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UNIT 1 INTRODUCTION TO Introduction to PHARMACEUTICS Pharmaceutics Structure 1.1 Introduction Objectives 1.2 The Prescription 1.3 Posology Dosage Calculation for Children Calculation of Doses for Adults 1.4 Dosage Forms Need for Dosage Forms Classification of Dosage Forms Additives in Dosage Forms Some Commonly used Dosage Forms 1.5 Packaging of Dosage Form Types of Container Material for Construction of Containers 1.6 Summary 1.7 Terminal Questions 1.8 Answers 1.1 INTRODUCTION Pharmaceutics is the area of study concerned with the formulation, manufacturing stability and effectiveness of pharmaceutical dosage form. In the previous unit various communicable, non-communicable disorders were described. In this unit we will study how the drugs are administered in the body to be effective. Drugs are rarely used alone. They are used as a part of a formulation with other non-drug substances. These non-drug substances or additives serve specific function. The drugs presented in the dosage form are given in a specific quantity i.e. dose for a specific period. These dosage forms are available in various forms as required for a specific disease condition. Packaging of dosage form is another important aspect as the dosage form should not degrade during storage. A good packaging is necessary to protect the drug component from any type of deterioration till it reaches the consumer. In this unit, we will describe the prescription, methods to calculate the dose of drug, various types of dosage forms and packaging materials used for pharmaceuticals. Objectives After studying this unit, you should be able to: • explain prescription and its various parts; 5 Pharmaceutics • describe various types of dosage form; and • describe the need of packaging and various packaging materials used. 1.2 THE PRESCRIPTION A prescription is a medication order written by a doctor, dentist or a veterinary surgeon for the supply of a medicine, dressing or a surgical instrument to a patient. A prescription contains the following parts. i) Prescribers office information ii) Information about patient or patient information iii) Date iv) Superscription or Symbol Rχ v) Inscription vi) Subscription vii) Signature or Signa viii) Prescriber’s signature, and license No. ix) Special labelling, refill and other instructions Let us discuss each of these separately. i) Prescribers Office Information This part of the prescription is generally printed and it contains the name of the hospital, department and also the name of the prescriber. ii) Patient Information Patient information is necessary for identification purpose. Full name and address, age and sex of the patient must be written on the prescription. For a child, the age is very important as it helps in checking the dose of drug. If the patient’s full name and address is not written on the prescription then pharmacist should ask the patient about these particular, to avoid any possibility of giving products to any other patient. iii) Date Date on the prescription is written by the prescriber when it is written and also when they are received and filled in the pharmacy. The date on the prescription helps a pharmacist to find out the time lapse between the time of writing the prescription and when it is brought for filling. In case of unusual time lapse the pharmacist can question if the intention of the prescriber on the need of the patient can still be met. iv) Superscription or Rχ Symbol The superscription is represented by symbol Rχ. R is an abbreviation for the Latin word recipe meaning take though and letter j is an invocation to 6 Jupiter, the God of healing so Rχ is combination of both meaning you Introduction to take. Pharmaceutics v) Inscription This is the main part of the prescription. It contains the names and quantities of medicaments to be supplied. The medicaments may be prescribed as an official preparation or as a proprietary product together with the quantity required. The medicament may also be sometimes prescribed as a special formula in which the quantities of each ingredient is given together with the type of preparation e.g. a solution, emulsion or ointment etc. The prescriptions orders requiring the pharmacist to mix ingredients are known as compounded prescriptions. vi) Subscription This part of prescription consists of directions to the pharmacist for preparing the prescription. These may include the dosage form to be prepared and the number of doses to be dispensed. But now-a-days in majority of the prescriptions, the subscription serves merely to give directions about the dosage form and the number of doses to be supplied. vii) Signature or Signa This part of the prescription consists of directions for the patients. These directions are also to be placed on the label. It usually indicates the quantity of medicament or number of dosage units to be administered or applied. How much time in a day or what time to be administered or applied. The diluent if required or the means of application (e.g. brush). viii) The Prescriber’s Signature, License Number The name and signature of prescriber authenticate the prescriptions and avoids danger of dispensing of a spurious prescription. ix) Special labelling and other instructions The number of refills should be indicated on each prescription by the prescriber. 1.3 POSOLOGY Posology deals with the dose or quantity of drug which is administered to produce the therapeutic action. Dose of a drug is the amount of a medicinal preparation or of radiation to be administered at one time. Dosage Determination of the amount, frequency and number of doses of medicine to be given to a particular patient. 7 Pharmaceutics 1.3.1 Dosage Calculation for Children Various rules for calculating infant’s and children’s dosages are used. All of these methods give approximate dosage. Children are sometimes more susceptible than adults to certain drugs. The following rules are used for calculation of doses for infants and children. 1. Young’s Rule (for Children 2 to 12 years) Child dose = Age in years ×Adult dose Age in years +12 2. Clark’s Rule (for Children below 2 years) Child's dose = Weight in pounds ×Adult dose 150 3. Fried’s Rule for infants up to 2 years Infant's dose = Age in months ×Adult dose 150 4. Dilling’s Formula Child's dose= Age in years +3×Adult dose 30 5. The square meter surface area method is more reliable method of relating dosage. This method relates the surface area of individual to dose of drug. Child's dose = Body surface area of child×Adult dose Body surface area of adult 2 The average body surface area for an adult is taken as 1.73 sq. meter (m ). Hence, Body surface area of child (m2) Child dose = 1.73 ×Adult dose 1.3.2 Calculation of Doses for Adults Many physiological functions such as metabolic rate and kidney functions are proportional to body surface area. The dose for some drugs may be given as the 2 amount of drug/m body surface area. In such cases the dose for an individual may be calculated as follows: 2 2 Individual’s dose = Amount of drug/m × Body surface area in m 8
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