The document summarizes information about 5 inorganic drugs: aluminum hydroxide, aluminum chloride, sodium carbonate, sodium chloride, and sodium thiosulphate. It describes their occurrence, physical characteristics, pharmaceutical uses, incompatibilities, adverse effects, and preparations. Aluminum hydroxide is used as an antacid and adsorbent. Aluminum chloride is used as a hemostatic and antiperspirant. Sodium carbonate, sodium chloride and sodium thiosulphate are used for a variety of purposes including as emetics, douches, and cyanide poisoning antidotes. Their uses depend on their chemical properties and interactions.
This document discusses chelating agents used to treat heavy metal poisoning. It describes how chelating agents work by binding to metal ions through groups like -SH or -OH, forming stable water-soluble complexes that can be excreted. Several chelating drugs are mentioned, including dimercaprol, DMSA, DMPS, EDTA, penicillamine, desferrioxamine, and deferiprone. Their uses in treating various heavy metal toxicities like lead, arsenic, mercury, copper, and iron poisoning are outlined. Side effects of the drugs and dosing information is also provided. The goals of chelation therapy to reduce metal retention and prevent complications of toxicity are noted in conclusion.
Carboxylic acids are organic compounds that contain a carboxyl group. They are characterized by having the general formula R-COOH. Carboxylic acids are weak acids and are soluble in water, especially smaller acids. They have various uses including in polymers, pharmaceuticals, and food additives. Important reactions of carboxylic acids include forming esters, amides, salts, and alcohols.
effect of various environment and processing on stability of formulationsManoj Kumar Tekuri
The document discusses various factors that can affect the stability of pharmaceutical formulations, including moisture, heat, light, radiation, and discusses physical and chemical degradation pathways like hydrolysis, oxidation, and techniques to stabilize formulations against degradation. It provides examples of drugs that can undergo hydrolysis or oxidation and discusses preventive measures like using buffers, complexation, suppressing solubility, antioxidants, chelating agents, and appropriate vehicles to inhibit degradation reactions like hydrolysis and oxidation.
This document provides information about carboxylic acids including their general formula, solubility, acidity, odor, uses, synthesis, and reactions. Carboxylic acids are organic acids characterized by the presence of a carboxyl group. They are typically weak acids and have higher boiling points than comparable alcohols. Commonly used carboxylic acids in industry and medicines are described.
The document discusses gastrointestinal agents and provides information about antacids. It defines antacids as alkaline substances used to neutralize hydrochloric acid in the stomach and provides relief from pain caused by excess stomach acid. The summary discusses classification of antacids as systemic or non-systemic based on absorption and criteria for an ideal antacid preparation. It also mentions combination antacid preparations can help avoid side effects of individual compounds.
Unit-III Gastro-intestinal agent for B&D Pharmacy.pptx by Bulet Kumar GuptaChevallaMaheshwari
The document discusses various agents used to treat gastrointestinal conditions. It describes the anatomy and functions of the gastrointestinal tract. It then discusses different types of gastric antacids including their classification, mechanisms of action, and examples like aluminum hydroxide, magnesium hydroxide, and sodium bicarbonate. It also covers acidifiers, cathartics, and their uses to treat conditions like achlorhydria, constipation, and diarrhea.
This document discusses childhood anemia, including its definition, causes, signs and symptoms, diagnostic tests, treatment, and iron metabolism. Some key points:
- Anemia is defined as low red blood cell or hemoglobin levels. It poses health risks in children and is commonly caused by iron deficiency.
- Diagnosis involves blood tests showing microcytic, hypochromic anemia and low iron stores.
- Treatment consists of oral iron supplements initially, with parenteral options for severe cases. Absorption can be improved by vitamin C and hindered by certain foods.
This document discusses chelating agents used to treat heavy metal poisoning. It describes how chelating agents work by binding to metal ions through groups like -SH or -OH, forming stable water-soluble complexes that can be excreted. Several chelating drugs are mentioned, including dimercaprol, DMSA, DMPS, EDTA, penicillamine, desferrioxamine, and deferiprone. Their uses in treating various heavy metal toxicities like lead, arsenic, mercury, copper, and iron poisoning are outlined. Side effects of the drugs and dosing information is also provided. The goals of chelation therapy to reduce metal retention and prevent complications of toxicity are noted in conclusion.
Carboxylic acids are organic compounds that contain a carboxyl group. They are characterized by having the general formula R-COOH. Carboxylic acids are weak acids and are soluble in water, especially smaller acids. They have various uses including in polymers, pharmaceuticals, and food additives. Important reactions of carboxylic acids include forming esters, amides, salts, and alcohols.
effect of various environment and processing on stability of formulationsManoj Kumar Tekuri
The document discusses various factors that can affect the stability of pharmaceutical formulations, including moisture, heat, light, radiation, and discusses physical and chemical degradation pathways like hydrolysis, oxidation, and techniques to stabilize formulations against degradation. It provides examples of drugs that can undergo hydrolysis or oxidation and discusses preventive measures like using buffers, complexation, suppressing solubility, antioxidants, chelating agents, and appropriate vehicles to inhibit degradation reactions like hydrolysis and oxidation.
This document provides information about carboxylic acids including their general formula, solubility, acidity, odor, uses, synthesis, and reactions. Carboxylic acids are organic acids characterized by the presence of a carboxyl group. They are typically weak acids and have higher boiling points than comparable alcohols. Commonly used carboxylic acids in industry and medicines are described.
The document discusses gastrointestinal agents and provides information about antacids. It defines antacids as alkaline substances used to neutralize hydrochloric acid in the stomach and provides relief from pain caused by excess stomach acid. The summary discusses classification of antacids as systemic or non-systemic based on absorption and criteria for an ideal antacid preparation. It also mentions combination antacid preparations can help avoid side effects of individual compounds.
Unit-III Gastro-intestinal agent for B&D Pharmacy.pptx by Bulet Kumar GuptaChevallaMaheshwari
The document discusses various agents used to treat gastrointestinal conditions. It describes the anatomy and functions of the gastrointestinal tract. It then discusses different types of gastric antacids including their classification, mechanisms of action, and examples like aluminum hydroxide, magnesium hydroxide, and sodium bicarbonate. It also covers acidifiers, cathartics, and their uses to treat conditions like achlorhydria, constipation, and diarrhea.
This document discusses childhood anemia, including its definition, causes, signs and symptoms, diagnostic tests, treatment, and iron metabolism. Some key points:
- Anemia is defined as low red blood cell or hemoglobin levels. It poses health risks in children and is commonly caused by iron deficiency.
- Diagnosis involves blood tests showing microcytic, hypochromic anemia and low iron stores.
- Treatment consists of oral iron supplements initially, with parenteral options for severe cases. Absorption can be improved by vitamin C and hindered by certain foods.
This document provides information about various toxic chemicals, including their sources, effects, and treatments. It discusses heavy metals like arsenic, mercury, lead, copper, and others as well as other toxic substances such as nitrites, nitrates, and barium. For each chemical, it outlines the acute and chronic symptoms caused by exposure and recommended medical treatments. In conclusion, it states that toxic materials can dangerously impact living things and stresses the importance of protecting the environment and avoiding exposure to these harmful agents.
Diuretics are drugs that increase urine output by inhibiting reabsorption of sodium, chloride and water in the kidneys. There are several classes of diuretics including thiazide diuretics, loop diuretics, carbonic anhydrase inhibitors, and potassium-sparing diuretics. Thiazide diuretics such as chlorothiazide and hydrochlorothiazide act by inhibiting sodium reabsorption in the distal convoluted tubule. Loop diuretics like furosemide act in the loop of Henle and are the most potent class. Carbonic anhydrase inhibitors including acetazolamide inhibit bicarbonate reabsorption in the proximal tubule. Potassium-spar
The document discusses different classes of diuretic drugs, including loop diuretics, thiazide diuretics, potassium-sparing diuretics, carbonic anhydrase inhibitors, and osmotic diuretics. It provides details on the mechanisms of action, examples of drugs in each class, their uses, dosages, side effects and cautions. The document is intended as an educational reference on the types and clinical applications of various diuretic medications.
Introduction to diuretics.
Therapeutic approaches.
Normal physiology of urine formation.
Classification of drugs .
Mechanism of action of Acetazolamide.
Mechanism of action of Thiazides.
Mechanism of action of Loop diuretics.
Mechanism of action of potassium sparing diuretics &aldosterone antagonists.
The document discusses stability studies of drug formulations. It defines stability as the ability of a drug product to remain within established specifications over time under storage and usage conditions. Stability testing is conducted to determine shelf life, recommended storage conditions, and suitability of packaging. The main types of drug degradation discussed are physical degradation (changes in appearance, solubility) and chemical degradation (hydrolysis, oxidation). Specific examples of each type of degradation are provided.
The document discusses diuretics, which are drugs that increase urine production. It defines diuretics and describes their primary mechanism of action as inhibiting sodium reabsorption along the nephron. This leads to increased sodium and water excretion, reducing extracellular fluid volume and edema. The document classifies major types of diuretics, including carbonic anhydrase inhibitors, loop diuretics, thiazides, and potassium-sparing diuretics. It provides examples of drugs for each class, along with their uses, mechanisms, and side effects. Structure-activity relationships that determine diuretic activity are also summarized.
This presentation is for the diploma students and it covers the topic diuretics. This course is designed to introduce to the students the concept of diuretics, summation of such search and writing a brief report based on collected information in student’s own words.
Completion of graduation project in the form of a report / essay is an essential requirement for obtaining the degree of D.Pharm.
Diuretics, sometimes called water pills, help rid your body of salt (sodium) and water. Most of these medicines help your kidneys release more sodium into your urine. The sodium helps remove water from your blood, decreasing the amount of fluid flowing through your veins and arteries.
Types of diuretics include:
Thiazide diuretics, such as hydrochlorothiazide (Microzide® or Oretic®) or chlorthalidone (Hygroton® or Thalitone®).
