IPP REVENUE HITS

Friday, December 5, 2014

Preparation of Solutions: Part II

Preparation of Gentian Violet Solution

Gentian violet solution contains 0.95 – 1.05g of gentian violet in each 100ml, calculated as hexamethyl para-rosaniline chloride (C25H30Cl-N3). It is known as liquor Methylrosalinae Chloridi.

Formula:
Gentian Violet                  10g
Alcohol                           100ml
Purified Water, qs         ________
      To make                   1000ml

Preparation:
Dilute the alcohol with 800ml of water, dissolve the gentian violet by agitation and add sufficient quantity of purified water to make 1000ml and mix.

Possible Uses:
Anthelmintic useful in the treatment of Strangyloides exyuris infestations in adult, dose of 65mg in 3 times daily before meals. Anti-infective for direct application to tissue in concentration of 1:500 to 1:1000. For instillation in closed cavities a 1:10,000 solution is employed. Treats Vincents angina, cystitis, and urethritis, suppurating joint infections, eczematoid dermatitis furunculosis, recurrent dermatomycosis, monilial paronychia, chronic ulcers, bed sores, impetigo, infectiosa, puritis ani, etc. The drug has been outmoded by antibiotics and systemic antibacterial drugs. A 1% solution is sprayed over burned tissue at 2 hour intervals.



Preparation of Magnesium Citrate Solution NF

Synonyms: Liquor Magnesii Citratis; Citrate of Magnesia; “Citrate”.

Formula:
Magnesium Carbonate                 15g
Citric Acid (anhydrous)                24.4g
Syrup                                          60ml
Talc                                             5g
Lemon Oil                                   0.1ml
Potassium bicarbonate                 2.5g
Purified Water, q.s.                 _________
          To make                            350ml

Note: An amount of citric acid containing 1 molecule of hydration, equivalent to 27.4g of anhydrous citric acid, may be used in the formula.

Preparation: Dissolve the citric acid in 150ml of hot water, add the magnesium carbonate previously mixed with syrup, heat the mixed liquids to boiling, immediately add the lemon oil previously triturated with talc. Filter the mixture while hot into a bottle (previously rinsed with boiling purified water) of suitable capacity. Add sufficient quantity of the boiled purified water to make 350ml. Stopper with purified cotton, allow to cool, add potassium bicarbonate and immediately stopper the bottle. Shake the solution occasionally until KHCO3 is dissolved. Keep the bottle on its side in a cool place, preferably in a refrigerator.

Possible Use: Saline cathartic.

Remarks: The KHCO3 may be replaced by 2.1g of NAHCO3 preferably in tablet form and may further carbonated by the use of CO2, under pressure. Stability is improved by adjusting the quantity of MgCO3 for each 350ml of solution so that it corresponds to 6g of MgO and by sterilizing the solution after it has been bottled. Proper amount of citric acid is used to allow for an excess after the neutralization of MgCO3. An excess is necessary to react with the HCO3 added to form CO2 which gives flavor and therapeutic effectiveness through formation of alkali citrates. Precipitation on standing is increased by the presence of sucrose and CO2 and decreased by sterilization of the finished product. If sterilizers of the finished product are not available, stopper may be sterilized by boiling with water for 20-30 minutes.

The chemical reaction involved in the preparation may be represented by the following equations:
  1. 5C3H4(OH)(COOH)3 + (MgCO3)4.Mg(OH)2 + 5H2O → 4CO2 + 11H2O + 5C3H4(OH)(COOH)(COO)2Mg
  2. C3H4(OH)(COOH)3 + 3KHCO3 → C3H4(OH) (COOK)3 + 3CO2 + 3H2O


Preparation of Potassium Iodide Solution NF

Synonym: Liquor Potassii Iodidi; Saturated Potassium Iodide Solution.

Formula:

Potassium Iodide                        1000g
Purified Water, q.s.                  ________
      To make                               1000g
\

Preparation:
Dissolve the potassium iodide in 680ml of hot purified water, cool to about 25C and add sufficient quantity of purified water to make 1000ml, filter, if necessary.

Note: 500mg of sodium thiosulfate should be added to each liter if solution is not to be used within short time.

Possible Uses:
Can be use in place of lugols solution for the treatment of goiter in the dose of 0.3ml, 3 times daily. Formely in treatment of syphilis. A 0.3g of KI with a glassful of water, every 2 hours is used as saline expectorant in bronchitis and asthma where it afford relief by liquifying tenacious sputum. Usual dose is 0.3ml or equivalent of 300mg of KI.


Ringer's Solution NF
 
Synonyms: Ringers Solution No. I USP XIV; Compound Injection of Sodium Chloride.

Definition: Ringer's Solution contains in each 100ml, 820 – 900mg of NaCl, 25 – 35mg of KCl, 30 – 36mg of CaCl2.2H20.

Formula:
Sodium Chloride                                          8.6g
Potassium Chloride                                      0.3g
Calcium Chloride                                         0.33g
Purified Water recently boiled, q.s.         ________
            To make                                         1000ml

Preparation:
Dissolve the three salts in sufficient quantity of recently boiled purified water, filter and complete the volume.

Possible Uses:
A physiological salt solution for topical application.

Caution: Do not use Ringer's solution for parenteral administration or in preparation to be used parenterally.


