The document describes three main methods for manufacturing tablets: wet granulation, dry granulation, and direct compression. Wet granulation involves using a liquid such as water to form granules, then drying the granules. It produces tablets with good mechanical properties but requires multiple steps. Dry granulation uses compaction without liquid to form granules. Direct compression compresses powder directly without a granulation step, making it faster but requiring special excipients. Each method has advantages and disadvantages related to processing steps, equipment needs, stability concerns, and tablet properties.
The chapter deals with the preformulation studies that have to be considered while designing a dosage form and developing a formulation that is suitable for a patient. Here, physical and chemical properties of a drug substance are studied along with biopharmaceutical classification of drugs. Also a detailed study on the application of preformulation studies in different dosage forms are also studied.
Liquid oral topic in Industrial Pharmacy contains many topics like solution, elixirs, syrups, emulsion, and suspension. This topic includes general introduction, types, formulation, components, uses, and Quality control tests. These are also beneficial in other subjects like Pharmaceutics.
The chapter deals with the preformulation studies that have to be considered while designing a dosage form and developing a formulation that is suitable for a patient. Here, physical and chemical properties of a drug substance are studied along with biopharmaceutical classification of drugs. Also a detailed study on the application of preformulation studies in different dosage forms are also studied.
Liquid oral topic in Industrial Pharmacy contains many topics like solution, elixirs, syrups, emulsion, and suspension. This topic includes general introduction, types, formulation, components, uses, and Quality control tests. These are also beneficial in other subjects like Pharmaceutics.
Preformulation Studies: Introduction to preformulation, goals and objectives, study of
physicochemical characteristics of drug substances.
a. Physical properties: Physical form (crystal & amorphous), particle size, shape, flow
properties, solubility profile (pKa, pH, partition coefficient), polymorphism.
b. Chemical Properties: Hydrolysis, oxidation, reduction, racemisation, polymerization
BCS classification of drugs & its significant
Application of preformulation considerations in the development of solid, liquid oral and
parenteral dosage forms and its impact on stability of dosage forms.
DISSOLUTION
Dissolution is defined as a process in which a solid substance solubilises in a given solvent.
(i.e. mass transfer from the solid surface to the liquid phase.)
Three Theories:
Diffusion layer model / Film theory
Danckwert’s model / Penetration or Surface renewal theory
Interfacial barrier model / Double barrier or Limited solvation theory
Preformulation Studies: Introduction to preformulation, goals and objectives, study of
physicochemical characteristics of drug substances.
a. Physical properties: Physical form (crystal & amorphous), particle size, shape, flow
properties, solubility profile (pKa, pH, partition coefficient), polymorphism.
b. Chemical Properties: Hydrolysis, oxidation, reduction, racemisation, polymerization
BCS classification of drugs & its significant
Application of preformulation considerations in the development of solid, liquid oral and
parenteral dosage forms and its impact on stability of dosage forms.
DISSOLUTION
Dissolution is defined as a process in which a solid substance solubilises in a given solvent.
(i.e. mass transfer from the solid surface to the liquid phase.)
Three Theories:
Diffusion layer model / Film theory
Danckwert’s model / Penetration or Surface renewal theory
Interfacial barrier model / Double barrier or Limited solvation theory
A suppository is a drug delivery system that is inserted into the rectum (rectal suppository), vagina (vaginal suppository) or urethra (urethral suppository), where it dissolves or melts and is absorbed into the blood stream. They are used to deliver both systemically and locally acting medications.
The most common tablet manufacturing process techniques are wet granulation, dry granulation, and direct compression.
Your active pharmaceutical ingredients’ (APIs) physical and chemical stability influences manufacturing.
For successful tablet manufacturing, you need granulators, mixing equipment, drying machinery, and coating systems.
Even if you’re using the right equipment to manufacture your product, there is a wide range of common tablet defects that can occur that affect quality.
There are several goals to aim for during the tablet manufacturing process:
Develop tablets that are strong and hard enough to hold up against mechanical shock during manufacturing, packaging, shipping, and dispensing
Formulate tablets that are uniform in weight and drug content
Manufacture bioavailable products according to indication requirements
Create chemically and physically stable tablets that last over long periods
Formulate products that are free of defects and have an elegant finish
In this presentation I have tried to explain in detail about tablets, their different types, ingredients which are used to prepare them, and the procedure to prepare them as well. This presentation is very useful for pharmacy students.
