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Topical prep
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Systemic effect
-
from petroleum
o Unctuous mass
o Varying colors yellowish to light amber
o 38C to 60C melts
o Used alone or in combination
o Yellow petrolatum; petroleum jelly
o Vaseline (Cheesebrough-Ponds)
YELLOW OINTMENT, USP
o Purified wax obtained from honeycomb
of the bee Apis mellifera
o Preparation:
1. Melt yellow wax on water bath
2. Add petrolatum until mixt uniform
3. Cool and stir until congealed
o Simple ointment
o Slightly greater viscosity than plain
petrolatum
WHITE OINTMENT, USP
o Differs from yellow oint by substitution of
Should be considered if pt is
pregnant or nursing
o
distinction:
Topical dermatological product
-
Transdermal product
-
wax
(percutaneous absorption)
to general circulation causing systemic effects
-
formula
White wax bleached & purified yellow
2) ABSORTION BASES
o Two types:
o a.) W/O emulsions that permit
incorporation of aq solns
(eg. Hydrophilic petrolatum)
o b.) W/O emulsions that permit
incorporation of addtnal
o
o
o
o
quantities of aq solns
(eg. Lanolin)
emollient
dont provide degree of occlusion
afforded by oleaginous bases
not easily removed with water washing
because external phase is oleag
pharmaceutical adjuncts
solns to HC bases
HYDROPHILIC PETROLATUM, USP
o Preparation:
1. Melt stearyl alcohol & white wax on
steam bath
2. Add cholesterol with stirring until
dissolved
3. Add white petrolatum
4. Allow mixture to cool with stirring to
o
congeal
Aquaphor and Aquabase
Variations of hydrophilic
petrolatum have the capacity to
(oleaginous phase)
melted together at 75C
Other ing (aq phase) dissolved in water
& added
o Sodium lauryl sulfate
Emulsifying agent
o Methylparaben & Propylparaben
Antimicrobial preservatives
4) WATER-SOLUBLE BASES
o Do not contain oleaginous components
o Completely water washable
o Greaseless
o Soften greatly w/ addn of h2o
effectively incorporated
o Mostly used for incorporation of solids
POLYETHYLENE GLYCOL OINTMENT, NF
o PEG polymer of ethylene oxide & h2o
o H(OCH2CH2)nOH
n = ave no. of oxoethylene groups
o PEG with m.w. below 600
Clear colorless liquids
o Above 1,000
Waxlike white materials
o In between
Semisolids
o Greater m.w. greater viscosity
o NF viscosity ave m.w. 200 to 8,000
o PEG 3350 (s) + PEG 400 (l)
400 g/600 g
Very pliable semisolid ointment
o Firmer ointment
Equal parts of the two
o When aq solns are to be incorporated
50 g PEG 3350 + equal amt of
stearyl alcohol
Final product firmer
Cream
-
Lotion
-
Preparation of Ointments
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1) Incorporation
o
o
o
o
special lid
Mixing blade to mix ingredients
in dispensing container
Manually or via computer
o
o
o
o
o
o
software
Incorporation of solids
o Spatulation
Stainless, long, broad blade
Remove accumulation of oint in
spread
Trituration with spatula
Incorporation of liquids
an ointment slab
Nonabsorbent parchment paper
Ointment parchment pad
Not too long contact of ointment
May soften and tear
Ointment mill
Unguator
Electronic mortar & pestle
Plastic ointment jar with a
required
Oleaginous ointments
Only very small amt of aq soln
may be incorporated
Hydrophilic ointment bases
Readily accept aq solns
Adding aq prep to hydrophobic base
Incorporate first into minimum
amt of hydrophilic base
All bases have their limits to retain liq
Too soft or semiliquid
Alcoholic solns of small volume
Added easily to oleaginous
vehicles or emulsion bases
Natural balsams
Peru balsam
Mixed w/ eq portion of castor oil
before incorporation into base
Ointment or roller mills
Force coarsely formed
