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Preparation 13: Basic Preparation 14: Mineral Oil Preparation 15: Preparation 16:

Emulsion Emulsion COD Eucalyptus Oil


Emulsion

● Offi. title: ​Basic ● Offi. title:​ Mineral Oil ● Offi. title: ● Offi. title:
emulsion emulsion, USP COD Liver Oil Eucalyptus Oil
(Non-Official) ● Category:​ Cathartic emulsion, emulsion
● Category: ● Uses:​ Laxative USP (Non-Official)
Cathartic ​(cleanse ● Synonyms: ​Liquid ● Category: ● Category:
or purge) Petrolatum emulsion and Vitamin Expectorant ​(helps
● Uses:​ Vehicle, Liquid Paraffin Emulsion Supplement bring up mucus
Laxative Olei Morrhuae and other material
● Synonyms: - --> Basic concepts: ● Uses:​ To from the lungs,
Primary Emulsions supply vitamin bronchi, and
--> Basic concepts: - Initial emulsion formed after A and D trachea)
A. Emulsion incorporating all the appropriate ● Synonyms: ● Uses:​ Expectorant
- Dispersion in amounts of oil, water, and gum Emulsion Olei in chronic
which dispersed depending on the method used Morrhuae bronchitis
- A.k.a “Emulsion Nucleus” ● Synonyms: ​-
phase is --> Ingredients
composed of Acacia mucilage 1. COD Liver Oil: --> Ingredients
​small globules of - Acacia dissolved in water by ​Active ingredient, 1. Eucalyptus oil: Active
a liquid trituration internal phase ingredient, internal phase
​distributed - Scientific name: ​Acacia xenical 2. Acacia: ​Natural 2. Acacia: Natural
throughout a - Used as: emulsifying agent emulsifying agent
a. demulcent ​(relieving 3. Purified water: 3. Purified water: External
​vehicle in which
inflammation or irritation) External phase phase
it is immiscible
and suspending agent
B. Internal Phase b. emulsifying agent -->Quality Control --> Quality
- Dispersed c. excipient in making pills /Packaging Control/Packaging
medium and troches ● Appearance: ​White, ● Appearance: ​White,
C. External phase milky, opaque, milky, opaque,
- Dispersion --> Small scale homogeneous homogeneous
extemporaneous methods of - Due to rupturing of - Due to rupturing of the
medium
preparing emulsions the film of the film of the continuous
continuous phase phase
--> Types of Emulsion A. Continental/Dry Gum
1. Oil-in-water Method ● pH:​4.5-5 ● pH:​4.5-5
- Internal phase: ● 4:2:1 method for preparing the ● Pourability: ​Easily ● Pourability: ​Easily
Oleaginous initial or primary emulsion pourable pourable
- External phase: ● 4 parts of oil, 2 parts water, 1 ● Redispersability:​ ● Redispersability:​ Easily
part gum Easily dispersed dispersed upon shaking
Aqueous upon shaking ● Particle size to
● Arrangement
2. Water-in-oil ○ Emulsifier and oil ● Particle size to appearance: > 1 um,
- Internal phase: ○ then water appearance: > 1 um, milky
Aqueous ● Uses a Wedgewood or milky ● Physical stability: No
- External phase: porcelain mortar and pestle → to ● Physical stability: creaming, sedimentation,
Oleaginous ensure proper grinding action No creaming, coalescence, flocculation
reduction of globule size sedimentation, and phase inversion.
3. Multiple emulsion
● Ex: Mineral Oil coalescence, ● Packaging requirement:
- Contains even small flocculation and Preserve in tight
droplets that are Procedure: phase inversion. containers
miscible w/ the → Note:4 parts of oil is first ● Packaging ● Label: Shake well
continuous mixed with 1 part of gum; Do not requirement: before use
phase/external phase allow contact of oil and gum for Preserve in tight ● Container: 15mL clean
- W/O/W (oil droplet too long, as the gum may absorb containers flint bottle (amber bottle si
the oil ● Label: Shake well COD)
surrounded by
before use
aqueous phase) → Note: Adding 2 parts of water ● Container: 15mL --> Physical Signs of
- O/W/O (water all at once = ensure uniform clean flint bottle Unstable Emulsions
separates internal and distribution (amber bottle si COD) 1. Creaming
external oil phase) - Upward movement, of
- ​Multiple emulsions → Note: The mixture is then *Add the oil in dispersed droplets
are “emulsions of triturated immediately, rapidly increments of 0.5 g - Due to a difference in
and continuously and disperse. density between the
emulsions,” in which
Triturate for at least 5 internal and external
the drops of the → Note: Primary emulsion: mins phase
dispersed phase creamy white appearance and a
themselves contain crackling sounds 2. Sedimentation
smaller dispersed - Downward movement of
droplets of a miscible → Note: the dispersed droplets
liquid a. Add liquid ingredients that are - Due to a difference in
miscible with the external phase density between the
-D ​ roplets have the
with trituration internal and external
same phase with the b. Dissolve solid ingredients phase
external phase before adding to the mixture.
4. Microemulsion = To disperse them evenly and 3. Flocculation
- Thermodynamically so that they are already - Aggregation of the
stable, isotropically clear dissolved before adding it in the dispersed droplets
dispersion of two mixture. - Due to intermolecular
Attraction
immiscible liquids → Note: Add water to volume
and swirl in the mortar = 4. Coalescence
--> Basic Components RFIS→Add more water to reach - Separation of the
of an Emulsion the final/required volume. dispersed and continuous
1. Water phase​: RFIS→To remove the remaining phase
Aqueous mixtures portions of the emulsions - Due to rupturing of the
film of the continuous
2. Oil phase:
B.English/Wet Gum Method phase
Representing ●Trituration of mucilage with oil
hydrocarbon or organic Mucilage → emulsifying agent 5. Phase Inversion
liquids; Ex: Mineral oil, is added to the water - Changing of an
Castor oil, Beeswax, and ●4 parts of oil, 2 parts water, 1 emulsion from one type to
Wool fat part gum another caused by
3. Emulsifying agent: ●Arrangement: changing the phase
○ Emulsifier and water volume ratio
Promote emulsification
○ Then oil
●Ex: COD If O/W is the stable then it
Example of Emulsifying will change to W/O
Agents: Procedure: If W/O is the stable then it
A. Carbohydrates: → Note: 1 part of gum is first will change to O/W
Acacia, Tragacanth, mixed with 2 parts of water.
Agar, Chondrus, and --> Methods of detecting
→ Note:4 parts of oil is added Emulsions (standard:
Pectin slowly in parts = prevent phase aqueous)
separation 1. Dilution Test
-miscible in water
B. Protein materials: → Note:The mixture is then -O/W = positive
Gelatin, Egg Yolk, triturated forming emulsion. -W/O = negative
and Casein Mixture should be mixed -part of emulsion is
thoroughly = ensure uniform diluted in water
C. High molecular
distribution
weight alcohols: 2. Conductivity Test
Stearyl Alcohol, → Note: Primary emulsion: -Conduct electricity
Cetyl Alcohol, and creamy white appearance and a -O/W = Lamp will light
Glyceryl crackling sounds -W/O = Lamp will not light
Monostearate -pair of electrodes
D. Wetting agents: → Note: connect to a lamp and
a. Add liquid ingredients that are electrical source is dipped
Anionic, Cationic, or
miscible with the external phase in emulsion
Nonionic with trituration.
b. Dissolve solid ingredients 3. Dye-Solubility Test
-->Hydrophile-Lipophile before adding to the mixture. -Macroscopic result →
Balance (HLB System) = To disperse them evenly and aqueous external phase
- Provides a so that they are already can absorb more dye.
systematic method of dissolved before adding it in the -Microscopic
mixture. result→aqueous internal
selecting mixtures of
phase can absorb the
emulsifying agent → Note: Add water to volume dye.
- Higher surfactant and swirl in the mortar -Dye dissolves in either
HLB value = The RFIS→Add more water to reach layers
more hydrophilic the final/required volume. -O/W:
​(water loving) RFIS:→To remove the a. Macroscopic
- Lower surfactant remaining portions of the - more intense
emulsions coloration
HLB value = The b. Microscopic
more lipophilic C.Bottle/Forbes Bottle - Colorless
(​lipids/fat loving) Method
● For preparations of emulsions -W/O:
--> HLB values with volatile oils or oleaginous a. Macroscopic
substances with low viscosity. - Less intense
● Ex: Eucalyptus b. Microscopic
● Not for viscous oils: they - Colored droplets
cannot be thoroughly agitated in -Water-soluble dye→
the bottle when mixed with the dissolved in the emulsion.
emulsifying agents. -Oil-soluble dye→
dissolve in oil phase.
Procedure:
→ Note: Place the emulsifier in a 4. CoCl2/ Filter paper
dry bottle and ​add 2 parts of test: (Pink color of filter
oil.​ Cap the mixture and shake paper)
thoroughly = RFIS: To - if aqueous in external
completely dissolve the phase = hydrate all CoCl2
emulsifier; Do not allow contact present
of oil and gum for too long, as - if aqueous internal
the gum may absorb the oil phase = hydrate apart of
CoCl2 present
→ Note: Add ​2 parts of water -O/W: Blue to pink filter
with shaking after ​each paper
addition​, forming the primary -W/O: Pink spots on blue
𝐻𝐿𝐵mixture emulsion. Repeat until all water filter paper
=​𝒙𝐻𝐿𝐵a +(1−𝒙)𝐻𝐿𝐵b has been added = RFIS: To - Emulsion is tested on
prevent the separation of two filter paper containing
TO GET THE PERCENT! liquids, and so to reduce CoCl2
interfacial tension.
A = 100(X-HLBb) / (HLBa
5. Fluorescence test
- HLBb) → Note: Add water to volume. - If oleaginous in external
B = 100- A Other ingredients in an aqueous phase = Fluoresce
solution may be added = RFIS: completely
TO GET THE GRAMS! Add water to reach the required - If oleaginous in external
A = % in A x (HLB of volume. phase = Fluoresce in
mineral oil) / 100 parts
--> Ingredients -O/W: Spotty
B = g depends on the
1. Mineral Oil: Active ingredient, fluorescence
prep needed - answer in internal phase -W/O: Continuous
A 2. Acacia: Natural emulsifying fluorescence
agent
If o/w Answers: 3. Syrup: Sweetener
1. Tween 80 = 3.09 4. Vanillin: Flavorant
2. Span 80 = 1.91 5. Alcohol: Preservative; benzoic
acid or sweet orange peel
tincture = can be substitute since
If w/o: it has alcohol content (tincture)
1. Tween 80= 0.327 and benzoic acid requires acidic
2. Span 80 = 4.673 pH so it can be substitute
6. Purified Water: External
Take note: phase
HLB of mineral oil:
*RFIS​→Alcohol should be
1. W/O: 5-6 added as near to the end of the
2. O/W: 12 process to avoid breaking the
emulsion.
--> Use of each Quality Control/Packaging
ingredient in the prep:
1. Liquid petrolatum Official title Mineral Oil
- A.k.a Mineral Oil Emulsion,
- Oil phase/Active USP
ingredient
Appearance White, milky
- RHLB:
opaque,
- 5-6 (W/O) homogenous
- 12 (O/W) mixture
2. Span 80
- Oil soluble emulsifying pH 4.5-5
agent
Pourability Easily
- HLB Value: 4.3 pourable
3. Tween 80
- Water soluble Redistribution Easily
emulsifying agent dispersed on
- HLB Value: 15.0 shaking
4. Purified Water Particle size >1um; Milky
- Continuous phase
--> Reasons for
Physical No creaming,
important steps Stability sedimentation
1. Water must be ​heated , flocculation,
to higher temperature coalescence,
​than the oil because and phase
it will cool faster. inversion
2. Temperature must ​not
exceed 70°C ​because it
can ​denature protein​ ​in
the emulsifying agent
3. Water needs to heat at
65°C while Mineral Oil is
required to heat at 60°C.
4. Constant Stirring is
required

