Chapter 1 I. Pharmaceutics: Applied multidisciplinary science and technology A. General area of study concerned with: 1. Formulation 2. Manufacture 3.

Stability 4. Bioavailability 5. Effectiveness of Pharmaceutical Dosage Forms B. Pharmaceutical Dosage Forms 1. Homogeneous Systems: Molecular Dispersions (X < 1 nm) a. Solutions: Oral & Parenteral Solutions 2. Heterogeneous Systems: a. Colloidal Dispersion (1 <X < 500 nm) 1. Microemulsion b. Coarse Dispersion (500 < X < 100,000 nm) 1. Emulsion, Cream, Suspension II. Dosage Form Design A. Drug substances: seldom administered alone, but rather as a part of a formulation in combination with one or more inactive non-medical agents that serve varied and specialized pharmaceutical functions 1. Dosage Form = Drug + Pharm Excipients B. Factors Considered in Dosage Form Design 1. Nature of illness 2. Application site: Local or Systemic 3. Therapeutic effect 4. Convenience method of administration 5. Manufacturing technology 6. Cost C. Functions of Pharmaceutical Excipients 1. Solubilize 2. Suspend 3. Thicken 4. Dilute 5. Emulsify 6. Stabilize 7. Preserve 8. Color 9. Flavor 10. Fashion medicinal agents into efficacious and appealing dosage forms D. Desired Characteristics of Pharmaceutical Dosage Forms 1. Therapeutic Efficacy 2. Reliability - Stability 3. Safety - Toxicity 4. Easy to administer 5. Attractiveness

6. Cost E. Need for Pharmacological Dosage Forms 1. Mechanism for the safe and convenient delivery of accurate dosage 2. Protection of a drug substance from destructive influences of atmospheric oxygen or humidity 3. Protection from influence of gastric acid after oral administration 4. To mask taste of offensive drugs 5. To provide liquid preparations of substances that is either insoluble or unstable 6. To provide clear liquid dosage forms 7. To provide time-controlled release of drugs 8. To provide optimal topical administration 9. To provide for the insertion of a drug into one of the bodys orifices 10. To provide for placement of drugs into the blood stream 11. To provide for lung inhalation of drugs F. Types of Dosage Forms 1. Syrups 2. Elixirs 3. Suspensions 4. Emulsions 5. Parenteral 6. Capsules 7. Tablets 8. Ointments 9. Creams 10. Suppositories 11. Aerosols 12. Others G. Examples of Advanced Drug Delivery Systems Route of Administration Technology Drug Marketed Oral Osmotic Pressure Nifedipine (Procardia XL) Phenylpropanolamine (Acutrim) Transdermal Permeation & Diffusion through Nitroglycerin; Fentanyl; Estradiol; Polymer Scopolamine; Testosterone Ocular Diffusion through Polymer (EVA) Pilocarpine (Ocusert) Implant Diffusion & Erosion through Gosereline Acetate (Zoladex) Polymer Levonorgestrel (Norplant) Parenteral Liposome Amphotericin B Doxorubicin (Doxil) III. Development Activities for Pharmaceutical Product Formulations A. Drug Substance B. Determination of Desired Drug Dosage Form: Therapeutic, Manufacturing, and Economic Factors 1. Drugs physical and chemical properties 2. Dose of the drug 3. Administration route 4. Desired therapeutic effect

