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  • Pharmaceutics

Introduction, Classification and Definitions of Dosage Forms

Introduction to pharmaceutical dosage form, definition of dosage form, need of dosage forms, definition of drug (active pharmaceutical ingredients), definition of excipients.

  • Do not increase or affect the therapeutic action of the active components.
  • They are also known as inactive components or excipients and have no pharmacological action in general.
  • Examples of inactive components are dyes, preservatives, sweetening agents, binding materials, coloring agents and flavoring agents, etc.

Definitions of Different Dose Forms

  • Droughts: Liquid oral formulations comprising single or several doses of medication.
  • Elixirs: Excipients and medicaments in a liquid formulation for oral administration.
  • Emulsions: Water-based suspension of oils and fats using an emulsifying agent. Emulsifying agent coats oil particles so they do not coalesce when the interfacial tension between oil and water decreases. As a result, an emulsion is created.
  • Suspensions: One or more active components dispersed in a suitable medium are used in biphasic liquid formulations for oral administration. When shaken, it disperses into a uniform suspension that is stable enough to deliver the precise dosage.
  • Gargles: Externally applied aqueous solutions that are concentrated for treating throat infections.
  • Gels: Dispersions of medicaments in water used as antacids.
  • Lotions: External liquid preparations are generally administered without friction.
  • Liniments: The application of external liquid preparations is generally done via friction.
  • Mixtures: One or more medications are included in liquid oral preparations.
  • Mouthwashes: In a similar manner to gargles, these mouthwashes are used for oral cleanliness and to treat oral infections.
  • Nasal drops: Dropper-instilled liquid solutions used to treat nose infections and blockages.
  • Solutions: Liquid medicine that can be used for internal or exterior applications.
  • Syrups: With or without sugar and medicaments, sweet, viscous, concentrated liquid medicines are made.
  • Powders: Solid dose formulations comprising micron-sized, finely fragmented particles.
  • Tablets: Medication in solid dose form, either with or without excipients.
  • Granules: Particles in a group.
  • Capsules: Gelatin capsules are used to encapsulate drugs.
  • Pills: Excipients are contained in this small pill.
  • Lozenges: Sugar and gum-based solid formulations used to treat mouth and throat disorders.
  • Suppositories: Solid dosage form carrying medication that is put into bodily cavities other than the mouth, such as the rectum, nose, or ear.

3. Semisolid

  • Ointments: Ointment-based semisolid dose forms for external application that include or do not contain medications.
  • Creams: With or without medicaments, semisolid external dose forms with an appropriate fatty basis are available.
  • Paste: With an appropriate fat basis, semisolid external dosage forms include a significant proportion of finely powdered medicaments.
  • Gels: Contains hydrophilic or hydrophobic base and gelling agents. Transparent semisolid dose forms for external usage.
  • Aerosols: Dispersion of solid or liquid particles in gas for application to the respiratory tract, using an atomizer.
  • Inhalations: It consists of pharmaceutical liquid preparations for internal consumption, which are either dispersed or suspended in the propellant.
  • Sprays: Application of alcohol-containing medication aerosols to the nose or throat using an atomizer or nebulizer.

dosage form assignment pdf

Frequently Asked Questions on Pharmaceutical Dosage Forms

Q: what are pharmaceutical dosage forms, q: why are different dosage forms used in pharmaceuticals, q: what factors are considered when selecting a suitable dosage form, q: what are the advantages of solid dosage forms (tablets and capsules), q: what are the advantages of liquid dosage forms (syrups, solutions, suspensions), q: what are the advantages of topical dosage forms (creams, ointments, gels), q: what are the advantages of parenteral dosage forms (injections), q: what are the considerations for developing novel dosage forms, q: how are pharmaceutical dosage forms evaluated for quality and performance, q: are there any limitations or challenges associated with pharmaceutical dosage forms.

