D - pharmaceutics Flashcards

(44 cards)

1
Q

State the importance of dissolution

A

Only substances in the molecularly dispersed form ( in solution ) can be transported across biological membranes to be absorbed into systemic circulation

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2
Q

What influences the rate and extent of dissolution

A

The excipients

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3
Q

What is the notes - Whitney equation and what does each letter stand for

A

dm. kA ( Cs - C)
———. =. ——————-
dt. h

dm
———. the dissolution rate
dt

K - diffusion coefficient

A - surface area

Cs - saturation solubility in the diffusion layer

C - concentration of drug in solution

h - thickness of diffusion layer

Because we want the dissolution rate to be large so dissolution is fast

We want diffusion coefficient , surface area and saturation solubility in diffusion layer to be high

And we want concentration of drug in solution and thickness of layer to be small

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4
Q

What factor affects surface area of undissolved solid A

A
  • Particle size
  • porosity of solid particle

Smaller particles = bigger surface area

Porous solids have more pores and so a higher surface area

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5
Q

What factor affects Saturation solubility in diffusion layer Cs

A
  • temperature
  • salt forms
  • molecular structure
  • crystalline form polymorphism
  • presence of other compounds
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6
Q

Describe how temperature affects Saturation solubility in diffusion layer Cs

A

Higher temperatures = higher solubility

As kinetic energy of particles increase which encourage faster dissolution

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7
Q

Describe how salt forms Saturation solubility in diffusion layer Cs

A

Conversion of weak acid to its sodium salt = greater ionic dissociation of compound when dissolved in water = higher solubility

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8
Q

Describe how molecular forms Saturation solubility in diffusion layer Cs

A

Solutions already in molecular form available for absorption

may contain acidic drugs as salt form which can precipitate in stomach . But precipitate usually dissolved easily in smalll intestine

Poorly water soluble acidic drugs may have better bioavailability as a suspension.

Suspensions almost as efficient as solutions.
Typically poor water soluble drugs show dissolution rate - limited absorption

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9
Q

What factor affects concentration of drug in solution C

A

Volume of dissolution medium

If we increase the volume the concentration will decrease

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10
Q

What factor affects Diffusion coefficient K

A

Viscosity of the medium

Less viscous ( thinner ) = less resistance more dissolution

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11
Q

What factor affects Thickness of the diffusion layer h

A

Degree of agitation of medium

Increasing agitation reduces thickness

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12
Q

Describe how polymorphism / crystalline forms affect saturation solubility im diffusion layer

A

Crystalline - molecules are packed in defined order which repeats each form is known as a polymorph which will affect C

Amorphous forms generally have higher solubility than crystalline forms

Anhydrous form often has a higher dissolution rate than hydrous

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13
Q

What is the role of common excipients in tablets for oral use

A

Disintegrant - ensures tablet breaks into fragments when in contact with liquid . Works by increasing water uptake / rupturing t valet by swelling.

E.g starch and cellulose

Will increase A

Dissolution enhancer - temporarily increases solubility during dissolution.

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14
Q

What is the role of common excipients in injections for parenteral drug delivery

A
  • Vehicle e.g water or common console vents e.g alcohols

Sometimes oily vehicles e.g esters to provide a depot of drug for slower absorption
W

  • buffers to adjust pH
    Preservatives to increase stability
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15
Q

What is the role of common excipients in vaginal suppositories ( pessaries ) for vaginal drug delivery

A

Pessaries contain 1/more active substances dissolved / dispersed in a base

Base may be soluble / discernible in water / melt at body temp

Common hydrophobic based
Hydrophilic waxes
Gelatin hydrophilic )

Hydrophilic Bases are water miscible and mix w secretions.

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16
Q

What is the role of common excipients in ointments , creams and pastes for topical and transdermal drug delivery

A
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17
Q

what is the need for advanced drug delivery with regards to contraception

A

give zero order release of the drug.

this means an initial rise then constant drug plasma concentration inside the therapeutic window.

this can lead to constant drug effect so a reduced window for unplanned pregnancies to occur

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18
Q

how can constant drug plasma concentration in the therapeutic window be acheived

19
Q

What are long - acting reversible contraceptives LARCs and give examples

A

methods of birth control which provide effective contraception for an extended period without requiring user action

e.g IUDs and IUSs

20
Q

How do IUDs act as a LARC

A

inserted within the cervical canal and sit in the uterus. no hormones .copper

they impair sperm viability and result in the endometrium being left inhospitable to inplantation of the embryo

21
Q

give some advantages and disadantages of IUDs

A

+
no drug interactions
effective immediately
highly effective
reversible

-
can result in menorrhagia
less likely to protect against ectopic pregnancy

22
Q

How do IUSs act as LARCS

A

polymer t shaped frame with a hormone resevoir around stem

resevoir contains drug which when released supresses the endometrium preventing implantation

also causes cervical mucus to thicken making it inpenetrable to sperm

23
Q

Give some advantages and disadvantages of IUSs

A

+
highly effective
reversible
reduced risk of menorrhagia

-
less likely to protect against ectopic pregancies
irregular bleeding
wider than IUD

