The scientific and technological aspects of the design and manufacture of dosage forms
The term 'pharmaceutics' is used in pharmacy and the pharmaceutical sciences to encompass a wide range of subject areas that are all associated with the steps to which a drug is subjected towards the end of its development
Pharmaceutics converts a drug into a medicine
Drug
The pharmacologically active ingredient in a medicine
Medicine
A drug-delivery system, a way of administering drug(s) to the body in a safe, efficient, accurate, reproducible and convenient manner
Pharmaceutical care
The care that a given patient requires and receives which assures rational drug usage
History of drug discovery
Herbal drugs and serendipitous discoveries
Vitamins and vaccines
Antibiotic era
New technology and discovery of DNA
Breakthrough in etiology
Rise of biotechnology
Use of IT
Commercialization of drug discovery
Combinatorial chemistry and robotics automation
Pre-discovery target identification
1. Define the medical need (disease)
2. Demonstrate that target is relevant to disease mechanism
3. Understand the molecular mechanism of the disease
4. Identify a therapeutic target
Drug discovery
1. Identify a lead compound
2. Lead optimization: Optimize to give drug-like properties 3.Pharmacokinetics, metabolism, off-target
activities
4. Safety assessment, Preclinical Candidate
In vitro studies
Studies using component of organism i.e. test tube experiments
In vitro studies
Studies can be completed in short period of time
Reduces risk in post clinical trials
Permit an enormous level of simplification of the system
Investigator can focus on a small number of variables
In vivo studies
Experimentation using a whole, living organism
Preclinical study
1. Pharmacology and toxicology
2. Process chemistry
3. Pharmaceutics
4. More studies to determine safety and efficacy
5. Develop a process to make a drug substance
6. Formulate the drug product
Toxicology studies
Acute toxicity
Repeated dose toxicity
Chronic toxicity
Clinical trials
1. Phase I: Healthy volunteers
2. Phase II: Diseased subjects
3. Phase III: Clinical research
4. Phase IV: FDA drug review
New Drug Application (NDA)
Summary of all work done to date including data from IND, additional data on preclinical, drug substance and product manufacturing, animal studies, clinical trial results
Review process for NDA can take up to 18 months
Information learned from clinical trials
Effectiveness in treating disease
Short-term side effects in health-impaired patients
Dose range
Absorption and metabolism
Effects on organs and tissue
Side effects as dosage is increased
Benefit/risk relationship of drug
Less common and longer term side effects
Labeling information
Parenteral administration is injection or infusion by means of a needle or catheter inserted into the body
Requirements for parenteral preparations
Sterility
Pyrogen free
Free from particulate matter
Clarity
Stability
Isotonicity
Specific and high-quality packaging
Why parenteral route is used
Rapid action
Oral route cannot be used
Not effective except as injection
Many new drugs particularly those derived from new development in biotechnology can only be given by parenteral as they are inactivated in GIT if given orally
New drugs require to maintain potency & specificity so they are given by parenteral
Advantages of parenteral route
Rapid onset of action
Can provide fluids, electrolytes, and nutrition to patients who cannot take food or have serious problems with the GI tract
Provides higher concentration of drug to bloodstream or tissues
Advantageous in serious bacterial infection
IV infusion provides a continuous amount of needed medication without fluctuation in blood levels
Infusion rate can be adjusted
Suitable for drugs which are not administered by oral route
Useful for unconscious or vomiting patients
Duration of action can be prolonged by modifying formulation
Suitable for nutritive like glucose & electrolyte
Suitable for drugs inactivated in GIT or HCl
Disadvantages of parenteral route
Once injected cannot be controlled (retreat)
Injections may cause pain at the site of injection
Only a trained person is required
If given by wrong route, difficult to control adverse effect
Difficult to save patients if overdose
Sensitivity or allergic reaction at the site of injection
Requires strict control of sterility & nonpyrogenicity than other formulations
Potential for introducing toxic agents and microbes pyrogenes
Why dosage form is required
To provide for the safe and convenient delivery of accurate dosage
For the protection of a drug substance from the destructive influence of environment
Suitable for the drugs which are not administered by oral route
Useful for unconscious or vomiting patients
Duration of action can be prolonged by modifying formulation
Suitable for nutritive like glucose & electrolyte
Suitable for the drugs which are inactivated in GIT or HCl (GI fluid)
Once injected cannot be controlled (retreat)
Injections may cause pain at the site of injection
Only a trained person is required
If given by wrong route, difficult to control adverse effect
Difficult to save patients if overdose
Sensitivity or allergic reaction at the site of injection
Requires strict control of sterility & nonpyrogenicity than other formulations
Potential for introducing toxic agents and microbes pyrogenes
Dosage form
To provide for the safe and convenient delivery of accurate dosage
Examples of dosage forms
Tablets, Capsules, syrups
Dosage form
For the protection of a drug substance from the destructive influence of atmospheric oxygen or moisture