--> Quality Control


● Appearance: ​Creamy,
white, thick
homogeneous
mixture
● Pourability: ​Easily
pourable
● Dispersibility:
Redispersible
● Particle size:
a. Milky​: ​> 1um
b. Blue-White​: 0.1 –
1 um:
c. Gray or
Semi-Transpare
nt​ : 0.05 – 0.1 um
d. Transparent: ​<
0.05 um
● Physical instability:
Flocculation, Creaming,
Coalescence, Breaking

Coalescence:​ Fusion of
small droplets to form a
large droplets

Creaming: ​Isolated oil


droplets combine
• O/W – rise at the top
• W/O–sink to the bottom
Flocculation: ​Two or
more droplets together to
form an aggregate

Breaking: ​Water droplets


and collect in a layer
separate from oil.

--> Packaging, Labeling


and Storage
● Packaging:
○ Preserved in well-
closed containers (15 mL
flint bottle)
○ For viscous emulsions,
wide mouth bottles
should be used.
● Storage:
○ Should be stored in
room temperature
● Label:
○ For viscous emulsion,
“shake thoroughly before
use”
○ For External products,
“for external use only”

--> Types of emulsion


--> Test for identifying
emulsion type

1. Dilution test
Involves the addition of
continuous phase

2. Electrical
Conductivity Test
An emulsion with water
continuous phase will
readily conduct electricity

3. Dye-Solubility Test
a. Water soluble dye
– dissolve in
aqueous phase
b. Oil soluble dye –
dissolve in oil
phase

4. Fluorescence Test
a. W/O – continuous
fluorescence
b. O/W – spotty
fluorescence
5. Cobalt Chloride Test
a. W/O – does not
change color
b. O/W – changes
color

