4_4TopTransderm3 Flashcards

(54 cards)

1
Q

What are the advantages to transdermal patches?

A

1) well-documented release rate and amount, 2) long-term admin, 3) more practical and better control of dose/rate than ointment

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2
Q

What are the disadvantages of transdermal patches?

A

very expensive compared to ointment

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3
Q

What are the components of a patch?

A

1) drug reservoir, 2) rate-controlling membrane, 3) means of attachment

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4
Q

What are the characteristics of drugs employed in transdermal patches?

A

1) potency (most of drug isn’t released), 2) good permeability

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5
Q

What is the max surface area for a patch?

A

50 cm2

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6
Q

What are the concerns over transdermal patches?

A

1) poisonings, 2) abuse

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7
Q

How should a patch be disposed?

A

folded in half and disposed away from kids/pets

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8
Q

How are patches classified?

A

by release mechanism

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9
Q

What are the types of transdermal patches?

A

1) polymer membrane permeation controlled, 2) polymer matrix diffusion controlled, 3) drug reservoir gradient controlled, 4) micro-reservoir dissolution controlled

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10
Q

What is the RLS in polymer membrane permeation (PMP) controlled patches?

A

drug diffusion from polymer membrane

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11
Q

What is the most common polymer employed in RCMs?

A

ethylene vinyl acetate

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12
Q

What are the components of a PMP-controlled patch?

A

1) RCM (polymer), 2) adhesive layer spanning entire area, 3) drug reservoir

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13
Q

What are the components of a PMD-controlled patch?

A

1) drug/polymer matrix reservoir (no RCM); 2) adhesive RIM 3) occlusive baseplate, absorbent pad, impermeable plastic backing

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14
Q

What is the RLS in a PMD-controlled patch?

A

diffusion out of drug/polymer matrix reservoir (no RCM)

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15
Q

According to what do PMD-controlled patches release the drug?

A

square root of time

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16
Q

When are kinetics able to me estimated in a PMD-controlled patch?

A

only when loading concentration&raquo_space; solubility in polymer

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17
Q

What is the RLS in a DRG-controlled patch?

A

diffusion out of polymer mixture

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18
Q

What are the components of a DRG-controlled patch?

A

1) drug/polymer reservoir gradients, 2) impermeable laminate backing

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19
Q

What are the components of a MRD-controlled patch?

A

1) adhesive RIM, 2) adhesive foam pad against occlusive baseplate, 3) polymer matrix reservoir of individual microscopic drug reservoirs

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20
Q

What is the RLS in an MRD patch?

A

diffusion of particles, dissolution of drug, or both

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21
Q

Future research in transdermal deliver focuses on what 3 classes?

A

1) hydrophilic drugs, 2) proteins and macromolecules, 3) vaccines and the immune response of the skin

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22
Q

What patch system is susceptible to an intial burst?

A

PMP-controlled (adhesive has drug incorporated to saturate drug-binding sites in skin)

23
Q

What technologies are future methods of transdermal drug delivery?

A

1) low-pain microneedles, 2) iontophoresis, 3) ultrasound/sonophoresis/phonophoresis, 4) heat-induced permeation

24
Q

Define iontophoresis

A

the facilitated transport of compounds across the skin using applied electrical field

25
Define electrophoresis.
delivery of charged compounds across the skin using a low-voltage gradient
26
Define electroosmosis
electric field creates H2O-flow to transport hydrophilic/charged compound
27
What is another term for electroosmosis?
convection
28
What is electroporation?
transient high-voltage pulses that cause rapid permeation/poration of SC
29
What is electroincorporation?
type of electroporation that transports liposomes through pores
30
Describe the setup of iontophoresis.
2 electrodes connected to a power supply
31
What are advantages to iontophoresis?
1) control of drug input with rate of current
32
What are the disadvantages to iontophoresis?
1) expensive, 2) drug degradation, 3) skin metabolism, 4) local irritation
33
How does electroporation work?
current pokes pores in lipid rafts to cause channels of lower viscosity and 10-1000-fold increase in Pe
34
How long is electroporation effective
minutes-hours. Reversible pathway closes
35
What is phonophoresis?
ultrasound-enhanced drug delivery across the skin
36
What is the frequency of sound waves in high-frequency phonophoresis?
1-16 MEGAHz
37
What is the frequency of sound waves in low-frequency phonophoresis?
20-100 KILOHz
38
Which phonophoresis method is best for drug delivery and why?
low-frequency: produces larger, more frequent cavitation bubbles
39
What is the advantage to phonophoresis?
large drug doses at rapid rates with reduced lag time
40
What are other uses for high-frequency phonophoresis?
topical PT - hydrocortisone for arthritis
41
By what factor does phonophoresis improve permeation?
1000x
42
How long are microneedles?
100 um
43
What are solid microneedles
needles that permeabilize the skin followed by patch application
44
What are coated microneedles
solid drug (vaccines) on needles
45
What are dissolving microneedles
needles dissolve to release drug solution
46
What are hollow microneedles?
needle tip delivers drug solution
47
What does CHADD stand for?
controlled heat-assisted drug delivery
48
How is heat produced in CHADD?
chemical reaction
49
How does heat affect drug delivery in CHADD
permeabilizes SC, enhances blood flow; also increases drug degradation
50
by how much does a 10 degree temp increase increase drug degradation?
2 times
51
How long does the CHADD heat reaction last?
20 min - 2 hours
52
What is one use of CHADD emphasized?
Synera (tetracaine + lidocaine) for peds before needle procedures
53
What is an example of an Ultrasound drug system?
Prelude/Symphony non-invasive glucose monitoring system
54
How does Prelude work?
1) extracts interstitial fluid from SC - no needles so decreased infection and increased compliance