FPGEE for National Association of Boards of Pharmacy (NABP) Practice Exam

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What primary factor affects the stability of a compounded drug?

  1. Drug interaction

  2. Diluent quality

  3. Environmental and dosage form factors

  4. Manufacturer errors

The correct answer is: Environmental and dosage form factors

The primary factor that affects the stability of a compounded drug is the environmental and dosage form factors. Stability encompasses the drug's ability to maintain its identity, strength, quality, and purity throughout its intended shelf life. Factors such as temperature, humidity, light exposure, and the physical and chemical properties of the dosage form play a significant role in determining how a drug withstands degradation over time. For instance, certain drugs are sensitive to light and can break down when exposed, while others may require specific temperature conditions to remain effective. The dosage form itself—whether it be a solid, liquid, cream, or injectable—also influences how the drug will behave under different conditions. Understanding these environmental impacts and dosage specifics is crucial for pharmacists when compounding medications to ensure patients receive safe and effective products. While other factors such as drug interactions, diluent quality, and manufacturer errors can also play a role, they are more situational and less overarching when considering the broad scope of drug stability compared to environmental and dosage form factors.