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SEMISOLID

 


Questions:
1.      What are the ideal characteristics required for suppository bases? Write about two bases. [4] (1999, 2001)
2.      Dispense 12 nos. of suppositories of boric acid (D=1.6) each weighing 4 grams and containing 300mg of Boric acid. [5] (1998)
3.      What is displacement value and how do you calculate it? [2] (1999)
4.      Describe the procedure for the preparation of cocoa butter suppositories containing zinc oxide as medicament. [5] (1998)
 


TYPES OF SUPPOSITORIES

1. Rectal suppositories:    These are meant for introduction into the rectum for local and systemic effect.

2. Pessaries:                       These are meant for introduction into vagina for local action. These are larger than rectal suppositories (3 – 6 gm).



3. Urethral bougies:          These are meant for introduction into urethra.
                                             Weight:  2 – 4 gm              Length: 2 – 5 inches.
4. Nasal bougies:               These are meant for introduction into nasal cavities.
                                             Weight:  1gm                      Length: 9 – 10 cm


Properties of ideal suppository base

1.      It should melt at body temperature or dissolve or disperse in body fluid.
2.      Release medicaments easily.
3.      Shape should remain intact while handling.
4.      Non-toxic and non-irritant to mucous membrane.
5.      Stable on storage.
6.      Compatible with any added ingredients.
7.      Easily moulded and should not adhere to the mould.

Classification of suppository bases

1.      Fatty bases – they melt at body temperature.
2.      Water-soluble or water miscible base – they dissolve or disperse in rectal secretions.
3.      Emulsifying bases – they emulsifies small amount of aqueous solution of drug.

FATTY BASES
Example: Theobroma oil (Cocoa butter), Synthetic fats.
Theobroma oil (Cocoa butter)
·        It is a yellowish-white solid having chocolate flavor.
·        It is a mixture of glyceryl esters of stearic, palmitic, oleic and other fatty acids.

Advantages:
(a)    A melting point range of 30 to 36 0C; hence it is solid at normal room temperatures but melts in the body.
(b)   Ready liquefaction on warming and rapid setting on cooling.
(c)    Miscibility with many ingredients.
(d)   Blandness i.e. does not produce irritation.

Disadvantages:
(a) Polymorphism
Cocoa butter has three polymorphs a-crystals (unstable, m.p. 200C), b-crystals (stable, m.p. 360C) and g-crystals (unstable, 150C).
When melted and cooled it solidifies in different crystalline forms, depending on the temperature of melting, rate of cooling and size of the mass. If melted below 360C and slowly cooled it forms stable b-crystals with normal melting point, but if over-heated it may produce, on cooling, unstable g-crystals, which melt at about 150C, or a-crystals, melting at about 200C. These unstable forms eventually return to the stable condition but this may take several days and meanwhile, the suppositories may not set at room temperature or, if set by cooling, may remelt in the warmth of the patient’s home.
This lowering of the solidification point can also lead to sedimentation of suspended solids. Consequently, great care must be taken to avoid over-heating the base when making theobroma oil suppositories.
(b) Adherence to mould
Because theobroma oil does not contract enough on cooling to loosen the suppositories in the mould, sticking may occur, particularly if the mould is worn. This is prevented by lubricating the mould before use.
(c) Softening point too low for hot climates
To raise the softening point, whit beeswax may be added to theobroma oil suppositories intended for use in tropical and subtropical countries.
(d) Melting point reduced by soluble ingredients
Substances, such as chloral hydrate, that dissolve in theobroma oil, may lower its melting point to such an extent that the suppositories are too soft for use. To restore the melting point, a controlled amount of white beeswax may be added.
(e) Slow deterioration during storage
This is due to oxidation of the unsaturated glycerides.
(f) Poor water absorbing capacity
This fault can be improved by the addition of emulsifying agents.
(g) Leakage from the body
Sometimes melted base escapes from the rectum or vagina. This is most troublesome with pessaries because of their larger size, and therefore, these are rarely made with theobroma oil.
(h) Relatively high cost

Synthetic fats
As a substitute of theobroma oil  a number of hydrogenated oils, e.g. hydrogenated edible oil, arachis oil, coconut oil, palm kernel oil, stearic and a mixture of oleic and stearic acids are recommended.
[N.B. Synthetic suppositories bases are by hydrogenation and subsequent heat treatment of vegetable oils such as palm oil and arachis oil. The oils are generally esters of unsaturated fatty acids. Hydrogenation saturates the unsaturated fatty acids and heat treatment splits some of the triglycerides into fatty acids and partial esters (mono- and di-glycerides). ]

Advantages of these synthetic fats over theobroma oil:
1.      Their solidifying points are unaffected by overheating.
2.      They have good resistance to oxidation because their unsaturated fatty acids have been reduced.
3.      Their emulsifying and water absorbing capacities are good. [They usually contain a proportion of partial glycerides some of which, e.g. glyceryl monostearate, are w/o emulsifying agents and, therefore, their emulsifying and water absorbing capacity are good.
4.      No mould lubricant is required because they contract significantly on cooling.
5.      They produce colorless, odourless and elegant suppositories.
Disadvantages:
1.      They should not be cooled in refrigerator because they become brittle if cooled quickly. Certain additives e.g. 0.05 % polysorbate80, help to correct this fault.
2.      They are more fluid than theobroma oil when melted and at this stage sedimentation rate is greater. Thickeners such as magnesium stearate , bentonite and colloidal silicon dioxide, may be added to reduce this.

