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ORAL ROUTE OF DRUG
ADMINISTRATION
Dr. Jeenal Mistry
Senior resident,
Dept. of Pharmacology,
GMERS Medical College, Navsari.
Date: 4th January 2023
Outlines
2
1 Drug Formulation
2 Dosage
3 Types
4 Advantage
5 Disadvantage
6 Examples
3
COMPETENCY
PH 2.1: Demonstrate an understanding of use of various dosage forms
(Oral / Local /Parenteral; Solid / Liquid)
Specific Learning Objectives:
The student should be able to:
• Enlist the common dosage forms used for oral route of administration
• Instruct the patient about the correct method of using an oral dosage
form
• Describe the advantages and disadvantages of various dosage forms.
Drug formulation
▷ A recipe by which a drug is
prepared. It contains the list of active
ingredients and other substances like
excipients, vehicles, flavoring agents,
preservatives etc.
4
Dosage form
▷ It is the form in which a drug formulation is administered to
the patient.
▷ Goal : To provide a therapeutic amount of drug to
appropriate site in the body in order to achieve and maintain
desired drug concentrations.
5
Classification of dosage forms
Oral dosage forms
Parenteral dosage forms
Topical dosage forms
Newer Drug Delivery System
6
ORAL DOSAGE FORMS
7
▷ ADVANTAGES
✓ Safer, more convenient
✓ Economical
✓ Does not need any assistance
✓ Non-invasive, painless
✓ Medications need not be sterile
8
▷ DISADVANTAGES
✓ Slow action hence not suitable for
emergencies
✓ May cause nausea and vomiting
✓ Cannot be used for non-
cooperative/unconscious and patients
having vomiting.
✓ Under goes first pass metabolism
✓ Can be degraded by gastric
juices(penicillin G, insulin)
✓ Irritant drugs can cause GI side effects
✓ Highly polar drugs(i.e. Streptomycin)
are not absorbed
TYPES OF ORAL DOSAGE FORMS
9
SOLID LIQUID
Tablet Syrup
Capsule Suspension
Spansule Linctus
Granule Drops
Kapseal Elixir
Pearl
Powder
Effervescent powder
SOLID ORAL DOSAGE FORMS
10
11
TABLETS CAPSULE POWDER FORM
GRANULES PEARLS
12
• These are solid dosage forms containing unit dose of one or more
powdered or granulated drugs that are compressed or moulded into
a round or discoid shape. They are prepared with or without diluents.
Contents of a tablet:
• Excipients: In addition to active ingredients, a tablet may contain the
pharmacologically inert substances which are added to
pharmaceutical preparation either to add bulk to active drug or to
mask the unpleasant taste. i.e. lactose, starch.
13
List of substances used as excipients:
1. Diluents: are used when the amount of the drug(s) in the tablet is small
2. Lubricant: It prevents sticking of the tablet to the manufacturing machine.
3. Disintegrator: It helps in quick disintegration of the tablet in GIT.
4. Binder: It binds the drug particles together in the tablet form sweetener,
preservative, colouring agent etc.
5. Vehicle: These are the substances which are used to dissolve or suspend
the drugs in the preparation in order to make them better applicable or
more palatable.
Type of tablets
14
1. Compressed tablets:
• The solid drugs are compressed by
mechanical pressure to form tablets
(e.g. erythromycin).
COMPRESSED / UNCOATED TABLETS
Type of tablets
15
2. Coated tablets:
• The tablets are sugar coated to improve palatability or enteric coated to
protect the drug from the effect of gastric secretions or film coated to
protect the drug from effects of atmospheric oxygen or moisture.
• Enteric coated tablets are provided with one or more layers of coating
intended to resist the gastric fluid but permit their disintegration in the
intestinal fluid e.g. aspirin.
• They are swallowed as such and should not be broken, chewed or sucked.
Type of tablets
16
3. Scored tablets
• These tablets contain break mark
on their surface so that they can
be easily divided into smaller
doses,if required.
