Documente Academic
Documente Profesional
Documente Cultură
Compounding……………………………………………………………………………………………..2
Ointment…………………………………………………………………………………………………..3
Cream……………………………………………………………………………………………………..9
Lotion……………………………………………………………………………………………………..12
References………………………………………………………………………………………………15
1
Compounding
The preparation, mixing, assembling, altering, packaging, and labelling of a drug, drug-
deliver vice, or device in accordance with a licensed practitioner’s prescription,
medication order, or initiative based on the practitioner/patient/pharmacist/compounder
relationship in the course of professional practice. Compounding includes the following:
2
Ointment
Ointments are preparations for external application. It is differ from creams as they have
greasy bases. The base is usually anhydrous and therefore most ointments are
immiscible with skin secretions. Ointments usually contain a medicament or a mixture of
medicaments dissolved or dispersed in the base.
General method
The preparation of ointments can be made by fusion and the incorporation of both
solids and liquids into ointment bases.
Fusion
This involves melting together the bases over a water bath before incorporating any
other ingredients. The ointment base may include a mixture of waxes, fats and oils, of
which some are solid at room temperature and others are liquid.
General procedure
3
Add the ingredients to an evaporating basin over a
water bath to avoid overheating – use a thermometer
to check the temperature regularly.
Soluble solids should be added to the molten fatty bases at the lowest possible
temperature and the mixture stirred until cold. Alternatively, if using a pre-
prepared base, soluble solids may be incorporated using the method employed
for insoluble solids.
Insoluble solids should be incorporated using an ointment slab and spatula. If
there is more than one powder to be added, these should be mixed in a mortar
using the ‘doublingup’ method.
Coarse powders. A minimum quantity of molten fatty base should be placed in
the centre of the glass tile and used to levigate the powders. A considerable
shearing force should be applied to avoid a gritty product. The powder/fatty base
mixture may then stirred until cold and then levigate with the powder/ fatty base
mixture on the tile.
Fine powders may be triturated with finished ointment on the ointment slab.
Small amounts of powder should be added to an equal amount of ointment, by
using the ‘doublingup’ technique. These should be well triturated to incorporate
the entire ointment base. Alternatively, a small amount of powder may be
levigated with some molten ointment base on the ointment slab and spatulated to
achieve a homogeneous product.
4
The incorporation of liquids into an ointment base
_ Non-volatile, miscible liquids may be mixed with the molten fat in the evaporating
dish.
Volatile or immiscible liquids, e.g. coal tar solutions, should be triturated with the
ointment on the ointment slab. A very small amount of the ointment should be placed on
the slab in the centre. Traditionally, small quantities of liquid should be gently folded in
to avoid splashing. An alternative method is to spread a small amount of the ointment
on the slab and then score it with a spatula. Then add small quantities of the liquid and
fold into the base gently. If using coal tar or other volatile ingredients, these should not
be weighed until immediately before use and the beaker in which it has been weighed
should be covered with a watch glass to prevent evaporation. In addition, always
remember that volatile ingredients should not be added to molten bases.
Example of preparation 1
5
Method of preparation
Procedure
1. Weigh 2 g Hard Paraffin BP, 2 g Cetostearyl Alcohol BP, 2 g Wool Fat BP and
34 g Yellow/White Soft Paraffin BP by using electronic balance.
2. Place the Hard Paraffin BP into an evaporating dish and melt over a water bath.
3. Add the other ingredients until all are melted.
4. Remove from the water bath.
5. Stir until cold.
6. Weigh 30g and pack into the container. Label and dispense.
6
Example of preparation 2
1000g
Method of preparation
b. Vehicle/diluent
White Soft Paraffin BP is used as the diluent in the formula.
c. Preservative
There is no preservative included as per the product formula.
d. Flavouring
Ointments are for external use and so no flavouring is required
7
Procedure
1. Weigh 125 g Calamine finely sifted powder and 125g Zinc Oxide finely sifted
powder by using an electronic balance.
2. Transfer the Calamine and the Zinc Oxide to a porcelain mortar and triturate
together with a pestle.
3. Weigh 475 g White Soft Paraffin and 250 g Hydrous Wool Fat using an electronic
balance.
4. Place the White Soft Paraffin into an evaporating dish and melt over a water
bath.
