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Liquid dentifrices
Tooth powders
Tooth pastes.
1 j) Define Jellies. List types of Jellies. 2M
Jellies are translucent or translucent non-greasy, semisolid preparations meant for external (1+1)
application to the skin or mucous membrane.
There are 3 types of jellies:-
1) Medicated jellies
2) Lubricating jellies
3) Miscellaneous jellies; a)Patch testing
b)Electrocardiography jelly
1 k) Differentiate eye ointment and Eye lotion 2M
Eye ointment Eye lotion (1x2)
Eye ointment is sterile preparation These are the sterile aqueous solutions
of medicament in ointment base used for washing of the eyes are
supplied in concentrated form and are
required to be diluted with warm
water immediately before use.
1 l) Calculate the quantity of 95% alcohol required to make 400ml 0f 55% alcohol. 2M
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Solution:
Volume required x percentage required = Volume used x percentage used
Volume required x95=400x55
Volume used = 55x400/95 = 231.57
231.57ml 0f 95 % alcohol is used to prepare 400 ml of 55percent alcohol
OR
95% 55parts
55%
0% 40 Parts
95 Parts
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:. Quantity of cocoa butter required = total amt of base – (Total amt of drug/d value)
= 8 – 1.56/1.5
= 8– 1.04
= 6.96gm
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2 d) Define cachets .Enlist type of cachets .Write packing and storage condition of cachets. 3M
Cachets are the solid unit dosage are moulded from rice paper and used to enclosed (1+1+1)
nauseous or disagreeable powders. Cachets are also known as wafer capsules and holds 0.2
to 1.5 gm of powder
Types of cachets
i) Wet seal cachets
ii) Dry seal cachets
Packing and storage condition of cachets :
Cachets are packed in boxes or tins in which they are placed on their edges or lying
flat.
Container should be labelled with directions for its use. Immerse in water for few
seconds and then swallow with a draught of water.
Storage: Store in cool and dry place.
2 e) Distinguish liniment and lotion on the basis of preparation, application and labelling. 3M
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2 f) Define epilation and depilation .Mention the qualities of ideal depilatory agents 3M
1) Epilation : (1+1+1)
It is mechanical removal of hair by method like plucking, waxing, electrolysis.
It is painful & may cause skin damage.
Chances of skin secretion can be increased. Contains rosin, Beeswax along with
vegetable oil, cooling agent, local anaesthetic & antibacterial agent.
2) Depilation :
It involves chemical breakdown of the hair without injury to skin. They are alkaline
reducing agents which cause the hair fiber to swell & produce a cleavage of disulphide
or cystein bridges between adjacent polypeptide chains & degrade the hair
Qualities of Ideal depilatory agents;
1. It should be non-toxic and non irritant to the skin.
2. It should be odourless but pleasantly perfumed.
3. It should be elegant.
4. It should not leave any stains on the cloth.
5. It should be capable of removing the hair within 2-5 mins
6. It should be easy to apply.
7. It should be economical.
8. It should be stable during storage.
3 Attempt any FOUR of the followings 12M
3 a) Differentiate between flocculated and deflocculated suspension with example (any 3M
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5 Sediment is loosely packed and does Sediment is very closely packed and
not form a hard cake a hard cake is formed
6 Supernatant liquid is clear Supernatant liquid is not clear
7 The floccules stick to the sides of The floccules do not stick to the
bottle. sides of bottle.
8 Suspension is not pleasing in Suspension is pleasing in
appearance appearance.
9. Ex. Bismuth carbonate mixture Ex. Precipitated chalk mixture
iii. Young’s formula: child dose = Age in years/Age in years +12 X adult dose
(1 Marks)
iv. Body surface area formula: Child Dose = body surface area of child M2/
avg body surface area of adult.X Adult Dose.(consider 1.73M2 as adult body
surface area)
v. Frieds Formula: Child Dose = age in month/150 X Adult Dose.
