Fundamentals of: Pharmaceutics 1 Prepared by: Dr. Heba Al-Saleh Dr. Amani Al-Sakarneh 1 Detailed Course Description Unit number Unit name Unit content • Definition of: Pharmacy, pharmacist, pharmaceutics, Medication, controlled Substances, pharmaceutical dosage forms, pharmaceutical preparations. • Pharmacist role in health care • Pharmacist technician role in health care • Types of pharmacy practice setting: (community pharmacy, non institutional ,drug stores, institutional pharmacy such as hospital pharmacies, drug manufacturing, medical representation, academic field , governmental institution) • Pharmacist and Pharmacist relation introduction 1. 2. Pharmaceutical ethics and behavioral aspects 2 Time needed • Pharmacist and Patient relation • Pharmacist and Community relation • Pharmacist and Physician relation • Logos of Medical profession • Social and behavioral aspects of pharmacy • General pharmaceutical ethics • Definition of prescription. • Types of prescriptions and criteria to dispense it. • The parts of prescription • Abbreviations. • Measures taken to deal with any mistake in any prescription • Physical procedures: (size reducing, separation, Mixing and homogenization • Pharmaceutical procedures that need heat, cold like (crystallization, lyophylization, drying, melting, of pharmacy 3. Dispensing and Prescription. 4. Physical pharmaceutical procedures 3 evaporation, boiling, viscosity). 5. 6. • Dissolving : • Methods of dissolving, and types of solvent • Distillation • Extraction • Maceration • Decoction • Percolation • Digestions ▪ Definitions. ▪ Routes of drug administration. ▪ Pharmaceuticals dosage forms. ▪ Pharmacokinetics (in brief) ▪ Bioavailability, Bioequivalence, ▪ pharmaceutical equivalence. Pharmaceutical procedures which need solvents Biopharmaceutics And pharmacokinetics Evaluation Strategies: Exams Percentage Date Mid Exam 40% --/--/---- Final Exam 50% --/--/---- 4 Homework and Projects Discussions and lecture Presentations 10% --/--/---- Teaching language: • English Teaching Methodology: ▪ Lectures Text Book References: 1. Pharmaceutical practice , A.J. Winfield, R.M.E. Richards, 3d. edition, 2005, Churchill Livingstone 2. Remington ,The science and practice of pharmacy 21st edition,2004, Lippincott William & Wilkens 3. British Pharmacopoeia 2008, British pharmacopoeia Commission, TSO. 4. L V Allen, N G Popovich, H C Ansel, Ansel‟s Pharmaceutical dosage forms & Drug Delivery Systems, 9th edition, 2nd Indian reprint, 2011, Published by Lippincott Williams and Wilkins, Wolters Kluwer (India) Pvt. Ltd., New Delhi. 5. The pharmacy technician work book & certification , Perspective press ,2nd edition 2004, Morton publishing company. 6. The Science of dosage form design, Edin burgh, 2002, New Yourk, Churchill Livingston 5 CHAPTER 1 INTRODUCTION TO PHARMACEUTICS 6 Definitions: - Drug: it is any substance or mixture of substances from animal, plant, mineral sources, or synthetic compounds used in the diagnosis, prevention of disease, or to relieve symptoms, ease pain or cure disease. - Pharmaceutics: it is that part of pharmacy science that is interested in the study of drugs for their physical properties, stops in manufacturing and preparing different pharmaceutical dosage forms and factors that effect to aim the best results when using this drug (medicine). - Pharmaceutical dosage form: we mean the pharmaceutical form of drugs which are dispersed to the patient, to be administered in a certain way in order to get the desired effect, example tablets, syrups, or ointments……..ect. - Pharmaceutical preparation (pharmaceutical specialty): this is ready prepared form, containing active constituents, and prepared in its final form to be dispersed to the patients, these are prepared in pharmaceutical forms. - Poison: any agent capable of producing a deleterious response in a biological system, it may cause death. - Crude drug: it is a crude substance obtained from animal, plant, or mineral sources used in preparing drugs. 7 - Pharmacist: the person who is licensed to practice pharmacy profession. - Pharmacy: it is the place designed and furnished to practice pharmacy profession. -Pharmacist role in health care : A scope of the pharmacist work: The pharmacist plays an important role in the community of health care, and preserves high standards in the health care system society, in supporting the doctors, nurses, and also other health care staff , LIKE: a- Working in public pharmacy or in private pharmacy: here his major task is in dispensing the correct drugs (medicines) to the patient, according to a written medical prescription, guiding (directing) the patient in the correct way of drug administration, in order to achieve the best results. Also he should observe the effect of the drugs effect upon the patient, also among his duties is to conduct health care education and basic health care services such as first aids to the public and dispensing simple drugs without prescriptions (Over-the-counter drug)(O.T.C), also supporting medications and appliances such as baby health foods and mother and baby health care programs…..etc. b- Working at pharmaceutical drug industry: there are various fields of responsibility undertaken by the pharmacist in the pharmaceutical firm. He supervises all the product processes. He 8 is responsible in the analysis and quality control procedures. Responsible distributing and marketing the pharmaceutical products, also he is responsible for the riser work and studies carried in promoting, and improving and raising its standards. c- Working at scientific medical promotion field: he works in the field of advising medical, workers of their different specialties about the pharmaceutical preparations that his drug company is producing, specially the new products, explaining about their property characteristics in a faithful truthful scientific manner. d- Working at the academic teaching field: specialized pharmacists holding higher education degrees (diploma), work in the teaching profession of different pharmaceutical sciences. In pharmacy faculties at the universities and at the colleges (intermediate university colleges). e- Working at the governmental establishments: here pharmacists work at many field, as drug analysis, also they test (check up) drugs, in monitoring, registering, also in the inspection and supervision (control) pharmacies. Controlling the situation of the profession to raise their scientific levels to reach in better and fine higher standards. There are other fields so many of them can work and share in, as in poison control centers, analysis of drug food, and water…….etc. 9 The associate pharmacist should carry his responsibilities and committed to the following instructions: 1- He should be committed to his job (task) specifically given to him by the pharmacist according to the laws and legislations governing the pharmacy profession. 2- He should wear the white lab coat and keep cleanliness and tidiness of the pharmacy. 3- Treat the patient by respect, be nice to them and have patience. 4- Make the patient feel secure and give him the advice and guidance of correct usage of the medications. 5- He should stick to the official prices of the drug. 6- Obliged to adhere in the methods and known steps in dispensing the medical prescription and labeling. 7- He should not compound or prepare any kind of medicine without the direction of the responsible director (the pharmacist). 8- He should be committed to the job (task) specified to him such as, he should refuse to sell dangerous (unsafe) drugs. 10 Pharmacist technician role in health care: What does a pharmacy technician do? • • • • • • Under pharmacist supervision, pharmacy technicians: supply medicines to patients, whether on prescription or over the counter assemble medicines for prescriptions provide information to patients and other healthcare professionals. Pharmacy technicians also: manage areas of medicines supply such as dispensing area supervise other pharmacy staff produce medicines in hospitals and the pharmaceutical industry. • • • Where do pharmacy technicians work? Pharmacy technicians work in many different work environments. These include: Community pharmacies (sometimes called retail or high street pharmacy) and hospitals. Most pharmacy technicians work in community and hospital pharmacy Pharmaceutical production or sales in the pharmaceutical industry -Here are several types of pharmacy, and other places where a trained pharmacist may work. This includes : -Community Pharmacy -Hospital Pharmacy 11 -Clinical Pharmacy -Industrial Pharmacy -Compounding pharmacy -Consulting Pharmacy -Ambulatory Care Pharmacy -Regulatory Pharmacy -Home Care Pharmacy -Managed care pharmacy -Research pharmacy -Specializations in Pharmacy Some pharmacists may specialize in a certain area of drug therapy with a master’s degree or other continued learning. This helps them to gain proficiency and recognition to practice in specialized fields. This may include areas such as: • • • • • Oncology pharmacy Nuclear pharmacy Geriatric pharmacy Psychopharmacotherapy Personal pharmacy 12 • • • • • Nutritional support pharmacy Hospice pharmacy Pediatric pharmacy Pharmacy benefit manager Poison control pharmacy Each of these specializations is a type of pharmacy in its own right, although such pharmacists usually practice in a hospital pharmacy. Their unique knowledge base makes it possible for them to provide medical information in particular relevant situations. 13 14 Chapter 2 pharmaceutical ethics and behavioral aspects of pharmacy 15 Relationship between the pharmacist and patients Patients are more likely to open up and disclose information if they trust their pharmacist or healthcare professional, and a better quality of interaction may result in greater patient autonomy and shared decision-making. Also: discuss the relationship between: -Pharmacist and other pharmacists -Pharmacist and physician * Pharmacopoeia: Pharmacopoeia is considered as laws for drugs. It is obligatory to the state which has published it. It is implemented on pharmaceutical establishments and institutions in all its departments according to the law of pharmacy professional practice. Pharmacopoeia is edited by a specialized committee, of scientific officials, comprising group of pharmacists, and physicians, and the editorial board is also responsible for the advancing the advancing the pharmacopoeia, renewing, and adding to it the latest information about new medicinal substance. The pharmacopoeia is the major reference for preparations and manufacturing drugs of different pharmaceutical dosage form. Pharmacopoeia contains complete and sufficient information especially about every single drug and is interested in different methods of assays and analysis, to be sure about the purity, quality, and validity for the usage of drug. Also it contains 16 physical and chemical properties of each chemical and drug components to make it easier to identify and test for it. In Egypt the first pharmacopoeia was published in Arabic language, called Egyptian pharmacopoeia (P.E) there are so many pharmacopeia published by most of the states of the world. (WHO) world health organization of the united nation has published the first united international pharmacopoeia in 1951 by many different languages and the 2nd edition was published in 1967. Most of the pharmacopoeia looks like the same in their contents of information with simple differences in some substances found in them. It is important to know that pharmacopoeias do not mention trade names but is concerned only with scientific names of drugs such as generic names and chemical names. * Some examples of pharmacopoeia: 1- British pharmacopoeia (B.P). 2- International pharmacopoeia (I.P). 3- European pharmacopoeia (E.P). 4- United states pharmacopoeia (U.S.P). The pharmacopoeia which is primarily depended upon (authoritative) in Jordan is the British pharmacopoeia which comprises of two volumes; the 1st volume contains comprehensive information about different medicinal substances. The 2nd volume contains information about pharmaceutical dosage forms, method of preparations, and analysis. And at the end of the 2nd volume there is an alphabetical index for its easy usage. The considerable number of drugs and of its different type shapes, and of their trade names it was very important to have another reference book, 17 which contains enough information about drugs especially from therapeutic point of view for pharmacists and physicians. For these reasons the council of pharmaceutical society of great British has published a reference book for these purposes which are called Martindale extra pharmacopoeia which contains information of official and nonofficial drugs and even drugs which have been omitted by the B.P and drugs which have not been registered yet and which are under research work and study. Also it contains other drugs registered in other pharmacopoeias other than the B.P. Logos of Medical profession Logo of medicine is : Logo of pharmacy is : 18 General pharmaceutical ethics Pharmacists are health professionals who assist individuals in making the best use of medications. This Code, prepared and supported by pharmacists, is intended to state publicly the principles that form the fundamental basis of the roles and responsibilities of pharmacists. These principles, based on moral obligations and virtues, are established to guide pharmacists in relationships with patients, health professionals, and society. I. A pharmacist respects the covenantal relationship between the patient and pharmacist. II. A pharmacist promotes the good of every patient in a caring, compassionate, and confidential manner. III. A pharmacist respects the autonomy and dignity of each patient. IV. A pharmacist acts with honesty and integrity in professional relationships. V. A pharmacist maintains professional competence. VI. A pharmacist respects the values and abilities of colleagues and other health professionals. 19 VII. A pharmacist serves individual, community, and societal needs. VIII. A pharmacist seeks justice in the distribution of health resources. 20 Chapter 3 Dispensing and Prescription 21 The prescription: The process of drug dispensing is that part of pharmacy practice which the pharmacist or associate pharmacist, comply to the order of the physician for the treatment of the patient. And this order mostly is done by a written form. But sometimes it will take other forms such as verbally or by the phone. And in all these cases it is better to the pharmacist to ask the doctor for a written prescription. If it happens that the pharmacist cannot get a written prescription he should take care and be very cautious, because at this point the pharmacist is giving the drug to the patient to be used according to the pharmacist direction. The pharmacist should contact the doctor to uncover all the necessary information concerning to an unclear prescription. The pharmacist should be ready and willing to answer to any question the patient may ask him, and should give the necessary advice and consolation. Also he should advice and gives the necessary consultation in case of dispensing medicaments without prescription (O.T.C) drugs. and should be very careful and easier in as much as if he were dispensing a written prescription. The prescription can be defined it is a written order from the doctor to the pharmacist to dispense certain medicaments to the patient in a known quantity and of a specified mode of usage. * A model of medical prescription: Most medical prescriptions have a unified basic shape and are composed of four major parts. 1- The superscription: 22 It is written( Rx) as it means(take this order) the origin of this symbol represents, the plant Jupiter, as during the ancient times there was a brute belief of gods upon the practice of medicine, and the people did not believe in the necessities and activities of drugs. A model of medical prescription Dr. sahar gaith date: 15/10/2018 General practitioner – 7th circle Name of the patient: amani .q age: 25 years old Rx Panadol 500 mg 20 tab 2 t.i.d Rx means in Latin language (recipe) its meaning (take), and there are some prescriptions such as in France instead of Rx the word (P) is written and has the same meaning. 