5. Remove from the heat and add the Hydrous Wool Fat.
6. Stir until melted to ensure an even well-mixed base.
7. Transfer the powders to the ointment slab and levigate with some of the molten
base.
8. Transfer the powder/base mix to the rest of the molten base and stir until
homogeneous.
9. Weigh 25 g Strong Coal Tar Solution using electronic balance.
10. Allow the base/powder mixture to cool.
11. Add the Strong Coal Tar Solution and stir until homogeneous.
12. Pack into the suitable container.
13. Label and dispense.
a. The Strong Coal Tar Solution- cannot be added until the bases are quite cool
(less than 40ºC) as it is a volatile preparation. This method would also avoid
heating the Strong Coal Tar Solution and therefore reduce the volatilisation of
some of the coal tar constituents and reduce the risk of sedimentation.
8
Cream
Creams are formulated to provide preparations that are essentially miscible with the
skin secretion. They are intended to be applied to the skin or certain mucous
membranes for protective, therapeutic or prophylactic purposes, especially where an
occlusive effect is not necessary.
There are two types of cream which is Water-in-oil creams (oily creams) as bases and
Oil-in-water creams (aqueous creams) as bases.
General method
9
The temperature of the aqueous phase should
adjust to 60°C.
Example preparation 1
Cetrimide Cream BP
- used for the treatment of wounds and burns,
- Preoperative cleansing of the skin and
-removal of scabs and crusts in skin disease
1000 g
10
Method of preparation
Procedure
1. Weigh 50 g Cetostearyl Alcohol BP, 500 g of Liquid Paraffin BP, 445 g of freshly boiled
and cooled purified water and 5g of Cetrimide BP by using electronic balance.
2. Melt the Cetostearyl Alcohol BP in an evaporating basin over a water bath to a
temperature no higher than 60°C.
3. Add the Liquid Paraffin BP to the molten Cetostearyl Alcohol BP and remove from the
heat.
4. Stir to form the oily phase.
5. Transfer the freshly boiled and cooled purified water to a beaker and heat to 60°C
6. Add the Cetrimide BP to the freshly boiled and cooled purified water and remove from
the heat.
7. Stir to form the aqueous phase.
8. When the oily phase and the aqueous phase are both at about 60°C, add the aqueous
phase to the oily phase with constant, not too vigorous stirring.
9. Stir until cool enough to pack.
10. Pack into a collapsible tube or amber glass jar.
11. Label and dispense.
a. Stirring - must be constant and not too vigorous to ensure that there are no ‘cold spots’
within the cream as these would result in a lumpy cream.
11
LOTION
Lotions are dilute aqueous solutions or suspensions meant for external application to
the body. It may be applied to the skin or hairs or eyes. On application to the skin, the
water evaporates leaving a residue of the medicament on the skin surface. The
evaporation causes cooling and lotions are applied to the acutely inflamed areas. The
cooling effect may be enhanced or increased by the inclusion of alcohol. Glycerin may
be included in the formula to promote adherence of the powder medicament on the skin
surface. Most of the lotions are generally perfumed.
General method
Triturate the
ingredients to a
smooth paste.
12
Example preparation
Procedure
1. Weight 37.5 g of calamine powder, 12.5g of zinc oxide powder, 1.25g of sodium
citrate and 7.5g of bentonite.
2. Transfer the weighted bentonite to mortar.
3. Add zinc oxide using doubling up technique and triturate with pestle
4. Add calamine powder using doubling up technique and triturate with pestle.
5. Add sodium citrate dissolved in 20ml of water to the mortar and mix with the pestle
to form a smooth paste.
6. Add glycerol and liquefied phenol to the paste and mix with the pestle until the
mixture is pourable
7. Transfer the contents to fluted bottle
8. Rinse the mortar with water and add to the bottle
13
9. Make up to volume with any remaining water
10. Label and dispense.
a. triturate- calamine powder and zinc oxide powder must be triturate until it become
fine powder so that the powder is smooth to touch, non-irritating and can be spread
easily along the surface of the skin
14
References
Prakashan, N. (2007) Practical Pharmaceutics-II. Mumbai: Pragati Books Pvt. Ltd.
Langley, C., & Belcher, D. (2008) Pharmaceutical Compounding and Dispensing. UK:
Pharmaceutical Press.
British Pharmaceutical Codex 1973
15