The document discusses semisolid dosage forms and factors influencing dermal drug penetration. It defines various semisolid dosage forms including ointments, creams, gels and pastes. It then discusses biological, physicochemical and drug-related factors that influence how well drugs penetrate the skin. Key factors mentioned are skin condition, age, temperature, drug properties like solubility and molecular size. The document provides details on how each of these factors can impact dermal absorption of drugs administered via semisolid dosage forms.
The difference between a Gel and Cream:
A gel is transparent, and a cream is not. Gels are mostly colourless and disappear when applied. Despite having a colour base, creams are also not visible once applied, although gels are absorbed faster.
The difference between a Gel and Cream:
A gel is transparent, and a cream is not. Gels are mostly colourless and disappear when applied. Despite having a colour base, creams are also not visible once applied, although gels are absorbed faster.
Introduction and classification, anatomy of skin and factors affecting absorption, Formulation ,preparation, packaging, labeling and storage of ointments, Formulation, preparation, packaging, labeling and storage of jellies, creams, pastes.
Semisolid dosage forms: Definitions, classification, mechanisms and factors influencing dermal penetration of drugs. Preparation of ointments, pastes, creams and gels. Excipients used in semi solid dosage forms. Evaluation of semi solid dosages forms
A topical medication is a medication that is applied to a particular place on or in the body. Most often topical administration means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes including creams, foams, gels, lotions, and ointments
Semisolid dosage forms are neither solid nor liquid, however, they are a combination or mixture of both, and they used for both local and systemic effects. Pharmaceutical semisolid dosage forms such as creams, ointments, gels, suppositories, and paste are used for topical application. Semisolid dosage forms are intended used as drug carriers that are transported topically through the skin, buckle tissue, rectal tissue, outer ear lining nasal mucosa, urethral membrane, vagina, and cornea. The semisolid may adhere adequately before washing on the surface of the application; this helps to extend the supply of drugs on the application site.
Introduction and classification, anatomy of skin and factors affecting absorption, Formulation ,preparation, packaging, labeling and storage of ointments, Formulation, preparation, packaging, labeling and storage of jellies, creams, pastes.
Semisolid dosage forms: Definitions, classification, mechanisms and factors influencing dermal penetration of drugs. Preparation of ointments, pastes, creams and gels. Excipients used in semi solid dosage forms. Evaluation of semi solid dosages forms
A topical medication is a medication that is applied to a particular place on or in the body. Most often topical administration means application to body surfaces such as the skin or mucous membranes to treat ailments via a large range of classes including creams, foams, gels, lotions, and ointments
Semisolid dosage forms are neither solid nor liquid, however, they are a combination or mixture of both, and they used for both local and systemic effects. Pharmaceutical semisolid dosage forms such as creams, ointments, gels, suppositories, and paste are used for topical application. Semisolid dosage forms are intended used as drug carriers that are transported topically through the skin, buckle tissue, rectal tissue, outer ear lining nasal mucosa, urethral membrane, vagina, and cornea. The semisolid may adhere adequately before washing on the surface of the application; this helps to extend the supply of drugs on the application site.
Brief Anatomy of Skin and Skin GraftingRishi Gupta
Brief Anatomy of Skin and Skin Grafting.
Anatomy of Skin
History of skin grafting.
Recent Advances in Skin Grafting.
Dermal Substitutes.
Cell cultures in skin grafting.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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!
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
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
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.
3. Introduction
• The skin also known as cutaneous membrane or
integument, covers the external surface of the body
and protects the interior of the body.
• It is a sensory organ which is an largest organ of
the body in both surface area and weight.
• In adults skin covers an area about 2 sq.mts
( 22 sq.ft), weighs about 4.5 to 5 kgs and 16% of the
body weight.
4. • It is continuous with mucous membrane of body
orifices
• Evarage thikness is 1 to 2 mm.
