Monday, 19 September 2011

Dry Syrups


Dry syrups which are also known as powder for suspension are dosage forms that contain the medication in powder form. This solid powder should be reconstituted by dissolving or suspending in water before administration. Dry syrup is usually suitable for children and elderly patients because of easy administration. Many antibiotics which are not stable in liquid media for long period can easily supply in this dry form. They are to be reformulated by mixing with certain amount of boiled water and should be use up within certain periods of times which is normally 5 days. The processing steps are also reduced for dry syrup compared to other oral liquids and subsequently reduced cost.

Dry syrup manufacturing
 Before manufacturing dry syrup first following work are done

 


ENVIRONMENT OF DRY SYRUP UNIT:
Temperature: 210 C
Humidity: 35-40 %

Dry syrup manufacturing process flow chart:
 


 
EQUIPMENT USED IN DRY SYRUP UNIT:
1.      Drum  mixer:
Purpose: Proper mixing in small scale
Capacity: Approximately 60 kg
Source: China

2.      Three dimensional motion mixer;
Purpose: Uniform mixing in large scale
Capacity: 400Lit
Quantity: 01
Model: SYH-400
Source: China

3.      Automatic Powder filling machine;
Purpose: Filling of prepared dry syrup into the bottle
Quantity: 02
Model: 521
Source: Bangladesh

4.      Powder filling machine
SAVPAK
Model: 3221
Capacity: 12 bottle/min
Amounts: 02
Manufacturer: Thai Sek Son Co. Ltd, Thailand

5.      Auto labeling machine
Videojet
Model-435
Amounts: 01
Capacity: 60 bottle/min (60ml syrup)
Mechanical sieve, India

6.      Auto cartoning machine
Model: ZHJ-80
Capacity: 60 bottle/min (60ml syrup) and 100ml
Amount: 02
Manufacturer: Zhejiang Hualian Pharmaceutical Machinery Co. China.

Pharmaceutical Mixing


Process that results in randomization of dissimilar particles within a system. Mixing is one of the most common pharmaceutical operations. It is difficult to find a pharmaceutical product in which mixing is not done at one stage or the other during its manufacturing. The terms "mixing" and "blending" are often used interchangeably, but technically they are slightly different. Blending is a process of combining materials, but blending is a relatively gentle process compared to mixing. In terms of the phase of material, blending is the process of solid-solid mixing or mixing of bulk solids with small quantity of liquid. The terminology mixing is more closely associated with liquid-liquid, gas-liquid, and viscous materials.

Importance of Mixing Technology
Mixing is a critical process because the quality of the final product and its attributes are derived by the quality of the mix. Improper mixing results in a non-homogenous product that lacks consistency with respect to desired attributes like chemical composition, color, texture, flavor, reactivity, and particle size.

The wide variety and ever increasing complexity of mixing processes encountered in industrial applications requires careful selection, design, and scale up to ensure effective and efficient mixing. Improved mixing efficiency leads to shorter batch cycle times and operational costs. Today's competitive production lines necessitate robust equipment that are capable of fast blend times, lower power consumption, equipment flexibility, ease of cleaning, and a gamut of customized features. In addition to blending components, many modern mixers are designed to combine different process steps in a single equipment, e.g. coating, granulation, heat transfer, drying, etc.


I. Liquid mixing or Wet mixing:
Wet mixing may be divided into following two subgroups:

1. Mixing of liquids and liquids
a) Mixing of two miscible liquids
b) Mixing of two immiscible liquids
2. Mixing of liquids and solids
a) Mixing of liquids and soluble solids
b) Mixing of liquids and insoluble solids

1. (a) Mixing of two miscible liquids (homogeneous mixtures e.g. solutions) – mixing of two miscible liquids is quite easy and occur by diffusion. Such type of mixing does not create any problem. Simple shaking or stirring is enough but if the liquids are not readily miscible or if they have very different viscosities then electric stirrer may be used.

1.(b) Mixing of two immiscible liquids (heterogenous mixtures e.g. emulsions) – two immiscible liquids are mixed to effect transfer of a dissolved substance from one liquid to another loquid. When two immiscible liquids are mixed together in the presence of an emulsifying agent an emulsion is produced. For the production of a stable emulsion, the mixing must be very efficient.

