Comprehensive Pharmacy Review 7
Comprehensive Pharmacy Review 7
I. INTRODUCTION
A. Active pharmaceutical ingredient (API)
1. A drug substance is the API or component that produces pharmacological activity.
2. The API may be produced by chemical synthesis, recovery from a natural product, enzymatic
reaction, recombinant DNA technology, fermentation, or a combination of these processes.
Further purification of the API may be needed before it can be used in a drug product.
3. A new chemical entity (NCE) is a drug substance with unknown clinical, toxicologic, physical, and
chemical properties. In addition, the U.S. Food and Drug Administration (FDA) considers an NCE as
an API that has not been approved for marketing in the United States.
4. The identity, strength, quality, and purity of a drug substance depend on proper control of
the manufacturing and synthetic process.
B. Drug product
1. A drug product is the finished dosage form (e.g., capsule, tablet, injectable) that contains the
API, generally in association with other excipients, or inert ingredients.
2. The excipients in the drug product may affect the functionality and performance of the drug
product, including modification of the rate of drug substance release, improving drug stability, and
masking the drug taste.
3. Different approaches are generally used to produce drug products that contain NCEs, product line
extensions, generic drug products, and specialty drug products. C. New drug product development
Drug products containing NCE are developed sequentially in the following phases. 1. Preclinical.
Animal pharmacology and toxicology data are obtained to determine the safety and efficacy of the drug.
Because little is known about the human and the therapeutic/toxicologic potential, many drug products
will not reach the marketplace. No attempt is made to develop a final formulation during the preclinical
stage. Nonclinical studies are nonhuman studies that may continue at any stage of research to obtain
additional information concerning the pharmacology and toxicology of the drug.
2. Phase I
a. An Investigational New Drug (IND) application for human testing is submitted to the FDA. Clinical
testing takes place after the IND application is submitted. P.2
b. Healthy volunteers are used in phase I clinical studies to determine drug tolerance and
toxicity.
c. For oral drug administration, a simple hard gelatin capsule formulation containing the API is usually
used for IND studies.
d. Toxicologic studies—including acute, chronic, subchronic, and mutagenicity—and other such studies
in various animal species are planned during this phase. 3. Phase II
a. A limited number of patients with the disease or condition for which the drug was developed are
treated under close supervision.
b. Dose-response studies, bioavailability, and pharmacokinetics are performed to determine the
optimum dosage regimen for treating the disease. c. Safety is measured by attempting to determine
the therapeutic index (ratio of toxic dose to effective dose).
d. A drug formulation having good physico-chemical stability is developed. e. Chronic toxicity
studies are started in two species; such studies normally last more than 2 years' duration.
4. Phase III
a. Large-scale, multicenter clinical studies are performed with the final dosage form developed in
phase II. These studies are done to determine the safety and efficacy of the drug product in a large
patient population who have the disease or condition for which the drug was developed.
b. Side effects are monitored. In a large population, new toxic effects may occur that were not
evident in previous clinical trials.
5. Submission of a New Drug Application (NDA). An NDA is submitted to the FDA for review and
approval after the completion of clinical trials that show to the satisfaction of the medical community
that the drug product is effective by all parameters and is reasonably safe as demonstrated by animal
and human studies. 6. Phase IV
a. After the NDA is submitted, and before approval to market the product is obtained from the FDA,
manufacturing scale-up activities occur. Scale-up is the increase in the batch size from the clinical
batch, submission batch, or both to the full-scale production batch size, using the finished, marketed
product.
b. The drug product may be improved as a result of equipment, regulatory, supply, or market
demands.
c. Additional clinical studies may be performed in special populations, such as the elderly, pediatric,
and renal-impaired, to obtain information on the efficacy of the drug in these subjects.
d. Additional clinical studies may be performed to determine if the drug can be used for a new or
additional labeling indications.
7. Phase V
a. After the FDA grants market approval of the drug, product development may continue.
b. The drug formulation may be modified slightly as a result of data obtained during the
manufacturing scale-up and validation processes.
c. Changes in drug formulation should always be within the scale-up and post approval change
(SUPAC) guidelines.
D. Product line extensions are dosage forms in which the physical form or strength, but not
the use or indication, of the product changes. Product line extension is usually performed
during phase III, IV, or V.
1. Developing a transdermal patch when only tablets have been available, for example:
• Progesterone
• Nicotine
• Estradiol
• Nitroglycerin
2. Additional strengths—as long as these strengths are within the total daily dose, for example:
• Ibuprofen
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3. Controlled-release or modified-release dosage forms when only an immediate release dosage form
is available. This is an ongoing project for all brand companies; almost every NCE has or will eventually
have a modified-release dosage form of the immediate-release product.
E. Biologic products
1. A biologic product is any virus, serum, toxin, antitoxin, vaccine, blood, blood component or
derivative, allergenic product, or analogous product applicable to the prevention, treatment, or cure of
diseases or injuries.
2. Biologic products are a subset of drug products, distinguished by their manufacturing processes
(biologic vs. chemical). In general, the term drugs includes biologic products.
3. Biologic license application (BLA). Biologic products are approved for marketing under
the provisions of the Public Health Service (PHS) Act. F. Generic drug products
1. After patent expiration of the API and /or brand drug product, a generic drug product may be
marketed. A generic drug product is therapeutically equivalent to the brand name drug product and
contains the same amount of the drug in the same type of dosage form (e.g., tablet, liquid, injectable).
2. A generic drug product must be bioequivalent (i.e., have the same rate and extent of drug
absorption) to the brand drug product. Therefore, a generic drug product is expected to give the
same clinical response (Chapter 7). These studies are normally performed with healthy human
volunteers.
3. Some generic products are not absorbed; for some others bioequivalence is not a good marker.
Under those conditions, comparative clinical trials or studies with
pharmacodynamic end points are considered to measure the equivalence of two products. Inhalation
products and nonabsorbed drug products fall into this category. 4. The generic drug product may differ
from the brand product in physical appearance (i.e., size, color, shape) or in the amount and type of
excipients used in the formulation.
5. A generic drug product may not differ in both the qualitative and the quantitative compositions for
liquids, injectables, semisolids, transdermal patches, inhalation products, and ophthalmic products,
unless adequate safety studies have been performed.
6. Before a generic drug product is marketed, the manufacturer must submit an Abbreviated New
Drug Application (ANDA) to the FDA for approval. Because preclinical safety and efficacy studies
have already been performed for the NDA approved brand product, human bioequivalence studies,
instead of clinical trials, are generally required for the ANDA. The chemistry, manufacturing, and
controls requirements for the generic drug product are similar to those for the brand name drug
product.
G. Specialty drug products are existing products developed as a new delivery system or for a new
therapeutic indication. The safety and efficacy of the drug product were established in the initial
NDA-approved dosage form. For example, the nitroglycerin transdermal delivery system (patch) was
developed after experience with nitroglycerin sublingual tablets.
(1) Physical, including particle size and shape, crystallinity, polymorphism, density, surface area,
hygroscopicity (ability to take up and retain moisture), and powder flow
(2) Solubility, including intrinsic dissolution, pH solubility profile, and general solubility
characteristics in various solvents
(3) Chemical, including surface energy, pH stability profile, pKa, temperature stability (dry or
under various humidity conditions), and excipient interactions
(4) Analytical methods development, including development of a stability indicating method (measures
both the API and the related substances), and cleaning methods 2. Formulation development is a
continuing process. Initial drug formulations are developed for early clinical studies. When the
submission of an NDA is considered, the manufacturer attempts to develop the final (marketed) dosage
form. The dose of the drug and the route of administration are important in determining the
modifications needed.
a. Injectable
(1) A final injectable drug product is usually developed in the preclinical phase. (2) Major concerns
include the stability of the drug in solution and the sterility of the product.
(3) Because few excipients are allowed in injectable products, the formulator must choose a final
product early in the development process.
(4) If the formulation is changed, bioavailability studies are not required for intravenous solution
injections because the product is injected directly into the body.
(5) Formulation changes may require acute toxicity studies.
b. Topical (for local application). Includes antibacterials, antifungals, corticosteroids,
and local anesthetics.
(1) The final dosage form for a topical drug product is usually developed during phase I studies
because any major formulation changes may require further clinical trials.
(2) The release of the drug from the matrix is measured in vitro with various diffusion cell
models.
(3) Significant problems encountered with locally acting topical drug products include local irritation,
skin senistization and systemic drug absorption. c. Topical (for systemic drug absorption). Includes
drug delivery through the skin (transdermal), mucous membranes (intranasal), and rectal mucosa. (1)
A prototype formulation is developed for phase I.
(2) A final topical drug product is developed during phase III after the available technology and
desired systemic levels are considered.
d. Oral
(1) Prototype dosage forms are often developed during the preclinical phase to ensure that the
drug is optimally available and that the product dissolves in the gastrointestinal tract.