• Eye lid - 0.5 mm
• Palm and soles - 6 mm
• pH – 4 to 5.6
• renewal of skin takes place in 28 to 50 days
Introduction
6. Types of Skin
Two major classes of Skin
1. Hirsute – thin, hairy skin which covers grater part
of the body.
2. Glabrous – which covers the surfaces of palms,
soles and flexor surfaces of body.
8. Structure of the skin
• Epidermis
– The superficial portion of the skin
– Composed of epithelial tissue.
• Dermis
– The deeper layer of the skin
– Primarily composed of connective tissue.
• Deep to the dermis is the subcutaneous layer
or hypodermis. (not a part of the skin)
– It consists of areolar and adipose tissue.
– fat storage, an area for blood vessel passage,
and an area of pressure sensing nerve
endings.
9.
10. Layers of the Epidermis
From deepest to most superficial the layers of
the epidermis are
1. Stratum basale (stratum germinativum)
2. Stratum spinosum
3. Stratum granulosum
4. Stratum lucidum (only in palms and soles)
5. Stratum corneum
11.
12. Stratum Basale
(stratum germinativum)
• Deepest single layer of epidermis
– merkel cells, melanocytes,
keratinocytes & stem cells that
divide repeatedly
– keratinocytes have a cytoskeleton
of tonofilaments
– Cells attached to each other &
to basement membrane by
desmosomes &
hemidesmosomes
• When the germinal portion of the
epidermis is destroyed, new skin
cannot regenerate with a skin graft.
13. Stratum Spinosum
• Provides strength and
flexibility to the skin
• 8 to 10 cell layers are
• Held together by
desmosomes.
14. Stratum Granulosum
• transition between the
deeper, metabolically
active strata and the
dead cells of the more
superficial strata
• 3-5 layers of flat dying
cells that show nuclear
degeneration
• example of apoptosis
• Contain lamellar
granules that release
lipid that repels water
• Contain dark-staining
keratohyalin granules.
keratohyalin converts
tonofilaments into keratin
15. Stratum Lucidum
• present only in the
fingers tips, palms of
the hands, and soles
of the feet.
• Three to five layers
of clear, flat, dead
cells
• Contains precursor
of keratin
16. Stratum Corneum
• 25 to 30 layers of flat
dead cells filled with
keratin and surrounded
by lipids – continuously
shed
• Barrier to light, heat,
water, chemicals &
bacteria
• Lamellar granules in this
layer make it water-
repellent.
• Where callus, an
abnormal thickening of
the epidermis, is
formed.
17. Keratinization and Growth of the
Epidermis
• Stem cells divide to produce keratinocytes
• As keratinocytes are pushed up towards the surface,
they fill with keratin.
- Keratinization is replacement of cell contents with
the protein keratin; occurs as cells move to the skin
surface over 2-4 weeks in 1 mm of skin
• Epidermal growth factor (EGF) and other hormone-
like proteins play a role in epidermal growth.
• Nutrients & oxygen diffuse to the avascular
epidermis from blood vessels of dermis.
18. Four Principle Cells of the Epidermis
• Keratinocytes
– produce the protein keratin, which helps protect the
skin and underlying tissue from heat, microbes, and
chemicals, and lamellar granules, which release a
waterproof sealant
• Melanocytes
– produce the pigment melanin which contributes to
skin color and absorbs damaging ultraviolet (UV)
light
• Langerhans cells
–
–
derived from bone marrow
participate in immune response
• Merkel cells
– contact a sensory structure called a tactile (Merkel) disc
and function in the sensation of touch
20. Dermis
• Connective tissue layer
composed of collagen &
elastic fibers, fibroblasts,
macrophages & fat cells
• Contains glands, hair follicles,
nerves & blood vessels
• Two major regions of dermis
– papillary region
– reticular region
21. Dermis - Papillary Region
• Top 20% of dermis.
• Finger like projections are called dermal
papillae anchors epidermis to dermis.
