Showing posts with label Informative. Show all posts
Showing posts with label Informative. Show all posts

Friday, 23 December 2011

Preformulation Studies In Pharmaceutical Product Development





Preformulation is a branch of pharmaceutical sciences that utilize biopharmaceutical principles in the determination of physicochemical properties of drug substance. It is the first step in the rational development of dosage forms of a drug substance. It can be defined as an investigation of physical and chemical properties of a drug substance alone and when combined with excipients.

Preformulation studies constitute the delicate connection between the two major groups of scientists that is those at the drug discovery end and those at the drug delivery end. It is for the drug discovery group to bring out a novel molecule. In drug discovery, the scientists identifies interesting drug compounds, drug target and delivery mechanism with the potential for development into products,characterize compound and their targets and also provide fundamental information on target biological system.

Drug discovery involve synthesis and extraction which is the process of identifying new molecules. After that, the chemical entity discovered enter biological screening and pharmacological testing to explore the pharmacological activity and therapeutic potential of compounds. Then the drug enter preclinical testing which involve toxicology and safety testing to determine the potential risk a compound poses to humans and the environment,involve use of animals, tissue culture or other test system. Preclinical drug development provide data on the safety and efficacy of the product.

Subsequently, the drug enter preformulation studies. The goals of preformulation studies are to choose correct form of drug substance, evaluate physical properties and generate a thorough understanding of the material’s stability under various conditions, leading to optimal drug delivery system.Steps in preformulation process of pharmaceutical research are evaluating stability, physicochemical properties, mechanical properties, dissolution properties, plasma protein binding and excipients compatibility.

In preformulation process,stability test is done to evaluate drug stability at elevated temperature,on exposure to light and humidity for solid state while for solution, the drug is tested in term of its stability in solvent, stability at varying pH range and also stability to the light. This stabilty data will be used in designing dosage form or formulation which is said to be stable and meet expected specification for identifying, purity, quality and strength throughout their defined storage period at specific storage condition.

Physicochemical properties of drugs are also evaluated such as the molecular structure and weight, color, odour, particle size,shape and cristallinity as well as melting point. Thermal analysis profile of drug is determined to measure the changes in chemical and physical properties of a sample as a function of temperature and the test employ thermogravimetry, differential scanning calorimetry or differential thermal analysis method.

Besides that, the hygroscopic potential of drug and the absorbance spectra using UV and IR is also determined. Next the solubility profile of drug is established as solubility is important for drug dissolution and subsequent absorption. It will affect the bioavailabilty of dosage form besides the ionisation constant and partition coefficient. The last aspect of physichochemical properties is polymorphism. Polymorphism is the ability of solid material to exist in more than one crystalline structure. Polymorphism will affect the stability of drug as drug with different polymorph has different physical and chemical properties and this will cause change in solubility and affect bioavailability. Many physicochemical properties change with the change in internal structure for example melting point, hardness, optical density, crystal shape, vapor pressure and et cetera.

After physicochemical properties, mechanical properties of drug is also determined such as the bulk density, compressibility and powder flow. This data will aid in designing solid dosage form later on in formulation aspect. Other than thats,steps in preformulation are to studies the dissolution properties, plasma protein binding and excipient compatibility of the drug. Dissolution properties will influence the bioavailability of drug while excipient compatibility study is crucial to aid the formulation scientist to determine the best excipients to be used in the formulation of drug to ensure the stability of the finished product.

Formulation group has the task to make the drug into deliverable form with the aid of the data provided by the preformulation scientists. Drug formulation involve the combination of drug substance or active ingredients with drugs excipients to get the desired drug products. Drug excipients are any inactive ingredient that is intentionally added to therapeutic product but not intended to exert therapeutic effects at the intended dosage. It is added to aid drug manufacturing process and to maintain drug stability. The desired drug product is then scaled up to be produced in large quantity.

The drug products then enter phase I,II and III clinical trials to astablish its safety, effectiveness, side effects,toxicity and the most appropriate dosage regimen by testing it in healthy volunteers and patient with the disorder being studied but before the drug is tested in human, the manufacturer must obtain and Investigational New Drug (IND) designation from FDA and the application is based on pre-clinical test data conducted in animal.. After the drug product has passed stage III clinical trial, the drug need to be registered through New Drug Application (NDA) or Biologics License Application.

Once the drug is approved and registered by FDA, it can be marketed but the clinical trial still continue in stage IV or post-marketing surveillance to identify any problems that did not occur in phase I,II or III, such as those that take a long time to appear and those that rarely occur.


Tuesday, 27 September 2011

Autosuggestion

 "Every day, in every way, I'm getting better and better"


This is a quotation by Émile Coué which was a French pharmacist and physiologist. This quotation serve as a placebo in which it is believed if u repeat this quotation everyday, its gives some sort of reaffirmation to your unconscious thoughts unlike a held belief that strong conscious will constitute the best path to success.


