biopharmaceutics Flashcards

1
Q

what is biopharmaceutics?

A

the interaction of the biological system (bio) with the drug and the drug delivery system (pharmaceutics) [how to get drug from the route of administration into the blood]

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2
Q

Rate-limiting steps in drug action after oral
administration

A
  • Poorly water-soluble drug → Dissolutionrate-limited
  • Highly water-soluble drug → Absorptionrate-limited
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3
Q

Mucosal barriers separate the external environment from

A

the body’s internal milieu.

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4
Q

mucosal barriers characteristics

A

These barriers are selectively
permeable : impermeable to bacteria and toxins but
permeable to water, ions and solutes, including nutrients.

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5
Q

Absorption across the mucosal: 5 ways

A

A. Transcellular route: passive diffusion
B. Transcellular route: active transporter utilization
C. Paracellular route (tight junctions): passive diffusion
D. Lipid absorption via micelles / bile salts
E. Particulate absorption via GALT: Gut-Associated Lymphatic Tissue

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6
Q

Larger log P = less/more lipophillic

A

more lipophillic

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7
Q

Adherens junctions are what

A

junctions found beneath the tight junction which hold it loosely

both junctions are affected by Calcium ions

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8
Q

Adding EDTA increases drug barriers

A

permeability

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9
Q

Higher log P = more or less bioavailability usually, so more variability

A

more

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10
Q

In the equation for ficks law: D is always negative as …

A

we are moving down the concentration gradient (as the drug is absorbed, this conc grad decreases, so so will the rate of diffusion)

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11
Q

passive transcellular route mechanism

A
  • passive diffusion (fick’s law)
    high conc on apical side of cell
    low conc inside the cell
    molecule diffuses into the cell and out the other side into the blood
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12
Q

passive transcellular route drugs

A
  • most drug molecules
  • neutral molecules ie un-ionised
  • logP important - drug must partition into membrane
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13
Q

ficks law

A

J = -D (dC/dx)

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14
Q

so for log p, positive numbers in the calculation =

A

hydrophobic

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15
Q

what log P

A

the distribution of the drug at equilibrium
- where P is partition coefficient (often called partition ratio)
- log bc numbers are easier to handle

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16
Q

drug size relationship to absorption

A
  • larger molecules cross cell membranes more slowly than smaller
  • tight junctions restrict the diffusion of polar molecules
  • diffusion coefficient is reduced (stokes Einstein)
  • active transporters responsible for fast transport of some polar molecules
17
Q

what ion has a critical role in the formation and maintenance of TJs

18
Q

tight junctions are essential for the structural integrity of what structure

A

GIT epithelium

19
Q

passive paracellular route (tight junctions)

A

Mechanism: absorption through the tight junctions

Pore size: calculated as 0.8 nm in the jejunum and 0.3 nm in the ileum and colon

Drugs: small hydrophilic molecules of molecular
diameter < 1.15 nm
* eg mannitol (0.67 nm), PEG 400 (0.53
nm), lactulose (0.95 nm)

20
Q

Transcellular route: Active transporters

A

mechanism: molecule “piggybacks” into the cell using a system designed for natural substrates such as amino acids and vitamins
N.B. often against a concentration gradient

substrates:
- L-dopa and D-cycloserine utilise the
amino acid transporter
* Angiotensin Converting Enzyme (ACE)
inhibitors utilise the oligo (2 to 3) peptide transporter (PEPT transporters)

21
Q

Transcellular route: Active transporters

A
  • Transporters present on apical brush border membrane of intestinal epithelium
  • Generally restricted to specific segments of intestinal mucosae * e.g.
  • facilitative folic acid (folate) transporter; thiamine (vitamin B1), pyridoxine (vitamin B6), PEPT (peptide transporter), bile salt transporters
22
Q

Active versus passive transport on a graph

A

passive goes up at a similar amount, active levels off

23
Q

Lipid absorption via micelles / bile salts
Mechanism:

A
  • bile salts secreted into small intestine to emulsify lipid molecules
  • lipids then hydrolysed by lipases to give monoglycerides and fatty
    acids
  • formation of mixed micelles of mono-glycerides, fatty acids and bile salts
  • lipidic molecules absorbed by partition from micelle into the cell
  • Substrates:
  • poorly water-soluble drugs (ie fat-soluble)
24
Q

Lipid absorption in the intestines

A

fat droplet + bile salts -> emulsion droplets -> free fatty acids + bile salts -> micelles + bile salts

25
Particulate absorption via Gut- Associated Lymphatic Tissue Mechanism
endocytosis via M (membranous) cells in the Peyer's patches of GALT in the small intestine * subsequent absorption into the lymphatic system * eventual distribution to liver and spleen
26
Particulate absorption via Gut- Associated Lymphatic Tissue substrates
Macromolecules * microparticulates (< 10 μm)
27
Biopharmaceutics Classification System (BCS) how many classes
4
28
Biopharmaceutics Classification System (BCS) class 1
high solubility high permeability
29
Biopharmaceutics Classification System (BCS) class 2
low solubility high permeability
30
Biopharmaceutics Classification System (BCS) class 3
high solubility low permeability
31
Biopharmaceutics Classification System (BCS) class 4
low solubility low permeability
32
Applications of BCS (1)
* Formulation Development * Class I: dissolve rapidly and rapidly absorbed across gut * rapid and full absorption (good bioavailability)  formulation straightforward * Class II: dissolution rate is likely to limit absorption * Explore formulation approaches to enhance dissolution rate * Class III: dissolve rapidly, but poorly permeable * Dosage forms need to release drug rapidly to maximize the time these drugs have to permeate the GI tract * Class IV: probable very poor bioavailability * oral route might be impossible. Consider a prodrug format
33
Applications of BCS (2)
Generic products of BCS Class I and III drugs may under certain circumstances be licensed without the need to conduct human studies on bioequivalence (BCS-based biowaiver) * Concept of bioequivalence – rate and extent of absorption is the same (within defined limits) after administration of the same molar dose * Biowaiver not applicable for different test product e.g. ester, ether, isomer, mixture of isomers. But different salt forms may be permitted.