• contains capillaries that feed epidermis.
• contains Meissner’s corpuscles in the dermis near
dermoepidermo jn. Detection of sensations of
touch, shape and texture.
• Pacinians corpuscles- deep pressure and
vibrational sensations.
• Free nerve endings for sensations of heat, cold,
pain, tickle, and itch.
22. Dermis - Reticular Region
• Dense irregular connective tissue.
• Contains interlacing collagen and elastic fibers.
• Packed with sebaceous glands, sweat gland ducts, fat &
hair follicles.
• Provides strength, extensibility & elasticity to skin.
23.
24. Accessory Structures of Skin
• develop from the
embryonic epidermis
• Cells sink inward
during development
to form:
– hair
– oil & sweat glands
– nails
25. Glands of the Skin
Specialized exocrine glands found in
dermis are
• Sebaceous (oil) glands
• Sudoriferous (sweat) gland
• Ceruminous (wax) glands
• Mammary (milk) glands
26. Sebaceous (oil) glands
• Sebaceous (oil) glands are usually connected to
hair follicles; they are absent in the palms and
soles
• Produce sebum
– contains cholesterol, proteins, fats & salts
– moistens hairs
– waterproofs and softens the skin
– inhibits growth of bacteria & fungi (ringworm)
• Acne
– bacterial inflammation of glands
– secretions are stimulated by hormones at puberty
28. Sudoriferous (sweat) glands
• Eccrine sweat glands (most areas of skin)
– regulate body temperature through
evaporation (perspiration)
– help eliminate wastes such as urea.
• Apocrine sweat glands (skin of the axilla, pubis,
and labia minora)
– secretions are more viscous
29. Ceruminous Glands
• Ceruminous glands
– produce a waxy substance called
cerumen.
– found in the external auditory meatus
– barrier for entrance of foreign bodies
30. Shaft – visible
Root - below the surface
Follicle –
- surrounds root
- external root sheath
- internal root sheath
- base of follicle is bulb
- blood vessels
- germinal cell layer
31. Hair Related Structures
Arrector pili
– Smooth muscle in
dermis contracts
with cold or fear.
– forms goosebumps
as hair is pulled
vertically
• Hair root plexus
– detect hair movement
• sebaceous (oil)
glands
32. Structure of Nails
• Tightly packed
keratinized cells
• Nail body
– visible portion pink due to
underlying capillaries
– free edge appears white
• Nail root
– buried under skin layers
– lunula is white due to
thickened stratum basale
• Eponychium (cuticle)
– stratum corneum layer
33. Functions of skin
• Protection
• Thermoregulation
• Sensation
• Vitamin D synthesis
• Excretion & Absorption
• Psychological and social
function
34. Protection
• Physical, chemical and biological barriers
• Tight cell junctions prevent bacterial invasion
• Lipids released retard evaporation
• Pigment protects somewhat against UV light
• Langerhans cells alert immune system
35. Thermoregulation
• Perspiration & its evaporation
– lowers body temperature
– flow of blood in the dermis is adjusted
• Exercise
– in moderate exercise, more blood brought
to surface helps lower temperature
– with extreme exercise, blood is shunted
to muscles and body temperature rises
• Shivering and constriction of surface vessels
– raise internal body temperature as needed
37. Synthesis of Vitamin D
• Activation of a precursor molecule in the skin by
UV light
• Enzymes in the liver and kidneys modify the
activated molecule to produce calcitriol, the most
active form of vitamin D.
• Necessary vitamin for absorption of calcium from
food in the gastrointestinal tract
38. Excretion & Absorption
Excretion
• 400 ml of water/day,
• Small amounts Nacl,
• CO2,
• Ammonia and Urea
Absorption
• Water soluble compo. –
Negligible
• Lipid soluble Vitamins -
A, D, E, K
• Organic solvents
• Heavy metals
• Topical medicines
41. Ointments
Semisolid preparations intended for external
application to the skin or mucous membranes.
