Reduction and Enlargement of the Official – PST04209 Compounding of Pharmaceutical Preparations

NTA Level 4 • Semester 2 • PST04209

Reduction and Enlargement of the Official

Compounding of Pharmaceutical Preparations • Source Session/Topic 8
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 8: Reduction and Enlargement of the Official

Formula to Obtain Required Formula for Compounding

Total Session Time: 120 minutes + 1 hours of Assignment

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Explain Reduction and Enlarging of Appropriate Formula for Compounding
• Practice Reduction and Enlarging of Official Formula to Determine Amount of Each

Ingredient Required for Compounding

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers ,LCD projector and computer
• Worksheet 8.1 take home assignment

SESSION OVERVIEW

Activity/

Step Time Content

Method

1 05 minutes Presentation Introduction, Learning Tasks

30 minutes Reduction and Enlarging of Appropriate

2 Presentation

Formula for Compounding

60 minutes Presentation Reduction and Enlarging of Official Formula to

3 Small group Determine Amount of Each Ingredient Required

discussion for Compounding

4 10 minutes Presentation Key Points

5 05 minutes Presentation Evaluation

6 10 minutes Presentation Assignment

CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 40

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning objectives and clarify

ASK students if they have any questions before continuing.

STEP 2: Reduction and Enlarging of Official Formula (30 minutes)

• Reducing and enlarging formula are calculations performed when the required amounts

of medicines (Prescribed/ordered) deviate from the official formula in a reference book.

o Obtaining the amount of each ingredient required for compounding, the figures of

the official formula are multiplied by a factor which is determined by the

following proportion:-

Total amount of the official = quantity of each ingredient in the official formula

Total amount required x

(x = quantity of each ingredient in the required amount

i.e.

x = total amount required × Quantity of each ingredient in the official formula

.

Total amount of official formula

Thus the factor is determined by the ratio:

Total amount required .

Total amount of official formula

Summary on obtaining the amount for each ingredient in the required amount (x):

x = FACTOR × quantity of each ingredient in the official formula
CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 41

STEP 3: Reduction and Enlarging of Official Formula (60 minutes)

To Determine Amount of Each Ingredient Required for Compounding

Activity: Small Group Discussion ( 60 minutes)

DIVIDE students in small manageable groups

ASK students to discuss in groups on the following questions

• What is the amount of each ingredient required to make 40mls of Compound Sodium

Chloride Mouth Wash BPC. 1973?

• What is the amount of each ingredient required to make 20mls Aromatic Magnesium

Carbonate mixture PCx. (Syn. Mistura Carminativa)?

REFER Students to Tanzania Pharmaceutical Handbook (2011): Chapter 2,

Formulary and list of alternatives for Pharmaceutical ingredients including water, for

reference

ALLOW students to discuss for 20 minutes

ALLOW each groups to present for 5 minutes

CLARIFY and SUMMARIZE by using the contents below

• Official formula given for Compound Sodium Chloride Mouth Wash BPC. 1973

o Sodium chloride …………………………………….. 1.5g

o Sodium bicarbonate …………………………………. 1.0g

o Peppermint emulsion, concentrated …………………. 2.5 mL
o Chloroform water double strength …………………… 50.0 mL

o Water for preparation ………………………………. to 100.0mL

Thus:

Total amount of official formula = 100mL
Total amount required = 40 mL
Amount of each ingredient (x) =?
FACTOR = Total amount required .

