Selection of excipients must be done with an utmost care to avoid physical and chemical interactions that ultimately lead to the degradation of the quality of the product.
Incompatibility occurs as a result of mixing of two or more antagonistic substance and an undesirable product is formed which may affect the safety, efficacy and appearance of the pharmaceutical preparation.
The change may be detected by change in physical, chemical and therapeutic qualities of the medicines.
Types : 1 Physical 2 Therapeutic 3 Chemical
Incompatibilities in prescription, prescription Incompatibilities, important ...RajkumarKumawat11
Incompatibilities in prescription, prescription Incompatibilities, pharmaceutics, prescription errors, important topic for pharmacist, how to remove error in the dispense and compound prescription
The main idea is the incompatibilities that accrue between the IV drug with drug, solution, container and IV set .
Simple study of incompatibilities of drug admixtures in Iraq , that accrue heavily in pharmacy and hospitals, it incorrect because the compliance of patient not a reason for admixture and we didn't found any study on this admixtures that confirm it safety. At last it very important to avoid it because the great risk .
Drug Excipient Interaction, Different Methods, Stability Testing.
drug excipient Compatibility and Incompatibility, Goals of drug excipient compatibility Methods, Factors Influencing stability Testing, Significant changes that might occur during satability Analysis
Incompatibility occurs as a result of mixing of two or more antagonistic substance and an undesirable product is formed which may affect the safety, efficacy and appearance of the pharmaceutical preparation.
The change may be detected by change in physical, chemical and therapeutic qualities of the medicines.
Types : 1 Physical 2 Therapeutic 3 Chemical
Incompatibilities in prescription, prescription Incompatibilities, important ...RajkumarKumawat11
Incompatibilities in prescription, prescription Incompatibilities, pharmaceutics, prescription errors, important topic for pharmacist, how to remove error in the dispense and compound prescription
The main idea is the incompatibilities that accrue between the IV drug with drug, solution, container and IV set .
Simple study of incompatibilities of drug admixtures in Iraq , that accrue heavily in pharmacy and hospitals, it incorrect because the compliance of patient not a reason for admixture and we didn't found any study on this admixtures that confirm it safety. At last it very important to avoid it because the great risk .
Drug Excipient Interaction, Different Methods, Stability Testing.
drug excipient Compatibility and Incompatibility, Goals of drug excipient compatibility Methods, Factors Influencing stability Testing, Significant changes that might occur during satability Analysis
It is a small presentation about the preformulation studies, which help students in their exams.
Preformulation is a crucial stage in pharmaceutical research and development that encompasses a series of scientific studies and experiments conducted before the formulation of a drug product begins. Its primary purpose is to gather essential information and data about the physical, chemical, and biopharmaceutical properties of a drug substance or active pharmaceutical ingredient (API).
Understanding the Drug Substance:
Preformulation starts with a comprehensive characterization of the drug substance. This includes identifying its chemical structure, molecular weight, and purity. Various analytical techniques are employed for this purpose, such as nuclear magnetic resonance (NMR) spectroscopy, mass spectrometry (MS), and high-performance liquid chromatography (HPLC).
2. Assessing Physicochemical Properties:
Preformulation studies delve into the physicochemical properties of the drug substance. Researchers investigate properties such as solubility, melting point, crystallinity, hygroscopicity, and polymorphism. These properties can profoundly affect formulation design and stability.
DRUG DISCOVERY
Drug Discovery without a lead
LEAD DISCOVERY/IDENTIFICATION
LEAD MODIFICATION
CONCEPT OF PRODRUGS AND SOFT DRUGS
DRUG RECEPTOR INTERACTIONS
Drug Excipient Interaction and it's different methods.pdfPrajaktaPatil890246
Drug Excipient Interaction and it's different methods that includes physical interaction, chemical interaction,Biopharmaceutical interaction. Along with different analytical methods used to detect drug Excipient Interactions.
introductioin to biopharmaceutics.docxssuser1598b4
this is my doctors notes regarding biopharamcy, they explain everything that ahuman being needs to pass this subject however this is just the intoduction to it so if you need more let me know
Drug interaction is defined as the pharmacological activity of one drug is altered by the concomitant use of another drug or by the presence of some other substance
The Drug whose Activity is effected by such an Interaction is called as a “Object drug.”
The agent which precipitates such an interaction is referred as the “Precipitant”.