ointments through stainless
laboratories
Small-batch manufacture or
compounding
2) Fusion
-
o
-
MP first
Add remaining components in
to achieve fusion
Preparation of ointments having emulsion bases
o Both melting and emulsification
Water-immiscible components
(oil and waxes) melted together
at 70C to 75C
Aq soln of heat-stable, water-sol
Minimum Fill
-
mechanical stirring
Temp maintained 5-10 mins
If aq soln colder than oleaginous melt
Some waxes will solidify
Topical prep
o Not required to be sterile
Prep prone to microbial growth
o Must contain antimicrobial preservative
Prep that contain water
o Support microbial growth
Antimicrobial preservatives
1. Methylparaben
2. Propylparaben
3. Phenols
4. Benzoic acid
5. Sorbic acid
6. Quaternary ammonium salts
Bethamethasone Valerate Ointment, USP
o Staphylococcus aureus
o Pseudomonas aeruginosa
Microbiological Attributes of Nonsterile
Pharmaceutical Products
o Strict adherence to environmental
control and application of good
manufacturing practices
Testing or raw materials
Use of acceptable water
In-process controls
Final product testing
Additional standards
-
Preparation of Creams
-
Soaps
o From fatty acid in the oil phase
o
o
congealed
Traditionally, aq phase added to lipid phase
Comparable results reverse procedures
High-shear homogenization
o Reduce particle or droplet size
o Improve the physical stability of the
resultant dosage form
-
APIs
o
beginning of process
Added after cream prepared by
suitable dispersion process
levigation, or milling with a roller mill
Usually require addition of preservative
o Unless comp immediately prior to use
o Consumed relative short period of time
o
pentaerythritol
NF monographs carbomers:
1. 910
2. 934
3. 934P
4. 940
5. 941
6. 1342
Concentration of 0.5% to 2.0% in water
Carbomer 940
Highest viscosity
Between 40,000 to 60,000
Carbomers
o High m.w. h2o-sol polymers of
acrylic acid cross-linked with
allyl ethers of sucrose and/or
o
Synthetic macromolecules
Carbomer 934
Cellulose derivatives
Carboxymethylcellulose
Hydroxypropyl methylcellulose
Natural gums
Tragacanth
particles
o Magma
Milk of Magnesia (magnesia magma)
o Consists of gelatinous mass of Mg(OH)2
Thixotrope
o Gels may thicken on standing
o Must be shaken before use to liquefy gel
and enable pouring
Solvents
o Alcohol
o Propylene glycol
Antimicrobial preservatives
o Methylparaben
o Propylparaben
o Chlorhexidine gluconate
Stabilizers
o Edetate sodium
GELS
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Jellies
Dispersions of small or large mol in an
aq liquid vehicle rendered jellylike by
gelling agent
Androgel 1.62%
o Topical use
o Clear colorless gel
o Contain testosterone
Preparation of Gels
-
Because of stiffness
o Remain in place after application
o Effectively employed to absorb
serous secretions
Stiffness and impenetrability
o Not suited on hairy parts of body
Zinc oxide paste (Lassars Plain Zinc Paste)
o 25% each ZnO and starch
with white petrolatum
o Very firm and better able to protect skin
and absorb secretions than ZnO oint
Plasters
-
Glycerogelatins
-
Tubes
o Light in weight, relatively inexpensive
o Convenient for use, compatible
o Provide greater protection against
external contamination & envi conditns
Ointment tubes
o Aluminum or plastic
o Ophth, rectal, vaginal, aural, nasal
With special applicator tips
o Tubes of aluminum
Coated with:
Epoxy resin
Vinyl, or
Lacquer
Eliminate interaction between
o
Transparency
High degree product chemical
compatibility
closures
Single-dose tubes
o Prepared with tearaway tip
Metered-dose, tamper-evident, and childresistant closures
Standard sizes of empty tubes
o 1.5, 2, 3.5, 5, 15, 30, 45, 60, 120 g
