medical matters in 1875.
MATERIA MEDICA
EBERS PAPYRUS ➢ Study of naturally occurring, medicinal plants
➢ is a scroll 20,23 meters in length and contains ➢ Known as Pharmacognosy today
108 columns of text. I is dated at the reign of ➢ the area of identifying and collecting natural drug
Amenophis (1536 B.C.) products, the methods of their proper storage and the
➢ 800 +drug formulas means of detecting adulterant or contaminants
➢ 700+ drug mentioned
MASTER FORMULA: PHARMACOGNOSY EXTRACTION METHODS
Botanical Agents Binder: Acacia MACERATION
Emulsifying/Stabilizing agent: Castor Bean (we make ➢ is an extractive technique that is conducted at room
castor oil) temperature. It consists of immersing a plant in a liquid
Aromatic flavor: Fennel (water, oil, alcohol, etc.)
Minerals: Iron Oxide, Sodium Carbonate, Sodium
Chloride, Sulfur
Vehicles: Beer, Milk, Honey, Wine

ANIMAL EXCREMENTS

PERCOLATION
➢ comes from the Latin word percolare, which means "to
➢ The History channel lists human and animal strain through."
➢ happens when liquid is strained through a filter, like
excrement as a favorite of ancient Egyptian
doctors for both diseases and injuries, and it when someone makes coffee.
wasn’t necessarily a bad thing.
➢ “Donkey, dog, gazelle and fly dung were all
celebrated for their healing properties and their
ability to ward off bad spirits. While these
repugnant remedies may have occasionally led
to tetanus and other infections, they probably
weren’t entirely ineffective — research shows
the microflora found in some types of animal CLAUDIUS GALEN
dung contain antibiotic substances.” ➢ Greek Pharmacist
➢ And the BBC notes that the ancient Egyptians ➢ Create perfect system of physiology, pathology and
used crocodile dung as a form of contraception, treatment.
among the various materials they tried. ➢ His medical writings includes descriptions of
numerous drugs of natural origin with drug formulas
INTRODUCTION OF SCIENTIFIC VIEW POINT and methods of compounding.
➢ Notable individuals that contributes a
revolutionary influence in the Development of GALENIC PHARMACY
Pharmacy and Medicine: ➢ Preparations o vegetable drugs by mixing or melting
HIPPOCRATES the individual ingredients.
➢ Greek Physician ➢ Galenical (dosage forms)
➢ Introduce scientific pharmacy and Medicine
➢ Gives description to hundreds of drugs

PHARMAKON
➢ Came to mean purifying remedy for GOOD
ONLY, transcending the previous connotation of
a charm or drug for good or for evil purposes
PARACELSUS
➢ Aureolus Theophrastus Bombastus von Hohenheim
(1493-1541)
➢ Swiss Physician and Chemist
➢ Transformation of Pharmacy profession based
primarily on Botanical Science to one based on
Chemical Science.
➢ He believed that it was possible to prepare a
specific medicinal agent to combat each specific
disease and introduced a host of chemical
substance to internal therapy

