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AGENTS TO THICKEN DISPERSION MEDIUM:
Carboxymethylcellulose (CMC), methylcellulose,
microcrystalline cellulose, polyvinylpyrrolidone, xanthan gum,
and bentonite
Also, the amount of the suspending agent must not be such
to render the suspension too viscous to agitate (to distribute Because many of the suspensions of antibiotic
the suspensoid) or to pour. drugs intended for pediatric use are prepared in a
highly flavored, sweetened, colored base, they
are frequently referred to by their manufacturers
RHEOLOGY: study of flow of characteristics and also popularly as syrups, even though in fact
1. Newtonian flow is characterized by constant they are suspensions.
viscosity,
regardless of the shear rates applied.
PREPARATION OF SUSPENSIONS
2. Non-Newtonian flow is characterized by a change in
viscosity characteristics with increasing shear rates.
Non-Newtonian flow includes plastic, pseudoplastic, Once the powder is wetted, the dispersion
and dilatant flow. medium (to which have been added all of the
formulation’s soluble components, such as
Velocity gradient, or rate of shear (dv/dr), is colorants, flavorants, and preservatives) is added
the difference of velocity dv between two in portions to the powder, and the mixture is
planes of liquid separated by the distance dr. thoroughly blended before subsequent additions
The greater the shearing stress required to of vehicle.
produce a certain rate of shear.
The most convenient unit to use is the A portion of the vehicle is used to wash the
centipoise, or cP (equivalent to 0.01 poise). mixing equipment free of suspensoid, and this
portion is used to bring the suspension to final
Vi it i l t d t t t volume and ensure that the suspension contains
the desired concentration of solid matter.
The final product is then passed through a colloid
mill or other blender or mixing device to ensure
uniformity.
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EXTEMPORANEOUS COMPOUNDING
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Barium Sulfate for Suspension, USP, may be
employed orally or rectally for diagnostic
visualization of the gastrointestinal tract
Mesalamine (5-aminosalicylic acid) suspension
was introduced to the market in 1988 as Rowasa
(Alaven) for treatment of Crohn disease, distal
ulcerative colitis, proctosigmoiditis, and proctitis
Colocort (Paddock Laboratories) is a
hydrocortisone rectal suspension indicated as
adjunctive therapy in the treatment of ulcerative
colitis and is packaged in a convenient disposable
single-dose enema designed for self-
administration
DRY contains 100
POWDER mg of hydrocortisone in 60
mL of FOR an ORAL SUSPENSION
aqueous solution also
containing carbomer 934P, polysorbate
80, purified water, sodium hydroxide,
ANTACID ORAL SUSPENSIONS and methylparaben.
intended to counteract the effects of gastric Most drugs prepared as a dry mix for oral
hyperacidity and, as such, are employed by persons,
suspension are antibiotics
such as peptic ulcer patients dry products are prepared commercially to
widely employed and sold over the counter (OTC) to contain the antibiotic drug, colorants (FD&C
patients with acid indigestion and heartburn dyes), flavorants, sweeteners (e.g., sucrose or
Most antacid preparations are composed of water- sodium saccharin), stabilizing agents (e.g., citric
insoluble materials that act within the acid, sodium citrate), suspending agents (e.g.,
gastrointestinal tract to counteract the acid and/or guar gum, xanthan gum, methylcellulose), and
soothe the irritated or inflamed linings of the preserving agents (e.g., methylparaben, sodium
gastrointestinal tract benzoate) that may be needed to enhance the
few water-soluble agents are employed, including stability of the dry powder or granule mixture or
sodium bicarbonate, but for the most part, the liquid suspension
water-insoluble salts of aluminum, calcium, and the use of purified water rather than tap water is
magnesium are employed; these include aluminum needed to avoid the possibility of adding
hydroxide, aluminum phosphate, dihydroxyaluminum impurities that could adversely affect the stability
aminoacetate, calcium carbonate, calcium of the resulting preparation
phosphate, magaldrate, magnesium carbonate, Pharmacists must realize that an oversized bottle
magnesium oxide, and magnesium hydroxide is provided with each of these products, and they
sodium bicarbonate can produce sodium overload must carefully measure out the required amount
and systemic alkalosis of purified water
Magnesium preparations may lead to diarrhea and should not “eyeball” the amount of water to be
are dangerous to patients with diminished renal added or fill up the bottle with purified water
function because of those patients’ inability to devices available to aid in accurate reconstitution,
excrete all of the magnesium ion that may be including the Fillmaster and/or the Fillmaster Plus
absorbed Among the official antibiotic drugs for oral suspension
Calcium carbonate carries the potential to induce are the following:
hypercalcemia and stimulation of gastric secretion
and acid production, the latter effect known as acid
rebound
Excessive use of aluminum hydroxide may lead to
constipation and phosphate depletion with
consequent muscle weakness, bone resorption, and
hypercalciuria.