Semisolid plastic flow characteristics
Definite yield value
Eg. Cold Cream (Petrolatum-Rose Water Ointment)
Lanolin , Nivea, Eucerin
42. Creams
Opaque, soft solids, or thick liquids intended
for external application.
Semisolid, pseudoplastic flow
Very little yield value
Won’t flow under force of gravity but small
force will initiate flow
Viscous liquids or semisolid emulsions of
either the O/W type or the W/O type
Term “cream” is most frequently applied
to soft, cosmetically acceptable types of
preparations.
43. Gels
Semisolid systems consisting of dispersions of
small or large molecules in an aqueous liquid
vehicle rendered jelly-like through the addition
of a gelling agent
A semi-rigid system in which the movement of
the dispersing medium is restricted by an
interlacing network of particles or solvated
macromolecules of the dispersed phase
44. Pastes
Pastes are semisolid dosage forms that contain
one or more drug substances intended for topical
application.
One class is made from a single-phase aqueous
gel (e.g. Carboxymethylcellulose Sodium Paste)
It consists of fatty base (e.g., petroleum jelly)
and at least 25% solid substance (e.g., zinc oxide).
Pastes are the semisolid preparations intended
for external application to the skin. Usually they
are thick and do not melt at normal temperature.
45. Factors influencing dermal
penetration of drugs
II. Physicochemical factors:
1. Skin hydration
2. Temperature and pH
3. Diffusion coefficient
4. Drug concentration
5. Partition coefficient
6. Molecular size and shape
I. Biological / patient
factors:
1. Skin condition
2. Skin age
3. Blood flow
4. Regional skin site
5. Skin metabolism
6. Species difference.
47. Patient Related factors:
1. Skin condition
The intact, healthy skin is a tough barrier but acids and
alkalis injure barrier cells and thereby promote penetration
Mixtures of non-polar and polar solvents, such as chloroform
and methanol, remove the lipid fraction and molecules pass
more easily.
Disease alters skin condition, skin inflamed, with loss of
stratum corneum thus permeability increases.
2. Skin age
Skin of the young and the elderly is more permeable than
adult tissue.
Children are more susceptible to the toxic effects of drugs
and chemicals, because of their greater surface area per unit
body weight; thus potent topical steroids, Causes severe side-
effects and death.
48. 3.Blood flow:
An increased blood flow could reduce the amount of time
a penetrant remains in the dermis, and also raise the
concentration gradient across the skin.
In clinically hyperaemic disease damages the skin
barrier and increase absorption
4. Regional skin sites :
Variations in permeability depend on the thickness and
nature of the stratum corneum and the density of skin
Absorption changes with substance, volunteer and site.
Permeabilities depend on thickness of stratum corneum
and the overall thickness of the tissue.
Plantar and palmar callus may be 400-600 µm thick
compared to 10-20 µm for other sites
Facial skin in general is more permeable than other body
sites
49. 5.Skin metabolism:
The skin metabolizes steroid hormones, chemical
carcinogens and some drugs. This is advantage to
prodrugs. Skin can metabolize 5% of topical drugs.
6.Species differences:
Mice, rats and rabbits are used to assess percutaneous
absorption, but their skins have more hair follicles than
human skin and they lack sweat glands.
50. Physicochemical factors
1. Skin hydration
When water saturates the skin the tissue swells, softens and
wrinkles and hydration of the stratum corneum increases
permeability
Dusting powders or lotions, provide a large surface
area for evaporation and therefore dry the skin
2. Temperature and pH
The penetration rate of material through human skin can
change tenfold for a large temperature variation.
Occlusive vehicles increase skin temperature and
increase permeability.
According to pH-partition hypothesis, only unionized
molecules pass readily across lipid membranes.
Stratum corneum is resistant to alterations in pH, range of 3-9.