(2) In the early stages of product development, hard gelatin capsule dosage forms are often
developed for phase I clinical trials. If the drug shows efficacy, the same drug formulation may be used
in phase II studies.
(3) Final product development begins when the drug proceeds during phase II and before initiating
phase III clinical studies.
3. Marketed Product. Considerations in the development of a final dosage form include the
following:
a. Color, shape, size, taste, viscosity, sensitivity, skin feel, and physical appearance of the
dosage form
b. Size and shape of the package or container
c. Production equipment
d. Production site
e. Country of origin in which the drug is to be manufactured
f. Country in which the drug will be marketed
B. Product line extensions are generally defined as drug products containing an NDA-approved
drug in a different dosage strength or in a different dosage form (e.g., modified release, oral liquid).
1. Oral product line extensions
a. The simplest dosage form to develop is a different dosage strength of a drug in a tablet or capsule.
Only bioequivalence studies are needed.
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4. Verifies the traceability of the information submitted in the CMC section to the original laboratory
notebooks, electronic information, and batch records 5. Verifies and ensures that all the quality
systems are in place to manufacture the product so it retains the identity, strength, quality, and purity of
the drug product that were approved by the center.
6. Recommends approval for the manufacture of the drug product based on the status of the
inspection
demonstrated by an in vivo bioequivalence study comparing the original and new formulations. V.
GOOD MANUFACTURING PRACTICES (GMPs)
are regulations developed by the FDA. GMPs are minimum requirements that the industry must meet
when manufacturing, processing, packing, or holding human and veterinary drugs. These regulations,
also known as cGMPs, establish criteria for personnel, facilities, and manufacturing processes to
ensure that the finished drug product has the correct identity, strength, quality, and purity
characteristics. A. Good Manufacturing Practices are described in the Code of Federal Regulations
(CFR), title 21, sections 210 and 211.
B. Quality control (QC) is the group within the manufacturer that is responsible for establishing
process and product specifications.
1. Specifications are the criteria to which a drug product should conform to be considered having
acceptable quality for its intended use.
2. The QC unit tests the product and verifies that the specifications are met. QC testing includes the
acceptance or rejection of the incoming raw materials, packaging components, drug products, water
system, and environmental conditions (e.g., heating, ventilation, air-conditioning, air quality, microbial
load) that exist during the manufacturing process.
C. Quality assurance (QA) is the group within the manufacturer that determines that the systems and
facilities are adequate and that the written procedures are followed to ensure that the finished drug
product meets the applicable specifications for quality.
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STUDY QUESTIONS
Directions: Each statement in this section can be correctly completed by one or more of the
suggested phrases. Choose the correct answer, A-E: 1. Healthy human volunteers are used in
drug development for I. phase I testing after the submission of an investigational new drug
(IND) application.
II. generic drug development for an abbreviated new drug application (ANDA) submission.
III. phase III testing just before the submission of a new drug application (NDA).
A if I only is correct
B if III only is correct
C if I and II are correct
D if II and III are correct
E if I, II, and III are correct
View Answer1. The answer is C[see].2. The required information contained in
a new drug application (NDA) that is not included in the abbreviated new drug
application (ANDA) consists of
I. preclinical animal toxicity studies.
II. clinical efficacy studies.
III. human safety and tolerance studies.
A if I only is correct
B if III only is correct
C if I and II are correct
D if II and III are correct
E if I, II, and III are correct
View Answer2. The answer is E[see].3. A product line extension contains the new drug
application (NDA) approved drug in a new
I. dosage form.
II. dosage strength.
III. therapeutic indication.
A if I only is correct
B if III only is correct
C if I and II are correct
D if II and III are correct
E if I, II, and III are correct
View Answer3. The answer is C[see].Directions: Each statement in this section can be
correctly completed by one of the suggested phrases. Choose the best answer.
4. The regulations developed by the U.S. Food and Drug Administration (FDA) for the
pharmaceutical industry for meeting the minimum requirements in the manufacturing,
processing, packing, or holding of human and veterinary drugs are known as
(A) good manufacturing practices (GMPs).
(B) quality assurance (QA).
(C) quality control (QC).
(D) pre-approval inspection (PAI).
(E) scale-up and post-approval changes (SUPACs).
View Answer4. The answer is A[see].5. The unit within the
pharmaceutical manufacturer that ensures that the finished dosage form has met all the
specifications for its intended use is the
(A) analytical methods unit.
(B) marketing and sales unit.
(C) pre-approval inspection (PAI) unit.
(D) quality assurance (QA) unit.
(E) quality control (QC) unit.
View Answer5. The answer is E[see].6. Manufacturers may make a change in the
formulation after market approval. If the change in the formulation is considered a minor change,
the manufacturer needs to report the change to the FDA only in the
(A) annual report.
(B) pre-approval supplement.
(C) investigational new drug (IND) submission.
(D) changes being effected supplement, 30 days (CBE-30).
(E) no report is required for a minor change.
View Answer6. The answer is A[see].P.9
2
Pharmaceutical Calculations and
Statistics
Riccardo L. Boni
I. FUNDAMENTALS OF MEASUREMENT AND
CALCULATION.
The pharmacist is often required to perform or evaluate a variety of calculations in his or her
practice. Many of these calculations involve the use of direct or inverse proportions.
Dimensional (or unit) analysis and approximation can be useful in solving these problems.
In dimensional analysis, dimensions (or units) are included with each number used in the
calculation. Units common to the numerator and denominator may be canceled and the
remaining units provide the units for the final answer. In approximation, each number used in
the calculation is rounded to a single significant digit. Factors common to the numerator and
denominator may be canceled and the answer to this approximation should be reasonably
close to the final exact answer.
A. Ratio and proportion
1. Ratio. The relative magnitude of two like quantities is a ratio, which is expressed as a
fraction. Certain basic principles apply to the ratio, as they do to all fractions.
a. When the two terms of a ratio are multiplied or divided by the same number, the
value of the ratio is unchanged.
b. Two ratios with the same value are equivalent. Equivalent ratios have equal cross
2. Proportion. The expression of the equality of two ratios is a proportion. The product of the
extremes is equal to the product of the means for any proportion. Furthermore, the numerator
of the one fraction equals the product of its denominator and the other fraction (i.e., one
missing term can always be found given the other three terms). Most pharmaceutical
calculations can be performed by use of proportion.
a. Proper ratios. Some pharmacists use proper ratios (in which similar units are used
in the numerator and denominator of each ratio) in their proportion calculations. Several
examples follow.
(1) If 240 mL of a cough syrup contains 480 mg of dextromethorphan hydrobromide,
then what mass of drug is contained in a child's dose, 1 teaspoonful (5 mL) of syrup?
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(4) How many milligrams of dextromethorphan base (molecular weight = 271.4) are
equivalent to 10 mg of dextromethorphan hydrobromide (molecular weight = 352.3)?
b. Mixed ratios. Some pharmacists use mixed ratios (in which dissimilar units are used in
the numerator and denominator of each ratio) in their proportion calculations. Such
computations generally give correct answers, providing the conditions in which mixed ratios
cannot be used are known. A later example shows mixed ratios leading to failure in the case
of dilution, when inverse proportions are required. For inverse proportions, similar units
must be used in the numerator and denominator of each ratio. Following is an example of a
mixed ratio calculation using the previous problem.
The same answer is obtained in this example whether we use proper ratios, with similar units
in numerator and denominator, or mixed ratios. This is not the case when dealing with inverse
proportions.
3. Inverse proportion. The most common example of the need for inverse proportion for the
pharmacist is the case of dilution. W hereas in the previous examples of proportion the
relationships involved direct proportion, the case of dilution calls for an inverse proportion
(i.e., as volume increases, concentration decreases). The necessity of using inverse
proportions for dilution problems is shown in this example. If 120 mL of a 10% stock
solution is diluted to 240 mL, what is the final concentration? Using inverse proportion,
As expected, the final concentration is one half the original concentration because the
volume is doubled. However, if the pharmacist attempts to use direct proportion and neglects
to estimate an appropriate answer, the
resulting calculation would provide an answer of 20%, which is twice the actual
concentration.
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Likewise, the pharmacist using mixed ratios fails in this case.
and
B. Aliquot. A pharmacist requires the aliquot method of measurement when the sensitivity
(the smallest quantity that can be measured with the required accuracy and precision) of the
measuring device is not great enough for the required measurement. Aliquot calculations can
be used for measurement of solids or liquids, allowing the pharmacist to realize the required
precision through a process of measuring a multiple of the desired amount followed by
dilution and finally selection and measurement of an aliquot part that contains the desired
amount of material. This example problem involves weighing by the aliquot method, using a
prescription balance.