2- The inscription: And it is the body of the prescription and consists the written names of different medicines in the prescription and their amount (quantity). It may be kind or more and the ideal types are that it should not be more than three kinds of drugs. In the previous model the inscription is: Panadol one kind of drug Quantity 20 tab 23 3- The subscription: We mean instructions (directions) from the doctor to the pharmacist, to explain the procedure of dispensing; it may contain one of the following information or all: Strength of drug, pharmaceutical dosage form, how many times the prescription should be repeated, the length of the time to be used, and other instructions. In the above model the subscription is: 500 mg =strength Tab=tablets 4- The signature: It is the information given to the patient how to use the drug. In the above model 2 t.i.d (meaning two tablets, three times daily) there are other information the prescription may contain these are very important in order to be sure for the accuracy of the prescription. a- Name and address of the doctor and his specialty. b- Name and address of the patient and his age. c- Date of the prescription written. d- Stamp of the doctor and his signature. Language of the prescription: The prescription should be written in a very detailed form and known language to the pharmacist, as in English or in Arabic. But most of the times it is written by symbols and these symbols are from Latin language and are known among the pharmacists and doctors in most parts of the 24 word, and this unifies the language of the prescription internationally, and makes it easy for uniting in a short and simple manner. The English language was depended upon in uniting the prescription in the U.S.P and B.P while the European pharmacopeia still is dependent on the Latin language and its short symbols, and also many countries are using these symbols still now, and Jordan is one of these countries. Also there are so many physicians who use the numbers to express the uses of drugs such numbers are show in the following example: Rx Aspirin 30 Tab. 2x3 P.C 1- The superscription is: Rx. 2- The inscription is: aspirin 30. 3- The subscription is: Tab. (tablets). 4- The signature is: 2x3 P.C (meaning: two tablets three times daily after meals (food)). Try to mention every part of those prescriptions: 25 26 * The system of dispensing the medical prescription: There should be a strict system in dispensing the medical prescription inorder to be sure of its security, speedy, and of its precision during dispensing process. There are general rules should be followed in dispensing process. What so ever of any kind (type) of the prescription, during the receipt of the prescription we follow the following rules: 1) Read the prescription carefully with attention and you should not show any doubts to the patient or prescription holder about its contents, so it may rise doubtfulness or untrusting in the doctor or in the pharmacist, the pharmacist should not hesitate in asking an advice of any of his colleagues if needed. And if the drug are not available in his pharmacy, the prescription should be returned to the patient and guiding him to the easiest way in getting the drug. 2) Check the dosage and be sure that it is appropriate for the patient's age and if there is any doubt about its accuracy do not complete the dispensing of the prescription until revised and confirmed. And if the dosage may be dangerous or very little so that it may not be useful do not hesitate in contacting the doctor who has written the prescription in order to be assured about the dosage. And if it was impossible to contact the doctor and there was no indication that the doctor has written this dosage intentionally as if drawing a line under the dosage, or written it by words (the figures) or confirming it in the pharmacopoeia, and in this case matter he should take care specially in the cases that the drugs were prescribed for children and infants, and to be sure about the age, and calculate the dosage accordingly. 3) The drug is given to the patient with explanations in a clear manner and attaching a sticker tag (label) on the drugs packets written upon it: 27 1- Name of the pharmacy and its address. 2- Name of the patient and his age. 3- Name of the drug and its dosage form. 4- Direction for the use. 5- Registration number in the prescription logbook, then dispensing to the patient. 4) Register the prescription in appropriate logbook so there should be two kinds of logbooks: a- Ordinary prescription logbook. b- Dangerous drugs prescription logbook. Especially when it concerns with special prescription, is specified by pharmacy practice law, which should be followed in its dispensing as it. 5) In the case when the prescription is to be returned to the patient after dispensing it should be marked upon it in a way to show that it has been dispensed, such as stamped by pharmacy's stamp. * Types (kinds) of the medical prescription: 1- Ordinary prescription form. These prescription are used for most kinds of drugs such as analgesics, antibiotics, vitamins, antihypertensive drugs, antidiabetic drugs, cardiac glycoside drugs,……….etc. And are applied to all drugs that has been mentioned above, in case of the shape, method of dispensing and may be returned (the prescription) to the patient after dispensing, so there is no need in keeping it in the pharmacy, also this kind of prescription are used for the sedative drugs and used in the treatment of psychological disease, and in this case it should be registered it in the ordinary registration logbook and stamped 28 in order to be known that it has been dispensed so there is no need in repeating it. 2- Special prescription form. This prescription has the same general form which was mentioned before in addition to it has red ink writing of the phrase (special prescription) and numbered with serial numbers keeps the physician a copy of it, and during dispensing it should be registered in the dangerous drug prescription logbook, and the prescription is kept in the pharmacy for five years starting from the latest registration and keeping it for five years and not returning back to the patient and giving him a copy of it in case he wants a copy, and it is not to be repeated, or else the patient should get a new prescription from the doctor in case of repeating the drug, the pharmacist should be aware of the available of the medical specification condition in the dangerous drug prescription which are: 1- Should contain all the parts of ordinary prescription. 2- Should be numbered and stamped and have the phrase in red ink written (special prescription). 3- Should be free from any scratch or manipulation. 4- The amount of the dangerous drugs should be written in numbers and also in words. 5- Should be dispensed within three days. 6- Should contain an amount of drug not more than for two days. 7- Should contain only dangerous drugs and only one non-dangerous drug. 8- Should be confirmed that such dangerous drugs are used only for treatment. 29 Symbols of the medical prescription (abbreviations) Latin symbol Latin words English words Rx Aa Add Ac Aq t.i.d. Recipe Ana -------ante cibom Aqua ------- Take Of each Add Before food Water Three times daily b.d (b.i.d) Susp. Solv. C Aq.dest p.m Dil Pot. P.O f.)Ft) Fort Phial Fl i.c Emuls Ovl. M bid die Suspensiones Solve Cum Desillatus Post meridien Dilutes Potion Per os Fiat Fortis Phial Fiuidum Intercibos Emulsion Ovulla Misce Twice daily Suspension Dissolve With Distilled After noon Diluted Potion By mouth Make Strong Bottle Fluid Between meals Emulsion Ovule Mix 30 Arabic words تفضل بالتساوي اضف قبل االكل ماء ثالث مرات يوميا مرتان يوميا معلق اذب, حل مع مقطر بعد الظهر مخفف جرعة بالفم حضر قوي )زجاجة(قارورة سائل بين الوجبات مستحلب بيضة امزج m.d more dicto As directed En Mitt Ol. O Auri Elix Cap Colon neb. Agit aq.bull Gtt Liq Lin Lot Tinc Mist Collyr Ocul Tabl Past Non.rep Pulv Cap.amylae Ung Amp Ad Enema Mitte Oleum Os Auristillae Elixiria Capsula Collutorium Nebula Agitur -------Gultae Liquor Linimentum Lotio Tincture Mistira Collyrium Oculentom Tabulatta Pasea Ne repeater Puvis Capsula amylae Unguentom Ampulla Addantur Enema Send Oil Mouth Ear drop Elixir Capsule Nose wash Spray Shake Boiling water Drops Liquid Liniment Lotion Tincture Mixture Eye drops Eye ointment Tablet Paste Don’t repeat Powder Cachet Ointment Ampul Up to a.c Cont I.v Anticibom Contra ______ Before food Against Intravenous 31 حسب االرشادات رخصة ارسل زيت فم قطرة اذنية أكسير محفظة غسول انف رذاذ خض,رج ماء مغلي قطرات سائل مروخ غسول صبغة مزيج قطرة عينية مرهم عيني قرص معجون ال تكرره مسحوق برشامة مرهم امبوله حتى يصبح المقدار قبل الطعام ضد في الوريد S.C p.c a.m Ss I.m q.m s.o.s Indies q.d q.h o.d q.n Pil Suppose p.r.n Garg Q Sol q.s Lev. Mag. ______ Postcibom Ante meridien Semisse ____ quaque mane Si opussi Indies quaert dic quaque horae Oomnidie quaque nocte Pilulla Suppositoria Prorenata Gargarisma Quaque Solution Quantum sufficiat -------Magnum 32 Subcutaneous After food Before noon Half Intramuscular Every morning If necessary Daily Four time daily Every hour Every day Every night Pill Suppository Occasionally Gargle Every Solution Sufficient quantity تحت الجلد بعد الطعام قبل الظهر نصف في العضل كل صباح عند الضرورة يوميا مرات يوميا4 كل ساعة كل يوم كل مساء حبة تحميلة احيانا غرغرة كل محلول كمية كافية Light large خفيف كبير Chapter 4 Physical pharmaceutical procedures 33 Physical process: It consists a group of primary operations, in order that the pharmacist needs to prepare the pharmaceutical dosage form in its final shape, so that the patient can use it easily to get its desired therapeutic effect, and the pharmaceutical process are classified to: 1- Mechanical pharmaceutical process, it consists (includes): a- Partitioning. b- Separation (isolation). 2- Physical pharmaceutical process, it consists: a- plain physical process. b- Physical process which needs cooling or heating. c- Physical process which needs solvents. *The following is a detailed demonstration for the above classification of pharmaceutical process: 1- Mechanical pharmaceutical process: 34 First: partitioning: It is an essential primary pharmaceutical process, in order to prepare pharmaceutical dosage form, and it is aimed to decrease the size of the used medicament in order to be useful (been fitting from it) pharmaceutically. (1)- Portioning the solid, hard particles and it is done by the following method: A) Cutting: This operation needs a force to cut the medicaments to smaller pieces, and this is done by using sharp instruments, these instruments differ, according to the hardness of the medicaments such as liquor ice root or leaves of thyme and for such operations the following instruments are used: a- laboratory scissors. b- Hand cutter. c- Scissors with parallel blades. 35 B) Impact: This method is used in partitioning the hard and dried objects and we get finer product form the one before, EX. Used in partitioning, gum Arabic, dried leaves of peppermints, we need to conduct this operation in closed vessel (container) because after using process of impact on the drug dust will be produced as irrelative odors, as plant charcoal, for this operation the following instruments are used: a- wooden hammer or stone hammer or iron hammer. b- Pestle and mortar, and it will be made of iron or porcelain or wood and we should take care about the oxidizing metallic salts and not impacting in an iron mortar, and also metallic salts and not impacted in a glass mortar. 36 c- The mortar with a hanging pestle is used for continuous operational impact. d- Hammer mill is used in pharmaceutical industry for its strength and capability in production 37 hummer mill C) Attrition: This operation following the impact operation or cutting operation and is aimed to get a very fine powdered medicament and the following methods are used: 1- Levigation: Is called direct attrition and carried by using a hard tangable mortar and hard tangable. Pestle in order not to slip the materials to the sides of the mortar and after this operation is following is usually sifting procedure to get the required degree of fine powder. 38 Here the mortar should be covered during the process of levigation for materials having smoke (dust), such as lead oxide and digitalis leaves and generate explosion such as potassium chlorate. 2-Rrasping: Rasping with friction is done by placing the substance on the surface of the sieve and is gently applied friction and this will let the powdered substance pass through the holes of the sieves, and the finesse of the powder is controlled by the diameter of the holes in the sieves, which is used for sifting, EX. Lead carbonate and magnesium carbonate. 39 3- Crushing: Here oil containing substances are used, such as Aniseed and Coffee, for this either mechanical or hand operated mills are used. 4- Trituration: Mortar and pestle are used for soft fatty (greasy) substances. D) Combined attrition and impact: Here two types of mills are used: 40 (1st) Ball Mill: Here the partials of the substance meet the balls where the powder is attrited (change the powder) and impacted when coming in contact with each other (the balls). (2nd) The Fluid Energy Mill: When attrition and impact operation are combined together, the process carried through the fast moving particle by each other, the particles which are needed to be changed to finer powder particles. 41 2- Partitioning of liquids and viscous (sticky) materials: Here homogenizers are used where the liquid is distributed like very small droplets forms, EX. Partitioning the water in the oil by using emulsifying agent. And for the viscous (sticky) materials we use mechanical or manually operated kneading machines. 42 Second: separation: Is divided into: (1) Separation of solid substances from each other and this is done by one of the two methods: a- choice and purification is aimed to get red of the foreign substances and impurities and unimportant part from the drug. -And done by: 1- Manually (by hand): Ex. Separation of plants leaves from its flowers or removal of pebble and sand from the seeds of lentils. 2- by water: As light objects float on water surface or dissolution of dissolution of some substances with water, and it is precipitated or removed (get rid of) some of the shells, such as almond with water. 3- By air: Here the light objects are removed (get rid of) when they are exposed to air. b- Sieving (sifting): depend on this separating operation by using different sized of sieves to separate objects, according to the dimensions of their parts. (2) Separating solid objects from liquids and liquids from other liquids and is done by one of the following methods: a- By decantation. 43 Used to separate solid objects from liquids, depending on their heaviness of weight, then the liquid is separated from the surface of the precipitate found in the bottom of the vessel. b- By expression. This method is used to separate the liquids from the solid objects. Here we need pressure to expel the liquid found in between the particles (molecular) of the solid object as in the case of fruit expression. c- By centrifugation. This depends on the characteristic of central expulsion force, to separate solid objects from liquids, and liquids from other liquids, a clear example of this is by separating the components of the blood (R.B.C) and(W.B.C) from plasma by centrifugation. d- By filtration. It is aimed to separate solid objects from liquids. And for filtration we use: 1- Funnels and different types of filtration papers or cotton. 2- Cloth filters such as the ones used in preparation of cheese or for preparation of syrups and liquid extracts. 