IC 10 - Pharm Tech (2) Flashcards
List the 5 injection methods.
- IM
- SQ
- IV
- Intradermal
- Intrathecal
Which of the parenteral method allows drugs to travel to brain?
Intrathecal
What are the barriers or disadvantages for non-intrathecal?
- Cannot reach BBB
- Dilution/ distribution
- Reticuloendothelial system
- Metabolic enzymes
- Invasive
- Medical professional required
- Strict sterility
What are the barriers for intrathecal?
- Dilution/ distribution
- Reticuloendothelial system
- Metabolic enzymes
- Invasive
- Medical professional required
- Strict sterility
What are the advantages of parental delivery?
- Bypass hepatic first pass
- Can control dosage (relative low drug concentration and low toxicity)
- Direct access to brain (intrathecal)
- Sustained release (IM depots, intrathecal reservoirs)
- Ideal for non compliant, unconscious, dysphagic
How does molecules move through BBB?
- Paracellular
- Transcellular
BBB contains active _____ transporters.
efflux
List three efflux transporter found in BBB.
P-gp, BCRP, MRP
What are the two transporters in BBB?
- Carrier mediated
- Receptor-mediated
List the modified Lipinski rule of 5.
- MW < 450Da
- Hydrogen bond acceptors <7
- Hydrogen bond donors <3
- Log P 1 - 3
- Unionised
List the two types of parental formulation.
- Solutions
- Suspensions
What are the common excipients for parental injections?
- Diluent
- Buffer salts
- Tonicity adjuster
- Preservatives (minimal for intrathecal)
- Stabiliser/ co-solvent
What are the considerations for parental delivery?
- pH (ideal 7.4)
- Tonicity (280-290)
- Particle size (No visible particles)
The pH of IM injections can range from ____ to ____.
3,11
The SQ injection’s pH can range from ___ to ____.
3, 6
Formulation ____ is prioritized in parental injections.
stability
What is the preferred solution for parental injections?
Hypertonic
Particle size consideration is more stringent in ____ injections.
IV
List three ways to package the injectables.
- Glass ampoules
- Glass vials with rubber stoppers (Reconstitution)
- Prefilled syringes
**Need to withstand sterilization processes
List the three components of catheters and reservoirs for infusion.
- Reservoir
- Catheter
- Pump
What is a biomaterial that is compatible with catheters and reservoirs?
Titanium