Preparation 17: Kaolin Suspension Preparation 18: Aluminum


Hydroxide-Magnesium Hydroxide
Suspension

● Offi. title: ​Kaolin Suspension ● Offi. title: ​Aluminum


(Non-Official) Hydroxide-Magnesium Hydroxide, USP
● Category: ​Gastrointestinal drug ● Category: ​Antacid and Gastrointestinal
● Uses:​ Toxin absorbent; For OTC Drug
treatment of diarrhea, Chronic ● Uses:​ ➔ For the relief of acid
ulcerative colitis indigestion, heartburn, and an upset
● Synonyms: ​Kaolin mixture, Native stomach ➔ Treat symptoms in patients
hydrated aluminum silicate with peptic ulcer, gastritis, and gastric
hyperacidity
--> Review of basic concepts ● Synonyms: ​MAALOX (innovator name),
Suspensions: Alamag Plus and Almacone, Almacone,
- Preparations that are containing Milk of Magnesia
finely divided drug particles (the
suspensoid) dispersed somewhat uniformly --> Precautions and Side effects
in a vehicle in which the drug exhibits Precautions
minimum solubility. ● Must not be taken by:
- Insoluble dispersed phase (solid) in a ○ People with kidney disease
dispersion medium ○ Breastfeeding mothers
- The external phase(dispersion/suspending ○ People who are on a low- salt diet
medium) is generally aqueous in some ○ People who are allergic to the
instances, ​may be organic or oily liquid for components
non oral use.
- Pharmaceutical suspensions can Side effects
improve stability of certain ● Diarrhea
drugs, e.g. Procaine penicillin G. ● Constipation
- Suspensions are formulated for drugs ● Loss of appetite
which are unstable in an aqueous medium ● Unusual tiredness
and for insoluble or poorly soluble drugs. ● Muscles weakness
- ​Drugs in suspensions exhibits a higher
rate of bioavailability​ than other dosage --> Suspensions
forms - biphasic dosage forms containing insoluble
- Suspensions are either in ​Ready-to-use solid material suspended in a liquid medium
form or Dry powdered form
Advantages
--> General features desired in ● Chemical stability
pharmaceutical suspensions ● Controlled drug release
1. The particle sizes of insoluble dispersed ● Palatability and patient acceptance
phase or solids in a suspension must be ● For drugs with low solubility
about 0.2-10 microns/micrometer ● Higher rate of bioavailability
2. A pharmaceutical suspension should
settle slowly ​and must be readily dispersed Disadvantages
upon gentle shaking. ● Sedimentation and compaction
3.The suspension should pour out ● Bulky - sufficient care during handling and
readily and evenly from its transport
container. ● Uniform and accurate dose cannot be
4. The particle size of the suspension achieved
should remain fairly constant during long
periods of standing. --> Phases
Continuous / External Phase
--> Flocculated vs Deflocculated - Dispersion Medium (aqueous or oily)
systems: Flocculated systems
Flocculated: Dispersed / Internal Phase
● The dispersed particles are held - Insoluble API
together in loose aggregates
● Dispersed particles lessen the --> General Features of a Desired
elegance of the preparation due to their Suspension
tendency to separate from the dispersion 1. Slow settling; readily dispersed with moderate
medium but they avoid caking and are easy shaking
to reside. 2. Spreads over surface but does not run off;
● Rate of sedimentation is high provide an elastic protective film
● Sediments are rapidly formed 3. Easy to pour yet not watery and no grittiness
● Redispersion of sediments is easy 4. Good syringeability
which can be done by the shaking 5. Parenteral and Ophthalmic
of the bottle/container 6. Suspension must be sterilizable
● The floccules sticks to the side of 7. Stable during shelf-life
the bottle/container 8. Acceptable taste, odor and color
● Appearance: Clear 9. Must not recrystallize during
Storage
Deflocculated:
● The particles exists as separate
Flocculated Deflocculated
entities in this system
● Dispersed particles gives the Particles Aggregates/ Separate
preparation a uniform appearance as they Flocs Entities
tend to settle less rapidly but they can form
a hard cake which is hard to redisperse.
● Rate of sedimentation is low
● Sediments are slowly formed
● Suspension is pleasing in
appearance and they don’t stick to
the sides of the bottle/container
● Appearance: Cloudy Rate of High & rapid Low & slow
Sedimentation
--> Ingredients
● Flocculating agents-increases the degree Sediments Loosely Closely
of flocculation in a suspension and prevent packed; no packed;
caking. The Flocculating agent are only hard cake forms hard
added in preparation B ​as it is a flocculated cake
system. The Flocculating agent in
preparation B is ​Monobasic potassium Redispersion Easily Difficult to
phosphate dispersed redispersed
● Suspending agents- Usually added to
Supernatant Clear Turbid/cloudy
promote pharmaceutical elegance and
dosage uniformity and prevent settling of Overall Unsightly Aesthetically
particles. The suspending agent in both Appearance pleasing
preparations is ​Sodium
Carboxymethylcellulose.
Other: Stick to the Does not
● Active ingredient/suspensoid- is the ​main
sides of the stick to the
component of the pharmaceutical
bottle sides of the
suspension which performs the
bottle
pharmacological activity. The active
ingredient in both preparations is ​Kaolin
● Wetting agent- lowers the surface tension --> Basic Components of Suspensions
of a liquid and thus allows it to spread more 1. Solvent/Vehicle: where the API / insoluble
easily. The wetting agent in both drug is dispersed ---Examples: Purified Water
preparations is ​Glycerin. (aqueous), Propylene Glycol (non-aqueous)
● Dispersion medium- It is the medium in 2. API: To provide pharmacologic effect
which the dispersed particles are distributed ---Examples: Aluminum Hydroxide,
uniformly. The dispersion medium in both Magnesium Hydroxide
preparations is​ ​Purified Water. 3. Wetting Agents: To disperse solids
● Preservative- It is a natural or synthetic in continuous phase; aka “surfactants”
chemical added to pharmaceutical ---Examples: Glycerin, Polysorbates, Sorbitan
preparations to prevent microbial Esters
decomposition. The preservative in both 4. Flocculating Agents: To “flock” drug particles
preparations is ​Sodium Benzoate and prevent caking ---Examples: Citrates,
Sulfate, Phosphate Salts and Calcium salts
--> Quality Control & Packaging 5. Preservatives: To prevent microbial growth
Appearance: ​White liquid with dispersed ---Examples: Glycerin, Parabens,
particles Alcohol,
pH: ​7.3 (Neutral) 6. Suspending Agents: To increase
Pourability: ​Easily poured viscosity, inhibit agglomeration and decrease
Dispersibility: ​Easily dispersed upon sedimentation; aka “thickeners”
shaking ---Example: xanthan gum, acacia
Appearance of sediments: 7. Flavoring Agents: For taste-masking
● Preparation A: Closely packed purposes ---Examples: Lemon Oil, Peppermint
● Preparation B: Loosely packed 8. Sweeteners: To improve palatability
Sedimentation rate, Sedimentation volume, ---Examples: Syrup, Aspartame
Degree of flocculation: 9. Colorants: To provide a more
● ​Preparation A: Slow, 0.15, 1 aesthetic appearance ---Examples: FD&C Blue
● Preparation B: Fast, 0.75, 5 #1 (Brilliant Blue), FD&C Yellow #6 (Sunset
Physical stability: ​No sedimentation, caking Yellow)
present and partially soluble internal phase 10. Buffering Agents: To resist pH change
Physical instabilities: ---Examples: citrates, carbonates
● Sedimentation- Settling of dispersed
phase which can be ​remedied by gentle ​--> Use of each ingredient
shaking. 1. Magnesium Hydroxide & Aluminum
● Caking- Aggregation of the settled Hydroxide: ​Active Pharmaceutical Ingredient
dispersed particles forming a hard “cake” 2. Sodium Citrate:​ Flocculating Agent
which is hard to redisperse. 3. Glycerin:​ Wetting Agent
Packaging requirement: ​Store in a cool, dry 4. Purified Water: ​Solvent
place away from heat and light 5. Simple Syrup: ​Sweetening Agent; thickener
Label: ​Shake well before use 6. Peppermint Oil:​ Flavoring
Container: ​15mL amber bottle or flint bottle 7. Sodium Benzoate:​ Preservative

Procedure: A --> Stoke’s Equation


→ Note: Dispense 0.1 g Sodium - Explains the theory of sedimentation behavior
Carboxymethylcellulose in 3 mL water.
Set aside.
→ Note: Levigate ​(reduce a substance to a
​ g kaolin
fine powder or smooth paste) 1
with 1 mL Glycerin, and mix with the
Sodium Carboxymethylcellulose solution =
Kaolin is levigated in order to prevent
lumping as it is combined with both
carboxymethylcellulose aqueous solution
→ Note: Dissolve 0.01 g Sodium Benzoate
in enough Purified Water, and slowly add
this mixture to the Kaolin ➔ Sedimentation velocity is directly proportional
to the ​square diameter of particle
Procedure: B ◆ Rate of fall of a suspended particle: greater
→ Note: Dispense 0.1 g Sodium for larger particles (Solution: Reduce size of
Carboxymethylcellulose in 3 mL water. particles)
Set aside. ➔ Greater Difference in density = Higher Rate
→ Note: Levigate ​(reduce a substance to a of Sedimentation (Solution: Increase viscosity)
fine powder or smooth paste) 1 ​ g kaolin ◆ Ps ​(density of disperse phase)​ is higher than
with 1 mL Glycerin, and mix with 0.15 g Po ​(density of disperse media)​ = particles settle
Monobasic Potassium Phosphate dissolved down
in enough water. Combine two solutions = ◆ Po is higher than Ps = particles float
Kaolin is levigated in order to prevent ➔ Increasing viscosity = Lower Rate of
lumping as it is combined with both Sedimentation (Ideal)
carboxymethylcellulose aqueous solution ◆ Gives rise to problems like pourability and
→ Note: Dissolve 0.01 g Sodium Benzoate syringeability
in enough Purified Water, and slowly add
this mixture to the Kaolin --> Zeta potential
- Determines the ability of a liquid to carry a
solid material in a suspension
- If attractive forces exceed repulsive forces and
particles come together → Flocculation

--> Quality Control and Packaging


Appearance: ​White, opaque liquid with a creamy
consistency; Should appear uniform and elegant
pH: ​7.3 - 8.5
Pourability: ​Easy to pour, yet not watery and no
grittiness
Instability: ​Sedimentation, flocculation, cake
formation; change in color, odour or taste
Packaging: ​Amber bottle; wide-mouth and tight
containers
Labelling: ​“Shake well before use” “Store in a
cool place”
Storage: ​Store in a controlled room temperature
between 15-30 degrees Celsius away from
moisture and heat. Do not allow liquid medicine
to freeze.