BIO DRUG-DRUG & BIO DRUG–FOOD INTERACTION.pptxChhavi Singh
Introduction
Types of drug Interaction
Effects of drug Interaction
Factors contributing to drug interactions
Mechanism
Pharmaceutical Interactions
Pharmacokinetic Interactions
Pharmacodynamic Interaction
Consequences of drug interaction
Reducing the risk of drug interaction
Influence of Smoking and Alcohol
Bio drug – Food Interaction
The general objectives of involving the public at different stages in the EIA process were considered by a recent European Commission research project (EC, 1999) as given in the table.
European union is composed of several hundred countries including Muslim nations like Turkey, Albania etc. So, if one gets access into nation like Poland or Romania, he gets access throughout Europe.
Objectives of public participation during stages of the EIA process
Formal opportunities for public participation in EIA are defined in legislation. While rights of involvement in many countries are limited to opportunities for viewing and commenting on finalised reports, in principle, public consultation and participation can occur at every stage in the EIA process. The table summarizes the main objectives of public involvement at each stage of the EIA process, including a detailed description of these objectives (EC, 1999).
In brief, literature shows that there are a number of advantages of involving the public early on in the EIA process. If participation does occur early on then interaction between the public, developer and decision-making body should continue throughout the EIA process if the full benefits are to be seen.
Table : Summary of Objectives of Public Involvement in EIA
Stage of EIA process Objectives of public involvement
Screening
Identification of significant impacts
Scoping
• Identification of public's interest and values
• Identification of priorities for assessment
• Encouraging public understanding of the proposed project
Assessment
• The public can contribute local knowledge and values to the prediction, evaluation and mitigation of impacts
• Improvement in quality and acceptability of EIA report
EIA Report Review
Public contribute to evaluation of quality and acceptability of report
Decision
Public comment on acceptability of project impacts
Monitoring
Public evaluate impacts that occur and support project environmental management process
There is an international agency called Environmental Protection Agency EPA. EPA forms and implements regulations regarding making the environment better.
We are at present in a very critical state as far as the situation of global warming and receding snowcaps in the Antarctica. It has been found that there is a hole in the Ozone layer due to increasing level of pollution throughout the world.
The rising sea-levels are threatening the global community. Moreover, the increasing amount of garbage thrown into the seas is a major problem now for countries like Canada. How to manage this sort of problems is equally challenging in both the developed and underdeveloped nations.
6. Solution mitigation of climate change.pptxNeeraj Ojha
There is an international agency called Environmental Protection Agency EPA. EPA forms and implements regulations regarding making the environment better.
We are at present in a very critical state as far as the situation of global warming and receding snowcaps in the Antarctia. It has been found that there is a hole in the Ozone layer due to increasing level of pollution throughout the world.
5.Climate change and its impact on environment.pptxNeeraj Ojha
There is an international agency called Environmental Protection Agency EPA. EPA forms and implements regulations regarding making the environment better.
We are at present in a very critical state as far as the situation of global warming and receding snowcaps in the Antarctia. It has been found that there is a hole in the Ozone layer due to increasing level of pollution throughout the world.
4BDirect and indirect health effects of climate change.pptxNeeraj Ojha
As far as Nepalese people are concerned, they are very bad in their food habits. Disease like ulcer and diabetes are rampant along Nepalese people. Moreover, there are areas in the country where there is a severe malnutrition.
Factors influencing food habits
•Individual Preferences
Every individual has unique likes and dislikes concerning foods.
•Cultural Influences
A cultural group provides guidelines regarding acceptable foods, food combinations, eating patterns, and eating behaviors.
•Social Influences
Members of asocial group depend on each other, share a common culture, and influence each other's behaviors and values.
As far as Nepalese people are concerned, they are very bad in their food habits. Disease like ulcer and diabetes are rampant along Nepalese people. Moreover, there are areas in the country where there is a severe malnutrition.
Factors influencing food habits
•Individual Preferences
Every individual has unique likes and dislikes concerning foods.
•Cultural Influences
A cultural group provides guidelines regarding acceptable foods, food combinations, eating patterns, and eating behaviors.
•Social Influences
Members of asocial group depend on each other, share a common culture, and influence each other's behaviors and values.
2,3 Greenhouse gases, global scenario, green house effectt and global warming...Neeraj Ojha
As far as Nepalese people are concerned, they are very bad in their food habits. Disease like ulcer and diabetes are rampant along Nepalese people. Moreover, there are areas in the country where there is a severe malnutrition.