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Ansel's Pharmaceutical Dosage Forms and Drug Delivery System, 9th Edition

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Extemporaneous compounding takes place in community and hospital pharmacies. There are usually specialist compounding pharmacies in major towns and cities, but any pharmacy may undertake compounding as long as they have appropriate facilities according to state-based legislation (e.g. allocated clean bench, specific compounding equipment). Although development is a continuous process, companies are customizing features to meet the majority of patient needs, but the very nature of the process cannot meet all patient needs. The risk-benefit ratio of using traditionally compounded medicines is favorable for patients who require specialized medications that are not commercially available, as they would otherwise not have access to suitable treatment. However, if an FDA-approved drug is commercially available, the use of an unapproved compounded drug confers additional risk with no commensurate benefit. Published reports of independent testing by the FDA, state agencies, and others consistently show that compounded drugs fail to meet specifications at a considerably higher rate than FDA-approved drugs. Compounded sterile preparations pose the additional risk of microbial contamination to patients. In the last 11 years, three separate meningitis outbreaks have been traced to purportedly ‘sterile’ steroid injections contaminated with fungus or bacteria, which were made by compounding pharmacies. The 2012 outbreak has resulted in intense scrutiny of pharmacy compounding practices and increased recognition of the need to ensure that compounding is limited to appropriate circumstances. Purpose of the Study: The article aims to physico-chemical and economic considerations before compounding; factors and quality control issues; compounding support, training, chemical supplies, types of compounding (specially in hospital and ambulatory care compounding). It should aid to practice the extemporaneous preparation of basic and advanced formulations including pharmacopoeial and non-pharmacopoeial formulations encountered in pharmacy practice, together with requisite documentation, labeling, packaging and counseling requirements. Along with this, they have to study the analysis of formulations and their components and relate these to the clinical performance of medicines. This will help them to investigate, evaluate and report the physical characteristics of formulations including release kinetics and relate these to quality control and preformulation requirements; relate the application of quality control, quality assurance and the principles of good manufacturing practice to regulation of medicine production in home and abroad. Outline: Background; Introduction; Compounding Factors; Types of Compounding; Identifying Errors and Cause; Types of Compounding; Risk Management Keywords: Pharmacy Practice; Drugs; Dosage Forms; Compounding; Equipment; Pharmacopeia.

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dosage form assignment pdf

Sample Preparation of Pharmaceutical Dosage Forms

Challenges and Strategies for Sample Preparation and Extraction

  • © 2011
  • Beverly Nickerson 0

Pfizer Global Research & Development, Analytical Research & Development Dept., Pfizer Inc., Groton, USA

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  • Volume focused entirely on sample preparation and extraction of pharmaceutical dosage forms
  • A valuable resource in developing and troubleshooting sample preparation methods for drug products at all stages in the lifecycle of a drug product
  • Presents multiple examples and case studies to highlight various potential issues and solutions

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About this book

This book is intended to serve as a resource for analysts in developing and troubleshooting sample preparation methods.  These are critical activities in providing accurate and reliable data throughout the lifecycle of a drug product. 

This book is divided into four parts:

•          Part One covers dosage form and diluent properties that impact sample preparation of pharmaceutical dosage forms and the importance of sampling considerations in generating data representative of the drug product batch. 

•          Part Two reviews specific sample preparation techniques typically used with pharmaceutical dosage forms.

•          Part Three discusses sample preparation method development for different types of dosage forms including addressing drug excipient interactions and post extraction considerations, as well as method validation and applying Quality by Design (QbD) principles to sample preparation methods.  

•          Part Four examines additional topics in sample preparation including automation, investigating aberrant potency results, green chemistry considerations for sample preparation and the ideal case where no sample preparation is required for sample analysis.

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dosage form assignment pdf

Guide to Pharmaceutical Product Quality

  • Pharmaceutical
  • Preparation

Table of contents (15 chapters)

Front matter, introduction, properties that impact sample preparation and extraction of pharmaceutical dosage forms.

Beverly Nickerson

Sampling Considerations

  • Dawen Kou, Hua Ma, Edmund J. Bishop, Shangdong Zhan, Hitesh P. Chokshi

Extraction and Sample Preparation Techniques

Agitation and particle size reduction techniques.

