PHARMACEUTICAL LIQUID DOSAGE FORM:
·
The
liquid dosage forms, whether for internal, parenteral or external use may be
either monophasic or biphasic products.
·
Monophasic
products are represented by true or colloidal solutions and solubilised
preparations. They are appeared to be similar in physical appearance and
consists of only one phase. They may have water as the solvent or may be
occasionally based on some other liquids.
·
The
biphasic products are exemplified by emulsions or suspensions and consists of
two phases. In emulsions generally both the phases are liquids, while in
suspensions the continuous phase is liquid and the dispersed phase is finely
divided solids.
·
Liquid
preparations are easy to swallow and thus more useful for pediatrics and
geriatrics.
·
On
the other hand drug in soluble state is chemically less stable than its
insoluble state.
·
Monophasic
dosage forms are available as:
- Liquid for internal use, Eg:
Syrups, Elixirs, Linctus, drops and draughts.
- Liquids for external use, which
are of two types:
A. Liquid
to be applied to the skin, eg: liniments and lotions.
B. Liquids
for body cavities. Eg: Gargles, throat paints, mouth washes, eye drops, eye
lotions, ear drops, nasal drops, spray and inhalations.
Liquid for internal use:
The largest
proportion of the liquid formulations are liquid for internal use. Drug should
have sufficient solubility in commonly used solvent, like water.
Syrups:
·
Syrups
are sweet and viscous aqueous preparations. Simple syrup is a saturated
solution of sucrose in purified water. The concentration of sucrose used is
66.7 % w/w (as per Indian Pharmacopoeia, IP).
They are either flavoring syrups (syrups containing aromatic or flavored
substances) and medicated syrups (Syrup containing medicinal substances).
·
Syrups
are used for formulating antibiotics, antitussives, antihistaminic, sedatives,
vitamins etc.
·
Most
syrups are aqueous solutions of sucrose or dextrose. Artificial syrups are also
in the market, where artificial sweetening agents (Eg: saccharine and sodium
cyclamate) are used.
·
The
artificial syrups are having two points in their favour
1. They are
free from carbohydrates and suitable for diabetics.
2. They
have lesser stability problems as compared to sugar based syrups.
Syrups are
commonly used for the following reasons:
- They are palatable
- Syrups have high osmotic
pressure which prevents growth of bacteria, fungi and prevent
decomposition of many vegetable substances. Due to this syrups have the
self-preservative activity.
- Syrups retards oxidation
because it is partly hydrolysed into reducing sugars, such as lavulose and
dextrose.
Elixirs:
·
Elixirs
are clear sweetened and flavoured hydroalcoholic solutions for oral use. Non
medicated elixiers such as aromatic elixir are mainly used as flavoured
vehicle. Medicated elixiers have their own therapeutic value.
·
Alcohol
content in elixiers varies from 3 to 40%. Due to high alcohol content, elixirs
are not the choice of dosage forms for pediatrics.
·
The
main ingredients of elixirs are ethyl alcohol, water, glycerin, propylene
glycol, flavouring agent, colouring agent and some preservative. The medicated
elixirs usually contain a potent drug such as, antibiotics, antihistamines or
sedatives.
Eg: Piperazine
Citrate Elixirs I.P (Piperazine Citrate)
Linctuses:
·
Linctuses
are viscous liquid and oral preparations that are generally prescribed for the
relief of cough. Mostly it contains ingredient with sedative action and some
contains expectorants. Simple syrup is generally used as a vehicle for most of
the linctuses. This give soothing to the sore mucous membrane of the throat.
·
To
obtain and prolong local action, linctuses should be taken undiluted and sipped
and swallowed slowly.
Eg: Codeine
Linctus B.P.C (API: Codeine Phosphate)
Drops:
·
These are small dose liquids administered
without dilution with the help of dropper.
·
The
oil soluble vitamins, such as vitamin A and D concentrates in fish liver oil
are presented as drops for administration.
·
Since
these preparations contain potent medicaments, the dose must be measured
accurately.
·
Droppers
is either graduated in fractions of a milliliters or pre calibrated.
Liquid Formulations for External
Use:
Monophasic
liquids for external use may be categorised into following classes
- Liquids for application to the
intact skin, such as liniments, lotions etc
- Liquids for the use in one or
the other body cavities such as gargles, throat paints, eye drops, eye
lotions, ear drops, ear douches, nasal drops, enemas etc.
- Liquids meant to be inhaled
into or sprayed in nasal or respiratory tracts.
Liniments:
·
The
liniments are liquid or semi-liquid preparations meant for application to the
skin. The liniments are usually applied to the skin with friction and rubbing
of the skin. They are solutions or emulsions in an aqueous or oily vehicles.
·
They
are used as counter irritant, rubefacient and soothing.
·
Alcohols
are also used in the preparation of liniments. Alcohol in the liniments helps
in the penetration of medicaments into the skin and also increases its counter
irritant and rubefacient action.
·
In
oily liniments arachis oil is used commonly, which spread more easily on the
skin.
·
A
liniment should not be applied to the broken skin because it may causes
excessive irritation.
Eg: Liniment
of Camphor.
Lotions:
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Lotions
are suspensions, emulsions, combination of emulsion-suspension or aqueous or
non-aqueous solutions designed to be applied to the unbroken skin without
friction.
·
They
are used for their epidermic effect, such as local cooling, soothing,
protective, drying or moisturizing properties depending upon the ingredients
used.