Factors influencing food habits
•Individual Preferences
Every individual has unique likes and dislikes concerning foods.
•Cultural Influences
A cultural group provides guidelines regarding acceptable foods, food combinations, eating patterns, and eating behaviors.
•Social Influences
Members of asocial group depend on each other, share a common culture, and influence each other's behaviors and values.
8.1Determinants of Adaptive Capacity.pptxNeeraj Ojha
There is an international agency called Environmental Protection Agency EPA. EPA forms and implements regulations regarding making the environment better.
We are at present in a very critical state as far as the situation of global warming and receding snowcaps in the Antarctia. It has been found that there is a hole in the Ozone layer due to increasing level of pollution throughout the world.
The rising sea-levels are threatening the global community. Moreover, the increasing amount of garbages thrown into the seas is a major problem now for countries like Canada. How to manage this sort of problems is equally challenging in both the developed and underdeveloped nations.
There is an international agency called Environmental Protection Agency EPA. EPA forms and implements regulations regarding making the environment better.
We are at present in a very critical state as far as the situation of global warming and receding snowcaps in the Antarctia. It has been found that there is a hole in the Ozone layer due to increasing level of pollution throughout the world.
The rising sea-levels are threatening the global community. Moreover, the increasing amount of garbages thrown into the seas is a major problem now for countries like Canada. How to manage this sort of problems is equally challenging in both the developed and underdeveloped nations.
4A Socio-economic and environmental impacts of climate change.pptxNeeraj Ojha
As far as Nepalese people are concerned, they are very bad in their food habits. Disease like ulcer and diabetes are rampant along Nepalese people. Moreover, there are areas in the country where there is a severe malnutrition.
Factors influencing food habits
•Individual Preferences
Every individual has unique likes and dislikes concerning foods.
•Cultural Influences
A cultural group provides guidelines regarding acceptable foods, food combinations, eating patterns, and eating behaviors.
•Social Influences
Members of asocial group depend on each other, share a common culture, and influence each other's behaviors and values.
Eating disorders are complex, bio-psycho-social conditions, with multiple causes. Eating disorders arise from a combination of established social, psychological, biological, and interpersonal factors. While they may begin with preoccupations with food and weight, they are most often about much more than food. It is important to understand that the factors that contribute to eating disorders are complex and multifaceted; they are not simply about weight and they are certainly not choices.
अमेरिकामा नेपाली मामिलामा सीबीआईको अनुसन्धान
https://cib.nepalpolice.gov.np/
पछिल्लो समय अमेरिकाको मूलधारको राजनीतिमा नेपाली मूलका थोरै मानिसहरु प्रवेश गर्न सफल भएका छन् । मेरिल्याण्डका प्राध्यापक ह्यारी भण्डारी( Harry Bhandari, Maryland) डेमोक्रेटिक ककसमा प्रवेश गरेका छन् । त्यस्तै दर्शन रौनियार (Darshan Rauniyar, California) अमेरिकी सिनेटमा उम्मेदवार बनेका छन् । उहाँसँग धेरै सहयोग र पैसा भए पनि, एक नाबालिगद्वारा बलात्कारको आरोपमा उहाँलाई ककसमा अवरुद्ध गरियो।