  • Beverly Nickerson, K. Rick Lung

Liquid–Liquid and Solid-Phase Extraction Techniques

  • Beverly Nickerson, Ivelisse Colón

Extraction Techniques Leveraging Elevated Temperature and Pressure

  • Daniel Brannegan, Carlos Lee, Jian Wang, Larry Taylor

Sample Preparation Method Development and Validation for Various Dosage Form Types

Addressing drug–excipient interactions, sample preparation for solid oral dosage forms.

  • Beverly Nickerson, Garry Scrivens

Sample Preparation for Select Nonsolid Dosage Forms

  • Xin Bu, Sachin Chandran, John Spirig, Qinggang Wang

Postextraction Considerations

  • Ivelisse Colón

Sample Preparation Method Validation

  • Edmund J. Bishop, Dawen Kou, Gerald Manius, Hitesh P. Chokshi

Application of Quality by Design Principles for Sample Preparation

  • Jackson D. Pellett, Beverly Nickerson, Ivelisse Colón

Additional Sample Preparation Topics

Automation and sample preparation.

  • Gang Xue, K. Rick Lung

A Systematic Approach for Investigating Aberrant Potency Values

  • Beverly Nickerson, Ivelisse Colón, Eddie Ebrahimi, Garry Scrivens, Lin Zhang

Green Chemistry Considerations for Sample Preparation

  • Paul Ferguson, Mark Harding

No Sample Preparation

  • Yang (Angela) Liu, George L. Reid, Zhongli Zhang

Editors and Affiliations

Pfizer global research & development, analytical research & development dept., pfizer inc., groton, usa, about the editor, bibliographic information.

Book Title : Sample Preparation of Pharmaceutical Dosage Forms

Book Subtitle : Challenges and Strategies for Sample Preparation and Extraction

Editors : Beverly Nickerson

DOI : https://doi.org/10.1007/978-1-4419-9631-2

Publisher : Springer New York, NY

eBook Packages : Biomedical and Life Sciences , Biomedical and Life Sciences (R0)

Copyright Information : American Association of Pharmaceutical Scientists 2011

Hardcover ISBN : 978-1-4419-9630-5 Published: 05 August 2011

Softcover ISBN : 978-1-4899-9582-7 Published: 27 November 2014

eBook ISBN : 978-1-4419-9631-2 Published: 05 August 2011

Edition Number : 1

Number of Pages : XIV, 397

Topics : Pharmacology/Toxicology , Pharmaceutical Sciences/Technology , Biochemistry, general , Pharmacy

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PHARMD GURU

  • Pharmaceutics

1. INTRODUCTION TO DOSAGE FORMS – CLASSIFICATION AND DEFINITIONS

Dosage forms are an essential component of the pharmaceutical industry. They are the physical means by which medications are delivered to patients, allowing for effective and convenient administration. Understanding the various dosage forms and their classifications is crucial for healthcare professionals and patients alike. In this article, we will explore the different types of dosage forms, their definitions, and how they play a role in medication delivery.

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Pharmaceutics for Pharmacy Students

Chapter 2:  Dosage Forms and Routes of Drug Administration

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Introduction, need for dosage forms.

  • DRUG DELIVERY SYSTEMS
  • ROUTES OF DRUG ADMINISTRATION
  • ORAL OR ENTERAL ROUTE
  • BUCCAL AND SUBLINGUAL DELIVERY
  • COLONIC DELIVERY
  • RECTAL DELIVERY
  • NASAL DELIVERY
  • TRANSDERMAL DELIVERY
  • PULMONARY DELIVERY
  • INTRAVENOUS ADMINISTRATION
  • SUBCUTANEOUS INJECTION
  • INTRAMUSCULAR INJECTION
  • OPHTHALMIC DELIVERY
  • SUMMARY POINTS
  • Full Chapter
  • Supplementary Content

Introduction

Need for dosage forms

Separate incompatible drugs

Provide a mechanism to enhance the absorption of poorly absorbed drugs

Reduce degradation in biological fluids

Controlled release

Reduce drug irritation

Provide tamper resistance

Recap questions

Drug delivery systems

Routes of drug administration

Oral or enteral route

Buccal and sublingual delivery

Colonic delivery

Rectal delivery

Nasal delivery

Transdermal delivery

Pulmonary delivery

Intravenous administration

Subcutaneous injection

Intramuscular injection

Ophthalmic delivery

Summary points

What do you think?