many antacids, especially aluminum- and calcium-
containing products, interfere with absorption of
other drugs, especially the fluoroquinolone and
tetracycline antibiotics and iron salts ANTIBACTERIAL ORAL SUSPENSIONS
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Emulsions to be applied to the skin may be o/w or
w/o, depending on such factors as the nature of
the therapeutic agents, the desirability for an
Several official antibiotics for oral suspension are also emollient or tissue- softening effect, and the
combined with other drugs: condition of the skin
erythromycin ethylsuccinate plus acetyl Medicinal agents that irritate the skin generally
sulfisoxazole granules for oral suspension is are less irritating in the internal phase of an
indicated for the treatment of acute middle ear emulsified topical preparation than in the external
infection caused by susceptible strains of phase,
Haemophilus influenzae the miscibility or solubility in oil and in water of a
Probenecid is combined with ampicillin for medicinal agent dictates to a great extent the
reconstitution and ultimate use for the treatment of vehicle, and its nature in turn suggests the phase
uncomplicated infections (urethral, endocervical, or of the emulsion that the resulting solution should
rectal) caused by Neisseria gonorrhoeae in adults become
absorption throughEMULSIFICATION
THEORIES the skin (percutaneous
may OF
Official drugs other than antibiotics prepared as dry powder absorption) be enhanced by the diminished
mixtures for reconstitution to oral suspension: particle size of the internal phase
cholestyramine (Questran, Par), used in the
management of hyperlipidemia
barium sulfate (Barosperse, Mallinckrodt), used
orally or rectally as a radiopaque contrast medium to
visualize the gastrointestinal tract as an aid to Among the most prevalent theories are the surface
diagnosis tension theory, the oriented-wedge theory, and the
Barium sulfate was introduced into medicine about plastic or interfacial film theory
1910 as a contrast medium for roentgen ray All liquids have a tendency to assume a shape
examination of the gastrointestinal tract. It is having the minimal surface area exposed
practically insoluble in water, and thus its A liquid drop has the shape of a sphere that
administration even in the large doses required is possesses internal forces that tend to promote
safe because it is not absorbed from the association of the molecules to resist distortion of
gastrointestinal tract the sphere
Barium sulfate is a fine, nongritty, odorless, and two or more drops of the same liquid come into
tasteless white powder contact with one another, the tendency is for
renders the gastrointestinal tract opaque to the x-ray them to join or to coalesce, making one larger
so as to reveal any abnormality in the anatomic drop having a smaller surface area than the total
features of the tract when administered orally surface area of the individual drops
When administered rectally, barium sulfate allows may be measured quantitatively and referred to
visualization of the features of the rectum and colon. as surface tension
barium sulfate for diagnostic use is available as a When the liquid is in contact with a second liquid
bulk powder containing the required suspending in which it is insoluble and immiscible, the force
agents for effective
EMULSIONSreconstitution to an oral causing each liquid to resist breaking up into
suspension or enema smaller particles is called interfacial tension
surface-active (surfactant) or wetting agents –
tension-lowering substances
SURFACE TENSION THEORY OF EMULSIFICATION
a dispersion in which the dispersed phase is
composed of small globules of a liquid distributed the use of these substances as emulsifiers and
throughout a vehicle in which it is immiscible stabilizers lowers the interfacial tension of the
the dispersed phase is the internal phase, and the two immiscible liquids, reducing the repellent
dispersion medium is the external or continuous force between the liquids and diminishing each
phase liquid’s attraction for its own molecules
oil-in-water (o/w) emulsions - emulsions with an surfaceactive agents facilitate the breaking up of
oleaginous internal phase and an aqueous external large globules into smaller ones, which then have
phase a lesser tendency to reunite or coalesce
water-in-oil (w/o) - emulsions having an aqueous
internal phase and an oleaginous external phase ORIENTED WEDGE THEORY
to prepare a stable emulsion, a third phase, an
emulsifying agent, is necessary assumes monomolecular layers of emulsifying
Depending on their constituents, the viscosity of agent curved around a droplet of the internal
emulsions can vary greatly, and pharmaceutical phase of the emulsion.