What they do: They make your kidneys pull salt and extra water into your pee.
Selected side effects:
Headache.
Loss of appetite.
Hair loss.
Loop diuretics, such as furosemide or bumetanide
What they do: They affect part of your kidneys (the loop of Henle) to get salt and excess water out of your body.
Selected side effects:
Dizziness.
Diarrhea.
Upset stomach.
Potassium-sparing diuretics, such as triamterene or amiloride
What they do: They help your kidneys clear salt and water out of your body, but don’t let you lose too much potassium in the process.
Selected side effects:
Gas.
Nausea.
Headache.
A mixture of two types in one pill, like triamterene and hydrochlorothiazide (Dyazide® or Maxzide®)
What they do: They make your kidneys move salt and extra water out while keeping you from losing too much potassium.
Selected side effects:
Headache.
Peeing often.
People usually take diuretics by swallowing diuretic pills, but your provider can give some diuretics through an IV in your arm during a hospital stay. Most people can take diuretics without getting serious problems from them.
How do diuretics work?
Diuretics make your kidneys take away your body’s extra salt and water by putting them into your urine (pee).'
1 Medical uses
2 Types
2.1 High-ceiling/loop diuretics
2.2 Thiazides
2.3 Carbonic anhydrase inhibitors
2.4 Potassium-sparing diuretics
2.5 Calcium-sparing diuretics
2.6 Osmotic diuretics
2.7 Low-ceiling diuretics
3 Mechanism of action
4 Adverse effects
5 Abuse in sports
6 See also
7 References
1. Diuretics are drugs that increase urine output by inhibiting tubular reabsorption of sodium and water in the kidneys. They are used to treat various types of edema and hypertension.
2. Diuretics can be classified based on their chemical structure and include xanthine, thiazide, loop, and potassium-sparing diuretics. Common loop diuretics are furosemide and bumetanide which have a rapid onset but short duration. Thiazide diuretics like hydrochlorothiazide have a longer duration.
3. Specific diuretics discussed include acetazolamide, furosemide, bumetanide, chlorthalidone
This document discusses various drugs used to treat gastric acid-related disorders. It describes antacids that neutralize acid in the stomach, including aluminum and magnesium compounds, calcium carbonate, and sodium bicarbonate. It also discusses H2 receptor antagonists, proton pump inhibitors, and other drugs that reduce acid secretion. The document provides details on the mechanisms of action, pharmacokinetics, therapeutic uses and potential side effects of these different drug classes.
This document discusses antacids and their preparation. It defines antacids as alkaline substances used to neutralize excess stomach acid. Ideal antacids should be absorbable, raise stomach pH to 3-4.5, maintain pH for an adequate time, and not cause constipation. Antacids are classified as systemic (absorbable) like sodium bicarbonate, or non-systemic (non-absorbable) like aluminium hydroxide, calcium carbonate, and magnesium hydroxide. The document provides details on the preparation, properties, and uses of various common antacid substances and combination preparations.
Heavy metals like lead, mercury, arsenic, and cadmium can be toxic by binding to ligands in the body. Chelating agents compete for these metals to prevent or reverse toxicity and enhance excretion. An ideal chelator forms stable, nontoxic complexes and is water soluble, resistant to biotransformation, able to reach metal storage sites, and readily excreted. Chelation therapy uses agents like EDTA, dimercaprol, penicillamine, or succimer to treat poisoning from these heavy metals.
Antacids are bases or basic salts that neutralize excess stomach acid. Common antacid compounds include calcium carbonate, sodium bicarbonate, aluminum hydroxide, and magnesium hydroxide. These compounds react with hydrochloric acid in the stomach to raise the pH and reduce acidity, providing relief from conditions like heartburn and acid indigestion. Antacids are available in formulations like tablets, capsules, powders, and suspensions to temporarily relieve symptoms while not treating the underlying cause of excess acid production. Common brands include Tums, Rolaids, Maalox, Milk of Magnesia and Pepto-Bismol. Antacids should be used with caution by those with kidney
This document provides information about antacids, including their mechanism of action, classification, and examples. It discusses how antacids work by neutralizing gastric acid through chemical reactions or by forming protective coatings in the stomach. Antacids are classified as systemic or non-systemic. Systemic antacids like sodium bicarbonate can cause alkalosis while non-systemic antacids like aluminum hydroxide, magnesium hydroxide, and magnesium carbonate act locally in the stomach without systemic absorption. Common antacids are discussed in detail with their chemical reactions, effects, uses, and side effects.
1. Aspirin is used after myocardial infarction to inhibit platelet aggregation and reduce the risk of reinfarction through inhibition of TXA2 synthesis. It is given at doses of 60-100 mg/day.
2. Disulfiram is used as an aversion therapy in motivated alcoholics to help them stop drinking. It inhibits alcohol metabolism causing distressing symptoms when alcohol is consumed after taking disulfiram.
3. Folic acid is used in pregnancy to prevent anemia and support healthy development of the baby's brain and spinal cord by ensuring adequate folic acid levels during this critical time of development.
This document discusses the three main types of drug degradation: chemical, physical, and microbial. Chemical degradation includes hydrolysis, dehydration, isomerization, decarboxylation, elimination, oxidation, and photodegradation. Physical degradation involves crystallization, phase transitions, and moisture adsorption. Microbial degradation can occur if formulations become contaminated and depend on the type and amount of microbes present. Drug-excipient and drug-drug interactions can also lead to degradation through reactions. Maintaining proper storage conditions is important to prevent degradation via these routes.
This document discusses alkalinizers, which are agents used to neutralize acidity in the body caused by conditions like metabolic acidosis. It describes several types of alkalinizers including sodium bicarbonate, sodium acetate, sodium citrate, and potassium citrate. Sodium bicarbonate is discussed in more detail, explaining that it neutralizes gastric acidity and raises pH towards normal. The document also covers indications, contraindications, dosing, side effects, and the nursing responsibilities for several alkalinizers.
The debris of the ‘last major merger’ is dynamically youngSérgio Sacani
The Milky Way’s (MW) inner stellar halo contains an [Fe/H]-rich component with highly eccentric orbits, often referred to as the
‘last major merger.’ Hypotheses for the origin of this component include Gaia-Sausage/Enceladus (GSE), where the progenitor
collided with the MW proto-disc 8–11 Gyr ago, and the Virgo Radial Merger (VRM), where the progenitor collided with the
MW disc within the last 3 Gyr. These two scenarios make different predictions about observable structure in local phase space,
because the morphology of debris depends on how long it has had to phase mix. The recently identified phase-space folds in Gaia
DR3 have positive caustic velocities, making them fundamentally different than the phase-mixed chevrons found in simulations
at late times. Roughly 20 per cent of the stars in the prograde local stellar halo are associated with the observed caustics. Based
on a simple phase-mixing model, the observed number of caustics are consistent with a merger that occurred 1–2 Gyr ago.
We also compare the observed phase-space distribution to FIRE-2 Latte simulations of GSE-like mergers, using a quantitative
measurement of phase mixing (2D causticality). The observed local phase-space distribution best matches the simulated data
1–2 Gyr after collision, and certainly not later than 3 Gyr. This is further evidence that the progenitor of the ‘last major merger’
did not collide with the MW proto-disc at early times, as is thought for the GSE, but instead collided with the MW disc within
the last few Gyr, consistent with the body of work surrounding the VRM.
ESR spectroscopy in liquid food and beverages.pptxPRIYANKA PATEL
With increasing population, people need to rely on packaged food stuffs. Packaging of food materials requires the preservation of food. There are various methods for the treatment of food to preserve them and irradiation treatment of food is one of them. It is the most common and the most harmless method for the food preservation as it does not alter the necessary micronutrients of food materials. Although irradiated food doesn’t cause any harm to the human health but still the quality assessment of food is required to provide consumers with necessary information about the food. ESR spectroscopy is the most sophisticated way to investigate the quality of the food and the free radicals induced during the processing of the food. ESR spin trapping technique is useful for the detection of highly unstable radicals in the food. The antioxidant capability of liquid food and beverages in mainly performed by spin trapping technique.
This document provides information about various toxic chemicals, including their sources, effects, and treatments. It discusses heavy metals like arsenic, mercury, lead, copper, and others as well as other toxic substances such as nitrites, nitrates, and barium. For each chemical, it outlines the acute and chronic symptoms caused by exposure and recommended medical treatments. In conclusion, it states that toxic materials can dangerously impact living things and stresses the importance of protecting the environment and avoiding exposure to these harmful agents.
Diuretics are drugs that increase urine output by inhibiting reabsorption of sodium, chloride and water in the kidneys. There are several classes of diuretics including thiazide diuretics, loop diuretics, carbonic anhydrase inhibitors, and potassium-sparing diuretics. Thiazide diuretics such as chlorothiazide and hydrochlorothiazide act by inhibiting sodium reabsorption in the distal convoluted tubule. Loop diuretics like furosemide act in the loop of Henle and are the most potent class. Carbonic anhydrase inhibitors including acetazolamide inhibit bicarbonate reabsorption in the proximal tubule. Potassium-spar
The document discusses different classes of diuretic drugs, including loop diuretics, thiazide diuretics, potassium-sparing diuretics, carbonic anhydrase inhibitors, and osmotic diuretics. It provides details on the mechanisms of action, examples of drugs in each class, their uses, dosages, side effects and cautions. The document is intended as an educational reference on the types and clinical applications of various diuretic medications.
Introduction to diuretics.
Therapeutic approaches.
Normal physiology of urine formation.
Classification of drugs .
Mechanism of action of Acetazolamide.
Mechanism of action of Thiazides.
Mechanism of action of Loop diuretics.
Mechanism of action of potassium sparing diuretics &aldosterone antagonists.
The document discusses stability studies of drug formulations. It defines stability as the ability of a drug product to remain within established specifications over time under storage and usage conditions. Stability testing is conducted to determine shelf life, recommended storage conditions, and suitability of packaging. The main types of drug degradation discussed are physical degradation (changes in appearance, solubility) and chemical degradation (hydrolysis, oxidation). Specific examples of each type of degradation are provided.
