Beruflich Dokumente
Kultur Dokumente
STERIL(1)
MATERI KULIAH
I.PENDAHULUAN/INTRODUCTION
* Definisi, contoh sediaan, keuntungan dan kerugian,
II. MACAM SEDIAAN STERIL
* Klasifikasi, contoh, syarat sediaan
III.RUTE PENGGUNAAN
IV. BAHAN PEMBAWA
* Macam
*Syarat
*Purifikasi Air ,( Metoda )
V.PENGEMAS,
*Fungsi,syarat, macam, pencucian dan sterilisasi
VI. STERILISASI
Metoda,
VII. FORMULASI SEDIAAN STERIL
* Preformulasi
* Metode manufacture
VIII.KONTROL KUALITAS,
* Fisika, Kimia dan Biologi
I. PENDAHULUAN
1.Definisi/Istilah-istilah
Contoh Sediaan
2.Keuntungan
3.Kerugian
FIGURE 3.3 Injectable products packaged in multipledose (vial) and single-dose (ampul) containers.
View of a Typical
cGMP Corridor
1.DEFINISI/ISTILAH-ISTILAH
DRUG/OBAT
A drug is defined as an agent intended for use in
the diagnosis,mitigation,treatment,cure, or
prevention of disease in humans or in other
animals
What is a medicine?
Drug as the active ingredient +
excipients formulated into a
suitable dosage form with
complete packaging
Pharmaceutical Dosage Form
( Sediaan Obat )
1.Sterile ( Sterile Dosage Form )
2.Non-sterile ( Non-Sterile Dosage Form )
* ISTILAH-ISTILAH :
- STERIL
-
STERILISASI
ANTISEPTIK
DESINFEKTAN
- INJEKSI
- INFUS
- DLL
Gb.Monovial
Safety Guard System
AKSI CEPAT
SELURUH DOSIS
MENGHINDARI GIT
KONDISI PASIEN
3. KERUGIAN :
* SAKIT
* ALAT KHUSUS DAN KONDISI
* TENAGA AHLI
* RISIKO PEMBERIAN : - SALAH Obat
-- Dosis
Rapid action/onset
a.Berdasarkan Rute Injeksi
1. Padat
: a. Steril ( serbuk kering
steril,implant)
b. Non Steril
2. Semi Padat :
a. Steril
b. Non Steril
3. Cair( larutan , emulsi , suspensi ) :
a. Steril
b. Non Steril
Rute penggunaan : a. Steril :
parenteral , topikal
b. Non Steril :
a.l.oral , topikal
Conc.+Recons.
Stabilitas
ACTION/USE
AcetazolamideSodium
0,5 g Vial+
SWFI
( VIAL = V )
( AMPUL= AP )
A.Inhibits
carbonic
anhydrase
enzym
U.To treat
glaucoma,
epilep,dll
A.Interfere with
nucleic acid
metabol
U.To treat
Ewings
Sarcome
Adriamycin HCl
Allopurinol Na
V( 10 mg+ 50
mg lactose),
lyoph
Red powder +2
ml
SWFI
24 hrs RT, 96
hrs
RF
7 dys RF
V,500 mg+10ml
SWFI
Amobarbital Na
Nmt 30 min
AP,
A xanthine
oxidase
Inhibitor
U.To inhibit
NaCl 8.6 g/L, potassium chloride 0.3 g/L, calcium chloride 0.33 g/L in
same proportions as in Ringers injection. Sterile and pyrogen free; used topically to
irrigate; must be labeled NOT FOR INJECTION; pH 57.5, calculated osmolarity
309 mOsm/L
NaCl in water for injection; 77, 154 mEq/L of each sodium, chloride in 0.45% and
0.9%
wounds and body cavities where absorption into blood not likely; also employed as
enema; for simple evacuation, 150 mL; for colonic fl ush, 1500 mL may be used
Sterile water for irrigation, USP
Sterilized and suitably packaged. Label designations FOR IRRIGATION ONLY, NOT
FOR INJECTION must appear prominently. Must not contain any antimicrobial or
Gb.Ampule sealing
Packaging:-Small Volume
Parenteral(SVP)(<100 ml)
-Large Volume Parenteral(LVP)
(>100 ml)
Penggunaan :1.Single dose 2.Multiple
dose
Injection
Powder for
injection
Chlorpromazine HCl
Solution
Digoxin
Solution
Phytonadione
Dispersion
Procaine penicillin G
Suspension
Anti-infective;IM
Morphine sulfate
Solution
Phenytoin sodium
Solution
Cimetidine HCl
Solution
Histamin H2 antagonist;IM or IV
Usual contents
Amino acid
3.5;5;5.5;7;8.5;10% crystalline
amino acid with or without
varying concentration of electrolyte
or glycerin
2.5;5;10;20 dextrose,other
strengths
Dext.2.5-10%; NaCl 0.11-0.9%
(19-154 mEq sodium)
Fluid or nutrient
replenisher
Dextrose Inj.