WATER SOLUBLE AND WATER MISCIBLE BASES
Glycero-Gelatin base
·        This is a mixture of glycerol and water made into a stiff jelly by adding gelatin.
·        It is used for the preparation of jellies, suppositories and pessaries. The stiffness of the mass depends upon the proportion of gelatin used which is adjusted according to its use.
·        The base being hydrophilic in nature, slowly dissolves in the aqueous secretions and provide a slow continuous release of medicament. Glycerogelatin base is well suited for suppositories containing belladonna extract, boric acid, chloral hydrate, bromides, iodides, iodoform, opium, etc.
·        Depending upon the compatibility of the drugs used a suitable type of gelatin is selected for the purpose. Two types of gelatins are used as suppository base
(i)           Type-A or Pharmagel-A which is made by acid hydrolysis (has isoelectric point between 7 to 9 and on the acid side of the range behaves as a cationic agent, being most effective at pH 7 to 8. ) is       used for acidic drugs.
(ii)          Type-B or Pharmagel-B which is prepared by alkaline hydrolysis (having an isoelectric point                between 4.7 to 5 and on the alkaline side of the range behaves as an anionic agent, being most effective at pH 7             to 8 ) is used for alkaline drugs
Disadvantages:
Glycerogelain base suppositories are less commonly used than the fatty base suppositories because:
(i)     Glycerol has laxative action.
(ii)   They are more difficult to prepare and handle.
(iii) Their solution time depends on the content and quality of the gelatin and the age of the base.
(iv)  They are hygroscope, hence must be carefully stored.
(v)   Gelatin is incompatible with drugs those precipitate with the protein e.g. tannic acid, ferric chloride, gallic acid, etc.

Soap-Glycerin Suppositories
·        In this case gelatin and curd soap or sodium stearate which makes the glycerin sufficiently hard for suppositories and a large quantity of glycerin upto 95% of the mass can be incorporated.
·        Further the soap helps in the evacuation of glycerin.
·        The soap glycerin suppositories have the disadvantage that they are very hygroscopic, therefore they must be protected from atmosphere and wrapped in waxed paper or tin foil.
Polyethylene glycol bases / Macrogol bases (Carbowaxes)
Depending on their molecular weight they are available in different physical forms.
Examples of Macrogol bases:

I
II
III
IV

Macrogol 400
Macrogol 1000
Macrogol 1540
Macrogol 4000
Macrogol 6000
Water
-
-
-
33
47
20
-
-
33
-
47
20
20
-
33
-
47
-
-
75
-
25
-
-

By choosing a suitable combination a suppository base with the desired characteristics can be prepared.
Advantages:
1.      The mixtures generally have a melting point above 420C, hence, does not require cool storage and they are satisfactory for use in hot climate.
2.      Because of the high melting point they do not melt in the body cavity, rather they gradually dissolve and disperse, releasing the drug slowly.
3.      They do not stick to the wall of the mould since they contract significantly on cooling.

EMULSIFYING BASES
These are synthetic bases and a number of proprietary bases of very good quality are available, few of which are described below:
Witepsol
They consist of triglycerides of saturated vegetable acids (chain length C12 to C18) with varying proportions of partial esters.
Massa Esterium
This is another range of bases, consisting of a mixture of di-, tri- and mono- glycerides of saturated fatty acids with chain lengths of C11 to C17.
Massuppol
It consists of glyceryl esters mainly of lauric acid, to which a small amount of glyceryl monostearate has been added to improve its water absorbing  capacity.

Advantages of these bases over cocoa butter:
1.      Over heating does not alter the physical characteristics.
2.      They do not stick to the mould. They do not require previous lubrication of the mould
3.      They solidify rapidly.
4.      They are less liable to get rancid.
5.      They can absorb fairly large amount of aqueous liquids.

Preparation of Suppositories

Moulds

               The suppository and pessary moulds are made of metals and have four, six or twelve cavities. By removing a screw, they can be opened longitudinally for lubrication, extraction of the suppositories and cleaning.
[N.B. The interior of the mould should never be scrapped or rubbed with abrasive. For cleaning they are immersed in hot water containing detergent, wiped gently with soft cloth and rinsed thoroughly.]

Capacity of moulds

               The nominal capacities of the common moulds are 1g, 2g, 4g and 8g.

Calibration

               The nominal capacity of a mould varies with the base selected. Each mould should be calibrated before use by preparing a set of suppositories or pessaries using the base alone, weighing the products and taking the mean weight  as the true capacity. This procedure is repeated for each base.

Displacement value

               The volume of a suppository from a particular mould is uniform but its weight will differ with the density of the base.

Definition

               It is the quantity of the drug that displaces one part of the base. e.g. Zinc oxide, D = 5.

Calculation of displacement value

Formula for calculation of the amount of base required in each mould

Lubrication of mould
               If the cavities are imperfect, i.e. poorly polished or scratched, it may be difficult to remove the suppositories without damaging their surfaces. So lubrication of the moulds is necessary.
In case of greasy or oily base water soluble lubricants are required.
e.g. For cocoa butter the following lubricant solution formula may be used:
               Soft soap              10g
               Glycerol                              10ml
               Alcohol(90%)     50ml
For water soluble /miscible bases oily lubricant may be used. e.g. For glycero-gelatin base liquid paraffin or arachis oil may be used as lubricant.