Skin acts as a major target as well as a principal barrier for
topical/transdermal drug delivery. Despite the many advantages of this
system, the major obstacle is the low diffusion rate of drugs across the
stratum corneum. Several methods have been tried to increase the
permeation rate of drugs temporarily. One simple and convenient
approach is application of drugs in formulation with elastic vesicles or
skin enhancers. Vesicular system is one of the most convenient
methods for transdermal delivery of active substances and in that
ethosomes are most useful vesicular systems. Ethosomal carriers are
systems containing soft vesicles, composed of hydroalcoholic or
hydro/glycolic phospholipid in which the concentration of alcohols is
relatively high. The high concentration of ethanol brings increase in fluidity of lipids hence
increase in permeability of the skin and improves the drug penetration. Ethosomal
formulation may contain many drugs such as acyclovir, salbutamol, Insulin, cyclosporine,
fluconazole, minodixil, etc. These are prepared by hot method and cold methods. The size of
Ethosomal formulation can be decreased by sonication and extrusion method. The high
concentration of ethanol makes the ethosomes unique and useful for transcellular delivery,
delivery of hormones, anti-arthritis, anti-HIV etc. Thus, it can be a logical conclusion that
ethosomal formulation possesses promising future in effective dermal/transdermal delivery of
bioactive agents.
In the present study, a gastro retentive micro particulate system was formulated with different Polymers by using
solvent evaporation technique. A series of 8 formulations was prepared based on 23 Design of experiments. The
formulated microspheres were evaluated flow characteristics, Practical yield (up to 80 %) and Encapsulation
efficiency (up to 94%). Scanning electron Microscopy confirmed their porous and spherical structure and the
particles were of the Size range of (65-525 μm). The release of drug at 1 hour and 8 hours’ time points were
taken as the measurable parameters for running the DOE experiments. According to design space Hollow
Microspheres formulated with Drug in the range of 50 to 70 mg/unit, Ethyl cellulose 7 cps in the range of 145 to
150 mg/unit and HPMC 5 cps in the range of 0.4 to 2 mg/unit were observed to have the best floating
characteristics and in vitro dissolution profile as per the preset target product profile. Stability studies showed no
significant change in the drug content in the formulations at 3 months accelerated condition. In this study
concluded that a micro particulate floating dosage form of an anti-infective drug can be successfully designed to
give controlled release and improved oral bioavailability.
KEYWORDS
Gastro retentive system, Ciprofloxacin Hcl, Ethyl Cellulose 7 cps, HPMC 5cps, Hollow microspheres.
The aim of this research work involves the design and characterization of the drug being treated Itraconazole which is a Antifungal, Antiprotozoals, Antifungal Agents, Antiprotozoal Agents as a novel vesicular carrier system (transdermal drug delivery system) in the form of Ethosomes. These Ethosomes have been planned in order to overcome all the lacunae and various problems being confronted by the patients treated by Itraconazole namely half-life even though being a highly potent drug and also possessing very poor bioavailability (20-40%).The method of preparation of Itraconazole Ethosomes involves the use of various concentrations of Ethanol, phospholipids and polymers by the cold method (Sonication) which facilitates the suitable size reduction of vesicles. The designed Itraconazole Ethosomes have been characterized and validated by the parameters/techniques namely Visualization, Vesicle size and Zeta potential studies, Scanning Electron microscopy, Entrapment efficiency, Assay, Vesicle stability study, Solubility measurement, Penetration & Permeation studies and drug stability studies. Various Ethosomal formulations were prepared of different compositions namely IF1, IF2, IF3, IF4, IF5, IF6, IF7, IF8, and IF9. Among these the best formulation based on in-vitro drug release studies by dialysis membrane revealed that IF9 was adjudged the best from among the sonicated Ethosomes. However ethosomes prepared by sonication method were more uniform and small in size which is essential for skin penetration. While comparing the entrapment efficiency, ethosomes containing 30% w/w methanol and prepared by sonication showed highest value respect to all other formulation; so it is concluded ethosomal prepared by sonication and containing 30 % w/w methanol as the best formulation considering all other aspects. The highest value of transdermal flux for sonicated ethosomes containing 30% w/w methanol is the indication of complete and rapid penetration through the skin may be because of tiny vesicular size. This is an encouraging observation for drugs which are poorly absorbed from skin. When effect of sonication was compared on ethosomal formulation, IF8 formulation possessed better or suitable characteristics (smaller size, uniform size, distribution, highest entrapment efficiency).