2. (a) Mixing of liquids and soluble solids (homogeneous mixtures e.g. solutions)- in this case soluble solids are dissolved in a suitable liquid by means of stirring. It is a physical change, a soluble solid is converted to a solution.

2.(b) Mixing of liquids and insoluble solids (heterogeneous mixtures e.g. suspensions) – when insoluble solids are mixed with a liquid a suspension is produced which is an unstable system.

II Solid-Solid Mixing or Dry Mixing:
Dry mixing is a process in which two or more than two solid substances are intermingled in a mixer by continuous movement of the particles. Mainly, the object of mixing operation is to produce a bulk mixture which when divided into different doses, every unit of dose must contain the correct proportion of each ingredient. The degree of mixing will increase with the length of time for which mixing is done.



References:
 1. Wikipedia
2. The Theory and practice of Industrial Pharmacy,

    (Leon. Lachman, H.A. Lieberman, J.L. Kanig)

The Concept of Pharmaceutical Preformulation


Almost all drugs are marketed as tablets, capsules or both. Prior to the development of these  major dosage forms, it is essential that pertain fundamental physical and chemical properties of the drug molecule and other divided properties of the drug powder are determined. This information decides many of the subsequent events and approaches in formation development. This first learning phase is known as preformulation.

Definition:-
Preformulation involves the application of biopharmaceutical principles to the physicochemical parameters of drug substance are characterized with the goal of designing optimum drug delivery system.
Before beginning the formal preformulation programs the preformulation scientist must consider the following factors:-
- The amount of drug available.
- The physicochemical properties of the drug already known.
- Therapeutic category and anticipated dose of compound.
- The nature of information, a formulation should have or would like to have.


UV Spectroscopy:-
The first requirement of any preformulation study is the development of a simple analytical method for quantitative estimation in subsequent steps. Most of drugs have aromatic rings and/or double bonds as part of their structure and absorb light in UV range, UV spectroscopy being a fairly accurate and simple method is a performed estimation technique at early preformulation stages. The absorption Co-efficient of the drug can be determined by the formula:-

 E =    AF / X 

Where,      A = Asborbance, F= dilution factor , X = weight of drug (mg)

It is now possible to determine connectration of drug in any solution by measuring absorbance.

C =      AF / E mg/ ml

 Characterization of drug molecules is very important step at the preformulation phase of product development. Following studies are conducted as basic preformulation studies, special studies are conducted depending on the type of dosage form and the type of drug molecules.
 1)         Solubility determination
 2)         pKa determination
 3)         Partition co-efficient
 4)         Crystal properties and polymorphism
 5)         Practical size, shape and surface area.
 6)         Chemical stability profile.

1.      Solubility Determination:-
 The solubility of drug is an important physicochemical property because it effects the bioavailabilty of the drug, the rate of drug resale into dissolution medium and consequently, the therapeutic efficiency of the pharmaceutical product.

The solubility of the molecules in various solvents is determined as a first step. This information is valuable is developing a formulation. Solubility is usually determined in variety of commonly used solvents and some oils if the molecules is lipophillic.  
The solubility of material is usually determined by the equilibrium solubility method, which employs a saturated solution of the material, obtained by stirring an excess of material in the solvent for a prolonged until equilibrium achieved.
Common solvents used for solubility determination are:-
Water, Polyethylene Glycols, Propylene Glycol, Glycerin, Sorbitol, Ethyl Alcohol, Methanol, Benzyl, Alcohol, Isopropyl Alcohol, Tweens, Polysorbates, Castor Oil, Peanut Oil, Sesame Oil, Buffer at various pHs
Aqueous Solubility:-
The availability of a drag is always limited and the preformulation scientist may only have 50 mg. Solubility dictates the ease with which formulation for oral gavages and intravenous injection studies in animals are obtained the pKa allives the informed of pH to maintain solubility and to choose salts required to achieve good bioavailability from the solid state and improve stability and powder properties.

Intensic  Solubility (Co) :-
An increase in solubility in acid compared to aqueous solubility suggests a weak base and an increase in alkali, a weak acid. An increase in acidic and alkaline solubility suggests either impotence or zuitter ion behaviour. In this case there will be two pKa’s, one acidic & one basic. When the pavrity of the drug sample can be assured the solubility obtained in acid for a weak acid or albali for a weak base can be assured to be the instensic solubility (Co.) i.e. the fundamental solubility when completely unionized. The solubility should ideally be measured at two temperatures.