3- Glass and porcelain funnels, ex. Buchner funnels, which depends on evacuation of air and filtration of large quantities in shorter times depending on that (the vacuum), and sinter glass filters and Pyrex filters and filters consisting of cellulosic fiber filters, and Millipore filter which is made of cellulose acetate of different dimensions, where we can separate bacteria from liquids and it is used in drug industry, because it can withstand heat and we can use it for several times. 44 e- Clarification. It is a method of isolating solid objects form liquids and is done by adding chemical substances to liquids where it works by attracting impurity particles to facilitate filtration, EX. For such substances are kaolin, and talc, silica gel(used as clarifying substances), also water of Eau de colon is clarified by using magnesium. 45 2- Physical pharmaceutical process and consists: First: plain (pure) physical process and it means the physical properties. viscosity It is defined, by the internal resistance or friction which is produced in a liquid, resulting from the movements of the layers of the adjacent liquid in relation to each other. And it is a characteristic of liquids only. Factors affecting viscosity: 1-Degree of temperature: The relation is inversely between the viscosity and temperature degree. Hence when there is an increase in the temperature degrees, viscosity is decreased, that is because the increase of temperature heats in the matter and heat is stored as energy and is used as kinetic energy, by this energy it will overcome the resistance present in between the molecules of the liquid. 2- The chemical bonds found in the matter: As the force of attraction is increased between the layers of the liquid, the viscosity is increased. How do we measure viscosity? Viscosity is measured by several instruments among them is the viscometer, with a unite of measurement called (poise) its symbol is (&) = Theta. (&) Theta=g.cm (-1) sec (-1). 46 viscometer There is an easy method to measure the viscosity by an instrument which is called (the falling ball) and the principle which this instrument depends upon this is: Get the unknown viscose liquid and put it in a graduated vessel (here we may use burette) in a standing upright perpendicular position to the earth, and then we get a metallic ball of known weight. Then we drop the ball from the above into the vessel (here the burette) in a free falling and when it (the ball) touches the surface of the viscose liquid we start measuring the time in seconds (by 47 stop watch) and calculate the time it will take to reach to the bottom of the vessel and the high of the viscose liquid is measured by centimeters (cm) and by using the given formula above we can calculate the viscosity of the unknown liquid. &=g.cm (-1).sec (-1). Why do we measure the viscosity? We benefit from it in the process of the pouring of the liquids of pharmaceutical dosage form. The boiling point: Boiling point is defined: which is the degree of temperature where the vapor pressure of the liquid is equal to the atmospheric air pressure. Or it's also defined: it is that degree of temperature where the heat kinetic (the kinetic energy) is capable in over coming the force of the attraction found among the molecules of the liquid. How do we measure degrees of boiling point? We bring a vessel and fill in it some (or specified) volume of a certain liquid (where its boiling point is to be determined) and dip in the liquid a thermometer, and then we draw a curve between the time and the temperature. We will find as the time goes by (increase), the temperature degrees are increased until we will reach to a certain point which the temperature degrees will stop from increasing, although the time is passing by and this temperature is the latent heat, the heat given to the liquid phase and is consumed as an energy to change the liquid phase into gaseous phase. For that reason the temperature degree stopped (stayed constant) then the temperature degrees will return back to be increased 48 again, because it will store the heat to utilize and benefit from it in the process of breaking the bonds. *Factor which affect the boiling point: (1) - The pressure: Is directly proportional between the pressure and the boiling point. As much as the external pressure is increased as much as the boiling point is increased and the opposite is correct. (As the external pressure is decreased the boiling point is decreased). Ex. When we want to boil an egg on top of a mountain and an another egg at the sea level surface, we will find the egg on the top of the mountain will boil faster than that at the sea level, that is because the boiling point at the external pressure of the sea level will be more and will take more longer time. Example: Atmospheric pressure 760 mm Hg 700 mm Hg 17 mm Hg Boiling point in water 100c° 97.7c° 20c° We will find the relation is directly proportional, the atmospheric pressure and the boiling point, meaning" if the boiling point is increased then atmospheric pressure is increased ". (2)- Force of the attraction and the kind of the chemical bonds formed to the matter. Example: 49 Diethyl ether[CH3CH2OCH2CH3] Ethyl alcohol[CH3CH2OH] Water [H2O] Boiling point is 39.6c°. Boiling Point is 78.8c°. Boiling Point is 100c°. - The forces between (diethyl ether) are the Vander vale and it is a very weak force, so that it will break up easily. - For (ethyl alcohol) some of it is Vander vale forces and the remaining parts are hydrogen bond, for this reason the boiling point of ethyl alcohol is more than the diethyl ether. - For the water the bonds are hydrogen bond, and it is very strong, stronger than the Vander vale force, for that reason the boiling point will be more than the both mentioned above. Note: the boiling points of the polar compounds are higher in their boiling points than the non-polar compounds; this is because in the polar compounds there is the force of attraction and the direction of these forces among the bonds, while in the non-polar compounds there is no (resultant) and no direction and it could be overcome on these forces easily. We benefit from the boiling point these cases: 1- To preserve some of the pharmaceutical dosage forms, which contain evaporation able substances in certain degrees of temperature and in cold. 2- Aerosols: we choose different kinds of propellants so that at the normal atmospheric pressure they will have low boiling points. 3- Sterilization: the substances of low boiling points could not be sterilized by heat because of their low boiling point, they will be evaporated (volatilize). 50 The melting point: Is defined: it is that degree of temperature which the substance at its solid state is transferred (changed) to a liquid by heating. *Factors affecting the melting point: 1- Type of the chemical bonds in the compounds as much as the chemical bonds are stronger as much higher will be the melting point. Ex. Water melting point is: 273k°. Benzene melting point is: 278k°. Then the melting point for water is more than that for benzene because the chemical bonds found among the molecules of water is very strong and these are hydrogen bonding, and for the benzene molecules are weak because they are of Vander vale forces. 2- Effect of temperature on the melting point: We bring a vessel and put the solid substance in it, we put the thermometer and we expose it to the heat and start drawing a curve between time and temperature, and at a certain degree of temperature it will stay constant (stops rising) and at this point the solid substance will start to change (transform) from the solid state to liquid state. And at this point the heat is stored to be breaking the chemical bonds among the molecules of the solid substance and the temperature degree will stay constant until the whole solid is transferred (change) to a liquid state completely, after this, the temperature again will start to rise. 51 This curve is called the curve of temperature effecting on the states of matter (the latent energy for melting) and is defined: is the heat required to transform (change) one gram of the solid state to a liquid state. *We can measure the melting point by: 1- Capillary method (by using simple air eyes to watch the (M.P). 2- Using kofler block. 3- Using a microscope. 4- The bent tube method to measure the melting point of waxes and fatty matter. Freezing point: Freezing point is equal to the melting point for the same substance, but they differ from each other in that, the freezing point loses the heat while melting point gains the heat. 52 PH (hydrogen ion concentration): It is hydrogen ion concentration. PH= -Log [H]. And for the acidity (hydrogen ion concentration) it has special importance for the drugs it: 1- Effects on the activity of the drugs. 2- Effects on the stability of the drugs. 3- Effects on the degree of the solubility. We measure the degree of acidity by using ph-meter (digital or analog). Example (1): What is the acidity (pH) of a solution of HCL, when its concentration is equal to 0.05%? Note: the unit for hydrogen concentration is (mole/liter), m.wt-for HCL=36.5? Example (2): What is the hydrogen ion concentration for a solution the pH = 2? The density: Equals mass/volume = density = gm/ml (gram/milliliter). It is measured by the following methods: a- Banme method is to measure the density of liquor, milk and syrups. b- Gaylussac to measure the density of alcohol. c- Westphal method for all the liquids. Measurement of degree of hardness: 53 It is the characteristics (properties) of viscose pharmaceutical dosage forms such as suppositories, ovules and it is done by using instruments for measuring the degree of hardness. It is used to know the suitable (proper) conditions to store and preserve such pharmaceutical preparation. Measuring the degree of turning of the polarized light to the left or right by using a polar meter. Measuring the degree of light bending (refracting) by using a refract meter. Chromatography: Is done by different methods, using paper chromatography, this layer chromatography or by column chromatography. By electrophoresis. Measurement of friability: Used to check (measure) the hard type pharmaceutical dosage forms specially the tablets. Degree of hardness Disintegration: We will study the above-mentioned methods of analysis in the coming chapters. 54 Second: - physical process which needs cooling or heating: 1) Evaporation: - It is a process of removing (eliminating) of the liquid from a solution by evaporation to get a concentrated liquid, thick and most of the times the liquid which is evaporated is water or alcohol or ether. - The evaporation process is a primary process to the drying process. - The evaporating process needs heat to be completed. * Aims (goals) of evaporating process: 1- To get a thick liquid as in the preparation of liquid extracts or soft extracts. 2- To get a super saturated liquid as in the process of crystallization. 3- To extract the active ingredients from the plant sources as in the medicinal plants containing volatile oils. * Factor which effect in the process evaporation: 1- Temperature degrees. The amount of heat given to the process of evaporation should be equal to latent energy needed for evaporation. 2- The pressure. Hence increases the capabilities of evaporation. And this is important for the substances which are damaged when they are exposed to high temperature for long period of time, as in the cases of vitamins, hormones, and antibiotics. 55 3- Type of the substances. Some of the substances are affected by heat and moisture, which is (heat and moisture), produced during the process of evaporation, this problem is solved by decreasing the pressure. 4- The surface area exposed to evaporation. As much as the surface area is larger (greater) the process of evaporation will be faster. 5- Concentration. As the solution is more concentrated the process of evaporation will be less because: a- It needs more heat to break the chemical bonds among the molecules. b- Because the concentrated solution or viscose(sticky) solution retard the transference of heat from the bottom to above(top) and then it will retard the evaporation process. *The instruments used in the evaporation in the industries (firms) are called (evaporator) there are three types of them: 1- Pan evaporator. It is consisting of a vessel, its thickness is very little (fine) and inside it the liquid is poured (putin) which is to be evaporated, and from the bottom it is exposed to heat and from the above (top) it is opened. 56 *Its properties a- Easy to use. b- Cheap. c- Simple and available. d- Could be manufactured and it is easily cleaned. * Its problems: a- Its heat transference is not good and non-homogenous. b- Probabilities of appearance of precipitants in the bottom of the vessel are possible and this is because of its bad thermal transference. 2- Cold film evaporator. 57 This instrument is different from the previous one in that it is connected to a tube which is put it from the above and it is cold, and it the emitted vapor is collected and condensed, and then its exposition to heat is decreased, but parts of the liquid is not exposed. 3- Rot vapor. It is consisting of a rounded flask in water bath, attached to vacuum pump and a condenser. 58 Its benefits advantages: a-The source of heat is constant because it is from water bath. b- During the evacuation the whole liquid is exposed to heat. c- The air which is produced is collected through a vacuum pump and then the pressure is decreased, (pressure = zero). d- The vapor is collected and condensed in a condenser. And for the evaporation in small scale we use what is called (bath) and it is consisting of several types and the most important ones are: 1- Water bath. Used for substances (liquids) to evaporate while their boiling points do not exceed more than 100°c and this method is used for the substances which are affected by direct heat. 59 2- Sand bath. Here we use a layer of sand instead of water and is used to evaporate the substances which their boiling points are greater than 100c°. 3- Oil bath. Here some amount of oil is used instead of water or sand to get temperature degrees more than 300°c and there are different kinds as the oil types used are different. 4- Saturated solution bath. Here we use saturated solution with some salts, as solution of potassium nitrate, where its boiling point reaches 115.2c° or calcium chloride where its boiling point of saturated solution reaches to 179.5c°. * Desiccation: This is a process where the water is separated from the solid objects (substances) or gaseous or liquids and this is done by the following methods: a- Evaporation (direct heating). b- Using solid substances which absorb the moisture, as silica or calcium chloride. c- The effect of the lowered pressure. d- By expression (squeezing) mostly for some parts of the plant or the fibers which contain the liquid. e- Extraction by using another liquid (liquid separation). Example of extraction: 60 There is a substances which is dissolved in a liquid (ex. water), what do we want to do is to separate the soluble substance which is already is dissolved in water. So we will place it in an instrument (separators funnel) and then we add to it a volatile liquid to the water (it should be nonmiscible with water) this substances now will be dissolved more effectively in the volatile liquid (ex. Ether), we will notice that this substance is solublizes now in this ether and will leave the water layer and we will separate this immiscible liquid from the water, then we will evaporate this volatile liquid by exposing it to the air in the hood. What will remain behind alone are the substances which were dissolved in ether. f- Some gases could be separated from the water and other liquids by passing it in a column containing sulphuric acid where the gases will be reacted chemically with the acid and water is left without gases. *But the problem is that the taste of sulphuric acid will be evident in it (gases). Besides what have been mentioned there are other means of dissection and there are: a- Natural drying method. By direct exposing the plant sun or placing it in the shade and to a stream of air for the substances which are sensitive to sun, such as the plants which contain (volatile oil) so these plants are dried in the shade. b- Artificial drying method. 