Type of tablets
17
4. Slow or Sustained release tablets (SR):
• SR preparations release the drug slowly over a long period of time.
• Desired plasma concentration may develop slowly but the action continues for
long period.
• Require less frequent administration and favour patient compliance (e.g.
isosorbide dinitrate, nifedipine).
• Not useful in emergency, where a quick onset of drug action is desired.
• They are swallowed assuch.
Type of tablets
18
5. Buccal or Sublingual tablets:
• These are small, flat or oval tablets intended to be put under the tongue or in
buccal pouch where the active drug is directly absorbed into the systemic
circulation.
• Discarded (spitted out) after the desired effect is achieved.
• Quick onset of action
• Suitable for emergencies e.g. nitroglycerine tablets to relieve pain of angina
pectoris.
Type of tablets
19
6. Chewable tablets:
• These are large tablets, having pleasant
taste, that are to be chewed well before
swallowing.
• They may disintegrate poorly in the GIT
e.g. vitamin c.
7. Dispersible tablets:
• These tablets disintegrate and
disperse rapidly in water before
administration.
Type of tablets
20
8. Effervescent tablets
• Uncoated tablets containing acidic
substances, carbonates or bicarbonates.
• React rapidly in presence of water.
• Dissolved or dispersed in water and taken
while effervescing.
• Mask the bad taste of the drug
• Psychologically satisfy the patient.
Type of tablets
21
9. Kid tablets:
• Paediatric dose of the drug.
• Easy to administer in children and ensure
accuracy of dose.
• Easy to handle as compared to liquid
preparations. E. g. amoxycillin kid tablet
Type of tablets
22
10. Lozenges or troches:
• These are flat, round or rectangular
preparations sucked in mouth (NOT to
be swallowed).
• They produce high concentration of the
drug in the oral cavity and throat to
treat local conditions.
Capsules
23
• These are small hard or soft
containers usually made of
gelatine.
• Different colours and bland to
taste.
• Powders, oils and liquids can
be administered as capsules.
• Dissolve readily in the GIT and
released drug is quickly
absorbed e.g. cod liver oil
capsules, ampicillin capsules.
• Spansules are capsules containing variably coated
drug particles that gradually release the drug in the
gut providing long action.
• E.g. iron formulation, Isosorbide dinitrate. Coloured
beads inside a capsule.
• Beads are coated with different resins which dissolve
at different time interval.
Kapseal: A type of capsules produced
by sealing the joints two parts of
cylinder by coloured band of gelatine
i.e.phenytoin.
POWDERS
24
• Powders are finely divided intimately mixed dosage
form of solid drugs.
• For internal use e.g. ORS.
• Powders are accurately weighed, easy to dispense
and administer.
• Simple powder contains one ingredient while
compound powder contains more than one
ingredient. Granular effervescent powders are also
available.
• Dispensed in paper packets or in bulk containers
with spoon measure.
• Unpalatable powders can be dispensed in capsules
or caplets or coated tablets.
GRANULES
25
These are small
aggregates of powder
held together by a
binding agent e.g.
Vitamin D3 granules
PEARLS
These are transparent or
translucent capsules that contain
liquid or semisolid drugs. i.e. Vit
A & D.
It avoids destruction by gastric
juice and also gastric irritation
but it is expensive.
LIQUID ORAL DOSAGE FORMS
26
LIQUID ORAL DOSAGE FORMS
27
ADVANTAGES:
• Especially useful in children
• Quicker action than solid dosage
form
• Paraffin can only be given in liquid
form
DISADVANTAGES:
• They are less stable (short shelf life)
• They may have unpleasant taste.
• They are bulky, inconvenient to store
and transport and accidental breakage
may occur
• Dose administered may not be
accurate, especially when household
measures are used
Elixir
Aqueous solutions
28
These contain one or more drugs dissolved in water along with sweetening, flavouring and
colouring agents:
▪ Mixture: It is a liquid preparation meant for oral administration containing one or more soluble
ingredients e.g. alkaline mixture.
