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Skin functions (largest body of body 2m squared) |
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Definition
Protect from environment maintain temp, electrolyte and fluid balance component of immune, nervous and endocrine system. Synthesis and metabolism of lipid, proteins. |
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Chemicals on skin used for? |
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cleansing improve barrier systemic abs beauty and ageing treat disease for skin and underlying tissue |
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Sunscreens cosmetics insect repellent |
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anti-acne anti-infectives antiperspirants hair restorers |
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antihistamines anaesthetics antimitotics |
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nitroglycerin scopolamine nicotine NRT |
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analgesics anti-inflammatories |
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convenience and accessible Avoid GI tract (acidic) avoid 1st pass constant prolong and rapid termination |
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not for rapid effect skin permeability physiochemical properties of drug limited PK clearance potential metabolism in skin tolerance allergic and irritation to skin |
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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) |
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contains connective tissue, nerve, lymphatic and vascular vessels |
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hypodermis and subcutaneous tissue (1-2mm) |
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Main barrier cells are dehydrated. flattened and stretched Cells slough off away from blood supply and die daily |
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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 |
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Passive diffusion lag time is common needs a steady state diffusion |
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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 |
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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) |
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factors influencing skin penetration |
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Age: infant have more permeation condition: injury or disease site blood flow skin metabolism species (animal or human) |
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animal skin vs human skin |
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Pig is the closest to humans skin |
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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) |
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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) |
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Definition
hydration at occlusion release and abs vehicle biologically inert affect skin permeability enhance flux or SR |
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partitioning from vehicle to skin solubility of penetration in vehicle increase solubility in skin increase diffusion coefficient disrupt lipid structure denature proteins |
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Predicting skin permeation (drug properties) |
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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) |
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1-3, if more lipophilic drug will sit there and not into the aqueous epidermis layers |
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selection of drug candidates? |
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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 |
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Assessment of skin penetration |
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hormones nitroglycerin fentanyl and buprenorphine clonidine scopolamine nicotine oxybutynin selegilene methylphenidate |
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all CR reservoir matrix or drug in adhesive multiple polymer |
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has a drug reservoir with a release controlling membrane |
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has a drug reservoir with a release controlling membrane |
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3 layers backing core polymer matrix with drug and penetration enhancer release liner |
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DOT matrix Multiple layer |
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Definition
allow for smaller patches |
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skin penetration enhancers |
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Definition
formulation chemical physical combinations penetration retarders |
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Chemical enhancer stop HB between ceramide and therefore loosen lipid bilayer |
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MOA of chemical enhancers that increase diffusion coefficient? |
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Definition
disorder the stratum corneum lipids (azone, oleic acid, DMSO, terpenes, surfactants) extraction of stratum corneum lipids (ethanol acetone, surfactants) denature proteins in corneocytes |
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MOA by increase drug solubility in skin |
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Definition
propylene glycol, ethanol, transcutol. Can use a combo of increase diffusion coefficient and increase drug solubility in skin |
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carrier systems: vesicles and particles |
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liposomes transfersomes niosomes ethosomes nanoparticles |
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can be rigid (lipid and cholesterol) Flexible (lipid and surfactant) |
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Physical enhancement tech |
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structure based (microneedle) electrically based (iontrophoresis, electroporation, ultrasound, photomechanical wave) Velocity based (jet propulsion) |
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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 |
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increase diffusion with little effect on partition uses small frequency 20kHz little data to data |
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photomechanical waves (PW) and laser ablation |
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PW: possible channel thru stratum corneum transient permeabilisation effect in skin laser: ablation of stratum corneum |
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create physical pathway, less that cutaneous nerves potential for large proteins and peptides-vaccines |
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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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