Pharmacy Chapter 12: Suppositories and Inserts
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Questions and Answers

What is the purpose of calculating the amounts of materials needed for the preparation of one or two more suppositories than the number prescribed?

  • To compensate for the inevitable loss of some material and ensure having enough material (correct)
  • To reduce the total volume of the mold
  • To decrease the melting point of the suppositories
  • To increase the density of the suppositories

What does the pharmacist need to be certain of when determining the amount of base to be incorporated with the medicaments?

  • The shape of the molds
  • The melting point of the base
  • The required amount of drug is provided in each suppository (correct)
  • The color of the suppositories

How can the volume of base be converted to weight?

  • By estimating visually
  • By measuring the pH
  • By using a thermometer
  • From the density of the material (correct)

When are added amounts of medicaments considered negligible?

<p>When they are slight (B)</p> Signup and view all the answers

What is the purpose of glycerin suppositories?

<p>Relieving constipation (A)</p> Signup and view all the answers

What components are often found in anti-hemorrhoidal suppositories?

<p>Analgesics and soothing emollients (B)</p> Signup and view all the answers

What is the purpose of local vaginal suppositories containing nonoxynol-9?

<p>Contraception (C)</p> Signup and view all the answers

Which material is used as a base to prolong the release of morphine sulfate in slow-release suppositories?

<p>Alginic acid (D)</p> Signup and view all the answers

What is the purpose of moistening the suppositories with water prior to insertion?

<p>To reduce the initial tendency of the base to draw water from the mucous membranes and irritate the tissues (A)</p> Signup and view all the answers

What is the most commonly used polyethylene glycol for suppositories?

<p>PEG 400 (D)</p> Signup and view all the answers

Why do PEG suppositories not melt at body temperature?

<p>Because they dissolve slowly in the body's fluids (B)</p> Signup and view all the answers

What do the numeric designations refer to in polyethylene glycols?

<p>The average molecular weight of each of the polymers (A)</p> Signup and view all the answers

What is the displacement value (D.V) defined as?

<p>The quantity of drug that displaces one part of the base (A)</p> Signup and view all the answers

If the density of the drug is less than the density of the base, what will happen?

<p>The drug will displace high amount of base (D)</p> Signup and view all the answers

Using the displacement value method, how much base will be displaced if 0.6g of drug with a displacement value of 1.1 is used?

<p>0.55 g (D)</p> Signup and view all the answers

What is the calculation to determine the amount of base needed using displacement values?

<p>(Total weight of pure base) - (base displaced) (A)</p> Signup and view all the answers

Cocoa butter is a water-soluble suppository base

<p>False (B)</p> Signup and view all the answers

Glycerinated gelatin is a water-soluble suppository base

<p>True (A)</p> Signup and view all the answers

Cocoa butter has wetting and emulsifying properties

<p>True (A)</p> Signup and view all the answers

Suppository bases should remain solid at body temperature

<p>False (B)</p> Signup and view all the answers

PEG suppositories melt at body temperature.

<p>False (B)</p> Signup and view all the answers

Moistening the suppositories with water prior to insertion increases their tendency to irritate the tissues.

<p>False (B)</p> Signup and view all the answers

The numeric designations of polyethylene glycols refer to their chain lengths.

<p>False (B)</p> Signup and view all the answers

PEG 8000 has a melting range of 60°C - 63°C.

<p>True (A)</p> Signup and view all the answers

Cocoa butter releases fat-soluble drugs readily due to its immiscibility with fluids.

<p>False (B)</p> Signup and view all the answers

The pH of rectal fluids is essentially neutral at pH 7.

<p>True (A)</p> Signup and view all the answers

The particle size of a dispersed drug is not a physicochemical factor of the drug.

<p>False (B)</p> Signup and view all the answers

The lipid-water partition coefficient of a drug is not an important consideration in the selection of the suppository base.

<p>False (B)</p> Signup and view all the answers

The displacement value (D.V) is defined as the quantity of base that displaces one part of the drug.

<p>False (B)</p> Signup and view all the answers

If the density of the drug is more than the density of the base, the drug will displace a low amount of base.

<p>False (B)</p> Signup and view all the answers

The displacement value (D.V) for liquids is 1.5.

<p>False (B)</p> Signup and view all the answers

When preparing 8 codeine phosphate suppositories with a displacement value of 1.1 and each suppository containing 60mg of codeine phosphate, the total weight of pure base needed is 9.45g.

<p>True (A)</p> Signup and view all the answers

What weight of base would be displaced by the medicament when preparing the medicated suppositories?

<p>0.55 g (C)</p> Signup and view all the answers

Which factor must be considered in displacement value calculations when using glycero-gelatin base for suppositories?

<p>Density of the drug (D)</p> Signup and view all the answers

What is the most commonly used base for vaginal suppositories?

<p>Polyethylene glycol (PEG) (A)</p> Signup and view all the answers

In the displacement value method, how much base will be displaced if 0.6g of drug with a displacement value of 1.3 is used?

<p>0.55 g (C)</p> Signup and view all the answers

Which type of suppository base is suitable for releasing fat-soluble drugs more readily?

<p>Cocoa butter (D)</p> Signup and view all the answers

What is the main purpose of using a water-soluble or water-miscible suppository base?

<p>Release water-soluble drugs more readily (D)</p> Signup and view all the answers

What characteristic of suppository bases makes cocoa butter superior for relieving irritation or inflammation in anorectal disorders?

<p>Spreads action (D)</p> Signup and view all the answers

What is the primary requisite for a suppository base according to the provided text?

<p>Melts, softens, or dissolves readily at body temperature (C)</p> Signup and view all the answers

Why does the pharmacist calculate the amounts of materials needed for the preparation of one or two more suppositories than the number prescribed?

<p>To compensate for the inevitable loss of some material and ensure having enough material (B)</p> Signup and view all the answers

How can the volume of base required for suppository preparation be determined?

<p>By subtracting the volume of drug substances from the total volume of the mold (A)</p> Signup and view all the answers

Why may added amounts of medicaments be considered negligible in the preparation of suppositories?

<p>If their impact on the volume of base is insignificant (B)</p> Signup and view all the answers

Why is it necessary to convert the volume of base to weight from its density?

<p>To ensure accurate measurement of the base (A)</p> Signup and view all the answers

What should be done to the suppository molds to ensure the desired smoothness of the suppositories?

<p>Clean the molds with care to avoid scratching (B)</p> Signup and view all the answers

How are suppositories prepared using the compression method?

<p>By forcing the mixed mass of base and medicaments into special molds using suppository-making machines (D)</p> Signup and view all the answers

What is the oldest and simplest method of preparing suppositories?

<p>Preparation by hand rolling and shaping (C)</p> Signup and view all the answers

How can suppositories be prepared on a large scale in the compression method?

<p>By using mechanical kneading mixers and a warm mixing vessel (A)</p> Signup and view all the answers

What is the purpose of buffering vaginal suppositories to an acid pH?

<p>To discourage the growth of pathogenic organisms (B)</p> Signup and view all the answers

What makes vaginal tablets more widely used than commercial vaginal suppositories?

<p>They are less messy (C)</p> Signup and view all the answers

What type of substances are commonly found in vaginal tablets (vaginal inserts)?

<p>Lactose, disintegrating agents, and dispersing agents (D)</p> Signup and view all the answers

What is the purpose of the plastic inserter that accompanies vaginal tablets?

<p>To help with the insertion of the tablet within the vagina (A)</p> Signup and view all the answers

Why are many vaginal inserts in the form of gelatin capsules?

<p>To ensure easy release intravaginally (B)</p> Signup and view all the answers

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