▪ Syrup: It is a simple, medicated, aromatic or flavoured preparation containing sugar for
makingdrug more palatable e.g. chloroquine syrup.
▪ Linctus: It is a viscous liquid containing drug with demulcents (an agent that forms a soothing
film over a mucous membrane, relieving minor pain and inflammation of the membrane) e.g.
menthol e.g. linctus codeine.
▪ Drops: They are for paediatric use, dispensed in dropper bottles e.g. Multivitamin drops, iron
drops. They facilitate accurate dosing in infants.
▪ Elixirs: These are pleasantly flavoured solutions of a drug in sugar syrup along with high
proportionof alcohol e.g. Vitamin B-complex elixirs etc.
Suspension
29
It is a liquid medicament containing insoluble (diffusible or indiffusible) solid substances
homogenously distributed throughout the vehicle with or without the help of a suspending
agent. Powder for suspension is also available which must be reconstituted before use.
Advantages:
• They are chemically more stable than the syrup
• Mask the unpleasant taste and odour of the drug
• Insoluble solids can be given in liquid form
Disadvantage:
• A suitable preservative is required to avoid microbial contamination Instruction for
effective use of this dosage form: “Shake the bottle well before taking the prescribed
dose orally”
Suspension-Emulsion
30
They are liquid medicament containing two immiscible liquids, one of which is broken into
minute globules and dispersed throughout the other liquid. Each globule is surrounded
by a thin film of emulsifying agent that prevents coalescence of globules. e.g. liquid
paraffin emulsion.
Advantages:
• Oily drug can be given in this form
• Oil in finely dispersed state is quickly absorbed
• Emulsifying agent mask the unpleasant taste and smell of drugs
Disadvantage:
• A suitable preservative is required to avoid microbial contamination
• Correct instruction for effective use of this dosage form: “Shake the bottle well
before taking theprescribed dose orally.
“
“PROUD TO BE DRUG FREE”
31
32
Dr. Jeenal Mistry
MD PHARMACOLOGY
CLINICAL PHARMACOLOGIST
33

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ORAL ROUTE OF DRUG ADMINISTRATION_Dr. Jeenal Mistry.pdf

  • 1. ORAL ROUTE OF DRUG ADMINISTRATION Dr. Jeenal Mistry Senior resident, Dept. of Pharmacology, GMERS Medical College, Navsari. Date: 4th January 2023
  • 2. Outlines 2 1 Drug Formulation 2 Dosage 3 Types 4 Advantage 5 Disadvantage 6 Examples
  • 3. 3 COMPETENCY PH 2.1: Demonstrate an understanding of use of various dosage forms (Oral / Local /Parenteral; Solid / Liquid) Specific Learning Objectives: The student should be able to: • Enlist the common dosage forms used for oral route of administration • Instruct the patient about the correct method of using an oral dosage form • Describe the advantages and disadvantages of various dosage forms.
  • 4. Drug formulation ▷ A recipe by which a drug is prepared. It contains the list of active ingredients and other substances like excipients, vehicles, flavoring agents, preservatives etc. 4
  • 5. Dosage form ▷ It is the form in which a drug formulation is administered to the patient. ▷ Goal : To provide a therapeutic amount of drug to appropriate site in the body in order to achieve and maintain desired drug concentrations. 5
  • 6. Classification of dosage forms Oral dosage forms Parenteral dosage forms Topical dosage forms Newer Drug Delivery System 6
  • 8. ▷ ADVANTAGES ✓ Safer, more convenient ✓ Economical ✓ Does not need any assistance ✓ Non-invasive, painless ✓ Medications need not be sterile 8 ▷ DISADVANTAGES ✓ Slow action hence not suitable for emergencies ✓ May cause nausea and vomiting ✓ Cannot be used for non- cooperative/unconscious and patients having vomiting. ✓ Under goes first pass metabolism ✓ Can be degraded by gastric juices(penicillin G, insulin) ✓ Irritant drugs can cause GI side effects ✓ Highly polar drugs(i.e. Streptomycin) are not absorbed
  • 9. TYPES OF ORAL DOSAGE FORMS 9 SOLID LIQUID Tablet Syrup Capsule Suspension Spansule Linctus Granule Drops Kapseal Elixir Pearl Powder Effervescent powder
  • 10. SOLID ORAL DOSAGE FORMS 10
  • 11. 11 TABLETS CAPSULE POWDER FORM GRANULES PEARLS
  • 12. 12 • These are solid dosage forms containing unit dose of one or more powdered or granulated drugs that are compressed or moulded into a round or discoid shape. They are prepared with or without diluents. Contents of a tablet: • Excipients: In addition to active ingredients, a tablet may contain the pharmacologically inert substances which are added to pharmaceutical preparation either to add bulk to active drug or to mask the unpleasant taste. i.e. lactose, starch.