 1)4C to ensure physical stability and entered short term storage and chemical stability unit more definitive data are available. The minimum density of water occurs at 4C. This leads to a minimum aqueous solubility.
 2)37C to support biopharmaceutral evaluation.    



2.      pKa Determination:-
Determination of the dissociation content for a drug capable of ionization within a ph rang of 1 to 10 is important since solubility and consequently absorption, cab be altered by orders of magnitude with changing pH. The Henderson – Hasseslebach equation provides an estimate of the ionized and un-ionized durg concentration at a particular pH.

 For acidic compounds
 pH = pKa + log  (un-ionized drug]) / [ionized drug])

3.      Partition Co-efficient :-
Partition Coefficient (oil/ water) is a measure of a drug’s lipophilicity and an indication of its ability to cross cell membranes. It is defined as the ratio of unionized drug distributed between the organic and aqueous phases at equilibrium.

P o/w = (C oil / C water) equilibrium.

For series of compounds, the partition coefficient can provide an empiric handle in screening for some biologic properties. For drug delivery, the lipophilic/ hydrophilic balance has been shown to be a contributing factor for the rate and extent of drug absorption. Although partition coefficient data alone does not provide understanding of in vivo absorption, it does provide a means of characterizing the lipophilic/ hydrophilic nature of the drug.

Since biological membranes are lipoidal in nature. The rate of drug transfer for passively absorbed drugs is directly related to the lipophilicity of the molecule. The partition coefficient is commonly determined using an oil phase of octanol or chloroform and water.

Drugs having values if P much greater than 1 are classified as lipophilic, whereas those with partition coefficient much less than 1 are indicative of a hydrophilic drug.

Although it appears that the partition coefficient may be the best predictor of absorption rate, the effect id dissolution rate, pKa and solubility on absorption must not be neglected.

Dissolution:-
The dissolution rate of the drug is only important where it is the rate limiting step in the absorption process. Kaplan suggested that provided the solubility of a drug exceded to mg/ ml at pH, 7 no bioavailability or distinction related problems were to be expected. Below / mg/ ml such problems were quite possible and salt formation could improve absorption and solubility by controlling the pH of the microenvironment, independently of the drug and dosage forms position within the GI ireat.

Intrinsic Dissolution Rate:-
When dissolution is controlled solely by diffusion the rate of diffusion is directly proportional to the saturated concentration of the drug in solution under these conditions the rate constant K1 is defined by

 K1 = 0.62 D2/3 v 1/6 w1/2

Where, V is the kinemative viscosity, W is the anguter velocity of a rotating disc of drug.


Common Ion Effect:-
A common ion significantly reduces, the solubility of a slightly soluble electrolyte. The ‘selling out’ results from the removal of water molecules as solvent owing to the completing hydration of other ions. The reverse process ‘salting in’ qries with large anions e.g. benzoate, salivate which open the water structure. These hydro topics increase the solubility of properly water soluble compounds such as diazepam.

Melting Point:- 
The melting point of a drug can be measured using three techniques:-
1) Capillary Melting
2) Hot Stage Microcopy
3) Differential scanning calorinetry or thermal Anaylysis.



Capillary Melting:-
Capillary melting gives information about the melting range but it is different to assign an accurate melting point.

Hot Stage Microcopy:-
 This the issued observation of melting under a microscope equipped with a heated and lagged sample stage. The heating rate is controllable and upto three transitions can e registered.  

Differential Scanning  Calorimeltry and thermal analysis:-
Differential thermal analysis (DTA) measures the temperature difference between the sample and a reference as a function of temperature or time when heating at a constant rate differential scanning calorinetry (DSC) is similar to DTA except that the instrument measures the amount of energy required to keep the sample at the same temperature as the reference i.e. it measures the enthalpy of transition.

4.      Crystal Properties and Polymorphism:-
Many drug substance can exit in more than one crystalline from with different space lattice arrangements. This property is known as polymorphism. Polymorphs generally have diffrent melting points, x-ray diffraction patterns and  solubility even though they are  chemically identical.
Differences in the dissolution rates and solubilities of different polymorphic forms of a given drug are very commonly observed. When the absorption of a drug is dissolution rate limited, a more soluble and faster-dissolving from may be utilized to improve the rate and extent of bioavailability.

