Biopharmaceutics Transdermal 2 Flashcards

1
Q

How can skin permeation be enhanced (drug/vehicle properties)?

A

Drug selection (lipophilic preferable)
Pro-drug (for hydrophilic, charged drugs, conversion to ester to neutralise)
Ion pair complexes (to neutralise highly charged drugs)
Chemical potential (thermodynamic methods to make the drug more thermodynamically favourable for drug absorption)
Eutectic systems
Liposome or vesicle-based formulations (smaller particles and surrounded by lipids)

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2
Q

What characteristics achieve optimal permeability?

A

Low MW - higher diffusion

Low MP - better solubility

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3
Q

Where a drug does not possess the ideal physicochemical properties, what is needed?

A

Manipulation of the SC to enhance diffusion

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4
Q

How can the SC be manipulated?

A

Hydration
Lipid fluidisation
Powered electrical devices (iontophoresis, phonophoresis, electroporation)

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5
Q

Name 2 drugs that show good skin permeability.

A

Nicotine

Nitroglycerine

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6
Q

Maximum skin penetration is achieved when the drug…

A

Has the highest thermodynamic activity (when its at its highest concentration in the formulation compared to the skin) e.g. when in a supersaturated solution

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7
Q

How is a supersaturated solution produced?

A

By dissolving as much of the drug as you can into a solvent and then evaporating the solvent or mixing with co-solvents so you still have the same amount of drug, just in a lesser amount of solvent

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8
Q

How does this apply in practice (supersaturation)?

A

Evaporation of solvent from the warm surface of the skin, resulting in supersaturation, occurs in most topically applied formulations
Creates a steep concentration gradient from the skin to the underlying tissue

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9
Q

What role does the presence of water have to play (in supersaturation and absorption)?

A

If water is absorbed from the skin into the vehicle, it can act as an anti-solvent
This can increase the thermodynamic activity of the drug by 5-10 times

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10
Q

How does water act as an anti-solvent?

A

In a topical formulation, the drug is most likely to be lipophilic dissolved in something like an alcohol
The presence of water acts an an anti-solvent as the drug is hydrophobic and so it prevents the drug from dissolving, making the solution more supersaturated
Which in turn increases the thermodynamic activity of the drug and helps to achieve maximum skin penetration

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11
Q

Supersaturated solutions are inherently what?

A

Unstable

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12
Q

How can the stability of supersaturated solutions be increased?

A

Incorporation of anti-nucleating agents to prevent recrystallisation and improve stability

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13
Q

How does the SC act to stabilise supersaturated drug solutions?

A

Complex mixtures of FA’s, cholesterol and ceramides in the SC may provide an anti-nucleating effect

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14
Q

What can be said about the structure of crystals, and how this influences their MP and solubility?

A

Crystals have a highly organised structure and so it takes a lot of energy to disrupt and break down that structure, resulting in a higher MP and poor solubility

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15
Q

What is a eutectic mixture?

A

Involves mixing 2 components, that at a certain ratio, inhibit crystallisation of each other, thus the MP of both compounds is decreased

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16
Q

What is the result of formulating as a eutectic mixture?

A

Lower the MP of both solid components and increase solubility, this is favourable for drug permeability across the skin

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17
Q

How does MP influence solubility and skin penetration?

A

The lower the drugs MP, the greater the solubility in a given organic solvent, including skin lipids
MP’s can be reduced to below or around skin temp. to enhance solubility

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18
Q

Aside from lowering MP, how else do eutectic mixtures enhance skin penetration?

A

Often contain penetration enhancers as the second component, these help disrupt the SC and enhance penetration
E.g. ibuprofen with terpenes

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19
Q

How can permeation enhancer activity be expressed?

A

Enhancement ratio (ER) = drug permeability coefficient after enhancer treatment / drug permeability coefficient before enhancer treatment

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20
Q

How can SC modification be achieved? (3)

A

Disruption of the intercellular lipid lamellae (‘mortar’) structure
Interactions with intracellular proteins, such as keratin, of the SC
Improvement of partitioning of a drug with a co-enhancer or co-solvent

21
Q

What is the difference between skin penetration and skin perforation?