Why are dosage forms needed?

Extended functions of dosage forms

What is a “route of drug administration”?

Why are different routes of drug administration needed?

What is the ideal in drug delivery and why is this ideal not easy to achieve?

Overview of common routes of drug administration

Chapter 1 deals with the approach that this book takes to the study of pharmaceutics. It makes the point that the drug and its dosage form must be considered together. The dosage form may significantly alter the impact of the drug and, in certain instances, actually change the nature of the observed pharmacological response. Several examples were given to explain the expanded role of the dosage form, illustrating the modified effects obtained as a consequence of the drug being placed within specialized dosage forms. This chapter starts off with a discussion of dosage forms to illustrate why we need them from a practical point of view, even when they do not materially affect the pharmacological response. It then briefly describes the different routes of drug administration. These two topics serve as the prelude to a book that deals largely with dosage forms and routes of drug administration ( Mind Map 2-1 ).

MIND MAP 2-1

Some Dosage Forms and Their Most Important Routes of Administration

An illustration shows the dosage forms and examples of a few different forms of drugs and their routes of administration. The various dosage forms are as follows: drug or API; tamper resistance; reduced drug irritation; controlled release; reduced degradation; enhanced absorption; and incompatible drugs. A few examples with their corresponding routes of administration are as follows: Liquids, capsules, and tablets: oral; Tablets and thin films: buccal and sublingual; pectin-coated tablets: colonic; suppositories: rectal and vaginal; sprays, drops, and gels: nasal; drops, gels, and ointments: ophthalmic; ointments and creams: transdermal; inhalation capsules and metered dose inhalers: pulmonary; aqueous injections: intravenous, subcutaneous, and intramuscular; oily injections: intramuscular.

With respect to dosage forms, the following aspects are important:

What they are

Why we need them

What goes into them (ingredients)

How they are made

How they are tested

What effect they have on the body (biological system)

How the body affects them

Their stability

The advantages and disadvantages of each type

How to choose from the different types of dosage forms, of the same drug, for a particular patient

In addition, the mechanisms of drug release from the dosage form are important, as are the mechanisms and physiological factors that affect its absorption. A general approach adopted in this book is to outline the principles and give a few examples for illustrative purposes. Given that the book takes this approach, it is useful to start with a very basic concept: what are dosage forms and why do we need them?

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The Pharmapedia

Dosage form Classification with example

Dosage form, Classification, Pharmaceutics, Pharmapedia, The Pharmapedia, Pharmaceutical,

  • What is a drug?
  • Dosage form & need for Dosage form?
  • What are Pharmaceutical excipients?
  • Classifications of Dosage Forms Based on Route of Drug Administration
  • Classifications of Dosage Forms Based on Physical state

Drugs are rarely administered as pure chemical entity, Almost always given as formulated preparations i.e Dosage form . They are administered in the different dosage forms after converting them into a suitable dosage formulation.

Drug substances are seldom administered alone; rather they are given as part of a formulation in combination with one or more nonmedicinal agents (referred to as pharmaceutical ingredients or excipients ) produce dosage forms of various types. The pharmaceutical ingredients solubilize, suspend, thicken, dilute, emulsify, stabilize, preserve, color, flavor, and fashion medicinal agents into efficacious and appealing dosage forms.

The potent nature of most active drug substances and their low dose requirement which may not be convenient to weigh on routine bases as required by patients has prevented their use in the treatment and management of disease conditions. In other to obtain a stable, elegant, safe and therapeutic active drug product, drug substances are formulated into appropriate dosage forms ; each designed to contain a given quantity of active drug substances for ease and accuracy of dosage administration.