For drugs pane to degradation in the solid state, physical form of the drug influences degradation. Selection of a polymorph that is chemically more stable is a solution in many cases. Different polymorph also lead to different morphology, tensile strength and density of power bed which all contribute of compression characteristics of materials. Some investigation of polymorphism and crystal habit of a drug substance as it relates to pharmaceutical processing is desirable during its Preformulation evaluation especially when the active ingredient is expected to constitute the bulk of the tablet mass. Although a drug substance may exist in two or more polymorphic forms, only one form is theromdynamically stable at a given temperature and pressure. The other forms would convert to the stable form with time. In general, the stable polymorph exhibits the highest melting point, the lowest solubility, and the maximum chemical stability. Various techniques are available for the investigation of the solid state. These include microscopy (including hot stage microcopy), infrared spectrophotometry, single-crystal x-ray and x-ray power diffraction, thermal analysis, and dilalometry.

5.      Particle Size, Shape and Surface Area:-
Bulk flow, formulation homogeneity, and surface-area controlled processes such as dissolution and Surface morphology of the drug particles. In general, each new drug candidate should be tested during Preformulation with the smallest particle size as is practical to facilitate preparation of homogeneous samples and maximize the drug’ s surface area for interactions.

Various chemical and physical properties of drug substances are affected by their particle size distribution and shapes. The effect is not only on the physical properties of solid drugs but also, in some instances, on their biopharmaceutical behavior. It is generally recognized that poorly soluble drugs showing a dissolution- rate limiting step in the absorption process will be more readily bio available when administered in a finely subdivided state rather than as a coarse material.

 In case of tablets, size and shape influence the flow and the mixing efficiency of powders and granules. Size can also be a factor in stability: fine materials are relatively more open to attack from atmospheric oxygen, the humidity, and interacting axcipients than are coarse materials.
- Determination of particle size
-Determination of surface area

Particle size Determination:-
Though microscopy is the simplest technique of estimating size ranges and shapes, it is to slow for quantitative determination the material is best observed as a suspension in non dissolving fluid. Saving is less useful technique at preformulation storage due to lack of bulk material. Andreason  pipette is based on the rate difference of sedimentation of different particles, but techniques like this are seldom used due to their tedious nature instruments based on light scattering, (Royco), light blockage (HIAC) and blockage of electrical conductivity path (coulter counter) are available.

Surface Area Determination:-
Surface area is most commonly determined based on brunaver emette teller (BET) theory of adsorption. Most substances adsorb a mono molecular layer of gas under certain conditions of partial pressure of gas and temperature. Knowing the monolayer capacity of adsorbent and the area of absorbale molecule, the surface area can be calculated the adsorption process is carried out with nitrogen at-195 degree Celsius at a partial pressure attainable when nitrogen is in a 30% temperature with an inert gas (helium). The adsorption takes place by virtue of vander wall’s forces.

Power Flow Properties:-
When limited amounts of drugs are available Power flow properties can be evaluated by measurements of bulk density and angle of repose. Changes in particles size, and shape are generally very important an increase in crystal size or a more uniform shape will lead to a small angle or rpose  and a smaller Carr’s index. 

Bulk Density:-
Knowledge of absolute and bulk density of the drug substance is Very useful in Having some idea as to the size of final dosage form the density of solids also of affects their flow Properties Carr’s compressibility index can be used to predict the flow properties based on density measurement.
 


 A similar index has been defined by Hausner: 
 
Angle of repose:-
The maximum angle which is formed b/w the surface of a pile of powder and horizontal surface is called the angle of repose.

Relationship between flow, angle of repose, Carr’s index fee power flow



6.      Chemical stability profile:-
Preformulation stability studies are usually the first quantitative  assessment of chemical stability of a new drug. These studies include both solution and solid state experiments under condition typical for the handing, formulation, storage, and administration of a drug candidate as well as stability in presence of other recipients.

 Factor effecting chemical stability critical in rational dosage form design include temperature, pH and dosage form diluents. The method of sterilization of potential product will be largely dependent on the temperature stability of the drug. Drugs having decreased stability at elevated temperatures cannot be sterilized by autoclaving but must be sterilized by another means, e.g., filtration. The effect of pH on drug stability is important in the development of both oral administration must be protected from the highly acidic environment of the stomach. Buffer selection for potential dosage forms will be largely based on the stability characteristic of the drug.
- Solid state stability
- Solution phase stability
- Compatibility studies: stability in the Presence of excipients
- Typical stability protocol for anew Chemical Entity

Solid state stability:-
Chemical instability normally results from either of the following reaction; hydrolysis, oxidation, photolysis and pyrolysis, Chemical structure of the drug is the determination of drug to either of these attacks. Esters and lactase and to lesser extent, amides are to prone to solvolysis. Instauration or electron rich centre in the structure make the molecule vulnerable for free radical mediated or photo-catalysed oxidation. physical properties of drugs. Amorphous materials are less stable than their crystalline forms. Denser materials are more stable to ambient stress.

