Dosage forms: Definition, Classification, and characteristics

The World Health Organization (WHO) defines a dosage form as follows:

“A pharmaceutical product, in the form in which it is presented for use, containing one or more active ingredients usually mixed with excipients.”

In pharmaceuticals, manufacturers create a dosage form as a unique means of preparing medicine for patients. The design aims to guarantee that patients safely and effectively consume the correct dosage of the drug. Various forms, such as pills or liquids, offer different options, and the selection is based on what is most suitable for both the medicine and the patient. These dosage forms play a crucial role in the secure and effective delivery of medications.

They are designed to serve several essential functions:

Accurate Dosing: Dosage forms ensure that patients receive the correct and consistent amount of medication, which is critical for therapeutic effectiveness.

Patient Convenience: They make it easier to take medications by providing various options, such as pills, liquids, or topical applications, based on individual preferences and medical needs.

Drug Stability: Dosage forms help protect the active pharmaceutical ingredient (API) from degradation, ensuring the drug remains effective throughout its shelf life.

Route of Administration: They are tailored to the intended route of drug delivery, whether oral, injectable, topical, or others, ensuring that the drug is administered appropriately.

Classification of Dosage Forms

Dosage forms, also known as pharmaceutical preparations, are integral in administering medications, ensuring that drugs are delivered safely and effectively to patients. These forms can vary widely and are designed to accommodate different drug characteristics and patient needs. In this detailed note, we’ll explore the classification of dosage forms based on their physical state, route of administration, and release characteristics.

I. Dosage Forms by Physical State

Dosage forms can be categorized based on their physical state. Here are some common forms:

1. Solid Dosage Forms:

Tablets: Compressed or molded solid preparations containing the drug and excipients.

Capsules: Gelatin shells enclosing drug powder, granules, or pellets.

Powders: Fine solid particles that may be ingested directly or mixed with a liquid.

Granules: Aggregates of smaller particles, typically for oral administration.

Lozenges: Solid, flavored discs intended for slow dissolution in the mouth.

Sustained-Release Tablets: Tablets designed for gradual drug release.

Effervescent Tablets: Tablets that effervesce when mixed with water.

2. Liquid Dosage Forms

Solutions: Homogeneous mixtures of the drug and a liquid, such as water or alcohol.

Suspensions: Dispersion of solid drug particles in a liquid medium, requiring shaking before use.

Emulsions: Mixtures of two immiscible liquids stabilized by an emulsifying agent.

Syrups: Solutions containing a high concentration of sugar or sugar substitutes.

Elixirs: Sweetened, flavored hydroalcoholic solutions.

Drops: Liquid preparations administered in small, precise doses.

Aerosols: Liquid or solid particles dispersed in a gas, often used for inhalation.

3. Semi-Solid Dosage Forms

Creams: Emulsions for topical application with a smooth and semi-solid consistency.

Ointments: Semi-solid preparations with a greasier texture, suitable for skin application.

Gels: Semi-solid substances with a jelly-like consistency, often used topically.

Lotions: Liquid preparations for external application.

Pastes: Thick, semi-solid preparations, sometimes used for skin conditions.

Suppositories: Solid dosage forms for rectal or vaginal administration.

Liniments: Liquids for rubbing or applying externally.

Powders for External Use: Topical powders for various purposes.

II. Dosage Forms by Route of Administration

The route of administration influences the choice of dosage form:

1. Oral Dosage Forms:

   – Tablets, capsules, syrups, suspensions, solutions, and chewable tablets.

2. Parenteral Dosage Forms:

   – Injections for intravenous (IV), intramuscular (IM), subcutaneous (SC), intradermal (ID), intrathecal, intraosseous, and intracardiac administration.

3. Topical Dosage Forms:

   – Creams, ointments, gels, lotions, transdermal patches, sprays, and aerosols.

4. Rectal and Vaginal Dosage Forms:

   – Suppositories, enemas, creams, ovules, and tablets.

5. Inhalation Dosage Forms:

   – Inhalers, nebulized solutions, aerosols, dry powder inhalers (DPI), and metered dose inhalers (MDI).

III. Dosage Forms by Release Characteristics

Dosage forms can also be classified based on their release characteristics:

1. Immediate-Release Dosage Forms: Release the drug rapidly, resulting in a quick onset of action.

2. Extended-Release (ER) or Controlled-Release (CR) Dosage Forms: Release the drug gradually over time, reducing the dosing frequency.

3. Delayed-Release Dosage Forms: Prevent drug release until they reach a specific part of the gastrointestinal tract, often achieved through enteric coatings.

4. Osmotic Release Dosage Forms: Controlled-release forms that use osmotic pressure to deliver the drug.

5. Sustained-Release Dosage Forms: Ensure a continuous and controlled drug release over an extended period.

6. Enteric-Coated Dosage Forms: Feature a protective coating that resists dissolution in the stomach, releasing the drug in the intestines.

7. Bi-layered Dosage Forms: Combine immediate-release and sustained-release layers for dual drug release.

8. Buccal and Sublingual Dosage Forms: Administered through the buccal or sublingual mucosa for rapid absorption.

Dosage forms are chosen based on drug characteristics, patient needs, and the intended therapeutic effect, ensuring that medications are administered safely and effectively. Understanding this classification is essential for healthcare professionals and individuals involved in medication administration.

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