51. 3. Diffusion coefficient
The diffusional speed of a molecule depends mainly on
the state of matter of the medium.
In gases, diffusion coefficients are large than liquids
In skin, the diffusivities reach their lowest values
within the compacted stratum corneum matrix.
The diffusion coefficient of a drug in a topical vehicle
depends on the properties of the drug and the diffusion
medium and on the interaction between them.
4. Drug concentration:
Drug permeation and flux of solute is proportional to the
concentration gradient across the barrier.
drug permeation follows Fick's law, saturated donor
solution gives maximum flux.
pH change, complex formation, or the presence of
surfactants, micelles or cosolvents modify the
effective partition coefficient
52. 5. Partition coefficient(K):
The partition coefficient is important in establishing the flux of
a drug through the stratum corneum.
Drug are water soluble, are oil soluble.
Polar cosolvent mixtures, such as propylene glycol with
water, produce saturated drug solutions and maximize the
concentration gradient across the stratum corneum.
Surfactants disruption of intercellular lipid packing in the
stratum corneum, act as penetration Enhancers.
Complex formation of drug increases the apparent
partition coefficient may promote drug absorption.
6. Molecular size and shape
Absorption is apparently inversely related to molecular
weight. Small molecules penetrate faster than large ones.
It is more difficult to determine the effect of molecular shape,
as it is related to partition coefficient.
53. III. Drug related Factors
1- Drug solubility in vehicle:
- The rate at which a drug is released from a Solid
dosage form and absorbed by the membrane is
directly related to its solubility in the vehicle or, in
other words, to the partition coefficient of the drug
between the vehicle and the membrane.
2- Particle Size:
- For drugs present in a solid dosage form in the
undissolved state, the size of the drug particle will
influence its rate of dissolution and its availability for
absorption.
3- Nature of the base:
- The base must be capable of melting, softening, or
dissolving to release its drug components for
absorption.
57. The skin is an evolutionary masterpiece of living tissue
which is the final control unit for determining the local and
systemic availability of any drug which must pass into and
through it.
In vivo in humans, many factors will affect the
absorption of drugs. These include individual biological
variation and may be influenced by race.
The skin site of the body will also influence percuta-
neous absorption. Generally, those body parts exposed to
the open environment (and to cosmetics, drugs and
hazardous toxic substances) are most affected.
Percutaneous Absorption
58.
59.
60. It is one of the most important ingredient used in
the formulation of semisolid dosage form
Ointments and suppository base do not only acts
as the carrier of the medicaments, but they also
control the extent of absorbtion of medicaments
incorporated with them
Bases
61. They should be:
Compatible with skin pH and drug
Inert ,non irritating and non sensitizing
Good solvent and/or emulsifying agent
Emollient , protective , non greasy and
easily removable
Release medicaments easily at the site
of administration
Pharmaceutical elegant and possess good
stability.
Ideal properties of Bases
63. 1. Oleaginous ( hydrocarbon) bases
They consist of a combination of more than one
oleaginous material such as water insoluble hydrophobic
oils and fats
They are highly compatible ; occlusive ; good emollients
They are anhydrous, do not absorb water, readily
(hydrophobic) insoluble in water, non washable
Example : Vaseline,hard parafin, liquid paraffin,white
ointment.
Uses : protective, emollient and vehicle for solid drugs.
64. 2. Absorption (Emulsifiable) base
Have capacity to absorb considerable quantities of
water or aqueous solution and turns to w/o without
marked changes in the consistency.
They are anhydrous, water insoluble and water
unwashable.
They have good emollient but poor occlusive
property.
Uses: protective, emollient and vehicle for aqueous
solutions and solid drug.
65. 3. Emulsion bases
According to the type of emulsion these bases are
classified as either W/O or O/W.
