34 The pharmaceutical uses of suspensions The properties of an ideal suspension Ingredients which may be added to suspensions Suspensions contain one or more insoluble medicaments in a vehicle, with other additives such as preservatives, flavours, colours, buffers and stabilizers. Most pharmaceutical suspensions are aqueous, but an oily vehicle is sometimes used. Suspensions may be used for oral administration, inhalation, topical application, as ophthalmic preparations, for parenteral administration and as aerosols. Suspensions may be used pharmaceutically for a number of reasons. Some are given below: Drugs with low solubility in the continuous phase can be formulated as suspensions Patient acceptability – a liquid form rather than a solid dosage form Drugs that have an unpleasant taste in their soluble form can be made into insoluble derivatives, and formulated as a suspension, which will be more palatable, e.g. chloramphenicol (soluble) and chloramphenicol palmitate (insoluble) In oral suspensions, the drug is delivered in finely divided form, therefore optimal dissolution occurs in the gastrointestinal (GI) fluids and hence the rate of absorption is increased Insoluble forms of drugs may prolong the action of a drug by preventing rapid degradation in the continuous phase If the drug is unstable when in contact with the vehicle, suspensions should be prepared immediately prior to handing out to the patient in order to reduce the amount of time that the drug particles are in contact with the dispersion medium. For example, in ampicillin suspension, water is added to powder or granules prior to giving out to the patient. A 14-day expiry date is given, if the product is to be kept in the fridge Drugs which degrade in aqueous solution may be suspended in a non-aqueous phase, e.g. tetracycline hydrochloride has been suspended in a fractionated coconut oil for ophthalmic use Bulky, insoluble powders can be formulated as a suspension so that they are easier to take, e.g. kaolin, chalk and magnesium trisilicate (see Examples 34.1 and 34.2) Intramuscular, intra-articular or subcutaneous injections are often formulated as suspensions to prolong the release of the drug Lotions containing insoluble solids are formulated to leave a thin coating of medicament on the skin. As the vehicle evaporates, it gives a cooling effect and leaves the solid behind. Examples are Calamine Lotion BP (see Example 34.3) and Sulphur Lotion Compound BPC (see Ch. 36). In preparing a pharmaceutically elegant product, several desirable properties are sought: The three steps that can be taken to ensure formulation of an elegant pharmaceutical suspension are: 1. Control particle size. On a small scale, this can be done using a mortar and pestle, to grind down ingredients to a fine powder 2. Use a thickening agent to increase viscosity of the vehicle, by using suspending or viscosity-increasing agents
Suspensions
Introduction
Pharmaceutical applications of suspensions
Properties of a good pharmaceutical suspension
Formulation of suspensions
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Suspensions
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