Friday, 16 September 2011

Anaesthesia

Anesthesia is the loss of sensation. Anesthetic agents are drug used to to achieve anesthesia. Anesthesia allow patients to undergo surgery and other procedures without distress and pain they would otherwise experience.

There are 4 aspects in the practice of surgical anesthesia i.e:
1. Pre-anesthetic
2. Induction
3. Maintenance
4. Recovery

Anesthesia result from an effective anesthetic tension (concentration in partial pressure) in the brain. The faster the induction, the faster the effective anesthetic tension in the brain is achieved.

Distribution of anaesthetic to the tissue ( rate of rise of anesthetic tension in any tissue) depends on tissue solubility of anesthetic and tissue perfusion.

1.Tissue solubility 

Tissue solubility of anesthetic is expressed as tissue blood perfusion coefficients which value usually 1-3 for most tissue but >>>1 for fat. The higher the the tissue solubility, the higher the time to reach equilibrium between tissue and arterial blood and thus the slower is the rate of increase in anesthetic tension.

2. Tissue perfusion

Fat is poorly perfused tissue. So equilibrium with fat (6% of cardiac output) is the slowest.

Thus, in person with high fat content (fat people), tissue solubility of anaesthetic is higher and tissue perfusion is lower. So it take more time to equilibrate and reach effective anaesthetic tension.

I post this as a reply of  request from my friend who ask about the influence of fat on anesthesia in fat people. Do correct me if u find that my conclusion is not correct.

Tuesday, 6 September 2011

Panadol ActiFast Versus Panadol Regular

What is the difference between this 2 products?


Panadol regular or panadol 500mg. Each tablet contain 500mg of paracetamol. The price is around RM 2.80 for 10 tablets.

Panadol ActiFast. Each caplet contain 500mg of paracetamol + 173mg of sodium. The price is around RM 4.60 for 8 caplets.

The amount of active ingredient is the same. So what is the difference between this two products? 

The key different actually lies in the excipient (non-active ingredients content of the tablet).

 For the drug to carry out it action, it must be absorbed from our gastrointestinal tract (GIT). Paracetamol is poorly absorbed in the stomach but well absorbed in the small intestine due to the greater surface area and hence absorptive capacity of the small intestine. 

Sodium bicarbonate is an excipient in the formulation which has a role in increasing the rates of gastric emptying (hence movement of drugs from the stomach into small intestine) and that of dissolution and hence the speed of absorption of paracetamol to provide faster onset of relief.

However, the amount of sodium bicarbonate in 2 tablets of Panadol ActiFast are required per dose to have such an effect which mean you have to take 2 tablets of Panadol Actifast to has that fast rate of absorption.

The rate of absorption of Panadol ActiFast is twice as fast as standard panadol if taken in 2 tablets per dose.

If you take only 1 tablet of Panadol Actifast, the rate of absorption is the same as taking 1 tablet of standard panadol. For asian, it is customary that sometime we take only 500mg (1 tablet) of doses. So I would suggest to take standard panadol if you wish to take only 1 tablet as it would be cheaper while the effect is the same.

The extend (amount) of drug absorption is the same for both product. The Panadol ActiFast is meant to give fast relief of pain while the EFFICACY of both product is the SAME 


Reference:

1.GlaxoSmithKline Consumer Healthcare. Retrieved from: http://www.medicines.org.uk/emc/medicine/21529/SPC/panadol%20actifast/

2, Drugs.com. Panadol ActiFast. Retrieved from: http://www.drugs.com/uk/panadol-actifast-spc-8801.html



Tuesday, 2 August 2011

Histamine

Histamine is the ligand for 2 membrane-bound receptors i.e the H1 and H2 receptors which are present on many cell types.

The activation of H1 histamine receptors on the endothelial and smooth muscle cells leads to increase in capillary permeability.

The activation of H2 histamine receptors lead to arteriolar and venules vasodilation. This causes extravasion of the fluid and causes the areas involved to be inflammed.

Sunday, 17 July 2011

Gas Ketawa

Gas ketawa atau laughing gas ni nama lain bagi Nitrous Oxide (N20). Gas nitrous oxide ni adalah sejenis gas yang digunakan dalam dental procedure sebagai pain killer. Gas ni adlh general anesthetic agent dan selalu digunakan dlm induction phase of anaesthesia in surgery..Tu dia, mai dah masuk bab pharmacolgy..haha..teringat dr Debra Sim yg semangat ajar topik ni tapi aku tak dengar satu apa punn

Ok back to the topic, gas nitrous oxide ni bila digunakan dalam concentration atau kepekatan yang tertentu akn menyebabkan euphoria (mat rempit panggil 'high') dan ketawa secara spontan..hahahaha



Macam best je kan gas ni, ok mengarut je..tapi ada terpikir gak nak lepaskan gas ni kalau aku masuk pertandingan maharaja lawak yang tak berapa nak lawak tu.