emulsions may be prepared as liquids or semisolids based on the presumption that certain
Many pharmaceutical preparations that are actually emulsifying agents orient themselves about and
emulsions
PURPOSE are not classified
ANDasEMULSIFICATION
such because they fit within a liquid in a manner reflective of their
some OF EMULSIONS
other pharmaceutical category more solubility in that particular liquid
appropriately many molecules of substances upon which this
theory is based (e.g., soaps) have a hydrophilic or
water-loving portion and a hydrophobic or water
-hating portion (but usually lipophilic or oil loving),
Emulsification enables the pharmacist to prepare the molecules position or orient themselves into
relatively stable and homogeneous mixtures of two each phase
immiscible liquids Depends on the shape and size of the molecules
permits administration of a liquid drug in the form of an emulsifying agent having a greater
minute globules rather than in bulk hydrophilic than hydrophobic character will
orally administered emulsions – the o/w type permits promote an o/w emulsion, and a w/o emulsion
palatable administration of an otherwise distasteful results from use of an emulsifying agent that is
oil by dispersing it in a sweetened, flavored aqueous more hydrophobic than hydrophilic
vehicle may not represent a totally accurate depiction of
reduced particle size of the oil globules may render the molecular arrangement of the emulsifier
the oil more digestible and more readily absorbed or, molecules
if that is not the intent, more effective in its task, as the concept that water-soluble emulsifiers
for example, the increased efficacy of mineral oil as a generally do form o/w emulsions is important
cathartic when emulsified and is frequently encountered in practice
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prime importance is the capability
of the emulsifying agent to promote
emulsification and to maintain the stability of the
emulsion for the intended shelf life of the product.
PLASTIC OR INTERFACIAL FILM THEORY
places the emulsifying agent at the interface Among the emulsifiers and stabilizers for pharmaceutical
between the oil and water, surrounding the droplets systems are the following:
of the internal phase as a thin layer of film adsorbed
on the surface of the drops. 1. Carbohydrate materials, such as the naturally
film prevents contact and coalescing of the occurring agents acacia, tragacanth, agar,
dispersed phase; the tougher and more pliable the chondrus, and pectin. These materials form
film, the greater the stability of the emulsion hydrophilic colloids, which, when added to water,
the filmforming material must be available to coat generally produce o/w emulsions. Acacia is
the entire surface of each drop of the internal phase frequently used in the preparation of
it is unlikely that a single theory of emulsification can extemporaneous emulsions. Tragacanth and agar
explain the means by which the many and varied are commonly employed as thickening agents in
emulsifiers promote emulsion formation and stability acacia-emulsified products. Microcrystalline
cellulose is employed in a number of commercial
suspensions and emulsions as a viscosity
regulator to retard particle settling and provide
dispersion stability.
2. Protein substances, such as gelatin, egg yolk, and
casein. These substances produce o/w emulsions.
The disadvantage of gelatin as an emulsifier is
that the emulsion frequently is too fluid and
becomes more fluid upon standing.
3. High molecular weight alcohols, such as stearyl
alcohol, cetyl alcohol, and glyceryl monostearate.
These are employed primarily as thickening
agents and stabilizers for o/w emulsions of
certain lotions and ointments used externally.
Cholesterol and cholesterol derivatives may also
be employed in externally used emulsions to
promote w/o emulsions
4. Wetting agents, which may be anionic, cationic,
or nonionic. These agents contain both
hydrophilic and lipophilic groups, with the
lipophilic protein of the molecule generally
accounting for the surface activity of the
molecule. In anionic agents, this lipophilic portion
is negatively charged, but in the cationic agent, it
is positively charged. Owing to their opposing
ionic charges, anionic and cationic agents tend to
neutralize each other and are thus considered
incompatible. Nonionic emulsifiers show no
inclination to ionize. Depending on their individual
nature, certain members of these groups form
o/w emulsions and others w/o emulsions. Anionic
emulsifiers include various monovalent,
polyvalent, and organic soaps, such as
triethanolamine oleate, and sulfonates, such as
sodium lauryl sulfate. Benzalkonium chloride,
known primarily for its bactericidal properties,
may be employed as a cationic emulsifier. Agents
of the nonionic type include the sorbitan esters
and the polyoxyethylene derivatives, some of
which appear in Table 14.2.
The ionic nature of a surfactant is a prime consideration.
Nonionic surfactants are effective over
pH range of 3 to 10,
EMULSIFYING AGENTS cationic surfactants are effective over
pH range of 3 to 7, and
PREPARATION OF EMULSIONS anionic surfactants require a pH
greater than 8 (6).
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order of mixing is different, and the proportion of
ingredients may be varied during the preparation
of the primary emulsion as is deemed necessary
by the operator
a mucilage of the gum is prepared by triturating
in aBOTTLE
mortar granular acacia with twice its weight
of water. OR FORBES BOTTLE METHOD
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