Total amount of official formula

FACTOR = 40 mL / 100mL
FACTOR = 0.4
CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 42

Then, amount of each ingredient can be obtained as summarized in table below,

Total amount of the official FACTOR total amount required

Sodium chloride…………………….. 1.5g 0.6 g
Sodium bicarbonate ………………… 1.0g 0.4 g
Peppermint emulsion, concentrated…. 2.5 mL 0.4 1.0 mL
Chloroform water double strength … 50.0 mL 20.0 mL
Water for preparation ………….. to 100.0mL 40.0 mL
Therefore amount required for each ingredient to make 40 mL of Compound Sodium Chloride

Mouth Wash BPC. 1973 are:

o Sodium chloride ……………………………………… 0.6 g
o Sodium bicarbonate …………………………………. 0.4 g
o Peppermint emulsion, concentrated …………………. 1.0 mL
o Chloroform water double strength ………………….. 20.0 mL

o Water for preparation …………………………….. to 40.0mL

• Official formula given for Aromatic Magnesium Carbonate mixture PCx. (Syn. Mistura

Carminativa)

o Light magnesium carbonate ………………………..….. 3.0 g
o Aromatic cardamom tincture ……………………..……. 3.0 mL
o Sodium bicarbonate ……………..………………..……. 5.0 g
o Chloroform water double strength …..………………… 50.0 mL

o Water for preparation ………………….…………… to 100.0mL

Thus:

Total amount of official formula = 100mL
Total amount required = 20 mL
Amount of each ingredient (x) =?
FACTOR = total amount required .

Total amount of official formula

FACTOR = 20 mL / 100mL
FACTOR = 0.2

Then, amount of each ingredient can be obtained as summarized in table below,

Total amount of the official FACTOR total amount required

Light magnesium carbonate ……….. 3.0 g 0.6 g
Aromatic cardamom tincture ………. 3.0 mL 0.6 g
Sodium bicarbonate .………………. 5.0 g 0.2 1.0 mL
Chloroform water double strength … 50.0 mL 10.0 mL
Water for preparation …………. to 100.0mL 20.0 mL
CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 43

Therefore amount required for each ingredient to make 20 mL of Aromatic Magnesium

Carbonate mixture PCx,

o Light magnesium carbonate …………………………….. 0.6 g
o Aromatic cardamom tincture ………………………..…. 0.6 mL
o Sodium bicarbonate ……………..…………………..…. 1.0 g
o Chloroform water double strength …..………………… 10.0 mL

o Water for preparation ………………….……………. to 20.0mL

STEP 4: Key Points (10 minutes)

• Reducing and enlarging formula are calculations performed when the required amounts

of medicines (Prescribed/ordered) deviate from the official formula in a reference book.

• Amount of each ingredient from the official formula required for compounding is

obtaining by taking factor multiplying by each ingredient in the official formula

STEP 5: Evaluation (5 minutes)

• What is reducing and enlarging of official formula?
• How do you get factor when enlarging and reducing of official formula.

STEP 6: Assignment (10 minutes)

Activity: Take home Assignment (10 minutes)

DIVIDE students in groups or individual.

ASK the students to work on the following assignment

• Practice to calculate amount required in the following exercises as shown on page 1

and 2 of the worksheet 8.1.

ALLOCATE time for students to do the assignment and submit

REFER students to worksheet 8.1: Take Home Assignment

CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 44

References

Senya, S. S., Mwasha, C. Y. S., Muyinga, A. M., Amiri, R. I., & Mauga, E. A. S. K. (2011).

Tanzania Pharmaceutical Handbook (2nd ed.). Dar es salaam: School of Pharmaceutical

Sciences, Institute of Allied Health Sciences, Muhimbili University of Health and Allied

Health Sciences.

Stoklosa, M. J., & Ansel, H. C. (1996). Pharmaceutical calculations (10th ed.). Baltimore:

Williams & Wilkins.

Winfield A. J., & Rees J. A., Smith I. (2009). Pharmaceutical Practice (5th ed.). Churchill

Livingstone

CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 45

Worksheet 8.1: Take Home Assignment

Take home Assignment

Practice Calculations of amounts required for compounding from the official formula in the

following exercise

Questions / Instructions

1. From the following formula, calculate the quantities required to make 180 mL of Benzyl

benzoate lotion.

Benzyl Benzoate …………………………………………… 250 mL
Triethanolamine ……………………………………………. 5 mL
Oleic Acid ………………………………………………….. 20 mL
Purified Water, to make ………………………………….. 1000 mL

2. From the following formula, calculate the quantities required to make 5 gallons of a

phenobarbital elixir.