--> Physical signs of an unstable suspension


1. Flocculation: ​Particles form loose networks
---Cause: Van der Waals attraction

2. Sedimentation:​ Particles settle down at the


bottom
---Cause: large particle diameter
3. Caking: ​Formation of non-redispersible
sediments
---Cause: crystal-bridging and close aggregates

4. Stable Suspension:​ Particles are uniformly


dispersed.

5. Crystal Growth
---Cause: Low viscosity; temperature
fluctuations

--> Quality Control Tests for Stability


1. Sedimentation Method
- Sedimentation volume: Most important
parameter

2. Rheological Method
- Viscosity is measured at different time intervals

3. Electrokinetics Method
- Determination of Zeta Potential

4. Micrometric Method
- Particle size is measured; also tests for crystal
growth

5. Temperature Tests
- Fluctuations: crystal formation
- Freezing: cake formation

Preparation 19: Milk of Magnesia Preparation 20: Aluminum Hydroxide Gel

● Offi. title: ​MIlk of Magnesia, USP ● Offi. title: ​Aluminum Hydroxide Gel,
● Category: ​Antacid (​class of USP
medicines that neutralize acid in the ● Category: ​Antacid, Antireflux
stomach​) agents, and Antiulcerants
● Uses:​ Antacid, Relief for bowel ● Uses:​ Heartburn, Upset stomach,
problems Sour stomach, and Acid indigestion
● Synonyms: ​Magnesium Hydroxide, ● Synonyms: ​Aluminum hydroxide,
- Magnesia Magma and Rolaids Hydrated Alumina, and Aluminic
(calcium carbonate and sodium Acid
hydroxide) ● Offi. def’n: ​Aluminum Hydroxide
● Offi. def’n: ​A suspension of Gel is a suspension of ​amorphous
Magnesium Hydroxide. Contain not aluminum hydroxide i​n which there
less than 90% and not more than is a partial substitution of carbonate
115%, the labeled amount being ​80,​ for hydroxide. It contains the
160,​ and ​240mg​ of Mg(OH)2 per equivalent of ​not less than 90% and
mL, respectively. It may contain oils,​ not more than 110%
suitable for flavoring purposes

--> Mechanism of Action *flavorants are added against bitter taste


simple chemical reaction (neutralization)
--> Mechanism of Action
--> Review of basic concepts Reaction: Neutralization Al(OH)3 + 3HCl
Dispersed systems -> AlCl3 + 3H2O
- Liquid preparations containing H2 blockers - called histamine 2
undissolved/ immiscible drug distributed receptors; ex: cemeditine
throughout a vehicle
- Dispersed phase + Dispersion medium --> Precautions and Side Effects
A. Side effects
Suspensions 1. Constipation
- Two-phase system consisting of finely 2. Low phosphate levels: loss of appetite,
divided solid dispersed in a solid, liquid or unusual tiredness, and muscle weakness
gas
- Density of particles is greater than of the B. Precautions
vehicle 1. Constipation problems
*emulsions vs suspensions 2. Kidney diseases
- SIMILARITY: mixture of two components 3. Breastfeeding mothers
- DIFFERENCE: ​emulsions (​ two 4. Allergies
components - two liquids); suspensions *Adsorption
​(two components - any phase)
--> Common Brands
- Alternagel, Amphojel, Alu-Cap, Dialume,
Milk & magmas Alu-Tab, Aloh-Gel
- Suspension with inorganic solids where
there is a tendency for strong hydration and
aggregation giving rise to a gel-like --> Review of Basic Concepts
consistency Solutions
- contains one or more chemical
Lotion substances dissolved in suitable solvent.
- Category of liquid suspensions or
dispersions intended for external application Gels ---> ETO YUNG PREP
- consisting of either suspensions made up
Gels of small inorganic particles or large organic
- Consisting of either suspensions made up molecules interpenetrated by a liquid
of small inorganic or large organic
molecules in a liquid vehicle Suspensions
- consisting finely divided solid dispersed in
solid liquid or gas
Milk & Magmas Gels and Lotion
Magmas
- Colloid - Homogenous
- Aqueous suspensions of insoluble,
- Large particle - Small particle
inorganic drugs
size (inorganic size (inorganic
solids) solids)
Emulsions
- Particles are - Particles are
- one liquid is dispersed throughout another
dispersed dissolved
liquid in droplet form
(spread/distributed)
Single-Phase/One Phase
- Dissolve in an aqueous or non-aqueous
*ex of colloid: Liquid dispersed in a gas is solvent or combination (homogenous)
--> Fog - A.k.a Organic hydrogels - Uniformly
distributed
--> Use of each ingredient in the prep:
1. Magnesium Sulfate Lotions
- Active Ingredient - Either liquid or semisolid preparations that
2. Sodium Hydroxide contain one or more active ingredients in an
- Active ingredient appropriate vehicle
3. Purified Water
- Dispersion medium Two-Phase --> ETO YUNG PREP
4. 0.1% Citric Acid - Consists of a dispersed phase and a
- Reduce bitterness dispersion medium
- Magnesium hydroxide can react to - Mixotrophic
the glass of the container
--> Factors affecting gel formation
--> Procedure and Reasons for important 1. Temperature
steps - Coarsening (freezing)
2. pH level
- Swelling
3. Addition of agents
- Contributes to the gelation process

