9: Transdermal Delivery Systems Flashcards

1
Q

what is the difference between TDS and topical

A

TDS get into systemic circulation for widespread effects

topical = local effect only

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2
Q

list 3 advantages of TDS drugs

A
  • avoids deactivation
  • noninvasive
  • less frequent application
  • avoids interactions
  • effective for drugs that cause nausea
  • patient compliance
  • ease of removal
  • controlled release property
  • easily recognizable in emergency
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3
Q

what are some limitations of TDS

A
  • absorption of drugs from skin may be limited
  • dermatitis at site
  • lag time
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4
Q

the stratum corneum is made up of _____ ____ cells separated from each other by a _________

A

protein rich cells

thin layer of intercellular lipids

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5
Q

3 ways a drug can pass through the stratum corneum

A
  1. paracellular
  2. transcellular
  3. through hair follicles and sweat glands
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6
Q

what is the most important mechanism of percutaneous absorption

A

diffusion

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7
Q

what are the 3 characteristics that makes the best drug for TDS

A

low MW and melting point, moderate lipophilicity and excretion

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8
Q

3 parts of a TDS

A

backing membrane
adhesive layer
release liner

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9
Q

the backing membrane of a TDS must be

A

occlusive

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10
Q

what can the backing membrane be made of

A

propylene, polyethylene, and polyolefins

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11
Q

where is the drug contained layer located

A

between the backing membrane and adhesive layer

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12
Q

what is commonly used for the adhesive layer

A

polybutyl acrylate

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13
Q

which system is zero order release

  1. membrane controlled system
  2. monolithic system
A

membrane release system

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14
Q

if a membrane controlled patch is used right after manufacturing there will be a ________
if it is expired there may be a _________

A

lay time

dose dumping

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15
Q

what is the only factor we can change of a TDS for release

A

concentration of drug in reservor

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16
Q

the rate limiting membrane of membrane controlled systems are made of

A

polymers that slow down release of drug out of patch

17
Q

describe a monolithic system

A

drug is mixed with rate limiting membrane = no specific drug reservoir
- just backing, adhesive with drug, and release liner

18
Q

why do monolithic systems not have zero order release

A

because as time goes on, the distance of diffusion increases, and rate lowers

19
Q

reservoir systems can form _______ release while monolithic systems usually form _____ release delivery systems

A

controlled release

sustained release

20
Q

list the locations from best for worst for skin penetration

A

abdomen >forarm > instep >heel

21
Q

what are some chemical ways to enhance absorption

A
extraction of lipids
alteration of vehicle/ skin partitioning coefficient
disruption of lipid bilayer structure
displacement of bound water
loosening of horny cells
delamination of stratum corneum
organic solvents
oily structure
surfactant
propylene glycol
other drugs
22
Q

what are some physical absorption enhancers

A

iontophoresis
phonophoresis
electroporation

23
Q

what is iontophoresis

A

generating a constant but low voltage through 2 electrodes to push drug into skin

24
Q

how does phonophoresis/ sonophoresis work

A

forms bubbles inside skin and forms cavities inside lipid structure of stratum corneum = loosens it and drugs get better penetration

25
what is electroporation
high voltage pulses in very short durations to help drug get into skin
26
can nanodispersed systems get into skin
yes- small size and lipid structure + can change shape
27
nanodispersed systems include
liposome nanoemulsion lipid nanoparticle
28
name 5 quality control tests
1. peal adhesion test 2. release liner peel test 3. tack test 4. leak test 5. seal integrity test
29
what is the peal adhesion test
measures how well patch sticks to skin and comes off without leaving residue
30
what is the release liner peel test
no adhesive sticking to lining + measures force needed to peel sample
31
what is the tack test (rolling ball method and probe tack test)
ball = see how far ball rolls on the patch | tip test = see how much force it takes to take the tack off the patch
32
what is the seal integrity test
patch is able to withstand a specific pressure without rupturing
33
list 3 points of patient consultation
``` area of application rotation around rec site of application avoid wet/ oily sin or immediately after lotion avoid hair avoid parts of the body with high frequency of movement/ clothing rubs don't touch adhesive layer don't cut TD systems patch should be folded to be discarded ```
34
why should we rotate around recc site of application for transdermal delivery
Backing membrane of patches can hydrate the skin = structure of skin becomes different = higher absorption over time Must give some time between applications to avoid tolerance
35
T or F: you can shave the hair in an area to put patch on it
F- shaving right before can damage the stratum corneum and increase absorption
36
what is an example of first generation TDS
drug loaded patches dependent on diffusion
37
describe second generation TDS
noninvasive TDS with actuator | - pepetration enhancers
38
describe third generation TDDS
microneedles, ultrasounds, electroporation, microdermbrasion, thermal ablation stronger disruption of stratum corneum barriers