1- Using ovens for substances which can withstand heat so they will pass through a stream of- hot air. 61 2- Using desiccation (by cooling desiccation) this method is suitable for the substances which are damaged by heat. 3- Using substances which absorb moisture such as silica and CaCl2. The aims (goals) for the desiccation: 1- Increasing the stability of substances because it is: a- Water media is a good fertile medium for bacterial growth. b- Good media to take place for chemical reaction. c- Enzymes which by degradation some substance so this activity will be decreased by the absence of water. 2- To get solid substances from a group of other substances (a mixture). 3- The dried substances will occupy lesser area and this is important in storing and during shipments, it will cost less and this is beneficiary in the process of importation. 4- It will make it easier in several pharmaceutical processes such as milling and mixing. 5- Improve some of its physical properties from some substances such as solubilization and pouring and flowing. *Process desiccation: The expression" dry" denotes that the substance is dry but contains a certain proportion of moisture, and it will be in equilibrium with the percentage of air moisture contain in a certain temperature degree in a certain atmospheric pressure. Example: 62 It was found at a (20c°) degree of centigrade and at one atmospheric pressure. The air moisture content is (70-75%) this means that the percentage of air moisture does not equal always (70-75%) for all the substances. Also the starch at (20c°) temperature at (1 atm) pressure, the air content of moisture is (15%) and this different for different nature of substances and this will specify the moisture content. If we try to draw a curve between the moisture content with time on a graph paper for a certain substance we will find in the beginning it will be leasing and to decrease in moisture content and then we will find that nearly stability and the region which will be stabilized is called: equilibrium moisture content, and it is the moisture content at the equilibrium and is defined: The amount of moisture that is present in the substance in the case of equilibrium with the air moisture at a certain temperature and certain atmospheric pressure. 63 At the beginning the dilution is the elimination (removing) of water molecules is very fast until it will reach to a value of equilibrium after that if we continue in the process of desiccation it will need a longer time to lose the moisture with its exposure to a heat source more, and this will accelerate its damage when it comes in touch (contact) to the air moisture so it will return to gain moisture equilibrium. Note: We should not dry the substances more than it is needed because every substance has its specific degree of desiccation. *Factors that specify the moisture content at equilibrium "factor effecting the desiccation": 1- The atmospheric pressure. 2- Temperature. 3- Type of the substance. 4- Atmospheric moisture content. The substance which has a certain percentage of moisture differs according to the difference of pressure and temperature and moisture content. Ex. Starch has moisture content (10-15%) at a certain temperature and pressure. Note: EMC (equilibrium moisture content) differs from one substance to other and also differs for the same substance so it depends on the pressure, temperature and content of the substance. * Dryers: It means the instruments used for drying; we can classify the instruments used for drying by several methods: 64 1- According to the process of heat transference inside the machine is it by conduction or radiation or by convection and this is classification is followed by the companies. 2- According to the position of the substance in the machine, it is static (non-movable) or movable. 3- According to the pharmaceutical dosage form of the substance, which is wanted to be dried, is it solution or suspension, or solid substance and this classification are followed in the pharmacy science. a) Drum dryer. The circular disc (drum) dryer is used for the solution and dilute suspension. * Its principle: the drum dryer consists of circular steel disc (drum) of (0.75-1.5 meters) in diameter and (2-4 meters) in length. 65 And is connected in a way to a heat source, mostly electrical and is placed in a feeding pan, containing the solution or the diluted suspension and in which the drum rotates, the liquid is applied to the surface and it sticks to it because it is hot and spreads to a film which dries rapidly. The dried product is scrapped from the surface of the drum by means of a doctor knife in the form of flakes collect into another basin. The drying rate can be controlled by adjusting rotation speed and temperature of the drum. But the problems are: 1- The heat transference is not uniform. 2- Source of heat is direct and hence the substances which are damaged by heat we cannot use this machine. Substances which can be dried by this method include milk products, starch product, iron salts and suspension of kaolin or zinc oxide…..etc. b) Spray dryer It is a sprayer consisting of a valve containing a heating machine to heat the air and there is also a place for entering of hot air in a horizontal position and the instrument (which contain the substances) the atomizer ejects in a form of spry containing the substances to be dried, and when the hot air meats this spry it will dry the substance and this heat(energy) takes the sprays moisture evaporates and the hot air will come down to the bottom of the drying chamber in a circular (cyclone) way and from the other end air will get out, and the air before leaving the machine it will pass through a filter paper which will separate the dried solid particles from the air. 66 Which of them is better the spray dryer or the drum dryer? 1- Heat distribution is better. 2- There is no direct contact with the substance. 3- Size of the particles is uniformly about the same size. 4- Shape of the particles is in a spherical shape and better, where its solubility is increased and better in flowing properties. c) Try dryer (shelf). The tray is an oven consisting of different trays layed down in layers and the substance to be dried are placed on the trays (shelves) and the source 67 of the heat is different, either from the bottom or from the top or from the sides and the substance will remain constant in its place, the heat will travel from the bottom to the top. - Disadvantages: 1- The place where the substance is layed down is non-changeable. 2- Heat transference is bad. 3- We will not get the substances in a spherical shape but in the shape which was placed down on the trays. *This method is used for the solid substances as powder and semi solid substances as pasts. d) Fluidized bed dryer. It is dryer for solids and semi solid substances are placed in it, where the air is being heated and entered the machine through very narrow opening in the bottom, hence the substances are forced by pressure and all are directed to the bottom of the basin, and this bottom is consisting of a 68 sieve, and the substance which is going to be dried should be moisturized so the moisturized substance is bombarded (bumped) with hot air (containing a great amount of kinetic energy) and this hot air will raise the particles to the top and will break it and will give an energy to the substance, where the substance will move to the top and will bump to the filters found in the above which will pick up the tiny particles of the substance. Note: The movement of the particles is resulted because of the air and not a liquid for that reason it is called "fluidized". Advantages: 1- Amount of the product is a large. 2- Shape of the particles is uniform and good. 3- Easy to operate and does not need to any effort. 69 Disadvantages: 1- Amount of the powdered substance is mixed in a very tiny form which will be attached to the machine and will pass in it. 2- Because of the friction static electrical charges will be produced on the particles some times. Lyophilization: The substance which is to be dried should be a liquid or if it is solid it should be dissolved. This method of drying is used in the following cases: 1- For the substances which are destroyed by heat. 2- For the substances of low solubility. 3- In the case where the substance contains a rare active constituent. Advantages: 1- No need to use high temperature. 2- Could be carried under sterile conditions. 3- Can get a uniform product which is very soluble in water. Disadvantages: 1- Very expensive (high cost). 2- Capability of absorbing moisture is high so the products should be kept in dry places and condition. Ex. For substances kept and stored by lyophilization is (plasma vaccines, meat). 70 Distillation: It is a process of separation where the condensed vapor which was produced from vaporization of a substance and changing (converting) it to liquid. Aims (goals) of distillation: a- Separation of liquids from each other or separation it from solid substances (solid impurities). b- Extraction some of the substances such as volatile oils from their botanical sources as menthol. c- Reusing (using again) the alcohol in a pure form. d- Separating the volatile substances for other less volatile substances depending on their boiling points. * Types of distillation: (a) Simple distillation: Hence it is done in normal conditions and pharmaceutically used to aim: a- Purification and preparation of distilled water. b- Re-purification of alcohol and separating the impurities from the liquids. Parts of the simple distillation apparatus: It is composed of a heat source (flame) and two flasks, one of them is to heat the mixture (No.1) and the second one is the receiver (No.2) to collect the product, a condenser which passes through it a cold water from a water source and which goes out heated (hot) because it was exposed to hot vapor. 71 The procedure: The mixture is placed in flask (No.1) and gets heated, when it is boiling water vapor which is hot is passed through the condenser, where it is exposed to a cold surface, here the temperature is lowered, then it will go from the condenser to the flask (No.2) in a cold temperature, clear, free from impurities, some times to the flask (No.1) is added few pieces of porcelain to regulate the boiling liquid. (b) Fractional distillation: This method is used to separate mixture of liquids differs one from the other by their boiling points, and we use the previous instrument 1st evaporates the liquid with least boiling point, and is collected in the receiver (flask No.2) then the flask (No.2) is taken away and we use another flask instead of the prier one then we start collecting the next liquid which has a higher boiling point then the 1st liquid and so on. This method is used to separate the component of the crude oil. 72 (c) Distractive distillation: This method is in the following cases: a- To separate substances where their boiling points have high temperature degree. b- To separate substances which are destroyed during the general distillation method. c- To separate substances which are hard to be dispersed in water such as volatile oils. The plant material to be separated of its volatile oil in flask (No.2) which exposed to water vapor which is generated from flask (No.1) which is a separate flask, as it is show in the figure above, then the water vapor is rising, taking with it the active constituents found in the plant in flask (No.2) where it is exposed to the condenser which is condensed in a form of liquid purified as shown in flask (No.3). (d) Distillation under reduced pressure: When decreases the vapor pressure of the liquid so in turn decreased its boiling point, so it is used this method to separate the substances which cannot withstand heat, then this method of distillation is used for such kind of liquids which are effected by higher temperature degree. Fusion. This is process of changing a substance (matter) from the solid state to liquid state and it needs heat. 73 Aims of the fusion: a- Separation of solid objects from each other as impurities and is done by fusing the matter which is needed and leaving the other one in its solid state. b- Mixing the medicinal matters with their solid solvents, during the preparation of pharmaceutical dosage form as in the ointments, and suppositories preparation. c- Removing the water of the crystallization from the salts or matters to preserve (keep) them as in calcium chloride (CaCl2). d- Fusion helps in combing matters and formation of new compounds. Ex. Fe +S FeS Sublimation. It is the process of changing the matter from the solid state to the gaseous state by heat without passing it to the liquid state, And then these vapors are condensed by cooling, which we will obtain the substance again in the solid state. Sublimation is a distillation process for the solid objects, we will benefit from it in the pharmaceutics (pharmacy) for the following purposes: 1- Separating some volatile substances as it is the case in separation of benzoic acid because it has the sublimation property. 2- Purification of some volatile matter as iodine, sulphur. 3- Crystallization of some volatile matter as mercury chloride (HgCl2). * Sublimation may occur at ordinary temperatures without heating, specially the fast vaporization substances such as iodine, camphor menthol. 74 Crystallization. It is defined as; it is process which aims to get (have) clean purified crystals of the matter. The aims (purpose): 1- To get a pure solid substance. 2- To improve some physical properties of the matter, as the solubility, and the flow ability (pour ability) and mixing. 3- To get the substance in a certain form and a certain volume by controlling the volume by method of easy mixing and fast cooling. 4- The crystallized substance is distinctive from the non-crystallized by: a- More stable. b- Better shaped. c- Better mixing. Steps in obtaining crystals: 1- To obtain a solution super saturated and depends on the substance by: a- The evaporation. b- Cooling. c- Added chemical substance for the precipitation. d- Changing the nucleolus degree of acidity (PH). 2-Forming nucleic (by scratching the glass or placing a thread or glass balls. 3- Growth of the crystals is controlled by the fast mixing (shaking) and cooling (difference of temperature degrees). Types of crystallizers (instruments used for crystallization): 75 1- Cooling crystallizer instrument, it depends on the difference in temperatures degrees, where the instrument uses cooling process to crystallizer it by cooling. 2- Crystallization instrument depending on evaporation, evaporating crystallizer, or also crystallizer to obtain a saturated solution. 3- Vacuum crystallizer, an instrument for crystallizer uses air vacuum. The pressure here equal to zero and the temperature degrees are very low and it depends on difference in temperature, its instrument combines the two features (properties): a- Evaporation. b- Cooling. Condensation. Where the hot vapor is condensed during its exposure to cold surface and step wisely is changed to a liquid and falls in a drop form, pure devoid of impurities and this process is the major part in distillation. Carbonization. It is a process of changing the organic substance to carbon due to its exposure to higher degree of heat as it is the case when sugar is burnt. Cooling. This process is aimed to: a- Preserving the substances for longer time, ex. Insulin and vaccines. b- Completing the distillation process as it is done in the part of the condensation due to cooling. c- Increasing the solubility of the substances fastally. d- Extracting some of the substances such as the (yeasts). 