Ointments, creams, and gels
o 5, 15, 30 g tubes
Ophthalmic ointments
o In small aluminum or plastic tubes
holding 3.5 g (about 0.125 oz)
Syringes for inj or oral use
o Advantages
Exclusion of air from the system
Accurate quantities applied
terephthalate
4. Various plastics
5. Foil
6. And/or plastic laminates
sometimes 10 layers thick
LDPE
HDPE
PET
polyethylene or a blend
2. Polypropylene
3. Polyethylene
Laminates
Excellent moisture barrier
tube
Heat-sealing crimper
Tubes heat-sealed for
nice professional
appearance
Large-scale tube packaging
o Automatic filling
o Closing crimping
o Labeling machines
o Capacity to fill 1,000 to 6,000 per hr
Rotary machines four stations
Tube feeding
Cleaning
Filling
Closing
Filling Syringes
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DERMATOLOGIC PREPARATIONS
equated
Topical nonsystemic dermatologic products
o Therapeutically effective drug conc in
o
o
penetrating base
Dry heat sterilization
Threat to the stability of
the drug
Generally not undertaken
Strict methods of aseptic process
Each comp rendered sterile &
aseptically wt before incorporating final
product
Antimicrobial preservatives
1. Methylparaben (0.05%)
2. Propylparaben (0.01%)
3. PhenylHgAc (0.0008%)
4. Chlorobutanol (0.5%)
5. Benzalkonium chloride (0.008%)
USP test metal particles
o Microscopic examination of heat-melted
o
oxide sterilization
Neither is capable of
o
o
ophth ointment
Calibrated eyepiece micrometer disk
Total no. of particles 50 mm/larger from
NASAL
Mucus contains
o Lysozyme
o Glycoproteins
o Immunoglobulins
Act against bacteria & entry to
lungs
Primarily for local effects on the mucous
membranes and underlying tissues
(nasal decongestants)
Systemic absorption
o Butorphanol tartrate
(Stadol NS, Bristol-Myers Squibb)
Analgesic
o Cyanocobalamin
(Nascobal Gel, Scwartz)
Hematopoietic
o Nafarelin acetate
(Synarel, Searle)
Tx of endometriosis
o Nicotine
(Nicotrol NS, McNeil)
Adjunct in smoking cessation
Antimicrobial preservatives
1. Methylparaben
2. Propylparaben
3. Benzyl acohol
4. Butylated hydroxyanisole
Water-washable base
o Easier to spread and remove
o Tend to stain clothing less than
oleaginous base
Rectal oint and creams
o With special perforated plastic tips
Pain and inflamm associated
with hemorrhoids
Lubricated with mineral oil or
lubricating jelly
Rectal aerosol products
o (Proctofoam-HC, Schwarz)
o Also accompanied with applicators
Filled with measured dose of
product
Product delivered by pushing
the plunger of the applicator
Contraceptive prep
o Spermicidal agents
1. Nonoxynol-9
2. Octoxynol
Alone or in combination
w/ a cervical diaphragm
Tested to be free of offending microorganisms,
yeasts, and molds
Gels
o Especially subject to bacterial growth
Ointments, creams, and gels
o Tubes
Vaginal foams
o Aerosol canisters
Mycelex-7 Vaginal Cream, Ortho-McNeal
o Applied externally to the vulva
Most intended to be delivered by applicator tips
Vaginal foams
o O/W emulsions resembling light creams
o Water miscible and nongreasy
Once a day best done at bedtime
o Medication retention
o Avoidance of daytime leakage
o Lessened soiling of clothing
Creams with water-washable bases
o Preferred to oleaginous ointments
Unmedicated lubricant jellies
o Rectal, urethral, and vaginal exam
Tightly closed
Gels and jellies
o Prone to fry out if left unsealed
characteristics
Changes may alter biological
performace
Formerly, semisolid dosage form was placed in
direct contact with a receptor fluid
Franz diffusion cell
o Semisolid is placed on membrane
situated on top of a receptor chamber
o
analyzed
Results plotted as cocn of drug in
receptor fluid vs time