  • 13. 13 List of substances used as excipients: 1. Diluents: are used when the amount of the drug(s) in the tablet is small 2. Lubricant: It prevents sticking of the tablet to the manufacturing machine. 3. Disintegrator: It helps in quick disintegration of the tablet in GIT. 4. Binder: It binds the drug particles together in the tablet form sweetener, preservative, colouring agent etc. 5. Vehicle: These are the substances which are used to dissolve or suspend the drugs in the preparation in order to make them better applicable or more palatable.
  • 14. Type of tablets 14 1. Compressed tablets: • The solid drugs are compressed by mechanical pressure to form tablets (e.g. erythromycin). COMPRESSED / UNCOATED TABLETS
  • 15. Type of tablets 15 2. Coated tablets: • The tablets are sugar coated to improve palatability or enteric coated to protect the drug from the effect of gastric secretions or film coated to protect the drug from effects of atmospheric oxygen or moisture. • Enteric coated tablets are provided with one or more layers of coating intended to resist the gastric fluid but permit their disintegration in the intestinal fluid e.g. aspirin. • They are swallowed as such and should not be broken, chewed or sucked.
  • 16. Type of tablets 16 3. Scored tablets • These tablets contain break mark on their surface so that they can be easily divided into smaller doses,if required.
  • 17. Type of tablets 17 4. Slow or Sustained release tablets (SR): • SR preparations release the drug slowly over a long period of time. • Desired plasma concentration may develop slowly but the action continues for long period. • Require less frequent administration and favour patient compliance (e.g. isosorbide dinitrate, nifedipine). • Not useful in emergency, where a quick onset of drug action is desired. • They are swallowed assuch.
  • 18. Type of tablets 18 5. Buccal or Sublingual tablets: • These are small, flat or oval tablets intended to be put under the tongue or in buccal pouch where the active drug is directly absorbed into the systemic circulation. • Discarded (spitted out) after the desired effect is achieved. • Quick onset of action • Suitable for emergencies e.g. nitroglycerine tablets to relieve pain of angina pectoris.
  • 19. Type of tablets 19 6. Chewable tablets: • These are large tablets, having pleasant taste, that are to be chewed well before swallowing. • They may disintegrate poorly in the GIT e.g. vitamin c. 7. Dispersible tablets: • These tablets disintegrate and disperse rapidly in water before administration.
  • 20. Type of tablets 20 8. Effervescent tablets • Uncoated tablets containing acidic substances, carbonates or bicarbonates. • React rapidly in presence of water. • Dissolved or dispersed in water and taken while effervescing. • Mask the bad taste of the drug • Psychologically satisfy the patient.
  • 21. Type of tablets 21 9. Kid tablets: • Paediatric dose of the drug. • Easy to administer in children and ensure accuracy of dose. • Easy to handle as compared to liquid preparations. E. g. amoxycillin kid tablet
  • 22. Type of tablets 22 10. Lozenges or troches: • These are flat, round or rectangular preparations sucked in mouth (NOT to be swallowed). • They produce high concentration of the drug in the oral cavity and throat to treat local conditions.