Preparation of Ammoniacal Silver Nitrate Solution NF

Synonyms: Liquor Argenti Nitratis Ammoniacalis; Ammoniacal silver Nitrate, Howe.

Definition:
Solution of silver diamino nitrate (diamine silver nitrate, Ag(NH3)2NO2), containing in each 100g the equivalent of 28.5 – 30.5 g of Ag or 9 – 9.7 g of NH3

Formula:
Silver Nitrate                                          704g
Purified Water                                        245ml
Strong Ammonia Solution, about          _680ml_
         To make                                      1000ml

Preparation:
Powder the AgNO3 in a glass mortar and dissolve it in purified water, warming if necessary. Cool to room temperature and through a burette add strong ammonia solution until all but the last trace of black precipitate is dissolved. Filter off the last trace of precipitate.

Possible Uses and Dose:
Applied to infected areas in tooth cavities, to produce a deposit of finely divided metallic silver which acts as germicide and dental protective. Topically mix the solution with reducing agent such as formaldehyde solution (1 in 10) or eugenol, to deposit the metallic silver, in a state of fine subdivision in the desired area of the tooth.


Preparation of Sodium Chloride Solution USP

Synonyms: Liquor Sodii Chloridi; Isotonic Sodium Chloride Solution No. 2 USP XIV.

Definition: A sterile solution of NaCl in purified water containing 0.85 – 0.95 of NaCl.

Formula:
Sodium Chloride                    9g
Purified Water, q.s.           ________
       To make                      1000ml

Preparation: Dissolve the NaCl in sufficient quantity of purified water to make 1000ml, filter until clear. Place in suitable container and sterilize.

Possible Uses:
A physiological salt solution for topical application.

Caution: Do not use NaCl solution for parenteral administration or other preparation to be used parenterally.



Sodium Hypochlorite Solution NF

Synonym: Liquor Sodii Hypochloritis; Chlorox

Caution: Solution is not suitable for application on wounds.

Preparation:
  1. Formerly made by reacting chlorinated lime with sodium carbonate followed by filtration.
CaCl2O        +         Na2CO3        →        CaCO3         +        NaCl        +           NaClO
Calcium Chloride      Sodium                      Calcium                Sodium                  Sodium
Hypochlorite             Carbonate                 Carbonate            Chloride                 Hypochlorite

There is a formation of insoluble calcium carbonate, while the solution contains sodium hypochlorite and sodium chloride.
  1. At present it is mad by passing the proper quantity of chlorine gas into a cold solution of NaOH or Na2CO3.
2NaOH        +         Cl2         →          NaClO         +            NaCl      +        H2O
Sodium                    Chlorine              Sodium                      Sodium             Water
Hydroxide                                           Hypochlorite             Chloride

The NaOH must be kept cool during the passing of chloride otherwise chlorate will be formed instead of hypchlorite.
  1. Passing direct current of electricity through a Sodium Chloride Solution. By passing current, chlorine is given off at the anode and NaOH is formed in the cathode, and if the cell is so constructed that the 2 are permitted to react with each other at ordinary temperature, sodium hypochlorite and sodium chloride are produced.
Uses:
Powerful disinfectant, deodorant and bleaching agent. Used for disinfecting milk cans and other dairies apparatus. It is diluted in the preparation of diluted hypochlorite solution (Dakin's Solution).


Diluted Sodium Hypochlorite Solution NF

Synonyms: Liquor Sodii Hypochloritis Dilutus; Surgical Chlorinated Soda Solution; Liquor Sodae Chlorinatae Chirurgicalis; Modified Dakin's Solution.

Formula:
Sodium Hypochlorite Solution                 1000ml
Sodium Bicarbonate
Purified Water, of each q.s.

Preparation:
Add to sodium hypochlorite solution, 500ml of purified water and 40ml of 5% solution of NaHCO3 in cold water, mix well, take 20ml of the mixture, add about 20mg of powdered phenolphthalein and shake gently for 2 minutes. If red color appear add more NaHCO3 solution and test with powdered phenolphthalein as described, repeating the procedure until no red color is produced. Assay and dilute with sufficient quantity of purified water to make the final solution contain, in each 100ml, 480mg of NAClO.

Possible Uses: In suppurating wounds, often by continuous irrigation. It exerts its germicidal action and dissolves necrotic tissue. It is a deodorant and sometimes employed as foot bath in epidermophytosis.

Remarks:
Solution should be freshly prepared. It is important that the strength of this preparation be accurately adjusted and should be tested if kept for more that a few days.


Preparation Sodium Phosphate Solution NF

Synonym: Liquor Sodii Phosphatis.

Formula:
Sodium Phosphate                      755g
Citric acid                                    130g
Glycerin                                       150ml
Purified Water, q.s.                  _________
           To make                          1000ml

Preparation:
Dissolve the sodium phosphate and citric acid in 150ml water, add the glycerin. Digest on a steam bath until solution is effected. Filter and pass sufficient quantity of purified water through the filter to make the product 1000ml.

Possible Uses: Saline Cathartic.

Remarks:
400g of desiccated sodium phosphate may be used in place of 755g of sodium phosphate in the formula. This alternative needs 500ml of water instead of the 150ml. Citric acid prevents the salt from crystallizing and the glycerin assists in its preparation, especially in preventing development of microorganism.

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