Industrial Pharmaceutical Technology-Birzeit University
Pharmaceutical Technology 2 / MIPT645
SUPPOSITORIES
Laboratory experiment
By: MAYSOUN BALI
Supervisor: DR.HANI SHTAYA
            Suppositories:
            The suppositories could be composed of different APIs dissolved or dispersed in an
            appropriate base. Which could be solubilised or dispersed in a fatty bases (melting) or water-
            soluble bases (dissolving).
            Lipophilic drugs are usually integrated into hydrophilic bases while water soluble
            drugs are integrated into the fatty base suppositories. When fatty base are used the
            melting should take a place immediately at body temperature, and readily diffuses to
            cover the rectum surface.
            The base of suppositories:
                1- Should be inert, nontoxic, compatible, easily compressed in the mould, readily
                    release the drug, non-absorbable and stable upon heating and storage.
                2- Classified as hydrophilic bases, oleaginous bases and miscellaneous bases
                    combining both hydrophilic and hydrophobic bases.
                3- The APIs preferred to be dissolved in the base not dispersed to overcome the
                    issue of partition coefficient between the base and the rectum fluids.
                4- The base could be hard fat, cocoa butter, water and glycerol, gelatinous
                    mixtures or macrogols.
            For sustained release suppositories, HPMC and Glyceryl Behenate polymer could be
            used. Multiple excipients are used, surfactants preferred to be non-ionic, lubricants,
            antimicrobial preservatives and colouring agents.
            Main parameters for drug absorption from suppositories:
                 Melting point of base (lipid base).
                 The rate of melting of lipid base.
                 Rate of solubility of water base.
                 Viscosity: if not enough can cause sedimentation of the mixture and affect the
                    integrity of the final product.
                 Dissolution rate: influenced by the surfactant used, solubility, viscosity,
                    particle size of API.
                                                         Fatty bases
Cocoabutter      Advantages: It satisfies the requirements for an ideal base – innocuous, bland, and non-reactive, and melts at
(theobroma       body temp
oil)
                 Disadvantages: Polymorphism, Adherence to mould, Low softening point, Melting point reduction,
                 Deterioration during storage, Poor water absorbing capacity and Leakage from the body.
Synthetic fats   Advantages: Their solidifying points are unaffected by over heating. They have good resistance to oxidation
                 because their unsaturated fatty acids have been reduced. The difference between melting and setting points is
                  small; generally only 1.5 to 2C˚ and seldom over 3C˚. They set quickly, the risk of sedimentation is low and
                  they are easier to administer. The melting point depression caused by fat soluble drugs can be counteracted by
                  choosing a high melting point grade, while the hardness and brittleness that sometimes results from a high
                  content of insoluble powder can be prevented by using a low melting point grade. W/o emulsifying agents, No
                  mould lubricant is needed because they contract significantly on cooling, have very attractive, clean and
                  polished appearance.
                  Disadvantages: They should not be cooled in a refrigerator or ice because they become brittle if cooled
                  quickly. Additives such as polysorbate 80 correct this fault. They are more fluid than theobroma oil when
                  melted and at this stage sedimentation is greater. Thickeners such as magnesium stearate, bentonite reduce
                  this problem.
 proprietary      Whitepsol (formerly called Imhausen), Massa Estarinum and Massuppol.
 synthetic
 bases/           Advantages: No polymorphism, Tolerance of oxidation, Rapid Solidify, Do not need mould lubricant, Mix
 Emulsifying      with physiological fluid easily, non-irritant, withstand overheating and can absorbs large amount of aqueous
 bases            liquids.
                  Disadvantages: Should not be cooled in refrigerator or on ice, Become brittle if cooled quickly, They may
                  have dehydrating effect and problems with API sedimentation due to low viscosity on melting and more
                  expensive.
                                          Water soluble or water miscible bases
 glycero-         Advantages: dissolves in body secretions and therefore is preferable to a fatty base for administering
 gelatin          antiseptics. Since, solution is slow; drug release is more prolonged than from fatty base. At present, the B.P
                  allows a maximum disintegration time of 1 hr. for Glycerol Suppositories B.P made with gelatine of B.P
                  standard.