What is A Drug

The word “ drug ” is derived from the old French word “ drogue ” which means a “dry herb”; and has often been used interchangeably with “medicine”,.

“ Pharmaceutical product ” and “ pharmaceuticals ” to refer to chemical substances intended for use in the diagnosis, prevention, treatment and management of disease(s) in man and in other animals. Traditionally, drugs were obtained naturally from minerals, plants or animals, but more recently, as by-products of microbial growth, through chemical/ organic synthesis, molecular modification, or biotechnology.

Dosage form & need for the Dosage form

Drugs are rarely administered as pure chemical entity, Almost always given as formulated preparations. They are administered in the different dosage form after converting then into a suitable dosage formulation.

Dosage forms are the means by which strong molecules/drugs are delivered to desired site of action within the body.

The term “ dosage forms ” refers to pharmaceutical preparations or formulations in which a specific mixture of drug substances (active pharmaceutical ingredients) and inactive components ( excipients ) are presented in a particular configuration to facilitate easy and accurate administration and delivery of active drug substances.

Or You can say

The manner in which drug substance are presented in the market. (Solid, Liquid or Gaseous)

Desirable properties of dosage form should:

  • Convenient to handle, use and store
  • Stable during storage and use
  • Withstand mechanical shock during transport
  • Flexibility in different drug strength
  • Provide expected therapeutic effect
  • Extent, drug release, onset, intensity, duration of action predictable
  • Economical and elegant

Needed for Dosage Forms

  • To protect the drug substance from the destructive influences of atmospheric oxygen or humidity (coated tablets, sealed ampuls).
  • To protect the drug substance from the destructive influence of gastric acid after oral administration (enteric-coated tablets)
  • To conceal the bitter, salty, or offensive taste or odor of a drug substance (capsules, coated tablets, flavored syrups)
  • To provide liquid preparations  of substances that are either insoluble or unstable in the desired vehicle (suspensions)
  • To provide clear liquid dosage forms of substances (syrups, solutions)
  • To provide rate-controlled  drug action (various controlled-release tablets, capsules, and suspensions)
  • To provide optimal drug action from topical administration sites (ointments, creams, transdermal  patches,  and  ophthalmic,  ear,  and nasal preparations)
  • To provide for insertion of a drug into one of the body’s orifices (rectal, urethral or vaginal suppositories)
  • To provide for placement of drugs directly in the bloodstream or body tissues (Parenteral injections)
  • To provide for optimal drug action through inhalation therapy (inhalants and inhalation aerosols)
  • To provide drug products that bind to a specific physiological site of action/ targeted-release

Classifications of Dosage Forms

Pharmaceutical dosage forms are classified mainly either based on the route of drug administration or based on the physical form of the dosage form.

  • Based on the route of the Drug Administration
  • Based on Physical state

1. Based on the route of the Drug Administration

route of Drug Administration, Pharmacology, Classification,  Dosage,

2. Based on Physical state

Classification, Dosage form, Physical form Pharmaceutics, Solid, Liquid, Dosage form, Semisolid, Gaseous,

1) Classification of Solid dosage forms

  • Powders : Solid dosage forms containing finely divided particles in micron size
  • Tablets : Solid dosage form containing medicaments with or without excipients
  • Granules : Aggregate of particles
  • Capsules : Drug enclosed with a gelatin capsule
  • Cachets : Drugs enclosed with wafer sheet of rice
  • Pills: Small tablet containing excipients
  • Lozenges : Solid preparations containing sugar and gum used to medicate mouth and throat
  • Suppositories : Solid dosage containing medicaments with suitable suppository base that inserted into the body cavities other than the mouth, like rectum, nose, ear
  • Poultices: Solid dosage form converted to paste-like preparation used externally in the skin to reduce inflammation

