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    AL-NAHRAIN UNIVERSITY

    COLLEGE OF MEDICINE

    DEPARTMENT OF PHARMACOLOGY

    & THERAPEUTICS

    MANUAL OF LABORATORY EXPERIMENTS

     Prepared by

     Dr. Ahmed Haqi Ismael 

    2009 –2010

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    List of Contents

    !"eToi#

    $  Ho% to %ite ! '!(o!to) eot

    *+- H!n,'in" of !ni!'s

    ./- Ro0ts of !,inist!tion

    1$- T2e Resonse of 20!n s3in to Hist!ine & A,en!'ine

    4*- Effe#t of P!!s)!t2oieti#s on "'!n,0'! se#etions

    +5.- D0"s !#tin" on e)e

    +$6- Effe#ts of D0"s on t2e Atei!' B'oo, Pess0e of H0!n

    +.7- E8!'0!tion of se,!ti8e !n, to9i# effe#ts of A'#o2o's

    +61- E8!'0!tion of Anti-inf'!!to) D0"s

    +74- E8!'0!tion of An!'"esi#s

    +1+5- Gene!' !nest2esi!

    +4++- Anti#on80's!nts

    /5+/- Antiei'eti#s

    /++$- Dos!"e fo

    /.+*- Pes#ition %itin"

    2

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    Ho% to %ite ! '!(o!to) eot

      Each student should write his report by himself using his own words to

    improve his language. DO NOT COPY. The report should be brief, precise and including the following items:

    1- The name of the student and the experiment.

    2- The principle of the experiment.

    - The aim of the experiment.

    !- "aterials and methods used.

    #- $esults, including the measurements and observations during the

    experiment that sometimes should be arranged in a form of table.

    %- &iscussion and conclusion, which is the ost iot!nt item in the report

    as it shows the ability of the student to discuss his findings and compare

    them with those mentioned in the textboo'.

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    E9: No: +

    HANDLING OF LABORATORAY ANIMALS

      The pharmacological experiments will be mostly done on laboratoryanimals (mice, rats, ) rabbits*, so the animals should be treated well, as

    improper handling and treatment of animals may lead to failure to observe

    the effects, and will give rise to bad results. +o we examine the animals as

    following:

    I- Gene!'

    1- ealth: healthy or sic' animal

    2- ctivity: hyperactive, irritable, aggressive (/+ stimulants e.g.strychnine* 0 hypoactive (e.g. sedatives* 0 normally: mouse is

    hyperactive, rat is aggressive, and rabbit is uite.

    - ait: ataxic or drun'en gait (e.g. alcohol* 0 normal.

    !- Erection of tail: in rats due to stimulation of spinal cord by

    narcotics (e.g. morphine* called straub phenomenon.

    #- $ighting reflex: placing the animal on the lateral side, the animal

    will retain its normal position. &ecreased by /+ depressants (e.g.

    dia3epam* and increased by /+ stimulants (e.g. strychnine*

    %- 4ain reflex: reflex to painful stimulation by twisting the patella in

    rabbit or pinching the tail by forceps in rats ) mice. (&ecreased

     by narcotics ) non-narcotics*. 

    II- Vit!' si"ns

    Each reading to be ta'en several times by different persons,

    ignore the odd one and ta'e the mean of remaining readings:

    • $espiratory rate (abdominal breathing 0 nostrils*

    • heart rate (flic'ering*

    III- E9!in!tion of e)e

    1- on5unctival blood vessels: - congested (dilated blood 6essels*

      - pale (constricted blood 6essels*

    2- 4upil si3e: - dilated (mydriasis* or constricted (miosis*

      - 7ight reflex: by shading the eye for 8 seconds then switch the

    light on and this will result in miosis.

      !- orneal reflex: attaching cornea by piece of cotton wasp from the

    lateral side resulting in eye blin'ing.

    E9: Nee,s; Fo#es

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    E9: No: /

    Ro0tes of !,inist!tion

    Definition  $oute of administration is defined as the mean by which drugs can be

    given into the body.

    F!#tos to (e #onsi,ee, %2en #2oosin" #et!in o0te;1. Site of ,0" !#tion: e.g., treatment of ertain !I" diseases

    neessitates gi#ing the dr$g orally.

    2. D0" n!t0e% intra#eno$s fl$ids sho$ld be isotoni.

    . Onset of !#tion: treatment of emergeny onditions neessitates

    the $se of intra#eno$s ro$te.

