controlled-release dosage forms regulate the _________ of drug release to achieve sustained, targeted, or delayed delivery
rate and timing
controlled release dosages can respond to physiology based on factors like ____. an example of this dosage form is _____
pH or environment, enteric coatings
controlled release dosages can be steady/ constant release when they ________. an example of this dosage form is ______
continuously, slowly release
zero-order release tablets
controlled release dosages can be biphasic, meaning the drug is released with __________. an example of this dosage form is ________
an initial burst followed by slow release
multilayered tablets
what is the purpose of enteric coated dosages? (3)
1 protect drug from degradation by gastric acid
2 prevent gastric irritation
3 control odor/taste
at low pH: enteric coating is ______ while at high pH, enteric coating _____
intact
polymer ionizes (COOH->COO-), dissolves, releases drug
enteric coatings are predominantly _________
negatively charged polymers
what are 2 common enteric coating polymers
you would expect an enteric coating to be (ionized/unionized) in the stomach and (ionized/unionized) in the intestine
unionized
ionized
what are drugs made for colon delivery made of?
polymers that dissolve at pH>8 (terminal ileum)
How to make an enteric coating that dissolves in the colon
but not in the duodenum?
a) Add strong acidic groups to the polymer
b) Add weak acidic groups to the polymer
c) Use a hydrophobic polymer
b) Add weak acidic groups to the polymer
weak acids stay protonated all the time. requires a very high pH (colon) to remove protons
immediate release meds are dosed _____ while slow release meds are dosed ____
multiple times a day, once daily
which would have a better stable plasma level:
slow release or immediate release?
slow release
which would have fewer side effects:
slow release or immediate release?
slow release
for first order release, the fraction of drug release per unit time is _____
constant
for zero-order release, the amount of drug released per unit time is _____
constant
the curve of a first order reaction is _____ while the curve of a zero-order reaction is ____
exponential, linear
which kinetic type is ideal for stable plasma levels
zero-order
biphasic systems have an outerlayer for _____ and an inner core for ______
immediate release, slow, sustained release
when is a biphasic system prefered?
when you want rapid onset with prolonged effect
Which release form achieves a more stable plasma profile in
plasma?
a) 1st order
b) Zero order
c) Immediate release
d) Plasma levels do not depend on the rate of release
b) Zero order
Which drug would benefit from a slow-release form?
a) drug with a narrow absorption window
b) drug with a broad absorption window
b) drug with a broad absorption window
The prolonged release form would make more sense for:
a) drug with fast plasma clearance (short half-life)
b) drug with slow plasma clearance (long half-life).
a) drug with fast plasma clearance (short half-life)
The prolonged release form would make most sense for:
a) drug with fast GI absorption (high permeability)
b) drug with slow GI absorption (low permeability)
a) drug with fast GI absorption (high permeability)
b) incorrect because it is already slow