5. Type of drug product desired 6. Bioavailability of the drug C. Preformulation Studies: Polymorphism, K, pKa, 1. Physical Description a. Appearance b. Color c. Odor d. Taste 2. Microscopic Examination a. Particle size and range of raw drug substance b. Crystal structure c. Crystal shape: Needle, Rod, Circular, Oval 3. Particle Size a. Effects on 1. Drug dissolution rate 2. Bioavailability 3. Content uniformity 4. Flow characteristics 5. Sedimentation rates b. Methods of Evaluation 1. Sieving or screening 2. Microscopy 3. Sedimentation 4. Stream scanning a. Coulter Counter-Electric conductance b. Hiac Counter-Light blockage 4. Partition Coefficient & Dissociation Constant a. Drug needs to cross a biological membrane to have pharmacological response b. Biological membrane 1. Protein and lipid material 2. Lipophilic barrier to most drug c. Dissociation Constant, pKa and pKb 1. Extent of ionization 2. Henderson-Hasselbalch equation d. K = concentration of drug in octanol concentration of drug in water e. wA pH = pka + log ([I]/[U]) f. wB pH = pkw pkb + log ([U]/[I]) g. pH = pka + log [I]/[U] 1 = 3 + log [I]/[U] 1-3 = log [I]/[U] Antilog (-2) = 0.01 [I]/[U] = 0.01/1 = 1/100 [I] = 1/(100+1) x 100 = 0.99% [U] = 100/(100+1) x 100 = 99.01%

5. Polymorphism a. Crystal or amorphous form 1. Dissolution rate: amorphous > crystal form 2. Melting point 3. Others: density, vapor pressure, stability b. Methods of Evaluation 1. Microscopy 2. Hot-stage methods 3. X-ray powder diffraction/Vermiculite Clay a. X-rays: electromagnetic radiation of wavelength about 1 Ao b. As an X-ray beam travels through any substance, its intensity decreases with the distance traveled through the substance c. Each crystalline solid has its unique characteristic X-ray powder diffraction pattern 4. Infrared spectroscopy 5. Thermal methods: differential scanning calorimetry, DSC a. Differential Scanning Calorimetry (DSC): measures amount of heat energy absorbed or released by a sample as it is heated, cooled, or held a constant temperature b. DSC application: determination of MP, Heat of Fusion, Glass Transition (Tg), Curing, and Crystallization studies. c. DSC Thermograms of an Acetate Salt of an Organic Amine 6. Solubility: drug must possess some aqueous solubility for therapeutic efficacy a. Solubility can be improved by 1. Salt formation 2. pH (acidic or basic substances) 3. Cosolvent systems: propylene glycol, glycerin, sorbitol, polyethylene glycols 4. Surfactants 5. Complexation b. Surfactant: micelles = micellular solubilizations c. Complexation: molecular bonding of two drug molecules (theophylline, phenobarbital) 7. Dissolution Rate: time to take for the drug to dissolve in the fluids at the absorption site a. DR of a solid drug is sometimes the rate-limiting step in the absorption process b. DR may affect: Onset, Intensity, Duration of Therapeutic Effect, Bioavailability of the drug from the dosage form c. Factors affecting DR: Particle Size, Surface Area, Polymorphism, and Excipient, pH, Temp, Viscosity, and Agitation d. Modified Noyes-Whitney equation: dC/dt = k S (Cs -Ct) 1. dC/dt = rate of dissolution 2. k = dissolution rate constant 3. S = surface area of the dissolving solid 4. Cs = saturation concentration of drug in diffusion layer 5. Ct = concentration of drug in dissolution medium at time t

e. Particle Size dec., S^, DR^, F(bioavailability)^ f. Dissolution Apparatus 1. Distilled water 2. SGF = simulated gastric fluid, pH=1.2 3. SIF = simulated intestinal fluid, pH=7.5 4. HPLC = high pressure liquid chromatography 8. Membrane Permeability: early assessment of passage of drug molecules across biological membranes; animal intestine, skin, nasal membranes and cell cultured membranes a. Drug Absorption Rate Drug Permeation Rate across Biological Membrane b. Application of physical-chemical properties of drug to predict absorption expectation through biological membranes 9. Drug Stability a. Evaluation of the stability of pure drug is one of the most important activities of preformulation study b. Solid state stability studies of the drug alone and in the presence of excipients provide a key information for the development of solid dosage forms c. Solution stability studies are conducted in various pharmaceutical solvents 1. In aqueous systems: pH-stability profile d. Evaluation of possible degradation pathways of a drug from the chemical structure of the drug 1. Hydrolysis 2. Oxidation 3. Decarboxylation 4. Deamination 5. Racemization and Polymerization D. Formulation Development Studies: Drug Stability, Drug Release, Bioavailability, Clinical Effectiveness E. Pilot Scale Up Studies F. Large Scale Production IV. Chemical Degradation Reactions of Drugs A. Reactions 1. Hydrolysis: Esters and Amides a. Aspirin + H2O SA + HAC 2. Oxidation: CH3CH2OH (O) CH3CHO (O) CH3COOH 3. Decarboxylation: R COOH RH + CO2 4. Deamination: R NH2 (in acidic solution) RH + NH4OH 5. Racemization: Pharmacological activity of D form of adrenaline < L form of adrenaline (epinephrine) 6. Polymerization: HCHO (antiseptic) (CH2O)3 (Trimer of formaldehyde is inactive) B. Pharmaceutic Ingredients 1. Acidifying Agent: acidic pH; Used in liquid preparations to provide acidic medium for product stability a. Examples: acetic acid, citric acid, fumaric acid, hydrochloric acid, nitric acid 2. Alkalinizing Agent: basic (alkaline) pH; Used in liquid preparations to provide alkaline medium for product stability