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3 d) Prepare 400 ml of 5% solution and label with a direction for preparing 2 litre quantity 3M
of a 1 in 2000 solution. (1+2)
Data Give:
Strength of concentrated solution = 5%
Strength of dilute solution = 1 in 2000
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Carbon dioxide stimulates the flow of gastric juices and therefore helps in 2M)
absorption of drugs
Preparation: (any one 2M)
Method of preparation (Heat method) (any one method 2mks)
A large porcelain dish is placed on a water bath, with as much of the dish as
possible exposed to the water or steam
2)The dish must be hot to ensure rapid liberation of water of crystallization from
citric acid. If heating is delayed until powder is placed in the dish, the water is
liberated slowly as the temp. Rises, but much is lost by evaporation.
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3) The ingredients are powdered, sieved, weighed & mixed. They are then placed in
dish & pressed down with spatula until the mixture has been formed a loose cake
or damp coherent mass.
4) The mixture is passed through sieve No. 8- 14 initially. Dry the granules at 60 º c
Then they are again passed through sieve no. 14-20. to collect reqd. Fraction
(Dry method) The mixed ingredient are moistened with a non aqueous liquid (alcohol ) to
prepare the coherent mass which is passed through a no 8 sieve and dried in oven at the
temperature not exceeding 60oC the dried granules are passed through sieve no. 14-20. to
collect reqd. Fraction
3 f) Explain the term- eye drop. State precautions used in handling eye drop. 3M
Definition: (1M) (Definit
Eye drop are sterile aqueous or oily solution or suspension of drugs that are ion1M
instilled into the eye with the help of dropper. and
The usually contain the drugs having antiseptic, anaesthetics, anti-inflammatory, any 4
mydriatic or meiotic property. precaut
Precautions: (0.5 X 4 = 2M) ions
Do not touch the tip of the dropper. 2M)
Never rinse the dropper.
Never use eye drop that have changed colour.
After instillation of drop, do not close eyes tightly or blink more than usual.
Discard the content after one month of use.
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Antiperspirants:
These are the agents used to prevent the flow of perspiration to overcome bad smell which
is due to bacterial decomposition. eg Gillete, Nivea etc
Deodorants:
Deodorant inhibits the formation of bad odour in perspiration by suppressing the growth of
bacteria or masks the unpleasant odour.eg. Rexona etc
Cold cream:
Creams are semisolid emulsion meant for external application to the skin and mucus
membrane. When applied they produce cooling effect due to slow evaporation of water,
they are prepared by emulsification of oil and water. Ex Ponds cold cream, Nivea cream etc
Mascara:
Mascara is a black pigmented preparation for application to the eye lashes to beautify the
eyes. It is used to darken the eyelashes and to increase their apparent length Ex Loreal ,
Maybelline etc
4 b) What are syrup? Explain how they differ from elixir and linctuses with suitable 3M
example. (Definit
Syrup: (1M) ion1M
Syrup is sweet, viscous, concentrated or nearly saturated aqueous solution of sucrose and
containing 66.7% w/w of sugar. differe
Differences: (0.5 X 4 = 2M) nce any
Syrup Elixir Linctuses 4 =2M)
Syrup is sweet, viscous, Elixirs are clear, Linctuses are viscous,
concentrated or nearly saturated sweetened and monophasic liquid
aqueous solution of sucrose flavored preparation
containing 66.7% w/w of sugar hydroalcoholic liquid containing a high
preparation intended concentration of syrup
for oral use. intended to be sipped and
swallowed slowly for
treatment of cough.