76 Chapter 5 Pharmaceutical procedures which need solvents 77 Physical processes which needs solvents: Consists of two processes the solution and extraction, the differences in between the solution and the extraction: Extraction Solution Extractions are a way to Is the process of mixing solid separate a substances with liquids or liquids desired substance when it is with liquids or gases to get a mixed with others. uniform mixture the product is The mixture is brought into named (solution) contact with a solvent in which the substance of interest is soluble, but the other substances present are insoluble. *Both processes need solvent. a) Solution. This process is consisted of two parts. One of them is called the solvent and the other one is called the solute, and the products are classified by mixing the two parts according to their nature as it is seen in the following table: Nature of the Nature solution Pharmaceutical solute of the dosage form solvent Solid liquid Complete Solution Solid liquid Partly(Suspension) Suspension Liquid liquid Complete Solution Liquid liquid Partly(Emulsion) Emulsion Mucilaginous liquid Partly Mucilage substances Liquid Gas Partly Aerosols 78 * Steps of solubilization: 1- Dissociation of the solute (break up of solute-solute bond). 2- Transfer of the molecules of the solute among the spaces of the solution and forms new bonds and may be hydrogen bonds or Vander vale bonds, at the moment when the new bonds are stronger than the bonds among the solvent alone and among the solute alone, the substance (matter) is dissolved. * But when the new bonds formed are weaker than the bonds among the solvent alone and among the solute alone these new bond will break up. 79 * Types (kinds) of the solution: 1- Solutions are classified according to the nature of the solvent and solute. Solute Solvent Gas Gas Liquid Solid Gas Liquid Solid Gas Liquid Solid Gas Gas Liquid Liquid Liquid Solid Solid Solid Example The air, O2 mixture of ether and oxygen Water with air or Br2 with Cl2 Vapor of I2 in air Co2 in water Alcohol in water NaCl in water H2 gas in Palladian Mineral oil in paraffin Mixture of gold and silver 80 2- According to the nature of the solute: a- Electronic solution. These solutions are dissociated to ions or changed molecules and are capable of delivering (passing) the electrical current and thus are: 1- Strong electronic solution. 2- Weak electronic solution. b- Non-electronic solution. These are solutions that consists of solute which is dissolved in a form of molecules and are non-capable of delivering (passing) the electrical current such as (sucrose in water). 3- According to the behavior and conduct of the solutions. a- Ideal solutions: these solutions which do not show any change in the characteristics of constituents (composition) when are mixed with each other beside the dilution. b- Non- ideal solutions (true solutions): these are solutions which the characteristics and constituents (composition) are changed when mixed with each other, ex. Giving off heat or gaining heat or decrease or increase in the volume of the solution. B) Solubility. It is the number of the milliliters (ml) of the solvent which is capable to dissolve (1 gm) of solute at temperature 20°c and at atmospheric pressure of (1-atm). And according to the definition of solubility we can classify the solvent to: 1- Very soluble dissolves in less than (1ml). 2- Freely soluble dissolves between (1-10ml). 3- Soluble dissolves between (10-30ml). 81 4- Sparingly soluble dissolves between (30-100ml). 5- Slightly soluble dissolves between (100-1000ml). 6- Very slightly soluble dissolves between (1000-10000ml). 7- Insoluble dissolves in more than (10000ml). * Definition specific for titration or methods of expression for the concentrations of the solutions: Expression Symbols Definition Molarity M.C Number of moles which is dissolved in 1L solution Molality M Number of moles which is dissolved in 1000g solvent Normality N Number of grams that is equivalent of the solute soluble in 1L solution Mole fraction X.N Average of number of moles soluble in solution/sum of the number of moles for solute and solvent also Percent by % w/w Weight of solute in weight grams in 100g of solution Percent by % v/v Volume of solute in volume milliliter in 100ml of solution Percent by weight % w/v Weight of solute in in volume grams in 100ml of solution Mole fraction M.F Number of moles of one substance/number of total moles=1 82 Example: We get three (3) substances number of moles of (A=10), and number moles of (B=15), and number of moles of (C=25)? 1- 10+15+25=50 2- A= 10/50 =0.2 B=15/50=0.3 C= 25/50=0.5 3- 0.5+0.3+0.2=1 * Factor that degree of solubility depends upon: 1- Chemical composition: The similarity in the chemical composition of both the solute and solvent will help in the increase of the degree of solubility hence the solubility of sucrose is increase in water due to the similarity in the chemical composition of each other and also it is the same case for the fatty matter and organic solvents, (like dissolves like). 2- Degree of acidity. For each substance there is the optimum degree of acidity which dissolves in (optimum pH), where the degree of acidity of the solvent depends upon. Ex. Alkaloids dissolves in acidic medium and does not dissolve in the alkaline medium. 3- Degree of temperature. Substances are divided into three parts according to their solubilities with changes in temper degree: 83 a- Substances where their solubility's are increased by increase in temperature degree. Ex. Sucrose. b- Substances which are not affected their solubility's by increase or decrease of temperature degrees. Ex. Table salt (NaCl). c- Substances where their solubility's are decreased by an increase in temperature degree. Ex. Calcium salts. 4- Combined solvents (co-solvency). Where the solubility of some substances is increased when sharing another solvent in addition to water the original solvent (co- solvent) Ex. When preparing Gentian solution where we add alcohol to dissolve Gentian violet, and then our original solvent (water) is added to complete the required volume. 5- Forming complexes. Where the solubility of some substances are increased when adding to other substances which will chemically react with it and forming a complex compound which is easily dissolved in the solvent (water), when preparing iodine solution where (KI) potassium iodide is added to form the complex compound as in the following equation. KI+I2 KI3 * Factors that depends upon the rapid (quick) solubility: 1- Dimension of the substances (surface area contacted with solvent). Where as much as the surface contact to the solvent is increased between the solute and the solvent the (rate) (rapidity) of the solubility is increased. 84 2- Viscosity. The solubility is decreased as the viscosity is increased. 3- Temperature degrees. The increase in the temperature degrees will decrease the viscosity and hence the rapidity of the solubility is increased. 4- Shaking and mixing. Will increase the rapidity of solubility because the change of surface contact between the solute and the solvent. * Types of solvent used in pharmacy: There are divided: 1- Either reaches to the patient (as it is considered a basic solvent in pharmaceutical preparation). 2- Used only during pharmaceutical preparations. * Conditions which must be available (present) in the first type: a- Nontoxic and non-irritating. b- Does not interfere with drug absorption process chemically inert. *Conditions which must be present for the second type: a- Not applicable for use. b- Non-toxic to the worker preparing the drug. c- Not expensive. *Classification of the solvents according to the method of their use: 1- Solvents used in the pharmaceutical industry. a- Methyl alcohol. b- Ethyl alcohol. c- Isopropyl alcohol. d- Glycols. e- Ethyl ether. f- Chloroform. g- Acetic acid. h- Benzene. i- Acetone. 2- Solvents used in the pharmaceutical dosage form. Intended to be used internally: a- Water. B- Ethyl alcohol. C- Glycerin. 85 d- Propylene glycol (P.G) e- liquid paraffin. f- Olive oil and peanut and sesame oil. 3- Solvents used in the pharmaceutical dosage form. Intended to be used externally: a- Isopropyl alcohol. b- Benzyl alcohol. c- Butyl alcohol + ethyl alcohol + isopropyl alcohol. 4- Solvents used in Parentral. a- water. b- Ethyl oleate. c- Sesame oil and olive oil. d- Propylene glycol (P.G). e- Ethyl alcohol and benzyl alcohol. Example of widespread used solvents: 1) Water: Defect of water: good media for chemical and enzymatic reactions and growth of bacteria, and the purified types are highly expensive. Advantages of water: has no color and no odor, and easy to get it, less coasty and chemically inert and is a good solvent for most of substances and liquids. 2) Ethanol: a- Solvent for alkaloids (the free type) and glycosides and resinous substances. b- Do not dissolve the gums, albumins and starch. c- Most of the fixed oil are little soluble in it expect castor oil, it is soluble in it. - Important uses: 1- Antiseptic. 2- Co-solvent for drugs, ex. Gentian violet. 86 3- Cooling agent and rubefacient. 4- Used in liniments to facilitate the penetration of drugs in the skin. 3) Isopropyl alcohol. - Boiling point degrees range from (80°c – 83°c). - More toxic than ethyl alcohol, so it is not used in pharmaceutical dosage forms, and not used internally so it is used for external preparations, Ex. Lotion and cosmetics. 4) Glycerin. It is considered as good solvents for the substances which are not soluble in water, Ex. Phenol borax, but glycerin acts to dissolve gums, starch and tannins. Disadvantages (defects): a- Preservative but less than ethyl alcohol by one half. b- Moisturizing. Uses in pharmacy: a- laxative (mild). b- Preservative. c- Co-solvent. d- Moisturizing (humectants). e- Emollient. f- Has a suspending activity (in pharmaceutical preparation). - And differentiated from water it is sweet in taste viscous and derived from carbohydrates. 5) Glycols. Chemical properties are in between alcohols and glycerin. 87 Uses: it is considered a toxic substance so it is not taken internally expect (propylene glycols), and is used in externally preparation especially in cosmetics. Properties: a- Absorbs water (moisture). b- Water soluble. c- Toxic. d- Good solvent for gums and resinous substances and volatile oils. Example of glycols: a- (P.G) poly ethylene glycol. b- Ethylene glycol. c- Carbitol. d- Diethylene glycol. e- Propylene glycol (P.G) its chemical structure: - Properties: a- looks like glycerin in its physical properties but it is less viscous. b- Missbile with water, alcohol, chloroforms and is not missbile with fixed oil and light petroleum ether. c- Preservative and could be used as a substitute for glycerin. Propylene glycol (P.G) is more toxic than glycerin and (P.G) has the ability as a preservative as the alcohol but glycerin has the half ability as a preservative as alcohol. d- Some of the drugs are stable in it as chlorophenicol, vit D, progesterone, phenobariton, meaning we can use (P.G) as a solvent for the above mentioned drugs. 88 But penicillin is not stable in (P.G). 6) Polyethylene glycol. Are named by so many synonyms as macro gel, PEG, carbowax and is used in the bases of suppositories. The chemical composition, is a mixture of condensed of polymers composed of ethylene oxide with water and its empirical formula is, n= represents the number of the average molecular weight and it ranges from (14-15) among the liquids, when, n= (15-50) nearly about, among the solids and semisolids. And we can get semisolid compound substances by mixing different number of (n). - Characteristics: a- Missbile with water, alcohol, acetone and chloroforms. b- Absorbs water and dissolves in it, easily missbile with liquids and easily spreaded on the skin and easily removed. c- Non-toxic, not irritant to the skin except in cases of skin inflammation. d- The ability to soluble; so many substances, Ex. Hydrocortisone, salicylic acid, sulphur. e- Stability during storage and very little incompatibility because it is an inert substance. f- Non-volatile. g- Ability to form a demulcent base. - Uses: 1- A bases for water soluble suppositories. 2- A bases for washable ointments. 7) Diethyl Ether: Properties: a- Volatile clear liquid. 89 b- Boiling point 34c°. c- Inflammable. d- Sweet taste and pungent. e- Good solvent for oils (fixed oil) fats, alkaloids. f- Less denser than water and also it is non-missbile with water. - Uses: 1- It was used as inhalation anesthetic, but now days very little used in this area because of the presence of better drugs and with less side effect. 2- Pharmaceutically used in the preparation of collodions and it is not used (the ether) externally made preparation because it is volatile and also not used internally because it is irritant. 3- Used in the primary stages of extraction. 8) Chloroform. It is a clear volatile liquid, has a characteristic odor, its boiling point is (61c°) and its taste is sweet pungent. And it is a good solvent for alkaloids and fats and it is preservative, and it is denser than the water and not does not mix with it. - Uses: 1- In the process of extraction. It was used as inhalation anesthetic but nowadays not used for this purpose. Due to its high toxicity to the liver, kidneys and the brain, because it is oxidized in the body to a toxic substance called (phosgene). - Pharmaceutical preparation: Ordinary (2.5ml/100ml). D.S (double strength) (5ml/1000ml). The water should be boiled to expel the oxygen which was dissolved in water because oxygen changes to toxic substance (phosgene). 90 9) Acetic acid. Glacial acetic acid means, concentrated acid. The ordinary acetic acid it is a clear liquid volatile has a distinctive odor and tastes acidic. * Most of the times is used in the primary stages of extraction and is not used as a solvent because it will react with other because it is an acid and it is not inert. 10) Acetone. Is a clear volatile liquid has a distinctive odor and used in the primary steps of extraction to dissolve fats and resinous substances and enters in the composition of paints and polish removers (eliminators). 11) Light petroleum. Organic solvent consisting in a mixture of substances the most important one is Hexane. - Properties: Very volatile and inflammable and does not mix with water. - Uses: Solvent for oils and fats but it does not dissolve the alkaloids. 12) Ethyl Oleate. It is an ester produced by the reaction of the alcohol (Ethyl alcohol) with Oleic acid. - Uses: Good solvent for the hormones and steroids and used efficiently as a solvent for intramuscular injection, because it is less viscous than the oils and easier to inject. 91 Its distention from the fixed oils. 1- It is does not congeal at lower temperature degrees. 2- Its injection is easier. 3- Absorption is easier. 4- The needle is easily cleaned from its traces (remains), and the syringes. 13) Isopropyl Myristate. It is also an ester produced by the reactions of isopropyl alcohol with myrestic acid (14 carbon atoms). - Properties: 1- less oily than the vegetable fixed oils and mineral oils (ex. Paraffin oil) and mostly used as a substitute for them in the preparing of creams and cosmetics. 2- It does not rancid because all the chemical bonds are saturated. 3- It dissolves so many hydrocarbons and waxes and fats, for that reason it is used in the creams so it will soluble them more efficiently. Note: It is not used in parental due to its high viscosity. 