a. Examples: ammonia solution, ammonium carbonate, diethanolamine, monoethanolamine, potassium hydroxide 3. Adsorbent: permeates through matrix; agent capable of holding other molecules onto its surface by physical or chemical (chemisorption) means a. Examples: powdered cellulose, activated charcoal 4. Aerosol Propellant: agent responsible for developing the pressure within an aerosol container and expelling the product when the valve is opened a. Examples: carbon dioxide, dichlorodifluoromethane, dichlorotetrafluoroethane, trichloromonofluoromethane 5. Air Displacement: agent which is employed to displace air in a hermetically sealed container to enhance product stability a. Examples: nitrogen 6. Antifungal Preservative: Used in liquid and semi-solid preparations to prevent the growth of fungi a. Effectiveness of the parabens is usually enhanced when they are used in combination b. Examples: benzoic acid, butylparaben, ethylparaben, methylparaben 7. Antimicrobial Preservative: antifungal and antimicrobial; Used in liquid and semi-solid preparations to prevent the growth of microorganisms a. Examples: benzalkonium chloride, benzethonium chloride, benzyl alcohol, cetylpyridinium chloride, chlorobutanol 8. Antioxidant: prevents drug from oxidizing; agent which inhibits oxidation and thus is used to prevent the deterioration of preparations by the oxidative process a. Examples: ascorbic acid, ascorbyl palmitate, butylated hydroxyanisole, butylated hydroxytoluene, hypophophorous acid, monothioglycerol 9. Buffering Agent: Used to resist change in pH upon dilution or addition of acid or alkali a. Examples: potassium metaphosphate, potassium phosphate, monobasic sodium acetate, sodium citrate anhydrous, sodium citrate dihydrate 10. Chelating Agent: substance that forms stable, water soluble complexes (chelates) with metals a. Used in some liquid pharmaceuticals as stabilizers to complex heavy metals which might promote instability (sequestering agent) b. Examples: edetate disodium, edetic acid 11. Colorant: Used to impart color to liquid and solid (tablets & capsules) pharmaceutical preparations a. Examples: FD&C Red N0 3; FD&C Red N0 20; FD&C Yellow N0 6; FD&C Blue N0 2; D&C Green N0 5; D&C Orange N0 5; D&C Red N0; caramel; ferric oxide 12. Clarifying Agent: Used as a filtering aid because of adsorbent qualities a. Examples: bentonite 13. Emulsifying Agent: o/w; Used to promote and maintain the dispersion of finely subdivided particles of a liquid in a vehicle in which it is immiscible a. End product may be a liquid emulsion or semisolid emulsion (cream) b. Examples: acacia, cetomacrogol, cetyl alcohol; glyceryl monostearate, sorbitan monooleate, polyoxyethylene 50 stearate, Polyoxyethylene (20) sorbitan monooleate (Tween80)

