Bentleys Textbook Pharmaceutics
Bentleys Textbook Pharmaceutics
Bentleys Textbook Pharmaceutics
An Adaptation
First Edition
Elsevier
2
Copyright
Bentley’s Textbook of Pharmaceutics, An Adaptation, 1e
Jain and Soni
ELSEVIER
A division of
Reed Elsevier India Private Limited
© 2012 Elsevier
3
information becomes available, changes in treatment,
procedures, equipment and the use of drugs become
necessary. The authors, editors, contributors and the publisher
have, as far as it is possible, taken care to ensure that the
information given in this text is accurate and up-to-date.
However, readers are strongly advised to confirm that the
information, especially with regard to drug dose/usage,
complies with current legislation and standards of practice.
Please consult full prescribing information before issuing
prescriptions for any product mentioned in the publication.
4
Table of Contents
Instructions for online access
Cover Image
Title Page
Copyright
Chapter 1 Solutions
Chapter 4 Complexatations
5
Chapter 7 Adsorption
Chapter 10 Rheology
Chapter 13 Extraction
Chapter 14 Drying
Chapter 15 Evaporation
Chapter 16 Distillation
Chapter 17 Centrifugation
Chapter 18 Filtration
6
Chapter 22 Pharmacopoeias, Formularies and Medicines
Legislation
Chapter 25 Prescriptions
Section IV Radioactivity
Chapter 32 Radioisotopes
Chapter 34 Disinfection
Chapter 35 Sterilization
7
Chapter 36 Microbial Contamination Control and Sterility
Testing
Chapter 38 Antibiotics
Chapter 41 Formulation
Chapter 43 Packaging
Index
8
Preface to the Adaptation
The first edition of Textbook of Pharmacy, when written by
A.C. Bentley in 1926, was intended to be an adequate and
complete substitute for college lectures. It was written to fulfil
the requirements of the prescribed syllabi. Bentley had first
time included the basic principles underlying pharmacopoeial
operations and also devoted a portion of his book to the
transcripts of the official monographs. This book had been
revised and updated regularly by Bentley in the succeeding
years. After Bentley’s death in 1943, the next revision of his
textbook was carried out by R. Harold Davis, who
incorporated his extensive experience of hospital pharmacy
and expanded the section on microbiology. He had also added
a new section on pharmaceutical manufacturing with an
objective to provide a ready reference for practising
pharmacists. In the next two editions a new topic, radio
pharmacy, was added. It was encouraging that the Bentley’s
Textbook of Pharmaceutics was widely accepted by the
pharmacy community. Looking at its wide acceptance and
popularity, Elsevier has adapted this book.
The process of revision of book has been continued in the
present edition and the contents of the book have been revised
and redesigned to cover the vast majority of topics. We have
focused on updating and expanding the content of the old
edition as well as introducing several new chapters, viz.
Complexations, Stability Testing as per ICH Guidelines,
Parenteral Formulations, New Drug Delivery Systems and
Pilot Plant Manufacturing, with an intention to make it more
informative for the modern pharmacists. Many books on
pharmaceutics have been introduced in the market during the
9
last one decade, claiming to fulfil the requirements of
students, but this edition of Bentley’s Textbook of
Pharmaceutics has been written with an intention to cater to
the requirements of not only the students but also the
practising pharmacists. It is hoped, therefore, that this new
edition will provide adequate study material to teachers as
well as students for understanding the various pharmaceutical
processes and operations. We hope that this edition, like its
predecessors, will be recognized as an essential textbook for
the students and a valuable work of reference for the
practising pharmacists. In working towards this end, we have
been fortunate in having the assistance of a group of our
research scholars. We place on record our gratitude to all our
colleagues and family members who gave valuable
suggestions so unselfishly in this edition of book.
Sanjay K. Jain
Vandana Soni
10
Preface to the 8th Edition
When A.C. Bentley wrote his Textbook of Pharmacy, the first
edition of which was published in 1926, he intended it to be
an adequate and complete substitute for college lectures and
he found the warrant for its existence largely in the
requirements of those students who were incapable of taking
adequate lecture notes and of those pertinacious individuals
who needs must pre-empt the efforts of their tutors by
learning it all beforehand. In common with most textbooks of
the day it was intended to fulfil the requirements of a given
syllabus and it reflected the teaching method of the time.
Much of this involved learning pharmaceutical data by rote
and although Bentley was among the first to include a
consideration of the basic principles underlying
pharmacopoeial operations, he still devoted a portion of his
book to transcripts of the official monographs. To these,
however, he added notes giving reasons for the methods used;
his textbook was often the only repository of such
information and many an examination candidate had reason to
be grateful for it.
At that time, pharmacy was rather more of an art than a
science, and progress was leisurely, but by the time he
published his fourth edition in 1937, the production of
synthetic drugs had begun which was to burst into an
explosion of effort in succeeding years which was to
revolutionize the practice of pharmacy. Bentley died in 1943
and the next revision of his text was carried out by Dr Harold
Davis, who incorporated in it the fruit of his extensive
experience of hospital pharmacy; he expanded a great deal the
section on microbiology and added a new section on
11
pharmaceutical manufacturing. Significantly, he abandoned
the objective of covering a given syllabus, aiming simply to
assist pharmaceutical students and to provide a work of
reference for practising pharmacists. In the next two editions
he added new topics such as radio-pharmacy and reduced
considerably the amount of material transcribed from the
pharmacopoeia, while at the same time commencing the
move towards a more generalized approach which has now
become the underlying concept of pharmaceutical teaching.
This process has been continued in the present volume and
new material has been added to bring it into line with modern
requirements. The practice of pharmacy has changed very
greatly in the past two decades. Extemporaneous dispensing
has been greatly reduced in favour of medicaments presented
in unit dosage forms; even so the unique contribution of the
pharmacist is central to the provision of clinically efficient
modern dosage forms, and is now well recognized. No
textbook can be expected to present within a modest extent all
that is required for the education and information of the
modern pharmacist, even in one field of study. It is hoped,
however, that this new edition will help supplement the
student*s formal teaching, consolidate his knowledge, and at
the same time stimulate further reading. We hope too that this
edition, like its predecessors, will become recognized as an
essential textbook for the student and a valuable work of
reference for the practising pharmacist.
In working to this end, I have been fortunate in having the
assistance of a group of distinguished contributors. In the last
edition Dr Davis pointed but that ‘with the rapid growth of
new medicaments and the almost continuous flow of new
pharmaceutical products, standard works of reference must
continually lag behind practice’. The production of a new
edition after a long period has served to confirm this view and
12
I am very grateful to my colleagues who, though burdened
with heavy duties, have endeavoured to make this book as
up-to-date and comprehensive as possible.
Rawlins E.A.
13
Contributors to the Adaptation
S.K. Jain PhD (Chapters 6, 8, 9, 10, 12, 13, 14, 15, 17, 20,
22, 23, 24, 29, 30, 31 and 44)
Professor, Department of Pharmaceutical Sciences, Dr Hari
Singh Gour, University, Sagar (M.P.), India
V. Soni PhD (Chapters 4, 6, 8, 9, 10, 13, 14, 15, 17, 20, 22,
23, 24, 29, 31 and 44)
Associate professor, Department of Pharmaceutical Sciences,
Dr Hari Singh Gour University, Sagar (M.P.), India
14
Department of Pharmaceutical Sciences, Dr Hari Singh Gour
University, Sagar (M.P.), India
15
Contributors to the 8th Edition
J.W. Hadgraft FPS, FRIC (Chapters 22, 23, 24, 25, 26, 27,
28 and 29)
Regional Pharmaceutical Officer, East Anglia Regional
Health Authority
16
N.D. Harris BPharm, PhD, FPS, DIC (Chapters 32, 33 and
36)
Reader in Pharmaceutics, Chelsea College, University of
London
17
F.A.J. Talman BSc, FPS (Chapters 21, 41 and 43)
Principal Lecturer in Pharmaceutics, Brighton Polytechnic
18
Section I Physicochemical Principles
19
Chapter 1
Solutions
A solution is a homogeneous molecular dispersion of two or
more substances, the relative proportions of which may vary
between certain limits. These limits are expressed most
concisely by the Phase Rule derived by J.W. Gibbs in 1876.
Composition of Solutions
The component that forms the major constituent of a solution
is called the solvent and the gas, liquid or solid dissolved in it
is known as the solute. The terms are convenient but do not
imply any difference in the role of the two constituents and
cease to have any value for pairs of liquids that are miscible
in all proportions, e.g. alcohol and water.
The composition of a solution may be expressed in various
ways, of which the following are the more common:
1. The amount of solute in grams (g) or milligrams (mg) in a
unit volume of solution.
2. The amount of solute in gram molecules (moles) in 1 litre
of solution. This expresses the concentration as a molarity.
All solutions of the same molarity contain the same number
of molecules in a definite volume of solvent.
3. The amount of solute is given as a percentage by weight
(per cent w/w).
4. For liquid mixtures, the solute is given as percentage by
volume (per cent v/v).
5. The ratio of moles of solute to the total moles present
(solvent and solute). This is known as the mole fraction and is
20
most suited to theoretical treatment of solutions. If a solution
contains nA, nB, … n1, mols of A, B, etc., the concentration
of each constituent expressed by its molar fraction N is H1 +
H2:
21
forces between A molecules and B molecules, the liquids may
not be completely miscible. Exact prediction regarding
solubility requires knowledge of the size and shape of
molecules and of the short-range forces acting between
neighbours. Experimentally, it is found that some pairs of
liquids are miscible in all proportions, some over a limited
range of composition, and others have no tendency for mixing
at all. As a rough guide, we can expect substances that are
chemically similar to show mutual solubility and hence the
adage ‘like dissolves like’. Hartley (1956) has expressed this
very clearly—‘liquids are mutually soluble to an extent
depending on the difference between the force of attraction
between unlike molecules and the mean of those between the
like pairs. In general the attraction between unlike molecules
is less than the mean of the attraction of like molecules and so
the attractive forces are best separated by dissociation of the
molecules, like with like, in separate phases’.
Unlike liquids, crystalline solids have their molecules in an
orderly arrangement of units, i.e. atoms, molecules or ions.
These units are in fixed positions so that their neighbours
remain individually the same. The insolubility of unionized
solids can be explained by the stable crystalline arrangement
and low intramolecular forces between solvent and solute.
The melting point of the solute reflects the strength of the
intramolecular forces in the solute and so the higher the
melting point the less the tendency for it to dissolve in a
liquid, provided of course that one is comparing solutes of
similar chemical structure, e.g. hydroquinone, melting point
170°C, is less soluble than phenol, melting point 41°C.
The solubility of electrolytes is largely governed by the
electrostatic forces of attraction and repulsion, the most
important single property of a solvent being its dielectric
constant. Water with a high dielectric constant is said to be a
22
polar solvent and is a good solvent for other polar substances,
e.g. electrolytes. When an electrolyte dissolves in water, the
cations are attracted to the negative ends of the water dipoles
and become associated with a shell of strongly attracted water
molecules. A similar though smaller effect occurs with the
anions and the Oδ−. Hydrocarbons with low dielectric
constants are poor solvents for electrolytes due to their
nonpolar nature.
23
air–water interface with the OH group in the water and the
hydrocarbon chain directed towards the air. This behaviour at
an air–water interface is discussed more fully in Chapter 5.
Mixed Solvents
The solvent properties of mixed solvents that show no
association effects, e.g. benzene–cyclohexane, ethylene
chloride–ethylene dibromide, are a mean of the properties of
the two liquids, when a solute is present in fairly low
concentration. There is a complication if large amounts of
solute are added, especially if it is very soluble in only one
phase since the effect may be to bring about separation of the
two liquid phases.
As a general guide, the log solubility of fairly low solubility
solutes is a linear function of the mole fraction composition of
the mixed solvent (Hartley, 1956). This relationship helps us
predict the solubility when a very bad solvent is added to a
very good solvent as is frequently done in order to precipitate
a product from solution. If, for example, a crystalline organic
substance is soluble in 10 parts of alcohol, but in 100,000
parts of water, it will be soluble only in 1000 parts of 0.5M
(molar) solution of alcohol in water. This concentration of
alcohol expressed as a percentage is approximately 75 per
cent so that the addition of as little as 25 per cent water results
in almost complete precipitation.
The behaviour of mixed solvents where one solvent tends to
associate in the presence of the second differs from this
previous case. The association or clustering of molecules
tends to give local regions of relatively high solvent
concentration which exert considerably higher solvent effect
than do the homogeneously distributed nonassociated mixed
24
solvents. The clustering tendency of methanol, ethanol and
propanol increases in this order and this correlates with the
solvent power of 50 per cent solutions of these alcohols in
water. A solution containing a high concentration of sodium
benzoate in water acts as a good solvent for a number of
organic substances, particularly phenols, due to the
association of benzoate ions providing a liquid hydrocarbon
region which is able to exert its solvent effect. Aqueous
solutions of surface active agents can dissolve many water
insoluble substances due to similar aggregation behaviour, the
aggregates in these instances being known as micelles (see
Chapter 5).
A detailed discussion of the thermodynamics of solutions is
outside the scope of this chapter and the reader should refer to
the standard textbooks of physical chemistry to appreciate the
concepts of ‘ideal behaviour’ of solutions. An ideal solution
has been defined as one that obeys Raoult’s law over the
whole range of concentration and at all temperatures.
Deviations from ideal behaviour may be due to association or
solvation effects. Association refers to a specific interaction
between the molecules of the solute, e.g. dimerization of
benzoic acid in certain solvents. Solvation refers to the
interaction between solute and solvent molecules such as
hydrogen bonding. The majority of pharmaceutical solutions,
particularly solutions of weak electrolytes, are not dilute
enough to come within the classification of ideal solutions
and thus the colligative properties, e.g. freezing point,
osmotic pressure and vapour pressure of these solutions,
cannot be accurately calculated theoretically. There is,
however, comprehensive freezing point data on drug solutions
that can be used to compute the composition of isotonic
solutions with a degree of accuracy that is adequate for most
pharmaceutical solutions.
25
Factors that Influence the Rate and
Extent of Solubility
Temperature
26
Fig. 1.1 Solubility curves.
27
where S1 and S2 are the solubilities at temperatures T1 and T2,
respectively. In an ideal solution, the heat of solution ΔH is
equal to the heat of fusion of the solid. The equation can also
be written in the form:
Particle Size
28
the particles. If allowances are made for this, the calculation
of change of surface area with time becomes very
complicated (Higuchi & Hiestand, 1963). An alternative
approach used by Edmundson and Lees (1965) was to regard
solution as an etching process in which a given surface
recedes in depth at a rate proportional to time. These two
approaches are equivalent, as solution rate measured as
volume/unit area/unit time is in fact equivalent to length/time.
By dimensional analysis:
29
where ρ and γ are, respectively, the density and surface
energy of the solid and M its molecular weight. The
substitution of typical values in the equation indicates that a
solubility increase of about 8 per cent demands a reduction in
particle size from coarse crystals to about 0.1μm (Higuchi,
1958). Barium sulphate particles of 0.1μm diameter have
been reported as being twice as soluble as coarse particles
(Alexander & Johnson 1949). The experimental verification
of the previous equation is difficult as slight contamination of
the solid surface by adsorbed impurities could cause a
significant reduction in the surface energy and thus solubility
changes could be less than predicted. The difference in
solubility between small and large crystals is responsible for
the coarsening of crystals in suspension (Ostwald ripening).
30
stationary layer of solvent surrounding the solid particle. The
saturated film was assumed to form instantaneously and the
limiting rate would be the diffusion across the stationary film.
Agitation rates would influence the thickness of the film, high
rates reducing its thickness. The previous equation could thus
be written:
31
rate-limiting step. The importance of dissolution rate studies
has been discussed by Wagner (1961) and Wurster and Taylor
(1965).
32
Practically insoluble or 10,000 or more
insoluble
Analytical Method
33
determination and is capable of yielding very accurate results
(Campbell, 1930). Filter tube A, which is about 3mm bore
and is packed with glass wool, is constricted at the upper end;
tube B is capillary tubing. The lower bottle is charged with
solute and solvent and agitated in a thermostat until solution
is complete; up to 24 hours or more may be required for this.
The apparatus is then inverted in the thermostat to allow the
solution to filter through A into the empty bottle, the expelled
air being returned by tube B. Tube B discharges a small
quantity of pure solvent into the solution–solid mixture, but
with a fine-bore capillary this quantity is negligible. The S
bend in B prevents the transfer of solid into the empty bottle.
The apparatus is removed from the
thermostat and the filtered saturated solution is analysed. This
method avoids inaccuracies due to differences in temperature
between the saturated solution and the apparatus used for
removal of the test portion.
34
Fig. 1.2 Apparatus for solubility determinations.
35
on a porous disc during filtration under reduced pressure. For
the rapid filtration of small volumes, a syringe type holder is
very convenient when the solution is forced through the
membrane by the plunger in the syringe. No special
thermostatic control of the syringe is necessary for solubility
measurements at temperatures near to ambient.
The analysis of the saturated solution is performed by any
suitable quantitative chemical analysis or by the
determination of such physical characteristics as specific
gravity or refractive index. For rough determinations, a
measured quantity of the solution may be evaporated to
dryness and the residue weighed. The concentration of very
sparingly soluble salts, such as barium sulphate, may be
calculated from the electrical conductivity of the solution;
sparingly soluble lead salts may be determined in a manner
similar to that used in the official lead limit tests. If
radioisotopes of suitable half-life are available, the technique
of isotope dilution analysis may be applied. This can be
illustrated by reference to the determination of barium
sulphate solubility. Radioactive barium chloride is added to
BaCl2 in solution, in the form of 140BaCl2, and on the
addition of sulphuric acid, 140BaSO4 and BaSO4 are
precipitated simultaneously. The specific activity (i.e. counts/
min/mg) of the barium sulphate is determined. A saturated
solution is then prepared and after evaporation to dryness, the
radioactivity of the residue is measured. If both counts are
done under standard conditions, the weight of residue in mg
will be equal to the counts/min of the residue divided by the
specific activity of the barium sulphate. In the case where
solubility increases with temperature, the time taken for
preparing a saturated solution can be reduced by heating the
solvent with an excess of the solute. The solution is cooled to
36
the desired temperature, in contact with the solid, to prevent
the formation of a supersaturated solution.
Synthetic Method
Solubility Curves
Solubility may be stated in any of the units available for
representing concentrations. Usually it is expressed in g or ml
of solute per 100ml or 100g of solvent or 100ml or 100g of
saturated solution. In the British Pharmacopoeia, the
solubility is expressed by stating the number of parts of
37
solvent in which one part of solute will remain in solution at
20°C. The solubility of sparingly soluble substances is
occasionally given in mg/100ml or mg per cent. Hence, the
statement that the solubility of sulphadiazine is 12Mg per cent
at 37°C means that 12ml of sulphadiazine will form a
saturated solution in 100ml of water at 37°C. For most
pharmaceutical purposes, the method for the statement of
solubility used in the pharmacopoeia is the most convenient.
A solubility curve is a graph relating solubility to temperature
(Fig. 1.1). Usually the curve is continuous, but in some cases
abrupt changes in the direction of the curve are observed.
Generally solubility increases appreciably with rise in
temperature so that curves similar to that given for potassium
nitrate in Fig. 1.1 are most common. Sodium chloride has the
unusual property of exhibiting only a slight increase in
solubility with temperature; whereas some substances,
notably calcium salts of organic acids, are less soluble in hot
water than in cold water. The solubility of calcium sulphate is
exceptional in that it gradually increases to a maximum at a
certain temperature and then it decreases with further increase
in temperature.
An abrupt change in direction of a solubility curve is due to a
change in the character of the solid phase in contact with the
solution, and the curve is better regarded as being made up of
two intersecting curves which represent the solubilities of two
distinct substances. In the case of sodium sulphate, the break
in the curve is due to a change in the degree of hydration of
the solid in contact with the saturated solution; up to 32, the
curve represents the solubility of the decahydrate,
Na2SO4.10H2O; above 32°C, it represents the solubility of
anhydrous sodium sulphate, Na2SO4, and at 32°C, it
represents the equilibrium conditions between a saturated
solution, the decahydrate and the anhydrous salt. The
38
solubility curve of ammonium nitrate exhibits a break owing
to a change of the solid into a second polymorphic form.
Supersaturated Solutions
Normally, when a saturated solution is cooled, it deposits
crystals. In some cases, when no undissolved solid is present,
a solution may be cooled to a temperature that is below
saturation temperature, and it fails to deposit crystals. Such a
solution is said to be supersaturated. In the absence of dust
particles or undissolved solid, the transformation of a
supersaturated solution to a saturated solution may be
suspended indefinitely. This metastable state is readily broken
down by the addition of a small crystal of the solute; dust
particles, which can form nuclei for crystallization, or
mechanical disturbances frequently cause deposition of the
excess of solute hitherto held in solution.
Salts that crystallize with water of crystallization are most
frequently capable of producing supersaturated solutions, e.g.
sodium thiosulphate, potassium acetate and sodium sulphate.
Calcium gluconate injection is a notable example of a
supersaturated solution; calcium gluconate forms a saturated
solution in about 30 parts of water, whereas in the injection it
may remain in solution indefinitely in about 10 parts of water.
39
saturated and the solution is allowed to cool in contact with
undissolved solute.
2. The quantity of solid necessary to saturate the solution at
the required temperature is ascertained from a work of
reference. This quantity is dissolved in the solvent with the
aid of heat and as the solution cools, solvent is added to
produce the required volume.
Since saturated solutions usually deposit crystals on cooling
below saturation temperature, it is often advantageous to take
quantities of solvent or solute so that the solution is saturated
at a temperature slightly below that at which the solution is to
be stored. Then under normal storage conditions no solid is
deposited.
40
If the solute is associated or dissociated or undergoes
chemical combination in the two solvents, it is possible to
determine the extent to which these changes take place by
applying the distribution law to the molecular species that are
identical in the two solvents.
Distribution Coefficient
When a substance is distributed between two immiscible
solvents A and B:
41
The distribution coefficient (K) is therefore 8.
(1) Extraction with one quantity of immiscible solvent
Assume that 5g of substance S is shaken with 100ml of water
and 100ml of chloroform and let x g be the weight dissolved
in the chloroform. Then (5 − x) g will be present in the water
layer:
42
Hence the chloroform layer contains 4g of S and 1g of the
water layer. The amount of S dissolved in the layer of 50ml of
chloroform is nearly as much as that dissolved in the layer of
100ml of chloroform.
(b) If the chloroform layer is run off, 1g of S remains in
100ml of water. On shaking with a further 50ml of
chloroform, if z g is the weight of S dissolved in the
chloroform:
43
complete extraction would be effected if the chloroform was
used in three successive quantities of 50, 25 and 25ml.
The extraction of a solute from solution by shaking with an
immiscible solvent is frequently used in the preparation and
assay of materials containing alkaloids. If an aqueous solution
of an alkaloidal salt is made alkaline and shaken with
chloroform, the alkaloidal base distributes itself in favour of
the chloroform phase. Successive extractions will deplete the
aqueous phase of alkaloid. If the separated chloroform layers
are combined and extracted with an acidic solution, the
alkaloid (as a salt) passes into the aqueous phase and is
relatively free from extraneous material such as plant
pigments and tannins, which do not possess the same
solubility characteristics. An extension of this liquid–liquid
extraction method is countercurrent extraction, which is used
for the fractionation of mixtures of solutes.
Countercurrent Extraction
This technique was developed by L.C. Craig and has been
used for the separation of antibiotics, alkaloids, glycosides,
etc. The theory and practice of this method has been
authoritatively reviewed by Craig and Craig (1956). The
apparatus consists essentially of a series of tubes in which the
material to be fractionated is successively distributed between
two immiscible liquids. Consider an extraction using
chloroform and water as solvents. Equal volumes of
chloroform are first added to each tube; the solute is dissolved
in water and added to tube 1. The tube is shaken to achieve
equilibrium and after settling, the upper phase (aqueous) is
transferred to tube 2. An equivalent volume of water is then
added to tube 1. Tubes 1 and 2 are shaken and when the
44
phases have settled out, the aqueous phase of each tube is
transferred to the next tube, i.e. 2 into 3, 1 into 2, and water
into 1. In this way, a stepwise transfer of aqueous phase
occurs after separation of the two phases. A solute whose
partition coefficient favours the aqueous phase will be
transferred more quickly along the train of extraction tubes
than a solute that is more soluble in chloroform. Thus, the
partition coefficient of each solute determines its final
position in the tubes at the end of a distribution run. The
number of distributions and transfers may be 50 or more
when it is required to separate solutes of similar solubilities.
The amount of solute in each tube is determined and if this is
plotted against the tube number, the resultant graph will
indicate whether or not a separation has been obtained. It is
possible from a knowledge of the partition coefficients to
predict the amount of solute that should be present in each
tube. Agreement between theoretical and experimental results
is often used as a criterion of purity of the solute being
examined. Countercurrent machines are available in which
provision is made for the automatic shaking and transfer of
the phases. The tubes are arranged in pairs and mounted so
that equilibration is achieved by gentle
rocking. The transfer from one equilibration tube to the next
is obtained by the appropriate tilting of the tube (Fig. 1.3).
Paper chromatography is a technique based on similar
countercurrent principles; filter paper acts as an inert support
for the aqueous phase and the second liquid phase is an
immiscible organic solvent which flows through the paper by
capillary action. The solute, which is added to the paper, is
subjected to continuous countercurrent extraction and its rate
of movement along the paper is a function of the partition
coefficient.
45
Fig. 1.3 Countercurrent extraction tube.
46
Determination of Solubility
An analytical or synthetic method may be used as previously
described for the determination of solubility of solids in
liquids. In many instances, the synthetic method is the most
convenient one; oversaturation of the solvent is evident when
the solution is turbid and a saturated solution is taken to be
that solution lying between the unsaturated and the
oversaturated solutions. If the solubility curve is required, the
method described below may be employed.
Weighed amounts of the two liquids are placed in hard glass
tubes sealed by fusion. The tubes are placed in a thermostat
and the presence of two phases is shown by turbidity on
shaking. The end point is determined by inspection. The
solubility curve of phenol–water can be determined by this
method; the tubes of phenol plus water are placed in a water
bath that is slowly heated and the temperature at which the
turbidity in a tube shows signs of disappearing is noted. The
results are then plotted as percentage amounts of one
component against the temperature at which homogeneity
exists.
An analytical method that involves no manipulative
techniques such as filtration or dilution, which may introduce
errors, is based on the accurate measurement of refractive
index of solutions containing increasing concentrations of
solute. The solubility of benzaldehyde in water has been
determined by this method (Carless & Swarbrick, 1964).
Temperature has a pronounced effect upon the mutual
solubility of liquids and the following solubility curves may
be observed:
47
Type 1: Mutual Solubility Increases with
Temperature
48
The critical solution temperature of phenol–water is 66°C and
the critical concentration at this temperature is 34 per cent
phenol. At all temperatures above the critical solution
temperature, phenol and water are miscible in all proportions.
49
mutual solubilities are decreased, e.g. potassium carbonate
will cause alcohol to separate from a water–alcohol mixture.
The temperature at which the liquids become completely
miscible is raised in systems having an upper CST and
lowered in systems having a lower CST. In the phenol–water
system, the addition of 1 per cent of potassium chloride to the
mixture of critical composition raises the CST by 12°C
(Findlay, 1933). A substance soluble in both liquids increases
the mutual solubility; an upper CST will be lowered and a
lower CST will be raised.
50
Fig. 1.5 Ternary phase diagram.
51
Fig. 1.6 Ternary system: one pair of liquids partially miscible.
52
compositions of the ternary mixture. When the ternary
composition reaches a″′, a second layer appears of
composition b″′ on the tie line a″′ b″′. As the amount of water
is increased further to h, the layers alter in composition to a″
and b″, and finally at i the system reverts to a single-phase
system. Systems that behave similarly include volatile oils in
the presence of propylene glycol and water. Loran and Guth
(1951) have studied the castor oil–ethanol–water system in
order to determine suitable proportions for use in lotions and
hair preparations. The blending agent that promotes
miscibility may be a simple solvent such as alcohol or glycols
or it may be a surface active agent that exerts its solvent effect
due to micelle formation.
The ternary system cresol–soap–water (Lysol) has been
studied by Burt (1965) who found that the nature of the cresol
isomer affected the position of the regions of immiscibility in
the triangular diagram. The ternary diagram approach was
also used by Boon et al. (1961) in studying the formulation of
solubilized vitamin A preparations. Four components were
used, but by keeping the concentration of the vitamin
constant, the results were expressed as shown in Fig. 1.7.
From the diagram it was possible to select the range of
compositions that produced the required single-phase system.
These workers found considerable batch-to-batch variation in
the solubilizing properties of the surfactant, and this
emphasizes the need for careful quality control of materials
used in solubility studies.
53
Fig. 1.7 Phase equilibria in the vitamin A–polysorbate 80
glycerol–water system (after Boon et al., 1961). (A)
Transparent single phase; (B) Semisolid; (C) Faintly
opalescent; (D) Markedly opalescent; (E) Two transparent
phases; and (F) Emulsions. Arrows denote decreasing
viscosity in region A.
54
the temperature is unchanged. As regard their solubilities,
gases may be divided into three groups. Gases of the first
group, which comprises sparingly soluble gases such as
oxygen and nitrogen, obey Henry’s Law; gases of the second
group, which comprises slightly soluble gases such as carbon
dioxide and chlorine, combine partially with water and show
considerable deviations from Henry’s Law; the third group
comprises very soluble gases, such as hydrogen chloride and
ammonia, which do not obey Henry’s Law. The solubility of
gases decreases with increase in temperature, and with certain
exceptions, such as the hydrogen halides, they are practically
completely expelled from solution by prolonged boiling.
The solubility of gases is often expressed by the Bunsen
absorption coefficient (α), which represents the volume of gas
dissolved by one volume of liquid at a fixed temperature,
reduced NTP (normal temperature and pressure) and 760mm
pressure. The absorption coefficient for nitrous oxide in blood
is 0.415 at 37.5°C. This means that at 760mm pressure, 1ml
of blood at 37.5°C dissolves a volume of nitrous oxide, which
measures 0.415ml at 0°C and 760mm pressure.
In a mixture of gases, Henry’s Law applies to each gas
considered separately and the pressure is then the partial
pressure of the gas in question, not the total pressure of the
mixture. The partial pressure is the pressure the gas would
exert if it occupied the same volume as the mixture of gases.
The total pressure is equal to the sum of the partial pressures
(Dalton’s Law).
55
rest of the liquid by diffusion. More rapid solution is effected
by spraying the liquid into the gaseous atmosphere or
bubbling the gas through the liquid, because the rate of
solution increases rapidly with the increase of surface per
given volume of liquid.
Commercially, solutions of gases are made either by spraying
the solvent into the gas, or by bubbling the gas under pressure
into the solvent, which is kept constantly agitated, or by
means of ‘coke towers’ or ‘scrubbers’; these consist of towers
loosely packed with coke over which the solvent trickles and
dissolves the gas as it is forced up the tower.
56
Solvents Used in Pharmacy
It is important to distinguish between solvents that are
acceptable for inclusion in the final product and those that are
suitable only for use in the intermediate states of manufacture
or in analytical operations. Obviously the former, being
administered with the drug itself, must be nontoxic and
nonirritant and must not interfere in any way with the normal
absorption. In the case of injectable preparations, this is often
a severe limitation since the number of available solvents is
small. For chemical or pharmaceutical processing, the
limiting factors become cost, toxicity (to operators) and
inflammability hazards. In some operations it may be difficult
to remove the final traces of solvent from a drug, even with
vacuum drying; if so, it is important to control the residual
volatile matter by a suitable limit test. A trace of methyl
alcohol in an injectable drug, for example, might have serious
effects on the patient. In analytical operations there are no
restrictions on solvents. Thus a water-insoluble drug that is
normally given by injectable suspension may be dissolved in
benzene to check that it contains no extraneous matter.
The following classification is given only as a guide to the
solvents in common use:
57
Solvents for Oral and External Preparations
58
per cent v/v of chloroform to water, i.e. chloroform water,
prevents the growth of microorganisms and is used in
preference to water in pharmaceutical mixtures liable to
support bacterial growth. Pharmacopoeial preparations are
directed to be made with Purified Water, which is prepared by
distillation or by ion-exchange methods. The BPC and the
BNF allow the use of potable water, i.e. water freshly drawn
direct from the public water supply (‘mains’ water) and
suitable for drinking. It should be replaced by freshly boiled
and cooled Purified Water when the potable water in a district
is unsuitable for a particular preparation.
Ethyl alcohol is widely used in pharmacy as a solvent. It will
dissolve resins, glycosides, free alkaloids and their salts but
will not dissolve gums, albumins, starch and many inorganic
salts. Most fixed oils, with the exception of castor oil, are
sparingly soluble in alcohol. Alcohol is a valuable solvent for
extracting vegetable drugs on account of its selective action
and preservative properties. At strengths of 20–25 per cent
and above, ethyl alcohol inhibits the growth of bacteria,
moulds, yeasts and other fungi.
A heavy excise duty is levied on pure ethyl alcohol. Its cost
for most pharmaceutical preparations would be prohibitive if
a rebate of duty was not allowed. Rebate can be claimed for
alcohol used in preparations intended solely for medical
purposes. The increased use of industrial methylated spirit,
which is duty free, has relieved this situation. Industrial
methylated spirit contains commercial methyl alcohol (wood
naphtha) and therefore cannot be allowed in internal
preparations. Its use is permitted in a number of preparations
made according to BP and BPC formulae and in special
formulae approved by Customs and Excise.
Isopropyl alcohol (specific gravity 0.788–0.793; boiling point
80–83°C) is more toxic than ethyl alcohol and cannot be used
59
for preparations taken internally. It is often used in lotions
and cosmetic perfumes.
Glycerine (specific gravity 1.26; boiling point 290°C) is a
good solvent for many substances that are not very soluble in
water, e.g. borax and phenol. It also acts as a preservative, but
to a lesser degree than alcohol. Glycerine suffers from the
same disadvantage as water in that it dissolves gummy and
albuminous matter. It also extracts large quantities of tannins
and their oxidation products when these are present in a drug,
a property that is sometimes used in preventing the
precipitation of tannin-oxidation products from preparations
made with other solvents.
Its low volatility and hygroscopic character are of value in
maintaining preparations such as kaolin poultice in a moist
condition.
Glycols are alcohols containing two hydroxyl groups and are
intermediate in their properties between alcohol and
glycerine. With the exception of propylene glycol, they are
toxic and not employed in preparations intended for internal
administration. Large quantities are used in cosmetic
preparations. They are hygroscopic, soluble in water and
excellent solvents for resins, gums and essential oils.
Ethylene glycol CH2OH.CH2OH (specific gravity 1.113;
boiling point 197°C) has been used as a solvent of terpeneless
oils.
Diethylene glycol HOCH2CH2.O.CH2CH2OH (specific
gravity 1.117; boiling point 244°C) is used as a solvent for
nitrocellulose, resins and oils.
Diethylene glycol monoethyl ether (Carbitol) C2H5O.
CH2CH2.O.CH2OH (specific gravity 1.00; boiling point
200°C) is used as solvent of fats and waxes.
Ethylene glycol monoethyl ether (Cellosolve)
C2H5O.CH2CH2OH (specific gravity 0.93; boiling point
60
134°C) is used as solvent for insecticidal sprays containing
derris and pyrethrum. It is an effective solvent for
nitrocellulose.
Propylene glycol CH3CH(OH).CH2OH (specific gravity
1.036; boiling point 187°C) resembles glycerine in physical
properties but is less viscous. It is miscible in all proportions
with water, alcohol, chloroform and with 10 volumes of ether,
but immiscible with light petroleum and fixed oils. As a
preservative and solvent it can be used in place of glycerine
since its toxicity is fairly low. Vitamin D, progesterone,
sodium phenobarbitone and chloramphenicol are stable in
solution in propylene glycol. Penicillin rapidly decomposes in
this solvent.
Polyethylene glycols known as the macrogols, are mixtures of
condensation polymers of ethylene oxide and water, and
represented by the formula HOCH2(CH2CH2O)nCH2OH.
They range from liquids where n varies from 4 to 15, to waxy
solids where 11 may lie between 60 and 80. In naming these
glycols, the average molecular weight is indicated by a
number immediately following the name. Thus Macrogol 400
is a liquid of approximate molecular weight 400; Macrogol
4000, molecular weight 4000, is a waxy solid. Macrogols of
intermediate consistency can be prepared by mixing together
appropriate proportions of high- and low-molecular weight
material. They are miscible with water, alcohol, acetone and
other glycols. Water-insoluble medicaments can often be
dissolved in a macrogol, which may form the basis of a
‘washable’ ointment base.
Ether (specific gravity 0.72; boiling point 34.5°C) is an
excellent solvent for certain oils, fats and alkaloids. It is not
generally suitable for the production of liquid preparations
that are to be taken internally owing to its pronounced
therapeutic action, or that are to be kept for any length of
61
time, owing to its inflammability and its volatility; it is used,
however, in collodions where the volatility makes it
particularly valuable and in cases such as male fern extract in
which no ether remains in the final preparation.
Chloroform (specific gravity 1.49; boiling point 61°C) is a
good solvent for many alkaloids and fats, and is frequently
used, either alone or with ether, in alkaloidal determinations;
it is not inflammable and only sparingly soluble in water.
Chloroform has a sweet taste and is an excellent preservative,
hence the frequent use of its aqueous solution in
pharmaceutics. An unusual solvent effect is its ability to
dissolve certain alkaloidal hydrochlorides; this has been
applied in the selective extraction of strychnine hydrochloride
from a mixture of strychnine hydrochloride and quinine
hydrochloride.
Acetic acid (specific gravity 1.05; boiling point 118°C;
melting point 16.6°C) is capable of dissolving many of the
active principles of crude drugs, and preparations made with
it keep well. Its use is limited, however, owing to its acid
properties, which make it incompatible chemically with many
substances; in some conditions acids are contraindicated
therapeutically.
Acetone (specific gravity 0.79; boiling point 56°C) will
dissolve many resins and fats and is employed as a solvent for
cantharidin in preparations for external use, where its
volatility is of value and its odour not of importance. It is
unsuitable for preparations for internal use. It is particularly
valuable for defatting animal tissues.
Light petroleum (petrol ether) (specific gravity 0.65; boiling
point 40–60°C) is a fraction of petroleum consisting mainly
of hexane; it is very volatile and highly inflammable and is a
good solvent for oils, fats and resins. Since it will not dissolve
alkaloids or their salts, it is a useful solvent for defatting
62
alkaloidal drugs such as ergot. Unlike acetone it is immiscible
with water, which makes it unsuitable for defatting wet tissue.
Ethyl oleate (specific gravity 0.88; boiling point 204°C at
6mm) is a good solvent for steroid hormones and other
oil-soluble medicaments. It has a relatively low viscosity,
which makes it a useful vehicle for oily intramuscular
injections; vegetable oils, which have similar solvent
properties, are more viscous.
Isopropyl myristate (specific gravity 0.85; boiling point
137–175°C at 5mm) is less greasy than mineral or vegetable
oils that it can replace in creams and oily applications. Its
miscibility with a wide range of hydrocarbons, vegetable oils,
fats and waxes makes it a useful blending agent for mixtures
of these substances. Unlike vegetable oils, it shows no
tendency to become rancid on storage since it is a saturated
fatty acid ester.
Light liquid paraffin has been used for preparing oily nasal
drops containing oil-soluble substances such as camphor,
menthol, etc.
Mixed Solvents
The solubility of a solid in a mixture of solvents is usually
intermediate between the values of the constituent solvents,
although the actual solubility is not directly proportional to
the quantities of solvents present. Alcohol 25 per cent differs
only slightly from water as a solvent and it is not until the
alcohol content is increased to 60–70 per cent that the
characteristic solvent action of alcohol is apparent. Some
mixed solvents
do not follow this pattern; a solute only sparingly soluble in
either solvent alone, may be readily soluble in a mixture of
63
the two solvents. This has been termed cosolvency, and may
be explained by each solvent dissolving a different part of the
molecule. An example is nitrocellulose, which is readily
soluble in an alcohol–ether mixture but only sparingly soluble
in the separate solvents.
Strong solutions of certain solutes such as sodium benzoate
and sodium salicylate are capable of dissolving
water-insoluble materials, e.g. 30 per cent sodium benzoate
readily dissolves chlorocresol (Reeds, 1956). This
phenomenon is termed hydrotrophy and has been discussed
by McKee (1946). Large concentrations of a solute are
required to cause this effect and it should be distinguished
from the solubilizing effect produced by dilute solutions of
soap.
When a solution of a substance in one solvent is added to
another solvent in which the substance is sparingly soluble,
most of the solute will be precipitated. This precipitation due
to a change of solvent occurs in dispensing of mixtures
containing resinous tinctures, e.g. Compound Benzoin
Tincture added to water causes precipitation of the
water-insoluble resin. Inorganic salts, e.g. ferrous sulphate, in
aqueous solution are precipitated on the addition of a large
proportion of alcohol.
Recovery of solvents is essential for reasons of economy in
manufacturing processes. When mixed solvents of similar
boiling points are used, the recovery of the individual solvents
may be difficult or impossible. If the mixed solvent can be
used again in the process then this is unimportant. Large
losses may be encountered in the recovery of extremely
volatile solvents such as ethyl ether; the use of a
higher-boiling-point solvent with similar solvent properties
may be advantageous, e.g. isopropyl ether. The recovery of
solvents whose vapours, mixed with air, form highly
64
inflammable mixtures, should be treated with caution. Ethers
are liable to develop peroxides on storage, which can explode
during heating. It is advisable to decompose these peroxides
by chemical treatment, e.g. by shaking with ferrous sulphate
solution, before proceeding with the distillation.
References
65
McKee RH. Ind. Engng. Chem. 1946;38:382.
Reeds D. Pharm. J. 1956;177:233.
Shefter E, Higuchi T. J. Pharm. Sci. 1963;52:781.
Wagner JG. J. Pharm. Sci. 1961;50:359.
Wurster DE, Taylor PW. J. Pharm. Sci. 1965;54:169.
United States Pharmacopeia, 25th ed., 2363.
66
Chapter 2
pH, EMF and Redox Potentials
Hydrogen ion concentrations are determined over a very wide
range and, to avoid the inconvenience of using very small
numbers, Sorenson introduced the concept of pH in 1909. He
defined pH as the negative logarithm of the hydrogen ion
concentration, viz:
67
outside these limits. A neutral solution has a pH of 7; acid
solutions have pH values less than 7 and alkaline solutions
greater than 7.
Ionization Constants
Strong acids and bases are, for all practical purposes,
completely ionized in aqueous solution so that it is not
possible to write any equilibrium expressions. For weak
electrolytes, however, equilibrium expressions can be written
and, by applying the Law of Mass Action, values of Ka or Kb
can be calculated. Ionization constants, often loosely referred
to as dissociation constants, are usually expressed in terms of
pKa or pKb where pKa = –log Ka and pKb = –log Kb. Low
values of pKa or high values of pKb are characteristic of
relatively strong acids or weak bases, whereas high values of
pKa or low values of pKb indicate relatively weak acids or
strong bases. The Lowry Bronsted theory (details of which
are outside the scope of this volume) enables the ionization
constants of acids, bases and their salts to be verified on the
pKa scale by using the expression:
68
physicochemical property that strongly influences many
properties; for example, the neutral form of the compound is
less water soluble and more lipophilic, and possesses higher
membrane permeability than the ionized form. Experimental
knowledge of compound pKa value provides a measure of the
extent of compound ionization across the pH range of
pharmaceutical relevance and is highly beneficial for
predicting compound absorption, distribution, metabolism
and excretion (ADME) properties. The pKa value also plays
an important role in the development of drug delivery
formulations. ‘pKa affects solubility, permeability, log D and
oral absorption by modulating the distribution of neutral and
charged species.’
Dissociation constants are important physicochemical
parameters of a substance, and the knowledge of these
parameters is of fundamental importance in a wide range of
applications and research areas.
69
chains are of major importance for the activity of enzymes
and the stability of proteins (Onufriev et al., 2001).
Buffer solutions are used extensively to provide solutions at
or near the physiological pH for the study of biochemical
reactions (Good et al., 1966); the design of these solutions
depends on the knowledge of the pKa values of their
components. There are many buffers available, which provide
a solution with an optimum pH, which is used in different
process, e.g. MOPS—a buffer used to maintain pH in gel
electrophoresis.
The isoelectric point of a given molecule is a function of its
pKa values, so different molecules have different isoelectric
points. This phenomenon develops a technique called
isoelectric focusing, which is used for separation of proteins
by 2D gel polyacrylamide gel electrophoresis (PAGE).
In acid–base extraction, the efficiency of extraction of a
compound into an organic phase, such as ether, can be
optimized by adjusting the pH of the aqueous phase using an
appropriate buffer. At the optimum pH, the concentration of
the electrically neutral species is maximized; such a species is
more soluble in organic solvents having a low dielectric
constant than it is in water. This technique is used for the
purification of weak acids and bases (Eyal et al., 1997).
In pharmacology, ionization of a compound alters its physical
behaviour and macro properties such as solubility and
lipophilicity (log p). For example, ionization of any
compound will increase its solubility in water but decrease
the lipophilicity. This is exploited in drug (it includes drug
discovery/product development, preclinical research
[microorganisms/animals] and clinical trials [on humans])
development to increase the concentration of a compound in
the blood by adjusting the pKa of an ionizable group (Avdeef
et al., 2003).
70
Knowledge of pKa values is important for the understanding
of coordination complexes, which are formed by the
interaction of a metal ion, Mm+, acting as a Lewis acid, with
a ligand, L, acting as a Lewis base. However, the ligand may
also undergo protonation reactions, so the formation of a
complex in aqueous solution could be represented
symbolically by the reaction
71
hydro– organic media such as methanol (MeOH)/water is
essential to predict the influence of pH on selectivity and
retention in liquid chromatography (LC), and also to optimize
analytical procedures for the separation of ionizable
compounds by various techniques.
Most of drugs are weak organic acids or bases, existing in
unionized and ionized forms in an aqueous environment. The
unionized form is usually lipid soluble (lipophilic) and
diffuses readily across cell membranes. The ionized form has
low lipid solubility (but high water solubility—i.e.
hydrophilic) and high electrical resistance and thus cannot
penetrate cell membranes easily. The proportion of the
unionized form present (and thus the drug’s ability to cross a
membrane) is determined by the pH and the drug’s pKa (acid
dissociation constant). The pKa is the pH at which
concentrations of ionized and unionized forms are equal.
When the pH is lower than the pKa, the unionized form of a
weak acid predominates, and the ionized form of a weak base
is predominated. Thus, in plasma (pH 7.4), the ratio of
unionized to ionized forms for a weak acid (e.g. with a pKa of
4.4) is 1:1000; in gastric fluid (pH 1.4), the ratio is reversed
(1000:1). Therefore, when a weak acid is given orally, most
of the drug in the stomach is unionized, favouring diffusion
through the gastric mucosa. For a weak base with a pKa of
4.4, the outcome is reversed; most of the drug in the stomach
is ionized. Theoretically, weakly acidic drugs (e.g. aspirin)
are more readily absorbed from an acid medium (stomach)
than are weakly basic drugs (e.g. guanidine). However,
whether a drug is acidic or basic, most absorption occurs in
the small intestine because the surface area is larger and
membranes are more permeable.
There are some conditions for weak acid and base drug,
where ionization depends on the value of pH.
72
Acid Drug
Basic Drug
73
physiochemical properties and biological properties such as
solubility, stability, drug absorption and their activity are
affected by degree of ionization of drug.
Determination of this parameter is, however, based on the
Bronsted and Lowry theory of acids and bases. This states
that an acid is a substance that can donate a hydrogen ion, and
a base is one that can accept a proton.
The following equilibrium represents for a weak acid:
(2.1)
(2.2)
74
(2.3)
75
closest to water. For example, ibuprofen and quinine have
poor water solubility and determination of the pKas of
ibuprofen and quinine in a range of organic solvent–water
mixtures has been carried out by Avdeef et al. (1999). In case
of the compound that contains an ultraviolet (UV)
chromophore that changes with the extent of ionization, then
a method involving UV spectroscopy can be used. This
method involves measuring the UV spectrum of the
compound as a function of pH. Mathematical analysis of the
spectral shifts can then be used to determine the pKa(s) of the
compound. This method is most suitable for compounds in
which the ionizing group is closed to or actually within an
aromatic ring, which usually results in large UV shifts upon
ionization.
There are some techniques by which one can determine the
ionization constant; these include the following:
1. Conductivity
2. Potentiometry
3. Capillary zone electrophoresis
4. UV–Vis spectrometry
5. NMR spectrometry
6. Liquid chromatography
7. Combined methods
8. Software computational predictions
9. Calorimetry
10. Mass spectrometry
Among these techniques, the potentiometric titration is the
least time consuming, particularly for pKa determination as
well as this technique is accurate and has good
reproducibility. In addition, UV–Vis absorption spectrometry
has still been used widely for the determination of
dissociation constants, because of their accuracy and different
pKa values of polyprotic substances to be determined, even
76
when they have very close reproducibility. The UV method
requires only 1mg of compound, and the potentiometric
method requires 3mg of compound. In the last decade, some
alternative techniques have been developed, based on
separation methods such as liquid chromatography (LC) and
capillary zone electrophoresis (CZE). The determination of
pKa value by liquid chromatography is based on the
relationship between the capacity factors and the pH values of
the mobile phase. In addition, pKa values in water predicted
by the SPARC online calculator have been investigated. The
programme estimates the pKa values of any organic
compound solely from its chemical structure (Hilal et al.,
1996).
The conductimetric method for determining ionization
constants requires knowledge of the degree of ionization
which can be calculated from the formula:
77
where c is the concentration.
Potentiometric Titration
or
78
There are certain limitations in the use of this equation which
need not concern us here but it is of interest to note that at 50
per cent neutralization, i.e. when [salt] = [acid] then pKa =
pH. This means that the ionization constant can be read
directly from a titration curve simply by recording the pH at
50 per cent neutralization.
79
few nanograms or less are commonly used for analysis. For
CE, it is only necessary to determine pH-dependent
mobilities, and that has several advantages. Over the past
decade, capillary electrophoresis (CE) has emerged as a
valuable tool for the evaluation of compound pKa values, as it
possesses many favourable qualities (Evagelou et al., 2003;
Sandra et al., 2007):
• Potential impurities and degradants can be separated from
the target compound.
• Intimate knowledge of sample concentration is not required
for analysis.
• Sparingly soluble compounds with a suitable UV
chromophore can be analyzed.
• No changes in spectral properties are required for detection
of a pKa value.
• Minimal sample amounts are required for analysis (μg
amounts).
80
the pH corresponding to a pKa value. These changes are
usually identified from the first derivative of the absorbance
against time plot or from overlay plots of the different
spectra. The determination of pKa values by UV–Vis assumes
that the solute of interest is pure or that its impurities do not
absorb in the UV–Vis range, since the spectra of impurities
can overlap with those corresponding to the solutes of
interest. Spectrophotometric methods offer excellent
precision, as in potentiometry, but they require different
spectra for different species and reagents must be pure.
Traditionally, spectral data at a single analytical wavelength
are acquired from a sample in a series of buffer solutions with
known pH values, after which the pKa is determined. To use
this method, the absorption spectra of individual species must
be characterized earlier and the molar absorptivities of
protonated and deprotonated species are thus required. These
measurements are nontrivial if acid–base equilibria comprise
more than two ionization steps or if reacting components are
not stable within two pH units of the pKa value, so a
multiwavelength spectrophotometric approach has been
developed to determine acid dissociation. Target-factor
analysis has been applied to deduce pKa values from the
multiwavelength UV absorption data recorded at different pH
values (Evagelou et al., 2003; Jimenez-Lozano et al., 2002).
NMR titration: NMR–pH titration is also an excellent
technique for determining pKa values as the protonation of a
basic site leads
to electronic deshielding effects on the adjacent NMR-active
nuclei, so the average chemical shifts of all the measurable
NMR-active nuclei, as a function of pH, are expected to
reflect the fractional protonation of each basic group of a
molecule. The online coupling of a potentiometric titrator
with an NMR spectrometer results in a powerful hyphenated
81
technique called NMR controlled titration (Andrasi et al.,
2007; Szakacs et al., 2004).
Liquid chromatography: The determination of pKa values by
means of liquid chromatography (LC) is based on the
relationships between capacity factors, and the pH of the
mobile phase. LC is used as a powerful technique for the
determination of dissociation constants, as it requires only a
small quantity of compounds; studied samples do not need to
be pure, and poor water solubility is not a serious drawback.
This method does not include measuring solute or titrant
concentrations, just retention times. Also, calculation is
straightforward and independent of solute purity. However,
the standard deviations of pKa values are higher than those
obtained by potentiometric or spectrophotometric methods.
One of the most important disadvantages of the LC method is
that the pH of the mobile phase and, therefore, the range of
pKa values that can be determined are limited by the stability
of the column package. Moreover, due to the large retention
times observed, it is not easy to determine pKa values in water
and aqueous–organic mixtures with low contents of organic
solvent. Nevertheless, as the main objective of pKa
determination by LC is the optimization of chromatographic
separations, this method is perfectly adequate for this purpose
(Beltran et al., 2003; Erdemgil et al., 2007; Evagelou et al.,
2003).
Combined Methods
82
determined from the absorbance spectra obtained at the
maxima of chromatographic or electrophoretic peaks. That
way, pKa values may be obtained from two independent
methods: mobility/pH data and spectra/pH data in CE
procedures (CE-DAD), and capacity factor/pH data and
spectra/pH data in LC procedures (LC-DAD). The advantages
of these proposed methods lie in the fact that the application
of both methods does not increase the analysis time and
enables the confirmation of results. Dissociation constants are
also easy to determine by the LC-MS technique. The use of
CE-MS provides high sensitivity as well as high selectivity,
thereby ensuring that impurities that might interfere with
compounds are not detected (Sandra et al., 2007).
Computational Methods
83
order to estimate aqueous pKa values, several experiments at
different organic solvent concentrations should be performed.
Aqueous pKa values that estimate by an extrapolation
procedure (e.g. the Yasuda– Shedolovsky method) can be
used to deduce the pKa values at zero organic solvent
composition. The selected organic solvents are usually
alcohols because they are amphiprotic and neutral solvents,
and they show great ability to dissolve ionizable compounds.
Then, the specific solute–solvent interactions should not be
too different from those established in water. However, not all
compounds dissolve in a single-component organic
solvent–water mixture, so recently, a new, multicomponent,
co-solvent mixture, comprising equal volumes of methanol,
dioxane and acetonitrile, and referred to as MDM, has been
found to be efficient for pKa measurement of various APIs.
The application of MDM–water mixtures improves the
solubility of poorly water-soluble APIs, so their pKa values
can be measured in a lower proportion of organic solvent. The
use of water–organic mixtures requires the correct
measurement of pH in these media. Measurements are
performed using IUPAC standardization rules (Sandra et al.,
2007).
Compound pKa
Salicylic acid 3.0
Benzoic acid 4.2
Sulphathiazole 7.3
Phenobarbitol 7.4
Metoprolol 9.44± 0.1
84
Formic acid 3.75
Trichloroacetic acid 0.66
Trifluoroacetic acid 0.52
Dichloroacetic acid 1.35
Flouroacetic acid 2.59
Acetic acid 4.76
Acetylsalicyclic 3.49
Ascorbic 4.3, 11.8
Boric acid 9.24
Penicillin V 2.73
Phenytoin 8.1
Sulphathiazole 7.12
Paracetamol 9.5
Penicillin G 3.42
(Benzylpenicillin)
Ampicillin 2.55± 0.01
Acebutolol 9.21
Alprenolol 9.38± 0.1
Atenolol 9.48± 0.01
Ciprofloxacin 6.42
Danofloxacin 6.07± 0.06; 8.56± 0.07
Difloxacin 5.66± 0.04; 7.24±
0.06
Enoxacin 6.00; 8.50
85
Enrofloxacin 5.88± 0.03; 7.74± 0.03
Fleroxacin 5.46; 8.00
Flumequine 6.35± 0.01
Lomefloxacin 5.00± 0.10; 6.25± 0.05; 9.00±
0.03
Marbofloxacin 5.69± 0.10; 8.02± 0.20
Nalidixic acid 5.95
Fleroxacin 5.46; 8.00
Norfloxacine 6.22; 8.38
Pefloxacin 6.21± 0.12; 7.87± 0.10
Pipemidic acid 5.42± 0.05; 8.18± 0.09
Ofloxacin 6.22± 0.05; 7.81 ±0.08
Sarafloxacin 5.62± 0.08; 8.18± 0.09
Azithromycin 7.34
Clarithromycin 7.25
Erythromycin 8.90± 0.15
Roxithromycin 9.17± 0.30
Tylosin 3.31± 0.30; 7.50± 0.13
Amoxicillin 3.39, 6.71; 9.41
Phenobarbitol 7.4
Ammonia 4.76
Labetalol 7.35
Oxprenolol 9.62
Pindolol 9.16
86
Practolol 9.41
Propranolol 9.49± 0.2
Sotalol 9.01
Timolol 9.34
Metoprolol 9.44± 0.1
Omeprazole 4.14; 8.90
Butibufen 4.64
Carprofen 4.63
Diclofenac 4.16
Fenbufen 4.56
Flurbiprofen 4.35
Ibuprofen 4.42± 0.08
Piperazine 5.33; 9.73
Procaine 2.28± 0.08; 9.02± 0.01
Sulphacetamide <2.5; 5.27
Sulphachloropyridazine 1.87± 0.30; 5.45± 0.06
Sulphamerazine 2.22± 0.01; 6.80± 0.01
Sulphamethazine 2.37± 0.01; 7.49± 0.01
Atropine 4.35
Caffeine 10.4, 13.4
Codeine 5.8
Erythromycin 5.2
Morphine 6.13
Pilocarpine 7.2, 12.7
87
Quinine 6.0, 9.89
Tolbutamide 8.7
Cocain 8.6
Diazepam 3.3
Diphenhydramine 9.0
Morphine 8.0 (amine) 9.9 (phenol)
Adrenaline (epinephrine) 8.7 (amine), 10.2, 12.0
(phenols)
Sulphadiazine 6.43
Sulphadimethoxine 2.13± 0.30; 6.08± 0.09
Sulphaguanidine 1.55; 11,24
Chlortetracycline 3.33± 0.30; 7.55± 0.02
Demeclocycline 3.37± 0.30; 7.36± 0.03
Doxycycline 3.02± 0.30; 7.97± 0.15
Meclocycline 4.05± 0.30; 6.87± 0.39
Oxytetracycline 3.04; 8.00
Tetracycline 3.32± 0.30; 7.78± 0.05; 9.58±
0.30
Buffer Solutions
Buffer solutions are usually solutions of weak acids (or bases)
and their corresponding salts, e.g. acetic acid and sodium
acetate. Such solutions resist changes of pH upon the addition
of small quantities of acid or alkali and this phenomenon is
known as buffer action. In solutions where the buffer action is
88
absent or very low, the pH can change considerably due to the
absorption of carbon dioxide from the air or extraction of
alkali from the material of the glass container. In the example
quoted above, the addition of a small quantity of strong acid
(e.g. HCl) results in only a small decrease in pH because the
hydrogen ions react with the sodium acetate to liberate the
very much weaker acetic acid according to the reaction:
89
Example: What is the pH of the buffer solution prepared by
mixing 5ml N/100 acetic acid (pKa 4.76) with 15ml N/10
sodium acetate?
Total volume = 20ml
90
Determination of pH Values
The two most important methods of measuring pH are by the
use of coloured indicators or of special electrodes.
91
measure pH values of test solutions within a minute or two. It
is important that these standard colours are protected from
light to prevent fading.
92
Fig. 2.1 Comparator (diagrammatic).
93
To measure the pH of a solution, the bulb of the glass
electrode and a suitable reference electrode is immersed in a
sample of the solution and the two electrodes connected to a
pH meter. The reference electrode is essential for the second
electrical contact with the solution and must, of course, have a
constant potential irrespective of the pH of the solution (Fig.
2.2).
94
standardized electrodes, after rinsing with distilled water, are
then immersed in the test solution and the pH value of the
solution read from the meter either directly in the case of
deflection meters, or after adjusting to a null balance in the
case of potentiometric type meters.
Several standard pH solutions are available for the calibration
of pH meters, the most popular being 0.05M potassium
hydrogen phthalate solution. Table 2.2 shows the pH of this
and some other solutions over a wide temperature range.
Table 2.2 pH of standard solutions at various temperatures
95
The following points should be noted:
1. Good distilled water (pH 6–7) should be used for acid
buffer solutions. Freshly boiled and cooled distilled water (i.e.
CO2 free) must be used for alkaline buffer solutions.
2. The pH values change slightly on dilution with water. The
above solutions when diluted with an equal volume of water
increase in pH value: I. +0.052; II. +0.186; III. +0.049; IV.
+0.049; V. +0.01.
3. Standard buffer solutions may be stored for up to 2 months
in well-closed hard glass or polythene bottles. It is advisable
to discard solutions if mould or sediment is visible.
Significance of pH in Pharmacy
The pH of many pharmaceutical preparations must be
controlled to ensure optimum stability or physiological
activity of the medicament. During the course of manufacture,
the pH of the product can be influenced in various ways and a
knowledge of the more important factors is useful in the
formulation of such products.
Glass is a very useful material for storage but it imparts
alkalinity to products stored in glass containers. Special
glasses are available and the containers used for
pharmaceutical purposes have to comply with tests which
limit the alkalinity to acceptable proportions. Solutions that
come into contact with filter materials of cotton and paper, for
example, tend to make the solutions more alkaline. Distilled
water, on the other hand, is usually acid (pH 4.5–6) due
largely to dissolved carbon dioxide. Even when the dissolved
gases are boiled off, the pH can become alkaline, rather than
neutral, due to the alkalinity of the glass container.
96
Precipitation can sometimes occur if the pH of a solution is
changed significantly and use can be made of this fact in the
preparation of pharmaceutical products. When solutions of
the salts of insoluble acids are acidified, the corresponding
insoluble acids are precipitated, e.g. sodium benzoate or
salicylate will deposit benzoic or salicylic acids, respectively.
The purification of proteins is simplified by the knowledge
that amphoteric compounds are least soluble at the isoelectric
point, e.g. insulin precipitates from aqueous solutions at pH
5–6. These examples illustrate how solubility is influenced by
the degree of ionization which is controlled by pH, as shown
by the following relationship:
97
Enzymes have maximal activity and stability at definite pH
values and outside certain limits they are rendered inactive
and may even be destroyed. Thus pepsin has maximal activity
at pH 1.5, and is, therefore, effective in the gastric fluid but is
rendered inactive in the duodenum where the pH is about 8.
Many compounds are unstable in aqueous solution because
hydrolysis takes place. Often, however, the solutions can be
stabilized by adjustment of the pH. Basic esters such as
amethocaine, amylocaine and procaine require acid conditions
to achieve stability. Vitamins are often stable only over a
narrow pH range and many B.P. injections are adjusted to a
definite pH to ensure stability of the product.
Redox Potentials
98
electrode together with a reference electrode (e.g. calomel
electrode). A potential is set up under these conditions, which
depends on the relative concentrations of oxidant and
reductant. This potential (Eh) is given by the Nernst equation:
99
the potential at 25°C is:
100
As in the determination of pH, it is possible to use certain
dyes to determine the value of Eh approximately as the colour
of such dyes varies with their state of oxidation. Methylene
blue, for example, changes from almost colourless to a deep
blue (at pH 7) as Eh varies from 0.040 to –0.062 V. Redox
indicators can also be used effectively to determine the
equivalence point in redox titrations.
References
101
Onufriev A, Case DA, Ullmann GM. A Novel View of pH
Titration in Biomolecules.. Biochemistry.
2001;40(12):3413–3419.
Qiang Z, Adams C. Water Res. 2004;38:2874.
Sandra Babic, Alka JM, Horvat Dragana Mutavdzic Pavlovic,
Kastelan-Macan Marija. Determination of pKa values of
active pharmaceutical ingredients.. Trends Anal. Chem.
2007;26(11):1043–1061.
Szakacs Z, Hagele G. Talanta. 2004;62:819.
Van Leeuwen CJ, Hermens LM. Risk Assessment of
Chemicals: An Introduction. Springer; 1995:254–255.
102
Chapter 3
Crystalline Solids
The process of crystallization involves a reversal of the
changes that occur when a solid melts or dissolves. Except
when mixed crystals form, crystalline forms are very pure,
and commercially provide a material that is in an attractive
physical form. A typical crystal has a regular geometric form
with sharp, straight edges and plane surfaces. When fractured,
it breaks into pieces with plane faces meeting in sharp edges,
whereas a supercooled liquid fractures as easily in one
direction as another. The crystalline nature of powders and
metals is revealed only by microscopic examination, and in
the case of metals the individual crystals are seen to be
arranged in a disorderly manner.
The regular external form of a crystal is determined by a
regular assembly of atoms or ions arranged in a space lattice
having a uniform geometrical form. The arrangement of these
units is the most important characteristic of a crystal, for,
even if the external form is destroyed by powdering, the
internal structure remains. Crystals may vary in size and in
the development of different faces owing to the conditions
under which they are formed. The constant geometrical form
of the units composing the crystal is exhibited in the
constancy of the angles between similar faces (Law of
Constancy of Interfacial Angles).
The symmetry possessed by crystals is expressed in terms of
their symmetry about certain planes and axes of the crystal.
An axis of symmetry is an axis on which the crystal can be
rotated through 360°C and occupy the same position more
than once. If a crystal possesses a suitable number of axes of
103
symmetry, three of them may be chosen as crystallographic
axes, e.g. alum; in crystals possessing less than three axes of
symmetry, e.g. copper sulphate, other axes are chosen as the
crystallographic axes. For classification all crystals are
referred to seven groups, e.g. cubic (alum), triclinic (copper
sulphate), etc., which are defined by the disposition of the
crystallographic axes.
The shapes of crystals are often described in general terms
that are almost self-explanatory; needle-shaped crystals are
often termed acicular; and plate-like crystals, laminar. Such
terms give no indication as to the position of the crystals in
the system of classification based on crystallographic axes;
for example, the prism occurs in several groups.
Polymorphism
Many substances exist in two or more crystalline forms and
are said to be polymorphic. The differences are due primarily
to differences in crystalline structure, which give rise to
differences in physical properties, e.g. solubility. Red
mercuric iodide crystallizes as octahedral when prepared by
mixing dilute solutions of mercuric chloride and potassium
iodide, washing with cold water and drying below 40°C.
When heated to above 126°C, it changes into the yellow
variety, which exists as laminar crystals; on cooling the
yellow form reverts to the red form. The two official varieties
of sulphur are different forms of the same substance. This
variety or polymorphism exhibited by elements is termed
allotropy.
When the change from one polymorphic form is reversible it
is said to be enantiotropic but when the transition takes place
in one direction only, i.e. from a metastable form to a stable
104
form, it is said to be monotropic. Polymorphism is known to
occur in many steroids, in sulphonamides and barbiturates,
the occurrence being frequent in complex molecules,
particularly if hydrogen bond formation is possible within the
molecule. Detection of different polymorphic forms has been
achieved by X-ray diffraction and infrared adsorption of the
crystalline solid. When a crystalline solid is dissolved in
solvent, the crystalline structure is lost so that different
polymorphs of the same substance will show the same
absorption spectra in solution. Sulphathiazole exists in at least
two polymorphic forms, one of which (Form I) undergoes a
change in crystal structure at about 174°C to Form II that
melts at 180°C. Form I can be prepared by crystallization of
sulphathiazole from boiling water or 95 per cent ethanol and
seems to be the form commonly met in practice. Cortisone
acetate exists in several crystalline forms, only one of which
is suitable for preparing stable aqueous suspensions. The
unstable forms undergo a polymorphic change in the presence
of water, which results in crystal growth. The biological
activity of chloramphenicol palmitate has been correlated
with polymorphic behaviour (Aguiar et al., 1967). Four
different polymorphic forms of oil of theobroma have
different melting points. Heating it to 38°C completely
liquefies the fat but destroys the beta stable crystals (m.p.
34.5°C), the crystals that are formed being the metastable
gamma, alpha and beta forms melting at 18, 22 and 28°C,
respectively, so that the suppositories tend to melt at room
temperature. By melting the oil of theobroma at the lowest
possible temperature (about 33°C) the stable beta form is not
lost and a suppository stable at room temperature is produced.
Hydrogenated vegetable oils are also used as suppository
bases but as they are unlikely to exist in polymorphic forms
they are not affected by slight overheating.
105
Transitions of unstable to stable forms during heating can
often be detected by measuring the volume expansion of a
sample confined in a dilatometer. Ravin and Higuchi (1957)
performed dilatometric analyses of theobroma oil and other
waxy materials. Another technique is differential thermal
analysis, which involves the controlled heating of sample and
inert reference substance the temperature of each being
measured by sensitive thermocouples. If thermal energy is
absorbed during crystal rearrangement, the difference in
temperature between sample and reference can be detected
and displayed on a recording millivoltmeter. Thermal
transitions of sulphathiazole and cortisone acetate have been
detected with this technique (Carless, Moustafa & Rapson,
1966; Guillary, 1967).
In the formulation of drugs known to exist as polymorphs, it
is essential that the form present in the final preparation
should be stable. The form most suitable for preparing stable
suspensions will not necessarily be that most stable in the dry
state, Infrared methods for identifying polymorphic forms of
steroids and sulphonamides have been described by Mesley
and Johnson (1965) and Mesley and Houghton (1967).
Other methods used to identify polymorphic phases of a
compound include measurement of refractive index and X-ray
diffraction of single crystals or of powders (Haleblian &
McCrone, 1969).
Isomorphous Crystals
Many chemical substances of similar chemical constitution
form crystals of similar shape and are said to be isomorphous
(the same shape). Examples of isomorphous substances are
magnesium sulphate, MgSO4.7H2O and zinc sulphate,
106
ZnSO4.7H2O; disodium hydrogen phosphate,
Na2HPO4.12H2O and disodium hydrogen arsenate,
Na2HASO4.12H2O.
The alums form a characteristic group of isomorphous
compounds. When equal proportions of the
gramme-molecular weights of potassium sulphate, K2SO4,
and aluminium sulphate, Al2(SO4)3.18H2O, are dissolved in
water and the solution is concentrated and allowed to
crystallize, a double salt, potash alum, is obtained. This
consists of homogeneous crystals containing one molecular
proportion of potassium sulphate and one molecular
proportion of aluminium sulphate combined with 24
molecular proportions of water. If ammonium sulphate is
used in place of potassium sulphate, the product is ammonia
alum.
If a solution that is about to crystallize is seeded with a crystal
of a substance, isomorphous with the substance in solution, an
isomorphous overgrowth is obtained; the solute crystallizes
round the crystal that has been immersed in the solution. This
behaviour is well illustrated by seeding a solution of
(colourless) potash alum with a crystal of (purple) chrome
alum, when a colourless crystal with a purple centre is
obtained.
Another property of isomorphous substances is the formation
of mixed crystals, which are essentially solid solutions. When
solutions of potash alum and chrome alum are mixed and
allowed to crystallize, a crop of pale violet crystals consisting
of a homogeneous mixture of the two double salts is obtained.
It is not uncommon for substances to have very similar
crystalline forms without being similar in chemical
constitution or isomorphous. True isomorphous substances
exhibit similar crystalline forms and normally form
isomorphous overgrowths and mixed crystals.
107
Mechanism of Crystallization
A solution must be saturated before any solid matter can
crystallize out. If the temperature of a saturated solution is
lowered, or solvent allowed to evaporate from such a
solution, then the excess of solid material separates out. On
lowering the temperature of a saturated solution very
carefully, it is often possible to cool it considerably without
the separation of crystals. Such a solution is said to be
supersaturated.
The formation of crystals from solution involves two steps:
firstly the creation of crystalline nuclei and secondly the
growth of these nuclei in to crystals. Nuclei may arise
spontaneously, although in actual practice this is thought to be
rare, or they may arise by the introduction of minute crystals
of the dissolved substance. This operation is known as
seeding. The driving force for the nucleation and subsequent
growth of the crystals is the super saturation of the solution.
The theory of Miers postulates that a definite relationship
exists between the concentration and the temperature at which
crystals will spontaneously form in an initially unseeded
solution. The form of that relationship is a supersolubility
curve roughly parallel to and above the normal solubility
curve. Such a curve may be imagined as the solubility for
exceedingly fine particles that can be shown to have a
solubility appreciably greater than larger crystals. The
solubility curves are shown in Figure 3.1. The theory states
that in the region between the two curves (metastable zone)
there will be no appreciable spontaneous nucleation, but
above the supersolubility curve there is copious spontaneous
nucleation. A solution of compositions E will spontaneously
crystallize and the solution concentration falls to that given by
108
the normal solubility curve at the prevailing temperature, i.e.
point G. A solution represented by point F in the metastable
region will
remain unchanged unless seeds are added and when
nucleation occurs the concentration will again drop to point
G.
109
curve) resulting in a large number of nuclei and a crop of
small crystals.
Nuclei may originate in the following ways:
1. Spontaneously due to cooling an unseeded solution into the
labile region.
2. Deliberate seeding with minute crystals.
3. Fortuitous seeding by crystals left from previous batch.
4. Attrition of existing crystals giving rise to fragments that
act as seeds. The degree of stirring will affect this factor.
Nucleation may be inhibited by the presence of impurities,
especially if of high molecular weight, in the solution.
The most important crystallization technique involves
crystallization from a solvent. For this purpose a solvent, in
which the crystals are sparingly soluble in the cold and
readily soluble in the hot is chosen. The solid is added in
portions to a suitable quantity of the hot solvent, until a hot
saturated solution is obtained; the hot solution is filtered into
a wide-mouthed conical flask and set aside to cool. Usually
crystals separate during cooling. Some substances,
particularly organic compounds, form supersaturated
solutated solutions, and no crystals are deposited on cooling
the hot saturated solution. Crystallization, in such cases, may
usually be initiated by seeding the supersaturated liquid with
a crystal of the solid substance, by stirring or by scratching
the sides of the vessel with a glass rod. Crystallization is
sometimes effected by strongly cooling a solution saturated at
room temperature, or by allowing such a solution to evaporate
spontaneously in a desiccator over a substance that will
absorb the solvent, e.g. anhydrous calcium chloride for water
and alcohol.
The size of crystals usually depends upon the conditions of
crystallization.
110
Very small crystals are obtained by the rapid cooling, with
frequent stirring, of solutions almost saturated at their boiling
point. Generally the production of very small crystals of a
substance is to be avoided, because they tend to cohere into
masses that are difficult to wash, and consequently the
substance may be less pure than when obtained in crystals of
medium size.
Medium-size crystals are obtained, when crystallizing from
water, from solutions saturated at about 60–80°C. The hot
solution is allowed to cool slowly and without mechanical
disturbance in a warm room. When a satisfactory strength of
solution at a given temperature has been found by experience,
it is customary on the large scale to note the specific gravity
at that temperature by means of a hydrometer. In future
crystallizations the solution is adjusted to the required
strength corresponding to the observed temperature and
specific gravity.
On the large supersaturated solutions may be induced to
crystallize by artificial cooling. Brine from a refrigerating
plant is circulated round the pan or tank that has an outer
jacket, or brine may be passed through a coiled tube within
the solution. The liner of the pan or tank is made of good
conducting material, such as copper or tinned copper, in order
that the maximum effect of the brine may be secured. The
temperature gradient between parts of the solution near to and
remote from the cooling surface ensures that some portion of
the solution is at the temperature of the maximum rate of
formation of crystal nuclei.
Uniformity in size of crystals of substances, such as sodium
sulphate or magnesium sulphate, is obtained by crushing and
sifting the large, irregular crystalline masses obtained from
the tanks.
111
Very large crystals are obtained by setting aside a large
volume of a solution and allowing it to evaporate
spontaneously. The liquid should have been rendered
perfectly clear by filtration, and the access of dust must be
guarded against. The formation of large crystals may be
facilitated by seeding, that is suspending a well-formed
crystal of the solute in the solution, the crystal acting as a
nucleus.
The mother liquor is the term applied to the liquid remaining
after a crop of crystals has been obtained. The mother liquor
is not discarded but is subjected to further concentration and
again set aside to crystallize; the second quantity of mother
liquor is concentrated and a further crop of crystals is
obtained. This process is repeated until practically the whole
of the dissolved substance has been recovered. Crops of
crystals obtained by concentration of the mother liquor are
usually less pure than the first crop and may require
recrystallization. The treatment of the mother liquor is very
important on the commercial scale, particularly in the
crystallization of expensive substances, such as alkaloids, to
avoid serious financial loss.
112
1. Temperature fluctuation—a rise causing increased
solubility and a fall causing supersaturation, and hence
crystallization.
2. Solid present in a metastable state that has a greater
solubility than the stable state, so that the solution is
supersaturated with respect to the latter.
3. Greater solubility of small crystals than that of large
crystals so that the solution is supersaturated with respect to
the latter.
4. Change of crystal structure due to presence of dispersing
solvent.
Crystal growth of drugs can be accelerated by temperature
cycling (Carless & Foster, 1966).
Possible methods of preventing crystal growth include the use
of particles of narrow size range grinding the solid in the
presence of the dispersing fluid (change of crystal structure?),
addition of surface active agents, which are adsorbed onto the
crystal surface and so inhibit the rate of deposition of solute
molecules.
A simple suspension of cortisone acetate powder for use as
eye drops is liable to crystal growth; grinding with hydrated
aluminium hydroxide and inclusion of methyl cellulose
produces a stable aqueous suspension (Flitcroft & Birchall,
1957).
Suspensions should, if possible, be confined to insoluble
solids, or at least to solids with a flat solubility curve, to
minimize the undesirable effects produced by temperature
fluctuation.
113
Precipitation
Substances produced by precipitation are usually
microcrystalline. The process involves the mixing of solutions
of the reactants and the interaction of these substances to form
a sparingly soluble substance. When chemically equivalent
quantities of the reactants are used, the order of mixing is not
usually of importance. When an excess of one reactant is
required for complete precipitation of the product, this
reactant is usually gradually added to the other reactant until
no further precipitate is produced. This procedure avoids
waste of materials and the precipitate will require less
washing in order to obtain it in a pure condition. The process
of precipitation in the laboratory is best performed in a
conical beaker flask, the form of which is most convenient for
washing the precipitate by decantation before collecting it on
a filter.
The character of a precipitate often depends upon the
conditions under which it has been produced. When the
reacting substances are mixed at temperatures near to their
boiling point, the precipitate is usually granular and heavy,
whereas a precipitate of the same substance produced by
mixing cold solutions may be light, take a long time to settle
and to wash, and will, perhaps, pass through the filter.
Similarly, concentrated solutions produce a precipitate in
larger particles than do dilute solutions. A very fine
precipitate, once formed, can often be caused to coagulate or
form larger particles by boiling or by digesting for some time
on a water bath, e.g. silver bromide and barium sulphate.
Some substances can be precipitated only from cold solutions,
because of their solubility; acid potassium tartrate and
magnesium ammonium phosphate normally crystallize only
114
from cold solutions. Such precipitates can often be induced to
form more rapidly by scratching the sides of the vessel with a
glass rod, or by vigorous shaking.
The theory of von Weimarn relates the degree of
supersaturation with the particle size of the precipitate; the
initial velocity of precipitation is proportional to (Q – S)/S,
where Q is the total concentration of the substance to be
precipitated and S is its equilibrium solubility. Q – S will be
the amount of material thrown out of solution. For the
formation of fine particles (Q – S)/S should be large. This
may be achieved by making Q large and/or S small. The use
of concentrated solutions will result in a large value for Q.
although too high a concentration may produce a gelatinous
precipitate. To make the value of S small the solubility may
be reduced by using a solvent in which the product is only
slightly soluble. For instance, barium sulphate of colloidal
size can be precipitated by double decomposition, from
aqueous alcohol solution in which barium sulphate is less
soluble than in water (see Alexander & Johnson, 1949).
The preparation of microcrystalline sulphathiazole (Chambers
et al., 1942), involves a novel process; a solution of
sulphathiazole sodium is neutralized with acid at a low
temperature, the mixture being agitated violently by
ultrasonic vibrations or with a high speed stirrer; the
precipitated sulphathiazole is centrifuged washed with water
and suspended in normal saline. The precipitate formed under
the influence of violent agitation is in a very finally divided
condition and yields a stable suspension in normal saline.
115
Fractional Crystallization
The process of crystallization affords a method for the
purification of crystalline substances. Advantage is taken of
the different solubilities of a substance and associated
impurities. The impure substance is dissolved by the aid of
heat in a solvent, found by experiment to be the most suitable,
and the solution is filtered while still hot and set aside to
crystallize. If the solvent has been properly selected, the
desired substance will crystallize out, while the impurity will
remain in solution, since it is unlikely that the solution will be
saturated with respect to both the required substance and the
impurity. If impurity is still present the process of
recrystallization is repeated until the product has attained the
desired degree of purity as shown by physical and chemical
tests (e.g. melting point, boiling point, density, solubility,
crystalline form, optical properties, assay and specific tests
for impurities).
Isomorphous substances that form mixed crystals cannot be
separated by fractional crystallization, even if their
solubilities are widely different.
Water of Crystallization
Solid compounds of salts with water of definite composition
are called hydrates and the combined water is termed water of
crystallization. For example, when anhydrous copper sulphate
(CuSO4), a white powder, is dissolved in water and the
solution is set aside to crystallize, the product consists of blue
prisms of copper sulphate pentahydrate (CuSO4.5H2O).
116
Water of crystallization forms part of the structure of the
crystals and may be attached to the anion or to the cation. In
hydrated copper sulphate four of the water molecules, which
are readily expelled on heating, are attached to the copper
cation and the fifth is attached to the sulphate anion. The fifth
molecule of water is held more firmly and is sometimes
referred to as water of constitution. The nature of the bond
linking the
water molecules to the salt is as yet not clearly understood,
but in certain instances, it has been shown that bonds of the
same type as those linking hydrogen to oxygen in water
(covalent bonds) are involved.
Some substances are capable of forming crystals with
different proportions of water of crystallization; sodium
carbonate, for example, can, by various means, be obtained as
Na2CO3.10H2O, Na2CO3.8H2O, Na2CO3.6H2O,
Na2CO3.5H2O and Na2CO3. H2O. It should not be thought
that water of crystallization is essential in order that a salt
may be crystalline; no water of crystallization is present in
crystals of, for instance, potassium chlorate, potassium
dichromate, potassium bromide or sodium chloride. Many
organic compounds crystallize with solvent of crystallization;
citric acid crystallizes with one molecule of water,
CH2(COOH).C(OH)(COOH).CH2COOH.H2O; crystalline
ergometrine may contain one molecule of acetone of
crystallization.
117
water. If the vapour pressure of the water in the surrounding
atmosphere differs from the vapour pressure of the water in
the hydrate, the hydrate will tend to gain or lose water until an
equilibrium is established with the water vapour in the
atmosphere. The loss of water of crystallization by a hydrate
to form an anhydrous salt or a hydrate containing fewer
molecules of water of crystallization is termed efflorescence.
The water in sodium sulphate, Na2SO4.10H2O, exerts a
vapour pressure of 16.3mm at 20; the water vapour pressure
in the atmosphere is often below this value and then the
hydrate effloresces to yield an anhydrous powder. Other
examples of efflorescent substances are borax,
Na2B4O7.10H2O, and sodium phosphate, Na2HPO4.12H2O.
With some substances, the aqueous vapour pressure of a
saturated solution is lower than the usual aqueous vapour
pressure of the atmosphere. Under these conditions, the solid
absorbs atmospheric moisture, forms a hydrate if such can
exist, and continues to absorb moisture until a solution is
formed; this phenomenon is termed deliquescence. A
saturated solution of calcium chloride exerts a vapour
pressure of 4–5mm at ordinary temperatures; more dilute
solutions exert higher vapour pressures up to the vapour
pressure of pure water (12–17mm at 15–20°C). The vapour
pressure of the water in the atmosphere may rise as high as
about 15mm. Hydrated calcium chloride or calcium chloride
will therefore readily absorb atmospheric moisture and
ultimately form a solution of below the concentration of a
saturated solution. It will be seen that sodium sulphate may
effloresce in an atmosphere in which calcium chloride or its
hexahydrate deliquesces. All deliquescent substances are very
soluble in water, notable examples being potassium
hydroxide, sodium iodide, sodium lactate, trichloracetic acid
and zinc chloride.
118
Many substances that absorb water do not form liquid
mixtures or definite compounds with the water. Such
substances are said to be hygroscopic. In these substances, it
is probable that the water is attracted to the solids by the
forces responsible for adsorption (see Chapter 6). Many
chemical and vegetable drugs are hygroscopic, e.g. exsiccated
sodium sulphate, and dry extracts. This term is also applied to
liquid substances such as sulphuric acid, glycerine and
dehydrated alcohol that absorb moisture from the air. There is
no doubt, however, that sulphuric acid forms definite
compounds with water.
Exsiccation
The process of removing water of crystallization from
hydrated substances is termed exsiccation. Exsiccated ferrous
sulphate, exsiccated sodium carbonate, exsiccated alum (burnt
alum) and anhydrous sodium arsenate are noteworthy
examples of substances prepared by exsiccation; magnesium
sulphate, sodium phosphate and sodium sulphate are
exsiccated as a preliminary step in preparing their respective
effervescent granules. The principles underlying the process
of exsiccation are the same as those underlying the
phenomenon of efflorescence. Substances capable of forming
more than one hydrate may be exsiccated in stages. For
instance, copper sulphate, CuSO4.5H2O, on heating may be
successively converted into the trihydrate, CuSO4.3H2O, the
monohydrate, CuSO4.H2O, and the anhydrous substance,
CuSO4. Exsiccated substances are not necessarily anhydrous.
Anhydrous ferrous sulphate cannot be prepared by heating the
hydrate in air, since basic sulphate is formed before all the
water is driven off, but if exsiccation is suitably effected in a
119
vacuum the anhydrous substance, FeSO4, is obtained.
Substances containing a large proportion of water of
crystallization, e.g. sodium sulphate, Na2SO4.10H2O, are
usually liquefied on heating by dissolving in the water
present.
Exsiccation is effected by weighing the substance into a tared
dish and heating, with frequent stirring, until there is no
further loss in weight, or until the calculated loss in weight
has taken place. A water bath or steam oven may be used as a
source of heat in some cases, but often a sand bath or air oven
must be used.
References
120
Chapter 4
Complexations
One of the most important properties of transition metals is
that they form coordination or complex compounds. These
compounds play a vital role in our lives. The importance of
these compounds can be realized from the fact that life would
not be possible without the existence of chlorophyll (Mg
complex) in plants and haemoglobin (Fe complex) in the
blood. One of the earliest known coordination compounds is
Prussian blue, which was accidentally prepared in 1704 by a
Berlin colour maker, Diesbach, by strongly heating animal
wastes and sodium carbonate in an iron container. In 1753
Macquer prepared potassium ferrocyanide by treating
Prussian blue with alkali. In 1799 Tassaert obtained an orange
compound, CoCl3.6NH3, by allowing the mixture of colour
chloride and aqueous ammonia to stand in air. The field of
such compounds expanded very fast and today they are useful
in many different fields, e.g. pharmacy, technology, analytical
chemistry, polymerization reaction, metallurgy, refining of
metals, organic synthesis, biochemistry, photography, etc. So,
complexation may be defined as the reversible association of
a substrate and ligand to form a new species. Intermolecular
forces involved in the formation of complexes are the van der
Waals forces of dispersion, dipolar and induced dipolar types.
Hydrogen binding provides a significant force in some
molecular complexes, whereas coordinate covalence is
important in metal complexes.
Complexes or coordination compounds result from a
donor–acceptor method or Lewis acid–base reaction among
two or more chemical constituents. The donor may be any
121
nonmetallic atom or ion, either free or contained in a neutral
molecule or an ionic compound, which can donate an electron
pair (Lewis base). The constituent that accepts an electron,
like a metallic ion or a neutral atom, may serve as acceptor
(Lewis acid).
Ligands serve as donors (Lewis bases), which are neutral
molecules, anions or cations that are directly linked with the
central metal atom or ion in a complex. With a few
exceptions, free ligands have at least one electron pair that is
not engaged in bonding and donate one or more electron pairs
to the central metal atom or ion, which acts as an acceptor. So
formation of complex ion involves the following two things:
1. Ligands should have lone pair or pairs of electrons, which
can be donated to the central metal ion or atom.
2. The central atom or ion should have vacant orbital of
nearly equivalent energy to accommodate the electrons
donated by ligands. This condition is easily fulfilled by atoms
or ions of transition metals.
Ligands can be classified on the basis of number of donor
atoms present in them. Classification is as follows:
1. Mono- or unidentate ligands: These ligands have one
donor atom or ion. F–, Cl–, Br–, H2O, CO, etc., are examples
of monodentate ligands.
2. Bidentate ligands: Ligands that have two donor atoms and
the ability to link with central metal ion at two positions are
called bidentate ligands, e.g. ethylene diamine, oxalate,
glycinate, etc.
3. Tridentate ligands: These ligands have three donor groups,
e.g. ethylene triamine.
4. Tetradentate ligands: These ligands have four donor
groups, e.g. nitriloacetate and triethylenetetramine.
5. Pentadentate ligands: They have five donor atoms such as
ethylenediaminetriacetate ion.
122
6. Hexadentate ligands: They have six donor atoms, e.g.
ethylenediaminetetraacetic acid (EDTA) ion.
Ligands with more than one potential donor atom are known
as ambidentate, such as the thiocyanate ion, NCS–, which can
bind to the metal centre with either nitrogen or sulphur atoms.
Examples of ambidentate ligands include NO2–/ONO– (O and
N) and (O and S), where the first named
atom refers to that which is bonded to the metal centre.
The ligands that attach with the centre ion or metals may be
the same as or different from one another. When all the
ligands are the same, the complex is called homoleptic. When
they are not identical, the complex is called heteroleptic.
Complexes can be classified into two categories, depending
on whether the component is a metal ion or an organic
molecule. A third class, the inclusion/occlusion compounds,
involves the entrapment of one compound in the molecular
framework of another. The classification of complexes shown
in Table 4.1.
Table 4.1 Classification of complexes
123
Metal Ion Complexes
A metal complex (also known as coordination complex) is a
complex consisting of a central atom or ion usually metallic,
bonded to a surrounding array of molecules or anions or
ligands. Major intermolecular forces involved in the
formation of complexes are the van der Waals forces of
dispersion, dipolar and induced dipolar types. An adequate
understanding of metal ion complexation is based on
familiarity with atomic structure and molecular forces. Metal
complexes include all metal compounds, aside from metal
vapours, plasmas and alloys (Table 4.2).
Table 4.2 Examples of metal–ligand complexes and the
charges
124
Metal complexations can be classified into following
categories:
1. Inorganic type
2. Olefin type
3. Chelates type
4. Aromatic type:
a. Sandwich compounds
b. Sigma complexes
c. Pi complexes
Inorganic-Type Complexes
125
hexacoordinate, (7) heptacoordinate, (8) octacoordinate and
(9) nonacoordinate.
Ligand donates a pair of electrons to form a coordinate
covalent link between itself and central ion having an
incomplete electron shell. Normally, a lone pair of electrons
on an atom within the ligand is shared with the metal cation,
which does not have any valence electrons to share. Consider
a chloride ion, for example. It has four lone pairs that can be
shared. Now consider a gold ion, which has lost its 6s
electrons and has an electronic configuration of [Xe]4f 5d. If
a chloride ion sticks to a gold (III) ion, the 6s and 6p orbitals
are available for bonding, but Au3+ has no electrons in them.
Thus, chloride provides both the electrons for the bond. In
fact, the Au3+ cation even rehybridizes to produce four sp3
orbitals and forms a tetrahedral complex with four chloride
ions, i.e. AuCl4–.
Other complex ion belonging to the inorganic complex group
include [Ag(NH3)2]+, [Fe(CN)6]4– and [Cr(H2O)6]3+.
Hybridization plays very important part in coordination
compounds in which adequate bonding orbitals are not
usually available in the metal ion. In chemistry, hybridization
is the concept of mixing atomic orbitals to form new hybrid
orbitals suitable for the qualitative description of atomic
bonding properties. Hybridized orbitals are very useful in the
explanation of the shape of molecular orbitals for molecules
(Fig. 4.1).
126
Fig. 4.1 Hybridization of copper chloride.
127
trivalent cobalt ion Co(III) has the ground-state electronic
configuration, as shown in Fig. 4.3. Complex [Co(NH3)6]3+ is
a complex of cobalt with ammonia that shows the d2sp3
electronic configuration, as shown in Fig. 4.4 (Martin et al.,
1991).
Olefin-Type Complexes
128
shared between two carbon atoms in the alkene. Since a bond
is generally thought of as a pair of electrons shared between
two atoms, once the pi electrons are donated to the metal,
they are shared between the metal and one of the carbons, but
not both. During this process, one of the carbons is short of
electrons. It must be a cation. Of course, either carbon could
be the cationic one, so we can draw resonance structures
showing both possible states (Fig. 4.6).
1. Donation of pi electrons to a metal can ‘activate’ an alkene.
2. The alkene can become positive and electrophilic.
129
Fig. 4.7 Typical representation of alkene complexes.
Chelates-Type Complexes
The word chelates has been derived from the Greek word
chele meaning ‘claw’. There are many substances containing
two or more donor groups that may combine with a metal to
form a
special type of complex, which is known as chelate. Simply
put, if bidentate or polydentate ligands, which are known as
chelating ligands, on coordination result in the formation of a
closed or cyclic ring structure complex, are called chelates.
The bonds in a chelate may be ionic or of the primary
covalent type. Complex formed by Cu2+ ion with
ethylenediamine is an example of a chelate, as shown in Fig.
4.8.
130
Fig. 4.8 Ethylenediamine–copper complex.
131
Table 4.3 Examples of polydentate ligands
Dentate
Name Formula
character
Carbonates CO32– Bidentate
Ethane 1,2-diamine NH2–CH2–CH2–NH2 Bidentate
Oxalates C2O42– Bidentate
Glycinate NH2–CH2–COO– Bidentate
Diethylenetriamine NH(NH2C2H4)2 Tridentate
Ethylenediaminetetraacetic
Hexadentate
acid
Two most important naturally occurring chelates are
chlorophyll and haemoglobin. These are involved in the life
processes of plants and animals, respectively. The synthetic
chelating agents, e.g. EDTA, are being used to tie up or
sequester iron and copper ions so that they cannot catalyze the
oxidative degradation of ascorbic acid in fruit juices and drug
formulations. The chelating agents and metal ions form a
water-soluble compound during sequestration. EDTA is
widely used sequester and also removes calcium ions from
hard water (Fig. 4.9). The process of chelation can also be
applied during the assaying of drugs. For example, a
colorimetric method to assay procainamide in injectable
solutions is based on the formation of 1:1 complex of
procainamide with cupric ion at pH 4–4.5 (Martell & Calvin,
1952; Martin et al., 1991).
132
Fig. 4.9 Sequestering of calcium ions by EDTA.
Aromatic-Type Complexes
Sandwich Compounds
133
covalent bonds to two arene ligands. The arenes have the
formula CnHn, substituted derivatives (e.g. Cn(CH3)n) and
heterocyclic derivatives (e.g. BCnHn+1). Because the metal is
usually situated between the two rings, it is said to be
sandwiched. A special class of sandwich complexes is the
metallocenes. The formula of metallocenes is M(C5H5)2
where M = Cr, Fe, Co, Ni, Zr, Ru, Ti, V, Mo, W or Zn. These
species are also called bis(cyclopentadienyl)metal complexes.
These compounds are relatively stable and are considered to
involve a delocalized covalent bond between the d orbital of a
transition metal and a molecular orbital of the aromatic ring.
The term sandwich compound was introduced in
organometallic nomenclature during the mid-1950s in a report
by J.D. Dunitz, L.E. Orgel and R.A. Rich, who confirmed the
structure of ferrocene by X-ray crystallography. It is an
orange-coloured crystalline solid with a camphor-like odour,
melting point of 173°C and boils at 249°C without
decomposition. It is slightly soluble in alcohol, ether and
benzene. Fig. 4.10a shows the structure of ferrocene and Fig.
4.10b shows dibenzene chromium.
134
The sandwich compounds can be classified into three
categories, as mentioned below:
1. Mixed cyclopentadienyl complexes: M(C5H5)(CnHn), e.g.
Ti(C5H5)(C7H7)
2. Bis(benzene) complexes: M(C6H6)2, e.g. bis(benzene)
chromium
3. Bis(cyclooctatetraenyl) complexes: U(C8H8)2
Types of sandwich complexes are discussed below:
Monometallic half-sandwich compounds: Metallocenes
including just one facially bound planar organic ligand
instead of two, e.g. methylcyclopentadienyl manganese
tricarbonyl.
Dimetallic half-sandwich compounds: Compounds such as
the cyclopentadienyliron dicarbonyl dimer and
cyclopentadienylmolybdenumtricarbonyl dimer can be
considered a special case of half sandwiches, except that they
are dimetallic. A structurally related species is
[Ru(C6H6)Cl2]2.
Multidecker sandwiches: The first multidecker sandwich
complex was the dicationic tris(cyclopentadienyl) dinickel
complex [Ni2Cp3](BF4)2. A versatile method involves the
attachment of Cp.Ru+ to preform sandwich complexes.
Di- and multimetallic sandwich compounds: Another family
of sandwich compounds involves more than one metal
sandwich between two polycyclic aromatics. Depicted below
(Fig. 4.11) is such a compound, which has four palladium
atoms joined in a chain sandwiched between two perylene
units. The counterions are tetraarylborates.
135
Fig. 4.11 Multimetallic sandwich complex of palladium with
perylene ring.
136
Fig. 4.12 Sigma complex.
Pi (π) Complexes
137
Organic Molecular Complexes
An organic molecular complex or organic coordination
compound consists of components held together by weak
forces of the donor—acceptor type or by hydrogen bonds. For
example, dimethylaniline and 2,4,6-trinitroanisole are two
compounds that react in the cold to give a molecular complex.
Conversely, these two compounds react at a high temperature
to form a salt in which the component molecules are held
together by primary valence bond.
Numerous organic complexes are so weak that they cannot be
separated from their solution as specific compounds, and they
are frequently hard to identify by chemical or physical means.
These molecular complexes are referred to as charge transfer
complexes. The difference between a charge transfer and a
donor—acceptor complex is that in the former type,
resonance makes the major contribution to complex action,
while in the latter, dispersion forces and dipole—dipole
interactions contribute more to the stability of the complex.
These complexes are bound together by van der Waals force,
dipole—dipole interaction and hydrogen bonding, but lacking
charger transfer are known as molecular complexes. The
charge transfer complexes are of much importance in the field
of pharmacy, e.g. 1:1 charge transfer complexes formed by
iodine with drugs like clomethiazole, disulphiram and
tolnaftate (Andrews & Keefer, 1964; Martin et al., 1991).
Each of these drugs holds a nitrogen—carbon—sulphur
moiety and complex results from the transfer of charge from
the pair of free electrons on the nitrogen and/or sulphur atoms
of these drugs to antibonding orbital of iodine atom.
Therefore, thyroid action in the body can be inhibited by
molecules containing the N–C=S moiety via tying up iodine.
138
The organic molecular complexes may further be divided into
the following types:
1. Polymer-type complexes
2. Caffeine and other drug complexes
3. Picric acid-type complexes
4. Quinhydrone-type complexes
Polymer Complexes
139
parameters of drugs, e.g. the dissolution rate of ajmaline is
enhanced by complexation with PVP. This interaction is
attributed to the aromatic ring of ajmaline and the amide
group of PVP to yield a dipole–dipole induced polymer type
of complex. Some polymer complexes with compound and/or
drugs are mentioned in Table 4.4.
Agent/drugs Polymers
Polyethylene Resorcinol, catechol, salicylic acid,
glycol p-hydroxybenzoic acid, m-hydroxybenzoic
acid
Povidone Salicylic acid, p-hydroxybenzoic acid,
(polyvinyl m-hydroxybenzoic acid, sodium salicylate,
pyrolidone, phenobarbital
PVP)
Sodium Procaine, quinine, pyribenzamine
carboxymethyl
cellulose
Oxytetracycline N-methyl pyrrolidone, caffeine,
and tetracycline sodium-p-aminobenzoate
140
acidic drugs. They pointed out the interaction between
caffeine and a drug such as sulphonamide
or a barbiturate by a dipole–dipole force or a hydrogen
bonding between the polarized carbonyl groups of caffeine
and the hydrogen atom of the acid. Also a secondary
interaction probably occurs between the nonpolar parts of the
molecules, and the resultant complex is squeezed out of the
aqueous phase due to the higher internal pressure of water.
These two effects lead to a high degree of interaction.
The complexes formed between esters, amines, phenols,
ethers and ketones have been attributed to the hydrogen
bonding between a nucleophilic corbonyloxygen and active
hydrogen. Complexation of esters such as benzocaine,
procaine and tetracaine with caffeine has also been reported
by Higuchi, and he suggested that, in the caffeine molecule,
comparatively a positive centre exists that serves as a possible
site of complexation. Caffeine makes complexes with organic
acids’ anions, which are more soluble than the pure xanthine.
But the complexes of caffeine made with organic acids, such
as gentisic acid, are less soluble than caffeine alone. Such
insoluble complexes provide caffeine in the form that masks
its normally bitter taste and should serve as a suitable state for
chewable tablets. These chewable tablets offer an extended
release of the drug with improved taste.
141
butesin picrate is as a 1% ointment for burns and painful skin
abrasions. Butesin picrate combines the antiseptic property of
picric acid and the anaesthetic property of butesin. It has been
suggested that the stability of the complexes produced among
carcinogenic agents and picric acid is related to carcinogenic
activity, and any substitution on the carcinogen agent that
hinders picrate complexation also reduces carcinogenicity.
One more example of this category is anthranilic acid–picric
acid complex (2C7H7NO2. C6H3N3O7). In this complex,
picric acid is sandwiched between two crystallographically
independent anthranilic acid molecules, with spacing of 3.29
and 3.33Å. The carboxyl and amino groups of anthranilic acid
are neutral and the former group is hydrogen bonded to the
polar nitro and phenol oxygen atoms of neighbouring picric
acid molecules.
Quinhydron Complexes
142
stabilizing this complex, but it is not the individual path of
association, because hydroquinone dimethyl ether also forms
a coloured adduct with quinone. A remarkable quinone is
obtained from salicylic acid, which readily oxidizes and
yields blue-black quinhydrone compound (Fig. 4.14).
Inclusion/Occlusion Compound
Complexes
The group of addition compounds is known as inclusion or
occlusion compounds. These compounds are due to the
architecture of molecules rather than from their chemical
affinity. One of the constituents of the complex is trapped in
the open lattice or cage-like crystal structure of the other to
yield a stable arrangement. The inclusion/occlusion
143
compound complexes may be divided into the following
types:
Layer-Type Complexes
144
Fig. 4.15 A channel complex formed with urea molecules as
the host.
145
The well-known starch—iodine solution is a channel-type
complex consisting of iodine molecules entrapped within
spirals of the glucose residues. Monoestearin, an interfering
component in the assay of dienestrol, could be extracted
easily from dermatologic creams by channel-type inclusion in
urea.
Monomolecular-Type Complexes
146
Fig. 4.17 Cyclodextrin.
147
Fig. 4.18 (A) Representation of cyclodextrin as a truncated
cone. (B) Mitomycin C partly enclosed in cyclodextrin to
form inclusion complex.
148
Apart from hydrophilic derivatives, hydrophobic forms of
β-cyclodextrins have also been instituted useful as sustained
release carriers for many drugs. For example, release rate of
diltiazem has been modified by complexation with ethylated
β-cyclodextrins. Another example of sustaining the action of
drug is of isosorbide dinitrate. CDs may also improve
organoleptic characteristics of oral liquid formulations. For
example, bitter taste of femoxetine can be suppressed by
complexation with β-cyclodextrins.
Macromolecular-Type Complexes
Clathrates-Type Complexes
149
clathrate of isopropyl alcohol, water and sodium warfarin in
the form of a white crystalline powder. Highly toxic
hydroquinone (quinol) also forms clathrates-type complexes,
which crystallize in a cage-like hydrogen-bonded structure
(Fig. 4.19).
150
effects. They must also be considered in such areas as the
kinetics of reaction in solution involving metal complexes,
biological effects of metal ions, etc.
Various methods for the determination of complexation are as
follows:
1. Method of continuous variation
2. pH titration method
3. Distribution method
4. Solubility method
5. Spectrophotometric method
6. Miscellaneous method
151
are mixed and a complex forms between the two species, the
value of the additive property will pass through a maximum
(or minimum). For a constant total concentration of A and B,
the complex is at its greatest concentration at a point where
the species A and B are combined in the ratio in which they
occur in the complex (Fig. 4.20).
152
Nowadays this method is being used for the formation of
higher complexes in the solution (Fig. 4.21) (Escander, 1999).
pH Titration Method
153
Since two protons are formed in this reaction. The addition of
glycine to a solution containing cupric ions should result in a
decrease in pH. Titration curves can be obtained by adding a
strong base to a solution of glycine and to another solution
containing glycine and a copper salt, and plotting the pH
against the equivalents of base added. The curve (Fig. 4.22)
for the metal–glycine mixture is well below that for the
glycine alone, and the decrease in pH shows that
complexation is occurring throughout most of the
neutralization range.
154
And the overall reaction is M + 2A = MA2; β = K1K2 =
[MA2]/[M] [A]2.
Where K1 and K2 are the formation constant, the equilibrium
constant β for the overall reaction is known as the stability
constant. The quantity n can be defined as the number of
ligand molecules bound to the number of metal ion. The
average number of ligand groups bound per metal ion present
is therefore designated as and is written as
Distribution Method
155
certain complexes. The complexation of iodine by potassium
iodine may be used as an example to illustrate the method.
The equilibrium reaction in its simplest form is I2 + I– = I3–.
Addition steps also occur in polyiodine formation (Dawsom,
1901); for example, may occur at higher
concentrations. Distribution coefficient of iodine when
distributed between water (w) and carbon sulphide as the
organic phase (o) is found to be 625. When it is distributed
between a 0.1250 M solution of potassium iodide and carbon
disulphide, the concentration of iodine is found to be 0.1896
mole/litre in organic phase and 0.02832 moles/litre in
aqueous phase. In short, total concentration of KI (free and
complex) = 0.1250 mole/litre.
Total concentration of I2 in aqueous phase = 0.02832 mole/
litre.
Total concentration of I2 in organic phase (free and complex)
= 0.1896 mole/litre.
Distribution coefficient, K(o/w) = [I2]o/[I2]w = 625.
Higuchi et al. (1953) also investigated complexation of
caffeine, PVP and PEG on number of acidic drugs using the
same method, that is, distribution method. Zunk reported in
1953 the stability constant of benzoic acid with caffeine at
temperature 0°C, and it was found to be 37.5.
Solubility Method
156
be employed to investigate the complexation of
p-aminobenzoic acid (PABA) by caffeine. Higuchi and Lach
(1954) used the solubility method of investigating the
complexation of p-aminobenzoic acid by caffeine. The results
are shown in Fig. 4.23 and explained by the curve, as follows.
The point A at which the line crosses the vertical axis is the
solubility of the drug in water. With the addition of caffeine,
the solubility of PABA rises linearly because of
complexation. At point B, the solution is saturated with
respect to the complex and to the drug itself. The complex
continues to form and
to precipitate from the saturated system as more caffeine is
added. At point C, all of the excess solid PABA has passed
into solution and has been converted to the complex.
Although the solid drug is exhausted and the solution is no
longer saturated, some of the PABA remains uncomplexed in
157
solution, and it combines further with caffeine to form higher
complexes such as PABA-2 caffeine as shown in the curve at
the right of the diagram. For obtaining the stoichiometric ratio
of the complex, following calculations are made. The
concentration of caffeine, corresponding to the plateau BC,
equals the concentration of caffeine entering the complex
over this range, and it is equal to 1.8 × 10–2 mole/litre. The
concentration of PABA entering the complex is obtained from
the undissolved solid remaining at point B. It is obtained from
subtracting the acid in solution at the saturation point B from
the total acid initially added to the mixture since this is the
amount yet undissolved that can form the complex. Amount
of PABA is equal to 7.3 × 10–2 – 5.5 × 10–2 mole/litre or 1.8
× 10–2 mole/litre. And the stoichiometric ratio = caffeine in
complex/PABA in complex.
That is, 1.8 × 10–2/1.8 × 10–2 = 1
Complex formation can be written as
158
Further, Higuchi et al. (1965) studied on various
drug–caffeine complexes and stability constants of some
caffeine complexes in water at 30°C, as shown below:
Compound Stability constant (approximately)
Sulphadiazine 07
Picric acid 08
Sulphathiazole 11
Acetyl salicylic acid 15
Balicylic acid 40
Benzoic acid 18
Benzocaine 59
159
In benzene and ether, iodine is the electron acceptor and the
organic solvent is the donor; in CCl4, no complex is formed.
The shift towards the ultraviolet becomes greater as the
electron donor solvent becomes a stronger electron-releasing
agent. These spectra arise from the transfer of an electron
from the donor to the acceptor in close contact in the excited
state of the complex. The more easily a donor such as
benzene or diethyl ether releases its electron, as measured by
its ionization potential, the stronger it is as a donor. Ionization
potentials of a series of donors produce a straight line when
plotted against the frequency maximum or charge-transfer
energies for solutions of iodine in donor solvents.
Miscellaneous Methods
160
mRNA molecules contain regions of polyadenylic acid, which
are thought to increase the stability of mRNA and to favour
genetic code translation. The change of the circular dichroism
spectrum of polyadenylic acid was interpreted as being due to
intercalative binding of catecholamines between the stacked
adenine bases.
Infrared spectroscopy can be used to investigate the
hydrogen-bonded complexes involving polyfunctional bases
such as proton donors. This is a very precise technique to
determine the
thermodynamic parameters involved in the hydrogen bond
formation and to characterize the interaction sites when the
molecule has several groups available to form hydrogen
bonds (Kalinkova, 1999 a, b & Marino, 2000). Caffeine forms
hydrogen-bonded complexes with various proton donors, e.g.
phenol, phenol derivatives, aliphatic alcohols and water. From
the infrared technique, the preferred hydrogen-bonding sites
are the carbonyl functions of the caffeine. Seventy percent of
the complexes are formed at the C=O(6) group and 30% of
the complexes at the C=O(2) function of caffeine.
Protein Binding
Binding to plasma proteins is both a help and a hindrance to
the distribution of drugs through the body. Transport in the
bloodstream by binding to albumin helps the drugs to reach
regions remote from the site of administration. Because
bound drug cannot readily leave the capillaries, however, the
rate of distribution of drug into the tissues will be controlled
by the concentration gradient produced by the concentration
of unbound unionized drug. Usually, it is the unbound drug
concentration that is considered to be pharmacologically and
161
toxicologically active. The fraction of unbound drug can also
influence the rate of drug elimination. In this manner, binding
affects both the duration and the intensity of drug action. The
binding and transport of endogenous and exogenous
substances is one of several important functions of the plasma
proteins (Fig. 4.24). The endogenous substances include
bilirubin, fatty acids, l-tryptophan, vitamins and many
hormones. Most drugs also bind to one or other of the plasma
proteins, at least to some extent. Drugs may bind to various
macromolecular components in the blood, including albumin,
acid glycoprotein, lipoproteins, immunoglobulins (IgGs) and
erythrocytes (RBCs).
162
various hormones are located among the globulins. There is
no precise definition of a ‘highly’ bound drug, but only when
the percentage of a drug bound exceeds about 70% is binding
likely to exert much influence on the distribution and
pharmacokinetics of a drug. In the case of highly bound
drugs, for instance, warfarin, carbenoxolone or
phenylbutazone, the unbound fraction may be considerably
less than 1% of the total plasma drug concentration. The
interaction of most drugs with the plasma proteins is a
dynamic, reversible process with dissociation of bound drug
molecules from the drug–protein complex occurring very
rapidly, probably within milliseconds or less. The rate of
dissociation of drug molecules from plasma proteins is
therefore not a limiting factor in the uptake of drug from the
bloodstream by major organs, whose perfusion time may be
several seconds or more.
Another plasma protein, α1-acid glycoprotein, has also shown
to bind numerous drugs like propanolol, imipramine,
lidocaine and globulin. This protein has shown greater
affinity for basic drugs as compared to acidic drugs. Acidic
drugs may also bind to lipoproteins if the albumin is
saturated. Lipoprotein binding is not binding in the strict
sense of the term; it is closer to dissolving and is common in
lipid-soluble drugs. A drug that binds to tissue often binds to
melanin-rich tissue or DNA. Globulins may be responsible
for the plasma transport of certain endogenous substances
such as corticosteroids. These globulins have a low capacity
but high affinity for the binding of these endogenous
substances.
Lipoproteins are macromolecular complexes of lipids and
proteins and are classified according to their density and
separation in the ultracentrifuge. The terms VLDL, LDL and
HDL are abbreviations for very-low-density, low-density and
163
high-density lipoproteins, respectively. Lipoproteins are
responsible for the transport of plasma lipids to the liver and
may be responsible for the binding of drugs if the albumin
sites become saturated.
Erythrocytes, or red blood cells (RBCs), may bind both
endogenous and exogenous compounds. RBCs consist of
about 45% of the volume blood. Phenytoin, pentobarbital and
amobarbital are known to have an RBC/plasma water ratio of
4:2, indicating preferential binding of drug to the erythrocytes
over plasma water. Penetration into RBC is dependent on the
free concentration of the drug. In the case of phenytoin, RBC
drug level increases linearly with an increase in the
plasma-free drug concentration. Increased, drug binding to
plasma albumin reduces RBC drug concentration. With most
drugs, however, binding of drug to RBC generally does not
significantly affect the volume of distribution, because the
drug is often bound to albumin in the plasma water. Even
though phenytoin has a great affinity for RBC, only about
25% of the blood drug concentration is present in the blood
cells and 75% in the plasma because the drug is also strongly
bound to albumin. For drugs with strong erythrocyte binding,
the haematocrit will influence the total amount of drug in the
blood. For these drugs, the total whole-blood drug
concentration should be measured.
The interaction of drugs with proteins present in the body can
influence their action in a number of ways. Proteins may (1)
enhance the distribution of drugs throughout the body, (2)
inactivate the drug by not allowing a sufficient concentration
of drug to accumulate or reach at the receptor site or (3) retard
the excretion of drug. The interaction of the drug with
proteins may cause (1) the displacement of body hormone or
a coadministered agent (2) a configurational change in the
protein, the structurally altered form of which is capable of
164
binding a coadministered agent, or (3) the formation of
drug–protein complex that itself is biologically active. A drug
that extensively binds to plasma proteins is warfarin.
Administration of another drug that has higher affinity for
plasma proteins (e.g. several NSAIDs) will displace warfarin
from its binding sites and cause serious haemorrhage to the
patient.
Protein binding is usually reversible and thus creates a
chemical equilibrium, in which the chemical reaction can go
backwards and forwards, with no net change in reactants and
products. This means that a cell that is effective at extracting
the unbound drug may extract more of the drug as it
disassociates in the course of achieving equilibrium. The
equation for reversible protein binding is:
165
thus raising the unbound fraction of drug A. This process
happens fairly quickly, in minutes to hours, and both
scenarios could have adverse effects. Many drugs, however,
have different binding proteins or different binding sites on a
protein, or they are not present in high enough relative
concentration to saturate the proteins, and so, do not compete
with the other drug or drugs in use. Likewise, the ability of
the body to extract the drug can affect the drug’s clearance
into the body. Renal failure and liver disease often negatively
impact the body’s ability to extract the unbound drug. For
these reasons, it is important to consider previous medical
issues, the total concentration of the drug, the unbound
fraction of the drug and any other medications a patient might
be taking.
Mathematical analysis of protein binding – Binding equilibria
The interaction between a group or free receptor R in a
protein and a drug molecule D is written as:
(1)
Or
(3)
166
where K is the association constant, [R] is concentration of
protein in terms of free binding sites or receptor, [Dm] is the
concentration of free drug complex, usually given in moles. K
may vary with temperature and might be better represented as
KT. Bound drug may be written as [RD] and is sometimes
written as [Db] and [D]; the free drug is written as [Dm].
If the total protein concentration is designated as [Rt], we can
write
(4)
Or
Substituting the expression for [P] from Eq. 4 into Eq. 3
gives:
(5)
(6)
(7)
167
(8)
(9)
(10)
(11)
(12)
168
(13)
169
definite values. Control and blank samples are run to account
for the adsorption of the drug and the protein on the
membrane. If binding occurs, the drug concentration in the
sac containing the protein is greater at equilibrium than the
concentration of drug in the vessel outside the sac. Samples
are removed and concentration of free and complexed drug
obtained is analyzed. This is the oldest method for protein
binding determination and continues to be the most accepted
method. Some potential errors of this method are the possible
binding of the drug to the membrane, transfer of the
substantial amount of drug from plasma to the buffer side of
the membrane and shifting of osmotic volume of the fluid to
the plasma side.
Ultrafiltration methods are perhaps more convenient for the
routine determination because they are relatively less time
consuming. The ultrafiltration method is analogous to
equilibrium dialysis method in that protein macromolecules
such as serum albumin are separated from small drug
molecules. Hydraulic pressure or centrifugation is employed
in ultrafiltration to force the solvent and the small molecules
of the unbound drug through the membrane while avoiding
the passage of drug bound to the protein. This ultrafiltrate is
then analyzed by spectrophotometry or other suitable
techniques to determine the concentration of bound drug.
One more important method for quantification of protein
binding is dynamic dialysis. This method has originated
support in the recent years because it is relatively rapid,
economical in terms of the amount of protein required and
readily applied to the study of competitive inhibition of
protein binding. Dynamic dialysis method is based on the rate
of disappearance of drug from a dialysis cell, which is
proportional to the concentration of unbound drug.
170
Applications of Complexation
Complexation means binding of the metal ion or organic
molecules or any active molecules with ligands. By this way
binding can affect the action of the agents or compounds
either in terms of their solubility, stability or, maybe, their
biological actions, etc. Some of the pharmaceutical and other
applications of the complexation are mentioned below.
Complexation is used in the qualitative and quantitative
estimation of the metals like silver, copper, mercury,
aluminium, cobalt, etc. EDTA is used as a complexing agent
in volumetric analysis of metals like calcium, magnesium,
zinc, etc. Complex compounds of the transition metals exhibit
variety of colours. This property is used in colorimetric
estimation of drugs. Other analytical applications of
coordination compounds include indication of
oxidation–reduction, estimation of hardness of water,
sequestration of agent and extraction of solvent.
Complexation has also played an important role in the field of
metallurgical operations, e.g. silver and gold extracted by the
use of complex formation with sodium cyanide solution.
Nickel is extracted by converting it into a volatile complex
nickel carbonyl by the use of carbon monoxide. The complex
decomposed on heating again into nickel and carbon
monoxide.
Complexation is also utilized in electroplating of metal.
Cyano complexes of silver, gold, copper, etc., are used for
electrodeposition of these metals.
Coordination compounds play many important roles in animal
and plant life. They are essential in storage and transport of
oxygen, as electron transfer agents, as catalysts and in
photosynthesis. Haemoglobin is a protein present in the blood
171
and is a complex of iron with porphyrin, which is known as
haeme. It carries oxygen in the blood, from the lungs to the
tissues where it delivers the oxygen molecules to myoglobin.
Cytochrome is another example of the same. They act as
electron carriers, which also play essential part in metabolic
processes. In case of chlorophyll molecules, which also play a
role in photosynthesis also contains the porphyrin ring but the
metal ion there is magnesium ion rather than iron ion as in
haemoglobin. Vitamin B12 is an example of complex of
cobalt with a quandridentate ligand, and it is active when
cobalt is present in +1 oxidation stage. Vitamin B12 is an
essential growth factor for many microorganisms.
Organometallic compounds also have various applications, as
follows: tetraethyl lead is used as antiknock compound in
gasoline; silicons are used as polymers of unique properties;
organoalkali and Grignard reagents are used in many organic
synthetic reactions, etc. These compounds are also used as
homogenous and heterogenous catalysts. Wilkinson’s catalyst
[Rh(P.Ph3)3Cl] is a homogenous catalyst and used in
hydrogenation of alkenes, whereas Zeigler–Natta acts as a
heterogenous complex and is used in polymerization of
ethylene into polyethylene.
Cyclodextrin (CD) formulations are used to improve the oral
bioavailability of the drugs when solubility and the rate of
dissolution limit the availability of the drug for absorption.
For example, the drug cefotiam hexetil hydrochloride forms a
gel under the acidic conditions of gastric contents and shows
poor dissolution, while α-CD complexation improves the
dissolution and solubilization of the drug.
Complexation has been used to mask the unpleasant bitter
taste of a number of drugs such as oxyphenonium bromide,
propantheline bromide clofibrate and acetaminophen.
172
CD is also used as a stabilizing agent in pharmaceutical
formulations. They protect drugs from hydrolysis, hydrolytic
dehalogenation, oxidation, decarbozylation and isomerization,
both in solution and the solid state. Inclusion complexes have
also been prepared with a number of volatile substances
including spices flavours, essential oils and several drugs. CD
complexation has been shown to reduce volatility and
improve the stability of many compounds. Examples include
lemon oil and other flavouring agents, clofibrate isosorbide
5-mononitrate and nitroglycerine. In medical field, the
complex of the calcium with EDTA is used for the treatment
of lead poisoning. Lead readily replaces calcium in the
complex, and lead–EDTA is finally eliminated from the body
in urine. It is also used for the elimination of Cd, Co, Hg, U,
It and Ce. Dimercaprol (BAL) is used for the treatment of
battle poisoning along with the luisit (ClHC=CHAsCl2). The
action of luisit is based on the binding with –SH groups.
Salicylic acid is used in beryllium poisoning.
Ferric complex of oxine is used as antibacterial and antifungal
agents. Oxine facilitates the penetration of iron into the
membrane of bacterial cells. p-Aminosalicylic acid–copper
complex showed much greater antitubercular activity than the
cupric complex.
Penicillamine is used in the treatment of chronic copper
accumulation (Wilson’s disease) and lead poisoning. It is also
used in treatment of rheumatoid arthritis.
Platinum complexes, such as the square planer
cis-dichlorodiammineplatinum (II), form a class of antitumor
agents and have a large application in the treatment of cancer
of the ovaries and testicles.
Diuretic drug preparations have promoted urine formation.
They are derivatives of mercury propanol RCH2CH(OH)
CH2HgX, where R is a polar hydrophilic group. The mercury
173
diuretic preparations act as fermenter inhibiter. These
properties lead to the use of bacterial infections. In these
cases, they interact with –SH groups of the bacterial proteins.
Many drug preparations can interact with metal ions. In some
cases, the therapeutic activity of a drug compound can be
inhibited through a chelated metal ion. For example,
tetraethylethiouram disulphide is used in the treatment of
chronic alcoholism, which inhibits aldehyde oxidase and
interrupts the ethanol metabolism at the stage of formation of
the acetaldehyse. The latter leads to an unpleasant feeling. It
makes the alcohol nontransportable in its later use. Lithium
itself is used in the treatment of bipolar disorder, i.e. manic
depression. Thiomalate has also been used very successfully
to treat severe cases of rheumatoid arthritis. Drugs obtained
by using biotechnology have an important role in the
pharmaceutical industry. These new products include
peptides, proteins and antibodies and are used as therapeutics
or diagnostics. Drugs such as interferons, interleukins, growth
factors and plasminogen activators are also being used as
diagnostics. They are very sensitive to many diseases, such as
hepatitis, herpes and AIDS.
References
174
Kalinkova GN. Int. J. Pharm. 1999;187:1.
Kalinkova GN. Vibrational Spectroscopy. 1999;3:1.
Marino C, Junquera E, Aicart E. Langmuir. 2000;16:1557.
Martell AE, Calvin M. Chemistry of Metal Chelates
Compounds. New York: Prentice-Hall; 1952.
Martin A, Swarbrick J, Cammarata A. Physical Pharmacy.
Philadelphia. Lea & Febiger; 1991.
175
Chapter 5
Interfacial Phenomena
Intermolecular Forces
All atoms and molecules attract one another due to van der
Waals forces which arise because of an uneven distribution of
electrons around an atom or a group of atoms so that the
positive and negative centres do not coincide. The result is the
production of a dipole whose behaviour can accurately be
described only by recourse to quantum mechanics. The van
der Waals forces may be classified into three types:
1. Keesom attraction between polar groups, that is between
permanent dipoles. This results from the preponderance of
attractive over repulsive orientations since, during rapid
thermal motion, dipoles are closer when under attractive
orientation.
2. Debye attraction between a permanent dipole and the
dipole which it induces in another group.
3. London attraction between individual atoms whereby even
nonpolar molecules attract each other. Although such atoms
or molecules do not possess a dipole moment, they do possess
a dipole which is rapidly fluctuating due to the motion of the
electrons and whose frequency is about 1015 to 1016 s−1.
Since the time average of the electron distribution is
symmetrical, the effect of these transitory dipoles would be
self-cancelling were it not for the fact that they induce an
in-phase relationship with neighbouring transitory dipoles. It
is this effect which enables even the inert gases to liquefy and
176
is responsible for the refractive dispersion of light. Because of
the latter phenomenon, the London force is frequently
referred to as the dispersion force.
All three components therefore have an electromagnetic
origin which gives rise to a potential energy field U around
the atoms. Because the attraction (negative by convention)
potential varies inversely as the sixth power of the distance r
between the interacting atoms or groups, the attractive force
varies inversely as the seventh power since the force F is the
gradient (Fig. 5.1)
177
where A and B depend on the nature of the molecules.
Because the force of attraction varies with r−7, the influence
is felt over only a fraction of a nanometre. The van der Waals
forces are therefore short-ranged.
The relative contributions of the three components are listed
for a few simple molecules in Table 5.1. Generally, the
London component predominates but the Keesom component
is excessive with highly polar molecules such as water. In
such cases the Keesom force is particularly strong because the
hydrogen atom shares only two electrons in the molecule so
that it can approach very close to the electronegative atom of
a neighbouring molecule thereby forming a hydrogen bond.
The close approach of the hydrogen proton allows it to pull
closer to itself the electron cloud around the electronegative
atom of the other molecule. The resulting hydrogen bond
strength will depend on the electronegative atoms (generally
oxygen, nitrogen or fluorine) on either side of the hydrogen
proton and upon
the inductive effect of other groups. Its magnitude is usually
between 10 and 30 kJ.mol−1 and is therefore appreciable
although still only a fraction of the strength of covalent bonds
which are mostly 200–800 kJ.mol−1
Table 5.1 Relative magnitudes of intermolecular interactions
178
Hydrogen bonding produces molecular association which, in
the case of hydrogen fluoride and formic acid, is strong
enough to persist even in the vapour state if the temperature is
not too high. Water would boil at about 203K were it not for
its association into aggregates of higher molecular weight.
Since each oxygen atom of water has two lone pairs of
electrons, it can form two hydrogen bonds in addition to its
two covalent bonds. These four bonds are disposed around the
oxygen atom towards the corners of a tetrahedron and enable
the production of polymeric clusters of water molecules
which continually break and reform under thermal agitation
with a lifetime of about 10-11 s. This structuring of water
confers upon it various anomalous properties such as a high
surface tension and dielectric constant and the abnormal
effect of temperature and pressure upon its density and
viscosity.
Besides producing intermolecular association, the hydrogen
bond can form intramolecular bridges. Thus o-nitrophenol
forms a bond between the nitro–oxygen and phenol–hydrogen
atoms and consequently it remains unassociated and boils at
214K. Because the hydrogen bond is internal the compound is
only sparingly soluble in cold water but volatile in steam. The
179
groups of p-nitrophenol, on the other hand, are not close
enough to form a hydrogen bond. This compound therefore
self associates and boils at the higher temperature of 295K.
Since it can form hydrogen bonds with water it is moderately
soluble in cold water but it is only slightly volatile in steam.
Internal hydrogen bonds play a major role in maintaining the
specific configuration of many proteins and their rupture by
chemical or thermal means leads to denaturation.
The van der Waals forces are directly involved in the
existence of liquid and solid states whereby molecules are
held close together and occupy some specific volume
depending upon the prevalent temperature and pressure.
Because of this a boundary must exist between a condensed
phase and a gas or between two condensed phases. Generally
speaking, a boundary with a gas is known as a surface, other
boundaries being referred to as interfaces. There is however
no strict terminology and any boundary may be referred to
either as a surface or as an interface.
180
causes the position of the surface to be definable to within a
few molecular thicknesses (Davies & Rideal, 1961).
Molecules within the bulk of a liquid are subjected to
attractive forces equally in all directions whereas those at tile
surface have very little attraction from the vapour and so
experience a net pull into the liquid. Molecules very near the
surface also experience a small net inward attraction and so
the surface should be considered more as a region about two
or three molecules thick rather than a monomolecular layer.
The imbalance of forces results in some molecules being
withdrawn into the bulk, thereby slightly increasing the
intermolecular distance within the surface giving the latter the
character of a stretched elastic membrane, that is the surface
is under tension. Such a surface will therefore tend to contract
spontaneously and cause droplets or air bubbles to assume a
spherical shape.
The surface tension γ is defined as the force, in mN, acting
within the surface in a direction normal to any line of length
1m. A force of γ mN.m−1 must therefore be applied
tangentially to part that surface.
If the surface area of a given volume of liquid is increased
isothermally, work must be done to bring molecules into the
surface against the inward pull of the bulk liquid. The work
required to expand the surface by 1m2 is γ mJ and therefore
the excess free surface energy of a liquid is γ mJ.m−2, which
is numerically equal to the surface tension. At constant
pressure, the free surface energy per m2 is the excess Gibbs
free energy Gs, where the subscript denotes the extra energy
of the molecules by virtue of being in the surface. Thus γ =
Gs. Although both the surface tension and the excess free
surface energy are numerically equal and have the same
dimensional units of MLT−2, they are not identical in a
181
qualitative sense since the tension may be considered as the
result of the excess energy.
Because surface molecules are not attracted away from the
bulk as strongly as they are into it, there is a residual potential
attraction energy which constitutes the surface enthalpy Hs
mJ.m−2. The molecules in the region of the surface, however,
have a greater freedom of movement and so there is an excess
entropy in the surface of Ss mJ.m−2.deg−1. Thus if the surface
were destroyed, not all of the surface enthalpy would be free
to do work and therefore:
182
where M is the molecular weight ρ is the liquid density and
K1 is a constant. van der Waals (1894) proposed a power law
of the type:
where ρl, and ρg are the orthobaric densities of the liquid and
vapour, respectively. The constant K4 has a value of about
210 nJ.deg−1 unless there is strong association between
molecules when a lower value is found that varies widely
183
between different liquids. Water, for example, gives a value
of about 89 nJ.deg−1 at room temperature.
By combining the equations of van der Waals and Katayama
and giving B a value of 1.2, Ferguson (1923) deduced that:
184
Effect of Surface Curvature
185
Radius of drop (nm)
1000 1.001
100 1.010
10 1.110
1 2.940
It will be noted that the vapour pressure is affected
appreciably only at high surface curvature, that is with very
small drops. This however is sufficient to render vapour
condensation in a dust free atmosphere very difficult unless
the atmosphere is highly supersaturated, any condensate
nuclei tending to evaporate rather than to grow.
Derivation of the Kelvin equation assumes that the surface
tension remains independent of surface curvature. It is to be
expected that high curvature, measurable in terms of
molecular
dimensions, would diminish the surface attraction of
molecules thereby resulting in a decrease in the tension. This
decrease however is probably small even with droplets
consisting of only a few molecules.
Interfacial Tension
186
All spontaneous processes result in a decrease in free energy.
It has already been noted that the integrity of the condensed
state is due to the van der Waals forces and that these arise
due to the loss of energy as molecules come together. Further,
it was seen that in some liquids such as water, intermolecular
attraction greatly exceeds that due to the London interaction
owing to the additional strong Keesom interaction in the form
of the hydrogen bond. Interference with hydrogen bond
formation by nondipoles would therefore prevent the
attainment of the minimum energy state and so the
spontaneous process would be a rejection of apolar molecules
causing them to occupy some position not interfering with the
hydrogen bonds. This means that a separate phase will be
formed when water is ‘mixed’ with a hydrocarbon such as
octane or liquid paraffin.
Tetrahedral hydrogen bonding which occurs in ice is retained
to a lesser extent in liquid water giving rise to ‘flickering
clusters’ of structured water (Davies & Litovitz, 1965;
Erlander, 1969; Blandamer, 1970). When a solute molecule is
dissolved in water it may either (1) substitute for a water
molecule in the lattice-like network when there will be
competition with solvent molecules for the ‘lattice sites’ or
(2) occupy a cavity in the solvent structure. The latter type of
‘interstitial solution’ occurs when nonpolar solutes are
dissolved in highly polar solvents, water molecules forming
polyhedral structures around the solute molecules. This means
that small hydrocarbon molecules can have a slight solubility
in water, the solubility being governed by the size of the
solute molecule and that of the cavities in the water structure
(Abu-Hamdiyyah, 1965). The mean size of the cavities in
water is about the size of a C4 or C5 hydrocarbon. However,
the microscopic iceberg of structured water which forms
around nonpolar molecules (Frank & Evans, 1945) involves a
187
decrease in entropy which overrides the negative enthalpy of
dissolution thereby producing an unfavourable positive free
energy of dissolution.
If there was no attraction across a water–paraffin oil interface,
the interfacial tension γow would be given by the sum of the
separate surface tensions since these act together, that is γow =
γo + γw. Water and paraffin molecules do, however, attract
each other by London interaction, the attraction being given
by the geometric mean of the London dispersion force
components γd of the surface tension (Fowkes, 1964). Thus
for paraffin and water, the attraction across the interface is
, where and denoting
the polar interaction component. The separate tensions are
thereby reduced to:
for the oil and water sides of the interface, respectively, and
the interfacial tension is given by their sum:
(5.1)
188
acetic acid or ethanol (C2). If the hydrocarbon group is larger
it will interfere more with hydrogen bond formation and
cause a greater structuring of the water around it. Butyric acid
and butanol (C4) are therefore only partially miscible with
water at room temperature and a mixture where neither
component is in large excess will separate into two phases.
Longer hydrocarbon chains curl up in order to decrease their
contact with water. This effect leads to a decreased entropy of
dissolution per CH2 group with increasing chain length.
Since there is polar interaction between the different
molecules, the tension of the interface within a two-phase
system will be considerably lower than that predicted by Eq.
5.1. Some computed values are given in Table 5.3.
Table 5.3 Effect of interfacial interaction on the tension
between water and various organic liquids at 293 K (values in
mN.m−1)
189
35.0mN.m−1. With the last three compounds of Table 5.3,
hydrogen bonding involves a much stronger polar interaction
with water and consequently leads to low interfacial, tensions.
Since an enhanced polar interaction leads to a greater
tendency for miscibility of
oil with water, the interfacial tension will parallel the mutual
insolubility of the two components. An approximate means of
calculating interfacial tensions from surface tensions is
afforded by Antonoff’s rule which states that the interfacial
tension is equal to the difference of the surface tensions of the
mutually saturated phases:
While the rule holds for slightly polar oils such as benzene or
chloroform against water, it does not hold for more polar oils
such as octanol nor for systems with a negative spreading
coefficient (see below).
190
(5.2)
(5.3)
191
The total surface energy gained by the lens expanding dx is
therefore:
(5.4)
192
water–air surface level:
(5.5)
193
If Sinit is positive there is an immediate tendency to spread
whereas if Sinit is negative as with liquid paraffin on water,
spreading does not occur. Table 5.4 lists a few values for the
initial spreading coefficient on water.
Table 5.4 Initial spreading coefficients on water at 293 K
(values in mJ.m−2)
194
balance of forces at the triple point where the three phases,
air–oil–water, meet. A condition for equilibrium is:
195
Fig. 5.3 Liquid paraffin lens floating on water showing
necessity for edge distortion: (A) Nonequilibrium; (B)
Equilibrium.
196
Measurement of Surface and
Interfacial Tension
Methods for measuring surface and interfacial tension differ
in their suitability for particular purposes. Although the
surface of a simple liquid attains an equilibrium tension
within a few milliseconds of its formation, the surface of
some solutions continues to age for a long time due to slow
diffusion of molecules to the surface or molecular
reorientation at the surface. It follows that those methods
which involve enlargement and breakage of the surface
cannot always be used to measure equilibrium tensions. The
methods summarized below have been discussed in detail by
Adamson (1967).
Capillary Rise
197
The difference in pressure ΔP between the bottom of the
meniscus O and point A is given by
(5.7)
where Δρ is the density difference of the liquid and the air and
b is the radius of curvature at O. Tile term on the right hand
side is given by the Young–Laplace equation. At some other
point on the meniscus of elevation z above O
(5.8)
198
5. only a very small departure from circularity of cross
section exists and
6. the liquid is not very viscous
A zero contact angle may not be achieved with some
solutions due to adsorption of solute on to the glass. With
very fine capillaries a further complication due to adsorption
is reduction in solute concentration and a consequent change
in surface tension.
The necessary condition for zero contact angle may be tested
by approaching the equilibrium height ho with a succession of
rising and falling menisci. If ho is the same in each case there
is perfect wetting. Even so, a rising meniscus may give rise to
a nonzero contact angle (see p. 84) and therefore it is best to
use data from falling menisci.
In order to eliminate errors due to slight variation in the bore
of the capillary, the tube may be immersed in the liquid to a
depth sufficient to locate the meniscus at a position where the
area of cross section is accurately known. Alternatively, the
hydrostatic pressure needed to restore the bottom of the
meniscus to the level of the external plane surface may be
determined. The method may be adapted for the measurement
of interfacial tensions.
199
The pressure difference across the bubble surface however,
varies with variation in depth of the meniscus and so the
bubble surface will not have spherical curvature. As in the
case of capillary rise, Sugden (1922) has published correction
factors.
The technique has the advantage that zero contact angle is not
necessary. It is however necessary to know whether or not the
liquid wets the tube, that is, whether the bubble forms upon
the internal or external cross section. Since the method
involves an expanding surface, surface ageing cannot be
studied, a bubble rate of about 1 S−1 being used. A variation
in which two tubes of different diameter are used has also
been described by Sugden (1922, 1924a).
Sessile Drop
200
Although neither b nor R1 are known, it has been shown that:
whence
201
Fig. 5.6 Curve of correction factor versus shape factor for the
sessile drop method (Porter, 1933).
202
tension was found if a drop of solution was formed in
benzene instead of a drop of benzene in solution.
Pendant Drop
(5.9)
203
Fig. 5.7 Pendant drop of water in air.
204
Drop Volume
205
Fig. 5.9 Successive stages in detachment of a drop.
(5.10)
206
Fig. 5.10 Curve of correction factor versus drop shape factor
for the drop volume method (Harkins & Brown, 1919).
207
rendered hydrophobic by being coated with a film of ferric
stearate or silicone.
(5.11)
208
Fig. 5.11 du Noüy ring parameters
which reduces to
209
relationship which enables the tabulated values of F given by
Harkins and Jordan (1930) to be extended for conditions
frequently met when determining interfacial tensions. Fox and
Chrisman (1952) have also extended the correction tables in
the other direction, that is for liquids of low tension but high
density where the empirical relationship of Zuidema and
Waters was found to be invalid.
In order to obtain accurate data, the following conditions must
be met:
1. the ring must lie in a flat plane,
2. the plane of the ring must be horizontal, a tilt of only 1°
causing an error of 0.45 per cent,
3. the diameter of the dish must be not less than 8cm since
curvature of the meniscus due to the edge of the dish leads to
low determined values of γ. When determining interfacial
tensions in circumstances where the ring is unavoidably
wetted by the upper liquid the force required to push the ring
down through the interface may be measured.
Wilhelmy Plate
210
Fig. 5.12 Plate in null position seen edge on.
Provided that the liquid makes zero angle of contact with the
plate
(5.12)
211
fine grooves are orientated in all directions (Jordan & Lane,
1964). For airs, a roughened mica plate coated with
lampblack is suitable. It is always best to use a receding
contact angle (see p. 84) and so, for following decreases in
interfacial tension, the lower (denser) phase should be made
to wet the plate preferentially.
It is also necessary to use very thin plates since the effective
perimeter will tend to differ slightly from 2(L + T) due to the
meniscus being continuous around the corners of the plate.
For plates not much thicker than 100μm, however, Eq. 5.12 is
sufficiently accurate that it may be used without correction.
Surfactants
If a single molecule or ion contains localized regions one of
which is lyophibic and the other is lyophobic, the lyophilic
part will favour dissolution (affinity for solvent) and the
lyophobic part will favour immiscibility (antipathy for
solvent). Both of these characters existing in the same
molecule or ion red Hartley to coin the term amphipathy.The
amphipathic character becomes particularly pronounced if the
lyophilic and lyophobic groups are well separated. When
considering water as the solvent the groups are termed
hydrophilic and hydrophobic. The latter term does not
indicate repulsion between the group and water since there is
attraction due to dispersion forces, but rather it implies that
interference with hydrogen bonding of the water produces a
tendency for the hydrophobic group to be expelled to form a
separate phase. Since hydrophobic groups tend to be
dissolved by nonpolar solvents they are also termed
lipophilic. Thus an amphipathic compound contains both
hydrophilic and lipophilic groups and therefore may also be
212
called amphiphilic. As a result of the amphipathic character,
such compounds will tend to concentrate at the surface of a
solution or at the interface between two immiscible liquids or
between a liquid and a solid. Such compounds are therefore
frequently referred to as surface-active agents or surfactants.
Those surface-active agents which are used for removing dirt
from solid surfaces are also commonly referred to as
detergents. Under suitable conditions of solvent, temperature
and concentration, amphipathic compounds spontaneously
aggregate to form colloidal structures known as micelles. This
spontaneous tendency for association has led to the term
association colloid.
Classification of Surfactants
This is made according to the nature of the polar group, which
may or may not ionize. There are therefore ionic and nonionic
surfactants. Ionic surfactants are further divided into anionic,
cationic and ampholytic (or amphoteric) according to the
charge carried by the surface-active ion. The charge of an
ampholytic ion depends upon the pH, the zwitterion being
shown in Table 5.5.
Table 5.5 Examples of surface-active agents
213
Surface Activity
In dilute aqueous solutions of amphipaths, the hydrophobic
group of those solute molecules in the region of the surface
will not always be able to re-enter the bulk solution as readily
as it entered the surface. Thus, if random motion brings the
hydrophobic group into the surface, the amphipathic molecule
will stick there (Fig. 5.13) until it is supplied with sufficient
suitably directed kinetic energy for it to re-enter the bulk
solution. The strength and direction of the force or ‘kick’
needed for desorption will depend on the structure and
orientation of the amphipathic molecule and the structure of
its immediate environment at that particular instant in time.
214
During the time of residence of the molecules at the surface,
other molecules will also arrive there and so there will be an
excess of solute molecules at the surface compared with those
in a similar volume of bulk solution containing no surface
region.
215
adsorption is negative with very short hydrocarbon chains,
thus favouring desorption, it becomes increasingly positive
with longer chains (Table 5.6). This shows that factors other
than orientation of the solute molecules in the surface are
important. When surfactant molecules are in bulk solution,
interference with hydrogen bonding by hydrocarbon chains
increases the structuring of the water and the coiling of the
chains. Elimination of these effects upon adsorption of
long-chain surfactants results in a net increase of entropy.
Table 5.6 Thermodynamics of adsorption of fatty acids in the
water at 293 K (Ward & Tordai, 1946a, b)
216
(5.13)
217
Fig. 5.14 Qualitative effect of various solutes upon the
surface tension of water: 1. Inorganic electrolytes and sugars,
e.g. NaCl. sucrose; 2. Short-chain acids and alcohols, e.g.
tetranoic acid, ethanol; 3. Long-chain ions, e.g dodecanoate,
tetradecyltrimethylammonium.
218
Fig. 5.15 Hypothetical boundaries defining the surface excess.
219
denoted by Us and may be positive or negative. The excess
energy Us arises because of:
1. excess entropy per mol Ss,
2. excess volume of liquid Vs,
3. the surface of area A,
4. excess number of mols of solvent and solute, and
respectively, where Ss, Vs and ns may be positive or negative.
Thus:
It follows that:
(5.14)
220
whence by differentiation and subtraction of Eq. 5.14:
(5.15)
221
(5.16)
(5.17)
222
Fig. 5.16 Effect of amphipath concentration on surface
tension.
223
The first requirement is therefore to maintain a constant pH
such that:
(5.18)
(5.19)
(5.20)
224
written (assuming f± = 1)
(5.21)
At constant pH:
(5.22)
225
For a soap, Eq. 5.18becomes:
(5.23)
226
and the effect of changing the soap concentration will be that:
227
Hydrolysis of soap leads to the formation of free fatty acid
which being less soluble than the ion will be more strongly
held at the solution surface. If the soap was prepared from
impure fatty acid, there will be other anions and free fatty
acids present as well, whose area of packing may be different
from that of the main constituent. Further, unless very careful
purification is accomplished, fatty acids prepared from natural
sources will contain traces of fatty alcohols which are very
water insoluble.
Hydrolysis of soaps will be enhanced by a drop in pH. This
may occur extensively if solutions are exposed to atmospheric
carbon dioxide. If the surfactant is an anion, then these will
attract countercations some of which will be hydrogen ions.
The pH of the surface is therefore lower than that of the bulk
and surface hydrolysis is very marked unless the pH is
maintained sufficiently high. Conversely, a surface excess of
long-chain amines produces a surface with an excess of
counteranions and a consequent higher pH than in the bulk
solution.
As the concentration of soap in the very dilute solution is
increased, the potential for adsorption will also increase
because the soap anions, free acids and alcohols will be more
strongly competing for a place in the surface. There is
therefore a surface pressure π tending to increase the surface
area in order to accommodate more solute. This pressure
competes against the cause of the surface tension (which is a
negative surface pressure) and results in a lower tension than
before; consequently:
(5.24)
228
where γ0 is the surface tension of the solvent alone.
The surface of a soap solution is not filled with soap
molecules at low soap concentrations (say at 10−4 molar) but
becomes progressively filled as the bulk concentration is
increased. Not until the surface is fairly well packed with
soap molecules does π increase very much. Then further
increase in soap concentration causes a marked reduction in γ
with little change in the surface excess (see Fig. 5.16 where
the slope of the steep portion remains virtually constant).
When a certain degree of packing at the surface is achieved,
the energy required to push more soap into the surface
approaches that given up on adsorption. A greater lowering of
free energy can now take place by the soap molecules in the
bulk aggregating with their paraffin chains together and their
polar groups orientated towards the water (Fig. 5.20A). These
aggregates are known as spherical micelles and the lowest
concentration at which they form in appreciable numbers is
called the critical micelle concentration (CMC). The micelles
will be formed from all the different amphipathic molecules
present and so mixed micelles form in impure systems.
Hydrolysis products and other uncharged impurities generally
cause formation of micelles to occur at lower concentrations
since they are less soluble than soap ions and their lack of a
charge lessens the disruptive effect which occurs when like
charges are brought together in ionic micelles. Above the
CMC there is therefore dynamic equilibrium between three
pseudophases; the surface, bulk and micelles. The micellar
pseudophase is much larger than the surface pseudophase and
will tend to accommodate most of the less soluble
components. As a result the surface will become depleted of
impurities such as fatty alcohol above the CMC. These
impurities will not be replaced in the surface by an equivalent
amount of soap because the latter is more soluble and so there
229
will be lowering of π and an increase in γ as the soap
concentration is increased a little above the CMC. Further
increase in soap concentration will cause increased packing at
the surface until the surface tension has decreased again to a
constant value.
In theory, the surface is not necessarily one molecule thick,
neither does the definition of surface excess require this
although studies of the behaviour of dilute surfaces have
shown them to be virtually monolayers or at least to act like
them. Surface multilayers may occur at concentrations above
the CMC. The surface excess will then be underestimated
because the Gibbs equation depends on the change in surface
tension which resides mainly in the surface molecular layer
and amphipathic molecules layered under this will have little
influence. Thus dγ/d ln c is not a function of γ for surface
excesses more than one molecule thick so that a γ versus ln c
plot has zero slope when the monolayer is complete.
230
Fig. 5.17 Change of interfacial tension with age.
231
placed just above the solution surface will register particles
coming only from the surface and a thin layer underlying the
surface. In order to correct for the emission received from the
thin layer of bulk solution, similar measurements are made
using solutions with the same concentration of the isotope
contained in nonsurface-active compounds. Coadsorption of
counterions may similarly be investigated using unstable
metal ions. The accumulation of data appears to support Eq.
5.21.
Surface Ageing
232
such as free acids produced by the hydrolysis of soaps. The
rate of diffusion of hydrolysable surfactants is thus increased
if the pH is adjusted in the direction which suppresses
hydrolysis, e.g. to higher pH with soap solutions.
Diffusion to the surface is also more rapid at higher
temperatures and greater surfactant concentrations.
Electrolytes also facilitate the diffusion of ionic surfactants
but they have little effect upon nonionic surfactants such as
methylcellulose. The minimum in the γ−time curve occurs
earlier as the concentration is increased, but subsequent
ageing effects are little influenced by this factor, leading to
the conclusion that only the rapid initial decrease in γ is
rate-controlled by diffusion.
The subsequent slower ageing effect appears to be controlled
by steric factors such as reorientation and penetration of
molecules in the surface. The rise in surface tension is
probably associated with a surface phase transition to a
condensed state (p. 80) this having been noted with sodium
dodecyl sulphate when the area per molecule is reduced to
about 0.4 nm2. Electrolytes assist the penetration of the
surface by both ionic and nonionic surfactants since expulsion
of hydrocarbon chains results in a larger free energy decrease
than that resulting from expulsion from a relatively less polar
simple aqueous solution (cf. salting out of soaps). Time
dependence with surfactants in nonpolar solvents may also
arise due to slow breakdown of associated molecules such as
dimers
233
Bulk Properties of Surfactant
Solutions
Most physical properties of aqueous solutions of an
amphipath change rapidly in magnitude over a limited range
of concentration (Figs. 5.18 and 5.19). To account for this,
McBain and others postulated the existence of aggregates of
amphipathic molecules which, if ionized, are closely
associated with a large proportion of the counterions
(otherwise known as gegenions). The abrupt nature of the
changes in magnitude of the various properties over a limited
concentration range suggests that at lower concentrations the
molecules are mostly single whereas at higher concentrations
they are almost all present as micelles.
234
Fig. 5.18 Change of physical properties with concentration
(Preston, 1948)
235
Hartley suggested that these are essentially spherical:
however, at much higher amphipath concentrations than the
CMC, other shapes can exist (p. 69). In aqueous solutions
micelles have a nonpolar liquid-like interior whereas in
nonaqueous solvents inverted micelles are formed, held
together by polar interaction of the ‘head’ groups (Fig. 5.20).
236
Fig. 5.21 Effect of amphipath concentration upon aggregation
into micelles calculated from Eqs. 5.26 and 5.28; (A)
Nonionic or completely ionized micelles (for given
aggregation numbers); (B) Micelles (aggregation number 50)
in different states of ionization (1 = (A50M25)25−, 2 =
(A50M43)7−, 3 = A50 and (A50)50−).
(5.25)
237
(5.26)
(5.27)
238
That is,
(5.28)
239
properties not indicated in the figure which have been
applied, include vapour pressure, refractive index, pH and
diffusion coefficient. In order to obtain significant data, good
temperature control is often essential particularly with
refractive index measurements.
The CMC may also be estimated by the addition of traces of a
third component whose absorption spectrum depends upon
the state of aggregation of the amphipath. Marked spectral
changes are frequently observed with ionic amphipaths when
a dye of opposite ionic character is used with it. Thus
pinacyanol chloride is commonly used for anionic amphipaths
and eosin for cationic compounds. Using pinacyanol chloride,
the colour change is from blue above to red below the CMC.
The technique is to dissolve a small amount of dye in a
solution of the amphipath which is above its CMC and to
titrate this with an aqueous solution of the dye. The CMC is
taken as the concentration of amphipath at which a colour
change is first noticed.
Dyes may also be used with nonionic compounds but the
colour changes are much less pronounced and instead
absorption in the ultraviolet region is followed. Another
method which is suitable for use with nonionic compounds is
the iodine method. The technique is similar to that using dyes
except that a trace of iodine is used and the change in light
absorbance with amphipath concentration is followed at a
suitable wavelength in the ultraviolet region. A sharp change
in the slope of a plot of absorbance versus the logarithm of
amphipath concentration indicates the CMC.
Because the interior of micelles in aqueous solution is
essentially hydrophobic, water-insoluble compounds are able
to dissolve in it. This behaviour is known as solubilization (p.
71). Thus the solubility of the added compound increases
markedly at concentrations of amphipath above the CMC In
240
practice an excess of an oil-soluble dye such as Orange at
may be used, the amount taken into solution being determined
colorimetrically. Alternatively, solutions of varying
amphipath concentration may be titrated with the third
component when observation of turbidity may be all that is
necessary to detect the limit of solubility. Care must however
be exercised in order to ensure that equilibrium has been
attained.
For further details the reader is referred to the review by
Mulley (1964). There is not always perfect agreement
between the various methods, particularly when comparing
those which do not involve the addition of a third component
with those which do. The third component might well be
expected to affect micelle formation, the CMC frequently
being lowered.
241
hydrocarbon–water contact is reduced (p. 49) namely, a
decreased water structuring (+ΔS) and a decreased
interference with hydrogen bonding (−ΔH). Micellization
may be accompanied by an increase in enthalpy but this is
more than compensated by a relatively larger entropy
increase. Some workers have shown the enthalpy change to
decrease as the alkyl chain is lengthened for a homologous
series of amphipaths, possibly reflecting an increase in
cohesion between alkyl groups in the micelle. Others,
however, have reported an increasing enthalpy of micelle
formation with increasing alkyl chain length. These
differences reflect a different choice of standard state.
Clearly, entropy plays a dominant role in micellization, the
overall mechanism being termed ‘hydrophobic bonding’
(Abu-Hamdiyyah, 1965). Ions however, draw water
molecules to themselves and reduce their tendency to form
hydrogen bonds with neighbouring water molecules. The
effect is to reduce the water structure and therefore there
tends to be a lower entropy contribution with ionic micelles.
This effect would be influenced by the hydration of the
counterion and of the polar head group. Various workers have
found that counterions higher in the lyotropic series (p. 99)
produce higher CMC values and an increase in the size of the
polar group of nonionic amphipaths has a similar effect.
Factors other than those due to hydrophobic bonding
contribute to the free energy of micelle formation. Poland and
Scheraga have considered the influence of aggregation upon
(a) the loss of translational and rotational entropy when a
molecule enters a micelle and (b) the entropy of the
hydrocarbon chain within the micelle. As will be seen from
Fig. 5.22, factor (a), curve 1, would favour the molecules
remaining in a monomeric form, whereas hydrophobic
bonding, curve 2, would favour an aggregate of infinite size.
242
However, when the free energy contribution of factor (b),
curve 3, is taken into account, the total free energy curve of
the system has a minimum at a finite aggregation number but
the free energy in an aggregated form is less than that in the
an aggregated form only above the CMC (Fig. 5.23). If the
solute is ionic, then formation of micelles will involve
bringing like charges together against their mutual repulsion.
The general result of this is to cause ionic micelles to have
smaller aggregation numbers and larger CMC values than
nonionic micelles.
243
Fig. 5.23 Effect of concentration of amphipath showing a
finite aggregation number for a minimum free energy. A.
Below CMC; B. At CMC; C. Above CMC (from Poland &
Scheraga, 1965)
244
both within and between the spirals, the proportion of water
to number of oxyethylene groups increasing as the chain
length increases.
245
particularly if it is ionized; the magnitude of the effect also
depends upon the position of the group.
Electrolytes: The addition of salts increases the aggregation
number and decreases the CMC of ionic amphipaths. This
effect is due mainly to the reduced repulsion between the
head groups as a result of the screening action of the
counterions but is slightly modified by counterion hydration
and the effect on the water structure. The effective degree of
dissociation of the enlarged micelles is little influenced.
Although ionic micelles appear to be predominantly
monodisperse in low salt concentrations, there is evidence of
a wider size distribution in the presence of higher salt
concentrations.
Salts have a relatively small effect upon nonionic amphipaths,
its magnitude probably depending upon the hydration of the
salt ions, i.e. a salting out effect, where the more hydrated
ions depress the CMC the most. The anions are more
effective in this than are the cations. Competition for water of
hydration by the salt reduces the hydration of the amphipathic
molecule thereby increasing the latter’s tendency to
aggregate.
If the added electrolyte is also capable of forming micelles,
the CMC of the mixture lies between those of the pure
components. There is however preferential aggregation of the
longer chain ions so that there is a larger mol fraction of these
in the micelle than in the equilibrium unaggregated fraction.
Hydrogen ion concentration: Free fatty acids are less ionized
and less soluble than their alkali metal salts, so that a
reduction in the pH of a soap solution is accompanied by a
reduction in the CMC. As a consequence, the effect of neutral
electrolyte upon the CMC is less at a lower pH where the
micelles have fewer charges. In contrast to this, the effect of
the addition of strong acids to amphipathic strong acids such
246
as dodecylsulphate is comparable to that of neutral
electrolytes, the effect of added salts being similar over a
wide pH range. Strong acids increase the hydrophilic
character of polyoxyethylene groups by oxonium ion
formation of the ether oxygens. This effect predominates over
the salt effect and results in an increase in the CMC of
nonionic compounds.
Nonelectrolytes: The addition of water-soluble compounds
such as urea and glycerol generally raises the CMC. The
tendency for micelle formation is reduced not only by a
decreased structuring of water but also by a decreased
dielectric which increases the repulsion between charged head
groups, and by an increased solvation of the amphipathic
monomer which reduces the enthalpy change of micellization.
The overall influence of a particular additive will be governed
by a combination of these factors. Such effects are modified if
the additive is incorporated into the micelle since this may
tend to increase micelle stability· at low additive
concentrations. Thus a trace of ethanol is shown (Fig. 5.25) to
decrease the CMC only slightly while longer chain alcohols
have a much more pronounced effect (Fig. 5.26). Small
amounts of ethanol increase the solubility and lower the
Krafft-point (see below) but large quantities suppress micelle
formation. The hydrocarbon chains of the alcohols penetrate
the micelle interior while the polar groups remain on the
outside (Fig. 5.34).
Long chains in particular enhance the micelle stability since
the dispersion force interaction in the micelle interior is
increased and the charge density on the micelle surface is
probably slightly decreased. The effect of polar compounds
which form mixed micelles is both concentration and
temperature dependent and as a result the minimum in the
CMC–temperature plot with ionic micelles (Fig. 5.27) is
247
eliminated, the CMC decreasing continuously as the
temperature falls.
248
Fig. 5.27 Variation of CMC with temperature for 1
CH3(CH2)11N(CH3)3Br; 2, CH3(CH2)11SO4Na; 3,
CH3(CH2)11(OCH2CH2)7OH (adapted from Schick, 1963)
249
alcohol, which itself has only a small solubility, cause an
alcohol-surfactant gel to separate as a new phase.
Temperature: An increase in temperature influences the
stability of micelles by the following means. First, transfer of
hydrocarbon groups from an aqueous to a nonpolar
environment is normally endothermic and so micelles tend to
become more stable by the hydrophobic bond effect.
Secondly, the dielectric constant is decreased so that ionic
micelles become less stable. Thirdly, thermal agitation
increases, resulting in an enhanced disruptive effect. With
nonionic compounds the second factor is nonoperative and
the first factor outweighs the last. An increase in temperature
decreases the hydration of the molecule with a resulting
increase in aggregation number and a decrease in the CMC.
In the case of ionic compounds, the hydrophobic effect is
probably dominant at lower but not at higher temperatures.
Such an effect produces a shallow minimum CMC near room
temperature. An increase in temperature above that producing
the minimum CMC has been shown to decrease the
aggregation number and to increase the dissociation of
micelles of sodium dodecylsulphate, a sign of the disruptive
effect of thermal agitation.
The solubility of an amphipath is influenced by temperature.
At low temperatures, solid ionic-type amphipath is in
equilibrium with a solution whose concentration is below the
CMC. As the temperature is raised the solubility increases
until it reaches the CMC at which temperature, called the
Krafft-point, the solubility begins to increase very rapidly
(Fig. 5.28). If micelles are treated as a separate (pseudo-)
phase, then the Krafft-point may be
considered as the melting point of the hydrated amphipath
above which it becomes dispersed in solution as micelles. The
solubility of ionic compounds is limited at higher
250
temperatures by the separation of liquid crystals (see below
and Fig. 5.29). Many nonionic compounds do not show a
Krafft-point, since the saturated solution is in equilibrium
with a liquid crystalline phase (Fig. 5.30). High temperatures
however suppress hydrogen bonding thereby reducing the
hydration of the polar chains and cause the solution to
become turbid, the upper consolute temperature being called
the cloud point. The turbidity is caused by the separation of
an amphipath-rich phase, which is not surprising since the
micelles grow rapidly below the cloud point. The dilute
aqueous phase has a concentration roughly that of the CMC
and contains few, if any, micelles.
251
Fig. 5.29 Effect of temperature upon aqueous sodium laurate
systems (shaped areas indicate the existence of more than one
condensed phase) (after McBain et al., 1938)
252
(dashed lines are estimated boundaries; after Balmbra et al.,
1962)
253
concentrations below that necessary for the separation of a
middle phase. With many compounds a further phase may
separate before solid is produced; this is the neat phase which
has a lamellar structure (Fig. 5.31C). Both the middle and
neat phases form what are known as liquid crystals and are
termed mesomorphous (meso = between, morph = form)
because they have a structure intermediate between that of
true liquids and crystals.
254
Other mesomorphic states are known. When a water-soluble
amphipath, such as sodium octanoate, is dissolved in decanol
containing a trace of water, inverted micelles are produced,
that
is, the nonionized polar groups of the fatty acid salt are
orientated inwards around a few water molecules and the
hydrocarbon chain extends outwards into the alcohol. If the
proportion of decanol is now reduced while maintaining a
constant proportion of ‘soap’ and water, an inverted middle
phase (Fig. 5.31B) will eventually separate. Continuous
decrease of decanol concentration with increase of the ‘soap’
and water produces, in order, invert middle phase, lamellar
phase and finally middle phase.
With some systems a face-centred cubic arrangement of
spherical aggregates seems to occur. Such structures are
generally observed over only a narrow concentration between
the lamellar (neat) and the hexagonal (middle) phases. It is
probable that with lipids and potassium soaps, the cubic
structure is formed from invert spherical aggregates with the
hydrocarbon chains filling the gaps between the water ‘cores’.
With alkyltrimethyl ammonium bromide the aggregates are
probably not spherical.
It will be observed that the structure of the middle and neat
phases is anisotropic, that is, it varies with direction. The
middle phase is plastic and too stiff to flow under gravity
since the close packed regular arrangement of the cylindrical
aggregates gives it solid character in two dimensions. In the
long direction however, there is liquid-like behaviour since
the cylinders probably vary in length and are not regularly
arranged. The layered structure of the neat phase gives this a
greater fluidity. There is no regular arrangement in the two
dimensions parallel to the layers but in the direction normal to
the layers there is a crystal like periodic arrangement. The
255
neat phase is therefore solid in one dimension and liquid in
two dimensions. It is the ability of the layers to slip over each
other that makes the neat phase more mobile than the middle
phase. Often, drops of neat phase, which are mobile enough
to flow under their own weight, exhibit a stepped surface,
each step height being a multiple of the layer thickness.
X-ray diffraction patterns have been used in an attempt to
confirm postulated micellar structures. Besides a weak
diffraction due to solvent, three bands have been identified in
the more concentrated amphipath solutions. The short-spacing
(S) band corresponds to the repeat distance of about 0.45 nm
for the hydrocarbon chain in the liquid state; the
micelle-thickness (M) band has a repeating distance slightly
less than twice the length of the hydrocarbon chains and the
long-spacing (I) band corresponds to the separation distance
of the structures composing the mesomorphous phase (Fig.
5.32).
256
Fig. 5.32 Interpretation of X-ray diffraction bands.
257
A nematic structure is occasionally observed with
amphipathic solutions which then have a soft, often stringy,
consistency. The thermotropic nematic state is produced by
heating such compounds as p-azoxyanisole whilst
N-(4-methoxybenzylidene)-4-butylanilene is nematic at room
temperature. Nematic crystals are less ordered than smectic
ones since the elongated molecules are arranged parallel to
one another without the formation of a layered structure.
Normally they are nor optically active but, if twisted between
a microscope slide and cover slip, they exhibit characteristic
microscopic textures somewhat different from those given by
smectic or lyotropic middle phases. Molecules in the nematic
crystal are readily orientated parallel to a weak magnetic
field. The viscosity is therefore dependent on the direction of
the field in relation to the direction of flow.
Cholesteric phases are produced by a number of cholesteryl
esters but not by cholesterol itself. These have a layered
structure quite different from the smectic type. The elongated
molecules lie parallel to each other within the plane of a layer,
their orientation in adjacent layers being slightly displaced.
This displacement arises because the shape of the molecules
influences their fit in adjacent layers and so these latter trace
out a helical path which causes rotation of polarized light.
With nonpolarized light, circular dichromism is observed
giving rise to a multicoloured effect.
Some compounds can exhibit more than one type of
mesophase. Ethyl anisal-p-aminocinnamate, for example,
forms smectic crystals which change to nematic at a higher
temperature. A number of cholesteryl fatty acid esters also
form smectic crystals but these become cholesteric on further
warming.
258
Stability of Micelles
259
Fig. 5.34 Diagrammatic representation of various sites of
solubilization in aqueous solution. Open figures are
solubilizer; closed figures are solubilizate. Left: ionic half
micelle section; right: nonionic half micelle section
Solubilization
The interior of a micelle has a different dielectric from the
surrounding solvent. Solutions of amphipaths therefore have
the ability of dissolving substances which are insoluble or at
best only sparingly soluble in the solvent alone. This is
known as micellar solubilization, the solubilized substance
being termed the solubilizate.
Solubilizates are incorporated into the micelle in different
ways according to their chemical structure, in particular the
presence and disposition of polar and nonpolar groups.
Saturated hydrocarbons dissolve in the nonpolar part of the
micelle which in aqueous solutions forms the micellar interior
(Fig. 5.34a). Since the M-spacing and thus the volume of the
micelle is increased, more amphipath molecules are
incorporated into the micellar surface to maintain a suitable
260
packing density. There are therefore larger but fewer micelles
and so the I-spacing also increases. Amphiphilic solubilizates,
such as n-alcohols, form mixed micelles; that is, they are
incorporated into the palisade layer of the micelle (b), where
the molecules are orientated to juxtapose the polar groups.
Weakly polar or polarizable groups, such as double bonds,
enable the solubilizate to be drawn deeper into the palisade
layer (c). Incorporation of polar solubilizates tends to result in
increased micellar asymmetry with only slight changes in the
M and I-spacing. Some water-soluble polar solubilizates are
thought to be adsorbed on to the micelle surface (d), but the
validity of this has been questioned (Osipow, 1962). It
appears, however, that complex formation by hydrogen
bonding occurs between polyoxyethylene groups and
aromatic carboxylic acids such as phydroxybenzoic acid or
phenolic compounds such as chloroxylenol (e).
Micellar solubilization can only occur in the presence of
micelles. Often the amphipath forms micelles in the absence
of the solubilizate but occasionally aggregation takes place
only upon addition of the latter. Thus the addition of an
amphiphilic solubilizate to amphipath concentrations below
the CMC may reduce the CMC sufficiently for mixed
micelles to form: a process known as comicellization.
Incorporation of a fourth component to the amphipath–water
solubilizate system may increase the solubility of the
solubilizate; for example, octanol forms mixed micelles with
sodium 3-hendecanesulphate in water thereby increasing the
solubility of a hydrocarbon.
Enhanced solubility of organic compounds may sometimes be
achieved by the addition of nonmicelle forming compounds.
Thus sodium acetate or salicylate greatly increases the
solubility of the bromine. While such an effect is gerterally
due to complex formation or to decreased hydrophobic
261
bonding, various workers have shown that there is a
continuous gradation in solubilizing behaviour between high
molecular weight micelle-forming amphipaths and low
molecular weight nonmicelle-forming amphipaths. The effect
of nonmicelle-forming amphipaths is known as hydrotropy
and is due to a ‘cosolvent’ action, the distinction between
hydrotropy and solubilization being rather vague. Even below
their CMC, soaps are known to increase the solubility of
phenolic compounds.
262
Fig. 5.35 Solubilization of Cresol BP in potassium oleate
solution at pH 10.6 and 23°C (soap prepared from Oleic Acid
BP)
263
length results in increasing amount of amphiphile which can
be solubilized before separation of an L2 phase. However,
solubilization with the longer alkyl chain compounds is
limited by the separation of an LC phase at a lower
amphiphile concentration than when an L2 phase separates,
and this concentration decreases as the amphipath alkyl chain
is lengthened.
Nature of the solubilizate: Elworthy et al. (1968) have
discussed the effect of the nature of a solubilizate upon the
extent of its incorporation into micelles and conclude that
generalizations apply only to the simplest compounds.
Polarity and polarizability are important, besides molecular
geometry. For a homologous series, whether polar or
nonpolar, an increase in the size of a hydrocarbon group
decreases the solubility in a solution of an amphipath of given
concentration. Branching of alkyl chains has only a small
effect but unsaturation increases the solubility. Cyclization
also tends towards enhanced solubility but this remains low
for the more rigid polycyclic compounds. Polar compounds
are usually more soluble than nonpolar ones although octanol
is less soluble than octane in a decinormal solution of
dodecylamine HCl at 25°C, presumably for reaSl1llS
discussed in the preceding paragraph. Octanol is, however,
more soluble than octane in several other amphipath
solutions. The effect of the type of polar group and alkyl
chain length upon the system sodium
caprylate–water–solubilizate has been illustrated by Mandell
et al. (1967a, b).
Effect of electrolytes: Salts have been shown to enhance the
solubility of hydrocarbons in amphipath solutions. Besides
promoting the formation of micelles as evidenced by a
lowering of the CMC, salts cause an increase in micelle size
with a consequent increase in the volume–surface ratio and
264
presumably therefore an increased solubilizing capacity. The
solubility of some polar compounds is reduced in the
presence of salt and is probably associated with a decreased
solubility causing separation of a liquid crystalline phase.
Effect of nonelectrolytes: Mention has already been made
(p.66) of the effect of water-soluble substances on the CMC.
Similar effects have been noted with regard to the solubilizing
power of amphipaths towards hydrocarbons. For example,
ethanol suppresses both micelle formation and the heptane
and benzene-solubilizing power of cetrimide. Solubilization
behaviour is however influenced by the solvent effects of the
additive and there will exist a partition of both the
hydrocarbon and the polar additive between the micelles and
the extramicellar solution. Sometimes the addition of
water-soluble compounds enables a given amount of
solubilizate to be dissolved using less amphipath: glycerol,
sorbitol and sucrose, for example, reduce the amount of
nonionic amphipath required to solubilize vitamin A. The
addition of hydrocarbons may also increase the solubility of
sparingly soluble compounds. This effect, known as
cosolubilization, is thought to be due to the increased volume
of the micelles upon solubilization of the hydrocarbon. The
cosolubilizing action of long-chain alcohols and hydrocarbons
has already been mentioned (p. 72). Other polar compounds
are also effective cosolubilizers such as long-chain amines or
mercaptans.
Effect of temperature: There is little effect upon the solubility
of liquid hydrocarbons in dilute solutions of ionic amp hi
paths although an increase in temperature can markedly
increase
the solubility of solid solubilizates since the crystal lattice
becomes less stable. The solubility of polar solubilizates,
however, may increase considerably with temperature
265
particularly when solubility is limited by the separation of a
liquid crystalline phase. Increase in’ temperature may also
increase the solubilizing power of nonionic amphipath
solutions but many solubilizates, particularly amphiphilic
ones, lower the cloud point so that the solubility decreases
again as higher temperatures are reached (Fig. 5.36).
266
Effect of pH: Although pH has little effect on the CMC of
such compounds as alkyl sulphates, the CMC of fatty acid
soaps decreases with a reduction in pH. With the latter
compounds a small reduction in pH results in enhanced
solubilizing power. When the solubilizate is a weak
electrolyte, its degree of ionization is influenced by the
prevailing pH. Since the extent of solubilization may
frequently be considered in terms of the distribution between
the lipophilic interior or palisade layer of the micelle and the
extramicellar aqueous solution (Evans & Dunbar, 1965), a
shift in pH in the direction which suppresses ionization and
makes the solubilizates less hydrophilic will increase the
proportion solubilized. Some compounds such as benzoic acid
also appear to associate with the polar chains of nonionic
amphipaths by hydrogen bonding. A decrease in pH decreases
the ionization of the acid and would increase such binding to
the micelle surface. Regardless of the position in the micelle
occupied by the benzoic acid, it follows that a decrease in pH
results in a decreased extramicellar concentration for a given
total benzoic acid concentration.
267
5.37 represents 50 per cent X, 20 per cent Y and 30 per cent Z;
point B represents 30 per cent X and 70 per cent Z and point C
represents pure component Z.
268
A four component system might be represented as a solid
figure in the form of a regular tetrahedron or an equilateral
triangular prism. Alternatively, the vertical scale of the prism
may be used to represent the influence of temperature or of
amphiphile chain length upon a three component system.
Fig. 5.38 illustrates the triangular phase diagram.
Compositions within the regions denoted by L1 (high
proportion of water) and L2 (high proportion of decanol) are
isotropic containing micelles and inverted micelles
respectively except right in the corners where the soap
concentration is below the CMC. The smectic liquid
crystalline region is delineated near the centre of the triangle
and the two hexagonal mesophases are also shown. Regions
between these single phases are composed of a mixture of the
relevant phases. Thus at low soap concentrations the mixture
separates into two phases (L1 and L2) except when water or
decanol is in extreme excess. Mixtures on the tie-line MN
separate into the two phases whose compositions are M and
N. The proportion of phases of composition M and N depends
on the position of the mixture on the tie-line. Other mixtures
separate into L1 and neat phase, L1 and middle phase or L2
and invert middle phase. Thus mixtures lying on the tie-line
OP separate into two phases of composition O and P.
Between the single liquid crystalline phases are two phase
regions, each phase consisting of a different type of liquid
crystalline arrangement, for example neat and middle. It will
also be noted that there are a number of triangular regions
within which the mixture separates into three phases.
According to the phase rule these form invariant systems, that
is, any mixture within a triangle will separate always into the
phases whose compositions are denoted by the corners of that
triangle. For a given temperature and pressure, only the
relative proportion of the three phases will vary with change
269
in composition of the mixture within the triangle. Thus
mixtures within ABC separate into L1 + L2 + neat; mixtures
within. DEF separate into L1 + middle + neat and mixtures
within GHI separate into middle + neat + hydrated solid.
270
also enables both oil- and water-soluble compounds to be
combined in a single phase system as with multivitamin
preparations. The amphipath must be nontoxic in the
quantities used, have an agreeable taste and odour and be
compatible with other ingredients. It should also possess good
solubilizing power and stability. Cationic amphipaths are the
most toxic but nonionic compounds generally have a low
toxicity and therefore are to be preferred. Because many
nonionic compounds are bitter, careful formulation is required
to keep their concentration to a minimum. The monoesters of
polyoxyethylene sorbitan or of sucrose are commonly used,
often with cosolubilizing agents which may also help to
improve the taste.
Solubilization may lead to enhanced absorption and an
increased biological activity. It improves the intestinal
absorption of vitamin A and the percutaneous absorption of
oestrone. Drug
absorption from ointment bases and suppositories may also be
increased by the presence of an amphipath.
Clear solutions of corticosteroids for ophthalmic use are
achieved using nonionic agents. In order to minimize any
irritant effect, low concentrations of amphipath are required, a
good solubilizing power being essential.
Amphipaths are more toxic when given pilrenterally. Ionic
compounds readily produce haemolysis and therefore only
nonionic compounds are suitable, such as a polyethylene
glycol ether which is used to disperse phytomenadione.
Aqueous concentrates of volatile oils have also been
prepared. Careful formulation is necessary in order to achieve
a concentrate which remains clear upon dilution. Soaps are
used to solubilize phenolic compounds for use as
disinfectants, familiar examples being Lysol and Roxenol.
The soap enables the phenol to become readily dispersed
271
throughout systems, such as drains, to which it is added and
assists penetration into greasy or coagulated material. While
only the phenol in the extramicellar solution is bactericidal
active, the micelle acts as a reservoir tending to maintain a
constant extramicellar concentration as phenol is used up due
to reaction with protein or removal by dirt. The partial phase
diagram for a Lysol is given in Fig. 5.39. Line AF represents
all compositions containing 51 per cent w/w (50 per cent v/v)
Cresol. Compositions B, C and D are clear solutions (L2
phase only) whereas E is cloudy (L1 + L2). If composition B
is diluted with water it will remain clear although L1 is
eventually produced. It is also apparent that composition C
contains the minimum of soap that will enable a Lysol to
remain clear on dilution. Composition D, although clear at
first, will pass through the L1 + L2 region upon dilution but
will eventually become clear as the single L1 region is
reached. This illustrates the use of the ternary diagram which
enables the formulator to decide upon a suitable composition.
Different soaps and grades of cresol can have a profound
effect upon the phase diagram for Lysol. Burt (1965) showed
that p-cresol with sodium oleate produced a three phase
region (L1 + L2 + LC) so that dilution of such a Lysol always
made it pass through a cloudy region.
272
Fig. 5.39 Equilibrium phase diagram for the system potassium
oleate– cresol–water at pH 10.7 and 20°C
273
oxidation of aliphatic and aromatic aldehydes is less when
they are solubilized rather than emulsified. It is probable that
the reduced rate of oxidation within micelles is due to dilution
of the solubilizate by the amphipath making free-radical
propagation more difficult. The catalytic effect of metal ions
is also reduced when an aldehyde is solubilized.
Solubilization can also reduce the rate of hydrolysis of ’drugs
such as benzocaine and methantheline bromide. Anionic
amphipaths are better than cationic ones in protecting against
alkaline hydrolysis since hydroxyl ions are repelled by
micelles of the former but attracted by those of the latter. On
the other hand, acid hydrolysis may be promoted by anionic
compounds which attract hydrogen ions, but some measure of
protection may be afforded by the addition of salts whose
cations compete with the hydrogen ions at the micelle surface.
Nonionic amphipaths are also capable of reducing hydrolysis
rates, but if solubilization occurs among the polar groups
rather than in the micelle, interior protection from hydroxyl
ions is not so marked. The site of the hydrolytic process is in
the extramicellar solution. Increasing the amount of
amphipath increases the partition of drug into the micelle
thereby reducing the fraction of drug in the aqueous
environment with a consequent reduction in the rate of
hydrolysis. However, solubilized systems possess a large
micellar surface area enabling rapid transfer of drug in to the
hydrolysis-promoting environment. Emulsified oils with a
much smaller oil–water interfacial area therefore tend to
hydrolyse more slowly.
Further details may be obtained from the reviews by Mulley
(1964), Swarbrick (1965) and Elworthy et al. (1968), which
also contain good bibliographies.
274
Insoluble Monolayers
If the nonpolar groups of an amphipathic compound are
sufficiently large to render it almost completely insoluble,
then traces of the compound will usually spread over a water
surface
to form a monomolecular layer. In such a case the whole of
the ‘solute’ may be said to form the Gibbs excess. As usual,
such molecules will have a preferred orientation with the
polar groups directed towards the water. Such monolayers
may spread not only from liquid amphipaths, or from their
solutions in nonaqueous solvents, but also from the solid.
Spreading from the solid involves a positive entropy change
whereas from the liquid it is negative showing that the
monolayer is disorientated relative to the solid but more
orientated than in the bulk liquid. Such monolayers behave
somewhat like two-dimensional matter in possessing
two-dimensional physical states and exhibiting a surface
pressure, a surface viscosity and a surface potential. They can
form at water–air or organic liquid–air surfaces and also at
liquid–liquid interfaces.
Formation of a Monolayer
275
Spreading of the monolayer is generally achieved by
preparing a dilute solution of the surfactant using a pure
solvent which itself has a positive spreading coefficient. For
fatty acids and alcohols at the water–air surface, petroleum
spirit (boiling point 60–80°C) is suitable. An accurately
known volume (0.01–0.05cm3) is injected near the surface
using a micrometer syringe. The solution floats to the surface,
spreads over it and the solvent completely disappears by
evaporation and by dissolution in the ‘subphase’ after a few
seconds. Solvent retention at the surface can occur and this
may influence the properties of a monolayer. Such retention is
minimized by employing the smallest amount of solvent
consistent with complete spreading. If a hydrocarbon is
unsuitable as a solvent, a water-soluble alcohol, ethanol or
propanol, may be used. Alcohol–water mixtures are used to
spread polypeptides, electrolytes being included for protein
solutions. The solvent soon disappears from the interface by
dissolution in the bulk phase in which it becomes extremely
dilute. To ensure that the solute is carried to the surface, the
solvent must have a suitable density, or in the case of an
oil–water interface, the solution must be injected on a suitable
side of it.
276
The surface pressure may therefore be conveniently
determined by measuring the reduction in the surface or
interfacial tension using a Wilhelmy plate (p. 56).
Just as a change in volume produces a change in
three-dimensional pressure, so a change in the area occupied
by a monolayer results in a different surface pressure.
Measurement of these changes enables π−A plots to be
constructed, analogous to P–V plots, A being the average area
occupied per molecule or per milligram in the case of
proteins.
Knowing, the area of the interface and the amount of
surfactant injected into it, the area available to each molecule
can readily be calculated provided that the molecular weight
is known. The surfactant can be injected in small increments
and the resulting tension measured each time. A disadvantage
of this technique, however, is the necessity to wait many
times for the disappearance of solvent from the interface.
Studies at a water–air surface may be facilitated by using a
rectangular trough made of Teflon, or of glass rendered
hydrophobic by being spread with a Teflon aerosol or coated
with paraffin wax. The water level may then be made to stand
a little above the level of the wall of the trough so that a
hydrophobic bar placed across the trough isolates the liquid
surfaces on either side of the bar. The Wilhelmy plate dips
into the liquid at one end of the trough and the monolayer is
spread on the same ·side of the bar. By moving the bar
towards the plate, the area available to each molecule in the
monolayer is decreased (Fig. 5.40). The production of
nonzero contact angles, particularly with rigid films at high
surface pressures, is a source of error.
277
Fig. 5.40 Diagrammatic representation of the trough and
Wilhelmy plate (A) Side view, (B) Plan view. (The surfactant
molecules are not drawn in proportion.)
278
Fig. 5.41 Diagrammatic representation of a film balance: (A)
Side view, (B) Plan view. (The surfactant molecules are not
drawn in proportion.)
279
An alternative method of studying soluble monolayers is to of
how the changes in tension by means of a strain gauge as a
film of solution is stretched between two platinum rings.
Various modifications are necessary for studies at the
liquid–liquid interface. For example, the trough and barriers
may need to be made of a less hydrophobic material than
Teflon, such as nylon, while it may be more convenient to·
use a taut plastic band rather than bars to confine the
interfacial film.
(5.29)
280
where N is the number of charges of magnitude Q coulombs
per square metre, d is the distance between the plates, ε is the
dielectric constant (relative permittivity) and εo is the
permittivity of free space (= 4π × 10−7 c2, where c is the
velocity of light in free space in ms−1). For a molecule, the
product of the charge Q and the separation distance is the
dipole moment μ. The distance d is however the separation
distance resolved normal to the plane of the monolayer so that
if the dipoles make an angle θ to the normal then Qd = μcosθ.
Eq. 5.29 then becomes
281
and its reciprocal is the surface compressional compliance
which, for a perfectly elastic film, is also the surface
compressibility Cs given by
(5.30)
(5.31)
282
d being the film thickness which is of the order of 2 nm for
monolayers. Thus a monolayer having a surface viscosity of
10−4 sP has a viscosity of about 500 P (= 50 N.s.m−2) over its
thickness. A liquid with such a high viscosity would be
termed ‘very thick’ so that monolayers having surface
viscosities of the order of 1 sP or more would generally be
regarded as solid.
Surface viscosities can be determined in a number of ways,
two-dimensional analogues of tube and Couette viscometers
often being employed. The canal method (Fig. 5.42) employs
a trough with movable barriers to apply a surface pressure to
the film and the pressure difference (Δπ) between the ends of
the canal can be measured using a film balance.
(5.32)
283
underlying water, a correction must be applied so that Eq.
5.32 becomes
284
been used include those which determine the damping of the
oscillations of a torsion pendulum.
Creep tests can also be used to study the viscoelastic
behaviour of films. This is best achieved by applying a
constant torsional stress to a ring or biconical disc suspended
in the interface from a torsion wire and observing the
displacement with time. The ring or disc must be concentric
with the circular dish.
Large increases in surface or interfacial viscosity can result
from the formation of mixed monolayers between oil-soluble
and water-soluble surfactants, such as between lauryl alcohol
and sodium lauryl sulphate or cetyl alcohol and cetrimide.
Such monolayers are capable of stabilizing emulsions and
foams. The increased surface viscosity resulting from the
addition of a little fatty alcohol to an ionic surfactant solution
is probably the prime cause of the enhanced foam stability
which is obtained (Davies & Rideal, 1961).
285
a strong tendency to maintain their integrity without
collapsing and in so doing they exhibit a surface
compressibility equivalent to the bulk compressibility of
solids or liquids.
The surface pressure of a monolayer is the resultant of three
components: that due to kinetic motion (πk), that due to
electrostatic repulsion (πr), and the opposing effect due to
cohesional forces (π) which is always negative. Thus:
286
Fig. 5.43 π−A curves illustrating the effect of: (A) A straight
hydrocarbon chain, octadecanoic acid (stearic); (B) A
hydrocarbon chain bent by a double bond in the middle,
cis-9-octadecanoic acid (oleic); (C) An ionized polar group,
octadecyltrimethylammonium ions on M/2 NaCl
287
compressibility. Further compression will force the molecules
into a closer packing with a smaller compressibility having
the character of a condensed film before collapse occurs.
An ionized monolayer, spread on a salt solution in order to
reduce its solubility, has an appreciable surface pressure even
at very large available areas. Repulsion between the polar
groups overcomes the cohesional forces causing the
molecules to fill the surface in a manner analogous to a gas
filling an available space. These monolayers are therefore
termed gaseous.
Interchain cohesion increases with length of the hydrocarbon
chains. Figs. 5.44 and 5.45 show the effect of chain length,
and temperature upon the π−A curves for fatty acids. Fig. 5.44
demonstrates a remarkable similarity to Andrew’s P–V curves
for a gas above and below the critical temperature suggesting
that an increase in interchain cohesion results in a higher
critical temperature. The shallow curves on the right hand
side of the figure represent highly compressible gaseous films
while the steep portions on the left are produced by liquid-like
films of low compressibility. For fatty acids below the critical
temperature (in Fig. 5.44 at about 14° with more than 12c
atoms) a horizontal portion represents a first order transition,
that is, dA/dπ becomes infinite. Monolayers having a mean
area per molecule lying within this transition are composed of
discontinuous regions some/with coherent molecules, the rest
being gaseous. Such a condition leads to surface potentials
which fluctuate from one part of the surface to another.
288
Fig. 5.44 π−A curves for a series of straight chain saturated
fatty acids between 12 and 16°C (from Adam, 1930)
The extreme left hand portion of Fig. 5.44 for the C14 acid
has been enlarged in Fig. 5.45, which shows the effect of
temperature upon the liquid-like state. The steep curves on the
289
right hand side are those for the liquid-expanded state whilst
on the left
hand side the condensed state is found. Between these two
states is another transition, this time for a second order where
dA/dπ is finite. It is known as a liquid-intermediate state and
has a higher compressibility than either the liquid-condensed
or liquid-expanded states. This transition probably involves
the loss of rotational freedom about the long axis of the
molecules thereby creating further area for close packing. The
sequence of phase changes is summarized in Fig. 5.46. Not all
states are given by every compound or at all temperatures.
For example, at low temperatures a liquid condensed film
may change directly into a gaseous film. Some workers have
also distinguished other states such as the superliquid, which
is rheologically liquid but has a compressibility like that of a
solid film; cetyl alcohol behaves in this manner.
290
By analogy with a gas, the simple equation of state for a
gaseous film is
(5.33)
291
(5.34)
Films likely to obey Eq. 5.34 are those which are uncharged
(πr = 0) and which have no interchain cohesion (πo = 0).
Interchain cohesion is virtually eliminated at an oil–water
interface since the oil molecules penetrate between the
hydrocarbon chains and satisfy their London attraction forces
(Fig. 5.48). This leads to greater surface pressures for a given
area per molecule at the oil–water interface. The surface
pressures of films of quaternary ammonium ions do however
have an electrostatic repulsion component and the π(A − Ao)
hyperbola is therefore not coincident with the curve for the
oil–water interface. Approximate coincidence with the curve
for the air–water surface implies that the cohesive forces and
the electrostatic repulsive forces are opposite and of nearly
equal magnitude.
292
becomes
293
this is found with alcohols, amides and esters where
staggering of the polar groups allows the area to be limited
only by the interlocked hydrocarbon chains. Since the cross
section of the polar groups is larger than that of the chains, a
larger limiting area is often found at low surface pressures;
for example, alcohols and esters pack to about 0.22 nm2 and
nitriles to about 0.27 nm2. However, association between the
polar groups by hydrogen bonding, with amides for example,
may ensure a low limiting area given at low surface pressures.
For a given surface pressure, the area per molecule of a
liquid-condensed film decreases slightly with an increase in
chain length due to the increased interchain cohesion. Thus at
5mN.m−1 and 25° a hexadecanoic acid molecule occupies
0.24 nm2 whereas an eicosanoic acid molecule occupies only
0.23 nm2. Under these conditions, tetradecanoic acid would
form only an expanded film with an area per molecule of 0.37
nm2.
The effect of an unsaturated bond depends upon the position
and configuration. A double bond near the middle of the
chain with a cis configuration produces too much bending of
the chain for a condensed film to form whereas the chain of a
trans compound is straighter and can produce such a film.
Condensed films also form if the double bond is next to a
terminal carboxyl group, the liquid condensed phase then
having a limiting area of 0.287 nm2.
Sterichindrance to close packing also results from chain
branching. Thus 16-methylheptadecanoic acid forms a much
more expanded film than octadecanoic acid although both are
saturated C18 acids. If the methyl group is near the middle of
the chain, the film is even more expanded for a given surface
pressure.
Sterols such as cholesterol with a hydroxyl group at the 3
position also form condensed films with a limiting area
294
between 0.37 and 0.42 nm2 according to the stereochemical
configuration of the A and B rings. Such molecules tend to
stand nearly upright at a surface, packing closely to form a
film of low compressibility. The tilt of the sterol nucleus is
affected by the type and position of the polar group.
Sometimes the molecules are caused to lie nearly flat at low
surface pressures and consequently they possess large
limiting areas. Such films have a much greater
compressibility than cholesterol.
A liquid condensed film of a straight-chain fatty acid has been
shown to have an appreciable compressibility, the area per
molecule decreasing from about 0.25 to about 0.205 nm2 due
to a rearrangement of the carboxyl groups. The polar groups
of L-monoglycerides are also closely packed with a limiting
area of about 0.263 nm2 but are not rearranged by
compression. Their low compressibility suggests that the
molecules are held apart bi structure formation between the
polar groups. The head groups of p-alkyl-phenols are also
closely packed with a limiting area of 0.24 nm2. Low
compressibility in this case suggests that the benzene rings
are vertically orientated in a closely packed layer about 0.6
nm thick and that these take up the whole of the compression.
The areas quoted above refer to unionized films and for fatty
acids apply to films spread on dilute HCl or on fresh very
pure water. On water, trace contaminants such as polyvalent
cations may eliminate the liquid-condensed state causing the
solid state to persist down to low film pressures. Alkaline
substrates cause ionization and expansion of fatty acid
monolayers. Although electrostatic repulsion between ionized
carboxyl groups would be expected to have some effect,
association of the carboxyl groups with the hydrated cations
appears to be the prime cause of the expansion.
Liquid-expanded films of octadecanoic acid are produced at
295
pH 13 on solutions of LiOH, NaOH and KOH and it is
probable that the size of the hydrated cation in the surface
increases in the order Li, Na and K, producing the same order
of effect upon expansion of the monolayer. Traces of Ca ions,
however, markedly reduce the expansion effected by
monovalent cations. At pH 8.5, using bicarbonates,
compression of the now incompletely ionized monolayer
causes monovalent cations to be ejected. These changes in the
condition of the monolayer are reflected in tile surface
potential which becomes considerably reduced by dipolar
opposition of the counterions.
The conclusion, therefore, is that the state of a given
monolayer and its transition from one state to another is
influenced by three independent variables. These are the
temperature, surface pressure and the extent to which the
polar groups interact with the liquid substrate. In the latter
case this is affected by the composition of the substrate such
as the presence of electrolytes and the prevailing pH.
Additional to these factors the configuration and size of the
hydrophobic groups influence the cohesive forces and extent
of packing of different monolayers.
Mixed Monolayers
296
Water-soluble surfactants can also penetrate into an insoluble
monolayer, the free energy of the penetrant molecules being
decreased by dilution in the monolayer. The excess free
energy of mixing monolayers of long-chain alcohols with
some ionic surfactants has been shown to be a minimum
when the monolayer contains equimolecular proportions of
the two components. Interchain cohesion and screening of the
ionic groups by the intervening alcohol groups are both
probably involved in maintaining the integrity of the mixed
monolayer.