W/O EMULSION
BASE
O/W EMULSION
BASE
Hydrous Hydrous
Will absorb water Will absorb water
Insoluble in water Insoluble in water
Not washable washable
66. 4. Water soluble Bases
These include both hydrous and non hydrous
dermatological non- emulsion bases which are
water soluble and contain no oil phase.
Water soluble, water washable, non greasable
Because they softens with the addition of water,
large amount of aqueous solutions are not
effectively incorporated into the bases.
Example : carbowax compounds such as the
poly ethylene glycol bases containing pectin,
cellulose, bentonite and gelatin.
67. Some bases , although, resist microbial attack but
because of their high water content, it require an anti
microbial preservative.
Commonly used preservativeinclude:
Methyl hydroxy benzoate
Propyl hydroxy benzoate
Chlorocresol
Benzoicacid
Phenyl mercuricnitrate
Preservatives
68. Oxygen is highly reactive atom that is capable of
becoming of potentially damaging molecules
commonly called “free radicals”
Free radicals are capable of attacking the healthy
cells of the body, causing them to loose their structure
and functions to prevent this an anti oxidant are added
Example : Butylatedhydroxy anisole , Butylated
hydroxy toluene
Antioxidants
69. CLASSIFICATION OFANTIOXIDANT
ANTIOXIGENS REDUCING
AGENT
ANTIOXIDANT
SYNERGIST
Acts by reacting with
the free radicals.
e.g.
•Butylated hydroxy
anisole (BHA)
•Butylated hydroxy
tocopherols (BHT)
(used for oil system)
Have lower redox
potential than
drug,hence gets
oxidized first.
e.g.
•Ascorbic acid
•Potassium and
sodium metabisulfite
•Thiosulfite
(used for aqueous
system)
Chelating or
sequestering
agents, enhance the
effect of anti
oxidants.
e.g.
•Citric acid
•Tartaric acid
•Lacithin
70. Gelling agents
Gelling agent forms a gel dissolves in a liquid phase as
a colloid mixture that forms a weakly cohesive internal
structure.
These are organic hydro colloids or hydro phillic
inorganic substances
Example : tragacanth, sodium alginate, pectin, gelatin,
cellulose derivatives.
Material % Brook field
viscosity
Carbomer 94 1 resin NF 0.15 2900
Carbomer 94 1 resin NF 0.25 6300
Guar gum 1.50 8040
Methyl cellulose 2.00 5200
Sodium alginate 2.50 10400
71. Permeation enhancer
Skin can acts as a barrier with the introduction of
various penetration enhancers, penetration of the
drug through the skin can be improved.
Permeation enhancer Drug used
Methanol,carvacrol,
linalool
Propranolol
hydrochloride
Limonene Indomethacin ,
ketoprofin
Geraniol
Nerolidol
Diclofenic sodium
Oleic acid Piroxicam
73. A humectant is a hygroscopic substance . It is often a
molecule with several hydrophilic groups, most often
hydroxyl group.
Humectants are used to:
Increase the solubility of active ingredients
To elevate its skinpreparation
Elevate the hydration of the skin.
Humectants
74. Buffers are added to variopus purpose such as:
Compatibility with skin
Drug solubility
Drug Stability
Influence on ionization of drug
Example: Sodium acetate , Sodium Citrate ,
Potassium meta phosphate
Buffers
75. Purified water
Water for Injection
Water for injection may be used in ophthalmic semi
solid preparation like eye ointments , gels etc
Vehicles
77. 1.Trituration Method
Widely used method
For extemporaneous preparation of ointments. When the
base is soft and medicament is solid insoluble, small amount
of liquid to incorporated in the base
Advantage: Involves mixing as well as size reduction
Procedure:
1. Reduce the solid medicament to fine powder
2. Medicament is mixed with small amount of base on
ointment slab with a stainless steel spatula until a
homogeneous product is formed.
3.Add remaining quantities of base with uniform mixing
4.Incorporate any liquid ingredient if present
78. 2. Fusion method
Suitable when ointment base contains number of solid
ingredients of different melting points.