14) Liquid paraffin (mineral oil). It is a mineral oil obtained from petrol derivatives it consists of hydrocarbon chains and it is a clear liquid non-volatile has a distinctive odor and has a viscosity higher than the water, so it does not mix with water and is not used much, although it is used in the preparations of creams and ointments as a fatty and oily bases and its function, in the ointments, is to facilitate the missability and giving the softness to the preparation, so it is not used alone, but in combination with other bases. * It should not be used in spays (nasal)…..etc. 92 Because paraffin precipitates in the alveoli of the lungs, leading to acute pulmonary infections and then to decrease (lesser) the defense line in the body. Note: Solvents for sprays are water while solvents for aerosols are gas. B- Extraction: Extraction: is a process of obtaining an active constituent or a crude extract from a plant or animal or from their solid or liquid components, by employing a suitable solvent as alcohol or ether or chloroforms…. etc.. depending on the nature of the substance which is wanted to obtain it. * Factors depending upon to choose the suitable method of extraction: 1- The nature of the substance, wanted to extract, where it is taken under consideration its physical and chemical properties, such as its solubility's, its degree of acidity(pH), capabilities of its volatilization and its color and taste…….etc. 2- The preferred solvent and its availability, and achievement the extraction goal by its employment. 3- The available, tools, (devices) and instruments in order to operate the process of extraction. 4- The economic value of the substance wanted to obtain, by comparing with the time and effort and the expenses for the extraction process. * Factors depending upon in order to succeed the process of extraction: 1- The pre-treatment of the drug by sterilization or by removing the impurities or by moistening, which will lead to obtain active constituents, with good qualities and in a shorter time. 93 2- When temperature degrees are increased (in general) the rate of the extraction is increased. 3- The presence of enzymes in the plant beside the active constituents, accompanying, will hinder the process of extraction, so we should stop (block) the action of these enzymes by heat or by precipitation, or chemically to facilitate the process of extraction. 4- Mixing: will lead to increase the rate of extraction because it increases the contact of the solvent with the surface of the drug. 5- The additive substances: will hinder the process of extraction or changes the pH of the medium so it is preferred not to use them, only on need, (when it is necessary). 6- The moisture content: This may lead to distinction of the wanted substance to be distraction extracted, or getting substances with no value. 7- Types (kind) of the solvent: hence, we should choose the solvent to complete the process of extraction exactly, depending on the type of the active ingredient, and the following conditions should be available: 1- Non-toxic if it was intended to be used internally. 2- Easy to remove by evaporation if it was intended to be used externally. 3- Its boiling points should not be less than 30c or else it will be volatile. 4- Non-flammable. 5- With little viscosity which will facilitate the process of extraction. 6- Available and not expensive. 7- Will not cause to change in any of properties of active ingredient (inert). 94 * Methods of extraction: 1) Decoction. This process is done by letting the drug to come in contact with the liquid solvents and these solvents are in boiling temperature. For a limit of time differs by different drugs to be extracted, where the drugs is in divided portions are placed in a basin suitable for this process. With the required amount of the solvent (in most of the cease is water) then it is heated slowly until boiling point, and heating is continued with controlling on the temperature degrees for (15 minutes) in the cases where the drug is in (a herbal form or flowers or leaves) and for (30 minutes) in the cases when the drug is in a form of (barks or root or seeds). After that the weight of the product is completed to the required weight by adding boiling water, than it is filtered and the marc is expressed (is squeezed) this process is applied usually to drugs that their active constituents are not affected by heat of higher degrees(boiling), such as extracting the (resinous products). This method is not applied for the drugs containing volatile substances such as essences and from another side, some of the substances are dissolved by heat and then they will be precipitated by cooling and will produce turbid solutions, such as the tannins. * When using volatile solvents in the process of decoction we should use puff up balloon supplied with condenser to avoid the lose of the solvent using in this process (reflux condense). 2) Infusion. This method is used in the drugs with thin tissues or in cases, which contain active constituents that destroyed when, exposed to higher temperature degrees of water for longer periods. 95 This process is applied by pouring boiling water on the divided portions in a suitable manner which is placed in a basin which can stand with heat with cover(lid), hence the basin is covered by the lid, and the mixture is left inside for short period of time relatively this period may reach to half an hour. 3) Digestion. It is in between process by infusion and decoction hence the drug is placed (which is wanted to be extracted its active constituents in a basin) and added to it the solvent (most of the time is water) on a flame with calm heat and left for a length of time longer than that we needed in the process of infusion and shorter than we needed in the process of decoction. This method is used when active constituents is decomposed when exposed to higher degrees of heat and also used to get the active constituents from most parts of the plant. 4) Maceration. We subject the crude drug to process of cutting and grinding and changing to coarse powder or pieces then we place it in a basin with a suitable size, we add to it solvent which will dissolve the substance wanted (needed) to be isolated and we close the lid of the basin firmly inorder not to evaporate the active constituent or the solvent. And we leave it at room temperature for seven days, and to facilitate and increases the rate of maceration, we shake the basin from time to time, and we don't powder the drug in a fine powder, because it will make on us harder during the process of clarification and purification. * The addition and modification, which will help the process of maceration: 1- Repeated maceration. 96 2- Changing the solvents, Ex. For volatile oil of peppermint, (1st) we macerate with water until the tissues are softened, we remove the substances, which were dissolved in water, and then we macerate (2nd) another time with alcohol. 3- Using heat. 5) Expression. This is a process of mechanical pressure on parts of the drug, which is juicy to obtain the juice, which contains the active constituents such as expressing the lemon and oranges to get their juices. 6) Distillation. Have been mentioned before in the process, which needs cooling and heating. 7) Perculation. This process is called the process of extraction by displacement and the goal (aim, purpose) of this method is to extract greater number, which is possible of active ingredient found with drug. By using the least amount (least volume) of the solvent (or solvents).this process is carried out by passing the liquid solvent slowly and uniformly (steadily) from above to below (up to down) through powdered drug placed in a thick layer in a perpendicularity form (position) in a basin called percolator. 97 * How done this process? Used for that a special instrument called percolator, which is in a conical form, ends its narrow portion to bottom, facing the ground by a tube equipped with a tap, and the size of the percolator differs according to the amount of the powder to be percolated. * Steps of the procedure: 1- The drug is cut to coarse or half fine (semi fine) powder, where the drugs are levitated by caution in order to avoid any destruction may appear on the active ingredients. 2- The powder drug is moistened with a suitable amount of the solvent which is to be used, but not to form (make) a past, and most of the times the powder is moistened with its half quantity of its weight with the solvent, then the product is passed through a sieve containing wide opening in order to remove any formed lumps. 98 3- Then the mixture is set aside in a covered basin for (2-4) hours and the powder is placed in the percolator perpendicularly, where the lower part of it contains a small piece of cotton wool, and inorder to make the substance of the powder to the solvent uniformly in all its parts, the percolator is taped gently to its sides, then the surface of the powder is strengthened, and covered by filter paper of circular shape or with a circular metal with pores, or with washed sand or with pieces of broken glass, then the tap is opened, here we will add the solvent on top of the powdered drug until step by step, (gradually) the solvent will start coming out of the tap, here the surface of the powder is covered by the solvent of (2-3cm) above the powder, then the tap is closed and the peculator is covered by a cover and let to maceration for a length of time of several hours to several days, depending on the type of the drug and strength of the solvent. Then the tap(stop cock) is opened and the solvent stream(flow) is arranged from the percolator in a slow drops with noticing (observing) to keep the solvent on the surface of the powder in the percolator constant (i.e. 2-3cm) so it should not dry out on the top. And for this purpose the percolator is covered by an inverse vessel looking like a funnel shape, and the rate of flow should be controlled in order to get extracted solvent slowly containing a quantity of the active constituents. * Factors affecting the process of percolation: 1- The degree of powder fines. The coarse powdered drug is hard to extract because of fast running of the solvent through it, because of the presence of empty spaces among the particles of the powder, which will not let the solvent for complete extraction of the active constituents, and also the very fine powdered 99 drug will not let among the particles of the powdered drug any spaces for the solvent to pass through, and extract the active constituents. So from the particle side view we will use powders with certain fines, differs from one powder to another, and in the case of ipecac root the powder is the half(semi) fine. 2- Moistening of the powder before placing in the percolator. The purpose for that is to facilitate the percolation and it will make the outer covers of the powder blown up(increases in size), which will help the solvent to get inside the cells of the powder and then will facilitate the extraction of the active constituent. If the powder drug is placed in the percolator without moistening, the enlargement of the powder (the cells) will hinder the passage of the solvent among the particles and which will obstruct the percolators percolation. 3- Maceration of the powder in the percolation before starting the process of percolation (hours or days). 4- The rate of the flow of the solvent, as the rate of running is slower, the extraction process is better. 5- The amount of the solvent to be extracted in general, it should be continued in the percolation until exhaustion is completed from the drug, and until the solvent coming out of the percolator is completely free of the active constituents. * And we can know that by the following methods: a- Disappearance of the color of the liquid solvent coming out of the percolator, for the colored powder. 100 b- After evaporation to dryness, the extracted solvent coming out of the percolator, leaving no residue. c- The drug containing alkaloids could be tested by reagent specific for alkaloids such as (Mayers), reagent will give a green precipitate, and borherd reagent will give blackish red precipitate. * Advantages of percolation: 1- Will extract great number of active constituent by little amount of solvent. 2- The saturated solvent with medicinal drugs will not dissolve another substance during its passage through the powder. 3- In the process of percolation there is no chance to loose any quantity of the active constituent. 4- The renewing always with fresh solvents will help to extract completely the active constituents presents in the drug and will renew its ability for saturation. * Steps in extracting oils and fats: First: the fixed oils are extracted by: 1- Expression. 2- Percolation and maceration. To expression may be: a- Cold expression. b- Hot expression. There is an important note we should take it under consideration that is to consider on what is left behind after expression. 101 * Steps of expression process: 1- Pretreatment of the seeds before expression: a- Removal of impurities. b- Removal of seed coats scales from pistachio or peanut or removal of hairs as in cotton seed. c- Milling (grinding) the seeds or transforming it to paste or cutting it to larger places. 2- We use in the process of expression electrical expresser, or by using an ordinary expresser. * Cold expressions: this method is used to preserve the nature (character) of the oil. Ex. Castor oil or olive oil in order to preserve the color, the taste, and the odor. * Hot expression: - Advantages: a- Faster and more completely done then the cold expression. b- Before expression the drug is boiled with water, which will precipitate the proteins and explode or break the cellular walls, which may increase the rate of the process of expression. - Disadvantages: 1- Due to storing the moistened seeds may lead to fermentation and this process of fermentation with boiling (heating) will cause an increase of the percentage of free fatty acids, and then will increase the problem of rancidity. 2- Change of color and odor, the result of the presence of high percentages of aldehydes and ketones and coloring agents which will increase their solubility's in the oil at higher degrees of temperature change of the color and odor). 102 3- Stability (of the fixed oil) is decreased because of rancidity. * Kinds (types) of solvents used in the extraction of fixed oils: 1- Pentane: It consists a chain of five carbonate, one of its disadvantages is its low boiling point and it is a gas (volatile) at the ordinary temperature. 2- Hexane: It is better than pentane because it is cheaper and is available and its boiling point is more than pentane. 3- Heptanes: Its (B.P) is more than the first and the second one, we use it in cases when extracting at higher boiling points. 4- Trichloro ethylene: Characters: stable and non-volatile. Disadvantages: hard to remove from solid substances in addition it is a toxic. 5- Benzene: Is an example of aromatic hydrocarbons. * General principle: These solvents are not used much and the reason is that these will change the color of the fixed oils to darker color in addition these are toxic and irritant. 6- Water missbile solvents: Example (glycerin, propylene glycol), these have a disadvantage (its activity) is decreased in the presence of water. 103 Second: purification of the fixed oils. And it is the process of the removal of impurities and it is done by the following methods: a- Filtration. b- Centrifugation-central removal. c- By hand (manually) removal of larger impurities. Third: Refining oils. It will improve the properties of the fixed oils. Such as the color, taste and odor and stability. * What are the impurities (pollutions) of the fixed oils? 1- The free fatty acids: It will affect the stability and color of the oil, the typical method is to remove them and it is done by natural and chemical equalization and we use carbonates and bicarbonates of sodium (Na2Co3 and NaHCO3) because these are weak bases and we do not use strong alkalis in order at time of clarification will not make froth. 2- Phosphatide: It will effect on the taste of the oils and we remove it by moistening. 3- Pigments: These will effect on the color of the oil and we can remove them by adding absorbing substances, which will absorb the pigments on their surface as, activated charcoal and talc powder. 