Phenobarbital ……………………………………………….. 4 g
Orange Oil ………………………………………………. 0.25 mL

Certified Red color ……………………………………………. q.s

Alcohol ………………………………………………….. 200 mL
Propylene Glycol ………………………………………… 100 mL
Sorbitol Solution ………………………………………… 600 mL
Water, to make …………………………………………. 1000 mL

3. From the following formula, calculate the quantities required to make 5 lb of hydrophilic

ointment.

Methylparaben …………………………………………….. 0.25 g
Propylparaben ……………………………………………… 0.15 g
Sodium Lauryl Sulfate ………………………………………. 10 g
Propylene Glycol …………………………………………… 120 g
Stearyl Alcohol …………………………………………….. 250 g
White Petrolatum …………………………………………… 250 g
CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 46

Purified Water, to make …………………………………… 1000 g

4. From the following formula, calculate the quantity of each ingredient required to make

1500 g of the powder.

Calcium Carbonate ………………………………………… 5 parts

Magnesium Oxide …………………………………………. 1 part

Sodium Bicarbonate ……………………………………….. 4 parts

Bismuth Subcarbonate ……………………………………… 3 parts

5. A timed-release cold capsule contain the following ingredients. Calculate, in grams, the

amount of each ingredient required to manufacture 100,000 capsules.

Phenindamine ………………………………………. 24 mg
Chlorpheniramine Maleate …………………………. 4 mg
Phenylpropanolamine Hydrochloride ……………… 50 mg

6. From the following formula for oral electrolyte solution, calculate the amount of each

ingredient required to prepare 240 mL of the Solution.

Sodium ………………………………………………….. 45 mEq

Potassium ……………………………………………….. 20 mEq

Chloride …………………………………………………. 35 mEq

Citrate …………………………………………………… 30 mEq

Dextrose …………………………………………………. 25 g
Water ad ………………………………………………… 1000 mL
CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 47

ANSWERS

1. Benzyl Benzoate …………………………………………… 45 mL
Triethanolamine …………………………………………… 0.9 mL
Oleic Acid ………………………………………………….. 3.6 mL
Purified Water, to make …………………………………… 180 mL
2. Phenobarbital ……………………………………………….. 75.7 g
Orange Oil ………………………………………………. 4.7 mL

Certified Red color ……………………………………………. q.s

Alcohol ………………………………………………….. 3785 mL
Propylene Glycol ………………………………………… 1892.5 mL
Sorbitol Solution ………………………………………… 11355 mL
Water, to make …………………………………………. 18925 mL
3. Methylparaben …………………………………………….. 0.57 g
Propylparaben ……………………………………………… 0.34 g
Sodium Lauryl Sulfate ………………………………………. 22.7 g
Propylene Glycol …………………………………………… 272 g
Stearyl Alcohol …………………………………………….. 568 g
White Petrolatum …………………………………………… 568 g
Purified Water, to make …………………………………… 2270 g or 5 lb
4. Calcium Carbonate ………………………………………… 576.923 g
Magnesium Oxide …………………………………………. 115.385 g
Sodium Bicarbonate ……………………………………….. 461.539 g
Bismuth Subcarbonate ……………………………………… 346.154 g
5. Phenindamine ………………………………………. 2400 mg
Chlorpheniramine Maleate …………………………. 400 mg
Phenylpropanolamine Hydrochloride ………………. 5000 mg

6. Sodium ………………………………………………….. 10.8 mEq

Potassium …………………………………………………. 4.8 mEq

Chloride …………………………………………………. 8.4 mEq

Citrate …………………………………………………… 7.2 mEq

Dextrose …………………………………………………. 6 g
Water ad ………………………………………………… 240 mL
CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 48

CMT 04101 Dispensing NTA L 4 Semester 1 Facilitator Guide

Session X: ———— -(Title)———————- 49

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