Elevated temperature studies:-
The elevated temperatures commonly used are 40, 50, and 60 degree centigrade with ambient humidity. The samples stored at highest temperature are observed weekly for physical and chemical changes and compared to an appropriate control . If a substantial change is seen, samples stored at lower temperature are examined. If no changesisseen after 30 days at 60 degree centigrade, the stability prognosis is excellent.

Stability under high humidity conditions:-
Solid drug samples can be exposed to different relative humidity conditions by keeping them in laboratory desiccators containing saturated solutions of various salts. The closed desiccators in turn are kept in oven to provide constant temperature. The preformulation data of this nature are useful in determining if the material should be protected and stored in controlled low humidity environment or if non aqueous solvent be used during formulation.

Photolytic stability:-
Many drugs fade or dorpen on exposure light. Though the extent of degradations small and limited to the exposed surface area, it presentsanaesthetic problem. Exposure of drug 400 and 900 foot-candles of illumination for 4 and 2 week periods respectively is adequate to provide some idea of photosensitivity. Resulting data may be useful in determining if an amber colored container is required or if color masking bye should be used in the formulation.

Stability to Oxidation:-
Drug’s sensitivity to oxidation can be examined by exposing it to atmosphere of high oxygen tension. Usually a 40% oxygen atmosphere allows for rapid evaluation. A shallow layer of drug exposed to a sufficient headspace volume ensures that the system is not oxygen limited. Samples are kept in desiccators equipped with three-way stop cocks, which are alternatively evacuated and flooded with desired atmosphere. The process is repeated 3 or 4 times to ensure 100% desired atmosphere. Results may be useful in predicting if an antioxidant is required in the formulation or if the final product should be packaged under inert atmospheric conditions.

Compatibility studies:-
The knowledge of drug excipients interaction is useful for the formulation to select appropriate excipients. The described preformulation screening of drug excipients interaction requires only 5mg of drug in a 50% mixture with the excipients to maximize the likelihood of obscuring an interaction. Mixtures should be examined under nitrogen to ultimate oxidation and paralytic effect at a standard heating rate on DSC, over a temperature range, which will encompass any thermal changes due to both the drug and appearance or disappearance one or more peaks in themogrames of drug excipient mixtures are considered of indication of interaction.

Solution phase stability:
As compared with the dry form, the degradation is much rapid in solution form. It is important ascertain that the drug doesn’t degrade when exposed to GI fluid. The pH based stability study, using different stimulator GI condition can be designed. A poor solution stability of drug may urge the formulator to choose a less soluble salt form, provided the bioavailability is not compromised

Absorption behavior:
It is essential to test the in vivo behavior of the new drug for successful formulation of a dosage from good bioavailability. Partial in vivo and in vitro test are designed to study pharmacokinetic profile of the drug.









References:
1. Pharmaceutical Preformulation
    (Wei-Qin (Tony) Tong, Ph.D.)
2. The Theory and practice of Industrial Pharmacy, 
    (Leon. Lachman, H.A. Lieberman, J.L. Kanig)
3. Modern Pharmaceutics
    (G. Banker and C.T. Rhodes)
4. Preformulation and Formulation
    M. Gibson, Pharmaceutical

Pharmaceutical Dosage Forms


Dosage form is a mixture of active drug component and nondrug component. Depending on the type of admistration it is of several types. They are liquid dosage form, solid dosage form and semisolid dosage forms.

Oral Dosage Forms

A) Tablets

Tablets are a solid dosage form which varies in size, weight, shape, and other ways. There are a couple different tablet types.

Enteric-Coated tablets have a coating on them which causes them to be dissolved in the intestinal tract instead of in the stomach. An example is Enteric-Coated Aspirin.

Buccal tablets are intended to be placed in the buccal pouch (between the gums and the cheek) and slowly dissolved. This dosage form does not pass through the gastrointestinal tract-it is absorbed into the bloodstream directly.