A prescription balance has a sensitivity requirement of 6 mg. How would you weigh 10 mg of
drug with an accuracy of ± 5%, using a suitable diluent? 1. First, calculate the least weighable
quantity for the balance with a sensitivity requirement of 6 mg, assuming ± 5% accuracy is
required.
c. Weigh 120 mg (1/12) of the total mixture, which will contain the required 10 mg of drug.
II. SYSTEMS OF MEASURE.
The pharmacist must be familiar with three systems of measure: the metric system and two
common systems of measure (the avoirdupois and apothecaries' systems). The primary
system of measure in pharmacy and medicine is the metric system. Most students find it
easiest to convert measurements in the common systems to metric units. A table of
conversion equivalents is provided and should be memorized by the pharmacist (see
Appendix A). The metric system, because of its universal acceptance and broad use, will not
be reviewed here.
A. Apothecaries' system of fluid measure. The apothecaries' system of fluid measure is
summarized in Appendix A.
B. Apothecaries' system for measuring weight. The apothecaries' system for measuring
weight includes units of grains, scruples, drams, ounces, and pounds (see Appendix A).
C. Avoirdupois system of measuring weight. The avoirdupois (AV) system of
measuring weight includes the grain, ounce, and pound. The grain is a unit common with
the apothecaries' system and allows for easy conversion between the systems. The
avoirdupois pound, however, P.13
13 parts
B.
Formulas that indicate quantities. The previous prescription for cold cream provides a
100 g quantity.
What mass of each ingredient is required to provide 1 pound (AV) of cream?
Rx white wax 12.5 g mineral
oil 60.0 g
lanolin 2.5 g
1 lb = 454 g
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B. Clark's rule
magnesium carbonate 10 g
sucrose 820 g
a. First, determine what the amount of tolu balsam is in the 50 mL quantity of tincture used
for the syrup. Then, by proportion, calculate the concentration of tolu balsam in the syrup.
In answering this one question, the first two types of problems listed above have been
solved, while exhibiting two methods of solving percentage problems—namely, by
dimensional analysis and proportion. b. For an example of the third type of percentage
w/v problem, determine what volume of syrup could be prepared if we had only 8 g of
magnesium carbonate. Use proportion to find the total volume of syrup that can be made
using only 8 g of magnesium
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B. Percentage volume in volume (v/v). Percentage v/v indicates the number of milliliters of
a constituent in 100 mL of liquid formulation. The percentage strength of mixtures of liquids
in liquids is indicated by percent v/v, which indicates the parts by volume of a substance in
100 parts of the liquid preparation. The three types of problems that are encountered
involve calculating percentage strength, calculating volume of ingredient,
and calculating volume of the liquid preparation. Using the same tolu
balsam syrup formula from earlier, we'll now work a percent v/v problem. What is the percentage strength v/v of the
tolu balsam tincture in the syrup preparation? By proportion, we can solve the problem in one step.
The common error that many students make in solving problems of this type is to
assume that 30 g is the total mass of the mixture. Solving the
problem with that assumption gives the following incorrect answer.
D. Ratio strength. Solid or liquid formulations that contain low
concentrations of active ingredients will often have concentration expressed in ratio
strength. Ratio strength, as the name implies, is the expression of concentration by means of
a ratio. The numerator and denominator of the ratio indicate grams (g) or milliliters (mL) of a
solid or liquid constituent in the total mass (g) or volume (mL) of a solid or liquid preparation.
Because percentage strength is
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essentially a ratio of parts per hundred, conversion between ratio strength and percentage
strength is easily accomplished by proportion.
1. Express 0.1% w/v as a ratio strength.
a. Ratio strengths are by convention expressed in reduced form, so in setting up our
proportion to solve for ratio strength, use the numeral 1 in the numerator of the righthand
ratio as shown:
The normality (N) of a solution is the number of gram-equivalent weights (equivalents) of solute per liter of solution.
Normality is analogous to
molarity; however, it is defined in terms of equivalents rather than moles.
4. Mole fraction (X) is the ratio of the number of moles of one component to the total
moles of a mixture or solution.
4. Alligation medial. A method for calculating the average concentration of a mixture of two
or more substances
5. Alligation alternate. A method for calculating the number of parts of two or more
components of known concentration to be mixed when the final
desired concentration is known
B. Dilution of alcohols and acids
1. Dilution of alcohols. When alcohol and water are mixed, a contraction of volume
occurs. As a result, the final volume of solution cannot be determined accurately. Nor can
the volume of water needed to dilute to a certain percentage v/v be identified. Accordingly,
percentage w/w is often used for solutions of alcohol.
2. The percentage strength of concentrated acids is expressed as percentage w/w. The
concentration of diluted acids is expressed as percentage w/v. Determining the volume of
concentrated acid to be used in preparing a diluted acid requires the specific gravity of the
concentrated acid.
C. Dilution and concentration of liquids and solids. Dilution and concentration problems
are often easily solved by identifying the amount of drug involved followed by use of an
appropriate proportion. 1. How many milliliters of a 1:50 stock solution of ephedrine
sulfate should be used in compounding the following prescription?
Rx ephedrine sulfate 0.25% rose
water, ad 30 mL
The relative amounts of the 2.5% and 1% creams are 1 to 2, respectively. By proportion, the
mass of 2.5% cream to use can be determined. If 2 parts of 0.25% cream is represented
by 360 g, then the total mass (3 parts) is represented by what mass?
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With the total mass known, the amount of 2.5% cream can be identified. If 3 parts represent
the total mass of 540 g, then 1 part represents the mass of 2.5% cream (x g = 180 g).
Atomic wt K = 39
Atomic wt Cl = 35.5
3. Determine the milliequivalent weight, which is of the equivalent weight. mEq wt = 74.5 g
/ 1000 = 0. 745 g or 74.5 mg
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Na2HPO4·7H2O 180 g
NaH2PO4·H2O 480 g
For each salt, the mass (and milliequivalents) must be found in a 15-mL
dose.
B. Milliosmoles (mOsmol). Osmotic pressure is directly proportional to the total number of
particles in solution. The milliosmole is the unit of measure for osmotic concentration. For
nonelectrolytes, 1 millimole represents 1 milliosmole. However, for electrolytes, the total
number of particles in solution is determined by the number of particles produced in solution
and influenced by the degree of dissociation. Assuming complete dissociation, 1 millimole of
KCl represents 2 milliosmoles of total particles, 1 millimole of CaCl 2 represents 3 milliosmoles
of total particles, etc. The ideal osmolar concentration can be calculated with the following
equation.
The pharmacist should recognize the difference between ideal osmolar concentration and
actual osmolarity. As the concentration of solute increases, interaction between dissolved
particles increases, resulting in a reduction of the actual osmolar values.
C. Isotonic solutions. An isotonic solution is one that has the same osmotic pressure as
body fluids. Isosmotic fluids are fluids with the same osmotic pressure. Solutions to be
administered to patients should be
isosmotic with body fluids. A hypotonic solution is one with a lower osmotic pressure than
body fluids, whereas a hypertonic solution has an osmotic pressure that is greater than body
fluids.
1. Preparation of isotonic solutions. Colligative properties, including freezing point
depression, are representative of the number of particles in solution and considered in
preparation of isotonic solutions. a. When 1 g mol wt of any nonelectrolyte is dissolved in
1000 g of water, the freezing point of the solution is depressed by 1.86°C. By proportion, the
weight of any nonelectrolyte needed to make the solution isotonic with body fluid can be
calculated.
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b. Boric acid (H3BO3 ) has a mol wt of 61.8 g. Thus 61.8 g of H3BO3 in 1000 g of water
should produce a freezing point of 1.86°C. Therefore, knowing that the freezing point
depression of body fluids is -0.52°C,
and 17.3 g of H3BO3 in 1000 g of water provides a solution that is isotonic. c. The degree of
dissociation of electrolytes must be taken into account in such calculations. For example,
NaCl is approximately 80% dissociated in weak solutions, yielding 180 particles in solution
for each 100 molecules of NaCl. Therefore,
indicating
that 9.09 g of NaCl in 1000 g of water (0.9% w/v) should make a solution isotonic. Lacking
any information on the degree of dissociation of
an electrolyte, the following dissociation values (i) may be used. (1) Substances
that dissociate into two ions: 1.8
(2) Substances that dissociate into three ions: 2.6
(3) Substances that dissociate into four ions: 3.4
(4) Substances that dissociate into five ions: 4.2
2. Sodium chloride equivalents. The pharmacist will often be required to prepare an isotonic
solution by adding an appropriate amount of another substance (drug or inert electrolyte or
nonelectrolyte). Considering that isotonic fluids contain the equivalent of 0.9% NaCl, the
question arises, How much of the added ingredient is required to make the solution isotonic?