अमेरिकामा प्रचण्ड र कम्युनिस्ट साम्राज्य न्यूयोर्कदेखि टेक्साससम्म फैलिएको छ । उनीहरुले पासाङ लामा, कुन्ती थापा, श्रुति कंसाकार(Euless Texas), सिर्जना मुनिकार(Jerseycity, NJ) , साङ शेर्पा(Construction), विजय पौडेल (Journalism) लगायत अमेरिकामा रहेका आफ्ना एजेन्ट र व्यक्तिसँग चन्दा उठाएर अर्बौं डलरको पैसा लुटेका छन् । श्रीलंकाको तमिल टाइगर्स र भारतीय माओवादीहरू: अष्ट्रेलिया, अमेरिका, युनाइटेड किंगडम र क्यानडा जस्ता विकसित राष्ट्रहरूमा तिनीहरूको धेरै ठूलो सञ्चालन छ।बालकुमारीमा बस्ने माधव नेपालजस्ता मानिसहरूलाई यी कम्युनिष्ट डन र गुण्डाहरूले धेरै रक्षा गर्न सक्छन्। धेरै कांग्रेसका कार्यकर्ताहरू प्रलोभनमा पारेर अमेरिकामा पैसा लुट्दै हत्या वा आत्महत्या जस्तो देखिने गरी हत्या हुन्छ। प्रचण्डको कारबाही क्लिन्टन फाउण्डेशन (Clinton Foundation) , वर्तमान राष्ट्रपति बाइडेन र अमेरिकामा सक्रिय जासुससँग जोडिएको छ ।
चिनियाँहरूले क्वीन्समा 5339 97st कोरोना, NY जस्ता धेरै घरहरू ल्याएका छन् जहाँ उनीहरूले कांग्रेस र राप्रपा कार्यकर्ताहरूलाई प्रलोभनमा पारेका छन् र उनीहरूलाई संयुक्त राज्यको डेमोक्रेटिक पार्टीको सहयोगमा थुनेका छन्। अमेरिकामा धेरै वरिष्ठ राजतन्त्र समर्थक र पूर्व सेना सदस्यहरू(eg. Bishwa Bahadur Shah, Bishal Bikram Shah, Kamala Prasai ) यस तरिकाले मारिएका छन् वा विषाक्त छन्। रञ्जित थापा र बुद्ध बस्ताकोटी जस्ता पूर्वप्रहरी पनि यी अपरेशनमा संलग्न रहेको पाइएको छ ।
यो समग्र परिदृश्यलाई हेर्दा पछिल्लो समयको विकासको सन्दर्भमा नेपालको संविधानमा परिवर्तन र संशोधन गर्नुपर्ने आवश्यकता पनि हामीले देखेका छौं । हामीले लामो समयदेखि अल्पसंख्यक जनसंख्या र गे-लेस्बियन-ट्रान्सजेन्डर (LGBT) समुदायको शक्तिलाई बेवास्ता गर्दै आएका छौं। यही कारणले उनीहरू विदेशी शक्तिसँग गठबन्धन गर्दै राष्ट्रिय सुरक्षाका (national security) लागि खतरा बनिरहेका छन् । विशेषगरी इजरायल जस्ता देशमा सिआइएको कारबाही विश्वका लागि खतरा बन्दै गएको छ । सीआईएको इजरायल राष्ट्रमा ठूलो भूमिगत आणविक सुविधा (underground nuclear weapon facility) छ जुन हाम्रो देशको धेरै नजिक छ। यसको मतलब यो हो कि सानो द्वन्द्वको अवस्थामा सीआईएले(CIA) आफ्नो आणविक शक्ति सिधै नेपालमा घुमाउन सक्छ। तसर्थ, हामी आजदेखि नै होसियार हुनुपर्दछ र अन्य सहयोगीहरूलाई पनि त्यस्तै गर्न चेतावनी दिनु पर्छ।
लिन्डन बी जोनसनले जेएफकेको (JFK) हत्यामा इटालियन माफिया (Organized Crime ) सँग सहयोग गरेको भनिन्छ। माफियाहरूले आफ्नो व्यापार र प्रभाव बढाउन तत्कालीन कम्युनिस्ट भियतनामसँग युद्ध गर्न चाहन्थे। ठ्याक्कै परिस्थिति अहिले हामीले सामना गरिरहेका छौं। अमेरिकाको लुटेरा टोली हाम्रो राष्ट्रसँग युद्ध चाहन्छ र उनीहरूले बाइडेन प्रशासनलाई भारतसँग मिलेर राजधानी काठमाडौंमा आक्रमण गर्न बाध्य पारिरहेका छन् । मोदी सरकारले सधैं नेपाललाई आफ्नो क्षेत्रको रूपमा हावी गर्न खोजेको छ। यसै कारण मनमोहन सिंहको प्रधानमन्त्र
PHG 481 Traditional Systems of Medicine BPHARM syllabus PUNeeraj Ojha
Traditional system of Medicine includes Chinese medicine, Ayurveda, Tibetan medicine, Kampo, Homeopathy etc. Answers are derived from teacher's notes and internet
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Drug excipient interaction
1. Drug-excipient interaction and its
importance in dosage form
development
Neeraj Ojha
7th sem Bpharm
CIST COLLEGE KATHMANDU NEPAL
2. Introduction:
• Excipient is a pharmacologically inactive substance formulated
along side the active pharmaceutical ingredient of a
medication.
• Excipients although inert can initiate, propagate or participate
in chemical or physical interactions with drug compounds,
which may compromise the effectiveness of a medicine.