DRUG STANDARDS STEP 1: DRUG DISCOVERY AND DEVELOPMENT


PHARMACOPEIA OR FORMULARIES ➢ Pharmaceutical companies generally begin the
PHARMACOPEIA discovery process by targeting a broad category
➢ An organized sets of monographs or books (cancer, cardiovascular disease) or a specific disease
containing standards in the production of drugs state (breast cancer or hypertension)
and Pharmaceutical Products
➢ A chemical with potential therapeutic benefits, known
➢ Pharmakon (drug) ; Poiein (make)
as the LEAD COMPOUND, must first be identified.
➢ Means any recipe or formula or other standards
required to make or prepare a drug. ➢ A lead compound may be found in chemical libraries.
➢ Libraries can be searched for possible leads through
USP AND NF MONOGRAPHS high throughput screening methods.
1852 ➢ The associated database that stores the library's
o American Pharmaceutical Association (APhA) information can also provide useful information.
made the 3rd revision of the USP as a therapeutic
PROCESS OF LEAD COMPOUND
guide to medical profession ; and was restricted
to drugs with established therapeutic merit.
RANDOM SCREENING
➢ involves no intellectualization; all compounds are
1888 tested in the bioassay without regard to their
o National Formulary of Unofficial Preparations structures.
➢ Thousands of new organic compounds are synthesized
June 30,1906 and subjected to pharmacological screening
o National Formulary signed by president Theodore
Roosvelt that USP and NF are two legal standards COMBINATORIAL CHEMISTRY
for medicinal and Pharmaceutical Substances. ➢ is a laboratory technique in which millions of
molecular constructions can be synthesized and tested
➢ Law required that whenever the designation of
for biological activity.
USP and NF was used or implied on drug labeling,
➢ Traditional Organic Synthesis:
product must conform to the Physical and
A + B -> C
Chemical standards set forth in the compendium
A (5 components) + B (10 components ) -> 50
monograph
➢ To avoid being deemed adulterated, drugs must
comply with compendial standards for strength,
quality or purity, unless to show respects in which PRIVILEGED MOTIFS
the drug differs. To avoid being deemed ➢ Structures that might have significance for new
misbranded, drugs recognized in the USP-NF also therapeutic agents.
must comply with compendial standards for
packaging and… LITERATURE AND PATENTS
➢ only 12% of drugs entering clinical trials result in an
NEW DRUG APPROVAL PROCESS AND CLINICAL approved medicine. Unlocking the power of patent
TRIAL DESIGN data is a smart, cost-effective way to help mitigate this
STEPS IN DRUG DEVELOPMENT PROCESS: risk.

➢ Discovery and Development LIGAND BASED DRUG DESIGN


➢ Preclinical Research ➢ is an approach used in the absence of the receptor
➢ Clinical Research 3D information and it relies on knowledge of
➢ FDA review, FDA post Marketing molecules that bind to the biological target of
➢ Safety Monitoring interest.
ENDOGENOUS LIGANDS PRECLINICAL STUDY
➢ are those that are produced in the body, not those ➢ Each year not less than 10 novel drugs are being
introduced into the body, such as certain drugs. approved by the Center for Drug Evaluation and
CHEMOGENOMICS Research (CDER, US-FDA).
➢ is a new strategy in drug discovery which, in ➢ Even before it can be subjected to clinical trials,
principle, searches for all molecules that are preclinical studies are performed.
capable of interacting with any biological target. ➢ only 12% of drugs entering clinical trials result in an
approved medicine.
STEP 2: PRECLINICAL TESTING ➢ “Testing the newly discovered compound in animals
with the objective of gaining information regarding the
1. DISCOVERY TESTING
various aspects of the compound with respect to the
➢ Specifics of Compound’s properties are determined
biological systems so that the same can be
such as:
extrapolated for the use of that compound in humans”
o Mechanism of action of the drug in animal
➢ Also called Translational research.
models
➢ It refers to the process of applying knowledge from
o Duration of action
basic biology and clinical trials to techniques and tools
o Structure-activity relationships
that address critical medical needs.
o Compound specificity