    !. D0!tion of !#tion: dr$gs intended for longer d$ration of ation

    are gi#en by a ro$te &hen absorption is slo&.#. P!tient st!t0s: oral ro$te an not be $sed &hen the patient is

    $nonsio$s, or has diffi$lty in s&allo&ing, or has repeated

    #omiting.

    %. Desie of t2e !tient.

    Ro0tes of !,inist!tion #!n (e #'!ssifie, !s fo''o%s;

    . Enteral (9T*: oral

    . 4arenteral: intramuscular (9"*, intravenous (96*, subcutaneous

    (+*, inhalational.

    9n the beginning measure the weight of the animals to ensure the

     precision of dosage of the given drugs by using measuring scale

    (balance*.

    +: O!' o0te:

      y placing mouth gag into the mouth of rabbit, insert rubber tube

    to about 28 cm. To ma'e sure that the tube is in the esophagus and not

    in the trachea, dip the end of the tube into a bea'er containing water(bubbling indicates wrong position*. y using medical syringe, push

    2.# ml of normal saline (/.+* into the stomach through the rubber

    tube.

    A,8!nt!"es:

    • +imple, convenient, and acceptable.

    • ;ral drugs can be given in different dosage forms.

    • +afe route: since in overdose, it can be managed easily.

    • The drug can be placed at the site of action (e.g., antihelminthics*.

    Dis!,8!nt!"es:• +ome drugs are ,esto)e, in t2e "0t (e.g., some penicillins,

    insulin, oxytocin*

    #

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    • Tablets ta'en with too small a uantity of liuid and in supine

     position can lodge in the oesophagus with delayed absorption and

    may even cause ulceration (e.g., doxycycline*.

    • +ome drugs may cause "!sti# iit!tion.

    • A(sotion may be affected by foo, or by ot2e ,0"s which

    inhibit gut motility e.g., antimuscarinic and opiods.

    • Fist !ss et!(o'is (by intestinal wall and by the liver* limits

    the efficacy of some drugs when ta'en orally.

    /: Int!8eno0s 8.82 ml* by insulin syringe.

    &rugs should be given slowly. 4ress cotton onto the wound.

     

    A,8!nt!"es;

    • 7arge volumes can be given via this route.

    • =nconscious patient.

    • $apid onset of action.

    • +uitable for continuous infusion (for rapidly destroyed

    drugs*

    • +uitable for too irritant drugs (anticancer drugs*.

    •  /o first pass metabolism.

    Dis!,8!nt!"es;

    • 96 fluid should be aueous, and (isotonic*

    • 9nfection and local venous thrombosis.

    • The in5ected drug can not be recalled simply in case of toxicity.

    $: Int!0s#0'!

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    •  /ot acceptable for self administration

    • "ay be painful

    *: S0(#0t!neo0s

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    E9: Nee,s; Mo0t2 "!"> NG t0(e> (e!3e> s)in"es ('!,e> 9)'o'> !'#o2o'> #!n0'!> 2e!in> '!ste>

    nee,'es> #otton> ?!> et2e> N:S> (!'!n#e:

    E9: No: $

    T2e Resonse of 20!n s3in to Hist!ine

    & A,en!'ine

    Ai; To show the effect of istamine and drenaline on the human s'in.

    Pin#i'e; istamine affects the human s'in in the term of Triple

    response of 7ewis .This action can be antagoni3ed by

      a - ntihistamines (e.g. diphenhydramine* by bloc'ing histamine

    receptors in the s'in, so this is called competitive antagonism.  b A drenaline by producing action that reverses the action of histamine,

    so this is called physiological antagonism.

    Met2o,;

    Birst, cleanse the forearm with a swab of cotton wool soa'ed in alcohol

    and leave it to dry. Then by using a lancet, ma'e four transverse parallel

     pric's on the s'in of forearm separated from each other by distance of

    five centimeters. The depth of pric'ing should be superficial i.e. the route

    of administration is intra-dermal (9.&* namely such as not to draw blood.Then do the following steps:

    a- 4lace few drops of istamine (1:1888* on the first bric'.

     b- s a control, place few drops of normal saline on the second bric'.

    c- ;n the third bric' ,place few drops of 1:1888 solution of

    antihistamine as competitive antagonist ,then after 1-2 minutes add

    few drops of histamine (1:1888* on the same site.

    d- ;n the fourth bric', place few drops of adrenaline as physiological

    antagonist.

    e- ompare the results seen on each site.

