Anatomy of eye and adrena, absorption of drug in the eye, classification of ophthalmic
products, safety consideration of ophthalmic products, formulation, vehicles and additives,
manufacturing consideration, environment, manufacturing techniques, quality control of
ophthalmic products, packaging of ophthalmic products.
it is a complete overview on ophthalmic dosage form. beginning from anatomy and physiology of eye with drug absorption mechanism including all factors to formulation considerations and evaluation of the products i.e. eye drops and eye ointment & the evaluation tests. it will help you make the concepts clear about ophthalmic drug deliveries.
it is a complete overview on ophthalmic dosage form. beginning from anatomy and physiology of eye with drug absorption mechanism including all factors to formulation considerations and evaluation of the products i.e. eye drops and eye ointment & the evaluation tests. it will help you make the concepts clear about ophthalmic drug deliveries.
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.
Quality Control Tests Of Capsules dosage form.
1. Weight Variation Test
2. Content Uniformity Test
3. Dissolution Test
4. Disintegration Test
5. Leak Test
Ophthalmic dosage are the preparation designed for application to the eye:-
For treatment
For symptomatic release of symptoms
For diagnostic purpose
As aid to surgical procedures
They are the sterile products meant to instillation in to the eye in the space between eye lid and the eye ball
They are also prepared as parenteral product. Example
Eye drops, Eye lotion, Eye ointment, Eye suspension, Contact lens solution
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.
Quality Control Tests Of Capsules dosage form.
1. Weight Variation Test
2. Content Uniformity Test
3. Dissolution Test
4. Disintegration Test
5. Leak Test
Ophthalmic dosage are the preparation designed for application to the eye:-
For treatment
For symptomatic release of symptoms
For diagnostic purpose
As aid to surgical procedures
They are the sterile products meant to instillation in to the eye in the space between eye lid and the eye ball
They are also prepared as parenteral product. Example
Eye drops, Eye lotion, Eye ointment, Eye suspension, Contact lens solution
Different types of solutions are use in contact lens practice. Some solutions are only for hydrophobic rigid contact lenses and some for hydrogel soft contact lenses. While few of them may be used for both types of lenses. Various solutions available can be grouped as follow:
• Wetting agents
• Cleaning agents
• Storage (soaking agents)
• Rewetting agents
Multifunctional solutions are combination of two or more of the above solutions that enhance compliance by reducing number of solutions the pt has to use.
Components of solutions
All solutions contain certain components that are peculiar to particular function of the solution at varying concentration.
Cleaning agent
Buffering agent
Vehicle
Surfactant cleaner
Enzymatic cleaner
Soaking solution
Heat for disinfection
Chemical disinfecting
Preservatives
Preservative conc. is usually low in CL solutions in order to reduce risk of any eye irritation.
Range of preservatives includes:
Benzalkonium chloride
Chlorobutanol
Thiomesal
Chlorhexidine
Ethylene diamine tetra-acetic acid (EDTA)
Sorbic acid
Potassium sorbate
1. Wetting solution
An agent that coats the contact lens with a film intends to minimize the friction of CL against pelpebral conjunctiva and cornea. It act as
buffer
Cushioning agent
It disintegrates to be replaced by lacrimal fluid. It must meet standards as regard to sterility, isotonicity, nonirritabilty and stability.
Should be buffered at pH of tears.
Essential characteristics of a Wetting agent
1. Wet thoroughly and spread over an entire surface of lens, rendering it hydrophilic.
2. Should form a film sufficiently tenacious so that it’ll not be washed away during the wearing period by tears.
3. Nonirritating and nonsensitizing
4. No residue existence (pure)
5. Cleaner, antiseptic and self-preserving
6. Viscous
7. Lubricant and preserving agent
8. Allow lens sticking on fingertip during insertion and sallow no oil of finger to get on lens
Not interfere with wetting
Introduction to ophthalmic products useful as a basic & theoretical tool for pharmacy, medical & nursing students for their graduate and post graduate studies
Standardization of Acids and bases.
2. Determination of pKa and pKb values
3. Preparation of solutions of different pH & buffer capacities.
4. Determination of phase diagram of binary systems.
Determination of distribution coefficients.