  • 23. Capsules 23 • These are small hard or soft containers usually made of gelatine. • Different colours and bland to taste. • Powders, oils and liquids can be administered as capsules. • Dissolve readily in the GIT and released drug is quickly absorbed e.g. cod liver oil capsules, ampicillin capsules. • Spansules are capsules containing variably coated drug particles that gradually release the drug in the gut providing long action. • E.g. iron formulation, Isosorbide dinitrate. Coloured beads inside a capsule. • Beads are coated with different resins which dissolve at different time interval. Kapseal: A type of capsules produced by sealing the joints two parts of cylinder by coloured band of gelatine i.e.phenytoin.
  • 24. POWDERS 24 • Powders are finely divided intimately mixed dosage form of solid drugs. • For internal use e.g. ORS. • Powders are accurately weighed, easy to dispense and administer. • Simple powder contains one ingredient while compound powder contains more than one ingredient. Granular effervescent powders are also available. • Dispensed in paper packets or in bulk containers with spoon measure. • Unpalatable powders can be dispensed in capsules or caplets or coated tablets.
  • 25. GRANULES 25 These are small aggregates of powder held together by a binding agent e.g. Vitamin D3 granules PEARLS These are transparent or translucent capsules that contain liquid or semisolid drugs. i.e. Vit A & D. It avoids destruction by gastric juice and also gastric irritation but it is expensive.
  • 26. LIQUID ORAL DOSAGE FORMS 26
  • 27. LIQUID ORAL DOSAGE FORMS 27 ADVANTAGES: • Especially useful in children • Quicker action than solid dosage form • Paraffin can only be given in liquid form DISADVANTAGES: • They are less stable (short shelf life) • They may have unpleasant taste. • They are bulky, inconvenient to store and transport and accidental breakage may occur • Dose administered may not be accurate, especially when household measures are used Elixir
  • 28. Aqueous solutions 28 These contain one or more drugs dissolved in water along with sweetening, flavouring and colouring agents: ▪ Mixture: It is a liquid preparation meant for oral administration containing one or more soluble ingredients e.g. alkaline mixture. ▪ Syrup: It is a simple, medicated, aromatic or flavoured preparation containing sugar for makingdrug more palatable e.g. chloroquine syrup. ▪ Linctus: It is a viscous liquid containing drug with demulcents (an agent that forms a soothing film over a mucous membrane, relieving minor pain and inflammation of the membrane) e.g. menthol e.g. linctus codeine. ▪ Drops: They are for paediatric use, dispensed in dropper bottles e.g. Multivitamin drops, iron drops. They facilitate accurate dosing in infants. ▪ Elixirs: These are pleasantly flavoured solutions of a drug in sugar syrup along with high proportionof alcohol e.g. Vitamin B-complex elixirs etc.
  • 29. Suspension 29 It is a liquid medicament containing insoluble (diffusible or indiffusible) solid substances homogenously distributed throughout the vehicle with or without the help of a suspending agent. Powder for suspension is also available which must be reconstituted before use. Advantages: • They are chemically more stable than the syrup • Mask the unpleasant taste and odour of the drug • Insoluble solids can be given in liquid form Disadvantage: • A suitable preservative is required to avoid microbial contamination Instruction for effective use of this dosage form: “Shake the bottle well before taking the prescribed dose orally”
  • 30. Suspension-Emulsion 30 They are liquid medicament containing two immiscible liquids, one of which is broken into minute globules and dispersed throughout the other liquid. Each globule is surrounded by a thin film of emulsifying agent that prevents coalescence of globules. e.g. liquid paraffin emulsion. Advantages: • Oily drug can be given in this form • Oil in finely dispersed state is quickly absorbed • Emulsifying agent mask the unpleasant taste and smell of drugs Disadvantage: • A suitable preservative is required to avoid microbial contamination • Correct instruction for effective use of this dosage form: “Shake the bottle well before taking theprescribed dose orally.
  • 31. “ “PROUD TO BE DRUG FREE” 31
  • 32. 32 Dr. Jeenal Mistry MD PHARMACOLOGY CLINICAL PHARMACOLOGIST
  • 33. 33