2. CHEMICAL SYNTHESIS SCOPE OF PRECLINICAL STUDIES


➢ Adequate levels of new chemical compounds must 1. Pharmacology - Therapeutic Activity
be produced at HIGH LEVEL of PURITY. 2. Toxicity - Hazardous acute effects
➢ Impurities present at concentration greater than 3. Pharmacokinetics - Toxic Dose
0.1% must be characterized and tested for toxicity. 4. Scale up production - ADME of Lead compound
5. Compound’s stability - Genotoxicity
3. FORMULATION DEVELOPMENT AND STABILITY 6. Development of formulation – Animal studies
TESTING
➢ Physicochemical properties is determined MODELS FOR PRECLINICAL STUDIES
➢ DRUG DELIVERY SYSTEM in human is developed INVITRO
during this pre-clinical testing phase ➢ In vitro studies are a relatively fast, simple, and cost-
➢ Possible side effects and toxicities are noted efficient way of preclinical testing.
➢ Often times the most appropriate animal model to ➢ it utilizes cell, tissue, and organ cultures, or focus on
predict human response is not known; thus toxicity particular cell components such as proteins or other
studies are conducted in two animal species; biological macromolecules.
rodent and non-rodent to obtain a comprehensive
view of toxicity CELL CULTURE
➢ refers to the process of cultivating cells and tissues
outside the body of an organism in an environment,
4. ANIMAL SAFETY TESTING
which stimulates the in vivo conditions such as
➢ To ensure limited toxicities to lead agent.
temperature, nutrition and protection from
➢ Animals should be given the new drug product
microorganisms
must be of the same route as intended for humans.
➢ Certain dosage forms maybe difficult to administer IN VIVO (LIFE)
to animals (buccal, nasal, aerosol) ➢ More commonly used; gold-standard method of
➢ Dosing studies are conducted: the highest no-effect conducting toxicity studies.
dose is determined. ➢ It considers the complete organism based on various
➢ Plasma concentration of the drug are followed. animal models.
➢ Noted toxicities are correlated to the dose and/or ➢ The choice of appropriate animal models depends on
blood concentrations several criteria and requires understanding of species-
specific physiology and similarity with regard to the
target organ, metabolic pathways as well as financial,
regulatory, and ethical considerations.
➢ Similarities of conditions between human and certain
animal makes it preferable and useful during conduct
of drug research:
o High percentage of similarity in DNA of humans
o Shorter life cycle allowing a continued study of the
whole lifespan
o Environment conditions are easily controlled
ANIMAL MODEL FOR NEUROLOGICAL ACTIVITIES PHASE OF CLINICAL TRIAL
➢ PHASE 0 (MICRODOSING)
➢ PHASE 1
➢ PHASE III
o Phase IIIa
o Phase IIIb
➢ PHASE IV (CONTINUED CLINICAL TRIAL)

PHASE 0 (MICRODOSING)
➢ Phase 0 trials are the first clinical trials done among
people
➢ Its aim is to learn how a drug is processed in the
body and how it affects the body.
➢ In these trials, a very small dose of drug is given to
about 10 to 15 people.

PHASE 1
➢ Phase 1 administers the drug to healthy volunteers,
in some protocols, patients
➢ Phase 1 trial aim to assess the safety of the drug.
➢ The drug will be tested in a small group of 15-30
patients
➢ Starting dose is very low (1/10th of the highest no
effect dose observed during animal studies). If a
drug is found to be safe enough, it can be tested in a
phase II clinical trial

PHASE III
➢ Phase III trials enroll 100 or more patients
comparing a new drug to the standard of- care drug.
➢ These trials assess the side effects of each drug and
DRUG DISCOVERIES THAT INVOLVED USE OF which drug works better.
ANIMALS ➢ Evaluates the benefit-risk relationship of the new
drug and to file a complete NDA

PHASE IIIA
➢ data presents sufficient evidence to file NDA but the
studies are continued

PHASE IIIB
➢ presents additional information that may support
certain labeling requests, provide information on
patients’ quality of life issues, reveal product
STEP 3: CLINICAL TRIAL advantages over already marketed competing drugs,
➢ Documents may be submitted as hardcopy or provide evidence in support of possible additional
electronic le based-on preference of FDA and drug indications, or provide other clues for
ERB/ERC. prospective post marketing studies (Phase 4)
➢ Amendments, notifications and other reports to be
submitted to the FDA will be coursed through the PHASE IV (CONTINUED CLINICAL TRIAL)
same process. Any amendment to the protocol and ➢ New drug receives approval from the FDA
accompanying documents will have to be approved by ➢ The drug is tested in several hundreds or thousands
the FDA in close coordination with the ERB/ERCs. of patients that allows for better research on short-
➢ All clinical trials are required to be uploaded in the lived and long-lasting side effects and safety.
Philippine Clinical Trial Registry. ➢ Some rare side effects may only be found in large
➢ It is the responsibility of the study sponsor to upload groups of people
information related to the clinical trial it is conducting
to the Registry
INVESTIGATION NEW DRUG APPLICATION FDA APPROVAL
(IND APPLICATION)
➢ Must be filed by FDA and approved prior to
administering New Drug to Humans.
➢ IND must include the following:
o Preclinical Animal Data
o Names and Locators of the investigators who will be
performing the planned clinical trials
o Data from clinical trials conducted in other countries if
applicable
➢ The FDA has 30 days from receipt of IND if the
proposed clinical trial should proceed.
➢ The administration of drugs to humans at the earliest
time possible saves valuable resources, as highly toxic
compounds can be eliminated while lead agents and
alternative compounds are developed. ➢ If a developer disagrees with an FDA decision, there
➢ Additional preclinical studies are conducted during are mechanisms for a formal appeal.
clinical testing to support larger trials and eventually
the marketing of the drug product. VARIATION FOR NDA APPLICATION
➢ Formulation development continues throughout the TOXICITY
development process and the data gained from both ➢ If the toxicity of a new drug is too high in human or
animal and human allow for optimization of the Drug animal patients, the drug may be rejected due to
Delivery System. safety concerns about its use following manufacture