A common method for computing the amount of added ingredient to use for reaching
isotonicity involves the use of sodium chloride equivalents. a. Definition. The sodium
chloride equivalent represents the amount of NaCl that is equivalent to the amount of
particular drug in question. For
every substance, there is one quantity that should have a constant tonic effect when
dissolved in 1000 g of water. This is 1 g mol wt of the substance divided by its
dissociation value (i).
b. Examples
(1) Considering H3BO3 , from the last section, 17.3 g of H3BO3 is equivalent to 0.52 g of NaCl
in tonicity. Therefore, the relative quantity of NaCl that is equivalent to H3BO3 in tonicity
effects is determined as follows:
Applying this
method to atropine sulfate, recall that the molecular weight of NaCl and the molecular weight
of atropine sulfate are 58.5 and 695 g, respectively, and their i values are 1.8 and 2.6,
respectively. Calculate the mass of NaCl represented by 1 g of atropine sulfate (Table 2-2).
(H2O) 0.12
Chlorobutanol 0.24
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(2) An example of the practical use of sodium chloride equivalents is seen in the following
problem.
How many grams of boric acid should be used in compounding the
following prescription?
Rx phenacaine hydrochloride 1%
chlorobutanol 0.5%
boric acid qs
0.20 ×
= 0.120
of sodium chloride represented by phenacaine
0.6
g
hydrochloride
0.24 ×
= 0.072
of sodium chloride represented by chlorobutanol
0.3
g
0.192
of sodium chloride represented by the two active
g
ingredients
(b) Find the mass of sodium chloride required to prepare an equal volume
of isotonic solution.
(d) Because the prescription calls for boric acid to be used, one last step is required.
VIII. STATISTICS
A. Introduction. Statistics can be used to describe and compare data distributions. Such
frequency distributions are constructed by classifying individual observations into
categories corresponding to fixed numeric intervals and plotting the number of observations
in each such category (i.e., interval frequency) versus the category descriptor (e.g., the
interval mean or range). Because of random errors, repeated observations or
measurements (of the same value) are not identical. These observations have a normal
distribution. Normally distributed data are described by a bell-shaped (Gaussian) curve
with a maximum, µ (population mean), corresponding to the central tendency of the
population and a spread characterized by the population standard deviation (σ). Statistics
derived from a sample or subset of a population can be used as estimates of the population
parameters.
B. Frequency distribution
1. Estimates of population mean. The population mean, µ, is the best estimate of the
true value.
a. The sample mean. For a finite number of observations, the arithmetic average or mean
([X with bar above]) is the best estimate of the true value, µ.
(1) Accuracy is the degree to which a measured value (X or [X with bar above]) agrees
with the “true” value (µ).
(2) Error (or bias) is the difference between a measured value (X or [X with bar above]) and
the “true” value (µ).
b. Median. The median is the midmost value of a data distribution. W hen all the values are
arranged in increasing (or decreasing) order, the median is the middle value for an odd
number of observations. For an even number of observations, the median is the arithmetic
mean of the two middle values. For a normal distribution, the median equals the mean.
The median is less affected by “outliers” or by a skewed distribution.
c. Mode. The mode is the most frequently occurring value (or values) in a frequency
distribution. The mode is useful for non-normal distributions, especially those that are
bimodal.
2. Estimates of variability. For an infinite number of observations, the population
variance (σ2) can be used to describe the variability or “spread” of observations in a data
distribution. For a finite number of observations, the sample variance (s2) can be used
to describe the variability or spread of observations in a data distribution. a. Sample
variance (s2) is estimated by
where [X with bar above] is the mean and (n - 1) is the number of degrees of freedom (df).
b. Range. For a very small number of observations, the range (w) can be used to
describe the variability in the data set:
w = |Xl a r g e s t - Xs ma l l e s t |
c. The standard deviation (s or SD), one of the most commonly encountered
estimates of variability, is equal to the square root of the variance.
or
3. The standard deviation of the mean (s m), or standard error of the mean (SEM), is an
estimate of the variability or error in the mean obtained from n observations. It is often used
to establish confidence intervals for describing the mean of a data set or when comparing the
means of two data sets.
P.23
STUDY QUESTIONS
Directions for questions 1-30: Each question, statement, or incomplete statement in this
section can be correctly answered or completed by one of the suggested answers or
phrases. Choose the best answer. 1. If a vitamin solution contains 0.5 mg of fluoride ion
in each milliliter, then how many milligrams of fluoride ion would be provided by a
dropper that delivers 0.6 mL?
(A) 0.3 mg
(B) 0.1 mg
(C) 1 mg
(D) 0.83 mg
View Answer1. The answer is A[see].2. How many
chloramphenicol capsules, each containing 250 mg, are needed to provide 25 mg per
kg per day for 7 days for a person weighing 200 lb? (A) 90 capsules
(B) 64 capsules
(C) 13 capsules
(D) 25 capsules
View Answer2. The answer is B[see].3. If 3.17 kg of a drug is used to
make 50,000 tablets, how many milligrams will 30 tablets contain?
(A) 1.9 mg
(B) 1900 mg
(C) 0.0019 mg
(D) 3.2 mg
View Answer3. The answer is B[see].4. A capsule contains 1/8 gr of ephedrine
sulfate, ¼ gr of theophylline, and gr of phenobarbital. What is the total mass of the
active ingredients in milligrams? (A) 20 mg
(B) 8 mg
(C) 28 mg
(D) 4 mg
View Answer4. The answer is C[see].5. If 1 fluid ounce of a cough syrup
contains 10 gr of sodium citrate, how many milligrams are contained in 10 mL?
(A) 650 mg
(B) 65 mg
(C) 217 mg
(D) 20 mg
View Answer5. The answer is C[see].6. How many capsules, each containing ¼
gr of phenobarbital, can be manufactured if a bottle containing 2 avoirdupois ounces
of phenobarbital is available? (A) 771 capsules
(B) 350 capsules
(C) 3500 capsules
(D) 1250 capsules
View Answer6. The answer is C[see].7. Using the formula for
calamine lotion, determine the amount of calamine (in grams) necessary
to prepare 240 mL of lotion.
Calamine 80 g
Zinc oxide 80 g
Glycerin 20 mL
(A) 19.2 g
(B) 140 g
(C) 100 g
(D) 24 g
View Answer7. The answer is A[see].8. From the following
formula, calculate the amount of white wax required to make 1 lb of cold cream.
Determine the mass in grams.
ASA 6 parts
Phenacetin 3 parts
Caffeine 1 part
(A) 125 g
(B) 750 g
(C) 175 g
(D) 360 g
View Answer9. The answer is B[see].P.24
10. A solution contains 1.25 mg of a drug per milliliter. At what rate should the solution be
infused (drops/min) if the drug is to be administered at a rate of 80 mg/hr? (1 mL = 30 drops)
(A) 64 drops/min
(B) 1.06 drops/min
(C) 32 drops/min
(D) 20 drops/min
View Answer10. The answer is C[see].11. The recommended maintenance dose of
aminophylline for children is 1.0 mg/kg/hr by injection. If 10 mL of a 25- mg/mL solution of
aminophylline is added to a 100-mL bottle for dextrose, what should be the rate of delivery in
mL/hr for a 40-lb child?
(A) 2.30 mL/hr
(B) 8.00 mL/hr
(C) 18.9 mL/hr
(D) 18.2 mL/hr
View Answer11. The answer is B[see].12. For children, streptomycin is to be
administered at a dose of 30 mg/kg of body weight daily in divided doses every 6-12 hr. The dry
powder is dissolved by adding water for injection, USP in an amount to yield the desired
concentration as indicated in the following table (for a 1-g vial).
Approximate
200 4.2
250 3.2
400 1.8
Reconstituting at the lowest possible concentration, what volume (in mL) would be withdrawn to
obtain one day's dose for a 50-lb child?
(A) 3.4 mL
(B) 22.73 mL
(C) 2.50 mL
(D) 2.27 mL
View Answer12. The answer is A[see].13. The atropine sulfate is available only in the
form of 1/150 gr tablets. How many atropine sulfate tablets would you use to compound the
following prescription?
Aspirin 5 gr
p.r.n.
(A) 3 tablets
(B) 6 tablets
(C) 12 tablets
(D) 18 tablets
View Answer13. The answer is D[see].14. In 25.0 mL of a solution for injection,
there are 4.00 mg of the drug. If the dose to be administered to a patient is 200 µg, what
quantity (in mL) of this solution should be used? (A) 1.25 mL
(B) 125 mL
(C) 12.0 mL
(D) None of the above
View Answer14. The answer is A[see].15. How many milligrams of papaverine
will the patient receive each day?