Dextrose and Sodium
Chloride Inj.USP
Mannitol Inj.,USP
5,10,15,20,25% mannitol
Ringers Inj.,USP
147 mEq Na,4 mEq K, 4.5 mEq
Lactated Ringers Inj,USP Ca,156 mEq Cl/L
2.7 mEq Ca, 4 mEq K,130 mEq
Sodium Chloride Inj,USP Na,28 mEq lactate/L
0.9% NaCl
Gb.Autoclaving of intravenous
electrolyte solution
III.RUTE PENGGUNAAN
1.General/Umum ;
* i.v. ; i.m.; s.c; i.c
2.Khusus a.l :
* intr.card
* intraarticular, intraarterial
* intraperitoneal,intrapleural
*intraventricular,intrathecal, dll
Dosage Form
Oral
Rectal
Topical
Ointments, creams,
pastes,lotions,gels,solutions,topical aerosol
Aerosols(solution,suspension,emulsion,powder
forms),inhalations,sprays,gases
Nasal
Eye
Solutions,inhalations
Solutions, ointments
Ear
Solutions,suspensions,oinments
Dosage form
Seconds
I.V.-injection
Minutes
Minutes to
hours
Several hours
Days
Varies
Topical preparations
53
5
5
Rute : Intracisternal
- Untuk menarik cairan cerebrospinal
- Pemberian antibiotik [ meningitis ]
- Prosedur
: sulit, tekanan injeksi harus
hati-hati
- Preparation : complete aseptis, pH, density,
free from
particles
5
4
Rute:
intrathecal
PD = peridural
IT =
Intrathecal
5
6
Formulasi
( lanjutan)
1.Rute penggunaan
2.Volume injeksi
3.Bhn pembawa( lautan/suspensi )
4.Tekanan osmose lrtan
5.Preservative
6.pH larutan
7.Stabilitas obat & metoda Sterilisasi
8.Specific gravity d larutan
9.Sifat2 suspnsi injk.
10. Sifat2 emulsi injk
11.Pengemas
12.Partkel/Kontmn,
13.Biofarms inj
Tonicity
Hypertonic
329 350
Slightly hypertonic
270 328
Isotonic
250 - 269
Slghtly hypotonic
0 - 249
Hypotonic
LARUTAN ISOTONIS
Examples :
1.Prepare 100 ml of a solution of methadone HCl 10
mg. per ml. ( 1 per cent ) and make it isotonic with
sodium chloride
a= 0.101 ; b = 0.576
W = 0.52 (0.101 x 1 )/0.576
W= 0.73 g(gm).
2.Berdasarkan nilai Freezing Point
Examples :Prepare 100 ml of a solution of ascorbic acid
isotonic with blood
Freezing point of blood serum
= - 0.52
der.celc.
Freezing point of a 1 % solution of ascorbic acid=0.105 der.Celc
Then,
0.105 : 0.52 = 1 : X
0.105x = 0.52
X = 4.95 g ascorbic acid to be used.