Molecular association between two components requires a
strong interaction between the polar groups but this is
accompanied by monolayer penetration only if the soluble
molecules have large enough hydrocarbon groups whereby
they can form a strong interchain cohesion with the insoluble
molecule. Sometimes the association in the· monolayer is
strong enough for stoichiometric complexes to be
distinguished. Thus a cholesterol film on NaCl solution has a
limiting area per molecule of about 0.4 nm2. If the film is
expanded and sodium hexadecylsulphate is injected
underneath, a very large rise in surface pressure occurs upon
recompression with collapse at about 0.6 nm2 per cholesterol
molecule. This indicates that some hexadecylsulphate
molecules become squeezed out of the monolayer upon
compression but that type remaining molecules strongly
adhere in a 1:1 ratio. The surface complex is less stable in the
absence of salt. Some hexadecylsulphate also appears to be
adsorbed underneath the monolayer and this may enhance the
stability of the film.
Similar 1:1 complexes have been found to form between
other amphipaths such as between cholesterol and the
steroidal saponin digitonin while 1:2 or 1:3 complexes have
been detected with some other substances. Many other mixed
297
monolayers also have collapse pressures and areas larger than
those of the pure insoluble component but not all form stable
‘complexes’. Thus molecular association occurs between
long-chain alcohols and sodium hexadecylsulphate but a
stoichiometric relationship is not found. In such cases the
association is strongest when the alcohol possesses a straight
hydrocarbon chain.
Surface association is paralleled in bulk solution by the
formation of mixed micelles or liquid crystals. A thermolabile
complex of cholesterol and digitonin can crystallize from
alcohol. Complexing may also affect certain properties in the
bulk phase. Thus sodium hexadecylsulphate loses its
haemolytic power and is not precipitated by silver nitrate
when its solutions contain an equimolar proportion of
cholesterol. The extent of molecular association at a water–oil
interface is also implicated in the stability of emulsions and
may involve multilayer formation.
Monolayer penetration may be accompanied by a change in
the physical state of the film. Thus a solid film of ergosterol
becomes liquid on injection of saponin or sodium
hexadecylsulphate into the substrate whilst a liquid film of
cholesterol becomes solid op injection of saponin but remains
unchanged with sodium hexadecylsulphate.
If cholesterol is added to a liquid expanded film of a
long-chain fatty acid in the molecular proportion of 1:4, the
bulky cholesterol molecule restricts the oscillatory motion of
the acid molecules causing them to occupy the smaller area of
a condensed film. A mixed monolayer of cholesterol and
lecithin also occupies a smaller area for a given surface
pressure than the sum of the areas of the separate
components. Although it has been suggested that the
components of the film form molecular complexes, it would
seem that the mean molecular area simply reflects the best
298
arrangement of the molecules in accordance with their mutual
attractive forces.
Macromolecular Films
299
gelatin solutions takes several hours to achieve an equilibrium
tension presumably due to multilayer formation. Highly
branched stiff-coiled molecules such as acacia form rigid
films whereas unbranched chains such as sodium alginate
tend to produce liquid films. The properties of these films
have an important bearing upon the stability of emulsions. No
denaturation of acacia occurs upon adsorption although the
first layer appears to be irreversibly adsorbed with the film
becoming noticeably rigid within about 20 seconds. The
thickness of an acacia multilayer varies with the type of oil.
Strong films of potassium arabate about 100 nm thick appear
to be formed with aliphatic hydrocarbons whereas weaker
thin films form with benzene.
Various statistical mechanical models have been proposed for
the conformation of adsorbed macromolecules (Hoeve et al.,
1965). It is suggested that the molecule may become anchored
at the interface by only a fraction of the groups along its
length, the rest of the molecule forming loops into the water.
In such an event it is likely that the ends of the molecule are
also anchored at equilibrium. The extent of looping into the
solvent and the resulting thickness of the adsorbed layer can
depend on the solvent. Polymer coils tend to extend in good
solvents and would produce thick layers of low density. The
density of multilayers probably decreases, that is solvation
increases, with distance from the interface.
Biological Membranes
300
together by hydrophobic and electrostatic interactions to form
lipoprotein.
The lipids consist of nonionic amphipaths such as cholesterol
and amphoteric amphipaths called compound lipids.
Compound lipids are long-chain fatty acid esters of alcohols
containing other polar groups; for example, a
glycerophospholipid is based upon glycerol which contains a
phosphoric acid residue and a nitrogenous base this being
choline in the case of lecithins (p. 57). Another phospholipid
is based upon inositol while the sphingolipids are derived
from the unsaturated amino alcohol, sphingosine. Hydrolysis
of some compound lipids also yields sugars such as galactose
from cerebrosides and sialic acids from gangliosides.
Phospholipids predominate in animal cells.
Membranes differ considerably in their lipid and protein
content according to their source and function. Thus myelin
membranes contain a dry weight fraction of over 0.7 of lipid
whereas rat liver mitochondria membranes contain less than
0.3, proteins making up most of the remaining weight. The
proportion of cholesterol in the lipid also varies considerably,
constituting about 0.4 of myelin lipid but only 0.06–0.14 of
mitochondrial lipid and being absent from chloroplast lipid,
while bacterial membranes contain little or no cholesterol.
Unlike films formed at an air–water or an oil–water interface,
biological membranes are bounded on either side by an
essentially aqueous environment. This requires that a
multilayer be formed with the hydrophobic groups orientated
towards each other inside the membrane, with the more polar
groups or molecules exposed on the surface. If the lipids are
extracted from erythrocyte membranes and spread as a
monolayer upon water they occupy twice the area of the
original erythrocyte surface demonstrating that the lipid
portion of the membrane is two molecules thick.
301
Danielli and Davson proposed that cell membranes consist of
a biomolecular lipid leaflet bounded on either side with a
layer of protein molecules (Fig. 5.49). Electron microscopic
evidence for such a structure in membranes forming the
myelin sheath of nerves has been obtained by Robertson
(1967) where the bimolecular lipoprotein forms a repeating
unit about 7.5 nm thick. However the protein does not appear
to be held on the outside of the lipid bilayer merely by
coulomb interaction but some portions of the protein
molecules must penetrate to the interior where they are held
by hydrophobic interactions.
302
branched-chain fatty acid esters and contain little or no
cholesterol. These are unable to form condensed bilayers and
are associated with a high proportion of protein. Other, more
loosely organized, structures have been proposed for
organelle membranes which involve two dimensional arrays
of protein interposed by lipid (O’Brien, 1967). One such
model (Fig. 5.50) consists of a bimolecular array of globular
protein having predominantly nonpolar amino acids towards
the centre of the layer, the cavities between the protein
molecules containing the lipid bilayer. It would also appear
that some protein molecules extend right across a single
membrane and may even extend across two membranes when
these are stacked together.
303
permeability of Na+ ‘during stimulation’ gives rise to an
action potential. Many enzymes are bound to membranes
which therefore become the sites for certain metabolic
pathways such as protein synthesis and respiration.
Immunological reactions are also based at the membrane.
The structure and functions of biological membranes have
been reviewed by Gross (1971). Their study has been
facilitated by the use of artificial membranes. The formation
and properties of the latter have been reviewed by Castleden
(1969). Chapman (1968) and Sutton (1969) have also written
short articles.
Liquid–Solid Interface
Interfacial Energy, Contact Angle and Adhesion
(5.35)
where γsl is the interfacial free energy, γ1, is the liquid surface
energy (numerically the surface tension) and θ, measured
within the liquid, is known as the contact angle (Fig. 5.51).
The surface energies may be considered as surface tensions
but surface tensions cannot be directly measured in the case
of solids. Strictly, Eq. 5.35 should be corrected for the
equilibrium film pressure πe of adsorbed vapour on the
304
solid–air surface when:
(5.36)
305
Since van der Waals forces operate across all solid–liquid
interfaces there can never be a contact angle of 180°C, that is,
Wsl is never zero. Water on a smooth surface of a pure solid
paraffin wax gives an angle of about 110°C corresponding to
Wsl=48mJ.m−2, a figure close to the interfacial tension
between paraffins and water (see Table 5.4). Polyethylene and
polytetrafluoroethylene give contact angles with water of 94
and 108°C, respectively at room temperature. If a block of
stearic acid is cut, the contact angle will be anywhere between
50 and 105°C according to the direction of the cut with
respect to the bimolecular layered structure of the crystal.
If the surface is composed of small patches of two different
kinds of surface, then the effective contact angle θ is given by
the relationship
(5.37)
306
either to liquid penetration into the surface or to removal of
lyophobic contaminants.
Adsorption on to Solids
Many compounds are adsorbed on to solids from solution.
Clay minerals such as kaolin, bentonite and attapulgite and
antacid powders such as aluminium or magnesium hydroxides
or silicates have been shown to adsorb such drugs as
alkaloids, phenothiazine derivatives and the B vitamins. In
such cases the rate and even extent of adsorption of drugs
from the gastrointestinal tract may be considerably reduced.
Adsorption is often physical due to van der Waals forces of
interaction between the adsorbate and the substrate in which
case it is largely reversible by changes in pH or electrolyte
concentration, but it may be chemical which involves a
chemical reaction at the substrate surface when desorption
may be far less easily accomplished. The extent of adsorption
is influenced by the solvent since this too may be adsorbed,
the polar/nonpolar natures of the solute, solvent and substrate
all being involved. The nature of composite and individual
isotherms has been discussed by Gregg (1961) and Kipling
(1964) while Giles et al. (1960) have classified composite
isotherms relating their shape to orientation of the adsorbate
and penetration of the adsorbed layer by solvent molecules.
307
Rowland et al. (1965) have discussed the adsorption of
macromolecules at the liquid–solid interface. Natural and
synthetic hydrocolloids such as acacia and the cellulose
derivatives and amphipaths such as the saponin glycosides of
quillaia are adsorbed on to the surface of suspended particles
which are not normally wetted by water. This produces an
increase in the hydrophilic character of the solid surface
thereby promoting wetting.
Promotion of Wetting
If a nonzero angle of contact exists between a solid and a
liquid, a suspension of powdered solid in the liquid will
contain a considerable proportion of the ‘powder floating at
the surface attached to air bubbles thereby producing an
unsightly scum or froth. Homogeneity of the suspension may
be difficult or impossible to achieve and shaking may make
matters worse. Such a state of affairs may be observed if
aspirin or precipitated sulphur is dispersed in water. Wetting
of these two solids is accomplished using acacia and the
saponins in quillaia extract respectively. There are many
wetting agents available, initial selection being determined by
the use of the suspension. Gums, cellulose derivatives and
nonionic amphipaths such as the polysorbates are suitable for
internal use. For external applications, ionic amphipaths can
be used but some gums are precluded on account of their
sticky nature. The addition of a wetting agent is essential for
the adequate dispersion in water of a number of powders apart
from those already quoted, cortisone and the sulphonamides
being examples. The foaming and resuspensiori properties
will influence the final choice of wetting agent. A wetting and
deflocculating action may frequently go hand in hand since
308
the wetting agent increases the attraction for the liquid
dispersion medium and, if ionic, confers repulsive charges on
the solid particles.
Young’s equation (p. 84) shows that increasing the work of
adhesion between the solid and the liquid decreases the
contact angle. A similar reduction in contact angle can be
achieved without adsorption on the solid if an amphipath is
merely adsorbed at the liquid–air surface since the surface
tension is thereby reduced. Frequently poor wettability of a
powder arises from the porous nature of the particle surface
which entraps air: penetration of the pores by the liquid is
then required. If r is the effective mean pore radius, then the
capillary pressure ΔP is given by the Young–Laplace
equation (p. 49) as:
309
Detergency
This is the removal of solid particles and greasy films from
solid surfaces by means of solutions containing amphipaths.
Adsorption of amphipath occurs at both the solid–liquid and
oil–liquid interface thereby reducing γsw and γow. Eq. 5.38,
analogous to Eq. 5.35, shows that θ must decrease as a result:
(5.38)
310
Fig. 5.53 Illustration of the ‘rolling-up’ process: A. Oil film in
the absence of soap; B. Globules produced in the presence of
soap
311
carboxymethylcellulose in the detergent also reduces the risk
of redeposition of dirt by forming an hydrated adsorbed layer
over the substrate. Liquid detergents also include a
hydrotrope (p. 72) in order to increase the surfactant
solubility. Since rapid solubilization of fatty dirt requires this
to melt, simple surfactant solutions may have an
efficient detergent action only at high temperatures. The
inclusion of an organic solvent such as xylene, in a
solubilized form, enables the detergent to function at lower
temperatures.
Dry cleaning may involve the use of detergent solutions
containing predominantly an organic solvent and water
solubilized within inverted micelles. The water-soluble dirt is
solubilized in this case.
Water Repellenyc
Cationic amphipaths are not good wetting agents for many
purposes. A dilute solution of cetrimide, for example, can
render a clean glass surface hydrophobic by exchange of the
cations so that the hydrocarbon chains of the adsorbed
monolayer extend outward. A high contact angle can also be
obtained by treating such surfaces as glass or steel with a
silicone or a methylchlorosilane. Even the single layer of
methyl groups in a monolayer of these compounds greatly
decreases the adhesion of the surface to water.
Water repellency may be desirable for a number of reasons.
For example, rendering the surface of steam condensers
hydrophobic prevents the formation of a continuous film of
condensed water which would impede the removal of heat by
conduction. A water-repellent surface inside glass vials may
also be desirable so that solutions or suspensions can be
312
drained completely from them. Dimethicones are suitable for
this purpose.
In mineral flotation the wanted ore is rendered hydrophobic
while impurities remain wetted. Small amounts of ‘collectors’
such as zanthates are added to the slurry. These coat the
surface of the ore particles with the alkyl groups on the
exterior (provided only a monolayer is adsorbed) so that the
air bubbles become attached and float the ore. The ξ potential
(p. 100) of the ore particle should be reduced to zero in order
that the work of adhesion we should be as low as possible
since for hydrophobicity Ws1<2γl
Woven fabrics may be rendered hydrophobic by coating the
fibres with silicone polymers or with cationic amphipaths.
The regular small mesh structure of fabrics leads to especially
large effective contact angles. If f1 is the solid fraction of the
surface, Eq. 5.37 reduces to:
313
wound while allowing the free passage of air and water
vapour.
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317
Chapter 6
Colloidal Systems
Pharmaceutical materials falling under the category of
colloids include a wide range of substances such as
suspensions of solids in liquids, emulsified liquids, clays, gels
and solutions of soaps and proteins. The feature that is
common to such a variety of systems is the fine state of
subdivision of the dispersed phase. Early investigations were
concerned with preparations such as colloidal suspen sions of
sulphur and gold, and their characteristic properties were
correctly thought to be due to the subdivision of the particles
that were not in true solution. It is now recognized, however,
that colloidality is a state of subdivision attainable with
almost any material under suitable conditions, e.g. soaps form
a colloidal solution in water due to aggregation of soap
molecules, but form a non colloidal solution in alcohol. Some
colloidal sys tems consist of true solutions of very large
molecules, e.g. proteins, or colloidal aggregates of small
molecules.
It is difficult to give a precise definition of the colloidal state
but the following definition is frequently quoted: ‘A colloidal
system is a two phase system, one phase dispersed as minute
particles (disperse phase) throughout the other phase
(continuous phase or dispersion medium). This, however,
ignores such systems as soap films which are of colloidal
dimensions as regards film thick ness. If the term ‘minute
particles’ is taken to include particles which have at least one
dimension lying in the range between 1nm and 1μm, the
definition can be taken to include fibres and films as well as
three-dimensional solid and liquid particles. Emulsions and
318
suspensions used in pharmacy are somewhat coarser than
1μm but are generally included because their behaviour is
similar in many ways to that of true colloids (Hiestand, 1964).
When the dispersion medium is a liquid the colloidal systems
are called sols.
The term colloid (from Greek kolla, which means ‘glue’) has
been applied first by Graham (1851–1861) to solutions of
proteins such as albumin or gelatin and to naturally occurring
gums. He found that crystalline substances could be separated
from ‘colloids’ by placing the mixture inside a bag made of a
thin membrane of animal gut and immersing it in water, since
the colloids remained inside while simple salts diffused out
through the fine pores in the membrane.
The extensive interface between two phases is a predominant
feature of colloidal dispersions and it exerts a considerable
influence on the physical and chemical properties of the
material. In the interior of a solid, the ions, atoms or
molecules are attracted equally to their neighbours by
electrostatic, covalent bonds or van der Waals forces,
respectively, but at the surface unsaturated forces are capable
of interacting with forces emanating from molecules of other
substances. Thus, finely divided solids can adsorb gas
molecules on their surfaces and if the ratio of surface area to
weight of solid is large, they will be effective adsorbents. It
follows also that colloidal particles close to each other will be
mutually attracted but there must be some mech anism
responsible for stabilizing the particles, otherwise the
colloidal suspension could only exist for a relatively short
time before the particles agglomerated.
Before discussing the mechanism of stabilization of colloidal
sols, it is convenient to classify colloidal systems into
lyophobic, lyophilic colloids and associated colloids. By
definition lyophobic colloids are mere suspensions and not
319
solutions. There is little affinity between the solvent and
particle, and the system is thermo dynamically unstable.
Lyophilic Colloids
Systems containing colloidal particles that interact to an
appreciable extent with the dispersion medium (solvent
loving) are referred to as lyophilic colloids. Lyophilic colloids
or sol can be obtained by dissolving the material in the
solvent being used. The properties of the lyophilic colloids
are due to the attraction between the dispersion phase and the
dispersion medium that leads to salvation. Salvation is the
attachment of solvent molecules to the molecules of the
dispersed phase. When water is used as a solvent or
dispersion medium, in that case colloids are known as
hydrophilic colloids. Gelatin, acacia, insulin, and albumin
give hydrophilic colloid and rubber and polystyrene form
lyophilic colloid, with nonaqueous solvent. Lyophilic colloids
comprise true solutions either of very large molecules or of
aggregates (micelles) of smaller molecules that achieve
dimensions in the colloidal range. There is strong attraction
between the solvent and particle and the solutions are
thermodynamically stable. Lyophilic sols differ from
solutions of smaller molecules only in the size of the
molecules, and many molecules of biological interest fall in
this category, e.g. proteins, nucleic acids, starches as well as
synthetic polymers.
320
Lyophobic Colloids
Lyophobic colloids can be classified according to the nature
of the disperse phase and dispersion medium (Table 6.1).
Dispersed Dispersion
Class
phase Medium
Solid Liquid Sol
Solid Gas Aerosol (smoke)
Liquid Liquid Emulsion
Liquid Gas Aerosol (fog)
Gas Liquid Foam
Gas Solid Solid foam (e.g.
pumice)
Particles in colloidal solution are subject to the same kind of
random thermal motion as are individual molecules, except
that their mean dis placement per unit time is smaller because
of their larger size. The random movement, called Brownian
movement, is observed for particles up to about 2μm, at
which level the particles can be observed under an optical
microscope. To observe particles small in comparison to the
wavelength of light, e.g. <0.1μm, the ultramicroscope has
been used. The suspension is illuminated by a narrow intense
beam of light at right angles to the angle of viewing, when the
particles appear as bright dots against a dark background in
the same way that dust particles can be seen when a beam of
sunlight enters a darkened room.
321
The beam of light appears as a whitish path as it passes
through the suspension. This phenomenon was studied by
Tyndall, and bears his name, the Tyndall effect.
322
The main differences between lyophobic, lyophilic and
association colloids are summarized in Table 6.2.
Table 6.2 Comparison between lyophobic, lyophilic and
association colloids
323
Preparation of Lyophobic Sols
Dispersion methods: Grinding of coarse suspen sions in mills
known as colloid mills can reduce particles in a liquid phase
to 1μm and less. Some colloid mills consist of a high speed
rotating smooth disc, separated from a stationary disc by
about 25μm between the two surfaces. Great stresses are
developed in the fluid film between the surfaces and these
disrupt solid particles present in the gap. Rotor dimensions
are such that speeds of between 1500 and 6500m/min are
obtained at the working surfaces. Owing to the unstable
nature of the sol, small amounts of lyophilic colloid or other
stabiliz ing agents must be added to prevent agglomeration of
the colloidal particles.
Condensation methods: Sols can be prepared from an initially
molecular dispersion by controlled growth to colloidal size.
The
experimental condi tions must be carefully controlled to
prevent exces sive growth and hence precipitation of the
particles. During the preparation of sols, von Weimarn found
experimentally that small particles are formed by
precipitation from either very concentrated or very dilute
solutions, while coarse particles formed at intermediate
concentra tions. In concentrated solution many nuclei are
formed simultaneously and growth of these by deposition of
solute present above the saturation point is rapid due to close
proximity of solute molecules to the nuclei. The result is
small colloidal particles of nearly uniform size. In less
concentrated solution, the rate of formation of nuclei will be
less but solute will still diffuse quite rapidly to the smaller
number of nuclei and will produce a coarser sol. In very dilute
solutions, the growth process will be slower, although new
324
nuclei will still be forming from the supersaturated solution,
and the resulting particles, again colloidal, will be less
uniform in size.
Besides these precipitation methods for produc ing sols, other
chemical processes can be used. For example, colloidal ferric
hydroxide can be formed by boiling a solution of ferric
chloride and allow ing the escape of the HCl produced by the
hydrolysis
325
added to stabilize the sols. The addition may be trace
electrolytes or protective colloids. This is discussed later.
Purification by Dialysis
Low molecular weight impurities, e.g. electrolytes, can be
separated from colloidal particles by dialysis. The process is
most simply carried out by enclosing the solution in a
cellophane sac which is immersed in a large vessel of water.
Cellophane tubing, tied off at each end, is usually used. The
pores in cellophane membranes are sufficiently large for low
molecular weight solutes to pass through whilst retaining the
larger colloidal particles. Other mem branes that are suitable
for aqueous sols include parchment, collodion and cellulose
acetate. If electrolyte is present in the colloidal sol it diffuses
through the pores of the membrane and, by repeatedly
changing the water, diffusion will continue until the dialysate
remaining is substantially free from electrolyte.
This process is relatively slow and the dialysis of electrolytes
can be greatly facilitated by the applica tion of a direct
current. For this purpose an apparatus illustrated in Fig. 6.1 is
used. This technique, known as electrodialysis, is thus a
combination of dialysis and electrolysis. The colloid to be
purified is introduced into the middle section which is
separated from the right and left sections by dialysis
membranes. Provision is usually made for circulation of water
on both sides of the colloid, and the removal of the electrolyte
is achieved by direct current applied by means of electrodes.
326
Fig. 6.1 Electrodialysis cell.
327
Fig. 6.2 Demineralization of water by electrodialysis; CM,
cationic membrane; AM. anionic membrane.
328
been used to separate proteins into pure fractions, e.g.
γ-globulin.
Dialytic separations may also be effected by ultrafiltration
(Ferry, 1936). This process differs from dialysis only in that
the passage of the electrolyte solution through the membrane
is accelerated by applying pressure. The membrane needs to
be supported on a sintered glass plate to prevent rupture as
considerably high positive pressures are required to achieve
reasonable rates of filtration. The pore size of the membranes
can be increased to some extent by soaking them in solvents
that cause swelling, e.g. cellophane swells in zinc chloride
solutions, collodion membranes swell in alcohol. Although
there is adequate information in the literature on methods of
preparing collodion (nitrocellulose) membranes by controlled
evapora tion of alcohol–ether solutions, it is difficult to obtain
reproducible pore sizes. In practice it is more usual to use
commercially available material such as cellophane which is
available in tube or sheet form.
An example of the use of dialysis in pharmacy is the
purification of enzymes such as pepsin. The form of pepsin
known as precipitated pepsin is prepared by scraping off the
mucous membrane of the lining of the stomach of the pig and
steeping in diluted hydrochloric acid for some time. The
extracted pepsin is then precipitated by adding a saturated
solution of sodium chloride, separated by filtration,
redissolved in water and dialysed. The sodium chloride and
hydrochloric acid pass through the membrane; the pepsin
remains in colloidal solution as the dialysate, from which it
may be later pre cipitated by the addition of alcohol.
Fractionation of enzymes by fractional precipita tion from
solution may be effected by ‘salting out’ with ammonium
sulphate; dialysis or electrodialysis is then used to remove the
contaminating electrolyte. Prolonged electrodialysis can
329
sometimes cause inactivation owing to removal of a
coenzyme. For instance, malt amylase becomes inactivated in
this way and subsequent addition of salts to the deionized
material is necessary to restore its activity.
The success of the artificial kidney machine depends on the
reduction of blood urea by passage of the patient’s blood
through coils of cellophane tubing immersed in suitable
rinsing fluid. The molecular composition is designed to create
a diffusion gradient from blood to rinsing fluid of substances
which are present in excess in the blood (e.g. urea) and from
the rinsing fluid to blood of substances which are deficient in
the body (e.g. bicarbonate), while the concentration of those
diffusible substances which are present in normal amounts in
the blood is kept unaltered by having them present in the
same concentration as in the rinsing fluid. The length of the
tubing is about 60m giving a dialysing surface area of just
over 3m2. Other kidney dialysis units utilize sheets of
dialysing membranes in place of coils.
Cellophane is an ideal semipermeable membrane for
haemodialysis as its pore size is such that electrolytes, urea
and glucose can all pass freely across it, while the larger
molecules such as the plasma proteins, lipid fractions and
blood cells, cannot pass. The cellophane tubing does not
allow bacteria to pass across it, so that only the inside surface
need be sterilized. The method of operation is discussed by
Anderson (1964) and shown schematically in Fig. 6.3.
330
Fig. 6.3 Circuit diagram of artificial kidney (Anderson, 1964).
The cellophane coils are supported on a drum rotating in the
electrolyte solution.
Optical Properties
Ultramicroscope
331
electron microscope is due to its high resolving power. Light
passed in a convergent beam transversely through a sol is
scattered and polarized by the dispersed particles and the path
of the beam when examined laterally is seen as an illuminated
cone. A true solution, examined similarly, appears opti cally
empty, i.e. the Tyndall effect is absent. The ultramicroscope
is simply a device for observing the Tyndall effect
microscopically. The microscope is perpendicular to the beam
of light passing through the sol in a shallow glass cell. The
colloidal particles appear as bright spots against a dark
background, similar to dust particles seen in a beam of
sunlight in a darkened room. The actual shape cannot be seen
but from the concentration of the sol and the dimensions of
the cell, the number of particles per unit weight of dispersed
phase can be calculated and hence the average particle size.
The normal optical microscope method will not resolve
particles less than wavelength of visible light (0.4–0.8μm).
Particle size of colloids can be roughly determined by
ultrafiltration through membranes of known pore size. Elford
(1937) prepared nitrocellulose membranes with graded pore
size by controlling the solvent composition in which the
nitrocellulose was dissolved; good solvents favour dispersion
and give dense membranes of small pore size while poor
solvents produce more open membranes. Elford found that
the size of large particles passing through the membranes
corresponded fairly well with the pore size, but smaller
particles (e.g. virus particles) were held back by membranes
whose pore size was larger than the particle, probably due to
adsorption effects. One big disadvantage of the electron
microscope for viewing colloidal particles is that normally
only dried samples can be examined. Consequently it usually
gives no information on salvation or configuration in solution,
and moreover, the particles may be affected by sample
332
preparation. A recent development that overcomes these
problems is environmental scanning electron microscopy
(ESEM), which allows the observation of material in the wet
state.
Light Scattering
333
refractive index and rate of change of refractive index with
concentration.
A plot of HC/τ versus C should give a straight line at low
concentrations and extrapolation to infinite dilution will give
the value of I/M and hence the molecular weight.
Kinetic Properties
Ultracentrifuge
334
velocity, e.g. pepsin 35,500, insulin 41,000, gelatin,
10,000–70,000.
Osmotic Pressure
335
(0.1M or higher) and using the same salt solution outside the
membrane, he was able to swamp out the Donnan effect.
Diffusion
336
haemoglobin) using the following equation:
Sedimentation
(6.1)
337
(6.2)
(6.3)
338
(6.4)
Viscosity
339
Einstein:
(6.5)
(6.6)
(6.7)
Or
(6.8)
340
solution and ηsp/C is plotted versus C, then the intercept
obtained on extrapolation of the linear plot to infinite dilution
is known as the intrinsic viscosity [η]. This constant may be
used to calculate the molecular weight of the macromolecular
material by making use of the Mark–Houwink equation:
341
ions for metal oxides and hydroxides such as magnesium and
aluminium hydroxides. The properties of the colloids that
depend on, or are affected by, the
presence of the charge on the surface of a particle are
discussed under the heading electric properties of the colloids
Ionization
342
(R denotes the residue of the protein molecule)
(A protein is least soluble at its isoelectric point and is readily
precipitated. The protein, insulin, is pre cipitated from
aqueous alcohol by adjusting the solution to the isoelectric
point of insulin pH 5–6.)
Adsorption
Electrophoresis
343
across the sol. The zeta potential can be calculated from the
mobility of the particle.
Spherical particles—small in comparison with the thick ness
of the double layer. These include protein molecules, fine
silver iodide sols, etc. The derivation made by Debye and
Hückel was that if the exter nally applied potential gradient is
E and the charge on the particle, Q (coulombs), the particle
will experience a force QE tending to accelerate it in the
direction of the field. The hydrodynamic resistance to its flow
is given by Stokes’ Law as 6πηrv where η is viscosity, v the
particle velocity and r the particle radius. The particle moves
with a constant velocity as the two forces rapidly attain
balance. The velocity of the particle in an electric field of 1
eV/cm is given by:
344
This is generally referred to as Smoluchowski’s equation. For
water at 25°C this expression is reduced to:
345
Fig. 6.4 Electrophoresis cell (moving boundary).
346
plane of a calibrated graticule placed in the microscope eye
piece. In addition to the electrokinetic potential at the
interface between the particles and the liquid, a similar
potential usually exists between the walls of the tube and the
liquid. Thus the particles are subject to both electrophoretic
movement and electro-osmotic movement of the liquid near
to the walls of the tube. In a closed cell, as shown in the
figure, the liquid moving electro-osmotically at the wall must
return along the centre of the tube. Thus at a certain level in
the cell, the two opposing movements cancel each other out
and the velocity of the particle in this stationary level will be
the true electrophoretic mobility. Bacteria, emulsion droplets,
suspensions, etc. have been studied by this method
(Alexander & Johnson, 1949).
A simplified method for the electrophoresis of lyophilic
colloids, e.g. proteins, nucleic acids, is paper electrophoresis.
A strip of filter paper is moistened with a suitable buffer
solution and supported horizontally with its ends dipping into
separate reservoirs of buffer. A potential gradient is applied
along the paper by electrodes inserted in the reservoirs. A
drop of protein solution is spotted on to the paper and a direct
current of about 10mA at 10V/cm of paper is passed for
several hours. The filter paper acts merely as a support for the
liquid phase through which the protein molecules migrate. At
the conclusion of the experiment, the paper is removed and
the position of the protein is detected by dipping the paper in
a dye solution or spraying with a solution, staining the protein
but not the paper. A mixture of proteins can be resolved into
separate zones if the mobilities of the components are
different.
The pH of the buffer solution is important; in alkaline and
acid solutions the proteins will migrate in opposite directions,
the ions being RCOO− and RN+ H3, respectively. If the pH of
347
the buffer solution corresponds to the isoelectric point of the
protein, the latter molecule will be present as the zwitterion,
N+H3 ... COO− and will not migrate. It is, therefore, possible
to extend the scope of the method by choice of suitable
buffers. Fig. 6.6 shows the appearance of a filter paper strip
after electrophoresis of two proteins A and B of isoelectric
points pH 4 and 6, respectively when the paper is buffered at
pH 5.
Electro-Osmosis
348
powder, with electrodes immersed in dilute buffer solution on
either side of the plug. A glass surface in contact with water
bears a negative charge due to
the adsorption of OH−. As the current passes, the liquid will
move towards the positive electrode, and this can be best
observed if the ends of the tubes are connected to capillary
tubes, so that small displacements of the liquid are apparent.
Fig. 6.7 shows electro-osmotic flow of water in a glass
capillary tube on application of a potential difference across
the ends of the tube.
Streaming Potential
349
powdered solid at a constant rate and the potential difference
across the plug is measured.
Sedimentation Potential
350
(6.9)
(6.10)
and inside,
(6.11)
(6.12)
351
and benzyl penicillin (Higuchi et al. 1954). If [Cl−] in
equation 6.12 is replaced by the concentration of the
diffusible drug, anion [D−] at equilibrium and [R−] is used to
represent the concentration of sodium carboxymethylcellulose
at equilibrium, we have
352
(see Fig. 6.8) to a few kT will lead to coagulation in the
primary minimum. Ions of charge opposite to that of particles
are most effective in coagulating colloids. Furthermore the
valency of the ion is important. The coagulating effect of
bivalent ions is not just twice that of monovalent ions but the
activity increases between ten and a hundredfold on
increasing the valency of the acting ion by one. This is known
as the Schulz–Hardy rule. Salts of monovalent cations have
coagulation values for negative sols around 0.05
mole of cation per litre where the accompanying anion is Cl,
SO4 or NO3. Acetates and citrate ions tend to be adsorbed
even by negatively charged sols and higher concentrations of
these salts are required to produce coagulation.
353
Precipitation of Lyophobic Colloids
The stability of lyophilic colloids depends mainly on
interaction of the colloid with the solvent, the so-called
solvation. With water as solvent, this interaction is called
hydration; solvation is a more general term for any liquid.
Rubber dissolves in benzene and a stable colloid is formed, as
the macromolecules of rubber become solvated by the
benzene. There is an enormous variety of electrically charged
lyophilic colloids, e.g. proteins, pectins, agar, acacia, alginic
acid and their stability in aqueous solution depends to a large
extent on hydration arid to a lesser extent on electrical charge.
The electrolyte concentrations needed for the precipitation of
hydrophilic colloids are many times greater than those needed
for coagulation of hydrophobic sols. To precipitate the
various proteins of blood plasma not less than 1.3–2.5mole/
litre of ammonium sulphate is necessary. The effect of adding
electrolytes to a hydrophilic colloid is two-fold: the electrical
properties and degree of hydration are both affected. At low
concentrations the electrical charge is affected by ions of
opposite charge and at high concentrations both charge and
hydration are affected, ions having the greatest affinity for
water being the most effective in ‘dehydrating’ the colloid.
The precipitation by the action of high concentrations of
electrolyte is usually called ‘salting out’ and the order of
effectiveness of various ions for this purpose can be arranged
in a series known as the Hofmeister series. The most common
ions arranged in order of decreasing salting out effect for, say,
protein solutions, are as follows:
Sulphate/2 > Acetate> Chloride> Nitrate> Chlorate>
Bromide> Iodide
For cations, the series is less definite and is as follows:
354
Lithium > Sodium > Potassium > Ammonium >
Magnesium/2
Proteins are most readily precipitated if the pH of the solution
is adjusted to the isoelectric point where the net charge is
zero. The subsequent addition of a dehydrating agent, e.g.
alcohol, acetone or electrolyte, will then precipitate the
protein. For proteins of similar chemical constitution the
salting out concentration of electrolyte decreases as the
molecular weights of the proteins increase. Enzymes have
been fractionated by repeatedly dissolving and salting out
with ammonium sulphate or magnesium sulphate. The
purified enzyme is then freed from electrolyte by dialysing
against distilled water. Fractionation of human blood plasma
into globulins, fibrinogen and thrombin, depends on selective
precipitation by organic solvents under conditions of
controlled pH, ionic strength and temperature.
355
sodium chloride is added to it. The gold numbers for some
common protective colloids are given in Table 6.3. However,
the effectiveness of protective colloids measured in this way
must depend on the affinity of the hydrophilic colloid for the
gold and will not necessarily correlate with the degree of
protection in other systems. The binding of the protective
colloid to the hydrophobic surface, may sometimes lead to
flocculation, particularly if the two colloids are oppositely
charged and are present in approximately equivalent amounts.
In such a case, further addition of protective colloid may
overcome this difficulty.
356
of the Bi3+ions, and by reducing the zeta potential on the
bismuth particles, partially flocculated systems tend to cake
considerably less than deflocculated system, and this effect is
significant in the formulation of suspension (Haines and
Martin, 1961)
In pharmacy, there are numerous examples of protective
colloids. Resinous tinctures can be dilu ted with a dilute
solution of tragacanth or acacia to form a colloidal solution,
even in the presence of electrolytes. In the absence of these
gums, immediate coagulation of the resin occurs. Acacia and
sodium carboxymethylcellulose are used to prepare stable
emulsions of oil in water. Gelatin and serum albumin are used
to stabilize silver oxide in the preparation of silver protein
products (Silver Protein and Mild Silver Protein, BPC 1968).
On addition to water, a colloidal silver oxide sol is formed
which is suitable for application as eye drops. Gelatin is also
used to maintain gold sol in a stable form for injection [Gold
(198Au) Injection BP].
Stability of Colloids
All particles are attracted to one another by van der Waals
forces. It is these forces that are primarily responsible for the
liquefaction of gases, departure of gases from ideal behaviour,
and adsorption of gases on to solids. The origin of the force is
electrical and it can be explained easily in qualitative terms.
The motion of electrons in their orbitals within the atom gives
rise to a fluctuating electromagnetic field which exerts an
influence upon the electrons in neighbouring matter, causing
a net shift of the centre of positive (nuclear) and negative
charges in such a direction that there is attraction between the
two separate particles. This force falls off very rapidly with
357
distance and is thus negligible except when the particles are
quite close together (e.g. <100nm). In the absence of
repulsive forces between the particles in a colloidal sol they
would rapidly aggregate together. The fact that stable
lyophobic colloidal sols can be prepared is due to the
electrical charges on the particle opposing the van der Waals
attraction, and from a quantitative assessment of these
opposing forces theories have been proposed notably by
Verwey and Overbeek (1948) in Holland and Derjaquin in
Russia to explain and predict the stability of lyophobic
colloids.
The electrical charge on particles dispersed in a liquid may
arise from dissociation of substances which are an integral
part of the crystal lattice of the particle, e.g. sodium ion of Na
bentonite clay or Ba2+ and ions of barium sulphate. Fre
quently the change arises from the adsorption of some
specific ion with the surface. For example, Fe(OH)3 sols
become charged in the presence of excess Fe3+ which is
adsorbed on the surface.
This fixed layer of charges is called the Stem layer. Ions of
opposite charge to those in the Stem layer cluster around the
particle, but random thermal motion prevents the existence of
a rigid shell of opposite charges. The diagrammatic
representation of this electrical double-layer is shown in
Fig.6.9.
358
Fig. 6.9 Electrical double layer.
359
surface compared to the reference point where the potential is
required. If the surface potential is small it falls to lie on its
initial value (e is the base of natural logs 2.718) in a distance
(δ given by):
360
attractive and repulsive forces, a net interaction curve is
obtained.
When the particles are far apart, the interaction energy
approaches zero, but becomes infinitely large when the
particles touch, due to the mutual repulsion of the electrons in
the outermost atoms of the particles. For particles to come
together at the primary minimum they must surmount the
energy barrier of magnitude Vmax. Particles in the primary
minimum will be then irreversibly agglomerated.
As the repulsive forces fall off more rapidly with distance
than do the attractive forces, a secondary minimum is
produced when the particle surfaces are about 100nm apart.
This weak attraction causes slight flocculation of colloidal
particles but the floccules can be redispersed on shaking.
Experimental evidence indicates that flocculation in the
secondary minimum is restricted to the larger colloidal sizes
and is probably unimportant for particles below say 0.1μm.
The rate of coagulation of particles in a sol is obviously a
function of the Vmax Provided that Vmax exceeds 20–25 kT,
where k is the Boltzmann constant and T the absolute
temperature, the particles are unable to gain sufficient energy
to surmount the energy barrier and so they remain in a
deflocculated condition. Three types of potential energy curve
are shown in Fig. 6.10.
361
Fig. 6.10 Potential energy curve. 1. Stable sol; 2. Sol of
intermediate stability; 3. Spontaneous agglomeration.
362
potential. This is because the method involves the
measurement of movement of particle through a liquid and
the flow of liquid past the particle does not occur exactly at
the particle–liquid interface but at a plane in the liquid some
distance from the true interface. The zeta potential is the
potential at this plane and is therefore generally much smaller
than the surface potential. However, the zeta potential is
readily determined experimentally and in the literature there
is evidence that zeta potential can help in predicting whether
or not sols will flocculate in the presence of electrolytes. The
application to pharmaceutical suspensions is discussed by
Nash and Haeger (1966).
Lyophilic and associated colloids are thermodynamically
stable and exist in true solution; because of that system
constitutes a single phase. Addition of an electrolyte into
lyophilic colloids in moderate amounts does not result in
coagulation, but upon addition of electrolyte, coagulation is
one of the distinct characteristic of lyophobic colloids. If
more salt is added in lyophilic colloids, it may result in
agglomeration and sedimentation of particles. This is known
as salting out phenomena. This technique is used in the
purification of antitoxins.
Lyophilic colloids can be considered to become lyophobic by
the addition of solvents such as acetone and alcohol. The
particles become desolvated and are then very sensitive to
precipitation by added electrolyte.
Solutions of macromolecules, lyophilic colloidal sols, are
stabilized by a combination of electrical double-layer
interaction and salvation, and both of these factors must be
sufficiently weakened before attraction predominates and the
colloidal
particles coagulate. For example, gelatin has a sufficiently
strong affinity for water to be soluble even at its isoelectric
363
pH, where there is no double-layer interaction. When +ve and
−ve charged hydrophilic colloids are mixed, the separation of
particles from the dispersion medium takes place and forms a
layer which is rich in the colloids aggregates. Formation of
this layer is known as coacervate and phenomenon is known
as coacervation; for example, +ve charge gelatin (at a pH
below 4.7) with −ve charge acacia (unaffected by pH in acid
range) are mixed in certain proportion, coacervation results.
The viscosity of layer, now poor in colloid, is markedly
decreased below that of the coacervate and in pharmacy it
represents the physical incompatibility.
Gels
Lyophilic colloids such as gelatin, agar and pectin are soluble
in hot water and on cooling give rise to a semisolid, jelly-like
structure termed a gel. The mechanical strength of the gel is
due to partial aggregation of the colloidal particles which
form an interlaced network with the solvent held within the
meshes. The gelation process can be regarded as a half-way
stage between a colloidal sol and a completely precipitated
sol. Thus electrolytes which promote precipitation of colloidal
sols will also promote gelation, whereas peptizing agents will
have the opposite effect. For instance, a low concentration of
calcium or zinc ions tends to increase the gel strength of the
negatively charged bentonite gel, whereas excess will result
in precipitation and breakdown of the gel.
Preparation of Gels
364
temperature, so that cooling a concentrated hot sol will often
produce a gel. In contrast to this, some materials such as the
cellulose ethers owe their water solubility to hydrogen
bonding with the water. Raising the temperature of these sols
will disrupt the hydrogen bonding and the reduced solubility
will cause gelation.
Flocculation with salts and nonsolvents: Gelation is produced
by adding just sufficient precipitant to produce the gel state
but insufficient to bring without complete precipitation. It is
necessary to ensure rapid mixing to avoid local high
concentrations of precipitant. Solutions of ethyl cellulose,
polystyrene, etc. in benzene can be gelled by rapid mixing
with suitable amounts of a nonsolvent such as petroleum
ether.
The addition of salts to hydrophobic sols brings about
coagulation, and gelation is rarely observed. However, the
addition of suitable proportions of salts to moderately
hydrophilic sols such as aluminium hydroxide, ferric
hydroxide and bentonite, produces gels. As a general rule, the
addition of about half of the amount of electrolyte needed for
complete precipitation, is adequate. With positively charged
hydroxide sols, divalent ions such as are more effective
−
than univalent ions such as Cl . The gels formed are
frequently thixotropic in behaviour.
Such hydrophilic colloids as gelatin, proteins and acacia are
only affected by high concentrations of electrolytes, when the
effect is to ‘salt out’ the colloid and gelation does not occur.
Chemical reaction: In the preparation of sols by precipitation
from solution, e.g. Al(OH)3 sol prepared by interaction in
aqueous solution of an aluminium salt and sodium carbonate,
an increased concentration of reactants will produce a gel
365
structure. Silica gel is another example and is produced by the
interaction of sodium silicate and acids in aqueous solution.
Structure of Gels
Elastic Gels
Rigid Gels
366
width. Because of the resultant large surface area, silica gel is
a useful adsorbent particularly for water vapour and hence its
use as a desiccant.
Thixotropic Gels
The bonds between particles in these gels are very weak and
can be broken down by shaking or stirring. The resultant sol
will revert back to a gel due to the particles colliding and
linking together again; Brownian movement being
responsible for the particle–particle collisions. This reversible
isothermal sol–gel
transformation is termed thixotropy. It is most likely to occur
in colloidal systems with nonspherical particles such as rods
or plates which can be easily built up into a scaffold-like
structure. Many clay minerals dispersed in water show this
effect, due not only to the plate-like structure of the particles,
but also due to the faces and the edges of the platelets
carrying charges of opposite sign.
Bentonite and acid-washed kaolin platelets have many
positively charged edges while all the faces are negatively
charged due to dissociation of positive counterions such as
Na+, Ca2+. This results in a face to edge attraction giving a
scaffold structure in which solvent is easily enmeshed.
Mechanical shearing breaks the structure and liquefies the
gels. The effect of adding citrate ions to clay dis persions may
be to neutralize the positive charges on the edges of the
platelets, thus minimizing the formation of three-dimensional
gels. Other examples of thixotropic gels include aluminium
hydroxide in water, many concentrated emulsions,
particularly those prepared with emulsifying waxes, and oils
gelled with aluminium monostearate.
367
The different possibilities of gel structure are presented
schematically in Fig. 6.11. Evidence for the coherent network
structure has been obtained from a number of experiments.
For instance a fluid dispersion of graphite in a nonconducting
oil does not conduct electricity until the system is allowed to
set to a gel, when it does conduct, indicating that the particles
have linked together. Shaking this thixotropic gel will liquefy
it when it will act as a nonconductor as before. The open
structure of a gel is apparent if one considers the small
proportion of solid phase present. For instance, water can be
gelled by as little as 0.5 per cent agar, small molecules and
ions are free to diffuse in the solvent through the relatively
large meshes and it is therefore surprising that the diffusion of
low molecular weight substances in gelatin and agar gels is
the same as in water, provided no chemical interaction or
adsorption occurs. If the concentration of gelling agent is
increased the mesh size of the gel is reduced and there will be
a limiting concentration that can be used before the diffusing
molecule is restricted.
Fig. 6.11 Syneresis in gels: (A) Original gel; (B) Aged gel
increased particle–particle links causing syneresis.
368
Syneresis
Pharmaceutical Applications of
Colloids
A lot of food which we eat is colloidal in nature, such as milk.
It is a colloid of ‘fat dispersed in water’ stabilized by Casein.
We use a lot of jellies, jams, ice creams, etc., and all these are
colloidal solutions. Similarly, solutions like calcium colloid
are used for medicinal purposes. There are a lot of medicinal
solutions which are prepared as a colloid for their easy
absorption by the human body.
369
Therapeutic Effect
370
Colloidal copper: It has been used for millennia by
empresses, queens, princesses and the rich and famous of
their day, together with gold for beauty and antiaging
treatments. It is the roto-rooter of the blood arteries. It
interacts, cleanses and defends the arteries. It stimulates
collagen and promotes the skin’s elasticity. Thus it protects
and defends the arteries and veins against aneurysm,
arteriosclerosis, blocked arteries, deafness, inner-ear,
lower-back pain, swollen disc, slipped disc, swollen soft
tissue, inflammation, antioxidant, wrinkles, collagen,
fungicide, damaged soft tissue, etc.
Colloidal copper also strengthens blood circulatory system,
cleans arteries and veins, helps in resolving fine lines and
wrinkles, increases synapse response within the brain leading
to clearer brain clarity, improves skin elasticity, regulates
varicose veins, is effective against parasites, can provide the
missing element against osteoporosis, assists in preventing
stroke, helps in preventing arteriosclerosis, assists in the
reversal of greying hair and helps in retaining original natural
youthful colour, relieves joint and muscle pain and
oxygenizes the blood. It also brings more blood to afflicted
areas where applied topically.
Colloidal mercury: It is used in many industrial applications
and its salts have been employed therapeutically as
purgatives, antisyphilitics, disinfectants and astringents. It can
be absorbed through the skin and mucous membranes which
leads to mercury poisoning. Because of its toxicity, the
clinical use of mercury and mercurials is diminishing.
Proteins are natural colloids. Plasma protein may bind drugs
and affect the therapeutic activity. Many synthetic polymers
are used in coating to solid dosage form. Colloidal electrolyte
surfactants are used as additives in pharmaceutical
preparations.
371
Blood Plasma Substitutes
Stability
Absorption
Dissolution
372
Targeted Drug Delivery
Solubility Enhancement
Diagnostic Effect
373
References
374
Chapter 7
Adsorption
The particles (ions, atoms or molecules) making up a solid are
held together by certain forces (electrostatic, valency or van
der Waals forces) and each particle in the bulk of the solid is
attracted equally by its neighbours, in all directions. At the
surface of the solid, the forces are not balanced because the
surface particle is not completely surrounded by neighbours.
There will be resultant attraction perpendicular to the surface,
tending to draw the particles inwards, and they will be at a
higher potential energy than those in the bulk of the medium.
These surface particles can attract other molecules to them,
due to the imbalance of forces giving rise to the phenomenon
of adsorption. For instance, large quantities of gases such as
oxygen or nitrogen are taken up by charcoal cooled in liquid
air. The gas is said to be adsorbed on to the surface of the
charcoal which may amount to several square metres for each
gram of charcoal.
There is a distinction between adsorption, which is a surface
process and absorption which refers to a uniform distribution
of one substance throughout another, e.g. solution of
hydrogen in palladium, solution of gases in liquids. It is
sometimes difficult to define clearly the interface of highly
porous solids and the term sorption has been used by workers,
notably J. W. McBain, to describe the uptake of gases by
porous solids. The substance that is attached to the surface of
the solid is called the adsorbate. Since adsorption is a surface
phenomenon the most effective adsorbents are those with
high surface areas, e.g. finely divided solids.
375
Types of Adsorption
Physical Adsorption
376
Fig. 7.1 Freundlich adsorption isotherm.
377
fraction of surface covered at a given instance, then (1 – θ) =
fraction of surface not covered by molecules and therefore
available for adsorption. The rate of condensation is K1(1 – θ)
P, in which K1 is a constant and P is the pressure of the gas.
Let K2 represent the rate of evaporation from a completely
filled surface so that the rate of evaporation from a partially
filled one will equal K2θ. At equilibrium the two processes
must balance so that:
(7.1)
(7.2)
(7.3)
(7.4)
(7.5)
378
Inspection of the adsorption isotherm (Figs. 7.2a and 7.3,
Type I) shows that at low pressures, the amount adsorbed is
proportional to the pressure and at higher pressures the
adsorption becomes progressively less and eventually levels
off to a constant value, due to all the available sites being
filled. This can be inferred from Eq. 7.5 for when P → ∞, x
→ xm. At low pressures where P → 0, x → kPxm. The
monolayer capacity can be estimated from the value of x
where it reaches a limiting value. An alternative method is to
plot the Langmuir equation in its linear form:
(7.6)
379
Fig. 7.3 Types I–V adsorption isotherms. (P0 = saturation
vapour pressure).
Thus a plot of P/x versus P should give a straight line and the
monolayer capacity xm can be calculated from the slope (Fig.
7.2a).
380
This equation has found extensive application in the
determination of surface areas of powders by nitrogen
adsorption. The monolayer capacity of nitrogen at the
temperature of boiling
liquid nitrogen is determined and from a knowledge of the
cross-sectional area of the nitrogen molecule the surface area
is calculated from the equation:
381
cellulose, starches and silica gel where the uptake of water
vapour with increase in pressure gives an adsorption isotherm
which differs from the curve obtained during desorption of
the gel. The hysteresis loop so obtained has been explained on
the basis of capillary condensation of the liquid within
micropores of the gel. Multilayer adsorption occurs as the
pressure is increased and, at pressures near to saturation, leads
to complete filling of the capillaries. During the filling and
emptying of the pores, i.e. during adsorption and desorption,
the advancing and receding contact angle between the liquid
and solid differ and can account for the difference in vapour
pressure for a given amount of vapour adsorbed (Gregg,
1961).
In physical adsorption, the shape of the isotherm is
determined primarily by the nature of the adsorbent, although
different adsorbates, which differ in molecular cross section,
will also influence it. The equilibrium of gas adsorption is
rapidly attained and any delay observed may be due to the
time taken for the gas to diffuse to the surface, particularly if
the solid has a high internal surface such as charcoal.
Chemisorption
382
atmosphere is a case of chemisorption where gaseous sulphur
compounds interact with the silver surface.
383
the van der Waals forces of attraction increase with size of
molecule. Thus a number of dyestuffs, e.g. methylene blue,
form a complete monomolecular adsorbed layer on powdered
graphite even at very low concentrations. As a general rule
adsorption is greater from a solvent in which the solute is
sparingly soluble. The pH of the medium has a marked effect
on the adsorptive capacity of charcoal; positively charged
substances, e.g. methylene blue and crystal violet, are most
readily adsorbed from alkaline solution; negatively charged
substances, e.g. acidic dyes and most coloured impurities
encountered in chemical manufacture, are best adsorbed from
alkaline solution; amphoteric solutes such as proteins are best
adsorbed in the region of their isoelectric point.
Since an equilibrium exists between the solute in solution and
that at the solid surface, a single shaking of the solution with
the adsorbent will not remove the entire amount of solute
from solution. There may be exceptions to this when the
affinity of adsorbent for solute is very high as in the case of
methylene blue on charcoal. In many cases it may be
necessary to deplete the solution of its solute successively by
passing it through a column of the adsorbent when it comes
into continuous contact with fresh adsorbent during its travel.
The different affinities exhibited by different substances for
adsorbents are responsible for the phenomenon of selective
adsorption. If charcoal is added to a solution of magenta, the
dye is adsorbed and the solution becomes colourless.
Addition of saponin to the system restores the colour to the
solution because the saponin is more strongly adsorbed than
the dye
and displaces it from the surface of the adsorbent. Advantage
is taken of this principle in the removal of extraneous
colouring matter and impurities in preparative work and
384
clarification of pharmaceutical preparations; the substances
removed, being complex, are readily adsorbed.
The reverse process of adsorption, desorption depends on the
same principles. A solvent from which adsorption is poor will
normally bring about desorption. Desorption of ionic solutes
may also be effected by change in pH. Strongly adsorbed
substances such as saponin and other surface active agents
may be used to displace adsorbed material.
Charcoals
Medicinal Charcoal
Decolourizing Charcoals
385
dissolved out. Sulphuric acid and zinc chloride may also be
included to act as activating agents.
Gas-Adsorbing Charcoals
Standardization of Adsorbents
386
methylene blue. The end point is reached when the
supernatant liquid just acquires a blue colour, more easily
seen by centrifuging a sample of the suspension or by spotting
out on to filter paper. This test can only be used for
adsorbents that have extremely high affinity for the solute,
otherwise there is no definite end point.
Applications of Adsorption
Decolourization
387
Refrigerated silica gel has been used as a desiccant in freeze
drying where the low temperature increases the efficiency of
the adsorption process.
Medicinal Uses
388
little decrease in total availability while charcoal was found to
decrease rate and extent of absorption.
Adsorption of Pyrogens
References
389
Gregg SJ. 2 Surface Chemistry of Solids. London: Chapman
& Hall; 1961.
Langmuir I. J. Am. Chem. Soc. 1916;38:2221.
McBain, J.W. The Sorption of Gases by solids, 263.
Sorby DL. J. Pharm. Sci. 1965;54:677.
390
Chapter 8
Ion Exchange and Chromatography
Chromatography is essentially a process for the fractionation
of mixtures by continuous partition of the components
between two phases, one of which is moving past the other. In
principle, there appears to be no restriction on the nature of
the mobile and stationary phases or on the types of equilibria
involved in the partition. In practice, the most important
applications have involved a liquid mobile phase and a liquid
or solid stationary phase.
In adsorption chromatography a solution of the mixture to be
fractionated is placed on top of a column of adsorbent and
slowly passed through; according to the affinity of the
components of the mixture for the adsorbent, they are held in
zones at the top of the column. Passage of more solvent
through the column, by fractional elution and readsorption,
develops the chromatogram by separating the zones of
adsorbed material throughout the column, the more strongly
adsorbed substances being nearer the top of the column. A
developed chromatogram of leaf pigments is illustrated in
Fig. 8.1. If the separate zones are readily located by their
colour, in ultraviolet light, or by means of a reagent streaked
along the extruded column, they are separated by division of
the column and eluted with a suitable solvent. As an
alternative technique elution development is employed;
further solvent is passed through the column in order to elute
the components successively as shown by suitable chemical
or physical tests on the eluate. Where these methods are
inapplicable, the eluate is collected in arbitrary fractions and
each fraction is examined separately.
391
Fig. 8.1 Developed chromatogram of leaf pigments.
392
A useful characteristic of a given set of conditions in a
chromatographic system is obtained from the ratio:
Adsorption Chromatography
Adsorbents
393
heating pure aluminium hydroxide at 380–400°C for 3 hours
or commercial alumina is boiled with successive quantities of
water until soluble alkali is removed, then washed with
methanol and reactivated by heating at 160–200°C at 10mm
pressure. In the preliminary selection of an adsorbent, the
charge of the mixture placed on the column should be small;
in practice, it is frequently possible to fractionate 1g of a
mixture on about 30g of adsorbent, but the column load
influences the degree of fractionation. Chemical changes have
occasionally been observed on very active adsorbents.
Solvents
394
more than about 1.5mm. The disc is brought to within about
2.5cm of the bottom of the tube and then moved slowly
downwards; this causes the solid to pack beneath it. Rapid
homogenizing strokes are followed by slow packing strokes
until the whole column is packed. With such columns it is
often necessary to accelerate the rate of flow of developing
solvent by regulated, positive pressure or suction. A suitable
apparatus is illustrated in Fig. 8.2. Even formation of the
zones is facilitated by a low rate of flow of developing
solvent, uniform pressure and the use of a long column.
Unevenness in the development of the zones in large columns
is often unavoidable, but is greatly reduced in a multiple
column of two or three units with interposed mixing cells. A
column built up of filter paper discs is useful for many
purposes.
395
Fig. 8.2 Apparatus for chromatography.
Location of Zones
396
occurrence of oxidation is made evident by a colour change.
The progress of a chromatographic fractionation may
frequently be followed by a continuous recording of changes
in the physical properties of the issuing eluate; for this
purpose changes in conductivity refractive index and
ultraviolet absorbency ratios have been used.
Partition Chromatography
The original partition column, developed by Martin and
Synge and intended for the separation of acetylated amino
acids, consisted of a column of silica gel on which the
stationary phase, water, was distributed; the mobile phase was
a water-immiscible solvent saturated with water (chloroform
with 1 per cent of n-butanol). The individual partition
coefficients of the components of the mixture are usually the
determining factors in this type of fractionation and under
standardized conditions the behaviour of each component of a
mixture is summarized in the equation:
397
led to the application of this technique to a wide range of
mixtures.
398
Paper Chromatography
In this process, which was also developed by Martin and
Synge, a small spot of solution containing one to several
milligrams of a mixture is placed near the top of a strip of
filter paper, the end of the paper near the spot is inserted in a
trough containing a solvent saturated with water, and the
whole is suspended in a suitable chamber whose atmosphere
is saturated with the vapours of water and of the solvent.
When the solvent has flowed a suitable distance down the
paper, the position of the solvent front is marked and the
paper is dried. The components of the fractionated mixture
are then treated with an appropriate reagent, usually applied
by spraying, and finally characterized by comparison of their
RF values with the simultaneously determined values for
authentic materials. Caution must be exercised in the
characterization of compounds solely on the basis of their RF
values.
In developing a two-dimensional paper chromatogram, the
spot of solution is placed near one corner of a square sheet of
filter paper and one edge of the sheet is inserted in the solvent
trough. After the solvent has flowed nearly to the opposite
edge of the sheet, the paper is removed, dried and developed
at 90°C to the direction of flow of the first solvent with a
second solvent in the trough. By using two solvents, the
degree of fractionation is greatly enhanced. This is illustrated
in Fig. 8.3 for a hypothetical mixture of five components; at
stage 2 the components are partially fractionated, and at stage
3 complete fractionation has been effected.
399
Fig. 8.3 Two-dimensional paper chromatogram of a
hypothetical mixture of A, B, C, D and E.
400
glass-stoppered museum jar; the end of the strip adjacent to
the spot of the mixture dips into a shallow layer of solvent at
the bottom of the jar. The solvent movement is slower than in
the descending method and improved resolution of the
components is often obtained.
After separation on paper, the components of the original
mixture can be eluted without loss and determined
quantitatively if a sufficiently sensitive analytical process is
known.
Location of Zones
401
device which is drawn across a series of glass plates about
20cm square. A uniform coating is applied in this way which
sets within a few minutes and the plate, after air drying for
about an hour, is heated at 50°C overnight. The plates can
then be stored over a desiccant until required for use. The
sample to be chromatographed is applied in the usual way to
one end of the plate and the sample solvent allowed to
evaporate. The plate is placed in a glass jar with developing
solvent to cover the bottom of the plate to a depth of about
1cm. The developing solvent ascends by capillarity and the
run is usually stopped when the solvent front has moved
about three-quarters of the length of the plate. Chloroform,
benzene, and mixtures of these with methyl alcohol, are
commonly used as developing solvents. For the separation of
alkaloids, suitable buffer solutions can be incorporated in the
silica gel slurry prior to spreading the plates. The technique is
not limited to partition chromatography as it is just as
convenient to coat plates with adsorbent powders such as
alumina. The advantages of thin layer chromatography over
paper chromatography are that separations can be obtained in
about 30 minutes, the resolution is often better and a wider
range of spray reagents can be used without decomposing the
inert support. For instance, corrosive solutions such as
hydrochloric or sulphuric acid reagents, unsuitable for use
with filter paper, can be used satisfactorily.
402
that boil below about 300°C. The moving phase is an inert gas
such as nitrogen and the stationary phase is generally a
nonvolatile liquid, e.g. silicone oil, mineral oil or
polyethylene glycols mixed with kieselguhr. Kieselguhr is a
porous, inert material which holds the stationary phase in the
column. A constant flow of nitrogen is passed through the
column which is several feet long, and which is maintained at
a temperature above the boiling points of the components to
be separated (Fig. 8.4). The mixture is injected into the gas
stream where it enters the column and immediately vaporizes.
The vapour is carried forward and is distributed between the
stationary phase and the moving gas phase (cf. partition
chromatography), so that materials which are less volatile
and/or more soluble in the stationary phase will tend to move
slowly through the column. Different rates of movement of
the components will result in their separation. The gas
emerging from the end of the column passes through a
suitable detector whose function is to produce an electrical
current which is proportional to the concentration of vapour
present in the carrier gas. A cathetometer is commonly used
as a detector. It consists of a thin wire heated by an electric
current. The temperature of the wire and hence its resistance
varies with the thermal conductivity of the gas surrounding it.
The change in electrical resistance can be followed by a
suitable potentiometer of the recording type so that the
components, as they emerge from the column, are recorded
automatically in graphical form. Fig. 8.5 represents a result
for a mixture of two components A and B.
403
Fig. 8.4 Apparatus for gas chromatography (diagrammatic).
404
The time taken for a particular substance to pass through a
gas–liquid column operated under standard conditions is a
characteristic property of that substance. This retention time
can be used to aid identification of a substance in the same
way that RF values are used in partition chromatography. The
area under the peak is proportional to the amount of substance
present so that quantitative analysis is possible from
examination of the graph. The advantages of gas
chromatography are that separations can be achieved in about
20 minutes and the same column used repeatedly. The method
has been used for the identification of components of
essential oils, separation of fatty acid esters and
hydrocarbons, etc.
Applications
A comparison of chromatography with other important
general methods for the separation of mixtures, such as
distillation, sublimation, fractional crystallization, partition
and chemical separations, shows that it possesses two
extremely valuable features; it is applicable to small
quantities of material and the conditions of operation
normally cause no change in the components of the mixture
being separated. Its applications to pharmacy are now so
extensive that no more than a general indication of its uses
can be given.
Pharmaceutical Analysis
405
1. Tests for homogeneity of substances liable to
contamination with chemically similar substances, such as
alkaloids, cardiac glycosides and steroids. Pharmacopoeial
test for the absence of related foreign steroids in
betamethasone valerate is performed by paper
chromatography.
2. The identification of pharmaceutical substances and
preparations, for example ergot alkaloids can be identified by
paper chromatography of the amino acids liberated on
hydrolysis of the alkaloids.
3. The determination of the individual components of
complex mixtures or of substances in dilute solution.
Anthraquinone-containing drugs can be assayed by isolation
of the hydroxyanthraquinones on a magnesium
oxide–kieselguhr column; these are then eluted and
determined spectrophotometrically. Hyoscine and
hyoscyamine in solanaceous drugs can be easily determined
after separation on a partition column.
Vitamins
406
Antibiotics
Radioisotopes
Ion Exchange
A substance that can be usefully employed for ion exchange
should be insoluble and have the capacity to absorb ions in
such a way that they can be reversibly replaced by other ions
of the same charge. Thus the reaction can be represented:
407
where A represents a porous insoluble matrix containing the
labile ions B− which are capable of exchanging with anions,
in this case, D– in the surrounding solution. The ions D–
initially distributed throughout the solution must reach the
surface of the ion exchange material and then diffuse into the
porous matrix so that an equivalent number of B– ions are
released and diffuse out. The exchange proceeds by diffusion
throughout the porous material until eventually an
equilibrium distribution of B– and D– ions is reached. The
rate-limiting factor in this exchange reaction is therefore the
diffusional process, and this results in the overall rate of
reaction being much slower than a chemical reaction in
homogeneous solution.
408
Many clay minerals consist of stacks of flat aluminosilicate
sheets with the cations attached to the surface of the sheets.
The sheet to sheet distance in clays such as mica is about 1nm
so that
the exchangeable cations are largely confined to the edges of
the sheets. The montmorillonite group of minerals, which
includes clays of pharmaceutical importance, e.g. bentonite,
attapulgite, has a different layer structure when swells in
water due to the penetration of at least two monolayers of
water. Swollen sodium bentonite has a multiple sandwich
structure with 1 nm layers of water between 1 nm layers of
aluminosilicate, which enables monovalent and divalent ions
to diffuse along the water filled planes. This accounts for the
high exchange capacity of sodium montmorillonites
compared with the nonexpanding minerals such as illite. The
cation exchange capacities of some typical silicates are shown
in Table 8.1.
Table 8.1 Cation-exchange capacities of some typical silicates
(after Kitchener, 1957) (mEq/100g at ph 7)
409
edges of the silica sheets where the Si–O–Si–O–Si planes are
terminated by 5–OH groups. These are only weakly acidic,
dissociating as –S–O– + H+. Additional cation exchange
capacity may be due to isomorphous replacement within the
sheets, e.g. Al3+, in place of Si4+ or Mg2+ for Al3+, which
leaves a net negative charge on the sheet.
Carbonaceous Exchangers
410
unsaturated monomer of the type CH2 = CHX which
undergoes a chain reaction leading to the structure:
411
controlled size which are convenient for handling both in the
processing operation and in the final usage of the product.
The synthesis of anion exchange resins follows a similar
procedure, starting with a cross-linked polystyrene resin and
then treating with CH2ClOCH3 in the presence of a catalyst
(Friedel–Crafts reaction) so that –CH2Cl groups are attached
to the benzene rings in the polymer. A quaternary ammonium
resin is then produced by treatment with a tertiary amine:
412
With the weakly acidic –COOH as the group responsible for
the exchange, only cations combined with the conjugate base
of a weak acid will undergo exchange:
413
Anion exchange reactions with resins containing quaternary
ammonium groups –N± show reversible anion exchange:
414
isotherm summarizing the properties of the exchange can then
be plotted.
Exchange Capacity
415
adsorption and occlusion of solutes occurs simultaneously
with exchange.
Exchange equilibria are controlled by a number of factors not
directly related to the nature of the exchangers. For cations of
the same charge, the size of the hydrated ion in solution is the
determining factor; for cations of roughly the same size, e.g.
Cs+, Ba2+, La3+, the uptake increases with ionic charge.
Correlations of this type have not been detected for anions but
the following order of affinity of acids has been found
experimentally: H3PO4 > H2SO4 > HNO3 > HCl; salicylic >
citric> acetic> formic> oxalic > benzoic. These differences in
the affinities of ions can be exploited for their separation by
procedures essentially similar to those employed in
chromatography.
416
to a chromatogram tube of about twice the volume of the
resin. To displace air and fine powder, water is passed
upwards through the bed of resin until the effluent is free
from suspended matter and the excess of supernatant water is
drained down to the level of the bed. A volume of 2m
hydrochloric acid equal to the volume of the column of resin
is then slowly drained downward through the column; the
effluent should be strongly acid. Excess acid is then removed
by thorough washing with water. The solution for ion
exchange is then passed through the column; if the acidity of
the effluent begins to fall before all the solution has passed
through, the column is backwashed with water and
regenerated by down flow of one resin-column volume of 2m
hydrochloric acid.
Applications
Deionization
417
backwashing with water; the less dense anion exchanger is
then segregated as the upper layer above the denser cation
exchanger. The upper and lower layers are separated,
regenerated with alkali and acid respectively, rinsed and
remixed by passing an air stream through the column. By this
means, a 2.5-cm column, 1m high, will yield 22.5L per hour
of water purer with regard to ionic components than distilled
water. Purified Water BP may be prepared by ion exchange
methods, as an alternative to distillation.
In deionization, by means of a cation and an anion exchanger
in series, the effluent from the cation exchanger column is
acid:
418
Exchange of Ionic Constituents
419
Recovery Processes
420
cation exchange resin undergoes the following reactions when
administered orally:
Any unchanged drug resin passing from the stomach into the
intestine will undergo the following reaction:
421
Antacids
422
hazard of this treatment would be the depletion of essential
ions such as Ca2+ and Mg2+.
423
number of possible paths, some molecules of the same kind
will reach the end of the column before others. Faster
molecules are found in the leading edge of the peak, and
slower ones form the trailing edge. The net effect of this
distribution is band broadening. In a modern chromatographic
column that is packed with small, uniformly sized particles,
the value of A is minimal and the contribution of this term to
increasing the HETP is negligible. In a capillary GC column
that contains no solid particles, the value of A is zero.
Coefficient B in the van Deemter equation is termed the
coefficient of longitudinal diffusion. Because the
concentration of solute is lower at the edges of the band than
in the centre, a gradient exists and during the travel of the
band through the column, solute is diffusing continually
through the mobile phase away from the centre of the band.
This phenomenon occurs at both the leading and trailing
edges of the peak and contributes further to band broadening.
Because the equation predicts that the contribution to the
HETP of this term is inversely proportional to the mobile
phase velocity, the effect is more pronounced at low flow
rates. Diffusion effects are more severe in gas
chromatography than in liquid chromatography because
diffusion coefficients are several orders of magnitude higher
in a gas. The contribution of longitudinal diffusion to band
broadening can be lessened by the proper adjustment of flow
rate and by increasing the viscosity of the mobile phase.
Coefficient C, the coefficient of mass transfer, is concerned
with the transfer of the source between the two phases.
Because the mobile phase is moving rapidly, equilibrium
between the two phases may not be attained. Therefore, some
solute molecules in the mobile phase are not transferred to the
stationary phase quickly enough, and as a result, are carried
ahead of the centre of the band. Those in the stationary phase
424
are retained too long and, hence, lag behind. In contrast to
longitudinal diffusion, the contribution to the plate height of
this term is directly proportional to flow rate, thus to
minimize the overall effect, a compromise in flow rate is
necessary. Mass transfer effects also may be lessened by
using a very thin coating of stationary phase so that the area
in contact with the mobile phase is maximized while diffusion
deep into the stationary phase is reduced.
In Fig. 8.6, a graph of the simplified form of the van Deemter
equation, as well as the contributions of each of the terms
throughout a range of flow rates, is shown. A distinct
minimum corresponding to a narrow range of flow velocities
can be seen. Although this ideal curve may not be achieved in
practice, it is possible to optimize a gas chromatographic
analysis by running the test compound at various flow rates,
determining the respective values for HETP and plotting the
van Deemter curve. In this manner, the HETP for any solute
under a particular set of experimental conditions can be
minimized. For a more detailed treatment of the applicability
of the van Deemter equation to both gas and liquid
chromatography, the review by Hawkes is recommended.
425
Fig. 8.6 Graph of the van Deemter equation, showing the
contribution of each of the terms throughout a range of flow
rates.
High-Performance Thin-Layer
Chromatography (HPTLC)
HPTLC is a form of thin-layer chromatography (TLC) that
provides superior separation power using optimized coating
material, novel procedures for mobile-phase feeding, layer
conditioning, and improved sample application. It promotes
for higher separation efficiencies, shorter analysis time, lower
amounts of mobile phase, and efficient data acquisition and
processing. HPTLC is a sophisticated instrumental technique
based on the full capabilities of TLC. The advantages of
automation, scanning, full optimization, selective detection
principle, minimum sample preparation, hyphenation, etc.,
enable it to be a powerful analytical tool for chromatographic
information of complex mixtures of inorganic, organic and
biomolecules. TLC, among various chromatographic
techniques, scores high over other chromatographic
techniques where altogether a new problem, one might not
have encountered or solved. It is a valuable tool for reliable
identification providing chromatographic fingerprints.
The feature that distinguishes TLC from other physical and
chemical methods of separation is that two mutually
immiscible phases are brought into contact while one phase is
stationary and the other mobile. A sample is loaded on the
stationary phase and is carried by the mobile phase. Species
in the sample undergo repeated interaction between the
mobile and stationary phase. When both phases are properly
426
selected, the sample components are gradually separated into
bands or zones.
HPTLC allows fast, inexpensive method of analysis in the
laboratory as well as in field. Modern quantitative HPTLC,
when properly performed by well-trained analysts, can be
advantageous compared to high-performance liquid-column
chromatography in many analytical situations. The modern
HPTLC technique, combined with automated sample
application and densitometric scanning, is sensitive and
completely reliable; it is suitable for use in qualitative and
quantitative analysis. HPTLC is a valuable tool for reliable
identification because it can provide chromatographic
fingerprints that can be visualized and stored as electronic
images. To take full advantage of this unique feature inherent
to HPTLC, reproducible results and images must be ensured.
Special advantages of HPTLC include high sample
throughput and low cost per analysis; multiple samples and
standards can be separated simultaneously, and sample
preparation requirements are often minimal because the
stationary phase is disposable. Other advantages include
static, offline detection of zones using a great variety of
complementary postchromatographic universal and selective
detection methods that are often applied sequentially, and
storage of the separation, containing all sample components,
on the layer for identification and quantification at a later time
by in situ or elution methods. The use of highly sensitive
(CCD) cameras has enabled the chromatographer to
electronically store the images of chromatograms for future
use and for direct entry into reports at a later date. The
comparison between HPTLC and TLC on the basis of
parameters is shown in Table 8.3.
427
Table 8.3 Comparison between HPTLC and TLC on the
basis of parameters
428
Sample 0.1–0.5 1–5
volume (μL)
Starting 1–1.5 3–6
spot’s
diameter
(mm)
Separated 2–5 6–15
spot’s
diameter
(mm)
Sample tracks ≤ 36 ≤ 10
per plate
Scanning use Scans the entire chromatogram Not
of UV/ qualitatively and quantitatively possible
visible/ and the scanner is an advanced
fluorescence type of densitometer
scanner
Separation 3–20 20–200
time (min)
Detection 100–500pg 1–5ng
limits
(absorption)
Detection 5–10 50–100
limits
(fluorescence,
pg)
The major parameters that influence separation of the
constituents within a mixture are the partition coefficients,
retention factor (RF) and capacity factor of the individual
constituents on the plate, selectivity of the mobile and
429
stationary phase to the solutes, the plate height that decides
the separation efficiency and resolution of the individual
constituents within a mixture. The partition coefficient is
defined as the molar concentration of the analyte in the
stationary phase to that in the mobile phase. RF, a
fundamental qualitative value, is expressed as the ratio of
migration distances of an individual component of a mix
relative to the mobile phase. Capacity factor (k) is a
fundamental characteristic of a substance that determines its
qualitative chromatographic behaviour. It can be expressed as
the ratio of the retention time of the substance in the
stationary phase to that in the mobile phase and is influenced
by the chemical nature of the two phases. The separation
number (SN) that influences separation power of HPLC is
defined as the highest possible number of components that are
completely separated in a mixture under a gradient-free
isocratic TLC. The efficacy of separation of two components
of a mixture in a chromatogram is termed as resolution and is
influenced by the selectivity of the components between the
stationary and the mobile phases, mobile phase flow rate
influenced by particle size and solvent strength that influence
capacity factors (Kitchener, 1957).
To which extent various components of a formulation are
separated by a given HPTLC system is the important factor in
quantitative analysis. It depends on the following factors:
1. Type of stationary phase
2. Type of precoated plates
3. Layer thickness
4. Binder in the layer
5. Mobile phase
6. Solvent purity
7. Size of the developing chamber
8. Saturation of chamber
430
9. Sample’s volume to be spotted
10. Size of the initial spot
11. Solvent level in the chamber
12. Gradient
13. Relative humidity
14. Temperature
15. Flow rate of solvent
16. Separation distance
17. Mode of development
HPTLC is the fastest chromatography method, since
chromatography of samples is done in parallel. Being offline,
i.e. each step of the procedure is performed independently,
makes TLC/HPTLC not only faster but flexible enough for
one HPTLC system to analyze different samples in parallel.
Consumption
of stationary and mobile phase is directly proportional to the
number of samples being analyzed. Cost per analysis is very
low. One 20 × 10cm plate can accept about 20 samples and
requires 15ml of mobile phase. Disposable stationary phase in
TLC/HPTLC has two distinct advantages in sample
preparation. One, it is possible to do sample cleanup on the
plate itself. The other is that sample cleanup may not be that
critical as residue left behind is inconsequential. Fatty matrix
can be cleaned up on the plate itself, after sample application.
Investment in equipment is another feature of TLC/HPTLC
where it scores. One can start with a simple basic set-up and
invest in phases to an ultrasophisticated fully automatic
HPTLC gradient system with multiple detectors. Visibility of
the sample throughout the chromatographic analysis, i.e. after
sample application and chromatograph development, in situ
derivatization is unique to HPTLC. Postchromatography
derivatization (PCD) is very simple and routinely possible in
any lab. After recording data, a plate can be derivatized to get
431
additional information. PCD is done for several reasons, viz.
to detect compounds with a specific functional group or to
lower detection limits by up to several orders of magnitude of
target fractions or for universal detection of all organic
compounds present or to visualize the sample by our eyes.
Although silica gel is by far the most widely used adsorbent
(stationary phase), many other adsorbents have been used as
the separation medium, e.g. reverse phases, bonded phases,
alumina, Kieselguhr, etc. Most solvents can be used in the
mobile phase, as the layer is disposable. Gas phase too plays
an important role in TLC/HPTLC in the developing
chamber’s vapour saturation, its pH and humidity. TLC and
HPTLC can be used for qualitative, semiquantitative and
quantitative analysis. It can also be used for the identification
of industrial fractions after chromatographic separations as
well for the identification of herbal extracts, complex
mixtures by ’HPTLC fingerprint’. Most labs use TLC/HPTLC
for impurity analysis, assay or comparison with similar
samples and screening of unknown samples or of a large
number of samples.
Quality control, analytical R&D, process monitoring and
environmental laboratories find TLC/HPTLC as a useful tool
for everyday analysis. Chromatogram development in TLC/
HPTLC can be done with the plate in vertical or horizontal
position. It can also be done by linear, circular or anticircular
movement of the mobile phase. Development can also be
done in one dimension, with one mobile phase (isocratic), or
repeatedly in the same direction, with differing mobile phases
(gradient). 2D chromatography is very useful for
high-resolution separations using a different mobile phase in
each direction. Chromatographic stability of samples can be
studied by 2D technique. However, isocratic linear
432
development in vertical mode is practiced more than 95% of
the time.
Preparation of Plate
Plate Size
• 20 × 10cm or 10 × 10cm
• Plate support: glass or aluminium with florescent indicator
433
• Distance from left and right side edges: 15mm
• Distance from bottom edge: 8mm
• Length of bands: 6mm
• Centre to centre distance between bands: 10mm
Chromatogram Development
Derivatization
434
Auto Spray Loading
Software-Induced Scanning
435
increased, when compiled to TLC/HPTLC. Any specified
fraction from a plate can be analyzed. Other fractions present
can be ignored. Optimization of MS parameters for a
particular molecule can be optimized using TLC. LC–MS and
thin-layer chromatography–mass spectrometry (TLC–MS) are
complimentary techniques.
The various steps having potential for the advancements on
the TLC are methods to provide a constant and optimum
mobile-phase velocity, video densitometry for recording
multidimensional chromatograms, in situ scanning, and
monitoring for selective detection. These improvements
dramatically increased the use of TLC in the form of HPTLC.
Today, TLC has been successfully hyphenated with HPLC,
MS, Fourier transform infrared (FTIR) and Raman
spectroscopy to give far more detailed analytical data on
separated compounds (Ahuja, 1992; Shrivastava, 2011). Even
the UV–visible diode array technique has been utilized in
TLC to determine peak purity or the presence of unresolved
analytes (Table 8.4).
436
Chromatography Closed Open
system
Separating medium Tubular column Planar layer (plate)
Analysis in parallel No, only one at a Yes, up to 100
time samples
High pressure Yes No
required?
Time per sample 2–60min 1–3min
Data obtained from Little to very high High to very high
chromatography (detector (detector
dependent) dependent)
Postchromatography Limited Simple, possible
derivatization possibilities for every sample,
Cumbersome gives additional
information
Fraction collection/ Requires Simple, no special
micropreparative preparation scale requirements
chromatography chromatograph
and fraction
collector
Sensitivity High to ultra high Moderate to
ultrahigh
Fluorescence data Possible, optional Possible, built-in
Abs. spectra for Yes (PDA) Yes
identification
Detectors UV, fluorescent, UV–Vis,
electrochemical bioluminescence,
MS
437
light scatter, MS,
etc.
Chromatogram No Yes, at 254 and
image 366nm and visible
documentation
Sample clean-up Thorough column Not so imp
reusable Layer disposable
Chromatographic Yes, but limited Yes,
fingerprint comprehensive
Cost per analysis Very high Low
Equipment Very high Low
maintenance
Analyst’s skills High to very high Low (TLC) to
required high (HPTLC)
Liquid Chromatography–Thin-Layer
Chromatography (LC–TLC)
438
chromatography–mass spectrometry (LC–MS) than to either
quantify or identify separated bands by TLC–MS.
High-Performance Thin-Layer
Chromatography–Mass Spectrometry
(HPTLC–MS)
439
plates. If the target zone is not visible, it can be marked either
under UV 254 nm or UV 366 nm, by extrapolation of the
adjacent zone made visible by derivatization. The
HPTLC–MS interface is operated in semiautomatic mode,
which means that after manual positioning of the zone, the
piston is lowered at the push of a button. Moving a lever
starts the solvent flow through the layer and extracts the zone.
Previously, data acquisition has to be started by flow injection
analysis/direct flow infusion/placebo injection or the direct
data acquisition window, followed by the cleaning procedure,
and the HPTLC–MS interface can be used for next analysis.
Hyphenating HPTLC with MS appears to hold considerable
promise for those analysts who previously have had
reservations towards the use of planar chromatography. The
hyphenation opens a new dimension for the technique and
makes it more prestigious from the scientific view. Recently,
HPTLC–MS has been successfully used for the identification
and quantification of amino acid in peptides, fast
identification of unknown impurities, problem-solving
technique in pharmaceutical analysis, identification of
botanicals, screening for bioactive natural products in
sponges, determination of ginkgolides A, B and C and
bilobalide in Ginkgo bilodes, and identification of Hoodia
gordonii, a popular ingredient of botanical slimming
products.
High-Performance Thin-Layer
Chromatography–Infrared Spectroscopy
(HPTLC–IR)
440
and simplicity of use of HPTLC and the need for detection
techniques that provide identification and determination of
the sample. Infrared (IR) is one of the spectroscopic methods
that have been coupled with HPTLC. IR spectroscopy has a
high potential for the elucidation of molecular structures and
characteristic absorption bands. Almost all chemical
compounds yield good IR spectra, which are more useful for
the identification of unknown substances and discrimination
between closely related substances. The HPTLC and FTIR
coupling can be divided into two groups – indirect and direct
methods. Indirect coupling involves either the transfer of the
substance from a TLC spot to a nonabsorbing IR material
(KBr or KCl) or in situ measurement of excised HPTLC spots
when the spectra are recorded directly from the plate. The
direct methods are based on the direct hyphenated
HPTLC–FTIR technique introduced in 1989 by Glauninger
and coworkers. Until then, the combination of HPTLC and
UV–Vis spectroscopy was the only online coupling method
available in planar chromatography. The information content
of UV–Vis spectra is rather poor and rarely enables
unambiguous identification of a substance; furthermore, a
chromophore is needed for UV detection. The HPTLC–FTIR
spectra make possible the detection and quantification of even
non-UV absorbing substances on HPTLC plates. These
reasons make this hyphenated technique more universally
applicable. The direct online coupled HPTLC–FTIR offers
advantages relative to other hyphenated techniques
(HPTLC–Raman spectroscopy, HPTLC–PA and
HPTLC–MS), such as the ease of operation and the optimized
operational aspects of online coupling. The HPTLC–FTIR
coupled method has been widely used in modern laboratories
for qualitative and quantitative analyses. The potential of this
method is demonstrated by its application in various fields of
441
analysis such as drug, forensic, food, environmental,
biological, etc. The hyphenated HPTLC–FTIR technique will
continue to be developed in the future, with the aim of taking
full advantage of this method’s capabilities.
442
spectrometry. Thus, a graphite suspension was employed to
couple the laser energy and improve the desorption
efficiency. The power density for desorption was decreased
by two orders of magnitude. In addition, a TLC
plate-scanning device was developed, by which the
chromatography on a TLC plate can be recovered and rapid
screening for numerous analytes on a TLC plate was
obtained. The device can also be applied for the identification
of unknown compounds and overlapping sample spots.
Finally, a quantification method for this system was
developed. An internal standard was added into the mobile
phase to yield a ’background’ signal, which was used as a
reference signal for the quantification. If TLC plates with
embedded graphite particles would become commercially
available in the future, laser diode desorption–APCI–MS
analysis would be facilitated and the pretreating time
shortened.
443
is a routine tool in the monitoring of synthesis processes.
HPTLC offers several advantages over the present methods,
such as fast, simple, and inexpensive analysis of many
samples simultaneously; a disposable stationary phase;
possibility to use a number of nondestructive detection
methods; and cost-effective reagents. In recent years, HPTLC
research has entered the chiral-separation field using a
number of chiral selectors and chiral-stationary phases.
High-Pressure Liquid
Chromatography (HPLC)
High-pressure liquid chromatography is frequently called
high-performance liquid chromatography (both are
abbreviated as HPLC or, simply, LC), because it offers
improved performance over classical liquid chromatography.
HPLC is the premier analytical technique in pharmaceutical
analysis, which is predominantly used in the pharmaceutical
industry for a large variety of samples. It is the method of
choice for checking the purity of new drug candidates,
monitoring changes or scale ups of synthetic procedures,
evaluating new formulations and scrutinizing quality control/
assurance of final drug products. It is generally a technique
that can separate a mixture of compounds and is used in
biochemistry and analytical chemistry to identify, quantify
and purify the individual components of the mixture. HPLC
typically utilizes different types of stationary phases, a pump
that moves the mobile phase(s) and analyte through the
column, and a detector that provides a characteristic retention
time for the analyte. The detector may also provide other
characteristic information (i.e. UV–Vis spectroscopic data for
444
analyte if so equipped). Analyte retention time varies
depending on the strength of its interactions with the
stationary phase, the ratio/composition of solvent(s) used, and
the flow rate of the mobile phase. It is a form of liquid
chromatography but has smaller column size, smaller beads
inside the column and higher pressures. With HPLC, a pump
(rather than gravity) provides the higher pressure required to
propel the mobile phase and analyte through the densely
packed column. The increased density arises from smaller
particle sizes. This allows for a better separation on columns
of shorter length when compared to ordinary column
chromatography (Ahuja & Alsante, 2003; Meyer, 1998;
Ahuja & Dong, 2005).
The sample must be soluble; for separation, analytes must be
retained and have differential migration in the column. The
mobile phase controls the HPLC separation. The final analyte
solution should be prepared in the mobile phase. Few terms
and definitions of HPLC are given in Table 8.5 (Patel et al.,
2008; Partridge, 1952; Payne, 1956).
Table 8.5 HPLC terms and definitions
445
Organic Solvent Strength and Selectivity
446
Buffers
447
Ion-Pairing Reagents
448
pumping systems is by the way solvent blending is
achieved—under either low-pressure or high-pressure mixing
conditions.
The main components of an HPLC system are a high-pressure
pump, a column, an injector system and a detector. The
system works as follows: eluent is filtered and pumped
through a chromatographic column, the sample is loaded and
injected onto the column and effluent is monitored using a
detector and recorder as peaks.
449
pressure from a gas line. The gas pressure is thus amplified in
the ratio of the areas of forces of pistons, and a high-pressure
liquid at constant pressure is introduced into the system. If a
partial blockage occurs in this system, a drop in flow rate
occurs but the pressure remains constant. The flow sensitivity
of the detector cell will determine how much pulse damping
is required in the system to suppress the detector signal
caused when the flow stops during the return stroke.
4. Reciprocating (constant flow) pumps: A reciprocating
pump is the most generally used, as it is economical and
allows a wide range of flow rates. With this pump there is no
limit on the reservoir size or operating time as is commonly
found with other pumps. This type of pump is electrically
driven by a motor, which moves back and forth within a
hydraulic chamber. On the backward stroke the piston sucks
in eluent from the reservoir, and due to check valves the
outlet to the separation column is closed. During the forward
stroke the eluent is pushed onto the column and the inlet from
the reservoir is closed. The pumping motion of the piston
produces a pulsed flow that requires dampening. These
pumps include a high output pressure with constant flow rates
and the ability to be used for gradient elution.
Sample Introduction
450
are those based on sampling valves and loops. Here the
sample loop is filled with sample by means of a syringe. A
rotation of the valve rotor causes the eluent stream to pass
through the sample loop, thus injecting the sample onto the
column without a noticeable change in flow. These valves
have interchangeable loops and reproducibility is a few tenths
of a percent relative. In stopped-flow injection, the eluent
flow is stopped and the sample is injected directly onto the
head of the column by means of a syringe. The pump is then
switched on again.
Separation Columns
451
Ion exchange Protein-Pak TM hR
columns
AccellTM Plus
columns and packings
Shodex @Non-Porous
lEX columns
Hydrophobic Protein-Pak TM Phenyl
interaction 5 PW
Column/Protein hIC
column
Affinity Protein Pak TM
Affinity Epoxy
Protein isolation activated Packing
and purification Protein-Pak TM
Affinity Epoxy
activated microcolumn
Reversed phase Symmetry 300 TM
columns/
Delta-Pak TM columns
and cartridges/
Delta-Pak TM hPI
column
Gel filtration Protein-Pak TM 60,
125, 200SW
300SW Protein I0N
Series columns
452
Reversed phase Symmetry 300 TM
columns
Delta-Pak TM HPI
Peptide analysis columns
and purification Delta-Pak TM columns
and cartridges
Ion exchange Protein-Pak TM HR
columns
Reversed phase AccQ TagTM
chemistry package/
PicoTagTM chemistry
Amino acid package
analysis Nova-Pak C 18
Resolve C 18
Ion exchange Amino acid analysis
columns
Ion exchange Gen-Pak TM FAX
column
Protein-Pak TM hR
Nucleic acid columns
analysis
Gel filtration Ultrahydrogel TM
DNA column
Reversed phase Bondapak hC18 hA
Ion exchange Glyco-pak TM DEAE
Complex columns
carbohydrate Partition Carbohydrate analysis
analysis and column
purification Gel filtration Glyco-Pak TM N
column
453
On exchange/ SC-1Oll, SP-0810,
size exclusion SC-1821
Sugar-Pak TM 1
Partition Carbohydrate analysis
Sugars and Silica-Pak
carbohydrates SAMTM Reagent
Reversed phase Dextro-PakTM
Size exclusion KSSeries, SSeries,
KBSeries
Ultrahydrogel TM
Fatty acids Reversed phase Fatty Acid HP
Triglycerides and Reversed phase Nova-Pak @ C18
cholesterol Size exclusion UltrastyragelTM
Carbamate Reversed phase Carbamate
analysis
Ion exclusion/ Fast fruit juice
Acid, size exclusion IC-PakTMI on
carbohydrate and exclusion
alcohol Sh-1Oll, Sh-1821
fermentation
analysis organic Reversed phase/ KC-811
ion exclusion
Soft drink Reversed phase Soft drink analysis
analysis Kit Nova-Pak C18
Inorganic anions IC-PakTM anion series
Anion analysis Organic anions IC-PakTM ion
exclusion series
454
Alkali and IC-PakTM CM/D
alkaline earths
Transition metals Delta-Pak TM C18
analysis
Cation analysis
lanthanides ResolveTM C18
analysis Nova-PakTM C18
Metallocyanides
analysis
Heavy wall glass, stainless steel and plastic are among
materials that can withstand high pressures and are thus used
to construct HPLC columns. They must also be able to resist
the chemical action of the mobile phase. Wall irregularities
will cause a well-packed column to channel near the wall or
packing interface thus the tubing must have a smooth,
precision bore internal diameter. Channels would cause peak
broadening and a decrease in efficiency. Column connections
are made with low dead-volume fittings, which prevent
stagnant pockets of eluent. Usually a short guard column is
placed in front of the analytical column. This serves to
increase the life of the analytical column by removing
particulate matter and contaminants from the solvents.
Polystyrene/Divinylbenzene-Based Resins
455
with respect to pH. The copolymerization of PS with OVB is
used to give the resin mechanical stability. The amount of
OVB in the resin is denoted as ’percent cross linking’. The
percentage of cross linking is directly related to the extent to
which PS/OVB resin shrinks or swells in an aqueous medium
or in the presence of organic solvents. If the resin shrinks a
loss in column efficiency occurs as a dead volume occurs at
the beginning of the column. Swelling of the resin leads to
higher column backpressures. The optimum degree of cross
linking is said to be 2–5%.
Anion-Exchange Resins
456
Cation-Exchange Resins
Silica-Based Resins
Chelating Resins
457
styrenedivinylbenzene polymers or silica as the support
material. The ligands are chemically bound to the stationary
phase by an appropriate reaction. Solute retention is altered
by manipulating the eluent pH or by adding a competing
ligand to the eluent. The success of using chelating resins is
dependent on the rate
at which the metal–ligand complex is formed and dissociated.
Broad peaks are characteristic of slow formation and
dissociation rates.
Detectors
458
UV–Vis Absorbance Detectors
459
fluorescence detector can be a regular fluorescence
spectrophotometer fitted with a small flow cell. However,
most detectors are built specifically for HPLC. A
fluorescence detector consists of a xenon source, an excitation
monochromator, an emission monochromator, a square flow
cell and a photomultiplier for amplifying the emitted photons.
The xenon source can be a high-power continuous source
(150W) or a pulsed source (<20W). The pulsed source is
becoming popular because it requires less power, has more
energy in the far UV region and allows detection modes such
as phosphorescence, chemiluminescence and
bioluminescence. All high-end units have double
monochromators for wavelength programmability. Filters are
used in lower-cost units. Sensitivity specification is often
quoted by the signal/noise ratio of the Raman band of water,
which ranges from −100 in older models to >300 in modern
units. Sensitivity is often enhanced by widening the optical
slits (e.g. up to 20nm).
Refractive index (RI): An RI detector measures the difference
in RI between the sample cell containing the eluting analyte
and the reference cell (containing pure eluent). It offers
universal detection but has lower sensitivity (0.01–0.1tg) than
UV–Vis absorbance detection and is more prone to
temperature and flow changes. RI detection is used for
components of low chromophoric activities such as sugars,
triglycerides, organic acids, pharmaceutical excipients and
polymers. It is the standard detector for polymer
characterization in gel-permeation chromatography (GPC). 2s
Modern RI detectors are mostly differential deflection type
with a wide RI range of 1.00–1.75 RIU (refractive index
unit). They have thermostated flow-cell assemblies and allow
unattended operation via autopurging the reference flow cell.
Their sensitivity, baseline stability and
460
reliability have improved significantly in recent years. Their
major disadvantages are their low sensitivity and
incompatibility with gradient elution.
Evaporative light scattering detector (ELSD): An ELSD
reduces the HPLC eluent into a particle stream and measures
the scattered radiation. It offers universal detection for
nonvolatiles or semivolatiles and has higher sensitivity than
the RI detector (low ng) in addition to being compatible with
gradient analysis. It is routinely used in combinatorial
screening. Response factors are less variable than those of
other detectors. An ELSD consists of a nebulizer equipped
with a constant temperature drift tube where a counter current
of heated air or nitrogen reduces the HPLC eluent into a fine
stream of analyte particles. A laser or a polychromatic beam
intersects the particle stream and the scattered radiation is
amplified by a photomultiplier.
Electrochemical detector (ECD): An ECD measures the
current generated by electroactive analytes in the HPLC
eluent between electrodes in the flow cell. It offers sensitive
detection (pg levels) of catecholamines, neurotransmitters,
sugars, glycoproteins and compounds containing phenolic,
hydroxyl, amino, diazo or nitro functional groups. The
detector can be of amperometric, pulsed-amperometric or
coulometric type with the electrodes made from vitreous or
glassy carbon, silver, gold or platinum, operated in the
oxidative or reductive mode. A research-grade coulometric
array detector with multiple electrodes operated with
increasing voltage is also available.
Conductivity: A conductivity detector measures the electrical
conductivity of the HPLC eluent stream and is amenable to
low-level determination (ppm–ppb levels) of ionic
components such as anions, metals, organic acids and
461
surfactants. It is the primary detection mode for ion
chromatography.
Radioactivity: A radioactivity detector is used to measure
radioactivity in the HPLC eluent using a flow cell. The
detection principle is based on liquid scintillation technology
to detect phosphors caused by the radiation, though a
solid-state scintillator is often used around the flow cell. This
detector is very specific and can be extremely sensitive. It is
often used for conducting experiments using tritium or C-14
radiolabelled compounds in toxicological, metabolism or
degradation studies.
Mass spectrometry (MS): LC/MS is the ultimate analytical
technique, which combines the versatility of HPLC with the
identification power of MS. The weak link in LC/MS has
always been the interface that connects the liquid stream at
atmospheric pressure to the high vacuum present inside the
mass spectrometer. The development of several atmospheric
pressure interfaces, electrospray and atmospheric pressure
chemical ionization (APCI), has contributed to the
tremendous success and popularity of LC/MS and LC/MS/
MS in bioresearch, drug discovery, combinatorial analysis
and pharmacokinetic assays. This topic is covered in more
depth in a later chapter.
References
462
Ahuja S, Dong MW. Handbook of Pharmaceutical Analysis
by HPLC.6. New York: Academic Press; 2005.
Chaudry NC, Saunders L. J. Pharm. Pharmacol. 1956;8:975.
Kitchener JA. Ion Exchange Resins. London: Methuen; 1957.
Meyer VR. Practical HPLC. New York: Wiley; 1998.
Partridge MW. J. Pharm. Pharmacol. 1952;4:217.
Patel BH, Suhagia BN, Patel MM, Patel Jr. J. Chromatogr.
Sci. 2008;46:10–14.
Payne WW. J. Pharm. Pharmacol. 1956;8:397.
Srivastava M. High-Performance Thin-Layer
Chromatography (HPTLC). New York: Springer; 2011.
463
Chapter 9
Diffusion and Dissolution
Diffusion is the migration of molecules from a region of high
concentration to a region of lower concentration and is a
result of the Brownian movement of the solute molecules.
The phenomenon of diffusion can be observed if a crystal of
copper sulphate is placed in a beaker of water. A saturated
solution of copper sulphate forms around the crystal and the
coloured zone gradually extends by diffusion until eventually
there is a uniform concentration throughout. The migration of
solute molecules in the absence of external forces such as
movement of the solution by convection gradients is a
measure of the escaping tendency of the solute to achieve an
equilibrium state. A similar situation arises if a
semipermeable membrane separates two solutions of unequal
concentration, when the equilibrium is restored by the
diffusion of the solvent molecules through the membrane, i.e.
osmosis. Thus, osmosis is concerned with the escaping
tendency of solvent molecules, and diffusion with the
escaping tendency of the solute. The forces involved in the
two processes are equal in magnitude but opposite in
direction (Alexander & Johnson, 1949).
464
the x direction in time dt across an area A is proportional to
the concentration gradient dc/dx in the plane of the area:
(9.1)
(9.2)
465
where k is the Boltzmann constant and T absolute
temperature. For spherical particles the frictional coefficient
is given by Stokes’ law:
(9.3)
Measurement of Diffusion
Porous disc method: A sintered glass disc separates the
solvent and solution so that a concentration gradient occurs in
the pores of the disc (Fig. 9.1). The liquid in the pores is
immobilized
and freed from the influence of external disturbance, so that
the transport of solute through the pores is due solely to
diffusion. Homogeneity of the separate phases is effected by
466
slight convection currents, gentle stirring or rotation of the
cell. For small concentration changes Fick’s first law can be
applied:
(9.4)
467
Fig. 9.1 Porous disc apparatus.
(9.5)
468
where C0 is the concentration of solute when t = 0. The
diffusion coefficient of the sodium dodecylsulphate has been
determined by this method (Brudney & Saunders, 1955).
469
affect the diffusion rate. If the mesh possesses ionizable
groups of opposite charge to that of the diffusing particle,
adsorption or ion exchange reactions may occur. Agar is an
acidic polysaccharide which forms a gel with water at
concentrations as low as 0.5%. One-half ester sulphate is
present in about 8–50 galactose units giving rise to a
negatively charged mesh on ionization of the −O−SO3H
groups. These anionic groups will interact with cations such
as the basic dyes and quaternary ammonium compounds and
retard their diffusion. This can be overcome to some extent by
the inclusion of suitable electrolytes in the gel to decrease the
ionization of the diffusing molecules. In the case of diffusion
through aqueous gelatin gels, the pH of the gel will influence
the ionization of the −NH2 and −COOH groups. On the acid
side, the isoelectric point, the gel will be positively charged,
while on the alkaline side it will be negatively charged (see p.
96).
Let us now consider the diffusion of neutral particles. Fig. 9.3
represents a cylinder of gel in contact with a solution of
concentration C0. Assuming that the solution is homogeneous
and of constant concentration, the relationship between the
diffusion coefficient and the concentration of the solute C at a
distance x from the gel/solution boundary is given by:
470
which may be written with logarithms to the base 10 as:
(9.6)
471
that the zone of inhibition can be correlated with antibiotic
potency.
472
exert their action in this way by causing an influx of water
into the gastrointestinal tract.
The rate of absorption of orally administered weakly acidic
and weakly basic drugs is of particular interest (Brodie,
1964). Their absorption can be explained by passive diffusion
of the unionized molecular species through the lipoidal
membrane of the gastrointestinal tract. The unionized species
are generally lipid soluble in contrast to the ionized species
that are insoluble in lipid but soluble in water. The proportion
of ionized-unionized molecules will thus control the solubility
in the lipid and can be estimated from a knowledge of the pKa
of the drug and the pH of the environment (see p. 17).
A simple model representing the gastrointestinal fluid, the
gastrointestinal membrane, and blood as separate
compartments is represented in Fig. 9.4. The aqueous phases
A (pH 2.0) and C (pH 7.4) represent the alimentary tract and
blood compartments, respectively. B is the immiscible lipid
phase. The driving force, which transports drug from A across
the two interfaces will depend on the partition coefficients
between A/B and B/C which will be controlled by the pKa and
pH. The ratio of concentration of the drug in the two
compartments A and C at equilibrium is given by:
473
Fig. 9.4 Partition model of acidic drug. A. Aqueous phase, pH
2; B. Organic phase; C. Aqueous phase, pH 7.4 HX,
unionized acid; H+ X−, ionized acid.
474
matrix would be governed by the relationhip:
(9.7)
Theories of Dissolution
There are three theories reported in the literature to explain
the process of dissociation, viz. (1) the film theory, (2) the
surface renewal or penetration theory and (3) the limited
salvation theory.
Film Theory
475
Fig. 9.5 Diffusion layer model. The figure shows the
concentration gradient within a film adjacent to a dissolving
particle.
(9.8)
(9.9)
476
This in turn may be rearranged to:
(9.10)
(9.11)
477
constant surface area disc mounted on a horizontal rotating
support and was used to calculate intrinsic dissolution rate.
These were defined as the maximum mass transfer from the
solid to liquid phase. The data were extrapolated to infinite
speed of revolution at an infinite distance from the centre of
revolution to obviate the effect of dissolution layer thickness
on dissolution rates.
Constant surface area discs have been used in the
development of a convective diffusional model for describing
dissolution. Since diffusion cannot be considered as the sole
contributor to dissolution, convection – caused by agitation –
must be a driving factor for dissolution. This treatment leads
to the development of a model that accounts for mass
transport of the solute by fluid flow as well as diffusion. Eq.
9.12 describes the kinetics of such a model for one face of a
circular tablet.
(9.12)
(9.13)
478
dissolution occurs under turbulent conditions. Although the
hydrodynamic layer is important, turbulence at a depression
in a dissolving solid surface is an important factor that may
increase the dissolution rate. Disc porosity in excess of 20%
increases the dissolution rate from compressed disc owing to
the increase of surface area at the surface.
Much of the above, by examining dissolution at the start of
the process or from disc of constant surface area, has
neglected the fact that particle size decreases during
dissolution. Data treatment accounting for the change in
dissolution rate of monodisperse powders whose surface areas
decrease during dissolution are usually based on the cube root
law of Hixson and Crowell, as shown in Eq. 9.14.
(9.14)
479
Fig. 9.6 Dissolution data of a hypothetical solid plotted as
cumulative amount released (right axis) and after
cube-root-law data treatment (left axis).
480
(9.15)
481
From Fick’s second law of diffusion, steady state implies that
the amount of solute entering and leaving a plane at distance
x from the surface is the same, as shown in Eq. 9.16.
(9.16)
(9.17)
(9.18)
(9.19)
482
A major problem in the theory is that D may not be
independent of concentration.
483
of the liquid. In the latter case, efficient filtering should be
achieved.
10. The apparatus should be capable of allowing the
evaluation of disintegrating, nondisintegrating, dense or
floating tablets or capsules and finely powdered drugs.
11. The apparatus should allow good interlaboratory
agreement.
There are two principal types of apparatus design.
One is based on the limited volume that is constrained to the
size of the container used. The second type uses a continuous
flow cell to house the dosage form and permits constant
replenishment of the dissolution fluids.
Compendial Procedures
484
2004 Apparatus 1 – the Rotating Basket Apparatus (Fig. 9.8).
The dimensions are taken from the USP XXVIII, although
those given in the BP 2004 are similar. The apparatus consists
of a motor, a metallic drive shaft, a cylindrical basket and a
covered vessel made of glass or other inert transparent
material. The latter should be made of materials that do not
sorb or react with the sample tested. The contents are held at
37 ± 0.5oC. There should be no significant motion, agitation
or vibration caused by anything other than the smoothly
rotating stirring element. The vessel is cylindrical with a
hemispherical bottom and sides that are flanged at the top. It
is 160–175mm high and has an inside diameter of
98–106mm, and a nominal capacity of 1000mL. A fitted
cover may be used to retard evaporation but should provide
sufficient openings to allow ready insertion of a thermometer
and allow withdrawal of samples for analysis.
485
The shaft is so positioned that its axis is no more than 2mm at
any point from the vertical axis of the vessel and should rotate
smoothly, without significant wobble. The shaft rotation
speed should be maintained within ±4% of the rate specified
in the individual monograph. The shaft has a vent and three
spring clips or other suitable means to fit the basket into
position. Each should be fabricated of stainless steel, type 316
or equivalent. Welded seam and stainless steel cloth (40mesh
or 425mm) is used, unless an alternative is specified. A
2.5mm thick gold coating on the basket may be used for
acidic media. For testing, a dosage unit is placed in a dry
basket at the beginning of each test. The distance between the
inside bottom of the vessel and the basket is 25 ± 2mm.
Although the basket apparatus in the USP XXVIII and BP
2004 are similar and have a common design, considerable
changes have taken place since basket apparati were first
included in official monographs.
The USP XVIII described a cylindrical vessel with a slightly
concave bottom. The vessel was 16cm high and has 10cm
internal diameter with a nominal capacity of 1000mL. No
precise specifications were given for the concave bottom, and
differences in tolerances supplied by different manufacturers
were common. Flask shape had affected the hydrodynamics
of systems and consequently it was considered better to have
flasks of uniform hemispherical shape. The flat-bottomed
flask described in the BP 1980 alleviated the problems of
manufacturing tolerances in vessel shape. Irrespective of
apparatus design, there are still several potential problems.
The wire basket corrodes following exposure to acidic media,
the basket method gives poor reproducibility due to
inhomogeneity of the agitation conditions produced by the
rotating basket, and clogging of the basket can occur due to
adhering substances. Additionally, particles can fall from
486
the rotating basket and sink to the bottom of the flask where
they will not be subjected to the same agitation as that inside
the basket. Finally, there is the possibility of dissolution being
accelerated by abrasion of the dosage form’s surface as it rubs
against the basket mesh—the so-called cheese grater effect.
487
Fig. 9.9 The paddle-stirring element of USP XXVIII
(Apparatus 2).
488
steel helix (coil, spring) down the middle of which is inserted
the capsule. However, with this design, as the thickness of the
wire used and the number of turns in the spring increase, the
available surface area of the capsule decreases, leading to a
concomitant decrease in the observed rate of dissolution.
The USP allows for ‘a small, loose piece of nonreactive
material such as not more than a few turns of wire helix…’
while the Japanese Pharmacopoeia (JP) actually prescribes a
specific sinker (Fig. 9.10).
489
for up to 6 days and the manufacturers advocate its use in the
testing of extended-release dosage forms. It became official in
USP XXII as Apparatus 3 and is prescribed for the testing of
extended-release articles. However, there is some evidence
that samples tested using this apparatus tend to yield higher
values of amount released than might be found using
alternative procedures.
490
Fig. 9.11 The reciprocating cylinder apparatus of USP
XXVIII (Apparatus 3).
491
Flow-Through Cell Apparatus (USP Apparatus 4)
492
Fig. 9.12 Schematic diagram of a flow-through dissolution
cell.
493
differences in the dissolution rate of a poorly soluble drug,
tiaglitazone, from an immediate-release (IR) tablet
formulation based on the presence or absence of a tablet
holder and/or beads in the flow-through cell.
Flow-through facilities can be constructed from cylindrical
chromatographic columns with flow rates as low as 1mL/min.
Ascending flow minimizes the problems associated with air
bubbles and allows laminar flow of the solvent and ascending
columns are the most common types of flow-through
apparatus. The columns may be short with tapered inlet and
outlet sections but generally are long sections of
straight-sided tubing to provide hydrodynamic stability to the
liquid flow. The material under test is placed in the vertically
mounted dissolution cell, which permits solvent at 37 ± 0.5°C
to be pumped in from the bottom.
The cell type selected is dependent on the dosage form being
tested. Standard cells used for tablets and capsules have an
internal diameter of 12mm but may show a higher dissolution
rate when compared to 26mm cells due to higher flow
velocity. For testing powders and granules, a modified cell
containing
two screen plates is used where the sample is placed between
the screen plates. The suppository cell is designed for use
with suppositories and soft gelatin capsules. Fats and gels
used in these dosage forms are separated in this type of cell so
as not to block the filters. The cell for implants has a 1mL
volume due to the low flow rates (e.g. 5mL/h) required for
testing this dosage form in a test that may continue over
several weeks.
The flow rate of the dissolution medium through the cell must
be specified for each product. The USP recommends a flow
rate between 4 and 16mL/min with an allowance of ±5%.
Manual operation and sampling for this type of test can be
494
tedious and the system can be automated to control the pump,
heat exchanger and test procedure, and deliver samples to a
fraction collector. The system can be programmed to switch
between different media at predetermined time points to allow
pH changes during the test.
Further advantages of the flow through method include (1)
selection of laminar or turbulent solvent flow conditions; (2)
simple manipulation of medium pH to match physiological
conditions; and (3) application to a wide range of dosage
forms, e.g. tablets, hard and soft gelatin capsules, powders,
granules, implants, and suppositories.
While the applicability of the flow-through apparatus to
biorelevant dissolution tests still requires further investigation
and optimization, an in vitro–in vivo correlation (IVIVC) has
been reported with this apparatus using physiologically
relevant flow rates and media.
495
Reciprocating Holder Apparatus (USP Apparatus
7)
496
that is subjected to the dissolution test. In the rotating disc
apparatus, the die is then inverted and screwed onto a
customized shaft on a dissolution tester, which is then
lowered into the dissolution medium until the face pellet is
3.8cm from the bottom of the vessel. The shaft is then rotated
in the same way as USP Apparatus 1 and 2. In the stationary
disc apparatus, the die containing compressed pellet is placed
face up into a flat-bottomed dissolution vessel prefilled with
the appropriate volume of dissolution medium. The medium
is stirred by means of a rotating paddle (e.g. USP Apparatus
2) positioned 6mm above the pellet surface.
497
Fig. 9.14 Schematic of a stationary disc intrinsic dissolution
rate apparatus.
498
substance under test in mg/min/cm2. However, this
compendia calculation may prove difficult to apply to poorly
soluble compounds where 10% dissolution may not be
achieved. In these instances, it may be practical to use an
analytical method with sufficiently high sensitivity to be able
to plot 6–8 data points before 10% dissolution and apply
linear region.
References
499
Pernarowski M, Woo W, Searl RO. J. Pharm, Sci.
1968;57:1419.
Perrin J. J. Pharm. Pharmacol. 1967;19:25.
Grijseels H, de Blacy CJ. Int. J. Pharm. 1981;9:337–347.
Hixson A, Crowell S. Ind. Eng. Chem. 1931;23:923–931.
Nedich RL, Kildsig DO. J. Pharm. Sci. 1972;61:214–218.
Nelson KG, Shah AC. J. Pharm. Sci. 1975;61:610–614.
Nelson KG, Shah AC. J. Pharm. Sci. 1982;76:799–802.
Nicklasson M, Brodin A, Sundelof LA. Int. J. Pharm.
1985;23:97–108.
Piccolo J, Tawashi R. J. Pharm. Sci. 1971;60:59–63.
Pothisiri P, Carstensen JT. J. Pharm. Sci.
1973;62:1468–1470.
Shivdy CD, Kildsig DO. J. Pharm. Sci. 1972;61:1589–1593.
Wood JH, Syarto JE, Latterman HJ. J. Pharm. Sci.
1965;54:1068.
Wuster DE, Tayler PW. J. Pharm. Sci. 1965;54:169–175.
500
Chapter 10
Rheology
Rheology is the study of the deformation and flow of matter.
A body may deform as a result of a force applied to it and if it
is elastic it will return to its original state on removal of the
constraining force. As we shall be concerned only with the
effects of forces acting uniformly over surfaces, the
appropriate measure of these forces is the ‘stress’, which is a
force per unit area. The stress may be applied at right angles
or tangentially to the surface and the resulting deformation is
known as the ‘strain’. The measure of strain is a non
dimensional quantity, a fractional increase or decrease, of
length or volume. An ideal elastic body is one in which the
strain is directly proportional to the stress and we are able to
define a modulus of elasticity which is a ratio of the two
parameters. Many materials, however, do not behave in this
ideal manner and the deformation may increase with time as
long as a stress is applied, or the deformation may not recover
completely when the stress is removed. Thus, in
characterizing the rheological properties of a body, we are
usually concerned with the relations between stress, strain and
time.
Elastic Solids
Only an elementary treatment will be given in order to
introduce the reader to basic concepts. References for further
reading are given on p. 160.
501
Modulus of Rigidity
Consider a small cube of isotropic material which is subjected
to equal forces F applied tangentially over the four faces (Fig.
10.1A), i.e. the cube is subjected to shearing stress (an
isotropic material is one in which the physical properties do
not depend on direction). The cube is in equilibrium under the
action of equal and oppositely opposed couples and we may
refer its resulting deformation to the face abcd as a reference
plane. The deformed figure has the shape A′B′C′D′, abcd. The
originally square face ABba has deformed into the rhombus
A′B′ba and the amount of deformation can be measured in
terms of the angle of shear θ. If L is the length of the side of
the cube, the shearing stress p = F/L2 and we can define the
modulus of rigidity, η, by the equation:
502
Bulk Modulus
Consider the cubical body in Fig. 10.1B subjected to a
uniform hydrostatic pressure, p. If V is the original volume of
the body and Δv is the decrease in volume on applying the
pressure, then the ‘bulk modulus’ k is defined by the
equation:
Young’s Modulus
If the cube is subjected to a tensile stress (F2) or a contractile
stress (F1) on two opposite faces (Fig. 10.1C) then Young’s
modulus, E, is given by:
503
contraction along the direction of the applied stress. This
concept may be visualized if we consider the cube (Fig.
10.1C) subjected to a contractile stress F1, on the two
opposite faces; the remaining faces are unconstrained and we
would expect extension of the specimen at right angles to the
direction of the force. The quantity σ is a characteristic of the
material and from the equation above cannot be greater than
0.5.
Measurement of Elasticity
In pharmacy an assessment of the elasticity of gels is
important in order to control the quality of gelling agents such
as gelatin, agar and pectin. Gelatin gels behave as ideal elastic
bodies provided the deformation does not result in the elastic
limit being exceeded when irreversible deformation occurs
and the gel breaks. Although it is possible to measure the
modulus of elasticity of a gel by using cubes of the material
and deforming them under a shear stress, it is generally more
convenient to use the following methods which have been
widely accepted in this country, particularly for gelatin gels.
The Food Industrial Research Association (FIRA) jelly tester
consists essentially of a small metal vane mounted on a shaft
carrying a scale, the whole assembly being rotatable by
application of a torque applied by water running at a pre
determined rate into a counterpoised bucket connected to the
shaft. The vane is inserted into the jelly sample to a definite
depth and a torque is applied until the vane has rotated
through a definite angle. The weight of water needed to do
this is a measure of the jelly strength. A gel box of standard
size is used in which the gel is matured under standard
conditions; any slight wall effect will give a higher reading
504
for jelly strength, but for comparative work this is not
important.
The Bloom Gelometer described in British Standard 757:1959
is the standard instrument for the determination of jelly
strength of gelatin. The jelly strength is expressed as a Bloom
number which is equivalent to the weight in grams necessary
to produce by means of a plunger 12.7 mm in diameter, a 4
mm depression in a jelly of 6.66 per cent w/w, matured at 0°.
The Bloom number has no exact physical significance but is
dependent on the average molecular weight of the gelatin. It
has been reported by Ellis (1962) that the solubility of
glycerin suppositories is influenced by the jelly strength of
gelatin and that the solution time of the present BP glycerin
suppository is too prolonged, especially if good quality
gelatin is used. The specification for BP gelatin is a jelly
strength of not less than 150, no upper limit being specified.
An absolute method for the rigidity modulus of gelatin gels
has been described by Saunders and Ward (1954). A cylinder
of gelatin set in a glass tube is subjected to shearing stresses
by applying a known air pressure at one end of the tube. The
rigidity of the gel is calculated from the volume displacement
which is measured by causing mercury to move along a
calibrated capillary tube. The method was used for measuring
rigidities of gelatin gels over the range 5 × 103 to 5 × 105
dyne/cm2 and was suitable for gelatin concentrations up to 10
per cent. Nixon, Georgakopoulas and Carless (1966) using
this technique showed that the presence of glycerin up to 40
per cent increased the modulus of rigidity of gelatin gels. No
simple relationship was found between Bloom number and
rigidity.
505
Fluids
When a shearing stress is applied to a fluid it deforms
irreversibly, i.e. it flows. The term strain was used in the
previous section to indicate deformation of a solid and in the
case of fluids this term is replaced by rate of change of strain
or more usually the term ‘rate of shear’, since the fluid is
undergoing flow. Ideal viscous fluids known as Newtonian
fluids show a direct relationship be-tween shearing stress and
rate of shear, the ratio being known as a coefficient of
viscosity. Thus the rate of flow of a Newtonian fluid such as
water through a tube is directly proportional to the pressure
drop across the tube. Solutions of high molecular weight
polymers, emulsions and suspensions show anomalous flow
properties and cannot be characterized by a single viscosity
value. The term ‘apparent viscosity’ is sometimes used to
indicate that the viscosity determined by a particular
viscometer is not an absolute value and in such cases it is
important that the exact conditions of the measurement are
specified.
Viscosity Of Fluids
The viscosity of a fluid is the internal resistance or friction
involved in the relative motion of one layer of molecules with
respect to the next. In order to maintain a constant rate of
flow, a shearing stress has to be continually applied. When
there are strong attractions between the molecules of a liquid
(van der Waals forces, dipole interactions, etc.), the viscosity
will be high; when the attractions are weak, the viscosity will
be low. In gases, the molecules are in general so far apart that
506
no appreciable intermolecular force exists and the viscosity
can be explained by the kinetic theory of gases.
Consequently, the viscosity of gases and liquids changes quite
differently with alteration of temperature. At high
temperatures, the mutual attractions between molecules of a
liquid decrease and the viscosity falls, whereas in the case of
a gas, the increased kinetic movement of the gas molecules
causes an increase in viscosity.
507
Xl Y1, X2 Y2. The more quickly moving liquid above this layer
exerts a tangential force tending to accelerate it while the
more slowly moving liquid below it will tend to retard it. If
the accelerating force from the liquid above X2Y2 exactly
balances the retarding force from the liquid below X1Y2 then
the layer X1Y1X2Y2 will move in steady motion. Newton
deduced that the tangential force F over the area A was given
by:
508
achieved by comparison with the flow rates of a liquid of
known kinematic viscosity, when using a viscometer which is
operating under a hydrostatic head. Dynamic viscosities are
usually directly measured in other types of viscometers where
the flow rate is not dependent on the density of the liquid, e.g.
rotational viscometers.
Effect of Temperature
The dependence of the viscosity of a liquid on temperature is
expressed approximately by an equation analogous to the
Arrhenius equation of chemical kinetics:
509
injecting a fine stream of dye solution into water flowing
slowly through a tube. The unbroken filament of dye was
carried along the axis of the tube. As the velocity of the fluid
was in creased, the character of the motion changed and the
injected dye was seen to swirl along in the tube becoming
thoroughly mixed due to disorderly, turbulent flow of the
liquid. By carrying out these experiments over a range of flow
rates through smooth tubes, Reynolds was able to show that
there was a critical transition velocity Vc between streamline
and turbulent flow given by the following equation:
Determination of Viscosity
510
Capillary Tube Viscometer
511
methods, when the rate of flow of the unknown is compared
with the rate of flow of a liquid of known viscosity. If these
two liquids have approximately the same flow rates then
kinetic energy corrections will be self -cancelling.
The most frequently used capillary tube viscometer is the
Ostwald type (Fig. 10.3). This consists of a U tube bearing
two bulbs X and Y and, in one arm, a capillary CD of suitable
bore. The tube is placed vertically in a thermostatically
controlled bath (±0.05° or better). Sufficient of the liquid
whose viscosity (η1) is to be determined is poured into bulb Y
to reach mark E. The liquid is then sucked or blown up to a
point 1 cm above A; the time (t1) for the liquid to fall from A
to B is measured with a stop watch. The density of the liquid
(ρ1) is determined. The viscometer is emptied, rinsed out with
suitable solvents, dried and the whole operation repeated with
a liquid of known viscosity η2 and density ρ2. The time of
flow is t2.
512
Fig 10.3 Ostwald viscometer.
(10.1)
513
where P is due to the force of gravity:
(10.2)
and
(10.3)
514
(10.4)
515
Fig 10.4 Suspended level viscometer.
The additional side arm C ensures that the exit of the capillary
is at atmospheric pressure, so that the total amount of liquid in
516
the viscometer does not require to be fixed. The time of flow
of the liquid from A to B is measured and the calculation is as
before. This instrument is specified in the BP for determining
the viscosity of solutions of methyl cellulose.
(10.5)
(10.6)
(10.7)
517
(10.8)
(10.9)
518
Fig 10.5 Falling sphere viscometer.
519
a closely fitting ball of either glass or steel (Fig. 10.6). The
tube is inclined at a definite angle and the ball is timed
between two marks. Unlike the previous viscometer, a large
ball falls more slowly than a smaller ball as the liquid has to
pass between a smaller gap between the ball and the tube. The
Stokes’ equation does not apply in these measurements; the
viscosity in centipoises is given by the following equation:
520
The apparatus is calibrated with liquids of known viscosity.
The method is capable of high precision provided that
adequate temperature control is maintained.
where R1 and R2 are the radii of the inner and outer cylinders,
respectively.
521
Fig 10.7 Concentric cylinder viscometer.
522
In the design of these viscometers it is desirable that the
viscous drag exerted on the two ends of the viscometer is
reduced to a minimum. These ‘end effects’ can be minimized
by fitting a stationary guard ring over the upper surface of the
inner cylinder or bob, the bottom of which is recessed in order
to trap air in the cavity and prevent drag. A deeply recessed
upper surface can be used instead of a guard ring and excess
fluid will overflow into this, so that the height of the fluid
coincides with the height of the inner cylinder. The Rotovisko
viscometer uses this principle.
Examples of commercial rotating cylinder viscometers are the
Ferranti Portable, Brookfield and the Rotovisko which will be
briefly discussed. For a more detailed description of these and
other types, the laboratory manual by van Wazer et al. (1963)
should be consulted.
This is shown diagrammatically in Fig. 10.8. The rotating
outer cylinder is inverted, compared with the conventional
Couette type, which permits the determination on bulk fluids
into which the cylinder is immersed. The inner cylinder,
which is connected to a beryllium copper spring, has its
angular displacement indicated by a conventional pointer and
scale. The outer cylinder is driven by a synchronous motor
with a three or five-speed gear box giving a range of 1 rev/
min up to 300 rev/min. Rates of shear can be varied by speed
of rotation and also by choice of inner cylinder. The mean
shear rates vary from 930 to 0.15 sec–1. Low shear rates are
restricted to liquids of high viscosity and high shear rates to
liquids of low viscosity in order to obtain readings on the
scale. Size of sample required is usually about 100 mL.
523
Fig 10.8 Ferranti portable viscometer.(A) Rotating shaft; (B)
Detachable outer cylinder; (C) Detachable inner cylinder; (D)
Guard ring (stationary); (E) Torque spring;(F) Viscosity
indicating pointer.
524
carried in a rotating spindle driven via a calibrated beryllium
copper spring mounted on the motor shaft (Fig. 10.9). The
displacement of the spindle due to the viscous drag of the
sample is indicated by a pointer attached to the rotating
spindle which moves over the scale attached to the motor
spindle. Readings are thus complicated by the pointer and
scale both revolving, but it is possible to clamp the pointer to
the scale and then to slip the motor in order to take a reading.
For this reason, it is not a convenient technique for following
viscosity changes while shearing the sample. A wide range of
viscosity is covered and very low shear rates are possible.
Since the bob operates in an ‘infinite sea’ of fluid the
calibration data are usually expressed in terms of rev/min and
Brookfield reading. Although viscosities of Newtonian
liquids can be determined, the ‘apparent’ viscosity of
non-Newtonian liquids can only be regarded as comparative
measurements.
525
Fig 10.9 Brookfield viscometer. (A) Driving shaft; (B)
Rotating scale; (C) Viscosity indicating pointer; (D) Torque
spring; (E) Interchangeable bob; (F) Sample.
Rotovisko (Haake)
526
drive shaft. The viscous drag on the rotor causes the spring to
twist until its torque is balanced by the viscous drag. The
resulting angular displacement of the rotor, relative to the
drive shaft, is a measure of the shear stress and is measured
by means of a slider arm connected to a potentiometer so that
the stress value is read from a galvanometer. A variety of
outer and inner cylinders is available in order to cover a wide
range of viscosity. A continuous record of stress at a constant
rate of shear can be obtained by connecting a recording
voltmeter to the output terminals.
527
The usual cone angles are about 0.30 so that only small
samples (0.5–1 mL) are required.
The plate is maintained at a constant temperature by
circulating water through it and the small volume of sample
rapidly reaches an equilibrium temperature.
The rate of shear across the gap for small angles is constant
and is given by Ω/ψ; where
528
useful when rapid changes of viscosity occur on shearing, as
these may be missed when operating the instrument manually.
However, a word of caution is necessary as inertial effects of
the cone may produce erroneous results, particu- larly if rapid
acceleration—deceleration is applied to liquids of fairly low
viscosity. Under these conditions inaccurate hysteresis loops
may be obtained with Newtonian liquids.
Coaxial cylinder Cone plate
G = torque (dyne/cm)
Ω = rotation (radian/sec)
ψ = cone angle (radians)
529
Boylan (1966, 1967) has described the use of the
Ferranti–Shirley viscometer for measuring the rheological
properties of ointment bases.
Extrusion Viscometer
Creep Testing
The rheological evaluation of viscoelastic semi solids (i.e.
which possess viscous and elastic proper ties) can be done by
530
a creep test where a stress is suddenly applied and maintained
constant over a period of time. The resultant deformation
(strain) of the material with time is known as the ‘creep
curve’. One type of apparatus used for this measurement
consists of two concentric cylinders, the inner cylinder being
capable of rotation on application of a torsional couple. The
viscoelastic material to be tested fills the annular gap between
the two cylinders. To carry out the measurement, a small
fixed tangential stress is applied to the material through the
inner cylinder and the slow rotation of this cylinder is
followed by means of an optical mirror or suitable sensing
device (Davies, 1969). A typical creep curve is shown in Fig.
10.11 and can be analysed using the theory of linear
viscoelasticity. Three ‘separate regions can be identified in
this figure: A–B represents an instantaneous elastic
component; B–C represents viscoelastic flow; C–D is
associated with viscous flow. On removal of the applied
stress, the instantaneous elasticity is observed (region D–E)
but the material does not completely recover due to some
energy being dissipated in viscous flow. The viscoelastic
properties of ointment bases have been studied by Davies
(1969) and by Barry and Grace (1971), the latter workers
being interested in the rheology of soft paraffin studied by
continuous shear and creep testing. The rheology of
pharmaceutical and cosmetic semisolids has been reviewed
by Barry (1974).
531
Fig 10.11 Creep curve of viscoelastic material (constant stress
applied).
532
Fig 10.12 Flow curves of Newtonian and non-Newtonian
fluids.
Pseudoplastic Flow
533
has been found to represent the flow curve of some
pseudoplastic materials. D is the rate of shear and S the
shearing stress. The exponent is indicative of non-Newtonian
flow. If N has a value of unity the equation reduces to the
simple Newtonian equation of flow. The greater the values of
N above unity the greater the pseudoplastic behaviour of the
material is a constant characteristic of the solution and does
not have the same physical significance as a coefficient of
viscosity. The equation may be written in logarithmic form:
Plastic Flow
534
ointments and gels and is thought to result from the
aggregation of particles forming a continuous but not
orientated, structure throughout the mass. Flow cannot take
place until the applied stress exceeds the force of flocculation
which causes the particles to adhere together. When flow is
initiated the particle layers move relative to the adjacent
layers, and the particle contacts are broken but reform again
on removal of the stress. Thus the internal structure of the
substance is not permanently altered. This behaviour is
expressed in Fig. 10.12C. Flow does not commence until the
stress reaches the yield value f (dynes/cm2) above which point
the shear rate becomes directly proportional to the shear stress
and the reciprocal of the slope of graph gives the plastic
viscosity U in poises.
This is expressed by the equation first given by Bingham:
Dilatancy
535
just sufficient to enable the particles to move past each other
slowly. When the suspension is sheared rapidly the particles
are forced out of their close packing and the void space is
increased, i.e. system dilates. There is insufficient liquid to
fill the voids completely, the paste
appears to ‘dry out’ and offers considerable resistance to
further shearing (Fig. 10.12D). On resting, it liquefies as the
particles move back into close packing. Dilatancy is also
encountered when a dilute deflocculated suspension settles
out on storage. The sediment is dilatant and resists any
energetic attempts at stirring or shaking. This effect is known
as ‘caking’ or ‘claying’ of suspensions and is best avoided by
formulating the suspension so that the particles are slightly
flocculated.
Thixotropy
536
occurred after applying the shearing stress, and the area
within the loop may be used as an index of the degree of
breakdown. This phenomenon, i.e. breaking and rebuilding of
the structure after applying and consequently withdrawing the
shear stress, is termed thixotropy.
Thixotropy is defined as a reversible isothermal transition
from gel to sol. The word comes from Greek words thixis
(from thinganein, which means ‘to touch’) and tropy (from
tropos, which means ‘of turning’, ‘changeable’, ‘to turn’, or
in simple word ‘to change by touch’). Thixotropy may only
be applied to shear thinning system, i.e. plastic and
pseudoplastic system. In the case of plastic and pseudoplastic
materials, the down curve will be displaced to the right of the
up curve, while in case of Newtonian system, the resultant
curve is identical with and superimposed on the up curve and
Fig. 10.13 illustrates the flow diagrams of such systems.
537
capable of interacting by numerous secondary bonds to
produce a loose three-dimensional structure, and confer some
degree of rigidity on the system, which resembles a gel. The
energy imparted during shearing disrupts these bonds, which
causes the interparticle links to be broken; the network
therefore disintegrates and the viscosity falls, and a gel–sol
transformation occurs. When the shear stress is eventually
removed, the structure will tend to reform, although the
process is not immediate and will increase with time as the
molecules return to the original state under the influence of
Brownian motion. For such cases, the rheogram depends on
the rate at which shear is increased or decreased and the
length of time a sample is suggested to any one rate of shear.
It was seen that a thixotropic material is similar to a
pseudoplastic material in one manner; it exhibits lower
viscosity as shear increases. However, the thixotropic profile
differs substantially from the pseudoplastic profile in the
manner in which viscosity recovers from the release of shear.
Where viscosity in a pseudoplastic material recovers
immediately on release of shear, in a thixotropic material
there is a measurable delay in the recovery of viscosity. This
delay allows for a period of flow and levelling or film
consolidation to occur. Such a delay also allows the graphing
of a hysteresis loop in which the viscosity is plotted as a
function of both as shear is applied and released. This
hysteresis loop allows to display number of properties that are
of a system’s rheology, which includes the degree of
thixotropy, the absolute viscosity values at a given shear rate,
and the speed of viscosity recovery.
538
Applications of Thixotropy
539
Measurement of Thixotropy
540
Fig 10.14 Structural breakdown with time of a plastic system
possessing thixotropy when subjected to constant rates of
shear with different time values.
541
where U1 and U2 are the plastic viscosities for two separate
down curves having maximum shearing rates of V1 and V2,
respectively. With this technique, the rates of shears V1and V2
are chosen arbitrarily. The value of M will depend on the rates
of shear chosen since these shear rates will affect the down
curves and hence the value of U that are calculated.
542
three-dimensional structure at slow shear rate, as shown in
Fig. 10.16B. It was found that penicillin gels having definite
Y values were very thixotropic, forming intramuscular depots
on injection that afforded prolonged blood level of the drug.
543
Fig 10.17 Rheogram of magnesia magma showing
antithixotropy behaviour.
544
Rheopaxy
Selection of Viscometer
Newtonian Liquids
Non-Newtonian Liquids
545
emphasized by Martin et al. (1964). Fig. 10.18 shows the flow
curves for two emulsions, A and B, where a measurement at
shear rate D1 would indicate that B had a higher viscosity
than A, while the opposite result would be obtained at shear
rate D3. At shear rate D2, the emulsions would apparently
have the same viscosity. This shows that even for
comparative work single point instruments can be misleading,
particularly if no information is available on the type of flow
behaviour. Where a simple test for ‘viscosity’ is required for
quality control, it may be sufficient to measure the
‘apparent viscosity’ at a rate of shear which approximates to
the rate of shear to which the product is subjected during
usage. Henderson et al. (1961) have calculated the
approximate rates of shear encountered in such operations as
milling, pouring from bottles and extrusion from orifices
(Table 10.1).
546
Fig 10.18 Effect of shear rate on viscosity determination of
emulsions A and B.
547
The assessment of thixotropic products requires rotational
viscometry in order to plot up and down curves. Lack of
reproducibility may be due to lack of standardized
pretreatment of samples before measurements.
A comprehensive treatise on commercial viscometers is given
by van Wazer et al. (1963). There is no single viscometer that
is likely to be satisfactory for pharmaceutical products that
may vary in consistency from water to stiff gels. In selecting a
viscometer the following points should be studied:
1. If low shear rates are required, is the instrument sensitive
enough to measure the corresponding stress?
2. Are the units of rate of shear and shearing stress measured
in absolute units or comparative units?
3. Size of sample available, e.g. a cone and plate may require
only a 1 mL sample, while a coaxial viscometer may require
several hundred millilitres.
4. Can the sample be easily maintained at a constant
temperature?
5. Can the instrument be easily cleaned? This is essential
when a large number of samples are to be examined.
Rheology of Suspensions
The addition of a disperse phase (solid or liquid) to a liquid
increases the viscosity due to the disturbance of the stream
lines of the liquid around the particles. Einstein (1906–1911)
developed a theoretical expression relating the viscosity of a
suspension η, to the volume fraction ϕ of the particles present:
548
where η0 is the viscosity of the vehicle. This equation is
strictly applicable only to very dilute suspensions of rigid
spherical particles. In order to extend the equation to higher
concentrations, equations of the type:
549
Fig 10.19 Flow curves of kaolin suspensions in water. (A) 20
per cent w/v; (B) 30 per cent w/v; (C) 40 per cent w/v; (D) 40
per cent w/v + 10 per cent sodium citrate.
Rheology of Emulsions
When droplets of one liquid are emulsified in an immiscible
liquid, the viscosity of the emulsion is greater than that of the
vehicle, as one would expect from the Einstein equation. This
equation is obeyed by very dilute emulsions of small globule
size, indicating that the globules are behaving like solid
particles. The factors that have been discussed under the
section Rheology of Suspensions apply to emulsions except
that the particle shape factor is unlikely to play an important
part, since the globules are mainly spherical.
550
Fig. 10.20 shows the variation of apparent viscosity with
volume concentration of disperse phase in a water-in-oil
emulsion. The emulsion may invert to an unstable oil-in-
water emulsion of low viscosity when the water is increased
above a critical amount. The point of inversion depends on
the concentration and nature of the emulsifying agent.
551
3. Nature and proportion of emulsifying agents.
4. Globule size and distribution of size.
5. Aggregation of the globules.
The review by Sherman (1964) should be con sulted for
detailed information.
Oil-in-water emulsions stabilized by cetyl and stearyl
alcohols and water-soluble surface agents have been studied
by Axon (1956) who showed that increasing quantities of
cetyl alcohol produced an increase in both the yield value and
the plastic viscosity of some emulsions. Talman et al. (1967)
studied the rheology of similar emulsions and suggested that
the large increase in viscosity as the cetostearyl alcohol was
increased, was due to the formation of a gel in the aqueous
phase due to the interaction of the alcohol with sodium lauryl
sulphate. It seems likely that such gel formation would play a
dominant role in the viscosity of emulsions containing
emulsifying waxes. Baqy and Shotton (1967) have studied the
thixo tropic and viscoelastic properties of the sodium lauryl
sulphate–ethyl alcohol–water gel system in the absence of an
emulsified phase.
552
suspensions could be prepared using carboxyvinyl–polymer
(Carbopol 934 BF, Goodrich Chemical Co.), which exhibits
plastic flow properties. Provided a certain minimum yield
value was present, suspensions were observed to be
permanent. However, such suspensions should be examined
critically since the ‘permanency’ may be affected by
deterioration of suspending efficiency due to chemical
deterioration, pH changes, etc. Hiestand (1964) refers to
suspending agents that possess yield values, as ‘structured
vehicles’ on account of the structure of the suspending or
gelling material. Particles may also remain in sus pension due
not only to the structure in the vehicle but also to the
flocculation of the particles which produces a scaffold
structure that extends throughout the suspension. Many long
chain polymers induce flocculation of particles—due to
adsorption of segments of the polymer on to them, the
remaining segments being free to project into the vehicle and
adsorbing on to adjacent particles. Thus polymer bridge
flocculation may be as least as important as the structure of
the vehicle itself in preventing suspensions from sedimenting.
Martin et al. (1964) have reviewed the properties of
suspending agents and also the effect of processing on the
rheology of gums and suspensions.
References
553
Boylan JC. J. Pharm. Sci. 1966;55:710.
Boylan JC. J. Pharm. Sci. 1967;56:1164.
Chong GW, Erikson SP, Swintosky JU. J. Am. Pharm. Assoc.
Sci., Ed. 1960;49:547.
Davis SS. J. Pharm. Sci. 1969;58:412.
Ellis MA. Pharm. J. 1969;189:177.
Henderson NL, Meer PM, Kostenbauder HB. J. Pharm. Sci.
1961;50:788.
Hiestand EN. J. Pharm. Sci. 1964;53:1.
Kabre SP, DE Kay HG, Banker GS. J. Pharm. Sci.
1964;53:492–495.
Martin A, Swarbrick J, Cammarata A. In: Physical Pharmacy.
3 Bombay: K.M. Varghese Company Indian edition; 1991.
Martin A, Banker GS, Chun AHC. In: Beckett, Bean, Carless,
eds. Advances in Pharmaceutical Sciences.3. London:
Academic Press; 1964:1. 1
Meyer RJ, Cohen L. J. Soc. Cosmet. Chem. 1959;10:143.
Nixon JR, Georgakopoulas PP, Carless JE. J. Pharm.
Pharmacol. 1966;18:283.
Ober SS, Vincent HC, Simon DE, Frederick KJ. J. Am.
Pharm. Assoc., Sci. 1958;47:667.
Reiner M, Scott-Blair GW. In: Eirich FE, ed. Rheology.4.
New York: Academic Press; 1967:461.
Saunders PR, Ward AG.Proc. 2nd Int. Congr. Rheol. Oxford
1954:284.
Sherman P. J. Pharm. Pharmacol. 1964;16:1.
Talman FAJ, Davis PJ, Rowan EM. J. Pharm. Pharmacol.
1967;19:417.
Van Wazer JR, Lyons JW, Kim KY, Colwell RE. Viscosity
and Flow Measurement- A Laboratory Handbook of
Rheology. New York: Intersciences; 1967.
554
Chapter 11
Drug Stability
A study of the stability of pharmaceutical products and of
stability testing techniques is essential for three main reasons.
Firstly it is important from the point of view of the safety of
the patient. The present trend in the pharmaceutical industry
is towards production of highly specific, chemically complex,
potent drugs. It is important, therefore, that the patient
receives a uniform dose of drug throughout the whole of the
shelf life of the product. In addition, although a drug may
have been shown to be safe for use, this is not necessarily true
of the decomposition product(s). It is the duty of the
manufacturer to minimize, or if possible prevent,
decomposition of the product. This is of particular importance
when preparing parenteral solutions, since injection
frequently involves a greater risk than other forms of drug
administration.
Secondly consideration must be given to the relevant legal
requirements concerned with the identity, strength, purity and
quality of the drug, and finally such a study is important to
prevent the economic repercussions of marketing an unstable
product. The sale of such a product is hardly the best
advertisement for a manufacturer, and subsequent withdrawal
and reformulation of the drug may lead to considerable
financial loss.
This chapter concerns the chemical and physical factors
causing deterioration of drugs, the application of chemical
kinetics to determine the rate of decomposition, and methods
of reducing the amount of decomposition. Later sections deal
555
with the use of accelerated storage tests to predict the shelf
life of the product.
Chemical Degradation of
Pharmaceutical Products
Pharmaceutical products differ considerably in their
composition, so naturally they are subject to different forms
of chemical degradation, and in addition there may be several
simultaneous decomposition reactions occurring in a product.
For example, vitamin A undergoes both isomerization and
oxidation, and the alkaloid ergometrine is susceptible to these
and also to hydrolysis. Nevertheless, by obtaining information
on each isolated degradation process, it is possible to establish
reliable methods of reducing, or even eliminating, the causes
of instability.
Hydrolysis
556
decomposition of pharmaceutical products. Esters, e.g. the
local anaesthetics amethocaine and benzocaine, and amides,
e.g. the sulphonamides, and nitriles, are all substances that are
liable to decompose by hydrolysis. The reaction is frequently
catalysed by hydrogen (H+) or hydroxyl (OH−) ions, and is
therefore said to be specific acid- or specific base-catalysed.
In many instances, hydrolysis is specifically acid–base
catalyzed, and the rate of decomposition is then critically
dependent upon the pH of the system. Esters, for example the
local anaesthetic procaine, generally exhibit this type of
catalysis (Higuchi et al., 1950).
557
The drug molecule undergoing hydrolysis may carry a charge
or be uncharged. From the preceding discussion, it is evident
that a drug may undergo several simultaneous catalytic
reactions, all of which are hydrolytic in nature. A prime
example of this phenomenon is the decomposition of aspirin
558
into salicylic and acetic acids. Over the pH range of 1–12, it
has been predicted that six simultaneous reactions (See
Reaction II, above) occur (Edwards, 1950):
Although hydrolysis will occur principally with drugs in
aqueous solution, suspensions and solid dosage forms are also
susceptible to hydrolytic attack. Leeson and Mattocks (1958)
have shown that moisture is rapidly absorbed on to the
surface of aspirin particles causing solution of a portion of the
drug in the water layer around the particles. As the aspirin in
solution hydrolyses, more of the solid material dissolves and
decomposition continues.
Oxidation
559
oxidation from a knowledge of its standard
oxidation–reduction potential, E0. As has been discussed in
Chapter 2, the oxidation–reduction potential, Eh, is related to
the proportion of oxidized and reduced forms of the
compound and its standard oxidation–reduction potential by
the equation:
(11.1)
560
At pH 4.7, the E0 value for ascorbic acid has been found to be
+014 V.
Oxidation of adrenaline results ultimately in the loss of
activity of the drug and the production of a red-coloured
solution. In acid solution, the first stage of this process
involves the formation of adrenaline-o-quinone.
561
oxygen (Ostendorf, 1964). Oils and fats containing
unsaturated linkages in the molecules are particularly
susceptible to autoxidation. Volatile oils, e.g. clove and
cinnamon, change colour, consistency and odour. Fixed oils,
e.g. the oily injection vehicles ethyl oleate and arachis oil,
develop an unpleasant odour and taste, and are said to be
‘rancid’. In the majority of cases, the oxidation process is a
chain reaction involving the formation of free radicals, and
comprises three distinct steps: initiation, propagation and
termination.
An organic compound (RH) is converted into an active free
radical (R) during the initiation step as a result of the
influence of some factor such as heat, light, presence of trace
metals or other free radicals.
562
certain of the free radicals can combine to form inactive
products which break the chain reaction.
563
Fig. 11.1 Oxidation rate of an organic compound as shown by
peroxide value determination.
564
Factors Affecting the Rate of Autoxidation
565
Dilution: Dilution of an oxidizable compound with an inert
solvent will decrease the rate of oxidation. This follows from
the Law of Mass Action (see p. 15). However, a limit will be
reached when the concentration of oxidizable material is
similar to the concentration of oxygen dissolved in the solvent
system. Under these conditions: the proportion of oxidizable
material decomposed is very high, although a chain reaction
process does not appear to operate. This situation may arise
when formulating oily vitamin solutions where the vitamin is
present in very low concentrations.
Temperature: The rate of oxidation of an organic compound
is increased with increase in the temperature of storage. In
addition, the rate at which the hydroperoxides break down
into aldehydes, ketones and fatty acids is also accelerated at
temperatures in excess of 50°C. Thus it is possible for an
oxidizable material to have a low peroxide value after storage
at an elevated temperature. This, of course, does not signify
that there has been a low rate of oxidation, rather that
decomposition has advanced to the stage where the secondary
products of oxidation predominate.
Presence of pro-oxidants: Pro-oxidants, by definition,
accelerate the rate of autoxidation. The hydroperoxides
formed during the autoxidation process are themselves
pro-oxidants. The addition of hydro peroxides to an
oxidizable compound will shorten or even eliminate the
induction period.
Heavy metals, e.g. copper and iron, also have a pro-oxidant
effect since their variable valency state causes them to act as
catalysts for the initiation step. Their mode of action is
expressed by the following equations:
566
where M reperesents the heavy metal.
Heavy metals also influence the propagation and termination
steps of the autoxidation process.
Physical state of the oxidizable compound: The oxidation rate
of a solid fat is normally very slow in comparison with that
occurring in the liquid state. This is primarily due to the fact
that there are large quantities of relatively stable, saturated,
fatty materials present which act as a diluent for the
oxidizable material. In addition, the physical state of the
material precludes rapid diffusion of oxygen through the bulk
of the material.
When an oxidizable compound, e.g. methyl oleate, is
dispersed in water, the rate of oxidation may be profoundly
affected, especially if surface-active agents are present to
emulsify the system. This phenomenon will be discussed
further when dealing with methods of reducing autoxidative
degradation of pharmaceutical materials.
Isomerization
567
relative spatial configuration of groupings around a double
bond (or bonds) in a molecule.
Optical isomerization
Racemization
568
hydrogen and hydroxyl ions, heat and light. The racemization
of (–)–adrenaline is catalysed by hydrogen ions, and hence
only becomes a significant factor in the decomposition of the
drug at low pH values, i.e. pH 0–3 (Schroeter & Higuchi,
1958).
Epimerization
569
The D–(+)–lysergic acid portion of the ergometrine molecule
contains asymmetric carbon atoms at C5 and C8.
Epimerization occurs at the C8 carbon atom to produce the
D–(+)–isolysergic acid derivative ergometrinine which has
little physiological activity.
Geometrical Isomerization
570
Polymerization
Decarboxylation
571
gas-tight prior to autoclaving. Decarboxylation also occurs
when autoclaving the tuberculostatic agent sodium
aminosalicylate, and has been identified as a secondary
degradation process of procaine. Hydrolysis of procaine
yields p-aminobenzoic acid which, in weakly acidic solution,
decarboxylates slowly with the production of aniline. Aniline
darkens on exposure to light, and this could explain the
development of colour in old procaine injections.
572
solutions of soluble barbiturates. They are therefore
distributed as sterile powders in ampoules with instructions to
dissolve immediately before use in Water for Injections free
from carbon dioxide.
573
greater number of the collisions will result in reaction of the
molecules, and it is this that gives rise to the observed greater
rate of reaction. The precise relationship between temperature
and reaction rate is discussed in the later section dealing with
chemical kinetics.
As a result of this phenomenon, it is possible to reduce the
rate of decomposition of thermolabile drugs by storing them
in a cool place. This technique is particularly useful for
biological products such as insulin, oxytocin and vasopressin
injections, and also for penicillin and its preparations, which
may all be stored in a refrigerator.
Moisture
574
and other antibiotics such as streptomycin and tetracycline.
The presence of moisture may in some instances also increase
the rate of oxidation of a susceptible product, since oxygen is
dissolved in the water layer surrounding the drug particles.
For example, ferrous sulphate crystals are more rapidly
oxidized in moist air than in dry surroundings. It is therefore
important that such drugs should be stored in as dry a
condition as possible. When manufacturing solid dosage
preparations from drugs whose chemical stability is affected
by moisture, it may be necessary to work in an environment
of controlled humidity. This technique has to be used when
processing sodium ampicillin and potassium propicillin (Gore
& Ashwin, 1967). It is equally necessary to ensure that the
excipients chosen for the product have moisture contents low
enough to prevent transfer of moisture to the active drug.
Light
575
into heat, it should be borne in mind that absorption of light
by a compound does not necessarily indicate that a
photochemical reaction is proceeding. However, if a
photochemical reaction is taking place, the rate will be
independent of the temperature of the system.
The relationship between the amount of light absorbed and
the amount of reaction taking place was proposed by Einstein
in the ‘Law of Photochemical Equivalence’. This states that
each molecule can only undergo chemical reaction as a direct
result of absorption of light, if one quantum of radiant energy
causing the reaction is taken up. The unit of radiant energy
equivalent to one quantum is called the photon. The energy of
the photon is directly proportional to the frequency of the
absorbed radiation (inversely proportional to the wavelength).
It follows therefore that there is more energy in a photon of
short wavelength, than in a photon of light of longer
wavelength. For this reason photochemical destruction of
pharmaceutical products is usually due to absorption of
sunlight of the visible blue and violet and ultraviolet
wavelengths (500 to 300nm). Table 11.1 shows the energy
available on absorption per g-mol of substance for different
portions of the ultraviolet and visible spectrum.
576
400 Violet 297.2
300 Ultraviolet 357.7
Since there is a relationship between the amount of light
energy and the number of molecules undergoing reaction, it
follows that a dilute solution of a photolabile drug may be
completely inactivated when exposed to light, whereas a more
concentrated solution will be only partially destroyed under
similar conditions.
Many types of chemical reaction are induced by exposure to
light of high energy. For example, amyl nitrite and ethyl
nitrite undergo hydrolysis, and many autoxidation processes,
e.g. volatile oil oxidation, are initiated. In other cases
substances become coloured, e.g. morphine, codeine, and
quinine become yellow–brown, while others fade, e.g. the
water-soluble dyes indigo carmine and tartrazine incorporated
in tablets. There is often a relationship between the structure
of the drug and its sensitivity towards light. For example,
phenolic substances such as phenol, thymol and salicylates
tend to develop colours, while the presence of a conjugated
double bond system in the molecule, as in vitamin A and
many unsaturated oils, can also induce photolability.
Halogenated drugs such as potassium iodide, iophendylate,
and the anaesthetics chloroform, tribromomethanol and
trichloroethylene are also susceptible to degradation in the
presence of light.
Photochemical reactions are rarely simple, since products of
reaction are often subsequently involved in thermal reactions,
and it is then difficult to distinguish between the primary and
secondary processes. For instance, light may initiate the
complex autoxidation chain process whose subsequent steps
are controlled by factors such as temperature, presence of
oxygen, chemical structure of the compound, or the presence
577
of prooxidants. Perhaps it is for this reason that, although
there are many references to the instability of compounds in
the presence of light, relatively few studies have been made
of the mechanisms of the decomposition processes.
Nevertheless, the photochemical decomposition of
cyanocobalamin (vitamin B12) has been well documented. In
aqueous solution, in the pH range 3.5–6.5, cyanocobalamin is
converted to hydroxocobalamin by the action of light. This is
a reversible process involving the liberation of the cyanide
ion. Hydroxocobalamin is less active than its precursor and is
itself susceptible to degradation.
Radiation
578
products, especially those that are thermolabile.
Unfortunately, radiation
treatment can also produce deleterious changes in the
products since the procedure also causes ionization in the
irradiated material. The ions formed in the initial stage of the
process are subsequently converted into atoms and free
radicals which become involved in chemical reactions. In
1960, a preliminary investigation was undertaken to assess
the stability of a wide range of pharmaceutical products to
γ-irradiation from a 60Co source (ABPI Report, June 1960,
The Use of Gamma Radiation for the Sterilization of
Pharmaceutical Products). Antibiotics, e.g. polymyxin
sulphate and streptomycin sulphate, alkaloids, e.g. atropine
sulphate, steroids, e.g. progesterone, sulphonamides and
biological products, e.g. insulin and heparin, were all
irradiated at dose levels of 2.5 Mrad (sterilizing dose) and
also 25 Mrad in order to identify possible decomposition
products. The amount of decomposition observed varied from
one product to another, and ranged from changes in colour,
e.g. with progesterone, to almost complete loss of activity,
e.g. insulin injection. The mechanisms of decomposition were
not determined for any of the preparations, but it is probable
that they differ from those occurring in normal thermal
reactions. Irradiation of a drug in aqueous solution produces
greater changes than irradiation of the pure material. This is
believed to be due to the fact that irradiation of water
produces hydrogen peroxide and free radicals such as OH,
HO*2 and H, which have an additional oxidative effect on the
drug. Fletcher and Davies (1968) have investigated the
stability of 0.5 per cent w/v physostigmine sulphate solutions
towards γ-irradiation emitted from a 60Co source. Using dose
levels up to 7 Mrad, decomposition was found to be
independent of pH in the range 1.5–7. This is in contrast to
579
the normal decomposition process which shows a maximum
stability in the region of pH 2.2–3.0. In addition, the
incorporation of 0.5 per cent w/v sodium metabisulphite
reduced the amount of decomposition upon irradiation,
whereas it had no effect upon the normal decomposition
process.
(11.2)
580
the law may be expressed as:
(11.3)
Definitions
Rate of Reaction
581
Molecularity of Reaction
Order of Reaction
582
concentration terms affecting the experimentally determined
rate. In the above example, the reaction would be third-order
overall.
It is evident that, in contrast to molecularity, it is possible for
the order of reaction to assume fractional or zero values.
Half-Life
First-Order Reactions
(11.4)
583
Rearrangement of Eq. 11.4 gives:
(11.5)
(11.6)
(11.7)
(11.8)
584
Half-Life of a First-Order Reaction
(11.9)
(11.10)
Pseudo-First-Order Reactions
585
the reaction, its concentration will not change as the reaction
proceeds.
A chemical reaction obeys pseudo-first-order kinetics when
the rate of the process is proportional to the concentration of
only one of the reactants, even though the reaction involves
several reactant species. This situation is frequently
encountered with drugs that are susceptible to hydrolytic
decomposition. Water, although it may participate in the
reaction, is in great excess and thus its concentration is
essentially constant throughout the process. The hydroxyl
and/or hydrogen ions may act as catalysts for the hydrolysis,
and thus their concentrations also remain constant. The rate of
degradation will then depend solely upon the concentration of
the drug.
Procaine hydrochloride undergoes hydrolysis which obeys
pseudo-first-order kinetics. A graph of the logarithm of the
percentage of the local anaesthetic remaining against time
yields a straight line (Fig. 11.2). From the slope of this line,
the reaction velocity constant for the decomposition at 50°C
in ammonium chloride–hydrochloric acid buffer of pH 9.7 is
calculated to be 0.25 h–1.
586
Fig. 11.2 Pseudo-first-order kinetic plot for the decomposition
of procaine hydrochloride in ammonium
hydroxide–hydrochloric acid buffer, pH 9.7 at 50°C.
Pseudo-first-order reaction velocity constant (k) – 0.25/h.
Second-Order Reactions
(11.11)
(11.12)
587
If the initial concentrations of the reactants are equal, or if the
rate of reaction depends upon the square of the concentration
of a single reactant, the rate equation takes the form:
(11.13)
(11.14)
588
Fig. 11.3 Second-order kinetic plot for the decomposition of
chlorbutol in sodium hydroxide at 25°C (Anderson & Slade,
1966).
(11.15)
589
However, it is still the case that the half-life decreases with
increase in initial reactant concentration.
Zero-Order Reactions
(11.16)
(11.17)
(11.18)
(11.19)
590
Half-Life of a Zero-Order Reaction
(11.20)
(11.21)
591
Under these conditions the rate of decomposition is
independent of the drug concentration and hence will obey
zero-order kinetics. Kornblum and Zoglio (1967) have shown
this to be the case for the hydrolysis of aspirin suspensions in
combination with tablet lubricants.
Third-Order Reactions
592
4-amino-6-chloro-m-benzene disulphonamide. However, this
is produced by a series of parallel consecutive first-order
reactions as outlined in Fig. 11.4 (Yamana et al., 1968).
593
at 40°C has a value of 0.11 h, while at 50°C the value rises to
0.25/h.
Arrhenius, in 1889, proposed an equation which related the
reaction velocity constant and temperature. The equation was
derived from a consideration of the variation of the
equilibrium constant of a reversible chemical reaction, K,
with temperature, and the relationship between K and the
reaction velocity constants of the forward and reverse
reactions.
The equation takes the form:
(11.22)
(11.23)
(11.24)
594
The logarithmic form of Eq. 11.24 can be written:
(11 25)
Hydrolysis
Adjustment of pH
595
Maximum stability of the drug therefore occurs at pH 3.8.
Similarly, a minimum is observed at pH 3.6 for procaine
hydrochloride, pH 4.9 for benzocaine, and pH 5 for
cinchocaine. It follows that a useful method for reducing
hydrolysis of a drug exhibiting specific acid–base catalysis is
to adjust the pH to the point corresponding to the minimum in
the relationship. In many instances, however, pH affects the
solubility and the therapeutic activity of the drug as well as its
stability. It is necessary to take all three factors into account
when attempting to limit decomposition.
596
whereas at pH 4.0 (the point of maximum stability) only 0.1
per cent of the drug exists as the base. One successful
formulation of pilocarpine eyedrops involves adjusting the pH
of the solution to 5.0 with boric acid. A stronger buffer
system is not used since, upon instillation into the eye, the pH
of the solution is able to rise to that of the tear secretions (pH
7.4) with consequent formation of the more active, basic form
of the drug. Prior to use, storage at pH 5.0 enables a
reasonable degree of stabilization to be achieved.
Choice of Solvent
597
constant of the solvent system, and upon the chemical nature
of the reactant species.
Firstly, let us consider relative solubilities of the drug and the
decomposition products in the solvent. In general a reaction
will proceed more rapidly if the products of the reaction have
a higher affinity for the solvent than the reactants. The
quantitative relationship between the reaction velocity
constant of the decomposition process and solubility is given
by the equation:
(11.26)
598
solution. If, on the other hand, the reactants have similar polar
characteristics to the solvent (ΔδA and ΔδB ≈ 0), and the
products have polar characteristics unlike that of the solvent
(ΔδB ≈ 0), then the term v/2.303RT (ΔδA + ΔδB – Δδ*) will
be negative and the rate of decomposition will be lower in
this particular solvent. Generally speaking, highly polar
solvents, e.g. water, will accelerate decomposition reactions
which form products having greater polar characteristics than
the reactants. If the products are less polar than the reactants,
the rate of reaction will be slower than expected. When
dealing with solvents of low polarity, e.g. alcohol, the reverse
argument will apply.
The presence, or absence, of an electrical charge on the drug
molecule governs the way in which the dielectric constant of
the solvent influences the rate of hydrolytic decomposition. If
the process involves a charged drug molecule as well as
another ionic species in the system, i.e. H+ or OH–, the
equation which relates the reaction velocity constant to the
dielectric constant of the solvent is:
(11.27)
599
It is evident that by plotting ln k against 1/D a straight line
relationship will be obtained. The slope of the line will be
negative if the charges ZA and ZB are of like sign. Thus, as
the dielectric constant of the solvent is decreased, the rate of
hydrolytic decomposition will decrease. In this instance,
replacement of a portion, or all, of the water (high dielectric
constant) with a solvent of lower dielectric constant e.g.
alcohol, will decrease the rate of hydrolysis. On the other
hand, if the charges ZA and ZB are of opposite sign, then the
slope of the line will be positive, and decreasing the dielectric
constant of the solvent will only serve to increase the rate of
decomposition.
If the drug is a dipolar molecule carrying no charge, then the
relationship between dielectric constant and the reaction
velocity constant is given by:
(11.28)
600
varying proportions of propylene glycol. They found that the
rate of hydrolysis of the drug was increased with increasing
concentrations of propylene glycol due to the fact that
decomposition involved the dipolar chloramphenicol and
hydrogen ions.
601
stability, but this is by no means the general rule. Their effect
is dependent upon a variety of factors including the water
solubility of the drug, the type, chain length and concentration
of the surface-active agent, and the type of hydrolytic species,
i.e. H+ or OH– ions, present.
Riegelman (1960) investigated solubilized solutions of the
relatively water-insoluble drug benzocaine, which is subject
to base catalysed hydrolysis. He found that increasing the
concentration of the surface-active agent resulted in greater
partition of the drug in favour of the micellar pseudophase.
With ionic surface-active agents, the rate of hydrolysis
steadily decreased as the concentration of the surface-active
agent increased. The anionic agents afforded greater
protection than the cationic agents, presumably due to the fact
that the negatively charged anionic micelles produced a
definite barrier to the attack by OH– ions. The protective
effect of nonionic surface-active agents was not as great as
that obtained with the ionic agents. The drug was present in
the hydrated palisade layer of the nonionic micelles, where
attack by OH– ions could take place to a limited extent.
A more complex situation arises when we consider the effect
that surface-active agents have upon the hydrolytic
decomposition of highly water soluble drugs. Since these will
not be preferentially soluble in the semiprotective
environment of the micellar pseudophase, it might be thought
that surface-active agents would have little or no effect upon
the stability in aqueous solution. In fact, as Nogami et al.
(1960, 1962, 1963) have shown, using methantheline
bromide, this is only true to a limited extent. The hydrolysis
of this cationic, highly water-soluble compound is specific
acid–base catalysed. Cationic and nonionic surface-active
agents had little effect upon the base-catalysed hydrolysis of
the drug, whereas anionic agents produced a high degree of
602
stabilization. This latter phenomenon was attributed to the
formation of a water-insoluble complex between the drug and
a proportion of the surface-active agent. The complex was
preferentially soluble in the micellar pseudophase produced
by the remainder of the surface-active agent. The drug was
further protected from hydroxyl ion attack because of
repulsion of the ions by the negatively charged micelles.
When drug hydrolysis was catalysed by H+ ions, the drug
surface-active agent complex showed increased susceptibility
to attack, presumably due to the fact that H+ ions were
attracted to the micelles.
The general conclusions of Nogami and Awazu (1962) and
Riegelman (1960) can be seen to be complementary when we
consider the stability of solutions of a drug whose solubility
in water changes with pH. Nogami and Awazu (1962)
examined the stability of aspirin in solutions of nonionic,
cationic and anionic surface-active agents. Unionized aspirin
is only sparingly soluble in water, whereas the acetyl
salicylate ion is very water soluble. With change in pH, the
composition and hence total water solubility of the drug will
change. As mentioned previously, the hydrolysis of aspirin is
catalysed by both H+ and OH– ions, and six contributory
reactions are known to occur over a range of pH. Fig. 11.6
shows the general shape of log k–pH profile for the
pseudo-first-order hydrolysis of the drug in the presence and
absence of a 5 per cent w/v concentration of the cationic
surface-active agent cetylethyldimethylammonium bromide.
603
Fig. 11.6 General relationship between pseudo-first-order rate
constant and pH for aspirin in the presence (broken line) and
absence (solid line) of 5 per cent w/v
cetylethyldimethyl-ammonium bromide.
604
present in the negatively charged micelles was subjected to
increased attack by H+ ions attracted to the micelles.
The rate of hydrolysis of emulsified systems of a
water-insoluble compound has been found to be affected by
the ability of the surface-active agent to solubilize the
material. Since the bulk of the drug is present in oil globules
and is inaccessible to hydrolytic attack, the rate of
decomposition is normally slow. However, an investigation of
the stability of ethyl benzoate emulsions, using the cationic
surface-active agent cetrimide, has shown that increasing the
concentration of cetrimide increased the rate of
decomposition to a maximum (Mitchell, 1962). At this point
the quantity of surface-active agent present was sufficient to
solubilize all the compound. The observed increase in rate of
hydrolysis was due to the increasing proportion of drug in
solution (partitioned between the true aqueous phase and the
micellar pseudophase) relative to that in the emulsion
droplets. As one might expect, upon increasing the
surface-active agent concentration beyond the point where
complete solubilization was achieved, there was a decrease in
the rate of decomposition as more of the material was
partitioned in favour of the semiprotective micellar
pseudophase.
605
caffeine has upon base-catalysed hydrolysis of the local
anaesthetics benzocaine, procaine and amethocaine. In all
cases caffeine was found to decrease the rate of
decomposition. As the concentration of caffeine was
increased, the degree of stabilization also increased. Higuchi
and his coworkers showed that, as more caffeine was added, a
greater proportion of the drug existed in the complexed form
and was protected from attack by OH– ions. For example,
with benzocaine the complex was found to be of
stoichiometric ratio 1 : 1, viz:
(11.29)
606
of the free benzocaine), and that for all practical purposes the
complexed form does not contribute to the decomposition.
Thus:
(11.30)
607
Oxidation
Presence of Antioxidants
608
free radical A which is not sufficiently reactive to sustain the
chain process:
609
the onset of autoxidation of the drug, which proceeds
normally when all of the antioxidant has been destroyed. The
antioxidant will be rapidly used up if it is added to a product
which has already undergone partial oxidation, since there
will be many free radicals present. It is therefore important
that the antioxidant be added at the earliest possible stage in
the preparation of the product. The overall antioxidant effect
is to increase the length of the induction period of the
autoxidation process. The ‘protection factor’, defined as the
ratio of the length of the induction period in the presence of
the antioxidant to that in the absence of any antioxidant, is a
measure of the relative efficiency of primary antioxidants in
protecting a product. The concentration level at which the
antioxidant is incorporated in the product can often be critical.
Within a certain range, efficiency increases with
concentration until an optimum concentration is reached. In
the presence of an excess concentration of antioxidant, there
may be a pro -oxidant effect due to the reaction of
hydroperoxides with the antioxidant molecules to form free
radicals:
610
containing tocopherols may accelerate the decomposition.
The processes used for refining vegetable oils tend to remove
these antioxidants, and subsequent readdition does not usually
produce the same level of stabilization. Concentrates of the
tocopherols have been added to liquid paraffin to prevent
flavours caused by oxidation of the small amounts of
aromatic compounds present.
611
the formation of peroxides, and 0.01 per cent reduces the
decomposition of paraldehyde. For essential oils and
emulsions, concentrations of 0.2–0.5 per cent of propyl
gallate may be employed.
The alkyl gallates are effective antioxidants, but discolour in
the presence of iron and its salts. The octyl and dodecyl esters
are heat-resistant and nonvolatile with steam.
Butylated hydroxyanisole: Butylated hydroxyanisole (BHA)
is the monomethyl ether of hydroquinone containing a tertiary
butyl side chain to increase its fat solubility. Chemically, it is
a mixture of two isomers. It is most effective in stabilizing
animal fats, and its antioxidant activity increases with
concentration up to about 0.01 per cent while remaining
approximately the same at higher levels.
612
Nordihydroguaiaretic acid: Nordihydroguaiaretic acid
(NDGA) is extracted from a desert plant, and is effective in
preventing oxidation in animal fats and fat emulsions. It is
much less effective in vegetable oils than animal fats. It has a
slightly bitter taste even in low concentrations.
613
Table 11.2 Some commonly used primary
antioxidant–synergist combinations
614
potassium and sodium metabisulphites, bisulphites and
sulphites (Schroeter, 1961). Sodium metabisulphite is used in
aqueous solutions of phenolic drugs such as adrenaline,
sodium salicylate, morphine and apomorphine. It is often
employed at a concentration of 0.1 per cent, but
concentrations in the range 0.01–1 per cent have been used.
The minimum concentration that gives the desired protective
effect should be chosen. Metabisulphites are normally
employed in acid solutions, the bisulphites at intermediate pH
levels, and the sulphites are the reducing agents of choice
where the solution is unbuffered or alkaline in nature.
Although widely used, sodium metabisulphite has several
disadvantages. It decomposes in air, especially on heating,
and an appreciable amount may be lost before it is able to
exert its effect when autoclaving an aqueous product. Its
reaction with oxygen and oxidizing agents results in a fall in
the pH of the preparation. Solutions of sodium metabisulphite
may also react with the rubber closures of multidose
containers, and this will cause depletion of the reducing agent
in solution. Under certain conditions, sodium-metabisulphite
may react with adrenaline and other derivatives of ortho- and
para-hydroxybenzyl alcohol, with dyes and flavouring agents.
The action of sodium bisulphite is inhibited by mannitol,
hydroquine and many phenols. Drugs containing aldehyde
and ketone groupings react with bisulphite to give
hydroxysulphonic acids. However, bisulphites have been
shown to be effective in stabilizing dextrose, streptomycin
and dihydrostreptomycin, sulphadiazine, sodium
aminosalicylate, morphine and neomycin solutions.
615
Adjustment of pH
616
Removal of Oxygen
617
depend upon the water solubility of the drug, the type and
concentration of the surface-active agent, and the nature of
the phase in which the drug is preferentially soluble. For
example, the water-insoluble oil methyl linoleate exhibits a
low rate of oxidation when dispersed in water, since very
little of the material is soluble in the continuous phase. When
potassium laurate is added to the system, emulsions are
formed. Upon increasing the concentration of the
surface-active agent, more of the oil becomes solubilized until
ultimately only a homogeneous solution is present.
Carless and Nixon (1960) showed that the rate of oxidation in
the emulsified systems was greater than that occurring in
dispersions of the oil. As the concentration of the
surface-active agent was increased, the rate of oxidation
increased until the point was reached where the compound
was completely solubilized. Beyond this point, addition of
more surface-active agent resulted in a decrease in the rate of
decomposition. From these results it appeared that the higher
rate of oxidation in emulsified systems was due to the
presence of solubilized methyl linoleate. Initiation of the
autoxidation process was thought to occur in the micellar
pseudophase, and the free radicals were subsequently
transferred to the oil droplets where the propagation rate was
higher because of the presence of large numbers of oil
molecules. The reduced rate of oxidation in completely
solubilized systems was attributed to the fact that there were
relatively few oil molecules per micelle. Increasing the
surface-active agent concentration further only served to
increase the proportion of micellar pseudophase and lower the
number of methyl linoleate molecules per micelle. Thus there
was a greater and increasing probability of termination of the
autoxidation process in the micelles. With solubilized systems
of linoleic acid, it has been found that maximum stability was
618
achieved when the highest possible concentration of
surface-active agent was present (Swarbrick & Rhodes,
1965).
Investigation of the autoxidation of the more water-soluble
compound benzaldehyde in the presence of potassium laurate
or cetomacrogol showed that the initial high rate of oxidation
in aqueous dispersion gradually fell with increasing
concentration of surface-active agent. This paralleled the
gradual transformation from the emulsified to the solubilized
state of the material (Carless & Nixon, 1957).
The oxidation of benzaldehyde in betaine–water systems was
studied by Swarbrick and Carless (1964a, b), who examined
decomposition in the isotropic aqueous (L1) phase, the
isotropic ‘oily’ (L2) phase, the anisotropic liquid crystalline
(Lc) phase, and also the multiphase systems L1 + L2
(conventional emulsion system), Lc + L1, Lc + L2, and L1 + L2
+ Lc. In the separate phases, the rate of oxidation was found
to be in the order L2 > L1 > Lc, and this phenomenon was
thought to be due to increasing difficulty with which the
propagation could take place in the increasingly structured
systems. With multiphase systems, the oxidation rate varied
with the proportion and number of phases present. Thus
before making a valid prediction of the influence that a
surface-active agent may have upon the stability of such a
system, it is necessary to take account of these factors.
Photochemical Degradation
619
Alternatively, light-resistant containers may be used. Since
degradation is chiefly due to the absorption of light of shorter
wavelength, the British Pharmaceutical Codex defines a
light-resistant container as one that does not transmit more
than 15 per cent of incident radiation between 290 and
450nm. The amount of light transmitted through a glass
container depends upon the composition and thickness of the
glass. The light transmission characteristics of several types
of glass container have been reported by Dimbleby (1953),
and Fig. 11.8 shows some of the results plotted in terms of
percentage transmission per millimetre thickness against
wavelength. It can be seen that the yellow–green and amber
glasses are satisfactory since they transmit very little light
below 400nm. Medium green containers are less effective,
while colourless and blue glass transmit high percentages of
the ultraviolet wavelengths. The inspection of
solutions for any sign of precipitation or discoloration is
difficult in coloured containers, and for this reason many
parenteral solutions are packed in clear glass containers and
placed in a light-proof enclosure.
620
Fig. 11.8 Light transmission characteristics of coloured glass
(Dimbleby, 1953).
Physical Degradation of
Pharmaceutical Products
Loss of Volatile Constituents
Loss of Water
621
Absorption of Water
Crystal Growth
622
In suspensions of finely divided solids, growth of the crystals
is also undesirable. There is a tendency for the crystals to bind
together to form a hard cake which is difficult to redisperse.
Large particles produce a gritty texture which is unacceptable
in topical and ophthalmic preparations. When present in
suspensions for injection, there is a danger that large crystals
may block the hypodermic needle. Higuchi (1958) has
discussed the causes of crystal growth in suspensions, and
these may be summarized as follows:
1. Temperature fluctuation; a rise causing increased solubility
and a fall causing supersaturation and crystallization.
2. The presence of a metastable form of the crystals which has
a greater solubility than the stable form. The solution will be
supersaturated with respect to the stable form.
3. Small crystals have a greater solubility than large crystals
so that the solution is supersaturated with respect to the latter.
4. Change of crystal structure due to the presence of
dispersing solvent.
Prevention, or reduction, of crystal growth may be achieved
by avoiding the use of the metastable form of a drug, and by
storing in an environment which exhibits the minimum of
temperature fluctuation. A narrow size range of crystals
should be used, and incorporation of a surface-active agent,
which is adsorbed on to the crystal surfaces, also inhibits the
rate of deposition of solute molecules. Diffusion of solute
molecules to the crystal surfaces may also be hindered by
increasing the viscosity of the suspending medium. A stable
aqueous suspension of cortisone acetate powder for use as eye
drops has been produced by grinding the material with
aluminium hydroxide and including methyl cellulose in the
suspending medium (Flitcroft & Birchall, 1957).
In order to minimize the effect of temperature fluctuations,
suspensions should ideally be confined to insoluble solids, or,
623
at least, to solids whose solubility does not increase greatly
with rise in temperature.
Polymorphic Changes
Colour Changes
624
has been made to reduce the amount of fading by
incorporating an ultraviolet light-absorbing compound in the
tablet formulation.
Lachman et al. (1962) found that tablets coloured with
brilliant blue or tartrazine were more stable when the
compound 2,4-dihydroxybenzophenone was present. The
problem of colour development in pharmaceutical products is
also often encountered. For example, solutions containing
physostigmine or adrenaline become red on exposure to air,
while apomorphine hydrochloride solutions turn green. Solid
dosage forms can also show colour development, e.g. aspirin
tablets may become pink, ascorbic acid tablets will gradually
age from white to a yellowish brown colour. The colour
stability of ascorbic acid tablets is particularly affected by the
presence of lubricants such as magnesium or calcium stearate
(Wortz, 1967).
Stability Testing
In the past, before a product is marketed, it has been the
practice to assess its stability by placing it on storage test. The
test, which involves examining for quality and potency at
suitable time intervals, is conducted for a period
corresponding to the normal time that the product is likely to
remain in stock or in use. Since this period can be as long as
two years, a storage test of this nature is time consuming and
expensive. It has, therefore, become essential to devise a
technique for use during the product development stages that
will enable rapid prediction of the long-term stability of a
product. It is then possible to identify the most stable and
suitable formulation without resorting to the lengthy,
conventional, storage testing process. A prediction of the life
625
of the product may be made by accelerating the
decomposition process and extrapolating the results to normal
storage conditions. Nevertheless, accelerated storage tests
cannot be expected to replace the conventional stability
testing programme for the product finally marketed, although
they do minimize the effort and expense of testing new
formulations.
626
velocity constant, k, for the decomposition at each of the
elevated temperatures can be calculated from the slope of the
line. The Arrhenius relationship (Eq. 11.24) is then employed
to determine the reaction velocity constant for the
decomposition at room temperature. This is obtained from the
linear plot of the logarithms of the determined reaction
velocity constants against the reciprocals of absolute
temperatures, which is extrapolated to room temperature
(25°C). The value of k at 25°C may then be substituted in the
appropriate rate equation, and an estimate obtained of the
time during which the product will maintain the required
quality or potency (shelf-life). By way of example, the
hydrolysis of allopurinol has been found to obey pseudo
first-order kinetics in alkaline solution (Gressel & Galleli,
1968). At pH 10.8, from the slopes of the first-order plots
(Fig. 11.9), the reaction velocity constants were calculated to
be 1.22×10–2, 1.09 × 10–3 and 1.38 × 10–4/h at 76, 52 and
37°C, respectively. The Arrhenius plot of these results is
shown in Fig. 11.10 and the extrapolated value of k at 25°C is
estimated to be 2.92 × 10–5/h. The potency or quality level
below which a product is no longer acceptable will vary from
product to product depending upon the form of
decomposition. For example, the level is often taken to be 90
per cent of the initial potency of the product. Alternatively, it
could be the level at which a toxic breakdown product can no
longer be tolerated, or at which a certain degree of odour or
colour change is evident. Assuming that the allopurinol
preparation is acceptable until the drug content is 90 per cent
of the initial concentration, substitution in the first-order rate
equation shows that the shelf-life will be 150 days.
627
Fig. 11.9 First-order kinetic plot for the decomposition of
allopurinols at pH 10.8 (Gressel & Galleli, 1968).
628
The results of an accelerated test are obtained using
comparatively short periods of storage which are known with
accuracy. When the bulk or low heat conductivity of the
product prevents rapid temperature equilibration with the test
environment, the
exact times of storage at elevated temperature may be subject
to considerable error. There may be a considerable time lag
before the product sample reaches the equilibrium storage
temperature and also before it returns to room temperature
upon removal from the test environment. These two sources
of error do not necessarily cancel each other out. It has been
shown (Eriksen et al., 1958) that the magnitude of the errors
introduced by ignoring heating and cooling times is related to
the heating and cooling rate coefficients of the product, the
storage time, the difference between room and storage
temperature, and the energy of activation of the
decomposition process. With the exception of accelerated
stability tests of tablets, powders and other solid dosage
forms, the problem is not normally of great significance.
Nevertheless, where it is essential to determine accurately the
amount of decomposition, rather than obtain an estimate of
the change of concentration with time, it is possible to correct
for the errors by employing the concept of equilibrium
temperature-time equivalents. These are the storage periods
corrected for the heating and cooling times encountered in the
accelerated storage test. Eriksen et al. (1958) have been able
to calculate equilibrium temperature-time equivalents from a
knowledge of the order and energy of activation of the
chemical decomposition, and the heating and cooling rate
coefficients of the product.
Apart from the normal accelerated storage test procedure
described, techniques have been devised that enable both the
energy of activation and the decomposition reaction velocity
629
constant at room temperature to be determined from a single
experiment (Rogers, 1963; Eriksen & Stelmach, 1965). Such
methods involve raising the temperature of a product under
test in accordance with a predetermined temperature-time
programme. Samples are withdrawn and assayed at suitable
time intervals in the usual manner. The programme devised
by Rogers (1963) is so arranged that the reciprocal of
temperature varies logarithmically with time, i.e.
(11 31)
(11.32)
630
c0 and ct are the concentrations initially and at time t,
respectively,
k0 is the reaction velocity constant at the initial temperature of
the programme,
kt is the reaction velocity constant at time t,
E is the energy of activation of the process,
R is the gas constant.
Although the term log[1 – (k0/kt)1+R/Eb] varies with time, it
rapidly tends to zero as kt becomes substantially greater than
k0, i.e. at approximately 10°C above the initial programme
temperature. Thus, after this period, a plot of log f against
log(1 + t) will be a straight line. The slope of the line is (1 +
Eb/R), while the intercept value at log(1 + t) = 0 is log I0 –
log(1 + Eb/R). Measurement of these two values enables k0 to
be calculated. With a knowledge of k0 and E, substitution into
the Arrhenius equation will produce a value for the reaction
velocity constant at room temperature.
The programmed temperature rise technique has the
advantage that only a single experiment is performed to
obtain all the necessary information for the prediction of
shelf-life. The fact that a straight line graph is produced
provides a check that the correct order of reaction has been
assigned to the decomposition process. The temperature-time
programme may be chosen according to experimental
convenience and selected to fit into the working day.
However since the predicted shelf-life is calculated using the
slope and intercept values from the graph, it may be subject to
considerable error unless care is taken in the measurement of
these quantities. Where the decomposition process exhibits a
substantial reverse reaction, it may not be possible to produce
a linear equation as easily as has been indicated with the
simple rate equations (Carstensen et al., 1968).
631
Limitations of Accelerated Storage Tests for Chemical
Stability
632
estimate of the rancidity of an oil stored at high temperature
has already been referred to. It is also possible that elevated
temperature may induce a decomposition process that is not
normally significant at ambient temperatures. This is true of
autocatalytic reactions which are accelerated by the products
of decomposition.
The shelf-life prediction only applies to the product
formulation investigated. One cannot expect the prediction to
be valid for different formulations of the same drug.
Although accelerated chemical stability tests are not
infallible, if the above limitations are taken into consideration,
the prediction of shelf-life may be accepted with confidence.
Such tests have a secondary function in that they may be used
as a quality control method for the manufactured product. In
this way it is possible to ensure that no change has occurred
during the manufacturing process that alters the previously
obtained stability pattern of the product.
633
1960) that daylight fluorescent tubes have the most suitable
spectrum. Fig. 11.11 shows the spectral energy distributions
for natural sunlight plus daylight and a daylight fluorescent
lamp. Correction has been made for the difference in intensity
of the two sources. Fluorescent lamps are cool sources of
illumination and do not promote thermal reactions in the
product under test. Lachman and Cooper (1959) calculated
that a bank of eighteen 60-W fluorescent tubes placed at a
distance of 1m from the product sample give a light intensity
of about 12000 lm/m2. This is of the order of twenty times the
intensity of light found in many storage areas. Such a system
has been used in the investigation of the accelerated
photodecomposition of dyes incorporated in tablet
formulations (Lachman et al., 1960).
634
designed which provides radiant energy of the required
wavelength and of sufficient intensity to make such studies
possible (Price & Osborne, 1964). The quantity of light
absorbed by the drug sample is determined by measuring the
difference in the intensity and quantity of light incident upon
and transmitted by the product. In the future, the use of
similar equipment may provide a more rational approach to
the design and evaluation of accelerated photochemical
stability tests.
635
Accelerated Tests for Moisture Absorption
636
factors facilitate increased frequency of collision of the oil
globules and accelerate the tendency for the emulsion to crack
(Colburn, 1951). If the emulsion withstands such treatment, it
is normally correct to assume that it will be stable at normal
temperatures. However, the reverse argument does not always
apply. There are cases where an emulsion has been found to
be perfectly stable under normal conditions even though it
cracked during high temperature storage. This phenomenon
can be caused by a change in the relative solubility of the
emulsifying agent in the two phases at high temperature, and
is likely to happen when the emulsifier is a nonionic surface
active agent. It may also be due to the fact that elevated
temperature may accelerate chemical decomposition of one or
more of the emulsion constituents and contribute to the
deterioration. Both factors can give rise to an inaccurate
estimate of the susceptibility of the product to decomposition.
Centrifugation of an emulsion greatly exaggerates the effect
of gravity, and therefore predominantly accelerates the rate of
creaming. The degree of acceleration of creaming will
obviously depend upon the speed of centrifugation. If it is
assumed that the rate of creaming is directly proportional to
the strength of the gravitational field, it is theoretically
possible to establish a direct relationship between speed of
centrifuging and normal storage conditions. Indeed, Garret
(1962) successfully used an analytical ultracentrifuge,
running at speeds up to 60,000 rev/min, to predict the shelf
life of an intravenous oil-in-water emulsion. Unfortunately, it
is unlikely that such a simple correlation holds for the
majority of highly stable pharmaceutical emulsions. Since
centrifugation exaggerates the value of g in Stokes’ Equation,
the results of the accelerated test can give rise to some
misleading conclusions when several emulsion formulations
are being compared. For example, it is possible for a stable
637
emulsion, whose disperse and continuous phases have
dissimilar densities, to appear inferior to a product that is
inherently less stable but which has a smaller difference in
density between the two phases.
638
degree of acceleration of growth produced by such a test, and
its relationship to normal storage conditions, depends upon
the particle concentration, the bulk particle solubility, the
slope of the solubility curve, the temperature fluctuation
range and the frequency of fluctuation (Varney, 1967).
References
639
Garret ER. J. Am. Pharm. Ass. (Sci. Edn). 1957;46:584.
Garret ER. J. Pharm. Sci. 1962;51:35.
Gore DN, Ashwin J. J. Mond. Pharm. 1967;10:365.
Gressel PD, Galleli JF. J. Pharm. Sci. 1968;57:335.
Higuchi T. J. Am. Pharm. Ass. (Sci. Edn). 1958;47:657.
Higuchi T, Lachman L. J. Am. Pharm. Ass. (Sci. Edn).
1955;44:521.
Higuchi T, Havinga A, Busse LW. J. Am. Pharm. Ass. (Sci.
Edn). 1950;39:405.
Higuchi T, Marcus AD, Bias CT. J. Am. Pharm. Ass. (Sci.
Edn). 1954;43:129.
Jones W, Grimshaw JT. Pharm. J. 1963;191:459.
Kornblum SS, Zoglio MA. J. Pharm. Sci. 1967;56:1569.
Kornblum R, Lachman L, Cooper J. J. Am. Pharm. Ass. (Sci.
Edn). 1958;47:175.
Lachman L, Cooper J. J. Am. Pharm. Ass. (Sci. Edn).
1959;48:226.
Lachman L, Swartz CJ, Cooper J. J. Am. Pharm. Ass. (Sci.
Edn). 1960;49:213.
Lachman L, Urbanyi T, Weinstein S, Cooper J, Swartz CJ. J.
Pharm. Sci. 1962;51:321.
Leeson LG, Mattocks AM. J. Am. Pharm. Ass. (Sci. Edn).
1958;47:329.
Lehman RW, Dieterle JM, Fisher WT, Ames SR. J. Am.
Pharm. Ass. (Sci. Edn). 1960;49:363.
Levius HP, Drommond FG. J. Pharm. Pharmacol.
1953;5:743.
Marcus AD, Tarazka AJ. J. Am. Pharm. Ass. (Sci. Edn).
1959;48:77.
Mitchell AG. J. Pharm. Pharmacol. 1962;14:172.
Nogami H, Awazu S. Chem. Pharm. Bull. (Japan).
1962;10:1158.
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Nogami H, Awazu S, Nakajima N. Chem. Pharm. Bull.
(Japan). 1962;10:503.
Nogami H, Awazu S, Iwatsura M. Chem. Pharm. Bull.
(Japan). 1963;11:1251.
Nogami H, Awazu S, Watanabe K, Sato K. Chem. Pharm.
Bull. (Japan). 1960;8:1136.
Ostendorf JP. J. Soc. Cosmet. Chem. 1965;16:203.
Price JC, Osborne GE. J. Pharm. Sci. 1964;53:811.
Riegelman S. J. Am. Pharm. Ass. (Sci. Edn). 1960;49:339.
Rogers AR. J. Pharm. Pharmacol. 1963;15:101T.
Schroeter LC. J. Pharm. Sci. 1961;50:891.
Schroeter LC, Higuchi T. J. Am. Pharm. Ass. (Sci. Edn).
1958;47:426.
Schwartz TW, Shvemar NG, Renaldi RG. J. Am. Pharm. Ass
(Pract. Edn). 1958;19:40.
Scott TW, Goudie AJ, Huetteman AJ. J. Am Pharm. Ass. (Sci.
Edn). 1960;49:467.
Swarbrick J, Carless JE. J. Pharm. Pharmacol. 1964;16:596.
Swarbrick J, Carless JE. J. Pharm. Pharmacol. 1964;16:670.
Swarbrick J, Phodes CT. J. Pharm. Sci. 1965;54:903.
Swintosky JV, Rosen E, Robinson MJ, Chamberlain RE,
Guarini JR. J. Am. Pharm. Ass. (Sci. Edn). 1965;45:34.
Talmage JM, Chafetz L, Elefant M. J. Pharm. Sci.
1968;57:1073.
Varney G. J. Pharm. Pharmacol. 1967;19:19S.
Von Dolder R. Pharm. Acta Helv. 1952;27:54.
Wortz RB. J. Pharm. Sci. 1967;56:1169.
Yamana T, Mizukami Y, Tsuji A. Chem. Pharm. Bull.
(Japan). 1968;16:369.
641
Chapter 12
ICH Guidelines for Stability Testing
Stability testing aims at providing evidence on how the
quality of a drug substance or drug product varies with time
under the influence of a variety of environmental factors, such
as temperature, humidity and light, and to establish a shelf life
and recommended storage conditions for the drug substance
or drug product. When a pharmacist or manufacturer plans to
design, manufacture and market a drug product, it is his
responsibility to provide an assurance that the said drug
product would meet all the labelled claims and would be
stable till the expiry date to the regular authorities. The
International Conference on Harmonisation of Technical
Requirements for Registration of Pharmaceuticals for Human
Use (ICH) is unique in bringing together the regulatory
authorities and pharmaceutical industry of Europe, Japan and
the US to discuss scientific and technical aspects of drug
registration. Since its inception in 1990, ICH has evolved,
through its ICH Global Cooperation Group, to respond to the
increasingly global face of drug development, so that the
benefits of international harmonisation for better global health
can be realized worldwide. The ICH guidelines describe the
stability data for a drug substance or drug product that is
sufficient for registration within various countries. The ICH
guideline seeks to exemplify the core stability data for drug
substance or drug products but leaves sufficient flexibility to
encompass the variety of different practical situations that
may be encountered due to specific scientific considerations
and characteristics of the materials that are being evaluated.
642
History of ICH
Need to Harmonize
Birth of ICH
643
approached IFPMA to discuss a joint regulatory– industry
initiative on international harmonization, and ICH was
conceived. The birth of ICH took place at a meeting in April
1990, which was hosted by EFPIA in Brussels.
Representatives of the regulatory agencies and industry
associations of Europe, Japan and the US met, primarily, to
plan an international conference, but they also discussed the
wider implications and terms of reference of ICH. At the first
steering committee meeting of ICH, the terms of reference
were agreed, and it was decided that the topics selected for
harmonization would be grouped into Safety, Quality and
Efficacy to reflect the three criteria that are the basis for
approving and authorizing new medicinal products.
Evolution of ICH
644
directed towards facilitating the implementation of ICH
Guidelines in ICH’s own regions. Throughout the second
decade, the development of ICH Guidelines continued, but
with more attention given on the need to maintain already
existing Guidelines as science and
technology continued to evolve. The need to influence with
other organizations was also acknowledged, particularly for
the development of electronic standards. The SC recognized
the profits afforded by collaboration with standards
development organizations, not only from the perspective of
having a larger available pool of technical expertise but also
the opportunity to progress ICH standards as global standards.
In third decade of activity, ICH’s attention is directed towards
extending the benefits of harmonization beyond the ICH
regions. Training as well as active participation and
co-operation of non-ICH regions in guideline development
are observed as key in this effort.