The document discusses diuretics, which are drugs that increase urine production. It defines diuretics and describes their primary mechanism of action as inhibiting sodium reabsorption along the nephron. This leads to increased sodium and water excretion, reducing extracellular fluid volume and edema. The document classifies major types of diuretics, including carbonic anhydrase inhibitors, loop diuretics, thiazides, and potassium-sparing diuretics. It provides examples of drugs for each class, along with their uses, mechanisms, and side effects. Structure-activity relationships that determine diuretic activity are also summarized.
This presentation is for the diploma students and it covers the topic diuretics. This course is designed to introduce to the students the concept of diuretics, summation of such search and writing a brief report based on collected information in student’s own words.
Completion of graduation project in the form of a report / essay is an essential requirement for obtaining the degree of D.Pharm.
Diuretics, sometimes called water pills, help rid your body of salt (sodium) and water. Most of these medicines help your kidneys release more sodium into your urine. The sodium helps remove water from your blood, decreasing the amount of fluid flowing through your veins and arteries.
Types of diuretics include:
Thiazide diuretics, such as hydrochlorothiazide (Microzide® or Oretic®) or chlorthalidone (Hygroton® or Thalitone®).
What they do: They make your kidneys pull salt and extra water into your pee.
Selected side effects:
Headache.
Loss of appetite.
Hair loss.
Loop diuretics, such as furosemide or bumetanide
What they do: They affect part of your kidneys (the loop of Henle) to get salt and excess water out of your body.
Selected side effects:
Dizziness.
Diarrhea.
Upset stomach.
Potassium-sparing diuretics, such as triamterene or amiloride
What they do: They help your kidneys clear salt and water out of your body, but don’t let you lose too much potassium in the process.
Selected side effects:
Gas.
Nausea.
Headache.
A mixture of two types in one pill, like triamterene and hydrochlorothiazide (Dyazide® or Maxzide®)
What they do: They make your kidneys move salt and extra water out while keeping you from losing too much potassium.
Selected side effects:
Headache.
Peeing often.
People usually take diuretics by swallowing diuretic pills, but your provider can give some diuretics through an IV in your arm during a hospital stay. Most people can take diuretics without getting serious problems from them.
How do diuretics work?
Diuretics make your kidneys take away your body’s extra salt and water by putting them into your urine (pee).'
1 Medical uses
2 Types
2.1 High-ceiling/loop diuretics
2.2 Thiazides
2.3 Carbonic anhydrase inhibitors
2.4 Potassium-sparing diuretics
2.5 Calcium-sparing diuretics
2.6 Osmotic diuretics
2.7 Low-ceiling diuretics
3 Mechanism of action
4 Adverse effects
5 Abuse in sports
6 See also
7 References
1. Diuretics are drugs that increase urine output by inhibiting tubular reabsorption of sodium and water in the kidneys. They are used to treat various types of edema and hypertension.
2. Diuretics can be classified based on their chemical structure and include xanthine, thiazide, loop, and potassium-sparing diuretics. Common loop diuretics are furosemide and bumetanide which have a rapid onset but short duration. Thiazide diuretics like hydrochlorothiazide have a longer duration.
3. Specific diuretics discussed include acetazolamide, furosemide, bumetanide, chlorthalidone
This document discusses various drugs used to treat gastric acid-related disorders. It describes antacids that neutralize acid in the stomach, including aluminum and magnesium compounds, calcium carbonate, and sodium bicarbonate. It also discusses H2 receptor antagonists, proton pump inhibitors, and other drugs that reduce acid secretion. The document provides details on the mechanisms of action, pharmacokinetics, therapeutic uses and potential side effects of these different drug classes.
This document discusses antacids and their preparation. It defines antacids as alkaline substances used to neutralize excess stomach acid. Ideal antacids should be absorbable, raise stomach pH to 3-4.5, maintain pH for an adequate time, and not cause constipation. Antacids are classified as systemic (absorbable) like sodium bicarbonate, or non-systemic (non-absorbable) like aluminium hydroxide, calcium carbonate, and magnesium hydroxide. The document provides details on the preparation, properties, and uses of various common antacid substances and combination preparations.
Heavy metals like lead, mercury, arsenic, and cadmium can be toxic by binding to ligands in the body. Chelating agents compete for these metals to prevent or reverse toxicity and enhance excretion. An ideal chelator forms stable, nontoxic complexes and is water soluble, resistant to biotransformation, able to reach metal storage sites, and readily excreted. Chelation therapy uses agents like EDTA, dimercaprol, penicillamine, or succimer to treat poisoning from these heavy metals.
Antacids are bases or basic salts that neutralize excess stomach acid. Common antacid compounds include calcium carbonate, sodium bicarbonate, aluminum hydroxide, and magnesium hydroxide. These compounds react with hydrochloric acid in the stomach to raise the pH and reduce acidity, providing relief from conditions like heartburn and acid indigestion. Antacids are available in formulations like tablets, capsules, powders, and suspensions to temporarily relieve symptoms while not treating the underlying cause of excess acid production. Common brands include Tums, Rolaids, Maalox, Milk of Magnesia and Pepto-Bismol. Antacids should be used with caution by those with kidney
This document provides information about antacids, including their mechanism of action, classification, and examples. It discusses how antacids work by neutralizing gastric acid through chemical reactions or by forming protective coatings in the stomach. Antacids are classified as systemic or non-systemic. Systemic antacids like sodium bicarbonate can cause alkalosis while non-systemic antacids like aluminum hydroxide, magnesium hydroxide, and magnesium carbonate act locally in the stomach without systemic absorption. Common antacids are discussed in detail with their chemical reactions, effects, uses, and side effects.
1. Aspirin is used after myocardial infarction to inhibit platelet aggregation and reduce the risk of reinfarction through inhibition of TXA2 synthesis. It is given at doses of 60-100 mg/day.
2. Disulfiram is used as an aversion therapy in motivated alcoholics to help them stop drinking. It inhibits alcohol metabolism causing distressing symptoms when alcohol is consumed after taking disulfiram.
3. Folic acid is used in pregnancy to prevent anemia and support healthy development of the baby's brain and spinal cord by ensuring adequate folic acid levels during this critical time of development.
This document discusses the three main types of drug degradation: chemical, physical, and microbial. Chemical degradation includes hydrolysis, dehydration, isomerization, decarboxylation, elimination, oxidation, and photodegradation. Physical degradation involves crystallization, phase transitions, and moisture adsorption. Microbial degradation can occur if formulations become contaminated and depend on the type and amount of microbes present. Drug-excipient and drug-drug interactions can also lead to degradation through reactions. Maintaining proper storage conditions is important to prevent degradation via these routes.
This document discusses alkalinizers, which are agents used to neutralize acidity in the body caused by conditions like metabolic acidosis. It describes several types of alkalinizers including sodium bicarbonate, sodium acetate, sodium citrate, and potassium citrate. Sodium bicarbonate is discussed in more detail, explaining that it neutralizes gastric acidity and raises pH towards normal. The document also covers indications, contraindications, dosing, side effects, and the nursing responsibilities for several alkalinizers.
The debris of the ‘last major merger’ is dynamically youngSérgio Sacani
The Milky Way’s (MW) inner stellar halo contains an [Fe/H]-rich component with highly eccentric orbits, often referred to as the
‘last major merger.’ Hypotheses for the origin of this component include Gaia-Sausage/Enceladus (GSE), where the progenitor
collided with the MW proto-disc 8–11 Gyr ago, and the Virgo Radial Merger (VRM), where the progenitor collided with the
MW disc within the last 3 Gyr. These two scenarios make different predictions about observable structure in local phase space,
because the morphology of debris depends on how long it has had to phase mix. The recently identified phase-space folds in Gaia
DR3 have positive caustic velocities, making them fundamentally different than the phase-mixed chevrons found in simulations
at late times. Roughly 20 per cent of the stars in the prograde local stellar halo are associated with the observed caustics. Based
on a simple phase-mixing model, the observed number of caustics are consistent with a merger that occurred 1–2 Gyr ago.
We also compare the observed phase-space distribution to FIRE-2 Latte simulations of GSE-like mergers, using a quantitative
measurement of phase mixing (2D causticality). The observed local phase-space distribution best matches the simulated data
1–2 Gyr after collision, and certainly not later than 3 Gyr. This is further evidence that the progenitor of the ‘last major merger’
did not collide with the MW proto-disc at early times, as is thought for the GSE, but instead collided with the MW disc within
the last few Gyr, consistent with the body of work surrounding the VRM.
ESR spectroscopy in liquid food and beverages.pptxPRIYANKA PATEL
With increasing population, people need to rely on packaged food stuffs. Packaging of food materials requires the preservation of food. There are various methods for the treatment of food to preserve them and irradiation treatment of food is one of them. It is the most common and the most harmless method for the food preservation as it does not alter the necessary micronutrients of food materials. Although irradiated food doesn’t cause any harm to the human health but still the quality assessment of food is required to provide consumers with necessary information about the food. ESR spectroscopy is the most sophisticated way to investigate the quality of the food and the free radicals induced during the processing of the food. ESR spin trapping technique is useful for the detection of highly unstable radicals in the food. The antioxidant capability of liquid food and beverages in mainly performed by spin trapping technique.
