Friday, 7 October 2016

TABLETS
Tablets are solid dosage forms containing drug substance with or without  suitable diluents, and prepared by compression. This is the most frequently used dosage form of administering a drug. They are swallowed, chewed, or held sublingually. Scoring of some tablets into halves or quadrants facilitates breaking them if a smaller dose is needed. A tablet’s  color or shape can help identify it. Advantages: simplicity and economy, stability and convenience in packaging, accuracy of dosage, compactness, portability, and ease of administration.



Tablet types and their abbreviations:
1.   Tablets for oral administration
i.        compressed (or plain) tablets (CT)   – These tablets are formed by compression and contain no special coating. They are made from powdered, crystalline or granular materials, in combination with binders, diluents, etc. (e.g., Analgin, Aspirin, Paracetamol, Saridon, etc.)
ii.        sublingual tablets :
a)   They are relatively small and dissolve rapidly.
b)   they are placed under the tongue and allowed to dissolve
c)   after absorption, the drug enters the systemic circulation without passing through the portal circulation, thus avoiding first-pass inactivation in the liver.
d)   absorption of lipid-soluble molecules through the oral mucosa is rapid and the effect of drugs given in this way may become apparent within 2 min. Nitroglycerin and organic nitrates are commonly administered by this route.
e)   Drugs that are destroyed by the gastrointestinal fluids or are subject to substantial presystemic metabolism may be formulated into such tablets.
Examples: Nitroglycerin, Methyltestosterone, Validol, etc.
iii. buccal tablets are small, flat, oval tablets, intended for buccal administration by inserting them into the buccal pouch (the space between the teeth and the cheek). They are dissolved or eroded slowly. Example:  Desaminooxytocine (Sandopart)
iv.        chewable tablets  are large, hard tablets, difficult to swallow, intended to be crushed before ingesting. Example: Combantrin, Centrum junior, etc.
v.        effervescent  tablets  contain sodium bicarbonate and an organic acid in addition to the drug substance. In the presence of water, these additives react liberating carbon dioxide which acts as disintegrator and produces effervescence. These tablets are soluble and they are taken readily and absorbed rapidly (e.g., Upsarin, Vit C, Supradin, etc.)
vi.  sugar-coated tablets  are smooth, oval compressed tablets containing sugar coatings. Sugarcoating provides both protection and sweet taste but the coating operations take a long time. Example: Nifedipin, Vitaferro, etc.
vii.       film-coated tablets  are compressed tablets which are covered with a thin layer or a film of polymeric substances to protect their contents from moisture or to mask the taste of the ingredients.
viii. enteric-coated tablets are coated with substances that resist solution in gastric fluid but disintegrate in the alkaline contents of the intestine. Enteric coating is used for drugs with a gastric  irritant action, for drugs which are unstable in the acid medium of the gastric contents or if the drug should act on the intestine. (e.g., Voltaren, Salazopyrin).
ix.        controlled-release tablets are formulated to release the drug slowly over a prolonged period of time. These dosage forms have been referred to as prolonged-release (PR) or sustained-release (SR) dosage forms as well.
2. Tablets for parenteral administration
i. inserts are intended for insertion into body orifices. Metronidazole, Isoconazole, Clotrimazole are vaginal tablets (tabulettes vaginales).
ii. pellets (tablets for implantation) are small, sterile tablets, used by implantation when prolonged and continuous absorption is desired (Estradiol, Disulfiram, etc.)

iii.        tablets for solutions are used for preparing solutions for external use 

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