                  Disadvantages:  They have a physiological action (used as laxative) They are more difficult to prepare and
                  handle. Their solution time depends on the content and quality and gelatin and the age of the base. They are
                  hygroscopic. So a careful storage is required. It also leads to dehydration of the rectal mucosa with consequent
                  irritation; this is an advantage where a laxative effect is required. Gelatin is incompatible with protein
                  precipitants such as tannic acid.
 macrogols        Advantages: The mixtures have melting point above 42C˚, cool storage is not required, they are satisfactory
 (PEG)            for use in hot climates, and administration is easy because they are not slippery to handle. Do not melt in the
                  body but gradually dissolve and disperse, freeing their medication slowly and providing longer action than
                  fatty bases. Their physical properties can be varied by suitable admixture of high and low polymers. High
                  polymers give hard products that disintegrate and release their drug slowly. Softer, less brittle preparations
                  that disperse and liberate their drug more quickly are obtained by mixing high with either medium or medium
                  and low polymers or by adding plasticizers.
                  They do not stick to the mould since they contract on cooling. Because of their high molecular weight solution
                  of high viscosity are produced when they disperse in the body. They absorb water well and have excellent
                  solvent properties. Products have clean smooth appearance
                  Disadvantages:  They are hygroscopic so careful storage is required. Irritancy can be reduced by
                  incorporating about 20% of water in the mass or by instructing the patient to dip the preparation in water just
                  before insertion. This type of base is suitable for systemically active drugs. Its good solvent properties can
                  result in retention of the drug in the liquefied base in the body with consequent reduction in therapeutic
                  activity. Products sometimes fracture on storage, particularly if they contain High solubility of macrogols
                  which can lead to a super saturated solution in the water and subsequent crystallisation and this the mass
                  granular and brittle. Crystal growth of certain medicaments may occur particularly if they are partly in
                  solution and partly in suspension in the base. This makes the product brittle and crystals may be irritating
                  because they are large and takes longer time to dissolve. They are incompatible with bismuth salts, tannins
                  and phenol. They lower the activity of some antibacterial agents and dissolve certain plastics necessitating
                  care in choosing containers.
              Experiment .1- Formula
                               Table 1.(10 suppositories).
                                        Suppositories base classification and characterisation.
materials          weight            Function            Melting      solubility               description
                                                         point
                   1        10
                   supp     supp
Paracetamol        0.1g     1g       Analgesic           169C˚        Soluble in boiling       Nonsteroidal Anti-inflammatory
(acetaminophen)                     (pain relievers)             water, freely          Drug, hepatotoxic in overdose
                                    and antipyretic              soluble in alcohol,
                                    (fever reducers              slightly soluble in
                                    ).                           ether and insoluble
                                                                 in petroleum ether.
Witepsol           1.3g     13g     Emulsifying/       33.5C˚    Lipophilic material    They consist of triglycerides of
                                    synthetic base     to        soluble in             saturated vegetable fatty acid
                                                       35.5C˚    petroleum, spirit,     with varying percentage of
                                                                 acetone, methylene     partial esters. They have 20
                                                                 chloride, ether and    different grades with hydroxyl
                                                                 hot isopropanol. It    values between 20–50. Consist
                                                                 is insoluble in        of mixture of 65–80% of
                                                                 water, ethanol,        triglycerides, 10–35% of
                                                                 glycerol and           diglycerides and 1-5% of
                                                                 polyethylene           monoglycerides. The most
                                                                 glycol.                available grade for pharmacist is
                                                                                        Witepsol H15.
                                                                                        It represent fast solidification
                                                                                        time and can easily remove from
                                                                                        the mould. However, have a
                                                                                        problem when removed from the
                                                                                        mould resulting in breakage of
                                                                                        suppository into pieces,
                                                                                        lubrication is required, and It
                                                                                        should not be cooled rapidly as
                                                                                        it become brittle and fracture. A
                                                                                        small amount of beeswax is
                                                                                        added for use in hot climate.
Weight of the 1st SUPP = 2.44 / weight of 2nd SUPP =3.70
             Table 2. Materials description
             Notes on witepsol base:
                  1- Witepsol hydroxyl value: the quantity (mg) of KOH needed to neutralize the quantity
                     of acetic acid utilized while acetylation by 1 g of witepsol. It express the total amount
                     of free hydroxyl groups in the suppository base.
