Faculty of Pharmacy and Biotechnology Pharmaceutical Technology Department Pharmaceutics-I, PHTCt 312 Due date : 14.12.2021 Assignment Name: Farah Alasmar Group: T-8 ID: 49-14569 Grade:-----------/10 Answer the following questions: Question 1. The name of the product (0.5 mark) 2. The indication of this product (0.5 mark) Answer Livlocaine Active ingredient: Lidocaine hydrochloride anhydrous Uses : 1.is indicated to produce topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx. 2. mucositis from cancer treatment 3.It is also useful for reducing gagging during the taking of X-ray pictures and dental impressions. Viscous lidocaine works by blocking nerve cells in the affected area 3. The type of dosage form (0.5 mark) 4. The route of administration (0.5 mark) 5. Directions for use (1 mark) Solution (non-aqueous → jelly ) Oral topical All patients should be aware that when topical anesthetics are used in the mouth or throat, the production of topical anesthesia may impair swallowing and thus enhance the Good Luck ☺ danger of aspiration. For this reason, food should not be ingested for 60 minutes following use of local anesthetic preparations in the mouth or throat area. This is particularly important in children because of their frequency of eating. For a sore or irritated mouth, the dose should be placed in the mouth, swished around until the pain goes away, and spit out.For a sore throat, the dose should be gargled and then may be swallowed. To avoid or decrease side effects, use the minimum amount of drug needed to relieve your pain. Adults: The maximum recommended single dose of Lidocaine Hydrochloride Oral Topical Solution, USP (Viscous) 2% for healthy adults should be such that the dose of lidocaine HCI does not exceed 4.5 mg/kg or 2 mg/lb body weight and does not in any case exceed a total of 300 mg. for symptomatic treatment of irritated or inflamed mucous membranes of the mouth and pharynx, the usual adult dose is 15 mL undiluted. For use in the mouth, the solution should be swished around in the mouth and spit out. For use in the pharynx, the undiluted solution should be gargled and may be swallowed. This dose should not be administered at intervals of less than three hours, and not more than eight doses should be given in a 24-hour period. The dosage should be adjusted commensurate with the patient's age, weight and physical condition Pediatric: Care must be taken to ensure correct dosage in all pediatric patients as there have been cases of overdose due to inappropriate dosing. It is difficult to recommend a maximum dose of any drug for children since this varies as a function of age and weight. For children over 3 years of age who have a normal lean body mass and normal body development, the maximum dose is determined by the child's weight or age. For example: in a child of 5 years weighing 50 lbs., the dose of Good Luck ☺ lidocaine hydrochloride should not exceed 75100 mg (3.7 to 5 mL of Lidocaine Hydrochloride Oral Topical Solution, USP (Viscous) 2%). For infants and in children under 3 years of age, the solution should be accurately measured and no more than 1.2 mL be applied to the immediate area with a cotton-tipped applicator. Wait at least 3 hours before giving the next dose; a maximum of four doses may be given in a 12-hour period. Lidocaine Hydrochloride Oral Topical Solution, USP (Viscous) 2%) should only be used if the underlying condition requires treatment with a volume of product that is less than or equal to 1.2 mL 6. Suggest a formula for the following dosage form. Emphasis the role of each ingredient you have chosen (not less than six ingredients with their use) (3 marks): 1.Active ingredient: lidocaine HCl anhydrous 2.Preservative: methylparaben Propylparaben 3.Flavoring agent: Orange 4.Sweetening agent: saccharin sodium 5.Viscosity enhancer: carboxymethyl cellulose sodium 6.coloring agent :FDA approved red colour 7.Buffer : sodium borate and boric acid 8.Vehicle: purified water 7. State all other dosage forms for the same active ingredient available in the market and their route of administration. What are the precautions or steps that you should tell the patient for each (4 marks) 1.Lidocaine Hydrochloride Injection BP 2% w/v. Route of administration: parenteral Precautions: Hypokalemia, hypoxia and disorders of acidbase balance should be corrected before treatment with intravenous lidocaine begins. 2.Lidocaine HCl 4% w/w Cream Route of administration: topically Precautions: For external use only. When using this product - do not use in or near the eyes - do not use in large quantities Good Luck ☺ Adults and children 2 years and older: Apply externally to the affected area up to 3-4 times daily. 3.Lidocaine HCl 4 % Topical Patch Route of administration: topically Precautions: This product should only be applied to normal intact skin. Do not apply to skin that is broken or irritated. do not apply more than 3 patches once a day or leave any patch on for longer than the stated time period avoid getting this medication in your eyes or mucous membranes (e.g., nose, mouth) Good Luck ☺