Rx papaverine 1.0 g
(A) 56 mg
(B) 5.6 mg
(C) 166 mg
(D) 2.5 mg
View Answer15. The answer is C[see].16. Considering the following formula, how
many grams of sodium bromide should be used in filling this prescription?
mL
d.t.d. #24
(A) 1.2 g
(B) 1200 g
(C) 28.8 g
(D) 220 g
View Answer16. The answer is C[see].17. How many milliliters of a 7.5% stock solution
of KMnO4 should be used to obtain the KMnO needed? KMnO4, qs
Distilled water, ad 1000
Sig: 2 teaspoons diluted to 500 mL yield a 1:5000 solution
(A) 267 mL
(B) 133 mL
(C) 26.7 mL
(D) 13.3 mL
View Answer17. The answer is B[see].18. The formula for Ringer's solution
follows. How much sodium chloride is needed to make 120 mL?
Rx sodium chloride 8.60 g potassium
chloride 0.30 g
(A) 120 g
(B) 1.03 g
(C) 0.12 g
(D) 103 g
View Answer18. The answer is B[see].P.25
19. How many grams of talc should be added to 1 lb of a powder containing 20 g of zinc
undecylenate per 100 g to reduce the concentration of zinc undecylenate to 3%?
(A) 3026.7 g
(B) 2572.7 g
(C) 17 g
(D) 257 g
View Answer19. The answer is B[see].20. How many milliliters of a 0.9% aqueous
solution can be made from 20.0 g of sodium chloride? (A) 2222 mL
(B) 100 mL
(C) 222 mL
(D) 122 mL
View Answer20. The answer is A[see].21. The blood of a reckless driver contains 0.1%
alcohol. Express the concentration of alcohol in parts per million.
(A) 100 ppm
(B) 1000 ppm
(C) 1 ppm
(D) 250 ppm
View Answer21. The answer is B[see].22. Syrup is an 85% w/v solution of sucrose in
water. It has a density of 1.313 g/mL. How many milliliters of water should be used to make 125
mL of syrup?
(A) 106.25 mL
(B) 164.1 mL
(C) 57.9 mL
(D) 25.0 mL
View Answer22. The answer is C[see].23. How many grams of
benzethonium chloride should be used in preparing 5 gal. of a 0.025% w/v solution?
(A) 189.25 g
(B) 18.9 g
(C) 4.73 g
(D) 35 g
View Answer23. The answer is C[see].24. How many grams of menthol should be
used to prepare this prescription?
Rx menthol 0.8%
alcohol, qs ad 60.0 mL
(A) 0.48 g
(B) 0.8 g
(C) 4.8 g
(D) 1.48 g
View Answer24. The answer is A[see].25. How many milliliters of a 1:1500 solution can be
made by dissolving 4.8 g of cetylpyridinium chloride in water? (A) 7200 mL
(B) 7.2 mL
(C) 48 mL
(D) 4.8 mL
View Answer25. The answer is A[see].26. The manufacturer specifies that one Domeboro
tablet dissolved in 1 pint of water makes a modified Burow's solution approximately equivalent
to a 1:40 dilution. How many tablets should be used in preparing ½ gal of a 1:10 dilution?
(A) 16 tablets
(B) 189 tablets
(C) 12 tablets
(D) 45 tablets
View Answer26. The answer is A[see].27. How many milliosmoles of calcium
chloride (CaCl 2 ·2H2O - mol wt = 147) are represented in 147 mL of a 10% w/v calcium
chloride solution?
(A) 100 mOsmol
(B) 200 mOsmol
(C) 300 mOsmol
(D) 3 mOsmol
View Answer27. The answer is C[see].28. How many grams of boric acid should be
used in compounding the following prescription? Phenacaine HCl 1.0% (NaCl eq = 0.17)
Chlorobutanol 0.5% (NaCl eq = 0.18)
Boric acid, qs (NaCl eq = 0.52)
Purified H2O, ad 30 mL
Make isotonic solution
Sig: 1 drop in each eye
(A) 0.37 g
(B) 0.74 g
(C) 0.27 g
(D) 0.47 g
View Answer28. The answer is A[see].29. A pharmacist prepares 1 gal of KCl solution by
mixing 565 g of KCl (valence = 1) in an appropriate vehicle. How many milliequivalents of K+ are
in 15 mL of this solution? (atomic weights: K = 30; Cl = 35.5)
(A) 7.5 mEq
(B) 10 mEq
(C) 20 mEq
(D) 30 mEq
(E) 40 mEq
View Answer29. The answer is D[see].P.26
Now, if 0.1 g of drug is present in 500 mL of 1:5000 solution, 2 teaspoonfuls (10 mL) of the
prescription contains the same amount of drug (0.1 g) before dilution. From this, the amount of drug in
1000 mL (the total volume) of the prescription can be determined:
Finally, to obtain the correct amount of drug to formulate the prescription (10 g), we are to use a 7.5%
stock solution. Recalling the definition of percentage strength w/v:
P.28
P.29
3
Pharmaceutical Principles and Drug
Dosage Forms
Lawrence H. Block
I. INTRODUCTION.
Pharmaceutical principles are the underlying physicochemical principles that allow a
drug to be incorporated into a pharmaceutical dosage form (e.g., solution, capsule).
These principles apply whether the drug is extemporaneously compounded by the
pharmacist or manufactured for commercial distribution as a drug product.
A. The finished dosage form contains the active drug ingredient in association with nondrug
(usually inert) ingredients (excipients) that make up the vehicle, or formulation matrix.
B. The drug delivery system concept, which has evolved since the 1960s, is a more holistic
concept. It embraces not only the drug (or prodrug) and its formulation matrix, but also the
dynamic interactions among the drug, its formulation matrix, its container, and the physiologic
milieux of the patient. These dynamic interactions are the subject of biopharmaceutics (see
Chapter 4).
pole of one is close to the negative pole of the other, molecular attraction occurs
(dipoledipole interaction). W hen the identically charged poles of the two molecules are
closer, repulsion occurs.
reduces the imbalance in forces of attraction within each phase. The interfacial tension
between n-octanol and water is reduced to 8.5 mN m- 1 from 72 mN m- 1 (γ air/water). This
reduction indicates, in part, the
interfacial interaction between n-octanol and water.
Figure 3-2. A. Molecules in the bulk phase.
B. Molecules at the surface of a liquid.
2. The flow of a liquid across a solid surface can be examined in terms of the velocity, or
rate of movement, of the liquid relative to the surface across which it flows. More insight can
be gained by visualizing the flow of liquid as involving the movement of numerous parallel
layers of liquid between an upper, movable plate and a lower, fixed plate (Figure 3-3). The
application of a constant force (F) to the upper plate causes both this plate and the
uppermost layer of liquid in contact with it to move with a velocity ∆y/∆x. The interaction
between the fixed bottom plate and the liquid layer closest to it prevents the movement of the
bottom layer of liquid. The
velocity (v) of the remaining layers of liquid between the two plates is proportional to their
distance from the immovable plate (i.e., ∆y/∆x). The velocity gradient leads to deformation
of the liquid with time. This deformation is the rate of shear, dv/dx, or D. Newton defined flow
in terms of the ratio of the force F applied to a plate of area A—shear stress (τ)— divided by
the velocity gradient (D) induced by τ:
or
d. Less thermodynamic stability than the corresponding crystalline solid and therefore more
apt to exhibit chemical and physical instability, increased dissolution rate, etc.
3. Polymorphism is the condition wherein substances can exist in more than one
crystalline form. These polymorphs have different molecular arrangements or crystal lattice
structures. As a result, the different polymorphs of a drug solid can have different
properties. For example, the melting point, solubility, dissolution rate, density, and stability
can differ considerably among the polymorphic forms of a drug. Many drugs exhibit
polymorphic behavior. Fatty (triglyceride) excipients (e.g., theobroma oil, cocoa butter) are
recognized for their polymorphic behavior. 4. The incorporation of solvent molecules into the
crystal lattice of a solid results in a molecular adduct known as a solvate or hydrate (the
latter term is used when water is the solvent). In general, solvates or hydrates exhibit
different solubilities and dissolution rates than their unsolvated/anhydrous counterparts.
5. Melting point and heat of fusion. The melting point of a solid is the temperature at which
the solid is transformed to a liquid. When 1 g of a solid is heated and melts, the heat absorbed
in the process is referred to as the latent heat of fusion.
D. Phase diagrams and phase equilibria. A phase diagram represents the states of matter
(i.e., solid, liquid, and gas) that exist as temperature and pressure are varied (Figure 3-5). The
data
P.36
arrays separating the phases in Figure 3-5 delineate the temperatures and pressures at which
the phases can coexist. Thus gas (or vapor) and liquid coexist along “curve” BC, solid and
liquid coexist along “curve” AB, and solid and gas (or vapor) coexist along “curve” DB.