Preparation method

(i) Cold Hand Shaping
1.      Drug is triturated in a mortar into fine powder.
2.      Cocoa butter is grated into small particles.
3.      Drug is mixed with small portion of cocoa butter in a mortar.
4.      One drop fixed vegetable oil is added to give plasticity to the mass.
5.      Remainder of the cocoa butter is added by geometric dilution (i.e. by adding the same amount of base as is already in the mortar), triturated wit pressure. Heat generated by trituration results in a plastic mass, which is cohesive and ready to roll.
6.      The mass is scrapped from the mortar with a spatula and rolled into a ball.
7.      An ointment tile is taken, dusted lightly with starch powder, ball is placed on it, rolled with a flat faced spatula to form a cylinder. The cylinder is cut into desired number of pieces with a sharp blade.
8.      One end of a suppository is held firmly with a finger and the other end is tapered with the spatula to give the shape of suppository.
(ii) Cold compression
               In this case an instrument known as compression mould is used.
1.      Drug is powdered and mixed with grated cocoa butter.
2.      The mixture is filled into a chilled cylinder. The mixture is pressed within the cylinder by a piston until a pressure is felt.
3.      Then the suppositories are expelled from the cylinder.


(iii) Fusion
               This is the main method of preparing suppositories.
1.      Drug is powdered in a mortar.
2.      Carefully grated cocoa butter is taken into a beaker and heated in a water bath. When 2/3rd portion is melted the beaker is taken out of the heat source. The rest of the mass is melted by stirring with a glass rod. [If cocoa butter is heated to clear liquid then unstable a, and g - crystals will form and the suppositories will remain in melted state at room temperature.]
3.      Drug is added into the beaker and stirred thoroughly to mix with the “creamy” base.
4.      The “creamy” melted base is then poured into previously lubricated mould.
5.      The mould is allowed to congeal, then placed in the refrigerator for 30 minutes to harden (forms stable b-crystal after 24 hours of refrigeration).
6.      Mould is taken out from the refrigerator and surface is trimmed off. The mould is opened and the suppositories are expelled out of the mould by gentle pressure with the finger.

Packaging and Dispensing

·     The suppositories are wrapped in aluminium foils. The aluminium foil is cut into the shape of a trapezium and the suppository is rolled in it. The two ends are folded.
·     Several such suppositories are best dispensed in sectioned-suppository boxes, ointment jars etc.
·     Upon dispensing the prescription, the pharmacist should advise the patient about the proper use of these suppositories.
·     The label should read: ‘Unwrap and insert through rectum.’
·     The patient is advised to ‘Keep the suppositories in a refrigerator’ to avoid melting in warm room temperature.

Ques: Dispense 12 nos. of suppositories of boric acid (D=1.6) each weighing 4 grams and containing 300mg of Boric acid. [5] (1998)
Calculation:
For boric acid suppositories cocoa butter can be used as base.
Since there will be some loss so two extra suppositories were prepared
Working Formula:
Ingredients
For 1 supp.
Conversion factor
For 14 supp.
Boric acid
Cocoa butter
0.3g
3.8125g
14

4.2g
53.8g

Preparation

The suppositories were prepared by fusion method.
1.      Since cocoa butter is an oily material so the moulds were lubricated by using the following lubricating solution of Soft soap 10g, Glycerol 10ml, Alcohol(90%) 50ml.
2.      Drug is powdered in a mortar.
3.      Carefully grated cocoa butter is taken into a beaker and heated in a water bath. When 2/3rd portion is melted the beaker is taken out of the heat source. The rest of the mass is melted by stirring with a glass rod.
4.      Drug is added into the beaker and stirred thoroughly to mix with the “creamy” base. The “creamy” melted base is then poured into previously lubricated mould.
5.      The mould is allowed to congeal, then placed in the refrigerator for 30 minutes to harden.
6.      Text Box: BORIC ACID SUPPOSITORY
12 suppositories
FOR RECTAL USE ONLY
For: Mr. P.Nayak  Age: 36yrs
Unwrap and insert through rectum.
Keep the suppositories in refrigerator
Prepared by: N.Mahapatra
Date: 01Jan2003   Sign.
Mould is taken out from the refrigerator and surface is trimmed off.

Packaging and Dispensing :          Aluminium foil was cut into the shape of a trapezium and the suppository was rolled in it. The two ends were folded. The suppositories were wrapped in aluminium foils. Twelve suppositories were packed in an ointment jar.

Advice to the patient:       Upon dispensing the prescription, the pharmacist should advise the patient about the proper use of these suppositories.



INHALATIONS

Definition:
These are liquid preparations containing volatile substances. They are used to relieve congestion and inflammation of the respiratory tract.
Mode of use:
Method-I: The liquid is taken in a handkerchief and inhaled. They include components those are volatile at room temperature.
Method-II: The liquid preparation is added to hot, but not boiling water (about 650C) and the vapor is inhaled for about 10 minutes. This type of inhalations includes simple solution of medicaments, dissolved in alcohol or aqueous dispersions, containing light magnesium carbonate to adsorb the volatile ingredients.