--> Use of Ingredients


1. Sodium carbonate: ​Reacted to
form ALUMINUM HYDROXIDE,
the active ingredient; source of OH
2. Ammonium Alum: ​Reacted to
form ALUMINUM HYDROXIDE, the active
ingredient; source of aluminum hydroxide;
substitute (aluminum chloride)
3. Peppermint Oil: ​Flavorant, Alternatives
Direct hydration-​ more commercially used (glycerin, sorbitol, sucrose, saccharin, etc. )
1. Dissolve 3.0 g Magnesium Sulfate in 4.Sodium Benzoate: ​Preservative
6.50mL Purified Water, place in a suitable 5.Purified Water: ​Dispersion medium
capacity vessel and heat to boiling.
RFIS:​ Diluted solutions ensure a fine, --> Procedure and Reasons for Important
flocculent, gelatinous precipitate of Steps
magnesium hydroxide 1. Dissolve 5g of NaCO3.10H2O in 2 mL
2. Dissolve the 1 g Sodium Hydroxide in 1 hot water and filter (para walang buo buo)
mL Purified Water. RFIS: ​Hot water increases solubility of
RFIS: ​Diluted solutions ensure a fine, Ammonium alum and sodium carbonate.
flocculent,gelatinous precipitate of
magnesium hydroxide 2. Dissolve 4g of Ammonium Alum in 1mL
3. Add slowly to the boiling solution of hot water, filter into the carbonate solution
Magnesium Sulfate and continue boiling for with constant stirring
30 minutes RFIS: ​Hot water and agitation causes
RFIS: ​Lessen sedimentation of the dissolution of side product Sodium
product on standing sulfate.​ DO NOT use boiling water since it
4. Wash with hot Purified Water 5-10x or may cause DECOMPOSITION of API
more (as shown by testing the supernatant
liquid with BaCl2 TS) 3. Add 20mL hot water and remove all gas.
RFIS:​ This is to ensure that all sodium Dilute to 400mL with cold water
sulfates are removed and because it is RFIS: ​Dilution with cold water
more soluble in hot water recrystallizes Al(OH)3 since it is
5. Decant the excess liquid, package and insoluble in water
label.
4. Collect & wash the precipitate & suspend
Chemical Reaction -​ it in 10mL Purified water with 0.01%
* BaCl2 reacts with Na2SO4 = white heavy Peppermint oil and preserve with 0.1%
precipitate of BaSO4, very distinct because Sodium Benzoate
of magnesium hydroxide is gelatinous;
supernatant = clear colorless solution 5. Homogenize the resulting gel
* Sulfate free - BaCl2 RFIS:​ Homogenized to form a uniform
product
--> Quality Control
● Appearance: ​Opaque, white liquid 6. Decant the excess liquid, package, and
● pH:​10 label
*Effect of pH? --> 0.1% Citric Acid *we can
add flavoring oils but not exceeding 0.05% 4NaCO3*10H2O + NH4Al(SO4)2 =
conc. Al(OH)3 + 2 Na2SO4+ 4 CO2+ NH3 + 10
● Pourability: ​Not Easily Pourable H2O
● Redispersability: ​Easily redispersed upon
shaking --> Homogenization techniques
● Particle Description: - + in small quantities
White, gelatinous precipitate (identity: - Incorporate w/ additional agents such as
Magnesium hydroxide​) glycerin and alcohol
● Sedimentation rate: ​Fast - Use mixer to incorporate gelling agent
● Physical stabilities: ​NO when mixture has formed vortex to prep
Sedimentation, NO Caking, NO Microbial uniform gel
Growth (microbial count: not exceed 100
CFU and must pass the test that do not *Why center: para di mag clumps
have e. Coli present) *Vortex disadvantage: di masyado
madissolve
--> Packaging, Labeling and Storage
● Packaging:
○ In tight containers, preferably not
exceeding 35 degrees. Avoid Freezing.

*Freezing = Coarsening
*Temp > 35 degrees celsius = lower/reduce
gel structure
*pH can also affect the gel structure

● Label:
○ “Shake Well Before Use”
● Container:
○ Clean, flint bottle
--> Side Effects of Milk of Magnesia --> Quality Control/Packaging
1. Diarrhea - most common side effect; at ● Appearance: ​White, viscous liquid
certain dose at specific acid, higher amount ● pH:​ 5.5-8
of milk of magnesia (more water ang ● Pourability: ​Easily pourable
naddraw sa intestine) → Magnesium ● Redispersability:​ Easily dispersed upon
hydroxide (diarrhea effect) combined with shaking
aluminum hydroxide (constipation effect) ● Particle dispersion: ​White gelatinous
2. Stomach Cramps precipitate
3. Nausea ● Physical stability: ​No syneresis
4. Vomiting (c​ ontraction of a gel accompanied by the
separating out of liquid),​ microbial growth,
sedimentation and caking present
● Packaging requirement: Preserve in tight
containers and avoid freezing
● Label: ​“Shake well before use” “Do not
freeze”
● Container: ​15mL clean flint bottle

--> Characteristics of Gels


1. Imbibition
- The taking up of a certain amount of liquid
without a measurable increase in volume.
2. Swelling
- The taking up of a liquid by a gel with an
increase in volume
*Only liquids that solvate a gel can cause
swelling
* pH and presence of electrolytes influence
swelling
3. Syneresis
- On standing, the dispersion medium is
squeezed out and the gel shrinks due to the
attraction between particles of the
dispersed phase
4. Xerogel
- Formed when liquid is removed from the
gel, only framework remains
- Ex: Gelatin sheets, tragacanth ribbons,
and acacia tears
5. Thixotropy
- Reversible gel-sol (on standing -
semisolid, shake- colloid) (ex: ketchup)
- formation with no change in
volume or temperature, a type of
non-Newtonian flow
Preparation 21: Bentonite Magma ​Preparation 22: Calamine lotion

● Offi. title: ​Bentonite Magma, NF ● Offi. title: ​Calamine Topical lotion, USP
● Category: ​- ● Category: ​Antipruritic (relieve itching),
● Uses:​ Suspending agent for Astringent (​causing the contraction of
insoluble medicaments (Calamine skin cells and other body tissues.)
Lotion) ● Uses:​ Astringent, antipruritic, topical
● Synonyms: ​Native Colloidal protectant and soothing lotion to sunburn,
Hydrated Aluminum Silicate treatment for ivy poisoning, skin
(NCHAS), Magma Bentoniti (Latin protectant
name), Mineral soap magma, ● Synonyms: ​Native Colloidal Hydrated
Wilhinite Soap Clay Magma Aluminum Silicate (NCHAS), Magma
● Offi. def’n: ​a preparation of ​5% Bentoniti (Latin name), Mineral soap
bentonite,​ a native colloidal hydrated magma, Wilhinite Soap Clay Magma
aluminum silicate, in purified water. ● Offi. def’n: ​Usually are fluid, somewhat
viscid (sticky) suspension dosage forms
--> Review of basic concepts for external application to the skin.
Bentonite Magma
- Composed of 5% bentonite, a native → Review of Basic components
colloidal hydrated aluminum silicate, and Suspensions
purified water. -liquid preparations that contain solid particles
dispersed in a liquid vehicle intended for
Dispersed systems (Magma) application to the skin. Some suspensions
- It is a dispersion of an exceptional labeled as ‘‘Lotions’’ fall into this category
insoluble particles.

Milk & Magmas


Lotions Magmas/Milks Gels
- Gel that has a large dispersed phase
particle mass Liquid or Aqueous A.k.a jellies
semisolid suspensions
Lotion prep that of insoluble, Semisolid
- Aqueous suspension of solid that are contain one inorganic systems
applied to the parts of the skin that are not or more drugs that consisting of
damaged active have larger either
ingredients particle size. suspension
Gels in an Thick and made up of
- Semisolid systems that have a dispersions appropriate viscous and small inorganic
composed of either small inorganic particles vehicle does not particles or
or large organic molecules that are being need a large organic
enclosed and interpreted by liquid suspending molecules
agent interpenetrated
--> Use of each ingredient in the prep: by a liquid
1. Bentonite
- Active ingredient
- Clays frequently generated by altering Bentonite magma
volcanic ash - 5% bentonite
- Consists of predominant smectite - Native colloidal hydrated aluminum silicate, in
minerals, that are montmorillonite purified water
2. Purified water Preparation of bentonite magma
- Dispersing medium
- Solvent Mechanical Simple hydration

