Vaginal Drug Delivery Flashcards

1
Q

Vaginal drug delivery is useful for delivering what kind of effects?

A

Topical + systemic

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2
Q

How many layers are found?

A

4

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3
Q

When does the pH environment tend to rise?

A

As you age

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4
Q

How thick is the vaginal wall?

A

20 to 45 cell layers (200 to 300 micrometers)

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5
Q

What local bacterial flora is typically found? What does it convert to?

A

Lactobacilli to glycogen to lactic acid and peroxide

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6
Q

How does menstrual blood affect pH?

A

pH rises then possible bacterial growth

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7
Q

What are ways the vaginal pH can be altered?

A
  1. Presence of semen
  2. Personal hygiene
  3. Menstrual blood
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8
Q

Local action, what must be considered?

A

Smaller dose because you want to reduce absorption/distribution and reduce toxicity

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9
Q

What is a microbicide and what is the issue with them?

A

Used to prevent HIV and/or STDs. They are under-developed

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10
Q

What wrong with the systemic delivery?

A

Not a lot of products available; mostly just creams/hydrogels

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11
Q

How are lipophilic substances absorbed?

A

Transcellularly

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12
Q

How are hydrophilic substances absorbed?

A

Paracellularly

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13
Q

What are pessaries?

A

Vaginal suppositories

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14
Q

What is the typical shape and weight of pessaries?

A

Usually ovoid and 5g or less

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15
Q

What kind of base is most convenient?

A

Water soluble

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16
Q

To ensure rapid drug release, what should the drug and base be?

A
Drug = water soluble
Base = lipid
17
Q

What is the purpose of a vaginal ring?

A

To release RX over an extended period of time

Make sure the ring is in contact w/ epithelium for good drug absorption

18
Q

How long do you keep the vaginal ring for?

A

3 weeks + 1 week “off” for menstrual flow

19
Q

What are medicated tampons for?

A

Fungal infections