Pharmaceutical Forms: Plasters and Suppositories
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Questions and Answers

What is a characteristic property of Polyethylene Glycols (PEG) as a rectal suppository?

  • Water-soluble but with slow dissolution (correct)
  • Melt completely in body fluids
  • Dissolves rapidly at body temperature
  • Available only in a single molecular weight
  • What is the common length of a rectal suppository made of Polyethylene Glycols (PEG)?

  • Approximately 50 mm
  • Typically 15 mm
  • Around 25 mm
  • Usually about 32 mm (correct)
  • Which of the following is NOT a common molecular weight of Polyethylene Glycols (PEG)?

  • PEG 9000 (correct)
  • PEG 400
  • PEG 1500
  • PEG 6000
  • What shape can rectal suppositories made of Polyethylene Glycols (PEG) take?

    <p>Cylindrical and tapered</p> Signup and view all the answers

    What is an important characteristic in the dissolution of PEG-based suppositories in the rectum?

    <p>They dissolve slowly but soften and spread</p> Signup and view all the answers

    What is the primary form of PEG 300, 400, and 600 at room temperature?

    <p>Clear, colorless liquid</p> Signup and view all the answers

    Which statement about PEG 1500 and 1540 is true?

    <p>They are classified as fairly firm semi-solids.</p> Signup and view all the answers

    What is a characteristic of the Glycerinated Gelatin formulation?

    <p>It is formulated with 20% gelatin and 70% glycerin.</p> Signup and view all the answers

    What are bougies primarily used for?

    <p>For prolonged, localized medicinal action in urethral administration.</p> Signup and view all the answers

    What is a key property of glycerin that affects Glycerinated Gelatin?

    <p>It has hygroscopic properties that absorb moisture.</p> Signup and view all the answers

    What type of adhesive material is primarily used in plasters?

    <p>Rubber base or synthetic resin</p> Signup and view all the answers

    Which of the following is NOT a type of product that can be packaged in tubes?

    <p>Medicated plasters</p> Signup and view all the answers

    What is the primary use of medicated plasters?

    <p>To deliver medication locally at the site of application</p> Signup and view all the answers

    What concentration of Salicylic acid is commonly used in Salicylic Acid Plaster for corns?

    <p>10-40%</p> Signup and view all the answers

    Which of the following describes the primary purpose of unmedicated plasters?

    <p>To provide mechanical support or protection</p> Signup and view all the answers

    What method of administration is NOT typically associated with suppositories?

    <p>Orally</p> Signup and view all the answers

    What components are primarily found in glycerogelatin?

    <p>Gelatin and glycerin</p> Signup and view all the answers

    What does the term 'suppository' derive from in Latin?

    <p>To place under</p> Signup and view all the answers

    What type of action do glyceryl monostearate and glyceryl monopalmitate provide?

    <p>Continuous medicating or germicidal action</p> Signup and view all the answers

    Which of the following materials is NOT mentioned as a component for making suppositories?

    <p>Coconut oil</p> Signup and view all the answers

    What is the preferred storage temperature for cocoa butter suppositories?

    <p>Below 30°C, preferably in a refrigerator</p> Signup and view all the answers

    Why are suppositories containing light-sensitive drugs wrapped in opaque materials?

    <p>To protect from light exposure</p> Signup and view all the answers

    Which method is primarily used for commercial suppository production?

    <p>Molding (fusion)</p> Signup and view all the answers

    What type of suppository acts primarily by stimulating peristalsis?

    <p>Glycerin suppositories</p> Signup and view all the answers

    How are glycerinated suppositories generally stored?

    <p>At controlled room temperature (20°C to 25°C)</p> Signup and view all the answers

    Which of the following materials is used in making suppository molds?

    <p>Plastic</p> Signup and view all the answers

    What is a primary advantage of transdermal drug delivery systems?

    <p>They provide a consistent and controlled dosage for extended systemic therapy.</p> Signup and view all the answers

    What should be monitored when using transdermal patches like the Lidoderm patch?

    <p>Patient response to drug blood levels.</p> Signup and view all the answers

    What is a common side effect associated with the use of transdermal drugs?

    <p>Contact dermatitis at the application site.</p> Signup and view all the answers

    Which of the following is NOT a successful transdermal product mentioned?

    <p>Ibuprofen.</p> Signup and view all the answers

    What is a challenge of transdermal drug delivery mentioned in the content?

    <p>Limited drug entry due to the skin's natural barrier.</p> Signup and view all the answers

    What is the function of the PET film release liner on a transdermal patch?

    <p>To be removed before application.</p> Signup and view all the answers

    How is the dosage of the Lidoderm patch specified?

    <p>Each patch consists of 700 mg of lidocaine in an aqueous base.</p> Signup and view all the answers

    Transdermal drug delivery aims to achieve measurable effects through which method?

    <p>Drug passage through the skin into general circulation.</p> Signup and view all the answers

    Study Notes

    Plasters

    • Plasters are solid or semi-solid adhesives applied to a backing material
    • Examples of backing materials are paper, fabric, moleskin, and plastic.
    • Rubber or synthetic resin bases are used to create the adhesive.
    • Plasters are applied to the skin for prolonged contact.
    • Medicated plasters provide effects at the application site
    • Unmedicated plasters provide protection or mechanical support

    Salicylic Acid Plaster

    • Used to remove corns from toes.
    • Contains 10 to 40% concentration of salicylic acid
    • Acts as a keratolytic agent to remove dead skin.

