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UMB ABL-LAB-Compounding
P3 - Quiz 1 & 2
64
Pharmacology
Professional
10/11/2016

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Term
define compounding
Definition
combine, mix, alter a drug
Term
Why compound
Definition
1. Not available commercially
2. Avoid certain ingredients
3. Flavor
4. Drug Shortage
Term
What 3 organization are involved in quality ingredients?
Definition
1. USP
2. NF (Nat. Form)
3. FCC (Food Chem. Codex)
Term
All ingredients should meet these 3 reqs
Definition
1. manufactured in n FDA approve facility
2. Exp date
3. batch number
Term
3 things that cannot be compounded
Definition
1. Drugs removed from market
2. large quantities of comm. avail drug
3. drugs with demonstratable differences
Term
Compounding pharmacists are regulated by __________ while manufacturers are regulated by _______
Definition
state; FDA
Term
Fed law 21 U.S.C 353a says compounded drugs can be exempt from what three reqs if certain conditions are met?
Definition
1. cGMP
2. Labeling
3. Approval
Term
What conditions must be met to be exempt from the reqs described in U.S.C. 353a
Definition
1. for patient with rx
2. liscense pharmacists
3. quality ingredients
4. cannot be drug removed from mkt
5. no comm copies
6. no demonstratabel diffs
7. state has mou with fda
Term
Drug quality and security act of 2013
Definition
response to necc
Title 1 compounding quality act
title 2 supply chain sec. act
Term
Reqs if voluntarily registering as an outsourcing fac. with fda
Definition
1. reports every 6 mo
2. subject to inspection
Term
advantages if voluntarily registering as an outsourcing fac. with fda
Definition
exempt from:
1.label reqs
2. filling NDA/ADA
3. drug tracing (title 2)
4. rx not required
Term
USP 795
Definition
non-sterile guidelines
Term
USP 1075
Definition
Good compounding Practices; use in addition to 795
Term
Would the FDA take action if vet or pharm compounded product for animals with bulk drug subst?
Definition
No
Term
Food producing animals
Definition
1. no bulk drugs
2. withdraw time req
3. list of prohibited drugs
Term
Who else has good compounding procdures aside from usp?
Definition
NABP
Term
Pulverization
Definition
dissolve in solvent
evaporate
fine crystal product
Term
levigation
Definition
mix powder with small amount of non-soluble liquid
Term
Eutectic mixture
Definition
final product has lower boiling point than ingredients
Term
levigating agent
Definition
used in creams and ointments;
a liquid that is:
- viscous
- low surface tension
Term
emulsifying agent
Definition
soluble in fat and water
Term
What is more accurate conical or cylindrical?
Definition
Cylinder
Term
grad cyls are measured at the _________ of the meniscus while syringes are measured at the ______ of the plunger
Definition
bottom; top
Term
Beyond used dates of:
1. Non-aqueous
2. aqueous oral
3. aqueous topical
Definition
1. 6mo
2. 14d
3. 30d
Term
5 pieces of record keeping
Definition
1. Master Formulation
2. Compounding record
3. SOP
4. MSDS
5. Animal compounding
Term
* mg to grains?
Definition
1mg/65 grains
Term
* Rule of 7s
Definition
covert desired active ing. amount to grains subtract resulting answer from 7 to determine cap size
-3 = 000
-2 = 00
-1 or 0 = 0
Term
* Rule of 6s
Definition
subtract capsule size from 6
multiple ans X 65 to convert from grains
answer = cap capacity in mg
Term
Ointment
Definition
semi-solid prep.
Ext. or Mucous memb. app.
<20% w/w solids
Soften at body temp
Term
Cream
Definition
Semisolid prep.
Cosmetically aesthetically appealing
o-in-w or w-in-o emulsion
Term
Emulsion phasing
Definition
Internal listed first
Ex: o-in-w = int. oil; ext. water
Term
Gel
Definition
Semisolid
Contains: suspension, particle, or organic molecule that is inpenetrated by liquid
Term
hydro gel
Definition
water , alcohol, gelling agnt
Term
organo gel
Definition
hydro gel + hydrocarbon base
Term
gelling agent
Definition
extensive cross-linking/entanglement when dissolved/dispersed in a liquid
Term
Uses of topicals
Definition
Protect
Hydrate
Medication vehicle
Term
hydrocarbon base
Definition
no penetration
not for liquid ingredients
not water-washable
ex: Vaseline
Term
Absorption base - anhydrous
Definition
absorbs water
penetrates one layer, but poor drug release
not water washable
hydrophobic drugs
Term
Absorption base - w-in-oil
Definition
multi-layer penetration
contains water
absorbs water (microbial growth-30d BUD)
Good drug release
Ex: Cream
Term
Absorption base - o-in-w
Definition
Contains water(microbial - 30d BUD)
Absorbs water
fair-good drug release
can dry out
Term
Water Soluble base
Definition
Can be IRRITATING
Stability problems with hydrolysis drugs
Good drug release
Term
Can you change the base if it is specified in the Rx?
Definition
NO
Term
Hydrogel
Definition
One phase
No particles
Term
Organogel
Definition
Two phase
Particles
Transdermal useage
Term
T/F try to use an ingredient in the recipe as a levigating agent
Definition
T
Term
Rectal supp. phys desscription
Definition
2g
tapered at end(s0
Term
Vag supp. psy description
Definition
5g
Term
Uretheral Supp.
Definition
5mm diameter
Male: 4g
Female: 2g
Term
Supp Base should be
Definition
non-toxic/irritating
multi-drug-compatiability
Stable storeage
Dissolves/melt when placed
Term
T/F Cocoa butter supp base should only be used rectally
Definition
T
Term
How to store cocoa butter
Definition
Fridge
Term
T/F Polyethylene glycol supp base is mostly used for vag
Definition
T; causes urge to poop if put rectally
Term
T/F PEG supp base can be used for hydrophilic and phobic drugs
Definition
T
Term
PEG supp base is incompatible with
Definition
Aspirin
PCN
Sulfonamides
Term
Glyceerinated gelatin supp bases are commonly used for _____________ supp
Definition
vag
Term
How are glycerinated gelatin bases stored?
Definition
Fridge
Term
two methods of making supp and lozenges?
Definition
Hand roll
Fusion
Term
When using a Mfg dosage form in compounding BUD is:
Definition
which ever comes first:
< 25% of MFG exp or 6mo ...30 days if aqueous
Term
Lozenges examples
Definition
lollipop
troches
pastilles
Term
3 types lozenges
Definition
1. Hard
2. Soft.
#. Gummy
Term
Describe hard lozenge
Definition
sugar or syrup base
heat and molds needed to make
Ex: lolipop
Term
Describe soft lozenge
Definition
Fatty base
can also be hand molded
Term
Describe gummy lozenge
Definition
glycerinated/gelatin base
time intensive to make
Term
Reasons to use lozenges
Definition
Prolonged contact with tissue needed
difficulty swallowing typical dosage
local and systemic effects
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