Organization of ICH
The organizational structure of the ICH consists of the
following components (Fig. 12.1):
645
Fig. 12.1 The organizational structure of ICH.
646
other harmonization initiatives, representatives from five
regional harmonisation initiatives (RHIs) were invited to
participate in GCG discussions, viz., APEC, ASEAN,
PANDRH, GCC and SADC. A further expansion of the GCG
was agreed upon in 2007 and regulators were invited from
countries with a history of ICH guidelines implementation
and/or where major production and clinical research is done.
Secretariat
647
Global Coordination Group and the ICH MedDRA
management board.
648
selected for harmonization in the first phase of activities, the
SC appointed a Working Group to review the differences in
requirements between the three regions and develop scientific
consensus required to reconcile those differences. Working
groups do not have a fixed ‘membership’ but each of the six
parties have nominated a Topic Leader (and, frequently, a
Deputy Topic Leader) as the single point of contact for the
topic. The Observers to ICH, the Pharmacopoeial authorities,
representatives from the self-medication industry and the
generic industry have been invited to participate in various
working groups.
There are several different types of ICH working groups that
can be identified as follows:
• EWG: Expert Working Group is charged with developing a
harmonized guideline that meets the objectives in the Concept
Paper and Business Plan.
• IWG: Implementation Working Group is asked to develop
Q&As to facilitate implementation of existing guidelines.
• Informal Working Group: It is formed prior to any official
ICH harmonisation activity with the objectives of developing/
finalizing a concept paper, as well as developing a business
plan.
• Discussion Group: It is a group established to discuss
specific scientific considerations or views, i.e. Gene Therapy
Discussion Group (GTDG), ICH and Women Discussion
Group.
One of the working principles agreed by the SC was that an
EWG could only meet in its official ICH capacity if there was
at least one nominated expert from each of the six ICH
co-sponsors.
649
Quality Guidelines
Safety Guidelines
Efficacy Guidelines
Multidisciplinary Guidelines
These are the cross-cutting topics which fit uniquely into one
of the Quality, Safety and Efficacy categories. It includes the
ICH medical terminology (MedDRA), the Common
Technical Document (CTD) and the development of
650
Electronic Standards for the Transfer of Regulatory
Information (ESTRI).
651
Zone I: Temperate
Zone II: Subtropical with possible high humidity
Zone III: Hot/dry
Zone IV: Hot/humid
Zone-wise distribution of various countries of the world is
given in the Table 12.1.
652
III America Bahamas, Barbados, Belize, Brasilia, Costa
and Rica Ecuador, Guatemala, Colombia and
IV Nicaragua
Asia Bahrain, Bangladesh, India, Indonesia, Iraq,
Cambodia, Qatar, Kuwait, Laos, Malaysia,
Myanmar, Pakistan, Philippines, Singapore,
Thailand, UAE and Vietnam
Africa Angola, Ethiopia, Benin, Botswana and
Burkina Faso
Oceania Fiji, Marshall Islands, Micronesia and
Papua New Guinea
653
Let us discuss the spirit and text of guidelines performed
during stability testing. Stability testing is done in five
different occasions when an NDA is being contemplated.
Preclinical Formulation
654
12months stability be in place at the time of NDA
submission.
At the time the NDA is filed, the large clinical and scale-up
batches are only about a year old, and the stability data on
them is not yet complete. So at this time, the company asks
for an expiry date based on extrapolation of the existing
stability data. The FDI (Foreign Direct Investment) will take
all facts into consideration and grant an expiry date based on
a commitment from the company that the company will
continue to do stability studies on different batches.
655
product and various stability testing conditions to be met
during each step. These steps are summarized in Table 12.2.
656
continuous production
variations and changes during continuous production
ICH has issued guidelines in six important areas, all of them
regarding stability testing of new drugs or dosage forms.
Stability testing provides data throughout a product’s
development life cycle and beyond. ICH guidelines help you
to tailor your stability programme to meet the requirements of
the appropriate regulations for your particular product. The
guidelines explain the requirements for long-term and
accelerated stability studies in support of product license
applications, describing the conditions, duration, and number
of batches, selection of batches, testing frequency,
specification and evaluation.
Stability
657
• Q1B: Stability Testing: Photostability Testing of New Drug
Substances and Products
• Q1C: Stability Testing for New Dosage Forms
• Q1D: Bracketing and Matrixing Designs for Stability
Testing of New Drug Substances and Products
• Q1E: Evaluation of Stability Data
• Q1F: Stability Data Package for Registration Applications in
Climatic Zones III and IV
Analytical Validation
Impurities
Pharmacopoeias
• Q4: Pharmacopoeias.
• Q4A: Pharmacopoeial Harmonization
• Q4B: Evaluation and Recommendation of Pharmacopoeial
Texts for Use in the ICH Regions.
• Q4B: Annex 1(R1) Evaluation and Recommendation of
pharmacopoeial Texts for Use in the ICH Regions on Residue
on Ignition/Sulphated Ash General Chapter.
658
• Q4B: Annex 2(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on Test for
Extractable Volume of Parenteral Preparations General
Chapter.
• Q4B: Annex 3(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on Test for
Particulate Contamination: Sub-Visible Particles General
Chapter.
• Q4B Annex 4A(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Microbiological Examination of Non-Sterile Products:
Microbial Enumeration tests General Chapter.
• Q4B Annex 4B(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Microbiological Examination of Non-Sterile Products: Tests
for Specified Micro-organisms General Chapter.
• Q4B Annex 4C(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Microbiological Examination of Non-Sterile Products:
Acceptance Criteria for Pharmaceutical Preparations and
Substances for Pharmaceutical Use General Chapter.
• Q4B Annex 5(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Disintegration Test General Chapter.
• Q4B Annex 6(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Uniformity of Dosage Units General Chapter.
• Q4B Annex 7(R2) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Dissolution Test General Chapter.
• Q4B Annex 8(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on Test for
Sterility General Chapter.
659
• Q4B Annex 9(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on Tablet
Friability General Chapter.
• Q4B Annex 10(R1) Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Polyacrylamide Gel Electrophoresis General Chapter.
• Q4B Annex 11 Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Capillary Electrophoresis General Chapter.
• Q4B Annex 12 Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Analytical Sieving General Chapter.
• Q4B Annex 13 Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on Bulk
Density and Tapped Density of Powders General Chapter.
• Q4B Annex 14 Evaluation and Recommendation of
Pharmacopoeial Texts for Use in the ICH Regions on
Bacterial Endotoxins Test General Chapter.
• Quality of Biotechnological Products.
• Q5A(R1) Viral Safety Evaluation of Biotechnology
Products Derived from Cell Lines of Human or Animal
Origin Q5A.
• Q5B Quality of Biotechnological Products: Analysis of the
Expression Construct in Cells Used for Production of r-DNA
Derived Protein Products.
• Q5C Quality of Biotechnological Products: Stability Testing
of Biotechnological/Biological Products.
• Q5D Derivation and Characterisation of Cell Substrates
Used for Production of Biotechnological/Biological Products.
• Q5E Comparability of Biotechnological/Biological Products
Subject to Changes in their Manufacturing Process.
• Specifications
660
• Q6A Specifications: Test Procedures and Acceptance
Criteria for New Drug Substances and New Drug Products:
Chemical Substances (including Decision Trees).
• Q6B Specifications: Test Procedures and Acceptance
Criteria for Biotechnological/Biological Products.
Pharmaceutical Development
Glossary
The following definitions are provided to facilitate
interpretation of the guidelines.
Accelerated testing
Accelerated testing studies designed to increase the rate of
chemical degradation or physical change of a drug substance
or drug product by using exaggerated storage conditions as
part of the formal stability studies. Data from these studies, in
661
addition to long-term stability studies, can be used to assess
longer term chemical effects at nonaccelerated conditions and
to evaluate the effect of short-term excursions outside the
label storage conditions that might occur during shipping.
Results from accelerated testing studies are not always
predictive of physical changes.
Bracketing
The design of a stability schedule such that only samples on
the extremes of certain design factors, e.g. strength, package
size, are tested at all time points as in a full design. The
design assumes that the stability of any intermediate levels is
represented by the stability of the extremes tested. Where a
range of strengths is to be tested, bracketing is applicable if
the strengths are identical or very closely related in
composition (e.g. for a tablet range made with different
compression weights of a similar basic granulation, or a
capsule range made by filling different plug fill weights of the
same basic composition into different size capsule shells).
Bracketing can be applied to different container sizes or
different fills in the same container closure system.
Chemical development studies
Studies conducted to scale-up, optimise, and validate the
manufacturing process for a new drug substance.
Climatic zones
The four zones in the world that are distinguished by their
characteristic prevalent annual climatic conditions. This is
based on the concept described by W. Grimm.
Commitment batches
Production batches of a drug substance or drug product for
which the stability studies are initiated or completed post
approval through a commitment made in the registration
application.
Container closure system
662
The sum of packaging components that together contain and
protect the dosage form. This includes primary packaging
components and secondary packaging components, if the
latter are intended to provide additional protection to the drug
product. A packaging system is equivalent to a container
closure system.
Confirmatory studies
Confirmatory studies are those undertaken to establish
photostability characteristics under standardized conditions.
These studies are used to identify precautionary measures
needed in manufacturing or formulation and whether light
resistant packaging and/or special labeling is needed to
mitigate exposure to light. For the confirmatory studies, the
batch(es) should be selected according to batch selection for
long-term and accelerated testings which is described in the
patent guideline.
Dosage form
663
A pharmaceutical product type (e.g. tablet, capsule, solution,
cream) that contains a drug substance generally, but not
necessarily, in association with excipients.
Drug product
The dosage form in the final immediate packaging intended
for marketing.
Drug substance
The unformulated drug substance that may subsequently be
formulated with excipients to produce the dosage form.
Enantiomeric impurity
A compound with the same molecular formula as the drug
substance that differs in the spatial arrangement of atoms
within the molecule and is a nonsuperimposable mirror
image.
Excipient
Anything other than the drug substance in the dosage form.
Expiration date
The date placed on the container label of a drug product
designating the time prior to which a batch of the product is
expected to remain within the approved shelf life
specification, if stored under defined conditions, and after
which it must not be used.
Extraneous contaminant
An impurity arising from any source extraneous to the
manufacturing process.
Forced degradation testing studies
Forced degradation testing studies are those undertaken to
degrade the sample deliberately. These studies, which may be
undertaken in the development phase normally on the drug
substances, are used to evaluate the overall photosensitivity of
the material for method development purposes and/or
degradation pathway elucidation.
Formal stability studies
664
Long-term and accelerated (and intermediate) studies
undertaken on primary and/or commitment batches according
to a prescribed stability protocol to establish or confirm the
re-test period of a drug substance or the shelf life of a drug
product.
Herbal products
Medicinal products containing, exclusively, plant material
and/or vegetable drug preparations as active ingredients. In
some traditions, materials of inorganic or animal origin can
also be present.
Identified impurity
An impurity for which a structural characterisation has been
achieved.
Identification threshold
A limit above (>) which an impurity should be identified.
Impurity
Any component of the new drug substance that is not the
chemical entity defined as the new drug substance.
Impurity profile
A description of the identified and unidentified impurities
present in a new drug substance.
Intermediate
A material produced during steps of the synthesis of a new
drug substance that undergoes further chemical
transformation before it becomes a new drug substance.
Immediate (primary) pack
Immediate (primary) pack is that constituent of the packaging
that is in direct contact with the drug substance or drug
product, and includes any appropriate label.
Impermeable containers
Containers that provide a permanent barrier to the passage of
gases or solvents, e.g. sealed aluminium tubes for semisolids,
sealed glass ampoules for solutions.
665
Intermediate testing
Studies conducted at 30°C/65% RH and designed to
moderately increase the rate of chemical degradation or
physical changes for a drug substance or drug product
intended to be stored long term at 25°C.
Ligand
An agent with a strong affinity to a metal ion.
Long-term testing
Stability studies under the recommended storage condition for
the re-test period or shelf life proposed (or approved) for
labeling.
Marketing pack
Marketing pack is the combination of immediate pack and
other secondary packaging such as a carton.
Mass balance
The process of adding together the assay value and levels of
degradation products to see how closely these add up to 100%
of the initial value, with due consideration of the margin of
analytical error.
Matrixing
The design of a stability schedule such that a selected subset
of the total number of possible samples for all factor
combinations is tested at a specified time point. At a
subsequent time point, another subset of samples for all factor
combinations is tested. The design assumes that the stability
of each subset of samples tested represents the stability of all
samples at a given time point. The differences in the samples
for the same drug product should be identified as, for
example, covering different batches, different strengths,
different sizes of the same container closure system, and,
possibly in some cases, different container closure systems.
Mean kinetic temperature
666
A single derived temperature that, if maintained over a
defined period of time, affords the same thermal challenge to
a drug substance or drug product as would be experienced
over a range of both higher and lower temperatures for an
equivalent defined period. The mean kinetic temperature is
higher than the arithmetic mean temperature and takes into
account the Arrhenius equation.
New drug substance
The designated therapeutic moiety that has not been
previously registered in a region or member state (also
referred to as a new molecular entity or new chemical entity).
It can be a complex, simple ester, or salt of a previously
approved drug substance.
New molecular entity
An active pharmaceutical substance not previously contained
in any drug product registered with the
national or regional authority concerned. A new salt, ester, or
non-covalent-bond derivative of an approved drug substance
is considered a new molecular entity for the purpose of
stability testing under this guidance.
Pilot scale batch
A batch of a drug substance or drug product manufactured by
a procedure fully representative of and simulating that to be
applied to a full production scale batch. For solid oral dosage
forms, a pilot scale is generally, at a minimum, one-tenth that
of a full production scale or 100,000 tablets or capsules,
whichever is the larger.
Primary batch
A batch of a drug substance or drug product used in a formal
stability study, from which stability data are submitted in a
registration application for the purpose of establishing a
re-test period or shelf life, respectively. A primary batch of a
drug substance should be at least a pilot scale batch. For a
667
drug product, two of the three batches should be at least pilot
scale batch, and the third batch can be smaller if it is
representative with regard to the critical manufacturing steps.
However, a primary batch may be a production batch.
Production batch
A batch of a drug substance or drug product manufactured at
production scale by using production equipment in a
production facility as specified in the application.
Polymorphic forms
Different crystalline forms of the same drug substance. These
can include solvation or hydration products (also known as
pseudopolymorphs) and amorphous forms.
Potential impurity
An impurity that theoretically can arise during manufacture or
storage. It may or may not actually appear in the new drug
substance.
Qualification
The process of acquiring and evaluating data that establishes
the biological safety of an individual impurity or a given
impurity profile at the level(s) specified.
Qualification threshold
A limit above (>) which an impurity should be qualified.
Reagent
A substance other than a starting material, intermediate, or
solvent that is used in the manufacture of a new drug
substance.
Reporting threshold
A limit above (>) which an impurity should be reported.
Reporting threshold is the same as reporting level in annexes
Q2B.
Re-test date
The date after which samples of the drug substance should be
examined to ensure that the material is still in compliance
668
with the specification and thus suitable for use in the
manufacture of a given drug product.
Re-test period
The period of time during which the drug substance is
expected to remain within its specification and, therefore, can
be used in the manufacture of a given drug product, provided
that the drug substance has been stored under the defined
conditions. After this period, a batch of drug substance
destined for use in the manufacture of a drug product should
be re-tested for compliance with the specification and then
used immediately. A batch of drug substance can be re-tested
multiple times and a different portion of the batch used after
each re-test, as long as it continues to comply with the
specification. For most biotechnological/biological substances
known to be labile, it is more appropriate to establish a shelf
life than a re-test period. The same may be true for certain
antibiotics.
Semipermeable containers
Containers that allow the passage of solvent, usually water,
while preventing solute loss. The mechanism for solvent
transport occurs by absorption into one container surface,
diffusion through the bulk of the container material, and
desorption from the other surface. Transport is driven by a
partial-pressure gradient. Examples of semipermeable
containers include plastic bags and semi-rigid, low-density
polyethylene (LDPE) pouches for large volume parenterals
(LVPs), and LDPE ampoules, bottles, and vials.
Shelf life (also referred to as expiration dating period)
The time period during which a drug product is expected to
remain within the approved shelf life specification, provided
that it is stored under the conditions defined on the container
label.
Specification–release
669
The combination of physical, chemical, biological, and
microbiological tests and acceptance criteria that determine
the suitability of a drug product at the time of its release.
Specification–shelf life
The combination of physical, chemical, biological, and
microbiological tests and acceptance criteria that determine
the suitability of a drug substance throughout its re-test
period, or that a drug product should meet throughout its shelf
life.
Storage condition tolerances
The acceptable variations in temperature and relative
humidity of storage facilities for formal stability studies. The
equipment should be capable of controlling the storage
condition within the ranges defined in this guideline. The
actual temperature and humidity (when controlled) should be
monitored during stability storage. Short term spikes due to
opening of doors of the storage facility are accepted as
unavoidable. The effect of excursions due to equipment
failure should be addressed, and reported if judged to affect
stability results. Excursions that exceed the defined tolerances
for more than 24 hours should be described in the study report
and their effect assessed.
Stress testing (drug substance)
Studies undertaken to elucidate the intrinsic stability of the
drug substance. Such testing is part of the development
strategy and is normally carried out under more severe
conditions than those used for accelerated testing.
Stress testing (drug product)
Studies undertaken to assess the effect of severe conditions on
the drug product. Such studies include photostability testing
(see ICH Q1B) and specific
testing on certain products, (e.g. metered dose inhalers,
creams, emulsions, refrigerated aqueous liquid products).
670
Supporting data
Data, other than those from formal stability studies, that
support the analytical procedures, the proposed re-test period
or shelf life, and the label storage statements. Such data
include (1) stability data on early synthetic route batches of
drug substance, small scale batches of materials,
investigational formulations not proposed for marketing,
related formulations, and product presented in containers and
closures other than those proposed for marketing; (2)
information regarding test results on containers; and (3) other
scientific rationales.
Solvent
An inorganic or an organic liquid used as a vehicle for the
preparation of solutions or suspensions in the synthesis of a
new drug substance.
Specification
A list of tests, references to analytical procedures, and
appropriate acceptance criteria which are numerical limits,
ranges, or other criteria for the tests described. It establishes
the set of criteria to which a drug substance or drug product
should conform to be considered acceptable for its intended
use. ‘Conformance to specifications’ means that the drug
substance and/or drug product, when tested according to the
listed analytical procedures, will meet the listed acceptance
criteria. Specifications are critical quality standards that are
proposed and justified by the manufacturer and approved by
regulatory authorities.
Specified impurity
An impurity that is individually listed and limited with a
specific acceptance criterion in the new drug substance
specification. A specified impurity can be either identified or
unidentified.
Specific test
671
A test which is considered to be applicable to particular new
drug substances or particular new drug products depending on
their specific properties and/or intended use.
Starting material
A material used in the synthesis of a new drug substance that
is incorporated as an element into the structure of an
intermediate and/or of the new drug substance. Starting
materials are normally commercially available and of defined
chemical and physical properties and structure.
Unidentified impurity
An impurity for which a structural characterisation has not
been achieved and that is defined solely by qualitative
analytical properties (e.g. chromatographic retention time).
Unspecified impurity
An impurity that is limited by a general acceptance criterion,
but not individually listed with its own specific acceptance
criterion, in the new drug substance specification.
Universal test
A test which is considered to be potentially applicable to all
new drug substances, or all new drug products; e.g.
appearance, identification, assay and impurity tests.
Abbreviations
APEC
Asia Pacific Economic Cooperation
ASEAN
Association of South East Asian Nations
CTD
Common Technical Document
EFPIA
672
European Federation of Pharmaceutical Industries and
Associations
EFTA
European Free Trade Association
EMA
European Medicine Agency
ESTRI
Electronic Standards for the Transfer of Regulatory
Information
EU
European Union
EWG
Expert Working Group
FDA
Food and Drug Regulatory Authorities
GCG
Global Cooperation Group
GMP
Good Manufacturing Practice
GTDG
Gene Therapy Discussion Group
IFPMA
International Federation of Pharmaceutical Manufacturers and
Associations
IWG
Implementation Working Group
JPMA
Japan Pharmaceutical Manufacturers Associations
MedDRA
Medical Dictionary for Regulatory Activities
MHLW
Ministry of Health Labour and Welfare
MSSO
673
Maintenance and Support Services Organization
PhRMA
Pharmaceutical Research and Manufacturers of America
PMD
Pharmaceutical and Medical Devices Agency
SC
Steering Committee
WHO
World Health Organization
References
674
Guidance for Industry – ICH Q1D Bracketing and Matrixing
Designs for Stability Testing of New Drug Substances and
Products, January, 2003.
Guidance for Industry – ICH Q1F Stability Data Package for
Registration Applications in Climatic Zones III and IV, June,
2004.
Guidance for Industry – ICH Q3A (R) Impurities in New
Drug Substances, February, 2002.
Guidelines for stability testing of pharmaceutical products
containing well established drug substances in conventional
dosage forms. In: WHO Expert Committee on Specifications
for Pharmaceutical Preparations. Thirty-fourth report.
Geneva, World Health Organization, 1996, Annex 5 (WHO
Technical Report Series, No. 863). This guideline was revised
at the thirty-seventh and fortieth meetings of the WHO Expert
Committee on Specifications for Pharmaceutical
Preparations: WHO Technical Report Series, No. 908, p. 13
(2003) and WHO Technical Report Series, No. 937, p. 12
(2006).
Haynes JD. J. Pharm. Sci. 1971;60:927–929.
Murphy JR, Weisman D. Association of the
Biopharmaceutical Section. 1990.196–202.
Ruberg SJ, Hsu JC. Technometrics. 1992;34:465–472.
Ruberg SJ, Stegeman JW. Biometrics. 1991;47:1059–1069.
Shao J, Chow SC. Biometrics. 1994;50:753–763.
www.ich.org
Yoshioka S, Aso Y, Kojima S. Chem. Pharm. Bull.
1997;45:1482–1484.
675
Section II Pharmaceutical Operations
676
Chapter 13
Extraction
The process of solvent extraction is involved in the
preparation of most drugs. Synthetic drugs or those produced
by fermentation are often purified, or separated from the
mother liquor by liquid–liquid extraction. Constituents
contained within plant or animal tissues are also extracted by
means of solvents, but a preliminary leaching process is
usually necessary. Fixed oils may be obtained in this way, but
are also removed by direct expression of the tissues, and
volatile oils are separated by steam distillation. (See Chapter
16.)
With the advent of numerous synthetic drugs, the demand for
drugs of natural origin is diminishing. Some plant and animal
products still remain important, however, including alkaloids,
glycosides and other sugar derivatives, spices, fixed and
volatile oils, proteins and polypeptides. Separation of the
active constituents is desirable for the following reasons:
1. Potency is more readily controlled.
2. Deterioration, e.g. by enzyme action, is diminished.
3. Preparations of the drug are more easily formulated, more
stable, more palatable and more elegant.
4. Tabletting of the crude material may not be possible.
5. Injection of the crude material may be undesirable or
dangerous.
6. Smaller bulk facilitates storage and transport.
Often a single chemical, such as hyoscine or reserpine, is
isolated by the extraction process, and is obtained as a
crystalline solid. Sometimes, however, the active principle
consists of a number of chemical compounds each of which is
677
desired in the final product. The extraction process may then
be stopped short of isolating the pure substances and the drug
is used as a dry extract, a viscous soft extract, a concentrated
infusion or a tincture. These crude extracts are known as
galenicals. They were once used much more extensively than
they are at present and included also simple infusions and
decoctions made by extraction of the raw material with hot or
boiling water. They were intended for extemporaneous
dispensing and were required to be freshly prepared, because
they rapidly produced a deposit due to coagulation of inert
colloidal material and readily supported microbial growth
because they lacked preservatives. Suitable assays could not
be applied to them, and they were therefore usually prepared
from materials whose constituents had little pharmacological
activity. Galenicals are now rarely made extemporaneously;
their preparation is usually time consuming and uneconomical
for small quantities, and they also need to be subject to
adequate quality control.
Leaching Processes
The process of leaching has been discussed by Peck (1936).
Two main methods are employed, termed maceration and
percolation, both being operated as batch processes. The
choice of method depends upon the physical characteristics of
the raw material and upon economic considerations and is
designated in the monographs of the official preparations. On
an industrial scale, however, there is often little difference
between the operations of the two methods.
678
Maceration
679
clear solution will become cloudy again due to further
coagulation of colloidal material.
Solutions made by maceration of organized drugs are
generally prepared by adding a definite volume of solvent to a
definite weight of raw material. Provided that equilibrium has
been attained, the potency of the resulting solution will
remain the same regardless of the efficiency with which the
marc is pressed. These solutions are therefore not adjusted to
volume since the potency would then depend on the amount
of liquid expressed from the marc. With unorganized drugs
such as benzoin, however, the residue cannot be pressed, and
so the solution is filtered from the marc and the latter is rinsed
by passing more solvent through the filter to produce a
definite volume. In the case of Aromatic Cardamom Tincture,
other oils are added to the expressed solution and in order that
the concentration of these should not vary, the solution is
adjusted to volume.
680
In a few cases it is desirable to change the physicochemical
nature of the solvent during a single maceration process.
Thus, opium tincture is prepared by first pouring boiling
water over the sliced opium to disintegrate it. Then, after
macerating for 6 hours, 90 per cent alcohol is added to the
cold mixture and maceration is continued for a further 24
hours. The addition of the alcohol during the second period of
maceration prevents the solution of much of the gummy
material in the final tincture.
Percolation
681
After allowing the moist mass to imbibe the liquid, it is
packed evenly into the percolator. Fig. 13.1 illustrates a type
of percolator used on a commercial scale. The drug is
supported on a perforated metal plate covered with sacking or
straw. The top of the apparatus is removable for charging the
column with raw material and is provided with portholes for
inspection and running in of solvent. At the base the outlet is
fitted with a tap, and a pipe leads the percolate away for
subsequent treatment or to the top of a second percolator in
order to use the solvent more efficiently. On a small scale
glass percolators can be used and the raw material is
supported in a loose plug of tow or other suitable substance
which has been previously moistened with solvent. In order to
achieve even packing the moist material is introduced layer
by layer, each one being lightly tapped with a rod or other
suitable implement, to give even compression. The pressure
to be exerted depends on the nature of the swollen material
and its permeability. To prevent disturbance of the packed
solids, a piece of filter paper may be place on top of them and
weighted down with sand. If there is a risk of further swelling
of the raw material, it is preferable to use a percolator that is
slightly conical, as the sloping sides allow better expansion of
the bed than would cylindrical columns. The latter have the
added disadvantage that solvent often fails to permeate
through material near the sides at the bottom.
682
Fig. 13.1 Commercial scale percolator (approximately 1 ton
capacity).
683
efficient use of the menstruum than if percolation were
allowed to proceed continuously from the start of operations.
After this preliminary maceration, the outlet is opened
sufficiently of produce a controlled slow rate of percolation.
The volume of percolate to be collected for a given weight of
raw material depends upon the nature of the final product. For
some tinctures prepared on a small scale, about three quarters
of the volume of the finished product is collected and the
marc is pressed, giving about 80–90 per cent of the final
volume. If no assay is available for the extractive, the mixed
products of percolation and expression are made up to volume
with more of the menstruum. In some cases additional
ingredients, e.g. glycerol, are added before the final
adjustment is made. In the case of more potent tinctures the
percolate is assayed and the calculated amount of menstruum
required to give a product of the required strength is added. In
this process the assumption is made that the marc will be
exhausted of the active principles which are to be extracted
and adjustment to volume is therefore justified. The marc is
pressed only to avoid wastage of solvent. This is in contrast to
the maceration process where the liquid expressed from the
marc is assumed to be of equal strength with that separated by
straining.
Reserved Percolation
684
thermolability of the active principle may preclude this.
Moreover, evaporation of a dilute alcohol would remove
alcohol at a faster rate than water with the result that the
concentrated extract would be largely aqueous and probably
incapable of retaining the extracted matter in solution.
This is overcome by reserving the first portion of the
percolate, which contains the bulk of the active constituents,
owing to the preliminary maceration. The rest of the percolate
is collected separately, percolation being continued until some
simple test shows that no more active principle is being
leached out. This second, dilute, percolate is then evaporated
by means of, for example, a climbing film evaporator or
vacuum still. The percolate is evaporated to the consistency of
a soft extract, so that almost all the water is removed. It may
then be dissolved in the reserved portion, which is usually
strongly alcoholic, without risk of precipitation.
On a commercial scale, percolation and evaporation of the
percolate may be carried out simultaneously; sometimes, with
simple solvents such as acetone, the condensed vapour from
the evaporator may be returned to the top of the percolator to
continue the extraction.
685
using strong salt solution) the porosity of the bed is increased
by mixing the raw material with an inert, relatively coarse
substance, which prevents colloids like mucin from blocking
the column (Placek et al., 1960). Alternatively, it may be
possible to increase the rate of percolation by increasing the
pressure gradient through the bed of raw material, but this is
not often done because an increased pressure on the bed is
likely to compress it and render it less permeable.
Occasionally, a restricted volume of solvent must be used to
leach a large amount of raw material, because of the small
amount of active principle contained therein. In such a case
the proportion of solvent to raw material is too low to permit
effective percolation.
Operation of the process of percolation requires skill, care and
frequent attention. On the other hand maceration requires
little skill and is economical in time; it is efficient for drugs
that are easily extracted and in such cases is the method of
choice, provided that the product obtained is satisfactory.
Because of the inevitable wastage of rectified spirit, the
manufacture of tinctures on a commercial scale frequently
departs from the official procedures, and a method is used
which combines maceration and percolation techniques. This
follows what is called a ‘cover and run down’ technique,
whereby the raw material is moistened with suitably diluted
industrial methylated spirit, packed into a percolator and
macerated for a few hours, after which the liquid is run off.
The partially extracted material may then be covered with
more solvent, macerated as before and a second volume of
liquid collected. This process may be repeated several times,
but the later, weaker, percolates may be used to start the
extraction of a fresh batch of drug. Belladonna, ipecacuanha,
senega and squill, may be extracted in this way. Since no
preparation for internal use must contain methanol, the
686
percolate is evaporated under reduced pressure until tests
show the absence of this toxic substance (Sergeant, 1950).
After assay for alkaloid or total solid content, the
concentrated extract is diluted with water and ethanol to
produce a liquid extract or tincture containing the correct
concentration of alcohol and active principle. This process
cannot be used for materials which contain volatile material
or which undergo change during the evaporation stage.
Cocillana, for example, would become resinous if evaporated
to a soft extract, and it is extracted by reserved percolation,
which also retains the characteristic odour of the product.
687
surface area exposed to the solvent, and the shorter will be the
distance through which this must diffuse to reach the solute
and extract it. Increasing the degree of comminution will
therefore lead to a faster rate of extraction. The most suitable
particle size, however, is not necessarily the smallest, and it
will depend on the physical nature of the raw material and of
the solvent employed. Hard, woody, materials that are
leached by a solvent which causes little swel1ing of the
tissues, can be reduced to a fine powder, e.g. ipecacuanha,
which is extracted with 80 per cent alcohol. Tissues that swell
in the solvent, however, would produce a bed of low
permeability if similarly treated. Also, although the cell walls
of organized drugs retard the leaching of active constituents,
they perform a useful function in preventing the extraction of
unwanted high molecular weight constituents. Rupture of a
considerable proportion of the cells by reduction to a fine
powder may therefore yield an excessive amount of inert
material which could hinder subsequent purification of the
active principle or render difficult the clarification of a
galenical (Bull, 1935; 1936). Fine dry grinding may also
affect the chemical properties of plant constituents and
thereby initiate chemical reactions in which the active
principle forms complexes with other cell constituents from
which the pure compound becomes difficult to separate (Pirie,
1956).
If the cell walls remain intact, diffusion through them may be
the rate determining step and this will be in accordance with
Fick’s first law of diffusion (see Chapter 9). Extraction is not,
however, always governed by molecular diffusion since
dialysis and slow dissolution may be controlling factors
(Karnofsky, 1949a). Other factors may also be important; for
example, Othmer and coworkers (1955, 1959) demonstrated
that, when soybean flakes are shaken with solvent, the oil
688
extraction rate is controlled by capillary action within the
broken cells. They showed the dependence of this upon the
surface tension, density and viscosity of the solvent.
Hydrostatic pressure, particle cohesion and convection
currents are also important.
Dean et al. (1953) observe, however, that the rate of leaching
finally depends upon the permeability of the cell wall. They
suggest that Belladonna and Stramonium Tinctures may be
rapidly prepared by passage of the drug suspended in the
solvent through a colloid mill followed by clarification in a
centrifuge. Another method which, on a small scale, might
increase the efficiency of extraction of plant tissue is to
subject the macerating material to ultrasonic vibration.
Thompson and Sutherland (1955) postulated that this
decreased interfacial resistance to mass transfer, increased the
interfacial area by reducing particle size, and increased the
rate of dispersion of active principle away from the interface
into the bulk of the solvent. As has been said above, however,
such methods may lead to the extraction of unwanted
material.
Since the raw material must form a bed of adequate
permeability the particle size distribution should be
sufficiently narrow to achieve this. A wide distribution would
lead to a low porosity, because the smaller particles would
tend to fill the voids between the larger particles. For this
reason the monographs of the official preparations indicate a
suitable degree of comminution and reference should be made
to the official classification of powders.
689
The Nature of the Solvent
690
degrade the drug constituents and it is therefore usually
necessary to include preservative to prevent this. For most
purposes alcohol is used, as it inhibits microbial activity at
about the same concentration as is required to inhibit the
isolated enzymes. Chloroform Water is used for the cold
extraction of liquorice on a small scale, but it is lost when the
extract is concentrated by evaporation, and preservation is
maintained by addition of alcohol.
It has already been pointed out that some tinctures may need
to mature for some time before being finally clarified. Undue
deposition of inactive constituents may sometimes be
prevented by enhancing the solvent power of the final
product, e.g. glycerol is included in Compound Rhubarb
Tincture as a solvent for tannins. Alternatively, precipitation
of the unwanted material may be ensured by adjustment of the
solvent; thus ammonia added to Senega Liquid Extract
produces a slight alkalinity which precipitates inert matter and
a bright product is obtained after filtration. With liquorice,
however, a bright extract of nearly neutral pH can be obtained
without the addition of ammonia and so a check for its
absence is included in the official monograph. An increase in
pH above neutrality considerably enhances the colour
intensity and a variable product would be obtained if
unspecified amounts of ammonia were present (Oakley &
Stuckey, 1949). The colour intensity of Liquorice Liquid
Extract is also influenced by its trace metal content (Collett,
1950; 1953). The equipment used for making it must
therefore be carefully chosen.
If the solvent is to remain in the final product, it must be
nontoxic. A number of liquids which are good solvents for the
principles to be extracted may therefore be unsuitable for use.
If, however, the solvent is to be removed by evaporation,
freedom from toxicity is less important, provided that there is
691
no hazard in its use. It must be completely volatilized during
the evaporation process, but its boiling point should not be so
low as to cause difficulties during the leaching process, which
might necessitate the use of specially constructed equipment
operating under pressure. The solvent should also be plentiful
and cheap and have a low specific heat in order to reduce the
cost of its removal. Preferably it should also be
noninflammable. It should also have a low viscosity, for this
facilitates the leaching of solute from the tissues, the
percolation of solvent through the bed of the material and the
pressing of the marc and subsequent handling of the solution.
Concentration of the solution by evaporation is also
influenced by the viscosity, since a high viscosity reduces the
rate of heat transfer and increases the risk of overheating
thermolabile solutes. A high solution viscosity also restricts
the design of suitable evaporators.
For the solvent extraction of oils, such solvents as benzene,
light petroleum, or trichloroethylene can be used, while ether
is used for the extraction of Male Fern. Where traces of water
might interfere with the extraction process, a water-miscible
solvent, such as acetone, may be preferred. Acetone is used
for the extraction of spices and Ginger Oleoresin. For
Capsicum Oleoresin, however, alcohol may be preferred on
an industrial scale, since a liquid–liquid extraction may be
used later to get rid of water-soluble material. This is an
alternative to percolation with acetone and removal of this,
followed by cold extraction of the residue with alcohol.
Besides alcohol, hydrocarbons are also used to extract
alkaloids. The raw material must, however, first be moistened
with water or an alkaline solution to liberate the free
alkaloidal base. This technique can be used to obtain
reserpine, the moistened rauwolfia powder being extracted
with hot benzene in a Soxhlet apparatus (Boehringer et al.,
692
1957). Purification of an alkaloid may be facilitated by such a
procedure. The extract as first obtained will consist of a
mixture of compounds, often chemically related but of
differing pharmacological activity. One or more of the
alkaloids will need to be further extracted from this mixture,
perhaps by a change of solvent. An alkaloid may be
partitioned from solution in a hydrocarbon into acidified
water. By careful adjustment of the pH of the aqueous extract,
separation of closely related compounds can be achieved by
further liquid–liquid extraction. Final purification of alkaloids
may also be assisted by careful choice of the acid used to
make a crystalline salt (Svoboda & Shahovsky, 1953).
Careful selection of solvent may be necessary, not only to
achieve a maximum extraction of active principle, but also to
prevent undue destruction during the extraction process
(Campo & Gramling, 1953). Racemization may also be an
undesirable result of poor choice of solvent (Carkhuff &
Gramling, 1952).
Various workers have investigated the effect of adding
surfactants to the solvent (Helman, 1969). Nonionic
compounds in alcoholic solvents may improve the extraction
of alkaloids and, by enhancing the imbibition of solvent by
the vegetable tissue, lead to a more rapid extraction with
increased selectivity for alkaloid (Butler & Wiese, 1953;
Srivastava & Chadha, 1963). In comparing the different
classes of surfactants however, Brochmann–Hanssen (1954)
concluded that nonionic surfactants had little or no effect on
the yield of alkaloid. He demonstrated that salts of cationic
surfactants gave the best extraction, whereas anionic
compounds were unsuitable due to solubilization and an
increased permeability of the cell wall, although an ion
exchange mechanism was postulated for cationic surfactants,
many alkaloids being combined with cellular constituents
693
such as acids, proteins and cell wall components (Witt et al.,
1953). Such adjuvants can only be used where the alkaloids
are to be further purified, otherwise they would be present in
the final product.
Temperature
694
being known as digestion. Hot solvent is sprayed over the bed
of raw material in some industrial processes.
Hot water is used for extracting liquorice and cascara, as a
precursor to the official processes, but apart from
thermolability or volatility of active principle, many drugs are
not amenable to such treatment since inert extractive may
tend to precipitate for months afterwards. An additional
advantage with cascara, however, is that the elevated
temperature reduces enzymatic degradation (Fairbairn &
Simic, 1970). Hot extraction is also used for nonofficial or
nonmedicinal products: thus quassia is extracted with hot
water and buchu with hot alcohol.
Occasionally it is necessary to subject the raw material to the
action of hot solvent for an extended period of time,
particularly when the solute is not readily soluble, or
penetration of cellular tissue is slow. Such cases include the
extraction of fixed oils from seeds and of alkaloids by means
of such solvents as hydrocarbons, chloroform or methanol,
and of ginger oleoresin with acetone.
A small scale extraction apparatus is shown in Fig. 13.2. It
consists of a flask, a Soxhlet extractor and a reflux condenser.
The raw material is usually placed in a ‘thimble’ made of
filter paper and inserted into the wide central tube of the
extractor. Solvent is placed in the flask and boiled, its vapour
passing up the large right hand tube into the central space
above the drug and thence to the condenser. The condensate
then drops back on to the drug, through which it percolates,
leaching solutes in the process. When sufficient of the
solution has collected to raise its level to that of the top of the
siphon tube, shown on the right hand side, the whole of the
collected percolate siphons over into the flask. The suction
effect of the siphoning assists permeation of solvent through
the drug. A limited amount of hot solvent is thus made to
695
percolate repeatedly through the raw material, the solutes
from which are transferred to the flask.
696
This principle of continuous hot extraction is sometimes used
to extract a drug for the purposes of assay. A simple form of
apparatus is described in the British Pharmacopoeia. It is
shown in Fig. 13.3 and has the advantage that the hot, rising
vapours encircle the material to be extracted, though the short
period of maceration undergone in the Soxhlet apparatus is
sacrificed.
697
Enzyme Activity
698
simply distributed over the solid, but the entire tank is flooded
with solvent. Filter bottoms are constructed in an endless
variety of forms. Fig. 13.4 shows a few constructions. In A,
perforated boards are laid on notched bearer strips on the
bottom of the tank. In B, triangular pieces are laid on top of
notched bearers, and the space between them is filled with
gravel to act as a filter medium. In C, simple strips are used,
spaced closely enough to retain the average lump of solid. In
D, there is shown a method of constructing a cloth filter
bottom that is often convenient. Notched bearer strips are laid
on the bottom of the tank at intervals of a few inches. A band
and or hoop is fastened to the bottom of the tank from half an
inch to an inch inside the wall. The filter cloth is cut large so
that it lies over the space between this hoop and the side of
the tank and is then made tight by caulking a hemp rope into
the groove. In some cases, the rate of solution is sufficiently
higher so that one passage of the solvent down through the
material gives a satisfactory extraction. After a wash with
fresh solvent to remove adhering solution, the solid can be
discarded. Such tanks have often been built for manual
discharge, but it is more satisfactory to provide either side or
bottom doors through which the solid can be flushed with a
hose.
699
Fig. 13.4 Tank filter-bottom construction: (A) perforated
boards on bearers; (B) support for gravel filter; (C) support
for coarse material or filter cloth; and (D) method of securing
filter cloth.
700
and removed. Such a process is sometimes called the Shanks
process and was first applied to the leaching of black ash in
the LeBlanc soda process. An important representative at
present is the extraction process used in the Chilean nitrate
fields, although it is often used in many other cases, such as
the production of tanbark extracts and the leaching of copper
ores.
The Dorr classifier may be used for leaching granular
materials that are not fine enough to remain in suspension in
the solvent and that contain the solute in such a form that it
may be extracted by surface washing. When used for this
purpose, several decks in series are usually employed and the
solid and liquid flow in counter current.
701
Operations in this field can be visualized in terms of the
extraction of sugar from sugar beets and the extraction of oil
from oil-bearing seeds. In the case of sugar beets, when the
cossettes are kept as a fixed bed, the length of path of the
water over the cossettes must be so long that this produces a
considerable frictional resistance, and therefore the apparatus
is closed so that enough pressure can be developed to force
the liquid through this long column of chips. In the case of oil
seeds, the solvent is usually a volatile solvent and here again
the apparatus must be closed to prevent loss of solvent. The
equipment for the two kinds of work outlined above has
developed more or less empirically and consequently does not
seem to be at all uniform in design.
702
Fig. 13.5 is a diagrammatic illustration of the principle of a
diffusion battery. It will be discussed on the basis of the
extraction of beet chips, but the operation is the same on any
substance. For every vessel or cell, there is a heater, as the
diffusion process takes place more rapidly at higher
temperatures. In some cases, the heater may be dispensed
with and a simple pipe takes its place. Two main heaters are
necessary. One handles water and the other handles solution;
and for every cell, there must be three valves. In Fig. 13.5, the
valves that are open are shown as circles and the valves that
are closed are shown in solid black.
703
A vent at the top of this cell discharges air. When liquid
appears at this vent, the valves are quickly changed to the
position (Fig. 13.5B). Liquid now flows down through cell 3,
up through its heater, and out to the process. The operation
shown in Fig. 13.5B is continued until cell 1 is completely
extracted. By this time another cell to the right of those shown
has been filled; cell 1 is 18 dumped; water is introduced to
cell 2; and the process continued. In diffusion battery for beet
cossettes, there may be 10–15 cells. The actual arrangement
of a diffusion battery is shown in Fig. 13.6, in which the
valves and pipelines may be identified by reference to Fig.
13.5. Sometimes the cells are arranged in a circle. In case the
battery is built in a straight line to save floor space, there must
be a third pipeline, called return line, to carry solution from
one end of the battery to the other when the first and last cells
are in various intermediate positions.
704
Fig. 13.6 Diffusion battery.
705
Fig. 13.7 Bottom of diffusion cell.
706
Fig. 13.8 Silver continuous diffuser: (A), (A′), and (A″),
extraction troughs; (B) Conveyor for moving cossettes; (C)
Feed chute; (D) transfer wheel; and (E) transfer chute for
chips.
The figure shows only three units, but actually the battery
consists of 20–24 units arranged in two tiers, one above the
other. The battery consists essentially of a series of closed
troughs A, A′, A″, each provided with a helical screw B.
Cossettes are introduced into the battery through chute C and
are carried together with the liquid in the direction indicated
by the arrows. At the end of the first trough is a wheel D with
inclined perforated buckets on the inside. It is so arranged that
the screw B discharges the cossettes into this wheel, where
they are picked up by the buckets, drained free from juice,
lifted, and discharged through chute E, which takes them into
the second trough A. Here the helix carries them in the
opposite direction (i.e. towards the reader), discharges them
from this to another wheel, which in turn forwards them to
707
another trough A″, and so on until they are exhausted and
leave the battery.
The flow of liquid is not strictly counter current. Water is
introduced as shown into the first trough (A″) and flows with
the cossettes until they are discharged into the wheel. The
buckets on the wheel act as paddles and lift the liquid up over
a weir, from which it is discharged into the corresponding end
of trough A′ to flow towards the reader in parallel current
with the chips. Thus the flow through the Silver battery (as is
indicated by the arrows) is partly parallel current (through the
troughs) and partly counter current, in that the cossettes are
advanced from trough to trough in one direction while the
solution is advanced from trough to trough in the other
direction. The first few troughs in the series are steam
jacketed, so that the cossettes may be quickly heated to
diffusion temperature. The troughs are covered, not because
the liquid is under pressure, but simply for cleanliness. The
troughs are about 5 ft in diameter and 20 ft long, and the
wheels are about 12 ft in diameter.
Oil-Seed Extraction
The extraction of oil from oil-bearing seeds is a process of
relatively recent development, and the equipment has not yet
been standardized. A number of widely different types of
apparatus are found at present, and only experience will
decide which types will survive.
In the extraction of oil from oil seeds a certain amount of
preliminary treatment is necessary. The seeds must be
crushed to a certain extent (some seeds can be extracted
nearly whole), and the seeds may or may not first be
subjected to a pressing process to remove a part of the oil.
708
This is not only to lighten the load on the extraction
equipment. Pressed oil usually has different characteristics
than extracted oil and commands a different price. After
crushing (with or without pressing), the seeds have to be very
frequently steamed or pretreated in some manner to be
rendered more receptive to the extraction treatment. The seeds
are then usually flaked by running between two smooth
rollers. The type of flake produced (which, of course, varies
with the different seeds and with different methods of
milling) is extremely important in the operation of the
extractor, so that the mass of flakes in any given unit of the
extractor shall be porous enough to let the solvent drain
through and yet not so porous as to permit channelling that
would allow solvent to go through without properly extracting
the seeds.
Very little is known about the mechanism of the extraction
except that it is fairly certain that it is not a problem of the
diffusion of oil from the inside of oil-bearing cells into the
solvent, but rather probably a diffusion of oil out of, and of
solvent into, the many capillaries produced by the crushing
action. Even with the design of an extractor that has proven
successful in certain operations, variations in the behaviour of
different seeds, the different physical properties, and the
different amounts and purities of oils have so much effect on
the performance of the process that any transfer of a given
piece of equipment from one industry where it is successful to
another industry where it has not been used must be very
carefully investigated.
One type of extractor consists of a number of half-round
horizontal troughs side by side. Each trough has a set of
paddle wheels that lift the flakes from one compartment to the
next while solvent flows counter current. This has been used
709
in limited cases in the United States, particularly on flax seed
and cocoa beans.
Another method, widely used in Germany, depends on a
series of screw conveyors arranged in the general form of a
vertical U. Seeds are charged into one end of the U, conveyed
downwards by one screw conveyor, across the bottom by a
second, and up the other vertical leg by a third conveyor.
Solvent flows strictly in counter current. This has not been
accepted in the United States. Another design of extractors
consists essentially of a vertical column with a considerable
number of horizontal plates across the column. These plates
have apertures in varying positions so that the meal gradually
works down the column. Solvent is pumped up through the
column, and a central shaft, with scrapers or agitators on each
plate, keeps the flakes moving. There are at least three
modifications of this in use in the United States, differing
only in slight mechanical details. They are possibly more
limited in their application than the two types which will be
described next.
Basket Extractor
710
miscella. The word miscella is used in this particular industry
to designate the solution of oil in solvent.
At the top of their travel, the buckets are inverted, and the
exhausted meal is discharged into a chute E, from which it is
711
removed by a screw conveyor. The buckets then come under
a feed hopper and are filled with fresh meal by an
earnoperated device actuated by the buckets. As they descend
they are sprayed with the dilute solution near the top of the
column as at F, which then percolates down through the
buckets in the descending column and collects in the bottom
at G as the fully concentrated miscella, which is withdrawn
for further treatment. It will be noted that this operation is
partly counter current (in the ascending column of buckets)
and partly parallel current (in the descending column of
buckets). A truly counter-current operation would be highly
desirable, but it does not seem feasible to work out the
equipment of this type in which the operation is truly counter
current.
Rotocel Extractor
712
Fig. 13.10 Rotocel oil-seed extractor: (A) Feed opening; (B)
discharge opening; (C) hinged bottom of cells; (D) Stage
pumps; and (E) Sprays.
713
trichloroethylene, have been proposed, but in general the cost
of such solvents is too great to make them practical. Whether
the solvent be hexane or chlorinated solvent, the danger of
explosion or of excessive solvent loss makes it necessary that
the extractor be in a completely vapour-tight housing. This
complicates all problems of feed and discharge to a
considerable degree. The operation of Rotocel extractor is
diagramatically shown in Fig. 13.11.
714
materials, and therefore such methods as are to be described
may be employed for the leaching of ores or precipitates.
Typical processes are the extraction of gold by cyanide
solutions, the preparation of alum solutions from bauxite by
leaching with sulphuric acid, the leaching of caustic soda
from calcium carbonate precipitate and similar operations. All
the methods to be described under this heading originated in
the cyanide process for the extraction of gold and were long
used in that process before they were applied to other
chemical operations.
These extraction processes require only (1) an apparatus in
which the finely divided solid may be kept suspended in the
liquid, (2) apparatus for washing the solution from the surface
of the solid particles, and (3) apparatus for separating the
washed solids from the wash solution. The latter two steps are
usually (but not necessarily) accomplished in the same
apparatus. Any type of tank or other container provided with
agitators in the form of paddles, propellers, or air jets may be
employed for the solution stage. Only one special
construction has found sufficiently wide use to warrant
specific description.
715
as they rotate. The lower arms are usually hinged and
provided with means for lifting them from the bottom of the
tank when the power is interrupted, so that they may not be
blocked with settled material that would prevent their starting
again. Any type of agitator used for extraction may operate
either continuously or discontinuously. The simplest method
is to charge a batch of solid and solvent into the agitator,
agitate this batch until solution is complete, and then remove
the entire batch. In large-scale operations, it is more desirable
to operate continuously. In this case, the agitator is provided
with inlet and outlet pipes at opposite sides, as indicated in
Fig. 13.12.
716
and so on. In such cases, the desired material must not only be
put into solution but the solution must also be washed off the
solid. A second case is where there is no dissolving action to
be performed but a solid suspended in a solution must be
freed of that solution. This latter can sometimes be
accomplished by filtration alone but is also often handled by
processes discussed in this section. These processes may be
so incorporated in the equipment that it is impossible to say,
for any particular point in the system, whether the action is
solution or washing. This is particularly true with the
diffusion battery and the oil-seed extractors. In many cases a
chemical reaction produces a precipitate that must be washed
free from solution. In this case, there is no soluble constituent
of a solid to be dissolved. It is merely a case of decreasing the
concentration of the solute in the film of solution adhering to
the solid particles, and thus accomplishing a more or less
complete separation of the soluble and insoluble materials.
Such operations may be carried out by stirring up the
precipitate with solvent, allowing it to settle, draining off the
supernatant solution, and repeating the process as many times
as may be desirable.
This may be done with a fresh batch of solvent each time, or
it may be done in counter current, that is, fresh solvent may
be used only for the last wash on the precipitate that is about
to be discarded. The resultant solution is saved and used for
the next to the last wash on the next batch, and so on. On a
small scale, this operation may be carried out intermittently in
the same agitator tank that was used for the main extraction.
In large-scale operations, where it is desirable to operate
continuously, a modification of the apparatus is necessary and
the resulting system is known as counter-current decantation.
717
The Dorr Thickener
718
Moving-Bed Leaching
In the machines (Fig. 13.14), the solids are moved through the
solvent with little or no agitation. The Bollman extractor (Fig.
13.14) contains a bucket elevator in a closed casing. There are
perforations in the bottom of each bucket. At the top
right-hand corner of the machine, as shown in the drawing,
the buckets are loaded with flaky solids such as soybeans and
are sprayed with appropriate amounts of ‘half miscella’ as
they travel downwards. Half miscella is the intermediate
solvent containing some extracted oil and some small solid
particles. As solids and solvent flow concurrently down the
right-hand side of the machine, the solvent extracts more oil
from the beans. Simultaneously, the fine solids are filtered out
of the solvent, so that clean ‘full miscella’ may be pumped
from the right-hand sump at the bottom of the casing. As the
partially extracted beans rise through the left side of the
machine, a stream of pure solvent percolates countercurrently
through them. It collects in the left-hand sump and is pumped
to the half-miscella storage tank. Fully extracted beans are
dumped from the buckets at the top of the elevator into a
hopper, from which they are removed by paddle conveyors.
The capacity of typical units is 50–500 tons of beans per
24-hour day.
719
Fig. 13.14 Bollman extractor (front and side views).
720
Fig. 13.15 Hildebrandt extractor.
721
Thus, the production of bacitracin involves partitioning from
the bacterial growth medium into butanol (Inskeep et al.,
1951). To obtain a satisfactory distribution between solvents
it is necessary to select these so that there is as large a
difference as possible between the partition coefficients of the
various constituents of the crude extract. The distribution
between water and an organic solvent will depend on the
hydrophilic and hydrophobic groups present in the molecule,
and if the hydrophilic groups are ionizable, pH will be an
important factor (Newton & Abraham, 1950). If the ionization
constants of isomers are appreciably different, then separation
of these can be achieved (Walker, 1950).
The properties of a liquid–liquid interface affect the rate and
energy of mass transfer across it. Decreases in interfacial
tension in some cases greatly increase liquid–liquid extraction
rates (Chu et al. 1950). This may be due to an increase in
interfacial area permitted by the lower tension (Garner &
Skelland, 1956). West et al. (1952) suggest that impurities
adsorbed at the interface between immiscible solvents may
retard the transfer of solute. This may be overcome by the
addition of short-chain (C6)alcohols which replace the
impurities at the interface and destroy the interfacial barriers.
Oils
722
or no further processing. One other process of very limited
application is enfleurage, used to collect some perfume oils.
Expression
723
quality of the oil, as with castor and olive oils, the meats are
fed directly to the press.
A more complete extraction is, however, achieved by using
hot expression. The meats, containing a controlled amount of
moisture, are first cooked in order to coagulate protein and
phosphatides and to rupture the cellular tissue, thereby
making the oil more readily available. Most of the moisture is
then removed by evaporation and the dried cooked meats are
fed to the press while still hot.
Storage of seeds, particularly if they are moist, leads to
fermentation. This, together with cooking, tends to increase
the fatty acid content of the expressed oil. Hot pressing may
also impair the flavour and colour by increasing the amount
of aldehydes, ketones and colouring matter, owing to their
higher oil solubility at elevated temperatures. The stability of
the oil may by be diminished, since the higher temperatures
may affect the natural antioxidants, initiate autoxidation, or
increase the proportion of substances which accelerate
fermentation.
The oil that flows from the press will still contain some solids
even though the meat has been cooked to coagulate proteins
and phospholipids. These solids, known as ‘foots’, are
allowed to settle and are removed by filtration.
Solvent Extraction
724
of the residual oil and enable solvent to be more readily
removed from the meal.
Both maceration (‘immersion type’) and percolation
processes are used; various types of extractors have been
described by Karnofsky (1949b). Percolation requires a
porous bed and carefully prepared flakes, but has the
advantage over immersion– extraction of producing clear
miscella by the filtering action of the solids and in permitting
adequate drainage of miscella within the flakes. In order to
achieve a continuous maceration process, a
filtration–extraction technique is commonly employed.
Reynolds and Youngs (1964) cite a number of references to
the
processing of various seeds by this technique. For example,
cottonseed flakes are mixed with hexane, agitated, and the
oil-laden solvent is removed using a horizontal rotary vacuum
filter. The cake may then be washed by more solvent and the
washings used to process fresh feed (D’Aquin et al., 1953).
The quality of the oil and the residual cake will depend to a
large extent upon the type of solvent chosen. Solvents suitable
for glycerides include the straight-chain hydrocarbons.
Pentane has too low a boiling point but hexane can be readily
condensed and, being plentiful and cheap, is widely used.
Where an elevated temperature is necessary in order to
increase oil solubility, heptane may be suitable.
Trichloroethylene is also used, but while it is stable and
noninflammable, it has a high specific gravity making it
difficult to separate from solids, and it is toxic and may
sometimes extract unwanted constituents. Aromatic
hydrocarbons are not generally used because they extract too
much colour and yield dark oils. Water-miscible solvents
such as alcohols and ketones have the disadvantage that traces
of water reduce their limited solvent powers for the oil and
725
increase the extraction of water-soluble constituents such as
sugars. Their use does, however, assist in the refining of the
oil (Parkin, 1950).
Clarification of the miscella, which may contain up to 30 per
cent oil is achieved by straining or filtration, or by
centrifugation if a finely ground material was extracted by
immersion. The solvent may then be removed by passage
through a series of evaporators operating at atmospheric or
reduced pressure (Hutchins, 1968). Removal of the last traces
of solvent is achieved by steaming followed by vacuum
drying and rapid cooling before contact with air.
Refining
726
dehydrating the oil–soap mixture, followed by careful
rehydration just sufficient to cause the soap stock to break out
from the oil without forming an emulsion or entraining too
much oil. Although arachis oil may need no further alkali
treatment, cotton and linseed oils require further refining with
caustic soda in order to remove pigments (Thurman, 1949).
Bleaching may also be accomplished by treating the hot oil
with a suitable adsorbent such as Fuller’s earth, kieselguhr or
charcoal (Baldwin, 1949; Crossley et al., 1962).
An oil processed in the above manner may still not be
properly bland and a deodorization process may be necessary.
This consists essentially of fractional distillation of the minute
amounts of odoriferous materials from the oil with the
minimum of injury to the oil itself. Volatile constituents such
as peroxides and aldehydes are removed by heating the oil to
about 230° in a tank operating at only a few mmHg and
injecting steam-free air or oxygen. Rapid cooling before
contact with air is necessary in order to prevent deterioration
of the oil.
Traces of metallic soaps formed from processing equipment
can cause rapid deterioration of oils, but the soaps may be
inactivated by residual amounts of phosphatides in the oil.
Naturally occurring antioxidants include the tocopherols,
while the addition of butylated hydroxyanisole and butylated
hydroxytoluene is also permitted. Antioxidants suitable for
highly unsaturated oils are reviewed by Thompson and
Sherwin (1966).
Animal Oils
727
Dormitzer, 1956). This process consists essentially of freeing
the oil by careful heating of the tissue, either under vacuum or
by treatment with live steam or warm alkali. The production
of fish liver oils also involves such treatment.
A good-quality cod liver oil is obtained by ‘cooking’ the fresh
livers with low pressure steam at a temperature not exceeding
85°C. After allowing separation to take place, the oil is
removed from the water, refined, and chilled to remove high
melting point components. The use of high temperatures is
desirable since this destroys lipase. Halibut liver oil may be
obtained by treatment of the livers with weak alkali. This
process may remove some of the natural antioxidants from
the oil, but the vitamin A stability does not seem to be
impaired (Hartman, 1950).
Volatile Oils
728
Alternatively, a process of limited application known as
enfleurage, involves the natural volatility of oils at ambient
temperatures (Trease & Evans, 1966).
Steam Distillation
729
Extraction of other proteins and polypeptides prior to their
purification generally involves mincing the animal tissue with
a suitable solvent followed by filtration. The choice of solvent
depends largely upon the physicochemical nature of the
extractive and the need to reduce the loss of active principle
by denaturation or hydrolysis to a minimum. For example,
insulin is extracted using cold acid alcohol, the alcohol
content, after addition to the minced pancreas, being about 60
per cent. Use of a stronger alcohol would render the insulin
insoluble.
Isolation and purification of a particular protein or
polypeptide involves adjustment of the physicochemical
conditions of the crude solution in order to precipitate the
active principle while keeping impurities in solution. The
solubility of a protein depends upon its molecular weight and
conformation, the presence of other proteins, the ionic
strength, temperature, pH and the proportion of
water-miscible nonsolvent such as alcohol or acetone which
may be present. Further, susceptibility to solvent precipitation
is greatest at the isoelectric point, which varies from one
protein to another according to the amino acid composition.
Careful control of the conditions may therefore be used for
the precipitation of proteins. These can then be redissolved in
aqueous buffer and reprecipitated to achieve greater
purification. By using different solvents at successive stages,
a variety of impurities can be removed and finally different
protein components themselves can be separated. A good
example of this is the fractionation of plasma proteins.
Careful adjustment of the ethanol or ether concentration, pH,
temperature and ionic strength, enables crude separation into
several main fractions, which are then further purified by
altering the conditions of precipitation (Nance, 1950; Revol,
1956). By using aseptic precautions, commercial quantities of
730
purified fibrinogen, thrombin, albumin and various globulin
fractions may be obtained in solution, which may be used as
such or may be freeze dried.
The hydration of proteins is also affected by the addition of
electrolytes, which compete for the water of hydration. Since
the susceptibility to precipitation varies with different
proteins, salting out with ammonium sulphate is commonly
used. Such a procedure is employed to purify and concentrate
the specific tuberculoprotein produced in the culture medium
of the tubercle bacillus. The precipitated protein is then
separated, dialysed and redissolved in an aqueous solution of
suitable pH. Addition of graded amounts of ammonium
sulphate to blood plasma can also be used to effect a crude
separation of various proteins, particularly the globulin
fraction with which antibodies are associated.
The formation of insoluble complexes with heavy metal ions,
or with compounds such as Reinecke salt, picric acid, or
trichloroacetic acid, is also used in the purification of
polypeptides. Picrate precipitation, for example, is used in the
isolation of insulin, subsequent crystallization being
accomplished by the use of zinc chloride. Occasionally,
highly specific reactions are possible. Thus correct admixture
of a solution of a bacterial toxin with the appropriate antitoxin
will precipitate the toxin–antitoxin complex. This affords a
highly selective means of purification.
731
and rapid. In extraction, however, the two phases have
comparable densities, so that the energy available for mixing
and separation—if gravity flow is used—is small, much
smaller than when one phase is a liquid and the other is a gas.
The two phases are often hard to mix and harder to separate.
The viscosities of both phases, also, are relatively high, and
linear velocities through most extraction equipment are low.
In some types of extractors, therefore, energy for mixing and
separation is supplied mechanically.
Extraction equipment may be operated batchwise or
continuously. A quantity of feed liquid may be mixed with a
quantity of solvent in an agitated vessel, after which the
layers are settled and separated into extract and raffinate. This
gives about one theoretical contact, which is adequate in
simple extractions. The operation may of course be repeated
if more than one contact is required, but when the quantities
involved are large and several contacts are needed, continuous
flow becomes economical. Most extraction equipment is
continuous, with either successive stage contacts or
differential contacts. Representative types are mixer settlers,
vertical towers of various kinds which operate by gravity
flow, agitated tower extractors and centrifugal extractors.
Mixer Settlers
The mixer and settler may be the same unit for batchwise
extraction. A tank containing a turbine or propeller agitator is
most common. At the end of the mixing cycle the agitator is
shut off, the layers allowed to separate by gravity, and extract
and raffinate drawn off to separate receivers through a bottom
drain line carrying a sight glass. The mixing and settling
times required for a given extraction can be determined only
732
by experiment; 5min for mixing and 20min for settling are
typical, but both shorter and much longer times are common.
The mixer and settler must be separate pieces of equipment
(Fig 13.16A) for continuous flow. The mixer may be a small
agitated tank provided with inlets and a draw-off line and
baffles to prevent short circuiting; or it may be a centrifugal
pump or other flow mixer. The liquids which emulsify easily
and which have nearly the same density it may be necessary
to pass the mixer discharge through a screen or pad of glass
fibre to coalesce the droplets of the dispersed phase before
gravity settling is feasible. For even more difficult separations
tubular or disc-type centrifuges are employed. If, as is usual,
several contact stages are required, a train of mixer settlers is
operated with countercurrent flow, as shown in Fig. 13.16B.
The raffinate from each settler becomes the feed to the next
mixer, where it meets intermediate extract or fresh solvent.
733
Fig. 13.16 (A) Single-stage mixer-settler extractor; (B)
diagram of a three-stage countercurrent mixer-settler
extractor.
734
through the tower. At any given level, of course, equilibrium
is not reached; indeed, it is the departure from equilibrium
that provides the driving force for material transfer. By using
a tall tower, however, a number of ideal contacts can
theoretically be obtained. In actual spray towers the contact
between the drops and continuous phase is not highly
effective except where the drops are initially dispersed. As
much as 40–45 per cent of the total transfer may occur at the
point of dispersion. Thus while spray towers are simple to
build and easy to operate, they are not highly effective.
Adding more height does not always help much; it is much
more effective to redisperse the drops at frequent intervals
throughout the tower. This may be done by filling the tower
with packing, such as rings, saddles, crushed coke, or wood
grids. The packing causes the drops to coalesce and re-form
and, appreciably increases the effectiveness of the tower.
Packed towers approach spray towers in simplicity, and can
be made to handle almost any problem of corrosion or
pressure at a reasonable cost. Their chief disadvantage is that
solids tend to collect in the packing and cause channelling.
Perforated-Plate Towers
735
in Fig. 13.17B, with the perforations in vertical sections of the
tray. In this design the light liquid jets horizontally into the
continuous phase.
Baffle Towers
736
contains scrapers to remove deposited solids from the baffles.
Because the flow of liquid is smooth and even, with no sharp
changes in velocity or direction, baffle towers are valuable for
liquids that emulsify easily. For the same reason, however,
they are not effective mixers, and each baffle is equivalent to
only 0.05–0.1 ideal stage.
737
coalescence and separation of the phases. Most of the
extraction takes place in the mixing sections, but some also
occurs in the calming sections, so that the efficiency of each
mixer-settler unit is sometimes greater than 100 per cent.
Typically each mixer settler is 1–2 ft high, which means that
several theoretical contacts can be provided in a reasonably
short column. The problem of maintaining the internal
moving parts, however, particularly where the liquids are
corrosive, may be a serious disadvantage.
Pulse Columns
738
channelling, and the contact between the phases is greatly
improved. In sieve-plate pulse towers, the holes are smaller
than in nonpulsing towers; they range from 1/16 to 1/8 inch in
diameter, with a total open area in each plate 6–23 per cent of
the cross-sectional area of the tower. No downcomers are
used. Ideally the pulsation causes light liquid to be dispersed
into the heavy phase on the upward stroke and the heavy
phase to jet into the light phase on the downward stroke.
Under these conditions the stage efficiency may reach up to
70 per cent. This is possible, however, only when the volumes
of the two phases are nearly the same and where there is
almost no volume change during extraction. In the more usual
case the successive dispersions are less effective, and there is
back mixing of one phase in one direction. The plate
efficiency then drops to about 30 per cent. Nevertheless, in
both
packed and sieve-plate pulse columns, the height required for
a given number of transfer units or theoretical contacts is
often less than one-third that required in an unpulsed column.
739
Centrifugal Extractors
740
Fig. 13.21 Podbielniak centrifugal extractor, featuring low
residence time of liquid.
741
between the lighter and heavier liquids is controlled by
regulation of the discharge pressure of the lighter liquid. If
either liquid contains suspended solids; they may have to be
washed out by a stream of wash water, which is introduced at
Q and after passing down through the plates, leaves by the
same channels J as the lighter liquid. A number of
connections R are provided as cleanouts, but they are
normally closed at the outside with tight-fitting plugs.
742
into which the various connections E, K, L, P, and Q are
made. The stationary members T with their various pipe
connections are sealed to the rotating member by mechanical
running seals at V, whose detailed construction is not shown.
The rotating member may be from 4 in to 1 ft wide and from
18 in to 3 ft in diameter. The contact between the two liquids
is intimate, so that extraction of a soluble constituent from
one liquid into the other is quite complete. One great
advantage of the equipment is that the residence time of the
liquids is short (a matter of a few seconds), and this has made
possible extraction of unstable substances.
Auxiliary Equipment
743
either by extraction or distillation, economic considerations
usually favour distillation. Extraction provides a solution to
problems that cannot be solved by distillation alone but does
not usually eliminate the need for distillation or evaporation
in some part of the separation system.
References
744
D’Aquin EL, Vix HLE, Spadaro JJ, Graci AV, Evaves PH,
Retuther CG, Molaison LJ, McCourtney EJ, Crovetto AJ,
Gastrock EA. Ind. Engg. Chem. 1953;45:247.
Dormitzer HC. J. Am. Oil Chem. Soc. 1956;33:471.
Dunning JW. J. Am. Oil Chem. Soc. 1950;27:446.
Dunning JW. J. Am. Oil Chem. Soc. 1956;33:462.
Fairbairn JW, Simic S. J. Pharm. Pharmacol. 1970;22:778.
Garner FH, Skelland AHP. Ind. Engg. Chem. 1956;48:51.
Hartman L. J. Am. Oil Chem. Soc. 1950;27:409.
Helman J. J. Pharm. Sci. 1969;58:1085.
Hutchins RP. J. Am. Oil Chem. Soc. 1949;26:559.
Hutchins RP. J. Am. Oil Chem. Soc. 1968;45:624A.
Inskeep GC, Bennett RE, Dudley JF, Shepard MW. Ind.
Engg. Chem. 1951;43:1488.
Judah MA, Burdick EM, Carroll RG. Ind. Engg. Chem.
1954;46:2262.
Karnofsky G. J. Am. Oil Chem. Soc. 1949;26:564.
Karnofsky G. J. Am. Oil Chem. Soc. 1949;26:570.
Nance M. J. Pharm. Pharmacol. 1950;2:273.
Newton CGF, Abraham EP. Biochem. J. 1950;47:257.
Oakley JH, Stuckey RE. J. Pharm. Pharmacol. 1949;1:714.
Othmer DF, Agarwal JC. Chem. Engg. Prog. 1955;51:372.
Othmer DF, Jaatinen WA. Ind. Engg. Chem. 1959;51:543.
Parkin FP. J. Am. Oil Chem. Soc. 1950;27:451.
Peck WC. Q. Jl Pharm. Pharmacol. 1936;9:401.
Pirie NM. In: Paech K, Tracey MV, eds. Modern Methods of
Plant Analysis.1. Berlin: Springer-Verlag; 1956:26.
Placek C, Bavisotto VS, Jadd EC. Ind. Engg. Chem.
1960;52:2.
Revol LA. J. Pharm. Pharmacol. 1956;8:84.
Reynolds JR, Youngs CG. J. Am. Oil Chem. Soc. 1964;41:63.
Rini SJ. J. Am. Oil Chem. Soc. 1960;37:512.
Sergeant GA. J. Pharm. Pharmacol. 1950;2:434.
745
Srivastava GP, Chadha TN. J. Pharm. Sci. 1963;52:299.
Svoboda GH, Shahovskoy GS. J. Am. Pharm. Ass. (Sci. Edn).
1953;42:729.
Thompson D, Sutherland DG. Ind. Engg. Chem.
1955;47:1167.
Thompson JW, Sherwin ER. J. Am. Oil Chem. Soc.
1966;43:683.
Thurman BH. J. Am. Oil Chem. Soc. 1949;26:580.
Trease GE, Evans WC. 9th A Textbook of Pharmacology.
London: Bailliere, Tindall & Cassell; 1966.
Vibrans FC. J. Am. Oil Chem. Soc. 1966;26:575.
Walker CA. Ind. Engg. Chem. 1950;42:1226.
Ward AG, Saunders PR. In: Eirich FR, ed. Rheology. Theory
and Applications.2. New York: Academic Press; 1958:313.
West FB, Herrman AJ, Chong AT, Thomas LEK. Ind. Engg.
Chem. 1952;44:625.
Witt JA, Jirawongse V, Youngken HW. J. Am. Pharm. Ass.
(Sci. Edn). 1953;42:63.
746
Chapter 14
Drying
In the preparation of medicinal chemicals, drying is usually
the final stage of processing and is designed to yield a stable
homogeneous product which is easy to manipulate in
subsequent operations of packing or formulating. In some
cases, this involves converting a wet filter cake into a
free-flowing solid; in others, such as spray drying or drum
drying, a solution is both evaporated and dried in a single
operation. Vegetable drugs are dried prior to extraction, partly
in order to avoid deterioration on storage and transport and
partly to facilitate grinding. Drying is also an important stage
in some formulating operations, notably during tabletting by
‘wet granulation’. Various methods and equipments are
available, the choice being dependent on such factors as listed
below:
1. The heat sensitivity of the product
2. Its physical characteristics prior to drying
3. The nature of the solvent to be removed
4. The need for asepsis
5. The scale of operating
6. available sources of heat
Theory
When a material is exposed to air a definite temperature and
humidity, it will either gain or lose moisture until an
equilibrium is established. The moisture content at
equilibrium varies with the nature of the material and with the
747
temperature and humidity of the air. Thus, starch exposed to
air at a relative humidity of, say, 60 per cent at room
temperature, may contain at equilibrium up to 15 per cent of
water. Conversely, a nonporous insoluble solid such as talc
has a very low equilibrium moisture content at all
temperatures and humidities. It is possible to distinguish
progressive stages in the drying of moist material. Consider
for example, a slab of material of sufficiently high moisture
content so that its surface is wet. In contact with a current of
warm air, superficial water diffuses through the surrounding
stationary air film and is carried away rapidly by the moving
air stream. The rate of evaporation is determined by the
temperature and the humidity of the air when the air is
moving at constant velocity. Provided that water can move
freely from the interior of the slab to the surface to replace
that lost by evaporation, the rate of evaporation proceeds at a
constant rate as shown by the line AB in Fig. 14.1. At this
stage, the rate of drying is controlled by the rate at which the
vapour can diffuse through the surface air film. As drying
continues, the surface is no longer completely wetted and the
drying rate falls; line BC represents this ‘falling-rate period’
which will vary according to the thickness of the slab. The
limiting factor is now the rate of movement of water from the
interior to the surface; water molecules may diffuse through
the solid or capillary forces may be responsible for this
movement. The point B at which the falling rate occurs is
known as the critical moisture content. As drying proceeds
further, the curve eventually approaches zero rate at point C,
which corresponds to the water content in equilibrium with
the air. Thus, in order to dry a material, two processes are
necessary; firstly, heat must be supplied to provide the latent
heat of vaporization, and secondly, the liberated vapour must
be removed, generally by a moving air stream. The rate of
748
mass transfer of water from the solid to the moving air during
the constant-rate period is directly proportional to the
difference between the humidity of the air at the liquid
surface of the solid and the bulk of the air, and the area of
surface exposed to the air. Thus, the rate of mass transfer =
A(H – h) K, where A = area of interface, H = humidity of
saturated air, h = humidity of air stream, K = mass transfer
coefficient.
The rate of heat transfer from the air to the wet solid can be
expressed as follows:
Rate of heat transfer = UAΔt, where U = overall coefficient of
heat transfer, Δt = temperature difference between the air and
surface of the solid.
Combining these equations for rates of mass transfer and heat
transfer, the following expression is obtained:
UAΔt = A(H − h)KL
where L = latent heat of vaporization, then:
749
During the constant-rate period, the surface of the material
resembles a wet bulb hygrometer since heat transferred from
the warm air is used to evaporate water at the temperature of
the surface of the slab. During the falling-rate period, the
amount of heat input is unchanged, but, since the rate of
evaporation is less, the temperature at the surface rises and
care must be taken with thermolabile materials to avoid
decomposition. Air velocity cannot affect the rate of drying in
this falling-rate period. During the constant-rate period, the
thickness of the surface air film will influence the rate of
diffusion of vapour through it; high air velocities will reduce
this film thickness and increase the rate of drying.
Equipments
All drying processes involve evaporation; of the solvent by
heat, but the design of equipment varies considerably
according to the way in which the heat is applied. For
efficient working, it is necessary to establish a balance
between (1) removal of solvent vapour from dryer, (2)
evaporation of solvent from the exposed surface and (3)
diffusion of remaining solvent to the surface. Equipment may
be described according to whether it is designed to cope with
damp solids or with slurries and solutions.
Damp Solids
750
The Tray Dryer
751
In order to appreciate the relationship between temperature
and drying conditions in the dryer under ideal conditions it is
necessary to consider some of the basic concepts of humidity,
and the terms that are commonly used will first be defined.
Absolute humidity is the weight of water vapour present in
unit volume or unit mass of moist air.
Relative humidity is the ratio of the actual vapour pressure to
the saturation pressure at the same temperature and usually
expressed as a percentage.
Dew point is the temperature at which the saturation vapour
pressure equals the actual (partial) pressure of the water
vapour in the air.
Wet bulb temperature is the dynamic equilibrium temperature
attained by a water surface when exposed to air under
adiabatic conditions so that the sensible heat transferred from
the gas to the liquid is equal to the latent heat of evaporation
of the liquid. The rate at which the temperature is reached
depends upon the initial temperatures and the gas flow rate.
The wet bulb temperature is the same as the adiabatic
saturation temperature.
The relations between absolute humidity and temperature
under equilibrium conditions can be seen in Fig. 14.3, which
represents a section of a humidity chart. The 100 per cent
relative humidity is the ‘saturation curve’ and represents the
humidity– temperature relation for saturated air, and is
equivalent to the
wet bulb temperature plotted against absolute humidity. The
group of lines to the right of this curve are the adiabatic
cooling lines. These serve two very useful purposes. Firstly
they can be used to determine humidity from a knowledge of
wet bulb and dry bulb temperatures. From a point on the
saturation curve corresponding to the wet bulb temperature
one follows the adiabatic cooling line until the coordinate
752
corresponding to the dry bulb temperature is reached, at
which point the absolute humidity is read off from the scale
on the left. Secondly, the adiabatic cooling lines show the
change in humidity in drying under adiabatic conditions. If
the humidity of the air in contact with the damp solid is
shown by point Z in Fig. 14.3 and this air is then heated to
point X the passage of air over the damp solid follows the
adiabatic cooling line to meet point Y.
753
adiabatic cooling line BC represents the condition of the air
during this process. The air is reheated, represented by line
CD, and passes over the second tray resulting in a further pick
up of moisture leading to point E. A further cycle of heating
and passage leads to point G. The original air humidity H1
has thus been increased to H2 after a total of three air
circulations. If the dryer operated on a single passage of air,
and the same amount of drying was to be achieved, the
temperature of the inlet air would need to be raised to t2. HG
is the adiabatic cooling line. The recirculation method thus
has two obvious advantages:
1. Given weight of air takes up more water than is possible in
a single pass.
2. Drying air of lower temperature can be used to obtain the
same reduction of moisture.
754
Vacuum drying may be performed in ovens in which a
quantity of material is spread on trays placed on steam-heated
shelves in an oven which can be evacuated. The
disadvantages are (1) that even though most materials swell
and dry as a friable mass, a grinding process is necessary to
get a powdered product; (2) the danger of finely powdered
material being drawn off by the vacuum pump is
considerable, and filters that require frequent cleaning have to
be provided; and (3) the material is subjected to heat for the
period required to dry the whole. If the shelves of the oven
are steam heated, they will be at a temperature of 100–110°C,
or even more, depending on the steam pressure. While the
material is wet it will not much exceed the temperature of the
boiling point of water at the reduced pressure of the oven, but
as the moisture is evaporated and the absorption of heat, as
latent heat of vaporization, no longer keeps the temperature
down, there will be nothing to prevent the material reaching
the same temperature as that of the shelves. This may not
matter in some cases, and as a general rule it is less
objectionable for the material to reach this temperature when
dry. If there is a real objection to the material being so heated,
a source of heat of lower temperature must be used. Hot water
circulation can be used, but special precautions must be taken
to see that the flow of water is arranged evenly through all the
shelves of the oven, and that sufficient water is circulated to
supply the necessary amount of heat at the lower temperature.
As there is very little air present in these ovens, transmission
by air convection between the shelf and the product is
practically nonexistent. Most of the heat passes by
direct-contact conduction between the tray and the shelf and
to a less extent by radiation, although radiation will be small
if low temperature heating is used. Early types of vacuum
ovens had shelves consisting of a tube bent in the form of a
755
grid; on such a shelf the trays are only in contact along the
lines of the pipe, a very small part of their area. Modern ovens
have flat steam shelves in which steam is admitted to a space
between the upper and lower surfaces of the shelf. The
bottom of the tray is in contact with the shelf over its whole
surface so that heat transmission by conduction is greatly
improved. Trays on such shelves should be carefully handled
in order to prevent denting of the under surface. The degree of
‘vacuum’ (i.e. the reduction in pressure) is usually shown on a
gauge of the Bourdon type graduated in inches of mercury,
reading from 0 to 30; a reading of 27 or 28 is quite good for
ordinary practice. The ‘vacuum’ as shown on the gauge is not
always strictly accurate; the reading will be affected by the
externally, barometric pressure. When the barometric pressure
is high a much better ‘vacuum’ will be shown on the gauge
than when it is low. The actual pressure inside the apparatus
is unaffected by external changes in atmospheric pressure and
is given by the difference between the external barometric
pressure and the reading on the gauge.
756
way, the product may make as many as five successive
passages along the tunnel before it is discharged (Fig 14.5).
757
Fig 14.6 Rotary dryer
758
tumbling action maintains a uniform temperature in the batch
and avoids prolonged contact with the hot surfaces.
Infrared Heating
759
bicarbonate, for example, can be heated to 50°C at the rate of
750kg/h, with a consumption of 12 kW. Among the
advantages of this type of plant, the author lists (1) ease of
control (both of heat and flow of material), (2) small space
requirements, and (3) suitability for connection to a
continuous-flow system in which materials are fed from
storage bins dried, cooled, weighed and mixed continuously.
Fowler (1952) gives an account of the pharmaceutical uses of
infrared heating and concludes that drying by this method
appears to be satisfactory for certain types of pharmaceutical
preparations when using a peak wavelength of about 3.9μm.
The method was used successfully, with shorter drying times,
for fresh drugs, granular preparations, wet precipitates and
lozenges. The author found infrared heating unsuitable for
extracts and soft pastille masses. The report suggests that the
method does not harm the majority of substances commonly
used in tablets and that it appears to offer a means of drying
tablet granules quickly.
760
bed becomes at a certain point equal to the net effective
weight of the solid per unit area and the bed begins to expand.
Further increase beyond this point known as ‘onset of
fluidization’, where the particles are supported by the air,
causes rapid expansion of the bed and particles begin to show
turbulent motion. The particles are not in direct contact with
each other and efficient heat exchange occurs between the
particles and the flowing air, the moist air being carried away
rapidly (Fig 14.8). The drying cycle of tablet granules can be
as little as 30 minutes compared with the 24-hour cycle of
conventional tray dryers. The intense agitation of the granules
may cause attrition but the use of suitable binders for making
the granules can overcome this. Many organic powders
develop electrostatic charges during the fluidization
particularly near the end of the drying process so that efficient
electrical earthing of the drying chamber and the cloth filters
is necessary. Machines are available with capacities from a
few kilogrammes to several hundred kilogrammes. The floor
space for a given capacity is small compared with a tray
dryer.
761
Fig 14.7 Fluidized bed dryer
762
Slurries or Solutions
763
temperature of the droplets low, allowing high air
temperatures to be used. The important steps in the spray
drying operation are the atomization of the liquid, the drying
process and the recovery of the product. Atomization may be
achieved by a centrifugal disc atomizer or a pressure type
nozzle. The former has the advantage of high capacity and has
little tendency to clog. In general, nozzle atomization
produces larger particles.
A laboratory model Niro Spray Dryer is shown
diagrammatically in Fig. 14.9. Air is drawn through the
electric (or gas) heater a by means of A fan B, and is heated
to a maximum of 350°C. The liquid is fed by gravity to the
atomizer D, the disc of which is driven by an air turbine and
spins at 35,000 rev/min (max). The sprayed droplets come
into contact with the hot air introduced just below the disc at
C. The droplets rapidly evaporate as they are carried in the
eddy currents in the drying chamber E. The dry powder is
separated from the exhaust gas in the cyclone separator F, and
is discharged into container G. Inlet and outlet temperatures
are controlled by the heater A and also by the valve H which
controls the flow rate of air. The evaporative capacity is from
1 to 6.5 litres of water per hour depending on drying
temperatures applied. Too high a temperature can result in
drying and case hardening of the outer surface of the droplet
before the liquid in the interior has evaporated. Under these
circumstances, the rapid heat transfer causes the liquid in the
particle interior to vaporize, causing the outer shell to expand
forming a hollow sphere. Sometimes the rate of vapour
generation is sufficient to disrupt the particle. The particle
size of the product depends on the solids content, liquid
viscosity, feed rate and disc speed of the atomizer.
764
Fig 14.9 Spray dryer
765
Freeze Drying
766
Fig 14.10 Solid–liquid–vapour equilibria (atmospheric
pressure). The figure is not to scale.
767
latent heat of evaporation of ice (approximately 2.9MJ/kg
over the range –30 to 0°C).
The principles outlined above have been restricted to the
simplest case where ice is sublimed in the absence of any
dissolved solid. When a solution of solids is dried, the
depression of freezing point of water by the solutes must be
considered. It is essential that the temperature is brought
below the eutectic point so that no liquid phase is present.
Failure to achieve a sufficiently low temperature would result
in severe frothing of the product under high vacuum.
Greaves (1946) has emphasized that the rate of drying (dr)
depends solely on the rate at which heat can be supplied to the
material. The factors that limit this rate include (1)
maintenance of low condenser temperature, (2) the rate of
heat transfer through the frozen material and (3) the highest
safe temperature at which the material can be dried. Since the
vaporization of ice can only occur at the surface, it is
necessary to expose a large surface area to the source of heat.
When large volumes are to be dried, rotation of the vessel
during the freezing stage has been used to get a frozen layer
around the periphery of the vessel. For efficient vapour flow
to the condenser, the freeze-drying apparatus should be so
designed and operated that the water vapour is not obstructed
by high partial pressure of noncondensable gases (i.e. should
be leak free) or by long narrow paths that arise from badly
designed manifolds or the use of narrow-necked vials.
Greaves (1946) reported the following conditions for the
production of dried plasma: condenser temperature –40°C
(equivalent to vapour pressure of 0.1mm) and drying
temperature of the frozen serum –21°C (equivalent to vapour
pressure of 0.7mm). The pressure difference is 0.6mm and
this results in rapid evaporation. The freeze drying of
biological materials has been reviewed by Davies (1968).
768
It is impossible to remove all traces of moisture under
conditions of freeze drying alone. Lowering the condenser
temperature will result in lower moisture content of the
sample, but there are obvious limits to their values. Under the
conditions stated by Greaves, the freeze-dried serum contains
a minimum of 5mg of water per g of dried serum. This is
reduced by 3–4 days’ exposure to phosphorous pentoxide.
A freeze-dried powder differs considerably in physical
properties from a solid prepared by evaporation of a liquid
under reduced pressure or by spray or roller drying (p. 220).
This is readily seen by comparing samples of human serum
dried by different methods. If water is removed by distillation
under reduced pressure, there is a general concentration of the
solution of the serum solids into a glue-like scale, which
ultimately contains 5–10 per cent of moisture. This scale is
not completely soluble in water, which indicates some
denaturation
of the proteins. Spray-dried plasma also shows evidence of
slight denaturation; here again the solution passes through
similar stages of concentration during evaporation but over a
much shorter interval of time. In freeze drying, evaporation
takes place from the solidified solution; no concentration
occurs and the evaporated solid occupies practically the same
volume as that of the original frozen solution. In these
circumstances no denaturation of plasma proteins occurs.
Similar conditions are obtained in freeze drying of penicillin.
The production of freeze-dried material may be considered in
three stages: primary drying, secondary drying and
packaging.
Primary drying removes about 99% moisture from the sample
while secondary drying can remove last traces of moisture
present in the sample, which remains after primary drying
769
(i.e. 0.5–1%). The secondary drying is the ordinary vacuum
drying process.
Primary drying: It involves freezing, vacuum, primary drying
(evaporation) and vapour removal.
1. Freezing: There are a number of methods involved in
effecting freezing. The freezing method which is used should
produce large surface area.
a. Preliminary freezing. The definite quantity of solution of
the material is introduced into a final containers. The covered
containers are first cooled to 2°C in the cold room and then
transferred to the deep-freeze cabinet, where they are rapidly
cooled to –50°C. The more rapid the rate of freezing, the
smaller the crystals and the more amorphous and more readily
soluble is the final product. The frozen containers are then
loaded into the vacuum desiccators.
b. High-speed vertical-spin freezing. Greaves (1942)
introduced this method of drying of serum or plasma. The
bottles containing the plasma are spun on their vertical axes at
750–1000 rev/min. The liquid is thereby distributed uniformly
inside the bottle, round the periphery, leaving a conical air
space in the centre reaching to the bottom of the bottle. The
liquid after super cooling freezes suddenly in this position,
giving small crystals and a very soluble product. If this is
done in the vacuum chamber, frothing is avoided and both
evaporation and freezing occur. Thus prefreezing is abolished
and the freezing becomes the first stage of the drying process.
Small ice crystals are preferred for products such as blood and
blood plasma.
The shelf freezing is another method where solution can be
frozen in the dryer of shelf and is used with trays of bulk
materials or for small containers such as antibiotic vials. It is
convenient and reduces handling, while the squat drying of
the vials gives a reasonable surface area.
770
The centrifugal evaporation freezing method can also be used
for freezing the sample. It freezes liquids in small containers
without refrigeration. Vacuum is applied to liquid system,
when boiling occurs, but foaming is prevented by spinning
the containers in a centrifuge. Rapid vaporization under the
low pressure removes so much heat as latent heat of
evaporation that the liquid freezes, and about 20% of the
water is removed before freeze drying, as such, begins. The
advantage of this method is that it shortens the primary drying
stage, simultaneously obviating the need for refrigeration.
Ampoules are usually frozen in this way, a number being
spun in a vertical position in a special centrifuge head so that
the liquid is thrown outwards and freezes in a wedge shape.
2. Vacuum evaporation: The pressure in the container is
reduced sufficiently below to the triple point using efficient
vacuum pumps, usually two-stage rotary pumps on the small
scale and ejector pumps on the large scale. The maintenance
of the contents in the solid, frozen condition during the
application of the vacuum is vitally important. If liquid is
formed as a result of partial thawing, a considerable amount
of degassing would occur with probable loss of the material,
which would froth over the sides of the container. Air is
exhausted by double-stage, high-vacuum pumps until a
suitable vacuum is obtained (a vacuum of 0.01mmHg is
possible). During evaporation, some water vapour must be
carried over into the oil of the pump from which it must be
removed either by heating or centrifuging. A condensing coil
at the bottom of the chamber is maintained at –50°C by
means of a special refrigerating plant. When the pressure is
sufficiently low, ice evaporates and condenses on the coils.
As ice forms on the condenser, it acts as an insulator and the
heat interchange becomes less efficient.
771
3. Heat requirement for evaporation: In primary drying, the
latent heat of sublimation is provided and vapours are
removed. The apparatus may resemble the vacuum oven or
containers may be attached individually to outlets on a
manifold. Latent heat being required for evaporation, the
solution would cool still further; a small source of radiant heat
is therefore placed in the chamber head and evaporation takes
place rapidly with the frozen material remaining at –20°C
until all the ice has evaporated.
In this stage, the heat transfers is critical. The insufficient heat
prolongs the process, which is already slow and excess heat
will cause melting.
The prefrozen bottles (e.g. blood) are placed in individual
heated cylinders or are connected in a manifold when heat can
be taken from the atmosphere. Shelf-frozen materials are
heated from the dryer shelf while ampoules may be left on the
centrifuge head or may be placed on a manifold, but in either
case heat from the atmosphere is sufficient.
In all cases, the heat transfer must be controlled, since only
about 5 W/m2k is needed and overheating will lead to
melting.
4. Vapour removal: The vapour formed must be controlled
to avoid a pressure rise that would stop sublimation. On the
small scale, vapour is absorbed by a small condenser with
solid carbon dioxide.
Condensation may be used on the large scale, but
mechanically refrigerated condensers are used. Accumulation
of ice decreases heat transfer, and for very large installations
the condenser can be scraped. The ice is compressed to a solid
block and ejected through a special pressure lock.
On the large scale, the vapour is commonly removed by
pumping but the pumps must be of large capacity and must be
772
affected by moisture. The extent of the pumping capacity
needed will be realized from the fact that, under the pressure
conditions used during primary drying, 1g of ice will form
1000 litres of vapour. Ejector pumps are most satisfactory for
this purpose.
Secondary drying: The primary drying process leaves
products with about 0.5% moisture in the solid and this is
removed in secondary drying process. The usual method is to
raise the temperature, often as high 50–60°C. The secondary
drying period is ordinary vacuum drying, the product is
virtually free from moisture and the risk of hydrolysis is
negligible.
Packaging: Attention must be paid to packaging freeze-dried
products to ensure protection from moisture. Containers
should be closed without contacting the atmosphere, if
possible, and ampoules for examples are sealed on the
manifold while still under vacuum. Otherwise, closing must
be carried out under controlled atmospheric condition.
Lyophilization equipment: A lyophilizer consists of a vacuum
chamber that contains product shelves capable of cooling and
heating containers and their contents. A vacuum pump, a
refrigeration unit and associated controls are connected to the
vacuum chamber.
Cooling elements within the shelves freeze the product. Once
the product is frozen, the vacuum pump evacuates the
chamber and the product is heated. Heat is transferred by
thermal conduction from the shelf, through the vial, and
ultimately into the product.
Construction of lyophilizer (Figs. 14.11 & 14.12):
• Cold trap and drying chamber are made of polished stainless
steel and fusion welded for fail-proof vacuum.
• Refrigeration cooling coils are on exterior of the cold trap
and insulated.
773
• Top and front outer frames are made of stainless steel and
other sides are made of mild steel.
• All facilities except the drying chamber are concealed for
highly compact appearance.
• Lid made of thick gauge acrylic sheet provided.
• Air-cooled refrigeration system.
• Vacuum is provided by built-in double-stage, direct,
heavy-duty vacuum pump.
• Control panel contains temperature indicator, control
switches for refrigeration and vacuum.
774
775
Fig 14.12 Photographs of different lyophilizers (@Labconco
corporation. Used with permission).
References
776
Newton JM. Manuf. Chem. & Aerosol News. 1966;37(4):33.
Riegelman S, Swintosky JV, Higuchi T, Busse LW. J. Am.
Pharm. Assoc. (Sci. Edn). 1950;39:444.
777
Chapter 15
Evaporation
The vaporization of a portion of solvent from a solution of a
solid is termed evaporation. This process is distinguished
from distillation in that the volatile component, which is
usually water and thus of little value, is not condensed and
collected separately. In distillation, the volatile components
are required and the term is frequently applied to the
separation of components that have different boiling points.
Evaporation is employed in the isolation of a nonvolatile
solute from solution, or for the concentration of such a
solution. The term evaporation when used in its widest sense
implies the free escape of vapour from the surface of a liquid
below its boiling point. In industrial practice, evaporation is
generally carried out at the boiling point of the liquid in order
to obtain rapid removal of the vapour. In principle, it is
difficult to distinguish between evaporation and drying,
although the latter operation is mainly concerned with
removal of relatively small amounts of water from a solid,
while evaporation is concerned with the removal of large
amounts of water or other solvent.
778
closed system evaporation of the liquid takes place till an
equilibrium is set up between the molecules leaving and
molecules re-entering the liquid. The vapour above the liquid
is then saturated and exerts a maximum vapour pressure;
before equilibrium is attained, or if insufficient liquid is
present to saturate the gas space by evaporation, the vapour is
said to be unsaturated. The pressure is usually stated in terms
of the height of a column of mercury (in cm or mm) which
exerts an equivalent pressure.
Boiling Point
779
Because of the pressure exerted by the hydrostatic head of
liquid, the lower layers boil at a higher temperature than the
upper layers so that the average temperature of the boiling
liquid is higher than that which would correspond to the
external pressure in the vapour space. This effect is
significant in large evaporators in which the hydrostatic head
may be several feet.
780
the heating medium to the liquid and (2) separation of vapour
from liquid.
Heat Transfer
781
deposited solids on the wall of the evaporator. These coatings
or scale have a much lower conductivity than the wall itself
and in addition their surface roughness will increase the
effective thickness of the liquid films in contact with them.
The temperature drop across the wall is t4–t3 and is seen to be
small compared with the drop across the films. Inside the
tube, next to the wall, a relatively slow-moving film of liquid
will be present even though the liquid towards the centre of
the tube may be flowing in a turbulent manner. The thickness
of this streamline layer depends on the viscosity and velocity
of the fluid and on the surface roughness of the wall. As heat
can only be transferred through this film by conduction the
temperature drop t5–t4 is relatively large. Finally, the heat
passes to the bulk of the liquid which reaches an
approximately uniform temperature t6 due to mixing by
turbulence.
782
the liquid is aqueous with a low solid content then the latent
heat of vaporization, 540×4.2J/g, will be provided by the
condensation of an equal weight of steam in the jacket. If
benzene is being evaporated, with a boiling point of about
81°C and a latent heat of vaporization of 90×4.2J/g, then the
condensation of one part of steam will provide the heat to
vaporize about six parts of benzene. These comparative
figures of course, do not take into account differences in heat
transfer across the films of the two liquids: Benzene which
has the lower viscosity would have a relatively thin
streamline layer in contact with the wall, resulting in better
transfer of heat.
The general equation for heat transfer can be expressed as
follows:
783
high values for the overall heat transfer coefficient, under
specified temperature conditions, special attention should be
paid to those factors that reduce the thickness of the stagnant
film, e.g. use of high liquid velocities. In practice, the overall
coefficient may be seriously lowered by the corrosion of the
surface or by the deposition of solid material from the
evaporating liquid. Another barrier to heat flow may result
from the presence of uncondensable gases in the heating
steam; air, if present in the steam, will tend to become
concentrated next to the wall surface as the steam condenses.
Removal of this air by adequate venting is necessary.
Film Coefficients
784
where h is the film coefficient. In Fig. 15.1 the overall
temperature difference across the wall of the evaporator is
t6–t1. The total resistance per unit of cross-sectional area is
the summation of the fluid film resistances and the wall
resistance and equals:
and the rate of heat flow from the steam side to the liquid is:
785
This effect can be observed when a drop of water is heated on
a hot plate. At a temperature of about 110°C the drop wets the
surface and evaporates rapidly. At a temperature of, say,
160°C the drop dances about on a cushion of steam and
evaporates more slowly than at the lower temperature. This
effect is likely to be encountered in the evaporation of low
boiling point solvents especially if pressure steam is used for
heating. Generally, a temperature difference of 20–30°C is
ample for rapid evaporation of solutions.
To provide a large heating surface many evaporators are made
up of a number of tubes in parallel. The tubes are mounted
together to form a unit known as a calandria. The boiling
liquid is generally contained within the tubes and the heating
steam outside. The rapid evolution of vapour within the tube
carries the liquid upwards at high velocity reducing the
thickness of the fluid film next to the heating surface and so
increasing the amount of heat transferred per unit area of wall
surface. Long tube evaporators promote high liquid velocities
without the aid of auxiliary pumping equipment.
786
motion of the vapour. The centrifugal force so produced
causes the suspended droplets to be deposited. The separation
of vapour from foaming liquids often presents difficulties;
loss of product may be serious in spite of the use of
entrainment separators. In these instances, the use of long
tube evaporators to give high liquid velocities is often
effective in breaking up the foam.
Small-Scale Methods
Small quantities of liquids may be evaporated in a shallow
porcelain or glass basin. In general, direct heating from a
Bunsen flame on a wire gauze should not be employed, since,
as the solution becomes more concentrated, its boiling point
rises and serious overheating of the solute is likely to occur;
removal of the last portions of solvent at a high temperature
causes spurting. For aqueous solutions, a water bath or steam
bath is used as a source of heat; higher temperatures may be
attained on a sand bath or oil bath. The last traces of a solvent
may be incompletely volatilized at a temperature well above
the boiling point of the solvent owing to the high
concentration of the solution. In such cases, evaporation is
completed in vacuo. Evaporation of large volumes of liquid or
solutions having expensive solvents is effected by distillation
at atmospheric pressure or in vacuo.
787
Large-Scale Methods
Heat Transfer Considerations
788
Heating by Steam
789
consideration here. A slight degree of superheat is of
advantage to prevent condensation in the steam lines and is
easily obtained by throttling so as to have a pressure in the
boiler slightly higher than that of the steam mains.
When steam is used a study of heat transmission is of great
importance. Gases and vapours are very bad conductors of
heat and give up their heat very slowly. Liquids give up their
heat much more quickly.
The specific heat of water is 4.2kJkg−1.
The latent heat of steam is, 2.2MJkg−1.
The specific heat of steam at constant pressure is, 2.0kJkg−1.
The first two of the above are given up when saturated steam
condenses on a surface. The specific heat of the steam must
be given up before condensation takes place; this does not
take place easily because gases are bad conductors of heat.
When steam is superheated the additional heat is in the form
of specific heat of the steam as a vapour. Suppose we wish to
distil xylene with a boiling point of l36°C and we use
saturated steam at 30lb/in2 (2.1kg/cm2), which has been
raised by superheating to something above 136°C. We shall
be able to use only the specific heat of the steam. Steam will
come away from the jacket of the still at 136°C and very little
xylene will be distilled. If we use steam at 100lb/in2 (7.0kg/
cm2), the temperature of which is 170°C, in cooling to 136°C
condensation will take place and we shall be able to use the
latent heat in addition to the specific heat given up in cooling
from 170 to 136°C. The steam trap will void water at 136°C,
which coming into atmospheric pressure will immediately be
cooled at 100°C by a part of it flashing into steam, the heat
represented by the 36°C of temperature difference being
converted to latent heat in the steam produced. This loss
cannot be avoided.
790
Evaporation at Atmospheric Pressure
Evaporation Pans
791
the pan must be thicker than that of a hemispherical pan in
order to withstand the steam pressure in the jacket.
792
In any room in which open pans are used for evaporation
there must be efficient ventilation to remove the vapour.
Unless this is done the room quickly becomes filled with a
dense fog of condensed vapour and water falls from the roof
and runs down the walls. Hoods and electric fans fitted over
the pans not only remove the steam and prevent condensation
in the room but also accelerate the rate of evaporation by
quickly removing saturated air from above the surface of the
liquid.
Calandria
793
bottom of the inclined calandria the tubes are easily reached
for cleaning.
794
Fig 15.4 Inclined-tube vacuum evaporator.
795
Fig. 15.5 Climbing film evaporator.
796
region of lower pressure by passing up the tube. As this
volume of vapour ascends, it
forms itself into a core in the centre of the tube, carrying with
it the liquor as a film round the inner surface of the tube, the
vapour passing at a higher velocity than the liquor itself. On
reaching the top of the tubes, the vapour and liquid pass into a
separator, where separation of the concentrated liquor and
vapour take place. Advantage is taken of the velocity of the
liquid to bring about separation by centrifugal action. The
vapour emerging at the outlet may be used to preheat the
liquid before admission to the evaporator or may become the
source of heat for another effect.
The tubes in a climbing film evaporator are about 6.9m long
with an internal diameter of 5cm. The vapour and liquor leave
the tubes and enter the separator at a speed of about 27m per
sec; it will therefore be seen that the liquor is in contact with
the source of heat for such a short time that there is little
chance of injury to the product even though a much higher
temperature is used than is customary for the same liquor
undergoing evaporation in an ordinary type of evaporating
pan. All the conditions for good heat transmission are
fulfilled. The amount of vapour leaving the evaporator
throughout its operation is constant, and this enables the
separator to be so designed that entrainment is reduced to a
minimum. The high velocity of the liquor reduces scaling
(McCabe & Robinson, 1924) in the tubes.
797
15.6). The liquor passes through the inner tubes, entering at
the bottom and passing upwards; the steam enters at the top
and passes downwards between the inner and outer tubes of
each pair, so that the transference of heat is on the
counter-current principle. On leaving the top element, the
concentrated liquor and vapour pass into a centrifugal
separator from which the liquor is withdrawn by a pump and
the vapour passes to a jet condenser and wet pump. Provision
is made for preheating the liquor by passing it through a
jacketed tube situated below the evaporator tubes. All the
parts that come into contact with the liquor are usually made
of stainless steel, but in special cases the tubes can be made of
glass and the other parts of Keebush, so that all metallic
contact is eliminated. Cleaning of the tubes is made easy by
the removal of the butt ends which are held in place by means
of a stirrup fitted with a single eye bolt.
798
Fig. 15.6 Horizontal film evaporators.
Forced-Circulation Evaporator
799
the bottom of the tube bundle. Just inside the shell of the tube
bundle is a cylindrical baffle F that extends nearly to the top
of the heating element. The steam rises between this baffle
and the wall of the heating element and then flows downward
around the tubes. This displaces noncondensed gases to the
bottom, where they are removed at G. Condensate is removed
from the bottom of the heating element at H. This evaporator
is especially suited for foamy liquids, for viscous liquids, and
for those that tend to deposit scale or crystals on the heating
surfaces (Badger & Banchero, 2002).
800
Forced-Circulation Evaporators with External Heating
Surface
801
Fig. 15.8 Forced-circulation evaporator with external
horizontal heating surface.
Multiple-Effect Evaporator
802
multiple-effect system is a matter of interconnecting piping,
and not of the structure of the individual units.
Principles of multiple-effect operation: Fig. 15.9 shows
multiple effect evaporator made up of three short-tube
natural-circulation evaporators. Connections are made so that
the vapour outlet from one effect serves as the heating
medium for the next. A condenser and air ejector establishes a
vacuum in the third effect in the series and withdraws
noncondensables from the system. The first effect of a
multiple-effect evaporator is the effect to which the steam is
fed and in which the pressure in the vapour space is the
highest. The last effect is that in which the minimum vapour
pressure. In Fig. 15.9 dilute feed enters the first effect, where
it is partly concentrate and flows to the second effect for
additional concentration, and then to the third effect
for final concentration. Thick liquor is pumped out from the
third effect.
803
Fig. 15.9 Multiple-effect evaporator. I, II and III, respectively
the first, second and third effects. Dl, D2 and D3, condensate
valves. F1, F2 and F3, feed- or liquor-control valves. S1, steam
valve. T1, thick-liquor valve. V1, V2 and V3, vent valves. Ps,
P1, P2 and P3, pressures. ts, t1, t2 and t3, temperature.
804
temperature difference with steam becomes smaller, the rate
of condensation diminishes and therefore the pressure in the
vapour space of evaporator I gradually builds up, increasing
t1 (the boiling point of the liquid in evaporator I) and cutting
down the temperature difference ts–t1. This continues until
the liquid in evaporator II reaches its boiling temperature.
The same process will be repeated in evaporator III. As the
liquid in evaporator III becomes warmer and finally begins to
boil, the temperature drop between it and the steam from the
second effect becomes smaller, pressure begins to build up in
the second effect and raises t2, the boiling point there, so that
the temperature difference t1–t2 decreases. This decreases the
rate of condensation and builds up the pressure in the vapour
space of the first effect still more, until finally the evaporator
comes to a steady equilibrium with the liquid boiling in all
three bodies.
The result of boiling will be to lower the liquid level. As soon
as the level begins to come down in body I, the feed valve F1
will be opened enough to keep the level constant. As body II
begins to boil, feed valve F2 will be adjusted, and as body III
begins to boil, feed valve F3 will be adjusted. A change in
anyone valve obviously involves a resetting of the others, but
they will be so set that the liquid levels in all three bodies are
kept constant. Liquid in body III is becoming more and more
concentrated, however, and when it reaches the desired
finished concentration the thick-liquor valve T1 will be
opened the proper amount and the thick liquor pump will be
started. Thus when evaporation is proceeding in a steady
manner, there will be a continuous feed to the first body, from
the first to the second, from the second to the third, and a
continuous withdrawal of thick liquor from the third effect.
The evaporator is now in continuous operation
805
with a continuous flow of liquid through it, and all the various
temperatures and pressures are in equilibrium.
The heating surface in the first effect will transmit per hour an
amount of heat given by the equation
(15.1)
If the part of this heat that goes to heat the feed to the boiling
point is neglected for the moment, it follows that practically
all of this heat must appear as latent heat in the vapour that
leaves the first effect. The temperature of the condensate
leaving through connection D2 is very near the temperature t1
of the vapour from the boiling liquid in the first effect.
Therefore, practically all of the heat that was expanded in
certain vapour in the first effect must be given up when this
same vapour condenses in the second effect. The heat
transmitted in the second effect, however, is given by
equation
(15.2)
(15.3)
806
(15.4)
(15.5)
807
capacity is meant the total evaporation per hour obtained.
Since latent heats are nearly constant over the ranges of
pressure ordinarily involved, capacity is also measured by the
total heat transferred in all effects. The heat transferred in the
three effects of Fig. 15.9 can be represented by the following
equations:
Assume, now, that all effects have equal areas and that an
average coefficient Uav can be applied to the system. Then
above equation can be written as:
808
Suppose, now, that a single-effect evaporator of area A be
operated with the same overall temperature difference, viz.,
with steam at 227°F and a vapour temperature of 125°F.
Assume also that the overall coefficient of the single-effect is
equal to the Uav of the triple effect. The capacity of the single
effect will be
This is exactly the same equation as that for the triple effect.
No matter how many number of effects uses, provided the
average overall coefficients are the same, the same equation
will be obtained for calculating the capacity of any
evaporator. The number of effects of an evaporation system is
varied and the total temperature difference is kept constant,
the total capacity of the system remains substantially
unchanged.
If the cost of one sq ft of heating surface is constant,
regardless of the number of effects, the investment required
for an N-effect evaporator will be N times that of a
single-effect evaporator of the same capacity. The choice of
the proper number of effects will be dictated by an economic
balance between the savings
in steam obtained by multiple-effect operation and the added
investment costs brought about by the added area. Fig. 15.10
shows these relationships. The annual fixed charges may be
taken as a percentage of the first cost of the evaporator. Since
the cost per square foot of heating surface increases
809
somewhat in small sizes, the curve for first cost is not a
straight line except in the upper part of its range. The costs of
steam and water fall off rapidly at first but soon show the
effect of the law of diminishing returns. Labour costs may be
considered constant, since only one operator is needed except
with a very large number of effects. The total cost of
operating an evaporator is the sum of all these curves and
usually shows a marked minimum (in small or moderate size)
for the optimum number of effect (Caldwell Kohlins, 1946;
Perry, 1950).
810
Evaporator Accessories
811
the entering cooling water. In a wet condenser noncondensed
gases and cooling water are removed by the same pump,
whereas a dry condenser they are removed by separate
pumps. A barometric condenser is one that is placed high
enough so that the water escape from it by a barometric leg,
while in a low-level condenser water is removed by a pump.
The above classifications are coordinate and theoretically are
applicable for both surface condenser as well as contact
condenser but in practice parallel-current condenser are
almost always wet condenser, while counter-current
condenser are always dry.
Surface condensers: A surface condenser is similar to a
tubular heater, the vapour usually outside the tube, and the
water inside. The heat-transfer coefficient (and therefore the
capacity of the apparatus) is improved by increasing the water
velocity by making them multipass. In the case of a surface
condenser the vapour is usually at a pressure below
atmospheric, and therefore vacuum pump must employ to
remove the air. Evaporators are usually evaporating an
aqueous solution so they produce water vapour but in case of
solvent other than water, practical considerations eliminate all
types of contact condensers and only surface condensers can
be used. If the vapour to be condensed is water vapour, the
contact type of condenser is practically always used (unless
there is need for the condensed vapour) because the surface
condenser is much more expensive to build.
Contact condensers: A counter-current dry-contact condenser
is shown in Fig. 15.11. It consists of a vertical cylinder with
shelves or baffles part way across it. In Fig. 15.11 the water
rises behind the collar A, over flows the notched weir E, and
cascades to the surfaces C, D, E and F as showed by dashed
lines. Vapour is introduced near to bottom and must pass up
through the cascades of water until condensed, so that, finally,
812
noncondensed gases saturated with water vapour at the
temperature of the inlet cooling water leave from the top of
the condenser for the vacuum pump. Fig. 15.11 shows only a
typical arrangement of trays and baffles, and there are many
variants of this construction. If such a condenser is set 34ft or
more above the hot well, it is barometric and if not elevated
and water pump is attached to the bottom to remove hot
water, it is a low-level condenser.
813
The parallel-current wet condenser is shown in Fig. 15.12.
Vapour to be condensed enters at the top and mixes with
high-velocity jets of cold water from the nozzles. The throat
below the condenser is constricted so that if sufficient water is
used the velocity head at this point is high enough to reduce
the static pressure to the vacuum desired, and therefore both
cooling water and noncondensed gases leave together. In
some cases parallel-current condensers are not operated with
a constricted throat, and in such cases they must be mounted
on a wet vacuum pump that removes both air and water.
814
water); and in the parallel-current condenser this is the
outgoing (hottest water). This point has a bearing on the
displacement of the air pump to be used, or on the
air-handling capacity of the venturi throat if a condenser of
the type of Fig. 15.12 is used, but it has an even more
important bearing on the amount of water that needs to be
used.
In the counter-current condenser, the amount of water fed to
the condenser can be decreased until it leaves from the bottom
of the condenser almost at steam temperature. This has no
effect on the volume of air to be pumped out, because the air
is substantially in equilibrium with the coldwater entering.
However, in the case of a parallel-current condenser, the air
leaves in contact with the hottest water, and, as the above
calculations show, if the temperature of the exit water
approaches that of the steam, the volume of the air pumped
becomes enormous.
Vacuum pumps: The pumps generally used to remove hot
water and noncondensed gases from a parallel-current wet
condenser may be similar to ordinary reciprocating pump.
The displacement is made large enough so that it will suffice
for both water and air. The steam jet ejector is a form of
vacuum pump that is rapidly gaining in favour (Fig. 15.13).
High-pressure steam is admitted to a nozzle (A) that sends a
jet of very high velocity into the throat of a venturi-shaped
tube. The noncondensable gas to be removed enters as shown.
By properly proportioning the throat of venturi and volume,
and velocity of the steam used, the steam can be made to
entrain the non condensed gases from the space under
vacuum. For a very high vacuum (low absolute pressures) the
steam–air mixture from these jet goes to an auxiliary
condenser (B), where the water vapour is condensed by a jet
of cold water
815
and the residual air passes to a second nozzle (C). The
discharge from a second nozzle can usually be made to reach
atmospheric pressure and is therefore discharged at (D) to the
air. This two-stage ejector can be designed to produce quite
high vacuum, and a three-stage ejector may be designed to
produce vacua of the order of 0.5mm abs. For a vacuum of 26
in or over, the steam jet ejector uses less steam than a
steam-driven vacuum pump, and for vacua over 28.5 in it is
practically the only air-removal device possible. The main
advantage of the steam jet over reciprocating vacuum pumps
is that it has no moving parts and so reduced repairs to a
minimum.
816
Steam traps: Under ideal conditions live steam, i.e. steam that
has not been condensed and given up its latent heat should
never leave the jacket or coil of a vessel that is being heated.
In order to control the discharge the outlet of the heating
element should always be fitted with a steam trap. There are
many different types available. An older pattern consists of a
bucket which floats until the amount of condensate in the trap
swamps it, causing it to sink and open a valve. The
condensate is blown out of the trap, emptying the bucket
which again floats and closes the valve. This trap has an
intermittent or blast discharge (Fig. 15.14). There is no
provision for air to pass this type of trap. A modern type of
trap is operated by a thermostatic device depend ing on the
expansion of a liquid sealed in a flexible metal capsule. As
this type of trap depends on temperature for opening and
closing, both air and water will be voided. A thermostatic trap
is shown in Fig. 15.15. A strainer is shown combined with the
trap to keep back grit and particles of scale which would get
on the valve seat and prevent proper closing. A filter can be
used with advantage in conjunction with any form of trap.
The trap operates in the following way. A closed vessel,
which we will call ‘A’, made of copper alloy corrugated like a
concertina so that it will expand and contract, can be seen in
the right-hand half of Fig. 15.15. At the bottom of the element
is a valve which is free to enter a valve seat. The part, A’ is
held rigidly at the top and is filled with a spirit mixture which
usually has a boiling point lower than that of water. When ‘A’
is heated to the boiling point of water at any pressure a greater
pressure will be developed inside than the steam pressure on
the outside. The element will then expand and close the valve.
As water collects in the trap it cools and the pressure in ‘A’ is
reduced, ‘A’ contracts, the valve opens, the water is blown
out and the cycle is repeated. The temperature at which the
817
trap operate can be arranged by selecting the boiling point of
the liquid in ‘A’ so that condensate can be voided at nearly
steam temperature or at considerably below that tempera ture.
The makers will advise on the temperature of discharge and
also on the distance between jacket and trap; this distance has
an effect on the temperature of the condensate in the trap.
These traps have the advantage of being small and easily
installed; they do not hold water when not in use so that they
can be fixed outdoors without danger of freezing, and since
the valve is wide open on starting up, air is easily swept out.
Their disadvantage is that· the thermostatic element can be
damaged by water hammer, and they are therefore unsuitable
where there is a large and variable amount of condensate.
818
Fig. 15.15 Thermostatic steam trap in section (Spirax
Manufacturing Co. Ltd.)
Salt Removal
819
crystals are formed they may be held in suspension and
discharged with the batch. The batch of mother liquor mixed
with crystals is sent to a filter or centrifuge for separating the
crystals. This practice is regularly followed in sugar boiling
but is not general in other fields. A more common method,
where small amounts of salt are to be removed, is to attach to
the bottom of the evaporator one or more receivers such as
are shown in Fig. 15.16. These may be merely receivers in
which the salt collects and from which it is pumped at
intervals to filters. More commonly, however, they are salt
filters. Each filter is provided with a filtering medium, usually
wire gauze, supported between two fairly heavy, perforated
metal plates. A manhole is provided, with its bottom even
with the top perforated plate, so that the salt may be raked
out. The salt filter must be provided with an equalizing line
connecting it to the vapour space of the evaporator, so that a
vacuum may be put on it before it is connected to the
evaporator. It is usually provided with connections for steam
or air for displacing mother liquor from the salt as completely
as possible before dumping.
820
Fig. 15.16 Continuous salt settling and removal system.
821
In the common salt industry, it was considered good practice
for many years to extend the cone of the evaporator
downward and have it discharge to a bucket elevator. This
method is now obsolete.
When the quantities of salt to be removed from the evaporator
are too large to permit the use of salt filters, continuous
pumping is the best practice. In this method, a centrifugal
pump is attached to the cone of the evaporator and
continuously pumps a slurry of salt and solution out of the
evaporator into a settler, the liquor overflows from the settler
and is returned to the evaporator, and the salt is withdrawn
from the settler to centrifuges or continuous filters. Such an
arrangement is shown in Fig. 15.16. A baffle B spreads the
stream somewhat, and as the incoming stream of slurry flows
across the settler its velocity is lowered so that the coarser
crystals fall into the cone of the settler. The major part of the
stream, with fine crystals in suspension, is removed by an
internal launder C and returned to the evaporator. If solution
withdrawn in the thickened salt slurry is not sufficient in
amount to keep the concentration in the evaporator at the
desired value, additional concentrated solution may be
withdrawn by connection D. The amount of mother liquor
withdrawn by the thick-slurry pump is regulated to give a
slurry not too dense, or there will be danger of slurry lines
plugging. Two parts mother liquor to one of salt can usually
be handled. One part liquor to one part salt is probably the
maximum.
Entrainment Separators
822
usually projected, as it bursts, as very fine drops along with
the stream of vapour. If at the same time the liquid has a high
velocity in the same direction as the vapour coming from the
bursting bubble, the velocity of these droplets of liquid will
be increased. These drops of liquid vary greatly in size. Some
of them drop back quickly into the liquid; some settle more
slowly; and some will not settle at all, at any vapour velocity
that it is practicable to maintain. Such finely divided liquid
carried along with the stream of vapour is called entrainment,
and it can be the cause of (1) serious losses from the liquid
being evaporated, and (2) contamination of the condensate
when this condensate is desired for other purposes.
A certain amount of separation is made first by making the
diameter of the vapour head of the evaporator such that, the
rising velocity of the vapours is kept down to a reasonable
figure. Each designer has his own idea as to what a reasonable
figure
is. Further, with a given rising velocity of the vapour stream,
as the vapour space is made higher, more of the mediumsized
droplets can settle back into the liquid in the time that is
available while the vapour is still in the evaporator. Those
that are once carried out into the vapour pipe must be
separated by some other method.
Because of the momentum of liquid particles, if there is
sudden change in the direction of the vapour stream, the
particles of liquid will not follow that change at once. It has
long been customary to place baffles either in the vapour
space in the evaporator or in special chambers inserted in the
vapour pipe in the hope that the particles of liquid would
impinge on the surface of the baffle while the vapour went
around it. It is the principle of all entrainment separators that
if the liquid droplets can be made to impinge on a solid
surface, they coalesce into a sheet and are not easily picked
823
up again by even extremely high vapour velocities. It would
also seem that, if the mixture of vapour and entrained liquid
were given a rotary motion, centrifugal force would tend to
throw the droplets out against the side of the vessel, where
they would coalesce and run down as sheets of liquid. Such
an entrainment separator, commonly used on many types of
evaporators, is shown in Fig. 15.17. The vapour is led into the
entrainment separator by a tangential inlet so that it starts a
whirling motion at once. The presence of a spiral vane of
sheet metal emphasizes this whirling motion so that most of
the entrained liquid is thrown out against the wall of the
separator, where it runs down, to be returned to the
evaporator. In the lower part of the separator the vapours turn
through 180° to rise through the central vapour off take pipe,
and this again projects some particles of liquid down into the
bottom of the separator. Still another type of vapour separator
often used in evaporators is the centrifugal separator shown in
Fig. 15.18. The outlet from the evaporator body is somewhat
restricted so that the vapour enters the opening A in the centre
of a horizontal baffle with a relatively high velocity. Mounted
above this opening is a circular cage containing spiral vanes B
and closed with a cover plate on top. The vapours must
escape through the spiral vanes and are thereby given a very
strong whirling motion. This tends to throw out the drops of
liquid against the wall C, from which they run down to be
returned to the evaporator through the trap D. By means of
baffles above this cage, the vapours are sent through certain
other turns, and any liquid that is thrown out against the outer
surface of the vapour dome runs down through trap E to be
returned. Such vapour separators take up very little space in
the evaporator setup, but if not carefully designed they may
cause too much pressure drop.
824
Fig. 15.17 Entrainment separator.
825
interchangeably. So, for instance, the apparatus of Fig. 15.17,
which are properly entrainment separators, are often called
foam catchers. Foam is an entirely different phenomenon and
means the formation of a stable blanket of bubbles that lies on
the surface of the boiling liquid. This is familiar to everyone
who has seen milk boil on the kitchen stove. The cause of it is
relatively obscure, but it is known that it depends on (1) the
formation at the surface of the liquid of a layer whose surface
tension is different from that of the bulk of the liquid, and (2)
the presence of finely divided solids or colloidal material that
stabilizes the surface layer. Such factors are so intimately
connected with the general nature of the liquid being handled
that foam can rarely be prevented from forming by a previous
treatment of the liquid. The practical methods to combat
foam, therefore, amount to methods to prevent the foam from
rising and passing over into the vapour pipe. If the blanket of
foam ever reaches the vapour pipe, no separator will prevent
its going on over into the condenser.
Practical methods are more or less makeshifts. The liquid may
be carried at a level below the top of the heating surface, so
that the bubbles of foam come in contact with a hot surface
and are thereby burst. Steam jets are sometimes directed
against
the layer of foam to break it. Another method is to eject the
liquid carrying foam at a high velocity against a baffle, where
the bubbles of foam are broken mechanically. This happens in
the forced-circulation evaporator with an internal heating
element and in the long-tube vertical evaporator. The addition
of a surprisingly small amount of sulphonated castor oil,
cottonseed oil, or other vegetable oils, or some of the
silicones will often control or completely eliminate foam.
Foam, however, is a serious problem when it does occur, and
826
no completely satisfactory methods of eliminating it have yet
been found.
References
827
Chapter 16
Distillation
Distillation is a method of separating substances which differ
appreciably in their vapour pressures. It is used in pharmacy
either to extract volatile active principles from vegetable
drugs or to separate volatile substances from their less volatile
impurities; it also provides a method of recovering volatile
solvents, notably alcohol, for further use. With the exception
of ‘destructive distillation’, the term is normally applied to
liquid–solid systems; the following qualifications are used.
Simple distillation is the process of converting a liquid into its
vapour, transferring the vapour to another place, and
recovering the liquid by condensing the vapour, usually by
leading it into contact with a cold surface. The apparatus used
consists essentially of three parts; the still in which the
volatile material is vapourized; the condenser in which the
vapours are condensed; and the receiver in which the
distillate is collected. Simple distillation can produce partial
separation of components with different boiling points in a
liquid mixture, the more volatile component being obtained in
increased concentration in the vapour. The process is
generally used for the separation of liquids from nonvolatile
solids, e.g. preparation of distilled water and recovery of
alcohol in the preparation of dry extracts.
Fractional distillation (or rectification) is the process
employed to separate miscible volatile liquids having
different boiling points. It differs from simple distillation in
that partial condensation of the vapour is allowed to occur in
a fractionating column, through which the vapour must pass
before reaching the condenser. This column enables the
828
ascending vapour from the still to come in contact with the
condensing vapour returning to the still, and this results in the
enrichment of the vapour in the more volatile component.
Steam distillation is used for the distillation of
water-immiscible liquids of high boiling points, e.g.
turpentine, aniline. By bubbling steam through the liquid, the
mixture boils at below the normal boiling point of either
component. The distillate consists of the two liquids in the
same proportions as in the vapour.
Destructive distillation is the term used to describe the
decomposition of a substance, usually a natural product, by
heat followed by the condensation and collection of the
volatile products of decomposition. It is not a pharmaceutical
process but is used in the manufacture of some substances
used in medicine, examples being the destructive distillation
of wood and of coal to produce tars.
829
be added to the superheated liquid, otherwise an
instantaneous evolution of a large volume of vapour will
occur.
When large quantities of water are to be condensed, a spray or
jet condenser is frequently used, which brings the vapour in
direct contact with the cooling water. The condenser is used
in conjunction with a wet vacuum pump or a barometric leg.
Condensers
830
3. The condensing surface must be a reasonably good
conductor of heat because the rate of condensation is
proportional to the rate at which the surface conducts away
the heat. For this reason, metal, when suitable, is preferable to
glass.
4. The film of condensed liquid is a bad conductor and must
be removed quickly in order to avoid serious impairment of
the efficiency of the condenser.
5. The warmer water in contact with the condensing surface
must be quickly carried away and its place taken by fresh cold
water. The cooling water is arranged to move on the
countercurrent principle, i.e. its direction of flow is opposite
to that of the flow of vapours to be condensed.
In carrying out a distillation on the laboratory scale, the
contents of the still are heated gradually and, as the liquid
begins to boil, the temperature recorded on the thermometer
rises rapidly as the rising ring of condensate ascends the neck
of the flask. If the liquid is pure, the temperature recorded
when the condensate passes down the side arm remains
steady when the uncondensed vapours follow. Heating is then
continued at such a rate that a drop of liquid every 1 to 2 sec
falls from the condenser. When inflammable liquids are
distilled, the distillate is collected in a second distillation flask
attached to the condenser; on the side arm of this receiver is
attached a length of rubber tubing to lead inflammable vapour
on to the floor away from the vicinity of flames.
Large Scale
831
used. A still of this kind has a limited heating surface and
functions perfectly with volatile solvents, but it is useless for
concentrating watery solutions.
832
Manesty Automatic Water Still
833
Fig. 16.2 Manesty steam-heated automatic water still: internal
structure.
834
Fig. 16.3 Manesty electrically heated automatic water still:
internal structure.
835
commonly used for the evaporation of the menstruum in the
preparation of extracts (Chapter 13). Evaporative distillation
in high vacuums is of great importance in the purification of
vitamins.
Vacuum distillation is most conveniently carried out in a
Claisen flask (Fig. 16.4). The second neck prevents splashing
of the violently agitated liquid. Bumping occurs very readily
during vacuum distillation, but is easily prevented by means
of a stream of air bubbles from a tube drawn out to a very fine
capillary dipping in the boiling liquid. The capillary should be
sufficiently fine to permit only a slow stream of bubbles to be
blown by mouth through a little ether in a test tube. It is usual
to use apparatus with interchangeable ground glass joints.
Heating with a naked flame requires considerable practice, so
it is advisable to use a water bath or oil bath maintained at
about 20°C higher than the boiling point of the liquid under
reduced pressure. In all vacuum distillations, a small pressure
gauge (manometer) should be inserted between the pump and
the receiver. In carrying out the distillation, heating is not
commenced until the required vacuum is attained; evacuation
of all apparatus. Containing hot liquid will almost invariably
result in the liquid frothing over into the receiver. Thin walled
glass apparatus, such as that bottomed flasks and conical
flasks, should never be used for vacuum distillation.
836
For the evaporation of extracts under reduced pressure at
below 60°C, the apparatus shown in Fig. 16.5 is very
convenient for laboratory scale work. Two water pumps, one
of which is used intermittently, are required. The apparatus is
evacuated and a suitable quantity of liquid is allowed to flow
into the still by opening screw clip A. Screw clip B is closed
and the second pump is turned off. The liquid is heated by
means of a water bath up to 50–60°C and the distillate is
collected in the Buchner flask. During distillation, screw clip
A is adjusted so that the extract enters the still at the same rate
as it distils. When the Buchner flask is nearly full, stopcocks
C and D are closed, screw clip B is opened and the receiver
may be detached and emptied; in the meantime the distillate is
collected in E. The receiver is replaced and then evacuated by
the second pump, clip B is closed, cock D opened and the
distillate from E is run into the Buchner flask by opening C.
The whole process is then repeated.
837
Antifoaming still heads have been devised and are very
effective for dealing with this problem.
Vacuum Stills
838
Fig. 16.6 Vacuum still.
839
Fig. 16.7 Vacuum still with column.
840
pressure of a substance which is being distilled in one still
will probably hinder obtaining a good vacuum in the others.
The volume occupied by the vapour of a substance in
the high vacuum used in distilling is very great. At a pressure
of 5mmHg the vapour is expanded 152 times. It is important
that the swan neck of the condenser and the fractionating
column if present, are of adequate size to prevent back
pressure caused by the friction due to the high velocity of the
vapour in restricted tubes.
With the high vacuum required for distilling, the prevention
of leaks assumes great importance. They frequently arise in
the packing of the glands of valves and the bottoms and tops
of plug cocks. Leaks in the bottoms of plug cocks can be
eliminated by using those specially designed for vacuum
work; the bottoms of the cocks are closed and glands are
fitted to the spindles. Another common source of leak is in the
bottom outlet of the still. This valve or cock fitted to a pipe
which must pass through the steam jacket, gets hard wear and
strain due to the quick and extreme changes of temperature. If
other means such as a dip pipe can be used for emptying the
still, it is a good plan to dispense with this outlet, but very
often the final residue is too viscous to be easily removed
except through a bottom outlet. It will be economical to use
only the very best quality of valves and cocks on vacuum
stills.
841
Fractional Distillation
Theoretical Considerations and Small-Scale
Methods
842
respectively. The vapour pressures of the pure components
are and The total vapour pressure P of the system is
then PA + PB (Fig. 16.8).
Binary mixtures that follow Raoult’s law are those where the
attraction between A and B molecules is the same as those for
the pure components, e.g. benzene/toluene and paraffin
mixtures. When the interaction of A and B molecules is less
than that between the molecules of the pure constituents, the
presence of B molecules reduces the A–A interaction, and
similarly the A molecules reduce the B–B interaction. The
partial vapour pressure is now greater than expected from
Raoult’s ideal solution law and the system is said to exhibit
positive deviation, e.g. benzene/ethyl alcohol, chloroform/
ethyl alcohol. Negative deviation occurs when the A–B
attraction is greater than the A–A or B–B attraction and the
vapour pressure is less than expected, e.g. chloroform/
acetone.
843
Referring to the ideal system (Fig. 16.8), the partial vapour
pressure of the more volatile constituent B is higher so that
the vapour phase will contain more of this component. By
removing and condensing this vapour a liquid richer in B is
obtained. This aspect is more readily seen from the curves
relating to the boiling points of the/various compositions
rather than the vapour pressures.
844
Fig. 16.9 Boiling point and composition of miscible liquids.
Azeotropic Mixtures
845
mixture exhibits a maximum or minimum. Such mixtures
cannot be separated into their pure components by distillation.
It is possible to separate them by distillation only into one
component and a constant boiling mixture. Their behaviour
on distillation is most easily followed by referring to the
boiling point versus composition curves as shown in Fig.
16.10; (A) represents a mixture which possesses a maximum
vapour pressure, i.e. low boiling point azeotrope; (B)
represents a mixture with a minimum vapour pressure, i.e.
high boiling point azeotrope. In this figure the concentration
changes arising during distillation using a fractionating
column equivalent to two theoretical plates are shown, i.e. X
to Z. From (A) it can be seen that repeated fractionation will
produce a distillate tending to the composition of the
azeotropic mixture represented by point C. The material left
in the still will be richer in B than it was originally; eventually
pure B will be left after the whole of A has been distilled off
in the form of the azeotropic mixture. If the original
composition lies to the right of C, then by similar reasoning A
will be left in the still. Mixtures of minimum boiling point are
more common than mixtures exhibiting a maximum boiling
point, e.g. alcohol and water, alcohol and benzene, alcohol
and chloroform. Alcohol, boiling point 78.3°C, and water
boiling point 100°C form a mixture of minimum boiling point
78.15°C, containing 95.57 per cent w/w alcohol. The
composition of mixtures of minimum boiling point varies
with pressure as, for example, water and alcohol can be
completely separated by distilling at 28°C under 7cm
pressure.
846
Fig. 16.10 Boiling point composition graphs; (A) Minimum
boiling azeotrope; (B) Maximum boiling azeotrope. (C) is the
composition of the constant boiling mixture.
Ternary Mixtures
847
the boiling point of this mixture is lower than the boiling
point of any binary mixture of any of the components.
Fractionation of this ternary mixture is used on the large scale
for the production of absolute alcohol. Absolute alcohol
cannot be obtained by normal fractionation of dilute alcohol
since a constant boiling mixture of 95.57 per cent w/w is
formed. Benzene is added to the alcohol–water azeotrope and
when distilled the mixture yields first the ternary
water–alcohol–benzene azeotrope, boiling point 65.85°C,
until all the water is removed from the system. Next a binary
alcohol–benzene azeotrope, boiling point 68.2°C distils over
and finally absolute alcohol, boiling point 78.3°C.
Trichloroethylene may be used instead of benzene in this
process. Solutions in a solvent such as benzene may be dried
by azeotropic distillation; benzene forms a constant boiling
mixture with water, boiling point 69.3°C. All the water
present in the benzene is removed when about 10 per cent of
the solvent has been distilled.
Fractionating Columns
848
of the intermediate fractions, fractions of the same boiling
range being combined, will ultimately result in a separation of
the liquid into two main fractions, boiling point 61–63°C and
78–80°C, which represent a rough separation of the two
constituents of the mixture. This process is very tedious and
the same or a better effect can be achieved in a single
distillation through a fractionating column. It should be
remembered that complete fractionation by distillation is
possible only with liquids which do not form azeotropic
mixtures.
A fractionating column, which is inserted between the still
and the condenser, acts by bringing about repeated
distillations throughout the length of the column. The action
of the column is partially to condense the vapours rising from
the boiling liquid; this condensate will be richer in the more
volatile component than the original liquid and it is
vapourized again by the condensation of more ascending
vapours; the vapours so produced will be still richer in the
more volatile component, and when condensation and
vapourization takes place further up the column, further
enrichment in the more volatile component will be effected.
Under ideal conditions this will result in the lower boiling
point component arriving at the top of the column and the
higher boiling point component being left at the bottom of the
column. Thus a temperature gradient will be established along
the column when distillation is in progress, and ultimately the
vapour passing out of the column will be very rich in the low
boiling point component. This series of events may be easily
visualized by considering the action of a bubble-cap column
which is used in large-scale distillation plant. The column
consists of a number of plates mounted above one another,
over which flows the condensed liquid (reflux) and through
which the ascending vapour is made to bubble. Fig. 16.11
849
shows three bubble-cap plates in section. If we assume that at
each plate the vapour and liquid reach equilibrium conditions,
i.e. each plate is theoretically perfect the change in
composition of liquid on passing from plate A to plate C will
be equivalent to that produced by three theoretical plates.
Ascending vapour from the still passes through the bubble
caps on plate A and the vapour rising from it will be richer in
the more volatile component. This vapour passes through the
liquid on B, condenses, and the heat of condensation partially
vapourizes the liquid. The process of condensation and
vapourization will be repeated at C and so on, all the way up
the column. In this simplified consideration of column action,
each bubble-cap plate has the same effect as a separate still.
The changes in composition at each plate can be estimated
from the boiling point versus composition curves.
850
Fig. 16.11 Section of distillation column (bubble-cap type).
851
Fig. 16.12 Widmer column.
852
still should be controlled—if too little, the packing is
insufficiently wetted by reflux and if too much, the vapour
velocity may be too great for equilibrium to be attained.
853
and from data for the composition of liquid and vapour in
equilibrium with one another.
854
Fig. 16.14 Simple form of Perkin triangle.
Molecular Distillation
855
reduced pressure, conditions approaching equilibrium are
maintained and a considerable amount of recondensation
(refluxing) occurs. Molecular distillation is usually carried out
at 0.001–0.00001mm pressure. There is no well-defined
temperature at which distillation commences, unlike ordinary
distillation procedures. An extensive review of the principles
and techniques has been given by Hickman (1944). This
technique has been applied with great success to the
purification of vitamin A. For this purpose the fish liver oil is
fed continuously as a thin film on to heated discs rotating in a
high vacuum.
Distillation in Steam
Theoretical Considerations and Small-Scale
Methods
856
Distillation of Immiscible Liquids
857
given by the equation:
858
Small-Scale Apparatus
Large-Scale Apparatus
859
distillation is done in the locality where the material grows,
special forms of stilt axe used often quite primitive, and
arranged to meet local conditions. A common form of water
still is shown diagrammatically in Fig. 16.16. A still of this
kind has a jacket and, in addition, live steam is sometimes
injected below the material, which is supported on a
perforated false bottom. Means of charging and discharging
the still are provided by manholes in the top and side.
Most volatile oils are lighter than water and will separate
from the distillate as an upper layer. If a Florentine receiver,
shown between the still and condenser in Fig. 16.16, is used
the water can be run off from the spout on the left and can be
returned to the still, as shown in the diagram, or run to waste.
The oil which collects on the surface is run off from the upper
spout. Some volatile oils are heavier than water, in which case
the operation is reversed. Where the specific gravity of the oil
is so near 1.0 that separation does not take place, it may be
necessary to collect the whole of the distillate and extract it
860
with a volatile solvent, subsequently distilling off the solvent
from the oil.
861
Chapter 17
Centrifugation
Centrifuging provides a convenient method of separating
either two immiscible liquids or a solid from a liquid; it finds
several applications in drug manufacture where it may be
used either as a batch process or continuously. Essentially
centrifuge comprises a bowl or ‘basket’ capable of being
rotated at high speed; for small batchwise operations, it is
mounted vertically whereas larger centrifuges designed for
continuous working have their axes horizontal. Apart from
the angle of mounting, the main difference in design relates to
the ‘basket’ itself. For the separation of crystals from mother
liquor, it is perforated and lined with filter cloth. Spinning
forces the liquid through the cloth and leaves a cake of
crystals on the inner surface of the basket. The alternative
design is a nonperforated basket, and this may be used for
separating solid–liquid or liquid–liquid systems. With the
former, spinning causes the solid to build up on the walls of
the bowl while the liquid is removed through an overflow.
For the latter, the effect is to create an outer layer of the
denser liquid and an inner layer of the lighter; separate
overflow points can be arranged so as to remove the
components continuously.
Theoretical Considerations
The force acting upon a particle compels it to move in a
circular path around an axis which is given by the Eq. 17.1:
862
(17.1)
(17.2)
(17.3)
863
The main method of increasing the RCF is to increase the
speed of operation but a limit is set upon the peripheral
velocity by the maximum safe strain in the basket wall.
Increasing its thickness above a certain amount, in order to
get additional strength, does not help because it adds to the
weight and increases the strain. For the same peripheral
velocity, a larger centrifugal effect is obtained with a smaller
basket (see Eqs. 17.1 and 17.2).
The rate of settling, V, of a particle diameter D, at a given
distance from the axis of rotation, may be calculated from
Stokes’ Law (see p. 149) in which g has been substituted by
Rω2.
Thus,
(17.4)
864
from Eq. 17.4. Thus:
(17.5)
865
of vibration of the hand. A centrifuge has a critical speed of
vibration which is slower than the running speed; it is
therefore important that the full speed is attained quickly, so
that the machine does not run long enough at the critical
speed to build up vibration and become dangerous.
g = (1.118 × 10–5)RS2
866
and time often are not critical factors in routine
sample-handling procedures involving a benchtop
microcentrifuge. Usually, as long as speed and time are
sufficient to ensure that cells, debris or resin are pelleted
effectively, it does not matter if the speed is faster or the time
longer than necessary. For this reason, many protocols do not
specify a particular centrifugal force to be applied but instead
indicate some general guidelines such as ‘centrifuge at high
speed for 1 minute’.
Table 17.1 Conversion of RCM to RCF with different radii of
rotors
Laboratory Equipment
Centrifuges for laboratory use are generally of the horizontal
swinging arm type. The glass tubes holding the liquid are
867
supported in metal buckets which are free swinging from the
rotor head. When the rotor revolves, the tubes swing out in a
horizontal position so that the particles sediment along the
length of the tube. If the centrifuge tubes are held at a fixed
angle, about 45–50°C to the vertical axis, both while at rest
and while rotating, the sedimenting particles have only a short
path to traverse to the sides of the tube. This type of
centrifuge is known as the angle centrifuge and is useful for
the rapid sedimentation of particles provided that they do not
adhere to the sides of the tube. The RCF obtained in small
centrifuges of the types mentioned is about 2000 at
approximately 5000 rev/min. In making comparisons between
centrifuges, it is, of course, important to specify whether the
RCF is measured at the free surface of the liquid or at the tip
of the tube. High-speed centrifuges can be used to separate
bacteria from aqueous fluids at 10,000g. The ultracentrifuge
which is capable of causing sedimentation of protein
molecules may operate at speeds up to 85,000 rev/min
resulting in an RCF of up to 2,50,000 (Fig. 17.1). The size of
the rotating head of this type is limited to a few inches in
diameter.
868
Fig. 17.1 Ultracentrifuges: (a) Line diagram of
ultracentrifuges; (b) Photograph of ultracentrifuges. Courtesy:
Hitachi Koki Ltd.
Zonal Centrifugation
This allows high resolution separation of biological cells and
viruses due to the differences in density and size. In an
ordinary centrifuge tube, particles in the initially
homogeneous suspension settle in the centrifugal field
resulting in a distribution of particles of different sizes along
the tube (Fig. 17.2). There is no clear-cut separation of
869
particles of different size because the large particles that have
settled out will also contain smaller particles that were
initially present near the bottom of the tube. Similarly as the
intermediate particles sediment they form a layer above the
large particles which is contaminated with still smaller
particles. By repeated sedimentation fairly clear-cut fractions
can be obtained, but generally with considerable loss of
material. In zonal centrifugation, the centrifuge tube is filled
with a liquid whose density increases towards the bottom and
a small sample of particles in suspension is layered over it
(Fig. 17.3). This technique gives zones of sedimenting
particles, the rate of movement depending on size and density
of the particles.
Zonal centrifuges are designed to eliminate swinging buckets
or centrifuge tubes and provision is made for sedimentation to
occur in special rotors. The zones are recovered by displacing
them by a denser fluid which is pumped into the outer
periphery of the rotor while it is rotating at low speed, the
stability of the gradient being maintained by centrifugal force.
The effluent is then recovered as a series of discrete samples.
This technique has been used to separate glycogen particles
present in liver cells and the
870
Fig. 17.2 Diagrammatic presentation of sedimentation of
particles in conventional centrifuge tube: (a) all particles are
uniformly suspended in centrifuge tube; (b) Sedimentation of
particles starts; (C) all large particles have been sedimented;
(D) Medium particles are sedimenting; and (E) all large and
medium particles have sedimented (anderson, 1964).
871
Supercentrifuge
This consists of a relatively long hollow cylindrical bowl of
small diameter suspended from a flexible spindle at the top
and guided at the bottom by a loose fitting bushing. The speed
of rotation is up to 22,000 rev/min with a standard motor
drive or up to 50,000 rev/min with an air turbine. Fig. 17.4
shows the supercentrifuge fitted with a bowl for separating
two immiscible liquids. The feed is introduced into the
bottom of the bowl by gravity feed and the heavier liquid is
thrown out against the wall, with the lighter liquid forming an
inner layer. The separated liquids are taken off from the top of
the bowl through separate outlets as shown in Fig. 17.3. For
the clarification of liquids the separating bowl is replaced by
the clarifier bowl which has one outlet at the top through
which the clarified liquid passes, leaving the deposited solids
on the wall of the bowl. This centrifuge is limited to the
clarification of suspensions of low solid content due to the
limited dimensions of the bowl. This restriction does not
apply to the separation of liquid–liquid dispersions as there is
a continuous take-off of both components.
872
Fig. 17.4 Supercentrifuge fitted with bowl for separation of
two immiscible liquids.
Large-Scale Equipments
Vertical Centrifuges
873
in proportion to the total volume of the slurry, is shown in
Fig. 17.5. The important part is the ‘basket’, which may be
made of steel, sometimes covered with vulcanite or lead, or of
copper, monel or other suitable metal, according to the nature
of the material for which it is to be used. It may be plain or
perforated.
874
carefully and frequently. Any bulging of the wall is a sign that
it requires immediate attention. Perforated baskets are usually
employed. For fine crystals the perforations may be 3mm in
diameter, but for finer grained material which would tend to
pass through these holes the basket is lined with a
fine-meshed gauze, or with a cloth supported on a coarse
gauze. Fig. 17.5 shows an electrically under-driven centrifuge
with a perforated basket. The whole machine is suspended
from flexible joints two of which can be seen. The lever
attached to the side operates the brake which stops the
machine when the power is switched off. This type is made
with baskets from 90 to 180cm in diameter. The 90cm basket
has a capacity of 0.085m3, runs at 1000 rev/min, and requires
about 5 kW for starting and 2 kW for running.
Centrifuges may be driven by belt pulleys and shafting, by
water turbines or electric motors operating through a friction
clutch. The power required for running is small compared
with that required for starting and bringing it up to full speed.
The loading of the material into the basket must be done to
give even distribution, as an unbalanced basket running at
high speed causes great strain and vibration. After starting,
the top speed must be attained quickly, so that the machine
quickly passes, and does not run at, the critical speed.
875
of the basket. The solids are then scraped off by hand or by a
scraper blade. The supercentrifuge discussed previously is
also an example of a nonperforated basket centrifuge.
876
separate a coarse sediment from a mixture containing a fine
powder in suspension.
877
Fig. 17.8 Section of bowl of De Laval clarifier. Alfa-Laval
Co. Ltd.
Horizontal Centrifuges
878
Fig. 17.9 Horizontal centrifuge: the Sharples Super-D-Canter.
Sharples Centrifuges, Ltd.
879
Chapter 18
Filtration
This may be defined as a process whereby a solid is separated
from a liquid or gas by means of a porous medium which
retains the solid but allows the fluid to pass. When solids are
present in small proportions the process is usually spoken of
as clarification.
Mechanism of Filtration
The retention of particles by a filter can be due to:
1. Sieving action where the particles are larger than the pores
of the filter and the solid is retained at the surface of the filter
medium and eventually builds up a thick layer. This is
commonly referred to as cake filtration.
2. Capture of particles in the depth of the filter where the
particles retained are always smaller than the average size of
the voids in the solid bed through which the fluid flows. This
is called depth filtration.
The mechanism of sieving action of a filter is self-explanatory
but in depth filtration the particles can only be removed by
capture at the solid surface by van der Waals forces or by
electrical forces, both of which can only operate at short
distances from the solid surface. What is the mechanism by
which particles in suspension are brought close to the solid
surface? For particles less than 1μm, diffusion plays a major
role but for particles larger than say 20μm, diffusion could be
insignificant compared with inertial and gravitational forces.
For instance particles may be captured by impact where their
880
trajectories cause them to strike a filter fibre without crossing
a fluid strain line or by inertia when their mass is such that
they have sufficient inertia to cross the streamlines and so
touch the fibre surface.
In depth filtration, which is used exclusively for the removal
of small amounts of contaminants from relatively large
volumes of liquid, the filter medium is made up of fibrous or
particulate solids arranged in such a manner that the length of
travel of the liquid is large in comparison to the size of
particles being removed. A special case of depth filtration is
the socalled sheet filtration where the material to be clarified
is passed through a series of pads mounted edgewise to the
flow of fluid. The pads commonly consist of a mixture of
asbestos fibres embedded in cellulose.
881
as the cake increases in thickness. The factors affecting rate of
filtration are:
1. The area of filter surface.
2. The resistance of the filter cake + filter.
3. The viscosity of the filtrate.
4. The pressure difference across the filter.
The effects of these variables will now be discussed:
The rate of flow will be greatest at the beginning of the
process since the resistance is at a minimum, and will be
proportional to the filter area. Once the filter cake forms, its
surface acts as the filter medium and solids are continually
deposited adding to the thickness of the cake. This cake is
composed of a bulky mass of particles and the liquid flows
through the interstices. If it is assumed that these interstices
correspond to a multiplicity of capillary tubes, the flow of
liquids through these may be expressed by Poiseuille’s law as
indicated by the equation:
882
of flow may be only slightly increased, or even decreased, by
an increase in pressure. The flow rate is inversely
proportional to the viscosity of the filtrate. Viscosity is
reduced by a rise in
temperature and the filtration of viscous oils, syrups, etc., is
often expedited by filtering while hot.
An extension of the Poiseuille equation to make it applicable
to porous bed based on a capillary type structure leads to the
Kozeny–Carman equation, which is the most widely used
filtration equation:
883
Another advantage of positive pressure filtration is the ease of
filtration of liquids which foam under reduced pressure.
Filter Media
The selection of a suitable filter medium depends upon the
purpose of filtration and the quantity to be filtered. In general,
it is desirable that a medium should:
1. be inert, e.g. no chemical interaction and little physical
change such as shrinking of solution in the fluid,
2. allow the maximum passage of liquid while retaining the
solid,
3. sufficient mechanical strength to withstand filtration
pressure and
4. adsorb negligible amounts of dissolved material.
Filter Aids
When clarifying liquids containing slimy compressible
materials, e.g. colloidal sludges, the filter medium is soon
clogged and it may be necessary to incorporate a material
known as a filter aid. This functions by building up a porous
rigid structure which can retain the solid particles and allow
the fluid to pass through. A filter aid thus lends to counteract
unfavourable characteristics of badly filtering material. In
practice, a filter aid may be used in two ways:
1. adding to the suspension and the mixture handled in the
usual way or
2. making a suspension of the filter aid in a suitable liquid and
then filtering so that the filter medium receives a precoat of
filter aid.
884
The important characteristics of filter aids are that they should
be chemically inert of low specific gravity, porous rather than
dense and preferably recoverable. Examples include
kieselguhr, talc, charcoal, asbestos, paper pulp, bentonite,
Fuller’s earth. Materials such as activated charcoals will
adsorb to a greater or lesser extent inorganic and organic
compounds from solution. Alkaloids are very readily
adsorbed by charcoal, and a filter aid such as kieselguhr is
preferable for the clarification of alkaloidal solutions.
Pretreatment of Materials
Some materials which are practically nonfilterable may be
modified by suitable pretreatment.
Heat treatment: The collection of materials precipitated from
solution may be facilitated if the precipitate is made up of
coarse particles. Precipitation from concentrated solutions at a
raised temperature results in coarser particles than from dilute
cold solutions. Unwanted proteins in aqueous vegetable drug
extracts may be removed by heating the solution and the
coagulated protein then filtered off. Waxes which soften
when warm are not easily filtered unless they are chilled to
make the particles more rigid.
Filter aids: These may be added to suspensions to render the
filter cake more open and less compressible so that the flow
through the filter is not blocked. Their use in the clarification
of turbid liquids has been discussed previously.
Removal of tannins: When the turbidity of alcoholic
preparations is due to the tannin content it may be removed
by the addition of gelatin or isinglass which combine with the
tannin to form an insoluble complex and this can be filtered
off.
885
pH effects: A protein in solution is least soluble at its
isoelectric point and is easily precipitated in a filterable form.
Methods of Filtration
In pharmaceutical operations filtration is used chiefly as a
method of separating and rejecting small amounts of
extraneous matter (including bacteria) from relatively large
volumes of liquid. This contrasts with chemical processes
where the objective is usually to isolate a crystalline
precipitate and to discard the filtrate. This distinction affects
both the design of the equipment and the choice of filtering
medium.
Filter Funnels
886
for chloride. The amount of ash left on ignition of the paper is
of importance in gravimetric analysis, but not as important in
pharmaceutical operations, where the chief qualities required
are freedom from soluble impurity together with rapid
filtration.
Funnels for taking filter paper may be of glass or porcelain,
the latter being usually modified to take a flat disc of paper
supported on a perforated plate. These are known as Buchner
or Hirsch funnels and the supporting plate permits the paper
to withstand the strain of vacuum filtration.
Buchner and similar funnels (Fig. 18.2) are employed in
conjunction with a pressure flask of stout glass (Fig. 18.3) the
funnel passing through a rubber bung in the mouth of the
flask and the outlet on the left being connected to the pump. If
for any reason the water pressure falls, the pressure in the
flask may be momentarily less than that within the pump
itself, so that water in the pump may be drawn via the
connecting tube into the flask and contaminate the filtered
liquid that it contains. The same may occur if the tap is turned
off at the conclusion of the process before the flask is
disconnected from the pump. To obviate the risk of ‘back
suction’, a second pressure flask is interposed between the
pump and the receiver through the rubber bung of which
passes a glass tube, reaching to the bottom of the flask. This
tube is connected directly to the pump and the outlet of the
interposed flask is connected to the outlet of the receiver, any
water sucked back from the pump will be caught in the
intermediate flask instead of passing into the receiver.
887
Fig 18.2 (A) Buchner funnel; (B) Hirsh funnel.
888
purpose a conical glass funnel may be surrounded by a water
jacket or heating coil.
889
sending a stream of water through in the reverse direction, or
by chemical means.
Seitz Filters
890
Fig 18.5 Filter holder for clarification and sterilization.
891
Membrane Filters
892
membrane filters are Millipore Filter Corporation, Sartorius
and Gelman.
For filtration on a factory scale, disc filters are available up to
29.3cm diameter and are mounted in a filter holder as shown
in Fig. 18.6. For the production of very large volumes of
filtrate, multiplate units are available which may contain up to
60 disc
filters, all acting in parallel (Fig. 18.7). The assembly consists
of a bell housing containing a vertical stack of perforated
screen filter support plates between which the individual
filters are clamped under pressure. Whatever type of disc
filter unit is used it is always necessary to ensure that the
liquid is being pumped under steady pressure since pressure
fluctuations may rupture the membrane. A more obvious
disadvantage of membrane filters is their brittleness when dry
thus making handling difficult. This can be overcome by the
use of filters in cartridge form. One commercial product has
the membrane material held between two sheets of meshed
synthetic fabric which is supported on a hollow tube of
polypropylene suitably perforated for the flow of liquid
through it.
893
Fig 18.6 Millipore filter holder.
894
Fig 18.7 Assembly of the multiplate disc filter housing
showing the flow path (Millipore (UK) Ltd.).
895
Fig 18.8 A typical train of filters used to produce a
pharmaceutical product such as a vaccine. Mean pore size of
filters: prefilter 0.5μm; HA 0.45μm; PH 0.3μm; GS 0.22μm
(Millipore (UK) Ltd.)
896
appear to be much better than membrane filters or cellulose
filter paper, which tend to clog (Fig. 18.9).
Filter Press
897
series of square filter units are mounted on bars and are held
in position between a fixed head and a moving head. The
filter cloth is supported on the two faces of each plate which
are compressed together by means of a thrust screw applied to
the moving head so as to make a hermetic seal. These plates
are arranged alternately with the filter cloth clamped between
them. The feed channel is through one corner of the frame,
the slurry entering the space formed by the frame. The plates
have ribbed surfaces of such a form that the filter cloth will
not be forced to the bottom of the ribs by the pressure used,
thus leaving channels for the filtrate to reach the exit ports.
Filtration can be continued until the filter cake fills the
compartment or until the build-up reduces the efficiency of
filtration. Delivery from the press may be either separately
from each plate or united into a common channel. As a
general rule, it is advisable to have a tap on each plate, giving
control over each filter unit, and then if a filter cloth fails, that
unit can be cut off avoiding the necessity of stopping filtration
to open the press and find the fault. If it is necessary to force
the filtrate to a higher level than the outlet of the press, a
combined outlet gives the means of doing so, the pressure
being supplied by the filter pump. It is an advantage in such a
case to fit a short length of glass tubing into the outflow, so
that the condition of the filtrate can be observed.
Washing the filter cake free from mother liquor is not done by
passing the wash water through the same channels as for
filtration, since the water would take the easiest path and pass
through the cake in the region of the outlet port, but with the
filtrate outlet of the washing plate closed so that the water
passes through the inlet port on the washing plate and then
through the whole thickness of the cake to the grooves of the
filter plate.
898
When the runnings from the press are free from the impurity
of the mother liquor the cakes are removed and dried. When
the deposit is of no value it is usual to add kieselguhr or some
other filter aid to the first portion of the liquor. This forms a
coating on the filter cloth, giving a better filtering surface, and
when cloth is used without filter paper it enables the deposit
to be easily scraped off when the press is opened for cleaning.
Fig. 18.10 illustrates a type of filter press that is used in
pharmaceutical production departments. The plates and
frames are usually made of aluminium alloy and lacquered or
protection against weak corrosive chemicals and steam
sterilization. A wide range of filter media is available
including filter sheets, woven fabrics (Nylon, Terylene, etc.),
diatomaceous earth and plastics. Synthetic fabrics have
greater chemical resistance than wool or cotton which are
affected by alkali and acid respectively. Filter sheets
composed of a blend of asbestos and cellulose are capable of
retaining bacteria so that sterile filtrates can be obtained
provided that the whole filter press and filter medium have
been previously sterilized. This is usually done by passing
steam through the assembled unit.
899
The manner of feeding the liquid to the press is of great
importance. It must be supplied under pressure, which must
be as steady as possible; any surging caused by the pump will
tend to drive sediment through the filtering medium. As the
solids are deposited the resistance to the passage of the liquid
becomes greater and increased pressure must be applied until
either the space in the press is filled with solid or the
resistance has reached the maximum pressure for which the
press is constructed. Presses
will generally work up to a pressure of 75–100 lb/in2
(0.525–7.0kg/cm2). The rate of filtration can be increased in
some cases by increasing the pressure, but very often the use
of too high a pressure will result in the deposition of a
compact cake which will quickly slow the rate of filtration.
Lower pressures and a smaller feed often result in a more
open cake and an increased amount of liquid filtered over a
longer period.
The output of filter presses varies with the size and number of
the plates, the nature of the solid to be collected, the viscosity
and temperature of the liquid and the pressure applied.
Relative rates for different sizes of presses for the same liquid
can be calculated from the area of their filtering surfaces.
The main features of the filter press may be summarized as
follows:
Advantages
900
4. It has low maintenance costs.
5. It produces a dry cake in slab form.
Disadvantages
Metafilter
901
which a filter bed of kieselguhr, charcoal, decolorizing carbon
or other filter aid is deposited.
902
Fig 18.12 Assembly of rings on column for metafilter
(Metafiltration Co. Ltd.).
Drum Filter
903
longer immersed. The speed of rotation varies with the
material to be filtered, but is usually less than 1 rev/min. As
the segment leaves the slurry, the filter cake on its surface
may be washed with a water spray and consolidated by means
of a ‘cake compressor’. It is then removed either by a doctor
knife or a string discharge. The latter is particularly useful for
products which yield a firm cake. Some rotary filters include
a hot air drying zone and are capable of producing a cake with
less than 1 per cent moisture.
Air Filtration
Filtration is an important part of the system of air
conditioning which is a normal feature of the pharmaceutical
factory. Its purpose may be to produce either a dust free
atmosphere where products can be handled under clean
working conditions, or a sterile atmosphere for aseptic
processes (Sykes & Carter, 1953). (See also Chapter 35.)
Air filters must be of open construction to ensure high flow
rates and thus the openings are large compared with the size
904
of particles that are filtered out. The removal of a particle is
due to a chance collision with the filter material rather than by
any positive sieving action. The most important factors
governing the removal of particles are impingement forces at
high velocities and diffusion it low velocities. Small particles
striking any surface will tend to adhere because of van der
Waals forces, and if electrical charges are present the forces
of adhesion may be increased.
Impingement: This can occur when the particles follow the
streamlines of air close to the individual fibres of the filter,
allowing the particle to come into contact with the fibre. The
air streamlines bend round the fibre and small particles in the
outer streamlines will miss the fibre. Larger particles,
however, especially at high velocities, will not follow the
curve of the streamline around the fibre but will continue on a
straight course and collide with the fibre. This inertial effect
is effective for particles of 5μm upwards especially at high
velocities of air flow (Stairmand, 1950).
Diffusion: Inertial effects for particles less than 1μm are
unimportant. Filtration of these particles is, however,
effective at low flow rates, and may be explained on the basis
of increased Brownian movement resulting in increased
particle–fibre collisions. The efficiency of an air filter may be
at a minimum when flow rates are too fast for diffusional
movements to be effective and too slow for impingement.
905
or glass wool. A third method, although sometimes described
as filtration, actually involves the separation of solid particles
by electrostatic precipitation.
Oil or viscous filters are designed so that the air passes over a
large area of oil-coated metal either in the form of corrugated
plates or wire mesh. Larger models have a rotary metal screen
which passes through an oil trough. Dry filters comprise
frames packed with asbestos, glass wool, slag wool, or
various mixtures of these. Normally, they are discarded at the
end of their time cycle, but some can be cleaned for reuse.
The electrostatic method is more expensive than the foregoing
but is extremely efficient. Incoming air passes through an
electric field of high potential gradient thus causing dust
particles to become ionized. A series of wires carry a
potential of about 12 kV and a corresponding series of
‘Collector’ plates are at about 7 kV. The charged particles are
thus attracted to and held by the ‘Collector’ plates of opposite
charge; these are periodically cleaned by spraying with water.
An efficiency of 98 per cent against dust has been claimed for
this method.
The correct working of an air filter may be checked
photometrically by passing filtered and unfiltered air
simultaneously through standard areas of chemical filter
paper. The relative discoloration is a measure of efficiency.
Bacteria-proof filters are checked by using a standard
‘infected’ air and testing by slit sampler and after filtration.
References
906
Stairmand GJ. Trans. Inst. Chem. Eng.28. 1950:130.
Sykes G, Carter DV. J. Pharm. Pharmacol.5. 1953:945.
Wylie DM. Fundamentals of Filtration. 1959. Congr. Proc.
Cosmet. Sci. J. Cosmet. Chem.
1. The term ‘sintered’ is applied to these filters on account of
the similarity in appearance and other physical properties
which they bear to siliceous sinter. ‘Sinter’ is a German name
for a porous mineral precipitated in crystalline form from
mineral waters; there are various kinds of sinter, such as
calcareous sinter (a variety of calcium carbonate), pearl sinter
or fluorite, etc.
907
Chapter 19
Comminution, Sizing and Handling of Powders
Size Reduction
Size reduction or comminution is the process of reducing
substances to small particles, an operation that has to be
applied in greater or lesser degree to most drugs for the sake
of easy administration and so that they present a large surface
to the action of a solvent, thus aiding solution in the case of
chemical substances and, in the case of crude drugs, allowing
rapid penetration of the liquid used to extract their active
constituents.
It is an important preliminary stage in the preparation of
compressed tablets, where granular material has to be
prepared for the tabletting process. Relatively few drugs can
be compressed alone into satisfactory tablets; in general other
ingredients have to be added—excipients, disintegrants,
diluents and lubricants— and their particle size characteristics
have a major influence on the properties of the finished
tablets. Comminution is very relevant to the preparation of
pharmaceutical dispersions, pastes and fluids, where
properties such as consistency, tendency to sediment,
appearance and general storage characteristics again depend
on the particle size of the solid ingredients.
For sustained release preparations such as testosterone and
oestrone, the drug must be within a particular size range if its
effects are to be prolonged over a period and if it is not to be
excreted too rapidly from the body.
908
Finally, the reduction of materials to a fine state of
subdivision is an essential preliminary to the preparation of
pharmaceutical capsules, insufflations (i.e. preparations
inhaled directly into the lungs), suppositories, pessaries and
ointments, where the requirement is that the solid constituents
should be impalpable, i.e. less than about 60μm in diameter.
General Principles
909
Mechanism of Size Reduction
910
and inertia of the machine parts, in friction between particles
and deformation of particles without breaking them.
Many attempts have been made to develop equations for the
useful work required to effect a given size reduction (Dobie,
1952;
Carey & Stairmand, 1952). Rittinger’s law assumes that the
energy consumed is proportional to the fresh surface
produced. Kick’s law assumes that the energy required for the
subdivision of a definite amount of material is the same for
the same fractional reduction in size of the individual
particles. Thus, if 1.5kW is required to crush a given weight
of a substance from 2–1cm pieces, the energy required will be
the same for crushing 1–0.5cm or 0.5–0.25cm pieces. For
crushing large particles this appears to give better results than
Rittinger’s law, which can be applied more satisfactorily to
fine grinding.
A law combining both the above is due to Bond and can be
expressed by:
911
Size Distribution During Comminution
912
primary, while its width decreases. The final stage is
represented by the topmost curve.
By taking samples from a machine after different periods of
comminution, and plotting the histograms, it is possible to
establish the most satisfactory and economical milling
conditions.
Comminution Machinery
The hand mortar and pestle has for centuries been the
standard equipment for achieving size reduction, and is still
very widely used for small scale purposes. Its mechanical
counterparts are the end runner mill (Fig. 19.2) and the edge
runner mill.
913
Fig. 19.2 End runner mill.
914
are still used, particularly for reducing extremely tough and
fibrous materials—roots and barks—to the form of powder.
915
Fig. 19.3 Apex comminuting mill (Courtesy: AARON
Process).
916
Fig. 19.4 Manesty Fitzmill.
Pin Mills
917
The top cover is removable for cleaning and for changing the
discs, which can be supplied in different forms to suit
different materials. Discharge is form the bottom of the casing
which is connected to a bag, or by a sleeve to a box. Two or
three filter sleeves allow the escape of air which is drawn in
by the centrifugal action. These mills are adapted for the fine
grinding of substances with low melting points, such as resin,
soap, sugar, etc. The mill described is the smallest size and
has an output of up to 100kg per hr, with a power
consumption of 1.5kW. Larger sizes are made with outputs up
to 6 tonnes per hr and power consumptions of 30kW.
Ball Mills
918
The mill speed should usually be between about 50 and 65
per cent of the critical centrifugal speed, i.e. the speed at
which, the balls stick to the inner walls of the rotating vessel.
This ensures that their motion is that of cascading, i.e.
slipping smoothly over each other, rather than being thrown
cataracting—or sliding en masse round the walls of the
vessel. Generally, the balls should be as small as practicable,
consistent with the size of the feed and the arrangements
available for straining them from the product; commonly they
are 12mm or less in diameter and spherical in shape, though
for some purposes ‘cylpebs’ (cylindrical pebbles) are
preferred. There appear to be no particular advantages in
using balls of mixed sizes, though it has been claimed that
they sometimes help to maintain the charge mobility in the
mill.
A modification to the conventional ball mill is the Hardinge
mill. This has a conical centre section and as the charge
rotates, differential centrifugal forces cause the finer particles
to move to the discharge end. In this way, the mill operates
simultaneously for size reduction and classification. It may be
connected also to an air classifier in which a stream of air is
passed through the mill, the fines being transported upwards
and recovered in a cyclone separator. The principle of closed
circuit grinding, thus outlined, is widely used in the
pharmaceutical industry, and has the advantages of
accelerating the grinding process by continuously removing
the fines which otherwise tend to cushion the larger particles,
eliminating problems of dust and overheating, and producing
a closely graded product free from oversized and undersized
material.
919
Vibration Mills
920
Fig. 19.5 Vibration mill.
Micronizing
921
by other methods; particles become increasingly spherical in
shape as the period of micronizing is increased.
The mills described in the above section are only a selection
of the available types. All have their particular advantages
and no one mill will do all that is required in pharmaceutical
practice.
The art of milling requires much experience to be able to
select the right kind and size of mill to give the required
result. While flour milling has been reduced to a practically
automatic process, drug milling cannot be done in this way,
since each different material has its own distinctive properties
and requires special treatment. A powdered drug produced in
a ball mill differs from that produced in a micronizer even
though both powders may be screened to the same fineness,
the difference being due to the shape of the particles, their
roughness and their internal pore structure. A fibrous material
ground in an Apex mill will give a much more fluffy powder
than the same material ground in a ball mill. Substances of a
resinous or oily nature should not be subjected to heavy
pressures or much heat, as a pasty mass may result; they are
better treated in a micronizer or hammer mill, than in a heavy
edge runner mill Much heat is produced in the grinding
process and this is particularly noticeable in high speed mills,
when a current of air passes through the mill, as in closed
circuit grinding, the material often loses considerably in
weight due to the evaporation of moisture. Powders that have
lost weight in this way usually tend to regain it on storage.
In the British Pharmacopoeia, the degree of comminution of
materials varies according to the purpose for which they are
required, from crushed, e.g. gentian for the preparation of
tincture, to very fine, e.g. calomel in injections of mercurous
chloride.
922
Particle size characteristics, particularly in the case of
sparingly soluble drugs, have a profound influence on their
rate of absorption in the stomach or gastrointestinal tract, and
hence on their efficiency when administered orally, Penicillin
in a medium of aluminium monostearate plus arachis oil,
appears to be most effective when 90 per cent of the particles
are smaller than 5μm. The relatively insoluble sulphonamides
attain their maximum antibacterial activity at crystal sizes of
about 1μm or below (Neuman & Axon, 1961). For
insufflations the drug should usually be smaller than about
5μm.
For the preparation of extracts of vegetable drugs, the grade
varies from coarse to fine powder, the components of
compound powders are all finely powdered and in the
preparation of tinctures, bruised to moderately coarse
powders are used. Powders used for extraction by percolation
should not contain a large proportion of fines, as this would
result in uneven extraction of the material. Coarse and
moderately coarse powders, with a minimum of fine powder
are most easily obtained by using a high speed impact mill.
Materials such as cascara, liquorice, belladonna leaf and root,
and ginger are all easily broken down in such mills. When
fine powders are required, many drugs can still be broken
down in high speed impact mills by fitting finer screens; the
finer the screen the slower the process becomes, and with
very tough materials the process is very slow.
Fine powders of tough or fibrous materials such as nux
vomica or ipecacuanha are often produced in two stages, a
preliminary treatment in an Apex mill and a final grinding to
the required grade in a ball mill or edge runner mill.
Substances which are hygroscopic such as potassium
carbonate, or very poisonous such as triturations of the
alkaloids, are most easily prepared in closed porcelain ball
923
mills. The fineness of grinding of some drugs produces
changes in their properties. For example, the viscosity of
mucilage of tragacanth prepared from No. 60 powder will be
greater than that prepared from No. 120 powder, both
powders having been prepared from the same sample of gum.
Tragacanth should therefore never be ground to a finer
powder than is necessary. The industrial grades of acacia
which sometimes tend to give ropy solutions are often
improved by fine grinding. Powders used as absorbents have
that property enhanced by fine grinding. Spontaneous
combustion sometimes occurs in finely powdered resins and
hard soap since the greatly increased surface area accelerates
oxidation and produces heat. In the case of soap, it can
generally be traced to the quality of the olive oil used in its
manufacture, unrefined oil often being the cause.
The colour of powders is affected by the degree of
comminution and also by the proportion of particles which
are finer than the designated grade. As previously stated,
there is a difference between powders of the same grade
produced in different mills. Powders produced in ball mills
and particularly in edge runner mills usually contain a high
proportion of fines which tend to cause a ‘white’ powder to
appear ‘whiter’ and affects the tint of a coloured powder.
924
Precipitation
925
Crystallization
926
solution. Supersaturation can be achieved by cooling, by
evaporation of the solvent, by a combination of cooling and
evaporation and by salting out, i.e. adding another solute to
the solution to reduce the solubility of the substance in
question. Equipment in commercial use includes tank
crystallizers, agitated batch crystallizers, the Svenson Walker
Crystallizer, the Krystal and other vacuum crystallizers and
details of their design and operation will be found in
textbooks of chemical engineering (Badger & Banchero,
1955).
Sieving
927
Table 19.1 Wire mesh sieves as per BP
928
According to IP 2007, sieves conform to the specifications
given in Table 19.3.
Table 19.3 Specification of various sieves as per IP
929
size is mentioned. Along with that, the measures of the sieve
number in both BP and IP are different, as shown above in
Tables 19.1 and 19.3.
To obtain reproducible results in a particle size analysis it is
necessary to adhere closely to the detailed procedure given in
British Standards 410 (1969). The powder under test is passed
through a number of sieves of increasingly smaller mesh size
and the weight remaining on each sieve is measured. The
method of shaking the sieves is important; for rapid sieving it
is usual to use a mechanical shaker that imparts gyratory and
vibratory movement to spread the material over the whole of
the mesh. Errors can arise if the sieves are overloaded or if
insufficient time is allowed for the particles to pass through
(Heywood, 1963).
930
the undersized powder is sucked through the sieve into a
paper filter from which it can be recovered if required.
Having checked that the upper edge of the rotating slit is level
with the upper edge of the housing, the finest sieve is fitted
into the machine and the plastic sealing ring drawn
downwards until an airtight seal is obtained.
About 10g of the material under examination is carefully
weighed and spread onto the sieve and the cover placed in
position. The slit is set into rotation and the suction adjusted
until the manometer reads 200mm. Sieving is continued for
2min, the residual powder is weighed, transferred to the next
sized mesh with a fine brush and the process continued until
the sieve analysis is complete.
Airjet sieving has a number of advantages over the more
conventional method. It is rapid, produces closer and more
reproducible size cuts, is not subject to the clogging which
occurs in hand or vibration sieving at small sizes in particular,
and probably gives a truer result since there is less tendency
for fines to be formed as a result of the sieving itself. Against
these advantages, however, must be set the fact that Airjet
931
sieves have a relatively small capacity which makes them
unsuitable for handling large quantities of powders. They are
thus primarily used for determining the particle size range of
a powder rather than for classifying it.
932
Fig. 19.7 Brush sifter.
933
particles smaller than a particular size and return the rest for
further grinding until they meet the specification that has been
set.
For larger scale classification the Alpine Mikroplex and the
Hosokawa types are useful. These again employ the
centrifugal principle and have rotating blades which can be
set at different angles to achieve separations ranging from 3
up to about 50μm diameter. Depending on the material being
handled and the particle size of the fraction to be collected,
the outputs from these machines are between about 50 and
5000kg per hr.
934
gas adsorption. The size ranges covered by some of these
different methods are indicated in Table 19.4.
Microscopy
935
Fig. 19.8 Diagrammatic standard graticule (approximately to
scale).
936
In cases where the powder contains particles of irregular,
nonspherical shape, double image microscopy is useful. The
microscope is fitted with a beam splitting device (Timbrell,
1959), which is situated between the objective lens and the
eyepiece. This forms two identical images of any particular
particle which is in the field of view. The images are brought
into edge to edge contact along different diameters, as
illustrated in Fig. 19.9 and the length of each diameter d1, d2
and d3 is obtained in turn by reading off the shear that has
been applied to the beam splitting device to get the two
images into edge to edge contact.
Sedimentation Method
937
at predetermined times from a known depth below the surface
and the weight of powder present in each sample is
determined either by evaporating the liquid and weighing the
residue, or by some suitable assay method.
938
This can be written as:
939
where w is the weight of the solid in the withdrawn sample, V
is the total volume of the sedimentation vessel (usually about
1 litre), Ws is the weight of the withdrawn sample (usually
about 10g), Vρ is the volume of the pipette in ml, and is
plotted against particle size to give a cumulative distribution
curve in the usual way.
The cumulative method of sedimentation analysis is carried
out with a sedimentation balance (Stairmand, 1947).
As before, the powder is uniformly dispersed in a liquid but
now a continuous record is kept of the weight that settles on a
balance pan which is immersed in the liquid column. For the
purpose of computation:
Gas Permeability
940
equal size and spherical in shape, then their mean diameter
can be evaluated.
In the Lea and Nurse method (Orr & Dallavalle, 1959), dry
air is forced at constant pressure through a bed of the powder
under investigation. In the Rigden method, which has been
adapted from it, air is allowed to escape from a reservoir
through the powder bed and the time for the pressure to fall
from one specified level to another is measured.
The Rigden apparatus is shown schematically in Fig. 19.11.
The two ends of the cell E containing the powder are
connected to the two ends of a U tube containing a
nonvolatile oil. The equilibrium level of the oil is at C. The
oil is sucked into one arm Y of the manometer by means of
the bulb F and as it returns to the equilibrium level, it forces
air through the powder bed, The time taken for a given
volume of oil to travel between the starting line to mark A or
B on the manometer is measured and the specific surface is
calculated from the Kozeny equation, This can be written:
941
Fig. 19.11 Rigden apparatus (schematic).
where K is a constant.
A convenient, semiautomatic piece of equipment employing
the same principle, is the Fisher subsieve sizer in which air at
a constant pressure is forced through the powder bed. The
pressure drop is read off from a water manometer and by
means of a calculator chart is converted into an average value
of particle size.
942
Gas Adsorption
These flow through a cold trap then through the reference arm
of a detector unit, then through an adsorption tube containing
a known weight of the sample which has previously been
freed from adsorbed gas by subjecting it to a high vacuum,
and finally through the measuring arm of the detector. The
amount of nitrogen adsorbed by the powder at a series of
different partial pressures of nitrogen is obtained by
continually measuring the thermal conductivity of the
emergent gas stream, and the surface area per g of the sample,
is then obtained from the BET equation.
943
Coulter Counter
944
Fig. 19.13 Coulter counter.
Particle Shape
945
a2 a3, then both the flatness and the elongation ratios are
large and the particle is described as ribbon shaped
(Neumann, 1967).
A more refined way of defining shape (Heywood, 1963) is to
include in these ratios a term which also takes into account
the geometrical form, e.g. a prism, ellipsoid, tetrahedron, to
which the particle most closely approximates, but even this
procedure breaks down in the case of complex shaped
particles, for example, those containing bends, re-entrant
angles or cavities.
In order to specify the ‘shape’ of a powder, it is necessary to
examine a large and representative number of particles,
usually under the microscope, and calculate an average value
for the
elongation and flatness ratios. Alternatively, the shape may be
defined simply as the ratio of the average particle diameter, as
determined in some direct way, like sieving or microscopy, to
the average particle diameter determined in an indirect way
like sedimentation or gas permeability. Each pair of methods
will give rise to a different shape factor.
The shape of particles is often affected by the method
employed for preparing them. Spray dried products; for
example, tend to be spherical in shape, as do micronized
products. The angularity of products seems to increase with
the type of mill used for reducing them to powder form in the
order micronizer, ball mill, pin mill and hammer mill (Rose,
1961).
As in the case of particle sizes, the shapes of particles have an
important influence on certain of their properties which are
relevant in pharmaceutical practice. In the dry state, irregular
particles tend to be less free flowing than spherical particles,
but may be able to pack together more closely giving a higher
bulk density. The rheological properties of pharmaceutical
946
suspensions are also affected by the shapes of the particles
that they contain.
Handling Properties
Sliding and Flow
947
Fig. 19.14 Flow rate versus particle size.
There are two regions where the orifice blocks, one where the
particle diameter exceeds about one fifth of the diameter of
the orifice, the other at the very small particle size, below
about 100μm. Here they form into a dome over the orifice,
rather like bricks over a doorway.
This sort of behaviour is characteristic of virtually all
materials, though the position and height of the, maximum in
the curve, and the position where blocking occurs, vary from
one material to another, being dependent on such properties
as the density, shape, roughness of the particles concerned.
It is convenient to label material that will pass through an
orifice as free flowing, but material which will not, even
though its particles are very much smaller than the orifice, as
cohesive. A number of techniques are available for studying
powders in both the free flowing and in the cohesive size
range.
948
1 The angle of friction α may be defined as the angle to which
a particular surface must be elevated from the horizontal
before the powder begins to slide upon it. It is measured
conveniently by placing the material on a chute, which is
pivoted at one end and raised at the other by means of a
screw. Clearly the value obtained for a will depend on the
roughness of the surface. But it also depends on the thickness
of the powder bed. In general, the thicker the bed and the
more it has been packed down during preparation the greater
the value of α (Jones & Pilpel, 1966).
2 The so-called angle of repose of a powder, θ, is the angle of
elevation to the horizontal at which the powder commences to
slide upon itself. Numerous methods have been devised for
measuring it (Pilpel, 1965; Neumann, 1967). Thus the powder
may be allowed to flow out of a funnel to form a conical heap
and θ calculated from the base radius r and hypotenuse h of
the cone by substituting into the expression: cos θ = r/h.
Alternatively, the cone may be formed by placing an
open-ended cylinder on a base of the same radius, filling it
with powder and then raising it slowly to leave a conical heap
behind. Both these methods yield a so-called
three-dimensional angle of repose. The two-dimensional
angle of repose can be obtained with similar equipment to that
used for the angle of friction, but noting this time the angle of
elevation when the surface layer of powder begins to slide on
the rest of the bed. For this purpose it is clearly necessary to
use a chute with a rough surface to prevent the whole powder
bed sliding off it.
The angle of repose varies within about ± 2° depending on the
experimental method employed; other factors affecting its
value are the since of the particles in the powder, their shape
and roughness. The angle decreases fairly regularly with
949
particle size in the range 200–2000μm and can be expressed
by:
950
Fig. 19.15 Flow contours in a hopper (schematic).
951
where W is the flow rate in g/s, Do is the orifice diameter in
cm and n is a numerical term, which for many materials lies
between 2.5 and 3.2. Other factors controlling the flow rate
include the particle shape, size, density and roughness and the
geometry of the containing vessel. The equation:
952
Methods for Cohesive Powders
β being the angle of tilt that has caused the bed to separate.
953
From both the theoretical and the practical point of view,
probably the most satisfactory method for measuring the
cohesiveness of fine pharmaceutical powders is the shear box
method (Jenike, 1961; Ashton et al., 1965). The apparatus
Fig. 19.16 consists of a cylindrical brass cell which is divided
horizontally into a base section, a centre section and a
moulding ring, the three being aligned and held in position
while filling with powder by means of three vertical pins.
954
in Fig. 19.17 to give a series of yield loci, each appropriate to
the value of the bulk density achieved during the initial
consolidation of the specimen. The slope of the yield locus is
the internal angle of friction of the powder and its intercept on
the ordinate is its cohesiveness.
Data of this type are useful for predicting the way in which
pharmaceutical powders are likely to behave during
manufacture and during such processing operations as
transportation, sieving, granulation, storage and tabletting. A
highly cohesive powder tends to compact on storage, flow
with difficulty and thus cause blocking of pipes and orifices.
It tends to be difficult to sieve in to fine fractions as it balls up
on the sieve mesh. It may also prove difficult to mix in the
dry state with excipients and other ingredients as the first
stage in compressing into tablets or filling capsules.
955
Mixing of Powders and Particulate Solids
956
operations, mixing is usually a batch wise process, although a
batch may be as large as 1 tonne. Equipment for continuous
mixing is available from the food and other industries, but has
only recently been used in pharmacy.
The simplest mixing machines are adapted from the old
manual method of heaping materials on the ground and then
repeatedly cutting and piling them. One method suitable for
materials the granular or crystalline structure of which might
be damaged by more vigorous agitation is the tumbling barrel.
It comprises a box or drum in which the powders are mixed
by slow rotation. A very simple method of mixing is to place
the drum on rollers so that the ingredients within perpetually
cascade over one another. Large bulks of mixed powders and
powdered drugs, e.g. nux vomica, jalap, etc., which need to
be sampled for assay and adjustment of strength, must be
thoroughly mixed if the samples taken are to be
representative. For quantities of powder of 500kg or more
mixing drums of the type illustrated in Fig. 19.18 are used.
957
Fig. 19.18 Drum mixer (Manesty Machines Ltd.).
958
For quite a range of pharmaceutical products, particularly
those containing cohesive ingredients which tend to ball up
into aggregates or ingredients which, as a result of their
differing flow properties, tend to segregate or demix, agitation
mixers are generally more satisfactory than tumbling mixers.
They consist essentially of a stationary shell with a horizontal
or vertical agitator moving inside it. The agitator may take the
form of blades, paddles or a screw.
The preliminary mixing of stiff pastes, such as toothpastes
requires slow speed mixers which must be very robust to
overcome the friction due to the viscosity of the mixture. The
mixer in Fig. 19.19 is a typical example, where two ‘Z’ blades
of polished steel revolve in opposite directions and at
different speeds to each other resulting in efficient kneading
of the paste.
959
A recent development in powder mixing is the employment of
compressed air or fluidization. The substances to be mixed
are introduced through a weight or volume dosimeter into a
conical vessel, fitted at the bottom with a distributor, through
which compressed air is introduced (Anon, 1966). Air
emerging from the distributor at a speed of several hundreds
metre per second, causes the powder or granules to spiral
upwards. Considerable turbulence occurs in the outer region
of each spiral and this is responsible for the mixing action.
Air mixers are fabricated in capacities up to about 50m3 and
achieve their action in a matter of a few minutes, in
comparison with up to several hours in more conventional
machines. On the other hand, such mixers are not very
suitable for sticky or cohesive powders, for very dense
substances or for mixtures which contain ingredients having
substantially different densities, which cause them to
segregate.
Ideally, perfect mixing could be said to have occurred when
each particle of one material was lying as nearly adjacent as
possible to a particle of another material. But in practice a
convenient definition of the degree of mixing of a powder is
its standard deviation σ. For a mixture of two components this
can be defined by:
960
until the amount of the active drug that is required in a dose is
within ± 3 SD of that found by assay in a representative
number of sample doses. To achieve this it is clearly
necessary to make N large by milling the ingredients to a
sufficient degree of fineness (Train, 1960).
Granulation of Powders
961
Another method of granulation by spray drying is to form the
powder into a slurry with water and then spray it downwards
against a rising current of hot air in the form of fine droplets.
The water evaporates and one is left with rounded, light and
porous granules which, when made in this way, generally
flow freely. They have a minimal tendency to block the
hopper or clog the dies of multipunch tablet making machines
(Reff et al., 1961).
Recently a bowl method has been developed for granulating
pharmaceutical powders which, though still in the
development stage, has commercial potentialities. The
materials to be granulated are placed in a large copper or
stainless steel bowl, which is mounted on the shaft of a
driving motor and tilted at an angle of about 30° to the
horizontal. They are made to tumble by revolving the bowl at
a speed of about 30 rev per min at the same time spraying in a
fine mist of water, or a dilute solution of a suitable binder,
such as polyvinyl pyrrolidone or gum. As the powder
becomes moist, the particles start to agglomerate and by
correctly choosing the speed of rotation, the amount of liquid,
and the processing time, they can be made to grow up to any
desired size. (In some cases, tumbling of the powder needs to
be assisted by fitting shallow baffles in the interior of the
bowl.) A stream of warm air is then directed into the bowl,
which dries off the granules and the final drying is done by
spreading them on flat trays in an oven and heating at about
80°.
Granules prepared by this method are generally smoother and
more uniformly spherical than those obtained by the other
methods that have already been described.
It is appropriate to conclude this chapter by referring briefly
to one or two other aspects of powder science that are
962
relevant in the practice of pharmacy, in the context of the
handling properties of powders.
Transport
963
insufflations, where the patient has to inhale a fine powder
directly into the lungs.
Dust Control
964
down to a hopper from which they can be subsequently
withdrawn.
Cyclones are particularly suitable for attaching to machines in
which large amounts of dust are being produced; they form an
integral part of the design of certain mills and mixers.
Finally, electrostatic precipitators consist of a number of
earthed tubes between which are stretched fine metal wires
charged to several thousands of volts d.c. The high potential
difference between the tubes and the wires ionizes any
particles of dust that are being carried by air streaming over
the precipitator and the dust is deposited on metal plates from
which it is collected periodically.
References
965
Dotson JM. Ind. Engng Chem. 1962;54:62.
Dunning, W.J. (1961) Society of Chemical Industry
Monograph, No. 14, 29. London.
Edmundson IC. In: Beckett, Bean, Carless, eds. Advances in
Pharmaceutical Sciences.2. London: Academic Press;
1967:95.
Goodridge AM, Badzoick S, Hawksley PGW. J. Sci. Instrum.
1962;39:12.
Green HL, Lane WR. Particulate Clouds Dusts Mists and
Smokes. London: E. & F.N. Spoil; 1957.
Hammond R. Separation and Purification of Materials.
London: Heywood; 1958.
Hawksley. P.G.W. (1947) Institute of Fuel. Conference on
Pulverized Coal, p. 656. London.
Herdan G., et al. Small Particle Statistics. London:
Butterworths; 1960.
Heywood H. J. Pharm. Pharmacol. 1963;15:56T.
Hukki RT. Br. Chem. Engng. 1959;4:446.
Indian Phaomacopocia (2007).
Jenike AW. Bulletin. U.S.A.: Engineering Experimental
Station University of Utah; 1961. No. 108
Jones TM, Pilpel N. J. Pharm. Pharmacol. 1966;18:429.
182S
Neuman ACC, Axon A. Society of Chemical Industry
Monograph. 1961.291. No. 14
Neumann B. In: Beckett, Bean, Carless, eds. Advances in
Pharmaceutical Sciences.2. London: Academic Press; 1967.
Orr C, Dallavalle JM. Fine Particle Measurement. London:
Macmillan; 1959.
Pilpel N. Chem. Proc. Engng. 1965;46:167.
Pilpel N. In: Beckett, Bean, Carless, eds. Advances in
Pharmaceutical Sciences.3. London: Academic Press; 1971.
966
Raff AM, Robinson MJ, Svedres EV. J. Am. Pharm. Ass.
1961;50:76.
Riley RV. Chem. Process Engng. 1965;46:189.
Rose HE. Society of Chemical Industry Monograph.
1961.130. No. 14
Rose HE, Sullivan RME. Vibration Mills and Vibration
Milling. London: Constable; 1961.
Rumpf H. Agglomeration. London: Interscience; 1962.
Stairmand CJ. Suppl. Trans. Inst. Chem. Engs. 1947;25:131.
Timbrell V. Lab. Pract. 1959;8:66.
Train D. Pharmac. 1960.129. 6th August
967
Chapter 20
Coarse Dispersion
Biphasic preparations involving a dispersed phase and a
dispersion medium are necessitated because many drugs,
solid and liquid, are either insoluble in or immiscible with
water, which is almost always a vehicle. They probably
present the biggest problem to dosage form formulation of the
modern age because the present-day parameters required to
assess their stability, acceptability, elegance and efficacy are
much more rigid and involved than what they were in the
past. The preparation and presentation of such drugs in forms
in which they can be used or taken calls for newer
understanding and manipulated skill on the part of industrial
pharmacist because the application of physicochemical
principles to facts relating to properties of biphasic systems
have brought to the fore many new facts and ideas. Generally,
two-phase liquid dosage forms include emulsion and
suspension.
Emulsions
An emulsion has been defined by Becher (1965) as a
heterogeneous system, consisting of at least one immiscible
liquid dispersed in another in the form of droplets whose
diameters, in general, exceed 0.1μm. Such systems possess a
minimal stability, which may be accentuated by such
additives as surface-active agents, finely-divided solids, etc.
The liquid droplets, generally known as the emulsion
globules, form the disperse phase (or internal phase) while
968
the liquid in which they are dispersed is known as the
continuous phase (or external phase). If oil globules are
dispersed in water, the system is called an oil-in-water (o/w)
emulsion; conversely, the dispersion of water in oil produces
water-in-oil (w/o) emulsion. The ratio of internal phase
volume to the total volume is known as the phase volume or
the phase volume ratio.
It is not necessary to have an oil or indeed water to form an
emulsion. When a coacervate (Kruyt, 1949) first separates it
does so in the form of colloid-rich globules. Conversely, both
phases may be nonaqueous. Occasionally, a multiple emulsion
can be formed as when minute oil globules are dispersed in
the water globules of a w/o emulsion: this might then be
described as an o/w/o emulsion.
Globule sizes can vary enormously but are generally in the
range 0.25–25μm diameter. Emulsions with predominantly
large globules are sometimes referred to as coarse emulsions
while those with globules of mean diameter below about 5μm
are considered to be fine emulsions. Even finer emulsions can
sometimes be formed with globule diameters as small as
10nm; these are known as microemulsions. Unlike ordinary
emulsions which are generally ‘milky’, microemulsions may
be transparent having globules only a little larger than
micelles.
