transdermal drug delivery Flashcards

1
Q

Name 5 reasons why you would use transdermal drug delivery

A

Avoid pre-systemic metabolism
Maintain drug level within therapeutic window for prolonged period
Reduce inter- and intra-patient variability
Improved patient compliance
Drug input terminated simply by patch removal

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2
Q

State 6 transdermal delivery limitations

A
Limited to portent drug molecules
Physical chemistry-small, lipophilic and sol in water and oil
Tolerance problems
Area of patch <100cm2
Must not be locally irritating
Expense-justification
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3
Q

Name some examples of transdermal products currently on the market

A

Scopolamine, nitroglycerin, clonidine, estradiol, fentanyl, nicotine, testosterone, combination norelgestomin-ethinyl estradiol, combination estradiol-norethisterone acetate, combination estradiol-levonorgestrel, buprenorphine, oxybutynin, methylphenidate, selegiline, rotigotine, rivastigmine, granisetron

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4
Q

What are the 3 types of transdermal delivery systems?

A

Adhesive
Layered
Reservoir

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5
Q

What is scopolamine used for?

A

Morning sickness

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6
Q

What is clonidine?

A

Potent anti-hypertensive drug

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7
Q

What were the two problems with transdermal delivery of clonidine?

A

Adhesion for 7 days

Sensitisation

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8
Q

What is estradiol used for?

A

Post-menopause hormone replacement

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9
Q

What is fentanyl?

A

Analgesic with very narrow therapeutic index

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10
Q

How much did fentanyl make on the US market in 2007?

A

> $1.2B

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11
Q

Rate in=?

A

Rate out

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12
Q

Area x J = ?

A

Cl x Css

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13
Q

What is buprenorphine?

A

Opioid drug with partial agonist and antagonist actions. Indicated to treat moderate/ severe pain, peri-operative analgesia and opioid dependence

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14
Q

Does buprenorphine have a long or short half life?

A

Long

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15
Q

What are the two brands of buprenorphine called?

A

Transtec

Bu-trans

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16
Q

What rates are Transtec patches available in?

A

25, 50 and 75 mcg/hour

17
Q

What rates are Bu-trans patches available in?

A

5, 10 and 20 mcg/hour

18
Q

What are nicotine patches used for?

A

Smoking cessation

19
Q

what is the half life of nicotine?

A

2 hours

20
Q

What can testosterone patches be used for?

A

Hypogonadism

21
Q

What does the EVRA contraceptive patch contain?

A

Norelgestromin + ethinyl estradiol

22
Q

What size is the EVRA patch?

A

20cm^2

23
Q

What parts of the body can EVRA be applied to?

A

Abdomen or buttocks

24
Q

What are oxybutynin patches used to treat?

A

Overactive bladder

25
Q

How does oxybutynin work?

A

Relaxes bladder mucles to prevent urgent, frequent or uncontrolled urination

26
Q

What is Daytrana (methylphenidate) used to treat?

A

ADHD

27
Q

What is selegiline approved to treat?

A

Major depressive disorder

28
Q

What was the first drug developed from the outset for transdermal dilvery?

A

Rotigotine patches

29
Q

What is rotigotine used to treat?

A

Early stage Parkinson’s disease

30
Q

What is Granisteron?

A

Serotonin receptor antagonist for prevention of nausea/vomiting in pts recovering from chemo for up to 5 consecutive days