Unlocking the mysteries of reproduction: Exploring fecundity and gonadosomati...AbdullaAlAsif1
The pygmy halfbeak Dermogenys colletei, is known for its viviparous nature, this presents an intriguing case of relatively low fecundity, raising questions about potential compensatory reproductive strategies employed by this species. Our study delves into the examination of fecundity and the Gonadosomatic Index (GSI) in the Pygmy Halfbeak, D. colletei (Meisner, 2001), an intriguing viviparous fish indigenous to Sarawak, Borneo. We hypothesize that the Pygmy halfbeak, D. colletei, may exhibit unique reproductive adaptations to offset its low fecundity, thus enhancing its survival and fitness. To address this, we conducted a comprehensive study utilizing 28 mature female specimens of D. colletei, carefully measuring fecundity and GSI to shed light on the reproductive adaptations of this species. Our findings reveal that D. colletei indeed exhibits low fecundity, with a mean of 16.76 ± 2.01, and a mean GSI of 12.83 ± 1.27, providing crucial insights into the reproductive mechanisms at play in this species. These results underscore the existence of unique reproductive strategies in D. colletei, enabling its adaptation and persistence in Borneo's diverse aquatic ecosystems, and call for further ecological research to elucidate these mechanisms. This study lends to a better understanding of viviparous fish in Borneo and contributes to the broader field of aquatic ecology, enhancing our knowledge of species adaptations to unique ecological challenges.
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...Leonel Morgado
Current descriptions of immersive learning cases are often difficult or impossible to compare. This is due to a myriad of different options on what details to include, which aspects are relevant, and on the descriptive approaches employed. Also, these aspects often combine very specific details with more general guidelines or indicate intents and rationales without clarifying their implementation. In this paper we provide a method to describe immersive learning cases that is structured to enable comparisons, yet flexible enough to allow researchers and practitioners to decide which aspects to include. This method leverages a taxonomy that classifies educational aspects at three levels (uses, practices, and strategies) and then utilizes two frameworks, the Immersive Learning Brain and the Immersion Cube, to enable a structured description and interpretation of immersive learning cases. The method is then demonstrated on a published immersive learning case on training for wind turbine maintenance using virtual reality. Applying the method results in a structured artifact, the Immersive Learning Case Sheet, that tags the case with its proximal uses, practices, and strategies, and refines the free text case description to ensure that matching details are included. This contribution is thus a case description method in support of future comparative research of immersive learning cases. We then discuss how the resulting description and interpretation can be leveraged to change immersion learning cases, by enriching them (considering low-effort changes or additions) or innovating (exploring more challenging avenues of transformation). The method holds significant promise to support better-grounded research in immersive learning.
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...Sérgio Sacani
Context. With a mass exceeding several 104 M⊙ and a rich and dense population of massive stars, supermassive young star clusters
represent the most massive star-forming environment that is dominated by the feedback from massive stars and gravitational interactions
among stars.
Aims. In this paper we present the Extended Westerlund 1 and 2 Open Clusters Survey (EWOCS) project, which aims to investigate
the influence of the starburst environment on the formation of stars and planets, and on the evolution of both low and high mass stars.
The primary targets of this project are Westerlund 1 and 2, the closest supermassive star clusters to the Sun.
Methods. The project is based primarily on recent observations conducted with the Chandra and JWST observatories. Specifically,
the Chandra survey of Westerlund 1 consists of 36 new ACIS-I observations, nearly co-pointed, for a total exposure time of 1 Msec.
Additionally, we included 8 archival Chandra/ACIS-S observations. This paper presents the resulting catalog of X-ray sources within
and around Westerlund 1. Sources were detected by combining various existing methods, and photon extraction and source validation
were carried out using the ACIS-Extract software.
Results. The EWOCS X-ray catalog comprises 5963 validated sources out of the 9420 initially provided to ACIS-Extract, reaching a
photon flux threshold of approximately 2 × 10−8 photons cm−2
s
−1
. The X-ray sources exhibit a highly concentrated spatial distribution,
with 1075 sources located within the central 1 arcmin. We have successfully detected X-ray emissions from 126 out of the 166 known
massive stars of the cluster, and we have collected over 71 000 photons from the magnetar CXO J164710.20-455217.
The use of Nauplii and metanauplii artemia in aquaculture (brine shrimp).pptxMAGOTI ERNEST
Although Artemia has been known to man for centuries, its use as a food for the culture of larval organisms apparently began only in the 1930s, when several investigators found that it made an excellent food for newly hatched fish larvae (Litvinenko et al., 2023). As aquaculture developed in the 1960s and ‘70s, the use of Artemia also became more widespread, due both to its convenience and to its nutritional value for larval organisms (Arenas-Pardo et al., 2024). The fact that Artemia dormant cysts can be stored for long periods in cans, and then used as an off-the-shelf food requiring only 24 h of incubation makes them the most convenient, least labor-intensive, live food available for aquaculture (Sorgeloos & Roubach, 2021). The nutritional value of Artemia, especially for marine organisms, is not constant, but varies both geographically and temporally. During the last decade, however, both the causes of Artemia nutritional variability and methods to improve poorquality Artemia have been identified (Loufi et al., 2024).
Brine shrimp (Artemia spp.) are used in marine aquaculture worldwide. Annually, more than 2,000 metric tons of dry cysts are used for cultivation of fish, crustacean, and shellfish larva. Brine shrimp are important to aquaculture because newly hatched brine shrimp nauplii (larvae) provide a food source for many fish fry (Mozanzadeh et al., 2021). Culture and harvesting of brine shrimp eggs represents another aspect of the aquaculture industry. Nauplii and metanauplii of Artemia, commonly known as brine shrimp, play a crucial role in aquaculture due to their nutritional value and suitability as live feed for many aquatic species, particularly in larval stages (Sorgeloos & Roubach, 2021).
Current Ms word generated power point presentation covers major details about the micronuclei test. It's significance and assays to conduct it. It is used to detect the micronuclei formation inside the cells of nearly every multicellular organism. It's formation takes place during chromosomal sepration at metaphase.
Remote Sensing and Computational, Evolutionary, Supercomputing, and Intellige...University of Maribor
Slides from talk:
Aleš Zamuda: Remote Sensing and Computational, Evolutionary, Supercomputing, and Intelligent Systems.
11th International Conference on Electrical, Electronics and Computer Engineering (IcETRAN), Niš, 3-6 June 2024
Inter-Society Networking Panel GRSS/MTT-S/CIS Panel Session: Promoting Connection and Cooperation
https://www.etran.rs/2024/en/home-english/
When I was asked to give a companion lecture in support of ‘The Philosophy of Science’ (https://shorturl.at/4pUXz) I decided not to walk through the detail of the many methodologies in order of use. Instead, I chose to employ a long standing, and ongoing, scientific development as an exemplar. And so, I chose the ever evolving story of Thermodynamics as a scientific investigation at its best.
Conducted over a period of >200 years, Thermodynamics R&D, and application, benefitted from the highest levels of professionalism, collaboration, and technical thoroughness. New layers of application, methodology, and practice were made possible by the progressive advance of technology. In turn, this has seen measurement and modelling accuracy continually improved at a micro and macro level.
Perhaps most importantly, Thermodynamics rapidly became a primary tool in the advance of applied science/engineering/technology, spanning micro-tech, to aerospace and cosmology. I can think of no better a story to illustrate the breadth of scientific methodologies and applications at their best.
Or: Beyond linear.
Abstract: Equivariant neural networks are neural networks that incorporate symmetries. The nonlinear activation functions in these networks result in interesting nonlinear equivariant maps between simple representations, and motivate the key player of this talk: piecewise linear representation theory.
Disclaimer: No one is perfect, so please mind that there might be mistakes and typos.
dtubbenhauer@gmail.com
Corrected slides: dtubbenhauer.com/talks.html
Authoring a personal GPT for your research and practice: How we created the Q...Leonel Morgado
Thematic analysis in qualitative research is a time-consuming and systematic task, typically done using teams. Team members must ground their activities on common understandings of the major concepts underlying the thematic analysis, and define criteria for its development. However, conceptual misunderstandings, equivocations, and lack of adherence to criteria are challenges to the quality and speed of this process. Given the distributed and uncertain nature of this process, we wondered if the tasks in thematic analysis could be supported by readily available artificial intelligence chatbots. Our early efforts point to potential benefits: not just saving time in the coding process but better adherence to criteria and grounding, by increasing triangulation between humans and artificial intelligence. This tutorial will provide a description and demonstration of the process we followed, as two academic researchers, to develop a custom ChatGPT to assist with qualitative coding in the thematic data analysis process of immersive learning accounts in a survey of the academic literature: QUAL-E Immersive Learning Thematic Analysis Helper. In the hands-on time, participants will try out QUAL-E and develop their ideas for their own qualitative coding ChatGPT. Participants that have the paid ChatGPT Plus subscription can create a draft of their assistants. The organizers will provide course materials and slide deck that participants will be able to utilize to continue development of their custom GPT. The paid subscription to ChatGPT Plus is not required to participate in this workshop, just for trying out personal GPTs during it.
1. INORGANIC DRUGS
Occurrence, preparation, physical characteristics,
chemical properties, incompatibilities and
pharmaceutical uses of inorganic drugs
1
Pharmaceutical Chemistry by Dr. Asma
Ahmed
2. 1.Aluminum Hydroxide (Al(OH)3)
Aluminum trihydrate
• Occurrence AND Physical characteristics:
– ODOURLESS
– Color: WHITE SOLID IN VARIOUS FORMS (amorphous powder; balls or
granules; Bulky, amorphous powder)
– Melting Point: 300°C
– Solubility: Insoluble in water; soluble in alkaline solutions, acid solutions;
Practically insoluble in water, but soluble in alkaline aqueous solutions or in
HCl, H2SO4 and other strong acids in the presence of some water; Readily
soluble in both acids and strong bases
– Density: 2.42 g/cu cm
– Vapour pressure: Pa at 20°C
– Stability
• Forms gels on prolonged contact with water
• Absorbs acids, carbon dioxide
• Less sensitive than trialkylaminums to oxidation upon exposure to air
– Dissociation Constants: Aluminum hydroxide is capable of reacting as either
an acid or a base
2
Pharmaceutical Chemistry by Dr. Asma
Ahmed
3. • Pharmaceutical uses:
– Adjuvants
– Immunologic
– Antacids
– Inhalation of aluminum hydroxide is used as preventive and curative
agent for silicosis
– Treatment of peptic ulcer
– Used to treat renal calculi and to control hyperphosphatemia
encountered early in course of chronic renal failure
– Neutralize acids in hyperchlorhydria and protectant in gastroenteritis
and diarrheas.
