CMCC External Pharmacist Exam study materials
CMCC External Pharmacist Exam study resources

CMCC External Pharmacist Exam: Pharmaceutical Chemistry and Pharmaceutics

CMCC External Pharmacist Exam · Work through your exam, one topic at a time.

All guide sections

Pharmaceutical Chemistry and Pharmaceutics

This domain covers what the molecule is and how it becomes a product: ionisation and solubility, salt and ester selection, chirality, chemical stability, excipients, and the physical pharmacy behind dosage forms.

Ionisation governs behaviour

For a weak base, pH = pKa + log([un-ionised base]/[ionised conjugate acid]). A base with pKa 8.4 in plasma at pH 7.4 gives a ratio of 10^(7.4 − 8.4) = 0.1, so roughly 91% is ionised: water-soluble, poorly lipid-permeable, slow across membranes. Lowering formulation pH increases solubility but may accelerate acid-catalysed hydrolysis, so solubility and stability must be balanced.

Salts, esters and prodrugs

Salts (hydrochloride, sodium, mesylate) change dissolution rate and handling, not intrinsic activity. Esters mask a polar group to improve absorption. Prodrugs need metabolic activation: enalapril → enalaprilat, codeine → morphine via CYP2D6, valaciclovir → aciclovir.

Stability and formulation

Hydrolysis (aspirin, esters), oxidation (epinephrine, ascorbic acid, catalysed by light and trace metals), photolysis (nifedipine) and polymorphism - crystal forms with different dissolution and bioavailability - are classic themes. Excipients are not inert: calcium binds tetracyclines and fluoroquinolones, and benzyl alcohol is avoided in neonates.

Worked example

A weak base of pKa 8.4 is formulated for injection. At pH 7.4 it is 91% ionised and stays dissolved but diffuses poorly; at pH 9.4 the ratio flips to 10:1 un-ionised, improving membrane transit but risking precipitation. The formulator chooses a pH that keeps drug dissolved with a suitable buffer or co-solvent while remaining chemically stable in the chosen container.

Traps

  • Believing a salt form is a different drug.
  • Ignoring chiral switches: S-warfarin is several times more potent than R-warfarin; esomeprazole is the S-enantiomer of omeprazole.
  • Refrigerating a product when cold causes precipitation or a viscosity change.