Except with some microemulsions, emulsification is generally
not spontaneous and certainly not in the thermodynamic
sense, and energy must be supplied in order to increase the
interfacial area between the phases. Considering a 1cm
diameter globule of liquid paraffin in water with an interfacial
energy (γow) of 55mJ m–2, the interfacial energy is:
Interfacial area × energy per unit area
969
If this globule is broken into globules of 10μm diameter then:
970
orifice under high pressure, which produces extremely large
shearing forces causing the globules to be strung out into high
speed liquid jets which are ruptured into minute globules by
the action of the interfacial tension on the perturbations.
Colloid mills are also used. Alternatively, a fine emulsion can
be achieved by means of an ultrasonic dispersator. Propellor
mixers and shrouded turbines are favourite instruments on a
small scale while the pestle and mortar may suffice for
extemporaneous dispensing. Some emulsifying equipment is
described at the end of this chapter.
Since there is a positive interfacial tension between the
internal and external phases, emulsions are
thermodynamically unstable. Collision of unprotected
globules will very probably result in their coalescence,
thereby producing a rapid coarsening of the emulsion. This
process is known as breaking or cracking. It follows that
some barrier to coalescence is needed and this is achieved by
the use of emulsifying agents otherwise known as emulgents.
Emulsifying Agents
971
of adsorption of the latter has been discussed in Chapter 4
while that of fine particles is dealt with here.
The surface-activity and emulsifying power of single oil and
water-soluble surfactants and blends of these have been
classified semiempirically by Griffin (1949, 1954) in terms of
the hydrophile–lipophile balance (HLB). This has been
discussed by Becher (1965) and by Sherman (1968). HLB
numbers may be determined experimentally or calculated in a
manner similar to the parachor (see Chapter 5), and afford a
means of blending surfactants so as to achieve a desired type
of emulsion.
Oil soluble amphipaths have low HLB values whereas
water-soluble ones have high values. Thus sorbitan
mono-oleate has a value of 43 while polyoxyethylene sorbitan
mono-oleate has a value between 10 and 15 depending upon
the length of the oxyethylene chain. Blending of these
amphipaths gives an HLB of intermediate value. For an o/w
emulsion, an HLB value within the approximate range 8–18 is
required, while within the range 3–6 a w/o emulsion would be
produced. The HLB value of an individual surfactant is
correlated with its dielectric constant and, for o/w emulsions,
the more polar the oil, the more polar must be the emulgent.
This means that the more polar oils need emulgent blends of
higher HLB value. In connection with this, it is worth noting
that the spreading coefficients of an oil on aqueous solutions
of various surfactants, or of water on solutions in oil, have
been correlated with the HLB value.
972
in fact cover all aspects of the dispersion of one immiscible
liquid in another and so includes creams and some lotions,
liniments and applications.
973
concomitant increase in interfacial tension so that the
distorted faces act like stretched membranes. The tension
gradient which is produced then rapidly brings monolayer
molecules from behind the globules to fill the weakened gaps
and these molecules drag water with them thus opposing
further thinning of the aqueous lamella between the globules.
Delay in adsorption of more amphipath from the water allows
time for elastic rebound and the globules will then have
survived their encounter (Fig. 20.1).
974
appears to be more important with nonionics (Elworthy &
Florence, 1969).
The three creams mentioned above may be prepared in two
slightly different ways. Commonly the water-soluble and
oil-soluble amphipaths are dissolved in their respective
phases with the aid of gentle heat; the two phases are mixed at
about 60–70° and then stirred gently till cool or passed, with
cooling, through an emulsifier. Alternatively an emulsifying
wax is used which consists of the two amphipaths intimately
mixed by melting and dissolution. This ‘wax’ is melted,
dissolved in the warm oil phase and mixed with the warm
aqueous phase. Emulsification
is then achieved as before since the water-soluble component
rapidly partitions out of the oil.
The consistency of the product and its appearance may be
influenced by the method of preparation. Since the
concentration of water-soluble surfactant is in excess of the
CMC, some of the cetostearyl alcohol partitions into the
aqueous phase to form mixed micelles. Low concentrations of
the alcohols give fluid emulsions but concentrations near or
above the saturation concentration in the oil produce
semisolid creams, i.e. they possess a yield stress (see Chapter
10) and will not flow under their own weight. This bodying
action as it is called is due to gelation of the aqueous phase,
probably as the result of the formation of liquid crystalline
structures (Lachampt, 1970) (see Chapter 5). The viscoelastic
gel network, which forms when the emulsion is first cooled, is
partially disrupted when sheared, resulting in a reduced yield
stress. However there may be some thixotropic recovery.
Evidence so far accumulated suggests that, for a given
amount of oil-soluble component, ionic water-soluble
surfactants produce stiffer creams than an equal molar
concentration of a nonionic one. The consistency however
975
depends largely on the rare of cooling of the cream during
manufacture and on the mechanical dispersion process since
this affects the degree of partitioning of the oil-soluble
component before the structures are ‘frozen’ in position. It is
possible that ionic surfactants behave rather differently from
nonionic ones. Structure build-up is rapid with the former and
occurs during the cooling process whereas structural changes
occur over a period of several hours in cooled nonionic
creams (Barry & Saunders, 1971c). In order to obtain a cream
with a smooth texture, the oil and water-soluble components
should be readily capable of forming a ternary liquid crystal
phase, otherwise granular textured creams may be produced
containing waxy particles in the aqueous phase. These latter
probably arise due to mechanical separation from the oil by
the action of the homogenizer and may result when a low
concentration of water-soluble component is used in
conjunction with a fatty acid instead of an alcohol. Using
cetrimide or cetomacrogol 1000, the optimal chain length of
saturated fatty alcohols for a bodying action is CI4 and C16 or
a mixture of CI6 and C18, but a marked viscoelasticity has
been noted using shorter chain alcohols.
Unsaturated alcohols such as oleyl alcohol have no bodying
action but do permit the production of stable creams.
Increasing the volume of oil (producing a larger phase
volume) has the effect of increasing the viscosity of the
emulsion. This effect is supplemented by raising the
proportion of oil-soluble component.
Details concerning the bodying action of mixed emulsifiers
may be found by reference to the work of Barry, Talman and
their coworkers (cited in Barry & Saunders, 1970–1971a,b,c;
Talman & Rowan, 1970a, b).
Stable emulsions may be produced in which the oil and
water-soluble components are not chemically distinct. Soaps
976
such as soft soap used in Turpentine Liniment partially
hydrolyse so that coadsorption of ionized and unionized
molecules at the o/w interface produces a complex film. The
soap may also be formed in situ (nascent soap method) as
when aqueous ammonia is added to oleic acid–paraffin oil in
the preparation of Ammonia Liniment BPC 1949.
977
Fig. 20.2 Influence of hydrophilic and lipophilic groups on
interfacial curvature. (A) Sodium oleate. Tension low on
water side due to repulsion of ionized groups and ion–dipole
interaction. Result o/w. (B) Sodium oleate plus oleic acid.
Entropic repulsion on oil side predominates since ionization
on water side reduced. Result w/o. (C) Magnesium oleate plus
oleic acid. Charge neutralization and strong linking of polar
groups. Result w/o.
978
multilayer might well produce a suitable mechanical barrier.
However, a surfactant mixture, such as lecithin–cholesterol in
a ratio below 8:1, can form monolayer stabilized w/o
emulsions. Close approach of two water globules leads to the
formation of a lipid bilayer which, however, retains some oil
and complete thinning of the oil lamella with consequent
coalescence of the globules is resisted.
Water globules have been demonstrated to possess charges,
the effect of which is long ranging due to the low permittivity
of the intervening oil. In such instances, the Helmholtz double
layer thickness can exceed 1μm producing a considerable
energy barrier with respect to infinite separation of the
globules. The globules are, however, not separated by vast
distances so that geometric distribution of the globules
necessarily means that part of the barrier is already
surmounted and the net repulsion is considerably reduced.
Hydrophobic soaps produced by reaction between divalent
and trivalent cations and fatty acids are nearly always formed
in situ. Such is the case with zinc cream and oily calamine
lotion, both of which contain calcium oleate formed by the
interaction of calcium hydroxide solution and oleic acid. They
will also contain traces of zinc oleate from the zinc oxide and
calamine respectively. Emulsions prepared using these soaps
alone tend to break readily, therefore in each case wool fat is
added to enhance the stability. This contains long-chain
alcohols and hydroxy sterols such as cholesterol, which on
their own tend to produce w/o emulsions but may be used to
stabilize both w/o and o/w emulsions. By contrast, it should
be noted that calamine cream is an o/w emulsion utilizing
sodium lauryl sulphate, the corresponding divalent salts of
which are much more soluble in water than those of fatty
acids.
979
Multiple Emulsions
These may form when a system does not strongly favour one
particular emulsion type or when three phases are present.
Certain aspects of their formation have been discussed by
Mulley and Marland (1970).
980
not incorporate much air. For very small quantities of acacia
stabilized emulsions, a pestle and mortar technique may be
used where the oil–water–gum
proportions are initially carefully controlled so that the
relative viscosities of the two phases allow adequate shearing
of the interface. This is further described in Chapter 26.
Since globule size reduction involves an increase in
interfacial area, more hydrocolloid needs to be adsorbed. If
there is an excess of hydrocolloid, coverage of the extra area
need not be at the expense of the thickness of the interfacial
film. In the presence of very thick films (of the order of
100nm) such as occur in acacia stabilized liquid paraffin
emulsions, the effective phase volume increases as the
emulsion is made finer, resulting in an increased viscosity of
the emulsion (Shotton & White, 1963). Low viscosity grades
of cellulose derivatives are desirable in order that these may
be present in suitable concentration to produce a good
coverage of the globules without increasing the viscosity of
the external phase too much.
981
the oil in situ. The most stable emulsions are obtained when
cos θ ≈ 0.
982
Fig. 20.4 Capillary forces cause similar particles to be drawn
together so that they cohere strongly. The closer the particles,
the more curved is the meniscus at b and the lower the
pressure there compared with that at a and c. (A) Solid
preferentially wetted by water; θ <90°: result o/w; (B) Solid
preferentially wetted by oil; θ > 90° result w/o.
983
gelatinous structures are known to exist in the aqueous phase
(Sanders, 1970; Davis, 1971). A necessary criterion is that the
solid particles shall be much smaller than the globules which
they are to protect. Since their desorption involves, at least
temporarily, an increase in interfacial energy, these emulsions
can be very stable. This stability may be enhanced if the
particles carry a charge, resulting in globules having a high
ξ-potential.
984
film, tending to produce a negative interfacial tension. A
nonnegative tension is then restored by the spontaneous
curvature of the interface (Prince, 1967). Such emulsions are
therefore unique in being thermodynamically stable.
Stability of Emulsions
985
This shows that in a gravitational field of acceleration g, the
velocity v of a globule can be reduced by decreasing its
effective size (dst) and difference in density from the external
phase (Δρ) and by increasing the viscosity (η) of the external
phase. Reducing the effective globule size means not only
that the individual globules should be as small as possible but
that they should be kept from flocculating by means of a
suitably high ξ-potential. It is not usual to reduce Δρ but this
could be done by adjusting the oil density using a mixture of a
light and a heavy oil such as a paraffin or vegetable oil and a
brominated oil. The viscosity of the external phase may be
increased by incorporating more bodying agent, such as a
long-chain acid or alcohol in amphipath stabilized emulsions.
The emulsifying waxes have a self-bodying action, i.e. the
consistency of a cream may be controlled entirely by the
proportion of ‘wax’ added. Thus emulsifying wax BP is used
in both benzyl benzoate application and in aqueous cream but
whereas the former contains only about 2 per cent ‘wax’ and
is fluid and prone to creaming, the latter uses 9 per cent and is
semisolid. Emulsions intended for oral use may include
hydrocolloid thickening agent such as tragacanth or a small
quantity of high molecular weight methylcellulose.
Alternatively, sodium alginate may be thickened by the
addition of traces of a calcium salt.
Phase volume may influence emulsion stability. Obviously if
the internal phase volume is large, the mean distance between
globules will be small. A large phase volume may involve
considerable flocculation of globules and flattening of the
regions of contact which will increase the chances of
coalescence. The proportion of oil to water may occasionally
decide whether an o/w or a w/o emulsion is obtained but with
those emulgents where this is so the preparative technique
may be the overriding factor. Sometimes it pays to prepare
986
one type of emulsion, say a fine o/w emulsion, and then to
invert this to w/o by the addition of more oil or by cooling. In
this way, smaller water globules may be obtained than would
otherwise be possible. White Liniment affords an example
where the preparative technique involves inversion, in this
instance due to an alteration in the nature of the emulgent.
Occasionally, however, only incomplete emulsification may
be achieved. This might be due to a poor technique or to some
unsuspected change in the quality of an ingredient. Instead of
obtaining a white emulsion unsightly, immiscible, coarse
mixture of o/w and w/o emulsions is obtained. It may be
possible to break the emulsion by heating and then to make
another attempt at emulsification, perhaps using another
instrument, but usually it is best to start again. An example
where difficulty might be encountered is in the preparation of
Turpentine Liniment. If the soft soap is dispersed in the oil
and this is then shaken vigorously with the water, an o/w
emulsion may not be made successfully. However, o/w
emulsification is readily produced with only a few shakes if
about a one minute interval is allowed between each shake.
This allows time for redistribution of the ionized soap and
free fatty acid between the oil, the water and the interface
and results in a very thick stable o/w emulsion. Slight changes
in pH may also lead to emulsion instability. With soft soap,
this might result from the absorption of carbon dioxide.
Breaking of an emulsion during storage may be due to a
number of interacting factors. Temperature fluctuations
should be avoided. Elevated temperatures may lead to the
emulsifier favouring a different emulsion type since changes
in the interfacial film often become pronounced above 40°C.
With o/w emulsions particularly, warm conditions enhance
evaporation and chemical degradation processes such as
oxidation of oils. The use of well-closed containers is
987
therefore essential. The stability of most emulsions is also
diminished by cooling to near or below 0°. Besides alteration
of the emulgent properties, formation of ice crystals ruptures
the interfacial film, thereby breaking o/w emulsions. In order
to counteract loss of water from o/w dermatological creams, a
humectant is frequently added. This is commonly glycerin or
sorbitol. In sufficient amounts these compounds reduce the
evaporation rate from the container and the skin, but the
concentration is limited by their tendency to dry the skin.
Another source of instability is the growth of
microorganisms. o/w Emulsions prepared with materials of
natural origin such as gums, carbohydrates and proteins are
particularly prone to such spoilage, fungi, yeasts and bacteria
all being implicated. Synthetic compounds such as cellulose
and sorbitan derivatives are therefore to be preferred.
Preservation requires the addition of one or more compatible,
water-soluble, nontoxic compounds which have a
long-lasting, wide spectrum of activity against
microorganisms even in low concentration. Usually they
should be undetectable by the senses. For oral use, benzoic
acid is commonly employed, which may be supplemented
with chloroform as in Liquid Paraffin Emulsion. Esters of
p-hydroxybenzoic acid are used for both oral and topical use.
Sometimes, the emulgent itself has a preservative action as in
cetrimide cream but in others a compound such as
chlorocresol is a suitable additive. Since microbes grow in the
aqueous phase, a sufficient preservative concentration must
be found here and partitioning into the oil must be allowed for
(Bean, et al., 1969). Further aspects of preservation are
discussed in Chapter 40.
Instability of an emulsion is not associated merely with
flocculation, creaming or breaking. Emulsions used as bases
must not impair the activity of the medicament. Generally, an
988
ionic emulgent will be incompatible with medicaments whose
active ion is of opposite charge such as sodium lauryl
sulphate with neomycin sulphate. Ionic incompatibility is not
always obvious as for example the incompatibility of
hexachlorophene with quaternary ammonium surfactants due
to the anionic character of the phenolic group. Nonionic
emulgents may be used when ionic reactions are at risk but
even these are not immune from incompatibility due for
example, to their micellar adsorption of phenolic compounds.
Incompatibilities are not always visible although emulsion
breaking may ensue. Sometimes a colour change may be seen
as when proflavine hemisulphate is incorporated in an anionic
base, but discoloration may develop only slowly as when
hydrocortisone is incorporated in a cream stabilized with a
triethanolamine soap. It is important to choose a base which is
chemically unreactive and which gives the medicament the
desired degree of skin penetration and release to the body
tissues.
Another form of instability has been observed when the
medicament is suspended in an emulsion. Liquid paraffin and
phenolphthalein emulsion requires the phenolphthalein to be
very finely dispersed otherwise it settles out and cannot easily
be redispersed upon shaking.
Occasionally, emulsions are deliberately made with an
inherent instability. An o/w barrier cream may be used which
liberates a film of oil when applied to the skin. Sometimes,
emulsion breaking is an essential part of a manufacturing
process such as the separation of woolfat from wool scouring
wastes. Yet another application is the formation of foams
from emulsified aerosol propellants which vaporize on release
from the container.
989
Globule Size
990
made to the increase in viscosity upon homogenizing
emulsions stabilized by thick hydrocolloid films.
Size reduction may also lead to enhanced flocculation. This
also increases emulsion viscosity. In the event of flocculation,
care has to be taken in interpreting size parameters especially
if nonmicroscopic methods of analysis are used.
Coarsening of an emulsion tends to follow first order kinetics
and is observed as an increase in mean globule size. This may
be accompanied by a broadening of the size distribution but
sometimes a more nearly monodisperse system of large
globules results.
Sherman (1964), Becher (1965) and Hamill and Petersen
(1966) have reviewed the literature concerning the influence
of globule size while Sherman (1968) has discussed its
determination.
Several methods are available for testing emulsion type. The
dilution method involves placing a little of the emulsion in
water. If the emulsion readily disperses it is o/w, otherwise a
w/o type is indicated. Thick o/w creams may require slight
agitation but usually emulsion type is readily observed
especially as lumps of o/w cream appear dull in water
whereas w/o creams are shiny and usually float to the top.
The dye solubilization method involves dusting a small
amount of a water soluble dye, such as methylene blue, on the
surface. Rapid dye diffusion indicates that water is the
external phase. It is often useful to supplement this by dusting
an oil-soluble dye such as scarlet red on another part of the
emulsion surface. Dye diffusion then indicates contact with
oil as in the case of w/o emulsions, but for this test to be valid
the top surface of the emulsion should first be removed
otherwise coloration may merely indicate a thin oil film on
top of an o/w emulsion due to contamination from
991
manufacturing equipment. Alternatively, it might indicate an
unstable o/w emulsion.
Electrical conductivity is another method relying on the poor
conductivity of oils compared with aqueous solutions. The
conductivity may be measured by standard low frequency a.c.
methods, and it will be low where oil is the continuous phase
as in w /o emulsions. Ionic emulgents used for the production
of the latter give higher conductivities than nonionic
emulgents.
If a drop of emulsion is placed on filter paper, the external
phase will tend to spread quickly if it is aqueous. The filter
paper wetting method however, is useless for thick o/w
creams or for emulsions of water in thin oils which
themselves spread.
The tests mentioned above may be applied rapidly but the
results must be interpreted with caution. They will, for
instance, not indicate whether a multiple emulsion has been
produced. This must be resolved by microscopy.
Emulsions in Pharmacy
992
globules of paraffin can be absorbed. Hydrocolloids or
nonionic amphipaths such as polyoxyethylene sorbitan esters
are employed for oral use.
Emulsions used as enemas are also of the o/w type but may
use soaps. The incorporation of a surfactant in suppositories
has been reported to influence drug absorption either by
increasing its rate or by prolonging it. The choice of
surfactants for parenteral use is very limited and has already
been discussed in Chapter 4. Phytomenadione injection may
be in the form of a fine o/w emulsion.
By far the greatest use of emulsions is in dermatology.
Oilin-water creams and lotions form the washable variety
whereas w/o creams may be used to act as barriers to aqueous
solutions. Topical applications are common in the cosmetic
field while in the medical treatment of diseased skin,
emulsions are often used as carriers for a drug. Generally only
a superficial drug action is required and undue penetration of
the skin may need to be avoided as in the case of
corticosteroid creams. Percutaneous absorption is mainly a,
function of the drug itself and not of the vehicle containing it.
Where penetration does occur, the hair follicles, sweat ducts
and stratum corneum may all be implicated, absorption being
greatest for those substances which have both a water and
lipid solubility with the hydrophile–lipophile balance in
favour of lipid. Since drug action requires partitioning out of
the emulsion base, a base having a poor solvent action for the
drug should be used. Percutaneous absorption is greatly
affected by the condition of the skin such as its relative
hydration and greasiness. It may be modified by vasodilation
and by the accumulation of sweat during the use of occlusion
dressings which involve covering the treatment area with a
plastic film. Water-in-oil bases also may inhibit evaporation
of sweat, reduce heat radiation and increase skin temperature.
993
The skin is a natural barrier with a pH between 5 and 6.
Ideally, therefore, cream bases should have a neutral or
slightly acid pH. Buffered cream BPC is one such o/w
emulsion, this being similar to aqueous cream BP having the
pH adjusted to about 6 with sodium phosphate and citric acid.
The electrolyte content of the aqueous phase of a cream may
be an important consideration when treating hypersensitive
skins.
de Kay (1962) and Becher (1965) have surveyed much of the
literature relating to the topical use of emulsions.
Emulsifying Equipment
994
turbine blades RB are driven. These are powered by a motor
above the supporting columns which act via the drive RT.
Centrifugal forces expel the contents of the head through the
mesh M and on to the cover C when large shearing and
impaction forces produce a fine emulsion which emerges
from the openings OP. Circulation of material through the
head is maintained by the suction produced in the inlet I at the
bottom of the head.
995
uses a high pressure pump and the shearing action is divided
between two independently adjustable stages (Fig. 20.6).
Ormerod Q.P. homogenizers work on the same principle, the
hand-operated model being commonly used for dispensing
purposes. The plate jet, illustrated in Fig. 20.7, is fitted into a
reciprocating piston which is filled with the crude mix (held
in the bowl) upon its downward stroke. The upward stroke
causes expulsion via the shearing and impaction surfaces, the
valve loading being controlled by rotation of the drip-cup.
996
Fig. 20.7 Q.P. laboratory emulsifier. (A) Emulsifier in
section; (B) Components of the plate jet (Omerod Engineers
Ltd.)
997
Fig. 20.8 Premier colloid mill in section.
998
Suspensions
Suspension is a dispersion of finely divided solids in a liquid.
The lower limit of fineness of a solid particle in suspension
has been arbitrarily fixed at 0.1μm. Among the liquid
suspension used in pharmaceutical practice may be mentioned
mixtures or magmas for oral use, lotion or washes for external
use and injections for parenteral use. The basic characteristics
of such suspensions are:
• The rate of sedimentation of the dispersed particles should
be so low that no distinct layer of the sediment or any
appreciable separation of supernatant liquid on long storage
and shelf life is observed.
• Any sedimentation taking place is easily dispersible by
moderate shaking, i.e. the sediment does not cake or cement
on setting.
• The flow property of the suspension is so balanced as to
make it possible to pour easily from the container or to apply
on the skin or inject it through hypodermic needles in
suspension.
• The product must be chemically and physically stable, so as
to maintain maximum therapeutic efficiency.
• The suspension should be acceptable to the consumers
aesthetically, i.e. in regard to its taste, colors, smell and its
cosmetic properties.
• In case the suspension is meant for parenteral use, it should
not lose its efficacy when subjected to sterilization process.
To obtain a suspension with the above-mentioned
characteristics, the following physical and physicochemical
phenomena have to be taken into account:
• Surface properties of the suspended solid particles
999
• Electrokinetics of the system including particle–particle and
particle–vehicle interaction
• Rate of sedimentation
• Caking or cementation
• Micromeritics
• Flow property or rheology of the product
1000
In the above equation, the electrical forces acting on the
surface of the particle have been disregarded. The system can
be made thermodynamically more stable by reducing either
interfacial tension or the surface area. Reducing the surface
area would mean increasing the size of suspended particles,
which in turn would be detrimental to the stability of the
suspension. The interfacial tension (η) cannot be reduced to 0,
but its magnitude can be appreciably decreased by means of a
suitable surface-active agent (wetting agent). The
indiscriminate use of such agents is, however, beset with
another difficulty, i.e. increased deflocculation of the
particles, which reduces their settling but ultimately leads to
caking of the sediment. This
can be avoided by effecting partial occulation of the dispersed
particles, whereby they loosely adhere to one another
resulting into an open scaffold-like structure. The surface free
energy thus reduced gives the system greater thermodynamic
stability on the one hand and minimizes the risk of cake
formation on the other.
1001
surrounded by an ionic atmosphere of oppositely charged ions
and formed an electrical double layer around the particles: (1)
a stationary layer at the particle surface and (2) a mobile layer
next to the stationary one (Fig. 20.10).
1002
Fig. 20.11 Diagram showing zeta potential.
1003
particle surface and the immobile layer is termed the Stern
potential. This is equal to the difference between the
electrochemical or epsilon (ε) potential and the electrokinetic
or zeta potential, mathematically represented as:
1004
Rate of Sedimentation
1005
From the above it can be seen that we can stabilize a
suspension in the following three ways:
1. By decreasing the rate of sedimentation of dispersed
particles
2. By increasing the consistency or viscosity of the dispersion
medium
3. By preventing the particles from mutual aggregation
As we proceed further, it will become clear that the rate of
sedimentation of suspended particles is not of that importance
in suspension stability as are the phenomena of partial
flocculation of particles to form an open scaffold-like
structure and the bodying or structuring of the suspension
medium.
Measurement of sedimentation rate is made in terms of the
ratio of the ultimate height (Hu) of the sediment column to the
original height (Ho) of the system containing the suspended
particles dispersed all through, both readings taken from the
same container (cylinder). This ratio Hu/Ho is called
sedimentation ratio and its values against time have been
used as an index of the settling rate of dispersed particles. It
will be evident from the above that larger the Hu/Ho ratio
value, slower is the sedimentation rate and greater is the
degree of flocculation of the particles. This ratio assumes the
maximum value when the optimum concentration of the
flocculating agent has been reached.
In recent times, a device known as sedimentation kymograph
has been employed to determine the rate of sedimentation.
This is only a modification of the Oden’s balance and helps in
maintaining a continuous record of the settling rate on a
smoked drum rotating at a slow speed of about 0.1mm per
minute. The pointer attached to the disc on which particles
settle records the rate in terms of the height of the curve on
the kymograph.
1006
Caking of Suspensions
1007
between the particles decreases. The third curve represents the
resultant of the two opposing forces of attraction and
repulsion acting on the suspended particles. The maxima or
the peak of this curve lies in the upper part or the positive side
of the diagram and represents the maximum repulsive force
acting between the two particles, and indicates the maximum
potential or energy barrier. The potential or energy barrier
between two particles means the force of repulsion acting
between them due to similar electrical charges borne by them
and their diffuse layer of ions, the positive value of which
indicates attraction. This third curve shows two potential
minimas or energy wells.
1008
happens because the particles have come too close together,
because of
• their settling down, howsoever it might happen,
• the smaller particles entering into the spaces caused between
• the larger ones where the particle-size distribution is wide
and
• the lowermost particles of the sediment being gradually
pressed together by the weight of those lying above.
Thus the potential or energy barrier, causing the particles to
repel each other and remain dispersed, is altogether overcome
causing the force of attraction between them become very
great. This is the state that exists in the primary energy well
and that leads the particles to adhere together so closely that
their redispersion becomes almost impossible. This is the
phenomenon that has been referred to as caking or
cementation.
The secondary minimum potential or energy well also lies in
the lower part, i.e. on the negative side of the diagram,
representing a state of attraction between the particles, but
here in this case the force of attraction is of much lower order
and operates when the particles are comparatively far apart.
Such a condition is brought about by the incorporation of a
flocculating agent, i.e. an electrolyte that can furnish active
ions carrying electrical charges opposite to that existing on
the particle surface. When such ions get concentrated in the
diffuse double layers of the dispersed particles, the force of
repulsion between them is reduced to a certain extent causing
an increase in the force of attraction even when they are at a
greater distance, which has been estimated to be of the order
of 1000–2000 Å. This condition prevailing in the secondary
potential or energy well results in the building up of flocs or
floccules, which are so structured with balanced forces of
attraction and repulsion that though they settle down
1009
comparatively more quickly, their discrete particles are, at no
stage, allowed to approach each other so close as to let the
potential barrier existing between them to be overcome
altogether, leading to the formation of a cake or a cemented
sediment. The phenomenon of floc formation is known as
flocculation, where the coarse and partially flocculated
particles undoubtedly coalesce but remain redispersible, or
reconstitute on gentle shaking because they have not actually
caked or cemented.
Fig. 20.13 shows a caking diagram of a bismuth subnitrate
suspension being flocculated by adding to the system a dilute
solution of dipotassium hydrogen phosphate as the
flocculating agent. Initially, the dispersed particles of bismuth
subnitrate have a
high positive zeta potential as indicated on the left-hand side
of the diagram. On adding the flocculating agent (K2HPO4),
the negative phosphate ions get adsorbed on positively
charged particles of the dispersed phase and the charge on
them is reduced; their zeta potential value is lowered to such
an extent that there is maximum flocculation. By working out
the sedimentation ratio, it is found that in the beginning
Hu/Ho ratio is low, showing none or little flocculation. By
introducing the flocculating agent into the system, one can
reach a point at which the ratio assumes the highest value
indicating the maximum flocculation. In other words, these
values constitute the noncaking zone shown in the diagram as
the middle region. Further addition of the flocculating agent
to the suspension causes greater adsorption of the negative
ions of the flocculants. Thus, the zeta potential is raised again
though with a changed sign of the charge from positive to
negative. The Hu/Ho ratio is also reduced because the
particles are once again deflocculated. This event is
accompanied by the shifting of the system again into the
1010
caking zone. Thus it can be concluded that both, the
sedimentation ratio and the zeta potential value, can provide
caking indices for suspensions. It is also concluded that
controlled flocculation of the particles of the dispersed phase,
caused by introducing a flocculating agent bearing electrical
charge of the sign opposite to that on the particles, helps a
good deal in preventing the cake formation or cementation.
There are some other factors that cause caking such as:
1. Crystal growth: When crystals grow or change their form
or habit they do so in an interlocked fashion, which results in
an intertwined structure leading to caking.
2. Temperature cycling: During the shelf life of the product
when the environmental temperature changes take place, the
dispersed phase gets dissolved to some extent by the rise in
1011
temperature and when the temperature falls in the next cycle,
the dissolved substance reprecipitates or recrystallizes giving
rise to cake formation, because it does so in an interlocked
fashion.
3. Wide range of particle size distribution: In such an event
the smaller particles having higher intrinsic solubility get
dissolved and then get reprecipitated into bigger granules or
crystals, which cause cementation of the suspended particles.
4. Chemical reactions: These have also been known to cause
caking of suspension, for example, if a system contains
magnesium oxide and sodium bicarbonate, there occurs
conversion of magnesium oxide into magnesium carbonate
resulting in caked sediment.
Micromeritics in Suspension
1012
Reduction of the particle size also contributes to the
therapeutic usefulness of the product, because with reduction
in the size of the particles, the surface area and hence the
intrinsic dissolution rate increases leading to better and
quicker absorption of the drug into system. There are
numerous examples to prove this statement. For instance, it
has been experimentally shown that quicker and higher peak
of plasma level of spironolactone is reached when it is
administered as micronized powder than when it is given as
ordinary powder. There are a few exceptions also to this
general rule. Besides the average size of the particles, the
particle size distribution (p.s.d.) has its own effect on the
physical stability of the suspension system. In the above
narration, mention has been made of the wide range of
particle size distribution leading to cake formation. In the next
section, it will be shown how the particle size distribution
affects the viscosity of suspensions.
1013
particle size is an important factor influencing product
appearance, settling rates, drug solubility, in vivo absorption,
resuspendability and overall stability of pharmaceutical
suspensions. Insoluble drug particles are seldom uniform
spheres or cubes, even after size reduction and classification.
Wide distributions in particle size often lead to high-density
suspensions. Systems with widely differing particle shapes
(plates, needles, filaments and prisms) frequently produce
low-density slurries. The growth over time of unprotected,
slightly soluble drug solids and changes in their particle size
distribution in suspension are a serious problem. Crystal
growth of particles is usually attributed to one or more of the
following mechanisms:
Oswalt ripening or the growth of large particles at the
expense of smaller ones, because of a difference in solubility
rates of different size particles. For example, the increase in
the solubility rate of a 0.2-mm particle is 13%; for a 2-mm
particle, it is 1%; and for particles above 20mm, it is
negligible. Crystal growth due to temperature fluctuations on
storage is of minor
importance, unless suspensions are subjected to temperature
variations of 20°C or more.
A polymorphic form may change to another more stable
crystalline form; changes in crystal habit may be related to the
degree of solvation or hydration. Crystal growth may also
arise when the more energetic amorphous or glassy forms of a
drug exhibit significantly higher initial solubility in water
than the corresponding crystalline forms.
Size reduction by crushing and grinding can produce particles
whose different surfaces exhibit high and low solubility rates.
This effect can be related to differences in the free surface
energy introduced during comminution (grinding). Crystal
growth and changes in particle size distribution can generally
1014
be controlled by employing one or several of the following
procedures and techniques:
1. Selection of particles with a narrow range of particle sizes,
such as microcrystals between 1 and 10mm.
2. Selection of a stable crystalline drug form that usually
exhibits lower solubility in water. The crystalline form that is
physically most stable usually has the highest melting point.
3. High-energy milling should not be used during particle size
reduction. Microcrystals are best formed by controlled
precipitation techniques or shock cooling.
4. A water-dispersible surfactant wetting agent dissipates the
free surface energy of particles by reducing the interfacial
tension between the solid and the suspending vehicle.
5. A protective colloid, such as gelatin, gum or a cellulosic
derivative, is used to form a film barrier around the particles,
inhibiting dissolution and subsequent crystal growth.
6. The viscosity of the suspending vehicle is increased to
retard particle dissolution and subsequent crystal growth.
7. Temperature extremes during product storage (freeze–thaw
conditioning) must not occur.
8. Supersaturation favours the formation of needle-like
crystals and should be avoided.
9. Rapid or shock cooling and high agitation favour the
formation of thin, small crystals and should be avoided. Slow
crystallization by evaporation yields compact crystals.
10. Experimentation with different crystallizing solvents is
recommended to change crystal size and shape.
11. Impurities and foreign substances during crystallization
affect the reproducibility and aggregation potential of many
drug particle systems.
12. Constant crystallizing conditions are essential.
Batch-to-batch variation in crystal size and shape is often
1015
associated with poor control of processing and crystallization
procedures.
Variations in assay results can be avoided by the preparation
of homogeneous, well-mixed or nonsettling fine particle
suspensions (size 1–10mm). Particle size reduction results in
slow, more uniform settling rates.
The bioavailability of drugs is improved by reducing the size
of suspension particles. Furthermore, drug particles smaller
than 20mm produce less pain and tissue irritation when
injected parenterally. However, fine particles may have a
deleterious effect on chemical stability because of their high
dissolution rate.
Rheology of Suspensions
1016
reduction of dispersed phase, (3) passage through orifices
including filling in or pouring out of containers and passage
through hypodermic needles and (4) physical and chemical
stability of disperse systems.
Thixotropy and yield value are intimately related to
suspension stability. These provide sufficient consistency to
the product when at rest, and thus prevent its physical and
chemical deterioration. While the product is at rest, the only
shear that is acting is due to the inherent tendency of the
suspended particles to fall and since the stress caused hardly
ever exceeds the yield value of the system, its mobility is
highly restricted. This explains the physical stability of the
system. The restricted diffusion of the drug particles
minimizes the chances of any chemical reaction and thereby
contributes to the chemical stability of suspensions. But when
the preparation is shaken and poured out of its container, the
yield value is far exceeded, shear thinning takes place, and it
becomes easily pourable or usable. Due to thixotropy the
building up process is slower, thus providing enough time for
use either orally or topically or parenterally. When the
container is set at rest, the system again assumes its structure
and becomes almost immobile to maintain its physical and
chemical character intact. Hence, only one-point viscosity
determination is not sufficient, but the study of total rheology
of the suspension is essential for making a good choice of a
suitable system.
With regard to caking, it has been observed that plastic and
pseudoplastic materials with thixotropy possess the property
of preventing or minimizing this phenomenon. However, in
such a system, if caking once starts, it is more accelerated
than retarded, and cakes formed in rheological systems are
much more formidable than those formed otherwise. Based
upon the above considerations, it has been possible to make
1017
permanent suspensions founded in rheological parameters like
yield value and thixotropy. Attempts have been made to make
stable suspensions by the use of a combination of both plastic
and pseudoplastic materials for giving body to the system. By
doing so, the suspension system enjoys both the advantages:
(1) of remaining pourable on the basis of its pseudoplasticity
and (2) of producing a permanent suspension on the basis of
yield value and thixotropy of the plastic material. For this
purpose, pseudoplastic materials like tragacanth, sodium
alginate and sodium carboxymethylcellulose could well be
combined with advantage with plastic substances like veegum
and bentonite.
Several workers have suggested that dispersed-phase particles
could be kept in suspension more permanently if a vehicle,
having molecular aggregates formed into a cell-like structure,
were to be used. Such vehicles have been called structured
vehicle. Carbopol 934, a carboxyvinyl polymer, has been
shown to provide such a structured vehicle in aqueous
solutions, having plastic flow with high yield value. The
cell-like structure can keep the dispersed particles or their
floccules entrapped and thus bring about their permanent
suspension in the medium.
1018
vehicle, but is a well-designed technique used to produce a
stable and acceptable suspension. Such technique is now
mainly based on three-pronged attack on the problem, viz. (1)
wetting with or dispersion into vehicle of finely powdered
drug in uniformly sized particles, (2) controlled flocculation
and (3) bodying or giving a structure to the system.
Dispersion
1019
presence of a wetting agent. Alcohol, glycerin and other
hygroscopic liquids may be used in the beginning for the
displacement of air from the surface of the particles and thus
makes them more dispersible.
In the act of dispersion, due to the presence of a surfactant,
the zeta potential of the particles is enhanced, which becomes
usually deflocculated leading to the formation of hard,
indispersible sediment known as cake.
Flocculation
1020
has been possible by precipitating sodium sulphathiazole in
acid solution in presence of gelatin. The product, known as
microform sulphathiazole, when suspended yields positively
charged particles, which can be easily processed without any
difficulty of incompatibility with the bodying agent. Another
method of obtaining the primary dispersed particles with
positive charge on their surface is to coat them with some
fatty acid amines or quaternary amines and then flocculate
them with an anionic flocculating agent. Finally, the system is
given a body or structure by means of one or more protective
colloids. This technique of first coating the primary
suspension particles with positively charged substance
followed by flocculation with anionic flocculant and finally
stabilizing them with negatively charged polyelectrolytes is
illustrated in Fig. 20.14.
1021
Fig. 20.14 Sequence of steps involved in the preparation of a
stable suspension.
1022
the suspension particles, which account for their flocculating
effect by forming bridges between particles. Besides
electrolytes, some anionic and nonionic detergents such as
polyoxyethylated nonyphenols have also been used as
flocculants.
Lyophilic polymers commonly used as suspending agents
also manifest the property of causing flocculation of
suspension particles. The polymers known as polyelectrolytes
have active groups spaced along their entire chain. Part of the
long-chain molecules get adsorbed on the particles leaving the
extended portion projected from the particles surfaces. The
protruding ends may get adsorbed on another particle,
bridging the two into floccules, or it may do so on the same
particles forming a loop. The latter may offer an avenue for
another polymer chain adsorbed on other particle to get
interwined resulting in the formation of particle flocs. The
hydrocolloids that are polyelectrolytes possess some definite
optimum for their flocculating and protective action.
Therefore, the reaction of the suspension medium becomes an
important factor in the formulation.
1023
that of simply raising the viscosity of the system but also to
give the desired rheological character to the product, for
which the total product rheology had to be taken into account.
In addition to these functions, such substances build up strong
mechanical barrier or envelop
around the particles, which prevents them from agglomerating
or forming cakes.
It has been stated earlier that a flocculated or partially
flocculated suspension is better than a completely
deflocculated one from the point of view of its noncaking or
anticaking tendency. But this is also true that such suspension
settles down comparatively more rapidly leaving a clear
supernatant liquid at the top, which gives an unsightly or
unacceptable appearance to the product. This defect is
compensated by the use of bodying agent or hydrocolloids
like carboxymethylcellulose, tragacanth, carrageen (chondrus,
Irish moss), sodium alginate, carbopol, bentonite, veegum,
etc. These substances, while supporting the flocs in the
suspension, bestow desirable rheological properties to the
product.
In making the suspension, it is necessary to aim at producing
a uniform product of fine, well-dispersed floccules and
having easy pourability, i.e. any possible sediment can be
dispersed by simple inversion of the container or mild
agitation. A suspension having a very high consistency cannot
yield uniform doses, does not pour well from the container
and leaves a film in the mouth causing an unpleasant
after-feeling or taste. Therefore, it is best to have a partial
flocculation of the system blended with the use of a small
quantity of carefully chosen bodying agent.
In addition to the insoluble active ingredient or ingredients
and the suspension stabilizers, viz. dispersants, surfactants,
flocculants and protective colloids, the present-day
1024
suspension formulation also includes colouring and
flavouring substances, preservatives and in case of oral ones,
sweeteners also.
Various suspension stabilizers are effective only within a
certain pH range and hence the adjustment of pH by use of
buffers to obtain the optimum effect is necessary for all
suspensions. Further, the viscosity and keeping quality are
markedly influenced by pH variation.
The following outline of a scheme for the performance check
of suspension will show the modern trends in suspension
technology:
1. Shelf stability
Gross physical factors
Drug potency
2. Pharmacological evaluation
Toxicity
Therapeutic value (blood levels, etc.)
3. Patient acceptance
Oral suspension by taste panel
Parenteral (IM) suspensions (pain on injection and its
persistence thereafter)
4. Clinical reports
Increasing use of physical data is being made in fabrication of
suspension formulations, predicting the drug stability and
correlation of the physical characterization of the formulation
with its therapeutic usefulness. Such data may include (1)
extent of purity of drug, (2) its solubility in water and other
clinically usable solvents, (3) influence of pH on solubility
and (4) its general therapeutic pattern in the temperature range
of 5–75°C.
1025
References
1026
Talman FAJ, Rowan EM. J. Pharm. Pharmacol.
1970;22:535.
* Volume fraction is the fraction occupied by the dispersed
phase in relation to the total volume of the dispersion.
1027
Chapter 21
Tablets and Capsules
Solid medicaments may be administered orally as powders,
pills, cachets, capsules or tablets. As these contain a quantity
of drug which is given as a single unit they are known
collectively as solid unit-dose forms even in the case of
sustained action preparations which, technically, contain the
equivalent of several normal doses of drug. The stringent
formulation requirements of modern medicaments, the many
advantages of tablet and capsule medication, coupled with
expanding health services and the concomitant need for
large-scale economic manufacture, have lead to a steady
decline in the prescribing of powders and pills. A few
medicaments such as the salts of para-aminosalicylic acid are
administered as cachets and the production of these dose
forms is described elsewhere in this volume. Tablets and
capsules, on the other hand, currently account for well over
half the total number and cost of all National Health
prescriptions issued in the UK.
Tablets
Tablets are solid masses made by the compaction of suitably
prepared medicament (granules) by means of a tablet
machine. Although it is possible to manufacture tablets in a
wide range of shapes, official tablets are defined as circular
discs with either flat or convex faces. The British
Pharmacopoeia 1973 includes monographs for over three
hundred tablets.
1028
Advantages of Tablet Medication
1029
but there are a number of exceptions to this general rule. If
the drug is inactivated at low pH, causes gastric irritation, or
intended to exert its effect on the lower part of the gut, an
enteric coating is applied to ensure that disintegration does
not take place in the stomach but readily occurs in the small
intestine. Examples are enteric coated tablets containing
erythromycin or the alkali metal halides. Only part of the
medicament in a sustained action tablet is released in the
stomach to obtain prompt therapeutic action while the
remainder is released at a controlled rate as the tablet
progresses along the gastrointestinal tract. As an alternative to
enteric coating for the minimization of gastric irritation, the
drug, e.g. aspirin, may be formulated as a soluble tablet to be
dissolved in water prior to administration; an effervescent
base, as in Effervescent Potassium Tablets BPC, improves
palatability. If the preferred site of absorption is the oral
mucosa the tablet is directed to be dissolved in the mouth
(isoprenaline), under the tongue (ethisterone) or chewed
(phenolphthalein). For lozenges slow solution in the mouth,
rather than disintegration, is required.
A number of preparations, not intended for oral
administration, are also prepared by compression, examples
being Mouth-wash Solution Tablets BPC, Testosterone
Implants BP and Acetarsol Pessaries BPC. Solution tablets
are dissolved in water and the solutions applied to mucous
surfaces or externally. A distinctive shape and colour is used
for solution tablets that contain a poison.
1030
Granulation
The Tablet Compression Cycle
1031
Fig. 21.1 The compression cycle for a single-punch tablet
machine.
1032
disintegration characteristics with sufficient firmness to
withstand damage due to packaging, transport and other
hazards. The volume of the granules may be several times
that of the tablet into which they are compacted. The
reduction in volume is due to removal of air and this must
readily escape for the proper development of the interparticle
bonds. Compaction also forces the tablet material into very
close contact with the wall of the die. Excessive die-bore
wear and damage to the edges of the tablet result if the
die-wall friction is not reduced, usually by the addition of a
lubricant to the granules.
In addition to the above it is, of course, essential that the
medicament in a tablet is stable and released at the required
rate. Primarily these are matters of correct formulation and
processing.
Granulation Processes
Moist Granulation
This is still the most widely used of the three processes. The
mixed, powdered, tablet constituents are converted to a moist
cohering mass by the incorporation of granulating fluid.
Granules formed by passing the moist mass through a screen
are dried, rescreened to break down agglomerates and blended
with other tablet adjuvants such as lubricant and disintegrant.
Although the majority of drugs are available as powders
1033
suitable for direct use in the moist granulation process, in a
few cases the particle size of the powder affects the eventual
compression characteristics of the granules. Smith (1950), for
instance, reports that a powder finer than 80mesh should be
used for the production of tablets containing either phenacetin
or phenobarbitone. Often the dose of the drug is very small
and an inert diluent
(bulking excipient) should be added before granulation to
give, as a minimum, a 50mg tablet. Some diluents will absorb
small quantities of liquids (absorbent excipients); others may
be used in the dry granulation process (see Table. 21.1).
Although the inertness of diluents is generally assumed, there
have been reports of their adverse effect on product
performance. Stephenson and Humphreys-Jones (1951)
examined a number of formulations for glyceryl trinitrate
tablets and demonstrated the superior stability of preparations
using a lactose base. Richman et al. (1965) noted that
microcrystalline cellulose permits dry granulation of this
during and yields a more stable product than that obtained
with a lactose–sucrose diluent. A carbonyl–amine reaction
causes darkening of tablets containing lactose or other
reducing sugars together with a primary amine (Duvall et al.,
1965). The BPC 1968 states that calcium phosphate may
interfere with the absorption of calciferol.
1034
Calcium Used for direct compression formulations.
Hydrogen
Phosphate USP
Colloidal silica Small proportion used as an absorbent
diluent or to improve granule flow by
glidant action.
Anhydrous Absorbs moisture at high relative
Dextrose BP humidity—see BPC.
Dextrose (spray Useful for direct compression formulations
dried) but absorbs moisture at high relative
humidity.
Lactose BP Inert, tasteless, odourless, inexpensive and
gives granules by moist granulation which
have good tabletting properties.
Incompatible with primary amines (Duvall
et al., 1965).
Lactose (spray Used for direct compression formulations
dried) but tablets may assume a brown tinge on
storage (Brownley & Lachman, 1963). Is
also incompatible with primary amines.
Lactose Used for direct compression formulations.
(anhydrous) Care should be taken to prevent moisture
uptake. Is also incompatible with primary
amines.
Mannitol BP Dissolves readily and has a ‘cooling’ effect
in the mouth.
Microcrystalline Mainly used for direct compression
cellulose formulations; has some lubricant and
disintegrant effect and may improve the
1035
behaviour of granules made by other
methods.
Sodium Oral tablets containing this substance must
Chloride BP be dissolved in water before administration
to avoid gastric irritation—see BP. Usually
reserved for the formulation of solution
tablets. To avoid binding during
compression, dry thoroughly and compress
while still Warm.
Starch BP Small proportion of dried starch may be
used as an absorbent excipient but its main
use is as a disintegrant.
Mixing: To ensure batch uniformity it is essential that the dry
powders are thoroughly mixed before moistening. It must be
stressed that mixing problems are particularly acute where
one or more of the constituents forms only a small proportion
of the tablet weight. Such minor components should, if
possible, be dissolved in the granulating fluid or other suitable
solvent and incorporated during the moistening stage. This
method is included in the British Pharmacopoeia 1973
monograph on tablets and was specified for Soluble
Paediatric Atropine Sulphate Tablets BPC 1968. Train (1960)
pointed out that solute migration during the drying stage,
analogous to separation on a chromatographic column, will
lead to unequal distribution of solute within the granule mass,
that is, to virtual demixing and this may be difficult to rectify
in subsequent processing. With soluble dyes the effect is
visually apparent in the uneven coloration of the dried
granules and the mottled appearance of the finished tablet.
Jaffe and Lippmann (1964) studied the migration of F.D. &
C. Blue No.1 dye in lactose and noted that tragacanth, acacia
1036
and talc tended to ‘fix’ the dye so reducing its migration. The
problem may be circumvented by the use of lake dyes, that is,
soluble dyes bonded to an inert base. Lake dyes usually
exhibit greater stability to light than the corresponding soluble
colorant and are now much used, particularly for tablet
coating.
A further mixing difficulty may arise if the drug is physically
adsorbed on to the surface of the granules and these have a
broad-size distribution. A large fraction of the drug will be
adsorbed on the fines since these make a disproportionately
large contribution to the total granule surface. Should
separation of fines occur, this again is equivalent to demixing.
The deliberate removal of fines to improve the tabletting
properties of the granules is particularly suspect in these
circumstances as this could lead to the production of low
potency tablets. Where solvent dispersion of the minor
components is not feasible a concentrated triturate may be
prepared and subsequently diluted, in steps, with the
remainder of the tablet ingredients. This should improve
mixing, as comparable quantities of materials are blended at
each stage of the process.
Batches up to a few hundred grams may be mixed in a mortar.
Larger quantities of powders require power driven mixers,
e.g. Y-cone, Rotocube or ribbon blenders. The transference of
large quantities of material from the mixing to the moistening
equipment may be obviated by the use of trough or
change-pan mixers (Fig. 21.2) which are capable of
performing both operations. The change-pan mixer is so
called because the mixing blades and pan are detachable.
Only one drive unit is required to service a number of blades
and pans in which separate products may be prepared
according to the needs of production. In this way the mixer is
utilized more efficiently, transport of granules for further
1037
processing is facilitated and cleansing of the blades and pan
simplified.
Fig. 21.2 The Beken change pan mixer with working capacity
of about 0.1m3. The machine is shown with the pan lowered
and the guard open (Beken Engineering Ltd.).
1038
film of such thickness that the interparticle friction is lowered
to an extent that close packing of the particles can take place.
At this third stage of moistening, air in the voids is displaced
by fluid and a wet paste, technically a very concentrated
suspension, is formed. This can however be produced once
the second stage of granulation has been reached, by
prolonged or more efficient blending, without the further
addition of granulating fluid, owing to more uniform
distribution of existing moistening medium and the
mechanical removal of air from the mass. For production of
tablet granules the volume of granulating fluid, mixing time
and efficiency must be adjusted to give a second stage mass
which just coheres when lightly compressed in the hand.
Often, this condition may be anticipated by observing the
behaviour of the mass which breaks away from the walls of
the mixer, while the powder shows obvious signs of
aggregation as a result of the greater cohesiveness of the
particles.
1039
Fig. 21.3 Stages in the moistening of a powder.
1040
drying. Reversion to the original powdered state will occur if
substances of low natural cohesiveness are solvent granulated
and a binding or adhesive granulating agent is required in
these circumstances. The adhesive may be added as a solution
or mixed with the tablet ingredients as a dry powder for
subsequent activation by moistening with solvent. The latter
method is sometimes less effective, as many binders are
hydrophilic colloids requiring for complete hydration more
solvent and mixing time than is normally used at the
moistening stage. Table. 21.2 lists some of the more
commonly used binders. Ethyl alcohol, isopropyl alcohol,
acetone, and chlorinated hydrocarbons are useful moistening
agents for water-sensitive drugs; a solvent soluble adhesive
may be needed to obtain firm granules. Due to their high cost,
the use of anhydrous solvents is usually restricted to those
situations where other methods are not feasible. Attention
must be given to fire and toxicity hazards and efficient vapour
extraction is mandatory.
Table 21.2 Adhesive granulating agents
1041
The most suitable granulating fluid, the volume to be used
and the optimum operating conditions are best selected by the
production of trial batches of granules. In the early stages of
developing a suitable process, when even an approximate
value for the volume of granulating fluid is not known, the
time taken for moistening may be unduly protracted.
Significant amounts of solvent may be lost by evaporation in
these circumstances and should be allowed for in subsequent
trials. Clearly, the volume
of fluid must be sufficient to produce a second stage
moistened powder mass and at the same time add sufficient
binder to ensure the production of suitable granules. Powdery
granules which do not compress well are obtained, if the
adhesive is too ‘weak’, is employed in too Iowa
concentration, or if the volume of granulating fluid is
inadequate. The converse conditions lead to hard granules
which produce excessive amounts of fines when dry screened.
Symptoms of overmoistening are clogging of the screen and
agglomeration of the wet granules. Scale-up calculations
based on data obtained from small trial batches often
overestimate the concentration and volume of granulating
fluid on account of the higher blending efficiency of
equipment used for large scale manufacture. Finally, granules
must be evaluated on a press of the type used for production
as their performance may to some degree be affected by
mechanical features such as the method for filling the die
cavity, speed of operation and compaction conditions.
Wet screening: Granules will not readily flow into a cavity
with which they are comparable in size due to crowding at the
entrance of that cavity. On the other hand very fine granules
often exhibit poor flow characteristics. Both conditions lead
to excessive weight variation in the manufactured tablets. In
addition, tablets which are too thin relative to their diameter
1042
are prone to breakage when handled. For these reasons the
screens used for granulation and the die size for compression
are selected (Table. 21.3) according to the final tablet weight.
The Table must be regarded as a guide only since, for
example, a smaller die size may be required if the material to
be tabletted is unusually dense, while screens somewhat
larger or smaller than those recommended may give granules
with better characteristics.
Table 21.3 A guide to the sieve number, punch size and
maximum punch load for the production of tablets
1043
The oscillating granulator (Fig. 21.4) also finds considerable
industrial use. The base of the hopper is closed by a
semicylindrical interchangeable screen just above which a
rotor oscillates about a horizontal axis. Blades parallel with
the axis and integral with the rotor push the moist mass
through the screen on to a receiver below. In a recent study,
Fonner et al. (1966) found that this type of granulator gave
smoother, more nearly spherical granules of a starch–lactose
formulation than either hand screening or three other
commonly used power-driven granulating machines.
1044
Fig. 21.4 The oscillating granulator.
1045
of granules and migration of solutes is minimized and even
drying of the granules promoted. If different products are to
be dried in the oven at the same time care must be taken to
avoid cross contamination. Up to 24 h may be required for the
drying of large batches of granules.
The fluid-bed dryer (Fig. 21.5) is now widely used in the
pharmaceutical industry because the drying time is only
20–30min, irrespective of batch size which may be 60kg or
more, The amount of granulated solvent to be evaporated
decreases as drying proceeds; thus the temperature of the air
leaving the fluidized bed rises until it is constant and
approximates to that of the input air stream. With experience
the effluent air temperature provides a convenient means of
establishing the optimum drying time. If drying is prolonged
beyond this point attrition of the granules leads to an increase
in the proportion of fines. The overdried granules have
inferior compressing characteristics and consequently
difficulties are encountered in the production of the tablets.
On large scale equipment an automatic timer is provided to
shut off the heaters and air flow at the end of the
predetermined drying time. Generally, less fluid is needed for
granules, which are
to be dried in fluidbed equipment as the amount of
granulating fluid suitable for tray-dried granules gives a moist
mass which is too dense and cohesive for correct fluidization
of the bed. On the other hand, undermoistening should be
avoided as fines may clog the output air filters and impede the
air flow.
1046
Fig. 21.5 The fluid-bed drier.
1047
The powders are mixed, granulated by the spray of warm
granulating solution and dried while in a fluidized state.
Lubricant, disintegrant and any other necessary tablet
adjuvants are then added and blended by a further short
period of fluidization.
Granule size is controlled by the volume, temperature and rate
of addition of granulating fluid together with the air flow rate,
which determines the expansion and circulation of the bed.
Normally, these parameters are automatically controlled by
presetting a programming device on the basis of data obtained
from previous development batches. A granulator capable of
processing up to 60kg of material in under 2h with only
minimum supervision is shown in Fig. 21.6. Other methods
for moist granulation are discussed in Chapter 19. The
foregoing methods all show a considerable saving in time and
labour costs as compared with the conventional method: the
granules often possess superior flow properties due to their
greater smoothness and sphericity.
1048
Fig. 21.6 The Calmic fluid-bed granulator. The programming
panel may be seen top left. This controls application of
granulating agent from the pressure vessel (centre bottom) to
the material in the fluidizing chamber.
1049
punches are necessary as the high compaction pressures
employed for slugging would splay the edges of a concave
faced punch: the clearance between the punch and die wall is
also larger than that used for ordinary tablets to allow rapid
escape of air entrapped in the powders. The compaction
pressure must be high enough to ensure that the rough tablets
(slugs) give material with a granular structure when forced
through a screen. It is usually advantageous to add some
lubricant and disintegrant prior to slugging, further quantities
of these being added to the granules before final compression.
Talc is frequently employed as lubricant, since powder flow
rather than die-wall friction is usually the major problem in
the preliminary compression stage. Adhesive-containing
granules, prepared by moist granulation, tend to retain their
structure for long periods in contact with aqueous media. The
absence of adhesives from tablets prepared by slugging
however usually results in good disintegration.
Paediatric Ampicillin Tablets BPC and the official soluble
analgesic tablets containing aspirin may be prepared from
granules made by preliminary compression.
Dry Granulation
1050
production of suitably granular forms of Dried Yeast, Dry
Cascara Extract, Aspirin, some ferrous salts and a few other
substances. Provided an increase in the tablet weight can be
tolerated, the addition of spray-dried lactose or anhydrous
lactose to the medicament, together with lubricant and
disintegrant, will often yield granules which may be directly
compressed. As Lactose BP does not promote free powder
flow, act as a dry binder or possess good compaction
properties it would appear that these characteristics reside in
the spherical shape of the spray-dried sugar. The applications
of this material to tabletting technology have been reviewed
by Gunsel and Lachman (1963). Tablets containing
spray-dried lactose may assume a brown tinge on storage due,
it has been suggested, to the presence in the sugar of
5-hydroxymethylfurfural (Brownley & Lachman 1963). This
darkening should be distinguished from that resulting from
the reaction of primary amines and lactose. Other excipients
which may be used in direct compression formulae are listed
in Table. 21.1. Of these, microcrystalline cellulose is of
particular interest since, as reported by Reier and Shangraw
(1966), this material also possesses marked lubricating and
disintegrating properties.
In those cases where one or more ingredients are present in
low concentration, efficient mixing may be more difficult
with dry than with moist granulation. The problem has a
two-fold origin. Firstly, solvent dispersion cannot be used
and, secondly, fine powders are essential to secure efficient
mixing; but fine powders lack the good flow and compaction
characteristics essential to tablet manufacture. The magnitude
of the problem may be appreciated by applying the methods
described by Train (1960) to the example of 50mg tablets
containing 1 per cent by weight of drug. If the density of the
material from which the tablet is formed is 1.5g.cm−3, the
1051
particle size should not exceed 20microns and at least 107
particles per tablet are necessary to ensure that 99.7 per cent
of the tablets in the batch comply with a ± 10 per cent
tolerance in the content of the drug.
Dry granulation is the most economical of the three
granulation processes in terms of time, labour and equipment.
The availability of the drug for absorption should be good due
to the absence of adhesive granulating agents while the
elimination of drying and moistening stages obviates many of
the stability problems associated with the moist granulation
process. Against these advantages must be set the relatively
high cost of some diluents used in direct compression
formulae and the restricted range of materials manufactured
in a suitable granular form. It seems likely however that the
more widespread adoption of devices for promoting uniform
die filling with difficult materials will reduce the cost and
extend the applicability of the dry granulation process.
Flavours
1052
granules. Dissolution in a volatile solvent aids dispersion if
the volume of flavouring agent is small or, alternatively, the
solution may be directly sprayed on to the granules. In both
cases solvent must be completely removed before
compaction. For nonofficial tablets a wide range of flavours
in powder form is available.
Flavours may not, of course, be added prior to an operation
involving the use of heat.
Lubricants
1053
Disintegrants
1054
carbonate. These react in contact with water to liberate carbon
dioxide which disrupts the tablet. A slight trace of moisture is
sufficient to initiate the reaction which produces further water
and is thus potentially self-perpetuating. For stability, very
dry materials, rigorous exclusion of moisture during
manufacture and efficient sealing of the packages are
essential—the material use of anhydrous citric acid in official
preparations of this type should be noted.
Concentration
in the
Material Uses and comments
granules per
cent w/w
Alginic acid 2–10 Burster which may prove
better than starch for
‘difficult’ materials (Berry
& Ridout, 1950). May be
incorporated prior to
moistening to improve
disintegration. If added to
the dry granules, avoid
finely powdered grades as
these form a coherent gel on
the tablet surface and may
prolong disintegration time.
Magnesium 1–10 Burster. Veegum is one
aluminium variety
silicate
1055
Methylcellulose 2–10 Burster. Use medium
viscosity grade in a not too
fine powder
Microcrystalline 1–10 Has some lubricant
cellulose properties, higher
concentrations used as
dry-binding diluent
Sodium lauryl 0.1–0.5 Wetting agent which
sulphate improves penetration of the
tablet pore system by
aqueous liquids. Will
counteract the
water-repellent effect of, for
example, phenothiazine and
the stearate lubricants. May
minimize the increase in
disintegration time which
often occurs as tablets age
Starch 2–10 Burster. Potato and maize
starch are usually
considered superior to the
other varieties. Part may be
incorporated prior to
moistening
Nowadays some newer disintegrants that are effective at
lower concentrations with greater disintegrating efficiency
and mechanical strength are used. These substances are called
superdisintegrants. The superdisintegrants on contact with
water hydrate swell, change volume or form/produce a
disruptive change in the tablet. These substances act by
swelling and due to swelling, pressure is exerted in the outer
1056
direction or radial direction that causes tablet to burst or the
accelerated absorption of water leading to an enormous
increase in the volume of granules to promote disintegration.
Three major groups of compounds that swell to many times
their original size when placed in water while contributing
minimal viscosity compared to the more traditional starch
have been developed. The newer disintegrants are effective at
much lower levels and comprise three groups: modified
starches, modified cellulose and cross-linked povidone
(Table. 21.6). Their likely mechanism of action is a
combination of proposed theories including water wicking,
swelling, deformation recovery, repulsion and heat of wetting.
Superdisintegrants are so called because of the relatively low
concentration required (2–4% w/w).
Table 21.6 List of superdisintegrants
This is the weight of granules which must be fed into the die
cavity to give a tablet containing the nominal amount of drug.
The most direct method is to assay the granules and from the
1057
result calculate the compressing weight. Alternatively, this
may be derived from data obtained during the manufacture of
the granules and allows production of tablets to proceed
without the delay due to the time taken to assay the granules.
Whichever method is used, the finished tablets must be
examined for medicament content, weight uniformity, etc., as
discussed later.
Dry Granulation
Preliminary Compression
1058
Per tablet For 100,000
(mg) tablets (kg)
Aspirin, in fine powder 300 31.00
Anhydrous citric Acid 30 3.10
Calcium carbonate 100 10.33
Saccharin sodium 3 0.31
Talc 4 0.41
Theoretical weight of ingredients 437 45.15
Weight of granules after – 44.30
slugging and rescreening
Weight of talc added prior to – 0.80
final compression
Total weight of granules for final 45.10
compression
Actual number of tablets which may be prepared from the
slugged and rescreened in material is:
Compressing weight
1059
Talc, rather than magnesium stearate, is used to avoid
hydrolysis of aspirin and to improve powder flow.
Disintegrant is not required as an effervescent base and finely
powdered aspirin ensures rapid dissolution when the tablet is
placed in water.
The use of anhydrous citric acid avoids premature reaction of
the ingredients.
Moist Granulation
1060
Number of tablets which could be produced from 101kg of
medicament is:
1061
In the previous two examples large quantities of materials are
being handled and losses can be kept to a minimum. Much
greater losses are incurred when the moist granulation
technique is applied to small batches; moistened mass which
cannot be recovered from the granulating screen and tablets
lost when adjusting the tablet press may represent a large
proportion of the total batch. A loss of up to 10 per cent is
possible in these circumstances and should be allowed for
when calculating the weights of materials required to produce
the batch.
Production of Tablets
The Single Punch Tablet Machine
Assembly
Clean the punches and die, set the machine by hand to the
filling position, insert the bottom punch in its holder (Fig.
21.7), making sure that the locking notch faces the locking
bolt, and lightly secure in position. Carefully fit the die, check
that the die face is flush with the table and then securely
tighten the locking bolt. The top punch may now be fitted,
lightly secured, and this operation followed by the assembly
of the feedshoe but not the connecting rod. Fill the feedshoe
with granules, adjust the weight regulating collar so that the
punch face is 0.5–1cm below the die table and then fill the
cavity with granules. Carefully lower the top punch into the
1062
die cavity and at the same time adjust the hardness control
such that the machine drive cannot be turned by hand past the
compression position; maintain the load on the punches while
their locking bolts are finally tightened. This procedure
ensures that the punches are firmly locked in their holders and
cannot work loose during tablet manufacture. Finally, reduce
the compression control and eject the compact.
1063
Adjustments
1064
stroke. If this distance is increased the punch penetrates
further into the die cavity; thus, for a given fill, the granules
are more highly consolidated and a harder tablet is formed.
The mechanisms used to adjust tablet hardness vary
considerably and are best understood by examination of
actual equipment. One method is shown in Fig. 21.7; as the
holder is moved down, the adjusting thread punch penetration
is increased.
Feedshoe movement: A rod connects the shoe to its actuating
mechanism, transverse oscillation of the feedshoe relative to
the die cavity being controlled by the length of the rod. This
should be adjusted to ensure that the cavity is uniformly filled
with granules, the top punch does not foul the shoe and the
ejected tablet is pushed well away from the vicinity of the die.
Once correctly adjusted, little further attention is required for
successive production runs.
Operation
1065
The optimum tablet hardness depends on the material to be
compacted and the ultimate use of the tablets. Uncoated
tablets must be hard enough to withstand handling and yet not
so hard that the disintegration time is unduly prolonged.
Firmer tablets are required to resist the abrasion normal to the
film or pan coating processes, but cores for compression
coating must be somewhat soft to allow further consolidation
when the coating is applied. A crushing test is used to ensure
compliance with predetermined specifications for tablet
hardness.
There is, obviously, a limit to the compaction force which
may be safely developed by a given model of tablet press.
Some are fitted with an adjustable overload release whereby
the weight regulating collar rests on a spring loaded stop
which is deflected downwards should the preselected
compacting force be exceeded. In this way jamming and
machine damage is avoided. The medium duty press shown in
Fig. 21.8 is provided with means for varying the production
rate from 40 to 90 tablets a minute and overload release for
loads up to 4 tons (4000kg).
1066
Fig. 21.8 Power-driven single-punch tablet machine. The top
punch and the bottom punch holder are enclosed by a safety
screen. The value at which overload occurs is indicated by the
gauge bottom left.
1067
interlocking switch isolates the power supply until the moving
parts are enclosed by a safety screen. The machine must never
be operated so that the punch faces come into contact: if it is
to be left for a short period the die cavity must be filled with
granules. Finally, the feedshoe connecting rod must be
removed and the shoe defected away from the die area, if it
becomes necessary to operate the press in the reverse
direction.
1068
Fig. 21.9 Medium duty 16-station rotary tablet press. The
upper turret and punches are visible beneath the plastic dust
screen. Manesty Machines Ltd.
1069
feedframes (Fig. 21.11) fed from a hopper. Tablet weight is
regulated by an adjustable section of the lower earn track
which, towards the end of the filling period, causes the
bottom punch to rise slightly. The excess granules are
removed by a scraper bar and retained in
the feed frame. The method gives a more consistent die fill
than would be obtained by setting the bottom punch at the
correct level for the whole of the filling period. Weight
adjustment is followed by a slight but sudden drop in the
bottom punch level both to remove air by tamping action and
lower the level of the granules in the die. This facilitates
subsequent compaction and at the same time obviates spillage
from the die cavity due to the centrifugal forces developed by
the rotating turret.
1070
upper and lower turrets and die table. The upper and lower
cam tracks and the upper pressure roller are also visible.
1071
down for the filling stage on the next revolution of the turret.
A scraper bar directs the ejected tablet towards the collection
chute. Any granules which have seeped out of the feed frame
are carried round on the die table and returned to the frame
behind the scraper bar. With 16 punch and die positions
(16-station machines) the output is of the order of 50,000
tablets/h. Double rotary machines produce two tablets per
revolution of the turret: outputs in excess of half a million
tablets/h may be obtained with 69-station double rotary
machines (Fig. 21.12).
1072
are provided with clear plastic covers over the moving parts
and dust extraction. In difficult cases the only complete
solution may be the provision of individual dust-extracted
cubicles for each machine. Finally, as discussed earlier, it
should be remembered that granules which ‘run’ well on a
single punch machine may need reformulation for good
performance on a rotary machine (and vice versa) due to
differences in the modes of die feed and compression.
Granule Flow
1073
Die Filling
Even flow of granules from the feed frame into the die cavity
is essential if tablets of uniform weight are to be produced.
Even at low operating speeds filling of the die with ‘difficult’
materials may be erratic with conventional feed frames. A
number of devices have been designed to give ‘forced’,
‘assisted’ or ‘induced’ feed of granules into the cavity. The
Manesty Rotaflow feeder employs contrarotating vaned rotors
in an enclosed feed frame to assist granules into the dies.
Some removal of air and slight compaction of the granules in
the die cavity is obtained by the use of this feeder which is so
designed that excess granules are automatically returned to
the die-feed area. Gold et al. (1968) have reported that with a
normal 16-station press the coefficient of weight variation for
500mg tablets was 0.7–2.4 per cent when a granule with good
flow properties was used and 3.4–3.9 per cent for a poor
granule. Using an ultra high speed machine with induced die
feed they found that the coefficient of variation fell to 2 per
cent or less irrespective of the type of granule, in spite of a
lower tablet weight of 200mg and a rate of production
(3000–4000 tablets min) at least five times that attained with
the conventional machine.
Removal of Air
The time taken for compression may not be sufficient for the
complete removal of air from the granules in the die cavity.
The air which remains hinders intergranule bonding and may
result in capping, lamination and other difficulties. Many
rotary presses are now fitted with precompression rollers for
light compaction of the granules ahead of the main
1074
compressing position. In this way most of the air is removed
from the granule bed which is partially compacted before
final compression takes place.
The introduction of devices for improving granule flow, die
filling and the removal of air has made feasible the ultra
high-speed production of tablets. These devices will,
undoubtedly, find wide application in the direct compression
of a wider range of substances than has hitherto been possible
with conventional tablet machines.
Multilayer Tablets
1075
should compact to less than half their original volume,
otherwise the depth of fill is unmanageably small and difficult
to control.
1076
coating process. Punch faces may be embossed so that tablets
with engraved letters or other devices are produced.
Diametrical scoring permits more ready subdivision of the
tablet by the patient should this be required. The load which
may safely be applied to punches is limited by the material
from which they are fabricated and by the type of punch face.
A load of 8 × 107 kg/m2 (50 tons/in2) is permissible for flat or
normal concave steel punches but must be reduced to half this
figure, or less, depending on the punch diameter and face
contour where the edge of the punch face is very thin as is the
case with deep concave, bevelled edge and ball punches. This
is because the lateral forces developed during compression
would splay the thin weak edges of these types of punches.
The maximum loads quoted in Table. 21.3 are average figures
for the special steels used in punch manufacture; where other
materials are employed the manufacturer of the punches
should be consulted.
1077
Punches and dies (tooling) must be stored, lightly oiled, in
containers which prevent accidental contact. The ease of
manufacture and the final appearance of the tablet depend on
unblemished, highly polished working surfaces; punch edges
must be sharp and free from burrs. As compaction usually
occurs in the middle section of the die bore, wear ‘rings’ are
formed at this point and hinder tablet ejection. Inversion of
the die for alternate tablet batches minimizes ringing and
extends the life of the die. Tapered dies may facilitate the
compaction of difficult materials, as the progressive increase
in clearance (about 0.004cm in the centre to 0.008cm at the
die face) permits more ready escape of air and gradual
reduction of die-wall friction as ejection proceeds. Tungsten
carbide inserts, having greater resistance to wear are
particularly useful for the compaction of abrasive materials.
Nonmetallic tooling may be required for the compaction of
corrosive substances. Agate may be employed for this
purpose, for instance in the production of tablets containing
mercury salts. All stations of a rotary machine must produce
tablets of uniform weight and hardness. Maintenance must,
therefore, ensure that all punches in a given upper or lower set
are of identical length as the weight, hardness and ejection
controls are common to all stations· of a rotary.
The comprehensive range of tooling required for even a
modest tablet manufacturing department represents a large
capital investment which rapidly depreciates in the absence of
proper maintenance. Additionally, the inferior tablets
produced by defective punches and dies do little to enhance
the reputation of the manufacturer. Swartz et al. (1962) and
Swartz and Anschel (1968) indicate that extended life and
improvements in the quality of the tooling supplied by the
manufacturer are positive advantages which may be expected
1078
from a well-organized punch and die quality control
programme.
Tabletting Problems
1079
rough appearance when ‘sticking’ occurs due to adhesion of
the tablet to the whole punch face. In either case, if not
corrected, the defect worsens progressively and a layer of
compacted granules builds up on the punch face. This,
effectively, is equivalent to an increase in punch length that
causes high compaction pressure and eventual jamming of the
press if not promptly rectified. The fault can usually be traced
to underdried granules, poorly maintained punch faces or the
use of a lubricant lacking in antiadherent properties.
1080
Excessive Weight Variation
Soft Tablets
1081
dried or the intergranule bonds have been weakened either by
traces of air in the granule bed (insufficient to cause capping)
or by excessive proportions of fatty lubricant such as
magnesium stearate.
Protracted Disintegration
In this case the tablet either rapidly breaks down to form large
particles that persist for a long period, or fine particles are
produced, but the overall disintegration time is excessive. The
fault can usually be traced to:
1. An adhesive granulating agent which is too ‘strong’,
2. Conditions that inhibit the penetration of water; high
degree of compaction, hydrophobic tablet ingredients,
excessive quantities of fatty lubricant or gelling of the
granulating agent, or
3. Inefficient bursting action resulting from the use of the
wrong type of disintegrating agent, or insufficient of it.
If the granules are intrinsically hydrophobic or have become
so due to the unavoidable use of a fatty lubricant, small
amounts of surfactant may be included in the tablet
formulation to facilitate penetration by aqueous fluids.
Alternatively, a hard polyethylene glycol may be employed to
provide ‘soluble’ points in the tablet structure. In suitable
cases more efficient bursting action is obtained if part of the
disintegrant is incorporated prior to the moistening or
preliminary compression stages of granulation. Finally, as
discussed later, it should be noted that too low a degree of
compression may lead to a long disintegration time.
1082
Mottled Tablets
Drug Instability
1083
Tablet Coating
Tablet coatings perform one or more of the following
functions. They may: mask the taste of unpalatable drugs,
protect the drug from deterioration due to light, oxygen or
moisture, separate incompatible ingredients, control the
release of medicament in the gastrointestinal tract, and
provide an elegant or distinctive finish to the tablet.
The materials used for coating may largely comprise sucrose
(sugar coating), water-soluble film-forming polymers (film
coating) or substances which are soluble in the intestinal
secretions but not in those of the stomach (enteric coating).
These types of coating can all be applied by the pan or
fluid-bed processes; the compression coating technique is
suitable for sugar and enteric coatings, but not for film
coating.
Pan Coating
1084
agglomerate and do not tumble well. The cycle of alternate
wetting and drying is continued to build up a coating of the
required properties. Initially, the tablets are subject to
considerable abrasive action and for this reason should be
more highly compressed than the corresponding uncoated
tablets.
1085
Sugar Coatings
1086
covered. When complete, the tablets are removed from the
pan and thoroughly dried.
Smoothing and polishing: The application of a smoothing
solution (60 per cent sucrose in water is satisfactory) causes
limited wetting of the subcoat, which has been hardened by
drying, so that it is smoothed out by the tumbling action.
Soluble dye or a lake colour may be added to the smoothing
solution if a coloured coating is required. As soon as the coat
has become comparatively smooth the volume of smoothing
solution per application should be reduced and the tablets
dried without the aid of heat. In the final stages, tumbling is
limited by ‘inching’ rather than rotating the bowl so that the
coating is not scratched or otherwise damaged. At this stage
the tablets will have a perfectly smooth but matt appearance
and are thoroughly dried before polishing in a pan specially
set aside for the job and coated with a beeswax–carnauba wax
or similar waxy mixture.
Film Coating
1087
together with 5–10 per cent of diethyl phthalate or other
plasticizer to produce a film coating solution which may be
applied by the pan technique. The plasticizer stops the film
becoming brittle with age. Methylene chloride is often added
to the solvent to reduce fire hazards, while undue absorption
of expensive film forming agent is prevented by the prior
application of a shellac sealing coat to the core tablets.
Enteric Coating
1088
carboxyl groups is attached to the cellulose, the other being
free for reaction. The polymer dissolves in a variety of
solvents, gives water-soluble salts with a number of bases and
forms coatings that are insoluble in, but slightly permeable to,
water (Malm et al., 1951). An important feature is the
solubility of cellulose acetate phthalate films in buffers
having a pH as low as 5.8; thus the requirements for enteric
action are a medium with a pH higher than this value which
can contribute ions to the coating to form a soluble salt. Such
conditions are found in the intestine but not in the stomach.
In addition to 5–15 per cent of cellulose acetate phthalate the
enteric-coating solution may contain a plasticizer such as
castor oil or butyl stearate together with a soluble or a lake
dye if a coloured finish is required. The materials are
dissolved or dispersed in a volatile solvent comprising
alcohol, acetone, and, to reduce flammability, methylene
chloride.
1089
coating such variation cannot be tolerated if the coat contains
a potent is a more controllable technique that relies less on the
operator’s skills and which is more readily adapted to
automatic control. In the case of enteric coated tablets,
performance is determined by the thinnest
part of the film and for reproducible characteristics between
and within batches the coating must be of known uniform
thickness. According to Lachman and Cooper (1963), enteric
coatings complying with the foregoing criteria may be
obtained by means of an automated film coating process. The
tablets are tumbled in a baffled pan and a solution of cellulose
acetate phthalate together with fillers in suspension is sprayed
on to the tablets in repetitive ‘bursts’ alternating with longer
drying periods. The spray gun for applying the coating
solution and the hot or cold air flow for removing solvent are
controlled by a punched tape programming device. The
coating time for an 85 kilogram batch of tablets (90min) is
half that required by the corresponding manual procedure,
and the weight of the coating is reduced and is more uniform.
Fully automated equipment for pan coating is now
commercially available. Provision is made for programmed
control of the coating composition, spray application and
drying air flow at each stage of the process. The different
paths taken by tablets in a pear-shaped bowl leads to a lack of
uniformity in the thickness of coating applied to tablets within
the batch. This problem is avoided in the Manesty Autocota
by the adoption of a cylindrical coating vessel rotating about a
horizontal rather than inclined axis.
1090
Fluid-Bed Coating
Compression Coating
1091
1. Core tablets are not subjected to abrasive action and need
not be especially hard,
2. The process is ‘anhydrous’ and sealing coats are not
required,
3. The disintegration time of a coated tablet can be
comparable with that of the uncoated variety, due to the
above,
4. Good control of coating weight can be obtained,
5. Chemically incompatible ingredients may be separated,
6. The core and coat may be formulated for different
properties, e.g. for a sustained action tablet, the coating would
provide the prompt dose and the core the sustaining dose,
7. The process is continuous, completely mechanized and
removes much of the element of skill from tablet coating.
1092
provided an electrical signal which, when fed to a memory
unit, actuated a gate on the collection chute such that coreless
tablets were rejected.
1093
microswitches initiates action for the rejection of coreless
tablets.
1094
Fig. 21.17 Essential features of transfer mechanism of a
compression coating machine (for clarity, only the die tables
of the core and coating units and three transfer arms are
shown).
1095
size should not exceed a quarter of the edge coating thickness,
On the other hand, excessive amounts of fines or fatty
lubricants should be avoided, as these lead to poor coating
strength and poor adhesion to the core.
Performance
1096
the scientific control of tablet quality led to the inclusion of
suitable standards and tests in all national pharmacopoeias.
Although corresponding procedures differ in detail or
emphasis they serve an identical purpose which may, in
general, be understood by a consideration of the requirements
of the British Pharmacopoeia 1973. These:
• define and describe compressed and moulded tablets,
chocolate basis and tablet coatings,
• restrict flavouring agents and coatings to those products for
which specific permission is given for their use in the
monograph,
• standardize uniformity of tablet diameter and weight,
content of medicament and disintegration time, and
• prescribe storage and labelling requirements,
• and are intended to ensure, not only a fully potent product,
but also uniformity in the physical characters of official
tablets regardless of source. The latter is essential as the
patient quickly perceives, and is concerned about, differences
in the appearances of nominally identical tablets.
Uniformity of Diameter
1097
deviation is reduced from ± 5 per cent to ± 3 per cent for
diameters in excess of 12.5mm.
This test does not apply to sugar or enteric coated tablets. The
weight of each tablet and the average weight of all tablets in
the sample are determined. The standard, summarized in
Table. 21.7, limits the number of tablets in the sample which
1098
may deviate from the average weight by more than specified
amounts. Rogers (1956), on the basis of production data then
available, showed that the coefficient of variation of tablet
weight was reasonably constant for tablets weighing more
than 0.2–0.3g but rose steeply for smaller tablets; a similar
observation has been made by Smith et al. (1963). This is not
unexpected as there is greater practical difficulty in ensuring
the flow, die filling and air release characteristics necessary
for low weight variation, with the finer granules which must
be used for the production of small tablets. This factor is
recognized by making the weight variation tolerances wider
for small than for large tablets.
Table 21.7 Summary of the BP 1973 test for the uniformity of
tablet weight
1099
0.1 per cent of the tablets in that batch could be expected to
deviate by more than 10 per cent from the average weight
Smith (1955) has calculated that there is a 67 per cent
probability that the examination of a sample of twenty tablets
by the official method would lead to the acceptance of such a
batch. With a rotary machine, if the weight variation derives
from a few punches of significantly different length from the
others in the set, the foregoing calculations that are based on
an assumed normal distribution do not apply. Nevertheless,
the unsatisfactory nature of a batch of tablets produced under
these conditions should be relaxed as indicated in Table. 21.8.
This table may intend to detect abnormal weight variation.
While the stringency of the official test could be improved,
for instance, by specifying narrower weight tolerances, it is
important to remember that the discrimination level must
provide a reasonable balance between the risks to the patient
arising from over or under dosage and the performance that
can reasonably be expected with the currently available
manufacturing methods. Although the manufacturer must
ensure that the completed batches of tablets comply with
official requirements, samples would be examined during
production as an extra check on quality and for the early
detection and rectification of any faults which may develop.
Table 21.8 BP 1973 Standard for the content of medicament
in tablets
1100
Content of Medicament
1101
Where the monograph limits fall outside the 90–110 per cent
range the Pharmacopoeia directs that proportionately larger
allowances should be made for samples of less than 20
tablets. A method for the calculation has been suggested by
Hadgraft (1945).
It is now recognized that although a sample of tablets may
comply with given standards for drug content, this may not be
so for individual tablets within that sample. From theoretical
considerations, Train (1960) concluded that if 20 tablets are
examined and as a whole comply with ±10 per cent limits, a
variation as large as ±40 per cent might be expected if each
tablet was separately assayed. This variation could be due to
solute migration and adsorption, granule separation and other
effects. As discussed earlier, such variation is more likely to
occur where the weight of the medicament is only a small
proportion of the total tablet weight. Even, a reduction in the
proportion of medicament from 90 per cent to 23 per cent
doubled the standard deviation of drug content for the tablets
examined by Smith et al. (1963). On the other hand, Robinson
et al. (1968) failed to detect a deviation greater than ±15 per
cent when examining over 1000 imipramine and desipramine
tablets and capsules. In a number of cases the United States
Pharmacopoeia includes a standard for the drug content of
individual tablets; Feldman (1969) has indicated that the
number of products affected by this standard will be increased
in the future. The BP 1973 requires that, for tablets and
capsules described in its monographs, no gross deviation from
the stated amount of
medicament is permissible when each dose unit is
individually assayed. The term gross deviation is not defined.
If a formal standard for drug content per tablet is included in
future editions of the Pharmacopoeia, automated analytical
techniques of sufficient rapidity, sensitivity, accuracy and
1102
precision will be required. It is evident from the review by
Kuzel et al. (1969) that considerable progress has been made
in the field of automated analysis since 1960 when
Stephenson concluded that for Digoxin tablets the methods of
mixing were probably superior to the then available assay
methods.
Methods
1103
particles from the disintegrated tablet pass freely through the
mesh.
The reader is referred to the BP 1973 for details of the official
apparatus which, essentially, is that described by Prance and
coworkers. Tablets may fail the test because, for instance,
they form a gummy mass in contact with water or a resistant
core is left after the rest of the tablet has disintegrated. If
tablets fail the test for any reason, it may be repeated with a
guided disc (Fig. 21.18) placed in the disintegration tube
above the tablet sample. The light percussive action of the
disc as it rises and falls in the tube assists the breakdown of
the tablets.
1104
Requirements
1105
disintegrating medium. Except in the case of achlorhydric
patients the pH of the stomach is normally very low but the
composition of its secretions varies considerably between
individuals, in any one individual throughout the day and
from day to day. Similar variations are found in the contents
of the duodenum and small intestine which are often not as
rich in enzymes or bile salts or of as high a pH as was implied
by the composition of the alkaline pancreatin solution
specified by the BP 1963 for the
second part of the test. A number of enteric coatings used in
the past depended on enzyme action or a rather high pH and
proved erratic in their action. The test solutions prescribed by
the BP 1968 have been adopted with a view to the elimination
of such coatings.
1106
(Howard, 1951) can be sugar coated without extending the
disintegration time beyond 15min. The coating methods used
for these tablets could, presumably, be more widely employed
with the consequent potential advantage of more prompt
therapeutic action. It is well known that although a tablet may
comply with official requirements, the particles freely passing
the mesh of the disintegration tube may remain intact for
periods in excess of 15min. Furthermore a number of factors,
such as the physical state of the medicament used to produce
the tablet, may have a marked effect on therapeutic response.
For these reasons it is probably the dissolution rather than the
disintegration behaviour which should be tested.
Colour
Rolfe (1956) has argued the case for and against the addition
of colorants to tablets. Such arguments were, presumably,
involved in the decision to remove all former restrictions, in
the BP 1968, but the BPC 1973 still prohibits the use of
colours except for specific tablets and those which are enteric
or compression coated. The colour to be employed for a given
tablet is not stated in either book of standards. Even if the
proportion of a named colorant were to be specified for a
given tablet, considerable difficulties would still arise when
attempting to standardize the final shade and depth of colour
as these are markedly affected by processing conditions. The
problem is obviously more acute if the same product is to be
produced by a number of manufacturers.
1107
Hardness
1108
Fig. 21.19 The Monsanto tablet hardness tester.
1109
Theoretical Studies in Tabletting
Technology
Although a great deal of information on the practical aspects
of tabletting had appeared in the literature prior to 1952, very
few papers had been concerned with theoretical studies. In
that year, however, Higuchi and his associates (1952, 1953,
1954a & b) published the first in a series of papers relating to
the physics of tablet compression. Subsequently, as may be
seen from the extensive bibliographies of Evans and Train
(1963, 1964), many workers have reported the results of
studies in this field.
1110
Fig. 21.20 Punch displacements and forces developed during
tablet compression.
The downwards thrust of the top punch in the die bore during
compaction causes movement of material relative to the wall
of the die. The movement is resisted by frictional effects, in
part within the bed of material but mainly between that
material and the die wall. As a result, the maximum force
transmitted to the lower punch (Fb) is less than the maximum
force (Fa) applied by the top punch to the contents of the die
1111
cavity by an amount Fd, that is the force ‘lost’ to the die wall.
As compaction also squeezes the compacting material into
close contact with the wall of the die this latter experiences a
maximum radial force Fr. Even when the top punch has been
removed from the die, residual stresses within the tablet give
rise to a load normal to the die wall and therefore an ejection
force, maximum value Fe, must be applied to the compact by
the lower punch to overcome friction and initiate ejection.
The extent to which the material in the die has been
compacted may be evaluated from the relative volume (Vr),
relative density (ρr) or porosity (ε) of the tablet. By loading
the edges of the tablet across a diameter the minimum
crushing force (Fc), just sufficient to rupture the tablet, may
be found. If, as is often the case, the tablet dimensions are
maintained in an experimental series, Fc provides a
comparative measure of tablet hardness. The foregoing
parameters, together with a number of others commonly used
in tabletting theory, are defined in Table. 21.9
1112
Fc Crushing force applied across a
diameter to edges of compact, just
sufficient to cause rupture
Fd Force lost to the die wall Fa – Fb
Fe Maximum force applied by lower punch
to initiate ejection
Fr Maximum radial force at die wall during
compaction
Fr Force normal to die wall during ejection
kd Die wall coefficient of friction during
compaction
ke Die wall coefficient of friction during
L Observed length of compact
L0 Length compact would assume if W/Apρ0
compressed to zero porosity
Pa Maximum upper punch pressure Fa/Ap
Pb Maximum lower punch pressure Fb/Ap
Pm Mean compaction pressure (Pa +
Pb)/2
Pr Maximum radial pressure during Fr/A
compaction
Radial pressure during ejection of
compact
R Punch force ratio Fb/Aa
T Transmission ratio Fb/A
V Observed volume of tablet Ap/La
1113
V0 Volume compact would assume if Pr/Pa
compressed to zero porosity
Vr Relative volume of compact Ap/La
W Weight of tablet W/ρ0
ε Porosity ratio of void to total volume V/V0
ρ Observed density of compact (V−V0)/V,
1 − ρr
ρ0 True density of material used in W/V
compaction study
ρr Relative density of tablet ρ/ρ0, 1/Vr
1114
of the freshly formed surfaces at higher pressures. Further
studies with aspirin, lactose and sulphadiazine (Higuchi et al.,
1954b) gave results qualitatively similar to those obtained
with sulphathiazole.
Train (1956) compacted alternate layers of normal and
coloured magnesium carbonate. When the die wall was
lubricated with graphite the layers compressed evenly,
whereas, in the absence of the lubricant, the layers curved
downwards from the wall of the die towards the centre of the
compact indicating that friction had restricted movement of
the particles near the die wall. Due to intense local shear
action a hard ‘skin’ of distorted strongly bonded particles was
formed where the compact had been in contact with the die.
This ‘skin’ is often formed on tablets and provides resistance
to abrasive damage. The degree of compaction was assessed
by measuring the thickness of the layers in each region and
was found to be higher in a peripheral ring near the top punch
and in a lower central region (Fig. 21.21). The latter may
explain why the ‘core’, often seen towards the end of a
disintegration test, breaks down more slowly than the rest of
the tablet. A plot of Vr as a function of log Pa was not a
smooth curve but showed several abrupt changes of slope
(Fig. 21.22). The initial decrease in Vr was due to closer
packing of the magnesium carbonate but this was eventually
limited by the available space in the die cavity. Thereafter, the
slope increased abruptly and during the second stage the load
was supported by temporary structures of compacting
material. At still higher pressures the structures collapsed and
the material failed by crushing and plastic flow (third stage)
until; in the fourth stage, there was sufficient rebonding of the
freshly created surfaces
to give a compact with enough strength to involve the normal
compression characteristics of solid magnesium carbonate in
1115
any further reduction of volume. The data of (Higuchi.et al.
1953, 1954b) and Shotton and Ganderton (1960a), when
plotted in the form used by Train, show hat the third and
fourth stages of compaction also occur with aspirin, lactose,
sulphadiazine, sulphathiazole and sodium chloride. In the
cases of the first four substances the abrupt changes in the
slope of the log Pa/Vr plot occur at approximately the same
compaction pressures as the maxima in the specific surface
area curves. This would be expected if, as Train suggested,
fragmentation and rebonding are competitive processes with
the latter predominating in the fourth stage of compaction.
1116
Fig. 21.21 Physical conditions during tabletting.
Tablet Hardness
1117
to preformed spherical granules of that material. The coating
remained intact and the granules largely retained their shape
at low compaction pressure but as this was increased the
granules distorted progressively until, at the highest
compaction pressures, the coating had ruptured to such an
extent that it appeared as coloured fragments against the
white underlying sucrose. The strength of the intergranule
bonds formed by light compression was less than that of the
granules with the result that the tablets failed along, rather
than across, the granule boundaries when submitted to a
crushing force. When this was applied to the more heavily
compressed tablets the bond strength was large enough to
permit the development of faults within the granules which
spread across the boundaries and led to failure of the tablet.
The rebonding of surfaces formed by fragmentation, rather
than granule interlocking, was apparently the more important
factor determining the hardness of these tablets.
1118
acid to weaken the intergranule bonds, reduced the hardness
of the compacts, and abolished the particlesize effect
observed with hexamine, but in the case of sodium chloride
the hardest tablets were formed by the coarsest granules.
Shotton and Ganderton suggested that the particle to particle
contact pressure was greater in coarse sodium chloride grains
than in fine ones since, for a given weight of that substance,
fewer contacts were available to support the applied load. The
higher contact pressure with the coarsest granules allowed
penetration of the stearic acid film, the formation of strong
bonds and, consequently, the production of the hardest
tablets.
The majority of tabletting studies have used a constant die
size for an experimental series and the thickness of the tablet,
over a range of compaction pressures, has been maintained at
a particular value by varying the compressing weight of the
base material. Rees and Shotton (1969) reported preliminary
studies on the effect of tablet dimension on the crushing
strength. For sodium chloride their data indicated a relation of
the form:
(21.1)
1119
Capping and Lamination
1120
According to Shotton and Ganderton (1961) the bonds in
sodium chloride compacts were strong enough to support
relaxation without laminar failure although this can occur if
extreme compaction pressures have been employed (Rees &
Shotton, 1969). The weaker bonds in aspirin compacts
allowed the relaxation stresses to be dissipated by bond
weakening and partial separation of the granules within the
tablet. Undoubtedly, some loss of hardness must have
occurred but the bonding was still sufficient to give a firm
tablet. Hexamine tablets capped and laminated by fault
propagation across the granule boundaries. This was not due
to entrapped air as compacts prepared in vacuo behaved in a
similar manner. Coating the hexamine granules with stearic
acid eliminated the fault entirely and this was attributed to the
bond weakening effect of the fatty acid which permitted
dissipation of the relaxation stresses by the mechanism
postulated for aspirin.
1121
fact that a radial pressure persisted at the end of the decay
period showed that there was an elastic deformation which
could only be relaxed by ejection of the tablet from the die.
Internal strains within the tablet might also provide a further
source of stress energy which could be dissipated at any time
during the life of the tablet. For single punch and rotary tablet
machines, upper punch pressure release and ejection take only
a fraction of a second. Even if a tablet with a tendency to cap
survived the rapid elastic recovery stage on extrusion from
the die, the subsequent slower relaxation may cause capping
when the tablets are handled and packed. Incipient capping
and lamination of this type is usually apparent if a few tablets
are shaken in the cupped hands, dropped on to a hard surface
or subjected to a friability test.
Table 21.10 Effect of compaction pressure on the properties
of sulphathiazole compacts
1122
Hardness of Materials and Tablet Properties
1123
transmission ratio would be unity. Rubber and silicone putty
show ‘liquid’ behaviour and are used for die-wall pressure
calibration. For other materials the transmission ratio will be
less than unity. When sodium bicarbonate or sulphathiazole
were compressed, Nelson (1955) observed that about a third
of the upper punch pressure was transmitted to the die wall.
Windheuser et al. (1963) distinguished three distinct stages in
the development of die-wall pressure with increasing values
of upper punch pressure. The initial steep rise of Pr was due
to the reduction of void space by the removal of air. This was
followed by a less rapid rise in Pr during which granule
fragmentation and consolidation took place. In the third stage,
Pr increased more rapidly than in the second stage and
represented the compression of an essentially void-free
material, the ‘yield value’ of which was estimated by
extrapolating the third portion of the curve to the abscissa
(Fig. 21.23). Generally, the first ascending portion of the
curve was steeper, the second stage more extended and the
yield value higher for the harder materials examined. The
reduced hardness of potassium chloride and sulphathiazole
tablets containing magnesium stearate (Table. 21.11 and
21.12) was reflected in the smaller yield value obtained when
that lubricant was employed. For phenacetin and acetanilide a
measurable radial pressure could not be obtained until a
significant upper punch pressure had been applied: the second
stage was virtually absent. These materials produced poor
tablets due to the fact that the crystals were plate like and
tended to compact into layers with poor interlayer bonding.
Although there were considerable experimental difficulties,
Ridgeway et al. (1969a) obtained values for Young’s modulus
and the surface hardness for a number of pharmaceutical
materials; these values were then related (Ridgeway et al.,
1969b) to the transmission ratio and to the surface hardness of
1124
the compact. The results of these studies (together with data
from other sources) are summarized in Table. 21.11 where it
will, be seen that, as anticipated, the transmission ratio was
large for soft materials such as aspirin, and vice versa.
Overall, the data in the table generally support the view that
the hardness of a substance is an important factor determining
its behaviour both during and after compression.
1125
Lubrication
1126
Glidants
1127
Die-wall Lubricants
(21.2)
Lubricant
Disintegration time (s) Magnesium
concentration per
Stearic acid stearate
cent
0 200 200
1128
0.25 370 1500
0.50 520 2000
0.75 680 2200
1.00 900 2300
2.00 1400 2900
4.00 2500 3800
(21.3)
1129
force (Fr). During ejection the resistance to motion of the
compact is related to the ejection force (Fe) whilst , the
radial force operating as ejection takes place, constitutes the
normal load. As Fr = Pr A and , by analogy with Eq.
21.3:
(21.4)
(21.5)
(21.6)
(21.7)
1130
to describe the compression and ejection of aspirin, hexamine,
sodium chloride and sucrose compacts.
In these equations kd and ke were coefficients which
depended on the frictional conditions at the die wall. They
found that the values of kd (Table. 21.12) were different for
each of the unlubricated substances and assumed (except in
the case of hexamine granules) a virtually identical and lower
value when 2 per cent magnesium stearate was added to the
base materials. The values of ke showed a similar but less
marked trend. In these circumstances the lubricant governed
the frictional characteristics of the die-wall-compact interface
regardless of the properties of the material being compacted
or ejected. The absolute magnitudes of Pr and are
determined by the transmission ratio (T) and this would not be
identical for all lubricated substances which explains why
these produced different values of Fd and Fe at a given mean
compaction pressure.
In common with the investigations described above, most
compaction studies have employed a constant compact
diameter and thickness in an experimental series. Sometimes,
while tabletting ‘difficult’ granulations, it is found that there
is an optimum die size which minimizes, e.g. Fd, Fe, capping,
lamination, etc. The effect of thickness and diameter on
tabletting properties is therefore of considerable technical
interest. From Table. 21.9 it can be seen that:
1131
(21.8)
(21.9)
Eqs. 21.8 and 21.9 fitted the results of Rees and Shotton
(1969) for the compaction of sodium chloride. As these
workers pointed out, these equations are not applicable when
the length of the compact is sufficient to prevent proper
consolidation of granules near the bottom punch—a condition
which should rarely be encountered in normal pharmaceutical
tabletting operations. Further studies will be necessary to
show whether the expressions are valid for a wider range of
materials.
It is implicit in the reduction of residual die-wall pressure and
improvement of transmission ratio (Table. 21.11) by die-wall
lubricants that they facilitate the movement of material in the
die cavity both during and after compression. The more ready
elimination of voids is reflected in the higher relative density
of the compacts (Table. 21.12). Die-wall lubricants are not,
however, without adverse effects on other tablet properties
such as disintegration time (Table. 21.13). Also, as has been
noted earlier, they may reduce the strength of the bonds
between particles in a tablet. While this has the beneficial
effect of reducing capping and lamination in the case of
hexamine, with other substances an undesirable reduction in
tablet hardness may occur. Clean surfaces are known to
produce the strongest bonds but, as hard tablets can be
1132
prepared with lubricated granules, it seems reasonable to
suppose that enough of the clean surface produced by
fragmentation during compression remains uncontaminated
by lubricant and capable of forming strong bonds. If this is so,
lubricants should affect the hardness of tablets produced from
crystals more than those produced from granules. This is
because the crystals, being harder than granules, would tend
to fragment to a lesser extent under pressure. In confirmation
of this, Shotton and Lewis (1964) found that the strength of
hexamine and sucrose tablets prepared from
crystalline material was reduced by 76 per cent and 50 per
cent respectively by the addition of 2 per cent magnesium
stearate. The corresponding reduction in hardness was 28.1
per cent and 18.4 per cent respectively for tablets formed
from granulated hexamine and sucrose.
Disintegration
Theory
1133
(21.10)
Here, k0, a pore shape factor and m, the hydraulic radius, are
used because the pore in a compact has an irregularly shaped
rather than a circular cross section. In all other respects the
equation is of the same form as that used to describe the flow
of liquids in circular pipes. The pressure differential derives
from the drop in pressure across a meniscus:
(21.11)
(21.12)
If L = 0 when t = 0 on integration
(21.13)
1134
any time t:
(21.14)
1135
abruptly before the theoretical volume of liquid had been
absorbed. This was more frequently observed with sucrose
compacts, particularly in those circumstances where the
porosity was high and the largest, hardest, granules had been
used. These conditions were essential for the effect to occur
with lactose compacts. It was postulated that compacts
showing this type of behaviour had a broad and perhaps
discontinuous distribution of pore sizes. Rapid penetration of
the wider pores isolated some regions of the compact,
occluded air prevented subsequent penetration of the isolated
regions and, as a result, a lower than theoretical degree of
saturation was attained. By compressing the compacts to a
lower porosity the size and lack of uniformity in size
distribution was reduced and higher fractional saturation
obtained.
In the foregoing experiments liquid penetrated one face of the
compact. However, complete immersion of the tablet during
disintegration exposes the whole surface to penetrant liquid.
In this situation the geometry of the system demands a
reduction in the total pore cross-sectional area available for
flow as liquid approaches the centre of the tablet.
Furthermore, as the pore entrances on all surfaces of the tablet
will be sealed by liquid, air entrapment will occur. Liquid will
penetrate until the increase in the pressure of the occluded air
is equal to the capillary pressure. A larger fraction of the total
pore length will be penetrated with fine rather than coarse
pores, but this need not necessarily imply good disintegration
characteristics. It is quite possible that the back pressure of
the occluded air as it compresses in the pore and the
decreasing area available for flow could act in concert with
the normally operative viscous forces so that the rate of
penetration was too low for a short disintegration time.
1136
Effects of Die-Wall Lubricants
1137
fluids, due to occluded air. This effect was abolished when air
was removed from the pores by vacuum treatment or by
addition of a surfactant to the dissolution medium.
1138
disintegrate. Burlinson (1950) observed that there was little to
choose between aliginic acid and starch if part of the latter
was incorporated into the granules during moist granulation
of the medicaments.
The assumption that starch facilitates tablet disintegration by
swelling action (bursting) is based on the known increase in
the dimensions of starch grains exposed to aqueous fluids.
Patel and Hopponen (1966) found a 70 per cent increase in
volume, but Ingram and Lowenthal (1968) quote a lower
figure which, they suggest, is not sufficient to account for the
disintegrant action of starch. The latter workers suggest that
the irreversible swelling of damaged starch grains is much
greater but could not establish a correlation between the
degree of damage and the tablet disintegration time. As an
alternative to the ‘swelling’ theory it has been argued that
starch may derive its disintegrant properties from capillary
action in the intergranule pore system. It is possible that it
may also prevent the complete collapse of the pore system
during compaction or provide a secondary pore surface of low
contact angle against aqueous media.
It seems likely that the disintegration time of tablets is
determined by the complex interaction of a wide variety of
factors. The rate at which liquid penetrates a tablet, the nature
and method of incorporation of lubricants, the action of
disintegrants, the degree of compaction and the reduction of
interparticle bond strength in the presence of water, are all
clearly of major importance. In practice, granules often
contain hydrophilic colloids which, apart from their effect on
the surface tension, viscosity and contact angle of the
penetrant liquid, may dissolve or gel and this may have a
profound effect on the rate at which a tablet disintegrates.
Finally, some tablets disintegrate by continuous erosion of an
outer wetted layer in which case the complete rapid saturation
1139
of the pore system by aqueous media may not be an essential
step in the disintegration process.
Capsules
A capsule consists of a dose of drug enclosed in a
water-soluble shell or envelope. Although capsules are
predominantly used for oral medication, suppositories,
consisting of the drug and a suitable dispersion medium
enclosed in a flexible gelatin shell, are available (Senior,
1969). There are two types of capsule, the hard variety which
is intended for the administration of particulate solids and the
soft or flexible capsule used for powders, nonaqueous liquids
or pastes. As the shell takes several minutes to dissolve, the
taste of unpalatable drugs is effectively masked. Officially,
capsules may be spherical (perles), ovoid or cylindrical with
hemispherical ends—only the last of these descriptions
applies to hard capsules. The shell may include an
antimicrobial preservative, can be coloured as an aid to
identification and may be rendered opaque by dyes or fillers if
the drug, e.g. some vitamins and chlorodiazepoxide, is
photosensitive. For official preparations, diluents may not be
added to the medicament unless this is specifically permitted
in the relevant monograph: a similar restriction also applies to
the use of coloured shells for capsules described in the Codex.
It is possible to coat capsules with cellulose acetate phthalate
or a mixture of stearic acid and butyl stearate if enteric action
is required, but it is more usual in these circumstances to
formulate if possible as an enteric coated tablet.
1140
Soft Capsules
1141
Fig. 21.24 The rotary die soft capsule filling machine. R.P.
Scherer Ltd.
1142
Fig. 21.25 Method of filling and sealing soft gelatin capsules
in a rotary die machine (diagrammatic).
1143
dried as described above. Capsules of some tetracycline
antibiotics are made by this method.
Virtually any nonaqueous liquid drug or a powdered solid
formed into a suspension of suitable consistency by the
addition of oil may be presented as a soft capsule. Vegetable
oils, Liquid Paraffin and Soft Paraffin are used when
necessary to dilute or suspend the drug. Vegetable oils are
specified for the dilution of the oil-soluble vitamins, as the
paraffins are known to interfere with the absorption of these
medicaments from the gut. As noted in the BPC 1968, drugs
containing water or other gelatin solvent cannot be filled into
soft capsules due to the resultant pitting, softening and
eventual breakdown of the shell; the water should be removed
and the residue mixed with an oil prior to encapsulation.
Conversely, anhydrous but hygroscopic liquids may withdraw
water from the shell which then hardens and has reduced
solubility. Glycogelatin softens markedly as the temperature
is raised and it is usual to increase the proportion of gelatin
for capsules used for tropical climates. Due to changes in the
equilibrium moisture content of the shell, the flexibility of
soft capsules varies with ambient humidity. They are hard
and inflexible at 20 per cent, taut but flexible at 50 per cent,
and soft and flaccid at 80 per cent relative humidity. In the
latter condition the relatively high moisture content of the
shell may encourage the diffusion of any water-soluble
substance from the fill into the shell and as a result there may
be unwanted reactions between the constituents or changes in
the appearance and solubility of the shell.
According to Notton (1956) the oxygen permeability also
increases with the moisture content of the glycogelatin
envelope. It will be noted that the official storage
requirements for both varieties of capsule are framed to
prevent moisture uptake and other forms of deterioration as
1144
well as crushing and breakage. Sufficient preservative must
be used to ensure effective antimicrobial action even where
the moisture content of the envelope is high. Additionally, the
possibility that preservative may partition between the shell
and the capsule content cannot be ignored. Studies by
Patterson and Lerrigo (1947) showed that beta naphthol, used
extensively at that time as a mould inhibitor, partitioned to
such an extent that after approximately 18months storage the
amount of preservative in the capsule contents was more than
twice that in the shell. It is unlikely, however, that
partitioning would be a serious problem with the ionized
antimicrobials, such as potassium sorbate, that are now
employed as preservatives for capsule shells.
Hard Capsules
1145
preparations three larger shells are available for 5–30g doses.
Particularly where high-speed filling equipment is used there
must be no difficulty in removing and replacing the cap, yet
the junction of this with the body must form an efficient seal.
The necessarily small tolerances on the dimensions of the cap
and body are achieved by rigid control of all stages of the
manufacturing process. Peck et al. (1964) have described a
device utilizing the absorption of β-radiation from a
chlorine-36 source for the control of shell thickness.
A description of the small scale filling of hard capsules is
given in Chapter 26 for large scale roduction the capsules are
sorted and positioned body downwards and sucked into holes
in upper and lower rings which, when separated, retain the
cap and body respectively (Fig. 21.26). The lower ring is then
presented to a head which fills the body with medicament
composition, as either a powder or a lightly compacted pellet.
Subsequently the rings are recombined, the body pushed into
the cap, the capsule ejected and any dust adhering to the outer
capsule surface removed. In semiautomatic equipment the
rings are separated, transferred to the filling head and
recombined by hand, but with fully automatic machines these
operations are accomplished by mechanical means.
1146
Fig. 21.26 Stages in the filling of hard capsules.
1147
capsules (Withey & Mainville, 1969), that high
concentrations of lactose may interfere with drug dissolution.
In addition to diluent, a lubricant such as magnesium stearate
(about 0.5 per cent) may be added for correct operation of the
mechanism in the filling head and up to 5 per cent talc may be
added to improve the flow properties of the powder. Reier et
al. (1968) have reported on preliminary studies to elucidate
the effect of medicament type, production rate, capsule size,
presence or absence of talc, particle size, specific volume and
powder flow on the semiautomatic filling of hard capsules.
These studies showed that, for a given capsule size and
production rate, the filling weight was largely determined by
the specific volume of the powder, while the action of talc in
reducing weight variation was attributed to more
reproducible, rather than more rapid, flow of the powder.
Computer analysis of the data gave equations for filling
weight and filling weight variation which included all
possible interactions of the factors listed above, except that
terms for medicament type and particle size were not required
as their effect was reflected in the flow properties of the
powder and these were adequately defined by the flowability
and specific volume. As the capsule size is set by the specific
volume of the powder, only that parameter and the flowability
need be measured, using a small sample, to predict the
performance of a given filling composition. Thus, production
difficulties may be anticipated and corrected prior to filling
trials with large and potentially expensive batches of
medicament. Reier and coworkers found excellent agreement
between the predicted and observed behaviour of a number of
model filling compositions.
1148
Quality Control of Capsules
Disintegration
1149
the cap or slitting the shell (Method A) but oily contents are
squeezed out of the split shell and the remainder removed by
washing in solvent (Method B). In all other respects the
principle of the test is the same as that applied to tablets:
Table. 21.14 summarizes official requirements. Only one set
of tolerances is specified when Method B is used to determine
the weight of the capsule contents as this method applies to
soft capsules and it is not usual to fill these with less than
about 0.3g of material.
Table 21.14 Summary of the BP 1973 test for uniformity of
filling weight of capsules
Content of Medicament
1150
The available literature, see for example Aguiar et al. (1968),
Robinson et al. (1968) and Stock (1962), suggests that,
provided the capsule contents are correctly formulated
and the manufacturing process adequately controlled, there
should be few instances where difficulties will be encountered
in the large scale production of capsules complying with
official requirements.
References
1151
Evans AJ, Train D. Supplement to Bibliography of the
Tabletting of Pharmaceutical Substances. Pharmaceutical
Press: London; 1964.
Feldman EG. J. Pharm. Pharmacol. 1969;21:134.
Fonner DE, Banker GS, Swarbrick J. J. Pharm. Sci.
1966;55:181.
Ganderton D. J. Pharm. Pharmacol. 1969;21:9S.
Ganderton D, Selkirk AB. Symposium on Powders. Dublin:
Society of Cosmetic Chemists of Great Britain; 1969.
Gold G, Duvall RN, Palermo BT, Slater JG. J. Pharm. Sci.
1968;57:2153.
Goodhart FW, Mayorga G, Mills N, Ninger FC. J. Pharm.
Sci. 1968;57:1770.
Griffiths RV. Manufacturing Chemist and Aerosol News.
1969;40:29.
Gunsel WC, Lachman L. J. Pharm. Sci. 1963;52:178.
Hadgraft HG. Pharmaceut. J. 1945;154:183.
Hartley F. J. Pharm. Pharmacol. 1950;2:628.
Higuchi T, Arnold RD, Tucker SJ, Busse LW. J. Am. Pharm.
Ass. (Sci. Edn). 1952;41:93.
Higuchi T, Rao AN, Busse LW, Swintosky JV. J. Am. Pharm.
Ass. (Sci. Edn). 1953;42:194.
Higuchi T, Nelson E, Busse LW. J. Am. Pharm. Ass. (Sci.
Edn). 1954;43:344.
Higuchi T, Elowe LN, Busse LW. J. Am. Pharm. Ass. (Sci.
Edn). 1954;43:685.
Higuchi T, Shimamoto T, Eriksen SP, Yashiki T. J. Pharm.
Sci. 1965;54:111.
Howard WR. J. Pharm. Pharmacol. 1951;3:777.
Hoyle H. Quart. J. Pharm. 1946;19:279.
Ingram JT, Lowenthal W. J. Pharm. Sci. 1968;57:393.
Jaffe J, Lippmann I. J. Pharm. Sci. 1964;53:441.
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Jones TM. Symposium on Powders. Dublin: Society of
Cosmetic Chemists of Great Britain; 1969. 1969
Kornblum SS, Zoglio MA. J. Pharm. Sci. 1967;56:1569.
Kuzel NR, Roudebush HE, Stevenson CE. J. Pharm. Sci.
1969;58:381.
Lachman L, Cooper J. J. Pharm. Sci. 1963;52:490.
Lachman L, Sylwestrowicz HD, Speiser PP. J. Pharm. Sci.
1966;55:958.
Lewis CJ, Shotton E. J. Pharm. Pharmacol. 1965;17:71S.
Lewis CJ, Shotton E. J. Pharm. Pharmacol. 1965;17:82S.
Malm CJ, Emerson J, Hiatt GD. J. Am. Pharm. Ass. (Sci.
Edn). 1951;40:520.
Mapstone TJ. Pharmaceut. J. 1952;168:291.
Nelson E. J. Am. Pharm. Ass. (Sci. Edn). 1955;44:494.
Notion HEF. Phaimaccut. J. 1956;177:69.
Orewan E. Rec. Prog. Phys. 1949;12:185.
Patel NR, Hopponen RE. J. Pharm. Sci. 1966;55:1065.
Patterson SJ, Lerrigo AF. Quart. J. Pharm. 1947;20:83.
Peck EG, Christian JE, Banker GS. J. Pharm. Sci.
1964;53:607.
Pharmaceut. J. (1960) 185, 372.
Pharmaceut. J. (1965) 194, 475.
Pharmaceut. J. (1966) 197, 169.
Prance HP, Stephenson D, Taylor A. Quart. J. Pharm.
1946;19:286.
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Reier GE, Shangraw E. J. Pharm. Sci. 1966;55:510.
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AM. J. Am. Pharm. Ass. (Sci. Edn). 1955;44:226.
Richman MD, Fox CD, Shangraw RF. J. Pharm. Sci.
1965;54:447.
1153
Ridgeway K, Shotton E, Glasby J. J. Pharm. Pharmacol.
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Ridgeway K, Glasby J, Rosser PH. J. Pharm. Pharmacol.
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Ritschel WA, Skinner FS, Schlumpf R. Pharm. Acta Helv.
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Robinson MJ, Grass GM, Lantz RJ. J. Pharm. Sci.
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Rogers AR. J. Pharm. Pharmacol. 1956;8:1103.
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Shotton E, Ganderton D. J. Pharm. Pharmacol.
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Smith AN. J. Pharm. Pharmacol. 1950;2:627.
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Sutaria RH. Manufacturing Chemist and Aerosol News.
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1155
Section III Pharmaceutical Practice
1156
Chapter 22
Pharmacopoeias, Formularies and Medicines Legislation
The word pharmacopoeia is derived from the Greek
pharmakon, a drug, and poieo, which means ‘I make’.
Literally, it is a list of medicinal substances, crude drugs and
formulae for making preparations from them. Such a list is
compiled by recognized authorities, usually appointed by the
government of each country. Most of the principal countries
of the world have their national pharmacopoeias.
1157
A committee of the council was set up to take the necessary
steps for the preparation of a British pharmacopoeia. This
committee consisted of members of the council and was
divided into three subcommittees respectively from London,
Edinburgh and Dublin. The task of the committee for
reducing the processes and description of three
pharmacopoeias into one standard and of reconciling the
varying pharmaceutical customs and prescribing
idiosyncrasies of the three countries must have been
formidable and first pharmacopoeia was published in the
1864. Then council issued a second and more successful
pharmacopoeia in 1867, third in 1885, a forth in 1898 (with
an Indian edition in 1901), and fifth in 1914.
A review of the arrangements for preparing the
pharmacopoeia by a subcommittee of the Committee of Civil
Research in 1926 led to the recommendation that the General
Medical Council should appoint a Pharmacopoeia
Commission, entrusted with the detailed work of new
editions.
The British Pharmacopoeia 1932 was published under these
arrangements and subsequent editions, i.e. 1948, 1953, 1958,
1963, 1968 and 1973, have been similarly prepared. Under
the Medicines Act 1968, the responsibility for preparing the
pharmacopoeia was transferred to the Medicines Commission
and under Section 4 of the Act, the British Pharmacopoeia
Commission was reconstituted by the Health Ministers on the
recommendation of the Medicines Commission.
From 1948 to 1973, new editions of the British
Pharmacopoeia were issued at 5 year intervals and their rapid
developments during into intervals were coveted by a number
of addenda published in year 1948, 1953, 1963, 1966, 1968,
1975, 1977–78.
1158
The thirteenth edition was published in the year 1980; it
differs from its predecessor in respect to inclusion of
monographs on materials formerly described in the British
Pharmaceutical Codes published since 1907. The subsequent
editions were published in the year 1988, 1993, 1998 and
1999. Including monographs for surgical dressings published
in the 1993 edition of the BP. Now the developments covered
with the help of various addenda i.e. British Pharmacopoeia
amendments 1988, 1993, 1998, 1999
On 1 December 2000, the British Pharmacopoeia 2000
supersedes the British Pharmacopoeia 1999 as the source of
current legally-binding standards and it includes new
supplementary chapter providing information and guidance to
users on particulate contamination, important for the control
of injectable preparations.
In December 2001 the BP 2001 was supersede the BP 2000 as
the source of legally-binding UK standards. This year’s
British Pharmacopoeia contains 122 new monographs—44
national monographs and 78 from the European
Pharmacopoeia. Together with the British Pharmacopoeia
(Veterinary), the British Pharmacopoeia now contains over
2980 monographs. All of the current European
Pharmacopoeia monographs are clearly distinguished and
cross-referenced, and comprise a three-volume printed
edition—two volumes of the BP 2001 and single volume of
the BP (Veterinary) 2001.
The 2002 edition includes a comprehensive reference
document that has been designed as a reliable and flexible
research and reference tool, containing new and revised texts.
It incorporates the requirements of 4th edition of the
European Pharmacopoeia plus supplements 4.1 and 4.2, and
it is available in three volumes (two volumes of the BP 2002
and a single volume of the BP (Veterinary) 2002.
1159
The British Pharmacopoeia 2003 is published from the
Health Ministers on the recommendation of the Medicines
Commission in accordance with section 99(6) of the
Medicines Act 1968. It was available in five volumes.
Subsequent editions were published in the year 2004 and
2005 and are available in three formats—a boxed five volume
set for quick reference, a CD-ROM for quick and easy
searches and a comprehensive, searchable website, updated
daily and accessible anywhere in the world by password.
There is no issue of the British Pharmacopoeia 2006
The British Pharmacopoeia (BP) 2007 was also available in
the five volumes with following key features:
• Extensive revisions including 30 new BP texts
• New supplementary chapters containing general guidance
on unlicensed medicines and method validation
• First BP monograph for traditional Chinese medicines
• European Pharmacopoeia (Ph Eur) monographs up to and
including Ph Eur 5th edition, Supplement 5.5
The British Pharmacopoeia (BP) 2008 comprised of
monographs set out as the mandatory standards for active
substances, excipients and formulated preparations, together
with supporting general notices, appendices (test methods,
reagents, etc.), acid–base indicators in colour and reference
spectra. Detailed information and guidance on various aspects
of current pharmacopoeial policy and practice are provided in
the supplementary chapters of the BP.
The British Pharmacopoeia 2009 supersedes the British
Pharmacopoeia 2008. It has been prepared by the British
Pharmacopoeia Commission, with the collaboration and
support of its Expert Advisory Groups and Panels of Experts,
and contains approximately 3200 monographs for substances,
preparations and articles used in the practice of medicine.
Some of these monographs are of national origin while others
1160
have been reproduced from the 6th edition of the European
Pharmacopoeia. This edition, together with its companion
edition, the British Pharmacopoeia (Veterinary) 2009,
incorporates all the monographs of the 6th edition of the
European Pharmacopoeia as amended by Supplements 6.1
and 6.2. The BP 2009 comprises five volumes as follows:
• Volumes I and II medicinal substances
• Volume III formulated preparations, blood-related products,
immunological products, radiopharmaceutical preparations,
surgical materials, herbal drugs and herbal drug preparations
and materials for use in the manufacture of homoeopathic
preparations
• Volume IV infrared reference spectra, appendices,
supplementary chapters and index
• Volume V British Pharmacopoeia (Veterinary) 2009
The British Pharmacopoeia 2010 is also available, either as a
five-volume printed edition or single-user licence to the
CD-ROM (not Mac compatible) or single-user licence to the
online version. It became legally effective in the UK from 1
January 2010 and has 40 new monographs for formulated
preparations, new and revised monographs for herbal and
complementary medicines within their own section in
Volume III, additional standards for widely used unlicensed
formulations, and European Pharmacopoeia 6th edition
material up to and including Supplement 6.5.
The British Pharmacopoeia 2011 is a recent edition and
legally effective in the UK from 1 January 2011 with
following key features:
• 51 new BP monographs for formulated preparations
• Six-volume set
• Contents of the former Volume III split to create an
additional volume
1161
• Additional standards for widely-used unlicensed
formulations
• European Pharmacopoeia 6th edition material, up to and
including Supplement 6.8
• Updates will be available in January, April and July 2011
1162
chromatography (column, paper and thin-layer), non-aqueous
titration, and radioactivity were also added.
In the third edition, 1975, the purpose of The International
Pharmacopoeia was reconsidered. It was decided that the
publication should focus more on the needs of developing
countries and recommend only simple, classical chemical
techniques that had been shown to be sound. High priority
would be accorded to drugs important to WHO health
programmes. Wherever possible, classical procedures would
be used in the analytical methods so that the pharmacopoeia
could be applied without the need for expensive equipment.
Where a sophisticated analytical method was suggested, an
alternative, less complex method would also be included in
this edition.
The third edition consisted of five volumes: Volume 1
contained general methods of analysis; Volumes 2 and 3
quality
specifications for the majority of essential drug substances in
the WHO Model List of Essential Drugs; and Volume 4
provides information on tests, methods, and general
requirements and quality specifications for pharmaceutical
substances, excipients and dosage forms. Volume 5, the final
volume, contained tests and general requirements for dosage
forms and quality specifications for pharmaceutical
substances and tablets, and a section on antimalarial drug
substances and their most widely used dosage forms.
Volumes 1 and 2 of the fourth edition were published together
in 2006. Volume 1 contains the general notices and many of
the monographs for pharmaceutical substances, and Volume 2
contains the remaining monographs for pharmaceutical
substances together with those for dosage forms and
radiopharmaceutical preparations, the methods of analysis
and the reagents section and index. The main volumes of this
1163
edition consolidated and updated the texts of the five separate
volumes of the third edition and included new monographs
for antiretroviral substances. The first supplement, published
in 2008 contains new and revised monographs for
pharmaceutical substances and dosage forms together with
additions and amendments to the texts published in Volumes
1 and 2. As with the main volumes, the first supplement is
published simultaneously in print, as a CD-ROM and online.
The new monographs published in the supplement include
additional antiretroviral substances, antiretroviral dosage
forms and antituberculosis dosage forms including 2-, 3- and
4-component fixed-dose preparations.
1164
1 January 2002), 2004 (valid from 1 January 2005), 2007
(valid from 1 January 2008) and recent 7th edition, published
in July 2010, valid from 1 January 2011. From January 2011,
the 7th edition came into force and replaces 6th edition,
which is legally binding until 31 December in the member
states of the European Pharmacopoeia, including the
countries of the European Union. The 7th edition is available
in official languages of the council of Europe, i.e. English and
French in print, USB key and online formats. Its translation
into Spanish is underway. The 7th edition is comprised of two
initial volumes, which will be updated by noncumulative
supplements (7.1–7.8) issued three times a year following the
decisions taken at each session of the European
Pharmacopoeia Commission. The initial two volumes contain
the 2130 monographs, 330 general chapters illustrated with
diagrams or chromatograms and 2457 descriptions of
reagents.
1165
pharmacopoeia and ultimately acquire official status others
may formerly have been official and are retained in the Codex
because they are still used to an appreciable extent. For such
preparations the Codex provides standards and tests similar to
those in the pharmacopoeial monographs and it should be
noted that, like the British Pharmacopoeia, it has been
accepted as the presumptive standard for legal purposes in
Great Britain. It has, for example, been used to decide, in
Courts of Law, on the quality of a drug demanded in
accordance with the Food and Drugs Act 1938.
In addition to drug standards, the British Pharmaceutical
Codex since 1923 has been the source of standards for
surgical dressings. Furthermore, it provides information on
the actions and uses of drugs, their undesirable effects,
precautions and the treatment of poisoning. To the practising
pharmacist, the codex is useful not only as a source of
information on drugs but also because it contains the
formulae of most of the preparations still extemporaneously
prepared in pharmacy, notably liquid preparations for oral
administration, sterile eye drops and eye lotions, ointments
and creams, together with recommended methods for
dispensing them. Subsequent editions were published in 1934,
1949, 1954, 1959, 1963, 1968 and 1973.
In 1979, a new edition was published with a new title, The
Pharmaceutical Codex. The Medicines Commission had
recommended in 1972 that the British Pharmacopoeia should
henceforth be the only compendium of official standards for
medicines in the UK, and the BPC lost its status as an official
book.
1166
The British National Formulary
For the day-to-day purposes of the prescribing doctor and
pharmacist, there is an obvious need for a ready and
convenient source of essential information on the drugs and
preparations commonly in use. This need is answered by the
British National Formulary, a publication produced jointly by
the Pharmaceutical Society of Great Britain and the British
Medical Association.
It is prepared by a Joint Formulary Committee, drawn from
the two professions and on which the Department of Health
and Social Security is also represented. At the inception of the
National Health Service, the Minister of Health signified his
willingness to accept the Formulary as the standard
prescribers’ formulary for the Service.
The British National Formulary is not a book of standards
and differs in this respect from the British Pharmacopoeia
and the British Pharmaceutical Codex. By close liaison
between the authorities responsible for publishing the three
books, many preparations from the Pharmacopoeia and the
Codex are included in the Formulary. Such is the pace of
therapeutic innovation nowadays, however, that the
Formulary often has to include new drugs before they have
achieved the status of inclusion in either the Pharmacopoeia
or the Codex.
The BNF provides the useful information for the
pharmaceutical students. The Classified Formulary section, in
which the preparations are listed according to their
pharmaceutical form, provides the practicing pharmacist with
the formulae of commonly dispensed medicines and other
details of practical importance. The Classified Notes for
Prescribers are arranged according to a pharmacological
1167
classification and are primarily intended for the prescribing
doctor. The pharmaceutical student, however, will find in
them much useful information on the actions, uses and doses
of drugs. In addition, the Formulary contains sections dealing
with such subjects as dependence on drugs and adverse
reactions to drugs.
The BNF is published biannually under the authority of a
Joint Formulary Committee, which comprises representatives
of the two professional bodies, and of the UK Health
Departments. The Dental Advisory Group oversees the
preparation of advice on the drug management of dental and
oral conditions; the Group includes representatives of the
British Dental Association. The Nurse Prescribers’ Advisory
Group advises on the content relevant to nurses. The BNF
aims to provide prescribers, pharmacists and other healthcare
professionals with sound up-to-date information about the use
of medicines. The BNF includes key information on the
selection, prescribing, dispensing and administration of
medicines. Medicines generally prescribed in the UK are
covered and those considered less suitable for prescribing are
clearly identified. Little or no information is included on
medicines promoted for purchase by the public. As BNF is
revised twice yearly and numerous changes are made between
issues because of this reason, all copies of BNF No. 59
(March 2010) should therefore be withdrawn and replaced by
BNF No. 60 (September 2010).
1168
field of practice. The Extra Pharmacopoeia (Martindale),
published by the Pharmaceutical Society, is a useful reference
book, containing information not only on official preparations
but also proprietary products and preparations in foreign
pharmacopoeias. Many of the leading drug manufacturers
produce technical literature which provides another source of
information and the filing of such material so that it can be
readily retrieved is very well worth the trouble. Under the
Medicines Act, each product marketed commercially must be
described in a Data Sheet, conforming to the requirements of
the Licensing authority. The data sheets of the leading
manufacturers are published annually in a bound volume by
the Association of the British Pharmaceutical Industry
(ABPI).
The aim of Martindale is to provide healthcare professionals
with unbiased evaluated information on drugs and medicines
used throughout the world. It therefore has to develop as the
body of knowledge on existing drugs grows, new drugs
emerge, new preparations are launched, and old preparations
are abandoned, reformulated, or redefined. In order to provide
more up-to-date information the interval between the
publications of the printed versions of Martindale has been
reduced over successive editions and the book is now
produced about every 2 years. For those who require even
more up-to-date information from Martindale there is various
electronic versions, sections of which are updated more
frequently. Some of the recent updates of the Martindale are
summarized below.
1169
Martindale Quarterly 2005 Update
1170
Martindale Second Quarter 2006 Update
1171
Martindale Second Quarter 2007 Update
1172
Martindale Second Quarter 2008 Update
1173
Martindale Second Quarter 2009 Update
1174
In this quarter, revision has been carried out on
antiprotozoals, contrast media, electrolytes and gases.
Sections of antibacterials; antineoplastics; and anxiolytic
sedatives, hypnotics and antipsychotics; cardiovascular drugs;
gastrointestinal drugs; pharmaceutical excipients; and
supplementary drugs and other substances have also been
revised.
1175
have also been revised. Preparations have also been updated
for 7 countries.
1176
modulators, and vaccines immunoglobulins and antisera.
Sections of analgesics, anti-inflammatory drugs and
antipyretics, cardiovascular drugs, and supplementary drugs
and other substances have also been revised. Preparations
have been updated for 5 countries.
1177
schedule also changed. From 1820 to 1942, the USP was
published at 10-year intervals, from 1942 to 2000 at 5-year
intervals and from 2002, annually. The American
Pharmaceutical Association has published the first national
formulary under the title The National Formulary of
Unofficial Preparations (NF) in 1888. Both the USP and the
NF were recognized in the Federal Food and Drugs Act of
1906 and again in the Federal Food, Drug, and Cosmetic Act
of 1938. In 1975, USP acquired the NF and began publishing
both compendia in a single volume, titled USP–NF.
USP 30–NF 25 was published in the year 2007, having
approximately 4100 monographs and more than 200 general
tests and assays and general information chapters. It is printed
in a three-volume set: Volume 1 contains front matter,
Volume 2 contains USP monographs from A–L, and Volume
3 contains USP monographs from M–Z. The first and second
supplements of USP30–NF 25 were published in June and
December, 2007.
USP 31–NF 26 (2008) in English is available in three
formats—print, CD and online. The USP–NF Spanish edition
is available in print format only.
In the year 2009, edition USP 32–NF 27 was published with
more than 4200 monographs, over 200 general chapters,
covering tests and assays; it expedites new product
development and approvals. USP 33–NF 28, having more
than 4500 monographs with specifications for identity,
strength, quality, purity, packaging and labelling for
substances and dosage forms, was published in 2010. It has
over 230 general chapters providing clear, step-by-step
guidance for assays, tests and procedures besides a separate
sections on reagents, indicators, solutions and reference
tables.
1178
Usp 34–Nf 29 (2011)
All formats will feature a new streamlined monograph design
for new and revised monographs since USP 33–NF 28
re-issue. The new design is being phased into the compendia
in stages. It is available in three formats—print, CD and
online. The USP–NF Spanish edition is available in print
format only.
Publication schedule and official dates for USP 34–NF 29
English edition
Publication
Title Official date
date
USP 34–NF 29 main edition November 1, May 1, 2011
2010
First supplement to USP February 1, August 1,
34–NF 29 2011 2011
Second supplement to USP June 1, 2011 December 1,
34–NF 29 2011
Indian Pharmacopoeia
The Indian Pharmacopoeia is published by the Indian
Pharmacopoeia Commission (IPC) on behalf of the Ministry
of Health and Family Welfare, Government of India. The
Indian Pharmacopoeia is being produced to fulfil the
requirement in the Drugs and Cosmetics Rules, 1945 of
standards of drugs produced in India and in the belief that it
contributes significantly in controlling the quality of
medicinal products. The standards of this pharmacopoeia are
legally enforceable and are intended to help in the licensing
1179
and inspection processes. After Independence, an Indian
Pharmacopoeia Committee was constituted in 1948, which
prepared the Pharmacopoeia of India (The Indian
Pharmacopoeia) 1955. A supplement to it was published in
1960. This pharmacopoeia contained Western as well as
traditional drugs, and the same policy continued while
preparing the Pharmacopoeia of India 1966 (second edition)
and its 1975 supplement. In the Pharmacopoeia of India 1985
(third edition) and its addenda 1989 and 1991, traditional
drugs were not included as publication of a pharmacopoeia of
traditional-system drugs was taken up separately and only
those herbal drugs were included which had supporting
definitive quality control standards.
Since the publication of the 1985 Edition there has been a
significant increase in the range of drugs produced in India.
Keeping this in mind the committee has deleted or added
monographs on a system of priorities based on the medical
merit and the extent of use of any given article in the country
in its following 1996 Edition (4th edition) and its addenda in
2000, 2002, 2005 and one supplement for veterinary products
in 2002. The Indian Pharmacopoeia 2007 (5th edition) and its
addendum in 2008 have been prepared in accordance with the
principles and the plan designed by the Scientific Body of the
Indian Pharmacopoeia Commission. The general notices,
monographs and new testing methods, etc., based on the
introduction of advanced technology and experimental
methods widely adopted in India and abroad are being added
and updated. The contents of appendices are revised by and
large in consonance with those nowadays adopted
internationally for monitoring the quality of the drugs.
Monographs of special relevance to the common disease
pattern of this region have been given special emphasis by
incorporating such medicines.
1180
In addition, emphasis has been put to bring out harmonization
in appendices to a sound connection between individual
monographs and the relevant appendices, and to the
standardization of text wording so as to make this edition
precise and well structured. The number of monographs in
appendices is expanded further to incorporate the latest
technological advances, and it complies with regulatory
requirements. Great efforts have been made to unify the
national drug standards and to bring them in line with the
international standards progressively by addition of
monographs of new drugs and current methodology adopted.
The Indian Pharmacopoeia 2007 is published in three
volumes.
Salient features of the Indian Pharmacopoeia 2007
Total no. of monographs 1623
No. of new monographs 265
No. of API monographs 767
No. of dosage forms monographs 856
No. of vaccines and immunosera monographs 57
No. of herbs and herbal products monographs 58
No. of blood and blood-related products monographs 21
No. of biotechnology products 04
No. of veterinary products monographs 143
No. of antiretroviral monographs 22
No. of antituberculosis monographs 14
No. of anticancerous monographs 08
No. of antimalarial monographs 03
1181
No. of excipient monographs 12
Additions
Vaccines and other biological products 51
Biotechnological products 12
Blood and blood products 32
Medicinal plants 20
The sixth edition of the Indian Pharmacopoeia (Indian
Pharmacopoeia 2010) is published by the Indian
Pharmacopoeia Commission (IPC). It supersedes the 2007
edition but any monograph of the earlier edition that does not
figure in this edition continues to be official as stipulated in
the Second Schedule of the Drugs and Cosmetics Act, 1940.
The Indian Pharmacopoeia 2010 is presented in three
volumes. Volume I contains the notices, preface, the structure
of the IPC, acknowledgements, introduction and the general
chapters. Volume II contains the general notice, general
monographs on dosage forms, monographs on drug
substances, dosage forms and pharmaceutical aids (A to M).
Volume III contains monographs on drug substances, dosage
forms and pharmaceutical aids (N to Z) followed by
monographs on vaccines and immunosera for human use,
herbs and herbal products, blood and blood-related products,
biotechnology products and veterinary products. The scope of
the pharmacopoeia has been extended to include products of
biotechnology, indigenous herbs and herbal products,
veterinary vaccines, and additional antiretroviral drugs and
formulations, inclusive of commonly used fixed-dose
combinations. Standards for new drugs and drugs used under
national health programmes are added, and the drugs as well
as their formulations not in use nowadays are omitted from
1182
this edition. The number of monographs of excipients,
anticancer drugs, herbal products and antiretroviral drugs has
been increased in this edition. Monographs of vaccines and
immunosera are also upgraded in view of development of
latest technology in the field. A new chapter on liposomal
products and a monograph of liposomal amphotericin B
injection is an added advantage in view of latest technology
adopted for drug delivery. A chapter on NMR is incorporated
in appendices. The chapter on microbial contamination is also
updated to a great extent to harmonise with prevailing
international requirements. A list of 287 new monographs
items not included in the 2007 edition of the Indian
Pharmacopoeia and its addendum 2008 has been added in
this edition.
Silent features of the India Pharmacopoeia 2010
• Total monographs are 1918; out of which 287 have been
added first time.
• Category of a drug, dosage and usual available strength of
dosage forms have been added.
• Classical chemical tests for identification of an article have
almost been eliminated and more specific infrared and
ultraviolet spectrophotometric tests have been introduced.
• Cross referencing has been avoided.
• Veterinary products monographs are the integral part of this
edition.
• Presentation of subject matter is unique.
• Use of chromatographic methods has been greatly extended.
• Test for pyrogen has virtually been eliminated.
• More herbal drugs monographs have been added.
• Several new monographs not present in any major
pharmacopoeias of the world are present in it.
• Authenticity certificate.
1183
Medicines Legislation
In recent years, it has become apparent that the introduction
of new drugs into medicine is not adequately safeguarded
even by the stringent controls applied through
pharmacopoeial and other monographs. Before a drug
achieves the distinction of being included in the
pharmacopoeia or codex, it is usually developed in the
commercial research laboratories of the pharmaceutical
industry, and released for commercial distribution if it passes
the requisite tests for toxicity and clinical efficacy. Much
effort is put into the investigations required by the
pharmaceutical manufacturer to ensure that the products
released are safe for the purpose intended. However, there is
always an element of risk with any drug developed and
experience has shown that there is a need for the central
supervision of the testing of new drugs by an independent
authority.
The reports of fetal abnormalities following the
administration of thalidomide to pregnant women during
1960 and 1961 gave rise to much public concern and a joint
subcommittee of the Standing Medical Advisory Committee
was set up to advise the minister of what further steps were
considered desirable to ensure the safety of drugs. The joint
subcommittee rejected as neither desirable nor practicable the
suggestion that responsibility for testing new drugs should be
transferred to a central authority. However, it recommended
that there should be an expert body to review evidence and
offer advice on the toxicity of new drugs.
The Committee on Safety of Drugs was appointed in June
1963 under the chairmanship of Sir Derrick Dunlop and
1184
subsequently of Sir Eric Scowen. The terms of reference of
the committee were as follows:
1. To invite from the manufacturer or other person developing
or proposing to market a drug in the United Kingdom any
reports they may think fit on the toxicity tests carried out on
it; to consider whether any further tests should be made, and
whether the drug should be submitted to clinical trial, and to
convey their advice to those who submitted reports.
2. To obtain reports of clinical trials of drugs submitted
thereto.
3. Taking into account the safety and efficacy of each drug
and the purposes for which it is to be used, to consider
whether it may be released for marketing with or without
precautions or restrictions on its use and to convey their
advice to those who submitted reports.
4. To give to manufacturers and others concerned any general
advice they may think fit on the matters referred to in
paragraphs (i) and (iii).
5. To assemble and assess reports about adverse effects of
drugs in use and prepare information thereon which may be
brought to the notice of doctors and others concerned.
6. To advise the appointing ministers on any of the above
matters.
Three sub-committees of the Committee on Drug Safety were
established to deal with (1) toxicity, (2) clinical trials and
therapeutic efficacy and (3) adverse reactions. The Committee
started to assess reports on toxicity and clinical trials on 1
January 1964 and both the Association of British
Pharmaceutical Industry and the Proprietary Association of
Great Britain agreed not to submit a new drug for clinical trial
or to market a new drug after that date against the advice of
the Committee. The Committee on Drug Safety, therefore,
possessed no legal sanctions but operated by the consent and
1185
agreement of the medical profession and the main bodies
representing commercial interests in pharmacy.
Despite its lack of legal powers, its authority and influence
effectively prevented the marketing of drugs which had not
passed through the recognized procedure.
There are therefore a number of different bodies responsible
for publishing standards for drugs, concerned with drug safety
and issuing information about the use of drugs. Clearly there
was a need for the work of all these disparate bodies to be
coordinated centrally and controlled in the public interest.
Such coordination was established in the Medicines Act 1968
which made new provision for the safety, quality and efficacy
of medicinal products for human and veterinary use the
circumstances in which they are sold and supplied, their
labelling and description and their sales promotion.
This comprehensive legislation was foreshadowed by a white
paper (Cmnd 3395) published in 1967 and it was also
influenced by the recommendations made in the report of the
Committee on the Relationship of the Pharmaceutical
Industry with the National Health Service (Cmnd 3410). The
Act provided for the appointment of a Medicines Commission
to advise the Health Ministers on the administration of the
Act.
As has been said, among its many functions, the Medicines
Commission became responsible for advising the Health
Ministers on the preparation of the British Pharmacopoeia.
The Act also empowers the Secretary of State to assume
responsibility for any other compendia giving standards for,
or information about substances and articles used in human or
veterinary medicine. The publication of the British
Pharmaceutical Codex is authorized by the Council of the
Pharmaceutical Society of Great Britain, and the British
National Formulary is authorized by the British Medical
1186
Association in accordance with the Pharmaceutical Society. It
has now been agreed that the British Pharmacopoeia will in
future be the sole source of official standards for medicinal
preparations (including surgical dressings). The British
Pharmaceutical Codex 1973 is the last edition of that book in
which standards are provided. The status of the British
National Formulary remains unchanged at the time of going
to press.
Under the Medicines Act 1968, the Safety of Drugs
Committee was reconstituted as a statutory body under the
new title of the Safety of Medicines Committee. The
Medicines Act also introduced a system of licensing of
pharmaceutical preparations and medicines. Before a new
drug can be submitted to clinical trial it must first be
approved by the Safety of Medicines Committee and granted
a Clinical Trial Certificate. Before it is released for
commercial distribution, the new drug preparation must
further be granted a Product Licence. The grant of clinical
trial certificates and product licences is made only after the
manufacturer has disclosed, in confidence, to the Safety of
Medicines Committee full information on the chemistry,
pharmacy, standards, toxicity and stability data of the new
preparation.
The Medicines Act 1968 also provided for the setting up of a
Medicines Inspectorate. This has the responsibility of
inspecting and approving premises in which medicines are
manufactured and stored. Each manufacturer is required
under· the Medicines Act to obtain a licence for his premises
and the grant of a licence is subject to a satisfactory report by
the Medicines Inspectorate.
The Medicines Act thus covers many aspects of the practice
of pharmacy, including requirements for standards of hygiene
in places where medicines are manufactured, transported,
1187
stored and supplied. It is also concerned with the laws
governing the sale of poisons and the retail sale of medicinal
preparations. The Medicines Act has had a profound effect on
the practice of pharmacy which will continue to be felt in the
coming years.
1188
Chapter 23
Weights and Measures
For many years, three systems of weights and measures were
in use in pharmacy: the metric system, the avoirdupois system
and the apothecary system. A committee on weights and
measures legislation was appointed by the President of the
Board of Trade in 1948 ‘to review the existing weights and
measures legislation and other legislation containing
provisions affecting Weights and Measures and the
administration thereof and to make recommendations’. The
committee, in a report published in 1951, recommended that
the apothecary system should be abolished and that the metric
system should be adopted in its place. It recommended further
that steps should be taken in concert with the Commonwealth
and the USA to abolish the imperial system of measurement
in favour of the complete adoption of the metric system over
a period of about 20 years.
While the complete adoption of the metric system of weights
and measures for the purposes of trade has not yet been
accepted, steps have now been taken to abolish the use of
apothecary and imperial systems for all dealings in drugs and
medicines. Since 31 March, 1969, pharmacists have been
required to carry out all dispensing in the metric system. The
apothecary and imperial weights and measures became illegal
as far as pharmacy is concerned.
The first steps to change over to the metric system appeared
in the British Pharmacopoeia and British Pharmaceutical
Codex published in 1963. In these editions, the strengths of all
single-dose forms of drug presentation (tablets, capsules and
injections) were given only in metric quantities.
1189
In order to carry this change into effect, the Weights and
Measures (Equivalents for dealings with drugs) Regulations
1964 (S.I. 1964 No. 81) stipulated the strength in metric units
which must be dispensed or supplied when a strength in
apothecary units is stated on the prescription or order.
The British Pharmaceutical Codex 1968 and the British
National Formulary 1968 extended the use of the metric
system to all other liquid forms of drug presentation and the
schedule of metric equivalents to be used in place of
apothecary and imperial quantities was further extended by
the Weights and Measures (Equivalents for Dealing with
Drugs) Regulations 1970 (S.I. 1970 No. 1897). The complete
adoption of the metric system in pharmacy has therefore been
achieved.
While pharmacists are required to use the metric system for
dispensing prescriptions, doctors have not been compelled to
use the metric system in writing them. There are still in
circulation older prescriptions written by medical
practitioners before 1969 and a few prescriptions continue to
be written in the older system of weights and measures even
today. The pharmacist is required to interpret these
prescriptions in the metric system, even though they are
written in the avoirdupois or apothecary systems. In
converting prescriptions from the older systems, the metric
equivalents sets out in the weights and measures (equivalent
for dealings with drugs) Regulations 1970 (S.I. 1970 No.
1897) must be used. Appendix 32 of the British
Pharmaceutical Codex, 1973, gives information on weights
and measures.
1190
The Metric System
The use of the metric system of weights and measures was
legalized in this country as long ago as 1897 by the Weights
and Measures (Metric System) Act.
The international metre was formerly defined as the distance
measured at OCC between two marks on a platinum–iridium
bar. This standard was derived from a previous standard that
was said to be the one ten-millionth part of the earth’s
quadrant from the North Pole to the Equator.
For exact measurement, it has become necessary to devise a
physical means of defining the metre. At the International
Metric Convention it was agreed that the metre could be
defined in terms of the wavelength of a certain radiation. The
radiation chosen was that from krypton-86 and the orange–red
line was the chosen emission. Metric length measurements
are now derived from the definition of the metre which is
equal to 1.65076373 × 106 86Kr, where 86Kr = 6.0578021 ×
107 metre is the wavelength in vacuo of the orange–red
radiation corresponding to the transition between two specific
energy levels of the krypton-86 atom.
Length
1191
The terms micron and millimicron, according to a resolution
of the Thirteenth General Conference of Weights and
Measures (1967), should no longer be used.
Mass
1192
writing, although older prescribers may adhere to the use of
G.
The British Pharmacopoeia recommends that microgram
should not be abbreviated in prescription writing. Where an
abbreviation is necessary, mcg should be used. The terms μg
and μ should not be used in prescription writing or recording
the dosage of drugs.
Capacity
The litre (l) is now a special name for the volume occupied by
a cube with sides of 1 decimetre. The 1901 definition of the
litre under which it was found by later experiment to be
1.000028 dm3 has been abrogated. The term litre is no longer
associated with the results of measurements of volumes to
high precision but has been retained for use in medicine.
Basic unit = 1 litre (l)
Liquid Measures
Conversion to the metric system for single dose forms of drug
presentation (e.g. tablets, capsules, injections) produced few
complications. More difficulty was encountered in
introducing the metric system for all the liquid oral forms of
drug presentation, e.g. mixtures, elixirs, linctuses, etc.
1193
For many years such preparations were prescribed in
teaspoonful and tablespoonful doses in order to provide a
measure that the patient could conveniently use in his own
home. There is an enormous variation in the capacity of
domestic teaspoons and tablespoons and while such a
variation in the dose volume was not important with
traditional medicines having little or no therapeutic activity,
more accurate measurement of the dose volume is necessary
for the administration of modern potent drugs.
Liquid medicines in the metric system have been formulated
to a dose volume of either 5ml or 10ml and the patient is
instructed to take either one or two 5ml dose volumes. For
this purpose a standard 5ml medicine spoon has been
produced (B.S. 3221/4) and the instructions given to the
patient are to take one 5ml spoonful or two 5ml spoonfuls.
These matters are dealt with more fully in the chapters on
liquid preparations. The pharmacist has a clear responsibility
to ensure that each time a medicine is dispensed the patient
fully understands the dose and frequency of administration.
1194
1. Select the proper balance for a given application.
Understand the technical specifications of the balance.
2. Understand the functions and features of the instrument and
use them correctly to obtain good results.
3. Know how to ascertain the accuracy and functionality of a
balance through correct installation, care and maintenance.
4. Apply proper judgment in interpreting the weighing results.
High accuracy may require corrections for air buoyancy.
5. Use printers, computers and specialized application devices
to get more reliable and efficient process of weighing records
and associated calculations electronically.
Mass and weight: The terms mass and weight are legitimately
used to designate a quantity of matter as determined by
weighing.
Mass: Mass can be defined as an invariant measure of the
quantity of matter in an object. The basic unit of mass is
kilogram, which is embodied in a standard kept in Paris.
Masses are more practically expressed in grams or
milligrams.
Apparent mass: Apparent mass is the mass of an object minus
the mass of the air that the object displaces. The distinction
between apparent mass and absolute mass is insignificant in
some chemical work, but it is significant in various
applications.
Weight: The force exerted on a body by the gravitational field
of the earth, measured in units of force (Newton, abbreviation
N). The weight of a body varies with geographic latitude,
altitude above sea level, density of the earth at the location
and, to a very minute degree, with the lunar and solar cycles.
Electronic balances must be calibrated on location against a
mass standard.
Balance: A laboratory instrument used for the precise
measurement of small masses.
1195
Classification of balances: Balances are classified according
to the graduation step or division of the reading device (scale
dial or digital display) and according to their weighing
capacity.
1196
Fig. 23.1 Top-loading balance. Source: A & D Instruments
India Private Limited
Triple-beam balance
1197
rider; others are notched and carry suspended weights.
Triple-beam platform balances have a sensitivity of 0.1g.
1198
Mechanical analytical balances
1199
Fig. 23.4 Equal-arm balance.
1200
Electronic Balances
1201
coil is proportional to the resultant force that is holding the
mechanism at the reference position. When the applied load
changes, a slight motion occurs between the fixed and the
moving portions of the error-detector components, resulting
in a very rapid change in current through the coil.
1202
closed-loop servo circuit that monitors the vertical deflections
of the pan support through a photoelectric sensor and adjusts
the coil current as required to maintain equilibrium between
weighing load and compensation force.
3. The servo system is the electronic-signal processing part of
the balance. It receives the output signal of the load cell,
converts it to numbers, performs computations and displays
the final weight data on the readout. In one method, a
continuous current is driven through the servo motor coil, and
in the other method the current is pulsed.
Special routines for electronic balances: Signal processing in
electronic balances usually involves special computation
routines:
1. Programmable stability control: Variable integration
permits compensation for unstable weight readings due to
environmental vibration or air currents. Preprogrammed
filters minimize noise due to air currents and vibration. Four
settings vary integration time, update rate of display, vibration
filtering and damping.
2. Adjustable stability range: Nine different settings (from
0.25 to 64 counts in the last significant digit) control the
tolerance range within which the stability indicator appears (a
symbol that appears when the actual sample weight is
displayed within preset stability-range tolerances).
3. Autotracking: This routine eliminates distracting display
flicker and automatically re-zeros the balance during slight
weight changes. Once the balance stabilizes and displays the
weight, the autotracking feature takes over. Autotracking can
be turned off to weigh hygroscopic samples or highly volatile
substances.
4. Serial interface: This allows two-way communication with
printers, computers and other devices at baud rates up to
9600.
1203
5. Autocalibration: When pushed, a calibration button
activates a built-in test weight (up to four on some models).
The balance calibrates itself to full accuracy and returns to
weighing mode within seconds.
6. Full-range taring: Just set a container on the pan and touch
the re-zero button, and the display automatically resets to
zero.
7. Overload protection: Full-range taring and overload
protection prevent damage to the balance if excess weight is
placed on the pan.
Precautions and procedures: With analytical balances, the
following guidelines should be observed:
1. Level the balance using the air-bubble float.
2. Observe the required warm-up period or leave the balance
constantly under power. Follow the manufacturer’s
recommendations.
3. Use any built-in calibration mass and
microprocessor-controlled calibration cycle at the beginning
of every workday.
4. Handle weighing objects with forceps. Fingerprints on
glassware or the body heat from an operator’s hand can
influence results.
5. Always close the sliding doors on the balance when
weighing, zeroing or calibrating.
6. Accept and record the displayed result as soon as the
balance indicates stability; observe the motion detector light
in the display. Never attempt to average the displayed
numbers mentally.
7. Check the reliability of each balance every day against
certified weights, as it is critical to the performance of the
laboratory. Balances should be cleaned and calibrated at least
twice a year, more often if the work load is unusually heavy.
1204
The Weighing Station
The finer the readability of a balance, the more critical is the
choice of its proper location and environment. Observe the
following precautions:
1. Avoid air currents. Locate the station away from doors,
windows, heat and air-conditioning outlets.
2. Avoid having radiant heat sources, such as direct sunlight,
ovens and baseboard heaters, nearby.
3. Avoid areas with vibrations (away from elevators and
rotating machinery). To test, the displayed weight should not
change if the operator shifts his or her weight, leans on the
table or places a heavy object next to the balance.
4. Choose an area free from abnormal radiofrequency and
electromagnetic interference. The balance should not be on
the same line circuit with equipment that generates such
interference, such as electric arcs or sparks.
5. Maintain the humidity in the range 15–85%. Dry air can
cause weighing errors through electrostatic charges on the
weighing object and the balance windows. Humidifier may
help in maintaining the humidity. Humid air causes problems
because of moisture absorption by samples and container
surfaces. Room dehumidifier can help in this regard.
6. Maintain an even temperature of the room and the object
weighed. If an object is warm relative to the balance,
convection currents cause the pan to be buoyed up, and the
apparent mass is less than the true mass.
7. Remember that materials to be weighed take up water or
carbon dioxide from the air during the weighing process in a
closed system.
8. Weigh volatile materials in a closed system.
1205
9. Sit down when doing precise weighing. The operator
should be able to plant elbows on the work table, thus
allowing a steady hand in handling delicate samples.
References
1206
Chapter 24
Pharmaceutical Calculations
The adoption of the metric system has simplified many of the
calculations necessary in the practice of pharmacy, especially
of the amounts needed to prepare percentage solutions.
Percentage Solutions
The British Pharmacopoeia defines four different types of
percentage solutions, according to the circumstances:
• Per cent w/w (percentage weight in weight) expresses the
number of grams of active substance in 100g of product.
• Per cent w/v (percentage weight in volume) expresses the
number of grams of active substance in 100ml of product.
• Per cent v/w (percentage volume in weight) expresses the
number of millilitres of active substance in 100g of product.
• Per cent v/v (percentage volume in volume) expresses the
number of millilitres of active substance in 100ml of product.
In the case of a liquid dissolved in a liquid the strength is
expressed as a percentage volume in volume. For example, a
1 per cent v/v solution of rosemary oil in alcohol consists of
1ml rosemary oil in sufficient alcohol to produce 100ml.
In the case of a solid dissolved in a liquid, the strength is
expressed as a percentage weight in volume. Thus a 1 per cent
w/v solution of morphine sulphate in water contains 1g
morphine sulphate in sufficient water to produce 100ml. An
injection containing 1 per cent w/v of active substance
contains 10mg in 1ml.
1207
It should be noted that no account is taken of the density of
the solvent in calculating per cent w/v solutions. Thus a 5 per
cent w/v solution of phenol in water contains 5g in 100ml of
solution. Similarly, a 5 per cent w/v solution in glycerin
contains 5g phenol in sufficient glycerin to produce 100ml of
solution.
Expression of Strengths of
Intravenous Fluids
Developments in biochemical techniques have led to the
expression of the electrolyte content of body fluids in terms of
millimoles (mmol) or milliequivalents (mEq) of ions per litre.
It is logical, therefore, to express in similar terms the strength
of intravenous infusion solutions intended to correct the
balance of electrolytes in body fluids. The mole is now the
basic international unit for specifying the amount of an
element, compound or ion. It is defined by the British
Pharmaceutical Codex (Appendix 31, 1973) as ‘the basic unit
of amount of substance of a specified chemical formula,
containing the same number of formula units (atoms,
molecules, ions, electrons, quanta or other entities) as there
are in 12g of the pure nuclide 12C. A millimole is one
thousandth of this amount. In the case of ions, therefore, a
millimole is the sum of the atomic weights in the ion,
expressed as milligrams. The milliequivalent of an ion may be
defined either as one-thousandth of the gram-equivalent
weight of that ion, or as the ionic weight (the sum of the
atomic weights in the ion) in milligrams divided by the
valency of the ion. The milliequivalent is therefore the
millimole divided by the valency of the ion.
1208
The total ionic concentration of plasma is from 300 to 320
millimoles per litre, and the principal ions present are sodium,
potassium, magnesium, calcium, chloride, bicarbonate and
phosphate. Most of these are contained in the intravenous
fluids of the British Pharmacopoeia, British Pharmaceutical
Codex or British National Formulary.
A Table in Appendix 31 of the British Pharmaceutical Codex
(1973) gives the values of the millimoles and milliequivalents
of the principal ions and the weights of various salts
containing one millimole or one milliequivalent of these ions.
A further Table in Appendix 31 gives the concentration of
ions, in terms of millimoles per litre, in various commonly
used intravenous fluids.
Let
1209
per litre may be obtained by multiplying by the valency of the
ion. Thus the numbers of millimoles and milliequivalents of a
univalent ion such as sodium are identical whereas the
number of millimoles of a divalent ion such as calcium is half
the number of milliequivalents.
Example: How many millimoles per litre of bicarbonate ion
are contained in a solution of sodium bicarbonate 8.4 per cent
w/v?
1210
Example: What is the percentage strength w/v, of a solution
of potassium chloride containing 20 millimoles of potassium
per litre?
1211
The osmolality of blood serum is approximately 300mmol
and this can be used as a useful factor in adjusting an
injection to isotonicity.
Example: How much sodium chloride is needed to adjust to
isotonicity a solution containing 20mmol of calcium per litre
(as calcium chloride)?
20mmol of calcium are provided by 60 milliosmols of
calcium and chloride per litre.
∴ 300 – 60 = 240 milliosmols are to be provided by sodium
chloride to give an isotonic solution.
The formula of the solution is therefore:
Calcium chloride (CaCl2, 2H2O):
60 milliosmols = 20mmol Ca2+
= 20 × 147 = 2.94 g
Sodium chloride:
240 milliosmols = 120mmol Na+
= 120 × 58.5 = 7.02 g
Water for Injection to 1000ml.
1212
1. Young’s formula
4. Fried’s Formula
5. Bastedo’s Formula
6. Clark’s Formula
1213
7. Gaubin’s Formula
According to the formula, fractions of the adult dose for
children of various ages are listed in Table 24.1.
1214
The average body surface area for an adult has been given as
1.73m2.
1215
Dose for child = (20 × 750mg)/150 = 100mg dose
Rule 1
Rule 2
1216
3. Write ounce in place of grams and fluid ounce in place of
millilitres (for large batch).
Example:
Sodium hypophosphite gr. xx
Sulphuric acid fluid ounce i
Cinnamon water q.s. ad fluid drachms ii
Dispense 50ml
Converting to the metric system, the prescription can be
written as:
Sodium hypophosphite 20 gram
Sulphuric acid 60/1.1 55.5ml
Therefore, the quantities in 50ml would be
Calculation by Alligation
1217
Alligation Method
1218
the same diagonal, and write the result at its other end. The
figures on the other ends of the horizontal lines give the parts
of the respective solutions to be mixed in order to get the
required strength, as shown in the figure below:
1219
Proof Spirit
In the 18th century and until 1st January 1980, the United
Kingdom defined alcohol content in terms of ‘proof spirit’,
which was defined as the most dilute spirit that would sustain
combustion of gunpowder (Encylopedia Britannica). The
term originated in the 18th century, when payments to British
sailors included rations of rum. To ensure that the rum had
not been watered down, it was ‘proved’ by dousing
gunpowder in it; then it was tested to see if the gunpowder
would ignite. If it did not, then the rum was considered to be
containing too much water and was considered to be ‘under
proof’. It was found that gunpowder would not burn in rum
that contained less than 57.15% alcohol. Therefore, rum that
contained this percentage of alcohol was defined to have ‘100
degrees proof’. The proof spirit was originally defined as that
quality of distilled liquor which when poured over gun
powder and ignited would burn and finally ignite the power.
If the content of ethyl alcohol was less than 49.28% w/w, the
water left after burning the alcohol was sufficient to make the
powder too wet to ignite. In Great Britain, the proof spirit is
defined as a mixture of absolute alcohol and water that
weighs exactly 12/13 equal volume of water at 51°F; that is,
the proof spirit has the specific gravity of 0.91976 at l5.5°C
and contains 57.1% v/v or 49.28% w/w of ethyl alcohol.
In USA, 50% v/v alcohol is taken as the proof strength, i.e.
50% v/v alcohol is taken as 100 proof strength. Alcohols of
other percentages are taken to be above or below proof
depending upon whether they contain more or less than 50%
v/v absolute alcohol. Thus 25% v/v alcohol comes to 50 proof
strength, which means that the proof strength is numerically
twice the percentage of alcohol. The excise tax on alcoholic
1220
liquor is charged on a proof gallon or in UK. London Proof
Gallon. In India, the British system is followed for the excise
purposes and it is based upon the fact that 57.1 volume of
ethyl alcohol corresponds to 100 volume of proof spirit. So to
convert a given percentage v/v alcohol, the relationship
between the % v/v strength and the proof strength can be
derived as follows:
Example: Convert 90% v/v and 30% v/v alcohol into proof
strength.
57.1 volume of alcohol corresponds to 100 volumes of proof
spirit.
Therefore, 1 volume of 57.1% v/v alcohol = 100/57.1 = 1.753
proof spirit. Therefore, 90 volumes of ethyl alcohol = 90 ×
1.753 = 157.77 volume of proof spirit, i.e. 100 gallons of 90%
alcohol are equivalent to 157.77 gallons of proof spirit.
Therefore, proof strength of 90% alcohol = 157.77 – 100 =
57.77° O/P (over proof)
For 30% alcohol, the proof strength will be (30 × 1.753) –
100 = 52.59 – 100 = − 47.41= 47.41° U/P (under proof)
Thermometric Scale
Fahrenheit
1221
the boiling point by 212°F and the space in between is
divided into 180°. The graduations above and below are also
according to the same scale.
Centigrade/Celsius
Réaumur
1222
Kelvin
1223
Example: What temperature in the centigrade scale will be
equal to that of Fahrenheit scale?
Solution: C = (F – 32) × 5/9
Let X be the temperature, so X = (X – 32) × 5/9 or, X = (5X –
160)/9, i.e. 9X – 5X = – 160
Answer: X = – 40°C
References
1224
Chapter 25
Prescriptions
Dispensing is that part of the practice of pharmacy in which
the pharmacist or a pharmacy technician under his
supervision interprets the doctor’s requirements for the drug
treatment of his patient. This usually takes the form of
interpreting a written prescription but may, occasionally,
involve taking instructions given by word of mouth or by
telephone. Whenever the doctor does not state his
requirements in a written form in the first instance, he should
be asked to confirm his instructions in writing at a later stage.
However, when the pharmacist receives the doctor’s
intentions, it is essential that every precaution is taken to
eliminate mistakes that may arise either in writing the
prescription or in its interpretation, since it is at this stage that
the patient is given a preparation that he will take in
accordance with the directions stated by the pharmacist. It
may often be necessary for the pharmacist to emphasize
special instructions regarding the administration of the
preparation in order to reinforce any directions that the doctor
may have given to the patient. He should also be ready to
advise the patient about other self prescribed medication, for
example, patients receiving anticoagulant therapy should be
warned against taking preparations containing aspirin.
Modern drug treatment uses preparations that are frequently
prepared by the manufacturer and that require no further
manipulation in the pharmacy. Most modern drugs are
available in tablets, capsules or injections, which are supplied
by the pharmaceutical industry. The process of dispensing
has, therefore, become very much simplified, and whereas the
1225
pharmacist was formerly required to carry out manipulative
processes in the preparation of medicines, he is less
frequently called upon to do so nowadays. While the process
of dispensing has been simplified, the nature of the drugs
used has become considerably more sophisticated, and the
potential for serious mistakes to occur in drug administration
has become greater.
The development of new and potent drugs makes it even more
important for the pharmacist to take the utmost care in the
interpretation of prescriptions and to examine each
prescription very carefully in order to avoid possible errors of
interpretation that may arise because of inadequately or
poorly written prescriptions. No preparation should be
supplied to the patient until the pharmacist is fully satisfied
that he has interpreted the doctor’s intentions correctly.
The main procedures involved in dispensing are discussed
here, and while they may not often be used in the general
practice of pharmacy, it is essential for students to become
thoroughly familiar with the principles underlying the
procedures in order to develop the correct approach to
dispensing. It is also of practical importance to those who will
ultimately find themselves working in a hospital pharmacy
where the opportunities for carrying out dispensing
techniques arise more frequently and to those who wish to
make a career in the pharmaceutical industry, since no new
pharmaceutical preparations can be developed without, in the
initial stages, using some of the basic procedures of
dispensing that have been developed over the years.
An increasingly disturbing feature of modern life is the abuse
of drugs, particularly those acting on the central nervous
system. The illicit use of such preparations has led to the
forging of prescriptions, and it is part of the responsibility of
the pharmacist to detect prescriptions that have been forged or
1226
altered by the patient. Prescription forms issued by the
Ministry of Health, known as Fc10 forms, have been stolen
and used for writing forged prescriptions. Prescriptions
legitimately written by a doctor may have the quantity of the
preparation subsequently increased by the patient in order to
obtain a larger quantity than that prescribed. Items not
prescribed by the doctor may be inserted by the patient in
forged handwriting. Wherever there is any doubt about such a
prescription, it is the responsibility of the pharmacist to refer
it back to the prescriber for confirmation. Particular care
should be taken with prescriptions calling for drugs scheduled
under the Misuse of Drugs Act (1971) or in the Fourth
Schedule of the Pharmacy and Poisons Act (1933).
1227
4. The signature or the directions to the patient as to how the
medicine is to be used, including, in the case of internal
medicines, the size and frequency of the dose.
1228
These arguments become increasingly less valid as each year
passes and English is likely to become universally used for
prescription writing in this country.
Dispensing Routine
A strict routine is necessary in dispensing in order to ensure
safety, speed and neatness. The following general rules apply
whether the prescription involves extemporaneous
preparation of the medicine or simply the issue of a
manufactured product of the pharmaceutical industry.
When receiving a prescription to dispense, the following
routine should be followed:
1. Read it carefully. Do not express doubt about it either to
the patient or his messenger in terms that question the wisdom
of the prescriber. However, it may be necessary, on
occasions, to question the patient in order to determine the
true intentions of the prescriber. Never feel reticent about
asking the advice of a colleague. If for any reason (e.g. the
preparation is not in stock) you are unable to dispense the
prescription, return it to the patient and advise him how he
may best obtain his medicine with the least delay.
Dispense a prescription as soon as possible after it is received.
If it involves time in preparation or other prescriptions are
awaiting your attention, give the patient a realistic time when
he will be able to collect his medicine.
2. Note the dose. If the prescription is for an infant or child,
note the age of the patient. Never proceed with the dispensing
if you are doubtful about the dose. An easy and interesting
method of acquiring a sound knowledge of posology is to
look up the doses of any new drug you encounter in the
course of dispensing. Even though the prescription may be for
1229
a standard routine dose, you will often find that drugs are
given in other less commonly used doses for special purposes.
If you consider the dose to be dangerous or unusual, do not
hesitate to consult the prescriber. If this is not possible and
you feel confident there has been an error, dispense the
normal dose (i.e. within the limits given in the British
Pharmacopoeia, British Pharmaceutical Codex or British
National Formulary). This course of action should only be
taken in exceptional circumstances. Doses that are underlined,
repressed in words as well as figures or individually initialled
by the prescriber should be dispensed as written.
Particular attention should be paid to prescriptions for
children. The age of the child should be stated on the
prescription and this should be noted and taken into account
in determining the appropriateness of the dose.
3. If the prescription is a private one, copy it in the
prescription book or file. Give it a number and make sure the
patient’s name and address are recorded.
4. Private prescriptions should be priced according to a
definite system, which should always be used.
5. Mark the prescription with a rubber stamp to indicate that it
has been dispensed. The number assigned to a private
prescription should be written in the vacant space of the
prescription stamp.
6. Write the label before dispensing the prescription. This is a
procedure that serves to prevent the dispensing of an
excessive dose since it draws attention not merely to the
strength of the preparation to be supplied but also to the
actual amount that the patient is to take at a time. As stated
above, especial care should be taken in labelling medicines
intended for children or infants.
The label should be typewritten if possible but if handwritten
it must be neat and legible. Write the patient’s name on the
1230
lower right-hand corner of the label or in the appropriate
space if one is provided.
Nomen proprium labelling is an old Latin instruction that
literally means the proper name of the preparation. It is now
usually abbreviated to N.P. and means that• the name and
strength of the preparation should be written on the label.
N.P. labelling is now common practice and National Health
prescription forms (FC10) have the letters N.P. printed in a
box. If the doctor has not cancelled the letters it means that he
intends the name and strength of the preparation to be written
on the label. In general practice pharmacy, the name of the
preparation as written on the prescription is used on the label,
e.g. if the doctor uses a proprietary name on the prescription,
this is the preparation supplied and this is the name that
should be used on the label. In hospital pharmacy, there is
often a general policy that only official
names should be used, where available, even though the
prescription involves the supply of a proprietary product.
However, care should be taken in the use of official names in
circumstances where the biological availability of the drug
differs with different manufacturers. This is of special
importance in the case of digoxin tablets and in such instances
the brand name of the preparation supplied or the
manufacturer’s name should be stated on the label of the
dispensed medicine.
The practice of disclosing the name and strength on the label
of a dispensed medicine has been adopted by the medical and
pharmaceutical professions in recent years in the interests of
safety. It should, however, be remembered that such
disclosure is not always desirable and should only be made if
the prescription indicates that it is the doctor’s intention.
Disclosure of the names of drugs to patients can in some
circumstances cause unnecessary anxiety and distress.
1231
Caution should also be exercised in accepting the evidence of
the nature of a preparation from the labelled name since
patients not infrequently transfer drug preparations from one
container to another.
Labels on dispensed medicines customarily carry a warning
that they should be kept in a safe place out of the reach of
young children. They should also carry any other special
storage instructions and an expiry date where appropriate.
7. Use a new, clean container for each occasion on which a
prescription is dispensed. This rule should also be followed
when stocks of drugs are issued for use in hospital wards.
When dispensing:
1. Have the prescription always before you. If it is necessary
to go to a distant part of the dispensary, take the prescription
with you since it will serve as a constant reminder of the
name and strength of the preparation required and help to
avoid mistakes.
2. If the preparation of the medicine involves weighing, test
the dispensing scales before beginning to weigh the
ingredients.
3. Replace containers of stock preparations or drugs in their
proper position after use.
4. Keep the label uppermost when weighing solid ingredients
(especially potent drugs such as morphine hydrochloride) to
serve as a constant reminder that the correct drug is being
used.
5. When pouring or measuring liquid ingredients, keep the
label uppermost to prevent surplus liquid running down the
outside of the bottle and staining the label.
6. Take care to keep dispensing scales clean and powder
should be transferred from the stock container using a clean
spatula. Particular attention should be paid to cleaning the
scale pan immediately after use.
1232
7. Supply the medicines that are to be used externally (e.g.
lotions, liniments, etc.) in bottles that are vertically fluted or
ribbed so that they are distinguishable by touch. Some
proprietary preparations for external use are supplied in
plastic containers. These are satisfactory provided they are
clearly distinguishable from containers normally used for
dispensing medicines to be taken internally.
Label the medicines to be used externally in red or against a
red background:
Hospital Prescriptions
The principles underlying the dispensing of prescriptions for
outpatients in hospital are essentially the same as those in
general practice pharmacy. The main difference in the form of
the prescription in hospitals is that generally the length of
time of the treatment is specified rather than the actual
quantity of the medicine to be supplied.
In hospitals there may also be an agreement between the
pharmacist and the medical staff regarding the supply of
proprietary brands of drugs. Despite the use of different
proprietary names, it may have been agreed that one
particular make of a drug is to be supplied unless the
prescriber indicates that the proprietary brand specified is
needed.
The supply of drugs to inpatients in hospitals has taken
different forms and given rise to new approaches to
1233
dispensing. Traditionally, prescriptions have been written on
in-patient sheets that are sent to the pharmacy for dispensing.
The medicines are either dispensed for the individual
treatment of the patient or, in the case of commonly used
preparations a stock bottle is issued from which the nursing
staff can take the individual doses for each of the patients
requiring that particular preparation. The nursing routine for
drug administration varies in different hospitals, but in some,
the prescriptions were formerly transcribed on to a Drug
Treatment Sheet by the nursing staff, and the ward medicine
round conducted from this record.
Although this practice has been largely abandoned,
retrospective surveys by Vere (1965) and Hill and Wigmore
(1967) showed that when the details of drugs administered
(including dose, time of administration, etc.) were checked
against the original prescriptions, the frequency with which
errors occurred was as high as 18 per cent. Many of these
were minor in character (e.g. wrong time of administration)
but, nevertheless, a system that involves such a high level of
error is undesirable.
In some hospitals, particularly in Scotland, it has been found
that more effective control by the pharmacist can be achieved
and the errors reduced by a system of ward stocks and the
utilization of a specially designed prescription sheet that also
incorporates a record of drug administration. An integral
feature of this system is that the pharmacist regularly visits
the wards, inspects the prescriptions, discusses any problems
with the medical and nursing staff and issues instructions to
the pharmacy department
to ensure that the wards are carrying adequate stocks to meet
the demands of the prescriptions; close pharmaceutical
control is necessary if the ward stocks of drugs are not
allowed to grow to unmanageable proportions and a regular
1234
turnover of the stock is to be maintained. The advantages
claimed for such a system is that it brings the pharmacist into
active contact with the treatment of the patient on the ward
and offers him a better opportunity of influencing decisions
on prescribing.
An alternative approach is to reduce the level of stocks of
drugs on the wards to a minimum. The whole of the drug
treatment sheets for the ward are brought to the pharmacy at
prearranged times and the drugs are issued for each individual
patient at weekly intervals. The drugs are kept separately, in
individual trays reserved solely for each patient. The trays are
stored in a specially designed medicine trolley that can be
wheeled to each patient’s bedside in turn during a medicine
round. This system can also be operated in association with a
specially designed prescription and drug administration sheet.
The advantage of the ward trolley system is that it ensures
that the pharmacist sees every prescription in its original form
and there is no reason why it cannot be operated in
association with regular ward visits by the pharmacist. There
is a trend in the USA towards the issue of medicines in unit
doses (i.e. one dose at a time) and this could follow as a
logical development of the ward trolley system.
Small hospitals in remote rural areas may not have the
services of a full time pharmacist. Such institutions present
special problems for the issue and administration of
medicines. The introduction, development and evaluation of a
system for prescribing, administration and distribution of
drugs in small hospitals was the subject of a special
investigation carried out by Ellis (1972).
1235
Economy in the Use of Drugs in Hospitals
References
1236
Chapter 26
Oral Preparations
Drugs may be administered by a variety of routes but oral
administration is adopted wherever possible. It is the safest,
easiest and most economical route of drug administration.
There are, however, limitations to the use of the oral route. It
is obviously unsatisfactory for substances such as insulin and
adrenaline which are inactivated or destroyed by the
secretions of the gastrointestinal tract. Other substances,
although not destroyed, may not be adequately absorbed from
the alimentary tract and if required to produce a systematic
effect must be administered by other routes. Such drugs may
nevertheless be given by mouth to obtain a localized action in
the large intestine and bowel. For example, neomycin and the
less soluble sulphonamides are administered orally in the
treatment of gastrointestinal infections or to reduce the
bacterial flora prior to surgery of the bowel.
Another limitation to oral administration is the fact that some
drugs irritate the gastric or intestinal mucosa, but this may be
minimized by giving the drug after food. Enteric coating may
be applied to tablets or capsules to prevent gastric irritation
and some drugs, e.g. phenylbutazone and indomethacin, may
be administered rectally as an alternative to the oral route.
Solid Preparations
For oral administration there is a choice between solid and
liquid medicines. Solid forms of drug presentation include
powders, cachets, tablets and capsules.
1237
The most commonly used oral preparations, now a days, are
tablets and capsules. Generally speaking, they are more stable
and less prone to microbiological contamination than
extemporaneously dispensed liquid medicines. However,
liquid preparations have advantages for administering drugs
to children and patients who have difficulty in swallowing
solid preparations.
Powders
Dispensing of Powders
1238
(containing more than one active ingredient). Individually
wrapped powders provide a useful method of drug
presentation if the required dose is not available as a standard
tablet or capsule.
Powders are administered by placing the contents of one
powder paper on the tongue and swallowing with a drink of
water. For administration to children, powders are sometimes
mixed with jam, treacle or honey. If the drug is likely to be
adversely affected by acids, the responsible person should be
warned against the use of jam.
Simple individually wrapped powders: Powders are wrapped
in white glazed paper cut to a suitable size, depending upon
the bulk of powder contained in a single dose. Machine or
guillotine-cut paper is preferable.
Select a number of papers corresponding to the number of
powders ordered and of a suitable size. Turn up one of the
longer edges of each paper about half an inch and place the
papers in a convenient position on the dispensing bench so
that each slightly overlaps the next.
Weigh out the total quantity of powdered drug to be
dispensed and replace the bottle. If the drug is caked or
lumpy, reduce it to a powder by grinding in a mortar. When
six or more powders are to be sent, it is advisable to weigh a
total quantity corresponding to one more than is required,
because during the weighing there may be slight losses due to
powder adhering to the knife or scale pan. Place the total
quantity of powder on a large sheet of paper and weigh from
this. The latter procedure prevents too many or too few
powders being sent and is a check on the weighing.
Wrap the powders so that they are of a size that will fit
loosely in the box (a white glazed, slide or hinge-lid box is
generally used). Bend the far border over until it is about half
an inch from the near border (Fig. 26.1). Turn the margin
1239
upwards with the thumb and bend over to form a flap. Fold
the flap loosely
over on itself to an extent which makes the packet slightly
narrower than the interior of the box. Hold the packet over the
drawer section of the box and turn the ends down lightly over
the ends of the drawer so as to form a slight crease that will
act as a guide to the length of the finished powder. Bend each
end in turn sharply over a powder knife, holding the knife
about 3mm inwards from the creases made by the ends of the
box. Finally, place the folded packet on a sheet of white
paper, cover it with another sheet of paper and pass a knife
over the upper sheet. This last procedure distributes the
powder evenly within the packet and prevents the escape of
powder through the folds.
1240
When all the powders have been wrapped, arrange them in
pairs, flaps to flaps and encircle the stack with an elastic band
before placing them in the box.
Crystalline substances or substances in large or small lumps
must be reduced to a fine powder to facilitate administration
and hasten solution after administration.
Potent crystalline substances should be powdered in a glass
mortar, preferably placed on a black surface. Wedgewood
ware or composition mortars are liable to absorb potent drugs
to some extent. Iodine is absorbed by composition mortars
and stains them badly.
Hygroscopic substances must be powdered and weighed as
rapidly as possible, avoiding undue exposure to moisture.
Powders of hygroscopic substances should be doubly
wrapped, the inner wrap consisting of waxed paper to protect
the powder from moisture.
Volatile substances must also be doubly wrapped in the same
manner.
Triturations: A trituration is the term applied to a mixture or
dilution of a potent substance with an inert one. Small
quantities of finely powdered solids may be mixed on a sheet
of white paper by means of a powder knife or spatula. A
mortar should be used when the quantities are too large to be
conveniently dealt with on paper. The invariable rule is to add
a little of the substance present in greater amount to the whole
of the substance present in lesser amount (usually the more
potent substance), and mix intimately; the remainder of the
substance present in greater amount is then introduced into
the mixture in very small quantities at first, but gradually
increasing the quantities, until the whole has been added. It is
impossible to ensure intimate dispersion of one powder in
another by mixing the two substances all at once.
1241
Powders weighing less than 100mg must be made up to
100mg by adding an appropriate quantity of lactose. Consider
the following prescription:
Cortisone acetate 15mg
Send 10 powders
Total quantity of cortisone acetate = 10×100 = 150mg
Add 850mg of lactose = 1g total.
Weight 10×100mg powders
Small doses of potent substances must not be weighed on
ordinary dispensing scales.
Substances having a maximal dose of less than 60mg should
be regarded as potent substances. These should be weighed
either on a chemical balance or upon a delicate pair of
dispensing scales specially reserved for the purpose. In no
case should a quantity less than 50mg be actually weighed. It
may happen, of course, that a quantity of potent substance
less than 50mg in weight is to be dispensed and the required
amount should be obtained by the method described below.
The general procedure is as follows:
Weigh 100mg; gradually incorporate a convenient weighed
quantity of lactose with this; then weigh a portion of the
mixture that will contain the desired weight of the potent
substance.
Examples:
l. Prednisone 8mg
Send 4 powders
Method: Weigh 100mg of prednisone; mix on paper with
900mg of lactose = 1g total. 320mg of this mixture will
contain 32mg of prednisone. Mix this quantity with 80mg of
lactose and divide into 4 powders each weighing 100mg.
2. Pentobarbitone sodium 15mg
Send 2 powders
1242
Method: Total required = 2×15 = 30mg. Weigh 60mg of
pentobarbitone sodium; mix on paper with 60mg of lactose
= 120mg total 60mg of this mixture will contain 30mg of
pentobarbitone sodium. Mix this quantity with 140mg of
lactose and divide into two powders each weighing 100mg.
Compound powders in doses: These are powders containing
more than one active ingredient. Small quantities may be
mixed on paper by means of a spatula or with a pestle and
mortar. Any ingredients that are not finely subdivided should
be reduced to powder form separately before being mixed.
In mixing compound powders it is essential to follow the
general rule of gradually incorporating the ingredient present
in greatest amount with the whole of the ingredient present in
least amount, any other ingredients then being introduced in
turn a little at a time. When using a pestle and mortar for
mixing, trituration should be light; heavy trituration or
grinding tends to make powders denser and less diffusible in
fluids. Only hard, crystalline substances require heavy
grinding. Caution should be exercised in handling mixtures of
oxidizing and reducing agents in a mortar and pestle as an
explosion may occur. If it is necessary to mix such
substances, they should be powdered separately and then
mixed very lightly on paper.
Sifting. Compound powders containing vegetable substances
often require sifting to break up small masses of cohering
particles. A no. 44 or no. 60 sieve should be chosen and the
mixed powder brushed through or rubbed through with a
spatula. Various mixers and sifters are obtainable for small
quantities.
After sifting, all powders must again be lightly mixed, as
there is sometimes a tendency for the ingredients to be
separated by the sieve.
1243
Fractional quantities: In some cases it may happen that after
all the ingredients have been mixed an awkward fraction is
obtained when the total weight is divided by the number of
powders to be sent. This difficulty is easily overcome by
adding a small quantity of lactose to bring the weight of each
powder to a convenient figure. If the total weight of the
ingredients is 3.7g and this is to be divided into 10 powders, it
would be advisable to incorporate 0.3g of lactose (= 4g total)
and divide into 10×0.4g powders.
Lactose intolerance: It should be noted that there is a rare
condition in children which makes them intolerant to lactose.
In such cases, an alternative inert diluent must be used (e.g.
starch powder).
Powders in bulk: Sometimes, when the dose is not critical,
powders may be ordered in bulk. Often powders of this kind
are for use as antacids, e.g. Magnesium Trisilicate Powder,
Compound BPC. The quantities are usually so large that it is
necessary to use a mortar in mixing, even though the
ingredients may be already in fine powder. They should be
sent out in perfectly dry, wide mouthed, glass bottles with
plastic screw caps or other suitable closure. If any of the
ingredients are deliquescent or volatile, an airtight container
should be used.
Cachets
1244
enclosed in a cachet than in a tablet or a capsule. Sodium
aminosalicylate, which is given in a dose of 12g daily in the
treatment of tuberculosis, is commonly prescribed in cachets.
Before administration, a cachet should be immersed in water
for a few seconds and then placed on the tongue and
swallowed with a draught of water. In this way the outer shell
of the cachet is softened, but it retains the enclosed powders
long enough for the whole to be swallowed without
permitting the powder to come into contact with the palate.
After being swallowed, the cachet disintegrates and the
powder is liberated.
There are two kinds of cachet; ‘wet seal’ cachets which are
sealed by moistening the edges with water, and ‘dry seal’
cachets which, as the name implies, require no moisture for
sealing.
1245
Wet Seal Cachet Machine
When the lower halves have been filled, the second plate is
folded back. The top halves of the cachets are then placed in
the holes of the third late, C, on the opposite side of the centre
1246
plate. The holes in C are somewhat smaller than those of the
centre plate, so that the tops of the cachets fit tightly. The
edges of the top halves are then moistened with a roller, F,
and the plate is swung over and pressed down firmly on the
centre plate. The top halves of the cachets are thus brought
exactly over the lower halves and the edges made to adhere.
The upper plate is now lifted when it brings with it the
completed cachets. The finished cachets are finally pushed
out gently and boxed.
The amount of moisture used is very important and somewhat
difficult to judge correctly too much causes the edges to
crinkle and become discoloured; too little may produce an
imperfect seal and allow the powder to escape at some point
on the circumference, or cause the two halves to fall apart
completely after the patient has received the cachets.
Dry seal cachets consist of two halves, the upper half fitting
over the lower half like the lid on a box (Fig. 26.4). The backs
of both lower and upper halves have small projections which
fit into the holes of the plates of the machine. Since the
projections are the same size on all the sizes of cachets, only
one machine is required for the whole range of sizes. The
lower halves are fitted into the lower plate (Fig. 26.5) of the
machine and filled. The upper halves are fitted into the upper
plate, D, which is pressed down on the lower one, when the
upper halves or ‘lids’ fit exactly over the lower halves. These
cachets are much more substantial than the ordinary type, and
there is no likelihood of the powder escaping. They can be
prepared more quickly and are more hygienic.
1247
Fig. 26.4 Dry-closing (Secca) cachets.
Dispensing Cachets
1248
cachets may be filled and sealed by automatic (machine-fed)
or semiautomatic (hand-fed) machines. Fig. 26.6 shows an
automatic machine in which the adjustable four-punch dosing
mechanism delivers a plug of compressed powder to the
lower half of the cachet and to this the upper half
(automatically moistened if wet sealed) is applied. To achieve
consistent dosage from such machines it is essential that the
bulk density, particle size and flow characteristics of the
powder or blend of powders is accurately controlled.
1249
Capsules
Hard Capsules
1250
This operation is facilitated by the use of a small glass or
aluminium funnel and a thin wooden plunger that will pass
down the stem of the funnel and prevent it from becoming
clogged with powder. The outer edges of the lower halves of
the capsules are then moistened with water, using a camel
hair brush, and finally the caps are pressed on. This forms a
seal which prevents the powder from leaking out of the
capsules.
1251
capsules are then pushed flush with the lower plate and are
gravity filled with the powdered drug. If the dose required
cannot be obtained by filling one of the standard capsule sizes
a triturate in lactose must be prepared. After filling the
capsules the top plate is replaced and the lever at the side of
the machine operated to engage the rods under the base plate,
pushing the bottoms of the capsules upwards at the same time
as pressure is applied at the top to force the two halves of the
capsules together. The bottom plate is again fixed and the top
plate is removed bringing away the filled capsules.
Liquid Preparations
1252
immediately available for absorption. Liquid medicines are,
however, generally less stable than solid forms of drug
presentation, although, nonaqueous vehicles may be used for
drugs which deteriorate in the presence of moisture. Nauseous
drugs and those which are irritant to the gastric mucosa are
usually unsuitable for presentation in liquid formulations
unless well diluted.
Mixtures
1253
and the final adjustment to volume made in the bottle. This
procedure enables the whole of the insoluble powder or a
viscous liquid to he transferred to the final container.
Labelling
1254
The requirement to state a date after which the mixture should
not be used applies to mixtures containing unstable
ingredients. For example, elixir of phenoxymethylpenicillin
prepared from granules which have been ready made by an
industrial manufacturer. The granules are stable if stored in a
cool place, but once the elixir has been prepared by the
addition of water, it must be stored in a cool place and used
within 7 days.
Tap water is bacteriologically controlled and is free from
pathogenic organisms. Purified water, on storage, can become
heavily contaminated with microorganisms. Purified water
prepared in a deionizer is particularly liable to be
contaminated if the water is allowed to stagnate in the resin
bed. Purified water, prepared by distillation, should not be
stored in large volume tanks or containers which permit it to
become contaminated. Polythene tubes and containers may
become contaminated and form a reservoir of infection which
will proliferate and build up a heavy infection in stored water.
Medicinal Waters
Infusions
1255
Suspending Agents
1256
liquid in a dry bottle adding a large quantity of the aqueous
vehicle all at once and shaking vigorously.
Liquids in Mixtures
1257
Soluble Solids in Mixtures
1258
with some of the cold vehicle. The suspension is then
transferred to a previously calibrated bottle and the mortar
rinsed with further quantities of the cold vehicle, the rinsings
being added to the contents of the bottle. The mixture is
labelled ‘Shake well before use’.
Small doses of potent substances: The smallest quantity
which can be weighed on a dispensing balance is 50mg and it
may sometimes be necessary to make a liquid triturate in
order to obtain the required quantity.
Example
Hyoscine hydrobromide 0.5mg
Chloroform water to 5ml
Send 100ml
Hyoscine hydrobromide is freely soluble in water. The
required quantity is 0.5×20 = 10mg. Weigh 50mg; dissolve in
100ml of chloroform water. Take 20ml of this solution and
dilute with chloroform water to 100ml.
Insoluble Solids
1259
This method can be applied to mixtures containing vegetable
powders and diffusible solid drugs such as magnesium
carbonate, magnesium trisilicate, light kaolin, etc.
Soluble substances with insoluble solids: The soluble
substance can sometimes be mixed with the insoluble powder
in a mortar before adding the vehicle. However it is usually
preferable to dissolve the soluble ingredient separately and
use the solution to triturate the insoluble powder in a mortar.
Indiffusible solids: Substances which do not remain in
suspension sufficiently long for a dose to be measured
accurately must be suspended by means of a suspending agent
(see p. 666). Substances which require the use of a
suspending agent include the sulphonamides (e.g.
sulphadimidine and succinylsulphathiazole), aspirin and
phenacetin. Corticosteroids such as hydrocortisone acetate
may sometimes be prescribed as suspensions for
administration to children but it is preferable for potent
substances such as these to be supplied where possible in
tablet form, with instructions that they be crushed and mixed
with honey or syrup before administration.
The general procedure for indiffusible solids is to reduce the
substance to a fine powder in a mortar, triturate with the
suspending agent (usually compound tragacanth powder or
sodium carboxymethylcellulose) and form a smooth cream
with a small portion of the vehicle. The remainder of the
vehicle is then added gradually.
1260
fractional dose is prescribed, the pharmacist is directed to
dilute the medicine with the appropriate vehicle so that the
patient is able to measure a full medicine spoonful. Consider
the following prescription:
Tetracycline mixture
2.5ml four times daily
Send 50ml
This is dispensed as follows:
Tetracycline mixture 2.5ml
Syrup to 5ml
Send 100ml and label, ‘One 5-ml spoonful to be taken four
times daily’.
The appropriate diluents for use in each case are stated in the
monographs of the British Pharmaceutical Codex. Care
should be taken to note those preparations which must not be
diluted (e.g. Nystatin Mixture). Diluted preparations have
only a limited stability and must not be used more than 14
days after the date of preparation. The above mixture
therefore should also be labelled ‘Do not use after (date)’.
1261
Emulsions
The theory of emulsions has been described in Chapter 20. In
physical chemistry an emulsion is described as a system in
which one immiscible liquid is dispersed in another, but in
pharmacy the term is restricted to oil-in-water preparations
for internal administration. An emulsion is a particularly
convenient form in which to administer oily substances such
as liquid paraffin and fixed oils. The oil is dispersed in a
continuous surrounding aqueous medium in which flavouring
agents may be incorporated to mask the nauseous properties
of the oil and improve the palatability of the preparation. This
chapter deals with the extemporaneous preparation of small
volumes of emulsions. Equipment for the large scale
production of emulsions is described in Chapter 20.