– Mild intestinal antiseptic and astringent capable of adsorbing bacteria
and toxins.
– Decreases acidic phosphate ion absorption, thus reducing or preventing
acidosis and formation of phosphate calculi in urinary tract
– Aluminum hydroxide is sometimes used as an antidiarrheal agent,
especially when diarrhea is thought to be caused by bile acids;
3
Pharmaceutical Chemistry by Dr. Asma
Ahmed
4. • Incompatibilities:
– Almost all antacid gels (aluminum hydroxide ) contain enough sodium to
preclude their unrestricted use in patients requiring low-sodium diet.
Knowledge of exact amount of sodium is required when these antacids are
prescribed for these patients
– Proteins, peptides, amino acids and certain dietary organic acids greatly
impair neutralizing capacity of aluminum hydroxide
– On the basis of these studies, it would seem wise to space the administration
of oral phenothiazines and antacids so that mixing in the gastrointestinal tract
will be minimized
– One should be alert for reduced effect of digoxin in patients who are
receiving concomitant antacid therapy. Spacing the doses in order to
minimize mixing in the gastrointestinal tract may reduce the inhibitory effect
of antacids on digoxin absorption. The use of digoxin capsules instead of
tablets may minimize the interaction
– Tetracyclines should not be administered within hour or two of the
administration of antacids containing Al, Mg, or Ca.
– Decrease in plasma parathyroid hormone levels following aluminum
hydroxide therapy in patients with chronic renal failure appears to be indirect
effect of Al intoxication. Binding of Al with plasma inorganic P increases
plasma Ca level with proportionate fall in parathyroid hormone
4
Pharmaceutical Chemistry by Dr. Asma
Ahmed
5. • Adverse effect of Al antacids
– Cause nausea, vomiting, and constipation; Decreased bowel motility, dehydration, or
fluid restriction may predispose patients to intestinal obstruction
– Hemorrhoids and fissures, or fecal impaction may occur
– long-term administration of Al antacids In patients with renal failure or chronic renal
failure may result in hyperaluminemia since small amounts of Al are absorbed from the
GI tract and excretion of Al is decreased in patients with renal failure. Al may then
accumulate in bones, lungs, and nerve tissue.
– Al accumulation in the CNS may be the cause of dialysis encephalopathy.
– Dialysis dementia also may occur in patients with renal failure receiving long-
term Al antacid therapy for hyperphosphatemia.
– Al intoxication with severe osteomalacia and extensive Al deposition at the junction
between calcified and non- calcified bone has been reported in several young children
who were receiving large dosages of aluminum hydroxide for the management of
hyperphosphatemia associated with azotemia
– Children don't undergo hemodialysis during aluminum hydroxide therapy/ Al antacids.
– Excessive doses/ even normal doses in patients with low-phosphate diets, may lead
to phosphate depletion accompanied by increased resorption and urinary excretion
of Ca with the risk of renal rickets in the young or osteomalacia in older patients.
– Al salts may cause P depletion which is generally negligible. However, with prolonged
administration or large doses, hypophosphatemia may occur, especially in patients with
5
Pharmaceutical Chemistry by Dr. Asma
Ahmed
6. inadequate dietary intake of P; hypercalciuria secondary to bone resporption and increased
intestinal absorption of Ca results.
• Preparation
– So-called Al (OH)3 is actually a mixture of aluminum hydroxide and aluminum oxide
hydrates and it usually contains some fixed carbon dioxide (ie, carbonate).
– Al (OH)3 gel is white, viscous suspension ... contains equiv of 3.6-4.4% aluminum
oxide in form of aluminum hydroxide and hydrated oxide. May contain /flavoring
and sweetening agents
– Al (OH)3, Mg (OH)3 and simethicone tablets differ from USP preparation by addition
of antifoam agent simethicone.
– Al (OH)3 and magnesium trisilicate oral suspension, and Al (OH)3 gel and
magnesium trisilicate tablets ... are available
– Preparations vary in neutralizing potency.
• Chemical properties
– Al hydroxide is a common compound of aluminum, hydrogen, and oxygen which
can be considered either a base with the formula Al(OH)3, or an acid with the
formula H3AlO3. In addition, the compound is frequently treated as a hydrate—a
water-bonded compound—of aluminum oxide and designated variously as hydrated
alumina, or aluminum hydrate or trihydrate, hydrated aluminum, or hydrated
aluminum oxide; Al2O3(H20)x.
6
Pharmaceutical Chemistry by Dr. Asma
Ahmed
7. 2. Aluminum Chloride
• Chemical Properties
– It is a powerful Lewis acid, capable of forming stable Lewis acid-base adducts
with even weak Lewis bases such as benzophenone or mesitylene. It forms
AlCl4
− in the presence of chloride ion.
– In water, partial hydrolysis forms HCl gas or H3O+. Aqueous solutions
behave similarly to other aluminum salts containing hydrated Al3+ions - for
example giving a gelatinous precipitate of aluminum hydroxide upon
reaction with the correct quantity of aqueous sodium hydroxide;
AlCl3( aq) + 3NaOH ( aq) → Al(OH)3( s) + 3 NaCl( aq)
• Pharmaceutical uses:
– Hemostatic and antiperspirant agent.
– Used to help control excessive sweating.
– Do not get the medication in your eyes or apply it to broken, irritated,
or recently shaved skin. If you do get the medication on those areas,
flush with plenty of water.
– Apply a thin layer of this medication to the affected area, usually
once daily.
• Preparations
7
Pharmaceutical Chemistry by Dr. Asma
Ahmed
8. FORM ROUTE STRENGTH
Liquid Topical 15 g/100mL OR 20 % OR 0.12 mg/1.0mL OR 12 mg/1mL OR 12
mL/100mL OR 150 mg/1mL OR 15 mg/1mL
Liquid Dental 25 %
Gel Topical 150 mg/1mL
Solution Dental; Oral; Topical 8.75 g/35g
Liquid Dental 100 mg OR 250 mg
Packing Dental; Topical 1 mg
Solution Dental; Oral; Periodontal 3.75 g/15mL
Gel Topical 200 mg OR 15 g/100mL
Solution Topical 15 g/100mL OR 250 mg/1g
Cream OR Lotion Topical
Solution Dental 7500 mg/30mL
Aerosol, spray Topical 150 mg/1mL
Liquid Dental
Solution Topical 140 mg/1mL
Solution Dental 250 mg/1g
Liquid Topical 0.0625 g/1g
Spray Epidural 4.4375 g/35.5mL OR 5.325 g/35.5mL
Pharmaceutical Chemistry by Dr. Asma
Ahmed
8
9. Occurrence
White or pale yellow solid; hygroscopic.
Physical properties
Boiling Point 180°C
Crystal Structure Monoclinic
Density 2.48 g/cm3
Melting Point 192.4 °C
Molar Mass 133.34 g/mol
Molecular Formula AlCl3
Molecular Shape Trigonal planar
Synonyms
Aluminium Trichloride;Trichloroalumane;
Trichloridoaluminium
Solubility
soluble in hydrogen chloride, ethanol,
chloroform, carbon tetrachloride
slightly soluble in benzene
Solubility in Water
439 g/l (0 °C); 449 g/l (10 °C); 458 g/l (20 °C)
466 g/l (30 °C); 473 g/l (40 °C); 481 g/l (60 °C);
486 g/l (80 °C); 490 g/l (100 °C)
9
Pharmaceutical Chemistry by Dr. Asma
Ahmed
10. • Incompatibilities:
– This medicine may be harmful if swallowed. If someone has
overdosed and has serious symptoms such as passing out or trouble
breathing
– During pregnancy, this medication should be used only when clearly
needed. Discuss the risks and benefits with your doctor.
– It is not known whether this medication passes into breast milk.
Consult your doctor before breast-feeding.
• Adverse effect
– Tingling, mild itching, or irritation may occur when the medication is
first applied.
– Many people using this medication do not have serious side effects.
– A very serious allergic reaction to this drug is rare. However, seek
immediate medical attention if you notice any symptoms of a
serious allergic reaction, including: rash, itching/swelling (especially
of the face/tongue/throat), severe dizziness, trouble breathing.
– Avoid bringing anhydrous AlCl3 in contact with water or bases, or an
explosive reaction may result.
10
Pharmaceutical Chemistry by Dr. Asma
Ahmed
11. 3. Sodium Carbonate
• Occurrence AND Physical characteristics:
– Na2CO3 is the disodium salt of carbonic acid, also known as sal soda,
washing soda, soda ash and soda crystals.
– It exists as a white powder
– Absorbs moisture from the air, and forms a strong alkaline aqueous solution
• Pharmaceutical uses:
– Used topically for dermatitides
– Mouthwash
– Vaginal douche
– Veterinary use as emergency emetic.
– Occasionally, for dermatitides topically as a lotion.
– Medication (Vet): In solution to cleanse skin, in eczema, to soften scabs of
ringworm.
• Adverse effect
– Skin and Eye Irritation
– Reproductive Effects
11
Pharmaceutical Chemistry by Dr. Asma
Ahmed
12. • Incompatibilities:
– Acids
• Preparation
– Concrobium (Siamons International, Inc.): Active ingredient: sodium
carbonate 0.95%.
– Liquid Intravenous
– Powder Topical
– Solution Irrigation
– Liquid Irrigation
12
Pharmaceutical Chemistry by Dr. Asma
Ahmed
13. 4. Sodium Chloride
• Occurrence AND Physical characteristics:
– Molar mass: 58.44 g/mol; Formula: NaCl; Melting point: 801 °C;
IUPAC ID: Sodium chloride; Boiling point: 1,465 °C; odorless, white,
cubic crystals with salty taste. Salt is hygroscopic in nature.