                  2- Monoglycerides and diglycerides in witepsol can affect the quality of the fatty base
                     and the suppositories. Can affect the crystallization and plasticity. Can raise the
                     viscosity of the mix. Act as surfactants.
                  3- Witepsol H15 is recommended for large scale production while witepsol 45 suitable
                     for small scale dispensing.
                  4- Advantages of witepsol: no need for mould lubrication, unaffected by the heat, the
                     partial glycerides in witepsol base act as water in oil emulsifying agents and enables a
                     good amount of aqueous solutions to be incorporated.
                  5- Suppositories made with witepsol base should not be cooled rapidly as it become
                     brittle and fracture.
                  6- They are suitable for formulation of eutectic mixtures and tropical suppositories. E.g.
                     Witepsol H 15 disintegrates almost as fast in the rectum as cocoa butter. The melting
                     times were 4 minutes for cocoabutter, 6 minutes for Witepsol.
             Challenges in suppository preparation:
                  1- Cracks: are created by forces in the solid fat, which appears from a varies cooling
                     degrees at the surface and within the mould. To avoid these damages ■ choosing an
                     elastic fat ■ decreasing the total temperature and raising the cooling temperature, for
                     more homogeneous fat solidification. Cross cracks can also be created by mechanical
       stress of the solidifying, for example in the enclosing process, when excessive mould
       filling and high pressure is applied.
    2- Matt surface: fat buds on the surface when the crystalline fat diffuses on the surface.
       Rare phenomena in fat have low contraction that does not produce a gap between the
       surface and the packing foil. To avoid this problem use compound with low
       contraction or recrystallized fats.
    3- Sedimentation or inhomogeneous distribution of APIs : this might be related to low
       viscosity of the melt or large particle size, to solve the problem ■ lower the
       temperature of the mix ■ raise the cooling upon ejection ■ use viscosity enhancer e.g.
       Aerosil, 2% aluminium monostearate, cetyl and stearyl alcohols may be added to
       improve consistency ■ reduce particle size ■ reduce the density differences between
       the drug particles and the base.
    4- Solidification of the mixture: Poor solidification especially in high dose of API that
       form gel like mass with the base. This might be related to the dissolution of API by
       glyceride constituent of witepsol. The solution are ■use witepsol grade with low
       hydroxyl value ■ use API with different range of particle size
        ■ use viscosity lowering excipients e.g. Lecithin.
The effect of emulsifier in suppositories base:
Up on preparation: They act as water absorption capacity of fatty base and enables
suppositories containing aqueous active-principle solutions to be prepared. It can also reduce
agglomeration by wetting the drug powder.
After administration: Emulsifiers can be used to effectively disperse lipophilic material and
drugs in the primarily aqueous point of delivery, by forming micelles or stabilizing small
droplets (enhance spreading of the base on the mucosal surface). It can also increase the rate
of drug release from the base.
     The emulsifier is preferably present in a quantity of 0.2 to 10% by weight.
     E.g. of emulsifiers Poly sorbates (tween 61, tween 80), Wool alcohol and Wool fats
      sorbitan ester (span).
Exp2- Suppository with PEG Base
PEGs
     are available in a variety of molecular weight ranges
     A long chain polymer known by its trade name Carbowax.
     Have the advantage of allowing the formulation of many degrees of freedom in that
      the ratios of the low to the high molecular weight.
     The lower the molecular weight of the PEG, the higher the hydrophilicity, the higher
      hydroxyl value as compared to higher molecular weight PEG
     Depending upon their chain length and molecular weight, PEGs range:
           being a clear colourless liquid (PEG 300–PEG 600)
           A wax-like white solid (PEG 1450, PEG 3350, PEG 8000).
     Various combinations of PEGs combined by fusion, using two or more of the various
      types to achieve a suppository base of the desired consistency and characteristics.
     The mixture of PEG400 and PEG 4000 produce softer, less brittle preparations that
      disperse and liberate their drug more quickly
     PEG base suppositories do not melt at body temperature but rather dissolve slowly in
      the body’s fluids. Thus, suppositories from mixtures prepared having melting points
      considerably higher than body temperature to permits a slower release of the
      medication from the base , and permits convenient storage of these suppositories
      without need for refrigeration .