INTRODUCTION: This research aims at enlightens and emphasizing the most prevailing disease conditions and disorders which are most common in mahabubnagar locality ,were category A(augmented) type ADR are more followed by type C(continous).
METHODS: A retrospective research study was conducted using Naronji's and WHO standard scales have been used to categorise the ADR into category A, category B, category C and category D for the given cases.
Epidemological data like age, ADR, and disease condition prevailing in hospitalised patients are noted and categorised department wise.
ABSTRACT
Overactive bladder (OAB) is a prevalent condition which has an adverse effect on quality of life. The presence
of urgency incontinence confers significant morbidity above and beyond that of OAB sufferers who are
continent. The primary treatment for OAB and urgency incontinence is a combination of behavioral measures
and antimuscarinic drug therapy. The ideal antimuscarinic agent should effectively relieve the symptoms of
OAB, with the minimum of side effects; it should be available as a once-daily sustained release formulation
and in dosage strength that allows easy dose titration for the majority of sufferers. Solifenacin succinate was
launched in 2005 and has been shown in both short and long term clinical trials to fulfill these requirements.
Solifenacin is a competitive M3 receptor antagonist with a long half-life (45-68 hours). It is available in two
dosage strengths namely a 5 or 10 mg once-daily tablet. The efficacy and tolerability of solifenacin for the
treatment of all symptoms of OAB has been evaluated in a number of large, placebo controlled, randomized
trials. Long-term safety, efficacy, tolerability and persistence with treatment have been established in an open
label 40 week continuation study.
KEYWORDS
Solifenacin, Urinary incontinence, Overactive bladder and Wet granulation method.
ABSTRACT
The traditional medicine involves the use of different plant extracts or the bioactive constituents. The study
such as ethno medicine keenly represents one of the best avenues in searching new economic plants for
medicine. This type of study provides the health application at affordable cost. The present study carried out to
find out the phytochemical constituents in the Ficusracemosa leaves. The materials were grained and extracted
with benzene, ethanol, ethyl acetate, and methanol and petroleum ether. Photochemical analysis was carried
out according to standard procedures. Sugar, protein, alkaloids, flavonoids, sterols and glycoside were found
to be present in the extracts.
KEY WORDS
Ficusracemosa (linn.)moraceae, Pharmacological and Phytochemical studies.
Skin acts as a major target as well as a principal barrier for topical/transdermal drug delivery. Despite the many advantages of this system, the major obstacle is the low diffusion rate of drugs across the stratum corneum. Several methods have been tried to increase the permeation rate of drugs temporarily. One simple and convenient approach is application of drugs in formulation with elastic vesicles or skin enhancers. Vesicular system is one of the most convenient methods for transdermal delivery of active substances and in that ethosomes are most useful vesicular systems. Ethosomal carriers are systems containing soft vesicles, composed of hydroalcoholic or hydro/glycolic phospholipid in which the concentration of alcohols is relatively high. The high concentration of ethanol brings increase in fluidity of lipids hence increase in permeability of the skin and improves the drug penetration. Ethosomal formulation may contain many drugs such as acyclovir, salbutamol, Insulin, cyclosporine, fluconazole, minodixil, etc. These are prepared by hot method and cold methods. The size of Ethosomal formulation can be decreased by sonication and extrusion method. The high concentration of ethanol makes the ethosomes unique and useful for transcellular delivery, delivery of hormones, anti-arthritis, anti-HIV etc. Thus, it can be a logical conclusion that ethosomal formulation possesses promising future in effective dermal/transdermal delivery of bioactive agents.