NEW DRUG APPLICATION EFFICACY


➢ Once phase 3 trials have been completed, all ➢ If a new drug’s efficacy is not high enough or evidence
preclinical and clinical data are compiled and is inconclusive, the FDA may reject it.
submitted to FDA for review.
➢ The NDA process is the last hurdle prior to approval
and marketing.
➢ The FDA also reviews the proposed packaging and
product inserts.
➢ Regulation guidelines include:
o Safety and efficacy of drug treatments
o Components of drug products
o Description of methods and controls used in the
manufacturing of active ingredients
o Proposed labeling.

GOALS OF NEW DRUG APPLICATION: PHARMACOKINETIC PROPERTIES OR BIOAVAILABILITY


➢ The drug is safe and effective as a treatment for the ➢ PK properties or poor bioavailability due to low
condition it has been developed for aqueous solubility, or high first-pass metabolism, may
➢ The drug’s therapeutic benefits outweigh the risks. also cause a drug to fail FDA review.
➢ The drug’s labeling is fit-for-purpose and whether all ➢ PK causes of drug failure include inadequate action
required details are included. duration and unanticipated human drug interactions.

➢ The methods used to manufacture the drug and


measures to ensure the drug's quality are satisfactory.
INADEQUATE DRUG PERFORMANCE INTERNATIONAL NONPROPRIETARY NAMES (INN)
➢ If the new drug performs the desired function, but only ➢ facilitate the identification of pharmaceutical
at a shallow level, the FDA may reject the application substances or active pharmaceutical ingredients.
in favor of a formulation that performs better
MANDATE
SURROGATE OR INTERMEDIATE OUTCOMES
➢ WHO has a constitutional mandate to "develop,
➢ involve things that do not directly involve patients'
establish and promote international standards
well-being
with respect to biological, pharmaceutical and
➢ should ideally be proven to correlate with patient-
similar products".
oriented outcomes
➢ The World Health Organization collaborates closely
with INN experts and national nomenclature
committees to select a single name of worldwide
acceptability for each active substance that is to be
marketed as a pharmaceutical.

NEW DRUG
BRAND NAME
➢ a drug that has not been declared safe and effective by
➢ (Proprietary or trademark names)
qualified experts under the conditions prescribed,
➢ a name developed by the company requesting
recommended, or suggested on the label and that may
approval for the drug and identifies it as the
be a new chemical formula or an established drug
exclusive property of that company
prescribed for use in a new way.
➢ Generic and trade names must be unique to
➢ not recognized as being safe and effective in the
prevent one drug from being mistaken for another
conditions recommended for its use among experts
when drugs are prescribed and prescriptions are
who are qualified by scientific training and experience
dispensed. The FDA must agree to every proposed
(FDA Definition)
trade name to prevent this confusion
DRUG NOMENCLATURE
EMPIRICAL NOMENCLATURE
➢ a representation of an organic compound when it is
first synthesized from a natural source
(Amoxicillin=C16H19N3O5 S.3H2O)
➢ simplest ratio of elements in a compound rather than
the total number of atoms in the molecule
GENERIC NAME
➢ (chemical’s nonproprietary name) indicates the
common name of the drug.