4- Substances causing odors: We can get rid of them by distillation or by evaporation. 104 * Extracting the volatile oils. 1- By distillation: It is done by different methods, and the most important is: a- Aqueous distillation: have we use plants that are not affected by heat. b- Aqueous and vapor distillation: used for plants whether dry or fresh, ex. cinnamon. c- Direct vapor distillation: have we used this method when the plant is fresh, ex. Peppermint. 2- By expression: Here we use this method when the plant is capable of fermentation because of heat, so we use the cold expression method. 3- The usual extraction: Percolation or distillation. For the extraction, we use the following solvents (Benzene and ether). * Extraction of fats (Rendering). How do we extract the fats? 1- By freeing the fat from the tissues by heating (in a free of air media) or by using the vapor or an alkaline substance. 2- After the fat has been melted it is removed by cooling and then by filtration. Ex. Cod liver oil. * Extraction liquid from liquid. - The basic (essential) purpose: 1- Purification of the solid substance, ex. The antibiotic is (bacitracin), from the liquid growth media, which the antibiotic is present in it, we will add to it the solvent (Butanol), and then we add a precipitating 105 agent to precipitate the antibiotic (Bacitracin) followed by its filtering the perception. * Factors depended upon for extraction: - Liquid from liquid. 1- Distribution coefficient. The substance to be extracted should have a distribution coefficient in one direction toward one of the two solvent. 2- Surface tension. Whenever the surface tension is larger between the two solvent then the possibility of the substance to be transferred from one surface to another is decreased. 3- Presence of impurities. Will decrease the possibility of extraction. 4- Hydrogen ion. Concentration-pH – the degree of acidity, ex. Alkaloid. * How does the process of extraction is done? The most important mechanism for the process of extraction is the distribution, and is done from the region of higher concentration of the substance to the least concentration region. The ficks law for distribution average distribution = dm/dt. The negative sign, indicator that the concentration in it has become over the direction of the least concentration, meaning that the distribution is carried from the region of higher concentration to the region of less concentration. 106 Chapter 6 Biopharmaceutics And pharmacokinetics 107 Biopharmaceutics. Is the science that studies the relation among the sciences of physics, chemistry, and biology and their applications on drugs or pharmaceutical dosage form and effect on drug. In order a drug to have its biological effect it should: 1- Be able to dissolve in the biological liquid. 2- Be able to move within this is fluid. 3- Be able to pass through the biological barriers. 4- Distributed to the wanted areas in the body. 5- Resist complexes of metabolism. 6- Be able to travel in enough concentration to the sites of their effect. 7- To have the wanted effect through the receptors or by other mechanism. The following figure represents the simple form for this chain of complex events between drug administrations until to excretion. The field that this relation is studied between the entrance of the drug and absorption and distribution in the body and changes (metabolism) and excretion the drug matter from the body is given the term (pharmacokinetics). * Bioavailability of drugs: Bioavailability of drugs indicates the rate and extends of the drug absorption; the rate of absorption is the rate that the drug is transferred from the place of administration to the blood circulation system. The indicators used to denote the rate of absorption is constant of absorption (Ka) and time of maximum concentration and time of the starting effect (T max). 1) Biological equivalence: It is the term given on two pharmaceutical preparations for the same drug matter and the same dosage, when they are almost equal in their bioavailability (amount and time) 108 Ex. If a person is given Panadol tab. 500mg.and after a time given Revanin tab. 500mg. meaning of two different manufacturing firms, the same drug but under different trade name. We can say that the two drugs are bioequivalent when their bioavailability look alike of the time and amount. Meaning if we draw a graph of the concentration versis time for each of them and the largest of absorption were close to each other at the same time. Recent studies have proved that if given equal dosage of two drug products containing the same active ingredient and of the same dosage form for same patient, it is not necessary they have the same amount of medicinal effect, and it was found also that the rate of drug efficiency does not relate the active ingredients only but other factors as methods of manufacturing of pharmaceutical preparation the excipients that it contains molecular volume of active ingredients and other things. 2) Therapeutic equivalence: It is the term given to two pharmaceutical preparations for the same medicinal matter and of the same dosage so it is said they are therapeutically equivalent if they give the same therapeutic results and safety during its medicinal usage. The therapeutic equivalence is the most important among the pharmaceutical equivalencies because the goal of the using drugs is to get the best therapeutic results, which are expected. But because most of the time we can not measure the therapeutic effect of the drugs, there is directly proportional activity between bioavailability and therapeutic effect, so the measurement of the bioavailability is considered one of the important support, that depends the specific quality of medicinal products and its efficiency. When we draw a graph of the log dose versis the response we find after a while that the effect is constant because the response have been saturated and if we increase the dose there will be a toxicity (toxic dose) and through what have been mentioned we can specify therapeutic dosage. 109 And the therapeutic equivalence may be changed because of addition of excipients or during of manufacture, ex. During process of tablet compression which may be different in two companies. 3) Chemical equivalence: It is term given on two pharmaceutical preparations for the same drug matter and at the same amount, when we apply on them the conditions of physical and chemical analysis mentioned in the pharmacopoeia. Ex. Phenobariton 50mg B.P, this sentences means that this drug has been manufactured according to the British pharmacopoeia and this drug will not enter the market unless we apply analysis which are found (mention) in the pharmacopoeia and to be sure that they comply to the conditions and those analysis has no relation with body, ex. Some analysis will show the measurement of active ingredients found in the pharmaceutical dosage form through solubility and absorption and these we have seen that the term bioavailability is used to demonstrate the rate of absorption of the drug from different pharmaceutical dosage form as it is represented in the curve (concentration versis time) for given drug as in the following: And the data used in the bioavailability to specify: 1) Amount and percent of drug absorbed from a certain preparation. 2) The rate that the drug is absorbed. 3) The time that the drug stays in the tissue or biological liquid. 4) The relation between the amount of the drug found in the blood and the therapeutic effect or the toxic effect. * Factors used inorder to evaluate and compare the bioavailability: 1) Peak height concentration. 2) Peak time. 3) Area under the curve (A U C)(time_ blood concentration). 110 * Pharmacokinetic. 111 The reason of the usage of the drug in its pharmaceutical dosage form is to have a certain therapeutic effect, so that we can specify the time of the drugs effect the starting point, and drugs concentration in the body and the time of its continuity (drugs activity). So then starting the drugs usage, starts the process of absorption and the drug reaches the required place where it will produce its effect through bloods route, and most of the drugs are metabolized in the liver or the spleen or the kidneys by different chemical process, such as oxidation and reduction, splitting and removing of ammonia and combining with enzymes…etc, and then the drug is excreted outside the body through the kidneys or lungs or saliva…..etc. It is known that the physical and chemical properties of the drug and biological factors of the person using the drug have a great influence on the therapeutic activity of the drugs. So it is very important for each drug produced should be aware and be acquainted on the procedures that happens on the body which are absorption, distribution, and metabolism, and excretion, so the producer would be able to produce a drug which keeps its concentration in the body at the primary dosage (the starting dosage) and also the following dosage on different suitable periods of time to have the required effect with as little as possible of side effect. Drug dosage and factors effecting upon it: Drug dosage is defined that it is the sufficient amount to produce the best therapeutic effect for a certain patient with the least dosage as possible, and the amount of the drug which producer, generally, the required effect for most of the patients, is considered the normal dosage for this drug, and at the most it is the primary dosage for person receiving the drug for the first time, and from that physician can increase or decrease the following dosage, according to the need, for a drug to generate a regular effect it should be absorbed and should be distributed in 112 sufficient concentration to the receptor centers and to remain there for sufficient period of time. After specifying the concentration of the drug in the serum of the blood on different periods (occasions), after administration it can be specified the amount of the drug absorbed also it is possible to indicate the average concentration of the drug in the serum of the blood which represents the best concentration which gives the drugs effect upon the patient, and this concentration is known as the minimum effective * Absorption. It is the process of transferring the drug from the place of administration to the blood, were the absorption is concentrating on the solid pharmaceutical dosage such as tablets, and capsules, where taken through the mouth, where process of dissolving occurs then starts the absorption process through the mucus membranes of the GIT and it happens by the following ways: a) Passive diffusion. Where the molecules of the drug are transferred from the higher concentration to the lower concentration, and it depends on the: 1- Size of the molecules. 2- Acidity of the medium. 3- Molecular penetration coefficient through the water_ oil barrier. b) Active transport. Where transferring the drug molecules by connecting with carrier which does it transfers it to the other side of the membranes where it is left there and so on. And also transferring water soluble substances by protein or enzyme carriers where the active transport process is done only in the upper part of the small intestine, that is because of the enzymes and the carriers their. Example about substances absorbed by active transport: 1. Amino acids and drugs similar to it: 113 a. L-dopa. b. Methyldopa. c. Tryptamin. 2. Salts of the iron and calcium and sodium. 3. Saccharids (sugars). 4. Some of the vitamins as (B12). 5. Pyramidines, which are nitrogenous bases like, halogenated nitrogenous base used in the treatment of cancer. c) Facilitated transport. Mostly it needs a carrier and does not need for the presence of energy and moves against the concentration, and example for the substances that are absorbed by the facilitated transport: 1. Vit.B1 thiamin. 2. Vit.B2 riboflavin. How diffusion is done through the lined barrier of the intestine. The lining of the intestine is called (mucosa) and it is mucus membrane and it is not continuous because of the presence of canals inside of it, and it is noted that the drugs of low molecular weight with high solubility in water mostly is absorbed through their canals found in this membrane such as alcohol. While the drugs of higher molecular weights and with some what higher solubility in oils are absorbed through penetrating this membrane or by active and facilitated transports. The low governing the absorption with passive diffusion is ficks first law: Dc/Dt= AD/h x C1-C2 Dc/Dt= average differences in concentration with times. A= surface area available for absorption. D= diffusion coefficient. H= thickness of the diffusion layer wanted to penetrate it to arrived to the blood. C1- C2= difference in concentration between intestine and blood. 114 As much as the surface area is increased and diffusion coefficient and decrease the thickness of the layer wanted to penetrate to reach the blood and increase the differences in concentration between the blood and intestine it will increase the average differences in concentration with time. Distribution. The blood starts the distribution after absorption process. Factors that the absorption depends upon: 1. The physical and chemical properties of the drug, (molecular weight, degree of ionization, distribution coefficient). 2. Blood supply to the tissue, as much the blood supply is large as much the distribution is faster. 3. The combination with the proteins specially the (albumin) and this effects the distribution of the drug. Protein + drug protein + drug complex. This will be in complex form if the drug gets less in the blood stream for any reason then the complex will compensate the decrease in the active drug which is in a free state. Goals or purposes of the binding drug with protein: 1. Transport of drugs is not soluble in water, such as steroid hormones, and vitamins which soluble in oil. 2. Increase average of absorptions, specially the drugs that are ionizable in the GIT. The concentration of drugs in the blood stream is decreased when they are bound to proteins, and then there would be a difference in the concentration so it will be distributed it in faster way. 3. To get an even distribution of the drug inside the body. 115 4. The free part of the drug is subjected (exposed) to the metabolism and excretion, and for that reason the bound drug with the protein will increase of its activity. a) Methods of drug distribution. It is the membrane of the blood capillaries- placenta and blood brain barrier (B.B.B). - Distribution of the drug through the membranes, and depends on: 1. The physical and chemical properties of the drug and its molecular weight and its solubility in water and oils. 2. Blood supply. 3. The degree of acidity (pH): it is effect upon the alkaline and acidic drugs. a. Conditions of the drug which passes through the blood capillaries: 1- It should be water soluble and oil soluble, if it was completely oil soluble it will be stored, and if it was ionizable it will not stored. 2- Molecular weight less than 500-600. b. Distribution of the drug through the placenta: Morphine- heroin, ethanol-nicotine, barbiturate, sulfonamides. c. The drug that passes through the B.B.B should be oil soluble. b) Distribution of the drug through the tissue is depended upon: 1) The physical and chemical properties of the drug: some of the drugs are bounded irreversibly to the protein tissue such as (D.D.T), which is bounded to the protein, and Tetracycline is bound to the bones. 