    N:B:+- To o(t!in (ette es0't> it is efe!('e to ,o t2e !(o8e

    o#e,0e on esons %it2 f!i s3in:

    /- T2is e9eient is not to (e ,one on !toi# in,i8i,0!'s:

    E9: Nee,s; N:S> !nti-2ist!ine> !,en!'ine> 2ist!ine> Dos>

    '!n#et> #otton> !'#o2o':

    C

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      E9: No: *

    Effe#ts of P!!s)!t2oieti#s on

    G'!n,0'! Se#etionsPin#i'e;  The 4arasympathomimetic nervous system innervates a large number

    of organs. The neurotransmitter acetylcholine (ch* mediates the

    transmission of impulses from the preganglionic neurons to

     postganglionic neurons as well as the transmission of impulses from

     postganglionic nerve terminals to the effector organs. The action of ch

    at the effector organ can be mimic'ed by drugs li'e arbachol,

    methacholine, or muscarine. The sites at which ch and the

    4arasympathomimetics act are called "uscarinic receptors (" receptors*and they are sensitive to bloc' by atropine. ch stimulates the secretion

    of different glands in the body, li'e salivary or tear glands. 9n the rat,

    there is a special gland called arderian gland. This gland is responsible

    for the secretion of porphyrins, and is very sensitive to

    4arasympathomimetics, which cause the secretion of bloody tears or what

    is called chromodacryorrhesis.

    P!!s)!t2eti# G!n"'ion Effe#to o"!n

    ↓  ↓ ↓  Pe"!n"'ioni# ost"!n"'ioni#  ●‹ ●‹ ●  ╣╠   ↑ ∟Ni#otini# e#:  ↑∟M- e#: 

    A#2 A#2 

    Ai of e9eient;9s to show the stimulatory effect of 4arasympathomimetics on the

    secretion of tears in the rat.

    Met2o,s;1- 9n5ect 8.# mg0'g of arbachol 9.4 into a rat. Examine the eyes for

    tears by wiping the eyelids with cotton to detect the bloody tears.

     /ote salivation and nasal secretion.

    2- 9n5ect another rat with 2mg0'g of atropine 9.4, wait about 1#-2#

    minutes, and in5ect the rat with arbachol (8.# mg0'g* 9.4 and

    examine for bloody tears, salivation and nasal secretion.

    D

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    E9eient!' nee,s; C!(!#2o'> !toine> s)in"es> nee,'es>#otton> !n, (!'!n#e:

    E9: No: .

    D0"s !#tin" on t2e e)e

    The main compartments of the human eye (as shown in figure 1* are

    cornea, iris, lens, ciliary body and vitreous humour.

     

    Bigure 1: The composition of the human eyeIis; That involves:

    ircular muscle ("uscarinic receptors*.

    $adial muscle (lpha-receptors*.

    Miosis; is due to either contraction of circular muscle or relaxation of

    radial muscle.

    M),i!sis; is due to either contraction of radial muscle or relaxation of

    circular muscle.

    lpha-agonist → ontraction of radial muscle of 9ris ("ydriasis*.Bear (+ympathetic discharge*.

    &eath (7ac' of muscular tone due to lac' of ch.*

    Except opiod intoxication ("-agonist 4in point "iosis*

    lpha-loc'er $elaxation of radial muscles of 9ris ("iosis*

    7ens: ttached to the ciliary body by ligaments (figure 2*.

    18

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    Bigure 2: +agittal section in the eye showing the lens and ciliary body

    Ci'i!) (o,); that involves 

    - iliary epithelium (2 receptors*: responsible for secretion of aueous

    humor.

    - iliary muscle (" receptors*: responsible for near or far vision.

    Bigure : The contraction and relaxation of the lens

    11

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    Ci'i!) M0s#'e 0i' s#!'e> !n, #otton.

    12

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    E9: No: 6

    Effe#ts of D0"s on t2e Atei!' B'oo, Pess0e

    Of H0!n

    Ai;

    1- To show the effect of some drugs on the arterial blood pressure.

    2- To show the psychological effect of placebo drugs on the patient.

    - To show the difference between single and double blind techniuesin the measurement of blood pressure.

    Pin#i'e;

    1- Ephedrine is a sympathomimetic agent i.e. it has presser effect

    through stimulation of H-receptors (centrally*. ?here as,

    chlorproma3ine has H-bloc'ing action through its effect on the

    autonomic nervous system .+o it acts as antihypertensive.

    2- 4lacebo drug is an inert substance that has no pharmacological action

    (as lactose*.

    M!tei!'s;

    1- &rugs: ephedrine (1#mg*, chlorproma3ine (#8mg*, lactose powder.