Small quantities of emulsions may be prepared either in a
small emulsifying machine or by the mortar and pestle
method. Many machines advertized for cream making can be
used for the extemporaneous preparation of emulsions and the
results are superior to those produced by the mortar and pestle
method. The use of a machine enables a wider range of
emulgents to be employed and smaller proportions of
emulgents are required.
1262
Mortar and Pestle Method
1263
Method: Place in the mortar 12.5g of powdered acacia;
measure 50ml of olive oil and pour it on to the gum in the
mortar, allowing time for the measure to drain. Triturate the
oil and gum together to obtain even dispersion of the gum
(prolonged trituration is undesirable since it will result in the
particles of gum becoming surrounded by oil and they will
not readily be hydrated by water). Using a clean measure, add
25ml of chloroform water, all at once, and triturate
vigorously, working in one direction only and using a
whipping action.
As the primary emulsion forms, the preparation changes to a
white homogeneous paste and the motion of the pestle
produces a crackling sound. The trituration should be
continued until a stable primary emulsion has formed. The
remaining chloroform water should then be added, in small
quantities at first but in increasing quantities as the
preparation becomes dilute. Finally, transfer the emulsion to a
measure, rinse the mortar with more chloroform water and
adjust to volume.
A simple emulsion such as this should be white in appearance
and when a few drops are diluted in a large volume of water
there should be no visible oil globules on the surface.
Emulsions should not cream for several hours and the oily
layer should be easily diffused again by shaking.
Failure to obtain a satisfactory preparation may be due to one
or more of the following causes: (1) the use of a mortar which
is too small or which is too conical; (2) the use of a
narrow-headed pestle which fails to shear the oil into
globules; (3) measuring the oil in a wet measure; (4)
measuring the water in an oily measure; (5) using an old
sample of gum, which has acquired an acid reaction; (6) bad
manipulation; (7) using incorrect proportions of oil, water and
1264
gum; and (8) diluting the primary emulsion before it is
completely formed.
The proportions of oil water and gum used in the wet gum
method are the same as those used for the dry gum method.
Only the procedure is different.
Example:
Cottonseed oil 50ml
Powdered acacia, a sufficient quantity
Chloroform water to 250ml
Method: Weigh 12.5 of powdered acacia and transfer to a
suitable sized mortar. Add 25ml of chloroform water and
triturate until the gum has dissolved to form a mucilage. Add
the cottonseed oil, drop by drop with constant trituration
using a whipping motion. As the oil is added, the liquid in the
mortar may acquire a ropy appearance and the oil may not be
readily absorbed. When this occurs, add a few drops of
chloroform water and triturate the mixture until it becomes
homogeneous. Continue to add the oil as long as it is taken up
homogeneously, adding a few drops of chloroform water if
the preparation shows any tendency to become ropy.
When all the oil has been added, continue triturating until a
stable primary emulsion has been obtained. Finally, dilute the
primary emulsion with chloroform water, transfer to a
measure, rinsing the mortar with further quantities of
chloroform water, and adjust to volume.
The wet gum method is more time consuming than the dry
gum method. The mucilage should be freshly prepared, since
on storage it may become acid in reaction, lose viscosity and
render emulsification impossible.
1265
Emulsifying Agents
Powdered Tragacanth
Methylcellulose, BPC
1266
Agar
Casein
Gelatin Solution
1267
Substances Requiring Special Treatment
Paraldehyde
References
1268
Chapter 27
Rectal Administrations
Drugs are introduced into the rectum in either solid or liquid
preparations (suppositories and enemas).
Suppositories
Suppositories are solid, uniformly medicated, conical or
torpedo shaped for rectal administration. They melt at slightly
below body temperature so that after insertion, the mass melts
and the medicament is liberated in contact with the rectal
mucosa.
Drugs may be administered in suppositories for a local effect
in the rectum or so that they may be absorbed and exert a
systemic effect. Local anaesthetics, astringent drugs (e.g.
hamamelis) and corticosteroids are administered in
suppositories for the treatment of haemorrhoids. Drugs which
are liable to cause gastric irritation may be given rectally in
the form of suppositories as an alternative to oral
administration. For example, phenylbutazone and
indomethacin are sometimes administered rectally for this
reason.
Suppository Bases
1269
Theobroma Oil
Witepsol Bases
1270
Glycogelatin Base
Water-Soluble Bases
1271
The Mould
1272
Lubricant
1273
Tannic acid 0.2g
Theobroma oil q.s.
Send 6 suppositories
Make for 8 suppositories (each 1g)
Total quantity of tannic acid required = 8 × 0.2 = 1.6g
Displacement value of tannic acid = 1.6
Quantity of theobroma oil required
The British Pharmaceutical Codex gives the displacement
values of a number of substances commonly prescribed in
suppositories.
1274
holes in the mould, filling each to overflowing, and stirring
the contents of the dish continuously between pouring. Care
must be taken to ensure that the mass is not too warm before
pouring as there is a danger that the medicament will form a
sediment at the tip of the suppository. Because theobroma oil
contracts as it solidifies, it is necessary to fill the mould to
overflowing.
7. Place the mould on ice (or in a cold place) and when the
surplus material has attained the consistence of butter, remove
it cleanly with a sharp knife.
8. When the suppositories have completely set hard (usually
after about half an hour) open the mould and eject the
suppositories by slight pressure on the broad ends.
9. Remove any surplus lubricant from the surface of the
suppositories by rolling them on filter paper.
The main disadvantage of theobroma oil as a suppository base
is its tendency to be converted by heat to a polymorphic form
which has a lower melting point. It is for this reason that care
must be taken not to overheat the suppositories during
preparation. The melting point of theobroma oil is lowered by
some substances (e.g. chloral hydrate, phenol and volatile
oils) and the British Pharmaceutical Codex allows the
addition of beeswax to suppositories containing such
substances provided that the melting point is not above 37°.
Beeswax may also be added to suppositories intended for use
in tropical or subtropical climates.
1275
ice as they are liable to fracture and (3) there is less need to
avoid overheating the mass since the melting point is
unaffected by heat.
Glycogelatin Suppositories
1276
The gelatin should either be powdered, granulated or cut into
small pieces before soaking in water. If sheet gelatin is used,
the hard outer portions of the sheets should be removed.
During evaporation the liquid mass should be only gently
stirred to avoid introducing air bubbles into the finished
suppositories. Any skin that may form on the surface should
be removed before pouring.
Lubricant: Lubricate the mould with arachis or almond oil
applied on cotton wool, and invert the mould so that any
excess of lubricant may drain out.
Calculating the quantities: Glycogelatin mass is denser than
theobroma oil and a 1g mould will hold 1.2g of glycerin
suppositories mass. This fact must be borne in mind when
calculating the quantities and an excess must also be prepared
to allow for losses during pouring.
Dispensing Suppositories
1277
ingredients, each suppository should be separately wrapped in
metal foil.
Pessaries
Enemas
An enema is a solution or fluid suspension for rectal
administration. There are two types: evacuant enemas and
retention enemas. The volume given varies according to the
type of enema. Retention enemas do not normally exceed
100ml in volume; evacuant enemas may be as much as 2L.
1278
Large-volume enemas should be warmed to body temperature
before administration.
Evacuant Enemas
Retention Enemas
Disposable Enemas
1279
References
1280
Chapter 28
External Preparations
Liquid Preparations
Liquid preparations for external application can be classified
as follows:
1. For application to the skin: applications, liniments, lotions,
and paints
2. For application to the ear: ear drops
3. For application to the mouth and throat: gargles and
mouth washes
4. Forapplication to the nasopharynx: nasal drops, spray
solutions, and inhalations
Preparations for use in the eye are dealt with in Chapter 29.
Applications
1281
Liniments
Lotions
1282
microorganisms. When purified water is used for the
preparation of lotions, it should be freshly boiled and cooled
before use.
Lotions should be dispensed in fluted bottles, closed with a
plastic screw-cap. They should be labelled ‘For external use
only’.
Paints
Ear Drops
1283
Gargles
Mouth Washes
Nasal Drops
1284
retard the ciliary action of the mucosa or, if drops of oil enter
the trachea, may even cause lipoid pneumonia. For this
reason, oily solutions are no longer recommended.
Nasal drops are dispensed in small quantities (10 or 25ml) in
fluted, coloured glass bottles fitted with a plastic screw-cap
and dropper. Proprietary nasal sprays are supplied in plastic,
squeeze-type containers. The prolonged use of
vasoconstrictor drugs in the nose may damage the nasal
mucosa.
Spray Solutions
1285
reactions, including fatalities, have followed the too frequent
use of such preparations. It is advisable to warn patients that
they should follow very carefully the medical directions in the
use of these preparations and should resist any temptation to
use them more frequently.
Ergotamine tartrate is also sometimes administered by
inhalation from a metered aerosol for the relief of attacks of
migraine.
Inhalations
1286
Solid Preparations
The solid or semisolid preparations for external application
are ointments, creams, pastes, poultices, and dusting powders.
Ointments
Hydrocarbon Bases
1287
spreading properties on the skin. Paraffin ointment is stiffer in
consistency than soft paraffin.
The paraffin bases form a greasy film on the skin surface
which remains unabsorbed. They reduce the rate of moisture
loss from the skin surface and, in dry scaly conditions of the
skin, may improve the hydration of the horny layer.
Absorption Bases
1288
Although not included in the British Pharmacopoeia or
British Pharmaceutical Codex hydrogenated lanolin is
sometimes used in preference to wool fat, since it is a more
elegant product and more consistent in its performance.
However, wool fat and related products are now less favoured
in dermatological vehicles, since some individuals are
sensitive to them.
Emulsifying Bases
1289
and liquid paraffin. Cetomacrogol emulsifying Wax BP is a
mixture of cetostearyl alcohol and cetomacrogol 1000 which
is compatible with cationic medicaments and fairly high
concentrations of electrolytes. Cetomacrogol is a
polyethylene glycol ether of cetostearyl alcohol and is
incompatible with phenolic compounds.
Because of their surface active properties, emulsifying bases
may facilitate contact between the medicament and the skin
surface. They are also readily washed off the skin and are
used when this property is desired, e.g. on scalp areas.
Water-soluble Bases
Preparation of Ointments
1290
30cm2) should be used in conjunction with a flexible steel
spatula.
A steel spatula should not be used when there is a possibility
that the medicament may react with the metal, e.g. mercury
compounds, tannic acid, salicylic acid and iodine. Stainless
steel spatulas are suitable for most substances or a flexible
vulcanite spatula may be used.
The whole of the medicament is first intimately mixed with a
little of the base, and then the remainder of the base
incorporated gradually, the spatula being held flat and worked
with a side-to-side motion rather than a rotary one. When the
medicament is rather gritty or contains large aggregated
lumps (e.g. zinc oxide, calamine or mercuric oxide) it should
be levigated on the slab with a few drops of liquid paraffin
before incorporation into a paraffin base.
Twin roller mills are available for the preparation of small
quantities of ointment by hand. The degree of fineness is
determined by the setting of the variable roller. Larger,
triple-roll mills, motor driven, capable of handling larger
quantities of ointments and having an output up to 5–7kg per
hr, are also available.
Crystalline, water soluble substances (e.g. resorcinol), present
in small quantities, may be dissolved in a little water before
incorporation in the basis. It should be noted that soft paraffin
is capable of absorbing up to 10 per cent of its weight of
water and wool fat will absorb nearly twice its weight of
water.
Fusion: Ointments containing ingredients which are quite
solid at room temperature (hard paraffin, beeswax,
emulsifying wax, wool alcohols) are prepared by melting the
ingredients in a porcelain dish over a water bath. The usual
method is to melt the substance with the highest melting point
1291
first and add the other ingredients of the basis in order of their
melting points.
When an insoluble substance is to be incorporated into such a
base containing an oil, it is advisable to levigate the solid with
the oil in a hot mortar and then to add to it, with constant
trituration, the previously melted mixture of the other
ingredient. For small quantities of ointment, a heated slab
may be used.
If no oil is present, the solid medicament must be finely
powdered and sifted into the melted base through fine muslin
or a no. 60 mesh sieve, after the base has been removed from
the water bath and has just begun to thicken. The mixture is
then stirred until cold.
Water soluble bases containing liquid and hard macrogols are
also prepared by fusion, using a minimum amount of heat and
stirring until cold.
Creams
Preparation of Creams
1292
capable of preventing bacterial growth. Special care should be
taken to avoid contamination of creams with Pseudomonas
aeruginosa, which is commonly found as a contaminant of
purified water. Apparatus used in the preparation of creams
should be thoroughly cleansed and rinsed with freshly boiled
and cooled purified water before use. Purified water must be
freshly boiled and cooled before incorporation into creams
and hygienic precautions should be taken both during the
preparation of a cream and when filling into containers.
Containers: Creams should be dispensed in well closed
containers to prevent evaporation of the aqueous phase.
Collapsible metal or plastic containers are preferable, but if a
pot with a screw-cap is used, care should be taken to ensure
that the liner of the screw-cap is of plastics or is plastic
coated. Bonded cork liners are particularly to be avoided.
Creams should be stored in a cool place.
Oily Creams
1293
particularly at summer temperatures. The water is usually
readily reincorporated by stirring. For a discussion of the use
of wool alcohols see Clark and Kitchen (1960).
Zinc Cream, B.P. Zinc Cream BP consists of zinc oxide
suspended in a water-in-oil emulsion of arachis oil. The
emulsifying agent is calcium oleate and wool fat.
Method: Mix the zinc oxide with the calcium hydroxide and
triturate with the oleic acid and arachis oil. Incorporate the
wool fat and gradually add sufficient purified water to
produce the required weight, stirring vigorously during this
addition.
Aqueous Creams
1294
over a water bath; add the chlorocresol solution warmed to
the same temperature and stir the mixture until cold.
Incorporate
the required amount of hydrocortisone acetate in the cream by
trituration on a clean ointment slab using a spatula.
Note: Special care should be taken to avoid introducing heavy
contamination during preparation, and creams containing
corticosteroids are best dispensed in collapsible metal or
plastics tubes so that they do not become contaminated during
use.
Pastes
1295
will be capable of absorbing an aqueous fluid. Because of
their very stiff consistency, pastes are useful for applying
active medicaments (e.g. dithranol and coal tar) to
circumscribed areas of the skin since they tend to localize the
effect of the active ingredient.
Pastes are usually applied liberally by means of a wooden
spatula or palette knife. Zinc and Salicylic acid Paste, BP
(Lassar’s paste) is the most commonly used preparation of
this type. Medicaments incorporated in zinc and salicylic acid
paste are less active than when included in ointments. Higher
concentrations of substances such as dithranol may therefore
be tolerated if they are combined in zinc and salicylic acid
paste. The following example illustrates this:
Dithranol 0.1g
Zinc and salicylic acid paste to 100g
Method: This preparation is best prepared on a heated
ointment slab. Triturate the dithranol with a small quantity of
the zinc and salicylic acid paste until it is smooth and
completely dispersed. Gradually incorporate the remainder of
the zinc and salicylic acid paste, with constant trituration to
ensure uniform dispersion of the dithranol. The preparation
should be carefully inspected to ensure that no discrete
agglomerates of dithranol are present.
Poultices
1296
In the preparation of Kaolin Poultice, BP, heavy kaolin is first
sifted and dried at 100°C to remove moisture. It is then mixed
with boric acid and glycerin and the mixture heated to 120°C
for 1hr with occasional stirring. After cooling, thymol,
methylsalicylate and peppermint oil are added and the mass
thoroughly mixed.
Heavy kaolin is liable to be contaminated with bacterial
spores (e.g. Clostridium tetani) and the heating procedure is
necessary to kill these. The temperature is limited to 120°C to
prevent decomposition of the glycerin.
Kaolin Poultice is stored in well closed containers to prevent
loss of volatile ingredients and absorption of moisture from
the atmosphere by glycerin.
In the preparation of Magnesium Sulphate Paste, BPC, the
dried magnesium sulphate must first be heated at 130 or
150°C for an appropriate length of time to ensure that the
dried powder contains at least 85 per cent of magnesium
sulphate. This is necessary to ensure that the product complies
with the standard and does not form a granular crystalline
preparation on storage.
Dusting Powders
1297
powders since it has been found that it may be absorbed in
toxic amounts through abraded skin.
Dusting powders are prepared by the same technique as those
described for powders (see p. 371). After mixing, they should
be passed through a no. 44 mesh sieve or finer; any powder
that will not pass the sieve must be further ground until it
will. After sifting, the whole must be again lightly mixed.
References
1298
Chapter 29
Preparations for the Eye
Drugs may be applied to the eye in the form of drops,
ointments or lotions. They may also be injected into various
regions of the eye. The British Pharmaceutical Codex defines
the following ophthalmic injections:
Subconjunctival injections—aqueous solutions or suspensions
that are injected under the conjunctiva. The volume injected
by this route is limited to 1ml and consequently the amount of
soluble drug administered is restricted to the amount which
dissolves in that volume.
Intracameral injections—aqueous solutions which are
injected into the anterior chamber of the eye during surgery to
increase the volume of the chamber to produce miosis and for
zonulysis. Antibiotics are usually satisfactorily administered
by subconjunctival injection and rarely need intracameral
injection.
Intravitreous injections—used to increase the volume of the
vitreous chamber. Reconstituted dried vitreous fluid is used
for this purpose and a suitable grade of sterilized silicone oil
may also be used.
Retrobulbar injections—aqueous solutions used to produce
anaesthesia of the globe and akinesia of the extraocular
muscles.
Ophthalmic injections must be sterile and are prepared under
the same conditions and by the same methods as other
parenteral preparations (see Chapter 35). Solutions used
during surgery must also be sterile and contain no
preservative. They must therefore be presented in single-use
1299
containers and any solution remaining at the end of an
operation must be discarded.
Eye Drops
Eye drops are sterile aqueous or oily solutions or suspensions
intended for instillation into the conjunctival sac. They may
contain antimicrobial substances such as antibiotics,
anti-inflammatory agents such as the corticosteroids, miotic
drugs such as physostigmine sulphate or mydriatic drugs such
as atropine sulphate. Oily eye drops are nowadays seldom
used but may, nevertheless, occasionally be requested. They
are usually prepared with sterile castor oil and alkaloids
incorporated in such a vehicle must be used in the form of the
base; e.g. oily eye drops of pilocarpine consist of pilocarpine
base dissolved in sterile castor oil.
1300
nutritional requirements and is resistant to the action of many
antimicrobial agents and antibiotics. Moreover, it can cause
serious infections leading to the loss of an eye.
The intact eye has its own defences against infection. The
corneal epithelium provides an effective barrier against
infection and the tears contain lysozyme which has a
powerful antimicrobial action. However, if the eye is
damaged, infection can pass into the nonvascular, underlying
stroma which provides a good culture medium in which the
organisms can proliferate. The cornea may become ulcerated
and loss of sight ensues. It is particularly important, therefore,
to ensure the sterility of solutions which may be used in
damaged eyes. Fluorescein eye drops, for example, are used
as a diagnostic agent to detect foreign bodies and corneal
abrasions. In such circumstances, the need for sterility is vital
and it is better that such preparations should be used from
single-dose containers.
1301
2. The medicament is dissolved in the aqueous vehicle
containing one of the prescribed antimicrobial substances; the
solution is sterilized by filtration and transferred, by means of
an aseptic technique to sterile containers, which are then
closed so as to exclude microorganisms.
3. The medicament is dissolved in the aqueous vehicle
containing one of the prescribed antimicrobial substances; the
solution is clarified by filtration, transferred to the final
containers which are then closed so as to exclude
microorganisms and sterilized by maintaining at 98–100° for
30min.
The British Pharmaceutical Codex permits eye drops to be
prepared by any other method provided that the product is
identical in appearance, quality and composition with one
prepared by the appropriate method described in the
individual monograph. Exposure to ionizing radiations is not
a permitted method but it may be used provided that the
product is sterile and has not undergone chemical degradation
so that it fails to comply with the required standards. It should
be pointed out, however, that the effect of ionizing radiations
on drugs and bactericides has not yet been fully investigated
and unusual pathways of degradation may be involved.
Trigger and Caldwell (1968) have reported that both sodium
sulphacetamide eye drops and fluorescein eye drops darken in
colour on exposure to a dose of 2.5 Mrad but this colour
change was not associated with any other measurable change
in assay, ultraviolet absorption or chromatography. There was
also no detectable increase in the irritancy of the eye drops
according to the Draize test. The same authors also reported
that atropine eye drops and eye ointment bases could be
sterilized by exposure to ionizing radiations.
1302
Bactericides in Eye Drops
1303
detergent action, removes the protective oily layer from the
precorneal film. If the blink reflex is normal, the meibomian
oily layer is rapidly restored.
Apart from the above considerations, the selection of the
preservative to be used in eye drops depends upon its
compatibility with the medicament. The preservatives used in
the eye drops of the British Pharmaceutical Codex are given
in Table 29.1
Medicament Preservative
Amethocaine hydrochloride PMA or PMN 0.002 per
cent
Atropine sulphate PMA or PMN 0.002 per
cent or BC 0.02 per cent
Carbachol BC 0.02 per cent
Chloramphenicol PMN or PMA 0.002 per
cent
Cocaine hydrochloride and CA 0.01 per cent
homatropine hydrobromide
Fluorescein PMN or PMA 0.002 per
cent
Homatropine hydrobromide BC 0.02 per cent or CA
0.01 per cent
Hyoscine hydrobromide BC 0.02 per cent or CA
0.01 per cent
Lachesine chloride PMN or PMA 0.002 per
cent
1304
Neomycin sulphate PMN or PMA 0.002 per
cent
Phenylephrine hydrochloride BC 0.04 per cent
Physostigmine sulphate BC 0.02 per cent
Pilocarpine hydrochloride BC 0.02 per cent
Prednisolone sodium phosphate BC 0.04 per cent
Sulphacetamide sodium PMN or PMA 0.002 per
cent
1305
Tonicity
Viscosity
1306
between the medicament and the bactericide or the
hydroxypropylmethylcellulose: Solutions containing cellulose
derivatives are coagulated on heat sterilization but will
usually go back into solution if shaken while cooling.
However, there is usually some reduction in viscosity.
Multidose Containers
1307
impurities during use. The caps into which the teats are
inserted may be made of aluminium or a suitable plastic.
Natural rubber teats not infrequently give rise to difficulty.
Certain batches may not withstand autoclaving on a single
occasion, while others may be incompatible with the
bactericide. On autoclaving in the presence of benzalkonium
chloride, they may produce a cloudy solution possibly due to
the leaching out of stearates from the rubber. Silicone rubber
teats are less likely to absorb the bactericide from solution
(see below). Unfortunately, they are considerably more
expensive than natural rubber teats and allow considerable
loss of water vapour on storage.
Eye drops may also be dispensed with an ordinary screw-cap
closure and the sterile dropper provided separately in a
suitable pack to maintain sterility. This method of
presentation may be adopted to overcome the difficulty of
incompatibility between the bactericide and the rubber
closure, in which case the rubber liner of the screw cap must
be protected by a disc of ethylene terephthalate (‘Melinex’).
This method presents practical difficulties since ethylene
terephthalate is available only in sheet form and the discs
must be hand-cut. Eye drops may also be dispensed in this
manner in hospital practice so that a supply of wrapped sterile
droppers may be issued with them and a new sterile dropper
used every time the drops are applied to the eye in order to
minimize the risk of infection.
Aluminium or other metal screw caps are unsuitable if a
phenylmercuric salt is used as the bactericide because of the
possibility of chemical interaction.
The British Pharmaceutical Codex also permits the use of
‘suitable plastics containers’ for eye drops. Such containers
must be compatible with the preparation and not release
undesirable materials (e.g. plasticizers), into the solution.
1308
Containers made of nylon have been used for eye drops and
are generally satisfactory, but elderly patients may have
difficulty in using them to instil the drops into the eye. They
are used for some proprietary presentations of eye drops.
Containers
1309
chloride may extract stearates from certain grades of natural
rubber teats.
Most eye drops are simple solutions in water which should be
clarified by filtration before filling into the containers. The
British Pharmaceutical Codex limits the volume to be
supplied in each container to 10ml so that the eye drops are
not in use over too long a period of time.
Sterilization
1310
Sterilization by filtration may also be a problem in general
practice pharmacy, particularly for the extemporaneous
preparation of sodium sulphacetamide eye drops. The small
scale preparation of eye drops by filtration has been outlined
by Smith (1967) who describes different kinds of modified
syringes which can be used to sterilize small volumes of
aqueous solutions. The most satisfactory is probably the
Swinnex filter unit (Fig. 29.2) which is· available
presterilized from Millipore U.K. Ltd. Swinnex filter units are
available in two sizes (filter diameters 13 or 25mm) and the
membrane filters in two porosities (0.45 and 0.22 μm). The
smaller diameter filter is usually adequate for eye drops and it
is safer to use the lower porosity membrane, although
filtration may be slower. Using a presterilized Swinnex unit,
the solution after clarification is sucked tip into a syringe
(preferably a sterile plastics disposable syringe). The plastic
bag holding the Swinnex unit is opened by means of sterile
scissors and, with aseptic precautions, the unit is attached to
the syringe and a sterile needle is fixed to the other end of the
unit. The solution is then forced through the membrane filter
into a previously sterilized eye drop bottle by pushing down
the plunger of the syringe. The closure is immediately placed
on the bottle. It is essential that all operations are carried out
as rapidly as possible to minimize the risks of contamination.
1311
Fig. 29.2 Swinnex-25 filtration unit (Millipore).
Labelling
Eye drops which are not issued to the user (i.e. purchased
from a pharmaceutical manufacturer) should state (1) the
concentration
of the active ingredient, and (2) the name and concentration
of the antimicrobial substance used in the eye drops.
It is customary in hospital practice for this information also to
be stated on eye drops issued to patients for domiciliary use.
Eye drops which are not extemporaneously dispensed should
have a readily breakable seal over the closure to indicate that
the container has not been opened. In hospital practice, this
usually takes the form of a Viscose ring.
Eye Lotions
The British Pharmaceutical Codex defines eye lotions as
either (1) sterile aqueous solutions containing no bactericide
for first aid purposes over a maximum period of 24h, or (2)
aqueous solutions containing a bactericide for intermittent
domiciliary administration for up to 7 days. They therefore
have only a limited use nowadays, but may nevertheless
occasionally be prescribed. Sodium bicarbonate eye lotion is
used for the emergency treatment of acid burns of the eye and
is known as ‘Factory Eye Drops No. 2’. Sodium chloride eye
lotion is an isotonic solution which is occasionally used for
irrigating the eye. Both these preparations are prepared by
conventional sterilization procedures.
Occasionally, a prescription for the older type of eye lotion
may be received. This consisted of a solution which the
1312
patient was directed to dilute with an equal volume of water
for use in an eye bath. When such preparations are prescribed
nowadays, they should be issued as sterile solutions even
though the patient cannot maintain the sterility of the
preparation during use. An example of this type of eye lotion
is given by the following prescription:
Boric acid 2 per cent
Zinc sulphate 0.4 per cent
Purified water to 100
Send 200ml
Label: Use with equal volume of warm water in an eye bath
The zinc sulphate and the boric acid are dissolved in purified
water the solution is clarified by filtration and transferred to a
fluted bottle, closed with a screw cap and sterilized by heating
in an autoclave.
The patient should be instructed to avoid contamination of the
solution during use as far as possible (see also below).
Labelling
1313
eye lotion) should be labelled to indicate that the preparation
should be used on one occasion only, e.g. with the words
‘Discard any lotion remaining after use when the seal is first
broken’.
Eye lotions which are issued for domiciliary purposes should
be labelled to indicate that they are not to be used more than
24h (or 7 days if a bactericide is added) after first opening the
container, e.g. with the words ‘Discard any lotion remaining
24 hours after the container has been first opened.’
Eye ointments are required by the British Pharmacopoeia to
be sterile and as their preparation involves aseptic handling
using a previously sterilized medicament, they are seldom
dispensed extemporaneously.
Eye Ointments
Eye ointment basis of the British Pharmacopoeia consists of
a mixture of 80 per cent of yellow soft paraffin with 10 per
cent of liquid paraffin and 10 per cent of wool fat. It is
prepared by melting the constituents together, filtering
through a coarse filter paper in a heated funnel and sterilizing
at 150 for 1h. It is stored in containers sealed so as to exclude
microorganisms before use.
1314
Water-soluble Medicaments
Water-insoluble Medicaments
1315
there are no standard empty containers of this type available
for dispensing purposes.
Collapsible metal tubes should as far as possible be freed
from dust and metal particles before use. This is probably the
best achieved by blowing the tubes out with a powerful jet of
filtered, dust-free air. Washing the tubes is less effective and
often adds more particles than it removes. It has been found
that, with present methods of manufacture, it is impossible to
produce collapsible metal tubes which are completely particle
free and all the particles may not be removed by cleansing.
The particles are not removed until they undergo the shearing
action of the ointment as it is expressed from the tubes.
Following reports of the occurrence of metal particles in eye
ointments, a British Standard was devised to limit the
particles present in tubes used for eye ointments. Metal tubes
used for dispensing eye ointments must comply with the
requirements of British Standard 4230: 1967.
Certain proprietary formulations of eye ointments are
available in single-dose containers. These take the form of an
elongated, flexible gelatin capsule with one end constricted,
and are opened by cutting off the constricted end with sterile
scissors.
The container of eye ointments, which are not
extemporaneously dispensed, should be enclosed in a readily
breakable sealed package to indicate that it has not previously
been opened. This can take the form of a sealed paper or
plastic envelope or a sealed carton.
Labelling
1316
prescription) should state that the contents are sterile provided
that the container has not been opened.
Ocusert
Ophthalmic inserts are defined as sterile preparations, with a
thin, multilayered, drug-impregnated solid or semisolid
consistency device placed into cul-de-sac or conjunctival sac,
whose shape and size are especially designed for ophthalmic
application. The main objective of the ophthalmic inserts is to
increase the contact time between the preparation and the
conjunctival tissue to ensure a sustained release suited to
topical or systemic treatment. Ocusert is a
diffusion-controlled, reservoir-type device marketed in the
United States that became commercially available in 1974.
The device consists of a two-membrane sandwich of ethylene
vinyl acetate with a pilocarpine reservoir in the centre. A
retaining ring of ethylene vinyl acetate impregnated with
titanium dioxide for visibility and handling of the insert
encloses the drug reservoir circumferentially (Fig. 29.3).
1317
The pilocarpine is bound to alginic acid and is present as a
free base, partly in an ionized form and partly in a nonionized
form. The device is sterile and contains no preservative. The
drug release from a reservoir type of diffusion-controlled
system is provided by interaction between the polymeric
membrane and the drug contained in the reservoir, and the
surface area and thickness of the polymer layer.
The ethylene vinyl acetate membrane is hydrophobic, which
allows the nonionized form of pilocarpine to permeate but
excludes water from the device. The major factor in the rate
of drug release is the driving force of the concentration
gradient between the saturated concentration of drug within
the reservoir and the concentration of drug outside the
membrane. Tear flow prevents the build up of a stagnant layer
of drug around the device and therefore maintains the
concentration gradient across the membrane. As long as this
gradient exists, the drug is released into the tear film at a
constant rate over almost the entire lifetime of the device.
However, during the initial 6–8 hours following insertion of
the device, there is a higher pulsed release of pilocarpine
because of the amount of drug previously equilibrated into the
barrier membrane. The rate of release in this initial period can
be as high as three or four times the desired rate. The device
is marketed in two sizes, Ocusert Pilo-20 and Ocusert Pilo-40,
representing two different in vitro release rates, 20 and 40mg/
h, respectively. The higher rate for Ocusert Pilo-40 is
achieved by making its rate-controlling membranes thinner
and by the use of the flux enhancer di(2-ethylhexyl)phthalate.
The devices are designed to release the drug for
approximately 7 days. Because of individual differences,
direct comparisons between the Ocusert systems and various
concentrations of pilocarpine drops cannot be made. A
majority of patients controlled with pilocarpine 0.5 and 1%
1318
drops can usually be controlled with Ocusert Pilo-20. Most
patients who required 2 or 4% solution of pilocarpine will
require Ocusert Pilo-40.
Pilocarpine Ocusert has several advantages over pilocarpine
drops. It delivers pilocarpine at a very low constant rate over
a 7-day period, except for the higher rate of release in the
initial 6–8 hours. During the remainder of the 7-day period,
the release rate is within 20% of the rated value. Satisfactory
ocular hypotensive response is maintained around the clock
for
7 days. A low baseline amount of miosis and induced myopia
persists for the therapeutic life of the ocusert system. The
total amount of drug delivered to the eye is substantially less
than with pilocarpine drop instillation.
The risk of ocular or systemic pilocarpine toxicity is reduced.
Studies have shown that Ocusert Pilo-20 produces less
swelling of the anterior chamber, miosis, accommodation
myopia and reduction in visual acuity than did pilocarpine 2%
drops.
It may provide better compliance because it is inserted only
once a week. Because Ocusert offers continuous drug release,
diurnal variations of intraocular pressure (IOP) may be
stabilized.
Despite these theoretical advantages, Ocusert has not
achieved widespread popularity in clinical practice, because it
requires detailed instruction and encouragement of patients to
use it. Patients are instructed to place the insert in the inferior
fornix, but in case of retention difficulty, it may be placed in
the superior fornix. The insert may be lost from the eye
without the patient noticing it; then the patient does not have
the benefit of the drug. In practice, the major complaints with
the insert are excessive foreign-body sensation and retention
difficulty. Another disadvantage of the insert system is its
1319
relatively higher cost compared to that of pilocarpine drops.
Furthermore, cases of sudden leakage of the drug have been
reported.
Classification of patented ocuserts (Based on their
solubility behaviour)
1. Insoluble inserts Ocusert
a. Diffusion-based Ocusert
b. Osmotic-based Ocusert
c. Soft contact lenses
2. Soluble inserts
3. Biodegradable inserts
1320
Diffusion Inserts
Osmotic Inserts
1321
surrounded by an elastic impermeable membrane and the
osmotic solute reservoir surrounded by a semipermeable
membrane. The second peripheral part of these osmotic
inserts comprises in all cases a covering film made of an
insoluble semipermeable polymer. The tear fluid diffuses into
peripheral deposits through the semipermeable polymeric
membrane, wets them and induces their dissolution.
Dissolution of polymeric membrane generates a hydrostatic
pressure against the polymer matrix causing its rupture under
the form of apertures. Drug is then released through these
apertures from the deposits near the surface of the device,
which is against the eye, by the sole hydrostatic pressure. The
drug release from this device is characterized by zero-order
drug-release profile.
Component of osmotic inserts are discussed below:
Water permeable matrix: Ethylene vinyl esters copolymers;
divers—plasticized polyvinyl chloride (PVC), polyethylene
and cross-linked polyvinylpyrrolidone (PVP).
Semipermeable membrane: Cellulose acetate derivatives;
divers—ethyl vinyl acetate (EVA), polyesters of acrylic and
methacrylic acids (Eudragit).
Osmotic agents: Inorganic—magnesium sulphate, sodium
chloride, potassium phosphate dibasic sodium carbonate and
sodium sulphate.
Organic—calcium lactate, magnesium succinate and tartaric
acid.
Carbohydrates—sorbitol, mannitol, glucose and sucrose.
1322
three-dimensional network or matrix capable of retaining
water, aqueous solution or solid components (Fig. 29.4).
When a hydrophilic contact lens is soaked in a drug solution,
it absorbs the drug, but does not give a delivery of drug at
predetermined pattern as that is provided by other nonsoluble
ophthalmic systems. The drug release from such a system is
generally very rapid at the beginning and then declines
exponentially with time. The release rate can be decreased by
incorporating the drug homogeneously during the
manufacture or by adding a hydrophobic component. Contact
lenses have certainly good prospects as ophthalmic drug
delivery systems.
Soluble Inserts
1323
will depend upon the amount of binding agent, concentration
of the drug solution into which the composite is soaked and
the duration of the soaking. The soluble ophthalmic inserts
containing synthetic/ semisynthetic polymers offer the
additional advantages of being generally of a simple design.
1. Based on products well adopted for ophthalmic use
2. Easily processed by conventional
methods—slow-evaporating extrusion, compression or
injection moulding
The release of the drug from such system is controlled by
diffusion. The penetration of tears into the insert which
induces release of the drug by diffusion and forms a gel layer
around the core of the insert, this external gelification induces
the further diffusion controlled drug release. The release rate,
J, is derived from Fick’s law yields the following expression.
1324
The soluble insert made of cellulose derivatives can be
sterilized by exposure to gamma radiation without the
cellulose components being altered. A decreased release rate
is obtained by using a component of the matrix or a polymer
normally used for enteric coatings or by introducing a suitable
amount of hydrophobic polymer capable of diminishing the
tear fluid penetration and thus of decreasing the release of the
drug without modifying the solubility of the insert when
added in proper proportion.
Components of soluble inserts are discussed below:
Enteric-coated Polymer
1325
or may not be coated with hydrophobic polymer which is
sustantially impermeable to the drug. Successful
biodegradable materials for ophthalmic use are the
poly(orthoesters) and poly(orthocarbonates). The release of
the drug from such a system is the consequence of the contact
of the device with the tear fluid inducing a superficial
diversion of the matrix.
The use of solid ophthalmic devices will certainly increase
owing to the development of new polymers, the emergence of
new drugs having short biological half-lives or systemic side
effects and also the need to improve the efficacy of
ophthalmic treatment ensuring an effective drug concentration
in the eye over an extended period of time.
References
1326
Himmelstein KJ, Guvenir I, Palton TP. J. Pharm. Sci.
1978;67:603.
Huang HS, Schoenwald RD, Lach JL. J. Pharm. Sci.
1983;72:1272.
Mitra AK. Ophthalmic drug delivery,. In: Tyle P, ed. Drug
Delivery Devices,. New York: Marcel Dekker; 1998:455.
Shell JW, Gale RM. U.S. Patent. 1984;4:964.
Smith G. Pharm. J. 1967;198:55–61.
Trigger DJ, Caldwell ADS. J. Hops. Pharm.
1968;25:259–265.
1327
Chapter 30
Parenteral Formulations
The term parenteral is derived from Greek words, para
enteron, meaning ‘beside the intestine’. According to B.P.,
parenteral products are products that are administered to the
body by injection. As this route of administration bypasses
the normal body immune mechanisms, it is essential that
these products are prepared with a higher degree of concern.
The finished product must be sterile, nonpyrogenic and free
from extraneous insoluble materials. Parenteral systems are
introduced directly to body fluid system composing intra- or
extracellular fluid compartments, the lymphatic system and
the blood circulatory system.
Parenterally administered drugs have the following
advantages:
1. Rapid onset of action, which results from the drug being
presented directly to the circulation without the need for
release or absorption step from a formulation or absorption
through an epithelium.
2. Predictable and nearly complete bioavailability: The
uncertainty of poor or incomplete absorption and its
variability are eliminated, so that blood levels are more
predictable and pharmacokinetics is much simpler, being
confined to elimination pathways alone.
3. Avoidance of the gastrointestinal (GI) tract and hence the
problems of variable absorption, drug inactivation and GI
irritation.
1328
Parenteral Administration of Drugs: A Necessity
1329
unconsciousness or who have undergone gastrointestinal
surgery.
3. Administration of drugs to uncooperative or uncontrollable
patients, for example, patients suffering from epileptic
seizures, delirium or psychosis.
4. To elicit desired local effect, for example, local anaesthetic
in minor surgery.
5. In emergency conditions to get quick response: In
conditions such as life-threatening hypotention, arrhythmias
or bronchospasm, cardiointraventricular route is desirable.
1330
Subcutaneous Route
1331
Fig. 30.1 Physiology of parenteral administration routes.
Hypodermoclysis
1332
Intramuscular Route
1333
1–2 hours. Factors affecting the drug release rate from an IM
depot include the following:
1. The compactness of the depot (the less compact and more
diffuse, the faster the release)
2. The rheology of the product
3. Concentration and particle size of the drug in the vehicle
4. Nature of the solvent or vehicle, volume of the injection
5. Tonicity of the product and physical form of the product
(see Fig. 30.2)
1334
The Intravenous Route
Venoclysis
1335
IV admixture
1336
Commonly administered LVPs include Lactated Ringers
Injection USP, Sodium Chloride Injection USP (0.9%) and
Dextrose Injection USP (5%) or various combinations of
dextrose and saline. In addition, numerous other nutrient and
ionic solutions are available for clinical use, the most popular
of which are solutions of essential amino acids or lipid
emulsions.
Intra-arterial
Intrathecal
1337
route must be formulated at physiological pH, must be
isotonic and must not contain antimicrobial preservatives to
prevent nerve damage.
Intraepidural
The epidural space is the space inside the bony spinal canal
but outside the membrane called the dura mater (sometimes
called the dura). In contact with the inner surface of the dura
is another membrane called the arachnoid mater
(‘arachnoid’). The arachnoid encompasses the cerebrospinal
fluid that surrounds the spinal cord. Epidural analgesia is a
form of regional analgesia involving the injection of drugs
through a catheter placed into the epidural space. The
injection can cause both a loss of sensation (anaesthesia) and
a loss of pain (analgesia), by blocking the transmission of
signals through nerves in or near the spinal cord.
Intracesternal
Intra-articular
1338
Intracardial
Intrapleural
Intradermal
1339
Specialized Large-Volume Parenterals and Sterile
Solutions
Hyperalimentation Solutions
1340
to take food orally for several weeks at caloric intake levels of
4000 kcal/day or more. This method also permits the
administration of life-saving or life-sustaining nutrients to
patients in coma or to patients undergoing treatment for
oesophageal obstruction, GI diseases (including cancer),
ulcerative colitis and other diseases. Subclavian vein
cannulation is used for effective parenteral nutrition, since the
infused fluid is rapidly diluted by the high blood flow in the
subclavian vein. To administer sufficient calories at
acceptable volumetric flow rates, the infusion solution must
be hypertonic.
Cardioplegia Solutions
1341
chemicals from the body or to aid in accelerating the
excretion function of the kidneys to treat acute renal
insufficiency. Peritoneal dialysis solutions contain glucose
and have an ionic content comparable to typical extracellular
fluid. Toxins and metabolites diffuse into the circulating
dialysis fluid through the peritoneum and are removed. At the
same time, excess fluid is removed from the patient if the
glucose content renders the dialysis solution hyperosmotic.
An antibiotic is frequently added to these solutions as a
prophylactic measure.
Irrigating Solutions
1342
2. Added substances or excipients
3. Appropriate container or container component.
In the formulation and administration of a drug moiety in the
form of parenteral preparation, a pharmacist takes into
account the following factors:
1. Route of administration
2. Mechanism of drug permeation (pharmocokinetic profile)
3. Form of suitable preparation
4. Chemical and physical property of the drug
5. Drug-compatible vehicle and excipients
Crystal Characteristics
1343
strict adherence to specific crystallization procedures must be
followed, besides controlling the rates of addition, solvent
concentrations and purity, sterility as well as minimizing
particulate contamination, pH, temperature and mixing rates.
For example, change in crystallization process for sterile
ceftazidime pentahydrate increases the density and reduces
the volume of the full dose, and further increases the rate of
dissolution increased significantly.
Changes in washing liquid such as using absolute ethyl
alcohol instead of 95% ethanol during the washing procedure
can destroy the crystalline structure if the material being
crystallized is a hydrate structure.
Some drugs exist as polymorphs. For example,
chloramphenicol palmitate exists in two ploymorphs, i.e. A
and B. The B form is the more soluble form, therefore more
absorption and consequently with better bioavailability. Thus
manufacturers are recommended to formulate with B form,
though it may present problems with its shelf life, as the
probability of changing B form to A form is high. However, a
method of controlling and determining crystal form would be
necessary in the quality
control process. With time, the suspension may be much less
soluble with variable absorption (see Fig. 30.3).
1344
Fig. 30.3 Plot of plasma drug concentration (Cp) versus time
(t) for three formulations of chloramphenicol palmitate.
Drug Derivitization
1345
hydrocortisone (formulated as hydrocortisone sodium
succinate).
Salt Preparation
Polymorphism
1346
nonstoichiometric amounts of a solvent incorporated within
the crystal structure. If the incorporated solvent is water, the
solvates are also commonly known as hydrates.
Polymorphism refers to the occurrence of different crystalline
forms of the same drug substance. Polymorphism in this
context is defined, as in the International Conference on
Harmonization (ICH) Guideline Q6A (5), as the inclusion of
solvation products and amorphous forms. Polymorphs and/or
solvates of a pharmaceutical solid can have different chemical
and physical properties such as melting point, chemical
reactivity, apparent solubility, dissolution rate, optical and
electrical properties, vapour pressure and density. These
properties directly impact the processability of drug
substances and the quality/ performance of drug products,
such as stability, dissolution and bioavailability. A metastable
pharmaceutical solid form can change crystalline structure or
solvate/desolvate in response to changes in environmental
conditions, processing or over time.
pH and pK
1347
From these equations, two conclusions may be drawn:
1. At pH values above the pKa, the solubility of acidic drugs
increases.
2. At pH values below the pKa, the solubility of basic drugs
increases.
In simple terms, the solubility of acidic compounds increases
as the pH of the solution is increased (above the pKa) and the
solubility of basic compounds increases as the pH is lowered
below the pKa. Determining the solubility properties of
zwitterionic compounds, i.e. those that exhibit both acidic and
basic properties, is more complicated than that of simple acids
or bases. However, as in simple acids and bases, the solubility
of zwitterionic therapeutic agents is affected by pH. At basic
pH values, the therapeutic agent behaves primarily as an acid,
whereas at low pH values the molecule behaves as a base.
The pH range at which the therapeutic agent exhibits minimal
solubility lies between the pKa values of the acidic and basic
groups. This information is also valuable for predicting the
compatibility of drugs with various infusion fluids (see Table
30.2).
Usual
Additive class Examples concentration
(%)
1348
Antimicrobials Benzalkonium chloride 0.01
Benzyl alcohol 0.5–10.0
Chlorobutanol 0.25–0.5
Metacresol 0.1–0.25
Butyl p-hydroxybenzoate 0.015
Methyl p-hydroxybenzoate 0.1–0.2
Propyl p-hydroxybenzoate 0.2
Phenol 0.065–0.5
Thimerosal 0.001–0.02
Methylparaben 0.01–0.18
Phenyl mercuric nitrate 0.001
Propylparaben 0.005–0.035
Meristyl gamma 0.17
picolinium chloride
1349
Antioxidants Reducing agents 0.02–0.1
Ascorbic acid 0.1–0.15
Sodium bisulphide 0.1–0.15
Sodium metabisulphite 0.1–0.15
Sodium formaldehyde 0.005
sulphoxylate
Thiourea
Blocking agents 0.01–0.015
Ascorbic acid esters 0.005–0.02
Butyl hydroxytoluene 0.05–0.075
(BHT)
Tocopherols
Synergists 0.01–0.05
Ascorbic acid 0.005–0.01
Citric acid 0.03–0.45
Citraconic acid 0.005–0.01
Phosphoric acid 0.01–0.02
Tartaric acid
Chelating agents 0.01–0.075
Ethylenediaminetetraacetic
acid salts
Cysteine 0.1–0.5
Monothioglycerol 0.1–1.0
Buffers Citrates (sodium) 4.0
Phosphates 0.1
Potassium phosphate 1.7
Sodium phosphate 0.71
monobasic 0.8
Sodium phosphate dibasic 0.1
Acetates (sodium) 1.0
1350
Lactic acid 5.0
Adipic acid 0.5
Benzoic acid and sodium 0.1
benzoate 1.6
Citric acid 0.005
Lactic acid 0.06
Maleic acid 1.2
Sodium bicarbonate 0.65
Sodium carbonate
Sodium tartrate
Tartaric acid
Bulking agents or Lactose 0.14–5.0
tonicity modifiers Mannitol 0.4–2.5
Sorbitol 2.0
Glycine 1–2
Glycerine 1.6–2.25
Dextrose 3.75–5.0
Sodium chloride Varies
Sodium sulphate 1.1
Chelating agents/ Salts of 0.00368–0.05
protectants ethylenediaminetetraacetic 0.04
acid 0.01
Edetate disodium 2–5
Edetate calcium disodium 2–5
Edetate tetrasodium 2–5
Sucrose 2–5
Glucose 2–5
Lactose 0.1–1.0
Maltose
Trehalose
Human serum albumin
1351
Solubilizing Ethyl alcohol 1–50
agents, wetting Glycerin 1–50
agents or Polyethylene glycol 300 0.01–50
emulsifiers Propylene glycol 0.2–50
Lecithin 0.5–2.0
Polysorbate 20 0.01
Polysorbate 40 0.05
Polysorbate 80 0.04–4.0
Povidone 0.2–1.0
Sodium desoxycholate 0.21
Sorbitan monopalmitate 0.05
Theophylline 5.0
Dimethylacetamide 0.01
Dioctyl sodium 0.015
suphosuccinate 1.2
Egg yolk phospholipid 0.1
Ethyl lactate
Surfactants Polyoxyethylene 0.1–0.5
Sorbitan monooleate 0.05–0.25
Suspending Gelatin 2.0
agents Methylcellulose 0.03–1.05
Pectin 0.2
Polyethylene glycol 4000 2.7–3.0
Sodium carboxymethyl 0.05–0.75
cellulose 50.0
Sorbitol solution
Stabilizers Creatinine 0.5–0.8
Glycine 1.5–2.25
Niacinamide 1.25–2.5
Sodium 0.53
acetyltryptophanate
1352
Sodium caprylate 0.4
Sodium saccharin 0.03
Local Procaine hydrochloride 1.0
anaesthetics Benzyl alcohol 5.0
Antioxidants
1353
and during the shelf life of the product. Antioxidants function
by many mechanisms, such as:
1. Reducing agents: They get preferentially oxidized.
2. Blocking agents: They act by blocking an oxidative chain
reaction in which they are not usually consumed.
3. Synergists: These compounds enhance the effectiveness of
antioxidants.
4. Chelating agents: They chelate with catalyst, which
accelerate the oxidative process.
Deoxygenation of the makeup water, maintaining the solution
under a nitrogen atmosphere throughout the manufacturing
process and purging the filled vials with an inert gas (nitrogen
or argon) may significantly reduce the amount of antioxidants
required (refer to Table 30.2).
Antimicrobial Agents
1354
single-dose parenteral formulation, the preservatives are
included in formulations that are not terminally sterilized, as
the asepsis of these preparations may be breached during the
filling procedure. Though these antimicrobials are necessary
to prevent bacterial activity, a prescribed amount should be
included, as parenteral preparation usually eliminates the need
of added preservative where it is possible to do so. Assays for
antimicrobial or bacteristatic activity of the preservative in
question must be performed. Some examples of preservatives
have been listed in Table 30.2, along with their permissible
amounts to be included in parenteral preparation. They can be
classified into the following four categories: quaternary
ammonium compounds, organic mercurials, parahydroxy
benzoate and aromatic alcohol.
Buffers
1355
Table 30.3 Some commonly used buffers in parenteral
preparations
buffers pH Range
Acetate buffers 4.0–6.0
Phosphate buffers 6.0–8.0
Glutamate buffers 2.0–5.0; 8.5–10.5
Citrate buffers 2.0–6.0
The Handerson–Hasselbalch equation is used to calculate the
quantities of buffer species required to provide the desired
pH.
pH = pKa + log ( Csalt/ Cacid)
Csalt and Cacid are the molar concentrations of the salt form
and acid form, respectively.
Buffers are normally selected with a pKa within 1 pH unit of
the desired pH.
Buffers have the strongest buffering capacity when pH = pKa.
1356
Surfactants
Wetting Agents
Emulsifiers
1357
bring about osmotic pressure changes and the consequent
exchange of ionic species across red blood cell membranes.
This leads to haemolysis or cremation of red blood cells.
Dextrose, sodium chloride or potassium chloride is commonly
used to impart isotonicity in a parenteral formula.
1358
example, cryoprotectants and lyoprotectants are used to
inhibit loss of integrity of the active substance resulting from
freezing and drying, respectively. Compounds that act as
cryoprotectant do not necessarily act as lyoprotectant, for
instance polyethylene glycol protects lactate dehydrogenase
and phosphofructokinase from damage by freezing but does
not protect either protein from damage by freeze-drying.
Sugars and polyhydroxy compounds are usually the best
candidate compounds. These compounds also markedly
improve the stability of proteins against thermal denaturation.
Another type of protectant, usually a protein present at a very
low concentration, is used to prevent loss of active substance.
Human serum albumin (HSA) may be used as a protectant
against adsorptive loss of proteins present at low
concentrations. HSA is present at higher concentrations than
the active substance and is preferentially adsorbed, coating
the surface of interest and preventing the adsorption of the
drug. For example, insulin is subject to adsorptive loss to
hydrophobic materials. Addition of 0.1±1.0% HSA has been
reported to prevent this adsorptive loss (Brage, 1982).
Vehicles
Aqueous Vehicles
1359
standards specified in official compendia and should be
regularly tested for its quality. Sterility is not necessary for
WFI but it must be pyrogen free. WFI is collected in sterile
containers and may contain added substances. It must be used
within 24 h of its collection.
1360
Sodium Chloride Injection
1361
N-(B-hydroxyethyl)-lactamide Ethyl oleate
Butylene glycol Isopropyl myristate,
Polyethylene glycol 400 and 600 Benzyl benzoate
Propylene glycol Polyethylene glycol
Glycerine
Ethyl alcohol
Devices
1362
Fig. 30.4 Types of large-volume parenterals. These represent
the various types of flexible intravenous bag systems: (A)
Lifecare by Abbott Laboratories; (B) Representative vial and
flexible IV bag system, such as the Add-Vantage Abbott
Laboratories or Mini-Bag Plus System, Baxter Healthcare;
(C) Excel, B. Braun Medical; and (D) Viaflex, Baxter
Healthcare. These bags contain either polyvinyl chloride
(Lifecare or Viaflex) or polyolefin (Excel).
1363
Infusion Sets
1364
Fig. 30.6 Filter needles.
1365
Fig. 30.8 Hypodermic syringes. Source:
www.biztrademarket.com
1366
Fig. 30.10 Plastic irrigating solution bottles (Souce:
www.bestshoppingcenter.net).
1367
Fig. 30.12 Plastic ophthalmic dropping bottles. Source:
www.brevettiangela.com
Materials Used
1368
parenteral solution has a short period of exposure to it; for
example, nylon and silicone rubber are used for IV catheter
and stainless steel is used for hypodermic needles. For the
hub and cannula of needles, aluminium is sometimes used but
it is more reactive than stainless steel.
All device components must be hygienic, but the fluid path
through the device should meet the same rigid standards as
the product itself. This is usually achieved during
manufacture and assembly of the device. Plastic particles
from moulding or metal dust from sharpening of needles are
sources of particulate matter that must be eliminated and kept
in check.
Tests
1369
Production
Facilities
Arrangement of Area
1370
disinfectants however can cause this epoxy finish to wear out.
Ceramic plastic cement is one of the best materials, which is
applied as a thick coat over the flooring to form an
uninterrupted sealed surface. Another flooring material used
increasingly nowadays in the areas of less heavy traffic is
sheet vinyl with heat-welded seams, covering the side walls
and applied by adhesive on the underlying surfaces.
Movable metal partitions are sometimes used to provide
flexibility in a room, but they have the disadvantage of seams
and joints, which act as ports for dirt collection. Therefore,
glass is often used in partitions to permit supervisory view of
the operation, and more importantly, to provide a more
pleasant, better lighted, less-confining surrounding for the
operators.
Lighting fixtures should be buried and bare piping or other
dirt-collecting surfaces should be avoided. Furthermore, they
should be made of impervious, tough-surfaced materials,
preferably stainless steel.
Counters should be suspended from walls.
Equipments that are difficult to sterilize should be kept
outside the aseptic areas; however, if used in aseptic areas,
they should be continuously exposed to disinfecting
processes. As a precautionary measure, operating machinery
parts should be enclosed in stainless steel housing.
There should be ease of access for mechanical servicing of
electrical gas, water, air ventilation and other utility lines into
these areas without interruption and contaminating the
production area by routine maintenance and personnel traffic.
To effectively manage such maintenance procedure a floor
above, there should be space beneath the area where all
service connections can be accessible and can be properly
maintained.
1371
These basic design and construction features have been
continued with the arrival of HEPA filtered airflow
capabilities.
Flow Plan
1372
After the results from all tests are obtained and the product
has been found to confer with its release specifications, it
proceeds to the finishing area for final labelling and
packaging. There could be variations from the
above-mentioned flow plan to meet the explicit needs of an
individual product or to conform to existing facilities. For
example, automated procedures
convey the components from one area to another with little or
no handling by operators.
Cleanup Area
1373
Compounding Area
Aseptic Area
1374
Mechanical parts that will contact parenteral product should
be detachable so that they can be sterilized.
Personnel entering the aseptic area ought to enter only
through an airlock system. They should wear sterilized attire
consisting of sterile hats, masks, goggles and foot covers.
Commotion within the room should be nominal and in and
out movements strictly restricted during a filling procedure. If
the product is to be terminally sterilized, the prerequisites for
room preparation and for the personnel can be relaxed. There
should be one standard operating procedure acceptable to
meet the most rigid requirement.
Environmental Control
1375
Traffic Control
1376
Fig. 30.15 Floor plans for industrial sterile products
production area (Courtesy Schering Corp.).
Housekeeping
1377
Surface Disinfection
Air Control
1378
attraction to oppositely charged plates. The air then passes
through a high-efficiency particulate air (HEPA) filter with an
efficiency of at least 99.97% in removing particles of 0.3μm
and larger, based on dioctyl phthalate (DOP) test. Hence the
prefilter is highly efficient cleaning device.
For personnel reassurance, air conditioning and humidity
control should be incorporated into the system.
Another example of such a system for rendering the air clean
is the Kathabar system (surface combustion). It cleans the air
from dirt and microorganisms by washing it in an aseptic
solution and, simultaneously, controlling humidity. This
clean, aseptic air is introduced into the aseptic area and
maintained under a positive pressure, which prevents outside
air from rushing into the aseptic area through cracks and
joints, temporarily open doors or other openings.
Laminar-flow Environment
1379
reverse air currents or movements exceeding the velocity of
the HEPA-filtered airflow may introduce contamination, as
may coughing, reaching or other manipulations of operators.
Hence, the space within the HEPA is bathed by clean air
cleaning away the contaminants. The arrangement of airflow
may be horizontal (see Fig. 30.16) or vertical (see Fig. 30.17)
and may involve limited area such as a workbench or the
entire room.
1380
Fig. 30.17 Vertical laminar airflow cabinet: (A) Protected
zone; (B) Unprotected zone.
1381
Table 30.6 Classification of rooms in sterile manufacturing
area
1382
and sterile supplies are introduced from sterilizing modules
through distinctively designed transfer ports. The use of such
units have proved beneficial in controlling contamination
during sterility testing. Studies are being undertaken to
evaluate these units for aseptic production operation (Brown
et al., 1991).
Personnel
1383
dust particles. Furthermore, the aseptic area uniforms should
be sterilized before wearing. Fresh sterilized uniforms should
be used before entering or returning to the aseptic area. A
sterilized uniform is not necessary if the product is to be
terminally sterilized.
1384
regularly to brush up their knowledge and skills and to
enhance the required level of expertise. Operators, especially
supervisors, should understand the vital role they play in
determining the reliability and safety of the final product.
1385
Production Procedure
1386
extensive and intensive effort to be successful, and is an
integral part of cGMP requirements.
1387
Fig. 30.19 Rotary bottle washing machine. Source:
http://pharmaceuticals.indiabizclub.com
1388
Handling After Cleaning
Closures
1389
contaminate easily, and therefore they are sterilized, usually
by autoclaving, and stored in closed containers until ready for
use. This cleaning and sterilizing process must be validated
with respect to rendering the closures free from pyrogens. If
the closures are immersed during autoclaving, the solution is
drained off before storage to reduce hydration of the rubber
compound. Closures must be dry for use; thus, they are
subjected to vacuum drying at a temperature of ~100°C.
An agitator or horizontal basket-type automatic washing
machine is usually used for washing large numbers of
closures. Because of particulate generation from the abrading
action of these machines, sometimes the closures are heated
in kettles in detergent solution, followed by prolonged flush
rinsing. The final rinse always should be with low particulate
WFI.
Equipments
1390
contamination after cleaning, and thus should be rinsed
thoroughly again with distilled water or WFI prior to reuse.
There is an inherent variation in the manual cleaning of tanks
and other large equipment items. Hence, there is a need of
validating the cleaning process as well as developing an
automated system to eliminate such a variation.
The automated system usually consists of a
computer-controlled system called cleaning in place (CIP)
(Myers, 1986). Such an approach involves designing the
system, normally made of stainless steel, with smooth,
rounded internal surfaces and without crevices, which is made
by welding. The cleaning is accomplished with the scrubbing
action of high-pressure spray balls or nozzles delivering hot
detergent solution from tanks confined to the system. This is
followed by thorough rinsing
with WFI and is done within the same system. The system is
often extended to permit sterilizing in place (SIP) as well
(Seiberling, 1986).
Rubber tubing, rubber gaskets and other rubber parts may be
washed in a manner such as described for rubber closures.
However, rubber tubing must be left wet when preparing for
sterilization by autoclaving.
Product Preparation
1391
person frequently. Currently, the formula documents are
prepared by computer and the measuring of ingredients
quantities are computer controlled.
Most liquid preparations are dispensed by volume, but they
are prepared by weight, since weighing is more accurate than
volume measurements and temperature does not have to be
considered Care must be taken that the equipment is not wet
enough to significantly dilute the product or, in the case of
anhydrous products, cause a physical incompatibility.
The order of mixing of ingredients may affect the product
significantly, especially when preparing a large volume where
acquiring homogeneity requires substantial mixing time. For
example, the adjustment of pH by adding an acid, even
though diluted, may cause in situ reduction in the pH of the
product, which adversely affects before the acid can be
dispersed throughout the entire volume of the product.
The formulation of a stable product is very important.
Parenteral dispersions, including colloids, emulsions and
suspensions, pose particular problems. Parenteral emulsions
have been reviewed by Singh and Ravin (1986); in addition to
the problems of achieving and maintaining proper reduction
in particle size under aseptic conditions, the suspension must
be kept in a uniform state throughout the preparation, transfer
and subdividing procedures.
Specifically, the thermal sterilization of parenteral products
however may increase the risk of chemical reactions. Such
reactions may progress to completion during exposure to
elevated temperature in the autoclave, or may be induced at
this time but continue during later storage. Keeping a product
stable requires a high degree of pharmaceutical knowledge
and responsibility.
1392
Filtration
1393
ployvinylidine difluoride have been developed to be
essentially nonadsorptive for these products. The most
common membranes are composed of nylon, polysulphone,
polycarbonate, polyvinylidene difluoride and
polytetrafluoroethylene. They are available as flat membranes
or are pleated into cylinders to increase the surface area and
thus the flow rate.
Each filter in its holder should be tested for integrity before
and after usage, especially if it is being used to eliminate
microorganisms. The bubble point test is usually used to
verify the integrity test of the filter. In this test, the largest
pore or other openings through the membrane are detected.
This test is performed by slowly increasing the air pressure on
the upstream side of a water wet filter; the pressure at which
bubbles first appear downstream is the bubble point. This
pressure is specific for each pore size of a filter and is
provided by the filter manufacturer, e.g. a 0.2-μm cellulose
ester filter will bubble at about 50 psig. If the filter is wetted
with other liquids, such as a product, the bubble point will
differ and must be determined experimentally. If the bubble
point is lower than the rated pressure, the filter is defective,
probably due to a puncture or tear, and hence should not be
used. With the increase in the surface area of filters, diffusion
of air through the water-filled pores tends to give wrong
bubble point reading. Therefore, a diffusion or pressure hold
test has been developed as an integrity test for filters with
large surface areas. Details can be obtained from the filter
manufacturer. Although membrane filters are disposable and
thus discarded after use, the holders must be cleaned carefully
after use. Currently, clean sterile pretested disposable
assemblies for both small and large volumes of solutions are
available in the market.
1394
Filling
1395
characteristics of the liquid, the desired delivery speed and the
inside diameter of the neck of the container.
3. The tube must enter the neck and deliver the liquid
efficiently into the neck to eliminate spillage, allowing
sufficient clearance to permit air to leave the container as the
liquid enters.
4. The delivery tube should be sufficiently large in diameter
to reduce the resistance to the flow of the liquid. Smaller
volumes of liquids are usually delivered by the force of the
plunger of the syringe, pushing the liquid through a twoway
valve providing for alternate filling of the syringe and
delivering mobile liquids, while a sliding piston valve can be
used for heavy viscous liquids.
Other mechanisms include the turn of an auger in the neck of
a funnel or the oscillation of a rubber diaphragm. For large
volumes, the quantity delivered is usually measured in the
container by the level of fill in the container, the force
required to transfer the liquid being provided by gravity, a
pressure pump or a vacuum pump.
The narrow neck of an ampoule limits the clearance possible
between the delivery tube and the inside of the neck. Since a
residual drop of liquid normally hangs at the tip of the
delivery tube after a delivery, the neck of an ampoule will be
wet as the delivery tube is withdrawn, unless the drop is
retracted. Therefore, the liquid is drawn back into the lumen
of the tube which necessitates the addition of retraction
devices.
Since the liquid will be in close contact with the parts of the
machine through which it flows, they must be made of
nonreactive materials such as borosilicate glass or stainless
steel. In addition, they should easily be demountable for
cleaning and sterilization.
1396
The level of particulate matter in injectable preparations is
one of the concerns in their formulation; therefore, a final
filter is often inserted in the system between the filler and the
delivery. Usually, this is a membrane filter, having a porosity
of ~l μm and treated to have a hydrophobic surface. This is
necessary to reduce the risk of rupture of the membrane due
to filling pulsations. It should be noted that the insertion of
the filter at this point should collect all particulate matter
generated during the process. Only those that may be found in
inadequately cleaned containers or picked up from exposure
to the environment after passage through the final filter
potentially remain as contaminants.
Liquids
1397
in an electronically coordinated machine to achieve
high-speed filling rates with accuracy and precision.
When the product is susceptible to metals, peristaltic pump
filler may be used because the product is isolated with
silicone rubber tubing. However, there is some discrepancy in
filling accuracy. High accuracy of fill is not achievable
because most high-speed fillers for large-volume solutions
use the bottle as the measuring device, transferring the liquid
either by vacuum or by positive pressure from the bulk
reservoir to the individual unit containers. To ensure delivery
of the labelled volume to the patient, the USP provides a table
of suggested fill volumes to include a slight excess over the
labelled volume.
Solids
1398
For free-flowing granular solids, other methods of filling may
be employed. In general these involve measuring and
delivering a volume of the granular material that has been
calibrated in terms of the weight desired. A filling machine
designed with an adjustable cavity in the rim of a wheel is
filled with the help of vacuum and the contents are held by
vacuum until the cavity is inverted over the container. The
solid material is then discharged into the container using
sterile air. Another machine employs an auger in the stem of a
funnel at the bottom of a hopper. The granular material is
placed in the hopper. By controlling the size of the auger and
its rotation, a regulated volume of granular material can be
delivered from the funnel stem into the container.
Sealing
Tip-seal
1399
heating to obtain complete sealing of the opening with a bead
of glass. Extreme heating will result in the expansion of the
gases within the ampoule against the soft bead seal and cause
a bubble to form. If it bursts, the ampoule is no longer
preserved. If it does not burst, the wall of the bubble will be
thin and fragile, whereas inadequate heating will leave an
open capillary through the centre of the bead, which results in
incomplete sealing of ampoule, called leaker.
Pull Seal
1400
of the gas, such as nitrogen or carbon dioxide, during or after
filling with the product. Immediately thereafter the ampoule
is sealed before the gas can diffuse out. This process should
be validated to ensure sufficient displacement of air by the
gas in each container.
1401
processes. Rubber closures are held in position with the help
of aluminium caps. The caps cover the closure and are
crimped under the lip of the vial or bottle to hold them in
place; the closure cannot be taken out without destroying the
aluminium cap first as it is tamperproof. Thus, an unbroken
aluminium cap confirms that the closure has not been
removed intentionally or unintentionally. Such confirmation
is necessary to assure sterility and other aspects of quality.
The aluminium caps are so made that the outer layer of
double-layered caps, or the centre of single-layered caps, can
be easily removed to expose the centre of the rubber closure.
Rubber closures for use with intravenous administration sets
often have a permanent hold through the closure. In such
cases, a thin rubber disk over-layered with a solid aluminium
disk is placed between an inner and outer aluminium cap,
thereby providing a seal of the hold through the closure.
These are called triple-layered aluminium caps.
Single-layered aluminium caps may be applied using a hand
crimper known as the ferm press. Double- or triple-layered
caps require greater force for crimping; therefore, heavy-duty
mechanical crimpers are required.
Sterilization
1402
isolate and circulate plant bioburden for sterilization studies.
On the other hand, it is still critical to characterize the
microbial bioburden in the process and then monitor it
regularly.
Five sterilization processes are described in USP: steam,
dry-heat, filtration, ionizing radiation and gas. The most
commonly used methods for parenteral products, i.e. ionizing
radiation and gas, are mostly used for surgical materials and
devices. The selection of the sterilization method depends on
(a) the nature and amount of product bioburden and (b)
whether the product and container-closure system will have a
primarily moist or dry environment during sterilization.
Normally, the use of steam sterilization has increased, with
the extensive use of flexible packaging for LVP products.
Compared with the traditional LVP glass bottles closed with
rubber stoppers, flexible LVP plastic containers (polyvinyl
chloride, polyester or polyolefin) offer autoclaving
advantages as discussed previously under the heading of
plastic containers.
Dry heat sterilization is mainly used to sterilize glassware and
equipment parts in manufacturing areas for parenteral
products. Ethylene oxide (ETO) is also widely used as a
sterilizer in hospitals and industry. It is mainly used for items
that cannot be sterilized by steam. Carbon dioxide, or
fluorocarbons, is often added to overcome its inflammable
and explosive nature. The maximum effective concentration
of ETO is about 500mL/L. The sensitivity of spores to ETO
largely depends on the water content of the spore; therefore,
relative humidity plays an important role. Contrary to other
methods, it is necessary to post-treat the product, either
through vacuum purging or by allowing the product to remain
at ambient conditions for a certain amount of time, to allow
removal of residual ETO and ethylene chlorhydrin-ethylene
1403
glycol by-products before use by the consumer. In addition, in
1984 the US Occupational Safety and Health Agency
(OSHA) lowered the maximum permissible operator 8-h
exposure level from 50 to 1 ppm in air (on a time-weighted
average) (Reich & Burgess, 1992).
In the past 25 years, sterilization by filtration has been widely
used to sterilize injectable solutions. Even now it is practical
to use filtration to sterilize only those products that cannot be
terminally sterilized. Two types of filters can be used for
filtration sterilization: depth filters (such as diatomaceous
earth, inorganic fibres and natural fibres) and membrane
filters (cellulose, nylon, etc.).
1404
throughout all stages of development, evaluation, production
and storage.
The formulator of a new product must consider the
manufacturing process, which could be easily scaled up, and
should be able to solve problems regarding the same.
Therefore, the scientist involved in product development
should give due importance to its manufacturing process and
testing. Standards must be cautiously laid down for all raw
materials and packaging components used in the product so
that the quality of the product is maintained.
Sterility Test
1405
proper temperatures are obtained for the necessary time
period (see Chapter 35 for more details).
1406
fatigue and other personal factors that might affect the
evaluation.
Microscopic method: Since visual inspection does not detect
the presence of particles smaller than 50μm in size, the USP
has developed a microscopic method for detecting in large
volume intravenous solutions and has limits of not more than
50 particles/mL of 10μm and larger in size and not more than
5 particles per millilitre of 25μm and larger in size. This
method basically consists of filtering a measured volume of
sample solution through a membrane filter under ultraclean
(aseptic) condition and then counting the particles on the
surface of the filter using oblique light, under a microscope, at
both 40 × and 100 × magnification.
Shadow cast method: Of late, the USP has established
standards for small-volume parenterals to be given
intravenously, using an electronic instrument, which measures
size of the particles by mode of a shadow cast by the
particles, as it passes through high-intensity light beams. The
limits prescribed are not more than 10000 particles/container
of ≥10μm in size and not more than 1000 particles per
container of ≥25μm in size. These specifications were
developed on the assumption that as many as five products
may be added to a 1 L bottle of a large-volume parenteral and
five products should not contribute more than the overall
limits of particles prescribed for large-volume parenterals.
It should also be realized that administration sets and the
technique used in hospital for preparing and administrating
the intravenous infusion fluid may introduce a substantial
amount of particulate matter into an otherwise clean solution.
Therefore, the pharmaceutical manufacturer, the
administration set manufacturer, the hospital pharmacist, the
nurse and the physician must share responsibilities so that the
patient receives a clean intravenous injection.
1407
Electronic particle counter: Other than USP methods, several
other methods are available that can determine particulate
matter. A number of electronic particle counters are available
that use the light scattering principle to count particles in a
liquid sample.
Thermocouple conductivity method: Instruments are available
that count particles and size them by measuring the effect on
resistance between two electrodes as the particle passes
between them, e.g. the Coulter Counter.
All of these methods require very strict and ultraclean
preparation techniques to assure reasonable accuracy in
counting and sizing only the particles in solution, rather than
those that have been introduced unintentionally during the
sample preparation or testing procedure. Furthermore, these
procedures are quite destructive, and can therefore only be
performed on samples withdrawn from a production lot.
A method utilizing video image projection coupled with
electronic circuitry detects moving particles without
destruction of the product unit (Louer et al., 1971). Therefore,
it can be used for in-line detection of particles in product
units, but currently, its use is limited to 1- to 5-mL containers.
Clarity is defined as the state or quality of being clear or
transparent to the eye. Clarity is a relative term subject to the
visual acuity, training and experience of the sorter. Clarity
specifications are not given in the USP, other than to state that
all injections be subjected to visual inspection. Instruments
that measure scattered light, such as the photonephelometer,
are used to evaluate and set clarity standards for parenteral
preparations. It is not possible to establish an overall standard
value for all products (e.g. 30 nephelos) because the value
itself is relative and influenced by many factors, including
concentration, ageing, stopper extracts and the solubility
1408
characteristics of the raw materials. Nephelometer readings
are unaffected to contamination by large (visible) particulates.
Leaker Test
Leaker Test
Spark Test
1409
Japan, which detects pinholes in ampoules. Some advantages
of this system include higher inspection accuracy, higher
processing speed and eliminating the possibility of product
contamination (Akers, 1985). A spark tester probe is applied
to the outside of the bottle, moving from the liquid layer into
the air space. A blue spark discharge occurs if the airspace is
evacuated.
Vacuum Test
1410
Pyrogen Test
In-process Control
Rabbit Test
1411
increase within 3 hours. Many imitative medical agents will
also cause a fever.
LAL Test
Safety Evaluation
1412
unfavourable reactions when injected, a safety test in animals
is essential to provide additional reassurance that the product
does not have unanticipated toxic properties. Safety tests for
animals are described in the USP.
1413
Injections intended for veterinary use are exempt from
packaging and storage requirement concerning the limitation
to single-dose container and to volume of multiple-dose
container.
Injections are packaged in either multiple-dose containers or
single-dose containers. A multiple-dose container is often a
vial that will allow the withdrawal of consecutive portions of
the contents without changing the strength, potency and
maintaining the sterility of the product. A single-dose
product, as the name implies, is intended for a single dose of
parenteral administration. These products can be packaged in
ampoule, vial or a syringe. For some drugs, there are specific
double-chambered vials that contain the reconstitution solvent
and the powdered drug. Types I, II and III glass are required
for parenteral products and are specified in the individual
monograph for a given drug. The advantages of glass
containers for parenterals are that they are easy to sterilize,
can be precisely read and are generally nonreactive and less
susceptible to incompatibilities with drugs or leaching of
components compared to the plastic, flexible intravenous
bags. The disadvantage of glass is associated with handling
the glass bottles and the potential for breakage (Terry et al.,
1995).
Ampoules are utilized for a single-dose administration and do
not include a preservative. If the drug formulation is the same
for both the ampoule and the multiple-dose vial,
manufacturers sometimes include preservatives. The
ampoules sometimes pose disadvantage as they become
contaminated with glass particles when opened via breaking
the neck at a prescored position and require the use of a
syringe to remove the drug solution; therefore, a filter needle
must be used sometime during the withdrawal of the solution
1414
or delivery of the drug solution to a flexible bag or other
intravenous solution to ensure the removal of contaminants.
Vials can be used as single dose or multiple doses. The glass
containers are sealed with rubber closures that permit the
withdrawal of the drug solution via a syringe. The
disadvantage of these systems is associated with ensuring that
the drug solution is compatible with the rubber closure.
Furthermore, there is always the concern of contamination of
the solution with repeated withdrawals. The probability for
contamination can be minimized by using single-dose vials.
Alternatively, the parenteral solutions can also be packaged in
syringe dosage forms for a single-dose use. As such, they can
be considered a type of handy container. The syringe and
needle are sterile until opened. They are ideal for emergency
situations or in the home healthcare environment.
LVPs are usually provided in glass containers, flexible plastic
bags, or semi-rigid containers. These systems are also
classified as open systems (non-vacuum) and closed systems
(vacuum). Plastic intravenous fluid containers are flexible due
to the presence of plasticizers, with the bags generally being
composed of polyvinyl chloride. However, semi-rigid
containers are often made of polyolefin. Some representative
shapes of these various types of containers are shown in Fig.
30.4. The major advantages of plastic flexible bag systems for
parenterals are that they do not require the use of a vented
administration set as they collapse when empty, and they are
less susceptible to breakage and easier to store and transport.
The difficulties with these flexible plastic bags for infusions
solutions are the potential for incompatibilities of the drug
substance with the components in the bag, the potential for
the bag to get perforated during its use, thus compromising
the sterility of the solution, difficulty in reading the volume
1415
remaining in the bag and sometimes the potential for the drug
compound to leach out the plasticizers from the systems.
Semi-rigid containers are analogous to flexible plastic
containers as they are lightweight and unbreakable, can be
easily transported and stored, and are less likely to be
perforated during their usage. More significantly, these
containers do not contain plasticizers and, as such, may be
more compatible with drug substances. The disadvantages are
related to their similar properties to glass containers, in that
they require venting, can be more susceptible to cracking
upon extreme temperature change, should not be frozen and
do not adapt well for ambulatory care.
The package and, in particular, the labelling for parenteral
dosage forms are integral and critical parts of the product.
The labelling must be readable and must clearly identify the
drug, its concentration, handling or storage conditions and
any special precautions. The dose or concentration must be
notably displayed. Smaller containers have become
increasingly popular because of the unit-dose concept. Proper
labelling is difficult with the space limitation imposed by
small containers used for many parenteral products.
Label requirement for injection according to the USP are as
follows:
1. The label states the name of preparation, the percentage
content of drug of a liquid preparation, the amount of active
ingredient of a dry preparation, the volume of liquid to be
added to prepare an injection or suspension from dry
preparation, the route of administration, the statement of
storage conditions and an expiration date. Also, the label must
indicate the name of the manufacturer or distributor and carry
an identifying lot number. The lot number is capable of
providing access to the complete manufacturing history of the
specific package, including each single manufacturing step.
1416
2. The container label is so arranged that a sufficient area of
the container remains uncovered for its full length or
circumference to permit inspection of the contents.
3. The label must state the name of vehicle and the proportion
of each constituent, if it is a mixture; the names and
proportion of all substances added to increase stability or
usefulness and the expiration date where required by
individual monograph.
4. Preparation labelled for use as dialysis, haemofiltration or
irrigation solutions must meet the requirement for injections,
other than those relating to volume and also must bear on the
label statements that they are not intended for intravenous
injection.
5. Injections intended for veterinary use are labelled. For
more details, refer to Chapter 43 of this book.
Containers
Plastic Containers
1417
a substantial amount of plasticizers, fillers, antistatic agents,
antioxidants and other substances that are added for special
purposes. These substances are not usually chemically bound
in the formulation and, therefore, may leach out of the plastic
and into the product during production or storage.
Considerable variation has been encountered in the purity of
some commercially available polymers.
Table 30.8 Materials used for packaging of parentral products
1418
addition, excipients leached from any of the plastic materials
may interact with ingredients of the product.
Most polymers are unfavourably affected by the high
temperatures required for thermal sterilization and have a
relatively high permeability for water vapour. Considerable
permeation of gases, including oxygen, may occur with some
materials, for instance, polystyrene by far has the highest
level of permeation of those listed.
There is a relatively new group of plastics, the poly-olefins;
the two that are of current interest in the parenteral field are
polypropylene and the copolymer
polyethylene-polypropylene. Polypropylene is the most
widely used. It is a linear polymer that can be produced to be
highly crystalline. Because of its crystallinity, it has high
tensile strength, a high melting point of 165°C and a
relatively low permeability to gases and water vapour. It is
translucent, abrasion-resistant and has a high surface gloss. It
can withstand normal autoclaving temperatures; however, it
must be stabilized with an antioxidant. The type and
concentration of polypropylene must be carefully controlled
to avoid leaching on the one hand and degradation of the
plastic on the other.
Interest in the use of such materials for containers for sterile
products is increasing, but careful evaluation of their potential
interaction with products with which they are in contact is
essential (Eubanks, 1971).
Flexible polyethylene containers are used for ophthalmic
solutions to be administered in drops, and flexible polyvinyl
chloride bags are used for intravenous solutions (Petrick et
al., 1977). Polyvinyl chloride has a particular advantage over
glass bottles in that no air from outside enters the container as
the liquid flows out; the bag simply collapses. Polyolefins
have made it possible to fabricate bottles that are firm enough
1419
to hold their shape during processing but can crumple under
atmospheric pressure as outflow of a solution occurs during
intravenous administration to a patient.
The USP has provided test procedures for evaluating the
toxicity of plastic materials. The tests consist of three phases:
1. Implanting small pieces of the plastic material
intramuscularly in rabbits;
2. Injecting eluates using sodium chloride injection, with and
without alcohol, intravenously in mice, and injecting eluates
using polyethylene glycol 400 and sesame oil
intraperitoneally in mice; and
3. Injecting all four eluates subcutaneously in rabbits. The
reaction from the test samples must not be significantly
greater than nonreactive control samples. Guess and Autian
have discussed these tests in detail. (Guess & Autian, 1964).
Glass Containers
1420
are fairly free to migrate. Consequently, they also lower the
chemical resistance of the glass, i.e. they may transfer into a
product over a prolonged period of contact, especially with
aqueous solutions. The presence of oxides in solution may
result in hydrolysis to raise the pH, catalyze reactions or
otherwise lead to chemical reactions. Glass flakes are also
sometimes produced as a result of the action of the solution.
These interactions are markedly accelerated during the
elevated temperature required for autoclaving. The USP
provides mainly Powdered Glass and the Water Attack tests
for evaluating the chemical resistance of glass.
Table 30.9 USP glass types, test limits and selection guide
1421
Water Attack Test
Physical Characteristics
1422
effect as iron oxide covering on the glass may leach into the
product. To avoid this, an opaque carton surrounding a flint
(colourless) glass container is used.
In addition to other physical characteristics, glass containers
should have enough physical strength to withstand the high
pressure differentials that develop during autoclaving
operation and mishandling that occurs during processing,
distribution and storage; a low coefficient of thermal
expansion to withstand the thermal shocks that occur during
washing and sterilization procedures; transparency to
facilitate inspection of the contents; and uniform physical
dimensions to facilitate handling by the mechanical
machinery used for automated production operations.
Glass containers may be manufactured by drawing from glass
tubing or by blow moulding. Ampoules, cartridges and vials
are drawn from tubing have a thinner, more uniform wall
thickness with less distortion than containers made by blow
moulding. Blown vials and bottles, however, require greater
physical strength for handling by mechanical processing
equipment. Large vials and bottles are made only by blow
moulding.
The physical dimensions of glass containers can readily be
varied to suffice designing consideration, especially those
made by blow moulding. An example is the
double-chambered vial designed to contain a freeze-dried
product in the lower chamber and the solvent in the upper
chamber, separated by a rubber disc. The modifications in
cartridge shapes for use with various disposable dosage units,
and the wide-mouth ampoules with flat or rounded bottoms to
facilitate the filling dry materials or viscous liquids, also
exemplify the variations in physical dimensions feasible with
glass containers. The development of the easy-open ampoule
several years ago, permitting opening without a file, was an
1423
important modification in the physical structure of these
containers, marketed under the name ‘Color-Break’ (Kimble,
Division of Owens-Illinois, Toledo, OH 43601) and
‘Score-Break’ (Wheaton Scientific, Millville, NJ 08332)
ampoule.
Internal hydrophobic surface in glass containers is sometimes
coated with silicone fluid, which is made permanent by
baking it at a temperature of ~150°C (300°F). It is helpful to
reduce the adherence of heavy, costly suspensions or
emulsions or to increase slippage of a plunger in a syringe
barrel.
1424
product container is a glass cartridge with plastic and metal
parts separated from immediate contact with the product.
Rubber Closures
1425
Ideally, closures should be completely nonreactive or
uninteractive with the product contained. However, no such
ideal compound exists; therefore, each rubber compound
should be tested for its compatibility with each preparation
with which it is to be used. Generally two compatibility
problems exist: the leaching of ingredients from the rubber
compound with further reaction with ingredients of the
product and the removal of ingredients from the product by
sorption by the rubber compound or by vapour transfer
through the closure (Lachman et al., 1963; Hopkins, 1975).
Although compatibility problems are encountered often, it
should not be inferred that rubber compounds invariably
introduce such problems. Preliminary compatibility is usually
tested by placing the rubber closure in immediate contact with
the product and maintaining the samples at elevated
temperature levels for planned periods of time (accelerated
conditions). At prescribed intervals, samples are examined for
qualitative and quantitative proof of chemical or physical
change either in the closure or in the product.
Physical Characteristics
1426
closure (coring). Although porous, they should not allow the
easy permeation of water vapour and gases in either direction.
Plastic or lacquer coatings are occasionally applied to the
surfaces that will be in contact with the product. These
coatings sometimes reduce vapour transfer, sorption and
leaching, but are not sufficient to provide complete barrier
protection. Teflon liners have been shown to provide an
effective barrier against sorption and leaching (Lachman et
al., 1966).
Disc closures preassembled with aluminium caps are being
used to increase the speed of the operation in the high-speed
packaging of antibiotics and other drugs. Other designs are
used as needed for particular application.
Igredients Examples
Elastomer Natural rubber (latex), Butyl rubber,
Neoprene
Vulcanizing Sulphur, Peroxides
Accelerator Zinc dibutyldithiocarbamate
Activator Zinc oxide, stearic acid
Antioxidant Dilauryl thiodiopropionate
Plasticizer/ Parrafinic oil,silicone oil
lubricant
Fillers Carbon black, clay, barium Sulphate
Pigments Inorganic oxides, carbon black
1427
Testing
Rubber closures have been tested for many years but accuracy
in results have not been obtained; this can be largely due to
the nature of rubber (natural or synthetic). The
physicochemical tests on aqueous extracts include pH,
turbidity (nephelos) and residue on drying, iodine number and
heavy metals content. The biologic tests on saline,
polyethylene glycol 400 and cottonseed oil extracts include
acute and chronic toxicity in mice and rabbits. Further
discussion of these tests may be found in the literature
(Hartop, 1966; Hopkins, 1969).
Stability
1428
matter in solution products, which would impart unacceptable
pharmaceutical appearance.
Formulation pH is often a critical parameter that must be
monitored during a stability study, since pH may be altered
both by chemical reactions in solution and by interactions
between the formulation and the container-closure system.
The physical state of the drug, whether crystalline or
amorphous, has an important effect on stability, particularly
for cephalosporins. Periodic assessment of stability samples
by X-ray diffraction can identify changes in the physical state
of either drug or excipients that could influence critical
quality attributes.
In dried products such as protein formulation, stability is
often prone to small differences in the amount of residual
water present, requiring monitoring of residual moisture
content by Karl Fisher titration or loss on drying. This needs
further research work to minimize the residual moisture in
rubber stoppers, since water vapour can transfer from the
closure to the powder during long-standing storage.
For freeze-dried products, cake shrinkage with time is
common. This may be associated with discolouration,
increased reconstitution time or crystallization of one or more
components of the formulation. For some, solid dosage forms
are susceptible to oxidative degradation; therefore, it is
crucial to eliminate oxygen from the vial’s headspace. The
headspace of selected vials should be analyzed periodically
for oxygen. Many freeze-dried powders are sealed under
vacuum or an inert gas. Testing of selected vials during the
stability study for presence of vacuum in the headspace of the
vial is a useful method of verifying container-closure
integrity.
Sterile suspensions can be challenging with respect to
physical stability, and this should be reflected in the stability
1429
procedure. Examples of physical stability issues for
suspensions include:
1. Caking, which causes poor resuspendability;
2. Changes in the particle size distribution, mainly growth of
large crystals of drug, which can cause poor syringeability;
and
3. Polymorphic transformations, which can result in changes
in dissolution profile and, therefore, in the bioavailability of
the drug.
In parenteral emulsions, changes in particle size distribution
of the oil phase affects stability. Droplet coalescence results
in increased droplet size. As a general rule, average droplet
size should be less than 1mm. Parenteral emulsions with
droplet sizes of more than 6mm, on administration, can cause
blockage of capillaries, resulting in capillary emboli.
1430
Most of the injectable solutions are prepared by dissolving the
drug and other excipients, adjusting the pH, sterile filtering
the resultant solution through a 0.22μm membrane filter and,
if feasible, autoclaving the final product. However, many
drugs are heat sensitive; therefore, sterile filtration, followed
by aseptic filling and those drug solutions that could
withstand heat are terminally sterilized by autoclave after
filling, since this imparts best product sterility. For instance,
large-volume parenterals (LVPs) and small-volume
parenterals (SVPs) without an antimicrobial agent should be
terminally sterilized. It is common practice to include an
antimicrobial agent in SVPs that cannot be terminally
sterilized or are intended for multiple-dose use. The general
exceptions are products that pass the USP Antimicrobial
Preservative Effectiveness Test [USP, 2000]. For example,
some barbiturate products have a pH of 9–10 and a vehicle
that includes propylene glycol and ethanol.
Parenteral solutions are normally filtered through 0.22μm
membrane filters to achieve sterility and remove particulate
matter. Prefiltration through a coarser filter is often carried
out to maintain adequate flow rates, or to prevent clogging of
the filters during large-scale manufacturing. Talc or other
filter aids may also be necessary. Proteins are costly, so
formulator must be aware of the potential for binding when
filtering protein solutions, and membrane should hence be
used to minimize protein adsorption to the membrane surface.
A filter medium that minimizes this binding includes
hydrophilic polyvinylidene difluoride and hydroxyl-modified
hydrophilic polyamide membranes (Pitt, 1987).
The total fluid volume that must be filled into a unit
parenteral container is typically larger than the volume that
would contain the exact labelled dose. The excess fill volume
depends on the viscosity of the solution and the retention of
1431
the solution by the container and the stopper. The USP
provides a procedure for calculating the fill dose that is
necessary to ensure the delivery of the stated dose. It also
provides a table of excess volumes that are usually sufficient
to permit withdrawal and administration of the labelled
volume (see Table 30.11).
Suspensions/Emulsions (Long-Acting
Formulations)
1432
It is one of the most critical dosage forms to formulate, as it
requires a delicate balance of variables to formulate a product
that is easily resuspended and can be ejected without creating
many problems. To achieve these, it is necessary to select and
carefully maintain particle size distribution, zeta potential and
rheological properties, besides the manufacturing steps that
control wettability and surface tension. The requirements for,
limitations in and differences between the design of injectable
suspensions and other suspensions have been previously
summarized (Akers et al., 1987; Boylan, 1965; Boylan &
Robison, 1968). Two basic methods are used to prepare
parenteral suspensions: (a) sterile vehicle and powder are
combined aseptically, or (b) sterile solutions are combined
and the crystals formed in situ. Examples of these procedures
are when using Penicillin G Procaine Injectable Suspension
USP, which consists of an aqueous vehicle containing the
soluble components (such as lecithin, sodium citrate,
povidone and polyoxyethylene sorbitan monooleate) is
filtered through a 0.22mm membrane filter, heat sterilized and
transferred into a presterilized mixing-filling tank. The sterile
antibiotic powder, which has previously been produced by
freeze-drying, sterile crystallization or spray-drying, is
aseptically added to the sterile solution while mixing. After
all tests have been completed on the bulk formulation, it is
aseptically filled.
The other example includes Sterile Testosterone Injectable
Suspension USP. Here, the vehicle is prepared and
sterile-filtered. The testosterone is dissolved separately in
acetone and sterile-filtered. The testosterone–acetone solution
is aseptically added to the sterile vehicle, causing the
testosterone to crystallize. The resulting suspension is then
diluted with sterile vehicle, mixed, the crystals allowed to
settle and the supernatant solution siphoned. This procedure is
1433
repeated several times until all the acetone has been removed.
The suspension is then brought to volume and filled in the
normal manner.
Parenteral suspensions are often administered through 1-in. or
longer needles having internal diameters in the range of only
300–600 nm, which signifies their flow properties. The flow
properties of parenteral suspensions are usually characterized
on the basis of syringeability or injectability.
1434
systems upon freezing can sometimes be induced to
crystallize by thermal treatment, or annealing, in the
freeze-dry process. The product is first frozen to –40°C, then
heated to a temperature above the glass transition
temperature, held for a few hours and then cooled before
starting the drying process. Some cephalosporins have been
shown to crystallize during annealing steps (Gatlin &
DeLuca, 1980). In addition, annealing has been shown to
improve both the rate and the vial-to-vial uniformity of
primary drying (Searles et al., 2000).
While crystallinity of a drug is generally desirable for
freeze-drying, it is often important for excipients to remain
amorphous. In particular, disaccharides (such as sucrose and
trehalose) are important as formulation additives to stabilize
proteins against damage caused by freezing, freeze-drying or
both. However, in order to be effective stabilizers, it is
essential for these compounds to remain amorphous both
during freeze-drying and during subsequent storage.
An understanding of the effect of formulation on
freeze-drying behaviour is important to the pharmaceutical
scientist involved in the development of freeze-dried
products. Mixtures of components should be expected to
behave differently from single-component systems. For
example, a compound that crystallizes readily from aqueous
solution when it is the only solute present may not crystallize
at all when other solutes are present. For solutes that remain
amorphous on freezing, the glass transition temperature is
affected by the presence of other solutes. Subtle variations in
the composition of the formulation, such as changes in ionic
strength or pH, may have a significant effect on the physical
chemistry of the freezing and freeze-drying processes.
Many drugs are present in a dose too small to form a
well-defined freeze-dried cake and must be formulated with a
1435
bulking agent, the purpose of which is to provide a dried
matrix in which the active ingredient is dispersed. Common
bulking agents are mannitol, lactose, glycine and mixtures of
these compounds. Buffers are commonly used, such as
sodium or potassium phosphate, acetate, citrate,
tris-hydroxymethylaminomethane (THAM) or histidine.
Formulations of proteins, liposomes or cells generally require
the presence of a protectant or a substance that protects the
active compound from damage by freezing, drying or both.
Disaccharides, such as sucrose and trehalose, are, in general,
the most effective protectants (Crowe et al., 1990). The use of
maltose and lactose, also disaccharides, should be approached
with caution, since they are both reducing sugars.
The quantity of residual water is frequently a critical product
characteristic relative to chemical and physical stability of
freeze-dried products, particularly amorphous solids. Water
acts as a plasticizer of the solid material, lowering the glass
transition temperature. A low glass transition temperature
relative to the
storage temperature can result in physical instability, such as
cake shrinkage or collapse, or accelerated rates of chemical
reactions leading to instability. Often a small change in
moisture content can result in a large change in the glass
transition temperature; therefore, careful consideration of
appropriate limits on residual moisture is often an important
part of the product development process.
In-vial lyophilization results in a very light, fluffy porous
cake in the vial, which gets readily reconstituted, using an
aqueous diluent, than a dry filled powder. The resultant
product is very elegant and has particle-free preparation. The
lyophilization process however is very expensive.
1436
Protein Formulation
1437
stabilization of proteins commonly include additives such as
other proteins (e.g. serum albumin), amino acids and
surfactants to minimize adsorption to surfaces, modification
of protein structure by genetic engineering, and chemical
modification such as conjugation with polyethylene glycol.
Most proteins are not adequately stable in aqueous solution to
allow formulation as a sterile solution. Instead, the protein is
freeze-dried and reconstituted before use. Development of a
freeze-dried protein formulation often requires special
attention to the details of the freezing process (potential pH
shifts and ionic strength increase with freezing) (Discussed in
Chapter 14) as well as to potential loss of activity with drying.
Microspheres
Emulsions
1438
sustained release to be achieved. In either case, the nature of
the sustained-release delivery profile will be a function of the
partition coefficient of the molecule between the two phases,
which will define the rate at which the molecule is available
for absorption.
Parenteral emulsions were first introduced to provide an IV
source of essential fatty acids and calories. This has
developed into the extensive and routine use of products such
as Intraplipid, Lipofundin and Liposyn in total parenteral
nutrition. There are relatively few commercial available
emulsions containing active compounds; the only example on
the US market is Diprivan. Diazepam is also available as an
injectable emulsion on the UK market (Diazemuls). All
parenteral emulsions are oil-in-water formulations, with the
oil as the internal phase dispersed as fine droplets in an
aqueous continuous phase. An emulsifier, usually egg or soy
lecithin, is needed to lower the interfacial tension and prevent
flocculation and coalescence of the dispersed oil phase.
Mechanical energy, usually in the form of homogenization, is
required to disperse the oil phase into droplets of a suitable
size. For IV administration, the droplet size should be below
1μm to avoid the potential for emboli formation.
Clearly, physical stability is of critical importance for
emulsion formulations, and care must be taken to ensure not
only that the product itself is physically stable but also that
any infusion solutions that may be prepared by dilution of the
emulsion are also physically stable over the required period of
time. In addition, parenteral emulsions should be able to
withstand the stresses associated with moist heat sterilization.
Alternatively, if this cannot be achieved, it may be possible to
prepare an emulsion aseptically from sterile components,
provided the process can be suitably validated.
1439
Liposomes
1440
device that provides mechanical pressure (2–12 psi) to
overcome the resistance to flow in the vessels. The types of
positive pressure pumps are categorized according to how
they deliver the solution and their degree of precision in the
flow rate. Positive pressure pumps include peristaltic pumps,
cassette pumps, syringe pumps, non-electric or disposable
pumps and patient-controlled analgesic pumps (PCA).
Syringe pumps are usually the most accurate pumps, with
flow variances at 2% or less.
Non-electric or disposable syringe and PCA pumps are useful
for ambulatory care. PCA pumps are very useful for the
parenteral administration of analgesics (e.g. morphine) and
can be easily programmed to deliver bolus doses and provide
a dosing history. Non-electric or disposable pumps are
lightweight, and the solution is delivered based upon a
vacuum or through the generation of a gas in the system. A
recent consensus development conference on the safety, cost,
simplicity of use and training of intravenous drug delivery
systems, focusing on acute care and non-electronic devices,
reviewed the use of manufacturer-prepared (e.g. premixed or
frozen products), point-of-care activated systems
(manufacturer-prepared products that require the drug and
diluent to be mixed at the point of care), pharmacy-based
intravenous admixture, intravenous push medications in
prepared or premade syringes, augmented IV push systems
(syringe pumps) and volume control chambers (Andrews et
al., 1997).
Manufacturer-prepared products, point-of-care activated
products and pharmacy-based intravenous admixture
programs were recommended as being superior intravenous
drug delivery systems, with the manufactured products being
considered the safest systems due to the quality assurance in
the preparation of these products.
1441
References
1442
Lachman L, Pauli WA, Sheth PB, Pagliery M. J. Pharm. Sci.
1966;55:962.
Lachman L, Urbanyi T, Weinsteln S. J. Pharm. Sci.
1963;52:244.
Lieberman A. Med. Device & Diagn. Ind. 1982;4(1):43.
Lin KS, Anschel J, Swartz CJ. Bull. Parenter. Drug Assoc.
1971;25:40–50.
Louer RC Jr., Russoman JA, Rasanen PR. Bull. Parenter.
Drug Assoc. 1971;25:54.
Loughhead HO, Moffett JA. Bull. Parenter. Drug Assoc.
1971;25:261.
Majeske JP. Bull. Parenter. Drug Assoc. 1971;16(4):1.
Myers T, Chari S. J. Parenter. Sci. Technol. 1986;40:182.
Petrick RJ, Loucas SP, Cohl JK, Mehl B. Am J. Hosp. Pharm.
1977;34:357.
Pitt A. J. Parent. Sci. Tech. 1987;41:110–114.
Reich RR, Burgess DJ. In: Swarbrick J, Boylan J, eds.
Ethylene Oxide Sterilization, Encyclopedia of Pharmaceutical
Technology,.5. New York: Marcel Dekker; 1992:315–336.
Sanga SV. J. Parent. Drug Assoc. 1979;33:61.
Searles JA, Carpenter JF, Randolph TW. Am. Pharm. Rev.
2000;3.
Seiberling DA. Pharm. Eng. 1986;6(6):30.
Singh M, Ravinm LJ. Pharm. Eng. 1986;40:34.
Terry J, Baranowski L, Lonsway RA, Hedrick CE.
Intravenous Therapy Clinical Principles and Practice,.
Philadelphia, PA: W.B. Saunders Co.; 1995.
Tse FLS, Welling PGJ. Parent. Drug Assoc. 1980;34:409.
Turco S, King RE. 2 Sterile Dosage Forms,. Philadelphia:
Lea & Febiger; 1979.
United States Pharmacopeia. 24 National Formulary,.
Rockville, MD: The United States Pharmacopoeial
Convention, Inc.; 2000:1775. 19
1443
Whitfield WJ. Bull. Parent. Drug Assoc. 1967;21:37.
1444
Chapter 31
New Drug Delivery Systems
Targeted drug delivery is the most important part of
pharmaceutical research and development. In this perspective,
drug targeting is defined in the broadest sense, that is, to
optimize a drug’s therapeutic index by strictly localizing its
pharmacological activity to the site or organ of action. The
idea of drug targeting to a specific site in the body was first
introduced long ago by Ehrlich (Ehrlich, 1906). However,
only recently it emerged as an important area of research.
This long passivity in the field through most of the 20th
century can be attributed to an inadequate understanding of
various diseases; a lack of a detailed description, at the
cellular and molecular levels, of how drugs are processed; and
difficulties in identifying and producing carrier molecules
specific to the targeted organs, cells or tissues. Most drugs,
after administration in a conventional immediate or
controlled-release dosage form, freely distribute throughout
the body, typically leading to uptake by cells, tissues or
organs other than where their pharmacological receptors are
located. The lack of target specificity, for the most part, can
be attributed to the formidable barriers that the body offers to
a drug. For example, a drug taken orally must be stable at the
environment of the gastrointestinal tract (i.e. large
fluctuations in pH), as well as resist the degradation by
enzymes that digest food and metabolism by microflora that
live there. The drug is then systemically absorbed from the
gastrointestinal tract into the blood. Once in the blood, it
needs to survive inactivation by metabolism and extraction
(first-pass effects). Then to produce its therapeutic effect(s),
1445
the drug must selectively access and interact with its
pharmacological receptor(s) with sufficient concentration.
Administration of drugs by parenteral routes mitigates
GI-associated problems, but deactivation and metabolism of
the drug and dose-related toxicity are frequently observed.
Furthermore, it is also difficult to ensure whether the drug
reaches its desired destination in adequate concentrations.
There are many diseases in which accessibility is poor; for
example, rheumatoid arthritis, diseases of the central nervous
system, some cancers, and bacterial, fungal and parasitic
infections. The treatment of these diseases often requires high
doses and frequent administration of drugs, which can lead to
toxic manifestations, inappropriate pharmacodisposition,
untoward metabolism and other deleterious effects (Banker &
Rhodes, 2002).
In brief, drug instability as delivered from conventional
formulation, low solubility, low absorption, high membrane
binding, biological instability, short half-life, large volume of
distribution, low specificity, low therapeutic index and
anatomical or cellular barriers are some of the major factors
that to be considered for targeted drug delivery.
Thus, a target-oriented drug delivery system provides drug
selectively to its site(s) of action(s) offering maximum
therapeutic activity (through controlled and predetermined
drug-release kinetics), preventing degradation or inactivation
during transit to the target sites and protecting the body from
adverse reactions because of inappropriate disposition. Drugs
with a low therapeutic, targeted drug delivery provide an
effective treatment at a relatively low drug concentration
(Vyas & Khar, 2004). Other requirements for target-oriented
drug delivery include the following: (1) the delivery system
should be biochemically inert, nontoxic, nonimmunogenic
and physically and chemically stable in vivo and in vitro; (2)
1446
the carrier must be biodegradable or readily eliminated
without problems; and (3) the preparation of the delivery
system must be reproducible, cost-effective and reasonably
simple.
There are many important parameters such as nature of
biological and cellular membranes, distribution and presence
of drug receptors and the enzymes responsible for drug
metabolism, time–plasma concentration profiles, local blood
flow, and so on that should be considered when designing a
delivery system for drug targeting. The drug-targeting
mechanism (approaches) can be classified into three
categories: (1) physical, (2) biological and (3) chemical
(site-specific or targeting systems) (Tomlinson, 1983 &
1986).
The physical delivery systems of drug targeting started with
modifying drug pharmacokinetics. The various physical
delivery forms, such as biodegradable polymers or osmotic
pumps, provide a way to achieve a sustained, quasi-constant
blood/tissue concentration of a drug. Localized drug delivery
device at or around the target organ (implants) helps to
achieve differential distribution of drug. Some examples of
this kind of physical targeting are the pilocarpine delivery to
the eye from a polymeric device (ocusert), the contraceptive
sustained release of progesterone from a vaginal polymeric
insert and the surgical implant of anticancer drug
chloroethyl-cyclohexyl-nitrosourea (CCNU) to the brain.
Biological targeting systems are primarily based on
antibodies and hence result in a highly desirable drug delivery
profile. However, there are a number of problems related to
the actual distribution of an antibody–drug conjugate in the
body. Some of them are as follows:
1. The potential modification of the specificity of an antibody
by conjugation to one or more drug molecules
1447
2. The problem of stoichiometry, that is, the amount of drug
the antibodies can actually carry
3. Timely enzymatic cleavage of the antibody–drug
conjugate.
Passive Targeting
1448
Inverse Targeting
Active Targeting
1449
second-order targeting (cellular targeting) and third-order
targeting (intracellular targeting).
First-order targeting refers to restricted distribution of the
drug carrier system to the capillary bed of a predetermined
target site, an organ or a tissue. Targeting in lymphatics,
peritoneal cavity, plural cavity, cerebral ventricles, lungs,
joints, eyes, etc. are examples of first-order targeting.
Second-order targeting refers to the selective delivery of
drugs to a specific cell type such as tumour cells and not to
the normal cells. Selective drug delivery to the Kupffer cells
in the liver is a very common example of this approach.
Third-order targeting refers to drug delivery specifically to
the intracellular site of target cells. Receptor-based
ligand-mediated entry of a drug complex into a cell by
endocytosis, lysosomal degradation of carrier followed by the
release of drug intracellularly or gene delivery to nucleolus
are some of the common examples of third-order targeting
(Vyas et al., 2001; Vyas & Siharkar, 2000).
Ligand-mediated targeting is an another approach for active
targeting. It can be attained through bioconjugate systems or
anchored as ligands on some delivery vehicle (drug carrier
system). Antibodies, polypeptides, oligosaccharides, viral
proteins and fusogenic residues are common ligands used for
drug targeting. Ligand-mediated active targeting can be
achieved using specific uptake mechanisms such as
receptor-dependent uptake of natural low-density lipoproteins
(LDL) particles and synthetic lipid microemulsions of
partially reconstituted LDL particles coated with apoproteins.
The apoprotein coat serves as a ligand for the LDL receptors
expressed in the body.
Physical targeting (triggered release) is the selective drug
delivery system programmed and monitored at the external
level with the help of physical means. For physical targeting,
1450
some naturally occurring methods are used either to direct the
carrier to a particular location or to cause selective release of
its contents. Temperature-sensitive, pH-sensitive and
magnetic responsive drug delivery devices are examples of
physical targeting that are driven by temperature, pH or
external magnetic field, respectively.
Dual Targeting
Double Targeting
1451
methodologies are combined, it is called double targeting.
(Mew et al., 1983; Oseroff et al., 1986).
Combination Targeting
These targeting systems are equipped with carriers, polymers
and homing devices of molecular specificity that provides a
direct approach to the target site. Modification of proteins and
peptides with natural polymers, such as polysaccharides, or
synthetic polymers, such as poly (ethylene glycol), may alter
their physical characteristics and favour targeting the specific
compartments, organs or their tissues within the vasculature
(Petit & Gombtz, 1998).
Combination targeting can be achieved through physical
(permeation enhancing), chemical (prodrug approach) or
carrier encapsulation.
Irrespective of the approach, the therapeutic efficacy of
targeted drug delivery systems also depends on the timely
availability of the drug in active form at the target site(s) and
its intrinsic pharmacological activity. The intrinsic
pharmacokinetic properties of the free drug should be the
same, irrespective of whether or not it is introduced into the
body attached to a carrier. After administration, a drug
frequently passes through various cells, membranes and
organs to reach its target site(s). Various passive and active
processes or mechanisms offer cell selection and access by
targeted drug delivery.
Low-molecular-weight drugs can enter into, or pass through,
various cells by simple diffusion processes whereas simple
diffusion of macromolecules is quite difficult, thus
necessitating endocytosis, which involves capturing of
macromolecules. Endocytosis is defined as the phenomenon
1452
that involves internalization of the plasma membrane, with
concomitant engulfment of the extracellular material
(particulate or fluid). Other methods of gaining access to cells
include passive diffusion, membrane fusion and binding to
specific or nonspecific regions of the cell.
Endocytosis can be divided into two types: phagocytosis and
pinocytosis (see Fig. 31.1). Phagocytosis refers to the capture
of particulate matter, whereas pinocytosis refers to the
engulfment of fluids. Phagocytosis is carried out by
specialized cells of the mononuclear phagocyte system
(MPS), called phagocytes. It is mediated by the adsorption of
specific blood components, for example immunoglobulin (Ig)
G, complement C3b and fibronectin (Vanoss et al., 1974),
which are known as opsonins, and relevant receptors located
on macrophages. The extent to which a drug is opsonized and
plasma protein is involved depends on the size and surface
characteristics of the particles. For example, red blood cells
treated with glutaraldehyde are opsonized by IgG and rapidly
phagocytosed by the Fc receptor. Particles with higher
hydrophilic surface characteristics tend to undergo
opsonization to a lesser extent and, as a result, exhibit
decreased phagocytic uptake (Davis et al., 1986; Douglas et
al., 1987). This directly implicates in targeting
microparticulate drugs to cells because the longer the drug
stays in the central circulation, the greater the chances of
uptake.
1453
Fig. 31.1 Phagocytic and pinocytic uptake of drug.
1454
macromolecules that bind to the cell surface membrane. If the
macromolecule adheres to a general cell surface site, then
uptake is referred to as nonspecific pinocytosis. However, if it
binds to a specific cell receptor site, then the process is called
receptor-mediated pinocytosis. Before membrane
internalization, the pinocytic substrate often patches into
domains or areas of the membrane called coated pits (a
cytoplasmic coat consisting of clathrin and other proteins).
Once internalized, the pinocytic vesicles can interact among
themselves or with vesicles of other intracellular origins, such
as endosomes and lysosomes. Endosomes are rich in
pinocytic receptors and contain an active ATP-powered
proton pump (not identical with that present in lysosomes)
that maintains the internal pH between 5.0 and 5.5. The mild
internal acidic pH condition induces dissociation of the
receptor–drug carrier complex, freeing the receptor for
recycling. Endosomes also act as a sorting station to route
internalized substrates to their appropriate intracellular
locations. Internalized substrates that remain intact in the
endosome are usually then transferred to the lysosome
(transcellular transfer), where their digestion by acid
hydrolases continues. In some cells (e.g. endothelial cells) the
endosomes, instead of transferring their contents to the
lysosome, release them outside the cell. This process is
termed diacytosis or retroendocytosis, which can achieve a
vectorial translocation of substances through an otherwise
impenetrable barrier of cells. In cells such as secretory
polymeric IgG in the neonatal gut, polymeric IgA in
hepatocytes and low-density lipoprotein (LDL) in endothelia,
the secondary lysosome transports its contents to the other
side of the membrane by a process called transcytosis. The
secondary lysosome can also regress to form residual bodies
that continue to retain nondegraded macromolecules.
1455
Nonspecific pinocytic uptake depends on the size (molecular
weight and configuration), charge and hydrophobicity of the
pinocytic substrates. The rate of pinocytic uptake in different
cells also increases with an increase in the size and
hydrophobicity of the substrates. The molecular size of the
pinocytic substrate is detrimental to the movement of
macromolecules from one compartment to another (Vyas &
Khar, 2004).
The receptor-mediated form of endocytic uptake has been
identified in a wide variety of physiological ligands, such as
metabolites, hormones, immunoglobulins and pathogens (e.g.
virus and bacterial and plant toxins). Several endosomotropic
receptors identified in cells are listed in Table 31.1.
1456
Compared with phagocytosis, fluid-phase pinocytic capture of
molecules is relatively slower, being directly proportional to
the concentration of macromolecules in the extracellular fluid.
It also depends on the size (molecular weight) of
macromolecules; lower-molecular-weight fractions are
captured faster than the higher-molecular-weight fractions.
The magnitude of the capture rate by adsorptive pinocytosis is
higher than that of fluid-phase pinocytosis and relates to the
nature of substrate–membrane interactions.
1457
2. Cellular carriers resealed erythrocytes: Serum albumin,
antibodies, platelets, leukocytes
3. Supramolecular delivery systems: Micelles, reverse
micelles, mixed micelles, polymeric micelles, liquid crystals,
lipoproteins (chylomicron, VLDL, LDL), synthetic
LDL-mimicking particles (supramolecule biovector system)
4. Polymer-based systems: Signal sensitive, mucoadhesive,
biodegradable, bioerodible, soluble synthetic polymeric
carriers
5. Macromolecular carriers: (a) Proteins, glycoproteins,
neoglycoproteins and artificial viral envelopes (AVE); (b)
glycosylated water-soluble polymers (poly-l-lysine); (c)
Mabs, immunological Fab fragments, antibody–enzyme
complex and bispecific Abs; (d) toxins, immunotoxin and
rCD4 toxin conjugates; (e) lectins (Con A) and
polysaccharides (Vyas & Dixit, 1998)
Prodrug
1458
4. The active drug produced in situ must remain at the target
site and not leak out into the systemic circulation, which
could lead to adverse effects.
Thus, prodrugs are designed to alter the absorption,
distribution and metabolism of the parent compound and,
thereby, to increase its beneficial effects and decrease its
toxicity. Prodrugs are also used to overcome formulation
problems and to avoid an unpleasant taste or odour of the
parent compounds.
Conversion of compound into ester and amide is a common
approach used in the preparation of prodrug, which can be
converted into the active form by the action of esterase and
peptidase enzyme. Prodrugs containing an amide bond when
used in vivo has had varying degrees of success. Chemically
reconvertible prodrugs frequently lack selectivity of
activation at the target sites and thus offer little opportunity
for drug targeting.
Prodrugs that have been successful in site-specific delivery
include L-3,4-dihydroxyphenylalanine (L-dopa) to the brain,
dipivaloyl derivative of epinephrine to the eye,
γ-glutamyl-l-dopa to the kidney, γ-s-d-glucoside
dexamethasone and prednisolone derivatives to the colon,
thiamine-tetrahydrofuryldisulphide to red blood cells, and
various amino acid derivatives of antitumour agents such as
daunorubicin, acivicin, doxorubicin and phenylenediamine to
tumour cells.
The selective delivery of drugs to the brain is quite difficult
and only highly lipid-soluble drugs can cross the blood– brain
barrier. Prodrugs having high lipid solubility can be used for
the brain transportation, but they may show increased
partitioning of such drugs to other tissues also, thereby
leading to adverse reactions. For example, l-dopa, the
precursor of dopamine, when administered orally, readily
1459
partitions throughout the body, including the brain. Its
conversion to dopamine in the corpus striatum produces the
therapeutic response, whereas its conversion in the peripheral
tissues results undesirable side effects. Although many of
these side effects can be overcome by additional
administration of an inhibitor of aromatic amino acid
decarboxylase, such as carbidopa, which prevents its
transformation in the peripheral tissues, the direct delivery of
dopamine to the brain constitutes an attractive alternative.
Some of the drugs and their prodrug and regeneration
methods are shown in Table 31.2 (Stella & Himmelstein,
1980 & 1982; Gardner & Alexander, 1985).
Regeneration
Drug Prodrug
method
R-OH • Alkyl esters and half esters Enzyme
(Alcohols and • Phosphate and sulphate
phenols) esters
• Sulphoacetyl, dialkyl
aminoacyl
• Acyloxyalkyl ethers and
thioethers
R-COOH • Alkyl and glyceryl esters Enzyme
• Acyloxyalkyl and lactonyl
esters
• Alkoxycarbonyloxyalkyl
esters
•
(2-Oxo-1,3-dioxolenyl)alkyl
esters
1460
RNH2, R2NH • Amides and peptides Chemical
and R3N • Soft quaternary ammonium
salts
• Carbamates
• Hydroxymethyl esters
• Enamines, Schiff bases Enzyme
• Mannich bases,
• Hydroxymethyl derivatives
R-CHO and > • Enol esters Enzyme
C= • Thiazolidines and Chemical
oxazolidines
R-C(O)-NH2 • Hydroxymethyl esters such Enzyme
and imides as acetate and phosphates
• Hydroxymethyl derivatives Chemical
• Mannich bases
Liposomes
In 1964, Bangham and Horne first demonstrated that the
dispersion of naturally occurring phospholipids in an aqueous
medium results in a vesicle (liposome), which has an interior
water phase surrounded by a lipid bilayer membrane.
Liposomes have been considered to be excellent models of
cell membranes and have been used as potent carriers in
which various materials such as drugs, toxins, proteins,
enzymes, antibodies and nucleotides are encapsulated.
Liposome helps to improve therapeutic index, rapid
metabolism, unfavourable pharmacokinetics, low solubility
and lack of stability and is considered as an acceptable and
superior drug delivery system because it is biocompatible,
1461
biodegradable and nontoxic. Liposomes are artificially
prepared phospholipid vesicles with amphipathic features.
Hydrophilic molecules can be encapsulated in the aqueous
spaces and lipophilic molecules can be incorporated in the
lipid bilayers
(see Fig. 31.2). Table 31.3 summarizes the classification of
liposomes on the basis of pharmaceutical and therapeutic
aspects (Bangham, 1983).
Type(s) Specifications
Based on structural parameters
MLV Multilamellar large vesicles: >0.5μm
OLV Oligolamellar vesicles: 0.1–1μm
1462
UV Unilamellar vesicles (all sizes in range)
SUV Small unilamellar vesicles: 20–100μm
LUV Large unilamellar vesicles: >100μm
GUV Giant unilamellar vesicles: >1μm
MVL Multivesicular Liposomes: >1μm
Based on the method of the liposome preparation
REV Single or oligolamellar vesicles prepared
MLV-REV by the reverse-phase evaporation method
SPLV Multilamellar vesicles prepared by the
FATMLV reverse-phase evaporation method
VET Stable plurilamellar vesicles
DRV Frozen and thawed MLV
Vesicles prepared by the extrusion
technique
Dehydration and rehydration method
Based on composition and application
Conventional Natural or negatively charged
liposomes (CL) phospholipids and cholesterol are used
Fusogenic Reconstituted Sindai virus envelopes
liposomes Phospholipids such as PE or DOPE
(RSVE) Cationic lipid with DOPE
pH-sensitive Natural high Tc prepared using
liposomes cholesterol and 5–10% of PEG–DSPE of
Cationic GM1
liposomes LCL attached to ligand or monoclonal
Long circulatory antibodies
liposomes
Immunoliposomes
Liposomes can be prepared by mechanical dispersion, solvent
dispersion or by the detergent removal method, which are
further classified as shown in Fig. 31.2.
1463
Due to their structure, chemical composition and colloidal
size, all of which can be well controlled by preparation
methods, liposomes exhibit several properties, which may be
useful in various applications. The most important properties
are colloidal size, i.e. rather uniform particle size distributions
in the range from 20 nm to 10μm, and special membrane and
surface characteristics. They include bilayer phase behaviour,
its mechanical properties and permeability, charge density,
presence of surface-bound or grafted polymers, or attachment
of special ligands. Additionally, due to their amphiphilic
character, liposomes can act as powerful solubilizing systems
for a wide range of compounds. In addition to these
physicochemical properties, liposomes exhibit many special
biological characteristics, including (specific) interactions
with biological membranes and various cells. These
properties indicate several possible applications with
liposomes as the solubilizers for difficult-to-dissolve
substances, dispersants, sustained release systems, delivery
systems for the encapsulated substances, stabilizers,
protective agents, microencapsulation systems and
microreactors being the most obvious ones. Liposomes can be
made entirely from naturally occurring substances and are
therefore nontoxic, biodegradable and nonimmunogenic. In
addition to these applications, which significantly impact
several industries, the properties of liposomes make it a very
useful model system in many fundamental studies including
topology, membrane biophysics, photophysics and
photochemistry, colloid interactions, cell function and signal
transduction. The industrial applications include liposomes as
drug delivery vehicles in medicine, adjuvants in vaccination,
signal enhancers/carriers in medical diagnostics and analytical
biochemistry, solubilizers for various ingredients and support
1464
matrix for various ingredients and penetration enhancer in
cosmetics.
Applications of liposomes are summarized in Tables 31.4 and
31.5 (Lasic, 1992 & 1995).
Subject Application
Biochemistry Reconstitution of artificial membrane
Biology Biological membrane model, study of cell
function
Chemistry Used in study of photochemistry and catalysis,
and physical colloidal behaviours in a system of
chemistry well-defined physical characteristics
Mathematics Topology of two-dimensional surfaces in
three-dimensional space governed only by
bilayer elastic
Medicine Drug delivery, therapy and diagnosis
Physics Aggregation behaviour, soft- and
high-strength materials
Property of
liposome Application Disease
used
Accumulation Prostaglandins Cardiovascular
disease
1465
Drug depot Lung, subcutaneous, Wide range of
intramuscular, ocular therapeutic
applications
Drug Interleukins Cancer
protection treatment
Enhanced Topical vehicle Dermatology
penetration
Extravasation Leaky vasculature of Cancer,
tumours, inflammations bacterial
infection
RES uptake Immunomodular, vaccine, Cancer, topical
antimalarials parasites
Sustained Sustain release of Cancer and
release antineoplastic drugs, treatment of
hormones, corticoster-oids, other diseases
etc.
Site Delivery of doxorubicin, Cancer
specificity avoiding cardiac uptake
Solubilization Minoxidil Fungal
infection
Specific Cell bearing specific Wide range of
targeting antigens therapeutic
applications
Niosomes
1466
studied nonionic surfactant vesicles (niosomes) to evaluate
their potential as drug carriers. Niosomes or nonionic
surfactant vesicles are microscopic lamellar structures formed
on an admixture of nonionic surfactant of the alkyl or dialkyl
polyglycerol ether class and cholesterol with subsequent
hydration in aqueous media. Similar to liposomes, the
properties of niosomes depend both on the composition of the
bilayer and on the method of their production. The
self-assembly of surfactants into niosomes is governed not
only by the nature of the surfactant but also by the presence of
membrane additives, the nature of the drug encapsulated and
the actual method of preparation. Methods of niosomes
preparation and the number of different morphologies that
have been identified are detailed in Fig. 31.3 (Jain, 1997).
Niosomes can be prepared by various methods, including:
1. Ether injection method
2. Hand manual shaking method
3. Reverse-phase evaporation technique
4. Transmembrane pH gradient
5. The ‘bubble’ method
6. Formation of niosomes from proniosomes
1467
Fig. 31.3 Structure of niosomes.
Pharmacosomes
1468
Pharmacosomes are amphiphilic phospholipid complexes of
drugs bearing active hydrogen that bind to phospholipids.
Two methods have been used to prepare vesicles: the
hand-shaking method and the ether-injection method. In the
hand-shaking method, the dried film of the drug–lipid
complex (with or without egg lecithin) is deposited in a
round-bottom flask, and upon hydration with aqueous
medium, readily produces a vesicular suspension. In the
ether-injection method, an organic solution of the drug–lipid
complex is injected slowly into the hot aqueous medium,
wherein the vesicles are readily formed. An alternative
approach for producing pharmacosomes was recently
reported, in which a biodegradable micelle-forming drug
conjunct was synthesized from the hydrophobic drug
adriamycin and a polymer composed of polyoxyethylene
glycol and polyaspartic acid. This approach is beneficial in
that although it may be possible to dilute out the micelle, the
drug will probably not precipitate because of the water
solubility of the monomeric drug conjunct.
Pharmacosomes have been prepared for various nonsteroidal
anti-inflammatory drugs, proteins and cardiovascular and
antineoplastic drugs. Developing the pharmacosomes of the
drugs has been found to improve absorption and minimize
gastrointestinal toxicity.
Virosome
1469
membrane of an enveloped virus. Virosomes are produced by
dissolving the envelope of a virus by a detergent or
short-chain phospholipid. Next, the viral genetic material and
nonmembrane proteins are removed. Upon the subsequent
removal of the detergent or short-chain phospholipid, the viral
membrane is reconstituted, producing a virosome, containing
the viral membrane proteins and lipids. Viral proteins confer
to virosome-based vaccine structural stability, homogeneity
and increase the immunological properties of virosomes.
Virosomes provide a technology platform that can be adapted
to many vaccines. Lipids, antigens, adjuvants or other
materials can be added to the dissolved viral membrane. It
can also be included in the virosome during reconstitution.
The vaccines Inflexal for influenza and Epaxal for Hepatitis A
are the approved products on the market, both using
virosomes from influenza as a delivery platform. Vaccine
candidates of mymetics for both HIV/AIDS and malaria are
based on influenza virosomes. Virosomes are also capable of
binding and penetrating tumour cells, delivering cytotoxic
drugs.
Immunoliposomes
1470
tumours do not express unique antigens. Rather, they can
express the same antigens as normal tissue but in greater
quantities compared with normal cells. Additionally, many
tumours do not overexpress the antigens homogeneously
throughout the primary tumour or may not express them in
metastases. Some antigens may be shed or secreted, leading
to potentially high levels of soluble antigen that could
interfere with immunotherapies. Despite the above-mentioned
problem, delivery of Herceptin in immunotherapy suggests
the viability of immunoliposomes.
Chimeric or humanized mAbs can reduce the host response
against the therapeutic antibody. Removing the Fc portion of
the IgG antibody can also reduce antigenicity. In addition,
cellular internalization of antibodies increases the efficacy of
drug delivery, presumably by inducing tumour cells to
endocytose immunoliposomes. This is the case with the
HER2-targeted immunoliposomes, which distribute within
solid tumours and not simply in the extracellular space
surrounding the tumour blood vessels.
Microparticles/Microspheres
1471
polymers and are classified as follows (see Fig. 31.4) (Widder
et al., 1979).
Methods of Preparation
1472
5. Biocompatibility and susceptibility to chemical
modification.
The method of preparation can be described as follows:
1. Emulsification method: Single emulsification method,
double emulsification method
2. Polymerization techniques: Normal polymerization,
interfacial polymerization
3. Phase separation coacervation technique
4. Spray drying and spray congealing
5. Solvent extraction method
Applications
1473
formulations such as creams, lotions and powders.
Microsponges consist of noncollapsible structures with a
porous surface through which active ingredients are released
in a controlled manner.
6. Surface modified microspheres: Different approaches have
been utilized to change the surface properties of carriers to
protect them against phagocytic clearance and to alter their
body distribution patterns. The most studied surface modifiers
are antibodies and their fragments, proteins, mono-, oligo-
and polysaccharides, chelating compounds, etc. Such
modifications occur in the surface of microspheres to target
the discrete organs and to avoid rapid clearance from the
body.
Nanoparticles
1474
including size of nanoparticles required; inherent properties
such as aqueous solubility and stability of drugs; surface
characteristics such as charge and permeability; degree of
biodegradability, biocompatibility and toxicity; desired drug
release profile; and antigenicity of the final product.
Nanoparticles are usually prepared by three methods: (1)
dispersion of preformed polymers, (2) polymerization of
monomers and (3) ionic gelation or coacervation of
hydrophilic polymers.
Dispersion of preformed polymers is a common technique
used to prepare biodegradable nanoparticles from poly(lactic
acid) (PLA). This can be achieved by two approaches: the
solvent evaporation method or the spontaneous emulsification
or the solvent diffusion method.
In the polymerization method, monomers are polymerized to
form nanoparticles in an aqueous solution. The drug may be
incorporated either by dissolving it in the polymerization
medium or by adsorption onto the nanoparticles after
completion of polymerization. The nanoparticle suspension is
then purified to remove various stabilizers and surfactants
used in the polymerization technique by ultracentrifugation
and re-suspending the particles in an isotonic surfactant-free
medium.
In coacervation or the ionic gelation method, biodegradable
hydrophilic polymers such as chitosan, gelatin and sodium
alginate are used to prepare nanoparticles. This method
involves the interaction of positively charged amino group of
chitosan with negatively charged tripolyphosphate to form
coacervates within a particular nanosize range. Coacervates
are formed as a result of electrostatic interaction between two
aqueous phases, whereas ionic gelation involves the material
undergoing transition from liquid to gel due to ionic
1475
interaction conditions at room temperature (Kreuter & Liehl,
1981; Couvreur, 1988).
Applications of nanoparticles:
1. Used as a carrier system to deliver different drugs to
different organs.
2. Transport active drugs across the blood–brain barrier, such
as hexapeptide endorphin dalargin, loperamide, tubocurarine.
3. The protein albumin or gelatin nanoparticles widely used
for the delivery of anticancer drugs such as 5-fluorouracil,
paclitaxel, doxorubicin to tumour sites.
4. Protein nanoparticles can deliver antibiotics and can be
used for the complete eradication of H. pylori.
5. Another therapeutic area for protein nanoparticles is their
use as carriers for ophthalmic drugs; for example, pilocarpine
bound to gelatin nanoparticles substantially prolong
intraocular pressure reduction in rabbits with experimental
glaucoma as well as the miosis time.
6. Gelatin nanoparticles are used as immunological adjuvant
to enhance both humoral and cellular responses to antigen.
7. Gelatin nanoparticles are used as gene delivery vehicle.
1476
types including glycerol behenate and glycerol
palmitostearate, and waxes such as cetyl palmitate. Many
emulsifiers, differing with respect to charge and molecular
weight, have been used to stabilize the aqueous lipid
dispersion. The choice of the surfactant and its concentration
depends on the chosen lipid and on the administration route
and is more limited for parenteral administration than for oral
or dermal application. Examples of such surfactants include
soybean lecithin, egg lecithin, Poloxamer 188 and sodium
cholate. A potential advantage of SLN is the use of
physiological lipids that have low cytotoxicity and therefore a
decreased danger of acute and chronic toxicity.
Solid lipid nanoparticles can be prepared by the solvent
emulsification method, microemulsion-based SLN
preparations and high-pressure homogenization.
1477
concentration in the blood, the drug will keep diffusing into
the blood for a long period of time, maintaining the constant
concentration of drug in the blood. There are different types
of TDDS, which include matrix diffusion controlled,
membrane permeation controlled and microsealed-based
transdermal drug delivery systems (see Fig. 31.5).
1478
3. Adhesive: Serves to adhere the components of the patch
together along with adhering the patch to the skin.
4. Membrane: Controls the release of the drug from the
reservoir and multilayer patches.
5. Backing: Protects the patch from the outer environment.
A wide variety of pharmaceuticals are now available in the
transdermal patch. Transdermal delivery of drugs through the
skin to the systemic circulation provides a convenient route of
administration of drug for a variety of clinical indications.
Transdermal delivery systems are currently available
containing scopolamine (hyoscine) for motion sickness,
clonidine and nitroglycerin for cardiovascular disease,
fentanyl for chronic pain, nicotine to aid smoking cessation,
oestradiol (alone or in combination with levonorgestrel or
norethisterone) for hormone replacement and testosterone for
hypogonadism.
Development of the transdermal system can be classified into
three generations. In the first generation, patch technology is
used to deliver small-molecule drugs with the right set of
properties, especially those drugs that are currently
administered orally and by injection.
In the second generation, chemical enhancers are used as
formulation excipients in topical dermatological creams and
ointments and some systemic patches for small-molecule
drugs. They will probably have little impact on the delivery of
hydrophilic drugs and macromolecules because the most
effective chemical enhancers generally diffuse out of the
stratum corneum and penetrate deeper tissues. Iontophoresis
and noncavitational ultrasound are also included in the
second-generation transdermal system. However, because
iontophoresis does not substantially change the skin barrier, it
appears unlikely to impact macromolecule or vaccine
delivery, unless used in combination with other methods that
1479
increase skin permeability, whereas noncavitational
ultrasound has found use for transdermal delivery of
anti-inflammatory in the context of physical therapy but does
not appear suitable for delivery of large compounds.
Advanced targeted, third-generation combinations of
chemical enhancers and biochemical approaches offer more
targeted enhancement.
Third-generation physical enhancement using cavitational
ultrasound and electroporation enhances transdermal delivery
by disrupting the stratum corneum on the nanometer scale.
However, their applications may be limited by the need for a
sophisticated device that only increases skin permeability at
the nanometer scale and hence may not be broadly applicable
to macromolecules and vaccines.
Skin can be disrupted on the micron scale by third-generation
physical enhancement using microneedles, thermal ablation
and microdermabrasion. These methods are promising as they
are capable of delivering not only small molecules but also
macromolecules and vaccines.
Overall, transdermal drug delivery offers opportunities to deal
with the low bioavailability of many oral drugs, the pain and
inconvenience of injections, and the limited controlled release
options of both. Building off the success of first-generation
transdermal patches, second-generation chemical enhancers
and iontophoresis are expanding delivery capabilities for
small molecules, whereas third-generation physical enhancers
(including ultrasound, thermal ablation and microneedles) can
allow transdermal delivery of macromolecules and vaccines.
These scientific and technological advances that enable
targeted disruption of the stratum corneum while protecting
deeper tissues have been very successful, bringing the field to
a new level of capabilities that position transdermal drug
delivery for increasingly widespread impact on medicine.
1480
Resealed Erythrocytes
1481
1. Erythrocytes have been used as circulating depots for the
sustained delivery of antineoplastics, antiparasitics, veterinary
antiamoebics, vitamins, steroids, antibiotics and
cardiovascular drugs.
2. Targeting RES organs: Enzyme deficiency/replacement
therapy and treatment of hepatic tumours.
3. Removing of toxic agents.
4. Enzyme therapy: Enzymes are widely used in clinical
practice as replacement therapies to treat diseases associated
with their deficiency (e.g. Gaucher’s disease, galactosuria),
degradation of toxic compounds secondary to some kind of
poisoning (cyanide, organophosphorus).
5. Improvement in oxygen delivery to tissues: Haemoglobin is
the protein responsible for the oxygen-carrying capacity of
erythrocytes. Under normal conditions, 95% of haemoglobin
is saturated with oxygen in the lungs, whereas under
physiologic conditions in the peripheral blood stream only
~5% of oxygenated haemoglobin becomes deoxygenated.
Thus, the major fraction of oxygen bound to haemoglobin is
recirculated with venous blood to the lungs.
Antibody-Targeted Systems
1482
are generally not very efficient and diminish the
antigen-binding capacity. If conjugated through an
intermediate carrier molecule, it is possible to increase the
drug/antibody ratio. Such intermediates include dextran or
poly-L-glutamic acid. Examples of drugs that have been
conjugated to antibodies or their fragments are anticancer
drugs. Numerous antibody–liposome combinations have been
investigated for delivering drugs and genes. The term
immunoliposomes is used for liposomes loaded with drug that
have been surface conjugated with antibodies. The main
advantage of antibody-targeted system is that the adverse
effects of anticancer drugs can be reduced by using
monoclonal antibodies that recognize only tumour antigens
(Green et al., 2004).
Leukocytes
1483
high shear conditions than leukocytes, there is no current
strategy to mimic platelet binding to target activated
endothelium for drug delivery applications.
Platelets
Micelles
1484
chains, owing to their high degree of hydration and large
excluded volume inducing repulsive forces, which contribute
to the stabilization of the micelle. In addition, the PEO corona
prevents recognition by the reticuloendothelial system,
thereby minimizing the elimination of the micelle from the
bloodstream. Thus, these so-called ‘stealth’ properties of the
PEO corona result in increased blood circulation times and
allow drugs to be administered over prolonged periods of
time. Surfactant micelles form only above a critical
concentration, called the critical micelle concentration
(CMC), and rapidly break apart upon dilution, which can
result in premature leakage of the drug and its precipitation in
situ. These limitations of surfactant micelles as drug delivery
carriers triggered the search for micelles of significantly
enhanced stability and solubilizing power. The use of
polymer-based micelles has gained much attention because of
the high diversity of polymers, their biocompatibility,
biodegradability and the multiple functional groups they
display for the conjugation of pilot molecules.
Polymeric Micelles
1485
as well as by decreasing undesirable drug interactions with
cells and proteins through steric-stabilization effects. The size
of polymeric micelles ranges from ~10 to ~100 nm, and
usually the size distribution is narrow.
However, there are significant differences between the two
types of assemblies from the physicochemical viewpoint. The
polymer concentration at which the association first takes
place, sometimes known as the critical association
concentration (CAC), is lower by several orders of
magnitudes than typical surfactant CMC values. Thus,
polymeric micelles are more stable towards dilution in
biological fluids. They can increase drug bioavailability and
retention, since the drug is well protected from possible
inactivation under the effect of their biological surroundings.
Polymeric micelles have been studied extensively as a
delivery medium for injectable drug formulations of poorly
water-soluble drugs such as paclitaxel, indomethacin,
amphotericin B, adriamycin and dihydrotestosterone.
In polymeric micelles, the hydrophilic outer shells protect the
cores and their contents from chemical attack by the aqueous
medium in which they must travel. Drug release is achieved
via common polymer degradation mechanisms, whereas the
specificity of the delivery system (e.g. cell-specific drug
targeting) is controlled by the synthetic design.
Currently, a hydrogel-type material is used to drive various
medications through the stomach and into the more alkaline
intestine. Hydrogels are cross-linked, hydrophilic,
three-dimensional polymer networks that are highly
permeable to various drug compounds, can withstand acidic
environments and can be tailored to ‘swell’, thereby releasing
entrapped molecules. Depending on the gel’s chemical
composition, different internal and external stimuli, that is,
changes in pH, application of a magnetic or electric field,
1486
variations in temperature and ultrasound irradiation may be
used to trigger the swelling effect.
Inverse/Reverse Micelles
Mixed Micelles
1487
The structure of different miceller systems is shown in Fig.
31.6.
Liquid Crystals
1488
cancer. LCPs have shown promise especially in transdermal
applications and because of their ability to target inflamed
tissue. An example of an LCP is the LCP-based antitumour
drug Tolecine. Tolecine has antibacterial and antiviral
properties and prevents abnormal tumour proliferation. It is
sometimes combined with another LCP called Apatone. The
combined formulation is produced using technology that
utilizes the properties of lyotropic liquid crystals, or organic
liquid crystals.
Lipoproteins
Dendrimers
1489
Synthesizing monodisperse polymers requires a high level of
control over the synthesis procedure, which can be achieved
through stepwise reactions. Each dendrimer consists of a
multifunctional core molecule with a dendritic wedge
attached to each functional site. The core molecule is referred
to as ‘generation 0’. Each successive repeat unit along all
branches forms the next generation, ‘generation 1’,
‘generation 2’ and so on until the terminating generation (see
Fig. 31.7).
1490
Dendrimers are different from traditional polymers in that
they have a multi-branched, three-dimensional architecture
with very low polydispersity and high functionality. Typical
dendrimers are globular nanoscale macromolecules with a
particular architecture constituting three distinct regions:
1. A central core, which is either a single atom or an atomic
group.
2. Branches originating from the core composed of repeating
units called generation, which is radical in position.
3. Many terminal functional groups generally located in the
exterior of the macromolecule. Dendrimers are a class of
regularly branched monodispersed polymers having 5–10
nanometers in diameter with unique structural and topological
features. Dendrimers are just in between molecular chemistry
and polymer chemistry. They pertain to molecular chemistry
by virtue of their stepwise controlled synthesis, and they
pertain to polymer chemistry because their repetitive
structures are made up of monomers. Unlike classical
polymers, dendrimers have a high degree of molecular
uniformity, narrow molecular weight distribution, specific
size and shape characteristics, and a highly functionalized
terminal surface. Dendrimers are being considered as
additives in several routes of administration, including
intravenous, oral, transdermal, pulmonary and ocular.
There are two defined methods of dendrimer synthesis, the
divergent growth method and the convergent growth method.
In the divergent method, the molecule is assembled from the
core to the periphery, whereas in the convergent method, the
dendrimer is synthesized beginning from the outside and
terminating at the core. In either methods, the synthesis
requires a stepwise process, attaching one generation to the
last, purifying and then changing the functional groups for the
1491
next stage of reaction (Gupta et al., 2006; Tathagata et al.,
2006).
On the basis of the typical structures, dendrimers can be
classified as chiral dendrimers, liquid crystalline dendrimers,
tecto dendrimers, PAMAMOS dendrimers, PAMAM
dendrimers, PPI dendrimers, hybrid dendrimers and peptide
dendrimers.
Application of dendrimers:
1. They are used as a carrier system for delivery of different
drugs to different organs, such as used in ocular, pulmonary,
and transdermal and oral drug delivery.
2. Dendrimers are also used for controlled release of drug at
the target site.
3. Dendrimers can also be used in gene delivery as well as a
solubility enhancer.
4. Dendrimers are used in photodynamic therapy and for
boron neutron capture therapy.
5. Dendrimers are also used as a diagnostic tool in molecular
probes, X-ray contrast agents and MRI contrast agents.
A number of novel-based drug design approaches have been
described in this chapter. The advantage of these approaches
is to enhance, sometimes very significantly, drug targeting to
the site of action. In the case of prodrug, the drug is designed
to be inactive and to undergo strategic enzymatic activation in
order to essentially provide the drug only at the site of action.
Delivery of this kind can be achieved to the brain, to the eye,
and to other organs such as the lungs. In addition, the other
carrier systems can achieve their target-oriented therapeutic
role.
Various carriers systems could be used for targeting the
therapeutic molecule and the side/toxic effect can be
minimized by reducing the drug delivery to unwanted cells/
tissues/ organs.
1492
References
1493
Kreuter J, Liehl E. J. Pharm. Sci. 1981;70:367.
Lasic DD. Nature. 1992;355:279.
Lasic DD. In: Lipowsky R, Sackmann E, eds. Liposome
Technology in Handbook of Biological. California, USA:
Elsevier; 1995.
Lee HL, Yamamoto A. Adv. Drug Deliv. Rev. 1990;4:17.
Mew D, Wal CK, Tower GHN, Levy J. J. Immunol. 1983.
Oseroff AR, Ohuoha D, Hasan T, Boomer JC, Yarmush ML.
Proc. Natl. Acad. Sci., USA. 1983;83:8744.
Panyam J, Labhasetwar V. Advanced Drug Delivery Reviews.
2003;55:329.
Petit DK, Gombotz. Trend. Biotechnol. 1998;16:343.
Shin Q, Montgomary R. Advanced Drug Delivery Review.
2010;62:1196.
Stella VJ, Himmelstein KJ. J. Med. Chem. 1980;23:1275.
Stella VJ, Himmelstein KJ. Critique of prodrugs and
site-specific drug delivery. In: Bundsgaard H, Hansen AB,
Kofod H, eds. Optimization of Drug Delivery. Munksgaard:
Copenhagen; 1980.
Tomlinson E. Int. J. Pharm. Technol. Prod. Manuf.
1983;4:49.
Tomlinson E. (Patho) Physiology and the temporal and spatial
aspects of drug delivery, in site-specific drug delivery. In:
Tomlinson E, Davis SS, eds. Cell Biology, Medical, and
Pharmaceutical Aspects. Chichester: John Wiley & Sons;
1986.
Tomlinson E. J. Pharm. Pharmacol. 1992;44(1):147.
Vanoss CJ, Gillman CF, Bronson PM, Border JR. Immunol.
Commun. 1974;3:329.
Vyas SP, Dixit VK. Pharmaceutical Biotechnology. New
Delhi: CBS Publishers and Distributors; 1998.
1494
Vyas SP, Khar RK. Targeted and Controlled Drug Delivery
Novel Carrier System. New Delhi: CBS Publishers &
Distributors; 2004.
Vyas SP, Sihorkar V. Adv. Drug Del. Rev. 2000;43:101.
Vyas SP, Singh A, Sihorkar V. Crit. Rev. in Therapeutic
Drug Carrier System. 2001;204:188.
Widder KJ, Senyei AE, Ranney DF. Adv. Pharmacol.
Chemother. 1979;16:213.
1495
Section IV Radioactivity
1496
Chapter 32
Radioisotopes
1497
14
C are isotopes of carbon of which 10C, 11C and 14C are
radioactive.
The electronvolt (eV) is the unit of energy used for radiations
and 1 eV is the energy acquired by an electron when
accelerated through a potential difference of 1 V. This amount
of energy is very small, so the energies of particles are usually
given in terms of MeV or KeV:
Elementary particles
1498
A picture of the nucleus
Nuclear stability
1499
will occur. To extend the analogy, it is a common experience,
e.g. with mercury, that small drops of a liquid are stable and
coherent when subjected to mechanical shock, whereas large
drops tend to be unstable and break up. This latter type of
situation occurs with very large nuclei, all of which are
unstable above atomic number 82 and many of these emit
α-particles.
The intranuclear forces are very short range, exchange type
forces which are attractive and virtually independent of the
charge on a nucleon, i.e. they are similar for n–n, n–p and p–p
interactions. Although the electrostatic repulsion in the p–p
interaction is outweighed by the total effect of the attractive
forces, the repulsive effect is not lost and becomes
increasingly important as the number of protons increases. To
maintain stability extra neutrons are required so that the total
attractive nuclear force is increased and repulsions are
overcome.
Fig. 32.1 shows the relationship between the numbers of
neutrons and protons for maximum stability. Stable nuclides
have a neutron–proton ratio of 1.0 at low atomic numbers,
e.g. and the ratio tends to be about 1.5 at high
atomic numbers, e.g.
1500
Fig. 32.1 Relationship between the number of neutrons and
protons for nuclear stability.
Then,
Since the mass of an atom is always less than the sum of its
constituent particles (the difference is the mass defect) ΔE is
1501
negative. The relationship between the average binding
energy per nucleon (ΔE/A) and the mass number is given in
Fig. 32.2 which shows that the binding energy is the source of
the energy released in atomic fission, in which a large nucleus
splits into two smaller ones, and in the atomic fusion reaction,
in which deuterium is converted into helium. Clearly the latter
process is inherently a much greater source of energy than the
former.
Radioactivity
Definition
1502
energy which can be applied to the nucleus from outside is
very small relative to that required to produce nuclear
transformations.
Radioactive decay
(32.1)
(32.2)
1503
(32.3)
And
(32.4)
1504
m×t1/2, I = I0/2m. For example: (a) for 32P, tl/2 = 14.3 days
and exactly 3 weeks after calibration the activity is I0/2(21/
14.3)
= 0.3613 I0.
(b) for 24Na, tl/2 = 15.0 h and exactly 3 weeks after
calibration the activity is I0/2(504/15) = 7.7×10–11I0. Thus if a
reasonable excess of activity was present initially the 32P
material would still be usable after 3 weeks, whereas there is
no possibility of continuing to use a sample of 24Na after the
same elapsed time. This is obviously important in the
planning of experiments and the maintenance of stocks.
The determination of residual activity after a period of decay
may be done graphically (Fig. 32.4) if precise results are not
required, but direct calculation or reference to prepared tables
(e.g. Table 32.2) is essential for accuracy.
1505
Radioactive equilibria: The situation in which a radionuclide
decays to give a radioactive daughter nuclide, which itself
decays in turn occurs frequently, e.g. in the natural
radioactive series. Taking the simplest case of the daughter
decaying to a stable nuclide, the basic rate equation for the
daughter is:
(32.5)
1506
(32.6)
(32.7)
or
(32.8)
(32.9)
1507
equilibrium the total activity and the activities of the parent
and daughter nuclides decay with the half-life of the parent.
If the half-life of the parent is very long, so that its decay is
negligible the condition is known as secular equilibrium and
this occurs with the natural radioactive series. When parent
decay is appreciable the condition is known as transient
equilibrium. The latter condition occurs in the series
1508
Fig. 32.5 Transient equilibrium in the system 132Te→132I.
1509
Fig. 32.6. A 99mTe radionuclide generator.
(32.10)
1510
observed curve (ABC); this gives the decay curve of the
shorter lived component (EF).
Units of radioactivity
The unit used is the Curie (Ci) which is that quantity of any
radionuclide which undergoes 3.70×1010 disintegrations per
second (dps).
The curie is an excessively large unit for most purposes so it
is subdivided into the (1mCi = 10–3 Ci = 3.7×107 dps =
2.22×109 dpm) and the microcurie (1 μCi = 10–6 Ci = 10–3
mCi = 3.7×104 dps = 2.22×106 dpm).
1511
The curie derives from the activity of 1g of radium in
equilibrium with its daughter products, an amount of activity
slightly less than the curie as now defined.
The specific activity refers both to the proportion of
radioactive atoms in an isotope preparation, usually given in
terms of mCi/mM, and to the amount of activity in 1g or 1ml
of a preparation.
The percentage of radionuclide in an isotope preparation can
be calculated from the expression:
The denominator of this expression is calculated as follows:
Alpha-decay (α emission)
1512
reduction in both the atomic and mass numbers. The α
particles are emitted with discrete energies, i.e. all the
particles emitted from a particular nuclide have the same
energy, which is characteristic of that nuclear transformation.
The particle energy is related to the decay constant according
to the Geiger–Nuttall rule:
Beta-Decay
1513
The β-particles emitted in any given nuclear transformation
have a continuous energy spectrum (Fig. 32.8) and may have
any energy up to a maximum (Emax) which is characteristic of
the nuclide undergoing decay. The values quoted for
β-particle energies are always those of Emax. Since the total
energy change for a given nuclear transformation must be
constant, there must be some means of conserving parity
when β− particles are emitted with energies below Emax. This
is achieved by the emission of a neutrino (ν) which carries the
difference between Emax and the energy of the β− particle so
that
1514
Fig. 32.8 Energy spectrum of β-particles from a pure
β-emitter.
1515
where C is a constant. The value of this constant falls into
three groups with approximate ratios 1:10:102; nuclear
transformations with the smallest values (and shortest
half-lives) are described as allowed transitions, i.e. most
likely to disintegrate, and those with the higher values are
known as first forbidden and second forbidden transitions.
Thus, within each level of forbiddenness, the shorter the
half-life the greater the particle energy, a situation
qualitatively similar to that which occurs with α-decay.
Positron (β+) emission: This process is the converse of
β––emission and occurs with neutron deficient nuclei, the
deficiency being rectified by the conversion of a proton into a
neutron plus a positron. As with β––emission, positrons are
emitted with a continuous energy spectrum and energy
conservation is achieved by the emission of an antineutrino,1
1516
There is no change in mass number but the atomic number is
reduced by one unit, for example,
1517
(negatron),
1518
Nuclear fission
1519
metastable state which persists for some time. Such nuclides
are distinguished by the addition of the letter ‘m’ to the mass
number (99mTc, 110mAg, 234mPa) and decay with different
half-lives from the nonmetastable nuclides (Table 32.4):
Nuclide Half-life
99
Tc 2.1×105 years
99m
Tc 6h
110
Ag 24s
110m
Ag 253 days
234
Pa 6.66h
234m
Pa 1.18min
Nuclides with the same mass and atomic numbers but
different half-lives are described as nuclear isomers. This is
the only decay process in which γ-rays may be emitted
without the emission of particles.
Internal conversion (IC): When the energy of the γ-radiation
emitted from a product nucleus is low, a proportion of the
γ-rays may not be emitted as such but may react with orbital
negatrons and eject them from the atom. Clearly, this process
is most probable when the γ-energy (Eγ) is slightly greater
than the binding energy of the negatron (EBE). These
negatrons are emitted with an energy (Ee) which is given by
the expression:
1520
Since E and EBE are constants the value of Ee is constant so
the negatrons produced by internal conversion are emitted
with low, fixed, uniform energies and so are distinguishable
from β−-particles, which have an energy spectrum.
1521
Fig. 32.9 Some typical decay schemes.
1522
consecutive production of two different energy γ-rays is
described as the emission of two γ-rays ‘in cascade’.
1523
Particle range
α-Particles
1524
Fig. 32.10 Range–energy relationships for α-particles in air
and aluminium.
β-Particles
These have a small mass and thus a high velocity for a given
energy, so they are readily scattered out of a straight line path
1525
by other electrons and produce a relatively low specific
ionization of about 5–10 ion pairs per millimetre of air for
β–-particles of 10–0.2MeV, respectively.
When β–-particles enter the electrical field of the nucleus a
change in velocity results, resulting in the emission of
electromagnetic radiation known as Bremsstrahlung (braking
radiation), which, however, differs from γ-radiation in having
a continuous energy spectrum, arising from the wide energy
range of the β−-particles affected and a low energy. About 0.1
per cent of the energy loss of 32P β−-particles in
low-atomic-number material occurs in this way and the
amount of Bremsstrahlung production increases with
increasing atomic number of the absorbing material. Although
the contribution from this source is small it is sufficient to
complicate the shape of β−-absorption curves and to create
problems in the protection of radiation workers.
The combined effects of the various energy loss processes
and of the fact that β−-particles have a continuous energy
spectrum lead to an absorption curve of the form shown in
Fig. 32.12. This illustrates the absorption curve in aluminium
for 32p, which is a pure, monoenergetic β−-emitter.
Aluminium is almost transparent to Bremsstrahlung and this
results in a
tail to the curve almost parallel to the abcissa (line CD). If the
Bremsstrahlung contribution (DCE) is subtracted from the
observed curve (ABCD), that due to the β–-particles (ABF) is
obtained. The maximum, finite range particles can be used to
determine their maximum energy using a correlation graph
(Fig. 32.13). The ranges and energies quoted are always
values of Rmax and Emax, related by the expressions:
1526
and
1527
Fig. 32.13 Range–energy curve for β-particles.
γ-Radiation
1528
Fig. 32.14 The processes involved in the loss of energy by
γ-radiation. If the initial energy is Eγ the residual energies are
as follows: In Compton scattering, , i.e. the initial
energy less the sum of the energies imparted to the scattered
negatrons. In pair production, 2×0.51Mev γ-rays = 1.02Mev:
Eγ 1.02Mev is the energy lost in creating the
positron-negatron pair and the kinetic energy lost by the pair
before annihilation. In photoelectric absorption the negatron
has an energy of E minus the binding energy (be) (be) of the
negatron.
1529
in a series of elastic collisions with orbital negatrons, the
latter being ejected at a variety of angles (greater than 90° to
that of the incident radiation) with a corresponding range of
energies.
Pair production involves the creation of a negatron–positron
pair and is the converse of the annihilation process of
positrons referred to above. It follows that the process is
impossible below energies of 1.02MeV and its probability
increases as the radiation energy and the atomic number of
the absorber increases.
Despite the complexity of the energy loss processes, the
absorption in matter is strictly exponential and
1530
Knowledge of the half-thickness enables the energy of the
radiation to be determined (Fig. 32.15) and the thickness of a
barrier required to attenuate the beam by any desired amount
to be calculated.
1531
Fig. 32.16 Dependence of the linear absorption coefficients
for γ-radiation on energy and atomic number.
Production of Radionuclides
Artificial radionuclides are derived by bombardment of stable
target nuclei with neutrons, usually in a nuclear reactor, or
with other particles in cyclotrons and by isolation from the
spent fuel from nuclear reactors.
Nuclear reactors
1532
The principal reactors used in the United Kingdom for
nuclide production are the heavy water reactors DIDO and
PLUTO, which are similar in design. DIDO consists of an
aluminium tank about 2m in diameter and 3.3m deep
containing 10 tonnes of heavy water (D2O) in which are
located 25 fuel elements, the total loading being 3.75kg of
enriched uranium fuel. The fuel elements are cylindrical and
are designed to provide a very high neutron flux in the central
hole and very efficient cooling is achieved by pumping the
heavy water through the fuel elements at high velocity. The
heavy water system forms a closed loop and the secondary
coolant is purified mains water which in turn vents the heat to
the atmosphere via a cooling tower. The core tank is
surrounded by 60cm of graphite reflector.
The output of the reactor, normally 12.5–15MW of heat,
maximum thermal neutron flux 2.2×1014 n/cm2/s, is
controlled by the degree to which cadmium control arms or
rods are inserted into the core. Cadmium is a powerful
neutron absorber and the further the control rods are inserted
the greater the neutron absorption and the lower the power
output.
Biological shielding is provided on the sides and bottom by a
boral steel tank, 10cm of water-cooled lead and 1.5m of
barytes concrete. The top shield consists of 2mm of cadmium,
10cm of water cooled lead, about 1m of steel shot concrete
and a 35cm steel top plate.
A variety of experimental facilities is provided so that
materials for irradiation can be placed in the centres of fuel
elements, in the heavy water or in the graphite. The types of
target which may be irradiated are chosen carefully to avoid
chemical decomposition and contamination of the reactor.
1533
Reactor Production
1534
production are as follows: 6Li(n, α)3H, 14N(n, p)14C, 32C(n,
p)32p, 54Fe(n, p)54Mn. In such cases the product is
chemically different from the target and can be separated in
very high specific activity.
Side reactions
1535
Nuclides from fission products
1536
Laboratory Neutron Sources
Cyclotron Irradiations
1537
supplied with a source of high-frequency voltage. The
vacuum chamber is contained between two magnets. When
charged particles are injected into the centre of the dees they
are induced to follow a spiral path towards the circumference
and, in the process, are accelerated to very high energies,
about 10–20MeV normally being used for radionuclide
production. The beam is deflected from its outermost orbit by
the application of an electrostatic voltage and emerges
through a window to strike the target material.
1538
The nuclear reactions which can occur are very varied and
may be very complex, for example,
1. proton induced,
55
Mn(p, n)55Fe, 12C(p, 3p, 3n)7Be,
2. deuteron induced:
24
Mg(d,α)22Na, 74Ge(d, 2n)74 As,
α-particle induced:
3. 52Cr(α, 4n)52Fe, 71Ga(α, n)74 As
This is the principal source of nuclides which decay by
positron emission or by electron capture.
1539
between ion collection and the applied potential in such a
counter.
1540
With increasing potential there is at first only a partial
collection of ions (Fig. 32.20, Region I) but then a point is
reached at which all the primary ions produced are collected.
A further modest increase in potential has little effect on this
situation, so there is a plateau in this region of saturation
collection (Region II). A further potential rise results in such
acceleration of the primary ions that they have sufficient
energy to cause secondary ionizations by collision with
molecules of the filling gas, a process known as internal gas
multiplication, so that the number of ions collected may
increase by a factor of 106. The relative increase in the charge
collected is proportional to the applied potential so that this
section of the curve (Region III) is known as the proportional
region. A higher potential still results in a region of limited
proportionality (Region IV) above which the degree of
secondary ionization is such that the gas is completely
saturated with ions and a second plateau (Region V) occurs in
the Geiger region. Beyond the end of this plateau the
potential is such that the gas ionizes spontaneously and the
device goes into continuous discharge (Region VI).
Fig. 32.21 illustrates the situations which occur with particles
causing a small number of ionizations (β–-particle, say 10
primary ions produced) and a large number of ionizations
(α-particle, 104 primary ions). In Regions II and III the charge
collected is greater with the larger number of primary ions but
in the Geiger region both types of particle give identical
results since either condition results in total saturation of the
gas space with secondary ions.
There are three basic types of detector based on this collection
system: ionization chambers (working in Region II),
proportional counters (Region III) and Geiger–Müller
counters (Region V).
1541
Ionization chambers
1542
Fig. 32.21 Cut-away view of the UKAEA type 1383A ion
chamber (General Radiological type NE 014) (UKAEA).
Proportional counters
1543
oxygen and the sample is within the sensitive volume of the
counter, thus giving a high efficiency for low-energy
β–-particles.
Geiger–Müller counters
1544
a period of about 100–500μs the larger cations are discharged
at the cathode and have sufficient energy to produce
ionizations there. If uncontrolled this would result in multiple
pulsing, so the filling gas contains a small proportion of a
quenching agent which dissociates and absorbs the excitation
energy of the cathode. Such internally quenched counters
may contain organic vapours (ethyl alcohol or ethyl formate)
or halogens (chlorine or bromine) and the compositions of
typical filling gases are given in Table 32.6.
Organic
Halogen quenched
quenched
Typical fillings Helium Neon 20.0
(pressure in cm Hg) 55.0 Argon 0.02
Argon 9.3 Chlorine 0.005
Ethyl
formate 0.7
Working voltage (range) 1000–1600 350–700
Minimum plateau length 200 100
(V)
Plateau slope (per cent 0.04 0.07
per V)
Temperature range (°C) –20 to +50 –55 to +75
Useful life (counts) 108–109 >1010
Effect of excessive or Ruined May not be
reverse voltage permanently damaged
1545
Relative efficiency for 100 95
β–-particles
The reduction in field strength due to ion collection results in
the counter being completely inoperative for a period of about
100 μs, the true dead time. After a further period of about 100
μs recovery time full size pulses will be observed once more.
This total period of about 200 μs is known as the paralysis
time (Fig. 32.23), and particles entering the counter during
this period may not be counted. Since the paralysis time
varies with different counters and with the associated
electronic circuitry, a variable, and unknown counting loss
results. This difficulty may be overcome electronically using
a quenching probe unit which performs two functions: it
gives a small degree of amplification of the pulse, so avoiding
counting losses due to pulse attenuation, and it reduces the
anode potential of the counter for a predetermined time from
the commencement of each pulse, for example, 300 μs (see
Fig. 32.24). Corrections may now be made for lost counts due
to paralysis since
1546
Fig. 32.23 Paralysis in a Geiger–Müller counter.
1547
a plateau which is about 150–200 V long. Further increase in
EHT would result in the counter going into continuous
discharge (‘racing’). This characteristic curve is shown in
Fig. 32.25. The working voltage (Vw) is usually 60–100 V
above Vt, at about the middle of the plateau where small
fluctuations in EHT due to instability have little effect on the
counting rate.
The plateau slope should be less than 0.1 per cent per volt
and is smaller for organic quenched counters than for those
quenched with halogens. The slope tends to increase with age.
Counters should never be allowed to go into continuous
discharge nor be subjected to a reverse voltage.
The characteristics of typical Geiger–Müller counters are
given in Table 32.6.
Types of Geiger–Müller counter: Although many types are
available only two are commonly used in the laboratory for
routine purposes and they are illustrated in Fig. 32.26. The
end-window counter consists usually of a cupped metal body
about 2cm in diameter, used as the cathode, with a fine wire
anode located axially (Fig. 32.26A). The cup is sealed with a
1548
‘window’ the thickness of which determines the minimum
energy of α-particles which can be counted. The thinnest
windows are of mica (about 2mg per cm2) and will just
permit the counting of low-energy β–-emitters
(36Cl, 0.71MeV; 32P, 1.71MeV; 89Sr, 1.46MeV). Counters
with ultrathin plastic windows are also obtainable.
1549
counter varies as these factors are changed. Care must be
taken over these points if reproducible results are to be
obtained.
Liquid counters are of glass construction with a cylindrical
space between the inner wall, which encloses the electrodes
and filling gas and the outer wall (Fig. 32.26B). This space
normally holds 10ml of radioactive solution. The inner wall
has a thickness of about 25mg per cm2 so the counters can be
used only for moderate or high-energy radiations. Since the
radionuclide is uniformly distributed throughout the solution
there is a constant geometric efficiency and the liquid counter
makes a useful substandard instrument for assaying sources.
When it is desired to count low-energy β–-particles,
windowless counters may be used. These have basically the
same construction as the end-window counter but the window
is absent and the filling a gas, which may be argon–propane
or a similar mixture, is made to flow through the counter at
constant speed. To obtain stable operating conditions are must
be excluded by maintaining a slight, fixed, positive pressure
of gas in the counter, so the counter must be positioned very
carefully in relation to a surface to regulate the outflow of
filling gas. If a number of solid samples are to be counted in
this way it is usual to have a special transfer device to
position the counter correctly and in which samples are
gassed out ready for counting while the previous sample is
being counted, so saving time. Improved stability of operation
can be obtained by having a small open slit in place of the
completely open end and such counters are widely used for
scanning chromatograms since they have the additional
advantage of high resolution due to the small area being
monitored at any one time.
Geiger–Müller counters have only a low efficiency for the
detection of γ-radiation (1–2 per cent of that for energetic
1550
γ-particles) since γ-rays produce very sparse ionizations in the
filling gas and detection depends primarily on their ability to
ionize the counter cathode to yield negatrons. Although
high-efficiency γ-counters are available with cathodes having
a high absorption coefficient for γ-radiation (Pb or Cu) other
means of detection (scintillation counters, see below) are
preferable.
1551
Fig. 32.27 Transmission of β-particles by the 2mg per cm2
mica end window of a Geiger–Müller counter.
1552
This avoids the necessity for the slow strip wise scanning of
large areas, as is done at present, and for the complex
mechanical devices necessary for such scanning.
Scintillation Counters
1553
Fig. 32.28 Block diagram of an apparatus for scintillation
counting.
Scintillation phosphors
1554
Zinc sulphide, normally activated with a trace of silver, can
be obtained only in a fine polycrystalline form which thus has
very poor optical properties. However, it is used as very thin
films for the detection of α-particles.
Solid organic phosphors: Many organic compounds possess
the properties required for scintillation counting, but because
of the relatively low densities and atomic numbers they are
unsuitable for detecting Xand γ-radiation, although they have
a high efficiency for β–-particles. Among the most efficient
organic phosphors is anthracene, which is used as the
standard for light output, but it is difficult to grow large
crystals of this with good optical properties. Such large
crystals are rarely required and it is often used as thin sections
cemented to a thin plastic support. The properties of some
common organic phosphors are also given in Table 32.7.
Since the efficiency of both organic phosphors and Geiger–
Muller tubes for β–-particles is the same (100 per cent for all
particles which enter the sensitive volume), the extra cost and
complexity involved in using solid organic phosphors is
justified only in special circumstances, for example, where
energy differentiation is required. Another useful application
is to have the phosphor in solid solution in a polystyrene or
polyvinyltoluene plastic. Such plastic phosphors have
1555
excellent optical properties and can be made any desired size
and shape.
Liquid phosphors: The detection of very weak β–-radiation
presents a special problem, which may be overcome if the
sample can be included in the sensitive volume of the counter.
Although this can be done with ionization chambers,
proportional counters or Geiger–Müller counters, there are
considerable technical difficulties. A much simpler technique
is to dissolve or suspend the sample in a liquid phosphor, and
this is the most favoured method at present.
The commonest liquid phosphors contain p-terphenyl or
2:5-diphenyloxazole (PPO) dissolved in toluene or dioxan.
Since the peak wavelength of light emission of such solutions
is relatively low, a secondary solute is often added to act as a
‘spectrum shifter’ so that the output matches the
photomultiplier, for example,
1:4-di[2-(5-diphenyloxazolyl)]-benzene (POPOP) or
2-(1-naphthyl)-5-phenyloxazole (αNPO).
Autoradiography
1556
Contact autoradiography
1557
Chemical Detection of Radiation
1558
this text the word counter will be used to signify the detector,
and electronic units will be described by their function. It
must be emphasized that counters do not themselves count
but merely respond to the passage of radiation. The response
is observed as an ionization current with ionization chambers
and is measured with an electrometer, but with the other
principal forms of counter the collection of negatrons results
in a fall in the positive anode potential, this negative pulse
being amplified and recorded as a single count in a pulse
counter (scaler) or as an average counting rate in a pulse
integrating device (ratemeter), or in a pulse of light.
The essential units of assemblies for Geiger–Müller and
scintillation counting are shown in Figs. 32.26 and 32.28.
All counters have a background counting rate derived from
natural environmental radiation and from radiation in the
laboratory. The extent of this background depends on the
sensitivity of the counter to the radiation and on counter size,
the larger the sensitive volume of the counter the greater its
background. Normally counters are supported in a lead castle
which provides a substantial thickness of lead shielding
around the counter and so reduces the background
appreciably.
High-voltage supplies
1559
the stability required varying with the application. The degree
of stabilization needed for proportional counters or
spectrometric applications, 0.02 per cent or better for 10 per
cent mains fluctuation, is not needed for Geiger–Muller
counters.
Preamplifiers
Amplifiers
1560
Pulses due to background are of the same size as those of
interest and background counting rates are low.
With proportional or scintillation counters, however, the
output pulses vary in size with the energy of the incident
radiation. Also in addition to the ‘true’ background there is a
further contribution due to random pulses which arise in
amplifiers and photomultipliers. This is known as noise and
its amount increases with the applied potential, though the
pulses are usually smaller than those of interest. It is essential
to be able to discriminate between the background pulses and
those from the sample and, where energy discrimination is
required, between the differently sized pulses arising from the
radiation. Hence linear amplifiers which amplify all pulses to
the same extent, and so retain the relative sizes of pulses, are
essential. Such amplifiers usually have a high gain, up to
10,000×, to permit the very small pulses from proportional or
liquid scintillation systems to be counted.
1561
energies or to determine the pulse height (energy) spectrum of
the radiations from a single radionuclide. These functions are
performed by appropriate settings of a pulse height analyser
(PHA), the functioning of which is illustrated in Fig. 32.29.
1562
pulses are blocked by the anticoincidence circuit and there is
no output from the PHA. However, pulses between D and D
+ d in size (b, c, f, h, j, k, o, p) pass the lower discriminator
only and each gives an output pulse from the PHA. This
device is known as a single-channel pulse height analyser, the
interval being known variously as the channel, gate or
window width. Multichannel analysers are available which
examine the counts in all of a large number (400 up to 4096)
of channels simultaneously.
1563
counter is proportional to the radiation energy and to examine
the spectrum of pulse heights using a single-channel PHA.
This may be done by determining the number of counts in
each of a series of successive channels or by scanning the
entire range mechanically, integrating and recording the
output.
When an NaI(T1) phosphor is exposed to γ-radiation the
normal processes of energy loss occur in the crystal, giving a
series of Compton electrons of a wide range of energies and
photoelectrons of virtually the same energy as that of the
incident radiation. Since all the electron energy is absorbed
within the crystal the light output, and thus the pulse height, is
proportional to the energy of the incident radiation. If the
procedure described above is carried out with a series of
known radionuclides, the results obtained are illustrated in
Fig. 32.30A. The lower-energy part of the curve is the
Compton continuum, followed by a sharp fall in counts
immediately before the sharp photopeak due to the
photoelectrons. The peak just before the photopeak results
from the fact that near the energy region for photoelectric
absorption there is a much higher probability of this process
than of scattering. The pulse heights (lower discriminator bias
voltages) at which the photopeaks occur are related linearly to
energy so that a standard calibration curve can be drawn for a
counting assembly set up in a particular way (Fig. 32.38).
Once the instrument has been calibrated the energy of
unknown γ-emitters can be determined from the discriminator
bias voltages at which their photopeaks occur.
If the γ-energy is high enough for pair production to occur,
the pulse height spectrum is somewhat more complex than
those illustrated in Fig. 32.31, but the method is still
applicable.
1564
Fig. 32.31 Principle of the simultaneous counting of
radionuclides of different β-particle energies (3H and 14C)
using two channels of pulse height analysis.
1565
system, one being labelled with 3H and the other with 14C;
investigations of the metabolism of a drug, different groups in
the molecule being labelled with 3H and 14C; and
determinations of the relative
efficiencies of iron utilization when ingested and injected,
using 55Fe and 59Fe. In such systems the activities of both
radionuclides may be determined simultaneously provided
that the energies of the radiations from each are sufficiently
different. What is required is that the output from the
preamplifier be divided and fed through separate PHAs, the
channels of which are arranged to pass pulses of different
size.
In the 3H/14C system both components are usually
determined by liquid phosphor counting. Although the
energies involved are very low, good efficiencies can be
obtained, up to 50 per cent for 3H (0.018MeV) and 90 per
cent for 14C (0.159MeV) and Fig. 32.31 shows how these
may be separated into two separate channels of pulse height
analysis. This system is so frequently used that there are
many commercial instruments available which determine the
activities of both components in up to 400 samples
automatically.
Data registration
1566
one unit for each pulse. When the tenth pulse enters the scaler
the tube returns to zero and passes a pulse out to the next
tube, so that successive tubes count units, tens, hundreds, etc.
Such tubes have high input resolution times of about 50 or
250 μs, so that they will not record a pulse which arrives
within that time from the previous one. Scalers of this type
can be used satisfactorily only far routine Geiger–Muller
counting where the detector itself has a paralysis time of the
same order. They are unsuitable for proportional or
scintillation counters which have very short paralysis times
and are capable of counting at very high rates without losses
due to paralysis. For such applications the current trend is to
use transistors or integrated circuits, which have input
resolution times of 1 μs or less, combined with indicator tubes
which show the condition of the circuits at the end of a count
and on which the accumulated counts are displayed.
The scaler also has switches to start the count, to stop
counting after a desired interval and to reset the scaler to zero
ready for another count. Although these functions may be
done manually autoscalers which have automatic timing
devices are widely used. With an autoscaler it is possible to
determine automatically the counts obtained in a preset time
or the time required accumulating a preset number of counts.
Integrated scaler/timers display either time or count as
desired. Autoscalers are essential if large numbers of samples
are to be counted automatically and in such cases the results
of each count are printed out or recorded on punched paper or
magnetic tape ready for entry to a computer.
Integrating devices (ratemeters): When numerical data are
not required the average counting rate may be determined by
using an integrating circuit, in which the individual pulses
charge up a capacitor shunted by a resistor. The average
current developed is then displayed on a meter calibrated in
1567
terms of cpm or cps. Ratemeters are used principally to drive
chart recorders so that the change of counting rate with time,
applied potential or discriminator bias voltage is obtained.
The curves shown in Fig. 32.30A may be obtained in this
way.
An important application of ratemeters is the laboratory
monitor which is used to monitor the contamination of
‘hands, clothing, benches, etc. These instruments usually have
a loudspeaker which indicates changes in the counting rate by
corresponding changes in the sound intensity or frequency, so
that if the ratemeter is left switched on in a laboratory there is
a continuous audible indication of the level of radioactivity.
Statistical considerations
1568
about 20, the shape approximates very closely to that of the
normal distribution. Since the number of counts observed is
invariably considerably greater than 20 it is justifiable to use
statistical tests based on the normal distribution. This is
certainly so when mean counts are used, since means are
normally distributed.
The spread of the distribution curve is defined by the
standard deviation (σ) the square root of the variance (V),
given by the expression
1569
If only a single count is done the standard error is the square
root of that count (for a Poisson distribution), i.e.
it follows that
1570
where σc, σx, σy are the respective standard deviations. If C =
X/Y
then
1571
with (n – 1) degrees of freedom, values of χ2 giving
probabilities <0.05 indicate defective equipment and
probabilities > 0.95 suggest that some factor is operating to
suppress the expected variation and give a false impression of
reliability.
The application of the statistical techniques outlined above
enable the reliability of counts to be estimated, the estimate
taking in to account not only the errors arising from the
random nature of the decay process but also all indeterminate
errors, for which corrections cannot be applied, Such errors
are the inaccuracy of measurements of volume or weight, the
inability to control accurately the area and thickness of
sources and their exact location relative to the counter, and
variations of counter performance with age, temperature or
previous counting rate, of the general level of radioactivity in
the laboratory and of the performance of electronic equipment
due to mains voltage fluctuations, ageing of components or
pickup from other electrical equipment.
Counter background
1572
With Geiger–Müller counters the contribution from noise is
insignificant and the background counting rate is low,
normally about 15 cpm, The background of a liquid
Geiger–Müller counter is, however, variable since the walls
of the counter are in direct contact with radioactive solutions
and variable amounts of activity may be adsorbed and
difficult to remove, so that background levels may reach
100–150cpm.
There is an entirely different problem with proportional and
scintillation counters. With the latter there is appreciable
noise, especially from photomultipliers, although
improvements in their design and manufacture have produced
tubes with much lower noise characteristics, and the pulse
size may be of the same order as that obtained with
low-energy radiations. Further, the background due to noise
increases with the temperature of the photocathode of the
photomultiplier and with the applied potential. Fig. 32.32
illustrates both these effects and it is clear that there is a
considerable advantage ill cooling the photomultiplier,
a substantial improvement resulting from cooling to 5° and a
further small benefit by cooling to –10°. In such situations it
is important to decide on the best conditions for counting and
there are various criteria of merit used for this purpose. The
criterion , where Rs+b is the observed counting rate
from the sample including background and Rb is the
background counting rate, is independent of source strength
but is affected by the energy spectrum of the radiation. This is
simpler to calculate than two similar criteria which are often
used and which give similar results, and
(efficiency)2/Rb, Rs being the counting rate due to the sample
alone. An alternative criterion, which varies with source
strength, is .
1573
Fig. 32.32 Influence of the applied potential and the operating
temperature on the counts from a 3H source and due to
background (including noise) in a liquid phosphor
scintillation counter.
1574
error, the proportions being given by the expression
where ts, and tb are the counting times for the sample and
background. If Rs < Rb the precision of the determination of
R, is very poor and it is impracticable to make determinations
when Rs < 0.2Rb, even with long counting times.
Low background counting: Several methods for reducing
counter backgrounds have already been referred to, namely
the reduction of counter size, lead shielding, the use of
appropriate discriminator or pulse height analyzer settings
and the cooling of photomultipliers. However, these methods
are inadequate with sources of very low activity and
coincidence or anticoincidence techniques are used in
addition. The principles involved are illustrated in Fig. 32.33.
1575
Fig. 32.33 Principles of low background counting.
1576
anticoincidence circuit. The background count of such an
assembly is about 1.5 cpm.
In liquid scintillation counting it is possible for the
luminescence to be observed by two photomultipliers
simultaneously (Fig. 32.33B). A flash of light in the phosphor
gives coincident output pulses from the photomultipliers and
these are passed by the coincidence circuit as a single count.
Noise in the photomultipliers and their associated
preamplifiers occurs randomly and pulses due to noise are
only rarely coincident, so most of these pulses are rejected.
Since most of the background in a liquid scintillation counter
is due to photomultiplier noise the background is greatly
reduced by this technique and may be as low as 10–15 cpm.
Counter efficiency
1577
Ba35SO4. As the thickness of a sample of constant specific
activity increases, the counting rate at first increases and then
becomes constant when the source thickness exceeds the
maximum range of the particles in the substance (Fig. 32.34).
A source in this latter condition is described as being
‘infinitely thick’, since all thicknesses above this give
identical counts. Such sources are often used with low-energy
radiations and are satisfactory for comparative purposes. If
this is not possible corrections for self-absorption must be
applied.
1578
Backscattering increases with increasing thickness of backing
being maximal when the thickness is about 0.25 Rmax
(saturation thickness), and with increasing atomic number of
the backing material.
When the activity of sources is to be compared it is essential
that they are mounted on identical thicknesses of the same
material and in identical surroundings, so that scattering
conditions are constant.
Geometric efficiency: Normally only a part of the radiation,
which is emitted from a source in all directions, enters a
counter and the greater the distance between source and
counter the smaller is the proportion of the radiation detected
(Fig. 32.35A).
The intensity of the radiation falls off inversely as the
distance squared, if we ignore air absorption, so a much
higher proportion of the emitted radiation can be detected if
the distance between the counter and the source is reduced to
a minimum. The extreme situation is where all the radiation
emitted from one side of a source, through a solid angle of 2π
radians, enters the counter: this is known as ‘2π’ counting
(Fig. 32.35B). Double this efficiency can be obtained if the
source is completely surrounded by the counter in a ‘4π’
counting arrangement (Fig. 32.35C), and liquid phosphor
counting is a form of this. Very good geometric efficiency is
also given by well-type scintillation counters (Fig. 32.35D)
which are simple in construction and operation and are used
frequently.
1579
1580
Fig. 32.35 Geometric efficiency in counting. (A) With an
end-window counter a source near the window gives a higher
count than a far source; (B) A 2π counting arrangement: 50
per cent geometric efficiency; (C) A 4π counter almost 100
per cent geometric efficiency, but some losses occur by
absorption in the source support; (D) A well-type scintillation
counter very high geometric efficiency since the source is
virtually surrounded by phosphor.
1581
efficiency falls and the channels ratio changes. Corrections
for quenching are made from a graph relating the counting
efficiency to the channels ratio.
1582
Selection of a Counting System
where Rx, Ry are the sample counting rates for counters 1 and
2 and B1, B2 are their respective background counting rates. If
M > 1 counter 2 is the more suitable.
Other important factors are the physical and chemical form in
which the sample can be obtained and the simplicity of
sample preparation.
1583
Dose Units
1584
well as on the total energy absorption. The rem (originally
shortened from ‘roentgen equivalent for man’) is now defined
as that dose of radiation which produces in man the effects of
1 rad and is determined by multiplying the dose in rads by a
factor (known as the quality factor, QF, or the relative
biological effectiveness, RBE) which expresses the relative
efficiencies of different types of radiation in producing
biological effects. For all X- and γ-rays, b–-particles and
positrons likely to be encountered in pharmacy or medicine
the factor is unity, so in these fields of activity.
Dose in rems = Dose in rads
When radionuclides are deposited in the body their
distribution is usually nonuniform and, since the absorbed
dose is related to tissue density, this simple relationship no
longer holds.
Mechanism of injury
1585
Direct radiation effects are those which result from an
ionization or excitation within a biologically functional
molecule. The occurrence of an ion cluster within such a
molecule releases sufficient energy to make it probable that
biological function will be abolished. The principal effects
observed with proteins are aggregation and loss of solubility
and some degree of fragmentation, while DNA, RNA and
polysaccharides exhibit fragmentation and some cross
linking. With double-stranded DNA breaks occur principally
when both strands are affected in the same region. Although
the effects depend to some extent on the fragility of long
chain molecules, cross linking is important in the abolition of
biological activity since it prevents the uncoiling of closely
coiled structures such as DNA and introduces immobile
configurations in open chain molecules. It is probable that
energy transfer can occur, over a maximum chain length of
about 12 carbon atoms, to produce damage in the weakest
molecular bonds.
Indirect radiation effects result from the radiolysis of
intracellular water, which comprises about 80 per cent of
most cells, and of any extracellular water which may be
present. The reactions involved are complex and some of the
possibilities are summarized in Fig. 32.37. The facts that
oxygen generally enhances radiation damage and that many
substances which protect against radiation are reducing agents
(e.g. cysteamine, cysteine, glutathione) lead to the conclusion
that the principal effects are oxidative and oxidations may
result from reactions with the hydroxyl and hydroperoxy free
radicals, with hydrogen peroxide and, under some conditions,
with the hydrogen radicals.
1586
Fig. 32.37 Reactions in the radiolysis of water (free radicals
underlined).
1587
increase in resistance in the following order: lymphocytes,
erythrocytes, germinal epithelium, intestinal epithelium, skin,
internal organs, brain, muscle, nerve. This indicates that an
important part of the damage must be to the nuclear apparatus
since any defect here would result in imperfect replication,
the effect of which would be multiplied at each cell division,
the greater the rate of cell division the greater being the
observed damage. Observable effects in radiosensitive tissues
(gonads, gut) commence at doses of about 10 rem and are
severe at 100 rem. In liver and muscle, which are relatively
radioresistant, doses greater than 1000 rem are needed to
produce observable effects.
1588
effects, the dose rate is important and damage will be much
less if a given dose is spread out over a long period rather
than received in a single, short exposure. Fractionation of a
dose permits recovery to occur and in man about 50 and 90
per cent of the dose may be regarded as ineffective after some
20 and 100 days, respectively.
Short-term effects: Whole-body doses of about 25 rem would
produce a transient change in the leukocyte count in most
people and nausea in a small proportion. Increasing the dose
would result in symptoms of increasing severity, 100 rems
causing moderate illness (diarrhoea, vomiting) in about 10 per
cent of subjects, and severe illness in about 1 per cent, the
syndrome being known as radiation sickness. The median
lethal dose (LD50) for death in 30 days is about 400 rem and
with a dose, of 600 rem there would be few survivors. Death
from doses of this magnitude is usually the result of gut
damage and a loss of resistance to disease, so that infections
due to the intestinal microflora proceed unchecked.
Some degree of protection against radiation sickness is
afforded by the presence of reducing chemicals (cysteamine,
glutathione) and by shielding certain important tissues such as
the spleen and the bone marrow. The degree of protection
conferred is limited and the LD50 is increased two or three
times at the most.
Long-term effects: The results of exposure, which may appear
within a few months or after a latent period of up to 50 years,
include permanent skin damage, bone necrosis and an
increased incidence of anaemia, leukaemia, cataract and
carcinomata. There is also some evidence that there may be a
small shortening of life span. At certain stages of its
development the human embryo is very sensitive and doses as
small as 25 rem may lead to severe abnormalities.
1589
Genetic damage: Mutations may be brought about by quite
small doses of radiation and, unlike other types of radiation
damage, the effects are independent of dose rate, are
cumulative and there is no threshold. Thus any additional
radiation dose adds to the mutation load in the population and
is undesirable, since it is unlikely that a mutation will
introduce improved characters in to a population already well
adapted to its environment by the processes of natural
selection.
Fortunately most mutations are recessive and many are also
lethal, so that the embryo dies at an early stage. However,
minor gene modifications may result in the continuous
feeding into the population of individuals with
disadvantageous characteristics, the number of defective
individuals increasing until equilibrium is eventually
established. The doubling dose, the radiation dose required to
double the natural, spontaneous mutation rate, is of the order
of 50 rem and if this were maintained for many generations in
a large population there would be a serious increase in the
proportion of defectives. Doses of this order are insignificant
for an individual from the point of view both of observable ill
effects and of the probability of producing defective
offspring.
Background Radiation
1590
relation to its possible mutagenic effects. If this is regarded as
100 per cent there are small additions to this from a number
of sources. About 1 per cent extra is contributed by nuclear
weapon fall-out and a further similar amount from luminous
dials and other miscellaneous sources. Both of these
contributions are decreasing due to the ban on atmospheric
tests of nuclear weapons, to the use of improved luminizing
materials and to effective control of devices liable to emit
radiations, for example, the virtual disappearance of shoe
fitting machines. Another 0.5–1 per cent results from
occupational exposure and some 20–25 per cent from medical
procedures. Doses due to these latter sources are increasing
with the spread of radioactive work and improved standards
of medical care, but the situation is under continual scrutiny
to ensure that doses are minimal.
The dose due to background radiation may vary appreciably
with the locality and people living at high altitudes receive a
substantially greater dose from cosmic radiation than
indicated above. Background dose rates may also vary
somewhat with the γ-emitting content of local building
materials.
1591
One maximum permissible dose is that dose which, received
in a certain defined period and repeated regularly, is not
expected to cause appreciable bodily harm.
Maximum permissible doses have several times been revised
downwards and are regularly reviewed as knowledge of the
effects of small radiation doses accumulates. The current
recommendations are summarized in Table 32.8. Doses
resulting from medical procedures are excluded since they are
regarded as necessary and beneficial. The relationship
governing the total permissible cumulative dose results in an
average dose rate of 5 rems per year for persons engaged in
radiation work from the age of 18 years. However a dose of 3
rem may be accumulated in 13 weeks, allowing for
exceptional procedures involving high dose rates, but if this
were to occur subsequent exposure would have to be reduced
to ensure that either the average annual dose rate or the total
permitted cumulative dose is not exceeded. Rules are laid
down for the procedures to be adopted in the event of
accidents involving high doses. The ICRP also recommends
for a large range of radionuclides the maximum permissible
body burdens and the maximum permissible concentrations in
air and water so that the permissible body burdens are not
exceeded.
Maximum
Organ of interest permissible
dose (rems)
Per
Per
13-week
year
period
1592
External radiation
Gonads, blood-forming organs and the lens 5* 3
of the eye
Weakly penetrating radiation: to the skin 30 8
(except the hands, forearms, feet and ankles)
To the hands, forearms, feet and ankles 75 20
Internal radiation
Limited exposure of internal organs resulting 15 4
from uptake (other than the thyroid, gonads
and blood-forming organs)
Whole-body exposure resulting from 5 3
general-ized uptake
*
This is an average dose rate. The total permissible
cumulative dose is given by the expression 5(N – 18) rems,
where N is the age in years, and not more than 60 rem may
be accumulated by 30 years of age.
Lower limits of permissible dose are set for the general
population, amounting to an addition equal to the natural
background dose, and for groups exposed occasionally, such
as laboratory maintenance workers.
1593
radiation sources is good instrumentation, properly used, and
dose rates at working positions should always be measured.
The effect of distance: Radiations are emitted from a source in
all directions so with a point source in a nonabsorbing
medium the inverse square law applies and
Dose rate ∝ 1/d2,
where d is the distance from the source.
For γ-radiation air is a virtually nonabsorbing medium.
Provided that the distance from the source is large relative to
the source dimensions so that the latter can be neglected,
which is normally the case, the inverse square law holds.
With β−-particles there is considerable air absorption and
external dose rates are not usually a problem, but application
of the inverse square law results in considerable overestimates
of dose rates.
γ-dose rates: The specific γ-ray constant (formerly known as
the k-factor) is the dose rate produced by the γ-radiation from
a radionuclide at a distance of 1cm from a 1mCi point source
of that nuclide and is given in units of roentgens per
millicurie hour at 1cm. Where values of this constant are
known this is the most accurate basis for calculating the dose
at any distance from a γ-emitting source and the dose
constants for some of the radionuclides in common use in
medicine are given in Table 32.9. If the dose constant is not
known the dose rate may be determined using the decay
scheme and Fig. 32.39, the rate contributed by each of the
γ-rays emitted by the nuclide being determined separately,
with due allowance for the proportions of each γ-ray present,
and the whole summed.
1594
Fig. 32.39 Tenth thickness values for lead, iron and concrete
for γ-radiation up to 3MeV. Broken lines, values for the first
tenth thickness: solid lines, values for subsequent tenth
thickness. The first tenth thickness is greater due to build-up.
1595
For example, 48Va decays giving:
1596
Dose rate = 0.5 CE rad per h in tissue at 1m,where C is the
source strength in curies and E is the total γ-energy in MeV
per disintegration. The total γ-energy must allow for all the
energies emitted and the proportion of each, so for 60Co,
which emits two γ-rays of 1.17 and 1.33MeV in cascade (100
per cent of each), the value of E is 2.5 which would give a
dose rate of 12.5 rads per h in tissue at 1cm, slightly less than
the correct value of 13.0. Again taking 48Va as an example
the value of E, calculated as shown in Table 32.10, is about
2.9 MeV and substituting this value in the above formula
gives a dose rate of 14.5 rad per h at 1cm, a rather lower value
than calculated previously but good enough to use in the
planning of experiments.
β-dose rates: As already indicated the whole-body dose rates
due to β−-particles need not be considered since the particles
have a limited finite range and can be stopped completely by
simple shielding. However some parts of the body, notably
the hands and forearms, may be exposed. For a point source
of a β–-emitter an approximate estimate of the dose is given
by the expression:
Dose rate at 10cm = 3100C rads per h in tissue, where C is
the source strength in curies. The effect of β–-energy is
negligible and contributions due to scattering and
backscattering are ignored.
It should be noted that β–-particle doses to the hands may be
very large, and the handling of an unshielded 1mCi source of
32
P would give a dose to the hands of about 3 rems per hour,
assuming an average distance of 10cm. This would result in
the accumulation of one year’s maximum permissible dose in
25 h.
Also the absorption of β–-particles in matter results in the
production of Bremsstrahlung and with large amounts of
b–-activity the dose arising from this may be appreciable. It is
1597
not possible to calculate for this and measurements are always
required.
Shielding
It follows from the inverse square law and the appreciable air
absorption of β–-particles, that doses may be reduced
appreciably by working at a sufficient distance from a source
and this may be adequate with small amounts of radioactivity.
With larger amounts of activity shielding is necessary.
Shielding against β–-particles: The maximum range of 2MeV
β–-particles in air is about 7.5m, but ranges in denser
materials are much less, the equivalent range in Perspex being
about 8.5mm. Thus 1cm of Perspex will give effective
protection against β–-particles of most energies and such a
screen is the simplest method of shielding.
The problem of Bremsstrahlung has been referred to above.
Since the amount produced increases with increasing atomic
number of absorber, the primary β-particle absorber should be
of as Iowan atomic number as possible and Perspex fulfils
this criterion. About 1 per cent of the β–-energy may be
converted into Bremsstrahlung and with large β–-sources
additional shielding, as for γ-radiation, may be required.
Shielding against γ-radiation: The extent to which the
intensity of a beam of γ-radiation is reduced by a barrier
depends primarily on the radiation energy and the atomic
number and thickness of the barrier material: The absorption
of a narrow beam of radiation follows the exponential law
already described, but in protection problems narrow beam
conditions rarely exist and broad beam conditions are usual:
In the latter case scattering effects result in a build up of
1598
radiation dose which influences principally the first 90 per
cent of the absorption.
The tenth thickness of an absorber is that thickness required to
reduce the intensity of radiation to one-tenth of its initial
value and Fig. 32.39 gives the relationships between tenth
thicknesses and γ-energy for lead, iron and concrete. The
effect of build up is seen in the fact that greater thicknesses
are required to reduce doses by the first factor of 10 than are
needed for subsequent factors of 10, e.g. for 60Co (mean
γ-energy 1.25MeV) the thickness of lead required to attenuate
the dose by a factor of 1000 is approximately (4.4 + 3.6 + 3.6)
cm = 11.6cm.
