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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5335_Библиотеки_им_академика_М_И_Перельмана.pdf
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
A number of pharmaceutical and cosmetic products are formu­lated as emulsions. They may be administered topically, orally and parenterally.
Examples of pharmaceutical emulsions
Pharmaceutical Dosage Forms
The choice of materials for the oil phase is determined primarily by the ultimate use of the emulsion. A wide variety of lipids or lipo­philic materials such as mineral oils, vegetable oils, silicones and waxes may be used to form the oil phase.
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Dierent types of oils used in making emulsions
Emulsifying agents are customarily divided into three broad classes, namely, surfactants, hydrophilic colloids and finely divided solids. The factors aecting the selection of emulsifying agents include the types of emulsion, i.e., whether the oil is dispersed in the water (O/W emulsion) or whether the water is dispersed in the oil (W/O emulsion), compatibility of the emulsifying agent with other components of the emulsion, toxicity of the emulsifying agent, and its cost.
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Dierent types of emulsifying agents used in making emulsions
Depending on the purpose of the emulsion, antimicrobial preserv­atives, antioxidants or chelating agents, buers, colors, sweetening agents, flavors and fragrances may be added in the formulation of an emulsion. In particular, antioxidants are added to prevent degrada­tion of the emulsified oils upon exposure to air (oxygen). Unsaturated oils, such as vegetable oils, may give rise to rancidity with resulting unpleasant odor and taste. Examples of antioxidants include butylated hydroxytoluene, butylated hydroxyanisole, L-tocopherol and alkyl gallates. If traces of metallic ions, which are likely to catalyze oxida­tive degradation, are present in the emulsion, chelating agents such as citric acid, maleic acid and phosphoric acid may be added.
In the manufacture of pharmaceutical emulsions, dierent types of emulsifying machines have been employed to produce emulsions by simple stirring, colloid milling, vibration or ultra-sonification.
Pharmaceutical Dosage Forms
The oil phase and aqueous phase are prepared separately and sub­sequently combined in the emulsifying machine. In the absence of thermosensitive components, heat may be employed to facilitate the emulsification process.
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A physically stable emulsion is one in which there is no coalescence of the disperse phase that ultimately leads to separation of the oil and the water phases. As soon as an emulsion has been prepared, time- and temperature-dependent processes occur to eect separa­tion of the two immiscible phases (oil and water). Emulsion insta­bility is shown by creaming, flocculation, coalescence and eventual cracking. When cracking happens, there is a complete breakdown of the emulsion, with coalescence of the droplets and a separation of the two phases into two layers. This process is irreversible. Cracking may result from chemical, physical and biological eects.
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
14.5.6. Creams
A cream is a semi-solid dosage form consisting of an emulsion base. Creams are divided into two types: O/W creams which are com­posed of small droplets of oil dispersed in a continuous water phase, and W/O creams which are composed of small droplets of water dis­persed in a continuous oil phase. Additives with thickening eects are added to the continuous phase to increase the viscosity of the preparation. O/W creams are generally more acceptable as they are less greasy and more easily washed o using water. However, W/O creams are more moisturizing as they provide an oily barrier which reduces water loss from the stratum corneum, the outermost layer of the skin. The type of cream used as a base for the drug depends on the application and desired outcome. For example, a W/O cream is not suitable as a base for a drug used to treat acne as its greasiness will clog the skin pores and aggravate acne.
Skin anatomy
Pharmaceutical Dosage Forms
You may have come across the terms cold cream and vanishing cream, especially in cosmetic products. A cold cream is a W/O cream that is traditionally produced using beeswax and borax. These two components will interact chemically to form an emulgent to sta­bilize the cream. Cold creams are so called as they are often used during colder weather conditions because of their higher oil content and ability to prevent dry skin. Cold creams are also mainly used for skin treatment such as facial mask or lip balm due to their mois­turizing properties. They can also be formulated to smoothen skin, remove makeup and to be used as shaving creams.
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A vanishing cream is an O/W cream that seems to disappear or vanish when spread on the skin, which explains its name. Like cold creams, vanishing creams also keep the skin moisturized but to a smaller extent. As it has a lower oil content, it does not clog the skin pores as much as a cold cream, while providing the skin with a matte finish.
As creams are basically composed of an emulsion base, they are manufactured in the same way as an emulsion. Heat is commonly employed in the manufacture, where the liquid congeals to form
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Oxy 10 — An example of a vanishing cream
the cream (semi-solid) upon cooling. Unlike liquid pharmaceutical emulsions which are usually packed into glass bottles, creams are often filled and packed into plastic or aluminum tubes of 5 g, 10 g or 15 g capacity with the batch numbers and expiry dates embossed at the base of these tubes after they have been machine-sealed by the process of crimping.
14.5.7. Ointments
An ointment commonly refers to a semi-solid dosage form with an oleaginous base that is composed entirely of lipophilic materials (fats and oils). Examples of these lipophilic materials include:
Pharmaceutical Dosage Forms
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Hydrocarbons — e.g., petrolatum, paran wax, liquid paran, microcrystalline wax and ceresin.
Vegetable oils — e.g., peanut oil, almond oil, sesame oil, olive oil and coconut oil.
Hydrogenated oils — e.g., hydrogenated cotton seed, soya bean, corn and castor oils.
Silicones — e.g., dimethylpolysiloxanes, methylphenylpolysilox­anes and stearyl esters of dimethylpolysiloxanes.
Acids, alcohols and esters — e.g., stearic acid, oleic acid, palmitic acid, stearyl alcohol, cetyl alcohol, lauryl alcohol, glyceryl tris­tearate and isopropyl myristate.
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Manufacture and Supply, Science and Reg ulation Towards High-Qua lity Medicinal Products
Petrolatum, also known as petroleum jelly, is one of the most popu­lar oleaginous bases used in making ointments. Petrolatum is taste­less, odorless and is an excellent emollient. It is also compatible with many drugs and it provides optimal drug stability to the ointment product such as analgesic and anti-inflammatory balms, and antibi­otic ointments.
Products composed of oleaginous bases
Antibiotic ointments for treatment of eye infections
Pharmaceutical Dosage Forms
Ointments are prepared by two general methods, namely the “Incor­poration Method” and the “Fusion Method”. The method employed for preparation depends on the nature of the ointment components. Under the Incorporation Method, no heating is employed. The base is prepared by blending its components. It is then mixed with the drug to obtain a homogeneous product. An advantage of this method is its suitability for thermolabile drugs. However, the Incorporation Method is more suitable for small-scale production that usually employs the mortar and pestle, or the ointment slab and spatula.
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Can you recognize any of these semi-solid pharmaceutical products? Which prod­ucts are creams and which ones are ointments?