Procedure:
1. Ointment base are melted in decreasing order of their
melting point.
2. Highest melting point should be melted first, low melting
point next.
3. This avoids over heating of substances of low melting point
4. Incorporate medicament slowly to the melted mass
5. Stir thoroughly until mass cools down and
homogeneous product is formed.
79. 6. Liquid ingredients or aqueous substance should be
heated to the same temperature as the melted bases
before addition.
7. If not, wax or solids will cool down quickly and get
separated
Precautions:
Strring is done continously- homogeneous mass
Vigorous stirring should be avoided to prevent entrapment
of air
Rapid cooling should be avoided to get a uniform product
Toremove the dust or foreign particles strain through
muslin cloth
80. 3. Chemical reaction method
Preparation of some ointment involves chemical reactions
Eg – (a)Iodine ointment (iodine free form)
(b)Iodine ointment (iodine +ointment)
(a)Ointments containing free iodine
Iodine is slightly soluble in fats and vegetable oils.
Readily soluble is potassium iodide solution in water due to
formation of poly-iodides
Poly iodides are readily soluble in water, alcohol and glycerin.
These solutions may be incorporated with the molten absorption
type ointment base
81. (b) Ointments containing combined iodine
Fixed oils and many fats obtained from vegetable and animal
sources contain unsaturated constituents Iodine combines
with double bonds
CH3 (CH2)7 CH=CH (CH2)7 COOH + I2 (Oleic acid)
CH3 (CH2)7 CHI.CHI (CH2)7 COOH (Di-iodo stearic acid)
Free iodine is not available, So ointments appear dark, greenish
black in colour leaves no stain when rubbed into the skin,
Hence known as non- staining iodine ointment
82. 4. Emulsification method
1. Fats, oils and waxes are melted together to a temperature
at 700c.
2. Aqueous solution of the heat stable, water soluble
compounds are also heated to the same temperature
3. Solution is slowly added to the melted bases, with
continuous stirring until cool
•Emulsifying agent is needed to make a stable emulsion
•Water soluble soaps are commonly used as emulsifier for
semisolid o/w emulsions.
•Combination of tri-ethanolamine stearate soap and cetyl
alcohol is used in o/w emulsion Bees wax and divalent
calcium ions used in w/o emulsion.
85. Packing of ointment
• Ointment jars
• Made of colorless or colored glass
• Amber colored for light sensitive
preparation
• with screw caps
• with impermeable liners
• Collapsible tubes
• Made of tin or plastic
• Supplied with the applicator
86. Storage
Store in a well closed container and in cool place
Protect from high temperature/ direct sunlight
Prevent the loss of volatile constituents
High temperature soften or melt base
Separation of phases may take place
Labeling:
“ FOR EXTERNAL USE ONLY ”
87. Evaluation of Semisolid
Dosage forms
Content uniformity of drug
Penetration/Permeation
Rate of release of medicament
Absorption of medicament in blood stream
Skin Irritation test
Viscosity
Extrudability
Globule size
PH
Spreadability
88. Content uniformity of drug
A known weight of ointment is taken and
assayed for amount of the drug.
Penetration
A weighed quantity of ointment is rubbed over
skin for a given period of time and unabsorbed
ointment is collected and weighed.
The differences in weights represent the amount
absorbed.
89. In Vitro Skin Penetration
Flow through cell
Franz diffusion cell
They mainly have two compartments
1) Donor
2) Receptor
Method:
mouse skin or human cadaver skin.
Placed in between the two compartments.
The passage of semisolid preparation through
the epidermal surface to receptor compartment
is measured by,
Detector ( Flow through type )
Sampling ( Franz diffusion cell )
90. Rate of release of
medicament
To assess rate of release of medicament, small
amount of the ointment can be placed on the
surface of nutrient agar contained in a Petri dish or
alternately in a small cup cut in the agar surface.