Depending on the change in temperature and pressure, evaporation or condensation occur
along curve BC, fusion or melting along curve AB, and sublimation or deposition along
curve DB. The three “curves” intersect at point B. Only at this unique temperature and
pressure, known as the triple point, do all three phases exist in equilibrium. (The triple point
for water is 0.01°C and 6.04 × 10- 3 atm.) Continuing along curve BC, to higher temperatures
and pressures, one ultimately reaches point C, known as the critical point, above which
there is no distinction between the liquid and the gas phases. Substances that exist above
this critical point are known as supercritical fluids. Supercritical fluids such as carbon
dioxide (critical point, 30.98°C and 73.8 atm) often exhibit markedly altered physicochemical
properties (e.g., density, diffusivity, or solubility characteristics) that render them
useful as solvents and processing aids in the production of pharmaceuticals and drug delivery
systems.
Figure 3-5. Phase diagram for CO2 showing the
variation of the state of matter as pressure and
temperature are varied. The solid state exists in
the region ABD; the liquid state, in the region
ABC; and the gas state, in the region to the right
of curve CD. B corresponds to the triple point,
the pressure and temperature at which all three
phases coexist. C corresponds to the critical
point, the pressure and temperature above
which the liquid and gas phases are
indistinguishable.
where pA is the partial vapor pressure above a solution in which the mol fraction of the solute
A is x A and is the vapor pressure of the pure component A. The vapor pressure is the
pressure at which an equilibrium is established between the molecules of A in the liquid state
and the molecules of A in the gaseous (vapor) state in a closed, evacuated container. The
vapor pressure is temperature dependent, but independent of the amount of liquid and vapor.
Raoult's law holds for ideal solutions of nonelectrolytes. For a binary solution (i.e., a solution
of component B in component A)
The lowering of the vapor pressure of the solution relative to the vapor pressure of the pure
solvent is proportional to the number of molecules of solute in the solution. The actual
lowering of the vapor pressure by the solute, ∆pA, is given by
b. Elevation of the boiling point. The boiling point is the temperature at which the vapor
P.37
where Kb is the molal boiling point elevation constant, R is the molar gas constant, T is
absolute temperature (degrees K), M1 is the molecular weight of the solute, m is the molality
of the solution, and ∆Hv a p is the molal enthalpy of vaporization of the solvent.
c. Depression of the freezing point. The freezing point, or melting point, of a pure
compound is the temperature at which the solid and the liquid phases are in equilibrium
under a pressure of 1 atmosphere (atm). The freezing point of a solution is the temperature
at which the solid phase of the pure solvent and the liquid phase of the solution are in
equilibrium under a pressure of 1 atm. The amount of depression of the freezing point (∆Tf)
depends on the molality of the solution:
where Kf is the molal freezing point constant and ∆Hf u s i o n is the molal heat of fusion.
d. Osmotic pressure. Osmosis is the process by which solvent molecules pass through a
semipermeable membrane (a barrier through which only solvent molecules may pass) from a
region of dilute solution to one of more concentrated solution. Solvent molecules transfer
because of the inequality in chemical potential on the two sides of the membrane. Solvent
molecules in a concentrated solution have a lower chemical potential than solvent molecules
in a more dilute solution.
(1) Osmotic pressure is the pressure that must be applied to the solution to prevent the
flow of pure solvent into the concentrated solution. (2) Solvent molecules move from a
region where their escaping tendency is high to one where their escaping tendency is
low. The presence of dissolved solute lowers the escaping tendency of the solvent in
proportion to the solute concentration.
(3) The van't Hoff equation defines the osmotic pressure π as a function of the number of
moles of solute n2 in the solution of volume V: πV = n2RT
3. Electrolyte solutions and ionic equilibria
a. Acid-base equilibria
(1) According to the Arrhenius dissociation theory, an acid is a substance that liberates H+
in aqueous solution. A base is a substance that liberates hydroxyl ions (OH-) in aqueous
solution. This definition applies only under aqueous conditions.
(2) The Lowry-Brønsted theory is a more powerful concept that applies to aqueous and
nonaqueous systems. It is most commonly used for pharmaceutical and biologic systems
because these systems are primarily aqueous.
(a) According to this definition, an acid is a substance (charged or uncharged) that is
capable of donating a proton. A base is a substance (charged or uncharged) that is capable
of accepting a proton from an acid. The dissociation of an acid (HA) always produces a
base (A-) according to the following formula:
HA ↔ H+ + A-
(b) HA and A- are a conjugate acid-base pair (an acid and a base that exist in equilibrium
and differ in structure by a proton). The proton of an acid does not exist free in solution, but
combines with the solvent. In water, this hydrated proton is a hydronium ion (H3O+).
(c) The relative strengths of acids and bases are determined by their ability to donate or
accept protons. For example, in water, HCl donates a proton more readily than does acetic
acid. Thus HCl is a stronger acid. Acid strength is also determined by the affinity of the
solvent for protons. For
example, HCl may dissociate completely in liquid ammonia, but only very slightly in glacial
acetic acid. Thus HCl is a strong acid in liquid ammonia and a weak acid in glacial acetic
acid.
P.38
(3) The Lewis theory extends the acid-base concept to reactions that do not involve protons.
It defines an acid as a molecule or ion that accepts an electron pair from another atom and a
base as a substance that donates an electron pair to be shared with another atom.
b. H+ concentration values are very small. Therefore, they are expressed in exponential
notation as pH. The pH is the logarithm of the reciprocal of the H+ concentration
where [H+] is the molar concentration of H+. Because the logarithm of a reciprocal equals the
negative logarithm of the number, this equation may be rewritten as:
pH = -log [H+]
or
[H+] = 10- p H
Thus the pH value may be defined as the negative logarithm of the [H+] value. For example,
if the H+ concentration of a solution is 5 × 10- 6 , the pH value may be calculated as follows:
pH = -log (5 × 10-6)
log 5 = 0.699
pH = -(-6 + 0.699)
= -(-5.301)
= 5.301
where Ka represents the acid dissociation constant. For a weak acid, the acid dissociation
constant is conventionally expressed as pKa , which is - log Ka . For example, the Ka of acetic
acid at 25°C is 1.75 × 10- 5 . The pKa is calculated as follows:
P.39
log 10-5= -5
pH = -(-5 + 0.243)
= -(-4.757)
= 4.76
(3) For weak bases, dissociation may also be expressed with the Ka expression for the
conjugate acid of the base. This acid is formed when a proton reacts with the base. For a
base that does not contain a hydroxyl group,
BH+ ↔ H+ + B
The dissociation constant for this reaction is expressed as:
However, a base dissociation constant is traditionally defined for a weak base with this
expression:
B + H2O ↔ OH- + BH+
where B is the unionized weak base and BH+ is the protonated base. f. The degree of
ionization (α), the fraction of a weak electrolyte that is ionized in solution, is calculated
thus
P.40
thus
In effect, when the pH of the solution is numerical ly equivalent to the pKa of the weak
electrolyte, whether a weak base or a weak acid, [I] = [U] and the degree of ionization α = 0.5
(i.e., 50% of the solute is ionized). g. Solubility of a weak electrolyte varies as a function of
pH. (1) For a weak acid, the total solubility Cs is given by the expression: Cs = [HA] + [A-]
where [HA] is the intrinsic solubility of the unionized weak acid and is denoted as C0 ,
whereas [A-] is the concentration of its anion. Because [A-] can be expressed in terms of C0
Thus the solubility decreases with increasing pH because more of the weak base is in the
unprotonated form. This form is less polar and therefore less water soluble.
h. Buffers and buffer capacity
(1) A buffer is a mixture of salt with acid or base that resists changes in pH when small
quantities of acid or base are added. A buffer can be a combination of a weak acid and its
conjugate base (salt) or a combination of a weak base and its conjugate acid (salt). However,
buffer solutions are more commonly prepared from weak acids and their salts. They are not
ordinarily prepared from weak bases and their salts because weak bases are often unstable
and volatile.
(a) For a weak acid and its salt, the following buffer equation is satisfactory for
calculations with a pH of 4-10. It is important in the preparation of buffered
pharmaceutical solutions:
(b) For a weak base and its salt, the buffer equation is similar but also depends on the
dissociation constant of water (pK w). The equation becomes:
where C represents the molar concentrations of the acid and the salt.