1599
2. The degree of absorption by the body and of selective
localization within particular organs and the nature of the
organ.
3. The energy and quality of the radiation, the energy of α-
and β-particles being absorbed wholly within a small volume,
whereas only a part of the emitted γ-radiation is absorbed
within the body.
1600
and the dose to be assessed. Although the details of
construction of the holder differ, similar principles apply
universally for film badge dosimetry.
1601
and the dose is not known until sometime after the badge has
been worn.
When exposure doses are likely to exceed one-half of the
maximum permissible dose it is normal to use pocket
ionization chambers or pocket electroscope dosemeter. The
former are charged up and read instrumentally and once read
require recharging. The electroscope dose meter (Fig. 32.40B)
is designed so that the cumulative dose may be read at any
time by looking through the telescope of the dosemeter and
observing the position of a gilded quartz fibre on a scale
calibrated in roentgens. Various sensitivities are available in
the range 0.2–500 R. The advantages of the electroscope
dosemeter are its robustness, simplicity in use, and ability to
indicate the accumulated dose at any time and, providing it
has not recorded its full capacity, to continue to record and
indicate. Although it is insensitive to β–-particles this is not
usually a disadvantage, since shielding is relatively simple in
this case, the major protection problems occurring with X-
and γ-rays.
Special types of dosemeter are available for use on the fingers
or for other special purposes.
It must be emphasized that personal dosemeters can only
record the radiation dose in the area of the body where the
dosemeter is located. Exposure doses are frequently
nonuniform especially where shielding is used and careful
surveys of working positions are essential with sources of
moderate or high activity.
Laboratory monitoring: All laboratories which use other than
minimal sources for limited purposes should possess a
sensitive, accurately calibrated, portable ionization chamber
monitor (e.g. Eberline Type R02; Nuclear Enterprises, Type
0030, Fig. 32.41) with which the exposure doses from both
π-particles (energy greater than about 0.2MeV) and γ-rays at
1602
any point in the laboratory may be measured. These monitors
may be able to record accumulated doses as well as dose
rates.
1603
counter externally. Special facilities are required for
whole-body monitoring.
Biological monitoring is undertaken principally when
radiotracing is used in metabolic studies or medical diagnosis.
Organization
1604
Department of the Environment, which grants licences
specifying the nature and amounts of radionuclides which
may be used in a premises and controlling the accumulation
and disposal of waste. Most other countries have similar
legislation in force.
Hospitals operating within the National Health Service in
Great Britain are exempt from the requirement to register
under the Act and the scope of their operations is controlled
by a Code of Practice issued under the joint auspices of
several Government Ministries. This exemption does not
apply to the corresponding hospitals in Northern Ireland or to
other hospitals.
Laboratory design
1605
different experiments or different types of work. Fume
cupboard bases should provide shielding against γ-irradiation
of the lower part of the body and this may be done by having
a 15cm thick base of heavy (barytes) concrete. The weight of
such shielding, of lead walls which may be erected and of the
apparatus and local shielding used in counting rooms requires
careful attention to possible floor loadings.
The handling of millicurie amounts of pure β–-emitters may
require the use of glove boxes, but the dose rate from most
γ-emitters is such that millicurie amounts require the use of
lead shielding and remote handling tools.
Air conditioning is highly desirable and should provide for a
high rate of atmospheric change to minimize airborne
contamination in the laboratory. The residual pressure inside
the laboratory should be slightly lower than atmospheric
pressure to reduce the possibility of the escape of activity to
the surroundings. For most purposes it is unnecessary to filter
the exhaust from general ventilation or from fume cupboards
since the atmospheric dilution is considerable and the
resultant concentrations will be below the maximum
permissible levels.
The general standards of finish should be high with
impervious, easily cleaned surfaces. Floors are best covered
with linoleum or vinyl, cemented at edges and joins and well
polished, since such coverings can be cleaned readily and are
easily removed if they become grossly contaminated. Services
should be arranged for simplicity of maintenance, access
being preferably from outside the laboratory.
Storage facilities should be so arranged that dose rates are
minimal and below the maximum permissible levels.
Frequently this means the allocation of a relatively large area,
considering the actual bulk of material concerned. Where
practicable source containers should be placed in absorbent
1606
packing inside a second receptacle to reduce accidental
breakage and to trap any leakage which might occur.
Nonrigid plastics are very suitable as the outer container with
pure β−-emitters but γ-emitters will usually require lead pots
or other types of lead shielding. A standard office safe is very
convenient for small containers and gives good security.
Laboratory classification: Three different grades of
laboratory are normally distinguished.
Grade C laboratory conditions are provided by a normal good
quality chemical laboratory, which is adequate for most
biological tracer work and diagnostic medical procedures.
The principal hazards in such work arise from the dispensing
of individual amounts from stock, for which only a limited
amount of shielding is necessary.
For higher levels of activity a Grade B laboratory is required,
in the design of which special attention is given to the design
criteria indicated above and good fume cupboards, substantial
shielding and remote handling equipment are essential.
Laboratories of this standard are required for handling the
amounts of activity involved in the therapeutic loses of
unsealed radionuclides, and whenever the volume of work is
high, since this involves maintaining large stocks on the
grounds of availability, convenience and economy.
Laboratories of Grade A are rarely required. They involve
massive shielding, complex remote handling equipment and
sophisticated ventilation and drainage, so that their design and
operation is a matter for experts.
1607
The toxicity grading of radionuclides
1608
The toxicity gradings of some important radionuclides are
given in Table 32.11. These gradings are used as a basis for
determining the activities which may be handled in the
different types of laboratory described above (Table 32.12).
1609
Protection procedures
1610
1. You are required to familiarize yourself with the
laboratory ‘Code of Conduct’, under which these rules
are made.
2. Eating, drinking, smoking and the application of
cosmetics, in any part of the laboratories, is prohibited.
3. Only the protective clothing provided may be worn and
this must be removed before leaving the laboratories for
any reason.
4. Film badges must be worn at ‘all times and other
dosemeters as specified for particular personnel.
5. Any exposed unhealed wounds, especially on the hands,
must be reported before commencing work. Any wound
received in the laboratory must be reported immediately.
6. Before leaving the laboratory the hands must be washed
and the hands and clothing monitored. Any residual
contamination must be reported immediately.
7. No clothing, cases, books or personal belongings other
than those essential to the work to be done may be
brought into the laboratory.
Safety in Handling
8. Gloves must be worn whenever unsealed sources are
handled. Rubber gloves must be decontaminated before
removal; disposable plastic gloves are discarded after a
single wearing.
9. Pipetting and the performance of any other operation by
mouth is strictly forbidden. Damaged or chipped glass
apparatus must not be used.
1611
10. All containers of radioactive material must be labelled
with the name of the substance, its activity and the date
of assay.
11. Radioactive materials must be stored in suitable, secure
containers in the specially allocated areas.
12. Operations likely to lead to radioactive dust, vapour or
spray must be conducted in a fume cupboard or glove
box.
Radioactive Waste
13. Liquid and solid active waste material must be discarded
separately into the special containers provided and
segregated according to half-life or as instructed.
Containers must be labelled adequately.
14. No active waste may be discarded into the sinks or into
normal refuse bins without specific authority.
Contamination and Accidents
15. All accidents involving personal injury or radioactive
spillage must be reported to the Radiological Protection
Officer.
16. The priorities of action following major spillage are as
follows.
First, the protection of personnel.
Second, the containment of contamination.
Third, report.
Fourth, decontamination.
17. Contamination of apparatus, furniture etc. must be
marked as to the nuclide and the area involved and the
1612
spread of contamination limited by covering with tissues
for liquids and with damp tissues for solids.
18. The location of minor spillage must be marked and
decontamination carried out promptly.
19. Apparatus contaminated in use must be decontaminated
as soon as possible and must not be allowed to dry.
The Counting Room
20. Only sources prepared ready for counting may be taken
into the counting room.
21. Where possible all sources must be sealed to prevent the
escape of radioactive material.
22. Gloves overshoes and any protective clothing used in the
high activity laboratories must not be taken into the
counting room.
Control of contamination: The most satisfactory means of
control are a thorough training in appropriate techniques and
strict adherence to the laboratory rules. However, some
degree of contamination is inevitable and laboratory surfaces
and equipment must be checked regularly with a
contamination monitor. These instruments are of the
ratemeter type and give an audible indication of the presence
of activity. Although a simple Geiger–Muller assembly is
suitable for detecting β–-particles an instrument capable of
operating scintillation detectors is desirable since it is more
versatile different detectors being used according to the type
of radiation involved.
A special problem exists in the detection of contamination by
low-energy β–-emitters. Radiations from 14C, 35S and 45Ca
will not penetrate the walls of glassware or other minor
barriers and the detection of internal contamination in
1613
apparatus must be done by swabbing with a tissue, or rinsing
onto a tissue, which is then monitored. Even sensitive
monitors have a very low efficiency for these radiations, of
the order of 10–15 per cent. There is no practicable way of
monitoring for 3H contamination and this may go undetected
until it interferes with experimental results.
The procedures used for decontamination are very varied and
depend on the nature of the contamination and of the
contaminated surface. When contamination occurs from
aqueous solutions carriers may be used. These are dilute
solutions of an inactive isotope of the same element in the
same chemical form as the radionuclide and remove adsorbed
contamination by exchange. Other agents are detergents,
complexing agents (oxine, EDTA), organic solvents, dilute or
concentrated acids (including nitrosulphuric and chromic
acids) and alkalis. Decontamination is commenced with a
mild agent and drastic measures are used only when
monitoring shows that the mild technique used is ineffective.
Glassware used in radiochemical laboratories should be
marked suitably and reserved for use exclusively in those
laboratories. In
a busy hospital laboratory it may be impracticable to monitor
every item of glassware, etc., and decontaminate individually.
In such cases it is common to treat all items as contaminated
and discard them into cleaning mixture immediately after use.
Handling techniques: The techniques used in the laboratory
are onerous, but not especially so, and are comparable in
many respects to those used for handling pathogenic
microorganisms. Adequate technical skill can be acquired
only in the laboratory but a few widely used techniques are
outlined below.
1. Benches, if of wood, should be covered with waterproof
paper over which blotting paper may be laid. Self-adhesive
1614
sheet plastic can also be used on wood and other types of
surface.
2. Working areas are best defined by using plastic, stainless
steel or enamelled trays lined with absorbent paper.
3. There should be an ample supply of disposable tissues
available.
4. Small volumes of liquid are conveniently measured in
automatic zero micropipettes. For larger volumes many
designs of safety pipette are available. Alternatively,
conventional pipettes may be used with an automatic pipette
filler or with a syringe attached to the pipette by tubing.
Ordinary teats should not be used.
5. Repetitive dispensing from solutions is best done by self-
contained automatic pipettes or burettes.
6. Balance pans should be protected with cellophane or plastic
film.
7. Solutions should preferably not be boiled but if this is
essential it should be done in a fume cupboard and treated as
a distillation.
8. Small volumes of liquid may be evaporated using radiant
heat lamps.
9. Solutions should be sterilized in small batches in bench
autoclaves. Very short-lived nuclides may be sterilized as
individual doses using a sterile syringe fitted with a
membrane filter unit. Syringe attachments giving 6mm of
lead shielding are available.
10. Sources, beakers, flasks etc. should always be handled
with tongs or forceps, especially if γ-emitters are in use,
unless it is known that the superficial dose rate is negligible.
11. Contaminated pipettes should never be dipped into a bulk
of inactive liquid. A suitable excess volume of the liquid
should be placed in a small beaker or, for small volumes,
1615
watch glasses of appropriate size. For microvolumes a drop of
solution may be placed on a small piece of cellophane.
Waste control
1616
waste activity as small as possible and to dispose of it in small
quantities as it is generated, rather than accumulate it.
Solid waste which cannot be disposed of by normal refuse
disposal may, under suitable control, be buried or incinerated.
In the latter case it is preferable to use an existing incinerator,
rather than have one reserved for radioactive materials, since
this results in dilution with inactive residue.
The incineration of wastes yielding nonvolatile, long-lived
material should be avoided.
Organic solvent waste is best disposed of by burning,
provided the products of combustion are completely volatile
and disperse readily in the atmosphere.
The advice and assistance of the controlling authority must be
sought if significant amounts of long-lived or highly toxic
waste material are accumulated.
Minor disposals of radioactive waste by hospitals tinder
ministerial control are exempted by specific orders made
under the Radioactive Substances Act (1960). These
exemptions apply also to the premises of medical
practitioners and pharmacists but not to other hospitals, to
medical schools or to separate medical research units.
Disposals of waste other than under the exemption orders are
controlled as indicated previously. The excreta of patients
undergoing diagnostic or therapeutic procedures involving
radionuclides do not normally constitute a problem since the
amounts of radioactivity are small or the radionuclides
involved are of low toxicity and short half-life so the excreta
can be voided to the normal sewerage system, where there is
adequate dilution.
1617
Radiochemical Applications
The subject of radiochemistry covers the use of radionuclides
as tracers in chemical and physicochemical systems, analyses
using radionuclides or induced radioactivity and radiation
chemistry.
Tracer applications may be purely chemical or involve studies
of animal and plant metabolism and clinical diagnosis.
Radiation chemistry is the study of the effects of radiations on
substances or systems and includes therapeutic uses and
radiation sterilization.
1618
destruction of the thyroid gland due to the concentration of
large amounts of radioiodide will affect the entire metabolism
of an experimental animal.
Generally the stability of a radioactive compound must be
regarded as being inferior to that of the inactive compound.
Well known examples include: (a) the radiolytic oxidation of
solutions of 131I to iodate and periodate; (b) radioiodide
formation from compounds labelled with radioiodine; (c) the
self-destruction of dextran sulphate 14C, presumably due to
the radiolytic production of sulphuric acid; and (d) tritiated
acetone readily undergoes enolization in alkaline solution
with loss of the tritium label, whereas un labelled acetone is
relatively stable under these conditions.
3. The occurrence of exchange reactions between inactive and
radioactive isotopic atoms, causing losses of radionuc1ide
from the system. Two simple cases are represented by the
following equations:
Analytical Applications
1619
attempted here and would be out of place. However a few of
the more important uses are described briefly below.
1620
and its activity (c) and mass (m) are determined. The mass of
the substance of interest in the sample is given by the
expression:
(32.11)
(32.12)
1621
important with dilute solutions. In all such cases the use of a
radioactive tracer as a recovery indicator may reduce
substantially the errors involved and the complexity of the
procedures used.
The technique is essentially the same as that used in
radioisotope dilution analysis, except that the mass of
radioactively labelled material added at the outset is
preferably negligible. Since any losses are corrected for, the
separation technique need not be quantitative and may be
simpler than that which would otherwise be used. The
isolated pure component is assayed normally, its radioactivity
is measured and the result is calculated using expression
(32.11) or (32.12) as appropriate.
Enzyme assays
1622
Activation analysis
1623
Although it may be possible to assay the sample by
γ-spectrometry, without further treatment, a chemical
separation of the element of interest is often necessary since
radioactivity is usually induced in several components of the
sample. Both sample and standard are treated identically, the
activities of each are determined—allowing for the chemical
yield of the separations, and the radiochemical identity of the
isolated material confirmed as a precaution.
An application of interest in forensic medicine is the
determination of arsenic in pathological samples, the
sensitivity being about 100 times that of normal methods.
Solubility determinations
1624
The technique can be applied to materials which are normally
appreciably soluble, provided that a suitable system offering
low solubility can be formulated.
Radioimmunoassay
1625
Fig. 32.42 Procedure for radioimmunoassay. Full details are
given in the text.
Medical Applications
1626
24
Sodium space and Na
exchangeable sodium
Exchangeable potassium 42K
82
Exchangeable chloride, Br*
extracellular fluid
3
Body water, oedema H
45
Calcium Ca, 47Ca, 83Sr
85
Body fat Kr
51
Red Cell volume Cr
Plasma volume RISA
Heart chamber volumes 85Kr, 84rb, 85rb
Pulmonary blood RISA
volume Metabolism and
turnover studies
59
Ferrokinetics (loss, Fe
absorption, utilization,
plasma clearance of
iron)
51
red cell life span, blood Cr, DF32P+, glycine-1-14C
transfusion
51
Sites of red cell Cr
destruction
Platelet survival DF 32P, 51Cr, 35S
32
Leucocyte survival P, thymidine-3H
45
Calcium metabolism, Ca, 47Ca, 85Sr
parathyroid activity,
1627
bone turnover, vitamin
therapy
22
Sodium turnover Na
36
Chlorine turnover Cl
51
Gastrointestinal Cr, 32P
haemorrhage
Vitamin B
12 metabolism Cyanocobalamin-57Co or-58Co
Fat absorption, sprue, Triolein-131I, oleic acid-131I
steaorrhea
Folic acid metabolism Folic acid-3H
Protein loss RISA-131I, PVP-131I, 51CrCl3,
dextran-59Fe
Protein turnover RISA-131l
15
respiration O, 85Kr, 133Xe
131 132
Thyroid metabolism l, l
Kidney function Allyl-inulin-131I or 125I, sodium
diatrizoate-131I or-125I,
Cyanocobalamin 57Co,
EDTA-51Cr
Gall bladder, bile
Circulation and blood Iodipamide-125I or-131I
flow
Cardiac output RISA-131I
85
Coronary blood flow, Kr, 84rb, 86RB
inracardiac shunts
133
Pulmonary blood flow Xe, MAA-131I
1628
85
Cerebral circulation Kr, 4-iodo-antipyrine-131I,
133
Xe
198
Liver blood flow Au, sodium idiohippurate-131I
42
Kidney circulation K, sodium iodohippurate-131I,
133
Xe sodium diatrizoate-131I
or- I, sodium iothalamate-125I
125
131
or- I
24
Muscle blood flow Na, 133Xe
Skin blood flow, plastic 24Na
surgery
Organ and tumour
visualization
Angiography Sodium iothalamate-125I or-131I
Spleen red cells-51Cr, 81rb,
BMHP-197Hg+, MPH-197Hg+
Liver Sulphur colloid-99mTc, 198Au
colloid, MAA-131I, 113mIn colloid,
rose Bengal-131I, PVP-131I, 99Mo
Gall bladder Iodipamide-125I or-131I
Pancreas Selenomethionine-75Se
131
Stomach I
Kidney Chlormerodrin-197Hg, iron
complex-99mTc
18
Skeleton F, 47Ca, 85Sr, 87mSr
99m
Brain tumours Tc, chlormerodrin-197Hg,
RISA-131I, 74As, 113mIn
1629
125
Thyroid I, 131I, 99mTc
Lungs MAA-131I, MAA-99m 113mIn Tc,
Fe(OH)
-3
Placenta RISA-132I, albumin-99mTc
Lymphatic system Tri-n-octylphosphate-32P or
triolein-131I in Lipiodol UF
75
Cartilaginous tumours Se
32
eye tumours Therapy P
60
Solid sources Co, 90Sr, 90y, 137Cs, 182Ta,
226
RA
90
Colloids y, 198Au
32
Solutions P, 131I
†
RISA radio-iodinated human serum albumin, labelled with
125 131
I or I.
Di-isopropyl phosphorofluoridate-32P.
Polyvinyl pyrrolidone, molecular weight 30,000–40,000.
1-Bromomercuri-2-hydroxypropane.
1-Mercuri-2-hydroxypropane.
3-Chloromercuri-2-methoxypropyl urea.
Sodium 3,5-diacerylamino-2,4,6-triazobenzoate.
MAA, macro-aggregated albumin.
*
No convenient chlorine isotope is available.
1630
disease and metabolic derangement were previously of great
technical difficulty. Clearly, reliable estimates of the
concentration and behaviour of body constituents are
invaluable in the accurate diagnosis of disease and the
management of the condition and its treatment. Such studies
have been greatly facilitated by the use of radioisotope
dilution analysis, the principle of which has already been
described.
For this purpose the body is considered to be composed of a
number of spaces or compartments, such as the ‘extracellular
space’ and the ‘24h sodium space’. This concept has no
anatomical or geometric identity and the measurement merely
gives the apparent volume of distribution of the substance of
interest. The size of a body compartment, or the amount of a
component as measured at a given time is a reflection of the
dynamic metabolic equilibrium which existed at the time of
sampling. As with other analytical applications the tracer
must be equilibrated thoroughly with the system of interest.
One example will serve to illustrate the benefits of
radiotracing. In haematology the conventional determinations
of haemoglobin and red cell count only give results relative to
the total blood volume, and abnormally low or high values
may be masked by corresponding changes in blood volume.
Thus pseudoanaemic conditions occur when the red cell
volume is normal and the plasma volume is high, a condition
which occurs in kidney disease, splenomegaly or congestive
cardiac failure, while a low plasma volume may tend to mask
the severity of an anaemia arising from a haemorrhagic
condition. Although the total blood volume may theoretically
be determined by measuring the dilution effect in a sample of
whole blood there are a number of limiting factors which
make this unreliable and in many conditions it is essential to
measure both the red cell volume and the plasma volume.
1631
Both measurements may be made simply and simultaneously
on the same blood sample, obtained following the injection of
red cells labelled with 51Cr and of RISA–125I (radioiodinated
human serum albumin labelled with 1251), the radiations from
each being distinguished by the use of a scintillation counter
equipped for pulse height analysis.
1632
Fig. 32.43 Patterns of iodide utilization in normal subjects
and in thyrotoxicosis and myxoedema. (A) Uptake in the
thyroid gland; (B) Changes in the plasma iodine levels with
time (modified from data supplied by the Radiochemical
Centre, Amersham).
1633
gases 85Kr or 133Xe. Measurements of the effect of drugs on
the circulation can also be made in this way, observing
clearance rates before and after
administration of the drug. The inert gases have the advantage
that they are almost completely removed from the blood in a
single passage through the lungs so that there is virtually no
residual activity to complicate the results of repetitive tests.
An unusual technique which has been used to study
pulmonary blood flow is to inject macroaggregated albumin
labelled with 125I, 131I, 51Cr or 99mTc. The albumin is
aggregated by shaking and warming at a pH near its
isoelectric point. Some 90 per cent of particles in the range
10–50μm are trapped in the lung capillaries and are cleared
slowly over a period of several hours. Areas of lung which are
poorly perfused, as in pulmonary embolism, trap only a few
particles and so show as areas of low activity.
A considerable amount of information can be derived from a
single intravenous injection of RISA, recording the activity
observed by a scintillation counter carefully aligned over the
area of the heart taking a single blood sample after 5–10min,
when mixing is complete. This simple procedure yields the
cardiac output, the pulmonary circulation time, the pulmonary
blood volume, the plasma volume and the blood volume (Fig.
32.44). Further refinements of the technique enable the
volumes of individual heart chambers to be determined and
the presence of cardiac valvular incompetence or intracardiac
shunts to be detected.
1634
Fig. 32.44 Determination of cardiac output. (A) Curve from
moderately directional counter. Cardiac output = F = (cV/A),
where c is the equilibrium activity, V is the blood volume
(determined in the test) and A is the shaded area under the
curve; (B) Curve from a directional counter, carefully aligned
t, pulmonary circulation time.
1635
result may be presented on paper as a dot diagram, in which
each dot represents a set number of counts so that the dot
density reflects the counting rate, and visualization may be
aided by presentation of a colour dot diagram in which the
dots are colour coded according to the counting rate.
Alternatively, the accumulation of the given number of counts
may be used to trigger a flash of light and the dot diagram is
then recorded on photographic film. The latter type of scan is
shown in Fig. 32.45B in which a brain scan using
chlormerodrin-197Hg is superimposed on an X-radiograph of
the patient’s head, with excellent visualization
of a meningioma. The scan can be done in two planes at right
angles to give precise location prior to surgery.
1636
with permission of St. Bartholomew’s Hospital, the National
Hospital, Institute of Neurology and the UKAEA).
1637
whereas increased uptake in brain tumours probably results
from breakdown of the normal mechanisms which act as a
barrier to the penetration of many substances into brain tissue.
However, in many cases the presence of a tumour is inferred
from the existence of nonfunctional masses in organs.
Particular advantages of radionuclide tumour scanning are
that it will often distinguish between active and inactive
lesions (Fig. 32.46) and locate metastases (secondary tumours
resulting from the dissemination of cells from a primary
malignant tumour), especially with thyroid metastases which
often have the ability to concentrate iodide in the same way as
normal thyroid tissue.
1638
the results supplement the information derived from the
clinical symptoms and other tests but the value of the
technique is beyond doubt.
The chemistry of some radionuclides (131I, 99mTc, 113mIn)
enables them to be used as labels for many different
substances so that these nuclides have found very wide
application.
Therapy
1639
Fig. 32.47 Tumour therapy with removable implants. An
X-radiograph of 182Ta hairpins implanted in the bladder
(reproduced with permission of the royal Marsden Hospital
and the UKAEA).
1640
An alternative approach is to implant short-lived
radionuclides which can be allowed to remain in place since
decay results in negligible final radiation doses. This
technique is used with 198Au (half-life 2.7 days) in the form
of gold grains which are implanted with a special gun (Fig.
32.49) and with 90Y (half-life 64.2 h) rods which are often
used for pituitary ablation.
1641
palliative treatment of the peritoneal and pleural cavities with
colloids of 198Au and 90y, the latter in the form of the silicate
or adsorbed onto colloidal ZeoKarb-225. These colloids can
also be used in the bladder to treat diffuse growths.
Solutions: Only two radionuclides are widely used in solution
form. Inoperable thyroid cancer may be treated with 131I, a
form of therapy which is especially valuable if iodine
concentrating metastases are present, since these are treated
simultaneously.
This nuclide is also used to reduce thyroid activity in
thyrotoxicosis, especially when the condition recurs after
surgery, and to reduce the basal metabolic rate, and so the
demand on the heart, in some cases of intractable cardiac
disease. The irradiation of blood-forming tissues by 32p from
its absorption sites in bone is the method of choice in the
treatment of polycythaemia vera, an excessive production of
red cells, and may also be useful in the treatment of myeloid
and lymphatic leukaemias, which are characterized by
excessive white cell production.
Teletherapy is the irradiation of tissues using powerful
radioactive sources located outside the body, the usual
sources being γ-emitters, normally 60Co (about 2000 Ci), but
137
Cs (about 10000 Ci) is also used. These are employed
similarly to X-ray therapy sets but have the advantages of low
operating costs, continuous output, reliability, and cause
fewer skin reactions since the maximum dose occurs several
millimetres below the skin surface. Also if the source is
rotated around the patient in a circle with the tumour as its
centre (Fig. 32.50), the dose to the tumour is achieved with a
substantially smaller dose than usual to the surrounding
tissue. The latter technique is impossible with X-ray
generators due to the attachment of the power cables.
1642
Fig. 32.50 A 60Co teletherapy unit. The massive head,
containing 4670 Ci shielded with depleted uranium, can be
rotated around the patient (Reproduced by permission of the
Churchill Hospital and the UKAEA).
Radiation Sterilization
1643
and, less importantly, excitations when radiation traverses the
cell. However, lethally irradiated cells remain intact,
respiration continues normally motile cells retain their
motility for some time and under conditions where
reproduction is possible, death may not occur until after one
or two divisions of a cell. The extent of these effects in any
individual case depends on the extent of damage but it is clear
that inactivation is not the result of gross damage but arises
from the effects of one or more minor lesions.
The essentially particulate nature of ionizing radiations and
the fact that they produce discrete ionization loci, the
statistical distributions of which can be calculated (Fig.
32.51), have led to the concept that inactivation is due to
‘hits’ in specific ‘targets’. The hits are specific lesions which
individually or cumulatively result in cell death and the
targets are the sensitive loci, the integrity of which is essential
to viability. The natures of these targets have not been
identified but the indications are that they are macromolecular
in nature and they have been equated with genes, membranes
and other functional entities.
1644
permission of Professor Trump and the Pharmaceutical
Press).
1645
Fig. 32.52 Types of log survivor–dose curves. Type A,
exponential (single hit). Type B, curve showing tailing. Type
C, multitarget (sigmoidal) curve (redrawn from data supplied
by Dr Margaret Thornley and the International Atomic energy
Agency).
1646
which death is not observed the shape of such survival curves
has been ascribed to various causes:
1. The presence of a number of targets within the cell, all of
which have to be inactivated before the cell becomes
nonviable (the multitarget model), for example it has been
calculated that 90 hits were requires to inactivate a single
spore of Cl.botulinum strain 33A.
2. The necessity for several hits to inactivate a single target,
the single target inactivation causing cell death. This multihit
model would lead to a curve different in form from the
multitarget model, though it may not be possible to
distinguish between them unless the data are very accurate.
3. The clumping of cells results in a multitarget type of curve.
Since we commonly test viability by the ability to form
visible growth and the growth can arise from a single unit or a
clump it is necessary to inactivate each unit in the clump to
destroy viability.
4. With some species, such as the naturally resistant M.
radiodurans, there is a considerable shoulder, possibly due to
the possession of extremely efficient repair mechanisms for
radiation damage. Curves of type C can be characterized by
two parameters, the D value derived from the slope of the
later, exponential part of the curve and the extrapolation
number (N), which is the intercept on the ordinate of the
backward extrapolation of the exponential part of the curve.
Although the extrapolation number can be interpreted as the
number of targets required to be damaged for cell
inactivation, this interpretation must be approached
cautiously. Instead of the extrapolation number the size of the
shoulder may be given. It is possible that exponential curves
are a limiting form of the multitarget curve in which the
shoulder is negligible since in other situations, such as phenol
1647
disinfection, the survival curve shows a shoulder at low
concentrations but not at high ones.
The third type of curve (Fig. 32.52, curve B) is not usually
amenable to mathematical treatment on the basis of the target
theory. In some cases these curves may become exponential
in the later stages and can then be characterized by the D
value and the extrapolation number (N′), the latter having a
value less than unity. Type B curves may arise by the
combination of two or more exponential curves of different
slope, e.g. those due to the presence of two strains of widely
differing resistance, or two targets of different size. However,
such curves are often considered to indicate the occurrence of
a population with a markedly skew distribution of resistance,
there being an abnormally high proportion of sensitive cells.
Inadequate techniques resulting in nonuniformity of dose can
also give type B curves.
1648
Fig. 32.53 radiosensitivities of some food spoilage
micro-organisms. 1, Pseudomonas spp.; 2, Escherichia coli;
3, Salmonella typhimurium in buffer; 4, Torulopsis famata; 5,
Bacillus brevis; 6, Salmonella typhimurium in liquid egg; 7,
Streptococcus faecium strain R53; 8, Bacillus megaterium
spores; 9, Clostridium welchii spores; 10, Clostridium
botulinum type A spores; 11, Micrococcus radiodurans.
1649
Inoculum level: The higher the initial population the greater is
the dose required to achieve a given degree of inactivation.
This situation arises from the generally exponential nature of
the process and is similar to that which occurs when
microorganisms are killed by heat or chemicals. This
population effect emphasizes the need to keep the initial
degree of contamination as low as possible so that the
sterilization of articles is achieved with the minimum dose.
Gaseous environment: The presence or absence of oxygen
during and after irradiation markedly influences the apparent
sensitivity to radiation damage arid the overall change in
oxygen sensitivity is normally about 3:1 but may be as high
as 15:1 in some conditions. There appear to be three different
types of radiation damage; one component is totally
independent of oxygen, a second (latent) component is
observed when anoxic irradiation is followed by exposure to
oxygen and the third component (immediate) is involved
when irradiations are done in the presence of oxygen.
Anoxic effects also occur in the presence of reducing agents
(H2S, thiourea) or free radical or oxygen scavengers, such as
nitric oxide.
The oxygen effect is usually interpreted on the basis that
oxidizing free radicals are formed more readily in its
presence, thus increasing the indirect effects, though not all
observations fit in with this theory.
Degree of hydration: It is generally accepted that
microorganisms are less radiation sensitive under dry
conditions than in the presence of water and this is ascribed to
the absence of indirect effects arising from the radiolysis of
water. Since there may be a 30 per cent change in the
inactivation rate over a range of about 20–40 per cent relative
humidity, there may be an appreciable change of sensitivity
within the normal range of ambient humidity.
1650
Temperature: The radiation sensitivity of microorganisms is
reduced at, or below, the freezing point of water, due to the
immobilization of free radicals and reactive species produced
in the water, thus reducing indirect effects.
At temperatures used for sterilization there is a
complementary or synergistic effect of temperature and
irradiation and sterility may be achieved by a combination of
significantly milder treatments of both sterilizing agents. This
phenomenon is of potential practical importance in the
sterilization of products such as foodstuffs which are both
heat and radiation labile.
Stage of cell division: The sensitivity of vegetative bacteria
varies during the growth cycle as shown in Fig. 32.54 and the
growth phase will clearly affect the dose required if there is
the possibility of growth in the material to be sterilized.
1651
Since bacterial spores are considerably more resistant than
vegetative cells of the same species there is an abrupt increase
in radiosensitivity as spore germination occurs.
Protective and sensitizing agents: A large variety of
compounds affect the radiation sensitivity of microorganisms.
Protective agents include reducing agents (cysteine, dimethyl
sulphoxide, thiourea, cysteamine, β-mercaptoethanol),
alcohols and polyhydric compounds (ethanol, glycerol,
mannitol) and proteins or complex foodstuffs. The effect of
anoxia and free radical scavengers has already been referred
to, and most of the protective agents appear to be substances
which abolish at least part of the oxygen effect.
The mode of action of radiation sensitizers is obscure.
Sensitization has been reported with oxidizing agents (nitrate,
nitrite), water soluble stable free radicals (di-t-butyl
nitroxide), phthalylanilides and phenazinium and
iso-indolinium compounds. Vitamin K5 has been reported
both as a sensitizer and as a protective agent with different
bacterial species.
Pretreatment and posttreatment conditions: The
physiological condition of an organism at the time of
irradiation influences its sensitivity so that the growth
temperature, the medium, pH and oxidation reduction
potential will all influence the situation. However, there has
been little work done on this aspect and most emphasis has
been placed on the modifying effects due to variation of the
postirradiation conditions. Postirradiation treatments which
produce reductions in apparent radiosensitivity are:
incubation on complex media rather than on simple salt
media; the use of more dilute complex media; and retardation
of metabolism with metabolic inhibitors or by incubation in
distilled water. The effect of incubation temperature varies
with the strain of organism, although better survival usually
1652
results from the use of temperatures below the optimum for
undamaged cells of the same species.
Variation in posttreatments may result in survival curves of
different form, indicating that the form of the curve probably
reflects the interplay between the revival process after
damage and the lethal process. Thus hypotheses concerning
the modes of action of lethal agents which are derived from
the form of the survival curve should be treated with caution.
It should be noted that the effects of pre- and posttreatment
conditions may be related, for example, bacteria grown on a
simple salts medium before irradiation have a high
concentration of enzymes and may show good recoveries on a
complex medium, whereas preirradiation growth on a
complex medium and the postirradiation use of salts medium
may give the opposite effect due to lack of synthetic ability.
Mutations: In addition to lethal effects, ionizing radiations
select radioresistant mutants from a population and also
produce mutations. The degree of radioresistance appears to
be related to the number of cycles of irradiation, isolation and
reirradiation so that although the possibility of the emergence
of radioresistant
strains must be considered in relation to sterilization practice
it is unlikely that this will constitute a major problem.
1653
The wide variations in sensitivity between species have
already been referred to and the most resistant species likely
to occur as a contaminant in the material and the degree of
such contamination are the two most important
considerations. Although highly resistant species are
relatively uncommon in pharmaceuticals and medical
products, which are manufactured under hygienic conditions,
the facts that there is a mixed microbial flora of which the
exact composition at any time or on any article and the exact
degree of contamination are not known precisely, make it
essential to assume the worst possible conditions. There is
considerable technical difficulty in following the course of the
sterilization process at very high inactivation factors since it
is impracticable to prepare test microbial suspensions of
sufficient concentration to permit the accurate counting of
survivors at inactivation factors greater than about 109. Also,
unless the whole of the dose can be delivered within a very
short time, the leakage of intracellular material from the high
concentrations of damaged cells exerts a protective effect on
survivors. However, most inactivation curves seem to be
approximately exponential up to high inactivation factors and
although the ‘tailing’ of resistant organisms has been
reported, e.g. in irradiations of spores of Clostridium
botulinum and of yeast and Salmonella spp. in dried
foodstuffs, the phenomenon may be less important in the
irradiation of medical products than of foods.
Although plastic items are frequently sterile at the point of
production, subsequent handling results in contamination.
Thus disposable plastic hypodermic syringes have an average
contamination rate of about 100microorganisms per article
under hygienic conditions, whereas poor handling techniques
can result in contamination levels of 105–106 spores per
syringe. In contrast with this situation biological materials are
1654
inevitably heavily contaminated and thyroid powder has been
reported to contain Salmonella spp. and other faecal
organisms at a level of 30×106 per g.
In the examples referred to above the organisms on plastic
syringes would be relatively unprotected by their environment
but there would be a considerable protective effect of the
thyroid tissues. This latter point is illustrated by some D
values reported for S. typhimurium in phosphate buffer,
canned bacon and canned chicken which were 0.02, 0.16 and
0.33, respectively.
Since the principal type of material sterilized by radiation
comprises individual solid items, nonuniformity of
contamination is the normal situation and results in a higher
dose requirement than if contamination were uniform, since
all items have to be treated according to the highest
contamination level which occurs.
The margin of safety required depends on the risk of the
occurrence of nonsterile articles which is considered to be
acceptable for the intended purpose. It has already been noted
that the sterilization process is a probability function, so that
an inactivation factor of 109 coupled with an initial
contamination of 103 organisms per article would result in
residual contamination in an average of one article in 106. An
increase in the dose, and so in the inactivation factor, gives a
lower probability of residual contamination without
producing sterility in the absolute sense. This situation is
similar to that which occurs with conventional sterilization
techniques, though long experience with procedures which
are known to produce acceptably safe products and which
were developed rather empirically has led to autoclaving
being regarded as an absolute sterilization method. The
generally accepted autoclaving procedures probably give a
residual contamination rate of 10–6 and this has been proved
1655
acceptable. A widely used concept is that of the ‘12D dose’,
the dose required to give an inactivation factor of 1012, in
order to give a high degree of security even if highly resistant
species are present as contaminants, if there is unduly heavy
initial contamination or if tailing occurs.
Thus selection of an appropriate sterilizing dose may be
difficult and in the absence of precise information about the
initial conditions large doses are used, in the range
2.5–4.5Mrad. The 2.5 Mrad dose has been widely accepted
but it has been suggested that this may be inadequate. With
these high doses, especially at 4.5 Mrad, the effects of
irradiation on the material may be important and each type of
product requires careful evaluation as to stability, activity,
physical properties, storage life and acute and chronic
toxicity. However, if it is desired to sterilize a pure culture of
known resistance, as in vaccine production, or to eliminate a
particular pathogen, e.g. staphylococci from hospital linen or
salmonellae from egg products, smaller doses may be
acceptable provided that radiation resistant strains are not
produced.
1656
3. The radiation source should be capable of delivering high
doses economically, at the same order of cost as conventional
sterilization techniques.
4. It should be possible to irradiate materials in any physical
state.
5. The dose must be accurately reproducible and capable of
accurate measurement and control.
6. The safety of plant operators should be ensured and
radioactivity should not be induced in any irradiated material.
The only types of radiation to meet the above criteria are
γ-rays and electron beams. Other radiations have limited and
specialised uses.
Plants for γ-irradiation: Virtually all sterilization plants in
use at present employ 60Co, the source strength varying from
30 kCi to 2MCi. Cobalt-60 has the advantages of
compactness, high penetration (Fig. 32.55) and high dose rate.
Its half-life of 5.26 years necessitates replacement at the rate
of about 12.5 per cent per year in order to maintain the
desired dose rate.
1657
energy 1.25MeV; broken lines, 5MeV negatrons; thin lines,
single sided irradiations; heavy lines, double sided
irradiations.
1658
for a 2MCi source. When maintenance is required, or the
source needs replenishing, the source is normally lowered
into a water pond, about 6m depth of water providing
adequate protection. The installation is designed for the
utmost reliability and to fail safe in the event of any untoward
incident.
1659
linear accelerators. The penetrative powers of electrons is
very much less than that of γ-radiation (Fig. 32.55), so
electron irradiation is usually confined to the sterilization of
small items such as individual dressings or sutures spread in a
thin layer. The objects to be sterilized are passed on a
conveyor belt under a focused electron beam which is
scanned rapidly (200 cps) to and fro across the conveyor,
using electrostatic or electromagnetic deflecting fields, a very
high efficiency of utilization of the available energy being
obtained. Uniformity of dosage control is achieved by careful
regulation of both the electron generator and the conveyor
speed. Although the problems of protecting personnel from
radiation hazards are much less than with γ-radiation plants
there is considerable Bremsstrahlung production, which
accounts for most of the biological shielding required.
Comparison of γ-ray and electron beam processes: The
relative properties of the two types of irradiation are given in
Table 32.15. Most of the material processed throughout the
world is sterilized by 60Co irradiation since increasing
utilization of this material has resulted in reduced costs
whereas the Cost of electron generators has risen in keeping
with general inflationary trends. Some γ-irradiations are
carried out using the radiation from spent nuclear reactor fuel
elements which are held in water ponds to ‘cool’ to
acceptable radiation levels before processing. Such facilities
are of low production capacity and are primarily experimental
or are used where radiation sterilization is economically
nonviable.
1660
γ-Radiation Electron Beams
1. High penetration 1. Lower penetration,
dependent on energy
2. Massive biological shielding 2. Shielding problems are
and elaborate source storage less since the beam has a
required defined direction and lower
range and Bremsstrahlung
production is relatively
inefficient
3. No directional properties so 3. Very high efficiency of
that the whole of the energy utilization of the energy of
cannot be absorbed within the the scanned beam
irradiated material, resulting in
maximum efficiencies of about
35 percent
4. Large input and output stores 4. Less elaborate storage
required due to relatively long facilities needed due to
irradiation times and the need to high processing capacity
operate continuously for
economy
5. Cannot be switched off 5. Can be run at will as
required
6. Cannot induce radioactivity 6. May induce radioactivity
if energies > 10MeV are
used
7. reliably constant output of 7. energy output required
energy careful control
8. Low maintenance costs 8. Liable to breakdown
primarily for 60Co source needing frequent
1661
replacement at a rate of 12.5 maintenance and has a tube
percent per year life of about 1000hr
Control procedures
Advantages of radiosterilization
1. Highly effective.
2. Treatment times may be very short.
3. It is a continuous process suitable for long production runs.
4. The thermal conductivity of the material is irrelevant.
5. It is a cold process resulting in a temperature rise of only a
few degrees and so is suitable for thermolabile materials.
1662
6. Materials may be irradiated in the dry or frozen state and
under oxic or anoxic conditions.
7. Products are processed in the final container after
packaging with no risk of subsequent contamination until
used.
8. The process may be controlled and monitored accurately.
Applications
1663
3. Atropine eye drops
4. Cannulae
5. Cardiac valve prostheses
6. Chloramphenicol eye ointment
7. Dialysis units
8. Endotracheal tubes
9. Oxygenators for heart–lung machines
10. Plastic catheters, gloves, hypodermic syringes (with
needles), petri dishes, tubing
11. Rubber catheters and gloves
12. Starch glove lubricating cream
13. Surgical blades, blood lancets
14. Surgical dressings: bandages, gauze, eye pads, swabs,
maternity towels
15. Sutures: catgut, collagen, silk, polyester, nylon,
transfusion giving and taking sets
The question of the economics of the various sterilization
processes is probably not as important as has occasionally
been implied. There are undoubted differences in cost (the
cost of ethylene oxide sterilization, another cold process, has
been reported to be about 60 per cent of that for
radiosterilization), but sterilization may account for only 5 per
cent of the manufacturer’s price and such cost differences are
marginal. The real consideration is which sterilization process
is the most suitable for the material concerned and gives an
appropriate degree of security.
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1664
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1665
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1666
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Persons Exposed to Ionizing Radiations in Research and
Teaching. London: Her Majesty’s Stationery Office; 1964.
1960 Radioactive Substances Act (1960). 8 & 9 Eliz. 2, 34.
London: Her Majesty’s Stationery Office.
Rees RJ. Health Physics: Principles of Radiation Protection.
London: Butterworths; 1967.
World Health Organization. Protection against Ionizing
Radiation. A Survey of Existing Legislation. Geneva: World
Health Organization; 1964.
1667
International Atomic Energy Agency. Radiochemical
Methods of Analysis. Vienna: International Atomic Energy
Agency; 1965.
Lambie DA. Techniques for the Use of Radioisotopes in
Analysis: A Laboratory Manual. London: Spon; 1964.
The Radiochemical Centre, Amersham, Bucks (R.C.C.
Reviews)
Gorsuch TT. Radioactive Isotope Dilution Analysis. 1968.
No. 2
Gorsuch TT. Radioactive Tracers in Chemical Analysis.
1968. No. 5
Oldham KG. Radiochemical Methods of Enzyme Assay. 1968.
No. 9
Medical Applications
1668
The Radiochemical Centre, Amersham, Bucks. Medical
Monographs.
West JB. The Use of Radioactive Tracers in the Study of Lung
Function. 1966. No. 1
Tothill P. Measurement Techniques for the Clinical
Application of Radioisotopes. 1966. No. 2
Hobbs JT. Total Blood Volume–Its Measurement and
Significance. 1967. No. 3
Joekes AM. The Radioisotope Renogram. 1967. No. 4
Greig WR, Boyle IT, Boyle JA. Diagnosis of Thyroid
Disorders using Radioactive Iodine. 1969. No. 5
Mollin DL, Waters AH. The Study of Vitamin B12 Absorption
using Labelled Cobalamins. 1968. No. 6
Radiosterilization
1669
Pharmaceutical Press. Sterilization of Surgical Materials.
London: Pharmaceutical Press; 1961.
Silverman GJ, Sinskey TJ. The destruction of microorganisms
by ionizing radiation. In: Lawrence CA, Block SS, eds.
Disinfection, Sterilization and Preservation. London: Henry
Kimpton; 1968.
Sykes G. Disinfection and Sterilization. 2 London: Spon;
1965.
1 Most elementary, particles have complementary
antiparticles. The difference may be primarily one of charge,
as with electrons and positrons, or may result from opposite
directions of spin.
1670
Section V Microbiology and Animal Products
1671
Chapter 33
Principles of Microbiology
Microbiology is the study of microscopic organisms, bacteria,
algae, fungi, protozoa and viruses. The cells of bacteria and
the blue–green algae are prokaryotic in structure, the
remainder being eukaryotic, except for the viruses, which are
noncellular. There is no merit in classifying any of these
groups as plants or animals since there are intermediate forms
which tend to link the various groups: they are simply
microorganisms.
Eukaryotic cells (Fig. 33.1A) are typical of plants, animals
and most microorganisms. They have a true nucleus
surrounded by a double nuclear membrane with pores,
undergo mitotic division with chromosome separation, have a
structured cytoplasm with endoplasmic reticulum and possess
mitochondria (and membrane-limited chloroplasts if
photosynthetic). Their flagella or cilia are complex, showing a
highly structured basal body and within a membrane a ring of
nine doublet fibres surrounding a pair of single central fibres.
1672
Fig. 33.1 Types of cell organization: (A) Eukaryote; (B)
Prokaryote.
1673
Bacteria
Definition
1674
Fig. 33.2 Forms of bacteria. Coccoid (spheroid): (A)
Streptococcus pyogenes: (B) Diplococcus pneumoniae; (C)
Staphylococcus aureus. Bacillary (rod-shaped); (G)
Escherichia coli; (H) Bacillus anthracis, with spores; (I)
Corynebacterium diphtheriae. Spirillar; (J) Vibrio cholerae;
(K) Treponema pallidum with axial filament. Mycelial; (D)
Streptomyces griseus with spores. Stalked; (E) Caulobacter
sp. attached to a substratum by its holdfast. Sheathed; (F)
Sphaerotilus natans, showing rod-shaped cells in a branched
sheath largely composed of ferric hydroxide. Gliding forms;
(L) a myxobacterium, Chrondromyces showing the fruiting
body with microcysts.
1675
Coccoid, i.e. roughly spherical cells about 1μm in diameter in
chains, pairs, packets of four or eight, or irregular clusters.
Bacillary, i.e. rods, approximately 0.4–1.5μm wide and
1.5–8μm long, occurring singly, in chains or irregular
clusters.
Spirillar, i.e. spiral rigid or flexible rods 0.1–1μm wide and
4–500μm long with an axial filament which maintains the
spiral structure.
Mycelial, with a mass of fragmented or interlacing slender
(1.5μm) threads and bearing external, asexual spores only,
resembling microfungi.
Stalked and sheathed forms, mostly aquatic in habitat.
Gliding forms, flexible, rod-shaped forms 0.5–1.5μm wide
and 5–10μm long, moving by a gliding motion and with
complex life cycles.
However, the various forms of bacteria can also be divided on
the basis of staining reactions.
Staining Reactions
1676
Fig. 33.3 Bacterial cell wall: (A) The murein of
Staphylococcus aureus; (B) The N-acetylglucosamine
(N-glc)-N-acetylmuramic acid (N-mur) unit; (C) The
differences between (i) Gram-positive and (ii) Gram-negative
walls; L, point of lysozyme action.
Some of the genera in the two classes are given in Table 33.1.
Only bacteria can be Gram-negative, all other
microorganisms are Gram-positive.
Positive
1677
Streptococcus Escherichia Azotobacter
Bacillus Salmonella Nitrosomonas
Clostridium Shigella Acetobacter
Mycobacterium Enterobacter Neisseria
Corynebacterium Proteus Spirillum
Lactobacillus Vibrio Brucella
Micrococcus Yersinia Spirochaetes
Actinomycetes Haemophilus Rickettsiae
Mycoplasmas
In spore staining and acid-fast staining the endospores and
the cells respectively are relatively impermeable to normal
stains and are treated similarly. Hot, concentrated stains are
used, followed by sulphite or acid alcohol to decolorize, if
possible, and finally staining with a contrasting counterstain
(e.g. safranin solution). Positive reactions are the retention of
the concentrated red or green stain.
1678
Gram-positive walls also contain teichoic acids, linear
polymers of glycerophosphate or ribitol phosphate with
d-alanine or saccharide side chains.
The wall of Gram-negative cells is thinner, blue more
complex than that of Gram-positive cells (Fig. 33.3C). The
mureins are not major components and do not have peptide
bridges between the tetrapeptide chains. The
lipopolysaccharides of Gram-
negative walls are soluble and act as pyrogens if administered
intravenously, causing fever and other effects, and are the
somatic (0) antigens (see Table 33.17, p.540.
Some bacteria (mycoplasmas) do not possess a wall, and
extreme halophiles, which require concentrated sodium
chloride for growth, have a different type of wall structure.
1679
entry into the cell. Compounds not actively transported enter
the cell by diffusion processes.
Mesosomes
Nucleus
1680
Fig. 33.4 Chromosome replication in bacteria.
Cytoplasm
1681
Endospores
1682
Fig. 33.5 Bacterial endospores: (A) A typical spore structure
(Bacillus polymyxa); (B) Modes of occurrence; (C) Types of
germination.
1683
Fig. 33.6 Bacterial flagella and pili (fimbriae). (A) The
ultrastructure of a typical bacterial flagellums: S, basal
structure; H, hook; F, filament; CW, cell watt; PM, plasma
membrane. (B) Modes of attachment: M, Monotrichate
(Vibrio cholerae); L, lophotrichate, oephalotrichate
(Pseudomonas aeruginosa); P, peritrichate (Escherichia coli).
(C) Flagella and pili on cells of Salmonella typhi. The
1684
electron micrograph shows several long flagella attached
peritrichously to two cells of the organism, with numerous
short pili projecting from the surfaces of the cells. By
courtesy of Prof. J.P. Duguid and the Cambridge University
Press.
Pili (Fimbriae)
Capsules
1685
desiccation. Capsules may be polysaccharide (as in
Diplococcus pneumoniae and Leuconostoc dextranicum),
polypeptide (Bacillus anthracis) or more complex (B.
megaterium, polysaccharide/polypeptide; Shigella
dysenteriae, polysaccharide/phospholipid/protein). Capsule
formation is a genetic property of the species but depends also
on the environment, e.g. the presence of saccharides, CO2 or
serum, and on the age of the culture. In streptococci capsules
are formed early in growth and are subsequently destroyed, in
Klebsiella aerogenes synthesis is prolonged, while in D.
pneumoniae capsules are formed after active growth has
ceased. Capsular structure is highly specific and is used
diagnostically.
1686
Fig. 33.7 Bacterial capsules. (A) Bacillus anthracis; (B)
Streptococcus pyogenes; (C) Diplococcus pneumoniae.
Fungi
1687
Definition
General Morphology
1688
Although spores, gametes and some primitive species are
naked, most fungi have a rigid cell wall consisting of fine
fibrils embedded in an amorphous matrix. The wall is
primarily polysaccharide in nature (chitin, cellulose, glucan,
mannan, galactan or mixtures of these) but also contains some
lipid and protein, the latter sometimes being enzymatic.
Reproduction
Asexual
1689
Fig. 33.10 Asexual modes of reproduction in the fungi: (A)
Arthrospores (oidia); (B) Chlamydospores; (C) Fission; (D)
Budding; (E) Conidiospores (Penicillium); (F)
Sporangiospores (Mucor).
Sexual
1690
antheridium and female gametes in the oogonium. In some
species the male and female gametes are identical. The
antheridium and oogonium fuse and the nucleus and part or
all of the cytoplasm of the male gamete migrates in to the
female gamete in the process of plasmogamy (cytoplasmic
fusion) which yields a binucleate dikaryon. This is followed
by karyogamy (nuclear fusion) to give a diploid zygote which
then undergoes meiosis and mitosis to form haploid sexual
spores (Fig. 33.12).
Some species (Schizosaccharomyces octosporus, Pythium
debaryanum) are homothallic, i.e. self-fertile, and so can
reproduce sexually from a single thallus, whereas others
(Saccharomyces cerevisiae, Rhizopus stolonifer, Mucor
hiemalis) are heterothallic, i.e. each thallus is self-sterile and
sexual spores are formed only when two compatible thalli of
different mating types (+, –) come into contact (Fig. 33.11).
1691
Fig. 33.11 Heterothallic mating in Mucor hiemalis to give
sexual zygospores. The ‘–’ strain was inoculated at one side
of the plate (A) and the ‘–’ strain on the other side of the plate
(B). Where the mycelium grew together a line of black
zygospores was formed (C).
Protozoa
1692
Definition
General Characters
Sarcodina
1693
Fig. 33.13 Entamoeba histolytica.
Magistophora
1694
Ciliophora
Sporozoa
1695
Fig. 33.16 Sporozoa. The life cycle of Plasmodium vivax, the
agent of benign tertian malaria.
Inorganic
1696
macromolecular cell components and its complete removal
results in cell death. Because of its solvent properties it is the
vehicle for entry of substances into the cell, for transport
within the cell, for communication between the various
enzymes involved in a chain of reactions and for the excretion
of waste products. It is also an important reactant in
hydrolytic and some oxidative reactions.
Mineral salts: The principal requirements are for potassium,
magnesium and phosphate. Smaller quantities of calcium,
iron manganese, sulphate and chloride are required and also
the traces of cobalt, copper, molybdenum and zinc. Sodium is
not usually required except by halophiles. Most of these
elements occur naturally in the common growth media, which
are prepared from animal or vegetable sources, and their
deliberate inclusion is normally necessary only in wholly
synthetic media.
All ions show a similar concentration/response relationship,
being stimulatory at low concentration and inhibitory at high
concentration, with a well-marked optimum, the differences
being in the level at which optimum growth occurs (Fig.
33.17). Minerals may function as constituents of cytoplasm
(magnesium ribonucleate), as enzyme components (iron in
cytochrome oxidase and catalase) and as enzyme activators
(magnesium for isocitratase). Vital roles are played by
potassium, in the maintenance of osmotic and pH, equilibria,
and by phosphate, in carbohydrate metabolism and energy
provision.
1697
Fig. 33.17 Effect of cations on bacterial growth. Relative to
growth without added ions as 1.0.
Carbon Sources
1698
monosaccharides, polysaccharides, amines, amino acids,
polypeptides, etc.
Carbon dioxide may be required by some heterotrophs for the
synthesis of multicarbon compounds from simpler
compounds via the tricarboxylic acid cycle. Usually this is
important only in the early stages of growth since subsequent
metabolism usually yields ample carbon dioxide.
Nitrogen Sources
1699
exacting species require accessory growth factors, some of
which are required in very low concentration and are
components of coenzymes or their precursors. These latter are
the microbial vitamins, which comprise the Vitamin B
complex of man. Other growth factors are required in high
concentration (haemin, inositol, choline, some fatty acids and
amino acids) and are not associated with coenzymes.
Energy Sources
1700
The Influence of Nutrient Concentration on
Growth Yield
1701
Fig. 33.18 Effect of nutrient concentration on bacterial growth
rate and total growth yield.
Requirements
Availability
1702
has pK values of 4.65 and 4.80 and so is largely ionized at
physiological pH values (Fig. 33.19). Owing to the
predominantly hydrophobic character of the plasma
membrane many compounds enter the cell almost exclusively
in their unionized (hydrophobic) form. Fig. 33.19 also shows
that as the pH increases the total concentration of
p-aminobenzoic acid required to give a constant growth yield
increases in order to maintain the concentration of unionized
molecules.
1703
vitamin and so is less responsive to its presence in the growth
medium.
Transport systems and metabolizing enzymes: The utilization
of a compound depends on its entry into the cell and its
subsequent enzymic modification, and the substance may
enter by diffusion or be transported by a specific system
(permease). The synthesis of both permease and metabolizing
enzymes is under genetic control, but even if the genetic
determinants are present the synthesis of both the permease
and the metabolizing enzyme may be repressed, e.g. in E. coli
glucose represses the synthesis of both the lactose permease
and the lactase enzyme which splits the lactose into galactose
and glucose. Also, mutation may occur to give transport
negative and lactase negative mutants and either of these
conditions prevents lactose being available to the cell.
Molecular weight: Large molecules are generally unable to
enter the cell, for example, pure proteins will not function as
nitrogen sources unless extracellular proteases are formed
which break down the protein to polypeptides or amino acids
which can be utilized. However, some amino acids, e.g.
glutamic acid, may enter the cell more readily as peptides.
Chelating agents: Many naturally occurring compounds such
as amino acids function as chelating agents and bind essential
cations very strongly. This effect may result in growth
restriction, but more usually merely results in considerable
uncertainty as to the actual concentration of a cation which is
available for growth.
1704
Some Method of Microbiology
A comprehensive account of microbiological technique
cannot be given here. The reader is referred to texts quoted in
the bibliography at the end of the chapter.
Microscopy
Light Microscopy
1705
Fig. 33.20 visualization of unstained bacteria. (A) Negative
staining with nigrosin. (B) Dark ground illumination.
1706
Interference microscopy: The apparatus for interference
microscopy is more expensive than for phase contrast and so
the method is less commonly used, but it has the advantage
that haloes are not produced. Also, the interference patterns
may be produced to permit measurement of object thickness.
Electron Microscopy
1707
Fig. 33.21 Metal shadowing for election microscopy. (A) The
technique used; (B) The type of result obtained.
Cultivation
Transfer of Samples
1708
Fig. 33.22 Inoculation devices for small samples. (A) The
inoculating loop; (B) A Pasteur capillary pipette.
Growth Media
1709
cell or of a group of cells to cohere to form a visible mound or
mass of growth known as a colony (Fig. 33.23B).
1710
For special purposes media may be solidified with gelatin
(though the gel melts at 25° and the gelatin is digested by
many microorganisms), silica gel, alginate or pectin.
Liquid media are used in test tubes, closed with a
nonabsorbent cotton wool plug or a slip-on metal or plastic
cap, or in screw capped bottles. Solid media may also be used
similarly, either as ‘deeps’, in which the medium is solidified
with the container vertical and which are inoculated by
stabbing through the depth of the medium with a straight
wire, or as ‘slopes’, which are prepared by solidifying the
medium with the container tilted and which are inoculated on
the surface with a loop. A special form of solid culture is the
‘agar plate’ which consists of a layer of medium poured when
molten into a Petri dish, a glass or plastic dish of about 9cm
diameter and 1.3cm deep and allowed to set. Cultures on both
types of media are illustrated in Fig. 33.23.
Routine laboratory media are general media, widely used for
the cultivation of nonexacting microorganisms.
Bacteriological media normally contain peptone (partially
digested protein) and meat or yeast extracts at pH 7.4.
Mycological media may be similar but are often
supplemented with carbohydrates (glucose, sucrose, malt
extract) and may be rather more acid, pH 5.5–6.5. Media for
algae and protozoa are commonly much more dilute but may
require such materials as lettuce extract, Casilan and, for
phagotrophs, living bacteria or other protozoa. Formulae for a
number of routine media are given in Table 33.3.
Nutrient Broth
Beef extract 0.1*
1711
Yeast extract 0.2
Peptone 0.5
Sodium chloride 0.5 (pH
7.4)
A simple medium for the growth of nonexacting
species.
Tryptone Soya Broth
Tryptone 1.7
Soya peptone 0.3
Dextrose 0.25
Sodium chloride 0.5
K2HPO4 0.25 (pH
7.3)
A highly nutrient medium giving luxuriant
growth of many fastidious bacteria. It is not
suitable for culture maintenance.
Sabouraud Agar
Mycological peptone 1.0
Dextrose 4.0
Agar 1.5 (pH
5.2)
A standard medium for the cultivation and
identification of fungi.
Czapek Dox Liquid Medium
Sodium nitrate 0.2
1712
Potassium chloride 0.5
Magnesium glycerophosphate 0.05
Ferrous sulphate 0.001
Potassium sulphate 0.035
Sucrose 3.0 (pH
6.8)
A semisynthetic fluid medium for the cultivation
of nonexacting fungi and of those few bacteria
capable of utilizing sucrose as sale carbon and
energy source and sodium nitrate as nitrogen
source.
*
All concentrations are given as per cent (w/v).
Enriched media are used for the cultivation of exacting
species, enrichments such as blood, serum, liver extract, egg,
etc., being used.
Selective and diagnostic media: A selective medium is one
which is formulated to inhibit the growth of unwanted
species. Selective conditions may be provided simply by
controlling the nature of the carbon, nitrogen and energy
sources, e.g. dark conditions exclude phototrophs, exclusion
of combined nitrogen compounds selects for nitrogen fixers
and high concentrations of
sodium chloride select halophilic species, or by adding
inhibitors such as brilliant green to inhibit the growth of
Gram-positive organisms or by using the antibiotics nystatin
or amphotericin to inhibit the growth of fungi.
It should be noted that almost any conditions of growth exert
a selective pressure since no one set of conditions permits the
growth of all possible species: any growth is relative to the
experimental conditions used.
1713
Diagnostic media give characteristic reactions due to the
growth of particular species, e.g. gelatin is digested by
Pseudomonas aeruginosa but not by E. coli, lactose is
fermented to give acid and gas by E. coli but not by
Salmonella spp. and lactose media containing an indicator
will show this.
However many diagnostic media are also selective. One
common example is MacConkey’s agar (Table 33.4) which is
formulated as follows:
Concentration
Component Function
(g/litre)
Nutrient – Nutrients
broth
Bile salts 1.5 Reduces surface tension and
tends to select for enteric
bacteria
Lactose 10.0 Fermentable carbohydrate
Neutral red 0.03 Indicator to detect the production
of acid from lactose fermentation
Agar 15.0 Solidifying agent
This medium is used as a presumptive test for E. coli Type 1
(i.e. of enteric origin). Although not itself an important
pathogen, E. coli may be detected readily by relatively simple
tests and its presence is taken to indicate recent faecal
pollution, particularly of water and foodstuffs. E. coli, being
enteric in origin, will grow in the presence of the bile salts
and ferment the lactose giving bright pink colonies due to the
action of the acid on the neutral red. Many nonenteric
1714
organisms are inhibited by the bile salt and enteric, nonlactose
fermenters, e.g. Salmonella spp., give creamy or yellowish
colonies. Since species other than E. coli can give similar
reactions, the result is only presumptive and must be
confirmed by other tests.
If the faecal pollution is of a nonnutrient material such as
water, the E. coli tend to die, so distant faecal pollution is
indicated by the presence of Clostridium perfringens which,
being a sporing organism, persists for long periods.
Another common diagnostic medium is brilliant green agar,
which is used for the isolation and recognition of Salmonella
spp., excluding S. typhi. In addition to yeast extract peptone
and sodium chloride, as nutrients, and agar, as solidifying
agent, it contains lactose and sucrose as fermentable
carbohydrates, phenol red indicator and brilliant green as a
selective agent. Salmonella spp., other than S. typhi, grow on
the medium to give slightly pinkish-white, opaque colonies
surrounded by brilliant red medium due to the production of
alkali from the peptone. Any lactose or sucrose fermenting
organisms which may grow give yellowish green colonies
surrounded by an intense yellowish green zone, resulting
from acid production. Some strains of Proteus also grow on
the medium giving red colonies due to ammonia production
resulting from urease activity.
From the above brief account of diagnostic media, of which
hundreds are available and tens are in common use, it will be
seen that none of them are completely specific for a single
species. It is always a matter of relatively greater or less
exclusion of unwanted organisms. Also, selective media are
always inhibitory to some extent even to the species of
interest.
1715
Bacterial Counts
Viable Counts
1716
days incubation. Damaged bacteria are also very susceptible
to variations in medium and composition, pH, temperature,
etc., so that conditions suitable for the growth of undamaged
organisms may be unsuitable for damaged cells of the same
species. Further errors arise in the preparation of dilutions,
due to pipetting errors, and the adsorption of cells to the glass
surfaces of pipettes and dilution vessels, particularly from
dilute suspensions, and of the dishes or bottles in which
samples are finally placed together with the medium. Finally,
errors occur due to the inherent statistical variability,
especially when small number of colonies are being counted,
and due to overcrowding if the counts are high.
The best that can be done is to adopt procedures which
minimize these effects and enable reliable and reproducible
estimates of numbers to be obtained. Such procedures include
the following:
1. adjust the medium, incubation temperature, etc., to give the
highest count or to select the particular organisms of interest;
2. use a rigidly standardized technique at all stages of
counting;
3. minimize adsorption effects by washing out pipettes with
the suspensions before sampling and by having the minimum
contact time of samples with glassware before the next
operation is carried out;
4. control the expected count, if possible;
5. replicate counts and apply statistical analysis to the data.
Experienced workers can obtain an accuracy of ± 5 per cent
(P=0.95) by plating methods.
Whenever possible, counting plates and tubes are incubated
inverted to prevent the accumulation of condensed water
droplets, which fall back onto the medium and give a fluid
film and resultant confluent growth that invalidates the count.
1717
The pour plate technique (Fig. 33.24A) involves placing
0.5–1.0cm3 of a suspension expected to contain between 50
and 200 cfu in a Petri dish pouring on about 15cm3 of molten
agar medium at 45, mixing, allowing to set incubating
inverted and counting the resultant colonies. This method is
frequently used but is uneconomical requiring a considerable
amount of apparatus and medium, and has the disadvantage
that the sample is exposed to the temperature of the molten
medium at 48° and the subsequent slow cooling. This
temperature will kill sensitive or damaged cells.
1718
medium forms a film on its walls and is then cooled with
water to solidify the film. This is more economical than the
pour plate method, the temperature effect is less but the
counting procedure is more difficult on the curved surface of
the container.
Another similar technique is the agar drop method (Fig.
33.24C) in which a number of measured drops of molten
medium containing the bacterial inoculum are placed in a
plastic Petri dish. On plastic the drops do not spread but
solidify coherently and the colonies in the drop can be
counted under magnification after incubation. This is a very
economical method and gives more rapid results since the
magnification used and the necessity of avoiding
overcrowding effects in the small drop result in short
incubation times.
Both economy and avoidance of contact with molten medium
are achieved by the surface viable and slide culture methods.
The surface viable method (Fig. 33.40D) uses a sterile agar
plate which has been ‘overdried’ by preliminary incubation
with the lid of the Petri dish raised so that liquid drops placed
on the surface are absorbed rapidly. Drops of about 0.02cm3
of a dilution containing 20–50 cfu/drop are placed on the
medium, allowed to dry in and the plates, which can have up
to 10 drops each, are incubated inverted and the mean number
of colonies per drop are counted. Problems with this method
are the accurate measurement of the drops, the high sampling
error due to the small number of cfu/drop and overcrowding
in the small area of the drop. The latter problems can be
overcome by using suitable magnification. Slide culture uses
the apparatus illustrated in Fig. 33.24E; one loopful (0.015ml)
of a culture containing about 108 cfu/ml is spread on the
surface of the medium in the ring, a cover slip is placed on
top and the colonies counted under the microscope after
1719
suitable incubation. This method has the advantages conferred
by direct observation; that the viability can be determined by
counting the proportion of cells which reproduce, very short
incubation times can be used since the earliest stages of
reproduction can be taken as evidence of viability, the degree
of clumping can be determined, and differential counts can be
done when there are clear morphological differences between
cells.
Membrane filter counts are used when the expected count is
below about 20 cfu/cm3. The usual membrane filter is a thin
cellulose ester film precipitated under controlled conditions
so that the pore size is known and is very uniform. These
membranes may be sterilized easily, give very high filtration
rates compared with conventional filters and may be obtained
in pore sizes (0.22, 0.45μm) which will retain all bacterial
cells on their surface. For counting, a suitable volume of
sample, which may be of any size up to several litres provided
that the filter does not block, is filtered and the filter placed
on the surface of a sterile nutrient agar plate or on a filter
paper pad impregnated with a suitable liquid medium.
Incubation and counting is done as usual and the filter may be
sterilized with formaldehyde vapour, dried and filed for
reference purposes. This is rapidly becoming the standard
technique in water analysis since viable counts as low as
5/litre may be done. The method is illustrated in Fig. 33.24F.
Dilution methods are an older method of counting, devised
before the introduction of solid media. The method is based
on statistical sampling theory, which enables us to calculate
the probability of obtaining no viable organisms in a sample
of stated size when the count is known. Thus replicate
volumes of a sample of low count, inoculated into tubes of
liquid medium, will give a pattern of growth and no growth
from which the count may be calculated. Tables are available
1720
which give the counts corresponding to various sampling
regimens and patterns of growth, one of which is reproduced
in part as Table 33.5. The count obtained in this way is
usually described as a most probable number (MPN), since
the errors are very large. Despite this lack of accuracy the
method is widely used in water bacteriology and is the only
method available for those organisms which give a spreading
growth on solid media.
Table 33.5 Partial most probable number table for a dilution
count
1721
count and this may be an adequate measure of viability,
especially when it is desired to assess the keeping quality of a
product, e.g. milk, which depends more on metabolic activity
than on actual numbers. However, nonviable cells may be
able to metabolize, e.g. treatment with antiseptics may
prevent reproduction yet leave many enzyme systems intact,
so results must be interpreted cautiously.
A common method is to measure oxygen consumption by
Warburg manometry (Fig. 33.25A). This is a semimicro
method in which a small volume of microbial suspension is
placed in a flask of about 12cm3 capacity attached to a
manometer.
1722
exacting organism; (C) The Thunberg tube for dye reduction
measurements.
Total Counts
1723
illustrated in Fig. 33.26. For bacteria the orifice diameter is
usually 50/μm. The principle is that the resistance is measured
between electrodes on either side of the orifice. The
suspension is drawn through the orifice at a standard rate and
as each particle enters the orifice the resistance is
momentarily increased and this change is measured as a
single count. It is a very simple matter to count 104 cells in a
few minutes with high accuracy. Further refinements permit
the cell size to be sensed so that single cells can be
differentiated from clumps, cocci from bacilli spores from
vegetative cells, etc.
1724
Other methods of direct microscopy, e.g. counting chambers,
are tedious and relatively in inaccurate and are now rarely
used.
Opacity methods: These require careful calibration with a
Coulter counter for the species or strains of interest under the
precise conditions to be used, since the opacity or light
scattering properties of suspensions vary with the growth
conditions, the method of preparing suspensions, the
suspending fluid, etc.
However, they are widely used for their simplicity and speed.
Measurements may be made with a simple colorimeter, but a
nephelometer, which measures the light scattered at right
angles to an incident light beam is more usual. The principles
are illustrated in Fig. 33.27.
1725
inaccurate but may be adequate for some purposes, e.g.
vaccine standardization.
1726
Fig. 33.28 An isolation plate of bacterial prepared by
streaking. (A) Streak of confluent growth; (B) A colony of the
predominant type; (C) Two contaminant colonies.
1727
Microbial Growth and Reproduction
Population Growth in Liquid Media
1728
volume of medium, with nothing added or removed during
growth.
The following factors affect the form of this curve.
The lag phase: This is a period of adaptation to the new
conditions of growth. Any factors, e.g. medium composition
temperature, pH, oxidation reduction potential, which tend to
favour growth will reduce the length of lag, and conversely.
Lag is also reduced by using rapidly growing cells from the
exponential phase (cells from the stationary decline and lag
phases giving longer lag phases, in that order) and with large
inocula, the length of lag being roughly proportional to the
logarithm of the inoculum size. Cells which have been
damaged by antiseptics, heat, etc., tend to give long lag
phases. Long delayed growth may also result from the use of
spore inocula and
fully dormant spores may take weeks or months to germinate,
though germination may be triggered by ‘heat shock’, i.e.
heating at 80° for 10minutes and in other ways. The lag phase
is not a period of dormancy but of active metabolism and cell
enlargement. Individual cells increase to a certain critical size
and then start to divide, possibly when the concentrations of
essential metabolites reach’ critical levels. However, the term
growth normally refers to reproduction and population growth
and not to the increase in size of individual cells.
The exponential phase: This is a period of constant growth
rate which is most rapid under optimal environmental
conditions. The optimal growth rate is a genetic property of
the strain, e.g. with E. coli the population may double in
20minutes whereas with M. tuberculosis doubling takes
several hours, even under the most favourable conditions.
The growth rate may be defined in terms of the doubling time,
the time taken for the population to double in size, or in terms
of the mean generation time (MGT), the average time taken
1729
for a single cell to produce two daughter cells. Under
favourable conditions these two parameters are identical but if
some daughter cells are nonviable the MGT is less than the
observed doubling time.
If at zero time the population is N0, then after one doubling
time the population is 2N0, after two doubling times is 4No =
22N0 and after n doubling times is 2n N0, i.e. the population at
time t = Nt = 2t/tdN0, where td is the doubling time, therefore:
1730
The length of the stationary phase is very variable and
depends markedly on the species (indefinitely long with
sporing organisms) and on the environment, notably
temperature. Optimum growth temperatures tend to give short
stationary phases, cultures preserved by refrigeration usually
gives extended times.
The decline phase: This is produced by a variety of factors,
e.g. autointoxication and unbalanced metabolism due to
enzyme activity under conditions preventing growth, resulting
in the production of lytic enzymes. The rate and extent of
decline varies considerably with the species and
environmental conditions many cultures becoming sterile
within a few days or weeks.
Continuous Culture
1731
reproduction occurs, nutrients are utilized, metabolic products
accumulate and the oxidation–reduction potential falls. This
results in continually changing conditions in the culture and it
is known that the composition of the cell wall and the
concentrations of a number of cytoplasmic components vary
as growth proceeds.
However, the growth rate of a culture, and so its physiological
condition, may be maintained absolutely constant by the
process of continuous culture, usually in a chemostat (Fig.
33.30). In this the desired conditions of temperature, gas
mixture, pH, nutrients, etc., are maintained constant. Fresh
medium is added at a predetermined rate with efficient
mixing and the excess culture overflows at the same rate as
fresh medium is added. Under these conditions the growth
rate may be fixed within wide limits by the rate of addition of
fresh medium.
1732
Fig. 33.30 Principle of the chemostat.
1733
Factors Influencing Growth and Viability
Temperature
1734
However, the temperature ranges for growth vary widely.
Above the normal range there is a rapid fall in growth rate
and lethal temperatures are reached rapidly (Fig. 33.31),
whereas below the normal range the growth rate gradually
falls towards zero, though low temperatures are not lethal.
Thus refrigeration is used to preserve foods, and often
microbial cultures, from spoilage and high temperatures are
used for sterilization (see Chapter 31). Fig. 33.31 also shows
that the temperature/ growth rate curve is essentially similar
in form for all types of microorganisms, though the optima
may be very different.
1735
Fig. 33.31 Effect of temperature on the growth of a bacterium
(Escherichia coli) and a mould (Pullaria pullulans).
Desiccation
1736
Acidity and Alkalinity (pH)
1737
standard (normal) electrode potential, i.e. the O/R potential
of the 50 per cent oxidized system, and is an indication of the
oxidizing power of a system. At 18°, constant pH and single
electron transfer
1738
Fig. 33.32 Oxidation–reduction potential and bacterial
growth. (A) The relationship of oxidation–reduction potential
to the reduction of indicator dyes. (B) The change in
oxidation–reduction potential with time in bacterial cultures.
(C) One type of McIntosh and Fildes anaerobic jar.
1739
Aerobes, e.g. Bacillus spp., will initiate growth at values of E
> + 0.2 volt, and tend to reduce the value to –0.02 to –0.04
volt.
Anaerobes, e.g. Clostridium spp., will initiate growth only at
values of E < + 0.1 volt and growth reduces the value to about
–0.4 volt.
Microaerophiles, e.g. Lactobacillus spp., grow only slowly at
values of E > + 0.1 volt.
Facultative organisms, e.g. E. coli and S. aureus will grow
under either aerobic or anaerobic conditions, though aerobic
growth is more vigorous since respiration yields more energy
than fermentation.
There are two basic methods, the removal of oxygen from the
medium and environment and the addition of reducing
substances to the medium. In the McIntosh and Fildes (Fig.
33.32C) and ‘Gas-Pak’ anaerobic jars, the oxygen in the
atmosphere is removed by catalytic combination with
hydrogen. Reducing substances which are widely used are
thioglycolic
acid (HS.CH2COOH) and cysteine
(HS.CH2.CHNH2.COOH); glutathione
(3-glutamyl-cysteinyl-glycine), sulphites and glucose are also
used. These media normally contain an O/R indicator.
Another valuable medium uses a layer of granules of defatted
meat, which contains a variety of reducing systems. To
prevent access of oxygen to the reduced medium it is
common to add a low concentration of agar, about 0.1 per
cent, which increases viscosity and so reduces carriage of
oxygen into the medium by convection, and to seal the
1740
surface of the medium with vaspar (equal parts of soft and
liquid paraffins).
The formulae of media of this type are given in Table 33.8.
(See p. 523.)
1741
Sodium 0.05 Reducing agent
thioglycollate
Resazurin 10–4 Oxidation–reduction indicator
Recommended by the USP for sterility tests, especially if
heavy metals are present.
Reinforced Clostridial Medium
Yeast extract
Beef extract
Peptone
Sodium
chloride
Soluble 0.1 Detoxifies inhibitors of spore
starch
Dextrose 0.5 Mild reducing agent, growth
promoter
Cysteine 0.05 Reducing agent
hydrochloride
Agar 0.05 Increases viscosity and prevents
aeration by convection
Sodium 0.03 Nutrient favouring anaerobic
acetate growth
A semisolid medium giving excellent growth of fastidious
anaerobes. A solid medium is available.
*
Concentrations are given as per cent (w/v).
1742
Reasons for Anaerobiosis
1743
Osmotic Pressure
Electromagnetic Radiations
1744
infrared (4×105–750nm), visible light (750–400nm),
ultraviolet (300–100nm) and X-and γ-radiations
(10–0.0005nm).
The effects produced are mutations and lethal damage, due
both to the direct effect of the radiations on DNA and to
indirect effects on DNA from the production by the radiation
of H2O2 and oxidizing radicals from water.
Gamma radiations are widely used for the sterilization of
thermolabile products and ultraviolet radiation of wavelength
260nm is used to a limited extent for the sterilization of
atmospheres and water (see Chapter 32).
Surface Tension
Ultrasonic Energy
1745
Pressure
1746
Glucose Fermentation
1747
pyruvate is then broken down in various ways by different
species to yield products of diagnostic or industrial interest
(Fig. 33.34).
1748
Energy from Respiration
1749
Table 33.9 Principal types of microbial respiration
1750
Dna Functions and Some Cellular
Control Mechanisms
Aspects of DNA Function
Protein Synthesis
1751
Fig. 33.36 Some compounds involved in protein synthesis in
prokaryotic cells. (A) The 70S ribosome. (B) The probable
configuration of alanine tRNA. from Holley, R.W. et al.
(1965) Science, 147, 1462
1752
Fig. 33.37 Sequence of events in protein synthesis. IC:
initiation codon, n; the number of amino acids in the protein,
TC: termination codon. MetF: Nformylmethionine. A1, A2,
etc., successive amino acids in the peptide chain.
1753
A ribosome is formed on the beginning of the mRNA
molecule and a tRNA carrying N-formyl methionine (NfMet),
is attached to the first ribosome at the IC recognition site:
N-formyl substitution directs chain growth in the right
direction. A second tRNA, carrying the first amino acid (A1)
of the polypeptide chain attaches at codon 1 and a transferase
attaches NfMet to A1. The ribosome moves along one codon
and a third tRNA, carrying
the second amino acid (A2), attaches at codon 2, the growing
peptide chain is transferred as before and the tRNA for NfMet
detaches from the ribosome and is recycled. As the procedure
is repeated to build up the polypeptide chain, more ribosomes
attach to the mRNA to form a polyribosome, a further
molecule of the polypeptide being synthesized on each
ribosome. Finally the polypeptide is terminated at the TC site
on the mRNA, the polypeptide and the ribosome are released
and the ribosome subunits recycled. The NfMet bond is
hydrolysed to leave the polypeptide which then coils and
cross links to form the secondary structure of the protein,
further coiling and binding yielding the active protein with its
tertiary structure.
1754
The classic example of the control of gene expression is the
(β-galactoside transport and utilization systems of E. coli, in
which the enzymes for glucose transport and utilization are
always present (i.e. constitutive) but those for lactose
(β-galactosidases) are present only if required (i.e. inducible),
though the genes controlling lactose permease and lactose
hydrolysis are always present in nonmutant strains.
If E. coli is grown with a limited amount of glucose and any
amount of lactose as sole carbon sources, it utilizes the
glucose preferentially. Once all the glucose has been
metabolized, there is a lag during which the lactose permease
and the β-galactosidase are synthesized and growth is then
resumed utilizing the lactose. Thus glucose represses the
lactose permease and β-galactosidase genes, the mechanism
for this being illustrated in Fig. 33.38. The basis for this is
presumably economy of energy resources. In the presence of
glucose, the enzymes for which are constitutive, there is a
readily available carbohydrate and there is no point in using
energy to synthesize the enzymes which transport and
hydrolyse lactose, so the latter are synthesized only when they
are essential for growth to continue.
1755
Fig. 33.38 Diagrammatic representation of the operon theory.
The operon theory states that the basic unit of DNA function
is the operon, which consists of an operator gene plus the
adjacent structural gene. There is also a nearby promoter
gene, the site of attachment of the RNA polymerase which
catalyses the synthesis of the mRNAs on the structural gene
patterns, and a regulator gene.
In the presence of glucose the regulator gene controls the
synthesis of a soluble repressor protein which either attaches
1756
to the operator gene and blocks RNA polymerase attachment
or prevents RNA polymerase activity, so no mRNAs are
synthesized on the structural genes.
Also glucose, or an intermediate of glucose metabolism, may
act directly on the operator gene to prevent mRNA synthesis.
In this state the genes at the lac locus are repressed. In the
absence of glucose the RNA polymerase can attach to the
promoter site. The lactose causes the production of inactive
repressor protein, so mRNA is synthesized on the structural
genes and can be translated into the appropriate enzymes in
the cytoplasm. This is the derepressed or induced condition.
In some cases, e.g. alkaline phosphatase synthesis, the
repressed state is normal and the regulator gene codes for an
activator protein which causes derepression and enzyme
synthesis.
1757
illustrated in Fig. 33.39. Hence the term allosteric, ‘another
shape’, one not fitting the active site yet affecting activity.
1758
1. Contain only one kind of nucleic acid, RNA or DNA but
never both.
2. Other components are a limited range of proteins and
sometimes Small amounts of lipid, carbohydrate and
polyamines.
3. There is no cell wall, no plasma membrane and no
cytoplasm.
4. They have no independent metabolism.
5. The mode of replication is unique, there being no growth of
all parts followed by budding or division but the nucleic acid
and protein components are synthesized separately in the host
cell and then assembled into numerous replicate complete
viruses.
Additional features, which are not unique to viruses, are as
follows.
1. They are small, in the range of 25–300nm, and may pass
bacteria-proof filters, though filterability is an outdated
criterion.
2. Obligate intracellular parasites causing death of the host,
extensive cell damage or excessive cell proliferation
(hyperplasia). They are highly host and tissue specific.
3. Insensitive to all the usual antibiotics. Antibiotic sensitivity
may indicate that an organism is not a true virus.
4. Many are very liable to mutation.
5. Retrovirus is another class of viruses which are replicated
in a host cell via the enzyme reverse transcriptase to produce
DNA from its RNA genome. The DNA is then incorporated
into the host’s genome by an integrase enzyme. The virus
thereafter replicates as part of the host cell’s DNA. A family
of viruses distinguished by three characteristics: (1) genetic
information in ribonucleic acid (RNA); (2) virions possess the
enzyme reverse transcriptase; and (3) virion morphology
consists of two proteinaceous structures, a dense core and an
1759
envelope that surrounds the core. Some viruses outside the
retrovirus family have some of these characteristics, but none
has all three.
1760
Fig. 33.40 Some typical viruses. (As) and (B) Two forms of
vaccinia virus, A showing the central nucleoid surrounded by
1761
a membrane, two ovoid lateral bodies and the outer
membrane. By courtesy of Prof. E.L. Medzon and Academic
Press. (C) measles virus, showing the outer capsid and
extensive helical nucleocapsid (escaping through the ruptured
capsid). By courtesy of Dr A.F. Howatson and Academic
Press. (D) Influenza virus, showing the flexible nature and the
surface projections. By courtesy of Prof. A.P. Waterson. (E)
Rabies virus, showing the bullet shape and surface
projections. By courtesy of Prof. K. Hummeler and the
American Society for Microbiology. (F) T4 coliphage, the
details of which are shown in Fig. 33.41. By courtesy of Dr
L.D. Simon, Dr T.F. Anmderson and Academic Press.
Replication
Replication of Phage
1762
Fig. 33.41 Structure of a T-even coliphage. (A) A T4 phage at
attachment to a host bacterium; (B) Penetration showing
contracted protein tail sheath.
1763
Fig. 33.42 Stages involved in phage replication and
lysogenization.
1764
ceases very soon. The phage DNA is then transcribed into
‘early’ viral mRNA which utilizes the cellular ribosomes and
energy for translation into a variety of enzymes, e.g.
deoxyribonuclease to break down host DNA, and DNA
replicase and polymerase which produce new viral DNA.
When new viral DNA starts to appear, ‘late’ viral mRNA and
‘late’ enzymes are synthesized. These result in the synthesis
of new viral capsids, in the production of a condensing
protein which condenses the separately synthesized DNA and
capsid into new phages in the maturation phase, and in the
production of phage lysozyme which causes lysis (bursting)
and the liberation of numerous mature phages from the
bacterium.
Lysis usually results in complete host destruction and when
this occurs in a confluent sheet of bacterial growth on the
surface of a medium, there are areas of clearing of this growth
around the infected cells which are called plaques. The
number of phage particles released per bacterium on lysis is
known as the burst size and may vary from a few to several
hundred.
The mode of replication described results in a stepwise
increase in the phage count (Fig. 33.43). In the period
immediately following infection, no phage can be detected if
the cells are disrupted. This is the eclipse phase, during which
the host cell metabolism is being switched to phage directed
synthesis and no mature phage particles or infective DNA are
present in the cell.
1765
Fig. 33.43 One step growth curve for a T4 coliphage
concentration relative to the initial count as 1.0. The
subsequent steps have been inhibited. The stepwise nature of
the curve is lost rapidly since phage is not released
synchronously, as shown by the slope on the rising part of the
curve.
1766
mitomycin, certain carcinogens), or may occur spontaneously.
In either case the normal cycle of vegetative phage replication
is completed. Prophage may
also be lost (cured) either spontaneously or by treatment with
chemicals such as acridines.
The relationship between lysogeny and vegetative
reproduction is illustrated in Fig. 33.42.
Lysogenization results in changes in the host cells since there
is additional genetic information present, examples being
toxin production by Corynebacterium diphtheriae,
nonlysogenic cultures being nontoxigenic and avirulent, and
modification of the surface structure in Salmonella
typhimurium.
Transduction: In some cases of infection with a temperate
phage, the phage may carry a fragment of the host genome of
variable size to a new host cell, a process known as
transduction. The transduced DNA can then undergo
recombination with the new host DNA to yield a mutant host,
e.g. genes specifying antibiotic resistance may be transduced
in this way.
1767
depending on whether the NA is single or double stranded
and is RNA or DNA, but these details are beyond the scope of
this chapter. The viral components may be synthesized either
in the cytoplasm (influenza, vaccinia, polio) or in the nucleus
(herpes simplex, influenza, adenoviruses), sometimes
producing characteristic inclusion bodies which are of
diagnostic value. The effects of infection may be gross tissue
damage analogous to phage lysis, as in smallpox, major
inflammatory reactions, as with measles, or hyperplasia, i.e.
excessive and sometimes uncontrolled cell multiplication,
resulting in warts, benign tumours, or cancer and leukaemia.
Many viruses can exist in a latent form analogous to prophage
in lysogenic bacteria. This is well known with herpes
simplex, yellow fever and serum jaundice. One theory of the
way in which a wide range of diverse chemicals can cause
cancer is that the carcinogens are simply cytotoxic and
damage cells infected with latent virus, so inducing the virus
to the vegetative, virulent state.
Retroviruses replicate inside cells they have invaded, using an
enzyme called reverse transcriptase to transcribe RNA into
DNA. In this way they can evade the body’s natural immune
defence mechanisms as they make new copies of themselves.
1768
receptor family on human T cells (a type of white blood cell)
serve as the HIV receptors and coreceptors.
The second and third steps are penetration and uncoating,
respectively. Retroviruses penetrate the host cell by direct
fusion of the virion envelope with the plasma membrane of
the host. As a fusion process results in the release of the viral
capsid directly into the host cell’s cytoplasm, where it is
partially disrupted.
Step four is replication, which occurs after the retrovirus has
undergone partial uncoating. At this stage, the RNA genome
is converted by reverse transcriptase into double-stranded
DNA. Reverse transcriptase has three enzymatic activities:
RNA-directed DNA polymerase makes one DNA strand
DNA-directed DNA polymerase makes the complementary
strand and RNAse H degrades the viral RNA strand. Reverse
transcription is primed by a cellular transfer RNA (tRNA)
that is packaged into retrovirus virions. It concludes with the
synthesis of a double-stranded copy of the retroviral genome
that is termed the ‘provirus,’ or proviral DNA.
This proviral DNA is circularized and transported to the host
cell’s nucleus, where it is integrated, by means of the
retroviral enzyme called integrase. Following integration, the
provirus behaves like a set of cellular genes, while the LTRs
function as promoters that begin transcription back into
mRNA. This transcription is carried out by RNA polymerases
in the host cell. Transcription of the proviral DNA is also the
means of generating progeny RNA. Viral proteins are made in
the cytoplasm of the host cell by cellular ribosomes.
The next step (step five) is termed ‘assembly’, in which
retrovirus capsids are assembled in an immature form in the
host cell. This is followed by an ‘egress’ stage, in which the
envelope proteins of retroviruses are acquired by budding
from the plasma membrane (cell surface) of the host. Finally,
1769
step seven is ‘maturation’. In this step, the Gag and Pol
proteins of the retrovirus are cleaved by the retroviral
protease, thus forming the mature and infectious form of the
virus.
Cultivation
Tissue Culture
1770
Fragment cultures simply consist of minced tissue suspended
in the nutrient fluid. The fragments do not normally grow
during incubation but live for the two to three days necessary
for virus growth. Frequently, cell cultures are prepared by
digesting tissue with trypsin and the isolated cells, or small
clumps of cells, used as suspended cell cultures or as
monolayer cultures. In the latter case the cells are allowed to
grow as a single sheet of cells on the glass surface of a tube,
bottle or dish. If only a small number of virions is inoculated
into a monolayer culture each virus produces plaques of lysed
cells, similar to phage plaques (Fig. 33.45), or characteristic
local cytopathogenic effects which are of diagnostic value.
Organ cultures are small fragments of a selected organ, e.g.
embryonic respiratory epithelium, in a thin layer of nutrient
medium in a Petri dish. Such cultures will often grow
fastidious viruses which will not grow in other types of
culture.
1771
Fig. 33.44 Tissues of the embryonated hen’s egg at about 10
days development, together with the routes of inoculation of
various viruses, indicated by arrows.
1772
Whole Host Inoculation
1773
and labour costs if used for large
inexpensive scale cultivation
Whole host No attenuation Contamination almost
inoculation may be only inevitable antibodies
method produced by animals can
available have major handing problems
(especially with large
animals) elaborate and
expensive facilities may be
required
1774
Fig. 33.46 Viral counts by pock counting on the chick embryo
chorioallantoic membrane. Each dense white circular area
(pock) is a focus of viral growth and different viruses give
pocks of different appearance. (A) Vaccinia; (B) Herpes
simplex (by courtesy of The Glaxo Volume).
1775
They are resistant to the actions of agents which attack
cellular integrity or interfere with metabolism, e.g. many
antiseptics, especially phenols, glycerol and antibiotics.
The close association between virus and host means that most
agents which prevent virus replication are also highly toxic to
the host. Only methisazone
(N-methylisatin-β-thiosemicarbazone) has found significant
systemic application in the prophylaxis of pox virus
infections, notably smallpox and complications of smallpox
vaccination, if given early enough after known contact with
infection. It is useless once overt infection has occurred.
IUDR (5-iododeoxyuridine) inhibits DNA synthesis and
though too toxic for systemic use has a possible application in
the topical treatment of spreading skin and corneal lesions
due to smallpox, vaccinia and herpes. The status of interferon
will be dealt with later.
1776
transforming viruses are exemplified by human
T-lymphotropic virus (HTLV), which causes leukaemia (a
type of blood cancer) in humans.
The most important retrovirus is the human
immunodeficiency virus (HIV). HIV invades and destroys
host cells, particularly T-helper lymphocytes, which are
crucially important in maintaining the body’s immune
defence mechanisms. Disruption of immune defence
mechanisms following the destruction of T-helper
lymphocytes is the main way in which HIV leads to AIDS.
Classification of Viruses
1777
Other Obligate Pathogens
Rickettsiae
Chlamydiae (Bedsoniae)
Mycobacterium Leprae
Bdellovibrio Bacteriovorus
1778
Body: Microbial Diseases and
Immunology
Common Body Flora
1779
infections after injury or act as secondary invaders in the
wake of a primary infection.
Carriers carry and transmit pathogens but do not themselves
show any symptoms. The carrier state is common during
recovery from infection or due to subclinical (silent)
infection, but is usually only temporary, but persistent carriers
of Salmonella typhi, S. aureus and other organisms are
common.
Virulence is the degree of pathogenicity (nonpathogenic =
avirulent) and can be defined only in statistical terms, i.e.
virulence is the likelihood of producing a severe infection
rapidly. Although some organisms, such as Bacillus anthracis
and Clostridium tetani are always pathogenic, most show a
very variable ability to produce infection between strains, e.g.
Corynebacterium diphtheriae has three distinct strains
producing mild, moderate and severe infections. Apart from
strain variation, virulence also depends on the route of
infection, e.g. B. anthracis is characteristically a wound
pathogen but also produces a violent pneumonia if inhaled
and intestinal symptoms if ingested, whereas Salmonella typhi
produces infection only if ingested. Other important factors
are the invasiveness and toxigenicity of the pathogen and the
reaction of the host to infection.
Invasiveness
1780
capsules of B. anthracis and D. pneumoniae) and by
destroying phagocytes (S. aureus, streptococci).
Diffusion factors are enzymes which assist penetration into
tissue, e.g. the collagenases of various clostridia, the
hyaluronidases and kinases of streptococci and the coagulase
of staphylococci. However, the exact role of some of these in
the disease process is not clear.
Organ tropism is the selective attack of a pathogen on a
particular organ or tissue within that organ. Thus Neisseria
meningitidis invades the meninges of the brain to cause
meningitis and Bordetella pertussis attacks ciliated bronchial
mucosa, causing whooping cough.
All viruses show marked tissue tropism.
Toxigenicity
1781
Diphtheria Corynebacterium Inhibits protein synthesis
diphtheriae giving muscular (cardiac)
paralysis*
Tetanus Clostridium Neurotoxin damages anterior
tetani horn cells and blocks
inhibitory synapses*
Botulism C. botulinum Neurotoxin blocks
acetylcholine release and
inhibitory synapses*
Gas C. perfringens Lecithinases† (give membrane
gangrene C. novyi damage) Neurotoxic proteases
C. septicum Collagenases†
Anthrax B. anthracis Two components
Plague Yersinia pestis Two components
Cholera Vibrio cholerae Promotes formation of cyclic
AMP from ATP+ causing
massive excretion of Na+, CI−
and H2O
Dysentery Shigella Affects CNS small blood
dysenteriae vessels, causing paralysis and
haemorrhage. Neurotoxic
Skin, S. aureus Leucocidal, haemolytic,
systemic, necrotic. enterotoxic§
enteritis
Skin, S. pyogenes Leucocidal, haemolytic,
systemic, erythrogenic
enteritis
1782
Wound, Ps. aeruginosa Necrotic proteases
systemic
*
Toxic effects account for all of the pathology of the disease.
+
Toxic effects account for some of the pathology of the
disease.
§
The toxins have an uncertain role in the pathology.
Endotoxins: These are components of the cell wall of all
Gram-negative pathogens. They are relatively thermostable,
are less potent than exotoxins, are relatively nonspecific and
do not form toxoids. The actual toxic component is the
phospholipids and its parenteral administration causes
inflammation shock and diarrhoea.
Also it is an indirect pyrogen, acting on the polymorphs to
cause the release of an endogenous pyrogen which affects the
thermoregulatory centre of the brain to cause fever. The
pharmacopoeias require water for injections to be free from
pyrogens (i.e. endotoxins) which, being nonvolatile, can be
removed by a distillation process.
Endotoxins also cause a fall in resistance to infection after
about 5 hours followed by an increase in resistance after
about 20 hours. Continual reinforcement of this resistance by
intestinal Gram-negative bacteria may contribute to human
resistance to infections by these organisms.
1783
Host Defences Against Infection
Constitutive Defences
1784
cellular antimicrobial factors from dead tissue, reduced
oxygen tension and an increased concentration of lactic acid.
These collectively act to kill invading cells, the mass of dead
and moribund microorganisms, phagocytes and tissue cells
forming pus. Individual resistance is markedly affected by
age, e.g. newborn infants are especially susceptible to
gastroenteritis whereas old people are especially liable to
respiratory disease. The health of an individual may also be
crucial. The following factors increase susceptibility, often by
suppressing leukocyte activity: damaged skin and mucous
membranes, a diet deficient in vitamins A and C and protein,
excessive alcohol consumption, fatigue, breathing impure air,
radiotherapeutic or immunosuppressive treatments.
1785
which will stimulate the production of a specific Ig. Some
compounds, such as nucleic acids and some bacterial lipids
and polysaccharides, will not stimulate the production of Ig
but will combine with homologous Ig which has already been
produced. These substances are partial antigens or haptens.
Immunoglobulins: There are five classes of Igs which are all
glycoproteins namely IgG* (gammaglobulin), IgM
(macroglobulin), IgA, IgD and IgE. These can be
distinguished on the basis of their physicochemical and other
properties (Table 33.14), but the different Igs within each
class can only be distinguished immunologically, by their
reaction with the specific stimulating Ag, and by the fact that
they themselves act as highly specific Ags in another species
of animal and stimulate the production of homologous Igs.
Table 33.14 Properties of the immunoglobulins
1786
diversity is that of clonal selection, which states that the Ig
producing cells can undergo extensive random mutation to
give a large number of germ cells, each with the potentiality
of producing a different Ig. Contact with Ag stimulates the
germ cells capable of producing the homologous Ig to
reproduce and synthesize large amounts of that Ig.
The IgG molecule consists of two ‘light’ chains (mol. wt. c.
25,000) linked to two ‘heavy’ chains (mol. wt. c. 50,000) by a
number of disulphide bridges, the heavy chains also being
linked by disulphide bridges.
The N-terminal ends of both chains, consisting of about 110
amino acid residues in each is the variable portion which
confers the different specificities on the Igs and are the Ag
binding sites. The remainder of the molecules, one half of the
light chains (107 amino acids) and three quarters of the heavy
chains (3×107 amino acids), at the C-terminal ends are of
constant composition and are the same in all IgGs. The
molecule can be split by papain into three fragments, two
identical, noncrystallizable Ag-binding fragments, call Fab,
and a crystallizable fragment, Fc, which does not bind Ag but
binds complement. These features are illustrated in Fig.
33.47.
1787
Fig. 33.47 Diagrammatic representation of the structure of
IgG.
Immunoglobulin Production
1788
the very first contact with Ag and that there is no real
difference between the primary and secondary responses.
1789
Ag’) is transferred to the lymphocytes which are thus
stimulated to form immunoblasts. These divide rapidly and
differentiate, some to form short lived plasma cells which
actively produce Ig, but most forming first large lymphocytes
which mature into a clone of sensitized small lymphocytes
(‘memory cells’) which can respond rapidly to a further
contact with the same Ag by producing large amounts of Ig.
In this secondary response the macrophages are probably not
essential. Each plasma cell produces only one type of Ig.
Immune Tolerance
1790
corticosteroids, or if given in raised doses to a normal adult.
Thus tolerance results from a very high concentration of Ag
relative to the number of plasma cells synthesizing
homologous Ab. The mechanism probably explains why
individuals do not normally synthesize Ig against their own
tissues.
Type of
antigenic Examples Comments
material
1791
Attenuated Naturally Usually a highly satisfactory
living occurring type of agent. The natural
organisms Brucella mode of infection is
strain 19, mimicked giving a
Yellow Fever high-grade, long-lasting
virus strain immunity, provided the
17D antigenic structure of the
Vaccinia material is satisfactory
virus
Artificiallv
produced
BeG (for
tuberculosis),
poliomyelitis,
rabies
Killed Bacterial Killing normally damages
microorganisms Typhoid, the antigenic structure, so
whooping only limited protection is
cholera produced
Viral
Influenza,
measles, foot
and mouth
disease,
canine
distemper
Toxoids Diptheria, Give very high grade, long
(detoxified tetanus lasting immunity
bacterial
exotoxins)
1792
Endotoxins Cholera The most satisfactory
material so far for this
disease
Unmodified Rubella Unmodified agents rarely
agents (German used. It is possible in this
measles) case because of the low
virulence and the benefits
arising from infection
The responsiveness of the patient may be increased by the
addition of one of a variety of adjuvants to the vaccine, such
as aluminium hydroxide or phosphates with toxoid
preparations and influenza vaccine emulsified with mineral
oil, though the latter has not been approved for human use.
The ability of pertussis vaccine to act as an adjuvant and
enhance the response to diphtheria vaccine is well known, so
these preparations are always administered together. Active
immunization is used solely as a prophylactic measure, except
in the case of rabies, where the disease has a very long
incubation period, and active immunization is the method of
choice for conferring immunity.
However, if a patient especially at risk has been exposed to
infection, or if a patient has an overwhelming infection which
does not respond to chemotherapy, passive immunization may
be used. This involves giving preformed Ab prepared from
the serum of other patients or of suitably immunized animals.
Although immunity so acquired is rapidly established, it is
short lived, with a half-life of about 7 days in humans, and
immunologically competent plasma cells are not produced, so
on a subsequent contact with the infective agent only a
primary response results. This situation is illustrated in Fig.
33.48. Passive immunity may also be acquired naturally in
humans by transfer of Igs from the mother’s blood across the
1793
placenta and possibly also via the breast milk. This natural
passive immunity protects the infant for the first few months
of life, the half life of the parental Igs being about 30 days.
The child then starts to produce its own Igs, normal adult
levels being attained by about 4 years of age.
Antigen–Antibody Reactions
1794
microorganisms, for the exact diagnosis of disease, for tracing
the source of an epidemic infection and, through the
techniques of radioimmunoassay, for assaying traces of
enzymes, drugs, etc., in tissue and fluid samples.
1795
The quellung reaction is the capsular swelling which occurs
when an encapsulated bacterium is treated with homologous
antiserum, the capsule appearing much larger and more
clearly defined due to the precipitation and altered refractility.
Gel diffusion techniques (The Ouchterlony plate): The
original technique is illustrated in Fig. 33.51. Various Ag and
Ab preparations are placed in wells cut in a plate of plain agar
gel. The Ags and Abs diffuse towards each other and
precipitation bands occur between the wells if homology
exists. If identical Ags or Igs are present in two of the wells a
continuous symmetrical precipitation band results.
1796
Fig. 33.52 Immunoelectrophoresis. (A) Before
electrophoresis; (B) After electrophoresis antigens are
separated and antiserum is placed in the trough; (C) Finally
precipitation occurs between homologous antigens and
antibodies.
Agglutination
1797
superficial than the O-Ags, thus masking them. Strains which
possess Vi-Ag are attacked with extreme specificity by
phages, which are thus very useful for typing Salmonella spp.
The resultant situation in the agglutination of Salmonella spp.
is outlined in Table 33.17.
Table 33.17 Some agglutinating antigens occurring in
Salmonella
1798
Lysis and Complement Fixation
1799
destroyed by heat at 56° for 5minutes, C′4 and C′5 being
inactivated after 30minutes at 56°. The various components
act in a complex sequence to cause a variety of
immunological reactions.
In lysis, C′ acts on the complex between erythrocytes or
Gram-negative bacteria and the homologous Ab (lysin) to
cause lysis of the cells.
Erythrocytes + lysin + C → haemolysis.
Gram-negative bacteria + lysin + C′
1800
the first reaction, no haemolysis of the sheep erythrocytes
occurs; if C was not fixed, haemolysis occurs, i.e. no
haemolysis is the positive reaction, haemolysis is the negative
reaction. This is shown diagrammatically in Table 33.18.
Table 33.18 Wasserman test
Immunofluorescence
1801
from antigenically stable viruses which come in contact with
Ab in the blood. Poor immunity occurs with highly unstable
viruses which throw lip variants so different antigenically that
a population immune to former strains is sensitive to the
variant, and when transmission is along the epithelial mucous
membranes so that there is little contact with high Ab titres.
A special immunity mechanism which is important in
recovery from viral infection is interferon. Interferons are low
molecular weight proteins (human, mol. wt. 26,000) produced
by the cells of the host in response to certain viral infections
and are host specific and not virus specific. Interferon acts on
other host cells to induce the synthesis of a protein which
inhibits the condensation of viral mRNA with host cell
ribosomes and so blocks the synthesis of new viral
components. Fig. 33.53 shows that interferon acts to reduce
the viral titre before sufficient Ab has been produced to affect
the course of an infection, though
the Ab is responsible for final recovery. There is hope that
artificially produced interferon can be used as a therapeutic
agent for some of the many virus infections for which no
effective control has yet been found.
1802
Fig. 33.53 Role of interferon in recovery from viral disease.
Hypersensitivity
1803
mediated by circulatory Ab, while delayed-type reactions are
mediated by sensitized lymphocytes or macrophages. The
terms, which are of historical origin, are confusing since not
all immediate-type reactions occur promptly and though
many do appear within minutes others evolve more slowly
over several days.
Immediate-type reactions: These are typical Ab responses and
require a primary induction with Ag. A second contact with
the Ag usually results in the appearance of symptoms within
minutes. The reaction is mediated by IgE (reaginic Ab) only,
which becomes bound to mast cells and platelets by the
C-terminal ends of the heavy chains, leaving the binding sites
free to react. The Ag/Ig reaction then occurs on the cell
surfaces, damaging the cell and causing the release of
histamine, 5-hydroxytryptamine, bradykinin and other
substances which produce a marked physiological response.
This reactivity can be passively transferred by the injection of
the Ab.
The clinical symptoms may be very varied, and depend on the
site of the reaction and the absolute and relative concentration
of the pharmacological mediators.
Generalized anaphylaxis is a major, transient (30–60minutes)
reaction involving collapse characterized by shock, capillary
leakage, bronchial constriction and angioneurotic oedema,
and it may prove fatal. It is a not an uncommon sequel to the
administration of viral vaccines or antisera, due to traces of
egg protein or horse serum in them, of drugs such as
penicillin and of intravenous X-ray contrast media. It can also
occur following insect bites or stings.
The intradermal injection or penetration of Ag may result in
cutaneous anaphylaxis and local or more widespread wheal
and flare reactions in the skin, while organ anaphylaxis is
characterized by smooth muscle spasm in a particular organ.
1804
Serum sickness is a syndrome characterized by fever,
headache, malaise, local inflammation and occasionally by
vomiting and diarrhoea and results from the administration of
vaccines or sera. On a first contact there may be no reaction,
or a reaction may appear after 7–14 days, when Abs have
been synthesized. On a second contact with the same Ag there
is an accelerated reaction, symptoms appearing in 3–4 days.
Idiosyncrasy (atopy) is sensitivity to Ags which are normally
encountered in daily life and this may be manifested as hay
fever, asthma, eczema and urticaria. Hay fever is
characterized by sneezing, a running nose and eye irritation
and is usually caused by inhalation of pollen, dust, etc., while
in asthma there is acute bronchial spasm of varying severity,
sometimes causing asphyxiation. The skin is the organ
affected in urticaria the symptoms being irritation, rash and
wheals, either localized or generalized, and in eczema.
Delayed-type reactions: These are usually induced by
prolonged contact with Ag, tuberculosis and contact
dermatitis being classic examples. A second contact with the
Ag causes a slow response with a peak reaction after 24–72
hours. The reaction, which is inflammatory in nature, is
mediated by sensitized lymphocytes and circulating Ab is not
involved, and the condition can be passively transferred by
circulating lymphocytes.
Typical examples are reactions to a variety of microbial
infections, e.g. tuberculosis, brucellosis, leprosy,
lymphogranuloma venereum, dermatomycosis, measles, and
reactions to many drugs. Drugs can also induce contact
dermatitis when applied to the skin, as can also many dyes, a
variety of plant exudates and many high atomic weight ions,
e.g. Hg, I, Ni, Co, Pt. Many of the inducing agents are not
antigenic but become attached to skin proteins or lipids,
induce a response and subsequently act as haptens.
1805
Treatment of hypersensitivity: A variety of treatments are in
use, with very variable benefit to the patient. Apart from a
few
agents giving symptomatic relief, such as adrenaline,
salbutamol and terbutaline, it is difficult to get drugs into the
sensitive organ in sufficient concentration without causing
unwanted side effects. Antihistamines are widely used for the
treatment of hay fever (allergic rhinitis) and urticaria and the
latter condition may also be relieved by corticosteroid lotions.
Corticosteroid aerosols or insufflations alleviate the
symptoms of allergic rhinitis and bronchial asthma, and avoid
the dangers of systemic corticosteroid therapy. However, the
drug of choice in bronchial asthma is disodium cromoglycate,
which has produced a revolution in the treatment of the
disease. It probably acts by blocking the release of
pharmacological mediators. The other main drug used is
adrenaline, the only effective treatment for generalized
anaphylaxis and angioneurotic oedema. Desensitizing
injections are used in the prophylaxis of allergic rhinitis and a
variety of food allergies, the techniques being to inject
initially very small doses of the Ag concerned at intervals,
alum precipitated pyridine extracts being most effective, and
gradually work up to large doses. The main effect is the
induction of large amounts of circulatory IgG which reacts
with any allergen to neutralize it before it can produce allergic
symptoms: the circulating Ab is known as blocking Ab.
Autoimmune Disease
1806
such attributions are correct remains to be seen. There are
three basic mechanisms for the occurrence of the condition. A
well known mechanism is tissue damage releasing ‘secluded
Ag’ which does not usually come in contact with the blood
and so is regarded as foreign by the body. This occurs with
the lens and fluids of the eye, damage to one eye sometimes
leading to loss of both eyes due to allergic ophthalmitis, with
spermatozoa, leading to sterility, and to various thyroid gland
components, resulting in Hashimoto’s disease, primary
myxoedema and thyrotoxicosis.
Autoimmune disease can also occur as a sequel to a variety of
infectious diseases. Hepatotropic virus may leave a condition
of chronic allergic hepatitis, while neurotropic viruses may
cause death due to demyelinating encephalitis, in which the
myelin sheath of nerve fibres is destroyed. The commonest
bacterial origin of autoimmune disease is streptococcal
infection, which frequently results in rheumatic fever, in
which there is a reaction to cardiac tissue, especially the heart
valves, and in acute glomerulonephritis, in which there is
autoimmune destruction of the glomerular basement
membrane. Probably several mechanisms are responsible for
such phenomena, the infective agent may damage tissues to
release sequestered Ag, microbial components may attach to
certain body cells to create ‘foreign’ Ag or there may be a
cross reaction between certain tissues and some microbial Ag.
A third mechanism is a genuine breakdown of self-tolerance,
though the reason for this is unknown. Autoimmune diseases
believed to come in this latter class are acquired haemolytic
anaemia, idiopathic thrombocytopenic purpura (excessive
platelet destruction), leucopenia, some forms of pernicious
anaemia, rheumatoid arthritis, disseminated lupus
erythematosus (destruction of leucocyte nuclei), primary
thyroiditis, idiopathic Addison’s disease, ulcerative colitis and
1807
male sterility. However, the first three of these diseases can
be induced by drugs and it is possible that some form of
external agency is involved in the others.
1808
In blood transfusion the patient’s blood is cross matched with
the donor blood to get a correct match for both ABO and Rh
systems. If blood of the same group is not available then
Group O, Rh– may be used as an emergency procedure.
Blood transfusion is successful since most erythrocyte Ags
are only feebly antigenic, whole blood or erythrocytes are not
often transferred and careful attention is paid to matching and
to any previous history of transfusion.
Transplantation Immunity
1809
Immunosuppression
1810
Epidemiology
Some Definitions
1811
the 1957/58 epidemic is believed to be about 80×106 and only
some Pacific islands were unaffected.
Until 1850 there was little that could be done to prevent the
spread of disease in a community, but the introduction of
sewage systems, better nutrition, education and sanitation
produced a marked improvement in the position; then
vaccines and sera, and, finally, the introduction of antibiotics
and chemosynthetic antimicrobial agents brought a substantial
improvement. There are three groups of factors involved.
Natural factors, such as the virulence of the organism, the
susceptibility of the population and the presence of suitable
vectors and reservoirs of infection.
Social factors, including the quality of nutrition, sanitation
and education, especially health and hygiene education, the
existence of fast, simple means of travel and the extent to
which quarantine and regulations concerning the
immunization of travellers are enforced.
These are possibly the most important factors in reducing the
prevalence of disease in a population.
Technical factors, primarily medical procedures which can be
used to prevent the spread of disease, including immunization
and the use of antibiotics, chemotherapeutic agents and
biocides.
However, the extent to which antimicrobials modify the
situation is doubtful, since suppression of the normal flora
may permit resistant strains or secondary infections to occur.
1812
Some Potentially Epidemic Diseases
1813
The disease was known as infantile paralysis in the 19th
century and is still an endemic disease of children in the less
developed countries with a low level of nutrition and
sanitation. In one North African city 50 per cent of children
were immune (i.e. had been infected) by 14months of age and
100 per cent were immune at 5 years, an effect which is
beneficial in that community. The pattern was similar in
Western Europe and North America in the 19th century and
serological surveys indicate that 86 per cent of children in the
UK were immune by the age of 5 and paralytic disease was
common. However, in the 1948 epidemic the main incidence
was at 12–14 years and in the 1957 epidemic more than 35
per cent of cases were over 15 years of age. This arises from
the high standards of hygiene and nutrition and highly
protective child rearing so that there is a basically non
immune adult population. The result is an epidemic form of
the disease rather than the endemic form.
The scale of the UK epidemic in 1957 is typical, with an
incidence of about 10,000/106 of the population with deaths
at about 750/106. The occurrence and severity of epidemics
has declined markedly since the introduction of the killed
vaccine in 1956 and the living attenuated virus vaccine in
1962, so that poliomyelitis is no longer an important disease
in highly developed countries.
Influenza: The influenza virus is predominantly a roughly
spherical, easily deformed virus about 70nm in diameter with
an outer membrane about 8nm thick and an inner helical
nucleocapsid containing single-stranded RNA. The surface
bears numerous 10nm projections of glycoprotein which are
the sites of the neuraminidase, the enzyme which aids
attachment of virus and which produces haemagglutination.
The disease spreads by droplet infection and after 1–2 days
causes a severe respiratory infection which is normally
1814
self-limiting in about 3–7 days, some 10 per cent of cases
having limited lobar consolidation. If death occurs it is due
usually to secondary bacterial bronchopneumonia.
There are three antigenic types, known as A, B and C, which
are determined by the core, and about 20 antigenic
determinants associated with the surface macromolecules, so
that there can be, for example, a basically Type A virus with
several different subtypes. Most epidemics are associated
with Type A, of which epidemics occur at about 3-year
intervals, Type B virus causing sporadic, localized outbreaks,
while Type C is epidemiologically unimportant.
In the UK only occasional mild epidemics occurred up to
1890, probably mostly due to Type A2. The first severe
recorded epidemic occurred in 1890 (Type A) and caused
some 500 deaths/106. Subsequently the prevalence increased
markedly, with about 4 epidemic peaks per decade. In 1918
and 1919 there was a major pandemic (Type A, 3129 deaths/
106) largely affecting women and children, the cause for this
being ascribed to poor nutrition during the war. Subsequently
the mortality in epidemics declined to about 250/106 and
remained roughly at the same level until 1947, when Type A1
appeared to be succeeded by the Asian Type (A2). Although
Type A2 persists there was a marked change in antigenic
structure in 1964.
Vaccination with the killed saline vaccine is of doubtful value
in view of the variability of the virus, the occurrence of
hypersensitivity reactions and the short lived nature of the
immunity. An attenuated living virus vaccine is used in the
USSR and seems promising but is not used in the UK, and
purified viral protein and vaccines prepared with mineral oil
adjuvants also seem to be promising but are not generally
available. Antamidine HCl prevents the penetration of A2 into
1815
cells and provides a possibility for chemotherapy if given
early enough.
Cholera: The causative agent, Vibrio cholerae, is a curved or
straight Gram-negative facultative anaerobic bacterium with a
single polar flagellum. Under natural conditions it is
exclusively a human pathogen. The disease has an incubation
period of 2–5 days; the toxin produced then affects the
intestinal epithelium and promotes the formation of cyclic
adenosine monophosphate with a resultant fall in the level of
available, energy providing, ATP. This causes a massive loss
of sodium and water into the bowel and up to 12 litres/day
may be lost with consequent dehydration, anuria,
haemoconcentration, acidosis toxaemia and shock. The
severity of symptoms varies widely and in severe cases death
may result in 12 hours from the onset of symptoms, although
if it is possible to give adequate fluid replacement it is usually
possible to prevent death. The natural fatality rate is 25–50
per cent.
The disease is frequently water borne, as was first shown by
the London physician Snow in 1854, but may also be spread
by contaminated food, by flies and by direct contact. Chronic
carriers do not occur but patients who recover are infective
for 3–4 weeks. Since the organism is noninvasive and remains
confined to the gastrointestinal tract, infection followed by
recovery gives only a limited immunity whereas the vaccine,
prepared from whole cells or a lipopolysaccharide fraction,
gives significant protection. There are four principal strains,
El Tor originated in the Arabian peninsular, Inaba occurs
mostly in Japan, Ogawa is characteristic of the Indian
subcontinent and Hikojima is primarily Chinese. The strain at
present causing concern is a modified El Tor which arose in
the Celebes Islands in 1961. Since then it has spread steadily:
1962, Borneo; 1963, Malaya and IndoChina, southeastern
1816
China, Korea; 1964, Assam; 1965/1966, India and the whole
of southwest Asia; 1970, the Middle East, southwestern
Russia, Arabia and central and eastern North Africa; 1971,
the whole of North Africa and Spain. In 1973 there was a
minor epidemic in Italy, with about 10 reported deaths and
although it is doubtful that there could be anything other than
sporadic cases in western and northern Europe, including the
UK, because of the high standards of hygiene, the speed of
modern travel means that an infected person may travel home
and be in contact with his local community long before overt
symptoms arise. Clearly, the utmost vigilance is necessary.
1817
Substances disrupting membranes: Since biological
membranes contain lipids, the membrane structure can be
damaged by hydrophobic compounds, lipid solvents and
surfactants. Typical agents in this group are acetone, ether,
toluene, the quaternary ammonium biocides, e.g. cetrimide
and domiphen bromide, and probably phenols and related
compounds.
Chemical mutagens: These modify the DNA structure
chemically. Since most mutations are lethal the modifications
usually result in death, after allowing a period for cell
division to occur. Mutagens in this class are the alkylating
agents, such as nitrogen mustard, and nitrous acid.
Metabolite analogues: These are compounds which are
structurally similar to natural metabolites and either displace
the natural compound from the active site of an enzyme or
mask the active site, or are incorporated in place of the natural
metabolite to give a nonfunctional final product. Examples of
the first type are the sulphonamides, which antagonize
p-amino-benzoic acid, and of the second type are
5-bromouracil and 5-fluorouracil which antagonize thymine
and uracil, respectively.
Agents affecting cell wall synthesis: The first agent of this
kind was penicillin and all the penicillins act in this way, as
do some of the chemically related cephalosporins. Other
antibiotics in this class are bacitracin, cycloserine and
vancomycin. Gentian violet affects wall synthesis but it is not
known whether this is its primary site of action, since it has
more general effects also. These drugs are effective
chemotherapeutic agents because mucopeptide is found only
in bacteria so that the drug has no action in humans. The
principal effect of the drug in the animal host is to act as an
allergen.
1818
Agents affecting cell membranes: Membrane damage is
usually inferred when leakage of cell contents occurs, a
condition produced in bacteria by polymyxin and novobiocin.
The precise mechanism of attack is not known, though in
some cases there is good evidence that permeability to K+ is
increased. Fungal cell membranes contain sterols (virtually
absent from bacteria) so only the former are damaged by
nystatin and amphotericin, which are inactive against
bacteria.
Agents affecting nucleic acid function: Some compounds with
this type of activity have been mentioned already as chemical
mutagens. A more subtle effect is caused by the acriflavine
dyes, which appear to function as intercalating agents. The
structure of these enables them to fit into a groove in the
DNA helix and bond to adjacent purine and pyrimidine bases.
The DNA is thus distorted producing mutations which are
lethal to the cell. Mitomycin C cross links the two strands of
the DNA helix and so prevents uncoiling and therefore
replication of the DNA. Another type of action is shown by
actinomycin, which binds to DNA and prevents mRNA
synthesis.
Agents affecting protein synthesis: Any substance affecting
DNA function will eventually affect protein synthesis.
However, many antibiotics affect protein synthesis directly,
often exerting the action at ribosomal level. Since bacterial
ribosomes are smaller than host ribosomes (70S and 80S,
respectively) this means that effective chemotherapeutic
agents are possible. Streptomycin, neomycin and kanamycin
are related chemically and act by combining with the 30S
subunit of the ribosomes to cause misreading of mRNA,
resulting in inactive proteins. A different mode of action is
shown by chloramphenicol and the tetracyclines, which
inhibit different steps in the peptide chain elongation.
1819
Puromycin is actually a structural analogue of
aminoacyl-tRNA and so blocks the binding of tRNA to the
ribosome and prevents protein chain elongation.
Biochemical Mechanisms
1820
coli to sulphonamides is due to increased p-aminobenzoic
acid (PAB) synthesis. Since the sulphonamides competitively
inhibit PAB, increasing the amount of PAB displaces the
sulphonamide from the enzyme. In S. aureus there may also
be more efficient
conversion of PAB into folic acid. It is important to note that
more than one mechanism may operate simultaneously in the
same organism.
Increased enzyme production is found in cells showing
resistance to psicofuranine (enzyme, xanthine 5′-phosphate
aminase), d-cycloserine (alanine racemase) and
2-thiazolealanine (histidine enzymes).
Production of enzyme or organelle with decreased affinity for
the drug: A resistant enzyme with decreased sulphonamide
affinity, dihydropteroate reductase, is concerned in
sulphonamide resistance. Altered ribosomal configuration is
often the basis of resistance, and reduced binding to the 50S
subunit occurs in erythromycin and tetracycline resistance,
while reduced binding to the 30S subunit results in resistance
to kanamycin A, neomycin C and streptomycin. In the case of
streptomycin another modification of the 30S subunit can
cause streptomycin dependence in organisms which are
normally sensitive or resistant.
Reduction or loss of enzyme activity: Purine or pyrimidine
analogues must be converted, first into nucleotides and then
nucleic acids before they can exert their activity. Resistance
to the analogues 6-mercaptopurine and 8-azaguanine results
from loss of the corresponding phosphorylases, though the
cells then become exacting for the corresponding nucleotides.
Other mechanisms: The following occur infrequently: the
synthesis of an enzyme with decreased affinity for an
antimetabolite relative to the natural metabolite, as in the
p-fluorophenylalanine/alanine system; development of
1821
alternative metabolic pathways to bypass the normal pathway
(tetracyclines); and decreased requirement for a metabolite
(antagonists of folic acid precursors).
This last mechanism is the reason why sulphonamides and
trimethoprim can be used therapeutically since a sensitive
pathogen synthesizes its own folic acid from precursors and is
inhibited by these compounds, whereas man requires
preformed folic acid and so is not affected by agents
preventing its synthesis.
1822
they infect. This is known to be an important mechanism for
spreading resistance.
Conjugation is probably the most important mechanism of all.
Many enteric bacteria have sex pili, there being ‘male’ and
‘female’ cells. Similarly, some bacteria have a resistance
transfer factor (RTF) which promotes transfer of resistance
(R) factors from a donor to a recipient cell, following
attachment by a pilus. This pilus shrinks to form a
cytoplasmic bridge between the two cells, through which the
R-factors pass to the recipient cell, which then incorporates
these R-factors into its own DNA and becomes resistant.
Reproduction of the newly resistant recipient results in
daughter cells each of which carries the R genes. In some
species, e.g. Proteus mirabilis, the resistance factors can be
replicated to produce as many as 30 sets of resistance genes
within the cell. Further, R-factor transfer can occur between
different bacterial genera, e.g. transfer from Klebsiella to
Pseudomonas is known to have occurred in the course of the
prolonged antibiotic treatment of burn patients.
The R-factors are one form of plasmid, an extrachromosomal
inheritance factor which may be attached to the cell
membrane or become incorporated in the chromosome.
Plasmids often carry resistance to a number of drugs
simultaneously, so that recipients become multiply resistant in
a single step.
1823
population. Antibiotic therapy exerts a selective pressure, the
sensitive population is inhibited and the resistant cells can
grow to become dominant. Fortunately, the resistant cells are
usually less well adapted to their environment so that if
treatment is stopped and the selective pressure is removed, the
population frequently reverts slowly to its original state.
However, resistance of tell persists so that the majority of S.
aureus now encountered in hospitals are penicillin resistant.
As each new drug is introduced, resistant bacteria are found
after a short while, and there is no reason to expect any
different pattern in the future. The inference is clear:
antibiotics should be used only for conditions where the
clinical picture or laboratory tests indicate clearly that the
drug will be beneficial. The routine use of broad spectrum
antibiotics either prophylactically or for trivial conditions is
highly undesirable and there should be a rational use of
antibiotics. Rotation in use may help to reduce the emergence
of resistant strains to a minimum.
Identification of Microorganisms
1824
rapidly with as few tests as possible so that the causal agent of
a disease can be recognized and appropriate treatment
instituted immediately. Taxonomy aims to place all organisms
into their correct position with regard to all other organisms,
in a genus, family or tribe. For this, speed is of no
consequence and the completeness of information and the
logic of the taxonomic system are paramount. Thus,
taxonomy is a specialist study, whereas identification is
something which all bacteriologists have to do at some time.
Eukaryotic Microorganisms
Viruses
1825
6. Secondary criteria include the host range, specificity to
particular organs or tissues, the mode of transmission and the
immunological characters.
Bacteria
1826
Fig. 33.54 Typical tables for identification of the common
medical bacteria using the system of Cowan and Steel (1974).
1827
necessarily excludes many bacteria of industrial importance.
No satisfactory key exists for the latter, though Skerman
(1959) has a key based on Bergey’s Manual, 7th ed. (1957).
For many groups, Bergey’s Manual is unsatisfactory, though
it is hoped that some, at least of the problems will be
elucidated in the eighth edition, publication of which is
expected shortly. Further, it is becoming increasingly difficult
to define a genus or species since DNA can be transferred
between species and genera, for example resistance factors
between Klebsiella and Pseudomonas.
To solve some of these problems many taxonomists have
resorted to simple forms of genetic analysis, e.g. the
percentage of guanine and cytosine in the DNA (the G–C
ratio), the ability of single-stranded DNA from two organisms
to hybridize or of hybridization between the DNA and
mRNA. Such experiments are difficult and are little used at
present for identification, though they are of great value for
the taxonomist.
References
1828
Chapter 34
Disinfection
1829
health. This term is applied commercially to treatment of
inanimate objects and materials, although in some literature
disinfection is analagous to bactericidal action on skin and
living tissues.
The term disinfectant usually implies a substance with
bactericidal action. Sanitization is a term which appears in
much American literature and implies disinfection combined
with a cleansing process.
*Antisepsis— the destruction of microorganisms, but not
bacterial spores on living tissues, not necessarily killing all
microorganisms but reducing them to a level not normally
harmful to health. The action of an antiseptic should be lethal
to microorganisms, not, as implied in some literature, static.
Many substances can act both as lethal agents and static
agents, depending on their concentration, the time of contact
and the temperature of the reaction. If graphs are plotted of
log viable counts against time (see Fig. 34.1), the three main
situations—growth (A), bacteriostasis (B) and bactericidal
action (C)—are shown.
1830
Fig. 34.1 Growth, bacteriostatic and bactericidal effects on
bacteria. (A) Bacteria inoculated into nutrient medium.
Normal initial stages of growth curve shown; (B)
Bacteriostatic environment viable, population remains
constant, but falls after prolonged time; (C) Bactericidal
environment. Sigmoid death curve often shown.
1831
Disinfectants
Disinfectants have been used empirically from the time of the
ancient Egyptians. They used antibacterial oils, spices and
balsams in the embalming of bodies. Alcock, in 1827, in the
Lancet referred to the use of chlorine compounds as powerful,
disinfecting agents. During the first half of the nineteenth
century compounds employed as disinfectants included
chlorine gas, silver nitrate (the antibacterial properties of
silver and copper had been used by the Persians and Romans),
phenol, zinc compounds and iodine. Semmel weiss, in Vienna
in 1861, used a solution of chlorinated lime for hand
disinfection, and this produced a marked fall in the incidence
of puerperal infection in his hospital. Pasteur showed that
putrefaction was due to microorganisms, and following the
work of Lister in 1865 onwards, disinfection was put on a
rational basis, and antiseptic surgery started. Koch (1881)
tested the action of different disinfectants on pure cultures.
Many disinfectants are often described as ‘general
disinfectants’. The term is a misnomer as it is impossible to
prepare a disinfectant that will serve best for such different
purposes as disinfecting sinks, drains, linen, intact and broken
skin, mucous surfaces, body cavities, etc. An ideal
disinfectant would have the following properties:
• High potency under the conditions of use.
• Ready solubility in, or miscibility with, water at effective
antimicrobial concentration. Noncaustic with a low degree of
toxicity and without harmful or sensitizing effects on delicate
tissues.
• No deleterious effect on linen and metals. Complete
compatibility with other antimicrobial agents being used and
with other components of the disinfectant formulation.
1832
• Stable on storage. Often long-term stability over a wide
range of temperature may be required.
• Reasonably cheap.
• No offensive odour, taste (oral disinfectants) or colour.
1833
Some disinfectants
Action
involved
Primary Drug/Cell Interactions
Adsorbtion—not generally lethal Phenols, iodine,
but leads to secondary reactions, chlorhexidine, basic
which are often bacteriostatic or dyes, some
bactericidal. surface-active
compounds.
Electrophoretic mobility There is an increase in
changes— bacteria in water the rate of migration
normally have a negative charge, with increase in 1
and thus migrate to the cathode concentration with
when a potential is applied. This phenols and halogenated
migration may be slowed or phenols acting on
accelerated, stopped or even Aerobacler aerogenes.
reversed by disinfectants. Chlorhexidine causes
decrease in migration
rate (Escherichia coli,
Staphylococcus aureus).
Secondary Drug/Cell Interactions
Cell permeability modification Hexylresorcinol,
and leakage of cell constituents cetyltrimethylammonium
(partial lysis). bromide and phenol.
Chorhexidine (at low
concentrations).
Lysis. Phenol, aldehydes,
mercuric chloride,
hypochlorites.
1834
Irreversible general coagulation of Phenols,
cytoplasmic constituents, e.g. cetyltrimethylammonium
protein precipitation. Usually bromide and
produced by high concentrations chlorhexidine.
of disinfectant.
General metabolic effects, e.g. Alcohols, phenols and
inhibition of succinate surfactants.
dehydrogenase and interference
with enzyme systems.
Drug/Cell Interactions Where Mechanism Is Known With
Some Precision
Interaction with thio(sulphydryl) Mercury, silver and
groups. Two main mechanisms: copper compounds,
(a) combination; (b) oxidation. halogens, potassium
permanganate.
Action as metal binding agents, 8-hydroxyquinoline.
thus depriving bacteria of metals
essential for their metabolism.
Interaction with amino groups. Formaldehyde. Some
halogens, in addition to
their oxidizing action.
Interference with oxidation Nitrofuran.
reduction systems.
Reaction with acidic groups in the Triphenylmethane dyes.
cell, inhibition of glutamine, or
inhibition of bacterial cell wall
synthesis. (The latter being the
action of crystal violet)
1835
Interference with nucleic acid Acridine dyes.
function.
Phenolic disinfectants, in low concentrations, disrupt the
cytoplasmic membrane causing leakage of bacterial cellular
constituents (Gale & Taylor, 1947) and also affect membrane
permeability (Hugo, 1956). At high concentrations they act as
protoplasmic poisons (Hugo, 1957).
Alcohols have the ability to denature proteins. This
denaturation is much more marked in the presence of water,
and hence concentrations of 60–90 per cent v/v are usually
used for disinfection (Arclier, 1945). Actions of alcohols are
discussed by Sykes (1965) and Salton (1961).
Aldehydes usually act by combining with the amino groups of
proteins, while halogen compounds halogenate or oxidize
vital cell components.
Specific combination with thiol (–SH) groups accounts for the
activity of mercury, silver and copper, although in high
concentrations they are protein precipitants. The toxic part, in
the case of mercury, is the mercuric ion Hg2+. This ion reacts
as follows with thiol groups in enzymes and structural
proteins:
(Fildes, 1940).
Basic dyes (triphenylmethane dyes) inactivate bacteria by
reacting with acidic groups in the cell, although inhibition of
glutamine synthesis is the bactericidal action in the case of S.
aureus (Fry, 1957). Gentian violet is thought to inhibit cell
wall synthesis. Acridines impair the function of cellular DNA,
thus interfering with reproduction of bacteria. Albert (1951)
gives a general review of the acridines.
1836
The main action of the surface-active agents, particularly the
positively charged quaternary ammonium compounds is that
they are strongly adsorbed onto the negatively charged
bacterial surface. This is followed by damage to the cell
membrane and cytoplasmic leakage.
Hugo and Longworth (1964, 1965 & 1966) conclude that
chlorhexidine, the main guanidine disinfectant, disrupts and
finally destroys cytoplasmic membrane function. The mode of
action of amidines used in therapy is uncertain, although a
similar chemical compound, pentamidine (an antiprotozoon
drug) is thought to inhibit amino acid transport linked with
phospholipid synthesis.
Suggested reasons for the antibacterial activity of the
nitrofurans include inhibition of hydrogen and electron
transfer enzyme systems, reduction of nitrofurans (thus
reducing the capacity of the reductive enzymes in
metabolism), and controversial evidence of inhibition of cell
wall synthesis. No definite mode of action has yet been
established.
8-Hydroxyquinoline (oxine) chelates with iron or copper to
form a toxic complex, which is thought to oxidize essential
thiol groups (Rubbo & Gardner, 1965).
Properties of Disinfectants
1837
Phenols
1838
Fig. 34.2 Chemical structures of the more important phenolic
disinfectants.
1839
is the reduction of bactericidal activity due to organic matter
(see Table 34.20). The organic matter simply absorbs the
phenol, and thus reduces its concentration.
The simple phenols are readily soluble in water, but the
chlorinated phenols, e.g. chlorocresol and chloroxylenol, have
poor water solubility. The chlorinated phenols have the
advantage, however, that they are more potent, less toxic and
less caustic than simple phenols. Most phenols are readily
soluble in alcohol, the alcohol often enhancing their activity,
but such solutions are extremely toxic to tissues and when
diluted with water the phenolic material is thrown out of
solution. Phenols have high oil–water coefficients, so the
presence of oily material in the environment to be disinfected
will markedly reduce the disinfectant action of the phenol.
Oily solutions of phenol are devoid of bactericidal action.
Activity may be increased by the presence of soap in the
formulation, e.g. Lysol (Cresol and Soap Solution BP) and
Roxenol (Chloroxylenol, Solution BPC).
Simple phenols are corrosive, cause tissue damage, and if
adsorbed systematically (this may occur by adsorption from
tissues) are very poisonous.
Phenol (carbolic acid): Its germicidal properties were
discovered by Lister in 1867. Since many of its derivatives
are less toxic and less caustic, the main uses of phenol itself
are as a standard against which other germicides are
compared; as an added bactericide to multidose injections
(0.5 per cent w/v); in gargles (see BPC) and mouthwashes; in
ear drops (6.4 per cent w/w, but the caustic action is lessened
by the use of glycerin as solvent—this preparation should
never be diluted with water), and as an oily injection (this is
used as a sclerosing agent for internal haemorrhoids). For full
details of the uses of this disinfectant and others mentioned in
this chapter see Martindale (1972).
1840
Cresol: This is a mixture of o-, m- and p-cresols, in which the
meta-isomer predominates, and other phenols obtained from
coal tar. It has similar caustic and toxic properties to phenol,
but has the disadvantage of being less soluble in water (1:50),
though it is more strongly bactericidal than phenol.
Cresol and Soap Solution BP (Lysol): This is a useful
disinfectant, in which cresol is solubilized with soap. Its
corrosive action on living tissue has restricted its use,
although similar formulations using ethylphenols and
xylenols in place of cresol can be used on the skin and yet
have comparable properties to lysol (Finch, 1963). Bacterial
spores (especially spores of clostridia) are resistant to lysol,
but most pathogenic bacteria are susceptible, including
acid-fast bacteria (mycobacteria). It forms a clear solution on
dilution with water. Between 2–5 per cent is recommended
for disinfection of contaminated surfaces. The higher
concentration is recommended for killing mycobacteria,
Report to the Public Health Laboratory Service, 1958.
Chlorocresol: It is used in the sterilization process ‘heating
with a bactericide’, and as an added bactericide to multidose
injections (0.2 per cent w/v for the sterilization process, and
0.1 per cent w/v as an added bactericide). It is only soluble
1:260 in water.
Chloroxylenol: This is even less soluble than chlorocresol.
Solubility is 1:3000 in water, but it can be solubilized with
soap (Roxenol BPC). It is used in many proprietary
disinfectants, e.g. Dettol.
It is active against streptococci, less active against
staphylococci, and almost devoid of action against some
Gram-negative organisms, e.g. Pseudomonas aeruginosa, and
against bacterial spores.
Chloroxylenol Solution BPC (Roxenol): The chloroxylenol is
solubilized by soap, but the formulation also includes
1841
terpineol (an oily carrier which helps solubilize the
chloroxylenol in the form of a complex emulsion on dilution,
and gives the formulation a pine-like odour) and alcohol.
Doubts have been expressed about the effectiveness of the
diluted form of this disinfectant. (Whittet et al., 1965).
Black fluids and white fluids: These are cheaper than
Chloroxylenol and similar solutions. Both fluids are defined
in British Standard B.S. 2462: 1961. Black fluids are
homogeneous solutions of coal tar acids, or similar crude
petroleum acids. They are usually solubilized by soaps (made
from interaction of resin acids with sodium hydroxide, or of
sodium hydroxide with sulphonated oils). An example of a
modified black fluid is ‘Jeyes’ Fluid. White fluids are finely
dispersed emulsions, not solutions, of coal tar or similar crude
petroleum acids, and are more stable on dilution than black
fluids. An example of a modified white fluid is ‘Izal
Germicide’. Black and white fluids are usually used for the
disinfection of drains, agricultural and horticultural
equipment, etc.
Bisphenols: Examples of these are o-phenylphenol and
hexachlorophane. The former has antibacterial and antifungal
properties, with similar potency to chloroxylenol, although its
activity against P. aeruginosa is superior to that of
chloroxylenol. Hexachlorophane, until recently, widely used
in soaps, dusting powders and skin preparations, as a
deodorant and disinfectant, is practically insoluble in water.
Use of hexachlorophane was curbed in 1972, due to its toxic
side effects, particularly in preparations for infants. It has a
relatively weak effect against Gram-negative bacteria. The
activities of bisphenols against S. aureus are listed by Gump
and Walter (1960).
1842
Alcohols
1843
Fig. 34.3 Chemical structures of more important alcoholic
disinfectants.
Aldehydes
1844
Glutaraldehyde (CHO.CH2.CH2.CH2.CHO) is a dialdehyde
with rapid sporicidal and tuberculocidal action (Rubbo et al.,
1967). It is used as a 2 per cent aqueous solution, buffered
with sodium bicarbonate to pH 7.5–8.5.
Dyes
1845
Fig. 34.4 Chemical structures of more important antibacterial
dyes.
1846
organisms. The three main dyes used in medicine are brilliant
green, crystal violet (also known as gentian violet or methyl
violet) and malachite green. Crystal violet agar (containing 1
in 100,000 crystal violet) inhibits staphylococci but not
streptococci and is used as a selective medium. Aqueous
solutions of single dyes or combinations of dyes are used to
treat staphylococcal and mycotic skin infections. Chemical
structures are shown in Fig. 34.4.
Surface-active compounds
1847
the compound with its surface activity. They are strongly
adsorbed onto negatively charged surfaces, e.g. bacterial cells,
where they cause damage to the cytoplasmic membrane and
hence leakage of cytoplasmic material. They are widely used
for skin and wound disinfection where their cleansing action
in the presence of oil and grease are particularly useful. Their
action is markedly reduced by organic matter. Unlike the
phenols, the quaternaries are more active in alkaline solution
but are incompatible with alkali hydroxides. At pH 3 many
quaternaries are practically devoid of activity.
The chemical structures of some cationic disinfectants are
given in Fig. 34.5.
1848
They have the detergent properties of anionic surfactants
combined with the disinfectant properties of cationic
surfactants. In general these materials are said to be
compatible with quaternary ammonium compounds and
phenolic disinfectants. Examples are the ‘Tego’ compounds.
The structures of the main surfactants used as disinfectants
are given in Fig. 34.5.
Halogens
1849
The activity of hypochlorites is markedly affected by pH.
They are most active at low pH values and activity declines
with increasing pH, although stability increases. Increase in
pH produces an increase in ionization of the hypochlorous
acid.
The main chlorine disinfectants include chlorine gas,
chlorinated lime and preparations from this, hypochlorites,
and inorganic and organic chloramines. The main iodine
disinfectants include various solutions and iodophors (where
iodine is complexed with surface-active agents).
Chlorinated lime: This is a cheap, powerful disinfectant and
deodorant. It is used to disinfect faeces, urine and utensils.
Eusol and Dakin’s Solution are both prepared from
chlorinated lime and contain hypochlorites. Both solutions
deteriorate on storage but Dakin’s Solution is somewhat more
stable than Eusol.
Organic chloramines: Those used in medicine include
Chloramine, Dichloramine and Halazone. Their structures are
shown in
Fig. 34.6. Solutions of these compounds are more stable than
those prepared from chlorinated lime. Halazone is used for
sterilization of drinking water (4mg/l, left for 1h). The taste of
residual chlorine can be removed by adding sodium
thiosulphate, usually in tablet form (5.5mg).
1850
Iodine disinfectants: Iodine itself is a good disinfectant in
aqueous or alcoholic solution. It is remarkably nonselective in
its action. It is sporicidal, fungicidal and active against many
viruses. It is used as a skin disinfectant and for cold
sterilization of surgical sutures. Formulations include Weak
Iodine Solution BP (2.5 per cent Iodine) and Aqueous Iodine
Solution BP (Lugol’s Solution–5.0 per cent Iodine).
Iodophors, in which the iodine is complexed with
surface-active agents, e.g. polyvinylpyrrolidone-iodine are
said to be more stable in dilute solutions, and are nonstaining
and nonirritant. Iodine itself has to be used with care on
sensitive skins.
Iodoform has weak antibacterial properties, but is chiefly
used as a deodorant.
Metals
1851
has been used in eye ointments. Mercurochrome, a vivid red
dye, is a comparatively feeble germicide, and has lost
popularity. Thiomersal (Merthiolate) has similar bactericidal
potency to phenylmercuric compounds, but it is unstable in
acid solutions and is therefore only used in solutions of pH 7
upwards. It is used as a preservative (0.01–0.02 per cent) for
bacterial and viral vaccines, as a fungicide and as a skin
disinfectant.
Phenylmercuric nitrate and phenylmercuric acetate are both
effective antibacterial and antifungal agents. The acetate has
the advantage that it is slightly more soluble than the nitrate.
Both the nitrate and the acetate can be used, at a concentration
of 0.002 per cent, in the sterilization process ‘heating with a
bactericide’. They can be used as preservatives for parenteral
injections at a concentration of 0.001 per cent. The activity of
mercurials is modified by organic matter.
1852
Guanidines and amidines
1853
Furan derivatives
1854
In addition to these 10 groups of disinfectant compounds,
there are a number of specific antifungal agents, e.g.
undecenoic acid and salts, tolnaftate, chlorphenesin, etc.
1855
Time of contact
where
Since this early work the disinfection process has been widely
studied (Withell, 1938, 1942; Jordan & Jacobs, 1944; Berry &
Michaels, 1947; Jacobs, 1960; Prokop & Humphrey, 1970).
The main conclusion of these workers is that the survivor/
time curve is not constant, its shape being influenced by a
number of factors, especially the concentration of the
disinfectant being used. This is shown in Fig. 34.7.
1856
Fig. 34.7 Effect of concentration of phenol on survivor/time
curve of E. coli.
1857
Fig. 34.8 Main types of death curve shown in disinfection
processes. (A) Disinfection process obeying first-order kinetic
law (sometimes obtained); (B) Sigmoid curve is most usually
obtained. The process can be divided into 3 stages: (a) a slow
initial kill, mainly of sensitive or susceptible members of the
population, (b) a faster ‘near-linear’ rate of kill showing a
similar pattern to a first order reaction. In this stage organisms
of average resistance are mainly killed, (c) a slower death rate
of resistant members; (C) This curve is often obtained with
high concentrations of disinfectant.
Concentration of Disinfectant
1858
where
1859
Fig. 34.9 Graphical determination of concentration
exponenent n, of disinfectant; (A) slope of graph 1/1, n = 1;
(B) slope of graph 1/6, n = 6.
Bactericide n
HgCl2 1.00
AgNO3 0.75
HCl 1.00
HChO 1.00
1860
NaOh 1.05
H2O2 2.00
Lysol 2.05
Thymol 4.00
Resorcinol 5.00
Phenol 6.00
o-cresol 7.05
p-cresol 8.05
ethanol 11.05
butanol 12.00
The value of n is affected by the factors which influence
disinfection, e.g. temperature type of organism,
environmental factors and the formulation.
A knowledge of the approximate concentration exponent is
useful in determining the effect of dilution on the disinfectant,
as shown in Table 34.4.
Formaldehyde (n = 1)
Phenol (n = 6) 0.7% kills in 100min
0.7% kills in 100min
A. Effect of doubling concentration 1.4% kills in
1.4% kills in
1861
B. Effect of halving concentration 0.35% kills in 100 ×
0.35% kills in 21 = 200min
100×2n = 100×26 = 6400min
This explains why phenolic disinfectants are rapidly
inactivated by dilution, but disinfectants such as
formaldehyde or mercurials are much less affected by
changes in concentration.
Temperature
1862
Fig. 34.10 Relation between temperature and extinction time
of Salmonella paratyphi in 10 per cent phenol solution.
where
1863
The reaction velocity, k, is proportional to
where
1864
62min at 20°C and in 10min at 30°C.
Bactericide θ ϕ10
Phenol 1.15 4.0
o-Cresol 1.18 5.1
p-Cresol 1.19 5.8
Resorcinol 1.22 7.1
1865
ethylene glycol 1.34 18.0
n-Butanol 1.41 31.0
Ethanol 1.46 43
Ethylene glycol monoethyl ether 1.76 2.91
In practice the ϕ10 value is most useful, and bactericides may
be grouped according to this value. The effect of increasing
the temperature of phenol from 20 to 30°C is to increase its
activity four-fold. The effect of increasing its temperature
from 20 to 100°C is theoretically to increase its activity
1.1580 = 70,000-fold, providing the value of θ is constant
over the range of 80°C, which is unlikely. Nevertheless,
increasing the temperature of a phenol from room temperature
to 100° will increase its activity very appreciably and, in
addition, the high temperature itself
will have an adverse effect on microorganisms. The combined
effect of temperature and increase in reaction velocity at the
higher temperature is utilized in the BP sterilization process
of Heating with a bactericide.
Test organism
1866
most active virucides. Antifungal activity varies considerably
and many disinfectants have a limited spectrum of activity.
The success of disinfection is often dependent, in part, on the
degree of initial contamination. A large number of
microorganisms initially often leads to longer disinfection
times, or greater concentrations of disinfectant are required to
achieve a satisfactory killing effect.
Resistance of microorganisms varies with their age and the
conditions under which they are grown. A detailed review of
the influence of inoculum history on the response of
microorganisms to inhibitory and destructive agents is given
by Farewell and Brown (1971).
In any description of disinfectant action the inoculum size,
age and past history should be stated.
1867
Hydrogen Ion Concentration
1868
antibacterial activity with increase in pH. A review of the
effects of pH on antibacterial activity is given by Albert
(1973).
1869
Fig. 34.11 Relation between extinction time of Escherichia
coli and the inter-facial tension of 0.5 per cent phenol soap
mixtures (After Alexander & Tomlinson, 1949).
Soaps can be used and the more soap that is added, the lower
the surface tension and the extinction time, until the soap
concentration is equivalent to the critical concentration for
micelle formation. In excess of this concentration the surface
tension remains almost constant, but the extinction time
increases, due to phenol leaving the aqueous phase and
entering the interior of micelles. For a review of effects of
surface tension on antibacterial activity Berry (1952) should
be consulted.
1870
Often disinfectants may be formulated in either aqueous
solution or in 70 per cent alcohol, e.g. chlorhexidine and
some quaternary ammonium compounds. The alcoholic
formulation often increases penetrating power and leads to
enhanced antimicrobial activity.
It has already been mentioned that the activity of phenol
varies with the organism concerned, is reduced by oil and
organic matter, and is highest when the phenol is in the
nonionized form, i.e. in acidic pH conditions. In addition the
presence of a
solubilizing or emulsifying agent and the type and
concentration markedly affect the activity of the phenol
(Berry & Stenlake, 1942).
In simple saponaceous solution, the soap acts as a solvent for
the phenols. If the phenol is partially soluble in water, a
marked increase in its overall solubility in the soap solution
occurs at the critical micelle concentration of the soap; if the
phenol is almost water insoluble then virtually no phenol goes
into solution below the critical concentration. The differential
solubility of chloroxylenol in potassium laurate is shown in
Fig. 34.12. A sharp increase in the differential solubility of
chloroxylenol occurs at 0.02M potassium laurate, the critical
concentration; above about 0.04M potassium laurate, when
the micelles are fully formed, there is no further increase in
the differential solubility with increase in soap concentration.
The shaded area in Fig. 34.12 is an area of solubility and the
unshaded area an area of insolubility. An arbitrarily chosen
point (X) within the area of solubility describes the
composition of a solution since the position of the point
indicates the soap concentration and the number of molecule
of chloroxylenol present per molecule of soap. The solution
represented by X is diluted with water, the composition of the
solutions produced by increasing dilution is represented by
1871
points along a line drawn from X parallel to the abscissa. The
broken line in Fig. 34.12 shows the bactericidal activity
against E. coli of solutions produced by dilution of X. A
maximum activity (minimum extinction time) is obtained in
solutions in which the soap concentration is approximately
0.02M (the CMC) and a minimum of activity in solutions in
which the soap concentration is about 0.04M. At 0.02M
potassium laurate the micelles are just forming and are small.
Between 0.02M and 0.04M the micelles increase in size and
reach maximal size at 0.04M. For solutions having a constant
chloroxylenol potassium laurate ratio the percentage
saturation of the micelles by the chloroxylenol decreases as
the soap micelles increase in size. That is, the decrease in
activity which occurs in spite of an increase in the
concentration of both the chloroxylenol and the soap is due to
a decrease in the saturation of the micelles. Since the
chloroxylenol is partitioned between the micelles and the
water, the decrease in the concentration in the micelles is
accompanied by a decrease in the water. Thus the bactericidal
activity of simple saponaceous solutions of halogenated
phenols is independent of the overall concentration in the
system. It is dependent upon the concentration in the micelles
which, in turn, controls the concentration in the water (Bean
& Berry, 1953). For further interpretations of similar systems
reference should be made to papers by Berry et al. (1956),
Berry and Briggs (1956), Cook (1960) and Mitchell (1964).
1872
Fig. 34.12 Influence of soap concentration on the extinction
time of Escherichia coli in soap/chloroxylenol mixtures. Solid
line indicates solubility and the dotted line extinction time
(Bean, 1961).
1873
bactericidal activity. Thus, the bactericidal activity of phenol
in the surfactant solution is maximal at the CMC.
For convenience and economy it is essential to formulate a
disinfectant solution to be as concentrated as possible and
suitable for dilution with water immediately before use. The
user cannot be relied upon to dilute the disinfectant to the
critical concentration of the soap. Insufficient dilution would
cause loss of activity and overdilution would probably result
in phenol being thrown out of solution. The difficulty is
solved by the inclusion of an oily carrier which is a solvent
for the insoluble phenol, e.g. in Chloroxylenol Solution BPC.
When Chloroxylenol Solution is diluted with water a complex
system is formed. An o/w emulsion of terpineol is produced
by part of the soap; the remainder of the soap is dispersed as
micelles or is in solution in the water. The chloroxylenol is
distributed between the terpineol droplets (most is in this oily
carrier), the soap micelles and the water in accordance with
the partition coefficients. The concentration in the carrier
influences the concentration in the water, and thus selection
of a carrier which gives maximum concentration of the
chloroxylenol in water must be carefully made. Many
organisms have been shown to be resistant to the diluted
forms of formulated chloroxylenol preparations.
1874
Table 34.7 Effect of chemical structure on activity of
phenols
1875
Nature of the Surface to be Disinfected
Potentiating
Disinfectant Antagonist
agent
Benzalkonium Low
chloride concetrations of
1876
chlorexidine nonionic
diacetate surfactants*
p-Hydroxybenzoates Polysorbate
80**
Chlorine Bromine (or
compounds iodine)
compounds***
Halogens Sodium thiosulphate
Quaternary Anionic agents, e.g.
ammonium Lubrol W + lecithin;
compounds soaps; milk
Mercurials and Thioglycollic acid;
arsenicals sulphydryl
compounds
Chlorhexidine Lubrol W + lecithin
Formaldehyde Morpholine +
dimedone
*
Brown and Richards (1964)
**
Brown (1968)
***
Shere et al. (1962)
Different p-hydroxybenzoate esters show synergistic activity,
and mixtures are often used to obtain adequate preservation.
Phenolic disinfectants are inactivated by dilution and other
factors.
Antagonism leads to decreased antimicrobial activity, and use
is made of antagonists in the elimination of antimicrobial
properties of materials which are being tested for sterility. If
the substance or preparation to be tested has antimicrobial
properties, such properties must be counteracted either by
1877
inactivation with an antagonist, dilution, or by filtration and
washing, using a membrane filter with an average pore
diameter not exceeding 0.470nm.
Disinfectant Evaluation
A comprehensive review of the laboratory assessment of
antibacterial activity has been published by Spooner and
Sykes (1972). Different tests are used to assess bacteriostatic
and bactericidal activity. A summary of the tests used is given
in Table 34.9.
Bactericidal
Substance tested Bacteriostatic tests
tests
Liquid disinfectants Serial dilution in fluid End-point or
media extinction
time methods
Serial dilution in solid Counting
media methods
Cup-plate, fish-spine Turbidometric
bead and filter-paper assessment
methods
The gradient-plate ‘In use’ and
method other tests
The ditch-plate In addition ‘in
technique vivo’ tests are
applied
1878
All methods can be
used quantitatively; the
final method is usually
used qualitatively
Semisolid Cup-plate methods Modified
antibacterial end-point or
formulations, e.g. extinction
creams, ointments, time
pastes and gels The ditch-plate In addition,
technique ‘in vivo’ tests
are applied
(e.g. skin
tests)
Solid disinfectants, Inhibition on seeded Modified
disinfectant powders agar end-point or
extinction
time
Aerial disinfectants Use of slit-sampler in
test chamber
1879
considerably with inoculum size, medium used and
incubation conditions, these factors should be noted with each
MIC obtained. Assessment of bacteriostatic activity can be
observed quantitatively and microscopically by a
microcultural technique (Quastel, 1966; Postgate, 1969).
Alternatively the effect of a single concentration of
antimicrobial on the rate of growth as compared to the normal
growth shown by a control experiment, can be used to assess
bacteriostatic activity (Spooner & Sykes, 1972).
Serial dilution in solid media: A suitable volume of double
strength nutrient agar is diluted with an equal volume of
bacteriostatic solution and poured into a sterile petri dish.
When solidified the surface is dried by incubating at 3TC for
1 h with the lid slightly raised. Drops of 24-h broth cultures of
the test organisms are placed on the dried surface and
incubated for 2–3 days. Up to 27 cultures can be tested on
each plate if a multipoint inolulator (Hale & Inkley, 1965) is
used. A separate petri dish is Lised for each concentration of
bacteriostatic. Choice of the correct inoculum density is
important. The main uses are for turbid bacteriostatic
solutions, or solutions which give turbidity with fluid nutrient
media. Solid media also offer the advantage of economy,
since a number of different organisms can be accommodated
on a single petri dish. A fair degree of correlation between
serial dilution on solid and fluid media was shown by Cook
(1954).
Cup-plate, fish-spine bead and filter paper methods: These
methods are very similar to those used in the assay of
antibiotics. In these methods the agar is melted, cooled
suitably, inoculated with the test organism and poured into a
sterile Petri dish. In the cup-plate method, when the
inoculated agar has solidified, holes about 8mm in diameter
are cut in the medium with a sterile cork borer. In the
1880
fishspine bead, filter paper and the cylinder method the
antimicrobial agent is applied to the surface of the solidified,
inoculated agar and in the cup-plate method it is placed
directly in the holes (Fig. 34.13). In all cases zones of
inhibition may be observed, the diameter of the zones giving
a rough indication of the relative activities of different
antimicrobial substances against the test organism, or the
effects of different concentrations of antimicrobial substance.
A diagram showing the effect is given in Fig. 34.14. The
method can give false indications because the development of
an inhibition zone is dependent on the ability of the
antimicrobial substance to diffuse through the agar.
1881
Fig. 34.13 Methods of applying antibacterials to inoculated
agar: (A) Cup-plate method; (B) Fish-spine head method; (C)
Cylinder method; (D) Filter paper method.
1882
Fig. 34.15 Assessment of bacteriostatic activity by
gradientplate method. Wedge A; 10ml of nutrient agar with
antimicrobial. Wadge B; 10ml of nutrient agar with no
antimicrobial. After overnight incubation diffusion occurs to
give a concentration gradient across the plate with a
maximum on the left and minimum on the right. Wadges A
and B may be reversed, the plate immediately streaked and
then incubated.
1883
Fig. 34.16 Assessment of bacteriostatic activity by the
ditchplate technique. The six different test organisms show
varying degrees of susceptibility to the antimicrobial in the
ditch.
1884
• Indifference—neither antimicrobial substance has any effect
on the other.
1885
Fig. 34.17 Schematic diagram of the Rideal-walker test for
disinfectants.
1886
The idealized result shown above may not be obtained on
every occasion, because the loopfuls of reaction mixture
transferred to the broth tubes represent random samples from
the reaction mixture in which the mortality of the organisms
is approaching 100 per cent. A few organisms of abnormal
resistance in the reaction mixture, or the absence of organisms
possessing the normal resistance of the last survivors, would
influence the result. Thus, although not specified in the
Standard, the test ought to be replicated. Since the replicates
are liable to indicate slightly different coefficients the latter
would be more accurately expressed as a range rather than by
a single value. Some typical Rideal–Walker coefficients
quoted by manufacturers are given in Table 34.10.
1887
As can be seen from the table the Chick–Martin test contains
suspended yeast in the reaction mixture which tends to make
the test more severe as the activity of some bactericides is
markedly depressed by organic matter, together with a longer
contact time of 30min. In the Crown Agents test the reaction
mixture is prepared with artificial sea water. Thus the test is
unsuitable for disinfectants formulated with soap such as the
so-called Black Fluids and disinfectants of the Chloroxylenol
type.
1888
1. Use of single strain of organisms—all of the tests specify
Salmonella typhi as the test organism. The AOAC test and the
Rideal–Walker S. aureus test (British Standard Institution,
1961) permit S. aureus to be used as an alternative test
organism. The use of S. typhi is undoubtedly due to the fact
that phenol coefficient tests originated in 1903 when the
typhoid organism was a much greater menace than it is in
modem times. The knowledge that a disinfectant has a
specified phenol coefficient against the typhoid organisms is
today of little more than academic interest. In any case, the
typhoid organism is not usually particularly resistant to
disinfectants. The use of a more resistant organism would
provide a much more stringent test for any disinfectant. A
disinfectant which possesses high activity against the typhoid
organism does not necessarily possess a similar activity
against different species. Some bactericides are very selective,
and the tests would be much more valuable if they were
performed with several species of organisms. Another source
of error is variation in susceptibility of the test organism to
the test disinfectant.
2. Tests compare activity of bactericides at only one
concentration with a fixed death time the dilution of both
standard phenol and test disinfectant killing in a specified
time is determined. Thus each test only ascertains the
performance of one concentration of the test disinfectant. This
would not matter if all disinfectants possessed the same
concentration exponent. Fig. 34.18 shows the log
concentration–log extinction
time regression lines for two disinfectants X and Y (the slopes
represent the concentration exponents of the two
disinfectants). If the two bactericides are compared by
determining the dilutions which kill at time a, Y is seen to be
the better bactericide. If the time is fixed at b, identical
1889
concentrations of both bactericides are needed and the phenol
coefficient would be 1. If the time is fixed at c, X appears to
be the better bactericide. Hence phenol coefficients can be
changed by altering the arbitarily chosen reaction time.
1890
characteristic temperature coefficient and the knowledge that
a particular bactericide has a certain phenol coefficient at
20°C gives no information about its performance at any other
temperature.
4. Most phenol coefficient tests give no indication of the
activity of the bactericide in the presence of organic matter,
with the exception of the Chick–Martin test, the commonly
used phenol coefficient tests are performed in the absence of
organic matter, whereas in practice most disinfectants and
bactericides are used in the presence of organic matter.
Different disinfectants are affected to different extents by the
same type of organic matter. The activity of phenol is not
seriously affected by the presence of as much as 10 per cent
blood serum, whereas the activity of some emulsified
disinfectants is seriously affected. Formaldehyde and
oxidizing agents such as hydrogen peroxide, chlorine and
permanganates react vigorously with organic matter whereas
the acridines retain their activity in the presence of organic
matter. Thus any phenol coefficient test which does not
include organic matter is inadequate.
5. Phenol coefficient tests give no indication of tissue
toxicity— although Lysol and Roxenol—type disinfectants
have similar phenol coefficients the former would never be
considered for use on the body due to its tissue toxicity. The
latter are relatively nontoxic to tissue. The phenol coefficient
test thus gives no indication of the suitability of a bactericide
for a specific purpose.
6. Phenol coefficient tests give no indication of the effects of
dilution on the activity of the disinfectant.
7. Phenol coefficient tests can only logically be used to
evaluate phenolic disinfectants to use this type of test, with
phenol as a standard, to evaluate nonphenolic disinfectants
contravenes the basic principle of a biological assay of testing
1891
‘like’ against ‘like’. Despite this fact phenol coefficient tests
are used to test the performance of many formulated
disinfectants.
8. Sampling errors are large in phenol coefficient tests—a
very small volume is sampled from a large volume containing
a small number of survivors, which may be in clumped
aggregates. The error in the sampling is dealt with in detail by
Dodd (1969).
9. Recovery conditions in phenol coefficient tests may not be
suitable for ‘damaged’ organisms.
Despite their limitations, phenol coefficient tests are widely
used in preliminary disinfectant evaluation. The
Chick–Martin test was used up to 1970 as a test for
disinfectants for agricultural use. A new order for
disinfectants for agricultural use was made in 1970 (Statutory
Instrument 1970, No. 1372) in which disinfectants are
approved according to their intended use.
Determination of mean death time or mean single survivor
time: In these tests the extinction time is measured for several
different concentrations of bactericide. Berry and Bean (1954)
developed a method of this type. The reaction mixtures were
each distributed, immediately after preparation, into a series
of sterile tubes in which the reaction proceeded at a controlled
temperature until it was quenched by the addition of broth.
Apart from its simplicity the advantage of the method was
that the samples were taken before the reaction mixture had
become heterogeneous due to the clumping of the dying
organisms. Berry and Bean performed their experiments in
replicate, a typical result being shown in the Table 34.12.
Table 34.12 Bactericidal activity of 1% phenol against E. coli
1892
A between-experiment variation is immediately obvious and
stresses the need for replication. A closer examination shows
the results to be less haphazard than at first glance. At each
successive sampling time there is a reduction in the number of
samples containing live organisms. For example, after 40min
exposure to the phenol, live organisms were recovered in all
five experiments; after 60min exposure live organisms were
recovered in only four
of the experiments and after 80min in only one experiment.
The between experiment variations are called sampling errors
and are largely due to the survivors being too few to ensure at
least one live organism being in each sample. The observation
led to the development of a statistical treatment (Mather,
1949) for extinction-time data and the calculation of the
‘mean single survivor time’ which is the time needed to
reduce the number of viable organisms to an average of one
per sample volume. The mean single survivor time is
somewhat shorter than the mean death time because the
mortality level involved is slightly lower. An example of the
calculation of the mean single survivor time (MSST) is given
by Cook and Wills (1954).
Counting methods: A consideration of the Rideal–Walker and
similar end-point methods shows the difficulty of determining
the exact end-point. In the RW test the end-point lies
somewhere between 5 and 71min; taking extreme cases, the
dilution of phenol might kill in, say, 5.1min and the
1893
disinfectant under test in 7.4min; both subcultures will show
no growth after 7t min. The results at the standard time of 7t
min are therefore purely arbitrary. The disadvantages are
avoided if the rate of death is followed by viable counts.
Rates of death can only be determined by counting in dilute
solutions of germicides, i.e. in solutions from which it is
possible to withdraw samples at accurate intervals of time.
Viable counts are not reliable with organisms that clump or
form long chains. Quaternary ammonium’ compounds, e.g.
cetrimide, promote clumping and’ BS 3286: 1960 deals
specifically with evaluation of the disinfectant activity of this
type of compound. In many cases the problem of clumping
can be overcome by the use of a nonionic surfactant. Berry
and Michaels (1947) give examples of statistical methods
applied to the results. Comparison of reaction rates may be
made (Davis, 1940) as shown in Fig. 34.19.
1894
Fig. 34.19 Germicidal effect of 0.5 per cent phenol; A, 0.05
per cent chlorocresol; B, 0.05 per cent chlorobuto; C, on
Staphylococcus aureus in watery suspension at 19–20.5°C
(Davis, 1940).
1895
The temperature coefficient, θ, by similar methods. Since the
majority of the organisms will possess average resistance, the
LT50 is determined by a large number of organisms whereas
the extinction time detrained by the comparatively few
organisms possessing maximal resistance to the bactericide.
Thus the LT50 is more dependable and more representative
than the extinction time.
Turdidimetric methods: Berry and Cook (1950) developed
this method for evaluating the bactericidal action of solutions
of phenols in potassium ricinoleates. They discuss the
accuracy of the method; for further details the original papers
should be consulted.
‘In-use’ and other tests: A more versatile evaluation of
disinfectants is often required, particularly in hospitals, where
the type of organisms, disinfection period, presence of various
organic soiling materials and other factors can vary
considerably. The basis for a more adaptable test appears in
British Standard 3286: 1960 and allows variation in the test
culture(s), disinfection period, presence of organic matter and
other factors. In 1965, Kelsey et al. produced a capacity
use-dilution test. The main aim of this test was to measure the
capacity of the disinfectant to deal with successive bacterial
contamination. Instead of determining the ability of the
disinfectant to cope with one large inoculum, inocula are
made in six increments.
From the British Standard 3286: 1960 and the Kelsey et al.
test was developed the Kelsey and Sykes test (1969), which
incorporates the advantages of both tests. This test is worthy
of mention in more detail.
Kelsey and Sykes test (1969)—the test organisms are S.
aureus NCTC 4163 and P. aeruginosa NCTC 6749. Proteus
vulgaris NCTC 4635 and others, such as E. coli, can be
added.
1896
Disinfectant dilutions are made in water of 300 p/m hardness.
Any number of dilutions can be made, but it is important to
include:
1. the dilution recommended by the manufacturer,
2. a dilution 20–25 per cent weaker than (1) and
3. a dilution 20–25 per cent stronger than (1).
‘Clean’ and ‘dirty’ conditions are simulated in the test. In
both cases the final concentration of bacterial cells should be
about 109/ml. ‘Clean’ conditions are simulated by using broth
as the suspending fluid, and ‘dirty’ conditions by the use of a
yeast suspension or inactivated horse serum as suspending
fluid. The basic procedure is outlined in Table 34.13.
Time
from
Procedure
start
(min)
0 Inoculate 3ml of the disinfectant dilution with 1ml of
bacterial suspension in broth, yeast or serum and
shake gently. (This gives a bactericide/ bacteria
reaction mixture).
8 Remove sample from above reaction mixture with a
50 dropper pipette. Transfer 1 drop to each of 5 tubes
of liquid recovery media or 5 drops to the surface of a
nutrient agar plate.
10 To bactericide/bacteria reaction mixture, prepared at
start (time 0) add a second 1ml of bacterial
suspension.
1897
18 As for 8min (reaction mixture now contains 2ml of
bacterial suspension).
20 Add third incremental addition of I ml of bacterial
suspension to original bactericide/bacteria reaction
mixture. (A total of 3ml has now been added.)
28 As for 8min.
The samples taken at 8, 18 and 28min are then incubated at
30–32°C, and the number of tubes showing growth or the
number of colonies/ drop from surface plate culture is
recorded.
A disinfectant is satisfactory for use at the initial
concentration if: (1) no growth occurs in 2 or more of the 5
tubes of the 18min samples, i.e. subcultures taken after
second incremental addition of bacteria; or (2) there are not
more than 5 colonies from the 5 drops on the agar plate.
Tubes of disinfectant reaction mixture should be kept for 5
days, without further inoculation, and further samples taken to
confirm that undetected surviving cells have not developed.
The main source of error in this test is due to organism
variation, but this test will show the stability of disinfectant
dilutions and their long term effectiveness. An improved
Kelsey–Sykes test for disinfectants has been described by
Kelsey and Maurer (1974). They defined more precisely the
conditions of the test without altering the general principles or
end results.
An ‘in-use’ test was described by Kelsey and Maurer (1966).
In this test samples are taken from situations in which the
disinfectant is used, e.g. liquid from mops storage and rinse
liquids for urine bottles, etc. One ml of the liquid is diluted
with 9ml of one-quarter strength Ringer’s solution (plus
inactivator if necessary) and 10 drops are placed on the
1898
surface of an agar plate with a 50 dropper pipette. If not more
than 5 out of the 10 drops show growth after 48 h at 30–32°C,
the disinfectant is considered adequate.
In addition to the four main types of test for assessing
bactericidal activity, ‘in vivo’ tests must be applied if the
antibacterial is intended to be used on living tissue. If it is to
be used on the skin, the disinfectant action can be evaluated
by placing the test organism on the back of the hand,
subjecting it to the disinfectant then swabbing the infected
area of the hand to ascertain if disinfection has occurred.
Details of in vivo tests are given by Spooner and Sykes
(1972). Assessment of systemic toxicity should be applied to
wound disinfectants. The nature of the surface to be
disinfected may also affect the choice of a method of
evaluation.
1899
cupplate or ditch-plate techniques can equally well be applied
to these types of formulation.
1900
given by Bourdillon et al. (1948), Whittet et al. (1965) and
Sykes (1965).
For the basic evaluation a closed room of approximately
cubic dimensions and 1000 cu. ft capacity should be used.
Fans should be incorporated to ensure uniform mixing of
bacteria and bactericide. S. albus is often used as the test
organism as it is a nonclumping strain. Dispersion of the
organisms into the air can be done with a collision inhaler,
and samples of the air taken at suitable intervals with a slit
sampler. Obviously, the room must be initially free from
extraneous microorganisms (this is done by careful cleaning
and use of ultraviolet light disinfection of the air), and the
temperature and humidity of the air carefully controlled,
although, in practice, such ideal conditions do not occur
naturally. A bactericide achieving an 85 per cent (or more)
kill in 4–6min (RH 55–65 per cent, temperature 20°C) is
considered satisfactory. Cyclopentanol-l-carboxylic acid has
been suggested as a reference standard for air disinfection.
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1901
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1902
Cook AM, Wills BA. J. Pharm. Pharmacol. 1954;6:638.
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Dodd AH. The Theory of Disinfectant Testing. London:
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1904
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1905
Chapter 35
Sterilization
Definitions
1906
Thermal Resistance of Microorganisms
1907
It might be supposed therefore that an adequate margin of
safety can be secured by taking care that the temperature used
and the time for which it is applied will exceed those
indicated by the known thermal death times of the most
resistant species expected to be present. A common practice is
to increase the time of exposure indicated by the thermal
death time by 50 per cent, though Darmady et al. (1958)
suggest that, for dry heat, the thermal death time used for the
calculation should be that obtained at a temperature 10°C
lower than that used for sterilization.
However, the inaccuracy of thermal death times (see Table
35.1) makes their use suspect.
1908
Fig. 34.8) is not always linear and may prove under some
circumstances to be sigmoid in character, finally approaching
the zero survivor level in an asymptotic manner (Hansen &
Riemann, 1963). This has been ascribed to the presence of a
few very resistant organisms, although Rahn (1945) denied
this and regarded it as entirely due to sampling error. Under
such conditions, extrapolation of the linear part of the curve
may give a thermal death time that is too low, and Vas and
Proszt (1957) suggest that in these circumstances the
destruction characteristics can only be described numerically
by the mean destruction time and its standard deviation. It is
generally assumed, however, that provided conditions are so
arranged that the death rate is sufficiently rapid, a linear log/
survivor/time relationship can be assumed to hold effectively
down to the zero survivor level and that the thermal death
time can be determined without undue error. For this reason,
Rubbo and Gardner (1965) recommend that the sterilization
process employed should be as rapid as possible, having
regard to the ability of the materials being treated to withstand
the temperature selected.
1909
90 per cent, i.e. the time corresponding to one log cycle on
the survivor/time curve. Numerically it is also the reciprocal
of the velocity constant of the reaction calculated from the
equation:
Inactivation Factor
1910
Z Value
1911
recommended for testing sterilization with ethylene oxide, by
Phillips (1949). Because they represent natural contamination,
soil samples themselves have often been used for testing
autoclaving procedures, but with unidentified organisms in
mixed culture, erratic results may be expected to occur. For
this reason Kelsey (1959) suggested the use of B.
stearothermophilus spores. For radiation sterilization, Powell
(1961) recommended the use of a strain of Bacillus pumilus,
but Quesnel et al. (1967) found it to have only moderate heat
resistance. The Pharmaceutical Handbook (1970) gives a
useful summary of current practice and advocates the use of
B. stearothermophilus for testing both moist heat and dry heat
processes, B. pumilus for ionizing radiations, and B. subtilis
var. niger for ethylene oxide.
Terminology
1912
sterilization can be regarded as being associated with a
definite degree of risk, acceptable levels of which must be
decided arbitrarily if methods are to be standardized in codes
of good practice.
Methods of Assessment
1913
convenient time, when data is only available for performance
at a different temperature.
All such calculations, carried out using a single type of
organism, must be treated with caution when considering the
requirements for overall standards for sterilization
procedures, and most of the official methods at present in use
were developed from a consideration of end point data rather
than from the use of derived functions such as D and z values.
It must also be realized that other factors such as the nature of
the material being sterilized, its volume and method of
packing, all affect the efficiency of the process, so that the
criteria that have become accepted for the sterilization of
pharmaceutical preparations have been derived from practical
experience in the working situation rather than from isolated
laboratory experiments. In view of the many factors
operating, it is not surprising that the evidence obtained has
been conflicting and that different standards have been
officially adopted in different countries. It is known, for
example, that spores of some soil bacteria will survive the
sterilization procedures laid down in the British
Pharmacopoeia, but despite this Sykes (1965) claims that
pharma ceuticalproducts are unlikely to contain such resistant
organisms and hence the British official requirements have
proved satisfactory in practice. Thus, the evidence available
from the use of both survivor levels and end point
assessments is sufficiently variable to require a final arbitrary
judgment regarding the standards which should be set.
Nevertheless, the abandonment of the goal of complete
sterility in favour of a very low level of residual
contamination associated with an acceptable level of risk
makes quantitative estimation of sterilization efficiency both
possible and valid and the accumulation of data for the wide
1914
range of organisms and sterilizing conditions could lead to a
more precise formulation of acceptable standards.
Sterilization Processes
The processes used to effect sterility of pharmaceutical
preparations may be classified as follows:
Processes involving the use of physical means: These may
involve the utilization of heat in the presence or in the
absence of moisture, or the application of ultraviolet, or
ionizing radiations (see Chapter 32).
Chemical processes: For most purposes the application of
chemicals in solution to, e.g. surfaces of utensils or to skin,
does not produce sterility, and this disinfectant activity has
already been considered in Chapter 34. A chemical
bactericide can however be used in solution together with the
application of heat for the sterilization of certain thermolabile
injectables and this method is permitted in the British
Pharmacopoeia (1973), in some cases. Bactericidal gases
may also be used for the sterilization of apparatus and
materials which might be damaged by heat.
Mechanical processes: In these, the organisms are not killed
in situ, but are removed by filtration.
1915
used as an emergency sterilizing procedure for surgical
instruments, it could be argued that pathogenic spores alone
are of significance, but these too are fairly resistant, some
strains resisting boiling for about 95min. As has been said
already, such a figure derived from end point determinations
of the death time, can show wide variation,
and indeed Kelsey (1958), assuming a z value of 10°,
calculated that to obtain the equivalent of killing in 5min at
121°C, which he regarded as offering a reasonable margin of
safety, boiling for 5h would be required. It is not surprising
therefore that in hospitals the method has largely been
abandoned and replaced with the use of sterile, individually
wrapped instruments, from a central sterile supplies depot, or
from commercial sources producing disposable, sterile units.
Some vaccines are sterilized by heating in water at a
temperature of 55–60°C. The vaccine is, or should be, a
suspension of known organisms and free from spores, and the
low temperature is used to kill the organisms present without
impairing their antigenic properties.
Autoclaving
1916
Principles of Steam Sterilization
1917
Saturated Steam
Superheated Steam
1918
be so if the temperature rise takes place at constant pressure,
or the pressure falls while the temperature is held constant, as
shown by the lines XA and XB in Fig. 35.1. Conversely, if
steam is cooled or the pressure allowed to rise, condensation
will occur if conditions traverse the phase boundary to a point
lying beneath it.
Steam can also become superheated if mixed with air at
constant pressure, for the partial pressure of the water vapour
will thereby be lowered and the ability of the water molecules
to condense will be reduced. Table 35.2 shows the effect of
such dilution on the temperature of saturated steam at
different overall pressures. If an unknown proportion of air is
present in an autoclave, neither temperature reading nor
pressure reading taken alone will reveal it. But if both
readings are taken together, it can then be seen that the
conditions do not correspond with those for pure water
vapour, and suitable action can be taken. Industrial autoclaves
are therefore fitted with both temperature and pressure
recorders, and careful attention must be paid to these to
ensure that sterilizing conditions are attained. The importance
of this was shown in an incident which occurred in 1971
(Clothier Committee of Enquiry, 1972) where the readings of
the temperature recorder were ignored because it was
assumed to be faulty, though its low readings really signified
the presence of air which had not been voided from the
autoclave.
Superheating can also be produced if local hot spots occur,
e.g. close to the chamber walls of a jacketed autoclave if the
jacket is maintained at a temperature above that of the
chamber, or by the interaction of the water vapour with the
material being sterilized when the heat of adsorption is
positive. Such an interaction occurs when cotton fibres adsorb
and absorb moisture from steam, for the water is in effect
1919
bound as a liquid and the heat of adsorption will be equal to
the sum of the latent heat and the residual heat of the liquid
water. The fibres will therefore be rapidly heated, but
superheating may occur. However, this only becomes
appreciable if the cotton material has previously been dried to
a moisture content of less than 1 per cent (Knox et al., 1960).
As cotton fabrics and dressings normally contain about 5 per
cent of moisture, the heat of adsorption usually produces a
negligible level of superheating.
1920
be tolerated. They recommended that steam should be
admitted to the chamber without any superheating and that
the practice then current, of holding the jacket at a
temperature about 10° higher than the chamber should be
abandoned.
Portable Autoclaves
1921
the strain imposed on others may cause these to fail
successively and an explosion will then follow. It is therefore
essential that all the clamps should be firmly secured and that
they should be carefully maintained. The lid itself is heavy
and does not carry a thermometer as this would be likely to be
damaged when the lid is put down, as it cannot be easily
inverted. Conditions within the autoclave are therefore
indicated solely by the pressure gauge. Although saturation
will always be maintained by the excess water at the bottom
of the autoclave, it is essential that all air should be expelled
before the vent is closed, otherwise the reading of the
pressure gauge will indicate a temperature higher than that
attained.
A more satisfactory arrangement is that shown in the
autoclave illustrated in Fig. 35.2. The lid is fitted under the lip
of the opening at the top of the stainless steel vessel. This
offers maximum safety, because increase of pressure will
only secure the lid more firmly. Both lid and opening are oval
in shape so that the lid can be inserted diagonally with its
narrow axis presented to the wider part of the opening. It is
then rotated into its correct position under and aligned with
the opening and secured by a crossbar passed through the
handle. The bar carries a clamping screw at one end which
can be screwed down on to the lip, thus raising the bar and the
lid suspended from it. The lid is surrounded by a rubber rim
and this is brought tightly against the underside of the lip of
the vessel; it carries only a spring-loaded safety valve and a
pressure gauge and is quite light and easy to handle.
1922
Fig. 35.2 Bench autoclave. (A) Handle of lid. (B) Lid. (C)
Gasket. (D) Armoured thermometer. (E) Thermostat. (F)
Pressure gauge. (G) Spring safety valve. (H) Crossbar. (J)
Screw for tightening lid. (K) Blow-off valve. (L) Gas inlet.
(M) Gas outlet to burner (not shown). (N) Perforated stand.
1923
type of autoclave is generally designed to be heated on a gas
ring, but electrically heated remodels are also available. If
relatively large objects are to be sterilized, e.g. infusion
bottles, these are placed on a perforated plate which rests on
the bottom of the autoclave. This arrangement gives the
maximum head room, which is necessary as the insertion of
the lid reduces this. Smaller articles can be placed on a wire
basket the legs of which keep them above the water.
A blow-off valve is fitted at the side of the autoclave in order
to void air. Owing to the turbulence created by the boiling
water, air and steam are well mixed and the rather low
position of the valve is therefore no detriment. Unlike the
model first described, the valve is not attached to a siphon
tube inside the vessel. This was used to blow of the excess
water and then the steam at the end of autoclaving in order to
create ‘dry’ conditions. This is really of importance only
when dressings are sterilized and portable autoclaves are not
suitable for this. A siphon tube is therefore not required.
Operation: The operation of this type of autoclave is very
simple. About two litres of water is placed in the vessel the
objects to be sterilized are loaded into it, and the lid is fitted
in place. The air vent is left open and the heat turned on. If
solutions in unsealed containers, e.g. bacteriological cultures
in plugged tubes are being sterilized, they should not be put in
the autoclave until the water has started boiling, otherwise
concentration of the solution may occur during the heat-up
period. When steam has issued freely from the vent for about
5min, the latter is shut. The temperature and pressure then rise
till the former reaches that controlled by the thermostat. When
this is seen to be so, heating is continued for the required time
and the autoclave is then allowed to cool. As soon as the
pressure in the autoclave drops to that of the atmosphere, the
vent is opened in order that the gauge should not be damaged
1924
by the vacuum that would otherwise result. This might also
cause some evaporation of liquids in unsealed containers.
Injections in ampoules may be removed almost immediately,
but intravenous infusions in large bottles, because heat
transfer from them is poor, cool down more slowly than the
autoclave itself. They therefore retain a pressure higher than
that of the atmosphere for some time and, if removed too
early may explode.
If the autoclave is temperature controlled by a thermostat, it is
not absolutely necessary to vent the air from it, for the correct
temperature will be reached and maintained and saturation
will always occur due to the reserve of water present.
Venting, however, decreases the risk of pockets of air
remaining between or within the objects to be sterilized, and
ensures a satisfactory penetration of steam into them.
1925
Fig. 35.3 Horizontal jacketed autoclave.
1926
line 0 passing to an ejector operated by water or steam, or by
a water-sealed rotary pump. These give only a moderate
vacuum, but where a higher vacuum is required, a water ring
pump may be used to suck air through a special ejector
(Whittet et al., 1965), or an oil-sealed pump with means to
remove condensed water may be employed.
Operation: The mode of operation may depend on the type of
material to be sterilized. In the case of porous materials,
particularly surgical dressings, it is necessary to draw a
vacuum to remove air, not only from the chamber itself, but
also from the interstices of the materials being sterilized. For
nonporous materials this is not necessary and use of high
vacuum cycles is inappropriate for bottled liquids (Sykes,
1969); downward displacement with steam is therefore
generally used. In this case, it is not necessary that the
autoclave should be provided with a steam jacket, provided
that it is properly lagged, but it is of course often a matter of
convenience to use a jacketed autoclave for all purposes.
Loading: The load must be carefully stacked in the autoclave
so that channels are left between the articles to allow the
maximum penetration of steam. None of the articles should
touch the chamber wall, and if packed in containers, these
must allow free drainage of air downwards through the pack
and out at its base. The load is often carried on a wheeled rack
with perforated shelves, and this may be partially withdrawn
from the chamber on to a detachable gantry for ease of
operation. When loading is completed, the door is shut and
secured either with shackled clamps arranged peripherally or
for cylindrical chambers, by radial bolts actuated by a wheel
placed centrally on the door.
Removal of air: The next stage consists of admitting steam to
the chamber and removing air from it. As has been said, this
can be done in two ways.
1927
Downward displacements: Steam is admitted to the chamber
through F, the baffles of which are designed to ensure that
steam is directed to the top of the chamber in a turbulent state,
so that an air pocket is not formed there. The steam, being
slightly lighter than air at the same temperature, gradually
displaces the air and air-stream mixtures below it and forces
them out through G. When this process is complete the
temperature recorded at G should have risen to that of
saturated steam at the pressure indicated by the chamber
pressure gauge. In practice a low vacuum can be drawn before
admission of steam even for bottled fluids arid can assist in
removing part of the air before steam is admitted to remove
the remainder (Clothier Committee of Enquiry, 1972).
High prevacuum process: In this process the air is removed
by reducing the vacuum pressure to about 20mmHg. The
vacuum may be applied continually while the steam is
gradually admitted (Alder, 1970), but usually the application
of vacuum and admission of steam are made to alternate; two
periods of evacuation being often employed, each followed
by admission of steam. A vacuum 20mmHg (absolute) is
drawn (Knox & Penikett, 1958), followed by a short burst of
steam to raise the pressure to just above atmospheric. The
vacuum assists penetration of the fibres by the steam which
raises their temperature somewhat, but the subsequent inrush
of steam also entrains air and carries it back into the fibres, so
that as the steam condenses, small pockets of air are formed.
A second vacuum is then necessary to remove these and this
is assisted by the ‘boiling out’ of the condensate.
Wilkinson and Peacock (1961) showed that in closely packed
materials, e.g. hospital towels, better results were obtained if
the jacket temperature was held at 135°C and during the first
steam burst the pressure was raised to 200mmHg. Enough
high temperature steam was drawn into the fibres to raise
1928
their temperature to 45°C and to provide good boiling-out
facility when the second vacuum of 20mmHg was applied. At
the end of this, the temperature of the fibres dropped only to
40°C and steam was readmitted to give 2.11kgf/cm2
(30lbf/m2) gauge for only 3min. This high prevacuum, high
temperature process greatly reduces the time taken for a
complete sterilization cycle as each stage is of short duration,
but it is not suitable for fabrics which have become either
very dry or moisture-laden before sterilization.
Henry and Scott (1963) showed that ‘boiling out’ occurred
more readily with full loads than with an autoclave in which a
large air space was left and suggested that to obviate
difficulties with light loads a high vacuum of better than
15mmHg should be drawn with a steam-jacketed, oil-sealed
pump.
Heat-up time: When large bottles of liquid are sterilized, this
may be considerable, as heat penetration through the
individual items of the load is slow. The actual time required
will vary with the volume of each bottle and the steam
temperature employed, and the rate of heat penetration should
therefore be determined by placing thermocouples in
specimen loads. The recording of the chamber drain
thermometer is often used, but it gives only a crude estimate
of the conditions in the autoclave. For a 500ml transfusion
bottle the heat-up time using steam at 115°C is about 15min
(Pharmaceutical Handbook, 1970).
When the high-vacuum process is used for porous loads, the
rapid penetration of the steam quickly raises the temperature
of the articles being sterilized and it is not necessary to allow
for any further heat-up time.
Sterilization period: When all air has been removed from the
chamber and from the load in the case of porous objects, and
when the whole of the load has been raised to the sterilizing
1929
temperature, this is held for the required time. Appendix 29 of
the British Pharmaceutical Codex (1973) lists the following
temperature–time combinations which are based largely on
those proposed by the Medical Research Council’s Working
Party (1959)
(Table 35.3). Choice of the combination used will depend on
the ability of the material being sterilized to withstand the
conditions imposed.
Table 35.3 Temperature–time–pressure conditions for
autoclave sterilization
1930
atmosphere surrounding it; the liquid will then boil at a higher
temperature if the pressure is raised so that near-to-steam
conditions are maintained. Such traps will vent air, air and
steam mixtures and small volumes of condensed water and
can be successfully used during the downward displacement
of air, but during the sterilization period, heavy loads of
nonporous articles, e.g. bottles of liquid, can produce copious
condensation and the bellows-operated trap is unable to cope
with it. A float-operated trap of the type shown in Fig. 35.5
may be used for this purpose, but Barson et al. (1958) showed
that under their test conditions neither bellows-operated nor
float-operated traps were fully satisfactory. The former are
insensitive to small amounts of air and the latter can only be
used to control the expulsion of water. Barson et al. (1958)
suggested that the bellows-operated valve should be provided
with a small permanent bypass and that the whole unit should
be incorporated inside the body of a float chamber so that
both valves and the bypass were all operative.
1931
Fig. 35.4 Bellows-operated steam trap.
1932
Cooling down period: When the sterilization period is
completed, the inflow of steam to the chamber is stopped and
the autoclave is allowed to cool. Where large volume bottles
of liquid have been sterilized, these may take some time to
cool and the pressure round them must not be allowed to fall
too quickly or they may burst. The steam is therefore vented
slowly through the drain or a bypass. The contents of the
autoclave are then left until the temperature of the bottled
fluids falls below 100°C so that the autoclave can be opened
and the load removed without danger to the operator. When
dressings are sterilized, no such considerations arise and after
sterilization is complete the steam is removed by the pump
and a vacuum is drawn to remove residual moisture from the
load. The jacket temperature is maintained meanwhile to
prevent local condensation. Penikett et al. (1958) suggested
that a vacuum of 50–200mmHg held for less than 3min would
produce suitably dry dressings. At the end of this period the
vacuum is broken by admitting sterile air through the
bacteria-proof filter and the load can then be removed.
The cooling period for bottled fluids can be greatly reduced
by spraying them with jets of warm water (Bowie, 1959).
Wilkinson, Peacock and Robins (1960) found that, if
excessive breakage of bottles was to be avoided, the spray
must form a mist fine enough to prevent localized cooling and
thermal shock, and a
small volume of air must be admitted concurrently to prevent
too rapid a reduction of pressure around the bottles. The
object of spray cooling is riot only to shorten the time of
cooling as an economic measure, but also to reduce the
hazard of exploding bottles by ensuring that they are cool
enough before the door of the autoclave is opened. However,
Beverley et al., (1974) and Myers (1974) showed that
contamination could occur of the outer surface of the bottle
1933
closure and of the interface between the neck of the bottle and
the aluminium screw cap used to confine the closure. If then
the contents of the bottle are poured out for topical use, or if
the closure is pierced by the cannula of a giving set, infection
of the sterilized fluid can occur. Beverley et al. found that
direct contamination of the contents occasionally occurred
during sterilization and spray cooling, but in these cases the
bottle closures were sufficiently defective to permit the entry
of water in volume large enough to be obvious. Although the
Rosenheim Committee (1972) in its interim report suggested
that contamination could be prevented by adequate bottle
closures, Myers considers that the present specifications for
infusion bottles (BS 2463, 1962) and the DHSS standard for
bottles for noninjectable sterile water are inadequate and it is
necessary to provide improved designs for bottles to be used
in spray-cooled autoclaves.