2) Blood supply: as much as the blood supply is increased the concentration of the drug is increased, in larger amount. Some of the drug will get redistributed and its mean that the drug has been distributed in the tissue it will reach to the blood stream, then it will be distributed to other tissue. Then it will affect after 30 seconds (1/2 minute) because it reaches to the CNS as in (Thiopental Na) and it will end after (1/2 hour) (30 minutes) because it will be concentrated in an oily tissue because the drug of lipophillic type loves the oil. 116 Excretion. Consists of two processes the Excretion and Metabolism. First: The Excretion. This is process it's done through: 1) The urinary system (kidneys): it is the major organ to excrete, and inside it occurs: a. Filtration of the drugs by the kidneys it depends on the molecular weight. b. Reabsorption of the through the urinary tubules to the blood, which depends on properties of the drug and the acidity of the urine. c. The secretion which is carried from the blood to the urinary tubules and it's an active transport. Drugs of active secretion are (Salicylates, Furosemide, Indomethacin, Thiazide, Quinine, Penicillin, and Dopamine). 2) Through the Gall Bladder: It is carried through the interohepatic circulation. Factors that depends upon the excretion through the gall bladder: a. Molecular weight of the drug: and it is conditionals that the molecular weight should be very high. b. The chemical composition of the drug and its polarity. c. Gender (sex) effect of secretion of the gall bladder. Some of the drugs that excreted through gall bladder (Rifampicin, Clomiphen, Clomid, Stilbesterol). There are some of the drugs, which are stored in the gall bladder, and then the activity of these drugs is prolonged. 3) Excretion through the lungs: here in this route is excreted the volatile matters and gases, such as (Ethanol and Paraldehyde). 4) Excretion through the saliva: ex. Phenytoin, sulfonamides, Phenobarbitone, Tolbutamide, Theophylline, Rifampicin. And these drugs may have side effects in the tongue, like the metallic taste, and this method is used to measure the concentration of the drugs. 117 The drug, which is excreted through the saliva, may return to the intestine then the saliva again meaning the drug is having an oral saliva circulation. The excretion of the saliva depends on: a. Degree of avidity. b. Distribution coefficient of the drug. 5) Excretion through the milk: for example, (Alcohol, Tetracycline). Factors that depend the excretion of drugs through milk: a. Degree of acidity. b. Molecular weight intermediate too small. c. Degree of solubility of the drug in fat. 6) Excretion through the skin: the drugs that are excreted through the sweat, Ex. I2, Br2, Benzoic acid, Alcohol, and Salicylic acid. 7) Excreted through Gastrointestinal tract (GIT): what are excreted are the ionized matters in the water, Ex. Amino glycosides. 8) Excretion of drugs through Genital organs: especially through the secretion of the Genital organs, Ex. Cortisone. Second: Metabolism. It is the changing of the drug into another chemical form. The purpose of metabolism is: Chang the drug to another form of less active and more capable to be excreted. More active Digoxin……….Digitoxine. Phenobarbitone……….Primidone. Prednisolone…………Prednisone. Mechanism and the places where metabolism is carried (done): 1- The liver: is the major center of metabolism in the body, and inside this organ is carried more than 90% of metabolism process, as it contains a great amount of enzymes. 118 2- There are some drugs are metabolized in the GIT, where in the membrane of the GIT, which contains enzymes such as Aspirin, testosterone, isoprenaline. 3- Metabolism by bacteria: Ex. (digoxin, L-dopa, Chloramphenicol, and sulfadiazine). 4- Metabolism in the blood (the plasma): where enzymes are presents specially Esterase s enzymes, which hydrolyze the ester compound like (procaine, hexamethanium and Acetylcholine). 5- Metabolism in the lungs: as it occurs for the prostaglandin. Metabolic reaction: 1. Constructive (constant). 2. Non-constructive (primary). Example of non-constructive reaction: 1. Oxidation, Ex. Amphetamine, Ethanol. 2. Hydrolysis, Ex. Procaine, procaine amid, aspirin. 3. Reduction, Ex. Chloralhydrate, Chloramphenicol. Most of the drug, which had non-constrictive reaction, will be reacted by constrictive reaction. Constrictive reaction: norepinephrene, morphine, which will bind to glucouronic acid. Factors which depends upon it the metabolism: 1. Places of metabolism. 2. Patients health status. 3. Personal differences. 4. Presence of other drugs, there are some drugs will increase the activity of enzymes of the liver, so will be different. Factors that depends on the length of time of activity: 1. To throw with the type of metabolism and excretion. 2. Redistribution. Example. Barbiturate has a very short time effect, where the activity is ended fast because of redistribution. 119 120 * Methods of drug administration: First: Parentral rout. Where the drug is given directly to the blood stream, and does not need previous process such as disintegration or absorption and differs by the way of injection such as: 1) I.V injection: preferences of I.V inj. 1. Used this method in emergencies state. 2. This method is used in the prepared injection such as prepared solution or powder to be solubilized and prepared during the use. 3. used in injections of nutrients in the cases where food could not be taken by mouth. 4. Used when need to give solutions by intravenous infusion in large quantities after operations to substitute body fluids and to return the blood pressure to its normal state. 5. Most of the times these methods are used in hospitals. 2) Administration of the drug throw artery. This method is not used usually because it is dangerous and the place of injection is sunken (deep-seated) and its diameter is small and is used with: 121 a. Anticancer drugs: inorder to reach the drugs to the suffered organ only, because anticancer drugs have too much side effect so we are restricting these side effects. b. To have peripheral effect: as in blood vessels dilators. 3) Intramuscular administration (I.M). This method is used for the following cases: 1. If the absorption of a drug is very weak from the GIT such as Gentamicin. 2. If the patient cannot take the drug through the mouth. Ex. Phenytoin, diazepam, digoxin. The absorption of these drugs from the GIT is better than through the intramuscular (I.M) and the reason is that these drugs precipitate in the place of injection because of the difference in the degree of acidity and it is very poorly water soluble so its given by mouth or intravenously (I.V). Factors depended upon the absorption of drugs through the muscle: 1. Blood supply: so it is noted that the absorption of drugs from the arm is faster than the absorption through the thigh. 2. Degree of ionization of the drug and its solubility. 3. Volume of the injectable: most of the time it is 2ml and does not exceed 4ml. 4. Osmotic pressure of the solution: sometimes we prepare hypertonic intramuscular injection internally, inorder to make the absorption faster 122 because the blood attempts to decrease the osmotic pressure to normal so it dissolves better way. 5. Gender (sex) absorption of drugs differs between tow sexes, because of the distribution of fat in females body is more than in males. Note: we can give water suspension or oily suspension or water solution in the muscle. 4) Subcutaneous administration (S.C). The factors that influence the absorption from the muscle are the same factors that effects the (S.C) , but here the blood supply is less, so the absorption is slower than that of the (I.M), but how could it be improved the absorption process: 1. Make massage and hence increase the blood supply. 2. Warm the place of the injection by heat. 3. Administer with the drug blood vessel dilators (vasodilator) drug. * Size of the injectable: 1ml or less, and the place of the administration is the upper part of the arm. 123 * It would be better the solvent should not be a suspension or oily solution because it will cause irritation and pain. * It is not condition (requirement) but it is better to be equal to the osmotic pressure of the blood because it does not reach to the blood stream directly but first reaches the fatty tissue. * For drugs used subcutaneously is insulin hormone. 5) Intradermal administration (I.d). Injectable used for that is (0.1- 0.2 ml) volumes, and most of the times should have the osmocity to be equal with the bloods osmocity and to its aqueous solution. * This method of administration is used for the diagnosis purposes such as diagnosis of tuberculosis by BCG test and also checking for penicillin sensitivity. 124 6) Intra-cardiac administration. This is method is not used unless in an emergency cases such as when the heart stops beating. 125 7) Intra-thecal. Cases (situations) where it is used: 1. Used during anesthesia of the cerebrospinal area. 2. Used when sample from the cerebrospinal fluid is withdrawn, Ex. For the analysis in the laboratory for meningitis. 3. Used to treat meningitis with streptomycin because it passes through the barrier of blood brain barrier. * Size of the injectable less than 20ml and osmotically equals to blood osmotic pressure and the fluid of brain spinal cord. 8) Intra-articular. This method is used in cases of rheumatic inflammation. 126 Second: inhalations. Absorption through the lung. Characteristics: a. The absorption occurs very fast because of great surface area of the lungs and the blood supplies for the lungs are very high. b. The drug does not metabolize in the liver because the drug does not reach to the GIT. * Some drugs are administrated and absorbed through the lungs: 1. General inhalation anesthetics, Ex. Halothan and ether. 2. Dilators of bronchioles such as Cortisone, Salbutamol. 3. Antihistaminic. * Factors affecting depended upon the absorption through the lugs: 1. Surface area of the lungs. 2. Blood supply. 3. Degree of acidity. 4. Size of the molecules. - If the size of the molecule of the drug is large about (20 micrometer) it will affect the upper respiratory tract such as the throat and larynx. 127 - If the size of the molecules are small about (0.6 micrometer) that the drug will reach the alveoli in faster way, but easily to go out during the exhalation when breathing. 5. Patient status: grown up (mater) patients need to longer dosages than the older (senior) patients. Third: drug administration through the eye. This method is used inorder to give a local effect and not a systemic effect, as in the following cases: Anti-Glaucoma, local anesthetic, pupil dilators, antihistaminic, inflammation of the eye…..etc. Pharmaceutical preparations used through the eye: Ointments, aqueous solution, oily solution, aqueous suspension, oily suspension. Factors depended upon the absorption trough the eye: 1. Solubility of the drug in the oils: if the drug is oily soluble, so it's easy absorbable and passes to the cornea, as in Dexammethazone, it fast absorbable because it is non-polar, while Dexammethazone phosphate, is polar, so it is little absorbable. 2. Acidity of the lachrymal (tears) liquid: ph of the eye tears= 7.4 same as the ph of the blood. This is important for the stability of the drug if the ph of the drug is different to that of the lachrymal liquid, then the drug will precipitate 128 and will cause irritant of the eye, Ex. (pilocarpine) (which is an alkaloid has a little alkalinity-high ph) used to treat Glaucoma, so we should take care so that its ph should be same as that of the ph of the tears, and it can be amended by the addition of the BUFFER solution. 3. Size of the drop: if the size of the drop will cause to decrease its effectiveness because its increase drainage from the eye and to increase time of contact between the eye and the drop we add substances and thickening agents to increase the adhesives of the drug, Ex. Cellulose derivatives (thickening agent), and Methyl cellulose, and Carboxyl methyl cellulose. 4. Pharmaceutical form: it is known that the time of the contact of the eye ointment with the eye is more than the other pharmaceutical liquid dosage forms, but the drops are used more of them for following reasons: a. Because the aqueous drops have faster effect. b. Because it mixes with the eye tears. 5. Health state of the eye: the infected eye increases the ability to absorb drug more than the healthier eye. 6. Age and status of the patient: growing older will decrease the absorption of the drug, Ex. It was found that the asthmatic patient when given (Timolol) (is non-selective B- blocker) and it is eye drops and used to decrease the eye pressure inside the eye ball in Glaucoma, it was found that small amount of Timolol will pass to the blood stream and lungs and the asthma patient case will be worsen, this is a very unique case but to be on the safe side, Timolol will not be given to asthmatic patient. 129 Fourth:Intra-vaginal drug administration. This is method it's used to treat locally as: the cases of contraceptives, antifungal and antibacterial. Ex. Dinoproston is one of the prostaglandin (PGF2OC) used to help in hastening labour its characteristic is that it is locally used and has no general side effects as oxytosine. Pharmaceutical forms of intravaginal drug. - Vaginal supposes (Tories). - Vaginal tablets (called tablets because is manufactured by compression) like Mycostatin (nystatin) - ointment. - Creams. - Douches. 130 Fifth:Intranasal drug administration. This method is used to give local effect such as in the case of steroids anti decongestants. Also used to give systemic effect such as ADH (anti diuretic hormone) and until now it is under study and is used to treat Diabetes. Characteristic of transport and absorption of drugs through the nose: 1. The absorption of the drug is fast and most of it will reach to the blood stream. 2. The drug is not affected by metabolism. 131 Sublingual or Sixth: administration buccal drug Examples of drugs given sublingual are: 1. Nitroglycen. 2. Isosorbid. 3. Tesfastrem. 4. Methyl testosterone 5- oxytosine. Characteristics: 1. The drug does not metabolize in the GIT or the liver. 2. Fast drug absorption. 3. Very slow degradation so very long effect, except (isosorbid and Nitroglycen) both are fast degradable. The absorption of sublingual drug depend on the degree of acidity of the drug and the acidity of the saliva, pH= 6. 132 Seven’th: Rectal drug administration. Here the drug is in suppository form or enema given through rectum, and the drug is given to produce a local effect or a systemic effect as in the (hemorrhoids) infection of the rectum or as a local, laxative, and for systemic effect, analgesic for the joints, and as an antipyretics. This method is used in the following cases: 1. If the patient cannot take the drug through the mouth. 2. If the drug irritant to the GIT or the drug is degradable in the GIT. Note: there is a saying, if the drug is given through rectum, the absorption through this part is the same as the absorption through the GIT, although the blood supply for this part is high and the surface area is small so the absorption process is little. Principles that Governs the absorption through the rectum: 1. Solutions are absorbed faster from the suppository and also the enemas are faster than the suppositories. 2. Absorption through the rectum is changeable more than through the mouth, for reasons will be explained later. 3. The presence of dried lump of stool in the rectum will delay the absorption. 4. Bases used in suppositories such as polyethelynglycol may cause irritation and may lead to loss of the drug. 5. The absorption is carried through the simple transport and not active transport. 6. This method is not suitable for irritant drugs, such as Tetracycline, and penicillin. * Why the absorption through the rectum is changeable? It depends on the following factors: 1. The region that drug is given the suppository and its remoteness (farmers). 2. Place of absorption of the drug. 133 Factors that are depended upon the absorption through the rectum: a. Kind (type) of the base used. b. Period (time) of the drug which stays in the rectum. c. Pharmaceutical form. d. Presence of stool. Good luck Wish you all the best 134 135