·
They
are directly applied to the skin with the help of some adsorbent material, such
as, cotton wool.
Eg:
Calamine Lotion I.P
Collodions:
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Collodions
are liquid preparations for external use. It contains pyroxylin
(nitrocellulose) in a mixture of ethyl ether and alcohol.
·
They
are applied to the skin by means of a soft brush or suitable applicator. After
application ether and alcohol get evaporated and leaves a film of pyroxylin on
the surface of the skin. As the preparation contains the volatile substances
collodions are highly inflammable.
Gargles:
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Gargles
are clear aqueous solutions used in the posterior region of mouth by agitating
the solution with exhaled air to produce local effect in throat and these are
not to be swallowed in large amount.
·
They
are usually available in concentrated form with direction for dilution with
warm water before use. They are brought into intimate contact with the mucous
membrane of the throat and are allowed to remain in contact with it for a few
seconds before they are thrown out of the mouth.
·
They
are used to relieve soreness in mild throat infection. Phenol or thymol is
generally present in small concentration for its antibacterial activity.
Potassium chlorate is also included in gargles for its weak astringent effect
to tone up a relaxed throat. It also stimulates secretion of saliva which
relieves dryness, eg: Phenol gargles, Potassium chloride and phenol gargles.
Mouth Washes:
·
These
are aqueous solutions with a pleasant taste and odour used to make clean and
deodorise the buccal cavity.
·
Generally
they contain antibacterial agents, alcohol, glycerin, sweetening agents,
flavouring agents and colouring agents.
Eg: Sodium Chloride
Mouth Wash, Compound B.P.C.
Throat Paints:
·
Throat
paints are viscous preparations of medicaments for local action in the pharynx.
Glycerin is commonly used as a base because, being viscous, it adheres to
mucous membrane for a long period and it possesses sweet taste.
·
They
are applied to the throat with a brush. Throat paints are used in treatment of
inflammations of various areas of the mouth and throat.
Douches:
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Douches
are aqueous solutions intended to clean, deodorise, soothe or medicate body
cavities.
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Eye
douches, often termed as eyewashes, are used to remove foreign particles and
discharges from the eyes.
·
Douches
are generally dispensed in the form of a powder or tablet with a specific
directions for dissolving it in a specific quantity of warm water. Vaginal
douches must be sterile.
·
They
are used for:
- Cleansing agents: Isotonic
sodium chloride solution
- Antiseptics. Eg: Mercuric
chloride (0.001%)
- Astringent, Eg: Alum (1%)
Enemas:
·
Enemas
are aqueous or oily solutions, suspension or emulsions of medicaments intended
for rectal administration, to cause bowel evacuation, to bring about local or
systemic therapeutic action etc.
·
Enemas
meant for cleaning purpose are used to evacuate faeces in constipation or
before an operation. They act by any one of the following methods:
- By stimulating peristalsis.
- By lubricating impacted faeces.
Ear Drops:
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Ear
drops are solutions, suspensions or emulsions of drugs in water, glycerin or
propylene glycol intended for instillation into the ear.
·
These
are used for removal of excessive cerumen, to treat infection, inflammation or
pain and for cleaning and drying of ear.
Eye Drops:
·
These
are sterile solutions or suspensions of drugs that are instilled into the eye
with a dropper. The eye drops are usually made in aqueous vehicle. It should be
sterile, isotonic with lachrymal secretions and free from foreign particles to
avoid irritation to the eye.
·
A
suitable preservative like phenyl mercuric nitrate (0.002%), Benzalkonium
chloride (0.01%) may be used to prevent bacterial or fungal growth.
·
Eye
drops usually contain substances having antiseptic, anti-inflammatory, anesthetic
and miotic properties.
Nasal Drops:
·
These
are aqueous solutions of drops that are instilled into the nose with a dropper.
·
Nasal
drops should be isotonic with 0.9% sodium chloride having neutral pH and
viscosity similar to nasal secretions by using0.5% methyl cellulose.
Biphasic
Liquid Dosage form:
Liquids
which consist of two phases are known biphasic liquids. Eg: Emulsions and
suspensions.
Emulsions:
·
Emulsions
are thermodynamically unstable heterogeneous biphasic system consisting of two immiscible
liquids, one of which is dispersed as minute globules into the others.
·
This
type of formulations are stabilized by using emulsifying agent. Internal phase
droplets are generally ranged in diameter of 0.1 µm to 100 µm.
·
Emulsions
are mostly classified as oil in water (o/w) emulsions and water in oil (w/o)
emulsions.
·
Emulsions
are used for
- Oral administration, Eg: Liquid
Paraffin Emulsion IP
- Intravenous administration, Eg:
Emulsion of vitamin A,D and K and
- For external use, Eg: Emulsions
for topical administration.
Suspensions:
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Suspensions
are heterogeneous biphasic, thermodynamically unstable liquid dosage form of
medicaments in which insoluble solid particles (as internal, discontinuous or
dispersed phase) is uniformly distributed in liquid phase (External, continuous
or dispersion phase).
·
In
suspensions finely divided particles ranging from 0.5 to 5 microns are
dispersed in a liquid vehicle.
·
Suspensions
are used for oral, parenteral and external applications. Suspensions which are
meant for external applications should have small particle size to avoid gritty
feeling to the skin and to cover a larger area of the skin. Smaller particles
also helps in the penetration of drug through the skin.
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