1934
The door mechanism must be so arranged that steam cannot
enter the chamber before the door is locked, and the door
cannot be opened until the chamber pressure is reduced to
0.2kgf/cm2 and the chamber is vented to the atmosphere.
Alarm systems are also arranged to give warning if failures
occur at any stage.
Performance Tests
1935
humidity conditions and the possible existence of
superheating within porous loads such as surgical dressings.
Bacteriological methods: The use of resistant bacterial spores
is regarded by some workers as providing the only
satisfactory evidence of the effectiveness of a sterilization
process and the choice of suitable test organisms has already
been discussed. The spores are usually dried onto strips or
discs of filter paper or aluminium foil (Kelsey, 1961; Beeby
& Whitehouse, 1965, Cook & Brown, 1965), each test piece
carrying about 106 spores. Kelsey (1961) found that with such
an inoculum of B. stearothermophilus a test piece would
require sterilizing for about 10min at 121°C. For use, the test
pieces are placed in special envelopes arid embedded in the
centre of dressings or other materials to be sterilized. After
the sterilization process has been completed, they are
removed and aseptically withdrawn from the envelopes and
cultured in a medium which will give maximal growth
conditions. One disadvantage of the method is that incubation
of the recovered spores must be continued for several days.
Kelsey (1951) found that very few positives occurred after
three days and chose five to give a margin of safety, but even
this means that the result may not be known until after the
sterilized material is required, and bacteriological tests of this
kind are therefore more useful as indicators of satisfactory
routine conditions than as safeguards in the processing of a
particular batch.
Chemical indicators: The earliest of these, called witness
tubes consisted of single crystalline substances of known
melting point contained in glass tubes, e.g. sulphur (115°C),
acetanilide (116°C), succinic anhydride (120°C), benzoic acid
(121°C). A dye could be included to show more clearly that
the crystals had melted. Such a device, of course, only
indicates that a certain temperature has been reached, but
1936
attempts have been made to indicate the exposure time by
putting the crystals in one end of an ‘hour-glass’ tube, the
volume of the crystals and the diameter of the constriction of
the tube being adjusted so that the time for transfer of the melt
is the same as that required for sterilization at the required
temperature. If, however, the designated temperature is
exceeded during sterilization, the liquid in the tube will flow
through the constriction more quickly and the new
time–temperature relationship will not necessarily correlate
with that required for sterilization. A modification of this
process was devised by Simpkins and Wilkinson (1964), in
which they used a filter paper strip laminated with an
adhesive to aluminium foil acting as a heat distributor. One
end of the strip
is impregnated with a 2,4-dinitrophenylhydrazine of suitable
melting point and on melting the liquid travels along the
paper strip at a controlled rate. The device is sealed in a
perforated polypropylene envelope through which it is
observed.
A slightly different method is used in Browne’s tubes (A.
Browne, Leicester, Ltd.), in which a controlled chemical
reaction is involved in the change of colour of a red liquid
through amber to green. For autoclaving, two types are
available: type I changes to full green in about 16min at
120°C and in 10min at 125°C, type II also changes in about
10min at 120°C. These conditions accord reasonably well
with those officially demanded by the British Pharmaceutical
Codex, but at lower temperatures they give an inadequate
margin of safety. Because the result is dependent on a
chemical reaction, it can still be produced by longer exposure
to sublethal temperatures, so that if extra time is allowed for
the sterilization of a particular load, the results can be
misleading. Unlike the methods which involve the melting of
1937
a pure substance, the chemical system employed introduces
an inherent instability and careful storage in a cool place is
required before Browne’s tubes are used (Brown & Ridout,
1960).
Chemical methods are also available in which the colour of
adhesive tape (3M’s Ltd.) or sheets of paper marked with
sensitized strips (E.S. & A. Robinson Ltd.) changes when
moist heat is applied, but these are only useful when a high
autoclaving temperature (134°C) is employed with a holding
time of not more than 3.5min (Alder, 1970).
Kelsey (1958) constructed a diagram to show the
characteristics of available indicators. An adapted form of this
is shown in Fig. 35.6. Kelsey first plotted the thermal death
times for resistant pathogens which had a z value of about
10°C. He advocated the use of an indicator which would
show the same slope for time/temperature dependency as that
given by the death time curve of the pathogens. The line
representing the characteristics of this ideal indicator should
lie above that given by the death times of the pathogens but
below that indicating the approved schedules for sterilization,
for Kelsey argued that if the indicator showed complete
change under conditions corresponding too closely to those
used for sterilization, too many false negatives would be
recorded. Simpkins and Wilkinson (1964) chose indicators,
the characteristics of which corresponded very closely with
the official sterilization conditions. Kelsey’s ideal indicator
certainly reacts at too low a temperature to ensure absolute
sterility, for, if a mean curve is fitted for known resistant
nonpathogenic spores it lies well above that for the indicator
and indeed above the lower part of the curve provided by the
official sterilization schedules, but reference has already been
made to the view of Sykes (1969) that the occurrence of such
resistant organisms in pharmaceutical materials is too rare to
1938
warrant concern. Kelsey’s diagram also shows that the slope
for Browne’s tubes is much greater than that of the pathogens
or of the official sterilization schedules, so that only at the
higher temperatures could they ensure sterility.
1939
has been used for sterilization of wooden blankets and of
heat-sensitive surgical instruments such as endoscopes, and
materials such as plastic tubing.
Counterpressure method: Sykes (1969) has pointed out that
when sealed containers of liquid are sterilized, air is not
eliminated from them and it is not always necessary to
remove all the air from an autoclave. Doing so has two
advantages; it provides the maximum condensation conditions
from the saturated steam present, and it enables temperature
and pressure conditions to be easily correlated. These
advantages can be offset by using unsaturated steam at a
higher pressure, provided that the conditions in the autoclave
chamber are registered by adequate temperature recordings
and not from pressure readings. However, as Savage (1959)
pointed out, local condensation in an autoclave can cause
steam and air to separate into two layers, so that air pockets
can occur in which sterilizing conditions are not attained. If
therefore a high-pressure air–steam mixture is used, it must be
continually mixed by the inclusion of a fan in the chamber.
One advantage claimed for the method is that the higher
pressure surrounding sealed bottles of liquid reduces breakage
during sterilization. In this technique a pressure of 2.11kgf/
cm2 (30lbf/m2) is used, the air–steam mixture being adjusted
to give a temperature of 115°C by alternately pulsated jets of
steam and air, under automatic control.
1940
the next, when they also will be killed. However, some spores
may remain dormant for long periods and heat-damaged
spores may be slow to germinate, so the method cannot
guarantee sterility, and although it was included in the British
Pharmacopoeia 1932, it was eliminated in the Addendum of
1941, Davis (1940) having shown it to be unsuitable for
injections.
Heating with a bactericide: Davis (1940) in his investigation
of tyndallization of injections had shown that the method
could succeed if the medicament itself was bactericidal. Since
the efficiency of bactericides in solution was known to
increase with temperature, an obvious development was to
include a substance of known bactericidal activity in the
injection. Coulthard (1939) found chlorocresol and
phenylmercuric nitrate effective when heated at 100°C for
30min and Berry et al. (1938) confirmed this, pointing out
also that the bactericide must be free from toxicity,
compatible with the medicament and stable under the
conditions of sterilization and storage. The method was
adopted by the British Pharmacopoeia to replace
tyndallization for the sterilization of injections and is still
official. It consists of heating the injection solutions in their
final containers in boiling water or in a steamer at 98–100°C
for 30min, the permitted bactericides being 0.2 per cent
chlorocresol and 0.002 per cent phenylmercuric nitrate. The
method must not be used for intrathecal, intracisternal or
peridural injection, where the bactericides would exhibit
toxicity, nor in intravenous injections’ greater than 15ml in
volume where toxicity would arise from the total amount of
injected bactericide, nor of course is it applicable to the
sterilization of culture media. The method is also used for the
preparation of eye drops; the permitted bactericides being
those specified in Chapter 33 as preservatives (see p. 388).
1941
The same principle is involved in the sterilization of carried
fruit, where the natural acidity permits socialization at lower
temperatures than would be required in neutral solution. It
was also invoked in the now outmoded method of sterilizing
surgical instruments in solutions of sodium carbonate or
borax.
Pasteurization: Although this is not strictly a method of
sterilization, since all organisms present are not necessarily
killed, it may be briefly mentioned here. It was devised by
Pasteur to improve the keeping qualities of wine and is now
applied to the processing of milk in order to kill pathogenic
organisms without significantly affecting the taste, nutritional
value, or emulsification of milk. Two methods are used:
a. Holding method: In this the milk is heated in tanks at
62.8°C for 30min, the milk being mixed by gentle agitation.
A jet of steam is used to disperse foam on the surface.
b. High temperature–short time or flash process: The milk is
passed at a controlled rate through heat exchangers which
rapidly raise its temperature to 71.6°C and hold it so for 15 s,
after which it is as rapidly cooled in a second heat exchanger.
By decreasing the severity of the conditions the process can
be used for the sterilization of large volumes of culture media,
which can then be fed directly to fermentors (Whitmarsh,
1954).
1942
that this was due to a difference in the fundamental processes
involved and ascribed the lethal effect of dry heat to
oxidation, whereas he postulated that the sterilizing action of
moist heat was due to protein denaturation. Hansen and
Riemann (1963), however, consider that the difference is due
to the presence or absence of water of hydration attached to
the protein molecules, and interstitial water held between
them. When heat is applied in the presence of sufficient
water, disulphide bonds and hydrogen bonds between the
protein strands can be broken and the strands have sufficient
mobility to form new linkages resulting in the denaturing of
the protein, which, if it is part of an enzyme, will render it
inactive. In the absence of sufficient water, rearrangement of
the protein is more difficult and more energy is required to
denature it. Hansen and Riemann (1963) applied their
argument only to nonsporing organisms, which are only
slightly more resistant to dry heat than to moist heat. Spores,
however, unlike vegetative cells, contain demonstrable
amounts of dipicolinic acid (DPA), and it has been suggested
that their greater heat resistance is due to the manner in which
the proteins are bound to calcium dipicolinate (Brown &
Melling, 1973), the complex formed having considerable
stability and protecting the protein against thermal
displacement.
Official Requirements
1943
regard this regimen as barely sufficient to ensure sterility and
it is used only because higher temperatures may decompose
the substance being sterilized. For glassware, the British
Pharmacopoeia demands that 160°C should be used for 1h,
while the British Pharmaceutical Codex suggests the
alternative, in addition, of 180°C for 11min. The United
States pharmacopoeial requirements are more severe,
involving the use of 180°C for 2h.
Hot air oven is the equipment most commonly used for dry
heat sterilization. It may be heated by gas or electricity, but
electrically heated, thermostatically controlled, ovens are
generally employed because of their greater convenience and
the fact that the heaters can be placed in the side walls as well
as under the floor, giving the best distribution of heat.
Articles or materials placed in the oven can receive heat by
direct transfer from the hot air circulating in the oven, by
radiation from the oven walls, and by conduction.
Direct transfer of heat from circulating air: Owing to its low
specific heat, air is a poor heating agent, and considerable
amounts of it must pass over the articles in order to raise their
temperature to that of the oven. In the absence of a fan,
circulation of the air over the heating surfaces and then over
the articles to be sterilized, is due entirely to convection
which not only promotes the movement of too little air but
may also distribute it unevenly. The oven is therefore usually
fitted with a fan or turboblower, placed in the back wall. Air
from the oven is drawn through the fan and recirculated over
the heaters before it is passed back into the oven cavity. There
is thus a continuous forced circulation of the hot air in
1944
sufficient volume to impart an effective amount of heat to the
articles in the oven.
Radiation: A considerable amount of heat is radiated from the
heated walls of the oven and this will heat those surfaces
which are accessible to it. Newman (1955), using paper strips
covered in heat-sensitive paint, concluded that radiation is
much more efficient than the air as a heating agent but, while
articles near the wall will be easily heated, they will screen
others and in a heavily loaded oven the contribution of
radiation to the total heating may be lost.
Conduction: Conduction will occur to a limited extent along
the shelves on which the articles are placed, but contact will
usually be too limited to provide for efficient heating. The
articles being sterilized will themselves be penetrated by heat
at a rate dependent upon their own composition and structure.
In the case of liquids this will be assisted by convection
within the material; but in the case of solids which are poor
conductors of heat, e.g. powders, or loosely packed materials
containing entrapped air, the heat-up time may be prolonged.
Performance characteristics of the oven: These are specified
in British Standard No. 3421: 1961 which requires that the
oven should work within the temperature range 140–180° that
its heat-up time for a rise of 140° should not exceed 135min,
and that temperature variations during the heat-up and
subsequent holding periods should not exceed given limits. A
test load of glass jars is used to determine temperature
distribution in the oven, the four corner jars and the central
one on each shelf carrying thermocouples immersed in liquid.
Loading: From the foregoing, it is evident that proper loading
is of the greatest importance. Channels for circulation of the
heated air must be left and if articles must be placed on top of
each other they should be staggered. If sufficient room is
available, articles should be so placed that each can receive
1945
the maximum radiation from the walls and no articles should
be left in contact with these, or overheating and possibly
charring may occur. To ensure adequate internal transfer of
the heat, the bulk of each article or unit should not be too
great. Rubbo and Gardner (1965) recommend that packages
should not exceed 4 × 4 × 12 inches and that the depth of
powders, oils and waxes should not be greater than half an
inch.
Operation: The oven should be brought up to operating
temperature before the load is placed in it, in order to reduce
the heat-up time to a minimum. Since it cannot be assumed, at
least for larger articles, that they will heat up as quickly as the
oven itself, the thermometer measuring oven tem perature
will not satisfactorily indicate when the load has reached the
required temperature throughout its bulk. It will then be
necessary to carry out a pilot test, using thermocouples placed
inside the articles being sterilized by which the rise in tem
perature at the centre of the articles can be recorded. The lag
or heat penetration time for each load can then be assessed
and it must be added to the normal heat-up time of the oven to
give an extended heat-up time after which the temperature
within the load should remain the same as that of the oven.
This condition is maintained for the required holding time and
the current is then switched off and the oven and its contents
are allowed to cool. During the cooling period, of course,
nonsterile air may enter the oven, so articles must be wrapped
in paper, or placed in metal boxes, or as in the case of culture
tubes plugged with cotton-wool or closed with aluminium
caps.
Performance tests: As with autoclaving, routine performance
tests should be carried out when the hot air oven is used for
sterilization. Similar tests to those already described can be
carried out using instrumental, bacteriological and chemical
1946
indicators. The use of instruments is exactly the same as in
autoclaving and the choice of suitable bacteria has already
been discussed on p. 576, but the carriers for the spores must,
of course, beable to withstand the higher temperature of the
oven and are usually made of metal, glass or ceramic.
Browne’s tubes type III are available for use with hot-air
sterilization.
Forced-draught ovens: Quesnel et al. (1967) reported on the
use of an oven in which hot air was forced in a linear stream
from the top, through the load and out at the bottom, where it
passed over the control and recording temperature probes.
The principal object of this was to overcome the viscous drag
of the air adherent to the surface of the articles in the load by
using an air flow of 700ft3/min at a temperature of 200°C.
Both the relatively high speed of flow of the air and its high
temperature would assist in sweeping away the static air film
and improving heat transfer. At the end of the sterilization
period, the heaters were turned off and the incoming air was
passed over water-cooled coils to hasten the cooling of the
load, all stages being automated. Metal strips could be heated
in an overall time of about 20min, sputum cups took about
twice as long, and glass jars, presumably because of their
lower conductivity, somewhat longer.
1947
open trays. Each syringe was contained in a glass or metal
tube or box.
These receive the heat radiated from the projectors and
convey it to the syringes by conduction. Consequently the rate
at which heat is transferred will vary with the material used
for the container, and its surface. It is quickest with glass and
slower for metal containers. The surface finish of the latter is
important; a bright shiny surface reflects much of the
radiation it receives and gives a heat-up time about twice that
of a dull black one. Darmady et al., recommended a holding
time of about 11min, but different passage times are required
for different loads and each load should consist of similar
articles so that the conditions can be preset to suit them. The
method has the advantage of being a continuous process and
because of the short heat-up time has a considerable
throughput. It can be used for small instruments such as
forceps and scissors: penetration of steam between the blades
of the latter can sometimes prove difficult to achieve
(Quesnel, 1967) and infrared heating offers a useful
alternative without the hazards of ionizing radiations and the
specialized equipment for using them.
The conveyor oven is, however, unsuitable for bulky
instruments of varying dimension. For sterilizing these,
Darmady et al. (1961) devised an infrared oven in which a
high vacuum could be drawn and maintained during the
sterilization period. Removal of the air means that no heat is
lost in warming it up, the instability produced by convection
currents is absent and oxidation of metal is avoided. Sterile
nitrogen is admitted during the cooling down period to
minimize this. A very high temperature of 280°C is used and
an exposure time of only 7min is therefore possible.
1948
Thermal Heating Blocks
1949
Sterilization by Filtration
Advantages
Disadvantages
1950
1. Aseptic technique required. This requires highly trained
staff and sterile equipment and facilities.
2. Sterility tests are required. Except in emergency, issue is
not permitted until tests have been passed. Deterioration can
occur in the 7 days required.
3. Viruses, filterable forms of bacteria, and bacterial products,
such as toxins and pyrogens, are not removed or destroyed.
4. Filter may break down either suddenly or gradual1y in use.
Gradual faults may be undetectable immediately.
5. Filtration unit may leak and permit entry of nonsterile air.
Thus, filter units should have as few joints as possible. Use of
positive pressure (i.e. forcing the solution through the filter
with compressed air) has an advantage over negative pressure
(i.e. sucking the solution through the filter by vacuum) as
leaks of air into the solution which has been filtered do not
occur.
6. Adsorption can occur with some filters, e.g. candles and
fibrous pads.
7. Some filters yield fibres or alkali, e.g. fibrous filters; but
neutralized alkali-free filters are available.
8. Clogging can occur with prolonged filtration, although this
can be minimized by use of suitable prefilters. Bacteria may
grow through some types of filters, with lengthy filtration
runs.
9. Filtration cannot be used for sterilizing suspensions.
10. Oxidation may occur on larger filters, and the medicament
must be stable in the solvent.
Two main types of unit are available. These are the positive
pressure type, where the solution is forced through the filter
by compressed air, and the negative pressure (or vacuum)
type where the solution is sucked through the filter. The
former has more advantages than the latter, but both are used
(Table 35.4).
1951
Table 35.4 Advantages of positive and negative pressure
systems
Negative
Positive pressure pressure
(vacuum)
Unsterile air does not enter via leaking joints Loose joints
are
tightened
Evaporationandfoamingofthe is reduced A dosed
system is
not required
On large scale an aseptic transfer from vacuum
vessel to point of use is not required
Pressure differential is only limited by
equipment not to a maximum of 1 atmosphere
as in negative pressure system
1952
Apart from the above basic classes several filters are available
which incorporate the advantages of two or more classes. An
example of this is the submicron filter composed of
micronized glass and asbestos fibres bound in epoxy saturant.
This filter (Cox M-780) has many of the advantages of
membrane filters, while being less prone to clogging. Depth
and screen filters are compared in Table 35.5.
1953
Advantages Fibrous pad filters are The 0.22μm filter will
less prone to clogging retain all bacteria on its
than screen filters. The surface.
chemical resistance is bacterial
high. ‘grow-through’ occurs.
No pH change.
Very low adsorption.
High flow rate with
solutions containing
few particles.
Ceramic filters: One of the earliest ceramic filters was the
Pasteur–Chamberland, introduced in 1884. These are made of
either porous porcelain or kieselguhr. These are usually
encountered as cylindrical candles with comparatively thick
walls. These are depth filters with cellular walls and are
available in various sizes
and a number of grades of porosity, some types are shown in
Fig. 35.7. Examples of the porcelain candle are manufactured
by Doulton & Co. Ltd., and the kieselguhr type are produced
by British Berkefeld Filters Ltd. The Mandler filter is the
American equivalent of the Berkefeld filter. Kieselguhr filters
have a greater pore density than do porcelain ones and are
therefore more permeable to aqueous liquids. Kieselguhr
filters are rather softer than the porcelain variety and have a
thicker wall. Berkefeld filters are sold for water sterilization,
and an allegedly self-sterilizing Berkefeld filter (Sterasyl
filter) has been developed. This filter is similar to the standard
kieselguhr filter but has been impreganted with ionic silver.
Doubts have been expressed about its self-sterilizing ability
(Sykes, 1965). Both porcelain and kieselguhr filters may be
fitted with nozzle mounts. These mounts may be glazed
porcelain or cemented metal and the jointing is one of the
1954
weaknesses of these filters. During cleaning and sterilization
cracks and leaks may develop at these joints. Unglazed and
unmounted porous porcelain candles are available but are less
easily fitted into filtration units.
1955
acids should not be used to clean Berkefeld filters, and
chromic acid should never be used to clean ceramic or
sintered glass filters because chromic ions are strongly
adsorbed by the filter, cannot be removed by washing, and
may oxidize or react with the medicament on subsequent use
of the filter.
Advantages: (1) Relatively inexpensive and (2) ranges of
porosities available.
Disadvantages: (1) Not very robust, particularly kieselguhr
candles; (2) adsorption is high, particularly with kieselguhr
candles; (3) easily clogged and blocked; (4) regular
complicated cleaning needed; (5) relatively high pressure
needed for filtration; (6) leaks often occur at nozzle joints;
and (7) difficult to fit into filter units.
If these filters are used for oily products they are slow, not
very efficient, become more susceptible to breakage and are
very difficult to clean (Avis & Gershenfeld, 1955).
Fibrous pad filters: The pads used are approximately 3mm
thick, usually round for most filter units, but square sheets are
used in filter presses. They are composed mainly of asbestos
fibre, compressed with mixtures of other fibrous material
such as wood cellulose to give adequate porosity, together
with binders and fillers. Various types are shown in Fig. 35.8.
The original German filters were sold under the trade name of
Seitz (grade EK being used for filtration sterilization), and are
available in this country from Carlson-Ford Ltd. in over 40
grades and in several hundred cut sizes (Carlson-Ford filter
sheet grade EKS is most often used for sterilization of
pharmaceuticals). They are pliable and fragile when wet, and
must be supported on a perforated metal, plastic or glass disc.
Care is needed in sterilization by autoclaving to avoid
distortion.
1956
Fig. 35.8 Fibrous pad filters. (A) Negative pressure fibrous
pad filter. (B) Positive pressure fibrous pad filter. (C)
Large-scale fibrous pad filter.
1957
alcoholic and oily preparations; (2) pads may release alkali,
causing precipitation of alkali-sensitive medicaments
(Browne, 1942). Alkali-free presterilized filters are available;
(3) pads may shed fibres. These can be removed from the
filtrate by means of a sterile grade 3 or 4 sintered glass filter;
(4) adsorption is high, particularly at the start of filtration; and
(5) fluctuating pressure may damage the wet pads.
Sintered (fritted) glass filters: Sintered glass filters were first
made by Jena Glassworks, Germany. Borosilicate glass is
finely powdered in a ball mill and particles of the required
size are separated by air elutriation. The selected powder is
packed into disc moulds and heated until suitable adhesion
takes place between the
granules. The sintered discs are finally fused into funnels of
suitable size and shape (see Fig. 18.4) or into line filters (Fig.
35.9). Sintered glass filters are available in several different
porosities, but for filtration sterilization a number or grade 5,
or 5 on 3must be used. Specifications for quality, pore size
and permeability are given in a British Standards
Specification BS 1752: 1963. Filtration through a thick grade
5 (maximum pore size 2μm) filter is slow, but thinner grade 5
tilters are very fragile and thus the 5 on 3 filter was developed
with a thin grade 5 filter supported on a thicker layer of grade
3 filter (pore size 15–40μm). The manufacture and uses of
sintered glass filters are described by Smith (1944) and their
care by Cooper (1951) and Sykes (1958). Microorganisms do
tend to grow through sintered glass filters if left in contact for
more than 18h (Morton, 1943). They are easily cleaned by
passing a reverse stream of water through the filter after use.
Organic matter may be removed by passing strong sulphuric
acid with 1 per cent of sodium nitrate through the filter.
Chromic acid should not be used (see ceramic filters). All
filters must be thoroughly washed after chemical treatment.
1958
Fig. 35.9 Sintered glass in-line filter.
1959
perforated metal, plastic or coarse sintered glass. If the
solution to be filtered has a high content of unwanted sus
pended particulate matter the membrane filter, which acts like
a sieve trapping particles on its surface, will rapidly become
clogged. To avoid clogging preliminary filtration through a
suitable depth filter (e.g. glass fibre filter) will extend the
usage of the membrane filter. The membranes have a high
and uniform porosity permitting a rapid rate of filtration. The
HA grade will filter approximately 65ml/min/cm2 (GS 22ml/
min/cm2) with a differential pressure of 70cm mercury across
the membrane. The membranes can be stored indefinitely in
the dry state, but are brittle when dry, although fairly tough
when wet. They are screen filters.
Advantages: (1) Bacteria are mechanically sieved from
solution. Thus, no bacteria pass through the filter with
prolonged filtration and there is no bacterial growth through it
as occurs with depth filters; (2) membranes are disposable.
No cross-contamination occurs between filtered products; (3)
adsorption is negligible, although some occurs with phenols;
(4) rapid filtration rate; and (5) they yield no fibres, alkali,
etc., to contaminate the filtrate.
Disadvantages: (1) Tendency to clog—not a problem with
most pharmaceutical solutions; and (2) they have less
chemical resistance to certain organic solvents such as
chloroform, ketones, and esters, although, as mentioned
earlier specialized filters (e.g. Millipore Solvinert) have been
developed to overcome this problem.
Details of the setting up of a small-scale ‘Swinnex’ syringe
membrane filter for preparation of eye drops is given in
Chapter 33. Fig. 35.10 shows some other types of units used.
1960
Fig. 35.10 Suitable apparatus for determination of maximum
pore size of bacteriological filters.
1961
the filtration mechanism in other filters, other mechanisms
must also play a part since the majority of pores in ceramic,
sintered glass and fibrous filters are larger than the bacteria,
e.g. ceramic filters have a maximum pore size up to 2.5μm
and yet can be relied upon to hold back Serratia marcescens,
the dimensions of which are usually less than 1.0μm.
Electrostatic attraction or adsorption on filter: Support for
this hypothesis is found in the observation that filters which
have been ‘insulated’ with oil may not retain the organisms
from a subsequently filtered aqueous suspension of bacteria
(Sykes & Royce, 1950). Evidence for adsorption is given by
Wyllie (Sykes, 1965), with photomicrographs showing
adsorption of yeasts on asbestos fibres. Since ceramic,
sintered glass and asbestos pad filters are negatively charged
and the charge on the bacterial surface is also negative,
repulsion rather than attraction may prevent the bacteria
entering the pores. However, the net negative charge on the
bacterium may be less important than the attraction between
the filter and local positively charged basic groups on its
surface. Both attractive and repulsive forces may play a part
in filter efficiency.
Retention in irregular cellular structure: Liquid filtering
through a depth filter does not pass a straight-through pore
but, due to the cellular structure, has to negotiate up to 2000
bends percm of thickness. Each short path may contain
pockets in which organisms can be lodged. Thus, in its course
through a filter an organism would have a very considerable
number of chances of being trapped but on theoretical
grounds can be expected to ultimately pass through the filter.
This accounts for the fact that depth filters occasionally allow
bacterial contamination to pass, especially when used for
prolonged filtration. The thicker the filter the greater the
delay. The effect of wall thickness and pore size on the
1962
efficiency of filtration is recorded by Royce and Sykes
(1950).
1963
Fig. 35.11 Bubble pressure. (A) Millex filter unit. (B)
Microsyringe filtering and dispensing system (Swinnex,
Millex and Swinny) units can be used as filtering system. (C)
Ivex filter unit (Millipore Filter Corporation Ltd.).
1964
Table 35.6 Conversion of bubble pressure into approximate
pore size
1965
Bacteriological techniques: In spite of the apparent reliability
of the bubble pressure test, the British Pharmaceutical Codex
requires bacteria-proof filters to comply with a bacteriological
test. A diluted broth culture of S. marcescens
(Chromobacterium prodigiosum) is filtered through a
previously sterilized filter and unit, employing a pressure
difference across the filter of not less than 400mmHg. At least
50ml of the filtrate is incubated for 5 days at 25°C, the
optimum temperature for growth (and pigment production) of
the organism. The use of a good chromogenic
(pigment-producing) strain is advised since the appearance of
a pink colour in the incubated broth instantly confirms the
presence of Serratia and the failure of the ‘filter’. The
appearance of growth without pigment suggests
contamination after passage through the filter, or some leak in
the unit. The organism chosen is particularly useful since it is
small (0.3–1.3μm long and 0.3–0.4μm wide), aerobic,
nonpathogenic and grows vigorously to produce a red to pink
pigment at 25°C.
Filtration of Air
1966
applications of laminar-flow devices are described by
McDade (1969). Treatment of process air for deep culture is
discussed by Elsworth (1969), and factors affecting bacterial
survival in air and gases by Sykes (1963).
Methods available for air sterilization are: (1) mechanical
filtration; (2) electrostatic precipitation; (3) heating methods;
(4) ultraviolet light; and (5) use of chemicals.
Before dealing with mechanical filtration, which is the most
widely used method for air sterilization, the limitations of the
other methods will be outlined. Electrostatic precipitation is a
costly method, but is extremely efficient. The mechanism of
removal is shown in Fig. 35.12. Heating methods are costly
and of marginal importance in air sterilization, Heat sterilizers
are described by Elsworth et al. (1961). Ultraviolet light has
poor penetrating power, and thus does not kill bacteria
embedded in particles. It also suffers from other
disadvantages, such as its harmful effects on the eyes and
skin, high initial and replacement costs, and relatively low
efficiency at low humidities. The use of aerial chemical
bactericides is limited by their slow action, problems of
‘carryover’ of chemical to the fermentation plant, and their
erratic action. Examples of aerial bactericides are glycols
(propy lene and triethylene), phenols (resorcinol and
hexylresorcinol) and sodium hypochlorite.
1967
Fig. 35.12 Mechanism of electrostatic precipitation of
airborne particles.
1968
absolute (showing 100 per cent efficiency). Depth filters
cannot be classed as absolute, but steamsterilizable
resin-bonded glass fibre is useful as an alternative to
membrane filters.
Gaseous Sterilization
Chemical vapours have a limited use in cold sterilization of
some thermolabile solid medicaments, and thermolabile
hospital equipment, such as plastic equipment, electrical and
rubber articles and blankets. Formaldehyde was originally
used, but ethylene oxide is the main gas now used for
sterilization. According to the Medicines Commission Report
(1973) on the prevention of microbial contamination of
medicinal products the process of ethylene oxide sterilization
does not lend itself to physical methods of measurement, and
consequently stringent microbiological controls and test
procedures must be applied. The Commission Committee
accepted the value of ethylene oxide but stated that
application to medical products should have due regard to the
risks of chemical incompatibility and the production of toxic
residues and to its inefficacy against organisms occluded in
crystals or otherwise protected from the gas (Abbott et al.,
1956).
Although ethylene oxide is the most widely used gaseous
sterilant in the pharmaceutical and medical fields other
chemicals used are (1) formaldehyde; (2) beta-propiolactone;
and (3) propylene oxide. In addition to these, various glycols,
methyl bromide and alcohol have been used for room
sterilization.
1969
Ethylene Oxide
1970
Factors affecting sterilizing efficiency
1971
88 10
442 4
884 2
Thus, it can be seen that if the concentration is doubled the
exposure time is approximately halved.
Temperature of the load: A rise in temperature increases the
activity. The temperature coefficient (see Chapter 34) is 2.7
for each 10°C change in temperature, but since ethylene oxide
is mainly used for thermolabile materials the usual range of
use is 20–60°C.
Effect of moisture: According to Phillips some moisture is
necessary but a little was better than a lot. The state of
hydration of the microorganisms on the surfaces to be
sterilized seems to be of more importance than the relative
humidity of the gas. A relative humidity of approximately
30–33 per cent seems to be favoured (Kaye & Phillips, 1949).
Dry organisms are much more resistant than moist ones. The
type of surface also affects the sterilization. Organisms dried
on hard impermeable surfaces, such as glass, plastic and
metal, are less easy to kill than those dried on absorbent
surfaces, such as paper and cloth (Opfell et al., 1959; Royce
& Bowler, 1961).
Time of exposure: This will depend on the type of material
being sterilized and the concentration of the gas. Various
combinations have been used successfully including the
following:
a. 850–900mg/l for 3h at 45°C
b. 450mg/l for 5h at 45°C (Perkins & Lloyd, 1961)
c. 200mg/l overnight for 16–18h (Royce, 1959)
The exposure time is dependent also on the power of
penetration of the gas. Paper and fabrics are freely permeable,
1972
but some of the polyesters are not. Polythene and most
rubbers are freely permeable. The British Pharmaceutical
Codex states that hydration and heating of the load can be
more reliably achieved by conditioning in a suitable
atmosphere prior to sterilization.
Condition and accessibility of the organisms: Dried
organisms are slow to rehydrate and thus difficult to sterilize
(Gilbert et al., 1964). Organisms may be protected within
hard crystals (Abbott et al., 1956; Royce & Bowler, 1961;
Beeby & Whitehouse, 1965).
1973
Fig. 35.14 Generalized diagram of an ethylene oxide sterilizer
(based on diagram from Kelsey, 1967).
1974
Disadvantages: (1) Some plastic and nylon wraps must be
left open and sealed aseptically (this is a disadvantage
compared with radiation sterilization); (2) slow; (3) control of
RH and hydration of organisms is critical; (4) cost is higher
than heat processes; (5) it requires special sophisticated
equipment; and (6) toxic and inflammable.
Rubbo and Gardner (1965) give a list of articles for which
ethylene oxide sterilization is suitable. They consider the gas
unsuitable for disposable transfusion sets (dried organisms on
plastic surfaces occasionally survive gassing), vitamins
(which may be destroyed) and hypodermic needles (as gas
cannot penetrate between the plunger and the barrel).
1975
Other Gaseous Sterilants
1976
Preparation of Sterile Medicaments
Types of Sterile Medicament
Parenteral Injections
1977
to certain diseases, e.g. diphtheria (Schick test), tuberculosis
(Old Tuberculin, Tuberculin Purified Protein Derivative).
Subcutaneous or hypodermic injections: These injections are
made beneath the skin into the subcutaneous tissue. The upper
arm is most usually used and the volume does not normally
exceed I ml. Larger volumes can be accommodated if
hyaluronidase is added to the injection: it hydrolyses the
hyaluronic acid which holds the cells together so that the
injection can drain away quickly without causing undue
swelling; no permanent damage to the tissue is caused
because the enzyme action is reversible. The method is called
hypodermoclysis and is sometimes used in place of
intravenous infusion if this is contraindicated, and it is
possible to administer as much as 3–4 perday. Conversely, a
vasoconstrictor such as adrenalin may be added to ensure a
local effect with, e.g. local anaesthetics.
Intramuscular injections: These are injected directly into a
muscle, using a longer needle than that required for
subcutaneous injection. The muscles selected are usually
those of the thigh, buttock or shoulders. The British
Pharmaceutical Codex (1973) directs that the volume should
not normally exceed 4ml. Being made into firm tissue, such
injections can cause pain if the process is carried out too
quickly. Both aqueous and oily solutions and also suspensions
can be administered by the intramuscular route, and by
controlling the formulation the rate of absorption can be
controlled. Thus, suspensions of the medicament can be made
of different particle size, the largest particles providing the
slowest absorption. An even slower rate of absorption may
sometimes be obtained by dissolving the medicament in oil
from which it is partitioned into the body fluids, or by making
a suspension of a compound of the medicament of low
solubility.
1978
Intravenous injections: These are injected directly into the
lumen of a vein, the median basilic vein on the innerforearm
being most commonly selected. They are nearly always
aqueous solutions, but a few consist of oil-in-water emulsions
(e.g. Phytomenadione Injection, BP), where the oily
medicament is dispersed in a sufficiently fine emulsion to
prevent damage. The volume injected may be quite small and
in that case the solution can be sufficiently concentrated to be
hypertonic without causing ill effect, because when it is
injected slowly it is easily carried away and diluted by the
blood stream. If a single-dose volume is greater than 15ml no
bactericide must be added. Much larger volumes, of 500ml or
more, are given by intravenous infusion to replace blood
fluids lost as a result of shock, injury, or surgical operation, or
body fluids lost by severe diarrhoea, e.g. in cholera. The
infusion is fed by gravity from a bottle placed above the
patient’s bed, at the rate of about 50 drops permin, which is
monitored by means of an in-line drip tube. Such large
volume injections must not only be free from added
bactericide but also from pyrogens (see below), and they are
usually made isotonic with blood serum.
Intraarterial injections: These are less commonly used than
intravenous injections and are used when an immediate action
is required in a peripheral area. They also must not contain
any added bactericide.
Intracardiac injections: These are aqueous solutions to be
injected directly into the cardiac muscle or ventricle for
emergency treatment and must also be free from added
bactericide.
Intrathecal or subarachnoid injections: These are injected
into the subarachnoid space which surrounds the spinal cord.
The cord narrows just above the third lumbar vertebra, being
continued as the filum term in ale, and the space around this
1979
is sufficiently wide for a needle to be inserted with out undue
danger of injuring the spinal cord. The injection is usually
made between the third and fourth, or between the fourth and
fifth lumbar vertebrae, and is used for spinal an aesthetics.
The density of these is sometimes adjusted in order to
concentrate them above or below the site of injection.
Intrathecal injections normally do not exceed 20ml, must be
dispensed from single-dose containers, and must contain no
added bactericide. Lumbar puncture is also used for the
reverse process of withdrawing samples of cerebrospinal fluid
for diagnostic examination.
Intracisternal injections: At the base of the brain the
subarachnoid space widens into the cisterna magna and
injections can be made into this. Entry is however difficult
and not without danger of damaging the brain, and although
occasionally used for the administration of antibiotics, is
more usually used for the withdrawal of cerebrospinal fluid.
Intracisternal injections are subject to the same official
requirements as intrathecal injections.
Peridural injections: A narrow space exists between the dura
mater which encloses the cerebrospinal fluid and the
vertebrae. Peridural injections can be made into this space in
the thoracic, lumbar and sacral regions. The space is, however
narrow and much skill is required to locate the needle
accurately. Peridural injections are subject to the same official
requirements as intrathecal injections.
Pyrogens
1980
walls of bacteria, and is usually applied specifically to such.
They generally consist of lipopolysaccharides, of which the
lipid portion appears to be the active pyrogen. On its own
however, it is insoluble in water, but it is solubilized by its
attachment to the polysaccharide and is then active. It has
been proposed that the lipid is attached to
2-keto-3-deoxyoctonic acid which is the terminal unit of a
common nonspecific phospholipid–polysaccharide core, to
the other end of which is linked another specific
polysaccharide chain characteristic of the organism producing
it (Ridgway, 1973). The whole lipopolysaccharide appears to
be excreted from the cell as a complex with protein (Work,
1971).
When bacterial pyrogen is injected there is usually a short
latent period after which a small temperature rise is shown.
This subsides a little and is then succeeded by a rapid and
more extended rise showing a peak after about 4–8h. This led
to the hypothesis that the bacterial pyrogens or endotoxins do
not themselves provoke fever, but that they liberate an
endogenous pyrogen from polymorphonuclear leukocytes and
possibly from other cells. The composition of this
endogenous pyrogen is not precisely known though it has
been suggested that it is of protein or lipoprotein composition.
It is active in minute amounts and there is considerable
evidence that it acts upon the thermoregulatory centres of the
hypothalamus, possibly by raising the level of
5-hydroxytryptamine. The sodium/calcium ion balance in the
hypothalamus may also be involved (Feldberg, 1961).
Removal of pyrogens: Bacterial pyrogens are fairly easily
hydrolysed by dilute acid and alkali, but are resistant to the
action of heat and often cannot be inactivated by autoclaving,
though some have been found to be thermolabile (Palmer &
Whittet, 1961). They easily pass through the normal bacterial
1981
filters, though some special filters have been made which will
remove them. These filters probably act by adsorption and ion
exchange rather than by simple filtration (Ridgway, 1973)
and the use of ion-exchange columns has been advocated for
the production of apyrogenic water (Cook & Saunders, 1962).
The method is permitted by some pharmacopoeias, but while
ion-exchange resins efficiently remove pyrogens, they easily
become contaminated by live bacteria and the method is not
permitted by the European Pharmacopoeia (1973). The
official method is therefore distillation, since the pyrogens are
nonvolatile. It is necessary to include an adequate baffle
system in the still head to prevent entrainment of droplets or
panicles which may carryover pyrogens into the distillate.
Test for pyrogens: The official test for pyrogens with which
Water for Injections and some prepared injections must
comply is now contained in the European Pharmacopoeia,
1973. It is a limit test, consisting essentially of injecting the
test liquid into the ear vein of rabbits and measuring the rectal
temperature rise with thermocouples or thermistors. Three
rabbits are used initially, and if the summed temperature rise
of all three lies below a specified value the sample passes,
while if it exceeds a higher specified value it fails. If the
summed response lies between the specified values the test is
repeated with three more animals and the summed response
of all six similarly tested against two further specified values
which give a lessened tolerance. If the temperature rise again
falls between the specified limiting values, a third test may be
carried out in the same way, the tolerance being again smaller
for the larger sample involved. A fourth and final test may
also be given, but in this the specified values become
coincident and the sample either passes or fails. No animal
must be reused for a test within three weeks of the last and
care is required to see that the animals are healthy and not
1982
subjected to any excitation which would itself raise their body
temperature. All glassware, syringes and needles must be
pyrogen free and are sterilized by dry heat at 250°C for 30min
or 200°C for 60min.
A limit test of this kind lacks the precision of a biological
assay because no controls are applied. To do this would
require the use of a stable and reproducible standard
preparation. Such preparations have been produced, the aim
being to obtain a bacterial lipopolysaccharide free from
protein by extracting dried enterobacteria with phenol
followed by alcoholic precipitation. One such preparation was
approved by the National Centre for
Antibiotics and Insulin Analysis of the American Food and
Drugs Administration as a standard in 1970, but stocks of a
similar British preparation have become exhausted. Such
preparations are active in amounts as low as 5μg/kg and so
must be highly purified and therefore expensive to produce. It
can reasonably be argued that for the purpose of protecting
the patient the limit test suffices, but a standard preparation
would be necessary for the satisfactory investigation of
pyrogenic mechanisms and for the biological assay of
antipyretic drugs.
1983
their virtual absence is very necessary in the case of infusion
fluids given in large volume; patients receiving these are
often dangerously ill and the danger may be significantly
increased if a fever is induced. After distillation, the water is
distributed into ampoules or bottles and sterilized by heat.
The British Pharmacopoeia also permits filtration but, since
the object of sterilization is to deal with the odd organism or
two which may have accidentaly contaminated the receiver,
there would seem to be no point in using a sterilization
method involving a further final aseptic transfer which carries
a risk of contamination.
Aseptic Technique
Sources of Contamination
1984
the attached bacteria. Droplets expelled from the mouths of
human beings and animals will also carry bacteria with them,
the heavier drops may settle to the ground but the smaller
ones, carried on the air currents, will dry out till the residual
‘droplet nuclei’ are dispersed as solid specks. Mould spores
are also abundant as most of these are produced on aerial
structures specifically designed to promote dispersal by wind
currents. They are therefore often naked and not attached to
dust particles. Yeasts, although not ejected by the dehiscence
of a fruiting body from a parent structure, can be blown off
the leaves of plants which often form their natural habitat.
Breath: During coughing and sneezing droplets can be ejected
from the mouth and can be propelled a considerable distance.
Therefore apart from their contribution to the atmospheric
flora, direct contamination of articles being handled is
possible. Staphylococci and haemolytic streptococci may thus
be distributed.
Skin: Although the sebaceous secretions exhibit some
antibacterial activity, the skin usually has a resident
population of nonpathogens located in its folds and in the hair
follicles and even sebaceous glands. In addition, a transient
population may contaminate the skin, particularly of the
hands, as a result of touching nonsterile objects. Pathogens as
well as nonpathogens may be picked up when attending the
toilet or blowing the nose.
Hair: Dust can easily settle on the hair and become enmeshed
in it. If it is dry, shaking the head or simply disturbing the hair
may detach considerable numbers of dust particles.
Clothing: This also, unless freshly laundered, may carry a
heavy load of dust particles which can easily be disturbed.
Working surfaces: Dust will, of course, settle and collect on
horizontal surfaces and to a lesser extent on vertical ones, and
if present this dust may contaminate materials being handled.
1985
Methods of Minimizing the Contamination Level
1986
which if necessary can be sealed with long rubber gloves.
Special screens (laminar-flow cabinets) are also available;
filtered air is fed into the screen through a carefully designed
baffle system to prevent turbulence which might disturb
particles of dust or of powders being distributed. The interior
can be sterilized either by ultraviolet light or with ethylene
oxide.
1987
be avoided by careful attention to technique, and it could be
argued that the chief advantage of scrubbing up is to make the
hands moist and so prevent the dislodgement of dirt and dried
skin particles. It would therefore seem more important to add
a humectant to the washing water than a bactericide;
alternatively a suitable cream could be applied.
Hair and clothing: Since the principal problem here is to
prevent the detachment of dust, the obvious course of action
is to cover both with freshly laundered material. Overalls or
gowns should be worn over normal clothing and the sleeves
should be rolled up above the elbow so that they do not pick
up any foreign dirt from unclean surfaces. A cotton cap
should be worn on the head, but if the hair is frequently
washed to remove dirt, skin particles or dandruff, and
particularly if an oily dressing is applied to it, there is no great
risk of contamination if the aseptic manipulations are carried
out under a screen. Long hair should be tied back for obvious
reasons.
Working surfaces: Before commencing operations, the
surfaces of the working bench should be swabbed down with
a bactericidal solution. Cetrimide solutions are useful for this
as they have both bactericidal and detergent activity. This
treatment does not, of course, sterilize the surfaces and, as in
the case of skin, cleanliness and the laying of dust are the
most important considerations, but it is not necessary for this
purpose to provide a permanent pool of disinfectant. The
surfaces of walls and ledges above the actual working surface
must also be kept clean and the floor should be frequently
swabbed to prevent dust rising from it.
Apparatus and equipment: Glass vessels, containers and
equipment, when freshly removed from the sterilizer, will
have those parts covered which may come into contact with
1988
sterile materials. They should be stored in dust-free cupboards
and the exposed parts should be wiped down before use.
Ampoules
1989
preweakened necks which can be snapped off cleanly without
having to be filed, and plastic ampoules are also made in
which the contents are removed by inserting the syringe
directly through the shoulder (Pharm. J., 1973, 210, 110).
A number of devices have been produced to cut down the
time taken by assembling a syringe and using it to withdraw
the contents of an ampoule. One such device is the injection
cartridge (Fig. 35.16) consisting of a length of glass tubing
closed at both ends with tight-fitting rubber plugs. The
cartridge
is inserted into a metal holder forming in effect the barrel of
the syringe. The holder is equipped with a plunger which fits
into one of the rubber plugs which then acts as the piston,
while at the other end the needle mount is prolonged inwards
as a short, strong needle which pierces the other plug of the
cartridge, forming a seal. Plastic syringes are also available
with the injectable solution already in situ, while in other
designs the use of a syringe is avoided altogether. In the
automatic injector shown in Fig. 35.17 the solution is
contained in a glass ampoule the residual space of which is
occupied by an inert gas under pressure. The ampoule tip is
broken by bending the plastic tube after the needle has been
inserted into the recipient any glass fragments are retained by
the filter.
1990
Fig. 35.17 The ‘Ampin’ automatic injector.
1991
leverage when the completed ampoule is opened. Preliminary
sterilization is not essential if the contents are to be subjected
to a final heating process after sealing, but if the contents are
thermo labile, the empty ampoules must be sterilized before
filling them. In order that the ampoules may be dry, it is best
to sterilize them in a hot air oven, but if they are to be used
for aqueous liquids they can be sterilized by autoclaving
provided that they are well drained. For small batches, filling
is usually carried out under a screen using a syringe, while for
slightly larger batches a burette fitted with a hypodermic
needle covered by a hood can be used.
The necks may then conveniently be sealed with a twin-jet
burner. On a large scale, of course, automatic filling, sealing
and labelling machines are employed.
1992
sterile air inlet filter. A plastic giving set is attached to the
plastic bag before sterilization, avoiding the necessity of
aseptic assembly. The plastics used are permeable to water
vapour molecules and to avoid loss of fluid the bag containing
the injection is surrounded by another. Nevertheless, the pack
has a limited shelf life and Myers (1974) found that
‘ballooning’ sometimes occurred between the inner and outer
bags. Injections supplied in plastic containers of not less than
500ml capacity must comply with the limit test for toxicity of
the British Pharmacopoeia (1973).
Multiple-Dose Containers
1993
antioxidant to the injection. Vials are however useful for the
packaging of sterile,
thermolabile powders (e.g. antibiotics) which are dissolved in
Water for Injections prior to use, because the material can be
dried from solution in the final container.
Multiple-dose injections must contain a bactericide in
sufficient concentration to prevent multiplication of any
organisms accidentally introduced during the withdrawal of
successive doses. The British Pharmacopoeia (1973)
recommends the use of cresol 0.3 per cent w/v, chlorocresol
0.1 per cent w/v, or phenylmercuric nitrate 0.001 per cent
w/v. Injections which are sterilized by the official process of
‘heating with a bactericide’ need no further addition.
1994
associated with them have already been discussed. Oily
injections cannot, of course, be autoclaved. In the absence of
moisture the process would amount to no more than using dry
heat at a temperature too low to be effective.
Glassware can be autoclaved provided that the steam can
reach both internal and external surfaces but as the articles are
usually required to be dry, they are generally sterilized in a
hot air oven. Some plastic materials can be autoclaved, but
not all, and natural rubbers will also withstand normal
auto-claving temperatures. Delicate rubber articles like
surgeons gloves are liable to perish, however, unless care is
taken to remove all residual moisture by applying an effective
vacuum after sterilization.
Sterilization by dry heat: This is used for all oily vehicles, e.g.
soft and hard paraffins, ethyl oleate and waxes and for a
number of oily injections, e.g. those containing steroids in
solution. If the medicament dissolved or suspended in such a
vehicle will not withstand the temperature used, it must be
sterilized separately by treatment with ethylene oxide or
ionizing radiations or by dissolving it in a volatile solvent
which, after passage through a bacterial filter, can be
removed. The sterile solid is then mixed aseptically with the
sterilized vehicle. Oily suspensions can be sterilized by dry
heat, but in some cases the suspended solid may dissolve at
the higher temperature and recrystallize in larger aggregates
on cooling and care must be taken to minimize this. Glycerol
can also be sterilized by dry heat and is used in Phenol and
Glycerol Injection BP.
Dry heat is also useful for the sterilization of a number of
noninjectable articles. Paraffin gauze dressings can be
sterilized in their final containers by heating in an oven, and
implants of steroids which have melting points higher than
150°C can be made by sterilizing the material in an oven and
1995
then either pouring it aseptically into sterile moulds or
allowing it to crystallize and then tabletting the crystals by
heavy compression.
Silicone rubber can be sterilized by autoclaving, but where
completely dry conditions are required, it can be sterilized by
dry heat. Similarly, syringes and some surgical instruments
can be sterilized by autoclaving, but it is usually more
convenient to use dry heat, especially where the process can
be made continuous as with the infrared tunnel sterilizer.
Sterilizable maize starch can also be sterilized in the hot air
oven and the method is the only suitable one for dusting
powders containing talc. On the small scale the talc is set out
in shallow layers in the oven in order to get adequate heat
penetration. Large amounts of talc are however used by the
pharmaceutical and toiletry industries and sterilization of it is
greatly assisted by its refractory nature. Because it can be
heated to a high temperature without deterioration, large
volumes can be heated in a furnace so that even if there is a
considerable temperature gradient through the material the
innermost regions still reach the necessary temperature. Some
absorbable haemostatics which are prepared by freeze drying,
and therefore have a very low moisture content, are sterilized
by heating at about 130°C for 3h, e.g. human fibrin foam.
Dry heat must not be employed for the sterilization of
aqueous fluids. The explosive power generated by even a few
milli litre of water heated to 150°C in a sealed ampoule is
enormous and potentially lethal.
Gaseous sterilization: This can be used for thermolabile
materials which will not withstand the conditions imposed by
autoclaving or heating in an oven. Ethylene oxide is generally
used and the limitations on its use have already been
discussed. It can be effectively employed for sterilizing some
surgical instruments and equipment made wholly or partly of
1996
plastics where these cannot be sterilized by autoclaving or
ionizing radiations. The method has been used for absorbable
dusting powder, for rubber gloves and for oxidized cellulose.
Formaldehyde is still occasionally used for sterilizing rooms,
but its principal application is in the formaldehyde steam
process for sterilizing woollen blankets.
Sterilization by heating with a bactericide: This process is
permitted by the British Pharmacopoeia as an alternative to
filtration for a few relatively heat-sensitive alkaloids, e.g.
morphine, emetine, and also for mersalyl and sodium
aurothiomalate. It is also officially approved for sterilizing
suxamethonium chloride, but not for the bromide, the
injection of which must be made by dissolving the sterile
solid in the vehicle. Dimenhydrinate Injection contains benzyl
benzoate as an ingredient and no further bactericide is
required. Similarly, some acid solutions, e.g. Procaine and
Adrenaline Injection BP and some alkaline solutions, e.g.
Phenobarbitone Injection BP provide adequate conditions for
sterilization at 98–100° without additional bactericide.
Sterilization by ionizing radiations: This process has been
discussed in Chapter 32. Either high-speed electrons from an
accelerator or g-rays from a radioisotope may be used to give
the necessary penetration, and the method is particularly
useful for some ready-packed disposable surgical equipment
such as catheters, intravenous giving sets and plastic syringes.
It is necessary to choose the right type of plastic or glass for
the purpose. Some materials which would otherwise be
difficult to sterilize can be treated effectively by irradiation,
e.g. catgut, graft tissues and adhesive dressings.
Sterilization by filtration: Where none of the foregoing
methods is applicable, filtration remains the only available
method of sterilization. This may involve the filtration of the
final solution followed by aseptic distribution into containers,
1997
or if the medicament is unstable in aqueous solution it may be
dissolved in a nonaqueous solvent and passed through a
bacterial filter, the solvent being then removed by distillation,
if required under reduced pressure, or by freeze drying, e.g.
antibiotics, hormones and enzymes. Paraldehyde Injection
BPC may not be subjected to heat sterilization and must be
sterilized by filtration; it must be supplied in single-dose
ampoules, contact with rubber or plastics being
contraindicated.
Aseptic operation: As has already been pointed out, some
thermolabile solids are prepared in a sterile condition and
injections are made from them by redissolving them in a
sterile vehicle. In a few cases aseptic dilution of a stronger
solution is prescribed, e.g. Noradrenaline Injection BP.
Insulin Injection BP is sterilized by filtration, but a test
portion is then withdrawn aseptically and assayed, and the
remainder is then adjusted to volume with sterile diluent and
distributed aseptically into the final containers. Cortisone
Injection BP and Hydrocortisone Acetate Injection BP are
sterile suspensions prepared by aseptic technique. Vaccines,
sera and blood products are also prepared aseptically from an
original source assumed to be sterile, and the final product
must therefore be adequately tested for sterility.
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Disinfection. London: Lloyd-Luke; 1965.
Russell JH. Proc. Biochem. 1972;6(9):25.
Savage RM. Q. J. Pharm,. 1937;10:451.
Savage RM. In Symposium on the Operating of Sterilising
Autoclaves. London: Pharmaceutical Press; 1959.
Schmidt CF. 2 In Antiseptics, Disinfectants, Fungicides and
Chemical and Physical Sterilization,. London: Kimpton;
1957.
Seibert F. Am. J. Physiol. 1923;67:90.
Simpkins DE, Wilkinson GR. J. Pharm. Pharmacol.
1964;16:108. Suppl.
Smith ICP. Pharm. J. 1944;152:110.
Sykes CH. Publ. Pharm. 1958;15:163.
Sykes G. J. Appl. Bact. 1963;26:287.
Sykes G. 2 Disinfection and Sterilisation. London: Spon;
1965.
Sykes G. In: Norris AB, Robins AB, eds. In Methods in
Microbiology,. London: Academic Press; 1969.
Sykes G, Royce A. J. Pharm. Pharmacol. 1950;2:693.
Trotman RE. J. Appl. Bact. 1960;32:297.
2002
Whitmarsh JM. J. Appl. Bact. 1954;17(i):27.
Whittet TD, Hugo WB, Wilkinson GR. In: Stenlake AB, ed.
Sterilisation & Disinfection,. London: Heinnemann; 1965.
Wilkinson GR, Peacock FG. J. Pharm. Pharmacol.
1961;13:67T.
Wilkinson GR, Peacock FG, Robins KL. J. Pharm.
Pharmacol. 1960;12:197T.
Work AB. In: Wolstenholme AB, Birch AB, eds. Pyrogens
and Fever,. London: Churchill-Livingstone; 1971:23.
Wyllie DM. Pharm. J. 1955;175:492.
2003
Chapter 36
Microbial Contamination Control and Sterility Testing
Microbial contamination may be important in three ways. In
injections, eye drops and certain dressings and lavage
solutions sterility is essential since any contaminants may
cause infections and the products of contaminants (pyrogens)
have caused harmful and even lethal reactions. Also, infection
may result from contaminated oral and topical preparations,
the most serious incident being the occurrence of typhoid
fever as a sequel to the ingestion of contaminated thyroid
tablets. Finally, excessive microbial contamination may cause
more or less extensive deterioration of the product, but can be
dealt with by a combination of hygienic preparation and
preservation (see below and Chapter 41).
Quality Control
2004
weakest link in the production chain. General guidance to UK
manufacturers is given in the Guide to Good Pharmaceutical
Manufacturing Practice produced by the Department of
Health and Social Security and its appendices.
Principles
2005
any nonsterile materials used, and sterility testing, the details
of the latter being dealt with below. Also, aseptic filling
procedures can be verified by filling a nutrient medium in
place of the product, incubating the filled containers and
checking for the presence of microbial growth.
If quality control procedures are be reliable it is essential that
sampling is done exclusively by quality control staff and not
by production workers and that sampling is properly
randomized, for example, by the use of tables of random
numbers.
It must always be assumed that human errors will occur, so
the checks introduced at suitable stages in production are
designed to monitor this possibility.
Finally, all documentation relevant to each batch, from
starting materials to finished product, is collated, checked and
filed for future reference and samples of each batch are
retained and checked at intervals until the entire batch has
certainly been used.
Extent of Contamination
2006
variety of products, e.g. gelatin, aluminium hydroxide gel. No
standards limiting the total bacterial population appear in the
BP 1973. An FIP Working Party (Report, 1972) indicated
levels of the order of 106–109/g in substances of animal or
vegetable
origin and of 100/g in synthetic or purified substances, while
some materials, e.g. vitamins, lactose, talc, kaolin, posed
special problems (Table 36.1). The report also gives
recommended standards and methods applicable to various
classes of nonsterile medicaments.
Numerical
tolerance Totally excluded
Product
limit of species or genera
bacteria
Injectable Nil All
Ophthalmic None in 1g or –
preparations, large 1ml
volume lavage solutions
for sterile cavities,
burns, ulcers
Topical preparations 102/g or Enterobacteriaceae*
(for damaged skin, 102/ml Pseudomonas
nose, throat, ear) aeruginosa
2007
Staphylococcus
aureus
Other preparations 103/g or Enterobacteriaceae*
3 2
10 /ml (10 /g P. aeruginosa S.
or 102/ml of aureus
yeasts and
fungi)
*
Some materials based on natural sources must be allowed to
contain Enterobacteriaceae, e.g. to the extent of 20/g, but in
such cases strict limits must be applied on the numbers of E.
coli, salmonellae and Shigella.
No general norms can be laid down for starting materials,
but
1. synthetic compounds or pure substances of nonbiological
origin usually contain < 100/g,
2. crude products of biological origin may contain
106–109/g,
3. exceptionally lactose, calcium lactate steroids and mixed
earths may be contaminated with a mostly saprophytic
microflora but including Bacillus, Micrococcus, Staphy-
lococcus, Streptococcus group D, C. tetani (in talc) and
fungi.
The methods laid down in the USP XVIII are standard
bacteriological counting methods. For clear miscible products
the total number of viable aerobic bacteria is determined by
the pour plate method, but with suspensions or emulsions in
which turbidity makes colony counting difficult or impossible
the count may be done by the dilution method (most probable
number, MPN or multiple tube method), although the
accuracy of this is very poor.
2008
If the preparation contains antimicrobial agents, either
naturally or as added preservatives, the inhibitory effect must
be removed by dilution, chemically or by filtration prior to
testing. The latter is done using a sterile membrane filter
which is washed free of inhibitor and the filter can then be
incubated directly on a nutrient medium.
Methods (USP XVIII): A 10g or 10ml sample is derived from
not less than 10×1g or 10×1ml samples, taken from different
containers and blended, and dissolved or suspended in 90ml
of phosphate buffer. Gelatin is treated similarly, except that
further dilution is usually necessary. Hydrophobic materials
are emulsified with polysorbate 80. Two 1ml samples of the
final suspension, diluted further if necessary, are then counted
by the normal pour plate technique, using soya bean–casein
digest (tryptone soya) agar. Colonies are counted after 48–72
h.
If the diluted sample is a suspension, or an emulsion too
turbid to permit colony counts, a multiple tube (MPN) method
may be used, the count being determined by reference to an
MPN table similar to that given in Table 33.4. If it is difficult
to decide whether growth is present or not, the contents of the
tubes are subcultured into fresh medium.
All samples must be tested to ensure that they do not contain
inhibitory substances; if they do the procedure is modified to
remove or neutralize the inhibitory action.
2009
outside the body. Thus there are numerous, rapid, well-proved
methods for detecting this species which is widely used as an
index of hygienic production.
There are numerous Salmonella species comprising the agents
of typhoid and paratyphoid fevers (enteric fever), and many
of the common causal agents of food poisoning. Direct
attempts to isolate these are not usual in water bacteriology
since they may be of animal origin, are present in relatively
small numbers in the intestines of infected patients and the
methods are of doubtful sensitivity. Presumably, interest has
focused on these species since they frequently infect animals
and invade the blood stream after slaughter, so products
derived from animals are likely to be infected. Indeed, several
cases of typhoid fever in Sweden were traced back to infected
thyroid tablets.
Staphylococcus aureus is carried by many individuals in the
nose and throat and sometimes on the skin, as a harmless
parasite. Under appropriate conditions it can cause wound
infections which may be difficult to treat and is a common
cause of food poisoning if some foods infected with it are left
so that the organism can grow and produce exotoxin. It is thus
another index of hygienic production.
Although Pseudomonas aeruginosa is of relatively low
virulence it is a common wound pathogen since it establishes
itself readily in damaged tissue or in debilitated patients. It
has been reported as the causal agent of deaths in burns units,
and of loss of sight, and may also cause systemic infections.
Further, the organism is resistant to most antibiotics, apart
from carbenicillin and colistin, and readily acquires resistance
by the transfer of resistance factors. Other pseudomonads are
very common in water and although these will not ordinarily
grow above 30°C (P. fluorescens, P. putida) they are very
2010
versatile biochemically and can break down many compounds
including antiseptics.
Other organisms such as anaerobic bacteria and fungi, may be
important in particular cases, so reputable manufacturers test
products appropriately. The official standards are to be
regarded, in this as in all other cases, as minimum
requirements which manufacturers augment as necessary.
Methods
2011
considered presumptive of E. coli. These latter methods have
been introduced because selective media generally, and
MacConkey medium in particular, are frequently inhibitory to
the very organisms which they are intended to select. In water
analysis MMG and LR media have been shown to give a
higher number of positive with a minimum of false positive
reactions (Report, 1969); but whether this applies also to
pharmaceuticals is not known.
Salmonella spp: The method given by the BP 1973 is to
enrich the culture by incubating the sample with nutrient
broth, and to add heavy inocula from the enrichment culture
into Selenite F and Tetrathionate media. After further
incubation samples from each tube showing growth are
streaked onto Brilliant Green, Desoxycholate Citrate and
Bismuth sulphite agars. Any suspect colonies are confirmed
by inoculation into Triple Sugar Iron and Urea media. The
USP XVIII uses the remainder of the lactose broth culture
prepared for the E. coli test and adds portions to
Selenite–Cysteine and Tetrathionate media. After 12–24 h at
30–35°C portions of each enrichment culture are streaked on
Brilliant Green, Xylose–Lysine–Desoxycholate and Bismuth
Sulphite agars. Suspect colonies are confirmed on Triple
Sugar Iron agar, final confirmation being done by further
biochemical tests.
The requirement to use both selenite and tetrathionate media
is a reflection of the inhibitory nature of these media to
Salmonella spp. and therefore the results should be viewed
with caution since counts may be low.
The colony characters used to characterize these and other
organisms are given in Table 36.2.
Table 36.2 Colonial and morphological characters of
contaminants of interest in nonsterile pharmaceuticals
2012
S. aureus: The BP 1973 does not give any tests for the
presence of this organism. The USP XVIII directs that
samples should be incubated in soya bean–casein digest
(tryptone soya) broth followed by subculture from tubes
showing growth onto Vogel–Johnson agar. Black colonies of
Gram-positive cocci surrounded by a yellow zone are
presumptive of S. aureus and this is confirmed by a positive
coagulase test, thus, i.e. cultures are able to coagulate rabbit
serum.
P. aeruginosa: The BP 1973 recommends inoculation into
0.03 per cent cetrimide broth, incubating at 30°C for 72 h and
then streaking from this onto 0.1 per cent cetrimide agar. All
colonies showing green pigmentation are tested by the
oxidase test and Gram staining. The oxidase test consists of
spreading a colony on paper saturated with
N,N′-p-aminodimethylaniline hydrochloride, when oxidase
positive organisms, e.g. P. aeruginosa, give a purplish colour.
2013
The USP XVIII uses the same primary culture as for S.
aureus and then streaks onto an agar medium containing 0.03
per cent cetrimide. All ‘generally greenish’ fluorescent
colonies are presumed to be P. aeruginosa and are tested by
the oxidase test. Oxidase positive organisms are presumed to
be P. aeruginosa, which may be confirmed by further
biochemical tests.
The USP is generally safer than the BP since it defines the
composition of its cetrimide agar fairly closely. The selective
effect of the cetrimide depends markedly on the nature of the
ingredients of the medium, and pigmentation is similarly
sensitive. Several pigments may be produced, pyocyanin
which is blue-green, fluorescein which is pale
yellowish-green and fluorescent and the red pigment,
pyorubin. Melanin may also be produced. Thus the
pigmentation may be anything from pink to purple or black.
The production of visible pigment is unreliable and it is
generally accepted that growth plus fluorescence is the best
guide. Also, about 10 per cent of strains are nonpigmented.
Finally, incubation at 30°C will permit the growth of saprobic
pseudomonads, which produce the fluorescent pigment only,
and other Gram-negative rods (F. lavobacterium) which
cannot be differentiated from pseudomonads by the tests
described above. Thus it is essential to test each batch of
media with known strains to ensure that the proper growth
patterns are produced. This is also desirable for all the
procedures described for all four organisms and is the
procedure given by the BP, which lists the strains to be used
for controlling the tests for E. coli, Salmonella spp. and P.
aeruginosa, though whether the range of test strains is
adequate is open to doubt.
The most satisfactory medium for P. aeruginosa so far
devised is that of Lilly and Lowbury (1972), based on a
2014
controlled formula containing 0.02 per cent cetrimide and
nalidixic acid. These workers used growth and fluorescence
as their criteria.
Ophthalmic Ointments
These are required to pass tests for total bacterial count and
for freedom from S. aureus and P. aeruginosa. The technique
used is to dissolve 1g of bulked sample in 100ml of sterile
isopropyl myristate and to filter the solution through three
0.22 μ membrane filters. Each membrane is then washed with
5×100ml portions of peptone/beef extract broth containing
(p-tert-octylphenoxy) polyethoxyethanol as a solubilizing
agent for isopropyl myristate and residual ointment base. The
membranes are then incubated on soya bean–casein digest
(tryptone soya) agar and the colonies developing on the
surfaces of the membranes are counted. Finally the colonies
are streaked onto Vogel–Johnson and Cetrimide agar media to
test for the presence of the specific contaminants.
Sterility Testing
2015
examining this proposition in greater detail, numerous
problems occur.
Sample Size
2016
Statistical Considerations
2017
Fig. 36.1 Probability of passing defective batches with
different levels of contamination, for different batch and
sample sizes (hypergeometric distribution).
2018
defective (contaminated) items p and a proportion of
satisfactory (sterile) items q, are given by the successive
terms of the expansion of (q + p)n. Thus the probability of n
contaminated is pn of n sterile is qn and of some contaminated
is (l – qn – pn). For example, if n = 4, q = 0.9, p = 0.1, the
result given in Table 36.4 is obtained, which shows that with
10 per cent of contaminated items in a batch and a sample of
four, about 66 per cent of samples will contain no
contaminated items, i.e. the batch will be accepted. From this
it is again clear that when sampling by attributes (pass/fail), a
small sample gives a very crude estimate of the proportion
contaminated, even if this reaches the exceptionally high level
of 10 per cent.
Table 36.4 probability of passing a batch with 10 per cent
contaminated items using a sample of four items (binomial
distribution)
2019
of safety to the patient, must be considered. These two aims
are not identical. To satisfy the requirement to detect
contaminated batches with reasonable security it can be
shown that the probability of detection increases rapidly with
the number sampled at first, but then decreases, there being
no worthwhile benefit in taking more than 40 items. To give a
minimum risk of passing an unsatisfactory batch, Bentzon
(WHO Report, 1960) showed that the sample size should
equal the square root of the number of items in the batch.
However, it is unrealistic to take large proportions from small
batches or to take a very large number of items from a large
batch, in view of the low probability of detecting
contamination. Compromises are therefore made and the
numbers of items required to be taken by some
pharmacopoeias are given in Table 36.5. Even at these
reduced levels the cost of testing may be a major part of the
total cost of production and any suggestion of increased
sample sizes is strongly resisted by manufacturers.
2020
United States Pharmacopoeia
Sterilization method Number of items to be
taken
Autoclaved at 121 for 15min 10
(minimum conditions)
Sterilized in final container but 20
not autoclaved at 121 for15min
If a biological indicator is used 10
Not sterilized in final container 30
If the bulk has already passed a 20
test for sterility
Indian Pharmacopoeia 2007
Parenteral preparations Not 10 per cent or 4 containers,
more than 100 containers whichever is greater
More than 100 but not more 10 containers
than 500 containers
More than 500 containers 2 per cent or 20 containers,
whichever is less
For large-volume parenterals 2 per cent or 20 containers,
whichever is less
Ophthalmic and other 2.5 per cent or 2
nonparenteral preparations Not containers, whichever is
more than 200 containers greater
More than 200 containers 10 containers
Surgical dressings and devices 2 per cent or 5 packages,
Catgut, surgical sutures and whichever is greater, up to
2021
other sterile medical devices for a maximum of 20
use packages
Not more than 100 packages 10 per cent or 4 packages
whichever is greater
More than 100 but not more 10 packages
than 500 packages
More than 500 packages 2 per cent or 20 packages,
whichever is less
Bulk solids Less than 4 Each container
containers
4 containers but not more than 20 per cent or 4 containers,
50 containers whichever is greater
More than 50 containers 2 per cent or 10 containers,
whichever is greater
Ingredients Quantity
L-Cystine 0.50 g
Sodium chloride 2.50 g
Dextrose monohydrate/anhydrous 5.50
g/5.00 g
Granular agar (moisture content less than 15 per 0.75 g
cent, w/w)
Yeast extract (water-soluble) 5.00 g
pancreatic digest of casein 15.00 g
2022
Sodium thioglycollate or 0.50 g
Thioglycolic acid 0.30ml
Resazurin sodium solution (0.1 per cent), freshly 1.00ml
prepared
Distilled water to 1000ml
Media
2023
use with clear, fluid products. Inoculations into anaerobic
media must always be made into the (reduced) depths of the
medium with a Pasteur pipette.
Method: Mix the ingredients other than the thioglycollate or
thioglycolic acid and the resazurin sodium solution, in the
order given above, in a mortar, with thorough grinding. Stir in
some heated distilled water, transfer to a suitable container,
add the remainder of the distilled water, and complete the
solution by heating in a boiling water bath. Dissolve sodium
thioglycollate or thioglycolic acid in the solution and, if
necessary, add 1M sodium hydroxide so that, after
sterilisation, the solution will have a pH of 7.1±0.2. If
filtration is necessary, heat the solution again without boiling
and filter while hot through moistened filter paper. Add the
resazurin sodium solution, mix and distribute the medium into
suitable vessels that provide a ratio of surface to depth of
medium such that not more than the upper half of the medium
has undergone a colour change indicative of oxygen uptake at
the end of the incubation period. Sterilize in an autoclave at
121° for 20min. If the medium is to be stored, cool promptly
to 25° and store at 2–30°, avoiding excess of light. If more
than the upper one-third of the medium has acquired a pink
colour, the medium may be restored once by reheating in a
water bath or in free-flowing steam until the pink colour
disappears, and cooling rapidly, taking care to prevent the
introduction of nonsterile air into the container. When ready
for use, not more than the upper one-tenth of the medium
should have a pink colour. Medium more than 4 weeks old
should not be used.
Alternative thioglycollate medium is similar in formula to
fluid thioglycollate medium but does not have the resazurin or
the agar and is used for testing turbid or viscous products and
for devices having tubes with small lumina. It must be
2024
recently boiled and cooled to remove oxygen before use
(Table 36.7).
Ingredients Quantity
L-Cystine 0.50 g
Sodium chloride 2.50 g
Dextrose monohydrate/anhydrous 5.50 g/5.00 g
Yeast extract (water-soluble) 5.00 g
Pancreatic digest of casein 15.00 g
Sodium thioglycollate or 0.50 g
Thioglycolic acid 0.30ml
Distilled water to 1000ml
2025
assure anaerobic conditions for the duration of the incubation
at 30–35°C.
Soya bean–casein digest medium is a medium giving rich
growth of many organisms and is recommended for detecting
small numbers of aerobic bacteria and fungi. The formula is
identical with that for ‘oxoid’ tryptone soya broth (shown in
Table 36.8).
Ingredients Quantity
Pancreatic digest of casein 17.0 g
Papaic digest of soya bean meal 3.0 g
Sodium chloride 5.0 g
Dipotassium hydrogen phosphate (K2HPO4) 2.5 g
Dextrose monohydrate/anhydrous 2.5 g/2.3 g
Distilled water to 1000ml
2026
nutritive. The WHO Report (1960) gives the formulae for
additional media, including cooked meat medium, probably
the most satisfactory of all the anaerobic media.
No pharmacopoeia lays down any requirements for tests for
viruses, rickettsiae or chlamydiae because of the technical
difficulties involved and because they have a low heat
resistance and so are unlikely to be present in the majority of
sterilized products, but tests are applied to specific viral and
rickettsial vaccines according to the hazards involved.
2027
Suitability of Media
2028
the test media show inadequate growth response. If freshly
prepared media are not used within 2 days, they should be
stored in the dark, preferably at 2–25°C.
Finished media, if stored in unsealed containers, may be used
for not more than 1month provided they are tested within 1
week of use.
Validation of tests: Carry out a test as described under test
procedures using exactly the same methods with the
following modifications.
2029
Hydrophilic materials may be filtered directly or dissolved or
diluted in peptone water, the solution then being filtered
through a sterile membrane, adding if necessary, substances
such as penicillinase or other antimicrobial inhibitor. In the
latter cases the membrane is washed with portions of 0.1 per
cent w/v peptone water to remove any traces of inhibitor.
Since substances are often absorbed in the margin of the
membrane where it is trapped in the filter unit, the use of
membranes with a hydrophobic edge may be desirable. The
procedures suggested by the USP XVIII are summarized in
Table 36.10.
2030
Heavy metals (Hg, As, Medium with sulphydryl
Cu, Ag, Zn) compound (thioglycollate,
cysteine)
Dyes Membrane filtration
Formaldehyde Neutralize with bisulphite,
membrane filtration
Penicillin Incubate with penicillinase
Other antibiotics Membrane filtration
*
Membrane filtration is the method of choice for all tests on
products containing an- timicrobial agents. Where indicated
as the sole method it is the only possible one.
It is then often recommended that the membrane be divided
and that half should be added to aerobic/anaerobic bacterial
medium and the other half to aerobic mycotic medium.
However, this is open to the same objection as was voiced
previously about the use of samples taken from large volume
containers and it is preferable to filter the whole of the
contents of one container, add the membrane to aerobic
bacterial medium, and
then filter the contents of two more containers, the
membranes being incubated in mycotic and anaerobic media.
This procedure gives adequate one-dose test security, though
at the expense of additional samples, membranes, media, etc.
The testing of hydrophobic products (powders, oils, lecithin,
soft paraffin products) presents special difficulties both in
physical handling and in attempting to ensure the complete
recovery of revivable organisms from the product. Some
approaches are also suggested in Table 36.11.
2031
Table 36.11 A summary of the membrane filter procedures
of the USp XVIII
Nature of
Procedure
sample
Nonviscous Filter directly
homogeneous
Viscous Dilute with Fluid A* and filter
liquid
Has inherent Filter and wash with one to three 100ml
bacteriostatic portions of Fluid A
properties
Contains Filter and wash one to three 100ml portions of
lecithin Fluid B
Ointments Dissolve 1g in 100ml of sterile isopropyl
and oils (not myristate. Filter and wash with 2×200ml
containing Fluid B and 100ml Fluid A. Transfer
soft paraffin) membrane to medium containing TOPPE
Products Dissolve is isopropyl myristate and filter.
containing Wash with 3×100ml of special rinse medium.
soft paraffin Transfer membrane to medium containing
TOPPE
Insoluble Dilute if necessary filter and wash as
solids and appropriate
sus -
pensions
2032
*
Diluting Fluid A: 0.1 per cent peptone water Diluting Fluid
B; 0.1 per cent peptone, 0.1 per cent (p-tert-octylphenoxy)
polyethoxy ethanol (TOPPE)
Special Rinse Medium: 0.05 per cent peptone, 0.03 per cent
beef extract, 0.1 per cent (p-tert-octylphenoxy) polyethoxy
ethanol
Further problems occur with insoluble powders due to
blockage of the membrane and this may be overcome by
layering the membrane with sterile Hyflo filter aid, a special
diatomaceous earth, and adding further Hyflo to the
suspension before filtration.
It will be clear that sterility testing in general and the
membrane filter technique in particular requires an
exceptional degree of skill and knowledge and is not to be
undertaken lightly. The question of controls has still to be
mentioned and successful control procedures are an integral
part of the whole sterility test procedure, whether conducted
by membrane filtration or otherwise.
Controls
2033
Control organisms may vary widely according to the
particular application, but the organisms suggested by the EP
Vol. II have been referred to already under ‘Media’, and tests
for Mycobacterium tuberculosis may be controlled with strain
H37RV. The use of S. aureus as an aerobic control organism
may be criticised since it is a facultative anaerobe and a
strictly aerobic exacting Micrococcus would be preferable.
For positive controls small numbers of organisms, about 100,
should be used.
It is clear from what has been said that although sterility tests
by membrane filtration require three membranes for each test,
one for aerobic bacteria, one for anaerobic bacteria and one
for fungi, six membranes are required for each set of controls
if the requirements of the European Pharmacopoeia are to be
complied with, two each for aerobic bacteria, anaerobic
bacteria and fungi. If proof of sterility is required, further
membranes are necessary.
2034
Regrettably there is no real rationale behind these decisions,
except convenience, since it is known that damaged bacteria
usually revive best at temperatures different from the
optimum temperature for the growth of undamaged cells of
the same species (Harris, 1963a).
So far as the time of incubation is concerned the EP Vol. II
follows the recommendation of the WHO Report (1960) and
requires an incubation period of 7 days for bacteria, though
the USP XVIII specifies periods varying from 7 to 14 days. A
period of 14 days is usual for fungi. The times used are
undoubtedly a compromise between the need to give ample
opportunity for growth, and the desire to avoid undue cost to
the manufacturer. In fact, most manufacturers would tend to
use rather longer incubation periods, if experience shows that
this is desirable, to protect the quality of their products.
The EP Vol. II lays down 37°C for 42 days for tests for
Mycobacterium tuberculosis.
2035
The sample fails the test if one or both ‘tests’ show growth,
the negative control shows no growth and the positive
controls show growth.
The test is invalid, and should be repeated after investigation
of the causes, if a negative control shows growth or if one or
more of the positive controls shows no growth.
The EP Vol. II, but not the USP XVIII, permits a sample
which fails the first test to be retested. If growth of the same
microorganism occurs in the second test the sample fails, but
if a different microorganism grows in the second test, the test
may be repeated for a third time. If no growth occurs on the
third occasion the sample passes the test. Such a procedure,
previously permitted in the BP 1968 and earlier editions, is
very unsound and any manufacturer using such a practice
would be taking considerable risks both with the health of
users of the product and with their own reputation, especially
since even the theoretical basis for the procedure is very
dubious. The same comments naturally apply to products
produced in the hospital service.
2036
medium of proven growth capacity. Incubation is at 37°C for
42 days.
Sutures: Containers are sterilized externally and tested for
leakage simultaneously by immersion in an antiseptic dye
solution before opening the tubes and transferring the sutures
directly to suitable media. The test is made more rigorous by
applying and releasing a vacuum while the containers are in
the solution. Any leaky containers are regarded as
contaminated and set aside for bacteriological examination.
Nonleakers are then tested for sterility. However, most
sutures are nowadays sterilized by irradiation in a foil pack.
Those which will not withstand radiation sterilization, e.g.
polypropylene, are sterilized with ethylene oxide and
transferred to foil packs aseptically. There is now no
preservative included in any packing fluids, except some
sutures which are tubed in alcohol, but this is diluted out on
transfer of the suture to medium. Prolonged incubation
periods are not required, though 14 days is commonly used.
Devices: The whole device should preferably be incubated in
an aerobic/anaerobic medium. Failing this, crucial parts could
be incubated or the article could be rinsed through with sterile
medium and the rinsings tested.
Dressings: The whole dressing up to 500g, or up to 2×50g
portions from the innermost part of the sample, are transferred
to media.
The technical difficulties of sampling from large dressing
packs are such that it is often recommended (e.g. BPC, 1973)
that technical controls should be carried out, sampling from,
say, 20 ‘oversterilized’ packs to assess the probability of
chance contamination. It is doubtful whether this is necessary
under modern conditions using laminar flow cabinets, with
which the level of technical contamination is very low.
2037
Paraffin gauze: The testing of this product is a controversial
subject. The USP XVIII method involves shaking a sample
with fluid thioglycollate medium plus agar and gelatin at
52°C to melt the soft paraffin, cooling, breaking the paraffin
seal and incubating and 20–25°C for 7 days before further
subculture. However, heating presumably damaged organisms
at 52°C is likely to render potentially viable cells nonviable.
An alternative procedure would be to dissolve the soft
paraffin away from the gauze using isopropyl myristate and to
test the resulting solution by membrane filtration and the
residual gauze by direct inoculation into media.
Biological indicators: When articles are awkward to sample
or too large to test satisfactorily, e.g. large dressings,
bronchoscopes, a useful procedure is to include test pieces
contaminated with resistant microorganisms, such as soil or
the spores of B. globigii, B. subtilis var. niger, B. pumilus, B.
stearothermophilus or C. botulinum Type E, according to the
application. The test piece is then checked for sterility,
assuming that if the test piece is sterile then the actual article
is also sterile. Although there are dangers inherent in such a
proposition, the technique can work well under skilled
supervision.
When products are sterilized in their final containers by a
method other than autoclaving at 121°C for 15min and
biological indicators are used to monitor the sterilization
process, the USP XVIII permits the number of units taken for
the sample to be reduced from 20 to 10.
References
2038
British Pharmaceutical Codex. London: Pharmaceutical Press;
1973.
Chauhan NM, Walters V. J. Pharm. Pharmacol.
1962;14:605–610.
1971 European Pharmacopoeia, Vol. II (1971).
1971 Guide to Good Pharmaceutical Manufacturing Practice
(1971) Department of Health and Social Security. London:
HMSO.
Harris ND. J. Pharm. Pharmacol. 1963;15:196T.
Harris ND. J. Appl. Bact. 1963;26:387.
Knudsen LF. J. Am. Pharm. Assoc. 1949;38:332.
Lilly HA, Lowbury EJL. J. Med. Microbiol,. 1972;5:151.
1970 Pharmacopoeia of the United States of America. X VIII
Revision (1970). Including the First USP XVIII Supplement
(1971).
Report. Requirements for Biological Substances. 6. General
Requirements for the Sterility of Biological Substances Wid.
Hlth. Org. techn. Rep. Ser. 200. Geneva: HMSO; 1960.
Report. The Bacteriological Examination of Water Supplies.
Reports on Public Health and Medical Subjects,. London:
HMSO; 1969. No. 71
Report. J. Mond. Pharm. 1972;15:88.
2039
Chapter 37
Vaccines and Sera
Historical Review
Vaccines and sera are the pharmacologically useful
derivatives of the science of immunology. Both may be used
for the prevention of infectious disease and, in addition, sera
may be used in the treatment of several established
conditions. The pharmacological activity is, in almost all
instances, due to the modified γ-globulins present in the
serum after vaccination or serum treatment.
The first vaccine was developed in 1798 by the
Gloucestershire naturalist and physician, Edward Jenner
(Jenner, 1798), who tested the folk belief that an attack of the
relatively innocuous and localized disease, cowpox, provided
immunity from the disfiguring and often fatal smallpox.
Jenner took a sample of the lymph from a cowpox pustule on
the hand of a milkmaid and scratched it into the arm of a boy.
The boy developed a cowpox pustule as expected, but when
later challenged with lymph from a smallpox pustule he was
found to be completely immune. Jenner’s technique became
the accepted method of smallpox prophylaxis and it was from
the Latin for cowpox, vaccinia, that the word vaccine was
derived. Almost a hundred years later Louis Pasteur was to
extend the meaning of the word to indicate not only the
vaccine lymph used for the prevention of smallpox, but all
microbial preparations intended for the prevention of
infectious disease.
2040
Despite the success of smallpox vaccination, progress towards
the development of vaccines to prevent other infectious
diseases was insignificant until the last 25 years of the
nineteenth century.
Then, as men came gradually to accept the microbial theory
of infectious disease, the conditions matured for new
developments and the significant advances recorded in the
diagram (Fig. 37.1). Louis Pasteur, bearing in mind the work
of Jenner, developed strains of chicken cholera, anthrax, and
even rabies microbes, so attenuated in virulence as to be quite
innocuous when injected into animals but capable of inducing
immunity to the respective infectious diseases (Pasteur et al.,
1881). Three years later, in America, Daniel Salmon and
Theobald Smith (1884) showed that the same effect could be
obtained by the injection of killed microbes and between
1895 and 1898 in Britain, Almroth Wright used a suspension
of killed typhoid bacilli as a typhoid vaccine. Since that time
vaccines made from killed microbes have been used for the
prophylaxis of many diseases for, unlike the attenuated
vaccines of Pasteur, they are free from the danger of reversion
to virulence and the disasters which such a change would
inevitably entail. It is interesting to note, however, that the
latest virus vaccines (poliomyelitis, measles, rubella and
mumps) are all made from living attenuated viruses
manipulated with such care that the possibility of reversion to
virulence is very small.
2041
Fig. 37.1 Significant events in the history of vaccination and
serotherapy.
2042
toxin. The nontoxic toxin–antitoxin floccules formed in this
reaction were used with relative safety as a vaccine for
humans. Vaccines of this toxin–antitoxin type, however, were
regarded by many as potentially dangerous, because of the
possibility of dissociation with the release of toxin, and after a
time they were superseded by vaccines containing antitoxin
combined with toxin that had been converted by the action
of formaldehyde to nontoxic ‘toxoid’. Later the antitoxin was
omitted and the immunizing power of the toxoid was
improved by the addition of an alum salt (Glenny et al.,
1926). Still further improvements included the use of highly
purified toxoid and the use of aluminium phosphate (Holt,
1950) or aluminium hydroxide (Schmidt & Hansen, 1933)
instead of alum.
The need for technical developments held up the progress
towards the production of vaccines capable of preventing
virus diseases and it was not until 1937 that a third virus
vaccine suitable for general use was developed (Theiler &
Smith, 1937). It was yellow fever vaccine prepared from virus
grown in fertile hen’s eggs and was followed in 1944 by an
effective influenza vaccine made from influenza virus grown
in the same way (Salk et al., 1945). The need for living cells
in which to propagate the viruses required for these vaccines,
however, proved a continuing obstacle to rapid progress and it
was not until 1949 that this problem was overcome by John
Enders and his colleagues (Enders et al., 1949) who grew
poliomyelitis virus in tissue cultures of human embryo. By
doing so they pioneered the way in which tissue cultures
could provide the vast quantities of virus needed to make all
the various types of virus vaccine that are available today.
2043
The Immune State
Immunity is resistance to attack by microorganisms. Apart
from the natural resistance which most animal species have to
certain of the diseases which attack other species, immunity
depends on the presence in the serum of the immune
individual of modified γ-globulins known as antibodies. Such
antibodies, and the immunity they provide, may be acquired
either naturally as the result of a biological event or
artificially as the result of medication.
Natural immunity is the usual consequence of infection, either
overt or inapparent. The presence of the invading microbes
within the tissues of the host stimulate the production of
antibody, which not only eliminates the infection but provides
subsequent immunity to a further infection by the same
species of microbe. Since the immunity which follows
infection is a response of the host to the invading microbes it
is known as active immunity. Antibodies produced as a
consequence of infection are transferred during pregnancy
across the placenta from mother to fetus so that a newborn
infant is immune to those infections to which the mother is
immune. However, since there is no production of antibody
by the infant this form of natural immunity is known as
passive immunity.
Artificial immunity, like natural immunity, may be either
active or passive. Active artificial immunity is the immunity
which develops as a consequence of vaccination; following
successful vaccination, the presence of the vaccine in the
tissue of the host stimulates the production of antibody in
much the same way as a natural infection. On the other hand
the injection of antibody-containing serum obtained either
from man or animals induces a state of artificial passive
2044
immunity and it is on this technique that serum prophylaxis
and therapy are based.
Natural Resistance
2045
smallpox or yellow fever, for example, are very rare whereas
multiple attacks of influenza and the common cold are well
known. This may be due, in part, to the many different
serotypes causing the cold syndrome and a series of colds
may be caused by immunologically unrelated agents. Thus,
against antigenically stable viruses, antibodies are generally
effective but when the antigenic structure alters (influenza in
man, foot-and-mouth in animals) the immunity, based on
antibody, may fail. The same is true for some bacterial
infections. With cholera for example there are two serological
strains, Ogawa and Inaba and each has the El Tor biotype
differentiated by biochemical reactions. Indeed the bacterial
infections that have been most successfully mastered by
immunological methods are those caused by an exotoxin of
the organism for which the toxoid may be used as the specific
prophylactic.
In the early days of virology it was a common belief that
infection with a virus altered the cell susceptibility, thus
having a marked effect on reinfection, but the work of the last
20 years has given much more weight to the importance of
protection by specific antibodies. In many careful studies with
herpes, measles and poliomyelitis, immunity to the disease
coincides with the appearance of antibodies and passive
immunity which can reduce the severity of or completely
abort disease can be effected by injecting convalescent serum.
This is the basis of globulin therapy practised in the UK and
on a much larger scale in the USA.
It is not yet clear why immunity to some virus infections is
permanent or, indeed, why high antibody titres are maintained
for years. In studies with bacterial infections a high antibody
response is obtained to a reinforcing stimulus by the antigen.
It has been postulated, therefore, that the antibody titres after
measles and yellow fever, for example, could be maintained
2046
only by a continuous antigenic stimulation, but its source is
not always evident. After the majority of virus infections or
injection of a virus vaccine, however, the initial high antibody
titre falls but there is a rapid response to a booster dose.
2047
Interaction of virus and antibody has been studied in cell
cultures and it has been shown that the addition of antiserum
to cell cultures before the addition of virus, or the mixing of
the virus with antiserum before addition to cell cultures, will
prevent infection of the cells. No amount of antiserum added
after the virus has been in contact with the cells, however, it
will protect the culture (Andrewes, 1930). The antibody, in
combining with the virus particle, in some way prevents entry
into the cell. This combination is most effectively
demonstrated in the hemagglutination test with influenza
virus, which has the property of attaching itself to
mucoprotein receptors of red blood cells; aggregates are
formed and the red cells are agglutinated. The addition of
specific antiserum to the virus prevents this hemagglutination
since it coats the virus and blocks the initial combination of
virus and red cells.
In general it is clear that, whatever the protective mechanism
against disease may be, antibodies play a most significant part
and attempts at prophylaxis are concerned with obtaining the
greatest antibody response and maintaining circulating
antibody throughout life.
Passive immunity induced by the transference of preformed
antibody, although useful in an emergency, is not a procedure
that can be used for the elimination of disease from a
community. Frequent injections would be needed and
furthermore the passive immune host may be infected and
become a carrier of the disease without showing any clinical
symptoms. Active immunity is the only means of eradication
of a disease, and the time at which the antigenic stimulus
should be given and the nature of the antigen used are
important considerations.
2048
Response of the Subject
2049
Fig. 37.2 Responses of 10-week-old infants to two doses of
inactivated poliomyelitis (type 1 component) and their
responses to a booster dose given 10 to 12 months later. The
open circles represent infants giving a primary response.
2050
Age of the Infant
2051
Nature of the Antigen
Concentration
2052
The figures at the top of each column denote percentage of
children responding.
Adjuvants
2053
adjuvant. Osborn et al. (1952) showed that infants under two
weeks of age responded as well as older children to a single
dose of adsorbed tetanus toxoid.
2054
Because of the more acceptable method of administration,
many countries used live vaccine given orally on a mass scale
as soon as it became available, and this always resulted in
elimination of the disease from the community. From 1962,
live vaccine has been used in this country as a routine
immunization procedure, and although the disease has not
been entirely eliminated, the number of cases since 1965 has
been the lowest of the century and has remained at a low
level.
Immune Sera
Immune sera have the great advantage that they provide the
individual into whom they are injected with an immediately
effective supply of antibacterial or antiviral antibodies, or
antitoxins. Consequently, immune sera can be useful
prophylactically in unvaccinated persons exposed to
infection, and therapeutically in persons with established
infectious disease. In general, antitoxic sera have proved far
more effective than either antibacterial or antiviral sera and
thus it has been in the prophylaxis and treatment of diphtheria
and of tetanus that serotherapy has been most used. The
incidence of both these diseases, however, has been much
reduced during the last quarter of a century by active
immunization and thus the demand for diphtheria and tetanus
antisera is now relatively small.
The production of diphtheria, tetanus and gas gangrene
antitoxins is almost always carried out in horses. Healthy
horses are immunized with a series of injections of the
appropriate toxoid and, when a trial bleed shows that a
satisfactory amount of antitoxin is present, the animals are
bled from the external jugular vein. The blood is separated
2055
into cells and plasma and the plasma partly digested with
pepsin. The antitoxin is then precipitated from the digest with
ammonium sulphate, dialysed against water, concentrated by
ultrafiltration, brought to the desired concentration and filled
into containers.
Serotherapy as a method of prophylaxis suffers from two
serious disadvantages. The first is that immune horse serum
injected into a human is immediately recognized as foreign
protein, and is eliminated from the body so rapidly that even a
large dose is unlikely to provide protection for longer than a
few weeks. Moreover, as the proteins of horse serum are
antigenic in the human they stimulate the production of
antibodies against themselves and thus a second injection of
horse serum given at a later date is eliminated even more
rapidly. The second disadvantage is the occasional reaction
which certain individuals suffer following the injection of
foreign protein. Reactions to horse serum are particularly
likely to occur in individuals who have received an earlier
injection of this therapeutic agent and they may vary in
severity from a trivial rash to immediate death from
anaphylactic shock.
In the serotherapy of established disease the necessity to
neutralize circulating toxin usually outweighs the risks
attendant on the administration of immune horse serum.
Immune sera, therefore, still have a part to play in the
treatment of both diphtheria and tetanus, but it is usual for
these therapeutic agents to be administered only after tests
have shown that the individual to whom it is intended to
administer the serum is tolerant of horse serum proteins. For
victims of tetanus sensitive to horse serum proteins, antitoxic
serum prepared in sheep is available and in recent years,
human tetanus immunoglobulin has also become available.
2056
In countries where venomous snakes abound it is customary
for antisera to be prepared against the venoms of the
indigenous species. Such sera are generally used to infiltrate
the area of the bite and, by intravenous injection, to neutralize
circulating venom. The bites of the only species of venomous
snake in the UK, Viper bents, are not sufficiently dangerous
to justify the injection of antisera containing large amounts of
horse serum protein.
2057
of the toxin as determined in the first part. After standing as
before the mixtures are again injected into guinea pigs and
after four days it is again possible to observe which mixture
contained just sufficient free toxin to kill the guinea pig into
which it was injected. Since this mixture contains the L +
dose as determined in the first part of the test it must also
contain 1.0 unit of antitoxin. The concentration of antitoxin in
the material being tested may then be calculated from the
dilution factors involved. In everyday practice the L + dose is
seldom employed on account of the extravagant amounts of
antiserum and toxin used and it is usually replaced with the L
+/10 dose which provides equally satisfactory results.
Furthermore, the accuracy of the test is improved if several
guinea pigs are injected with each mixture. Since diphtheria
toxin is erythrogenic, however, it is possible to perform the
same type of test using erythema of guinea pig skin as the end
point rather than death. The dose of the toxin in this type of
test is known as the Lr (Limes Reaktion) dose and it is usually
used at the Lr/1000 level. The intradermal tests give results
which are in accord with the lethal test but has the advantage
of considerable economy, for as many as 20 mixtures may be
injected into the depilated flanks and back of a single animal.
Complementary to the in vivo methods for the titration of
diphtheria antitoxin is the in vitro flocculation technique. In
this method, serial dilutions of antitoxin, usually in the range
20–40 units per ml are mixed with a constant amount of toxin.
The mixtures are partly immersed in a water bath at 44°C so
that convection currents ensure continuous mixing and after a
variable time the union of antitoxin and toxin produces
readily visible flocculation. The time taken for flocculation to
appear is dependent on the relative concentrations of the two
reagents and in the tube that flocculates most rapidly the
reagents are said to be in optimal proportions. Such a mixture
2058
is said to contain a number of Lf of toxin equivalent to the
number of units of antitoxin in that mixture. If serial dilutions
of an antitoxin of unknown potency are then mixed with the
same amount of toxin under the same conditions, and the
mixture that flocculates first is again observed, this mixture
will contain antitoxin and toxin in amounts equivalent to the
amounts of these reactants in the tube that flocculated first in
the first part of the test, and thus the potency of the antitoxin
can be calculated.
Tetanus antitoxin can be titrated for neutralizing and
flocculating potency by methods similar to those used for
diphtheria antitoxin except that, since tetanus toxin is not
erythrogenic, the intradermal test cannot be used. However,
since tetanus toxin readily kills mice, considerable economies
can be made by using mice instead of guinea pigs. Gas
gangrene antitoxins are titrated by the lethal method using
mice and an intravenous technique for the injection of the
mixtures.
Vaccines
Laboratory Control
2059
different vaccines are being made on the same premises, there
must be physical separation of the two processes.
Even with these precautions there are some products that
should never be made in the same building since accidental
contamination may have serious consequences. For example,
tetanus vaccine should always be made in a separate area and
a living infectious vaccine given by the oral route (e.g. oral
poliomyelitis vaccine) should not be made in the same
building as a vaccine given parenterally.
Buildings are expensive and the problem of using a single
building for the production of several substances is often
overcome by sequential production. After a sufficient quantity
of any particular vaccine has been made, the building is
sterilized with such chemicals as formalin or ethylene oxide,
washed down or redecorated, and the production of a second
vaccine begun.
The safety tests applicable to any biological substance are
determined by the potential hazards that may arise in the
course of production and in considering vaccines it is suitable
to discuss these under (1) the seed strain, (2) the substrate,
and (3) tests for adventitious agents and (4) safety tests.
Although the production of bacterial and virus vaccines have
several principles in common, these are better considered
separately.
Less than twenty years ago the name ‘vaccine’ would have
been more closely associated with a toxoid or pertussis
vaccine and less likely to bring to mind a virus vaccine, yet in
spite of the enormous modern developments in virus vaccines
little change has taken place in bacterial vaccines in this time.
2060
The two toxoids (diphtheria and tetanus), pertussis (a killed
bacterial vaccine) and Bacillus–Calmette–Guerin (BCG, a
living bacterial vaccine) are the only successes, whereas
vaccines against staphylococci, typhoid and cholera are less
satisfactory. In general, the control of bacterial vaccines is not
so complicated as that of the virus vaccines.
2061
growth, bacterial size and reaction of guinea pigs to
intradermal injection are significant tests.
2062
Control of the bacterial count is essential, as are tests to
ensure that the course of infection on animal inoculation
follows its usual pattern.
Virus Vaccines
2063
in the most recent epidemics, the composition of influenza
vaccines is constantly under review.
For vaccines prepared from living attenuated viruses the data
required for the approval of a seed strain are much more
complex. Invariably the originally isolated wild virus is
attenuated in cell cultures (e.g. monkey kidney tissue
incubated at 35°C was used for poliomyelitis viruses whereas
chick embryo fibroblast cultures were used to attenuate
measles virus). A change in pathogenicity of the virus as
shown by some laboratory animal tests (e.g. attenuated
poliomyelitis viruses no longer paralysed monkeys and
attenuated measles virus no longer produced a rash in
monkeys) gives an indication that the virus may now be
subjected to a small pilot clinical trial to test reactivity in
man. This is followed by larger trials to prove safety and
immunogenicity and general acceptability when used on a
wide scale. Having carried out such courageous and carefully
controlled trials, leading to the approval of the particular
strain for vaccine production, it is important that the control
tests ensure that the approved seed virus has not changed
during production of the vaccine. It is essential to ensure that
the attenuated strain has not reverted to the wild strain, which
may be dangerous, and it is equally important to ensure that
the strain has not become further attenuated and possibly less
immunogenic.
Having selected the seed strain and tested the seed pool for
the presence of extraneous agents or an undesirable biological
property the ‘seed virus system’ is rigidly applied. In such a
system the seed pool is kept frozen or dried in suitable
aliquots and each production batch of vaccine originates from
the approved seed. For the live attenuated vaccines the
production batch must not be more than a limited number of
passages from the seed strain, the absolute number of which
2064
is determined by the genetic stability of the virus. For
example, measles vaccine may be as many as ten passages
from the seed virus whereas Type 3 poliomyelitis virus must
not exceed two passages.
2065
Fig. 37.5 Diagrammatic representation of the testing of live
virus vaccines.
The control tissue and the tissue used for vaccine production
are incubated under identical conditions and the fluids are
taken for examination at the time the production tissue is used
for virus inoculation and harvest. In addition, the control
tissue is incubated for 10–14 days after the virus is harvested
from the production tissue and a further search is made for
extraneous viruses.
2066
Tests on Virus Harvest
The virus harvest from the cell cultures shown to be free from
contaminating viruses is also subjected to stringent tests for
extraneous agents. These tests differ from those of the control
cell cultures since there is now a large population of vaccine
virus which must be neutralized with monospecific serum
before a search is made for extraneous viruses. Tests in a
number of different cell cultures and in small animals are
done in an attempt to cover all possible contaminating
viruses.
Extraneous agents are detected by cytopathic effects, by
interference effects in cell cultures, or by clinical signs in
animals and there are a number of techniques available to
detect the presence of unknown contaminants. Not all viruses
cause cytopathic degeneration of cell cultures and some (e.g.
the fowl leucosis viruses and rubella virus) may be detected
only by their ability to make the infected cell cultures
resistant to challenge by a second virus normally causing
cytopathic degeneration in uninfected cultures—hence the
name of interference. Some viruses may also be detected by
staining the cell sheets with nucleic acid fluorescent stains,
and others may be revealed by the examination of cell
cultures under the electron microscope.
Contaminating viruses are most likely to be isolated at the
time of virus harvest because it is at this stage that some
vaccines are killed by the addition of formalin or
β-propiolactone. With killed vaccines it is essential to follow
the course of virus inactivation and any deviation from the
normal must be regarded as a danger signal. After a specific
time of inactivation, tests are done to ensure complete
inactivation and further searches made for extraneous agents.
2067
All ‘in process’ tests applied during vaccine production can
be made only by the manufacturer but all tests on the final
bulk material are done by both the manufacturer and the
control laboratory. These tests for extraneous agents are the
most expensive and time consuming part of safety testing. No
test can be taken as an absolute guarantee of freedom from
extraneous agents and the confidence limits are dependent
upon the plating efficiency of the cell system. It is quite likely
that they are no better than those of a bacterial sterility test.
The pattern of safety testing of virus vaccines is now almost
stereotyped and the stages are shown in the summary in Fig.
37.6.
2068
Fig. 37.6 Stages in the testing of a virus vaccine.
Potency Tests
2069
vaccinated animals with live microbes of the type against
which the vaccine is intended to protect, in others it is the
measurement of antibody titres, and in yet others it is
screening of the sera of the vaccinated animals for an
arbitrary level of antibody. All these methods depend on the
relationship which exists between the logarithm of the dose of
the antigen administered and the magnitude of the antibody
response. This relationship, known as a dose–response curve,
is generally sigmoid in character (Fig. 37.7). The middle
range of the response, however, is sufficiently linear to be
used to compare the potencies of any two vaccines of the
same type which have slopes of the same steepness.
2070
groups of mice are immunized with comparable dilutions of a
standard vaccine. Fourteen days later all the mice are
challenged intracerebrally with live pertussis microbes, and
after a further fourteen days the survivors in each group are
counted and a graph constructed as shown in Fig. 37.8. The
graph is then used to calculate the doses of each of the
vaccines which would protect half the mice from death due to
the challenge, so comparing the vaccine on test with the
standard vaccine—in this case a five-fold difference.
2071
described in the British Pharmacopoeia are examples of this
type of test. Both tests involve immunization of a group of
guinea pigs at a single point on the dose–response curve. The
criterion of adequate potency in tests of this type is a fixed
and arbitrary level of antibody response which, in the case of
diphtheria toxoid (plain), is determined from the results of
intradermal challenge with a standard dose of diphtheria toxin
and, in the cases of diphtheria toxoid (adsorbed) and tetanus
toxoids, involves measurement of the antibody titres of the
sera of the inoculated animals.
A test which is similar in principle but rather different in
execution is frequently used for the assay of the potency of
killed poliomyelitis vaccine. In this test groups of chickens
are immunized with serial dilutions of vaccine and after six
days the animals are killed and bled out. The chicken sera are
then screened for antibody at a single arbitrary level and the
dilution of vaccine calculated which evokes in 50 per cent of
the chickens an antibody response equivalent to the level at
which the screening is operated. By this method, the potency
of all three antigenic components of a poliomyelitis vaccine
may be compared with the potency of the corresponding
standard vaccines.
The potencies of live vaccines such as BCG, smallpox,
poliomyelitis vaccine and measles vaccine cannot be assayed
by dose–response curve methods as the microbes of each of
these vaccines either infect or fail to infect the individuals to
whom they are given and thus they evoke an ‘all or none’
response. However, since larger doses of live vaccines
generally produce a larger percentage of infections, the
efficacy of vaccines of this type may be estimated
approximately by counts of viable particles. These are
performed by colony counting methods on bacteriological
media in the case of BCG vaccine, and by infectivity
2072
titrations or plaque counting methods in eggs or on cell
monolayers in the case of the virus vaccines.
2073
important antigen. Clinical trials of vaccines in areas where
the disease is endemic are the only means of obtaining such
information, but as these are difficult to arrange progress
tends to be slow. The salient features of each vaccine are as
follows.
Anthrax
Cholera
2074
Diphtheria
Leprosy
2075
Plague
Tetanus
2076
Tuberculosis
Typhoid
2077
concerning the best method of killing the organisms and at the
same time preserving the protective antigen. Some trials have
shown that phenolized vaccine is better than that made from
alcohol killed organisms and more recent trials have shown
that acetone killed and dried vaccine may be the most
effective. None of the vaccines is ideal and protection does
not last long.
Whooping Cough
Virus Vaccines
Influenza
2078
appearance of antigenic variants to the different virus strains.
The first influenza A strain was isolated in 1933 and antigenic
variation within this strain was recognized when viruses
recovered from different epidemics were not antigenically
identical. In 1946, an antigenic variant of influenza A
appeared in Australia. This spread throughout the world and
all epidemics for the next few years were caused by the A1 (A
prime) strain until in 1956 another new A variant named A2
or Asian virus appeared. This A2 strain was responsible for
the pandemic of 1957. The antigenic differences between the
influenza A viruses are small compared with the marked
difference in the antigenic properties of a virus which caused
influenza in New York in 1940 and, for differentiation, was
called Type B. Antigenic variants of Type B have also been
found since 1940, although the differences between them are
not so marked as those between the Type A strains. In 1949, a
virus from a sporadic case of influenza was isolated and
found to be antigenically distinct from Types A and B and
was termed influenza Type C; this strain, however, has been
found only in minor respiratory cases and has not been
involved in any epidemic.
The production of an effective prophylactic requires the
inclusion of strains of both Types A and B isolated during the
most recent epidemic and unless a new variant appears there
is much evidence to show that the vaccine will be effective.
Influenza virus for vaccine manufacture is prepared in
embryonated hen’s eggs. The vaccine is prepared by
harvesting the allantoic fluid at a suitable time after the virus
inoculation of the allantoic cavity (Fig. 37.9). The harvested
material is purified, killed with formalin and usually
concentrated by centrifugation. The Type A and Type B
components are standardized by hemagglutination titrations
before dilution and blending into a vaccine. In some vaccines
2079
a mineral carrier or oil adjuvant is incorporated and although
such vaccines have stimulated higher antibody responses they
have not received general acceptance.
2080
Parainfluenza
Adenovirus
Both killed and live vaccines have been used in the USA on a
large scale, particularly in military units, and have given good
protection. Recently, however, it has been shown that some
serotypes of this group (including 3, 7, 12, 18 and 31) are
oncogenic (tumour producing). Although an enteric coated
capsule of adeno 4 living virus vaccine is still being used with
success, the other vaccines may have to await purification of
the virus components.
Rhinovirus
2081
possibility of controlling the infections with a vaccine is
remote.
Smallpox
2082
chorioallantoic membranes or monolayer cultures of chick
embryo or rabbit kidney cells. The resulting vaccine is
bacteriologically sterile and equal in prophylactic value to the
conventional product.
Chickenpox (Varicella)
Yellow Fever
2083
vaccine not used within 30 min should be discarded because
of the instability of the virus. Administration of the 17D
vaccine by scarification although possible is not as effective
as by subcutaneous injection. Two scratch vaccinations
separated by an interval of 14 days using a mouse brain 17D
vaccine have been shown to give 98 per cent protection and
may soon be acceptable for general use.
2084
hundreds of thousands of American troops in the Far East
between 1942 and 1945. In 1942, the Russians used a similar
vaccine which was effective against Russian autumn
(Japanese B) encephalitis. A chick embryo vaccine was used
over a 3-year period in children in an endemic area in Japan
and a reduced incidence of illness resulted in the vaccinated
group.
The use of this vaccine has been abandoned by the United
States Armed Forces and a more purified mouse brain
preparation (protamine-treated) is being used for the
vaccination of children in Japan and some other countries.
Recently the virus has been attenuated by workers in Japan
and the USA; the attenuated strain is grown in hamster kidney
cells in a serum-free medium and the killed vaccine prepared
from it is believed by some to be safer and more antigenic.
2085
Dengue
Louping-Ill
2086
β-propiolactone suggest that it may be possible to produce a
suitable vaccine.
Poliomyelitis
2087
course of immunization consists of two doses given by the
intramuscular route at an interval of 4–6 weeks followed by a
third similar dose given 9–12 months later. A fourth dose is
recommended 5–6 years later but nothing is known of the
necessity for further booster doses to maintain lifelong
immunity. The killed vaccine can be incorporated with
diphtheria, tetanus and pertussis prophylactics into a
quadruple vaccine.
The live vaccine is also made by infecting monkey kidney or
human embryo lung fibroblast cell cultures but with
attenuated virus strains shown to be safe by large-scale
clinical trials. The virus suspensions are harvested 3 days later
and stringent control procedures ensure, as far as possible,
that no changes have taken place from the original strains
during the course of production. In many countries the
vaccine is given orally as monovalent virus in the order Type
1 followed by Type 3 and finally Type 2 with an interval of 6
weeks between each dose. In this country, in Canada and in
Russia three doses of trivalent vaccine are given at 6- to
8-week intervals and a reinforcing dose is given at school
entry. In Russia, a dose of vaccine is given each year to
children between 2 months and 3 years and little is known
about the period of immunity following primary
immunization.
Rabies
2088
slowly travelling centrally via peripheral nerves its
establishment in the brain may be prevented. Modern practice
combines passive and active immunization to attain a high
concentration of antibody as rapidly as possible. The majority
of rabies vaccines used today consist of suspensions of virus
infected sheep, rabbit or mouse brain tissue (usually 5 per
cent w/v) and the virus may be inactivated by exposure to
phenol (Sample type), β-propiolactone or ultraviolet
irradiation. In the wet state rabies vaccine has a limited life
even when stored between 2 and 5°C. Lyophilized vaccine is
more stable, but only a very small proportion of the total
output of rabies vaccine is dried. The presence of nerve tissue
in the vaccine makes it potentially dangerous since it may
induce demyelination in the patient analogous to the ‘allergic’
experimental encephalomyelitis which can be produced in
experimental animals by the injection of either homologous or
heterologous brain tissue. The reported incidence of this
complication of antirabic treatment varies from country to
country, but is probably between 1:4000 and 1:10,000 of the
patients treated. In any case, even a ‘light’ course of treatment
produces extremely painful local reactions to the later
injections.
Antirabic treatment, therefore, must not be embarked on
without careful consideration, but if it is decided that
treatment is necessary, every effort must be made to ensure
that it is successful. Bites and other wounds should be given
local treatment by thorough washing with soap or detergent
and water. Bites by wild vectors (wolves, foxes, skunks, bats,
mongooses, etc.) or severe exposure (multiple or face, head,
neck or finger bites) call for the immediate application of
antirabies serum, some of which should be infiltrated around
and beneath the wound if this is possible. The recommended
dose of serum is not less than 40 IU per kg body weight. At
2089
least 14 daily doses of vaccine should be given (up to 21 after
severe exposure); and where serum is given, supplemental
doses of vaccine should be given 10 and 20 days after the
completion of the treatment. If possible the supplemental
vaccine should be nonencephalitogenic.
Vaccine prepared from nonneural tissue should be free from
encephalitogenic material. To this end rabies virus strains
have been adapted to growth in chick and duck embryos. Live
avianized vaccines of attenuated virulence are not widely
used because of the difficulties in producing batches of
uniformly adequate potency. However, virus grown in duck
embryos and inactivated by β-propiolactone appears to be
reasonably effective. A different approach to the preparation
safe rabies vaccine is to grow the virus in the brains of very
young animals. Infected brains harvested before the start of
myelination are a rich source of fixed rabies virus, but the
brains appear devoid of encephalitogen when tested in guinea
pigs. Vaccines prepared in Chile, the USSR and Holland from
brains of suckling mice, rats and rabbits have had very
satisfactory potencies by the usual tests. Human subjects
immunized with them have developed higher concentrations
of neutralizing antibody than controls immunized with
conventional nervous tissue vaccines. However, the large
numbers of immature animals needed and the difficulties
associated with their care make it improbable that this type of
vaccine will displace the more usual sample type, except for
limited use in special circumstances.
Rabies antiserum is usually produced in horses. The animals
are primed by a course of injections of inactivated fixed virus
in nervous tissue and subsequently hyperimmunized by
repeated courses of fully infectious fixed virus. Plasma from
hyperimmune horses may be concentrated and refined by the
same methods used for antitoxic sera, including peptic
2090
digestion. In practice, reactions to even refined globulins have
about the same incidence as reactions to other refined antisera
of animal origin, and the usual precautions should be taken to
avoid them.
Active immunization against rabies will remain an
unsatisfactory procedure until highly potent, safe, inactivated
vaccines are available. Current research on the suitability of
human diploid cells and other types of cell culture as
substrates for the growth of high concentrations of rabies
virus is now showing great promise and safe vaccines will be
available in the foreseeable future.
Hepatitis
2091
Measles (Rubeola)
2092
Although γ-globulin is not very effective in treatment it has
been used successfully to prevent infection in contacts. The
best results were obtained with 1.5g given within a week of
exposure. Delay should be avoided and where there is more
than one exposure at intervals of longer than 2 or 3 weeks a
further dose should be given after each contact.
Administration of γ-globulin is unnecessary after the first 3
months of pregnancy as rubella rarely infects the fetus in the
later months.
In 1966, Meyer et al. in America announced the successful
attenuation of the rubella virus after 77 passages in African
green monkey kidney cell cultures (HPV 77 strain). The
attenuated virus was given to children in a nursery with some
uninoculated children serving as controls. Antibody appeared
in all inoculated children but in none of the controls.
Although the virus could be isolated from some of the
inoculated children all specimens from the control children
were negative.
Vaccines are now available prepared from any of three
strains:
1. the HPV 77 further attenuated in either duck embryo
fibroblast cells HPV 77 DE 5 or dog kidney cells HPV 77 DK
12,
2. the Cendehill strain isolated in monkey kidney tissue and
attenuated in rabbit kidney cells, and
3. RA27/3 strain isolated and attenuated in human diploid
embryonic lung fibroblast cell cultures.
All vaccines give good antibody response with little reaction
in children and it is hoped that protection against the disease
will last many years. In adults, however, the HPV 77 DK 12
vaccine has given an unacceptably high incidence of reactions
and this vaccine has been withdrawn from the market. In the
2093
UK vaccine is being given to girls between the age of 11 and
13 years.
Trachoma
2094
Balance of Risks
References
2095
Gaisford W, Feldman GV, Perkins FT. J. Pediat. St Louis.
1961;58:493.
Gitlin D, Gross PAM, Janeway CA. N. Engl. J. Med.
1959;260:21.
Glenny AT, Pope GC, Waddington H, Wallace V. J. Path.
Bact. 1959;29:31.
Holt LB. Development in Diptheria Prophylaxis. London:
Heinemann; 1950.
Jenner E. An Inquiry into the Causes and Effects of the
Variolae Vaccinae. London: Low; 1798.
Kendrick PL, Eldering G, Dixon MF, Misner J. Am. J. Publ.
Hlth. 1947;37:803.
Kitasato S. Z. Hyg. Infec. Kr. 1889;7:225.
Loeffler F. Mitt. Reichsgesundt. Amt. 1884;2:421.
Medical Research Council. Brit. Med. J. 1958;i:79.
Meyer HM, Carey DE, Reuben R, Jesudass E, Rantz CDS,
Jadhav M. Ind. J. Med. Res. 1965;53:694.
Osborn JJ, Dancis J, Julia JF. Pediat. Springfield. 1952;9:736.
Pasteur L, Chamberland C, Roux E. C. R. Hebd. Seanc. Acad.
Sci. Paris. 1881;92:1378.
Perkins FT, Yetts R, Gaisford W. Br. Med. J. 1958;11:68.
Perkins FT, Yetts R, Gaisford W. Br. Med. J. 1959;i:680.
Perkins FT, Yetts R, Gaisford W. Br. Med. J. 1959;ii:530.
Perkins FT, Yetts R, Gaisford W. Br. Med. J. 1959;i:1083.
Sabin AB. Br. J. Exp. Path. 1935;16:70. 84, 158, 169
Salk JE, Menken WJ Jr., Francis T Jr.. Am. J. Hyg.
1945;42:57.
Salmon DE, Smith WJ. Proc. Soc. Biol. Wash. 1884;3:29.
Schmidt S, Hansen A. Acta Path. Microbiol. Scand.
1933;16(Suppl.):407.
Theiler M, Smith HH. J. Exp. Med. 1937;65:787.
Todd C. Br. J. Exp. Path. 1928;9:244.
2096
Chapter 38
Antibiotics
Microorganisms produce a great diversity of metabolites with
structures as simple as that of ethanol or as complex as that of
a polypeptide antibiotic. The biological activity of these
metabolites has been long known; Pasteur in 1877 observed
that the growth of Bacillus anthracis was inhibited by
contamination with other bacteria and in 1896 Gosio found
that Penicillium brevi-compactum produced a substance,
mycophenolic acid, which although bacteriostatic towards the
anthrax bacillus was too toxic for clinical use.
In 1929 Fleming observed that Penicillium notatum produced
a substance which inhibited the growth of Staphylococcus
aureus and other Gram-positive organisms. He suggested that
the culture filtrate, which was nontoxic, could be used for the
treatment of infections and named the active constituent
penicillin. With the facilities then available, Fleming was not
able to isolate and purify penicillin and it was not until after
the outbreak of war in 1939 that the potential of this
substance was fully appreciated and it received the intensive
investigation necessary to isolate, purify and elucidate its
structure. This work was carried out at many centres in the
UK and the USA and the results were published in The
Chemistry of Penicillin (Clarke et al., 1949).
In 1944 Waksman isolated streptomycin from a culture of
Streptomyces griseus; the value of this antibiotic lay in its
broad spectrum of activity against Gram-positive and
negative organisms and Mycobacterium tuberculosis. This
discovery accelerated the search for other antibiotics, and soil
samples from all over the world were screened for the
2097
production of biologically active metabolites. Many
thousands of moulds and bacteria have been examined and
activity has been found in several thousand strains. From
many of these the active substance has been isolated and its
structure elucidated by chemical degradation and physical
studies. Some of the more common antibiotics found in this
way are given in Table 38.1.
2098
Erythromycin Streptomyces Gram-positive,
(1952) erythreus some Rickettsia,
some viruses
Novobiocin Streptomyces Gram-positive,
(1956) spheroides, some negative
Streptomyces niveus
Fusidic acid Fusidium coccineum Broad, penicillin
(1962) resistant
staphylococci
Gentamicin Micromonospora Broad, particularly
(1963) purpurea Gram-negative
2099
the culture. To test these or the pure cultures for antibiotic
activity they are then grown in agar media and when growth
has been established plugs are
cut out and incubated on large agar plates seeded with a test
organism (frequently Staphylococcus aureus). Where the
culture has produced an antibiotic and inhibited the bacterial
growth, a clear zone is obtained. Alternatively, the organism
may be grown in a liquid medium and the filtered brew
placed in cups cut into a seeded agar plate, again giving zones
of inhibition similar to those shown in Fig. 38.5.
Having established that an organism produces an antibiotic, it
is tested against a range of bacteria in order to obtain an
indication of its possible clinical value and the extent to
which the activity is novel.
The next stage in the study is the growth of the organism on a
laboratory scale, using 5- or 10-litre vessels (Fig. 38.1) to
define some of the conditions required for its production by
deep culture. These studies include the effects of medium
composition, pH, fermentation time, aeration and stirring
rates and inoculum size. Methods for the isolation of the
metabolite are also studied, the usual method being extraction
with a variety of water-immiscible solvents over a range of
pH. Purification may be achieved by crystallization of a
suitable salt, ion-exchange chromatography or adsorption
followed by extraction, but in the case of a mixture, or an
intractable product, it is sometimes only possible to obtain a
freeze-dried extract at this stage.
2100
Fig. 38.1 Laboratory fermenter.
2101
Fig. 38.2 Fermentation pilot plant.
Antibiotic Production
Originally penicillin was produced by surface culture, the
mould being grown in small static containers, the mycelium
forming a mat on the surface of the medium. In spite of the
extremely cumbersome nature of the process it was used for
all the early production of penicillin in the UK. The
production of penicillin was revolutionized by the discovery
at Peoria, that a strain of Penicillium chrysogenum (obtained
from an over-ripe Cantaloupe melon) would produce high
yields of penicillin under conditions of deep or submerged
2102
culture. The growth of a mould is aerobic and, in surface
culture, growth and production of antibiotic is limited by the
rate at which oxygen can diffuse into the medium. In
submerged culture the mould is grown in an agitated tank and
supplied with a continuous flow of air to give nonlimiting
conditions.
The medium used in fermentation will vary for the particular
antibiotic being produced but all media contain a source of
carbon, which may be lactose or glucose, nitrogen as
ammonium salts and trace elements such as phosphorus,
sulphur, magnesium, iron, zinc and copper. In addition,
corn-steep liquor is added for penicillin production and soya
bean meal and dried distillers residues for streptomycin; these
provide various factors which increase the yield of product.
Before use, the medium as well as the fermentor and
associated equipment is steam sterilized, since bacterial
contamination could destroy the antibiotic.
The selected culture is transferred from storage as the master
culture first to an agar slope, then to culture to give a seed
suspension, and finally it is grown in seed vessels in the plant
for 24–48h before transfer to the main fermentors (Fig. 38.3).
Fermentation is continued for 3–5 days during which period
the vessel is cooled to keep the temperature between 23 and
27°C, stirred and aerated with sterilized air. The introduction
of large volumes of air causes frothing which is controlled by
the addition of antifoams such as lard oil, octadecanol or
silicones.
2103
Fig. 38.3 Production fermenters.
Antibiotic Assay
When fermentation is complete the mycelium is removed on a
rotary filter and the antibiotic extracted with an organic
solvent, after adjustment of the pH. Alternatively, as with
streptomycin, the brew is passed through a carboxylic acid
resin from which it is subsequently removed with dilute acid.
The extracted antibiotic is converted into the particular
derivative which is to be used, products for injection being
rendered sterile by passage of their solution through
sterilizing filters followed by final crystallization or
precipitation under sterile conditions.
When a new antibiotic has been isolated it is essential to have
an assay method available in order to follow the processes of
purification, its distribution within the blood and tissues when
given to animals and finally humans, and also the potency of
the various formulations used. In the absence of a chemical
method, a biological assay against a standard sample of
agreed potency is performed, using a suitable test organism.
2104
A biological assay is also used for the determination of low
concentrations of an antibiotic, such as are obtained in blood
and urine, where a chemical assay might be insufficiently
sensitive.
The cup–plate method, which is preferred, requires the test
organism to be very sensitive to the antibiotic, giving clear
zones of inhibition with well marked changes in zone
diameter with small changes in concentration. The antibiotic
must also diffuse readily through the agar medium; if this is
not so, assay is carried out using serial dilution or
turbidimetric methods to measure its effect upon the test
organism.
Petri dishes or rectangular glass trays are filled to a uniform
depth with nutrient agar medium which has been inoculated
with a suitable organism. The British Pharmacopoeia 1973
lists organisms to be used, e.g. Bacillus pumilus for
erythromycin, Bacillus subtilis for novobiocin, etc. When the
agar has solidified, sterile cylinders of glass, stainless steel,
porcelain or aluminium 5mm in diameter are placed on the
surface. Alternatively, holes 5–8mm in diameter are cut into
the medium using a sterile borer. Solutions of various
concentrations of the standard and also solutions of the
preparation under test, presumed to be of similar
concentration, are placed in the holes. When petri dishes are
used (Fig. 38.4) the standard and test solutions are alternated
in the dishes, and when rectangular trays are used (Fig. 38.5)
the solutions are arranged in the form of a randomized Latin
square. The plates are then maintained at room temperature
for 2h to allow the antibiotic to diffuse into the medium.
2105
Fig. 38.4 Cup–plate (top) and cylinder–plate (bottom) assay.
2106
Fig. 38.5 Cup–plate assay in a tray.
Penicillins
From 1940 on, the penicillins were the subject of considerable
investigation at a number of industrial and university
laboratories in the UK and in 1943 this collaboration was
extended to the USA. During the early days of this research,
considerable differences in analytical and degradative results
were obtained from different laboratories. These were
resolved when it was demonstrated that the mould produced
six different penicillins. In the UK the medium used was
synthetic and penicillin F was the main product while in the
USA corn-steep liquor was added to increase the yield of
2107
penicillin and here penicillin G was the major product. Early
studies on the structure of penicillin were hampered by the
low yields and purity of the unstable product. Later when
crystalline material became available, the structure was
elucidated by degradation and partial synthesis and confirmed
by X-ray crystallographic analysis.
The molecule was shown to contain a carboxyl group, a
β-lactam ring (four-membered cyclic amide) fused to a
thiazolidine ring (five-membered ring containing nitrogen and
sulphur) and an acyl amino group, and the various penicillins
differed only in the structure of the acyl group, R, of the side
chain. The general structure is:
Penicillin Breakdown
2108
however, reactive and it is at this ring that attack can occur to
give a variety of products the structure of which depends on
the particular conditions.
Applications of Benzylpenicillin
2109
treatment of a wide range of infections. Almost all the
Gram-positive and some of the Gram-negative pathogens are
sensitive, e.g. S. aureus, S. pyogenes, S. pneumoniae, C.
welchii, B. anthracis, N. gonorrhoeae.
In moderately acid solution the carbonyl group of the side
chain reacts with the β-lactam ring to give a penicillenic acid
while at a lower pH, and particularly in the presence of heavy
metals, a penillic acid is formed by such a reaction followed
by a complex series of rearrangements. Because of the ready
decomposition of most penicillins under acid conditions they
are usually administered as their neutral salts.
Forms of Benzylpenicillin
2110
(N:N′-dibenzyl-ethylenediamine) are used. Procaine penicillin
will give detectable blood levels after 24h and benzathine
penicillin after several weeks.
Assay of Benzylpenicillin
Phenoxymethylpenicillin
2111
Applications of Phenoxymethylpenicillin
Forms of Phenoxymethylpenicillin
Assay of Phenoxymethylpenicillin
2112
penicillins, the phenoxymethylpenicillin content is also
determined photometrically.
Semisynthetic Penicillins
2113
Pseudomonas aeruginosa. Further penicillin derivatives are
given in Table 38.2.
R Penicillin
Phenethicillin
dl-configuration dl-α-phenoxyethylpenicillin
Methicillin 2:6-dimethoxyphenylpen-icillin
Cloxacillin
3-(2-chlorophenyl)-5-meth-yl-4-isoxazolylpenicillin
Flucloxacillin
3-(2-chloro-6-fluoro-phenyl)-5-methyl-4-isox-azolylpen
Ampicillin d(-)-α-aminobenzylpenicillin
Amoxycillin d(-)-α-amino-p-hydroxy-benzyl-penicillin
2114
Carbenicillin dl-α-carboxybenzylpen-icillin
*Assymetric carbon
2115
orally as its zwitterion of low water solubility or by injection
as its soluble sodium salt.
Amoxycillin: Similar in activity to ampicillin but much better
absorbed from the gastrointestinal tract, giving considerably
higher blood levels. Administered orally as its zwitterion.
Carbenicillin: Broad spectrum with predominantly
Gram-negative activity extending to Escherichia coli,
Pseudomonas aeruginosa and strains of Proteus vulgaris,
Proteus rettgeri and Proteus morganii. Carbenicillin is not
absorbed orally and is administered parenterally as its highly
soluble disodium salt.
Cloxacillin
2116
Carbenicillin: This is official as the disodium salt which is
used for injection.
Cephalosporins
In 1945, Brotzu isolated from a sewage outfall in Sardinia a
strain of Cephalosporium which produced metabolites with
some activity against typhoid. Studies by Abraham and
Newton (Abraham, 1967) showed that the mould produced a
complex mixture of antibiotics one of which, cephalosporin
C, was active against Gram-negative and penicillinase
producing organisms. Chemical degradation followed by
X-ray crystallographic analysis showed that the structure was
related to the penicillins in that it also contained a β-lactam
2117
ring bearing an acylated amino group, but it was fused to a
dihydrothiazine ring instead of the thiazolidin-c ring present
in penicillins.
Applications of Cephalosporins
Cephaloridine
2118
Cephalothin
Cephaloglycine
2119
Cephalexin
Cephaloridine
Cephalothin
Cephaloglycine
Cephalexin
Assay of Cephalosporins
2120
determined by reaction with bromine and potassium cyanide
to give a red colour which is estimated photometrically.
Chloramphenicol
Chloramphenicol was isolated in 1947 from a culture of
Streptomyces venezuelae and chemical degradation showed
that the structure was d(–)-threo-2-dichloroacetamido-1-p-
nitrophenyl-1:3-propanediol. The most surprising feature of
this relatively simple compound was the presence of an
aromatic nitro group, which was previously unknown in
nature.
Applications of Chloramphenicol
2121
The water-soluble monosodium salt of the hemi-ester of
succinic acid is used parenterally.
Forms of Chloramphenicol
Polypeptide Antibiotics
The polypeptide antibiotics all consist of amino acids linked
by peptide bonds into cyclic structures of some considerable
complexity containing unusual amino acids and saturated
aliphatic acids.
Bacitracin
Applications of Bacitracin
2122
Polymyxin
Polymyxin B
Pyocyanea
Colistin
2123
Carbohydrate Antibiotics
This group, of which the most important members are
streptomycin and neomycin, is produced by streptomycetes.
They are basic compounds giving crystalline, water-soluble
salts and consist of sugars and amino sugars linked
glycosidically.
Streptomycin
2124
Streptomycin is a triacidic base consisting of three units;
streptidine, a diguanidino derivative of inositol; streptose, an
aldose, and N-methyl-l-glucosamine.
Early production of streptomycin was by surface culture,
meat extract, peptone and sodium chloride being added to the
medium. Subsequently, it was found that deep culture
techniques were applicable, the meat extract could be
replaced by a much cheaper extract of soya bean meal and
distillers’ solubles and this process is now used on a large
scale. After fermentation and clarification of the broth, the
antibiotic is absorbed on to a carboxylic acid ion-exchange
resin and then eluted from the washed resin with dilute acid.
The concentrated streptomycin salt solution so obtained is
then purified by crystallization of the complex formed
between two molecules of streptomycin trihydrochloride and
one of calcium chloride. From this purified salt the sulphate is
prepared, either crystalline for oral use, or sterile for injection.
Catalytic hydrogenation of the aldehyde group in
streptomycin gives the corresponding alcohol,
dihydrostreptomycin which was thought to be less toxic than
the parent compound; this is now believed not to be so and
the compound is no longer described in the British
Pharmacopoeia.
Applications of Streptomycin
2125
used for the treatment of gastrointestinal infections and
sterilization of the gut prior to abdominal surgery. The most
serious side effect of streptomycin is on the eighth nerve
causing vertigo and also deafness.
Assay of Streptomycin
Neomycin
2126
Applications of Neomycin
2127
Kanamycin
Applications of Kanamycin
2128
intramuscular injection particularly for the treatment of
tuberculosis.
Kanamycin is administered as its readily water-soluble
monosulphate (official)
Gentamicin
2129
Applications of Gentamicin
2130
Tetracyclines
The tetracyclines are a group of broad-spectrum antibiotics
possessing a hydronaphthacene skeleton bearing a wide
variety of functional groups. They are amphoteric, forming
crystalline salts with strong acids and bases and chelates with
many metal ions and it has been suggested that this last
property is responsible for their antibacterial action. They are
prepared by deep culture fermentation of streptomycetes and
have been isolated by a number of methods; as their calcium
or mixed barium and magnesium salts, as their iron chelates
or as salts with cationic surfactants.
Because of the clinical value of the tetracyclines and the
number of functional groups capable of modification, many
have been synthesized in attempts to obtain maximum
antibiotic
activity and blood levels, modified absorption excretion
patterns and improved chemical stability (Blackwood &
English, 1970). At least eight tetracyclines are produced
commercially of which half are obtained by chemical
modifications of fermentation products. The most important
at the present are chlortetracycline, oxytetracycline,
tetracycline, demethylchlortetracycline, doxycycline and
methacycline.
Chlorteracycline
2131
biologically against B. pumilus and is usually administered
orally in capsules.
Oxytetracycline
2132
Tetracycline
Demethylchlortetracycline
2133
Methacycline
2134
Forms of the Tetracyclines
Chlortetracycline
Hydrochloride, capsules.
Oxytetracycline
Tetracycline
Demethylchlortetracycline
Hydrochloride, capsules.
Doxycycline
Methacycline
Hydrochloride, capsules.
2135
Erythromycin
This antibiotic, discovered in 1952, is prepared by the
fermentation of the soil organism Streptomyces erythreus. It
is a basic compound consisting of three linked units, a basic
sugar, desosamine; a neutral sugar, cladinose; and a large ring
lactone, erythronolide.
Applications of Erythromycin
2136
since it is unaffected by this enzyme. Erythromycin is usually
administered orally; for parenteral use a soluble salt is used.
Forms of Erythromycin
Novobiocin
Novobiocin has at various times been isolated from several
different strains of streptomycetes and is now prepared from
Streptomyces niveus. Novobiocin has been shown to consist
of a coumarin linked to a substituted benzoic acid and a
neutral nitrogen containing sugar.
Fusidic Acid
Fusidic acid was isolated in 1962 from a strain of Fusidium
coccineum found in monkey droppings in Japan. The
structure of fusidic acid is unusual in that antibiotic activity is
rarely associated with steroids or triterpenes although recently
2137
the antibiotics cephalosporin P1 and helvolic acid have been
shown to possess similar structures.
Griseofulvin
Griseofulvin was isolated in 1939 from the mycelium of
Penicillium griseofulvum and has been used clinically since
1958. It is now prepared commercially by deep fermentation
of Penicillium patulum.
Griseofulvin is a spiran and its structure has been established
by degradation, X-ray diffraction studies and synthesis. Many
2138
analogues have also been synthesized but none has so far
proved superior to griseofulvin against dermatophytes.
Applications of Griseofulvin
Assay of Griseofulvin
Lincomycin
Lincomycin was isolated in 1962 from cultures of
Streptomyces lincolnensis var. lincolnensis. Chemical
degradation to trans-1- methyl-4-n-propyl-l-proline,
2139
d-allothreonine and d-galactose has indicated the structure
shown below, which has been confirmed by synthesis.
Lincomycin is a basic antibiotic forming a readily
water-soluble hydrochloride which is used orally and
parenterally. The hydrochloride monohydrate is official in
capsules and injection.
Applications of Lincomycin
Clindamycin
Modification of lincomycin by the insertion of chlorine into
the allothreonine moiety has yielded clindamycin
(7-chloro-7-deoxylincomycin) which is considerably more
active than the parent compound against staphylococci and
pneumococci and of at least comparable activity against other
2140
sensitive species. The compound is well absorbed orally and
is administered as the hydrochloride hydrate in capsules, as
the palmitate ester hydrochloride in syrup formulations and as
the phosphate for parenteral use.
Vancomycin
Vancomycin was isolated in 1955 from Streptomyces
orientalis. It is an amphoteric substance but little is known of
its structure. Hydrolysis yields a number of amino acids,
glucose and a compound containing chlorinated phenyl
residues.
Applications of Vancomycin
2141
Rifampicin
In 1959 rifamycin B was isolated from a culture of
Streptomyces mediterranei, it was active against
Gram-positive bacteria M. tuberculosis and some
Gram-negative organisms. The compound was poorly
absorbed from the alimentary tract and caused local irritation
when injected. In addition, its solution was unstable,
increasing in potency on storage. It was established that this
change was due to oxidation and hydrolysis to give a
quinonoid compound, rifamycin S, which could be reduced
with ascorbic acid to the phenolic rifamycin SV. This
compound was more active and less toxic than the parent.
Over 400 semisynthetic rifamycins have been prepared by
chemical modification in order to obtain optimal activity and
oral absorption. A Mannich reaction between rifamycin
2142
S formaldehyde and dimethylamine followed by ascorbic acid
reduction yields the 3-dimethylaminomethyl derivative of
rifamycin SV [R1 = H, R2 = –CH2N(CH3)2] from which the
aldehyde [R1 = H, R2 = –CHO] is obtained by oxidation. The
orally absorbed hydrazone, rifampicin, is obtained by reaction
of the aldehyde with 1-amino-4-methylpiperazine.
Rifampicin acts as an antibiotic by blocking the initiation of
ribonucleic acid synthesis, and because of this the compound
is also active against various pox and adenoviruses.
Applications of Rifampicin
References
2143
Chapter 39
Blood Products and Plasma Substitutes
2144
blood must always be administered through a suitably
designed ‘giving’ or ‘recipient’ set (as defined in British
Standard 2463:1962, Transfusion Equipment for Medical
Use). This type of set includes a filter with a large surface
area, which will remove clots, but will not easily be blocked
during the transfusion.
Bacterial Contamination
2145
of disease transmissible by transfusion is decided from his
medical history. The greatest risk is that of transmitting
hepatitis B (serum hepatitis), a serious illness with a
significant mortality rate. It has been found that a high
proportion of hepatitis carriers can be identified by the
presence in their blood of hepatitis B surface antigen
(previously termed Australia antigen), which can be detected
by immunological tests (Prince, 1968; Blumberg et al., 1969;
Ling & Overby, 1972; Reesink et al., 1973; Cayser et al.,
1974). All blood donations are now screened by such tests.
The number of symptomless donors in the UK who carry the
antigen is estimated to be about 0.1 per cent.
2146
to be transfused are tested against the patient’s serum to
confirm that it contains no antibodies that will agglutinate or
lyse the cells. In order to avoid blood of the wrong group
being transfused in error, it is necessary to maintain an
elaborate system of labelling, recordkeeping and
cross-checks.
On account of the risks attaching to the use of blood, and of
the consequent legal implications, the supervision of a
hospital blood bank and of associated laboratory work should
always be the direct responsibility of a pathologist fully
trained in
haematology. Responsibility for the storage and issue of
blood and of plasma and plasma fractions should not be given
to or accepted by pharmacies.
Bleeding
2147
red cells, increasing their ‘life’ in storage from 4 to 7 days in
citrate alone, to 21 days in ACo. Other anticoagulants are
also, for example, citrate phosphate dextrose (CPD).
On standing, the cells sediment to form a dark red layer
occupying about half the fluid volume, with a yellowish layer
of plasma above. The latter may be clear or cloudy depending
on the amount of lipid ingested by the donor in his meals
before giving blood. Blood which is contaminated, or
haemolysed through improper storage, may be visibly
abnormal and a careful inspection should always be made
before blood is given to a patient.
British Pharmacopoeia requirements for whole human blood
include the following:
1. That the blood is cooled to 4–6° immediately after
withdrawal from the donor and is maintained at that
temperature throughout its dating period of 21 days, except
for short periods, not exceeding 30 min, which are necessary
during transportation or testing.
2. That the haemoglobin concentration of blood-anticoagulant
mixture is not less than 9.7g/dl.
3. That the ABO blood group is determined by examination
of both the corpuscles and the serum, and the Rh group by an
examination of the corpuscles.
4. That the blood should meet the British Pharmacopoeia
requirements for sterility testing. It is not practicable to test
the sterility of the blood before it is transfused and the usual
practice is to test a proportion of containers of blood older
than 21 days as a check on the technique of collection and
storage.
5. That the label should state the ABO and Rh groups, the
volumes of blood and anticoagulant solution present, the date
on which the blood was collected, the expiry date and
required storage conditions, that the contents must not be used
2148
if there is any visible sign of deterioration, and a number or
code by which the history of the preparation can be traced
back to the original donor.
Uses
2149
plasma. The concentrate should be stored at 4–6° pending
transfusion. Blood from each of the donors contributing to the
concentrate must have been grouped and compatibility tested
against the blood of the intended recipient. Labelling
requirements are generally similar to those for whole human
blood, but include in addition a statement of the date and time
of removal of the plasma. Red cell concentrates are used
principally in the treatment of anaemia.
2150
bottles. In the form of ‘double’ or ‘triple’ packs they are
convenient for
preparing separated blood components. The double pack
consists of two bags, one fitted with a blood collecting tube
and both with ‘ports’ for the insertion of a giving set. The two
bags are joined by tubing. One bag contains standard ACD
anticoagulant, in which the blood is collected. The complete
double unit is then centrifuged. The connecting tube between
the two bags is opened and a proportion of the upper plasma
layer is expressed from the bag containing the blood into the
empty one. The tubing is then sealed and cut, giving a unit of
red cell concentrate and a unit of platelet-rich plasma. This
plasma can be used as it is or processed further to give
platelet concentrate and plasma. The latter can be utilized as
such or fractionated.
A further application of plastics equipment is in the technique
known as ‘plasmapheresis’, in which red blood cell
concentrates prepared by the above procedure are returned to
the donor, who thus has in effect donated plasma without any
significant loss of his red blood cells. It has been found that
healthy donors can give relatively large quantities of plasma,
provided that red blood cells are not harvested at the same
time; as much as one litre of plasma per week has been
removed from a single donor over a period of years without
untoward effect (Simson et al., 1966). This procedure can be
applied to donors whose plasma has a high content of a
protein of a particular therapeutic value, for example
coagulation Factor VIII, anti-D antibody or tetanus antitoxin.
2151
Plasma, Serum and Plasma Fractions
During storage the red corpuscles progressively lose their
capacity to survive in the circulation of the transfused
recipient. When blood 21 days old is transfused
approximately 70 per cent of the cells remain in the patient’s
circulation 24 hours later. Blood older than 21 days is thus not
normally considered suitable for transfusion. However the
plasma proteins are more stable and the normal procedure is
to aspirate the plasma from the sedimented red cells of
time-expired blood and to use it for therapeutic products.
Freshly collected blood is centrifuged to provide fresh plasma
for preparing certain labile components, which cannot be
recovered in active form from time-expired blood.
It should be noted that plasma and certain fractions made
from it, even when prepared, as is now the practice, from
blood screened for hepatitis B surface antigen, may carry the
virus of hepatitis B (Berg et al., 1972). They should thus be
used only when the benefit likely to accrue to the patient
outweighs the risk of transmitting hepatitis. These fractions
should not be transfused merely as a vehicle for administering
a drug or other substance. Dried plasma and serum are being
replaced as volume expanders by albumin preparations which
do not carry this risk (see below).
Proteins are complex macromolecules and are easily damaged
or ‘denatured’ by exposure to heat, so their storage
requirements must be strictly observed. Because of their
instability in solution some protein-containing products are
issued as a freeze-dried powder, sealed in presence of dry
nitrogen. Such preparations are hygroscopic and may become
unstable or insoluble if moisture gains access, for example
through a loose or faulty seal.
2152
The British Pharmacopoeia contains sections relating to
plasma, serum and plasma fractions, and should be consulted
for detailed specifications. Requirements are laid down with
respect to sterility, identity, freedom from pyrogens, total
protein content, electrolyte content, the presence of
preservatives and stabilizers, and, in the case of freeze-dried
preparations, solubility and residual moisture content. In
addition special requirements for individual plasma proteins
define required protein composition, as determined by
electrophoretic analysis or other procedures. General labelling
requirements apply to these products. The label must include:
(1) the correct name of the product, (2) an identifying batch
number, (3) information concerning potency or concentration,
(4) name and address of manufacturer or authorized
distributor, (5) date of manufacture, (6) expiry date, (7)
required storage conditions and (8) nature and concentration
of any added bacteriostatic agent. Any additional labelling
requirements are given below.
Products used in blood volume replacement therapy,
including plasma, human albumin preparations and solutions
of various substances used as plasma substitutes have been
reviewed by Gruber (1969).
2153
blood selected so that the normal distribution of ABO groups
is represented; thus a ten-donor pool contains plasma from
about equal numbers of A and 0 donations, together with at
least one B or AB donation.
It was shown many years ago that when plasma pools were
restricted to ten donors the risk of transmitting hepatitis B was
low; such ‘small-pool plasma’ is issued for use in this
country, the risk of transmitting hepatitis being about one in
500 patients transfused. Attempts to inactivate the virus with
ultraviolet irradiation or with β-propiolactone have been
unsuccessful. A combination of ultraviolet irradiation and
β-propiolactone inactivates the agent, but plasma so treated
shows electrophoretic and other abnormalities.
Plasma is difficult to filter and it is not practicable to sterilize
large numbers of small pools by filtration. As whole blood
cannot be assumed to be sterile it is therefore necessary to test
each ten-donor pool for sterility. Pools which have passed
these tests are then redistributed in transfusion bottles in
quantities suitable for freeze-drying (Greaves, 1946). The
dried plasma is a light to deep cream-coloured powder, free
from streaks of red or pink indicative of red cells or
haemoglobin. It is reconstituted to the original volume with
Water for Injection at room temperature and dissolves
completely in less than 10 min to give a cloudy solution. The
protein content is not less than 45g/l. Addition of 17g/l
calcium chloride to 1ml should cause coagulation,
demonstrating the presence of fibrinogen.
Storage
2154
Labelling
Uses
2155
bath at a temperature not exceeding 37°; thawing takes about
45min.
Uses
2156
as diethyl ether or ethanol, provided there is efficient mixing
and the temperature is maintained at or below 0°; (2) the
different proteins are minimally soluble at different pH
values; and (3) solubility in presence of organic solvents is
differentially affected by variations in the salt concentration.
In a series of precipitation steps in which these factors are
carefully controlled, various components are separated from a
single pool of plasma. At each stage the precipitate is
separated by centrifugation. If reproducible separations are to
be obtained, precise control must be maintained throughout
over temperatures of solutions protein concentrations, rates of
addition of reagents, stirring speeds, equilibration times, and
centrifugation speeds and temperatures.
The final sedimented paste of proteins containing the desired
component in concentrated form is dissolved in a suitable
solvent, the composition of which is carefully controlled with
respect to pH and salt content. The solutions obtained are
usually at this stage sterilized by filtration and freeze dried.
Freeze drying removes residual organic solvent, and gives a
stable product, suitable for storage and transport.
Immunoglobulin and albumin are however sufficiently stable
to be dispensed in solution, which is prepared by redissolving
the freeze-dried material, adjusting the protein concentration
to the desired value, filtering and bottling.
For the preparation of the more labile coagulation factors it is
necessary to start with fresh plasma, separated from blood
within a few hours of collection, and to complete the
fractionation without delay.
At all stages precautions must be taken to prevent bacterial
contamination, the introduction of pyrogens, and denaturation
of protein. In the case of some fractions large volumes may be
administered intravenously, and it is essential that the
2157
solutions are free from pyrogens, toxic substances, particulate
matter and biological material from nonhuman sources.
In addition to routine tests for sterility, pyrogenicity, identity,
solubility, protein and moisture contents, the quality of the
plasma protein fractions is controlled by: (1) electrophoretic,
immunoelectrophoretic, ultracentrifugal and chromatographic
analysis; (2) assay of specific activities, such as coagulation
factor or antibody activity; and (3) tests of heat stability.
The scheme for the fractionation of plasma by ethanol was
originally developed in the United States by Cohn and his
coworkers (Cohn et al., 1946; Oncley et al., 1949) and that by
ether by Kekwick and Mackay (1954) in the UK. The ethanol
fractions obtained are sometimes called Cohn fractions, e.g.
Cohn Fraction I. In many laboratories a simpler modification
of the original procedure, first described by Deutsch et al.
(1946),
and later applied on a large scale by Kistler and Nitschmann
(1962), is now used. The properties of human plasma
proteins, and methods for their fractionation have been
reviewed by Schultze and Heremans (1966).
Coagulation Factors
Shed blood clots because of the polymerization of fibrinogen,
a soluble plasma protein with a molecular weight of 3,40,000.
The fibrinogen molecules are elongated, and when clotting
occurs they interact irreversibly to form a three-dimensional
network of a semisolid polymer, called fibrin. The
polymerization of fibrinogen is brought about by the action of
an enzyme, thrombin, which in turn results from the
activation of prothrombin, another high molecular weight
substance present in human plasma.
2158
Substances liberated from damaged tissues, of exposure of
blood to ‘foreign’ surfaces initiate a complex series of
reactions which leads ultimately to the activation of
prothrombin to thrombin. These reactions require the
presence of platelets, calcium, and a number of plasma
factors, which are proteins. They are designated Factors V,
VII, VIII, IX, X, XI and XII. In a number of hereditary,
congenital or acquired conditions, a deficiency of one of these
factors may occur, resulting in impaired clotting function and
a tendency to bleeding. Concentrates of some of these factors
can now be prepared, and are used to arrest haemorrhage or to
prevent it when surgery is necessary in patients with such
deficiencies. The products available are fibrinogen and Factor
VIII concentrates; concentrates of Factors II (prothrombin),
VII, IX and X are at present under development. Preparations
of thrombin and fibrinogen derivatives are made for use as
local haemostatic agents (see Biggs & Macfarlane, 1966;
Biggs, 1972).
2159
solution obtained after 15–30 min contains between 10 and
15g/l of fibrinogen, and the fibrinogen comprises at least 70
per cent of the total protein present. The fibrinogen content is
determined by adding thrombin to a known volume of
solution and measuring the protein content of the separated
and washed clot. The electrophoretic mobility of the main
component in aqueous phosphate buffer at pH 8.0 lies
between that of human β- and γ-globulin.
Storage
Labelling
Uses
2160
Radio-Iodinated Human Fibrinogen
2161
transported unrefrigerated. Reconstitution is in Water for
Injections at 20–30° and may be slow. The solution should be
transfused without delay as activity may be lost on standing.
The product is normally available only for specialized teams
which have facilities for assaying Factor VIII in the patient’s
blood and in the products transfused.
2162
Factor VIII Concentrate Derived from Animal
Plasma
2163
Dried Human Thrombin, BP
Storage
Labelling
Use
2164
prothrombin-containing preparations intended for intravenous
use. Thrombin may transmit hepatitis B.
2165
by the name of the appropriate antigen (x). More often the
name used is ‘human anti-(x) immunoglobulin’. This name
replaces the terms ‘hyperimmune γ-globulin’ or ‘convalescent
γ-globulin’. The human specific immunoglobulins are
prepared from plasma obtained at the optimum time from
convalescent patients or immunized donors or from donations
found to be rich in the required antibody. (For a discussion of
nomenclature of human immunoglobulin, see WHO Bulletin
1964 30, 447.)
The antibodies in the IgG immunoglobulin are almost
exclusively those against viruses and bacterial toxins. Thus
human normal immunoglobulin usually contains significant
amounts of antibodies against the viruses causing measles,
rubella, hepatitis and poliomyelitis. According to the
circumstances of the population from which the starting
plasma was obtained it may also contain useful amounts of
tetanus and diphtheria antitoxin, and antibody against
α-staphylolysin, streptolysin and mumps. Since human
normal immunoglobulin contains little or no IgM, it does not
contain antibodies against Gram-negative bacteria and is
therefore valueless against infection due, for example, to
Pseudomonas aeruginosa or Escherichia coli. The
prophylactic uses of the various preparations of
immunoglobulin are described below; it is true to say that, in
general, immunoglobulin has been shown to be of little value
in treatment.
The different antibodies in human plasma have closely similar
solubilities and it is not yet feasible to separate antibodies of
different specificities during fractionation.
For reviews on the clinical use of immunoglobulins, see
Janeway et al. (1967), Pollock (1969) and WHO Technical
Report (1966).
2166
Human Normal Immunoglobulin Injection, BP
2167
or preparative-scale electrophoresis should not be used until
shown to be free of hepatitis virus.
Labelling
Uses
2168
When immunoglobulin is given, it should be given as soon as
possible after exposure.
Infectious hepatitis: Normal immunoglobulin is effective in
preventing clinical disease and is particularly useful in
nurseries, mental institutions and other situations where the
risk of spread is great. In day schools only classmates are
usually protected. A single dose will protect for 6 months.
Travellers who intend to visit countries where the incidence
of hepatitis is greater than in Western Europe or the United
States should be given immunoglobulin (Public Health
Laboratory Service Report, 1968b; WHO Technical Report,
1964).
Hepatitis B: The value of normal immunoglobulin in
preventing the disease is not yet defined.
Chickenpox: Normal immunoglobulin will modify the disease
but not protect against it. Its use is confined to prophylaxis or
treatment in subjects at special risk, e.g. premature and
newborn infant contacts.
Hypogammaglobulinaemia (MRC Report, 1969). Patients
with this condition are particularly susceptible to bacterial
infections, particularly with Gram-positive bacteria. The
regular administration of normal immunoglobulin lessens the
incidence of infection but does not necessarily protect against
chronic infection of the respiratory or gastrointestinal tracts.
2169
It is used (1) to prevent complications of vaccination in
children with eczema or in eczematous children accidentally
exposed to vaccinia, and (2) to provide immediate passive
protection in previously unvaccinated smallpox contacts who
have just been vaccinated to produce active immunity. It is
also used to treat eczema vaccinatum generalized vaccinia
and progressive vaccinia. It is of no value for treating
postvaccinial encephalitis.
2170
them from stimulating her antibody-forming tissues to
produce anti-D immunoglobulin (Clarke, 1968).
The specific immunoglobulin is prepared from plasma
obtained from Rh-negative persons whose blood contains
incomplete antibody to the Rh(D) antigen. At present the
most numerous donors of such plasma are Rh-negative
mothers who have been sensitized to the Rh(D) antigen
derived from an Rh positive pregnancy. Suitable plasma is
also obtained from Rh-negative volunteers who have been
deliberately sensitized to this Rh(D) antigen. The method of
preparation is the same as for human normal immunoglobulin
(WHO Technical Report, 1971; Woodrow, 1970).
Anti-HBs Immunoglobulin
2171
Albumin Preparations
An important function of the plasma protein is to contribute to
the maintenance of blood volume. The protein which is
present in plasma in greatest amount to albumin and in
purified form it can be used as an alternative to whole plasma
volume as a volume expander.
The albumin preparations for clinical use have been heated in
solution for 10h at 60°, which inactivates the virus of hepatitis
B. They thus have an important advantage over whole
plasma, but the disadvantage that their preparation is complex
and the yield is poor. A less pure albumin fraction, made by a
simplified fractionation procedure, has been developed which
gives a better yield at lower cost (Hink et al., 1957; Mealey et
al., 1962; Kistler & Nitschmann, 1962). It contains up to 10
per cent of proteins other than albumin but these are
sufficiently stable to withstand heating for 10h at 60°, without
serious denaturation.
2172
Storage
Labelling
Uses
2173
Injection, 5 per cent, giving a clear solution in less than
10min. In many countries purified albumin is distributed as a
salt-poor solution containing 20 or 25 per cent protein.
Storage and labelling requirements are similar to those for
Human Albumin Fraction (Saline), BP. The label must
include particulars of the total sodium content.
Uses
Plasma Substitutes
Certain obvious limiting factors and disadvantages are
inseparable from the use of human blood and plasma and their
derivatives. As a result many attempts have been made to find
2174
substances, mostly not of human origin, which could be used
to restore a depleted blood volume. Such a substance would
among other things, have to be nonantigenic, nontoxic,
completely excreted or metabolized and possess the property
of exerting a colloid osmotic pressure. Many substances have
been investigated, including gum acacia, modified globin
(derived from human haemoglobin), synthetic polymers such
as polyvinyl pyrrolidone, hydroxyethyl starch, modified
gelatin and dextran. Dextran and, to a lesser extent, gelatin
have been more widely used than any of the others.
Fluids in use or proposed as blood volume expanders,
including plasma and albumin preparations in addition to the
substitutes listed above, have been reviewed by Gruber
(1969).
Since Gronwall and Ingelman (1944) suggested that certain
polysaccharides of bacterial origin, known as dextrans, might
be used as volume expanders, these substances have been
extensively examined (see Squire et al., 1955; Gronwall,
1957; Segal, 1964). The dextrans are long chain polymers of
dextrose (D-glucose) in which the subunits are joined mainly
through a 1:6 glucosidic linkages. Dextran for clinical use is
produced commercially (Foster, 1968) by large-scale
fermentation, using a strain of the bacteria Leuconostoc
mesenteroides (National Collection of Industrial Bacteria No.
8710) specified in the British Pharmacopoeia. Dextran,
precipitated from the fermentation medium, and purified to
remove pyrogenic and antigenic substances, provides a
clinically useful volume expander similar to plasma in its
colloid properties.
2175
Dextran 110 Injection, BP
2176
be used if it is cloudy, or if a deposit is present. Further tests
listed in the British Pharmacopoeia specify (1) the permitted
pH range,
(2) maximum permitted contents for heavy metals, acetone,
ethanol, nitrogen and reducing sugars and (3) maximum
sulphated ash. Tests for foreign protein and pyrogens are also
required.
Storage
Labelling
Use
2177
Dextran 40 Injection, BP
Gelatin
2178
References
2179
Greaves RIN. Medical Research Council Special Report
Series No. 258. London: HMSO; 1946.
Gronwall A. Dextran and Its Use in Colloidal Infusion
Solutions. Stockholm: Almquist & Wiksell; 1957. Oxford:
Blackwell Scientific Publications
Grönwall A, Ingelman B. Acta Physical. Scand. 1944;7:97.
Gruber UF. In: Oxtoby L, Armstrong RF, eds. Berlin:
Speinger-Verlag; 1969.
Hink JH Jr., Hidalgo J, Seeberg VP, Johnson FF. Vox Sang.
1957;2:174.
Janeway CA, Rosen FS, Merler E, Alper CA. The Gamma
Globulins. London: Churchill; 1967.
Jorpes JE, Blombäck B, Blombäck M, Magnusson S. Acta.
Med. Scand. 1962;171(Suppl. 379):7. Suppl.
Kekwick RA, Mackay ME. Medical Research Council
Special Report Series No. 286. London: HMSO; 1954.
Kekwick RA, Wolf P. Lancet. 1957;I:647.
Kistler P, Nitschmann H. Vox Sang. 1962;7:414.
Ling CM, Overbury LR. J. Immunol. 1972;109:834.
Mealey EH, Larsen LH, Dwyer RC, Mulford DJ. Vax Sang.
1962;7:414.
Medical Research Council Report. Lancet. 1969;I:163.
Mollison PL. 5th Blood Transfusion in Clinical Medicine.
Oxford: Blackwell Scientific Publications; 1972.
Newman J, Johnson AJ, Karpatkin MH, Puszkin S. Brit. J.
Haematol. 1971;21:1. 21
Oncley JL, Melin M, Richert DA, Cameron JW, Griss PM Jr..
J. Am. Chem. Soc. 1949;71:541.
Pollock TM. Human Immunoglobulin in Prophylaxis,. Brit.
Med. Bull. 1969;25:202.
Pool JG, Shannon AE. New Engl. J. Med. 1965;273:1443.
Prince AM. Proc. Natl. Acad. Sci., Wash. 1968;60:814.
2180
Public Health Laboratory Service Report. Brit. Med. J.
1968;3:203.
Public Health Laboratory Service Report. Brit. Med. J.
1968;3:451.
Reesink HW, Duimel WJ, Brummelhuis HGJ. Lancet.
1973;II:1351.
Ricketts CR. Brit. Med. J. 1966;2:1423.
Schultze HE, Heremans JF. Molecular Biology of Human
Proteins.1. Amsterdam: Elsevier; 1966.
Segal A. The Clinical Use of Dextran Solutions. New York
and London: Grune & Stratton; 1964.
Simson LR, Lien DM, Warner CL, Oberman HA. Am. J. Clin.
Path. 1966;45:367.
Soulier JP, Blatrix Ch, Steinbuch M. Presse Med.
1964;72:1223.
Squire JR, Bull JP, Maycock Wd’A, Ricketts CR. Dextran. Its
Properties and Use in Medicine. Oxford: Blackwell Scientific
Publications; 1955.
Webster WP, Roberts HR, Thelin GM, Wagner RH,
Brinkhous KM. Am. J. Med. Sci. 1965;250:643.
WHO. Expert Committee on Hepatitis. 1964. Second Report,
Technical Report Series No. 285
WHO. Prevention of Rh Sensitization. 1971. Technical Report
Series No. 468
WHO. The Use of Immunoglobulin. 1966. Technical Report
Series No. 327
Wickerhauser M. Thromb. Diath Haemorrh. Suppl.
1971;43:165.
Wickerhauser M, Sgouris JT. Vox Sang. 1972;22:137.
Woodrow JC. Series Haematologica. 1970.3. No. 3
2181
* Synonyms: II = prothrombin; VII = stable factor; IX =
Christmas factor or antihaemophilic factor B; X =
Stuart-Prower factor.
2182
Chapter 40
Sutures and Ligatures
The use of strings made by twisting vegetable and animal
materials is described in the most ancient of surviving records
of the history of mankind. Animal skins, intestines and sinews
were used for musical instruments, bows and many other
items. Vegetable fibres, spun and woven, date back to
prehistoric times. Linen as spun strand was well known by
5000 BC and probably was first prepared long prior to this
date.
In surgery, susruta (1500 bc) records the use of ligatures for
tying umbilical cord and celsus in the first century ad
described the ligature as of ancient origin. In the highly
developed civilization of ancient egypt, surgeons closed
wounds with sutures. Galen (c. ad 200) used silk and hemp
cords as ligatures and also recommended the use of animal
gut. The term catgut is said to be derived from the gut used to
string a musical instrument known as a kit, an Arabic word
for a dancing master’s fiddle, hence kitgut. The Arabian
surgeon rhazes (c. ad 900) used harp strings made from sheep
intestine to repair abdominal wounds, but the use in surgery
of twisted animal intestines was not generally practised as the
patients nearly always became infected.
Ambroise Pare (1517–90) appears to have revived the use of
ligatures and there are numerous references in his works to
their use, particularly in amputations where he preferred them
to the cautery. His valuable work, however, appears not to
have been generally recognized and surgeons continued with
the old methods of the hot knife and searing iron.
2183
The credit for the reintroduction of catgut is given to P.S.
Physick (1816) house surgeon to J. Hunter, and later
Professor of Surgery in Philadelphia, but his observations,
and publications of other workers of the same period, did not
persuade surgeons to adopt the material.
It was not until 1869 that Joseph Lister, as a result of his
Observations on the Ligature of Arteries on the Antiseptic
System opened the way to the modern surgical suture
techniques. The first step had been to show that sepsis was
due to the growth of microorganisms from the site of
infection. From that time onwards the search to find means of
preventing infection has not ceased. The history of this work
applied to surgical sutures and ligatures during the past
seventy years is too large a subject for this chapter but the
investigations by a host of dedicated workers into hundreds of
different procedures has led to the highly efficient methods
being employed today.
For further details on the historical aspect, see Fandre (1944).
Although the terms ligature and suture are often used in the
same sense, and they are of the same material, there is
nevertheless a technical difference. A ligature is a thread used
to constrict and seal off a blood vessel, vein or artery—hence
to ligate. The thread is a suture when it is used to stitch
together the edges of various tissues, e.g. skin, fascia, muscle,
tendon, peritoneum, etc. Hence a needle is always used for a
suture (sewing) but not for a ligature.
Sutures and ligatures are classified as absorbable, or
nonabsorbable, depending on the materials from which they
are made.
2184
Absorbable
Absorbable sutures and ligatures are absorbed by the tissues
in which they are implanted, and the time taken for complete
disappearance is dependent on a number of factors which will
be treated more fully later in this chapter. Absorbable
materials are catgut (nonboilable and boilable), reconstituted
collagen, synthetic absorbable polymers, kangaroo tendon,
ribbon gut and fascia lata.
Nonabsorbable
Nonabsorbable sutures and ligatures are not absorbed by
tissue and, unless they are on the surface, remain in the body
after the wound has healed. Some, notably silk, fragment after
a long period of time; others are encapsulated by fibrous
tissue, while others remain as inert implants. The most
commonly used are silk, linen, nylon (polyamides), polyester,
polyolefines and stainless steel wire, and to a very small
extent: cotton, horsehair, human hair, silkworm gut and wires
of other metals, e.g. tantalum, silver, phosphor bronze, etc.
The polymeric materials are also used in the form of woven
meshes particularly for hernia repair and silk and nylon in
floss form have specialist uses also.
Mention should also be made of the use of clips (Michel,
Kifa, etc.) for surface application and the past few years have
seen a good deal of development, particularly in Russia and
the USA in the use of small wire staples (usually stainless
steel) which are implanted by means of stapling guns.
2185
Standards and Legal Requirements
for Sutures and Ligatures
Although the national pharmacopoeias of most countries
publish monographs on surgical sutures, the standards
nowadays for
EEC countries, Denmark, Sweden and Switzerland, i.e. the
signatories to the convention, are established by the European
Pharmacopoeia. Volume II of the first edition published in
1971 contained monographs for sterile catgut, sterile
reconstituted collagen strings and sterile nonabsorbable
strands including braided silk. Braided polyester, braided
polyamides 6 and 6/6, monofilament polyamides 6 and 6/6
and linen thread. Some amendments were introduced in
Volume III published in 1975 to approximate to the USP XIX
(1975).
Both these compendia have adopted a metric numbering
system whereby the gauge number applied to the suture
represents the actual diameter in tenths of a millimetre.
Previously a so-called conventional system was used and,
although in the case of the UK and the USA the sizes
represented were comparable, the values for diameter differed
between absorbable and nonabsorbable materials. The
conventional systems employed by other countries themselves
differed and there was a lack of flexibility as finer sutures
were developed for modern surgical techniques. (See table.)
Former conventional size
Metri Catgut/ Nonabsorbables synthetic
number collagen absorbables
0.1 − −
2186
0.2 − 10/0
0.3 9/0 9/0
0.4 − 8/0
0.5 8/0 7/0
0.7 7/0 6/0
1 6/0 5/0
1.5 5/0 4/0
2 4/0 3/0
3 3/0 2/0
3.5 2/0 0
4 0 1
5 1 2
6 2 3 and 4
7 3 5
8 4 6
Sutures have always been the odd man out as far as
legislation is concerned and have been classed sometimes as
‘drugs’ and sometimes as ‘devices’. In the UK the
manufacture and sterilization of catgut and other products of
animal origin became subject to control by licensing under
the Therapeutic substances Act in 1929 largely as a result of
the reports of T.J. Mackie and of Bulloch et al. This control
now extends to various ‘surgical materials’ of animal origin
and to synthetic materials capable of being absorbed.
The Medicines Act is in process of taking over from the
Therapeutic substances Act. Anomalies still remain however
2187
that in the meantime nonabsorbable materials of vegetable or
synthetic origin are not subject to such control.
Absorbable Materials
Surgical Catgut
2188
intestine of any cadaver is the most vulnerable to bacterial
attack and decomposition of this part of the body always
begins earlier than any other. It is, therefore, vitally important
that the slaughterhouse technique involves rapid cleaning and
freezing or preservation by other methods in order to keep the
bacterial growth as low as possible.
The ovine intestine consists of four layers (Fig. 40.1). The
outermost is known as tunica serosa or serous layer, much of
which is torn off in removal from the animal; next the tunica
musculosa made up of two layers, one longitudinal and the
other circular; the third layer is the tunica submucosa from
which catgut is prepared, and the innermost layer is the tunica
mucosa or mucous coat which is the wall to the lumen of the
intestine. The intestine receives its blood supply from the
mesenteric artery and being some 28 times the length of the
sheep itself is twisted into a mass of convolutions until near
its end where it ascends to join the colon.
2189
The Medical research council Report on the preparation of
catgut contains interesting microphotographs of the
submucosal layer.
The manufacturer of surgical catgut receives intestines either
intact or rough scraped at the abattoir, made up as knots or
bundles which may be frozen, salted or in brine, and the first
step is to soak these in water to thaw out or to remove salt and
prepare them for splitting. It may be noted in passing that the
intestines destined for sausage skins are not split but are
cleaned and scraped in the tubular form and known as sausage
casings. This cleaning usually takes place in the abattoir and
the product is marketed in barrels or casts.
Splitting
2190
Fig. 40.2 Splitting of intestine (Ethicon Ltd., Edinburgh).
Cleaning of submucosa
2191
Fig. 40.3 Slimming machine for removal of mucosal and
muscular coats from the submucosa of intestinal ribbon
(Ethicon Ltd., Edinburgh).
Spinning
2192
elasticity and will curl when dry. On the other hand, if they
are underspun the elasticity will be too great and the tensile
strength reduced. The angle of ply to the horizontal is to some
extent a guide as to whether a string has been properly
prepared, but many other factors can affect the ultimate
quality of the catgut. Because catgut is a biological material it
must of necessity vary considerably and no one animal
intestine is exactly the same as another. The spinning of
catgut is, therefore, still largely on art rather than a
mechanical operation. After spinning, the catgut is mounted
on drying frames, the conditions of drying time and humidity
being carefully controlled. The resulting strand of dried catgut
is known at this stage as raw catgut and is usually between 3
and 5m long.
Polishing
2193
that the surgeon’s knots will slip and cause the wound to
re-open.
Gauging
2194
Standards
2195
Labelling: The label on or in the container must state by
indelible marking or perforation the length of the strand, the
gauge number, whether the strand is plain, hardened or
chromicized, and that the container should not be subjected to
heat treatment. The label on the box must state the name and
percentage of any bactericide in the fluid in which the sutures
are immersed.
Storage: sterilized surgical catgut should be protected from
light and stored in a cool place.
Packaging: The British Pharmacopoeia states that sterilized
surgical catgut is packed either in glass tubes sealed by fusion
of the glass, or in other suitable containers which once opened
cannot be resealed. Although glass tubes are probably the
ideal method of packaging surgical sutures in that they are
transparent, inert and impermeable, they are nevertheless
regarded as a nuisance in the operating theatre because they
have to be broken, and a large variety of flexible packages
based on aluminium foil or plastic films which can be torn
open, have in the past few years tended to replace glass. The
bottle packs, which are still used to some extent in continental
Europe, in which a continuous length in the form of a cocoon
of catgut is packed in ingenious dispensing devices, is
considered to introduce an element of risk of contamination,
and this form of packing is no longer used in Great Britain.
Sterility testing: The Therapeutic Substances Act in Great
Britain lays down the fundamental required for
bacteriological testing of surgical catgut. Definitions are
given of the term batch, the percentage of samples from each
batch which are to be tested and broad definitions of the
media and incubation times to be employed. The technique to
be adopted where any bactericides present are liable to inhibit
growth in the medium is specified. The medium is so
designed that it will detect the presence both of aerobes and
2196
anaerobes. If after an incubation period of 14 days no growth
or microorganism is found in any tube, the sample may be
regarded as having passed the test. If growth of
microorganisms is found in any tube a further sample may be
taken from the batch and the test repeated. If no growth
occurs the sample shall be regarded as having passed the test,
but if any microorganism is found the batch is treated as not
sterile.
Sterilization of Catgut
2197
Mammalian intestine in the living animal is normally
relatively free of microorganisms but immediately after death
growth of microorganisms proceeds at a very rapid rate.
Conditions in slaughterhouses, however clean, are, moreover,
not conducive to aseptic techniques and the intestines
inevitably carry a large bacterial population. The freezing or
salting of the material inhibits further growth but does not kill
these organisms. Staphylococci, streptococci, with a large
proportion of Streptococcus faecalis, and Escherichia coli are
commonly found in intestinal material but although a number
may be pathologically significant they are relatively
susceptible to sterilizing techniques. Even if they survive the
manufacturing process, many would be killed by the alcohol
in the final container. Sporing aerobes mostly nonpathogenic,
such as Bacillus subtilis and its phage type, used to be known
as B. mesentericus ruber, or the catgut bacillus, are very
numerous, but the potentially dangerous organisms are
Bacillus anthracis and the anaerobic spore bearing types,
among them Clostridium sporogenes, C. tetani, and C.
welchii. The spores of both aerobes and anaerobes are not
easily killed, the aerobic types being generally more resistant.
The fact that they revert to the spore form if conditions for
growth are unsatisfactory further complicates the situation.
The difficulty is exacerbated by the structure of the catgut
strand where ribbons twisted together will carry any
contamination throughout their whole cross section and at the
centre of the string any organisms are well insulated. The
successful means of attack on these microorganisms is by
either chemicals (liquid or gaseous), heat or radiation. The
choice of method must, however, be related to other
desiderata. It is useless, for instance, to use a method to
sterilize the material which will ruin its physical
characteristics such as tensile strength and absorbability.
2198
Ideally, the aim will be to interfere as little as possible with
the inherent structural advantages of collagen as a strong,
flexible and elastic fibre that will be absorbed by the body in
a surgically acceptable manner.
The three methods will now be discussed in further detail.
Chemical sterilization
2199
there is little doubt that a great deal of unsterile material was
used. The resulting catgut, moreover, was so hardened that its
absorption in the body was considerably delayed and its
tensile strength much reduced.
Hydrogen peroxide will effectively sterilize catgut but results
in a material which is of poor quality. The compound has,
however, sometimes been used to improve the colour of
catgut by treating the collagen in the ribbon form, i.e. before
spinning.
Solutions of sodium or potassium hypochlorites although
sporicidal, particularly in acid solution, are not suitable for
catgut as their penetrative power is very poor and the catgut is
unduly swollen and of poor tensile strength.
Glutaraldehyde behaves very much in the same way and is
only active in sodium bicarbonate buffered solutions. The
solution only retains its sporicidal activity for about two
weeks.
Iodine remained, as the only suitable chemical for large scale
commercial sterilizing of catgut. Ethyl iodide and methyl
bromide in alcohol and mixtures of iodine and iodine
trichloride have also been used.
Basically the process consisted of immersion of standard
lengths of catgut wound on frames or reels in a carefully
standardized aqueous solution of iodine, potassium iodide and
potassium iodate, the pH being rigidly controlled. The catgut
must absorb about 12 per cent of its own weight of iodine and
when this has taken place the catgut is transferred
from the solution and excess iodine removed by sterile
solvent often containing a bacteriostatic. The sterile strands
are then transferred under aseptic conditions to their final
container, sterile fluid is added (usually 95 per cent ethanol or
90 per cent isopropanol) and the container sealed. Processes
involving ethyl iodide or iodine and iodine trichloride are
2200
carried out in alcoholic solution but in other respects the
process is similar to the aqueous method.
Ethylene oxide may be employed as a sterilizing agent in the
gaseous form or in solution. The important factors to be
controlled are concentration, moisture time and temperature
employed. It is an explosive gas and is usually supplied
mixed with carbon dioxide or freon. The process is usually
monitored with spore strips of B. subtilis var. niger (B.
globigii). Care must be taken to limit the residual ethylene
oxide in the suture material. It is usually necessary to carry
out an aseptic procedure for filling and sealing the final
container.
Heat Sterilization
2201
time. Any condensed fluid is removed by a further heating
period. Most variations in the methods have been aimed at
reducing the fire and explosion hazards and at the same time
producing a more acceptable catgut.
After sterilizing the tubes are allowed to cool and are then
drained if necessary. The catgut at this stage is very brittle
and could not be used in surgery. Under full aseptic
conditions a suitably hydrated sterile alcoholic fluid is added
in order to put back the necessary moisture and the tubes are
sealed. This is the origin of the term tubing fluid, which is still
used by many manufacturers even though the tube has been
replaced with other forms of pack. After a few days the catgut
is sufficiently rehydrated to be usable.
Boilable catgut: Although catgut in Great Britain is now all of
the nonboilable type, up to a few years ago a boilable variety
was prepared by some manufacturers. The term was used to
indicate to operating theatre staff that the external surface of
the tubes could be sterilized by boiling in water.
Boilable catgut was prepared by the heat sterilizing method
outlined above but instead of adding a hydrated tubing fluid
the strands were immersed in a nonaqueous compound such
as toluene. The catgut, when removed from the tube, was
hydrated by the operating theatre staff by soaking it in sterile
saline or water some time before it was required for use.
Radiation Sterilization
2202
machines, since 1961 most suture manufacturers now employ
gamma radiation usually from cobalt 60 sources. The
recognized sterilizing dose for sutures is 2.5 megarad. The
method has the advantage that sterilization is effected in the
final sealed container, indeed some manufacturers apply it to
the complete sales package.
Reconstituted Collagen
The search for evenness and continuous length has also been
pursued among synthetic organic compounds. A number of
patents have been obtained for filaments produced from the
polymerization of certain lactides, hydroxy acids, etc. and two
such products are gaining acceptance in surgery. The USP
XIX describes absorbable surgical suture as ‘a sterile strand
2203
prepared from collagen derived from healthy mammals or
from a synthetic polymer’.
Kangaroo Tendon
Ribbon Gut
Fascia Lata
2204
Absorption of Catgut in the Body
Catgut is used in surgery because it is capable of being
absorbed by animal and human tissues. This concept was
propounded by Lister who recognized that the continued
presence of a nonabsorbable material presented a focus for
infection. The term absorption is often wrongly used to
describe the loss of tensile strength of holding power of the
suture in the wound and this is more rapid than the
disappearance of the material itself. Formerly, terms such as
10 day, 20 day, 30 day and even 40 day were applied to
catgut sutures. The basis for such claims was never stated and
indeed in 1940 Holder showed that in the case of iodine
sterilized catgut the terms were meaningless since the
hardening effect of the iodine process was greater than that of
any treatment applied to catgut. These descriptions are now
obsolete although they occasionally occur in surgical papers.
When the term 20 day is used it is taken to refer to the
presentday ‘medium chromic material’. Medium chromic,
now often abbreviated to ‘chromic’, or hardened material is
catgut which has been subjected either in the ribbon form or
as a string to a mild basic chrome tanning.
Lawrie (1955), working mainly with heat sterilized material
implanted in the lumbar muscle of the rat, followed the rate of
loss of tensile strength and evolved the concept of Half
Strength Time (HST) which was the time required for the
strength of the material to be reduced to 50 per cent of its
original strength in vivo. Plain catgut was shown to possess a
HST of 5–7 days and to reach zero strength in 3–4 weeks,
while medium chromic catgut had a HST of 19 days and took
about 5 weeks to reach zero strength.
2205
The process which takes place in the body when catgut
implants are made has been extensively studied by
histological observation from the day after insertion of the
material up to its complete disappearance in the tissue
(Lawrie et al., 1959, 1960). It is undoubtedly the reaction of
the tissues to the foreign body protein that brings about what
is termed the absorption process. Although catgut prepared
and sterilized by different methods tends to show different
behaviour in the body, nevertheless the general histological
picture is similar.
At first, around the site of the implant there is a fairly rapid
gathering of polymorphonuclear leucocytes together with
varying proportions of a fibrinous exudate. These cells are
evident as early as one day after implantation of plain catgut
which tends to excite a greater reaction in the tissue than
chromicized material which does not begin to attract
polymorph formations until up to 10 days after implantation.
It should be understood that tissue reaction, i.e. inflammation,
is the inevitable result of leucocytic concentrations (pus).
With plain catgut the polymorph phase begins to die down
after about 5 days and there is an increasing accumulation of
macrophages, by which time the catgut is considerably
fragmented and any ultimate suture material is absorbed by
phagocytosis.
With chromic catgut the mechanism is not necessarily exactly
the same although with certain types of suture material very
little difference can be observed. Where a difference is
present the longer absorption usually involves fragmentation
by phagocytes, histiocytes and foreign body giant cells. These
observations do not, of course, explain why the catgut
disappears and although a considerable amount of research
has taken place, the actual proteolytic enzymes responsible
have not been isolated. At present the leucocytes or
2206
histiocytes themselves are believed to carry their own
proteolytic enzyme system, and at one time this was thought
to be very closely related to α-chymotrypsin. The cellular
reaction varies somewhat in different animals but the process
in the rat is very similar to that which occurs in human tissue
although absorption periods are somewhat longer. Very many
attempts have been made by manufacturers of surgical catgut
to try to relate the in vivo absorption of catgut to a
standardized in vitro control. These latter methods have
generally been based on exposing catgut to standard solutions
of proteolytic enzymes such as trypsin, pepsin, papain, etc.,
and although the results obtained are of some practical use, it
has not been possible to incorporate them into a reliable
system of evaluation.
Nonabsorbable Sutures
Silk
2207
white form mainly in the repair of herniae. Its use is
diminishing fast as the plastic polymer meshes gain in
popularity.
Plaited or braided silk is the material in large-scale use in
modern surgery. It is prepared from discharged silk and the
range of sizes is dependent on the number of strands braided
together. As the gum has been removed it is not serum proof
or noncapillary and for most surgical purposes it is therefore
treated with proofing waxes or silicones.
Silk is identified chemically by warming with mercuric nitrate
solution when a brick-red colour is produced and it is stained
yellow by trinitrophenol solution. Silk, because of its
strength, softness and general ease of handling is used in
many sites of surgical operation, the fine strands being
particularly suited to ophthalmic and neurosurgery. Silk
sutures are classified as nonabsorbable in the body and are
normally encapsulated by fibrous tissue. However, many
cases have been reported where after a considerable length of
time the silk has fragmented or even migrated from the
original site of implantation.
Silk is sterilized either by autoclaving, which causes a certain
loss in its tensile strength, or by radiation or ethylene oxide
sterilization.
It is normally supplied by suture manufacturers to comply
with the monographs published in the British Pharmaceutical
Codex.
Linen
2208
of the cords being chosen to produce the ultimate desired
gauge of thread. For surgical use it must be firmly and evenly
spun and free from fuzziness. Identification is by microscopic
examination.
Linen may be dyed with any nontoxic dyestuff but although a
certain amount of black thread is used the majority of
surgeons prefer off-white or ivory colour.
It is extensively used in many surgical techniques and
frequently needs to be rendered noncapillary and serum proof
by treatment with suitable proofing agents similarly to
braided silk.
It can be sterilized by autoclaving or ethylene oxide.
Radiation sterilization does however cause a considerable loss
of strength.
It is the subject of a monograph in the British Pharmaceutical
Codex to which all British manufacturers conform.
Polyamides
2209
used in surgery is produced in the form of monofilament. Its
main use is in skin suturing although it is sometimes used
internally. Polyamide mesh finds a use in hernia repair.
Finer filaments of polyamide are braided together to form
braided nylon on nonabsorbable surgical sutures.
Monofilament polyamide is normally coloured with
distinctive nontoxic dye stuffs or pigments in order to
improve its visibility. It may be sterilized by autoclaving, by
ethylene oxide or by radiation treatment, but is incompatible
with phenol and its homologues and other phenolic
substances. The knotting of polyamide requires a special knot
(Fig. 40.5).
Polyester
2210
purposes in three forms, namely, monofilament, twisted and
plaited or braided. The British Pharmaceutical Codex
includes monographs on all three types and lays down
standards for diameter and tensile strength.
In all three cases the wire is prepared from austenitic
chromium–nickel stainless steel and is fully annealed. The
austenitic steels are nonmagnetic and only capable of being
hardened by cold working. The wire is made to British
Standards Specification 4106:1967.
It may be sterilized by dry heat, autoclaving, ethylene oxide
or radiation but it is important that the wire should be fully
degreased when heat treatment is used.
Its main use is in orthopaedic work, but very fine wire is also
used in plastic surgery and for repair of tendons.
Suture Clips
Michels and Kifa clips are used to some extent for long skin
wound approximations and find a considerable use in research
work on animals where they are less irritating in the skin
surface than sutures.
Wire Staples
2211
Surgical Needles
Whenever a suture is required to close a wound, needles to
arm the suture material are necessary. The number of sizes
and the variety of different shapes of needles run into many
thousands. The range supplied by manufacturers is usually
classified into types for specific surgery, as for example,
arterial, general purpose, intestinal, obstetric, ophthalmic,
plastic and retention. Shapes are designated as: straight,
curved, 1/2-circle, 5/8-circle, etc., and the sections as round
bodied, triangular cutting edge, triangular reverse cutting,
cutting point and trocar point. In addition the length of the
needle from point to hilt is specified in millimetres and the
hilts are designed to take the various diameters of suture
material employed. Needles are chosen by the surgeon to suit
his operating technique and it is largely because of the
surgeons interest in improving suture efficiency that the
development of surgical needles has taken place. In very
many cases the surgeon himself has caused needles to be
made to his own design and a large number of commonly
used needles are referred to by the name of the inventing
surgeon.
Surgical needles are of two types; those which have an eye
through which the suture is threaded, and eyeless needles
where the suture is inserted into the hollow hilt and held in
position by swaging the metal around it. The first patent on an
eyeless needle was obtained by the late Sir Henry Souttar in
1921, but in the UK their use has only increased appreciably
in the past few years. In the USA 70 per cent of the suture
needles are of the eyeless type.
The needles themselves are made either of stainless steel or of
carbon steel, the latter usually being plated to resist corrosion.
2212
At one time the carbon steel needle had a better resistance to
bending than its counterpart in stainless steel, but recent
technological advances have improved stainless steel needles
and they now compete in strength with carbon steel and have
the added advantage that they will not corrode and do not
present the surgeon with the dreaded emergency of having to
locate and extract the broken point of a needle embedded
somewhere in the tissues of an unfortunate patient.
References
2213
Section VI Formulation and Packing
2214
Chapter 41
Formulation
It is only on relatively few occasions that a drug, as such, may
be directly administered to a patient. Usually, the medicament
must be mixed with adjuvants, stabilizers, preservatives, etc.,
and subjected to various processes to give a practical dose
form: in other words the medicament must be formulated. The
practising pharmacist is ethically and legally required to
supply medicines complying with accepted specifications and
for this reason must be aware of the relevant formulation and
storage requirements for those medicines. These requirements
are likely to be particularly stringent for the complex, more
recently developed, medicaments, but care is needed even
with apparently simple products such as aspirin tablets if all
the main aims of formulation are to be satisfied. These aims,
not in order importance, are that the product shall be:
1. economical for large scale manufacture,
2. acceptable,
3. chemically and physically stable,
4. correctly packaged,
5. preserved against microbial contamination,
6. able to provide correct dose of drug, and
7. therapeutically effective.
2215
pilotscale methods are translated to full commercial
production; Oldshue (1961), for instance, has discussed
scale-up problems for solid/liquid mixing processes.
Particular attention must be given to those processes, which
are prolonged on the industrial scale. It may be necessary, for
instance, to pass a stream of nitrogen or other inert gas
through an industrial comminutor if the drug is heat or
oxygen sensitive and its transit time in the equipment is long.
Heat-up and cool-down times for a manufactured batch may
be increased by a large factor compared with bench
experiment, and a degradative reaction that may be ignored
during initial studies may assume crucial importance on the
large scale. Theoretical treatment of the problem leads to
mathematical difficulties (see Eriksen et al., 1958), but even a
small additional loss, regardless of cause, could be significant
within the context of the overall degradation during the life of
the product and it may be necessary, for instance, to install
cooling coils within the processing vessel. Alternatively, new
equipment might be purchased or a completely original
production facility designed. These points require a good
knowledge of pharmaceutical engineering and the resources
available to the particular organization, as well as an
awareness that equipment and manufacturing costs must bear
a reasonable relation to the expected throughput and selling
price of the product.
Acceptability
A product must be acceptable to those who handle or use it.
The doctor, for instance, will note those features of a product
that facilitate its administration to the patient. An injection
that is so viscous that it cannot readily be drawn into the
2216
syringe is unlikely to attract continued use if an alternative
more readily administered product is available. Ultimately, it
is the patient who uses a product. The success of a treatment
often depends on strict adherence to a given dose regimen that
may extend over a considerable period of time. The patient
may well find, for example, a gritty ointment or an
unpalatable mixture, completely unacceptable, and may
abandon treatment or ask the physician for an alternative form
of the drug.
2217
almost complete obliteration of taste and smell. As
water-insoluble materials have little or no taste, unpleasant
drugs may be rendered more acceptable by administration as
a water-insoluble
derivative—a classical example is chloramphenicol
palmitate—although acceptability obtained in this way may
cause problems of sedimentation, bioavailability, etc. If an
insoluble derivative cannot be used, a strong perfume or
flavour may be required to mask an unpleasant drug but there
is the high probability that a strong identifiable perfume or
flavour, initially acceptable, may eventually be actively
disliked if the treatment is prolonged. It must be remembered
that the preferences of the sick adult or child do not
necessarily coincide with, and are likely to be more capricious
than those of the healthy subject. Where possible it is
probably better to use a neutral but nevertheless pleasant and
effective flavour or perfume that is not recognized by the
patient. The problems of flavouring are most acute for
paediatric preparations where a very strong flavour may itself
cause nausea and vomiting. Few situations are more difficult
than the firmly shut mouth of a child refusing to take a
medicine.
There are associations between colours and flavours, e.g.
yellow with lemon, red with cherry, etc. and between
flavours, e.g. acids with citrus flavours. It is generally true
that lime flavour, for instance, is more appropriate to a pale
green, faintly acid product than to one which is neutral and
coloured red. With the wide range of flavours available to the
formulator it is not surprising that there has been a tendency
for the traditional materials to be ignored but there is still a
case for the judicious use of pharmaceutical substances such
as oils of dill and caraway, and oleoresins of capsicum and
ginger, particularly in those situations where their carminative
2218
action may be useful in allaying any gastric upset caused by
the drug. A persistent flavour of the chocolate type, or the
local anaesthetic action of menthol, pure or in peppermint oil,
is particularly effective in covering bitter unpleasant tastes—a
combination of both may be tried if the taste of ferrous salts
must be masked. Charnicki and Kober (1957), in describing
all stages of the flavouring trials for an aqueous oral
penicillin/sulphonamide product, noted that a flavouring
agent may also adversely affect product stability. Vanillin
accelerated decomposition, whereas clove and aniseed were
without effect. As will be seen, sulphur dioxide used to
preserve fruit juices and syrups against microbial spoilage has
been implicated in the fading of colouring substances.