3.Factor Dissosiasi
h = Mh/fh {( 0,28- ( fa/Ma x a + fb/Mb x b +....)}
g/L
Factor Disosiasi:
Non-Dissosiasi
fh = 1, Contoh
: glucose, gliserin
As. atau basa lmh
fh = 1,5
Asam atau Basa kuat,Garam, fh = 1,8
4.Equivalent NaCl
1 g Zat A 0.37 g NaCl
100 ml larutan Zat A memerlukan tambahan
NaCl = ..... G NaCl
5.Grafik , dll
Keseragaman Volume
VOLUME TAMBAHANAN
1
6
AQUEOUS SOLUTION
AQUEOUS SUSPENSION
OLEAGINOUS SOLUTION
OIL-in-WATER EMULSION
WATER-in-OIL EMULSION
OLEAGINOUS SUSPENSION
Fastest realease
Slowest
realease
4
8
DRUG
DRUG
Solid
fine
particles
Diffusion
DRUG
Dissolve in
Absorbed
tissue fluids Partition
ing
2. Oleaginous Solution
DRUGPartition
DRUG
ing Dissolve in
Dissolve
in oil
Diffusion
DRUG
PartitionAbsorbed
tissue fluids
ing
3. OIL-in-WATER EMULSION
Dif. Mix.
DRUGPartition
DRUG
Dillution
DRUG
ing Dissolve DRUG
Dissolve
In oil phase
in aqueous
phase
Diff.
Dissolve in
Partition
Absorbed
tissue fluids ing
4
9
Syarat Suspensi
1. Homogen
2.Mudah disusp. Kembali
3.Mudah dituang ( Pourable = oral )
4.Syringeability dan Injectablity
( Parenteral)
(syringeability.test:a 25-gauge needle, =0,3 mm)
5.Ukuran partikel( kecil/lembut )
6.Kecepatan pengenapan lambat
4. WATER-in-OIL EMULSION
Diffusion
DRUGPartition
DRUG
DRUG
Partition
Into
tissue
Partit.
DRUG fluids
Dissolve
ing Dissolve
ing
Dissolve
Absorbed
in aqueous
In oil phase
in tissue fluids
phase
5. Oleaginous Suspension
DRUG
Suspended in
oil
Dissolution
in tissue fluids
Dissoluti
DRUG on
DRUG
Dissolve In oil
Partit. in
tissue fluids
Dissolve in tissue
fluids
DRUG
Absorbed
5
0
PENGOLAHAN AIR
1.Syarat
2.Macam jenis
3.Air
Vehicle ideal :
a.Sumber
b.Syarat WFI
c.Purifikasi air
d.Hasil purifikasi air
Ad.2..Macam/Jenis Pembawa-Pelarut
a. H2O (Water)
- Purified water ( PW )
-Water for Injection ( WFI )
- Sterile Water For Injection ( SWFI )
- Bacteriostatic Water For Injection ( BWFI )
- Water For Irrigation ( WFIr)
b. Pelarut campur air (Water Miscible Solvent)
- Alkohol
-Gliserin
-Propilen glikol
-Polietilen glikol ( PEG cair/BM rendah )
c. Pelarut tak campur air (Water Immiscible
Solvent
- minyak ( a.l. Cotton seed oil, Sesami oil )
2.3. AIR
a. Syarat
- Fisika , Kimia , Biologi
b. Sumber
- air permukaan, air tanah , deep well
c. Pemurnian: - I.E (ion Exchange)
- EDI ( Electrodeionisasi )
- Distilasi
- R.O (Reverse Osmosis)
d. Air Hasil Pemurnian
-PW
-WFI
-SWFI
-BWFI
-WFIr
Pharmaceutical Grade
Water Requirements
Purified Water
(Eur. Pharm. +
USP)
(European
Pharmacopeia)
1.3 S/ cm
1.3 S/ cm
Heavy Metals
0.1 ppm
0.1 ppm
Nitrate
0.2 ppm
0.1 ppm
Microbial Limit
< 10 cfu/ ml
< 10 cfu/ ml
Endotoxines
Conductivity at 25C
Total Organic
Compound
USP
1.3 S/ cm
-6
ppm = % x 10
10
% x 10
ppm= % x 10000
Example:
Convert 0,5 % chlorine solution to ppm
chlorine
ppm = % x 10000= 0,5 x 10000
= 5000
ppm
= 5000
AIR
Air untuk Injeksi, Syarat
1.
2.
3.
4.
5.
6.
7.
