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PRPM149L - Supplemental Notes (Midterm)
PRPM149L - Supplemental Notes (Midterm)
Supplemental Notes
Description: Clear, colorless liquid with a thick syrupy consistency, odorless, cooling saline
taste, specific gravity of 1.39 @ 25°C, acidic to litmus, and effervesces with sodium carbonate
Use: An orally administered saline laxative used primarily in preparation for surgery,
endoscopy or x-ray. It is usually effective overnight or within one hour if taken before meals.
Laxative: pertaining to a substance that causes evacuation of the bowel by mild action,
increase bulk of feces by softening the stool and by lubricating the intestinal wall.
Categories:
a. Stimulant laxatives
● Work by inhibition of absorption, enhancement of secretion and effects on motility
● Examples: bisacodyl, phenolphthalein and senna
b. Saline laxatives
● Exert an osmotic effect that increase the water content and volume of stool
● Examples: magnesium citrate and sodium phosphate
c. Hypertonic laxatives
● Exert and osmotic effect leading to water secretion into the intestines
● Example: lactulose
d. Bulk-forming laxatives
● Undigestible substances that tend to absorb water, increase the bulk of stool and
inhibit the bile absorption
● Examples: cellulose derivatives and psyllium
e. Lubricant laxatives
● Agents that allow easy passage of stool by oil coating and they also inhibit colonic
reabsorption of water
● Example: mineral oil
Dose: Adult dose is 20-30 mL mixed with ½ glass of water and follow with glassful of water.
Over 10 years old – 10mL
5-10 years old – 2.5 to 5mL
Contraindication: it should not be used in patients with abdominal pain nausea or vomiting.
Citric Acid- used as a preservative and is added to prevent the salt from crystallizing.
SOLUTIONS
- A homogenous mixture that is prepared by dissolving a solid, liquid, or gas in
another liquid and represents a group of preparations in which the molecules of the solute
are dispersed among those of the solvent.
Solubility: indicates the maximum concentration to which a solution may be prepared with
a solute and a solvent.
◻ Because solutions are molecularly dispersed system, they offer this advantages:
🞑 completely homogenous doses
DISADVANTAGES OF SOLUTION
◻ drugs are less stable when in solution than when in dry form;
◻ some drugs are not soluble in solvents that are acceptable for pharmaceutical use;
◻ drugs with objectionable taste require additives or techniques to mask the taste
when in solutions;
◻ because solutions are more bulky and heavy than dry solid dosage forms, they are
more difficult to handle, pack, store and transport;
◻ oral solutions in bulk containers require measurement by the patient this is often less
accurate than individual solid dosage forms such as tablet and capsules.
METHOD OF PREPARATIONS
Use: Expectorant
EXPECTORANTS- are drugs that have been useful in loosening and liquefying mucus, in
soothing irritated bronchial mucosa and in making coughs more productive.
Action of Expectorants:
1. Decrease the viscosity of bronchial secretions and facilitate their elimination so that
local irritants are removed and ineffectual coughing is alleviated or made more
productive.
2. By increasing the amounts of respiratory tract fluid so that demulcent action is exerted
on the dry mucosal lining, thus relieving the unproductive cough
Humidification of room and adequate fluid intake (6-8 glasses) can effectively liquefy
respiratory mucus and have useful therapeutic effects.
SYRUP
3 KINDS
◻ Simple syrup- (Syrup NF)- basis for the preparation of flavored or medicated water
alone. It is quite resistant to microbial growth (85 sucrose in 100mL of water
requires no preservatives. With a specific gravity of 1.313.
◻ Medicated syrup- aqueous solution of sucrose containing added medical substance
and in addition to sucrose containing added medical substance and other polyols
such as glycerin or sorbitol maybe added to retard crystallization of sucrose or to
increase the solubility of added ingredients.
PREPARATION OF SYRUP
◻ solution with the aid of heat
🞑 method of choice if desired to prepare the syrup as quickly as possible and
when drug components is not volatilized by heat;
🞑 caution should be monitored to avoid invertion of sugar
🞑 ex. Cocoa syrup NF; Syrup USP 85% sugar
◻ solution by agitation without the aid of heat ex. Ferrous sulfate used as hematinic;
citric acid syrup
◻ addition of sucrose to a medicated liquid or to flavored liquid: fluidextracts, tinctures
or other liquids are added
◻ Percolation: it permits purified water or aqueous solution to pass slowly through a
bed of crystalline sucrose to dissolve it ex. Tolu balsam syrup
Problems encountered
✔ Due to excessive heating: sugar (sucrose) is hydrolyzed and it produces dextrose
(glucose) + fructose (levulose) and they are classified as invert sugar.
✔ The sweetness is altered
✔ Invert sugar is sweeter than the sucrose
✔ Colorless syrup darkens due to levulose
✔ Overheating may become amber color due to caramelization of sucrose
ORAL SUSPENSIONS
- are liquid preparations that consist of solid particles dispersed throughout a liquid
phase in which the particles are not soluble. Suspending agents are added to ensure
appropriate dispersion of the solid in the vehicle.
Some suspensions are prepared and ready for use while others are prepared as solid mixtures
intended for reconstitution just before use with an appropriate vehicle.
Insoluble powders that do not disperse evenly throughout the suspending medium, when
shaken, should be powdered finely and levigated with a small amount of an agent such as
glycerin, alcohol or a portion of the dispersion of the suspending agent.
Other ingredients are incorporated and the remainder of the dispersion of the suspending
agent incorporated gradually by trituration to produce the appropriate volume.
SULFADIAZINE (C10H10N4O2S)
Synonym: benzenesulfonamide, 4-amino-N-pyrimidyl
Structural formula:
SULFAMERAZINE (C11H12N4O2S)
Synonym: Benzenesulfonamide, 4-amino-N-(4-methyl-2-pyrimidinyl-)-sulfamethyldiazine.
Structural formula:
SULFAMETHAZINE (C12H14N4O2S)
Synonym: Benzenesulfonamide, 4-amino-N-(4,6-dimethyl-2-pyrimidinyl)-sulphadimidine.
Structural formula:
Formulation:
Menthol - active
Eucalyptus oil - active
Turpentine oil - active
Oil of wintergreen -
Paraffin - stiffening agent
Petroleum jelly - ointment base
Menthol
Synonym: Peppermint camphor
Chemical formula: C10H20O
Uses:
● In low concentration, it selectively stimulates the sensory nerve endings for cold and
hence causes a sensation of coolness.
● It also has local analgesic effect making it useful for the treatment of insect bites and
stings, itching, minor burns and sunburn, hemorrhoids, toothache, cold sores and sore
throat.
● In high concentration, it stimulates sensory nerve endings for heat and pain and may
cause irritation.
● Rubbing of menthol-containing ointment in the chest possesses to relieve pulmonary
congestion in colds and allergy and also for muscle aches.
Eucalyptus oil
Preparation: A volatile oil distilled with steam from the fresh leaves of Eucalyptus globules
and contains not less than 70% of eucalyptol.
Component: The most important constituent is eucalyptol.
Turpentine oil
Ointments
Synonym: Unguents
Definition: Are semisolid preparations intended for external application to the skin or mucous
membranes. They should soften but not necessarily melt when applied to the skin.
Types of Ointments
● Medicated ointments
● Nonmedicated ointments
Methods of Preparation
● Incorporation
● Fusion
Packaging
● Collapsible tubes
● Ointment jars