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KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not http://staff.iium.edu.my/akausar

KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

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Page 1: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

KAUSAR AHMADKULLIYYAH OF PHARMACY, I IUM

PHM4153 Dosage Design 2 2010/11

1

Creams An introduction it is not

http://staff.iium.edu.my/akausar

Page 2: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Contents

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2

Types of creams

Mode of action

Factors influencing efficacy

Page 3: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Manifestation of skin problem

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Page 4: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Example of Cream for the treatment of eczema

http://www.freederm.com/

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CLAIMS:

stops itching,

heals and softens the

skin,

kills bacteria that

causes irritation.

Page 5: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Considerations in Dosage Design

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Types of ailments

e.g.

Headache

Cough

Rashes

Fever

Cold

Delivery route of medications

e.g.OralOcularBuccalPercutaneous/

Transdermal Skin is barrier

CREAMS, gels, pastes, poultices

Page 6: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Cream

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• e.g. lanolin or petrolatum, and water, the main ingredient being water

a viscous, semisolid emulsion of oil

• spreads readily

Preferable

• Non-greasy• aqueous cream as water washable bases• e.g. hydrocortisone cream

oil-in-water

• greasy• e.g. emollient & cleansing

water-in-oil

Page 7: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Ointment

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ointment - a semisolid emulsion of oil and water, the main ingredient being oil

many topical drugs

specially formulated ophthalmic ointments

applied topically to the eye without causing irritation

Page 8: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Mode of action

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e.g. sunscreen

In intimate contact with skin with the site of action for a

period of time

1) Local and topical

e.g. acne

Reach local circulation underneath skin

Release drugs from base & penetrate across different

layers of skin

Penetrate through skin

2) Localised systemic action

Page 9: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

PHM4153 Dosage Design 2 2010/11 9

Page 10: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Interfacial boundaries

Penetration routes Treatments

Surface Insect repellentAnti-microbial

Stratum corneum

EmollientExfoliant

Appendages Anti-perspirant

Viable epidermis

Anti-inflammatoryAnaesthetic

Dermis Anti-pruritic

Circulation Transdermal system

PHM4153 Dosage Design 2 2010/11

10Drug dissolves, diffuse, release from vehicle

partition./diffusion

Transepidermal

Transappendageal

Pilosebaceous unit

Eccrine/apocrine

gland

Partition/ diffusion

Partition/ diffusion

Remove via circulation

Page 11: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Factors influencing efficacy

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Diffusion through skin Partition coefficient, pH, solubility….at the

various layers of the skin Can be modified by surfactants

Factors influencing absorption Age, skin condition, drug/skin/vehicle

interactions, temperature……

Page 12: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

e.g. Zinc cream BP (w/o)

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ZnO suspended in a w/o emulsion of peanut oil.

The emulsifying agent is calcium oleate and wool fat.

Page 13: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

e.g. W/O emulsifying agent

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Wool fat

Wool alcohols

A fatty acid ester of sorbitan

The salt of a fatty acid

A divalent metal Ca++

QWhat is the HLB no. of above?

Page 14: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

e.g. Aqueous cream BP

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30% of emulsifying ointment with purified water preserved with chlorocresol.

Boil and cool sufficient purified water. Measure the quantity required and dissolve the chlorocresol with the aid of gentle heat.

Add solution to the melted emulsifying ointment. Stir gently until cold.

Page 15: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

e.g. O/W emulsifying agents

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Alkali salt of a fatty acid e.g. potassium oleate

PEG derivative of a sorbitan fatty acid ester

QWhat is the HLB no of the above?

Page 16: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Ingredients of FreeDermHC

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API 1% hydrocortisone

Excipients deionized water, polawax cetyl alcohol, stearyl alcohol, glyceryl stearate, dimethicone, propylene glycol, methyl paraben, propyl paraben, imidazolidinyl urea, benzylalkonium chloride, triethanolamine, citric acid. 

Q What is the function of each ingredient above?

Page 17: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Conclusion

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Disadvantages

Incomplete

easily brushed off

Dose not known

Dose accuracy not maintained

Microbial growth if WATER is contaminated

Shorter shelf life compared to solid dosage forms

Advantages

ConvenientEasy to administerLocalised Immediate effectPrompt drug

withdrawalEasy to manufacture

Page 18: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

Exercise

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Describe the function of the following creams and identify the active ingredients:

EllgyMecdemaSun SenseFucidinElomet

Page 19: KAUSAR AHMAD KULLIYYAH OF PHARMACY, IIUM PHM4153 Dosage Design 2 2010/11 1 Creams An introduction it is not

References

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Gennaro, A. R. (2000). Remington: The Science and Practice of

Pharmacy 20th Ed. Philadelphia: Lippincott Williams and

Wilkins. p 836-857

Ansel, H. C., Allen, V. & Poovich, N. G. (1999). Pharmaceutical

dosage forms and drug delivery systems 7th Ed. Philadelphia:

Lippincott Williams and Wilkins. p 244-262

Weiner, M. L. & Kotkoskie, L. A. (2000). Excipient Toxicity and

Safety. New York: Marcel Dekker. Chapter 7 (Library: RS201)

Magdassi ,S. & Touitou, E. (1999) . Novel Cosmetic Delivery

Systems. New York: Marcel Dekker. Chap 9 (Librray: TP983.3)