UNITED STATES ADOPTED NAMES (USAN) COUNCILS


➢ The organization is responsible for designing
appropriate nonproprietary names.
1964
➢ American Pharmacist Association (APA) joined the
organization

1967
➢ FDA was invited to be part of the organization
PRE-FORMULATION STUDIES PARTICLE SIZE
REASONS FOR DOSAGE FORMS DESIGN ➢ It is essential to establish how the particle size of
➢ To protect the drug substances from the the drug substance affects the drug formulation
destructive influences of atmospheric oxygen or and efficacy.
humidity (ex. Coated tablets, sealed ampules)
➢ To protect the drug substance from the destructive SOLUBILITY
influence of gastric acid after oral administration ➢ An important physicochemical property that a
(ex. Enteric coated tablet) drug substance should somehow possess for
➢ To conceal the bitter, salty, or offensive taste or therapeutic efficacy.
odor of a drug substance (ex. Capsules, coated
tablets, flavored syrups) SOLUBILITY AND PARTICLE SIZE
➢ To provide for insertion of a drug into one of the ➢ Basically, particle size affects the solubility of a
body’s orifices (ex. rectal or vaginal suppositories) drug substance.
➢ To provide for placement of drugs directly in the ➢ The reduction of particles size will result in the
bloodstream or body tissues (ex. injections) enhancement of drug solubility
➢ To provide for optimal drug action through
inhalation therapy (ex. inhalants and inhalation SOLUBILITY AND pH
aerosols) ➢ Adjustment of the pH of the solvent can enhance
➢ To provide liquid preparations of substances that solubility.
are either insoluble or unstable in the desired
vehicle (ex. Suspension) pH (power of Hydrogen)
➢ To provide clear liquid dosage forms of substances ➢ is a measure of acidity
(ex. syrups, and suspensions)
➢ To provide optimal drug action from topical DISSOLUTION
administration sites (ex. ointments, creams, ➢ limiting steps for absorption
transdermal patches, and ophthalmic, ear, and
nasal preparations)
DISSOLUTION RATE
➢ the time it takes for the drug to dissolve in the
PHYSICAL DESCRIPTION fluids at the absorption site which is the first
➢ Chemical Properties: structure, form, and reactivity limiting step in absorption.
➢ Physical Properties: particle size, crystalline (water-soluble salt = increases dissolution rate)
structure, melting point, solubility, stability
(temperature and photosensitivity)
MEMBRANE PERMEABILITY
➢ Biological Properties: bioavailability &
➢ The assessment of the passage of drug molecules
Effectiveness
across biologic membranes to produce a biologic
response. (ex. drugs that cross the blood-brain
MICROSCOPIC EXAMINATION
barrier)
➢ It gives an indication of particle size and size of the
raw material along with the crystal structure.
➢ SPHERICAL and OVAL POWDERS flow more easily PARTITION COEFFICIENT
than needle-shaped powders & make processing ➢ The oil-water partition coefficient is a measure of
easier. lipophilic or hydrophilic character resulting in an
appropriate selection of solvent to stabilize the
MELTING POINT DEPRESSION drug.
MELTING POINT OR FREEZING POINT
➢ of a pure crystalline solid is defined as the
temperature at which the pure liquid and solid exist
in equilibrium
➢ An Altered peak or a peak at a different
temperature may indicate an adulterated or impure
drug

THE PHASE RULE


PHASE DIAGRAMS
➢ are often constructed to provide a visual picture of
the existence and extent of the presence of solid
and liquid phases in binary, ternary, and other
mixtures.
BIOPHARMACEUTICS AND PHARMACOKINETICS TRANSPORT MECHANISM FOR DRUG DISTRIBUTION
CONSIDERATIONS ➢ Movement of a substance across a cell membrane
from an area of low concentration to an area of high
BIOPHARMACEUTICS
concentration
➢ Relates between the physiochemical properties of a
o Requires the use of carries
drug in dosage form and the pharmacology,
o Requires energy (ATP)
toxicology, or clinical response observed after its
administration
➢ Provides the scientific basis for drug product design PUMPS
and drug product development ➢ Proteins that use active transport to move particles
between the interior and exterior of the cell
➢ Example: Na+/K+ pump
PHARMACOKINETICS
o Used to move sodium and potassium ions
➢ Refer to the absorption, distribution, metabolism,
across nerve membranes
and elimination (ADME; sometimes LADME where L
is Liberation) of the drug
➢ Some drugs can alter the ADME of another; thus PASSIVE DIFFUSION
Pharmacokinetics is also referred to as the study of ➢ Used to describe the passage of the drug molecules
drug interaction through a membrane that does not actively
participate in the process (higher-lower conc.)
PRINCIPLES OF DRUG ABSORPTION
➢ Before an administered drug can arrive at its site of ACTIVE TRANSPORT
action in effective concentrations, it must surmount ➢ Specialized transport denotes a process with the
a number of barriers additional feature of the solute or drug being moved
➢ Drugs taken by mouth must transverse the across the membrane against the concentration
gastrointestinal membranes gain entrance to the gradient (lower-higher concentration)
general circulation. ➢ Ex. Vitamins (thiamine)