    Glycerogelatin

    • Plastic mass composed of glycerin, gelatin, and medications.
    • Glycerin content is approximately 40%.
    • Gelatin content is approximately 15%.
    • Hygroscopic due to the glycerin content.

    Suppositories

    • Solid dosage forms inserted into body orifices
    • Used for local or systemic effects.
    • Dissolve or soften to release medication.
    • The term "suppository" comes from the Latin words "sub" (under) and "ponere" (to place).

    Rectal Suppositories

    • Administered with fingers.
    • Typically cylindrical, with one or both ends tapered.
    • Bullet, torpedo, or finger-like shapes are also common.
    • Adults receive a 2g dose.
    • Infants receive a 1g dose.

    Vaginal Suppositories

    • Also called Pessary or Pessaries.
    • Globular, oviform, or cone-shaped.
    • Weigh approximately 5g when made with a cocoa butter base.

    Urethral Suppositories

    • Also called Bougies.
    • Slender, pencil-shaped.
    • Intended for insertion into the male or female urethra.

    Water-Soluble and Water-Miscible Bases

    • Polyethylene Glycols (PEG): Polymers of ethylene oxide and water.
    • Available in multiple chain lengths, molecular weights, and physical states.
    • Molecular weights used in suppositories include: 300, 400, 600, 1000, 1500, 1540, 3350, 4000, 6000, and 8000.
    • Water-soluble but dissolve slowly.
    • Do not melt at body temperature.
    • Dissolve slowly in body fluids.
    • Dissolve slowly in the rectum and vagina.
    • At room temperature, PEG 300, 400, and 600 are clear, colorless liquids.
    • PEG 1000 is a semi-solid.
    • PEG 1500 and 1540 are firm, semi-solids.
    • PEG 3350, 4000, and 6000 are firm, wax-like solids.
    • Glycerinated Gelatin: Composed of granular gelatin (20%), glycerin (70%), and dissolved drugs or suspensions (10%).
    • Absorption of moisture is a potential concern.
    • Protected from atmospheric moisture.
    • Used for vaginal suppositories for prolonged, localized medication release.
    • Fatty Acid Bases: Includes palmitic acid and stearic acid.
    • Used to deliver continuous medication or germicidal action.
    • Examples are glyceryl monostearate and glyceryl monopalmitate.
    • This method involves mixing an aqueous solution or suspension of the medication with glycerin and gelatin.
    • Glycerin or Soap Suppositories: Composed of Castile soap.
    • Produce mechanical and dissolving irritant action.
    • Used in the rectum to primarily stimulate peristalsis.
    • An alternative to laxatives for young children.

    Suppository Packaging

    • Glycerin and glycerinated gelatin suppositories are packaged in tightly closed containers to prevent moisture changes.
    • Suppositories with cocoa butter bases are individually wrapped or stored in compartment boxes to prevent attachment.
    • Light-sensitive products are individually wrapped in opaque materials like metallic foil.

    Suppository Storage

    • Cocoa butter suppositories should be stored below 30°C and ideally refrigerated between 2°C to 8°C.
    • Glycerinated suppositories can be stored at controlled room temperature (20°C to 25°C).
    • Suppositories with a polyethylene glycol base can be stored at room temperature.

    Suppository Production

    • Molding (Fusion): The primary method for commercial production.
    • Suppository molds are made from stainless steel, aluminum, brass, nickel-copper alloys, or plastic.
    • Molds are used to produce 6-12 or more suppositories.

    Medication Sticks

    • Prepared similar to suppositories
    • The melt is poured into an applicator tube or device.
    • Packaged in an applicator tube.
    • The applicator can be adjusted to continually expose new, fresh stick from inside the tube.

    Transdermal Drug Delivery Systems (TDDSs)

    • Deliver consistent and controlled doses for extended systemic therapy.
    • Limited to drugs that meet the necessary physicochemical and therapeutic properties for sustained transdermal delivery.
    • Examples include scopolamine, nicotine, estradiol, fentanyl, testosterone, and glyceryl trinitrate patches.

    Lidoderm 5% Patch (Lidocaine)

    • Adhesive material with 5% lidocaine on a nonwoven polyester felt backing.
    • Covered with a PET film release liner that is removed before application.
    • Measures 10 x 14 cm, with each patch containing 700 mg of lidocaine in an aqueous base.

    Transdermal Drug Delivery Systems (TDDSs)

    • Facilitates drug passage through the skin into the general circulation for systemic effects.
    • Measurable blood levels, drug/metabolite excretion in urine, and patient response indicate successful percutaneous absorption.
    • Therapeutic blood concentrations are determined by comparing patient response to drug blood levels.
    • Therapy duration is dependent on drug properties and required blood levels.
    • Skin’s natural barrier limits drug entry, resulting in slower drug delivery.
    • Contact dermatitis can occur at the application site, potentially requiring discontinuation.

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    Description

    Explore the various forms of pharmaceutical plasters, including medicated and unmedicated types. Learn about specific applications like salicylic acid plasters for corns and the composition of glycerogelatin. The quiz also covers the use and function of suppositories in medication delivery.

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