Jernih
Tidak berwarna
Tidak berbau
pH: 5,0-7,0
Bebas mikroba
Bebas pirogen
Bebas partikel
Pemurnian Air
1. Berdasarkan Sumber atau asal :
a. Air permukaan
b. Air tanah
Pemurnian Air
a. Metode pemurnian:
1)Ion Exchange
Single bed
Mixed bed
Tahap pertukaran ion
Tahap regenerasi (HCl/NaOH)
* ELECTRO DEIONISATION
2)Distilasi
Simple still distilation
Multiple effect still distilation
Kelebihannya dengan simple still dist
Bagan Pengolahan
Air
2
4
Demineralisator
Raw Water
Finn Aqua
Storage tank
-Air tanah
[ Ca dan Mg ]
+
+
-Air dengan+kesadahan
tinggi [DH= Degree or
+
Hardness sekitar 13-18 DH]
-Water Softener
dilengkapi kolom
+
+
+
resin
(untuk
mengikat Ca dan
+
+
Mg ) dengan melepas H
1-10 DH
-Resin yang jenuh dibersihkan
-kation E
HCl 30%
-anion E
NaOH 30%
-Dimineralisator
KE
AE
Dilute
Concentrates
C
Concentrates
C
Na+
(+)
Cl
Cl
Anodyte
Na+
Cl
Na+
Feed (NaCl)
A. Anion exchange membrane
B. Cation exchange membrane
(-)
Cathodyte
I.DISTILLASI
Steam
Condensor
Boiler
Cold water
Feed water
Receiver
33
Boiling water
Vapou
r
100
50
0
100 kcal
640 kcal
MULTIPLE-EFFECT
EVAPORATOR
Vapo
r
st
Vapo
r
nd
rd
Effec
t
Input
energ
y
Vapo
r
Effec
t
Feed
water
Feed
water
Feed
water
Effec
t
Condense
r
DISTILLATE
Four-Effect Distill
- 0,8 kg air dingin
konden. 1 kg.
distilat
- 0,1 kilo watt/kg energi listrik diperlukan
Perbandingan [still tunggal] :
- 12 kg air dingin, dan
- 1,2 kilo watt/kg energi listrik
Distillasi:
1.Semakin bersih air yang dipakai ( feed
water)
jarang membersihkan
(efficiency)
2.Feed water
diolah sebaik mungkin
3.Peralatan modern
menggunakan PW
Catatan: -Destilasi harus dioperasikan dengan
kecepatan rendah
-Pyrogen (heat stable)
hati-hati
Pemurnian Air
Proses Klorinasi:
1.Membunuh kuman
2.Menghilangkan bau
Senyawa Chlor :
1.Gas chlorin
2.Senyawa hipoklorit
3.Chlorine dioksida
4.Bromine chlorida
5.Chloramine
Obyek : - limbah industri Biasanya negara- kolam renang
negara berkembang,
- air minum
karena
1. Relatif murah
2. Mudah
3. Efektif sebagai
desinfektan
Cl
+ 2H O
+ H 2+ 2Cl
+
+
HOCl -
Ca(OCl) + 2H O
2 HOCl
+ Ca membunuh
+ (OH) kuman (desinfektan)
Yang
Single bed IE
NaCl
NaCl
CaSO 4
CaSO 4
KE
-SO H
3
HCl
AE
AE
KE
-N-OH
-N-OH
-SO H
3
H2O
NaOH Ca(OH)2
H2O
3
0
NaCl
CaSO 4
AE
Mixture
of
KE+AE
H2O
Mixed bed IE
A.Deionizing stage
B.Regeneration of
the resins
ION-EXCHANGER SYSTEM
GAMBAR
Cara Kerja Ion-Exchanger
Air baku ( Raw water) yang dihasilkan masih mengandung
pengotor mekanik, colloidal polutan, bau, dan warna dari mineral
mangan, besi dll. Karena itu perlu dilakukan proses pendahuluan
dengan Sand filter untuk menyaring pengotoran mekanik, alum
untuk menghilangkan colloidal polutan serta carbo filter untuk
menghilangkan warna dari air, water softener untuk
menghilangkan kesadahan air (Ca++, Mn++ dan Fe++)
Dilute
Concentrate
s
C
A
Concentrate
s
C
A
Na+
(+)
Cl
Cl
Anodyte
(-)
Na+
Cl
Na+
Feed (NaCl)
A. Anion exchange membrane
B. Cation exchange membrane
Cathodyt
e
More
concent
sol.
Less
concent
sol.