Ingredients:
Oils like eucalyptus oil, pine oil etc.
Solids like menthol, thymol, etc.

Example: of a prescription                            Rx
                                                                           Eucalyptus oil     10 ml
                                                                           Menthol                              3 gm
                                                                           Water upto          100ml

Preparation

(i)               Menthol is finely powdered in a glass mortar.
(ii)             The oil is added and stirred until menthol is dissolved.
(iii)           Light magnesium carbonate powder (1 gm MgCO3 for 2 ml oil and 1 gm MgCO3 for 2 gm menthol) is added in small amounts and mixed well in the mortar.
(iv)            Water is added to the mixture to produce a pourable cream.
(v)             The cream is transferred to a tared bottle. Mortar is rinsed and the rinsing is added to the bottle.

Packaging:
Narrow mouthed, screw-capped, and colorless fluted bottle is used.

Special instructions on label:
1.      ‘Not to be taken’.
2.      ‘Add one teaspoonful to a pint of hot, not boiling water and inhale the vapor.
[N.B. Us of boiling water would vaporize the ingredients too quickly and cause discomfort to the patient.]


SPRAY

Definition:
Sprays are preparations of drugs in aqueous, alcoholic or glycerin-containing media. They are applied to the nasal mucosae, throat or deep in the lungs with an atomizer or nebuliser.
Use:
·        Nasal sprays are used to reduce congestion in the nose and to treat infections in the nasal tract.
·        Throat spray are used for conditions such as laryngitis, pharyngitis and tosilitis.
·        Sprays for action in the lungs, e.g. Adrenaline and Atropine Spray, Compound B.P.C. produces bronchial relaxant action to relieve asthma and hay fever.
Container:
Small, narrow mouthed, screw-capped, colored, fluted bottles are used. Atomizers or nebulizers are used to reduce the liquid into fine droplets. There are three types of atomizer/nebulizers:
1.      Squeeze bottle type: The solution is squeezed through a nozzle to produce the droplets. Droplet size large.
2.      Atomizer: The solution is sprayed from a scent spray type of device. Droplets are large.
3.      Nebulizer: The larger droplets are removed (by baffles) and a very fine mist is produced.
When the aim is to retain the solution in the nasal tract the droplets may be larger but when the aim is to carry the droplets of liquids deep into the lungs then the droplets must be finer so a nebulizer is generally used.
N.B. When the droplets are carried to the lungs the solutions usually evaporates and becomes smaller. Those smaller droplets may be readily exhaled. To reduce the rate of evaporation a high vapor pressure liwuid like propylene glycol or glycerol is added to the solution.
Label:    “Not to be taken.”
Advice to the patient: The pharmacist should demonstrate the patient about the proper use of atomizer / nebulizer.

THROAT PAINTs

Questions:
1. Write short note on throat paint. [3] (2000)

Definition

Throat paints are viscous liquids for application in the throat mucosae with a soft brush.
Throat paints are viscous due to a high contact of glycerin, which being sticky, adhere to the affected site and prolong the action of the medicaments.
Examples:
1.      Compound Iodine Paint (Mandl’s Paint) – used for pharyngitis or tonsilitis
2.      Crystal Violet Paint – used for thrush.
3.      Phenol glycerin (diluted with equal volume of glycerin to reduce its causticity) produces analgesic effect in tonsilitis and ulcerative stomatitis.
4.      Tannic acid Glycerin, has astringent action, relieves from sore throat.

e.g. Mandl’s Throat Paint
Formula:              Potassium iodide                              25g
                              Iodine                                  12.5g
                              Alcohol 90%v/v                40ml
                              Water                                  25ml
                              Peppermint oil                   4ml
                              Glycerol upto                     1000ml

Method of preparation

(i)     Potassium iodide is dissolved in water.
(ii)   Iodine is added in the concentrated potassium iodide solutions to form KI3 (or higher iodides).
(iii) Peppermint oil is dissolved in alcohol 90%v/v and the alcoholic solution is added to the iodine solution.
(iv)  Volume is made up with glycerin.

Container

·        A wide mouthed, fluted, light resistant (required for peppermint oil), screw-capped, glass-jar is used.
·        A wax card liner is used for screw caps (because iodine attacks other materials).

Text Box: Rx
COMPOUND IODINE PAINT
25ml
For S.K. Das  Age: 35 years
Use before one month
Store in a cool place.
Shake the bottle before use.
Not to be swallowed in large amount.

Pepared by: N. Mathur Date: 01.01.03
Label

Advice to the patient:
Pharmacist should demonstrate the use of throat brush to the patient.