• Pharmaceutical uses:
– used to treat or prevent sodium loss caused by dehydration,
excessive sweating, or other causes
– Can reduce some types of bacteria in certain body secretions, such as saliva.
– Sodium chloride inhalation is used to produce sputum (mucus, or phlegm)
from the mouth to help improve lung function in people with cystic fibrosis,
or to collect sputum for medical testing.
– This medication may also be used to dilute other medications inhaled
through a nebulizer.
• Incompatibilities:
– Caution must be exercised in the administration of NaCl Injection, USP to
patients receiving corticosteroids or corticotropin.
13
Pharmaceutical Chemistry by Dr. Asma
Ahmed
14. – Studies have not been conducted to evaluate additional drug/drug or
drug/food interactions with Sodium Chloride (sodium chloride (sodium
chloride injection) injection) Injection, USP.
– in patients with congestive heart failure, severe renal insufficiency, and in
clinical states in which there exists edema with sodium retention.
– Sodium Chloride (sodium chloride (sodium chloride injection) injection)
Injection, USP should be given to a pregnant woman only if clearly
needed, during labor and delivery, to a nursing woman
• Adverse effect
– Hives
– Difficult breathing
– Swelling of your face, lips, tongue, or throat
– chest pain, trouble breathing;
– A light-headed feeling, like you might pass out;
– Swelling in your hands or feet;
– Tiredness, muscle twitching;
– Confusion, uneven heart rate, extreme thirst, increased or decreased
urination, leg discomfort, muscle weakness or limp feeling.
14
Pharmaceutical Chemistry by Dr. Asma
Ahmed
15. • Preparation
– 0.45% Sodium Chloride Injection, USP contains 4.5 g/L Sodium Chloride
(sodium chloride (sodium chloride injection) injection) , USP (NaCl) with
an osmolarity of 154 mOsmol/L (calc). It contains 77 mEq/L sodium and
77 mEq/L chloride.
– 0.9% Sodium Chloride Injection, USP contains 9 g/L Sodium Chloride
(sodium chloride (sodium chloride injection) injection) , USP (NaCl) with
an osmolarity of 308 mOsmol/L (calc). It contains 154 mEq/L sodium and
154 mEq/L chloride.
15
Pharmaceutical Chemistry by Dr. Asma
Ahmed
16. 5. Sodium thiosulphate (Na₂S₂O₃. 5H₂O)
• Occurrence AND Physical characteristics:
– White or colorless pentahydrate
– Efflorescent crystalline substance
– Molar mass: 158.11 g/mol (anhydrous) & 248.18 g/mol (pentahydrate)
– Odor: Odorless
– Density: 1.667 g/cm3
– Melting point: 48.3 °C (118.9 °F; 321.4 K) (pentahydrate)
– Boiling point: 100 °C (212 °F; 373 K) (pentahydrate, - 5H2O
decomposition)
– Solubility in water: 70.1 g/100 mL (20 °C) & 231 g/100 mL (100 °C)
– Solubility: negligible in alcohol
– Crystal structure: monoclinic
– Sodium thiosulfate is a component of the Cyanide Antidote Package. Also
contained in the kit are: amyl nitrite inhalants (0.3 mL) and sodium nitrite
injection, (300 mg per 10 mL).
16
Pharmaceutical Chemistry by Dr. Asma
Ahmed
17. • Pharmaceutical uses:
– Sodium nitrite and sodium thiosulfate is a combination medicine that is used
as an antidote to cyanide poisoning.
– Antineoplastic adjunct
• Incompatibilities:
– Edematous sodium-retaining conditions such as:
• Cirrhosis of liver
• Congestive heart failure
• Renal function impairment
• Toxemia of pregnancy
• Hypertension (may be exacerbated)
• Adverse effect
– Symptoms of thiocyanate toxicity: Arthralgias (pain in the joints); blurred
vision ; hyperreflexia ; muscle cramps ; nausea and vomiting ; psychotic
behavior (agitation; delusions; hallucinations); tinnitus (ringing in the ears
Pharmaceutical Chemistry by Dr. Asma
Ahmed
17
18. – Signs of an allergic reaction: hives; chest tightness, difficulty
breathing; swelling of your face, lips, tongue, or throat.
– serious side effect such as: feeling like you might pass out; headache;
tired feeling; blue-colored skin; feeling short of breath; fast or irregular
heart rate; or pounding heartbeats or fluttering in your chest.
– Less serious side effects may include: mild dizziness; blurred vision;
confusion; anxiety; sweating; nausea; vomiting; stomach pain; salty
taste in your mouth; feeling of warmth; tingly feeling where the
injection was given
• Preparation
– Stability: Sodium thiosulfate contains no preservative; therefore,
unused portions should be discarded.
– SODIUM THIOSULFATE INJECTION USP, Intravenous
– Serum thiocyanate concentrations below 10 mg per 100 mL (1.72
mmol/L).
– Usual adult, adolescent and pediatric dose
• Varies according to the type of toxicity and additional drug used
Pharmaceutical Chemistry by Dr. Asma
Ahmed
18
19. 6. Sodium tetraborate : B4Na2O7
(Borax/ Sodium borate anhydrous)
• Occurrence AND Physical characteristics:
– Molecular Weight: 201.219339 g/mol
– Density: 2.367 g/mL at 25 C
– Melting point: 741 C.
– Colorless glassy solid; hygroscopic; Light grey, vitreous granules; White to gray
powder; becomes opaque on exposure to air
– Odorless
– Boiling Point: 1,575 deg C (decomposes)
– pH = 9.3 at 20 deg C (3% solution)
– Solubilities:
Water solubility: 3.1% at 25 deg C; 2.5% at 20 deg C; Solubility at 25 deg C: 16.7%
in methanol; 30% in ethylene glycol; 40.6 g/L in formamide
– Hygroscopic (Becomes/ opaque on exposure to air. /Anhydrous)
• Pharmaceutical uses:
– Pharmaceutic aid (alkalizing)
– Antiseptic agent (Ophthalmic agent)
– Otitis Externa
– Diaper Rash 19
Pharmaceutical Chemistry by Dr. Asma
Ahmed
20. – Insect Bites and Stings
– Sunburn
– Exhibits minimal bacteriostatic and antifungal activities at high concentrations
over prolonged exposures (treat recurrent vulvovaginal candidiasis)
– Borates are used in medicated powders, lotions, soaps, mouthwash, toothpaste,
astringents, eyewashes, and cosmetics.
– Mixed with sugar, boric acid has been used as a cockroach killer.
• Incompatibilities:
– An intravenous dose of 14-20 g of sodium borate , administered for the
purposes of neutron capture therapy to patients, experienced immediate nausea,
vomiting, defecation, and occasionally seizures and respiratory depression.
– Effects on the central nervous system, kidneys and gastrointestinal tract by
ingestion at high dose or through damaged skin.
• Adverse effect
– Symptoms of poisoning: Nausea, diarrhea, rashes, CNS depression, coma,
Inhalation: Cough, shortness of breath, sore throat, nose bleed.
– Repeated or prolonged contact with skin may cause dermatitis. .
• Preparation
Pharmaceutical Chemistry by Dr. Asma
Ahmed
20
22. 7. Magnesium Carbonate MgCO3 (Magnesite)
• Occurrence AND Physical characteristics: white, yellowish, grayish-white or brown
crystalline solid or crystalline powder. Density: 3-3.1 g cm-3. An important ore
for magnesium. Used in the manufacture of materials capable of withstanding very high
temperatures.
• Chemical Properties: All forms of magnesium carbonate react in acids
• Pharmaceutical uses:
– Alginic acid/aluminum hydroxide/magnesium carbonate systemic & Aluminum
hydroxide/magnesium carbonate systemic: Antacids (Used to treat GERD & Indigestion)
– Calcium acetate/magnesium carbonate systemic: Phosphate binders (Used to treat
Hyperphosphatemia of Renal Failure)
– Calcium carbonate/magnesium carbonate systemic: Antacids (Used to treat GERD;
Hyperphosphatemia of Renal Failure; Indigestion; Peptic Ulcer).
– Citric acid/glucono-delta-lactone/magnesium carbonate topical: Sterile irrigating solutions
– Magnesium carbonate/sodium bicarbonate systemic: Antacids (Used to treat GERD & Indigestion)
• Adverse effect
– Stomach upset
– Diarrhea
– A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you
notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the
face/tongue/throat), severe dizziness, trouble breathing
• Preparation
22
Pharmaceutical Chemistry by Dr. Asma Ahmed
26. 8. Potassium chloride
• Pharmaceutical uses: This medication is a mineral supplement used to treat or
prevent low amounts of potassium in the blood. (Hypokalemia)
• Incompatibilities:
– You should tell your doctor about all prescription, non-prescription, illegal,
and recreational drugs; herbal remedies; nutritional or dietary supplements
you're taking, especially:
• Angiotensin-converting enzyme (ACE) inhibitors, such
as captopril (Capoten), enalapril (Vasotec), and lisinopril(Prinivil, Zestri)
• Angiotensin-receptor blockers (ARB), such
as losartan(Cozaar), diovan (Valsartan), or irbesartan (Avapro)
• Diuretic drugs (often called "water pills")
• Vitamins
• Salt substitutes, such as "Mrs. Dash"
– You should not take potassium if you are taking the following:
• Amiloride (Midamor)
• Spironolactone (Aldactone)
• Triamterene (Dyrenium)
26
Pharmaceutical Chemistry by Dr. Asma
Ahmed
27. • Adverse effect
– Hyperkalemia. Potassium chloride can lead to dangerously high levels of potassium, which could
cause the heart to stop beating. Tell your doctor if you have a history of heart or kidney disease.