--> Two methods to prepare Bentonite - Prepared in a - Prepared also by


Magma blender with the sprinkling the
1. Mechanically bentonite added bentonite, in portions,
- First method done w/ the use of a blender directly to the purified upon hot purified
- Bentonite should be directly added to the water while the water, allowing each
H2O while blender is turned on machine is running. portion to be
2. Simple hydration thoroughly wetted
- Used when by scattering the bentonite in without stirring before
different portions, upon adding a hot another portion is
purified water, making every part wet w/o added.
the need to stir, before adding another
portion
- Scattering Tests to assess the quality of Bentonite
- Mixture needs to stand for 24 hours before magma
stirring
Swelling Test Tests the property of
- Swelling
swelling.
--> Procedure and Reasons for
important steps Required mass at the
* Smooth slurry is obtained bottom should occupy
*15 mL magma is needed an apparent volume
*Stand for 5 - 15 minutes before use
not less than 24mL.
Swelling test
pH Test Tests the pH level.
- 2 g of bentonite should be added in
portions of 100 mL water to a 100 mL
glass-stoppered cylinder pH must be not less
- The mass at the bottom should inhabit a than 9.5 but not more
volume of not below 24 mL than 10.5.
- assess quality of bentonite magma
Fineness of Powder Tests the quality of
pH test the powder.
- Should be between 9.5 to 10.5
Particle size should
Fineness of powder
- Particle size between 1 nanometer to 0.5 be 1nm – 0.5um
micrometer
Gel Formation Tests the gel
Gel Formation transition.
- When the bentonite magma is able to
stand peacefully for some time, it forms gel After standing;
(Thixotropic gel) thixotropic gel
- When agitated, its sol form comes back
(semisolid)
--> Quality Control
● Appearance: ​Grayish turbid slurry mixture Upon agitation; sol
● pH: ​9.5 - 10.5 form (liquid/colloid)
● Pourability: ​Not Easily Pourable
● Redispersability: ​Difficult to disperse upon
shaking --> Use of ingredients
● Particle Description: Colloidal (1 nm - 5
micrometer) 1. Calamine: ​Active ingr, antipruritic and
● Sedimentation rate: ​Very slow to none astringent
● Physical stabilities: ​No microbial growth 2. Calcium hydroxide: ​Provides astringent
presence, no organic volatile impurities action, dispersion medium; dissolves
--> Packaging, Labeling and Storage bentonite magma and zinc oxide
● Packaging: 3. Zinc oxide: ​Provides Astringent action;
○ Preserve in tight containers Anti microbial; Mixed with calamine to
● Label: give its pink color
○ “Shake Well Before Use” 4. Glycerin: ​Humectant, emollient, wetting
● Storage requirement: agent
○ Store in a cool dry place (must not be
5. Bentonite magma: ​Stabilizing and
freezed)
suspending Agent
--> Additional notes:
*Swells up to 12 times when water is added --> Procedure and Reasons for Important
*if it lowers down to 7, the suspending Steps
agent lowers --> select an alternative 1. Dilute 2.5 mL Bentonite Magma with an equal
suspending agent volume of Calcium Hydroxide Topical Solution
2. Mix the powders intimately with the 0.2 mL
Glycerin and about 1 mL of the diluted magma
3. Triturating until a smooth, uniform paste is
formed.
RFIS: I​ntimately mix ingredients to form
uniform particle size.
4. Gradually incorporate the remainder of the
diluted magma
RFIS: ​To​ prevent air​ from being incorporated
(solidifies diluted magma)
5. Finally add enough Calcium Hydroxide
Topical solution to make 10 mL, and shake

--> Quality Control/Packaging


● Appearance: ​Pink, thick, creamy semi liquid
● pH:​ 9-10
● Pourability:​ Not Easily pourable
● Sedimentation rate: ​Very slow to none
● Physical stability: ​No sedimentation, caking
and microbial growth present

--> Packaging, Labeling and Storage


● Packaging:
○ Preserve in tight containers
● Label:
○ “Shake Well Before Use”
● Container:
○ 15 mL clean flint bottle

--> Additional notes


*other synonyms: Lotio Calaminae, Caladryl,
calmoseptine
Narrow mouth amber bottle
Zinc oxide yung astringent

Preparation 23: White Ointment ​-----

● Offi. title: ​White Ointment, USP


● Category: ​Pharmaceutical
Necessity
● Uses:​ vehicle, emollient
● Synonyms: ​Ointment USP, Simple
Ointment
● Offi. def’n: ​White ointment is an
ointment consisting of 5% white wax
and 95% of white petrolatum

--> Review of basic concepts


Semi-solid dosage forms
- Includes ointments, creams, gels, pastes,
plasters and glycerogelatins
- Ointments are semi solid prep intended for
external application to the skin or mucous
membrane

--> Types of Ointments


1. Medicated
- Contain ​medicament​ either dissolved or
dispersed in the vehicle as fine powders or
in form of micronized powder

2. Non medicated
- ​Vehicles ​for prep or medicated ointments
or can be used for their physical effect

--> Properties
a. Non sensitizing
b. Water washable
c. Non irritating
d. Permanent, pliable, smooth
e. Efficient release of medicament at
site of application

--> Types of ointment bases


a. Oleaginous bases
b. Absorption bases
c. Water removable bases
d. Water soluble bases

A. Oleaginous bases

---Properties:
○ Hydrophobic
○ Occlusive (​To close, obstruct, or prevent
the passage; ​increase moisture​ levels in
skin by providing a physical barrier to
epidermal water loss​)
○ Emollient effect (​having the quality of
softening or soothing the skin​)
○ Allows incorporation of small quantity
aqueous solutions or hydrophilic agents

---Advantages
○Remains on the skin without drying out for
a period of time
○Provides the best emollient and occlusive
property

---Disadvantages
○ Stains on clothes
○ Hard to wash off
○ Greasy

---Examples
○ Petrolatum, USP
○ White Petrolatum, USP
○ Yellow Ointment, USP
○ White Ointment, USP

B. Absorption bases

---Properties:
○ Less occlusive
○ Emollient effect
○ Allows incorporation of small quantity
aqueous solutions or hydrophilic agents

---Advantages
○ Can be used as vehicle for drugs that are
not stable in aqueous environment
○ Used for incorporation and aqueous
components to hydrocarbon bases

---Disadvantages
○ Stains on clothes layer
○ Hard to wash off because of external
hydrocarbon layer
○ Greasy

---Examples
○ Hydrophilic petrolatum
○ Lanolin, USP
○ Aquaphor - refined hydrophilic petrolatum;
takes up 3 times of its weight in water;
medication is used as a moisturizer to treat
or prevent dry, rough, scaly, itchy skin and
minor skin irritations

C. Water removable bases

---Properties:
○ Contains ​hydrophilic and lipophilic
compounds
○ Can be diluted with water
○ Most commonly used base
○ Has resemblance to creams because of
its oil in water property

---Advantages
○ Washable with water because of its
aqueous external phase
○ Faster release rate of drug when applied

---Disadvantages
○ Not occlusive

---Examples
Hydrophilic ointment, USP

D. Water soluble bases

---Properties:
○ Used for better incorporation of solids and
non aqueous substance in which large
amounts of aqueous solutions are
effectively incorporated

---Advantages
○ Water washable
○ Greaseless

---Disadvantages
○ Not occlusive

---Examples
○ Polyethylene Glycol Ointment, NF

Water number
○ Defined as the number of water in grams
that can be incorporated into 100 g base
without losing its consistency

--> Formula
White Wax (0.5 g): Stiffening agent
White petrolatum (9.5g): ointment base -->
oleaginous base
--> Procedure
1. Melt the white wax in a suitable dish
in a warm water bath of 60-70
2. Add white petrolatum when wax has
completely melted
3. Continue heating until liquefied
4. Remove from the heat, stir

--> Methods of Preparation


1. Incorporation

A. In solid
○ An amount of ointment approximately
equal in size to the drug is added to the
drug
○ Spatulate the mixture
○ By geometric dilution, add the ointment
continuously until all of it is consumed

RFIS:
1. With mortar and pestle or with a
spatula and ointment slab, the
incorporation process is done. If the
parts to be used react with metals
2. To ensure even distribution in the
base, Geometric dilution is
performed
3. The production of a gritty substance
would be prevented by reducing
particle size

B. In liquid
○ The aqueous solution is incorporated into
a small amount of hydrophilic base. The
mixture will then be added to the
hydrophobic bases

RFIS:
Before incorporation, the capacity of the
base to absorb liquids should be determine

2. Fusion

- Components with the​ highest


melting point are melted first
- Other components must be added
next
- Uses porcelain dish and heat
involved
- White wax has higher melting point
than white petrolatum thus, it will be
the first one to be melted

RFIS:
1. Heat labile and volatile
components are added last
2. Decomposition (broken down into
simpler organic or inorganic matter)
can be prevented if components are
not exposed to high temperature
areas

--> Quality Control


Appearance: viscous, semisolid
preparations containing either dissolved or
suspended ingredients

Label: For external use only


- Keep out of reach of children
- In addition to labeling requirements,
USP direct that it must also include
type of base used

Pourability: Not pourable

Physical Instability:
- Changes in particle size,
consistency
- Coalescence
- Bleeding​ - fluid components of prep
separate at the top of the ointment
- Change in drug release rate
- Loss of drug content uniformity
- Formation of granules or grittiness
(having a rough texture)

--> Packaging, Labeling and Storage


Packaging and packaging:
- Must be stored in large mouth of
ointment jar, metals or plastic tubes
- In well closed containers to protect
against contamination
- In cool place to protect against
product separation due to heat

ADDITIONAL NOTES:

1. Occlusion - it traps water in the skin,


preventing evaporation or absorption into
the occlusive material.

