Drug Delivery Flashcards

(49 cards)

1
Q

What characteristics of the patient influence drug formulation?

A
  • Patients Needs
  • Their disease state
  • Their pharmacological characteristics.
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2
Q

What 5 things are to be considered when determining dosage regime?

A
  • Any renal/hepatic failure
  • The recommended doses
  • Age & weight
  • Disease
  • Drugs Toxicity
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3
Q

Where are oral meds absorbed into systemic circulation?

A

Oral meds absorped in the GI tract

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4
Q

Define a suspension:

A

Coarse drug particles in a liquid phase

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5
Q

What type of drugs are used in suspension?

A

Insoluble & unpalatable drugs

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6
Q

What type of patients would use solutoins/suspensions over tablets?

A

People with swallowing difficulties including the very young & old.

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7
Q

How are solution & suspensions delivered?

A

By naso-gastric or Peg tubes

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8
Q

What is the rate limitng step in tablet absorption?

A

The tablets break down or “dissolution”

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9
Q

What are the main advantages of tablet/capsule drugs?

A
  • convenient to use
  • accurate doses
  • easily reproducible in mass
  • high drug stability
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10
Q

Why would you use an enteric coating on a tablet?

A

Protect from destructive stomach acid (Allowing it to reach the small intestine) or protect stomach from a toxic drug

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11
Q

What drugs are enteric coated & why?

A

Omeprazole, to protect it from stomach acid
Aspirin to protect the stomach from it.

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12
Q

Why don’t enteric coated tablets disintegrate till they reach the small intestine?

A

Only disintegrate in higher pHs, stomach is very acidic so unchanged in it

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13
Q

What are the advantages o prodrugs?

A

Avoid drug degradation in gut
Prolong duration of action

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14
Q

What does a prolonged release formulation do?

A

Maintains drug level within therapeutic range over a longer period

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15
Q

How does using prolonged release formulations improve patient compliance?

A

Prolonged release formulations need less frequent doses, increasing odds a patient will take them all

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16
Q

In what 3 forms do prolonged release formulation geerally come?

A

Oral tablets
Intramuscular Injection
Surgical implants

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17
Q

What drugs are delivered by surgical implant?

A

Progesterone (contraception)
Testosterone

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18
Q

What drugs are ideal for buccal/sublingual administration?

A

large amount of pre-systemic or first pass metabolism

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19
Q

Do rectally delivered drugs treat locally or systemically?

A

both local & systemic conditions

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20
Q

For what type of patient are rectal route drugs useful?

A

those unable to swallow

21
Q

In what forms do rectal drugs come?

A

Creams
Liquids
Suppositories

22
Q

Do drugs delivered vaginally treat locally or systemically?

A

Vaginal route drugs treat local disease

23
Q

In what form are most vaginal route drugs?

24
Q

For what type of patient are IV drugs especiall useful?

A

Unconscious or comatose patients

25
Why is IV good for drugs with short half-lives?
Allows constant infusion so drug level remains within therapeutic range (instant of spiking & dropping with doses)
26
Are IV drugs rapid or slow release?
IV drugs have rapid systemic effects
27
For what type of drugs is IV delivery especially useful.
Short half life drugs Drugs with narrow therapeutic index
28
what type of drugs are delivered intramuscularly
Insoluble drugs or those fomrualted in an oil base
29
Examples of drugs given by subcutaenous injection?
Heparin Insulin Narcotic Analgesics
30
How long do intramuscular injected drugs work?
Drugs injected intramuscularly can have sustained effects of up to months
31
You cant see a patients veins but desperately need to deliver fluid what method do you use?
Subcutaneuous injection
32
In what ways are subcutaneous injections deivered?
- Dermojet (needles) - Solid pellet implanted below skin - Pumps (e.g. insulin pump)
33
Drug is delivered via an adhesive patch on the skin, what delivery method is this?
Transdermal delivery
34
How are transdermal drugs absorbed into circulation?
They cross skin by percutaneous absorbtion
35
What is percutaneous absorbtion?
Absorption of a substance through unbroken skin
36
Are transdermal drugs used for local or systemic effect?
Transdermal drugs can be systemic or local
37
Are inhalation drugs used for local or systemic efects?
Inhalation drugs have local effects. Only inhaled anaesthetics are systemic.
38
Why are inhalation drugs useful?
Drugs delivered direct to site of action with rapid effect & no first pass metabolism.
39
Why do inhaled drugs only need small doses?
Only around 5-10% is absorbed systemically so the dose doesnt need to account for absorbtion or metabolism.
40
Are inhaled drugs more less toxic?
Administering drugs by inhalation actually reduced adverse effect
41
Name 4 carier based systems:
- Monoclonal antibodies - Liposomal carriers - Nanoparticles - Genetic transfer systems
42
What do monoclonal antibodies do?
Bind to cancer-specific antigens Induce immunological response against cancer
43
What is a liposomal carrier?
Liposome packed with drugs, transports through the blood
44
How do liposomal carriers affect the drugs pharmacokinetics?
Accumulate at disease sites Reduced distribution at sensitive tissue
45
Whats the main benefit of nanoparticle carriers?
Allow specific targeting/delivery of drugs.
46
What effect do nanoparticles have on treatment?
The drug has reduced toxicity while maintaining therapeutic efficiency (beacue its targeted)
47
What type of organisms are used as vectors for genetic transfer?
Viruses
48
How are viruses altered for genetic transfer systems?
Virus has genes for viral replication removed and therapeutic genes inserted
49
What does a genetic transfer system do?
Altered virus delivers therapeutic gene to target cells