– Digestive tract injury. Potassium chloride can remain in the digestive system for too long, leading to
injuries in the digestive tract (stomach, intestines). Tell your healthcare provider right away if you
have some or all of the following symptoms of digestive tract injury:
• stomach pain
• swollen stomach
• dark or black stools
– Metabolic acidosis (too much acid in the body). Patients should be treated with a particular
potassium salt such as potassium bicarbonate, potassium citrate, potassium acetate, or potassium
gluconate. Use with potassium chloride is not recommended.
– Mental confusion
– Tingling, prickling, burning, tight, or pulling sensation of arms, hands, legs, or feet
– Stomach pain
– Lethargy
– Heaviness or weakness of legs
– Cold, pale, or gray skin
– Unusual stomach bulging
– Black stools
Pharmaceutical Chemistry by Dr. Asma
Ahmed
27
28. • Preparation
– This medication comes in tablet and capsule forms and may be taken multiple times a day with
food and water.
– Swallow capsules and tablets whole. Do not chew or crush contents of either the tablet or capsule.
– This medication is also available in an inject able form to be given directly into a vein by a
healthcare professional.
• The liquid for injection form is to be used by your hospital physician.
• For patients who have difficulty swallowing tablets whole, the tablet may be broken in half.
• For patients who have difficulty swallowing capsules whole, its contents may be sprinkled
into soft food followed by a glass of water or other liquid.
• If one cannot swallow a tablet, a capsule, or half a tablet, try the following alternate methods of
administration:
– Prepare an aqueous (water) suspension as follows:
• Place the whole tablet or pour the capsule's contents in approximately one-half glass of
water (4 fluid ounces).
• Allow approximately 2 minutes for the contents to dissolve.
• Stir for about half a minute after the contents have dissolved.
• Swirl the suspension and consume the entire suspension immediately by drinking or by the
use of a straw.
• Add another one fluid ounce of water, swirl, and consume immediately.
• Then, add an additional one fluid ounce of water, swirl, and consume immediately.
– If not taken immediately, it should be discarded. The use of other liquids besides water for
dissolving tablets or capsule contents is not recommended.
Pharmaceutical Chemistry by Dr. Asma
Ahmed
28
29. 9. Lithium carbonate (Li2CO3)
• Occurrence:
• Molar mass: 73.891 g/mol; Melting point: 723 °C; Density: 2.11 g/cm³;
Soluble in: Water
• Properties
• Take this medication by mouth as directed by your doctor, usually 2-3 times
daily.
• Take lithium with or immediately after meals to lessen stomach upset. Do not
crush or chew this medication. Doing so can release all of the drug at once,
increasing the risk of side effects.
• Also, do not split the tablets unless they have a score line and your doctor or
pharmacist tells you to do so.
• Swallow the whole or split tablet without crushing or chewing.
• Drink 8 to 12 glasses (8 ounces or 240 milliliters each) of water or other fluid
each day, and eat a healthy diet with normal amounts of salt (sodium) as
directed by your doctor or dietician while taking this medication.
• Large changes in the amount of salt in diet may change your
lithium blood levels. Do not change the amount of salt in diet unless doctor tells
to do so.
29
Pharmaceutical Chemistry by Dr. Asma
Ahmed
30. Pharmaceutical Chemistry by Dr. Asma
Ahmed
30
• Pharmaceutical uses:
• This medication is used to treat manic-depressive disorder (bipolar
disorder).
• It works to stabilize the mood and reduce extremes in behavior by restoring
the balance of certain natural substances (neurotransmitters) in the brain.
• Some of the benefits of continued use of this medication include decreasing
how often manic episodes occur and decreasing the symptoms of manic
episodes such as exaggerated feelings of well-being, feelings that others
wish to harm you, irritability, anxiousness, rapid/loud speech, and
aggressive/hostile behaviors.
• Incompatibilities:
• Other medications can affect the removal of lithium from your body, which
may affect how lithium works e.g. ACE inhibitors, ARBs, NSAIDs, water
pills (diuretics), other drugs for mental/mood conditions. Doctor may need
to adjust your dose of lithium if someone is on these medications.
• Lithium is an FDA Pregnancy Category D drug, which means it could harm
an unborn baby.
• Lithium can also pass into breast milk and may harm a breastfeeding baby.
• It's important to limit the amount of caffeine you consume while taking
lithium.
31. Pharmaceutical Chemistry by Dr. Asma
Ahmed
31
• Common Side Effects of Lithium
•Restlessness
•Loss of appetite
•Weight gain or weight loss
•Stomach pain, gas, constipation, or indigestion
•Mild thirst
•Dry mouth
•Excessive saliva in mouth
•Change in the ability to taste food
•Swollen lips
•Acne
•Hair loss
•Extreme discomfort in cold temperatures
•Depression
•Muscle or joint pain
•Itching or rash
•Thin, brittle fingernails or hair
•Hand movements that are difficult to control
32. – Serious side effects
• Excessive thirst or sweating
• Excessive urination
• Fever
• Unusual fatigue or weakness
• Slow, jerky movements or movements
that are difficult to control
• Frequent urination
• Blackouts or fainting
• Seizures
• Dizziness or lightheadedness
• Shortness of breath
• Fast, slow, irregular, or pounding
heartbeat
• Chest tightness
• Confusion or hallucinations
• Crossed eyes
• Headache
• Pounding inside of head
• Swelling of the feet, ankles, or lower legs
Pharmaceutical Chemistry by Dr. Asma
Ahmed
32
•Painful, cold, or discolored fingers and toes
•Drowsiness
•Diarrhea or vomiting
•Slurred speech
•Shaking of a party of the body that you can't
control
•Muscle weakness, stiffness, twitching, or
tightness
•Ringing in the ears
•Blurred vision
•Giddiness
•Loss of coordination
•This medication may increase serotonin and
rarely cause a very serious condition
called serotonin syndrome/toxicity. The risk
increases if you are also taking other drugs that
increase serotonin.
•A very serious allergic reaction to this drug is
rare.
34. 10. Sodium Nitrite (NaNO2)
• Pharmaceutical uses:
– It is used together with sodium thiosulfate
– Antidotes and is used to treat Cyanide Poisoning.
– Vasodilator
– Sodium nitrite is known for its role in inhibiting the growth of Clostridium
botulinum spores in refrigerated meats BUT it can be toxic in high amounts for
animals and humans. Sodium nitrite's LD50 in rats is 180 mg/kg and its human LDLo
is 71 mg/kg, meaning a 65 kg person would likely have to consume at least 4.6 g to
result in death..
• Incompatibilities:
– This medicine may cause low blood pressure and a red blood cell problem called
methemoglobinemia. These may be life-threatening.
– This medicine is only for use when cyanide poisoning is life-threatening. This
medicine must be used with care if it is not known if cyanide poisoning has
happened.
– Tell doctor if inhaled a lot of smoke or if have any of these health problems like
Anemia, heart problems, lack of a certain enzyme called congenital methemoglobin
reductase deficiency, or lung problems.
34
Pharmaceutical Chemistry by Dr. Asma
Ahmed
35. Occurrence AND Physical characteristics:
Molar mass 68.9953 g/mol
Appearance white or slightly yellowish solid
Density 2.168 g/cm
3
Melting point 271 °C (520 °F; 544 K) (decomposes at 320 °C)
Solubility in water Is very soluble in water and is hygroscopic.
71.4 g/100 mL (0 °C)
84.8 g/100 mL (25 °C)
160 g/100 mL (100 °C)
Solubility soluble in methanol (4.4 g/100 mL) ethanol
slightly soluble in diethyl ether (0.3 g/100 mL)
very soluble in ammonia
Pharmaceutical Chemistry by Dr. Asma
Ahmed
35
Preparation
•Inject able Solution
•Topical Solution
36. Pharmaceutical Chemistry by Dr. Asma
Ahmed
36
• Adverse effect
•Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered,
or peeling skin with or without fever; wheezing; tightness in the chest or throat;
trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the
mouth, face, lips, tongue, or throat.
•Signs of methemoglobinemia like a blue or gray color of the lips, nails, or skin; a
heartbeat that does not feel normal; seizures; very bad dizziness or passing out;
very bad headache; feeling very sleepy; feeling tired or weak; or shortness of
breath. This effect is rare but may be deadly if it happens.
•Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast
heartbeat; a heartbeat that does not feel normal; very bad stomach pain, upset
stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very
tired or weak.
•Very bad dizziness or passing out.
•A fast heartbeat.
•A heartbeat that does not feel normal.
•Feeling confused.
•Blurred eyesight.
•Seizures.
•Numbness and tingling.
•Fast breathing.
•Shortness of breath.
•Dizziness.
•Flushing.
•Headache.
•Upset stomach or throwing up.
•Belly pain.
•Bad taste in your mouth.
•Anxiety.
•Sweating a lot.
•Feeling tired or weak.
37. 11.Calcium gluconate (C12H22CaO14)
Molar mass: 430.373 g/mol; Melting point: 120 °C; Soluble in: Water
• Pharmaceutical uses and Preparations:
• Calcium salt of gluconic acid, an intravenous medication used to treat conditions
arising from calcium deficiencies such as hypocalcemic tetany, hypocalcemia related to
hypoparathyrodism, and hypocalcemia due to rapid growth or pregnancy.
• 10% calcium gluconate solution (given intravenously) is the form of calcium most
widely used in the treatment of low blood calcium.
• Calcium gluconate is used as a cardioprotective agent in people with high blood
potassium levels, with one alternative being the use of calcium chloride.
• It is also used to counteract an overdose of Epsom salts magnesium sulfate, which is
often administered to pregnant women in order to prophylactically prevent seizures (as
in a patient experiencing preeclampsia)
• Gel preparations of calcium gluconate are used to treat hydrofluoric acid burns.
• Calcium gluconate was used as an antidote for black widow spider envenomation,
often in conjunction with muscle relaxants. This therapy, however, has since been
shown to be ineffective.