2) Classification of Liquid dosage forms

  • Collodions: Liquid preparations for external use having nitrocellulose used to protect the skin 2. Droughts: Liquid preparations for oral containing medicaments available in a single dose or multiple doses
  • Elixirs : Liquid preparation for oral containing medicaments with suitable excipients
  • Emulsions: Biphasic liquid dosage form for oral containing medicaments in which fine oil globules dispersed in the continuous phase
  • Suspensions : Biphasic liquid dosage form for oral containing medicaments in which fine solid particles suspended in the continuous phase
  • Enemas : Liquid preparation for rectal containing medicaments
  • Gargles : Concentrated aqueous solutions for external use used to treat throat infections
  • Gels: Aqueous colloidal suspensions containing medicaments used as antacids
  • Linctuses : Viscous, liquid oral preparations used to relief cough
  • Lotions : Liquid preparations for external application usually applied without friction
  • Liniments : Liquid preparations for external application usually applied with friction
  • Mixtures : Liquid oral preparations containing one or more medicaments
  • Mouthwashes : Concentrated aqueous solutions for external use used to treat mouth infections and oral hygienic
  • Nasal drops : Liquid preparations containing medicaments that are instilled into the nose with a dropper used to treat nose infections and blockage of the nose
  • Paints : Liquid preparations for external application to the skin or mucous membrane with a soft brush
  • Solutions : Clear liquid preparation containing with or without medicaments used for internal or external preparations
  • Syrups : Sweet, viscous, concentrated liquid preparations containing with or without sugar and medicaments

3) Classification of Semisolid dosage forms

  • Ointments : Semisolid dosage forms for external use containing with or without medicaments with a suitable ointment base
  • Creams: Semisolid dosage forms for external use containing with or without medicaments with a suitable fatty base
  • Paste : Semisolid dosage forms for external use containing a high proportion of finely powdered medicaments with a suitable fatty base
  • Gels: Transparent semisolid dosage forms for external use containing hydrophilic or hydrophobic base with gelling agents
  • Poultices: Semisolid dosage forms for external use containing medicaments applied to the skin to hold the dressing and protective

4) Classification of Gaseous dosage forms

  • Aerosols: Suspension of fine solid or liquid particles with gas used to apply the drug to the respiratory tract having atomizer within the device
  • Inhalations : Internal liquid preparations containing medicaments dissolved in a suitable solvent or if insoluble suspended in the propellant
  • Sprays: Gaseous preparations of drugs containing alcohol applied to mucous membrane of nose or throat with atomizer or nebulizer

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  • Br J Clin Pharmacol
  • v.59(6); 2005 Jun

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Formulation of medicines for children

1 Clinical Director of Pharmacy, Royal Liverpool Children's NHS Trust, Liverpool, UK

Julie Williams

2 Pfizer Global Research & Development, Sandwich, UK

The development of age-adapted dosage forms and taste-masking of bitter-tasting drugs administered orally for children, are formidable challenges for formulation scientists. Childhood is a period of maturation requiring knowledge of developmental pharmacology to establish dose but the ability of the child to manage different dosage forms and devices also changes. Paediatric formulations must allow accurate administration of the dose to children of widely varying age and weight. Whilst the oral route will be preferred for long term use and the intravenous route for the acutely ill, many of the dosage forms designed for adults, such as oro-dispersible tablets, buccal gels and transdermal patches, would also benefit children if they contained an appropriate paediatric dose. The age at which children can swallow conventional tablets is of great importance for their safety. Liquid medicines are usually recommended for infants and younger dhildren so the ability to mask unpleasant taste with sweeteners and flavours is crucial. More sophisticated formulations such as granules and oro-dispersible tablets may be required but there will be limitations on choice and concentration of excipients. There are many gaps in our knowledge about paediatric formulations and many challenges for the industry if suitable preparations are to be available for all ranges. A CHMP points to consider document is soon to be released. More research and clinical feedback are important because a formulation with poor acceptability may affect compliance, prescribing practice and ultimately commercial viability.

Introduction

In pharmacology and clinical paediatrics the focus is on the active drug substance (or active pharmaceutical ingredient (API)) when determining dosage, clinical effects and adverse drug reactions. However, the formulation is fundamentally important since it determines, in practice, whether the dose can be successfully delivered to the paediatric patient. Moreover, it is important to consider the formulation excipients and the potential for any adverse effects in this potentially vulnerable age group.