• In other words, they might enhance the effect of the drug,
inhibit or change nothing.
• Excipients also provide bulk to the formulations, facilitate
drug absorption or solubility, aid in handling of API during
manufacturing , and provide stability and prevent from
denaturation.
3. Contd.
• For the development of proposed pharmaceutical
dosage form, three components which should be
considered are:
1. Properties and limitations of API;
2. Properties and limitations of excipients;
3. Advantage and limitation of methods used;
Excipients are classified according to their functions as:
Binders; disintegrants; fillers; Lubricants; Glidants;
Compression aids; Colors; sweeteners; preservatives;
flavors; film formers/coatings; suspending/dispersing
agents/surfactants.
4. Advantages/Limitations of Excipients:
• Excipients are included in the dosage forms for the :
1. Improvement of the stability of API in the dosage form;
2. Modulation of bioavailability of active pharmaceutical
ingredients;
3. Maintain the pH of liquid formulations;
4. Maintain the rheology of semisolid dosage form;
5. Act as tablet binders, tablet disintegrants;
6. Act as antioxidant and emulsifying agents;
7. To allow the adequate administration etc.
Limitations of the excipients are that they may cause chemical
interaction or affect the quality of packaging materials.
5. Contd.
• Benefits of Active Pharmaceutical Ingredients (APIs):
• Lower risk of drug interaction.
• Increased understanding of the drug and its action.
• Increased compliance from the patient.
• Better acceptance of the drug's side effects and symptoms.
• Better choice of brand.
Limitations:
APIs can exist in different polymorphic forms as well as in
amorphous state. Polymorphic and amorphous forms of APIs can
differ in physicochemical properties which in turn can
significantly influence their therapeutic safety and effectiveness
of the treatment.
6. Definition:
• Excipients according to IPEC, “These are substances other
than the API which has been appropriately evaluated for
safety and is included in a drug delivery system to either aid
processing of the system during manufacturing or protect,
support or enhance stability, bioavailability or patients
compliances or assist in product identification and enhance
any other attributes of overall safety and effectiveness of drug
product during storage or use.”
7. Mode of drug degradation
Common modes of degradation are:
1. Hydrolysis: It means the break down of the substance in
the presence of water. Drugs with functional groups
such as esters, amides, lactones, or lactams are the
most susceptible. Water also has great potential of
causing microbial contamination that leads to easy
degradation eg. Methyldopa, Procaine, Penicillins.
2. Oxidation: It involves the removal of electropositive
atom, radical or electron or, conversely , addition of an
electronegative moiety. Aldehydes, alcohols, ph-
8. Contd.
enols, alkaloids and unsaturated fats and oils are all
susceptible to oxidation eg. Calcitonin, Ascorbic acid,
Isoprenaline.
3. Isomerization: Isomers may be of several types.
Different isomers of the same compound might possess
different pharmacological and toxicological properties eg.
Tetracycline, Vitamin A, Adrenaline.
4. Photolysis: Several reactions take place in the presence
of light like redox reactions, ring alterations and
polymerizations eg. Riboflavin, Folic acid, Nifedipine.
5. Polymerization: Intermolecular reactions lead to the
formation of macromolecules eg. Ceftazidime, Ampicillin.
9. Mechanism of Interactions:
• Physical interactions:
A general example of a physical interaction is
interactive mixing. In this smaller particles interact
with the surface of the larger carrier particles
through physical forces.
In other words, physical interaction involves no
change in the integrity of the substance.
An example of a physical interaction between an
API and an excipient is that between primary amine
drugs and microcrystalline cellulose.
10. Chemical interactions:
• These are chemical reactions between drug and
impurities/residues to form different molecules.
• One of the best example of chemical interactions
between drugs and excipients is: Primary amine
group of chlorpromazine undergoes Maillard
reaction with glycosidic hydroxyl group of
reducing sugar dextrose to form imine, which
finally breakdown to form Amidori compounds.
• Chemical interactions bring about the change in
the integrity of the substance itself.
11. Conclusion:
• There is a paucity of information in compendia or
other publications on potentially damaging
residues in even the most common excipients.
• Proper knowledge and understanding of drug-
excipient interactions is a necessary prerequisite
to the development of dosage forms that are
stable and of good quality.
• It is clear from the above facts that excipient
selection should be done with a great care and
consideration to produce quality drugs.