Sublingual tablets are intended to be placed under the tongue. Similar to buccal tablets, sublingual tablets are directly absorbed into the bloodstream and bypass the intestines.

Chewable tablets are meant to be chewed before swallowing.

Lozenges and Troches are intended to be dissolved while held in the mouth. This medication form is intended to stay in contact with the throat and mouth over an extended amount of time.

Effervescent tablets release carbon dioxide and rapidly dissolve in water. They should never be swallowed or chewed. They should always be placed in a water and dissolved.

Orally Disintegrating Tablets are tablets that must dissolved on the tongue.


B) Capsules

Capsules are a solid dosage form enclosed in a hard shell or soft gelatin coating. When taken with water, the capsules' coating becomes slippery and easy to swallow.



C) Liquid Oral Dosage Forms

Elixir is a preparation that contains a hydroalcoholic liquid that has a clear color. It is intended to be consumed orally.

Suspension is a preparation that contains tiny particles that are solid. These particles are suspended (not dissolved) in the liquid.

Syrup is a preparation that contains a concentrated sugar solution in water with other active ingredients.
Solution contains ingredients of a medication that are solid. These ingredients are dissolved in the liquid (normally the liquid is water.)

Reconstitution is a medication that is in a powdered form. A suspension is made from this powder by adding a very specific amount of distilled water. It is important to shake the suspension well after adding the water. Some reconstitutions, after adding water, require refrigeration.



Inhalational Dosage Forms

 Aerosol spray is a type of dispensing system which creates an aerosol mist of liquid particles. This is used with a can or bottle that contains a liquid under pressure. When the container's valve is opened, the liquid is forced out of a small hole and emerges as an aerosol or mist. As gas expands to drive out the payload, only some propellant evaporates inside the can to maintain an even pressure.

Inhaler or puffer is a medical device used for delivering medication into the body via the lungs. It is mainly used in the treatment of asthma and Chronic Obstructive Pulmonary Disease (COPD). Zanamivir (Relenza), used to treat influenza, must be administered via inhaler.

Nebulizer is a device used to administer medication in the form of a mist inhaled into the lungs. Nebulizers are commonly used for treatment of cystic fibrosis, asthma, COPD and other respiratory diseases.



Parenteral Dosage Forms

Intradermal injections are injections given to a patient in which the goal is to empty the contents of the syringe between the layers of the skin.

Intramuscular (or IM) injection is the injection of a substance directly into a muscle. In medicine, it is one of several alternative methods for the administration of medications (see route of administration). It is used for particular forms of medication that are administered in small amounts. Depending on the chemical properties of the drug, the medication may either be absorbed fairly quickly or more gradually.

Intraosseous infusion (IO) is the process of injection directly into the marrow of a bone. This technique is used in emergency situations to provide fluids and medication when intravenous access is not available or not feasible.

Intraperitoneal(IP) injection is the injection of a substance into the peritoneum (body cavity). IP injection is more often applied to animals than humans. It is generally preferred when large amounts of blood replacement fluids are needed, or when low blood pressure or other problems prevent the use of a suitable blood vessel for intravenous injection.

Intravenous therapy or IV therapy is the giving of substances directly into a vein. The word intravenous simply means "within a vein". Therapies administered intravenously are often called specialty pharmaceuticals. It is commonly referred to as a drip because many systems of administration employ a drip chamber, which prevents air entering the blood stream (air embolism) and allows an estimate of flow rate. Intravenous therapy may be used to correct electrolyte imbalances, to deliver medications, for blood transfusion or as fluid replacement to correct, for example, dehydration.

Subcutaneous(SC) injection is inject into the subcutaneous tissue is a route of administration used for, for example, insulin. Skin popping is a slang term that includes this method of administration, and is usually used in association with recreational drugs.


Topical Dosage Forms

Topical Solutions are applied directly to the skin. The type of solution will affect the absorption rate through the skin, resulting in different dosage strength depending on the form of the solution and how well it gets absorbed through the skin.

Ointments are used topically on the skin to assist in wound healing, to alleviate itchiness or discomfort, or to make the skin feel softer. They are usually of a greasy consistency; and are smooth in texture.

Gels are a solid but malleable mixture that exhibits characteristics of both a liquid and a solid. Wound gels are especially good at helping difficult to heal wounds, such as burns. Gels are good at keeping their form and providing a protective barrier once applied.