     PEG base suppositories do not leak from the orifice because they mix with mucous
      secretions upon their dissolution.
                         Ingredients                              Percentage           Weight
 Paracetamol                                                     5%                 0.815g
          Ingredient       Percentage      Weight                                   15.485g
 Base      PEG 400         40%
                                                                95%
                                           6.52g
           PEG 4000         60%            9.78g
Calculation of the amounts required:
 Theoretical weight =
20g-----------------------------------------------------------------------------------Weight of empty
beaker = 73.7 g. ------------------------------------------------------------------------Weight of one
SUPP base without API (1.7g.) ---------------------------------------------------------Weight of tow
SUPP base without API (3.70g)-------------------------------------------------------Determine the
amount of base required:-------------------------------------------------------------Weight of base
required = (theoretical weight – weight of base displaced)*base %
(20 – 3.7)*95% = 15.485g
Determine the amount of API required:
Weight of API required = (theoretical weight – weight of base displaced)*API %
(20 – 3.7)*5% = 0.815g
     Questions
Q1- what is the effect of PEG6000 when used instead of PEG4000?
     PEG600 is higher MW (higher content of hydroxyl groups within the structure).
      Polymer, which give harder SUPP that, permits a slower disintegration and release of
      the medication from the base.
     PEG6000 SUPP would have clear white in colour, very hard, lack of greasy
      (less hydrophopic than PEG4000) but are insoluble in water as time taken for the
      melting of suppositories is longer.
     The SUPP with the PEG 4000 is more opaque while suppositories with PEG6000 is
      more transparent.
     PEG6000 SUPP are less hygroscopic, easier to store and handle.
Q2- Describe the effect of different bases on the physical characteristic of the
suppositories?
 base                 shape                 texture                   greasiness         color
 Witepsol             bullet                hard                      No greasiness      Dark white
 Cocoabutter          bullet                Soft, sticky              very greasy        Dark white
 (theobroma oil)
 PEG 4000             bullet                Hard and smooth           greasy             Clear
                                                                                         white
 PEG 400              bullet                Soft and greasy           greasy             white
     Two important factors when preparing suppositories with cocoa butter base.
     This base must not be heated above 35°C (95°F) because cocoa butter is a
      polymorphic compound and if overheated will convert to a metastable structure that
      melts in the 25° to 30°C (77° to 86°F) range. Thus, the finished suppositories would
      melt at room temperature and not be usable.
     The change in melting point caused by adding certain drugs to cocoa butter
      suppositories. For example, chloral hydrate and phenol tend to lower the melting
      point. It may be necessary to add spermaceti or beeswax to raise the melting point of
      finished suppositories back to the desired range.
     Witepsol suppositories base.
          H15 grade is the most readily available to pharmacists. It has a melting point
             range of 33.5°C to 35.5°C, which is quite close to its congealing range of
             32°C to 34°C.
          Suppositories made with this base solidify rapidly and should contract to
             release easily from the mould, there are reports of problems with
             suppositories breaking into pieces when being removed from the suppository
             mould.
     PEG suppository bases.
         They are formulated so they do not melt at body temperature but rather
            dissolve in body fluids. Suppositories made from these bases should be
            moistened with water before insertion.
         Because their melting points are easily controlled by appropriate blending,
            these bases and their suppositories do not require carefully monitored storage
            temperatures
                      When formulated with an appropriate PEG blend, they dissolve in body
                       cavity fluids and release the active ingredient(s), both hydrophilic and
                       hydrophobic drugs. There are sufficient aqueous secretions in the body
                       cavity; they provide more reliable release of drug from the dosage form than
                       do fatty bases.
Suppositories of cocoa butter     Witepsol suppositories base      PEG suppositories base
      cocCocoabutter
Suppositories            I                         II                          III
PEG 6000                 0                         3                           9
amount (g)
Shape
                                                                                 Bullet
                         Bullet                     Bullet
                                                                                  
                                                     
                                                    Translucent
Colour                   Off-White                                               Clear white
                                                    white
Hardness                 +                          ++                           +++
Greasiness                       +++                ++                           +
         Table 3. A study of the effect of different amount of PEG6000 on the physical characteristics
         of suppositories.