    2- pparatus: sphygmomanometer, stethoscope.

    - Three volunteers to ta'e the drugs.

    Met2o, s;

    There are two methods to measure the blood pressure< firstly, thesingle blind techniue, where the volunteer does not 'now the nature

    of the drug that he administered, where as the examiner (the person

    that measures the blood pressure* 'nows that drug.

      +econd method is called the double blind techniue, that involves

    neither the volunteer, nor the examiner 'nows the nature of the drug

    that administered.

    The second method is more accurate than the first one because it

    excludes the psychological effect of 'nowing the drug that affects the

    measurements and the results.

     

    1

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    T2e ,o0('e ('in, te#2ni0e #!n (e !#2ie8e, !s fo''o%in";

    1- The students are divided into groups, each group is consist of three

    volunteers (to ta'e the three drugs*, an examiner (to chec' the

     blood pressure*, and a registrar (to write down the measurements

    for each volunteer*.

    2- t the beginning (3ero time*, the examiner should chec' the blood

     pressure of the three volunteers before administration of the drugs.This is considered as baseline .4. which should be noted by the

    registrar of the group.

    - The three drugs should be referred to as drug , drug , and drug

    and not by their generic names.

    !- /ow, each volunteer will administered a certain drug orally.

    #- The blood pressure of the three volunteers should be chec'ed by

    the examiner of the group every 18 minuets after ta'ing the drugs

    and the measurements should be wrote down by the registrar of the

    group in a form of table.%- "easuring the blood pressure in one group should be done by the

    same examiner, using the same apparatus and by ta'ing three

    successive readings each time.

    Res0'ts;  y comparing the measurements and the results obtained, you can

    discover what is drug , , and . &iscuss that accordingly.

    E9eient!' nee,s; E2e,ine> #2'oo!@ine> '!#tose>"e'!tin #!s0'es> stet2os#oes> !n, s2)"o!noetes:

     

    1!

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    E9: No: 7

    E8!'0!tion of se,!ti8e !n, to9i# effe#ts of A'#o2o's

    Ai; 

    To measure the sedative and toxic effects of methyl and ethyl alcohols.

    Pin#i'e; 

    oth methanol and ethanol are competing for the same en3yme for their

    hepatic metabolism that is alcohol dehydrogenase.

    This fact can be useful in the management of methanol poisoning:

    Et2!no' ----------- A#et!',e2),e ---------------- A#et!te

     

    A'#o2o' ,e2),o"en!se

    Met2!no' -------- Fo!',e2),e --------------- Fo!te

      s ethanol has higher affinity for alcohol dehydrogenase en3yme thanmethanol, so it is life saving in the emergency treatment after accidental

    administration of methanol.

      "ethanol causes blindness, acidosis, respiratory depression and death.

    Met2o,s;1- measure the weight of two rats and chec' the following

     parameters:G!it> !in ef'e9> esi!to) !te> onset of !nest2esi! !n, ,e!t2 if

    o##0s:

    2- 9n5ect one rat with methanol in a dose of mg0'g 9.4 and the other

    rat with ethanol in the same dose.

    - $ecord the time of administration and rechec' the above

     parameters every # minutes to see the effects of both alcohols.

    E9eient!' nee,s; Me!s0in" (!'!n#e> fo#es> s)in"es>nee,'es> et2!no'> !n, et2!no':

    1#

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    E9: No: 1

      E8!'0!tion of Anti-inf'!!to) D0"s

    Ai;

    To test the anti-inflammatory activity of acetyl salicylic acid.

    Pin#i'e;

    cetyl salicylic acid is the protype of non-steroidal anti-inflammatory

    drugs (/+9&s*. These drugs can influence the process of inflammation

     by bloc'ing the pathway of prostaglandins (4s* biosynthesis by

    inhibiting conversion of rachidonic acid to precursor cyclic

    endoperoxides by the en3yme cyclooxygenase (;G*.

    COX-+>COX-/ .-Lio9)"en!se

      ↓  ↓  PGG/ ←--------- A!#2i,oni# !#i, ---------→ .-HPETE  |  ↑  ↑  |  |  Θ  Θ  |  |  |  |  | 

    |  NSAIDs  .- Lio9)"en!se in2i(ito |  ↓  ↓ PGF/, PGI/> PGE/> PGD/> TXA/ LTA*> LTB*> LTC*> LTC*> LTD*> LTE*

    Met2o,;

    1- "easure the weight of two rats to determine the dose of drugs.