14. Encapsulating Agent: gelatin; Used to form thin shells for the purpose of enclosing a drug substance or drug formulation for ease of administration a. Examples: gelatin, cellulose acetate phthalate 15. Flavorant: Used to impart a pleasant flavor and often odor a pharmaceutical preparation a. In addition to the natural flavorants, many synthetic flavorants are also used b. Examples: anise oil, cinnamon oil, cocoa, menthol, orange oil, peppermint oil, vanillin 16. Humectant: keeps humidity inside drug; prevent drying out of preparations, particularly ointments and creams, due to the agents ability to retain moisture a. Examples: glycerin, propylene glycol, sorbitol 17. Levigating Agent: reduces particle size; liquid used as an intervening agent to reduce the particle size of a drug powder by grinding together, usually in a mortar a. Examples: mineral oil, glycerin 18. Ointment Base: semi-solid vehicle into which drug substances may be incorporated in preparing medicated ointments a. Examples: lanolin, hydrophilic ointment, petrolatum, hydrophilic petrolatum, polyethylene glycol ointment, white ointment, yellow ointment, rose water ointment 19. Plasticizer: Used as a component of film-coating solution to enhance the spread of the coat over tablets, beads, and granules a. Examples: diethyl phthalate, Glycerin, Sorbitol 20. Solvent: agent used to dissolve another pharmaceutical substance or a drug in the preparation of a solution a. May be aqueous or nonaqueous (oleaginous) b. Cosolvents: water and alcohol (hydroalcoholic) and water and glycerin, may be used when needed c. Solvents rendered sterile are used in certain preparations (e.g., injections) d. Examples: alcohol, corn oil, cottonseed oil, glycerin, isopropyl alcohol, mineral oil, oleic oil, peanut oil, purified water, water for injection, sterile water for injection, sterile water for irrigation 21. Stiffening Agent: hardens; Used to increase the thickness or hardness of a pharmaceutical preparation, usually an ointment a. Examples: cetyl alcohol, cetyl esters wax, microcrystalline wax, paraffin, stearyl alcohol, white wax, yellow wax 22. Suppository Base: Used as a vehicle into which drug substances are incorporated in the preparation of suppositories a. Examples: cocoa butter, polyethylene glycols (mixtures) 23. Surfactant (surface active agent): Substances which absorb to surfaces or interfaces to reduce surface or interfacial tension a. May be used as wetting agents, detergents or emulsifying agents b. Examples: benzalkonium chloride, nonoxynol 10, oxtoxynol 9, polysorbate 80, sodium lauryl sulfate, sorbitan monopalmitate, Sodium stearate 24. Suspending Agent: viscosity increasing agent used to reduce the rate of sedimentation of (drug) particles dispersed throughout a vehicle in which they are not soluble

a. Resultant suspensions may be formulated for use orally, parenterally, ophthalmically, topically, or by other routes b. Examples: agar, bentonite, carbomer (Carbopol), carboxymethylcellulose sodium, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropyl methylcellulose, kaolin, methylcellulose, tragacanth, veegum 25. Sweetening Agent: Used to impart sweetness to a preparation a. Examples: aspartame, dextrose, glycerin, mannitol, saccharin sodium, sorbitol, sucrose 26. Tablet Anti-adherents: Agents which prevent the sticking of tablet formulation ingredients to punches and dies in a tableting machine during production a. Examples: magnesium stearate, talc b. Tablet Compression- Single Punch Press 1. Hopper 2. Feed shoe 3. Weight adjust collar 4. Upper Punch 5. Pressure control 6. Die table c. Tablet Compression Cycle 27. Tablet Binders: Substances used to cause adhesion of powder particles in tablet granulations a. Examples: acacia, alginic acid, carboxymethylcellulose sodium, compressible sugar (Nu-Tab), ethylcellulose, gelatin, liquid glucose, methylcellulose, povidone pregelatinized starch 28. Tablet & Capsule Diluent: Insert substances used as fillers to create the desired bulk, flow properties, and compression characteristics in the preparation of tablets and capsules a. Examples: dibasic calcium phosphate, kaolin, lactose, mannitol, microcrystalline cellulose, powdered cellulose, precipitated calcium carbonate, sorbitol, starch 29. Tablet Coating Agent: Used to coat a formed tablet for the purpose of protecting against drug decomposition by atmospheric oxygen or humidity, to provide a desired release pattern for the drug substance after administration, to mask the taste or odor of the drug substance or for aesthetic purpose a. May be of various types, including sugar coating, film coating, or enteric coating b. Water-insoluble coatings (ethylcellulose) may be used to coat tablets and beads to slow the release of drug as they pass through the gastrointestinal tract c. Sugar Coating: water-based and results in a thickened covering around a formed tablet; generally start to break up in the stomach 1. Examples: liquid glucose, sucrose d. Film Coating: film coat a thin cover around a formed tablet or bead 1. Unless it is an enteric coat, the film coat will dissolve in the stomach 2. Examples: hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropyl methylcellulose, methylcellulose (Methocel), ethylcellulose (Ethocel) e. Enteric Coating: pass the stomach and break up in the intestines