Apart from flavouring it may be necessary to cover a bitter
taste by means of a sweet vehicle. While sucrose is likely to
remain the most widely employed sweetening agent, glycerin
and chloroform may be of value and have preservative action
in sufficient concentration. Alternatively, given suitable
preparations, honey, liquorice and treacle have useful
sweetening action. Soluble saccharin (the sodium salt) is said
to have a less obtrusive bitter after-taste than saccharin itself
and, depending on concentration, is about 200–700 times
sweeter than sugar; it is best used in conjunction with sugar at
trial concentrations of 0.02–0.05 per cent. The cyclamates are
20–30 times sweeter than sugar but until their freedom from
toxicity has been completely established it would be wise to
avoid their use in formulation. Sorbitol is recommended as a
replacement for sugar in diabetic preparations but has only
half the sweetening power, is more expensive and is said to
have some laxative action. It is converted to fructose in the
liver and is contraindicated where there is intolerance to that
sugar. It may be noted also that lactose used in tablets may
give trouble with galactosaemic patients. These problems are
2219
most acute for children where the dose of carbohydrate
related to body weight is higher than for adults. A useful
review is given by Leach (1970).
Colours
2220
odour or for identification purposes. Unfortunately there is
evidence that some dyes may act as carcinogens or are
otherwise undesirable and for this reason are not permitted in
foodstuffs or, by implication, in drugs or cosmetics. Dyes
must be selected with care as there is no internationally
recognized list of permitted colours, a colour which is
allowed in one country may be totally banned in another. A
useful summary of the situation is given in the Extra
Pharmacopoeia (Martindale, 1972). In Great Britain the
colouring agents which may be used are given in the
Colouring Matter in Foods Regulations, 1966 (S.I. 1966: No.
1203) and for Scotland in S.I. 1966: No. 1384. If it is
imperative to include a dye in the formulation, the lowest
concentration should be used, especially for paediatric
products, since children are likely to vomit with consequent
staining of clothes.
Stability
The main causes of physical and chemical instability have
been discussed elsewhere in this volume. Here only a number
of details in the use of anhydrous vehicles and in the
formulation of suspensions will be discussed.
Anhydrous Vehicles
2221
it is metabolized to oxalic acid which is toxic. Generally,
vehicles based on alcohols and glycols have an unpleasant
burning taste but are much more acceptable if diluted with
water immediately prior to administration. If the stability of
the medicament is such that it will have a reasonable shelf life
in the presence of a limited amount of water, a combination of
the alcohols with a suitable syrup produces an acceptable
vehicle of the type used for the official elixirs.
As well as olive and arachis oils, a number of other oils are
suitable for the formulation of oily vehicles. Cottonseed,
soybean and corn oils are all used for culinary purposes and
are sufficiently bland for consideration as oily vehicles for
oral preparations. Fractionated coconut oil is virtually
colourless, odourless and tasteless; it is used as a diluent for
Phenoxymethylpenicillin Mixture BPC. Such vehicles are
rather difficult to flavour except with vanillin, volatile oils or
other oil-soluble flavours. Sweetness may be improved by the
addition of saccharin.
Anhydrous vehicles are also much used for the formulation of
ointments, suppositories and parenteral solutions. In the first
two types of product a suitable consistency is obtained by the
inclusion or exclusive use of fats and waxes. Absorption from
topical preparations and the pharmacological basis of topical
therapy are discussed by Wagner (1961) and D’Arcy (1965)
respectively. Systemic medication per rectum is convenient
where oral administration may induce nausea or vomiting,
onset of action is usually faster than by the oral route and (in
common with buccal absorption) enterohepatic recycling is
avoided. The lower efficiency of rectal absorption may dictate
a dose larger than that given by mouth. The formulation of
suppositories and related matters are discussed by Senior
(1969a & b) and Wagner (1971). Anhydrous injection
vehicles have been reviewed by Speigel and Noseworthy
2222
(1963), who note that care is needed in selecting the vehicle if
unwanted modification of drug activity is to be avoided.
Polyoxyethylene glycol vehicles markedly increase the
toxicity of nitrofurantoin and are incompatible with many
phenolic substances. If the drug is only partially soluble in the
vehicle, temperature fluctuation may cause a coarsening of
the particle size of the undissolved portion. For completely
soluble drugs it is necessary to check that this condition also
obtains at a suitably low temperature, say –5°C, as material
deposited at a lower than normal temperature may not readily
redissolve when the temperature rises again.
Suspensions
2223
polyvalent ions are usually most efficient; for example,
sodium citrate controls the degree of flocculation of the
bentonite in Calamine Lotion, and hence its consistency; it
will also deflocculate a 100 per cent w/w barium sulphate
paste to give a thin pourable suspension. Matthews and
Rhodes (1968a & b) reported that satisfactory griseofulvin
suspensions may be prepared by zeta potential control with
Al3+ ions.
Even with correct control of the zeta potential, the size or
density of the particles may be such that they still settle too
rapidly for the proper quantity of medicament to be poured
out, drawn into a syringe or topically applied. For dilute
suspensions the rate v at which a particle of density D and
radius r settles in a liquid of viscosity η and density d is given
by Stokes’ equation in the form:
(41.1)
2224
large number of hydrophilic colloids. Cellulose is an extended
open chain some 1000–3000 anhydro-β-glucose units long
(Fig. 41.1). Steric hindrance near the -O-linkages limits
rotation of the glucose units relative to one another. This,
together with the rigidity of the glucose units restricts the
flexibility of the chain. Interchain attraction is very high due
to hydrogen bonding between neighbouring –OH groups and
as a result cellulose is not thermoplastic, cannot be plasticized
and is insoluble in all but very acid or alkaline aqueous
media. If the –OH is modified by the formation, of an ester,
e.g. cellulose acetate, or ether, e.g. methyl cellulose, hydrogen
bonding is much reduced and the properties of the resultant
product will depend on the degree of substitution, the average
chain length and the distribution of chain lengths. In general
the degree of substitution controls the solubility (Table 41.1)
while the chain length and distribution determines the
viscosity grade. The propoxyl group is sufficiently
hydrophobic for propyl cellulose to be insoluble in water at
all levels of substitution. The viscosity grade is indicated by a
number after the name, i.e. Hypromellose 20 BPC would be
that grade of hydroxypropylmethylcellulose which, at a
concentration of 2 per cent in water gives a solution with a
viscosity of 20 centistokes. A 2 per cent solution is also used
for standardizing methylcellulose but the concentration is 1
per cent for sodium alginate and sodium
carboxymethylcellulose. Sodium alginate is a purified
substance extracted from Laminaria type seaweeds. Alginic
acid is a d-mannuronic acid polymer; solutions of the sodium
salt at a given concentration become more viscous as the
degree of polymerization of the acid is increased. A wide
variety of viscosity grades is available but only one (30–60) is
official. Carboxypolymethylene is a totally synthetic vinyl
polymer with a high degree of carboxyl substitution. The acid
2225
powder is dispersed in water and then neutralized with a base
to give a viscous solution that is most stable between pH 6
and 11. Unless protected by an antioxidant the solutions lose
viscosity on exposure to sunlight.
2226
reversibly thus solutions of methylcellulose or
hydroxypropylmethylcellulose gel at a certain temperature,
the so-called gel-point, which is lower for methyl- than for
hydroxypropylmethyl cellulose. Above the gel-point the
polymer is precipitated. Prolonged heating, however, of most
natural and synthetic suspending agents leads to
depolymerization and permanent loss of viscosity. This loss
of viscosity may amount to some 25 per cent when, for
instance, sodium carboxymethylcellulose solutions are
sterilized by autoclaving.
Sodium alginate, –carboxymethylcellulose and
–carboxypolymethylene give insoluble salts with a number of
multivalent metal ions and the acids are precipitated at a
sufficiently low pH. Hypromellose is the preferred polymer
for thickening ophthalmic solutions as these are clearer and
have fewer undispersed fibres. The official preparation is
used for the replacement of lachrymal secretion where this is
deficient.
The availability of a wide range of viscosity grades permits
the selection of the grade and type of polymer best suited to
the needs of the product. Assume, for instance that it is
required to suspend a powder of 50μm maximum diameter
and density 1.5g/cm3. If the mixture is to be taken every 4
hours an arbitrary decision might be taken that the largest
particles must not sediment more than 1cm in that time. The
density of the vehicle may be taken as 1.0g/cm3. Substituting
in Eq. 40.1.
2227
whence
(41.2)
2228
Fig. 41.2 Viscosity of some solutions of hydrocolloids as a
function of concentration. These curves should be used as a
guide only as the viscosity is very dependent on the method
of measurement and the technique used to prepare the
solutions.
2229
(Packaging is considered in Chapter 43.)
2230
honey. However, the major disadvantage with physical
methods of protection is that they become inoperative as soon
as the particular constraint is removed, for example, the
product is stored in a warm rather than cool place or the
closure is taken out of a vial of sterile product. It is generally
preferable to use a method that is largely independent of the
environmental conditions namely the addition of a chemical
substance that will kill contaminating organisms or at least
prevent their multiplication in the product during storage and
use.
2231
Usual
Substance concentration Remarks
per cent w/v
For oral use:
Ethyl alcohol At least 10 These hydroxylic
materials probably act by
increased osmotic
pressure. Ethylene glycol
is toxic and must not be
used (see text)
Isopropyl alcohol At least 10
Glycerol At least 25
Propylene glycol At least 25
Sugar At least 65
Sulphur dioxide 400ppm. Used in foodstuffs
and sulphites,
e.g. sodium 0.1 Oxidizes and loses
metabisulphite efficiency; may reduce
dyes
Benzoic acid 0.1 Rapid loss of
effectiveness above pH
5.0. Soluble about 0.3 per
cent in water at room
temperature
Dehydroacetic 0.1 More effective in acid
acid products
Sorbic acid 0.1 More effective in acid
products. Soluble about
2232
0.15 per cent in water at
room temperature
Methyl 0.2 Less effective above pH
p-hydroxybenzoate 8.0. Soluble about 0.3 per
cent in water at room
temperature
Propyl 0.02 Less effective above pH
p-hydroxybenzoate 8.0. Soluble about 0.03
per cent in water at room
temperature
Mixtures of these esters
have a wider range of
action. May be used as
carbon source by one
species of Pseudomonas
aeruginosa (Hugo &
Foster, 1964)
Solutions of the sodium
salts are strongly alkaline
Chloroform 0.25 Chloroform water
0.5 Double strength
chloroform water
Has warm sweet taste, is
very volatile and easily
lost from the product
For other uses:
Alcohols and See above. Sorbic acid
glycols may cause skin irritation
Benzoic,
dehydroacetic and
2233
sorbic acid
p-hydroxybenzoic
acid esters
Formaldehyde Very effective and highly
reactive may cause skin
irritation. Rarely used in
pharmaceutical products
but 0.05 per cent may be
used in shampoos
Benzyl alcohol 1.0 Has weak local
anaesthetic action
Phenylethyl 0.5 Has been used in
alcohol ophthalmic preparations
β-Phenoxyethyl 1.0 Very little action against
alcohol Gram-positive organisms
Chlorbutol 0.8 Soluble about 0.8 per cent
action is erratic due to
losses by volatilization
and hydrolysis HCI is
produced and may acidify
the product
Phenol 0.5
Cresol 1.3
Chlorocresol 0.1
Thiomersal 0.01 Unstable at pH lower than
7
Phenylmercuric 0.001 Maximum solubility
sails about 0.1 per cent
2234
depending on salt used.
The highly insoluble
chloride may be
precipitated if product
contains chloride ions.
Chorhexidine salts 0.01 Has been used for
ophthalmic preparations.
Salts of low solubility
formed with many anions
particularly of the anionic
surfactants
Quaternary 0.01 Incompatible with anionic
ammonium salts, surfactants, alkali
e.g. Benzalkonium hydroxides and
chloride carbonates.
Benzalkonium chloride
has been used in
ophthalmic preparations
2235
Adjustment of the pH of a solution may affect both the
chemical stability and the activity of the preservative. The
former effect is, however, usually slight. If it is accepted that
most pharmaceutical products will have a pH in the range
3–8, the only commonly used preservative for which serious
chemical instability problems are likely to arise is thiomersal
which degrades in acid media. Within the assumed pH range
there will, however, be a marked variation in the activity of
the ionized preservatives. In general, it is the unionized form
of these that has antimicrobial activity and the proportion of
that form at any pH may be calculated by means of the
Henderson–Hasselbalch equation arranged as follows:
(41.3)
2236
for the completely unionized acid. The constancy of this value
(0.0169–0.0185) argues strongly in favour of the view that it
is the unionized form of the benzoic acid which is responsible
for antifungal action. With a knowledge of the pKa and the
minimum inhibitory concentration for the unionized form it is
possible to calculate the minimum inhibitory concentration at
any pH. Suppose it is required to preserve a product of pH 4.7
with benzoic acid and that A.niger is a likely challenge
organism. The pKa of benzoic acid is 4.2 and substituting in
Eq.41.3:
2237
Preservative concentration of acid at pH 4.7
2238
surfactant may be regarded as another type of two-phase
system with an aqueous and a lipophilic micellar pseudophase
between which the preservative may partition; the effect is
well known in the field of phenolic disinfectants. In the
presence of polyoxyethylene sorbitan oleate loss of activity
has been shown to occur with sorbic acid (Blaug & Ahsan,
1961a), cetylpyridinium chloride (Delucca & Kostenbauder,
1960) and the p-hydroxybenzoic acid esters (Pisano &
Kostenbauder, 1959). The foregoing surfactants at a 5 per
cent concentration, caused a four-fold increase in the amount
of methyl p-hydroxybenzoate required for effective
preservative action (Blaug & Ahsan, 1961b). It is possible to
determine the amount of preservative in the aqueous phase of
a surfactant solution; this allows comparison of the activity of
solutions with and without surfactant, but having the same
concentration of preservative in the aqueous phase.
Humphries et al. (1968) found a higher than predicted activity
for benzoic acid/nonionic surfactant systems which they
ascribed to micelles acting as reservoirs for preservative and
to other effects.
Emulsions are more obvious examples of two-phase systems.
In the simplest model, a mechanical dispersion of oil in water,
lipophilic antimicrobial substances will partition between the
oil and water until:
2239
and
(41.4)
(41.5)
2240
set at 1.0 the relative activity of a 0.94 per cent solution is:
2241
free preservative in that phase Bean et al. (1969) were able to
simplify the theoretical treatment and derived the expression.
(41.6)
and
2242
(1961), for example, reported that the partition coefficient of
methyl hydroxybenzoate is changed in favour of the aqueous
phase if this contains glycerol or propylene glycol. These and
many other factors that affect the preservation of emulsified
preparations are discussed in considerable detail by
Wedderburn (1964). It should be noted that many countries
now require creams to be supplied in a sterile condition, or at
least with a very low level of contamination; this is the main
purpose of official instructions for the preparation and
packaging of creams. For complete assurance of sterility it
may be necessary to heat the cream in which case there will
be problems of physical stability superimposed upon those
associated with preservative activity.
Assessment procedures usually reveal the minimum
concentration needed to protect the product against specific
organisms. A safety margin must, however, be provided to
take account of manufacturing tolerances. By way of
illustration assume that 0.3 per cent phenol is found to be the
best preservative for a given lotion. It may be considered that
90–110 per cent of the nominal amount of preservative is a
reasonable manufacturing tolerance. By substitution in Eq.
41.5, however, it can be shown that reduction of the
concentration of phenol to 90 per cent of the nominal value
will have a very marked effect on the bactericidal efficiency
of the preparation. Thus for phenol n = 6 and:
2243
its original value. Clearly, to provide for the worst conditions
of manufacture, the amount of phenol must be increased to:
2244
Correct Dose
2245
clinical response will be elicited in the patient. This matter is
considered in the next section.
Therapeutic Effectiveness
With very few exceptions a drug must be in aqueous solution
to exert its therapeutic action.
Often the site of action is remote from the site of
administration and therefore a transport system is required;
this is provided by the circulation of blood (Fig. 41.4). When
administered by buccal, rectal, intramuscular, or
subcutaneous routes, the drug directly diffuses into the blood
from the absorbing tissue. Onset of action from this route
will, therefore, be somewhat slower than by intravenous
administration where the drug is directly injected into the
blood. Onset of action is even longer by the oral route. This is
partly due to the transit time of the drug to that part of the
gastrointestinal tract from which it is best absorbed, to the
nature of the absorbing tissue, hepato-enteric recycling and to
the nature of the oral product. Simple solutions tend to act
faster than suspensions as time will be required for the
suspended solid to dissolve so that it can exert its effect.
Similarly, suspensions (fine particles) will act faster than
powders (coarse particles), which in turn act faster than
capsules and tablets. As far as the body is concerned all drugs
are foreign substances and mechanisms are available for their
elimination. The drug may be excreted in the faeces, urine or
saliva, etc., either unaltered or as metabolites. The therapeutic
response is often related to the amount of drug in the blood
which in turn is determined by the nett effect of the
absorption, transport and elimination processes. Products may
therefore be ranked in order of promptness of response and
2246
duration of action as in Table 41.3. Each type of product will
have a characteristic response, thus without considering the
relevant theory at this stage, the graph for the time course of
action for an oral product may be sketched as in Fig. 41.5. If
the characteristic response of any product is to be modified
for whatever purpose, there are three main ways in which this
may be done: biological, chemical and pharmaceutical.
2247
Fig. 41.4 Distribution of drugs in the body.
Biological
2248
Chemical
Pharmaceutical
2249
tablet and suspension formulations to provide a sustained
action product. Regardless of the method chosen, the
formulator may be concerned either with correcting
unintentional deficiencies in an existing product of
conventional type or with the design of a modified dose form
with defined performance. In general these objectives may be
attained by attention to the biological availability of the drug.
Often, this is defined with reference to a ‘standard’
preparation but in quantifying this parameter it is also
necessary to take account both of the total amount and rate of
release of drug, particularly in relation to the nature of the
required therapeutic action. The definition is best illustrated
by reference to Fig. 41.6. For product A the onset is rapid and
the response is maintained above the minimum effective level
for a suitable period of time, i.e. the biological availability is
high. Although the same amount of drug is released by
product B, at no time is the minimum effective level attained
and therefore the biological availability is low. On occasion it
may be desirable to delay the release of drug because, for
instance, it is inactivated by acid gastric secretions. The curve
for product C best expresses the type of response that is
required for high biological availability under these
circumstances.
2250
Fig. 41.6 Time course of action characteristics for
conventional and modified products. (A) Effective
conventional product; (B) Noneffective conventional product;
(C) Modified product.
2251
injected intramuscularly the drug is precipitated at the
injection site due to pH changes and the rate of release is
limited by the dissolution rate of the solid material.
Apart from such examples, biological availability problems
are most likely to occur if the product is a solid or a
dispersion of a solid in a liquid. In these circumstances there
is a high probability that the dissolution rate is the key factor
(Fig. 41.7).
2252
related to the difference between the concentration (Cs) of the
solute in solution adjacent to the interface–often assumed to
be saturated–and that in the bulk solvent (C), the surface area
(S) exposed to attack and other factors (K) such as the
viscosity and the degree of agitation of the solvent. The
generalized equation may be written:
(41.7)
2253
both amorphous and crystalline states. For many crystalline
drugs there is also the possibility of different lattice
arrangements and these amorphous and different crystalline
forms are known as polymorphs. Only one polymorph is
stable under given physical conditions and all other forms
tend to revert more or less rapidly to that stable form. The
lifetime of some polymorphic forms may be so long that the
polymorphs appear to have a separate existence and are said
to exist in a metastable state. From the formulator’s point of
view it is an unfortunate fact that the most stable form is also
the least soluble and thereby is potentially the least active. In
the case of novobiocin, the amorphous form of the acid is an
effective antibiotic whereas the less soluble crystalline variety
is inactive at the same dose level (Mullins & Macek, 1960).
The crystalline sodium salt is converted to the amorphous
state under the acid conditions of the stomach and the calcium
salt is amorphous; both forms are active in vivo.
Chloramphenicol palmitate exists in an amorphous and three
crystalline forms. Aguiar et al. (1967) showed that
administration of 1.5g of the most stable form of the ester to
adults produced a mean peak blood level of about 2.5μg/ml
whereas the most solub1e variety of the drug gave a peak
concentration nearly ten times higher.
Polymorphic forms of drugs occur more frequently than is
generally realized and lack of awareness of their existence can
lead to unwelcome therapeutic effects even though chemical
analysis would reveal nothing amiss. The low potency of
some chloramphenicol palmitate preparations which have
been marketed was due to the selection of the most stable but
least active polymorph (Anderson, 1966). Equally dangerous
is the higher activity and incidence of side effects that might
occur if a product formulated on the basis of clinical trials
with the stable variety was inadvertantly manufactured with
2254
the metastable polymorph. The problem is further
complicated by the possibility that the metastable variety may
revert to the stable state during the lifetime of the product.
Such changes may often be prevented by added substances,
such as hydrocolloids and surface active agents, that poison
the crystal lattice. Mullins and Macek found that
benzalkonium chloride increased the rate of crystallization of
solutions of amorphous novobiocin. Methylcellulose, on the
other hand, had the reverse effect and increased the time for
crystals to appear in the solution from 22 days at 37°C to
more than 365 days at the same temperature. Calcium
novobiocin, although amorphous, did not revert to the
crystalline form at 37°C even after storage for 2 years.
Surface area: Particle size reduction is a familiar
pharmaceutical operation employed to secure better
dispersion of a drug in its vehicle. The process also increases
the surface area per given weight of material (the specific
surface area) and can therefore affect the biological
availability. As originally submitted to clinical trial,
griseofulvin had a specific surface area of 0.4m2/g, a particle
diameter of about 10μm and a recommended dose of 250mg.
Subsequently the manufacturing procedure was changed and
yielded a powder with a specific surface area of 1.5m2/g and a
particle diameter of 2.7μm. The more rapid dissolution rate of
the finer powder allows the dose to be halved. The official
description a white to pale cream powder the particles of
which are generally up to 5micrometres in maximum
dimension is framed to give a powder with an average particle
size smaller than this to ensure the correct biological
availability for the antibiotic. Modern insulin preparations
provide a further example of the importance of particle size
and polymorphic form as factors controlling the biological
availability of a drug. An insulin–zinc complex can be
2255
precipitated either as 10–40μm crystals or as amorphous
particles up to 2μm in size. If a mixture of both types is
injected the amorphous particles dissolve rapidly for prompt
response which is maintained by the slower dissolution of the
crystals. The proportions of each type of particle determine
the release profile of the preparation and may be varied to suit
the individual needs of the patient.
As was the case with tolbutamide it is not always the most
rapidly absorbed form of the drug that is most satisfactory for
clinical use. A similar situation has arisen with nitrofurantoin
where the 10μm powder, in suitable dose forms, gives a
satisfactory concentration in the urine at an oral dose level of
50–100mg but nausea and vomiting is a problem for a
significant number of patients. It has been shown (Paul et al.,
1967) that
although side effects rarely occur if the coarser 100–150μm
powder is used, neither the urinary concentration nor the
amount of drug absorbed are markedly changed. It may also
be necessary to avoid a small particle size powder if local
action in the distal parts of the gastrointestinal tract is
required and the drug has appreciable water solubility.
Premature dissolution and absorption of the drug in, say, the
stomach might give rise to toxic effects and would certainly
reduce the amount available for the required local action.
2256
away from the interface to the bulk dissolution medium.
Hydrocolloids are often included in the formulae of
pharmaceutical products to suspend solids, to prevent
polymorphic changes or to act as binders during the moist
granulation of powders for tableting. At best the hydrocolloid
may mix with the dissolution medium, increase viscosity and
slow down diffusion of the dissolving molecules: at worst it
may adsorb onto the solid surface to form a thin layer having
an extremely high viscosity which will considerably delay
diffusion. If adsorption occurs, the effect is out of all
proportion to the actual concentration of hydrocolloid in the
product. Instead of being adsorbed, these materials may be
precipitated on to the particle surface by interaction with the
contents of the gastrointestinal contents. Whatever the cause
the effect is well illustrated by the following data from
Davidson et al. (1961).
The degree of agitation is important both from the point of
view of drug dissolution in vivo and also for possible tests for
dissolution rate in vitro. In any static dissolution system there
is a tendency for a stagnant pool of solution to form in the
vicinity of the dissolving solid. As a consequence, the
concentration gradient is reduced and further dissolution of
the solid is inhibited. Such evidence as is available (Levy,
1963) suggests that the degree of agitation in the
gastrointestinal tract is only moderate. It will be recalled that
large doses of rapidly soluble materials such as the alkali
metal halides must be dissolved in water before
administration to avoid the nausea and vomiting that would
arise from high local concentrations of solute in the stomach.
Furthermore, if the density of the product is unusually high it
may become lodged in lower parts of the stomach and in the
case of iron preparations this has led to gastric erosion. In
normal situations however the degree of agitation in the
2257
stomach is probably sufficient to ensure that the rate of
dissolution is not limited by poor mixing.
Apart from viscosity and agitation effects it is convenient to
include in the variable K a number of factors peculiar to
certain types of dose form. Suspensions should be free from
effects other than those that may be attributed to factors
already discussed above. Nevertheless, as an instance of the
way quite minor changes may influence the time course of
action of griseofulvin it was noted by Duncan et al. (1962),
that a suspension prepared by dispersing the antibiotic
directly in a solution of wetting agent gave a lower peak
blood level than a product containing the same concentration
of adjuvant added as a solid to the drug prior to dispersion
with water.
The simplest model of a hard capsule comprises a powder
mass enveloped in a water-soluble shell. It might be thought
that such a system would be free from dissolution problems.
The work of Aguiar and coworkers (1968) suggests that this
is far from the truth; their examination of four nominally
identical brands of chloramphenicol capsules showed peak
plasma levels in adults varying from 2.2 to 9.5μg/ml. The
observed differences were related to the rate of deaggregation
of the drug during dissolution. In the wider range of
chloramphenicol capsules examined by Withey and Mainville
(1969) the time for dissolution of 50 per cent of the dose of
drug (t50) varied from 2.4 to 20 minutes and with one brand, a
soft capsule, only a quarter of the drug had dissolved in 30
minutes as compared with 60–90 per cent for the hard capsule
preparations. Several experimental capsules were also studied
and confirmed earlier reports that the capsule shell interferes
with the initial stages of dissolution. Many hard capsule
formulations contain lactose in addition to the drug and in
high concentrations this may also depress the dissolution rate.
2258
For drug mixtures containing 43 per cent of the sugar t50 was
about 4 minutes but was increased to about 13 minutes with
80 per cent of the adjuvant in the mixture. On the other hand,
when lactose was substituted for calcium sulphate in
manufactured batches of phenytoin capsules, enhanced
activity and a much higher incidence of side effects were
noted. Tyrer et al. (1970) have reported blood serum
concentrations (20–25μg/ml) for the formulation with lactose
and only about a third of this value for the product with
calcium sulphate.
There are so many variables in the production of tablets that it
is difficult to disentangle the many possible interactions that
may have a bearing on biological availability. One such
attempt has been described by Ganderton et al. (1967). In
studies with phenylindione tablets they reported a maximum
dissolution rate at compaction pressures in the range
400–800kg/cm2 within which range it is known from other
studies that there is also a maximum in the internal surface
area of the tablets. At less than about 800kg/cm2 compaction
pressure the dissolution rate is increased by small granule
size, surfactant to promote wetting by the dissolution
medium, and starch to aid disintegration. Conversely, the
hydrophobic nature of magnesium stearate used as the
lubricant has the effect of decreasing dissolution rate. It is
shown elsewhere that this effect can be put to good use in the
formulation of sustained action tablets.
2259
quantity of drug that has dissolved. Closed circuit systems
have been devised by, for example, Marshall and Brook
(1969), to take advantage of the methods that now exist for
continuously monitoring the concentrations of solutes in
liquids. Provision may also be made for replacing part of the
dissolution medium from
time to time or for changing its nature; both modifications are
intended to give a closer simulation of actual conditions
within the gastrointestinal tract. A more intractable problem is
that of ensuring the right degree of agitation and it would
appear that this is probably less than is commonly assumed by
designers of test apparatus. Often the dissolution rate
becomes sensibly constant above a certain (high) level of
agitation—see, for instance, Flanagan et al. (1969). If a high
level of agitation is accepted for the sake of experimental
reproducibility, it must be recognized that the dissolution may
be proceeding under conditions quite different from those
which are thought to obtain in vivo. Some workers, for
example, have used the official tablet disintegration test
apparatus with a finer mesh to retain all particles in the
oscillating tube. According to Levy (1963) these conditions
are too severe, as this method did not distinguish between
tablets shown to be different by other methods and by trial in
vivo.
That no universally acceptable apparatus has so far been
designed is evidenced by the large number of devices that
have been described in the literature; Hersey (1969) has
provided a useful review. With proper attention to operating
conditions dissolution tests provide valuable in vitro data for
the development of pharmaceutical products, an indication of
relative potential in vivo performance and means for quality
control. Certainly, there is now considerable evidence to show
that in a given series of products, the one with the highest
2260
dissolution rate will probably produce the most rapid and
intense response in vivo. It is not even necessary for the
products to be all of the same type: Bates et al. (1969), for
example, compared suspension and tablet formulations of
salicylamide and demonstrated that their in vivo behaviour
ran parallel to their in vitro dissolution rates. It is now also
clear that the tablet disintegration time is, in most cases, a
poor guide to the biological availability of the drug. In the
series of aspirin tablets examined by Levy (1961), the one
with the longest disintegration time gave the highest rate of
excretion. There was however an obvious correlation between
the amount (E) of drug excreted in the first hour after the
administration of 600mg of aspirin to adults and the
dissolution rate (D) expressed as the weight of drug dissolved
from the tablets in 10 minutes under stated conditions. In two
series of experiments (A and B) the data were described by
the equations:
(A)
(B)
2261
of experiments probably caused more rapid gastric emptying
and absorption of the aspirin.
It was noted earlier that the time course of action curve for a
drug is a composite of the absorption transport and
elimination processes. Frequently, it is found that once the
peak response is past, a plot of the logarithm of response, e.g.
concentration in the blood is, for all practical purposes, a
linear function of time (Fig. 41.8). By analogy with chemical
kinetics theory this is a first order process that is, the rate of
elimination is effectively proportional to the concentration of
drug in the blood, thus:
(41.8)
(41.9)
2262
Fig. 41.8 Biological half-life of a drug.
2263
or
(41.10)
2264
effective therapy (Fig. 41.9). When doses are too widely
spaced, the troughs will fall below the level required for
proper treatment but, on the other hand, if they are
administered too frequently the peaks may exceed the level
for acceptable incidence of side effects.
2265
become available. It is worth recalling also hat it is not always
easy or convenient to administer medicaments by the
intravenous route in very young or very old patients. If large
volumes of liquid must be given parenterally in these
circumstances, it is possible to inject subcutaneously at up to
about 10ml/minute provided hyaluronidase is used to increase
tissue permeability (Wilson, 1959). There are also occasions
(the treatment of diabetes by insulin is an obvious example),
where a reduction in the frequency of dose administration
would be a great convenience to the patient; but for
dose-forms other than injections the argument for reducing
the frequency of dose administration is more tenuous.
Nevertheless, in suitable cases, there are other good reasons
for increasing the duration of action of individual dose units.
For reasonable duration with a normal dose, the response to
the drug is likely to be in excess of that necessary for
effective therapeutic action (Fig. 41.10, curve A); if the dose
is reduced to avoid this situation, the period of effective
action is reduced (curve B). The amount of drug in excess of
that strictly necessary for effective therapy would be more
usefully employed in stretching the period of activity as
shown in the shaded portions of curves A and C. The benefits
are obvious; curative action has been extended without
increasing the total amount of drug while the reduced peak
response will probably lower the incidence of side effects. It
is unlikely, however, that these factors would extend the
useful period of activity by more than about a third; thus,
assuming the normal effective period of action to be some
four hours, it would be extended to just over five hours.
2266
Fig. 41.10 Prolongation of drug action.
2267
Fig. 41.11 Type of prolonged action oral dose forms. (A)
Repeat action preparation; (B) Sustained action preparation.
2268
response to medication and also variation from day to day for
a particular patient.
2269
a primary function of coating thickness, as above pH 6.0 the
dissolution rate of the coating is not markedly affected by the
reaction of the solvent.
It is not possible to control the transit time, however, as this is
dependent on the stomach emptying rate. An average value
for the stomach emptying time is 4 hours but is longer if the
stomach is empty and less if the drug is taken with plenty of
fluid. The emptying rate is also affected by the posture of the
patient; it is less if the patient lies on the left side as this
requires the gastric contents to follow the natural uphill curve
of the stomach towards the duodenum.
In general, the foregoing problems do not arise with
permeable barrier coatings; for these the only requirement is
that water shall be available for diffusion through the barrier
to provide solvent for the drug so that it may diffuse outwards
through the barrier, to the gastrointestinal tract.
Ethylcellulose, nylon and acrylic plastics modified by
hydrophilic groups are polymeric materials that have been
used to give permeable films that are applied in much the
same way as cellulose acetate phthalate. These coatings may
be applied to whole tablets or to pellets formed by coating
preformed sucrose seeds with drug dissolved or suspended in
an adhesive solution. Alternatively, drug crystals may be
coated by mechanical microencapsulation (Nack, 1970) or
coacervation (Nixon, et al., 1968). Sustained action tablets
prepared by compressing polymer film coated crystals have
been evaluated (Bell et al., 1966).
As an alternative to polymers, lipophilic coatings comprising
paraffin waxes, fatty alcohols and acids, glyceryl
monostearate and distearate may also be used to form
permeable barriers. For a given coating composition the
release rate is decreased if the thickness is increased or, for a
given coating thickness, the more polar materials allow water
2270
to penetrate more rapidly and this results in a faster release of
drug (Jack, 1961). Release is delayed by the time taken for
water to penetrate to the solid and for this to diffuse outwards.
In one product using this method of controlling release, the
drug is formed into small pellets as described above and these
are treated with a wax composition dissolved in a suitable
solvent. Normal pan coating is used. The batch of pellets will
have a mean value for the delay and release rate. Due to the
nature of the pan coating process the values of these
parameters will vary by a greater or lesser extent about the
mean values for the batch. A typical sustained action
preparation consists of a capsule containing untreated drug
pellets together with pellets that have been given different
thicknesses or compositions of wax coatings. On ingestion the
capsule shell dissolves and the uncoated drug pellets provide
a prompt dose which is maintained by release from the
different coated pellets at timed intervals. The release profile
is shown in Fig. 41.11. The statistical release of drug from
each batch of pellets smoothes out the peaks and troughs in
the response. A dextamphetamine product of this type
behaves in the expected manner (Beckett & Tucker, 1966).
It is worth noting that if product performance is to be assessed
by urinary excretion data, it is necessary in the case of ionized
drugs to control the pH of the urine so that tubular
reabsorption is avoided.
Erosion control: The finely powdered medicament is
embedded in a wax formed from one or more of the
following—stearic acid, hydroxystearic acid, hardened castor
oil and fatty alcohols. If
necessary, water penetration may be controlled by the
inclusion of a hard polyethylene glycol in the wax. The drug
is dispersed in molten wax, rapidly solidified on a cold drum
or in trays and the flakes passed through a swing-hammer
2271
granulator. The granules are compressed in the normal
manner to give a sustained action core onto which is
compressed a dose of the same drug formulated for prompt
release. When administered, the coating disintegrates to
provide the prompt dose which is maintained by gradual
erosion of the core that constantly exposes fresh surface from
which drug may be dissolved. Wax embedment has been used
to produce sustained action liquid oral products containing
sulphaethidole. The molten mixture is either spray congealed
(Raghunathan & Becker, 1968) or dispersed in dilute
surfactant solution to form a mechanical emulsion and chilled
(Robinson & Becker, 1968). The wax spheres containing drug
formed by these processes are very small and it is likely that a
diffusion, rather than erosion, mechanism is responsible for
the sustained action properties.
Diffusion control: This may be exerted by a gelled layer of
hydrophilic colloid, a plastic matrix or by ion exchange
resins. In the first of these methods the drug is mixed with
inert filler, hydrophilic colloid and lubricant and compressed
in the normal way at high compaction pressure. Tragacanth,
hydroxypropylmethyl cellulose and a number of other gums
have been used as the gelling agent. The lubricant is usually
employed in a higher than normal concentration to raise the
contact angle of the pores and thereby control penetration of
liquid into the tablet. The initial release of drug is rapid as it is
dissolved from the surface but the rate subsequently slows
down as the colloid hydrates to form the gelled layer through
which drug must diffuse to provide the maintenance dose. It
is possible that in vivo there may be some erosion of the
gelled layer.
Diffusion governed drug release from an insoluble plastic
matrix is also used to provide sustained action products.
Polythene polyvinyl acetate or chloride, ethylcellulose and
2272
other plastics have been used. Tablets are prepared by mixing
the drug with powdered plastic and compressing in the
normal way or, alternatively, the mixed powders may be
moist granulated with a solution of the plastic in a suitable
organic solvent.
Higuchi (1963) derived equations for the release of drug from
matrices and showed that for a range of conditions the amount
of drug (Q) released should vary as the square root of time,
that is:
(41.11)
2273
Intestine:
2274
prolonged blood levels than corresponding products with
beeswax or plain oil. Ober et al. (1958) investigated aqueous
depot injections of the same antibiotic derivative. Using a
high (40–70 per cent w/v) concentration of the drug together
with sodium citrate as deflocculating agent they produced a
series of injections having as a characteristic rheological
property a spur in the shear stress/ shear rate curve. Suitable
products were obtained when the spur had a value which, on
their rotational viscometer, was equivalent to a torque in the
range 105–106 dyne cm. The shear stress in the needle
exceeds the upper value and the product can be withdrawn
from the vial and injected into the patient. In muscle, where
the shear stress is less than the lower value, structure build-up
takes place and the injected material sets to form a depot.
A broad range of particle size is desirable to provide
immediate response by the dissolution of fine particles and a
sustained effect lasting several days by the less rapid
dissolution of the coarser particles.
It is also possible to control the release of drug by adsorption
onto insoluble carriers such as zinc or aluminium hydroxides
or phosphates. Corticotrophin depot injections are produced
in this way: zinc phosphate carriers tend to crystallize on
storage and must be produced by precipitation of the carrier in
the container just prior to injection. This procedure is not
necessary with the zinc hydroxide carrier as the latter does not
crystallize when stored.
With suitable drugs it is possible to produce depot injections
with an effective duration of several weeks while even longer
periods are possible with implants. Preparations of these types
are only feasible with drugs that are effective in very low
dosage and which are also very insoluble in water. This
combination of therapeutic and physicochemical requirements
limits the range of medicaments that are worthwhile
2275
formulating as ultra long-acting drugs to the steroid hormones
and a few other substances. They also form esters that
hydrolyse in vivo at rates convenient for formulation
purposes, as discussed earlier. Depots of drug are formed by
deep intramuscular injection of aqueous suspensions of the
drug or oily solutions of these. Oestradiol, testosterone,
methylprednisolone and fluphenazine are examples of drugs
available as depot injections.
If a longer period of therapy is required the drug may be fused
or compressed into a pellet (implant) and inserted into the
muscle by a minor surgical operation. The use of additives for
the production of implants is prohibited. Obviously, the
surface area of the implant will decrease as the drug
dissolves. Nevertheless, for the purpose of dose calculation,
Edkins (1959) has shown that the average daily dose over a
given period may be related to the initial surface area of the
implant. Thus, for deoxycortone acetate implants:
2276
(41.12)
(41.13)
The use of the normal dose does not take into account the fact
that to obtain a reasonable duration of action it may be
necessary to accept a peak response near that at which side
2277
effects become noticeable. Nelson (1957) suggested that a
factor (f) should be used in calculation to adjust the amount of
drug such that lower but still therapeutically effective blood
levels are attained. Fig. 41.12 shows the calculated response
curve for an 80mg oral dose of drug having a biological
half-life of 3.46 hours and it is assumed that the upper and
lower limits of blood concentration for effective therapy are
3.5–5.5μg/ml respectively. The peak blood level is 5.35μg/ml,
the onset about 35minutes and the duration about 4½ hours. If
a reasonable blood level is 4.0μg/ml the value of Dn for Eq.
41.13 must be reduced by the factor (f) equal to 4.0/
5.35=0.75. The total dose may be recalculated as follows:
2278
Fig. 41.12 Time course of action curves for intravenous and
oral administration of 80mg of drug having biological
half-life of 3.46h.
2279
model that comprises a single compartment (equivalent to the
blood, tissues and extravascular fluids) into which the drug is
rapidly introduced and from which it is eliminated by first
order processes. The model mimics rapid intravenous
injection in those cases where it can be assumed that
equilibrium between the blood and tissues is so rapid relative
to other processes that it has negligible effect on the time
course of action.
By integration,
(41.14)
2280
(41.15)
2281
k = 0.2h−1 the design value of CB is 4μg per ml and the drug
is completely absorbed, i.e. F = 1
(41.16)
(41.17)
(41.18)
2282
Which, on integration, gives:
(41.19)
(41.20)
2283
Fig. 41.13 Combined effect of 80mg of prompt and sustaining
doses of drug having a biological half-life of 3.46h.
Eq. 41.17 for the sustaining dose and Eq. 41.19 for the
prompt dose may be combined to give Eq. 41.21.
(41.21)
2284
This may be solved for different values of prompt dose (D0)
until the desired release profile is obtained as shown in Fig.
41.14.
(41.22)
2285
From these calculations it would appear that a tablet
comprising a prompt dose of 40mg and a sustaining dose of
80mg should meet the design specification. In practice several
trial formulations would be made and then tested in vivo.
References
Aguiar AJ, KRC J Jr., Kinkel AW, Samyn JC. J. Pharm. Sci.
1967;56:847.
Aguiar AJ, Wheeler LM, Fusari S, Zelmer JE. J. Pharm. Sci.
1968;57:1844.
Anderson CM. Austr. J. Pharm. 1966;47:544–546.
Bandelin FJ. J. Am. Pharm. Assoc. (Sci. Edn) 1958;47:691.
Bates TR, Lambert DA, Johns WH. J. Pharm. Sci.
1969;58:1468.
Bean HS, Heman-Ackah SM. J. Pharm. Pharmacol.
1964;16:58T.
Bean HS, Konning GH, Malcolm SA. J. Pharm. Pharmacol.
1969;21:173S.
Beckett AH, Tucker GT. J. Pharm. Pharmacol. 1966;18:72S.
Bell SA, Murray B, Holliday WM. J. New Drugs.
1966;6:284.
Blaug SM, Ahsan SS. J. Pharm. Sci. 1961;50:138.
Blaug SM, Ahsan SS. J. Pharm. Sci. 1961;50:441.
Brown MRW, Norton DA. J. Soc. Cosmet. Chem.
1965;16:369.
Buckwalter FH, Dickison HL. J. Am. Pharm. Assoc. (Sci.
Edn) 1958;47:661.
Charnicki WF, Kober ML. J. Am. Pharm. Assoc. (Sci. Edn)
1957;46:481.
Chaudry NC, Saunders L. J. Pharm. Pharmacol. 1956;8:975.
2286
Davison C, Guy JL, Levitt M, Smith PK. J. Pharmacol., Exp.
Ther. 1961;134:430.
D"arcy PF. Pharm. J. 1965;194:637–643.
Delucca PP, Kostenbander HB. J. Am. Pharm. Assoc. (Sci.
Edn) 1960;49:430.
Desai SJ, Singh H, Sunonelli AP, Higuchi WI. J. Pharm. Sci.
1966;55:1230.
Desai SJ, Singh H, Sunonelli AP, Higuchi WI. J. Pharm. Sci.
1966;55:1235.
Drain DJ, Lazare R, Poulter GA, Tattersal K, Urbanska A. J.
Pharm. Pharmacol. 1959;11:139T.
Duncan WAM, Macdonald G, Thornton MJ. J. Pharm.
Pharmacol. 1962;14:217.
Edkins RP. J. Pharm. Pharmacol. 1959;11:54T.
Eriksen SP, Paul JF, Swintosky JV. J. Am. Pharm. Assoc.
(Sci. Edn) 1958;47:697.
Flanagan TH, Broad RD, Rubinstein MH, Longworth AR. J.
Pharm. Pharmacol. 1969;21:129S.
Ganderton D, Hadgraft JW, Rispin WT, Thompson AG.
Pharm. Acta Helv. 1967;42:152.
Haines BA, Martin AN. J. Pharm. Sci. 1961;50:753.
Hersey JA. Mfg. Chem. & Aerosol News. 1969;40:32.
Hibbott HW, Monks JM. J. Soc. Cosmet. Chem. 1961;12:2.
Higuchi T. J. Pharm. Sci. 1963;52:1145.
Higuchi WI. J. Pharm. Sci. 1967;56:315.
Hugo WB, Foster JWS. J. Pharm. Pharmacol. 1964;16:209.
Humphries KJ, Richardson G, Rhodes CT. J. Pharm.
Pharmacol. 1968;20:4S.
Jack D. J. Mond. Pharm. 1961;4:10.
Leach RH. Pharmaceut. J. 1970;205:227.
Levy G. J. Pharm. Sci. 1961;50:388.
Levy G. J. Pharm. Sci. 1963;52:1039.
Marshall K, Brook DB. J. Pharm. Pharmacol. 1969;21:790.
2287
Martindale. The Extra Pharmacopoeia. London:
Pharmaceutical Press; 1969.
Matthews BA, Rhodes CT. J. Pharm. Pharmacol.
1968;20:204S. J. Pharm. Sci. 1968;57:569.
Miyawacki GM, Patel NK, Kostenbauder HB. J. Pharm. Sci.
1959;48:315.
Mullins JD, Macek TJ. J. Am. Pharm. Assoc. (Sci. Edn)
1960;49:245.
Nack W. J. Soc. Cosmet. Chem. 1970;21:85.
Nelson E. J. Am. Pharm. Assoc. (Sci. Edn) 1957;46:572.
Nixon JR, Khalil SAH, Carless JE. J. Pharm. Pharmacol.
1968;20:528.
Noyes AA, Witney SAH. J. Pharm. Pharmacol. 1897;19:930.
Oker SS, Vincent HC, Simon DE, Frederick KJ. J. Am.
Pharm. Assoc. (Sci. Edn) 1958;47:667.
Oldshue JJ. J. Pharm. Sci. 1961;50:523.
Paul HE, Hayes KJ, Paul MF, Borgman AR. J. Pharm. Sci.
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Pisano FD, Kostenbauder HB. J. Am. Pharm. Assoc. (Sci.
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Raghunathan Y, Becker CH. J. Pharm. Sci. 1968;57:1748.
Robinson IC, Becker CH. J. Pharm. Sci. 1968;57:49.
Rowland M, Beckett AH. J. Pharm. Pharmacol.
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Tyrer JH, Eadie MJ, Sutherland JM, Hooper WD. Br. Med. J.
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2289
Chapter 42
Pharmaceutical Aerosols
Aerosols or pressurized packs have been in use since the
1940s by which time they had been developed for the
dissemination of insecticides. The term aerosol has a specific
meaning denoting a fine dispersion of liquid or solid particles
in a gas where the particle size is less than 50μm in diameter,
as for example, a mist or smoke. In the packaging sense
however, aerosol is generally understood to refer to a
self-contained sprayable product operating under the Pressure
of a liquefied or compressed gas known as the propellant.
The range of such products has developed rapidly,
particularly in the household field where convenience of use
has offset the increased cost of this form of packaging.
In the pharmaceutical field the advance has not been so rapid.
To some extent this may be due to a shortage of personnel in
the pharmaceutical industry suitably trained in pressurized
packaging and to the time required to assimilate the ideas and
possibilities of such a comparatively new technology. Also
the capital cost of setting up aerosol development laboratories
and filling equipment has in many cases resulted in
manufacturers using contract specialists to produce their
products.
The administration of medicines by aerosols probably poses
greater problems in stability, toxicity and particularly
formulation, than the more traditional methods of presentation
and certainly medicinal aerosols require more stringent
attention and perhaps a more conservative approach than
other forms of aerosol. Even so, an impressive number of
pharmaceutical and veterinary preparations are at present
2290
available. These fall into a number of categories according to
their use.
Categories
Topical Preparations
Local Analgesics
Local Anaesthetics
2291
skin. Surgical spirit is easily formulated into an aerosol for
the prevention of bed sores. In at least one hospital this has
resulted in a saving of spirit over the usual swabbing
technique on cotton wool, which more than covered the
increased cost of aerosol presentation with less discomfort to
the patient.
Skin Dressings
Fungicidal Agents
Antiparasitic Agents
Antibiotics
2292
Anti-inflammatory agents, e.g. hydrocortisone and its
derivatives.
Antipruritics, e.g. fluocinolone acetonide.
2293
agents such as propyliodone have also been formulated as
aerosols for X-ray examination of the respiratory tract.
Systemic action via the lungs: Many drugs, are readily
absorbed systematically through the tracheobronchial tree.
Systematic rather than local effects may be achieved by
suitable formulation.
Veterinary products: The vast majority of these are for topical
application and consist of antiparasitics (pyrethrum,
pybuthrin, lindane), shampoos, preparations to protect bitches
in season, poultry pecking preventatives, ear tick treatments,
cat and dog repellants, sheep foot-rot treatments, lamb
fosterage aids, ringworm treatments (dichlorophen,
undecylenic acid), postsurgical anti-infectives, spray
bandages.
2294
8. Controlled and uniform dosage produced by metered
valves.
9. By changing the pressure in the pack or using special
valves the spray characteristics may be varied from a coarse
wet spray to a fine dry mist.
10. A fine mist is easily formed for inhalation purposes.
11. Insufflation of pressurized powders is available.
12. If the drug is soluble in the propellant few formulation
difficulties are encountered.
13. No contamination of the product from the environment
since the system is pressurized.
14. The sterility of sterile products is maintained since no
organisms can enter the pack when the valve is opened.
15. The exclusion of light by all but clear glass containers
protects photolabile constituents.
16. Absence of air in the container prevents oxidation of
susceptible drugs.
17. Hydrolysis of ingredients can be prevented since
propellants contain no water.
18. Drugs given by oral inhalation are less liable to
decomposition since they do not pass through the
gastrointestinal tract.
Disadvantages
2295
authorities seem not to have experienced any special
difficulties.
3. Aerosol packs must not be subjected to heat since high
pressures can develop. Most pharmaceuticals should not be
exposed is heat in any case.
4. Where the drug is not soluble in the propellant, cosolvent,
emulsion, or suspension systems must be used. This may
result in formulation difficulties greater than those met in
conventional packs.
5. The toxicity of propellants, though very small, may cause
problems where inhalation therapy takes place over a
considerable period of time. There is some present disquiet
that heart patients may be at risk if propellants are inhaled.
6. The refrigerant effect of highly volatile propellants may
cause discomfort on injured skin.
7. Catalytic oxidation of drugs such as ascorbic acid and
epinephrine has been caused by traces of metal from valve
parts or container.
8. It is necessary to test the formulation againstall parts of the
container and valve, including gaskets, for stability.
2296
or propellant mixture with the active principle in solution.
The vapour phase consists of the vapour of the propellant(s).
Since the vapour, pressure of the propellant(s) is high, the
contents exert a pressure against the walls of the container.
When the valve is opened by pressing the actuator button this
internal pressure forces the liquid contents up the dip tube or
stand pipe through a valve orifice, valve stem and actuator
button orifice into the atmosphere where the propellant
instantly vapourizes leaving a fine dispersion of the active
principle. Where the active principle is not soluble in the
propellant, modifications are necessary. Cosolvents may be
used to achieve solution but these will affect the vapour
pressure of the system. Solution of the active principle in a
suitable solvent which is immiscible with the propellant gives
rise to three-phase systems consisting of the propellant liquid
phase, the solution liquid phase and the vapour phase. If the
propellant is lighter than the solution, the dip tube must reach
to the bottom of the container as in Fig. 42.2A. If it is heavier
the dip tube must be shortened as in Fig. 42.2B so as to avoid
spraying propellant and not product. The two liquid phases
may also be emulsified to produce an emulsion system which
may be oil-in-water or water-in-oil, the propellant
representing the oil phase. The characteristics of these two
forms of emulsion are quite different. The oil-in-water system
produces a foam whilst the water-in-oil system generally
produces a coarse wet spray or stream. Suspended powder
aerosols are examples of three-phase systems. They consist of
a solid phase (the powder) suspended in a liquid phase (the
propellant), the vapour phase consisting of propellant vapour.
The inclusion of lubricants and close control of particle size
of the powder are usually necessary. Aerosols consisting of
the powder as the ingredient, and a compressed gas as the
propellant, are examples of solid–gas two-phase systems.
2297
Fig. 42.1 Diagram of a simple form of aerosol package.
2298
Propellants
Liquefied Gases
2299
Table 42.1 Fluorinated hydrocarbons
2300
about 70 psig (4.92kg/cm2). The use of
chlorodifluoromethane can extend this range to 122.5 psig
(8.613kg/cm2). This is a very useful facility, since pressure
plays a large part in determining the spray characteristics of
the finished product. Most aerosol formulation and testing is
done at 21.1°C, hence most data are provided for that
temperature. Fig. 42.3 shows the pressures of mixtures of
propellants 12 and 114 and also the effect of temperature on
these. Fluctuations in temperature of more than a few degrees
may affect the satisfactory operation of the aerosol pack.
2301
Calculation of Vapour Pressure of a Mixture of Liquefied
Gases
2302
Since the solution of the two liquefied gases is not usually
ideal, the calculated pressure usually falls below the measured
pressure by up to about 10 per cent. Aerosol propellant
manufacturers can usually supply nonograms from which the
resultant pressure of mixtures of propellants can easily be
read for different temperatures.
Hydrocarbons: Fluorinated hydrocarbon propellants are
themselves nonflammable]. Paraffin hydrocarbons such as
propane, butane, pentane and hexane however, which may
have found greater use in some countries because of their
comparative cheapness, have been limited to some extent by
their flammability. They are largely used to replace part of the
fluorinated hydrocarbons in order to lower the price of the
pack. They may also be used in three-phase systems where
the propellant and product are immiscible. The low density
hydrocarbons form the upper layer and are not sprayed until
2303
the whole of the product has been dispersed. Fig. 42.4 shows
the vapour pressure– temperature relations of the hydrocarbon
propellants. Mixtures may be used.
2304
either by the application of a vacuum which is broken by the
propellant fill, or by purging with a small amount of
propellant.
2305
suffering from heart conditions may have a sudden collapse
as a result of inhaling propellants.
Compressed Gases
2306
necessary and suitable one-or two-piece containers required
to withstand the pressures involved. Assume that 30 psig
(2.11kg/cm2) pressure is required to produce a satisfactory
spray from a product filled two-thirds full with one-third
headspace when the last of the product is being dispersed. At
this point the gas will have expanded to three times its
volume, hence an initial pressure of 90 psig (6.33kg/cm2)
would be necessary. For liquid preparations the output is
usually in the form of a wet stream rather than a spray and
special break up spray actuators are necessary.
Soluble gases: Nitrous oxide and carbon dioxide are soluble
in aqueous products. The gas in solution is in equilibrium
with the gas in the head space and dependent upon the
pressure of the gas in the container. As the head space
increases this equilibrium is re-established by gas coming out
of solution. There is a fall in pressure but it is less pronounced
than that observed with insoluble gases. With suitably
formulated products and using a foam actuator, foams may be
produced as the gas in solution expands on leaving the nozzle.
Containers
2307
former process produces a more even coat more cheaply. Tin
plate thus produced has a complete tin coating over both
surfaces and also over the edges. When such a large sheet is
cut into suitably sized rectangular areas from which to form a
cylinder, the cut edges will be raw, not plated. The exposed
raw edges present a source of corrosion especially as they are
lapped and soldered to form the walls of the container. Such
joints consisting of tin, mild steel plate and solder can form
the electrodes of electrolytic cells. Corrosion can he
minimized by coating both surfaces of the finished container
with a suitable lacquer. The outer surface usually consists of
the decoration of the container. The inner surface is especially
at risk when propellant 11 is used, resulting in acid products
or where the product includes alcohol, resulting in the
production of alcoholates. From an economic point of view
the coating should be as thin as possible. Pinholes in the
lacquer may occur resulting in concentrated points of attack
which may even puncture the container. The top and bottom
of the containers are jointed with a suitable elastomeric
material between them to form a seal. Because of these top,
bottom and side seams such containers are usually limited in
practice to pressures of about 45–50 psig (3.16–3.52kg/cm2),
these pressures being suitable for products contained therein.
Aluminium containers may be two-piece or monobloc.
Two-piece containers have the sides of the cylinder and the
top formed in one piece from a plug of aluminium suitably
extruded and formed with, usually, a tin-plate base attached.
Since there is only one joint at the base these will withstand
higher pressures. The base is usually dome-shaped inwards
the better to withstand the pressure. Monobloc containers are
formed in one piece by extrusion from a plug of aluminium,
the top being subsequently formed to accept the one-inch cup
valve. Such containers will withstand even higher pressures
2308
and are often used when the propellant consists of insoluble
or soluble gases.
Glass containers are moulded so as to accept 13, 15, 18 or
20mm bottle valves. Since the strength of the walls depends
upon the condition of the glass surfaces, low pressures of
some 15 psig (1.06kg/cm2) are maximal.
Plastic-coated glass containers are glass containers as above,
dipped in molten plastic so as to form a coat. The plastic
coating is complete up to the neck so that when the valve is
crimped on, the joint encloses the plastic. A single large or a
number of smaller holes in the plastic coating on the base
allows the more gentle escape of the contents in the event of
the fracture of the glass, the glass fragments being contained
by the plastic coat. (Fracture of an uncoated glass container
will result in an explosion scattering fragments of glass). Such
plastic-coated containers can be filled to pressures of some 25
psig (1.76kg/ cm2).
Plastic containers are now formed with thick walls of acetal
resins or polypropylene and will withstand somewhat higher
pressures. Possible loss of contents to the plastics container
and leaching of contents from the compounded plastics to the
product must be considered in formulation.
Stainless steel containers are also available in small sizes,
suitable for use with bottle valves. They are strong and also
reduce corrosion problems.
Valves
2309
the neck of the usually glass, plastic coated, glass, plastics or
stainless steel container. The former are usually in more
common use in the wide field of aerosols, whereas the latter
are usually used on smaller containers. The parts of a simple
one-inch cup valve are shown in Fig. 42.6. An actuator button
is fitted to the top of such a valve.
2310
valves a vast number of variations are available. Variations in
the dimensions of the valve parts can affect spray pattern and
delivery rates. Similarly variations in design of the actuator
button can affect these parameters and mechanical break-up
buttons with baffles, and foam heads are used with suitable
formulations.
Metered valves are usually fitted to pharmaceutical
preparations when a definite volume of the product is released
in one operation of the valve button. Such valves contain a
reservoir of defined volume. These are of two types.
Depression of the valve button may release the contents of the
reservoir which refills on release of the button, or depression
of the valve button may fill the reservoir the contents of
which are ejected on release of the button. Other variations
are available.
2311
three liquids (Fig. 42.7). This diagram has been prepared by
measuring the pressures exerted by various mixtures and
plotting the different isobars. Spray characteristics have also
been examined and areas of satisfactory spray pattern shaded
on the diagram. Points may be selected on the diagram so as
to formulate for suitable pressures and spray patterns. Each
point represents a different proportion of the
three liquids by weight. The nearer to propellant 12 on the
diagram, the greater the proportion of the high-pressure
propellant 12, and the higher the pressure and the finer the
spray. The nearer to propellant 11, the greater the proportion
of the low pressure propellant 11, and the lower the pressure
and the coarser the spray. The nearer to alcohol on the
diagram on any isobar, the wetter the spray. Within these
confines a number of test preparations may be made and the
most satisfactory selected. One difficulty experienced in
formulation is that when the filled test preparations are
produced, since most containers are opaque, the contents
cannot be seen and the presence of two liquid phases instead
of one not easily determined. This may be obviated in either
of two ways. Naarden compatibility testers consist of thick
resistance glass containers to which valves can be fitted.
These can be filled by any of the normal methods and the
contents inspected. Alternatively, and more cheaply, small
glass bottles such as are used for pressurized drinks may be
cold filled and crown caps fixed on. These are usually placed
for safety in boxes with transparent plastic fronts through
which they may be examined for phase relationships and
deposits after raising to 21.1°C. They are subsequently
emptied by cooling to –30°C and removing the cap.
Vapour pressure contour psig kg/cm2
A 5 1.38
2312
B 10 1.74
C 15 2.09
D 20 2.44
E 25 2.79
F 30 3.14
2313
bottom and the dip tube must be cut short or propellant phase
only will be ejected (Fig. 42.2B). With such systems even
higher pressures will still result in unsatisfactory spray
patterns since the propellant is not ejected and its explosive
effect at the outlet is nonexistent. Mechanical break-up
actuators fitted with baffles are required to produce a finer
spray.
b. An emulsion is formed, the propellant being the oily phase
and the solution of the active principles in water being the
aqueous phase. Using appropriate emulgents and
phase-volume relationships such an emulsion may be
water-in-oil or oil-in-water. Since the propellant in
oil-in-water emulsions is the internal phase its expansion on
release from the valve tends to produce a foam and a foam
actuator should be fitted. Water-in-oil emulsion however can
be sprayed, since the propellant here is the external phase.
Generally speaking, larger quantities of propellant are
required for emulsion systems and they should be vigorously
shaken before use.
4. The active principle is an insoluble solid. Here the active
principle in a suitable form of subdivision is presented as a
suspension in the propellant mixture. In contradistinction to
all previous methods the particle size of the active principle
depends upon its size reduction before adding to the
formulation. Too large particles may clog the valve. The
smallest valve orifices are of the order of 400μm diameter.
Agglomeration of particles however, occurs and much smaller
particles may cause clogging. Particles passing a 325 mesh
sieve possess a maximum diameter of 43μm. Such particles
can be sprayed in suitable formulations up to 5 per cent,
exceptionally 10 per cent, by weight. Recommended sizes are
5–10μm, none greater than 50μm. Formulation should be
directed towards preventing agglomeration. Particles should
2314
be thoroughly wetted by the liquid phase and a dispersing
agent may be required. Impaction of the solid phase on
standing may require mechanical aids such as ceramic balls to
disperse it. The inclusion of a fraction per cent of a mineral
oil ensures maximum powder impaction on the target area.
Viscosity
2315
greatest immediate effect on spray characteristics. A given
product may therefore be presented in all variations between a
coarse wet spray and a fine dry one. A single propellant of an
intermediate pressure gives a finer spray than a mixture of
two propellants having the same vapour pressure.
Presence of Solvents
Temperature
2316
Aerosol Filling
2317
propellant into the container via a piston operated by
compressed air.
5. The container is then removed and offered up to the filling
head of the high pressure propellant which is similarly filled.
Due to its higher pressure no difficulty is usually experienced.
6. The container is removed and shaken to homogenize the
contents.
2318
Using such a method and employing a laboratory burette
filler, varying amounts of two propellants may be filled into
each successive container. This is necessary during
formulation experiments. Commercial apparatus is adjusted to
fill definite volumes of the propellants or of a propellant
mixture and will produce a repetitive series of containers
filled to the same condition. Transfer filling is a useful
method for use during formulation experiments and is also
adaptable to small scale filling in a hospital dispensary. It is a
form of pressure filling. A series of large aerosol containers is
charged with different propellants or propellant mixtures.
Such containers may be purchased ready filled from the
propellant manufacturers or filled from the appropriate
machines. The product is filled, the air purged and the valve
swaged on to the container as before. The propellant container
without a dip tube is inverted over the product container and
the contents expelled to weight through a transfer button
which connects the two valves together. Slight pressure is
required to open both valves.
2319
should be worn and care taken not to 1et any of the
refrigerated propellants touch the skin as serious cold burns
can ensue. The procedure is as follows:
1. The (often precooled) product is placed in the container.
2. The appropriate amount of low pressure propellant is run in
to weight.
3. The appropriate amount of high pressure propellant is run
in to weight. During this process air is purged by the natural
evaporation of the propellants.
4. The valve and cup are quickly swaged on and the container
shaken to homogenize the contents.
Cold filling is unsuitable for products whose active principle
is destroyed by low temperatures.
Soluble and insoluble compressed gases are filled by pressure
filling until the correct pressure has been reached as indicated
on the gauge. The rate of solution of soluble gases is
increased by using shaker-gassing equipment where the
containers are shaken as the gas is applied.
Testing of Aerosols
Leakage
2320
for safety. The points examined are the valve itself, the valve
cup and the top, bottom and side seams. Leakage at the valve
cup gasket indicates unsatisfactory swaging and the collets of
the swaging machine may require adjustment. Some
pharmaceuticals aerosols may be exempted from this test if
the contents are thermolabile.
Internal Pressure
Spray Pattern
2321
distance for a fraction of a second in a closed box and the
patterns thus produced are photographed. Some difficulty
may be experienced in accurately timing the length of time of
the burst. Dixon’s method (1959) has proved more
satisfactory. The target consists of a photographic quarter
plate from which the backing and emulsion have been washed
and a coating applied from burning magnesium ribbon. This
is placed behind a shutter with an adjustable slot. The
container is placed at a fixed distance from the shutter. As the
actuator button is depressed the shutter is also released thus
slicing through the spray and allowing a representative
sample of spray to impinge on the target via the slot (Fig.
42.9). A permanent record, is obtained by placing the target,
coated side downwards, on to photographic paper and
printing.
2322
Discharge Rates
Flammability
2323
The modified Tagliabue open cup test gives an indication of
the flammability of the product alone if there has been a leak
resulting in loss of propellant and where the residual contents
are heated to cause excessive evaporation or boiling. The top
of the dispenser is punctured with a fine hole so as to allow
the propellant to escape. The hole is enlarged, the contents
warmed to 15.56°C and transferred to the Tagliabue open cup
in the apparatus up to the test line. The contents are now
heated at the rate of 1.11°C a minute and the gas flame testing
burner applied until the contents flash completely across the
top of the cup or the volume falls 6mm from the original
level. In the latter case if there is no flash the contents are
recorded as having no flash under the conditions of the test.
Products which flash below 37.78°C are considered
flammable and those which flash between 37.78 and 148.9°C
combustible.
The drum test gives an indication of the hazards which may
result if excessive quantities are sprayed into a confined space
where a flame is present The equipment consists of a
55-gallon drum placed on its side, one end consisting of a top
hinged cover which will open at 5 psig (0.35kg/cm2) pressure.
The closed end has three 2.5cm diameter shuttered openings
each 5cm from the circumference, one at the top, one at the
bottom and one mid-way between. In the centre is a 15cm
square opening of safety glass for visual inspection of the
container. A plumber’s candle is placed on the bottom
midway between the two ends. In the open drum test the drum
is placed outside at a temperature of 15.56–26.67°C. The
dispenser is discharged for approximately one minute into the
upper half of the drum with the hinged cover held in the open
position. Any propagation of flame away from the source of
ignition is regarded as positive, while unsustained burning in
the vicinity of that source is negative. In the closed drum test
2324
the hinged cover is allowed to rest freely against the end of
the drum. Each of the three shutters is opened in turn and a
burst of about 1 minute duration directed into the drum. Any
explosion or raising of the hinged cover is regarded as a
positive result and the product is considered flammable.
Moisture Determination
2325
low boiling point propellants to evaporate. Moisture is
determined in the residue by the standard Karl Fischer
method. Where the pack is to be retained a sample may be
introduced into the moisture determination apparatus by
inserting a sawn-off hypodermic needle into the actuator
orifice. If a dip tube is fitted the dispenser is held in the
normal vertical position. The vapour phase or head-space is
introduced by first inverting the dispenser and clearing the dip
tube and valve.
2326
use when required. The ease of such administration has
resulted in a number of fatalities due to overuse. The
propellants themselves are inhaled directly into the lungs and
this has recently raised the problem of cardiotoxic responses
in those suffering from cardiac conditions. Nevertheless, such
preparations have been used with great effect. The fact that a
suitable aerosol is readily available has relieved stress in
asthmatic patients and possibly resulted in the reduced onset
of attacks. Although most preparations
are formulated for local action in the respiratory tract, this
route offers the possibility of general systemic absorption of
potent drugs, and could, in certain circumstances, replace
injection resulting in greater comfort and convenience. Table
42.3 shows the retention of particles of different sizes in
various regions of the respiratory tract and indicates that
particle size is of prime importance in deciding the place of
deposition. Certain conclusions can be drawn. Impaction and
retention of the larger particles takes place in the upper
regions of the respiratory tract. Smaller particles reach deeper
into the lungs but may also be exhaled. Hence the total
amount of drug retained is less than for larger particles. The
total retention of very small particles increases again probably
due to the effect of gravimetric sedimentation, diffusion and
Brownian motion. Particles of all sizes are carried deeper into
the lungs before impacting on deeper inspiration (increased
tidal volume) even though the respiratory rate remains the
same. There is probably an increase in total retention and in
transpulmonary absorption on holding the breath after
inspiration, since this increases the time in which the forces of
deposition can act. Drug impaction in the respiratory tract
depends upon inertial forces, gravitational forces and
Brownian motion.
2327
Table 42.3 Percentage retention of inhaled aerosol particles in
various regions of the respiratory tract
Inertial Forces
2328
Where local pulmonary action is required the drug is used in
dilute solutions. Careful control of the particle size
distribution can result in the introduction of a minute quantity
of a potent substance sufficient to produce a local effect but
not large enough to produce a systemic effect by
transpulmonary absorption.
It has been calculated that one litre of air emanating from a
particle generator producing particles of 0.3μm in diameter
contained 15 billion such particles. Assuming that the human
lung contains 700 million alveoli, one breath would introduce
more than 150 particles into every alveolus for a few
micrograms of drug. The inclusion in the formulation of
pneumodilators and vasoconstrictors enhances this local
activity. Some single drugs such as phenylephrine and
cyclopentamine act in both capacities. The general systemic
actions of most drugs can be produced by providing a suitable
dose of larger particle size since most drugs are readily
absorbed from all regions of the respiratory tract. The
inclusion of vasodilators increases this effect and the amount
of drug found in the blood depends upon the amount
deposited in the tract.
Once the formulation has been produced consideration must
be given to stability and packaging. Loss of active principle
due to leaching of reactive materials from the whole container
or its absorption by the container, especially where plastics
are concerned, could give rise to serious results. Such
problems may be considered under the following headings.
The stability of the formulation with respect to the
components of the aerosol package. Each ingredient in the
formulation may come into contact with plastics (valve
components, gaskets, containers), glass (container), or metals
(container, valve components). Loss or change in any of these
ingredients may cause breakdown of the formulation and/or
2329
failure of the pack to operate correctly. It is preferable to test
each individual ingredient against all components of the
package as well as the completed formulation, under different
temperature conditions. Such tests should include an assay for
the final activity of the active principle chemically, physically
or biologically, as appropriate. Leaching of alkali from a glass
container may cause an undesirable change in pH. The active
principle or any other component of the formulation may be
absorbed by plastics resulting in breakdown or loss of
activity.
Additives in the plastics composition may result in
inactivation of the active principle. The nature of the
elastomeric material may change, causing leaks at gaskets.
Metal ions may catalyse a degradative reaction in the
formulation or the metal valve parts may rust and
malfunction.
Since air or oxygen is not present in the pack, oxidation is not
usually a problem. The propellants themselves do not support
microbial growth and may even be self-sterilizing. Microbial
decomposition is not usual although it should be considered.
Exposure to light only occurs in glass containers.
The compatibility of the active principle and ingredients in
the formulation with the propellant system should be
examined, including the solubility of the active principle in
such propellants. This is usually limited and in the majority of
systems a cosolvent is used. This will usually depress the
vapour pressure of the formulation and result in increased
particle size and coarser sprays. The Cosolvent is also inhaled
and may give rise to taste problems.
A suspension of the drug in the propellants is often desirable
to obviate these effects. Attention must be given to the initial
particle size reduction of the drug to obtain the desired effect.
Particle growth may take place on storage, hence, particle size
2330
distribution should be examined over a period of time under
different temperature conditions. Subsequent valve clogging
may occur. Sedimentation and impaction of solid particles
may be apparent and attention to the difference in densities
between the drug particles and the supporting medium can
reduce these effects. The closer the densities of the two
phases the less the problem.
The metered valve must reproduce accurate doses throughout
the life of the package regardless of the amount of product
left in the container. This is not usually a problem where
hydrocarbons or fluorohydrocarbons are used, since the
pressure remains sensibly the same. The time and type of
shaking required to produce a homogeneous dispersion must
be examined. On storage, sedimentation of the larger particles
takes place, the finer ones being deposited last. Inadequate
shaking may give rise to a dispersion of finer particles from
the upper layers in the first instance, and subsequently of the
coarser particles. Variation in the dose of active principle in
the same delivered volume could thus occur.
2331
References
2332
Chapter 43
Packaging
A product is not correctly formulated unless it is properly
packaged, and in some cases the major part of the formulation
process may be concerned with selecting the right package for
the product. The stability of a pharmaceutical may be totally
dependent on proper functioning of the package, for example,
there must be rigorous exclusion of light and oxygen from
oily vitamin preparations if loss of potency due to oxidation is
to be avoided.
A package consists of the container in which the product is
placed, the closure which seals the container to exclude
oxygen, carbon dioxide, moisture, bacteria, etc., and equally
important, prevents the loss of water and other volatile
substances from the product, the carton or outer, constructed
from a variety of materials such as cardboard, moulded wood
pulp or expanded polystyrene, which gives secondary
protection against mechanical and other environmental
hazards, and also serves for the display of written
information, the box in which multiples of the product are
packed. The box provides primary defence against external
hazards and usually incorporates suitable shock absorbing
features.
The suitability of the container and closure for their particular
purpose depends on:
1. their ability to contain the product without loss by spillage
or permeation,
2. the protection they afford against environmental hazards,
3. whether they are suited to the function of the product both
in form and size, for example, a volume of injection intended
2333
to provide several doses for use on different occasions should
not be packed in an ampoule,
4. freedom from interaction between product and container,
and
5. reasonable cost in relation to the cost of the product and
that of alternative packages which may offer some marginal
advantages.
This technically formidable specification is derived, in large
measure, from the concept of an ideal package. To match this
as closely as possible is a function of the materials from
which the package is formed and these must first be
discussed.
Packaging Materials
With very few exceptions containers and closures are
fabricated from metals, rubber, plastic, glass or a combination
of these. These materials may be divided into two groups. On
the one hand the metals are polycrystalline, that is, composed
of a large number of small, randomly orientated, crystalline
structural units (grains) separated, by a grain boundary, about
two or three atoms distances wide, in which the atoms do not
belong precisely to either of the adjacent lattices (Fig. 43.1).
On the other hand plastics, rubber and glass are all polymers
formed by the bonding together of a large number of
molecular units. The basic structural elements in polymers are
therefore long chains of repeating molecular units which
intertwine to form a three-dimensional network.
2334
Fig. 43.1 Polycrystalline structure of metals.
Metals
Tin
2335
purpose. Currently, some eye ointments are still packaged in
pure tin ointment tubes.
Iron
Aluminium
2336
pharmaceutical packaging. Some official creams such as
those containing Cetrimide, Neomycin or Hydrocortisone
may be packed in aluminium tubes provided a phosphate
buffer is included in the formulation to inhibit corrosion and
evolution of hydrogen. Alternatively an internally lacquered
tube may be suitable but care must be taken to ensure that the
coating is of sufficient thickness and satisfactory composition,
and is free from pinholes and other faults.
Polymers
2337
Fig. 43.2 Polymer structure.
2338
–27°C; rubber: about –60°C) than the normal ambient
temperature. Thermoplastics, such as polyethylene, soften and
melt if heated to a high enough temperature. Other plastics
are very highly cross-linked and for these thermosetting
plastics Tg is so high that decomposition takes place before
the material can soften and melt; urea–formaldehyde plastics
are of this type. Below Tg the rotational freedom of the bonds
and relative movement of the molecular chains of
thermoplastics are severely restricted. Near the glass
transition temperature there are, in addition to greater freedom
of movement for the chains, changes in density, refractive
index and other physical parameters. Above the molecular
chains are able continuously to move about, change their
shape and intertwine with neighbours. Nevertheless, there is
evidence from X-ray diffraction studies that disorder is not
complete and that zones exist
wherein the chains are more regularly aligned than elsewhere
(Fig. 43.3). Such zones are said to be ‘crystalline’ but it must
be clearly understood that the term in this context refers to the
regular arrangement of molecular chains, not of atoms. Some
polymers, polypropylene, for example, can be prepared in a
highly crystalline form, and the crystalline polymer has a
higher density than the truly amorphous variety because of
closer packing of the chains. Other polymers, such as rubber,
attain a higher state of order when placed in tension, as this
causes the molecular chains to align themselves in the
direction of the applied force. With thermoplastics the
stretching force may overcome the relatively weak bonds
holding the chains together and permanent deformation
follows. There is sufficient cross-linking with rubbers to
prevent interchain slip, elastic deformation occurring up to
very high stress levels.
2339
Fig. 43.3 Crystalline zone in a polymer.
2340
Fig. 43.4 Effect of temperature on elasticity of a polymer. (A)
Amorphous; C–L, lightly cross-linked; P–C, partially
crystalline.
Plastics
2341
attack by inorganic reagents but are usually softened or
dissolved by organic solvents (Childs, 1955).
The first plastic, celluloid, was obtained by nitrating
cellulose. Many different cellulose polymers have been made
since and are still important today. If dissolved and
reprecipitated, the chain length is shortened and this modified
cellulose is suitable for the production of textile products such
as rayon dressings–see the BPC 1973. Nitration yields an
explosive (gun cotton), a plastic (celluloid) or a lacquer (the
official Collodions), depending on the reaction conditions.
Other pharmaceutically important polymers derived from
cellulose are the water soluble suspending agents such as
methyl cellulose (see Chapter 41) and film forming agents
like Cellulose Acetate Phthalate (see Chapter 21) which is
employed for enteric coating.
For large-scale direct synthesis of plastic a catalyst is added to
the monomer to initiate the growth of chains. Polymerization
may take place in the gas phase (polyethylene), in bulk
(polystyrene), as a mechanical dispersion in water
(polyvinylchloride, PVC) or as an emulsion (polyvinyl
acetate). Thermoplastics are formed from monomers with
only two functional groups which, in theory, can only form
long linear chains. Reaction of ethylene glycol with
terephthalic acid (Fig. 43.5) gives polyethylene terephthalate,
variously known as Terylene or Dacron and used as a suture
material. Trifunctional glycerol has a ‘spare’– OH group for
cross-linking and with orthophthalic acid gives an alkyd resin
of the type used in lacquer and paint manufacture. The
chemical structures of some plastics are given in Fig. 43.6.
2342
Fig. 43.5 Effect of functionality on polymer type.
2343
Fig. 43.6 Some common plastics (glass transition temperature
in brackets).
Compounding Plastics
2344
performance. Stabilizers are often necessary because side
reactions during polymerization produce a proportion of
unsaturated, potentially unstable compounds while high
processing temperatures may degrade the polymer molecule.
Under certain conditions polyvinyl chloride loses a molecule
of hydrogen chloride with the formation of a double bond;
considerable darkening of the plastic occurs at the same time.
Many PVC stabilizers are, therefore, basic substances capable
of removing HCl although one of the most efficient
stabilizers, octyl tin, seems not to act in this way. Plastics are
also vulnerable to oxidation. The antioxidants added to
provide protection combine with free radicles much in the
manner of their counterparts used to prevent rancidity in oils.
The most efficient antioxidants for plastics (and rubber) are
sterically hindered phenols and secondary amines, e.g.
NN´-di-β-naphthyl-p-phenylenediamine:
2345
has greater flexibility. Camphor is used as a plasticizer for
celluloid, and castor oil for collodion. More generally, high
boiling esters are employed as these have low volatility and
do not evaporate from the product. Dibutyl sebacate, tritolyl
phosphate and dioctyl phthalate are among the many esters
employed for this purpose. Cellulose acetate phthalate, used
as a film forming agent for enteric coating, may be plasticized
with substances such as castor oil or butyl stearate.
Thermosetting plastics are compounded by mixing a suitable
precursor with a cross-linking agent. For Bakelite the
precursor is a phenol-rich partially cross-linked condensate
with formaldehyde which when mixed with filler and
hexamine (a source of further formaldehyde) may be placed
in a suitable mould and heated to complete the cross-linking
reaction. One of the curing agents for the epoxy resins is
triethylamine tetramine. Activators and accelerators may be
added to lower the temperature at which the ‘cure’ takes place
and to reduce the time for its completion. In this way
degradation and darkening due to overheating may be
avoided. The similarities with the compounding of rubber will
be noted.
The substances required for the rough mix of thermoplastics
are passed through two or three heated rollers to complete the
dispersion process. The resultant crude sheet is chopped up
into small cubes or flakes ready for the forming process.
Rods, tubes or films are made by heating the compounded
plastic to a temperature at which it has the consistency of
dough, when it may be extruded under pressure through a
suitable nozzle, rather like squeezing ointment out of a tube.
If individual articles are required the dough may be squeezed
into a closed mould (injection moulding) or extruded tubing
may serve as the feedstock for blow moulding whereby a
portion of tube is trapped in a hot mould and blown to shape.
2346
Extruded sheet may be heated and forced to take the shape of
a suitable jig (thermoforming); for thermosetting plastics the
compounded material is fed into a mould, compressed and
heated to complete the cross-linking (compression moulding).
(See Paine, 1967, for an introductory text.)
Moulds must be made to very rigid tolerances if given
dimensions are to be maintained throughout a batch. A faulty
cavity in a multiple mould would produce a small proportion
of faulty articles which might not be detected if the quality
control sample was too small, an identical problem is
encountered in tabletting. Long (1961) has reported the
sporadic failure of polyethylene plug closures due to a fault of
this type.
Toxicity
2347
particular, autoclaving accelerates the leaching process and
represents the most rigorous in-use condition to which the
plastic container is ever likely to be exposed.
Permeability
(43.1)
2348
diffusing species and S its solubility coefficient for the plastic.
Integrating Eq. 43.1, making the appropriate substitutions and
rearranging:
(43.2)
2349
molecules permeate less rapidly than lipophilic molecules
having structural similarities to those of the polymer.
It will be appreciated, therefore, that the physical properties
of a given plastic will vary markedly according to the nature
of the additives and the treatment it has undergone in
manufacture—see, for instance Busse and Hughes (1969).
The data in Table 43.1 must be regarded as approximate, but
will serve as a comparative guide to the permeability of a
number of plastics to oxygen and water vapour.
Table 43.1 Permeability constant (P) of plastics to oxygen
and water vapour polyethylene (P in units of cm3/cm2/mm/
sec/cm Hg × 1010)
2350
2. product constituents are not lost by absorption or
permeation,
3. loss or gain of moisture or permeation by oxygen takes
place at an acceptable rate, and
4. no other interactions can occur between product and
container.
Large numbers of plastic containers are now employed for
dispensing mixtures, tablets, capsules, ointments, etc.
Although polyethylene and polypropylene were used for
some of the containers examined by Jolly et al. (1970) the
majority were fabricated from high impact polystyrene. This
is a polystyrene/ styrene–butadiene rubber formulation which
is as rigid but less brittle than polystyrene. Perfusion fluids
and retention enemas are now packaged in plasticized PVC
‘sachet’ packs. These have the merit of collapsing as fluid is
withdrawn and with perfusion fluids this obviates the use of
an air bleed which was necessary on the older type of giving
set with glass transfusion bottle. Water loss by permeation
from sachet type containers can be as much as 10 per cent per
annum but may be reduced to a quarter of this value by a
polythene wrapper. Single applications of some eye drops are
now packed in low density polythene sachets, container and
contents being sterilized by γ-radiation. A further advantage
of the sachet type packages for applications such as these is
the reduced amount of particulate matter shed from the
container surface, which is a particular problem with the
corresponding glass containers. Metal particles are sometimes
found in ointments packed in metal tubes in spite of careful
cleansing of the tube prior to filling—a difficulty which does
not arise with plastic ointment tubes. Because its walls remain
in opposition as the contents are removed, it has been said
that a metal ointment tube is the only container that is
completely full until it is completely empty. The same
2351
comment could not be made of the early plastic ointment
tubes, which regained their original shape–sucked
back—after each removal of contents, leading possibly to
oxidation and microbial contamination problems. Suck back
is less of a problem with the modern plasticized PVC tubes.
Considerable economies are now possible in the manufacture
of suppositories since the introduction of a machine that uses
a preformed plastic package which also serves as the mould.
Suitable grades of polypropylene (and some other plastics)
may be autoclaved. This is possible because the viscosity of
the plastic at the autoclaving temperature, which is about 150
above Tg, is still high enough for the article to resist the
deforming effect of its own weight. As described in the
section on glass, this viscosity is of the order of 1013 poises or
more.
Finally, two other methods of packaging which do not rely on
a primary container and closure should be noted. In strip
packaging, the tablet is sandwiched between two layers of foil
or paper coated with a thermoplastic material such as
polyethylene. This is fused together around the periphery of
each tablet. Each strip is usually two tablets wide and several
tablets long depending on requirements. Water vapour
resistance normal to the surface is excellent but is lower
round the edges. Where tablets are to be taken in a given
sequence, they are deposited into a pocket thermoformed in a
sheet of PVC and sealed in position with a foil laminate. The
tablet is released by pushing it through the foil.
Rubber
2352
a glass transition temperature well below the normal ambient
temperature; for natural rubber Tg is about –60°C.
Natural Rubber
Synthetic Elastomers
2353
Fig. 43.7 Synthetic rubbers.
2354
Further Processing
2355
Fig. 43.8 Natural rubber: (A) polymer chain from latex; (B)
Cross-linked polymer chain after vulcanization.
2356
rubber mix. These fillers are believed to combine in some
way with the polymer chains (Haworth, 1953; Reznek,
1953b). Pigments may be added both for decorative purposes
and to absorb: ultraviolet radiation which promotes oxidation.
2357
addition to the mix of a blowing agent which decomposes
during vulcanization to evolve gas (usually nitrogen). Wood
and other resins may be added to provide surface stickiness or
‘tack’. Small amounts of waxes that migrate to the rubber
surface during vulcanization can be added to improve
resistance both to water absorption and to oxidation.
To produce moulded articles a mould of the required shape
and size is filled with the rubber dough which is then
vulcanized by heating. It is usual to dust the surface of the
dough with a mould release agent such as talc or zinc stearate
so that the rubber is easily removed from the mould after
vulcanization. Dipping is used where the thickness of rubber
is small, e.g. surgeons gloves, rubber teats. A glass or
porcelain former is dipped into the compounded latex and the
film coagulated in an acid bath. The process is repeated until
the required thickness of rubber is built up and this is then
vulcanized by heating in hot air. The composition of the
moulding and dipping compounds given in Table 43.2 are
illustrative of those used for the manufacture of vaccine bottle
caps and rubber teats respectively. The rubber mix for
closures to be used in less demanding situations would
contain less rubber and a much higher proportion of filler.
Table 43.2 Rubber moulding and dipping formulations
2358
For the majority of purposes natural rubber, or natural rubber
with a proportion of styrenebutadiene gives the best all round
performance. Synthetic rubbers are used in high proportion
where special properties are at a premium. Nitrile rubber, for
instance is not as resilient as natural rubber but has a very
high solvent resistance that is only surpassed by the
polysulphide rubbers. Butyl rubber exhibits high resistance to
attack by oxygen, ozone and chemical reagents as well as
very low permeability to oxygen and water vapour. Trials
with butyl rubber wads (Bloom & Drennan, 1957) were
disappointing due to the low resilience of the rubber which
led to permanent deformation and poor reseal performance.
Neoprene combines good general rubber qualities with a high
order of resistance to solvent and chemical attack; it is also
flame resistant due to the chlorine atoms in the polymer
chain. Silicone rubbers are completely saturated, inert and
may be autoclaved many times, an in-use condition that
would result ln the rapid failure of normal rubber. They retain
their resilience over a very wide range of temperature.
2359
Rubber in the Packaging of Pharmaceuticals
2360
The process of compounding rubber suggests that two types
of material which persist after the vulcanization process may
be
extracted, namely zinc and organic substances. Reznek
(1953a & b) studied the extraction of zinc from rubber used
as the plunger in dental anaesthetic cartridges. Generally, the
amount extracted from the plunger increased with the acidity
of the solution, storage time and temperature and content of
zinc in the rubber. With 16.1cm2 of rubber surface exposed to
50ml of 0.1 N HCl for 56 days at 50°C the final concentration
of zinc in the solution varied from 14 to 78 ppm as the zinc
oxide content of the rubber was increased from 0.41 to 1.01
per cent by weight. Direct experiment will show that zinc is
readily extracted from closure rubber by solutions of both
high and low pH and also at more neutral pH values if the
leaching solution contains a substance such as citrate which is
capable of complexing the zinc. Some of the organic
compounds used for compounding rubber are virtually
insoluble in water, while many accelerators are destroyed
during the vulcanization process. Nevertheless, leaching of
thiuram disulphide and other organic substances was noted by
Lachman et al. (1963b) during studies of preservative uptake
by rubber closures. The toxicological significance of zinc and
organic substances extracted from rubber is not clear. The
British Standard limits the amount of water soluble extractive
and also describes a test for the compatibility of product and
closure. Natural rubber contains a proportion of protein and
this has caused allergic reactions in sensitive individuals.
Nonallergenic rubber is now available.
Absorption of substances from the product is, of course, very
important. It may be expected that lipophilic substances are
more likely to be taken up than those more polar in nature.
Unfortunately, the former group includes a high proportion of
2361
the antimicrobial preservatives which depend on lipophilic
properties to pass the microbial cell wall. If these are
absorbed by the closure, the product is left without protection
against microbial contamination. Wing (1955, 1956a & b)
examined some thirty rubber formulations for preservative
uptake and found that the initial rapid absorption slowed
down with time and eventually reached an equilibrium
situation. The rate of uptake increased with temperature but
often the partition coefficient was less favourable to the
rubber at the higher temperatures. Wing noted extremes of
partition coefficient, for instance from 0.3 to 1.7 for phenol
and 7–47 for chlorocresol depending on the rubber
composition. Silica fillers and some softeners increased the
partition coefficient in favour of the rubber, the former
presumably by physical adsorption and the latter by providing
a more favourable solvent for the preservative (Royce &
Sykes, 1957). Sykes (1958) and Lachman et al. (1962, 1963a
& b) have reported studies which are in general agreement if
the inevitable variations in the compositions of the rubbers
used by these workers are taken into account. Contact of
rubber with phenol, cresol or methyl-p-hydroxybenzoate
solutions results in the uptake of about a third of the
preservative. Under similar conditions up to 90 per cent of
chlorocresol, chlorbutol, cetrimide and phenylmercuric nitrate
would be lost from solution. As the cetrimide would be
completely ionized, adsorption rather than absorption is the
most likely mechanism whereby that substance is removed
from solution. The phenylmercuric nitrate is probably
inactivated by –SH groups in the rubber. For the same reason
specially formulated rubber caps are used for penicillin
preparations. If the preservative is volatile–for example
cresol—it may evaporate from the rubber surface into the
atmosphere, a process that would continue until almost all the
2362
preservative has been removed from solution. Rubber also
interacts with sodium metabisulphite.
Attempts to mitigate the undesirable effects that attend the
use of rubber closures have involved the application of a wax
or lacquer coating. Although these give short-term protection
they eventually flake off, or perhaps worse, may block the
hypodermic needle. The most successful approach is to
presaturate the rubber with those absorbable substances with
which it is to come into contact. This is the official method
and the reader is referred to the official monographs for
details. It is sufficient here to note that the closures must be
carefully washed to remove mould lubricant and dust, and
that both the quantity and concentration of solution to be used
for soaking is specified to ensure correct saturation of the
closures.
Glass
2363
and the liquid may remain more or less permanently in the
supercooled state at or below the normal crystallization
temperature. Technically, ‘glasses’ may be defined as liquids
which may be supercooled to temperatures at which the
viscosity exceeds 1013 poises, in which condition they exhibit
the properties of a solid while retaining the disordered
internal structure of a liquid. A large number of substances
can be obtained as glasses, e.g. sulphur, many plastics, arsenic
trisulphide, and these all have in common a well-developed
molecular network. In everyday usage, however, the term
glass is applied to the hard, brittle, transparent material, based
on a network of silicon and oxygen atoms, that is widely used
for making products as diverse as electric light bulbs,
windows and bottles.
Silica melts at about 1700°C and on cooling yields a glass
commonly known as fused silica. This material is very
resistant to the attack of all chemicals except strong alkalis,
hydrofluoric acid and related substances and, since the
coefficient of linear expansion is low (0.5 × 10–6), silica ware
can be subjected to sudden large temperature changes
(thermal shock) without breaking. Fused silica lacks the
regular crystal lattice of quartz but possesses instead an open
random three-dimensional network in which each silicon
atom is surrounded by four oxygen atoms,
each of the latter being shared by two silicon atoms (Fig.
43.10). The high melting temperature of silica derives from
the strong covalent Si–O bonds which may be pictured as
radiating from the central silicon atom and directed towards
the four corners of a tetrahedron so that the bond angle is
fixed at about 108°C (cf. carbon). The angle between the two
bonds associated with each oxygen atom is not so rigidly
fixed and this provides the flexibility necessary for the
formation of the network. Both the extreme viscosity of
2364
molten silica and the high temperature at which it must be
worked preclude the widespread use of fused silica. More
useful glasses result from the addition of modifiers to the
silica, which have the effect of lowering the working
temperature and viscosity, though not without some loss of
mechanical strength, resistance to thermal shock and chemical
durability. Monovalent metals, e.g. Na+ and K+, disrupt the
silica network and have the most marked effect on the
working properties, but the glass has too low a resistance to
chemical attack to be of any practical value. Calcium,
magnesium barium and other divalent metals can take part in
the network by sharing two oxygen atoms. The structural
distortion and replacement of a strong covalent bond by two
weaker electrovalent bonds results in a useful reduction of
working temperature without sacrificing too much chemical
durability. Suitable combinations of both mono- and divalent
metals yield glasses which are readily worked and yet possess
adequate strength and chemical durability for use in
noncritical situations (Fig. 43.10). ‘Soft’ or lime-soda glass is
of this type and is employed in the production of many of the
containers used in pharmacy. The performance of such
containers falls short of the ideal when exposed to the more
severe conditions encountered in, for instance, sterilization by
autoclaving. In these circumstances it may be necessary to use
a ‘harder’ glass, in which the content of mono- and divalent
metals has been reduced and replaced by multivalent elements
such as aluminium and boron. These elements are called
network formers because they can take part in the network by
covalent bonding in much the same way as silicon itself. The
chemical durability, resistance to thermal shock and
mechanical strength are thereby much improved but the glass
is more expensive.
2365
Fig. 43.10 The network structure of glass. (A) Fused silica;
(B) Soft glass.
2366
oxide, that is representative of each type. The low values of
some elements is due to their presence as contaminants in the
raw materials, e.g. magnesium in limestone. It is necessary to
use a high grade sand as the source of silica, as ordinary
grades contain large amounts of iron, which produces a green
tinge in the glass and decolourizers, usually selenium
compounds, are ineffective if the ferric iron content is greater
than about 0.1 per cent. Certain elements may be deliberately
added to produce a coloured glass, the following being of
pharmaceutical interest:
Table 43.3 Approximate compositions of some glasses used
for the production of containers used in pharmacy
2367
glass employed for the fabrication of pharmaceutical
containers is now arsenic (and lead) free.
Container Production
2368
or lehr so that stress dissipation by internal flow can take
place. Subsequently, further stress formation is avoided by
allowing the container to cool slowly and uniformly as it
travels towards the exit of the kiln. Prior to entering the lehr it
is usual for the moulding ridges on the rim of the neck to be
removed by local heating (fire polishing).
Mechanical Strength
2369
this condition also obtains when the cartons of filled
containers are stacked for storage or transport. The vertical
load which a bottle will support without fracture is roughly
proportional to the radius of curvature of the neck.
As glass is weaker in tension than in compression, the aim of
modern design is to ensure that the shoulder and sides are
evenly compressed by vertical loading, and tensile stresses
reduced as much as possible by using the largest radius of
curvature for the shoulder that is appropriate to the particular
size and function of the container. In this way it has been
possible to increase the vertical load resistance from some
200kg for the older, square shouldered ‘winchester’ to ten
times this value for its modern more rounded counterpart
(Fig. 43.11). Similar changes may be seen in the shape of
most modern glass containers used for packaging
pharmaceutical products. The modern shape also facilitates
mould design to secure uniform thickness of glass at the
shoulder Finally, the shape must be considered in terms of the
internal pressure that the bottle must withstand in use. The
cooling of a full transfusion bottle, for instance, usually lags
behind that of the autoclave. As a consequence the bottle may
still be under pressure when the chamber of the autoclave has
reached atmospheric pressure.
2370
Fig. 43.11 Improvements in container design: (A) Old; (B)
New.
2371
Resistant to Thermal Shock
2372
imposed on a soft glass cylindrical container by chilling the
outer surface is given by:
Tmax = 32d–1/2
where d is the wall thickness in centimetres. The wall
thickness of a container is inevitably a compromise between
the opposing requirements of strength (thick wall) and
resistance to thermal shock (thin wall). In some cases it may
be necessary to use the mechanically stronger neutral or
borosilicate glasses; the latter has the particular advantage
that its coefficient of linear expansion is only a third of that of
soft or neutral glass. In practice, ‘winchesters’ (2 litre) will
survive a temperature drop of at least 30°C, large (half-litre)
containers about 50°C and small thin-wall containers about
70°C; these values may be doubled for thermal shock
provided by rising temperature increments of the same order.
These factors emphasize the great care that should be taken
when handling hot glassware. The most serious condition
arises when products which have been sterilized are
prematurely removed from the autoclave. The resultant
thermal shock when the container is exposed to the much
colder environment outside the autoclave often leads to
explosive shattering of the glass, as the container and contents
will still be under pressure.
Chemical Durability
2373
realistic tests to ensure that the amount of contamination is
within acceptable limits. Attack by alkaline solutions leads to
the steady dissolution of glass, often without apparent change
in appearance (Dembleby, 1953). The only visual evidence of
such attack may be the formation of insoluble silicates in the
product. Hydrofluoric acid and a few related fluorine
containing substances also dissolve glass, but for all other
acidic or neutral aqueous solutions the attack proceeds by an
ion exchange process in which monovalent and, later, divalent
cations in the surface are replaced by hydroxonium ions. The
layer of hydrated silica formed by this process affords some
protection for the glass if the attacking liquid is acidic and
neutralizes the cations as they diffuse from the surface. Under
conditions of severe attack by water the extracted alkali may
cause dissolution of the hydrated silica layer thus exposing
the glass beneath to attack. The deterioration of a glass
surface under adverse storage conditions involves both kinds
of action. If the humidity is high, moisture condenses on the
surface and extracts cations. Subsequently the film may dry to
leave behind a white deposit which contains a high proportion
of sodium carbonate. When moisture again condenses on the
surface the deposit dissolves and the concentrated alkaline
solution attacks the silica network. The resultant loss of
surface brilliance is known as weathering. In severe cases the
surface acquires a white etched appearance that cannot be
improved by normal washing procedures; a similar effect may
be noted with soft glass containers that have been autoclaved
many times.
The rate at which a glass surface is attacked depends on the
type of glass and any surface treatment to which it may have
been subjected, the wetted area, the type and temperature of
the attacking solution and the time it has been in contact with
the surface. For alkaline solutions the rate of attack falls off
2374
with time due to the accumulation of silica and other
components of glass in the attacking solution. If M is the
amount of material dissolved in time t from unit surface area
and the amount of silica etc. accumulating in the attacking
solution is proportional to M then:
dM/dt = K/(r + kM)
where K, k and r are constants. Under neutral conditions the
attack is diffusion controlled by a hydrated silica layer of
thickness d proportional to the amount of cations M leached
from the surface that is:
2375
where E is the activation energy, R the gas constant and C a
constant. Hubbard and Hamilton (1941) and Douglas and
Isard (1949) have confirmed that this relationship applies to
the attack on a number of glasses by alkalis and by water
respectively.
Surface treatment of soft glass offers a possible means for
reducing the interaction with aqueous fluids. Silicones
appeared to be suitable agents as they are chemically related
to glass and produce water repellant films. With these
substances protection was good initially, but the film tended
to detach on storage or autoclaving. A more satisfactory
treatment is based on the early observation that the outer
surfaces of glass containers that had been annealed in a coal
or gas fired lehr were more resistant to attack by water than
the inner surfaces. Sulphur dioxide and other acidic
components of the furnace gases had reacted with the Na+
ions in the surface to form salts which were removed on
washing the containers. The annealing process ensured that
the silica rich layer which was left behind was compacted and
firmly bonded to the underlying glass. Unfortunately, furnace
gases do not readily penetrate the interior of a container,
hence its lower resistance to attack by aqueous liquids, and in
any case some lehrs are now heated electrically. To overcome
these problems an acidic atmosphere is artificially formed by
placing an ammonium sulphate pellet in the container prior to
annealing. The process is known as sulphating.
2376
adopted the tests of the European Pharmacopoeia (Vol. II)
1971. The hydrolytic resistance test sets a limit on the amount
of alkali that may be extracted from the containers used to
package injectable products. The containers are filled with the
nominal volume of freshly distilled water and autoclaved. The
alkali leached by the water from the glass and is then titrated
with N/100 HCl. According to the provisions to the test for
1ml ampoules, the extracted alkali must not exceed that
equivalent to 0.02ml of N/100 HCl. As about 5cm2 of internal
surface is wetted by the nominal contents of 1ml ampoules in
current use the foregoing corresponds to an extraction rate of;
2377
container, allows the latter to be differentiated from similar
components made from neutral glass.
There is one further effect due to the reaction between the
glass surface and acidic or neutral solutions. When the cations
are replaced by hydroxonium ions, additional water molecules
are also carried into the surface. To accommodate the
hydroxonium ions and water molecules, the surface layer
swells and in some cases may rupture the bonds at the
interface with the unattacked glass below, so that silica rich
laminae (flakes) or needlelike fragments (spicules) detach
from the surface. If the attack takes place at room temperature
a considerable period may elapse before flake or spicule
formation becomes visible. If the temperature of the container
and its contents is raised, additional stresses due to
differential expansion of the glass and the hydrated silica
layer causes more prompt rupture of interfacial bonds and the
detachment of flakes or spicules. It is known that nearly
neutral solutions containing citrates, phosphates, tartrates and
bicarbonates are most prone to trouble from flake and spicule
formation. Presumably, this is due to some attack of the silica
network itself, in addition to the swelling and thermal effects
noted above. Such products may often be packed and
sterilized in new sulphated lime-soda bottles, but have a
tendency to flake and spicule contamination if the bottle has
been in use for some time. Although Groves and Major
(1964) have confirmed the previously held view that the
rubber closure, rather than the glass container, was the major
source of contamination in commercially available
transfusion fluids, the presence of particles of any kind should
be suspect as even particles smaller than 1 μg in diameter
have given rise to adverse physiological effects (Stehbens &
Florey, 1960). Sterile pharmaceutical solutions completely
2378
free of particles could probably not be manufactured on a
commercial scale.
Groves (1966) proposed a limit of not more than 50 particles
greater than 5μm in size per ml of product (see also Cooper &
Barrett, 1970). The BP 1973 requires that all injections must
be free from particulate matter that can be observed by visual
inspection. Additionally, specified products must conform to
a limit for 2–5 μg particles and for particles larger than 5μm.
Such products include large volume perfusion fluids
containing, for example, sodium chloride and sodium lactate.
The European Pharmacopoeia distinguishes between three
types of glass: type I has high hydrolytic resistance due to its
composition and includes the neutral glasses; type II derives
its hydrolitic resistance from surface treatment, e.g.
sulphating; type III includes soft glass and has only moderate
hydrolytic resistance. Type III glass may be used to package a
wide variety of products such as ointments, lotions, mixtures,
powders for the preparation of injections and nonaqueous
injections. All other parenteral products must be packaged in
type I or II glass containers. Sufficient alkali could be
extracted from soft glass to cause the precipitation of basic
substances. Thus, strychnine has a pkb of 6.0 and a solubility (
So) in water of only 1 in 7000 (0.0143 per cent) at room
temperature. For an aqueous injection containing, say 1mg
per ml (S = 0.1 per cent) of the alkaloid as a salt the pH at
which that alkaloid will just precipitate (pH) is given by:
2379
Direct experiment shows that occasionally enough alkali may
be leached from the inner surface of a soft glass ampoule to
raise the pH of the contents to or above this level. Formerly,
the liberation of narcotine from its salts was used in Germany
as a performance test for glass containers. Many bases are
sufficiently soluble in water at high pH that precipitation is
unlikely to occur. Thus, with atropine, adrenaline and
procaine accelerated decomposition in alkaline conditions
rather precipitation is the problem. Some medicaments such
as Adrenaline Acid Tartrate have inherent buffering capacity
in the pH range which is optimum for stability. For
Chloramphenicol Eye Drops the balance between solubility
and stability is maintained by a pH 7.0 borate/boric acid
buffer (Heward et al., 1970).
Another example where the extraction of alkali must be
limited by the use of hard glass containers is in the packaging
of Insulin Injection. The isoelectric point of this polypeptide
is 5.5–5.6 and, although the injection is adjusted to pH
3.0–3.5, sufficient alkali could be extracted from
unsatisfactory containers to bring the pH to the isoelectric
point thus causing precipitation of insulin. The major danger
with this medicament is, however, the very much accelerated
degradation of the polypeptide that occurs if the pH exceeds
7.5. Borosilicate glass is too expensive for widespread use as
a container material. The cheaper neutral glasses provide an
2380
acceptable alternative and are available in two grades (Table
43.1), one of which is formulated for a low fusion
temperature to facilitate the sealing of ampoules (B.S. 795:
1961). Although the coefficient of linear expansion is similar
to that of soft glass, thermal shock is rarely a problem as the
ampoule walls are thin. The container grade of neutral glass is
employed for the production of multidose injection containers
antibiotic vials, etc. Transfusion bottles (B.S. 2463: 1962) can
be made of neutral glass but sulphated lime-soda glass
provides a cheaper alternative which is now much used for
eye drop bottles (B.S. 1679: 1965). To avoid the danger of
flaking with repeated use, surface treated eye drop bottles are
employed once only and are therefore known as ‘one-trip’ eye
drop bottles. Some injections such as those containing
apomorphine, ascorbic acid or papaveretum are light
sensitive, and amber coloured ampoules have been much used
for packaging them. However visual evidence of
deterioration, e.g. flaking, colour changes, etc., should be
readily discernible and it is now more usual to pack the
product in colourless containers and exclude light by means
of the ampoule box. Another reason for using colourless
containers is that the product might be contaminated by the
elements used to colour the glass, and Girard and Kemy
(1950) have reported that iron extracted from amber glass
may interfere with the stability of adrenaline solutions. For
nonparenteral products the packaging requirements are less
stringent and as amber containers are no more expensive than
the colourless variety, the majority of chemicals, galenicals,
etc. are now routinely packed in amber glass bottles
regardless of the light sensitivity of the packaged material.
2381
Closures
Folded Seals
2382
tubes. If the product inside the tube is very viscous there will
be a considerable back pressure as the product is forced out of
the nozzle and this will tend to unfold the seal. In commercial
practice, when the folds have been formed they are crimped
by corrugated jaws and this prevents unfolding of the seal
(Fig. 43.12). Seepage via the folded seal may be prevented by
the use of latex sealing compounds.
Push-on Seals
These are often used for tubes of lozenges and rely on the
resilient distortion of the closure both for pushing the cap
over the retaining ring at the rim of the tube and also for
maintaining a tight seal between the neck and the rim (Fig.
43.13).
2383
Fig. 43.13 Push-on closure.
Bung Seals
These are among the oldest known closures. They are conical
and can be inserted for about half their length into the neck of
the container (Fig. 43.14A). Sideways pressure due to
distortion of the bung on insertion provides a seal the
perfection of which depends both on the bung material and
finish of the neck. Cork usually gives a good seal for general
purposes but eventually becomes permanently distorted with
consequent loss of reseal properties. Rubber is an excellent
material for bung closures but cannot be used for oils or
solvents due to swelling, or for lubricant products as the bung
tends to eject from the neck of the container. There are many
varieties of this type of closure. With vaccine bottle caps,
bung action is assisted by a ‘skirt’ that folds over the outside
of the neck of the bottle. A wire loop round the skirt ensures
that the bung is not ejected during heat sterilization. Another
type of bung closure, now much used is that used for vials of
penicillin powder. The bung is held in place by a thin
aluminium cap which is spun round a retaining ring on the
neck of the vial (Fig. 43.14B).
2384
Fig. 43.14 Bung seals.
Screw-cap Seals
2385
the cap. If a rubber wad is used (a liner is not required) elastic
recovery from overtightening may lead effectively to
loosening of the closure. Finally, the screw cap must be
dimensionally stable. Should an aluminium cap be
overtightened the free edge may stretch and will not properly
fit the screw thread on the container. Phenol-formaldehyde
bottle caps are often filled with wood flour. If the cap is
basically of poor quality the wood flour swells in contact with
moisture from alkaline products with an effect similar to that
described for overtightened aluminium caps. Aluminium
hydroxide gel and magnesium hydroxide mixture have both
been implicated in cap distortion of this type. At one time,
tinned-steel screw caps were much used but tended to rust
where friction with the thread damaged the tin coating. Both
thermoplastics and thermosetting plastics are now much used
for screw cap production.
2386
overtightened; it is inert to most materials, except as
described elsewhere, and does not support mould growth.
Plastics share most of the properties of rubber but lack its
resilience. For cheaper closures, wood pulp and felt board
wads are employed but resilience is low and the reseal
properties poor. Glue or resin bonded cork chips are also used
but the former disintegrate in contact with aqueous liquids
and support mould growth. The resin bonded variety is much
better in these respects but distorts readily. Labour costs can
be reduced if the wad and liner are bonded together to give
for instance, a polythene-faced resin-bonded cork wad. For
some modern dispensing bottles the wad and the liner are
replaced by a lip moulded into the scre wcap (Fig. 43.16).
Rolled-on screw caps avoid the problem of matching cap and
container thread by using a straight-sided blank cap which is
held firmly against the rim of the neck while a rotating head
forms the thread on the cap against that on the neck, A
particular advantage of the rolled on type of seal is that
provision can be made for an extended perforated skirt to fit
over the annulus. The perforations must be broken before the
cap may be removed. This particular system provides a
pilfer-proof closure.
2387
Fusion Seals
Package Testing
2388
Filling
Liquids
2389
time of the product from the bulk to the final container must
be short to minimize sedimentation in the filling head. Apart
from inaccuracies in the composition of the filled product,
accumulating solid may jam the head mechanism. Even
solutions present filling problems if the surface tension is low
and the foam stability high. The liquid from the filling head
(Fig. 43.17A) jetting into the product already in the bottle
causes considerable agitation and build up of a persistent
froth. It is necessary for the vacuum line to suck off to the
trap a large volume of froth before the bottle is properly filled
with liquid product. A variant of the standard head, that is
normally successful in avoiding this problem, is shown in Fig.
43.17B. The liquid jets onto the wall of the container and
gently flows as a thin film without frothing. As these types of
head fill to a given distance below the rim of the neck,
volumetric accuracy of filling is entirely dependent on the
observance of rigid tolerances during manufacture of the
container. Furthermore, it is, not easy significantly to vary the
filling volume from the nominal value for the container.
Machine driven automatic syringes are employed if greater
versatility is required, a method which finds considerable use
in large scale ampoule filling. The syringe size and plunger
stroke determine the volume transferred to the container.
2390
Fig. 43.17 Filling head for (A) non-foaming and (B) foaming
liquids (diagrammatic).
Semisolids
2391
be possible to get the required amount of aerated product into
the selected container.
Powders
Unit-dose Products
2392
‘necking’ material. Formerly, cotton wool was much used but
unless thoroughly dried its normal moisture content is
sufficient to promote the degradation of sensitive products.
Preformed polyurethane foam is now used for necking; it is
easier to insert and has a very low moisture content.
Repackaging
2393
pack may serve as a guide, it is worth remembering that, even
when thinned by shaking, thixotropic products such as
Aluminium Hydroxide Gel and Mixture of Magnesium
Hydroxide are more readily poured from a container with a
wide neck. As discussed earlier, some woodflour filled
phenol-formaldehyde screw caps may swell or distort in
contact with products of this type. Very thorough shaking of
suspensions before dispensing is essential if the original
composition is to be maintained in both the dispensed and
remaining material. If the product is to be supplied in a
diluted form, care must be taken that specific stabilizers and
preservatives are present in sufficient quantity for efficient
protective action. The oxygen permeability of a plastic
container may be crucial to the stability of the product if
absorption or dilution of the antioxidant has taken place.
Tablets are often repacked from bulk supplies, and the danger
exists that progressive abrasion will occur as the tablets are
tumbled when taken from the bulk container. The latter is
frequently an aluminium or tinned-steel container or an amber
glass bottle, all of which provide protection against light. The
container selected for repackaging must also possess this
property if the product is photosensitive. A high proportion of
the moisture sensitive drugs exhibit adequate stability if
stored and dispensed in a well sealed container. More
sensitive preparations—Effervescent Potassium Tablets, for
example, require a much higher level of moisture exclusion.
In commercial packs the tablets are sealed in a polythene bag
with a desiccant sachet, enveloped in a further polythene bag
and then issued in a sealed aluminium screw-capped
container. Unless this order of moisture protection can be
maintained in repackaging, it is probably best to obtain the
prescriber’s agreement for the supply of the nearest size
commercial pack.
2394
It cannot be too strongly stated that thoughtful repackaging
may be ruined if appropriate directions for storage and use are
not given and explained to the patient.
References
2395
Lachman L, Weinstein S, Urbanyi T, Ebersold E, Cooper J. J.
Pharm. Sci. 1963;52:241.
Lachman L, Urbanyi T, Weinstein S. J. Pharm. Sci.
1963;52:244.
Long WR. Pharm. J. 1961;187:165.
Moody ME. Packaging in Glass. London: Hutchinson; 1963.
Paine FA. Packaging Materials and Containers. London:
Blackie; 1967.
Pharmaceutical Journal (1957) 178, 424.
Reznek S. J. Am. Pharm. Assoc. (Sci. Edn) 1953;42:288.
Reznek S. J. Am. Pharm. Assoc. (Sci. Edn) 1953;42:291.
Royce A, Sykes G. J. Pharm. Pharmacol. 1957;9:814.
Simpson BJ. Pharm. J. 1969;203:335.
Stehbens WE, Florey HW. Q. J. eExp. Physiol. 1960;45:252.
Stephenson D. J. Pharm. Pharmacol. 1953;12:999.
Sykes G. J. Pharm. Pharmacol. 1958;10:40.
Wing WT. J. Pharm. Pharmacol. 1955;7:648.
Wing WT. J. Pharm. Pharmacol. 1956;8:734.
Wing WT. J. Pharm. Pharmacol. 1956;8:738.
2396
Chapter 44
Pilot Plant Manufacturing
Pilot plant scale-up techniques can be defined as a part of the
pharmaceutical industry where a laboratory scale formula is
transformed into a viable product by the development of
liable practical procedure for manufacture. Research and
development (R&D) personnel develop the drug dosage
forms at small level and then convert them into production via
pilot plant scale-up. Scale-up can be defined as the art of
designing of replica using the data obtained from the pilot
plant model.
The objectives of pilot plant can be as follows (Robert and
Albert, 2003):
1. Production of physically and chemically stable therapeutic
dosage forms
2. Review of the equipment processing to determine whether
it is compatible, economical, simple and reliable in the
production of the product
3. Availability of the raw material
4. Determination of the physical space and plant layout
required
5. Guidelines for process control
6. Evaluation and validation
7. Identification of the critical features of the process
8. Development of master manufacturing formula
In addition to this, appropriate records and reports are issued
to support good manufacturing practices (GMPs) and to
provide the historical development of the production
formulation, process, equipment and specification.
2397
A pilot plant allows the investigation of a product and process
on an intermediate scale before large amounts of money are
committed for full-scale production.
A pilot plant technique involves the industrial implementation
of processes in which conversion of material takes place into
the dosage form. Most processes are scale dependent; that is,
they behave differently on small scale (in laboratories or pilot
plants) and on large scale (in production). It is indicated
clearly by the above discussion that meaningful product
reprocessing procedures can only be developed and validated
at pilot plant scale. In this connection, all critical features of a
process must be identified so that as the product is scaled up it
can be adequately monitored to provide assurance that the
process is under control, and that the product produced at
each level of the scale-up maintains the specified attributes
that were originally intended (Lieberman et al., 1990; Aulton,
2006).
General Considerations
Reporting Responsibility
2398
such a group would be that the pilot plant will be more
realistic and accessible to operations. Some companies have
adopted a combination of both approaches in the hope of
achieving the best attributes of both—the R&D and the
operations-oriented systems. Whichever approach is adopted
by the company, the goal of a pilot plant is to facilitate the
transfer of a product from the laboratory to the production.
The effectiveness of the pilot plant is determined by the ease
with which new products or processes are brought into
routine production. This can be achieved by good
coordination between the various departments, like R&D,
processing, packaging, engineering, quality assurance and
quality control, administration and marketing.
Personnel Requirement
2399
within the shortest possible time. Experience within the group
should encompass both formulation process and equipment
experience in the actual production environment. Personnel in
the pilot plant must recognize the intent of the formulator and
at the same time understand the perspective of production
personnel. For these reasons successful pilot plant
organizations frequently include scientists with experience in
both areas.
Space Requirement
2400
permanent bench-top space for routinely used equipments like
balance, pH meter, UV spectroscope, viscometers, etc.
Storage Area
2401
Space should be provided for the storage of retained samples
from pilot plant and experimental production batches. All of
these space requirements are in addition to the controlled
environment space allocated for storage of stability samples.
Finally, there should be storage space for packaging material,
and for storing bottles, closures, tubes, vials and ampoules,
etc.
Raw Materials
Processing Equipments
2402
further scale-up of the same, equipments that are alternative,
most economical, simple, effective and most capable of
consistently producing product within the proposed
specification should be evaluated. The size of this equipment
should be such that experimental trials that are meaningful
and relevant to the production size batches that will
eventually be made can be run. If the pilot plant equipment is
too small, the process developed will not scale-up well. If the
equipment is too large, excessive costs will be incurred; there
will be wastage of new and expensive active ingredients in
large quantities. When a reasonable process has been
developed on the pilot plant equipment, intermediate-size
experiment should be run which are economical also. If the
equipment is not available in-house, one can avail the facility
of the equipment vendor. Selection of equipment is based on
the ease of cleaning, particularly if multiple products are
designed to be manufactured in the equipment. The time
required in tearing down the equipment to clean and change
from one product to another should be determined. To
evaluate these and other parameters accurately, trials should
be run at the vendor’s facilities. Such experience helps in
determining the true capability of the equipment and the
quality of technical support available from the proposed
vendors.
Process Evaluation
2403
purpose of process validation is to confirm that the selected
manufacturing procedure ensures the quality of the product at
various critical stages in the process and also in the finished
form. This can be done by monitoring the within-batch
variation of measurable parameters, and the data obtained
indicate whether the process is performed as intended and
where problem areas may be found. The manufacturing
process and quality and quality control information should be
reviewed on an annual basis, and if deemed necessary, some
revalidation studies should be carried out to ensure that
changes have not occurred.
2404
standard operation procedure (SOP), which describes a
specific part of the production process.
The sections described in the master formula should
correspond to the chronological operations for the major
manufacturing steps. It should have a first section with
component preparation such as cleaning, equipment
preparation, raw material preparation, etc., and any deviations
that may occur must be recorded at the time in the margins.
Verification signatures or initials of another operator may be
required for critical processes and space should be provided
accordingly for these steps. Space for review by a supervisor
must be included. All products, equipment and facility areas
listed in the master formula should have reference numbers
associated with them to permit traceability. The format for the
master formula should be a formal document with the
company name, product name, batch size and site of
manufacture, a document number with revision number, and
approval signatures and dates. Each page should be numbered
and spaces should be provided to fill in the lot number of the
batch and for approval signatures. The master formula and
any revisions must be approved, with dated signatures, by
both Production and QA officials. The original should be filed
in a safe place and approved copies are made for each
production run. The lot number of the batch is filled in on
each page and approval signatures and information are filled
in as required and distributed for use for each production
order. An SOP describing the writing, approval, distribution
and use of the master formula should be prepared. The
detailed manufacturing steps for the batch of harvest will
finish with the completion of the batch processing records
filled out in the production area.
2405
GMP Considerations
2406
• The distribution of the drugs minimizes any risk to their
quality.
• A system is available for recalling any batch of drug from
sale or supply.
• Complaints about marketed drugs are examined, the causes
of quality defects are investigated and appropriate measures
are taken with respect to the defective drugs and to prevent
recurrence.
GMP guidelines are not prescriptive instructions on how to
manufacture products. It is a series of general principles that
must be observed during manufacturing. When a company is
setting up its quality program and manufacturing process,
there may be many ways it can fulfil GMP requirements. It is
the company’s responsibility to determine the most effective
and efficient quality process.
A list of GMP items that should be part of scale-up or new
product or process introduction is as follows (Lieberman et
al., 1990):
• Equipment specification
• Process validation
• Regular schedule for maintenance
• Regular process review and revalidation
• Relevant written SOPs
• Use of competent, technical and qualified personnel
• Provision for training programme
• A well-qualified technical personnel
• A well-defined technology transfer system
• Validation of cleaning procedure
• Arrangement of equipment properly so as to ease material
flow and prevent cross-contamination
2407
Transfer of Analytic Methods to Quality
Assurance
Mixing or Blending
2408
Mixing or Blending Technique
www.pharmag.de
2409
Mixing or Blending Time
Drug Uniformity
Excipient Uniformity
2410
Colour: The colourant(s) need(s) to be evenly distributed in
the mixture so that the tablets have a uniform appearance (e.g.
colour, hue and intensity). The colouring agent may need to
be prescreened or more uniformly dispersed in the blend prior
to compression to avoid speckling or shading of the colour.
The various steps involved for the validation of wet grinding
are given in Table 44.1.
Table 44.1 Steps for validation of wet grinding
Wet Granulation
2411
4. To properly mix the potentactive ingredients. A small
amount of a potent active ingredient can be dispersed most
effectively in a carrier granulation when the drug is dissolved
in the granulating solution and incorporated into the batch
during granulation.
Some of the equipment are more suitable than others for
developing the desired characteristics of a finished
granulation. Traditionally, wet granulation has been carried
out using sigma blade (Fig. 44.2) or heavy-duty planetary
mixers (Fig. 44.3).
2412
Fig. 44.3 Planetary mixers. Source: www.pharmag.de
Binder Addition
2413
Binder Concentration
Mixing Time
Drying
2414
affect tablet properties like hardness, disintegration,
dissolution and stability. The optimal moisture content of the
dried granulation needs to be determined. High moisture
content can result in:
1. Tablet picking or sticking to tablet punch surfaces
2. Poor chemical stability as a result of hydrolysis
An overdried granulation could result in poor hardness and
friability. Moisture content analysis can be performed using
the conventional loss-on-drying techniques or such
state-of-the-art techniques as near-infrared (NIR)
spectroscopy.
Inlet/outlet temperature of the dryer should be monitored
during drying of the granules. The inlet temperature is critical
to the drying efficiency of the granulation and should be set
high enough to maximize drying without affecting the
chemical/physical stability of the granulation. The outlet
temperature is an indicator of the granulation temperature and
will increase toward the inlet temperature as the moisture
content of the granulation decreases (evaporization rate).
Heat uniformity of the dryer (e.g. tray), amount of granulation
per tray and incomplete fluidization of the bed are factors that
could also affect the moisture uniformity of the granulation.
Depth of the granules on the tray should be such where
efficient drying takes place and also if, soluble dyes are
involved, then migration of the dye to the surface should not
occur.
There should be sufficient airflow to ensure removal of
moisture-laden air from the wet granulation. Insufficient
airflow could prolong drying and affect the chemical stability
of the drug. Airflow and the inlet/outlet temperature are
interrelated parameters and should be considered together.
Equipment capability and capacity is another factor that
should be monitored during the operation. The load that can
2415
be efficiently dried within the unit needs to be known. A
larger load will require more moisture to be removed on
drying and will affect the drying time. In the case of fluid bed
drying (Fig. 44.4), a maximum dryer load is that load above
which the dryer will not fluidize the material.
Milling
The milling operation will reduce the particle size of the dried
granulation. Compression factors that may be affected by the
particle size distribution are flowability, compressibility,
uniformity of tablet weight, content uniformity, tablet
hardness and colour uniformity. If granules having large
2416
particle size and insufficient fines are unable to fill the die.
cavities uniformly during compression and the weight of the
tablets vary considerably. Whereas if too much fines are
present, resultant in weight variation of tablets because of
improper flow of the fine granules.
A higher speed of a mill will result in a smaller particle size
and possibly a wider particle size distribution. But it can also
generate more heat to the product, depending on the screen
size and feed rate, which could affect the stability of the
product. Capping is also exaggerated by the high speed of the
mill. In this way oversized and under sized granules can
adversely affect the tablet content uniformity. An optimal
particle size/size distribution for the formulation will need to
be determined.
Size uniformity can be achieved by passing all the material
through an oscillating granulator or a hammer mill (Fig.
44.5A and B) or through a mechanical sieving device or some
other screen devices. Oscillator device can only work
efficiently if oversized portion of the granulation including
lumps or agglomerates is not too hard. Feed rate is dependent
on the mill capacity, screen size and mill speed and should be
controlled during the operation. If load is high in this
equipment, an excessive number of fines are produced and
also because the rub bars come in contact with the screen, the
wearing action may introduce a small amount of fine metallic
material into the batch. Breaking of the screen may also occur
because of the wearing action which leads to introduction of
large particles of hazardous metal into granulation.
2417
Fig. 44.5 (A) Oscillator type granulator (Courtesy: Jicon
India); (B) hammer mill open front. Source:
enwikipedia.orgen
2418
particle size distribution, a uniform feed rate must be
maintained.
2419
also leads nonuniform distribution of medicament in finished
dosage form. On the other hand, if the load is too small, the
powders slide rather than roll in a blender and proper mixing
does not occur, or much time is required to uniformly mix the
materials.
Tablet Compression
2420
compression causes an increase in the apparent density (or a
reduction in volume) by the displacement of air; and (3)
consolidation is defined as an increase in mechanical strength
due to particle–particle interaction. When the external force is
applied to the powder in the die cavity, the bulk volume will
decrease through the following mechanism: (1) initially it
occurs through repacking of the particles (this effect is limited
because the mass will quickly become more like a single
body); (2) with an additional load, densification occurs
through elastic deformation (a reversible process); and (3) if
the elastic limit of the material is exceeded, then ‘plastic
deformation’ and/or ‘brittle fracture’ will occur. The exact
type and mechanism of the material deformation will be
dependent on its viscoelastic properties. It should be noted
that when the upper punch moves away to release the applied
load and allow ejection from the die, the viscoelastic
behaviour of the material, i.e. the relaxation of the compacted
material combined with the forces necessary for ejection, can
determine whether the tablet will survive intact or whether
lamination or capping might occur. It is generally accepted
that this decompression behaviour is equally as important as
the compression behaviour. (Note that if ejection of the tablet
represents a problem in production, the use of tapered dies
sometimes alleviates the problem.) The
monitoring of the consolidation, i.e. the bonding process to
create the tablet strength is more difficult. In this operation
the physicochemical properties of the powder and the
equipment used to perform this operation are important
parameters.
Compression is a critical step in the production of a tablet
dosage form. The materials being compressed will need to
have adequate flow and compression properties. The material
should readily flow from the hopper onto the feed frame and
2421
then into the dies. Inadequate flow can result in ‘rat holing’ in
the hopper and/or segregation of the blend in the hopper/feed
frame. This can cause tablet weight variation and content
uniformity problems. As for the compressibility properties of
the formulation, it should be examined on an instrumented
tablet press (Fig. 44.6). Factors to consider during
compression are as follows:
Tooling
2422
Compression Speed
Compression/Ejection Force
Tablet Coating
2423
Tablet Properties
Equipment Type
2424
Fig. 44.7 (A) Schematic presentation of coating process; (B)
Pan coater. Source: www.pharmag.de
Coater Load
2425
Pan Speed
Spray Guns
Application/Spray Rate
Tablet Flow
2426
Inlet/Outlet Temperature and Air flow
Coating Solution
Coating Weight
2427
In-process tests:
1. Moisture content of ‘dried granulation’
2. Granulation particle size distribution
3. Blend uniformity
4. Individual tablet/capsule weight
5. Tablet hardness
6. Tablet thickness
7. Disintegration
8. Impurity profile
Finished product tests:
1. Appearance
2. Assay
3. Content uniformity
4. Tablet hardness
5. Tablet friability
6. Impurity profile
7. Dissolution
These key test parameters are the yardsticks by which the
major processing variables in solid dosage forms are
evaluated. Some processing variables are listed below:
1. Mixing time and speed in blenders and granulators
2. Solvent addition rates in granulators
3. Time, temperature and airflow conditions in dryers and
coaters
4. Screen size, feed rate, and milling speed in mills
5. Machine speed and compression force in tablet presses
Process validation testing is generally done on the first three
batches of product made in production-size equipment.
Revalidation testing is only done when a ‘significant’ change
has occurred. A significant change is one that will alter the
in-process or final product specification established during
the validation program or a change in formula, process or
equipment.
2428
Liquid Dosage Forms
Liquid dosage forms are considered under the category of
nonsterile preparation. Simple solutions are the most
straightforward to scale-up but they need tank for mixing of
components with suitable heating or cooling device (to
increase the dissolution of the components), adequate transfer
system, filtration assembly to ensure proper filtration of
impurity without affecting active and adjuvant of formulation.
All equipments should be designed with inert material, and
also easy to clean.
Generally, two types of stainless steel are used for fabrication
of equipments, i.e. 308 and 316; mostly 316 is used because it
is less reactive in nature, but it reacts with acidic materials.
Problem of reactivity in such cases can be prevented by the
process known as passivation in which it is treated with acetic
acid or nitric acid which react with alkali present over the
surface of the steel. However, this process should be repeated
between and end of the every operations. The reactivity of
surface can also be reduced by the use of glass or
polytetrafluoroethylene (teflon) coating. Although it is very
inert type coating but, having certain disadvantages like
cracking, breaking, flaking and peeling of the lining which
results the contamination of the product.
Scale-up process of the suspension is quite difficult as
compare to simple liquid dosage form because of the presence
of the suspending, wetting agents, etc. Simple sprinkling and
vortexing are involved for the dispersion of suspending agent
at laboratory scale but at large scale it is not as simple as
above. At large scale, there are chances of formation of lumps
which can be avoided by making the slurry of the suspending
agent with a part of vehicle. Such a slurry facilitates rapid and
2429
complete hydration of the suspending agent when added to
the large portion of the vehicle. The time and temperature
required for the hydration is critical and quality of suspension
is adversely affected if, other ingredients are added before the
hydration process. Addition of the active agents depends on
the physical nature of the agent, if it is wetted easily,
dispersed readily and not agglomerated then simple addition
of the chemicals or ingredients are required at a convenient
stage during the manufacturing process. Whereas in the
opposite case, where the material is not easily wetted, then
prepare the slurry with the wetting agent and add with the
help of high shear mixing device. In another method, it is to
pretreat the hard to wet material by blending it in a high shear
powder blender with one or some of the liquid ingredients
possible with a surfactant included. This approach minimizes
the wetting problem and eliminates the formation of the
agglomerates in the finished products. In agglomerated
system there is inclusion of the air which may cause
separation (creaming) of the layers and ultimately affects the
stability of final product.
In preparing pharmaceutical suspension the required
equipment like type of mixer, pumps, mills and power motor,
etc., should be selected carefully and their selection should be
based on the batch size and the maximum viscosity of the
formulation during production. If mixer is not in appropriate
size then improper mixing taken place as well as much time is
required for the distribution of the material. Similarly, high
speed mixing can results in the incorporation of excessive air
in the form of the small bubbles which affects both physical
and chemical stability of the products as well as
reproducibility of filling operation. Versator (Fig. 44.8) is an
equipment that can be used to remove entrapped air. During
operation of a versator, product is drawn into a vacuum
2430
chamber through an inlet line where it is spread onto the
centre of a high speed rotating disk. The centrifugal force
produced by the rotation of the disc causes the product to
form a thin film on the disc surface. As the film thins and
moves towards the outer edge of the vacuum chamber, the
entrapped air is drawn off and the deaerated product is
collected from the outer edge of the vacuum chamber.
2431
suspensions are not constantly mixed or recirculated during
transfer processes, they may settle out and uniform
distribution of the active ingredient is affected by this
phenomena.
Emulsion is similar to the suspension except that the
dispersed phase is a finely divided immiscible liquid instead
of a solid. Dispersed phase is usually oils or waxes in solid or
liquid state. Processing parameters and procedures that must
be adjusted and controlled for the various types of emulsion
includes temperature, mixing equipment and homogenizer, in
process or product filtration devices, screens, pumps and
filling equipments. The viscosity and physical stability of an
emulsion is affected by the degree of globule size.
Manufacturing system, that utilizes high speed mixer, leads to
air entrapment and may adversely affect the physical and
chemical stability. The use of vessels that can be operated
with the contents under a controlled vacuum avoids the
problem of unwanted aeration. The emulsion is to be filtered
to remove particulates originating from the raw materials or
introduced during processing as they can affect the quality of
the emulsion. The unwanted particulates are most efficiently
removed by a separate filtration of oil and water phases
before emulsification.
Paste, gels, ointments and creams are closely related to
suspensions, liquids and emulsions except that they are
products with high viscosities. The scale-up of these products
is similar to
lower-viscosity products but the higher viscosity renders
certain aspects of the scale-up of semisolid products more
critical. For preparation of homogeneous ointment and cream,
the mixing equipments should be capable of effectively and
continuously moving the semisolid mass from the outside
walls of the mixing kettle to the centre and from the bottom to
2432
the top of the kettle. This action is required for both, to
distribute the ingredients and to bring about a rapid and
efficient heat transfer to and from the product during the
heating and cooling steps. The power required to mixing is
depended upon the viscosity of the product. Motor used to
drive the mixing system of semisolid manufacturing
equipment must be such that it handles the product at its most
viscous stage. Motor that drives the mixers used to disperse or
dissolve components that have been added early in the
manufacturing sequence, when product viscosity is low, may
be required to operate at a slower speed to prevent splashing
of the intermediate phases. For this reason, most of semisolid
equipments are designed to provide variable speed mixing.
Improper temperature control can have adverse effects on the
particle size of the poorly soluble active ingredients. If these
materials are added at high temperature, the solubility may be
artificially increased; creating a metastable product and
subsequent cooling may lead to crystal growth or
recrystalization from the saturated solution. This recrystalized
material may have different polymorphic form or a different
crystal type or size. The result may be a change of particle
size distribution, yielding a gritty, less elegant product or one
with altered stability or biologic activity. The most critical
processing steps that need to be carefully evaluated and
controlled during the manufacturing of a cream are the
emulsification of the two phases and the dispersion of any
suspended active ingredients. Pharmaceutical equipments
used in the homogenization of the emulsion and dispersion of
suspended active ingredients include various types of high
shear mixers, i.e. homogenizers and colloidal mill (Fig. 44.9A
and B). Colloid mill is used in most of the cases which have
the fixed stator plate and a high speed rotating rotor plate.
Material drawn or pumped through an adjustable gap set
2433
between the rotor and stator is milled or homogenized by the
physical action. Centrifugal force is created by the high speed
rotation of the rotor which operates within 0.005–0.010 inch
of the stator. Sonic homogenization is also used for the same
purpose. It accomplishes emulsification by imparting
sufficient energy to the material through rapidly vibrating
vanes that break up a liquid stream into small, discrete
droplets. Positive displacement pumps are mostly used to
pump semisolid without applying excessive shear and without
incorporating air. They are self priming and can create
adequate head pressure to force product through long transfer
lines and filtration equipment. In choosing the size and type
of pump for a particular operation, product viscosity, desire
pumping rate, product compatibility with the pump surfaces
and the pumping pressure required, should be considered.
2434
Fig. 44.9 (A) Homogenizer; (Source: www.pharmech.com/
liquid-section) (B) Colloidal mill. Courtesy: Frymakoruma,
info@moodydirect.co.uk
2435
Suppositories are manufactured on both a small scale, in
batches of 10–20, and a (semi)automatic scale (Fig. 44.10), in
batches of up to 20,000 per hour. Essentially the mode of
manufacture is similar in both cases and involves melting of
the vehicle, mixing the drug and the molten vehicle,
dispensing in a former, cooling to solidify and, if necessary,
packing in the final container. Nowadays most of
suppositories are packed individually in a plastic (PVC) or
aluminium foil pack. Requirements leading to a good
protection against moisture and oxygen can be deduced from
the individual needs of the drug and the properties of the
packaging materials.
Contract Manufacture
Contract manufacturing is a process that established a
working agreement between two companies. Contract
manufacturing requires fulfilling the need for additional
manufacturing capacity, higher specialized technology, or
2436
specialized equipment. At the time of selecting a contractor
experience, capability and reputation of the contractor within
the industry must be considered. In addition to that, the
technical competences of the contractor’s personnel and
compliance to GMP are important factors in the choice of
contractor. Personnel who have the knowledge of production,
QA, QC and GMP visit the contractor at the manufacturing
site and assess the available facilities, equipment, personnel
and policies.
GMP regulation provides a checklist of items:
• Review of procedure, facility and personnel (training and
documentation) involved in acquisition, storage, testing and
handling of raw materials.
• Equipment availability, utilization and maintenance,
documentation of equipment operator training, equipment
cleaning procedures and equipment calibration.
• Adequacy of manufacturing facilities (size spatial
separation, cleanliness, design, cleanability, dust, temperature
and humidity control).
• Adequacy of storage space for in-process quarantine and
approved bulk finished goods storage.
• Controls for preventing product mix up and
cross-contamination.
• Label storage, approval, dispensing, and accountability
procedures and controls.
• Packaging equipment utilization, maintenance, cleaning and
use controls.
• Packaging component control procedures.
• Structure and function of the quality control unit, including
personnel, training, SOPs and responsibilities.
• Warehouse space, separation of products, procedures control
and environmental controls.
• Record control policies.
2437
After complete review of the checklist and mutual
discussions, division of responsibilities between the company
and the vendor/contractor should be finalized in form of a
comprehensive document. That document outlines all areas of
responsibility and that can serve as the basis for follow up
investigations by the pilot plant scientist and/or the quality
control department.
References
2438
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of this Elsevier eBook also includes access to an online
version. Please click here (or go to
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version.
2439
Index
A
2440
physical, 109
selective, 111
Aerosols
metered, 392
Agar, 385
Aggregation number, 65
Air filtration, 270
Albumin
human iodinated, 665
human purified, 665
preparations, 664
Alcohols
disinfectants, 567
Aldehydes
disinfectants, 567
Alginic acid as disintegrant, 317
Alkaloids, solvent extraction of, 205
Allopurinol, kinetics of hydrolysis, 184
Allotropy, 27
Alpha-decay, 463
Alpha-particles
energies, 467
range–energy relationship, 467
specific ionization produced by, 467
Alums, isomorphism of, 28
Amidines, disinfectants, 570
Aminacrine hydrochloride, 567
Amphipath
concentration and aggregation of, 66
See also Surface-active agents and Surfactants
solution, free energy of, 67
Ampoules, 610
filling, 611
2441
Analysis
activation, 496
radioisotope dilution, 495
radionuclides in, 495
Analysis of variance, 481
Anion exchange reactions, 121
Anisotropic, 72
Antacids, 123
Antagonists, disinfectants, 577
Anthrax vaccine, 636
Antibiotics
assay, 596
carbohydrate, 650
cephalosporins, 649
chloramphenicol, 650
common, 643
fermenters, 645
history, 643
miscellaneous, 653–656
penicillins, 646, 647
polypeptide, 650
production, 644
tetracyclines, 652
Antibodies, 628
Antigen
concentration, 630
live or dead, 631
nature of, 630
Antigen–antibody reactions, 551
complement fixation, 553
flocculation, 551
lysis, 553
precipitation, 551
2442
Antigens
blood group, 555
Antimicrobial activity
neutralization of, 622
Antimicrobial agents
for eye drops, 398
mode of action, 558
resistance to, 558
genetic basis, 559
Antimicrobial preservatives, 685
selection of, 685
Antioxidants
butylated hydroxyanisole as, 180
butylated hydroxytoluene as, 180
gallates as, 180
mode of action, 180
nordihydroguaiaretic acid, 180
synergists, 181
tocopherols as, 180
Antonoff’s rule, 53
Apparatus for extraction
continuous, 206
small scale, 206
Applications of complexation, 47–48
Aromatic-type complexes, 36
Arrhenius equation, 151, 186, 195
Ascorbic acid
reversible oxidation, 167
tablets, colour stability of, 184
Aseptic technique, 525, 609
Aspirin
hydrolysis of, 175, 178
effect of surface-active agents on, 178
2443
stability of solutions, 178
tabletting behaviour, 338–339
Assay
antibiotics, 139
radiochemical of enzymes, 496
Asymmetry potential, 23–24
Atomic fission, 460
Atomic mass unit, 459
Atomic nucleus, 508
Atomic number, 459
Autoclaves
automatic process control, 595
design, 591
high pressure, 596
large scale, 592
horizontal, 592
operation, 592
performance tests, 595
chemical indicators, 595
portable, 591, 592
operation, 592
steam traps, 593
Autoclaving
counterpressure, 596
high pressure, 596
low pressure, 596
Autoimmune diseases, 555
Autoradiography
contact, 477
stripping film, 477
Autoxidation
effect of surface-active agents on, 182
factors effecting rate of, 168
2444
Axis of symmetry, 27
Azeotropic distillation
for drying solutions, 253
Azeotropic mixtures
binary, 252
ternary, 252
Bacillus
anthracis, 517, 547, 588, 636
polymyxa, 516, 643, 650
Bacitracin, 650
Background
counting rate, 476–477
Background radiation, 486
Bacteria
acid-fast staining, 514
Bacillus anthracis, 514, 517, 547, 636, 643, 673
polymyxa, 516, 650
capsules, 517
cell wall structure, 514
chromosome replication in, 516
Corynebacterium diphtheria, 543, 547
counting methods, 582
culture, sample transfer, 524
cytoplasm, 515
definition, 513
Diplococcus pneumoniae, 513, 514, 517
endospores, 515
structure, 516
endotoxin production, 547
2445
Escherichia coli, 514, 517
exotoxin production, 547
flagella, 552
forms, 514
Gram-negative, 514
Gram-positive, 514
Gram stain, 514
growth curve, 530–531
growth rate, 522, 531
and cations, 551
and nutrient concentration, 522
and oxidation–reduction, 533
potential, 533
and temperature, 533
identification, 516
mesosomes, 515
metabolic activity measurement, 528
motility, 516
Mycobacterium leprae, 546, 636
nucleus, 515
pili, 516
plasma membrane, 515
Pseudomonas aeruginosa, 517
Salmonella typhi, 517
slime layer, 517
spore staining, 514
staining reactions, 514
Staphylococcus aureus, 514–515
Streptococcus pyogenes, 514, 517
Streptomyces griseus, 514
structure, 516, 517
total counts, 529
Breed’s method, 529
2446
Coulter counter, 529
opacity methods, 529
Treponema pallidum, 514, 553
types of growth, 528
viable counts, 527
dilution methods, 528
membrane filter counts, 527
plating methods, 527
Vibrio cholerae, 557, 636
Bacterial filters, 608
Bacterial vaccines, 632, 633, 636
safety tests, 633
Bactericidal activity assessment, 579, 584
extinction time method, 518
Bactericides
definition of, 563
evaluation of turbidimetric, 583
method, 583
for eye drops, 398
mean death time determination, 581
temperature coefficients, 573
Bacteriostatic activity assessment
cup-plate method, 577, 578
ditch-plate technique, 577, 578
filter paper method, 577, 578
fish-spine bead method, 577, 578
gradient-plate method, 577, 578
serial dilution, 577
Bacteriostats definition, 563
Balantidium coli, 520
BCG vaccine, 618, 624
Bdellovibrio bacteriovorus, 546
Benzaldehyde autoxidation, 182
2447
Benzalkonium chloride, 398, 569
Benzocaine hydrolysis, effect of caffeine on, 179
BET adsorption isotherm, 110
Beta-decay, 464
negatron emission by, 464
positron emission by, 464
Beta-dose rates, 488
Beta-particles, 467
energies, 464
energy spectrum, 464, 465
range–energy relationship, 467
shielding against, 488
transmission of by Geiger–Müller counters, 475
Beta-propiolactone, sterilization with, 607
Binding energy nucleus, 460
Binding energy–mass number
relationship, 460
Bingham’s equation, 158
Bioavailability
of drugs, 48, 305
particle size and, 305
Biological effects of radiation, 485
Bisphenols, 567
Black fluids, 567, 580
Blood
coagulation factors of, 660
for transfusions, hazards, 657
Whole Human BP, 657
Blood flow studies with radionuclides, 497
Blood group antigens, 555, 657
Bloom gelometer, 150
Bloom number, 150
Body composition determination, 497
2448
Boiling point, 231
variation with pressure, 231
Boiling point diagrams and fractional distillation, 247, 251
Bone scanning, 500
Boric acid as lubricant, 317
Bottles, metric, 382
Breed’s method for counting bacteria, 529
Bremsstrahlung, 467
Brilliant green, 617
British National Formulary, 353, 354, 359, 367, 374
British Pharmaceutical Codex, 353, 354, 361, 367
British Pharmacopoeia, 351
tablet disintegration tests (1968)331
tablet uniformity (1973)330
Brownian movement, 92, 103, 104, 137, 207
Buffer solutions, 22
Butter, consistency of, 157
Butylated hydroxyanisole as antioxidant, 180
Butylated hydroxytoluene as antioxidant, 180
Cachets, 380
dispensing of, 380
Caffeine and other drug complexes, 38–39
Caffeine, reduction of benzocaine hydrolysis with, 179
Calcium gluconate solutions
stability of, 184
Calcium Hydrogen Phosphate USP, as tablet diluent, 311
Calcium Phosphate BPC as tablet diluent, 311
Calculations, pharmaceutical, 367–371
Camera, gamma, 500
2449
Capillary forces between particles, 295
Capsules, 342–345, 517
containers, 394, 399
disintegration, 341, 345
drug content, 345
enteric coated, 381
filling of, 345
hard, 344
quality control of, 345
soft, 343
soft gelatin, 145, 343
Carbohydrate antibiotics, 650
Cardiac output determination, 499
Cardioplegia solutions, 411
Cascara, extraction of, 236
Casein, 386
Catgut. See Sutures, catgut
Cathartics, mode of action, 139
Cation exchange
carbonaceous material, 120
in silicates, 119
reactions, 121
Cell membranes, 558
Cell walls of bacteria, 608
Cellophane for dialysis, 93
Cellulose, 684
esters, solubility of, 684
microcrystalline, 311, 316–317
as disintegrant, 311
as tablet diluent, 311
Cells
effect of radiation on, 485
electrodialysis, 93
2450
eukaryotic, 513
prokaryotic, 513
Centrifugation
particle sedimentation, 260
theory of, 257
zonal, 259–260
Centrifuges
De Laval clarifier, 262
horizontal, 262
laboratory, 259
large scale, 260
solids ejecting, 262
super, 260
vertical, 260
Cephalosporins, 621, 649–650
Cetrimide, 568–569
Cetylpyridinium chloride, 569, 587
Charcoal
decolorizing, 112
gas adsorbing, 112
medicinal, 112
Chelates-type complexes, 35–36
Chelating agents in combination with antioxidants, 181
Chemisorption, 111
Chick–Martin test, 579–581
Chickenpox vaccine, 638
Chlamydiae (Bedsoniae), 546
Chloramine, 569–570
Chloramines as disinfectants, 569
Chloramphenicol, 650
hydrolysis of, 165
palmitate polymorphic forms, 28
Chlorbutol, 567
2451
hydrolysis kinetics of, 174
Chlorhexidine, 570, 577
Chlorine as disinfectant, 569
Chloroform as pharmacy solvent, 14
Chlorothiazide, decomposition of, 175
Cholera, 636
vaccine, 636
Chromatography
adsorption, 115
adsorbents, 115
method, 116
solvents, 116
applications, 119
gas, 118
paper, 117
method, 117
zone location, 116
partition, 116–117
method, 117
streak reagents, 116
thin layer (TLC), 118
Chromosome replication bacteria, 516
Circulation studies with radionuclides, 497–498
Claisen flasks for distillation, 249
Classifiers, 280
Alpine Mikroplex, 280
Cutrock, 280
Hosokawa, 280
Clays
bentonite structure of, 105
Clindamycin, 655
Coagulation
blood, 661
2452
factors, 661–662
human concentrates, 661, 662
Coatings, enteric, 326
Coefficient of variation, 481
Colloidal silica as tablet diluent, 311, 317
Colloids
adsorption, 98
electrical properties, 97
electrophoresis, 98
hydrophilic, as stabilizers, 101
ionization, 98
light scattering, 95
lyophilic, 91, 101
precipitation, 100
lyophobic, 100
precipitation, 100
stability, 102
osmotic pressure, 96
particle interaction, 101
particle size determination, 95
sols, 91
ultracentrifugation, 450
ultrafiltration, 94–95
Colours, 682
Columns
fractionating, 247, 253, 254
efficiency of, 254
reflux ratio, 254
Vigreux, 253
Widmer, 253–254
Comminution
machinery, 274
mechanism of, 273
2453
particle size, 280
size distribution during, 274
theory of, 273
Committee on Safety of Medicines, 359
Complexation, 33–48
Compressibility of liquid films, 84
Compressing weight
dry granulation, 318
moist granulation, 319
preliminary compression, 318
Compression coating tablets, 327
Compton continuum, 479
Compton scattering, 468
Condensers as heat exchangers, 597
Consolute temperature, 10
Contact angle, 86
dynamic, 86
Containers
capsules, 381
eye drops, 399
eye lotions, 401
eye ointments, 401
Contamination
bacterial, 657
microbial
minimization, 609
sources, 609
Contract manufacture, 748
Control of dusts, 288
Copolymerization, 120
Copper compounds as disinfectants, 570
Cortisone acetate
polymorphic forms, 27
2454
stable aqueous suspension, 27, 183
Corynebacterium diphtheriae, 514, 543, 547, 636
Cosolvency, 15
Counters
efficiency of, 483
electronic equipment, 477
Geiger-Müller. See Geiger-Müller counters
geometric efficiency in, 483
selection of, 484
Counting
associated problems, 477
background rate, 477, 481
temperature effect, 481
liquid phosphors, quenching in, 477, 484
liquid scintillation, quench correction in, 484
statistical considerations, 480
Cream
Aqueous BP, 394
Dimethicone BPC, 356
Hydrocortisone BPC
Oily BP, 394
zinc, 394
Zinc BP, 394
Creams, 394
aqueous, 394
containers for, 394
contamination with Pseudomonas
aeruginosa, 394
oily, 394
preparation, 394
Creep testing, 157
Cresol chloro, 566
Cresols, 566
2455
Crown Agents’ test, 579–580
Crystal violet, 565, 568
Crystallization
and particle size, 278
crystal size, 28
fractional, 30
from supersaturated solutions, 28, 278
mechanism of, 28
water of, 30
Crystallization equipment, 278
Crystals
allotropic, 27
growth in suspension, 29
isomorphous, 28
polymorphic, 27
precipitation, 30
Curie, definition of, 463
Cyanocobalamin, photochemical decomposition, 171
Cyclamic acid, hydrolysis of solutions, 176
Cyclotron theory, 470
Cyclotron irradiations, 470
Cytoplasm bacteria, 515
2456
Decay curves
binary radioactive mixtures, 463
of radionuclides, 469
Decay schemes, 465
Dendrimers, 454
Dengue vaccine, 639
Dequadin, 571
Dequalinium chloride, 571
Dermatology, use of emulsions in, 298
Desorption, 112
Detection of radiation, 471
Detergents, 59
Dextrose
as tablet diluent, 311
solutions deterioration on autoclaving of, 170
Dibromopropamidine Isethionate BP, 570
Dichloramine, 569
Dies, 323
Diffusion
coefficient, 137
Fick’s laws, 137
measurement, 150
of drugs from tablets, 139
through gels, 138
through membranes, 139
Dilatancy, 158
Diluents used in tabletting, 311
Diphtheria vaccine, 551
Diplococcus pneumoniae, 513, 514, 517
Diseases, factors affecting spread of, 556
Disinfectant action
concentration and, 572
dilution coefficient, 572
2457
factors affecting, 571
organic matter and, 574
pH and, 574
surface tension and, 50
surface type and, 576
temperature and, 573
time of contact and, 571
Disinfectant evaluation, 577
aerial, 564, 577
semisolids, 583
solids, 584
Disinfectants
activity spectrum, 643
alcoholic, 567, 574
aldehydes, 567
amidines, 570
antagonists, 577
definitions, 563
dyes, 567
furans, 571
guanidines, 570
halogens, 564, 569
history, 574
ionization
pH and, 574
isoquinolines, 571
metals, 570
mode of action, 564
phenolic, 564
potentiators, 577
properties of, 565
quinolines, 571
surface-active agents, 565, 569, 577
2458
synergists, 576
temperature coefficients, 22
Disintegrants used in tabletting, 317
Disintegration
capsules, 345
protracted, 324
sodium bicarbonate tablets, 339
starch tablets, 342
tablets, 342
theory, 341
Dispensing liquids, 384
Dissolution rates, 693
Distillation
apparatus for small scale, 247
at atmospheric pressure, 255
azeotropic
for drying solutions, 253
mixtures, 252
Claisen flasks, 249
fractional, 251, 255
and boiling point diagrams, 251
theory of, 251
under reduced pressure, 254
immiscible liquids, 255
large scale, 248
Manesty Automatic Water Still, 248
molecular, 254
prevention of foaming, 249
steam. See Steam distillation under reduced pressure 249
vacuum stills, 250
Distribution
coefficient, 8
drug in vivo, 690
2459
law, 8
solute and immiscible liquids, 8
Domiphen, 569
Dose rate, variation of gamma-energy with, 487, 488
Dose–response curves, 696
Drug action, prolongation of, 122
Drug decomposition
absorption of water, 182
accelerated, 184, 187
by moisture, 187
limitations of, 186
by decarboxylation, 169
by oxygen contact, 181
by polymerization, 169
change in colour, 184
effect of pH on, 176
hydrolytic and solvent dielectric, 177
loss of volatile materials, 183
of insoluble forms, 177
photochemical, 182
accelerated, 186
solvent dependency, 176
Drug isomerization, 168
Drug-resistant organisms, 558, 559
clinical problems, 559
Drug stability, 682
solubilization and, 77
Drug solutions, crystal growth from, 183
Drug sterilization by gamma irradiation, 172
Drugs
acceptability, 681
bioavailability, 691
biological half-lives, 694
2460
controlled-release preparations, 690, 691
distribution in vivo, 690
dose–response curves, 635
effectiveness, 689
formulation, 681
hydrolysis of, 165
microbial spoilage prevention, 684
oxidation of, 166
rate of absorption of, 139
response–time curve, 691
sustained-release formulations, 696
Drug targeting, 442
Dryers
drum, 226
fluidized bed, 225
heat sources, 225
infrared, 225
rotary, 224
rotary louvre, 224
spray, 226
laboratory model, 226
tunnel, 223
Dry granulation, 743
Drying
equipment, 222
theory of, 221
Duplex film, 54
Dusting powders, 395
bacterial contamination, 395
Dusts
as explosion hazards, 288
control of, 288
Dyes
2461
acridines disinfectants, 564, 567
disinfectants, 564, 567
structures of antibacterial, 568
triphenylmethane disinfectants, 564, 567
2462
dilution method, 298, 528
dye solubilization method, 298
electrical conductivity method, 298
Emulsion type, testing of, 298
Emulsions, 291, 292, 293, 294, 296
and dermatology, 298
breaking of, 292, 296–297
chromatic, 297
containing hydrophilic colloids, 294
containing solids, 295
creaming, 296
definitions of, 291
flow properties of, 157
globule size and, 297
in pharmacy, 298
interfacial energy considerations, 295
Marangoni–Gibbs effect, 292–293
micro, 291
multiple, 291, 294
oil-in-water, 291
bodying effect on, 293
containing amphipaths, 292–293
stability determination, 187
stability of, 296
preparation, 292
preservation of, 297
properties of, 292
shear stress in
stability, 186–187, 296
accelerated tests of, 186–187
transport, 288
viscosity of, 151
water-in-oil containing amphipaths, 292–293
2463
Enantiotropic, 27
Encephalitis vaccines, 638
Endospores bacteria, 515–516
Enemas, 389–390
Energy
interfacial, 86
spectrum beta-particles, 464
Entamoeba histolytica, 520, 522
Enteric coatings, 697
tablets, 325
Entropy and micellization, 67
Enzymes
purification by dialysis, 93
radiochemical assay, 496
Epidemic diseases, 556
potential, 556
Epidemiology, 556
Epimerization, 169
Equilibrium
secular, 462
transient, 462
Ergometrine
epimerization of, 169
isomerization to ergometrinine, 169
Erythromycin, 654
Escherichia coli, 502, 564, 575, 648, 649, 663, 673
detection of, 617
Esters, hydrolysis of, 165
Ether as pharmacy solvent, 14
Ethers, peroxide removal of, 15
Ethyl alcohol
as pharmaceutical solvent, 13
disinfectant, 567
2464
Ethyl benzoate emulsions, stability of, 178
Ethyl oleate as pharmaceutical solvent, 14
Ethylene oxide
sterilization apparatus, 606
sterilization with, 605
European Pharmacopoeia, 353
Eusol, 569
Evaporation
atmospheric pressure, 234
film coefficients, 232
heat transfer, 232
large scale methods, 233
separation of liquid and vapour, 233
small scale methods, 233
theory of, 231
under reduced pressure, 249
Evaporators
calandria, 235
heat transfer, 233
heating by steam, 234
vacuum, 235
climbing film, 236
horizontal film, 236
inclined tube, 235
single effect, 237
triple effect, 239
Exsiccation, 31
Extra Pharmacopoeia (Martindale), 354
Extract
Liquorice Liquid, 205
Nux Vomica Liquid, 204
Senega Liquid, 205
Extraction
2465
counter-current, 9
immiscible solvents, 9
liquid–liquid, 214
Eye drops, 397, 401
bacterial contamination, 397
bactericide incorporation, 397
containers for, 398
Factory No. 401
Hypromellose BPC, 399
labelling of, 400
pH and, 398
preparation of, 399
preservatives for BPC, 398
sterilization, 397
tonicity and, 399
viscosity and, 399
Eye lotions, 401
containers, 402
labelling, 660
Eye ointments, 401
containers, 402
preparation, 401
2466
Fibrinogen, Dried Human BP, 661
Fick’s laws, 137
Film coating of tablets, 326
Films
gaseous, 82
liquid compressibility, 83
macromolecular, 84
Filter aids, 264
Filter funnels
Buchner, 265
Hirsch, 265
sintered glass, 265
Filter papers
comparison of performance, 268
glass-fibre, 267
Filter press, 268, 269
advantages and disadvantages, 269
Carlson Pilot Princess, 269
Filters
bacterial, 600
ceramic, 600
fibrous pad, 601
membranes, 602
miscellaneous, 602
pore size measurement, 603
sintered glass, 601
standardization, 603, 604
testing, 603, 604
drum filter, 270
membrane, 266
Meta filter, 269
Millipore, 266
Millitube, 604
2467
Pax rotary vacuum, 270
Seitz, 266
Filtration
air, 288
equations, 264
filter aids, 264
for drug sterilization, 266
heat pretreatment of materials, 264
mechanism of, 263
methods, 264
rate factors affecting, 263
sterilization by, 599
Filtration media, 263
Flagella, bacterial, 516
Flavours, 681
Flow rate
of magnesia granules, 285
of powders and particle size, 284
Fluids, intravenous strengths, 367
Forces, intermolecular, 49
Formaldehyde
disinfectant, 567
polymerization of, 169
sterilization with, 606
Formulations, controlled-release, 690
Fraction, Human Albumin (Saline) BP, 664
Fractionating columns. See Columns, fractionating
Free radicals, 167
Freeze-drying
heat requirement for evaporation, 228
preliminary freezing, 228
theory of, 225
vacuum evaporation, 228
2468
Freundlich adsorption isotherm, 109
Friction, angle of, 284
Fungi
definition, 518
general morphology, 518
life cycle, 519
Mucor hiemalis, 519
mycelium types, 518
reproduction, 518
asexual, 518
budding, 518
sexual, 519
spore formation, 518
Rhizopus stolonifer life cycle, 519
Furans, disinfectants, 565, 571
Fusidic acid, 654
2469
shielding against, 488
Gargles, 391–92
Gauge, Bourdon, 223
Geiger–Müller counters, 473–74
Geiger–Nuttall rule, 464
Geiger region, 471, 472
Gelatin, 666
elasticity, 150
solution, 386
structure, 104
Gels
diffusion through, 138
elastic, 104
elasticity of, 150
determination, 150
preparation of, 104
rigid, 105
structure of, 104
syneresis, 105
thixotropic, 104
Gentamicin, 652
German measles vaccine, 641
Giardia lamblia, 520
Gibbs equation, 61
application, 62–63
verification, 63–64
Glass containers, light transmission of, 182
Globules, water charges on, 291
Glutaraldehyde disinfectant, 565
Glycerin as pharmaceutical solvent, 13
Glycerin phenol in ear drops, 391
Glycogelatin, 343, 387
Glycols
2470
as pharmacy solvents, 13
sterilization with, 607
GMP considerations, 739
Gold number, 101
Good manufacturing practices, 194, 739
Gram stain, 514
Granulating agents adhesive, 313
Granulation, 309
Beken change-pan mixer, 312
dry, 316
moist
disintegrants for, 316
dry screening, 315
drying of, 314
drying of granules, 315
flavours for, 316
lubricants for, 316
methods of, 315
powder mixing before, 316
use of change-pan mixers, 311
use of solvents in, 313
wet screening, 313
of powders, 288
preliminary compression, 315
screen sizes and, 313
slugging, 315
wet
of powders, 312
Granulation processes, 310
Granulators
Calmic fluid bed, 315
oscillating, 314
Granule flow lubricants, 337
2471
Granules
core requirements, 328
compressing weight, 318
preparation of, 288
properties, 309
Griseofulvin, 655
Guanidines, disinfectants, 570
Haemodialysis, 94
Halazone, 570
Half-life
biological drugs, 694–695
metastable nuclides, 465
radioactive atoms, 496
determination, 496
Hazards, radiation, 485
Henry’s law, 12
Hepatitis vaccine, 640
Herpes simplex vaccine, 638
Hexachlorophane, 566, 567
Hexamine, tabletting behaviour, 338, 339
Humidity
and temperature relation between, 222
concept of, 221
Hydrates, vapour pressure of, 31
Hydrocortisone acetate dissolution, 5
Hydrogen bonding, 39, 41
Hydroperoxides, formation by autoxidation, 168
Hydrophile–lipophile balance, 292
Hydrotrophy, 15
2472
(–)-Hyoscyamine, racemization of, 169
Hyperalimentation solutions, –411
Hypersensitivity, 554
delayed, 554
immediate, 554
Hypochlorites
disinfectants, 564, 569
ICH, 189
evolution, 189–190
guidelines for stability testing, 189–198
history, 189–190
q-guidelines, 193
Immune sera, 631
potency assay, 631
Immune state, 628
Immunity
acquired, 548
active, 549–551
after infection, 628
antigenic materials used to produce, 551
humoral, 629
immune tolerance, 550
passive, 549–551
response of the subject, 629
transplantation, 555
Immunoelectrophoresis, 552
Immunoglobulin
anti-Hb, 664
antitetanus, 664
2473
antivaccinia, 664
human, 662–664
anti-D, 664
production, 548–549
time course of, 549
Immunoglobulins, 548
Immunoliposomes, 448
Immunological products, uses in medicine, 550
Immunological reactions
undesirable, 554
Immunosuppression, 556
Inclusion/occlusion compoundcomplexes, 39–41
Indicators, 22–23
Infection
acquired immunity, 548
constitutive defence against, 548
host defences against, 548
inducible defence against, 548
Influenza, 637
vaccine, 637
Infusions, 382
Inhalation
Benzoin BPC, 391
Menthol and Eucalyptus BPC, 392
Inhalations, 392
Initial spreading coefficient, 53–54
Injection
Dextran 40 Injection, BP, 666
Dextran 110 BP, 665
Gold BP, 93
Human Normal Immunoglobulin BP, 663
Phytomenadione BP, 607
Water for, 248
2474
Injections
intracameral, 397
intracisternal, 608
intravitreous, 397
parenteral, 607, 610
containers for, 610–611
peridural, 608
retrobulbar, 397
subconjunctival, 397
water for, 608–609
Injector, Ampin automatic, 611
Inorganic-type complexes, 34
Insoluble solids, mixtures, 383
Interface
liquid–gas, 50
liquid–liquid, 50
liquid–solid, 86
Interfacial
curvature, effect of hydrophilic and lipophilic groups, 294
energy, consideration of in emulsions, 295
tension, 50–57
Interferon, 553–554
Intermolecular
forces, 49
interactions magnitude, 49
Internal conversion, 465
International Pharmacopoeia, 352–353
Iodine
disinfectant, 564–571
utilization in humans, 498
Iodophor, 77
Ion exchange resins, 120
capacity, 121
2475
deionization, 122
medicinal uses, 122
recovery, 122
uses, 122
Ionization
chambers, 472–473
constant, 17
determination, 18
detectors, 475
semiconductor, 475
spark chamber, 476
Ionizing radiation, 466
Irradiation, cyclotron, 470
Irrigating solutions, 411
Isomeric transition, 465
Isomorphous, 28
Isotherm
BET adsorption, 110
Freundlich adsorption, 109
Langmuir adsorption, 109
Isotope effect, 495
Isotopes, 459
Kanamycin, 652
2476
Kelsey, Beeby, Whitehouse test, 583–584
Kelsey, Sykes test, 583
Kendrick test, 635
Kick’s law, 274
Kilogram, international definition, 362
Kozeny–Carmen equation, 264
Krafft-point, 69
Lactose
diluent, 379
intolerance, 379
Lactose BP
as tablet diluent, 309–310
use in tabletting, 317
Laminar-flow environment, 422
Langmuir–Adam trough, 79
Langmuir adsorption isotherm, 109
Lanolin, hydrogenated, in ointments, 393
Lassar’s paste, 395
Law of mass action, 172
Layer-type complexes, 39
Leaching processes, 201
choice of, 203
effect of enzymes on, 206
effect of solvent on, 204
effect of temperature on, 205
factors affecting the efficiency of, 204
Legislation, drug, 358
Leprosy vaccine, 636
Ligatures. See Sutures
2477
Light and drug decomposition, 169–170
Light liquid paraffin as pharmacy solvent, 14
Light microscopy, 523
dark ground, 524
interference, 524
negative staining, 524
phase contrast, 524
Light petroleum as pharmaceutical solvent, 14
Limes Reaction, 632
Lincomycin, 655
Liniment
Ammonia BPC 1949, formation of soap in, 293
Turpentine, preparation of, 296
White, preparation of, 293
Liniments, 391
Lipopolysaccharides as pyrogens, 514
Lipoproteins structure, 454
Liposomes, 445–447
Liquid
crystals structure of, 70
flow
plastic, 158
pseudoplastic, 158
mixtures, 381
phosphors, quenching in, 484
preparations, 381
for external use, 391–92
triturates, 383
Liquid Paraffin BP, viscosity determination, 152
Liquids
adhesion, 53
cohesion, 53
dispensing of, 384
2478
flow properties, 157
monolayers, 53
Newtonian, 157, 161
non-Newtonian, 157, 161
flow properties, 157
removal of dissolved gases, 13
shear stress in, 154, 162
spreading, 53
streamline flow, 151, 157
turbulent flow
viscosity of
Litre, definition of, 362
Lotion
Calamine BP, 391
Oily Calamine, 294
Lotions, 391
Lubricant, talc as, 317
Lubricants
die-wall, 316
disintegration times and, 316
suppositories, 388
theory, 317
use in tabletting, 317
Lugol’s solution, 570
Lysol
partial phase diagram of, 77
Maceration, 201
Magnesia granules, flow rate of, 285
Magnesium
2479
aluminium silicate as disintegrant, 317
stearate as lubricant, 317
Malachite green, 568
Male fern extract emulsification, 386
Mannitol BP, as tablet diluent, 311
Marangoni–Gibbs effect, 292, 293
Martindale (Extra Pharmacopoeia), 354, 682
Mass defect, 460
Mass number, 459
Mass number–binding energy relationship, 460
Master formula, 739
Measles vaccine, 633, 635
Medicine bottles, metric, 382
Medicines Act, 351, 352, 354, 359
Meier’s theory, 29
Membranes
biological, 85
diffusion through, 139
permeability of, 139
semipermeable, 79, 94, 100, 403
Mercury compounds, disinfectants, 570
Merthiolate, 570
Mesomorphism, 72
cholesteric, 72
nematic, 72
smectic, 72
Mesosomes, bacteria, 515, 516
Metabolism studies with radionuclides, 497
Metal ion complexes, 33–36
Metals, disinfectants, 570
Metastable state radioactive nuclides, 465
Methantheline bromide, hydrolysis of, 178
Methyl alcohol
2480
as additive to prevent formaldehyde polymerization, 169
sterilization with, 607
Methyl bromide, sterilization with, 673
Methylcellulose, as disintegrant, 317
Methylcellulose BPC, 385
Metre, international definition of, 361
Metric system, 361
capacity, 362
length, 361
liquid measures, 362
mass, 362
Micelle formation
electrolytes and, 68
nonelectrolytes and, 68
pH and, 75
temperature and, 69
thermodynamic factors and, 67
Micelle solubilization, 73
Micelles, 63, 65–75, 453
critical concentration, 66
factors affecting formation, 67
formation, 67
stability, 72
structure of, 70
Microbial contamination, 615–618
minimization, 609
sources, 609
Micronization, 276
Microorganisms
allosteric control, 539
cell organization, 513
classification by nutritional type, 522
continuous culture, 531
2481
culture, 524–526
anaerobic media, 535
diagnostic media, 525, 526
growth media, 525
production of anaerobiosis, 533
sample transfer, 524
selective media, 526
D value, 588
death rate, 587
decimal reduction time, 588
distribution, 513
DNA function, 538
energy sources, 522
glucose utilization, 536
growth
desiccation and, 532
electromagnetic radiation and, 535
osmotic pressure and, 535
oxidation–reduction potential and, 533
pH and, 533
pressure and, 536
surface tension and, 536
temperature and, 532
ultrasonic energy and, 536
growth curves
decline phase, 530
exponential phase, 530, 531
lag phase, 530
stationary phase, 530, 531
growth rate and nutrient, 522
concentration, 522
identification, 559
inactivation factor, 588
2482
invasiveness, 547
isolation in pure culture, 530
microscopy, 523
miscellaneous
counting of, 530
normal body flora, 546
nutrient requirements and environment, 523
nutrition
carbon sources, 522
inorganic materials, 521
pathogenicity of, 547
protein synthesis, 538
control, 539
operon theory, 539
radiation sensitivity
factors affecting, 503
respiration, 536, 537
energy from, 536, 537
tricarboxylic acid cycle, 536–537
thermal death time, 587
thermal resistance, 587
toxigenicity, 547
visualization of unstained bacteria, 524
z value, 588
See also Bacteria, Fungi, Infection, Protozoa, Viruses
Microparticles, 449
Microscopy
electron, 524
light, 523
Milling, general, 277
Mills
Apex Comminuting, 275
ball, 275
2483
Hardinge, 276
speed of, 276
edge runner, 275
end runner, 274
Fitz, 314
impact and hammer, 275
Manesty Fitzmill
pin, 275
Reddrop-Periflo, 275
vibration, 276
GECVM25 electromagnetic, 276
Minimum inhibitory concentration, 577, 687
Mixed crystals, formation of, 28
Mixers
drum, 287
Manesty, 287
Rotocube, 311
Mixing of solids, 286
Mixture
Phenoxymethylpenicillin BP, 683
Mixtures, 381
labelling of, 382
liquid, 383
soluble solids, 383
Modulus
bulk, 149
rigidity, 149
Young’s, 149
Moisture and drug decomposition, 170
Molarity, 3, 368
percentage strength and, 368
Monolayers formation, 78
gaseous, 81
2484
insoluble, 77
mixed, 83
structure and state of, 80
Monomolecular-type complexes, 49
Mortar and pestle, 274, 384
Moulds for suppositories, 388
Mouth–washes, 392
Mucilage, Tragacanth BPC, 382
Mucor hiemalis, 519
Mumps vaccine, 641
Murein, mucopeptide, 514
Mycobacterium
leprae, 546
tuberculosis tests for, in BCG vaccine, 624
Nanoparticles, 450
Nasal drops, 392
Needles, surgical, 677
Negatron emission, 464
Neomycin, 651
Neutron sources, laboratory, 470
New drug delivery systems, 441–455
Newtonian liquids, 150
flow properties of, 150
Niosomes, 447
Nitrofurazone, 571
Non-Newtonian liquids, 157
flow properties of, 157
Nordihydroguaiaretic acid as antioxidant, 180
Normal distribution, 480
2485
Novobiocin, 654
Noyes–Whitney equation, 6
Nuclear
decay, 463
fission, 465
isomers, 465
reactors, 469
fission products, 470
moderators for, 469
reactions in, 469
sodium chloride irradiation, 470
UK, 469
stability, 459
Nucleon, 459
Nucleus
bacteria, 515
atomic structure of, 459
Nuclides, 459
2486
Cetomacrogol Emulsifying BPC, 393
Cetrimide Emulsifying BP, 393
Emulsifying BP, 393
Macrogol BPC, 393
Paraffin BP, 392
Wood Alcohols BP, 393
Ointment bases, consistency of, 157
Ointments
absorption bases, 393
emulsifying bases, 393
ophthalmic sterility, 618
paraffin bases, 393
preparation, 393
fusion, 394
trituration, 393
water-soluble bases, 393
Opium tincture, preparation of, 202
Optical isomerization, 169
Organic molecular complexes, 38–39
Organization, 190
Organ visualization with radionuclides, 500
Osmolality, 368
Osmotic pressure colloids, 96
Ostwald ripening, 5
Ovens
hot air, 597
forced-draught, 598
operation, 598
performance, 598
infrared conveyor, 598
Oxidation–reduction. See Redox
2487
P
Paints, 391
Pan coating tablets, 325
Pans, evaporation, 234
Parachor, 51
Paraffin bases for ointments, 392
Paraldehyde emulsification, 386
Parenteral
containers, 424–425
formulations, 407–440
dialysis solutions, 411
Particle range, 466
Particle shapes, 283
Particle size
and absorption rate, 277
and comminution, 277
and crystallization, 278
and flow rate of powders, 284
bioavailability and, 692
determination, 280
Coulter counter, 282
gas adsorption, 283
gas permeability, 282
Lea and Nurse method, 282
methods, 280
microscopy, 280
Perkin–Elmer sorptometer, 283
Rigden method, 282
sedimentation, 281
reduction. See Comminution, solubility 5
Particles, capillary forces between, 295
2488
Paste
Lassar’s, 395
Magnesium Sulphate BPC, 395
Zinc and Salicylic Acid BP, 395
Pastes, 395
Pasteurization, 597
Penicillins, 646–649
metabolism, 646
natural, 646
semisynthetic, 647
structure, 646
Peptization, 98
Percolation, 202
reserved, 203
Percolator, commercial scale, 202
Perfumes, 681
Peritoneal dialysis solutions, 411
Perkin triangle, 254
Pessaries, 389
Pestle and mortar, 274
pH
definition of
determination of, 22
colorimetric, 22
electromagnetic, 23
effect on disinfectant ionization, 574
effect on disinfectants, 574
eye drops and, 398
meters, 23
significance in pharmacy, 24
standard solutions, 24
Pharmaceutical assay chromatographic, 119
Pharmacopoeia
2489
British, 351
European, 353
Extra, 354
International, 352
Pharmacosomes, 448
Phenol, 566
disinfectant action and pH, 574
effect of soap on, 575
effect on E. coli, 571
effect on Salmonella paratyphi, 573
o-phenyl, 566, 567
Phenol coefficient tests, 580
deficiencies of, 580
merits of, 580
Phenolphthalein, tautomeric forms, 22
Phenols
disinfectants, 566
structure–activity relationships, 576
structures, 566
Phenylmercuric
acetate, 398, 570
nitrate, 398, 570
Phospholipids, 85
Phosphors
inorganic, 476
organic, 476
scintillation, 476
properties, 476
Photochemical reactions, 171
Photons, 134
Physostigmine
irradiation of, 172
Picric acid-type complexes, 39
2490
Pili, bacteria, 516
Pilocarpine stability and pH, 176
Pilot plant techniques, 738–748
Plague vaccine, 636
Plait point, 12
Plasma
Dried Human BP, 659
dried, preparation by freeze-drying, 227
fractionation of, 660
fresh frozen, 660
membrane, bacteria, 515
proteins, fractionation of, 216
substitutes, 665
Plasmodium vivax life cycle, 521
Plastic flow of liquids, 158
Platelets, Concentrated Human, 658
Poiseuille equation, 151, 264
Poisson distribution, 480, 481
Poisson’s ratio, 150
Poliomyelitis, 556
vaccine, 639
Polyethylene glycol as lubricant, 317
Polymers, solution properties of, 158
Polymer-type complexes, 38
Polymorphism, 27, 183
identification of, 27
Polymyxins, 650
Polypeptide antibiotics, 650
Polypeptides, isolation and purification of, 216
Positron emission, 464
Potassium chloride, tabletting behaviour, 338
Potential energy curves, 49
Potentiators for disinfectants, 576
2491
Poultice, Kaolin BPC, 395
Poultices, 392
Powder, Compound Tragacanth BP, 382
Powders, 377–379
bulk, 379
cohesive
handling properties, 285
shear stress in, 286
cohesiveness determination, 285
dispensing of, 377
flow contours of, in a hopper, 285
granulation, 288
mixing, 286
mixing before moist granulation, 311
moistening
before granulation, 311
stages in, 312
particle size and flow rate, 284
phenomenon of vena contracta, 285
sliding and flow, 284
slugging of, 288
transportation of, 288
wet granulation of, 288
Precipitation, 277
Prescriptions
Apothecary conversion to metric, 384
dispensing of, 384
Preservatives
antimicrobial, 401, 685, 686
selection of, 686
Procaine
decomposition of, 173
hydrochloride, kinetics of hydrolysis, 173
2492
hydrolysis of, 170
Proflavin, 567, 568
Propamidine isethionate BPC, 570
Proportional counters, 473
gas flow, 473
iso-Propyl alcohol
as pharmaceutical solvent, 13
disinfectant, 567
iso-Propyl myristate, as pharmaceutical solvent, 14
Propylene oxide
sterilization with, 605
Protein
binding, 45–47
isolation and purification of, 216
Mild Silver BPC, 102, 570
salting out process, 216
silver, 102, 570
Protozoa
Balantidium coli, 520
Ciliophora, 520
definition, 520
Entamoeba histolytica, 520, 522
general morphology, 520
Giardia lamblia, 520
Mastigophora, 520
Sarcodina, 520
Sporozoa, 520
Plasmodium vivax life cycle, 520
Trichomonas vaginalis, 520
Pseudomonas aeruginosa, 517, 616
detection of, 617
eye drop contaminant, 397
Pseudoplastic flow of liquids, 158
2493
Pseudoplastic solutions, 163
Pumps, vacuum, wet, 236
Punches, 323
Pyrogens, 608
removal of, 608
tests for, 608
2494
effect on human body, 486
external dose rate estimation, 487
film badge, 489, 490
gamma-dose rates, 487
genetic damage, 486
hazards, 485
internal dose rate estimation, 489
laboratory monitoring, 490
maximum permissible dose, 487
measurement of exposure doses, 489
monitoring, 491
personnel dosemeters, 490
scattering of, 483
self-absorption in source, 483
shielding against, 488
thera, 500
Radiation laboratories
contamination control, 493
handling techniques, 494
safety rules, 493
waste control and disposal, 494
Radiation sensitivity, of microorganisms, 502
factors affecting, 503
Radiation sterilization, 502
criteria for, 505
dose size, 505
electron beam processing, 507
plants for, 506
survivor–dose curves, 502
Radioactive
decay, 460
decay constant, 460
equilibria, 460
2495
Radioactivity
definition of, 460
half-life, 460
units, 463
Radiochemical applications, 494–508
Radiochemical laboratories
classification, 492
design, 491
organization, 491
statutory controls, 491
Radioimmunoassay, 496
Radioisotope
assay, chromatographic, 119
dilution analysis, 495
scanning, 499–501
Radiological safety, 485
Radiolysis of water, 485
Radionuclides
activation analysis with, 496
analysis, 495
beta-particle energies, 464
blood circulation studies, 498
body composition determination with, 498
bone scanning with, 500
cardiac output determination with, 499
colloids for radiotherapy, 501
decay curves of, 461
enzyme assay, 496
medical applications, 497
metabolism studies with, 498
organ visualization with, 499
production, 419
protection procedures, 423
2496
radioimmunoassay with, 496
solubility determinations, 496
solutions for radiotherapy, 501
sterilization with, 502
teletherapy with, 501, 502
therapy with, 497, 500–501
toxicity grading of, 492
tumour visualization with, 499, 500–501
Radiosterilization
advantages, 507
applications, 508
comparison of gamma-ray and electron beam, 507
Radiotracer techniques, principles, 495
Raoult’s law, 4, 231, 251, 706
Reaction rate, definition of, 172
Reactions
first-order, 173
half-life of, 173
molecularity of 172
order of, 172
pseudo-first-order, 173
rate of, 172
second-order, 174
third-order, 175
zero-order, 174
Red Blood Corpuscles
Concentrated Human BP, 658
Redox
indicators, 25
potentials, 25
systems, 25
standard potentials of, 25
Rem, definition of, 485
2497
Repose, angle of, 284–285
Resealed erythrocytes, 452
Reserpine, extraction from rauwolfia powder, 205
Resins, ion exchange, 120
Resistance
natural, to microbes, 628
to antimicrobial agents, 558–560
genetic basis, 559
Respiratory virus vaccines, 638
Reynolds number, 153
Rhinovirus vaccine, 638
Rhizopus stolonifer, 519
Rickettsiae, 546
Rideal–Walker
coefficient, 579, 580
test, 579, 580
Rifampicin, 656
Rigidity, modulus of, 149
Rittinger’s law, 274
Roentgen, definition of, 485
Routes of administration, 407
Roxenol, 567, 581
2498
typhi, 517, 526
Sandwich compounds, 37
Saturation, degree of, and solubility, 5–6
Scanning
bone, 500
brain tumours, 499
radioisotope, 499
Scanning electron microscopy, 524
Schick test, 607, 618
Scintillation counters, 476
Secular equilibrium, 462
Sedimentation balance, 282
Sera
historical, 627
See Immune sera
Serotherapy, 627, 631
Serum, Dried Human BP, 660
Shear stress
in emulsions, 162
in liquids, 162
in suspensions, 162
Shielding against radiation, 488
Shields, tenth thickness of, 489
Sieves
Alpine Airjet, 279
British Standard, 278
specifications
perforated plate, 278
wire mesh, 278
Sieving, 278
Sifters, 280
brush, 280
Pascal turbine, 280
2499
Sigma complexes, 37
Silica, colloidal, as lubricant, 317
Silicates, cation exchange in, 119
Silver compounds, disinfectants, 570
Slugging of powders, 288
Slurries, evaporation of, 222
Smallpox vaccine, 618, 638
Sodium
aminosalicylate, decarboxylation of, 169–170
bicarbonate
decarboxylation of, 169–170
tablets, disintegration times, 337, 339
Carboxymethylcellulose BPC, 382
chloride
irradiation, 469, 470
tabletting behaviour, 338
Chloride BP, as tablet diluent, 311
lauryl sulphate as disintegrant, 317
metabisulphite
as stabilizer, 183
prevention of decomposition by irradiation, 165
Solid lipid nanoparticles, 450–451
Solid preparations, 377–384
for external use, 375, 391
Solids
adsorption of liquids, 86
drying of, 222
elastic, 149
in emulsions, 295
mixing of, 286
removal of dirt, 87
wetting of, 87
Sols
2500
lyophilic, 92
lyophobic, 92
preparation, 92
purification
by electrodecantation, 93
by electrodialysis, 93
by dialysis, 93
by ultrafiltration, 94
Solubility
curves, 7
degree of saturation and, 5
determination, 9, 496
radiochemical, 496
influence of pH, 308
particle size and, 5
temperature and, 4, 10
Solubilization
drug stability and, 77
electrolytes and, 74
factors affecting, 73
micellar, 73
pH and, 75
pharmaceutical applications, 76
Soluble solids, mixtures, 383
Solute, distribution of between immiscible liquids, 8
Solution
Aqueous Iodine BP, 570
Chloroxylenol BPC, 566, 570
Cresol and Soap BP, 566
Dakin’s, 569
Lugol’s, 570
Weak Iodine BP, 570
Solutions
2501
buffer, 22
evaporation of, 226
gases, preparation, 12
gases in liquids, 12
haemodialysis, 94
ideal, 4
liquids in liquids, 10
percentage, 367
peritoneal dialysis, 411
preparation, 383
pseudoplastic, 158
saturated
preparation, 8
solids in liquids, 6
standard
pH of, 24
stock, 383
supersaturated, 9
Solvent action, mechanism of, 3
Solvents
mixed, 4, 14
recovery, 15
used in pharmacy, 13
Specific activity, radioactive atoms, 463
Specific gamma-ray constants, 487
Specific ionization, 466
alpha-particles produced by, 467
Spectrometry, pulse size-gamma radiation energy
relationship, 479
Spray solutions, 392
Stability
testing, 184, 192
nuclear, 459
2502
Standard
deviation, 481
error, 481
potentials of redox systems, 25
Staphylococcus aureus, 514, 515, 616
detection of, 617
Starch
as disintegrant, 317
as tablet diluent, 311
tablets, disintegration times, 342
Steam
dry, 591
saturated, 590
properties, 234
superheated, 590
Steam distillation, 247
large scale apparatus, 256
of camphor
of turpentine
of volatile oils
of xylene
small scale apparatus, 256
theory of, 255
Steam traps, 199
autoclaves, 594
bucket, 242
thermostatic, 242
Stearic acid as lubricant, 317
Sterile drugs, preparation of, 607
Sterility
definition, 587
testing, 618
membrane filtration, 622
2503
preferred method, 622
statistical considerations, 618
Sterilization
air, 604
autoclaves
counterpressure, 596
low pressure, 596
autoclaving, 590
boiling water, 589
by ethylene oxide, 605
apparatus for, 606
by filtration, 599–604, 613
advantages, 599
disadvantages, 599
mechanisms, 603
catgut, 673
choice of method, 612
drinking water, 570
dry heat, 597, 612
hot air ovens, 597
official requirements, 597
resistance to, 597
eye drops, 397
gaseous, 605, 612
factors affecting, 605
heating with bactericide, 597, 612
moist heat, 589
pasteurization, 597
procedures
acceptable standards, 589
test organisms, 588
radiation, 502
criteria for, 505
2504
dose size, 505
plants for, 506
survivor-dose curves, 502
radio-frequency heating, 599
steam, 590–591
high pressure, 596
saturated, 590
superheated, 590
tolerable degrees of superheating, 591
thermal heating block, 599
tyndallization, 597
Stern layer, 102
Stock solutions, 383
Stoke’s equation, 154, 187, 196, 302, 307, 683
Streaming potential, 100
Streptococcus pyogenes, 514, 517
Streptomyces griseus, 514
Streptomycin, 651
Structure–activity relationships, phenols, 576
Sucrose, tabletting behaviour, 338, 339
Sugar coating, tablets, 325
Sulphathiazole
polymorphic forms, 27
suspensions, stability of, 187
tabletting behaviour, 339
Super liquids, 82
Superficial density, 466
Suppositories, 387–390
bases, 387
dispensing, 389
glycerin, absorption of water, 183
lubricants, 388
moulds, 387
2505
preparation, 387–390
Surface
activity, 60
ageing, 64
curvature, 51
energy, 50
potential, 79
pressure, 78
monolayers and, 80
rheology, 79
measurement, 79
tension, 50
drop volume and, 57
measurement, 54
pendant drop and, 56
temperature and, 50
viscosity determination, 80
Surface-active agents
amphoteric, 569
cationic, 568
disinfectants, 565, 568, 569
effect on drug hydrolysis, 177
structures of disinfectant, 569
See also Amphipath, Surfactants
Surfactants
classification, 60
examples, 59
solutions, bulk properties, 64
Suspending agents, 382
flow properties of, 163
Suspensions
flow properties of, 163
formulation, 683
2506
preparation, 383, 384
shear stress in, 162
stability, accelerated tests of, 187
Sustained-release preparations, 696–701
Sutures
absorbable, 669
catgut
absorption in vivo, 675
sterilization, 673
clips, 676
collagen, 674
fascia lata, 675
history of, 669
kangaroo tendon, 674
linen, 676
nonabsorbable, 669
polyamide, 676
polyester, 676
ribbon gut, 675
silk, 675
stainless steel wire, 676
standards for, 669
wire staples, 677
Swinnex-25 filtration unit, 400
Synergists disinfectants, 576
Syringes, 610
Ampin automatic injector, 611
Viule cartridge, 610
Tablet
2507
Compression
die filling, 322
removal of air, 322
compression cycle, 270
machines
Manesty Rotaflow feeder, 322
recent developments in, 322
production, 319
rotary machines, 320–322
single punch machine, 319
Tablets
advantages and disadvantages of, 309
binding in the die, 324
capping, 324, 336
coating, 325
automated, 326
coatings, performance of, 329
colouring, 332
compaction pressure arid, 334, 335
compaction process theory, 333
compression coating, 327
core
requirements, 328
die-wall lubricants, 339
diffusion of drugs from, 139
dimensions arid properties, 336
disintegration of, 341
disintegration tests
dissolution tests, 331
drug content, 325
drug instability, 325
Effervescent Potassium BPC, 309
enteric coating, 326
2508
excessive weight variation, 324
film coating, 326
fissured surface, 324
granule flow lubricants, 337
hardness, 332
testers, 332, 333
lamination, 324, 336
lubrication, 337
theory, 337, 338
materials hardness and, 337
mottled, 325
multilayer, 323
pan coating, 325
picking, 324
pitted surface, 324
profiles, 323
prolonged disintegration time, 324, 325
properties and dimensions, 336
protracted disintegration, 324
quality control, 329
soft, 324
sticking in the punch, 324
sugar coating, 325
types, 309
uniformity of, 329, 330
uses, 309
variation of drug content, 325
Tabletting
diluents used in, 311
disintegrates used for, 317
lubricants used in, 317
problems, 324
rheology, 333
2509
theory, 333
Talc as lubricant, 316, 337
‘Tego’ disinfectant, 568, 569
Teichoic acid, 514, 515
Teletherapy, 501, 502
Temperature
and humidity, relation between, 222
and surface tension, 50
critical solution, 10, 11
solubility and, 4, 10
wet bulb, definition of, 222
Ternary systems, 11
Testing of sterility, 618
Tetanus vaccine, 363
Tetracyclines, 652
Theobroma oil, 387, 388
Theoretical plates, 252, 253
Therapy, radiation, 497, 500
Thiomersal, 570
Thixotropy, study of, 159
Thrombin, Dried Human BP, 662
Tincture
Aromatic Cardamom, 202
of Belladonna, 204
of Stramonium, 204
opium, preparation of, 202
TLC, 118
Tocopherols as antioxidants, 180
Tonicity, eye drops and, 399
Toxoids, 632
Trachoma vaccine, 641
Tragacanth, powdered, 383, 385
Transdermal drug delivery system, 451
2510
Transient equilibrium, 462
Transportation of powders, 286
Traube’s rule, 60
Tray dryer, 222
Treponema pallidum, 514, 553
Trichomonas vaginalis, 520
Triphenylmethane dyes, 568
disinfectants, 564
Triple point, 227
Triturations, 378
Tuberculosis vaccine, 637
Tumour
scanning, 499
therapy, with radionuclides, 497, 500
visualization with radionuclides, 497, 498–500
Tyndall effect, 92, 95
Tyndallization, 597
Typhoid vaccine, 637
Ultramicroscope, 95
Uranium reactor fuel, fission of, 470
Urea, tabletting behaviour, 338, 339
Vaccines
bacterial, 632, 633, 636
safety tests, 633
for prophylaxis, 636
historical, 627
2511
laboratory control, 632
viral, 633, 637–641
testing of, 633–635
Vaccinia virus, 541
Vancomycin, 656
van der Waals
adsorption, 109
forces, 49, 91, 103
Vapour pressure, 231
effect of dissolved substances, 231
of hydrates, 31
of immiscible liquids, 255
of miscible liquids, 251
Variation, coefficient of, 481
Vehicles, anhydrous, 683
Vibrio cholerae, 517, 547, 557, 636
Virus
harvest, tests on, 634
infections, chemotherapy of, 545
immunity in, 553
vaccines, 633, 637–641
vaccines, testing of, 633–635
Viruses
characteristics, 540
classification of, 546
common animal, 544–546
composition, 540
counting of, 545
cultivation, 544
comparison of methods, 545
embryonated egg culture, 544
tissue culture, 544
whole host inoculation, 544
2512
identification, 561
inactivation of, 545
lysogenization, 543
phage replication, 540, 542
plaques, 542, 545
replication, 540
size, 541
structure, 540
T-even coliphage structure, 541
Viscometer
Brookfield Synchrolectric, 155
capillary tube, 151
cone and plate, 156
extrusion, 157
falling sphere, 153
Ferranti portable, 155
Ostwald, 152
rolling sphere, 154
rotating cylinder, 154
Rotovisko (Haake), 156
Viscosity
coefficient of, 151
determination of, 151
eye drops and, 399
of emulsions, 163
temperature and, 151
Vitamin A palmitate, isomerizatic in aqueous solution, 169
Vitamin assay, chromatographic, 119
Volatile oils See Oils, volatile
2513
W
X-rays, 465
Xylene, steam distillation of, 234
Xylenol, 566
chloro, 566
effect of soap on, 566
2514
Y
Zwitterions, 43
2515