Uses: Uses: Uses:
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More viscous than elixir and less less viscous than More viscous than syrup
viscous than linctuses syrup
Ex Tolu syup ginger syrup ect Ex chloral hydrate Ex codein phosphate lictus
elixir ect
4 c) Explain herapath reaction for quinine. 3M
Oxidation of iodides with quinine sulphate : Quinine sulphate is not freely soluble in (1+1+1)
water.it is made soluble in presence of sulphuric acid. The sulphuric acid librates
hydroiodic acid from the potassium iodide and the hydroiodic acid is partly oxidized by the
sulphuric acid, yielding iodine. The iodine, hydroiodic acid and quinine sulphate then
combine to form a compound called ‘herapathite or iodosulphite of quinine’.(1M)
Example: (1M)
Rx
Quinine sulphate…………1.5 g
Dil. Sulphuric acid ………4.0 ml
Potassium iodied ………8.0 ml
Water ……………………..200ml
Procedure: (1MK)
Dissolve quinine sulphate in dil sulphuric acid in little quantity of water
Separately dissolve potassium iodide in half quantity of water
Mix the two solutions and make up the volume
Dispense the preparation for three days and if required more call for refill.
4 d) Define ointment. Dermatological factor govern the selection of an ointment base. 3M
Justify. (Definit
Definition: (1M) ion1M
Ointment is a semisolid preparation intended for external application to the skin or mucous and
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membranes, usually but not always, they contain medicinal substances. any
Dermatological factor: (Explanation of any four factors = 2M) four
1. Absorption & penetration. factor
2. Effect on skin. 2M)
3. Miscibility with skin secretion and serum.
4. Compatibility with skin secretion.
5. Freedom from irritant effect.
6. Emollient properties.
7. Ease of application.
Absorption & penetration :Absorption indicates entry of medicament into the
blood stream, systemic absorption. Penetration indicates passage of vehicle
along with medicament through the skin, cutaneous absorption. The substances
soluble both in 0il & water are readily absorbed.
Effect on skin function :Greasy bases may interfere with skin functions like
heat radiation& sweat excretions, hence are skin irritant. Water soluble bases &
o/w emulsion bases provides cooling effect rather than healing effect. This
bases readily mix with skin secretions.
Miscibility with skin secretion: Water miscible & emulsion bases are miscible
with skin secretions readily thereby releasing medicament rapidly &
completely as compared to greasy bases.
Compatibility with skin secretions: The ointment bases should have a pH around
5.5 which is the average pH of the skin secretions. Neutral ointment bases are
preferable since does not cause irritation
Freedom from irritant effect: The ointment bases used should be non-
irritant.Greasy bases cause irritation and may cause edema.
Emollient properties: Ointment bases used should possess emollient properties
that should be able to keep the skin moist. Humectants like glycerin and propylene
glycol keep the skin surface moist and soft. Wool fat, lard and paraffin keep the
skin soft by preventing rapid loss of moisture from the skin.
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Ease of application and removal: Ointment bases used should be easily applicable
and easy to remove from the skin. Stiff and sticky ointment bases are not suitable
because they may cause damage to the newly formed tissues of the skin. o/w type
emulsion bases are preferable as they are easy to apply & remove from skin.
4 e) b. Propose the proportion of oil, water and gum acacia in the preparation of 3M
primary emulsion using. (1+1+1)
i. Fixed oil.
ii. Volatile oil.
iii. Mineral oil.
Table (1+1+1 = 3M)
particulars Primary emulsion ratio
Oil Water Gum
Fixed oil 4 2 1
Volatile oil 2 2 1
Mineral oil 3 2 1
4 f) Explain Intravenous admixture. State different method for safe and effective use for 3m
intravenous admixture. (Definit
Intravenous admixture: (1M) ion1M
When one or more solution is added to an Intravenous fluid for administration the resulting and use
combination is known as Intravenous admixture These Intravenous admixture are generally 2M)
prepared as and when required by nurses by mixing drugs to transfusion fluids.
Method for safe and effective use: (2M)
Proper training should be given to nurses and pharmacists for preparation of
admixtures
Nurses should be instructed to label the drug along with its quantity which is added
to the transfusion fluid
The pharmacy department should update the paramedical staff regarding the latest
information of drug stability and compatibility
Pharmacist must use the readymade formulation available instead of making
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admixtures.