2.Humectant - it increases water holding


capacity of the stratum corneum.

3.Lubrication - adding slip or glide on the


surface of the skin.

4. Emollient - Soften or soothe the skin by


filling spaces between skin flakes and
creating a smooth skin surface

Oleaginous Absorption Water/Oil Oil/Water Water-miscible


ointment Bases Ointment Emulsion Emulsion /Water soluble
Bases Ointment Ointment Ointment
Bases Bases Bases

Composition Oleaginous Oleaginous Oleaginous Oleaginous base Polyethylene


compounds base + w/o base + water + water (>45% Glycols (PEGs)
surfactant (<45% w/w) + w/w) + o/w
w/o surfactant surfactant (HLB
(HLB <= 8) >= 9)

Water Content Anhydrous anhydrous hydrous hydrous anhydrous,hydr


ous

Affinity for Hydrophobic hydrophilic hydrophilic hydrophilic hydrophilic


water

Spreadability Difficult Difficult Moderate to Easy Moderate to


easy easy

Washability Nonwashable Nonwashable Non- or poorly Washable Washable


washable

Stability Oils poor; Oils poor, Unstable, Unstable, Stable


hydrocarbons hydrocarbons especially alkali especially alkali
better better soaps and soaps and
natural colloids natural colloids;
nonionics better

Drug Solids or oils (oil Solids, oils, and Solids, oils, and Solids and Solids and
Incorporation solubles only) aqueous aqueous aqueous aqueous
Potential solutions (small solutions (small solutions (small solutions
amounts) amounts) amounts)

Drug release poor Poor, but > Fair to good Fair to good Good
potential oleaginous

Occlusiveness yes yes sometimes no no

Uses Protectants, Protectants, Emollients, Emollients, Drug vehicles


emollients (+/-), emollients (+/-), Cleansing vehicles for
vehicles for vehicles for creams,vehicles Solid, liquid , or
hydrolyzable aqueous for Solid, liquid , non hydrolyzable
drugs solutions, or non drug
solids, and non hydrolyzable
hydrolyzable drug
drugs

Examples White Hydrophilic Cold cream Hydrophilic PEG ointment


petrolatum, petrolatum, type, Hydrous Ointment,
White ointment, Anhydrous Lanolin, Rose Dermabase,
yellow ointment Lanolin, Water Ointment, Velvachol,
Aquabase, Hydrocream, unibase
Aquaphor Eucerin, Nivea
Polysorb

General review of basic concepts

Semisolid Dosage forms


● Drug category consisting of semisolid products
● Intended for ​topical application
● Can also be applied to the are medicated or non ​ mucous membranes of the body
● Are medicated or non medicated
○ Non-medicated - physical effects as protectants or lubricants
● Local and systemic effects
○ Local - kung san lang nilagay un lang mag eeffect
○ Systemic - kumakalat

Creams vs ointments vs Pastes


Creams Ointments Pastes

Semisolid Semisolid Semisolid


preparations preparations preparations
containing one intended for intended for
or more external application to
medical agents application to the skin
dissolved or the skin or
dispersed in mucous Contain a
either W/O membranes, larger
emulsion, an and can be percentage
O/W emulsion, medicated or (up to 25%)
or in another non of solid
type of water medicated material​ than
washable base ointments.

*creams are more prefer can be easily applied and remove


*non medicated - as protectants, lubricants and sometimes as emollient

Definition of Concepts

A. Gels: ​Semisolid systems ​consisting of dispersions in an aqueous liquid vehicle


rendered jelly like due to the addition of a gelling agent; ​a.k.a. jellies
B. Plasters: ​Solid or semisolid adhesive masses​ spread on a backing of paper, fabric,
moleskin or plastic
C. Powders:​ ​Dry mixtures of finely divided ​medicinal and ​non medicinal agents
intended for ​internal or external use
D. Dressings: ​Products​ for external application​ that​ resemble ointments​ and are used
for covering for protection
*can be used as a topical antibiotic dressing
(ex: antibacterial dressings: neomycin sulfate for burns)
E. Glycerogelatins: ​Plastic masses ​containing gelatin (15%), glycerin (40%), water
(35%), and an added medicinal substance (​10%) such as​ zinc oxide;​ These are
applied to the ​skin​ for long term application.
F. Cataplasms: ​Consist of a ​soft, moist mass of absorptive materials​; are also called
poultices​, and are intended ​to localize infectious materials in the body
G. Contraceptives: ​Drug products that ​immobilize spermatozoa or prevent ovulation
*immobilize spermatozoa: gellies, creams and aerosols,
*prevent ovulation: Capsules or tablets

Preparation 24: Sulfur Ointment Preparation 25: Zinc Oxide Preparation 26: Hydrophilic
Paste Ointment

