Pharmaceutics -1 Suppositories

       ✯Suppositories✯

A unit solid dosage form of medicament meant for insertion into body cavity other than mouth is known as suppositories.

It can be inserted into rectum ( rectal suppositories)  vagina ( vaginal  suppositories) , urethra ( urethral suppositories).

It dissolve or melt at body temperature.

After melting or dissolution it produces systemic and local effect.

The medicament is incorporated into the suppositories bases.

Suppositories are available in a variety of shapes , sizes and weight.

Advantages-;

These can be easily given to children or all age group patient, and unconscious patient.

These produce systemic as well as local effect.

These exert direct and rapid action.

These facilitate the evacuation of bowl.

These are unit dosage form of drugs.

Drugs which irritate GIT , causes vometing, distroyed by pH and gastric juice easily administered by suppositories.

These form shows sustained release.

Disadvantages-;

Irritant drugs can not be administered by this route .

They cause embarrassment to the  patient.

They require refregeration for storage.

They cannot be formulated readily.

 Types of suppositories-;

According to their route  of administration they are following types—
1. Rectal suppositories
2. Vaginal suppositories
3. Urethral suppositories
4. Nasal suppositories
5. Ear suppositories

1. Rectal suppositories-;

These meant for insertion in rectum.
They produce systemic effect.
Theobroma oil base used for formulation.
Usually they are 1-2gm in weight.
They have cone or torpedo shape.

2. Vaginal suppositories-;

These are meant for insertion in vagina.
They are also called pessaries.
They produces local effect.
Glycero- gelatin used as base.
They are 4- 8 gm in weight.
They have conical, rod shape .

3. Nasal suppositories-;

They are also known as nasal bougies.
They are meant for insertion is nasal .
They are thin & cylindrical in shape .
Glycero-gelatin base used for formulation.
They are 1gm in weight & 9- 10 cm long .

4. Urethral suppositories-;

Meant for insertion in urethra also called urethral bougies.
They are long , thin & cylindrical in shape.
One end is round for proper insertion.
They have 2- 4 gm weight.
These suppositories are rarely used.

5. Ear suppositories-;

They are meant for insertion in ear.
also called aurinaria.
They are rarely used.
Theobroma oil base used for formulation.
They are long , thin & cylindrical, in shape.
They have about 1gm .

Suppositories bases-;

Number of different bases are used in preparation of suppositories the ideal properties of suppositories bases are—

* It should be inert .
* It should be non- irritating .
* It should be non- sensitizing.
* It should be melt at body temperature.
* It should be compatible  with variety of drug.
 It should release the drug readily.
* It should have wetting & emulsifying properties.
* It should be moldeble.
 It should be stable at storage.

Types of suppositories bases-;

Suppositories bases are classified into 3 categories— 

1. Oleaginous base ( fatty base ) 
2. Aqueous base ( water soluble)
3. Emulsifying base.

1. Oleaginous base-;

a.  Theobroma oil or cocoa butter-;

It is most satisfactory base for suppositories.
It is most widely used base.
It may exit in — α form  , ẞ form and  𝛾 form.

      α form -  have melting point- 24°C
     ẞ form - have melting point - 35-36°C
    𝛾 form - have melting point- 18°C

b. Emulsified Theobroma oil-;

It is used when large quantities of aqueous solution are used.
It contains 5% glyceryl monostearate ,10% lunette wax , 2.3% cetyl alcohol, 4% beeswax.

c. Hydrogenated oils-;

It is produced by hydrogenation of oils like - cotton seed oil , coconut oil , palm oil etc.
It is good resistant power for oxidation.
Have good lubrication power.
Produce colourless, odour less suppositories.

2. Aqueous bases ( water soluble) -;

a. Glycero-gelatin-;

It is mixture of glycerine gelatin and water.
Used for preparation of pessaries.

b. Soap glycerine base-;

Soap is used instead of glycerine.
Formulation of suppositories is different because it is very hygroscopic in nature.

c. Polyethylene glycol (PEG) base-;

It is called carbo waxes .
It is non-irritating , chemical stable & inert in nature.

3. Emulsifying bases-;

a. Witepsol-;

It is triglyceride of saturated vegetable acid.
During formulation of suppositories more lubrication are needed.

b. Massuppol -;

It is also called Lauric acid.
Made by glyceryl esters.
They are non irritating, solidefy rapidly has good stability.

Method of preparation-;

1. Hand rolling method
2. Cold compression method
3. Hot process or fusion method
4. Automatic mould machine method.

1. Hand rolling method-;

It is the oldest method of formulation of suppositories.
 
A damp mass is formulated by triturating cocoa                  butter & drug in mortar 
                                 
 Mass converted into a ball by rolling in hand.
                                 
The ball then rolled into uniform cylinder
                                 
Cylindrical form than cut into suitable number of pieces


2. Cold compression method-;

Grated mass of suppository base and             medicament are mixed together
                                                               
The prepared mass is than forced into a mould                              under pressure
                                 
The mould is then removed, open and replaced

3. Hot process or fusion method-;

 It is applied for the formulation of all types of                           suppositories.
                                       
      Melting the suppositories base
                                       
  Dispersing or dissolving of the drugs in the                                   melted base 
                                       
After proper mixing of base and drug , mixture                      is removed from heating 
                                       
Mixture is poured into a Suppositories mold
                                       
After cooling suppositories are removed from mold

4. Automatic molding machine method-;

This is modern method of preparation.
Molding is completely automated done by machine.
Typical rotary machine turn out 3500—6000 suppository/ hrs.

Evaluation of suppositories-;

Suppository are evaluated by the following tests—

1. Test of appearance-;

All the suppository should be uniform in size and shape with a elegant appearance.
Individual suppository should be checked carefully.

2. Test  of physical strength-;

In the test tensile strength of suppository is measured.
Tensile strength indicate maximum tolerable force of suppository.
Tolerable force support during production, packing and handling.

3. Test of dissolution rate-;

Dissolution rate indicate amount of dosage for get dissolve in body fluid in unit time.

Two apparatus are available for testing the dissolution test— 

a. Suppository dialysis cell.

b. Stationary basket - Rotating paddle apparatus ( USP Dissolution test apparatus).

4. Test of melting range -;

a. Macro melting range -;

It is the time taken by the entire suppository to melt in a constant water bath.
In this testing tablet disintegration apparatus is used.

b. Micro melting range-;

Melting range of fatty base is measured in capillary tubes. 

5. Test of softening time-;

Softening time is defined as the time at which the suppository melts completely at a definite temperature.

6. Test of uniformity of drug content-;

This test is used to check uniformity of mixed suppository mass.
All suppository should contain the same labelled quantity of drugs.

                   Thank-you.   

 

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