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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
Contents
PHM4153 Dosage Design 2 2010/11
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Types of creams
Mode of action
Factors influencing efficacy
Manifestation of skin problem
PHM4153 Dosage Design 2 2010/11
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Example of Cream for the treatment of eczema
http://www.freederm.com/
PHM4153 Dosage Design 2 2010/11
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CLAIMS:
stops itching,
heals and softens the
skin,
kills bacteria that
causes irritation.
Considerations in Dosage Design
PHM4153 Dosage Design 2 2010/11
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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
Cream
PHM4153 Dosage Design 2 2010/11
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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
Ointment
PHM4153 Dosage Design 2 2010/11
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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
Mode of action
PHM4153 Dosage Design 2 2010/11
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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
PHM4153 Dosage Design 2 2010/11 9
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
Factors influencing efficacy
PHM4153 Dosage Design 2 2010/11
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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……
e.g. Zinc cream BP (w/o)
PHM4153 Dosage Design 2 2010/11
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ZnO suspended in a w/o emulsion of peanut oil.
The emulsifying agent is calcium oleate and wool fat.
e.g. W/O emulsifying agent
PHM4153 Dosage Design 2 2010/11
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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?
e.g. Aqueous cream BP
PHM4153 Dosage Design 2 2010/11
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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.
e.g. O/W emulsifying agents
PHM4153 Dosage Design 2 2010/11
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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?
Ingredients of FreeDermHC
PHM4153 Dosage Design 2 2010/11
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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?
Conclusion
PHM4153 Dosage Design 2 2010/11
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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
Exercise
PHM4153 Dosage Design 2 2010/11
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Describe the function of the following creams and identify the active ingredients:
EllgyMecdemaSun SenseFucidinElomet
References
PHM4153 Dosage Design 2 2010/11
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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)