Block3 Lecture2 Flashcards
What is the size of a capillary lumen?
5-20 microns
What is the USP 32 size requirement for particles greater than 10 microns?
less than/equal to 25 particles/mL
What is the USP 32 size requirement for particles greater than 25 microns?
less than/equal to 3 particles/mL
What USP chapter regulates particle size in parental products?
32
Describe the structure of a liposome.
natural phospholipid biomolecules arranged in a spherical bilayer
What are the various morphologies of liposomes?
MLV, LUV, SUV, MVV
What is an MLV?
multi-lamellar vesicle
What is an LUV?
large uni-lamellar vesicle
What is an SUV?
small uni-lamellar vesicle
What is an MVV
multi-vesicular vesicle
What is the diameter of a large liposome?
100 - 200 nm
What is the diameter of a small liposome?
less than 100 nm
How do liposomes vary?
morpholgy and size
What is the CMC?
critical micelle concentration; the point at which micelles precipitate
How is amphotericin B toxic?
nephrotoxic - insertion into cell membranes - acute tubular necrosis, even with the deoxycholate form
What side effects does an Amphotericin B infusion cause?
N/V, fever, HA, nephrotoxicity
Why does Ambisome offer fewer ADRs compared to Amphotericin B?
increased amphob solubility = shorter infusion time, liposomes prevent AmphoB tubular access
How are liposomes synergistic with amphob?
liposomes also bind to and disrupt fungal cell membranes
How is ambisome supplied and prepared?
as a lyophilized powder, Reconstitute with SWFI and shake for 30 seconds
What is the EPR effect?
tumors rapidly neovascularized with leaky vessles and poor lymphatic drainage; thus, small particles accumulate in a tumor
Describe the preparation of Doxil
translucent red stealth liposomal dispersion in D5W only
What advantages does Doxil offer over doxorubicin?
slower clearance, selective EPR accumulation; decreased cardiotoxicity