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TDD
Ceutics
46
Pharmacology
Undergraduate 3
11/06/2013

Additional Pharmacology Flashcards

 


 

Cards

Term
Skin functions (largest body of body 2m squared)
Definition
Protect from environment
maintain temp, electrolyte and fluid balance
component of immune, nervous and endocrine system.
Synthesis and metabolism of lipid, proteins.
Term
Chemicals on skin used for?
Definition
cleansing
improve barrier
systemic abs
beauty and ageing
treat disease for skin and underlying tissue
Term
Superficial use
Definition
Sunscreens
cosmetics
insect repellent
Term
Appendageal use
Definition
anti-acne
anti-infectives
antiperspirants
hair restorers
Term
Epidermal/dermal use
Definition
antihistamines
anaesthetics
antimitotics
Term
Systemic use
Definition
nitroglycerin
scopolamine
nicotine
NRT
Term
deeper tissue use
Definition
analgesics
anti-inflammatories
Term
Adv of TDD
Definition
convenience and accessible
Avoid GI tract (acidic)
avoid 1st pass
constant
prolong and rapid termination
Term
Disadv of TDD
Definition
not for rapid effect
skin permeability
physiochemical properties of drug
limited PK clearance
potential metabolism in skin
tolerance
allergic and irritation to skin
Term
Epidermis (outer layer)
Definition
Stratum corneum or horny layer 10-20 microns. systemic needs to cross this layer.
Viable epidermis 50-100 (more aqueous therefore easy to move drug across)
Term
Dermis (1-2 mm)
Definition
contains connective tissue, nerve, lymphatic and vascular vessels
Term
hypodermis and subcutaneous tissue (1-2mm)
Definition
bottom layer
Term
Stratum corneum
Definition
Main barrier
cells are dehydrated. flattened and stretched
Cells slough off away from blood supply and die daily
Term
Absorption
Definition
thru the skin mainly
also hair follicles and sweat ducts
2 routes are intercellular (in the gaps) this space contains a lipid and aqueous region.
transcellular route: directly thru stratum corneum
Term
Stratum corneum lipids
Definition
are ceramides
Term
Skin penetration
Definition
Passive diffusion
lag time is common
needs a steady state diffusion
Term
Passive diffusion
Definition
ficks law: important is K: partition coefficient between applied formulation and skin
D: diffusion coefficient in intercellular channels of diffusion path length
Conc of applied vehicle: assume infinite
Term
Factors for formulation
Definition
lipophilic drug and lipophilic vehicle it want partition out of vehicle
lipophilic drug in aqueous vehicle and skin is more lipophilic than vehicle it will partition better
Formulation tend to be at the limit of solubility (maximum flux)
Term
factors influencing skin penetration
Definition
Age: infant have more permeation
condition: injury or disease
site
blood flow
skin metabolism
species (animal or human)
Term
animal skin vs human skin
Definition
Pig is the closest to humans skin
Term
Skin metabolism
Definition
2% potential of liver
endogenous enz: hormones, steroids, inflammatory mediators
exogeneous enz: drugs, pesticides, environment
for example: polycyclic aromatic hydrocarbons in soot: activated in skin and bind to DNA (scrotal cancer)
Term
Skin metabolism
Definition
2% potential of liver
endogenous enz: hormones, steroids, inflammatory mediators
exogeneous enz: drugs, pesticides, environment
for example: polycyclic aromatic hydrocarbons in soot: activated in skin and bind to DNA (scrotal cancer)
Term
Vehicle effects
Definition
hydration at occlusion
release and abs
vehicle biologically inert
affect skin permeability
enhance flux or SR
Term
vehicle influence
Definition
partitioning from vehicle to skin
solubility of penetration in vehicle
increase solubility in skin
increase diffusion coefficient
disrupt lipid structure
denature proteins
Term
Predicting skin permeation (drug properties)
Definition
MW and vol (>500Da)
Partition coefficient (log P 1-3)
Solubility in oil/water
HB groups (less the better)
melting point (lower is better it is more active)
Term
Log p range
Definition
1-3, if more lipophilic drug will sit there and not into the aqueous epidermis layers
Term
selection of drug candidates?
Definition
daily dose and potency: (limit few mg/day
clearance kinetics: half life (better if longer)and Vd
physiochemical properties partition coefficient
MW
solubility in oil/water
melting point
tolerance, allergy, irritancy
Term
Assessment of skin penetration
Definition
use a FRANZ cell
Term
Examples of TDD
Definition
hormones
nitroglycerin
fentanyl and buprenorphine
clonidine
scopolamine
nicotine
oxybutynin
selegilene
methylphenidate
Term
TDD devices
Definition
all CR
reservoir
matrix or drug in adhesive
multiple polymer
Term
Reservoir system
Definition
has a drug reservoir with a release controlling membrane
Term
Reservoir system
Definition
has a drug reservoir with a release controlling membrane
Term
Matrix
Definition
3 layers
backing
core polymer matrix with drug and penetration enhancer
release liner
Term
DOT matrix Multiple layer
Definition
allow for smaller patches
Term
skin penetration enhancers
Definition
formulation
chemical
physical
combinations
penetration retarders
Term
Azone
Definition
Chemical enhancer
stop HB between ceramide and therefore loosen lipid bilayer
Term
MOA of chemical enhancers that increase diffusion coefficient?
Definition
disorder the stratum corneum lipids (azone, oleic acid, DMSO, terpenes, surfactants)
extraction of stratum corneum lipids (ethanol acetone, surfactants)
denature proteins in corneocytes
Term
MOA by increase drug solubility in skin
Definition
propylene glycol, ethanol, transcutol.
Can use a combo of increase diffusion coefficient and increase drug solubility in skin
Term
carrier systems: vesicles and particles
Definition
liposomes
transfersomes
niosomes
ethosomes
nanoparticles
Term
liposomes
Definition
can be rigid (lipid and cholesterol)
Flexible (lipid and surfactant)
Term
Physical enhancement tech
Definition
structure based (microneedle)
electrically based (iontrophoresis, electroporation, ultrasound, photomechanical wave)
Velocity based (jet propulsion)
Term
Iontophoresis
Definition
small electric charge applied to drug reservoir on skin surface
same charge electrodes as solute to produce repulsion effect
drives solute into skin
god for small drugs and peptides and proteins
can cause erythema at site
E TRANS system for fentanyl by pressing a button for release
glucowatch measure glucose levels
Term
Ultrasound
Definition
increase diffusion with little effect on partition
uses small frequency 20kHz
little data to data
Term
photomechanical waves (PW) and laser ablation
Definition
PW: possible channel thru stratum corneum
transient permeabilisation effect in skin
laser: ablation of stratum corneum
Term
Microneedles
Definition
create physical pathway, less that cutaneous nerves
potential for large proteins and peptides-vaccines
Term
jet propulsion
Definition
helium driven particle accelerators
sml and lge molecules like insulin and vaccines
reports of tissue damage but may be alternative to injection
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