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儿科口服滴管所输送样品的剂量均匀性评估。

An assessment of dose-uniformity of samples delivered from paediatric oral droppers.

作者信息

Brown D, Ford J L, Nunn A J, Rowe P H

机构信息

School of Pharmacy and Chemistry, Liverpool John Moores University, Liverpool, UK.

出版信息

J Clin Pharm Ther. 2004 Dec;29(6):521-9. doi: 10.1111/j.1365-2710.2004.00595.x.

Abstract

BACKGROUND AND OBJECTIVES

To assess the accuracy and precision of delivery from containers containing oral drops, both under optimal laboratory conditions and during use by volunteers using a variety of real pharmaceutical products and specially prepared fluids.

METHODS

The effects of the physical properties (viscosity, surface tension, fluid density) of fluids and the angle of a dropper upon the accuracy and precision of dispensing were investigated under standard laboratory conditions. Dose delivery was then assessed using a number of volunteers who were either given no instructions on the use of containers or were instructed to hold the droppers vertically.

RESULTS

Viscosity, surface tension, fluid density and residual volume had little or no effect upon the volume of liquid delivered by a dropper clamped in the vertical position. However, when the angle of the dropper was moved towards 45 degrees from the vertical, the volume dispensed declined and became more variable to a point where the requirements of the European Pharmacopoeia were no longer fulfilled. This finding applied to a variety of products. When volunteers used the same droppers manually, the mean volumes dispensed were lower than when the droppers were vertically clamped and the variability was greater. It appeared that these problems were associated with volunteers failing to hold the dropper vertically and the precision and accuracy were indeed increased if the volunteers were instructed as to how the dropper should be held. The results from volunteers were more precise and accurate with the most viscous of the fluids tested and it was speculated that this may have been because the volunteers could more easily use the droppers vertically as there was less fear of dispensing too many drops.

CONCLUSIONS

The key factor in achieving satisfactory dispensing from droppers is to ensure that the dropper is held vertically and this should form the basis of instructions to patients. Formulators should consider increasing the viscosity of prepared dropper solutions to reduce further errors in dose.

摘要

背景与目的

评估在最佳实验室条件下以及志愿者使用各种真实药品和特制液体进行实际操作时,口服滴剂容器给药的准确性和精密度。

方法

在标准实验室条件下,研究液体的物理性质(粘度、表面张力、流体密度)以及滴管角度对给药准确性和精密度的影响。然后,使用多名志愿者进行剂量给药评估,这些志愿者要么未接受关于容器使用的指导,要么被指示垂直握住滴管。

结果

粘度、表面张力、流体密度和残留体积对垂直夹紧的滴管所输送的液体体积几乎没有影响或影响不大。然而,当滴管从垂直角度向45度移动时,滴出的体积会下降且变得更不稳定,直至不再符合欧洲药典的要求。这一发现适用于多种产品。当志愿者手动使用相同的滴管时,平均滴出体积低于滴管垂直夹紧时的情况,且变异性更大。似乎这些问题与志愿者未能垂直握住滴管有关,如果指导志愿者如何握住滴管,精密度和准确性确实会提高。对于测试的粘性最大的液体,志愿者的结果更精确、准确,据推测这可能是因为志愿者能够更轻松地垂直使用滴管,因为不太担心滴出过多滴数。

结论

从滴管实现满意给药的关键因素是确保滴管垂直握持,这应作为对患者指导的基础。配方师应考虑提高制备的滴管溶液的粘度,以进一步减少剂量误差。

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