24
Q

what are matrix systems

A

contain drug loaded uniformly into a polymer matrix .

release is controlled by diffusion through matrix material/ aqueous pores

25
25
26
describe the kinetics of matrix controlled release device
release follows higuchi equation rate of release is more rapid initially and slows as concentration of drug near polymer surface decreases
27
what factors affect the release rate of the drug from a matrix controlled system device
more porous the matrix the more rapid the release more tortous the pores = longer pathway for diffusion = slower release
28
what is a resevoir system device
the core acts as a saturated resevoir of the drug the core is surrounded by a membrane permeable to the drug the drug partitions from the core to the membrane and into the biological fluids
29
describe the kinetics of a resevoir controlled device
release follows ficks law these devices display more constant release rates
30
what factors affect release rates of the drug from a resevoir system device
membrane thickness thicker = slower release greater area available for molecular diffusion = greater release rate
31
describe the anatomy of the vagina
see diagram in notes vaginal wall consists of 4 layers: epithelial layer, lamina propria, muscular layer, tunica adventitia surface covered in rugae which provides distensibility, support and increased surface area fluid arises from vaginal section transduation ( vaginal secretion ) from blood vessels secretion from endometrium and falopian tubes
32
what are the challenges associated with vaginal drug delivery route
- sexual activity can alter drug release patterns from the vaginal drug delivery system as it will affect the volume and composition of vaginal fluid - gender specificity - local irritation - cultural sensitivity - variability in epithelium thickness, fluid volume and pH - leakage of dosage form is inherent
33
Describe how variability in fluid volume challenge vaginal drug delivery
cyclic changes in fluid volume can be positive / negative: -increased fluid may remove drug from vaginal cavity and limit absorption - viscoud cervical mucus may act as a barrier - if drug has poor water solubility, increases in fluid will have greater absorption
34
what are advantages associated with vaginal drug delivery
- in local action allows the use of smaller doses with reduced systemic delivery and toxicity - in systemic action : drugs administered by this route may exhibit higher bioavailability compared with oral routes as first pass metabolism is avoided - systemic action :suitable for patients with restricted oral adminstration e.g severe vomitting - systemic action :can self administer and remove dosage form - potential for preferential delivery to uterus
35
know the major routes of adminstration for each drug and outline advantages and disadvantages for each
- inhalation - oral -transdermal -patches - rectal - injections : - intravenous - intramuscular -subcutaneous - intrathecal
36
direct administraion routes give drug directly to area of need e.g topical creams/ solutions eye drops intravenous infusion inhalation of gaseous/ volatile drugs
Advantages : +rapid and local effect + No loss to first pass metabolism + reduced risk of systemic side effects Disadvantages - not possible for internal targets - may be difficult to self administer -dosing is more complex - systemic absorption will occur from eyes and lungs
37
Outline the advantages and disadvantages of intravenous injections injection into the vein
advantages : + very rapid onset of action + suitable for large volumes + absorption avoided + allow for careful , precise titrations of doses disadvantages : - not suitable for oily/ poor soluble substances - risk of serious adverse effects e.g embolism
38
Outline the advantages and disadvantages of intramuscular injections injection into muscle parenchyma : solutions, suspensions, solid implants
advantages: +rapid absorption into systemic cirulation + suitable for oily vehicles + formulation can modify release kinetics disadvantages: - painful - danger of nerve damage
39
Outline the advantages and disadvantages of subcutaneous injections injection into adipose tissue layer solutions, suspensions, solid implants
advantages : +rapid absorption into systemic cirulation + suitable for some poorly soluble suspensions + formulation can modify release kinetics disadvantages : - risk of pain / necrosis ( death of cells in body tissue ) from irritating substances - not suitable for large volumes
40
Outline the advantages and disadvantages of intrathecal injections injection into sub- arachnoid space in spinal column solutions, suspensions
advatages + direct access to cerebospinal fluid + bypasses BBB ( blood - brain barrier disadvantages - requires technically skilled staff - not suitable for many drugs/ additives/ formulations - sterility essential
41
Outline the advantages and disadvantages of transdermal route topical creams / surface patches absorped into blood supply of skin
advantages + improved patient compliance + microneedle patched penetrate deeper layers of epidermis + avoids first pass metabolism disadvantages : - skin irritation
42
Outline the advantages and disadvantages of GI routes : - sublingual and buccal - oral - rectal
Oral Advantages : + economical as its mass produced + easy to self adminster + multiple forumations possible Disadvantages - loss due to first pass metabolism - incomplete absorption - need compliant and conscious patient - not suitable with GI disease, nausea vomiiting
43
how does route of administration affect rate and extent of drug absorption into systemic circulation
depends on blood supply path to systemic circulation site of administration