DOSAGE FORUM AND PRESCRIPTION WRITING
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Transcript DOSAGE FORUM AND PRESCRIPTION WRITING
By the end of this session, you’ll
be able to:
Identify
the various dosage forms
Enumerate
the different routes of
drug administration
Explain
the advantages and a
disadvantages of each form.
Drug Dosage Forms
Definition
Dosage Forms:
It is the pharmaceutical
preparation in which the drug is
administered to the patient.
Classification of
Drug Forms
Enteral Parenteral Inhalation Topical
Enteral dosage forms
Through GIT:
Rectal
OralSublingual
Oral
liquids
solid
Liquid preparations
1-aqueous:
1-Solution
2-Syrup
3-Emulsion
4-Suspension
5-Mixture
4-Decoction
6-Infusion
2-alcoholic
1-Tincture
2-Spirits
Advantages:
convenient,
economical, & safe.
FIRST PASS EFFECT
Disadvantages:
Not suitable in
1-unconscious.
2-excessive vomiting.
3-emergencies.
4-drugs destroyed by digestive
enzymes,or gastric acidity benzyl
penicillin.
5-drugs irritant to GIT.
6-drugs not absorbed from GIT.
7-drugs with very extensive first pass
metabolism..
Solid preparations
1-Tablets:
Simple.
Compressed
Sugar coated
Enteric coated
Sustained release
Effervescent
Sublingual.
2 - Capsules:
Hard Gelatin
Soft Gelatin
Enteric coated
Sustained release.
3 - Powder
In packets or in bulk.
4 - Effervescent
granules
In packets or in bulk.
Sublingual
1- Rapid
2- No first pass
3- Effect can be
terminated
4- Avoid GI T
enzymes.
Rectal
Suppository
Advantages:
1-Escape first pass
2-Avoid digestive
enzymes.
3-Avoid gastric
irritation.
4-Large volume of
fluids.
Enema
Parenteral
Subcutaneo
njections
I mplants
Ampoules.
Injections
Vials
Bottles.
Must be sterile and pyrogen free.
`
Means for parenteral
1-I ntravenous(IV):
Adv.:
Rapid
Large volume of fluids
Escape first pass metabolism.
Disadv:
1-Undesirable reactions due to rapid high
concentration.
2-Not suitable for oily preparations
3-Venous thrombosis
2- Intra-muscular (IM):
For aqueous or oily preparations
3-Subcutaneous(SC):
Non irritant drugs (aqueous).
4-Intrathecal
5- Intracardiac
6- Intra-arterial
7- Intra-articular
8- Intra-peritoneal
9-Bone Marrow
Subcutaneous Implantations
Pellet implanted
under skin to allow
release of the drug
over several weeks
or months.
Inhalation
Gas
Volatile liquids
Solution
administered as
AEROSOL
(Nebulizer).
Finely micronized
powder “Spinhaler”
Topical
For Local
Effect
Skin
Mouth
For Systemic
Effect
Ear
Eye
Vagina
Nose
Transdermal Delivery Patches
For systemic
effects
Advantages:
Prolonged blood
levels
No 1st pass
effect.
Important
Info
The ROA is determined by the physical
characteristics of the drug, the speed
which the drug is absorbed and/ or
released, as well as the need to
bypass
hepatic
metabolism
and
achieve high conc. at particular sites
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Info!