ABSTRACT
Hyperglycemia is the technical term for high blood glucose (sugar). It
happens when the body has too little or not enough insulin or when the
body can‘t use insulin properly. The main objective of the present
research work was to develop a bilayer tablet of immediate release
Pioglitazone and controlled release Metformin Hydrochloride, which is
used as an Anti-hyperglycemic agent. Metformin Hydrochloride has
biological half-life nearly about 6 hours, so, an attempt was made in
the direction of preparation and optimization of a combination of
sustained release and immediate release in a single tablet. In controlled
release layer natural gums like xanthum gum, gum trgacanth and guar
gum were used as retarding materials and in immediate release laye
croscarmellose sodium was used as a superdisintegrent to give the faster release of
pioglitazone. The tablets were prepared by wet granulation method and by direct
compression. Granules were evaluated for precompression parameters and the tablets were
evaluated for post compression parameters.
Key Words: Bilayer tablets, Metformin Hydrochloride, pioglitazone, xanthum gum, guar
gum, gum tragacanth and crosscarmellose sodium.
ABSTRACT Gliclazide microspheres were prepared by ionotropic gelation method using bioadhesive polymers such as sodium alginate, carbopol 934, carbopol 971, HPMC K4M in different ratios. Totally twelve different formulations of gliclazide were prepared by using the above polymers. The microspheres were characterized for drug content, entrapment efficiency, swelling index, mucoadhesive property by In vitro wash-off test and in-vitro drug release. The results of this investigation indicate that ionic cross linking technique Ionotropic gelation method can be successfully employed to fabricate Model drug microspheres. Micrometric studies revealed that the mean particle size of the prepared microspheres was in the size range of 512-903 μm and are suitable for bioadhesive microspheres for oral administration. The in-vitro mucoadhesive study demonstrated that microspheres of Model drug using sodium alginate along with Carbopol 934 as copolymer adhered to the mucus to a greater extent than the microspheres of Model drug using sodium alginate along with Carbopol 971 and HPMC K4Mas copolymers. Analysis of drug release mechanism showed that the drug release from the formulations followed non-Fickian diffusion and the best fit model was found to be Korsmeyer-Peppas. Based on the results of evaluation tests formulation coded T4 was concluded as best formulation. Keywords: Bioadhesive Microspheres, Gliclazide, Ionotropic gelation method.
ABSTRACT The purpose of this study was to prepare and evaluate immediate release itraconazole pellets and comprehensive studies of the same. The itraconazole pellets is prepared using fluid bed processer with different concentration of HPMC (Hydroxy Propyl Methyl Cellulose). The physicochemical compatibility of the drug and the excipient studied by differential scanning calorimetry. The prepared pellets were physically evaluated with size, shape, bulk density, tapped density, compressibility index, hausners ratio, angle of repose, sieve analysis, surface roughness, density, moisture content, assay and drug release etc. The in vitro drug release profile from pellets shows that all the formulation release more than 75% drug within 90min. Optimized formulations were found to have HPMC concentration 2-5% of total weight of pellets to maximize high-quality surface, desired release, and size distribution within the range. These results indicate that pellets containing 10 % HPMC of total weight of pellets give better quality of itraconazole pellets for immediate release. Key Words: Itraconazole, Hydroxyl propyl methyl cellulose and Immediate release.
Abstract:
The Chronopharmacotherapy the drug administration is synchronised with circadian rhythms Formulation development of Microspheres is more reliable formulation as compare to single type dosage formulation due to it avoids dose dumping, as per required drug release profile is achieved For microspheres many polymers are used such as albumin, gelatine, starch, Eudragit, Polyacrylamide (“PAM”) these material loading capacity is high. Micro sponges which are Spherical are called as micro-balloons. Due to its hollow structure it shows good floating properties. In these systems use of Carbon-dioxide (CO2) as gas generating system which are used for floating purpose. The objective of present investigation is to prepared and evaluate a floating pulsatile drug delivery system of Aceclofenac. The strategy adopted for microspheres containing Aceclofenac as a material were prepared by emulsion solvent diffusion technique. Drug and polymer were mixed in dichloromethane and ethanol at 1:1 ratio. The drug and polymer solution were poured in water 50% W/V polyvinyl alcohol maintained at 30-40 C and the solution was stir at 500rpm using mechanical stirrer, The microspheres obtain were washed repeatedly with water until free from poly vinyl alcohol. The developed formulations were evaluated yield of floating microspheres particle size and shape, drug entrapment efficiency in-vitro evolution of floating ability, in-vitro drug release study. On the basis of these evolution parameters it was found that optimised floating pulsatile release formulation F7 showed higher drug entrapment efficiency floating time 6.8 minutes and the drug and polymer 32 1:3 ratio the particle size was increased.