Creams are a mixture of oil and water that is used topically and applied to the skin. Oil-water creams are non-greasy and wash away easily, while water-in-oil creams have more of a greasy feeling and are slightly more messy to work with. The benefit of water-in-oil creams is that they can handle drugs that are hydrophobic, and also provide better moisturizing benefits to the skin because the oily layer seals in moisture.

Emulsion is a mixture of any two liquids that won't dissolve into each other and mix together. They can range from a cream to a paste to an orally administered liquid. Calamine lotion is a commonly used emulsion. Emulsions are applied directly onto the skin.

Pledgets are small and absorbent pads used to medicate, protect and help drain a wound or sore. These can be applied directly to the affected area and held in place with gauze or medical tape. The pledget can be used to cover a wound hole to prevent infection and also help protect against pain from incidental contact from clothing and similar items.


Rectal Dosage Forms

Suppositories are small plugs of medication that are designed to melt at body temperature when inserted into the rectum. The method of application is to insert the suppository far enough into the rectum that it will stay there and then simply allow it to melt over time, releasing the medication.

Rectal Creams are designed to be applied specifically to the rectum or rectal area. They are usually greasy and often uncomfortable to use. Hemorrhoids are a common condition that is treated by the use of rectal cream.


Vaginal Dosage Forms

Vaginal Creams are applied via applicator directly to the vagina. The most common use will be to apply before going to sleep, to help allow the cream to stay in place and prevent discharge during daily activities. Vaginal creams can be used to treat vaginal dryness, yeast infections and other infections of the vagina.

Vaginal Suppositories are small plugs of medication, designed to be inserted directly into the vagina. After insertion, they will melt away from the heat of the body and the medicine is delivered as the suppository dissolves. They can be used to treat a variety of gynecological ailments, and usually deliver a numbing or pain relief agent along with the medicine to treat the cause of the infection.

Vaginal Tablets are typically coated in a film, and applied with an applicator. The goal is to place them as far into the vagina as possible, where they will release medicine as they dissolve. Hormones are frequently delivered in this manner, for women needing a treatment that involves a hormone regimen.

Vaginal Rings are flexible rings worn inside the vagina. The typical vaginal ring is worn for 3 weeks before being removed for one week, and then a new ring is inserted after to start the next cycle. The ring slowly delivers hormones into the body to act as a form of birth control. Tests and studies have reported good results and positive feedback from women wearing vaginal rings, and very low instances of issues with the rings either staying inserted properly or falling out.



Ophthalmic Dosage Forms

Ophthalmic Suspensions are a form a mixture where medicine or medicines are suspended in a liquid base and meant to be applied directly to the eye. Treatment of pressure, pain or glaucoma are common things that would be treated with an Ophthalmic suspension.

Ophthalmic Solutions are mostly water-based, and are delivered directly to the eye. Eye drops are a common example of an Ophthalmic solution. Eye drops are usually used to treat symptoms such as dry or red eyes, rather than causes.

Ophthalmic Gels are applied directly to the eye, usually before bedtime. The easiest manner to apply them is to pull the lower eyelid out (creating a pouch) and apply the dose of gel into this pouch. Then close your eyes and roll the eyeball around to spread out the gel. Treating glaucoma is one common use of an Ophthalmic gel.

Ophthalmic Ointments are designed for use around the eyes and are safe enough that incidental contact with the eye itself is acceptable. These can be used to treat or prevent infections in wounds close to the eye.


Otic Dosage Forms 

Otic Suspensions are delivered directly into the ear, usually to treat an ear infection. An Otic suspension would also be used in the case of a ruptured eardrum. Typical application is done by having the patient lie on their side with the affected ear turned upwards and the suspension is then allowed to drain directly into the ear.

Otic Solutions are used to treat ear infections. Solutions are often more likely to cause discomfort in the patient, due to a lower pH value than similar suspensions. Application is similar to than of an Otic suspension, the liquid is applied directly into the ear and allowed to drain downward into the affected area.






References:


1. The Theory and practice of Industrial Pharmacy, 
    (Leon. Lachman, H.A. Lieberman, J.L. Kanig)
2. Dictionary of Pharmaceutical Technology
    (Dr. Abu Jamil Ferdous, Dr. Reza Ul-Jamil) 
3. Wikipedia