(c) Thus buffer capacity depends on the value of the ratio of the salt to the acid form. It
increases as the ratio approaches unity. Maximum buffer capacity occurs when pH = pKa ,
and is represented by β = 0.576C. B. Heterogeneous (disperse) systems
1. Introduction
a. A suspension is a two-phase system that is composed of a solid material dispersed in an
oily or aqueous liquid. The particle size of the dispersed solid is usually > 0.5 µm.
b. An emulsion is a heterogeneous system that consists of at least one immiscible liquid
that is intimately dispersed in another in the form of droplets. The droplet diameter usually
exceeds 0.1 µm. Emulsions are inherently unstable because the droplets of the
dispersed liquid tend to coalesce to form large droplets until all of the dispersed droplets
have coalesced. The third component of the system is an emulsifying agent. This agent
prevents coalescence and maintains the integrity of the individual droplets.
2. Dispersion stability. In an ideal dispersion, the dispersed particles do not interact. The
particles are uniform in size and undergo no change in position other than the random
movement that results from Brownian motion. In contrast, in a real dispersion, the particles
are not uniformly sized (i.e., they are not monodisperse). The particles are subject to
particulate aggregation, or clumping, and the dispersion becomes more heterogeneous with
time. The rate of settling (separating, or creaming) of the dispersed phase in the dispersion
medium is a function of the particle size, dispersion phase viscosity, and difference in density
between the dispersed phase and the dispersion medium, in accordance with Stokes's law:
where d is the particle diameter, g is the acceleration owing to gravity, η is the viscosity of
the dispersion medium, and (ρ1 - ρ2 ) is the difference between the density of the particles (ρ1
) and the density of the dispersion medium (ρ2 ). Although Stokes's law was derived to
determine the settling, or sedimentation, of noninteracting spherical particles, it also provides
guidance for determining the stabilization of dispersion:
a. Particle size should be as small as possible. Smaller particles yield slower
sedimentation, or flotation, rates.
b. High particulate (dispersed phase) concentrations increase the rate of particle-particle
collisions and interaction. As a result, particle aggregation occurs, and instability increases as
the aggregates behave as larger particles. In the case of liquid-liquid dispersions,
particle-particle collisions can lead to coalescence (i.e., larger particles) and decrease
dispersion stability.
c. Avoidance of particle-particle interactions
(1) Aggregation can be prevented if the particles have a similar electrical charge. Particles in
an aqueous system always have some electrical charge because of ionization of chemical
groups on the particle surface or adsorption of charged molecules or ions at the interface. If
the adsorbed species is an ionic surfactant (e.g., sodium lauryl sulfate), the charge
associated with the surfactant ion (e.g., lauryl sulfate anion) will accumulate at the interface.
However, if a relatively non-surface-active electrolyte is adsorbed, the sign of the charge of
the adsorbed ion is less readily predicted.
(2) The magnitude of the charge is the difference in electrical potential between the
charged surface of the particle and the bulk of the dispersion medium. This magnitude is
approximated by the electrokinetic, or zeta, potential (ζ). The zeta potential is measured
from the fixed, avidly bound layers of ions and solvent molecules on the particle surface.
When ζ is high (e.g., ≥ 25 mV), interparticulate repulsive forces exceed the attractive
forces. As a result, the dispersion is deflocculated and relatively stable to collision and
subsequent aggregation (flocculation). When ζ is so low that interparticulate attractive
forces predominate, loose particle aggregates, or flocs, form (i.e., flocculation occurs).
d. Density can be manipulated to decrease the rate of dispersion instability. The
settling
P.42
rate decreases as (ρ1 - ρ2 ) approaches zero. However, the density of the dispersion medium
usually cannot be altered sufficiently to halt the settling (or flotation) process. In the
dispersed phase, the density of solid particles is not readily altered; altering the density of
liquid particles would require the addition of a miscible liquid of higher (or lower) density.
Altering the composition of suspensions is also problematic because most solid particles are
denser than the dispersion medium. Additives of higher (or lower) density might alter the
biopharmaceutical characteristics of the formulation (e.g., rate of drug release, residence
time at the site of administration, or absorption).
e. The sedimentation, or flotation, rate is inversely proportional to the viscosity. An
increase in the viscosity of the dispersion medium decreases the rate of settling, or
flotation. However, although the rate of destabilization can be slowed by an increase in
viscosity, it cannot be halted.
3. Emulsion stability. Coalescence occurs in emulsion systems when the liquid particles of
the dispersed phase merge to form larger particles. Coalescence is largely prevented by the
interfacial film of surfactant around the droplets. This film prevents direct contact of the
liquid phase of the droplets. Coalescence of droplets in oil in water (o/w) emulsions is also
inhibited by the electrostatic repulsion of similarly charged particles. Creaming is the
reversible separation of a layer of emulsified particles.
Because mixing or shaking may be sufficient to reconstitute the emulsion system, creaming
is not necessarily unacceptable. However, cracking, or irreversible phase separation, is
never acceptable. Phase inversion, or emulsion-type reversal, involves the reversion of an
emulsion from an o/w to a water in oil (w/o) form, or vice versa. Phase inversion can
change the consistency or texture of the emulsion or cause further deterioration in its
stability.
The study of reaction orders is a crucial aspect of pharmacokinetics (see Chapter 6).
Usually, pharmaceutical degradation can be treated as a zero-order, first-order, or
higher-order reaction. The first two are summarized as follows.
a. In a zero-order reaction, the rate is independent of the concentration of the reactants
(i.e., dC/dt C0) (see Chapter 6). Other factors, such as absorption of light in certain
photochemical reactions, determine the rate. P.43
(3) The time required for a drug to degrade to 90% of its original
concentration (t 9 0 % ) is also important. This time represents a reasonable limit of
degradation for the active ingredients. The t 9 0 % can be calculated as:
P.44
Figure 3-7. Logarithm of concentration (log C)
versus time (t) for a first-order reaction. The
slope of the line equals -k/2.303.
(4) Both t ½ and t 9 0 % are concentration independent. Thus, for t ½ , it takes the same
amount of time to reduce the concentration of the drug from 100 mM to 50 mM as it does
from 50 mM to 25 mM.
C. Factors that affect reaction rates. Factors other than concentration can affect the
reaction rate and stability of a drug. These factors include temperature, the presence of a
solvent, pH, and the presence of additives. 1. Temperature. An increase in temperature
causes an increase in reaction rate, as expressed in the equation first suggested by
Arrhenius: k = Ae- E a / RT
or
where k is the specific reaction rate constant, A is a constant known as the frequency factor,
Ea is the energy of activation, R is the molar gas constant (1.987 cal/degree × mole), and T is
the absolute temperature.
a. The constants A and Ea are obtained by determining k at several temperatures and then
plotting log k against 1/T. The slope of the resulting line equals -Ea/(2.303 × R). The
intercept on the vertical axis equals log A. b. The activation energy (Ea) is the amount of
energy required to put the molecules in an activated state. Molecules must be activated to
react. As
temperature increases, more molecules are activated, and the reaction rate increases.
2. Presence of solvent. Many dosage forms require the incorporation of a water-miscible
solvent—for example, low molecular weight alcohols, such as the polyethylene glycols
(PEGs)—to stabilize the drug. a. A change in the solvent system alters the transition state
and the activity coefficients of the reactant molecules. It can also cause simultaneous
changes in physicochemical parameters, such as pKa , surface tension, and viscosity. These
changes indirectly affect the reaction rate. b. In some cases, additional reaction
pathways are generated. For example, with an increasing concentration of ethanol in an
aqueous solution, aspirin degrades by an extra route and forms the ethyl ester of
acetylsalicylic acid. However, a change in solvent can also stabilize the drug.
P.45
P.46
2. Oxidation is usually mediated through reaction with atmospheric oxygen under ambient
conditions (auto-oxidation).
a. Medicinal compounds that undergo auto-oxidation at room temperature are affected by
oxygen dissolved in the solvent and in the head space of their packages. These
compounds should be packed in an inert
atmosphere (e.g., nitrogen) to exclude air from their containers.
b. Most oxidation reactions involve a free radical mechanism and a chain reaction. Free
radicals tend to take electrons from other compounds. (1) Antioxidants in the formulation
react with the free radicals by providing electrons and easily available hydrogen atoms. In this
way, they prevent the propagation of chain reactions.
(2) Commonly used antioxidants include ascorbic acid, butylated hydroxyanisole
(BHA), butylated hydroxytoluene (BHT), propyl gallate, sodium bisulfite, sodium sulfite,
and the tocopherols.
3. Photolysis is the degradation of drug molecules by normal sunlight or room light.
a. Molecules may absorb the proper wavelength of light and acquire sufficient energy
to undergo reaction. Usually, photolytic degradation occurs on exposure to light of
wavelengths < 400 nm.
b. An amber glass bottle or an opaque container acts as a barrier to this light, thereby
preventing or retarding photolysis. For example, sodium nitroprusside in aqueous solution
has a shelf life of only 4 hr if exposed to normal room light. W hen protected from light, the
solution is stable for at least 1 year.
