formulation - ENTERAL part 1
formulation - ENTERAL part 1
University Of Fallujah
College Of Medicine
2- Route of Administration
3- Patient Factors
I-SOLID FORMULATIONS
A- Tablets
Tablets are solid dosage forms in which the drug is compressed
with pharmacologically inert substances called Excipients . Tablets
are circular in shape with flat or convex surface, and film coated to
improve their appearance and stability and to mask unpleasant taste.
Advantages of tablet form:
- Precision of dosage
- Durability of physical characteristics
- Stability of chemical and physical activity
of drugs
- Convenience of administration.
Tablets for oral use:
(a) Uncoated tablets (b) Coated tablets
(a) Uncoated tablets: Compressed powder, which may have flavoring or
coloring agents.
Sublingual or buccal tablets: Dissolved in buccal pouch or beneath the
tongue. e. g. nitroglycerine, nifedipine, methyl testosterone, clonidine.
Advantages : - Drug does not get destroyed in stomach.
- Poor absorption from stomach can be overcome.
- Liver can be bypassed and quick onset of action.
Disadvantages:- Can produce ulcers in mouth and other systemic
adverse effects.
- One has to spit the drug after the desired effect is achieved, to avoid side
effects.
Chewable tablets: When chewed it disintegrates due to its creamy base. e. g.
Antacid tablets, Anthelmintic tablets & Vitamin C tablets.
Note :
Correct instruction for
effective use of this dosage form:
The tablet is to be broken and chewed
before swallowing. To be swallowed
with a glass of water with the patient
in upright posture either sitting or standing.
Effervescent tablets: Prepared by compressing granular effervescent salts.
Advantages : It disintegrates fast when added to water and acts by releasing
carbon dioxide.
Effervescence masks the bad taste of drug. It may give psychological effect to
patient. e.g. alkaline tablet, antacid tablet, aspirin tablet.
Disadvantages : Very sensitive to moisture.
Expensive as compared to compressed simple tablets
Coated tablets:
Sugar coated tablets:
Advantages:Tablet is covered with colored / uncolored sugars so it masks the
bad taste of drug e.g. Chloroquine tablet.
Disadvantages: Action is slow and tardy so it is not suitable for emergency
Can not be used for unconscious/non co-operative patients
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Enteric Coated tablet:
Advantages: Enteric coating resists dissolution in the stomach but not in the
intestine, is useful for drugs which are destroyed by gastric juice or are irritant
to gastric mucosa (e.g. Enteric coated aspirin and dipyridamole (antiplatelet
agents), sodium valproate)
Disadvantages:- If the coating is very hard, a tablet may pass out without
being dissolved in the gastrointestinal tract & may fail to produce the
therapeutic effect.
- Compared to uncoated tablet it is expensive.
Disadvantages: If the coating is very hard, a tablet may pass out without being
dissolved in the gastrointestinal tract & may fail to produce the therapeutic
effect.
Sustained release (controlled release/retard) tablets: Small granules of
drugs are coated with a film and compressed in a form of tablet e. g. isoxsuprine retard,
diclofenac sodium SR.
Advantages: It modifies the rate of release of drug into the gastro-intestinal tract.
It prolongs the effect of drug and also reduces the frequency of
administration.
Patient compliance is better.
Disadvantages: It is expensive as compared to uncoated tablets.
B- Capsules for oral use: They have shells of gelatin for administration of powder;
granules or liquid.Two types – hard and soft. Hard capsule consists of 2 cylinders which fit into
one another e.g. amoxicillin. Soft capsule is made of gelatin which is sealed by heat and mainly
contains a liquid e.g. nifedipine. Pearls are transparent or translucent capsules that contain liquid
or semisolid drugs e.g. Vitamin A & D.
Disadvantages:
- More expensive than powders.
- Needs proper instruction
for preparing.
-Time consuming to prepare.
- It is not suitable for dispensing
bitter drugs.
II-LIQUID FOR ORAL USE
Liquids for oral use are usually dispensed in plastic or glass bottles.
Advantages of liquid preparations:
-Suitable for patients who cannot swallow solid forms
-They are more quickly acting than pills or tablets, which require previous
disintegration before absorption.
-Certain substances can only be given in the liquid form e.g. liquid paraffin.
-Certain chemical substances e.g. potassium chloride can cause gastric irritation if
taken in the form of powder or tablet.
-Patients are sometimes prone to doubt the efficacy of the treatment they are
receiving unless it includes something in the bottle (e.g. placebo effect).
-Usefulness of some substances are largely dependent upon administration of
diffussible form e.g. magnesium sulphate in the form of suspension.
Solution
One or more soluble ingredients dissolved in water, intended for external or
internal use.
Syrups: They are liquid oral preparations in which the vehicle is concentrated
aqueous solution of sucrose or other sugar.
Advantages: They are sweet in taste so masking the bad taste of drugs,
especially suitable for children.
Quicker effect than tablets which require previous disintegration.
Disadvantages: Maintenance not easy.
They are costlier than tablets.
Elixir: They are clear pleasantly flavored liquid oral preparations containing
hydroalcoholic vehicle. e.g. bromhexine, promethazine, sugar, or glycerol.
Emulsions: They are liquid medicaments containing two immiscible liquids غ ق ام, one of
which is broken into minute globules, each globule being surrounded by a thin film of
emulsifying agent and then dispersed throughout the other liquid. e. g. liquid paraffin emulsion.
Advantages: Oily drugs can be given in this form
Oil in finely dispersed state is quickly absorbed.
Emulsifying agents mask the unpleasant taste and smell of the drugs.
Disadvantages: A suitable preservative is required to avoid microbial contamination.
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Drops: They are liquid medicines for pediatric use, dispensed in
dropper bottle e.g. multivitamin drops, iron drops.
Advantages: Accurate dose can be given.
The dose of the drug in small amounts can be easily
administered in infants and children.
Disadvantages: Cost is high.
--Correct instruction for effective use of this dosage form:
Prescribed amount of drops to be given by dropper.
Tincture
Alcoholic liquid containing (in a low concentration) the active
ingredient of the crude drug, e.g. tincture of iodine.
Gel/ Semi-solid aqueous preparation prepared with the aid of gelatin.
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