Key Words: Chronopharmacotherapy, Floating pulsatile drug delivery, Aceclofenac.
ABSTRACT
The aim of the present research work was to enhance the solubility of
Carvedilol by solid dispersion method and to formulate a mouth
dissolving tablet. Drugs are more frequently taken by oral
administration. The solubility of Carvedilol enhanced with different
ratios of PVP by the solvent evaporation method .In-vitro release
profile of solid dispersion obtained in SGF without enzymes and Ph
6.8 phosphate buffer indicate that 100% drug release found within 20
min. These solid dispersion were directly compressed into tablets using
Crospovidone, sodium starch glycol ate, croscarmellose sodium and
polyacrylic potassium in different concentrations as a super
disintegrants. The prepared tablets containing the solid dispersion of
Carvedilol having sufficient strength of 2.5-4 kg/cm2. The
disintegrated in the oral cavity with in 21 sec. contain Crospovidone
(5%) as super disintegrant.
KEYWORDS: Carvedilol, PVP, Super Disintegrants, Mouth Dissolving Tablet.
ABSTRACT
Carvedilol is a cardiovascular drug of multifaceted therapeutic potential, with beta-blocker and vasodilatative activity. These actions confer to the above mentioned beta blocker some beneficial properties on several processes involving cardiovascular system. Carvedilol provides hemodynamic, ant ischemic, anti-proliferative and antiarrhytmic benefits, for its antioxidant neuro humoral and electrophysiological effects. All these actions provide the basis for usefulness of the drug in the treatment of hypertension, coronary heart disease, and congestive heart failure. In this review we report the beneficial properties of Carvedilol and we analyze the rational clinical use of this beta blocker taking special attention on recent clinical trial in heart failure where it appears evidence supporting an important, favorable effect of the drug.
KEYWORDS: Carvedilol, Hypertension, Coronary disease, Hearth failure.
A new precise accurate and reliable validated method for the determination of Capecitabine was developed by using
reverse phase high performance liquid chromatography in pharmaceutical dosage forms. Spectrophotometer
determination was carried out at an absorption maximum of 240nm by using methanol. The linearity was over the
concentration range of 20-120 μg/ml with correlation coefficient 0.999. Chromatographic separation was carried
out by using a mobile phase of methanol: Acetonitrile: water (80:20:80 V/V) on Waters 2487 dual absorbance
column in an isocratic mode at a flow rate of 1.1 ml/min with UV detection at 240 nm. The developed methods were
found to be precise and accurate for the estimation of Capecitabine in pharmaceutical dosage forms and could be
used for routine analysis.
Keywords: Capecitabine, RP-HPLC, Spectrophotometry, Waters 2487 dual absorbance detector, Nova pack 300 ×
3.9mm 5μ as column, 240nm
The global prevalence of obesity is increasing rapidly and high dietary fat intake is major risk factor for the development of obesity. The present study was taken undertaken to evaluate the effect of Argyreia Nervosa Burn.F leaf ethanol extract on serum lipid profile in Wistar male albino rat fed with high fat diet and to compare it with a standard hyperlipidemic drug Sibutramine (10mg/kg). Fifty four health Wistar albino male rats were randomized in to 9 groups of 6 animals each. The groups were followed as follows Group I: Sham operated Normal (Normal Diet), Group II: Control (High fat diet), Group III: Sibutramine 10 mg/kg + HFD, Group IV: EEAN (100mg/kg) + HFD, Group V: EEAN (200mg/kg) +HFD, Group VI: EEAN
(400mg/kg) + HFD, Remaining groups have received different types of extracts at various doses. Lipid profile in serum with high triglyceride (TG) and cholesterol levels were significantly reduced by treatment of 0.5g/day A. nervosa. The A. nervosa markedly lowers the levels of serum cholesterol and VLDL. The present investigation shows that all triton induced rats
displayed hyperlipidemia as shown by their elevated levels of serum and liver cholesterol, triglyceride, PL, VLDL, LDL and the reduction in the HDL level. It can be concluded that 0.5g/day of A. nervosa treatment was effective in reduction of cholesterol, PL, TG, VLDL, LDL and HDL in a dose dependant manner.