• Preparations
• Injectable solution: 100mg/mL (10%)
• Tablet: 50mg or 500mg or 650mg
• Capsule (adult only): 500mg 37
Pharmaceutical Chemistry by Dr. Asma
Ahmed
38. • Adverse effect
• Nausea
• Constipation, and upset stomach
• Rapid intravenous injections of calcium gluconate may cause hypercalcaemia, which
can result in vasodilation, cardiac arrhythmias, decreased blood pressure,
and bradycardia.
• Extravasation of calcium gluconate can lead to cellulitis. Intramuscular injections may
lead to local necrosis and abscess formation.
• It is also reported that this form of calcium increases renal plasma flow, diuresis,
natriuresis, glomerular filtration rate, and prostaglandin E2 and F1-alpha levels.
• Incompatibilities:
• Hypersensitivity
• Intramuscular/subcutaneous (IM/SC) administration
• Ventricular fibrillation during CPR
• High blood calcium (hypercalcemia)
• Digoxin poisonings
• Sarcoidosis
• Hepatic or renal impairment
• Cardiovascular disease
• Acidosis
38
Pharmaceutical Chemistry by Dr. Asma
Ahmed
39. Pharmaceutical Chemistry by Dr. Asma
Ahmed
39
• History of renal calculi
• Constipation, bloating, and gas may occur with oral administration.
• Use caution in patients with severe hyperphosphatemia.
• Rapid intravenous (IV) infusion associated with low blood pressure
(hypotension), slow heart rate (bradycardia), fainting (syncope), cardiac arrest,
cardiac arrhythmias, sense of oppression or heat waves,
tingling sensation, vasodilatation.
• Use calcium gluconate with caution during pregnancy if benefits outweigh risks.
• Calcium gluconate enters human milk; use with caution if breastfeeding.
40. 12. Calcium carbonate (CaCO3)
• Pharmaceutical uses:
– This medication is used to prevent or treat low blood calcium levels in
people who do not get enough calcium from their diets.
– It may be used to treat conditions caused by low calcium levels such
as bone loss (osteoporosis), weak bones (osteomalacia/rickets),
decreased activity of the parathyroid gland (hypoparathyroidism), and a
certain muscle disease (latent tetany).
– It may also be used in certain patients to make sure they are getting
enough calcium (e.g., women who are pregnant, nursing, or
postmenopausal, people taking certain medications such as
phenytoin, phenobarbital, or prednisone).
– Calcium plays a very important role in the body. It is necessary for
normal functioning of nerves, cells, muscle, and bone. If there is not
enough calcium in the blood, then the body will take calcium from
bones, thereby weakening bones.
– Having the right amount of calcium is important for building and
keeping strong bones.
40
Pharmaceutical Chemistry by Dr. Asma
Ahmed
41. • Chemical Properties
– This medication is taken by mouth with food.
– If product contains calcium citrate, then it may be taken with or without food.
– For best absorption, if daily dose is more than 600 milligrams, then divide dose and
space it throughout the day.
– If using the chewable product, chew it well before swallowing.
– If using the effervescent tablet, allow the tablet to fully dissolve in a glass of water
before drinking it. Do not chew or swallow the tablet whole.
• Incompatibilities:
– Before taking calcium, tell doctor or pharmacist if have any allergies. This product
may contain inactive ingredients, which can cause allergic reactions or other
problems.
– Harmful in high calcium levels (hypercalcemia).
– Consult doctor or pharmacist before using this product in kidney disease, kidney
stones, little or no stomach acid (achlorhydria), heart disease, disease of
the pancreas, a certain lung disease (sarcoidosis), difficulty absorbing nutrition from
food (malabsorption syndrome).
– Some sugar-free formulations of calcium may contain aspartame. If person have
phenylketonuria (PKU) or any other condition that requires to restrict intake of
aspartame (or phenylalanine), consult doctor or pharmacist about using this drug.
41
Pharmaceutical Chemistry by Dr. Asma
Ahmed
42. • Adverse effect
– Constipation and upset stomach may occur
– serious side effects occur: nausea/vomiting, loss of appetite, unusual weight
loss, mental/mood changes, bone/muscle pain, headache, increased
thirst/urination, weakness, unusual tiredness.
– A very serious allergic reaction to this drug is rare. However, seek immediate
medical attention if you notice any symptoms of a serious allergic reaction,
including: rash, itching/swelling (especially of the face/tongue/throat),
severe dizziness, trouble breathing.
• Preparation
– Usual Adult Dose for Dyspepsia
Chewable Tablets:
-Recommended dose: 1000 to 3531 mg orally up to 4 times a day as needed
-Maximum dose: 6750 to 7500 mg/day
-Gum:
Recommended dose: 500 mg (1 piece) orally every 2 to 4 hours as needed
Maximum dose: 6000 mg/day (12 pieces/day)
-Liquid:
Recommended dose: 1250 mg orally as needed for symptoms
Maximum dose: 7500 mg/day 42
Pharmaceutical Chemistry by Dr. Asma
Ahmed
43. • Powder Packets:
Recommended dose: 1000 mg (1 packet) orally as needed for symptoms
Maximum dose: 8000 mg/day (8 packets/day)
– Usual Pediatric Dose for Dyspepsia
Chewable Tablets:
2 to 5 years OR 24 to 47 pounds:
-Recommended dose: 400 mg orally up to 3 times a day as needed
-Maximum dose: 1200 mg/day
6 to 11 years OR 48 to 95 pounds:
-Recommended dose: 800 mg orally up to 3 times a day as needed
-Maximum dose: 2400 mg/day
2 years and older:
-Recommended dose: 1000 to 2000 mg orally up to 3 times a day as needed
-Maximum dose: 7500 mg/day
Granule Formulations:
2 to 5 years OR 24 to 47 pounds:
-Recommended dose: 375 mg orally up to 2 times a day as needed
6 to 11 years OR 48 to 95 pounds:
-Recommended dose :750 mg orally once a day as needed
Gum:
12 years and older:
-Recommended dose: 500 mg (1 piece) orally every 2 to 4 hours as needed
-Maximum dose: 6000 mg/day (12 pieces/day) 43
Pharmaceutical Chemistry by Dr. Asma
Ahmed
44. 13. Calcium chloride (CaCl2)
• Chemical Properties
– Calcium Chloride has moderate interactions with at least 48 different drugs.
– Calcium Chloride has mild interactions with at least 52 different drugs.
• Pharmaceutical uses:
– Antidotes, Other; Calcium Salts
– It is a mineral indicated in the immediate treatment of hypocalcemic tetany
(abnormally low levels of calcium in the body that cause muscle spasm).
– Its injection is also used in cardiac resuscitation,
arrhythmias, hypermagnesemia, calcium channel blocker overdose, and beta-
blocker overdose.
• Incompatibilities:
– Severe interactions of Calcium Chloride include:
• ceftriaxone
– Serious interactions of Calcium Chloride include:
• demeclocycline
• dolutegravir 44
Pharmaceutical Chemistry by Dr. Asma
Ahmed
45. • doxycycline
• eltrombopag
• lymecycline
• minocycline
• oxytetracycline
• tetracycline
– Contraindications
• VFib during CPR, hypercalcemia, risk for digitalis toxicity,
hypophosphatemia, renal calculi
• Intramuscular (IM) or subcutaneous (SC) administration
• Pulseless ventricular tachycardia
– Hepatic impairment, sarcoidosis, cardiovascular
disease, renal disease, acidosis, cor pulmonale, or digitalized patients.
– Not recommended in treatment of asystole and electromechanical dissociation.
– PALS no longer recommends Ca for pediatric cardiac arrest.
– Life-threatening cardiac arrhythmias may occur in severe hypokalemia.
– Use calcium chloride with caution during pregnancy
Pharmaceutical Chemistry by Dr. Asma
Ahmed
45
46. – As a component of human milk calcium enters milk. Use caution
if breastfeeding.
• Adverse effect
– Redness
– Low blood magnesium (hypomagnesemia)
– Low blood phosphates (hypophosphatemia)
– Low blood pressure (hypotension)
– High blood calcium (hypercalcemia)
– Nausea
– Tissue necrosis at injection site
– Vasodilation
– Weakness
– Kidney stones
– Hot flashes
– Serum amylase increased
– Tingling sensations
– Injection site reactions (tingling, burning sensation, inflammation of the veins
[phlebitis])
Pharmaceutical Chemistry by Dr. Asma
Ahmed
46
47. – Fainting
– Side effects of calcium chloride rapid administration include:
• Irregular heartbeat (arrhythmia)
– Slow heart rate
– Calcium taste
– Sense of heat waves
– Ventricular fibrillation
• Preparation
– Injection, USP10% (100 mg/mL(13.6 mEq Calcium/10 mL)
Pharmaceutical Chemistry by Dr. Asma
Ahmed
47
48. 14. Calcium lactate
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
48
Pharmaceutical Chemistry by Dr. Asma
Ahmed
49. 15. Ferrous fumarate
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
49
Pharmaceutical Chemistry by Dr. Asma
Ahmed
50. 16. Ferrous sulfate
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
50
Pharmaceutical Chemistry by Dr. Asma
Ahmed
51. 17. Ferrous gluconate
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
51
Pharmaceutical Chemistry by Dr. Asma
Ahmed
52. 18. Iron polysaccharide
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
52
Pharmaceutical Chemistry by Dr. Asma
Ahmed
53. 19. Silver nitrate
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
53
Pharmaceutical Chemistry by Dr. Asma
Ahmed
54. 20. Antimony gluconate
• Chemical formula and common name
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
• Used in drugs which are available in market
54
Pharmaceutical Chemistry by Dr. Asma
Ahmed
55. 21. Iodine Hydrogen per oxide
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
55
Pharmaceutical Chemistry by Dr. Asma
Ahmed
56. 22. Boric acid
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
56
Pharmaceutical Chemistry by Dr. Asma
Ahmed
57. 23. Zinc oxide
• Occurrence AND Physical characteristics:
• Chemical Properties
• Pharmaceutical uses:
• Incompatibilities:
• Adverse effect
• Preparation
57
Pharmaceutical Chemistry by Dr. Asma
Ahmed