Drug Delivery Flashcards
What does a drug formulaton involve
Drug delivery system formulated
Allows immediate or delayed onset
Avoid pre/systemic metabolism
Allows selective targeting of tissue
What determines the drug delivery system we use?
dose of the drug
frequency of administration
timing of administration
What factors do we consider to determine the dose?
Renal function Hepatic function Consider age and weight Consider disease to be treated Consider drug toxicity Give a starting dose and increase dose to achieve the desired effect
What is the most frequently used dosage route
Oral medication
What determines the speed of absorption of solutions and suspensions?
Gastric emptying - most rapid from the small intestine
What is the benefit of Solutions and Suspensions?
Easier for patients with swallowing difficulties
absorbed rapidly
Given via a naso-gastric or PEG tube
What is a suspension?
Dispersions of coarse drug particles in a liquid phase
What are suspensions useful for?
Drugs which are insoluble/unpalatable
What is the most commonly used formulation?
Tablets and capsules
What is the rate limiting step for capsules and tablets?
Tablet breakdown (dissolution)
What are the advantages of the tablets and capsules?
Convenience
Accuracy of dose
Reproducibility
Drug stability
Ease of mass production
What is the effect of the enteric coated tablets?
Delays disintegration of tablet until it reaches small intestine
Protects drug from stomach acid
Protects stomach from drug
What is the benefit of Prolonged or Delayed Release Formulations?
Most disorders required prolonged therapy
Maintains drug levels within a therapeutic range
Reduces the need for frequent dosing
Compliance is improved
Improved nursing and doctor compliance
Longer time course of drug in body
What are the advantages of prodrugs?
Prolonged duration of action
Avoidance of drug degradation in the gut
What is a prodrug reliant on?
Liver function - metabolism activates the drug
What is Buccal and Sublingual Administration ideal for?
Ideal method for drugs which have extensive pre-systemic or first pass metabolism