Suppositories
May Saab
        Associate Professor
Pharmaceutical Technology Department
     Faculty of Pharmacy, BAU
                                 Suppositories
➢ Suppositories are solid dosage forms inserted rectally or
  vaginally to melt or dissolve and exert a systemic or local
  effect.
➢ Suppository bases include:
   • Fatty bases (cocoa butter, suppocire, witepsol) release drug at room Temp
   • Water soluble (PEG, Glycerogelatin)            slowly release drog intravag
                  macrogol
➢ Suppository Adjuvants:
   •   Preservatives benzalconium chloride, sodium benzoate,parabens
   •   Antioxidants mainly  for cocoa buter due to unsaturated FA ex:topoferol (vit E) butylated hydroxyanisol
                     Butylated Hydroxy toluene
   •   Viscosity imparting agents to prevent sedementation and uneven distibution
   •   Plasticizers to improve flex and avoid brittleness
   •   Surfactants inhance the dispersability of certain companent in fattybas and their dissolution/realse into
                        rectal fluids especially with a fatty base with low hydroxile number ex:cocoa butter
        Specific Problems in Suppositories
➢ Hygroscopicity:                can cause irretation to the rectum or vagaina so before insertion dip in water first
   • PEG and glycerogelatin suppositories must be stored under controlled
                  hygroscopic during their inviromental humidity they will absorb water whic will affect their
     humidity     outer appearance
➢ Incompatibility:
   • PEG incompatibility with certain drugs.
                                                                     incompatible with plastic mold (PVC) ad aspirin
                                                                     wgich will lead to transacetylation
➢ Viscosity:
   • In the manufacture of suppositories made with low-viscosity bases,
     extra care must be exercised to avoid the sedimentation of suspended
     particles
   • Use narrow melting range suppository bases, adding fatty acids or fatty
     alcohols, or adding 2% aluminum monostearate of suppositories.
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      Specific Problems in Suppositories
➢ Brittleness      same thing for PEG
   • Brittleness of Synthetic fats are often induced by rapid chilling. plastecizers
                                                                        are needed
   • The temperature differential between melted base and mold should be
     as small as possible.
   • Addition of a small amount of Tween 80, fatty acid monoglycerides,
     castor oil, or propylene glycol imparts plasticity and renders it less
     brittle.          Glycerol
➢ Rancidity:
   • Rancidity results from the autoxidation and subsequent decomposition
     of unsaturated fats.
   • Measures by the iodine number
   • Add antioxidants
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      Specific Problems in Suppositories
➢ Blooming:     T: well storage + surfactants (to improve dispertion and stop migration)
   • During storage, dullness on the surface.                   faty base with lower point + change in temp/humidity
                                                                ->melt and migrate through suppository and crystalise
                                                                on the surface and affect drug and crystallise into white
➢ Hardening:    poly morphism
                                                                spots
   • During storage, fatty base suppositories become harder due to
     crystallization, hence affecting melting of the suppositories and drug
     absorption rate
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                 Suppository Manufacturing
   for heat labide drug but has bad appearence and not accepted by patient due to astetic
➢ Compression molding                           obsolete depend on grading the sppos base and reduce size and mix
                                                with semi solid ingredient plus drug into a low consistency mold
                                                in fatty base suppo should be grated plus mixed with lanoline for consistency
➢ Pour molding:                                 +drug->molded
                                                PEG graded +water+glycerol+disperse drug into mixture->compression molde
   • Stainless steel molds
   • In-Package molding
    it is more prefered where it is marketed withing its plastic liner so any fluctuation of TEMP/melting/resolidification
    wont lead to change in their shape
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                               Mass Preparation
➢ Weighing the components
➢ Melting at 60° C in a stainless steel container with a
  steam jacket
➢ Container equipped with an agitator (anchor, propeller,
                                                              for viscous for low to medium viscocity
  or turbine)for improvement its homogenous dispertion of melted mass
             and enven distibution of Temp within the mass
                                                                          mass
➢ Drugs and additives are dispersed or solubilized in the
  molten base.
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                      In Package Molding
             made of poly vinyl chloride or aluminium
➢ Can     make     12,000-20,000
  suppositories per hour
➢ Previously      thermoformed
  plastic or aluminum strips or
  immediately     thermoformed
  strips
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                   In Package Molding
➢ For in process thermoformed mold,
  two vertical set rolls of aluminum
  foil or plastic films are used.
➢ Both films are connected to form
  bowl-like halves and heat sealed
➢ The tops of the molds are left open
  for filling of the molten suppository
  mass
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                   In Package Molding
➢ The filled molds are then
  transferred in upright position
  to a cooling tunnel
➢ Finally hermetically sealed and
  cut for final packaging.
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Manufacturing
                            Quality Control Test
➢   Appearance
➢   Uniformity of mixing cut longitudinaly to see the distribution and mixing
➢   Uniformity of weight 20            suppo randomly chosed weight each and make average +/-5%
                                    2 are exepcted outside the range but none should exeede the double
➢   Melting point using  a chamber water jacketed at 37 C and behind it white and balck background Using a stopwa
                   required to melt the suppository
                   mass
➢   Breaking test
➢   Softening time penetrometer
➢   Disintegration test
➢   Dissolution test
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