Suspensions



Suspensions are liquid dosage forms in which solid drug particles are dispersed throughout a liquid medium. The solid particles do not dissolve in the liquid but remain suspended with the help of special agents. Suspensions are used when a drug is insoluble in water or when a liquid form is preferred for easier swallowing, especially for children and elderly patients.

Definition

suspension is a coarse dispersion in which insoluble solid particles (the drug) are uniformly distributed throughout a liquid vehicle with the help of a suspending agent.

Composition

  • Active ingredient: The insoluble drug in solid form
  • Liquid vehicle: Usually water or an aqueous base
  • Suspending agents: Such as tragacanth, methylcellulose, or xanthan gum, to keep particles evenly dispersed
  • Sweeteners and flavoring agents: To make the suspension palatable
  • Preservatives: To prevent microbial growth
  • Coloring agents: To improve appearance

Advantages

  • Suitable for drugs that are insoluble in water
  • Improves taste and appearance, especially for pediatric use
  • Easy to swallow, preferred for children and elderly
  • Flexible dosing, can measure variable doses easily
  • Provides better stability for some drugs compared to solutions
  • Can be used for both oral and external (topical or injectable) use

Disadvantages

  • Sedimentation of particles may occur on standing
  • Requires shaking before use to ensure uniform dosing
  • Less stable compared to solutions
  • May have gritty texture or poor taste if not properly formulated
  • Inaccurate dosing possible if not well mixed

Examples

  • Paracetamol suspension – used as a fever and pain reliever for children
  • Antacid suspensions – for acidity relief
  • Amoxicillin suspension – antibiotic for bacterial infections
  • Zinc oxide suspension – for skin protection and healing

Importance of Suspensions (with Examples)

  1. Allows administration of insoluble drugs in liquid form:
    Suspensions make it possible to give drugs that do not dissolve in water by dispersing fine particles in a liquid medium.
    Example: Antacid suspensions containing magnesium hydroxide or aluminum hydroxide are insoluble but effective in liquid form.
  2. Improves patient compliance, especially in pediatric and geriatric patients:
    The liquid form is easy to swallow and can be flavored, making it suitable for children and elderly patients.
    Example: Paracetamol suspension is preferred for children who cannot swallow tablets.
  3. Ensures accurate and flexible dosing:
    Doses can be measured easily using spoons or droppers, and can be adjusted according to the patient's age and condition.
    Example: Antibiotic suspensions like amoxicillin allow flexible dosing for children of different ages.
  4. Useful for both oral and external use:
    Suspensions can be applied externally on the skin or taken orally depending on the drug and purpose.
    Example: Calamine lotion (topical suspension) is used for itching and skin irritation; oral antacids are suspensions used internally.
  5. Provides stability and prolonged drug action:
    Since the drug is in solid particles rather than dissolved, it is more stable and can release slowly, prolonging its effect.
    Example: Procaine penicillin suspension (for injection) provides sustained antibiotic action.
  6. Essential dosage form in pharmacy for drugs that cannot be made into solutions:
    Some drugs lose effectiveness or chemical stability when dissolved; suspensions are the best alternative.
    Example: Corticosteroid suspensions (like hydrocortisone acetate) are used when a stable solution cannot be prepared.