    2- 9n5ect one rat with acetylsalicylic acid in a dose of 188 mg0'g 9.4.

    and another rat with normal saline 9.4.

    - fter 1# min, in5ect both rats with 8.1 ml of fresh egg white into

    the dorsal side of foot web of the rat.!- ;bserve for the absence of edema in the foot of the rat that

    received acetyl salicylic acid, and the presence of edema in the rat

    that did not receive the drug.

    E9: Nee,s; E"" %2ite> !#et)' s!'i#)'i# !#i,

    nee,'es> (!'!n#e:

    1%

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    E9: No: 4

    T2e E8!'0!tion of An!'"esi#s

      nalgesics are classified as narcotics (acting on the /+ and causing

    drowsiness li'e opiods* and non A narcotics (which act chiefly peripherally li'e acetyl salicylic acid*.

      NSAIDs  |

      Θ  ↓  Ne0oeti,e e'e!se  → Inf'!!tion ----→ Me,i!tos e'e!se  ↑  .-HT> PGs=  Θ  |  |  |  OPIATES  |  |  |  Θ  |  ↓  ↓  E9#it!tion of t!nsission ne0ons ←-------------  No9io0s

    ↓  Sti0'0s

      P!in 

    Met2o,s;

     1- hec' the weight of two rats, then observe and record the

    following parameters:

    - Ri"2tenin" ef'e9

    - P!in ef'e9

    - G!it

    - Ee#tion of t!i' (or what is called st!0(s 2enoenon, whichoccurs due to stimulation of the spinal cord by the narcotics*.

     

    2- 9n5ect one rat with morphine (9.4* in a dose of % mg0'g and the

    other rat with acetyl salicylic acid (9.4* in a dose of 18 mg0'g.

    - $echec' the above parameters in the two animals after 1# min. and

    8 min. of in5ection, and record the difference in observation.

    E9: Nee,s; C'!in" fo#es> N:S> o2ine> !#et)' s!'i#)'i#!#i,> S)in"es> nee,'es> (!'!n#e:

    E9: No: +5

    1@

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    Gene!' Anest2esi!

      9tIs the absence of sensation associated with reversible loss ofconsciousness.

    &uring induction of anesthesia, distinct stages occur with some agents that

    include:

     St!"e +;

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    Effe#ts of Anti#on80's!nts

    Pin#i'e;

      +trychnine is a /+ stimulant that interferes with the central inhibitory

     processes with a powerful toxic effects.

    Ai;

      To show the convulsive rigidity in rats 0 mice when strychnine is

    in5ected subcutaneously and to evaluate the action of anticonvulsants.

    Met2o,s;

    1- hec' the weight of two mice 0 rats.

    2- 9n5ect one animal with normal saline 9.4 and mar' it as control, and

    another animal with 4henobarbital 9.4 in a dose of #8 mg0'g.

    - 1# minutes later, in5ect both animals with 2.# mg0'g of strychnine

    +..!- $ecord the observations and time of occurrence in a table form.

    E9: Nee,s; St)#2nine> P2eno(!(it!'> N:S:> Nee,'es> !n, B!'!n#e:

    E9: No: +/

    1D

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    Effe#ts of Antiei'eti#s

    Pin#i'e;

      7idocaine is a local anesthetic that is well 'nown to cause tonic Aclonic sei3ure.

    Ai;

      To determine the action of dia3epam as antiepileptic in the chemical

    model of generali3ed convulsive St!t0s Ei'eti#0s in rats.

    Met2o,;

    1- hec' the weight of two rats 0 mice.

    2- 9n5ect one animal with normal saline 9.4 and mar' it as control, and

    another animal with dia3epam 9.4 in a dose of 2 mg 0 'g.

    - 1# minutes later, in5ect both animals with 7idocaine 9.4 in a dose of

    1#8 mg 0 'g.

    !- ;bserve and record the following parameters:

    !- T2es2o', of sei@0e:

    (- D0!tion of sei@0e:#- T2e #!,io J esi!to) st!t0s:

    ,- De!t2 if o##0:

    E9: Nee,s; Li,o#!ine> Di!@e!> N:S:> Nee,'es> !n, B!'!n#e:

    E9: No: +$

    28

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    DOSAGE FORM

    I- INTERNAL PREPARATIONS

    A- Ente!' C2e%!('e> Effe8es#ent:

      • C!s0'es; O,in!)> S0st!ine, e'e!se

    • Po%,e

    /- Li0i, fo0'!tions

     • A0eo0s; So'0tion> S)0

    • A'#o2o'i#; Tin#t0e> E'i9i

     • S0sension & "e'