1. Examples: cellulose acetate phthalate (CAP) a. Shellac: 35% in alcohol, pharmaceutical glaze 30. Tablet Direct Compression Excipient: Used in direct compression tablet formulations a. Examples: dibasic calcium phosphate (Ditab), Freeze dried lactose, Microcrystalline cellulose (Avicel) 31. Tablet Disintegrant: easily dissolvable; Used in solid dosage forms to promote disruption of solid mass into smaller particles which are more readily dispersed or dissolved a. Examples: alginic acid, carboxymethylcellulose calcium, microcrystalline cellulose (Avicel), polacrilin potassium (Amberlite), sodium alginate, sodium starch glycollate, starch 32. Tablet & Capsule Glidant: Agents used in tablet and capsule formulations to improve the flow properties of the powder mixture a. Examples: colloidal silica, cornstarch, talc 33. Tablet Lubricant: Substances used in tablet formulations to reduce friction during tablet compression a. Examples: calcium stearate, magnesium stearate, mineral oil, stearic acid, zinc stearate 34. Tablet/Capsule Opaquant: Used to render a capsule or a tablet coating opaque a. May be used alone or in combination with a colorant b. Examples: titanium dioxide 35. Tablet Polishing Agent: Used to impart an attractive sheen to coated tablets a. Examples: carnauba wax, white wax 36. Tonicity Agent: Used to render a solution similar in osmotic characteristics to physiologic fluids a. Ophthalmic, parenteral, and irrigation fluids are examples of preparations in which tonicity is a consideration b. Examples: dextrose, sodium chloride 37. Vehicle: carrying agent for a drug substance; used in formulating a variety of liquid dosage for oral and parenteral administration a. Oral liquids: aqueous preparations (as syrups) or hydroalcoholic (as elixirs) b. Parenteral solutions for IV: aqueous c. Intramuscular injections: aqueous or oleaginous d. Examples 1. Flavored/Sweetened: acacia syrup, aromatic syrup, aromatic elixir, cherry syrup, cocoa syrup, syrup 2. Oleaginous: corn oil, mineral oil, peanut oil, sesame oil, 3. Sterile: bacteriostatic sodium chloride injection, bacteriostatic water for injection 38. Viscosity Increasing Agent: change the consistency of a preparation to render it more resistant to flow a. Used in suspensions to deter sedimentation, in ophthalmic solutions to enhance contact time (methylcellulose), to thicken topical creams b. Examples: alginic acid, bentonite, carbomer, carboxymethylcellulose sodium C. Drug and pharmaceutical excipients

1. Tablet Rx a. Active drug b. Diluent c. Binder d. Disintegrant e. Lubricant f. Color g. Flavor 2. Emulsion Rx a. Drug b. Oil c. Wt d. Surfactant e. Stabilizer V. Pharmacopeias A. United States Pharmacopeia/National Formulary (USP/NF) 1. USP and NF adopt standards for drug substances, pharmaceutical ingredients, and dosage forms reflecting the best in the current practices of medicine and pharmacy and provide suitable tests and assay procedures for demonstrating compliance with these standards B. British Pharmacopeia (BP) C. European Pharmacopeia (EP) D. Japanese Pharmacopeia (JP)