E. Determination of shelf life. The shelf life of a drug preparation is the amount of time that
the product can be stored before it becomes unfit for use, through either chemical
decomposition or physical deterioration. 1. Storage temperature affects shelf life. It is
generally understood to be ambient temperature unless special storage conditions are
specified. 2. In general, a preparation is considered fit for use if it varies from the
nominal concentration or dose by no more than 10%, provided that the decomposition
products are not more toxic or harmful than the original material.
3. Shelf-life testing aids in determining the standard shelf life of a formulation. a. Samples
are stored at 3-5°C and at room temperature (20- 25°C). The samples are then analyzed at
various intervals to determine the rate of decomposition. Shelf life is calculated from this
rate. b. Because storage time at these temperatures can result in an extended testing time,
accelerated testing is conducted as well, with a range of higher temperatures. The rate
constants obtained from these samples are used to predict shelf life at ambient or
refrigeration temperatures. Temperature-accelerated stability testing is not useful if
temperature changes are accompanied by changes in the reaction mechanism or by
physical changes in the system (e.g., change from the solid to the liquid phase).
c. Stability at room temperature can be predicted from accelerated testing data by the
Arrhenius equation:
where k T 2 and k T 1 are the rate constants at the absolute temperatures T2 and T1 ,
respectively; R is the molar gas constant; and Ea is the energy of activation.
d. Alternatively, an expression of concentration can be plotted as a linear function of time.
Rate constants (k) for degradation at several temperatures are obtained. The logarithm of the
rate constant (log k) is plotted against
the reciprocal of absolute temperature (1/T) to obtain, by extrapolation, the rate constant for
degradation at room temperature (Figure 3-9).
e. The length of time that the drug will maintain its required potency can also be
predicted by calculation of the t 9 0 % (see V.B.2.b.(3)). This method applies to chemical
reactions with activation energies of 10-30 kcal/mol, the magnitude of the activation
energy for many pharmaceutical degradations that occur in solution.
P.47
Figure 3-9. Semilogarithmic plot of the
rate constant (k) versus the reciprocal of
absolute temperature (1/T), showing the
temperature dependency of degradation
rates.
(neutral) and chitosan (cationic). Thus the anionic hydrocolloids are incompatible with
quaternary antibacterial agents and other positively charged drugs. Chitosan is incompatible
with negatively charged drugs and excipients. Most hydrocolloids are insoluble in alcoholic
solutions.
(1) Acacia is usually used as a 35% dispersion in water (muci lage). Its viscosity is
greatest between pH 5 and pH 9. Acacia is susceptible to microbial decomposition.
(2) Tragacanth is usually used as a 6% dispersion in water (mucilage). One advantage of
tragacanth over acacia is that less is needed. Also, tragacanth does not contain the oxidase
that is present in acacia. This oxidase catalyzes the decomposition of organic chemicals. The
viscosity of tragacanth is greatest at pH 5.
(3) Methyl cellulose is a polymer that is nonionic and stable to heat and light. It is available
in several viscosity grades. Because it is soluble in cold water, but not in hot water,
dispersions are prepared by adding methyl cellulose to boiling water and then cooling the
preparation until the material dissolves.
(4) Carboxymethylcellulose is an anionic material that is soluble in water. Prolonged
exposure to heat causes loss of viscosity.
b. Clays (e.g., bentonite, Veegum) are silicates that are anionic in aqueous dispersions.
They are strongly hydrated and exhibit thixotropy (the property of forming a gel-like structure
on standing and becoming fluid on agitation).
(1) The official form of bentonite is the 5% magma.
(2) Veegum is hydrated to a greater degree than bentonite. Thus it is more viscous at the
same concentration.
c. Other agents include agar, chondrus (carrageenan), gelatin, pectin, and gelatinized
starch. Their use is limited by their susceptibility to bacterial attack, their incompatibilities,
and their cost. Xanthan gum is used in many modern suspension formulations because of its
cosolvent compatibility, its stability, and its solution's high viscosity relative to concentration.
4. Preparation
a. Solids are wetted initially to separate individual particles and coat them with a layer of
dispersion medium. W etting is accomplished by levigation (i.e., addition of a suitable
nonsolvent, or levigating agent, to the solid material, followed by blending to form a paste),
using a glass mortar and pestle or an ointment slab. A surfactant can also be used. b.
Suspending agents are then added as dry powder along with the active ingredient. For best
results, the suspending agent is added in the form of its aqueous dispersion.
(1) The aqueous dispersion is added to the solid (or the levigated solid) by geometric
dilution.
(2) The preparation is brought to the desired volume by stirring in the appropriate
vehicle.
D. Emulsions
1. Purposes of emulsions
a. Increased drug solubility. Many drugs have limited aqueous solubility but have
maximum solubility in the oil phase of an emulsion. Drug
partitioning from the oil phase to the water phase can maintain or enhance activity.
b. Increased drug stability. Many drugs are more stable when incorporated into an
emulsion rather than an aqueous solution. c. Prolonged drug action. Incorporation of a
drug into an emulsion can prolong bioavailability, as with certain intramuscular injection
preparations. d. Improved taste. Drugs with an unpleasant taste are more palatable and
thus more conveniently administered in emulsion form.
e. Improved appearance. Oily materials intended for topical application are more appealing
in an emulsified form.
2. Phases of emulsions. Most emulsions are considered two-phase systems.
a. The liquid droplet is known as the dispersed, internal, or discontinuous
phase. The other liquid is known as the dispersion medium, external phase, or
continuous phase.
b. In pharmaceutical applications, one phase is usual ly an aqueous solution. The other
phase is usually lipid or oily. The lipids range from vegetable or hydrocarbon oils to semisolid
hydrocarbons and waxes. Emulsions are usually described in terms of water and oil. Oil is the
lipid, or nonaqueous, phase, regardless of its composition.
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(1) If water is the internal phase, the emulsion is classified as w/o. (2) If water is the
external phase, the emulsion is classified as o/w. c. The type of emulsion formed is
primarily determined by the relative phase volumes and the emulsifying agent used.
(1) For an ideal emulsion, the maximum concentration of internal phase is 74% (i.e.,
theoretically, an o/w emulsion can be prepared containing ≤ 74% oil).
(2) The choice of an emulsifying agent is more important than the relative phase volumes
in determining the final emulsion type. Most agents preferentially form one type of
emulsion or the other if the phase volume permits.
3. Emulsifying agents. Any compound that lowers the interfacial tension and forms a film at
the interface can potentially function as an emulsifying agent. The effectiveness of the
emulsifying agent depends on its chemical structure, concentration, solubility, pH, physical
properties, and electrostatic effect. True emulsifying agents (primary agents) can form and
stabilize emulsions by themselves. Stabilizers (auxiliary agents) do not form acceptable
emulsions when used alone, but assist primary agents in stabilizing the product (e.g., increase
viscosity). Emulsifying agents are either natural or synthetic.
a. Natural emulsifying agents:
(1) Acacia forms a good, stable emulsion of low viscosity. It tends to cream easily, is acidic,
and is stable at a pH range of 2-10. Like other gums, it is negatively charged, dehydrates
easily, and usually requires a preservative. It is incompatible with Peruvian balsam, bismuth
salts, and carbonates. (2) Tragacanth forms a stable emulsion that is coarser than acacia
emulsion. It is anionic, is difficult to hydrate, and is used mainly for its effects on viscosity.
Less than of the amount used for acacia is needed. (3) Agar is an anionic gum that is
primarily used to increase viscosity. Its stability is affected by heating, dehydration, and
destruction of charge. It is also susceptible to microbial degradation.
(4) Pectin is a quasi-emulsifier that is used in the same proportion as tragacanth.
(5) Gelatin provides good emulsion stabilization in a concentration of 0.5%- 1.0%. It may be
anionic or cationic, depending on its isoelectric point. Type A gelatin (+), prepared from an
acid-treated precursor, is used in acidic media. Type B gelatin (-), prepared from an
alkali-treated precursor, is used in basic media.
(6) Methyl cellulose is nonionic and induces viscosity. It is used as a primary
emulsifier with mineral oil and cod liver oil, and yields an o/w emulsion. It is usually
used in 2% concentration.
(7) Carboxymethylcellulose is anionic and is usually used to increase viscosity. It
tolerates alcohol up to 40%, forms a basic solution, and precipitates in the presence of
free acids.
b. Synthetic emulsifying agents are anionic, cationic, or nonionic. Although these
surfactants are amphiphilic molecules, their lipophilic and hydrophilic regions are seldom
inverse equals of each other: Some surfactant molecules tend to be predominantly
lipophilic, whereas others are predominantly hydrophilic. This imbalance is reflected in the
hydrophilic-lipophilic balance (HLB) scale: The larger the HLB value, the more hydrophilic
the molecule. Table 3-1 lists HLB values for surfactants and their corresponding uses.