The development of formulations which are appropriate for children can present significant challenges to the pharmaceutical scientist. Unlike in adults, where oral solid dosage forms such as tablets or capsules will be acceptable to the majority of patients, potential paediatric patients may include neonates, newborn, toddlers, young children and adolescents, and as such, will have widely varying needs. The development of multiple dosage forms for different ages will rarely be commercially viable and liquid formulations, which can be given to a broad age group, present particular pharmaceutical challenges. For example, taste masking a bitter-tasting drug is a major formulation hurdle which can be very costly and may not be totally achievable.

Some considerations for the development of acceptable paediatric drug formulations are discussed below.

Requirement for dosage forms

There are various reasons for the formulation of drugs into appropriate dosage forms; one of the most important relates to accurate measurement of the dose. Many active drugs are very potent and only require milligram or microgram amounts to be administered. For children the amount of drug required for the dose varies with age and weight. Active drugs must be diluted in a vehicle which allows accurate and convenient dose measurement. Active drugs must also be protected during their shelf life from degradation, for example by oxygen and humidity and, when administered orally, may require protection from degradation by gastric acid. It may be necessary to conceal taste and smell and to produce liquid preparations of insoluble or unstable drugs. There may be a requirement for rate controlled action or optimization of delivery of topical or inhalational drugs and those delivered by injection must be sterilized.

Ages and abilities

Childhood is characterized by periods of rapid growth, maturation and development. The ability to handle active drugs changes during childhood and is recognized in developmental pharmacology. There is a change in the magnitude of dose required during childhood and adolescence which may be fifty-fold. There are also significant changes in the ability to handle different dosage forms with small volume liquid medicines being appropriate for oral use in the younger age groups; liquid medicines and fast dissolving ‘melt’ formulations suitable for most ages and tablets and capsules being more convenient to the lifestyle of adolescents.

Paediatric practice requires a range of dosage forms that are acceptable at different ages and abilities and a range of strengths or concentrations allowing administration of the correct age-related dose. Seriously ill children will require intravenous drug administration and will prefer this to frequent intramuscular injections. For less serious illness and long-term administration the oral route will be preferred but other routes such as buccal, nasal, transdermal and rectal can be useful in some circumstances.

The age at which children take tablets or capsules is a factor of importance to their safety so that inadvertent inhalation and choking are avoided but is also of great importance to manufacturers. Tablet formulations are generally easier and cheaper to develop, manufacture, transport, store and dispense than liquid medicines. There is little information in the literature but it is generally believed that traditional tablets may be accepted by children of school age, although this will depend on the size and shape of the tablet and patient factors such as the taste of liquid medicine alternatives. In fact, advances in pharmaceutical technology have resulted in the development of many different types of tablets such as melts, chewable and oro-dispersible tablets, and it is technically possible that appropriate tablet formulations could be made available for children of most ages, but at a cost.

Challenges with oral liquid formulations

The dose and volume of liquid medicines may be limited by the solubility of drug substances requiring the addition of cosolvent and surfactant excipients. Physical, chemical and microbiological stability must be assured with buffering agents, antioxidants and preservatives. Of crucial importance is the ability to mask unpleasant taste with sweeteners and flavours. If this is not achievable, more sophisticated formulation approaches such as encapsulation of drug particles, may be required. These more complex formulation approaches bring higher technical challenges and consequently, research and development will be more lengthy and costly.

Formulation homogeneity is required and dosing devices such as droppers or syringes may be required for accurate dosing.

There are limitations on choice and concentration of excipients for paediatric patients.

Solid dosage forms

A wide variety of solid dosage forms is now available including powders (e.g. Viracept® oral powder (nelfinavir mesylate, Pfizer), granules (e.g. Singulair® oral granule (Montelukast Na, Merck) and sprinkles (e.g. Depakote® Sprinkle capsules (Divalproex Na, Abbott). These are usually mixed with specified food or drink and are easy to swallow. Taste is again important; there is risk of incomplete ingestion and consequently a reduction in the dose given. Potential for technical challenges include powder processing, packaging, stability and dose extraction.