EYE DROPS

Questions:
1.      How are the eye drops made? What are the precautions to be taken in their preparation?[4]        [2001]
2.      Write a short note on preparation of eye drops. [5] (1998)

Definition

Eye drops are aqueous or oily solutions or suspensions for instilling into the conjunctival sac with a dropper.
Uses:
Local anaesthetic              – Xylocaine 4% eye drop
Anti-inflammatory            –Diclofenac sodium eye drop
Anti-septics                        – Povidone iodine eye drop
Diagnostic agents                             – Rose Bengal dye
Miotics                                – Pilocarpine eye drop
Mydriatics                          – Atropine sulphate, Homatropine, Cyclpentolate sodium eye drop.
Artificial tear

Formulation of eye drops.
1. Sterility
               A wide variety of microorganisms may cause eye infections.
Bacteria:              Staphylococcus aureus, Proteus vulgaris, Bacillus subtilis, Pseudomonas aeruginosa
Fungi:                   Aspergilus fumigatus
Virus:                   Certain adenovirus
               The Most dangerous organism is Pseudomonas aeruginosa, and it can grow even in simple salt solutions or in store distilled or deionized water used for preparation of eye drops.
Though intact cornea is not susceptible to infections but conjunctivas may get infected.
In case of accidental damage to cornea or after a surgical procedure the cornea may get badly ulcerated. So all eye drops should be sterile.
2. Foreign Particles
               The inflamed eye is very sensitive to particulate matter that cause discomfort. Larger particles may produce abrasion on cornea and infection may occur. So eye drops should be clarified to remove fibres and other solid contaminants.
               In case of suspension type eye drops 90% of the particle should be below 5mm and none of the particle should be larger than 50mm.
e.g. Hydrocortisonme acetate eye drop, Hydrocortisone and Neomycin eye drop.
3. Tonicity
               Lachrymal fluid is isotonic with 0.9%w/v sodium chloride solution. Eye drops having tonicity equivalent to sodium chloride solutions ranging in concentration from 0.5 to 2%w/v are generally well tolerated. Beyond this range the eye-drops may produce irritation or pain.

4. pH of eye drops
               Tear has pH of 7.4 and their buffering power (due to carbonic acid, weak organic acids and proteins) is enough to neutralize quickly the pH of unbuffered solutions over a wide range (pH 3.5 to 10.5) provided he volume is small (i.e. 1 to 2 drops only). So highly concentrated solutions of very acidic drugs and strongly buffered solutions will produce irritation.

5. Physicochemical nature of drug or preservative
               The chemical or physical nature of a medicament or preservative may produce pain.
e.g. Local anaesthetic amethocaine produces pain due to surface activity and by denarutation of protein.

6. Viscosity
               Sometimes, thickening agents are added to eye-drops to prolong the contact with eye.
Methlcellulose, hydroxypropylmethylcellulose (HPMC, Hypermellose) are generally used as thickening agents in 0.5 to 1%w/v.

PREPARATION OF EYE DROPS

Preparation of solution type eye-drops involves four steps:
1.      Preparation of a bactericidal and fungicidal vehicle
2.      Solution of the medicament(s) and adjuncts
3.      Clarification
4.      Sterilization
1. Preparation of bactericidal and fungicidal vehicle
               Aqueous eye-drops must be prepared in a bactericidal and fungicidal vehicle. In case of multiple-dos containers there is possibility of contamination during removal of each dose (i.e. drop).
Examples of preservatives used in eye-drops:
(i) Phenylmercuric nitrate                             0.002%w/v
    Phenylmercuric acetate                              0.002% w/v
(ii) Benzalkonium chloride            0.01%w/v
(iii) Chlorhexidine acetate                            0.01%w/v
(iv) Other             - Chlorocresol     0.05%w/v
                                Chlorobutol       0.5%w/v
                                Thiomersal        0.01%w/v
The rubber closures of the vials are pre-treated with preservative. Preservatives are dissolved in purified water to make a solution.



3. Dissolution of medicaments and adjuncts
Medicaments and adjuncts are weighed and dissolved in the vehicle, if required heated or cooled or by changing of pH.
4. Clarification
The solution is filtered to remove any particles. Membrane filter (Millipore AA) with a mean pore size of 0.8mm may be used to remove any particle.
5.  Sterilization
Three methods of sterilization of eye-drops are recommended
(i) Heating in an autoclave
If the product is thermostable then eye-drops, packed in the final container can be sterilized in an autoclave at 15psi pressure, 1210C temperature for 15minutes.
(ii) Maintaining at 98 to 1000C for 30 minutes
Medicaments those are not stable at autoclaving temperature (i.e. 1210C) but can be withstand a temperature of 1000C, can be sterilized by boiling the container (of eye-drop) in a water-bath at 98 to 1000C for 30 minutes.
(iii) Filtration
This method is used in case of thermolabile drugs.
Instruments used: Membrane filter of nominal pore size 0.22 ± 0.02 mm (e.g. Millipore GS) in a membrane holder.
The filtration apparatus, the filter membrane, receiver and the final container, closures are sterilized. The clarified solution is then passed through the membrane filter under pressure, collected in the receiver and transferred in the final containers and sealed. All these processes of filtering and transferring are done aseptically.

Precautions to be taken during preparation

1.      Some preservatives (like PMN or PMA) interact with plastic containers, rubber closures ­ hence appropriate packaging materials should be used. If the vehicle is stored then it should be sterilized before storage and should be used within one week.
2.      If the medicament is oxidized then it should be prepared in N2 or inert gas atmosphere.
3.      The filter membrane for clarification should not shed fibers or particles. Hence the filter-medium should be washed with purified water (previously passed through membrane filter) thoroughly.
4.      The membrane filters should maintain their integrity.
5.      Finally sterility tests should be carried out in each batch of eye-drops.

Container

For multiple-application containers:
(i) Traditional eye-dropper containers
(ii) Plastic container
(iii) Injection vials with separate dropper.

