Intended to obtain a systemic or local effect, or for diagnostic purposes
Vaginal delivery route
Intended to obtain a local effect
Rectal and vaginal preparations of the BP contain one or more active substances in a suitable basis
Suppositories
Solid, single-dose preparations suitable for rectal administration, containing one or more active substances dispersed or dissolved in a suitable basis
Pessaries
Solid, single-dose preparations suitable for vaginal administration, containing one or more active substances dispersed or dissolved in a suitable basis
Suppository production
1. Preparation of the mould
2. Base preparation (displacement value calculation)
3. Preparation of the active drug
4. Mixing and pouring
Mould preparation
The mould must be clean and dry
Lubrication may be needed
Equilibrate the mould at room temperature before use
Each mould has a specific capacity
Moulds are filled by volume so not all moulds and all bases give 1g suppositories
Each mould needs to be calibrated
Base preparation
Temperature of melting must be controlled depending on base used
The amount of base needed will depend on the amount of drug included
Preparation of the active drug
Drug is ideally included as a powder
Inclusion of liquids might require the use of emulsifiers to form an emulsion
Powders are included by direct mixing when soluble in the base or trituration when insoluble in the base
Reduce particle size of the powder to improve the dispersion in the base
Mixing and pouring
Allow enough mixing time in order to have an homogeneously dispersed drug
Mix continuously until you notice an increase in viscosity that indicates that the base is about to set (congealing point)
Start pouring into the first cavity of the mould
Overfill the cavity of the mould to allow for shrinkage
Move to the following cavity without stopping pouring to avoid formation of layers
Trim excess when it has solidified
Allow to cool
Characteristics of suppositories and pessaries
Single dose dosage form
Solid dosage form
The drug can be dissolved or dispersed
They are administered to obtain both a local and a systemic effect
They are formulated with bases that are soluble or dispersible in water or melt at body temperature
Steps of suppositories compounding
1. Prepare the mould
2. Weigh the excipients and drug
3. Melt the base
4. Mix the drug with the base
5. Pour in the mould
6. Mix until congealing point
7. Trim the excess
8. Remove suppositories and wrap individually
The molten base is poured at congealing point to avoid formation of layers
If the molten base is poured before congealing point the suspended drug might precipitate before the suppository solidifies
If the molten base is poured after congealing point the base might solidify too quickly and give malformed suppositories
The base must be poured continuously to avoid the formation of layers
Each cavity must be overfilled to allow for the shrinkage of the base on cooling