5 Attempt any FOUR of the followings 12M
5 a Calculate the volume of 80%,50%,20%, and water required to get 500 ml of 40% 3M
alcohol
By using the alligation method:
0 40 parts of water
____________________
110 parts of water
500 x 40 20,000
V = -------------- = ---------- = 181.81ml
110 110
V = 500X20 = 90.90ml
110
iii) Volume of 20% alcohol required
= 110 parts : 500 ml :: 10 parts: V
500 x 10 5000
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4 They resist to flow with increase They flow more easily with increase
in force of Application. In force of application.
5 The paste adheres to the skin. They do not adhere to the skin.
6 They are used mainly as Antiseptic, They are mainly used as protective
Protective. Emollient.
7 Zinc oxide paste BPC Ex. Sulphur ointment
5 d) Describe steps involved in processing of parental preparation 3M
Steps involved in parental preparation 0.5 X 6
i) Cleaning of containers, closures and equipment: All the containers, closures and steps)
equipment which are required for the preparation are cleaned thoroughly with detergent and
washing is done with tap water followed by distilled water and finally rinsed with water for
injection. Rubber closures are washed with hot solution of 0.5% sodium pyrophosphate in
water, than washed with water and rinsed with water for injection.
ii) Collection of materials: Ingredients of parental preparation are weighed and collected in
preparation room all the ingredients has to be of pharmacopial standards Water for
injection which is free from pyrogen has to be used for preparation.
iii) Preparation of parenteral product: The pharmacist should decide the order of mixing and
exact method of preparation to be followed before preparing the parenteral product, the
parental preparations must be prepared under strict aseptic conditions.
iv) Filtration: The parental solution so formed is passed through bacteria proof filter, the
primary objective is to clarify the solution by removing foreign particles, if the preparation
has to be sterilized by filtration than it has to be done in strict aseptic conditions before it is
transferred into final container and sealed.
v) Filling the preparation in final containers: The filtered product is filled into final
container, which are cleaned dried and sterilized on small scale hypodermic syringe and
needle are used and on large scale automatic filling machine are used. The sterile powders
are filled into the container by individual weighing or by using automatic or semi automatic
devices. The filling operation is carried under strict aseptic precautions.
vi) Sealing the container: Sealing should be done immediately after filling. Ampoules are
sealed manually on a small scale, but on a large scale ampoule sealing machine is used.
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Vials and transfusion bottles are sealed by closing its opening with rubber closures, and
then crimping of aluminium cap is done manually or mechanical means.
vii) Sterilization: The parental preparation should be immediately sterilized after sealing
any method of sterilization can be used depending on nature of medicaments present in the
preparation.
viii) Evaluation of parenteral preparations: The finished products are subjected to following
tests in order to maintain quality control a) sterility test b) clarity test c) leakage test d)
pyrogen test e) essay.
5 e) What is physical incompatibility? Explain why physical incompatibility occurs due to 3M
liquidification (1mks
When two or more than two substances are combined together, a physical change takes for
definiti
place and an unacceptable product is formed. Physical incompatibility is usually due to
on
immisibility, insolubility, precipitate formation or liquidification of solid material.
Liquefaction: When certain low melting point solids are mixed together they form a new
chemical compound which has melting point lower than room temperature, therefore they 2mks
Rx exampl
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to the coalescence of dispersed phase globules which are difficult to redisperse by shaking for
The following factors results in the cracking of emulsion. definiti
on
i) Decomposition of the emulsifying agent
ii) Addition of a solvent which dissolves both the phases 0.5mks
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emulsion.
III. Nasal drops made isotonic
Reason:
If nasal drops are isotonic it will prevent irritation to epithelial cilia of nasal mucosa.
Isotonic saline nasal sprays are commonly used in infants and children to wash out the
thick mucus from the nose in case of allergic rhinitis.
IV. Gargles are dispensed in concentrated form.
Reason:
The quantity of solution require for doing one time gargle is around 20 ml
Therefore if it is dispensed in dilute form it requires the large quantity
This is practically impossible to dispense.