6. Determination of molecular weight by Victor Meyer’s Method.
7. Determination of heats of solutions by measuring solubility as a function of temperature
(Van’t Hoff equation.)
A. Qualitative analysis of metal ions and acid radicals:
Na+, K+, Ca+2, Ag+, Mn+4, Fe+2, Fe+3, Co+2, Mg+2, Al+3, Cu+2 and acid radicals CO3,
halides, Citrate
SO4-2, NO3-, SO3-2, etc.
B. Identification of inorganic drugs in their formulation:
1. Ca+2, from supplied preparations
2. Fe+2 from supplied preparations
3. Al+3 from supplied preparations
4. Mg+2 from supplied preparations
5. K+ from supplied reparations
6. Na+ from supplied preparations
C. Conversion of different water insoluble or sparingly soluble drugs into water soluble
forms:
1. Na/ K – salicylate from salicylic acid
2. Na/ K – benzoate from benzoic acid
3. Na/ K – citrate from citric acid
Plants in complimentary and traditional systems of medicine MANIKanikImran Nur Manik
Plants in complimentary and traditional systems of medicine: Introduction-different types of
alternative systems of treatments (e.g. Ayurvedic, Unani and Homeopathic medicine). Contribution
of traditional drugs to modern medicines. Details of some common indigenous traditional drugs:
Punarnava, Vashaka, Anantamul, Arjuna, Chirata, Picrorhiga, Kalomegh, Amla, Asoka, Bahera,
Haritaki, Tulsi, Neem, Betel nut, Joan, Karela, Shajna, Carrot, Bael, Garlic, Jam and Madar.
Crude drugs: A general view of their origin, distributions, cultivation, collection, drying and
storage, commerce and quality control.
a) Classification of drugs.
b) Preparation of drugs for commercial market
c) Evaluation of crude drugs.
d) Drug adulteration.
Carbohydrate and related compounds: Sugars and sugar containing drugs. Sucrose,
dextrose, glucose, fructose etc. Polysaccharides and polysaccharide containing drugs,
Starches, dextrins etc. Gums and mucilages, tragacanth, acacia, sterculia, sodium
alginate, agar and cellulose.
Volatile oils and related terpenoids-Methods of obtaining volatile oils,
chemistry, their medicinal and commercial uses, biosynthesis of some important
volatile oils used as drugs.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
1. Ophthalmic products Kushal
Page
1
Ophthalmic products
Ophthalmic products:
Ophthalmic products are the sterile products, meant for instillation into the eye in the space
between the eye lids and the eye balls. These products are must be sterile and are prepared
under the same conditions and by the same methods as other parenteral products.
Anatomy of eye:
Types of ophthalmic products:
Ophthalmic product includes:
a. Eye drops,
b. Eye lotions,
c. Eye ointments,
d. Eye suspensions,
e. Contact lens solutions.
Essential characteristics of different ophthalmic preparations:
Ophthalmic preparations should possess the following properties:
a. Foreign particles:
All the ophthalmic preparations should be clear and free from any foreign particles, fiber
and filaments. Ophthalmic solutions must be clarified very carefully by passing through
bacteria proof filters and sintered glass filters.
2. Ophthalmic products Kushal
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2
b. Viscosity:
In order to prolong the contact time of the drug in the eye, various thickening agents are
added in the ophthalmic preparations. Polyvinyl alcohol, polyethylene glycol, methyl
cellulose, carboxymethylcellulose are some of the common thickening agents. These agents
improve the viscosity of the preparations. The thickening agents are not needed in the
formulation of eye drops and eye solutions.
An ideal thickening agent should possess the following properties:
It should be easy to filter,
It should be easy to sterilize,
It should be compatible with other ingredients,
It should possess requisite refractive index and clarity level.
c. Tonicity:
Ophthalmic products must be isotonic with lachrymal secretions to avoid discomfort and
irritation. It has been observed that eye can tolerate a range of tonicity from 0.5-2% NaCl.