    B- P!ente!' !,inist!tion

    +- In?e#tions; Ao0'es> Vi!'s

    /- In2!'!tions; G!s> Aeosol

    II- EXTERNAL PREPARATIONS

    A- S3in Pe!!tions ; Ce!> Ointent> Lotion> P!int>

    D0stin" o%,e

    B- E)e> E!> Nose e!!tions ; Dos> Ointent

    C- Re#t!' & V!"in!' e!!tions ;

    Re#t!' s0osito)> 8!"in!' s0osito)

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    T!('etsTablets are solid dosage forms in which the drug is compressed with

     pharmacologically inert substances called EG949E/T+. Tablets are

    circular in shape with flat or convex surface, and film coated to improve

    their appearance and stability and to mas' unpleasant taste.

      A,8!nt!"es of t!('et fo;1. 4recision of dosage

    2. &urability of physical characteristics

    . +tability of chemical and physical activity of drugs

    !. onvenience of administration.

    C!s0'es  apsule is a solid dosage form in which the drug is provided with

    gelatin shell. =sed for drugs with unpleasant taste.

    Mi#o-en#!s0'!tion

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      lear, pleasantly flavored liuid preparation of potent drug. The

    vehicle contains high proportion of alcohol, sugar, or glycerol.

    S0sensionBine solid particles of a drug suspended in aueous solution.

    Ge'  +emi-solid aueous preparation prepared with the aid of gelatin.

    P!ente!' e!!tions

    In?e#tions;+terile, pyrogen free solutions or suspensions used to produce rapid,

    locali3ed, or prolonged action. They are of two types:

    1. mpoule: provide a single dose

    in5ection.

    2. 6ial: provide multiple dose in5ections.

    In2!'!tions;1. as: e.g. volatile anesthesia (nitrous oxide, ether*

      2. erosol: particles dispersed in a gas under pressure to deliver the

    drug directly into the respiratory tract.

    E9ten!' e!!tions  They are applied topically on the s'in and incorporated in a vehicle(base* that affects the degree of s'in hydration and influence the drug

     penetration.

      +'in preparations may ta'e one of the following forms:

    Ce!

    6iscous emulsion that is either aueous (oil-in-water* or oily (water-in-oil* and used as a vehicle for water-soluble or lipid-soluble drugs

    respectively. reams are used to moisten the s'in and produce a cooling

    effect as water evaporates.

    Ointent  They are semi-solid, greasy preparations for application to the s'in ormucous membranes. The base is usually anhydrous and immiscible with

    s'in secretions. ;intments are insoluble in water and may be used as

    emollients or to apply suspended or dissolved medicaments to the s'in.

    2

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    Lotion  ueous solution or suspension used to cool and relieve pruritis in

    acutely inflamed lesions.

    P!ints  7iuid preparation applied with a brush to the s'in or mucous

    membranes.

    D0stin" o%,e  "ixture of two or more substances in fine powder form, used to reduce

    friction and absorb moisture.

    E)e> E!> !n, Nose e!!tions  +terile isotonic solutions or suspensions, and may ta'e one of the

    following preparations:  Eardrops, Eye drops, Eye solutions or lotions, and Eye ointments.

    Re#t!' & 8!"in!' e!!tions

      Re#t!' s0osito)  +olid dosage form shaped for insertion into the rectum. The

    formulation is designed to melt at body temperature.

      In,i#!tions fo e#t!' s0ositoies;1. =nconscious patient

    2. +ever nausea

    . =ncooperative child

    !. 9rritant drug to stomach.

    +olutions may also be given per rectum by the mean of enema.

    V!"in!' s0osito)

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    E9: No: +*

    PRESCRIPTION KRITING

    I- Do#to ; /ame, Jualifications, /o. of registration.

    II- P!tient ; /ame, ge, &iagnosis.

    III- S0es#ition < R9 = ; $ecipe (treat with* 

    IV- Ins#ition ; &rugs

    +- D0" n!e

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    VI- L!(e' ; &irections to the patient, e.g. 

    - to be ta'en at night (ypnotics*

    - to be ta'en before meal (mpicillin*

    - to be ta'en after meal (spirin*

    - to be ta'en on need (;0/* (ngised*

    VII- Si"n!t0e & D!te

      

     

    Do#tos N!e

      M:B:C2:B

      No: of e"ist!tion

    P!tients N!e;

    A"e; D9;

     Rx 

      +- D0" n!e> fo