Label

The aims of labeling  eye-drops are
1. To prevent use of a contaminated product.
(a)    Eye-drops for home use:                 Warning: Avoid contamination during use.
(b)   For hospital out-patient department: “Sterile until opened”
                                                                           Warning: Use an unopened container for each patient who has
                                                                           undergone surgery, otherwise discard remainder at the end of a day.
(c) Eye-drops for hospital in-patients :               “Sterile until opened”
                                                                           Warning: Use a separate container for each eye of each patient and
                                                                           discard remainder one week after first opening.
(d) Eye-drops for operating theatre:     “Sterile until opened”
                                                                           Warning: Use an unopened container for each patient.
2. To prevent damage to the eyes
        Eye-drops for hospital use should have label mentioning the name of preservative used.
3. To prevent use of an incorrect preparations or strength
Eye drops for hospital use must be labeled with name of the preparation and the concentration of active ingredients.
4. Other information
        (i) Date of sterilization e.g. Sterilized 05.03.2003
        (ii)                 FOR EXTERNAL USE ONLY


EMULSIONS
Questions
1.      Classify emulsifying agents and discuss them. [8] (2001, 1998)
2.      Describe the wet gum method and dry gum method of preparation of arachis oil emulsion [4], (1999)
3.      Differentiate between emulsion and suspensions. Give a brief note on emulgents with suitable examples. [8] (1998)
 


Definition

An emulsion is a thermodynamically unstable dispersed system consisting of at least two immiscible liquid phase, one of which is dispersed as globules in the other liquid phase. The liquid that forms globules is called the internal phase or dispersed phase and the liquid in which the droplets are dispersed is called continuous phase or external phase.
The system is stabilized by the presence of an emulsifying agent or emulgents or emulsifiers.
Emulsified systems range from lotions of relatively low viscosity to ointments and creams, which are semisolid in nature.

Types of emulsions

(I) Ordinary emulsion systems / Primary emulsion systems / Simple emulsion systems
               (i) o/w type -      oil dispersed in water
                                                            oil          ® dispersed phase            water     ® continuous phase
               (ii) w/o type -     water dispersed in oil
                                                            water     ® dispersed phase            oil          ® continuous phase
(II) Special emulsion systems
               (i) Multiple emulsions ®                              w/o/w - type       and         o/w/o - type
               (ii) Micro emulsion

Determination of types of emulsions

               Several methods are commonly used to determine the type of emulsion. The types of emulsion determined by one method should always be confirmed by means of second method.
(1) Dye solubility test
A small amount of a water soluble dye (e.g. methylene blue or brilliant blue) may be dusted on the surface of the emulsion.
               If water is the external phase (i.e. o/w type) then the dye will be dissolved uniformly throughout the media.
               If the emulsion is of the w/o -type then particles of dye will lie in clumps on the surface.
(2) Dilution test
               This method involves dilution of the emulsion with water. If the emulsion mixes freely with the water, it is of o/w -type. Generally, addition of disperse phase will crack an emulsion.
(3) Conductivity test
               This test employs a pair of electrodes connected to an external electric source and immersed in the emulsion. If the external phase is water, a current will pass through the emulsion and can be made to deflect a volt-meter needle or cause a light in the circuit to glow. if the oil is the continuous phase then the emulsion will fail to carry the current.
Methods for determination of emulsion type:
Test
Observation
Comments
1. Dilution test

2. Dye test


3. Conductivity test


4. Fluorescence test


5. CoCl2  / filter paper test
Emulsion can be diluted only with external phase.
Water-soluble solid dye tints only o/w emulsion and reverse. Microscopic observation usually is helpful.
Electric current is conducted by o/w emulsions, owing to the presence of ionic species in water.
Since oils fluoresce under UV-light, o/w emulsions exhibit dot pattern, w/o emulsions fluoresce throughout.
Filter paper impregnated with CoCl2 and dried (blue) changes to pink when (o/w) emulsion is added.
Useful for liquid emulsions only.

May fail if ionic emulsifiers are present.

Fails in nonionic o/w emulsions.


Not always applicable


May fail if emulsion is unstable or breaks in presence of electrolyte.


Additives used in emulsion dosage forms

A. Oil phase
The choice of lipid phase depends on the ultimate use of the product.
(i)     If the oily phase is the active-ingredient itself (e.g. liquid paraffin emulsion) the formulator has nothing to chose from.
(ii)   The drug in a pharmaceutical preparation should not be too soluble in lipid phase then it will reduce the rate of transfer of the drug molecule to other phases.
(iii) Emulsions prepared for topical purpose (e.g. cosmetics and pharmaceutical emulsions) should possess a good “feel”. Emulsions normally leave a residue of the oily components on the skin after the water has evaporated. Therefore, the tactile characteristics of the combined oil phase are of great importance in determining consumer acceptance of an emulsion