Diabetes mellitus is among the most common disorder in developed and
developing countries, and the disease is increasing rapidly in most parts
of the world. It has been estimated that up to one-third of patients with
diabetes mellitus use some form of complementary and alternative
medicine. Alstonia scholaris is a plant of family Apocynaceae and has a
great medicinal importance. It is widely used by tribal people to treat
various diseases and ailments. The present communication deals with
the organoleptic and preliminary physico-phytochemical studies of the
stem bark of the plant. The organoleptic study was done according to
the W.H.O. guidelines for medicinal plants. Alstonia scholaris is a plant
that has been used in popular medicine for the treatment of the diabetes.
It is native to the Indian subcontinent, Indomalaya, Malaysia, and
Australasia. This has been investigated based on amerolative properties
of bioactive compounds of Alstonia scholaris stem bark extract up on
alloxan induced diabetic rats. The blood glucose levels were increased
significantly. Ethanolic stem bark extract of A. scholaris was given to
the diabetic rats in daily dose of 450mg/ kg of body weight (21 days). In
diabetic rats of blood glucose levels decreased highly significant
(p<0.005). The reduction in blood glucose can be used as a marker in
the evaluating the severity of diabetes.
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
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
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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.
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Methods used for the manufacture of tablets
1. METHODS USED FOR THE MANUFACTURE OF TABLETS
Prepared By:
DR. ANANDA KUMAR.CH
Assoc. Prof
Department of pharmaceutics
Lydia college of pharmacy
Subject: Pharmaceutical
Formulation
Pharma. D IIIrd Year
3. DEFINITION OF TABLETS
A tablet is a pharmaceutical dosage form. It comprises of a
mixture of active substances and excipients, usually in powder
form, passed are compacted into a solid dose.
Excipients:
1. Diluents, binders or granulating agents, glidents and
lubricants to ensure efficient tabletting;
2. Disintegrates: to promote tablet break up in the digestive
tract;
3. Sweeteners or flavours: to enhance the taste;
4. Polymer coating: it is to applied to make the tablet smoother
and easier to swallow, to control the release rate of the active
ingredient, to make it more resistant to the environment.
4. MANUFACTURE OF TABLETS
• There are three methods by which tablets are manufactured;
1. Wet granulation
2. Dry granulation
3. Direct compression
Manufacturing process is dependent on several factors, including
the compression properties of the therapeutic agents, the
particle size of the therapeutic agent, excipients and the
chemical stability of the therapeutic agent during the
manufacturing process.
5. MANUFACTURE OF TABLETS STEPS
1. Mixing of the therapeutic agents with the excipients
2. Granulation of the mixed powders(this is not performed in
direct compression)
3. Mixing of the powders or granules with other
excipients(mostly lubricants)
4. Compression into tablets
5. The details of each of these steps will vary depending on the
manufacturing method used.
6. Wet granulation
• It is most commonly used method for the manufacturing of
tablets.
• Water is frequently used as the granulation fluid (and heat is
employed to dry the formed granules), it is important to ensure
that the therapeutic agent is chemically stable during the
granulation process.
• The wet granulation exhibit sufficient mechanical properties to
be subsequently exposed to other unit operations, Eg: film
coating.
• Tablet quality is directly affected by the choice and
concentration of binder and the type and volume of granulation
fluid. Due to the number of unit operations to the required, the
manufacture of tablets by wet granulation is not as efficient as
other methods. eg: direct compression
7. Advantages & disadvantages
1. Reduced segregation of formulation components during storage
and processing. Leading to reduced intra and inter batch
variability.
2. It uses low concentration of therapeutic agent.
3. It is not dependent on the inclusion of special grades of
excipients (is spray dried excipients used in direct compression
method).