● Offi. title: ​Sulfur Ointment, USP ● Offi. title: ​Zinc Oxide ● Offi. title: ​Hydrophilic
● Category: ​Parasiticide ​(used in Paste, USP Ointment, USP
medicine and veterinary medicine ● Category: ​Topical Drug ● Category: ​Pharmaceutical
to kill parasites; especially those ● Uses:​ Mild astringent, necessity
other than bacteria or fungi) Antiseptic, Used in ● Uses:​ water removable
● Uses:​ Parasiticide, Keratolytic treatment for ivy ointment base
(remove warts, calluses and other poisoning, seborrhea, ● Synonyms: ​Lassar’s Plain
lesions in which the epidermis eczema, psoriasis, and Zinc Paste
produces excess skin)​, Used in pruritus. ● Offi. def’n: ​A water-miscible
the treatment of skin diseases ● Synonyms: ​Lassar’s Plain ointment base for topical
such as psoriasis and seborrhea Zinc Paste application, composed of a
● Offi. def’n: ​“Zinc Oxide traditional water-in-oil
*can be an alternative treatment for Paste contains not less emulsion containing
scabies than 24.0 percent and not petrolatum and propylene
more than 26.0 percent of glycol
● Synonyms: ​Unguentum Sulfuris, ZnO.”
Precipitated Sulfur Ointment, Lae --> Uses of each ingredient
Sulfuris Ointment --> Uses of each ingredient 1. Methylparaben and
● Offi. def’n: ​“Sulfur Ointment 1. Zinc Oxide: Active Propylparaben:
contains not less than 9.5 percent ingredient; specifically Anti-microbial agent
and not more than 10.5 percent of protective, antiseptic,
Sulfur.” Methylparaben - anti yeast
astringent Antiparaben - anti molds
--> Uses of each ingredient 2. Starch: Binding agent, 2. Sodium Lauryl Sulfate: Main
1. Precipitated sulfur - Active thus will make it firm as emulsifying agent;
ingredient well Emulsifier or Surfactant
2. Mineral Oil - Levigating agent 3. White petrolatum: 3. Propylene Glycol:
(improve ease of wetting the Ointment base = Humectant
solid); ​not use as a humectant oleaginous base 4. Stearyl Alcohol: Stiffening
agent (assist lang siya as
3. White Ointment - Hydrocarbon --> Procedure emulsifying if sumobra to =
base/oleaginous base 1. Mix the 2 g of Zinc Oxide, crystallization)
1.5 g of starch and 6.5 g of 5. White Petrolatum:
Both levigating agent and wetting agent white petrolatum Hydrocarbon base
mean the same thing and their purpose is RFIS: 6. Purified Water: Solvent
to decrease the surface tension between a. Trituration of zinc oxide
two ingredients. There are two major and starch = The goal is to --> Procedure
types used in non-sterile compounding. achieve a small particle 1. Melt 2.5 g stearyl alcohol and 2.5
Glycerin is preferred when an size​ in order to deliver a g white petrolatum on a 75° C
oil-soluble base is used, while Mineral great amount of steam bath. (optimum temp to
Oil is used for water-soluble bases therapeutic activity make emulsion as well)
*lower particle size = higher RFIS:
--> Procedure surface area a. Add stearyl alcohol first to
1. Levigate 1 g of sulfur with the 1 g of b. Levigation of mixed avoid decomposition.
mineral oil to a smooth paste. powders w/ petrolatum: b. Maintain 75° C temperature
Add the homogeneous to avoid decomposition of
a. Sulfur is first levigated ​in mineral mixture in ​small the oils and to prevent
oil to aid in incorporation. increments pre-solidification of the
b. Practice geometric dilution during aqueous components.
incorporation to ensure uniform We have to make sure c. Perform constant stirring to
distribution and dosage. that we ​levigate the first avoid waxing
c. When levigating, ensure that addition first before
there are no visible particles, and adding more to make 2. Add the 0.0025 g MP, 0.0015 g
levigate in a figure of 8 pattern. sure that it is distributed PP, 0.1 g SLS, 1.2 g PG, 2.5 g SA
2. Incorporate with 8 g of white ointment. equally. previously dissolved in 3.7 mL
water and warmed to 75° C.
--> Quality Control --> Quality Control
A. Appearance: 3. Stir the mixture until it congeals.
Yellow Homogeneous solid A. Appearance
White homogeneous solid
B. Texture --> Quality Control
Surface: Smooth Non-gritty B. Texture
Spatula spread: Smooth; Non-gritty Surface: Smooth Non-gritty
A. Appearance
Spatula spread: Smooth;
White, opaque, and homogeneous
C. Feel Non-gritty
semisolid.
Greasiness: Greasy
Water washability: Non water washable C. Feel D. Texture
Stiffness: Slightly stiff Surface: Smooth Non-gritty
Solid Content: Moderate amounts of solid Greasiness: Greasy Spatula spread: Smooth; Non-gritty
present. Water washability: Non water
washable
E. Feel
--> Acceptance Criteria Stiffness: Stiff
Greasiness: Greasy
a. Physical stability: No change in Solid Content: Large amounts of
Water washability: Non water
consistency, coalescence, solid present. washable
bleeding (separation of excessive Stiffness: Moderately stiff
--> Acceptance Criteria
amount of fluid), drying out, and Solid Content: Very few amounts of
a. Physical stability: No solid present.
rancidity-- ​spoilage of a food in change in consistency,
such a way that it becomes
undesirable (and usually bleeding, and drying out; --> Acceptance Criteria
unsafe) for consumption​; there liquefaction (instability) 1. Physical stability: No
could also be microbial growth change in consistency,
--> Packaging coalescence, bleeding,
--> Packaging 1. Packaging requirement: drying out, rancidity and
1. Packaging requirement: Preserve in well closed microbial growth;
Preserve in well closed container container and avoid crystallization (instability)
and avoid prolonged exposure to prolonged exposure to
direct heat. temperatures exceeding --> Packaging
2. Label: ​“For external use only” 30 degrees. 1. Packaging requirement:
3. Container: ​Large-mouth, plastic 2. Label: ​“For external use Preserve in tight containers
ointment jar only” 2. Label: ​“For external use
3. Container: ​Plastic only”
--> Basic tests for ointments ointment jar 3. Container:​ Large-mouth,
Plastic ointment jar
Test Procedure
Additional Notes:
Test of Rate of The test is If the preparation exceeds 30
Absorption performed in-vivo​, degrees celsius
*Discoloration = yellow,
applying the
ointment through lumping
rubbing over a *Liquefaction
definite area of
the skin.​ Over
several periods of
time, the ​urine
and serum
samples are
analyzed for the
quantity of drug
absorbed​. The
rate of absorption
should be
compliant to the
standards set.

Test of A ​definite quantity


Non-Irritancy of ointment​ is
applied ​under
occlusion daily on
the back or
forearm.​ There
should be ​no
visible reaction
such as
erythema in the
area of
application.

Test of Rate of A ​weighed


Penetration quantity of the
preparation is
applied to a
selected area of
the skin for a
definite period of
time. ​The
remaining
preparation is
weighed and
compared with the
initial quantity.
The value
obtained ​is
divided by the
area and time,
resulting in the
rate of penetration
of the ointment.

Test of Rate of To assess the ​rate


Drug Release of medicament
release,​ a small
amount of the
ointment is placed
on a petri dish
with nutrient agar.
If the medicament
is bactericidal, the
plate is previously
seeded with
suitable
organisms ​such
as S. aureus.
After a period of
incubation, the
zone of
inhibition ​is
measured and
correlated with the
rate of release.

Test of The ​viscosity of


Rheological the preparation
Properties should be
sufficient​ to be
easily removed
from the container
and easily applied
to the skin. ​This
test is performed
using a cone and
plate viscometer.

Test of Content The ​net weight of


Uniformity ten filled ointment
containers ​are
determined. The
results should
match each other
and the labelled
quantity.

Test of The pour plate


Preservative technique is used
Efficacy in determining the
initial number
of microorganisms
present​ in the
preparation.
Solutions of
different samples
of the preparation
are mixed with
Tryptone
Azolectin
(TAT) broth.
These are
inoculated with
the cultures, and
are incubated for
some time. O​n the
14th day, the
number of
vegetative cells
must not be more
than 0.1% of the
initial
concentration.
After 28 days, the
number of
microorganisms
should be below
or equal to the
initial
concentration.

--> USP TESTS

Test Description

Microbial Content Semisolid


Screening preparations are
required to be free
from any microbial
contamination.
The USP states
the microbial limits
for certain articles.
In the chapter
entitled
“Microbiological
Attributes of
Nonsterile
Pharmaceutical
Products”,
emphasis is
placed on the
strict adherence to
environmental
control and
application of
good
manufacturing
practices​ to
minimize both the
type and number
of microorganisms
in unsterilized
pharmaceutical
products. ​Most
topical ointments
are screened for
the presence of
Staphylococcus
aureus and
Pseudomonas
aeruginosa.

Minimum Fill This test is


performed to
compare the
weight or volume
of a product filled
into each
container with
their labeled
weight or volume.
It helps in
assessing the
content uniformity
of a product. ​The
minimum fill test is
only ​applicable to
containers that
contain not more
than 150 mg or
mL of the
preparation.​ The
USP recommends
that the average
net content of 10
containers should
not be less than
the labeled
amount.

Assays The quantity of a


drug present in a
unit weight of
ointment can
be determined by
various methods.
These methods
can be in ​the form
of
spectrophotometr
y, titrimetry,
chromatography,
or in some cases,
microbial assays.
While the
selection of a
method is
dependent on
several factors
such as the nature
of the drug,​ the
USP recommends
that
High-Performance
Liquid
Chromatographic
(HPLC) ​assays for
most ointments
due to its
specificity,
accuracy, and
precision.
Microbial assays
are recommended
for preparations
with antibiotics.

Storage and The USP


Labelling recommends
packaging and
storage
requirements for
each official
ointment and
cream. ​For
ointments, these
are generally
packaged in tight
or well-closed
containers stored
at a cool place or
at controlled room
temperature.​ In
some cases,
special storage
conditions are
recommended, for
example, protect
from light, avoid
exposure to direct
heat, avoid direct
exposure to
sunlight, etc.

As discussed, unlike Zinc Oxide Paste and Sulfur Ointment,


Hydrophilic Ointment, USP does not have any active ingredient
incorporated. It is a specific example of a Water-Removable Base.
To make Hydrophilic Ointment, we make use of White Petrolatum
which is a hydrocarbon/oleaginous base. White petrolatum does not
function as an adjuvant, however, the presence of an emulsifying
agent like SLS facilitates the mixing of our oleaginous phases
(White Petrolatum and Stearyl Alcohol) + aqueous phase
(propylene glycol and water)

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