TABLE 1:            Ingredients for oil-phase of emulsions
Class
Identity
Consistency
Hydrocarbon
Hydrocarbon
Hydrocarbon
Hydrocarbon
Ester
Ester
Ester
Ester
Alcohols
Fatty acids
Ethers
Silicones
Mixed
Mixed
Mineral oils
Petrolatum
Polyethylene waxes
Microcrystalline waxes
Vegetable oils
Animal fats
Lanolin
Synthetic (e.g. isopropyl myristate)
Long chain (natural & synthetic)
Long chain (natural & synthetic)
Polyoxypropylenes
Substituted silicones
Plant waxes (e.g. Candellia)
Animal waxes (e.g. Beeswax)
Fluids of varying viscosity
Semisolid
Solids
Solids
Fluids of varying viscosity
Fluids or solids
Semisolid
Fluids
Fluids or solids
Fluids or solids
Fluids of varying viscosity
Fluids of varying viscosity
Solid
Solid

B. Emulsifying agent: The emulsifying agents stabilize an emulsion by various mechanisms. They are also known as emulgents or emulsifiers.
Classification of emulsifiers:
Type
Examples
Mode of action


Hydrophilic colloids

Vegetable source

Gum acacia
Tragacanth
Starch

Animal source

Wool fat
Egg yolk
Gelatin

Synthetic

Methyl cellulose, Hydroxyethyl cellulose,
(i)     They do not reduce the surface tension but forms a rigid film on the oil droplets and form a stable o/w emulsion - thus inhibits coalescence of droplets.
(ii)   As an auxiliary emulsifier they increase the viscosity of the continuous phase so that movement of dispersed phase is reduced.





Finely divided solid particles

Colloidal clays:

bentonite (aluminium silicate)

veegum (magnesium aluminium silicate).

(i)     They tend to absorb at the oil-water-interface and form thick impenetrable films.
(ii)   Sometimes increases the viscosity of water (as continuous phase).







Synthetic Surface Active Agents

Anionic

Potassium stearate
Sodium lauryl sulphate

Cationic

Cetyl trimethyl ammonium bromide (or cetrimide)

Ampholytic

N-dodecyl alanine

Non-ionic

Sorbitan mono-oleate
(TWEEN)
Polyoxyethylene sorbitan mono-oleate (Polysorbate)


(i)     They form a flexible film on the oil-water interface.
(ii)   They lower interfacial tension markedly and this contributes to the stability of emulsion.
In case of ionic surfactants surface charge is developed, increasing the zeta-potential, which will cause repulsion between two adjacent globules.








C. Preservatives
Sources of contamination:
(i)     Contaminated raw materials
(ii)   Poor sanitation during preparation
(iii) Contamination by the end users
Substrates of contamination:
(i)     Mainly the water phase is a good medium for microbial growth.
(ii)   Some ingredients, such as carbohydrates, pectin, proteins, sterols, and phosphates readily supports the growth of a variety of microorganisms.
Preservatives commonly used:
               Chlorocresol, chlorobutanol, mercurials [e.g. phenyl mercuric nitrate (PMN), phenyl mercuric acetate (PMA), esters of parahydroxy benzoate (methyl, propyl, butyl, benzyl paraben), sodium benzoate, sorbic acid etc.

               Since microorganisms can reside in the water or the lipid phase or both, the preservative should be available at an effective level in both phases. So it is advisable to add oil soluble and water soluble preservative simultaneously.
A good example is methyl and propyl paraben. In this case methyl paraben is soluble in water while propyl and higher esters are almost water-insoluble.

D. Antioxidants
               The inclusion of an antioxidant in an emulsion formulation may be necessary to protect, not only an active ingredient but also formulation components (e.g. unsaturated lipids) which are oxygen labile.
Oxidation occurs spontaneously under mild conditions generally involved some free radical reactions.
Kinetic measurements of fat oxidation in o/w emulsions indicate that the rate of oxidation is dependent on
(i)     the rate of oxygen diffusion in the system,
(ii)   oxygen pressure (i.e. oxygen content)
(iii) trace element of metal such as Cu, Mn, or Fe or their ions may catalyze the oxidative reactions. Thus the use of chelating agents, in a formulation may markedly improve product stability.
(iv)  Some oxidative degradation is pH dependent. So the pH stability profile of the drug and of protective formulation should be established during product development.

List of selected antioxidants for emulsion system:
1. Chelating agents           e.g. Citric acid, EDTA (Ethylene diamine tetraacetic acid), Phenyl alanine
Phosphoric acid (H3PO4)’ Tartaric acid
2. Preferentially oxidized compounds (Reducing agents)
                                             e.g. Ascorbic acid, Sodium sulphite (Na2SO3), Sodium bisulfite (NaHSO3)
Sodium metabisulfite (Na2S2O5)
3. Chain terminators
               Water soluble compounds e.g. Cystine hydrochloride, Thioglycerol, Thioglycollic acid, Thiosorbitol
               Lipid soluble compounds  e.g. Alkyl gallates (octyl, propyl, dodecyl), Butylated hydroxy toluene (BHT)
Butylated hydroxy anisole (BHA), a-tocopherol (Vit-E)
Hydroquinone



Preparation of Emulsions


Emulsions can be prepared by the following methods:
1.      Dry gum method
2.      Wet gum method
3.      Bottle method

Generally all the emulsions for oral purpose are prepared with gum acacia. To prepare a thick acacia emulsions, using mortar and pestle, a thick primary emulsion must be made first. The quantities for primaru emulsions have been obtained by experience and are given in table 2.