Back to the fact, depending on the concentration of the gas administered, the user can experience this 4 level of sedation:

1. Tinggling sensation (rasa menyucuk) and paresthesia (rasa getaran) followed by;

2. warm sensation

3.feeling of well being, euphoria and floating

4. At a deeper level of sedation, again sleepiness and dream. Nausea means you are oversedated!

Despite it desirable effect, laughing gas should only be used for professional purpose such as surgery due to its analgesic effect as this drug is habit forming and it do have undesirable side effect and in fact it posession also subject to legality in the particular country..



p/s Dr debra ni suka letak quotation kat note dia, ni antara quotation dia yg aku secara tak sengaja dah terhafal:

"When the going get tough, the tougher get going"

Tuesday, 12 July 2011

The most expensive drug in the world!!

I came across about this issue while reading an MPS bulentin...

The most expensive drug in the world is Soliris (eculizumab) which is a monoclonal antibody that treats a rare disorder in which the immune system destrys red bloos cells at night. The disorder is known as paroxysmal nocturnal hemoglobinuria. It cost $1121.92 a day.


Top 5 MOST EXPENSIVE drugs in the world:

1. Soliris, Alexion Pharmaceutical, $409,500 a year. Monoclonal antibody drug treats a rare disorder in which the immune system destroys red blood cells at night.

2. Elaprase, Shire, $375,000 per year. Treats Hunter's syndrome, a metabolic disorder.

3. Naglazyme, BioMarin, $365,000 a year. Trats rare connective tissue disorder

4. Cinryze, ViroPharma, $350,000 a year. Trats hereditary angioedema, a rare life-threatening genetic disorder that cause painful swelling.

5. Arcalyst, Regeneron, $250,000 a year. An antiinflammatory for patients with impaired immune systems.




References:

1. Edwards. J. BNET. 20 Expensive Drugs That Could Bankrupt Medicare. Retrived from: http://www.bnet.com/blog/drug-business/20-expensive-drugs-that-could-bankrupt-medicare/8885?pg=2&tag=content;drawer-container

2. Jeremy. The Most Expensive Journal. World's Most Expensive Medicine. Retrieved from: http://most-expensive.net/medicines

3. Herper. M. Forbes.com. The World's Most Expensive Drugs. Retrieved from: http://www.forbes.com/2010/02/19/expensive-drugs-cost-business-healthcare-rare-diseases.html

Monday, 11 July 2011

Why medical and health line students cheat!?


A study has been done to determine what leads to pharmacy students cheating in a university setting. A questionnaire was distributed mainly to pharmacy students at a comprehensive university in the southeastern United States to assess self-esteem, self-efficacy, idealism, relativism, student attitudes toward cheating, tolerance for peer cheating, detachment from the university, Machiavellian behavior, and demographic information.


Results.

Factors that influence student attitudes toward cheating:

  •  Gender. Male students were more likely to tolerate cheating behavior in their peers, which may suggest that they are more likely to engage in academic dishonesty.
  • Relativism. There was a positive correlation between tolerance of peer cheating and relativism. Relativistic students believe that moral actions depend on the nature of the situation and the individuals involved. Thus, their judgment of others is based more on circumstances than the ethical principle that was violated. Relativistic students tend to be highly pragmatic and may view cheating as a possible last resort that is preferable to the alternative of failing a test, assignment, or course.
  • Degree of idealism Contrary to relativism, higher levels of idealism were negatively correlated with tolerance for peer cheating. 
  • Institutional setting. Detachment from the university was positively correlated to higher tolerance for peer cheating.



Factors that doesn’t influence students attitude towards cheating:

  •  Age
  • GPA
  • Race
  •  Income
  • Marital status


Other studies:

Baldwin and colleagues reported that:


1. Medical students
  • 39% witnessed some type of cheating among classmates during the first 2 years of their medical education
  • 67% had heard about cheating
  • 5% admitted cheating
2.Baccalaurate and associate-degree nursing students
  • 61% to 94% of students had witnessed peer cheating
  • 8% to 39% had cheated themselves
3. Pharmacy student
  •  80% of students admit cheating or witnessing cheating while attending pharmacy school.








Reference:

Marilyn D. Saulsbury PhD, BSPharm; Ulysses J. Brown, PhD; Simone O. Heyliger PhD; Ruby L. Beale PhD. Effect of Dispositional Traits on Pharmacy Students' Attitude Toward Cheating. American Journal of Pharmaceutical Education. Medscape Pharmacist. Retrieved from: http://www.medscape.com/viewarticle/744338