A variety of modern tablet preparations is available such as fast dispersing dosage forms (FDDFs), for example Calpol Fast Melts® (Pfizer Consumer Health), Nurofen® Meltlets (Crookes Healthcare), Benadryl® orodispersible tablets. None of the products currently has a licence for children less than 6 years of age, primarily due to the dose strengths available. These products are placed in the mouth where they ‘melt’ on the tongue in a small amount of saliva or can be dispersed in a small amount of liquid on a spoon. They are easy to administer providing that taste is acceptable and they provide accuracy of dose. However, many of these technologies are proprietary and consequently will require licensing agreements Development costs are higher than for conventional oral dosage forms. Examples include Zydis™ (Scherer), OralSolv™ (Cima), WOWtab™ (Yamanouchi), Films (LTS Lohman)

Tan and Cranswick NE (2003) have shown that in Australia 70–80% of products suitable for children have inadequate dosing information in the SPC and that in 25% of products licensed for children, dosage forms are unsuitable for the intended ages. However, if there is the commercial incentive of a large market for a common illness such as pain or vomiting or for OTC products, a complete and varied portfolio of products can be made available as shown by paracetamol and ondansetron.

An ideal formulation for children will allow minimal dosage and frequency; will have one dosage form to fit all or a full range; will have minimal impact on lifestyle; a minimum of nontoxic excipients and will have convenient, easy, reliable administration. It should also be easily produced, elegant, stable, cheap and commercially viable. The challenge in achieving this should not be underestimated.

Challenges and knowledge gaps

There are many gaps in our knowledge about paediatric formulations and many challenges for industry to face if suitable preparations are to be available for all age ranges. These include

  • acceptable dose volumes and sizes
  • safety, e.g. risk of aspiration or choking for solid dosage forms
  • excipient acceptability
  • taste (and how best to assess during development).

Information is available with a CHMP points to consider formulation document in draft. Undoubtedly more research and clinical feedback will be valuable since if a formulation has poor patient acceptability, it affects compliance, prescribing practices and ultimately commercial viability.

Conclusions

Determining the correct dose and our ability to deliver it to the child successfully are equally important. We need a variety of different dosage forms to satisfy clinical need, varying dose requirement with age; ability and preference. The availability of appropriate dosage forms is limited even when the medicine is authorized for children. EU regulations and incentives may improve the situation from 2007 and a points to consider document on ‘formulations of choice for the paediatric population’ should better inform the industry. We need to encourage and work with manufacturers to adapt medicines to the needs of children but should also ensure that pharmacists and carers have information to adapt dosage forms safely and to extemporaneously formulate if necessary. Clearly more research and development is required.

COMMENTS

  1. PDF INTRODUCTION TO DOSAGE FORMS

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  9. (PDF) Dosage form design and development

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  10. PDF Chapter-i Drug Characterization & Dosage Forms

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  11. Pharmaceutical Dosage Forms and Drug Delivery Third Edition

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  13. PDF Understanding Pharmaceutical Dosage Forms

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  16. (PDF) Ansel's Pharmaceutical Dosage Forms and Drug ...

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  17. Sample Preparation of Pharmaceutical Dosage Forms

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  18. 1. Introduction to Dosage Forms

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  20. PDF Age-appropriate and Acceptable Paediatric Dosage Forms: Making

    Modify / manipulate adult dosage form3. Crush tablet / open capsule and add dosing vehicle to prepare liquid preparation. Crush tablet / open capsule and add to soft food. Split tablet into segments to enable swallowability or appropriate dose strength. Dilute parenteral preparation to produce lower strength.

  21. Solid Dosage Forms

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  22. Dosage form Classification with example

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  23. Formulation of medicines for children

    The development of multiple dosage forms for different ages will rarely be commercially viable and liquid formulations, which can be given to a broad age group, present particular pharmaceutical challenges. For example, taste masking a bitter-tasting drug is a major formulation hurdle which can be very costly and may not be totally achievable.