BARRIERS FACILITATED DIFFUSION


➢ Succession of biologic membranes such as those of ➢ Specialized transport mechanism that requires a
the Gastrointestinal epithelium, Lungs, Blood, and carrier for transport
Brain. ➢ Ex. Sugars and amino acids

DISSOLUTION AND DRUG ABSORPTION BIOAVAILABILITY AND BIOEQUIVALENCE


FACTORS AFFECTING DRUG DISSOLUTION BIOAVAILABILITY
➢ Describes the rate and extent to which an active drug
THE pH OF THE ENVIRONMENT
ingredient or therapeutic moiety is absorbed from a
➢ like dissolves like principle
drug product and becomes available at the site of
action
AGING
➢ elderly decreases physiological functions; (gastric
acidity, number of absorptive cells, intestinal blood BIOEQUIVALENCE
flow, rate of gastric emptying time, intestinal ➢ Refers to the comparison of bioavailability of different
motility). formulations, drug products or batches of the same
drug product.
DISSOLUTION
➢ the rate-limiting step for drug absorption FACTORS AFFECTING BIOAVAILABILITY
SURFACE AREA
FACTORS AFFECTING GASTRIC EMPTYING TIME ➢ When a particle is broken up, the total surface area is
increased
GASTRIC EMPTYING TIME
➢ to increase surface area manufacturer uses:
➢ Stomach (2-4 hours);
o MICRONIZED POWERS for Solid Dosage forms (5um
➢ Small intestine (4-10 hours)
and smaller)
o Anticholinergics (Dicyclomine HCl, Amitriptyline
o BLENDING OF THE WATER-SOLUBLE POLYMER
HCl, Loperamide)
(polyethylene glycol PEG) for poorly-water soluble
o Laxatives
powders
o Food
o MICRONIZED DRUGS for ophthalmic preparation and
topical preparation for better absorption and less
skin irritation.
FACTORS AFFECTING BIOAVAILABILITY LIQUID DOSAGE FORMS
SALT FORM ➢ Suspensions, Syrups, Solutions, Magmas, Elixirs, Gels
➢ The dissolution rate of a salt form of a drug is
generally quite different from that of the parent ORAL PREPARATIONS
compound (strong acids and bases) ➢ ADVANTAGES:
➢ The salts of weak organic acids and weak organic o Convenience of administration (esp. tablets)
bases are dissolved more readily than respective o Elimination of discomfort with injections
free acids and bases o Prevention of formation of high toxic drug
o Sodium and potassium salts of weak organic concentrations
acids ➢ DISADVANTAGES:
o Hydrochloride salts of weak organic bases o Reduced and erratic bioavailability due to
➢ Weak acids are un-ionized in the stomach and incomplete absorption/drug interaction
absorbed fairly well from this site; o GI discomfort
➢ Whereas weak bases are highly ionized in the
stomach and not significantly absorbed in the gastric
surface
o Ex: DEXTROMETHORPHAN HBr
o PHENYLEPHINE HCl

ROUTES OF ADMINISTRATION
➢ One of the fundamental considerations in dosage
forms.
➢ 2 CATEGORIES:

LOCAL
➢ Achieved by direct application of the drug to the
desired site of action
o Epicutaneous (topical)
o Transdermal
o Conjunctival
o Intraocular
o Intranasal
o Aural
o Respiratory
o Rectal
o Vaginal

SYSTEMIC
➢ Entrance of drug into the circulatory system and
transport to the cellular site of its action
o Oral (Per os)
o Sublingual
o Parenteral
▪ Intravenous
▪ Intra-arterial
▪ Intracardiac
▪ Intraspinal or Intrathecal
▪ Intraosseous
▪ Intra-articular
▪ Intrasynovial
▪ Intracutaneous or Intradermal
▪ Subcutaneous
▪ Intramuscular

ORAL DOSAGE FORMS


SOLID DOSAGE FORMS
➢ Powder/Granules, Capsules, Tablets,
Troches/Lozenges

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