4_2TopTransderm1 Flashcards

1
Q

What is the most common disease of the skin?

A

infection

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2
Q

What are the 3 general purposes of drug delivery to the skin?

A

1) surface delivery, 2) local delivery, 3) transdermal/systemic delivery

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3
Q

What drug classes are administered for surface delivery?

A

cleansers and protectives

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4
Q

What drug classes are administed for local delivery?

A

protectives, keratolytics, anti-inflammatories

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5
Q

Why are drugs administered transdermally?

A

1) to avoid side effects, 2) avoid first pass, 3) prolonged release

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6
Q

What are the functions of skin?

A

1) barrier; 2) fluid containment; 3) stimulus reception; 4) temp regulation; 5) synthesis/metabolism; 6) waste disposal

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7
Q

What are the layers of the skin?

A

epidermis, dermis, subq

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8
Q

thickness of epidermis

A

100 um

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9
Q

thickness of dermis

A

2-3mm

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10
Q

What are the general layers of the epidermis?

A

stratum corneum + stratum germanitivum

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11
Q

What is the barrier to drug transport thru the skin?

A

strateum corneum

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12
Q

What is the turnover length of the stratum corneum

A

2 weeks

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13
Q

Describe the general composition of the sc?

A

5% membrane lipids; 85% cell contents; 10% intracellular membrane lipids

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14
Q

Describe the intracellular contents in the sc?

A

50% alpha-keratin, 20% beta-keratin, 20% lipids, 10% protein

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15
Q

stratum corneum thickness in back

A

10 um

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16
Q

stratum corneum thickness in abdomen

A

15 um

17
Q

stratum corneum thickness in forearm

A

16 um

18
Q

What % of skin surface are do appendages make up?

A

0.10%

19
Q

What is the density of hair shaft on the skin?

A

40-70 cm2

20
Q

What is the density of sweat glands on the skin?

A

200-250 glands/cm2

21
Q

What are the two pathways of drug transport through the skin?

A

trans-epidermal and trans-follicular

22
Q

Describe the contents of the dermis

A

capillaries, nerves, lymph, sebaceous glands

23
Q

Describe the contents of SQ tissue.

A

adipose and collagen with eccrine sweat glands, vasculature, and hair bulb

24
Q

What are the bricks in the brick and mortar model?

A

keratinized cells

25
Q

What is the mortar in the brick and mortar model?

A

extracellular lipids

26
Q

Describe the required drug solubility in different mediums to cross via the intracellular route?

A

soluble in hydrophilic protein core and soluble in extracellular lipid

27
Q

Describe the required drug solubility in different mediums to cross via the intercellular route.

A

must be soluble in extracellular lipid

28
Q

How does the intercellular pathway differ from the intracellular pathway?

A

torturous pathway if inter- is 50 times longer

29
Q

Describe the total flux or drug transport through the skin.

A

sum of the trans-epidermal pathway and the trans-follicular pathway

30
Q

What things have an effect on drug absorption?

A

1) drug properties, 2) vehicle properties, 3) pathway of permeation

31
Q

What is the slope of a plot of amount penetrated vs time?

A

flux

32
Q

What equipment is used to measure flux through a skin sample?

A

1) franz diffusion cell; 2) keshary-chen diffusion cell

33
Q

On what factors is lag time highly dependent?

A

thickness and diffusivity

34
Q

Lipinskis rules of 5 for ORAL

A

1) mw - 500
2) log K - 5
3) H donors - 5
4) H acceptors - 10

35
Q

Lipinskis rules of 5 for transdermal

A

1) mw - 335
2) log K - 5
3) H donors - 2
4) H accept - 5