Therefore they are dispensed in concentrated form
V. Linctuses should be taken in small doses
Reasons:
Linctuses should be taken in small doses, sipped and swallowed slowly without diluting it
with water in order to have the maximum and prolonged effect of medicament.
6 e) Define pyrogen. Explain principle and method for pyrogen testing 4M
Definition: (Defina
Pyrogens are by-product of bacterial metabolism, pyrogens are polysaccharides, tion
1mk
thermostable, soluble in water, unaffected by bactericide and can pass through bacterial
proof filters Princip
le 1mk
Principle:
The test involves the measurement of the rise in the body temperature of rabbit following Method
i.v. injection of a sterile solution of a substance being examined. Rabbits are used to 2 mk)
perform this test because they are more sensitive to pyrogen.
Material Used:
Temperature recording device, glass wares, syringe& needles.
Three healthy adult rabbits of either sex, each weighing not less than 1.5kg. Do not use any
rabbit having a temperature higher than 39.8°c.
Method of testing :
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Sham Test: Pyrogen testing done on rabbit: The test involves the measurement of rise in
body temp of rabbit following intravenous injection of a sterile solution of a substance
being examined. Three healthy rabbits ,each weighing not less than 1.5 kg are selected.
They are kept on balanced diet.& are not showing any loss in body weight .The solution
under test is injected slowly through ear vein in a volume of 0.5 to 10 ml/body weight.
Record the temperature of each rabbit in an interval of 30 mins for three hrs. after the
injection. The difference between initial temp & the maximum recorded as response. If no
rabbit shows an individual rise in temperature of 0.6 °C or more above its respective control
temperature, and if the sum of the 3 temperature rises does not exceed 1.4 °C, the tested
material meets the requirements for the absence of pyrogen. If 1 or 2 rabbits show a
temperature rise of 0.6 °C or more, or if the sum of the temperature rises exceeds 1.4 °C,
continue the test using 5 other rabbits If not more than 3 of the 8 rabbits show individual
rises in temperature of 0.6 °C or and sum of group maximum temp rises doesn’t exceed
3.7°c.
LAL test is used for the detection and quantification of bacterial endotoxins.
Limulus amebocyte lysate (LAL) is an aqueous extract of blood cells (amoebocytes) from
the horseshoe crab, Limulus polyphemus. LAL reacts with bacterial endotoxin or
lipopolysaccharide (LPS), which is a membrane component of Gram negative bacteria.
The solution of endotoxins containing preparation is added to the lysate derived from
heamolymph cells of horseshoe crab (limulus Polyphemus). The result of the reaction is
turbidity or precipitation or gelation of the mixture. This is used as a quantitative measure
to estimate the endotoxin content. The rate of reaction depends upon conc. of endotoxins,
pH, temperature and presence of clotting enzyme system and clottable proteins from lysate
6 f) Predict incompatibility, suggest suitable remedy and dispense the prescription 4M
Rx (2mks
Sodii salicylalis zii for the
Quininae sulhatis grii explana
Acidi sulphuri ci dilute mxxx tion
Fiat mistura and
Signa –cochleare magna dicto tertis horis summenda 2mks
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Quinine sulphate is not freely soluble in water, in this prescription dil sulphuric acid has for
been included by the prescriber to dissolve quinine sulphate but the prescriber overlooked method
the fact that the acid would decompose the sodium salicylate and prevent the formation of a )
clear mixture in order to prepare the clear mixture omit dil sulphuric acid. OR
Dilute sulphuric acid will precipitate out free salicylic acid which is indiffusible in nature
therefore suspending agent has to be added
1. Divide water into two equal parts
2. Add quinine sulphate and dil sulphuric acid in one part
3. Titurate compound tragacanth powder,sodium salicylate with other part of water
4. Mix the two solutions together and make up the volume if required
5. Transfer to the bottle and label
Label : Table spoon to be taken every four hours in the manner prescribe.
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