A

Skin penetrators are things like alcohols and surfactants

Skin perforators are devices like microneedles

22
Q

Water is widely used (and safe) to…

A

Increase skin penetration of hydrophilic and lipophilic agents

23
Q

How does hydration increase skin penetration? (3)

A

Alters drug solubility and aids partitioning
Increases skin hydration, swelling and opening of the SC structure leading to increased penetration
Diffusion coefficients of alcohols are 10x higher following hydration of the skin

24
Q

What % of the dry weight of the SC is water?

A

15-20

25
Q

What causes hydration of the SC to vary?

A
External environment (humid or dry)
Medications
26
Q

How can we increase hydration?

A

Occlusion with transdermal patches, plastic films, paraffins, oils or waxes as components of ointments or o/w emulsions

27
Q

How does occlusion increase hydration?

A

Essentially involves covering the skin to ‘trap’ any water in

28
Q

How do o/w emulsions increase hydration?

A

o/w emulsions can donate water to the skin

29
Q

How do liposomes and other lipid nanoparticles work?

A

The small size of lipid nanoparticles aids their penetration through the SC
Liposomes hydrate and/or alter lipid layers, especially when lipids are similar to SC lipids, they can readily enter and fuse with SC lipids

30
Q

How do liposomes contain both hydrophilic and hydrophobic drugs?

A

Hydrophilic drugs can be encapsulated in the hydrophilic centre and lipophilic drugs in the lipid-rich outer region

31
Q

What are some other types of nanoparticles? (4)

A

Deformable liposomes/transferomes
Ethosomes
Niosomes
Solid lipid nanoparticles (SLN)

32
Q

How do deformable liposomes/transferomes work?

A

Contain 10-25% surfactant e.g. sodium cholate, with 3-10% ethanol
Surfactant and ethanol act as ‘edge activators’ conferring deformability and allowing them to squeeze through channels 1/10 their diameter

33
Q

How do ethosomes work?

A

High alcohol content fluidises lipids

34
Q

How do niosomes work?

A

Vesicles composed of non-ionic surfactants make the nanoparticle fluid and deformable

35
Q

What are SLN’s?

A

Carriers for enhanced skin delivery of agents such as sunscreen, vitamins A and E and glucocorticoids

36
Q

What is the structure of SLN’s?

A

Consist of an almost perfect, solid lipid matrix

37
Q

What are NLC’s?

A

Nanostructured lipid carriers

38
Q

What is the structure of NLC’s?

A

Composed of a solid lipid matrix immersed in liquid lipid (oil) droplets

39
Q

What is the purpose of the different components of an NLC (matrix and liquid lipid)?

A

The solid lipid acts as a matrix to immobilise the drug and prevent nanoparticles from coalescing
The liquid lipid component increases the drug loading capacity

40
Q

How do SLN’s work?

A

The almost perfect lipid matrix forces encapsulated drugs to the surface of the particle resulting in rapid release from the surface

41
Q

How do NLC’s work?

A

The mixture of lipids of different phases forms an imperfect lipid crystal lattice
More drugs can be encapsulated but rapid surface release is prevented

42
Q

How do the release profiles of SLN’s and NLC’s differ?

A

SLN’s - quick and complete release

NLC’s - sustained release of a higher dose

43
Q

Skin permeability can be increased by disrupted which two components?

A

Keratin and lipids

44
Q

How is keratin disruption achieved (excipients)?

A

Use of decylmethylsulphoxide, urea or surfactants

45
Q

How can lipid disruption be achieved (excipients)?

A

Lipids can be fluidised using DMSO, alcohols, fatty acids and terpenes

46
Q

How can lipid disruption be achieved (mechanism)?

A

1) Lipid excipients can mix homogeneously with skin lipids to disrupt them and change drug solubility
2) Excipients can extract skin lipids, leaving aqueous channels or microcavities within the lipids e.g. oleic acid, terpenes
3) At high concentrations, hydrophilic excipients pool within lipid domains to create permeable pores that provide less resistance for polar molecules

47
Q

Optimal penetration enhancement is obtained with…

A

Saturated alkyl chain lengths C10-C12 attached to a polar head group or C18 for unsaturated

48
Q

What is a problem associated with many penetration enhancers?

A

Skin irritation, low level damage and immune activation