4. Tablets produced by wet granulation are amenable to post
processing unit operations, eg: tablet coating techniques.
Disadvantages:
1. It has several processing steps
2. Solvents are required in the process: this leads to a number of
concerns, eg: drug degradation may occur in the presence of the
solvent. This is particularly relevant if water is used as the
granulation medium due to the susceptibility of some drugs to
hydrolysis
8. Advantages & disadvantages
• To overcome this concern, a hydroalcoholic (water/alcohol) or
an alcohol (ethanol or isopropanol) granulation medium should
be used.
3. The drug may be soluble in the granulation fluid. During the
drying process the drug will then precipitate/crystallise,
resulting in possible changes in the polymorphic form. If the
drug and some excipients soluble in the granulation medium,
subsequent drying will result in deposition of these components
on the surface of the insoluble particles and in so doing, this
may enhance the hardness of the granule
4. Heat is required to remove the solvent. This may result in the
degradation of thermo labile therapeutic agents. In addition
drying is a costly operation and furthermore, if alcohols are
used in the granulation medium, there are issues regarding
solvent recovery and flammability.
9. DRY GRANULATION
• When tablet ingredients are sensitive to moisture and unable to
withstand elevated temperature during drying and when the
tablet ingredient have insufficient cohesive properties, slugging
may be used to form granules.
• This technique is used in preparation of aspirin, aspirin
combination, acetophenetidin.
Excipients used in this method:
1. Diluents/ filler: anhydrous lactose/ lactose monohydrate,
starch, dibasic calcium phosphate, and MCC
2. Disintegrants: Starch, MCC, Sodium starch glycolate,
Croscarmellose sodium, Crospovidone.
3. Lubricants: Stearates (Mg. stearate, steric acid), Glyceryl fatty
acid esters, polyoxyethylene stearates, SLS.
4. Glidants: Talc, Colloidal silicon dioxide.
5. Miscellaneous Excipients: Colours, sweetening agents, etc.
10. Advantages & disadvantages
• This technique popularity has decreased in recent years,
having been superseded by direct compression.
• However both slugging and roller compaction are still
employed in tablet manufacture.
Advantages:
1. Both roller compaction and slugging require conventional
grades of excipients.
2. These methods are not generally associated with alterations
in drug morphology during processing.
3. No heat or solvent are required.
11. Advantages & disadvantages
Disadvantages:
1. Specialist equipment is required for granulation by roller
compaction.
2. Segregation of components may occur during post mixing.
3. There may be issues regarding powder flow.
4. The final tablets produced by dry granulation tend to be softer
than those produced by wet granulation, rendering them more
difficult to process using post tabletting techniques, eg: film
coating.
5. Slugging and roller compaction lead to the generation of
considerable dust. Therefore there may be a reduction in the
yield of tablets.
12. Direct compression
• Wet granulation and dry granulation methods having series of
unit operations, both time consuming and potentially costly.
• Potentially more attractive option for the manufacture of
tablets involves powder mixing and subsequent compression
of the powder mix, thereby obviating the need for granulation.
This process is called direct compression.
• The mechanism of particle-particle interactions in tablets
produced by direct compression are similar to those operative
in tablets produced by dry granulation and roller compaction.
14. Advantages & disadvantages
• Advantages:
1. There are fewer processing steps and therefore the method is
potentially more cost effective than other methods.
2. Direct compression does not require the use of water or other
solvents. Therefore negates potential problems regarding the
stability of therapeutic agents in the presence of the solvents.
In addition heating is not required in direct compression.
3. Lubrication is performed in the same vessel as powder
mixing, thereby reducing both transfer losses and
contamination of equipment.
15. Advantages & disadvantages
Disadvantages:
1. Special grade excipients are required.
2. The quality and uniformity of the final dosage form depends
on the excipients.
3. There may be issues regarding powder flow into the tableting
machine.
4. The final tablets produced by direct compression tend to be
softer than those produced by wet granulation, rendering
them more difficult to process using post tableting
techniques, eg: film coating
5. It is not used if a colourent is required in the formulation due
to the mottled appearance of the resulting dosage form.