TABLE 2. Quantities for primary emulsions prepared by gum acacia
Type of Oil
Examples
Quantities for primary emulsion (parts)
Oil
Water
Gum
Fixed
Almont oil
Arachis oil
Castor oil
Cod-liver oil
4
2
1
Mineral
Liquid paraffin
3
2
1
Volatile oil
Turpentine oil
Cinnamon oil
Peppermint oil
2
2
1
Oleo-resin
Male Fern Extract
1
2
1

1. Dry gum method
·        The oil is measured with  dry, clean measuring cylinder and taken in a mortar .
·        The required quantity of gum acacia powder is taken in the mortar and triturated with the oil until it is dispersed.
·        Water required to prepare the primary emulsion is added at once into the oil and triturated vigorously with the pestle until a clicking (or characteristic cracking) sound appears. This thick, white or nearly white cream is called primary emulsion.
·        More water is added to this primary emulsion to produce the required volume.
·        If any soluble ingredients are to be added it is added in the second part of the water.

2. Wet gum method
·        The calculated quantity of gum is triturated with water (quantity required for primary emulsion) in a mortar with a pestle to form a mucilage.
·        Given amount of oil is incorporated in the mucilage in small portions with rapid trituration until a clicking sound is produced and the product becomes white or nearly white. Thus a primary emulsion is formed.
·        More water is added to produce the volume.

3. Bottle method
This method is used for the preparation of emulsions of volatile and other non-viscous oils.
N.B. Because of low viscosity the volatile oils require greater amount of gums.
The emulsion may be prepared both by dry gum and wet gum method.
·        By dry gum method the oil and gum are taken in a stoppered bottle and shaken vigorously, then water (required to form primary emulsion) is taken and shake vigorously to form the primary emulsion. Water is added to produce the volume.
·        By wet gum method gum and water (required for primary emulsion) are taken in stoppered bottle and shaken produce a mucilage. Oil is added and shaken vigorously to form the primary emulsion and then required amount of water is added to produce the volume.

Problems of emulsion systems
The physical stability of an emulsion system is evidenced by (i) creaming, (ii) flocculation and / or (iii)coalescence.
Creaming
Creaming is the upward or downward movement of dispersed droplets related to the continuous phase due to the difference of density between two phases.
Creaming is undesirable in a pharmaceutical product where homogeneity is essential for the administration of correct and uniform dose. It may still be acceptable if it can be redispersed by a moderate shaking. However, in case of cosmetic products creaming is usually unacceptable because it makes the product inelegant.
Creaming or sedimentation brings the particle closer together and may facilitate a serious problem of coalescence.
The rate at which a spherical droplet or particle sediments in a liquid is governed by Stoke’s equation.
               d2(r1 - r2)g                         where    v = velocity of creaming
v    =                                                                  d = diameter of globule
                     18h                                               r1 , r2 = densities of dispersed phase and continuous phase respectively
                                                                           h  =  viscosity of the continuous medium
A consideration of this equation shows that the rate of creaming will be decreased by:
(i)     reduction of droplet size
(ii)   a decrease in the density difference between the two phases
(iii) increase in the viscosity of the continuous phase
Flocculation
Flocculation is reversible aggregation of droplets of the internal phase in the form of three-dimensional  clusters.
In the floccules the droplets remain aggregated but intact. The droplets can remain intact when the mechanical or electrical barrier is sufficient to prevent droplet coalescence.
e.g. if an insufficient amount of emulsifier is present, emulsion droplets aggregate and coalesce.
Coalescence
Coalescence is a growth process during which the emulsified particles join to form larger particles.
Any evidence for the formation of larger droplets by merger of smaller droplets suggests that the emulsion will eventually separate completely. Coalescence ultimately leads to phase separation – this phenomenon is known as “cracking of emulsion”.
Remedy:
Addition of a strong protective coating on the oil droplets either by a hydrocolloid or fine particulate emulsifier.
Other problems
Any agent that will destroy the interfacial film will crack the emulsion. Some factors are:
(i)     the addition of a chemical  that is incompatible with the emulsifying agent. Examples include surfactants of opposite ionic charges, addition of large ions of opposite charge, addition of electrolytes such as Ca and Mg salts to emulsions stabilized with anionic surfactants.
(ii)   Bacterial growth: Protein materials and non-ionic surfactants are excellent media for bacterial growth.
(iii) Temperature change: Protein emulsifying agent may be denatured and the solubility characteristics of non-ionic emulsifying agents change with a rise in temperature. Heating above 700C destroys almost all emulsions. Freezing will crack an emulsion; this may be due to the ice-crystals disrupting the interfacial film around the droplet.

Difference between emulsion and suspension

Emulsions
Suspensions
1.      They contain two immiscible liquids, one of which is dispensed as minute globules into the other.
2.      Emulsifying agents are required to make a stable emulsion.
3.      Emulsions are mainly of two types: o/w and w/o.

4.      During storage, freezing should be avoided as it may lead to cracking of emulsion.
1.      They contain finely divided solid particles dispersed in a liquid or semisolid vehicle.
2.      Suspending agents are required to make a stable suspension.
3.      Suspensions are mainly of two types:
(i) Flocculated and (ii) De-flocculated.
4.      During storage, freezing should be avoided as it may lead to aggregation of suspended particles.

Container: Wide mouthed, screw capped, colourless, plain bottles are used.
Label Instruction: “Shake the bottle before use.”  “Do not keep in refrigerator.”