There are certain isotonic vehicles which are used to prepare ophthalmic products like 1.9%
boric acid, sodium acid phosphate buffer.
d. pH of the solution:
pH plays an important role in therapeutic activity, solubility, stability and comfort to the
patient. Tears have pH of about 7.4. Eye can tolerate solution having wide range of pH
providing they are not strongly buffered, since the tears will rapidly restore the normal pH
value of the eye. Alkaloidal salt solutions are stable at pH 2-3 but this pH is irritant to the
eye.
e. Sterility:
Ophthalmic preparation must be sterile when prepared. Pseudomonas aeruginosa is very
common gram negative bacteria which are found to be present in the ophthalmic products.
It may cause serious infection in the cornea.
f. Surface activity:
Vehicles are used in ophthalmic preparation must have good wetting ability to penetrate
cornea and other tissues. Certain surfactant and wetting agents are added which are found
suitable for ophthalmic products. Benzokonium chloride, polysorbate 20 etc. are commonly
used surfactants in the ophthalmic preparations.
3. Ophthalmic products Kushal
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Eye drops:
Eye drops are sterile aqueous or oily solutions or suspensions of drugs that are instilled into
the eye with a dropper. They are used both for diagnostic and therapeutic purposes and
contain drugs which act on the anterior segment of the eye: the cornea, the conjunctive and
anterior uvea. They usually contain drugs used as
Antimicrobial agents (antibacterial, antifungals and antiviral)
Anti-inflammatory agents,
Anesthetics,
Mydriatics,
Miotics,
Cyclopledgics,
Diagnostic stains,
Corticosteroids,
Artificial tears.
Eye drops are mainly applied into the space between the eye balls and eye leads or on the
corneal surface. The characteristics of eye drops are:
They should be sterile,
They should be isotonic with lachrymal secretions,
They should be free from foreign particles, fibers and filaments,
They should have almost neutral pH,
They should be preserved with a suitable bactericide,
They should remain stable during storage.
Formulation of eye drops:
Most of the eye drops contain aqueous vehicle rather than oily vehicles. Aqueous eye drop
may support the bacterial and fungal growth therefore they must be preserved by adding a
suitable preservative. For this purpose phenyl mercuric nitrate or acetate 0.002%,
benzalkonium chloride 0.01%, chlorhexidine acetate 0.01% may be used.
The medicaments are dissolved in a aqueous vehicle containing suitable antimicrobial
agents. The adjacent are also dissolved in the vehicle at the stage to form a stable
preparation.
Eye drops are clarified by passing the solution through membrane filter having filter pore
size 0.8 µm. The clarified solution is immediately transferred into the final containers and
sealed to exclude microorganism.
Eye drops are then sterilized by autoclaving or heating with bactericide at 98o
C to 100o
C for
30min. or filtration through bacteria proof filter. Then it is packed into neutral glass
containers or in a suitable glass container.
4. Ophthalmic products Kushal
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4
Adjacent used in eye drops:
Thickening agent,
Buffers,
Antioxidants,
Chelating agents,
Wetting agents,
Isotonicity adjacent substances.
Eye ointments:
Eye ointments are sterile preparation meant for application to the eye. These are prepared
under aseptic conditions and packed into collapsible tubes which keep the preparation
sterile until whole of its consumed. The ointment base selected for an eye ointment must be
non-irritating to the eye and must permit the diffusion of the drug throughout the
secretions of the eye and must melt close to the body temperature.
For the preparation of an eye-ointment the eye ointment B.P. is used. The base consists of:
Yellow soft paraffin 80%
Liquid paraffin 10%
Wool fat 10%
The eye ointments are prepared by two methods, trituration method and fusion method.
The preparation of eye ointment must be carried out under aseptic conditions which should
keep the preparation sterile until whole of it is used up. For packaging of eye-ointment
sterilized tin, aluminium or plastic collapsible tubes are used.
Advantages of eye ointments over eye drops:
Eye ointments are last longer than eye drops.
These are keeping more ocular contact then eye drops.
These are suitable for prolong action of the drugs.
Disadvantages of eye-ointments:
Not suitable for short time use,
Caused blurred vision,
Having delayed on set of action.
Advantages of eye drops over eye ointments:
More easy and comfortable to use,
Quick on set of action,
No blurred vision.