Water flow
Reverse Osmosis/Continuous
Deionization (RO/CEDI) Process
OSMOSIS :
1. Air
Membran semipermeabel
2. Konsentrasi rendah
Konsentrasi
tinggi
REVERSE OSMOSIS
:
Konsentrasi tinggi
Konsentrasi rendah
Pemisahan Solute [ Charged
ions,
neutral
organics ]
melalui membran semipermeabel, dari
konsentrasi pekat
menuju konsentrasi encer
Organik
Ions
Penyaringan
Fenomena Antarmuka
Presure
ion
feed
Semi permeable
membrane
permeable
Concentrate
[R.O]
Filtrasi (Seri)
Porositas semakin kecil
Partikel kasar
Bakteri
Virus
Pyrogen
Ions
Reverse Osmosis
3
6
Produksi:
1.Air minum [ air laut ]
2.WFI [ USP ]
OSMOSIS: Air
Membran
Semipermeabel
Konsentrasi rendah
P
luar tinggi
kons.
Reverse Osmosis: [ konst. tinggi
konst. rendah ]
Porositas
semakin kecil
RO
Filtrasi
(seri)
Partikel kasar
Bakteri
Virus
pyrogen
ions
3
7
Reverse Osmosis
- Membran [ tepat ]
- Monovalen ion
ion valensi tinggi
- Air [ Feed water ]
Permiat murni
Lebih sulit dari pada
Disesuaikan pH
Dilunakkan
Mekanisme
Partikel bermuatan dipisah /
ditolak
Tegangan antar muka
antara membran air
[ Zat organik BM tinggi
Disaring ]
Mikroba mengumpul pada membran
[ Chlorine dijaga tinggi
]
2
[ Chlorine, Ammonia, CO
Lapisan karbon
aktif
Keuntungan RO:
1.Energi efisien
2.Air hasil relatif banyak
3.Reduksi biaya energi
Pertimbangan
4.Biaya kontrol kualitas
o
5.Segera dipakai [ Temp. 70-80 C ]
Keuntungan RO:
1.Energi efisien
2.Air hasil relatif banyak
3.Reduksi biaya energi
Pertimbangan
4.Biaya kontrol kualitas
o
5.Segera dipakai [ Temp. 70-80 C ]
27
Stea
m
Condensor
WFI
Steril
Return
circuit
Heat
exchange
r
Steam or
hot water
Storage
tank 80
Pum
p
FIGURE 3 WFI
storage tank and
control panels.
DAFTAR PUSTAKA
I.Aulton,M.E.,1994, Pharmaceutics,The Science of Dosage Form Design,ELBS,Edinbugh
II.Ansel,H.C,Allen,L.V, and Popovich NG,2011, Pharmaceutical Dosage Forms and Drug Delivery Systems ,
7th ed.,Lippincott, Williams and Wilkins, Baltimore,MD, 1999
III.Avis,K.E.Lachman.L,Lieberman,H.A;,1990, Pharmaceutical Dosage Forms,Parenteral
Medication,vol.1,2,3, Marcel Dekker,NY
IV.Banker,G.S., Rhodes, C.T.,2004, Modern Pharmaceutics,4rd.ed., Marcel Dekker, NY
V.Groves,M.J.,1989, Parenteral Technology Manual, An introduction to Formulation,Production and
Quality aspect of Parenteral Products, sec.Expd.ed, Interpharm PressInc.,IL, USA
VI.Remingtons Pharmaceutical Sciences,2000, 20 th.ed.., Lippincott, Williams and Wilkins, Baltimore, MD,
VII.Turco,S.,,1994, Sterile Dosage Forms, 4 th ed.,Lea & Febiger, Philadelphia.
VIII.Groves,M.J,Olson,W.P. and Anisfeld,M.H.1991, Sterile Pharmaceutical Manufacturing,Applications for
the 1990s,Vol.Interpharm Press,IL,USA
IX. I.Aulton,M.E.,2007, Pharmaceutics,The Design and Manufacture of Medicines,Third Ed.,ELBS,Edinbugh
X.Olson,W.P.and Groves,M.J(eds).,1987,Aseptic Pharmaceutical Manufacturing,Technology For The
1990s,Interpharm Press.
XI.Dll.
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