If the medicament is bactericidal the agar plate is
previously seeded with a suitable organism like
s.aureus. After a suitable period of incubation, the
zone of inhibition is measured and correlated with
the rate of release.
Another method for finding out release rate is to
smear internal surface of test tubes with thin
layers of ointment, fill the tubes with saline/serum
and after a gap of time estimating the amount of
drug present in the serum/saline
91. Absorption of medicament into
blood stream
The diadermatic ointment should be evaluated
for the rate of absorption of drug into the blood
stream. This test can be run in-vivo only.
Definite amount of ointments should be rubbed
through the skin. Under standard conditions
and medicaments are estimated in the blood
plasma or urine.
92. Skin Irritation Test
In general no ointment should possess irritant
effect on the skin or mucous membranes the
tests for irritancy can be carried out on the skin
and eyes of rabbits or the skin of human beings.
The irritant effect can also be judged to a certain
extent by injecting the ointment into thigh
muscles and under the abdominal skin of rats.
Reaction are noted at intervals of 24,48,72 and
96 hours. Lesions on cornea, iris, conjunctiva
are used for judging the irritancy to the eyes.
93. Draize Test
Draize skin irritation test:
A known amount of test substance is introduced
under a one square inch gauge patch,
The patch is applied to skin of 12 albino rabbits,
(6 with intact skin) and (6 with abraded skin),
The patch is secured in place with adhesive
tape and the entire trunk of the animal is
wrapped with an impervious material for a 24
hour period,
After 24 hours the patches are removed and
resulting reaction is evaluated for erythema and
edema formation.
The reaction is again scored at the end of 72
hours and the two readings are averaged.
94. Category
Draize
Code Skin reaction
Mild MLD Well defined erythema and slight
edema ( edges of area well defined
by definite raising)
Moderate MOD Moderate to severe erythema and
moderate edema (area raised
approximately 1 mm)
Severe SEV Severe erythema (beet redness to
slight formation (injuries in depth )
and severe edema ( raised more
than the 1 mm and extending
Conclusion From Draize test
95. Draize eye irritation test
A known amount of test material is placed in one
eye of each of 6 albino rabbits the other eye
remains untreated, serving as a control.
The eyes are not washed after instillation and
are examined at 24,48 and 72 hours for ocular
reaction.
The test is considered positive if ulceration,
opacity of the cornea , inflammation of the iris,
swelling of the conjunctiva occurs.
A substance is an eye irritant
4 of six rabbits score positive
it is considered a non irritant if none or only one of the
6 animals exhibit irritation
96. HET cam test
The Hen's Egg Test (HET) is well known as a basic
test for embryotoxicity and for special aspects of
systemic toxicity and immuno- pathology
The HET embryotoxicity test has been extended and
standardized as the HET-chorioallantoic membrane
(CAM) test for membrane irritation
The CAM of fertile White Leghorn eggs incubated
for 10 days is a vital vascular membrane, in which
irritant effects can be observed.
97. Viscosity
Rheology is very important as these semisolids are
marketed in tubes or containers. The Rheology or
viscosity should remain constant.
Viscosity can be measured using Brookfield
viscometers is used for such formulations
98. Extrudability
A simple method was adopted for determination of
extrudability in terms of weight in grams required to
extrude a 0.5cm ribbon of gel in 10 seconds from the
collapsible tube.
99. Globule size
This can be determined by microscopic study of the
globules
Take a small quantity of formulation and dissolve it in
a solvent. Take few droplets on slide and observed
under microscope
100. pH
The pH of semisolids were determined by digital pH
meter .
One gram of formulation was dissolved in 100ml of
distilled water and stored at 4°C for two hours
After 2 hours, take formulation and determine its pH
101. Spreadability
A modified apparatus consisting of two glass slides
containing formulation in between with the lower
slide fixed to a wooden plate and the upper one
attached to a balance by a hook was used to
determine spreadability