5. Ophthalmic products Kushal
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5
Eye lotions:
Eye lotions are sterile aqueous solutions used for washing the eye. The eye lotions are
supplied in concentrated form and are required to be diluted with warm water immediately
before use. They are usually applied with a clean eye-bath or sterilized fabric dressings and a
large volume of solution is allowed to flow quickly over the eye.
Eye lotions should be isotonic and free from foreign particles to avoid the irritation to the
eye. The drugs used for preparing eye lotions are NaCl, NaHCO3, Boric acid, Borax and ZnS.
Why eye lotions are used:
After eye surgery it is need to irrigate the eye by eye lotions,
In several eye infection eye lotions are used,
As steroidal anti-inflammatory drug eye lotions are used.
Eye suspensions:
Eye suspensions are sterile suspensions used as ophthalmic product. These are not as
commonly used as the eye drops. They are only prepared when the drug is insoluble in the
desired vehicle or unstable in solution form. They are also used to produce sustained action
of the preparation.
Eye solutions should have following preparations:
They should be sterile,
They should be isotonic, buffered and suitably preserved,
They should be of the desired viscosity,
They should be packaged in dropper type containers,
The particle size ranges within 5µm (90%) - 15µm (10%).
The supplied particles must not agglomerate,
They should be shaken thoroughly before use in order to distribute the particle
uniformly.
Ophthalmic suspension includes:
1. Dexamethasone ophthalmic suspension,
2. Hydrocortisone ophthalmic suspension,
3. Tetracycline hydrochloride ophthalmic suspension.
Contact lens solutions:
Contact lenses are usually made from polymethyl methacrylate which is a hard hydrophobic
plastic. Now-a-days some softer hydrophilic lenses are also used.
6. Ophthalmic products Kushal
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6
The wearers of hard contact lens generally use two types of solutions:
a. One before inserting the lenses into the eye which is known as wetting solution,
b. The other one used for overnight cleaning, soaking and storage which is known as
storage solution.
1. Wetting solution:
It is used primary for treating the lenses before insertion. Due to the hydrophobic nature,
polymethyl methacrylate is poorly wetted by the lachrymal fluid of the eye. Hence, the
contact lens requires moistening with a wetting agent to make the insertion easy and
comfortable.
The formulation of contact solution may contain:
Wetting agent,
Antimicrobial agent,
Isotonicity adjuster,
Buffering agent,
Thickening agent.
2. Storage solutions:
The contact lens must be clean after use. After removing from the eye they are cleaned with
wetting solution and rinsed with purified water. Then they are stored in a soaking solution
with the intension continue the cleaning process and prevent dehydration.
The formulation of storage solutions generally contains:
A non-ionic surface active agent which will help in cleaning the lenses.
A blend of preservatives to prevent the bacterial growth. The solution should be
changed after every few days because the preservatives may be practically
inactivated by the organic materials present in the form of debris.
Ophthalmic inserts:
Ophthalmic inserts are new drug delivery systems for administering drug into the eyes.
These are designed in such a way that they release the drug at predetermined and
predictable rates thus eliminating the frequent administration of the drugs by the patients.
Generally the inserts are elliptical in shape having the dimensions 13.4×5.7×0.3mm. They
are sterile and do not contain any preservatives. They are flexible in nature and consist of
multilayered structure the innermost being the core containing the medicament.
The pilocarpine inserts have proved quiet useful and effective in glaucoma therapy. It is
allowed to release the drug at desired rates for about seven days after which it is removed
and replaced with new ones.
7. Ophthalmic products Kushal
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7
Why pH of the ophthalmic product should be adjusted:
The pH of eye drop should be adjusted for three main reasons:
a. To reduce discomfort,
b. To maintain chemical stability,
c. To improve clinical response,
d. To improve the tonicity of the preparation.
Write down the microorganisms that causes eye infections:
Staphylococcus aerues,
Asparagus species,
Proteus vulgaris,
Adeno virus,
Retro virus,
Bacillus subtilis,
Pseudomonas aeruginosa.
Why ophthalmic products recognized as sterile products:
As eyes are too sensitive to the microorganisms, the ophthalmic products must be 100%
microorganism free. For this reason they must be formulate in aseptic technic and the
product must pass sterility test during formulation. For this reason these are known as
sterile products.